Nursing Faculty Publications and Presentations Copyright (c) 2013 Boise State University All rights reserved. http://scholarworks.boisestate.edu/nursing_facpubs Recent documents in Nursing Faculty Publications and Presentations en-us Tue, 07 May 2013 08:37:42 PDT 3600 African American Women and Breastfeeding: An Integrative Literature Review http://scholarworks.boisestate.edu/nursing_facpubs/112 http://scholarworks.boisestate.edu/nursing_facpubs/112 Fri, 03 May 2013 10:40:00 PDT The purpose of this article is to present a review of literature regarding factors that influence breastfeeding intentions, initiation, and duration in the African American population. Research related to health disparities experienced by African Americans in the United States, as well as research regarding the protective benefits of breastfeeding for those specific health disparities, are also presented. Community and institutional interventions and promotional campaigns aimed at increasing initiation and duration of breastfeeding in the African American population are discussed. Future research regarding African American women's breastfeeding experiences using Black feminist thought as a theoretical foundation is recommended.

]]> Becky S. Spencer et al. Exploring and Addressing Faculty-to-Faculty Incivility: A National Perspective and Literature Review http://scholarworks.boisestate.edu/nursing_facpubs/111 http://scholarworks.boisestate.edu/nursing_facpubs/111 Fri, 26 Apr 2013 14:27:57 PDT This is the first-known quantitative study to measure nursing faculty perceptions of faculty-to-faculty incivility. A total of 588 nursing faculty representing 40 states in the United States participated in the study. Faculty-to-faculty incivility was perceived as a moderate to serious problem. The behaviors reported to be most uncivil included setting a coworker up to fail, making rude remarks or put-downs, and making personal attacks or threatening comments. The most frequently occurring incivilities included resisting change, failing to perform one’s share of the workload, distracting others by using media devices during meetings, refusing to communicate on work-related issues, and making rude comments or put-downs. Stress and demanding workloads were two of the factors most likely to contribute to faculty-to-faculty incivility. Fear of retaliation, lack of administrative support, and lack of clear policies were cited as the top reasons for avoiding addressing the problem of incivility.

]]> Cynthia M. Clark et al. Evidence-Based Reflective Teaching Practice: A Preceptorship Course Example http://scholarworks.boisestate.edu/nursing_facpubs/110 http://scholarworks.boisestate.edu/nursing_facpubs/110 Wed, 17 Apr 2013 15:32:18 PDT Aim: This preceptorship course case study employed an evidence-based reflective teaching practice perspective based on a nursing process framework to develop, implement, and evaluate assignment efficacy directly related to course objectives.

Background: Journaling and article analysis had been used to assess development of role socialization, critical thinking, and self-reflective practice. These activities were found to be ineffective; new assignments were needed to address essential issues and allow for evaluation of assignment efficacy.

Method: Based upon contextual constructivism, four assignments were developed focused on learning goals, nursing skills, assumptions/biases, and role socialization. Assignment efficacy was evaluated via anonymous exploratory surveys.

Results: Student reports identified that assignments met learning outcomes. Methods for improvement in instructional practice were identified and revisions made.

Conclusion: Participation in evidence-based reflective teaching practice can enhance reflective practice in students through appropriate assignment development, advancing the discipline of nursing education.

]]> Jayne M. Josephsen A Method and Resources for Assessing the Reliability of Simulation Evaluation Instruments http://scholarworks.boisestate.edu/nursing_facpubs/109 http://scholarworks.boisestate.edu/nursing_facpubs/109 Thu, 28 Mar 2013 12:18:51 PDT Aim. This article describes a successfully piloted method for facilitating rapid psychometric assessments of three simulation evaluation instruments: the Lasater Clinical Judgment Rubric, the Seattle University Evaluation Tool, and the Creighton-Simulation Evaluation Instrument™.

Background. To provide valid and reliable evaluations of student performance in simulation activities, it is important to assess the psychometric properties of evaluation instruments.

Method. This novel method incorporates the use of a database of validated, video-archived simulations depicting nursing students performing at varying levels of proficiency. A widely dispersed sample of 29 raters viewed and scored multiple scenarios over a six-week period. Analyses are described including inter- and intrarater reliability, internal consistency, and validity assessments.

Results and Conclusion. Descriptive and inferential statistics supported the validity of the leveled scenarios. The inter- and intrarater reliability and internal consistencies of data from the three tools are provided. The article provides information and resources for readers to access in order to assess their own simulation evaluation instruments using the described methods.

]]> Katie A. Adamson et al. Clinical Assessment of Adolescents Involved in Satanism http://scholarworks.boisestate.edu/nursing_facpubs/108 http://scholarworks.boisestate.edu/nursing_facpubs/108 Thu, 28 Mar 2013 08:23:58 PDT C. M. Clark Cindy's 'Five RITES' for Fostering Student-Driven Civility http://scholarworks.boisestate.edu/nursing_facpubs/107 http://scholarworks.boisestate.edu/nursing_facpubs/107 Mon, 04 Mar 2013 12:37:49 PST Some readers may know I am a professor in the School of Nursing at Boise State University. In June 2010, an article I co-authored with one of my nursing students, titled “What students can do to promote civility,” was published in Reflections on Nursing Leadership (RNL) as part of a five-part series on civility. As I mentioned in the first installment of this present series, nursing students are our promise and our hope. They are the Jedi Knights who will lead our noble profession to a bright future where personal and organizational civility reign. To frame this article, I have developed the Five RITES of Civility:
  • Raise awareness and expose effects of incivility.
  • Inspire action and catalyze change.
  • Take responsibility for creating civility.
  • Engage and commit to personal and organizational change.
  • Sustain results and generate more change.

]]> Cynthia Clark Students, Jedi Knights and the Promise of Civility http://scholarworks.boisestate.edu/nursing_facpubs/106 http://scholarworks.boisestate.edu/nursing_facpubs/106 Mon, 04 Mar 2013 12:21:57 PST Some readers may know I am a professor in the School of Nursing at Boise State University and a fellow in both the American Academy of Nursing and the National League for Nursing’s Academy of Nursing Education. I am also the founder of Civility Matters. For more than a decade, I have studied incivility in academic and practice environments to develop evidence-based strategies to create and sustain cultures of civility. Very often, I am asked how I got involved in this topic. Here’s my story.

]]> Cynthia Clark What are Three Questions that Turn Competition into Collaboration? http://scholarworks.boisestate.edu/nursing_facpubs/105 http://scholarworks.boisestate.edu/nursing_facpubs/105 Mon, 04 Mar 2013 12:07:32 PST As in sports, so in nursing. Competition can enliven and strengthen. Or it can splinter colleague-friendships, steal joy, and leave those involved fallen by the wayside or limping to a finish line where there are no winners. Three competitive and hard-working nurse presenters and authors, Kathy, Cindy, and Susan (we), process issues and collaborate on groundbreaking projects that in many other groups might cause rivalry and conflict. After trekking into the unexplored, relational terrain of partnerships, we discovered that the secret for keeping our connection cosmic is three little words-yours, mine, and ours. If you yearn to share what you do in ways that invigorate rather than alienate your collaborators, this chapter shows how these words can galvanize your relationships with colleague-friends.

]]> Kathleen T. Heinrich et al. A Grandmothers' Tea: Evaluation of a Breastfeeding Support Intervention http://scholarworks.boisestate.edu/nursing_facpubs/104 http://scholarworks.boisestate.edu/nursing_facpubs/104 Fri, 15 Feb 2013 11:49:54 PST This study's purpose was to evaluate an intervention to facilitate grandmothers' knowledge and support of breastfeeding. A pilot study with a quasi-experimental two-group posttest design was used to evaluate whether the intervention made a difference in grandmothers' knowledge, attitudes, and intent to recommend breastfeeding. The 26 grandmothers in the intervention group attended A Grandmothers' Tea program; the 23 grandmothers in the control group received written information. The intervention group had greater posttest knowledge scores than the control group but had no significant differences in attitudes or intent. However, a significant difference was evident between the attitude scores of grandmothers who breastfed their infants and of grandmothers who did not breastfeed their infants regardless of receiving the intervention.

]]> Jane S. Grassley et al. The Development and Psychometric Testing of the Supportive Needs of Adolescents Breastfeeding Scale http://scholarworks.boisestate.edu/nursing_facpubs/103 http://scholarworks.boisestate.edu/nursing_facpubs/103 Fri, 15 Feb 2013 11:39:13 PST Aim. To report the development and psychometric testing of the Supportive Needs of Adolescents Breastfeeding Scale.

Background. Nurses worldwide can influence adolescent mothers' decisions to initiate and continue breastfeeding through understanding their social support needs in the early postpartum. Review of the literature reveals a lack of instruments that measure adolescents' perceptions of supportive nursing behaviours when initiating breastfeeding.

Method. An instrument development and psychometric evaluation study was conducted. In phase 1, scale items were developed from the literature using social support theory. Eight lactation consultants evaluated the scale's content validity in phase 2. During phase 3, the psychometric properties of the scale were tested using item analysis, scale reliability, and exploratory factor analysis. A convenience sample of 101 adolescents, aged 15–20 years old, was recruited during their postpartum stay at three hospitals in the USA between July 2009–July 2010.

Results. Content validity index was 0·82. Alpha estimate of internal consistency was 0·83. Principal components analysis resulted in a 3 factor scale that explained 48% of the total variance: Practical support, Informational support and Miscellaneous.

Conclusion. The findings suggest evidence of the scale's adequate internal consistency. The factor analysis suggests two clear underlying dimensions of support: instrumental/emotional/appraisal and informational/emotional/appraisal, and a third miscellaneous dimension related to immediate skin-to-skin care and mothers' support persons. Further exploration of the possible global implications of the scale's dimensions is needed.

]]> Jane S. Grassley et al. The Lived Experience of Giving Spiritual Care: A Phenomenological Study of Nephrology Nurses Working in Acute and Chronic Hemodialysis Settings http://scholarworks.boisestate.edu/nursing_facpubs/102 http://scholarworks.boisestate.edu/nursing_facpubs/102 Wed, 30 Jan 2013 11:44:50 PST The purpose of this study was to explore the lived experiences of nephrology nurses giving spiritual care in acute and chronic hemodialysis settings. Ten nurses were interviewed. Five themes were identified: a) drawing close, b) drawing from the well of my spiritual resources, c), sensing the pain of spiritual distress, d) lacking resources to give spiritual care, and e) giving spiritual care is like diving down deep. The study findings suggest that patients and nurses draw close during the giving of spiritual care, that nurses have spiritual resources they use to prepare for and give spiritual care, and that giving spiritual care can have an emotional cost. These findings have implications for nursing practice, nursing education, and nursing research.

]]> Belinda Deal et al. The ABCs of DEUs http://scholarworks.boisestate.edu/nursing_facpubs/101 http://scholarworks.boisestate.edu/nursing_facpubs/101 Tue, 15 Jan 2013 11:37:44 PST Direct care nurses working in healthcare facilities are often overwhelmed with the task of educating students. Today's nursing students experience a healthcare facility clinical rotation where they aren't always part of the patient-care delivery model. The student's caregiver role with the patient-care team isn't always well defined, and a consistent nurse/student relationship is difficult to achieve due to scheduling and varying patient-care needs. The direct care nurse isn't always prepared to assist nursing students with clinical learning objectives and mastery of clinical competencies.1 This is further complicated by the fact that staff members may work with multiple students over the course of one shift.

]]> Eldon Walker et al. An Updated Review of Published Simulation Evaluation Instruments http://scholarworks.boisestate.edu/nursing_facpubs/100 http://scholarworks.boisestate.edu/nursing_facpubs/100 Mon, 14 Jan 2013 14:14:39 PST Interest in simulation as a teaching and evaluation strategy in nursing education continues to grow. Mirroring this growth, we have seen a proliferation of instruments designed to evaluate simulation participant performance. This article describes two frameworks for categorizing simulation evaluation strategies and provides a review of recent simulation evaluation instruments. The review focuses on four instruments that have been used extensively in the literature, objective structured clinical examinations (OSCE's) including four OSCE instruments, and an extensive list of new instruments for simulation evaluation.

]]> Katie Anne Adamson et al. Influencers of Ethical Beliefs and the Impact on Moral Distress and Conscientious Objection http://scholarworks.boisestate.edu/nursing_facpubs/99 http://scholarworks.boisestate.edu/nursing_facpubs/99 Mon, 14 Jan 2013 13:56:47 PST Considering a growing nurse shortage and the need for qualified nurses to handle increasingly complex patient care situations, how ethical beliefs are influenced and the consequences that can occur when moral conflicts of right and wrong arise need to be explored. The aim of this study was to explore influencers identified by nurses as having the most impact on the development of their ethical beliefs and whether these influencers might impact levels of moral distress and the potential for conscientious objection. Nurses whose ethical beliefs were most influenced by their religious beliefs scored higher in levels of moral distress and demonstrated greater differences in areas of conscientious objection than did nurses who developed their ethical beliefs from influencers such as family values, life and work experience, political views or the professional code of ethics.

]]> Shoni Davis et al. The Idaho Dedicated Education Unit Model: Cost-Effective, High-Quality Education http://scholarworks.boisestate.edu/nursing_facpubs/98 http://scholarworks.boisestate.edu/nursing_facpubs/98 Mon, 14 Jan 2013 13:39:54 PST Faculty face many challenges in delivering clinical education, including faculty availability, the complexity of the faculty role, and limited clinical placements. Dedicated education units (DEUs) are being explored as alternatives to traditional clinical placement models. The authors describe the successful development of a DEU that resulted in positive student outcomes at reduced cost to both the school and the medical center.

]]> Pamela J. Springer et al. Northwest Latinos' Health Promotion Lifestyle Profiles According to Diabetes Risk Status http://scholarworks.boisestate.edu/nursing_facpubs/97 http://scholarworks.boisestate.edu/nursing_facpubs/97 Mon, 22 Oct 2012 15:58:15 PDT A sample of 225 low income and low education, middle aged Latinos with concern about diabetes and living in a mid-size Idaho city volunteered for a physical assessment for risk status for the disease. The health promoting lifestyles of Latino congregants were measured using the Health Promoting Lifestyle Profile II. Diabetes risk was measured by clinically standard glycated hemoglobin readings. From no risk for the disease to full blown diabetes as determined by glycated hemoglobin levels, the respondents reported engaging in basically the same levels of physical activity, monitoring of nutrition and use of health care services thus evidencing no apparent understanding of the role of lifestyle in disease management. The findings point to the imperative of a broad, comprehensive and especially culturally attuned educational campaign on basic disease pathophysiology, the value of prevention for individual health, and the necessity of day-to-day self-care should diabetes be diagnosed.

]]> Leonie Sutherland et al. Development and Description of the Culture/Climate Assessment Scale http://scholarworks.boisestate.edu/nursing_facpubs/96 http://scholarworks.boisestate.edu/nursing_facpubs/96 Thu, 27 Sep 2012 14:04:36 PDT This article describes the development, implementation, and preliminary psychometric testing of the Culture/ Climate Assessment Scale (CCAS), designed and used by a school of nursing. The CCAS comprises 37 items arranged into five scales of communication, decision support, level of conflict, teamwork, and general work satisfaction, as well as three additional items that measure personal level of stress, perceived level of change, and overall level of morale. Faculty and staff completed the CCAS in three progressive administrations over a 5-year period to provide empirical data to chart the progress to improve the organizational culture and climate of one school of nursing. Preliminary testing of the CCAS supports its continued use in nursing education and other academic environments

]]> Cynthia M. Clark et al. Healing from the Bitter Pill of Incivility http://scholarworks.boisestate.edu/nursing_facpubs/95 http://scholarworks.boisestate.edu/nursing_facpubs/95 Wed, 26 Sep 2012 15:59:00 PDT Bullying has captured national attention lately, as "youthful teasing" escalates to pervasive, malicious, even dangerous levels. Yet, if only bullying stopped at high school. Nursing schools, hospitals, and private practices may not see schoolyard taunts, but incivility in the workplace certainly exists. Many minority nurses and other health professionals still experience various forms of prejudice at the workplace—not just from patients but each other. Here an expert on workplace bullying explores some examples and describes how nurses and schools of nursing can foster a more civil workplace.

]]> Cynthia M. Clark Faculty and Student Perceptions of Academic Incivility in the People's Republic of China http://scholarworks.boisestate.edu/nursing_facpubs/94 http://scholarworks.boisestate.edu/nursing_facpubs/94 Tue, 25 Sep 2012 10:19:57 PDT This is the second article of a two-part series regarding nursing faculty and student perceptions of incivility in nursing education in the People's Republic of China (PRC). Nursing faculty from the United States of America (USA) and the PRC collaborated to conduct this empirical study. A sample of 382 Chinese nursing faculty and students responded to 4 open-ended questions on the Incivility in Nursing Education (INE) Survey. Both groups reported similar perceptions of uncivil behaviors, contributors to incivility, and ways to address the problem. A conceptual model for fostering civility in nursing education was adapted to illustrate the findings.

]]> Cynthia Clark et al. Use of Blogging in a Preceptorship Course http://scholarworks.boisestate.edu/nursing_facpubs/93 http://scholarworks.boisestate.edu/nursing_facpubs/93 Tue, 25 Sep 2012 09:10:36 PDT Facilitation of knowledge and meaning construction can be challenging in nursing preceptorship courses due to the logistics of student placements and variety of clinical times. Although post-conferences have long been the strategy used to provide for knowledge and meaning construction, these often are not manageable in preceptorship courses. To provide for narrative experience sharing and knowledge construction, blogging was employed as an innovative teaching strategy in a preceptorship course offered during the last semester of an associate degree nursing program. The use of blogging was expected to provide an avenue for facilitated meaning construction, self-reflection, and social support (Kerawalla, Minocha, Kirkup, & Conole, 2009).

]]> Jayne Josephsen