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A Study On Improving Nursing Instruction For Post Total Knee Replacement Patients In Orthopedic Ward In Taiwan, Fung-Yu Kang, Pei-Jung Yu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Preparation, education, continuity of care for patients are essential after a total knee replacement, especially they are almost elderly. The patient and family members are most likely to be scared and frustrated because it is difficult for them to get around with home care after a total knee replacement. The purpose of this study was designed to promote the nursing instruction rate for post total knee replacement patients in orthopedic ward. In our work place, we found unsatisfied poor outcomes with the home care of post total knee replacement patients; therefore, we carry …

Application Of Andersen Model To Verify Utilization Of Maternal And Child's Preventive Care Among South-East Asian Immigrant Women In Taiwan: Influence Of Acculturation And Associated Factors, Shu-Fen Kuo, Ching-Min Chen, Wen-Yin Chang

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This is a report of utilization of maternal and child's preventive care based on Andersen health seeking behavior model. The purpose of this study was to examine the predisposing, enabling, need factors among immigrant women in Taiwan, and further to explore acculturation and other predictors of both utilizations.

Methods: A cross-sectional survey was conducted. Immigrant women who were living in Taiwan with their Taiwanese husbands and with children under 7 years old were included. Andersen behavior model (1995) was used to identify influencing factors with acculturation and medical access barrier be added …

Beyond The Braden Scale: Effectiveness Of A Small Group Educational Program On Neuro-Nurses' Braden Risk Assessment Scores And Number Of Preventative Nursing Interventions, Shakira Lita Ismay Henderson

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Hospital-acquired pressure ulcers remain an utmost healthcare concern because of the significant emotional and physical toll on the patient and the large financial impact on hospitals. With an incidence rate of 38% and a total annual cost of approximately $11 billion dollars in the United States, the Center for Medicare and Medicaid Service will not reimburse for these injuries. Neurological patients are even more susceptible to pressure ulcer formation than most patients. Consequently, neuro- nurses are charged with being implementation experts of preventative nursing interventions in response to their risk assessments. Yet …

Spotlight On Practice: Achieving Excellence In Service, Accountability, And Professional Leadership, Rani Hajela Srivastava, Jane Paterson, Gabriella Golea, Margaret Gehrs

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

While much has been written about the implementation of Nursing best practice guidelines within hospitals, there is a dearth of evidence on how to support such implementation within a mental health and addictions environment, and in an integrated interprofessional manner. This presentation will describe how one large mental health and addictions academic teaching hospital endeavored to promote best practice guidelines (BPG's) as part of a new strategic direction and practice plan. It will highlight how the unique aspects of organizational culture were considered during the selection, development, implementation, and evaluation of BPG's in …

Dyspnea Management Experiences Among Patients With Chronic Obstructive Pulmonary Disease: A Qualitative Study, Wei-Chun Lin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Dyspnea is the primary chief complains for patients with chronic obstructive pulmonary disease (COPD). Dyspnea refers to the subjective perception of illness used to describe 'a subjective experience of breathing discomfort that consists of qualitatively distinct sensations of varying intensity'. This experience is derived from the influences of physiological, psychological, social, and environmental factors and results in physiological and behavioral reactions. For patients with COPD, dyspnea is a subjective body feeling that often creates enormous distress for patients. However, most of dyspnea health examination and measurement are from objective data. There were …

Measured Noise Levels In The Hospital With Correlating Patient Perception, Mercy Ngosa Mumba, Deborah F. Behan, Rachel Marie Lyle

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The primary objective of this study were to (1) determine de-identified patient perceptions of noise and compare with the actual current noise levels within their rooms. Other objectives of this study were to: (2) determine the actual decibels of noise within the hospital, including the nurse's station, hallways, and patient rooms; (3) determine the noise sources occurring within the rooms and hallways at the time of decibel measurement; and (4) identify the most disturbing causes of noise to the de-identified patients.

Methods: This was a quantitative study with a two-part design. It …

Knowledge, Attitude, And Rejecting Use Behavior Of Trans-Fatty Acid Among Children, Shu Yu, Chun-Hsia Huang

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Health damage due to trans-fatty acid (TFA) is an important issue around the world, however there is a relatively few studies to explore TFA, particularly for children. The main purpose of this study consisted of investigating children's rejecting TFA use behavior as well as identifying influencing factors and predictors of the behavior.

Methods: A cross-sectional research design was conducted to 1086 children studying in the fifth and sixth grader in Taiwan (562 male occupied 51.75%; 524 female occupied 48.25%). A questionnaire was used to collect data.

Results: The main finding indicated that …

Fostering Global Citizenship In Nursing Education: The Role Of The United Nations, Hester C. Klopper, K. Joanne Mcglown

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

The session will begin with a power point presentation for background information, then progress to examples of successful programs on teaching global citizenship and a discussion of United Nations programs in developing global citizens. The implications of ECOSOC status will be discussed, including the opportunities for STTI and our members that exist with this status. The future vision of STTI's relationship with the UN will also be explored, with discussion of how attendees may best use the information from this presentation.

Baby Boy Jones: Using Technology To Engage Undergraduate Nursing Students In A Case-Based Learning Activity, Lisa M. Cleveland, Bonnie Taylor, Bruce Paper, Linda Grace Solis

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Case-based learning activities (CBLAs) are an effective strategy for teaching clinical reasoning and decision-making skills in the health sciences. Baby Boy Jones, our prototype CBLA focused on newborn infection, is an interactive, unfolding case scenario within the context of interprofessional care, deployed as a web-based independent learning activity. The purpose of this presentation is to describe the develpment of this CBLA, discuss learning outcomes and student attitudes as well as our plans for continued development of this project.

Methods: The CBLA, situated in the undergraduate maternal-newborn nursing course, was designed using SoftChalk' …

Friends Helping Friends: A Peer-Based Programme In Responding To Dating Violence In U.S., Angela Frederick Amar

International Nursing Research Congress (INRC)

Dating violence is a public health issues, affecting young women in the college campus. Despite the importance of dating violence, few prevention programs address peer roles and target community responses to dating violence. Providing education to peers on how to help a friend could increase their confidence to help and in turn, increase reporting to formal sources. As a result, we would provide the support and resources that could mitigate health, academic, and social consequences of interpersonal violence. Purpose: The purpose of this pilot study was to evaluate the effectiveness and feasibility of Friends Helping Friends, a community level education …

Qualitative Assessment Of Answer Letters Of Patients With Chronic Fatigue And A Psychiatric Disorder, Peter Vermeir, Liesbeth Delesie, Els Tobback, Dirk Vogelaers, Sophie Degroote, Dominique Vandijck

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Care delivery is a complex process, involving many different actors (physicians, nurses,'). Appropriate communication between those actors is of key to guarantee qualitative and thus safe care. Referral letters are one of the most important means of communication between care providers. The aim of this study was to perform a qualitative assessment of the content of referral letters (second to first level providers) of patients with chronic fatigue and a psychiatric disorder.

Methods: The study was conducted by the head nurse of the department of General Internal Medicine of Ghent University Hospital. …

Zero New Hiv And Tb Infection: Vision Impossible With The Current Management Of Lgbti Students In A Rural-Based University, Azwihangwisi Mavhandu-Mudzusi, Peter Thomas Sandy

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this study was to investigate the impact Homophobia has on HIV/AIDS management for LGBTI students in a South African Rural-Based University with the view of developing a "LGBTI-friendly" HIV/AIDS management model.

Methods: Interpretative Phenomenological Analysis (IPA) methodology was used to conduct this study. Individual interviews (n=12) and focus group interviews, (n=2 X 8) were used as data collection methods. An open interview format was adopted with the use of two open-ended questions focusing on the experience of stigma, descrimination and utilisation of the available HIV programmes on campus.

Results: …

Application Of Propensity Scores To Estimate The Association Between Cardiovascular Disease And Meridian Energy, Ping-Ho Chen, Chen-Jei Tai, Li-Yin Chien, Sheng-Miauh Huang

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background: According to the theories of Traditional Chinese Medicine (TCM), the physiological and pathological changes of the internal organs are presented on the external manifestation through meridian energy. But no documentation is available which shows the actual impact of cardiovascular disease (CVD) on meridian energy.

Purpose: This paper reports a study to describe the physiological indicators and the meridian energy among adult people. Also, the study explored the net impact of CVD on yin, yang, and overall meridian energy.

Methods: A health examination data at a university hospital in Taipei from 1st August …

Partnership-Based Health Care: Applying Principles Of Caring To Entire System, Teddie Potter

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

We know that Caring Science is very effective in relations with patients and families. We also know it is a key pillar of the nursing profession. However we sometimes lack the resources or tools to effectively apply caring science at the systems level. This presentation has several objectives. The first is to introduce the audience to two new theories for nursing practice, education, and research: The BASE of Nursing Practice, and Cultural Transformation Theory. Attendees will learn how these theories can support the application of Caring Science at a systems level. The second …

Changing Southern African Nurses' Roles In Antibiotic Stewardship: An Innovative Pedagogical Approach, Christine Amalia Varga

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this presentation is to describe the roles nurses can play in antimicrobial stewardship, lessons learned in the creation of health-related e-learning efforts in a developing country context. It will also illustrate means of encouraging inter-disciplinary strategies to antimicrobial steward through innovative pedagical approaches. Antimicrobial resistance (AMR) is an international health concern and major threat to global stability (Laxminarayan et al., 2007). While drug resistance is increasing worldwide, evidence suggests that AMR is disproportionately high in developing countries (Nweneka et al., 2009). This is certainly true for (southern) African countries, …

Prevalence Of Obesity In A National Representative Sample Of Taiwan Adolescents, Chen-Mei Chen

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To determine the prevalence of obesity in Taiwanese adolescents and important related variables.

Methods: This analysis was based on the Nutrition and Health Survey in Taiwan (NAHSIT) data during 2010 and 2011. The original study was a cross-sectional and national representative survey. A total of 1842 subjects (920 males and 922 females) aged 11-20 years participated. Research tools consisted of questionnaires and anthropometry parameters, and Taiwanese criteria were used to classify adolescents' weights. The acquired data were analyzed using descriptive and inferential statistics.

Results: The prevalence of obesity in Taiwanese adolescents was …

Robotic Pets As Companions For Socially Isolated Older Adults, Nancy E. Edwards, Alan M. Beck

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Robotic animals have been used in a variety of ways with older adults. Robotic animals have been used in a service function as assistive or physical aides and as an entertainment or companion role. Human interactive robots for entertainment and companionship are increasing in interest and research applications. This projects examined the influence of a 6 week interaction with a robotic dog (AIBO) on depressive symptoms, morale and life satisfaction in socially isolated older adults.

Methods: Fifteen older adults interacted with AIBO in their room in an assisted living facility for 6 …

Fall Prevention Algorithm For The Older Adult Population: A Dnp Project Utilizing Evidence-Based Practice And Translational Research, Jeffrey Williams

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Significance/Background: Prevention of falls in the older population is an important issue in patient safety. Assessing patients for fall risk is a standard part of the hospital admission process. The American Geriatrics Society (AGS), in collaboration with the British Geriatrics Society (BGS), revised and published an updated version of its previously published guideline entitled 'Falls Prevention in the Older Person.' The updated version is titled '2010 AGS/BGS Clinical Practice Guideline: Prevention of falls in older persons.'

Purpose: The purpose of this project was to decrease the risk of falling in the older adult …

The Effectiveness Of Exercise Program For Aerobic Fitness In Adults With Systemic Lupus Erythematosus: A Systematic Review And Meta-Analysis, Mei-Ling Wu

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: The purpose of this research aims to review current knowledge concerning the effectiveness of exercise program for cardiopulmonary function among systemic lupus erythematosus (SLE) patients. Furthermore, a meta-analysis was performed to examine the cumulative evidence of aerobic fitness.

Methods: Studies were identified through a systemic search process. The keywords used were exercise, physical exercise, therapeutic exercise, supervised exercise, exercise therapy, physical fitness, physical activity, exercise training, aerobic training, walking, bicycling, yoga, dancing, or jogging in combination with lupus or systemic lupus erythematosus. Inclusion criteria were experimental study, the intervention consists of a …

Connections For Learning: An Innovative Program To Support Culturally And Linguistically Diverse Students, Robyn E. Nash, Rena Frohman, Pamela M. Lemcke

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Cultural, academic and social challenges can present significant obstacles to culturally and linguistically diverse (CALD) students' achievement of personal and professional goals. This paper reports on the Connections for Learning Program (CLP), a collaborative, co-curricular initiative that supports undergraduate and postgraduate CALD students in the Faculty of Health at QUT. As expressed in the UNESCO Guidelines on Intercultural Education (2006), 'intercultural education cannot be just a simple 'add on' to the regular curriculum. It needs to concern the learning environment as a whole, as well as other dimensions of educational processes' (p. 19). …

On The Ground And From Afar: Stti & Global Nursing Organization Representatives To Un Ngo Community: A Place At The Table, Holly Shaw

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: In the inception of the UN, civil society was included to participate through representatives of NGOs. This presentation will focus on the experience of STTI representatives inside the UN NGO community and in the transnational CoNGO (Conference of NGOs in Consultative Status with the UN). Through DPI-NGO (Department of Public Information) and ECOSOC (Economic and Social Council) programs and NGO Committee participation, a voice for the nursing profession is emrging, providing an opportunity to contribute to global health issues.

Methods: STTI members will learn about the NGO UN Committees in the UN …

Obtaining Required Childhood Vaccinations: The Latino Immigrant Experience, Barbara Derose

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Vaccinations are an important step in preventing childhood illnesses and disease outbreaks in the community. Complete immunizations before school assure eligibility for enrollment and protect children against severe illness. The fact that foreign-born children of Latino immigrants face health disparities in receiving vaccinations is well documented. However, there is little information in the literature about the actual experience of immigrants facing the complexities of the health system, and through their eyes, which factors ultimately affect vaccination rates of immigrant Latino children. Purpose: The purpose of this study was to give voice to Latino …

Ebp Mentors In Action In A Real World Clinical Setting To Improve Care And Outcomes, Jacalyn S. Buck

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014: Purpose: Evidence-based practice mentors have been shown to be critical to effectively integrating and sustaining evidence-based practice and decision-making in clinical organizations. Methods: An exemplar of EBP mentors in action in a large, complex academic organization to improve care, outcomes, and cost will be presented. This healthcare organization had been building a cadre of EBP mentors over the past two years and when faced with a quality challenge, they called upon the knowledge and skills of their EBP mentors to find the best, evidence-based solutions and implement action plans to improve practices and …

Educating Nursing Students As Change Agents: A Case Study, Tanya R. Friese

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

In 1996, the Institute of Medicine Committee on Public Health proposed a model of engagement and collaboration of public health, community, and hospital partnerships to improve population health. Nearly seventeen years later, supported by aspects of the Affordable Care Act (ACA), this initiative requires a nursing workforce with leadership capabilities to transcend boundaries between the two sectors. At our college of nursing, faculty who teach public and community health nursing collaborate with the university medical center and community based organizations to develop caring and responsible nurses with clinical reasoning who are patient advocates …

Evaluation Of A Government Deployment Project For Unemployed Nurses As Input To Policy And Programmatic Directions, Josefina A. Tuazon

International Nursing Research Congress (INRC)

The purpose of this presentation is to evaluate implementation and outcomes of a government deployment project for unemployed nurses called Projects RNHEALS to underserved hospitals and community centers in terms of enhancing clinical and public health competencies and potential employability of deployed nurses as input to policy and programmatic directions.

Predictors Of Exercise Counseling Behaviors Of Oncology Nurses To Women With Breast Cancer Experiencing Treatment-Induced Cancer-Related Fatigue, Donna Ho-Shing

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Fatigue is the most common long-term side effect of breast cancer treatment. Exercise is beneficial in managing the fatigue that women experience during and after treatment. Although exercise counseling is included in the National Comprehensive Cancer Network's (NCCN) guidelines for managing cancer related fatigue, many women undergoing treatment for breast cancer have never been counseled to exercise. This reveals inconsistencies between clinical care behaviors and the national treatment guidelines. There has been limited empirical research of factors that influence the exercise counseling behaviors of nurses who care for women undergoing treatment for …

A Qualitative Study Of Family Members Of Icu Patients Who Require Extensive Monitoring, Claudia Disabatino Smith, Kristi M. Custard

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Monitoring technology has become more high tech and complex in healthcare over the last ten to fifteen years. The computer age has facilitated the development of a host of more sensitive invasive and non-invasive monitors with which healthcare professionals both monitor and deliver therapy to critically ill patients. Accompanied by the emergence of this extensive monitoring technology is a growing gap between the healthcare providers who use the technology when caring for critically ill patients and the patients' family members who strain to understand and cope with its use. In order to …

Breaking Bad News: Confronting Interdisciplinary Bias, Rita Ann Dello Stritto, Peggy A. Landrum

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: A critical component of safe patient care in today's health care system is effective teamwork. Teams composed of members from various health care disciplines depend upon successful interprofessional collaboration under stressful conditions to achieve desired health outcomes. The purpose of Phase I of this multifaceted project was to bring together healthcare students from multiple disciplines, including nursing, medicine, and pharmacy: a) to collaborate on planning and implementing an approach to managing a challenging patient care situation, and b) to identify their own biases, challenges, and successes with interprofessional communication.

Methods: In teams …

Basic Principles And Applications Of Community-Based Participatory Research To Advance Nursing Science In Hiv Prevention, Adeline Nyamathi, Deborah Koniak-Griffin

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

This session introduces participants to Community-Based Participatory Research (CBPR) and provides case illustrations of research applying this approach. Participants learn how CBPR, also known as community-partnered research, differs from traditional research; the rationale for using the approach and historical grounding in nursing; fundamental principles of how CBPR is conducted; and strategies to facilitate the planning of research in collaboration with the communities. The workshop also includes information on establishing effective community advisory boards. Guidelines are provided for implementation and evaluation of CBPR. The Anderson Community Partnership Model is presented with its process phases …

New Evidence-Based Practice Competencies For Practicing Nurses And Advanced Practice Nurses: From Development To Real World Implementation, Bernadette Mazurek Melnyk

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Even though research has supported that evidence-based practice (EBP) improves the quality of healthcare and patient outcomes, long time lags exist between the generation of research and its implementation into real world practice settings with EBP still not being the standard of practice by nurses across the globe. The lack of specific EBP competencies for practicing nurses and advanced practice nurses impedes institutions from implementing and sustaining high-value, low cost evidence-based healthcare. This symposium will describe the development of a set of specific EBP competencies practicing nurses and advanced practice nurses in real …