The Honor Society of Nursing, Sigma Theta Tau International


Concurrent Sessions L

8:30-9:45 a.m. (0830-0945)

Select each session below to view the individual presentations.

Session: L 01

Evidence-Based Practice in Nursing Education

Are Students Prepared to Engage in Evidence-Based Practice (EBP)? Developing Essential EBP Skills
Sharon Stahl Wexler, PhD, MA, BSN, RN, GCNS-BC, FNGNA; Esma Paljevic, EdD, MSN, BSN, RN, CPNP; Marie-Claire Roberts, PhD, RN; Lin J. Drury, PhD, RN, FNGNA; and Noreen Bridget Brennan, PhD, RN-BC
This presentation will describe our 6-year project to reengineer EBP throughout our three undergraduate curricula using the American Association of Colleges of Nursing (AACN) Baccalaureate Essentials as a guide. Students' knowledge increased, as did their level of confidence in EBP competencies, as demonstrated by scores on the ACE-ERI.

Empowering Nursing Through Evidence: Putting Evidence-Based Practice Back in the Classroom
Melanie C. Neumeier, MN, RN; and Leah Phillips, PhD, MA, BA (Hons)
Engaging in evidence-based practice is an entry-level competency for nurses around the world. However, fostering practical skills is often a challenge. This presentation will discuss an innovative method for bringing evidence-based practice skills alive in the classroom.

Impact of Community- and Hospital-Based Nurses’ Beliefs Regarding Evidence-Based Practice on Mentoring Student Nurses
Joanne Brooke, MSc, BSc, RN, CPsychol; and Catherine Lynch, MSc, RN, MA, PGCert, BSc (Hons), DPSN
This qualitative study explored the impact of nurses' beliefs regarding evidence-based practice on how they supported student nurses in implementing this approach and the different strategies applied by community- and hospital-based nurses. Mentorship programmes/practices and how one size does not fit all will be discussed.

Session: L 02

Health Behaviors of At-RIsk Adolescents and Young Adults

Orthorexia Nervosa and Its Relationship to Obsessive Compulsive Behaviors Among University Students in Southern California
Christine B. Costa, DNP, RN, NP, PMHNP-BC; and Kholoud Hardan-Khalil, PhD, RN
This presentation is original research that investigated orthorexia nervosa, or the obsession with healthy or “righteous” eating, and obsessive-compulsive behaviors in male and female university students.

Role of Race and Ethnicity on Trajectories of Health Risk Behaviors From Adolescence Into Adulthood
Robin Bartlett, PhD, RN; Thomas P. McCoy, PhD, PStat; Eunhee Park, PhD, RN, APHN-BC; and Jennifer Toller Erausquin, PhD, MPH, CHES
The development of behaviors, including sexual intercourse and tobacco, alcohol, and marijuana use, that put adolescents at risk for morbidities and mortality follow different pathways. These pathways may differ by race or ethnicity. Understanding the pathways for different groups can aid in tailoring interventions to improve outcomes.

Mindfulness Intervention in At-Risk Adolescents: Participant Voices
Kristen E. Rawlett, PhD, MSN, BS, FNP-BC
Providers can implement knowledge into clinical decision making by providing an opportunity in the inpatient and primary care setting for adolescents to have quiet time and listen to music. Participants will learn about the adolescent female experience participating in a 6 week mindfulness behavioral intervention in the teenagers own words.

Session: L 03

Faculty Retention

Leadership Practices, Job Satisfaction, and Faculty Stress Among Dutch Postdoctoral Nurses: A National Survey
Anne Mien Regelink, MSc, RN; Wedela de Lange, MSc, RN; Irina Poslawsky, PhD, RN; Harmieke van Os-Medendorp, PhD, RN; and Thóra Hafsteinsdóttir, PhD, MSc, BSc, RN
This cross-sectional survey investigated leadership practices, job satisfaction, and faculty stress among Dutch postdoctoral nurses. Participants showed highly developed leadership practices; moderate job satisfaction, including a positive outlier on the domain “number of responsibilities”; and somewhat high levels of faculty stress.

Burnout and Intent to Leave Among Mid-Level Academic Nurse Leaders: An Unfolding Crisis
Linda Flynn, PhD, RN, FAAN; and Pam Ironside, PhD, MS, BA, RN, ANEF, FAAN
International shortages of mid-level academic nursing leaders, including associate and assistant deans, are reaching crisis proportions. Findings from a multisite study of occupational burnout and intent-to-leave among academic nurse leaders from 28 schools of nursing will be presented. Evidence-based strategies for improving retention of these valuable leaders will be discussed.

A Comprehensive Needs Assessment to Gauge the Impact and Extent of the Nursing Faculty Shortage
Judith M. Jarosinski, PhD, RN, CNE; Lisa A. Seldomridge, PhD, RN; and Tina P. Brown Reid, EdD, RN
This needs assessment addressed unique issues related to the statewide shortage of undergraduate/graduate faculty. Results of a mixed-methods approach over a 2-year period with 12 universities and colleges that participated in web-based surveys, along with faculty focus groups and interviews with deans/chairs, will be presented.

Session: L 04

Competencies in Psychiatric Health

Enhancing Mental Health Competencies in Advanced Practice Nursing Graduates
Nancy E. Edwards, PhD, MSN, ANP-BC; and Susan J. Kersey, MSN, PMHCNS-BC
This presentation will discuss mental health content curricular enhancement to the Adult Gerontology Nurse Practitioner program. The program provided increased lecture content, interactive case studies, and clinical implementation. A pre-test/post-test design was implemented to assess students’ perceived competence in psychoactive medications and treatment of common primary care mental health conditions.

Mental Health Stigma and Perceived Practice Competence Among Nurse Practitioners: A Cross-Sectional Descriptive Study
Cara C. Young, PhD, RN, FNP-C; Susan Calloway, PhD, RN, FNP-BC, PMHNP-C, FAANP; and Courtney Brown
Mental health stigma has been suggested as a barrier to quality mental healthcare, yet this has not been studied among nurse practitioners in nonpsychiatric settings. Results from a United States survey examining mental health stigma and perceived competence in addressing mental health concerns among nurse practitioners will be presented.

MRI Outcomes of Emotional Regulation: A Feasibility Study
Brenda Marshall, EdD, MSN, APN-BC, NE-BC, ANEF
This study examined emotional regulation by using functional Magnetic Resonance Imaging (fMRI), to evaluate the responses of adults exposed to satic faces and changing stories. Understanding the emotional effects of changing context and visual cues can improve therapeutic relationship development.

Session: L 05

SYMPOSIUM: Transforming Nursing Knowledge, Education, and Practice Through Pre-Briefing and Debriefing

Simulation Pre-Briefing: Supporting Competency and Judgment Development in Nursing Learning
Karin Page-Cutrara, PhD, RN
In this interactive session, nursing researchers will present findings from their work on prebriefing and debriefing applicable to simulation and clinical settings in academe and practice. Speakers will engage the audience in a discussion of ways to translate these findings into strategies that can transform nursing knowledge, education and practice.

Using Debriefing for Meaningful Learning to Foster Clinical Reasoning and Transform Nursing Practice
Kristina Thomas Dreifuerst, PhD, RN, CNE, ANEF
In this interactive session, nursing researchers will present findings from their work on prebriefing and debriefing applicable to simulation and clinical settings in academe and practice. Speakers will engage the audience in a discussion of ways to translate these findings into strategies that can transform nursing knowledge, education and practice.

Transforming Debriefing By Exploring Faculty Preparation and Use With the Debriefing for Meaningful Learning Inventory
Cynthia Sherraden Bradley, PhD, RN, CNE, CHSE
In this interactive session, nursing researchers will present findings from their work on prebriefing and debriefing applicable to simulation and clinical settings in academe and practice. Speakers will engage the audience in a discussion of ways to translate these findings into strategies that can transform nursing knowledge, education and practice.

Session: L 06

Special Session

Gerontological Nurse Faculty Leadership Academy (GNLA): Leading Advancements in Interprofessional Care for Older Adults
Deborah Cleeter Bailey, EdD, MSN, RN; Karen Reynolds, DNP, CNS-BC, FGNLA; Deborah Ann D’Avolio, PhD, PhD, BC-ACNP, ANP; and Patricia Ann Kappas-Larson, DNP, APRN-BC,FAAN
As the world’s population ages, we must have effective leaders to guide advancements in care delivery and policy for older adults. The GNLA, presented in partnership with Hill-Rom, is designed to develop mid-career Gerontological nurses as significant leaders. The intense Fellowship is built upon three learning domains and a leadership mentoring triad.

Session: L 07

Global Management of Chronic Conditions

Developing and Validating a Problem-Solving Tool for Caregivers to Manage Antineoplastic Treatment for Family Members
Annamaria Bagnasco, PhD, MSN, RN
This study showed how to develop and validate an educational tool to help family caregivers manage and resolve problems linked to the administration of oral antineoplastic therapy. This tool increased caregivers' level of confidence and contributed to reducing errors and improving patient safety.

The Value of Peer Contact in Patients Impacted By “Rare” Diseases
A "rare" disease impacts fewer than 200,000 individuals concurrently. Evidence suggests patients find value talking with peers who share similar illness experiences. This qualitative study indicated that patients with a rare neurological syndrome perceived information received from peers more favorably than from healthcare professionals. This session will discuss this theme.

Self-Management of Medication Regimen in Chronic Disease: Analysis of the Portuguese Nursing Information System (NIS)
Inês Cruz, MNSc, RN; Fernanda Bastos, PhD, MsC, RN; and Filipe Miguel Soares Pereira, PhD, RN
Chronic disease is a serious global problem. Its control depends on self-care behaviours, including self-management of medication regimes. The use of nursing NIS to support information produced by nurses is common in Portugal. This study analyzed all diagnoses and interventions documented in the NIS about this phenomenon.

Session: L 08

Conversations on Intimate Partner Violence

Economics and Intimate Partner Violence: Reducing Risk Through Economic Solvency
Heidi Gilroy, PhD, RN, APHN-BC
Intimate partner violence affects one in three women around the world and has tremendous health consequences. This presentation will describe economic solvency in women and how it may decrease risk for partner violence and related health problems.

Prevalence and Predictors of Intimate Partner Violence in Mexican and Non-Mexican Hispanic Women From SEPA
Nilda (Nena) Peragallo Montano, DrPH, RN, FAAN; Young Ju Kim, PhD, RN, ACNP; Rosa M. Gonzalez-Guarda, PhD, MPH, RN, CPH, FAAN; Rosina Cianelli, PhD, MPH, RN, FAAN, IBCLC; and Natalia Villegas, PhD, MSN, RN, IBCLC
This study is to investigate how different the prevalence of intimate partner violence is and what factors predict partner violence among Hispanic women by nationality.

Opportunities for International Interdisciplinary Research Collaborations to Improve Health Outcomes for Intimate Partner Strangulation Survivors
Michelle Patch, MSN, APRN-CNS, ACNS-BC; Dominic Robert Reed, MLitt, BSc; and Jacquelyn Campbell, PhD, MSN, BSN, RN
This presentation will describe the current health care literature from the US and UK on intimate partner strangulation, and suggest areas for international research collaboration among nurses, physicians and domestic violence advocacy to better understand this unique form of violence and inform practice and policy efforts.

Session: L 09

Nursing Leadership

A Review and Synthesis of Literature Examining Healthcare Managers’ Use of Knowledge in Their Practice
Greta G. Cummings, PhD, RN, FCAHS, FAAN; Kaitlyn C. Tate, BScN, RN; Sarah J. Hewko, MHA, RD; Patrick B. McLane, PhD, MA; Pamela E. Baxter, PhD, RN; Susan Armijo-Olivo, PhD, PT; and Carole A. Estabrooks, PhD, CM, RN, FCAHS, FAAN
Despite acceptance of the merits of evidence-based practice, healthcare managers are frequently cited as discounting the value of research evidence to inform management practice. This study identified and evaluated the effectiveness of interventions implemented to enhance healthcare managers’ use of research in their management practices.

Leadership Insights of Senior Nurse Executives
Robie Hughes, DSN, RN, CNS
A qualitative study of eight senior-ranking, retired, U.S. military nurse executives was conducted via semistructured, historical, narrative interviews. The questions examined leadership experiences, leadership lessons, and the historical context of nursing leadership practice.

A Global Exploration of Leadership Competencies for Academic Nurse Educators
Anne Marie Krouse, PhD, MBA, RN-BC; and Barbara J. Patterson, PhD, RN, ANEF
Advancing the science of nursing education requires academic nurse educators who are prepared to be leaders; however, many are thrust into leadership roles without sufficient preparation. The purpose of this research was to describe leadership competencies of nurse educators from an international sample.

Session: L 10

Global Perspectives on Multi-Drug-Resistant Infections

Antimicrobial Stewardship: A Comprehensive Literature Review of the Nursing Role in Preventing Multi-Drug-Resistant Infections
Casey N. May; Kaitlyn E. Thormahlen; Renee M. Vittone; and Celina C. Calo
The purpose of this literature review was to determine the role of the nurse in antimicrobial stewardship in the hospitalized patient. The reviewed articles indicated that nurses should have an active role in hand hygiene, education, knowledge of medications, overprescribing practices, and the development of policies and protocols.

A Multicultural Approach to Decreasing Unnecessary Antibiotic Prescribing for Pharyngitis
Mercedes Camacho-Walsh, RN, FNP-BC; and Corinne Schultz Ellis, DNP, RN, BC
The presentation will address the latest guidelines for diagnosis and management of pharyngitis and methods to increase adherence to them while satisfying patients at the bedside. A short trilingual video of clinical scenarios in a multicultural setting will facilitate the application of evidence-based practice.

What Works to Improve Staff Compliance With Multi-Drug-Resistant Organism (MDRO) Screening
Monina Gesmundo, MN (Hons), PGDip HSc (Merit), PGCertTertiaryTch, BSN, RN, RM, CNS
This audit review evaluated the effects of multimodal interventions on staff admission screening compliance rates for MDROs in various departments of a tertiary public hospital in New Zealand.

Session: L 11

Interprofessional Collaboration Enhancing Clinical Outcomes

Interprofessional Oral-Systemic Health Standardized Patient and Case Study Experience
Judith Haber, PhD, APRN, BC, FAAN; and Erin Hartnett, DNP, CPNP, APRN-BC
The aim of the Interprofessional Oral-Systemic Health Standardized Patient and Case Study Experience is to promote the acquisition of interprofessional oral-systemic health core competencies among future primary care providers by engaging nurse practitioner, nurse-midwifery, dental, and medical students in an interprofessional oral-systemic health simulation experience.

ABCDE Bundle Adherence: The Influence of Access to ABCDE-Enhancing Supplies and Equipment
Leanne M. Boehm, PhD, RN, ACNS-BC
This session will describe the accessibility of ABCDE-enhancing supplies and equipment in Intensive Care Units, attempting to implement the ABCDE interprofessional critical care bundle and generate hypotheses for future study.

Interprofessional Collaboration in Fall Prevention: Home Care Providers’ Experience
Kyeongra Yang, PhD, MPH, RN; and Keville Frederickson, EdD, RN, FAAN
Research suggests that a multifactorial fall risk assessment can effectively identify the risk of falls among patients receiving home care. This qualitative, descriptive study used focus groups to examine home care providers’ interprofessional collaborative experiences in providing fall prevention in home settings.

Session: L 12

Nursing Ethics

Legal and Ethical Accountability for Nursing Errors: Disclosure and Apology
Susan J. Westrick, JD, CNE
Disclosure of errors and apology are areas of growing concern for nurses. The legal and ethical evidence bases and protections for accountable disclosure are foundational to responsible practice. Yet there are barriers to disclosure, including lack of training and guidance on disclosure processes that need to be addressed.

The Impact of Conscience and Ethical Climate Among Nurses in the Hospital Setting
Theresa Kyzar, PhD, MSN, MBA, RN
A recent U.S. research study investigated nurses’ attitudes regarding conscience and ethical climate in the acute care setting. Findings revealed that poor ethical climate can lead to conscience-related stress in nurses. A team-based environment is important to allow the nurse to act with moral courage during ethically difficult patient-care situations.

A Collaborative State of the Science Initiative: Transforming Moral Distress to Moral Resiliency in Nursing
Cynda Hylton Rushton, PhD, RN, FAAN; Heidi Kathleen Holtz, PhD, RN; and Patricia Rodney, PhD, RN
With decided action, we can help nurses and other providers mitigate the effects of moral distress, increase the understanding and implications of building moral resilience, improve the ethical environment in which they practice, and improve the quality of healthcare.

Session: L 13

Health Promotion in Asthma Patients

Commencement of Global Dissemination and Implementation of a School-Based Academic Asthma Education and Counseling Program
Eileen Kae Kintner, PhD, RN, FAAN
This session will challenge an existing paradigm that disease-specific self-management programs are inappropriate for academic settings and address a critical barrier to progress in the field of self-management by describing how an efficacious and effective school-based academic asthma health-education and counseling program is being disseminated and implemented in real-world settings.

Can an Asthma Self-Management Intervention Improve Quality of Life in Children Who Have Asthma?
Sharon Dee Horner, PhD, RN
Asthma is a major public health problem that affects children's quality of life, especially those who are members of racial/ethnic minority groups. This presentation will report the results of an asthma self-management intervention on children's quality of life and examine the differences between ethnic/racial groups.

Use of Spirometry to Measure Asthma Control in Patients With Sickle Cell Disease
Laurie Duckworth, PhD, ARNP; Gloria Lipori, MBA; Jeanette Green, PhD, PNPBC; Jeffrey Klann, PhD; and Shaun Grannis, MD
Patients with sickle cell disease who also have asthma are at greater risk for developing acute chest syndrome. These patients should receive pulmonary function testing (spirometry) to diagnose, evaluate, and manage their asthma symptoms. This study examined variations in practice among four large academic medical centers.

Session: L 14

Perinatal Health

“You’re Not Alone”: The Power of Peer Mentoring for Pregnant Women With Substance Use Disorder
Mary T. Paterno, PhD, CNM, RN
Peer mentors in recovery from the lived experience of substance use during pregnancy provide important support to pregnant women with active addictions. Through personal digital stories and interviews, peer mentors provided an inside perspective on how the peer-mentoring process builds hope and supports pregnant women struggling with substance use.

Perinatal Nurse Home Visiting and Rates of Diabetes and Hypertension Among Child-Bearing Mothers
Amy McKeever, PhD, RN, CRNP, WHNP-BC; Joan Rosen Bloch, PhD, MSN, BSN, CRNP; Susan Zupan, MS, RN; and Jennifer Barkin, PhD, MS
The purpose of this presentation is to examine perinatal nurse home visiting services for medically high-risk pregnant women and referral patterns related to their diagnoses of diabetes and/or hypertension that complicated their pregnancies.

Longitudinal Evaluation of a Prenatal Mentoring Program for Decreasing Maternal Anxiety in a Military Sample
Karen L. Weis, PhD, RNC-OB, FAAN; Regina P. Lederman, PhD, MA, RN, FAAN; Katherine C. Walker, MSN, RN; and Wenyaw Chan, PhD, MS
A relationship exists between prenatal anxiety and pregnancy complications, poor birth outcomes, and infant cognitive delays. Traditionally, high-risk primigravidas have been the focus of prenatal assessment and interventions. This project assessed the efficacy of the Mentors Offering Maternal Support (M-O-M-S) program for decreasing prenatal maternal anxiety in a military sample.

Session: L 15

SYMPOSIUM: Educating for Person-Centredness: Leading Collaborative Research

Leading Collaborative Research With a Person-Centred Academic Culture Project
Brendan G. McCormack, PhD, DPhil (Oxon), BSc (Hons) (Nurs), PGCEA, RGN, RMN
In this presentation we will the key findings of our 18-month collaborative research project that has focused on generating a person-centred academic environment in nursing.

Leadership Within an International Community of Practice for PhD Students: Person-Centred Practice Research
Janet Dewing, PhD
This presentation will discuss an international community of practice (CoP) for doctoral students that are united around the concept of person-centredness. The presentation highlights learning methods, processes and outcomes. Finally, the presentation will enable the audience to 'hear' the voices and 'see' the work of the CoP members.

The MSC Person-Centred Practice Framework Curriculum: Underpinning Philosophy and Model
Savina Tropea, PhD, RN
Consensus on values and beliefs about learning is important in curriculum development. This presentation focuses on the process of co-creation of the philosophy underpinning the MSc Person-centred Practice Framework and of the curriculum model by using critical dialogues and creative visual representations to capture emerging key concepts and principles.

Session: L 16

Transitioning From Military to Civilian Nurse

Personal and Professional Transition From Military to Civilian Nursing Practice
Brenda Elliott, PhD, RN; Katie A. Chargualaf, PhD, RN, CMSRN; and Barbara J. Patterson, PhD, RN, ANEF
The military environment maintains unique characteristics that directly influence a nurse’s identity and practice. As military drawbacks continue, more nurses are leaving active duty and practicing in civilian healthcare settings. The process of transition from military to civilian nursing practice will be discussed, with recommendations for improvement identified.

Understanding the Experiences of Veterans Enrolled in Prelicensure Nursing Programs in the United States
Teresa Shellenbarger, PhD, RN, CNE, ANEF; and Julie L. Decker, DNP, RN
This presentation will describe a hermeneutic phenomenological study that was conducted to understand the lived experiences of veterans enrolled in prelicensure nursing programs in the United States. Four themes emerged that provided insight into the challenges these students face. Implications and recommendations resulting from the study will be shared.

The Reintegration Experience of Nurses Who Served in the Iraq and Afghanistan Wars
Mary Ellen Doherty, PhD, RN, CNM; and Elizabeth Scannell-Desch, PhD, RN, OCNS
This qualitative study captured the essence of the reintegration experience of 35 nurses. The nurses described their homecomings, family adjustments, renegotiations of spousal and parental roles, domestic and workplace challenges, and many other dilemmas posed by the reintegration process.

Concurrent Sessions M

10:15-11:00 a.m. (1015-1100)

Select each session below to view the individual presentations.

Session: M 01

Simulation and Transition to Practice

Evaluation of Three-Dimensional Computerized Simulation: Innovative Pedagogy to Prepare Graduate Nursing Students for Clinical Practice
Carole E. Jenson, DNP, APRN, CNS, ACNS-BC, CME, CCRN-K
Clinical skills and patient assessment determine the trajectory of a patient’s healthcare, directly affecting outcomes. This presentation will discuss a mixed-methods prospective study that was conducted to evaluate the use of a computerized simulation program as one pedagogy to prepare graduate nursing students for clinical practice.

Simulation and Transitioning to Professional Practice
Carrie A. Bailey, PhD, MSN, BS, APRN-BC, RN
The purpose of this study was to understand how new graduate nurses perceive the value of simulation in making the transition into professional practice. Four themes emerged from this research: how simulation is being used, the perceived value of simulation, simulation versus “real life," and simulation and preparation for practice.

Session: M 02

Support Initiatives to Promote Health

Effects of Support Groups on the Primary Family Caregivers
Chi-Hsuan Asphodel Yang, PhD, RN; and Shu-Chin Lin, MSN, BSN, RN
In Taiwan, elderly people with dementia are often cared for by family members. As dementia causes the patient's health to deteriorate, the caregiver's burden increases. A support group for family caregivers was initiated, and participants benefited from getting information from the nurse-led support group.

Home-Care Management Concerns and Perspectives by Patients With Head-and-Neck Cancer and Their Family Caregivers
Verna Hendricks-Ferguson, PhD, RN, CHPPN, FPCN, FAAN; Margaret Bultas, PhD, RN, CPNP-BC; Rebecca Ott, BSN, RN; and Crystal Weaver, MA, PLPC, CRC, MT-BC
This study focused on describing symptoms and home-care management concerns and perspectives during radiation oncology treatments by patients with head-and-neck (HNC) cancer and their family caregivers. In summary, the three most common symptoms and concerns were identified during the analysis of completed interviews of HNC patients and their family caregivers.

Session: M 03

Ethical Matters in Nursing Education

Beyond Silos: An Interprofessional, Campus-Wide Ethics Education Program
Cathy L. Rozmus, PhD, RN; Nathan Steven Carlin, PhD, MDiv, Rev.; Angela M. Polczynski, MBA, BBA; and Lorraine Frazier, PhD, RN, FAAN
This presentation will detail an interprofessional, campus-wide ethics program in a large health science center. Multiple activities in different formats will be described. An evaluation of the program included students' self-assessments and assessment of students' ethical decision-making skills at baseline and in years 3 and 5 of the program.

Bringing Global and Interdisciplinary Perspectives to Teaching Ethics in Nursing
Esma Paljevic, EdD, MSN, BSN, RN, CPNP; and Marie-Claire Roberts, PhD, RN
This session will describe novel strategies to improve and elevate the teaching of nursing ethics. Nurses graduating in the next 5, 10, and 20 years will face ethical issues and conflicts that are emerging as a result of innovative technology and broadening horizons of care across international borders.

Session: M 04

Cultural Education Initiatives

A Global Approach to Promoting EBP Knowledge: Validating the Translated Version of EKAN Into Spanish
Jan M. Nick, PhD, RN, RNC-OB, CNE, ANEF; Amy Hagedorn Wonder, PhD, RN; Alfa Rigel Suero, MD, BS; and Darrell Spurlock, PhD, RN, NEA-BC, ANEF
This presentation will articulate the need for a coordinated effort to globally assess EBP, provide validation results of an objective EBP instrument (EKAN) in Spanish using international collaboration, and discuss future activities to expand validation efforts to Japan, Korea, Colombia, and Brazil. These efforts could transform EBP knowledge assessment globally.

Influencing Global Health Through Cultural Nursing Education Assignments: Results of a Mixed-Methods Study
Amanda L. Veesart, PhD, RN, CNE
Nursing education identified the need for cultural education and mandated that all baccalaureate nursing programs implement cultural education. However, this cultural education has not been studied for effectiveness. The purpose of this research project was to examine the impact of a culturally based assignment on students' self-reported levels of cultural-awareness.

Session: M 06

Genetic Health

An Innovative Approach to Teaching Genetics to Graduate Nursing Students Using Interprofessional Teaching Modalities
Dorothy S. Lee, PhD, RN, ANP-BC, FNP-BC, CME; and Sharon K. Panepucci, MSN, RNC-OB, CHSE, CLC
Participants will identify strategies to incorporate current and emerging genetic/genomic evidence into graduate nursing studies to promulgate the provision of advanced nursing care to individuals, families, and communities via a meaningful, interactive, and motivating approach.

Improving Global Health and Advancing Nursing Science: Parental Knowledge on Genetic Screening and Immunization
Tami L. Thomas, PhD, RN, CPNP, FAANP, FAAN; Jeff Mauer, MS; and Kathleen Hickey, EdD, RN, FAAN, FAHA
The World Health Organization (WHO) has prioritized the reduction of disparities in socioeconomics and health within the next generation. To inform global health initiatives, advance nursing science, and provide data for evidence-based practice, pilot studies were conducted in urban and rural areas of the United States.

Session: M 07

Global Practices for Pressure Ulcers

Description of Medical-Surgical Nurses’ Care of Patients at Risk for Pressure Ulcers (PU)
Barbara J. Mayer, PhD, RN, CNS
This session will provide insights into nurses’ assessment and prevention of PU, articulate facilitators and barriers to the implementation of prevention measures, and describe several actions that could be taken to improve nurses’ assessment of PU risk and implementation of prevention measures.

Understanding Pressure Injuries: A Case Study of Adult Patients Treated in Their Own Homes
Debra Jackson, PhD, FACN; Lisa Durrant, PhD, AHP; Emily Buxton, BSc, NMC; Sarah Gardner, MSc, NMC; Ria Betteridge, MSc, NMC; Helen Walthall, PhD, RGN; Marie Hutchinson, PhD, RN, RM; Steven Neville, PhD, RN; and Kim Usher, PhD, RN
This session will describe the extent and personal burden of pressure injuries in adults from a defined, diverse community by using the provision of pressure-relieving equipment to evaluate service provision and patient experience.

Session: M 08

Health Promotion of Patients With Catheters

The One Million Global Peripheral Intravenous Catheter Study: Findings From a Large Urban Hospital
Marygrace Leveille, PhD, RN, ACNP-BC; and Lori Ewalt-Hughes, BSN, RN, CIC
This educational activity will describe the participation of a large urban hospital in the United States participating in an international study involving more than 50 countries and 418 participating hospitals. The session will present the specific findings of the participating hospital in comparison and contrast to the other participating facilities.

Association of Catheter-Associated Urinary Tract Infection (CAUTI) With the Practice Environment at the Unit Level
Nancy Ballard, PhD, RN, NEA-BC; Marjorie J. Bott, PhD, RN; Shin Hye Park, PhD, RN; Byron Gajewski, PhD; and Peggy A. Miller, PhD, RN
Findings from this study of the association of the practice environment on CAUTI rates at the unit level identified a negative association (p =

Session: M 09

Improving Health in the Psychiatric Patient

Improving Dual Diagnosis Care in Acute Psychiatric Inpatient Settings Through Education
Kofi Bonnie, MSc, BSc (Hons), RPN, CNS
Utilizing liberating structure models, participants' will build on their knowledge of delivering care to patients with mental health and substance use disorder in acute settings.

Working Together to Treat Tobacco Dependence Among Smokers With Serious Mental Illness
Rhonda Schwindt, DNP, RN, PMHNP-BC; Karen Hudmon, DrPH, MS, RPh; Kathy Lay, PhD, MSW; Angela McNelis, PhD, RN, FAAN, ANEF, CNE; and Jon Agley, PhD, MPH
Persons with mental illness represent an especially vulnerable and disadvantaged subgroup of smokers. Compared to people in the general population, they smoke more, die younger, and suffer disproportionately from tobacco-related diseases. Teaching health professionals an interprofessional approach to treatment has the potential to increase access as more providers are trained.

Session: M 10

Male Sexual Health and Substance Abuse

Substance Use Experiences of HIV-Positive and HIV-Negative Young Black Men Who Have Sex With Men
Austin Nation, PhD, MSN, RN, PHN
The prevalence of HIV among young black men who have sex with men (MSM) is three to four times higher than for white MSM. The purpose of this presentation is to describe and explain the significance of substance use among this population.

Substance Use Among Middle-Aged Hispanic Men Who Have Sex With Men (HMSM) in South Florida
Beatriz Valdes, PhD, RN, CHSE, RN
A nonexperimental, cross-sectional research method design was used to collect data from a sample of 150 urban HMSM ages 40 to 65 residing in South Florida. Participants completed standardized measures of substance use, sexual behaviors, and demographic characteristics.

Session: M 11

Pain-Management Strategies

Pain-Management Challenges in Rural Communities Impacted By Multi-Drug Overdoses
Cathy Campbell, PhD, RN
This session will identify six major pain-management challenges experienced by nurses in rural communities impacted by multi-drug overdoses. Nurses play an important role in pain management and education for patients, families, and communities.

Supporting Veterans With Chronic Pain: Utilizing an Evidence-Based Self-Care Model
Joseph F. Burkard, DNSc, MSNA, BSN, RN, CRNA
This evidence-based presentation will discuss self-management techniques that enable patients to take responsibility for their health, decrease their pain, and improve their quality of life (QOL) over time. The program will demonstrate that patients can decrease their narcotic use and still achieve higher QOL and decreased pain levels.

Session: M 12

Civility in Education and Practice

Upward Violence in Nursing: A Scoping Review of a Phenomenon of Importance for Nursing
Linda J. Patrick, PhD, MSc, MA, BScN, RN; Alice Pauline Gaudine, PhD, RN; and Lorraine A. Busby, MLS, BA
"Upward violence," or the violence directed toward persons with more power, is defined as an issue of importance in nursing yet one that is poorly recognized. A scoping review of the literature related to upward violence will be presented, and implications for nursing practice and research will be outlined.

Perceptions of Self-Reported Civility Among Undergraduate Nursing Students
Abby Grammer Horton, MSN, RN; and Norma Graciela Cuellar, PhD, DSN, RN
Nearly 62 percent of students and faculty in nursing education have reported incivility. The majority of the evidence in the literature describes student incivility as faculty:student or student:faculty. Few studies have identified student:student. The purpose of this study was to identify perceptions of self-reported civility in undergraduate nursing students.

Session: M 13

Promoting Health Globally

Re-Engendering Sexual and Reproductive Health (S&RH) Services: Evaluation and Strategy Directions for RH Clinics
Erlinda Palaganas; Marian Caterial Sanchez, BA (SocSc), BA; and Cynthia Dacanay Jaramillo, BA (Psych), BA
This study was designed to systematically capture and utilize client, stakeholder, and literature insights for enhancing institutional relevance and performance. Exploring what entails engendering S&RH care, it was based on the recognition of gender-differentiated needs and the commitment to counteract constraints and barriers to people, especially women’s S&RH entitlements.

Listen to Me: Noncaregiving Adult Children’s Needs From Healthcare Providers
Munira Wells, PhD, RN; and Connie Rutan Kartoz, PhD, RN, FNP-BC
The experience of adult children with healthy aging parents is largely ignored in the literature. This phenomenological study examined this experience and presented ways in which nurses can assist noncaregiving adults in navigating a life stage that involves independent but aging parents.

Session: M 14

Promoting Outcomes in Oncology Patients

Cancer Nursing Research in Africa: Scoping the Landscape
Lize Maree, DCur, RN, ANSA; Vivien Herbert, MSc (Nsg), RN; and Agnes A. Huiskamp, MA (Nsg), RN, RM, RPN
Work published by nurses/midwives practicing in cancer care in Africa will be presented. Gaps and directions for future research will be highlighted. Attendees could use this opportunity to consider collaborative research to assist with the development of Africa-specific cancer nursing practices.

Collaboration and Communication in Pediatric Oncology: A Case for the Clinical Nurse Leader (CNL)
M. Danielle Gunter, PhD, RN, CPN
This presentation will discuss the difficulties in care coordination for children with cancer. The lack of effective collaboration can cause psychological distress. It can also have direct effects on care outcomes and financial resources. A CNL can improve these outcomes and facilitate collaboration within the healthcare team.

Session: M 15

Cognitive Impairment Effects on Clinical Outcomes

Perceived Cognitive Deficits in Persons With Multiple Sclerosis (MS)
Alexa K. Stuifbergen, PhD, RN, FAAN; and Ashley M. Henneghan, MSN, RN
Cognitive dysfunction is potentially the most disabling symptom for those with MS, often with a devastating impact on patients and families. This session will provide findings regarding perceived cognitive deficits for a large community-based sample participating in a multisite randomized clinical trial of a cognitive rehabilitation intervention.

Psychometric Properties of the Problem-Solving Inventory in Caregivers of Persons With Memory Loss
Meihua Ji, MSN, RN; Susan M. Sereika, PhD, MPH; Jeffrey M. Rohay, PhD, MSIS; and Judith A. Erlen, PhD, RN, FAAN
This study examined the psychometric properties of the problem-solving inventory among informal caregivers of community-dwelling persons with memory loss. Reliability, factor structure, and validity of the instrument will be reported, with appropriate statistical analysis methods.

Session: M 16

Enhancing Quality of Patient Care Through Communication

A Systematic Review of the Impact of Intentional Rounding on Patient Safety in Acute Care
Angela Christiansen, PhD, MSc, BSc (Hons), RN, PGDipEd; Elisabeth Jacob, PhD, RN, FACNM; Diane Esma Twigg, PhD, MBA, BHlthSc (Nsg) (Hons), RN, RM, FACN, FACHSM; Lisa Whitehead, PhD, MA, BSc (Hons), RN; and Linda L. Coventry, PhD, MS, BSc, DipAppSc, RN
This paper will present the findings of a systematic review of the impact of intentional rounding on patient safety outcomes in adult acute healthcare settings, highlighting the lack of robust evidence to support the use of intentional rounding to improve the safety and quality of patient care.

Quality Improvement Initiative Evaluation to Determine Effectiveness of Provider-Patient Communication in a Wound Clinic
Stacy Eva Usher, DNP, CRNP
The Patient-Centered Caring Communication Initiative (PCCCI) is a quality-improvement initiative designed to improve provider-patient communication at the Fort Belvoir Community Hospital Wound Clinic. This clinical project will describe the effectiveness of PCCCI in improving provider-patient communication and decreasing patient-provider misunderstandings, thereby improving patient compliance.

Session: M 17

Creating Patient-Centered Care

Defensive Practices of Nurses
Nuray Turan, PhD, RN; and Nurten Kaya, PhD, RN
Nowadays, defensive practices are usually seen as a situation which is performed by physicians, members of health care team, in order not to take a risk. Thus, it is necessary to develop and implement strategies to prevent nurses from performing defensive practices.

A 10-Year Journey Toward an Accountable and Sustainable Patient-Centered Care Model
Jose M. Aguilera, MNA, MCom, RN, FCNA, AFACHSM; and Kim N. Walker, PhD, RN
Participants will benefit by understanding the impact that three performance improvement frameworks--the Balanced Scorecard, the Magnet Recognition Program, and a Revenue Cycle Management program--may have had on the clinical, cultural, financial, and organisational overall performance in its pursuit of an accountable and sustainable patient-centred care model.

Concurrent Sessions N

11:15 a.m.-Noon (1115-1200)

Select each session below to view the individual presentations.

Session: N 01

Promoting Evidence-Based Practice Globally

Evidence-Based Leadership Institute: A Model to Develop Nurse Leaders
M. Christine Alichnie, PhD, RN; and Betsy M. Snook, MEd, BSN, RN
This presentation on an evidence-based leadership institute through the Pennsylvania State Nurses Association provides a framework to bridge the competency gap between the transitions from staff nurse to nurse manager/leader. Application of evidence-based knowledge and competencies is translated through a real work program-based project. Results yield policy and system changes.

An International Collaboration to Promote Evidence-Based Practice (EBP) in Japan
Chiyo Matsuoka, PhD, RN, CSW; Ikuko Sakai, PhD, MHS, BSc, RN, PHN; Hiroki Fukahori, PhD, RN, PHN; Kana Kurokochi, PhD, RN, PHN; Ai Tomotaki, MHS, RN, PHN; and Laura Cullen, DNP, RN, FAAN
EBP is a priority across the globe, and resources and support are essential for application by clinicians. An international collaboration developed to promote EBP in Japan, building upon its members' recognized leadership across academia and practice. The collaboration likewise built upon available expertise and resources that required translation for use.

Session: N 02

Cultural Awareness in Nursing Education

Developing Cultural-Competence in Practicing Nurses: A Qualitative Inquiry
Michelle L. Edmonds, PhD, MSN, BSN, FNP-BC, CNE; and Jeane Richards, EdD, RN
This presentation will highlight the experiences of practicing nurses and how they care for clients of culturally diverse backgrounds and develop as culturally competent practitioners. Findings from a qualitative study will be discussed, including implications for nursing education and practice.

Mentoring the Culturally Diverse Nursing Student
Barbara B. Blozen, EdD, MA, RN, CNL
The purpose of this research was to increase nursing education opportunities for individuals who are from disadvantaged backgrounds, including racial and ethnic minorities who are underrepresented among registered nurses. The research surveyed culturally diverse baccalaureate nursing students and the effects of mentoring.

Session: N 03

Evidence-Based Educational Strategies

The Case for Including Sleep Content in Nursing Curricula
Lucille C. Gambardella, PhD, MSN, APN-BC, CNE, ANEF; and Lyron Deputy, MSN, MBA, APN-BC
Sleep as a vital factor in the assessment of patients, determining whether sleep assessment is taught in nursing curricula is key. Faculty participants in the 2016 Research Congress completed a survey to determine the frequency of including sleep evaluation in their courses; this session will present the results.

Debriefing for Meaningful Learning (DML): Connecting the Dots
Ann Scott, MSN, RN, CCRN, CNE; and Courtney Catledge, DNP, APRN, FNP-BC
This session will explore how DML helps students connect the dots from theory to practice using the 3 Ds and find creative ways to incorporate DML into academic encounters, resulting in improved outcomes and enhanced student success.

Session: N 04

Communication Care Practices

Communication, Power Distance, and Medication Errors: An Ethnographic Exploration of Cultural-Care Practices
Luanne Ruth Linnard-Palmer, EdD, MSN, BSN
Shifting demographics, globalization, and immigration have implications for how patients, families, and healthcare professionals communicate. This interdisciplinary ethnographic study explored how nurses utilize culturally sensitive communication and negotiation to prevent errors, and how nurses navigate clinical situations where family members experience "power distance," or feelings of inequality.

Trust Development Between Patient and Nurse: A Grounded Theory Study
Sharon M. Jones, PhD, RN, CNE
In this presentation, the researcher will discuss the results of a grounded theory study examining how trust develops between nurses and hospitalized English-speaking patients in the United States.

Session: N 06

Gerontological Nursing Care

Developing Clinical Guidelines to Improve the Care of Older People With Diabetes
Trisha Lynette Dunning, PhD, MEd, AM, RN, CDE, ACN-DLF
This presentation will describe the process used to develop and formatively evaluate clinical guidelines for managing older people with diabetes, the outcomes achieved, and the importance of ongoing key stakeholder involvement in the clinical relevance and usefulness of the Mckellar Guideline.

Changing Attitudes With a Gerontological Nursing Course
Monica L. Tenhunen, DNP, GNP-BC, ANP-C
Nursing education needs to focus on preparing graduates to understand the special needs of the older adult population and value positions in care of older adults. The purpose of this study was to determine baccalaureate nursing students' attitudes toward older adults and whether a gerontological nursing course changes their attitudes.

Session: N 07

Global Retention

Hospital Work Environment, Burnout, Job Satisfaction, and Intent to Leave: A Study of Brazilian Nurses
Edinêis de Brito Guirardello, PhD, RN; Herica Silva Dutra, MPH, MBA, RN; Henrique Ceretta Oliveira; and Jeannie P. Cimiotti, PhD, RN, FAAN
This session will discuss the effects of the practice work environment on nurses, burnout, job dissatisfaction, and intent to leave their job among Brazilian nursing professionals.

Perceived Strategies to Decrease Attrition Rates Among Nurses Practicing at Healthcare Institutions in India
Llewellyn Prater, PhD, RN; Shelby L. Garner, PhD, RN, CNE; and Leena Raj, MSN, MPhil
This presentation will give an overview of a descriptive qualitative research study aimed at exploring a subset of perceived strategies to decrease attrition rates among nurses practicing at healthcare institutions in India.

Session: N 08

Improving Health Using Dogs

Man’s Best Friend: The Role of Companion Animals in the Lives of the Homeless
Susan K. Lee, PhD, RN, CNE; and Pamela Willson, PhD, RN, FNP-BC, CNE, FAANP, VHF
Companion animals may be significant in effecting change or providing stability to the homeless, as there are psychological, physiological, and social benefits to having them. This study examined experiences of Texas's homeless with companion animals in securing services and explored with homeless shelter administrators possibly including space for companion animals.

Service Dogs’ Influence on Military Veterans’ Health: A Qualitative Study
Cheryl A. Krause-Parello, PhD, MSN, BSN, RN, FAAN; and Kristie Morales, BA
A qualitative study explored the impact of service dogs on health outcomes for a U.S. veteran population. Invisible wounds were found to be the predominant factor relating to the utility of a service dog. Results substantiated the positive impact of service dogs for veterans and its implications for public policy.

Session: N 09

Improving Outcomes in Patients With Neurological Injury

Comparison of a Nurse-Driven Mobility Protocol to Multidisciplinary Mobility Protocol for Subarachnoid Hemorrhage Patients
Megan T. Moyer, MSN, ACNP-BC, CNRN; and Bethany C. Young, MSN, RN, AGCNS-BC, CCRN
Immobility in the ICU is linked to acquired medical complications. Nurse-initiated mobilization of patients with external ventriculostomy drains is safe, feasible, and may lead to earlier and more frequent ambulation compared to a therapy-driven protocol. Nurse-driven mobility may be associated with fewer ventilator days, shorter hospitalization, and improved discharge disposition.

Patient and Facility Characteristics Related to Hypertension Control After a Transient Ischemic Attack (TIA)
Greg Arling, PhD; Fitsum Baye, MS; Jason Sico, MD, FAHA, FACP; Priscilla Arling, PhD; Laura Myers, PhD; and Dawn Bravata, MD, FAHA, FACP
Participants will learn about patient and facility characteristics associated with hypertension control for 3676 TIA patients in the 90 days following discharge from the emergency department or inpatient setting in 132 U.S. Veterans Health Administration facilities.

Session: N 10

Maternal Education in Preterm Infants

Behavioral Intervention With Maternal Participatory Guidance Improves Preterm Infant Outcomes
Rosemary C. White-Traut, PhD, RN, FAAN
Intervening with the mother and the preterm infant during the initial hospitalization and the first month following hospital discharge is a promising strategy to support infant behavior, oral feeding, and infant growth; improve mother-infant interaction; and reduce infant illnesses.

Development and Evaluation of a Tailored Mother-Infant Interaction Program for Premature Infants
Da Hae Rim, MSN, RN; and Hyunsook Shin, PhD, RN, CPNP-PC
This session will discuss the development of a tailored mother-infant interaction program for premature infants and evaluate its effect on maternal sensitivity. Based on this study, a tailored program based on the mother-infant need and capacity may facilitate maternal sensitivity, leading to the promotion of mother-infant interaction.

Session: N 11

Palliative Care in Education

Using Multicultural Role-Play to Improve End-of-Life Care Education
LaToya Janelle Lewis-Pierre, EdD-CI, MSN, RN; Mary E. Mckay, DNP, ARNP, CNE; Jill Steiner Sanko, PhD, BA, BSN, RN, ARNP-BC, CHSE-A; and Maha McCain, MFA
In 2012, the World Health Organization reported 56 million deaths worldwide. Death is not unique in healthcare, but many nursing students feel ill-prepared to address it. This study described an innovative approach of using multicultural standardized patients and integrating a unique two-phased debriefing process into an end-of-life simulation experience.

Transforming Nursing Students’ Attitudes Toward End-of-Life Care
Pamela L. Mahan, PhD, MA, BS, RN; Helen M. Taggart, PhD, RN, ACNS-BC; and Sherry L. Warnock, MSN, RN
The purpose of this research was to examine the effect of an actual compared to a simulated hospice clinical experience on nursing students’ attitudes toward end-of-life care. The findings indicated positive attitude changes toward end-of-life care; clinically relevant information for the development of a hospice clinical experience will be provided.

Session: N 12

Preventing Childhood Obesity

The Impact of Feeding and Parenting Guidance on the Prevention of Child Obesity
David McCormick, MD; Elizabeth Reifsnider, PhD, FAAN, FAANP, WHNP-BC, PHNCS-BC; Michael Todd, PhD; Lucy Reyna, BA, CCHW; and Irma Pecina, AA, CCHW
Supporting breastfeeding and guiding parents on early-childhood nutrition and growth can have a significant impact on the occurrence of obesity in low-income, minority children. Public/community health nurses can influence the development of obesity among vulnerable children.

Smart Nutrition and Conditioning for Kids (SNACK): An Interprofessional Approach to Nutrition and Physical Education
Tracy J. Perron, PhD, RN, CNE, CSN; Tami L. Jakubowski, DNP, CPNP-PC, CSN; and Anne Farrell, PhD
SNACK is an interprofessional program developed to increase the fitness and health of urban New Jersey elementary school children by providing health education in the areas of fitness, healthy eating, and diabetes prevention. The program piloted the comprehensive educational and fitness intervention with a total of 71 students.

Session: N 13

Enhancing Patient Care With the Use of Technology

Mobile App to Prevent Depression in the Dominican Republic: Sociocultural Adaptions and International Collaborations
Tariana V. Little, MS; Susan Caplan, PhD, FNP-BC; Adrian Aguilera, PhD; Ester R. Shapiro, PhD; Angelina Sosa Lovera, MPH; Patricia Reyna, PsyD; Jenny Ariannly Sánchez Castillo, BA; and Pak Chau
This presentation will discuss preliminary findings on a mobile application adaptation to provide preventative cognitive behavioral strategies for Dominican primary care patients with symptoms of depression. Attendees will be able to identify opportunities and challenges, including sociocultural and linguistic considerations, in leveraging mobile technologies for public health in low-resource settings.

Patient Care Technology: Where the Patient Meets the Nurse
Belinda M. Toole, PhD, RN, CCRN, CCNS
This presentation is for healthcare providers who want to learn how technology influences their interactions with patients. Attendees will hear how patients' perceptions of caring and of nurses vary by gender, age, and pain levels and how nurses and patients view technology through the themes of safety, learning, and balance.

Session: N 14

Promoting Well-Being in the Workforce

Promoting Health and Well-Being: A Review of the Effectiveness of Interventions to Prevent Workplace Bullying
Patricia Gillen, PhD, RN, RM; Marlene Sinclair, PhD, RN, RM, RNT; George Kernohan, PhD; Cecily Begley, PhD, RGN, RM, RNT, FFNRCSI; and Ans Luyben, PhD, RM
This activity will help participants understand the process of systematic review and raise awareness and understanding of the complex phenomenon of bullying in the workplace. Key topics will include the Cochrane review process and further understanding of interventions that may prevent bullying in the workplace.

Nursing Workforce Well-Being and Quality of Life: Predictions and Recommendations
Lin Perry, PhD, RN; Robyn Gallagher, PhD, RN; Christine Duffield, PhD, MHP, BScN, RN, FACN, FAAN; David W. Sibbritt, PhD; and Xiaoyue Xu, PhD, RN
This session will identify health- and work-related elements contributing to nurses’ and midwives’ quality of life and compares them to those of the Australian general population. It will detail recommendations for workplace interventions to support nurses’ and midwives’ health and well-being, thereby supporting their delivery of quality care.

Session: N 15

Simulation Education for Entry-Level Nurses

Impact of High-Fidelity Simulation on Teaching Medical Nursing
Yaohua Gu, MSN, RN; Zhijie Zou, MSN, RN; and Yanqun Liu, PhD, RN
High-fidelity simulation was used as a strategy to teach a medical nursing course. Twenty-three junior baccalaureate nursing students participated and completed the knowledge questionnaire before and after the simulation. They experienced significant improvement in knowledge levels after the simulation. They perceived the simulation as an effective and positive teaching method.

Integrating Simulation-Based Education Into the Healthcare Setting: Newly Licensed Nurses Learn to Transition
Kelly L. Rossler, PhD, RN, CHSE; Katherine Hardin, MSN, RN-BC; and Marygrace Leveille, PhD, RN, ACNP-BC
This presentation will describe how the integration of simulation-based education into a nurse internship program of a university medical center contributed to the transition of newly licensed nurses into the clinical practice setting.

Session: N 16

Surgical Pain Management

Effect of Paravertebral Block on the Outcomes of Patients Undergoing Video-Assisted Thoracic Surgery
Myra I. Torres, MSN, RN-BC, PCCN; and Linda A. Minnich, BSN, RN, CPAN
Patients undergoing thoracic surgeries typically receive various methods of pain control, which may cause multiple side effects. Compared with patients who received the usual hospital pain-control regimen, patients who received paravertebral blocks had better pain relief, earlier urinary catheter removal after surgery, and decreased length of stay.

Transforming Practice With Scripted Messages: Improving Pain Management in Outpatient Surgical Patients
Lanell M. Bellury, PhD, RN, AOCNS, OCN
To understand the effect of scripted nursing messages on patient outcomes, a retrospective chart review pre- and post-implementation of a scripting intervention was conducted. This presentation will review the results and feasibility issues with practice changes and nursing research in clinical settings.

Session: N 17


What Do Nurses Ask About?: A Review of Nursing Questions in a Brazilian Telemedicine System
Jacqueline E. Brixey, MSc, MA, BJ, BA; and Juliana J. Brixey, PhD, MPH, MSN, RN
The Brazilian Rede NUTES question submission system provides remote second medical opinions. Submitted questions were analyzed using data-exploration techniques for topics, trends, and lexical features.

Factors Associated With the Successful Implementation of Telehealth in a Retail Health Clinic
Elizabeth Ornelas, DNP, RN, FNP-BC; and Marlaine Skaggs, MSN, RN, FNP-C
Is telehealth replacing the conventional medical office visit? What are the barriers and facilitators to this new technology? Attendees will discover how to lead their organizations through a telehealth implementation process.

Concurrent Sessions O

1:15 p.m.-2:00 p.m. (1315-1400)

Select each session below to view the individual presentations.

Session: O 01

Cultural Awareness in Public Health

Experience of Immigrant Care and the Need for Cultural-Competence Training Among Public Healthcare Providers
Duckhee Chae, PhD, RN; Jin-A Lee, MSN, RN; Hyun-Lye Kim, PhD, RN; and Asami Keiko, BSN, RN
This study explored the experiences of Korean public healthcare providers in providing service for immigrants living in Korea; it also clarified educational needs for culturally competent nursing care.

Achieving Clinical Learning Outcomes in a Community/Public Health Nursing Course Through an International Immersion Experience
Brandy E. Strahan, PhD, RN
International immersion experiences are valuable learning environments that provide highly effective alternatives to traditional clinical sites. The purpose of this project was to determine whether clinical course learning outcomes could be achieved in an international immersion experience.

Session: O 02

Evidence-Based Initiatives on Sleep

Emerging Nursing Roles in Collaborative Management of Sleep-Disordered Breathing and Obstructive Sleep Apnea (OSA)
Kimberly Harper, MS, RN; and Edel Owens, MMedSc, BNS, RN
This session will outline the emerging collaborative role of the specialist nurse practitioner in the management of sleep-disordered breathing complaints. The clinical significance and management of OSA and an emerging role for the specialist nurse practitioner in the collaborative care of the target patient population will be proposed.

Brief Behavioral Therapy for Insomnia in Lung Cancer Survivors: A RCT
Grace E. Dean, PhD, RN; and Suzanne S. Dickerson, DNS, RN

Session: O 03

Improving Patient Outcomes Through Partnerships

Enhancing a Community’s Health Through an Innovative Partnership With a Public Utility Company
Georgia Karine Crow, PhD, RN, FAAN; and Adelita G. Cantu, PhD, RN
This presentation will provide an example of how baccalaureate and RN-to-MSN Population/Public Health Nursing students partnered with a public utility company to promote a community’s health.

The Role of an Academic Practice Partnership in Enriching Student Learning and Improving Patient Outcomes
Anastasia Y. Rose, MEd, MSN/MHA, RN, CCRN-K; Sherrill L. Hooke, MEd, RN, CGRN, CCCTM; and Ashley D. Roach, MS, RN, CNL
U.S. veterans are a vulnerable population with unique healthcare needs. This presentation will describe the collaboration between a veterans' healthcare system and a school of nursing in introducing veteran-centric content into a nursing curriculum and facilitating quality-improvement initiatives.

Session: O 04

Mentoring in Academia

Nursing Faculty Members: Perceptions of Characteristics of Mentors for Research in Nursing
Susan M. Baxley, PhD, RN; Kristina S. Ibitayo, PhD, RN; and Mary Lou Bond, PhD, RN, CNE, ANEF, FAAN
This study described actual or perceived characteristics of mentors who guided nurse faculty members in the conduct of nursing research and the desired organizational characteristics with which to conduct research. Parametric statistics were used to analyze responses on the Education Research Mentor instrument. Responses to open-ended questions will be provided.

Advancing the Science of Nursing Education Through Peer Mentoring
Jeanette McNeill, DrPH, CNE, ANEF; Alison Merrill, PhD, RN, CNE; Katrina Einhellig, PhD, MSN, BSN, RN, CNE; and Kristin Schams, DNP, CNE, CHSE
This project’s purpose was to increase the number of certified nurse educators in a university school of nursing. An online and face-to-face course was designed to prepare faculty for certification. Peer mentoring, interactive strategies, and guided self-study were used to enhance faculty development in educator competencies and improve nursing education.

Session: O 06

Preventing Falls Using Evidence-Based Practice

Evaluation of the Efficacy of Repeat Falls Risk Assessments Using the Morse Falls Scale
Mary Beth Harrington, PhD, RN, ACNS-BC, ANP-BC, CCRN-K
Falls are a potentially preventable, nurse-sensitive outcome. The first step in preventing falls is identifying risk, for which the Morse Fall Scale is widely used. Generally, institutional policies require repeated measurements. This session will discuss the changes in scores and the utility of repeating assessments.

Prevalence and Trends of Falls on a Surgical Unit
Tru Brynes, MSN, RN, CNL, CMSRN
The rate of falls in United States (U.S.) hospitals is approximately 3.1 to 11.5 per 1,000 patient days, varying by unit type. Risk factors for falls include intrinsic, extrinsic, and environmental factors. Henceforth, fall-prevention strategies should include a multimodal action plan to promote patient safety.

Session: O 07

Promoting Clinical Outcomes in Veterans

Caring for Military Combat Veterans With Post-Traumatic Stress Disorder (PTSD)
Tanya Marie Benjamin-Wilson, DHSc, MPH, MSN, CHES, RN, APHN-BC
PTSD is a growing military issue. Veterans serving in combat are at high risk for developing PTSD symptoms because of wartime trauma. Combat veterans with signs and symptoms of PTSD should seek treatment as soon as possible to prevent negative progression of the disorder and its associated unfavorable outcomes.

Supporting Veterans With Chronic Pain: Using 5As Framework to Improve Self-Care
Joseph F. Burkard, DNSc, MSNA, BSN, RN, CRNA
The use of telephone intervention and the 5As is an evidence-based framework that may be adapted to promote self-care of chronic pain and establish goals for follow-up in a primary care setting.

Session: O 08

Simulation in Nursing Education

Evaluating the Outcomes of a Registered Nurse Empathy Education Program in an Academic Medical Center
Dawn M. Gubanc-Anderson, DNP, RN, NEA-BC, CHEP, FACHE
Displaying empathy to patients can improve patient outcomes, reduce litigation, increase patient satisfaction, and reduce caregiver fatigue. This session will explore the use of a web-based training model that enhanced confidence in empathy skills of practicing oncology nurses at Duke University Health System in Durham, North Carolina.

Pediatric Emergency Department (PED) Simulation: Undergraduate Nursing Students’ Experience
Mary Rochelle Schultz, MSN, RN, CPNP-PC; and Rita Ann Dello Stritto, PhD, RN, CNS, ENP, ACNP-BC, FAANP
This presentation will describe a PED simulation for undergraduate nursing students. Children of all ages played the role of patients with a variety of illnesses and injuries. Nursing students participated in multiple PED nursing roles, including triage, staff nurse, and charge nurse. The simulation substituted for clinical hours.

Session: O 09

Technology in Practice

The Integration of Virtual Monitoring Technology to Empower Advanced Practice Nurses to Optimize Health Outcomes
Eugene Lewis, MSN, RN, ACNP-BC; and Carole Kulik, DNP, RN, ACNP, HCIC
Computer technologies have opened the door to many new healthcare monitoring approaches for patient care in the home. Explore how Advanced Practice Nurses are bridging the care gap between patients and providers to reduce hospitalizations and improve quality of life.

Bridging the Gap to Equal Access to Professional Development Meetings With Remote Virtual Technology
Francisca J. Farrar, EdD, MSN; and Deborah Ellison, PhD, MSN, RN
This presentation will explore barriers to nurses' attending professional meetings. Transformation will be demonstrated in a case report using an evidence-based technology tool to empower a culture of change with the availability of remote virtual attendance. Nursing and global implications will be explored.

Session: O 10

Global Concerns for Cancer Clinical Trials

Informed Consent Practice in Cancer Clinical Trials in Taiwan
Chi-Yin Kao, PhD, RN; and Mei-Chih Huang, PhD, RN
Information, comprehension, and voluntariness are three essential elements of the consent process. This session will present the current informed consent situations regarding cancer clinical trials in Taiwan from clinical research nurses' and patients' perspectives.

Impact of Health Literacy on Clinical Trial Enrollment for Breast Cancer Patients
Jessica Keim-Malpass, PhD, RN; Christine Kennedy, PhD, RN, PPCNP-BC, FAAN; Shayna Showalter, MD; and Aubrey Doede, MSN, RN
Health literacy has been understudied in the cancer population, and there is limited evidence about the relationship of health literacy to enrollment in cancer clinical trials. This presentation will highlight research focused on the relationship between health literacy and clinical trial enrollment in a breast cancer population.

Session: O 11

Palliative Care Simulation

Assessing Interprofessional Palliative Care Movie Simulation and Debriefing: A Multisite, Multinursing Track Perspective
Mary Val Palumbo, DNP, MSN, BS, APRN, GNP-BC; and Kathleen Marie-Anne Huun, PhD, MSN, MS, BS, BSN, RN
A scripted movie of interprofessional teamwork (palliative care of an ALS patient) can provide simulation experience for various tracks of nursing (traditional BSN, LPN-BSN, and RN-BSN) via face-to-face or online delivery modes. Evidence of student satisfaction, self-confidence in learning, and perceived interprofessional competency can be achieved through this simulation modality.

A Patient’s Last Breath: An Analysis of Hospice Clinical vs. Hospice Simulation Experiences
Stephanie M. Jeffers, PhD, MSN, BSN, RN
This presentation will discuss two strategies used to teach end-of-life care to nursing students: hospice simulation and hospice clinical experience. Students were divided into simulation and clinical groups. Attitudes toward dying patients were measured before and after the experience. Reflection journals provided qualitative data, describing student experiences.

Session: O 12

Global Sexual Health

Peruvian, Spanish, and American Nursing Faculty Attitudes to Caring for People Living With HIV/AIDS
Juan M. Leyva-Moral, PhD, MSc, BN, RN; Patrick Albert Palmieri, DHSc, EdS, PGDip(Oxon), MBA, MSN, RN, CPHQ, CPHRM, FISQua, FACHE, FAAN; David Moriña-Soler, PhD, MS; Sandra Cesario, PhD, MS, BSN, RNC, FAAN; Maria Feijoo-Cid, PhD, BSN, BA, RN; Patricia Noemí Piscoya-Angeles, MNS, BSN, BSM, RN, RM; Nataly Julissa Membrillo-Pillpe, MSc(c), BSN, RN; and Joan E. Edwards, PhD, MN, BSN, RNC, CNS, FAAN
The work to be presented here is a portion of a bigger study that aimed to assess nursing faculty attitudes toward caring for people living with HIV in eleven countries. This session will present the results from Peru, Spain, and United States.

Determining Knowledge, Attitudes, and Beliefs About Pre-Exposure Prophylaxis (PrEP) Among Transgender Men
Stefan Rowniak, PhD, RN, FNP; Chenit Ong-Flaherty, DNP, MSN, AB, RN, APHNBC, CNL; Nancy Selix, DNP, FNP-C, CNM, CNL; and Niko Kowell, BA
This session discusses the findings from three focus groups of transgender men in San Francisco that explored knowledge, attitudes, and beliefs about PrEP. This presentation will help all those who want to know more about transgender men and PrEP and barriers to PrEP they may encounter in the clinical setting.

Session: O 13

Community-Based Health Promotion

Strengthening the Evidence for Community-Based Wellness: An Academic-Practice Approach to Support Evaluation and Dissemination
Vicki L. Simpson, PhD, MSN, RN, CHES
This presentation will describe an academic-practice partnership between a nurse researcher and a community-based coalition to enhance, evaluate, and expand a community-based wellness program in a rural, largely Hispanic county with poor health outcomes. The community-based participatory research approach used to create evidence for dissemination will also be discussed.

Participatory Rural Appraisal for Community Assessment of Health Needs in Rural Haiti: A Pilot Study
Amy L. Knowles, PhD, MPH, RN; and Penelope Lynn Neal, PhD, MSN, CPNP
The Participatory Rural Appraisal (PRA) methodology has been identified by the World Health Organization as best practice for community health assessments. This research utilized PRA to assess the health needs of a rural Haitian village. An overview of the PRA methodology and findings of this pilot study will be discussed.

Session: O 14

Psychological Health in Minority Women

Caught in the Middle: Intersectionality and Mental Health Among Asian Indian Women
Semran K. Mann, MPH, CHES; Lisa R. Roberts, DrPH, MSN, RN, FNP-BC, CHES; and Susanne Montgomery, PhD, MPH
In the United States, Asian Indian immigrant women have been identified as a vulnerable subgroup at increased risk of experiencing mental health issues. A confluence of identity conflicts related to immigration, gender, culture, and generational status (intersectionality) compound the risk for anxiety and depression.

Psychological Stress and Acculturation Impact on Health Promotion Lifestyle Behaviors’ Adoption Among Arab American Women
Kholoud Hardan-Khalil, PhD, RN; and Ahlam Jadalla, PhD, RN
Immigrant Arab women in the United States face many factors that negatively influence their ability to engage in health promotion and disease prevention activities. Stress, acculturation, English language competency, and years of residency in the U.S. have considerable impacts on their physical and psychological health.

Session: O 15

Infant Safety Interventions

Parental Readiness for Infant Safe-Sleep Interventions
Kimberly T. Hodges, DNP, RN, NE-BC
Readiness to execute infant safe-sleep behaviors during the first year of life impacts infant mortality rates. This study found that beliefs regarding infant safety and improved health for the infant, influence of the mother’s significant other, and ability to limit caregivers in the first year of life supported parental readiness.

Change in Caregiving Activities in Preterm Infants Over the First 14 Days of Life
Debra Brandon, PhD, RN, CNS, FAAN; and Ashlee Vance, MA, BSN, RN
High-risk term and preterm infants are most vulnerable to an altered microbiome due to the atypical Neonatal Intensive Care Unit (NICU) environment. This study described the frequency and changes in caregiving activities that have the potential to alter the development of the skin, gut, and pulmonary microbiome.

Session: O 16

Symptoms and Treatment of Cancer

Global mHealth Interventions for Self-Management of Symptoms Following Breast Cancer Treatment
Mei R. Fu, PhD, RN, FAAN
mHealth is important for delivering quality nursing care globally. This presentation will share the experience and process of developing and testing an mHealth system, using the exemplar case of The-Optimal-Lymph-Flow mHealth system (TOLF). TOLF is a multilanguage, patient-centered, innovative, and pragmatic mHealth intervention for the self-management of lymphedema symptoms.

Hope and Symptom Interference Predicting Quality of Life in Colorectal Cancer Survivors: A Pilot Study
Yi-Chen Huang, MSN, RN; and Ya-Jung Wang, PhD, RN
Symptom severity and symptom distress interfered colorectal cance patient’s QOL. Hope is an inner power to support patients with cancer, to overcome their symptom interference, and to advance their QOL.

Session: O 17

Educational Learning Environment

Diverse Educational Strategies Enhance Multigenerational Learning in the Classroom and Workplace
Joyce I. Karl, DNP, MS, BSN, RN, ANP-BC, COHN-S; and Oralea Pittman, DNP, APRN, FNP-BC, FAANP
This presentation will examine similarities and differences among generations and how diverse educational strategies can be developed for the multigenerational classroom or workplace. Presenters share their experiences utilizing these strategies with nurse practitioners and interprofessional students to demonstrate how traditional, interactive, and problem-based intergenerational activities and technology benefit all participants.

A Systematic Literature Review of the Effect of Culture on Learning
Christine L. Sommers, MN, RN, CNE
This unique presentation will describe the results of a systematic literature review on the impact of culture on learning and its implications for nursing. Themes relevant to teaching strategies and curriculum that promote cultural congruence will be shared.

Concurrent Sessions P

2:30-3:15 p.m. (1430-1515)

Select each session below to view the individual presentations.

Session: P 01

Global Mental Health Promotion

Evidence-Based Value and Availability of Self-Help Groups for Mood Disorders in U.S. and Ireland
Valerie N. Markley, DNP, MSN, BSN, RN
This presentation explores the evidence-based value and availability of self-help support groups for mood disorders in the U.S. and Ireland. Significant statistics for mood disorders are listed. Research is given to demonstrate the benefits of group participation. Specific resources and websites for help in the U.S. and Ireland are included.

A Multiple Case Study: Mental Health Nurses’ Experiences Using Psychosocial Interventions in Ireland
Siobhan Smyth, MSc, RPN, DipCPN, RNT, PGDipCHSE, BNS (Hons)
The purpose of this presentation is to share the findings of a research study that focused on the mental health nurses (MHNs) experiences of using psychosocial interventions (PSI) in their care of the person with a mental health problem.

Session: P 02

Evidence-Based Patient Safety

Patient Safety Culture in Neonatal Intensive Care Units (NICUs): What Is the Evidence?
Angelita M. Hensman, MS, RNC-NIC
Patient safety culture influences patient safety. It involves good communication, attitudes, perceptions, values, and mutual trust shared by individuals and groups within an organization or unit. Understanding current evidence on safety culture within NICUs can inform nurses and facilitate research and training to improve patient safety in this vulnerable population.

Innovative, International, and Interprofessional: Nursing and Engineering Technology Students Creating New Patient Safety Technology
Pamela Karagory, DNP, MBA, MSB, BSN, RN, CNE; Diane Hountz, DNP, ANP, RN; Jane M. Kirkpatrick, PhD, MSN, BSN, RN, ANEF; and Sara A. McComb, PhD, MSES, BSIE, PE
Interprofessional education provides nursing students opportunities to develop a broad and comprehensive understanding of teamwork and discipline-specific expertise in safe patient care delivery. This session will describe an innovative collaborative project that partnered nursing and engineering technology students in designing, building, and testing new patient transfer and mobility technology.

Session: P 03

Global Disease Prevention in Influenza

Influenza Virus: The Evolution of a Deadly Virus in Our World
Cathy M. St. Pierre, PhD, APRN, FNP, FAANP
This presentation will focus on the evolution of influenza viruses throughout the world and the current strategies in place to monitor disease incidence, prevalence, and current recommendations for prevention and treatment of the general and at-risk populations. Healthcare policies and risks/benefits of vaccine administration will be discussed.

An Evidence-Based Educational Strategy to Improve Influenza Vaccination Rates Among Hospital Nurses
Terri L. Spoltore, DNP, MSN, RN, CCRN; Patrick Albert Palmieri, DHSc, EdS, PGDip(Oxon), MBA, MSN, RN, CPHQ, CPHRM, FISQua, FACHE, FAAN; and Oscar Lee, PhD, RN, CNE
Seasonal influenza, or the flu, impacts three million people annually. In hospital settings, the flu is associated with nosocomial infection and absenteeism. The CDC recommends flu vaccination for all eligible individuals, especially healthcare workers. Interventions to address misconceptions about vaccine safety and efficacy are associated with improved vaccination rates.

Session: P 04

Global Strategies in Maternal Care

Social Networking for Improved Maternal-Child Health in Rural Settings
Autumn Argent, MSN, BSN, RNC-OB, CCE; and Erika Ruth Gavenus, MS, BS
This presentation will cover key qualitative aspects of developing a social networking nutrition program for the improvement of maternal child health outcomes in rural and remote settings.

The Use of Donabedian Quality Model to Implement Quantification of Blood Loss: Preventing Maternal Hemorrhage
Deborah Reneé Jones, DNP, RNC-OB, WHNP-BC
This presentation will discuss the significance of the obstetric hemorrhage globally. Secondly, a dialogue will be presented regarding the recognition of and response to an obstetric hemorrhage through simulation and quantification of blood loss by using Donabedian’s Quality Model.

Session: P 06

Influences on Test Taking in Nursing Education

Test Anxiety Levels in Undergraduate Nursing Students
Jamie Beth Rivera, MSN, RN, CPN
The purpose of this study was to collect data about cognitive test anxiety levels of undergraduate sophomore- and senior-level nursing students. This study examined students’ stress level regarding test taking and whether there was a difference between sophomore and senior nursing students.

Academic and Social Factors That Affect BSN Students Who Fail the NCLEX-RN® Exam After Graduation
Kelly J. Betts, EdD, RN, CNE
This study evaluated BSN graduates who had not passed the NCLEX-RN® Exam on their first or subsequent attempts to assess whether certain academic and social factors during the academic program may have contributed to their NCLEX-RN® failures.

Session: P 07

International Collaborations to Promote Health

Global Health for the Young Professional: How to Align Your Work With Global Initiatives
Lindsey N. Horrell, BSN, RN; Christine M. Darling, MPA, BS; and Cynthia Vlasich, MBA, BSN, RN
In this presentation, the audience will learn of opportunities available to young professionals to become involved in nursing and midwifery's global health agenda. The presentation will include a review of the United Nations' Sustainable Development Goals and will provide information about various global health programs and initiatives available through STTI.

Partnerships Among Nonprofit Organizations: Assessing the Impact on Global Health
Jacqueline Cassagnol, MSN, RN, PMC
Partnerships among nonprofit organizations are intended to achieve greater impacts than any single organization could generate on its own. The purpose of this project was to assess the impact of partnerships between an international organization and nonprofit organizations on global health.

Session: P 08

Promoting Clinical Outcomes in the Cardiac Patient

Implementation of an Evidence-Based Practice Checklist to Reduce 30-Day Readmission for Patients With Heart Failure
Susan Giscombe, MS, APRN, FNP-c; Diana Lyn Baptiste, DNP, MSN, RN; and Melissa Jones Holley, DNP, MSN, BSN, APRN, FNP-c
Readmissions for patients with heart failure are an ongoing concern for hospitals, healthcare policymakers, patients, and families. Clinicians must provide care that is safe and focuses on quality. This presentation will discuss an evidence-based discharge checklist used to reduce 30-day readmissions for patients with heart failure.

Advanced Nurse-Led Referral vs. ED Physician Referral to a Nurse-Led Chest Pain Clinic: Patient Outcomes
Shirley J. Ingram, MsC, RGN, RANP, RNP, NFESC; Gabrielle McKee, PhD, BA (Mod); Mary B. Quirke, PhD, MA; and Niamh Kelly, MsC, RGN, RANP
This session will discuss statistically significant patient outcomes of advanced nurse-led referral compared to physician referral of chest pain patients referred from the ED to an advanced nurse-led chest pain clinic. It will also offer insight into the role of the cardiology registered advanced nurse practitioner.

Session: P 09

Enhancing Education Through Storytelling

Using Digital Stories to Increase Nurse Educator Cultural Competence in Ontario, Canada
Patricia Bradley, PhD, MEd, RN
This session will share the preliminary results of the internationally educated nurses' research project (funded by Ontario Ministry of Citizenship and Immigration [2014-2017]) on digital storytelling as a tool to increase cultural competence in nursing education.

Using Storytelling to Teach SBAR as a Crucial Conversation Skill to Improve Patient Safety
Gwen Sherwood, PhD, RN, FAAN, ANEF; and Jen-Huei (Vicky) Yeh, BSN, RN
Health professionals must use critical language in communicating across the healthcare team to improve outcomes. This session will report learner outcomes from developing ISBAR communication from a clinical story to simulate a real-time communication with another provider, assess their effectiveness using a rubric, and complete a short survey.

Session: P 10

NCLEX® Success

The Relationships Among Standardized Exam Results, Remediation Time, and Licensure Success
Susan C. Mills, PhD, RN; Pamela Williams, PhD, RNC; and Darrell Spurlock, PhD, RN, NEA-BC, ANEF
The purpose of this study was to explore the relationships among standardized exam scores, time spent on exam-specific remediation, and licensure exam results using data from 3 years of senior classes after a curricular change to incorporate knowledge synthesis-specific courses with testing strategies, concept developments, and case studies.

Nursing Students and NCLEX-RN® Success: Impact of a Standardized Review Course on Outcomes
Rosema Pine, PhD, RN, BC; and Barb Schreiner, PhD, APRN, CPLP
The purpose of this retrospective correlational study was to identify the characteristics of a standardized review course associated with NCLEX® success, to describe the positioning of the course within a curriculum, and to ascertain the impact of the course on a standardized exam. Curricular implications will be outlined and shared.

Session: P 11

Patient Education in Oncology Patients

Feasibility of a Breast Health Education Intervention for Vietnamese-American Immigrant Women
Connie Kim Yen Nguyen-Truong, PhD, RN, PCCN; Nisreen Pedhiwala, MS, BA; Vananh Nguyen, MPH, CPH; Cang Le, BS; Tuong Vy Le, MS, BS; Christine Lau, MA, CACDI; Junghee Lee, PhD, MSW; and Frances Lee-Lin, PhD, RN, OCN, CNS
Early Care for Health--Vietnamese Women’s Breast Health pilot study was framed by culturally targeted adaptations of the Transtheoretical Model of Change and the Health Belief Model. The interactive group education and individual counseling successfully increased mammography screening.

Innovative Use of Electronic Tablets for Newly Diagnosed Cancer Patient Education
Patricia L. Petroulias, PhD, RN
The purpose of this study was to determine whether using an electronic tablet to provide coaching for flushing to cancer patients could minimize infection and occlusion complications that often occur when patients/caregivers are responsible for maintaining their PICC lines.

Session: P 12

Preventing Injury and Infection in Resident Care

Urinary Incontinence in the Nursing Home Resident: Exploring CNA Caregivers’ Attitudes and Beliefs Regarding UI
Roxellen Anntoinette Auletto, DNP, RN, MSN, MLA, ANP-BC, PNP
Advocacy measures for UI education and adequate staffing are critical if prevention and effective management of UIs are goals. CNAs have long replaced nurses at bedsides in nursing homes and are a growing force in hospitals and home care. They need to feel valued and incorporated into the healthcare team.

Describing Avoidable Transfers and Decisions to Transfer Residents From Long-Term Care to Emergency Departments
Judith Spiers, PhD, RN; Rowan El-Bialy, MSc; Kaitlyn C. Tate, BScN, RN; Patrick B. McLane, PhD, MA; and Greta G. Cummings, PhD, RN, FCAHS, FAAN
The purpose of this two-phase, mixed-methods study was to: define avoidable transitions, identify factors that influence decisions to transfer or not, and identify modifiable attributes of avoidable transitions. Phase 1 involved individual and focus group interviews. In Phase 2, an online survey was administered to verify findings of Phase 1.

Session: P 13

Creating Nursing Competence Using Simulation

Use of Standardized Patients (SPs) With Disabilities in an Undergraduate Nursing Program
Bette A. Mariani, PhD, RN; Suzanne C. Smeltzer, EdD, MS, RN, ANEF, FAAN; Colleen Meakim, MSN, CHSE; Jennifer G. Ross, PhD, RN, CNE; and Elizabeth Petit de Mange, PhD, RN, FNP
The overall goal of the study was to improve the ability of undergraduate nursing students to provide healthcare to people with disabilities by introducing SPs with actual disabilities to the undergraduate nursing program through a simulation across the curriculum.

Does a Culturally Infused High-Fidelity Human Simulation (HFHS) Scenario Accurately Depict the Culture?
Ruth E. Irwin, PhD, RN
Nurse educators engaged in writing culturally infused HFHS scenarios need to provide evidence of evaluating the accuracy of the portrayal of the culture. Quantitative and qualitative research methods to evaluate the presence and importance of the design elements for simulation scenarios, especially fidelity, will be presented.

Session: P 14

Public Health Promotion

Exploring Water, Sanitation, and Hygiene Practices in Gatineau, Haiti
Diana Lyn Baptiste, DNP, MSN, RN; Teresa A. Pfaff, MPH, MSN, BSN, BA, RN, APHN-BC, CPH; Sabianca Delva, BSN, RN; Casey McCormick, MPH; Evi Dallman, MSN, BSN, RN; and Ruthly François, BS, MSPH
This presentation will describe the current state of water sanitation and hygiene in communities surrounding Gatineau villages, identify gaps in knowledge for researchers, and inform feasible interventions to improve water sanitation for residents in these areas.

Evaluating the Use of an Evidence-Based Test for Tuberculosis Screening
Gema M. Morales-Meyer, DNP, MSN/MPH, RN, CRRN, APHN-BC, CNS
Tuberculosis continues to be one of the top 10 leading causes of death around the world, and new evidence-based tests are available to screen for tuberculosis. This presentation will provide evaluate the implementation of an evidence-based screening test for tuberculosis in a large metropolitan public health department.

Session: P 15

Sleep Disturbances

Prevalent Sleep Disordered Breathing and Obstructive Sleep Apnea (OSA) Despite Treatment for Acromegaly
Christine G. Yedinak, DNP, MN, BSN, RN, GradDipEd, FNP-BC
Sleep-disordered breathing and OSA are common in acromegaly patients, conferring a 4.6 times higher mortality risk. Screening for acromegaly, particularly in young patients with sleep dysfunction, may provide an early diagnosis. The prevalence of OSA remains high despite the acromegaly "cure," requiring screening and treatment to improve cardiovascular outcomes.

Sleep Disturbances Experienced By Military Burn Survivors
Linda H. Yoder, PhD, MBA, RN, AOCN, FAAN; and Patricia A. Carter, PhD, RN, CNS
Military men and women may suffer from burn-related injuries because of their military duties. Subjective reports of sleep disturbances as experienced by military burn survivors over time will be described.

Session: P 16

Technologies to Influence Palliative Care

A New Kind of Team!: A Nurse-Led Technology-Enabled Interprofessional Palliative Home Care Model
Lorie Donelle, PhD, MA, BA, BScN, RN; Sandra Regan, PhD, MScN, MA, BScN, RN; Richard Booth, PhD, MScN, BScN, RN; Mickey Kerr, PhD; Josephine McMurray, PhD; Catherine Ward-Griffin, PhD, MScN, RN; Deborah Fitzsimmons, PhD; Sarah Ibrahim, MN, BScN, RN; and Selma Tobah, MSc
This presentation will report on a 3-year mixed-methods study of a new model of palliative home care called eShift. The eShift model combines communication and documentation technology with novel utilization of health human resources in a new kind of team to meet patient needs for palliative care in the home.

Utilizing Clinical-Decision Support Within the Electronic Health Record to Screen for Palliative Care
Tanja Baum, PhD, RN; Ruth A. Bush, PhD, MPH; Caroline Etland, PhD, RN; and Cynthia D. Connelly, PhD, RN, FAAN
Variables used to create an electronic clinical-decision support algorithm within the electronic health record were analyzed for accuracy and reliability to screen and provide timelier palliative care services within the acute care setting. Statistically significant variables were identified, laying an important foundation for further refinement.

Session: P 17

The Student/Faculty Relationship

Academic Factors That Contribute to Nursing Students’ Persistence: Pre-Program Support
Ceil Flores, PhD, RN, CNE
Increasing nursing students' persistence can contribute to reducing the nursing shortage. When four support items were provided to prelicensure nursing students prior to their admission to the program, students were more likely to graduate and pass the NCLEX® exam.

Exploring Faculty-Student Relationships and Their Implications for Persistence in African American Senior Nursing Students
Yolanda M. Nelson, EdD, RN-BC
Factors contribute to low academic achievement and frustration among African American students, which, in turn, negatively affect their persistence (Simmons, 2010). A phenomenological approach was utilized to explore African American female nursing students' perceptions of faculty-student relationships and their implications for persistence.

Concurrent Sessions Q

3:30-4:15 p.m. (1530-1615)

Select each session below to view the individual presentations.

Session: Q 01

Patient-Centered Outcomes

Enhancing Nursing Care in Rural Public Hospital Network Through Utilizing Transforming Care at Bedside Framework
Salah-Addin H. Aqtash, PhD, RN, CPHQ
This session will discuss evidence-based strategies in enhancing patient positive outcomes through adoption and implementation of the Transforming Care at Bedside framework, which was established as an innovative approach by the Robert Wood Johnson Foundation in partnership with the Institute for Healthcare Improvement.

“Patient-Reported Outcome Measures” Enhance the Nursing Process and Patient-Centered Care in Heart Failure
Marguerite M. Russo, PhD, MS, CRNP-F, ACHPN
"Patient-reported outcome measures" contribute unique findings to inform the nursing process and patient-centered heart failure treatment. Care quality opportunities identified in this sample included multidimensional symptom management, functional support, disease and treatment education, and advance care planning, all components of primary palliative care.

Session: Q 02

Professional Nursing Initiatives

New Jersey-Bermuda Perianesthesia Nursing Collaborative
Linda Wilson, PhD, RN, CPAN, CAPA, BC, CNE, CHSE-A, ANEF, FAAN; and Helen S. Kane, MSN, MBA, RN, CCRN
This session will present the New Jersey-Bermuda Perianesthesia Nursing Collaborative, a professional specialty nursing collaboration between perianesthesia nurses in New Jersey and in Bermuda. Collaboration initiation and ongoing activities will be presented along with challenges and successes of the program.

Exploration of the Impact Undergraduate Health Policy Education Had on Nurses’ Political Astuteness and Involvement
Carol Ann Amann, PhD, RN-BC, CDP, FNGNA
The purpose of this study was to determine the influence an undergraduate health policy course had on nurses' political astuteness and health policy involvement. Five themes emerged: Education as a Foundation to Political Advocacy, Health Policy Involvement, Characteristics of Politically Involved Nurses, Barriers to Involvement, and Academia Leading the Way.

Session: Q 03

Promoting Alternative Health Practices

Massage Therapy Techniques to Promote Health and Enhance Healing
Beverly Byers, EdD, MSN, BSN, RN, LMT, MTI; and Lorri Clark, BS, LMT, LMTI, ES
Participate in the demonstration of massage therapy techniques for the hands, arms, and back by licensed massage therapy instructors. Learn how to use massage techniques to increase your patients' satisfaction and enhance the healing process. Information will be provided on how and why massage therapy works.

Promoting a Restraint-Free Culture Through Sensory Modulation
Colleen Marie Glair, MSN, RN, PMHCNS-BC; Caitlin E. Belvin, MS, OTR/L; and Marnie A. Dodson, MSN, RN
A sensory modulation program was developed and implemented on an 18-bed inpatient behavioral health unit at a 357-bed tertiary care facility in Arlington, Virginia. Results suggested that the use of sensory modulation was an effective strategy in decreasing patient agitation and employee workplace violence-related injuries.

Session: Q 04

Evidence-Based Respiratory Strategies

Patients Being Weaned From the Ventilator: Positive Effects of Guided Imagery
Frank McVay, BSN, RN; Elizabeth Spiva, PhD, MSN, BSN, RN; and Patricia L. Hart, PhD, RN
Guided imagery may be a complementary and alternative medicine intervention to provide during mechanical ventilation-weaning trials. Guided imagery was found to be a simple and effective intervention to use with patients being weaned from mechanical ventilation.

Session: Q 06

Global Surgical Safety Concerns

Prevention of Retained Surgical Items: Practice of Surgical Counts in Rwandan Operating Rooms
Gilbert R. Karonkano, RN; David Ryamukuru, RN; Joselyne Mukantwali, RN; Thierry Uwera, RN; Emmanuel Munyaneza, RN; Eric Sindayigaya, RN; and Anita Collins, PhD, RN, RM
Retained surgical items are a safety concern for all surgical team members. They affect patients, families, and healthcare providers and hospitals. Surgical-count protocol remains a cornerstone to prevent this event. Related research studies are needed to provide a benchmark for improvement in Rwanda.

The Use of Simulation to Inform the Adoption of a Safe-Surgery Checklist
Maura E. Porricolo, DrNP, MPH, RN, CPNP; Joanne Shaw, MSN, RN; and Merona Hollingsworth
In alignment with the World Health Organization’s Patient Safety Challenge: Safe Surgery Saves Lives, a frontline interprofessional team used simulation to design the implementation of its customized safe-surgery checklist. Attendees will identify key phases of the checklist, individual and team-based behavior changes required, and benefits of simulation.

Session: Q 07

Global Perceptions of Pain Management

Clinical Decision-Making Regarding the Management of Pain: Differences Between Novice, Intermediate, and Expert Nurses
Igal Zlatkin, MA, BA, RN; and Yulia Gendler, MSc, BA, RN
The purpose of this study was to identify the cognitive processes used by nurses when making pain-management decisions, the factors that influence on these processes, and the difference between novice, intermediate, and expert nurses in their decision-making about pain management.

Knowledge, Attitudes, and Practices of Nurses on Pain Assessment and Management in Manila, Philippines
Florence Roselle B. Adalin, BSN; Josefina A. Tuazon, DrPH, MN, RN; Misha Louise A. Delariarte, BSN; Fabbette Laire B. Lagas, BSN; Sarah Emanuelle S. Mejia, BSN; Lika P. Mizukoshi, BSN; Irish Paullen E. Palomeno, BSN; Danica Pauline G. Ramos, BSN; and Gibrianne Alistaire C. Ramos, BSN
This study could contribute greatly to nursing education and practice through providing baseline data on knowledge, attitudes, and current practices of nurses on pain management in Manila, Philippines, as the Pain Society of the Philippines recognized the inadequacy and inaccessibility of its data.

Session: Q 08

Innovative Teaching Strategies

Utilization of Innovative Teaching Strategies Following a Nursing Education Certificate Program in Guyana
Deborah Salani, DNP, PMHNP-BC, ARNP, NE-BC; and Mary E. Mckay, DNP, ARNP, CNE
A hybrid nursing education certificate program was developed for Guyanese tutors in an effort to advance global nursing education and increase the workforce. Post-program data revealed an increase in the use of innovative teaching strategies by participants, including simulation, case studies, and technology-based student-centered learning activities.

Case-Based Learning in a Flipped Classroom to Promote Critical Reasoning
Noel Holly Santa, MSN, RN, CCRN
This presentation will demonstrate and analyze the use of unfolding case scenarios in a flipped classroom model with student learning outcomes to achieve higher-level thinking and critical reasoning.

Session: Q 09

International Research Collaborations

Challenges and Opportunities in Conducting International Research Study: Family-Witnessed Resuscitation in Two European Countries
Natalia Sak-Dankosky, MSN, BSN, RN; Paula R. Sherwood, PhD, MSN, BSN, RN, CNRN, FAAN; Pawel Andruszkiewicz, PhD, MD; and Tarja Kvist, PhD, MSN, BSN, RN
Based on an example of a multisite international study exploring family-witnessed cardiopulmonary resuscitation practice, this presentation will discuss opportunities and challenges of conducting multinational studies in nursing and provide an overview of strategies to address barriers that investigators may encounter while conducting an international study.

Multinational Research Collaboratives, Interaction Costs, and Time to Productivity: An Empirical Model to Support Success
Betty A. Rambur, PhD, RN, FAAN
This presentation will illustrate an empirical-derived model of multinational research collaboratives arrayed by distinctive attributes that support or impede research productivity. Application of the model during proposal development and implementation offers nurse scientists an additional tool for success in interprofessional, multisite, or multinational research collaboratives.

Session: Q 10

Novice Nurse Faculty

Developing Novice Nurse Faculty: Finding an Authentic Leadership Voice
Barbara J. Patterson, PhD, RN, ANEF; Laura C. Dzurec, PhD, RN, PMHCNS-BC, ANEF, FAAN; Gwen Sherwood, PhD, RN, FAAN, ANEF; and David Anthony (Tony) Forrester, PhD, RN, ANEF, FAAN
Evidence suggests that nurse faculty lack leadership preparation. Mentoring has been investigated as one way to facilitate leadership development and thereby increase the retention of new nursing faculty. The findings of this qualitative descriptive study demonstrate the benefits of an international 20-month mentored program for 14 novice nurse faculty.

A Structured Mentorship Program to Support Expert Clinicians in New Roles as Clinical Faculty
Lisa A. Seldomridge, PhD, RN; and Judith M. Jarosinski, PhD, RN, CNE
The aim of the program was to develop a diverse group of new clinical faculty and support them through the transition from clinician to educator. Components, preliminary outcomes, and early lessons learned from the creation and launch of this structured, collaborative mentorship program in the U.S. will be described.

Session: Q 11

Cooperative Simulation Learning

Cooperative Learning vs. Independent Learning and the Haptic Intravenous (IV) Simulator
Lenora McWilliams, PhD, RN
Cooperative learners earned higher performance scores while requiring fewer attempts on the haptic IV simulator compared to independent learners. Results provided empirical evidence that students learn as a result of observing and working together and supported the efficacy of using simulators as a means of learning IV skills.

iHuman Project: Implementation and Evaluation of Cloud-Based, Virtual-Patient, Case-Based Simulation
Elaine D. Kauschinger, PhD, MSN, ARNP, FNP-BC
Research findings from a Duke University School of Nursing pilot project that incorporated a cloud-based, virtual-patient simulation learning platform, i-Human Patients (IHP), in two graduate advanced pathophysiology courses will be presented. Student survey results of experiences with IHP will also be discussed.

Session: Q 12

Creative Therapy Methods to Enhance Clinical Reasoning

Poetry, Paintings, and a Short Story: Humanities Foster Success in Developing Clinical Reasoning Skills
Josette Brodhead, PhD, MSHS, CNE, RNC; and Patricia M. Burke, PhD, CNE, RNC
This quasi-experimental, nonrandomized pre-/post-test study examined the impact of humanities-based teaching and learning strategies on the development of critical-thinking and clinical-reasoning skills among BSN students enrolled in a maternal/newborn nursing course. Results indicated that the humanities-based approaches significantly impact the development of clinical reasoning skills (p

Reflective Practice Journaling and Clinical Reasoning: A Qualitative Inquiry Study
Debra Scardaville, PhD, RN, CPNP-PC; and Joyce A. Wright, PhD, MSN, BSN, RN, CNE
Results of a qualitative descriptive study exploring the use of reflective journaling as a pedagogical strategy in the attainment of clinical reasoning and clinical judgment among RN-BSN students in a residency program at a public university in the U.S. will be presented. Insights into nursing education will also be given.

Session: Q 13

Emergency Situations

Development and Implementation of a University Active-Shooter Drill Using Cross-Sector Collaboration and Nursing Leadership
Shannon Lee Woods, DNP, RN, CNOR, CNE
Nurses are at a unique juncture to use their skillsets and expertise in non-nursing activities in academic environments. The nurse leader is a capable participant in developing interprofessional and cross-sector collaborative efforts for the successful development of emergency plans and preparedness efforts that include tabletop exercises and active drills.

Differences and Similarities in Emergency Department Crowding Between a Developing Country and a Developed Country
Naomi van der Linden, PhD; and M. C. (Christien) van der Linden, PhD, ACNP, CEN, RN
Emergency department (ED) crowding has been extensively described in hospitals in developed countries. However, fewer resources may result in more severe crowding in developing countries. In this session, differences and similarities in ED crowding in a developing country and in a developed country will be discussed.

Session: Q 14

Public Safety

Using Community Engagement and Multisectoral Collaboration to Address Health and Public Safety
Amber P. Williams, DNP, APRN, FNP, RNC-MNN
The use of multisectoral collaboration and engagement of community partners to address complex health and public safety concerns have been cited as making significant health impacts, resulting in lasting outcomes.

Effects of Insecticide Exposure Prevention Program on Exposure and Blood Cholinesterase Levels in Thai Farmers
Sukanda Worapitpong, MSN, RN; and Noppawan Piaseu, PhD, RN, APN/NP
The results of this study showed the effects of the insecticide exposure prevention program. After the program, farmers in the experimental group showed modified behaviors toward more effective prevention of insecticide exposure. Therefore, their levels of insecticide exposure were significantly lower than before and lower than the control group.

Session: Q 15

Smoking Cessation Interventions

Effect of RCT Testing on a CBPR-Developed Cessation Intervention for Culturally Diverse, Low-Socioeconomic Women
Jeannette Andrews, PhD, RN, FAAN; Martina Mueller, PhD, RN; Susan Newman, PhD, RN, CRRN; Gayenell S. Magwood, PhD, RN, FAAN; Karen Kane McDonnell, PhD, MSN, RN, OCN; Janie Heath, PhD, RN, FAAN; and Martha S. Tingen, PhD, RN, FAAN
This presentation will highlight the effect of a CBPR-developed smoking cessation intervention for African American women living in subsidized housing neighborhoods in the southeastern United States. The RCT results were less optimal than in previous pilot studies with these high-risk communities burdened with fiscal, environmental, and social inequities.

Tribal College Students’ Access to and Use of Mobile Communication and Technology for Health Information
Jo Ann Walsh Dotson, PhD, MSN, RN; and Lonnie A. Nelson, PhD
Cellphones and personal computers have become popular mechanisms for delivering and monitoring health information and education, including the delivery of tobacco-cessation education and support. This study documented the availability and use of mobile communication and technology by tribal college students in Montana.

Session: Q 16

Technology and Learning Strategies

Active Learning Strategies for Course Enhancement: Monitoring Adverse Event Reporting in Twitter
Janet Thorlton, PhD, MS, RN
Strong forces influencing the role of nurses (e.g., new technologies, access to information) call for new ways of teaching. Using a flipped classroom approach, students applied principles of the research process by comparing Federal Adverse Event Reporting System data and Twitter posts, reinforcing knowledge being learned in patho-pharmacology.

Using the “” Game to Enhance Undergraduate Nursing Students’ Learning
Jane M. Kurz, PhD, RN; and Frances Kinder, PhD, RN, CPNP
This study provided empirical evidence that using the “" game in the classroom was associated with improved final pediatric nursing exam scores with undergraduate nursing students. is a free platform for learning where players answer questions created by the faculty.

Session: Q 17

Theory Into Practice

Translating Nursing Theory to Practice in Developing a Professional Practice Model
Gabriella Malagon-Maldonado, PhD, DNP, RN, NEA-BC
Studies suggest when nursing practice is supported with a theoretical framework, nurses are better equipped to deliver care that generates quality care outcomes. This session describes results of a mixed-methods study with clinical nurses to select a nursing theory to be applied in developing a nursing professional practice model.

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