Digital Commons Network^™

Using Photovoice With A Vulnerable Population To Inform Policy Change, Patricia Cannistraci

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Multiple national initiatives have established a focus on improving health, promoting healthy aging and preventing further disability from chronic disease among adults with intellectual and developmental disabilities (I/DD). Despite the recognized importance of health promotion, increased health disparities exist among this population. The literature reveals a lower fitness level, poor nutrition, and a general sedentary lifestyle have increased risk for chronic conditions such as heart disease, diabetes, dental disease, and vision problems. Notably lacking in the literature is inquiry of what these individuals perceive as facilitators and barriers to health. This study …

Promoting Self-Efficacy In Senior Bsn Students In The Community Setting, Mary Elizabeth Fortier

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Facts are: Clinical sites are harder to secure for our baccalaureate prepared nursing students, challenging colleges to look for creative solutions, while providing sound clinical learning. Patients are discharged from the hospital to their homes with little or no healthcare supports in place. Education and follow-up are needed for clients in the environment where the healthcare system expects them to function and live. Solution: As a creative solution our baccalaureate nursing program looked to the community in which we are located and partnered with a group of community buildings. These buildings, a total …

Evidence-Based Practice As A Curricular Thread: Bridging Research To Practice For Students, Sally A. Decker, Elizabeth Roe

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

This presentation will describe the use of evidence-based practice (EBP) as a curricular thread within a concept-based curriculum. Separate research courses within baccalaureate nursing programs have been offered by schools of nursing worldwide. The unfortunate consequence of separating this content into a single course which concentrated on the conduct of studies was for students to be able to see research as just something they had to learn to satisfy a course versus something they needed for practice. Students would comment on course evaluations that they did not need this class as they were …

The Association Between Integrating Simulation Into Nursing Education, Students' Performance Level And Approaches During The First Clinical Rotation, Igal Zlatkin

International Nursing Research Congress (INRC)

Purpose: Preparing students for professional performance in the "real world" is the main trust of the nursing education. Appropriate instructional methods are required in order to alleviate anxiety and uncertainty of the novice nursing students during their transition from theory to practice. Integrating simulation into the curriculum may strengthen knowledge, integrate between learned subjects, develop motor skills and improve students' self-efficacy and self-confidence. Yet, only a handful of studies measured the effectiveness of this method. The purpose of the present study is examination the effect of integrating simulations into nursing curriculum.

Methods: The present study is a prospective and comparative …

Health Information Seeking Behaviors Among African Americans Who Have And Do Not Have Internet Access, Barbara Powe, Charlene Caburnay, Dexter Cooper, Glen Cameron

International Nursing Research Congress (INRC)

Purpose: African Americans trail the national average in broadband access to the Internet. African Americans have higher cancer incidence and mortality rates than other groups. The lack of access to the scope of information available via the Internet may enhance these disparities. This descriptive study compares information seeking behaviors among Black Newspaper Readers (BNR) who have (n=455) or do not have (n=264) access to the Internet. Methods: A sampling frame was created that met two criteria: (1) presence of a Black weekly newspaper with a circulation +/- 5000; and (2) areas having an African-American population > 50,000. From this frame, three …

Nurse Leaders Are The Key To Our Looming Workforce Dilemma, Catriona Anne Booker

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: As healthcare faces a critical shortage of qualified nursing staff, this ageing workforce is further challenged as the 'Baby Boomer' generation prepares for retirement. While current retention strategies are focused on recruitment, little is known about end of career nurses' (EOCNs') retirement decisions. This Australian study explored factors that influence EOCNs' decisions regarding their workforce participation, and identified leadership as a key factor which influenced their decision.

Methods: A mixed method case study methodology was used to explore EOCN's perceptions concerning their workforce participation. Data were collected from 218 participants (Registered Nurses …

Enhancing Gerontology Content In Canadian Nursing Education Through Knowledge Translation, Lynn Mccleary, Katherine S. Mcgilton, Veronique Boscart

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: In Canada there is an urgent need to enhance gerontological content in entry to practice nursing education. This study examined the immediate and one year outcomes of Canadian Knowledge Exchange Institutes for Nursing Education. Methods: The Knowledge Exchange Institutes were based in Graham and colleagues' (2006) Knowledge-to-Action process model. They engaged 49 nursing faculty and PhD students from across Canada in the process of curriculum review and enhancement. Participants were given extensive knowledge products for integration in courses. They developed strategies to enhance courses and engage their colleagues in curriculum revision and …

Re-Inventing The Wheel: Consensus, Continuing Competence And Public Safety, Rachael A. Vernon

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Nursing regulatory authorities agree that monitoring the continuing competence of the profession is necessary to protect the public. International research completed during 2011-2012 indicated that definitions of continuing competence across six countries Australia, Canada, Ireland, New Zealand, the United Kingdom and the United States of America have strong similarities. This presentation will present and discuss the consensus view of these international regulatory experts with regard to the assessment and demonstration of continuing competence. Recommendations will be made to align the consensus framework with existing conditions and for possible legislative and/or policy change. …

A Narrative Thematic Analysis Of Baccalaureate Nursing Students' Nurse-Patient Clinical Reflections, Jessica L. Naber, Joanne Hall, Craig Schadler

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The purpose of this study was to identify characteristics of critical thinking in nursing students' reflective writing assignments, which were guided by Richard Paul's model of critical thinking. The importance of critical thinking as an outcome for students graduating from undergraduate nursing programs is well-documented by both the American Association of Colleges of Nursing (AACN) and the National League for Nursing (NLN). Graduating nurses are expected to apply critical thinking in all practice situations to improve patient health outcomes. Methods: In a previous study, Paul's model of critical thinking was used as …

Fieldwork As A Bridge From Cancer Diagnosis To Survivorship, Celeste Marie Baldwin

International Nursing Research Congress (INRC)

Purpose: The purpose is to give voice to cancer survivors on Maui and Oahu suffering from cancer. As they are now free of daily treatments, it is our goal to understand using grounded theory how the role of the nurse by Erickson, Tomlin, and Swain affect the daily lives of cancer survivors as they have moved on with their lives to rebuild who they are. This qualitative inquiry seeks what it is like to be the patient that was at one time facing death and yet now is well enough to return home. Methods: Participants will be interviewed using a …

The Effects Of Abdominal Massage And Bowel Recipe For The Relief Of Constipation Among Residents In A Care And Attention Home For Persons With Physical Disability In Hong Kong, Kar Yan Alice Wong

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Constipation, defined as having a bowel movement less than three times a week (ROM III Criteria), is a common problem. A growing proportion of disabled residents on anti-seizure medications are living longer yet the routine care in using laxatives to relieve constipation can no longer be effective after prolonged use. Therefore, non-invasive abdominal massage and high fiber dietary supplements interventions were introduced.

Methods: This study aimed to increase the quality of care by early identification of constipation cases with abdominal massage treatment. Baseline data on bowel and dietary habits were collected from …

Can You See Me? Experiences Of Night Shift Nurses In Australian Regional Hospitals: A Qualitative Case Study, Idona N. Powell

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The study aimed to explore experiences of nightshift nurses working in Australian regional hospitals focusing on their relationships with other nightshift nurses, non-nightshift staff and general work satisfaction issues. Study intentions were to act as a catalyst to the development and implementation of strategies to create positive change for the nightshift nurses.

Methods: The study was conducted at three Australian regional hospitals. Data were derived from semi-structured interviews and participant diaries over a six month period in 2010. The participants were 14 nurses working nights half or more of their total shifts …

Job Satisfaction And Subjective Well-Being Among Czech And Slovak Nurses, Elena Gurkova

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The aim of the present study was to investigate the relationship between domains of the job satisfaction and cognitive and emotional components of subjective well-being (SWB) in Czech and Slovak nurses.

Methods: The sample for study consisted of 1055 hospital staff nurses from 12 hospitals in the Czech and Slovak Republics. Data were collected using a set of questionnaires that included the McCloskey/Mueller Satisfaction Scale, the Positive Affect Scale, the Negative Affect Scale, and the Personal Well-being Index. The association between domains of job satisfaction and components of SWB was analyzed by …

Recruitment And Cost Analysis Of Screening Midlife African-American Women For A Lifestyle Physical Activity Intervention Trial, Jo Ellen Wilbur, Arlene Michaels Miller

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: A challenge for implementing physical activity interventions in underserved communities is successful recruitment of participants. The need for a medical release often excludes women most in need because they don't have a provider or cannot afford the additional cost. The purpose of this presentation is to present: 1) outcomes of the recruitment strategies and 2) cost-analyses of providing an advanced practice nurse (APN) screening health assessment for the Women's Lifestyle Physical Activity Program for African American women. An ecological framework guided recruitment.

Methods: This randomized clinical trial is delivered in health settings …

Enhancing Clinical Reasoning: Teaching Thinking Through Debriefing, Susan G. Forneris, Diana Odland Neal, Heidi Meyer, Jone Tiffany, Lynnea Myers, Cynthia R. Pivec, Mary Beth Kuehn, Linda Blazovich

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: How nurses are educated to think in practice is receiving well-deserved attention calling for the need for innovative and transformative strategies that guide nurses in the use of nursing knowledge and science. Guiding thinking to assist novice nurses to better infer meaning and apply clinical reasoning across contexts is an important teaching strategy. The overall purpose of this multi-site pilot study was to implement a debriefing strategy to determine its impact on clinical reasoning skills with undergraduate nursing students across four different colleges of nursing. This study replicates Dreifuerst's original study using …

Turning The Classroom: Using Team-Based Learning To Engage Students In Psychiatric-Mental Nursing Course, George Byron Peraza-Smith, Cindy Parsons

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Team-based learning (TBL) is an evidence-based instructional method that engages students to become active participates in their own learning. Students form teams of five to seven members. In TBL students' engagement occurs in two interrelated, mutually strengthening areas: within course content (individual) and within teams (group). TBL has been shown to improve critical thinking, foster engagement in the classroom, promote collaboration, and enhances student satisfaction. A descriptive correlational study was conducted. The sample included a control group (n=43) who received standard lecture model and an intervention group (n=45) who received TBL model. Evaluation …

Muscle Relaxation Training To Reduce Stress Of Medical Nurses At Siriraj Hospital, Thailand, Pawilai Pitakwong

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study was to determine the extent to which progressive muscular relaxation training can facilitate reduction in the stress experienced by medical nurses at Siriraj Hospital, Thailand.

Methods: A longitudinal experimental design was used to explore the efficacy of progressive muscular relaxation reducing the stress level of medical nurses. Subjects were randomly assigned to one of two treatments: progressive muscular relaxation using audio recorded instructions and a live instructor (Arm A) or progressive muscular relaxation by using audio recorded instructions and a handbook (Arm B). Subjects in each group …

Utility Of The "Cycle Model" Of Child Abuse Prevention Using Pacap And Usdt, Reiko Ueda, Chieko Yoshikawa, Junko Miyazawa, Kiyoko Tamashiro, Tomoko Nishihira

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: To confirm the utility of 'cycle model' of child abuse prevention by an action research using PACAP (Pre-assessment tool for child abuse prevention) and USDT (Ueda's simplified developmental test) developed by us. Methods: All pre-school children and their parents in Island K, Japan, and multiple health-related professionals in direct contact with them participated in the action research. PACAP, a semi-structured questionnaire with 18 items in four areas, was administered to the parents. USDT was administered to those children who were suspected of maltreatment by the results of PACAP. To the non-respondents PACAP …

Patients' Reactions To Being Selected By A Computerised Risk Tool For Case Management By A Community Matron In The Uk, Belinda J. Wigmore, Sylvie Marshall-Lucette

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: In the UK, 15 million people have at least one long-term condition and represent 70% of the healthcare expenditure. Evidence suggests that improved management of long-term conditions can reduce care costs. Case Management, by Community Matrons, was established using a predictive risk tool to predict the likelihood of an acute admission within the following six months. Potential patients are sent a letter offering an assessment before being admitted to the Virtual Community Ward. Some patients decline the service or find this approach unusual. This study aimed to explore the reactions of patients …

Psychometric Testing Of The Collaborative Behavior Scale-Shortened (Cbss), Jaynelle F. Stichler

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this study was to test the psychometric properties of shortened version of the original Collaborative Behavior Scale (CBS; Cronbach's alpha = .97). Interprofessional and intraprofessional collaboration in nursing has significant effects on nurse job satisfaction, job stress, organizational commitment, professional practice, and optimal patient outcomes; therefore an instrument to measure collaborative behavior is important to nursing and healthcare.

Methods: A multi-method approach was used to test psychometric properties of the shortened version of the CBS. Using a panel of five experts, 8 items were chosen from the original 20 …

Tuberculosis In Nunavut: One Community's Initiative To Promote Awareness Through An Organized Community Health Fair, Dora Maria Carbonu

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Tuberculosis (TB) is a major public health problem, with a profound impact on the health of the population of Nunavut, where the highest number of 101 new active cases, were documented in 2010, a population rate 62 times the Canadian average, and involved adolescents and young adults. About 50% of the recorded cases were located in the capital city, placing a high demand on all sectors to enhance public health measures.

Methods: Evidence from one community's efforts to promote TB awareness, with related health behaviors, attitudes, and life styles, suggested that stigmatization …

The Effectiveness Of Using Therapeutic Dog Program On The Elderly With Dementia In Nursing Homes Of Taiwan, Ming-Lee Yeh

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: This research was to develop and to evaluate a canine animal assisted therapy program in Taiwan.

Methods: Based on the concept of animal assisted therapy (AAT), this program included two stages. Based on a quasi-experimental research design, 58 elder residents with dementia in nursing homes participated in this program. Participants were divided into experimental (E group) and control group (C group) equally. 16 times of designed 'Therapeutic Dog' program was applied into E group, while regular living activity was applied into C group, during two months. The Multidimensional Observation Scale of Elderly …

Evaluation Of Mass Casualty Incident Education To Guide Disaster Responder Preparedness, Lin-Ti Chang

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Disasters are the ultimate test of health care responders and communities capability to provide care to those in need. Nurses play an essential role in disaster response and are often the single largest group of responders in any major disaster. Educating disaster health care responders on the essential elements of MCI management will improve our response to disasters. Evaluating these education programs for validity and role specific educational strengths and opportunities for improvement will advance the science of disaster response management.

Methods: Data were collected from 70 participants completed a 2-day ADMR …

Guidelines To Manage Aggression And Facilitate The Mental Health Of Educators In The Workplace, Marie Poggenpoel, Chris P. H. Myburgh

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: To describe a meta-synthesis of research conducted on educators' lived experience of aggression in the workplace in South Africa and guidelines to manage aggression and facilitate mental health.

Methods: Qualitative phenomenological interviews, observation and fieldnotes were utilised to collect data from purposefully sampled educators. Data were analysed by means of open coding and re-contexualised within the literature. Measures to ensure trustworthiness were applied through implementation of the strategies of credibility, transferability, dependability and confirmability. Ethical principles were applied throughout the research process namely autonomy, non-maleficience, benificience and justice.

Results: Educators experience aggression …

The Causes Of Child Labour: A Sample Of Children Working On The Streets In Turkey, Kader Mert, Hasibe Kadioglu

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: The purpose of the research was to conduct an in-depth examination in a neighborhood where many children were working on the streets in order to determine the factors contributing to this occurrence.

Methods: This is a qualitative study. The research data was collected using the technique of individual in-depth interviews. The study encompassed interviews with seven children working on the streets, nine mothers whose children were working on the streets. The interviews took place at home visits conducted over the period May-July 2011. Data were evaluated content analysis. In the content analysis …

Improvement Of Interpersonal Relations And Job Satisfaction Of Nurses Of Specialized Care Through Knowledge And Use Of Relational Skills, Yolanda Raquel Lapena-Monux, Pablo Salas-Medina, Victor Manuel Gonzalez-Chorda, Maria Loreto Macia-Soler, Desiree Mena-Tudela, Cibanal Juan Luis, Maria Isabel Orts-Cortes

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: It is necessary to maintain cordial relationships in the workplace, through a correct knowledge and use of communicative-relational skills developed by members of the health team, generators of job satisfaction. General objetive: Knowing how the communicative interaction between professional nurses within the different units of the hospital is, about the characteristics of interpersonal communicative interaction, skills that professionals develop in their labour relations and the difficulties faced in this process.

Methods: Descriptive research based on qualitative collection methods and data analysis, in a sample of 21 nurses working in different inpatient units. …

Predictors Of Violent Behavior On School Property: Analysis Of 2009 Youth Risk Behavior Survey Data, Janet Thorlton

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this project was to better understand predictors of violent behavior on school property, using the Centers for Disease Control 2009 Youth Risk Behavior Survey data (n=16,410). It was hypothesized that use of performance enhancing substances (PES) would increase risk for violent behavior occurrence (i.e., carrying a weapon, fighting) on school property.

Methods: Social Cognitive Theory guided identification of factors contributing to violent behaviors at school. Relationships were examined, using descriptive statistics and bivariate analyses for each violent behavior. Structural equation modeling (SEM) was performed to assess the model underlying …

Student Attitudes And Readiness Outcomes Of A Community-Based Interprofessional Education (Ipe) Program Focused On Practice Change Innovation, Year One, Susan J. Kimble, Margaret Brommelsiek

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Background: This project created an Interprofessional Collaborative Practice Model (IPCP) at two community-based urban clinics extending classroom IPE experiences. IPE is a growing area of interest in the healthcare professions, focused on roles/responsibilities; values/ethics; communication, and teamwork (IPE Expert Panel Report, 2011). The project provided innovative opportunities, placing health professionals and graduate students from the UMKC's Schools of Nursing, Dentistry, and Pharmacy. The objective was improving health outcomes in patient centered care through IPCP which provided primary, preventative, and mental health care services to underserved populations. Both clinics are located in a health …

A Smoking Cessation Intervention For People With Chronic Hepatitis C: A Randomised Controlled Trial, Carol L. Reid, Mary Fenech

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The purpose of this study was to examine the validity of current practice in smoking cessation for the general population i.e., a telephone counselling and nicotine replacement therapy (NRT) intervention and its applicability to people with chronic hepatitis-C.

Methods: A randomised controlled trial was conducted over twelve weeks. Following consent, ninety-two smokers (outpatients) with chronic hepatitis-C were recruited by the Nurse Practitioner hepatology, randomly assigned and stratified by number of cigarettes smoked (i.e., 15 and greater; <15) into the intervention group (telephone counselling and NRT) and control group (telephone counselling). Outcomes measured included socio-demographics, nicotine dependence, depression, anxiety and stress and quality of life (QOL). All statistical data were analysed using SPSS.

Results: After 12 weeks, the intervention group showed a sustained reduction of smoking i.e., 5.8(CI: 2.4,9.3) …

Team Huddle: Nurse Role In The Prepared Practice Team, Kathy L. Goodman, Linda Marie Keenan, Jennifer Lahue

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: To sustain our continued excellence as a designated medical home level III health center, our team addresses one of the Patient-Centered Medical Home criteria which states, team meetings may include daily TEAM Huddle, a structured communication process to discuss patients coordination of care for planned visits.

Methods: Team Huddle starts with nurse completing pre-clinic chart review and documents data on Team Huddle Worksheet. Nurse clinician reviews the diagnosis, chief complaints, identifies health maintenance or preventive screenings of the patient. Nurse clinician determines patient's compliance to care management by trends of No Shows …