Browsing by Sigma Chapters "Beta Nu"
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- ItemAcademic Nurse Educator Certification (ANEC) Award: Promoting the NLN's CNE credential for Maryland facultyDaw, Peggy E.; D'Aoust, Rita F.; Maryland Higher Education Commission, Baltimore, Maryland, USA; Beta NuThe Academic Nurse Educator Certification award is a state grant initiative that demonstrates increased numbers of faculty with CNEs through formal recognition and financial incentives.
- ItemAccelerated but effective: The clinical competency of second-degree accelerated bachelor of science in nursing studentsKidd, Susan Etheridge; Martin, Jeanne E.; Swift, Alison D.; East Carolina University, Greenville, North Carolina, USA; Beta NuUsing a non-descriptive comparative approach, the authors investigated the clinical competence between Second-Degree ABSN and BSN students. The Creighton Competency Evaluation Instrument was used to measure clinical competence between the groups during a simulated clinical experience.
- ItemAddressing child sexual abuse in Latin America as a means to stop HIV/AIDS(2016-03-17) Thornton, Clifton P.; Veenema, Tener Goodwin; Beta Nu
Session presented on Monday, July 27, 2015:
Purpose: The purpose of this integrative review of peer-reviewed data and key documents is to elucidate the means by which children are identified as victims; present prevalence data on victimization in Latin America; to identify themes contributing to CSA (and ultimately, HIV) in these countries; and to compare this data to current literature. To date, such a review has not been published that specifically focuses upon Latin American populations.
Methods: An integrative review of the literature using a structured search strategy was performed to capture and describe all factors associated with detecting and reporting CSA in Latin America. The framework for conducting an integrative review as outlined by Whittemore and Knalf (2005) was used for this study. Combining past empirical or theoretical literature allows researchers to achieve a more comprehensive understanding of a phenomenon (Broome, 1993). When well executed, the integrative review process produces sound nursing science that may inform future research endeavors, influence policy, and change practice initiatives (Whittemore & Knafl, 2005). PubMed, CINAHL Plus, Embase, PsychINFO, and Web of Science were searched to identify original peer-reviewed sources. The terms 'prevalence or incidence' were combined with 'child sexual' and 'abuse, assault, victimization, violence, exploitation, and trafficking' to find any study on identifying victims of CSA. Medical Subject Headings (MeSH) for child sexual abuse were utilized in compatible databases. Results were narrowed by adding search terms for every country included in Latin America as determined by the World Bank (2014). The titles, abstracts, and entire publications were reviewed by both authors for relevance to this review. Inclusion criteria for review was a focus on identifying the incidence or prevalence of child sexual abuse in a Latin American country. The study type, method of data collection, statistical results, and associative findings from each publication were noted and synthesized for presentation in this paper. A summary of the search strategy and inclusion process are outlined in table 1 and figure 1 respectively. Additionally, databases of key organizations in refugee and parentless children were reviewed in order to better understand how the current U.S. Southwest Border crisis may relate to CSA and HIV transmission. Peer-reviewed literature did not speak to this phenomenon, most likely because the issue only received national attention shortly before this investigation began. The UN Refugee Agency, US Department of Health and Human Services (Administration for Children and Families), UNICEF, and Save the Children documents were searched for information pertaining to this matter. Thematic analysis was conducted using a six step process to identify, code and name themes for all non-peer reviewed documents.
Results: Fourteen articles were identified for inclusions in the study once duplicates were removed; no article was excluded based on language. Two publications were in Portuguese and one was in Spanish and were translated by graduate students at the Johns Hopkins University fluent in English and the published language. Publications represented nine out of 24 Latin American countries. There was no restriction based on publication dates, included articles were published between 1992 and 2013. Statistical reports of the prevalence of CSA vary by country, study methodology, definitions of CSA, and outcome measures. Even studies within the same host country and region report largely varied CSA prevalence and incidence statistics. One primary culturally-driven theme identified in this literature review stems from the notion of machismo found in Latin American countries. Machismo is the cultural ideal of masculinity; it is associated with pride and inherent value in the man's ability to protect, support, and provide for his family. This cultural expectation of males to be strong and resilient creates a roadblock for males who experience CSA by making it more difficult for them to report the incident due to fear of being perceived as weak or feminine. The results of this study suggest that the negative health effects of CSA including increased risk of HIV/AIDS exist for Latin American children. Sexual coercion of males and females is associated with a decreased knowledge of sexual topics, increased rate of STIs, increased prevalence of HIV, and increased engagement in activities that may lead to HIV infection. Those with a past history of CSA had higher rates of early sexual debut, increased number of partners, and increased rates of condom avoidance. Other risky sexual behaviors are the result of early exposure to sexual practices leading to an onset of consensual sex at younger ages, increased number of lifetime partners, and partners with elaborate sexual histories. Literature addressing characteristics of perpetrators suggest that most aggressors are males well known to the family with variability in perpetrator characteristics when comparing male and female victims. Many male victims report a female perpetrator and report being subjected to more physically violent acts of sexual abuse. While much of the published literature shows that females are affected by CSA disproportionately more than males, data from this review indicate that this may not always hold true. Multiple studies show that males are usually affected as frequently or more than female children. Overall, there is a lack of research and knowledge relating to the experience and understanding of male victims of child sexual abuse. Rates of unaccompanied youth entering the United States from Latin America have dramatically increased in numbers over the past 2 years. Many children flee their home countries without money or parental guidance due to violence and have reported histories of physical and sexual abuse while in their home countries. Refugee minors are among some of the most vulnerable populations and are at an increased risk for sexual violence due to child labor, sex trafficking, and a lack of supervision.
Conclusion: Children who experience sexual abuse have an increased life-long risk for contracting HIV. The only identified culturally-specific issue related to CSA in Latin America is the machismo attitudes and beliefs held by many Latin families. Similar to other publications, this review also identified that the most frequent perpetrator of CSA is often a male who is well known to the family. This review highlights the role that gender plays in CSA and questions the notion that most victims of sexual abuse are female. Several studies included in this review found that males were sexually abused as frequently or more frequently than females. This may indicate that previous methodologies of studying CSA may not be adequately designed to identify males who have been sexually abused. Machismo attitudes may build barriers to reporting by males because it sets a social expectation for boys and young men to be strong and resilient. Nurses as trusted clinicians sit in a unique position to identify victims of child abuse and halt the spread of HIV in Latino populations. HIV has spanned the globe because of biological susceptibility and specific human interactions that spread the infection. As such, nursing needs to be involved in international efforts and work with international aid organizations to prevent the further spread of HIV. Nursing is best suited to address this critical issue because of its holistic approach to health issues and appreciation for cultural nuances in rendering care. The World Health Organizations' revised HIV guidelines promote international task-shifting of the management and prevention of HIV/AIDS from physicians to nurses. Child sexual assault and the spread of HIV are not discrete events, but exist in a complicated and intertwined relationship. In order to stop the spread of HIV nurses must address the social and cultural situations and events that potentiate new infections. If the number of children without guardians who enter the country continues to increase without a response from child welfare organizations, the capacity for the country to protect these children will continue to diminish; placing them at risk for sexual abuse and HIV transmission.
- ItemApplicability of Social Cognitive Career Theory for future nursing faculty workforce recruiting(2016-03-21) Bond, Diana K.; Beta Nu
Session presented on Monday, November 9, 2015:
This session reports on the usability of the Social Cognitive Career Theory (SCCT) to explore intent for a future nursing faculty position by pre-licensure baccalaureate nursing students. Despite the impending nursing faculty shortage, little theory based research has been conducted about how nursing students may be attracted to or dissuaded from a future nursing faculty role. SCCT was chosen for the study because this middle range theory has been used in more than 50 studies to explore college students' career choices and found to be predictive. Theory derivation was used to apply SCCT to the study. The derived theory propositions were: intent for a future nursing faculty role (career choice goal) is related to self-efficacy, outcome expectations, learning experiences, and interests in the activities of a faculty role; learning experiences include teaching experiences such as peer teaching, peer tutoring or other experiences and receiving role modeling and encouragement from a nursing faculty member will lead to increased interests, self-efficacy, outcome expectations and a career choice goal for a future nursing faculty role; and self-efficacy, outcome expectations and interest in the activities of a faculty role relate to a career choice goal for a future nursing faculty role. The theory propositions led to the creation of a conceptual model of the SCCT constructs for career choice for a future nursing faculty role that included: 1) person inputs (gender, age, race/ethnicity); 2) distal background variables (parent education and occupation); 3) proximal background variables (type of nursing program, educational level, educational background; 4) supports and barriers; 5) self-efficacy for a faculty role; 6) learning experiences (previous teaching experience, observing a faculty role model and receiving encouragement); 7) interests in the activities/tasks of a faculty role; 8) outcome expectations (advantages and disadvantages or a faculty role); and, finally, 9) the outcome variable, career choice or intent for a future faculty role. The research questions were: 1) What is the reliability of the multiple item measures of the SCCT constructs for those intending and those not intending to pursue a future nursing faculty role? 2) How well do the SCCT constructs predict intention to pursue a future nursing faculty role? A prospective correlational research design using a national convenience sample of 1,078 pre-licensure baccalaureate nursing students who responded to an online survey was used to answer the research questions. This survey included the variables of location of nursing program, gender, age, race/ethnicity, parents' education and occupation, type of nursing program, semesters/quarters of clinical nursing education, other degrees or education, supports/barriers to pursue a faculty role, self-efficacy to become a faculty member, types and positivity of previous teaching experiences, nursing faculty role modeling and encouragement to pursue a future faculty role, outcome expectations (advantages and disadvantages) of a future faculty role, and interests in the activities/tasks or a faculty role. For the outcome variable, students were asked to strongly disagree, disagree, unsure, agree or strongly agree with the statement "In the future, I intend to pursue a nursing faculty role." Almost 25% of the sample agreed or strongly agreed with the statement. The students were divided into two groups to answer the research questions, those who agreed or strongly agreed with the statement became the high intent students and those who disagreed, strongly disagreed or were unsure became the low/unsure intent students. Cronbach alphas demonstrated good reliability, ranging from .78-.89 with the exception of barriers, which had a Cronbach alpha of .61 for high intent students and .62 for low/unsure intent students. To compare the differences between the high intent students and the low/unsure intent students, Chi-square statistical tests were used for analyzing the categorical variables and independent-samples-t-tests were used for the continuous variables. All statistical analyses were performed using Statistical Package for the Social Sciences (SPSS) version 18. Preliminary analyses were conducted to ensure there was no multicollinearity among the predictor variables and that all levels of the binary categorical predictor variables had sufficient counts. Eleven predictor variables (age, type of nursing program, supports, barriers, self-efficacy for a faculty role, teaching experience, faculty role modeling, encouragement for pursuit of a faculty role, outcome expectations-advantages, outcome expectations-disadvantages and interests in the activities/tasks of a faculty member) were individually statistically significant and were inputted into the logistic regression model. The full statistical model containing all 11 predictors was statistically significant, [c 2 (11, N = 1,078) = 300.94, p < .001], indicating that the model was able to distinguish between the high intent students and the low/unsure intent students. The Hosmer and Lemeshow Goodness of Fit Test was non-significant, (c 2 (8) = 6.76, p = .56), indicating good fit of the model. The model as a whole explained between 24.4% (Cox and Snell R square) and 36.2% (Nagelkerke R square) of the variance in the students' intention status for pursuit of a future nursing faculty role. While all 11 predictor variables were individually statistically significant, six made a statistically significant contribution to the logistic regression model [interest in the activities/tasks of a faculty role (OR = 2.4), type of nursing program (OR = 2.1), outcome expectations-advantages (OR = 1.9), previous teaching experience (OR = 1.7), encouragement to pursue a faculty role (OR = 1.5), and outcome expectations-disadvantages (OR = 0.8)]. Variables that were not statistically significant in the logistic regression model were age, supports, barriers, self-efficacy for a faculty role, and role modeling. SCCT provided a comprehensive approach to investigate career intent and is recommended to be a robust theory to examine career choice intent in future studies of nursing students.
- ItemAs normal a life as possible: Mothers and their daughters with congenital heart diseaseGantt, Laura Tynes; Webster, Denise; Beta Nu
This study utilized qualitative descriptive methodology to examine the impact of the chronic illness, specifically congenital or acquired childhood heart disease, on the mother-daughter relationship. Many studies have examined the effects of the child's illness on the mother-child relationship when the child is very young, but few have looked at the ongoing problems that chronic illness may cause. The investigator observed in her own clinical practice that the mother-daughter relationship when the daughter was chronically ill frequently appeared more antagonistic and ambivalent. Fourteen mothers, eleven daughters, and three sons were interviewed. Daughters and sons ranged in age from nine to fifty-six. Three variables arose from the data. The core variable, which the author called "normalizing our relationship," included themes related to how mothers and their chronically ill daughters and sons try to maintain as normal a life as possible. The second variable, called "relating as mother and daughter," included those themes concerning how mothers and daughters cope with the daughter's chronic illness and how their relationship is impacted. The third variable, "relating to health care providers," spoke to how practitioners can help mothers and their chronically ill sons or daughters to manage their health problems. The core variable was related to the other two variables in that: (1) mothers and chronically ill daughters saw their relationships as very normal and unaffected by illness, and (2) all participants felt that the role of health care providers should be one of helping to maintain a normal lifestyle despite chronic illness. This study adds to existing nursing literature by reinforcing previous studies which describe attempts at and strategies for normalization by families of chronically ill children. It builds on this literature by examining the mother-child relationship when the child is chronically ill over the course of the lifespan.
- ItemClinical decision support for fall risk assessment and plan of care(2015-01-15) Lytle, Kay S.; Richesson, Rachel L.; Short, Nancy; Horvath, Monica L.; Duke University, Durham, North Carolina, USA; Beta Nu
Session presented on Friday, September 26, 2014:
Patient falls are the most frequently reported adverse event for hospitals. Employing clinical decision support (CDS) tools in the electronic health record can be a key strategy to reduce patient falls. This quality-improvement project involved 16 adult inpatient units at Duke University Hospital and used CDS as an intervention to document fall risk assessments and, for patients at high risk, fall prevention plans of care. Goals of the project included 1) improving documentation of fall risk assessments upon patient admission and every 12-hour nursing work shift, 2) improving documentation of fall prevention plans of care for high risk patients, 3) assessing nursing staff satisfaction to determine acceptance of the computerized fall risk program, and 4) improving clinical outcomes by reducing patient falls and patient falls with injury. The CDS tools for fall prevention included three features: 1) an admission documentation incomplete fall risk assessment indicator, 2) a shift documentation incomplete fall risk assessment indicator, and 3) a rules-based alert for patients at high risk for falls and not on a fall prevention plan of care. This fall-prevention related CDS was implemented as part of the Epic Systems EHR in June 2013. Pre and post data were compared using quarterly audits, retrospective chart review, safety reports, alert action data, falls and falls-with-injury rates, and focus groups. At the start of the project, one medical unit and one surgical unit were performing below the target 90% documentation compliance rate for fall assessments and plans of care; these two units were selected for retrospective chart review relative to documentation of the fall risk assessments and fall prevention plans of care. These two units were also selected for review of alert action data in the post-CDS period and focus groups to evaluate nursing staff satisfaction. Documentation of fall risk assessments on the 16 units improved significantly according to quarterly audit data (P = .05), while documentation of the plans of care did not. Retrospective chart review on two units indicated improvement for admission fall risk assessment (P = .05) and a decrease in the documentation of the shift plan of care (P = .01); one unit had a statistically significant decrease in documentation of plans of care on admission (P = .00). Examination of safety reports for patients who fell showed all patients pre and post CDS had a fall risk assessment documented. The care plan alert resulted in application of the care plan template in only 2-2.5% of the trigger instances. Falls and falls with injury did not change significantly pre and post CDS intervention. Staff viewed the shift fall risk assessment reminder as most helpful and the admission reminder as somewhat helpful. Several staff reported not having seen the care plan alert. Documentation of fall risk assessments upon patient admission and documentation of a fall risk assessment every 12-hour nursing work shift improved. Documentation of fall prevention plans of care for high risk patients did not improve and in some cases was less compliant post-CDS. Nursing staff satisfaction with and acceptance of the fall risk program was adequate. Clinical outcomes were unchanged as evidenced by no change in patient falls and falls-with-injury rates. Improvements were seen in the documentation of the fall risk assessment. Overall, the implementation of reminders and alerts had mixed results. Further investigation of the differences in CDSS usage by nurses and improvements in processes and outcomes across sites is needed.
- ItemComparing the effect of community engagement on the impact of water filter usageHolt, Brooks N.; Larson, Kim L.; East Carolina University, Greenville, North Carolina, USA; Beta Nu
The research team will conduct a household survey in summer 2019 to determine how community collaboration can influence the impact and use of household water filters on family health outcomes.
- ItemCompassion satisfaction, burnout, and intent to stay among nurse leadersSurby, Lisa D.; Hussey, Leslie; Long, Janice; Martin, Mary; Beta NuNurses in leadership roles have a substantial influence on the quality of the work environment and on safety, quality, and patient outcomes. However, compassion satisfaction (CS) and burnout (BO) have historically been understudied, and evidence is lacking regarding the existence of a relationship between CS, BO, and intent to stay among nurse leaders. The purpose of this cross-sectional descriptive study, guided by Stamm’s theory of CS and compassion fatigue (CF), was to determine if there was a relationship between CS and BO and intent to stay among nurse leaders. An anonymous online survey was conducted using the Professional Quality of Life Scale to measure CS and BO and the Intentions to Stay Scale to measure intent to stay. Ninety-nine members of the American Organization for Nursing Leadership responded to the survey. Multiple linear regression revealed a strong negative relationship between CS and BO and a statistically significant relationship between BO and intent to stay. Future research should focus on the examination of CS and BO in the nurse leader population, which may contribute to positive social change by influencing team members, strengthening the healthcare organization, and contributing to retention of nurses and nurse leaders.
- ItemCrisis leadership and decision-making: Hospital administration and nurse leaders' concerns for disaster response(2017-07-03) Veenema, Tener Goodwin; DeRuggiero, Katherine; Losinski, Sarah Lynn; Barnett, Daniel; Johns Hopkins University, Baltimore, Maryland, USA; Beta Nu
Purpose: The purpose of this study was to characterize and explore the essential elements of effective hospital and nursing leadership during disasters and MCIs and to identify those events of greatest concern for response. Disaster and mass casualty incidents (MCIs) impose a huge burden on health care leaders. These events create a sudden, unanticipated demand for care referred to as ‘patient surge’ that has the potential to quickly overwhelm a hospital’s capacity to function properly. The demand for health care services exceeds capacity to respond and the institution’s normally acceptable patterns of operations and logistics are disrupted. Strong crisis leadership is critical for timely, effective and coordinated response. This requires that hospital administration and nursing leadership are competent in making rapid and complex decisions – often in the absence of complete information and involving the allocation of scarce resources (staff, medical equipment and supplies, pharmaceuticals, etc). It requires implementation of crisis standards of care.
Methods: A series of structured focus groups was conducted with a purposive sample of hospital administrators (n=36) and nurse leaders (n=17) in a large urban hospital in the U.S. Northeast widely recognized for its expertise in hospital emergency preparedness. Participants were asked a series of semi-structured questions related to observations of crisis leadership during recent disaster and MCI events. Data were collated and analyzed to determine events of greatest concern, impact of event on leadership decision-making, and perceived capacity for organizational surge.
Results: The results suggest hospital administration and nurse leaders harbor serious concerns regarding crisis leadership competence and organizational capacity to surge up in response to large scale community violence/civil unrest, biological event/pandemics, and acts of terrorism (fire/bombings/active shooters) that result in a mass tragedy. The results of hospital administration and nursing leadership decisions have the potential to directly impact staff and patient safety and quality of care and ultimately, patient outcomes. As such, there is compelling need to prepare hospital administrators and nurse leaders for crisis conditions resulting from disasters and MCIs.
Conclusion: Disaster and mass casualty incidents (MCIs) impose a huge burden on health care leaders and strong crisis leadership is critical for timely, effective and coordinated response. The purpose of this study was to characterize and explore the essential elements of effective hospital and nursing leadership during disasters and MCIs and to identify those events of greatest concern for response. The results suggest hospital administration and nurse leaders harbor serious concerns regarding crisis leadership competence and organizational capacity to surge up in response to large scale community violence/civil unrest, biological event/pandemics, and acts of terrorism (fire/bombings/active shooters) that result in a mass tragedy.
- ItemA culturally responsive community care model for Latinos with cancerCongema, Marianne; Hoffman, Sarah Jane; Larson, Kim L.; Mathews, H. F.; Moye, J. P.; East Carolina University, Greenville, North Carolina, USA; Beta Nu
Latinos in the United States have less access to palliative care resources due to numerous sociocultural factors. We explored the meaning of cancer and death among Latino leaders who completed a palliative care training program to serve Latinos with cancer.
- ItemDeveloping leadership behaviors and promoting success through faculty mentoring(2017-10-17) Barnes, Lisa Mesmer; Mariani, Bette A.; Friesth, Barbara Manz; East Carolina University, Greenville, North Carolina, USA; Beta Nu
A Sigma Theta Tau International (STTI) Nurse Faculty Leadership Academy (NFLA) scholar's journey of developing and utilizing leadership behaviors while leading a team project to promote faculty mentoring that resulted in the scholar's increased leadership behaviors and expanded scope of influence.
- ItemDivers-abilities: Just a part of the everyday world(2016-03-21) Elhammoumi, Cheryl Vinyard; Beck, Melissa Schwartz; East Carolina University, Greenville, North Carolina, USA; Beta Nu
Sessions presented on Saturday, November 7, 2015 and Sunday, November 8, 2015.
- ItemEl Projecto de Agua Pura/ The Clean Water Project: An International Partnership(2015-01-15) Salpietro, Christina M; Beta NuSession presented on Thursday, September 25, 2014: Sigma Theta Tau International 2014 Leadership Connection, September 24-27, 2014, Indianapolis, IN: El Projecto de Agua Pura; The Clean Water Project: An International Partnership; Christina Salpietro, Senior nursing student, and Corrie Hansen, Junior nursing student. Advisors: Kim Larson, PhD, RN and Deby Tyndall, MSN, RN, Beta Nu Chapter. Unsafe drinking water is a significant but treatable problem in Guatemala. More infant and child deaths can be attributed to the use of contaminated water than any other cause. Since 2008, nursing faculty from East Carolina University (ECU) College of Nursing have conducted a 3-week cultural immersion program in Guatemala. During this program, students study Spanish and engage in community health work in villages with identified needs. The College of Nursing and La Unin Centro Lingstico, our international partner, collaborate each year on community service learning projects. One such project has been a primary care outreach clinic in a remote Mayan village where we have identified multiple families with intestinal infections who did not have a source of clean water. The purpose of this project is four-fold. First, to develop an understanding of the connection between water and health. Second, to improve access to potable water in one remote Guatemalan village. Third, to increase the use of water filtration systems. Fourth, to eliminate infectious diseases that results from contaminated water. Nursing faculty and staff from La Unin expanded their partnership to include Soluciones Comunitares, a non-profit Guatemalan organization that builds low-cost table-top water filtration systems. A fund-raising initiative began with U.S.-based partners to purchase these water filters. In the summer of 2014, nursing students created and performed a sociodrama with Mayan community members that depicted the consequences of drinking contaminated water on health, including the cost of treating the illnesses. This sociodrama introduced a workshop by international partners on the care and use of the water filters. Nursing students and international partners distributed 71 water filters to families in the Mayan village. In 2015, using community-based participatory research methods, we intend to assess program effectiveness.
- ItemEvaluation of PFDs by Vietnamese commercial fishermen in the Gulf of Mexico(2017-07-27) Carruth, Ann K.; Levin, Jeffrey; Lincoln, Jennifer M.; Sorensen, Julie; Creel, Eileen; Southeastern Louisiana University, Hammond, Louisiana, USA; Beta Nu
Worldwide, commercial fishermen are not mandated to wear personal flotation devices (PFDs). Yet the leading cause of death among fishermen in the Gulf of Mexico is drowning. This session presents findings from an evaluation of satisfaction and preferences of crew members who wore three types of PFDs working offshore.
- ItemEvidence based practice in school nursing: A study of school nurses in Central and Eastern North CarolinaBarnes, Lisa M.; Hodge, Mary A.; Beta Nu
The purpose of the study, Evidence Based Practice Use: A Study of School Nurses in Central and Eastern North Carolina, is to gain insight of the barriers and facilitators of evidence based research in the school setting. The unique and autonomous nature of school nursing makes evidence base practice and research utilization especially important to achieve optimal outcomes in this setting that is often isolated from other health care providers. A descriptive cross sectional survey design using the BARRIER scale was used in this quantitative study (Funk et al., 1991). Using the BARRIER scale by Sandra Funk, school nurses from Central and Eastern North Carolina public school systems (N=50) were asked to rate their barriers to research utilization. Roger’s Diffusion of Innovation Theory (1995) was used as the theoretical framework to guide this study. The findings revealed that the perceived greatest barrier was insufficient time on the job to read research. According to the reported perceived level of awareness, perception of the importance, and current reported skill level, the data suggests the school nurses in the sample had reached Roger’s Diffusion of Innovation theory’s (1995) levels of awareness, persuasion, and decision, however characteristics of the organization (setting) is a reported barrier to implementation of research utilization.
- ItemEvidence-based curriculum and its impact on risky behaviors and stress among Hispanic college studentsTorregosa, Marivic B.; Ynalvez, Marcus Antonius; Craddock, Christopher; Chaudhuri, Nandita; Cabrera, David; Benavides, Maria del Rosaro; Ramirez, Dora Maria; Texas A&M International University, Laredo, Texas, USA; Beta Nu
To present the results of an evidence-based intervention on the risky behaviors and perceived stress among young Hispanic residents in a US southern border city.
- ItemExploring the school nurse's knowledge, experiences, and role in trauma-informed care: Implications for school nurse practiceRouse, Lesha H.; Powell, Shannon B.; Swanson, Melvin; Lewis, Travis; Beta Nu
School nurses as the only health care professional in schools with the potential to be in daily contact with students are in a critical position to create awareness, influence action, and provide leadership in trauma-informed care (TIC). However, there is a lack of research regarding school nurse TIC knowledge, experiences, and role in school health practice. Research has asserted the pervasiveness of Adverse Childhood Experiences (ACEs) in society as well as, it’s potential to cause deleterious life-long health, educational, social, and economic outcomes (Bethell et al., 2017; Felitti et al., 1998; Stevens, 2019). Exploring the school nurse’s role in TIC practice can serve as a valuable starting point for development of creative interventional strategies that can impact school nurse TIC practice self-efficacy with the potential to decrease future healthcare costs and improve student health and educational outcomes. The purpose of this study was to explore the school nurse’s knowledge, experiences, and role in trauma-informed care in school health practice. This study was conducted in North Carolina using a quantitative, descriptive, design which used data collected from a purposive sample of 165 school nurses, recruited from the School Nurses Association of North Carolina (SNANC) website and snowball sampling. Participants took a 62-item online survey measuring TIC knowledge, experiences, and roles of school nurses in school health practice. Results from the descriptive statistics indicated that 60% of school nurses felt that they had adequate knowledge of trauma-informed care while 41% felt that they had an adequate ability to assess and intervene in trauma-informed care. Additionally, the main source of school nurse trauma-informed care training was from continuing education programs and on-the-job-training. School nurses indicated feeling least confident about providing trauma-related interventions including counseling and behavioral interventions to students. School nurses identified the most significant barrier to implementing TIC practices as insufficient time. Finally, it was indicated that 13% of the students seen in a typical school year were identified by the school nurse participants as having been exposed to a potential traumatic event. Implications for school nurse practice call for integration of TIC practice due to the prevalence of ACEs in the students that school nurses interact with daily. School nurse continued professional development in TIC practice as well as, advocacy for community and systemic change is essential.
- ItemFactors associated with self-management in African Americans with hypertension(2017-10-18) Bolin, Linda P.; East Carolina University, Greenville, North Carolina, USA; Beta Nu
African Americans have a higher prevalence of hypertension and poorer health outcomes. Effective management of hypertension requires pharmacology therapy, a low sodium diet, and increased physical activity. The aim of this study was to examine the influence of multifaceted factors on self-management behaviors related to hypertension in African Americans.
- ItemFailure to Rescue: Nursing Grand Rounds 2016(2017-10-09) Craven, Ileen; Denton, Patricia; Perry, Georgia; Keeter, Robert; Beta NuFailure to Rescue Nursing Grand Rounds was presented to bedside nurses and nurse leaders at a large academic medical center. Four sessions were presented in 2016 with at least fifteen to twenty to be presented in 2016.
- ItemFlorence Nightingale: A monologue to teach and inspire(2017-10-03) Beck, Melissa Schwartz; East Carolina University, Greenville, North Carolina, USA; Beta Nu
With an old bridesmaid dress, a little lace, and an English accent learned online, Florence Nightingale appears in one classroom. This presentation shares how to creatively weave story into lecture and its many benefits.
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