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Meta-Analyses Of Epigenetics Risk Factors For Lung Cancer Prevention: Mpo And Gstm1 Human Gene Variations Across Different Race-Ethnicity Groups, Po-Jui Yu, Shyang-Yun Pamela K. Shiao, Maria Suarez

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: The purpose of this presentation is to disseminate current evidence on population genome health, through meta-analyses of epigenetic risk factors, for lung cancer (LC) prevention. LC is one of the most common cancers worldwide and has the highest mortality rate among all cancers. Glutathione S-transferase that belongs to the mu class (GSTM1) and myeloperoxidase (MPO) gene polymorphisms have been cumulating in the literature, associating epigenetics factors and LC.

Methods: Literature searches, quality scores for the studies, and inter-rater evaluation on data coding was completed to ensure data accuracy for pooled meta-analyses.

Results: …

Enhancing Nursing Students' Medication Safety Competencies With A Pediatric Medication Simulation Experience, Donna M. Mesler, Diane Stewart, Marcia Gardner

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background and Problem: Medication administration can absorb a significant amount of nursing time in the acute care setting, and medication errors have been reported to occur in as many as 47.5% of administrations (Holland, et. Al., 2012). Errors have been identified at all points in the medication administration process, from calculation of dosage to delivery of the dose to the patient, and in all patient populations, including the physiologically vulnerable pediatric population. Medication errors can be particularly devastating to pediatric patients as a function of physiologic differences from adults (Gonzales, 2010; Kaushal, Bates, …

Evidence-Based Outcomes To Detect Obstructive Sleep Apnea, Identify Co-Existing Factors, And Compare Characteristics Of Patients Discharge Disposition, Joseph F. Burkard

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Introduction: According to the American Heart Association, fifteen million adults are affected by obstructive sleep apnea (OSA). Obstructive Sleep Apnea (OSA) is the most common disturbance during sleep affecting 30% of the population. The occurrence of moderate/severe OSA is estimated at 11.4% in men and 4.7% in women. This outcomes project included three completed bodies of work designed to evaluate the effects of implementing the STOP BANG tool in preoperative clinics to identify undiagnosed OSA surgery patients, examine the duration of recovery and the impact of co-factors and evaluate patient characteristics of discharged …

The Red Box Strategy For Contact Precautions, Melissa A. Pollard, Kathleen Wickens

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014: Purpose: This work originated in a small community hospital who committed to achieving Magnet designation. As part of this commitment, an identified need was to develop a means to promote and support nursing research in our organization which did not have any university affiliations. Our Magnet Journey was successful, and this presentation reflects work done by one of our first direct care staff nurses with the support of the nursing research committee. Contact precaution policy requires healthcare personnel to always put on Personal Protective Equipment (PPE) before entering a contact precaution room. Although …

Computer-Based Training At A Military Medical Center: Understanding Decreased Participation In Training Among Staff And Ways To Improve Completion Rates, Julie A. Lavender

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Military health care facilities make extensive use of computer-based training (CBT) for both clinical and non-clinical staff. Despite evidence identifying various factors that may impact CBT, the problem is unclear as to what factors specifically influence employee participation in computer-based training. The purpose of this mixed method case study was to examine factors that may influence healthcare staff participation in mandatory CBT to provide practical information for hospital educators to design training to improve participation rates. Participants were surveyed to collect quantitative data to measure the relationship of factors that influenced employees' participation …

Knowledge, Attitudes, And Perceptions Of Preeclampsia Among First-Generation Nigerian Women In The United States, Christine Okpomeshine

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Although numerous studies have documented the need for early recognition and treatment of preeclampsia to attain a good prognosis, first-generation Nigerian women living in the United States tend to seek obstetrical care after the first trimester (12 weeks), by which time prompt recognition may be missed. The purpose of this study was to measure the knowledge, attitudes, and perceptions about preeclampsia and limitations that determine the delay in seeking obstetrical treatment in early pregnancy among first-generation Nigerian women living in the United States.

Methods: This cross-sectional quantitative study consisted of 180 first-generation …

More Than Vital Signs: Reframing Nurses' Recognition And Response To Clinical Deterioration, Sonya R. Osborne

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Clinical deterioration frequently goes unnoticed in hospitalized patients (1). Growing concerns about failure-to-rescue rates have prompted government initiatives and consensus statements designed to improve timely recognition of acutely ill patients in hospital (2, 3, 4). Given that detectable physiological signs often precede deterioration (5), hospitals have implemented early warning systems and rapid response teams to identify and respond to patients at risk of clinical deterioration. Yet, there is insufficient evidence about the effectiveness of these interventions (5, 6). These hospital safety initiatives depend on registered nurses' (RNs) ability to detect patients at risk …

Overweight And Obesity In Young Children: A Critical Period For Intervention, Leigh Small

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Background and Significance: While there has been a surge in prevalence rates of overweight and obese children over the last three decades; recent epidemiological data suggest that the trends have stabilized for all child age groups except preschool-aged children. Furthermore, the increase in the prevalence of obesity across child age groups continues to be the greatest between the preschool and school-age groups; underscoring the importance of intervening with young children. Purpose: The purpose of the study was to appreciate the effect of a parent-focused intervention conducted in an office setting on child (4-8 …

Use Of Caring Theory In Culture And Context In Scotland And Cameroon, John W. Nelson, Relindis Moffor

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: This session includes two sub-sessions regarding how caring science theory was selected and used in two different cultures and context. The first sub-session will review how Swanson's theory of caring was a better fit for the culture of Scotland than was Watson's theory. The second sub-session will review how Watson's theory of caring science was used to assess the farming needs of women living with AIDS a village in Cameroon, Africa The first portion of this session will review how two different theories of caring were tested for the purpose of developing a …

Disruptive Behavior And Its Effects On Workplace Safety: What Can Nurse Leaders Do?, Ann Marie T. Brooks

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Disruptive behavior between nurses and physicians in healthcare interferes with care delivery and negatively affects patient safety and outcomes. Throughout the three year process of building a culture of safety at a five hospital system, considerable attention and focus was devoted to educating staff and physicians on error prevention tools and minimizing the power gradient that has been recognized as a major obstacle in speaking up for safety by nurses with physicians. Following the completion of error prevention training of over 10,000 employees and physicians, staff across the system continued to express …

Systematic Evaluation Of The Psychometric Properties Of Pain Assessment Scales For Use In Chinese Children: Where Are We?, Jinbing Bai, Nan Jiang

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Many children experience moderate to severe pain during hospitalization. Systematic pain assessment using reliable and valid pain scales is the foundation for adequate pain management in children. The psychometric properties of pain measures used with children in China are still largely unknown relative to their properties when used in children in Western countries. The purpose of this study was to systematically evaluate the psychometric properties of pain assessment scales used in Chinese children.

Methods: We searched Chinese-language databases (e.g., CNKI, Wanfang, VIP and SinoMed) and English-language databases (e.g., PubMed, CINAHL, Health and …

Lifestyle Characteristics Correlated With Daily Life Functions Of Patients With Mental Disorders, Miyuki Saito, Mariko Kato, Tomomi Azuma, Eiko Suzuki, Yukiko Sato

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: It is important for patients with mental disorders to have stable daily life functions. In order to achieve this, institutions, such as psychiatric daycares and small-scale working places for patients with mental disorders, provide daily life support to ambulatory patients. Ambulatory patients receive training for cooking and cleaning in these institutions. However, despite having received such training, ambulatory patients sometimes face difficulties in their actual daily life. The lifestyle characteristics of ambulatory patients are one of the factors that influence their daily life functions. Thus, this study aims at investigating the lifestyle …

Use Of Honey For Healing Pressure Ulcers: An Integrative Review, Katherine Ann Ricossa

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Using Complementary and Alternative Methods (CAM) offers a holistic approach of caring for those with pressure ulcers. The purpose of this paper is to examine the caring and the healing process using CAM to examine a Systematic Integrated Review of 9 randomized clinical trials on the use of honey and the healing of pressure ulcers. The costs of wound healing continue to escalate. It is important to explore alternative holistic modalities which are cost effective and achieve the desired outcome of wound healing. Honey is the ideal substance to provide effective wound …

Development Of The Japanese Version Of The Teaching Style Assessment Scale, Fumiko Yoshida, Toyoaki Yamauchi

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: To develop the Teaching Style Assessment Scale for Japanese nursing educators. To enable nursing educators to analyze their own teaching style. To identify student-centered and/or teacher-centered elements in their individual practice. Methods: The original scale on which this research is based was developed as the Principles of Adult Learning Scale (PALS) by Gary J. Conti, EdD, and was itself based on an Adult Learning Model. There was no scale with which to measure a teacher's teaching style in Japan. Therefore, a Japanese version of PALS was necessary, and Dr. Conti granted permission …

A National Survey Of Faculty Knowledge And Experience With Lesbian, Gay, Bisexual And Transgender (Lgbt) Health And Readiness For Inclusion In Teaching: Curricular Implications For Baccalaureate Nursing Programs, Fidelindo Lim

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: The purpose of this faculty needs assessment survey is to appraise the LGBT health knowledge, experience and readiness teaching LGBT health topics among the nursing faculty in baccalaureate programs across the U.S.

Methods: An investigator-developed Likert-type survey questionnaire was used to collect data using Qualtrics. Direct online solicitation of all chief administrative leader whose names and e-mail addresses are publicly available on the website of the American Association of Colleges of Nursing (AACN) (N=739) was conducted. The nursing school's chief administrative leaders were requested to forward the study link to all faculty …

Fill In The Blank...The Experience Of A Nurse Educator In Haiti, Louise Aurelien

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014: Purpose: The scarcity of qualified nurse educators is a global issue and even more pronounced in developing countries, like Haiti, due to the lack of educational infrastructure. Sponsored by HCR Manor, Care, The Haitian American Nurses Association of Florida (HANA) initiated a Teaching Initiative Project at the Faculte des Sciences Infirmieres de Leogane (FSIL) in Haiti. FSIL recruits nursing students who possess brilliant and hungry minds simply waiting to be stimulated, challenged and engaged. These future nurses are eager for learning opportunities. The purpose of this project was to engage Haitian American nurse …

An Investigation Of The Influence Of Fish Oil Supplementation On Il-8: A Possible Protection Against Preeclampsia, Sara Mitchell Edwards

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014: Purpose: Ten million women develop preeclampsia each year around the world. Of those, about 76,000 pregnant women will die from preeclampsia and related hypertensive disorders. Further, the annual infant mortality rate from these disorders is estimated to be approximately 500,000. Land-locked or mountainous regions of the globe, and thus with less oily ocean fish available in the diet, tend to have higher rates of preeclampsia. Poor women are also more vulnerable to the disease. A woman is seven times more likely to develop preeclampsia in a developing country than a woman in an …

The Use Of A Death Notification Simulation And Readiness For Interprofessional Learning In Nursing And Social Work Students, Elizabeth Roe, Catherine Macomber, Adrienne A. Galbraith

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Traditionally the emphasis on interprofessional collaboration has been in the practice setting and not during the education of health care professionals. In order for healthcare disciplines to effectively collaborate at the patient's bedside, it is important for healthcare education to allow students to participate in interprofessional learning as part of their educational process. The purpose of this study was to determine whether participation in an interprofessional simulation on death notification influences undergraduate nursing and social work students' perception of readiness for interprofessional learning. For the past two years, senior Nursing and Social …

A Concept Analysis Of Self-Management Behavior And Its Implications In Research And Policy, Amanda Constance Green

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The concept of self-management behavior (SMB) has been used extensively by professionals from multiple disciplines. Nursing scholars often use the concept with chronic illness and international health organizations, such as the World Health Organization, use the concept for disease management. The purpose of this concept analysis was to create a clarifying theoretical definition of self-management behavior.

Methods: The analysis was conducted conceptually in the context of Orem's Self-care Framework. Walker and Avant's eight-step concept analysis approach guided the analysis. A systematic review of the literature was conducted using seven relevant academic databases, …

Transitional Care Using Telehealth: Fewer Emergency Unplanned Admissions And Improved Quality Of Life And Functional Ability, Mary Courtney, Chiung-Jung (Jo) Wu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Prof. Courtney's research program involves the development, trial and evaluation of innovative discharge planning and transitional care models that span across hospital and community health sectors and include hospital and in-home assessment, exercise strategies and telephone follow-up interventions with 'at-risk' community-living older adults (1,2,3,4). This presentation focuses on results of her previous clinical trials in 'general hospitalised medical patients' and presents findings published in Journal of American Geriatric Society (JAGS) and PlusOne which demonstrate significantly few emergency hospital readmissions (22% intervention, 47% control, P = .007) and emergency GP visits (25% intervention, 67% …

Building An Integrated System Of Care Across The Extended Care Continuum With The Linct Program (Liaison In Nursing Care Transitions), Dina Lipowich

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Problem: Lack of adequate continuity of care at discharge has been identified as a factor for frequent readmissions from Extended Care Facilities (ECFs). Older adults with chronic conditions hospitalized and subsequently discharged to ECFs represent a particularly vulnerable population. (Jacobs 2011). Review of hospital cases in 2011 revealed that over 20% of patient discharged to ECFs, were readmitted within 30 days. Readmissions from ECFs are a hardship for patients, are costly for institutions, and reflect fragmentation of care across the continuum.

Approach: The LINCT (Liaison In Nursing Care Transitions) Program Initiative is a …

Establishing And Maintaining International Research Collaboration: Processes, Outcomes, And Exemplars, Joan E. Haase

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Although the importance of international research collaboration is increasingly acknowledged, there are few descriptions of how effective partnerships are established and maintained. Nurses often are hesitant or do not know how to effectively seek internationalresearch collaborations; and when collaborations are started, without adequate planning, they may not be sustainable. The purpose of this symposium is to describe experiences of establishing and maintaining international collaboration among researchers in Taiwan and the USA to conduct behavioral research for children with cancer and their families. We will describe how our collaborations were initiated through study-abroad and …

Icu Diary: Supporting The Intensive Care Patients Transition From The Icu, Judy Martin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Critically ill patients have reported psychological problems which have been attributed to distorted perceptions or delusional memories and gaps in their memories of their stay in the intensive care unit (ICU). The integrated practice of keeping an intensive care diary for the critically ill patient originated in the Scandinavian countries. The common theme of this international presentation is the intensive care patient diary. A review of literature indicated the ICU diary provides a timeline of what happened to the patient while they were in the ICU. Research indicated it is not unusual for …

Which Clinical Supervision In Nursing Strategies Nurses Wish To Be Implemented In Their Health Contexts?: Construction And Validation Of An Questionnaire, Ines Alves Da Rocha E Silva Rocha, Regina Maria Pires, Maria Margarida Reis Dos Santos Ferreira

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This research aims to improve the quality of care through the identification of clinical supervision'in nursing strategies that nurses wish to be more implemented in the supervisory processes in use in the different contexts of health. With this study we intended to achieve the following objectives: build and validate an instrument to assess the frequency in which nurses wish the clinical supervision in nursing strategies were implemented; identify the clinical supervision in nursing strategies nurses wish that were more often implemented in health services and identify the clinical supervision in nursing strategies …

Motivational Factors And Preferences Regarding Research Participation Among Hiv+ Adults In An Urban Setting, Victoria B. Mitrani, Brian E. Mccabe, Lisa R. Metsch

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The purpose of this study was to explore factors (cost/benefits, social/community endorsement) that influence research participation and comfort with the format for data collection (face-to-face interview, paper questionnaire and computer assessment) of potentially sensitive information of African Americans and Hispanics with HIV/AIDS. We examined whether the importance of cost/benefits, the importance of social/community endorsement, and comfort with three data collection formats were related to ethnicity, age, education, or first-time study participation. This was an exploratory study aimed at building hypotheses for future research and to inform researchers wishing to enroll people from …

The Effects Of An Oral Care Program On Oral Health Of Institutionalized Elderly, Chia-Chi Chang, Jih-Hsuan Wu

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Institutionalized elderly overlooked the oral care because of multiple chronic diseases and decline self-care skills, impact the oral health quality of life, oral health status and nutritional status, resulting in oral-related diseases. There are few oral care program interventions. The purpose of this study was to develop an oral care program and to examine the effects of this program among institutionalized elderly.

Methods: This was a quasi-experimental study. Fifty-five convenience subjects were recruited from two northern long-term care facilities, randomly assigned to the experimental group (n = 24) and the control group(n …

Factors Affecting Assessment Of Student Nurses` Clinical Practice: A Phenomenographic Exploration Of The Experiences And Understanding Of Mentors Of A Mental Health Service In England, Peter Thomas Sandy, Azwihangwisi Mavhandu-Mudzusi

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to explore mentors` experiences and understanding of factors that may affect student nurses` clinical assessments.

Methods: This study utilised a phenomenographic methodology and was conducted in a mental health Trust in England. 30 mentors, all registered mental health nurses, participated in the study. Data were collected using five focus group interviews of six participants each. Data were analysed thematically using Sjostrom and Dahlgren approach to analysis.

Results: There are multiple factors that may affect clinical assessment of student nurses. Examples of these include anxieties of assessment, …

Structuring Caring Science Data For Operations And Outcomes., John W. Nelson, Jacqueline Brown

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

This session includes two sub-sessions regarding how caring science is structured for culture and context. The first portion of the presentation will focus on how caring is structured using frameworks like Relationship Based Care, Planetree, and Caring Behaviors Assurance Strategy (CBAS). The second portion of the presentation will review how the structure of caring was established in 75% of the hospitals in Scotland using CBAS. Structuring data based on a model of care deliver like Relationship Based Care, Caring Behaviors Assurance System, Planetree, or other care delivery systems can assist with data management. …

Using Field Theory To Explore The Resourcefulness Of Patients With Depression, Chun-O Chien, Chien Yu Lai

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to explore the resourcefulness in patients with depression and to understand the personal or social resourcefulness expected by them.

Methods: A qualitative research design based on Field Theory with the method of focus group interviewing was used. The participants were recruited via purposive sampling from outpatients department of a medical center in Southern Taiwan. Totally, seven adults with depression were invited and completed the full courses of focus group in this study. Closed groups with six interviews, two hours per time, were implemented to collect data. Content analysis was used to analyze the …

Implementation Of An Innovative Interprofessional Curriculum For Community Assessment, Practice, And Research For Masters' And Doctoral Education, Quannetta T. Edwards

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Describe the implementation of an innovative inter-professional curriculum for community assessment practice, and research for doctoral education and discuss innovative approaches utilizing vulnerability and community assessment models.

Methods: Descriptive summary of an innovative curriculum designed for doctoral students (i.e. nurses and physicians) using inter-professional collaborative team approach at multi-centers at one large Health Science University (centers in Oregon and California). The program uses a myriad of approaches to provide a thorough assessment of community/populations that includes an analysis of social, epidemiological, behavioral , environmental and predisposing, enabling and reinforcing factors that impact …