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Home Health Care Nursing Application Of The Transtheoretical Model Of Change To Patients With Congestive Heart Failure: A Case Study, Wyona M. Freysteinson

International Nursing Research Congress (INRC)

The World Health Organization defines CHF as a global burden. In the United States, many home care patients are over 65 years of age, live in poverty and have CHF. One of the roles of home care is to educate patients on health care behaviors which may improve their health status. Following this education, nurses reassess patients and determine if patients have changed health patterns. A literature search yielded many research studies of patients with disease states frequently seen in home care which were grounded in the Transtheoretical Model of Change (TTM). Based on these studies, TTM was piloted by …

The Lifestyles For Good Health Of Women With Cervical Cancer, Hsiao Lu Lee

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to explore various lifestyles for good health of women with cervical cancer.

Methods: The methodology involved unstructured interviews and verbatim transcriptions of the recorded interviews. Collected data was processed and analyzed using the content analysis proposed by Yu (1991) and Priest H et al (2002). Research subjects came from a local hospital in southern Taiwan. Subjects were confirmed diagnosis of cervical cancer, and were aware of their own illness. They lived in Taiwan and were able to communicate either in Mandarin Chinese or Taiwanese. The subjects recruited were informed of the purpose of …

Self-Care While Caring For Others As A Strategy To Improve Reflection And Clarity Of Self, John W. Nelson

International Nursing Research Congress (INRC)

This 2-hospital system, which includes one of the first fifteen hospitals to achieve and sustain Magnet certification in the USA, began implementation of Relationship Based Care (RBC) three years ago. According to the concepts of RBC, employees must have clarity in their own strengths and vulnerabilities as they execute their role in caring for others. The challenge within the current pace and intensity of healthcare is the environment and employees do not pause long enough to support self-reflection for employees to establish or maintain clarity of self as they care for others. Thus, the organization implemented and tested interventions to …

Improving Toileting Ability Among Elders Living In Long-Term Care Facilities In Taiwan, Shih-Ling Kuo, Su-Hsien Chang, Ching-Len Yu

International Nursing Research Congress (INRC)

The purpose was to test the effectiveness of a theory-based intervention program in improving toileting ability among elders living in long-term care facilities. This study used an experimental, two groups, and longitudinal research design. The theory-based intervention was designed based on Bandura's Social Cognitive Theory, and called the self-care and exercise self-efficacy enhancement program. Activities of the intervention included performance accomplishment, various experiences, and verbal persuasion, and were provided by staff caregivers of long-term care facilities. The data was collected in baseline (time 1), 2 months (time 2), 4 months (time 3), and 6 months (time 4) after the intervention. …

Caring For Pregnant Smokers: Nurses' Views On Cessation Interventions, Adele M. Spegman, Andrea A. Wary, Leslie A. Laam

International Nursing Research Congress (INRC)

Purpose: Smoking during pregnancy is a significant yet modifiable risk that negatively affects maternal and fetal health during pregnancy. Practice standards recommend assessment of tobacco use at each prenatal visit, consistent messages and action plans that relate to women's readiness to quit (ACOG, 2010). Despite public health initiatives and targeted interventions, the 12- 20% of pregnant women who self-report smoking is considered a significant underestimate of the actual prevalence (Shipton, 2009). Little is reported about the outcomes of nursing cessation interventions. This study examined prenatal nurses' views and experiences with smoking cessation.

Methods: The observational design drew on Artinian's Intersystem …

Rn-To-Rn Peer Review On Clinical Units, Judith A. Pfeiffer, Jill Deetz, Elise L. Berry, Mary A. Wickline

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to measure informal RN-to-RN peer review defined as collegial communication about the quality of nursing care at the work-unit level. In multiple studies, the top-ranked factor related to quality of nursing care is working with other nurses who are clinically competent. Nurses experience psychological or moral distress when they do not feel competent or when colleagues' nursing practice is perceived as suboptimal. Methods: We used a survey design with cluster sampling of 28 hospital and ambulatory care units (n = 541 respondents). We modified Hughes's Peer Group Caring Interaction Scale and collected qualitative …

A Critical Reflection Of The Launch Of The Mchnla In South Africa, Christa Van Der Walt

International Nursing Research Congress (INRC)

The North-West University is the first university outside America where the Maternal-Child Nurse Leadership Academy for is launched in an attempt to reduce mother, child and infant mortality. This honour was received from the Honorary Society for Nurses, Sigma Theta Tau International (STTI) and Johnson & Johnson who not only funded the project but also provide support on a continous basis. According to statistics released by the World Health Organisation in 2010, there was no discernible progress in the field of mother and infant mortality in Africa during the past decade. Prof Hester Klopper, previously the director of the School …

Does Quality Of Life (Qol) Predict Morbidity Or Mortality In Patients With Atrial Fibrillation (Af)?, Erika Friedmann, Eleanor Schoron, Sue A. Thomas

International Nursing Research Congress (INRC)

Purpose: To examine the contributions of quality of life to one year hospitalization and mortality in patients with AF.

Methods: This study used the public access data from the Atrial Fibrillation Follow up Investigation of Rhythm Management (AFFIRM) randomized clinical trial conducted by the NIH, National Heart, Lung, and Blood Institute. Patients enrolled in the QOL substudy (N= 693) were randomly assigned to rate control or rhythm control groups. QOL was measured with the Medical Outcomes Study Short Form-36 health survey (SF-36) and the Quality of Life Index-Cardiac Version (QLI-CV). Data were analyzed with descriptive statistics, logistic regression to predict …

The Experiences Of Vietnamese Immigrant Women In Taiwan Who Do Not Undergo Pap Smear Tests, Hsiu-Hung Wang, Fang-Hsin Lee, Hsiu-Min Tsai, Yung-Mei Yang

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe the experiences of Vietnamese immigrant women who have never undergone or do not regularly undergo Pap tests in Taiwan.

Methods: A qualitative study was conducted based on semi-structured individual in-depth interviews. The formal interviews lasted an average of 40 minutes, ranging from 30 to 65 minutes. A total of 20 Vietnamese immigrant women participated in this study. The inclusion criteria were those women who: (a) have never undergone or do not regularly (less than once a year) undergo a Pap test; (b) have national health insurance; (c) were at least thirty …

Establishing Scale Structure, Reliability And Construct Validity Of A Forced-Choice Measure Of Preschoolers' Illness Knowledge, Catherine Reisenberg

International Nursing Research Congress (INRC)

Purpose: To establish scale structure, reliability and construct validity of a newly developed instrument to evaluate preschoolers' illness knowledge called the Illness Knowledge Questionnaire (IKQ). The IKQ was a 32-item questionnaire that included four brief vignettes describing a child who had an illness. The vignettes were followed by forced-choice questions that focused on four illness dimension (i.e., identify, cause, consequence, and cure). Simple line drawings provided visual cues of vignettes and choices.

Methods: Two hundred and thirty children from three age groups (i.e., 4-5, 8-9 and 11-12 years) participated in this cross-sectional descriptive study. School age children were included to …

Meleis' Theory Of Transition And Readiness Of Older People For Discharge From Hospital To Home, Alice Coffey

International Nursing Research Congress (INRC)

Purpose: This paper explores the use of Meleis theory of transitions in research to examine the readiness of older people for discharge from hospital to home and their use of community support. Methods: Concepts of Meleis Theory of Transitions were used to underpin a descriptive correlational study into the readiness of older patients for discharge from hospital to home. A unique combination of variables - demographic characteristics, hospitalisation factors, physical and cognitive functioning and perception of readiness - were used to empirically ascertain older patients' readiness at discharge and statistically test relationships between the variables measured at discharge and older …

Utilizing Technology And Reflective Practice To Develop Clinical Judgment In Nursing Students, Carole A. Mckenzie, Leslie N. Collins, James L. Bowen

International Nursing Research Congress (INRC)

Purpose: Utilizing the pilot work completed by McKenzie and Bowen (2008, 2009, 2010) on the use of simulation in developing reflective judgment, this study compares two groups of students— one at different times in their nursing curriculum and the other comparing junior and senior students. The theoretical framework for the study was the model developed by (Spurgeon and Bowen, 2002; King and Kitchener, 1994. Student epiphanies in the clinical simulation experience provided the context for students to reflect on their experience and be assessed in terms of reflective judgment. Students became more cognizant of learning needs and deficits, clearer about …

Assessing Perceptions Of Effective Communication Using Safety Concepts, Liane Connelly, Jennifer Swantek

International Nursing Research Congress (INRC)

The Quality and Safety Education for Nurses Project (QSEN, 2011) strives to promote innovation in the creation and evaluation of methods that address student learning of the six Institute of Medicine (IOM) and QSEN competencies, including patient-centered care, teamwork & collaboration, evidence based practice, quality improvement, and safety. With this knowledge, nurses can continuously improve healthcare systems. The college of nursing northern division of this Midwestern academic medical center was created in 2010 to provide a bachelor of science in nursing program in this region. This division is located on the community college campus and shares building space with the …

Integrating Nursing And Bioengineering Expertise In Research: Use Of Optical Imaging To Uncover Neural Correlates Of Adult Risk Decisions, Mary A. Cazzell, Hanli Liu, Lin Li, Sonal Patel

International Nursing Research Congress (INRC)

Purpose: Across the lifespan, the degree of prefrontal cortex (PFC) maturity or decline influences executive cognitive functions. Adults are expected to demonstrate mature decision-making skills, impulse control, and delay of gratification. Purposes are: (1) find prefrontal correlates of wins and losses during voluntary and involuntary risk decisions in a baseline population of adults, presumed to have PFC maturity; (2) identify gender differences in neural correlates of wins versus losses; and (3) demonstrate feasibility of optical imaging in risk decision research.

Methods: In this correlational blocked design, functional near-infrared spectroscopy (fNIRS) was used to examine oxygenated hemoglobin (HbO) changes in the …

Medication Adherence And Health Care Use In People With Diabetes, Chronic Kidney Disease And Cardiovascular Disease, Allison Fiona Williams, Elizabeth Manias, Alexandra Gorelik

International Nursing Research Congress (INRC)

Purpose: To examine medication adherence and health care use in people with co-existing diabetes, chronic kidney disease and cardiovascular disease.

Methods: Patients aged > 18 years with these comorbid conditions were recruited from nephrology and diabetes outpatients' clinics of two Australian metropolitan hospitals between 2008 and 2009. Participants were surveyed face-to-face by a research assistant (with interpreter assistance as required) using the 4-item Morisky Medicine Adherence scale (Morisky et al., 1986) and the 4-item Health Care Utilization scale (Lorig et al., 1996).

Results: There were 128 participants with 30 (23.4%) born either in Australia or the UK, 38 (29.7%) born in …

Interpreting The Changed Me In The Mirror: Viewing Self After A Mastectomy, Wyona M. Freysteinson

International Nursing Research Congress (INRC)

Purpose: The purpose of the study leading to this comparison between interpreting a mirror image and interpreting a text was to study the experience of viewing themselves in the mirror for women who have had a mastectomy.

Methods: A purposeful sample of 12 women shared their stories of viewing themselves in the mirror 3-12 months post-mastectomy in tape recorded semi-structured interviews. The data was transcribed and analyzed using Ricoeur's hermeneutic phenomenology and methodology. A native reading, a structural analysis and a phenomenological interpretation uncovered a description of viewing self in the mirror.

Results: The women's stories suggested there were four …

The Culture Of Incident Reporting Among Filipino Nurses, Barbara Michelle De Guzman

International Nursing Research Congress (INRC)

Purpose: This research provides a preliminary view into the culture of incident reporting among Filipino nurses pertaining to the factors that influence their willingness to report errors.

Methods: Quantitative data were collected from a snowball sample of fifty-four nurses who have been working in a staff nurse capacity in health care facilities in the Philippines using the modified online version of the AHRQ Patient Safety Questionnaire. The scores on the AHRQ questionnaire pertaining to incident reporting were expressed as the percentage of answers for each dimension Qualitative data derived from a Focus Group Discussion (n=6) were analyzed using Moustakas' technique …

Changes In Motivation For Physical Activity Following Cardiac Rehabilitation, Michael J. Belyea, Julie Derenowski Fleury, Nelma B. Crawford Shearer, G. Adriana Perez

International Nursing Research Congress (INRC)

Purpose: Motivation is an important factor related to physical activity. However, motivational theories have rarely examined variation in motivation over time. This is especially important for patients with coronary heart disease trying to maintain physical activity. The purpose of this study was to describe patterns and change of motivation and its association with physical activity.

Methods: Participants included 182 individuals who were enrolled in rehabilitation following myocardial infarction. Variables from the Wellness Motivation Theory (readiness, self regulation, and self knowledge) were measured at baseline and at 3 months. Latent class analysis was used to classify the participants and latent transition …

The Story Of Teen Motherhood Identity: A Narrative Analysis, Janelle L. B. Macintosh

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to describe and explore how young women participating in a teen mother and child program incorporate the concept of motherhood into their own identities, including the personal and cultural meanings and experiences of motherhood they use to make this identification.

Methods: A purposive sample of nine nulliparous pregnant teens and five staff members from a teen mother and child clinic were interviewed. Additional data were gathered using observation, informal and formal interviews, and field notes. Narrative analysis and the Burkean Pentad were used to analyze these data.

Results: In the personal narratives, from …

The Interrelationships Among Acculturation, Social Support, And Postpartum Depression Among Marriage Immigrant Women In Taiwan: A Cohort Study, Hung-Hui Chen, Li-Yin Chien

International Nursing Research Congress (INRC)

Purpose: Adaptation to a new culture is associated with mental well-being among immigrants. Previous research consistently supports the relationship between social support and postpartum depression. However, the causal and structural relationships among acculturation, social support and postpartum depression have not been established. The study objectives were to examine (1) depressive symptomatology at 1 and 6 months postpartum; (2) structural relationships among social support, acculturation, and postpartum depressive symptomatology among immigrant mothers in Taiwan.

Methods: This cohort study recruited 203 new immigrant mothers from China and Vietnam living in Taipei. Data were collected at 1 and 6 months postpartum. Postpartum depression …

The Experiences Of Obese African-American Women (Aaw) And Their Utilization Of Preventive Healthcare Services, Winsome Stephenson, Margaret Moloney

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to explore the healthcare experiences of obese African American women and their utilization of preventive healthcare services.

Methods: Interpretive phenomenology was used to describe and interpret the healthcare experiences of 15 obese AAW, living in communities in Georgia. A purposive sampling was employed in the study. The participants ranged in age from 23 to 62 with BMIs ranging from 35-55. The majority of the sample (83%) had adequate health insurance. This was a well educated sample with 87% having college degrees or some college education. Individual, audio-taped interviews were used to collect data. …

The Lifetime Influence Of Families In The Lives Of Women With Cerebral Palsy, Donna Freeborn, Kathleen Knafl

International Nursing Research Congress (INRC)

Purpose: Drawing on data from a qualitative study of 8 adult women with CP, the purpose of this qualitative descriptive study was to examine their perceptions of ways their families and individual family members contributed to their overall quality of life and adaptation to CP.

Methods: The study was based on a feminist biographical approach, which combines biographical methods with feminist principles. Participants participated in two interviews where they shared numerous stories about their family life, parents, siblings, and extended families. Interviews were transcribed verbatim, and transcriptions were analyzed for common themes according to qualitative methodology.

Results: Participants provided considerable, …

Patterns Of Communicating With High Fidelity Patient Simulators, Judy K. Anderson, Kimberly Nelson

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to explore patterns of communicating with high fidelity (HF) patient simulators. Therapeutic communication is an essential skill for nurses working in any setting. Opportunities to develop this skill are essential to improve comfort and refine competence in communication techniques. High fidelity patient simulators are increasingly being utilized as a teaching-learning strategy. Their effectiveness for developing expertise in critical thinking/problem-solving, clinical skills, and teamwork is documented in the literature. The literature also provides evidence of professional communication skill-building, both intra- and interdisciplinary. Less prevalent in the literature is research on the use of HF …

Moral Distress: Contributing Factors, Outcomes And Interventions. An Overview Of The Nursing Literature, Adam S. Burston, Anthony G. Tuckett

International Nursing Research Congress (INRC)

Purpose: Explore moral distress research across the nursing discipline to identify contributing factors, understand common outcomes, identify appropriate interventions, and detect knowledge gaps. Methods: Cumulative Index to Nursing and Allied Health (CINAHL) 1982-2010; PsycINFO 1980-2010; Medline 1982-2010 and Social Science Citation Index (SSCI) plus Arts and Humanities Citation Index 1982-2010 were used. Key words used were: moral distress, moral distress scale, nursing home* and long-term care. Mining of reference lists provided additional sources. The review excluded doctoral dissertations, abstracts to meetings, and papers not published in English. Furthermore, a number of electronic journal and online content alerts were established. While …

A Nurse At Heart: The Journeys And Experiences Of Nursing School Deans, Tammy C. Blass

International Nursing Research Congress (INRC)

Purpose: This study's purpose was to understand how nursing school deans' personal characteristics and nursing background influence how they perform their role and manage challenges as dean. The conceptual framework, based on role theory and Mintzberg's (2009) Model of Managing, provided a lens through which the nursing dean's journey from practitioner to dean and her role as dean could be explored. Methods: This qualitative interview study employed a purposeful sample of 13 Southern California female nursing school deans. A two-cycle coding process was used to discover themes and patterns that would enhance understanding of their experiences. Results: The four themes …

The Experience Of Australian Undergraduate Bn Student Nurses Undertaking A Clinical Placement In The Solomon Islands, Sonja Ann Frischknecht

International Nursing Research Congress (INRC)

Purpose: International undergraduate clinical nursing placements are becoming a more accepted alternative to local clinical nursing placements, and have been identified as contributing to positive learning experiences. The purpose of this study was to explore and describe the lived experience of Australian student nurses that participated in a clinically focused learning placement in the Solomon Islands. It captured their perception of working in a clinical setting in a developing country.

Methods: An interpretive phenomenological study design was used. The sample comprised of seven senior undergraduate Bachelor of Nursing (BN) students. Participation in the study was entirely voluntary and not linked …

Staff Nurse Perceptions Of The Magnet Journey: Implications For Nurse Leaders, Laurie Ecoff, Linda Diann Urden

International Nursing Research Congress (INRC)

Purpose: The purpose of this qualitative study'was to develop a broader understanding of organizational changes that occur during the time leading up to the American Nurses Credentialing Center's Magnet designation. The specific aims of this study were to compile a rich description of the phenomenon 'Magnet Journey' in a group of registered nurses in clinical settings who provide direct patient care with regards to: the factors that influence quality of care the factors that influence cultural transformation the factors that influence interdisciplinary collaboration Methods: Focus groups were conducted at recently designated Magnet hospitals in Southern California. Participants were consented, asked …

Assessment Of Pap-Smear Testing And Women's Health Within Taiwan, Shiu-Yun K. Fu, Hsiaoling-Ling Niu, Venne-Shiang Huang, Mei-Ching Chen

International Nursing Research Congress (INRC)

Purpose: To decrease the occurrence of high mortality rates for cervical cancer, pap-smear screening is essential for all women. The proportion of women in Taiwan who have not had a pap-smear test is extremely high.

Methods: The research consisted of 2 phases involving both quantitative and qualitative methods. 90 women who had not received a pap-smear screen within the past three years were involved. Phase one of the study was a quasi-experimental design, phase two was an in-depth analysis to understand why some women did not have pap-smear testing. This report is specifically for the qualitative data analysis.

Results: The …

Hydration And Ph Of Cord And Dorsal Hand In High-Risk Infants For 7 Days Of Life, Youngmee Ahn, Min Sohn, Mijin Lee, Sangmi Lee

International Nursing Research Congress (INRC)

Purpose: The pH of cord and skin is of significance in terms of the acidic function of skin in defending foreign invasions while drying process toward cord detachment. We explored the pH and hydration in cord and dorsal hand of 50 high-risk neonates for 7 days of life. Fourteen neonates were with primarily preterm birth (PTB), while 36 neonates had pathologic conditions besides PTB. The mean birth weight was 1973 g with 7.4 of the mean 5 min. Apgar score.

Methods: After IRB approval and obtaining the informed consent from parents, the pH and hydration of cord and dorsal hand …

Valid Items For Screening Dysphagia Risk In Stroke Patients: A Systematic Review, Pamela Willson

International Nursing Research Congress (INRC)

Purpose: Early detection of dysphagia in acute stroke is critical as it allows for immediate intervention, thereby reducing mortality, morbidity, length of hospitalization, and healthcare costs. These findings have led to the recommendation to screen swallowing ability in all acute stroke patients, regardless of stroke severity. A systematic review of the literature was undertaken to determine the evidence-based validity of dysphagia screening items using instrumental evaluation as the reference standard. Methods: Four databases from 1985 through March, 2011 were searched using the terms cerebrovascular disease, stroke deglutition disorders, and dysphagia. Eligibility criteria were: homogeneous stroke population, comparison to instrumental examination, …