Digital Commons Network^™

Denial Or Decay?: An Oral Health Educational Program For Caregivers Of Preschool Children, Audrey P. Miller, Gabriella M. Riccio

Biennial Convention (CONV)

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

Background: Oral health care is the primary preventive method of tooth decay (caries or cavities) and infection in children below the age of five. Nonetheless, many children still suffer with multiple infectious tooth decay, unnecessary sedative extractions, and tooth loss; resulting in pain, nutritional concerns, and speech delays. The gap in the literature as it relates to caregiver knowledge towards oral health for their young children and the effects that preventive oral health care can contribute to a child's healthy lifestyle are deficient. Aims: To examine the effects …

Healthy Skin Wins: A Glowing Pressure Ulcer Prevention Program, Donna Martin, Lisa Albensi, Stephanie Van Haute, Lorna Guse, Mary Montgomery, Kendra Gierys, Maria Froese, Mavis Lam, Nataliya Basova, Rob Lajeunesse

Biennial Convention (CONV)

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

Pressure ulcers (PUs) are one indicator of the quality of health care. The prevalence of PUs in acute care hospitals in Canada is estimated at 25.1% with half of PUs assessed as Stage 1. In 2013, an observational survey using a modified Braden Scale was conducted among 272 patients in an acute care hospital located in a Western Canadian city. The prevalence rate of PUs was 34.9% with only one third of the PUs at Stage 1. In this poster presentation, we describe how a multidisciplinary research team …

Inshape: An Exercise And Nutrition Wellness Program For Individuals With Serious Mental Illness, Marsha L. Lesley

Biennial Convention (CONV)

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

The InSHAPE individualized health promotion program has been gaining national attention for its success in helping individuals with serious mental illness to improve physical fitness and nutrition health. A community mental health agency in mid-Michigan has been enrolling participants in the year-long program since December 2010 and has collected data on numerous physiological and psychological measures at several time points during the year. This study will report the findings and relationships between these repeated measures including physical assessment data such as blood pressure and heart rate before and …

Sugar In The Blood: The Meanings Of Diabetes Among Newly Arrived Filipinos In The United States, Reimund Serafica, Susan Lane

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Background: The prevalence of type 2 diabetes mellitus (T2DM) is increasing in the United States, particularly among immigrant populations. Primary prevention programs for diabetes must be designed to address the cultural beliefs of the populations they target. Little research has investigated the beliefs of those immigrants who do not have T2DM. Filipinos are at high risk for developing diabetes, especially T2DM. There is a need to highlight in improving diabetes management and prevention with efforts in primary prevention among those at risks for developing T2DM. Purpose: The purpose of this qualitative ethnography study …

The Effectiveness Of The Chin-Down Posture In The Improvement Of Dysphagia In Stroke Patients, Shiu-Hao Tai, Hui Mei Huang

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015 and Sunday, November 8, 2015: Introduction: This study investigates the effectiveness of the Chin-down swallowing technique in the improvement of dysphagia in stroke patients. Methods: This study was a quasi-experimental design conducted in January 2013 to December 2013. Subjects were selected by purposive sampling from in stroke patients with dysphagia the rehabilitation and neurologic department of a medical center. Patients with brainstem stroke, brain trauma, or past cervical vertebra damage were excluded; patients with unstable vital signs, those who could not follow instructions, and those who could not perform the maneuver were also …

An Attitude Of Gratitude Program: Shining The Light On The Work Environment, Ann Marie T. Brooks

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Building and sustaining a culture of safety, quality and accountability is a challenge in healthcare. Engagement data from national organizations oftentimes use questions about recognition and demonstrate that retention of staff is directly related to various types of recognition especially from their direct supervisor and those in authority. This program focuses on developing and implementing a simple yet straightforward program that encourage employees at all levels to recognize others for their work. This unique session started out as part of our Schwartz Rounds program to begin the new year. Based on positive feedback …

How To Excel At Evaluating A New Graduate Nurse Residency Evidence-Based Practice Program, Donnya E. Mogensen

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Evidence Based Practice (EBP) is an integral part of nursing and needs to be included in any program that transitions new nurses into practice. New Graduate Nurse Residency Programs (NGNRP) are designed to build knowledge, skills and attitudes of new nurses during this transition. The NGNRP in this example is a year-long program featuring three distinct components; classroom learning, clinical precepted experience and an EBP project. The EBP component is designed to ignite the spirit of inquiry and advance best practices. The EBP component includes classroom EBP curriculum, a hands-on EBP project and …

Attitudes Of Gratitude: Innovative Strategies In Improving Health And Wellness, Sharon M. Weinstein

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: Your attitude plays a large role in determining whether you can feel grateful in spite of life's challenges. According to gratitude researcher Robert Emmons, gratitude is just happiness that we recognize after-the-fact to have been caused by the kindness of others. Gratitude doesn't just make us happier; it is happiness in and of itself! According to Emmons, gratitude is defined by your attitude towards both the outside world and yourself. He suggests that those who are more aware of the positives in their lives tend to focus their attention outside of themselves. One …

A State School Nurse Initiative That Could Transform Healthcare Globally, Teena Byers Darnell, Kathy Hager, Paul D. Loprinzi

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

The long-range purpose of this project is to legislate school nurses in all Kentucky public schools. The short-range outcomes are to provide data supporting the value of the school nurse, suggest models for funding the school nurse, and provide strategies for garnering support among all stakeholders. National data suggest that school nurses decrease absenteeism and increase graduation rates, important motivators for mandated legislation. A state-wide initiative that involved youth advocates, nursing organizations, the state department of education, and county health departments, surveyed the school nurses to determine which counties had school nurses. A …

Replication Of The Maternal-Child Health Nurse Leadership Academy In Africa, Christa Van Der Walt, Karin C. S. Minnie, Hester C. Klopper, Oslinah Buru Tagutanazvo

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

This special session focuses on the process followed from the inception of the idea to the completion of the first cohort of the Africa Maternal Child Health Nurse Leadership Academy (MCHNLA) in August 2015. We will share the background and history of the replication of the MCHNLA in Africa with reference to the need for leadership development in the field of maternal-child health in Africa, followed by a historical overview of the development of the Africa MCHNLA. This will be followed by our experience of the pilot Academy in the North-West Province of …

Supporting Nursing Research: Mentors' Perspectives On A Research Training Program For Point-Of-Care Nurses, Agnes T. Black, Candy Garossino, Lynda G. Balneaves

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Introduction: Research shows that patient outcomes improve when nurses have an evidence-informed practice, yet nurses have identified many barriers to their engagement with research at the bedside, including lack of research methods knowledge, limited organizational support and insufficient time to implement new ideas (1). Mentorship in healthcare settings has been shown to be valuable in furthering evidence-informed practice (2,3). Leaders at Providence Health Care in Vancouver, BC, developed a point-of-care research-training program that included support from mentors and was aimed at reducing nurses' barriers to research utilization in clinical settings and promoting engagement …

Cultural Relevancy Of Palliative And End-Of-Life Care: Conversations With Indigenous Elders, Mary J. Isaacson

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: Access to palliative and end-of-life (EOL) care is severely limited for South Dakota (SD) Native American/American Indians [NA/AI] (Isaacson et al., 2014), which is of significant concern given their high morbidity and mortality rates (SD Vital Statistics Report, 2012). Palliative care professionals and NA/AI healthcare providers identify funding, infrastructure, and misperceptions specific to the NA/AI population and palliative/EOL care as barriers to access (Isaacson et al., 2014). Addressing these barriers and feasibility concerns must occur by bringing together key individuals and include persons receptive to the voices and concerns of NA/AIs residing …

Evidence Of Cognitive-Behavioral Skill Use After A Physical And Mental Health Promotion Intervention (Cope For Teen), Stephanie A. Kelly

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: COPE (Creating Opportunities for Personal Empowerment) Healthy Lifestyles TEEN (Thinking, Emotions, Exercise, Nutrition), a cognitive-behavioral skills building intervention, strives to develop lifelong healthy behaviors to enhance physical and mental health. Healthy lifestyle behaviors are difficult to attain and sustain. Evidence suggests behavior change may be sustainable when cognitive-behavioral skills are taught and used as the technique for change. Such strategies include: goal setting, cognitive reframing, problem-solving, relaxation techniques, social interaction and communication skills, mood monitoring, emotional regulation, and self-regulation.

Aims: The purposes of this presentation are: (a) to discuss cognitive-behavioral skills building …

Sacred Valley Health: A Global Organization With A Local Impact, Keri Lynn Baker, Lynne M. Massaro, Maria C. Lafaro

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Sacred Valley Health (SVH) is a US 501 c3 nonprofit organization working in Ollantaytambo, Peru. The mission of SVH is to promote health in the underserved, rural communities of Peru's Sacred Valley through increased access, education, and community empowerment. The primary focus of the organization is to train promotoras de salud (community health workers). The promotoras serve as healthcare providers and educators in their communities. Evidence demonstrates community health workers increase access to health and improve health outcomes (Lewin et al., 2006). SVH trained promotoras have: (1) facilitated access to care for more …

Strategies To Grow And Sustain A Competency Assessment Model Utilizing The Quality Safety Education For Nurses (Qsen) In The Clinical Setting, Ciara Culhane

Biennial Convention (CONV)

In the practice setting, a comprehensive measurement of competency assessment is essential in initial orientation and ongoing education of clinical staff. This presentation will describe how a large academic healthcare system integrated, expanded, and sustained a clinical competency assessment model utilizing the Quality Safety Education for Nurses (QSEN) framework. As the Institute of Medicine (IOM) identified criteria for nursing to provide safe quality patient care, it became apparent the use of a traditional skills checklist was not an accurate measurement of competency. This shifted the thought process from measuring skills to a more comprehensive approach including knowledge, skills and attitudes. …

The Limitations Of Body Mass Index (Bmi) As An Obesity Assessment Scale And The Implications For Practice: A Nursing Perspective, Sinead Impey

Biennial Convention (CONV)

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

Rising obesity rates have a significant impact on morbidity, mortality and subsequent delivery of health services globally. Therefore accurate assessment of individual weight status is vital (Carpenter et al. 2013). Although, frequently used in clinical practice and research, the ability of the body mass index (BMI) to accurately assess obesity in individuals has been much criticised. Raising awareness among nursing staff of the limitations of BMI is important. By understanding the various inadequacies, the use of BMI as an assessment tool for obesity, and thereby a proxy measure …

An Innovative Collaborative Approach For Applying Public Health Principles In A Global Setting, Cynthia Ringhofer Brown, Mary Ellen Tanner

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Nurse educators are accountable for addressing student competence in public health nursing practice within their baccalaureate undergraduate curricula. Factors that challenge this responsibility include limited availability of clinical sites, student enrollment in online programs and participation from remote sites throughout the United States. Other issues that exist are the need for meaningful student engagement with the community as they assess populations and promote the health of communities through advocacy, health teaching, and health related interventions. A recent Institute of Medicine report on "The Future of Nursing" also charges educators with promoting collaborative partnerships …

Predicting Nursing Students Passing Of The Ati Comprehensive Predictor Examination, Kathleen L. Gilchrist, Shalise Pollock, Charles Collom

Biennial Convention (CONV)

The purpose of this research was to determine if there were any correlations between the 2014 graduating nursing class and their Test of Essential Academic Skills (TEAS) scores, taking remedial math or English; and failing the ATI Comprehensive Predictor Examination. The results may predict future success in the nursing program.

An Interdisciplinary Study To Examine Obesity And Inactivity As Early Predictors Of Gestational Diabetes, Janeen S. Amason, Rebecca L. Shabo, Katherine H. Ingram

Biennial Convention (CONV)

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

Gestational Diabetes (GD) is a serious condition that affects approximately 9% of pregnancies and is characterized by an insufficient response of blood glucose to the actions of insulin. In early pregnancy, GD can result in birth defects, over-nutrition, and large babies that increase risks of childbirth. The offspring are more likely to develop obesity and diabetes within their lifetimes. The risks of these disorders perpetuate a transgenerational cycle of obesity and diabetes, underscoring the need for effective interventions that reduce maternal obesity and GD. The current standard of …

Assessment Of Risk For Pressure Ulcers In Critical Patients: Nursing Practice And Reflections In The Context Of Multidisciplinary Communication, Maria Helena Larcher Caliri, Josilene De Melo Buriti Vasconcelos

Biennial Convention (CONV)

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

Introduction: Pressure ulcers (PU) constitute a serious problem, considered as an adverse result of healthcare that compromises patient safety; however, they are preventable in most cases. The incidence of PU stands out as an important indicator in the quality of care in hospitals, where the reference sector for calculation is the intensive care Unit, and its monitoring is the responsibility of nursing. Several risk factors have been reported in the literature because they are associated with the development of PU and, among them, are highlighted the general state …

C. Elegans Demonstrates Distinct Behaviors Within A Fixed And Uniform Electric Field, Steven D. Chrisman, Christopher B. Waite, Alison G. Scoville, Lucinda Carnell

All Faculty Scholarship for the College of the Sciences

C. elegans will orient and travel in a straight uninterrupted path directly towards the negative pole of a DC electric field. We have sought to understand the strategy worms use to navigate to the negative pole in a uniform electric field that is fixed in both direction and magnitude. We examined this behavior by quantifying three aspects of electrotaxis behavior in response to different applied field strengths: the mean approach trajectory angles of the animals’ tracks, turning behavior (pirouettes) and average population speeds. We determined that C. elegans align directly to the negative pole of an electric field at sub-preferred …

Bjc Today

BJC Today

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Building Better Bones For A Better You: Osteoporosis Prevention For Adolescent Girls, Joanna Christina M. Trice

Biennial Convention (CONV)

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

Introduction and Background: Osteoporosis is a serious bone disease occurring with the loss of bone mass and weakening of bone tissue. According to Healthy People 2020, there are approximately 5.3 million Americans aged 50 years and older with osteoporosis. Although this disease affects both men and women, it is much more common in women. Individuals with osteoporosis often experience bone fragility leading to bone fracture, particularly of the hip, spine, and wrist. Bone fractures are the most serious health complications of osteoporosis as they are associated with severe …

Leading Practices In Geriatric Care: Building A Dermal Defense Team Makes A Difference!, Desales Foster

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015: The task of building and maintaining a dermal defense team requires commitment from all hospital units and administration. This commitment begins with the creation of a champion role. Each unit in the hospital has a nurse champion who represents the unit and each champion performs monthly prevalence studies, educates staff, and communicates findings via email and poster presentations. Education of champions starts with NDNQI pressure ulcer education using the four modules to teach staff how to perform a prevalence study. Once this education was complete the staff rounds with the dermal defense team …

Cultural Diversity In Childbirth Practices In A Rural Community In Southern Nigeria, Ekpoanwan E. Esienumoh, Idongesit I. Akpabio, Josephine Bassey Etowa, Heather Waterman

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Cultural diversity refers to the differences between people based on shared ideology and valued set of beliefs, norms, customs and meanings evidenced in a way of life. Knowledge of cultural diversity is important at all levels of nursing and midwifery care as this addresses ethnic and racial differences where applicable. Additionally, such knowledge can strengthen and broaden the healthcare delivery system through conceptualization of illness and development of treatment models. It is acknowledged that in a typical nurse/midwife-patient/client encounter, there is interplay of three cultural systems namely, the culture of the nurse/the profession, …

Integrative Review Of The Transitions Of Emerging Young Adults With Type 1 Diabetes, Jennifer L. Saylor

Biennial Convention (CONV)

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

Background/Purpose: Approximately three million Americans have type 1 diabetes, which is the most common childhood metabolic disease. Transitional events among emerging adults from late adolescence to late twenties may cause physiological and psychological difficulties, especially for those with type 1 diabetes. Although research is more prevalent in the early and mid-adolescent age groups, there is a dearth in the literature among the emerging adults age group. This vulnerable population undergoes a critical transitional time with an overwhelming sense of developing independence. This critical phase may impact the trajectory …

The Perceptions Of Learners On The School Nutrition Programme In Msukaliwa Sub District Mpumalanga, Mmapheko Doriccah Peu

Biennial Convention (CONV)

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

Objective: The objective of the study was to explore and describe the perceptions of learners on the School Nutrition Programme in Msukaligwa, Mpumalanga.

Method: The qualitative approach was used to conduct study. The data was collected by means of focus group interviews and the field notes. The data was tape-recorded and transcribed verbatim. The learners on the School Nutrition Programme were purposely selected based on the knowledge regarding school nutrition.

Setting: The interviews were conducted at the school, which was the familiar environment.

Findings: The data was analysed …

The Effects Of A Diabetes Support Group Among Underserved: A Feasibility Study, Patricia K. Gatlin, Jillian Inouye

Biennial Convention (CONV)

Background: Diabetes is a global health care problem with increasing number in all countries. Particularly, underserved diverse individuals in the United States are among the hardest hit by diabetes, having higher rates of diabetes and poorer outcomes (Black, 2002; Hu, Shi, Rane, Jinsheng, & Chen, 2014; Lanting, Joung, Mackenbach, Lamberts, & Bootsma, 2005; Mokdad et al., 2001; Saydah & Lochner, 2010; Wild, McKnight, McConnachie, & Lindsay, 2010). Good self-management can improve glucose control and improve diabetes complications. However, this can be challenging to achieve due to multiple factors among the underserved (Black, 2002; Hu et al., 2014; Lanting et al., …

The Role Of Stress And Inflammation In Depression In Hispanics With Chronic Heart Failure, Samira Moughrabi

Biennial Convention (CONV)

Introduction: Depression is a common comorbidity in heart failure (HF) and is commonly associated with increased inflammation leading to poor outcomes. Lowsocioeconomic status (SES) and stress are common in Hispanics but have not adequately been described in those with HF. The purpose of this exploratory study was to examine depression and its relationship with socioeconomic status, stress, and inflammation in Hispanics with HF.

Methods: 55 patients (71.62+/-11.33;74.5% male; 31% Hispanic) with HF were assessed for their perceived stress (PS) using PSS, CRP serum levels, and education level and yearly income as indices of SES. Descriptive data and t-test and chi-square …

Health Promoting Behaviors Among Rn To Bsn Students At Two Public Universities, Cherie Rector, Kathleen L. Gilchrist

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Background: Healthcare reform has refocused attention on health promotion. Most research in this area has focused on clients. Nurses and nursing students, who are responsible for client health promotion education, are important to the success of this paradigm shift from a disease model to health promotion. With the pressure for RNs to complete the baccalaureate degree in nursing, more students are entering RN-BSN programs. Often, the majority of these RN-BSN students are nontraditional (e.g., older, working, have families) (Bryer, Cherkis, & Raman, 2013). Health promotion has been associated with maintaining enrollment in nursing …