Digital Commons Network^™

Experiences Of Sexual Abuse By School Adolescent Girls In Ile-Ife, Nigeria, Adesola Adenike Ogunfowokan

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The Study was designed to assess experiences of sexual harassment, sexual exploitation and rape among school adolescent girls in Nigeria. It was also designed to assess who the perpetrators were, settings of the abuse and reactions of the survivors to sexual abuse.

Methods: Semi-Structured Questionnaire developed from review of literatures with reliability co-efficient of 0.7 was used to collect data. The questionnaire contained 23 questions and assessed adolescents' demographics, experiences of childhood sexual abuse, experiences of sexual exploitation, harassment and rape, viz-a-viz who the perpetrators were and the settings for the abuse. …

Mother-Child Relationship, Adolescent Daily Hassles, And Adolescent Behavior Problems In Arab Muslims: A Latent Growth Curve Approach, Karen Aroian, Thomas Templin, Edythe Hough

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Our previous research findings about Arab Muslim youth documented that adolescent daily hassles and poor quality of mother-child relationships had strong direct effects on adolescent behavior problems at two different time points. The present study examines the separate and interactive effects of mother-child relationship and adolescent daily hassles on adolescent behavior problems over time.

Methods: Data were collected from 454 dyads of Arab Muslim immigrant mothers and their adolescents three times at approximately 18-month intervals. Both mothers and youth completed a measure of the quality of the mother-child relationship and a measure …

An Action Teaching In The Course Of Clinical Case Study And Practicum On Nursing Students' Abilities Of Clinical Reasoning, Evidence-Based Nursing, And Creative Thinking, Ya Lie Ku, Pei-Yu Lee, Chin Tang Tu, Man-Hua Shen, Chien-Lin Kuo

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this study was to explore the effect of merging an action teaching method into a course of clinical case study and practicum on nursing students' clinical reasoning, evidence-based nursing and creative thinking abilities. The course consisted of 14 weeks with four hours of teaching each week using various teaching methods such as lecturing, inquiring, discussion, leading, and activities.

Methods: This study was divided into two stages: During the first stage, the researcher demonstrated the nursing process of clinical reasoning and evidence-based nursing, and four groups of nursing students were …

Changes In Self-Care Behaviors And Health Outcomes Among Metabolic Risk Group, Nittaya Pensirinapa, Piyawat Katewongsa

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To examine the self-care behaviors and health outcomes among metabolic risk group participating the behavioral modification program.

Methods: A case-control experimental study was used for determining the effects of the behavioral modification program. An intervention for the experimental group was 5 times-half-day sessions in 4-month period, activities focused on small-groups participatory learning to create self-care awareness and skills. Self-care behaviors and health outcomes were measured at the beginning and the finishing of the program.

Results: The total of sample was 632 cases who having metabolic risk factors. There were 330 cases in …

Construct Validity Of The Condensed Spiritual Distress Scale: A Confirmatory Factor Analysis Approach, Ya Lie Ku, Chin Tang Tu

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: From 2003-2004, a spiritual framework involving the relationships of 20 cancer patients with themselves, others, God, and their feelings towards death was constructed using a qualitative study. Following the establishment of the four domains, a scale evaluating 30 spiritual distress items was tested on 85 cancer patients between 2004 and 2005. However, a 30-item spiritual distress scale was too long for practical applicability in a cancer unit. The aim of this study was to condense and validate the 30-item spiritual distress scale.

Methods: A quantitative measurement study was to condense and validate …

Holistic Nursing Care: Provision Of Spirituality With Patients, Joyce Miller, Sharon B. Cannon, Kelly Moseley, Carol Boswell

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Spirituality care for patients is paramount for optimal wellness and health promotion. Nurses believe they are inadequately prepared to provide spiritual care to their clients. The purpose of this research project was to identify practice competencies and challenges with the ability to incorporate the patient's cultural and spiritual preferences, values, and beliefs into health care. To meet these expectations within the work setting, an understanding of what specific tasks nurses perceive as being included with the provision of spiritual care as well as an appreciation for different tasks that nurses feel comfortable …

Acculturation And Mental Health Issues For Immigrant Family Caregivers And Home Care Workers, Arlene Michaels Miller, Louis Fogg, Olga Sorokin

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Nearly one-fifth of the U.S. population is projected to be more than 65 years old by 2030. A proportional increase is expected in the demand for both family and non-family caregivers whose personal and household assistance enables elders to remain in their homes longer. Immigrants, who comprise a critical component of this workforce, are particularly vulnerable to isolation and depression. This study examines correlates of depressed mood among Russian-speaking family caregivers and non-family home care workers (HCWs).

Methods: Self-report questionnaires were distributed during in-service education at a Chicago home care agency. The …

Perceptions Of New Baccalaureate Graduate Nurses Regarding The Adequacy Of Nursing Education And Preparation For Professional Practice, Linda S. Johanson

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The research question explored for this study was, 'What are the perceptions of new baccalaureate graduate nurses regarding the adequacy of their nursing education in preparing them for professional practice?' The goal was to determine if new baccalaureate nursing students perceived their education to be relevant for the current demands of the profession.

Methods: The design was non-experimental, descriptive, survey research. Data was gathered using a researcher-designed mailed survey with self-addressed, stamped return envelopes included. The North Carolina State Board of Nursing was contacted for the addresses for baccalaureate registered nurses who …

Boundary Management And Innovation In Nursing Teams, Mami Onishi, Katsuya Kanda

International Nursing Research Congress (INRC)

Session presented on Tuesday, July 23, 2013: Purpose: There is growing recognition that health care teams need to foster innovative processes to provide ongoing quality care. Nurse managers, as team leaders, should be responsible for cultivating team innovation. Management studies suggest that boundary management efforts to establish and manage relationships with other groups within or between organizations fosters information and resource transfer and knowledge creation and is associated with team innovation. The purpose of this study was to explore the association between boundary management behavior by nurse managers and innovative processes in their nursing teams. Methods: A cross-sectional questionnaire was …

Psychometrics Of Halpin Nausea And Vomiting Scales For Use In Clinical Practice, Angela P. Halpin, Loucine M. Huckabay

International Nursing Research Congress (INRC)

Session presented on:Tuesday, July 23, 2013:

Purpose: To communicate psychometric properties of the new 0-5 Halpin Nausea and Vomiting (HNV) scales with descriptors, so learners can use scales in clinical practice.

Methods: A methodological design was applied to establish psychometrics of HNV scales using three groups of patients, N = 163. Group I was admitted with a diagnosis of NV, n=54. Group II consisted of cancer patients scheduled for chemotherapy, n=52. Group III was a control group with medical-surgical diagnoses and no expected NV, n=57.

Results: HNV scales had a high inter-rater reliability (Kappa test=.851, p<.001). Concurrent validity was established between the HNV scales and Morrow's worst nausea ratings, significant'(r=.318, p=.03). HNV was found to measure fine differences between and within groups, establishing sensitivity. Chi square tests were non-significant for ethnicity, gender, coronary artery disease, hypertension, diabetes, congestive heart failure, other medical surgical diagnosis and risk for PONV. Group I had more nausea patients (X2=63.94, p<.001) and higher degree of the diagnosis of pancreatitis (X2=8.72, p=.01). Group II had more cancer (X2=76.00, p<.001), and chemo patients (X2=93.06, p<.001). In terms of age, one way analysis of variance indicated that the groups are significantly different (F=6.12, p=.003). Scheffe's test indicates that group I (the NV group) were significantly younger (p<.05) than the control and the cancer group. Group II and III were homogenous with no significantly difference in age.

Conclusion: Accurate assessment of …

Nurses Modeling Health: Give Me A Break, Hours Worked Suggest Nurse Wellness, Susan M. Priano

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013: Purpose: The purpose of this interpretive phenomenological study is to understand how Registered Nurses as knowledge workers and caregivers perceive and embody wellness or health promotion personally and how they influence their family, patients, and community. Methods: A qualitative Interpretive Phenomenology preliminary study was conducted. Five self-selected acute care registered nurses were interviewed for approximately one hour at their residence in order to gain insight about their unique perspectives/essence of their lived experiences of lifestyle practices respective of socio-cultural and structural settings. Results: All five nurse participants identified components of a healthy lifestyle, …

Developing Instruments To Assess Role Strain In Nursing Students, Jih-Yuan Chen

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: This study seeks to develop a reliable survey to assess role strain in nursing students. This study aims to examine the reliability and validity of a novel role strain assessment survey.

Methods: Feelings such as fear, sadness, anger, loneliness, hopefulness, happiness, shock, disgust, liking, and others were assessed, and participants were asked to describe the root cause of their feelings. The 44 feelings of role strain provided to 40 senior-year nursing college to select the top ten feelings they agreed with most. This survey was also provided to 58 nursing college students, …

Where The Rubber Meets The Road: Realistic And Practical Evidence-Based Practice, Carol Boswell, Joyce Miller, Sharon B. Cannon

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Access to care, workforce shortages, consumer demands, and faculty issues are themes demanding a focus on measures directed toward positive outcomes for the delivery of quality health care. Recommendations from the Institute of Medicine (IOM), Robert Woods Johnson Foundation (RWJF), the Carnegie Institute, Joint Commission, and the Health Care Reform Act are identified as measures, which need to be carefully considered and integrated into nursing curriculum. A team of seasoned faculty members elected to challenge novice faculty to strive for innovative measures to incorporate evidence-based practice (EBP) within their respective practice sites and …

Clinical Judgment And Transfer Of Learning From Simulation, Elizabeth Johnson, Patricia K. Ravert, Kathie Lasater, Doris Rink

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: An international multi-site mixed methods study was conducted at five nursing programs to determine the effect of expert role modeling as described by Bandura on nursing students' clinical judgment in the care of a geriatric surgical patient. Qualitative findings reported here expand upon significant between-group findings regarding the effect of an expert role model on students' clinical judgment and explore the question of transfer of learning from simulation to bedside.

Methods: Immediately after the simulation, students from treatment and control groups (N = 275) responded to guided reflection questions based on the …

Factors Influencing Functional Status Among Patients With Chronic Obstructive Pulmonary Disease, Supaporn Duangpaeng, Julaluk Baramee

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: Patients' functional status is ability to perform activity of daily living (ADL) to maintain roles, health and well-being. Individuals suffering from chronic obstructive pulmonary disease (COPD) are frequently limited in their daily function. This limitation does not generally reflect severity of the disease but is commonly attributed to the symptoms of disease, psychological distress, health perceptions and other factors. The purpose of this study was to study factors predicting functional status among patients with COPD. Methods: A correlational predictive study was performed with a sample of 180 COPD patients multi-stage randomly selected …

Leading Change With Action Research: Improving Quality Of Life In Residential Aged Care, Wendy Penney, Louise Ann Martin, Lisa M. Clinnick

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: This research developed collaboratively between a regional university in Victoria, Australia and a local rural health service with the goal of improving quality of life for older people living in three residential aged care homes. The aim was to provide health care staff (managers, registered nurses, patient care attendants) with an opportunity to participate in facilitated workshops designed to assist them to develop ways to improve quality of life for residents.

Methods: An action research methodology was adopted as this approach supports group activity founded on a partnership between researcher and participants, …

Noise Pollution In The Workplace, Juanita Ormilon

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: An evidence based research project: Noise Pollution in the workplace Purpose: The purpose of this evidence based project is to record and evaluate the noise level in the critical care setting by using a dosimeter to improve health care workers' environment. Background: The effect of noise pollution to patients and healthcare workers has been extensively studied both healthcare and industrial setting. Therefore the PICO question for this particular project is: Does the use of dosimeter as standardized equipment to record and evaluate the noise level in an acute critical care setting will improve …

Development Of Trust In The Nurse-Patient Relationship With Hospitalized Mexican-American Patients, Sharon M. Jones

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Trust is an important component of patient-centered care and culturally competent care and a major element (confianza) in the Hispanic culture throughout the world. Knowing how trust develops with the Mexican American patient is important, yet this process is not empirically known. Purpose: To conceptualize the process of the development of interpersonal trust between the nurse and the hospitalized Mexican American patient. Methods: The classical grounded theory method was used to generate a theory related to the development of interpersonal trust. There was no theoretical framework at the outset of this study. English-speaking …

A Global Perspective Of Caring For The Mentally Ill: Empowering Individuals Who Live With Schizophrenia, Judith M. Jarosinski

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Despite improved treatment, significant global health disparities exist for those living with schizophrenia. The onset of symptoms, such as halluciantions and delusions, generally predicts worsening psychotic symptomatology. Clients continue to experience repeated relapses and symptom reoccurrence, and increased numbers of clients comprise the homeless population. The purpose of this study was to understand this experience for those living with mental illness, as they live in their communities.

Methods: A qualitative, Heideggerian approach guided data collection and analysis following Diekleman, Allen & Tanner's (1989) method. Twelve individuals with schizophrenia described their experience of …

Washing Without Water: Cost-Effectiveness Of A Rapidly Spreading Nursing Intervention In Care Dependent Patients, Theo Van Achterberg, Betsie G. I. Van Gaal, Lisette Schoonhoven

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Washing Without Water, using disposable cleaning and skin care materials, is increasingly implemented in nursing care. However, well performed studies on skin effects and related cost-effectiveness are lacking.

Aim: To compare washing without water with traditional bed baths in care dependent nursing home patients on 1) skin integrity 2) patient and nurse satisfaction and 3) costs.

Methods: Cluster randomised trial with randomisation at ward level, to either Washing Without Water or traditional soap & water bed baths. After informed consent, care dependent patients and their nurses participated in this study. For each …

Juggling The Needs Of Two Communities Of Practice Nursing Clinical Mentors Teaching Baccalaureate Students, Cheryl Zlotnick, Dalit Wilhelm

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Clinical instructors balance the needs and perspectives of two environments (Communities of Practice or CoP), the educational facility and the clinical setting. The clinical instructor is pivotal in negotiating and bridging the demands of both. Yet, surprisingly few studies have focused on the importance of the role of the clinical instructor. Guided by Wenger's Community of Practice and Social Learning Model, we sought to fill this gap by using a logic model to identify the clinical instructors' strategies; environments' structures and needs; and the nursing program's outcomes.

Methods: A cross-sectional, qualitative study …

The Impact Of Neonatal Resuscitation Training On Infant Outcomes In Low Resource Countries, Jill A. Bauer

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Abstract: Background/Purpose: Reducing infant morbidity and mortality globally relies on improving the quality of care delivered in low resource countries where 99% of deaths occur. This critical review will identify and analyze the impact of neonatal resuscitation training methods and content, to determine strategies for education and practice that result in improved global morbidity and mortality. Conceptual Framework: Nola Pender's Health Promotion Model (Pender, Murdaugh & Parsons, 2002) was used as the framework for analyzing the literature. Method: Twenty four current research articles with data retrieved from low resource countries were reviewed. Primary …

Impact Of Family, Culture, And The Environment On Hispanic Children's Leisure Activity, Sue A. Anderson

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to develop an understanding of the motivators and influences on Hispanic children's leisure activities. Two overarching questions were investigated: 1: How do Hispanic families describe leisure time activities? and 2: How do culture, family, and the community environment influence a Hispanic child's participation in leisure time activities? Methods: This ethnographic study engaged 10 English-speaking Hispanic mothers of children aged 6-10 as data collectors. Participants photographed their children's leisure activities and then engaged in photo-elicited interviews about those activities. Data analysis followed the Developmental Research Sequence suggested by Spradley. However, participants performed initial data …

Developing And Implementing A Bilingual Web-Based Hiv/Sti Prevention Intervention Targeting At-Risk Latina Adolescents: Lessons Learned, Angela Chia-Chen Chen, Marguerita Lightfoot, Cathy Strachan Lindenberg

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: HIV/STI has disproportionately affected women of color. Latinos are the second largest ethnic group affected by the HIV/AIDS epidemic. This paper describes the process of developing and implementing a bilingual, web-based HIV/STI prevention intervention targeting Latinas aged 15-19.

Methods: An expanded Information-Motivation-Behavioral skills model guided the development of GirlSmart. We developed intervention materials adapted from prior work and other evidence-based programs. GirlSmart aimed to increase young Latina's knowledge and motivation to engage in protective sexual behaviors and empower them to initiate and maintain HIV/STI preventive behaviors through online skills building. Development of …

Predicting Factors Of Body Fat Of Metabolic Syndrome Persons, Aporn Deenan

International Nursing Research Congress (INRC)

Purpose: Known as an antecedence of diabetes mellitus and cardiovascular diseases, metabolic syndrome (MS) is a new health threat among Thai people. The objective of this study was to explore MS situation and its determinants of MS among Thai people in Chon Buri province, Thailand. Methods: Using NECP ATP III criteria, 300 metabolic persons were recruited to assess body fat percentage and filled out a package of questionnaire including demographic, health status, eating behavior, exercise behavior, risk behavior and MS management. Results: The results showed as follow: 1. The majority was female, average age 60.19 (SD =10.8), low income (5,000 …

Access To Liver Transplantation: Gender, Race And Geographic Disparities...Policy Implications, Patricia A. Brennan

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: To increase the understanding and the effect of specific predisposing, enabling and need variables on access to liver transplantation.

Methods: Kaplan Meir survival and Cox Proportional Hazard regression analyses were conducted using secondary data from the US Scientific Research Transplant Registry (SRTR), managed by the Organ Procurement Transplant Network and the United Network of Organ Sharing that included 32,566 patients. Database United States Scientific Research Transplant Registry (SRTR), with input from the US federally designated Organ Procurement Transplant Network (OPTN).

Population: Individuals wait-listed for a cadaveric liver transplant in the US from …

Interprofessional Teaching And Learning In Health And Social Care Professions: An Evidence-Based Proposal For Interprofessional Education, Lee Franklin Koch, Helga Horn

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Background: Health and social care is fractured and highly specialized, frequently resulting in poor coordination of treatment, therapy and care, which in turn can negatively affect client outcomes. Interprofessional collaboration reduces these effects by improving the quality of care delivery. Interprofessional education/IPE is seen as an effective means of preparing future health and social care workers for interprofessional collaborative practice.

Research Questions: What recommendations for implementing IPE can be gleaned from the literature? How can these recommendations be applied to pre-licensure health and social care training programs at an institutional level?

Objectives: Formulate …

Caregiver Experiences, Functioning, And Needs Of Low-Income African-American And Latino Mothers Of Children With Asthma, Jo A. Dowell

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this proposed pilot study was to explore the caregiver experiences of African American and Hispanic/Latino mothers of children with asthma in an effort to understand how specific cultural influences have an effect on the care of these children and subsequent health outcomes.

Methods: A qualitative, descriptive design was used to examine the experiences, functioning and needs of low income African American and Hispanic/Latino mothers of children with asthma.

Sample: The participants (mothers) were recruited from a Child Development Center in North Carolina. A purposive sampling technique was used to …

Health Promotion In The Context Of Workplace Bullying, Judith A. Macintosh

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Workplace bullying is prevalent abuse consisting of offensive behaviours humiliating or intimidating others at work (Carbo and Hughes, 2010). Incidence rates vary with abuse type and measurement methods but rates are increasing and workplace violence is identified as an international problem (World Health Organization, n.d.). We know that workplace bullying has effects on physiological, psychological, social, and economic health (MacIntosh, 2005). Our purpose was to study what is less well-known: how people bullied at work promote health and approach work afterwards.

Methods: We used grounded theory methods of constant comparison, simultaneous data …

A Systematic Review Of Gestational Weight Gain By Obese Women And Maternal/Newborn Outcomes, Mary Ann Faucher

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: A systematic review of gestational weight gain (GWG) in obese women, stratified by obesity severity, evaluated a mix of maternal and newborn outcomes, since the Institute of Medicine's recommendations is the same for all obese women, that is 5-9kg.

Methods: A literature search was conducted of peer-reviewed articles published from 2009 to March 2012 using key words obese or obesity, gestational weight gain, and outcomes of pregnancy. Databases CINHAL, MEDLINE, and PubMed. Inclusion criteria were publication date, research, English language, and GWG associated with outcomes of pregnancy in obese women addressed in …