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Self-Management And Weight Loss In Adolescents: A Systematic Review, Diane Thomason, Jennifer Kawi, Nada Lukkahatai, Kirsten E. Connelly, Jillian Inouye

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Evidence of parental support in weight loss of overweight and obese adolescents provide significant decrease in overweight adolescents compared to standard care or self-help in the short term and over the long term (Oude Luttikhuis et al., 2009). However, there is limited information on which parental components are effective in supporting the adolescent's self-management of weight loss.

Purpose: To develop a better understanding of effective parental support in self-management weight loss strategies for overweight and obese youth.

Methods: This integrative review evaluates the effects of current adolescent self-management weight loss interventions in …

Fighting A New Battle: A Bathing Care Standard For Caregivers Of Elderly Male Military Veterans With Delayed Onset Post Traumatic Stress Disorder, Michelle Rose

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Despite many veterans' hopes that the invisible wounds of war can be healed; they leave scars. Most survivors of military combat who have experienced or witnessed life-threatening events such as, terrorist incidents, and serious accidents can adjust to incidents without lingering effects. Many years after a war, other aging veterans find themselves fighting a new battle as they strive to cope with delayed-onset posttraumatic stress disorder (DOPTSD). For many aging military veterans with Post Traumatic Stress Disorder (PTSD) activities of daily living, particularly bathing can be an improbable, …

Transforming Care For Individuals With Developmental Disabilities: Innovations In Education, Catherine M. Mann, Lisa Sherry Ball

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015:

Nursing faculty recognize individuals with developmental disabilities as an underserved community with unmet needs. Disparities in health care may be attributed to lack of health provider knowledge and comfort in caring for the population (Centers for Disease Control and Prevention, 2014; Ward, Nichols, & Freedman, 2010). In response to the New York State Developmental Disabilities Planning Council's (NYS DDPC) call for proposals related to piloting, evaluating, and infusing innovative programs to educate and empower health care professionals to act as leaders in providing quality health care to people …

The Potential Role Of The Vagus Nerve In Hiv-Associated Cognitive Disorders, William Chance Nicholson, David E. Vance, Linda D. Moneyham

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015:

With the introduction of combination antiretroviral therapy (cART), HIV replication is hindered and gross immune responses are reestablished for many; however, even in the presence of antiretroviral therapy, HIV stimulates constant activation of both the adaptive and innate immune systems which results in a chronic, mild inflammatory state. Despite improved outcomes with cART (e.g., decrease in HIV-associated dementias), adults with HIV continue to exhibit central nervous system mediated cognitive disorders when compared to the HIV negative population. The cognitive disorders, known as HIV-associated neurocognitive disorders (HAND), have been …

Virtual Patient And Simulation: Strategies To Teach End-Of-Life Care, Leona A. Konieczny

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: How does the educator prepare students for the profound experience of providing care at end-of-life? Technology can be used to provide the knowledge and skills needed before the nursing student faces this situation in the reality of the clinical experience. The learning laboratory using simulation provides exposure in the affective area. In a gerontological course prior to the clinical experience, nursing students meet a virtual patient. Over the course of the semester, the students meet, interview, and assess this a virtual female adult patient. There is an unfolding …

From Clinical Practice To Leadership In Academia, Bimbola Fola Akintade

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Background: As an expert clinician, making the transition from clinical practice to a leadership position in an academic setting has presented many challenges. The Nurse Faculty Leadership Academy (NFLA) Scholar Program sponsored by Sigma Theta Tau International and Elsevier has helped mitigate these challenges for myself and other novice nursing faculty leaders. This is an 18 month faculty guided mentorship and leadership program which focused on three domains; leadership development, a scholar led team project and expanding the scope of influence. Methods: Several leadership tools were utilized to …

Changing The Behavior Of The Caribbean Immigrants In Toronto, Khelesh Persaud

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The purpose of this study was to evaluate the efficacy of the Canadian diabetes health education program in changing the behavior of Caribbean immigrants in Toronto with Type 2 diabetes using the health belief model. There is limited information in the literature about this topic. Previous studies conducted on the Caribbean population's Type 2 diabetics did not include sufficient educational information to meet the needs of the Caribbean people to decrease further health complications. This quasiexperimental study built upon existing research that suggested there is an overwhelming desire for culturally-sensitive diabetes self-management education. …

Effects Of Dance In Chronic Illness: A Systematic Review, Alona Angosta, Patricia K. Gatlin, Reimund Serafica

Biennial Convention (CONV)

Background: Dance is a social and physical activity. It has been used therapeutically for thousands of years and was thought to influence healing (Ritter & Low, 1996). Research in dance therapy has substantially increased in recent years particularly research related to cancer and among healthy individuals. However, it is unknown whether dance impacts health-related outcomes among individuals with chronic illness. Additionally, empirical studies need to be evaluated to determine the effectiveness of dance as evidence-based intervention. Purpose: This systematic review explored studies on dance and its impact in chronic illness. Methods: A literature search was conducted utilizing electronic searches using …

Building A Culture Of Geriatric Excellence: One Hospital's Experience, Louise Laufer Hummel

Biennial Convention (CONV)

It is well known that an acute care hospitalization can be a pivotal event in the life of an older person. Within our hospital, the average daily inpatient census is seventy (70%) over the age of 65. As the American population ages, so does the need to care for acute and chronic conditions effecting the geriatric population. Through the leadership of the hospital's nursing vice president, it was determined that there was a need to have nurses with expertise in gerontological nursing practice. Key stakeholders were chosen to focus on geriatric education, certification, and evidence based practices to provide superior …

Muscle Strength, Physical Activity, And Functional Limitations In Older Adults With Central Obesity, Cassandra M. Germain, John A. Batsis, Elizabeth Vasquez, Douglas R. Mcquoid

Dartmouth Scholarship

Background: Obesity and muscle weakness are independently associated with increased risk of physical and functional impairment in older adults. It is unknown whether physical activity (PA) and muscle strength combined provide added protection against functional impairment. This study examines the association between muscle strength, PA, and functional outcomes in older adults with central obesity. Methods: Prevalence and odds of physical (PL), ADL, and IADL limitation were calculated for 6,388 community dwelling adults aged ≥ 60 with central obesity. Individuals were stratified by sex-specific hand grip tertiles and PA. Logistic models were adjusted for age, education, comorbidities, and body-mass index and …

Orthostatic Blood Pressure Vitals Signs: Educating Staff To Keep Our Geriatric Population Safe, Hilary A. Boos Bsn, Rn, Erin K. George Bsn, Rn, Kathleen M. Timm Bsn, Rn

Patient Care Services / Nursing

No abstract provided.

Global Advisory Panel On The Future Of Nursing (Gapfon): Recommendations, Strategies And Outcomes, Hester C. Klopper, Cathy D. Catrambone

International Nursing Research Congress (INRC)

Session presented on Thursday, July 23, 2015 and Monday, July 27, 2015:

During this session, GAPFON's purpose will be discussed, as will the initial outcomes and recommendations from the global meetings held to date in Southeast Asia/Pacific Rim, the Caribbean, and Latin-Central America. Strategic action plans based on measurable outcomes will be discussed, along with recommendations developed regarding the process of consensus building among all stakeholders to identify key issues by region from a cultural and political perspective. The purpose of GAPFON, established by Sigma Theta Tau international (STTI), is to advance nursing's global voice and vision in the context …

Genomics And The Right To Health Autonomy: A Survey Of International Health Policies, Scott Emory Moore

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: Nursing leadership in the international community spans many areas including health policy development. international health policies are varied in their subject matter and acceptance. With the development of new technologies and methods of accessing and using genomic data, many international policies regarding genomic science and patient autonomy have been created. Nurses must be aware of international policies and their impact on patient care. Additionally nurses must take an interest in their roles as advocates for patients' rights to health.

Methods: This review of current international genomic policies and documents incorporates thematic review …

The Nursing Model Of Adult Day Care For Filipino Older Persons, Pearl Ed G. Cuevas

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Purpose: This study aimed to develop a model of a nurse-managed adult day care program for Filipino older persons to guide nurses in creating meaningful, focused, and structured activities for them. Participants include Filipino older persons regularly attending at the Manila Department of Social Welfare District V Drop-In Center for Senior Citizens.

Methods: A mixed methods research design was used. Health needs were determined by profiling, assessment of quality of life with the use of the World Health Organization (WHO)-Quality of Life (QOL) tool in ambulatory community-dwelling Filipino older persons, and followed by …

The Comparison Between Residents' Health Status For Those Who Use N-G Or Peg Feeding In The Long-Term Care Facilities, Chaw-Mew Hung, I-Chuan Li, Tung-En Lin

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Purpose: The Purpose of this study was to compare the differences of residents' health status between the use of PEG and N-G in long term care facilities.

Methods: The cross-sectional design was used in this study to survey 1,500 residents from 32 long term care facilities in the Greater Taipei, Taiwan between May to July in 2012.

Results: The mean age for total subjects was 80.25 years old. The prevalence rate of the use of enteral nutrition support was 39.7%(n=546). Among 1,500 study subjects, 546 of them use feeding tubes and the percentage …

Managing Dignity In Later Life: Global Influences, Personal Strategies, Cellular Effects, Cynthia S. Jacelon, Rachel Walker, Jordon Bosse

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

Dignity is an inherent human characteristic and a dynamic, attributed part of the self is susceptible to human and environmental interaction. In the first paper we present an ecological model exploring the dignity of older adults as a form of resilient health potential to enhance well-being in later life. Through a synthesis of the literature we demonstrate how societal, community, family/interpersonal, and individual factors can combine to threaten the dignity of community-dwelling older adults. Chronic exposure to these threats can lead to maladaptive stress responses, cellular aging, pathological changes, and increased risk of …

The Geriatric Nursing Leadership Academy: Sustainability In Influence And Impact, Deborah F. Cleeter Bailey, Karen Reynolds, Meredeth Rowe, Claudia Jean Beverly, Catherine Roscoe-Herbert

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The Geriatric Nursing Leadership Academy (GNLA) is designed to prepare and position a global cadre of nurse leaders to transform relevant practice and policy for older adults. The academy provides an intentional personal and professional development experience for Fellows who are mid-career geriatric nurse leaders. A behavioral leadership development philosophy is employed as the foundation of the design of all academy relationships, curriculum activities, faculty modeling, and reflective exercises. Currently conducting the fourth cohort of the international academy, the GNLA Fellows have achieved significant outcomes within three domains: individual leadership development; advancement of …

Video Guided T'Ai Chi: A Pilot Study To Assess Effectiveness, Elizabeth D. Katrancha

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Falls impact up to 45% of community dwelling older adults each year, contributing to upwards of $30 billion dollars in direct health care costs. Independent of an actual fall many persons over age 65 years report a fear of falling that negatively impacts quality of life through a cycle of inactivity, weakness, depression, isolation and increased falls. There are a number of evidenced based programs available that address fall prevention. T'ai Chi, an ancient Chinese martial art is thought to enhance awareness of body position, alignment, and range of motion. Numerous studies provide …

Prescribing Knowledge And Practice Patterns Of Advanced Practice Nurses, Barbara H. Schaffner, Marjorie A. Vogt

International Nursing Research Congress (INRC)

Purpose: The purpose of this descriptive study is to explore the medication knowledge and prescribing practices used by APRN. Information about advanced practice registered nurse: APRN knowledge and practice patterns as related to prescribing medications is limited at the state, national and global levels. Yet prescribing medications is an important component of clinical practice for the APRN practitioner. Previous studies identify that prescribing medications is influenced by education and knowledge, practice settings, self-efficacy related to culture, external factors such as collaborating partners and cost (Gielen et al, 2014; Hussein & Brow, 2014; Buckley et al, 2013; Dawson & Lighthouse, 2010; …

Cancer Pain Treatment Differences In A Matched Sample Of Older African-American And European-American Hospice Patients At The End-Of-Life, Staja Q. Booker, Keela Herr, Ann Marie Mccarthy

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Differences in the experience and treatment of cancer pain between African American and European American adults in community settings are noted in the literature. However, little is known about the treatment experience of older African Americans and European Americans in hospice settings at the end-of-life. Evidence shows that African Americans utilize hospice services less often, and report higher cancer pain intensities but receive less optimal treatment despite the availability of best practices for cancer pain management. The purpose of this study is to determine if there are differences in best practice cancer pain …

Australia's Dementia Research Initiative: The Contribution Of Nursing Science, Elizabeth R. A. Beattie

International Nursing Research Congress (INRC)

Session presented on Friday, July 24, 2015:

Nurse researchers have led the way in care-focused research designed to improve the quality of care and quality of life of people living with dementia in Australia. Using existing dementia specific research and knowledge translation initiatives and collaborative processes a series of studies have been undertaken that have contributed to the evidence base related to a number of pressing issues in dementia care including: quality of life, respite care, transitions in care, perceived stigma of diagnosis, palliative approaches to care and non-pharmacological approaches to behavioural and psychological symptom assessment and management. This presentation …

Mentoring Undergraduate Nursing Students For Evidence-Based Practice To Improve Quality And Safety In Long-Term Care Settings, Elizabeth Roe, Olivia Halabicky

International Nursing Research Congress (INRC)

Session presented on Saturday, July 25, 2015:

This presentation will describe a project to mentor undergraduate nursing students and clinical staff in Evidence-based Practice (EBP) to improve quality and safety in long-term care (LTC). The project has been mutually beneficial to the Nursing Program and clinical settings involved. The goals of this project are: 1. To involve students in evidence-based initiatives in the long-term care setting, 2. To increase the knowledge and use of EBP in the LTC setting, and: 3. Improve quality and safety in the LTC setting. The project began five years ago when a Nursing faculty member …

Depression, Cognitive Impairment And Functional Dependence In Older Adults, Users Of A Geriatric Center In Saltillo, Mexico, Maria De Los Angeles Villarreal-Reyna, Ana Laura Sr. Carrillo-Cervantes, Deyanira Rodriguez-Flores, Maria Magdalena Delabra-Salinas, Martha Alicia Magallanes-Monrreal

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015: Purpose: To determine the prevalence and relationship of depression, cognitive impairment and functional dependence in older adults users of a Geriatric Center in the city of Saltillo, Mexico. Methods: Retrospective descriptive correlational design. The sample was formed by 360 clinical expedients of older adults, users of a Geriatric Center, selected randomly with systematical sampling (k= 16). Social-demographic data was collected and the evaluations were done with 4 instruments: Yesavage's Geriatric Depression Scale; Minimental State Examination MMS-E; Katz'Scale.'Basic Activities of Daily Living;'Lawton y Brody'Scale.'Instrumental Activities of Daily Living.'The analysis of data was completed using …

Exploring Knowledge And Attitudes About Older Adults In Advanced Practice Nursing Education, Beverley E. Blair Brown

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Purpose: Knowledge about normal aging, and conditions common to older adults, is often both lacking and not seen as interesting or compelling. In addition, attitudes about older adults, whether the result of inherent age bias or real experience, may impede their quality of care as well as quality of life. This ongoing study explores the relationship between required gerontology curriculum content and measures of knowledge and attitudes about aging in advanced practice nursing students.

Methods: Standardized measures (Facts on Aging Quiz; Attitudes Toward Old People Scale) and a demographic questionnaire, are conducted pre- …

Transitioning Novice Nurse Practitioners Into Practice Through A Blended Mentoring Program, Trisha L. Wendling

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

The role of the advanced practice registered nurse (APRN) has grown tremendously within the past 15 years. Continued growth is expected as APRNfill the gap in patient care responsibilities as a result of the reduction in resident physician work hours. Years of research have demonstrated the difficulty novice APRNexperience as they transition from RNo APRNSupport for the novice APRNhas been found to be a facilitating factor in the transition; however, there is no consensus in the literature as to what type of support is most beneficial. The Institute of Medicine (IOM) suggests a …

Perceived Health Status Of Elders Treated With Opioids For Persistent Nonmalignant Pain, Leslie E. Simons

International Nursing Research Congress (INRC)

Purpose: To explore the relationship between opioid use and perceived health status in older adults aged 65-84 with persistent nonmalignant pain.

Methods: A purposive sample of 31 cognitively intact men and women aged 65-84 years receiving opioid therapy for 6 months to manage persistent nonmalignant pain. Data collection included a semi-structured interview that included an initial assessment of cognition using the Short Portable Mental Status Questionnaire. All consented participants met the cognitive screening criteria. The remaining interview collected social and demographic data and perceived health status, pain intensity and functionality, measured by the physical and mental component summary scores of …

Connecting Nurse Faculty: International Networking Opportunities, Matthew S. Howard, Kayla Woodward, Judith Bruce, Marie T. Nolan

International Nursing Research Congress (INRC)

Session presented on Sunday, July 26, 2015:

Global bodies such as the World Health Organization have developed global standards for nursing and midwifery education to improve the quality of nursing education and create paths for professional advancement in line with worldwide education trends (WHO, 2009). Despite this general consensus to establish basic global standards, there are many challenges to doing so in each country, such as variations in the development of practice, competency, and regulatory and legal standards (Huston, 2009). We live in an increasingly global society that gives nurses the ability to connect with other nurses and healthcare professionals …

Inégalités En Santé Chez Les Adultes Plus Vieux Dans Les Pays Développés: Réconcilier Théories Et Approches Politiques, Amélie Quesnel-Vallée, Andrea Willson, Sandra Reiter-Campeau

Population Change and Lifecourse Strategic Knowledge Cluster Discussion Paper Series/ Un Réseau stratégique de connaissances Changements de population et parcours de vie Document de travail

Les politiques dont le but est de soutenir les personnes âgées creusent peut-être les inégalités. Des régimes de pensions de plus en plus privatisées et un manque de services de soutien subventionnés profitent de façon disproportionnée à ceux qui ont les moyens sociaux et économiques les plus forts à l’âge avancé. Les gens favorisés sont en meilleure santé que ceux qui sont désavantagés. Le Canada a l’occasion d’éviter un impact si biaisé des programmes pour les aînés, en puisant dans les approches créées par l’Organisation mondiale de la santé, des exemples internationaux et dans la théorie et la recherche sociologique. …

Impacts And Preferences Study For I-Sla As An E-Learning Environment To Engage Community Partner, Chia-Hui Chiu

International Symposium on Service-Learning: Network Strengthening for Service-Learning Regional Collaboration

No abstract provided.

Research Brief: "Aging Well Among Women Veterans Compared With Non-Veterans In The Women’S Health Initiative", Institute For Veterans And Military Families At Syracuse University

Institute for Veterans and Military Families

This study analyzes a veteran status' effects on aging among women 80 years and older. For policy and practice, this research clearly states that mental health and healthy behaviors are important for aging women, and that the VA should continue research on health needs of aging female veterans. Suggestions for future research include studies to better understand special health risks among older female veterans, how self-resiliency among female veterans affects their health as they age, and how educational attainment relates to older female veterans' health.