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The Correlated Factors Of Communication Impairment And Its Relationships Between Depressive Symptoms And Quality Of Life Among Elders In Long-Term Care Facilities In Taipei, Taiwan, Huai-Ting Kuo, I-Chuan Li

International Nursing Research Congress (INRC)

Purpose: Communication is extremely important in human daily life. However, communication impairment is a significant health problem among disabled elders in the long-term care (LTC) facilities. Speech and hearing dysfunction often affect and limit to get along with caregivers and other residents. To explore related factors of communication impairment and its relationships between depressive symptoms and quality of life among LTC residents in Taiwan.

Methods: Residents who are aged over 65 in LTC facilities in northern Taiwan were enrolled in this study. Health information was gathered by using the Minimum Data Set (Nursing Home Chinese Version 2.1) to explore factors …

Predictors Of Cigarette Smoking Behavior Among Military University Students In Taiwan, Kwua-Yun Wang, Chia-Chen Yang

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to investigate the prevalence and predictors of smoking behaviors among military university students in Taiwan.

Methods: Using a cross-sectional design, 2,477 students were recruited for this study from seven universities across Taiwan. Structured questionnaires were used to collect data covering demographics, family environment, school environment, cigarette smoking attitudes, self-efficacy, and cigarette smoking behaviors. Both descriptive statistics and logistic regression were for the data analysis. A probability threshold of .05 was considered as statistically significant.

Results: The prevalence of smoking among students in Taiwan has been recently reported as 5.7%. Of this number, 12.8% …

Participatory Action Research: Relevance And Use For Contemporary Nursing Research, Lorna Moxham

International Nursing Research Congress (INRC)

Purpose: This paper will demonstrate how, using a collaborative, inclusive research methodology, positive impacts on clinical practice and enhanced client outcomes can be achieved.

Methods: A Participatory Action Research (PAR) approach was used to address a clinical issue within a pediatric unit. The nursing staff who were general trained recognized they did not have the clinical expertise to provide care for the increasing number of clients who were being admitted for mental health issues. This caused them distress and meant the clients were also not receiving optimum treatment. Clinicians contacted some academic staff they knew and together a research team …

Exploring Service Learning As A Method To Enhance Professional Nursing Values Development, Debra L. Fowler

International Nursing Research Congress (INRC)

Purpose: The aim of this experimental study was to determine if Baccalaureate of Science in Nursing (BSN) students who complete a service learning assignment score significantly higher on the Nursing Professional Values Scale - Revised (NPVS-R) compared to an attention control group of BSN students in the same nursing course. The service learning assignment consisted of 3 hours of service at a non-profit health care organization followed by reflection facilitated through online discussion groups and reflective paper. Attention control students attended a professional nursing meeting and described their observational experience in online discussion and a paper.

Methods: The NPVS-R was …

The Knowledge Of Nurses In Pressure Ulcer Prevention And Their Attitude Towards The Use Of Braden Scale, Joemer Calderon Maravilla, Melowean Hurtado Lucero, Teodoro Eugenio Y. Alejo, Maricar Mae Agustin Marquez, Marc Joseph Cataquis Medina, Marisse Diaz Pasamba, Glaiza G. Maer, Barbara Michelle De Guzman, Ray Jorge Bundang Marmeto, Rizza Marjorie B. Lumba, Trifina Baquiran Lugo, Verna Mae Jose Ologenio, Angely S. Mendoza, Joyce Ann Bautista Quicho

International Nursing Research Congress (INRC)

Purpose: This descriptive correlational study aimed to investigate the relationship between the knowledge of nurses in pressure ulcer prevention and their attitude towards the use of Braden scale.

Methods: Seventy seven full time staff nurses who has experienced using the Braden scale and who are working in intensive care units, medical, surgical, or orthopedic wards were chosen through purposive sampling. Two pilot tested questionnaires were circulated into two private hospitals in Metro Manila to determine the knowledge of nurses in pressure ulcer prevention and their attitude towards the use of Braden scale.

Results: Results showed that the respondents have a …

Evaluating Scholarly Work Products Of The Dnp, Mary F. Terhaar

International Nursing Research Congress (INRC)

Purpose: The nature of the work products accepted as evidence of scholarship by academic programs awarding practice doctorates is quite variable: that includes work products of DNP programs as well. Some require full dissertations in the model of PhD programs. Others require scholarly work in which students demonstrate mastery of the 14 essentials; and this work may involve data collection for research conducted by PhDs, collaboration in research conducted by faculty (Nykamp, et al, 2010), secondary analysis of extant data sets, scholarly papers, case studies (Mundinger, et al, 2009), or translation projects. Still others require supervised practice. Not all demand …

Water Quality And The Incidence Of Gastrointestinal Symptoms In A Locality In Cavite, Philippines, John Frietz L. Hinahon, Neil Patrick Javier Maguikay, Jacqueline Manimbo, Winlyn Banastas Donato, Peter Jeremiah Mananghaya Fajardo, Ma. Krizzanne Flores, Jean Rose Taguba Gaffud, Arby Deluao, Christian Galigao Eliot, Ma. Christine Russel Lozada, John Paul G. Martin, Rae Michelle Manzano

International Nursing Research Congress (INRC)

Purpose: Water quality is an indicator of the wellness of the environment and is directly related to the health of the people exposed to it. Worldwide, infectious waterborne diseases are the number one killer of children under 5 years old. In some areas in the Philippines, piped water system (NAWASA) is stil inaccesible and the river is still the major source of drinking water for it's residents. This study aims to describe the water quality of a major source of drinking water in a locality in Cavite City, Philippines and its correlation to the occurrence of gastro-intestinal symptoms among its …

Suspected Deep Tissue Injuries And Pressure Ulcers In The Perioperative Area, Oleg Teleten, Holly Kirkland-Kyhn

International Nursing Research Congress (INRC)

Purpose: Describe the collaboration and education for culture changes in the perioperative areas to decrease the incidence of suspected Deep Tissue Injuries (sDTI) due to prolonged surgical procedures.

Problem: A root cause analysis was performed on all hospital acquired pressure ulcers (HAPU) for 2011. All patients with HAPUs started as sDTI and had a history of prolonged operative procedures which lasted from 10 hours for a single case to 38 hours over 2-3 weeks. All sDTIs progressed to stage III and IV HAPU which were reported to the state.

Setting/Participants: The setting was the perioperative area in a large urban …

The Journey Of Educational Training From Competency To Proficiency Of Pediatric Intensive Care Unit Nurses (Picu), Shaista Ismail Rajani

International Nursing Research Congress (INRC)

Introduction: PICU is a relatively new medical specialty that has shown a marked growing up around the world over the last three decades. The study was conducted for the first time in tertiary care hospital in Karachi, Pakistan on PICU curriculum for residents on basic principles of critical care. However, there is no data and study is available for PICU nurses who are the primary care takers. PICU is one of the specialties which require skilled nurses for early recognition and treatment for critically ill children especially in developing countries to curb pediatric mortality (children under 5 years).

Aim: To …

Kenyan Women Living With Hiv/Aids: A Mixed Method Study, Rosemary Mwangi

International Nursing Research Congress (INRC)

Purpose: Kenya, among the 47 African countries south of the Sahara geographically referred to as Sub-Saharan Africa (SSA), the region worst affected by HIV/AIDS globally. Kenyan women are disproportionally affected by HIV/AIDS compared to their male counterparts, where among the 1.5 to 2 million Kenyan adults infected with HIV, about two-thirds are women (UNAIDS, 2009). This presentation will illustrate the methodological design for the conduct of sequential mixed method study in both rural and urban settings in Kenya. The study goal was to measure their social structural stigma perspectives and to also gain an understanding of their experiences in rural …

Faculty Perceptions Of Simulation In The Early Entry Master's Program, Anna Marie Hefner, Linda L. Hansen-Kyle

International Nursing Research Congress (INRC)

Purpose: The purposes of this study were to identify faculty perceptions of simulation and to measure changes in specific student behaviors after simulation. Background and significance: Simulation use has increased in nursing programs across the country. Faculty are asked to embrace this pedagogical change which places emphasis of more realistic simulated clinical practice experiences for students. Faculty approached simulation with differing perceptions and expectations.

Methods: A mixed method approach was utilized. A survey, consisting of both qualitative and quantitative components, was distributed to thirty-six faculty involved in simulation in an Entry Level Master's program utilizing Human Patient simulators for pre-licensure …

Systematic Literature Review Of Pediatric Pain Measures, Pei-Hsin Yang, Kuo-Li Chao

International Nursing Research Congress (INRC)

Purpose: Articles on pediatric behavioral scales were reviewed to elucidate usage of pain assessment tools in clinical practice. Methods: A literature search was performed in the MEDLINE, PubMed, Cochrane Library, CINAHL, SODL, CEPS and master thesis databases for systematic reviews published from 2000 to 2011 using the following search terms: pain, child, children, childhood, systematic review, and instrument. A total of 112 articles were identified. 7 articles on child pain assessment instrument met the inclusion criteria. Results: Pediatric pain assessment scales can be either observational scales or self-reported measure. 20 articles on observational scales were identified. CHEOPS, FLACC, PPPM, COMFORT, …

Demo-Socioeconomic, Obstetric Variables, Perceived Stress And Health-Related Quality Of Life Among Pregnant Women In Macao, China, Ying Lau

International Nursing Research Congress (INRC)

Purpose: To identify the relationship of demographic, socioeconomic and obstetric variables and health-related quality of life to perceived stress among Macao Chinese pregnant women.

Methods: It was a cross-sectional and exploratory quantitative study among a community-based sample (n=1151) pregnant women during the second trimester. The setting was in an antenatal clinic of a university-affiliated regional public hospital in Macao. The perceived stress was measured by the Perceived Stress Scale (PSS), and health-related quality of life was measured by the standard SF-12 Health Survey (SF-12).

Results: A multiple linear regression analysis revealed that pregnant women who were younger (β = 0.085, …

The Effectiveness Of Telecare Service On Caregiver Burden, Mastery Of Stress, And Family Function Among Family Caregivers Of Heart Failure Patients: Quasi-Experimental Study Design, Li-Chi Chiang, Wan-Chou Chen

International Nursing Research Congress (INRC)

Purpose: To evaluate the effectiveness of nursing care based on the Telecare Service (TCS) on family caregiver's burden, mastery of stress, and family function among family caregivers of patients with heart failure.

Methods: Sixty families of patients with heart failure were recruited in a medical center during 2010 May to Oct. Thirty of them who participate the TCS after discharge from the hospital to home were allocated as the experimental group; the other thirty families were only participate the discharge planning was the comparison group. The family caregivers of both groups received the discharging planning about caring patients with heart …

Nursing Care Practices And Workplace Relations In A Thai Surgical Ward: An Exploration Of Clinical Decision-Making, Khomapak Maneewat

International Nursing Research Congress (INRC)

Purpose: This study offers a study of how a local ward culture underpins nursing actions of Thai surgical nurses in order to account for issues such as lack of sustainability, and failure to use research, including evidence-based nursing practice. The study was conducted at a Thai surgical ward to illuminate and describe the culture of the Thai surgical nurse, including the ways in which the organizational culture influences or guides their thinking, decision-making, and actions in a patterned way.

Methods: The knowledge about how the Thai surgical nurses allocate care, and make clinical decisions in the surgical ward in the …

A Retrospective Study Of Job Satisfaction Of Nurse Residents In Magnet, Magnet Aspiring And Non-Magnet Hospitals, Kenneth W. Dion

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to examine the outcome variable of job satisfaction, among newly graduated nurse residents in Magnet, Magnet Aspiring, and Non-Magnet Hospital work environments across the US. Methods: This study consisted of a secondary data analysis of data provide by Versant and used a descriptive, correlational, retrospective design to determine the change in job satisfaction among nurse residents in the Versant RN Residency at eight weeks, six months and 12 months. The sample consisted of 628 newly graduated nurses completing The Versant RN Residency. The inclusion criteria were as follows: (1) successful completion of the …

Knowledge Management Process Of Nursing Students In Nursing Administration Practice, Benjawan Pittard, Chutima Malai

International Nursing Research Congress (INRC)

Purpose: This qualitative study aimed to describe knowledge management process of nursing students. Methods: Sixteen groups of 4th year nursing students were recruited to be participants while they were having nursing administration practice in academic year 2009. Data were collected from experience record after finishing practice, nursing innovation report and presentation and focus group interview with group representatives. A manual method of constant comparative analysis was used to find codes and categories, and to generate a grounded theory. Results: The results indicated that all participants summarised creating nursing innovation was the clearest knowledge management process. They perceived that process in …

A Health Empowerment Theory Approach To Pregnant Adolescents 18 And 19 Years Of Age In The Bahamas, Shirley E. Curtis

International Nursing Research Congress (INRC)

In The Bahamas between the years 2,000 - 2007, the percentage of mothers under the age of 20 years accounted for 11.3 - 12.7% of all births in the country. Mothers age 15 -19 years accounted for 11.2 - 12.6% of all births. The purpose of this study was to investigate the level of empowerment among pregnant adolescents living in The Bahamas aged 18-19 years by testing the levels of autonomy, environmental mastery, personal growth, relationship with others, purpose in life and religiosity. The sample for this study was 105 pregnant adolescent females 18 and 19 years of age attending …

Narratives Of The Icu Nurses Caring For Patients And Families During The Dying Process In Taiwan, Fang-Yu Hsu, Nai-Ying Ko

International Nursing Research Congress (INRC)

Purpose: The purpose of this study is to explore the experiences of the ICU nurses caring for patients and their families during the dying process and to help them define the meaning of these experiences.

Methods: A narrative inquiry was conducted for ten ICU nurses in a southern Taiwan medical center. A semi-structure interview guide was used for collecting data during the interview.

Results: Results from this study show five main experiences: 1) "Seeing the suffering and feeling reluctant"- the ICU nurses saw the suffering of the patients and families during the aggressive treatment procedures. They feel reluctant and are …

The Quality Of Student Learning In An Online International Graduate Nursing Program, Gail Tumulty, Mary D. Oriol

International Nursing Research Congress (INRC)

Purpose: To add to the scientific evidence about establishing optimal online class size where active class engagement and course satisfaction are attained for faculty and students alike Methods: Data were collected from 2007 through 2010 using end of course student evaluations and Blackboard participation statistics. Simple linear regression, independent samples t-Test, and ANOVAS were used to test research questions. Results: As class size increases, student participation in discussion forums increases but faculty participation decreases. Student satisfaction increases as class size decreases. Students perceive higher satisfaction and greater critical thinking skills when taught by full-time faculty. Conclusion: Class size impacts faculty …

Knowledge Acquisition Through Simulation In Nursing Education: A Meta-Analysis, Hao Bin Yuan, Jin Bo Fang, Beverly A. Williams

International Nursing Research Congress (INRC)

Nursing education is the process whereby students are guided, assisted and provided with means which enable them to learn the professional knowledge so that they can apply it to nursing care of people. Simulation is a learning method to replace or amplify real experiences with guided experiences that evoke or replicate substantial aspects of the real world in a fully interactive manner. The use of simulation as an educational tool is becoming increasingly prevalent in nursing education. Objective: The objective of systematic review was to provide available evidence on the effect of high-fidelity simulation on knowledge acquisition. Method: The computerized …

Developing A Clinical Question With Nursing Clinicians In Cardiology, Mary Boyde

International Nursing Research Congress (INRC)

Background: A heightened focus on evidence based practice requires nurses to be cognisant with the development of answerable clinical questions. For clinicians one of the first steps in evidence based practice is the ability to ask a clinical question that can be answered with research evidence. Aim: To engage clinicians in the research process by building skills in developing a clinically relevant research question. Methods: In a large metropolitan hospital cardiology unit the process began with research knowledge development during in-service sessions. Focus groups of clinicians were initiated to brain storm clinical problems associated with their practice. Topics introduced to …

The Relationship Of Maternal-Fetal Attachment And Health Behavior Among Pregnant Women In South Taiwan, Ling-Hua Wang, Andrew C. Mills

International Nursing Research Congress (INRC)

Purpose: Good health practices in pregnant women can positively affect their unborn children's health by reducing risk factors. Increasing maternal-fetal attachment may be one method to reduce poor birth outcomes. The study examined the effect of maternal-fetal attachment on health behaviors, controlling for prenatal and maternal characteristics. The two research hypotheses were tested: (a) Pregnant women in rural areas in south Taiwan will have poorer health practices than in urban areas; (b) The level of maternal-fetal attachment will predict health behaviors of Taiwanese pregnant women.

Methods: A cross sectional research design was used. 390 pregnant women were recruited to complete …

Learning Through Drama In The Field Of Global Nursing, Bjorn-Ove Suserud, Jehad O. Halabi, Maysoon S. Abdalrahim, Sepideh Olausson, Margret Lepp

International Nursing Research Congress (INRC)

In the field of nursing education, innovative teaching and learning methods, such as educational drama, that focus on learner-centered rather than teacher-centered approaches were found to be of significant interest to all exchange parties. This paper explores how nurses (nurse educators, and doctoral and masters students) from three countries experience learning through drama in the field of nursing education. In this era of internationalization, there is an urgent need to prepare nurses with global perspectives. Purpose: - to present innovative teaching and learning methods, such as educational drama, that focus on learner-centered rather than teacher-centered approaches and that provides opportunities …

Educational Effects On Repeating Use Of And Evaluation By Human Patient Simulators For Developing Lung Sound Auscultation Skills, Toyoaki Yamauchi

International Nursing Research Congress (INRC)

Purpose: A purpose of this study was to clarify effects of utilizing human patient simulators for development of auscultation skill on lung sounds.

Methods: For the nurses who participated the three times consecutive series of workshops about physical assessment, evaluation examinations on auscultation skills for lung sound by using human patient simulators had been repeated six times as follows: the first (initial pre-workshop), the second (at the initial post-workshop), the third (the second pre-workshop), the fourth (at the second post-workshop), the fifth (the third pre-workshop) and the sixth (at the third post-workshop). Total numbers of nurses who participated all six …

Utilization Of An Alternative Clinical Learning Environment For Foundations Of Nursing Ii Students In A Baccalaureate Nursing Program, Kelly J. Betts

International Nursing Research Congress (INRC)

Nursing faculty are faced with many challenges. One of the issues involves trying to provide nursing students with in-patient clinical experiences. In particular, faculty members struggle with the issue of not getting enough clinical slots in local area hospitals to meet the needs of the clinical requirements of the course. Nursing faculty are then faced with the challenge of creating alternative clinical learning environments that promote the fundamental nursing skills and critical thinking components that are essential to meet course objectives and promote efficiency in nursing skills. Many schools are relying on simulation labs and other sources of simulated clinical …

Mom-To-Mom: A Program To Mentor And Support Pregnant Women Whose Spouses Are Deployed To The Combat Zone, Teresa W. Ryan, Karen L. Weis

International Nursing Research Congress (INRC)

Purpose: For all women, maternal psychosocial adaptation occurs throughout pregnancy and into the postpartum period. Researchers studying non-military pregnant women have demonstrated that support from a role model provides information and validation for the changes the gravida experiences prenatally and postnatally. Researchers have only begun to study the effects of prenatal psychosocial adaptation in women within the military setting. Weis, Lederman, Lilly & Schaffer (2008) found gravidas having deployed military husbands had greater conflict with their prenatal maternal adaptation (pregnancy acceptance and identifying with their maternal role) than pregnant military wives without deployed husbands.

Methods: This study was designed to …

Using The Glasgow Coma Scale In Non-Neurological Clinical Areas, Tracey Thornley, Lauren Rullis

International Nursing Research Congress (INRC)

Purpose: The Glasgow Coma Scale (GCS) was designed for use in a wide range of clinical environments with staff that had no special training (Teasdale and Jennett 1974). Evidence (Waterhouse 2007 and 2008) suggests however that there are ongoing problems with the use of the GCS assessment, and the impact that this might have on patient outcome is unknown. Variations in practice have been found in all areas, including the neurological specialties wards, however the skill level of nursing staff in non neurological areas is concerning with inconsistency in practice. The purpose of this project was to explore the use …

Competency-Based Public Health Clinical Educational Strategies, Marjorie A. Schaffer, Patricia Schoon, Carolyn Marie Cesario

International Nursing Research Congress (INRC)

Challenges facing nursing educators and public health agencies in preparing a public health nursing workforce for the 21st century include a lack of clinical sites, competition between schools of nursing for public health learning experiences, and a lack of experience in public health nursing practice or education among nursing faculty. A consortium of nursing educators and practicing public health nurses developed eleven population-based public health nursing competencies for entry level practice. The competencies resulted from a thorough review and analysis of existing standards and competencies for public health nursing practice by nursing educators and public health nurses (PHNs) in practice. …

"Whatever It Takes:" A Photovoice Exploration Of Isolated Allogenic Hematopoietic Stem Cell Transplantation Patients, Caroline E. Brown, Kathryn R. Siebert, Ellen R. Carr

International Nursing Research Congress (INRC)

Purpose: Protective isolation is a common practice among hematopoietic stem cell transplantation (HSCT) patients. Psychological intolerance of protective isolation was identified as a problem leading to discontinuation of isolation in between 2-42% of patients in a recent systematic review. The purpose of this qualitative study was to explore isolated HCST patients' perceptions of isolation and elicit suggestions for interventions to mediate the experience of isolation.

Methods: Participants were recruited from isolated patients on the inpatient Bone Marrow Transplantation (BMT) unit after at least one week of isolation. In-depth interview was the primary research method used; in addition photo voice was …