Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 10th Global Nursing & Healthcare Conference Sao Paulo, Brazil.

Day 2 :

Conference Series Global Nursing 2016 International Conference Keynote Speaker Franklin A Shaffer photo
Biography:

Franklin A. Shaffer, EdD, RN, FAAN, FFNMRCSI was previously executive vice president of Cross Country Healthcare and chief nursing officer for Cross Country Staffing. He was appointed by the Joint Commission on Accreditation of Healthcare Organizations (JCAHO or the Joint Commission) to serve on their Nursing Advisory Council. Prior to his tenure with Cross Country Staffing, Dr Shaffer served as chief nursing officer at several medical centers, deputy director for the National League for Nursing and adjunct faculty in graduate nursing programs at Teachers College, Columbia University, Adelphi University and Hunter College. Dr Shaffer holds a doctorate of education in nursing administration, a master of education in nursing administration, and a master of arts in nursing administration and adult health from Teachers College, Columbia University. In 2002, Dr. Shaffer was inducted into the American Academy of Nursing.

Abstract:

Description:

Certification in any field is a mark of professionalism.  It establishes the specialty area as a practice field. It further enables those who are certified to demonstrate their expertise and to be recognized for their excellence in knowledge, skills, abilities and practice.  Nursing as a profession has more than 200 specialty areas of practice.  The degree to which certification serves this important purpose varies across countries.  While there is no global standard for each specialty area at the present time, there is general acknowledgement of the need to define the core competence specific to each specialty area.  Certification can play a key role in facilitating this dialogue and establishing this identity for each nursing specialty.

The author is proposing a workshop to enable participants to achieve the following objectives:

1.  Explore the feasibility, desirability, implications, and/or impact for a national approach to certification to recognize excellence in a nursing specialty area.

2. Evaluate the factors involved in making a decision to offer certification programs on a global scale.

3. Assess the challenges involved for certification programs to go international.

4. Identify appropriate solutions for certification programs seeking to move from a national platform to a global one. The author will lead a panel presentation to be followed by an interactive workshop in which participants will gain first-hand experience in achieving the aforementioned objectives with the aid of a toolkit designed specifically for this purpose.  Time will be set aside for general discussions and for responding to specific questions.   

  • Nursing Practice | Nursing Education | Nursing Management | Types of nursing | Cancer and Tumour Nursing
Location: Lorangerie II
Speaker

Chair

Franklin A Shaffer

CGFNS International

Co-Chair

Daniella Areili

Emek Yezreel College, Israel

Session Introduction

Kathryn Weaver

University of New Brunswick, Canada

Title: Teaching ethical sensitivity for psychiatric-mental health nursing practice
Speaker
Biography:

Kathryn Weaver is working as a Nurse Psychotherapist and Associate Professor in the University of New Brunswick where she teaches mental health, community development, and advanced nursing practice; and healthcare ethics Instructor for Graduate and Medical students, Atlantic Region Training Centre, Memorial University of Newfoundland. She completed her PhD from the University of Alberta and Post-doctoral fellowships through the International Institute for Qualitative Methodology and Alberta Heritage Foundation for Medical Research. She has published more than 30 papers and is the Principle Investigator of two documentaries, “Through True Eyes: Recovery from Eating Disorders” and “It’s Not about Food!”, produced by Atlantic Mediaworks, Fredericton, NB. 

Abstract:

Ethical sensitivity influences how those in need experience professional psychiatric care and services. For nurses who actively enter into the lives of people experiencing acute or chronic mental health conditions and illnesses, every encounter to help ease psychic pain and suffering requires developing sensitivity to preserve the integrity of clients and other stakeholders. To date, our knowledge of ethical sensitivity is largely inadequate and under-utilized in professional education. The present study thus explores approaches to enhance ethical sensitivity development and resulting professional psychiatric nursing practice. Clinical and classroom strategies to help students recognize and morally respond to the ethical demands of practice were synthesized using research and theoretical literature. These strategies were matched to the various dimensions of ethical sensitivity explicated by analysis of their pragmatic utility. A framework of interventions is then proposed to address the ethical requirements for praxis beyond the technical requirements of the professional discipline. Using this framework, recommendations were made for building student capacity for receptivity and responsiveness, recognizing and processing ethical issues through interactive and transparent practices, identifying uncertainties within established terms of judgment, and developing the courage necessary to take perceived right actions. Progressively, students can learn to foresee the moral consequences of possible actions and to act in ways that preserve the integrity of clients and stakeholders. The findings suggested that the ethical sensitivity is enhanced through mindfully deliberating the salient features of a situation and integrating from multi-linked educational strategies.

Speaker
Biography:

Geetha Kada is a Professor of Nursing at Montgomery College of Nursing and adjunct online nursing faculty at Stevenson University, Maryland, USA. She is carrying an experience of 18 years teaching for different levels of students’ namely Associate degree nursing students, Post-basic degree nursing students, Baccalaureate and Master’s nursing students with experience teaching traditional, hybrid and online nursing learners. She got her PhD in Nursing Education from the Capella University, Minnesota, USA. She chairs the simulation committee at the college and is an active member of the National League for Nurses (NLN). Also, she holds active certification in BLS (Basic Life Support) and ACLS (Advance Cardiac Life Support). She has published her PhD study on Pro Quest and did a poster presentation of the study at the Catholic University, DC, USA. Besides, in 2015 along with her Medical-Surgical Nursing course team, she worked on the use of unfolding multiple patient simulations in a senior medical-surgical nursing course and the same was presented at the MAADND conference, MD, USA. She is currently working on the Western Maryland Faculty Academy Grant; a collaborative effort among the departments of nursing to prepare experienced BSN and MSN-prepared registered nurses for new roles as part-time clinical nursing faculty.

Abstract:

Increasing patient acuity and complex health care demands the need for preparing competent graduate nurses. However, reduced availability of clinical sites exists translating to difficulties obtaining patient care experiences for nursing students. This ongoing issue demands educators to seek alternative teaching strategies. High-fidelity simulation experiences can provide a learning environment very similar to the clinical setting. The purpose of this descriptive correlational quantitative research study was to examine what relationships, if any, existed between associate degree nursing students’ self-confidence in learning and their perceived presence of five instructional design characteristics in a high-fidelity simulation learning experience. The nursing student’s perceived experiences were measured by the NLN Self-Confidence in Learning and Simulation Design Survey instruments. Study participants were asked to rate the level of importance of each variable (Self-Confidence and Simulation Design Instruments) on a Likert scale with the following rating: 1=strongly disagree, 2=disagree, 3=undecided, 4=agree and 5=strongly agree. The results of this study identified students’ perceptions on the importance of realism and debriefing (feedback/guided reflection) in a simulation experience. Additional findings highlighted the importance to students of definitive objectives and information, which influence their self-confidence in learning within a simulation learning environment. It is evident the use of simulation as an educational tool is becoming more prevalent in the health care settings. This is especially important in response to the growing shortage of accessible clinical sites and available faculty. The findings of this study support the need for more quantitative research to evaluate the use of high-fidelity simulation experiences on nursing students learning outcomes.

Speaker
Biography:

Lucienne Christine Estevez de Alencar holds a degree in Nutrition from the University of Brasilia (1990), Master Universitario en Nutrición Y Diet Therapy from the University of Murcia, Spain (1998), specialization in Bioethics (2000), specialization in Health-Food Surveillance (2002), Master's degree in Psychology from the University Brasilia (2006) completing her PhD at the Graduate School of Health Sciences Program at the University of Brasilia ((start: 2008; qualifying examination in 2009)). She currently works as a Nutritionist - State Health Secretariat of the Federal District- Brazil. She has experience in the area of Nutrition on an outpatient basis (primary health care and specialized care in HIV/AIDS and viral hepatitis), and breastfeeding (basic and specialized care), human milk banks (hospital) and diet therapy (hospital).

Abstract:

Introduction: The Brazilian Human Milk Banks Network represents great acquisition for the Brazilian Health System. It is a result from a historical process of citizenship’s construction and seeks to promote the quality of processes and procedures based on the experience and accumulated knowledge by the Human Milk Bank of Fernandes Figueira Institute, Rio de Janeiro. Its mission is to "Promote health of women and children by integrating and building partnerships with federal agencies, units of the federation, municipalities, private sector and society, under the action of Human Milk Banks".

Objective: To analyze the partnership established between the Human Milk Banks and the Brazilian Military Firefighters Corps.

Method: Documental and literature analysis was done to verify the establishment of the historical and practical construction of this partnership.

Results: In Brazil, several Human Milk Banks developed projects or programs of cooperation with the Brazilian Military Firefighters Corps of states and cities. The fireman routinely collected the frozen human milk from the homes of donors. This contact contributed to strengthening the human links and offered the opportunity to remove doubts and provided social support to the donor.

Speaker
Biography:

Elizabeth Brodie attained an Honours degree in English Language and Literature from the University of Glasgow before embarking on Mental Health Nurse Training. She worked in various areas of Mental Health but the main focus of her career has been in Acute Mental Health and Substance Misuse. She completed her PGDip in Drug and Alcohol Studies at Imperial College, London and attained a PG Cert. in teaching and learning in Higher Education from Edinburgh Napier University. Her Master’s dissertation is related to the overprescribing of benzodiazepines in primary care. She currently contributes to the undergraduate nursing curriculum and post-graduate curriculum planning at Edinburgh Napier University and is a Director of CREW 2000 a peer and volunteer lead agency which specialises in education and harm reduction for people who use substances and their families. Her current subject interests are the role of new psychoactive substances in pregnancy, the effects of NPS on young people with type 1 diabetes and the role of substances among university students. Her educational interests include enquiry based learning and meaningfully involving people with lived experience in the development and delivery of student nurse education; and the role of substance misuse education on nursing students

Abstract:

Two of the pillars of skilled mental health nursing are the ability to work well in groups and the capacity to work collaboratively with people who have the experience of mental health diagnoses. As educators of mental health nurses our educational approaches and methods should facilitate the development of those skills. One of the current challenges for nurse educators is the range of subject knowledge that students have already accrued via their peers and social media. In addition, the wider demands of the mental health nursing profession require graduates who can work effectively within and across a range of professional groups and teams in an articulate and credible fashion; who can lead innovation in clinical care and research and who have the positive attributes which demonstrate good citizenship. Thus, more familiar didactic methods of teaching should give way to a more contemporary approach which takes into account the students’ prior learning and experiences. A module using enquiry based learning enabled students to develop their voice, articulate their ideas and present them with confidence and credibility in a group setting. A further module included service users in the module design, delivery and evaluation and provided students with an innovative approach to working with people with the diagnosis of borderline personality disorder. Through evaluation of those experiences for all participants, what emerges as common ground is; that people learn best through telling stories sharing experiences and working together. Both approaches are valued by students as providing an additional dimension to their learning.

Speaker
Biography:

Daniella Arieli (PhD) is a Senior Lecturer at the Academic College of Emek Yezreel, Israel. She is a social Anthropologist and an action Researcher who works in the field of inter-group and inter-cultural encounters. Much of her work is focused on these issues in the context of nursing education. Her research is disseminated nationally and internationally through conference presentations, research journals and book chapters.

Abstract:

Nursing students cope with emotional challenges during their clinical placements. The challenges are particularly demanding when clinical placements take place in a setting of diversity. Based on a qualitative research undertaken with Israeli nursing students (Arieli, 2013), I will present emotional strains of various sorts - stress, ambivalence, disgust, frustrations and conflict – that arise in three types of relationships: students' relationships with patients, with the clinical instructors and with other students who are in their teams. Data shows that diversity has an impact on all these relationships. Data further shows that the students cope with the emotional strains that they experience through 3 main strategies of emotional work: distancing, self-motivation work and minimizing significance. The study indicates that the diversity of the clinical placement environment should be considered as an important factor, both in understanding students' experiences and learning processes, as well as in designing the support that they need.

Speaker
Biography:

Maria Aparecida Xavier Moreira da Silva graduated from the University of Mogi das Cruzes. He received his Post-graduate degree in Hospital Administration from the University of Ribeirão Preto and Master’s in Public Policy from the University of Mogi das Cruzes, where he works as a Professor at the Graduate Program in semiology courses in nursing, nursing administration and perioperative nursing, and the Graduate Course in Health Management in the Hospital Hospitality disciplines.

Abstract:

The clinical judgment in nursing is one of the skills of nurses and is connected to the act of judging the care needs of each individual and the act of preparing the care planning to be held to the patient, so that it can meet their needs and expectations. Developing the ability of this trial has been a great challenge for both higher education institutions and continuing education services of health institutions because the responsibilities before this process of teaching and learning should be shared not only by teachers but also by nurses of service health and even by the student during the undergraduate course. This is a study of descriptive, exploratory, quantitative and qualitative approach that was carried out with 30 nurses working in the city of Mogi das Cruzes, with the main objective of "Identifying the strategies used for the development of competencies and skills related to process clinical judgment in nursing". Research has shown that it is necessary to change the teaching and learning scenario in the context of nursing education, because in addition to training professionals with skills and technical skills, it is necessary to develop these skills and behavioral skills for greater commitment, emotion, ability to relate and keep up to date, enabling it to be lead with security, better organization of work, better planning of actions and use of the necessary tools and technologies for the conduct of the clinical trial and thus promoting qualified nursing care.

Speaker
Biography:

Daniella Arieli (PhD) is a Senior Lecturer at the Academic College of Emek Yezreel, Israel. She is a Social Anthropologist and an action Researcher who works in the field of inter-group and inter-cultural encounters. Much of her work focused on these issues in the context of nursing education. Her research is disseminated nationally and internationally through conference presentations, research journals and book chapters.

Abstract:

The aim of this paper is to present a model for teaching qualitative research as part of nursing clinical education. The uniqueness of the course model is that it seeks to combine two objectives: (1) Initial familiarization of the students with the clinical-nursing environment and the role of the nurse; and (2) understanding the qualitative research approach and inculcation of basic qualitative research skills. In particular, it describes how teaching two central genres in qualitative research – ethnographic and narrative research – constitutes a way of teaching the important skills, concepts, and values of nursing. The presentation outlines the model’s structure, details its principal stages, and explains the rationale of each stage. It also presents the central findings of an initial evaluation of the model’s implementation in eight groups over a two-year period. The findings show that the model we have developed meshes with the building blocks of nursing and touches upon significant professional concepts, thus making this course an important, meaningful, and exciting milestone for our students.

Yu Ying Chou

National Taiwan University, Taiwan

Title: Exploration of fatigue in heart transplant recipients
Speaker
Biography:

Yu Ying Chou has more than 13 years of Clinical Nursing experience, and four years of teaching experience (Clinical Nursing) in Fu Jen Catholic University Department of Nursing in Taiwan. She has completed her Master's degree in June 2009 from National Taiwan University, College of Medicine, Department of Nursing. She is in the Doctoral Program from 2013 till date. She has published more than 6 papers in reputed journals in Taiwan.

Abstract:

The aim of this study was to explore the impact of fatigue on heart transplant recipients and significant factors associated with fatigue characteristics. A cross-sectional correlated study was designed. 108 recipients (age 50.7±12.4 years) who underwent heart transplantation, 4.25±3.71 years, were approached from October, 2008 to March, 2009, using transplant symptom frequency, symptom distress scale and fatigue symptom inventory to assess recipients’ symptom distress and fatigue characteristics (i.e., intensity, duration and interference with daily life). Data analysis included independent t–test, correlations and multiple regressions. Recipients reported moderate degree of fatigue intensity (mean 3.44±1.68; prevalence 78%), mild to moderate fatigue interference (mean 2.14±1.95; prevalence 41%), and at least two to three days in one week recipients feel fatigued (mean 2.83±2.06 days). Age, symptom distress and exercise frequency per week were the important associated factors with fatigue intensity (explained 18.8% of variance); whereas symptom distress was the important associated factor with fatigue interference (explained 14.8% of variance). Symptom distress is an important factor that affects fatigue intensity and interference with daily life in heart transplant recipients, therefore, health care providers should assess the symptoms including fatigue intensity and its’ interference to affect their daily life in order to offer appropriate interventions for recipients to manage their symptoms and fatigue and further to improve their QoL (Quality of Life).

Biography:

Chieh-An Shih has completed his senior high schooling from Affiliated Senior High School of National Taiwan Normal University. He is a junior nursing student of National Yang-Ming University, Taiwan

Abstract:

Background: People with psychiatric symptoms are often reluctant to seek treatment because of the public stigma toward psychiatric disorders.

Purpose: To examine the relationship between public stigma and help-seeking intention for health problem in the general population.

Method: This study was designed as cross-sectional study. Participants were 373 adults aged 20 years and above from general population. The survey included demographic data, Perceived Psychiatric Stigma Scale (PPSS), Internalized Stigma of Mental Illness Scale (ISMIS), Chinese Health Questionnaire (CHQ), and help-seeking intention. We changed the questionnaire content from internalized stigma to public stigma for patients with psychiatric disease. The SPSS 18.0 with t-test was employed to analyze the association between public stigma and help-seeking intention.

Results: This study adopted 12 items of CHQ, including somatic symptom, anxiety and depressive symptom. Results showed that no significant associations were found between perceived public stigma and help-seeking intention for somatic symptom and sleep problem. Respondents with higher levels of anticipated marital preclusion of PPSS showed fewer tendencies to call help from psychiatric professionals while facing emotional problems. No matter, in each dimension or total score, the higher scores of ISMIS revealed the less tendencies to seek help from psychiatric professionals while facing emotional problems.

Conclusion & Implication: This study showed that public stigma influences the behavior of people in seeking treatment for health problems. The results of this study can be used as a reference to decrease public stigma and public’s understanding of psychiatric disorders through media for government's policy.

Mei Yeh Wang

Department of nursing Cardinal Tien Junior College of Healthcare and Management,Taiwan

Title: The association between cognitive function and leisure–time physical activity among the middle–aged and elderly people
Speaker
Biography:

Mei–Yeh Wang had completed her PhD from Taipei Medical University and currently works as an associate professor in Department of Nursing, Cardinal Tien Junior College of Healthcare and Management. Her research is related to patients with major depressive disorder and focuses on the assessment and non-pharmacological intervention of fatigue and sleep disturbance. Moreover, her doctoral dissertation focused on the assessment of cardiovascular risks of people with depressive symptoms. She had experienced in incorporated both behavioral and physiologic measurements to unveil the underlying mechanisms of cardiovascular risks in depressed subjects. She has published more than 20 papers in reputed journals.

Abstract:

Preventing and/or delaying cognitive impairment has become a major public health concern in many countries. Physical activity has been documented as having beneficial effects to alleviate the negative impact of age-related cognitive decline. This study aimed to investigate the frequency of leisures–time physical activity in relation to cognitive function. Methods: This study was based on data from the Taiwan Longitudinal Study in Aging. A total of 3585 of middle–aged and older people aged 57–85 were assessed (mean: 70.59, SD: 7.78). Results: Frequency of physical activity significantly predicted cognitive level after adjustment of age, gender, educational level, depressive level, and health risk behavior (i.e., smoking and drinking). Participants engaging in physical activity at least for 1–2 time per week had significantly better cognitive level than sedentary participants. In paticipants aged 57–65 (n=1149), individuals engaging in physical activity for 6 more time per week had significantly better cognitive level than sedentary individuals. Cognitive level of sedentary individuals did no differ from individuals who had physical activity for 1–2 time or 3–5 time per week. Similar finding was found in paticipants aged 66–85 (n=2436),individuals engaging in physical activity were associated with better cognitive level compared with sedentary individuals. However, there were no differences in cognitive level among groups of individuals engaging in physical activity according to frequency. Conclusion : This general population–based study suggests that participation in leisure–time physical activity promoted cognitive level among the middle–aged and elderly people.

Speaker
Biography:

Mr.Fisseha Zewdu Amdie has completed his Msc at the age of 27 years from Addis Ababa University. He is currently working as a lecturer and adjunct staff of clinical instructor of practice at the Ohio State University, College of Nursing, USA. He has published 4 papers in reputed journals and has been serving as a program coordinator of the office of continuing and distance education programs at college of medicine and health sciences, University of Gondar.

Abstract:

Pressure ulcers are the common conditions among patients hospitalized in acute and chronic care facilities and impose significant burden on patients, their relatives and caregivers. Pressure ulcers have been described as one of the most costly and physically debilitating complications since the 20th century. The pain and discomfort due to pressure ulcer prolongs illness, rehabilitation, time of discharge and even contribute to disability and death. An institution-based cross-sectional survey was conducted from March 15 - April 10, 2014 to assess knowledge, practice and factors associated with pressure ulcer prevention among 248 nurses in Gondar University hospital. A structured self-administered questionnaire was used for data collection. Descriptive statistics was used to describe the study population. Bivariate and multivariate logistic regression was also carried out to see the effect of each independent variable on the dependent variable. In this study nearly half (54.4 %) of the nurses had good knowledge; similarly 48.4 % of them had good practice on prevention of pressure ulcer. Educational status, work experience and having formal training were significantly associated with knowledge on prevention of pressure ulcer. While, satisfaction with nursing leadership, staff shortage and inadequate facilities and equipment were found to be significantly associated with the practice on prevention of pressure ulcer. As a conclusion knowledge and practice of the nurses regarding prevention of pressure ulcer was found to be inadequate. Having higher educational status, attending formal training and being experienced were positively associated with knowledge; while shortage of facilities and equipments, dissatisfaction with nursing leadership and inadequate staff number showed negative association with practice of nurse’s pressure ulcer prevention. In-service training and upgrading courses are some of the important steps to improve nurses’ knowledge and practice on prevention of ulcer pressure.

  • Nursing Education

Session Introduction

Kathryn Weaver

University of New Brunswick, CANADA

Title: Teaching ETHICAL SENSITIVITY for psychiatric-mental health nursing practice
Speaker
Biography:

Kathryn Weaver is Nurse Psychotherapist and Associate Professor in the University of New Brunswick where she teaches mental health, community development, and advanced nursing practice; and healthcare ethics Instructor for Graduate and Medical students, Atlantic Region Training Centre, Memorial University of Newfoundland. She completed her PhD from the University of Alberta and postdoctoral fellowships through the International Institute for Qualitative Methodology and Alberta Heritage Foundation for Medical Research. She has published more than 30 papers and is principle investigator of two documentaries, Through True Eyes: Recovery from Eating Disorders and It’s Not about Food!, produced by Atlantic Mediaworks, Fredericton, NB

Abstract:

Ethical sensitivity influences how those in need experience professional psychiatric care and services. For nurses who actively enter into the lives of people experiencing acute or chronic mental health conditions and illnesses, every encounter to help ease psychic pain and suffering requires developing sensitivity to preserve the integrity of clients and other stakeholders. To date, our knowledge of ethical sensitivity is largely inadequate and under-utilized in professional education. The present study thus explores approaches to enhancing ethical sensitivity development and resulting professional psychiatric nursing practice. Clinical and classroom strategies to help students recognize and morally respond to the ethical demands of practice were synthesized using research and theoretical literature. These strategies were matched to the various dimensions of ethical sensitivity explicated by analysis of their pragmatic utility. A framework of interventions is then proposed to address the ethical requirements for praxis beyond the technical requirements of the professional discipline. Using this framework, recommendations are made for building student capacity for receptivity and responsiveness, recognizing and processing ethical issues through interactive and transparent practices, identifying uncertainties within established terms of judgment, and developing the courage necessary to take perceived right actions. Progressively, students can learn to foresee the moral consequences of possible actions and to act in ways that preserve the integrity of clients and stakeholders. The findings suggest ethical sensitivity is enhanced through mindfully deliberating the salient features of a situation and integrating from multi-linked educational strategies.

Speaker
Biography:

Dr. George C. Cordero is the founder president and chief executive officer of the Philippine College of Health Sciences. He was the former president of the Philippine Nurses Association and a board member of the International Council of Nurses. He has been innovating educational system in his school to be able to give quality education. He is a philanthropist and benefactor to deserving graduate and undergraduate students for more than 30 years. He hopes to leave a legacy to the nursing profession upon his retirement. He is the presenting author for this paper. Dr. Irma C. Bustamante was in nursing practice and education for the last 35 years. She rose up from a community health nurse, staff nurse, senior nurse, and director of nursing services; in education, she moved from instructor to full professor; has taught in the Diploma Program, Bachelor’s Program, Master’s and PhD Programs for Nursing. Her interest in research includes both quantitative and qualitative methodologies. Currently, she is Dean of St. Paul University Manila’s College of Nursing and Allied Health Sciences and the consultant for the Philippine College of Health Sciences. She acts as the corresponding author for this conference. Dr. Fe B. Espinosa has been a director of nursing and a dean within the span of her 35 years of nursing practice. She holds a Master’s of Public Administration aside from her nursing degree. She mentors Baccalaureate and Graduate students for thesis and dissertation writing. She is now the dean for the graduate programs in the Philippine College of Health Sciences. She is actively assisting the consultants and advisers of the college.

Abstract:

The year 2015 ushered in new challenges in the landscape of the Philippine educational system. The ASEAN Integration, the K to 12 or senior high school implementation, and the outcome based system for higher education were among the changes that confronted most educational institutions. Change leading towards excellence in the Philippine College of Health Sciences (PCHS) addresses the current challenges as a way of keeping up with the trends. The 360 Degrees Turn towards Excellence was conceptualized by the founder, President, and Chief Executive Officer of the institution. It started with the stream-lining of the organizational structure thereby making the institution efficient and effective. This will provided the impetus to initiate the needed changes and innovations under the leadership of the President. Series of meetings, consultations, and discussions with the major stakeholders were done to conduct a situational assessment in the areas of: vision, mission and philosophy, administration, curriculum, research, corporate social responsibility, faculty and students, library, resources and facilities. With this move, the Philippine College for Health Sciences looks forward with optimism to attain excellence in providing equal educational opportunities for all.

Speaker
Biography:

Dr. Geetha Kada is a Professor of nursing at Montgomery College of Nursing and adjunct online nursing faculty at Stevenson University, Maryland, USA. She has been teaching for 18 years, for different levels of students’ namely Associate degree nursing students, Post-basic degree nursing students, Baccalaureate and Masters in nursing students with experience teaching traditional, hybrid and online nursing learners. She got her PhD in nursing education from the Capella University, Minnesota, USA. She chairs the simulation committee at the college and is an active member of the National League for nurses (NLN). Also, she holds active certification in BLS (Basic Life Support) and ACLS (Advance Cardiac Life Support). She published her PhD study on ProQuest and did a poster presentation of the study at the Catholic University, DC, USA. Besides in 2015, along with her medical-surgical nursing course team, she worked on the use of unfolding multiple patient simulation in a senior medical-surgical nursing course and the same was presented at the MAADND conference, MD, USA. She is currently working on the Western Maryland Faculty Academy grant; a collaborative effort among the departments of nursing to prepare experienced BSN and MSN-prepared registered nurses for new roles as part-time clinical nursing faculty

Abstract:

Increasing patient acuity and complex health care demands the need for preparing competent graduate nurses. However, reduced availability of clinical sites exists translating to difficulties obtaining patient care experiences for nursing students. This ongoing issue demands educators to seek alternative teaching strategies. High-fidelity simulation experiences can provide a learning environment very similar to the clinical setting. The purpose of this descriptive correlational quantitative research study was to examine what relationships, if any, existed between associate degree nursing students’ self-confidence in learning and their perceived presence of five instructional design characteristics in a high-fidelity simulation learning experience. The nursing student’s perceived experiences were measured by the NLN Self-Confidence in Learning and Simulation Design Survey instruments. Study participants were asked to rate the level of importance of each variable (Self-Confidence and Simulation Design Instruments) on a Likert scale with the following rating: 1=strongly disagree, 2=disagree, 3-undecided, 4= agree and 5 = strongly agree. The results of this study identified students’ perceptions on the importance of realism and debriefing (feedback/guided reflection) in a simulation experience. Additional findings highlighted the importance to students of definitive objectives and information, which influence their self-confidence in learning within a simulation learning environment. It is evident the use of simulation as an educational tool is becoming more prevalent in the health care settings. This is especially important in response to the growing shortage of accessible clinical sites and available faculty. The findings of this study support the need for more quantitative research to evaluate the use of high-fidelity simulation experiences on nursing students learning outcomes.

  • Types of Nursing

Session Introduction

Jill Hecker Fernandes

University of Wisconsin Eau Claire University of Wisconsin Eau Claire,College of Nursing and Health Sicences

Title: Leadership in the Community – Clinical Immersion in El Salvador
Speaker
Biography:

Dr, Hecker Fernandes has been a nurse for 26 years. Her background includes neontal intensive care, pediatric intensive care, open heart newborn, flight nurse, and currenlty a clinical ssitant professor at the University of Wisconsin Eau Claire, College of Nursing. She worked in coordination with the Dean of the College to develop a clinical immersion experience in El Salvador with the goal of promtoing leadership and community health care skills as well cultural biliteracy.

Abstract:

This presentation describes a community health clinical experienced by undergraduate nursing students in El Salvador. It allows them to develop relationships with locals, specifically the homeless people who visit “Casa Esperanza” or Hope House. Recent studies have found a lack of support networks for people who are homeless, leading to isolation and loneliness. 33-38% of homeless people spend the day either with other homeless people or alone. Isolation erodes people’s resiliency and ability to cope. Homeless men and women lack basic amenities; they hope to have food to eat when hungry but they also need to be treated as human beings. Casa Esperanza is in San Miguelitito, one of many neighborhoods still affected by the civil war. The people who were not able to leave were forced to live in the streets. At Casa Esperanza, the students prepare and serve meals, talk with the clients, and perform clinical consults. In Fall of 2015, 24 consults were performed, providing various treatments: reading glasses for severe cataracts, vitamins, herbal remedies for sleep, relaxation exercises and much more. Often the clients lack human connection; the students created a client experience that shows respect for the clients, treating them as the person they are

Speaker
Biography:

Chia-Chi Chang has completed his Master of Nursing on 2008 from Fu Jen Catholic University. She is a doctoral student in National Yang-Ming University in Taiwan.

Abstract:

About 27-30% of patients with chronic schizophrenia have depressive symptoms, and depressive symptoms reduce quality of life, but increase the risk of committing suicide. Objective: To examine the relationship among deprssive symptoms, health promotion lifestyles and quality of life in patients with chronic schizophrenia. Method: This study recruited patients diagnosed with schizophrenia who were admitted to a psychiatric inpatient rehabilitation wards and day care center in northern Taiwan. A total of 273 patients with chronic schizophrenia participated in this cross-sectional correlation study. A structural questionnaire was used to collect data, and which included demographric characteristics, Beck Depression Inventory II (BDI-II), Health-Promoting Lifestyles Profile (HPLP) and The World Health Organization Quality of Life BREF (WHOQOL-BREF). Hierarchical multiple regreesion was employed to analyse the mediating effects. Results: The 6 subscales of HPLP and four domains of WHOQOL-BREF presented positive correlations, but only self-actualization subscale of HPLP, depressive symptoms and QOL had negative correlation. As to the mediating role of HPLP between depressive symptoms and fours domains of QOL, self-actualization had fully mediation on environmental domain. The other three domains (physical health, psychological health, social relationship) had partial mediations. Conclusion Self- actualization can reduce the negative impact of depressive symptoms on their QOL in patients with chronic schizophrenia.

  • Nutrition and Health

Session Introduction

Lucienne Christine Estevez de Alencar

University of Brasilia, College of Health Sciences,Department of Nursing,Brazil

Title: THE BRAZILIAN HUMAN MILK BANKS NETWORK AND THE
Speaker
Biography:

Possui graduação em Nutrição pela Universidade de Brasília (1990) , Master Universitário En Nutrición Y Dietoterapia pela Universidad de Murcia, España (1998), especialização em Bioética (2000), especialização em Vigilância Sanitária-Alimentos (2002), mestrado em Psicologia pela Universidade de Brasília (2006), finalizando doutorado pelo Programa de Pós-Graduação da Faculdade de Ciências da Saúde da Universidade de Brasília ((início: 2008; exame de qualificação realizado em 2009)). Atualmente trabalha como nutricionista - Secretaria de Estado de Saúde do Distrito Federal. Tem experiência na área de nutrição em nível ambulatorial (atenção básica de saúde e atenção especializada em HIV/AIDS e hepatites virais), e aleitamento materno (atenção básica e especializada), bancos de leite humano (hospitalar) e dietoterapia (hospitalar)

Abstract:

The Brazilian Human Milk Banks Network represents great acquisition for the Brazilian Health System. It is a result from a historical process of citizenship’s construction and seeks to promote the quality of processes and procedures based on the experience and accumulated knowledge by the Human Milk Bank of Fernandes Figueira Institute, Rio de Janeiro. Its mission is to "Promote health of women and children by integrating and building partnerships with federal agencies, units of the federation, municipalities, private sector and society, under the action of Human Milk Banks". Objective: To analyze the partnership established between the Human Milk Banks and the Brazilian Military Firefighters Corps. Method: Documental and literature analysis to verify the establishment of the historical and practical construction of this partnership. Results: In Brazil, several Human Milk Banks developed projects or programs of cooperation with the Brazilian Military Firefighters Corps of states and cities. The fireman going on routinely in the homes of donors to collect frozen human milk. This contact contributes to strengthening human links, offers the opportunity to remove doubts and give social support to the donor.

Rejane Correa Marques

Federal University of Rio de Janeiro – Campus Macae, RJ, BRAZIL

Title: The Rondonia Study: mercury concentrations in children
Speaker
Biography:

Marques is Undergraduate degree in Nursing from the Federal University of Rondonia (1993); Master’s degree from the Federal University of Para (2002); PhD (2007) from the Federal University of Rio de Janeiro (UFRJ). Post-doctoral by the Laboratory of Nutritional Biochemistry of the University of Brasilia (2010). She is a professor at UFRJ. Researcher at the Research Groups registered at CNPq: Evaluation of Heavy Metals Exposure on Human Health and Ecosystems – FIOCRUZ; The Rondonia Center on Indigenous Health – CESIR/UNIR, Toxicology and Environmental Health Center – CETSA/UNIR, Radioactive tracers in biogeochemistry of environmental pollutants – IBCCF/UFRJ. Her research focuses of environmental health, maternal and child health

Abstract:

Our longitudinal study evaluates the association between infant Hg exposure and neurodevelopment in 1433 children from Rondonia, Brazilian Amazonia. With people coming from different Brazilian regions, the present population has both traditional families that base their diets on fish and starchy foods and city dwellers with more cosmopolitan food habits. In this changing environment, we are investigating the growth and neurodevelopment of infants, using hair-Hg of mother (HHg) as a marker of prenatal exposure, and mothers and infants HHg and breast-milk Hg as a marker of postnatal Hg exposure. The study includes the heterogeneity of factors associated with changes in infant physiology and sources of Hg exposure: mothers (hair and lactation) and environment (food). We also examine the association between infant neurodevelopment and maternal socio-economic status and Hg exposure features. All pregnancies of mothers resident in municipalities of the Madeira River Basin with expected dates of delivery between 2006 and 2007 were eligible for the study. The newborns were clinically examined with special attention to vitality, perinatal reflexes, maturity, and congenital malformations, and Apgar scores were recorded. Children undergo detailed physical and neurobehavioral examination to evaluate the postnatal exposure at 6 months, 2 and 5 year-old. A questionnaire is applied to assess socioeconomic, educational status, food habits, and vaccine schedule and a sample of children hair is taken to verify mercury exposure. Anthropometric data were compared with data tabulated by World Health Organization. The child’s development was assessed using Bayley Scales of Infant Development and Stanford-Binet Intelligence Scale

  • Surgical Nursing

Session Introduction

Marquessa Fisher

University of Saint Francis Department of Nursing, IN 46947, USA

Title: Prevention of Surgical Fires: A Certification Course for Healthcare Providers
Speaker
Biography:

Dr. Fisher completed her DNP from the University of Miami. She is the Program Director for the Nurse Anesthesia Program and Associate Professor at the University of Saint Francis.

Abstract:

An estimated 550-650 surgical fires occur annually in the United States. Surgical fires may have severe consequences, including burns, disfigurement, long-term medical care, or death. This project introduces a standardized certification program for the prevention of surgical fires. A pilot study was conducted with a convenience sample of 10 anesthesia providers who participated in the education module. The overall objective was to educate surgical team members and to prepare them to become certified in surgical fire prevention. Upon completion of the education module, participants completed the 50-question certification examination. Mean pretest scores were 66%; none of the participants had enough correct responses (85%) to be considered competent in surgical fire prevention. Mean posttest scores were 92.80% will all participants answering at least 85% correct. A paired sample t-test showed a statistically significant increase in knowledge; t (9) = 11.40, p = 0.001. Results of the pilot study indicate that this course can remediate gaps in surgical fire prevention knowledge for providers. Their poor performance on the pretest suggests that many providers may not receive sufficient instruction in surgical fire prevention

Speaker
Biography:

Gulsah Kose has completed her PhD degree at the age of 35 years from Gulhane Military Medical Academy, School of Nursing and still she is a lecturer at the same school. She is interested in neurosurgery nursing, intensive care nursing, orthopedics nursing, education. She did her master and doctorate thesis in cranial surgery patients.

Abstract:

Hair shaving before cranial surgery is commonly performed in many countries. However, the impact of shaving on the patients’ body image and surgical site infection is not, as yet, well investigated. Aims and Objectives: To investigate the effects of different types of shaving on body image and surgical site infection in elective cranial surgery. Design: A randomised-controlled design was used in this study. Methods: The sample comprised 200 patients who underwent elective cranial surgery between March 2013–August 2014. The Center for Disease Control and Prevention criteria were applied for the preoperative preparation of patients and for the follow-up of surgical site infection. Wound swab cultures were obtained four times from all patients. The Social Appearance Anxiety Scale was used to assess changes in the body image of patients. Findings: The rate of surgical site infection was 1% for each group and for all patients. There was no difference between the groups of surgical site infection. Coagulase-negative staphylococci and Staphylococcus epidermidis were mostly isolated in the swab cultures. The Social Appearance Anxiety Scale score decreased in patients who underwent strip shaving and increased in patients with regional shaving. Conclusion: There is no difference between strip shaving and regional shaving in the development of surgical site infection after cranial surgery. In addition, regional hair shaving negatively affects the patients’ body image. Relevance to clinical practice: Findings of this study provide useful evidence-based information for healthcare professionals. The development and implementation of effective interventions result in the prevention of surgical site infection and improvement of the patients’ body image in elective cranial surgery

  • Health Care and Management

Session Introduction

Bawa-Muhammad Taiwo Hassanat

Jahi Primary Health Care Centre, Jahi 1 village. Federal Capital Territory. Abuja, Nigeria.

Title: Factors affecting utilisations of primary health care services
Speaker
Biography:

Bawa-Muhammad Taiwo Hassanat is a registered nurse with Nigeria Nursing and Midwifery Council. She received her bachelor of Nursing Science from National Open University of Nigeria Lagos with second class upper. She is awaiting admission for her Master’s in Public Health Nursing from John's Hopkins School of Nursing Baltimore and London School of Hygiene and Tropical Medicine. She is the present vice chairman of Federations of Local Government Nurses and Midwife Abuja Municipal Area Council branch Abuja, Federal Capital Territory Nigeria from April 2012. She is the nurse in charge of antenatal, postnatal, family planning and prevention of mother to child transmission of HIV/AID in Jahi I Primary Health Care clinic FCT Abuja Nigeria from 2012 July till date. Her current includes antenatal and postnatal treatment of hepatitis B virus, HIV/AIDS treatment in pregnancy and factors influencing bringing care from clinics to home in Nigeria.

Abstract:

Primary health care services are the cornerstone of health care systems because it serves as the first contact between the clients and the health care system. Its essence is the provision of essential health services and commodities to individuals and communities using available, acceptable and sustainable Methods. It is also an integral and critical component of the entire health care system of any country. So this services should be accessible, affordable and available to the entire population, irrespective of their political, financial or social class. The aim of the study is to identify the factors that are affecting the utilisation of primary health care centres by the community people of Jahi district in Abuja Nigeria. The study was conducted in the catchment areas associated with a primary health care centre that is Jahi 1village, Jahi 2 village and Kado kuchi village among community people. A cross-sectional study design was used to collect data from 100 adults from each village in those communities. The results were computed and analyzed using the Statistical Package for Social Sciences software SPSS. Version 17.0. The findings from the respondent’s shows that majority of the people preferred to seek care from the patent medicine store. The study has highlighted some of the multiple factors affecting the utilization of primary healthcare services which include high cost of services, lack of essential drugs and basic laboratory services, inadequate manpower, lack of adequate same workers, poor education about when and why to seek health care, and irregular visit if physician to the facility were identified as factors affecting the utilisation of primary health care centres and discouraging factors while the encouraging factors include the geographic location of the clinic, Friendly staffs and high quality of cares rendered to the clients in the clinic. This study suggests that government should improve the qualities of services the existing facilities are rendering rather than constructing additional facilities of low quality. It also suggests employment of adequate and qualified health care workers for each primary health care centres. Secondly, the study also suggest that some if not all of the services rendering at the primary health centres should be made free so as to reduce the cost for clients and increase their utilisation. Government should focus on those factors within their control, such as admitting into health institutions and employing enough number of both male and female health care providers. In conclusion, increasing the education level of rural population particularly for women through adult literacy could increase the utilisation of primary health care services.

James Avoka Asamani

Nursing Officer/Human Resource Planner Human Resources Division Ghana Health Service, Accra

Title: ESTABLISHING EVIDENCED-BASED NATIONAL NURSING WORKFORCE GAPS: TECHNICAL INSIGHTS FROM GHANA
Speaker
Biography:

Mr. James Avoka Asamani is a Commonwealth scholar and holds a Master of Philosophy in Nursing from the University of Ghana and Master of Science in Health Economics and Health Policy from the University of Birmingham. He has published considerably in the area of Nursing Management and Human Resources for Health. He specializes in human resource modelling and is a Consultant in staffing norms/standards development. He is also an Adjunct Faculty member of the Central University in Ghana.

Abstract:

Globally, most countries are said to be experiencing some shortage of nurses and midwives whilst others are classified as experiencing critical shortages. Consequently, stakeholders are making frantic and concerted to address this challenge. The missed health-related targets of the Millennium Development Goals (MDGs) have been partly blamed on insufficient or poorly distributed skilled health workforce. As a result, pursing the Sustainable Development Goals (SDGs) without adequately addressing the human resource challenge would seem a recipe for missed targets by 2030. One of the critical steps to addressing human resource inadequacies and maldistribution is to determine the actual number and caliber of health workers required by a country, as well as the human resource availability gaps (HRAG). Unfortunately, in many situations there seem to be no empirical data on these for strategic decision making. It is against this background that the Ministry of Health in Ghana adopted the Workload Indicators of Staffing Needs (WISN) tool to develop an evidenced-based staffing standard for the health sector in 2014 to serve as a planning staff distribution tool. Based on this evidenced-based staffing standard, we undertook a Human Resource Gap analysis to inform our recruitment and redistribution strategies toward the achievement of universal health coverage by 2020. Contrary to some assertions that Ghana had trained and retained sufficient number of nurses, our results show significant nurse staffing deficits, mal-distribution and inappropriate skill mix. Based on these findings, several initiatives are being put in place to address the challenges and put Ghana on track towards the achievements of its health goals. Even though our results may be specific to the Ghanaian context, the technical tools and methods used, and the art of their application would benefit other countries seeking to establish staffing standards and/or conduct human resource gaps analysis for their health sector.

Speaker
Biography:

Ying-Wei Liao is studying her college third grade at the age of 27 years at National Yang Ming University. She is a college student. This is the first time that she’s done a research

Abstract:

Background: When patients with mental disorder enter medical facilities, the public stigma demonstrated by staff working in the medical facilities ultimately influence patients’ willingness to receive treatment. In severe cases, patients may even terminate their treatment. Purpose: The aim of this paper is to explore the differences of stigma towards people with mental disorders between health professionals and administrators working in the hospitals. Method: The participants (N=163) was recruited from hospitals. This study employs a cross-sectional research design to conduct a structured questionnaire survey of professional staff and general administrative staff working in medical facilities. The survey included demographic data, Perceived Psychiatric Stigma Scale, and Internalized Stigma of Mental Illness Scale (ISMIS). We changed the questionnaire content from internalized stigma to public stigma to patients with psychiatric disease. Data collection used web-based and paper-based surveys. The SPSS 18.0 with one way ANOVA was employed to analyze group mean differences. Results: The administrative staff showed greater alienation, greater social withdraw and total score of ISMIS than psychiatric and non-psychiatric professionals for patients with mental disorders. Conclusion Implication: The findings of this study could be served as a basis for encouraging medical facilities to enhance the education of related personnel and improve the public stigma that currently exists in the facilities, thereby creating a favorable medical environment

  • Cardiovascular Nursing | Surgical Nursing | Clinical Nursing | Nutrition and Health
Location: Lorangerie II
Speaker

Chair

Maria Aparecida Xavier Moreira da Silva

University of Mogi das Cruzes, Brazil

Speaker

Co-Chair

Kathryn Weaver

University of New Brunswck

Speaker
Biography:

Lucienne Christine Estevez de Alencar holds a degree in Nutrition from the University of Brasilia (1990), Master Universitario en Nutrición Y Diet Therapy from the University of Murcia, Spain (1998), specialization in Bioethics (2000), specialization in Health-Food Surveillance (2002), Master's degree in Psychology from the University Brasilia (2006) completing her PhD at the Graduate School of Health Sciences Program at the University of Brasilia ((start: 2008; qualifying examination in 2009)). She currently works as a Nutritionist - State Health Secretariat of the Federal District- Brazil. She has experience in the area of Nutrition on an outpatient basis (primary health care and specialized care in HIV/AIDS and viral hepatitis), and breastfeeding (basic and specialized care), human milk banks (hospital) and diet therapy (hospital).

Abstract:

The present study aims at analyzing scientific works published in periodicals indexed in electronic databases about the importance of a social support network to the donation of human milk through the partnership between Brazilian Human Milk Banks and the Military Firefighters Corps for receivers of human milk, counting from the network’s first registered existence in Brazil until the year of 2015, and considering its social effects in the country and perhaps abroad. Methodology: The study is a critical review of the electronic scientific literature, searched from December 2014 to February 2015. Results: 110.098 works were found, then selected and later recovered after thoroughly meeting all the inclusion and exclusion criteria. A total of 25 scientific publications were recovered and read in full: 6 articles, 1 doctoral thesis, 8 master’s dissertation, 5 latu sensu post-graduation studies, 3 monographs and 2 undergraduate dissertations. Conclusion: From the scientific evidence and also from the practical experience of the Brazilian Network of Human Milk Banks, built and consolidated in the last two decades, Brazil currently represents a role model to be followed by other countries regarding human milk donation

Chia-Chi Chang

Chang Gung University of Science & Technology/National Yang Ming University,Taiwan

Title: The mediating role of health promotion lifestyles in the relationship between depressive symptoms and quality of life: A cross-sectional correlation study

Time : 10:15-10:45

Speaker
Biography:

Abstract:

Background: About 27-30% of patients with chronic schizophrenia have depressive symptoms, and depressive symptoms reduce quality of life and increase the risk of committing suicide.

Objective: To examine the relationship among deprssive symptoms, health promotion lifestyles and quality of life in patients with chronic schizophrenia.

Method: This study recruited patients diagnosed with schizophrenia, who were admitted to a psychiatric inpatient rehabilitation wards and day care center in northern Taiwan. A total of 273 patients with chronic schizophrenia participated in this cross-sectional correlation study. A structural questionnaire was used to collect data, and which included demographric characteristics, Beck Depression Inventory II (BDI-II), Health-Promoting Lifestyles Profile (HPLP) and The World Health Organization Quality of Life BREF (WHOQOL-BREF). Hierarchical multiple regreesion was employed to analize the mediating effects.

Results: The 6 subscales of HPLP and 4 domains of WHOQOL-BREF presented positive correlations, but self-actualization subscale of HPLP, depressive symptoms and QOL had negative correlation. As to the mediating role of HPLP between depressive symptoms and 4 domains of QOL, self-actualization had full mediation on environmental domain. The other 3 domains (physical health, psychological health and social relationship) had partial mediations.

Conclusion: Self- actualization can reduce the negative impact of depressive symptoms on their QOL in patients with chronic schizophrenia.

Tzu Ting Wang

Cardinal Tien Junior College of Healthcare and Management, Taiwan / National Yang Ming University, Taiwan

Title: Explore the effects of auditory hallucinatory and depressive symptoms on social interactions in patients with chronic schizophrenia: Associations across 3 months

Time : 10:45-11:15

Speaker
Biography:

Tzu Ting Wang has completed her Master’s from Fu Jen Catholic University and she is studying for her Doctorate at National Yang-Ming University.

Abstract:

Background: Auditory hallucinatory and depressive symptoms are resulting in impairment of social interactions in schizophrenia patients.

Purpose: Aimed to explore the influences of auditory hallucinatory and depressive symptoms on social interactions in patients with schizophrenia across 3 months.

Methods: This was a three-month follow up study. Convenience sample was conducted in Northern medical hospitals (excluding the schizophrenia cases treated in acute ward). Qualified subjects were 187 schizophrenia patients. Instruments included four parts: Demographic data, assessment of communication and interaction skills—Chinese version (ACIS-C), characteristics of auditory hallucinations questionnaire (CAHQ) and Beck depressive inventory (BDI). assessment of communication and interaction skills was collected through individual interview or group observation, while the auditory hallucinatory and the depressive symptoms were collected by self-report. SPSS 17.0 was employed to conduct descriptive statistics on mean, standard deviation and median after the data was collected. As for the inference statistics, including t-test, one way ANOVA, Kruskal-Wallis test, Pearson Correlation, multiple regression were used to examine the important predictable variables of social interactions in schizophrenia patients.

Results: The research results are as the following: (1) Auditory hallucinatory and depressive symptoms can negatively affect the social interactions at 3-months follow up; (2) Auditory hallucinatory and depressive symptoms were important predictive factors for social interactions.

Conclusion: This research suggests nursing staffs should adopt more effective nursing interventions for auditory hallucinatory and depressive symptoms to improve social interactions. 

Speaker
Biography:

Hsiao-Ying Wu currently worked at Yuanpei University. And the National Yang-Ming University department of nursing second-year doctoral student. Her research is about exercise how help improve the symptom of sleep and depression in the elderly

Abstract:

Sleep quality of the elderly people was poor. Sleep quality improves in response to Tai Chi and Qigong exercise interventions, yet the effectiveness of such interventions to improve sleep quality in elderly is unclear. This study conducted a systematic review and meta-analysis to evaluate whether Tai Chi and Qigong improves sleep quality in geriatric population. Two authors identified Tai Chi and Qigong exercise from Cochrane Library, Joanna Briggs Institute, PubMed, MEDLINE, CINAHL, CEPS, Taiwan Periodical Literature System, Taiwan Academic Online databases from inception to May 31st, 2015. A manual search was also performed. Two reviewers independently screened and appraised each study. Sensitivity analyses and subgroup analyses were also performed to assess the robustness of pooled outcomes A random effects meta-analysis was conducted. Five studies were included, involving 502 participants. Interventions included Tai Chi and Qigong and lasted 12-24 weeks. The interventions resulted in significantly better Pittsburgh sleep quality index scores than either routine care or low impact exercise/educational controls (standardized mean difference, -3.21; 95% confidence interval, -5.60 to -0.82). Subgroup analysis has also revealed that the effect of Tai Chi on sleep quality has been influenced by the duration of the intervention. The current review has represented that Tai Chi and Qigong has significant effect on improving the sleep quality for geriatric people.

Biography:

Yi-Ying Chou is a PhD student at National Yang Ming University. Her major is Psychiatric Mental Health Nursing. As a Psychiatric Nurse in the hospital and an adjunct Lecturer at Taipei Medical University and Fu Jen Catholic University, she has worked in the field of nursing for 12 years

Abstract:

Background: Schizophrenia is a severe mental illness. Some studies indicated anxiety symptoms are more critical than other symptoms of schizophrenic patients and can affect patients’ quality of life. In addition, there has been little research on the role of gender in the relationship between anxiety symptoms and quality of life in patients with schizophrenia.

Objective: The purpose of this study is to identify the relationship between anxiety symptoms and quality of life in schizophrenic patients. This study examined gender as a moderator of the above- mentioned relationship.

Methods: The participants included 328 patients with schizophrenia. Their anxiety symptoms were evaluated by the Beck Anxiety Inventory (BAI). The items measuring quality of life were evaluated by the WHOQOL-BREF questionnaires. Gender was included in a moderated regression analysis for predicting quality of life.

Results: The participants of 328 patients with schizophrenia found 111 (33.8%) suffered from anxiety symptoms. The results demonstrated that anxiety symptoms are negatively correlated with physical health and psychological dimensions of quality of life in schizophrenic patients. The results also indicated that gender moderated the relationships between anxiety symptoms and physical health/ psychological dimensions of quality of life. Besides, the relationships were stronger for males than females.

Conclusion: Anxiety symptoms are important factors affecting the quality of life in schizophrenic patients in Taiwan. In addition, gender of patients affects the relationship between anxiety symptoms and quality of life in schizophrenic patients.

Ma. Antonette Calipjo

University of the Philippines- Manila College of Nursing

Title: Roles and Impact of Nurses in Promoting Medication Adherence of
Speaker
Biography:

The authors are fresh graduate student nurses from the University of the Philippines Manila who had an undergraduate research under the guidance of their professors: Professor Vanessa ManilaMaderal MA-HPS, RN and Dr. Cora A. Anonuevo, PhD, RN

Abstract:

Through the National Tuberculosis Program (NTP), TB-DOTS reached and sustained 100% nationwide coverage, achieving the global target for detection of new cases. NTP Manual of Procedures (MOP) enlists functions of health workers in TB-DOTS. PURPOSE: To determine the actual roles and activities of nurses in promoting medication adherence of patients under the TB-DOTS Program in District V, Manila. METHODS: The study employed a descriptive exploratory design to gather baseline data on the actual roles and activities of nurses in promoting medication adherence. Eleven TB nurses were profiled and surveyed using a questionnaire drafted from the 2005 NTP MOP, 29 former TB patients (cured) were interviewed and a cohort of 723 TB case records were tabulated to determine the cure rate, treatment completion rate, and relapse rate for District V Manila. Descriptive statistics, content analysis, and data triangulation were performed and further analyzed using Williams et.al’s Self-Determination Model of Medication Adherence (1998). A pool of experts on TB-DOTS and health policies were consulted. RESULTS: The current treatment success rate of 73% (n=600) in District V Manila did not meet the target National Treatment Success Rate of 90%. The computed cure rate is 26.55% (n=192), relapse rate of 1.24% (n=9), treatment completion rate of 56.43%. CONCLUSION: The roles and activities of nurses related to patients’ adherence to TB medications were deemed essential towards better TB patient outcomes. The study recommends further training of nurses for them to improve in carrying out the TB treatment regimen to improve patient adherence.

Speaker
Biography:

Chieh-An Shih has completed his senior high school at the age of 18 years from Affiliated Senior High School of National Taiwan Normal University. He is a junior nursing student of National Yang-Ming University in Taiwan

Abstract:

This study was designed as cross-sectional study. Participants were 373 adults aged 20 years and above from general population. The survey included demographic data, Perceived Psychiatric Stigma Scale (PPSS), Internalized Stigma of Mental Illness Scale (ISMIS), Chinese Health Questionnaire (CHQ) , and help-seeking intention. We changed the questionnaire content from internalized stigma to public stigma to patients with psychiatric disease. The SPSS 18.0 with t-test was employed to analyze the association between public stigma and help-seeking intention

Chun-Ping Lin

Department of Nursing, Taipei City Hospital Songde Branch , Taipei City, Taiwan

Title: Prevalence of metabolic syndrome among patients with Chronic schizophrenia in Taiwan
Speaker
Biography:

Chun-Ping Lin has completed his Master at the age of 34 years from National Yang-Ming University. She is a Registered Nurse

Abstract:

To determine the prevalence of metabolic syndrome in patients with schizophrenia. Method: this cross sectional study adopted a convenience sampling approach and recruited 260 chronic schizophrenia patients from a psychiatric hospital in Northern Taiwan. National Cholesterol Education Program Adult Treatment Panel III (NCEP-ATP IIIA) diagnostic criteria for metabolic syndrome.

Biography:

Abstract:

Background: Schizophrenia is a severe mental illness. Some studies indicated anxiety symptoms are more critical than other symptoms of schizophrenic patients and can affect patients’ quality of life. In addition, there has been little research on the role of gender in the relationship between anxiety symptoms and quality of life in patients with schizophrenia.

Objective: The purpose of this study is to identify the relationship between anxiety symptoms and quality of life in schizophrenic patients. This study examined gender as a moderator of the above- mentioned relationship.

Methods: The participants included 328 patients with schizophrenia. Their anxiety symptoms were evaluated by the Beck Anxiety Inventory (BAI). The items measuring quality of life were evaluated by the WHOQOL-BREF questionnaires. Gender was included in a moderated regression analysis for predicting quality of life.

Results: The participants of 328 patients with schizophrenia found 111 (33.8%) suffered from anxiety symptoms. The results demonstrated that anxiety symptoms are negatively correlated with physical health and psychological dimensions of quality of life in schizophrenic patients. The results also indicated that gender moderated the relationships between anxiety symptoms and physical health/ psychological dimensions of quality of life. Besides, the relationships were stronger for males than females.

Conclusion: Anxiety symptoms are important factors affecting the quality of life in schizophrenic patients in Taiwan. In addition, gender of patients affects the relationship between anxiety symptoms and quality of life in schizophrenic patients.