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Poster Presentation
How-to’s and Why’s
By Kathy Powell RN, BSN, MSCHA, NCSN
Inquiring Minds Want to Know
What Have You Been Doing
in Your Clinic?
Nursing Process
Nursing process is a patient centered, goal
oriented method of caring that provides a frame
work to the nursing care based on problem
solving
Types of Investigation
Background
Usually simple questions
that can be answered in
textbooks or journals.
Examples: What are the
symptoms of elevated
serum potassium? When do
the effects of NPH Insulin
peak?
Foreground
Questions answered about
diagnosing treatment or
assisting patients
(students/staff) with
understanding of their
disease or prognosis
Getting Started
Ask the clinical question in PICO(T) format
P = Population
Who are you interested in and what setting?
(i.e. elementary, high school, K-12, 3rd graders,
students in high school diagnosed with
migraines, students ages 5-10)
I = Intervention of Interest
(a therapy, diagnostic test, prognostic factor
or risk factor.
i.e. anti-depressants on school age children)
C = comparison intervention or issue of interest (optional)
This is only used if there is a comparison of one or more
interventions or no intervention
(i.e. cold cloth and dark room vs. dark room only for migraine;
resting vs. doing nothing; medication vs. placebo)
0 = outcome
What are you trying to accomplish,
measure or figure out?
T = time it takes for intervention to
achieve outcome (optional)
Example Question
In behavior modification programs for high school students
what is the effect of music therapy compared with
environmental changes (i.e. moving closer to the teacher,
provide separate room or space, restraints, etc.) on
agitation within the 1st semester of the school year.
Question Broken Down
P In behavior modification programs for high school
students
I
what is the effect of music therapy
C compared with environmental changes (i.e. moving
closer to the teacher, provide a separate room or space,
restraints, etc.)
O
on agitation
T
within the 1st semester of the school year.
Poster Areas
 Research/Evidence-based practice-current research that maybe useful and possibly
implemented into practice
 Practice
– innovative strategies for school nurses to
replicate in their schools
 Leadership/Legal
-- strategies and information
to school nurses to build their leadership skills and/or
enhance their understanding of laws and policies
affecting school health
 Health Promotion
-- promoting health in today’s
fast-paced, dynamically changing environment
What Do I Include in a Poster
Presentation
 What is the question/concern/issue
 What is the reason or significance of this topic
 How did you address the issue or problem (Strategy)
 What were your findings?
 Outcomes or conclusions
 Further study or usage (optional)
A Solution to Educational Time
Lost Due to Abdominal Cramps
Findings From a 2-Year Study
by
Kathleen Powell, RN, BSN, MS, NCSN
School Nurse, JJ Pearce High School
Richardson, Texas
September 2013
Problem Identification
 Numerous high school girls
presenting in the clinic for complaints
of menstrual cramps.
 #2 Problem seen in clinic
 Missing valuable class time
 Against the school district policies to
give over-the-counter medications
 Want to encourage students to try
non-drug related solutions
 Heating pad only treatment available
Proposition
TM
 ThermaCare Menstrual Heat Patches
used at the high school for menstrual
cramps in the school’s female
population can significantly reduce
loss of educational time over the
standard electrical heating pads.
2012 -2013
 Collected data to define problem
 Investigate ideas for solution
TM
 Acquire ThermaCare
study
Heat Pads for
 Funded by PTA with donation of 30
pads for next year
Educational Time Lost Due to
Cramps 2012-2013
 2012-2013 School
Year
9000
8000
7000
6000
5000
4000
3000
 125 girls seen in the
clinic for cramps.
 Educational time loss =
5021 minutes.
clinic
home
Total
2000
1000
0
Educational time
lost in minutes
 This averaged out to
40.2 minutes/student
lost in educational
time.
 + 18 girls went home
missing an additional
3310 minutes lost in
educational time.
 Total Lost educational
time was 8331 minutes
or 138.85 hours.
My Question
In teenage girls with dysmenorrhea what is the effect of
using thermal heating patches compared to electric heating
pads on time missed out of class.
2013-2014 Information
Background on Study
 Randomly girls were selected when they
came to the clinic with complaints of
menstrual cramps to receive either
treatment with a heating pad or a
ThermaCare Menstrual Heat Patch.
TM
 Due to limited number of heat patches,
time and amount of participants limited
 Approximately half were given a heating
pad and half were given a heat patch
 Study conducted between September 1,
2013 and November 30, 2013
Study Results
Time Period
9/1/13 –
11/30/13
Number of
Participants
Average
Educational
Time Lost
While in School
Additional
Educational
Time Lost
with Students
Going Home
Total
Educational
Minutes Lost
Heating Pads
34
68 minutes/
student
250 minutes/
Student *
4562 minutes
or 76 hours
Heating Patch
30
8.5 minutes/
student
0 minutes/
student
255 minutes or
4.25 hours
* 9 students out of the 34 using heating pads, still went home
losing more educational time – 2250 minutes. 0 students using
the Thermal Patch went home – no additional educational time
lost
Comparison of Educational Time Lost With
Heating Pad VS. ThermaCare
TM
5000
4500
4000
3500
3000
2500
2000
1500
1000
500
0
Therma Care
Heating pad
educational home minutes
minutes lost
Total Loss
Conclusions
 Using the ThermaCare Menstrual
Heat Patch did save on lost
educational time vs using a
conventional heating pad
 Definitely worth further study on
ThermaCare Menstrual Heat Patches
 Would encourage students to try nondrug related solutions
 Other data was collected such as
grade and ethnicity, but not utilized in
this research. Might be valuable in
future studies
TM
TM
Further Study Needed
 Because of the short time of the
study, I continued my collecting of
data for the 2013-2014 school
year and found that the problem
was increasing – More girls seen
for complaints of menstrual
cramps and more missed
educational time
 Small sample used – validate with
larger sample
 Heat Patches Expensive
Handouts are always welcomed with
posters as a pearl to remember
For more information or to turn in an
application please contact Kathy Powell at
[email protected]