Nursing, 2009
  • Nursing, 2009



    Hospitals Going Green
    Dorianne R. Abbott
    Mentor: Barbara Duane

    Millions of pounds of waste are put in landfills and incinerators each year, polluting the soil, water, and air. Most people recycle items in their homes, but once at work, recycling may be ignored. In the U.S., health care organizations contribute approximately four million tons of waste annually and 85% of that waste is non-infectious material. A large portion of that waste is paper, plastic, and single-use devices. These items can be recycled and sterilized for additional use therefore reducing the waste amount produced annually. This poster shows the amount of waste that is generated by hospitals each year and the methods that can be instituted to decrease the amount of waste that makes its way to landfills and incinerators.



    The Impact of Bar-Code Medication Administration and Computerized Physician Order Entry on Reducing Medication Errors
    Michael Arthur
    Mentor: Barbara Duane

    Medication errors in healthcare settings across the United States have been the cause of many problems for a number of years. Among the problems are billions of extra dollars being spent and thousands of preventable injuries and deaths occurring each year. In response to these problems, many technological systems have been suggested. The focus has centered on two systems in particular: bar-code medication administration (BCMA) and computerized physician order entry (CPOE). An analysis of these systems shows that they reduce the amount of medication errors. Ultimately this reduces the amount of healthcare costs and save lives of innocent patients. This presentation looks at how the utilization of these innovations reduces medication errors.



    Identifying Risk Factors of Clostridium difficile Infections in the Clinical Setting: Nursing Implications to Prevent the Spread of Disease
    Carey Banyas, Lucinda Taylor
    Mentor: Kathleen Kunkler

    Clostridium difficile associated disease (CDAD) is a potentially life-threatening nosocomial infectious diarrhea associated with antibiotic usage. Further, patients with CDAD are at higher risk of skin breakdown, fluid and electrolyte disorders, and malnutrition. CDAD is costly to hospitals due to the greater use of resources and prolonged length of stay. Ten articles were reviewed from nursing literature to discover effective means to decrease the risk of CDAD in the hospitalized patient. These articles reveal that there is a higher risk of CDAD in patients receiving tube feedings, particularly if the feeding is low in fiber or administered below the pyloric sphincter. Nurses should use aseptic technique when administering tube feedings and should be aware of the increased risk of CDAD in these patients. Additionally, controversy exists regarding proper hand hygiene while caring for the patient with CDAD and terminal disinfection of rooms that have housed these patients. At present, nurses should insist that all caregivers follow the isolation guidelines provided by the Centers for Disease Control. Moreover, nurses play a key role in prevention and early detection of nosocomial infections and should be involved in further research directed at decreasing the incidence of this disease.



    Best Nursing Care of the Cardio-Pulmonary Complications in the Post-Operative Obese Adult Following Open-Heart Surgery
    Sayward Benroth, Jason Long, Angela Washek
    Mentor: Kathleen Kunkler

    As obesity continues to reach epidemic proportions, the need to understand and provide appropriate nursing care for this population becomes vital. Not only do bariatric clients experience increased risk for co-morbidity prior to surgery, recent research has consistently identified an exaggerated risk for postoperative complications, as well. Specifically, research has discovered an increased risk for postoperative complications, including increased mortality due to cardio-pulmonary compromise (Garrett, Lauer, & Christopher, 2004). As the cardio-pulmonary status of the adult obese patient following open-heart surgery is often compromised, modified assessment and monitoring techniques must be implemented in order to prevent complications in the PACU (Gallagher, 2006). The best nursing care practices of the obese client following open-heart surgery must be adapted to the individual.



    A Look at Apnea in Neonates and a Review of Past, Present, and Possible Future Treatments
    Michelle Biedenbach
    Mentor: Barbara Duane

    Infants born before 36 weeks of gestation are at high risk for respiratory distress syndrome (RDS). In addition, studies have suggested that greater than 50% of all neonates weighing less than 1000g at birth suffer from apnea of prematurity (AOP). Historically, neonates with respiratory disorders were treated with mechanical ventilation, requiring the use of an endotracheal tube. This method has been associated with lung damage. Within the last three decades the introduction of continuous positive airway pressure (CPAP) has reduced the need for neonates to be subjected to the risks involved with mechanical ventilation. However, due to the complex nature of neonatal apnea, the use of CPAP as the primary treatment has been debated for its effectiveness. In recent years, a new generation of positive airway pressure (PAP) therapy has been developed for use by patients with complex apnea. Adaptive servoventilation is a type of noninvasive PAP therapy that acts more like mechanical ventilation by using breath-to-breath analysis to adjust pressure accordingly. Currently, there is very little research using adaptive servoventialtion in pediatric patients. This poster explores the nature of neonatal apnea and the possible use of adaptive servoventilation as an alternative treatment.



    Therapeutic Touch and Pre-term Infancy
    Danielle Boes, Julia Blue, Mallory Bern
    Mentor: Mary Ann Keough

    For nursing professionals, it is important to access and interpret research in order to implement evidence-based guidelines in nursing practice. The purpose of this research is to understand the effects of tactile stimulation on preterm infants. This is a significant health topic because there are thousands of infants born prematurely every year. If there are beneficial practices to positively affect these infants’ health status, then they need to be implemented. Current practices need to be reviewed. A literature review revealed that there are many positive effects of tactile stimulation for preterm infants. This knowledge needs to be implemented and integrated into health institutions’ practices.



    Best Nursing Care for Pediatric Hospice Caregivers
    Jessica Braskie, Karen Kelly
    Mentor: David Shields

    While dying is an inevitable part of living, it is most commonly the case that children bury their parents. It seems unnatural when the reverse is true and a parent must bury their child. The stress and despair a parent experiences due to the impending loss of a child can affect him or her in all aspects of life for years to come. The evidence of current practice related to the care for pediatric hospice caregivers was reviewed to enhance or improve care given to this special population. Using CINAHL, EBSCO host, and MEDLINE a research matrix was created, which contained 10 studies. Research dealing with dying children and their families indicates that hospice services should be tailored to the individual needs and desires of the clients.



    Tuberculosis Prevention and Control in the Homeless
    Ashley Chaney, Brittany Witham, Jackie Graziani
    Mentor: Cindy Kosik

    In 2006, 13,779 cases of Tuberculosis (TB) were recorded in the United States. Even though the incidence of TB has decreased since 1980s, there are still several vulnerable populations at high risk for developing the disease. One of these vulnerable populations is the homeless. Homelessness affects thousands of Americans and has important health implications including the prevalence of TB. Ten journal articles were retrieved that discuss TB in the homeless population. Homeless people face significant barriers that impair their access to health care in treating TB and being compliant with medications to treat this illness. Prevention and control plans for TB should always be addressed as priorities within homeless clinics and other medical facilities within our community. Ongoing collaborative health care can successfully reduce TB in the homeless population. The abundance of TB in our homeless population opens up a paradigm for continued research.



    Efficacy of Hydrotherapy during Labor and Birth on Relaxation and Pain Control
    Amber Cocklin, Anne M. Dotson
    Mentor: Rose M. Walker

    Ten journal articles have been reviewed relating to hydrotherapy and compiled to give a better understanding of the practice and its implications. These journals give evidence supporting the therapeutic use of the intervention for women who choose this type of pain and anxiety control. Hydrotherapy has been used, with varying results, for pain control and relaxation in laboring women for centuries. Risks and benefits of hydrotherapy include decreased need for analgesia, higher incidence of conjunctivitis in the newborn, infection rates, perineal lacerations, and relaxation for the laboring mother.



    Psychosocial Care of the Patient Facing Limb Loss; the Bedside Nurses' Role
    Marjory J. Collins
    Mentor: Barbara Duane

    By 2010, the baby boom generation will reach the ages of 46 to 64 increasing the population of individuals at risk for diseases that lead to amputation. By the year 2020, the American Orthotic and Posthetic Association predicts the number of people who have an amputation will increase 47% (AOPA, 2009). As a result, the need for quality healthcare for those facing limb loss will increase significantly. Most descriptive studies conducted on this population related to psychosocial health focus on depression, body image and social discomfort as related to coping outcomes of amputees. Intervention based studies compare coping styles, evaluate the impact of cognitive processing and measure the impact of social support in the adjustment period following limb loss. The purpose of this research is to analyze the most relevant studies to determine the role the bedside nurse can play to facilitate positive psychosocial health for patients hospitalized for amputation surgery.



    Normal Saline Instillation before Suctioning Intubated Patients
    Casey C. Counts, Brittany N. Kreiger, Sara B. Worley
    Mentor: Kathleen Kunkler

    Patients with tracheal tubes require tracheal suction because of an impaired cough. Tracheal lavage is the practice of instilling normal saline into the airway prior to suctioning. It has been used for many years, but its effectiveness has come into question. Ten research articles were analyzed, three hospital policies and procedures were studied, and two registered nurses and one respiratory therapist were interviewed. As a result of this research, it appears that the use of tracheal lavage is potentially harmful to patients. Tracheal lavage may result in decreased oxygen saturation or increased risk of infection. Alternative methods of secretion mobilization should be employed. At this time, further research is necessary to determine the effectiveness of tracheal lavage on intubated patients.



    Nurses with Visible Tattoos: Do patients really mind?
    Christina Dean
    Mentor: Barbara Duane

    Some patients believe that a nurse with a tattoo could negatively affect their care. To a patient, the presence of a tattoo could indicate HIV/AIDS, hepatitis, reckless behavior, unsafe practices, or a lack of cleanliness. A nurse practicing freedom of expression could have unhappy patients that believe they could “catch” something. Persons with tattoos are less likely to be hired in comparison to their non-tattooed counterparts; once hired, persons with tattoos are more likely to be thought of more negatively than non-tattooed coworkers. There are individuals who do not judge based on appearance. One in ten people have a tattoo, and therefore 10% of the population are not likely to mind if their nurse has a tattoo. This poster evaluates public belief regarding people who have visible tattoos, namely nurses, in comparison to those who do not.



    Where’s the cure for food allergies?
    Richard A. Donley
    Mentor: Barbara Duane

    In recent years, food allergies have become increasingly prevalent. Current estimates suggest that about three percent of adults and six percent of children in the U.S. are affected by this disease (Albrecht et al., 2003). Unlike other types of allergic diseases, such as asthma and environmental allergies, food allergies are devoid of any specific treatment. Although food allergy related deaths are not common, Barnett (2005) claims that food allergies are responsible for 30,000 emergency department visits and 2,000 hospitalizations annually, thus making it the leading cause of anaphylaxis outside of the hospital setting. With food allergies on the rise, it is essential for nurses, doctors, and other healthcare professionals to know what research is being done to treat this abnormality, and why it is not as simple as treating environmental allergies. Currently there is a minimal amount of research being done to find a cure for food allergies. The goal of this project is to inform people why it is imperative to develop either a cure or an effective prophylactic treatment for this disease. In addition, the latest research including animal and human studies on food allergy desensitization is presented.



    Nursing Considerations with Herbal Therapy Usage in Patients Receiving Anticoagulation Therapy
    Megan Donohue
    Mentor: Barbara Duane

    More and more Americans have taken their healthcare into their own hands by either self-diagnosing or self-medicating their health problems. Although the reasons for taking such a stand on their healthcare needs are numerous, it is the results of these actions that have caused concerns among many in the healthcare industry, especially nurses. Nurses are often a medium for patient-doctor communications. Thus, it is extremely important for the nurse to not only be aware of their patients’ at home drug regimen (including over-the-counter and herbal mediations) but to also be aware of any side effects, interactions , and other nursing considerations associated with each drug. The purpose of this presentation is to examine the nursing considerations associated with herbal therapy usage in patients receiving anticoagulation therapy. The research focuses on the more commonly used herbs and their interactions with anti-coagulation therapies. Additionally, the research looks at the ways in which the nurse can work with the patient to make them more aware of these drugs including any signs and symptoms to report to their doctor and overall drugs/herbs to avoid.



    How the Use of Video-Based Education Promotes Patient Learning
    Tara Ernske
    Mentor: Barbara Duane

    In stressful situations, such as when receiving chemotherapy, the patient’s ability to retain and recall information is limited. Patient education is an essential part of nursing care. The use of video-based education as a teaching tool reinforces information presented to the patient at the time of their care. Using a video allows the patient to view the information at a more relaxed time (such as in their home) and they can watch the video numerous times. It is hypothesized that patients who watch videos in addition to receiving written and verbal information are able to better recall side effects of treatment and demonstrate early reporting of treatment-related side effects. Well-informed patients are more likely to experience positive outcomes and have a higher level of satisfaction with their care. The purpose of this poster is to inform people of the different situations where video-based education can be used and to report the satisfaction felt among patients who used this as an educational tool.



    Smoke stinks and sticks? Learning about Third-Hand Smoke and How It Affects Children
    Leah Evans
    Mentor: Barbara Duane

    For years we have heard of the effects of tobacco smoke on family members and friends of smokers, but recent research has uncovered a new phenomena: Third-hand smoke. Third hand smoke affects those who come into contact with tobacco smoke residue by transfer from inanimate objects (i.e., sofas, walls, carpeting, clothing). A 2009 study compared how parents who are aware of the risks associated with third-hand smoke react by enforcing smoking bans in their homes and around their children. Previous research shows that non-smokers, especially children, can suffer the same ill effects of second-hand smoke by being exposed to third-hand smoke. Parents need to be educated about the risks associated with third-hand smoke in order to prevent their children from experiencing unnecessary exposure and adverse effects associated with indirect tobacco exposure. This poster educates the population about the existence of third-hand smoke and the effects it has on children, and it provides suggestions for minimizing exposure to third-hand smoke.



    Psychosocial Interventions for Pediatric Oncology Patients and Families
    Shelly Gaines, Kara Baker, Lindsay Dearth
    Mentor: Cindy Kosik

    Childhood cancer has physical, emotional, and social life-altering effects on the patient. Individuals close to the patient are affected with anxiety and stressors of the care-giving process. Many studies have been researched that primarily focus on psychosocial interventions associated with the care-giving process. Some examples available in hospitals for the patient and family members are support groups and anxiety reduction classes. Those studies are positively correlated with various interventions that portray an affirmative impact on how children with cancer as well as their family members physically, emotionally, and socially cope. It is important for all nurses to support and educate patients and their families on coping mechanisms as well as the ability to communicate their feelings and concerns with others. To assist the caregivers of children with cancer, different strategies can be implemented.



    The Impact of Fibromyalgia on Young Nurses’ Quality of Life and Employment Status
    Christin Gordon (Eulberg)
    Mentor: Barbara Duane

    With the increasing number of young women being diagnosed with fibromyalgia (FM) and entering the nursing field, the physical, psychological and social difficulties influence work capacity. FM is a chronic condition causing pain, stiffness, and tenderness of the muscles and joints. The prevalence of FM is approximately 5-7% of the population and the diagnosis is six times more common in women than in men. Individuals with FM report that pain, fatigue, muscle weakness as well as memory and concentration difficulties influence and limit their work capacity. With an average of over 200,000 new nurses entering the profession in the United States every year, this chronic illness has potentially severe consequences. The purpose of this poster is to demonstrate that early interventions are imperative to help newly diagnosed, young nurses with FM maintain employment, learn ways to manage their pain and fatigue, and encourage support from social systems.



    Is there a correlation between oral contraceptive use and breast cancer?
    Emily Goulet
    Mentor: Barbara Duane

    Breast cancer is the mostly commonly diagnosed female cancer and one of the top seven leading killers of women in the United States. Due to the magnitude of these occurrences, it is imperative that researchers continue to look for disease causes, risk factors, and approaches to reduce its incidence. One area of great debate among researchers since as early as the 1980’s is whether there is a correlation between breast cancer and oral contraceptive use in pre-menopausal women. The prevalence of oral contraceptive use among young women has increased dramatically in the United States and the world abroad. Researchers continue to investigate the role of exogenous hormones in oral contraceptives and the development of breast cancer as they endeavor to find ways to reduce the incidence of this widespread and devastating disease. I reviewed research articles to see if there is a link between the use of oral contraceptives and the diagnosis of breast cancer in pre-menopausal women.



    The Effects of Participation in Breast Cancer Screenings
    Anne Hinkson, Michelle Mielke
    Mentor: Deborah Janssen

    Breast cancer is one of the predominant cancers affecting women around the world. For U.S. women, breast cancer is the leading cause of premature deaths of those in 38-45 year age group. Because breast cancer is relevant to women’s health, it is important to investigate which nursing practice methods have an impact on early detection of breast cancer. Ten research articles were reviewed and analyzed. It was determined that teaching methods to help in early detection need to include the importance of screenings, available resources, and demonstration of breast self exams. The identified best nursing practice recommendations include teaching women to perform breast self exams and emphasize the importance of early prevention and detection behaviors.



    The Use of Evidence-based Practice toward the Implementation of Kangaroo Care
    Aubrey Howell, Anna Erdmann, Amanda Yeager
    Mentor: Heather Janiszewski Goodin

    When implemented after birth, kangaroo care has been shown to have many physiologic benefits to newborns in intensive care units and positive psychological effects on parents. Despite the evidence of positive effects to newborns, kangaroo care is only implemented minimally in the majority of neonatal settings. The purpose of this poster presentation is to appraise the professional literature and experts on kangaroo care to find the best nursing practices for implementing the intervention. Evidence was gathered by interviewing three professionals and reviewing a variety of literature about the benefits of kangaroo care. The authors concluded that specific education of healthcare professionals and the availability of policies and procedures are the keys to maximizing the implementation, and therefore the benefits of kangaroo care.



    How does kangaroo care affect infant temperature?
    Allison Howell, Sarah Pritchard, Nicole Rospert
    Mentor: David Shields

    Kangaroo care is a method of skin-to-skin contact between a mother and her newborn infant, where the infant is placed on the mother’s bare chest. The use of kangaroo care helps improve the infant’s thermoregulation and adds to the mother-infant bonding experience. This is important because infants are at high risk for temperature fluctuations. Despite the fact that kangaroo care has many proven benefits, many mothers choose not to use this form of care. Articles from ten professional journals, two professional interviews, and hospital policies related to Kangaroo Care were reviewed. The results of the review found that the infants who used kangaroo care had significantly higher temperatures, better survival rates for low-birth weight infants, and better thermoregulation compared to standard nursery care. Recommendation for best practice is to encourage kangaroo care with all stabilized infants in all settings.



    Should you take it out? What Nurses Need to Know About Body Piercing
    Megan Jackson
    Mentor: Barbara Duane

    Over the last 20 years, the practice of body piercing has become increasingly popular. To ensure patient safety and optimal care, the standard has been to remove all piercings prior to any procedure. However, most clients object to the removal of their piercing due to fear of closure of the piercing tract, and few healthcare professionals know how to remove body jewelry. To provide the best care and be a patient advocate nurses need to know if and when body jewelry should be removed. A review of the literature does not yield a simple solution to this problem. Instead, we find the ambiguous answer of “it depends.” This poster presents some of the conditions under which body piercings can be left in place and options to prevent closure when they cannot.



    Herbal Therapy Effectiveness and Safety with Antihypertensive Drugs
    Shailendra Jain
    Mentor: Barbara Duane

    Many Americans increasingly use herbal products for a variety of health conditions, although they may not be aware of the risks and benefits of these products. Herbal products can have both positive and negative outcomes associated with severe interactions when used together with antihypertensive medications. Healthcare providers and consumers are asking questions about herbal therapy, such as: “What is the effectiveness of herbal therapy when used with antihypertensive medications?” It is essential for healthcare providers and nurses to know about these herbs and include herbal preparations as part of their assessment of patients. Healthcare providers and nurses are in a position to educate patients with such information. The purpose of this poster is to inform nurses, nursing students, healthcare providers, and consumers about commonly used herbs, their side effects, possible toxicity, and potential interactions with antihypertensive medications.



    Massage Used as an Adjuvant Therapy to Postoperative Pain in Adults
    Bethany Kizer, Erin Spiert, Sara Seneski
    Mentor: Kathleen Kunkler, Nursing

    About 75 % of those returning from surgery in the United States suffer from pain, with many of them not receiving adequate pain control while in the hospital. In many acute care settings, the standard treatment given to patients postoperatively to relieve pain is narcotics. Although this helps to alleviate some of the discomfort felt from surgery, it does not adequately control pain for many post-surgical patients. Narcotic use also has the potential for many harmful side effects which can impair recovery. For these reasons, researchers have looked to adjunct complimentary therapies. Eleven research studies were reviewed regarding the use of massage therapy for the treatment of postoperative pain. This research demonstrates that massage therapy is an effective adjunct for post-operative pain control and reduces narcotic use in some patient populations. Further, massage therapy reduces anxiety which is intricately associated with pain. Nurses are holistically focused. Nurses should support the use of effective adjunctive pain therapies, like massage therapy, and offer and provide these therapies to acute postoperative patients. The result of the literature review provides a strong foundation for further research regarding the use of massage therapy in pain control.



    Nursing Interventions for Infant Non-Organic Failure to Thrive
    Lindsey Neading, Lizbeth Jumper, Ashley Sturgess
    Mentor: Mary Ann Keough, Nursing

    Research and interviews compiled over an eight month period indicated that nursing interventions for failure to thrive (FTT) infants required proper assessment, planning, and implementation. Research indicated that nonorganic FTT can be caused by non-medical factors, such as the following: inadequate formula preparation, family stress, socioeconomic status, a mother’s mood, inadequate knowledge, and poor communication from health care providers. The nurse should focus on proper education and critical observation of the mother-infant interaction. The nurse is the key component in recognizing signs and symptoms which may lead to nonorganic FTT. More research is essential in order to better identify additional specific nursing interventions suitable for nonorganic FTT.



    The Use of Complementary and Alternative Therapies and Breast Cancer Patients
    Molly O’Connell
    Mentor: Barbara Duane, Nursing

    The use of CAM therapy is increasing across the country for patients of all kinds. It has been shown to dramatically increase the quality of health and life for these patients. It is for these reasons breast cancer patients seek these forms of treatment. There have been studies of women who use alternative therapy as a preventative measure when they are at genetic risk for getting breast cancer. I examine the use of CAM therapy, what types of therapies are being used, and the outcomes of the use of these therapies by breast cancer patients. The purpose is to illustrate the increase in use of complementary and alternative medicines among breast cancer patients and survivors to show how these therapies help to alleviate the symptoms of the disease and treatment, thus improving the patients’ quality of life.



    Combating Obesity: The Role of Nursing in Bariatric Weight Loss Surgeries
    Amy Ogden
    Mentor: Barbara Duane, Nursing

    Morbid obesity continues to be on the rise in the United States. The growing number of people who are obese have presented many problems for the nursing field, including the difficulty of care in the hospital setting, and the effect of time constraint with an already reduced number of nurses caring for patients. There are a number of bariatric weight loss surgeries that are performed to help combat the ever increasing rate of obesity, with gastric bypass surgery being at the forefront. There are special challenges nurses face during the pre-operative and post-operative stages of gastric bypass surgery. These challenges require nurses to have an increased level of critical thinking for the successful recovery of the patient. This poster presentation addresses the nurse’s role in pre- and post- operative care for the patient having gastric bypass surgery and the interventions unique to this level of care.



    Mobilizing Critically Ill Adults to Reduce ICU Trauma
    Emilee Pershing
    Mentor: Barbara Duane, Nursing

    The positive effects of early mobilization for hospitalized patients are well known and supported by research. However, early ambulation in the Intensive Care Unit (ICU) has declined in recent years with the over use of deep sedation and bed rest therapy. Findings now indicate that even critically ill adults can be safely ambulated in the ICU, and that this intervention significantly decreases incidences of muscle atrophy and wasting, neuromuscular dysfunction, and psychological and emotional stress of patients. This research reveals the need for a change in ICU nursing care. In addition to promoting essential survival functions, nurses can help improve patient outcomes with careful monitoring of the patient’s pain level and need for sedation, along with implementing appropriate range of motion and ambulation exercises immediately upon admission to the hospital. This practice may be difficult and time consuming, but careful attention to developing holistic wellness is important to establish quality of life, even in the most critical of situations. The purpose of this poster is to communicate the feasibility and necessity of these nursing interventions.



    The Therapeutic Value of Humor
    Kristin Pietrykowski
    Mentor: Barbara Duane, Nursing

    Within the health care system, nurses and patients are exposed to a myriad of stressors on a daily basis. A review of nursing literature suggests that humor is a healthy response to coping with this stress. In addition to the many physiological benefits that laughter and humor produce an association has been made between humor and positive nurse-patient and nurse-colleague relationships. Humor can reduce stress, elevate mood, improve job performance and enhance rapport with patients and colleagues. Humor also provides a healthy escape from an environment often filled with grave and unpleasant situations. The purpose of this poster is to highlight the benefits of humor within the hospital setting and to further explore how it can be implemented effectively.



    Hydrotherapy in Labor and Birthing
    Lindy Roegge, Stephanie Yap
    Mentor: Mary Ann Keough, Nursing

    Despite the lack of research on the effects of hydrotherapy in the labor and birthing process in the United States, there is an increase in the desire for alternative birthing methods in Europe. The majority of the studies were based on the theoretical frameworks of “woman-centered care” and “free choice.” Ten articles were used in this paper and consist of both qualitative and quantitative studies. The studies occured between 1994 to 2007 and include more than 9,200 participants. Several of the studies identified a decrease in episiotomy rates, use of analgesics, and postpartum hemorrhage with hydrotherapy. More research is needed in this area and should work towards the establishment of universal hydrotherapy protocols. The majority of the findings suggest that hydrotherapy is a safe and effective alternative birth method.



    Differences in Nursing Care for Women’s Psychosocial Response to Genetic Testing and Breast Cancer
    Aleia Russell, Michelle Linder
    Mentor: Deborah Janssen, Nursing

    Genetic testing is being used more often to determine the presence of the BRCA 1/2 genes. Therefore, there is a need for information regarding the differences in nursing care for young women in regards to psychosocial and psychological responses of those undergoing genetic testing and those who have developed breast cancer. This information was gathered from a review of ten research articles. This review found that the main difference between the two groups is that the breast cancer patients experience stress and decreased quality of life longer than those receiving genetic testing. Individuals undergoing genetic testing need to be cared for as if they are breast cancer patients, with the understanding that they have higher rates of worry and depression. The literature reviewed increases awareness and knowledge regarding the educational resources needed to care for these patients.



    Obesity’s Impact on the Profession on Nursing
    Sarah Segraves
    Mentor: Barbara Duane, Nursing

    The prevalence of obesity in the nation has reached epidemic proportions over the last three decades. Approximately 65% of Americans are overweight, obese, or morbidly obese. Overweight is defined as having a body mass index (BMI) between 25 and 29.9, obese is defined as having a BMI between 30 and 39.9, and morbidly obese is defined as having a BMI between 30 and 39.9 (Hicks et al., 2008). A recent survey of 760 nurses revealed that 54% were overweight or obese, with a mean BMI of 27.2. There is a strong focus in nursing to promote healthy lifestyle habits and to prevent chronic diseases such as cardiovascular disease; however, the success of such education may be dependent on the perceived health of the nurse them self. I evaluate the effectiveness of health education from overweight nurses and assess nurses’ knowledge of obesity and the health risks associated with it.



    Women and Heart Disease
    Kara Shroff, Tonda Silverio
    Mentor: Barbara Duane, Nursing

    There are significant differences in the way men and women experience symptoms of an acute myocardial infarction (MI). Current research suggests that because women present differently, they are treated less aggressively than men and therefore have higher mortality rates from MIs. The American Heart Association and The National Coalition for Women with Heart Disease have developed awareness campaigns addressing this issue and emphasizing the need for improving treatment for women. Although prevention is crucial, it is also imperative that health care providers are informed and aware of the differences in acute MI symptoms for women so that the outcomes are improved. This poster compares the differences between men’s and women’s MI symptoms as well as the appropriate actions to take and consider when treating each gender.



    The Effectiveness of Pet Therapy on the Institutionalized Gerian Population
    Cari L. Shoemaker, Sarah L. Indovina
    Mentor: Rose M. Walker, Nursing

    Pet Therapy has been used in healthcare throughout history. Specifically, in the past 20 years, there has been an increase in the interest in the effectiveness of pet therapy. Many research studies have been conducted to test the physical wellbeing, mental health status, and social interactions among the institutionalized geriatric populations. Pet therapy shows a real promise as a supplement to established interventions dealing with loneliness in the geriatric population. This presentation reviews several of these studies and concludes with recommendations for future research on this topic. Three best nursing practice applications are presented.



    Nursing Interventions that Optimize Wound Healing in Complex Wounds
    Jessica Sliemers, Travis Schaffer, Matthew Steele
    Mentor: Rose M. Walker, Nursing

    Complex wound healing offers many challenges to nurses in the inpatient and outpatient setting. There are numerous variables that affect wound healing. It is the nurses’ responsibility to be aware of the possible obstacles to wound healing and prevent them when possible. Wound healing has become more difficult in the recent years due to earlier discharges, co-morbid diseases, and a lack of education. The objective of this study was to explore the nursing interventions available to optimize wound healing. The research was obtained through analyzing experimental and clinical data that came from both medical and nursing journals. Results have shown that nursing interventions such as proper support, pain management, infection control, and education have a positive effect on healing rates. Knowledge was gained from the literature review that supports the relationship between adequate nursing care and improved patient outcomes.



    Enforcing Proper Usage of Inhalers: A Crucial Element for Health Professionals and Clients
    Sarah Smith
    Mentor: Barbara Duane, Nursing

    It is essential for patients to receive the proper education and instruction on the use of inhalers, both meter-dose and powder. However, it seems that patients and health professionals do not receive adequate training and guidance in the use of inhalers. The problems with misuse of inhalers stems partially from inadequate instruction by health professionals. Consequently, the patient does not get sufficient amounts of the medication to relieve their symptoms. Studies have shown that of the predicted 25 billion dollars spent annually on inhalers, 5 to 7 billion dollars is wasted from the misuse of inhalers. In order for clients to benefit the most from their medication, and to prevent further wasting of medicine, it is imperative that health professionals and clients receive proper education and instruction on the use of inhalers.



    Evidence Based Practice: The Role of the Nurse in Adherence to PAP Therapy in Adult Patients with Obstructive Sleep Apnea
    Rebecca Snader, Tiffany Withers, Anastassia Kowalski
    Mentor: Deborah Janssen, Nursing

    Compliance with PAP therapy in adults with obstructive sleep apnea (OSA) is low. Untreated OSA can be fatal. Nursing involvement may help patients become compliant with therapy. An analysis of 29 studies was completed and nursing policies and procedures for the care of patients receiving PAP therapy in local hospitals were examined. Noncompliance often resulted from one or more side effects associated with PAP therapy (e.g., congestion, dry mouth, pressure sores, air leak). These can often be remedied with heated humidification, obtaining a comfortable, well-fitting mask, and close patient follow up, support and education. Nurses are in a prime position to identify problems with therapy as well as to provide education; they must be aware of policies and procedures regarding the care of OSA patients and educate themselves about OSA and PAP therapy, so that they may provide care based on best nursing practices.



    Consequences for Men in Nursing: An Overview of Outcomes Related to Gender and Masculinity
    Brian Sprang
    Mentor: Barbara Duane, Nursing

    The minority status of men in nursing presents several obstacles and opportunities for male nurses. By describing the experiences of men regarding gender and masculinity, this research examines the benefits and challenges for male nurses. A review of nursing literature suggests that issues regarding men in nursing are related to the fact that (1) nursing is a female-dominated profession and (2) culturally held predispositions about gender and masculinity delineate expectations for men. In order to bridge the inequities experienced by male and female nurses resulting from these barriers, the nursing profession must take steps to increase the visibility of male nurses and re-evaluate preconceived notions of gender. The purpose of this presentation is to explore the aforementioned issues for men in nursing.



    Clinical Decision Making for Diagnosing Deep Vein Thrombosis: Is Homan’s sign enough?
    Kimberly Taylor
    Mentor: Barbara Duane, Nursing

    Homan’s Sign has been used since the late 1950s in assessing hospitalized patients for deep vein thrombosis. Research has speculated on the effectiveness of Homan’s Sign and has not statistically supported its use. Statistically, Homan’s Sign has shown a false positive of a deep vein thrombosis in over 50% of cases and only correctly diagnosed deep vein thrombosis between 8-56% of the time. The use of Homan’s Sign can also put patients at risk for a pulmonary embolism by triggering a deep vein thrombosis to break away from the vein and travel to the lungs. With the creation of the Well’s Criterion Scale and D-dimer tests, a patient’s risk is better assessed. Technological advances such as ultrasound and venography have also improved the diagnosis of a deep vein thrombosis. The purpose of my research is to provide evidence of the claim of the ineffectiveness for using Homan’s Sign to detect deep vein thrombosis and to encourage the use of Wells Criterion, D-dimer test, ultrasound and venography in the clinical setting.



    The Effectiveness of Virtual Reality and Alternative Therapies on Pain Management in Pediatric Patients
    Megan Ucher, Ashley Smith
    Mentor: Heather Janiszewski Goodin, Nursing

    Pain experienced by patients is a clinical situation that nurses face on a daily basis. In the past, pain has been managed pharmacologically through numerous pain medications. Based on advancing research and technology, it has been discovered that virtual reality is an effective tool for relieving pain. The purpose of this poster is to highlight the research that has been conducted with virtual reality as an alternative form of pain management and to emphasize the best evidenced-based practice for nurses. Several researchers have found that virtual reality should continue to be used and researched in the acute care setting. Furthermore, virtual reality should be used in other healthcare settings such as the community and other pediatric settings as an effective, non-pharmacological, pain management tool.



    The Benefits of Exercise During Pregnancy
    Brenna Vaughn, Ashley Brown, Nick Brown
    Mentor: Cynthia Kosik, Nursing

    Regular physical activity and exercise regimens are recommended by many healthcare providers during the course of pregnancy. One exercise regimen that is most frequently accepted by health care providers is water aerobics due to the minimal weight bearing effects on the body. Many research articles support exercising during pregnancy which can benefit maternal comfort, decreased lower back pain, decreased post-partum depression, improved body image, decreased risk of damage to abdominal muscles, decreased sick leave, and decreased laceration. While the primary purpose of this research study was to identify the benefits of maternal exercise, future comparable analysis may be necessary to distinguish the association of maternal exercise and its related benefits.



    Nosocomial Infections No Longer Covered by Medicare
    Joni Walker
    Mentor: Barbara Duane, Nursing

    Infectious conditions that could reasonably have been prevented, as well as serious preventable hospital based errors are no longer covered by Medicare. As of 2009, eight nosocomial based infections are no longer paid for by Medicare unless they were “present on admission.” Five other hospital based infections are also being considered for inclusion into this policy of no reimbursement. This policy is being implemented to increase patient safety; however, it does have consequences. Many other insurance companies will follow Medicare in no longer covering these preventable instances because of the high cost. Hospitals will be held accountable for paying for these medical errors. This poster illustrates the occurrence of specific nosocomial infection rates from 2006 to 2007 along with the challenges medical staff are faced with in preventing these infections.



    Effective Time Management while Treating High Anxiety Patients
    Jeanne-Marie Young
    Mentor: Barbara Duane, Nursing

    Anxious patients require a nurse to be more present for them in the room. With an increasing patient load, nurses have to figure out how to maximize their presence with the patient to provide high quality care in a shorter amount of time. Incorporating a holistic approach when caring for the hospitalized patient, nurses must be aware of their presence within the room. Nurses face the effects of budget cuts within the hospital and are given more patients than normal. Nurses can become distracted by the barriers they face instead of embracing the opportunity to use their time as effectively as possible. It becomes especially difficult when a patient is particularly anxious and requires more of a nurse than a so-called “normal patient.” Holistic nursing techniques give the nurse more resources from which to draw and be fully present for the patient. Recent research shows a correlation between the presence of a nurse and the comfort level of the patient. This poster explores effective methods of being present for a patient in order to reduce feelings of anxiety and increase comfort during the hospitalization.