Strategies to Assist Patients Exposed to Violence
Transforming Research to a Global Application for Assessment of Women and Children Exposed to Violence
Judith M. McFarlane, DrPH, RN, FAAN; Fuqin Liu, PhD, RN; Nina Fredland, PhD, RN; Anne Koci, PhD, RN, FNP-BC, WHNP; and Lene Symes, PhD, RN
Violence is epidemic, yet applications for screening and triage are rare. This research describes the development and uptake of the First Assessment Screening Tool application.
Knowledge Mobilization of Methods and Findings of Intimate Partner Violence Research in Canada's North
Pertice M. Moffitt, PhD, RN; and Heather Fikowski, MSW, RSW
Research will be presented regarding community response to intimate partner violence and the mobilization of knowledge in Canada's Northwest territories. Service providers describe their experiences as "our hands are tied." Education and awareness are key strategies to assist with removing the barriers to a coordinated and collaborative community response.
Advancing Nursing Education
Integrated Application Process for Nursing Student Clinical Practicum
Nancy S. Goldstein, DNP, MS, RNC-OB, ANP-BC; Diana Lyn Baptiste, DNP, MSN, RN; and Sibyl Snow, MA, BA
Nursing students’ decisions regarding where to complete their education can be difficult. A process to improve communication and the quality of selection through an integrated application was the aim. A strategy was developed with the functionality and technical capabilities to support wide-ranging needs of all clinical practicum options.
Advancing Nursing Education: BSN Completion Messaging Materials for Associate Degree Nursing (ADN) Faculty
Linda E. Moody, DNP, MBA, RNC-OB
The IOM’s Future of Nursing report calls for increasing the proportion of baccalaureate-prepared nurses to 80% by 2020. ADN faculty are frontline mentors in academic progression. The support and messages that faculty provide to ADN students are crucial for students to understand the benefits, opportunities, and importance of BSN completion.
Promoting Mental Health in Vulnerable Populations
Whole-Person Wellness: Integrating Care to Improve Physical Health of Persons With Serious Mental Illness
Kathleen McDermott, DNP, RN, APRN, PMHNP-BC
In this age of healthcare reform, community mental health centers are often looking for ways to effectively and efficiently provide integrated care. This presentation will provide a program evaluation, data analysis, and lessons learned from one community mental health center's efforts to provide integrated care in a resource-strained environment.
Perceptions of Stigma by Parental Caregivers With Mentally Ill Family Members
Linda Carman Copel, PhD, MSN, MSMFT, BSN, RN, PMHCNS, BC, CNE, ANEF, NCC, FAPA
Vulnerable populations, such as people with mental illness or psychiatric disabilities, are at risk for various forms of stigma. Caretakers frequently identify the types of stigma experienced by their family members. This qualitative research presentation will describe the parental perceptions of stigma experienced by their adult children with mental illness.
Promoting Health Through Immunizations
Deployment of Clinical Grant to Enhance Influenza Vaccination Among Spinal-Cord Injury Outpatient Veterans
Huberta-Corazon (Bette) Thiam Cozart, PhD, RN
The latest VHA Influenza Surveillance Data Report cites heightened influenza epidemic in inpatient and outpatient settings, with “nearly one-third” of veterans testing positive for influenza. To increase vaccinations in a vulnerable population with comorbidities, a grant was applied for from the VHA Office of Public Health and Health Equity Program.
Improve Competency With Evidence-Based Immunization Practice Education
Pamela K. Strohfus, DNP, MA, RN, CNE
Evidence-based immunization practice education helps improve knowledge, immunization rates, use of standing orders, and storage and handling processes. Competency in managing immunization practices is necessary to ensure vaccine efficacy and prevent disease. Registered nurses and pediatric practices have proven to be highly competent in managing immunization programs.
Cultural Impact in Nursing Education
Evaluating an Online Global Community of Practice: Student Nurse Experiences of a Cross-Cultural Blogging Activity
Siobhan T. Wragg, MSc, MEd, RN; Nancy A. Edgecombe, PhD, MN, BN, OPN, RN-NP; and Moira Stephens, PhD, MSc, BSc (Hons), CertEd, RN
This presentation reports on the experience of nursing students from an Australian and a Canadian university who took part in the international blog activity that endeavored to enrich their learning by allowing them to share ideas about their culture.
Long-Term Impact of Study Abroad in Undergraduate Nursing Education on RN Nursing Practice
Arlene E. Kent-Wilkinson, PhD, RN, CPMHN(c); Marie Dietrich Leurer, PhD, RN; Janet Luimes, MScN, RN-NP; Linda M. Ferguson, PhD, RN; B. Lee Murray, PhD, RN; Vicki Squires, PhD, MEd, BEd; and Carmen M. Dell, BScN, BA, RN
Study abroad experiences often have a significant impact on the lives of university students, but is this true for nursing students, with regard to their future nursing practice? This study will examine the long-term impact study abroad experiences have on nursing practice from self-reports of registered nurses (RNs) in Canada.
Factors Affecting Oncology Patients
Symptom Clusters and Oxidative Stress in Patients With High-Grade Brain Cancers: A Longitudinal Study
Sanghee Kim, PhD, MCN, RN
This study provided nurses with new insights into the relationship between symptom clusters and oxidative stress in patients with high-grade brain cancers, knowledge that could improve symptom management in patients with brain cancers during concurrent chemoradiotherapy (CCRT).
Skin Toxicity Assessment in Breast Cancer Patients: A Study on Interobserver Variability and Self-Reported Measures
Kristiina Hyrkas, PhD, LicNSc, MNSc, RN; Susan Getz, BSN, RN, OCN; James R. Kavanagh, MSN, RN, ARNP-BC, OCN; Nellie P. Bergeron, BSN, RN, OCN; Julie A. Wildes, RN, OCN; and Ian J. Bristol, MD, ABR
Acute radiodermatitis in breast cancer patients undergoing radiotherapy is common. This study examined variability of skin assessments by clinical staff and patients’ self-report. Variability—upgrading or downgrading—increased over time. Our results demonstrate that assessment criteria may be interpreted subjectively, especially during longitudinal observations when there are more skin reactions.
Global Interprofessional Health Promotion
Global Interprofessional Study Abroad Impact on Nurse Practitioners' and Medical Students' Perceptions About Role Definition
Debra A. Kosko, DNP, RN, FNP-BC; Deborah Chapa, PhD, RN, ACNP-BC, FNAP, FAANP; and Melvin S. Swanson, PhD
Healthcare delivered by well-functioning teams results in improved clinical outcomes, yet health profession students are educated in silos, seldom communicating across disciplines. Global immersion education provides the opportunity for interprofessional skill development while promoting interprofessional clinical practice globally.
Step Into Wellness: A Nurse Practitioner-Directed Interprofessional Intervention for Underserved Populations
Patricia A. Rouen, PhD, FNP-BC; and Janet M. Baiardi, PhD, FNP-BC
This presentation describes a nurse practitioner-directed interprofessional intervention to improve health outcomes in an underserved population. Culturally relevant strategies included group nutrition education, gentle yoga, a pedometer-guided walking program, and weekly spiritual and motivational text messages. Results demonstrated improved nutrition knowledge, more steps walked, and high levels of patient satisfaction.
Planning an Efficacy Study of a Web-Based Yoga Intervention Based on Feasibility Findings
Jane M. Flanagan, PhD, RN, ANP-BC, AHN-BC
This presentation will describe the development and feasibility testing of an Internet-based yoga video created by an interdisciplinary team of breast oncology providers. Emphasis will be on the findings and how they have informed the efficacy trial.
Herbal Supplements: Safety and Research Support
Rosanne H. Pruitt, PhD, APRN, FNP-BC; Ashley Lemanski; and Adam Carroll
Herb usage is extensive worldwide, often without knowledge of the research supporting herbs' effectiveness and side effects. This project filled a gap, providing evidence to inform practice by evaluating the quality of the research supporting commonly used herbs and translating the information into an easily accessible format for healthcare providers.
Improving Baccalaureate Nursing Program Care Models
Teaching Quality Improvement to Baccalaureate Nursing Students: Strategies That Work!
Laurie Bladen, PhD, MBA/HCM, RN
Quality improvement teaching strategies should be part of a global nursing curriculum to help students develop solutions to nursing practice concerns. This presentation will provide information on teaching strategies that enable faculty to teach quality improvement in a baccalaureate program. Challenges to teaching quality improvement will be discussed.
The Transformation of Knowledge and Practice as Undergraduate Baccalaureate Nursing Students Actualize Caring
Donald N. Rose, PhD, MN, BScN, RN; Claire Mallette, PhD, MScN, BScN, RN; and Karen Poole, MEd, MA (Nsg), RN
This presentation will explore multiple perspectives on the topic of caring pedagogy: formal curricular content, the influence of students’ relationships with others in the academic and practice environments, student and alumni self-awareness, and the healthcare system’s effect on students’ development. Implications for transforming curricula and nursing practice will be discussed.
Interprofessional Education Collaborations
Nursing and Physical Therapy Students Learning and Collaborating Together
Mary Francis, PhD, RN, NP-BC; Robert Wellmon, PhD, PT, DPT, NCS; Kristin Lefebvre, PhD, PT, CCS; and Ellen Erdman, DPT, PT, HPCS
Nursing and physical therapy must work closely together to improve patient's mobility. This educational activity describes a lab in which nursing and physical therapy students collaborated on mobility. Following the mobility lab, all students were surveyed and participated in a debriefing to ask about their perception of the collaboration activity.
Interprofessional Education and Team-Based Learning in a Research Methods Course
Vicki Schug, PhD, RN, CNE
This presentation describes team-based pedagogical strategies implemented in a hybrid, four-credit interprofessional research methods course with students from a variety of disciplines. Concussion in football players as an evidence-based practice focus brought research of interest to the various student groups. Student learning outcomes relative to interprofessional competencies will be discussed.
Stress and Burnout in the Nursing Profession
The Impact of Burnout on Doctorate Nursing Faculty’s Intent to Leave Their Academic Position
Elizabeth Florez, PhD, RN; Young-Me Lee, PhD, RN; Nadia Spawn, MS, RN; and Jessica Bishop-Royse, PhD
A national study in the United States was conducted to examine factors related to the nursing faculty shortage. The findings from this study found that PhD-prepared nursing faculty experienced more emotional exhaustion compared to the DNP-prepared faculty, a significant factor influencing decisions to leave nursing academia.
Nurses' Stress and Coping: In the Midst of Work and Back to School
Joyce A. Brill, PhD, RN, CPNP; Paulette Dorney, PhD, RN; and Robert T. Brill, PhD
This study explored self-reported levels of workplace stress and frequency of coping methods used by a sample of 51 employed nurses also enrolled in a degree program. Open-ended survey questions also investigated incentives, barriers, and supports related to their decision to return to school.
Pediatric Pain Management
Frontline Nurse-Initiated Interventional Research: Use of Distraction vs. Oral Midazolam in Reducing Pediatric Perioperative Anxiety
Barbara Stewart, MSN, RN, CPN; Rebecca Severnak, ADN, RN; and Terri Pearcy, BSN, RN, CPN
Conducted by frontline nurses, the purpose was to investigate the effects of interactive distraction versus oral midazolam on preoperative anxiety during parental separation and mask induction in children ages 4 to 12 years old undergoing outpatient surgery. The study's protocol, results, and implications to nursing practice will be detailed.
Untreated Procedural Pain Increases Urine Markers of Adenosine Triphosphate (ATP) Utilization in Preterm Neonates
Danilyn Mag-akat Angeles, PhD, RN; and Danilo Boskovic, PhD
Untreated procedural pain in premature neonates increases energy utilization, as evidenced by an increase in urine markers of adenosine triphosphate degradation (hypoxanthine, xanthine, uric acid) and oxidative stress (allantoin).
Care of Minority Populations
Beliefs, Attitudes, and Perceptions of Spirituality: A Case Study of Homeless Women in Nevada
Jene' M. Hurlbut, PhD, RN, CNE; and Marcia M. Ditmyer, PhD, MBA, MS, MCHES
Rates of homelessness remain high, with a significant portion being women. Research suggests that spirituality may help mitigate the negative effects of homelessness. The purpose of this qualitative case study was to assess the beliefs, attitudes, and perceptions of spirituality associated with the lived experiences of sheltered homeless women.
Clinicians and Bicultural Workers' Views on Coassessment to Improve Mental Health Assessments in Multicultural Clients
Saras Henderson, PhD, MEd, RN, FRCN
Clinicians' and bicultural workers' views on the benefits and challenges in using coassessment, whereby clinicians and bicultural workers jointly assess multicultural patients/clients, will be is presented.
Diabetic Outcomes in Vulnerable Populations
Nurse-Led Diabetic Retinopathy Screening: A Revolutionary Approach to Vision Care for Canadian Aboriginal Peoples
Shelley Spurr, PhD, MBA, BSN, RN; Jill Bally, PhD, RN; and Carol Bullin, PhD, RN
Diabetic retinopathy is the most common cause of new cases of blindness and is a significant health concern among Aboriginal people across the world. To reduce health inequities, accessible vision screening among this high-risk population is essential.
Effects of Nursing Case Management on Outcomes of Monks at Risk for Type 2 Diabetes
Apichart Chaimai, MNS, RN; and Noppawan Piaseu, PhD, RN, APN/NP
Buddhist monks are considered the population's most at risk of diabetes mellitus due to their activities and the 227 precepts they have to adhere to. Nursing case management significantly improved health behaviors, fasting blood glucose levels, body mass indexes, and waist circumferences of monks at risk for type 2 diabetes.
Quality of Life in Cardiac Patients
Comparisons of Cardiometabolic Risk Between African American and Caucasian Women in a Worksite Wellness Program
Barbara Ann Graves, PhD, RN; and Susan J. Appel, PhD, RN, APRN-BC, CCRN, FAHA
This presentation will describe results of a cross-sectional study designed to examine racial differences in cardiometabolic risk or the interplay of risk for diabetes leading to heart disease among women participating in a university worksite wellness program.
Cardiac Rehabilitation Improves Health-Related Quality of Life for Patients With Atrial Fibrillation: A Pilot Study
Lynn C. Macken, PhD, RN; Charles Morrison Carpenter, MD, FACC; Caitlin R. Coppenrath, MS, RCEP; Gail Alison Crocker, BS, RN; Karen Kurkjian, MD, FACC; Aimee Chapman, BS, RN, CHFN; and Kristiina Hyrkas, PhD, LicNSc, MNSc, RN
Patients with atrial fibrillation frequently experience recurrent symptoms and poor quality of life despite medical treatment. This pilot study examined the trajectory of symptoms and health-related quality-of-life outcomes in patients who participated in a 12-week, community-based cardiac rehabilitation program or received usual care.
Adolescent Sexual Health
Understanding the Intersection of Adolescent Girls' Motives for Sex and Risk Profiles
Dianne Morrison-Beedy, PhD, MSN, BSN, RN, WHNP-BC, FNAP, FAANP, FAAN; Linsey Grove, MPH, CPH, CHES; Ming Ji, PhD; and Elizabeth Baker, PhD, MPH, CPH
Learn about different motivations for sex and their intersection with various risk profiles in girls enrolled in an evidence-based human immunodeficiency virus- (HIV-), sexually transmitted infection- (STI-), and pregnancy-prevention intervention. The session will help participants understand how this information can tailor future interventions for adolescent girls.
Using Youth-Participatory Research to Address Health Disparities in Sexually Transmitted Infections Among Homeless Youth
Michelle Dang, PhD, RN, APHN-BC
Despite known risk factors, effective interventions for sexually transmitted infection (STI) prevention and treatment for homeless youth remain elusive. This project used a youth-participatory approach to determine the most effective methods in STI research with homeless youth as well as identify characteristics that will inform programs in developing culturally-specific interventions.
Advancing the Nurse Practitioner
The Nurse Practitioner Clinical Ladder Program: A Journey to Professional Nursing Excellence
Lisa M. Paplanus, DNP, ACNP-BC, ANP-BC, CCRN, RN-C; Patricia Bartley-Daniele, PhD, FNP-BC, CCRN, CNRN, CPAN, CAPA; and Patricia D. Chibbaro, MSN, CPNP
The organizational Nurse Practitioner Clinical Ladder (NPCL) Program in a university-affiliated medical center in the United States will be described, including its inception, implementation, and evaluation. The program's structure, process, outcomes, and future clinical practice implications will also be included.
The Nurse Practitioner (NP) Mentorship Program: Supporting Role Transition Into Practice
Patricia Bartley-Daniele, PhD, FNP-BC, CCRN, CNRN, CPAN, CAPA; Tracy Lynne McTiernan, MA, CPNP; and Camille LaPera, MA, ACNP-BC
The NP Mentorship Program was developed in an academic medical center in the United States. Benner's (2000) Novice to Expert nursing model and Donabedian's (2005) structure and process framework guided its development. The program outcomes identified multiple mentoring strategies to promote NP transition into practice. Future research will be discussed.