2016 TNA–TASN Joint Conference

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Culture of Health: The Nurse, The Patient, The Community – Maximizing Life’s Potential adds extra stress to the body and mind. An imbalance in healthy working hours causes fatigue and even exhaustion. Nurses are at risk for developing a shift work sleep disorder and are at risk for extreme fatigue, errors, work-related injury, and medical conditions such as diabetes, hypertension, cancer, obesity, and adverse reproductive outcomes due to sleep deprivation. Healthy work hours, adequate sleep, power naps at work, and balancing family/work/school are discussed with recommendations to empower a healthy practice environment. Case reports with analysis and recommendations are discussed to overcome these barriers. Empowering International Adolescents Towards Healthy Behaviors Amanda MacLurg, BS, MSN Student Kelsey Moore, MSN Student Caitlin Nelson, BS, MSN Student Problem Addressed: International adolescents have increased rates of risky health behaviors, barriers to health care, and chronic disease risk factors. Objectives: Ten nursing students collaborated with a local nonprofit to improve their adolescent participants’ health outcomes by increasing knowledge of nutrition and first aid, conflict resolution techniques, and engagement in mindfulness and healthcare career education. Methods/Procedures: Adolescent participants, enrolled in a local nonprofit after-school program, identified concerns regarding knowledge deficits and health education needs on a stakeholder survey. In response, nursing students provided a series of five, one to three hour, evidence-based interventions including: role play, teach back, and interactive activities. The interventions addressed: nutrition, first aid, mindfulness, conflict resolution, and healthcare careers. Project outcomes focused on acquisition of topic-specific knowledge and were measured by pre- and post-test. Findings: Participants self-reported a range of 20% to 47% increases in topic-specific knowledge. During post- intervention debriefings participants expressed high satisfaction with topics and teaching methods. They also noted benefits of interactions and education with nursing students. Recommendations for Future Practice/Research: Future research should focus on obtaining data related to behavioral changes and health outcomes rather than knowledge acquisition. In addition, longitudinal cohort studies could be performed to assess the effectiveness of interventions on long-term behavior change and reduction of risky behaviors. Researchers may also consider utilizing control and intervention groups to assess the development of chronic disease risk factors. Empowering VA Nurses through Shared Governance Teris Webb, MSN, BSN Problem: Successful shared governance implementation challenges the status quo and depends on nursing leadership cultivating a collaborative and autonomous environment. Shared Governance requires the participation of nurses who exhibit a professional identity that reflects a responsible, empowered, equitable role and an understanding of the professional identity of nursing which is often lacking from a culture of the status quo. Objective: The pilot team of a unionized federal hospital used a shared governance model to develop a “healthier work environment.” Using the recommendations from the American Nurses Credentialing Center and the Institute of Medicine healthy work environment characteristics: workplace cleanliness, order and collaborative relationships were chosen as their first project. Method: Using the 5S Model of Improvement, the nurses focused on three initiatives. Patient care concerns involved safe communication of patient care status, the appearance of work space and the function of providing cleanliness to patients’ area. Nursing developed strategies to address and measure results. Findings: Three projects were implemented: organization of visible nursing areas consequently eliminating clutter; Implemented a smoother process of delivering, changing and removing linen from patients’ room and developed a Nursing Assistant Hand-Off report between shifts to assure a smooth and safe transition of care. Consequently, post-shared governance nurse satisfaction scores improved overall. Recommendations: Shared governance can be initiated in the most resistant cultures. Nurses’ professional identities are transformed; they become patient focused, autonomous and more satisfied with their practice. Investigation into the impact of using shared governance on professional identity in similar environment is needed. 52
Culture of Health: The Nurse, The Patient, The Community – Maximizing Life’s Potential Fall Reducing Strategies In The Nursing Home Patient Amanda Barber, BSN Student Maria Escamilla, BSN Student Caitlin Harper, BSN Student Kyle Trent, BSN Student We will be presenting on research that has been proven effective to reduce falls concentrated to the nursing home population. Our presentation will include a visual poster board and a written research paper. Our research will include articles ranging from a broad spectrum of interventions to single proven interventions that reduce falls. The research to prevent falls in the elderly is vital in decreasing acute traumatic injuries that can and often times result in long term damage. This leads to further debilitating disease processes and a higher cost of health care. Our goal is to educate and provide a wide variety of measures in not only fall prevention, but also the reduction of risk factors as well. This information is critical to excellent health care services in all aspects of nursing. Fill the Pantry McKinley Agatha-Mancebo, BA, MSN Student Charlene Donovan, Ph.D Katelyn Engbert, MS, BS, BA, MSN Student Allison Mitchell, BA, MSN Student Haley Pace, BS, MSN Student Background and Purpose: Children with poor access to healthy food are at risk for many negative health outcomes. A group of nursing students worked with a preschool in an under-resourced community in a large metropolitan area. Over a third of students qualify for a weekend food supplement “backpack program,” exemplifying the need for an intervention to increase student access to essential food resources. We developed a process to distribute healthy food along with the backpack program and built the infrastructure for a school food pantry so there was a designated location to accept food donations. Methods: To obtain resources needed to create and stock the food pantry, we worked to develop relationships with community stakeholders, compiled a list of those willing to pledge to the program and began accepting donations. Results: Through cash donations and partnerships with organizations, we were able to purchase the pantry infrastructure and obtained cash donations and commitments for produce donations for the upcoming school year. Limitations: As this project was part of a course assignment, we had a time constraint of 9 months to understand the community’s needs and work to develop relationships. To address this limitation, we developed a plan to transition the project to incoming students to ensure continuity. Discussion: Developing the food pantry and food donation project will get healthy produce to the school children to help fill their nutritional gaps and ultimately improve health outcomes. This approach is scalable to other pre-K schools with children who have limited access to food. Green Means Go: School Based Asthma Self-Assessment Program Taylor Johnson, BS, MSN Student Mackenzie Seibert, BS, MSN Student Problem addressed: In an effort to increase school attendance and reduce asthma-related truancies in pre-kindergarten through fourth grade we addressed gaps in asthma knowledge among students, teachers and parents at an elementary school in Nashville, Tennessee. Objectives: This project aimed to teach students with asthma to perform daily self-assessments, educate teachers to identify symptoms and help with assessments, and improve communication with parents regarding their child’s asthma symptoms while at school. Methods/Procedures: Students who self-identified as having asthma were educated to perform daily asthma self-assessments during a 30 minute session. Teachers were provided a 20 minute education session. Students documented their asthma zone daily on a calendar. Parents were notified if the student had two consecutive yellow zone days. Parents were invited to an asthma presentation and offered home visits to address environmental triggers. 53
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2016 TNA–TASN Joint Conference

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