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Are There Benefits To Teaching Newly Hired Nurses Self-Care Techniques In A Mandatory Workshop Format, Ann Quinlan-Colwell

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this presentation is to share with conference attendees the innovative and holistic research study that explored whether workshops designed to convey caring and to teach nurses self care behaviors can improve retention of nurses during their first year of employment. The background for this study was that the literature review confirmed nursing retention as a national challenge. The nursing shortage coupled with financial challenges provided a platform for creative nursing retention interventions. During the rolling calendar year ending in June 2009, 41 RNs left our Medical Center for a …

Are Family Conditions And Individual Factors An Obstacle For Aboriginal Students' Health?, Rea-Jeng Yang, Wen-Jou Chin

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The aim of this study was to examine whether the health events in the campus are best understood as effects of race, gender, and socioeconomic status.

Methods: A retrospective chart review was used. The data set was from the school-based health recording at the isolated, high minority junior high school in Taiwan. Our sample size was the entire 202 students in the school that have completed three academic-years, ranging from the 7th - 9th grade.

Results: Out of the 202 students studied, 57.4 % were boys and 33.2% aboriginal and 66.8% non-aboriginals. …

Selecting The Right Research Instrument: Going Beyond The Title And Reported Psychometrics, Lillie M. Shortridge-Baggett, Carol L. Reid, Mary Courtney

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The aims of this presentation are to examine the critical instrumentation and measurement issues in selecting a research instrument for use in research and to apply to two scales used in a recently completed study. Often the title and reported psychometrics are used as the main guide for choosing an instrument for use in a study. Additional criteria will be discussed. Methods: Two instruments used in a recent study in which these presenters were involved as a consultant, supervisor, and investigator will be discussed as exemplars. These instruments, both scales based on …

Advancing The Culture Of Competency To Improve Patient Outcomes And Drive Patient Safety, Stephanie Mearns, Anastasia Fisher, Allen J. Orsi

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Expectations that nurses be competent have always been a part of professional codes and standards, licensing and accreditation requirements and, are a key component of the profession's social contract. The purpose of this presentation is to describe the preliminary results of our project exploring ways to assess and document professional nursing competencies to assure safe, quality nursing practice. The QSEN (Quality Safety Education in Nursing) competencies were used as a guiding framework.

Methods: Current staff nurse competencies were assessed using two strategies: 1) a written assessment and 2) an observed standardized patient …

Development Of An Evidence-Based Resource Guide For Nurses On Medical Missions In Developing Countries, Natalie Ann Masco

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Background: In 2007, an estimated 1.6 million Americans were sent on international short-term medical missions by more than 40,000 sending entities (churches, agencies, schools, etc.) at a cost of three billion dollars (Tazelaar, 2011). Many arguments about the utility and effectiveness of short-term medical missions exist in the literature. While professionals who take part in the trips do so to help others, without proper preparation and education on medical conditions and cultural needs there is a risk for causing more harm than good. Without training, volunteers will be psychologically and culturally unprepared to …

Students' Reflections Of A Global Service-Learning Experience, Alice L. March, Marilyn Handley

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Educating nurses for today's global healthcare environment requires providing unique learning experiences designed to foster the development of cultural competence. This may be enhanced by cultural immersion. Not only are students face-to-face with actual health problems, but they are imbedded in the very culture that has produced those alterations, and can clearly observe the proscriptions and prescriptions that will directly and indirectly affect health teaching and care. A service-learning framework, highlighting healthcare, culture, and spirituality guided learning and reflective journal entries of undergraduate nursing students participating in a medical mission spearheaded by …

Hospital Experiences Of Children With Intellectual Disabilities: Child, Parent And Nurse Perspectives, Megan Aston, Emily F. Macleod, Lynn Breau

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Children with intellectual disabilities (ID) have higher rates of hospital admission and experience longer hospital stays than typically developing children. Their reduced intellectual and social capacity can hinder their ability to communicate their needs and creates a unique hospital experience that is often invisible. There are few research studies that include the voices of children with ID with respect to hospital experiences. The purpose of this study was to explore hospital experiences from the perspective of children with ID, their parents and nurses who cared for them.

Methods: Feminist poststructuralist methodology was …

Action Research In Global Health Nursing, Catherine Marie Berry, Lee-Ellen Kirkhorn, Peiru Zhou, Anja F. Meerwald, Laurelyn Wieseman

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: In population health, action research [or participatory action research] has been variously defined as encompassing the systematic collection of information that is designed to bring about social change. Historically and currently, its practitioners marshal evidence or data to expose unjust practices or environmental hazards and to recommend actions for change.

Methods: Research linked to traditions of citizen's action will be presented and described through the lens of participatory action research, using evidence tables. Although there are abundant examples of participatory action research in the US, an exhaustive review of extant nursing literature …

Complementary/Integrative Approaches To Treating "The Invisible Wounds Of War:" Post Traumatic Stress Disorder (Ptsd) And Traumatic Brain Injury (Tbi), Cathy M. St. Pierre

International Nursing Research Congress (INRC)

Purpose: The purpose of this presentation is to discuss current approaches to screening, diagnosis and management of both TBI and PTSD. Treatment including traditional and complementary evidence based approaches will be discussed.

Methods: Review of the literature and research studies, expertise in subject content.

Results: The recent war conflicts in Iraq and Afghanistan have created new health problems for many of the soldiers and veterans. Traumatic brain injury (TBI) and Post traumatic stress disorder(PTSD) have become known as the 'invisible wounds of war' because there are no outward signs of these diseases. Currently, there are over 300,00 or 20% of …

Role Of Advanced Practice Nurses In Decreasing Length Of Stay And Rehospitalization For Heart Failure Patients, Sisay Mersha

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The purpose of this project was to review existing literatures on the role of APNs in reducing length of stays and rehospitalization after discharge. The project also aimed to evaluate heart failure programs across one of the largest Catholic healthcare systems in a large Midwestern city.

Methods: A comprehensive literature search was conducted using keywords from MEDLINE, CINHAL, EMBASE and PubMed data bases. Relevant studies published in English from1990 to 2011 were retrieved. The studies were appraised and systematically analysed for common themes regarding APN's roles in reducing the unnecessary LOS and …

The Formative Development Of A Clinical Nursing Scholar, Judy A. Beal, Joan M. Riley

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: The purpose of this National League for Nursing funded study was to uncover best practices in pedagogies used in baccalaureate programs that support the formative development of clinical nursing scholars. Methods: Ninety chief academic officers were selected using a stratified random sampling technique to insure a representative sample by size and region of accredited baccalaureate programs in the United States. Initial recruitment was by email correspondence which explained the purpose and the methods of the study. A sample size of thirty was anticipated and recruitment continued until thematic saturation was reached (n=29). …

Developing An Evidence-Based Interprofessional Education (Ipe) Program, Nancy Hoffart

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: As early as 2003 the Institute of Medicine called for multidisciplinary education as an essential aspect in educating future health professionals. More recently the report, 'Health Professionals for a New Century,' (Frenk et al., 2010) and the Interprofessional Education Collaborative's Core Competencies (2011) have reinforced the need for IPE in prelicensure health professions' curricula. The objectives of this presentation are to 1) report findings from a review of research and case-based literature on prelicensure IPE, 2) describe how the evidence has supported development of an IPE program at the Lebanese American University …

Preterm Birth And Continuation Of Child's Follow-Up Care After Hospital Discharge, Adejoke B. Ayoola, Anna Schipper

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The complications of preterm birth is enormous on the child such that non-use or inadequate use of recommended follow-up during the immediate first year of life could worsen the long term consequences of prematurity on the babies. This study examined the factors that influenced continued use of child's follow-up care namely attending a well-baby checkup within 2-6 months after NICU discharge among women with preterm babies.

Methods: This is a secondary analysis of the Pregnancy Risk Assessment and Monitoring System (PRAMS) multi-state data for United States from 2004-2008. The PRAMS program entails …

Spiritual Care Practices And Nurses' Perceptions Of Efficacy, Cheryl Delgado

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: This study explores the current spiritual care practices used by nurses and their perceptions of the effectiveness of these practices. Previous research indicates nurses do not consistently provide spiritual care and feel ill equipped to do so. There is little information in the literature as to the type of spiritual care practices nurses use most frequently and their belief in the effectiveness of the practices they provide.

Methods: This was an exploratory descriptive design using an online quantitative survey (N=123) and qualitative data from interviews with volunteers (n=5) from the surveyed group. …

Women's Cervical Cancer Screening Intentions In Malawi, Valerie Janet Ehlers, Dirk M. Van Der Wal, Melanie Hami

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The study aimed to identify factors influencing Malawian women's intentions to use free cervical cancer screening services in order to enhance early detection and treatment. In Malawi, cervical cancer accounts for 28% of all female cancers and 80% of cervical cancer cases are diagnosed during the late inoperable phases.

Methods: Structured interviews were conducted with 378 women aged 42 and older about their intentions to use cervical screening services.

Results: Most interviewed women regarded cervical cancer to be a serious condition but did not regard themselves to be at risk of suffering …

Explore The Effects Of Social Interactions And Anxiety Symptoms On Quality Of Life In Schizophrenia Patients, Tzu-Ting Wang, Chiu-Yueh Yang, Su-Chen Lo, Chiu-Yi Lin

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: This study was to explore the effects of social interaction and anxiety symptoms on quality of life in schizophrenia patients.

Methods: This is a cross-sectional, correlational study. Convenience sample was conducted in northern medical hospitals (excluding the schizophrenia cases treated in acute ward). Qualified subjects were 143 schizophrenia patients. Instruments included four parts: demographic data, Assessment of Communication and Interaction Skills Chinese version (ACIS-C), Beck Anxiety Inventory and WHOQOL-Bref. Assessment of Communication and Interaction Skills was collected through individual interview or group observation, while the others were collected by self-report. SPSS 17.0 …

Predictors Of Substance Use Among Hispanic Men Residing Along The U.S.-Mexico Border, Elias Provencio-Vasquez, Joseph P. De Santis

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Hispanic men in the United States experience disproportionate rates of substance use when compared to other ethnic groups. Previous research with the general population of Hispanic men has identified factors such as acculturation, depression, low self-esteem, sexual orientation, discrimination, and poverty that are related to substance use. Despite the body of research on substance use among Hispanic men, few studies to date have focused on Hispanic men residing along the U.S.-Mexico border. The U.S.-Mexico border area is a unique environment with a distinctive population at risk for a number of health disparities, …

Surgical Patient Education Material And The Infection Related-Content, Dinah K. Arifulla, Helena Leino-Kilpi, Helj' Lundgren-Laine

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Infection control priorities have been to reduce surgical site infections and to increase patients' participatory by empowering patient education. In patient education, it is common to use written material, which should to be understandable and support patients' empowerment. Surgical patient education (PE) materials should have a good quality of the content, support patients empowerment and participation in care as well as reduce surgical site infections and improve patient safety. However, the systematic information on the infection control content and the quality of materials is missing. The purpose was to analyze the surgical …

Adequacy Of Sample Workplace Bullying Policy: Results Of A Mixed-Methods Systematic Review, Laura Cox Dzurec, Shawn M. Fitzgerald, Gail E. Bromley, Timothy W. Meyers, Aryn C. Karpinski

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Integrated findings from studies of bully, victim, and administrator experiences in regard to workplace bullying (WPB) demonstrate the intricacy of the essential milieu of WPB and highlight complexities of effective intervention. The purpose of this study was to assess congruence between guidelines and obligations stated in workplace bullying policies established in 21 US states, and themes depicting victim experiences emerging from a mixed-methods systematic review of WPB research. The investigators' collective expertise in four disciplines served to strengthen analysis of the research question: How adequate are guidelines and obligations of WPB policies, …

The Baltimore Buprenorphine Initiative: A Comparison Of Treatment Modalities For Addressing Heroin Addiction In An Urban-Based Community, Lyn Stankiewicz Murphy, Marla T. Oros

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Adequate drug treatment for substance users continues to be a challenge for most United States (US) cities. In order to address heroin addiction in Baltimore, the Baltimore Buprenorphine Initiative (BBI) was implemented as a joint project to promote individualized, patient-centered buprenorphine therapy in conjunction with behavioral treatment to accelerate recovery from opioid addiction.

Methods: The BBI sample consisted of 1,039 subjects treated with buprenorphine and counseling between January 1, 2008 and June 1, 2009. Demographic and outcome variables were evaluated against two comparison groups of 8,692 patients receiving methadone treatment and 6,664 …

Psychiatric Care Nurses' And Caregivers' Perceptions Of Quality Of Care In Community, Jin-Biau Li, Shu-Chen Liao, I-Chuan Li

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Both the nurses and caregivers play an important role in the care providing process for psychiatric patients. Their unique experience of patient care make it important to include them when defining quality of care. The aim of the study was to describe how the psychiatric nurses and caregivers perceived quality of care in the case of psychiatric care in community.

Methods: This study adopts an action research approach to understand and represent issues of temporality quality of care in the case of psychiatric care in community. Multiple techniques including in-depth individual interviews, …

Illness Perception Of Chinese Colon/Gi Cancer Patients, Fang-Yu Chou

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Cancer patients' illness perception will affect how they manage and cope with their diseases. It is essential to examine perception of cancer among cross-cultural patients. This paper presents the results of illness perception reported from a sample of Chinese Colon/GI cancer patients in Taiwan.

Methods: Chinese Colon/GI cancer patients (N = 54) were recruited at cancer treatment infusion units of a metropolitan medical center in Northern Taiwan from May to August 2011. The existing Chinese-Traditional version of Illness Perception Questionnaire (IPQ-R) was used in the study. The results were analyzed based on …

Student Learning Outcomes And Global Trips: Insight Into Cultural Awareness And Personal Growth, Beverly K. Byers, Joann D. Long

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Purpose: Understanding global culture has become an expectation in nursing education world-wide and Leininger's Culture Care Theory is a framework for global culture. Educational standards require nurses receive cultural awareness education. Nurses enrolled in the RN-BSN and MSN programs at Lubbock Christian University have limited awareness of other cultures' values, traditions, and health care beliefs and practices. To address accreditation standards, the MSN course, 5306 Global Culture Health required students to travel abroad for 10-13 days. The purpose of this study was to discover the effectiveness of a global trip on student perspectives …

Health Literacy And Culturally Diverse Older Adults, Sharon B. Cannon, Carol Boswell, Joyce Miller, Lori E. Hammond

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Health literacy has gradually been acknowledged by the health care community and is beginning to be recognized as an issue in caring for the elderly who have complex health care problems. A West Texas acute care hospital initiated an evidence-based project to provide better outcomes for a culturally diverse population of older adults being discharged from the hospital by addressing health literacy. The hospital collaborated with four faculty members from a local university school of nursing who had previously established reliability and validity for an eight item English version of the Health Education …

Quality Of Life In Veterans With Heart Failure, Kimberly F. Holden

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: The purpose of this study focused on the predictive effects of proximity to health care, general health perception, and knowledge of HF on health-related quality of life (HRQOL) in the veteran population.

Methods: A correlational, cross-sectional survey design using four survey instruments (demographic data, SF-12, Dutch Heart Failure Knowledge Scale, Ferrans and Powers Quality of Life Index-Cardiac Version-IV). Data obtained was used to test the hypothesis.

Results: The findings showed the HRQOL model was unidirectional and that the only predictive variable on HRQOL was proximity to health care.

Conclusion: Limitations inherent in …

Advanced Practice Nurses' Meaningful Use Of Electronic Health Records, Thomas Kippenbrock

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Purpose: The electronic health record (EHR) is becoming an integral component of the U.S. health care system. Federal law was enacted with specific provisions that offer incentive payments to eligible professionals and hospitals to use EHRs; however, little is known about APNs' EHR use. The purpose of this study is to investigate differences in advanced practice nurses' (APN) meaningful application of electronic health record (EHR) users from non-users. EHR introduction into the health care system can be viewed as an innovation; as such it constitutes a revolutionary change in health care organization and …

Development Of The Patient And Family Centered Care Attitudes Survey, Linda Baas, Jeffrey Schlaudecker, Judith Ann Schofield, Andrew Arken

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Patient and Family Centered Care (PFCC) has gained recognition since the Institute of Medicine issued a report supporting this approach and linking it to patient safety. Since then, it has been supported by numerous healthcare organizations. Despite the growth in interest, there are few tools developed to assist hospitals in assessing the status of PFCC. The purpose of this study was to develop a tool to assess attitudes of nursing staff toward PFCC and to assess the reliability and validity of the tool.

Methods: A team created the structure and blueprint of …

Impact Of The Guatemalan Nursing Program On Treatment Abandonment In Children With Cancer, Sara W. Day, Rita M. Carty, Leslie Mckeon

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: In 2007, a comprehensive nursing program was implemented at the National Pediatric Oncology Unit in Guatemala to improve the quality of nursing care. Twenty-four new nursing positions were created, decreasing nurse patient ratio from 1:7 to 1:5, and a full-time nurse educator was hired to provide pediatric oncology education. In addition, processes were established to improve 20 nursing quality standards. The purpose of this study was to assess the program's impact on treatment abandonment in children with cancer. Treatment abandonment is a critical problem in developing countries and a leading cause of …

Breastfeeding Behavior And Sleep Of New Mothers In A Predominantly Low-Income And Ethnically Diverse Sample, Therese Doan, Kathryn A. Lee

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: To add to current knowledge about sleep and breastfeeding behavior of new mothers in order to promote exclusive breastfeeding in the first month postpartum, a vulnerable time frame for infant formula supplementation and early breastfeeding cessation.

Objective: The objective of this study was to describe and compare the sleep of women who exclusively breastfed at night to those who used formula in the first month postpartum. Methods: Both objective and subjective measures of sleep were obtained using actigraphy, diary, and self-report data from a predominantly low-income and ethnically diverse sample of 120 …

Student Recruitment: Bridging The Gap, Johanna Catharina (Irene) Lubbe

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: Nurses form the cornerstone in achieving the millennium goals of the WHO with regard to health care. However, 57 countries worldwide are facing a severe health workforce crisis. Various solutions have been proposed to address the nursing staff shortage. One of the aspects that has been greatly neglected in South African research, however, is the initial recruitment of nursing students. Despite the critical importance of recruiting the best possible students for nursing education and training, very few private Nursing Education Institutions (NEIs) have a specific recruitment plan geared towards student recruitment. There …