Nelda C. Stark College of Nursing

Palliative care is a medical subspecialty devoted to palliating symptoms and spending time communicating with patients from the onset of chronic illness through the end of life. Time is one of the gifts a palliative care team gives a patient and family. Ironically, adding time to care may help to decrease critical care costs and mortality. Although palliative care lacks specific funding and national recognition, inpatient, outpatient, hospice, and home palliative programs are emerging to provide coverage across the continuum.

Purpose: To describe the trajectory of viewing self in a mirror after an amputation and participants' perceptions of what health care professionals should know about mirrors. Design: Hermeneutic phenomenology. Methods: Focus groups were conducted to collect the research data. Findings: The mirror experience had three key moments: decision, seeing, and consent. The trajectory of viewing self in a mirror had four key themes: mirror shock, mirror anguish, recognizing self, and acceptance: a new normal. Participants' recommendations for introducing the mirror after an amputation and using a mirror to avoid skin breakdown and infection, and correct gait and balance are described. Conclusions: This study provides a unique viewpoint into the world of those who have suffered amputation of a limb. Clinical Relevance: Rehabilitation nurses and other health care professionals are encouraged through these participants to consider the effect and value of mirrors when caring for those who have had an amputation.

Purpose: To describe the trajectory of viewing self in a mirror after an amputation and participants' perceptions of what health care professionals should know about mirrors. Design: Hermeneutic phenomenology. Methods: Focus groups were conducted to collect the research data. Findings: The mirror experience had three key moments: decision, seeing, and consent. The trajectory of viewing self in a mirror had four key themes: mirror shock, mirror anguish, recognizing self, and acceptance: a new normal. Participants' recommendations for introducing the mirror after an amputation and using a mirror to avoid skin breakdown and infection, and correct gait and balance are described. Conclusions: This study provides a unique viewpoint into the world of those who have suffered amputation of a limb. Clinical Relevance: Rehabilitation nurses and other health care professionals are encouraged through these participants to consider the effect and value of mirrors when caring for those who have had an amputation.

Purpose: To describe the trajectory of viewing self in a mirror after an amputation and participants' perceptions of what health care professionals should know about mirrors. Design: Hermeneutic phenomenology. Methods: Focus groups were conducted to collect the research data. Findings: The mirror experience had three key moments: decision, seeing, and consent. The trajectory of viewing self in a mirror had four key themes: mirror shock, mirror anguish, recognizing self, and acceptance: a new normal. Participants' recommendations for introducing the mirror after an amputation and using a mirror to avoid skin breakdown and infection, and correct gait and balance are described. Conclusions: This study provides a unique viewpoint into the world of those who have suffered amputation of a limb. Clinical Relevance: Rehabilitation nurses and other health care professionals are encouraged through these participants to consider the effect and value of mirrors when caring for those who have had an amputation.

Purpose: To describe the trajectory of viewing self in a mirror after an amputation and participants' perceptions of what health care professionals should know about mirrors. Design: Hermeneutic phenomenology. Methods: Focus groups were conducted to collect the research data. Findings: The mirror experience had three key moments: decision, seeing, and consent. The trajectory of viewing self in a mirror had four key themes: mirror shock, mirror anguish, recognizing self, and acceptance: a new normal. Participants' recommendations for introducing the mirror after an amputation and using a mirror to avoid skin breakdown and infection, and correct gait and balance are described. Conclusions: This study provides a unique viewpoint into the world of those who have suffered amputation of a limb. Clinical Relevance: Rehabilitation nurses and other health care professionals are encouraged through these participants to consider the effect and value of mirrors when caring for those who have had an amputation.

Self-reflection is paramount to the development of professionalism and serves as the foundation of adult education and lifelong learning. Pedagogical approaches in health sciences programs that promote selfreflection are growing in popularity. Current literature identifies a gap in what and how students conceive selfreflection and whether self-reflection is creating professionals that meet the challenges of today's healthcare climate. This qualitative study explores the conceptions of self-reflection for occupational therapy students in Level II Fieldwork. The use of phenomenographic methodology guided the collection of information-rich data through semi-structured interviews. Twenty-one occupational therapy graduates volunteered to participate in the interviews. Verbatim transcripts were coded to identify categories and patterns in the data. A focused discussion was employed as a member-checking method to ensure accuracy of study outcomes. Participants identified that self-reflection may serve to inform personal and professional practices during occupational therapy student clinical rotations. Although universally defined, student self-reflection occurred in countless ways and took many forms. Participants valued its function in expanded decision making, selfawareness, and competence in fieldwork and everyday occupations. These findings facilitate further research and the creation of new self-reflection educational methods or interventions designed to build or remediate self-reflective capacity of health sciences students during academic and clinical programming.

Summary: This presentation explores the mirror experience for amputees, discovered using Ricoeur’s phenomenology. The trajectory of that experience is described, and implications for nursing practice considered. Learning Activity: LEARNING OBJECTIVES EXPANDED CONTENT OUTLINE Describe the study background and methodology Focus groups, sample, demographics, data collection, analysis Recognize the steps of a common trajectory present in the mirror viewing experience, as described by amputees. Structural analysis and phenomenological understanding Construct a mental model of therapeutic nursing interventions that could be implemented in various practice settings. Nursing support during initial mirror viewings after an amputation.

Summary: This presentation offers a glimpse into the embodied shame that lingers years after military sexual trauma for women veterans. Viewing self in a mirror, being in public, and intimacy are experiences that are lived in shameful anguish. Content Outline: Content Outline 1. Purpose 1. Military sexual trauma (MST) is a global crisis. 2. Definition 3. Prevalence 4. Phenomenology and Hermeneutics 2. Methods 1. Recruitment 2. Data collection 3. Analysis and validation 3. Results 1. Demographics 2. Phenomenological Interpretation 4. Conclusion 1. Embodiment 2. Relationship of study to the literature 3. Research needs First Primary Presenting Author Primary Presenting Author Wyona M. Freysteinson, PhD, RN Texas Woman's University Nelda C. Stark College of Nursing Associate Professor Houston TX USA Author Summary: Dr. Freysteinson is an Associate Professor at the College of Nursing at Texas Woman's University in Houston, where she teaches philosophy and scholarship in the PhD ...

PROBLEM IDENTIFICATION African American (AA) women have a higher mortality rate for cervical and other cancers and are less likely to have received the human papillomavirus (HPV) vaccine than White women. Mothers play a significant family role and have a unique relationship with their daughters. Mothers' positive views on HPV vaccination may enhance the HPV vaccination rate among their daughters. LITERATURE SEARCH The review was conducted by searching literature in PubMed®, CINAHL®, ScienceDirect, Ovid MEDLINE®, and ProQuest databases. The search was limited to studies conducted in the United States and published since the inception of the HPV vaccine in 2006. DATA EVALUATION Of 10,566 publications retrieved, 28 articles were included in the final sample. SYNTHESIS Factors associated with HPV vaccination were approval and disapproval of HPV vaccination from physicians, family, and friends; HPV knowledge; attitude and belief about HPV vaccination; benefits of vaccination; and cha...

This study explored the feasibility of educating nurses on an emotionally sensitive topic using video. The aim was to educate nurses on how to assist individuals who have had an amputation of a limb in viewing themselves in the mirror. Design: One-group repeated-measures design with 2 time points (pretest and posttest at 1 month). Methods: Nurses viewed a video in which 8 amputee actors described how and why nurses should support individuals' viewing of self in the mirror following amputation. Results: This video-based education was feasible, and recommendations were made for future research. Participants were engaged and shared insight into how this knowledge would change their nursing practice. Conclusions: A larger educational research study to test the effect of this education on improving nursing confidence and offering the mirror is recommended.

Purpose: Reflective practitioners embody the ability to critique their own clinical thinking about the dilemmas that frequently arise in professional practice and everyday life. Conflicting evidence exists on whether or not self-reflective practices are effective in promoting academic, clinical, and personal success. This quantitative study investigated self-reflection as a predictor of increased occupational competence and clinical performance in Level II Fieldwork for entry-level Master's degree occupational therapy students. Method: The study used convenience sampling to recruit participants and data were collected via a demographic survey and self-assessment questionnaires. Multiple linear regression analyses were conducted to determine the extent to which self-reflection predicts occupational competence and clinical performance. R2 values were examined to determine the importance of each dependent variable (occupational competence and clinical performance). Results: Finding...

Date Presented 04/01/2022 Lymphedema affects a significant number of women with breast cancer, and self-management programs (SMPs) are important in the long-term management of this chronic condition. This quasi-experimental study explored the effect of the remotivation process on the motivation of 11 women with lymphedema to perform an SMP. Results showed improved motivation and increased performance of the SMP. This study provides evidence that the remotivation process can facilitate motivation and promote SMP performance. Primary Author and Speaker: Kaye Rubio Contributing Authors: Patricia Bowyer, Sherry Hite, Vidya Pingale, Christine Raber, Gayle Hersch, Wyona Freysteinson

Aim: The first aim of this study was to explore the lived experiences of parents caring for their autistic children and their experiences with safety for these children. The second aim was to elicit safety recommendations from the parents of autistic children. Design: Hermeneutic phenomenology. Methods: Fifteen participants who self-reported they were parents of children with autism were recruited via snowball sampling. Data were collected from September 2017-December 2018 in audio-taped interviews using semi-structured questions. Interviews were held with four participants to determine if the findings represented their experiences and concerns accurately. Results: Two underlying structures which demonstrated the trajectory of the experience caring for autistic children were: lost/finding our way and battle-ready/battle weary. The phenomenological themes within battle weary included: living with fear, living with uncertainty and living with disappointment. Resilience was a fourth phenomenological theme which supported the experience of being battle ready. The participants provided recommendations for other parents and healthcare professionals to help keep autistic children safe. Conclusion: This study illustrates the unique perspective of parents of autistic children concerning autism and safety. Impact: Most parents in this sample reported they faced substantial issues with safety for their child. Study results demonstrated that parents received little to no information about safety from healthcare professionals. Parents of autistic children and healthcare professionals need to be educated about safety issues to prevent injuries and death.

Date Presented Accepted for AOTA INSPIRE 2021 but unable to be presented due to online event limitations. Lymphedema affects 65% of women with breast cancer. Self-management programs (SMPs) are used to manage lymphedema. The study explored the effect of the Remotivation Process on the motivation of 12 women to perform a SMP every day. It was provided through a telehealth platform. Analysis showed significant changes in motivation and outcome measures. This study found that the Remotivation Process is a potentially useful OT intervention to address the motivational needs of women with lymphedema. Primary Author and Speaker: Kaye Rubio Contributing Authors: Patricia Bowyer, Sherry Hite, Vidya Pingale, Wyona Freysteinson, Gayle Hersch, and Christine Raber

Date Presented 04/22/2023 This qualitative descriptive research aimed to determine the wording and final items for the Child Assessment of Self-Care (CAS), a child’s self-report of self-care that addresses the Model of Human Occupation (MOHO) construct of occupational adaptation. Primary Author and Speaker: Amy Gibbs Contributing Authors: Patricia Bowyer, Tina Fletcher, Theresa M. Smith, Wyona Freysteinson