Digital Commons Network^™

Correlates Of Depression In Asian-American Adolescents In New York City, Maria Rosario-Sim

International Nursing Research Congress (INRC)

Purpose: To conduct an exploratory study of the correlates of depressive symptoms among Asian-American adolescents in New York City. A high rate of depressive symptoms was discovered in both smokers and nonsmokers for a study of smoking behaviors among Asian-American adolescents in New York City which prompted the investigators to explore the correlates of depression among this sample. The following hypothesis was addressed: Adolescents who have increased depressive-symptom scores are more likely to be older, female, less English language acculturated, have poor academic performance, not currently enrolled in school, arrived in the United States after seven years of age, have …

Long-Term Effect Of The Self-Management, Comprehensive Coping Strategy Program On Quality Of Life In Patients With Advanced Breast Cancer Treated With High Dose Chemotherapy, Fannie Gaston-Johansson

International Nursing Research Congress (INRC)

Purpose: Due to treatment advances, women with breast cancer have improved survival rates. Longer survival has created a need for coping interventions to assist stress reduction and long term symptoms and improve quality of life (QOL). Prior coping research has been conducted during treatment with one to two coping strategies rather than a comprehensive coping self-management approach. The purpose of this study was to determine differences between QOL in a Comprehensive Coping Strategy Program (CCSP) treated and control group of breast cancer patients one year after treatment. The significance is that the CCSP is expected to reduce stress and improves …

The Significance Of Spirituality In The Well Elderly, Joseph Molinatti

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to investigate the concept of spirituality in the well elderly, their perceived ideas, needs and concerns. Research in this area had been in the neophyte stage as the emphasis had been primarily on the hospitalized elderly. The more one understands the lived experience of the healthy elderly the better professionals are equipped to provide for the total needs of the individual. Adding to this body of knowledge would enable faculty to better prepare nurses for the assessmnent and intervention of this need in the healthy elderly, an aggregate of growing numbers in the …

Community Stress-Busting Program For Family Caregivers Of Patients With Dementia, Sharon Lynnette Lewis, Denise Miner-Williams

International Nursing Research Congress (INRC)

Purpose: As caregivers assume responsibilities for family members who are unable to care for themselves, they experience a tremendous amount of change and stress in their lives. The Community Stress-Busting Program (CSBP) for Family Caregivers was developed through research to help family caregivers cope with their role.

Methods: The CSBP consists of a 9-week intervention where caregivers meet in small groups for 90 minutes/session. The sessions are focused on stress management techniques, problem-solving approaches, coping strategies, and information about dementia and challenging behaviors of dementia patients. Caregiver handbooks, an audio meditation CD, a Relaxation Strategies DVD, and comprehensive facilitators' manual …

The Lived Experience Of The Transition Of The Clinical Nurse Expert To The Novice Nurse Educator, Natalie A. Weidman

International Nursing Research Congress (INRC)

Purpose: This study was to describe and interpret the experience of nurses without any educational theory as they transition from the role of the clinical nurse expert (CNE) to the novice nurse educator (NNE) in the academic and clinical settings. This study sought to determine if the clinical nurse expert was adequately prepared and supported through this role transition.

Methods: A qualitative design with a phenomenology method was used for this study. This was a convience sample with eight informal contacts. The tool was a composite of several questions developed by the researcher to elicit discussion of their experience in …

Will Culture Influence Coping Strategies, Psychological Well-Being, And Suicidal Ideation?: A Comparison Between Usa And Taiwanese College Students, Pi-Ming Yeh, Jenn-Chang Liou

International Nursing Research Congress (INRC)

Purpose: Suicide is the second-leading cause of death among college students in the U.S. and is preventable. Approximately 1100 college students die by suicide each year in USA. In Taiwan, youth suicide rate were 4.4 per 100,000 population in 1994 and increased to 6.21 per 100,000 population in 2004. Therefore, college students' psychological well-being and suicidal ideation are important issues to explore. The purpose of this study was to compare the differences between USA and Taiwanese college students' anxiety, depression, coping strategies, spiritual well-being, psychological well-being, and suicidal ideation.

Methods: This study was based on Madeleine Leininger's culture theory. This …

Depression, Anxiety, Anger, And Biomarker In Taiwanese People With Heart Failure, Hsing-Mei Chen, Chee-Siong Lee, Shyh-Jnog Wu, Hsueh-Wei Yen, Wen-Hsien Lee, Hui-Chin Chien

International Nursing Research Congress (INRC)

Purpose: Psychological distresses might be caused by the disease severity in people with heart failure. The purpose of this study was to examine the relationship between depression, anxiety, anger, and B-type natriuretic peptide (BNP) in Taiwanese people with heart failure. Methods: A cross-sectional, descriptive, correlational research design was used. A nonprobability sample of 51 participants was recruited from the outpatient department of a medical center located in southern Taiwan. Inclusion criteria were as follows: 1) a diagnosis of HF, with a class of New York Heart Association (NYHA) II or above; 2) age 20 or older; 3) able to communicate …

The Stress And Needs Of Primary Caregivers Of Children Depending On Oxygen Therapy In Taiwan: A Questionnaire Survey, Kai Wei Katherine Wang

International Nursing Research Congress (INRC)

Purpose: The study aimed at examining the stress and needs of the primary caregivers of oxygen-dependent children at home.

Methods: The study used cross-sectional descriptive research design. In addition to the demographic data collected, there were two questionnaires used including "Perceived Family Stress Scale" and "Family Needs Assessment". Data was analyzed by SPSS Windows version 15.0.

Results: 104 subjects (F = 70; M = 34) were recruited from a pediatric otolaryngologic outpatient clinic of a tertiary medical center and "The Association of Let-Children-Breathing Happily". The average age of the subjects was 39.7 years old. Most subjects (44%) had a high …

"I Feel Good But Data Said No!," Misperception Among Rural Diabetic Residents In Taiwan: A Cross-Sectional Descriptive Study, Mei-Yen Chen, Li-Na Chou, Min-Li Chen

International Nursing Research Congress (INRC)

Purpose: This paper is a report of a study to evaluate the misperception of diabetes control and practicing exercise and healthy diet among rural diabetic residents.

Methods: A cross-sectional survey was carried out. Participants with previous diagnoses of type2 diabetes were enrolled on health promotion projects concerning diabetes foot prevention from 18 primary health care centers in rural regions of Chiayi County, Taiwan.

Results: Approximately 58% of the participants were female (411/715) and the mean age of the participants was 69 years. The findings indicated that a high percentage of participants underestimated their fasting blood glucose (FG) and HbA1C status. …

New Evidence In The Implementation And Evaluation Of Clinical Supervision, Edward White

International Nursing Research Congress (INRC)

Purpose: Clinical Supervision [CS] is a formally structured arrangement to support staff employed in human service agencies and has an established history in many health care professions, including nursing. It has shown promise internationally as a positive contribution to the health governance agenda. Two recent CS-specific research studies have made incremental progress towards establishing an evidence base for best practice development and the robust evaluation of Clinical Supervision outcomes.

Methods: Described as "one of three studies conducted over the last 30 years, that provide the best and clearest directions for further thought about conducting future successful research in the supervision-patient …

Factors Related To Daily Life Interference In Lung Cancer Patients: A Cross-Sectional Regression Tree Study, Hsueh-Hsing Pan

International Nursing Research Congress (INRC)

Purpose: To identify the symptom combination patterns and symptom severity levels that induce severe symptom interference in daily life activities, including physical and psychological activity interference in lung cancer patients.

Methods: A cross-sectional descriptive study using convenience sampling, 131 participants were recruited at a medical center in northern Taiwan. The Eastern Cooperative Oncology Group (ECOG) performance status was used to assess performance status, and the Taiwanese version of the M.D. Anderson Symptom Inventory (MDASI-T) was used to assess symptom severity and symptom interference in daily life activities including physical and psychological activities. Regression tree models were applied to examine variable …

Assessing Core Competencies Of Senior Nursing Students And Faculty As Input To Philippine Competency-Based Education, Josefina A. Tuazon, Joan Valera

International Nursing Research Congress (INRC)

Purpose: Nursing competency is necessary for patient safety. With global nursing shortage and high demand for Filipino nurses, there was increase in nursing schools and enrolments since 1998. This has implications on nursing education and beginning competencies of professional nurses. This study assessed core skills and knowledge of senior students as indicator for beginning graduate nurses and their faculty, and identify gaps in competencies as input to nursing education.

Methods: This was a descriptive, correlational study of 745 randomly selected senior students in 12 randomly selected schools in Metro Manila using internet-based Filipino-adapted NurseMetriX competency appraisal test collaboratively developed with …

Active Teaching, Active Learning: Are Today's Students Engaged In Learning?, Indra Hershorin

International Nursing Research Congress (INRC)

Todays students are different from the past and nursing faculty find themselves struggling to convey enormous amounts of information to students whose horizon of learning has changed. Prensky (2001) claims that students' today are "native speakers" of the digital language. This generation of learners is growing-up in a digital world surrounded by computers, video games, the Internet, smart phones, MP3 players, computer tablets, and e-book readers. According to Jackson and Crawford (2008) to-days learners are cognitively impacted by digital experiences requiring educators to revisit and ultimately expand the horizon of delivery methods. A review of the state of the science …

Perioperative Experience Of Elderly Patients Undergoing Joint Replacement Surgery: An Integrative Literature Review, Rosy Tay, Sandra Mackey, Piyanee Klainin-Yobas, Desley G. Hegney

International Nursing Research Congress (INRC)

Purpose: This integrative literature review explores the evidence of elderly patients' experience undergoing joint replacement surgery.

Methods: Studies were identified through an extensive electronic search and hand-searched key texts from the databases of PubMed, CINAHL, PsyInfo from 2001 until 2011 for primary quantitative and qualitative English Language peer reviewed articles (2001-2011) describing perioperative experience of elderly patients undergoing joint replacement surgery. Critical appraisal of both qualitative and quantitative articles was conducted using JBI (2011).

Results: Twenty four papers were categorized into themes: factors influencing Health Related Quality of Life (HRQoL) and pain experience, factors influencing perioperative experience and care continuity …

Bpinsa: The Knowledge Broker For Nursing In South Africa, Karin C. S. Minnie, Hester C. Klopper

International Nursing Research Congress (INRC)

Background: Worldwide there is growing interest in evidenced-based practice, knowledge to action and implementation science as a whole. In developing countries access to published research is often difficult as some databases are restricted and internet facilities are not widely available. Due to severe work pressure, registered nurses seldom have time to read the latest research, resulting in an overload of new information, lack of access and limited time to keep up-to-date, that lead to late adaptation of the available best practices. Internationally there are several examples that is considered best practice of researchers working with clinical partners (research users) to …

Dietary Consumption Of Fat, Sugar, Fruits And Vegetables And Anthropometric Indicators Among Filipinos In U.S., Reimund Serafica

International Nursing Research Congress (INRC)

Purposes: The purposes of this study were to describe the relationship among demographic variables, level of acculturation, dietary consumption of fat, sugar, fruits and vegetables among Filipino- Americans(FAs) and to explore the predictors of their anthropometric measurements. The role of dietary acculturation and consumption of fat, sugar, fruits, and vegetables amongFAs in the United States (US) remains unclear. Despite the growing numbers of FAs in the US, little is known about their dietary acculturation and fat, sugar, fruits, and vegetable consumption. Methods: The study sample consisted of 128 FAs (N = 128) residing in US. Participants completed the demographics, the …

Evaluation Of The Knowledge, Critical Thinking And Team Work Collaboration Of The Ebn Training Program In Taiwan, Li-Chi Chiang, Mei-Nan Liao, Meei-Shiow Lu, Chi-Wen Kao, Chin-Mi Chen

International Nursing Research Congress (INRC)

Purpose: Develop an evidence-based nursing (EBN) training program to preparing the competency for nurses in Taiwan. An integrate teaching program was developed based on the five EBN process by a interdisciplinary team, including physician and nurses.

Methods: Forty-four nurses were recruited by the recommendations from the directors of department of nursing in Taiwan. Two-day workshop was implemented by an active participation agenda. Five groups were classified to work together and discuss the learning shit, including to writing the PICO, to search literature on web, to appraisal the articles, to making clinical decision based on the evidence, expectation, and expertise.

Results: …

Removal Of Codeine In Pediatric Oncology: A Qualitative Evaluation Of Success And Attitudes, Karina L. Black, Mary Anne Venner, Jennifer Shepherd, Marcel Romanick, Mark Belletrutti, Shirley Perry

International Nursing Research Congress (INRC)

Background: Codeine is an opioid analgesic requiring hepatic conversion to morphine via CYP2D6 to provide analgesic effect. CYP2D6 population polymorphisms cause unpredictable conversion to morphine. Multiple reports of death or adverse events in children receiving codeine has led to increased calls for discontinuation of use in children. Our Pediatric Oncology Program volunteered to pilot codeine removal. When looking for implementation strategies for this practice change, neither successful implementation nor barriers to change had been reported. Objectives: To evaluate whether prescription of codeine was reduced, assess the attitudes of health professionals at different points during practice change, determine if our educational …

Building A Sustainable Nurse-Managed Clinic System Through Faculty Practice And Technology Integration, Julie Cowan Novak

International Nursing Research Congress (INRC)

Scope/Significance: Over the past four years, the UTHSCSA School of Nursing has developed, implemented, and evaluated a viable alternative to the failing, mismanaged US healthcare delivery system. Two nurse-managed clinics are currently in operation with two in development. Client visits exceeded 7,000 in 2011. The clinics are sustained through a mosaic of support from a variety of funding sources including private, state and federal insurance, billing, and grants. Faculty and students develop an integrated model of discovery, learning and engagement focused on evidence-based health promotion/disease prevention, client, family, and community education, acute, episodic illness care, management of stable chronic conditions …

Cultural Pain Relief Measures During Labour And Childbirth And Prophylactic Taboos During The Childbearing Process: A Case For Mozambican Women Living In Swaziland, Cynthia Zodwa Vilakati

International Nursing Research Congress (INRC)

Purpose: The study sought to describe the cultural-pain relief measures during labour and childbirth and prophylactic taboo practices for pain relief by Mozambican women living in Swaziland.

Methods: An exploratory, descriptive and contextual phenomenology design was utilized for the purpose of this study. Purposive conveninence sampling was done. Data saturation was achieved with a sample size of five (5).

Results: The study presents the themes and categories that emerged from the data. Data are presented from the most general (themes) to the most specific (data units/chunks). All data units relate to the cultural pain relief measures during labour and delivery …

Pituitary Tumors: Patient Perceptions Of Cognitive Deficits, Christine G. Yedinak

International Nursing Research Congress (INRC)

Background: The prevalence of pituitary tumors (PT) has been estimated from 15 % of all brain tumors. Both physiologic and psychologic functions can be disturbed, affecting the individual's life functions and quality(Qol). PT are classified by size and hormonal productivity: Macroadenomas (MA) > 1cm and microadenomas (mA) < 1cm tumors; those producing excess hormonal secretions as functional adenomas (FA) and those with normal hormonal function as non-functional adenomas (NFA). Hormonal deficiencies can occur in association with all PTs. Patient complaints of cognitive dysfunction and QoL changes have been validated to occur in patients with hormonally active tumors, but not for patients with microadenomas and non-functional tumors.

Purpose: To determine if cognitive deficits are perceived by patients with NFmA when compared to patients with NFMA.

Methods: Cognitive function was evaluated using a modified, disease specific version of the FACT-Cog questionnaire, limited to perception of cognitive capacity. Perceived ability to learn and concentrate, distractibility, mental agility, factual and short term memory and …

Effects Of A Pilot Randomized Trial Of A 20-Week Tai Chi Program On Pain And Other Health Outcomes In Elders With Cognitive Impairment And Osteoarthritic Knee, Pao-Feng Tsai, Yong-Fang Kuo, Jason Y. Chang, Cornelia K. Beck

International Nursing Research Congress (INRC)

Purpose: The purpose of this pilot study was to test the efficacy of a 20-week Sun-style Tai Chi (TC) program in improving pain and other health outcomes in 55 community-dwelling elders with knee osteoarthritis (OA) and cognitive impairment (CI).

Methods: This was a cluster-randomized clinical trial. Eight sites (55 participants total) were randomly assigned to a TC group (4 sites, 28 participants) or an attention control (education) group (4 sites, 27 participants). Outcome measures included the Western Ontario and McMaster (WOMAC) OA pain scale, physical function and stiffness subscales, the 'Get up and Go' test, the 'Sit and Stand' test …

Important Factors Associated With The Research Utilization Competency Of Nurses In Japan, Tomomi Kameoka, Naomi Funashima, Yuriko Nomoto, Toshiko Nakayama

International Nursing Research Congress (INRC)

Purpose: To explore the important factors associated with the research utilization competency of nurses in Japan.

Methods: The Self-Evaluation Scale on Research Utilization Competency for Clinical Nurses (SRUC) was used to measure the research utilization competency in nursing practice. It has 35 items with 5-point Likert scale and 6 subscales. The items of the SRUC describe the essential behaviors necessary for research utilization in nursing practice as identified by a qualitative study. The reliability and validity of the SRUC are well-established. The Nurses' Attributes Questionnaire (NAQ) was used to examine the 28 attributes of nurses. The content validity was established …

Description Of Taboos Behavior Practice Among Pregnant Women In West Java, Mira Trisyani Koeryaman

International Nursing Research Congress (INRC)

Purpose: The study was aimed to identify the practice of taboos food and activities among pregnant women of several cities in West Java.The objects this study are pregnant women whose come to prenatal care weekly or monthly at obstetric clinic hospital and private obstetric practice of midwives. The researcher took sample size base on number of questionnaires of 300 participants. Data collection was examined by questionnaires from 30 December 2008 to 30 January 2009. Methods: The questionnaires were pregnancy activities, includng food and taboos activities. The questionnaires measurement used the Likert scale on four point (1-4). The SPSS Win.12.0 (Statistical …

Nurse Home Visits Promoted Maternal-Infant Interaction And Decreased Depression Symptom Severity For Mothers With Postpartum Depression, June Andrews Horowitz, Joanne Doller Wojcik, Joyce Pulcini, Lori Solon, Christine Murphy, Katherine E. Gregory

International Nursing Research Congress (INRC)

Purpose: Postpartum depression (PPD) interferes with mothers' ability to promote optimal infant development via interaction. Research to mitigate these effects is limited. The purpose of this study was to test the efficacy of the relationship-focused CARE intervention in increasing maternal-infant relational effectiveness between depressed mothers and their infants during the first 9 months postpartum.

Methods: This randomized clinical trial (RCT) involved three phases. In Phase I mothers were recruited from obstetrical units and screened for PPD at 4 weeks postpartum. Women with elevated scores on the Edinburgh Postnatal Depression Scale who agreed were consented and received a diagnostic interview to …

Exploring The E-Patient Phenomenon In Nursing, Holli A. Devon, Perry M. Gee, Deborah A. Greenwood, Katherine K. Kim, Susan L. Perez, Nancy Staggers

International Nursing Research Congress (INRC)

The availability of health information on the Internet has changed the knowledge power structure between patients and their health care providers. This new phenomenon of patients well informed by electronic information is known as the e-Patient. e-Patients use information technology to actively participate in their health care rather than passively receive health care, thus assuming higher levels of responsibility for their own health and wellness. Nursing can utilize the Data, Information, Knowledge, and Wisdom (DIKW) framework to understand how e-Patients and clinicians may achieve this collective wisdom. The purpose of this review is to examine the e-Patient phenomenon through the …

The Lived Experience Of Compensated Kidney Donors In The Philippines: A Phenomenological Study, Medel Paguirigan

International Nursing Research Congress (INRC)

Purpose: Despite several advances in HD and PD, an uncomplicated kidney transplant still provides the highest level of quality of life for patients diagnosed with ESRD. The shortage of available kidneys has driven potential recipients to resort to underground organ trade. There is a huge gap in literature about the meaning of sacrificing something important as the lived experience of compensated kidney donors in the Philippines. There are no studies encountered both quantitative and qualitative, using the nursing paradigm that focuses on the lived experiences of compensated especially in the Philippines, where there is a huge market for kidneys.

Methods: …

Student Empowerment: Baccalaureate Nursing Students Define Components Of The Course Grade, Rowena W. Elliott

International Nursing Research Congress (INRC)

Purpose: To obtain input from nursing students to determine (a) components of course grade and (b) student perceptions about the opportunity to provide input into course grade. Methods: First day in Health Care of the Older Adult, 44 nursing students were given a survey with 5 groups of activities to determine course grade. Activities were defined. Three tests (30%), Group presentation (30%), Group written assignment (30%), Class participation (10%) Two tests (30%), Two homework assignments (30%), Group presentation (30%), Class participation (10%) Three tests (30%), Individual written assignment (30%), One homework assignment (30%), Class participation (10%) Two tests (30%), Group …

Domestic Violence Risk Factors Among Arab Immigrant Women, Anahid Kulwicki

International Nursing Research Congress (INRC)

Purpose: The purpose of this research was to develop and standardize an evidence-based, culturally-sensitive bi-lingual (Arabic/English) measure of risk for domestic violence for use in health, mental health and social service settings for Arab American clients.

Methods: Morgan and Kreuger's (1988) steps for focus group data collection and analysis were followed rigorously to insure the accuracy and the credibility of the study findings. An inquiry guide was developed by the Principal Investigator and was critiqued by a consultant with expertise in the field. A select group of professionals and community leaders with expertise in domestic violence were identified and recruited …

Development And Evaluation Of A Senior-Tailored Elastic Band Exercise Program, Kuei-Min Chen, Chun-Huw Li, Ya-Ping Lin, Wei-Shyuan Tseng, Hsin-Ting Huang

International Nursing Research Congress (INRC)

Purpose: Elastic band exercise is recognized as a safe and effective strategy to improve muscle strength and power and increase the ability of seniors to perform functional tasks. This study aimed to: 1) develop a tailored elastic band exercise program for seniors, 2) to evaluate its feasibility for seniors, and 3) to determine appropriate elastic band exercise frequencies and preferences of seniors.

Methods: This study had two phases. In Phase I, 11 professional experts were consulted to develop the Senior Elastic Band (SEB) exercise program. They responded to detailed description and demonstrations of the program contained on both a hard …