2016 TNA–TASN Joint Conference

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Culture of Health: The Nurse, The Patient, The Community – Maximizing Life’s Potential Methods: Students completed course work in social entrepreneurship and poverty alleviation and worked in teams to determine project deliverables. Students traveled to partner sites throughout Central America to implement planned interventions according to each organization’s needs. Results: Six nursing students successfully participated in the course and completed project deliverables. Students reported a greater understanding of the role professional nurses play in global health and a greater appreciation for the benefits of interdisciplinary teamwork. Conclusion: By integrating global health experiences into the core nursing curriculum, universities can increase the number of graduate nurses who are equipped to care for patients in global communities. In order to advance the role of nursing in global health, it is critical to continue to develop opportunities for real world experiential learning. Introducing Global Population Health Competencies into the Baccaulaureate Nursing (BSN) Curriculum Katelyn Erickson, BSN Student Cathy Taylor, DrPH, MSN, RN Karah Walters, BSN Student Problem: Nurses are increasingly asked to incorporate global public health/population health competencies into their practice and to deliver culturally sensitive, evidence- based care, yet there are few accepted standards to guide introduction of these concepts into the baccalaureate nursing (BSN) curriculum. Methods: The study abroad, Public Health Perspectives Maymester at Belmont University comprises a novel approach to introducing this content. Beginning with a 2- day immersion experience in local and regional public health systems and strategies aimed at protecting and promoting health locally, students learned about comprehensive health information systems, health and illness trends and determinants of health in the United States (U.S.). Subsequent travel and assignments focused on systems of care, resources and patient outcome comparisons between the U.S., the United Kingdom and the Republic of Ireland provided opportunities for students to assess the health of selected populations and to identify inequities in access, care and outcomes. Cultural, behavioral, socioeconomic and policy-related contributors to health and illness in selected populations were examined. Results: All students demonstrated improved concept-based pre- and post-test scores as well as satisfactory competence in basic public health and population health skills, e.g., locating and using epidemiologic data to assess population health and inequities in care and outcomes as well as identification of contributors to health and wellbeing at the population level. Student feedback indicated the experience was meaningful. Recommendations: The study abroad, Maymester immersion experience is an acceptable strategy for introducing basic global public health/population health competencies at the BSN level. It’s Not a Matter of If It Will Happen, But When It Will Happen: Surviving a Catastrophic Electronic Documentation Event Dallas Gail Broyles, DNP, MSN, BSN Louann S. O’Dell, DNP, MS, BSN The purpose of the presentation is to increase participants’ awareness on the importance of recognizing and owning clinical technology downtime processes. Believing organizational downtime processes are in place without ongoing review will be severely tested during an extended downtime event. The presentation supports the conference theme by identifying strategies to deal with rapid change by establishing ongoing collaborative partnerships as they relate to catastrophic downtime events to ensure quality of care, continuity of care, and data capture. A recent catastrophic downtime event magnified the need to be better prepared for extended downtime occurrences. As clinicians adopt and become reliant upon clinical technologies in their clinical workflow, disruptions to access, system availability, and downtime can have serious consequences on healthcare outcomes and patient care. Downtime processes had a major impact on ancillary departmental functions, communications, and productivity that impacted patient care outcomes including data capture, staffing patterns, productivity, finance, Meaningful Use, and regulatory requirements. Dependence upon electronic documentation systems’ automation of processes has resulted in the fragmentation of previously known paper documentation and associated clinical workflow processes. Strategies should include ongoing education, evaluation of downtime forms, and improved downtime communication with all collaborative partners, including academic institutions. Strategies and processes should be hardwired through ongoing drills, practice, and evaluation. Just as disaster drills include community agencies, downtime drills should involve all partnerships and community stakeholders. Nurses can be instrumental in promoting a culture of health-even in catastrophic events. Surviving a catastrophic electronic documentation event requires thorough planning and pre-established collaborative partnerships. 56
Culture of Health: The Nurse, The Patient, The Community – Maximizing Life’s Potential Location, Location, Location: Exploring Healthy Aging in Three Diverse Living Environments Deborah Ellison, PhD, MSN, BSN Kristen Hershey, PhD, MSN, BSN, RN Tasha Ruffin, MSN, BSN Older adults live in a variety of settings including skilled nursing facilities, senior independent or assisted living communities, and independent living in the general community. Each of these settings has benefits and drawbacks to promoting healthy aging. The lived experience of three seniors living in three different communities will be explored to identify how healthy aging can be improved in each of those settings. For example, skilled nursing facilities may have safety benefits over independent living, but autonomy is often sacrificed. Best practices in living environments for older adults such as principles of The Eden Alternative, the American Association of Retired Persons (AARP), the Administration on Aging (AOA), and the Centers for Medicare and Medicaid Services will be used as a lens to view how each environment could be improved. Understanding how to maximize the benefits and minimize the drawbacks of each setting will assist the nurse in promoting healthy aging regardless of the living environment. Understanding benefits and drawbacks of a variety of settings will also provide the nurse with the knowledge to help clients and families make informed decisions on where and how they live during their senior years. Mindfulness Centered Stress Reduction: A Phase II Study Karen Hande, DNP, MSN, BSN Carrie Plummer, PhD, MSN Background: While certain levels of stress can be beneficial in promoting learning and motivation, high levels and/or extended periods can prove detrimental to mental and physical health. Mindfulness Centered Stress Reduction (MCSR) is a tool by which MCSR practitioners may promote improved physical and psychological health as well as quality of life (QoL). Problem Statement: While certain levels of stress can be beneficial in promoting learning and motivation, high levels of stress can prove detrimental to a student’s mental and physical health. Purpose: The purpose of this study was to expand a pilot study to further examine the effect of a MCSR intervention on the perceived stress levels, mindfulness, self-compassion, and overall quality of life of nursing students enrolled in an intensive, accelerated Masters of Science in Nursing (MSN) Program. Methods: 46 participants were randomly assigned to undergo MCSR training and 75 served as a control group. The MCSR intervention included twenty, 1.5-hour weekly sessions of MCSR training, including: gentle yoga movements, Tai Chi, Qigong, and guided meditation and breathing exercises. All participants completed a demographic form, the Holmes-Rahe Life Stress Inventory, the Perceived Stress Scale (PSS-10), the Cognitive and Affective Mindfulness Scale-Revised (CAMS-R), and the World Health Organization Quality of Life - Brief (WHO-BREF) scale at four study intervals. Results: A comparison of the intervention to the control group data at weeks 0, 10, 20, and 32 is still pending at time of abstract submission. Discussion and Conclusions: The discussion and final conclusions are pending at this time. More Money, More Problems?: The Effect of Family-Based Psychoeducation on Depression and Anxiety in Affluent Adolescents Kendra Osborn, BA, MSN PMHNP Student Background: Early studies have demonstrated that affluent teenagers have anxiety, depression, and substance abuse rates similar to that of teenagers from low socioeconomic backgrounds. Current evidence has revealed that family-focused psychoeducation alleviates symptoms of depression and anxiety in adolescents, but its efficacy has not yet been evaluated in affluent teens. Objectives: This project sought to explore the efficacy of the use of family-based psychoeducation to improve mental health outcomes in affluent teens. Methods: A literature search using the search engines PsychInfo, Google Scholar, PubMed for peer reviewed articles from 2012- 2015. Key words used included: “adolescents, anxiety, depression, affluence, family-based psychoeducation.” 57
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2016 TNA–TASN Joint Conference

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