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Risky Behaviors In Teenagers, A Global Issue: Evaluation Of An Evidence-Based Intervention To Reduce Risky Behaviors With Implications For Practice, Education And Research, Kathleen A. Sternas, Mary Ann Scharf, Rosemarie Peterkin, Janet Summerly

International Nursing Research Congress (INRC)

Purpose: Teenagers have high rates of risky behavior including drug/alcohol use, smoking, sexual activity which affect health. Risky behaviors are prevalent in the United States, England, Australia, Canada and among Newark teenagers. This presentation describes: global perspectives on risky behaviors in teenagers; an intervention to reduce risky behaviors; gender differences on outcomes. The intervention guided by Bandura's social learning theory focused on sexuality discussions, mentoring, health/fitness classes, cultural events, community service, and recognition.

Methods: Pretest post-test design. Four intervention (n=230 girls;n=221 boys)/five comparison schools(n=134 girls; n=110 boys) participated. Intervention participants were randomly selected. Comparison participants were convenience sample. Intervention/comparison schools …

Collegiate Presence: An Innovation In Understanding Interdisciplinary Collaboration, Marc Broadbent, Lorna Moxham, Trudy Dwyer

International Nursing Research Congress (INRC)

Purpose: Interdisciplinary collaboration is a cornerstone of healthcare service delivery across the globe. This presentation reports on an ethnographic study that examined the interdisciplinary relationships between emergency department (ED) triage nurses and mental health triage nurses who collaborate to deliver care to clients presenting with a mental illness.

Methods: For this research, time was spent in an Australian ED and mental health triage service. Participant observation, individual and group interviews, organisational documentation and field notes were all used to gather data that was analysed using the constant comparative method.

Results: Four key factors that influenced the relationship were; the practice …

Evidence-Based Approach To Establish National Physical Activity Guidelines For Children And Adolescents In Taiwan, Chi-Chen Chiang, Yiing-Mei Liou

International Nursing Research Congress (INRC)

Background: Inactivity in children and adolescents is a worldwide serious problem, and has deeply influenced them physically and mentally. Purpose : The aim of the study was: (a) to explore the recommendations and policies of physical activity (PA) for children and adolescents in different countries; (b) to understand the reaching rate of national PA recommendations for children and adolescents in different countries; (c) to propose PA recommendations for children and adolescents in Taiwan.

Methods: The Delphi method was used to obtain experts' opinion on recommendations of PA. Firstly, systemic review related to literatures, website was done, which focuses on policy …

Overcoming The Tyranny Of Distance: An Education Strategy To Assist Guideline Implementation, Keppel W. Schafer, Lyndel Gray, Jackie Doolan, Rebecca Kimble, Jacinta Lee

International Nursing Research Congress (INRC)

Queensland Health is responsible for the delivery of publicly funded health services within Queensland. Queensland is the second largest state in Australia covering 700,000 square miles (2/12; times the size of Texas, USA)1. Some health professionals, particularly in rural / remote areas, providing maternal and neonatal health care do not have access to specialist nurse education resources. The Queensland Maternity and Neonatal Clinical Guidelines Program trialled an education package to increase clinician knowledge of clinical guideline content. The package was available as a self directed learning tool or sessions facilitated by a local champion. As a result of positive feedback …

Participatory Action Research: Relevance And Use For Contemporary Nursing Research, Lorna Moxham

International Nursing Research Congress (INRC)

Purpose: This paper will demonstrate how, using a collaborative, inclusive research methodology, positive impacts on clinical practice and enhanced client outcomes can be achieved.

Methods: A Participatory Action Research (PAR) approach was used to address a clinical issue within a pediatric unit. The nursing staff who were general trained recognized they did not have the clinical expertise to provide care for the increasing number of clients who were being admitted for mental health issues. This caused them distress and meant the clients were also not receiving optimum treatment. Clinicians contacted some academic staff they knew and together a research team …

The Knowledge Of Nurses In Pressure Ulcer Prevention And Their Attitude Towards The Use Of Braden Scale, Joemer Calderon Maravilla, Melowean Hurtado Lucero, Teodoro Eugenio Y. Alejo, Maricar Mae Agustin Marquez, Marc Joseph Cataquis Medina, Marisse Diaz Pasamba, Glaiza G. Maer, Barbara Michelle De Guzman, Ray Jorge Bundang Marmeto, Rizza Marjorie B. Lumba, Trifina Baquiran Lugo, Verna Mae Jose Ologenio, Angely S. Mendoza, Joyce Ann Bautista Quicho

International Nursing Research Congress (INRC)

Purpose: This descriptive correlational study aimed to investigate the relationship between the knowledge of nurses in pressure ulcer prevention and their attitude towards the use of Braden scale.

Methods: Seventy seven full time staff nurses who has experienced using the Braden scale and who are working in intensive care units, medical, surgical, or orthopedic wards were chosen through purposive sampling. Two pilot tested questionnaires were circulated into two private hospitals in Metro Manila to determine the knowledge of nurses in pressure ulcer prevention and their attitude towards the use of Braden scale.

Results: Results showed that the respondents have a …

Examining Tobacco Cessation Among Healthcare Providers Using The Theory Of Planned Behavior, Victoria H. Bierman

International Nursing Research Congress (INRC)

Purpose: Tobacco cessation is vital in reducing the health consequences associated with smoking. Personal tobacco use by healthcare providers creates a significant barrier to promoting smoking cessation. Although many acknowledge the health consequences of smoking, cessation is difficult with high relapse rates. Multiple barriers hinder smoking cessation and defense mechanisms are often engaged. The purpose of this study was to examine beliefs and predict intentions of healthcare providers to quit smoking using the theory of planned behavior (TPB).

Methods: The research was a descriptive correlational design using a survey method. The primary analyses included multiple linear regressions and path analysis. …

Prediction Of Diabetes Outcomes In People From Mexico, Chris L. Latham

International Nursing Research Congress (INRC)

Purpose: A three-year partnership between the United States and Mexico was created to impact the high mortality rate of Type 2 diabetes in Mexico. Two universities shared innovative, culturally appropriate methods to address lifestyle changes in newly diagnosed people with diabetes and conducted research together. The purpose of the research was to use a theoretical, research-based model called the Hispanic Health Protection Model (HHPM) to compare the predictors of Type 2 diabetes outcomes n Tlaxcala residents and compare the findings to a U.S. study of Mexican-American residents. Methods: A predictive, correlational replication study was performed in the State of Tlaxcala, …

Knowledge Acquisition Through Simulation In Nursing Education: A Meta-Analysis, Hao Bin Yuan, Jin Bo Fang, Beverly A. Williams

International Nursing Research Congress (INRC)

Nursing education is the process whereby students are guided, assisted and provided with means which enable them to learn the professional knowledge so that they can apply it to nursing care of people. Simulation is a learning method to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner. The use of simulation as an educational tool is becoming increasingly prevalent in nursing education. Objective: The objective of systematic review was to provide available evidence on the effect of high-fidelity simulation on knowledge acquisition. Method: The computerized …

The Relationship Of Maternal-Fetal Attachment And Health Behavior Among Pregnant Women In South Taiwan, Ling-Hua Wang, Andrew C. Mills

International Nursing Research Congress (INRC)

Purpose: Good health practices in pregnant women can positively affect their unborn children's health by reducing risk factors. Increasing maternal-fetal attachment may be one method to reduce poor birth outcomes. The study examined the effect of maternal-fetal attachment on health behaviors, controlling for prenatal and maternal characteristics. The two research hypotheses were tested: (a) Pregnant women in rural areas in south Taiwan will have poorer health practices than in urban areas; (b) The level of maternal-fetal attachment will predict health behaviors of Taiwanese pregnant women.

Methods: A cross sectional research design was used. 390 pregnant women were recruited to complete …

"Whatever It Takes:" A Photovoice Exploration Of Isolated Allogenic Hematopoietic Stem Cell Transplantation Patients, Caroline E. Brown, Kathryn R. Siebert, Ellen R. Carr

International Nursing Research Congress (INRC)

Purpose: Protective isolation is a common practice among hematopoietic stem cell transplantation (HSCT) patients. Psychological intolerance of protective isolation was identified as a problem leading to discontinuation of isolation in between 2-42% of patients in a recent systematic review. The purpose of this qualitative study was to explore isolated HCST patients' perceptions of isolation and elicit suggestions for interventions to mediate the experience of isolation.

Methods: Participants were recruited from isolated patients on the inpatient Bone Marrow Transplantation (BMT) unit after at least one week of isolation. In-depth interview was the primary research method used; in addition photo voice was …

An Approach To Data Management And Evaluation For Evidence-Based Practice Projects, Martha Sylvia, Mary F. Terhaar

International Nursing Research Congress (INRC)

Strong data management skills are essential for effective evaluation of evidence-based practice project implementation. Completion of a scholarly evidence-based project requires application of data management skills in order to understand and address a complex practice, process, or systems problem; develop, implement and monitor an innovative evidence-based intervention to address that problem; and evaluate the outcomes. In fact, EBP projects may require stronger data management skills than those required in traditional research because they often make use of data generated for direct care or administrative purposes that require sophisticated data cleansing and manipulation techniques. These projects commonly use observational study techniques …

Nursing Inter-Shift Handover Process: Enhancing A Traditional Ritual Through Evidence-Based Practice, Rajni Parasuram, Chee Lien Poh

International Nursing Research Congress (INRC)

Aims. project aims to 1) examine existing handover practices/process in the tertiary mental health institution; 2) determine the strengths and limitations of the existing handover practice / process; and 3) identify, implement and evaluate an evidence-based nursing inter-shift handover process to enhance patient safety and service delivery. Methods. This project was conducted in three phases using the JBI Practical Application of Clinical Evidence System (PACES) and Getting Research Into Practice (GRIP) programs. It was implemented over a period of four months from end August 2011 to beginning December 2011Evidence-based strategies such as town hall meetings and education sessions that reinforce …

Comparing The Effects Of Different Smoking Cessation Counseling Interventions For Inpatients: A Systematic Review, Chiu-Yen Chen, I-Chuan Li, Yu-Chi Chen

International Nursing Research Congress (INRC)

Purpose: The purpose of this systematic review study is to explore the effects of different smoking cessation counseling intervention to patients who are hospitalization.

Method: A systematic research of the literature was undertaken to indentify relevant international research. Five databases (i.e. Cochrane Library, CIHNAL, Medline, Psych Info, JBI report) were utilized. In order to accord with the high level of evidence of paper, in priority, we reviewed the articles which contributed randomized control trials (RCTs).

Result: Two hundred thirty-three intervention type articles were retrieved and 24 met the criteria. Significant findings are as follows: (1) The combined use of multi- …

Developing Conflict Engagement Competence At The Staff Nurse Level, Shirley May Newberry, Ana M. Schaper, Rebecca L. Inglis

International Nursing Research Congress (INRC)

Purpose: To evaluate the effectiveness of a modified program designed to meet the scheduling needs of staff nurses working in a large integrated health system.

Materials/Methods: The CAN's program was modified to include: online education modules and a half-day workshop followed by one-hour Learning Circle meetings held monthly for four months. A convenience sample of nurse Expert Leaders (unit level staff nurse leaders) agreed to participate. IRB approval was obtained. Data was collected at baseline and will be collected at six months (April 2011) using a demographic survey, the Conflict Dynamic Profile instrument and focus groups.

Results: A cohort of …

Social Network Analysis As A Method For Nursing Research, Anne L. Ersig, Anthony Paik, Lioness Ayres

International Nursing Research Congress (INRC)

Purpose: Nursing research often relies on data obtained from individuals in an effort to understand human experiences of health and illness. These individual experiences do not occur in isolation; instead, they take place within larger contexts, such as families, social groups, and schools or communities. These organizations function as complex adaptive systems (CAS), which resist reduction into simple cause-and-effect relationships. Investigating such systems, including collection of data from multiple individuals, requires flexible and adaptable research methods. Social network analysis (SNA) facilitates data collection from multiple individuals in the same context (e.g., a family, an organization), examination of interactions among individuals, …

Safety Of Medication Administration In The Home: Should We Double Check?, Natalie K. Bradford

International Nursing Research Congress (INRC)

Purpose: With increasing pressures on hospitals, home care by visiting nurses presents a viable option for care delivery. Nurses routinely provide complex interventions at home that previously were only available in a hospital setting. Medication errors are the most common type of error to occur with potentially serious and harmful consequences. Double checking of medication by a second qualified clinician is recognised as the gold standard practice to prevent medication errors, and routinely used when dangerous drugs such as opioids are administered in the hopsital setting. In the home care setting however there is no second clinician available to double …

Safe Practice Environments: Nurses' Perceptions Of Stressors And Solutions, Peggy A. Landrum

International Nursing Research Congress (INRC)

Purpose: Nursing units include teams working to provide safe patient care. Without true partnerships, care is compromised due to decreased quality in communication and teamwork. Stressors impact the nursing practice environment and compromise safe practice. Identification of skills and behaviors that facilitate effective teamwork and foster safe practice environments will be enhanced by determining those stressors. Research questions are: a. What are nurses' perceptions of stressors that affect nursing practice on an intensive care unit? b. What are nurses' perceptions of behaviors that facilitate safety in the nursing practice environment of an intensive care unit? Methods: Setting for this qualitative …

Selecting Nurse Preceptors: What Qualities And Characteristics Should Be Considered?, E. Ann Mohide, Olivia Geradrdi, Dianne Norman, Vanessa Cavalieri, Colleen A. Mckey, Barbara Jennings, Noori Akhtar-Danesh, Wendy Seidlitz

International Nursing Research Congress (INRC)

Purpose: To help stakeholders improve the selection process of nurse preceptors for senior baccalaureate nursing students, they were asked to rate the importance of preceptor qualities/characteristics.

Methods: This cross-sectional study was conducted in a large tertiary hospital and at an affiliated university nursing school in an urban Canadian city. Subjects (n=166) included hospital Registered Nurses (RNs) (with or without preceptor experience), educators, and administrators, as well as university faculty and students. In the instrument development phase of a larger preceptor selection study, representatives of the stakeholder groups were asked to identify preceptor issues. From a content analysis of the written …

Educating For Success In Evidence-Based Practice, Lin J. Drury, Sharon Stahl Wexler

International Nursing Research Congress (INRC)

The profession of nursing endorses EBP as a means to ensure high quality care, yet many practicing nurses do not have the necessary tools. Faculty must prepare students to make evidence-based decisions in clinical practice. Our previous course had a traditional research focus. EBP was integrated in other courses. Students did not develop workable EBP skills. Student feedback indicated a lack of understanding of the relationship of research to practice, little confidence in appraising the literature and applying it to the clinical setting. This project presents the integration of EBP throughout an accelerated BSN curriculum. Evidence based practice is introduced …

Mentoring New Phd Students Into The Professorial Role, Marie C. Foley

International Nursing Research Congress (INRC)

Traditional PhD programs have as their goal to prepare researchers. While this outcome is paramount for success as a nursing professor; newly graduated PhD nurses without previous teaching experience often embark on tenure track positions in colleges and universities with a lack understanding of the demands and expectations of the professorial role. Mentoring new faculty into this role is an effective way to assure success and to retain qualified nurse educators; however, experienced faculty members often decline these opportunities due to excessive time constraints. Mentoring PhD students into this role can be effective in graduating students who better understand the …

Case Study: Using Innovative Curriculum Design And Interdisciplinary, International Collaboration To Develop A Nurse Practitioner Leader To Impact Global Health Outcomes, Sandra L. Davis, Ellen M. Mills, Diane Schade

International Nursing Research Congress (INRC)

The world is becoming smaller. We are now touched by human conditions that were once foreign and far-removed. Technology and transportation provide access to people and places that were once inaccessible. Increasing numbers of students enter NP programs with dreams of traveling to developing countries to make a difference. This presentation chronicles the story of how one student's unrelenting vision to deliver hospice care to the terminally ill suffering from HIV/AIDS and cancer in the remote villages of Kenya laid the groundwork for NP faculty to develop a rich and engaging plan of study that provided the opportunity to balance …

Environmentally-Friendly Hospitals And The Implications For Nursing Practice Within The Australian Healthcare Context, Teresa M. A. Lewis, Lorna Moxham, Marc Broadbent

International Nursing Research Congress (INRC)

Purpose: The aim of this paper is to present results from a PHD project that examined implications for Registered Nurses practice when employed in hospitals that were using strategies to mitigate their impacts on climate change. Such strategies included the implementation of green teams, recycling and even worm farms. It was found that hospitals have to move from a 'business as usual approach', to one that is more environmentally sustainable.

Methods: The phenomenological methodology included an in-depth review of the literature which examined climate mitigating factors within the health care environment, particularly within Australian hospitals. The qualitative approach included in-depth …

Home Health Care Nursing Application Of The Transtheoretical Model Of Change To Patients With Congestive Heart Failure: A Case Study, Wyona M. Freysteinson

International Nursing Research Congress (INRC)

The World Health Organization defines CHF as a global burden. In the United States, many home care patients are over 65 years of age, live in poverty and have CHF. One of the roles of home care is to educate patients on health care behaviors which may improve their health status. Following this education, nurses reassess patients and determine if patients have changed health patterns. A literature search yielded many research studies of patients with disease states frequently seen in home care which were grounded in the Transtheoretical Model of Change (TTM). Based on these studies, TTM was piloted by …

The Lifestyles For Good Health Of Women With Cervical Cancer, Hsiao Lu Lee

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to explore various lifestyles for good health of women with cervical cancer.

Methods: The methodology involved unstructured interviews and verbatim transcriptions of the recorded interviews. Collected data was processed and analyzed using the content analysis proposed by Yu (1991) and Priest H et al (2002). Research subjects came from a local hospital in southern Taiwan. Subjects were confirmed diagnosis of cervical cancer, and were aware of their own illness. They lived in Taiwan and were able to communicate either in Mandarin Chinese or Taiwanese. The subjects recruited were informed of the purpose of …

Improving Toileting Ability Among Elders Living In Long-Term Care Facilities In Taiwan, Shih-Ling Kuo, Su-Hsien Chang, Ching-Len Yu

International Nursing Research Congress (INRC)

The purpose was to test the effectiveness of a theory-based intervention program in improving toileting ability among elders living in long-term care facilities. This study used an experimental, two groups, and longitudinal research design. The theory-based intervention was designed based on Bandura's Social Cognitive Theory, and called the self-care and exercise self-efficacy enhancement program. Activities of the intervention included performance accomplishment, various experiences, and verbal persuasion, and were provided by staff caregivers of long-term care facilities. The data was collected in baseline (time 1), 2 months (time 2), 4 months (time 3), and 6 months (time 4) after the intervention. …

Does Quality Of Life (Qol) Predict Morbidity Or Mortality In Patients With Atrial Fibrillation (Af)?, Erika Friedmann, Eleanor Schoron, Sue A. Thomas

International Nursing Research Congress (INRC)

Purpose: To examine the contributions of quality of life to one year hospitalization and mortality in patients with AF.

Methods: This study used the public access data from the Atrial Fibrillation Follow up Investigation of Rhythm Management (AFFIRM) randomized clinical trial conducted by the NIH, National Heart, Lung, and Blood Institute. Patients enrolled in the QOL substudy (N= 693) were randomly assigned to rate control or rhythm control groups. QOL was measured with the Medical Outcomes Study Short Form-36 health survey (SF-36) and the Quality of Life Index-Cardiac Version (QLI-CV). Data were analyzed with descriptive statistics, logistic regression to predict …

The Experiences Of Vietnamese Immigrant Women In Taiwan Who Do Not Undergo Pap Smear Tests, Hsiu-Hung Wang, Fang-Hsin Lee, Hsiu-Min Tsai, Yung-Mei Yang

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe the experiences of Vietnamese immigrant women who have never undergone or do not regularly undergo Pap tests in Taiwan.

Methods: A qualitative study was conducted based on semi-structured individual in-depth interviews. The formal interviews lasted an average of 40 minutes, ranging from 30 to 65 minutes. A total of 20 Vietnamese immigrant women participated in this study. The inclusion criteria were those women who: (a) have never undergone or do not regularly (less than once a year) undergo a Pap test; (b) have national health insurance; (c) were at least thirty …

Integrating Nursing And Bioengineering Expertise In Research: Use Of Optical Imaging To Uncover Neural Correlates Of Adult Risk Decisions, Mary A. Cazzell, Hanli Liu, Lin Li, Sonal Patel

International Nursing Research Congress (INRC)

Purpose: Across the lifespan, the degree of prefrontal cortex (PFC) maturity or decline influences executive cognitive functions. Adults are expected to demonstrate mature decision-making skills, impulse control, and delay of gratification. Purposes are: (1) find prefrontal correlates of wins and losses during voluntary and involuntary risk decisions in a baseline population of adults, presumed to have PFC maturity; (2) identify gender differences in neural correlates of wins versus losses; and (3) demonstrate feasibility of optical imaging in risk decision research.

Methods: In this correlational blocked design, functional near-infrared spectroscopy (fNIRS) was used to examine oxygenated hemoglobin (HbO) changes in the …

Interpreting The Changed Me In The Mirror: Viewing Self After A Mastectomy, Wyona M. Freysteinson

International Nursing Research Congress (INRC)

Purpose: The purpose of the study leading to this comparison between interpreting a mirror image and interpreting a text was to study the experience of viewing themselves in the mirror for women who have had a mastectomy.

Methods: A purposeful sample of 12 women shared their stories of viewing themselves in the mirror 3-12 months post-mastectomy in tape recorded semi-structured interviews. The data was transcribed and analyzed using Ricoeur's hermeneutic phenomenology and methodology. A native reading, a structural analysis and a phenomenological interpretation uncovered a description of viewing self in the mirror.

Results: The women's stories suggested there were four …