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NARC 2003

Fashioning the Future

Enhancing Care Through Nursing Health Services Research

WEDNESDAY October 8, 2003
8:00 – 8:30 Continental Breakfast
8:30 – 12:00 Pre-Conference workshop on Cost Effectiveness Analysis
12:00 – 1:30 LUNCH
1:30 – 5:00 Pre-Conference Workshop on Hierarchical Linear Modeling

THURSDAY October 9, 2003

8:00 – 8:45 BREAKFAST
8:45 – 9:00 Welcome
Barbara A. Mark, PhD, RN, FAAN, Sarah Frances Russell Distinguished Professor, UNC-Chapel Hill, Conference Organizer
Linda Cronenwett, PhD, RN, FAAN, Dean, School of Nursing UNC- Chapel Hill
9:00 – 9:45 Keynote Address:
Sheila Leatherman, Research Professor, University of North Carolina-Chapel Hill, School of Public Health
9:45 – 10:10 Response
Pat Hinton-Walker, PhD, RN, FAAN, Dean, Uniformed Services University of the Health Sciences
10:10 – 10:30 Open Discussion
10:30 – 11:00 BREAK
11:00 – 12:30

Concurrent Session I
Session A: Research on Work Environments (I)
Moderator: Michael Gates

11:00-11:20
Terris Kennedy
The Relationship of Nurse Manager’s Organizational Commitment and Nurse Administrator’s Caring and Leadership Behaviors
11:20-11:40
Colleen McKey
Leadership Practices, Organizational Commitment, and Conditions of Work Effectiveness of Chief Nursing Officers in Ontario’s Restructured Hospitals
11:40-Noon
Heather Laschinger, Joan Almost, and Donnalene Tuer-Hodes
Workplace Empowerment and Magnet Hospital Characteristics: Making the Link
Noon-12:20
Amy McCutcheon and Diane Doran
The Impact of the Manager’s Leadership and Span of Control on Performance

Session B: Research on Turnover, Costs and Workforce
Moderator: Dick Redman

11:00-11:20
Linda O’Brien-Pallas, Judith Shamian and Christine Duffield
An International Examination of the Cost of Turnover and its Impact on Patient Safety and Nurse Outcomes – The Pilot Study
11:20-11:40
Linda McGillis Hall, George H. Pink, Ian McKillop, Linda O’Brien-Pallas, and Donna Thomson
Examining the Cost Impact of Restructuring in Nursing
11:40-Noon
Carol Brewer, Christine Kovner, Yow-Wu Wu, William Greene, and Yu Liu
Factors Influencing RNs’ Decisions to Work
Noon-12:20
Cheryl Bland Jones
An Update on the Costs of Nursing Turnover in Hospitals: Methods and Application
12:30 – 2:00 LUNCH
2:00 – 4:00

Concurrent Session II
Session A: Symposium
Moderator: Barbara Mark

Joyce Verran,Gerri Lamb, Barbara Brewer, and Kimberly Shea
The Impact Study: Critical Construct and Computational Context

Session B: Research on Data and Data Systems
Moderator: Cheryl Jones

2:00-2:25
Debbie Travers and Deborah Flowers
A Comparison of Triage Acuity and Patient Classification Measure in the Emergency Department
2:25-2:50
David Reed, Marita Titler, and Joanne McCloskey Dochterman
Nursing Interventions & Outcomes in 3 Older Populations: Process and Issues in Establishing a Large Clinical Nursing Database for Effectiveness Research
2:50-3:15
Ed Halloran and Lee Bastin
Analysis and Critique of Nurse-Patient Assignments
3:15-3:40
Juliann Sebastian
Clinical Data Systems in Academic Nurse-Managed Centers: Using Clinical Data for Decision-Making
3:40-4:05
John Welton and Ed Halloran
Comparing Nursing Diagnosis to the Diagnostic Related Groups on Selected Patient Hospital Outcomes
5: 00 – 7:00 Poster Session/ Reception
FRIDAY October 10, 2003
8:15 – 9:00 BREAKFAST
9:00 – 10:30

Concurrent Session III
Session A: Improving the Quality of Clinical Care
Moderator: Suzanne Smith

9:00-9:20
Mona Shattell
“Don’t Burden the Nurse:” How Hospitalized Patients Strategize to Solicit Nursing Care
9:20-9:40
Helen Hansen, Catherine Borbas, Thomas Kiresuk, David Anderson, Nora Morris, and Barb McLaughlin
Assessment of Nurses’ Knowledge, Attitudes, and Barriers Related to Implementation of Acute Ischemic Stroke Guidelines
9:40-10:00
Jo-Ellen McDonough and Judith Alexander
Birth Outcomes for High-Risk Pregnant Medicaid Women Case Managed by Registered Nurses
10:00-10:20
Brenda Zierler, Lorie Wild, and Pamela Mitchell
Clinical Effectiveness of Integrated Care Pathways for the Management of Acute Venous Thromboembolism (VTE): Is Nursing Research Used in Practice?

Session B: Individual and Organizational Factors
Moderator: Ed Halloran

9:00-9:20
Deborah Jasovsky
The Effect of Occupational Image on the Relationship Between Organizational Citizenship Behavior, Job Satisfaction, and Organizational Commitment Among Hospital Staff Nurses
9:20-9:40
Pi-Ching Hsieh and Hui-Fang Su
Organizational Characteristics, Organizational Culture, and Performance of Nursing Homes in Taiwan
9:40-10:00
Mary Lynn and Jennifer Craft Morgan
What Does Work/Professional Satisfaction Tell Us About Commitment? A View From the Hospital
10:00-10:20
Nongnut Boonyoung
Multifacetea Factors, Health Insurance, and Health of Southern Thai Middle-Aged Women
10:30 – 11:00 BREAK
11:00 – 12:30

Concurrent Session IV
Session A: Research on Nursing Homes and Home Health
Moderator: Ruth Anderson

11:00-11:20
Christine Mueller, Robert Kane, and Howard Degenholtz
Staffing, Quality and Clinical and Administrative Practices in Nursing Homes: Are there Relationships?
11:20-11:40
Katherine Jones, Regina Fink, Evelyn Hutt, Lauren Clark, Jill Scott, Carol Vojir, Ginny Pepper, Ruby Martinez, and Deborah Vincent
Improving Nursing Home Quality: Reducing Resident Pain
11:40-Noon
Jennifer Craft Morgan and Mary Lynn
What Does Work/Professional satisfaction Tell Us About Commitment? A View from Home Health Care
Noon-12:20
Mary Blegen, Carol Vojir, Cathy Dingley, JoAnn Congdon, Kathy Magilvy, and Katherine Jones
Nursing Home Staffing – Comparing CMS and State Staffing Data

Session B: Research on Work Environments (II)
Moderator: Sharon Eck

11:00-11:20
Doris Vahey and Linda Aiken
Effects of the Nurse Work Environment and Staffing on Nurse Outcomes
11:20-11:40
Linda Hughes
Discretion in Clinical Decision Making as Described by Experienced Critical Care Nurses
11:40-Noon
Hui-Fang Su and Pi-Ching Hsieh
Group Characteristics and Group Effectiveness of Quality Control Circles of Hospitals in Taipei Area
Noon-12:20
Heather Laschinger and Joan Finegan
R-E-S-P-E-C-T, Just a little bit! Antecedents and Consequences of Nurses’ Perceptions of Respect in Hospital Settings
12:30 – 2:00 LUNCH
2:00 – 4:00

Concurrent Session V
Session A: Methods and Measures
Moderator : Linda Hughes

2:00-2:25
Donna Sullivan Havens
Hospital Ratings: Quality Measures or Mere Puffery?
2:25-2:50
Barbara Brewer
Psychometric Properties of Team and Culture Measures
2:50-3:15
Richard Redman, Mary Lynn, and Dorothy Burns
Patient Expectations for Care Experiences: Foundations for Instrument Development
3:15-3:40
Donna Sullivan Havens and Joseph Vasey
The Staff Nurse Decisional Involvement Scale (DIS): Description and Validation
3:40-4:05
Katherine Bradley, Marjorie Bott, and Roma Lee Taunton
Utilizing Item Response Theory to Analyze Nursing Job Satisfaction Data

Session B: Research on Adverse Events
Moderator : Mary Lynn

2:00-2:30
Joan Fitzmaurice, Cyrus Hopkins, and Melissa Culkins
Examining Disclosure of Error in the Patient Record
2:30-3:00
Christine Kovner, Barbara Krainovich-Muller, Joyce Menezes, Judith Goldberg, Penny Hollander Feldman, Christopher Murtaugh, Robert Rosati, Lori Bruno, and Margaret McDonald
Medication Errors in Home Care
3:00-3:30
Linda Scott, Wei-Ting Hwang, Christy Gaughan, and Ann Rogers
Predictors of Patient Care Errors: The Examination of Extended Work Hours, Break Periods, and Impaired Alertness Among Hospital Staff Nurses
3:30-4:00
Mary Blegen, Thomas Vaughn, Carol Vojir, Karen Stratton, and Ginette Pepper
RN Reporting of Adverse Events on Inpatient Units
4:15 – 6:00 CGEAN PROGRAM MEETING

SATURDAY October 11, 2003

7:30 – 9:00 CGEAN BUSINESS MEETING
8:15 – 9:00 BREAKFAST
9:00 – 10:30

Concurrent Session VI
Session A: Mental Health Services Research
Moderator : Elizabeth Merwin

9:00-9:30
Donna McNeese-Smith, Mary Crook, and Adelina Nyamathi
Substance Abuse Treatment in Two Managed Care Structures
9:30-10:00
Mary Lynn Scotton Piven
Nurse Detection of Depressive Symptoms in Medically Ill Older Adults
10:00-10:30
Jacqueline Dienemann, Karen Parker, Maria Pelucio, and Kathleen Kaney
Outcomes of a Hospital Domestic Violence Project

Session B: Work Environment (III)
Moderator : Donna Havens

9:00-9:30
Suzanne Mulvey Boyle
Unit Characteristics and Adverse Events
9:30-10:00
Diane Huber
Case Management Dosage
10:00-10:30
Joan Almost and Heather Laschinger
The Impact of Empowerment and Collaboration on Nurse Practitioners’ Job Satisfaction
10:30 – 11:00 BREAK
11:00 – 11:45

Best Paper and Best Dissertation Session

BEST PAPER
Heather Laschinger, Joan Finegan, Judith Shamian, and Piotr Wilk
Workplace Empowerment as a Predictor of Nurse Burnout in Restructured Health Care Settings

BEST DISSERTATION
Russell McGuire
Critical Elements of Organizational Capacity and Resource needs for successful Clinical Information Systems Implementation
11:45 – 12:30 Closing Plenary
Bonnie Mowinski Jennings, DNSc, RN, FAAN, American Academy of Nursing/American Nurses Foundation/Institute of Medicine Nurse Scholar
12:30 Closing Comments: Helen Hansen PhD, RN, University of Minnesota. President CGEAN
Announcement of Dates for NARC 2005: Joyce Verran PhD, RN, FAAN, Professor, University of Arizona College of Nursing

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