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Developing Volunteer Spirit Model Of Hiv Prevention At Schools In Bangkok, Duangkamol Wattradul

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Nearly 30% of the new HIV infections in Thailand are in teenagers due to their unaware of the risks of unsafe sexual behavior. Thus, HIV/AIDS education program at schools has focused on preventing sexual transmission of HIV. This study was aimed to assess the knowledge and awareness of HIV prevention among teens and to develop volunteer spirit model of HIV prevention at schools.

Methods: Participatory action research was conducted. Capacity building of volunteer spirit and skill building of HIV prevention were provided for 1765 teens at 20 schools in Bangkok. Data were …

Reducing Recidivism Among Youthful Offenders: Evidence-Based Practice Strategies, Kate Shade

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

In the United States, housing youth in prison with an orientation toward punishment is becoming a thing of the past. Instead, the justice system is returning to a rehabilitation model (Mendel, 2010). However, the U.S. continues to incarcerate more youth than any other country in the world (Raphael, 2011). Effective treatment programs are limited in number and are costly. A meta-analysis of interventions for youthful offenders determined that greater than 50% of the juveniles incarcerated in the U.S. return to the justice system as adults (Lipsey, 2009). The purpose of this presentation is …

Stigma In Sickle Cell Disease Scale Development: A Pilot Study In Adults And Family/Caregivers In The U.S. And Nigeria, Linda D. Wagner, Robin Leger, Victoria Odesina

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Individuals with chronic genetic conditions experience personal and family stigma throughout their lives. Stigma associated with genetically inherited conditions is noted to negatively impact health-related quality of life and community participation. Stigma in sickle cell disease (SCD) was appraised via pilot study for instrument development, testing for face validity and preliminary psychometrics.

Methods: Community Based Participatory Research methods were used to select 42 participants for survey and feedback. The authors adapted the likert type stigma scale from the epilepsy literature, developing two surveys, one for the individual and one for caregiver/family member. …

Development And Psychometric Testing Of A Post-Anesthesia Care Unit Discharge Scoring System, Laurie Ecoff, Kristen Vacinek, Jeanne Palomo, Jaynelle F. Stichler

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Accurate assessment of the patient's status post-operatively is critical prior to discharge from the Post Anesthesia Care Unit (PACU) to a nursing unit. The current discharge scoring system did not accurately predict readiness for discharge from the PACU. The purpose of the study was to develop and psychometrically test a PACU discharge scoring system.

Methods: A literature search was conducted for a reliable and valid PACU discharge scoring system. Although several systems were found, no system contained all criteria important for a safe discharge. Gaps included pain, nausea, hypertension, oxygenation, temperature, and …

Reducing Falls In Outpatients: Evaluation Of Fall Risk Assessment And Identification Of Fallers, Katherine Diane Pendleton-Romig

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of the project aimed to study occurrences of injurious falls in outpatient areas in a health care facility with a focus on how falls can be mitigated. Prevention of falls is a national patient safey goal. Research shows that falls are more likely among older adults; however, falls may be preventable if fall risk screening and education could be started before patients become older adults. Risk factors and support factors are viewed as higher priorities for fall prevention than physiological measures.

Methods: The project was conducted in the internal medicine …

Gender And Smoking Cessation Treatment For Hospitalized Smokers, Donna D. Caruthers, Roberta M. Fiore, Susan E. Bare

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Examine gender differences among a sample of hospitalized smokers formerly enrolled in a smoking cessation RCT.

Methods: The primary aim of this secondary analysis, with IRB approval, examined gender differences from data obtained from a RCT of a smoking cessation intervention initiated with hospitalized smokers. Eighty participants were enrolled in an RCT smoking cessation study prior to hospital discharge and provided an enhanced usual care smoking cessation intervention. Following discharge, intervention treatment included 8 additional phone delivered relapse prevention interventions over 3 months. Study variables included carbon-monoxide validated 7-day smoking point-prevalence, self-efficacy …

Extended Work Hours And Physical Health Status Of Registered Nurses Working In Community Hospitals, Thailand, Treeyaphan Supamanee, Pongsri Keitlertnapha, Wipada Kunaviktikul

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Background: Community hospitals in Thailand have faced nursing shortage. This shortage causes long working hours of nurses that affect their physical health. They endanger to various physical risks such as sharp and needle-stick injury and musculoskeletal disorders about pain in the neck, upper back, lower back, refer down the leg, and calf of the leg.

Purpose: This study aimed to describe nurses' extended work hours and physical health regarding sharp and needle-stick injury, and musculoskeletal disorders, and to examine the relationship between extended work hours and physical health.

Methods: Self-administered questionnaire was used …

Increasing Muscle Strength, Self-Efficacy, And Quality Of Life In People With Tetraplegic Spinal Cord Injuries: A Nurse-Coached Intervention, Susan B. Sheehy

International Nursing Research Congress (INRC)

Session presented on:Tuesday, July 23, 2013:

Purpose: The purpose of this study was to determine if a nurse-coached program of exercise for people with tertaplegtic spinal cord injuries would result in increased muscle strength, increased self-efficacy scores, and a higher quality of life

Methods: This was a single subject, multiple baseline, across subjects, A-B design. There were ten participants in the study (N=1, ten times) that took place over a two-year period of time. Exercises were designed specifically for people with tetraplegic injuries. Each participant was coached three times a week, in three-hour sessions, over six months. Baseline measurements were …

Reliability Testing Of A Modified Early Warning Scoring (Mews), Lexie Scarborough Futrell, Kimberley A. Stunkard, Erin Whitley, Jessica Maples, Jamie K. Roney, Joann D. Long

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Research was guided by Institute for Healthcare Improvement's Transforming Care at the Bedside framework. Evidence suggests clinical signs of patient deterioration may appear hours before life-threatening events occur. Subtle changes may go undetected in hospitals contributing to an estimated 98,000 annual preventable deaths. Previous research indicates the use of early warning scoring systems (EWSS) may decrease the incidence of cardiopulmonary arrest in the hospitalized patient if used to identify and treat the at-risk for deterioration individual. Hospitals worldwide have adapted EWSS to address the problem; however, few prospective studies have reported reliability …

Exploring Of Action Reflection Teaching To Nursing Students' Spiritual Status And Reflection In The Course Of Spiritual Nursing For Elders, Ya Lie Ku, Jen-Kuei Ko, Pi-Yu Lee

International Nursing Research Congress (INRC)

Session presented on Wednesday, July 24, 2013:

Purpose: The purpose of this study was to explore action reflection teaching to nursing students' spiritual status and reflection in the course of spiritual nursing for elders.

Methods: The first period was preparation period for the researcher and two faculties in the long-term care for the elders and three two- years nursing students to construct the process of life-review and reminiscence activities for the elders. The second period was conducting period for the researcher to inspire nursing students reflecting and experiencing the meaning of each unit in the course of spiritual nursing for …

A Computation Model Quantifying Nurse Staffing To Care Needs, Taina Pitkaaho, Katri Vehvilainen-Julkunen, Juhani Kouri, Merja Miettinen

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The computational model for nurse staffing was innovated in the Nurse Staffing Management Development (NSMD) project as part of the B11 project designing a new building to the Kuopio University Hospital in Finland. Problems in existing facilities, decreasing nursing staff, and increasing demands of caring for an ageing population formed the background for the B11 project. The purpose of the NSMD project was to define nurse staffing needs in units that will move into the new building in 2015. Methods: Data consisted of information on 108 - 864 patient episodes (inpatient and …

Quality Of Nursing Doctoral Education In Australia And South Africa, John Daly, Siedine Knobloch Coetzee, Hester C. Klopper

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: To describe the context and quality of nursing doctoral education and to analyze main issues facing the quality of nursing doctoral education from perspectives of nursing deans, academic personnel/faculty, doctoral students/graduates and doctoral students in South Africa and Australia.

Methods: A total of 159 faculty and students/graduates participated in the cross sectional on-line survey and they were from a total of 19 nursing schools from universities in these 2 countries. Country specific total numbers were: 19 nursing schools (12 from the South Africa and 7 from Australia); 39 faculties (26 from South …

Influence Of Personal And Contextual Factors And Cognitive Appraisal On Quality Of Life Over Time In Persons Newly Diagnosed With Cancer, Theresa A. Kessler

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: As cancer treatment has become more successful, measurement of outcomes focusing on quantity, such as disease free survival, mortality, and cancer relapse rates, are insufficient. It is important to understand how individuals newly diagnosed with cancer perceive their experience and manage the day to day effects of treatment over time. The purpose of this study was to assess personal and contextual factors and cognitive appraisals and their impact on quality of life over time for individuals facing a new diagnosis of cancer.

Methods: Using a longitudinal design, 120 individuals were recruited from …

Portuguese Version Of The Inventory Of Functional Status-Fathers (Ifs-F): Validation Study, Isabel Mendes, Rogerio Clemente Rodrigues, Sonia Coelho

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: The aim of this study was to validate the Inventory of Functional Status-Fathers (IFS-F) to the Portuguese version, showing its reliability and validity, adapted to first-time fathers in the postpartum period. Methods: The Inventory of Functional Status-Fathers (IFS-F) was developed by Tulman, Fawcett and Weiss (1993) to evaluate the functional status of fathers in postpartum. For the development of the Portuguese version of IFS-F, we followed two directives: (a) the linguistic and cultural adaptation to Portuguese language and (b) the psychometric study of this version, comparing it with the original. The IFS-F …

A Conceptual Framework For Educational Design To Bridge The Theory Practice Gap, Yvonne Botma

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Most educators in health care try to enable students to apply what they have learned in classrooms and simulation laboratories to their clinical practice. However, the theory-practice gap remains a contentious issue between faculty and practice. According to a vast number of sources a systemic approach is needed to bridge the theory-practice gap. Various systemic models for transfer of learning refer to personal characteristics, educational design factors, and organisational climate as critical elements in bridging the theory-practice gap. This framework provides tapered information and is a frame of reference to organise thinking, …

Work-Life Balance: Motivations And Obstacles To Work For Injured Hospital Nurses, Kathleen Mullen

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The aim of this study was to examine motivations and obstacles experienced by hospital nurses who endeavor to work after injury by focusing on the injury experience, work climate, risk of re-injury, workers' compensation, and issues related to personal lifestyle.

Methods: Motivations and Obstacles to Work for the Injured Hospital Nurse (MORE Nurses Study), used ground theory methodology including coding and conceptualization in the analysis of the data. Nurse participants (n =16) provided patient care in two different medical centers in California; however, four received their nursing education outside the United States. …

Adaptation Of A Best Practice Model For Recognition And Treatment Of Postpartum Depression In A Private Obstetrics Practice, Vicki E. Long

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Depression in women is tied to phases of reproduction, with the postpartum period highlighted as critical (Yonkers, et al., 2009). This period may be marred by feelings of low self-worth, disassociation with mothering, with the risk of maternal or fetal harm (Byatt, Simas, Lundquist, Johnson & Ziedonis, 2012; Nonacs, 2006). In a meta-analysis done by Bennett and colleagues, the incidence of postpartum depression (PPD) ranged from 10 - 20 %, with 12% often quoted as average (Bennett, Einarson, Taddio, Koren & Einarson, 2004). Screening to identify at-risk women is used worldwide employing various …

Exploring Facilitators And Barriers To Healthy Eating Among Community Gardeners, Matthew T. Cotton, Joann D. Long

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Insufficient fruit/vegetable intake (FVI) is among the ten leading risk factors for global mortality and is linked to the rising incidence of obesity worldwide (World Health Organization, 2011). Evidence suggests the theoretical concepts from social cognitive theory identified as individual, social and environmental factors influence the facilitators and barriers to healthy eating (HE). The purpose of this study is to better understand the complexities related to HE and provide insight leading to increased FVI in a community garden setting.

Methods: A qualitative pilot study design was used. Data was collected from 13 …

Preventive Health Screening Disparities By Disability, Gender And Race, Suzanne C. Smeltzer

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Health disparities are common among racial minority groups and people with disabilities. With growing populations of people with disabilities and racial ethnic minorities, there is a need to examine disparities in health screening among African-American (AA) and Caucasian populations if these disparities are to be reduced. This study compared health disparities in preventive health screening in African-Americans and Caucasians with disabilities.

Methods: Goodall's Interface model of disability provided a framework to address factors affecting health of people with disabilities, including gender and race. A descriptive, comparative study used secondary analysis of the …

Are There Economic Benefits From Increased Nursing Staffing In Acute Hospitals?, Diane Esma Twigg, Christine M. Duffield

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Increased availability of treatment interventions and changing technology has increased demand for health care while the global financial crisis has increased calls for cost reduction. The pressure on nurse leaders to reduce staffing costs is significant. This research assessed the economic impact of increased nurse staffing on health outcomes in adult teaching hospitals in Perth, Western Australia. It provides evidence that is relevant to policy development.

Methods: This longitudinal study involved the retrospective analysis of a cohort of multi-day stay patients admitted to adult teaching hospitals. Hospital morbidity and staffing data were …

Using The Rasch Model For Psychometric Examination Of Food Security And Acculturation Surveys, Jill Francesca Kilanowski

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Rasch model is used to obtain measurements from two categorical variables to assess the probability of a specified response as a function of person and item parameters. That is the probability of a correct response is a logistic function of the difference between the person and item parameter item. The higher level of a person's ability relative to the difficulty of an item, the higher the probability of a correct response on that item. Rasch models have general applicablity and are used in psychometrics to evaluate theory and technique of measurement. The …

Do Self-Efficacy, Exercise Benefits And Barriers, And Demographic Factors Have The Same Effects On The Physical Activity Across The Gender?, Duckhee Chae, Chung Yul Lee, Suhee Kim

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: While health indices of smoking, hypertension, and diabetes among Korean adults have improved during the last 10 years, physical inactivity and obesity were getting worse. The purpose of this study was to determine whether self-efficacy, exercise benefits and barriers, and demographic factors have the same effects on the physical activity level across the gender.

Methods: A cross-sectional analysis of the baseline data was conducted to examine 70 sedentary white-collar workers (35 male, 35 female) from a major airline company in Korea participating 8-week workplace physical activity intervention. Steps were measured using a …

Grandparenthood And Intergenerational Relationships: A Review Of The Literature, Rogerio Clemente Rodrigues, Isabel Mendes, Zaida Azeredo, Rosa Cristina Correia Lopes

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: To review published studies about the role of grandparenthood and the intergenerational relationship in contemporary western society. Methods: As a result of demographic changes, the grandparent/grandchild relationship has the potential for spanning three to four decades of life. As a consequence, grandparenthood and its associated roles and relationships are achieving a growing prominence in contemporary Western society. By this way intergenerational support relationships between grandparents and grandchildren are a reality that can improve the communication among generations. It was realised a literature review using data bases in B-On, Academic Google, and Pub-Med. …

Comparison Of Nursing Practitioners' Competencies Among Different Evaluation Approaches: Peer Assessment, Superior Assessment, And Self-Assessment, Hui-Yu Liang, Shu Yu

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: To ensure the quality of nursing, nurse practitioner become more and more important who plays a key role in development and leading advanced nursing professional practice. Therefore, assessing the professional competence of nurse practitioners is essential. The purpose of this study is attempting to evaluate the professional competence of nurse practitioners and compare differences among different approaches: peer assessment, superior assessment and self-assessment.

Methods: The research design was a cross-sectional study design and subjects were selected by using stratified random sampling at teaching hospital in eastern Taiwan. A structured-questionnaire, Nurses Practitioners Competencies …

Evaluation Of Transitional Care Through Home Care Services And Teaching/Learning Processes For Heart Failure Patients To Decrease 30-Day Hospital Readmissions, Judith T. Caruso

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: To evaluate if the use of transitional care services through home care services reduced hospital readmissions as compared to self-care at home for heart failure patients. In addition, the four key processes of the Institute of Healthcare Improvement (IHI) Transforming Care at the Bedside How to Guide for Patients with Heart Failure were evaluated.

Methods: Retrospective chart reviews were performed of hospital and home care records of Medicare patients discharged (N=76) from a large northern NJ medical center January 2010-April 2010 with a diagnosis of heart failure. Through interviews/observations of work processes, …

Leaders In Nursing Education Competencies, Barbara J. Patterson, Anne Marie Krouse

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Nurse educators must provide leadership not only for nursing programs, but also at the university level. Unfortunately, many educators lack formal preparation in leadership development. It is vital for nurse educators to develop leadership skills and be knowledgeable to create institutional policy that results in organizational effectiveness and innovation, as well as effective student learning environments. Currently, there exists a dearth of research on the competencies necessary for leaders in nursing education. The purpose of this qualitative study was to identify and describe the competencies that doctoral students pursuing an academic career …

Interprofessional Collaboration: A Rural Self-Managment Program, Kathleen Farrell

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013: Purpose: The purpose of this study was to evaluate the impact of the Chronic Disease Self-Management Program (CDSMP) among individuals with chronic illness within a southern rural region. Methods: The study, designed to examine multiple, post-program outcome, was a quasi-experimental longitudinal pre-posttest design. Recognizing the need to have inter-professional collaboration to change health care outcomes in the community, faculty from nursing, social work, recreation and leisure services, and gerontology at a rural, regional school joined forces to look for collaborative pathways that would impact regional health status. The CDSMP is an internationally research …

Nursing Effectiveness Of Four Portuguese Hospitals, Fernando Amaral

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: Testing the assumptions of the Nursing Role Effectiveness Model proposed by Irvine, Sidani, and McGillis Hall, 1998. Analyze the outcomes sensitive to nursing on a sample of medical and surgical patients in 4 Portuguese hospitals. Findings in functional status, self-care, management of symptoms, cognitive ability and therapeutic self-care. Association between practice environment interventions and outcomes. Relationship between patient characteristics, including age, functional status at departure, with outcomes using the Theory Driven approach. The methodological approach considers the concept nursing sensitive outcomes as respecting a condition, behaviour or a perception of a patient …

Buddhism And Medical Futility, Desley G. Hegney, Tuck Wai Chan

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013: Purpose: Religious faith and medicine combine harmoniously in Buddhist views, each in its own way helping Buddhists enjoy a more fruitful existence. Health care providers need to understand the spiritual needs of patients in order to provide better care, especially for the terminally ill. Methods: Using a recently reported case to guide the reader, this paper examines the issue of medical futility from a Buddhist perspective. Results: Important concepts discussed include compassion, suffering, and the significance of the mind. Compassion from a health professional is essential, and if medical treatment can decrease suffering …

From Simulation To Practice: Preparing Students For Real World Nursing, Cynthia L. Cummings

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: This presentation will cover the results of a yearlong study on the preparation of senior nursing students through simulation activities. The goal of the research was to explore perceived gaps in nursing students' proficiency and practice readiness between their educational environment and hospital practice. The study began with research into possible deficit clinical areas. From faculty observation of simulation experiences, problem areas were identified, such as inter-professional communication, priority setting and basic understanding of medication side effects and implications. Because of these findings, the adult health faculty determined that our students may …