Digital Commons Network^™

A Poverty Simulation For Heath Care Professions Students, Lori I. Kidd, Sheri Hartman

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: Research was conducted to evaluate whether a poverty simulation presented for health care professions students effected a change in attitudes toward those living in poverty.

Problem: Poverty is on the rise in the United States (National Center for Health Statistics, 2012). Poverty is a significant social determinant of health, impacting mental illness, obesity, cardiovascular health and other acute and chronic illnesses. It is essential that nursing students and other health care professionals develop an empathic understanding for the complexity of poverty and related health outcomes, yet few undergraduate students may have real …

Engaging Nursing Students In Health Promotion Research And Practice, Donna M. Callaghan

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Purpose: The purpose of this presentation is to highlight nursing student engagement in a nursing faculty member's program of research. This program of research investigated the effects of three faith community nurse-led educational programs in promoting healthy behaviors in adults. Three pre-licensure nursing honors students participated in the implementation and evaluation of two of the health promotion programs. The development of the health promotion programs was based on the relationships identified by Callaghan (2003, 2005, 2006) among the variables of health-promoting self-care behaviors (Pender, Murdaugh, & Parsons, 2002), self-care self-efficacy (Bandura, 1997), and …

How Self-Efficacy And Self-Regulation Influence Nutrition And Exercise Behaviors Of A Community Sample Of Adults, Carol Shieh, Michael Weaver, Kathleen Newsome, Kathleen Hanna, Mulubrhan Mogos

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Fruit/vegetable consumption and physical activity are beneficial for disease prevention and health promotion; however, one-third of the U.S. adults do not eat fruits and vegetables even one time a day and nearly a quarter of adults do not participate in any physical activities. Self-efficacy and self-regulation are two theory-based determinants of health promotion. Self-efficacy is perceived confidence to perform a health behavior. Self-regulation includes a spectrum of effortful activities such as goal setting, affect regulation, coping strategy development, problem solving, self-monitoring, self-reinforcement, self-evaluation, cognitive restructuring, and stimulus control. Understanding how self-efficacy and self-regulation …

Outcomes Impacting Care Of Older Adults: Geriatric Nursing Leadership Academy Fellowships, Deborah F. Cleeter Bailey, Lisa R. Binns-Emerick, Jennifer L. Declercq, Heidi K. Holmes, Nancy E. Edwards

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

Preparing and positioning a global cadre of nurse leaders to transform relevant practice and policy for older adults is essential for the future of healthcare. The international Geriatric Nursing Leadership Academy (GNLA) provides an intentional personal and professional development experience for Fellows who are mid-career geriatric nurse leaders. Through the use of a behavioral leadership development philosophy as the foundation of the fellowship experience, all academy relationships, curriculum activities, faculty modeling, and reflective exercises align with this approach. With formal mentoring and faculty relationships, Fellows engage in eighteen months of meaningful personal development …

Promoting Health Promotion Practices In The Low Income Population, Maria Alice Masciarelli

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015:

The increasing proportion of the low income, uninsured population has become the focus of the United States health care reform. The importance of health promotion is emphasized in the literature and the Affordable Care Act. The literature has focused on perceived health status, perceived health competence and health-promoting behaviors of some populations but revealed that little is known about the health promotion behaviors of the low income population. In 2013, an exploratory, descriptive study using a structured interview method was used to explore the perceived health status, perceived health competence and health-promoting behaviors …

Health Coaching With Peer Support To Improve Diabetes Self-Management Education, Chondra Butler

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Introduction: Type 2 diabetes mellitus (T2DM) affects nearly 25 million Americans, with the highest mortality rate being among African-Americans. Complications of diabetes often lead to increased hospitalizations, more patient and hospital spending, and additional co-morbidities. T2DM is best controlled through improved patient self-care which is achieved through self-management education and peer support.

Purpose: The purpose of this project is to demonstrate how a professionally guided health coaching program, in conjunction with peer support groups, can improve type 2 diabetes self-management of African-American patients at a state-funded hospital. This is accomplished through health coaching …

From Blank Canvas To Masterwork: Creating A Professional Practice Model At A Magnet Hospital, Lynda J. Dimitroff, Donna M. Tydings, Sue Nickoley, Maureen Krenzer

Biennial Convention (CONV)

Session presented on Saturday, November 7, 2015:

Purpose: Professional practice models (PPMs) are significant to the foundation of our nursing practice, roles, positive outcomes, and excellence in care delivery across the continuum of health. The ANCC Magnet Standards of Excellence and expectations provide a framework for professional nursing practice and healthy work environments, and were the driving forces behind this project. Often, PPMs are imposed by standard models or casually generated. The purpose of this study was to engage nurses in the creation of a professional practice model. The research question was: How do registered nurses (RNs) in an acute …

Meeting Family Needs At The Bedside And Across The Continuum: Theory, Research, Response, Anita J. Catlin

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The movement to incorporate Family Centered Care (FCC) models in the care of hospitalized patients has swept through North America. Previously limited access to loved ones who are hospitalized has changed over the years to a culture within institutions that now recognizes the importance of family involvement in patient care. This shift to a FCC approach is especially critical in a changing healthcare environment where patients are being discharged home with more complex needs and increased functional limitations, and family members are expected to assume the caregiving roles and responsibilities once performed by …

Use Of Art, Interview And Survey To Assess Family Needs At The Bedside Of Hospitalized Oncology Patients In Acute Care And At The Bedside Of Hospitalized Stroke Patients In A Rehabilitation Hospital, Anita J. Catlin

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Background: Two studies were completed within a hospital system to determine the needs of family members who maintain vigil at the bedside of their loved ones. A movement worldwide, and specifically new to our hospital system, is the implementation of Patient and Family Centered Care. We conducted these two studies to be sure that we knew what needs were of our patients' families. Using an acute care oncology unit and a stroke rehabilitation unit, we conducted a triangulated study used the qualitative methods of interviews and art therapy, and a quantitative method, the …

Advancing Million Hearts Through Community Partnerships And Outreach, Margaret C. Graham

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Purpose: The Million Hearts initiative aims to increase awareness about heart disease prevention and to empower patients to take control of their heart health. The goals of this session are to provide examples for nursing and interprofessional colleges of Million Hearts outreach and engagement opportunities and to provide an overview of a 3 class community course designed for participants who screen positive.

Methods: The Ohio State University is currently participating in several Million Hearts community outreach activities include engaging local congregations, participating in community health fairs and corporate screenings, and initiating the Wellness …

Reducing Device-Related Pressure Ulcers: Leveraging Data And Innovation To Improve Adult/Pediatrics Outcomes, Peggy Kalowes, Raquel Paige, Valerie Messina

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Significance and Background: Pressure ulcers are acquired among high-risk patients in pediatric and adult hospitals, and are key indicators of the effectiveness of care. The NPUAP 1 recognizes that PUs can occur on any tissue under pressure, including beneath medical devices (MDs) used for diagnostic/therapeutic purposes. In the past two years we have reduced our quarterly prevalence of PUs (sacral, coccyx, and heel) to zero to 0.3% using an EB Skin Bundle 5 plus a 5-Layered Silicone Border Dressing thus the direct impact of MDR PUs has become more transparent. Stage III, IV, …

Save Stan Turns Five: A Large-Scale Interprofessional Practice And Academe Innovation, Colette R. Foisy-Doll, Sharla King, Dawn Ansell, Margot Zemrau

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Description of the Event: The Interdisciplinary Health Education Partnership (IHEP) is an inter-institutional, interprofessional team comprised of healthcare simulation specialists and interprofessional education experts from both clinical practice and academic settings in Edmonton, Alberta Canada. Over the past seven years, IHEP members have successfully developed, implemented, and evaluated multi-modal interprofessional simulations (SIM-IPE) for pre-licensure learners at HELP! Save Stan Saturday (SSS). This annual IPE event offers learners a full day of interprofessional team-based scenarios focused on increasing interprofessional competence. IHEP, through the implementation of SSS, has developed capacity for SIM-IPE in faculty and …

Care Coordination Clinical Reasoning Model For Advanced Practice Nurses, Ruthanne Kuiper

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

In the current health care arena, practice has shifted to include systems thinking and value network analysis to determine priority patient health care issues that interface with interdependent health care provider roles and relationships. The major focus of current health care practice is interest in identification and achievement of patient health outcomes. To function effectively in this arena, nurses need outcome specification skills. The role of case manager and care coordinator is becoming essential for meeting patient health care outcomes. Advance practice nurses such as nurse practitioners in these roles require additional clinical …

Parenting Practices And Children's Physical Activity, Amy M. Hutchens

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

Lack of physical activity (PA) has been identified as the 4th leading cause of death globally (WHO, 2014). People who are physically active typically live longer than those who are not (Paffenbarger, Hyde, Wing, & Hsieh, 1986). They also have lower rates of heart disease, stroke, type 2 diabetes, depression, and some cancers (AHA, 2013). Parents have influence over children's physical activity levels. The level of influence and the nature of the relationship is not well studied. The purpose of this integrative review is to critically analyze the state of science concerning the …

Unfolding Case Study Exemplifying Care Coordination With Advance Practice Nursing, Tamatha Arms

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The development, progression and evolution of the nursing process which begins with a foundation for patient problem management also parallels with dynamic thinking processes. The third generation of nursing process or the Outcome-Present State - Test (OPT) emphasized clinical reasoning that was reflective, creative and outcome specific given a client's story. However, healthcare practice has yet shifted again to a focus on care coordination, systems thinking, value network and analysis to determine priority patient healthcare issues that interface with interdependent health care provider roles and relationships. The authors propose a Care Coordination Clinical …

Meeting Family Needs At The Bedside And Across The Continuum: Theory, Research, Response, Anita J. Catlin

Biennial Convention (CONV)

Session presented on Sunday, November 8, 2015:

The movement to incorporate Family Centered Care (FCC) models in the care of hospitalized patients has swept through North America. Previously limited access to loved ones who are hospitalized has changed over the years to a culture within institutions that now recognizes the importance of family involvement in patient care. This shift to a FCC approach is especially critical in a changing healthcare environment where patients are being discharged home with more complex needs and increased functional limitations, and family members are expected to assume the caregiving roles and responsibilities once performed by …

Determinants Of Perinatal Food Choices Among African-Caribbean Immigrant Women In Canada: A Photo-Voice Study, Josephine Bassey Etowa, Helen Vallianatos, Janki Shankar

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015: Background: Food practices are an important component of marking individual and group identity. How an individual reproduces or resists normative practices is a means of understanding their social location. Migration, provides both opportunities and disjunctions for maternal health practices, including food practices. Post-migration women may aspire to achieve acculturation in part by adopting a Western diet. For many immigrant women, however, Western diets and patterns of food consumption differ considerably from those in their country of origin. Many maternal health and birth outcomes, however, are influenced by food consumption thus making education in …

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 …

Is Sitting Time Associated With Increased Health Risks In Nurses?, Lizbeth P. Sturgeon, Dawn Garrett-Wright, Eve Main, Susan Jones, Donna S. Blackburn

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Background: Sitting time (ST) has increased substantially in the last 50 years and is an emerging health risk. There is evidence that prolonged ST is a risk factor for all-cause mortality, independent of physical activity. Nurses are particularly at risk due to low baseline physical activity, older age, and the increasing use of computers in patient care, education, and research facilities. There are no studies of nurses in the United States that examine their average daily ST in relation to health risk.

Objective: The purpose of this descriptive correlational study was to explore …

Health Care In Global Context: Service Learning To Increase Cultural Competency In Migrant Latino Health, Jean Ann Davison

Biennial Convention (CONV)

Session presented on Tuesday, November 10, 2015:

Purpose: To describe a seven year interprofessional service learning course to increase students' understanding of migrant Latino health. When training health care providers, the service-learning approach is an innovative pedagogical strategy that benefits both patients and students by creating collaborative partnerships among health professions schools, healthcare organizations and other community settings.

Background: According to the 2010 US Census report, the Hispanic/Latino population accounted for over half of the 27.3 million increase in the total US population. The US Department of Health and Human Services have set forth national standards on culturally and linguistically …

Interprofessional Education Through Community Service, Denise B. Isibel, Linda K. Bennington

Biennial Convention (CONV)

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

Introduction: The Virginia Academy of Nutrition and Dietetics (VAND) conference is designed to address the essential knowledge requirements of professionals and paraprofessionals who work with vulnerable populations in the Hampton Roads area. Specifically, the objective of this project is to facilitate a creative learning environment that will provide a foundation for these attendees to take back to their smaller communities as health promotion improved maternal child healthcare with an emphasis on oral healthcare.

Background: Health promotion involves the process of enabling people to increase control over, and to …

Head Impact Biomechanics In Pediatric Patient Falls, Nancy A. Ryan-Wenger, Janet S. Dufek

Biennial Convention (CONV)

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

Problem: Hospitalized patient falls, defined as any unplanned descent to the floor [or onto an object] with or without injury, are medical errors that have captured the attention of health care quality, regulatory, and third party payers. Despite hospital-wide fall prevention programs, patients continue to fall with some regularity from their beds, cribs, chairs, toilets, and examination tables. Quality Improvement staff use the national MERP index to assign the level of medical error and corresponding patient harm to each fall event. Two levels of error include: 1) the …

Investigation Of Cultural, Social, And Religious Aspects Of Saudi Arabia And Neighboring States And Implications For Best Practice In Health Education And Promotion, Sami Abdulrahman Al-Hamidi

Biennial Convention (CONV)

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

Gulf culture has been examined in a variety of mediums but a thorough survey of its structure for use by health care practitioners and nurses in particular has not been made. Since the majority of health care in that location is provided by non-Saudis, this work should be a major assistance to health care professionals in that locale. It should further be of assistance as a guide for inquiry to professionals who are working in cultures which they are seeking to understand. By examining the cultural, social, and …

Let's Move: Promotion Of Physical Activity In The Treatment Of Depression, Josephine A. Igwacho

Biennial Convention (CONV)

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

Over the years, the prevalence of chronic diseases (resulting from poor lifestyle behaviors) and especially mental health disorders, such as depression, substance misuse disorders, suicide, and violence are continually on the rise, with depression projected to be the leading cause of disability in the U.S. by 2020 (CDC, 2012). A significant amount of the U.S. health care expenditure is being spent on depression and other mental health disorders. Yet, the efficacy of antidepressants continues to be modest, at best, with poor treatment response and remission rates. According to …

Ongoing Nasogastric Tube Verification: The Evidence, Roxy Lee Decker, Andrea Elizabeth Black

Biennial Convention (CONV)

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

The ongoing verification of Nasogastric Tube location presents a challenging clinical dilemma and the risk to the patient of incorrect placement is grave. Current practice demonstrates almost universal continuance of practices that have been demonstrated to be unsafe. Chief among these would be the continued use of auscultation as a verification strategy. The purpose of this project was to examine the body of evidence using a structured Evidence-Based Practice (EBP) process to determine research based strategies. The background search resulted in consistent recommendation for the use of X-ray …

A Concept-Based Curriculum Revision Of A Pn Program, Kristen L. Smith

Biennial Convention (CONV)

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

The revision of a practical nursing curriculum in order to have a more up-to-date approach of teaching, increase student satisfaction, and yet meet or exceed the outcomes of the previous curriculum. A concept-based curriculum (CBC) is one that is formed around the concepts of nursing practice rather than formed around the medical model. The traditional way of laying out a nursing curriculum is similar to the medical model with Medical/Surgical, Pediatrics, and Obstetrics (Lee-Hsieh, Kao, Kuo, & Tseng, 2003). This way of setting up a curriculum causes an …

Vitamin D And Immunity: Walking On Sunshine, Does It Make Us Feel Good?, Susan Lynne Bushinski, Caroline M. Peltz

Biennial Convention (CONV)

Session presented on Monday, November 9, 2015 and Tuesday, November 10, 2015: Background: Vitamin D has long been known to have an active role in innate and adaptive immunity in humans. Historically vitamin D has been found to play a major role in the regulation of the immune system in by Cantorna, M., Zhu, Y., Froicu, M., & Wittke, A. (2004) due to the location of vitamin D receptors on peripheral blood mononuclear cells. Low vitamin D levels have been linked to many diseases such as cardiovascular disease, lung and respiratory disease, bone disease and certain cancers according to Scacchetti, …

The Relationships Of Conscience, Ethical Climate And Moral Distress In Registered Nurses Working In The Acute Care Setting, Theresa A. Kyzar

Biennial Convention (CONV)

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

Background/Significance: Health care providers, including nurses, are often faced with ethical dilemmas on a daily basis and experience conflicts between their professional oath, a desire to care for the suffering, and a fiduciary duty to serve when weighed against the ever expanding body of legal and regulatory requirements. This is compounded further when resulting moral dilemmas ensue because of factors involving: quality of life issues, deciding when, or if, life should be terminated and determining how best to honor a patient's or family member's health care decisions which …

Increasing Exclusive Breastfeeding Rates In A Predominantly African-American Patient Population, Michelle L. Harrison, Diane L. Spatz, Florence Jones

Biennial Convention (CONV)

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

Background: Exclusive breastfeeding provides infants with ideal nutrition as well as optimal health and developmental outcomes. Human milk protects children from certain illness and childhood conditions. Research demonstrates that breastfed infants are at lower risk for Sudden Infant Death Syndrome (SIDS), gastrointestinal infections, respiratory illnesses, ear infections, allergies, childhood obesity and diabetes. African American babies consistently have lower breastfeeding rates from birth to a year old compared to White and Hispanic babies (Centers for Disease Control, 2013). The CDC identified that African American women are the least likely …

How Nurses And Engineers May Contribute To Improved Global Nutrition, Daniel B. Oerther, Sarah E. Oerther

Biennial Convention (CONV)

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

Despite the efforts of the United States and other nations, more than 800 million people remained food insecure in 2014. Within the United States, more than 50 million people reported food insecurity at some point in 2014, defined as unable to provide adequate food for one or more of its members, due to lack of resources. This presentation will highlight collaborative efforts by the presenters to develop local nutrition interventions based upon evidence-based approaches using a conceptual framework that takes into account global development goals. In particular, the …