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Leadership And Person-Centredness: Time For Change!, Brendan G. Mccormack

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

In the past 10-15 years, healthcare services (particularly in the UK) have been rocked by various 'scandals' that have largely focused on a lack of dignified, compassionate, respectful and indeed unsafe practices from practitioners (of many disciplines). The outcome in most of these has been the loss of many lives, particularly vulnerable children, older people and people with disabilities (such as intellectual disability). Whilst nothing about the exposed practices can be condoned in any way, the reports clearly demonstrate the importance of a person-centred culture, i.e. a culture that treats all stakeholders as …

Meta-Analyses Of Epigenetics Risk Factors For Heart Disease Prevention: Nos3 Human Gene Variations Across Different Race-Ethnicity Groups, Nien-Tzu Chang, Lisa Delacruz, Shyang-Yun Pamela K. Shiao

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: The purpose of this presentation is to disseminate current evidence on population genome health, through meta-analyses of epigenetic risk factors, for heart disease prevention. Ischemic heart disease (IHD) is the major leading cause of deaths worldwide. Epidemiological studies have revealed the association between nitric oxide synthase 3 (NOS3) gene mutation variations with increased risks of IHD in various populations in the world. NOS3 is a gene affects metabolism in the urea cycle of the methylation pathways, critical for preventing systematic inflammation as an epigenetics risk factor for heart health.

Methods: Literature searches, …

Measurement Of Moral Courage, Georgia A. Dinndorf-Hogenson

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Threats to patient safety exist. Nurse appraisals of these threats and the likelihood to act with moral courage have not been documented. This descriptive correlational study examined moral courage response to threats to patient safety. The moral courage model was based on Lazarus and Folkman's theory of stress and coping. The Dillman, Smythe, and Christenson (2009) tailored design method was used to construct the Moral Courage Questionnaire for Nurses (MCQN) instrument. Moral courage frequency and intensity were explored.

Methods: A randomized mail questionnaire distributed to Midwest perioperative registered nurses yielded 50% response …

Partnerships In Global Health: Nursing Assessments With School-Age Children In Belize To Promote Healthy Living, Mary Lou De Natale, Enna Edouard Trevathan

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: School age children across the world represent the future, thus their growth and development are a prime concern of all societies (World Health Organization, 2013). One way to address this need is to educate children regarding their own health and wellness, which proved to be beneficial for a community in Belize, Central America. This program provided a partnership for nurses and nursing students with children/adolescents as they learned about how to perform their own health assessments. Physical assessments and nutrition education for over 700 school-age children/adolescents were provided. Children and adolescents, as active …

An Evidence-Based Approach To Successful Practice Change, The Toolkit: Implementation Of Best Practice Guidelines, Irmajean Bajnok, Heather Mcconnell, Doris Grinspun, Althea Stewart-Pyne

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

An evidence-based practice program, funded by a provincial government and led by a professional nursing association in Canada, has a mandate to develop, disseminate, and support the uptake and evaluation of clinical and healthy work environment best practice guidelines.'This program has achieved global reach, a success due to its rigorous guideline development process, and innovative multi-pronged implementation strategies. These strategies are focused at the individual, organizational and system level, and incorporate evidence-based approaches to support the implementation of best practices. A key resource that is utilized within this program to guide the systematic …

Back To School: An Educational Collaboration And Tool For School Nurses And Their Patients With Chronic Headache And School Absence, Lori A. Lazdowsky, Elyse D. Mahoney, Karen J. Kaczynski, Alyssa A. Lebel, Alessandra J. Caruso, Ashley M. Mccarthy, Rupa Gambhir, Laura Simons, Victoria E. Karian

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this project is to develop an effective teaching tool to facilitate communication among medical providers, students and families, and school administration on how to best meet the complex needs of students with chronic pediatric headache as they transition back to school after an extended medical absence. In recent decades, the number of children with chronic illnesses transitioning back to school has increased (Kliebenstein & Broome, 2000). Though medical professionals provide much of the necessary physical and psychological care to facilitate school reentry, the process may be delayed for several …

Parents Reactions To Multi-Disciplinary Perinatal Palliative Care During Pregnancy With A Lethal Fetal Diagnosis, Denise Cote-Arsenault

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Some parents learn through prenatal testing that their wished-for child has abnormalities that are incompatible with life. Their fetal diagnoses launch them into appointments with sonographers, obstetricians, genetic counselors, perinatologists, maternal-fetal medicine specialists, bereavement nurses, perinatal palliative care programs, hospice, and neonatologists. The purpose of this presentation is to describe parents' reactions to interactions with care providers from multi-disciplines during such pregnancies and to make recommendations of useful interaction styles to care providers.

Methods: Naturalistic, longitudinal. Inclusion criteria: currently pregnant mothers and their willing partners who intend to continue their pregnancy, are …

Leadership Is Key To High-Performance Amidst Inevitable Trends Of Diversity, Rita K. Adeniran

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Technology, generational divides, and differing personal values are some of the factors that contribute to the inevitable diversity trends witnessed in today's evolving healthcare system. Regardless of these diversities, leaders have the responsibility of creating environments that optimize team performance while enhancing patient outcomes, safety and quality of care. Gracious space, cultural and confident humility are strategies that have been found to be effective for leaders to understand, support and manage diversity in ways that foster high-performance. These strategies help teams to span boundaries, mitigate tension, foster creativity, innovation, and high-performance by setting …

Empowering Nursing Students At The Faculte Des Sciences Infirmieres De Leogane (Fsil) To Promote Evidence-Based Practice In Haiti, Marie-Carole France

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Nursing research is considered one of the most important courses in nursing curricula to prepare baccalaureate-nursing students for evidence-based practice. The purpose of this project was to evaluate how Haitian nursing students at the Faculte des Sciences Infirmieres de Leogane (FSIL) circumvented their traditional subject-focused approach of learning to a process-driven method using problem-based learning (PBL) to stimulate their cognitive skills in the nursing research course.

Methods: To accomplish this goal, innovative teaching strategies: concept mapping, technology support, clinical case scenario, reflection, and group presentations were implemented in the course to help …

Factors Influencing Nursing Assessment Practices, Carol L. Reid

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Changing acuity of hospitalised patients means sicker patients with more complex needs are at greater risk of becoming seriously ill during their stay. Frontline registered nurses (RNs) play an essential role in detecting patients at risk of clinical deterioration through ongoing assessment and timely, appropriate action in response to changing health status. Government agencies worldwide have developed guidelines for recognition of and response to acute clinical deterioration. Nevertheless, clinical deterioration continues when it may have been prevented. Little research has examined factors related to registered nurses' use of assessment skills. The purpose …

Improving Health Outcomes For Surgical Patient In Nicaragua: Empowering Nurses Participating In A Multidisciplinary Cleft Lip And Palate Team Implementing Evidence-Based Practice Solutions, Teresa A. Pfaff, Maria Julia Perez, Anina Terry, Carmen Maria Urruita Gomez

International Nursing Research Congress (INRC)

Session presented in Saturday, July 26, 2014:

In Nicaragua, the increase in those suffering from the congenital malformation of cleft lip and palate has bee seen across a diverse range of socio-economic levels. Although the World Health Organization estimates that cleft lip, with or without palate involvement, affects almost 1 in every 600 newborns worldwide, the Nicaraguan Ministry of Health has not updated statistical data of the percentage of children with this congenital malformation. These children encounter challenges with maternal and familial acceptance, in addition to multiple surgeries and visits to healthcare providers required in the first few years of …

Psychometric Properties Of A Short Version Of Effort-Reward Imbalance In Blue-Collar Workers, Won Ju Hwang, Oisaeng Hong

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purposes of this study were to test psychometric properties of a short version of Effort Reward Imbalance (ERI) questionnaire and to identify its relationship with job demand in blue-collar workers.

Methods: In this study, we sought to translate the ERI short form into Korean and to examining the psychometric properties in a sample of 250 blue-collar workers who are working at small companies. The internal consistency reliability, structural validity, and criterion (content) validity were analyzed.

Results: The Cronbach's alpha for the three scales were 0.75, 0.74, and 0.72, respectively. Confirmatory factor …

Innovative Community Placements: Enhancing Students Experiences With Diverse Population, Ruth Trudgeon, Ivy Tuason, Stephanie Cornett

International Nursing Research Congress (INRC)

Background: The recent focus on community and population based health care in nurse education means that effective clinical experiences within the community are an essential component of the nursing program. However, two factors have made this harder to do over the last decade as student nurse enrollment has increased annually but at the same time budget cuts have led to reductions in many traditional community health services. Therefore more students are competing for a limited number of spots in traditional community sites such as clinics, public health agencies and schools. This has led to a trend of implementing innovative community …

Evaluating Student Success After A Change In The Teaching/Learning Environment, Laura Fillmore

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

This study evaluates the effect of providing a structured development program for faculty to implement student-centered learning strategies in an entry-level nursing course. A call to change our teaching and learning practices in nursing comes from healthcare leaders who see the complicated healthcare environment (National Academies, 2010). Also, our expected result of teaching and learning in nursing has evolved to include clinical reasoning, situated learning, and civic professionalism (Benner, et al, 2010). Other academic leaders are referring to disruptive learning which questions how we know students are learning and not just being taught …

Gender Differences In Depression, Life Satisfaction, And Health In Middle-Aged Koreans, Oksoo Kim

International Nursing Research Congress (INRC)

Study presented on Saturday, July 26, 2014:

Purpose: The purpose of this study was to investigate gender differences in health, depression, and life satisfaction among the middle aged in Korea. Also the predictors of depression by gender were identified.

Methods: The data in this cross-sectional descriptive study were derived from the 2010 Survey for Health, Life condition, and Welfare Needs of Middle Aged Koreans conducted by the Korea Institute for Health and Social Affairs. The health related characteristics included perceived health, alcohol drinking, nutrition, exercise, chronic disease, and climacteric syndrome. The participants were asked "Have you ever experienced sadness or …

The Adoption And Implementation Of The Columbia-Suicide Severity Rating Scale (C-Ssrs) In A Psychiatric Emergency Service: Utilizing Roger's Diffusion Of Innovations Model, Cheranne Morse

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Suicide is a major public health problem and the most dreaded patient outcome. Patient suicides are one of the top five most common sentinel events in health care. Within two months of discharge from an emergency department, one in ten patients will commit suicide. However, the exact number for completed patient suicides following an evaluation in a psychiatric emergency service is unknown. Patients present to the psychiatric emergency department in an acute crisis state often due to suicidal ideation and behaviors. Psychiatric emergency service clinicians are faced with performing a suicide risk assessment …

Trait Negative Affectivity: A Predictor Of Burnout And Secondary Traumatic Stress In Nurses In Wa, Desley G. Hegney, Karen Francis, Samar Aoun, David Hemsworth, Vicki Drury, Mark Craigie

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The aim was to ascertain the relationship between the constructs of trait negative affectivity (TNA), depression, state anxiety, stress, compassion fatigue and compassion satisfaction.

Methods: In 2013 an on-line self-report study was conducted. The survey contained demographic information and the Professional Quality of Life Scale (ProQOL), the DASS21 and the Spielberger Trait Anxiety Scale. The study included all nurses employed part or full time in an acute tertiary hospital in Perth.

Results: 299 of 1292 nurses provided useable data. Approximately 12% of nurses had stress levels in the moderate, severe to extreme …

Evidence Of Moving On: Education And Evidence-Based Practice, Donna Louise Waters

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Since 2006, competency standards for Australian registered nurses have required demonstration of the ability to practice within an evidence-based framework, use the best available evidence in decision-making, and contribute to research and quality improvement (NMBA 2006). While these standards clearly articulate a vision for using research in practice, expectations around preparing nurses to provide evidence-based care and the skills required for contribution to research are much less clear. Currently, undergraduate preparation for competence in EBP is presented and assessed in a variety of ways, neither of which have a strong evidence-base nor …

Meta-Analyses Of Human Genome Studies: Epigenetic Risk Factors And Population Health Issues In The World, Shyang-Yun Pamela K. Shiao

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: The purpose of this symposium is to disseminate current evidence on population genome health, through the meta-analyses of epigenetic risk factors, for population health. The new discoveries in human genome sciences show that mutations in the genome of normal human cells can lead to the development of chronic diseases for oneself and future generations. Lifestyles have a major effect on the development of chronic diseases for oneself and future generations through epigenetics and methylation pathways. Western dietary habits cultivated under the modern industrial era may induce gene expression changes in key regulatory …

Three Japanese Expert Nurses' Professional Narrative: Reflections On Their Accumulated Clinical Nursing Experiences Refining Nursing Identity, Hiromi Kuroda, Tomoko Miyashita, Satomi Yamaguchi, Hideko Urata, Sayaka Higajima

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Reflection on one's own practices and experiences is a significant key for the expert nurses as it constructs intellectual and clinical competencies of nurse and it would refine their professional identity. The purpose of this study is to describe 3 Japanese expert nurses' perceptions for nursing as their lifework profession.

Methods: Three active expert nurses, who have over 30 years of work experiences, working for a University Medical Hospital with 800 beds in Japan, were the informants of the study. The main role of the informants was day to day patient care …

Effectiveness Of Structured Teaching Programme On Addiction Among Adolescents, Umapathi Mariappan

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: This study was aimed to assess the effectiveness of Structured Teaching Programme (STP) on Addiction {related to alcohol abuse} among adolescents in selected schools of Salem District, Tamil Nadu State.

Methods: Quantitative approach with one group pre test, post test quasi experimental design was adopted for this study. Cluster random sampling technique was used to select the study area and purposive non - random sampling technique was used to select the sample (Rural n =200, Urban n=200). Adolescents between the age group of 15-17 years and who were studying 10thclass in selected …

Blood Aspiration During Intramuscular Injection, Megan A. Infanti Mraz, Christine M. Thomas, Lois Rajcan

International Nursing Research Congress (INRC)

The purpose of this presentation is to disseminate findings identified through data gathering and research analysis that occurred in the summer of 2012.

Radio Frequency Identification Device (Rfid) And Real Time Location Systems (Rtls) Enhance Nursing Care Delivery, Sandra Reeder, Particia Toor

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of the project was to use the technology to measure the direct patient care work by shift and patient type in order to develop process improvements for safe, effective and efficient care. Technology has the potential to create a better work environment for inpatient nurses by improving efficiency, safety, and quality of care. Technology solutions such as RFID and RTLS can have a dramatic impact on patient safety, quality of care, patient and nurse satisfaction contributing to overall enhanced hospital operations (California HealthCare Foundation, 2008). RFID and RTLS have mainly …

The Historical Research Of Legislative Process Of The Eugenic Protection Act And Maternal And Child Health Administration In Japan, Sachiko Tanaka, Yukari Kawahara, Kazuko Yarimizo, Atsuko Yumoto, Keiko Ogawa

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Selections by individuals concerning pregnancy and childbirth fundamentally depend not only on the individual's will, but also on the country's paradigm and policy of the time. In Japan, after more than 60 years from the Second World War, the broadest ever range of selections has become available concerning pregnancy and childbirth, with the effect of developing medical science. It is considered essential to look back on Japan's historical systems related to pregnancy and childbirth, for the purpose of examining future maternal and child health administration and nursing. This study is aimed at …

A Faculty And Bsn Student Care Delivery Model For Patients With Diabetes, Patty M. Orr, Shondell Hickson, Kempa (Kim) French

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

The integrated, conceptual framework of faculty nurse practitioners (NPs) and BSN nursing students caring for a chronic disease population in the community clinic serves as a model of applied health service research. A teaching/learning clinical partnership environment serves as the pedagogy for effective, active synthesis of critical thinking and skills building with a focus on prevention by the BSN students.' The care delivery model challenges faculty and nursing students to be part of the solution in providing an example of health system reform by driving improved clinical outcomes for people with chronic disease. …

Face-To-Face To Email To Helpp Zone App: Delivering Intervention In Intimate Partner Violence, Rose E. Constantino

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Intimate Partner Violence (IPV) is a pervasive but preventable social and public health problem but if left unresolved results in millions of injuries and more than 1000 deaths in the U. S. annually. In addition, IPV comes at an enormous cost to physical, mental, economic, and social well-being at $13.6 billion and is expected to rise to $15.6 billion by 2021. Survivors of IPV do not receive the needed intervention because they may not seek it, if they seek it, they may present a different unrelated cause of the injury. The Department of …

Teen Pregnancy: A Multi Method Community Evaluation, Ainat Koren, Krissy Naugton, Jennifer Stanton

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Teen pregnancy is a complex issue, which attracted a great deal of attention from service providers, educators, and policy makers in recent years. Science-based teen pregnancy prevention programs are funded in select high-risk communities in Massachusetts to provide evidence-based teen pregnancy prevention services. This presentation will share one-community multi method assessment related to teen pregnancy and teen pregnancy prevention programs.

Methods: The process consisted of five components: a youth online survey; focus groups with parents; teen mom survey; stakeholder interviews; and Geographic Information System (GIS) mapping.

Results: Evaluation outcome show that teen …

Nurses, Healthcare Processes, Partnerships And Patient Outcomes, Yutao Xiang, Robin P. Newhouse

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

This session will focus on a program of research linking nurses' work and work environment to patient outcomes through studies conducted in the United States and China. Two acute care health system multi-site intervention studies to improve care for people with heart failure will be described. Multi-site survey data collected from nurses in China will be discussed. The implications of study results to clinical practice, research and administration will be identified.

Fibromyalgia And Risk Of Coronary Heart Disease: A Population-Based Cohort Study, Pei-Shan Tsai

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Prospective cohort studies have shown that depression is associated with an increased subsequent risk of CHD. Depression and chronic pain, such as that in fibromyalgia, often occur simultaneously, and studies have suggested that the two diseases may share common pathogenic mechanisms. This study examined whether fibromyalgia patients have an increased risk of adverse coronary events, compared with age- and sex-matched control patients. We hypothesized that fibromyalgia increases the risk of coronary heart disease (CHD).

Methods: Using a matched-cohort study design, we analyzed data retrieved from the Longitudinal Health Insurance Database (LHID) 2000 …

Health Services Or Debt Servicing? Saps In The Philippines And The Healthcare Delivery System, Ruel Dupan Caricativo, Erlinda Castro Palaganas

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To discuss using a critical social perspective 'severe consequences on the country's health care delivery system of the'imposition of Structural Adjustment Programs (SAPs) in the Philippines through the International Monetary Fund and World Bank (IMF-WB). This will present SAPs as a socio-cultural determinant of health in the efforts of a comprehensive health promotion framework.

Methods: This qualitative study is a review of existing evidences on the impacts of SAPs in the Philippine social sector during the 1980s to early 2000s.

Results: There are several channels through which the negative impacts of SAPs …