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Developing Systems To Improve Hypertension Monitoring At A Primary Care Clinic, Theresa Marie Holsan

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Scope and Significance: Primary care clinics are responsible for evaluation of patients with hypertension (HTN) and reporting care to effectively treat this disease. Despite recommended guidelines about 59% of the adult patients in the United States with HTN are being treated and only 34% of those treated have well-controlled blood pressure (BP). Specific objectives of the project were to: 1. Increase the percentage of adult hypertensive patients with adequately controlled BP(<140/90 mm Hg); 2. Standardize BP techniques by ancillary staff and providers and to improve BP documentation; and 3. Evaluate and accurately use the patient reminder system for follow-up care.

Review of the Literature: A comprehensive review of original studies published in English from all countries beginning 2000 to January 2012 was …

Evaluation Of Transitional Care Through Home Care Services And Teaching/Learning Processes For Heart Failure Patients To Decrease 30-Day Hospital Readmissions, Judith T. Caruso

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: To evaluate if the use of transitional care services through home care services reduced hospital readmissions as compared to self-care at home for heart failure patients. In addition, the four key processes of the Institute of Healthcare Improvement (IHI) Transforming Care at the Bedside How to Guide for Patients with Heart Failure were evaluated.

Methods: Retrospective chart reviews were performed of hospital and home care records of Medicare patients discharged (N=76) from a large northern NJ medical center January 2010-April 2010 with a diagnosis of heart failure. Through interviews/observations of work processes, …

Impact Of Family, Culture, And The Environment On Hispanic Children's Leisure Activity, Sue A. Anderson

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to develop an understanding of the motivators and influences on Hispanic children's leisure activities. Two overarching questions were investigated: 1: How do Hispanic families describe leisure time activities? and 2: How do culture, family, and the community environment influence a Hispanic child's participation in leisure time activities? Methods: This ethnographic study engaged 10 English-speaking Hispanic mothers of children aged 6-10 as data collectors. Participants photographed their children's leisure activities and then engaged in photo-elicited interviews about those activities. Data analysis followed the Developmental Research Sequence suggested by Spradley. However, participants performed initial data …

A Systematic Review Of Gestational Weight Gain By Obese Women And Maternal/Newborn Outcomes, Mary Ann Faucher

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: A systematic review of gestational weight gain (GWG) in obese women, stratified by obesity severity, evaluated a mix of maternal and newborn outcomes, since the Institute of Medicine's recommendations is the same for all obese women, that is 5-9kg.

Methods: A literature search was conducted of peer-reviewed articles published from 2009 to March 2012 using key words obese or obesity, gestational weight gain, and outcomes of pregnancy. Databases CINHAL, MEDLINE, and PubMed. Inclusion criteria were publication date, research, English language, and GWG associated with outcomes of pregnancy in obese women addressed in …

Development Of An Evidence-Based Resource Guide For Nurses On Medical Missions In Developing Countries, Natalie Ann Masco

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Background: In 2007, an estimated 1.6 million Americans were sent on international short-term medical missions by more than 40,000 sending entities (churches, agencies, schools, etc.) at a cost of three billion dollars (Tazelaar, 2011). Many arguments about the utility and effectiveness of short-term medical missions exist in the literature. While professionals who take part in the trips do so to help others, without proper preparation and education on medical conditions and cultural needs there is a risk for causing more harm than good. Without training, volunteers will be psychologically and culturally unprepared to …

Action Research In Global Health Nursing, Catherine Marie Berry, Lee-Ellen Kirkhorn, Peiru Zhou, Anja F. Meerwald, Laurelyn Wieseman

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: In population health, action research [or participatory action research] has been variously defined as encompassing the systematic collection of information that is designed to bring about social change. Historically and currently, its practitioners marshal evidence or data to expose unjust practices or environmental hazards and to recommend actions for change.

Methods: Research linked to traditions of citizen's action will be presented and described through the lens of participatory action research, using evidence tables. Although there are abundant examples of participatory action research in the US, an exhaustive review of extant nursing literature …

Role Of Advanced Practice Nurses In Decreasing Length Of Stay And Rehospitalization For Heart Failure Patients, Sisay Mersha

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: The purpose of this project was to review existing literatures on the role of APNs in reducing length of stays and rehospitalization after discharge. The project also aimed to evaluate heart failure programs across one of the largest Catholic healthcare systems in a large Midwestern city.

Methods: A comprehensive literature search was conducted using keywords from MEDLINE, CINHAL, EMBASE and PubMed data bases. Relevant studies published in English from1990 to 2011 were retrieved. The studies were appraised and systematically analysed for common themes regarding APN's roles in reducing the unnecessary LOS and …

Health Literacy And Culturally Diverse Older Adults, Sharon B. Cannon, Carol Boswell, Joyce Miller, Lori E. Hammond

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Health literacy has gradually been acknowledged by the health care community and is beginning to be recognized as an issue in caring for the elderly who have complex health care problems. A West Texas acute care hospital initiated an evidence-based project to provide better outcomes for a culturally diverse population of older adults being discharged from the hospital by addressing health literacy. The hospital collaborated with four faculty members from a local university school of nursing who had previously established reliability and validity for an eight item English version of the Health Education …

Severe Mental Illness In Adults And Physical Health Outcomes, Kathryn L. Speeter

Doctoral Projects

Adults with severe mental illness (SMI) experience higher morbidity and mortality rates than the general population due to poor physical health and because physical and psychiatric health are rarely addressed holistically. Two questions were posed for this project: (a) Will the use of a physical health screening tool and development of healthpromotion goals result in a change in healthy lifestyle behaviors for participants? (b) Will case managers see value in the use of the screening tool and health-promotion action plan development and incorporate the tool into their day-to-day work with clients? Fourteen adults with SMI, from a community case management …

The Utilization Of Social Spaces Near Soccer Fields By Attendees Of Hispanic Soccer League Matches In Dallas, Texas, Blake Samper

Landscape Architecture Masters & Design Theses - Archive

The purpose of this research is to observe and identify the social interactions in pedestrian spaces immediately surrounding soccer fields during Hispanic soccer league matches in Dallas, Texas. The research uses passive observation of spectators at Hispanic soccer league matches in the Dallas area to determine which activities are prevalent and which types of spaces are most commonly used and for what purpose. Recent immigration has greatly boosted the numbers of Hispanics living in North Central Texas (Price & Whitworth, 2004). This population increase is leading to wide demographic changes where immigrants settle. One of these shifts is occurring in …

Interprofessional Teaching And Learning In Health And Social Care Professions: An Evidence-Based Proposal For Interprofessional Education, Lee Franklin Koch, Helga Horn

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Background: Health and social care is fractured and highly specialized, frequently resulting in poor coordination of treatment, therapy and care, which in turn can negatively affect client outcomes. Interprofessional collaboration reduces these effects by improving the quality of care delivery. Interprofessional education/IPE is seen as an effective means of preparing future health and social care workers for interprofessional collaborative practice.

Research Questions: What recommendations for implementing IPE can be gleaned from the literature? How can these recommendations be applied to pre-licensure health and social care training programs at an institutional level?

Objectives: Formulate …

Predictors Of Substance Use Among Hispanic Men Residing Along The U.S.-Mexico Border, Elias Provencio-Vasquez, Joseph P. De Santis

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: Hispanic men in the United States experience disproportionate rates of substance use when compared to other ethnic groups. Previous research with the general population of Hispanic men has identified factors such as acculturation, depression, low self-esteem, sexual orientation, discrimination, and poverty that are related to substance use. Despite the body of research on substance use among Hispanic men, few studies to date have focused on Hispanic men residing along the U.S.-Mexico border. The U.S.-Mexico border area is a unique environment with a distinctive population at risk for a number of health disparities, …

Toward Therapeutics For Symptom Clusters During The Menopausal Transition And Early Postmenopause: A Systematic Review, Nancy Fugate Woods, Annette Thomas, Ellen Sullivan Mitchell, Janet Schnall, Lisa Taylor-Swanson, Rita Ismail, Lori Cray

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Systematically review clinical trials of Traditional East Asian Medicine, herbals, soy and isoflavone preparations, and body-mind therapies for managing symptoms of hot flashes and at least one additional symptom, including mood, sleep, pain, and cognitive symptoms.

Methods: Searched PubMED/Medline, CINAHL Plus, PsycInfo, Cochrane Database of Systematic Reviews, Cochrane Central Register of Controlled Trials, Web of Science, EMBASE, AMED, and Alt-Health Watch for randomized controlled trials reported in English between 2004 and 2012. Of 1193 abstracts identified, 59 trials included data on hot flash and at least one other symptom.

Results: Several trials …

Adolescent Mother's Experience Of Parenting One Year After Delivery, Josephine Mary Devito

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this research is to describe the lived experience of parenting for adolescent mothers one year after the birth of their child.

Methods: This is a qualitative nursing research study using a phenomenology design. Focus groups, interviews, and follow up questionnaries were used to obtain the data. This study investigated the question, "What is the lived experience of 'being a mother' and a 'parent' for adolesecnt mothers 12 months after the delivery of their child?" A sample of 17 adolescent mothers from a post partum clinic participated and completed the …

Stress, Coping And Well-Being In Lebanese Entering College Students, Rita Doumit

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: A theoretical framework for adolescent coping has been developed but not tested in contexts of high uncertainty. This study aimed to test the applicability of the Seiffge-Krenke model to Lebanese entering college students.

Methods: A descriptive correlational cross-sectional design was used to explore the relationships of stress, uncertainty, resilience, religiosity, socioeconomic status, social support to coping and well-being in Lebanese newly admitted college students. A sample of 293 college students enrolled in a private university completed a self-reported survey.

Results: Results indicated that future, school, self, and parents were the most stressful …

Development Of Trust In The Nurse-Patient Relationship With Hospitalized Mexican-American Patients, Sharon M. Jones

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Trust is an important component of patient-centered care and culturally competent care and a major element (confianza) in the Hispanic culture throughout the world. Knowing how trust develops with the Mexican American patient is important, yet this process is not empirically known. Purpose: To conceptualize the process of the development of interpersonal trust between the nurse and the hospitalized Mexican American patient. Methods: The classical grounded theory method was used to generate a theory related to the development of interpersonal trust. There was no theoretical framework at the outset of this study. English-speaking …

Grandparenthood And Intergenerational Relationships: A Review Of The Literature, Rogerio Clemente Rodrigues, Isabel Mendes, Zaida Azeredo, Rosa Cristina Correia Lopes

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: To review published studies about the role of grandparenthood and the intergenerational relationship in contemporary western society. Methods: As a result of demographic changes, the grandparent/grandchild relationship has the potential for spanning three to four decades of life. As a consequence, grandparenthood and its associated roles and relationships are achieving a growing prominence in contemporary Western society. By this way intergenerational support relationships between grandparents and grandchildren are a reality that can improve the communication among generations. It was realised a literature review using data bases in B-On, Academic Google, and Pub-Med. …

Day-To-Day Experience Of Thais Living With Heart Failure: A Phenomenological Study, Chantira Chiaranai

International Nursing Research Congress (INRC)

Session presented on: Monday, July 22, 2013:

Purpose: Although there is a significant body of literature addressing heart failure (HF) epidemiology, physiology, and treatment, little is known about the experiences of Thai patients living with this chronic disease. The primary goal of this study was to gain a better understanding of how Thai patients with HF live with chronic and debilitating illness.

Methods: The phenomenological approach was chosen to investigate the experience of living with HF. Fifteen men and women Thai patients with HF in New York Heart Association classes I-III, aged 47 and 75 years, were interviewed with open-ended …

The Results Of Research That Was Made Using The Barriers Scale Between The Years 2000 And 2012: A Systematic Review In Turkey, Fatma Ay, Nuran Gencturk

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013: Purpose: The aim of this systematic review was to examine the state of knowledge resulting from use of the BARRIERS scale and to determine the main barriers. Methods: Turkiye Citation Index (2000 to October 2012), Medline (2000 to October 2012) and CINHAL (2000 to October 2012) were searched for published research. The search were performed using the key words (BARRIERS scale, research utilization scale, T'rkiye, Turkey etc.) Inclusion criteria were: studies using the BARRIERS scale in its entirety and where the sample was nurses in between 2000-2012 years. Results: We examined articles, this …

Developing And Implementing A Bilingual Web-Based Hiv/Sti Prevention Intervention Targeting At-Risk Latina Adolescents: Lessons Learned, Angela Chia-Chen Chen, Marguerita Lightfoot, Cathy Strachan Lindenberg

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: HIV/STI has disproportionately affected women of color. Latinos are the second largest ethnic group affected by the HIV/AIDS epidemic. This paper describes the process of developing and implementing a bilingual, web-based HIV/STI prevention intervention targeting Latinas aged 15-19.

Methods: An expanded Information-Motivation-Behavioral skills model guided the development of GirlSmart. We developed intervention materials adapted from prior work and other evidence-based programs. GirlSmart aimed to increase young Latina's knowledge and motivation to engage in protective sexual behaviors and empower them to initiate and maintain HIV/STI preventive behaviors through online skills building. Development of …

An Action Teaching In The Course Of Clinical Case Study And Practicum On Nursing Students' Abilities Of Clinical Reasoning, Evidence-Based Nursing, And Creative Thinking, Ya Lie Ku, Pei-Yu Lee, Chin Tang Tu, Man-Hua Shen, Chien-Lin Kuo

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: The purpose of this study was to explore the effect of merging an action teaching method into a course of clinical case study and practicum on nursing students' clinical reasoning, evidence-based nursing and creative thinking abilities. The course consisted of 14 weeks with four hours of teaching each week using various teaching methods such as lecturing, inquiring, discussion, leading, and activities.

Methods: This study was divided into two stages: During the first stage, the researcher demonstrated the nursing process of clinical reasoning and evidence-based nursing, and four groups of nursing students were …

Acculturation And Mental Health Issues For Immigrant Family Caregivers And Home Care Workers, Arlene Michaels Miller, Louis Fogg, Olga Sorokin

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Nearly one-fifth of the U.S. population is projected to be more than 65 years old by 2030. A proportional increase is expected in the demand for both family and non-family caregivers whose personal and household assistance enables elders to remain in their homes longer. Immigrants, who comprise a critical component of this workforce, are particularly vulnerable to isolation and depression. This study examines correlates of depressed mood among Russian-speaking family caregivers and non-family home care workers (HCWs).

Methods: Self-report questionnaires were distributed during in-service education at a Chicago home care agency. The …

Illness Perception Of Chinese Colon/Gi Cancer Patients, Fang-Yu Chou

International Nursing Research Congress (INRC)

Session presented on: Wednesday, July 24, 2013:

Purpose: Cancer patients' illness perception will affect how they manage and cope with their diseases. It is essential to examine perception of cancer among cross-cultural patients. This paper presents the results of illness perception reported from a sample of Chinese Colon/GI cancer patients in Taiwan.

Methods: Chinese Colon/GI cancer patients (N = 54) were recruited at cancer treatment infusion units of a metropolitan medical center in Northern Taiwan from May to August 2011. The existing Chinese-Traditional version of Illness Perception Questionnaire (IPQ-R) was used in the study. The results were analyzed based on …

Breastfeeding Behavior And Sleep Of New Mothers In A Predominantly Low-Income And Ethnically Diverse Sample, Therese Doan, Kathryn A. Lee

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: To add to current knowledge about sleep and breastfeeding behavior of new mothers in order to promote exclusive breastfeeding in the first month postpartum, a vulnerable time frame for infant formula supplementation and early breastfeeding cessation.

Objective: The objective of this study was to describe and compare the sleep of women who exclusively breastfed at night to those who used formula in the first month postpartum. Methods: Both objective and subjective measures of sleep were obtained using actigraphy, diary, and self-report data from a predominantly low-income and ethnically diverse sample of 120 …

The Evaluation Of Service-Learning As An Innovative Strategy To Enhance Bsn Students' Transcultural Self-Efficacy, Theresa M. Adams

International Nursing Research Congress (INRC)

Session presented on: Thursday, July 25, 2013:

Purpose: This quasi-experimental study evaluated service-learning as an innovative strategy to change generic baccalaureate nursing students's perceived self-efficacy in providing culturally competent nursing care.

Methods: One intervention group (n = 42) completed a service-learning experience and the other (n = 69) completed an interview with a client from another culture. Demographic information was obtained and the Transcultural Self-Efficacy Tool was administered to all study participants pre and post the intervention.

Results: Repeated measures MANOVA results revealed an intervention elicited a statistically significant increase (p < .001) in self-efficacy strength (SEST) scores for the affective, cognitive, and practical subscales and for composite SEST scores. MANOVA results revealed pre-test SEST scores were significantly different depending on the participants' language (p = .001) and race (p < .001). Follow-up univariate ANOVAs (with Bonferroni correction) indicated that all three pre-test SEST scores were significantly different depending on race: Affective: F (1, 109) = 11.75, p = .001, ?2 = .097; Cognitive: F (1, 109) = 6.34, p = .013, ?2 =. 055; and, Practical: F (1, 109) = 19.27, p = .000, ?2 = .150. Univariate ANOVAs of the composite pre-test scores revealed a significant difference for language, F (1, 109) = 15.67, p < .001, partial ?2 = .126 and for race, F (1, 109) = 19.73, p < .001, partial ?2 = .145. A repeated measures MANOVA revealed there was no significant difference in improvement of SEST scores in any subscale, based on the type of intervention. Repeated measures MANOVA results revealed a significant interactive effect between intervention and race (p < .05).

Conclusion: Results of this study provide evidence that transcultural …

Social Determinants Of Women's Mental Health And Barriers To Help-Seeking In Three Ethnically Diverse, Impoverished, And Underserved Communities, Mary Molewyk-Doornbos, Joleen Degroot, Gail Landheer Zandee

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: Depression and anxiety are significant mental health issues in the United States today that tend to affect ethnically diverse, impoverished women disproportionately. These mental health issues create situations of significant burden particularly when access to care, and specifically culturally congruent care, is limited. In keeping with the newly identified Healthy People 2020 topic, the purpose of this study was to identify social determinants of mental health and barriers to help seeking in three urban, ethnically diverse, underserved, and impoverished neighborhoods.

Methods: Using the ideological perspective of community based participatory research and in …

The Effects Of Reiki On Total Knee Surgery, Barbara Byrne Notte, Carol Fazzini, Ruth A. Mooney

International Nursing Research Congress (INRC)

Session presented on: Tuesday, July 23, 2013:

Purpose: The purpose of this study was to determine the impact of Reiki therapy on total knee replacement patients' pain perception and satisfaction with Reiki therapy.

Methods: Forty-four subjects scheduled for total knee replacement were randomized into Reiki (23) and non-Reiki (21) groups. Pain was assessed before and after Reiki therapy in the pre-operative area, PACU, and three postoperative days. A survey was distributed the day of discharge to measure satisfaction with Reiki. Data related to pain analgesia used was collected for all subjects.

Results: Using t-tests to compare pain ratings pre and …

A Systematic Review Of Non-Pharmaceutical Interventions To Reduce Fatigue In Adults Receiving Hemodialysis, Kim Schafer Astroth, Janet L. Welch, Cynthia Russell

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013: Purpose: The United States has one of the highest rates of chronic kidney disease stage five, with hemodialysis the most common mode of treatment. Fatigue is a common complaint in 65 to 91% of those receiving hemodialysis. Fatigue can have widespread effects including decreased physical function, quality of life, and ability to perform activities of daily living; increased fatigue is also associated with reduced survival. Because fatigue is frequently reported as bothersome, nurses must discover effective ways to assist patients to manage this symptom. The purpose of this systematic review is to examine …

Investors For Citadele To Be Sought By Societe Generale Sa, Citadele

Documents

No abstract provided.

Mother-Child Relationship, Adolescent Daily Hassles, And Adolescent Behavior Problems In Arab Muslims: A Latent Growth Curve Approach, Karen Aroian, Thomas Templin, Edythe Hough

International Nursing Research Congress (INRC)

Session presented on: Friday, July 26, 2013:

Purpose: Our previous research findings about Arab Muslim youth documented that adolescent daily hassles and poor quality of mother-child relationships had strong direct effects on adolescent behavior problems at two different time points. The present study examines the separate and interactive effects of mother-child relationship and adolescent daily hassles on adolescent behavior problems over time.

Methods: Data were collected from 454 dyads of Arab Muslim immigrant mothers and their adolescents three times at approximately 18-month intervals. Both mothers and youth completed a measure of the quality of the mother-child relationship and a measure …