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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, …

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 …

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 …

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 …

Clinical Experiences Of Standard Precautions Among Nursing Students: Based On The Theory Of Planned Behaviour, Hyunjin Oh, Kyung-Mi Kim

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: Healthcare associated infections (HAIs) are a concern for healthcare workers (HCWs) as well as their patients. In addition, nursing students in long-term clinical placements may find themselves in close contact with patients and providing nursing interventions, which may lead to exposure to harmful pathogens. Even though nursing students should also practice SP compliance to limit infection exposure, they are thought to experience other barriers to this practice. Several studies focused on increasing the compliance rates of infection control practice by applying behavioral science theory have been conducted. 1,2,3 The Theory of Planned …

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% …

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 …

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. …

Educating Nursing Students To Recognize And Report Negative Behavior In The Clinical Setting: A Feasibility Study, Florence Schaefer

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: While the clinical rotation provides an essential venue for socialization into the role of the professional nurse, socialization into a culture of abuse also begins at this time. The term 'eating our young' has terrible connotations. Between 72-100% of students reported witnessing or experiencing negative behavior (NB). Clinical nurses are frequently identified as a major perpetrator of the NB experienced by students. Episodes of NB, verbal and physical, are under reported. Reasons for this is that being a recipient of violence was viewed as being part of the job and the student …

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 …

The Family Partners For Health Study: A Randomized Cluster Control Trial For Child And Parent Weight Management, Diane C. Berry, Madeline Neal, Natnaree Aimyong, Robert G. Mcmurray, Gail D'Eramo Melkus, Emily Gail Hall, Todd A. Schwartz, Dean J. Amatuli

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this study was to test a two-phased nutrition and exercise education, coping skills training, and exercise intervention for overweight or obese low-income ethnic minority 2nd to 4th grade children and their parents in rural North Carolina, U.S.

Methods: A cluster randomized controlled trial was carried out with 358 children (7-10 years) and a parent (n = 358). General linear mixed models were used to determine the effects of the intervention on weight, adiposity, health behaviors and eating and exercise self-efficacy by examining changes in children and parents from baseline …

African-American Grandmothers Raising Grandchildren: Results Of An Intervention To Reduce Caregiver Psychological Distress, Susan J. Kelley, Peter E. Campos, Deborah M. Whitley

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: Globally, millions of grandmothers are assuming full-time caregiving responsibilities for grandchildren when birth parents are unable to do so. While the reasons for this caregiving arrangement vary by global region, they often include HIV/AIDS, child maltreatment, workforce migration, mental health issues, and substance abuse. The purpose of this study is to determine the results of an intervention to improve the well-being of grandmothers who are raising grandchildren in parent-absent homes. More specifically, we examine the role of a home-based, interdisciplinary intervention in reducing psychological distress in caregiving grandmothers.

Methods: The sample comprised …

Icu Diaries Reduce Post Traumatic Stress Disorder After Critical Illness In Patients And Family Members, Christina Jones

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 …

Are Nurses Prepared For A Radiological Disaster?: Assessing The Knowledge Of Nursing Students To Support The Need Of Integrating Radiological/Disaster Content Into Nursing Curricula, Cary Brown

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this project is to provide further evidence of the need for integrating radiological disaster preparedness content into nursing education curricula by assessing current knowledge of radiological emergency preparedness among licensed and pre-licensed nursing students using the Emergency Preparedness Information Questionnaire (EPIQ) survey revised for radiological emergencies.

Methods: Undergraduate licensed and pre-licensed nursing students attending the University of West Florida completed the survey (N=60). Pre-licensed students received a radiation instructional intervention and completed the survey post-intervention.

Results: Nursing students have a low level of self-reported knowledge of radiological emergency preparedness. …

Physical Fitness Exercise Vs. Cognitive Behavior Therapy On Reducing The Depressive Symptoms Among Community-Dwelling Elderly Adults, Tzu-Ting Huang, Yen-Fan Chin

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Aim: To compare the effectiveness of three interventions (physical fitness exercise, cognitive behavior therapy, and comparison) on primary outcomes (depressive symptoms), and secondary outcomes (physical fitness, quality of life, cognitive function, and social support) of community-dwelling elderly adults with depressive symptoms.

Background: Depressive inclination is a major problem among community-dwelling elderly adults. The prevalence of depressive symptoms ranges from 10.4% to 39.3%. This indicates the importance of developing effective strategies to reduce depressive symptoms among elderly adults.

Methods: Data was collected from May 2011 to April 2012. A randomized controlled trial with three …

Sustaining Evidence-Based Nursing Practices For Fall Prevention In Hospitalized Oncology Patients, Laura Cullen, Sharon J. Tucker, Deborah Sheikholeslami, Debra Picone, Janis Johnson, Grace Matthews, Rhonda Evans, Renee Gould, Deborah Bohlken, Lynn Comried, Kelly Petrulevich, Elena Perkhounkova

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Aim: This study aimed to identify factors that sustain evidence-based fall prevention for hospitalized oncology patients by examining patient factors (characteristics reported in incident reports 2009-2012 and patient interviews regarding their perspectives of fall risks and prevention); nursing interventions (documented for patients who fell 2009-2012); and nursing staff surveys regarding fall prevention knowledge and self-efficacy.

Background: Fall prevention is an important quality indicator and nursing concern for hospitalized oncology patients. In fact, 3-20% of hospitalized patients fall with 60% related to toileting, adding $4000 in cost. Up to 50% of patients are at …

Reflections Of Second Year Nursing Students In Australia On Improving Their Cultural Competence In Relation To Aboriginal And Torres Strait Islander Health, Glenda E. Mcdonald, Leanne Hunt, Sharon Patricia Hillege

International Nursing Research Congress (INRC)

Session presented on Monday, July 28, 2014:

Purpose: Nursing students around the world require the capacity to provide nursing care in a culturally competent manner, given the complex patterns of migration and the increasingly multicultural nature of our societies and health system populations. In particular, nursing students need to understand the social and political aspects of majority and minority groups within societies and the impact they have on health access and outcomes.

Methods: This qualitative research study investigated the development of cultural competence in 76 culturally diverse, second-year nursing students in a metropolitan region of Australia, while they studied a …

Exposing Quality Of Life And Deadly Health Disparities: Using Research To Change Health Care Policy, Carol Estwing Ferrans

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

At this meeting in Hong Kong, Dr. Carol Ferrans will be inducted into the International Nurse Researcher Hall of Fame of Sigma Theta Tau International. The purpose of this presentation is to trace her research trajectory from its earliest beginnings in quality of life and health disparities, over 30 years, including how she used research findings as a tool to strategically to shape and create changes in healthcare policy and legislation. Since the early 1980s when quality of life was a new concept, she has been an advocate for the voice of the …

Nurse Burnout And Patient Outcomes, Apiradee Nantsupawat

International Nursing Research Congress (INRC)

Session presented on Thursday, July 24, 2014:

Purpose: This study examined the effect of nurse burnout and patient outcomes.

Methods: This study was cross-sectional study. The sample consisted of 2,083 nurses across 92 community hospitals in Thailand. Nurse burnout was measured by the Maslach Burnout Inventory-Human Service Scale. Patient outcomes were measured by five items assessing quality of care, medication errors, confidence that patients can manage their own care after hospital discharge, infection, and falling. Logistic regression was used for the analysis.

Results: The results of study showed that higher nurse burnout was associated with higher report of fair to …

Intervention Study On Program Development Of The Exercise Adherence For The Elderly Of Musculoskeletal Ambulation Disability Symptom Complex, Keiko Fukuroku

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Objective: This study evaluate the effectiveness of this intervention program that home exercise adherence for fall prevention. The first is comparison of activities of daily living (ADL) and physical measured value between pre and post intervention in both groups. The second evaluate of feedback effect of change in gait by motion analyzer.

Design: 54 subjects recruited from female 65 years of age or older patients with Musculoskeletal Ambulation Disability Symptom Complex (MADS) under treatment at the orthopedic clinic. We provided the home exercise to improve the ability to trunk balance, range of motion …

Text Messaging Information For Survivors Of Intimate Partner Violence, Linden Wu

International Nursing Research Congress (INRC)

Purpose: Disruptive Innovations (DI), using an intentionally and deliberately developed product or service that becomes part of daily human activity such as Text Messaging Intervention (TMI) is the conceptual framework we used. Our specific aim is to evaluate text messaging as a feasible disruptive and protective tool on IPV. Three research questions are: Will TMI 1) increase participants' awareness of potential IPV? 2) improve participants' knowledge of the warning signs of IPV? and 3) improve participants' knowledge of actions to take to prevent IPV?

Methods: A mixed methods design was used to examine the feasibility of text messaging qualitatively and …

Does Social Activity Decrease The Depression In The Elderly?: An Analysis Of A Population-Based Study In South Korea, Seung Hee Lee, Young Bum Kim

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: Geriatric depression is a common condition in elderly Asian women including South Koreans. Geriatric depression also becomes an imminent challenging health concern with an increasing number of geriatric populations in Asian countries. In South Korea alone, the prevalence of probable depression in elders was 15.5% and increased with age (19.0% in female and 10.7% in male). The purpose of this study was to investigate whether social activity decreases depressive symptoms in elderly Korean women and to provide directions for future development of interventions to prevent geriatric depression.

Methods: For this study, we …

Review Of The Predictors Of Medication Non-Adherence And Adherence, Kathy Wheeler

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: This is the second 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: The research review showed medication adherence and non-adherence can be categorized according to the following: patient demographic characteristics, patient psychological and behavioral characteristics, social factors, disease related factors, financial and other health system factors, patient-provider relationships, and treatment related factors.

Conclusion: The implications for advanced practice nurses and other prescribers is that it is important to evaluate the …

Back To School: An Educational Collaboration And Tool For School Nurses And Their Patients With Chronic Headache And School Absence, Lori A. Lazdowsky, Elyse D. Mahoney, Karen J. Kaczynski, Alyssa A. Lebel, Alessandra J. Caruso, Ashley M. Mccarthy, Rupa Gambhir, Laura Simons, Victoria E. Karian

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this project is to develop an effective teaching tool to facilitate communication among medical providers, students and families, and school administration on how to best meet the complex needs of students with chronic pediatric headache as they transition back to school after an extended medical absence. In recent decades, the number of children with chronic illnesses transitioning back to school has increased (Kliebenstein & Broome, 2000). Though medical professionals provide much of the necessary physical and psychological care to facilitate school reentry, the process may be delayed for several …

Bullying And Its Prevention Among A National Sample Of Israeli Icu Nurses, Freda Dekeyser Ganz

International Nursing Research Congress (INRC)

Session presented on Friday, July 25, 2014:

Purpose: The purpose of this study was to describe the prevalence of bullying as well as what measures were taken to prevent it, as perceived by a national sample of Israeli ICU nurses. Background: 'Bullying refers to repeated, offensive, abusive, intimidating, or insulting behaviors; abuse of power; or unfair sanctions that make recipients feel humiliated, vulnerable, or threatened, thus creating stress and undermining their self-confidence (Embree, & White, 2010; Hutchinson, Wilkes, Jackson & Vickers, 2010; Murray, 2009; Rowell, 2005; Yildrim & Yildrim, 2007).' This phenomenon has been shown to be widespread within nursing …

Illness Representations And Self-Care Behavior Of Patients With Heart Failure, Jen-Chen Tsai, Pei-Shan Tsai, Yen-Ting Wang

International Nursing Research Congress (INRC)

Session presented on Sunday, July 27, 2014:

Purpose: The purpose of this presentation is to investigate the relationship between illness representations and self-care behaviors of patients with heart failure and to identify important factors related to illness representations and self-care behaviors among these patients.

Methods: This study was conducted based on the self-regulation model. Patients with heart failure were recruited from a medical center in northern Taiwan. A descriptive correlational research design was used. Three questionnaires were administered to the study participants, including the illness representations questionnaire-revised (IPQ-R), the heart failure symptoms experience questionnaire, and the self-care behaviors questionnaires. Data …

Relationship Between Social Desirability And Perception Of Physical Restraint Use Among Japanese Nurses, Kyoko Shida, Makiko Muya

International Nursing Research Congress (INRC)

Session presented on Saturday, July 26, 2014:

Purpose: In Japan, the aging society has been growing rapidly. In 2055, it is estimated the aging ratio would be 40.5%. The issues of aging society are proposed from several domains of quality of life. The increase of elderly patients and the shortage of care providers are also big issues. Additionally, ethical consideration for patients has been more and more paid attention under the precarious balance. Many nurses experience ethical dilemma toward elderly care, especially, the use of physical restraint for cognitive impairment. Ethical decision to use of physical restraint is entrusted to …

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 …