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Nurse Likelihood To Report A Medication Error, Francine K. Kingston

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: From a better understanding of factors that contribute to the likelihood of a nurse to report an error, interventions can be identified to help increase reporting in order to learn from error and reduce the possibility of similar error. To learn from the lived experience of the nurse, the research question became, 'What factors contribute to a nurse's likelihood to report an error?' Methods: A qualitative research study was conducted to explore the medication error experience. Structured group interviews were conducted using open-ended questions. A total of 54 registered nurses participated. Results: …

A Biological Mechanism For Adverse Maternal-Child Outcomes In Disadvantaged Populations, Elizabeth J. Corwin, Ying Guo, Anne Dunlop

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: This study aimed to explore mechanisms underlying adverse health outcomes in minority women. Minority women experience higher rates of perinatal complications compared to Caucasian women and higher risk of chronic disease across the lifespan. Biological and social contributors have been proposed to explain these disparities yet underlying mechanisms remain unclear. We tested the hypothesis that minority pregnant and postpartum women are unable to regulate inflammatory and stress responses compared to Caucasian women.

Methods: Data was collected from women were during the 3rd trimester of pregnancy through 6-months postpartum. Plasma was collected for …

The Evaluation Of Service-Learning As An Innovative Strategy To Enhance Bsn Students' Transcultural Self-Efficacy, Theresa M. Adams

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: This quasi-experimental study evaluated service-learning as an innovative strategy to change generic baccalaureate nursing students's perceived self-efficacy in providing culturally competent nursing care.

Methods: One intervention group (n = 42) completed a service-learning experience and the other (n = 69) completed an interview with a client from another culture. Demographic information was obtained and the Transcultural Self-Efficacy Tool was administered to all study participants pre and post the intervention.

Results: Repeated measures MANOVA results revealed an intervention elicited a statistically significant increase (p < .001) in self-efficacy strength (SEST) scores for the affective, cognitive, and practical subscales and for composite SEST scores. MANOVA results revealed pre-test SEST scores were significantly different depending on the participants' language (p = .001) and race (p < .001). Follow-up univariate ANOVAs (with Bonferroni correction) indicated that all three pre-test SEST scores were significantly different depending on race: Affective: F (1, 109) = 11.75, p = .001, ?2 = .097; Cognitive: F (1, 109) = 6.34, p = .013, ?2 =. 055; and, Practical: F (1, 109) = 19.27, p = .000, ?2 = .150. Univariate ANOVAs of the composite pre-test scores revealed a significant difference for language, F (1, 109) = 15.67, p < .001, partial ?2 = .126 and for race, F (1, 109) = 19.73, p < .001, partial ?2 = .145. A repeated measures MANOVA revealed there was no significant difference in improvement of SEST scores in any subscale, based on the type of intervention. Repeated measures MANOVA results revealed a significant interactive effect between intervention and race (p < .05).

Conclusion: Results of this study provide evidence that transcultural …

Social Determinants Of Women's Mental Health And Barriers To Help-Seeking In Three Ethnically Diverse, Impoverished, And Underserved Communities, Mary Molewyk-Doornbos, Joleen Degroot, Gail Landheer Zandee

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Depression and anxiety are significant mental health issues in the United States today that tend to affect ethnically diverse, impoverished women disproportionately. These mental health issues create situations of significant burden particularly when access to care, and specifically culturally congruent care, is limited. In keeping with the newly identified Healthy People 2020 topic, the purpose of this study was to identify social determinants of mental health and barriers to help seeking in three urban, ethnically diverse, underserved, and impoverished neighborhoods.

Methods: Using the ideological perspective of community based participatory research and in …

Trajectories Of Identity Development In Adolescents With Cancer, Kristin Stegenga, Catherine Fiona Macpherson

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: For adolescents with cancer (AWC), cancer poses a threat not only to their lives, but also to their quality of life (QOL). This threat to QOL results from co-occurring challenges to successful achievement of normal developmental tasks such as identity development. The purpose of this longitudinal qualitative study was to explore salient aspects of adolescent development as influenced by cancer.

Methods: Fifteen AWC participated in up to 4 quarterly interviews over the first year following cancer diagnosis exploring their developmental and cancer-related experiences with the intent of generating knowledge related to adolescent …

Nurse Turnover, Patient, Nurse, And System Outcomes, Michael A. Roche, Christine M. Duffield

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Workforce shortages and retention are critical issues facing healthcare organizations. Turnover rates in Australia have been estimated at between 12% and 38% and internationally from 14% to 39.2%. Both individual and organisational factors have been linked to turnover, but the impact of turnover on nurse and patient outcomes has been less frequently examined. This study describes the rate and costs of nurse turnover in Australia and the impact of turnover. It is part of an international project to examine the cost of nurse turnover and the impact of turnover on patient safety …

Development And Pilot-Testing Of An Internet-Based Sti And Hiv Prevention Intervention (I-Stipi) Among Chilean Young Women, Natalia Villegas, Rosina Cianelli, Lilian Ferrer, Daniel Santisteban, Nilda (Nena) Peragallo Montano, Todd Ambrosia

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Chilean young women between 18 and 24 years old are at high risk of contracting STI and HIV. The literature shows a shortage of STI and HIV prevention interventions focused on this population. Internet based interventions are promising for delivering STI and HIV prevention interventions. The purpose of this study was to develop and pilot-test an internet based STI and HIV prevention intervention for Chilean women between 18 and 24 years old.

Methods: The design of the I-STIPI was divided into two stages: (a) development, and (b) piloting. The development stage included …

Toward Therapeutics For Symptom Clusters During The Menopausal Transition And Early Postmenopause: A Systematic Review, Nancy Fugate Woods, Annette Thomas, Ellen Sullivan Mitchell, Janet Schnall, Lisa Taylor-Swanson, Rita Ismail, Lori Cray

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Systematically review clinical trials of Traditional East Asian Medicine, herbals, soy and isoflavone preparations, and body-mind therapies for managing symptoms of hot flashes and at least one additional symptom, including mood, sleep, pain, and cognitive symptoms.

Methods: Searched PubMED/Medline, CINAHL Plus, PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, AMED, and Alt-Health Watch for randomized controlled trials reported in English between 2004 and 2012. Of 1193 abstracts identified, 59 trials included data on hot flash and at least one other symptom.

Results: Several trials …

Breastfeeding: Assessment Of Maternal Breastfeeding Knowledge And Skills During Pregnancy And 1st/2nd Week After Childbirth, Alexandrina Cardoso

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: To build a mother's breastfeeding knowledge and skills assessment instrument; to characterize mothers' breastfeeding knowledge and skills during pregnancy and 1st/2nd week after childbirth; and to describe the profile of mothers who revealed higher level of knowledge and skills.

Methods: The study was developed in two phases. In the first phase was used the interview (and the literature review as data collection to identify mothers learning needs to breastfeeding her baby (qualitative approach). In the second phase was used the assessment instrument built in the previous phase to characterize maternal knowledge and …

A Synthesis Of Perspectives On Nurses Supporting Survivors Of Child Sexual Abuse, Susan M. Poslusny

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

The 49th World Health Assembly (Resolution WHA49.25) declared violence a public health problem in 1996 calling for a public health approach grounded in science to prevent violence in its many forms including self-harm, interpersonal, and collective violence (Krug, Dahlberg et al., 2002). Childhood sexual abuse (CSA) is one of the most heinous and socially taboo forms of interpersonal violence globally. The consequences of CSA for adult survivors can include excess morbidity and mortality, psychological trauma, and social disadvantage for the individual with implications for family, community, and society. The estimated lifetime prevalence rate …

Developing Systems To Improve Hypertension Monitoring At A Primary Care Clinic, Theresa Marie Holsan

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Scope and Significance: Primary care clinics are responsible for evaluation of patients with hypertension (HTN) and reporting care to effectively treat this disease. Despite recommended guidelines about 59% of the adult patients in the United States with HTN are being treated and only 34% of those treated have well-controlled blood pressure (BP). Specific objectives of the project were to: 1. Increase the percentage of adult hypertensive patients with adequately controlled BP(<140/90 mm Hg); 2. Standardize BP techniques by ancillary staff and providers and to improve BP documentation; and 3. Evaluate and accurately use the patient reminder system for follow-up care.

Review of the Literature: A comprehensive review of original studies published in English from all countries beginning 2000 to January 2012 was …

Predictors Of Sibling Cooperation And Externalizing In Families Raising Children With Disabilities, Christine R. Platt, Tina Dyches, Susanne Olsen Roper, Donna Freeborn, Barbara L. Mandleco

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To examine whether caregiver burden, parenting style, and sibling relationship in families raising a child with a disability (CWD) predict cooperation and externalizing behaviors of the typically-developing sibling (TDS). Raising a CWD is challenging, leading to increased caregiver burden. As caregiver burden increases, a TDS may have poorer outcomes. Therefore, we examine parenting style and sibling relationship to determine if either is associated with decreased caregiver burden and/or more positive sibling outcomes.

Methods: This correlational study included 189 families raising a CWD and a TDS. Mothers and fathers completed self-report questionnaires on …

Remediation Methods That Improve Learning Outcomes And Nclex-Rn Success, Mary Judith Yoho, Maria E. Lauer

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Background: The National Council Licensure Examination, Registered Nurse (NCLEX-RN) is the qualifying exam to become licensed and practice in the Unites States. The Elsevier HESI E2 exit exam is used by nursing educators to predict success on the NCLEX. To date, there have been eight studies establishing the validity of the E2 as an indicator of NCLEX-RN success. To this end, many nursing schools have instituted policies for remediation based on student results of the E2 exit exam. The researchers examined the relationship between remediation methods, number of remediation methods, and requiring remediation …

Assessment Of Nursing And Medical Students' Attitudes Toward Interprofessional Education, Karen S. Yehle, Kimberly Sanders, Marwa Noureldin, Kimberly S. Plake

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Providing opportunities for interprofessional education for students in the health professions is supported by the Interprofessional Education Collaborative. It is imperative for healthcare professionals to communicate and collaborate in teams, and understand each profession's roles and responsibilities. The purpose of this project was to examine the impact of participating in an aging simulation game on nursing and medical students' attitudes toward interprofessional education.

Methods: Nursing and medical students were paired together to play an aging simulation game, role playing older adults and navigating the healthcare system. Pre/post changes in attitudes toward interprofessional …

Care For The Caregiver: Evaluation Of A Self-Care Module For Accelerated Nursing Students At Three Universities, Barbara L. Drew, Tracey Motter, Patricia A. Sharpnack, Michelle Cameron Bozeman, Laura Goliat, Ratchneewan Ross, Jehad Rababah, Amy L. Govoni

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Stress can impair learning and performance ultimately affecting, not only the nursing student, but also clinical decisions. The purpose was to replicate and expand an evaluation of a curricular addition: experiential exposure to self-care modalities like yoga, aromatherapy, Reiki and mindful breathing. Goal was to help students regulate stress, increase mindful awareness of self and others, and expand knowledge of complimentary therapies.

Methods: During spring 2012 self-care modalities were introduced into the first semester curriculum in two universities (n=50). The comparison group at the third university was given an educational pamphlet on …

A Systematic Review Of Non-Pharmaceutical Interventions To Reduce Fatigue In Adults Receiving Hemodialysis, Kim Schafer Astroth, Janet L. Welch, Cynthia Russell

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: The United States has one of the highest rates of chronic kidney disease stage five, with hemodialysis the most common mode of treatment. Fatigue is a common complaint in 65 to 91% of those receiving hemodialysis. Fatigue can have widespread effects including decreased physical function, quality of life, and ability to perform activities of daily living; increased fatigue is also associated with reduced survival. Because fatigue is frequently reported as bothersome, nurses must discover effective ways to assist patients to manage this symptom. The purpose of this systematic review is to examine …

The Effects Of Reiki On Total Knee Surgery, Barbara Byrne Notte, Carol Fazzini, Ruth A. Mooney

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study was to determine the impact of Reiki therapy on total knee replacement patients' pain perception and satisfaction with Reiki therapy.

Methods: Forty-four subjects scheduled for total knee replacement were randomized into Reiki (23) and non-Reiki (21) groups. Pain was assessed before and after Reiki therapy in the pre-operative area, PACU, and three postoperative days. A survey was distributed the day of discharge to measure satisfaction with Reiki. Data related to pain analgesia used was collected for all subjects.

Results: Using t-tests to compare pain ratings pre and …

Nurse-Midwives Perceived Client Related Barriers Influencing Intentions To Use Cervical Cancer Screening Services Among Women Aged 42 And Older In Blantyre, 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 purpose of the study was to identify from nurse/midwives' perspective client related barriers to utilisation of cervical cancer screening services among women aged 42 and older.

Methods: A cross sectional descriptive study using qualitative research method was used. Ethical approval and permission were granted by relevant authorities to conduct the study. A purposive sample of 14 nurse/midwives working at three health centers in Blantyre district was used. They gave written consent and were interviewed. Using Atlas Ti version 4.2, transcribed data with similar meanings were grouped into themes and sub-themes.

Results: …

Exploring The Comfort Experience Of Adolescents With Metastatic Cancer, Riza Mauricio, Brenda K. Binder, Lene Symes, Sandra Kay Cesario, Rodrigo Mejia

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Adolescents with cancer are challenged not only by the biophysical and emotional changes of a normally developing person; also pain and distress from their treatment affecting their quality of life. Most of our knowledge about adolescent comfort experience is derived from parent and staff perspectives. Parents cannot speak everything about their children. There is more to know about them being the least investigated age group. This study explored the meaning and significance of comfort experienced by adolescents with metastatic or progressive cancer.

Methods: Descriptive phenomenology was used to uncover the comfort experience …

Adapting And Testing An Evidence-Based Antiretroviral Medication Adherence Intervention In China, Ann Bartley Williams, Kristopher P. Fennie, Xian Hong Li, Jane Burgess, Hong Hong Wang

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: To test the effectiveness of a culturally adapted evidence-based home nursing intervention to improve adherence to antiretroviral medications among people living with HIV/AIDS (PLWH/A) in Hunan, China.

Methods: In a randomized, controlled trial, 114 subjects were assigned to receive a culturally adapted intervention consisting of monthly visits and interim phone calls plus standard care or standard care alone. The intervention previously demonstrated efficacy in a randomized clinical trial conducted in the United States. All subjects were residents of Hunan, China, living with HIV/AIDS and self-reporting less than 90% adherence to prescribed medications. …

Evidence Synthesis Strategies To Enhance Evidence-Based Practice, Susan Mace Weeks

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Evidence-based practice requires multiple steps including the synthesis of evidence. Despite its importance, the synthesis of evidence is often a misunderstood step. Without rigorous evidence synthesis, the practice guidance developed may be misguided. This presentation will define evidence synthesis, differentiate evidence synthesis from a summarization of evidence, and will describe forms of synthesis useful to researchers, educators, and practicing clinicians. Evidence synthesis is not a mere summarization of research studies. Rather, it is a grouping and collating of evidence that creates new knowledge. Evidence synthesis seeks to answer two significant questions, 'What is …

A Pilot Study Testing Intrinsic Strength Factors As Predictors Of Depression In The Hispanic Population With Cardiovascular Disease, Claudia Disabatino Smith, Aaron L. Bayles

International Nursing Research Congress (INRC)

Poster presented on: Monday, July 22, 2013, Tuesday, July 23, 2013

Purpose: The purpose of the study was to determine if there is a relationship between self-reported levels of resilience, mastery, and depression scores in Hispanic patients with cardiovascular disease and to study depression screening tools specific to Hispanic patient populations with cardiovascular disease.

Methods: Sample size n=63. Leininger"s Theory of Culture Care Diversity and Universality was the conceptual framework for this non-experimental, non-randomized pilot study conducted by a bilingual research team. The Resilience Scale (Wagnild, 2009), Mastery Scale (Pearlin & Schooler, 1978), and Patient Health Questionnaire-9 (Spitzer, Williams, Kroenke, …

Knowledge And Attitudes Of Pediatric Pain In Mongolian Nurses, Lisa Joy Matasovsky

International Nursing Research Congress (INRC)

Purpose: The World Health Organization and the International Association for Study of Pain cite the significance of pediatric pain as a significant global health issue. Developing countries may have increased needs than developed countries due to limited resources and lack of training. In Mongolia a paucity of data exists regarding nursing knowledge of pediatric pain management. The purpose of this project was to assess the current knowledge of pediatric pain and to assess the effectiveness of an education intervention on improving knowledge and attitudes of pediatric nurses working at a major children's hospital in Mongolia. Methods: Knowledge and attitudes of …

Feasibility And Acceptability Of An Ipad Application To Assess Symptom Clusters In Adolescents With Cancer, Lauri Linder, Jeanne Erickson, Kristin Stegenga, Nancy Fugate Woods, Suzanne Ameringer, Pamela S. Hinds, Catherine Fiona Macpherson

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Adolescents with cancer (AWC) experience multiple co-occurring interrelated disease- and treatment-related symptoms. A newly-developed iPad application, the Computerized Symptom Capture Tool (C-SCAT) uses a heuristics approach to explore symptom clusters. The C-SCAT combines graphical images and free text responses, empowering individuals to identify symptom clusters from their unique perspectives. This approach shifts the paradigm for studying symptom clusters to an inductive approach that considers how individuals interpret and give meaning to their clusters of symptoms. We present the feasibility and acceptability of the C-SCAT among AWC receiving chemotherapy.

Methods: 32 AWC at …

Schoolchildren's Experience Of Myopic Prevention And Progression: A Qualitative Study, Vico C. L. Chiang, Tutti Y. T. Kong, Winvy M. H. Tam, Mark C. F. Lee, Cecilia W. S. Wong

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Previous studies about myopia have focused on prevalence and risk factors of myopia and the researchers have found these matters to be more severe among children in the East Asian countries. This study aimed to explore the experience of schoolchildren regarding the interplay and dynamics of their knowledge, attitude and practice, and possible barriers, in the prevention and retardation of myopia.

Methods: This study employed a qualitative descriptive design. Interviews were conducted in three focus groups with a total of 26 primary school Year 5 students involved. The data were analyzed with …

Metabolic Risk Factors, Exercise Capacity And Inflammation In Postmenopausal Women, Jen-Chen Tsai, Chia-Hui Wang, Min-Huey Chung

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purposes of this study were to investigate metabolic risks factors, exercise capacity, and inflammation state in postmenopausal women; and to evaluate the effect of a supervised aerobic exercise training program on these characteristics.

Methods: This study was a prospective, randomized control trail. Forty-six postmenopausal women completed the study: 23 in the exercise, 23 in the control groups. Subjects in the exercise group participated in 30 minutes of moderate-intensity treadmill exercise (60% to 70% of their maximal heart rate performed from exercise testing), three times each week for 12 weeks. Data on …

Pain, Coping And Sleep In Children And Adolescents With Sickle Cell Disease, Joyce Kelly Graves, Eufemia Jacob

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: The purpose of this study was to examine pain, pain coping and sleep and to examine the relationship among pain, pain coping and sleep in children and adolescents with sickle cell disease. Factors (age, gender and number of pain episodes) that predict pain, pain coping and sleep in children also were examined in this population.

Methods: Children (n=39; mean 11.9 - 1.1 years) and adolescents (n=27; mean 15.5 - 0.9 years) with sickle cell disease completed an electronic visual analog scale (eVAS), Adolescent Pediatric Pain Tool, Pain Coping Questionnaire, and Pittsburg Sleep …

The Nurse As Advocate: A Grounded Theory Perspective, Pennie Sessler Branden

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: The nursing profession is entering an exciting time of new professional opportunities and is positioned to determine the trajectory of health care and policy as related to the global health crisis. However, nurses are underrepresented in major forums where they could be change agents. Being a change agent could be accomplished through the nurse's role as advocate for the patient, profession, and health policy. The aim of this research investigation was to increase the current knowledge about the nurse advocate role and its complexities, and to discover and explicate substantive theory about …

Using Theory To Organize Nursing Political Action Plans, Tawna Cooksey-James, Ali Salman, Yi-Hui Lee

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: With changes accompanying the new health care reform and other nation-wide issues affecting nursing and health care, nurses must become more politically aware and active to advance the profession of nursing and improve health care. The realm of nursing is no longer limited to the patient's bedside and nurses are finding themselves increasingly at the table with a need to understand the political process and the accompanying mechanisms to implement changes.

Methods: Using learner-centered teaching principles, a health policy and politics class was taught to 35 graduate nursing students. Assignments included projected …

Symptom Clusters In Patients Who Ruled Out For Acute Coronary Syndrome: Age Matters, Holli A. Devon, Anne G. Rosenfeld

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Patients with potential acute coronary syndrome (ACS) make a decision to present to the emergency department (ED) partially based on symptoms. Differentiating which patients have ACS and require cardiac evaluation presents a diagnostic conundrum. Empirically derived symptom profiles could assist in risk stratification. Therefore, the purpose of the study was to examine the influence of age on subgroups of patients with similar symptom clusters who presented to the ED with symptoms suggestive of ACS who subsequently ruled out.

Methods: A sample of 318 patients (148 women; 170 men) was recruited from 3 …