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Book of Abstracts RCN 2013 international nursing research conference Wednesday 20 – Friday 22 March 2013 Europa Hotel, Great Victoria Street, Belfast BT2 7AP Book of abstracts Conference kindly sponsored by: media partner School of Nursing/Institute of Nursing and Health Research, University of Ulster Contents Concurrent Session 1 4 Concurrent Session 6 41 Wednesday 20 March 11.50 – 13.15 4 Friday 22 March 2013 09.00 – 10.25 41 1.1 Theme: Workforce . .4 6.1. Them: Innovative approaches in public health . 41 1.2 Theme: Mental health . .5 6.2 Theme: Nursing attitudes and behaviours . 42 1.3 Theme: Cardiac care . .6 6.3 Theme: Symptom management. 43 1.4 Theme: User/carer perspective . 6 6.4 Theme: Undergraduate/ pre-registration education . 44 1.5 Theme: Maternity care . .7 6.5 Theme: Patient experience. 45 1.6 Theme: Research Methods . .8 6.6 Theme: Mental health carers . 46 1.7 Theme: Knowledge management & learning . .9 6.7 Theme: Leadership . 46 1.8 Theme: Health care support workers. 10 6.8 Theme: Children and family . 47 Concurrent Session 2 12 Concurrent Session 7 49 Wednesday 20 March 2013 14.30 – 15.55 12 Friday 22 March 2013 11.00-12.25 49 2.1 Theme: Cancer care/end of life care . .12 7.2 Theme: Patient experience. 49 2.2 Theme: Elderly care. 13 7.3 Theme: Cultural proficiency . 50 2.3 Theme: End of life care/workforce. 14 7.4 Theme: Patient safety. 51 2.4 Theme: Leadership/concordance . .15 7.5 Theme: Hearing children’s voices . 52 2.5 Theme: Decision-making . 16 7.6 Theme: Dignity in care . 53 2.6 Theme: Children & young people . .17 7.7 Theme: Education/workforce. 53 2.7 Theme: Public health . .18 7.8 Theme: Learning disability/ mental health. 54 Concurrent Session 3 19 Symposia 1-8 56 Thursday 21 March 2013 09.00 – 10.25 19 Wednesday 20 March 16.30 – 18.00 56 3.1 Theme: Workforce . 19 3.2 Theme: Acute & critical care. 20 Symposia 9-17 68 3.3 Theme: Perspectives on palliative care. 21 3.4 Theme: Methodology: . 22 Friday 22 March 13.30 – 14.55 68 3.5 Theme: Stroke care/patient experience. 22 3.6 Theme: Patient experience. 23 Workshops 82 3.7 Theme: Role development/children & young people . 24 Wednesday 20 March 2013 82 Concurrent Session 4 26 WORKSHOP 1 . 82 WORKSHOP 3. 83 Thursday 21 March 13.35 – 15.00 26 WORKSHOP 4. 84 4.1 Theme: Mental Health. 26 4.2 Theme: Diabetes/young adults . 27 Thursday 21 March 2013 85 4.3 Theme: Cancer care. 28 WORKSHOP 5. 85 4.4 Theme: Critical/acute care . 29 Friday 22 March 2013 86 4.5 Theme: Rehabilitation. 30 4.6 Theme: Patient Experience. 30 WORKSHOP 6. 86 4.7 Theme: Research process. .31 4.8 Theme: Pain Management . 32 Posters 87 Wednesday 20 March 2013 87 Concurrent Session 5 34 Thursday 21 March 2013 15.35 – 17.00 34 Posters 94 5.1 Theme: Patient centred care/ . 34 Thursday 21 March 2013 94 patient experience. 34 5.2 Theme: Methodology . 35 5.3 Theme: Role development. 36 Posters 101 5.4 Theme: Patient safety. 37 Friday 22 March 2013 101 5.5 Theme: Patient experience. 38 5.6 Theme: Older people . 38 5.7 Theme: Women’s experiences . 39 3 111.50 – 13.15 Concurrent session 1 – Wednesday 20 March 2013 Concurrent Session 1 Wednesday 20 March 11.50 – 13.15 1.1 Theme: Workforce 1.1.2 1.1.3 1.1.1 Implementing and evaluating a Migration Matters: The experience Do Magnet accredited hospitals nursing and midwifery learning and of United Kingdom registered in the US provide better quality development plan utilising PRAXIS nurses migrating to Western of care? A secondary analysis methodology . Australia of patient satisfaction, 30-day Presenter: Christine Boomer, Universtiy of Ulster / Presenter: Caroline Vafeas, Edith Cowan South Eastern Trust, UK University, Australia mortality and nurse staffing data . Author(s): Christine Boomer, UK ; Bob Brown, UK; Author(s): Caroline Vafeas, Perth, Western Presenter: Dr Michael Simon, University of Elinor Welch, UK; Evelyn Mooney, UK; Sharon Australia; Joyce Hendricks, Perth, Western Southampton, UK McRoberts, UK; Caroline Lee, UK; Margaret Australia Author(s): Michael Simon, UK; Helen Wharam, McLeese, UK UK; Peter Griffiths, UK; Nancy Dunton, USA Abstract Abstract Background: The purpose of this study is to Abstract Aim: To share the how the PRAXIS framework explore the essence of the phenomenon of Background: The ANCC Magnet programme (Wilson et al, 2008) has been used to drive migration for UK Registered Nurses in Western accredits organizations for excellence in nursing a strategic nursing and midwifery integrated Australia; including the psychological and socio- care. However despite its wide recognition the learning and development action plan. cultural adaptation experienced by each par- evidence base has been limited. Data from the ticipant. It is of significant importance to identify Centers for Medicaid and Medicare Services (CMS) The nursing and midwifery Learning and Develop- implications for future migrant nurses and interna- and the Annual Survey of the American Hospital ment plan was developed collaboratively with key tional employers. Association allow comparing patient experience, stakeholders within the trust and aims to integrate Aims: To explore the essence of the migration patient mortality rates and nurse staffing of practice-based learning, practice development experience for registered nurses from the UK Magnet and Non-Magnet hospitals in the USA. and practitioner research to develop person-cen- To explore the impact of re-settlement on profes- Aims: The aim of this study was to compare patient tred practice. Both the development activities and sional and personal identity satisfaction, 30-day mortality and nurse staffing of evaluation are being enabled within the PRAXIS Magnet and Non-Magnet hospitals in the USA. methodology. This is being implemented through To enable others to appreciate the meaning of three stages of research to answer how the plans migration for this group of registered nurses; Method: Risk-adjusted data on patient experience four work streams: contribute to the development including employers and policy makers (2010), 30-day mortality rates for heart attack, of a person-centred culture; enable staff to feel heart failure and pneumonia (2007-2009) and data Method: Twenty, face to face in-depth interviews accountable, develop practice and make a differ- from the hospital compare database, the ANCC were conducted during 2008 to gather the data. ence to the lives of patients; create a culture where website and the AHA annual survey (2009) were All participants were UK registered nurses who had staff embrace development? used. Hospitals with and without Magnet accredi- migrated to Western Australia between 2003 and tation were matched (n=196 per group) with a Phase 1: a survey to registered and non-registered 2008. genetic propensity score algorithm by hospital nursing and midwifery staff, to date this has been Results: Six themes were identified in this study size, ownership status, census devision, teaching undertaken once (09/11). Statistical analysis gave including, Dislocation & Relocation, Professional status, the supplemental security income ratio, the team baseline findings, and while indicating Deconstruction and Reconstruction, Culture case mix index and technology index. much to celebrate, issues and challenges were Chaos, Emotional Rollercoaster, Belonging and Results: The matching achieved satisfactory also highlighted, e.g. involvement and engage- Electronic Dreams. ment with development and change. Phase 2: is balance with an average standardized mean differ- Discussion: International literature supports the underway and sees the research team exploring ence of 2.37 across all variables. Magnet hospitals findings of this study. In the contemporary climate had higher percentages of patients with highest areas from phase 1 in more depth with staff of international nurse mobility, many employers overall ratings of the care received (ATE: 2.54, through focus groups and 1 to 1 interviews. The continue to attract new employees with almost p<0.001), who would recommend the hospital to Focus groups were completed in 04/12 – 05/12 immediate sponsorship visa and the enticement friends or family (ATE: 3.37, p<0.01) and where and at the time of submission of this abstract of a better climate and standard of living. Many nurses communicated well (1.12, p<0.01). Magnet the 1 to interviews are about to commence, using nurses find that the dream does not live up to the hospitals provided more RN hours per patient day interview schedules developed from preliminary reality and return to the UK, for many reasons. (ATE: 0.48, p<0.05) and a higher percentage of analysis of the focus group data. Feelings of belonging are necessary to make the nursing care hours provided by RNs (ATE: 0.01, This presentation will present the first 2 phases: move a success, with the need for friends and p<0.01). No significant differences were found for how they have been operationalized, the findings family being of high priority to all participants. 30-day mortality rates. and challenges. Finally we will share how this Conclusion: This study has highlighted many Discussion: The analysis confirms the claim of earlier work is shaping the 3rd phase of research issues that need to be considered by future the magnet accreditation scheme of nursing care and practice development activity, thereby dem- UK migrant nurses prior to embarking on such excellence in two of three assessed domains. onstrating how the PRAXIS methodology can be a massive upheaval to their professional and Conclusion: Future research needs to investigate if applied in practice to both shape the development personal life. Australian employers must consider and how the accreditation process leads to nursing activity and demonstrate outcomes from its evalu- the total impact to nurses they employ and inves- excellence or if nursing excellence was already ation.
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