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Icu Diaries: The Journey To Psychological Recovery For Critically Ill Patient's Family Members, Carl Gosta Backman

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Delusional memories from the period of critical illness have been shown to be a major contributor to the later occurrence of post traumatic stress disorder (PTSD). The experience of watching the patient being critically ill is also traumatic to families, making them at risk of PTSD. It was hypothesised that an ICU diary could help patients and their families come to terms with their differing memories and so reduce the incidence of PTSD.

Methods: A prospective randomised, controlled study was performed in 12 ICUs across 6 European countries. 1 week after ICU …

Current Assessments Of Quality And Safety Competencies In Registered Professional Nurses: An Examination Of Nurse Leader Perceptions, Elaine Smith

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: The purpose of this study is to determine the degree of satisfaction nurse leaders possess with respect to the six Quality and Safety Education for Nurses (QSEN) core competencies :use of evidence- based practice; teamwork and collaboration; patient-centered care; quality improvement; safety ;and the use of informatics. Are these competencies reflected in the practice of new graduate registered nurses and in the practice of their incumbent experienced staffs? Nurse leaders differentiated their responses based on the educational level and experience level of the nurses. Additionally, teaching and learning resources within healthcare facilities …

Ed Community Placement Project (Edcpp): Right Service-Right Venue Approach In Managing Ed Frequent Users, Karen Elizabeth Mitchell

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014: ED Community Placement Project (EDCPP): Right Service -Right Venue approach in managing ED frequent users. Karen Elizabeth Mitchell, RN, MSN,CMCN, Department of Emergency Medicine, University of California San Diego Health System, San Diego, CA ED Community Placement Project (EDCPP): "Right Service -Right Venue" approach in managing ED frequent users. Authors: Karen Elizabeth Mitchell, RN, MSN, CMCN, Christian Tomaszewski, MD, MBA, and Catherina Mandani, RN, MSN, PhD(c). Background Statement: San Diego has the 3rd largest homeless population in the United States, following New York and Los Angeles. Homeless patients without medical homes account for …

A Mixed-Methods Study For Evaluating The Effect Of A Cultural And Contextual-Specific Exercise Program On Therapeutic Exercise Adherence Of Older People With Knee Osteoarthritis, Fung-Kam Iris Lee, Diana T. F. Lee, Winnie Kwok Wai So

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Knee osteoarthritis (KOA) is a common health problem in the older population (Gabriel & Michaud, 2009). Exercise has been recommended as the first-line clinical management strategy (Zhang et al., 2008) and its effectiveness has been well documented (Bosomworth, 2009; Scott & Kowalczyk, 2007; Zhang et al., 2008). However, exercise adherence is questionable and thus affecting the effectiveness of the recommended therapeutic exercise (Ettinger et al., 1997; Pisters et al., 2007). Previous literature indicates that a client-centered exercise intervention may improve exercise adherence of older people with KOA (Campbell et al., 2001). To …

Sensitivity, Specificity, And Sex Differences In Symptoms Of Acute Coronary Syndrome, Holli A. Devon, Alana Steffan, Anne G. Rosenfeld, Mohamud Daya

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Clinical symptoms are part of the risk stratification approaches used in the emergency department (ED) to evaluate patients with suspected acute coronary syndrome (ACS). The purpose of this study was to determine the sensitivity, specificity, and predictive value of 13 symptoms for a diagnosis of ACS in women and men.

Methods: The sample included 736 patients admitted to four EDs with symptoms suggestive of ACS. Symptoms were assessed with the 13-item validated ACS Symptom Checklist. Mixed-effects logistic regression models were used to estimate sensitivity, specificity, and predictive value of each symptom for …

Global Epidemics Of Type 2 Diabetes And Cardiovascular Disease: Nursing Opportunities For Prevention And Management, Deborah Chyun

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Cardiovascular disease (CVD) is the leading cause of death throughout the world. Type 2 diabetes (T2DM) is not only an important risk factor for the development of CVD, but a prognostic marker for CVD-related morbidity and mortality. An additional challenge is that individuals with T2DM frequently do not display symptoms of coronary artery disease (CAD) and therefore CAD is often discovered late in the disease process. This session will explore the challenges in the prevention, detection and management of CVD in adults with T2DM through the current literature, as well as through the …

Nursing Support Workers And Tasks Performed, Delayed Or Not Completed, Michael A. Roche, Christine M. Duffield

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Direct patient care has been undertaken by a combination of licensed and unlicensed nurses for many years. However, persistent nursing workforce shortages and increased patient acuity and throughput has led to increased employment of large numbers of nursing support workers internationally (Bureau of Labor Statistics, 2013; Health Workforce Australia, 2012; NHS, 2013). Concurrently, tasks formerly completed by registered nurses have moved to the nursing support worker (Gillen & Graffin, 2010; Plawecki & Amrheim, 2010). This change has raised questions regarding the role and effective utilization of support workers. However, there has been …

Standardized Patient Simulation For Evidenced-Based Practice With First Semester Bsn Student, Pamela J. Hodges, Karen G. Mellott

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The best strategy of incorporating evidenced based practice (EBP) concepts into first semester undergraduate nursing curricula is not well established. Since new nurse graduates may have a 2 year delay in translating research to practice, the purpose of this project is to illustrate how first semester BSN students use initial EBP skills during an interaction with standardized patients (SPs) in a simulation lab. Safe communication is key to reforming how evidence is formulated and used to enrich the value and effectiveness of health care. Improvement in patient safety, patient satisfaction, and the …

Comparison Of Telemedicine To Traditional Face-To-Face Care For Children With Special Healthcare Needs: Analysis Of Cost, Caring, And Family-Centered Care, Mary A. Hooshmand

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this research project was to examine cost, caring and family-centered care in relation to pediatric specialty services utilizing telemedicine technology compared to traditional face-to-face visits for CSHCN in rural, remote and medically underserved areas of Southeast Florida. Family costs, caring, and family-centered care were examined from the perspectives of the parents/ guardians of CSHCN.

Methods: A quasi-experimental research design was used with a convenience sample of 222 parents/guardians of CSHCN residing in rural, remote and medically underserved areas of Southeast Florida enrolled in the Children's Medical Services (CMS) program. …

Growing The Flowers: Preparing Undergraduate Nursing Students For A Community Healthcare Placement In A Neoliberal Economy, Eleanor S. Horton

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Our objective was to engage and develop initiatives with our community partners to better prepare our nursing students for a community clinical placement in their Undergraduate Nursing Degree program thus increasing our clinical placements and stimulating students to consider community nursing as a viable career option. Many nursing degree programs have made the decision that to maintain a Primary healthcare community focus within the curriculum that addressees not just the theoretical component but the practicalities of a community placement is a very expensive exercise and one that in the current neoliberal economic …

Comparative Differences In The Perception Of Postoperative Pain In Patients And Nurses, Marija Kadovic

International Nursing Research Congress (INRC)

Aim: To found out is there a difference in postoperative pain assessment perception between patients and medical professionals - nurses involved in the patient care. Patients and methods: This study is conducted on surgical wards at Sveti Duh University hospital, Zagreb. Subjects included were patients on day one after the surgery. They reported their pain perception on numeric and verbal scale of assessment. Their perception was compared with assessment performed by nurses using the same method. Results: Median pain perception measured on numeric scale was 4 if assessed by patients, while the same pain perception was assessed by nurses to …

Integrated Community Mental Health Services (Icmhs): Quality Of Life And Patient Satisfaction, Vico C. L. Chiang, W. M. Wong, M. Y. Chan, W. L. Lin, W. S. Wong, H. C. Li

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: There is no fixed definition of integrated community mental health service (ICMHS) (England & Lester, 2005; Kodner & Spreeuwenberg, 2002); and a review of the literature indicated a paucity of studies in evaluating the outcomes of this service. Various yet segregated approaches of mental health services have been utilized in Hong Kong in the community.'In this connection, the government has established the Integrated Community Centre for Mental Wellness (ICCMW) since October 2010 in all districts with a view to enhance the multi-disciplinary community support to patients and re-integrating them better into the …

Measuring Endoscopic Performance For Colorectal Cancer Prevention Quality Improvement In A Gastroenterology Practice, Karen A. Hande

International Nursing Research Congress (INRC)

Colorectal cancer (CRC) is the third leading cause of cancer death in the United States, but the majority of cases are thought to be preventable by the use of screening colonoscopy. A gastroenterology private practice lacked quality measures to evaluate the practice's efforts to prevent CRC. This project assessed the practice's adherence to CRC prevention (CRC-P) benchmarking measures regarding colonoscopy performance. Colonoscopy performance data were gathered from a retrospective review of 90 charts using a modified form of The Colorectal Cancer Prevention Data Collection Form. The practice stakeholders and the project leader reviewed the data, identified practice deficiencies, conducted root …

The Experiences Of Siblings Living With A Child With Type 1 Diabetes, Donna Freeborn, Susanne Olsen Roper, Tina Dyches, Barbara L. Mandleco

International Nursing Research Congress (INRC)

Purpose: Diabetes is one of the most common chronic diseases in childhood and adolescence in the United States and currently affects roughly 215,000 people under the age of 20. Approximately one in every 400 children has been diagnosed with type 1 diabetes, and every year more than 13,000 young people are newly diagnosed with the disease.1 Indeed, this chronic illness affects all family members, including mothers, fathers, siblings and the child, as it is a disease with physical and emotional ramifications6 requiring lifestyle changes involving diet modification, blood glucose monitoring, and insulin administration. In fact, it is not uncommon for …

Innovative Approaches To Clinical Teaching And Learning: Caring For Clients Undergoing Perioperative Surgical Experiences By Nursing Students, Dora Maria Carbonu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Clinical Instructors are constantly challenged to optimize clinical teaching and learning opportunities for students, to master technical skills while providing patient care through critical thinking and reflecting on their performance.

Method: Students in the Nursing Program at Nunavut Arctic College are oriented to client assignments a day before clinical placement, visit the Unit and, utilizing the nursing process, develop a client-specific care plan for implementation and ensure optimal outcomes during client care. In 2013 academic year, the third-year students' clinical placement included Day Surgery and Operating Room (OR) ' to acquire skills …

Community Engagement: Implementation Of An Innovative Interprofessional Curriculum For Community Assessment And Practice For Master's Education, Ruth Trudgeon

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this presentation is to describe the implementation of an innovative inter-professional curriculum for community assessment and practice for master's education and to discuss the use of theoretical approaches as a framework to guide the assessment.

Methods: Descriptive summary of an innovative curriculum that focuses on community assessment, education and practice for master's education using inter-professional approach.

Results: Comprehensive in-depth analysis of communities using a wide-range of modalities resulting in strategies to improve outcomes. Practice implementation that focuses on health promotion across the life span has been implemented to vulnerable …

Strategies For Improving Adherence, Mary Ellen Roberts

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This is the third of a three part series on Medication Adherence in which the authors describe the continuum of adherence to non-adherence of medication usage.

Methods: Research articles through Medline and PubMed. Results: Understanding the magnitude and scope of the problem of medication non-adherence is the first step in reaching better adherence rates. The second step is to evaluate the risk factors for each patient for medication adherence/non-adherence. Steps are then taken to prevent non-adherence.

Conclusion: The implications for nurse practitioners include using time with patients to assist them in adherence, …

Implementing The Promotion Of Ambulation And Upright Positioning During The First Stage Of Labor, Shelley F. Conroy, Laura H. Curtis

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Although mobility in labor for low-risk women is supported by professional organizations such as the American Academy of Pediatrics, American Congress of Obstetricians and Gynecologists, the Association of Women's Health, Obstetric and Neonatal Nursing, and the Royal College of Obstetricians and Gynaecologists, its use in some hospitals does not match this recommendation. This practice-change project introduced evidence-based guidelines regarding ambulation and upright positioning in a small labor and delivery unit in a large urban area in which approximately 90-95% of laboring patients remain in bed. The aims of this project included: 1) establishing …

Understanding Workplace Reciprocity Of Emergency Nurses: A Qualitative Study, Christine Marie Corcoran

International Nursing Research Congress (INRC)

Emergency Departments (ED) are unpredictable environments and are well-known for instantaneous change. At one moment, the ED may be relatively quiet and then suddenly ambulances and helicopters arrive with multiple patients from a serious car accident. Typically, nurses are the first healthcare provider encountered by the patient. Given the rapid changes, this is an environment with high levels of stress and more so for the ED nurse (Browning, Ryan, Thomas, Greenberg, & Rolniak, 2007; Spence, Laschinger, & Havens, 1997). EDs are open for patient care all day, every day. The flow of patients and their reasons for presenting to the …

Health Services Or Debt Servicing? Saps In The Philippines And The Healthcare Delivery System, Ruel Dupan Caricativo, Erlinda Castro Palaganas

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To discuss using a critical social perspective 'severe consequences on the country's health care delivery system of the'imposition of Structural Adjustment Programs (SAPs) in the Philippines through the International Monetary Fund and World Bank (IMF-WB). This will present SAPs as a socio-cultural determinant of health in the efforts of a comprehensive health promotion framework.

Methods: This qualitative study is a review of existing evidences on the impacts of SAPs in the Philippine social sector during the 1980s to early 2000s.

Results: There are several channels through which the negative impacts of SAPs …

Fibromyalgia And Risk Of Coronary Heart Disease: A Population-Based Cohort Study, Pei-Shan Tsai

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Prospective cohort studies have shown that depression is associated with an increased subsequent risk of CHD. Depression and chronic pain, such as that in fibromyalgia, often occur simultaneously, and studies have suggested that the two diseases may share common pathogenic mechanisms. This study examined whether fibromyalgia patients have an increased risk of adverse coronary events, compared with age- and sex-matched control patients. We hypothesized that fibromyalgia increases the risk of coronary heart disease (CHD).

Methods: Using a matched-cohort study design, we analyzed data retrieved from the Longitudinal Health Insurance Database (LHID) 2000 …

Does Moonlighting Influence South African Nurses' Intention To Leave Their Primary Jobs?, Laetitia C. Rispel

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Moonlighting is commonly understood as having a second job, usually part-time, in addition to a primary full-time job. This paper examines whether moonlighting influences South African nurses intention to leave their primary jobs.

Methods: During 2010, a stratified random sample of 80 hospitals was selected from the public and private health sectors in four South African provinces. All nurses working in intensive care, theatre, casualty, maternity and general medical and surgical wards on the survey day completed a self-administered questionnaire after obtaining informed consent. In addition to demographic information, the questionnaire focused …

Critical Factors On Autonomy Reconstruction After Self-Care Dependency, Alice Brito

International Nursing Research Congress (INRC)

Purpose: To characterize the phenomenon of dependence on self-care at discharge moment and to explore in depth the process of self-care autonomy reconstruction.

Methods: Qualitative study.

Results: During the transition there are factors considered critical to the personal conditions, community resources, the support and the health condition that determines the way of experiencing the transition. Personal condition identified that interfere in the process was awareness, motivation, engagement, self-care attitude, make decisions capacity, understand self-care as situation or condition; meanings attributed to the changes and health status. Support in the process of rebuilding of autonomy is fundamental and may be economic, …

The Significance Of Walking Speed In Physical Function Among A Group Of Community Dwelling Older Adults, Jie Yu

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to describe the extent to which the variable walking speed correlated with the modified physical function, which was measured by the combination of balance and sit-to-stand tests.

Methods: The study sample included 70 community living older adults. Subjects were screened for cognitive function with the Mini Mental State Exam (MMSE) and physical function data were collected using the Short Physical Performance Battery (SPPB).

Results: Results of this study showed that there was significant correlation between walking speed and physical function; therefore it was reliable to use …

Validation Of A Post-Entry English Language Assessment For Commencing Undergraduate Nursing Students, Paul J. Glew, Kathleen Dixon, Lien Lombardo, Yenna Salamonson, Anthony Good, Sharon Patricia Hillege

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background: The Australian society has become increasingly culturally and linguistically diverse as a consequence of migration and globalisation, and this diversity is reflected in students choosing to take up nursing studies in higher education (Salamonson et al. 2012). Similar trends are also reported in other developed countries, for instance, the United States (American Association of Colleges of Nursing, 2012). Although these students may meet a minimum entry requirement for university admission, some, in particular, those with English as an additional language (EAL) experienced slower rates of progression (Salamonson et al, 2011), which suggests …

Collaborating Globally To Transform Haiti's Healthcare, Jacqueline Cassagnol, Odiane Medacier

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Haiti is facing a serious healthcare delivery crisis (Jerome & Ivers, 2010). The Haitian American Nurses Association (HANA) is addressing this issue by collaborating with corporations/organizations in order to initiate projects that will transform Haiti's health care. Two main focuses of HANA have been community health and disaster preparedness in Haiti. The purpose of the Faculte des Sciences Infirmieres de Leogane (FSIL)/Disaster Preparedness and community projects, sponsored by HANA, is to establish sustainable non-governmental policies and procedures for disasters at FSIL and the surrounding community, through Worldwide Community First Responder, Inc (WCFR). …

Educational Scholarships, Eric Chan

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014: As we move towards the final years for the Millennium Development Gosls (MDGs) the issue of shortage of human resources for health (HRH) remains high on the global agenda. HRH shortage still existed in many countries or different corners of a country which are impacting on the delivert of health care. There are many types and models of educational scholarships being offered by educational institutions, service organizations, local or national health authorities across the globe. Can we see the use of educational scholarships as one of the tools for the HRH retention, capacity …

Researching With Young People As Participants: Issues In Recruitment, Ainsley M. James

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: An essential element of human research is the successful recruitment of participants, because without participants there can be no research. Many researchers appear to be able to recruit participants quickly and without significant issues, while other researchers encounter challenges. When researching the lived experience of young people aged 16-24 years, with type 1 diabetes living in a rural setting, we assumed that gaining ethics approval to interview the 16-18 year old participants would be a challenge. Ethics approval was granted following minimal changes to the application. Participant recruitment however presented a significant …

Consensus On Outcomes For A Standardized Preceptor Training Programme In South Africa, Yvonne Botma

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014: Purpose: The purpose of the study was to determine what the learning outcomes of a preceptor training programme should be to enable them to support students in various clinical settings.'Methods: The Nominal Group Technique was used to reach consensus among nurse educators. Multiple groups were used to gather data from. One group consisted of nursing deans of schools at universities and the other group consisted of nurse educators from public and private nursing colleges. A brief overview of the need for a standardized training programme was given to both groups by the facilitator. …

Nursing Students' Perceptions Of Knowledge And Training During The Medication Administration Process, Kelly J. Betts

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Medication administration in nursing programs is a key skill that nursing students must master prior to graduating and entering the nursing workforce. Lack of pharmacology knowledge, safety, and skill proficiency is detrimental to the safety and welfare of patients. At the University of Arkansas for Medical Sciences College of Nursing baccalaureate program nursing students have demonstrated a lack of performance of the medication administration process as evidenced by anecdotal feedback from students and faculty, and post course evaluations. The purpose of this study was to examine nursing students' perceptions of their knowledge, skill …