The Honor Society of Nursing, Sigma Theta Tau International


Concurrent Sessions D

10:45 a.m.-Noon (1045-1200)

Select each session below to view the individual presentations.

Session: D 01

SYMPOSIUM: A Collaborative Curricular Response to Rehabilitative Challenges in a Global Setting

Development of a Collaborative Relationship With a Baccalaureate Nursing Program in a Developing Country
Barbara A. Ihrke, PhD, RN
This symposium describes a novel, replicable approach to rehabilitative challenges in a developing country. A collaborative relationship developed between two schools of nursing located in the US and Haiti to improve clinical outcomes. Physical therapists provided expertise to integrate rehabilitative practices across the baccalaureate nursing curriculum.

Adapting Rehabilitative Activities to Improve Clinical Outcomes in a Limited Resource Setting
Connie J. Crump, DPT, PT
This symposium describes a novel, replicable approach to rehabilitative challenges in a developing country. A collaborative relationship developed between two schools of nursing located in the US and Haiti to improve clinical outcomes. Physical therapists provided expertise to integrate rehabilitative practices across the baccalaureate nursing curriculum.

The Integration of Rehabilitative Practices in a Baccalaureate Nursing Curriculum in Haiti
Janice L. Cotrone, DNP, RN
This symposium describes a novel, replicable approach to rehabilitative challenges in a developing country. A collaborative relationship developed between two schools of nursing located in the US and Haiti to improve clinical outcomes. Physical therapists provided expertise to integrate rehabilitative practices across the baccalaureate nursing curriculum.

Session: D 02

SYMPOSIUM: The Doctor of Nursing Practice: Reflections on the Past and the Vision for the Future

The Doctor of Nursing Practice: Reflections on the Past and Visions for the Future
Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FAANP, FNAP, FAAN
The Doctor of Nursing Practice (DNP) is a practice-focused doctorate to prepare nurse leaders to be experts in knowledge translation and evidence-based practice. Nursing faculty members must be clear about differentiating evidence-based practice and research as they plan and execute DNP curriculum.

Integrating the Doctor of Nursing Practice in Practice Settings: Implications for Clinical Outcomes and Scholarship
Mary G. Nash, PhD, MSN, MBA, BSN, RN, FAAN, FACHE; and Esther M. Chipps, PhD, MS, BSN, NEA-BC
Our academic medical center has experienced a rapid increase in the number of DNP prepared staff. We examined the best practices and strategies to determine what outcomes were potentially impacted and what difference moving to a more doctorally prepared staff had on the practice environment.

Improving Care Coordination: Impact of a Doctorate of Nursing Practice Prepared Clinical Nurse Specialist
Deborah Francis, DNP, RN, MS, ACNS-BC
Utilizing The Essentials of Doctoral Education for Advance Nursing Practice (AACN, 2006), as the guiding framework, a doctorate of nursing practice prepared clinical nurse specialist lead a organizational transform to develop a new practice role to improve clinical outcomes.

Session: D 03

SYMPOSIUM: Developing Resilience Through Mentorship in a Nurse Anesthesia Program

Certified Registered Nurse Anesthetists: A Look Back
Thomas J. Pallaria, DNP, APN, CRNA
The participants will learn and understand the history and role of Certified Registered Nurse Anesthetist (CRNA) in the United States. Participants will learn about the preparation necessary to apply to become a student registered nurse anesthetist (SRNA) and understand the training needed to become a nurse anesthetist.

Developing Resilience Through Mentoring
Gloria Chan, BSN, RN, CCRN, PCCN
The participants will learn about the role of stress in nurse anesthesia students and potential mechanisms, both positive and negative, that individuals develop to handle stress. Participants will be able to understand what resilience is and how it is a positive mechanisms to handle stress.

Mentoring in a Nurse Anesthesia Program
Michael McLaughlin, MSN, APN, CRNA
The participants will learn and understand the benefits of a mentoring relationship for nurse anesthesia students. Participants will learn about the creation and implementation of a student-drive formal mentorship program in the Rutgers, The State University of New Jersey Nurse Anesthesia program.

Session: D 04

SYMPOSIUM: Career Transitions: Capitalizing on Your Leadership Competencies

The Phases of Leadership and Your Leadership Brand
Beth A. Brooks, PhD, RN, FACHE
Traditional leadership roles are continuously being redefined, which means that new possibilities are being created and new opportunities are emerging. For nurse leaders, this transformational new reality is opening doors beyond the traditional hospital and health care system roles.

Moving Up the Leadership Ladder: Using a Career Coach
Paul T. Skiem, MBA, LCS
Nurses have learned a great deal through their educational and clinical experiences and that knowledge has served them well. Working with a career coach can assist nurse leaders in the process of “repackaging” their expertise, experience and competencies for a desired role that is outside their comfort zone.

The Ultimate Leadership Suite: The Corner Office
Therese A. Fitzpatrick, PhD, RN, FAAN
There is a quiet revolution underway as the initials “RN” are appearing on corner office doors. Smart, bold, and exceedingly talented nurses are blazing trails into domains once considered unheard of for nurses. There are valuable lessons, successes and failures, to be learned from the storied careers of these leaders.

Session: D 06

SYMPOSIUM: Strategies for Educating Nursing Students to Address Social Justice and the Social Determinants of Health

Culturally Sensitive Teaching Strategies to Improve Health for Refugees in San Antonio, Texas
Rebekah J. Salt, PhD, MN, RN
Health promotion that targets barriers to care in refugee communities requires collaborative strategies that focus on cultural sensitivity and community trust. Nursing students implement health education teaching for refugees in San Antonio, Texas based on cultural sensitivity and safety, social justice, and barriers to care.

Impacting Practice: Using a Poverty Simulation to Develop Leadership Skills in Baccalaureate Nursing Students
Adelita G. Cantu, PhD, RN
This engaging presentation describes how a poverty simulation demonstrates social determinants of health. Findings will demonstrate how students develop leadership attributes; critical thinking, active listening and communication important to understanding health is not only an individual matter but requires a broader and more in-depth view of health and healthcare.

Upstream Healthcare: Values Training for Low-Income Children Using Baccalaureate Nursing Students and Community Youth
Martha Martinez, MN, RN; and Socorro Escandon, PhD, MSN, BSN, RN
This presentation will describe teaching strategies employed in introducing nursing students, in their community health rotation, to upstream health care delivery and its impact on public health nursing. Student nurses and vulnerable community youth created, developed, and presented stories focused on individual character strength values.

Session: D 07

SYMPOSIUM: Advancing World Health Through Nursing Students' Study Abroad Experiences: Shared Insights

Preparing Nursing Students for International Learning Experiences
Karen M. Lundberg, MS, RN, CNE; Cheryl A. Corbett, MSN, APRN, NP-C; and Debra Edmunds, MS, RN, CNE
Nursing students completing a cultural preparatory course before international study abroad benefit both students and faculty. Nursing faculty share the advantages of students competing the preparatory course and various course learning activities.

Six Continents: One Undergraduate Public and Global Health Nursing Course
Leslie W. Miles, DNP, APRN, PMHNP-BC; and Scott K. Summers, MS, FNP-C
Global health knowledge has become a core content area in nursing education. Nursing faculty will share how public and global health course outcomes have been implemented in a variety of domestic and international sites.

Nuts and Bolts of Nursing Study Abroad: Logistics and Funding
Sondra Heaston, MS, NP-C, CEN, CNE; and Gaye L. Ray, MS, FNP-C, PH-C
Nursing specific study abroad facilitates the development of cultural humility and enhances cultural awareness. However, there are logistical and funding issues that may serve as hurdles to the development of these programs. This presentation will share insights and suggestions to address the hurdles encountered when planning and conducting these programs.

Outcomes of a Global Health Nursing Course: Does the End Justify the Means?
Sheri Palmer, DNP, RN, CNE; and Stacie Hunsaker, MSN, RN, CEN, CPEN
A study abroad program for nursing students can be expensive and time-intensive. Nursing faculty share the results from research that demonstrates global health experience can positively influence their future nursing practice and cultural competence.

Session: D 08

SYMPOSIUM: A Transformative Vision for Health: Promoting Nursing Colleges

An Action Framework for Leading the Transformation Process
Fernanda Principe, MsD, RN
The PEER-IESS model (Brito & Mendes,2009) is a bottom-up participatory health research and was designed to activate high education communities for the implementation of health promoting contexts, using dialogic strategies and creative means of intervention centered in the academic community.

Key Principles for Action
Liliana Mota, MsC, RN
This presentation pretends to describe the strategies and interventions for the transformative process of a nursing college in a health promoting context using PEER-IESS model and to demonstrate the relevance of development of health promoting colleges.

Evidence of Transformation Process
Sónia Novais, MsC, RN
The evaluation of results is one of the moments of the PRECEDE-PROCED model. With this presentation, we intend to demonstrate the results after the implementation of PEER-IHE model in a college of nursing.

Session: D 09

SYMPOSIUM: Academic-Practice Partnerships and Dedicated Educational Units: The Past, Present, and Future of Clinical Nursing Education

Academic-Practice Partnerships: Mutual Benefits and Sustainability of a Dedicated Educational Unit
Cecilia McVey, MHA, RN; and Donna M. Glynn, PhD, MSN, RN, ANP-BC
In 2007, the Northeast Region VA Nursing Alliance (NERVANA) was founded. NERVANA is an academic-practice partnership between the VA Boston/Bedford Health Care Systems and six schools of nursing. The partnership has been successful in forming collaborative relationships and the implementation of the DEU model for clinical education.

Staff Nurses Perceptions of Utilizing the Dedicated Educational Unit Model for a Senior Capstone Experience
Grace Conley, MSN, RN; Patrick Hill, MSN, RN; and Bonnie J. Russell, MSN, RN, CRRN
With the need to continue to educate nursing students for entry into practice, this research evaluates the effectiveness of the use of a dedicated nursing educational unit for a senior capstone experience as opposed to the traditional one-to-one clinical preceptorship

Dedicated Eduational Nursing Units: Clinical Instructors Role Perceptions and Learning Needs
Judith Wendt, MSN, BSN, RN; and Bonnie J. Russell, MSN, RN, CRRN
The purpose of this educational activity is to identify the role perceptions of staff nurse's participating as clinical instructors on a dedicated educational unit and the perceived educational learning needs of the experienced staff nurses.

Session: D 10

SYMPOSIUM: Global Research and International Collaborations in the Pacific Rim

Global Research and International Collaborations in the Pacific Rim
Christine Kennedy, PhD, RN, PPCNP-BC, FAAN
The studies to be presented in this symposium address Goal Three of the United Nations Sustainable Development program to reduce by 2030 one third of premature mortality from NCD’s through prevention and treatment with the work of nurse scientist teams in the Pacific Rim and the United States

Like Mother, Like Child: Maternal Attitudes and Behaviors on Weight-Related Health Behaviors in Their Children
Jyu-Lin Chen, PhD, RN, CNS
Childhood obesity is one of the most serious global public health challenges. The increased prevalence of childhood obesity is 30% higher in low and middle-income countries including China. This presentation will identify maternal factors on dietary habits and physical activity in their children, especially in Chinese preschool-aged children.

Disparities in Self-Rated Health Among Chinese Immigrants: Exploring Inequality Identities
Lisa L. Lommel, PhD, MPH, RN, FNP
This study investigated the degree to which self-rated health varies by gender, age, socioeconomic status, acculturation, stress and discrimination, and social position among U.S. Chinese immigrants. Results revealed Chinese immigrant women and those with lower social positions and levels of education are at greater risk of experiencing health disparities.

Obesity Indicators, Accuracy of Body Weight Perception, and Chronic Illness Among Chinese-Americans
Mei R. Fu, PhD, RN, FAAN
Obesity is pandemic globally. Incorrect perception of body weight has profound impact on obesity as well as chronic illnesses. One third of Chinese Americans have incorrect perception of body weight. Addressing perception of body weight in nursing practice and research is imperative to prevent obesity and chronic illnesses.

Session: D 11

SYMPOSIUM: Building an Evidence-Based Nursing Enterprise: Critical Components for Success

Building EBP Competence and Capacity by Leveraging Opportunities and Planning Strategically
Lynn Gallagher-Ford, PhD, RN, DFPNAP, NE-BC
This session describes a unique collaboration between two organizations to plan and execute an evidence-based practice education and follow up program to create effective EBP teams comprised of leaders from across a complex healthcare system. The EBP teams efficiently address real world healthcare challenges,drive best practices and meet strategic goals.

Utilizing a High Reliability Framework to Build Evidence-Based Practice in a Complex Organization
Kevin Browne, MS, RN, CCRN
The department of nursing at this comprehensive cancer center underwent executive nursing level structural changes where practice, quality and education were combined under the new office of the Deputy CNO. Using a high reliability framework, the Deputy CNO set out to strengthen the approach to evidence-based practice (EBP).

The Importance of Follow-Up in the Teaching, Implementing, and Sustaining of Evidence-Based Practice
Jennifer H. Dean, BS, BSN, RN
This session focuses on the evidence-based follow-up strategies utilized to support the evidence-based practice (EBP) process and EBP teams through discussions and meetings in the collaborative work between Memorial Sloan Kettering Cancer Center (MSKCC) and The Center for Transdisciplinary Evidence-based Practice (CTEP) at The Ohio State University College of Nursing.

Session: D 12

Nursing Governance

Evaluation and Revision of a Nursing Professional Practice Model Using Focus Group Research Methodology
Susan C. Cobb, PhD, RN-BC; Anne E. Jadwin, MSN, RN, AOCN, NE-BC; and Kathleen M. Wolf, MBA, BSN, RN, NEA-BC
This session will highlight the use of focus groups to evaluate the relevance of a nursing professional practice model in a healthcare setting. Focus group methodology, data analysis, and identification of themes will be discussed. Application of study findings to revision of the nursing professional practice model will be presented.

Measuring Nurses’ Perceptions of Collaborative Governance as a Method of Assessing Transformation of Organizational Culture
Jaynelle Stichler, DNS, MSN, BSN, RN, NEA-BC, EDAC, FACHE, FAAN; Maria del Carmen Colombo, PhD, MBA, RN, NEA-BC; and Debra Milbert Poeltler, PhD, MPH, RN, CCRC
This study described the measurement of nurses' perceptions of collaborative governance over 5 years after the implementation of a CG structure developed to transform culture and empower nurses to be more involved in decision-making. Improvements were noted for perceptions, knowledge, commitment to CG, and professionalism in nursing.

The Theory of Psychological Ownership: Measurement and Uses in Nurse Work Environment Research
Lori M. Schirle, PhD, CRNA
Despite long-standing recognition of the importance of the nurse work environment and efforts to improve it, research has found that corresponding nurse and patient outcome improvements are inconsistent. Psychological ownership may play an unrecognized role in the relationship between nursing work environments and these critical desired outcomes.

Session: D 13

Clinical Care Practices

The Value of Fracture Liaison Services: A Focus Group Study
Sharon Kan-Ha Chow, MSN, RN, ANP-BC, PPCNP-BC, CCD
Kaiser Permanente's Healthy Bones Program is globally recognized as collaborating with Fracture Liaison Services for adults at risk for osteoporosis. This qualitative study allowed patients to have a voice and explored the program's value from the perspective of the patient care experience.

The Effect on Inter-Rater Consistency Using a Standardized Assessment Tool/Framework in Musculoskeletal Examinations
Debra Lynn Brewer, MSN, RN, FNP-BC
An increase in inter-rater consistency among clinicians performing musculoskeletal examinations can be achieved by the implementation of a standardized assessment framework/tool that provides criteria for decision-making.

Clinical Practice Characteristics of Nurse Practitioners Managing the Care of Older Adults
Laurie Kennedy-Malone, PhD, GNP-BC, FAANP, FGSA; and Marianne Shaughnessy, PhD, RN, AGPCNP-BC
A survey of nurse practitioners managing care of older adults in the United States was conducted to determine aggregate clinical practice characteristics. With an average age of 51, the majority of respondents were master’s prepared Caucasian females with prescribing privileges, DEA number billing under their National Provider Identifier Standard number.

Session: D 14

Cardiac Disease Health Promotion

Demoralization Syndrome Affects Health-Related Quality of Life (HRQOL) in Patients With Heart Failure
Hsing-Mei Chen, PhD, RN; Liang-Miin Tsai, MD; and Yun-Han Shie, MSN, RN
This study aimed to investigate the relationship between demoralization syndrome and HRQOL in patients with heart failure. The findings showed that age, financial status, New York Heart Association Class, and two domains of demoralization syndrome—disheartenment and sense of failure—were significant determinants of HRQOL.

Preventing Heart Failure Readmissions by Using a Risk-Stratification Tool
Anna Dermenchyan, BSN, RN, CCRN-K
The purpose of this project was to demonstrate an evidence-based risk-stratification tool in identifying heart failure patients. This was used to assess the risk for readmissions within 30 days after hospital discharge as well as the process of implementing bundled interventions.

Partnering With Community Health Workers and Faith-Based Organizations to Provide Hypertension Management in Haiti
Cynthia G. Cortes, DrPH, MSN, RN, CPNP-PC, COI
The purpose of the program was for U.S. based healthcare providers to manage Haitian patients’ hypertension through bimonthly clinics and community health workers to monitor blood pressures weekly. Only 31 patients of 115 were seen twice and 10 achieved blood pressure control after 12 months of treatment.

Session: D 15

Clinical Competency Progression

Rochester Nursing Competence (RNC) Theory
Yu-Ching Chuang, MS, RN; Marie A. Flannery, PhD, RN, AOCN; and Mary G. Carey, PhD, RN, FAHA, FAAN
A report on the development of RNC theory will describe a relation between nursing competence and patient outcomes and strategies in improving nursing competence in clinical practice.

State of the Science on Clinical Evaluation of Competence in Nursing Education
Elizabeth Van Horn, PhD, MSN, BSN, RN, CNE; and Lynne Porter Lewallen, PhD, MSN, BSN, RN, CNE, ANEF
This presentation will describe the state of the science on clinical evaluation of competence in nursing education and address issues related to instrumentation and methods used in clinical evaluation globally. Participants will gain a better understanding of the diverse methods and measures used to evaluate competence in clinical nursing education.

Evolution of Expertise Among Critical Care Nurses
Teresa Welch, EdD, NEA-BC
This presentation will represent a grounded-theory study based on Benner's model of skill acquisition. The study was designed to explore the emic perspective of the critical care nurse as it relates to expertise, expert performance, and the critical care nurse's journey in the achievement of expert performance.

Session: D 16

Developing Faculty Globally

Using the Lived Experience to Increase the Cadre of Nursing Faculty Who Teach Online
Elizabeth A. Gazza, PhD, RN, FACCE, LCCE
As the number of students who enroll in online courses and programs increases, so does the need for nursing faculty who are qualified to teach online. This presentation will include evidence-based strategies that can increase the cadre of nursing faculty who integrate technology into nursing education through online teaching.

Developing Nurse Educators and Leaders: A Collaborative Effort by National and International Faculty in Rwanda
Olivia Bahemuka, DNP, MSN, RN-BC, CTN-B; Oluyinka Adejumo DlittetPhil, RN, RPN, RNE; Sheila Shaibu, PhD, MNS, BEd, RN; and Gilbert Banamwana, MSc, RN
Attendees will learn of the achievement of innovative global collaboratives—for example, Human Resource for Health Program in Rwanda—how such efforts are contributing to the growth of the nursing profession, and how nursing educators and students of varied cultural backgrounds are working together despite limited resources to achieve national outcomes.

Developing a Framework for Faculty Global Scholarship
Inez Tuck, PhD, MBA, MDiv, RN
Faculty engage in global projects as service/scholarship and are promoted based on Boyer’s model (1990) of discovery, teaching, and application. We developed a framework to promote coherence and measure outcomes based on the World Health Organization's (WHO's) global goals. The presentation will highlight opportunities and challenges in a nursing program.

Session: D 17

SYMPOSIUM: Simulation Research: Informing Best Practices in Nursing Education

Integrating Virtual Simulation Into the Curriculum: An Exploratory Study
Susan Forneris, PhD, RN, CNE, CHSE-A
The focus of this paper is to discuss findings of an exploratory study on how faculty used and integrated virtual simulation in nursing curricula. Results were incorporated into the development of curriculum implementation guides; evidence-based resources for faculty development and integration of virtual simulation across the curriculum.

Using Simulation to Enhance Clinical Reasoning During Medication Administration: A Qualitative Study
Diana Odland Neal, PhD, MS, BSN, RN, PHN
Thought processes of student nurses are not well known. This paper will discuss findings of a multi-site qualitative simulation study in the USA and a replicated study in Tanzania, East Africa; which examined student nurses' reported thinking during medication administration. Findings will inform faculty relative to pedagogy in nursing education.

Using Virtual Simulation to Enhance Student Learning: A Case-Based Approach
Jone Tiffany, DNP, RN, CNE, CHSE, ANEF
The topics of inclusivity, diversity, and cultural awareness are difficult to explore in traditional classroom settings. Virtual learning platforms provide unique opportunities to use role-play simulation to experience walking in another’s shoes. In this study, students indicated they increased their capacity to understand and relate to people different from themselves.

Concurrent Sessions E

1:30-2:15 p.m. (1330-1415)

Select each session below to view the individual presentations.

Session: E 01

Health Promotion for Adolescents

Implementation of a Mentor-Led Physical Activity Program for Inner-City High School Students
Huey-Shys Chen, PhD, RN, MCHES, FAAN; and Karen M. Martin, DNP, PNP
The Let’s Move activity program led by physical activity leaders significantly increased grade point averages (GPAs) and physical activity (PACE score) among participating disadvantaged high school students, but there was no significant difference in their body weights due to the project's short time frame.

Adolescents Using the Internet for General and Sexual Health Information: An Evidence Review
Jean M. O'Neil, DNP, RN, FNP-BC
Although adolescent pregnancy rates are declining, incidence of sexually transmitted diseases is still rising. Adolescents often find it difficult to access confidential healthcare. This presentation will provide an evidence-based review of adolescent usage of the Internet to find data regarding their general and sexual health in the 21st century.

Session: E 02

Care Initiatives for Chronic Conditions

CLIPI Score Validation: Proposal as Tool for Level of Nursing Coordination in Mycosis Fungoides/Sezary Syndrome
Christa Roe, MA, BS, RN, OCN; Brett Estrada, AS.; Frank Glass, MS, MD; Rami Komorokji, MS, MD; and Lubomir Sokol, PhD, MD
Cutaneous T-cell Lymphomas with CD4+ t-lymphocytes are rare, complex, and include Mycosis Fungoides/Sezary Syndrome. The use of the Cutaneous Lymphoma International Prognostic Indicator score, and not stage alone as a nursing tool, identifies patients who need more extensive coordination of care.

Improving Self-Management Practices Among Patients With Chronic Conditions: “We’ve Got an App for That!”
Shannon Cronin Patel, DNP, BSN, RN, AGPCNP-BC, PCCN, CCRN-CMC
This interactive presentation will describe and demonstrate the implications and use of a nurse-led innovation created to improve outcomes for patients with chronic conditions resulting in decreased avoidable readmission. The presentation will provide the theory, clinical basis, and empirical outcomes related to this patient-centric, self-management education-delivery toolkit.

Session: E 03

Use of Technology in Nursing Education

Replacing Hard Copies of Textbooks With e-Books in Bahrain: Effects on Nursing Student Learning
Seamus Cowman, PhD, MSc, RGN, RPN, RNT, DipN, FFNMRCSI, FAAN; and Eman Ebrahim Fateel, MSc, BSc, RN
Undergraduate nursing students at RCSI Bahrain are provided with hard copies of textbooks and a laptop on entry to the nursing programme. Given the high usage rates for smartphones and social media among young people, a strategic policy decision was made to replace hard copies of textbooks with e-books.

Nursing Education in a Virtual World
Cynthia Foronda, PhD, CNE, ANEF
The purpose of this presentation is to (1) provide a synthesized review of the evidence in virtual simulation; (2) display technologies, including augmented reality and virtual simulation; and (3) provide strategies for successful implementation of these technologies with nursing students.

Session: E 04

Perspectives on Pediatric Health

Perspectives From Europe and the United States on Perinatal Palliative Care and Current Ethical Dilemmas
Charlotte Wool, PhD, RN; Joana Catarina da Cruz Mendes, PhD, BSN, MS; and Jesse Wool, BSN, RN
Perinatal palliative care programs have expanded internationally. Advances in technology have resulted in patients' requesting services that have ethical and clinical implications. This presentation will identify two current issues and address them through a principle-based ethics lens. The integration of technology into evidence-based nursing practice will be considered.

Personalized Pediatric Pain Management: Myth or Reality?
Cheryl Mele, DNP, PNP, AC/PC-BC, NNP-BC
Pain management in the pediatric population is multifaceted. Healthcare providers prescribe analgesia based upon limited scientific information, which places children at jeopardy for poor pain control and adverse reactions. Exploring the genetic science involved with individual's drug variability can cultivate treatments to improve pain-management outcomes.

Session: E 05

Promoting Health in the Older Adult

Early Detection and Management of Delirium Through Routine Nurse Screening on Older Adult Hospitalized Patients
Elaine Duterte Delvo-Favre, DNP, RN, RN-BC, NEA-BC
Nurses are at the forefront in early detection and management of delirium in the acute care setting. A nurse-driven delirium management protocol can influence older adult patient outcomes specific to delirium during hospitalization.

Assessment and Management of Alcohol Use Disorder in Older Adults: A Review of the Evidence
Mary DiBartolo, PhD, RN-BC, CNE; and Judith M. Jarosinski, PhD, RN, CNE
This presentation will review the emerging evidence regarding challenges in the identification and treatment of alcohol use disorder (AUD) in older adults, including screening instruments and tailored interventions to achieve treatment success. The nurse's role in assessment, screening, education, referral, and advocacy will also be discussed.

Session: E 06

Factors Influencing Patient Care for the Advanced Practice Registered Nurse

Development Trajectory of a Fall Detection Device Involving Community-Dwelling Older People
Friederike J. S. Thilo MScN, RN; Jos M. G. A. Schols, PhD, MD; Ruud J. G. Halfens, PhD; and Sabine Hahn, PhD, MSNc, RN, CNS
This presentation provides insight into the theoretical framework of Shah et al. (2009), and its application in the underlying study. We present the main results of the development trajectory of a fall detection device along with the experiences of user involvement.

APRNs Improving the Quality of Care and Satisfaction Through Home-Based Primary Care Models
Eugene Lewis, MSN, RN, ACNP-BC; and Carole Kulik, DNP, RN, ACNP, HCIC
Redesigning primary care is a priority, and the struggles to solve issues of poor access, high cost, and suboptimal quality plague the care of our elderly. Designing home-based primary care models led by Advanced Practice Nurses significantly improves care, reduces costs, and improves satisfaction longitudinally.

Session: E 07

Global Health Equity

Half the Sky: Use of Literature to Teach Undergraduate Nursing Students About Global Health Equity
Jane Greene-Ryan, PhD, CNM; and Jane Donovan, MSN
This presentation will summarize student and faculty experiences using literature (Half the Sky) to increase learner-centered comprehension of the health challenges faced by vulnerable groups of women. Themes identified from ten years of students' reflective essays as well as the faculty lessons learned with this assignment will be presented.

Human Trafficking: A Call for Inclusion in Nurse Practitioner (NP) Education
Rebecca M. Lutz, MSN, ARNP, FNP-BC, PPCNP-BC
Human trafficking has increased worldwide. NPs may encounter trafficking victims within their clinical practices. Therefore, it is essential that NPs have the ability to identify and assist trafficking victims. Inclusion of trafficking into curricula would increase the number of providers with knowledge to positively affect health outcomes of the victims.

Session: E 08

Cancer Screening Practices

Knowledge, Attitude, and Practice of Men Toward Colorectal Cancer (CRC) and Its Prevention in Tobago
Annette Dick, MSc (Nsg), RN; Esther Shirley Daniel, PhD, RN, RM; and Gloria Ramdeen Mootoo, MSc (ClinPsy), RN, RM
The purpose of this cross-sectional study was to explore the knowledge, attitudes, and practices of men in Tobago toward Colorectal Cancer (CRC) and its prevention.

Addressing Breast, Cervical, and Colorectal Cancer Screening-Related Health Disparities and Practices in Asian-Indio Women
Sharon K. Byrne, DrNP, APN, NP-C, AOCNP, CNE; Evelyn Robles-Rodriguez, MSN, RN, APN, AOCN; and Yogini Patel, BA
This discussion will cover a culturally and linguistically appropriate cancer education and screening program targeted to Asian-Indio women through the use of a dedicated clinic. Outcomes and lessons learned from this research may benefit other healthcare providers interested in developing sustainable cancer-screening services for this select population.

Session: E 09

Improving Clinical Outcomes Through Physical Activity

Improving Clinical Outcomes and Physical Activity in Older Adults With Comorbidity: A Randomized Controlled Trial
Elizabeth A. Schlenk, PhD, RN; Susan M. Sereika, PhD, MPH; Joan Rogers, PhD, OTR/L, FAOTA; G. Kelley Fitzgerald, PhD, PT, FAPTA; and C. Kent Kwoh, MD
Older adults with the prevalent chronic disorders of osteoarthritis of the knee and hypertension showed improvements in self-reported knee pain, physical function, lower-extremity exercise, and fitness walking with a home-based, 6-month, physical-activity intervention based on self-efficacy theory that was individually delivered by physical therapists and nurses.

Evaluation of an Email-Mediated County Extension-Delivered Walking Intervention
Elizabeth A. Richards, PhD, RN, CHES; and Stephanie Woodcox, MPH, CHES
The Get WalkIN’ intervention was an email-mediated social cognitive theory-based intervention that demonstrated effectiveness in a community sample. Post-intervention, 82 percent of respondents were classified as sufficiently active, compared to 48 percent pre-intervention (p

Session: E 10

Care of Moms and Babies

Coping Strategies of Mothers With Preterm Babies Admitted in Neonatal Care Unit in Cape Town
Delphine Sih Awah, PGDip, RN, BN, NE, MCH; Regis Rugira Marie Modeste, PhD, MN, BN, RN, RM, NE; and Million Bimerew, PhD, MN, BN, RN
The purpose of this presentation is to report on the different coping strategies used by mothers of preterm babies admitted in a neonatal care unit in one hospital in Cape Town.

Suctioning of the Neonate on Nasal Continuous Positive Airway Pressure (NCPAP): Building the Evidence
Esther M. Chipps, PhD, MS, BSN, NEA-BC; Michele Ann Sweet, MS, RN, CNS-Neo; Debra Lanton Armbruster, PhD, RN, NNP-BC, CPNP-BC; and Alai Tan, PhD, MS, MD
NCPAP is a first-line treatment for neonates with respiratory distress. The purpose of this pilot study was to examine the clinical and behavioral response of neonates on NCPAP and to provide the foundational knowledge to aid in the development of evidence-based practice guidelines.

Session: E 11

Nursing Student Interprofessional Collaboration

Preparing Students for Interprofessional Collaboration: A Grounded Theory Study
Monica Bianchi, MSc, RN; Annamaria Bagnasco, PhD, MSN, RN; Giuseppe Aleo, PhD; and Loredana Sasso, MSc, RN, FAAN
We used a constructivist grounded-theory approach to answer the question, "What processes are used by students and clinical mentors to develop interprofessional collaboration?". It enabled the researcher to enter the research setting, observe it from the inside, and collect the data to define a theoretical explanation of the process studied.

The Cultural Impact of an Interprofessional Nursing and Health Sciences Summer Academy
Audrey P. Miller, PhD, MSN/Ed, ARNP, PPCNP-BC; and Chanadra T. Young-Whiting, EdD, MPH/HSA, BS, MT
The purpose of this interprofessional summer academy was to create an opportunity for underserved, socioeconomically-challenged, culturally-diverse, minority students to be exposed to nursing and the health sciences. It also aimed to provide life-changing experiences that would demonstrate future possibilities and positive career decisions and to offer alternative career paths.

Session: E 12

Postpartum Health

Social Determinants of Rural Hispanic Women at Risk for Postpartum Depression
Younglee Kim, PhD, RN, PHN; and Vivien Dee, PhD, RN, NEA-BC, FAAN
Guided by Orem’s Self-Care Deficit Theory, this descriptive cross-sectional study examined the relationships among the social factors and determined which of these factors were predictors for rural Hispanic women at risk for postpartum depression. A total of 223 women participated. Findings could help nurses develop tailored interventions and/or educational programs.

A Randomized Trial Evaluating Connective Tissue Massage on Pain in Post-Cesarean Section Primiparous Women
Mary Colleen Simonelli, PhD, RN; and Louise T. Doyle, BSN, RNC-OB, HNB-BC,LMT
With today's opioid crisis, it is imperative for nurses to incorporate nonpharmacological pain-management strategies in their care of post-operative clients. This study highlighted the benefits of massage in reducing pain and stress and in improving relaxation among women who underwent cesarean births.

Session: E 13

Declining Functional Status in the Aging Adult

Association Between Age-Related Hearing Loss and Disability in Older Adults: A Systematic Review
Tzu-Chia Lin, MS; and Miaofen Yen, PhD, RN, FAAN
The participants will be able to understand the prevalence of age-related hearing loss among older adults. The association of age-related hearing loss and disability among elderly will be discussed too. In the end, the author will analyse how different outcome measurements could influence the result.

Hospital-Associated Functional Status Decline in Older Adults With Chronic Obstructive Pulmonary Disease (COPD)
Amy C. Shay, MS, RN, CNS; and Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FAAN
This research study examines the relationship between physical activity and functional status outcomes of hospitalized older adults with COPD. New information concerning the most impactful type and timing of physical activity may be used to develop nurse-led mobility interventions that improve patient outcomes and prevent hospital-associated functional status decline.

Session: E 14

Promoting Outcomes in the Infectious Patient

Predictors of Survival for Patients With a Diagnosis of Sepsis
Kim Reina Failla, PhD, RN, NE-BC; and Cynthia D. Connelly, PhD, RN, FAAN
This study examined factors, patient characteristics, clinical variables, and care-management processes that increased the odds for survival among a cohort of patients diagnosed with severe sepsis or septic shock.

A Collaborative, Systemwide Approach to Reducing Healthcare Onset Clostridium Difficile (HOC-diff)
Renecha Abrams, MSN, BSN, RN, APRN, ACCNS-AG, CCRN; and Angeleta Zipporah Robinson, MSN, CNL, GBLSS
HOC-diff has a negative impact on patients. Variations within clinical practice and lack of evidence-based policies and procedures were found to be top contributors to the increased cases of HOC-diff. A multidisciplinary team approach was implemented to standardize the clinical practices and implement evidence-based policies and procedures.

Session: E 15

Retention Strategies for Entry-Level Nurses

Measuring the Effect of a Nurse Residency Program on Person-Organizational Enculturation
Laurie Ecoff, PhD, MS, BSN, RN, NEA-BC; Kim Reina Failla, PhD, RN, NE-BC; and Jaynelle Stichler, DNS, MSN, BSN, RN, NEA-BC, EDAC, FACHE, FAAN
This study examined the effects of a structured nurse residency program using reflective learning on the organizational enculturation of new graduate nurses and their organizational commitment.

Next Steps Program: Utilization of Multifaceted Retention Strategies to Retain American Indian Student Nurses
Loretta Heuer, PhD, RN, FAAN
Participants attending this session will gain a deeper understanding of the multifaceted support services and retention strategies implemented by the Next Steps Program staff to retain American Indian student nurses. Additionally, the perceptions and experiences of the student nurses’ progression in their nursing programs will be shared with the audience.

Session: E 16

Student Nurse Success Strategies

Nursing Students' Evaluation of Support Offered by Preceptors
Lizemari Hugo, MSocSc (Nsg), RN, PHC, NE
Nursing students perceive clinical facilities as complex and challenging. Students need support from preceptors to overcome these challenges. Nursing education institutions need to monitor and equip preceptors so that they can better offer quality support to students while integrating theory and practice.

Evaluation of Students' Perceptions Compared With Baccalaureate Program Objectives of a Peer-Tutoring Program
Catherine S. Thomas, DNP, MSN, RN, CNE; and Nancy E. Peer, PhD, RN, CNE
Peer tutoring has been recognized as an effective strategy in higher education, but it has not been widely implemented in nursing education to support achievement of academic program outcomes. Existing research has not explored student perceptions related to the value of peer tutoring, which may influence sustainability and student success.

Session: E 17

Use of Antibiotics

Reducing Antibiotic Use in the Management of Upper Respiratory Infections in the Urgent Care Setting
Melissa Jones Holley, DNP, MSN, BSN, APRN, FNP-c
Antibiotics are prescribed 60% of the time for the treatment of upper respiratory infections regardless of etiology, contributing to drug-resistant organisms that often provide clinical-management challenges to patients and providers, regardless of specialty. A multimodal intervention was successfully utilized to improve such practices in the urgent care setting.

Advance Practice Registered Nurses’ (APRNs’) Clinical Practice Strategies to Deter Antibiotic Overuse
Pamela Willson, PhD, APRN, FNP-BC, CNE, FAANP, Susan K. Lee, PhD, RN; and Marcia Poole, EdD, APRN, FNP-C
Despite evidence of unnecessary antibiotic therapy for acute respiratory tract infections (ARTIs), use of prescribed antibiotics is common. The aim of this study was to describe strategies for APRNs to reduce antibiotic therapy in pediatric patients.

Concurrent Sessions F

2:30-3:45 p.m. (1430-1545)

Select each session below to view the individual presentations.

Session: F 01

SYMPOSIUM: Innovative Evidence-Based Strategies for BSN Education

Evidence-Based Educational Strategies That Promote Handoff Effectiveness: Connecting the Dots Between Senders and Receivers
Chrisitine A. Sump, DNP, MSN, RN, CNE; and Donna L. Rose, MSN, RN
Communication breakdown during patient handoff have long been identified as contributors to adverse patient events. Multiple evidence-based educational strategies aimed to improve and evaluate overall handoff effectiveness in Baccalaureate nursing students are discussed in this presentation.

Using Service Learning to Enhance Cognitive Development of Nursing Research for Complex Social Issues
Linda K. Bennington, PhD, MSN, BSN, BS, MS, RN
Service-learning can be a structured educational experience that links classroom knowledge to community engagement. The understanding and application of nursing research can be enhanced through the interaction of nursing students among diverse communities and their organizations as they gain insight on complex social issues.

The Use of Condition Mapping to Teach Situational Awareness
Amy M. Wagner, MSN, RN, CNE; and Amy Hower Lee, MSN, RN
Condition Mapping offers an alternative approach to traditional clinical preparation that facilitates prioritization, organization, and reflective reasoning in the clinical setting. The purpose of this presentation is to discuss Condition Mapping and methods to promote situational awareness in the clinical setting based upon Evidenced Based Education and best practices.

Innovative Pedagogical Approaches to Undergraduate Nursing Research: Avoiding the Cursory Critique
Jamela M. Martin, PhD, RN, CPNP
Participants should expect to discuss the pitfalls of the typical nursing pedagogical strategies in nursing research courses; recognize how and why our new graduate nurses lack confidence with evidence translation upon practice entry; and identify the benefits of using experiential learning approaches in undergraduate research courses.

Using Evidenced-Based Educational Practices to Improve Graduation Rates for RN-BSN Students From Disadvantaged Backgrounds
Janice E. Hawkins, PhD, RN; Lynn L. Wiles, PhD, MSN, BSN, RN, CEN; Karen A. Karlowicz, EdD, RN; and Kimberly Adams Tufts, ND, RN, WHNP-BC, FAAN
A presentation describing an educational model that uses evidence-based educational practices to improve graduation rates for RN-BSN students from socially and economically disadvantaged backgrounds may equip nurse educators with strategies to develop their own programs at other institutions.

Session: F 02

SYMPOSIUM: Improving Nursing Care and Outcomes for Mother-Infant Dyads Impacted by Opioid Use Disorders

The Impact of Kangaroo Mother Care on Mother-Infant Dyads Affected by Neonatal Abstinence Syndrome
Lisa M. Cleveland, PhD, RN, PNP-BC, IBCLC, NTMNC
Neonatal Abstinence Syndrome (NAS) is a group of withdrawal symptoms experienced by infants who are prenatally exposed to addicting substances. We explored the impact of kangaroo mother care ([KMC] skin-to-skin mother-infant holding) on dyads affected by NAS. We found that KMC resulted in high attachment scores and reduced stress-reactivity.

Infant Feeding Decisions Among Mothers Receiving Medication-Assisted Treatment for an Opioid-Use Disorder
Kelly S. McGlothen, BSN, RN, IBCLC, NTMNC; Lisa M. Cleveland, PhD, RN, PNP-BC, IBCLC, NTMNC; and Frank Puga, PhD
Opioid use has increased significantly among women of childbearing age. However, little is known about the infant feeding decisions of women who are receiving medication assisted treatment (MAT) for an opioid use disorder. Thus, the purpose of this pilot study was to explore the contextual influences that impact these decisions.

Building an Interprofessional, Community-Informed, Countywide Neonatal Abstinence Syndrome Collaborative
Frank Puga, PhD; and Lisa M. Cleveland, PhD, RN, PNP-BC, IBCLC, NTMNC
Infants prenatally exposed to opioids may develop neonatal abstinence syndrome (NAS). NAS symptoms include crying, fever and seizures. Bexar County, Texas has been disproportionately impacted by NAS. The purpose of this project was to engage our community in establishing a Collaborative for reducing NAS and improving care in Bexar county.

Session: F 03

SYMPOSIUM: Leading Change Through Collaborative Partnership: Implementation of a Statewide Cultural-Competence Initiative in the United States

Leading Change: The Power of Vision and Collaborative-Partnership
Rita K. Adeniran, DrNP, RN, CMAC, NEA-BC, FAAN; Sarah Hexem, JD, Esq.; and Elizabeth W. Gonzalez, PhD, APRN, BC
This presentation will discuss how leadership vision and commitment to quality healthcare for vulnerable populations served as a catalyst for change. Leveraging the qualities of visionary leadership, a team of thought leaders collaborated to lead a statewide initiative that enhanced cultural competence services across the state of Pennsylvania.

State of the Evidence, Making Sense of the Data: Culturally-Competent Nursing Practices in Pennsylvania
Rita K. Adeniran, DrNP, RN, CMAC, NEA-BC, FAAN; Diana Jones, EdD, MS, RN; and Anand Bhattacharya, MHS
This presentation will discuss the findings of a statewide Survey of Registered Nurses across the state of Pennsylvania in the United States of America. It will describe participants’ demographics in relation to the Pennsylvania nursing workforce, along with nurses’ report of the strengths and opportunities to enhance cultural competency

Fostering Cultural Competency: The Pennsylvania Action Coalition’s Exemplar
Sarah Hexem, JD, Esq.; Rita K. Adeniran, DrNP, RN, CMAC, NEA-BC, FAAN; and Diana Jones, EdD, MS, RN
This presentation will discuss opportunities presented by changing demographics and the long-standing disparities in health care. Presenters will share strategies employed by members of the PA-AC Nursing Diversity Council to increase proportion of traditionally underrepresented nurses in the workforce and the implementation of the Pennsylvania statewide cultural competency program.

Session: F 04

SYMPOSIUM: Ethical Considerations of Veteran- and Military Family-Focused Academic and Research Initiatives

Development of an Evidence-Based Online Veteran Healthcare Course
Alicia Gill Rossiter, DNP, FNP, PCPNP-BC, FAANP; Dianne Morrison-Beedy, PhD, MSN, BSN, RN, WHNP-BC, FNAP, FAANP, FAAN; and Rita F. D'Aoust, PhD, ANP-BC, CNE, FAANP, FNAP
Over 2 million Americans have served in the military since 9/11. Often civilian providers are these veterans only or primary source of health care. This presentation will discuss the development of a first-of-its-kind online veteran centric healthcare course aimed at educating nurses to care for veterans and their families.

Improving Health Outcomes of Military Children Through Research and Policy Initiatives
Alicia Gill Rossiter, DNP, FNP, PCPNP-BC, FAANP; and Margaret C. Wilmoth, PhD, FAAN
Military children are subjected to stressors similar to their servicemember parent placing them at risk for health issues secondary to parental service. They represent a distinct and unique sub-group of the military and policy initiatives aimed at improving the healthcare of military children are needed to strengthen the military family.

Conducting Ethical Research With Veterans
Catherine G. Ling, PhD, FNP-BC, FAANP; and Heather Johnson, DNP, FNP-BC, FAANP
Military veterans have lived within a unique culture. Research participants with this background may have additional points of vulnerability that need to be considered for the ethical conduct of research

Session: F 05

SYMPOSIUM: Supporting the Needs of Low-Income Families to Improve Parent and Child Outcomes

Perceived Benefits of a Mindfulness-Based Intervention Among Homeless Women and Young Children
Jeanne L. Alhusen, PhD, FNP-BC, RN
Homeless mothers and their young children are at increased risk for negative physical and psychological outcomes. This session describes the perceived benefits of participating in an 8-week Mindfulness Based Stress Reduction Program.

Baby Beep: A Telehealth Intervention for Depressed, Low-Income Mothers
Linda Bullock PhD, RN, FAAN; and Emily Evans, PhD, RN
Pregnant women and new mothers who are depressed and living on low-incomes have many economic, social and logistical barriers in obtaining treatment. A nursing tele-health social support/counselling intervention will be presented that is both economical and acceptable to women who received the intervention.

Using Condition Cash Transfer Programs for Engaging Low-Income Parents in Health Promoting Programs
Deborah Gross, DNSc, RN, FAAN; and Amie Bettencourt, PhD
Nurses often struggle to engage parents from low-income communities in programs designed to promote their children’s health and wellbeing. This session describes a study of one innovative strategy that boosted parent participation and improved children’s behavioral health outcomes.

Session: F 06

SYMPOSIUM: Family-Centred Care or Child-Centred Care?: Evidence and Ethics

Family-Centred Care or Child-Centred Care: Generating the Evidence and Ethics
Linda Shields, MD (Rsch), PhD, FAAN, FACN, MAICD; and Veronica D. Feeg, PhD, RN, FAAN
Family-centered care is used in hospitals for children in many countries. Evidence of its effectiveness is limited; qualitative research reveals problems with implementation. Emerging models compete to return the child to the focus of care. These presentations will discuss how an international collaboration from eight countries may integrate divergent perspectives.

Measures of Family Centredness from the U.S.: Deconstructing Components of Decision-Making and Parents Needs
Veronica D. Feeg, PhD, RN, FAAN; and Ann Marie M. Paraszczuk, EdD, RNC, IBCLC
FCC has been described and implemented in the U.S. The central tenets maintain that the child and parents cannot be separated unless under special situations. This presentation will discuss FCC as a goal that despite obstacles ought to be adopted in the policy language of hospitals that care for children.

Child- and Family-Centered Care: Consensus Recommendations From a Panel Meeting
Mohammad Al-motlaq, PhD, MBS, BSN, RN
An international panel of nursing academics and clinicians met to discuss and debate family-centered and child-centered care and their respective ramifications for the care of children in health services. This paper explains the resulting plan for future research and a way forward.

Fostering and Sustaining Family-Focused Healthcare Across the Life-Course: A Transferrable Model Between Countries?
Joanna Smith, PhD, RGN, RSCN; Veronica Swallow, PhD, MMedSci, BSc (Hons), RGN, RSCN; and Veronica D. Feeg, PhD, RN, FAAN
Family-focused care across the life-course is beneficial for those with chronic/long-term conditions but not yet embedded globally across health-care systems. A new UK led collaboration (national and international family-experts and public engagement advisors) is identifying research priorities to develop UK-wide family-focussed care; this model is potentially transferrable to other countries.

Session: F 07

SYMPOSIUM: Facilitation: The Cornerstone of Practice Development and Person-Centredness, a Journey From Aristotle to the Bedside

Human Flourishing: From Notion to Reality
Lorna Peelo-Kiloe, MSc, BSc, RGN
Facilitation at its simplest and perhaps most effective is a helping relationship. Added to this is the possibility of enabling human flourishing so that individuals can reach their full potential.

A Concept Analysis: Facilitation and Practice Development Analyzing Evidence From the Literature and Beyond
Elizabeth Breslin, MHSc, MA, BSc (Hons), HDip (Ortho), RGN
This is an exploration of the concept of facilitation within practice development (PD) using a concept analysis (CA) methodology. Achievement of conceptual clarity and a shared understanding of what facilitation in PD means, will contribute positively to both caring and academic practice domains.

Developing Novice/Proficient Facilitators, Two Frameworks to Create Conditions for Person-Centred Cultures: A PAR Study
Michele Hardiman, MA, RGN, RPN
The study demonstrates the development and application of two frameworks, designed for use in the midst of nursing practice to develop and embody the skills necessary to work with others to facilitate person-centred cultures and enabling staff to flourish. The study provides a workplace friendly pathway to develop person-centred leaders.

Session: F 08

SYMPOSIUM: High Reliability: Practical Application and Tips for the Journey

Psychological Safety: A Work Environment Characteristic in a High Reliability Organization
Cynthia A. Oster, PhD, MBA, ANP, ACNS-BC, CNS-BC; and Jane Braaten, PhD, MS, RN
This session informs the audience of how leadership commitment to psychological safety and the principles of high reliability can advance organizational resilience in an acute care hospital setting.

Practical Tools for the High Reliability Journey
Jane Braaten, PhD, MS, RN
Learn two powerful improvement tools, Root Cause Analysis and Failure Mode Effects Analysis, that when coupled with principles of high reliability are vital to promoting sustainable change and prevention of adverse events.

Practical Application of High Reliability Principles in Healthcare to Promote Clinical Quality and Safety Outcomes
Cynthia A. Oster, PhD, MBA, ANP, ACNS-BC, CNS-BC; and Sherilyn Deakins, MS, BSN, CPPS
Learn how application of High Reliability Organization (HRO) principles into daily healthcare work processes can successfully drive and promote improved quality clinical outcomes, safety, and culture change.

Session: F 09

SYMPOSIUM: Health Information Technology Tools to Support the Implementation of a Complex Care Management Program

Development of a Dashboard to Provide Decision Support for Complex Care Management in Primary Care
Mary L. Blankson, DNP, APRN, FNP-C; Sharon Liann Taylor, MPH; Katie Ann Lainas, BS; and Ranbir Bains, PhD, MSN, APRN, CPNP
An electronic dashboard was created to provide nurses with timely information and decision support to enhance proactive outreach and ongoing data tracking. The dashboard proved essential for identifying patients in need of management, and tracking ongoing enrolled panels. This led to a significant increase in patients enrolled in care management.

Development of a Nursing Scorecard to Track Metrics to Support Complex Care Management
Tierney Elizabeth Giannotti, MPA, BA; Mary L. Blankson, DNP, APRN, FNP-C; and Ianita Zlateva, MPH, RN
A nursing scorecard was created to track population metrics for nurses providing Complex Care Management to high-risk patients in primary care. The monthly scorecard helps nurses track their progress and allocate resources appropriately. Nursing leadership utilizes the data to address gaps in workflow and to measure success of workflow implementation.

Structured Data in Electronic Health Records to Capture Nursing Work in Complex Care Management
Ianita Zlateva, MPH, RN; and Mary L. Blankson, DNP, APRN, FNP-C
The use of electronic health records (EHRs) has changed the way healthcare is delivered and documented. Structured templates and other data are important to measure the impact of nurses in the complex care management. These methods may be used globally, recognizing nurses as unique members of the care team.

Session: F 10

SYMPOSIUM: "What Did That Mean?": An Examination of Personal Disposition in Nursing Education and Practice

Personal Disposition and With-It-Ness in the Nursing Classroom: Implications for the Science of Nursing Education
Andrew Bobal, MEd, BS; Laura C. Dzurec, PhD, RN, PMHCNS-BC, ANEF, FAAN; and Barbara J. Patterson, PhD, RN, ANEF
Disposition represents the sum of one's personal values, commitments, beliefs, and professional ethics. It influences the way a faculty member views teaching and learning, and the quality of responses of involved students. The notion of disposition holds particular significance for advancing the science of nursing education.

Shattered Assumptions: Examining Discrepant Perceptions of "Reasonable" Accommodations Among Faculty and Student Nurses With Disabilities
Rose Schwartz, PhD, RN, BC-CNS; and Geraldine Bloemker, PsyD, MA, MS, MA, BA
Nursing faculty and student nurses with disabilities (SNWDs) sometimes find that their respective assumptions about reasonable accommodations are significantly discrepant. The struggle over questions related to implementing academic accommodations can lead to visceral responses on the parts of both parties.

"I Won't Dance, Don't Ask Me": Concerning Why Workplace Bullying Bystanders Simply Stand By
Laura C. Dzurec, PhD, RN, PMHCNS-BC, ANEF, FAAN; and Monica Kennison, EdD, MSN, RN
Extending Cross's (1981) model addressing deterrents to adults' participation in continuing education, the investigators' purpose was to use hermeneutic analysis to identify dispositional,situational, and institutional factors that serve to immediately dissuade workplace bullying bystanders' interventions in situations of workplace bullying, thus contributing to bullying's tenacity in the workplace.

Session: F 11

SYMPOSIUM: Self-Care and Nursing Image: Impact and Opportunities

The Impact of the Image of Nursing on Nurses' Perception of Self and the Profession
Nancy Laplante, PhD, RN, AHN-BC; and Wendy Ostendorf, EdD, RN, CNE
The study on image provided practicing nurses with an opportunity to self-reflect on the image of nursing. Participants of this session will gain insight into these reflections, and will be presented with self-care strategies to assist students and practicing nurses to raise their voices in support of the profession.

A Mindfulness-Based Approach to Student Self-Care
Brenda Kucirka, PhD, BS, RN, PMH, CNS, CNE
This experimental pilot study explored the effectiveness of an 8 week mindfulness based stress reduction (MBSR) and cognitive behavioral intervention in impacting wellbeing among first semester junior nursing students. Findings indicate that MBSR and cognitive behavioral approaches are effective in supporting student wellbeing

Promoting Healthy Behaviors in Nursing Students
Donna M. Callaghan, PhD, RN-BC, GCNS-BC, CNE
This study investigated the effects of an educational intervention to promote healthy behaviors in nursing students. The findings of this study indicated that an intervention that focused on spiritual growth as the foundation of healthy behaviors resulted in more frequent practice of the healthy behaviors in nursing students.

Session: F 12

SYMPOSIUM: Vitamin D and Its Impact Across the Lifespan

Can Vitamin D Supplementation Improve Poor Cognition in People With Type 2 Diabetes?
Mary Byrn, PhD, BSN, RN
This oral presentation will be part of a symposium that discusses the impact of vitamin D on symptoms reported by individuals across the lifespan. This specific presentation will discuss an ongoing randomized control trial that is investigating if vitamin D supplementation will improve cognition in people with type 2 diabetes.

Depression and Vitamin D3 Supplementation in Women With Type 2 Diabetes
Sue M. Penckofer, PhD, MS, BSN, RN, FAAN
Presentation will address the evidence regarding the role that vitamin D may play in depression and its symptoms, in addition to its impact on glycemic control. Finally, an ongoing randomized clinical trial examining varying doses of vitamin D for treatment of women with both of these conditions will be discussed.

What is the Relationship Between Pregnancy Symptoms, Vitamin D Status, and Quality of Life?
Jennifer G. Woo, MSN, BSN, RN, CNM, WHNP
There are many physiological changes in pregnancy that can cause symptoms such as back pain, fatigue, etc. Vitamin D deficiency is associated with some of the more common pregnancy symptoms. A cross sectional study was done to examine and relationships between vitamin D status, pregnancy symptoms and quality of life.

Session: F 13

Promoting Outcomes in Obese Patients

Effectiveness of Weight Control Program on Nutritional Status and Knee Pain in Overweight Older Adults
Noppawan Piaseu, PhD, RN, APN/NP; and Pawena Narasri, BNS, RN
Weight control programs incorporating group and community support are effective. After the program, the experimental group had lower body mass indexes, waist circumferences, and knee pain than before the program. The experimental group had higher mean differences in body mass indexes, waist circumferences, and knee pain than the control group.

Evaluating Nursing Home Resident Monitoring Technology Use in Pressure Ulcer Prevention: A Mixed-Methods Approach
Tracey L. Yap, PhD, RN, WCC, CNE, FAAN; Jill Flanagan, MS, BS; Kao Ly, MSN, RN; and Susan M. Kennerly, PhD, RN, WCC, CNE
A 21-day clinical trial with a convergent mixed-methods pre-/post-test design examined resident and staff outcomes associated with adaptive and technical challenges facing nursing staff in using new technology to facilitate repositioning of nursing home residents.

Comparison of Braden Nutritional Risk Screening to Dietary and Weight Outcomes: Clinical and Research Insights
Susan M. Kennerly, PhD, RN, WCC, CNE; Tracey L. Yap, PhD, RN, WCC, CNE, FAAN; Melissa K. Batchelor-Murphy, PhD, RN-BC, FNP-BC; Lisa Boss, PhD, MSN, BSN, RN, CEN; Susan D. Horn, PhD, MS; Ryan Barrett, MS, BS; and Nancy Bergstrom, PhD, RN, FAAN
Using secondary data analysis of TURN study’s investigation of nursing home residents at risk for pressure ulcer (PrU) development, we evaluated the utility of Braden Scale’s nutrition subscale for identifying nutritional-intake risk factors. Clinical and research insights, researcher-developed nutritional risk evaluation, and PrU prevention care planning framework will be discussed.

Session: F 14

SYMPOSIUM: Nurse-Managed Technology to Enhance Cancer Care Outcomes for Survivors With Breast Cancer or Head/Neck Cancer

Health Information Technology (IT) to Promote Patient-Centered Care
Mei R. Fu, PhD, RN, FAAN
We will share our experience of building institutional infrastructure, feasibility, and sustainability of using health information technology (IT) to promote patient-centered care in post breast cancer symptom assessment in clinical practice.

Mobile Platform for Assessment, Early Detection, and Management of Breast Cancer-Related Lymphedema
Jane Armer, PhD, RN, CLT, FAAN; Nathan C. Armer, MEd; and Guilherme N. DeSouza, PhD
We will describe development and testing of the 3D mobile device for application in clinical and home use for assessment, early detection, and self-management of lymphedema in those at risk following breast cancer treatment.

Assessment of Head and Neck Lymphedema With Ultrasonography
Jie Deng, PhD, RN, OCN, FAAN
The purpose of this report is to present information regarding the use of ultrasonography for the assessment of head and neck lymphedema. Data collection is ongoing.

Cancer Registry and Electronic Medical Record Data in Head and Neck Cancer Research
Janet Van Cleave, PhD, MSN, RN
Using hospital tumor registry and electronic medical record data, our study findings indicate that the cancer stage, age, and race/ethnicity may influence receipt of head and neck cancer treatment in a safety-net health system in the United States.

Session: F 15

SYMPOSIUM: Improving Quality of Nursing Worklife: A Global Perspective

Quality of Nursing Worklife: A Review of the Science
Beth A. Brooks, PhD, RN, FACHE
Any discussion of quality of life would not be complete without addressing the concept of nursing worklife, a critical element in healthcare delivery. Brooks' Quality of Nursing Worklife survey has been used in thirty countries and translated into 6 languages. This session will provide a global perspective of nursing worklife.

Including Human Resources Professionals and Practices to Improve Nursing Worklife
Paul T. Skiem, MBA, LCS
Human resources (HR) professionals can play a major role in improving nursing worklife. The social subsystem, comprised of the people who work in the organization and the relationships among them, must be able to successfully meet a number of interrelated goals: fill occupational roles through recruitment, socialization, and retention initiatives.

Staffing Optimization: Improving Staffing to Improve Nursing Worklife
Therese A. Fitzpatrick, PhD, RN, FAAN
The technical subsystem of an organization consists of the tools, techniques, procedures, skills, knowledge, and devices used by members of the social subsystem to accomplish tasks of the organization. The most direct impact of technology is upon organizational productivity. Any survey of nursing worklife reveals issues around staffing and scheduling.

Session: F 16

SYMPOSIUM: Direct Oral Anticoagulant Management in Patients Undergoing Cardiac Implantable Electronic Device Procedures

Trends in Direct Oral Anticoagulant Management in Patients Undergoing Cardiac Implantable Electronic Device Procedures
Christen R. Waddell, DNP, RN, CMC, NP-C
In many parts of the world, there are no consensus guidelines regarding direct oral anticoagulant (DOAC) management for cardiac implantable electronic device (CIED) procedures. How have providers decided to manage DOACs in this setting, and has our management changed over time with more experience prescribing DOACs?

Factors Influencing Management of Direct Oral Anticoagulants in Patients Undergoing Cardiac Implantable Electronic Device Procedures
Marci Farquhar-Snow, MN, RN, CCRN, CMC, CNS, ACNP-BC
Without consensus guidelines in many parts of the world, how have providers decided how to manage direct oral anticoagulants (DOACs) in the periprocedural period for cardiac implantable electronic device (CIED) procedures? This study evaluated for any statistically significant correlations with patient comorbidities, procedure type, concurrent medications, year, or facility.

Complication Rates Associated With Direct Oral Anticoagulants in Patients Undergoing Cardiac Implantable Electronic Device Procedures
Michelle L. Alland, MSN, RN, FNP-C
Does direct oral anticoagulant (DOAC) management in the periprocedural period surrounding cardiac implantable electronic device (CIED) procedures have an impact on bleeding and thrombotic complication rates? We have analyzed complication rates and evaluated for any statistically significant contributing factors.

Session: F 17

SYMPOSIUM: Enhancing Health/Wellness of Students, Faculty and Staff in Academic Settings: Evidence-Based Strategies for Success

Enhancing Health/Wellness of Students, Faculty and Staff in Academic Settings: Evidence-Based Strategies for Success
Bernadette Mazurek Melnyk, PhD, RN, CPNP/PMHNP, FAANP, FNAP, FAAN
This symposium will: discuss the state of population health, including nurses’ health, and behaviors that prevent chronic conditions; describe innovative strategies to incorporate wellness into academic settings; explore the state of wellness among first year graduate health sciences students, and describe successful educational wellness programs for students, faculty and staff.

Incorporating Wellness Into Nursing Education
Kate E. Gawlik, DNP, RN, CNP, ANP-BC, FNP-BC
Current nursing pedagogy lacks integration of student wellness and self- care. This presentation will discuss innovative ways to incorporate wellness and self-care into nursing education as well as discuss the central role of nursing leadership in population health promotion and chronic disease prevention.

Findings From the Building Healthy Academic Communities Million Hearts® Challenge Program
Megan E. Amaya, PhD, CHES, AFAA
Cardiovascular disease (CV) is the leading cause of death for men and women in the U.S. The Million Hearts initiative emphasizes evidence-based interventions and education to increase healthy lifestyles to reduce morbidity and mortality. This study investigates the relationships of online, educational modules on participant health outcomes, behaviors and stress.

Mental Health and Healthy Lifestyle Behaviors in First-Year Health Sciences Graduate Students
Jacqueline Hoying, PhD, RN, NEA-BC
Mental health disorders account for nearly one half of the disease burden for U.S. young adults and the prevalence of depression among college students continues to rise. The Wellness Onboarding study examined the relationship among healthy lifestyle beliefs and behaviors, anxiety, depression, and stress.

Concurrent Sessions G

4:00-4:30 p.m. (1600-1630)

Select each session below to view the individual presentations.

Session: G 01

Special Session

The STTI Chapter Development Process: How to Start a Chapter
Jenny Hoffman, BS
Do you want to start a chapter of STTI? Learn about the requirements, process, and timeline to establish and operate a developing honor society and then later apply for chapter charter status.

Session: G 02

Special Session

The United Nations and the Sustainable Development Goals
Cynthia Vlasich, MBA, BSN, RN
The purpose of this presentation is to inform participants of the progress made in developing Sigma Theta Tau International's relationship with the United Nations to enhance the organization’s global reach, impact and participation within the global healthcare community. An overview of the Sustainable Development Goals will also be discussed.

Session: G 03

Special Session

Research Abstracts, Proposals, and Grant Writing: Basics From Start to Finish
Lois S. Marshall, PhD, RN
This presentation will provide the novice researcher the basics to write a research abstract, proposal, and/or grant for submission. This session will enable participants to gain a basic understanding of the steps of the abstract/proposal/grant writing process in order to enable them to put forth a submission in the future.

Session: G 04

Special Session

Domestic Volence and Abuse: Preparation of Preregistration Nursing and Midwifery Students
Parveen Ali, PhD, MscN, RN, SFHEA, FRSA
In this session, a program of research about domestic violence and abuse and will be shared, including findings of a survey conducted to measure preregistration nursing and midwifery students’ level of knowledge, attitudes, and skills related to domestic violence and abuse and its management.

Session: G 05

Special Session

Home-Brewed Cultural Responsive Interventions for Pain Management in Ghana
Lydia Aziato, PhD, MPhil, FWACN, FGCNM, ONC, BA (Nsg/Psych) (Hons), RN
Evidence support the application of findings to a context that fits and is appropriate for what is proposed. A context appropriate clinical guideline for post-operative pain management and a pain assessment tool developed and validated for pain clinical use in Ghana have influenced pain management positively.

Session: G 06

Special Session

Mobile Health Technologies and Precision Health
Ryan Jeffrey Shaw, PhD, RN
Come see a demonstration on how emerging mobile health and sensing technologies are being used as tools for precision health. Participants will learn how data science is used to analyze real-time data in ongoing clinical trials, and hear about futuristic technologies on the horizon.

Session: G 07

Special Session

Nurse Entrepreneurship: Where Nursing Research Meets Opportunity
Kenneth W. Dion, PhD, MBA, RN
Nurses are the source of many revolutionary innovations. All too often, non-nurses reap the profits from nursing innovation. The session is for nurses and nurse researchers interested in exploring commercializing their efforts. Many of the topics covered in this session are transferable to the research grant application process.

Session: G 08

SYMPOSIUM: When Healthcare Is Needed: Violence Has Strained Relations and Law Enforcement Is Involved

When Healthcare Is Needed: Violence Has Strained Relations and Law Enforcement Is Involved
Dianne McAdams-Jones, EdD, RN, GNE, CHSE
In today’s society, fraught with racial tensions over recent events involving law enforcement, it could be asked ‘…how to mitigate or what is to be done’. A safe space for discussing violence and strained community relations is warranted. Health care providers cannot continue to be polite and avoid the conversation.

When Healthcare Is Needed, and I Feel Victimized
John King
Trust and consistency can provide feelings of safety and protection. In the wake of recent events and the looming feelings of distrust in law enforcement from some marginalized groups, communities and families have met with mourning and perceived grief yet unseen. Where do I turn?

Simulation in Law Enforcement: Safe Learning Spaces for Law Officers
Tirsit Valentine
Health care simulation is used to provide safe places for learning and safe spaces for mistakes. In law enforcement, simulations are used exactly for those same reasons; safe places for learning and in safe environments. The choice is not to fly a plane without first practicing in the simulator.

See the Thursday, Saturday, Sunday, and Monday Sessions
Return to the full schedule