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Clinical Nursing Practice Guideline: Oral Care For Patients With An Artificial Airway Intubation, Nongnapas Phanjam, Suthathip Kasedluksame, Thanat Rudyung

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Patients with an artificial airway intubation cannot be cleaned orally manually. Complications with the mouth can be caused easily, especially regarding the high risk of pneumonia. Evidence-based practice (EBP) provides nurses with a method of using critically-appraised and scientifically-proven evidence for delivering quality oral care. The primary purpose of this updated guideline was to improve the oral assessment and care for patients with an artificial airway intubation.

Methods: The method of this EBP guideline was as follows: 1) the PICO format for finding specific questions; P (Populations) - adult patients, critical-ill patients, …

Development Of Assessment Sheet Of Older Adults Who Relocate To A Recovery Phase Rehabilitation Ward, Misa Komatsu, Shizuka Otsuka, Akiko Hamahata, Megumi Nakamura

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: In current healthcare in Japan, hospitalized patients have more serious conditions and hospital stays are becoming shorter. Older adults with health problems who cannot live independently at home usually decide to relocate to a recovery phase rehabilitation ward. For older adults relocation to a recovery phase rehabilitation ward is a life event that requires adaptation to new living circumstances. The purpose of this study was to develop an assessment sheet for use during relocation to a recovery phase rehabilitation ward in Japan, based on a conceptual model that views relocation from the …

Influences Of Women's Childbirth Experiences Related To Husband's Supports For During Childbirth And Attitudes Toward Husband's Childbirth Presence, Yu-Jin Lee, Sun-Hee Kim

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this study was to identify the relations among husband's supports during childbirth, attitudes toward husband's childbirth presence, and the childbirth experiences in women.

Methods: The study was conducted at five women's hospital in the D city of Korea. The participants in this study were 178 women who were within 2 days after normal spontaneous vaginal delivery. Data were collected from September 1st to September 30th, 2013 using a structured questionnaire. Collected data were analysed by t-test, one way ANOVA, Pearson's correlation coefficient, and stepwise multiple regression using IBM SPSS/WIN …

Diet, Encoded Memory, Visual Cues, Obesity, And Neuroimaging: The Role Of Affective Response In Eating Behavior, Joann D. Long, Ngozi Anyanwu, Carol Boswell, Sara L. Dodd, Toby Rogers, Martin Binks

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: According to the World Health Organization, 35.8 million people are obese world-wide. The obesogenic factors contributing to this global problem are thought to reflect a complex interrelationship between social, physiological, and environmental factors. Behaviorally focused interventions focused on healthy eating, portion size, and public health strategies to increase fruit and vegetable intake have reported modest success in addressing the obesity epidemic. Appreciating how individuals differ in response to environmental eating conditions remains enigmatic. Recent advances in neuroimaging have opened the possibility of a new frontier by understanding the neural responses to food …

A Systematic Review On Problem-Solving Training For Community Schizophrenia Patients, Kuen-Tai Lee, Jiin-Ru Rong, Su-Ping Hsu

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background and Purposes: Problem-solving skill training is an important therapy to promote the psychological functioning for schizophrenia patients, and it affects the ability of the patient to live independently in society as well. In recent years, a number of studies emphasis has been placed on the problem-solving skill of schizophrenia patients. However, inconsistency is still present with regards to the result of using such therapeutic training on schizophrenia patients. Moreover, for fit the cognitive function impairment of schizophrenia patients, the design of these problem-solving interventions comes with various new concepts and features. Nevertheless, …

Faculty And Organizational Characteristics Associated With Informatics/Health Information Technology Adoption In Dnp Programs, Cathy R. Fulton, Julie Meek

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Nursing informatics/Health information technology are key components of graduate nursing education and an accreditation requirement, yet little is known about the extent to which Doctor of Nursing Practice (DNP) curricula include these content domains. The purpose of this descriptive study was to elicit perceptions of DNP program directors relative to: 1) whether and how the American Association of Colleges of Nursing's (AACN's) Essential IV standard has been met in their DNP programs; 2) whether the Technology Informatics Guiding Educational Reform Initiative Foundation's Phase II competencies have been integrated in their programs; and …

Imrt-Induced Acute Fatigue In Patients With Head And Neck Cancer: A Prospective Study, Canhua Xiao, Kristin Higgins, Deborah Bruner, Jonathan Beitler, Luke Ong, Andrew H. Miller

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Fatigue profoundly impacts a cancer patient's quality of life, 1 treatment adherence, 2 and health care utilization. 3'Pre or post radiotherapy (RT) fatigue is a prognostic factor for pathologic tumor response 4 and survival. 5,6' Patients with head and neck cancer (HNC), who are usually treated with RT because of the structural complexity and functional importance of cancer sites, have particularly high rates of fatigue during treatment. 7 Most recent research on Intensity-modulated Radiation Therapy (IMRT), a commonly used new radiotherapy that targets tumors with higher doses while avoiding normal structures, has …

Effectiveness Of A Trans-Theoretical Model-Based Stage-Matched Intervention To Promote Lifestyle Modification Among Chronic Kidney Disease In Taiwan, Miaofen Yen

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Chronic Kidney Disease (CKD) is a global public health issue. To following a healthy lifestyle is good for people with CKD. Therefore, lifestyle modification has been promoted for the control of various chronic disease included CKD. The Trans-Theoretical Model (TTM) has become increasingly influential as a framework for understanding health-related behaviors and directing targeted interventions to promote health behavior. The study apply the transtheoretical model (TTM) to assess the effectiveness of a lifestyle modification consultation program on subjects with stage 1 to 3 CKD at baseline, 6, 12, 18, 24, 30 and …

The Efficacy Of Care Model Of Group Home For Caring The Elderly With Dementia: A Systematic Review, Meng-Chin Chen, Li-Wei Lin, Li-Yen Yang

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Background: The group home is one of the dementia care model and many studies have been discussed for this issue. However, the effectiveness of group home is different because of different research designed or method limitations (e.g. no measurement of long-term outcomes, and the lack of a control group). Therefore, the effectiveness of group home currently has not complete evaluation in clinical practice. Purpose: The aim of this study was to appraisal critically the effectiveness of group home of group home for caring the elderly with dementia.

Methods: Literature search included English and …

Avoiding Litigation: Legal-Based Mediation Education For Nurses, Takako Hiramatsu, Michiko Senda

International Nursing Research Congress (INRC)

Purpose: In response to an increasing number of litigations relating to medical errors and growing awareness of patients' rights, training for a medical mediator, who engages in a mediating role in a hospital, is in progress. Mediation is a dialogue based negotiation, and is one of conflict management models, which aims to resolve confrontations resulting from different values and interests held between individuals or nations. Mediation also aims to manage individuals' psychological and emotional conflicts. Following the establishment of a medical safety administration department at our institution in 2003, multidisciplinary teams including nurse medical safety officers have taken the lead …

The Identification Of Stimulant Misuse, Wanda L. Hilliard, Jayne Perkins

International Nursing Research Congress (INRC)

Purpose: Stimulants play an important role in the treatment of attention deficit hyperactivity disorders, as well as other psychiatric conditions. It is well known that stimulants are highly misused due to their mechanism of action in today's society. The pharmacokinetics, biochemical structure and physiological effects all contribute to the misuse of stimulants. It is imperative for prescribers and clinicians to understand the misuse potential of this class of medications. Methods: A literature search and case studies are presented demonstrating the misuse potential, along with a review of the clinical implications and strategies for risk reduction. Results: We conclude stimulants are …

The Factors Influencing The Self-Care And Quality Of Life Of Patients With Coronary Artery Disease, Suthanithi Kangchanakul, Aem-Orn Saengsiri, Duangkamol Wattradul

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Coronary artery disease (CAD) is the most common cause of death in Thailand. The patients with CAD need long-term care to enhance their quality of life. This study was aimed at exploring the selected factors influencing self-care and quality of life (QOL) of patients with coronary artery disease.

Methods: Purposive sampling of 100 patients with CAD receiving care at King Chulalongkorn Memorial Hospital was enrolled in this study. Data were collected by using the self-care agency questionnaire of cardiovascular disease, and Powers' Quality of Life Index Cardiac Version-IV. Data were analyzed by …

The Effects Of Communication Skills, Compassion Satisfaction, Compassion Fatigue On Burnout Among Staff Of Long-Term Care Insurance In National Health Insurance Corporation In Korea, Kyongeun Lee, Hyoungshim Choi

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This study was a descriptive research to identify the effects of communication skills, compassion satisfaction, compassion fatigue on burnout among staff of long term care insurance for the elderly in National Health Insurance Corporation in Korea.

Methods: The participants were 203 full-time employees at Long-term Care Insurance for elderly in National Health Insurance Corporation in Korea. Data were collected via mail from the 24 branch offices of Long-term Care National Health Insurance Corporation which were randomly selected among the total of 226 centers of National Health Insurance Corporation. A survey was conducted …

Nurses' Patient Safety Competencies In Korea, Haena Jang, Nam-Ju Lee

International Nursing Research Congress (INRC)

The purpose of this study is to investigate nurses’ patient safety competencies (PSC) in Korea.

Translating Practice Into Policy: Disaster Nursing And Research In The American Red Cross, Janice D. Springer, Mary Casey-Lockyer

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Background: Multiple disaster events since 2005 have highlighted gaps and inconsistencies in collection and use of data on behalf of disaster shelter populations in the entire disaster cycle of prepare, respond and recover.''There is a paucity of evidence-based research in publication that describe systems for identifying needs of those at-risk within the population-based, non-medical setting of a disaster shelter.' Morbidity surveillance in congregate living shelters has not been well understood or incorporated into nursing policy and practice. There is a need for qualitative data surrounding disaster related fatalities to inform preparedness messaging.' The …

Emergent Care Competence And Its Related Factors Among Junior High And Elementary School Nurses In Taiwan, Hsiao-Wei Tsai, Shu Yu

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: The main purposes of this study consisted of (1) understanding elementary and junior high school nurses' emergent care competence in Taiwan; '(2) exploring the relationships between personal, school factors and emergent care competence in elementary and junior high school nurses; '(3) identifying the predictors of emergent care competence in elementary and junior high school nurses.

Methods: This research was a nationwide study using a cross-sectional research design.'A structured questionnaire was used to collect data from 308 school nurses selected randomly and was delivered by way of a mailing method.

Results: The main …

Research On The Sense Of Coherence (Soc) Of Newly Graduated Nurses In Japan Within Their First Sixth Month Of Employment, Yasue Yamazumi, Akira Kitagawa, Fumiko Yasukata, Chie Ikoma

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014: Purpose: According to the Japanese Nursing Association, the newly graduated nurse's turnover rate continued to decrease between 2008 and 2012. The turnover rate of newly graduated nurses in 2012 was 7.5%. 7.5% of newly graduated nurse's amounts to 3900 graduates from 50 nursing colleges all over Japan in 2013.The total number of graduates from all colleges and universities in Japan who started working in 2013 was 50,200. Compared to the turnover rate of 11.4% for all new hires who graduated from college in 2009 this turnover rate for nurses is not particularly high. …

Safe Sleep Advice To Safe Sleep Action: Pilot Of The Pepi-Pod Program In Indigenous Communities, Jeanine Young, Karen L. Watson, Lauren Kearney, Stephanie Cowan, Leanne Craigie

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Background: Sharing sleep spaces with babies is a common infant care practice in Australia [1], and the cultural norm in many Indigenous communities [2]. While forms of co-sleeping may reduce risk of sudden unexpected death in infancy (SUDI) and enhance breastfeeding in some cultural groups, some shared sleep environments are extremely hazardous for infants [3]. Aboriginal and Torres Strait Islander babies currently die suddenly and unexpectedly at a rate almost four times higher than non-Aboriginal and Torres Strait Islander infants (252.1 deaths per 100,000 compared with 66.4 deaths per 100,000 respectively). A considerable …

Understanding The Families' Needs: Interventions For Family Members Of Adolescents With Disruptive Behavior Disorders, Ukamaka Marian Oruche

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Adolescents with Disruptive Behavior Disorders (DBD) including Oppositional Defiant Disorder and Conduct Disorder present unique challenges to their families. DBD are prevalent and serious mental disorders first diagnosed in childhood. DBD are characterized by hostile, aggressive, defiant, and antisocial behaviors. These adolescents are at risk to drop out of school, abuse drugs, or be arrested. Therefore, family members of adolescents with DBD experience overwhelming and unrelenting stress related to the difficult challenges of managing the adolescents' behavior problems and interacting-often on a daily basis-with the mental health, schools, child welfare, and juvenile …

Putting Evidence Into Practice: Dissemination And Implementation Of A Cervical Cancer Prevention Project In Ethiopia, Jennifer Kue

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Cervical cancer incidence rates are astonishingly high among women in Ethiopia (35.9 per 100,000). Almost 6,000 Ethiopian women die annually from the disease. In developed countries, cervical cancers are prevented by early detection using the Papanicolaou (Pap) test; however, in low resource countries, Pap tests are not readily available. An evidence-based alternative, low-tech approach to preventing cervical cancer using visual inspection with acetic acid (VIA) and cryotherapy has successfully reduced morbidity and mortality from cervical cancer in India and Uganda. Dissemination and implementation (D & I) of this evidence-based procedure can save …

Translating Evidence Into Practice In The Residential Aged Care Setting: Long Term Sustainability Of The Champions For Skin Integrity Model, Kathleen Finlayson, Michelle Gibb, Helen Ethel Edwards, Anne M. Chang

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Background and Aim: The incidence of both chronic and acute wounds increases with age and wound care is thus a significant issue for carers and consumers in aged care facilities. The aim of this study was to evaluate the long term sustainability of strategies introduced as part of the Champions for Skin Integrity (CSI) model of evidence based wound management, in order to guide development of strategies and resources for national dissemination of the project.

Methods: A telephone interview and postal survey was undertaken in late 2012 with 13 Champions for Skin Integrity …

The Pebble Effect: Stopping Incivility In Clinical Environments, Cathleen S. Opperman

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The Pebble Effect: Stopping Incivility in Clinical Environments is a reporting of an effective educational strategy used to improve the communication patterns and staff engagement of a 400 bed hospital. Requests in our annual learning needs assessments, as well as feedback from continuing education programs identified a strong desire by interdisciplinary clinical staff to eliminate coworker incivility, horizontal hostility, bullying, lateral violence and intimidation.

Background: The literature review identified incivility as a widespread problem in healthcare. Whether labeled as coworker incivility, horizontal hostility, bullying, lateral violence or intimidation, it is known to …

Level And Predictors Of Self-Care Behaviors (Scb) Among Educated And Uneducated Patients With Heart Failure (Hf) In Pakistan, Ambreen Amirali Gowani

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Self-care among heart failure patients is found to be affected by several factors including education as one of the most significant predictor. Prior studies on self-care, from western countries have revealed that higher the education better is the self-care. But the level of self-care and its predictors are yet un explored in developing countries like Pakistan. Therefore, this study aimed to compare the level of self-care and its associated factors among educated and uneducated HF patients of a country which has lowest literacy rates.

Methods: 230 HF patients (115 educated and 115 …

Relationships Among Locus Of Control, Psychology Status And Glycemic Control In Type 2 Diabetes, Shu-Ming Chen

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to determine whether the factors of locus of control, self-efficacy, depression, and self-care behavior relate to glycemic control in type 2 diabetes.

Methods: We used a descriptive correlational design. Convenience sampling was applied to enroll 285 subjects from diabetic outpatient clinics in Southern Taiwan. We applied the locus of control, self-efficacy, depression, and self-care behavior questionnaires. Glycemic control was assessed by HbA1c measures.

Results: The internal locus of control was significantly positively correlated with self-efficacy and self-care behavior, and significantly negatively correlated with depression. combined depression …

Predictors Of Self-Management For Chronic Low Back Pain, Jennifer Kawi

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: This research study aimed to: (a) identify variables that best predict self-management (SM) of chronic low back pain (CLBP), and (b) evaluate differences in these variables between individuals in specialty pain centers and primary care clinics. CLBP is a continuous or intermittent discomfort persisting for at least three months. It affects about 10% of the world population and is becoming increasingly prevalent. Globally, the ranking of CLBP increased from being the 12th leading cause of years of life lost and years lived with disability in 1990, to number 7 in 2010 (Murray …

Child Rearing Support Of Nurses Who Are Mothers Of Pre-School Age Children, Akiko Maruyama, Miyuki Saito, Eiko Suzuki, Tomomi Azuma

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Managing both job and child rearing is a big challenge for women, and it is specifically difficult for nurses to manage both and that many nurses are susceptible to stress. This study aimed to clarify the relationship between burnout and child rearing support of nurses who have pre-school age children.

Methods: The subjects were 2,151 nurses who have pre-school age children, working in 70 hospitals with at least 200 beds, established by cities and towns across Japan. The questionnaires were completed by 1,644 nurses (92.3%) in October 2010, and they were divided …

Utilization Of Nursing Classification Systems For The Depiction Of The Nursing Process In Electronic Patient Records In Order To Improve Evidence-Based Nursing, Pia Wieteck

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Nursing classification systems are continuously gaining importance in providing the framework for the nursing process and are increasingly used as basis for the evaluation of nursing practice. In addition, the use of terminologies in electronic patient records enables the quantification of data obtained from the nursing process. Data, which can not only be used for reimbursement but also for outcome research, further development of nursing knowledge, implementation of Evidence-based nursing, and the interprofessional communication. However, the discussion of requirements nursing classification systems should meet in order to fulfill the demands of being an …

Changing Cultural Beliefs Contributing To Breast Cancer Deaths, Carol Estwing Ferrans, Marilyn Willis, Garth Rauscher

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Chicago has one of the largest disparities in breast cancer mortality in the nation, with African American death rates twice that of Caucasians at its peak. Previous work of our team showed that the cultural beliefs we identified were associated with (1) longer delays after finding a suspicious breast symptom, (2) later stage of breast cancer at diagnosis, and (3) longer delays between diagnosis and the start of treatment for African American women. The purpose of this study was to determine whether cultural beliefs about breast cancer could be changed by viewing …

Global Research Collaborations To Prevent And Respond To Intimate Partner Violence, Nancy E. Glass

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Gender based violence (GBV), including intimate partner violence (IPV) is a significant and widespread public health issue. Among women globally, 1 in 3 women report physical or sexual violence in their lifetime, most typically at the hands of their male partner. IPV is associated with numerous negative physical and mental health consequences, yet few IPV interventions have been proven effective in reducing the negative health and social consequences of IPV for women and their families. Safety planning is the most widely advocated intervention to reduce IPV, yet the vast majority of abused women …

Helping Patients And Families Enrich The Quality Of Their Lives During Cancer, Ruth Mccorkle

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

In this session an overview of a program of research in cancer care will be presented. The research program will demonstrate the impact the intervention has had on patient and caregiver outcomes. Critical nursing behaviors that were essential in effecting the outcomes will be described. Clinical and policy changes related to the program of research will be discussed and future areas of research will be recommended.