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Perceived Quality Of Life After Prostate Cancer Treatment: Response Shift, Shannon Ruff Dirksen, Michael J. Belyea

International Nursing Research Congress (INRC)

Purpose: Response shift refers to when individuals alter their internal standards in adjusting to changing circumstances such as illness. This shift can occur in persons with cancer who may perceive quality of life differently over time as their definition of health changes. Determination of whether quality of life after cancer treatment is associated with a response shift is limited. The purpose of this study was to explore the existence of a response shift among men with prostate cancer before radiation treatment and retrospectively at the end of treatment. Methods: Men receiving radiation treatment (n=83) completed the 39-item Functional Assessment of …

Nurses' Attitudes To Working With Older People In Acute Care, Anne-Marie Mahoney, David Beckett

International Nursing Research Congress (INRC)

Purpose: There is little evidence that factors influencing attitudes to older persons have been investigated (Moyle 2003). Changes to service delivery models within acute health have meant that there has been an increase in Day of Surgery Admissions (DOSA) and a decrease in length of stay. Many younger patients are cared for in the community supported with funded programs. Therefore, in-patient populations in acute care are generally older, with greater acuity and increasing co-morbidities. Australia expects an increase from 4.3 million older persons in 2021 to around 6.8million in 2051 (Australian Bureau of Statistics (ABS, 2008). Aim: The aim of …

The Study Among Dysphagia In Acute Psychiatric Ward Inpatients, Ching-Fane Chen

International Nursing Research Congress (INRC)

Purpose: The rate of dysphagia and choking of psychiatric patients are 100 times in the general population. The etiological factors include disease, medicine and other factors. This study aims to understand the relationship of dysphagia among psychiatric inpatients.

Methods: Starting from June of 2010 to May of 2011, 250 patients who admitted in acute psychiatric ward were interviewed dysphagia, choking experiences and examined extra-pyramidal syndrome, parkinsonism and tardive dyskinesia. Nurses recorded choking status when patients taking oral drugs. The SAS program was used in all statistical analysis.

Results: The majority of the research subjects were schizophrenia patients (51.6%). Among the …

Visiting The United Nations As A Forum For Undergraduate Nursing Global Education, Maureen P. Cardoza

International Nursing Research Congress (INRC)

The United Nations as a Forum for Undergraduate Nursing Global Education: The purpose of this oral presentation is to provide seminar participants with an educational program incorporating global nursing into an undergraduate Community Health nursing curriculum utilizing an on-site visit to the United Nations (U.N.) in New York City. The program presented acquainted undergraduate nursing students with the mission and global health initiative undertaken by the United Nations that are congruent with the practice of nursing locally, nationally and internationally and supported by Sigma Theta Tau International. The topics presented will include a discussion of the curriculum design and program …

Digging For Dinosaurs' Contest: A Novel Strategy To Engage Nurses In Questioning Practice, Caroline E. Brown

International Nursing Research Congress (INRC)

Purpose The "Digging for Dinosaurs" contest and educational sessions are a catalyst intended to engage nurses in questioning their practice in a non-threatening and fun manner. The "Digging for Dinosaurs" contest was conceived based on an article about "sacred cows" in nursing practice and generating interest in research-based practice Methods This project was led by the nursing research council and consisted of a contest held during Nurse Recognition Week 2008. A marketing poster and contest entry forms were created and distributed in multiple avenues. All participants had access to the Medical Center Library resources and classes on "Searching the Nursing …

Innovative Use Of Brief Interventions In Emergency Department Attendees: The Incidence Of Mental Health Disorders And Alcohol Consumption, Petra Lawrence, Paul Fulbrook, Jane Fischer

International Nursing Research Congress (INRC)

Purpose: Systematic assessment of all Emergency Department (ED) presentations may identify low level mental illness and/or risky alcohol consumption. Preventative measures, if provided early, may prevent further deterioration and promote wellness. Background: The 2007 National Health Survey revealed one in five adults aged 16 - 85 experienced a mental disorder in the previous year, however only 35% sought assistance. The potential demand for mental health care is high but is not being met by either the specialist or the general health system. Unplanned contact with the health care system via the ED offers clinician"s an opportunity to identify patients with …

Complementary And Alternative Medicine Use And Quality Of Life In Chinese Women With Breast Cancer: A Taiwanese Survey, Fang-Ying (Sylvia) Chu

International Nursing Research Congress (INRC)

Purpose: The purposes of this study were (1) to determine the prevalence and modalities of CAM use by Taiwanese women with breast cancer; (2) to measure the level of satisfactions and perceived benefits of CAM use; (3) to measure the level of quality of life (QOL). Methods: A descriptive cross-sectional survey was conducted at an outpatient oncology clinic attached in a teaching hospital of Taiwan. A total of 196 women participated in this study. Approximately, 74% of the women reported that they had used some form of CAM since being diagnosed with cancer. Results: The most common type of CAM …

Debriefing Pediatric End-Of-Life Care Through Personal Reflection, Rebecca L. Meyer

International Nursing Research Congress (INRC)

Scope: Education for nursing professionals is recommended by the American Academy of Pediatrics and the Institute of Medicine about caring for dying children. Improving education and support for nurses is important so they can then educate and support families and patients. Utilizing experiential learning about the types of patients experiencing palliative treatment/therapies and end of life care needs to start in nursing schools so that newly graduating nurses have an increased awareness of how to care for dying children. Didactic education should include ways to facilitate integration of spirituality, culture, communication, and how to establish caring relationships during a difficult …

Social Support As A Mediator Between Depressive Symptoms And Quality Of Life In Schizophrenia, Jin-Biau Li, Chiu-Yueh Yang

International Nursing Research Congress (INRC)

Purpose: The past researches showed that the social supports impact on depressive symptoms and quality of life, but few unifying models delineate interrelationships of these variables.The first purpose of this study was to explore the association between depressive symptoms and social support in addition to quality of life in schizophrenia patients. Secondly, we tested the hypothesis that the association between depressive symptoms and quality of life would be mediated by social support.

Methods: We collected data by convenience samples (N=64) recruited from outpatient departments and day care in northern medical hospitals in Taiwan. All subjects completed background questionnaires, Chinese Multidimensional …

Depression, Anxiety, Anger, And Biomarker In Taiwanese People With Heart Failure, Hsing-Mei Chen, Chee-Siong Lee, Shyh-Jnog Wu, Hsueh-Wei Yen, Wen-Hsien Lee, Hui-Chin Chien

International Nursing Research Congress (INRC)

Purpose: Psychological distresses might be caused by the disease severity in people with heart failure. The purpose of this study was to examine the relationship between depression, anxiety, anger, and B-type natriuretic peptide (BNP) in Taiwanese people with heart failure. Methods: A cross-sectional, descriptive, correlational research design was used. A nonprobability sample of 51 participants was recruited from the outpatient department of a medical center located in southern Taiwan. Inclusion criteria were as follows: 1) a diagnosis of HF, with a class of New York Heart Association (NYHA) II or above; 2) age 20 or older; 3) able to communicate …

The Relationships Between Exercise Behavior And Sleep Quality And Their Related Factors Among Copd Patients, Pei-Ju Chen, Chi-Huei Chiang, Kwua-Yun Wang, Kaiping Yao, Wann-Cherng Perng

International Nursing Research Congress (INRC)

Purpose: The purpose of this study will investigate the relationships between exercise behavior and sleep quality and their related factors among COPD patients.

Methods: The cross-sectional and descriptive designed will be used in the study. A total of 114 of patients with chronic pulmonary obstruction disease were recruited from chest outpatient department in two teaching hospitals in Taipei City. The structured questionnaires including demographics and disease characteristics, exercise behavior, CPSQI and Beck Depression Inventory- Second Edition (BDI-II) will be used to collect data. The descriptive and inference statistics including frequency, percentage, mean and standard deviation, chi-square and Logistic Regression will …

"I Feel Good But Data Said No!," Misperception Among Rural Diabetic Residents In Taiwan: A Cross-Sectional Descriptive Study, Mei-Yen Chen, Li-Na Chou, Min-Li Chen

International Nursing Research Congress (INRC)

Purpose: This paper is a report of a study to evaluate the misperception of diabetes control and practicing exercise and healthy diet among rural diabetic residents.

Methods: A cross-sectional survey was carried out. Participants with previous diagnoses of type2 diabetes were enrolled on health promotion projects concerning diabetes foot prevention from 18 primary health care centers in rural regions of Chiayi County, Taiwan.

Results: Approximately 58% of the participants were female (411/715) and the mean age of the participants was 69 years. The findings indicated that a high percentage of participants underestimated their fasting blood glucose (FG) and HbA1C status. …

Weight Behavior And Cognition Instrumentation In African-American Adolescents: Psychometric Properties And Recommendations, Nutrena H. Tate

International Nursing Research Congress (INRC)

Purpose: To determine the psychometric properties of weight behavior and cognition instrumentation in African American adolescents.

Methods: African American adolescents (n=145), 15 to 17, were recruited from community settings within a large metropolitan area. Variables of interest were perceived familial socialization (Sociocultural Influences Questionnaire - Father and Mother) , ethnic identity (Multi-Ethnic Identity Measure), physical activity (Physical Activity Questionnaire - Adolescent), eating behaviors (Eating Behavior Patterns Questionnaire) , and social physique anxiety (Social Physique Anxiety Scale). The psychometric properties of each measure were assessed with this study sample. Internal consistency was determined by Cronbach's alpha value for each measure. Utilizing …

The Interface Of Employment, Health, Family Support, And Human Services For People With Psychiatric Disabilities, Linda E. Jensen

International Nursing Research Congress (INRC)

Purpose: The burden of mental illness on health and productivity in the United States and throughout the world has long been underestimated. Psychiatric illnesses account for over 15% of the burden of disease and disability in the United States and was found to be second in causes of disability by a World Health Organization report on Global Burden of Disease (2008). The purpose of this research was to interview persons with severe mental illnesses to determine healthcare and service challenges for them in returning to employment and to identify strategies to assist them. Methods: Fifty people with severe mental illnesses …

New Evidence In The Implementation And Evaluation Of Clinical Supervision, Edward White

International Nursing Research Congress (INRC)

Purpose: Clinical Supervision [CS] is a formally structured arrangement to support staff employed in human service agencies and has an established history in many health care professions, including nursing. It has shown promise internationally as a positive contribution to the health governance agenda. Two recent CS-specific research studies have made incremental progress towards establishing an evidence base for best practice development and the robust evaluation of Clinical Supervision outcomes.

Methods: Described as "one of three studies conducted over the last 30 years, that provide the best and clearest directions for further thought about conducting future successful research in the supervision-patient …

Assessing Core Competencies Of Senior Nursing Students And Faculty As Input To Philippine Competency-Based Education, Josefina A. Tuazon, Joan Valera

International Nursing Research Congress (INRC)

Purpose: Nursing competency is necessary for patient safety. With global nursing shortage and high demand for Filipino nurses, there was increase in nursing schools and enrolments since 1998. This has implications on nursing education and beginning competencies of professional nurses. This study assessed core skills and knowledge of senior students as indicator for beginning graduate nurses and their faculty, and identify gaps in competencies as input to nursing education.

Methods: This was a descriptive, correlational study of 745 randomly selected senior students in 12 randomly selected schools in Metro Manila using internet-based Filipino-adapted NurseMetriX competency appraisal test collaboratively developed with …

Examining Students' Attitudes Towards Obesity, Julie Y. Sappington

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to determine if an educational intervention would affect students' attitudes towards obesity. According to the World Health Organization, obesity is a global health issue with more than 1 billion overweight adults worldwide, at least 300 million of them obese. An effective clinical response includes care from health care providers who can educate and encourage those affected by this health issue. Yet evidence suggests healthcare professionals, including nurses, often display bias towards obese individuals which can negatively affect health outcomes (Yale Rudd Center for Food Policy and Obesity). Methods: Students in two sections of …

Correlates Of Depression In Asian-American Adolescents In New York City, Maria Rosario-Sim

International Nursing Research Congress (INRC)

Purpose: To conduct an exploratory study of the correlates of depressive symptoms among Asian-American adolescents in New York City. A high rate of depressive symptoms was discovered in both smokers and nonsmokers for a study of smoking behaviors among Asian-American adolescents in New York City which prompted the investigators to explore the correlates of depression among this sample. The following hypothesis was addressed: Adolescents who have increased depressive-symptom scores are more likely to be older, female, less English language acculturated, have poor academic performance, not currently enrolled in school, arrived in the United States after seven years of age, have …

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 …