• Low scores on Assessment Technologies Institute (ATI) Leadership exams particularly in the areas of teamwork and collaboration (specifically in conflict management) • Low scores on clinical reason/critical thinking in nursing questions on ATI exams • Debriefing of students regarding exam question revealed 82% of the students chose either avoidance or “passing the buck” options when dealing with conflict, especially with providers
Summary: This mixed method study examined lung cancer stigma, depressive symptoms, and global health among African American lung cancer survivors. The Cataldo Lung Cancer Stigma Scale was evaluated for readability and convergent validity and was found to be an effective instrument to evaluate stigma among this sample of cancer survivors.
Summary: Internationally, Trinidad and Tobago ranked among the countries with the most prevalent number of cases of diabetes a chronic and potentially life-threatening disease. While effective self-management is fundamental to achieve optimum control of blood sugar only few individuals engaged in the recommended levels of diabetes self-management practices Content Outline: The incidence of diabetes has increased worldwide over the past 25 years, with Trinidad and Tobago ranking among the countries with the most prevalent and fastest-growing number of cases of this chronic and potentially life-threatening disease. While effective self-management is fundamental to achieve optimum control of blood sugar and reduce the risk of complications related to diabetes, only few individuals with diabetes engage in the recommended levels of diabetes self-management practices Results: Majority of the study participants were females (67.7%), within the 46–55 years age group, 60% of patients were from low socio-economic status, and 58% had primary and secondary level of education. A paired sample t-test was conducted to evaluate the impact of the intervention of subject’s scores on meal and prescribed medication reported a statistically significant difference in scores from the pre-test (M = 2.48,) to posttest scores (M =1.52), and eta squared statistics (0.55). The Eta squared statistics (0.97) scores obtained before and after the intervention for inspection of feet, what is inspected on the feet (0.17), frequency of inspection of the feet had an Eta squared statistics (0.49) score for all indicated a large effect size with a substantial difference in participants scores obtained before and after the intervention following the health exhibition
Summary: This presentation introduced women’s decision making for vaginal birth after cesarean (VBAC). The review of literature provides data that highlights the importance of allowing women to verbalize their preference of delivery. Nurses provide knowledge and support for pregnant women about birthing preferences and advocate for their autonomous decision. Content Outline:
Summary: This study was to explore the effects of 'design thinking for optimizing clients’ outcomes-workshop as a pilot educational program for nursing students. Students developed 3 prototypes on fall prevention in a clinical setting. Content Outline:
Summary: The Coping with Labor Toolkit was created to assist intrapartum nurses in applying the Coping with Labor Algorithm. Participants will receive an overview of the Coping with Labor Toolkit and other information about various methods of providing labor support within their practice setting.
Summary: Hypertension (HTN) and disturbed sleep are prevalent problems among on-duty firefighters, and lifestyle modifications are difficult for firefighters to sustain. Our pilot data suggest the intervention using environmental modifications improves sleep quality and reduces HTN prevalence and may be a sustainable intervention for firefighters to maintain. Content Outline: Introduction 1. Disturbed sleep and hypertension are prevalent problems among on-duty firefighters, and the two may be linked. 2. An intervention using environmental modifications to improve sleep quality may also reduce the prevalence of hypertension. Body Main Point #1 An intervention which eliminates unnecessary alarms, optimizes room temperature, and reduces light for 6 weeks in the bunkroom of a firehouse improves sleep quality among on-duty firefighters. 1. Supporting point #1 Self-reported sleep quality significantly improved after 6 weeks of the intervention (p=0.007). 2. Supporting point #2 On-duty firefighters fell asleep, on average, 5 minutes sooner after 6 weeks of the intervention (18.2± 14.9 minutes vs 13.3 ± 8.2 minutes; p>0.05). 3. Supporting point #3 The mean amount of time a firefighter was out of bed during their sleep window fell from 22.94± 39.6 minutes to 7.37± 20.1 minutes after 6 weeks of the intervention (p=0.01). 4. Supporting point #4 The prevalence of disturbed sleep as determined by wrist actigraph fell from 60% to 41% after 6 weeks of the intervention (p>0.05). Main Point #2 An intervention which improves sleep quality in the bunkroom of a firehouse is associated with a reduction in the prevalence of hypertension among on-duty firefighters. 1. Supporting point #1 The prevalence of hypertension dropped from 37% to 11% after 6 weeks of the intervention (p<0.05). Main Point #3 On-duty firefighters report satisfaction and willingness to adopt this intervention which uses environmental modifications. 1. Supporting point #1 Firefighters self-reported satisfaction with the intervention and a willingness to adopt the intervention after this pilot study.
Over six million violent victimizations occur in the United States each year. Forensic nurses provide care to patients following non-accidental trauma, including child and elder abuse, sexual assault, and intimate partner violence. Bruising is one of the most common types of injury resulting from violence and are caused by blunt, compressive, or squeezing force mechanisms which produce extravasation of blood from damaged blood vessels and localized inflammation. However, bruises are sometimes difficult to visualize due to age of the bruise, amount of extravasated blood, depth, and victim’s age, body mass, and skin color. The escaped blood may or may not be visible or barely visible to the naked eye under normal (ambient/white) room lighting in some skin colors. This may result in health care treatment disparities and decreased investigation and prosecution of violent crimes. To note for significance and research implications, recent studies have determined that non-Hispanic Black and Native American/Alaska Native women reported higher prevalence rates of lifetime interpersonal violence, compared to Hispanic and non-Hispanic White women.
Summary: During a Nurse Externship Program, student nurses begin to learn nursing practice standards, adopt new languages, and develop new decision making skills. Therefore, it is crucial that organizations have standards of practice that cultivate positive work environments and promote professional behaviors. Content Outline:
Summary: Use of technology at the bedside is having an impact on nurse-patient interactions and patient satisfaction. A skill-based approach developed with effective communication as a driving force, may be a practical tool for health care facilities to implement to improve patient satisfaction and optimize patient outcomes. Content Outline: Impact of Technology on Nurse-Patient Interactions: A Skill-Based Method for Improvement I. Local problem A. Finding balance between the demands of technology and caring B. Local community hospital 1. HCAHPS scores below desired level in ‘Communication with Nurses’ 2. Patient reports of perceptions of nurses using computers at the bedside as inattentive, distracted, and uncaring C. Effective communication skills 1. Essential in high quality patient care 2. Technology at the bedside can be a barrier II. Project purpose A. Caring with Tech: A skill-based method 1. To optimize nurse-patient interactions while technology is used at the bedside III. Methodology A. One hour educational sessions B. Target staff included registered nurses and multi-skilled technicians on an orthopedic unit C. Pretest/Posttest design for statistical analysis D. Caring with Tech logo badge to be awarded to attendees IV. Results A. Seven one-hour sessions held with 33 nurses and 5 techs in attendance B. Preand post-test analysis statistically significant for learning B. Staff awareness and knowledge of problem increased C. Caring with Tech provided skill-based approach to assist staff to optimize nurse-patient interactions D. Hospital adopted portions of program for use during computer training classes V. Implications for practice A. Increased knowledge and mindfulness of impact that technology has on nurse-patient
Summary: Delphi technique was used to determine registered nurses' perceptions of future research and evidencebased practice priorities in a multi-site healthcare system. The results provide a roadmap to guide the integration of clinical inquiry, serve as a nexus for collegial engagement, and delineate a framework for healthcare delivery across the globe. Content Outline: 1) Describe key steps in conducting a Delphi study a) Qualitative versus quantitative techniques b) Participant characteristics and recruitment 2) Identify the study methods a) Three rounds required for consensus to be achieved 3) Delineate study findings a) Sociodemographic attributes b) Brief overview of three rounds of data collection c) Link between study results and the 7 themes denoted in the Strategic Vision First Primary Presenting Author Primary Presenting Author Mary Laly Chacko, DNP, RN-BC, NPD-BC, CRSCST, ACE Harris Health System Executive Nursing Practice Group Nursing Instructor Houston TX USA Professional Experience: Dr. Chacko has 25 years of experience as a nursing instructor responsible for planning, developing and implementing educational programs. She has taught licensed and unlicensed nursing orientation, facilitated a program for the perioperative nurses, developed and implemented the online competency program, and provided system-wide competency programs for licensed and unlicensed staff. She has also coordinated LVN workshops, and Trauma, HIV, Laser workshop, & Oncology certification review classes. She was the primary Nurse Planner for the Texas Nurses Association-approved provider unit for 14 years and received commendations three times from TNA. She had presented three posters at the National Nursing Staff Development Organization (NNSDO currently known as ANPD) and INSPIRE Nursing Symposium regional conference. Author Summary: Dr. Chacko is a certified nursing professional development practitioner, working as a nursing instructor, and responsible for facilitating and teaching onboarding licensed nursing orientation program in collaboration with other departments. She is also responsible for coordinating new equipment/product in-services for the organization. She is a member of different professional organizations, such as Association for Nursing Professional Development (ANPD), International Association of Healthcare Central Service Material Management (IAHCSMM), and Oncology Nursing Society (ONS). Second Author Deven Barriault, MSN, RN-BC Harris Health System Executive Nursing Practice Group Coordinator, Nurse Residency Program & Nursing Instructor Houston TX USA Professional Experience: Nursing Instructor, Executive Nurse Practice Group/Education Responsibilities include leading assigned system level educational programs or initiatives, working with nursing education teams to assess, develop, implement, and evaluate educational programs at the system level, supporting nursing education at the department/specialty level. Also participates as a nursing leader within the system. Primary Nurse Planner for Continuing Nursing Education. Coordinator for the New Graduate Nurse Transition to Practice Program Adjunct Clinical Instructor (SON) University of Texas Medical Branch Author Summary: Master’s prepared, certified nurse in professional development with 29 years of experience in nursing who currently works with new graduate nurses in transition to practice and is the primary nurse planner for continuing nursing education for over 2000 nurses in the public health system for Harris County residents.
Summary: From 25 to 40 years, millennials are the largest workforce in the world. Nursing cannot afford to continue to educate and to lead in the same way we always have. This presentation provides a number of innovative ways to prevent frustration and connect baby boomer faculty and leaders with millennials. Content Outline:
Summary: A survey on nurse work life was conducted with licensed practical nurses (LPNs) in Alberta, Canada. Close to 16,000 LPNs were invited to participate. Practice environment, burnout, resilience, intention to stay, and nurse health were examined. This comprehensive dataset is unlike any previously collected on this nursing group in Alberta.
