The Honor Society of Nursing, Sigma Theta Tau International


Concurrent Sessions R

10:15-11:30 a.m. (1015-1130)

Select each session below to view the individual presentations.

Session: R 01

Developing Nurse Leaders

Clinical Nurses and Executive Leaders Collaborating at the Bedside to Eliminate Hospital-Acquired Pressure Injuries
Patrice Duhon, MSN, RN; and Barbara J. Mayer, PhD, RN, CNS
Bedside staff and executive leaders took a collaborative approach through shared decision-making to eliminate hospital-acquired pressure injuries while inspiring self-motivation, accountability, employee engagement, and improved outcomes.

Developing Future Nurse Leaders Through Shared Governance
Janette Moreno, DNP, RN, CCRN-K, NEA-BC; Anita S. Girard, DNP, RN, CNL, CCRN, CPHQ, NEA-BC; and Wendy Foad, MS, BSN, RN, NEA-BC
This session will discuss how a large academic medical center in the U.S. integrated an evidence-based succession planning framework into an existing shared governance. The program resulted in the internal promotion of 20% of the council members to formal leadership positions. The program is replicable in other organizations.

Nurses at the Forefront of Integration
Jill Case-Wirth, MHA, BSN, RN; and Elizabeth Spiva, PhD, MSN, BSN, RN
Nurses played a pivotal role in the integration work at a healthcare system. Highlights of extraordinary teamwork, dedication, communication, and countless hours to plan for a smooth and effective transition were evident in the outcomes produced.

Session: R 02

Experiences of Pregnant Women

Improving Care of High-Risk Obstetrics Patients By Creating an Evidence-Based Nurse-Driven Process
Holly A. Barbella, MSN, MBA, RN; Grant C. Walter, BS, BS; and Ann F. McFadden, BSN, RN
An EBP project revealed that 17-P (progesterone medication) reduces rates of recurrent preterm birth. Patients should start administration between 16-20 weeks' gestation. Literature findings led to a nurse-driven process that identified eligible patients at their initial prenatal visits. Study findings showed a decrease in gestational age at the initial administration.

Differences Between Chinese and American Women and Their Experience of Stress Urinary Incontinence in Pregnancy
Jinguo Helen Zhai, MSN, RN, RM; Lynda A. Tyer-Viola, PhD, RNC, FAAN; and Joseph Hagan, PhD
The experience of stress urinary incontinence in pregnancy may be affected by one’s culture and healthcare delivery system. This study explored differences in this condition between Chinese and American women. Results indicated a need for surveillance during pregnancy to avert physical and emotional disability later in life.

Experiences of Women With Physical Disabilities Related to Pregnancy
Suzanne C. Smeltzer, EdD, MS, RN, ANEF, FAAN; Monika Mitra, PhD, MA; Lisa I. Iezzoni, MD, MSc; Linda Long-Bellil, PhD, JD; and Lauren D. Smith, MPH, BS
Women with physical disabilities who gave birth described their pregnancy experiences. Analysis of interview transcripts revealed clinicians: (1) lack knowledge about perinatal needs of women with physical disabilities, (2) discount women’s knowledge and experience about their own disabilities, and (3) lack awareness of reproductive concerns of women with physical disabilities.

Session: R 03

Promoting Evidence-Based Practice

A Systematic Review of the Factors Influencing Healthcare Managers’ Engagement in Evidence-Informed Practice
Pamela E. Baxter, PhD, RN; Sarah J. Hewko, MHA, RD; Kaitlyn C. Tate, BScN, RN; Patrick B. McLane, PhD, MA; Carly A. Whitmore, BScN, RN, CPMHN(c); and Greta G. Cummings, PhD, RN, FCAHS, FAAN
By exploring findings from an international systematic review of the literature, participants will gain an understanding of the factors that influence healthcare managers’ evidence-based management practices. In addition, participants will come away with knowledge of how to promote/support healthcare managers' evidence-based practice in their own organizations.

Influence of Nurse Social Networks on Evidence-Based Practice (EBP): Results of an Exploratory Study
Nan M. Solomons, PhD, MS; Judith A. Spross, PhD, RN, FAAN; and Gerri Lamb, PhD, RN, FAAN
The EBP literature suggests that nurses are more likely to turn to each other for answers to clinical questions. This study suggested that understanding nurses’ relationships with each other and their social networks may lead to more effective strategies for improving the uptake of evidence in clinical practice.

Driving Evidence-Based Practice Through Remote and/or Mobile Applications
Kim Tharp-Barrie, DNP, RN, SANE; and Tracy Williams, DNP, RN
The pilot study investigated the efficacy of a mobile application with remote patient management designed to facilitate critical thinking and clinical reasoning at the point of care. A description of the study’s parameters and results of how certain bedside applications can enhance the bedside effectiveness of nurses will be shared.

Session: R 04

Quality Improvement Outcomes

Implementation and Sustainabiliy of Quality Improvement (QI) in Home and Community-Based Service (HCBS) Settings
Kathleen Abrahamson, PhD, RN; Heather Davila, MPA; Christine Mueller, PhD, RN, FAAN; and Greg Arling, PhD
Expansion of HCBS and efforts to integrate health and social services have sparked interest in improving the quality of community-based services. This study explored HCBS providers' perspectives of organizational readiness for QI early in the implementation phase and 6-months after project completion to gather perceptions of its impact and sustainability.

The Influence of Multimorbidity on Rehabilitation Outcomes in Stroke and Amputation
Bianca Ivonne Buijck, PhD, MScN, RN
Multimorbidity is highly prevalent in older patients who rehabilitate in skilled nursing facilities (SNFs). In these SNFs, nurses have an important role in the rehabilitation process of patients. In this session we provide knowledge about the influence of multimorbidity on rehabilitation outcomes in stroke and LLA.

A Description of Work Processes Used By Clinical Nurse Specialists (CNS) to Improve Patient Outcomes
Janet S. Fulton, PhD, RN, ACNS-BC, ANEF, FAAN; Ann M. Mayo, DNSc, RN, CNS, FAAN; Jane A. Walker, PhD, RN; and Linda Urden, DNSc, RN, CNS, NEBC, FAAN
This study identified processes used by CNs working in different settings to improve clinical outcomes. Findings demonstrated that CNS practice is situational and contextual; processes used to gain trust, solve problems, and communicate with other disciplines, when done well, are highly effective and often invisible.

Session: R 06

Provider Perceptions of the HIV Patient

Perspectives of People Living With HIV Toward Healthcare Providers: Insights Into Multicultural Health Literacy
Ellen R. Long-Middleton, PhD, RN, FNP, FNAP; Patrice Kenneally Nicholas, DNSc, MPH, RN, ANP, FAAN; Inge B. Corless, PhD, RN, FAAN; Carmen J. Portillo, PhD, RN, FAAN; Allison R. Webel, PhD, RN; Marta Rivero-Mendez, DNS, RN, GCG; William L. Holzemer, PhD, RN, FAAN; Keitshokile Dintle Mogobe, PhD, RN, RM; Jeanne Kemppainen, PhD, RN, CNS; Kathleen M. Nokes, PhD, RN, FAAN; Yvette Cuca, PhD, MPH, MIA, CPH; Paula Reid, PhD, RN, WHNP-BC; Lucille Sanzero Eller, PhD, RN; Dean Wantland, MSN, MS, RN; Motshedisi B. Sabone, PhD, RN; Solymar Solis-Baez, BA; C. Ann Gakumo, PhD, RN; Rachel Fortinsky; and Carol Dawson-Rose, PhD, RN, FAAN
Relationship quality between a multicultural group of people living with HIV and healthcare providers was central to this sample in facilitating and enhancing health literacy.

Barriers and Facilitators of Couples’ HIV Testing and Counseling: Providers’ Perceptions From an HIV Epicenter
Natalie M. Leblanc, PhD, MPH, RN
This presentation will describe and synthesize findings from a study among U.S. healthcare providers (N=22) on the perceived barriers to and facilitators of couples HIV testing and counseling (CHTC) in a U.S.-based clinical setting. Providers will offer their perspectives and recommendations for implementation.

Quality of Care at Primary Healthcare Facilities: Perceptions of Tuberculosis and HIV Co-Infected Patients
Deliwe Rene Phetlhu, PhD, MHS, BA, RN, RM; Siphokazi Mngcozelo, BCur, RN, RM; Million Bimerew, PhD, MN, BN, RN; and Joliana Selma Phillips, PhD, MSc
Providing quality health services is of utmost importance in improving South Africa’s poor health outcomes in addition to restoring patient and staff confidence in the healthcare system. Therefore, understanding how the clients perceive the services they receive is critical for nurses’ planning, organizing, and implementing nursing processes.

Session: R 07

SYMPOSIUM: Building Evidence-Based Practice in a Complex System: The Visionary Approach in the U.S. Air Force

Building a Program to Bring Evidence-Based Practice to the U.S. Air Force Nursing Enterprise
Lynn Gallagher-Ford, PhD, RN, DFPNAP, NE-BC
This session will highlight the innovative work to create a successful EBP education and follow-up program to deliver improved care and significant outcomes in the United States Air Force(USAF)Nurse Corps. Details of development and delivery of an EBP education program for this complex, global enterprise are highlighted.

Implementation of Programs and Infrastructures to Sustain Evidence-Based Decision-Making and Practice
Penelope F. Gorsuch, DNP, RN, ACNP-BC, CCNS, CCRN-K, NEA-BC
The collaboration and synergy between The Center for Transdisciplinary Evidence-based Practice (CTEP) and the United States Air Force nursing enterprise facilitated the development of strategies set forth from the Institute of Medicine(2001;Crossing the Quality Chasm. Three successful collaborative programs will be highlighted; EBP education, EBP Mentor teams,structured EBP councils.

Outcomes of an Evidence-Based Practice Transformation Across the USAF Nursing Enterprise
Dorothy A. Hogg, MSN, MPA, WHNP-BC
A new paradigm in healthcare is required that includes research,evidence-based practice and quality improvement to create, translate, and implement best practices to achieve high-quality, cost-effective outcomes.The USAF nursing enterprise has initiated a plan to meet this goal by establishing a Clinical Inquiry concept utilizing Nurse Scientists, EBP experts, and others.

Session: R 08

Using Simulation in Nursing Education

Hands Off: Student Experiences in Objective Data Collection in Virtual Clinical Simulation
A. J. Kleinheksel, PhD, CHSE; Francisco Jimenez, PhD, MA; and Aaron Kotranza, PhD
Virtual patient simulation is a valuable tool for clinical curricula, but the inability to engage in physical contact may limit its application. This session will describe a novel virtual patient simulation for evaluating physical assessment and present the results of a mixed-methods study of pre- and postlicensure baccalaureate student experiences.

The Impact of Clinical Simulation on Beginning Nursing Students’ Self-Efficacy and Learning
Lucy R. Van Otterloo, PhD, RNC, CNS; and Cathleen Deckers, EdD, RN, CHSE
This educational activity will provide information on the effectiveness of two educational delivery methods for the clinical setting, traditional lecture and high-fidelity human simulation, on beginning-level nursing students' self-efficacy. Utilizing simulated experiences assists in enhancing undergraduate students' learning outcomes and their ability to provide safe and accurate care.

Validating Targeted Behavioral Markers for Baccalaureate Nursing Student Teamwork Performance Outcomes in Simulation
LeAnn Chisholm, PhD, RN; Rose A. Harding, MSN, RN; Keili L. Peterman, MSN, MBA, RN, NEA-BC; Mary E. Ford, MSN, RN; Lisa Donnelly, MSN, RN; Theresa A. Rhodes, MSN, RN, CPN; Kelli M. White, MSN, RN-BC; and Kacie S. Calloway, BSN, RN
Simulation is an evidence-based approach to teaching essential teamwork competencies; however, evaluating teamwork performance is a challenge. This study provided psychometric data for TeamSTEPP® Teamwork evaluation instruments and a discussion of inter-rater reliability concerns, including implications for future studies using teamwork observational instruments.

Session: R 09

Using Photovoice in Healthcare

Finding Meanings: Using Photovoice to Explore Smoking in Rural Low-Income Women
Star Mitchell, PhD, RN, CCRN
Using a relativist approach to photovoice, this study explored the meaning of smoking from the perspective of rural low-income women and its effect on their relationship to social identity, sociocultural factors, and smoking behavior.

Photovoice Empowerment Activity: Engaging High-Risk Youth in Civic Engagement and a Leadership Program
Ainat Koren, PhD, RN
Photovoice is a community-based participatory research methodology that has been successful in giving marginalized populations leadership roles in assessing their environments and advocating for positive changes. This presentation will share results from an exploratory qualitative study to examine the impact of photovoice combined with civic engagement and leadership program participation.

Curling and Rural Women’s Health in Canada: A National Photovoice Study
Beverly D. Leipert, PhD, MSN, BSN, BA, RN; Lynn Scruby, PhD, MS, BN, RN; Heather Mair, PhD; and Robyn Plunkett, PhD, MScN, BScN, BSc, RN
This national photovoice research significantly enhanced understanding of how gender and recreation intersect to influence rural women's health, social capital, rural community change, and community development and sustainability. It revealed important substantive and methodological information relevant to policies and practices for effective research about and promotion of rural women's health.

Concurrent Sessions S

11:45 a.m.-12:30 p.m. (1145-1230)

Select each session below to view the individual presentations.

Session: S 01

Alternative Practices in Women’s Health

Effects of Aromatherapy Massage on Pregnant Women’s Stress and Immune Function: A Randomized Controlled Trial
Jen-Jiuan Liaw, PhD, RN
This study examined the effects of aromatherapy massage on women’s stress and immune function during pregnancy. The study’s evidence guided clinicians in incorporating aromatherapy massage into prenatal care to improve maternal and fetal health.

The Home Birth Summits: Finding Common Ground to Transform Policy and Practice
Judith Lothian, PhD, LCCE, FAAN
The Home Birth Summits in the U.S. included all home-birth stakeholders to achieve the goal of finding common ground. The nine common ground statements that resulted have begun a transformation of policy and practice. This session will discuss the process of finding common ground and the outcomes that were achieved.

Session: S 02

Health Practices for Immigrants

Impact of Social Support and Stress on Blood Pressure Among West African Immigrants
Ruth-Alma N. Turkson-Ocran, MPH, MSN, RN, FNP-BC; Yvonne Commodore-Mensah, PhD, RN; and Ozioma A. Amadi, BSc, MPH
Cardiovascular health may be influenced by stress and social support. However, this relationship has not been examined in African immigrants to the United States. The relationship between perceived stress, social support. and mean systolic blood pressure was examined in a sample of West African immigrants living in Atlanta, Georgia.

El Sol: An Interdisciplinary Center for Guatemalan Healthcare
Terri Rocafort, PhD, ANP-BC
The El Sol Center will be presented, identifying a successful interdisciplinary approach to meet the multifaceted vulnerabilities of Guatemalan migrants in a local Florida community. El Sol will be analyzed using the Life Course Theory with applications for nursing.

Session: S 03

Workplace Cultures

Setting the Scene for Workplace Mental Health Promotion in a Swaziland Sugar Mill
Agnes A. Huiskamp, MA (Nsg), RN, RM, RPN; and Sifiso Manana, BA (Nsg), RN
The mental health promotion needs and psychosocial stressors of sugar-mill factory workers in Swaziland will be presented. Attendees will be introduced to the importance of mental health promotion in the workplace.

Building the Healing Organization: Strategies for Successful Implementation, Cultural Transformation, and Sustaining High-Value Outcomes
Marie M. Shanahan, MA, RN, HN-BC; Ann Marie Leichman, MSN, NEA-BC; and Veda L. Andrus, EdD, Hn-BC
Creating and maintaining a healing organization take a comprehensive vision and commitment to caring and compassionate principles. They require planning and executing with intention, creativity, and the boldness to lead a path that is still unfolding. Attendees will take away evidence-based, time-tested action steps to develop their organizations' plans.

Session: S 04

Creating a Culture of Patient Safety

The Development and Testing of a Measure for Turbulence in Intensive Care
Jennifer A. Browne, PhD, RN-BC, CCRN; and Carrie Jo Braden, PhD, RN, FAAN
Nursing workload impacts patient safety and clinical outcomes. Workload research is extensive but is hampered by varying definitions and measures. Further, workload measures may not specify all nursing work activities. This research tested a turbulence measure, capturing characteristics of nursing work not specified by existing workload conceptualizations and measures.

Registered Nurses’ Perceptions of Patient Safety Culture and Safety Outcomes in the Workplace
Elizabeth J. Murray, PhD, RN, CNE
Patient safety presents a serious global public health issue (WHO, 2014). This study explored nurses' perceptions of patient safety culture and identified the relationship between aspects of patient safety culture and safety outcomes.

Session: S 06

Global Health Promotion

Screening Recommendations for Baby Boomers With Chronic Hepatitis C and the Uncertainties That Surround Them
Humberto Reinoso, PhD, FNP-BC, ENP-BC
This research centered around hepatitis C in the baby boomer population and included the uncertainties associated with this diagnosis. This study explored new hepatitis C screening recommendations and investigated the influence a set of predictor variables prescribed by Mishel’s Uncertainty in Illness Theory on baby boomers’ perception of uncertainty.

Prevalent Vitamin D Deficiency and Impact of Vitamin D Supplementation on Acute GVHD in HCT
Linda DuPuis-Rosen, BSN, RN, OCN; and Tara Coghlin Dickson, MS, RD, CSSD
Empowered to develop a new standard of care for BMT recipients. How one question about vitamin D supplementation from a cancer patient lead me to a literature search, hypothesis, retrospective pilot study, new standard of care for vitamin D levels and supplementation, implementation and evaluation.

Session: S 07

Cross-Country Health Systems

Making a Cross-Country Comparison of Health Systems: What Are the Possible Study Design Frameworks?
Cheryl Zlotnick, DrPH, MPH, MS, RN; Sue A. Anderson, PhD, MS, BSN, BS, AS, RN, FNP-BC; and Vanessa Heaslip, PhD, MA, BSc (Hons), DipHe, RN, DN
Often, studies exploring healthcare differences in populations across countries focus solely on health outcomes, completely omitting the effects and influences of the health system context. This research examined study design frameworks used to make cross-country comparisons of healthcare outcomes within the context of the healthcare system.

A Case-Oriented, Cross-Country Comparison of Three High-Income Countries’ Health Systems and Healthcare Accessibility
Sue A. Anderson, PhD, MS, BSN, BS, AS, RN, FNP-BC; Cheryl Zlotnick, DrPH, MPH, MS, RN; and Vanessa Heaslip, PhD, MA, BSc (Hons), DipHe, RN, DN
With a case-oriented, cross-country comparison, this study used the Behavioral Model of Utilization (i.e., health system environments, population characteristics, and health behaviors/outcomes) to examine healthcare accessibility for selected vulnerable population groups in Israel, the United Kingdom, and the United States.

Session: S 08

Effective Teaching Methods

The Investigation of Teaching Effectiveness Over Clinical Nursing Preceptors
Yu-Wen Lin, MS, RN
In this cross-sectional study design with convenience sample, the purposes were to examine the degree of teaching effectiveness among clinical nursing preceptors and to explore the relationship of teaching effectiveness between preceptors’ self-evaluations and new nurses’ evaluations.

Student-Centered Teaching Methodology in an Undergraduate Nursing Programme at Two Nursing Institutions in Kingston, Jamaica
Melissa Walker, MScN (Ed), BScN (Hons), RN, CertPaedNsg, CertNsgAdmin; Cavelle J. Allen, MScN (Dist), BScN (Hons), RN; Dawn Munroe, MA (CounsPsych) (High Hons), RN, RM; Rosain N. Stennett, MPH, BSc; Shaulene M. Stanley, MScN (Ed), BScN, RN, CertAdvNsgEd; and Karozan S. Cascoe, MScN (Dist), BScN (Hons), RN
Senior students and lecturers rated the degree of student-centeredness among lecturers using the prevalidated "Principles of Adult Learning Scale" tool. Age and teaching experience were not significant factors, but class size was proven to be an important influencing factor when considering this teaching methodology.

Session: S 09

Cancer in Adolescents and Children

Health-Related Quality of Life in Thai Adolescents With Cancer: Roles of Spiritual Well-Being and Depression
Sureeporn Suwannaosod, MSN, BSN, RN; and Ratchneewan Ross, PhD, MSc, BSc, RN
This cross-sectional correlational study examined predictors of health-related quality of life (HRQOL) among Thai adolescents with cancer using structural equation modeling. Results showed that spiritual well-being and depression significantly predicted HRQOL. Interventions focusing on enhancing spiritual well-being and preventing depression may help optimize HRQOL in the target population.

Updates on Sleep Quality in Mothers and Children With Leukemia During Cancer Treatments
Ellyn E. Matthews, PhD, RN, AOCNS, CBSM, FAAN
In pediatric cancer patients, sleep problems are common and distressing to children and families. This research presentation will describe updates and sleep patterns/quality in mothers and children undergoing leukemia treatments compared with healthy controls. Participants will learn about the relationship between sleep and stress.

See the Thursday, Friday, Saturday, and Sunday Sessions
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