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The Culture Of Incident Reporting Among Filipino Nurses, Barbara Michelle De Guzman

International Nursing Research Congress (INRC)

Purpose: This research provides a preliminary view into the culture of incident reporting among Filipino nurses pertaining to the factors that influence their willingness to report errors.

Methods: Quantitative data were collected from a snowball sample of fifty-four nurses who have been working in a staff nurse capacity in health care facilities in the Philippines using the modified online version of the AHRQ Patient Safety Questionnaire. The scores on the AHRQ questionnaire pertaining to incident reporting were expressed as the percentage of answers for each dimension Qualitative data derived from a Focus Group Discussion (n=6) were analyzed using Moustakas' technique …

Changes In Motivation For Physical Activity Following Cardiac Rehabilitation, Michael J. Belyea, Julie Derenowski Fleury, Nelma B. Crawford Shearer, G. Adriana Perez

International Nursing Research Congress (INRC)

Purpose: Motivation is an important factor related to physical activity. However, motivational theories have rarely examined variation in motivation over time. This is especially important for patients with coronary heart disease trying to maintain physical activity. The purpose of this study was to describe patterns and change of motivation and its association with physical activity.

Methods: Participants included 182 individuals who were enrolled in rehabilitation following myocardial infarction. Variables from the Wellness Motivation Theory (readiness, self regulation, and self knowledge) were measured at baseline and at 3 months. Latent class analysis was used to classify the participants and latent transition …

The Lifetime Influence Of Families In The Lives Of Women With Cerebral Palsy, Donna Freeborn, Kathleen Knafl

International Nursing Research Congress (INRC)

Purpose: Drawing on data from a qualitative study of 8 adult women with CP, the purpose of this qualitative descriptive study was to examine their perceptions of ways their families and individual family members contributed to their overall quality of life and adaptation to CP.

Methods: The study was based on a feminist biographical approach, which combines biographical methods with feminist principles. Participants participated in two interviews where they shared numerous stories about their family life, parents, siblings, and extended families. Interviews were transcribed verbatim, and transcriptions were analyzed for common themes according to qualitative methodology.

Results: Participants provided considerable, …

Patterns Of Communicating With High Fidelity Patient Simulators, Judy K. Anderson, Kimberly Nelson

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to explore patterns of communicating with high fidelity (HF) patient simulators. Therapeutic communication is an essential skill for nurses working in any setting. Opportunities to develop this skill are essential to improve comfort and refine competence in communication techniques. High fidelity patient simulators are increasingly being utilized as a teaching-learning strategy. Their effectiveness for developing expertise in critical thinking/problem-solving, clinical skills, and teamwork is documented in the literature. The literature also provides evidence of professional communication skill-building, both intra- and interdisciplinary. Less prevalent in the literature is research on the use of HF …

Assessment Of Pap-Smear Testing And Women's Health Within Taiwan, Shiu-Yun K. Fu, Hsiaoling-Ling Niu, Venne-Shiang Huang, Mei-Ching Chen

International Nursing Research Congress (INRC)

Purpose: To decrease the occurrence of high mortality rates for cervical cancer, pap-smear screening is essential for all women. The proportion of women in Taiwan who have not had a pap-smear test is extremely high.

Methods: The research consisted of 2 phases involving both quantitative and qualitative methods. 90 women who had not received a pap-smear screen within the past three years were involved. Phase one of the study was a quasi-experimental design, phase two was an in-depth analysis to understand why some women did not have pap-smear testing. This report is specifically for the qualitative data analysis.

Results: The …

Hydration And Ph Of Cord And Dorsal Hand In High-Risk Infants For 7 Days Of Life, Youngmee Ahn, Min Sohn, Mijin Lee, Sangmi Lee

International Nursing Research Congress (INRC)

Purpose: The pH of cord and skin is of significance in terms of the acidic function of skin in defending foreign invasions while drying process toward cord detachment. We explored the pH and hydration in cord and dorsal hand of 50 high-risk neonates for 7 days of life. Fourteen neonates were with primarily preterm birth (PTB), while 36 neonates had pathologic conditions besides PTB. The mean birth weight was 1973 g with 7.4 of the mean 5 min. Apgar score.

Methods: After IRB approval and obtaining the informed consent from parents, the pH and hydration of cord and dorsal hand …

Effect Of Nurses Living Fit? Exercise And Nutrition Intervention On Body Mass Index In Nurses, Karen Gabel Speroni

International Nursing Research Congress (INRC)

Purpose: Overweight and obesity are increasing at alarming rates worldwide. In the healthcare setting, administrators are searching for evidence-based programs featuring interventions on healthy living to enable weight loss in overweight workers and maintenance of normal weight. This is especially true among professional nurses who often become "role models" for patients affected by illnesses induced by overweight status. The hospital-based Nurses Living Fit & trade; (NLF) intervention was developed and researched by nurses to decrease overweight in nurses.

Methods: This prospective, quasi-experimental, multi-center study evaluated changes in Body Mass Index (BMI) and waist circumference between NLF and contrast nurse group …

Efficacy Of Lavender Aromatherapy To Level Of Pain And Blood Pressure Among Post-Partum Women: A Pilot Study, Renante Dante G. Tan, Arvie Desiree I. Miranda, Erika Gabrielle A. Quero, Jomar M. Rodriguez, Ariane Lei D. Morales, Abigail R. Remo, Arianne C. Rufino, Pamela Mae K. Ortiz, Kevin John V. Reyes, Jenneiah D. Royo, Precious Anne N. Natata, Emily R. Marco, Hazelyne A. Marquez

International Nursing Research Congress (INRC)

Purpose: This study aims to determine the effectiveness of lavender aromatherapy on (a) level of pain (b) blood pressure and (c) relationship between pain and blood pressure among post-partum women.

Methods: The study utilized a longitudinal quasi-experimental non-equivalent pretest-posttest design. Subjects were chosen through purposive sampling (n=20) that passed the inclusion criteria (a) 18-35 years old, (b) first 24-hour postpartum, (c) experiencing post-partum pain, (d) have not yet taken pain medication, and (e) willing to participate. Researchers used numeric pain scale to assess pain level with blood pressure assessment as an adjunct to measure pain objectively. Lavender aromatherapy was administered …

Where Have All The Stti/Anf Scholars Gone?, Patricia R. Messmer

International Nursing Research Congress (INRC)

Purpose: Sigma Theta Tau International (STTI) and American Nurses Foundation (ANF) began jointly sponsoring a nursing research grant in 1987 with STTI reviewing - even years; ANF odd years. The purpose of this grant is to develop nurse scientists with programs of research and infuse funding potential into promoting nursing science. The aim of this study was to 1) systematical review research conducted by STTI/ANF scholars and 2) understand how "seed" funding promotes the research trajectory for these scholars. Methods: Structured interviews with past STTI/ANF scholars; archival records (Boston University History of Nursing, Nursing Research, AJN, Undine Sams Collection) and …

Dissemination And Utilization Gap Of Nursing Research In India: Call For International Collaboration, Anne Thomas, Urmila Bharadwaj

International Nursing Research Congress (INRC)

Purpose: Research dissemination and knowledge utilization are essential components of today's nursing practice. The CURN model (1980) explains the importance of research utilization in nursing. It was evident from researchers teaching experience both in India and United States that the nursing institutions in developed countries are far more advanced in disseminating research related results to the scientific community compared to developing countries. The purpose of this study was to assess the dissemination details of nursing research studies in a selected nursing school of India. Methods: A retrospective record review method was used. One nursing school with PhD, M.Phil and Master …

I Want My Mommy: Sibling's Experience With Childhood Cancer, Yuan-Ju Liao

International Nursing Research Congress (INRC)

Purpose: To explore and describe the experience of healthy sibling who have brother or sister with cancer.

Methods: Qualitative study using phenomenology approaches was conducted. Interview was audio taped four healthy siblings aged 5 to 14 years and their family member 'and analyzed according to Colaizzi's guidelines and data analysis method proposed by the Nvivo 8.0 qualitative software.'

Results: Four domains were generated by Colaizzi (1978) method as follows: Encountering the impact of siblings with cancer, inevitable changes of the family life, mood fluctuation in daily life and reconstruction of the family life.

Conclusion: The study findings indicated that parents …

Nursing Students' Perceptions Of Satisfaction And Self-Confidence With High Fidelity Simulation, Geraldine M. Berkvam

International Nursing Research Congress (INRC)

Purpose: Research has been conducted about the various features of simulation which contribute to successful learning experiences of students. However, there is little research about students' perceptions of their satisfaction and self-confidence in learning when simulation is used as a teaching strategy. This study was designed to determine if high fidelity clinical simulation provided nursing students with learning experiences which promoted satisfaction and self-confidence in their preparation for clinical practice. The theoretical framework for the design of this study was Alfred Bandura's Social Cognitive Learning Theory.

Methods: A questionnaire was administered to nursing students after completion of medical-surgical clinical simulation …

Contributory Elements In The Introduction Of New Health Care Delivery Models To Health Care Systems Globally, Andrea Sonenberg

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe influential factors in the introduction of expanded nursing roles to existing health-care systems for improving access to care in health workforce shortage areas globally.

Methods: Comparative analysis of several studies and commentaries was made to summarize critical factors impacting the introduction of nurse practitioners, or nurses with expanded roles, into existing health-care systems globally.

Results: Key contributory elements for consideration in the introduction of new health-care models to existing health-care systems include: 1) population health needs; 2) readiness of the profession; 3) innovation; 4) roles; 5) education/expertise; 6) environment 7) policies …

Nurse Practitioners Reshaping Health Care: From Roots To Shoots, Karen Anne Wolf

International Nursing Research Congress (INRC)

Purpose: The purpose of this historical case study is to describe the development of the first nurse practitioner programs in Massachusetts, analyzing the socio-historical context and factors that contributed to the successful program development and role implementation. Methods: This historical qualitative case study includes the use of primary documents resources and interview of more than twenty key informants. Primary resources include program materials and records, records from the Massachusetts General Hospital and School of Nursing, MGH/Bunker Hill program and Peter Bent Brigham Program, literature from professional journals, governmental reports and the local press. Results: Historical documents and interviews revealed the …

Clinician Engagement In Point Of Care Audit, Stephanie F. Sutherns, Rebecca Kimble, Jacinta Lee, Jackie Doolan, Lyndel Gray, Keppel W. Schafer

International Nursing Research Congress (INRC)

Purpose: Disseminate learnings about the importance of clinician engagement in clinical guideline implementation. It is generally accepted that clinical guidelines on their own do not change patient care outcomes and that additional implementation strategies are required. However, there is a paucity of detailed information on what strategies are effective in translating clinical guidelines into everyday clinical practice and increasing clinician knowledge of guideline recommendations Forsner, 2010 #2, 1. Methods: The Queensland Maternity and Neonatal Clinical Guidelines Program conducted a multifaceted implementation strategy at three Queensland maternity facilities for the clinical guideline Obesity. The strategy incorporated clinician engagement, education on guideline …

Evolution Of Nursing Credentialing System At Aga Khan University Hospital, Karachi, Amina K. Lakhani

International Nursing Research Congress (INRC)

Background: Since inception in 1985 The Aga Khan University Hospital, Karachi has stressed upon continuing nursing education activities and credentialing of nursing staff working at the bedside. However, it was realized in 2002 that there is a lack of system placement for monitoring of re-credentialing of nursing staff in order to check for its validity. The change process: An in house online credentialing monitoring system was developed by Department of Nursing Education Services for which the initial data was obtained manually from each of the nursing unit and then was entered into the system. The access for individual units was …

Evaluating And Obtaining Annual Competencies Utilizing Simulation In Pediatric Intensive Care, Charles Randall Stennett, Sharon Decker, Gwen Davis, Shannon Shuttlesworth

International Nursing Research Congress (INRC)

Purpose: A pilot project was initiated in an 18 bed PICU to evaluate nurses' competencies using simulation. Competencies were selected based on staff needs assessment and a root-cause-analysis of critical incidents occurring over a 12 month period. These competencies included; IV starts, IO insertions, EKG interpretation, airway management (especially related to unplanned extubation), and communication (among team members). Staff were provided an orientation to the simulator and opportunities for practice prior to the competency assessment were made available within the unit. Scenarios were developed based on realistic situation and hospital quality indicators. An expert panel reviewed all scenarios to support …

Normative Cultural Values And The Experiences Of Mexican-American Mothers In The Neonatal Intensive Care Unit (Nicu), Lisa M. Cleveland, Sharon D. Horner

International Nursing Research Congress (INRC)

Purpose: Little is known about the experiences of Mexican-American mothers who have had an infant in the neonatal intensive care unit (NICU). Therefore the purpose of this study was to gain a better understanding to guide nursing practice.

Methods: An exploratory qualitative approach was used. Data collection was conducted through audio-taped, transcribed, semi-structured, individual interviews and field notes. The 5 normative cultural values for Latino families; 1) simpatia, 2) personalismo, 3) respeto, 4) familismo, and 5) fatalismo were used as a sensitizing framework to guide data interpretation.

Results: A convenience sample of fifteen English-speaking, Mexican-American women was interviewed. The women's …

Variations In Utilization Of Clinical Preventive Services In Older Adults With Near Universal Health Coverage, Sandra C. Bibb

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to determine the relationships between potential access (characteristics of the delivery system and population at risk) and realized access (utilization of clinical preventive services [CPS]) in a homogeneous (race, income, education, place of residence) sample of older adults with near universal health coverage (health insurance, regular place of care). Variations in utilization of clinical preventive services in older adults in developed economies are attributed primarily to variations in health coverage (health insurance, place of care) and social determinants of health (income, education, race, ethnicity, or geographical location). Progress is being made in eliminating …

Influence Of A Cultural Immersion Experience On Healthcare Students' Spirituality, Ann Michelle Hartman, Linda R. Rickabaugh

International Nursing Research Congress (INRC)

Spirituality has been identified as a significant theme during cultural immersion experiences that merited further exploration (Rickabaugh, Hartman, Allison-Jones & Clark, 2009). The purpose of this naturalistic study was to identify the influence of a cultural immersion experience on studuents' spiritual well being and spirituality. A convenience sample of five healthcare students participated in this study which utilized mixed methodologies. Nursing and health psychology students completed reflective journals and participated in debriefing sessions regarding sacred moments. Sacred moments were defined as a connection or support from a higher power, connection with others, a sense of purpose and a sense of …

Health Behaviors Of Nursing Students, Claudia Pineda Benton

International Nursing Research Congress (INRC)

Purpose: The main purpose of this study was identifying Registered Nurse (RN) students' health promotion behaviors in a Baccalaureate of Science Nursing (BSN) or Master in Science Nursing (MSN) program. In addition, identify any behavior and cultural differences.

Problem: Chronic diseases are increasing and could be prevented by promoting healthy lifestyle behaviors in nursing education.

Methods: This study, with a convenience sample of 77 students from two California universities, was descriptive, comparative, and approximate replication of Haddad, Kane, Rajacich, Cameron, and Al-Ma'aitah, (2004) study based on Pender's Health Promotion Model. The data was collected using the Health-Promoting Lifestyle Profile II …

Working Collaboratively To Facilitate The Acquisition Of Culturally Relevant And Competent Communication Skills In Esl Nursing Students For Clinical Practice, Paul J. Glew, Lyn E. Stewart, Barbara L. Beale, Sharon Patricia Hillege

International Nursing Research Congress (INRC)

Purpose: This paper explores clinical communication interventions for undergraduate nursing students with English as a second language (ESL) within a multicampus program at the University of Western Sydney. Students are expected to communicate effectively with patients, nurses, and other health care professionals. Limited oral communication skills in English can cause anxiety for ESL nursing students and this can negatively impact on learning in a clinical setting. In addition, students may experience difficulties in using nursing terminology and appropriate expressions for interactions in this setting. The development of communication skills that are adequate for clinical practice can take intensive instruction and …

The Road To Success: Integration Of Ebp Throughout A Bsn Nursing Curriculum, Barbara Ann Graves

International Nursing Research Congress (INRC)

Professional nurses across the world are called to provide nursing care from an evidence-based practice (EBP) approach. The current health care environment continues to be driven by rising healthcare costs coupled with the need to improve practice and health outcomes. Using EBP, or the "best evidence available" with "nursing expertise" and "patient values and preferences", can improve health outcomes and reduce healthcare spending. Furthermore, Sigma Theta Tau International has strongly advocated for the use of evidence-based nursing (EBN). Therefore, evidence-based nursing (EBN) must be foundational for the professional practice of nursing. It is imperative for nursing education to be grounded …

Effectiveness Of A Multifaceted Approach To Implement A Fall Prevention Guideline Into Nursing Practice In A Hospital Setting: Comparison Of Before And In-Between Assessment, Helga Elisabeth Breimaier, Christa Elisabeth Lohrmann

International Nursing Research Congress (INRC)

Background: Nurses are expected to use research findings in daily nursing practice to promote positive patient outcomes. Clinical practice guidelines (CPGs) are seen as one means to achieve evidence-based care. However, CPGs are not implemented automatically and it is still unclear how to implement them effectively into nursing practice. One recommended approach is the use of multifaceted strategies.

Aim: The study aimed at assessing the effectiveness of a multifaceted approach to implement a fall prevention CPG into nursing practice in an hospital setting.

Methods: A participatory action research approach including working-group meetings to determine appropriate implementation strategies was used to …

Symptom Clusters In Persons Undergone Abdominal Surgery, Julaluk Baramee, Supaporn Duangpaeng

International Nursing Research Congress (INRC)

Post abdominal surgery symptoms cause patient suffering, complication, delay recovery and decrease activity of daily living. Finding symptom cluster could help professionals providing comprehensive and individualized care. Purpose: This secondary data analysis, from two original studies, aims to examine and compare symptom clusters among patients having abdominal surgery. Methods: Data were collected from two tertiary hospitals and one secondary hospital. The sample was 250 patients having abdominal surgery. Data were collected by demographic data form, post abdominal surgery complication and symptom assessment scale. Descriptive statistics and factor analysis were used to analyze data. Results: On the first post-operative day, there …

Visiting The United Nations As A Forum For Undergraduate Nursing Global Education, Maureen P. Cardoza

International Nursing Research Congress (INRC)

The United Nations as a Forum for Undergraduate Nursing Global Education: The purpose of this oral presentation is to provide seminar participants with an educational program incorporating global nursing into an undergraduate Community Health nursing curriculum utilizing an on-site visit to the United Nations (U.N.) in New York City. The program presented acquainted undergraduate nursing students with the mission and global health initiative undertaken by the United Nations that are congruent with the practice of nursing locally, nationally and internationally and supported by Sigma Theta Tau International. The topics presented will include a discussion of the curriculum design and program …

Complementary And Alternative Medicine Use And Quality Of Life In Chinese Women With Breast Cancer: A Taiwanese Survey, Fang-Ying (Sylvia) Chu

International Nursing Research Congress (INRC)

Purpose: The purposes of this study were (1) to determine the prevalence and modalities of CAM use by Taiwanese women with breast cancer; (2) to measure the level of satisfactions and perceived benefits of CAM use; (3) to measure the level of quality of life (QOL). Methods: A descriptive cross-sectional survey was conducted at an outpatient oncology clinic attached in a teaching hospital of Taiwan. A total of 196 women participated in this study. Approximately, 74% of the women reported that they had used some form of CAM since being diagnosed with cancer. Results: The most common type of CAM …

Debriefing Pediatric End-Of-Life Care Through Personal Reflection, Rebecca L. Meyer

International Nursing Research Congress (INRC)

Scope: Education for nursing professionals is recommended by the American Academy of Pediatrics and the Institute of Medicine about caring for dying children. Improving education and support for nurses is important so they can then educate and support families and patients. Utilizing experiential learning about the types of patients experiencing palliative treatment/therapies and end of life care needs to start in nursing schools so that newly graduating nurses have an increased awareness of how to care for dying children. Didactic education should include ways to facilitate integration of spirituality, culture, communication, and how to establish caring relationships during a difficult …

The Interface Of Employment, Health, Family Support, And Human Services For People With Psychiatric Disabilities, Linda E. Jensen

International Nursing Research Congress (INRC)

Purpose: The burden of mental illness on health and productivity in the United States and throughout the world has long been underestimated. Psychiatric illnesses account for over 15% of the burden of disease and disability in the United States and was found to be second in causes of disability by a World Health Organization report on Global Burden of Disease (2008). The purpose of this research was to interview persons with severe mental illnesses to determine healthcare and service challenges for them in returning to employment and to identify strategies to assist them. Methods: Fifty people with severe mental illnesses …

Examining Students' Attitudes Towards Obesity, Julie Y. Sappington

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to determine if an educational intervention would affect students' attitudes towards obesity. According to the World Health Organization, obesity is a global health issue with more than 1 billion overweight adults worldwide, at least 300 million of them obese. An effective clinical response includes care from health care providers who can educate and encourage those affected by this health issue. Yet evidence suggests healthcare professionals, including nurses, often display bias towards obese individuals which can negatively affect health outcomes (Yale Rudd Center for Food Policy and Obesity). Methods: Students in two sections of …