Digital Commons Network^™

Usability And Acceptability Testing Of A Modified Early Warning Scoring (Mews) Tool Using Simulation, Jamie K. Roney, Joann D. Long, Jessica Maples, Kimberley A. Stunkard, Barbara Erin Whitley, Lexie Scarborough Futrell

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Anticipating barriers when introducing a new form to nurses for incorporation into their daily routine, Kurt Lewin's action research model for change was used as a framework for this study. The purpose was to determine usability and acceptability of the Modified Early Warning Scoring (MEWS) tool by healthcare providers from the hospital units where the tool will be implemented.

Methods: The study used a mixed-methods design. The low-fidelity simulation selected for use in testing usability and acceptability called mock hospital was used. Mannequins were used to represent hospitalized patients in four simulated …

Effects Of The Program Of Promoting Love To Prevent Drug Addiction For Thai Adolescents, Sanguan Thanee

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The objective of this study was to examine the effects of the Program of Promoting Love to Prevent Drug Addiction for Thai adolescents (PLPDA).

Methods: Ninety-six adolescents and their families participated in the program. Simple random sampling was assigned adolescents and their families into experiment (n=48) and control (n=48) groups. 'The experimental group received the 8-session PLPDA activities, including, 1) our family 2) role and responsibility of family member 3) built up love in family by communication 4) bonding development among family member by family activities 5) expression of love and caring …

The Importance Of Critical Thinking And Its Contribution To Nursing Care Based On Evidence-Based Practice, Luboslava Kundracikova, Lubica Dernarova

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: A peripheral venous catheter is an essential part of the patient's management on the standard wards and represents a significant progress in the treatment of patients. Their use is associated with a risk of complications. The integrity of the skin is always disrupted which may lead to pathogenic organisms invasion. The precondition of safe and effective nursing care is patient's protection from harm, during the time of the implementation of peripheral venous catheter. It is crucial to apply critical thinking and perform clinical decisions based on evidence.

Methods: We investigated the extent …

Clinical Judgment Development Utilizing Structured Classroom Reflective Practice, Donna M. Glynn

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The need to educate nursing students in the necessary skills and knowledge has led to a 'theory-practice gap.' The development of clinical judgment and the utilization of reflective practice have been identified as key components in bridging the theory-practice gap. The Model of Clinical Judgment in Nursing (Tanner, 2006) was developed as a framework to incorporate reflective practice to guide students through patient situations. This research evaluated the benefit of Structured Classroom Reflection on the development of clincial judgment. Methods: This study examined the influence of 'reflection-on-action' in a structured reflective classroom …

Suffering Had Enough: Family Caregivers' Experiences Of Patients With Terminal Illness At The End-Of-Life, Sujatha Shanmugasundaram

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Introduction: Many literatures proved that it is a great challenge for the family members caring for the terminally ill person at home. With an ageing population and increasing the rate of disability and incidences of cancer, and the growth in community care, the role of the caregivers has expanded and changed over the recent years. Many terminally ill patients also prefer to die at home and spend their final stage of life with their family members. It is not surprising therefore that family caregiving has been the major focus of the research not …

Nurses' Perceptions Of Facilitating A Therapeutic Nurse-Patient Relationship In Private General Hospitals In South Africa, Annalie E. Van Den Heever

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Facilitation of a therapeutic relationship is an essential skill in nursing, particularly in mental health care. Nurses in private general hospitals are exposed to the emotional effects of physical illness as well as the increase in admission of patients with mental health needs. Poor nurse- patient relationships have been reported by patients and in the media. The researchers experienced incidents of an apparent lack of awareness during nurse-patient interactions while working in private general hospitals. However, no studies have been done on how nurses and care workers perceive a therapeutic relationship with …

Integrative Review: Attitude Of The Nurses Towards Evidence-Based Practice, Pablo Salas-Medina, Yolanda Raquel Lapena-Monux, Maria Loreto Macia-Soler, Desiree Mena-Tudela, Maria Isabel Orts-Cortes, Victor Manuel Gonzalez-Chorda

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: In recent years, empowerment and momentum that has made professional nursing, is derived from the incorporation of evidence into clinical practice, not being evidence delegated by medicine, but the practice that promotes evidence based nursing. This new approach requires prior knowledge of the attitude with which the profeionales of nursing welcome the evidence-based practice by providing the right tools to address barriers.

Methods: To achieve the objectives of this study is a review inclusive of scientific literature. Articles were selected from Medline, Cochrane and Scopus. The limit was 3 years temporary. The …

Providing Workshops For Families With Type 1 Diabetes, Donna Freeborn, Tina Dyches, Susanne Olsen Roper, Barbara L. Mandleco

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: We examined perceptions of depression and hardiness in parents raising a child with disabilities (CWD) or a typically developing child to determine if (a) differences exist in variables according to parent gender and type of disability, and (b) relationships exist between variables.

Methods: 166 pairs of parents raising children with autism, Down syndrome, multiple disabilities, other disabilities, or typically developing children completed the Center for Epidemiological Studies Depression (CES-D) Scale and the Family Hardiness Index. Descriptive statistics, ANOVAs, correlations, and regressions were calculated.

Results: ANOVAs for depression found significant differences by disability …

Quality Of Care For Intimate Partner Violence In South African Primary Care: Qualitative Study, Kate Joyner

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To explore the current quality of care for intimate partner violence (IPV) in South African public sector primary care facilities of the Western Cape.

Methods: This is a subsection of a larger project which implemented, modified and evaluated a screening and management protocol for IPV in South African primary care. In the larger study, 168 women were identified as having lived with IPV while attending primary care for the previous two years. Yet only 11 (9.6%) were recognized. A structured record of the protocol consultation and semi-structured follow up interview captured each …

Quality Of Patient Care And The Activities Of Hospital Nursing Unit Managers In South Africa: A Paradox?, Laetitia C. Rispel

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Improving the quality of patient care is central to the proposed health care reforms in South Africa. This paper examines whether quality of care is supported by the activities of hospital nursing unit managers in South Africa, done as part of a larger project to examine the relationship between the quality of nursing unit management and quality of care in hospitals.

Methods: The overall project combined in-depth qualitative and quantitative methods, including reflective diaries, semi-structure interviews, record reviews and observation. As part of the latter, the activities of 36 unit managers in …

Falls, Bone And Joint Injuries, And Vision Status Among Adult Women Respondents To The 2008 National Health Interview Survey, Nancy C. Sharts-Hopko

International Nursing Research Congress (INRC)

Friday, July 26, 2013:

Purpose: Vision status, falls and injuries were examined among adult women participants in the 2008 National Health Interview Survey (NHIS). Nursing research has not focused on visual impairment, though marked increase in low vision and blindness is anticipated as the Boomer generation ages. The Capability Framework of Sen and Nussbaum provides a perspective of the well-being of persons with disabilities in terms of their functioning considering the freedoms that people have to enjoy the kind of life they value.

Methods: A descriptive design entailed sample analysis of data from 12,267 women. Data were collected by US …

Impact Of A Peer-Led Educational Program On Knowledge And Attitudes About Prevention Of Substance Abuse Among Lebanese/Armenian Adolescents, Mary Arevian

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: to evaluate the extent to which participation in a peer-led educational program about substance abuse produces changes in knowledge and attitudes among Lebanese/Armenian adolescents.

Methods: A quasi-experimental study. A convenient sample of 134 high school students, from two Armenian high schools in Beirut were recruited. Design: Pretest-posttest; students completed a questionnaire before and one week after an educational program implemented by two peer-educators, who had participated in a 'training-trainees' project about prevention of substance abuse. The educational program provided students with knowledge and skills to resist social influences to engage in substance …

Answering The Clinical Question Of Mortality Benefit From Using The Sepsis Resuscitation Bundle Alone, Jamie K. Roney, Michelle A. Pinelle

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The Sepsis Resuscitation Bundle (SRB) should be implemented for the management of severe sepsis, septic shock, or lactic acid > 4 mmol/l with confirmed or suspected infection according to the evaluation of available evidence. The clinical question looked to answer whether only partial early goal-directed therapy (EGDT), the SRB, could be used and still demonstrate a positive impact on mortality.

Methods: Systematic review of eight articles and the practice guideline were analyzed for applicability, strength of the evidence, validity of the results, and gaps in the studies' findings. The articles revealed evidence that …

Health Literacy And Impact Factors Of The Southeast Asian Immigrant Women In Taiwan, Shu-Fen Chen, Mei-Hua Wang, Tzu-I Tsai

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: Health literacy has been recognized as an important attribute to health outcome and health care utilization. Immigrants are at the high risk of poor health literacy due to language barriers and unfamiliar sociocultural context in the mainstream society. The purpose of this study was to explore the ways Southeast Asian immigrant women gain access to, understand, and use health information and services in healthcare delivery system of Taiwan. Methods: This qualitative study used exploratory focus group and in-depth interview to collect information particularly with respect to the concerns of the health literacy …

Attitude Of Nurses Towards The Use Of Braden Scale In Intensive Care Units And Medical Wards, Joemer Calderon Maravilla

International Nursing Research Congress (INRC)

Purpose: This cross-sectional, descriptive correlational study investigated the relationship between the nurses' clinical area and their attitude towards the use of Braden Scale. Methods: Thirty nine and thirty two full time staff nurses (n=71), working from intensive care units and medical wards respectively, who at least experienced using the Braden Scale were selected through purposive sampling. Pilot tested and validated questionnaire was circulated in two tertiary hospitals in Metro Manila, Philippines to assess their attitude towards the use of Braden Scale (response rate = 64%). Results: Staff nurses from the intensive care units and medical wards both showed …

Pathways To Obesity: Implications Of A Shifting Obesity Paradigm For Nursing Research, Mary Madeline Rogge

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Obesity is recognized as a global health problem. The calories in-calories out paradigm of obesity has been only marginally successful in preventing or treating obesity, and fails to explain why some people overeat or under-exercise. The purpose of the research was to identify and organize a new conceptual model of factors associated with the development and progression of obesity based on the pathophysiological bases for these associations.

Methods: Theory synthesis was utilized to organize research findings of adipogenic factors into a model of obesity pathophysiology. A literature review based on search terms …

Student's Decision Making Using An Educational Model Focused On Patient Safety, Mary Gay Tesoro

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To describe the theoretical framework of the Developing Nurses' Thinking (DNT) model and discuss its use to facilitate clinical decision making in pre licensure and RN to BS nursing students.

Methods: The DNT model was initially tested with 83 students from two schools in a two-group pre and posttest quasi-experimental study. Clinical groups in the first clinical course were randomly assigned to control and intervention groups. Students in the intervention group used the DNT model during post conference and students in the control group attended traditional post conferences over a two week …

The Nursing As An Additional Language And Culture (Nalc) Program For Student Success, E. Renee Cantwell, Daria B. Napierkowski

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The Nursing as an Additional Language and Culture Program (NALC) is an educational intervention designed to enhance retention by minimizing barriers to success in an accelerated nursing program.

Methods: The NALC program is a nine day, pre ABSN program consisting of activities that introduce the nusring student to the new languages and cultures of the nursing profession. Successful students and alumni of the ABSN program visit and discuss strategies for success in the nursing program. Mentors are developed and study groups are formed. Preprogram TEAS testing is administered to provide insight as …

Optimizing Hospital Rn Role Competency Leads To Improved Patient Outcomes, Lynn Forsey, Maria W. O'Rourke

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: This session will report results from a program designed to improve patient outcomes through enhanced nurse professional role competency. Professional role competency behaviors are required to fully realize the Institute of Medicine's Future of Nursing goals regarding full scope of practice and enhanced leadership roles in future patient care delivery. Professional Role theory posits that'confusion about nurse role accountability, responsibility and authority can result in a task-based versus professional focus. This role confusion was felt to be a barrier to optimizing RN scope that leads to practice excellence.

Methods: A pre/post design …

The Relationship Between The Hospital Nurse Surveillance Capacity Profile And Nurse And Patient Outcomes In Community Hospitals In Thailand, Apiradee Nantsupawat, Wipada Kunaviktikul, Raymoul Nantsupawat

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study is to explore the relationship between the hospital nurse surveillance capacity profile and nurse and patient outcomes.

Methods: Data were collected from a sample of 1,412 registered nurses across 92 community hospitals in Thailand and analyzed using multivariate logistic regression

Results: Results indicated that among the various hospital nurse surveillance capacity profiles, only nurse practice environment and staffing were associated with nurse and patient outcomes. At the hospital level, after controlling for nurse characteristics, nurses working in hospitals with fewer staff were 5% more likely to be …

Stress, Coping And Well-Being In Lebanese Entering College Students, Rita Doumit

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: A theoretical framework for adolescent coping has been developed but not tested in contexts of high uncertainty. This study aimed to test the applicability of the Seiffge-Krenke model to Lebanese entering college students.

Methods: A descriptive correlational cross-sectional design was used to explore the relationships of stress, uncertainty, resilience, religiosity, socioeconomic status, social support to coping and well-being in Lebanese newly admitted college students. A sample of 293 college students enrolled in a private university completed a self-reported survey.

Results: Results indicated that future, school, self, and parents were the most stressful …

Adolescent Mother's Experience Of Parenting One Year After Delivery, Josephine Mary Devito

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this research is to describe the lived experience of parenting for adolescent mothers one year after the birth of their child.

Methods: This is a qualitative nursing research study using a phenomenology design. Focus groups, interviews, and follow up questionnaries were used to obtain the data. This study investigated the question, "What is the lived experience of 'being a mother' and a 'parent' for adolesecnt mothers 12 months after the delivery of their child?" A sample of 17 adolescent mothers from a post partum clinic participated and completed the …

A Comparative Study Of Cultural Competence Curricula In Baccalaureate Nursing Programs, Donna M. Mesler

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Three different forms of cultural competence curricula are found in baccalaureate nursing programs: those with a nursing culture course, those with a non-nursing culture course and those that integrate culture content throughout the nursing curriculum. The primary purpose of this study was to determine if one of these three forms of curricula is more efficacious in improving cultural competence and confidence in nursing students than the other two forms, and the secondary purpose was to determine if one of the three forms of curricula is more efficacious in improving cultural competence and …

Thai Nurses' Cultural Competency In Caring For Clients Living At A Multicultural Setting, Praneed Songwathana, Siripan Siripan

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The descriptive research was aimed to assess the level of Thai nurses' cultural competency in caring for clients living at a multicultural setting.

Methods: A total of 126 Thai registered nurses working in the area of the southern Thai- Malaysian borders were recruited from provincial hospitals, community hospitals and local health centers. Participants completed a self report questionnaire of cultural competency which composed of 5 dimensions, including cultural knowledge, cultural awareness, cultural skills, cultural encounters and cultural desire. The cultural knowledge was tested for internal consistency using Kurder-Richardson (KR-20), yielding a value …

The Relationship Of Nursing Preventive Measures And Hospital-Acquired Complications In Elderly Trauma Patients, Christine Cutugno

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this research was to investigate the relationship between nursing preventive measures and hospital-acquired complications in elderly trauma patients. The elderly are hospitalized at rates twice that of younger adults with similar injuries. Their length of stay is longer and utilization of expensive resources is greater. The incidence of adverse outcomes is the highest in this group and many complications are considered preventable with early assessment and intervention. Nursing's role in improving patient outcomes has been well documented but remains understudied in this group of patients.

Methods: The health records …

Lessons Learned: Health Reform Commissions In Australia, England, Usa And Canada, Jill F. White, Mary Chiarella

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013

Purpose: The purpose of this paper is to share the lessons learned about nursing participation in health reform policy by analysing four key national health reform commission reports produced in four countries within the past five years.

Methods: There were two major methods employed in this study. The first was document analysis of the key health reform policy reports and the government responses to these commission reports. This was followed by an expert reference group critical appraisal of these documents and their outcomes for each country following their release.

Results: The similarities and …

The Results Of Research That Was Made Using The Barriers Scale Between The Years 2000 And 2012: A Systematic Review In Turkey, Fatma Ay, Nuran Gencturk

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The aim of this systematic review was to examine the state of knowledge resulting from use of the BARRIERS scale and to determine the main barriers. Methods: Turkiye Citation Index (2000 to October 2012), Medline (2000 to October 2012) and CINHAL (2000 to October 2012) were searched for published research. The search were performed using the key words (BARRIERS scale, research utilization scale, T'rkiye, Turkey etc.) Inclusion criteria were: studies using the BARRIERS scale in its entirety and where the sample was nurses in between 2000-2012 years. Results: We examined articles, this …

Teenage Pregnancy Prevention: Comparison Of Outcomes For Teenage Girls And Boys Participating In An Evidence-Based Intervention, Kathleen A. Sternas, Mary Ann Scharf, Janet Summerly, Rosemarie Peterkin

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Global trends indicate high rates of teenage pregnancy in the United States and other developed countries. Early teenage sexual activity and risky behaviors are related to pregnancy, STDs. Teenager risky sexual behaviors are increasing. This presentation describes global perspectives on teenage pregnancy prevention and outcomes for teenage girls and boys in an evidenced-based intervention which promotes reduction in risky behaviors and abstinence from premarital sex. Bandura's Social learning theory guided the intervention on sexuality discussions, mentoring/role modeling, health/fitness classes, cultural events/community service, recognition.

Methods: Pretest post-test design. Four intervention schools(n=388; 223 girls/165 …

Parental Perceptions: Depression And Hardiness In Families Raising A Child With A Disability, Barbara L. Mandleco, Donna Freeborn, Susanne Olsen Roper, Tina Dyches, Shannon Mcomber

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: We examined perceptions of depression and hardiness in parents raising a child with disabilities (CWD) or a typically developing child to determine if (a) differences exist in variables according to parent gender and type of disability, and (b) relationships exist between variables.

Methods: 166 pairs of parents raising children with autism, Down syndrome, multiple disabilities, other disabilities, or typically developing children completed the Center for Epidemiological Studies Depression (CES-D) Scale and the Family Hardiness Index. Descriptive statistics, ANOVAs, correlations, and regressions were calculated.

Results: ANOVAs for depression found significant differences by disability …

Indonesian Palliative Care Nurses Knowledge, Dame Elysabeth Tarihoran

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Indonesia is a developing country with huge number of population (around 230 million people). In addition, the number of patients with palliative status is significantly high, it can be seen for example from the National prevalence of Cancer in Indonesia which is 4.3 cancer patients per 1000 people (Riskesdas, 2007). However, the high number is not accommodated by sufficient and qualified amount of support systems such as facilities, human resources, and health care standards especially nurses as the front liners of health service. Presently, palliative care training and education for nurses are …