Digital Commons Network^™

Adolescent Stress Trajectories In Arab Muslim Immigrant Families, Karen Aroian, Thomas Templin, Edythe Hough

International Nursing Research Congress (INRC)

Purpose: Despite research findings that indicate that adolescent daily hassles are ubiquitous and relevant to adolescent functioning, little is known about how daily hassles vary over the course of adolescence. Variability is important because daily hassles affect functioning through repetitive or sustained effects. Even less is known about daily hassles in Arab Muslim adolescents in immigrant families. This longitudinal study investigated which daily hassles (parent, peer, school, neighborhood, resource) were perceived by Arab Muslim American adolescents in immigrant families as most stressful and how these stress perceptions changed at three time points during early, middle, and later adolescence.

Methods: A …

Expanding The Scope Of Nursing Practice: Attitudes And Quality Of Care, Hana Kerzman, Limor Eizenberg, Shoshy Goldberg

International Nursing Research Congress (INRC)

Purpose: To describe the differences in attitudes toward expanding the scope of nursing practice among nurses and physicians. To examine the correlation between attitudes regarding expansion of the scope of nursing practice and variables including job satisfaction, job burnout, professional autonomy, perceptions of quality care and quality care outcomes. Methods: Cross-Section Study. Eight hundred and thirty-three nurses together with 415 physicians from 89 departments at three large general hospitals completed structured questionnaires. Data on quality care outcomes was obtained from a computerized data and a survey. Results: In general, nurses and physicians reported positive attitudes toward expanding the scope of …

Post Mortem Nursing Care Efficacy As Perceived By Licensed Funeral Directors, Mikel W. Hand

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe the efficacy of physical post mortem nursing care provided by hospital staff nurses, as perceived by Licensed Funeral Directors. The aim of the study was to gain understanding into how the physical post moretm care that nurses provide is perceived to help or hinder further physical preparation of the deceased that may be provided by the Licensed Funeral Director.

Methods: A descriptive phenomenological approach will be used. A purposive sample of twenty Licensed Funeral directors were contacted via an email solicitation forwarded by the State Funeral Directors Association. Each participant was …

Liaison Nurse Role Development: Intensive Care Unit Discharged Patients Follow Up During The First Year Of An Acute Care Facility, Laura Alberto, Jose Emilio Baca Niklas, Maria Del Carmen Martinez, Haydee Zotarez, Angel Canete

International Nursing Research Congress (INRC)

Purpose: To describe liaison nurses (LN) interventions of care provided to intensive care unit (ICU) discharged patients (pts), To identify LN education interventions delivered to ward nursing (WN) staff that was caring for ICU discharged patients and ward patients needing complex care.

Methods: Two frameworks of intervention for ICU LN were defined, direct care (DC) and ward staff assistance and education. Experienced adult critical care nurses, with strong communication and education skills were appointed as ICU LNs. LNs were asked to: a) assess and provide complex care to ward patients transferred from ICU once per shift and, b) provide education …

Public Health Issues On Global Nursing Migration: An Integrative Literature Review, Ronaldo Verian

International Nursing Research Congress (INRC)

Purpose: The purposes of the study are: (1) to identify the different factors that cause migration among nurses; (2) to identify major public health issues in global nursing migration and; (3) to develop evidence-based solutions to the global nursing migration problem.

Methods: After progressive and rigid review of the databases, the publications list under the Research Centre of the International Centre on Nurse Migration with 30 out of 128 listed publications were chosen because of its sole dedication to the study of nurse migration including the most recent and updated work commissioned by the centre.

Results: The International Centre on …

Formalizing The Role Of The Clinical Nurse Leader In A Progressive Care Unit, Kathleen M. Ryan

International Nursing Research Congress (INRC)

This comprehensive evidence based project was a culmination of almost two years of trialing the Clinical Nurse Leader (CNL) role and then implementing a formalized CNL role in a Progressive Care Unit at UCSD Medical Center in La Jolla, California. It was maintained that the CNL could positiviely affect patient outcomes and staff satisfaction, and thus the role was formalized in May of 2011 as a Clinical Nurse IV (the highest clinical position a staff RN can achieve). This project will demonstrate that using Lewin's Change Theory and Roger's Theory of Diffusion of Innovation as a framework for this change, …

Play It Again, Anita Weismantel Mikasa, Terry F. Cicero

International Nursing Research Congress (INRC)

Title: Program Track: (1) Educational Strategies (2) Measurement Outcomes (3) Technologies that Influence Practice Podium Presentation Author: Objectives: Following presentation the learner will be able to: 1. Discuss the impact of video playback during debriefing on student self evaluation. 2. Examine the challenges to implementing video playback during the debriefing process. Purpose: The purpose of this research was to determine if the use of video recording with play back during debriefing augments student evaluation of the simulation experience and enhances their ability to identify strengths and areas for growth. Contemporary practice at many simulation centers includes video recording of the …

The Use Of Preparedness For Care Giving Scale On Family Caregivers And It's Outcome, Hui Chin Chua, Sujata Rajaram

International Nursing Research Congress (INRC)

Aim: Family caregivers provide care at home equivalent to that of nurses. They monitor patient's condition, recognize impending problems such as side effects of medication and change the dressings of patients. They provide a high level of skill at home, they are not prepared for care-giving and lack the knowledge and skills required to provide care. Nurses evaluate caregiver preparedness before patient's transition from acute care settings to other settings.

Method: Preparedness for Care giving scale created by Archbald, et.al in 1990 is a caregiver self rated instrument that consists of 8 items that asks caregivers how well prepared they …

Self-Management Among Adults With Type 2 Diabetes In Vietnam, Hanh T. T. Dao, Debra Jane Anderson, Anne M. Chang

International Nursing Research Congress (INRC)

Purpose: The purposes of this study were to describe the extent to which adults with type 2 diabetes in Vietnam perform their diabetes self-management and to examine the association between demographic, health-related characteristics and diabetes self-management in this population.

Methods: A cross-sectional survey with convenience sampling was conducted on 198 adult out- patients with type 2 diabetes in an endocrine clinic in a tertiary hospital in Vietnam. A structured interview was used to collect data about demographic characteristics and health-related characteristics and the extent to which the participants perform their diabetes self-management. Diabetes self-management was measured by the Vietnamese version …

Community Awareness: Nutritional Patterns, Julia Pusztai, Tarek I. Hassanein, Anna Marie Hefner, Catherine Heinlein, Renee Pozza

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to analyze the reported diets of clients in a community wellness center. The Hispanic population is at higher risk for the development of fatty liver disease. It is correlated with visceral obesity, insulin resistance, Type 2 diabetes, metabolic syndrome, and lipid deposition. In a previously conducted survey of the community, the results identified obesity, high fat diets, lack of exercise and poor lifestyle choices as high risk factors for fatty liver disease.

Methods: Clients were enrolled in a wellness walking program in a community setting. They were encouraged to walk daily and offered …

Bridging The Digital Divide: College Students Mentoring Seniors Via An Intergenerational Interdisciplinary Computing Course, Sharon Stahl Wexler, Lin J. Drury

International Nursing Research Congress (INRC)

Nursing and Computer Science faculty created an interdisciplinary Gerotechnology course that prepares students to mentor older adults in computer literacy. The goal of the partnership is to prepare students for a future living and working in a world dominated by seniors. Residents of long term care facilities are matched with students who assist with computer and internet use. The course introduces students to residents with complex chronic illnesses while demonstrating that older adults are vital human beings who grow and change throughout the semester. Students have an aging sensitivity experience and practice communication with seniors. Nursing students assess the physical …

Nursing Education And Redesigned Discharge Process: Effects On Congestive Heart Failure Patient Outcomes, Mary L. Gish, Mary F. Rodts, Judy Crouch

International Nursing Research Congress (INRC)

In a rural community hospital in northern California, greater than fifty percent of all patients are over the age of 64 years. The readmission rate for congestive heart failure (CHF) patients is greater than the rate for the state of California. A decrease in readmission rates has been selected as a three year strategic goal due to the proposed rule from Centers for Medicare and Medicaid Services (CMS) which will result in a financial discount if the rate of readmissions does not improve. The purpose of the Redesigned Discharge Process Project is to reduce the readmission rate of patients with …

Nurses' Attitudes To Working With Older People In Acute Care, Anne-Marie Mahoney, David Beckett

International Nursing Research Congress (INRC)

Purpose: There is little evidence that factors influencing attitudes to older persons have been investigated (Moyle 2003). Changes to service delivery models within acute health have meant that there has been an increase in Day of Surgery Admissions (DOSA) and a decrease in length of stay. Many younger patients are cared for in the community supported with funded programs. Therefore, in-patient populations in acute care are generally older, with greater acuity and increasing co-morbidities. Australia expects an increase from 4.3 million older persons in 2021 to around 6.8million in 2051 (Australian Bureau of Statistics (ABS, 2008). Aim: The aim of …

The Lived Experience Of Struggling Through A Difficult Time For Women Survivors Of The Rwandan Genocide, Geneva Gay Oaks

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to enhance understanding about the lived experience of struggling through a difficult time.

Methods: A qualitative phenomenological-hermeneutic approach was used to answer the research question: What is the lived experience of struggling through a difficult time for Rwandan women surviving the Rwandan genocide? Participants were 12 female survivors of the genocide in Rwanda still living in Rwanda, Africa. Data were collected through engaging in dialogue using a translator who spoke both Kenyarwandan and English. After consent, participants were audio and videotaped. The results were transcribed and analyzed and themes were identified.

Results: The …

Perceived Quality Of Life After Prostate Cancer Treatment: Response Shift, Shannon Ruff Dirksen, Michael J. Belyea

International Nursing Research Congress (INRC)

Purpose: Response shift refers to when individuals alter their internal standards in adjusting to changing circumstances such as illness. This shift can occur in persons with cancer who may perceive quality of life differently over time as their definition of health changes. Determination of whether quality of life after cancer treatment is associated with a response shift is limited. The purpose of this study was to explore the existence of a response shift among men with prostate cancer before radiation treatment and retrospectively at the end of treatment. Methods: Men receiving radiation treatment (n=83) completed the 39-item Functional Assessment of …

Smokeless Tobacco Use Among Rural Women In The Southeast Usa, Brenda Talley, Deborah Allen, Alison Rushing, Dellaire Shilling, Rose Mary Gee

International Nursing Research Congress (INRC)

Purpose: The purpose is to share patterns of smokeless tobacco in women derived from qualitative research and to underscore the need to assess and discuss the health risks of smokeless tobacco. Target audience is nurses, other health care providers, and researchers interested in exploring smokeless tobacco use in other populations. Methods: A qualitative approach elicited personal descriptions of patterns of smokeless tobacco use in women in rural South East U.S.A. Ten women participated in 1-5 interviews. Data collected included medical history, onset of use, duration of use, and frequency and quantity of tobacco use. Results: Analysis identified family history and …

Global Health Nursing Research In Guangzhou, China, Lee-Ellen Kirkhorn, Anja F. Meerwald, Peiru Zhou

International Nursing Research Congress (INRC)

Purpose: Approximately one fifth of the one billion overweight or obese people in the world are Chinese. China was once considered to have one of the leanest populations, but it is fast catching up with the West in terms of the prevalence of overweight and obesity; disturbingly, this transition has occurred in a remarkably short time.

Methods: Using a simple quasi-experimental design, more than 200 students from two economically and socially diverse middle schools in China were enrolled in a three week after school nutrition and exercise program that included structured information about balanced diet, eating healthy food, and engaging …

Digging For Dinosaurs' Contest: A Novel Strategy To Engage Nurses In Questioning Practice, Caroline E. Brown

International Nursing Research Congress (INRC)

Purpose The "Digging for Dinosaurs" contest and educational sessions are a catalyst intended to engage nurses in questioning their practice in a non-threatening and fun manner. The "Digging for Dinosaurs" contest was conceived based on an article about "sacred cows" in nursing practice and generating interest in research-based practice Methods This project was led by the nursing research council and consisted of a contest held during Nurse Recognition Week 2008. A marketing poster and contest entry forms were created and distributed in multiple avenues. All participants had access to the Medical Center Library resources and classes on "Searching the Nursing …

Innovative Use Of Brief Interventions In Emergency Department Attendees: The Incidence Of Mental Health Disorders And Alcohol Consumption, Petra Lawrence, Paul Fulbrook, Jane Fischer

International Nursing Research Congress (INRC)

Purpose: Systematic assessment of all Emergency Department (ED) presentations may identify low level mental illness and/or risky alcohol consumption. Preventative measures, if provided early, may prevent further deterioration and promote wellness. Background: The 2007 National Health Survey revealed one in five adults aged 16 - 85 experienced a mental disorder in the previous year, however only 35% sought assistance. The potential demand for mental health care is high but is not being met by either the specialist or the general health system. Unplanned contact with the health care system via the ED offers clinician"s an opportunity to identify patients with …

Application Of Small Group Workshops And Case Report Discussion For Development In Evidence-Based Practice Education Programs, Yu-Rung Wang, Ying-Li Lee, Hui-Ying Chiang, Su-Chen Hsu

International Nursing Research Congress (INRC)

Purpose: Nurses need the access to the literature to integrate evidence-based practice knowledge from the research they read with their professional experiences to achieve best practice for patient's healthcare. Evidence-based practice (EBP) should be integrated through education programs so as to elevate quality of patient care and reduce health cost. The purpose of this study was to investigate the effect of advanced evidence-based nursing (EBN) education in small group workshops and report discussion on case scenarios.

Methods: We planned 14 hours evidence-based practice (EBP) education programs were introduced to learn advanced evidence-based nursing. There were 16 nurses recruited who had …

Good Work In Nursing And Relationship To Professional Socialization: A Comparative Analysis Of Two Research Studies And Implications For Nursing Education, M. Christine Alichnie, Joan F. Miller

International Nursing Research Congress (INRC)

Purpose: Nursing practice adheres to high standards regardless of the multi-contextual work environment or the paradigm shift in modern health care. This concept of Good Work in Nursing has three major characteristics; excellence, ethics, and engagement (Miller, 2006 & Gardner, 2008). Likewise, professional education results when a professional discipline has devised a system of preparing future practitioners to meet their commitments and fundamental responsibilities to society. A major aim of professional education is to develop a set of values, attitudes, and beliefs to support the professional roles of independent practitioners in conjunction with the acquisition of cognitive and psychomotor skills …

Rasch Analysis Of The Pain Catastrophizing Scale (Pcs) In The Context Of Workplace Bullying For A Sample Of Nursing Faculty From Midwest U.S. Universities, Aryn C. Karpinski, Timothy W. Meyers, Laura Cox Dzurec, Gail E. Bromley, Shawn M. Fitzgerald

International Nursing Research Congress (INRC)

Purpose: Workplace bullying is a major impediment to successful team relationships and job satisfaction in workplace environments, contributing to individual and interpersonal stress, tension, and burnout. Additionally, bullying affects worker productivity, especially in workplaces concerned with healthcare and healthcare education (Abe et al., 2010; Allan et al., 2009; Hutchinson et al., 2006; Randle, 2003). Authors investigated the psychometric properties of the Pain Catastrophizing Scale (PCS) using Rasch Analysis in the context of workplace bullying. Catastrophization is a 'tendency to focus on and exaggerate the threat value of painful stimuli and negatively evaluate (one's) own ability to deal with pain' (Keefe …

Perceived Stress And Coping Strategies Of Hong Kong Pre-Registration Nursing Degree Students During Their Clinical Placement, Vico C. L. Chiang, Hiu-Wai Chan, Yu-Ching Siu, Yee-Ha Tam, Ka-Po Chow, Hoi-Yee Wong, Ka-Kei Chu, Ka-Yan Yeung, Chui-Ling Lau, Ka-Man Leung, Fong-Ting Siu

International Nursing Research Congress (INRC)

Purpose: Appropriate levels of stress can be a motivator for learning. A few studies in Hong Kong and Taiwan demonstrated that various levels of stress were experienced by pre-registration nursing students during their clinical placements. There is a paucity of studies that compare the stress levels of junior and senior nursing students and the existing studies conducted in the Asian context carry a high risk of recall bias. The purpose of this study is to survey and compare two samples of under-graduate students during the periods of their clinical placements for their levels of stress, symptoms and coping strategies. Better …

Community Engagement Curricular Strategies To Reduce Health Disparities, Marjorie A. Schaffer, Carol Hargate

International Nursing Research Congress (INRC)

Purpose: A nursing department implemented a revised nursing curriculum that integrated community engagement learning experiences to address health disparities. Nursing faculty aimed to prepare nurses who will: 1) contribute to reducing health disparities, 2) develop cultural sensitivity and competence, and 3) develop commitment to serving diverse and vulnerable populations.

Methods: Focus groups with community partners, racial reconciliation lunches and dialogue with nursing faculty members, and lunch and learning sessions with community partners provided a foundation for development of the community engagement curriculum. Nursing students are matched to community engagement sites (churches, schools, and non-profit organizations) for community engagement learning experiences …

Using Film, Television, And Music In Teaching Graduate Nursing Students Concepts Of Qualitative Research, Michelle L. Edmonds

International Nursing Research Congress (INRC)

Purpose: The use of qualitative inquiry in nursing research has gained momentum in the last decade. Nurse educators often find it challenging to teach concepts of qualitative inquiry to graduate and undergraduate students. The concepts of qualitative inquiry are often less easily understood by students than quantitative inquiry and, thus require exemplars from the professor to increase understanding. The purpose of this study was to explore the use of innovative teaching strategies to present concepts of qualitative inquiry in nursing research.

Methods: Graduate nursing students completed traditional reading assignments and lecture on these concepts. Following this introduction, they then participated …

Evidence-Based Clinical Practice On The Interventions For Oral Mucositis For Patients With Cancer Receiving Treatment, Wang Yan

International Nursing Research Congress (INRC)

Objectives: This article is to develop a practical guideline on the interventions from prevention, treatment to nursing for the oral mucositis induced by anti-cancer treatment.

Methods: Using keywords "mucositis, cancer", search in the databases including National guideline clearinghouse, Cochrane library, Joanna Briggs institute, Registered nurses' association of Ontario, and Chinese Bio-medical literature database, etc. Only the clinical guideline, systematically review and best practice are included.

Results: Mainly, one clinical practice guideline, five systematic reviews, and one best practice are found.

Conclusion: 1 It is a systematic and continuous process to intervene with the oral mucositis induced by anti-cancer treatment. 2 …

Use Of Risk Scoring Tools To Determine Risk Of Secondary Cardiac And Non-Cardiac Events During Hospitalization For St Elevation Myocardial Infarction In A Cohort Of Women, Elizabeth Ann Scruth, Eugene Cheng, Linda Worrall-Carter

International Nursing Research Congress (INRC)

Purpose: GRACE, TIMI and CADILLAC are risk scores designed for predicting short term outcomes after acute coronary syndromes. The aim of our study was to test their utility for prediction of a secondary major cardiac and non cardiac event in a cohort of women treated invasively for an ST Elevation Myocardial Infarction.

Methods: Our sample size consisted of consecutive patients with ST Elevation Myocardial Infarction treated with primary percutaneous coronary intervention. A retrospective approach was utlized.

Results: In general the CADILLAC, TIMI and GRACE risk scores all had relatively high predictive accuracy for major cardiac events in hospital, with C …

Faith-Based Views Of Barriers To Recognition And Treatment Of Depression, Keneshia J. Bryant

International Nursing Research Congress (INRC)

Purpose: Studies have shown that spirituality and religion are important to the treatment of depression among African Americans. Spirituality has also been shown to impact the beliefs of the causes of depression and coping mechanisms. The aim of the study was to describe how predominantly African American rural churches distinguish effective means to recognize and cope with depressive symptoms.

Methods: The study followed the principles of Community Based Participatory Research. The participants were recruited by a community leader in a rural US community. The participants included a group of pastors, a group of persons interested in health and a group …

Effects Of Hazardous Work Conditions On Burnout Among Nurses Of A General Hospital In Macau, Sydney X. Hu, Jui-Kuo Hsiao, Grace K. I. Lok, Andrew Luk

International Nursing Research Congress (INRC)

Purpose: Meta analysis showed that burnout is affected by workplace risks and hazards across industries. The purpose of the study is to use Structural Equation Modeling to test the effects of workplace hazards on burnout of nurses in a general hospital in Macau. The findings provide practical and research implications for better management of work conditions and burnout among nurses.

Methods: A questionnaire survey of all nurses was conducted in a major general hospital in Macau. Workplace hazards were assessed using a set of self developed questions and burnout was assessed using the Maslach Burnout Inventory. Exploratory factor analyses were …

Supporting Excellence In Long-Term Care With Student Ebp Projects, Suzanne Beltz, Loree Dubose

International Nursing Research Congress (INRC)

With any clinical experience, nursing students learning in the long-term care setting pose questions regarding specific practices by the health care provider(s). This curiosity of comparing what they are learning in the classroom with what they see in the clinical setting can provide learning opportunities and opportunities for best-practice dissemination to care givers in long-term care. The Institute of Medicine identified employing evidence-based practice as a core competency for providing quality and safe patient care (Finkleman & Kenner, 2009). This practice has more prongs than research alone; it includes client values and preferences; client history and assessment data; clinical expertise; …