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Sepsis Mortality Reduction Project At Contra Costa Regional Medical Center & Health Center, Lai Ping Atalanta Wan

International Nursing Research Congress (INRC)

The purpose of this presentation is to describe our improvement journey of the sepsis mortality reduction project at Contra Costa Regional Medical Center in California, United State, and the outstanding results that we have accomplished using Early Goal Directed Therapy guidelines and an interdisciplinary approach.

The Knowledge Of Blood Pressure Measurement Affecting Medication Adherence In Patients With Hypertension, Yu Fang Lin, Chia-Chi Chang, Pei-Shan Tsai

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To determine whether a relationship existed between the knowledge of blood pressure measurement and adherence to medications among hypertensive patients.

Methods: Data from a longitudinal study investigating the effect of 16-week self-blood-pressure monitoring intervention program among hypertensive patients. Subjects were recruited from outpatient clinics of a medical center and a community health service center. All participants completed the Knowledge of Blood Pressure Measurement Scale (KBPM scale) and the Health Behaviors Scale which consists of four subscales (i.e., diet control behavior, exercise behavior, scheduled appointments, and medication adherence). Descriptive statistics and multivariate linear …

The Development Of Educational Tool To Support Disease Management Nurses For Preventing The Recurrence Of Brain Infarction, Yasuko Fukuoka, Yae Takeshita, Michiko Moriyama, Masahiro Kamouchi

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Background Stroke, including brain infarction, is the top cause of producing care-needy condition and one of the highest disease categories of national medical expenditure in Japan (Health and Welfare Statistics Association., 2010) as well as other developed countries (Johnston, 2008). Stroke is reported as a high recurrence rate (Hata et al., 2005), and is aggravated by a recurrence even if it was a mild disability at the first time (Hankey, Jamrozik, & Broadhurst, 2002). For preventing the recurrence, Stroke evidence-based clinical guideline 2009, Japan, recommends to control risk factors with medication and …

The Experiences Of Families To Care The Children With Asthma During The Developmental Transition: A Mixed Method, Li-Chi Chiang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To explore the experience of families having children with asthma to transfer the responsibilities of asthma self-management during the development transition period. Design: A mixed method study was used to explore the experiences of families to care the children with asthma during the developmental transition stage.

Methods: Twenty parents and children with asthma dyad were interviewed and followed by structure questionnaire from preschool to school-age transition stage. The qualitative data was transcribed and analyzed by the content analysis. The structure questionnaires including the self-management of children and parents, family function and children's …

Exploration Of Undocumented Antenatal Domestic Violence, Kaye I. Bultemeier, Amy Jelley, Rebecca Raymond, Robin Wilson

International Nursing Research Congress (INRC)

Studies indicate that 22% of women in the US admit partner abuse during pregnancy. An additional 6.5% indicate they have never informed their health care provider of the abuse. Abuse is noted to increase with psychosocial stress. Whitley County Kentucky is noted for the fact that 26% of the residents live below the poverty level and unemployment rates are above 10%. Infant death rates are 11.4/1000 live births versus the state average of 7.8/1000. This study therefore will explore undocumented domestic violence against women during pregnancy among pregnant women in rural Kentucky. Purpose: To explore the incidence and types of …

Health Status, Healthy Lifestyle, Activity, Perception Of Health, And Health Services: Differences Between Baby Boomer Women And Elderly Women In Korea, Narae Heo, Jiyoung Kim

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this was to investigate the health status, healthy lifestyle, activity, perception of health, and health services between Baby Boomer Women and Elder Women in Korea.

Methods: The data were derived from the 2011 Korea Health Panel annual survey database (?-version 2.0) by National Health Insurance Services [NHIS] and Korea Institute for Health and Social Affairs [KIHSA]. Based on the database on the 170,350 Korean who had ever used Health Services in 2011, data of the number of women aged 50 or older were used for this study (N=3559). They …

Nurses' Needs To Competently Care For Transitioning Pediatric-Sized Adult Patients, Lauren Hyatt

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this presentation is to present an education plan for nurses caring for transitioning pediatric-sized adult patients in the adult health care setting. In today's world of advanced healthcare practices, children with chronic childhood illnesses are beginning to survive into adulthood (McDonnell, Kocolas, Roosevelt, & Yetman, 2010). As a result, nurses, physicians, and other members of the healthcare team are faced with the challenge of how to properly care for them. In placing them in the adult hospital setting, the nurse must encompass the knowledge and skill set to safely …

Telling It Like It Is: The Lived Experience Of Young People With Type 1 Diabetes In Rural Australia, Ainsley M. James

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this research is to provide an understanding or awareness of what life is like for a young person with Type 1 diabetes living in a rural environment, the challenges they face and the impact (or influence) chronic illness may have on these aspects. Healthcare professionals will be better placed to provide relevant, contextual and adolescent specific care to young people experiencing chronic illness; care that takes into consideration the impact Type 1 diabetes has on a young person at various points in their life by tailoring care that 'fits' …

A Comparative Analysis Of Nursing Students' Knowledge, Attitude, Perception And Self-Efficacy Of Child Abuse And Neglect Cases In The Cross-National Research, Pei-Yu Lee

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: To conduct a cross-national research on the current situation of the nursing students' knowledge, attitude, perception and self-efficacy on child abuse and neglect through structured questionnaires and to analyze the similarities and differences in the findings in different countries.

Methods: A cross-sectional and convenient sampling was used and recruited 200 participants fromTaiwan & Australia's nursing schools. The participants must conform to the following criteria: (1) should be undergraduate nursing students; (2) with clinical practice experiences; (3) understand the purpose and methods of this research and are willing to participate in this research. …

Application Of Root Cause Analysis To Improve The Safety Of Patients: A Case Study Of Adverse Event, Fang-Ru Lin

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Head trauma and limb fracture are common consequences of falls in children. The aim of this study was to describe the adverse event with falls children in hospitalized. We used root cause analysis to survey the adverse event on practices relevant to improving patient safety.

Methods: The setting of this study was about a 24-bed pediatric oncology ward in northern regional teaching hospital in Taiwan from January, 2010 to November, 2013. The first applied instrument was based on literatures review. We would retrospectively chart review and 'reporting system of medical incidents' describing …

Effects Of A Cultural Competence Education Program For Nursing Students In Taiwan, Chia-Jung Lin, Mei-Chih Huang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: Cultural competent care is an essential ability for nursing students in current Taiwanese global context. However, little is known about nursing students' knowledge, attitude, skill and behavior of cultural competence. Moreover, the creative cultural competence courses were designed and aimed to build up the nursing students' abilities on cultural competence care in clinical setting. The effects of educational intervention are eagerly concerned and require to be evaluated.

Purpose: The purpose of this study was to investigate the effectiveness of a selective course on enhancing nursing student's knowledge, attitude, skill and behavior of …

Healthcare Needs During Pregnancy, Childbirth, And Childrearing Of Chinese Immigrant Women In Korea, Geum-Hee Jeong, Kyungwon Kim, Sunghee Baik

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: With the increase in international marriage, the number of immigrant women who were married to Korean men has been on the rise to 120,146 in 2010. Major portion of those who immigrated to Korea through interracial marriage was Chinese. Married immigrant women are usually lack of appropriate health intervention and educational services. They were more likely to have problems before and after giving birth than the native Korean women. Therefore, this study was conducted to identify health care needs for the entire process of reproduction, including pregnancy, delivery, postpartum care, and childrearing, …

Using Evidence Integrated E-Learning To Enhance The Case Management Continuing Education For Taiwanese Psychiatric Nurses, Wen-I Liu, Jiin-Ru Rong

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this paper is to describe the development and effectiveness of an evidence-integrated e-learning to enhance the continuing education of case management for Taiwanese psychiatric nurses.

Methods: The development of the e-learning program was divided into four stages: 1. Identifying current evidence for e learning and case management education through systematic review articles; 2. conducting a national survey and a focus group to confirm the educational needs; 3. developing teaching materials; and 4. performing a preliminary evaluation of the program with 40 nurses to improve the program quality. The e-learning …

Hot Topics In Nurse Practitioner Clinical Education: An Evidenced-Based Review, Julie A. Stanik-Hutt, Benita Walton-Moss

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Clinical competence is the core of NP practice. High quality clinical education is crucial to the development of NP competence. The purpose of this presentation is to discuss controversial issues related to clinical preparation of NPs. Evidence on the four issues will be presented and discussed, including: registered nurse (RN) experience prior to NP preparation, requirements for a minimum number of hours of student clinical practicum, use of simulation to supplement or replace clinical practica, and incorporation of interprofessional education (IPE) in order to produce graduates who are ready to create interprofessional practice. …

The Effectiveness Of Music Interventions On Reducing Anxiety, Sedative Requirements, Pain, And Improving Physiological Outcomes And Satisfaction Among Adult Patients Undergoing Colonoscopy: A Systematic Review Protocol, Shuk Yee Ko, Janita Pak-Chun Chau

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background: Anxiety and pain are common problems in patients undergoing a colonoscopy procedure. High levels of anxiety may result in more difficult and painful procedures, incomplete procedures, greater medication uses, increased likelihood of sedative-related complications, and prevent the patients from undertaking the examination (Stirling et al., 2007). High anxiety levels may also lead to negative physiological outcomes including elevated blood cortisol levels, increased blood pressure, heart rates, and respiratory rates. Music is well recognized as an important and safe intervention to aid the healing processes (Johnson et al., 2012). Music intervention has been …

Relation Of Perception Of Career Ladder System, Job Satisfaction, Intention To Leave Among Perioperative Nurses, Sena Chae

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: This study is the descriptive correlation study to provide the useful data for establishing strategies to improve career ladder system.

Methods: The subjects of the study are 154 of perioperative nurses of a general hospital in Seoul. The data were collected from April 16th to April 22th, 2013. The structured questionnaire used for this study included, the perception measurement tool of the career ladder system developed by Park Gwangok and Lee Yoonyoung (2010) the job satisfaction measurement tool for perioperative nurses developed by Yoon Gyesook and Park Seongae (2009) and the intention …

Views Of Women Regarding Infant Feeding Practices Of Hiv Exposed Children In Vhembe District, Limpopo Province South Africa, Patrone Rebecca Risenga

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: South Africa consists of many cultural groups who manage pregnancy and lactation differently. Infant feeding is one of the best practices to promote life and reduce infant mortality rates that are escalating due to various issues including HIV/AIDS. HIV infection can be spread from mother to child during pregnancy, labour and delivery and as well as during breastfeeding. During PMTCT programme women are advised on feeding options such as breast feeding, and advised on measures to reduce the spread of HIV during the feeding process. The aim is to ensure zero HIV …

Psychometric Testing Of The Mandarin Chinese Version Of The Fatigue Severity Scale (Cfss) In Patients With Major Depressive Disorder, Mei-Yeh Wang, Pei-Shan Tsai, I-Chao Liu

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background: Fatigue is a symptom that is highly prevalent in patients with major depressive disorder (MDD) and as one of the most common residual symptoms that occurs in MDD. Aim The aim of the present study was to examine the psychometric properties of the Mandarin Chinese version of the Fatigue Severity Scale (CFSS) in MDD patients.

Methods: A total of 179 participants (101 MDD patients and 78 healthy controls) were included. The MDD patients were recruited from an outpatient department of psychiatry and currently under antidepressant treatment. The psychiatric diagnosis was confirmed by …

Factors Related Obesity Among Korean Workers By Occupational Type, Eunkyoung Lee, Eun Joo Ji

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Korean government has established a comprehensive national health plan, known as Health 2020, for nation-wide health promotion and, under the plan, set up goals to deal with smoking, drinking, exercise, nutrition issues and acted upon them. However, the rate of prevalence of obesity among adults, 31.9% in 2011, haven't declined significantly. Obesity is caused by chronic energy imbalance and it gives rise to changes in the physiological level of insulin resistance, blood sugar, triglycerides, and blood pressure. And it is classified as cardiovascular risk factors. Therefore, obesity becomes a cause of premature …

The Effect Of The Burnout On The Negative And Positive Automatic Thought In A Japanese Nurse, Takashi Ohue, Michiko Moriyama, Takashi Nakaya

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study is to examine the effect on a burnout of the negative automatic thought and positive automatic thought in a nurse, and to consider effective cognitive approach.

Methods: A total of 336 nurses (27 males and 309 females) who worked at 5 acute-care hospitals were asked to complete a questionnaire that was designed to determine the status of burnout (Maslach Burnout Inventory:MBI) and automatic thoughts (Automatic Thoughts Questionnare-Revised). Ethical considerations : The protocol of this study was approved by the Hiroshima University Ethics Committee, Japan. The objectives and …

Development Of A New Growth And Development Sectors For The Family System Unit, Junko Honda, Naohiro Hohashi

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: "Family Development Theory" is a theory utilized when performing family assessment in the area of family nursing. However in modern families diversity has become pronounced, and it has become difficult to apply family development theories that are based on the traditional family model. The authors, based on family members' perception of changes in the structure and function of families, have developed and repeatedly revised the "Growth and Development Sectors for the Family System Unit" which they are proposing as a replacement for family development theory. In this study, in order to further …

Personal Weight Beliefs Predictive Of Eating Behavior Patterns And Actual Weight In Young African-American Women, Stephanie Pickett

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Over 80% of African American (AA) women in the United States (US) are overweight or obese. Weight management in AA women is multifaceted and not completely understood. However, cultural beliefs about weight suggest that many AA women hold beliefs about their weight that may interfere with a desire to engage in behaviors for weight management, it is not known whether personal weight beliefs are predictive of weight management behavior. Personal weight beliefs were defined as a multidimensional concept consisting of three domains including the descriptive characteristics, causal attributions, and consequences of one's …

Health Status Of Postpartum Women: Bladder Symptoms, Postpartum Depression, And Physical Activity, Jeung-Im Kim, Young-Mi Yang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The overall purpose of this study was to determine the levels and the associations among postpartum health outcomes. The specific research objectives were as follows; first, to describe general and obstetric characteristics, secondly to describe the levels of the bladder syndrome, postpartum depression, physical activities and postpartum fatigue, thirdly to explain the differences of health outcomes at time-points. Lastly it was aimed to show the associations of the health outcomes.

Methods: Study design was a cross-sectional research, at time-points of 4-, 8-, and 12 weeks to know the changes over the time. …

The Association Between Laryngectomized Patients' Quality Of Life And Their Medical Treatment, Kazuyo Iwanaga, Kumiko Kotake, Kaori Haba, Yuki Nagamatsu, Yoshimi Suzukamo, Aya Takahashi, Rieko Kawamoto, Ichiro Kai

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this study is to clarify the association between the quality of life (QOL) and medical treatment by comparing the QOL of patients who underwent total laryngectomy with that of patients who underwent both total laryngectomy and radiation therapy from the period of time before discharge from a hospital to 12 months after it.

Methods: Subjects were 58 patients who underwent total laryngectomy in three hospitals located in Prefecture A, Japan, agreed to participate in the research, and returned questionnaires before discharge from hospitals and 3, 6, 12 months after …

Health And Social Service Utilization And Postpartum Depression Among Childbearing Chinese New Immigrants In Canada, Tsorng-Yeh Lee

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To explore how Chinese women who immigrated to Canada in the last 5 years access and use maternity care services, their support system and postpartum emotional well being. Background: Culturally and linguistically appropriate health care is suggested by many researchers as a necessity for all immigrants in Canada. Relatively little research examines the access and use of maternity care services by immigrant women in Canada, especially Chinese immigrants. Chinese women practice special culture-based behaviours and eat a special diet during pregnancy and postpartum. Exploring these cultural practices and preferences will contribute to …

The Influence Of Participation In Self-Help Groups On Laryngectomized Patients, Kaori Haba, Rieko Kawamoto, Yoshimi Suzukamo, Kazuyo Iwanaga, Ichiro Kai, Aya Takahashi, Kumiko Kotake, Yuki Nagamatsu

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this study is to clarify factors affecting laryngectomized patients' participation in self-help groups and to examine the support for laryngectomized patients' participation in self-help groups and for the promotion of their social participation.

Methods: Subjects were 893 laryngectomized patients who agreed to participate in this research among 1,828 laryngectomized patients registered in self-help groups in Tokyo and Kyushu-Okinawa region in Japan. Survey content was basic attributes (age, sex, the number of years after undergoing laryngectomy, occupation at the time of investigation, family structure, and the main method of conversation) …

The Effect Of Characteristics Of Medical Market And Institutions On Staff-Mixing Level Of Long-Term Care Hospitals, Hanju Lee, Dong Hwan Kim, Hee Sun Kang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: As the number of long-term care hospitals has quickly increased in Korea with a rapidly aging population, it is time to provide appropriate services for patients not only quantitative but also qualitative perspective. Professional nursing services which are provided in long-term care hospitals that performs as an intermediary care-given institution between acute care facilities and nursing homes, is very important to ensure patients safety. It is considered that the level of staff-mixing reflects the quality of nursing service. However, the current system that allows nursing aides to serve as part of registered …

The Carers Of People With Dementia In The Sub-Acute Facility: A Qualitative Study, Allison Fiona Williams, Kimberley Crawford, Melissa Bloomer, Robin Digby

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: When a person with dementia is receiving in-hospital treatment, transitioning through the hospital system and subsequently assessed as requiring residential care, family caregivers may feel overwhelmed and disempowered by the healthcare system (Haesler et al. 2010). There is a danger that the caregiver will feel excluded from decision-making and uncertain about their role as key provider of care for their relative (Efraimsson et al.2006). Although there is a growing body of literature exploring family involvement in the care of persons with dementia in Australia and internationally, minimal research has been conducted on …

Integrating Genomics Into Nursing Education, Ann H. Maradiegue, Quannetta T. Edwards

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

To provide nursing faculty with strategies and resources to be able to integrate genomic information into their existing curriculum. Evidence: Nurses must be knowledgeable in the current scientific discoveries related to health care in order to practice effectively. Recent genomic advances include novel drug therapies, more nuanced reproductive counselling and reproductive options, enhanced risk assessment, and expanded clinical laboratory testing. Genomic discoveries are expected to transform future health care and nurses are 'key' to this transformation. As the largest healthcare discipline, nurses are in the position to educate, care for and manage individuals …

Risk Factors And Outcomes Associated With Initial Use Of Inappropriate Indwelling Urinary Catheters Among Hospitalized Elderly Patients, Shih-Ting Piao

International Nursing Research Congress (INRC)

Purpose: The aim of this study was to explore the risk factors and clinical outcomes for initiation of inappropriate urinary catheterization among hospitalized elderly in Southern Taiwan. Methods: The subjects were selected with a purposive sampling method at a medical center in Southern Taiwan from October 29, 2012 to May 19, 2013. A prospective study was conducted to collect data from hospitalized elders who used IUCs within 48 hours after admission. One hundred and fifteen patients were recruited. Data was collected including: demographic variables, Charlson Comorbidity Index, Katz Index of Independence in Activities of Daily Living, Geriatric Depression Scale Short …