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Ethical Knowing In The Classroom And The Care Of Underserved Populations, Marcianna Nosek

International Nursing Research Congress (INRC)

Purpose: The purspose of this study was to examine how ethical knowing is created in the setting of graduate level nursing education regarding the care of undersered and marginalized populations. Gadamer's writing of phronesis and hermeneutic philosophy provide the philosophical foundation and framework for the study. Specific aims include: to create opportunities for ethical knowing or phronetic experience in the classroom; to bring together two diverse groups with different life experiences and prospectives, i.e., nursing students and formerly incarcerated adults together in a dialectic and dialogic way; to develop new meanings and understandings about ethical knowing or phronesis as it …

An Exploration Of The Role Of Social Support In Health Promotion And Eating Disorder Prevention, Kathryn D. Weaver

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: To explore the relationship between social support and eating disorder development within a female, nonclinical population. Eating disorders are commonplace within many university settings, particularly among female university students. The outcomes associated with eating disorders can significantly impact the growth and development associated with this crucial stage of emerging adulthood and have the potential to impede academic and future career endeavours. To best assist students, it is vital to build a comprehensive understanding of their experiences with eating disorder symptoms and their needs and preferences for support. Methods: Survey responses from 176 …

The Relationship Between Knowledge And Efficacy Of Sheng-Hwa-Tang, Meng-Yu Chen, Shih-Hsien Kuo, Hsin-Ying Mao, Fan-Hao Chou

International Nursing Research Congress (INRC)

Purpose: It is believe among Chinese women that there are three chances in timing, menarche, post-partum, and menopause, to modulate their body constitution. To grab the second chance of modulation, Chinese women will take very seriously in post-partum care, especially in food and traditional Chinese medication such as Sheng-Hwa-Tang, for uterus reconstruction, blood cultivation, circulation activation, and extravagated blood cleaning. The aim of this study was to explore the relationship between knowledge and efficacy of Sheng-Hwa-Tang and resource of prescription among post-partum women.

Methods: A cross-sectional study design with questionnaires, based on a large study, was used to collect what …

Nursing In Sendafa, Ethiopia: A Collaboration Of Mission, Mentoring, And Medicine, Dawn Becker

International Nursing Research Congress (INRC)

Ethiopia is the second poorest nation in the world. Ninety percent of the population lives in poverty, over 50% on less than one dollar a day. The village of Sendafa has about 15,000 people, most of whom have never seen a nurse or doctor. The primary health issues in Ethiopia continue to be contaminated water, poor sanitation, HIV/AIDS, poor nutrition, and inadequate access to medical care. Since 2007, York County nurses and doctors have partnered with Ethiopian doctors to provide a one-week medical clinic in the village, along with supplying year-long medications for HIV/AIDS and water-born diseases. Ethiopian nursing students …

Effect Of Clinical Practice Guidelines Developed Base In Evidence-Based Practice For Postoperative Pain Management In Patients Who Underwent Orthopedic Surgery, Chintana Phannetr

International Nursing Research Congress (INRC)

Effective pain management has been shown to promote earlier ambulation and reduced postoperative complications. However, pain management in patients who underwent orthopedic surgery remains an issue in nursing practice. Purpose: This study were to assess pain scores on postoperative day 1 to day 5, to examine patients' satisfaction on pain management, and to ascertain nurses' satisfaction on the implementation of a CPG. Methods: 42 samples from surgical units of a hospital in Thailand were randomly assigned into the intervention group (21 participants received the CPG) and control group (21 participants received usual treatment).The CPG consisted of four stages including, pre-operative, …

State Of The Science: Symptoms And Quality Of Life In Individuals With Pancreatic Cancer Undergoing Surgery, Sherry A. Burrell, Theresa Pluth Yeo, Suzanne C. Smeltzer

International Nursing Research Congress (INRC)

Purpose: The purpose of this integrative review was to examine the science regarding symptoms and quality of life (QoL) in individuals with pancreatic cancer (PC) undergoing surgery with or without adjuvant therapy.

Methods: The integrative review method was used to conduct this review of the literature. Whittemore and Knafl's (2005) updated integrative review guidelines were followed. Fourteen studies were included for review as a result of a search in Medline, PubMED, and CINAHL databases from 1995 to 2012.

Results: Several studies had methodological issues including poor response rates, small sample sizes, and heterogeneous samples that limited the generalizability of results …

Understanding Barriers To Completing A Bsn Program: A Focus On Hispanic Students, Suzanne Beltz, Nancy Goodman

International Nursing Research Congress (INRC)

Hispanics are the largest and fastest-growing minority population in the United States. Of the registered nurses in the United Stated only 3.8% are Hispanic. The percentage of Hispanic nurses educated at the baccalaureate level or higher is even smaller. The Texas A&M University-Corpus Christi mission includes serving and educating the people of South Texas where the population is over 85% Hispanic. Over time, working with students who were struggling in the nursing program, it appeared that stereotypical evaluations of these struggles did not explain the barriers being shared by students. Purpose: The purpose of this naturalistic study was to examine …

Impact Of The Geriatric Medication Game On Nursing Students Empathy And Attitudes Toward Older Adults, Karen S. Yehle, Aleda M. H. Chen, Mary E. Kiersma, Kimberly S. Plake

International Nursing Research Congress (INRC)

Purpose: It is estimated that in 2050 nearly two billion people worldwide will be 60 years or older, and nurses must be well-prepared to improve and address their health-related needs. However, it may be difficult for students to understand and empathize with older adults, as they may not yet have experienced aging-related challenges. The purpose of this project was to examine the impact of participation in an aging simulation game on nursing students' empathy and attitudes toward older adults as well as their understanding of the healthcare system.

Methods: Nursing students played the role of an older adult during a …

Development Of Model Using Sociocognitive Variables To Explain Self-Care In Women With Type 2 Diabetes, Susan Grinslade, Hongjuan Jing, Bruce Paper

International Nursing Research Congress (INRC)

Purpose: Sociocognitive variables of self-efficacy, social support, outcome expectancies, and barriers to self-care were used to examine self-care practices in adult women with Type 2 diabetes. Two instruments to assess diabetes self-efficacy and social support in women were developed. A convenience sample of 198 adult women with diabetes volunteered to participate in the study. Participants completed a demographic questionnaire, Social Support for Women with Diabetes Scale, Diabetes Self-Efficacy Scale, Barriers to Self-Care Scale, Outcome Expectancies Scale, and the Summary of Diabetes Self-Care Activities Scale. Additionally, the Balanced Inventory of Desirable Responding was completed and used to control for confounding introduced …

The Long-Term Effects Of A Suicidal Education Intervention For Family Members Of The Suicidal Patients, Chun-Ying Chiang, Wen-Ling Chen, Fan-Ko Sun, Wei-Jen Chen

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to evaluate the longitudinal (one year after education) effects of a suicide care education intervention on the suicidal family's caregivers.

Methods: A quasi-experimental approach adopted using three instruments for testing the suicide care education intervention. The three instruments are: (1) the suicidal caring ability Scale (2) the caring stress Scale (3) the suicide attitudes Scale. The experimental group attended a two-hour personal information session and received an education handbook on caring for suicidal outpatients when beginning this research and the control group received routine discharge information. There was not any intervention after the …

Barriers Hindering Nursing Students From Adopting Health-Promoting Lifestyles, Yim Wah Mak, Tsoi Hung Tse, Wai Chun Tse, Harn Fen Kao, Wing Yin Tam

International Nursing Research Congress (INRC)

Purpose: The present study aims to identify the patterns of the health-promoting lifestyles, quality of life and barriers from adopting the health-promoting lifestyles among nursing students in Hong Kong.

Methods: Although nursing students are expected to assume the position of health promoters after graduation, they may not be able to practice a healthy lifestyle due to a variety of barriers. Currently, there are no studies addressing these potential barriers and examining the impacts of health-promoting lifestyles on their health at a young age. Pre-registration students who were enrolled in the full-time nursing programs between April and August 2010 were invited …

The Effectiveness Of An Innovative E-Learning Program To Support Nurses And Midwives In The Delivery And Implementation Of Safe Infant Sleeping Recommendations Across Acute And Community Settings, Jeanine Young, Niall Higgins, Leanne Raven

International Nursing Research Congress (INRC)

Purpose: Sudden unexpected deaths in infancy (SUDI) is the leading causes of infant mortality for babies aged 28-365 days, with avoidable risk factors present in 95% of these deaths. Nurses and midwives have key roles in supporting parents to use safe sleeping recommendations. This study evaluated the effectiveness of an innovate eLearning program in positively impacting knowledge application relating to SUDI and safe sleeping recommendations.

Methods: A pre-test/post-test design evaluated knowledge and knowledge application in a sample of health professionals completing the Safe Infant Sleeping eLearning program. The three-module program had an in-built evaluation to benchmark prior knowledge, and post-module …

A Critical Reflection Of The Launch Of The Mchnla In South Africa, Christa Van Der Walt

International Nursing Research Congress (INRC)

The North-West University is the first university outside America where the Maternal-Child Nurse Leadership Academy for is launched in an attempt to reduce mother, child and infant mortality. This honour was received from the Honorary Society for Nurses, Sigma Theta Tau International (STTI) and Johnson & Johnson who not only funded the project but also provide support on a continous basis. According to statistics released by the World Health Organisation in 2010, there was no discernible progress in the field of mother and infant mortality in Africa during the past decade. Prof Hester Klopper, previously the director of the School …

Community-Based Wellness Center: Getting People To Move, Julia Pusztai, Anna Marie Hefner, Catherine Heinlein

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to increase the physical activity in low income Hispanic men and women in a community center. With the increase in obesity rates, physical activity plays a central role in overall health and quality of life. It has been documented a weight loss of 5-10 percent of current weight will lower one's risk of developing diseases associated with obesity.

Methods: This was a pilot descriptive study assisting clients to identify their weight issues, measure body mass index (BMI), set goals, and develop a plan for healthy eating and exercise in an underserved Hispanic neighborhood. …

Caring For Pregnant Smokers: Nurses' Views On Cessation Interventions, Adele M. Spegman, Andrea A. Wary, Leslie A. Laam

International Nursing Research Congress (INRC)

Purpose: Smoking during pregnancy is a significant yet modifiable risk that negatively affects maternal and fetal health during pregnancy. Practice standards recommend assessment of tobacco use at each prenatal visit, consistent messages and action plans that relate to women's readiness to quit (ACOG, 2010). Despite public health initiatives and targeted interventions, the 12- 20% of pregnant women who self-report smoking is considered a significant underestimate of the actual prevalence (Shipton, 2009). Little is reported about the outcomes of nursing cessation interventions. This study examined prenatal nurses' views and experiences with smoking cessation.

Methods: The observational design drew on Artinian's Intersystem …

Healthy Lifestyle In Elders After Discharge, Fang-Wen Hu, Chi-Wen Chiu, Ching-Huey Chen

International Nursing Research Congress (INRC)

Purpose: To investigate whether hospitalization is related to change in healthy lifestyle among elderly and determine the related factors associated with these changes.

Methods: A Prospective design and mix data approach was adopted. We purposively selected 60 patients who were 65 years and older from the general inpatient service at a medical center. A structured healthy lifestyle questionnaire was conducted by face to face interview from admission and three months after discharge.

Results: Total scores of healthy lifestyle were improved after hospitalization (19.4 +/- 1.8 vs 20.3 +/- 1.5, p .o1), especially in good eating habits, safety of medicines usage …

Meleis' Theory Of Transition And Readiness Of Older People For Discharge From Hospital To Home, Alice Coffey

International Nursing Research Congress (INRC)

Purpose: This paper explores the use of Meleis theory of transitions in research to examine the readiness of older people for discharge from hospital to home and their use of community support. Methods: Concepts of Meleis Theory of Transitions were used to underpin a descriptive correlational study into the readiness of older patients for discharge from hospital to home. A unique combination of variables - demographic characteristics, hospitalisation factors, physical and cognitive functioning and perception of readiness - were used to empirically ascertain older patients' readiness at discharge and statistically test relationships between the variables measured at discharge and older …

Establishing Scale Structure, Reliability And Construct Validity Of A Forced-Choice Measure Of Preschoolers' Illness Knowledge, Catherine Reisenberg

International Nursing Research Congress (INRC)

Purpose: To establish scale structure, reliability and construct validity of a newly developed instrument to evaluate preschoolers' illness knowledge called the Illness Knowledge Questionnaire (IKQ). The IKQ was a 32-item questionnaire that included four brief vignettes describing a child who had an illness. The vignettes were followed by forced-choice questions that focused on four illness dimension (i.e., identify, cause, consequence, and cure). Simple line drawings provided visual cues of vignettes and choices.

Methods: Two hundred and thirty children from three age groups (i.e., 4-5, 8-9 and 11-12 years) participated in this cross-sectional descriptive study. School age children were included to …

Assessing Perceptions Of Effective Communication Using Safety Concepts, Liane Connelly, Jennifer Swantek

International Nursing Research Congress (INRC)

The Quality and Safety Education for Nurses Project (QSEN, 2011) strives to promote innovation in the creation and evaluation of methods that address student learning of the six Institute of Medicine (IOM) and QSEN competencies, including patient-centered care, teamwork & collaboration, evidence based practice, quality improvement, and safety. With this knowledge, nurses can continuously improve healthcare systems. The college of nursing northern division of this Midwestern academic medical center was created in 2010 to provide a bachelor of science in nursing program in this region. This division is located on the community college campus and shares building space with the …

The Interrelationships Among Acculturation, Social Support, And Postpartum Depression Among Marriage Immigrant Women In Taiwan: A Cohort Study, Hung-Hui Chen, Li-Yin Chien

International Nursing Research Congress (INRC)

Purpose: Adaptation to a new culture is associated with mental well-being among immigrants. Previous research consistently supports the relationship between social support and postpartum depression. However, the causal and structural relationships among acculturation, social support and postpartum depression have not been established. The study objectives were to examine (1) depressive symptomatology at 1 and 6 months postpartum; (2) structural relationships among social support, acculturation, and postpartum depressive symptomatology among immigrant mothers in Taiwan.

Methods: This cohort study recruited 203 new immigrant mothers from China and Vietnam living in Taipei. Data were collected at 1 and 6 months postpartum. Postpartum depression …

The Experiences Of Obese African-American Women (Aaw) And Their Utilization Of Preventive Healthcare Services, Winsome Stephenson, Margaret Moloney

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to explore the healthcare experiences of obese African American women and their utilization of preventive healthcare services.

Methods: Interpretive phenomenology was used to describe and interpret the healthcare experiences of 15 obese AAW, living in communities in Georgia. A purposive sampling was employed in the study. The participants ranged in age from 23 to 62 with BMIs ranging from 35-55. The majority of the sample (83%) had adequate health insurance. This was a well educated sample with 87% having college degrees or some college education. Individual, audio-taped interviews were used to collect data. …

Moral Distress: Contributing Factors, Outcomes And Interventions. An Overview Of The Nursing Literature, Adam S. Burston, Anthony G. Tuckett

International Nursing Research Congress (INRC)

Purpose: Explore moral distress research across the nursing discipline to identify contributing factors, understand common outcomes, identify appropriate interventions, and detect knowledge gaps. Methods: Cumulative Index to Nursing and Allied Health (CINAHL) 1982-2010; PsycINFO 1980-2010; Medline 1982-2010 and Social Science Citation Index (SSCI) plus Arts and Humanities Citation Index 1982-2010 were used. Key words used were: moral distress, moral distress scale, nursing home* and long-term care. Mining of reference lists provided additional sources. The review excluded doctoral dissertations, abstracts to meetings, and papers not published in English. Furthermore, a number of electronic journal and online content alerts were established. While …

Medication Adherence And Health Care Use In People With Diabetes, Chronic Kidney Disease And Cardiovascular Disease, Allison Fiona Williams, Elizabeth Manias, Alexandra Gorelik

International Nursing Research Congress (INRC)

Purpose: To examine medication adherence and health care use in people with co-existing diabetes, chronic kidney disease and cardiovascular disease.

Methods: Patients aged > 18 years with these comorbid conditions were recruited from nephrology and diabetes outpatients' clinics of two Australian metropolitan hospitals between 2008 and 2009. Participants were surveyed face-to-face by a research assistant (with interpreter assistance as required) using the 4-item Morisky Medicine Adherence scale (Morisky et al., 1986) and the 4-item Health Care Utilization scale (Lorig et al., 1996).

Results: There were 128 participants with 30 (23.4%) born either in Australia or the UK, 38 (29.7%) born in …

A Nurse At Heart: The Journeys And Experiences Of Nursing School Deans, Tammy C. Blass

International Nursing Research Congress (INRC)

Purpose: This study's purpose was to understand how nursing school deans' personal characteristics and nursing background influence how they perform their role and manage challenges as dean. The conceptual framework, based on role theory and Mintzberg's (2009) Model of Managing, provided a lens through which the nursing dean's journey from practitioner to dean and her role as dean could be explored. Methods: This qualitative interview study employed a purposeful sample of 13 Southern California female nursing school deans. A two-cycle coding process was used to discover themes and patterns that would enhance understanding of their experiences. Results: The four themes …

Staff Nurse Perceptions Of The Magnet Journey: Implications For Nurse Leaders, Laurie Ecoff, Linda Diann Urden

International Nursing Research Congress (INRC)

Purpose: The purpose of this qualitative study'was to develop a broader understanding of organizational changes that occur during the time leading up to the American Nurses Credentialing Center's Magnet designation. The specific aims of this study were to compile a rich description of the phenomenon 'Magnet Journey' in a group of registered nurses in clinical settings who provide direct patient care with regards to: the factors that influence quality of care the factors that influence cultural transformation the factors that influence interdisciplinary collaboration Methods: Focus groups were conducted at recently designated Magnet hospitals in Southern California. Participants were consented, asked …

The Experience Of Australian Undergraduate Bn Student Nurses Undertaking A Clinical Placement In The Solomon Islands, Sonja Ann Frischknecht

International Nursing Research Congress (INRC)

Purpose: International undergraduate clinical nursing placements are becoming a more accepted alternative to local clinical nursing placements, and have been identified as contributing to positive learning experiences. The purpose of this study was to explore and describe the lived experience of Australian student nurses that participated in a clinically focused learning placement in the Solomon Islands. It captured their perception of working in a clinical setting in a developing country.

Methods: An interpretive phenomenological study design was used. The sample comprised of seven senior undergraduate Bachelor of Nursing (BN) students. Participation in the study was entirely voluntary and not linked …

The Story Of Teen Motherhood Identity: A Narrative Analysis, Janelle L. B. Macintosh

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe and explore how young women participating in a teen mother and child program incorporate the concept of motherhood into their own identities, including the personal and cultural meanings and experiences of motherhood they use to make this identification.

Methods: A purposive sample of nine nulliparous pregnant teens and five staff members from a teen mother and child clinic were interviewed. Additional data were gathered using observation, informal and formal interviews, and field notes. Narrative analysis and the Burkean Pentad were used to analyze these data.

Results: In the personal narratives, from …

Is There A Relationship Between Parenting Styles And Sibling Relationships In Families Raising A Child With A Disability?, Barbara L. Mandleco, Corinne Jackman, Susanne Olsen Roper, Tina Dyches, Donna Freeborn

International Nursing Research Congress (INRC)

Purpose: This quantitative design examined parenting practices and sibling relationships according to parent gender, sibling gender and type of disability and then determined if parenting practices and sibling relationships in families raising a child with a disability (CWD) were linked.

Methods: 124 mothers and 108 fathers independently completed the 62-item Parenting Practices Report and the 28-item Schaefer Sibling Inventory of Behavior. Mothers also completed a demographic questionnaire.

Results: Parents were more authoritative, than authoritarian or permissive; mothers were more authoritative than fathers. Parents raising a child with an orthopedic condition were more authoritarian than parents raising typically developing children or …

Valid Items For Screening Dysphagia Risk In Stroke Patients: A Systematic Review, Pamela Willson

International Nursing Research Congress (INRC)

Purpose: Early detection of dysphagia in acute stroke is critical as it allows for immediate intervention, thereby reducing mortality, morbidity, length of hospitalization, and healthcare costs. These findings have led to the recommendation to screen swallowing ability in all acute stroke patients, regardless of stroke severity. A systematic review of the literature was undertaken to determine the evidence-based validity of dysphagia screening items using instrumental evaluation as the reference standard. Methods: Four databases from 1985 through March, 2011 were searched using the terms cerebrovascular disease, stroke deglutition disorders, and dysphagia. Eligibility criteria were: homogeneous stroke population, comparison to instrumental examination, …

An Empirical Study Of Establishment Of A Performance Management System And Its Effectiveness Evaluation, Shew-Fang Shieh

International Nursing Research Congress (INRC)

Purpose: Operational performance of health care institution has been become a crucial issue and concerned by top management of hospital in recent years due to the changeable and competitive environment. A performance management system based on management framework of balance scorecard was established for measuring organizational performance. Since the system has been implemented, it was interesting to know the effectiveness of implementation. The purpose of the research was to examine the effectiveness of implementing a performance management system in a regional hospital.Methods: A case study method was used in the research which was conducted in a regional hospital in Taiwan. …