Digital Commons Network^™

Predictors Of Fatigue In Patients With Stable Coronary Disease, Michelle M. Fennessy, Holli A. Devon, Catherine Ryan, Julie Johnson Zerwic

International Nursing Research Congress (INRC)

Purpose: Fatigue is a pervasive problem in cardiovascular populations; however, there is limited research examining symptom patterns and predictors of fatigue in patients with stable coronary disease (CAD). The purpose of this study was to evaluate whether fatigue was predicted by gender, depressive symptoms, age, and prior history of heart failure. Leventhal's self-regulation model was used as the conceptual basis for this study.

Methods: In this prospective design, a convenience sample of patients (n=180) with stable CAD were recruited after treatment. Data collection occurred during hospitalization at baseline (post procedure) and 30-days after discharge using mailed surveys. At 30-days, 52.8% …

The Lived Experience Of The Transition Of The Clinical Nurse Expert To The Novice Nurse Educator, Natalie A. Weidman

International Nursing Research Congress (INRC)

Purpose: This study was to describe and interpret the experience of nurses without any educational theory as they transition from the role of the clinical nurse expert (CNE) to the novice nurse educator (NNE) in the academic and clinical settings. This study sought to determine if the clinical nurse expert was adequately prepared and supported through this role transition.

Methods: A qualitative design with a phenomenology method was used for this study. This was a convience sample with eight informal contacts. The tool was a composite of several questions developed by the researcher to elicit discussion of their experience in …

Variations In Utilization Of Clinical Preventive Services In Older Adults With Near Universal Health Coverage, Sandra C. Bibb

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to determine the relationships between potential access (characteristics of the delivery system and population at risk) and realized access (utilization of clinical preventive services [CPS]) in a homogeneous (race, income, education, place of residence) sample of older adults with near universal health coverage (health insurance, regular place of care). Variations in utilization of clinical preventive services in older adults in developed economies are attributed primarily to variations in health coverage (health insurance, place of care) and social determinants of health (income, education, race, ethnicity, or geographical location). Progress is being made in eliminating …

Influence Of A Cultural Immersion Experience On Healthcare Students' Spirituality, Ann Michelle Hartman, Linda R. Rickabaugh

International Nursing Research Congress (INRC)

Spirituality has been identified as a significant theme during cultural immersion experiences that merited further exploration (Rickabaugh, Hartman, Allison-Jones & Clark, 2009). The purpose of this naturalistic study was to identify the influence of a cultural immersion experience on studuents' spiritual well being and spirituality. A convenience sample of five healthcare students participated in this study which utilized mixed methodologies. Nursing and health psychology students completed reflective journals and participated in debriefing sessions regarding sacred moments. Sacred moments were defined as a connection or support from a higher power, connection with others, a sense of purpose and a sense of …

The Effect Of Depression On Diabetes Self-Management Behaviors In Older Adults With Type 2 Diabetes Mellitus: An Empirical Test Of The Information-Motivation-Behavioral Skills Model, Suyoung Choi, Mi Soon Song

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to empirically test the Information-Motivation-Behavioral Skills (IMB) model to predict diabetes self-management, and to examine the effect of depression on diabetes self-management behaviors in older adults with type 2 diabetes mellitus.

Methods: A descriptive and cross-sectional study was done of 247 community-dwelling older adults with type 2 diabetes mellitus from a senior center in Seoul, Korea. Data were collected using a structured questionnaire through one-on-one interviews. Structural equation modeling was used to evaluate model fit and interrelationship between the IMB model constructs, and to compare the IMB model with modified IMB model adding …

Working Collaboratively To Facilitate The Acquisition Of Culturally Relevant And Competent Communication Skills In Esl Nursing Students For Clinical Practice, Paul J. Glew, Lyn E. Stewart, Barbara L. Beale, Sharon Patricia Hillege

International Nursing Research Congress (INRC)

Purpose: This paper explores clinical communication interventions for undergraduate nursing students with English as a second language (ESL) within a multicampus program at the University of Western Sydney. Students are expected to communicate effectively with patients, nurses, and other health care professionals. Limited oral communication skills in English can cause anxiety for ESL nursing students and this can negatively impact on learning in a clinical setting. In addition, students may experience difficulties in using nursing terminology and appropriate expressions for interactions in this setting. The development of communication skills that are adequate for clinical practice can take intensive instruction and …

Community Awareness: Nutritional Patterns, Julia Pusztai, Tarek I. Hassanein, Anna Marie Hefner, Catherine Heinlein, Renee Pozza

International Nursing Research Congress (INRC)

Purpose: The purpose of this study was to analyze the reported diets of clients in a community wellness center. The Hispanic population is at higher risk for the development of fatty liver disease. It is correlated with visceral obesity, insulin resistance, Type 2 diabetes, metabolic syndrome, and lipid deposition. In a previously conducted survey of the community, the results identified obesity, high fat diets, lack of exercise and poor lifestyle choices as high risk factors for fatty liver disease.

Methods: Clients were enrolled in a wellness walking program in a community setting. They were encouraged to walk daily and offered …

Development And Evaluation Of A Senior-Tailored Elastic Band Exercise Program, Kuei-Min Chen, Chun-Huw Li, Ya-Ping Lin, Wei-Shyuan Tseng, Hsin-Ting Huang

International Nursing Research Congress (INRC)

Purpose: Elastic band exercise is recognized as a safe and effective strategy to improve muscle strength and power and increase the ability of seniors to perform functional tasks. This study aimed to: 1) develop a tailored elastic band exercise program for seniors, 2) to evaluate its feasibility for seniors, and 3) to determine appropriate elastic band exercise frequencies and preferences of seniors.

Methods: This study had two phases. In Phase I, 11 professional experts were consulted to develop the Senior Elastic Band (SEB) exercise program. They responded to detailed description and demonstrations of the program contained on both a hard …

The Development And Psychometric Testing Of The Cognitive Of Information Literacy Inventory (Cili), Su-Fen Cheng, Jane Lee-Hsieh, Kuan-Chia Lin, Chu-Yu Huang, Ching-Miin Duh

International Nursing Research Congress (INRC)

Purpose: This is two-year research project, one of the aims was to develop and test two instruments, including the CILI and "attitude toward information literacy inventory (ATILI)." This study was to develop and test validity and reliability of the CILI to measure the cognitive of information literacy of nursing students.

Methods: This study was conducted in 3 phases. In Phase 1, based on a review of the literature, the researchers developed an instrument to measure CILI. In Phase 2, two rounds of the Delphi study were conducted to determine the content validity of the instrument. In Phase 3, a convenience …

Bridging The Digital Divide: College Students Mentoring Seniors Via An Intergenerational Interdisciplinary Computing Course, Sharon Stahl Wexler, Lin J. Drury

International Nursing Research Congress (INRC)

Nursing and Computer Science faculty created an interdisciplinary Gerotechnology course that prepares students to mentor older adults in computer literacy. The goal of the partnership is to prepare students for a future living and working in a world dominated by seniors. Residents of long term care facilities are matched with students who assist with computer and internet use. The course introduces students to residents with complex chronic illnesses while demonstrating that older adults are vital human beings who grow and change throughout the semester. Students have an aging sensitivity experience and practice communication with seniors. Nursing students assess the physical …

Best Practices In Authentication And Verification Of Students In Online Education, Cheryl Mixon Smith, Sheri R. Noviello

International Nursing Research Congress (INRC)

Educators around the world are faced with increased cheating and plagiarism in college courses. Cheating has been considered a serious problem on college campuses for many years (Watson & Sottile, 2010). Universities with online programs are challenged to provide positive identification of students enrolled in online courses in response to the U.S. Higher Education Act. This act requires accrediting bodies to monitor the efforts of colleges and universities in this process. Although college students cheat in face-to-face classes, faculty and students feel the potential for online cheating is greater. However, the evidence shows that the mode of content delivery does …

Nursing Education And Redesigned Discharge Process: Effects On Congestive Heart Failure Patient Outcomes, Mary L. Gish, Mary F. Rodts, Judy Crouch

International Nursing Research Congress (INRC)

In a rural community hospital in northern California, greater than fifty percent of all patients are over the age of 64 years. The readmission rate for congestive heart failure (CHF) patients is greater than the rate for the state of California. A decrease in readmission rates has been selected as a three year strategic goal due to the proposed rule from Centers for Medicare and Medicaid Services (CMS) which will result in a financial discount if the rate of readmissions does not improve. The purpose of the Redesigned Discharge Process Project is to reduce the readmission rate of patients with …

Effectiveness Of A Multifaceted Approach To Implement A Fall Prevention Guideline Into Nursing Practice In A Hospital Setting: Comparison Of Before And In-Between Assessment, Helga Elisabeth Breimaier, Christa Elisabeth Lohrmann

International Nursing Research Congress (INRC)

Background: Nurses are expected to use research findings in daily nursing practice to promote positive patient outcomes. Clinical practice guidelines (CPGs) are seen as one means to achieve evidence-based care. However, CPGs are not implemented automatically and it is still unclear how to implement them effectively into nursing practice. One recommended approach is the use of multifaceted strategies.

Aim: The study aimed at assessing the effectiveness of a multifaceted approach to implement a fall prevention CPG into nursing practice in an hospital setting.

Methods: A participatory action research approach including working-group meetings to determine appropriate implementation strategies was used to …

Symptom Clusters In Persons Undergone Abdominal Surgery, Julaluk Baramee, Supaporn Duangpaeng

International Nursing Research Congress (INRC)

Post abdominal surgery symptoms cause patient suffering, complication, delay recovery and decrease activity of daily living. Finding symptom cluster could help professionals providing comprehensive and individualized care. Purpose: This secondary data analysis, from two original studies, aims to examine and compare symptom clusters among patients having abdominal surgery. Methods: Data were collected from two tertiary hospitals and one secondary hospital. The sample was 250 patients having abdominal surgery. Data were collected by demographic data form, post abdominal surgery complication and symptom assessment scale. Descriptive statistics and factor analysis were used to analyze data. Results: On the first post-operative day, there …

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 …

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 …

Will Culture Influence Coping Strategies, Psychological Well-Being, And Suicidal Ideation?: A Comparison Between Usa And Taiwanese College Students, Pi-Ming Yeh, Jenn-Chang Liou

International Nursing Research Congress (INRC)

Purpose: Suicide is the second-leading cause of death among college students in the U.S. and is preventable. Approximately 1100 college students die by suicide each year in USA. In Taiwan, youth suicide rate were 4.4 per 100,000 population in 1994 and increased to 6.21 per 100,000 population in 2004. Therefore, college students' psychological well-being and suicidal ideation are important issues to explore. The purpose of this study was to compare the differences between USA and Taiwanese college students' anxiety, depression, coping strategies, spiritual well-being, psychological well-being, and suicidal ideation.

Methods: This study was based on Madeleine Leininger's culture theory. This …

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 …

"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. …

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 …

The Stress And Needs Of Primary Caregivers Of Children Depending On Oxygen Therapy In Taiwan: A Questionnaire Survey, Kai Wei Katherine Wang

International Nursing Research Congress (INRC)

Purpose: The study aimed at examining the stress and needs of the primary caregivers of oxygen-dependent children at home.

Methods: The study used cross-sectional descriptive research design. In addition to the demographic data collected, there were two questionnaires used including "Perceived Family Stress Scale" and "Family Needs Assessment". Data was analyzed by SPSS Windows version 15.0.

Results: 104 subjects (F = 70; M = 34) were recruited from a pediatric otolaryngologic outpatient clinic of a tertiary medical center and "The Association of Let-Children-Breathing Happily". The average age of the subjects was 39.7 years old. Most subjects (44%) had a high …

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 …

Pituitary Tumors: Patient Perceptions Of Cognitive Deficits, Christine G. Yedinak

International Nursing Research Congress (INRC)

Background: The prevalence of pituitary tumors (PT) has been estimated from 15 % of all brain tumors. Both physiologic and psychologic functions can be disturbed, affecting the individual's life functions and quality(Qol). PT are classified by size and hormonal productivity: Macroadenomas (MA) > 1cm and microadenomas (mA) < 1cm tumors; those producing excess hormonal secretions as functional adenomas (FA) and those with normal hormonal function as non-functional adenomas (NFA). Hormonal deficiencies can occur in association with all PTs. Patient complaints of cognitive dysfunction and QoL changes have been validated to occur in patients with hormonally active tumors, but not for patients with microadenomas and non-functional tumors.

Purpose: To determine if cognitive deficits are perceived by patients with NFmA when compared to patients with NFMA.

Methods: Cognitive function was evaluated using a modified, disease specific version of the FACT-Cog questionnaire, limited to perception of cognitive capacity. Perceived ability to learn and concentrate, distractibility, mental agility, factual and short term memory and …

Factors Related To Daily Life Interference In Lung Cancer Patients: A Cross-Sectional Regression Tree Study, Hsueh-Hsing Pan

International Nursing Research Congress (INRC)

Purpose: To identify the symptom combination patterns and symptom severity levels that induce severe symptom interference in daily life activities, including physical and psychological activity interference in lung cancer patients.

Methods: A cross-sectional descriptive study using convenience sampling, 131 participants were recruited at a medical center in northern Taiwan. The Eastern Cooperative Oncology Group (ECOG) performance status was used to assess performance status, and the Taiwanese version of the M.D. Anderson Symptom Inventory (MDASI-T) was used to assess symptom severity and symptom interference in daily life activities including physical and psychological activities. Regression tree models were applied to examine variable …