Developing Nurse Leaders
Clinical Nurses and Executive Leaders Collaborating at the Bedside to Eliminate Hospital-Acquired Pressure Injuries
Patrice Duhon, MSN, RN; and Barbara J. Mayer, PhD, RN, CNS
Bedside staff and executive leaders took a collaborative approach through shared decision-making to eliminate hospital-acquired pressure injuries while inspiring self-motivation, accountability, employee engagement, and improved outcomes.
Developing Future Nurse Leaders Through Shared Governance
Janette Moreno, DNP, RN, CCRN-K, NEA-BC; Anita S. Girard, DNP, RN, CNL, CCRN, CPHQ, NEA-BC; and Wendy Foad, MS, BSN, RN, NEA-BC
This session will discuss how a large academic medical center in the U.S. integrated an evidence-based succession planning framework into an existing shared governance. The program resulted in the internal promotion of 20% of the council members to formal leadership positions. The program is replicable in other organizations.
Nurses at the Forefront of Integration
Jill Case-Wirth, MHA, BSN, RN; and Elizabeth Spiva, PhD, MSN, BSN, RN
Nurses played a pivotal role in the integration work at a healthcare system. Highlights of extraordinary teamwork, dedication, communication, and countless hours to plan for a smooth and effective transition were evident in the outcomes produced.
Experiences of Pregnant Women
Improving Care of High-Risk Obstetrics Patients By Creating an Evidence-Based Nurse-Driven Process
Holly A. Barbella, MSN, MBA, RN; Grant C. Walter, BS, BS; and Ann F. McFadden, BSN, RN
An EBP project revealed that 17-P (progesterone medication) reduces rates of recurrent preterm birth. Patients should start administration between 16-20 weeks' gestation. Literature findings led to a nurse-driven process that identified eligible patients at their initial prenatal visits. Study findings showed a decrease in gestational age at the initial administration.
Differences Between Chinese and American Women and Their Experience of Stress Urinary Incontinence in Pregnancy
Jinguo Helen Zhai, MSN, RN, RM; Lynda A. Tyer-Viola, PhD, RNC, FAAN; and Joseph Hagan, PhD
The experience of stress urinary incontinence in pregnancy may be affected by one’s culture and healthcare delivery system. This study explored differences in this condition between Chinese and American women. Results indicated a need for surveillance during pregnancy to avert physical and emotional disability later in life.
Experiences of Women With Physical Disabilities Related to Pregnancy
Suzanne C. Smeltzer, EdD, MS, RN, ANEF, FAAN; Monika Mitra, PhD, MA; Lisa I. Iezzoni, MD, MSc; Linda Long-Bellil, PhD, JD; and Lauren D. Smith, MPH, BS
Women with physical disabilities who gave birth described their pregnancy experiences. Analysis of interview transcripts revealed clinicians: (1) lack knowledge about perinatal needs of women with physical disabilities, (2) discount women’s knowledge and experience about their own disabilities, and (3) lack awareness of reproductive concerns of women with physical disabilities.
Promoting Evidence-Based Practice
A Systematic Review of the Factors Influencing Healthcare Managers’ Engagement in Evidence-Informed Practice
Pamela E. Baxter, PhD, RN; Sarah J. Hewko, MHA, RD; Kaitlyn C. Tate, BScN, RN; Patrick B. McLane, PhD, MA; Carly A. Whitmore, BScN, RN, CPMHN(c); and Greta G. Cummings, PhD, RN, FCAHS, FAAN
By exploring findings from an international systematic review of the literature, participants will gain an understanding of the factors that influence healthcare managers’ evidence-based management practices. In addition, participants will come away with knowledge of how to promote/support healthcare managers' evidence-based practice in their own organizations.
Influence of Nurse Social Networks on Evidence-Based Practice (EBP): Results of an Exploratory Study
Nan M. Solomons, PhD, MS; Judith A. Spross, PhD, RN, FAAN; and Gerri Lamb, PhD, RN, FAAN
The EBP literature suggests that nurses are more likely to turn to each other for answers to clinical questions. This study suggested that understanding nurses’ relationships with each other and their social networks may lead to more effective strategies for improving the uptake of evidence in clinical practice.
Driving Evidence-Based Practice Through Remote and/or Mobile Applications
Kim Tharp-Barrie, DNP, RN, SANE; and Tracy Williams, DNP, RN
The pilot study investigated the efficacy of a mobile application with remote patient management designed to facilitate critical thinking and clinical reasoning at the point of care. A description of the study’s parameters and results of how certain bedside applications can enhance the bedside effectiveness of nurses will be shared.
Quality Improvement Outcomes
Implementation and Sustainabiliy of Quality Improvement (QI) in Home and Community-Based Service (HCBS) Settings
Kathleen Abrahamson, PhD, RN; Heather Davila, MPA; Christine Mueller, PhD, RN, FAAN; and Greg Arling, PhD
Expansion of HCBS and efforts to integrate health and social services have sparked interest in improving the quality of community-based services. This study explored HCBS providers' perspectives of organizational readiness for QI early in the implementation phase and 6-months after project completion to gather perceptions of its impact and sustainability.
The Influence of Multimorbidity on Rehabilitation Outcomes in Stroke and Amputation
Bianca Ivonne Buijck, PhD, MScN, RN
Multimorbidity is highly prevalent in older patients who rehabilitate in skilled nursing facilities (SNFs). In these SNFs, nurses have an important role in the rehabilitation process of patients. In this session we provide knowledge about the influence of multimorbidity on rehabilitation outcomes in stroke and LLA.
A Description of Work Processes Used By Clinical Nurse Specialists (CNS) to Improve Patient Outcomes
Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FAAN; Ann M. Mayo, DNSc, RN, CNS, FAAN; Jane A. Walker, PhD, RN; and Linda Urden, DNSc, RN, CNS, NEBC, FAAN
This study identified processes used by CNs working in different settings to improve clinical outcomes. Findings demonstrated that CNS practice is situational and contextual; processes used to gain trust, solve problems, and communicate with other disciplines, when done well, are highly effective and often invisible.
Provider Perceptions of the HIV Patient
Perspectives of People Living With HIV Toward Healthcare Providers: Insights Into Multicultural Health Literacy
Ellen R. Long-Middleton, PhD, RN, FNP, FNAP; Patrice Kenneally Nicholas, DNSc, MPH, RN, ANP, FAAN; Inge B. Corless, PhD, RN, FAAN; Carmen J. Portillo, PhD, RN, FAAN; Allison R. Webel, PhD, RN; Marta Rivero-Mendez, DNS, RN, GCG; William L. Holzemer, PhD, RN, FAAN; Keitshokile Dintle Mogobe, PhD, RN, RM; Jeanne Kemppainen, PhD, RN, CNS; Kathleen M. Nokes, PhD, RN, FAAN; Yvette Cuca, PhD, MPH, MIA, CPH; Paula Reid, PhD, RN, WHNP-BC; Lucille Sanzero Eller, PhD, RN; Dean Wantland, MSN, MS, RN; Motshedisi B. Sabone, PhD, RN; Solymar Solis-Baez, BA; C. Ann Gakumo, PhD, RN; Rachel Fortinsky; and Carol Dawson-Rose, PhD, RN, FAAN
Relationship quality between a multicultural group of people living with HIV and healthcare providers was central to this sample in facilitating and enhancing health literacy.
Barriers and Facilitators of Couples’ HIV Testing and Counseling: Providers’ Perceptions From an HIV Epicenter
Natalie M. Leblanc, PhD, MPH, RN
This presentation will describe and synthesize findings from a study among U.S. healthcare providers (N=22) on the perceived barriers to and facilitators of couples HIV testing and counseling (CHTC) in a U.S.-based clinical setting. Providers will offer their perspectives and recommendations for implementation.
Quality of Care at Primary Healthcare Facilities: Perceptions of Tuberculosis and HIV Co-Infected Patients
Deliwe Rene Phetlhu, PhD, MHS, BA, RN, RM; Siphokazi Mngcozelo, BCur, RN, RM; Million Bimerew, PhD, MN, BN, RN; and Joliana Selma Phillips, PhD, MSc
Providing quality health services is of utmost importance in improving South Africa’s poor health outcomes in addition to restoring patient and staff confidence in the healthcare system. Therefore, understanding how the clients perceive the services they receive is critical for nurses’ planning, organizing, and implementing nursing processes.
SYMPOSIUM: Building Evidence-Based Practice in a Complex System: The Visionary Approach in the U.S. Air Force
Building a Program to Bring Evidence-Based Practice to the U.S. Air Force Nursing Enterprise
Lynn Gallagher-Ford, PhD, RN, DFPNAP, NE-BC
This session will highlight the innovative work to create a successful EBP education and follow-up program to deliver improved care and significant outcomes in the United States Air Force(USAF)Nurse Corps. Details of development and delivery of an EBP education program for this complex, global enterprise are highlighted.
Implementation of Programs and Infrastructures to Sustain Evidence-Based Decision-Making and Practice
Penelope F. Gorsuch, DNP, RN, ACNP-BC, CCNS, CCRN-K, NEA-BC
The collaboration and synergy between The Center for Transdisciplinary Evidence-based Practice (CTEP) and the United States Air Force nursing enterprise facilitated the development of strategies set forth from the Institute of Medicine(2001;Crossing the Quality Chasm. Three successful collaborative programs will be highlighted; EBP education, EBP Mentor teams,structured EBP councils.
Outcomes of an Evidence-Based Practice Transformation Across the USAF Nursing Enterprise
Dorothy A. Hogg, MSN, MPA, WHNP-BC
A new paradigm in healthcare is required that includes research,evidence-based practice and quality improvement to create, translate, and implement best practices to achieve high-quality, cost-effective outcomes.The USAF nursing enterprise has initiated a plan to meet this goal by establishing a Clinical Inquiry concept utilizing Nurse Scientists, EBP experts, and others.
Using Simulation in Nursing Education
Hands Off: Student Experiences in Objective Data Collection in Virtual Clinical Simulation
A. J. Kleinheksel, PhD, CHSE; Francisco Jimenez, PhD, MA; and Aaron Kotranza, PhD
Virtual patient simulation is a valuable tool for clinical curricula, but the inability to engage in physical contact may limit its application. This session will describe a novel virtual patient simulation for evaluating physical assessment and present the results of a mixed-methods study of pre- and postlicensure baccalaureate student experiences.
The Impact of Clinical Simulation on Beginning Nursing Students’ Self-Efficacy and Learning
Lucy R. Van Otterloo, PhD, RNC, CNS; and Cathleen Deckers, EdD, RN, CHSE
This educational activity will provide information on the effectiveness of two educational delivery methods for the clinical setting, traditional lecture and high-fidelity human simulation, on beginning-level nursing students' self-efficacy. Utilizing simulated experiences assists in enhancing undergraduate students' learning outcomes and their ability to provide safe and accurate care.
Validating Targeted Behavioral Markers for Baccalaureate Nursing Student Teamwork Performance Outcomes in Simulation
LeAnn Chisholm, PhD, RN; Rose A. Harding, MSN, RN; Keili L. Peterman, MSN, MBA, RN, NEA-BC; Mary E. Ford, MSN, RN; Lisa Donnelly, MSN, RN; Theresa A. Rhodes, MSN, RN, CPN; Kelli M. White, MSN, RN-BC; and Kacie S. Calloway, BSN, RN
Simulation is an evidence-based approach to teaching essential teamwork competencies; however, evaluating teamwork performance is a challenge. This study provided psychometric data for TeamSTEPP® Teamwork evaluation instruments and a discussion of inter-rater reliability concerns, including implications for future studies using teamwork observational instruments.
Using Photovoice in Healthcare
Finding Meanings: Using Photovoice to Explore Smoking in Rural Low-Income Women
Star Mitchell, PhD, RN, CCRN
Using a relativist approach to photovoice, this study explored the meaning of smoking from the perspective of rural low-income women and its effect on their relationship to social identity, sociocultural factors, and smoking behavior.
Photovoice Empowerment Activity: Engaging High-Risk Youth in Civic Engagement and a Leadership Program
Ainat Koren, PhD, RN
Photovoice is a community-based participatory research methodology that has been successful in giving marginalized populations leadership roles in assessing their environments and advocating for positive changes. This presentation will share results from an exploratory qualitative study to examine the impact of photovoice combined with civic engagement and leadership program participation.
Curling and Rural Women’s Health in Canada: A National Photovoice Study
Beverly D. Leipert, PhD, MSN, BSN, BA, RN; Lynn Scruby, PhD, MS, BN, RN; Heather Mair, PhD; and Robyn Plunkett, PhD, MScN, BScN, BSc, RN
This national photovoice research significantly enhanced understanding of how gender and recreation intersect to influence rural women's health, social capital, rural community change, and community development and sustainability. It revealed important substantive and methodological information relevant to policies and practices for effective research about and promotion of rural women's health.