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The Effects Of Pre-Operative Orientation On Outcomes For Joint Replacement Surgery Patients, Meghan Kelly, Lourdes Mesina Escolta

International Nursing Research Congress (INRC)

The Pre-operative Joint Replacement Orientation class is designed to prepare patients for the complete experience of hip and knee replacement surgery. A collaborative PowerPoint presentation along with hands-on training provides patients the information necessary to transition smoothly through the joint replacement process from the pre-operative visit to discharge disposition. Although all patients are encouraged to attend the class prior to surgery, some choose not to attend. Through a retrospective data collection process, these authors assessed the effect of attending pre-operative orientation on patient outcomes related to length of stay, rehabilitation progress, and discharge disposition, as compared to those who did …

Good Work In Nursing And Relationship To Professional Socialization: A Comparative Analysis Of Two Research Studies And Implications For Nursing Education, M. Christine Alichnie, Joan F. Miller

International Nursing Research Congress (INRC)

Purpose: Nursing practice adheres to high standards regardless of the multi-contextual work environment or the paradigm shift in modern health care. This concept of Good Work in Nursing has three major characteristics; excellence, ethics, and engagement (Miller, 2006 & Gardner, 2008). Likewise, professional education results when a professional discipline has devised a system of preparing future practitioners to meet their commitments and fundamental responsibilities to society. A major aim of professional education is to develop a set of values, attitudes, and beliefs to support the professional roles of independent practitioners in conjunction with the acquisition of cognitive and psychomotor skills …

Application Of Small Group Workshops And Case Report Discussion For Development In Evidence-Based Practice Education Programs, Yu-Rung Wang, Ying-Li Lee, Hui-Ying Chiang, Su-Chen Hsu

International Nursing Research Congress (INRC)

Purpose: Nurses need the access to the literature to integrate evidence-based practice knowledge from the research they read with their professional experiences to achieve best practice for patient's healthcare. Evidence-based practice (EBP) should be integrated through education programs so as to elevate quality of patient care and reduce health cost. The purpose of this study was to investigate the effect of advanced evidence-based nursing (EBN) education in small group workshops and report discussion on case scenarios.

Methods: We planned 14 hours evidence-based practice (EBP) education programs were introduced to learn advanced evidence-based nursing. There were 16 nurses recruited who had …

Rasch Analysis Of The Pain Catastrophizing Scale (Pcs) In The Context Of Workplace Bullying For A Sample Of Nursing Faculty From Midwest U.S. Universities, Aryn C. Karpinski, Timothy W. Meyers, Laura Cox Dzurec, Gail E. Bromley, Shawn M. Fitzgerald

International Nursing Research Congress (INRC)

Purpose: Workplace bullying is a major impediment to successful team relationships and job satisfaction in workplace environments, contributing to individual and interpersonal stress, tension, and burnout. Additionally, bullying affects worker productivity, especially in workplaces concerned with healthcare and healthcare education (Abe et al., 2010; Allan et al., 2009; Hutchinson et al., 2006; Randle, 2003). Authors investigated the psychometric properties of the Pain Catastrophizing Scale (PCS) using Rasch Analysis in the context of workplace bullying. Catastrophization is a 'tendency to focus on and exaggerate the threat value of painful stimuli and negatively evaluate (one's) own ability to deal with pain' (Keefe …

Perioperative Experience Of Elderly Patients Undergoing Joint Replacement Surgery: An Integrative Literature Review, Rosy Tay, Sandra Mackey, Piyanee Klainin-Yobas, Desley G. Hegney

International Nursing Research Congress (INRC)

Purpose: This integrative literature review explores the evidence of elderly patients' experience undergoing joint replacement surgery.

Methods: Studies were identified through an extensive electronic search and hand-searched key texts from the databases of PubMed, CINAHL, PsyInfo from 2001 until 2011 for primary quantitative and qualitative English Language peer reviewed articles (2001-2011) describing perioperative experience of elderly patients undergoing joint replacement surgery. Critical appraisal of both qualitative and quantitative articles was conducted using JBI (2011).

Results: Twenty four papers were categorized into themes: factors influencing Health Related Quality of Life (HRQoL) and pain experience, factors influencing perioperative experience and care continuity …

Description Of Taboos Behavior Practice Among Pregnant Women In West Java, Mira Trisyani Koeryaman

International Nursing Research Congress (INRC)

Purpose: The study was aimed to identify the practice of taboos food and activities among pregnant women of several cities in West Java.The objects this study are pregnant women whose come to prenatal care weekly or monthly at obstetric clinic hospital and private obstetric practice of midwives. The researcher took sample size base on number of questionnaires of 300 participants. Data collection was examined by questionnaires from 30 December 2008 to 30 January 2009. Methods: The questionnaires were pregnancy activities, includng food and taboos activities. The questionnaires measurement used the Likert scale on four point (1-4). The SPSS Win.12.0 (Statistical …

Perceived Stress And Coping Strategies Of Hong Kong Pre-Registration Nursing Degree Students During Their Clinical Placement, Vico C. L. Chiang, Hiu-Wai Chan, Yu-Ching Siu, Yee-Ha Tam, Ka-Po Chow, Hoi-Yee Wong, Ka-Kei Chu, Ka-Yan Yeung, Chui-Ling Lau, Ka-Man Leung, Fong-Ting Siu

International Nursing Research Congress (INRC)

Purpose: Appropriate levels of stress can be a motivator for learning. A few studies in Hong Kong and Taiwan demonstrated that various levels of stress were experienced by pre-registration nursing students during their clinical placements. There is a paucity of studies that compare the stress levels of junior and senior nursing students and the existing studies conducted in the Asian context carry a high risk of recall bias. The purpose of this study is to survey and compare two samples of under-graduate students during the periods of their clinical placements for their levels of stress, symptoms and coping strategies. Better …

Community Engagement Curricular Strategies To Reduce Health Disparities, Marjorie A. Schaffer, Carol Hargate

International Nursing Research Congress (INRC)

Purpose: A nursing department implemented a revised nursing curriculum that integrated community engagement learning experiences to address health disparities. Nursing faculty aimed to prepare nurses who will: 1) contribute to reducing health disparities, 2) develop cultural sensitivity and competence, and 3) develop commitment to serving diverse and vulnerable populations.

Methods: Focus groups with community partners, racial reconciliation lunches and dialogue with nursing faculty members, and lunch and learning sessions with community partners provided a foundation for development of the community engagement curriculum. Nursing students are matched to community engagement sites (churches, schools, and non-profit organizations) for community engagement learning experiences …

Using Film, Television, And Music In Teaching Graduate Nursing Students Concepts Of Qualitative Research, Michelle L. Edmonds

International Nursing Research Congress (INRC)

Purpose: The use of qualitative inquiry in nursing research has gained momentum in the last decade. Nurse educators often find it challenging to teach concepts of qualitative inquiry to graduate and undergraduate students. The concepts of qualitative inquiry are often less easily understood by students than quantitative inquiry and, thus require exemplars from the professor to increase understanding. The purpose of this study was to explore the use of innovative teaching strategies to present concepts of qualitative inquiry in nursing research.

Methods: Graduate nursing students completed traditional reading assignments and lecture on these concepts. Following this introduction, they then participated …

Fatigue Of Chinese Mothers From Pregnancy To Postpartum, Ching-Yu Cheng, Shwu-Ru Liou, Panchalli Wang

International Nursing Research Congress (INRC)

Purpose: Many pregnant women experience fatigue that influences quality of life or pregnancy outcomes. Trend of fatigue from pregnancy to postpartum was not understood. This study aimed to explore changes of fatigue level from pregnancy to postpartum and prediction of prenatal fatigue on infant prematurity.

Methods: The study was a longitudinal design with nonprobability sampling. One-hundred-ninety-eight pregnant women with mean age of 29.69 and 27.37 weeks of gestation were followed up monthly (T1 to T3) till 4-6 weeks postpartum (T4). More than half of them were primiparous (56.6%), very happy about the pregnancy (50.5%), employed (63.1%), and had an educational …

Evaluation Of The Knowledge, Critical Thinking And Team Work Collaboration Of The Ebn Training Program In Taiwan, Li-Chi Chiang, Mei-Nan Liao, Meei-Shiow Lu, Chi-Wen Kao, Chin-Mi Chen

International Nursing Research Congress (INRC)

Purpose: Develop an evidence-based nursing (EBN) training program to preparing the competency for nurses in Taiwan. An integrate teaching program was developed based on the five EBN process by a interdisciplinary team, including physician and nurses.

Methods: Forty-four nurses were recruited by the recommendations from the directors of department of nursing in Taiwan. Two-day workshop was implemented by an active participation agenda. Five groups were classified to work together and discuss the learning shit, including to writing the PICO, to search literature on web, to appraisal the articles, to making clinical decision based on the evidence, expectation, and expertise.

Results: …

Removal Of Codeine In Pediatric Oncology: A Qualitative Evaluation Of Success And Attitudes, Karina L. Black, Mary Anne Venner, Jennifer Shepherd, Marcel Romanick, Mark Belletrutti, Shirley Perry

International Nursing Research Congress (INRC)

Background: Codeine is an opioid analgesic requiring hepatic conversion to morphine via CYP2D6 to provide analgesic effect. CYP2D6 population polymorphisms cause unpredictable conversion to morphine. Multiple reports of death or adverse events in children receiving codeine has led to increased calls for discontinuation of use in children. Our Pediatric Oncology Program volunteered to pilot codeine removal. When looking for implementation strategies for this practice change, neither successful implementation nor barriers to change had been reported. Objectives: To evaluate whether prescription of codeine was reduced, assess the attitudes of health professionals at different points during practice change, determine if our educational …

Building A Sustainable Nurse-Managed Clinic System Through Faculty Practice And Technology Integration, Julie Cowan Novak

International Nursing Research Congress (INRC)

Scope/Significance: Over the past four years, the UTHSCSA School of Nursing has developed, implemented, and evaluated a viable alternative to the failing, mismanaged US healthcare delivery system. Two nurse-managed clinics are currently in operation with two in development. Client visits exceeded 7,000 in 2011. The clinics are sustained through a mosaic of support from a variety of funding sources including private, state and federal insurance, billing, and grants. Faculty and students develop an integrated model of discovery, learning and engagement focused on evidence-based health promotion/disease prevention, client, family, and community education, acute, episodic illness care, management of stable chronic conditions …

Cultural Pain Relief Measures During Labour And Childbirth And Prophylactic Taboos During The Childbearing Process: A Case For Mozambican Women Living In Swaziland, Cynthia Zodwa Vilakati

International Nursing Research Congress (INRC)

Purpose: The study sought to describe the cultural-pain relief measures during labour and childbirth and prophylactic taboo practices for pain relief by Mozambican women living in Swaziland.

Methods: An exploratory, descriptive and contextual phenomenology design was utilized for the purpose of this study. Purposive conveninence sampling was done. Data saturation was achieved with a sample size of five (5).

Results: The study presents the themes and categories that emerged from the data. Data are presented from the most general (themes) to the most specific (data units/chunks). All data units relate to the cultural pain relief measures during labour and delivery …

Prevention Of Occipital Pressure Ulcers In Neonates, Holly Kirkland-Kyhn, Oleg Teleten

International Nursing Research Congress (INRC)

Prevention of Occipital Pressure ulcers in the Pediatric and Neonatal Acute Care Problem: Immobilized acutely ill pediatric patients are at risk for developing pressure ulcers. Open heart surgery patients are at greater risk due to the inability to establish a routine turning schedule due to internal and external jugular catheters. The most common area for neonates to develop pressure ulcers is on the occipital area due to weight distributions of neonates. This University teaching hospital had eight hospital acquired occipital pressure ulcers in 2009. Most evidenced based research in pressure ulcer development in the pediatric population has been based on …

Use Of Risk Scoring Tools To Determine Risk Of Secondary Cardiac And Non-Cardiac Events During Hospitalization For St Elevation Myocardial Infarction In A Cohort Of Women, Elizabeth Ann Scruth, Eugene Cheng, Linda Worrall-Carter

International Nursing Research Congress (INRC)

Purpose: GRACE, TIMI and CADILLAC are risk scores designed for predicting short term outcomes after acute coronary syndromes. The aim of our study was to test their utility for prediction of a secondary major cardiac and non cardiac event in a cohort of women treated invasively for an ST Elevation Myocardial Infarction.

Methods: Our sample size consisted of consecutive patients with ST Elevation Myocardial Infarction treated with primary percutaneous coronary intervention. A retrospective approach was utlized.

Results: In general the CADILLAC, TIMI and GRACE risk scores all had relatively high predictive accuracy for major cardiac events in hospital, with C …

Caregiving Through The Eyes Of Hispanic Caregivers, Lyda Consuelo Arevalo-Flechas

International Nursing Research Congress (INRC)

Purpose: To offer a culturally informed conceptual orientation of caregiving as an example of a research product that reflects methodologies that have taken into consideration differences in the meaning of concepts across cultures and the challenge of using translated instruments.

Methods: Mixed methods incorporating semi-structured bilingual interviews and the administration of the Screen for Caregiver Burden caregivers of relatives living with Alzheimer's disease were randomly assigned to 4 different groups with different sequences for interviews and administration of the SCB.

Results: Discrepancies in the meaning of concepts and differences in subjective burden scores according to the language in which the …

Effects Of A Pilot Randomized Trial Of A 20-Week Tai Chi Program On Pain And Other Health Outcomes In Elders With Cognitive Impairment And Osteoarthritic Knee, Pao-Feng Tsai, Yong-Fang Kuo, Jason Y. Chang, Cornelia K. Beck

International Nursing Research Congress (INRC)

Purpose: The purpose of this pilot study was to test the efficacy of a 20-week Sun-style Tai Chi (TC) program in improving pain and other health outcomes in 55 community-dwelling elders with knee osteoarthritis (OA) and cognitive impairment (CI).

Methods: This was a cluster-randomized clinical trial. Eight sites (55 participants total) were randomly assigned to a TC group (4 sites, 28 participants) or an attention control (education) group (4 sites, 27 participants). Outcome measures included the Western Ontario and McMaster (WOMAC) OA pain scale, physical function and stiffness subscales, the 'Get up and Go' test, the 'Sit and Stand' test …

Important Factors Associated With The Research Utilization Competency Of Nurses In Japan, Tomomi Kameoka, Naomi Funashima, Yuriko Nomoto, Toshiko Nakayama

International Nursing Research Congress (INRC)

Purpose: To explore the important factors associated with the research utilization competency of nurses in Japan.

Methods: The Self-Evaluation Scale on Research Utilization Competency for Clinical Nurses (SRUC) was used to measure the research utilization competency in nursing practice. It has 35 items with 5-point Likert scale and 6 subscales. The items of the SRUC describe the essential behaviors necessary for research utilization in nursing practice as identified by a qualitative study. The reliability and validity of the SRUC are well-established. The Nurses' Attributes Questionnaire (NAQ) was used to examine the 28 attributes of nurses. The content validity was established …

Faith-Based Views Of Barriers To Recognition And Treatment Of Depression, Keneshia J. Bryant

International Nursing Research Congress (INRC)

Purpose: Studies have shown that spirituality and religion are important to the treatment of depression among African Americans. Spirituality has also been shown to impact the beliefs of the causes of depression and coping mechanisms. The aim of the study was to describe how predominantly African American rural churches distinguish effective means to recognize and cope with depressive symptoms.

Methods: The study followed the principles of Community Based Participatory Research. The participants were recruited by a community leader in a rural US community. The participants included a group of pastors, a group of persons interested in health and a group …

Nurse Home Visits Promoted Maternal-Infant Interaction And Decreased Depression Symptom Severity For Mothers With Postpartum Depression, June Andrews Horowitz, Joanne Doller Wojcik, Joyce Pulcini, Lori Solon, Christine Murphy, Katherine E. Gregory

International Nursing Research Congress (INRC)

Purpose: Postpartum depression (PPD) interferes with mothers' ability to promote optimal infant development via interaction. Research to mitigate these effects is limited. The purpose of this study was to test the efficacy of the relationship-focused CARE intervention in increasing maternal-infant relational effectiveness between depressed mothers and their infants during the first 9 months postpartum.

Methods: This randomized clinical trial (RCT) involved three phases. In Phase I mothers were recruited from obstetrical units and screened for PPD at 4 weeks postpartum. Women with elevated scores on the Edinburgh Postnatal Depression Scale who agreed were consented and received a diagnostic interview to …

Effects Of Hazardous Work Conditions On Burnout Among Nurses Of A General Hospital In Macau, Sydney X. Hu, Jui-Kuo Hsiao, Grace K. I. Lok, Andrew Luk

International Nursing Research Congress (INRC)

Purpose: Meta analysis showed that burnout is affected by workplace risks and hazards across industries. The purpose of the study is to use Structural Equation Modeling to test the effects of workplace hazards on burnout of nurses in a general hospital in Macau. The findings provide practical and research implications for better management of work conditions and burnout among nurses.

Methods: A questionnaire survey of all nurses was conducted in a major general hospital in Macau. Workplace hazards were assessed using a set of self developed questions and burnout was assessed using the Maslach Burnout Inventory. Exploratory factor analyses were …

Perceived Barriers To Healthy Lifestyle Activities In Midlife And Older Australian Women With Type 2 Diabetes, Amanda M. Mcguire, Debra Jane Anderson

International Nursing Research Congress (INRC)

Purpose: Type 2 diabetes is a leading cause of morbidity and mortality in midlife and older Australian women with known modifiable risk factors for type 2 diabetes including smoking, nutrition, physical activity and obesity. In Australia little research has been done to investigate the perceived barriers to healthy lifestyle activities in midlife and older women with type 2 diabetes. The primary aim of this study was to explore the level and type of perceived barriers to health promotion activities. The secondary aim was to explore the relationship of perceived barriers to smoking behaviour, fruit and vegetable intake, physical activity, and …

Exploring The E-Patient Phenomenon In Nursing, Holli A. Devon, Perry M. Gee, Deborah A. Greenwood, Katherine K. Kim, Susan L. Perez, Nancy Staggers

International Nursing Research Congress (INRC)

The availability of health information on the Internet has changed the knowledge power structure between patients and their health care providers. This new phenomenon of patients well informed by electronic information is known as the e-Patient. e-Patients use information technology to actively participate in their health care rather than passively receive health care, thus assuming higher levels of responsibility for their own health and wellness. Nursing can utilize the Data, Information, Knowledge, and Wisdom (DIKW) framework to understand how e-Patients and clinicians may achieve this collective wisdom. The purpose of this review is to examine the e-Patient phenomenon through the …

Supporting Excellence In Long-Term Care With Student Ebp Projects, Suzanne Beltz, Loree Dubose

International Nursing Research Congress (INRC)

With any clinical experience, nursing students learning in the long-term care setting pose questions regarding specific practices by the health care provider(s). This curiosity of comparing what they are learning in the classroom with what they see in the clinical setting can provide learning opportunities and opportunities for best-practice dissemination to care givers in long-term care. The Institute of Medicine identified employing evidence-based practice as a core competency for providing quality and safe patient care (Finkleman & Kenner, 2009). This practice has more prongs than research alone; it includes client values and preferences; client history and assessment data; clinical expertise; …

The Lived Experience Of Compensated Kidney Donors In The Philippines: A Phenomenological Study, Medel Paguirigan

International Nursing Research Congress (INRC)

Purpose: Despite several advances in HD and PD, an uncomplicated kidney transplant still provides the highest level of quality of life for patients diagnosed with ESRD. The shortage of available kidneys has driven potential recipients to resort to underground organ trade. There is a huge gap in literature about the meaning of sacrificing something important as the lived experience of compensated kidney donors in the Philippines. There are no studies encountered both quantitative and qualitative, using the nursing paradigm that focuses on the lived experiences of compensated especially in the Philippines, where there is a huge market for kidneys.

Methods: …

Researching Nursing History In Australia: Using Autoethnography As Method!, Lesley M. Siegloff, Paul Arbon, Heather Smigiel

International Nursing Research Congress (INRC)

Purpose: I entered nursing 45 years ago in the ensuing years so much has changed that I believe the nature of nursing has changed exponentially. To explore this story further I have embarked as a higher degree student on a study of the history of nursing in Australia. My methodological choice is Autoethnography. This paper will engage in debate about the use of Autoethnography as a valid approach to researching nursing history.

Methods: In autoethnography the subject is self (auto) and ethnos the study of culture. Autoethnography according to Holt uses highly personalised accounts where they draw on their own …

Domestic Violence Risk Factors Among Arab Immigrant Women, Anahid Kulwicki

International Nursing Research Congress (INRC)

Purpose: The purpose of this research was to develop and standardize an evidence-based, culturally-sensitive bi-lingual (Arabic/English) measure of risk for domestic violence for use in health, mental health and social service settings for Arab American clients.

Methods: Morgan and Kreuger's (1988) steps for focus group data collection and analysis were followed rigorously to insure the accuracy and the credibility of the study findings. An inquiry guide was developed by the Principal Investigator and was critiqued by a consultant with expertise in the field. A select group of professionals and community leaders with expertise in domestic violence were identified and recruited …

Risky Behaviors In Teenagers, A Global Issue: Evaluation Of An Evidence-Based Intervention To Reduce Risky Behaviors With Implications For Practice, Education And Research, Kathleen A. Sternas, Mary Ann Scharf, Rosemarie Peterkin, Janet Summerly

International Nursing Research Congress (INRC)

Purpose: Teenagers have high rates of risky behavior including drug/alcohol use, smoking, sexual activity which affect health. Risky behaviors are prevalent in the United States, England, Australia, Canada and among Newark teenagers. This presentation describes: global perspectives on risky behaviors in teenagers; an intervention to reduce risky behaviors; gender differences on outcomes. The intervention guided by Bandura's social learning theory focused on sexuality discussions, mentoring, health/fitness classes, cultural events, community service, and recognition.

Methods: Pretest post-test design. Four intervention (n=230 girls;n=221 boys)/five comparison schools(n=134 girls; n=110 boys) participated. Intervention participants were randomly selected. Comparison participants were convenience sample. Intervention/comparison schools …

Collegiate Presence: An Innovation In Understanding Interdisciplinary Collaboration, Marc Broadbent, Lorna Moxham, Trudy Dwyer

International Nursing Research Congress (INRC)

Purpose: Interdisciplinary collaboration is a cornerstone of healthcare service delivery across the globe. This presentation reports on an ethnographic study that examined the interdisciplinary relationships between emergency department (ED) triage nurses and mental health triage nurses who collaborate to deliver care to clients presenting with a mental illness.

Methods: For this research, time was spent in an Australian ED and mental health triage service. Participant observation, individual and group interviews, organisational documentation and field notes were all used to gather data that was analysed using the constant comparative method.

Results: Four key factors that influenced the relationship were; the practice …