The Honor Society of Nursing, Sigma Theta Tau International


Concurrent Sessions A

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

Select each session below to view the individual presentations.

Session: A 01

Special Session

International Network for Doctoral Education in Nursing (INDEN)

More information coming soon!

Session: A 02

Promoting Maternal-Child Health

Use of the Pediatric Infant Parent Exam: Screening Maternal-Infant Interactional Synchrony During Well-Infant Visits
Kathryn Sridaromont, PhD, RN
This dissertation study sought to determine the interrater reliability, overall typicality of the interaction, and time required for nurses’ use of the Pediatric Infant Parent Exam to screen interactional synchrony of 50 mother-infant dyads during well-infant visits.

Abnormal Thermal Patterns in Very Preterm Infants Associated With Infection and Maternal Smoking
Robin B. Dail, PhD, RN, FAAN
More than 63,000 very preterm infants are born in the United States annually. These infants experience high morbidity, including infection. We found that abnormal thermal patterns are associated with infection and maternal smoking. A larger study is needed to investigate longitudinal body temperature patterns with morbidity in very preterm infants.

Session: A 03

Nursing Education: Substance Abuse Interventions

Addressing Substance Abuse Using Evidence-Based Practice: Screening, Brief Intervention, and Referral to Treatment (SBIRT)
Marie N. Bremner, PhD, RN; Barbara J. Blake, PhD, RN, ACRN, FAAN; and Mary Beth Maguire, DNS, MSN, BSN, RN, CNE
This purpose of this presentation is to provide an overview of SBIRT training, which incorporated live standardized patients, in an undergraduate community health nursing course. Common and relevant themes about the training along with supporting quotes from participants will be summarized. Key findings and recommendations will be highlighted.

Integrating Substance Abuse Screening Brief Intervention and Referral to Treatment Into Nursing Curriculum
Julie A. Fitzgerald, PhD, RN, CNE
Screening, Brief Intervention, and Referral for Treatment (SBIRT) is an evidence-based practice to screen and intervene for substance abuse. Although substance abuse is a global issue, few nurses are educated on screening and intervention. This session will focus on how SBIRT was integrated into a undergraduate and graduate nursing curriculum.

Session: A 04

Advanced Practice Fellowships

The Lived Experience of New Graduate Nurse Practitioners Who Participated in an Academic-Based Fellowship Program
Michelle L. Edmonds, PhD, FNP-BC, CNE; and Hilary S. Morgan, PhD, MSN, BSN, ARNP, CNM
Two faculty implemented an academic-based Nurse Practitioner (NPs) fellowship designed to aid new graduates during their first year in practice. A qualitative study was conducted a year after the fellowship to evaluate its long-term impact on role transition. Overall, novice NPs valued the support and mentoring they received.

Advancing the Practice of Nursing Through Specialty Fellowship Development
Kelly Keefe Marcoux, MSN, APN, CPNP-AC, PPCNP-BC, CCRN; Shayleigh K. Dickson, MSN, BA, APN, CPNP-AC, CPN; Cathleen A. Cahill, MSN, APN, CPNP; and Christopher Haines, DO, MBA, FAAP, FACEP
There is a dearth of specialty training for Advanced Practice Nurses (APNs) in the United States, particularly in pediatric subspecialties. This presentation describes the design, development, implementation, and outcomes of the first year of an APN Fellowship in Developmental-Behavior Pediatrics (DBP).

Session: A 06

Interprofessional Collaboration in Education

Developing a Creative Collaboration to Promote Interprofessional Education for Baccalaureate Nursing Students
Tauna Fleming Gulley, PhD, RN, FNP-BC
This presentation describes a creative collaboration among a school of nursing, a medical school, a pharmacy school, an optometry school, and a social work program to provide interprofessional experiences for their students.

Application of Interprofessional Simulation-Based Clinical Examination in Extended Nursing Experimental Teaching Practice
Hangjian Chen, MSN, RN
The ability to cooperate has become increasingly important for healthcare workers, so it's necessary for nursing educators to help students become more competitive. The purpose of the study was to explore the feasibility of interprofessional simulation-based clinical examination in nursing academic competition.

Session: A 07

Disease Prevention in Oncology Patients

Development of a Decision Aid for Unaffected BRCA Mutation Carriers
Terri Jabaley Leonarczyk, PhD, RN
The purpose of this study was to develop a comprehensive decision aid for women who are unaffected BRCA mutation carriers. The decision aid was evaluated by 22 participants: 7 experts and 15 end users. Findings suggest it is a well-organized, clear, comprehensive, and highly relevant tool.

A Global Perspective: Meaning, Coping, and Health of Younger and Older Women With Breast Cancer
Kathleen A. Sternas, PhD, MSN, BSN, RN
Purpose: To discuss: global research findings on younger and older women on meaning of breast cancer, coping, and health; and implications for advancing practice, research, education and policy to meet the needs of younger and older women with breast cancer.

Session: A 08

Global Interprofessional Health Disparities

Nurses Crossing Disciplines and Borders: A Participatory Research Approach to Global Water Challenges
Vicki L. Simpson, PhD, MSN, RN, CHES
This session will describe how one university created and has sustained a cross-disciplinary approach to safe water in the Dominican Republic. Participatory research approaches; strategies to sustain and evaluate initiatives in developing countries; challenges and benefits for faculty, students, and communities; and the role of nurses will be discussed.

Application of Evidence-Based Practices to Global Interprofessional Collaborations Aimed at Reducing Hearing-Related Health Disparities
Tracey Smith Page, DNP, RN, FNP-BC
Healthcare professionals, students, educators, spiritual leaders, and community members participated in health and education clinics in recognizing and reducing hearing-related deficits in Nicaraguan children. The purpose of this presentation is to demonstrate the effective application of evidence-based practices to reduce health disparities by utilizing interprofessional collaboration on a global level.

Session: A 09

HPV Vaccine Promotion

Knowledge, Attitude, and Intention to Obtain HPV Vaccination Among Undergraduate College Students in St. Lucia
Esther Shirley Daniel, PhD, RN, RM; Tisha Nelson, MSN, RN; and Gloria Ramdeen Mootoo, MSc (ClinPsy), RN, RM
Incorporating HPV vaccination as part of healthcare and HPV awareness activities can bear fruitful results in curbing the long-term effects of cancer on the male and female population of St. Lucia. Knowledge levels are minimal, so media and health professional promotion are required to raise awareness.

Completeness of Human Papilloma Virus (HPV) Vaccination: A Systematic Review of the Literature
Hee Sun Kang, PhD, RN; Jennie C. De Gagne, PhD, DNP, RN-BC, CNE, ANEF; and Ye Dong Son, MSN, RN
Education on Human Papilloma Virus (HPV) and reminder/recall systems using either electronic or nonelectronic methods could contribute to the promotion of HPV vaccination completion in women.

Session: A 10

Affects of Intensive Care on Quality of Life

Living a Lie: The Biographical Disruption of Intensive Care Unit (ICU) Survivors
Beverley Ewens, PhD, BSc (Hons), RN
The legacy of a critical illness can be long-lasting and significant, with some patients never able to reconcile their present with their former selves.This study details the disruption to the self that survivors report, which many are unable to reveal to others.

Impact of Prior Intensive Care Unit (ICU) Experience on ICU Patients' Family Members' Psychological Distress
Chrystal L. Lewis, PhD, RN; and Jessica Z. Taylor, PhD, LPC, NCC
This session will review the global health phenomenon of psychological distress in family members of ICU patients. Research will be presented on the role of prior ICU experience on ICU patients' family members’ experience of psychological distress. Implications for nursing practice and interdisciplinary collaboration will also be discussed.

Session: A 11

Adolescent Health

Psychological Distress Among Adolescents in Laos, Mongolia, Nepal, and Sri Lanka
Heeyoung Lee, PhD, APRN- BC; and Eun Young Lee, PhD, RN
The purpose of this study was to explore psychological distress and examine the relationship between distress and individual, family, and school factors among adolescents in Laos, Mongolia, Nepal, and Sri Lanka. Intervention strategies to promote mental health among adolescents will be discussed.

Perceptions of Health, Healthy Decision-Making, and Living: A Study of Young Mothers Living in Jamaica
Katherine M. Haigh, MSN, APRN, CNP; Judith Herrman, PhD, MS, BSN, RN, ANEF, FAAN; and Kathleen Luckner, BSN, RN
Adolescent sexual health is a topic of concern globally. Sadly, there is a paucity of research specific to teens living in Jamaica. Nursing students traveled to Jamaica to provide health instruction to young mothers who also participated in focus groups, helping identify gaps in knowledge of general and sexual health.

Session: A 12

Pediatric Care and Safety

Direct Clinical Application With Nurse-Led Research: Impact of "Boot Camp" Intervention for Caregiver Discharge Readiness
Mary Cazzell, PhD, RN; Julie Van Orne, MSN, RN, CPN; and Kaylan Branson, MSN, RN, CPN
An interventional nursing research study was conducted to determine the effectiveness and efficiency of a structured “boot camp” training-for-discharge program for caregivers of medically dependent children on a transitional care unit. Outcomes measures included average length of stay, amount of documented discharge training, caregiver satisfaction, and parental stress.

Risks and Protector Factors: Access to a Diagnosis and Services for a Child With Autism
Susan A. Bonis, PhD, RN
The purpose of this study was to describe parent experiences accessing a diagnosis and services for their child with autism. Findings are a precursor to a film aimed at facilitating early diagnosis and access to services as well as changing policy and government budget allocations for autism services.

Session: A 13

Promoting Healthy Work Environments for the Clinical Nurse

A Model-Based Ergonomic Risk Management Program to Reduce the Musculoskeletal Symptoms of ICU Nurses
Duygu Sezgin, PhD, MScN, BScN, RN; and Melek Nihal Esin, PhD, MScN, BScN, RN
This quasi-experimental study evaluated the effects of a PRECEDE-PROCEED Model-Based Ergonomic Risk Management Program to reduce problems related to musculoskeletal symptoms in intensive care unit (ICU) nurses.

Evaluation of a Planned Rest/Nap for Hospital Night-Shift Nurses
Diane A. Drake, PhD, RN; and Monica Malcuit, BSN, RN
The purpose of this study was to investigate the feasibility and effects of a fatigue-related risk-management intervention for night-shift hospital nurses. Collaborative nursing administration support and staff nurse participation in a 12-week study demonstrated many benefits and few difficulties associated with a planned nap/rest intervention.

Session: A 14

Adherence in Hypertension Patients

Improved Adherence Status in Patients With Hypertension: A Community-Based Intervention
Thitipong Tankumpuan, MSN, BSN, RN; Sakuntala Anuruang, PhD, RN; Debra Jackson, PhD, FACN; Louise D. Hickman, PhD, MPH, BN, RN; Michelle DiGiacomo, PhD, MHSc (Hons), BA; and Patricia Mary Davidson, PhD, MEd, BA, RN, FAAN
This study provided evidence to support the use of a community-based intervention as an effective adjunct to hospital-based care of patients with hypertension. Developing the intervention while considering social determinants, such as gender, comorbidities, and caregiver status, may assist healthcare providers in tailoring and targeting a self-management intervention for hypertension.

Health Beliefs and Medication Adherence Among Omani Patients With Hypertension
Huda Al Noumani, PhD, RN, CNS; Jia-Rong Wu, PhD, RN; Debra Barksdale, PhD, RN, FNP-BC, CNE, FAANP, FAAN; George Knafl, PhD; Gwen Sherwood, PhD, RN, FAAN; and Esra Al-Khasawneh, DNSc, MSN, RN, FAAN
Attending this session will provide participants with knowledge related to health beliefs specific to Omani patients with hypertension and how these beliefs are related to their behaviors toward medication adherence.

Session: A 15

Research and Implementation

Strategies to Increase Research Productivity in a College of Nursing
Stephen J. Cavanagh, PhD, RN, FACHE, FAAN
This presentation will identify innovative strategies to build and grow a successful research enterprise. Discussion will focus on the importance of aligning faculty expertise with a strategic plan, institutional mission and resources, interdisciplinary collaboration, business partnerships, and fundraising activities.

Making Your Research More Robust With Implementation Science
Linda Costa, PhD, RN, NEA-BC; Marianne Weiss, DNSc, RN; Kathleen Bobay, PhD, APRN, BC; Ronda Hughes, PhD, MHS, RN, CLNC, FAAN; Susan A. Nuccio, MSN, RN, ACNS-BC, CGRN; Sarah J. Bahr, MSN, RN-ACNS; and Danielle M. Siclovan, MSN, NE-BC
This presentation will discuss the use of implementation science and formative evaluation during a multisite research study, including the development of a site principle investigator interview guide based on the Consolidated Framework for Implementation Research; describe facilitators and the challenges of implementing unit-level clinical research; and summarize lessons learned.

Session: A 16

Strategies in Disaster Preparedness

Crisis Leadership and Decision-Making: Hospital Administration and Nurse Leaders’ Concerns for Disaster Response
Tener Goodwin Veenema, PhD, MSN, MPH, RN, CPNP, FAAN; Katherine DeRuggiero, DNP, RN; Sarah Lynn Losinski, MPH, RN; and Daniel Barnett, MD, MPH
Disasters impose a huge burden on healthcare leaders, and strong leadership is critical for timely, effective, and coordinated responses. The purpose of this study was to characterize and explore the essential elements of effective hospital and nursing leadership during disasters and identify events of greatest concern for response.

American Red Cross Simulation and Student Nurse Disaster Preparedness
Patricia Frohock Hanes, PhD, MAEd, MS-DPEM, RN, CNE, CLSSGB; and Anna Marie Hefner, PhD, MSN, BSN, RN, MaEd, CPNP
This presentation will describe the conduction of a web-enhanced, low-fidelity disaster simulation and the results of an evaluative survey administered after a disaster simulation and hybrid disaster nursing course with student nurses.

Session: A 17

Advancing Global Health Through Education

Providing Future Nurses With Experiential Learning Opportunities in Global Nursing: The Belize Experience
Joann Marie Sands, DNP, RN, ANP-BC; and Jennifer M. Guay, DNP, CNM
The purpose of this presentation is to present and validate the benefits of a faculty-led transformative global nursing education experience—and subsequently, interdisciplinary experience—and to identify strategies that promote collaboration in this interprofessional global initiative.

Influencing Global Health: Creating an Interprofessional Global and Rural Health Certificate Program
Wendy Renee Thal, DNP, APRN, FNP-C, APHN-BC; Emily S. Merrill, PhD, RN, FNP, BC; and Rosalinda Jimenez, EdD, APRN, MSN, FNP-C
This presentation details the development process and implementation of a graduate-level, interprofessional global health certificate program at Texas Tech University Health Science Center (TTUHSC) School of Nursing. This program is designed to prepare professionals with in-depth knowledge to enhance the care of populations in underserved areas around the world.

Concurrent Sessions B

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

Select each session below to view the individual presentations.

Session: B 01

Strategies to Assist Patients Exposed to Violence

Transforming Research to a Global Application for Assessment of Women and Children Exposed to Violence
Judith M. McFarlane, DrPH, RN, FAAN; Fuqin Liu, PhD, RN; Nina Fredland, PhD, RN; Anne Koci, PhD, RN, FNP-BC, WHNP; and Lene Symes, PhD, RN
Violence is epidemic, yet applications for screening and triage are rare. This research describes the development and uptake of the First Assessment Screening Tool application.

Knowledge Mobilization of Methods and Findings of Intimate Partner Violence Research in Canada's North
Pertice M. Moffitt, PhD, RN; and Heather Fikowski, MSW, RSW
Research will be presented regarding community response to intimate partner violence and the mobilization of knowledge in Canada's Northwest territories. Service providers describe their experiences as "our hands are tied." Education and awareness are key strategies to assist with removing the barriers to a coordinated and collaborative community response.

Session: B 02

Advancing Nursing Education

Integrated Application Process for Nursing Student Clinical Practicum
Nancy S. Goldstein, DNP, MS, RNC-OB, ANP-BC; Diana Lyn Baptiste, DNP, MSN, RN; and Sibyl Snow, MA, BA
Nursing students’ decisions regarding where to complete their education can be difficult. A process to improve communication and the quality of selection through an integrated application was the aim. A strategy was developed with the functionality and technical capabilities to support wide-ranging needs of all clinical practicum options.

Advancing Nursing Education: BSN Completion Messaging Materials for Associate Degree Nursing (ADN) Faculty
Linda E. Moody, DNP, MBA, RNC-OB
The IOM’s Future of Nursing report calls for increasing the proportion of baccalaureate-prepared nurses to 80% by 2020. ADN faculty are frontline mentors in academic progression. The support and messages that faculty provide to ADN students are crucial for students to understand the benefits, opportunities, and importance of BSN completion.

Session: B 03

Promoting Mental Health in Vulnerable Populations

Whole-Person Wellness: Integrating Care to Improve Physical Health of Persons With Serious Mental Illness
Kathleen McDermott, DNP, RN, APRN, PMHNP-BC
In this age of healthcare reform, community mental health centers are often looking for ways to effectively and efficiently provide integrated care. This presentation will provide a program evaluation, data analysis, and lessons learned from one community mental health center's efforts to provide integrated care in a resource-strained environment.

Perceptions of Stigma by Parental Caregivers With Mentally Ill Family Members
Vulnerable populations, such as people with mental illness or psychiatric disabilities, are at risk for various forms of stigma. Caretakers frequently identify the types of stigma experienced by their family members. This qualitative research presentation will describe the parental perceptions of stigma experienced by their adult children with mental illness.

Session: B 04

Promoting Health Through Immunizations

Deployment of Clinical Grant to Enhance Influenza Vaccination Among Spinal-Cord Injury Outpatient Veterans
Huberta-Corazon (Bette) Thiam Cozart, PhD, RN
The latest VHA Influenza Surveillance Data Report cites heightened influenza epidemic in inpatient and outpatient settings, with “nearly one-third” of veterans testing positive for influenza. To increase vaccinations in a vulnerable population with comorbidities, a grant was applied for from the VHA Office of Public Health and Health Equity Program.

Improve Competency With Evidence-Based Immunization Practice Education
Pamela K. Strohfus, DNP, MA, RN, CNE
Evidence-based immunization practice education helps improve knowledge, immunization rates, use of standing orders, and storage and handling processes. Competency in managing immunization practices is necessary to ensure vaccine efficacy and prevent disease. Registered nurses and pediatric practices have proven to be highly competent in managing immunization programs.

Session: B 05

Cultural Impact in Nursing Education

Evaluating an Online Global Community of Practice: Student Nurse Experiences of a Cross-Cultural Blogging Activity
Siobhan T. Wragg, MSc, MEd, RN; Nancy A. Edgecombe, PhD, MN, BN, OPN, RN-NP; and Moira Stephens, PhD, MSc, BSc (Hons), CertEd, RN
This presentation reports on the experience of nursing students from an Australian and a Canadian university who took part in the international blog activity that endeavored to enrich their learning by allowing them to share ideas about their culture.

Long-Term Impact of Study Abroad in Undergraduate Nursing Education on RN Nursing Practice
Arlene E. Kent-Wilkinson, PhD, RN, CPMHN(c); Marie Dietrich Leurer, PhD, RN; Janet Luimes, MScN, RN-NP; Linda M. Ferguson, PhD, RN; B. Lee Murray, PhD, RN; Vicki Squires, PhD, MEd, BEd; and Carmen M. Dell, BScN, BA, RN
Study abroad experiences often have a significant impact on the lives of university students, but is this true for nursing students, with regard to their future nursing practice? This study will examine the long-term impact study abroad experiences have on nursing practice from self-reports of registered nurses (RNs) in Canada.

Session: B 06

Factors Affecting Oncology Patients

Symptom Clusters and Oxidative Stress in Patients With High-Grade Brain Cancers: A Longitudinal Study
Sanghee Kim, PhD, MCN, RN
This study provided nurses with new insights into the relationship between symptom clusters and oxidative stress in patients with high-grade brain cancers, knowledge that could improve symptom management in patients with brain cancers during concurrent chemoradiotherapy (CCRT).

Skin Toxicity Assessment in Breast Cancer Patients: A Study on Interobserver Variability and Self-Reported Measures
Kristiina Hyrkas, PhD, LicNSc, MNSc, RN; Susan Getz, BSN, RN, OCN; James R. Kavanagh, MSN, RN, ARNP-BC, OCN; Nellie P. Bergeron, BSN, RN, OCN; Julie A. Wildes, RN, OCN; and Ian J. Bristol, MD, ABR
Acute radiodermatitis in breast cancer patients undergoing radiotherapy is common. This study examined variability of skin assessments by clinical staff and patients’ self-report. Variability—upgrading or downgrading—increased over time. Our results demonstrate that assessment criteria may be interpreted subjectively, especially during longitudinal observations when there are more skin reactions.

Session: B 07

Global Interprofessional Health Promotion

Global Interprofessional Study Abroad Impact on Nurse Practitioners' and Medical Students' Perceptions About Role Definition
Debra A. Kosko, DNP, RN, FNP-BC; Deborah Chapa, PhD, RN, ACNP-BC, FNAP, FAANP; and Melvin S. Swanson, PhD
Healthcare delivered by well-functioning teams results in improved clinical outcomes, yet health profession students are educated in silos, seldom communicating across disciplines. Global immersion education provides the opportunity for interprofessional skill development while promoting interprofessional clinical practice globally.

Step Into Wellness: A Nurse Practitioner-Directed Interprofessional Intervention for Underserved Populations
Patricia A. Rouen, PhD, FNP-BC; and Janet M. Baiardi, PhD, FNP-BC
This presentation describes a nurse practitioner-directed interprofessional intervention to improve health outcomes in an underserved population. Culturally relevant strategies included group nutrition education, gentle yoga, a pedometer-guided walking program, and weekly spiritual and motivational text messages. Results demonstrated improved nutrition knowledge, more steps walked, and high levels of patient satisfaction.

Session: B 08

Health Promotion

Planning an Efficacy Study of a Web-Based Yoga Intervention Based on Feasibility Findings
Jane M. Flanagan, PhD, RN, ANP-BC, AHN-BC
This presentation will describe the development and feasibility testing of an Internet-based yoga video created by an interdisciplinary team of breast oncology providers. Emphasis will be on the findings and how they have informed the efficacy trial.

Herbal Supplements: Safety and Research Support
Rosanne H. Pruitt, PhD, APRN, FNP-BC; Ashley Lemanski; and Adam Carroll
Herb usage is extensive worldwide, often without knowledge of the research supporting herbs' effectiveness and side effects. This project filled a gap, providing evidence to inform practice by evaluating the quality of the research supporting commonly used herbs and translating the information into an easily accessible format for healthcare providers.

Session: B 09

Improving Baccalaureate Nursing Program Care Models

Teaching Quality Improvement to Baccalaureate Nursing Students: Strategies That Work!
Laurie Bladen, PhD, MBA/HCM, RN
Quality improvement teaching strategies should be part of a global nursing curriculum to help students develop solutions to nursing practice concerns. This presentation will provide information on teaching strategies that enable faculty to teach quality improvement in a baccalaureate program. Challenges to teaching quality improvement will be discussed.

The Transformation of Knowledge and Practice as Undergraduate Baccalaureate Nursing Students Actualize Caring
Donald N. Rose, PhD, MN, BScN, RN; Claire Mallette, PhD, MScN, BScN, RN; and Karen Poole, MEd, MA (Nsg), RN
This presentation will explore multiple perspectives on the topic of caring pedagogy: formal curricular content, the influence of students’ relationships with others in the academic and practice environments, student and alumni self-awareness, and the healthcare system’s effect on students’ development. Implications for transforming curricula and nursing practice will be discussed.

Session: B 10

Interprofessional Education Collaborations

Nursing and Physical Therapy Students Learning and Collaborating Together
Mary Francis, PhD, RN, NP-BC; Robert Wellmon, PhD, PT, DPT, NCS; Kristin Lefebvre, PhD, PT, CCS; and Ellen Erdman, DPT, PT, HPCS
Nursing and physical therapy must work closely together to improve patient's mobility. This educational activity describes a lab in which nursing and physical therapy students collaborated on mobility. Following the mobility lab, all students were surveyed and participated in a debriefing to ask about their perception of the collaboration activity.

Interprofessional Education and Team-Based Learning in a Research Methods Course
Vicki Schug, PhD, RN, CNE
This presentation describes team-based pedagogical strategies implemented in a hybrid, four-credit interprofessional research methods course with students from a variety of disciplines. Concussion in football players as an evidence-based practice focus brought research of interest to the various student groups. Student learning outcomes relative to interprofessional competencies will be discussed.

Session: B 11

Stress and Burnout in the Nursing Profession

The Impact of Burnout on Doctorate Nursing Faculty’s Intent to Leave Their Academic Position
Elizabeth Florez, PhD, RN; Young-Me Lee, PhD, RN; Nadia Spawn, MS, RN; and Jessica Bishop-Royse, PhD
A national study in the United States was conducted to examine factors related to the nursing faculty shortage. The findings from this study found that PhD-prepared nursing faculty experienced more emotional exhaustion compared to the DNP-prepared faculty, a significant factor influencing decisions to leave nursing academia.

Nurses' Stress and Coping: In the Midst of Work and Back to School
Joyce A. Brill, PhD, RN, CPNP; Paulette Dorney, PhD, RN; and Robert T. Brill, PhD
This study explored self-reported levels of workplace stress and frequency of coping methods used by a sample of 51 employed nurses also enrolled in a degree program. Open-ended survey questions also investigated incentives, barriers, and supports related to their decision to return to school.

Session: B 12

Pediatric Pain Management

Frontline Nurse-Initiated Interventional Research: Use of Distraction vs. Oral Midazolam in Reducing Pediatric Perioperative Anxiety
Barbara Stewart, MSN, RN, CPN; Rebecca Severnak, ADN, RN; and Terri Pearcy, BSN, RN, CPN
Conducted by frontline nurses, the purpose was to investigate the effects of interactive distraction versus oral midazolam on preoperative anxiety during parental separation and mask induction in children ages 4 to 12 years old undergoing outpatient surgery. The study's protocol, results, and implications to nursing practice will be detailed.

Untreated Procedural Pain Increases Urine Markers of Adenosine Triphosphate (ATP) Utilization in Preterm Neonates
Danilyn Mag-akat Angeles, PhD, RN; and Danilo Boskovic, PhD
Untreated procedural pain in premature neonates increases energy utilization, as evidenced by an increase in urine markers of adenosine triphosphate degradation (hypoxanthine, xanthine, uric acid) and oxidative stress (allantoin).

Session: B 13

Care of Minority Populations

Beliefs, Attitudes, and Perceptions of Spirituality: A Case Study of Homeless Women in Nevada
Jene' M. Hurlbut, PhD, RN, CNE; and Marcia M. Ditmyer, PhD, MBA, MS, MCHES
Rates of homelessness remain high, with a significant portion being women. Research suggests that spirituality may help mitigate the negative effects of homelessness. The purpose of this qualitative case study was to assess the beliefs, attitudes, and perceptions of spirituality associated with the lived experiences of sheltered homeless women.

Clinicians and Bicultural Workers' Views on Coassessment to Improve Mental Health Assessments in Multicultural Clients
Saras Henderson, PhD, MEd, RN, FRCN
Clinicians' and bicultural workers' views on the benefits and challenges in using coassessment, whereby clinicians and bicultural workers jointly assess multicultural patients/clients, will be is presented.

Session: B 14

Diabetic Outcomes in Vulnerable Populations

Nurse-Led Diabetic Retinopathy Screening: A Revolutionary Approach to Vision Care for Canadian Aboriginal Peoples
Shelley Spurr, PhD, MBA, BSN, RN; Jill Bally, PhD, RN; and Carol Bullin, PhD, RN
Diabetic retinopathy is the most common cause of new cases of blindness and is a significant health concern among Aboriginal people across the world. To reduce health inequities, accessible vision screening among this high-risk population is essential.

Effects of Nursing Case Management on Outcomes of Monks at Risk for Type 2 Diabetes
Apichart Chaimai, MNS, RN; and Noppawan Piaseu, PhD, RN, APN/NP
Buddhist monks are considered the population's most at risk of diabetes mellitus due to their activities and the 227 precepts they have to adhere to. Nursing case management significantly improved health behaviors, fasting blood glucose levels, body mass indexes, and waist circumferences of monks at risk for type 2 diabetes.

Session: B 15

Quality of Life in Cardiac Patients

Comparisons of Cardiometabolic Risk Between African American and Caucasian Women in a Worksite Wellness Program
Barbara Ann Graves, PhD, RN; and Susan J. Appel, PhD, RN, APRN-BC, CCRN, FAHA
This presentation will describe results of a cross-sectional study designed to examine racial differences in cardiometabolic risk or the interplay of risk for diabetes leading to heart disease among women participating in a university worksite wellness program.

Cardiac Rehabilitation Improves Health-Related Quality of Life for Patients With Atrial Fibrillation: A Pilot Study
Lynn C. Macken, PhD, RN; Charles Morrison Carpenter, MD, FACC; Caitlin R. Coppenrath, MS, RCEP; Gail Alison Crocker, BS, RN; Karen Kurkjian, MD, FACC; Aimee Chapman, BS, RN, CHFN; and Kristiina Hyrkas, PhD, LicNSc, MNSc, RN
Patients with atrial fibrillation frequently experience recurrent symptoms and poor quality of life despite medical treatment. This pilot study examined the trajectory of symptoms and health-related quality-of-life outcomes in patients who participated in a 12-week, community-based cardiac rehabilitation program or received usual care.

Session: B 16

Adolescent Sexual Health

Understanding the Intersection of Adolescent Girls' Motives for Sex and Risk Profiles
Dianne Morrison-Beedy, PhD, MSN, BSN, RN, WHNP-BC, FNAP, FAANP, FAAN; Linsey Grove, MPH, CPH, CHES; Ming Ji, PhD; and Elizabeth Baker, PhD, MPH, CPH
Learn about different motivations for sex and their intersection with various risk profiles in girls enrolled in an evidence-based human immunodeficiency virus- (HIV-), sexually transmitted infection- (STI-), and pregnancy-prevention intervention. The session will help participants understand how this information can tailor future interventions for adolescent girls.

Using Youth-Participatory Research to Address Health Disparities in Sexually Transmitted Infections Among Homeless Youth
Michelle Dang, PhD, RN, APHN-BC
Despite known risk factors, effective interventions for sexually transmitted infection (STI) prevention and treatment for homeless youth remain elusive. This project used a youth-participatory approach to determine the most effective methods in STI research with homeless youth as well as identify characteristics that will inform programs in developing culturally-specific interventions.

Session: B 17

Advancing the Nurse Practitioner

The Nurse Practitioner Clinical Ladder Program: A Journey to Professional Nursing Excellence
Lisa M. Paplanus, DNP, ACNP-BC, ANP-BC, CCRN, RN-C; Patricia Bartley-Daniele, PhD, FNP-BC, CCRN, CNRN, CPAN, CAPA; and Patricia D. Chibbaro, MSN, CPNP
The organizational Nurse Practitioner Clinical Ladder (NPCL) Program in a university-affiliated medical center in the United States will be described, including its inception, implementation, and evaluation. The program's structure, process, outcomes, and future clinical practice implications will also be included.

The Nurse Practitioner (NP) Mentorship Program: Supporting Role Transition Into Practice
Patricia Bartley-Daniele, PhD, FNP-BC, CCRN, CNRN, CPAN, CAPA; Tracy Lynne McTiernan, MA, CPNP; and Camille LaPera, MA, ACNP-BC
The NP Mentorship Program was developed in an academic medical center in the United States. Benner's (2000) Novice to Expert nursing model and Donabedian's (2005) structure and process framework guided its development. The program outcomes identified multiple mentoring strategies to promote NP transition into practice. Future research will be discussed.

Concurrent Sessions C

4:30-5:15 p.m. (1630-1715)

Select each session below to view the individual presentations.

Session: C 01

Student Nurse Communication Skills

A Global Measure of Nursing Student Communication: The Interpersonal Communication Assessment Scale (ICAS)
Marilyn Klakovich, DNSc, RN, NEA-BC
The Interpersonal Communication Assessment Scale (ICAS) was originally developed and tested for use in nursing schools in the United States. It has since been translated and adapted for use in five other countries. Uses for the ICAS will be detailed and the adaptation process described.

How Baccalaureate Student Nurses Use Art Therapy to Facilitate Therapeutic Communication
Robyn Rice, PhD, MSN, BSN, RN; and Joyce Mary Hunter, MSN, RN
This study was designed to explore how undergraduate nursing students use art therapy to promote therapeutic communication with mental health patients. This was a qualitative study using thematic analysis. Art therapy facilitated student and mental health patient communication. The intentional use of art therapy should be integrated into nursing education.

Session: C 02

Domestic Violence and the Promotion of Mental Health

The Relationship Between Marginalization and Mental Health Symptoms in Abused Women
Anne Koci, PhD, RN, FNP-BC, WHNP; Judith M. McFarlane, DrPH, RN, FAAN; and John A. Maddoux, PhD, MA
Utilizing five-year data from a prospective seven-year study, the participants will examine the link between marginalization and mental health symptoms among women with known histories of intimate partner violence

A Cognitive-Behavioral Therapy Program for Youth Who Engage in Domestic Violence Against Their Parents
Anthony J. Roberson, PhD, RN, PMHNP-BC
Participants will be presented with the components and results of an evidence-based intervention program, grounded in the tenets of Cognitive Behavioral Therapy, that was part of a juvenile justice system diversion program for youth who engage in domestic violence against their parents.

Session: C 03

Nursing Student Support Strategies

Those Entitled Millennials: Comparative Analyses of Nursing Faculty and Student Narcissism and Organizational Support Measurements
Kate Rocklein Kemplin, DNP, MSN, BNSc, RN, CCEMTP; and Peyton Marie O'Kain, BSN (c)
The intergenerational chasm between millennial nursing students and faculty is poised to create detrimental effects on the nursing workforce, professional attrition, and distally, patient safety. Emerging evidence generated from this innovative pilot study refutes many assumptions of millennials' narcissism and entitlement, providing actionable basis for future research and pedagogical restructuring.

Embedding a Clinical Therapist as Staff into a Faculty of Nursing
Linda J. Patrick, PhD, MSc, MA, BScN, RN; Laurie M. Carty, PhD, BA, BScN, RN; Sheema J. Inayatulla, MBA, BSc; and Katelyn J. Verkoeyen
Embedding a clinical therapist as staff into a faculty/school of nursing promotes the mental health of nursing students and enhances the student experience. Students receive timely and often pre-emptive counseling for issues related to both personal and academic stress.

Session: C 04

Challenges in Substance Abuse

A Retrospective Descriptive Study of Chemically Impaired Nurses in Texas
Mercy N. Mumba, PhD, RN, CMSRN
The problem of substance abuse and chemical dependency among nurses is one that has been met with controversy for many decades. Understanding who nurses with impaired practice are and what factors are associated with this phenomenon is important if we are going to find lasting solutions that promote recovery.

A Redemption Story: A Case Study of a Faith-Based Addiction Recovery Process
Chitra Paul Victor, PhD, RN, RM, CNE
This qualitative study addresses the complex and challenging process of women recovered from Substance Use Disorders. The researcher, using case study design explored the role of faith and faith-based programs in the healing journey of women who have experienced the faith-based recovery process from Substance Use Disorders and addiction.

Session: C 05

Maternal Mental Health

Differentials in Health-Related Quality of Life of Employed and Unemployed Women With Normal Vaginal Delivery
Anthonia U. Chinweuba, PhD, MSC, RN, RM, RPHNE, FWACN; Ijeoma L. Okoronkwo, PhD, MSC, RN, RM, RNE, FWACN; Agnes N. Anarado, PhD, MSC, RN, RM, RNE, FWACN; and Noreen E. Agbapuonwu, PhD, MSC, RN, RM, RNE, FWACN
Differences in health-related quality-of-life of employed and unemployed women in Enugu, Nigeria, with normal vaginal delivery were measured at 6, 12 and 18 weeks postpartum in the light of their mother-worker dyad using standardized Iranian version SF-36v2TM instrument. Increased responsibility combined with increasing age negatively affect the women’s reported quality-of-life.

Factors Influencing the Grief, Depression, and Quality of Life in Taiwanese Women With Perinatal Loss
Ya-Ling Yang, PhD, RN
The indication of pregnancy termination and the chronological change both were not influencing factors of the grief in perinatal loss. But the women’s self-esteem and self-efficacy had positive association with the grief adaptation and quality of life changing in women with perinatal loss no matter non-elective and elective terminated pregnancy.

Session: C 06

Alternative Health Promotion

Relieving Pain and Anxiety via Sensory Modification
Christi M. Turnage, ADN, RN
The purpose of this review was to evaluate literature related to the efficacy of sensory modification in relieving pain and anxiety and promoting comfort during medical procedures and hospital stays as an alternative to pharmacological management

Anxiety-Reducing Efficacy of Inhaled Essential Oils: A Case Study and Literature Review
Dawn L. Langley-Brady, MSN, RN, AHN-BC, CHPN, CCAP
Anxiety disorders impact over 40 million adults and cost the U.S healthcare system more than 42 billion dollars annually. Essential oils are an effective method for reducing anxiety without the myriad of pharmacological treatment-related side effects. An adult anxiety aromatherapy case study and related literature review will be presented.

Session: C 07

Factors in Suicide

Suicide Risk Assessments: A Mixed-Method Study of Nurses’ and Patients' Experiences With Evidence-Based Practice
Elaine E. Santa Mina, PhD, RN; Elizabeth McCay, PhD, RN; Donald N. Rose, PhD, MN, BScN, RN; and Beth Hamer, MSc, RN
Evidence-based practice for nursing suicide risk assessments are pivotal to prevent suicide. A mixed-methods design investigates nurses’ practice and perspectives along with patients’ experiences of suicide risk assessment. Findings demonstrate congruence and divergence with best practices and portray a ‘dance’ between nurses and patients that may hinder or facilitate assessments.

The Association Between School-Related Victimization, Depressive Symptoms, and Suicidality Among U.S. High School Students
Nancy Pontes, PhD, RN, FNP-BC; Cynthia Ayres, PhD, RN, FNAP; and Manuel C. F. Pontes, PhD
This research examines the relationships between school-related victimization, depressive symptoms and suicidality among US high school students, stratified by grade, gender and race/ethnicity. This secondary analysis of the pooled 2009-2015 nationally-representative Youth Behavior Risk Survey (YRBS) revealed that school-related victimization has very large effects on both depressive symptoms and suicidality.

Session: C 08

Global Midwifery Practices

Psychosocial Knowledge for Future Nursing and Midwifery Practice in Community Placement in Vietnam and Australia
Yvonne Karen Parry, PhD, MHSM, GradCertEdu, BA, RN; and Pauline Hill, ME (St), BN (Ed), DipApp (Sc), RN, RN
The two research projects illustrate the students learning gained from community placements in two different settings and the applications of the psychosocial knowledge gained to future nursing and midwifery practice. Both community based placements provided health care to vulnerable and disadvantaged population groups.

Evidence-Based Research and Delayed Cord Clamping: Implications for Cross-Cultural Education, Research, and Policy
Mary Ann Faucher, PhD, MPH, MS, BS, RN, CNM, FACNM
A 2-part study with midwives in India to promote the practice of delayed umbilical cord clamping will be reviewed. An evidence-based practice translational framework was utilized followed by focus groups to assess implementation. Implications for research methods, policy, cross-cultural education and clinical decision making in practice will be shared.

Session: C 09

Health Promotion for Clinicians

A Learning Collaboration to Deliver Onsite Health Promotion for Hospital Staff
Mary Val Palumbo, DNP, MSN, BS, APRN, GNP-BC
Bringing health promotion to a busy hospital unit has shown to decrease absenteeism during the intervention (Palumbo et al, 2013). An ongoing collaboration with a nurse practitioner program and an employee wellness team to deliver health coaching, biometric testing, and health messaging via social media and incentives will be described.

Nurses With Activity Limitations: Implications for an Aging Nurse Workforce
Barbara Wilson, PhD, RNC-OB
Though pervious studies have examined the causes of work-related illness and injuries among nurses, little is know about labor market disparities between nurses with and without long-term activity difficulties. This student examined the extent to which annual total wage and salary disparities were due to discriminatory treatment versus voluntary choice.

Session: C 10

Interprofessional Education in Nursing Programs

Webinars and Weaving: An Innovative Model of Interprofessional Education in an Online DNP Program
Linda A. Lewandowski, PhD, RN, FAAN; Raeann Genevieve LeBlanc, DNP, AGPCNP-BC, CHPN; Pamela Aselton, PhD, FNP-BC; Gabrielle P. Abelard, DNP, MS, BS, RN, PMHNP, PMHCNS- BC; Christine Callahan, MS, RN; and Clare Lamontagne, PhD, RN
Two successful strategies to teach interprofessional collaborative practice in an online DNP nurse practitioner program, live interprofessional case-based webinars with follow-up facilitated discussion and curriculum weaving of content will be presented with a repeated measures evaluation of the core concepts to reflect the areas of learning needs and competency attainment.

An Interprofessional Collaborative Educational Experience With Nurse Practitioner Students and Community-Based Pharmacists
Judy K. Anderson, PhD, CNE
Interprofessional education has been identified as critical to the future of healthcare, but can be a challenge to incorporate in curricula. This study involves reflections from an interprofessional experience involving nurse practitioner students with a community-based pharmacist, which may be an example of one activity to develop interprofessional competencies.

Session: C 11

Care of Dementia Patients

Resilience and Dementia Caregiving: An Integrative Review
Barbara E. Harrison, PhD, APRN, GNP-BC, FGSA
Dementia prevalence is increasing worldwide and families who provide caregiving with resilience demonstrate better health outcomes. The purpose of this integrative review was to evaluate evidence on resilience.

Proxy Decision-Making and Dementia Care: Exploring Decision-Maker Thinking Using Construal Level Theory
Helen M. Convey, MA, RN; Janet Holt, PhD, RGN, RM; and Barbara Summers, PhD
Decision making on behalf of people with dementia is challenging and knowing how proxy decision makers conceptualise the issues could assist nurses and other healthcare professionals in offering more appropriate support. We introduce Construal Level Theory as a novel basis for conceptual analysis.

Session: C 12

Pediatric Safety

Identifying Child Physical Abuse: Who Is Reporting, and How Accurate Are Their Reports?
Grace W. K. Ho, PhD, RN; Deborah Gross, DNSc, RN, FAAN; and Amie Bettencourt, PhD
Fewer than 1 in 7 children reported for child physical abuse (CPA) were found to be victims of abuse. This session describes how CPA report source predicts the likelihood that the report will be confirmed using a national sample of 204,414 children reported for CPA in 2013.

Measuring Harm in Hospitalized Children via a Trigger Tool
Lya Michele Stroupe, DNP, APRN, CPNP, NEA-BC
The Global Assessment of Pediatric Patient Safety (GAPPS) trigger tool detects four times more adverse events than voluntary incident reporting systems resulting in increase of patient safety and quality of care.

Session: C 13

Promoting Health in Osteoarthritis Patients

The Effect of Chair Yoga Practice on Older Adults With Osteoarthritis
This Randomized Control Trial determined the effect of a seated chair yoga program on Older Adults with Osteoarthritis. The primary outcome measure was pain, secondary measures included gait speed, balance, depression, fatigue and life satisfaction. Attention control group attended a health education program. Findings will be discussed.

Symptom Management in Adults With Knee Osteoarthritis Using Transcranial Direct Current Stimulation: A Pilot Study
Hyochol Ahn, PhD, MSN, MS-ECE, MS-CTS, RN, APRN, ANP-BC; and Roger Fillingim, PhD
We evaluated the clinical efficacy and safety of Transcranial Direct Current Stimulation (tDCS) in reducing osteoarthritis-related pain symptoms. Our preliminary results showed that tDCS in participants with knee osteoarthritis may reduce osteoarthritis-related pain symptoms without any significant adverse effects.

Session: C 14

Promoting Outcomes in the Clinical Setting

Misconceptions About Peripheral Intravenous Catheter Complications Rate Based on Insertion Settings: A Comprehensive Literature Review
Ani Kaziu; Liam Mcneil, CPHT; Laura Lee Robishaw, MA/EMT, ACLS, PALS, BLS; Erica Marie Luke, CST; and Elisha Son, BLS
The findings of this comprehensive literature review contradict long-standing recommendations of prophylactically removing PIVC’s initiated in areas considered to be suboptimal – specifically in the pre-hospital and emergency department settings. Current practice guidelines relating to PIVC's are not congruent with the evidence.

A Comparison of EMLA and LMX4 for Managing Pain During Sharp-Wound Debridement
Wendy M. Woith, PhD, RN, FAAN; Jennifer Perry, BSN, CHRN; and Jessica Lee, BSN, CHRN
This presentation reports on a double-blind, cross-over, randomized controlled trial comparing the effectiveness of EMLA and LMX4 in managing pain during sharp wound debridement. Repeated measures MANOCA showed a significant effect of time and drug by drug order. Findings have implications for use of topical anesthetics during sharp debridement.

Session: C 15

Research in Academia

Research Capacity Development in a Nursing Education Context
Nelouise Geyer, PhD, MCur, BCur, RN, RM, RPsyc; Gisela H. Van Rensburg, DLittetPhil, MACur, BACur (Hons), BACur, RN, RM, RCN, RPN, RNE, RNM, RON; and Susan Jennifer Armstrong, DCur, RN, RM, FANSA
Taking into consideration that nursing programs are migrating to higher education in South Africa, research and public presentation skills are essential for all nurse educators. To bridge this gap, the novice researcher program was implemented and the outcome assessed against Cooke's integrated framework as described by Edwards et al. (2016).

Collaborating in a Train-the-Trainer Supervision Model for Research Capacity in a Resource-Limited African University Setting
Oluyinka Adejumo, DlittetPhil, RN, RPN, RNE; Madeleine Mukeshimana, MN, RN; and Donatilla Mukamana, PhD, RN, RMN
The future of nursing science and practice can only be enhanced by contribution to knowledge through research and evidence-based practice. Where there is no previous experience and with an inadequate number of well-prepared faculty, a creative approach is adopted to develop student and faculty capacity for research and evidence-based practice.

Session: C 16

Doctoral Nursing Education

Doctoral Nursing Students' Use of Evidence-Based Knowledge, Skills, and Attitudes of Scholarly Writing
Diane F. Hunker, PhD, MBA, RN; Teresa Shellenbarger, PhD, RN, CNE, ANEF; and Elizabeth A. Gazza, PhD, RN, FACCE, LCCE
A national sample of US nursing doctoral students completed a self-assessment of knowledge, skills and attitudes (KSAs) of scholarly writing. Findings revealed that while most KSAs were used by the students, not all were used regularly. Recommendations for facilitating writing development and using the KSAs in nursing education are offered.

Impressions of Uses for Visual Thinking Strategies Among Doctorate of Nursing Practice Leadership Students
Meg Moorman, PhD, RN, WHNP-BC; and Desiree Hensel, PhD, RN, PCNS-BC, CNE
This study exposed DNP in Leadership students to an innovative teaching strategy called Visual Thinking Strategies (VTS). Students participated in a 1 hour VTS session, then shared ways they might use VTS in their practice. Results were de-identified, then analyzed and 3 themes emerged.

Session: C 17

Defining the Nurse Faculty Role

An Integrated Model of Learning and Role Development in Nursing Education
Monika Schuler, PhD, RN, CNE
An innovative model of learning and role development influenced by Mezirow’s Transformative Learning Theory (1978) and Tanner’s Model of Clinical Judgement (2006) is presented. This model describes learning as it occurs in the clinical or simulation setting beginning a process of perspective transformation through reflection, feedback, and restructuring.

Description and Meaning of Clinical Competency: Perceptions of Nurse Managers and Baccalaureate Nurse Faculty
Carolyn D. Meehan, PhD, RN
This presentation will provide an understanding of clinical competency from the perspective of nurse managers and baccalaureate nurse faculty based on results of an interpretive description study. Themes emerging from the data describing the meaning of clinical competency and the expectations managers have of new graduate nurses will be discussed.

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