47^th Global Nursing & Healthcare Conference March 01-03, 2018 London, UK

Biography:

Linda Strong received a BSN from the University of Bridgeport, an MSN from Catholic University of America in Public Health Nursing and an EdD from Teachers College Columbia University. She is the Director of the RN-BSN & RN-MSN Programs. She has more than 50 presentations and published articles. 

Abstract:

The conduction of a Community Assessment is a time-honored and standard practice in Public Health/ Public Health Nursing. A prelude to the provision of care the community assessment identifies the availability, affordability, accessibility and acceptability of a network of systems including health, education, risks and security. The second phase of the assessment asks about the function and outcomes of these systems in light of statutes, regulations, and objectives. The third phase includes recommendations for improvement, elimination of outdated programs and need for new programs. This presentation will describe the outcomes of an assessment of one of the oldest neighborhoods of the largest city in the state of Connecticut, and stated needs of the people living and working in this highly impoverished and most densely populated 1.273 square miles.  The College of Nursing at Sacred Heart University (SHU) has led an inter-disciplinary initiative with the College of Business, College of Arts and Science, College of Education and the College of Health Professions based the mission of the university “…to assist in the development of people knowledgeable of self, rooted in faith, educated in mind, compassionate in heart, responsive to social and civic obligations…” and the philosophy of College of Nursing which defines nursing as “caring with compassion, empathy, altruism with the intention of healing body, mind, spirit”.

Biography:

Karen Bauce is Associate Dean for Online Programs and Assistant Professor, College of Nursing, at Sacred Heart University in Fairfield, Connecticut. She received her BSN from the University of Connecticut, MPA from New York University, and DNP from Oakland University. Prior to teaching at SHU she held various senior level nursing and hospital management positions at large health systems in NYC, and also spent several years as a collaborative practice consultant, working with hospitals and their staff to develop and implement models of shared decision-making. Dr. Bauce has travelled internationally to learn about nursing practice in other countries and has published on culture and empowerment.  She is a frequent contributor to Dr. Joyce Fitzpatrick’s book publications, and they have co-authored a new book on research critique, scheduled for publication in 2018.

Abstract:

The conduction of a Community Assessment is a time-honored and standard practice in Public Health/ Public Health Nursing. A prelude to the provision of care the community assessment identifies the availability, affordability, accessibility and acceptability of a network of systems including health, education, risks and security. The second phase of the assessment asks about the function and outcomes of these systems in light of statutes, regulations, and objectives. The third phase includes recommendations for improvement, elimination of outdated programs and need for new programs. This presentation will describe the outcomes of an assessment of one of the oldest neighborhoods of the largest city in the state of Connecticut, and stated needs of the people living and working in this highly impoverished and most densely populated 1.273 square miles.  The College of Nursing at Sacred Heart University (SHU) has led an inter-disciplinary initiative with the College of Business, College of Arts and Science, College of Education and the College of Health Professions based the mission of the university “…to assist in the development of people knowledgeable of self, rooted in faith, educated in mind, compassionate in heart, responsive to social and civic obligations…” and the philosophy of College of Nursing which defines nursing as “caring with compassion, empathy, altruism with the intention of healing body, mind, spirit”.

Biography:

“Jolene came out to speak to the Wise Wellness group at Northpark Private Hospital in November 2016. She gave a most informative and interesting talk about some of the issues people face as they age, and how to address these through information via her website.

Jolene used examples form her own life to bring a personal and real perspective to the information. he introduced the issues respectfully and gently, and the group responded with enthusiasm and had plenty of questions. Jolene was such a warm and engaging speaker, and I would not hesitate to recommend her to other organisations.”

Abstract:

Life is a balance of holding on and letting go. We talk about the weather, our weekend, sports and our holidays with ease….so why is it so difficult to talk about our life’s journey and our end of life wishes? It is natural for us to want to downplay our importance, and avoid burdening those closest to us with our wishes. However if you are not prepared, you may find yourself in a situation that could be chaotic and stressful for you and the people you care about. This often leads to well meaning people making decisions on your behalf that are not based on what’s important to you or your family.

What most people need is a reason or a little bit of encouragement to kickstart

these conversations.

In her signature talk, Life’s short...so let’s talk, Jolene shares her experiences as a full time carer for her husband when he was diagnosed with terminal cancer. She discusses the difficulties her family faced in providing both physical and emotional care during this time, and having to initiate a conversation with him about his end of life wishes. With this knowledge and her background as a Funeral Director, she was inspired to create Your Life Talks, with a mission to raise community awareness of the importance of initiating meaningful conversations within families regarding putting your affairs in order and end of life wishes. Her innovative Conversation Starter cards, ‘Your Life Story’ and ‘Your Life Wishes’ have been embraced by the community as an ideal way to assist families with kick-starting these conversations.

Biography:

Shelly is a seasoned educator with more than 15 years experience in the continuing education industry. Shelly is especially recognized for her collaborative teaching and communication style,along with a particular aptitude for applying an innovation mindset to any situation. Notably, Shelly has an affinity for technology and informatics and has recently developed a dynamic new application for the nursing program called SNapp-Saskatchewan Nursing Application. Shelly also possesses an impressive business background, characterized by the start-up and operation of a successful private medical simulation company in Saskatchewan, as well as a NCLEX education business servicing students across Canada.

Abstract:

SNapp- Saskatchewan Nursing Application is an app that was developed by Shelly Luhning, Faculty of Nursing in the Saskatchewan Collaborative Bachelor of Science in Nursing Program (SCBScN). SNapp was created to enhance the evaluation process, improve communication and track the diverse skills of students in clinical courses. SNapp consists of a student mobile application, a faculty application, and a desktop version. Information about SNapp and how it is utilized in the clinical setting will be shared with the audience. A discussion of how SNapp has significantly changed the evaluation process for clinical courses in the SCBScN program and the benefits of using SNapp will also be reviewed.Experiences of both the faculty and the students will be shared with the audience. Innovation is taking two things that have formerly existed and creating something new. Many lessons have been learned from implementing this innovative application in the SCBScN program. The lessons learned through the implementation of innovation will be discussed. The audience is invited to ask questions regarding the utilization and the implementation of SNapp.

Biography:

Martha Baker completed her PhD in 1999 from the   University of Missouri  Dr. Baker holds several certifications including Certified Nurse Educator, Certified in Excutivite Nursing Practice and Adult clinical Nurse specialitst. She has previousl served as President of National Alsaka Native American Indian Nurses Association. She has presented in multiple venues on the topic of Native American leadership and culturally appropriate care. 
 

Abstract:

Cultural awareness and sensitivity is essential to be able to care for our patients well. While this statement seems to be readliy apparent and univrsally agreeed upon, many nurses aand students struggle to accomplisth this task. This presentation will provide the practicing nurse or educator with aanunderstanding of the concept of cultural sensitivity and awareness. The idea of cultural competence in every situation has evolved as it is  unrealtistic to be “competent” in all cultural encounters. What nurses and educators can do is to be culturally sensitive. This approach preserves the dignity and respect for the patient and their cultural heritage. In addition, it respects the person of the nurse and their cultural heritage as well. We can educate ourselves as nurses to guide the patient of a different cultural through the maze of the health care systems by using some general guidlines in approaching the patient situations. We can use these guidlines to help us make decisions about what cultural practices we can accomadate  and recognize possible sources of conflict. If nurses recognize the possible area of conflict; problems solving can begin early with the goal of avoiding the conflict from occuring. 

Biography:

Dr. Patti Vanhook is Associate Professor and Associate Dean for Practice and Community Partnerships at East Tennessee State University (ETSU) College of Nursing in Johnson City, Tennessee. She became a Board Certified Family Nurse Practitioner by the American Nurses Credentialing Center in 1994. Dr. Vanhook joined East Tennessee State University College of Nursing as Assistant Professor in August of 2006. In 2008, she became the Director of Practice serving as the College of Nursing leader for five of the nurse-managed clinics and resource for the College of Nursing Federally Qualified Community Health Centers Clinics. Dr. Vanhook assumed the role of Associate Dean for Practice and Community Partnerships in July 2009. In this role she has facilitated the expansion of the nurse-led clinics from five to 14 sites through local, state, and federal grants exceeding $22 million in funding. Under Dr. Vanhook’s leadership, the nurse-led community health center clinics were recognized by the Bureau of Primary Health Care in 2014 as a National Quality Leader for their quality of care outcomes. Dr. Vanhook serves on the National Nursing-Led Nursing Centers Consortium Board, the National Center for Medical-Legal Partnerships Advisory Council, and the Rural Health Association of Tennessee Board. She was recognized as East Tennessee State University Notable Woman for 2016 for her contributions to nurse-led care. She is a member of the Tennessee Nurses Association, American Nurses Association, American Academy of Nurse Practitioners, and is a Fellow of the American Academy of Nursing. 

Abstract:

The American Bar Association, the formation of the National Center for Medical-Legal Partnerships at George Washington University in Washington, DC and the American Academy of Pediatrics formed the first medical-legal partnership in 2007. Joint resolutions were passed for members to become partners with the other professional colleagues to “address the legal and social issues affecting patient health and well-being.” The American Bar Association resolution led to the creation of the Medical-Legal Partnership Pro Bono Project. In 2015, the East Tennessee State University College of Nursing was awarded a small grant from the National Nurses Consortium to participate in the development of a medical-legal partnership. The Nurse-Led Community Health Center is staffed by Nurse Practitioners who provides health care for the underserved in northeast Tennessee. The patients are diverse and include homeless, migrants, residents of public housing, uninsured, and underinsured. The first need was to identify a legal partner. The Health Center had met staff from the Tennessee Justice Center at a training session and approached them about partnering with them. However, their office is five hours driving time from the Health Center. The team became creative in using technology to link to their partner for the needed services. The team focused on meeting the needs of children as no child in Tennessee should be without insurance. Through the partnership with the Tennessee Justice Center and the Health Center eliminated barriers not only children but all patients facing healthcare access across the state.

Biography:

Dr. Stephanie Maillet has completed her doctorate degree from the Université de Sherbrooke in Quebec (Canada). She is currently an associate professor and vice-director at the Université de Moncton in New-Brunswick (Canada). Dr. Maillet’s research interests involve organizational, groupal and individual factors that promote professional well-being among the nursing population. More specifically, Stephanie has studied psychological work climate, occupational stress, job satisfaction, emotional intelligence, turnover intentions, burnout, and compassion fatigue among nurses.

Abstract:

Nurses often suffer from high levels of job strain, partly due to work environment characteristics and conditions in which they work. To this end, the tridimensional model of job strain (Karasek & Theorell 1990) posits that the combination of psychological distress, lack of decisional latitude and lack of social support can lead to a variety of psychological problems, such as burnout and compassion fatigue. Burnout can be defined as a psychological syndrome involving chronic emotional and interpersonal stressors that individuals’ experience at work and their subsequent responses to their tasks, organizations, coworkers, clients, and themselves (Cordes & Dougherty, 1993; Maslach, 2003; Maslach & Jackson, 1981; Maslach & Leiter, 2008). Maslach and Jackson (1981) argued that burnout is a multidimensional construct consisting of three separate, albeit related, dimensions: emotional exhaustion, cynicism, and personal efficacy. It has been well documented that burnout may progress into a condition known as compassion fatigue (Bell et al. 2003), which can be conceptualized as the emotional, moral and physical distress, which occurs as a consequence of caring and bearing witness to the suffering of others (Crowe 2016). It manifests itself through a gradual erosion of empathy, optimism and compassion (Zawieja 2014). However, it is possible that individual dispositions, such as emotional intelligence, may moderate the relationship between occupational stress, burnout and compassion fatigue. Emotional intelligence is a cross-section of interrelated emotional and social competencies, skills and facilitators that determine how effectively we understand and express ourselves, understand others, relate with them, and cope with daily demands (Bar-On 1997). However, few research studies have examined the role of emotional intelligence in the relationship between the previous variables. The aim of this research study is therefore to fill this empirical gap by examining the moderator role of emotional intelligence in the relationship between occupational stress, burnout and compassion fatigue. More specifically, we aim to answer the following research questions: 1) what are the direct and indirect effects of occupational stress dimensions (job demands, psychological reseources and social support) on both burnout dimensions (exhaustion, cynicism and personal efficacy) and compassion fatigue ? 2) what is the moderator role of emotional intelligence in the relationships between occupational stress dimensions (job demands, psychological reseources and social support) and burnout dimensions (exhaustion, cynicism, and personal efficacy). In order to answer these two research questions, a cross-sectional survey was carried out on a convenience sample of 1375 nurses across Canada, between September and December 2016. Structural equation modeling in Mplus was used to validate the study questionnaires using confirmatory factor analysis and to test the hypothesized model. Results revealed that the model was an acceptable fit for the data: χ²(6) = 93.746, p = .000; CFI = .975; TLI = .896; RMSEA = .103; SRMR = .020. The results also revealed that job strain acted as a predictor of all three components of job burnout, which was, in turn, associated with higher levels of compassion fatigue. However, emotional intelligence did not significantly moderate the effect of job strain on job burnout dimensions, but it was found to be significantly related to lower levels of compassion fatigue. To conclude, the practical and theoretical implications are discussed.The results of this study will add to the literature on the impact emotional intelligence may have on occupational stress, burnout, and compassion fatigue among the nursing population.

Biography:

Friendly has been co-founded by two serial entreprenuers – Dr. Soheil Saadat and Dr. Natalia Alexeeva. Both are technologists and healthcare enthuisiats with several successful exists to Fortune 500 companies. 

Abstract:

Virtual primary care is the fastest growing market segment in health care. It is projected to reach 42% this year. This is compared to 7% growth of the Urgent Care and 14% growth for retail clinics. The market says it all – consumers, physicians and healthcare organizations all over the world see the value in more efficient ways to deliver high quality care.

There are two major models in delivering health over electronic medium:

-          Syncherenous (video and phone)

-          Asyncherenous (model that does not require real time interaction)

Syncherenous models have been shown to be effective in mental health and clinician to clinicial communicatons. However, it delivers limited efficiency since the time taken to assess someone’s health via a video visit is almost identical to the time needed to do the same in the office (23 minutes vs 25 minutes average).

Asyncherenous healthcare delivery, on the other hand, creates efficiency as well as increases access and convenience. It relies on latest evidence based guidelines to collect information from the patient using sophisticated computer algorithsms and then serves it to the physician so that they can access non-critical cases using clinical marginal capacity.

Friendly is the market leader in asyncherenous communication. The unique approach is showing an average doctor visit reduced by a factor of 10. Physician documentation is reduced by 50%. Patient loyalty and satisfaction is much higher as compared to in-person visit.

Biography:

Abstract:

The impact of the use of technology on patient care has been a focus of the healthcare industry for many years. Recognizing the impact of technology on nursing practice and how this affects the nurse’s engagement with patients is a significant challenge for the future of nursing education and professional development.  Teaching and incorporating competencies such as transpersonal caring and patient engagement will continue to be a challenge as the evolution of technology continues at warp speed.

During the past decade, our health system has become increasingly complex. Most of this complexity has evolved from the implementation of health information technology and the use of increasingly high tech equipment in patient care. It is a fine line between the use of those technologies that are considered by patients to be for clinical necessity and those technologies that are perceived by patients to be for nursing convenience and/or economics that is at issue.

There has been an abundance of research and literature that addresses the impact of technology on the nurse’s role, much of which implies or provides evidence that the effect of technology is dehumanizing care delivery. However, the majority of this research has been on the impact on the nurse with little focus on the patients’ perceptions of the high tech environment.  This study provides information that will be crucial to the education of nurses and providers in the future.

Biography:

Professor Wang received Masters and PhD degrees in Nursing from Loyola University Chicago.  She is an Associate Professor of Nursing at North Park University.  After completing the certifications of Adult and Family Nurse Practitioner (NP) programs, she practiced as a nurse practitioner in the House Calls and Community Palliative program at Swedish Covenant Hospital in Chicago for many years.  She has published many journal articles as well as 

Abstract:

With a growing elderly population, especially the “oldest old”, in the United States, new models of care incorporating nurse practitioners (NPs) such as house calls program have been created to meet the needs of the aging population who are confined to home and are not able to access health care facility. Most of those older adults are over 85 years of age with multiple illnesses and functional impairments. Limiting to their ability to get to office visits, they frequently call ambulance and use emergency rooms for their episodic care.

House calls health providers include physicians, physician assistants, and NPs.  Among them, NPs are the largest providers delivering primary care to homebound patients over the largest geographical areas based on a 2013 observational study.  Reports from the limited outcomes studies show the reduction of preventable emergency room visits, hospital readmissions, and prescription medications per patient while patient satisfaction increases. 

The HouseCalls and Community Palliative program, supported by a community hospital and staffed by NPs, brings quality and compassionate care to frail and homebound community-dwelling older adults with the goal of promoting quality of life and reducing frequent use of emergency room for episodic care.  The objectives of this presentation are: to describe the HouseCalls program and its evaluation in general, the role of the NPs, and patient care using a HouseCalls program as an example to discuss the challenges and successes of caring for frail older adults at home.  

Biography:

Sheri is the ACU co-lead, and nurse manager for the ACU. Ms. Bray has extensive knowledge of acute care nursing, as she has been a manager of two medicine inpatient wards, and has worked as a registered nurse on both a neonatology intensive care unit, and an oncology ward. She has taught nursing for the Saskatchewan Collaborative Bachelor of Science of Nursing program at the University of Regina As the ACU co-lead, Ms. Bray understands that patient-centered metrics can better help nurses understand inform how to provide bedside care.

Abstract:

Background:

Unit 4A, and the Medical Surveillance Unit (MSU) in Regina, Saskatchewan are the first two units to implement the Accountable Care Unit (ACU) model in Canada. Unit 4A is an acute care family medicine unit whereas MSU provides an intermediate level of patient care. Both units are supported by Hospitalists physician teams and began implementation of the ACU model in early 2016. Nurses experienced significant transformation through engagement, meaning, and mastery of nursing competency. The initial purpose of the research was to examine the effects of the ACU implementation on hospital length of stay (LOS), 30 day readmission, mortality, and patient complaints. Additionally, nursing morale was examined via changes in sick time, overtime, and staff turnover.

Methods:

Measures of LOS, mortality, and 30 day readmission, were obtained from the Health Records Department. Patient complaints, sick time, overtime, and staff turnover counts, were collated by the respective hospital departments.

Results:

Results revealed statistically significant reductions for length of stay (p < 0.05) on the MSU and 4A with no change in mortality or readmission. Reductions in patient complaints, staff sick time, overtime, and turnover, were achieved consistently across both the MSU and 4A.  

Biography:

Marlee Cossette is the nursing manager and co-lead for the Medical Surveillance Unit at Pasqua Hospital in Regina, Saskatchewan. She graduated in 2006 with a Bachelor of Science in Nursing and is currently working towards her Master of Nursing through Athabasca University. As a Registered Nurse, Marlee is proud of the achievement seen for both patients and staff through the creation and implementation of this unique patient care delivery model that combines intermediate care with the foundational pillars of Accountable Care. 

Abstract:

Background:

Unit 4A, and the Medical Surveillance Unit (MSU) in Regina, Saskatchewan are the first two units to implement the Accountable Care Unit (ACU) model in Canada. Unit 4A is an acute care family medicine unit whereas MSU provides an intermediate level of patient care. Both units are supported by Hospitalists physician teams and began implementation of the ACU model in early 2016. Nurses experienced significant transformation through engagement, meaning, and mastery of nursing competency. The initial purpose of the research was to examine the effects of the ACU implementation on hospital length of stay (LOS), 30 day readmission, mortality, and patient complaints. Additionally, nursing morale was examined via changes in sick time, overtime, and staff turnover.

Methods:

Measures of LOS, mortality, and 30 day readmission, were obtained from the Health Records Department. Patient complaints, sick time, overtime, and staff turnover counts, were collated by the respective hospital departments.

Results:

Results revealed statistically significant reductions for length of stay (p < 0.05) on the MSU and 4A with no change in mortality or readmission. Reductions in patient complaints, staff sick time, overtime, and turnover, were achieved consistently across both the MSU and 4A.  

Conclusion:

The ACU model leads not only to important improvements in hospital-system and clinical outcomes, but also impacts nursing satisfaction and engagement. The replication of this team based model of providing patient care has experienced such success, it is being replicated provincially and has attracted interest from across Canada.    

Biography:

Dr. Gwin has worked in the healthcare profession for 40 years. Starting out as a RN in 1979, and then became a Nurse Practitioner in 1994, she entered academia in 2001 and recognized a need and love of developing innovational curriculum approaches designed to reach new learners. Obtaining her doctorate in education of the adult learner in higher education, helped to shape concepts of new ways to teach. She has been a director in a second degree RN/FNP program for 10 years and currently is a director in a FNP program focusing on hybrid and online teaching.

Abstract:

Interprofessional education (IPE) in healthcare professions prepares students to work effectively in team-based care to improve quality and safety in patient outcomes. Reeves (2001) defined IPE as when two or more professions learn with, from, and about each other in educational scenarios. Using simulation based learning (SBL) and problem based learning (PBL) techniques fosters team work in foundational learning. These learning modalities work towards breaking down silo learning as well as disrupt hierarchical traditions that often work against the desired outcome of patient centered safety and quality outcomes. Instilling these two modalities early on in professional healthcare universities lays the groundwork for needed change in the healthcare industry. 

Biography:

Marla Vannucci completed her PhD in Counseling Psychology from Northwestern University. She is an Associate Professor in Clinical Psychology at Adler University.  Additionally, she is a Licensed Clinical Psychologist in private practice.  She conducts research and writes about work/life balance and self-care, as well as clinical supervision and training issues.  She has been featured in The Economist, Foxnews.com, Chicago Public Radio, and Mom Talk Radio discussing parenting, trauma response, and the psychology of social media.

Abstract:

This presentation will discuss results of an exploratory study that aimed to better understand the experiences and challenges of nurse entrepreneurs.  Nurse entrepreneurs (n = 44) reported on their transitions from employment to entrepreneurship, key motivators in the decision to start a business, and the challenges they face as entrepreneurs in the healthcare field.  Additionally, participants completed the 33-item Mindful Self-Care Scale – Short (Cook-Cottone & Guyker, 2016), which measured their self-care activities and behaviors in 6 domains:  Physical Care, Supportive Relationships, Mindful Awareness, Self-Compassion and Purpose, Mindful Relaxation, and Supportive Structure.  Nurse entrepreneurs reported higher rates of self-care practices than a normed community sample, and age was positively correlated with higher rates of self-care practices.  Nurse entrepreneurs reported that factors related to psychological empowerment, such as meaning/purpose, having an impact, need for growth, and getting to make decisions, were more critical motivators in the decision to start a business than factors associated with structural empowerment, such as financial gain and job or organizational constraints.  Some work/life balance challenges, such as juggling multiple roles in a business, balancing one’s own needs with those of others, time management, and addressing both family and business needs were associated with fewer self-care behaviors.  The biggest challenges to success identified, such as implementing a marketing strategy, networking, and accessing mentorship, were all related to relying on connections with others.  Implications of this study for practice will be discussed, including benefits to nurse entrepreneurs, potential nurse entrepreneurs, and others in the healthcare delivery system.

Biography:

Dr. Sung Hee Ahn  is a professor, teaching and doing research of nursing ethics at College of Nursing, The Catholic University of Korea. She is the president of  Korean Society of Nursing Ethics. She has published many journal articles and several books.

Abstract:

While nursing ethics education is commonly provided for undergraduate nursing students in most nursing colleges, consensus on the content and teaching modules for these ethics courses have still not been established.  This study aimed to examine the effects of nursing ethics education on the moral sensitivity and critical thinking disposition of nursing students in Korea.  A one-group pre- and post-test design was used. Moral sensitivity was measured using the Korean version of the Moral Sensitivity Questionnaire. Critical thinking disposition was measured using the Critical Thinking Disposition Questionnaire. Participants were 70 undergraduate nursing students who were attending a university located in Seoul, Korea. The nursing ethics education was provided 7 times, from September to December 2010, and comprised 90-min sessions each week. This study was conducted in accordance with the Human Subject Research Ethics Committee guidelines.  After the education, the levels for the patient-oriented care, a sub-domain of moral sensitivity, and inquisitiveness, a sub-domain of critical thinking disposition, significantly improved. There were no changes in overall scores for moral sensitivity and critical thinking disposition. There were significant positive correlations between moral sensitivity and critical thinking disposition both pre- and post intervention. These results reflect the need for ongoing efforts to develop innovative content, structure, and instructional methods for undergraduate nursing ethics education programs.

Biography:

Shirley Gharbin is an associate professor of nursing at Cecil College in Maryland, USA and has been an educator for nine years. She received her Bachelor of Science degree in Nursing from College of New Rochelle in New York, her Masters of Science in Nursing Education Leadership from Wilmington University in Delaware, and her Doctorate in Higher Education Leadership from Wilmington University in January 2017. In addition to teaching full-time at Cecil College, Shirley has been a registered nurse for seventeen years and works part-time as a cardiovascular nurse.

Abstract:

Research suggests that health professions do not collaborate well together and that separation of health profession education continues to be the standard, despite the benefits to patient outcomes.  To address this issue, an introductory interprofessional learning workshop was implemented in the spring of 2014, 2015, and 2016 with first year physician assistant (PA) students and second year associate degree nursing (RN) students to provide an opportunity for the students to learn and collaborate with other health profession students.  The purpose of the study was to examine the attitudes and perceptions of associate degree nursing students and physician assistant students towards interprofessional learning; describe the students’ perceptions of the workshops; and determine long-term effects of the interprofessional workshops.  The Readiness for Interprofessional Learning Scale (RIPLS) was used before and after the workshops to survey the students (McFadyen, Webster, & Maclaren, 2006).  Additionally, a two item qualitative questionnaire was used to assess the students’ perceptions of the learning intervention and to identify long-term effects.  Results showed overall positive attitudes and perceptions before and after the workshops with slight increases in RIPLS scores post- workshop.  Qualitative analysis of student’s written responses revealed six dominant themes: opportunity to interact with other health care students, understanding professional roles and responsibilities, building confidence; importance of communication; importance of teamwork; and patient benefit.  Follow-up post- workshop assessments a year later, suggests long term effects of the interprofessional workshops. The workshop is presently part of the curriculum for both nursing and physician assistant programs.

Biography:

Kelley Obringer is a PhD student enrolled at Mennonite College of Nursing at Illinois State University. This research is conducted for her dissertation. Ms Obringer,has taught in the undergraduate and graduate programs of nursing. She currently is employed at the University of Tenennessee Chattanooga as an Assoicate Professor of nursing. She has presented research at National and International Conferences.  Her research trajectory involves family, culture, and end of life care.  

Abstract:

The 2015 U.S census reported an increase in the number of African Americans, indicating a growth by 4.1 % from 2010 to 2015. In addition, there were 37, 144,530 Non-Hispanic blacks, which comprised 12.1% of the population. This number increased to 42 million according to the 2010 United States Census, when including Multiracial African Americans, making up 14% of the total U.S. population (United States Census, 2016). Studies have shown end of life needs may differ by culture. To provide the best care during the end of life transition, it is necessary to understand the needs and experiences of the diverse populations. To provide best care during the end of life transition, it is necessary to understand the needs and experiences of African American family members during their loved one’s palliative care. There is a lack of research regarding the understanding of the life experiences of African American family members during a loved one’s end of life care experience and how spiritual beliefs impact their experience. The purpose of this study is to understand the experience of the African American family members’ during their loved one’s end of life. A qualitative study was conducted using a convenience sample of 16 family members’ from one outpatient South Eastern Palliative Healthcare Organization in the USA. Participants completed an interview to determine experience of family members’ of loved ones enrolled in Palliative Care. Results of this study can facilitate healthcare professionals to develop and implement methods to further meet family members’ needs.

Biography:

U.S. statistics show that 3 out of 5 registered nurses worked in hospitals in 2006. In 2016, however, less than one third of nurses were employed at hospitals. These statistics indicate a decreasing number of acute care facilities, while community health is expanding in response to a health care policy that emphasizes prevention and management of chronic diseases. In response to the this evolving health care focus, nursing faculties in academia have implemented baccalaureate curricula introducing new didactic courses. Yet, clinical site teaching has remained focused on training students for assessments, technical nursing skills, and critical thinking exercises, at best, in acute care.

This paper presents and analyzes the results of evidence-based research that illustrates the need for matching didactic with clinical teaching. It will concentrate on methods necessary for training future nurses in diverse health care settings and will propose ways that student and preceptor nurses in acute care and community offer mutually benefiting factors in the process of learning and teaching. 

Abstract:

Eunice Park-Clinton received her Masters in Nursing and Bioethics from the University of Pennsylvania. She worked as an Intensive Care Unit nurse for several years and is a Case Manager at the Hospital of the University of Pennsylvania. Since 2016 she has been working as a clinical instructor at Gwynedd-Mercy University. 

Biography:

Charlotte M. Wood is an Associate Professor at Coppin State University, College of Health Professions, Helene Fuld School of Nursing. She received her BSN (1982) from Delaware State University, her MSN/MBA from Johns Hopkins University (2003), and completed her PhD from Capella University (2014).  She is currently the President of the Faculty Senate at Coppin State University. Chair of the Student Success and the Applied Analytics Councils appointed by the President of the University. She is a data scientist with her certification in Predictive Data Analytics. Her nursing practice includes Critical Care nursing, geriatrics, nursing education, student assessment and remediation, and administration.

Abstract:

Novice nurses must be knowledgeable and confident in their clinical skills when providing effective care to highly complex patient populations. To recruit, retain, graduate and prepare nursing students adequately, nursing educators are integrating confidence-building teaching strategies such as, high-fidelity patient simulation (HFPS). This descriptive, correlational quantitative study examined whether a relationship existed among African American senior nursing students’ perceptions of the instructional strategies of various ways of learning, active learning, expectations, and collaboration used with HFPS, and their association with perceived confidence in learning as measured by the National League for Nurses’ Educational Practices and Student Satisfaction and Self-Confidence in Learning Questionnaires. The study examined age and grade point average. Data were collected from two schools of nursing with a nonprobability convenience sample of 83 participants. Participants perceptions of the use and importance of the four instructional strategies used in HFPS was measured using two Likert-type scales that ranged from 1 (strongly disagree) to 5 (strongly agree) and 1 (not important) to 5 (very important).  Results showed that all four instructional strategies used in HFPS had a useful and important role. Demographic data provided insight into specific age groups and instructional strategies that reflected a statistically significant relationship with self-confidence.

Biography:

Chiharu Miyata, RN, Master of Nursing Science, completed her Dr. of Human Health Science from Kyoto University School of Medicine, Japan. She is the associate professor of Mie University of Nursing  Sciences in Japan. She has published several books and papers in reputed journals and has been serving as an editorial board member of repute. 

Abstract:

More than 26% of the population 65 years and over in Japan. Therefore, the needs and quality of geriatric nursing should be improved. In spite of ineligible changes of nursing standards in geriatric intermediate care facilities(GICFs), the quality of care is not in a satisfied level. In order to improve the quality of care, reconsidering professionalism of nurses is crucial. Moreover, it is important to address appropriate working environment to develop, maintain and enhance their professional behavior. Objectives: The aim of this study was to uncover relation and whether factors could have any effect on professional behavior of nurses in GICFs. Methodology: A quantitative, cross-sectional desigh was adopted, using a self-completion questionnaire survey. The questionnaires consisted of 65 items for job satisfaction, organizational commitment (affective, continuance, and normative commitment), professional behavior and the background information of respondents.  Results: A total of 1,189 nurses participated. Of those, 91% (n=1084) were women, 75% (n=890) were married. The professional work experience was  23.1years(SD10.5) . Most were derector of nursing (n=777; 65%).The job satisfaction  correlated with affective commitment and normative commitment. The professional behavior is related to marital status,  academic background and affective commitment. Conclusions: Affective commitment is directly proportional to positive work experience. Thus, administrators require to understanding nurses psychology, emotions, and expectations, and by catering to nurses need in a manner that resulted improve their job satisfaction. In addition, management policies that make proper strength and weakness assessments of nurses and experience positive work experiences, help to improve professional behavior of nurses.

Biography:

Deepti B. Prajapati has completed her Bachelors of Nursing at Western Connecitcut State University and Masters of Nursing degree at Southern Connecticut State University.  She has been a Nurse Practitioner for over 5 years, starting out in Orthopedics and Pain Management.  She is currently working in one of NYU Langone Medical Center’s Infusion Center, focusing on rheumatic diseases.

Abstract:

Vedolizumab (Entyvio) is one of several treatment options for the management of Ulcerative Colitis and Crohn's Disease. It is a recombinant humanized anti-alpha-4-beta-7 integrin monoclonal antibody. Integrins are proteins involved in regulating cellular movement, including the migration of leukocytes to the gut.  It is specific to the intestinal tract because it binds to the alpha-4-beta-7 integrin, thereby blocking the interaction of the alpha-4-beta-7 integrin with mucosal addressin cell adhesion molecule-1.  This results in the inhibition of memory T-lymphocytes migrating across the endothelium into inflamed gastrointestinal tissue.  This biologic immunotherapy is utilized in patients who have failed or achieved inadequate response to the different therapies currently available for these disease processes. Certain considerations include monitoring/screening for tuberculosis (TB), progressive multifocal leukoencephalopathy (PML), and liver injury. These are rare adverse effects and occurrences. A protocol for the safe administration of Vedolizumab at NYU's CMC Infusion Center is based on current prescribing guidelines.

Biography:

A Board Certified Family Nurse Practitioner (FNP-BC). Over 26 years’ experience in nursing profession. Earned a Doctor of Nursing Practice from Carlow University Pittsburgh, PA. A full time Tenured Associate Professor of Nursing at the University of the District of Columbia Community College (UDC-CC) for 11 years. Taught undergraduate nursing courses which includes Maternal-newborn nursing theory & practicum. One of the Women in STEM and Allied Health featured in celebration of Women History Month at UDC-CC in 2016. Travelled widely in the USA and made several national presentations and has published several articles in peer reviewed scholarly nursing journals

Abstract:

Nursing today is predominantly a female profession; however men are reentering the profession in record numbers and challenging the perspective that they are inappropriate in care-giver roles, or incapable of providing compassionate and sensitive care. Because of this, male nursing students face gender based role stress when caring for maternal-newborn clinical patients (Tzeng, Chen, Tu, & Tsai, 2009). This study investigated the perceptions and experiences of male nursing students in a maternal-newborn nursing course and their coping strategies in dealing with the role stress. A purposive sample included 11 male nursing students who completed a survey, and six participated in individual interviews. Written responses and verbatim audio narratives were analyzed using qualitative content analysis to identify themes that described their perceptions and experiences. The results identified seven themes: Desire to care for others; Female dominance in nursing profession; Maternal-newborn nursing course creates anxiety and intimidation; the course is identified as a woman’s domain; individuals leave other careers to pursue nursing; experiences of rejection, acceptance and fear of unknown, and the male nurse’s use of different coping strategies. Despite the significant stress for male nurses in the maternal-newborn environment, they agreed that the profession of nursing should not be gender specific and that men should be encouraged to pursue nursing careers. The results suggested a need for nurse educators to develop theory-guided instructional strategies to support male nursing student’s academic goals which may be at stake because of the maternity learning environment. 

Biography:

Maria D Krol completed her DNP from Oakland University. She has been in practice for over 25 years. Last 12 years as an educator for nursing students. Most recently at Southern Connecticut State University. She is the founder and President of the Connecticut Chapter of the National Association of Hispanic Nurses. Her clinical work has led her to embark on a mission to improve the understanding nursing students gain in regards to health disparities. She has published and taught on that subject.

Abstract:

Kolb’s experiential learning theory and learning cycle was used as a framework to deliver content related to Limited English Proficiency (LEP) and Culturally and Linguistically Appropriate Services in Health and Health Care (CLAS) standards. Application of Kolb’s theory enabled students to absorb what was seen in the clinical settings, identify what their values are and reflect on their experiences. Ultimately students used technology to translate their new-found knowledge to others.  This active learning project was collaborative; and, in keeping with Kolb’s framework, could accommodate different learning styles based on the role students assumed during the assignment. The culminated of this project produced a student enacted, educational video presented at a university-wide event affirming the importance of delivering care in a culturally sensitive manner.

Biography:

Jennifer Harrison Siu completed her Doctorate in Education May 2011 from California State University, Sacramento. She is the Assitant Director at Sacramento City College, Associate Degree Nursing Program in which she worked there for 28 years.  She received her Bachelor’s of Science in Nursing at University of San Francisco, Master’s of Science in Nursing with a Clinical Nurse Specialty in Maternal Child Health in San Antonia, Texas and a Master in Biblical Studies at Dallas Theological Seminary in Texas.  She is a retired United States Air Force Nursing, having served for 21 ½ years and retiring as Lieutenant Colonel.

Abstract:

The central issue is that NCLEX-RN standards have been raised requiring nursing graduates to demonstrate greater knowledge on the national licensure examination in order to be licensed.  This has ramifications for nursing programs and their ability to sustain a high percentage of graduates from diverse backgrounds who go on to pass the NCLEX as first-time test takers.  This study investigated the practices and programmatic features of Sacramento City College’s nursing program, a successful program characterized by its history in producing graduates from diverse backgrounds who passed the NCLEX-RN.  The findings of this mixed methods study, which used data sources from faculty and graduate surveys, curricula documents, and NCLEX reports, supported observations and published recommendations of best practices noted by nursing education experts.  The study also presented factors not commonly found in the research, such as maintaining a rigorous nursing program and high NCLEX passing rates while upholding diversity trends within its student body and the open access policy on a community college campus.  In conclusion, the study explicitly recognized that the state’s investment in nursing education cannot be evaluated by simply examining NCLEX success – the ultimate return on investment in nursing programs is having graduates practice nursing in California.

Biography:

Dr. Wafaa Elarousy is assistant professor, pediatric nursing, Chair of the Student Research Unit, college of nursing – Jeddah, King Saud bin Abdulaziz University for health Science since Academic year 2009 -2010 till now.   Dr. Wafaa Elarousy completed her master degree and her PhD in Pediatric nursing from the college of nursing, Alexandria University, Egypt.  She has a position of Assistant professor in the same college. She has 16 publications, her research interest: In the area of neonatology, adolescents’ health, child abuse and neglect, pediatric simulation and nursing education.  

Abstract:

Debriefing is a process involving the active participation of learners, guided by a facilitator or instructor whose primary goal is to identify and close gaps in knowledge and skills (Raemer D. 2011 & Pivec J., Renee C., 2011). It promotes understanding and supports transfer of knowledge, skills and attitudes with focus on safe and high quality of patient care (Decker S. Et.al 2013). Our college students’ qualitative survey of fall semester academic year 2015-2016 for many clinical courses included negative feedbacks that reported by students related to debriefing period. So, the aim of the study is to explore in depth the experiences of nursing students in debriefing through a qualitative design. A debriefing task force committee was developed by College Quality Unit and the results of the current study will help the work of this committee.   

Methodolgy: The study was conducted at College of Nursing – Jeddah, King Saud Bin Abdulaziz University of Health Science and included nursing students who enrolled in clinical courses using convenient sampling technique. A qualitative research design was used as the researchers believe that qualitative research will achieve the objective.  Focus group discussion was used until saturation of information is achieved on the topic. Using the recorded interviews and transcription verbatim, analysis is done using content analysis.

Results: We are in the process of finalization of research results

Key wards: debriefing, student nurses, qualitative study

Biography:

Theresa Wyatt achieved a BSN from Mercy College in Detroit, a Masters in Forensic Nursing from Fitchburg State College, and a PhD in Nursing from Medical University of South Carolina. A nurse of 31 years with 16 years in the emergency department, 5 years as a Forensic Nurse Examiner, and 6 years teaching both clinical and the classroom. Having cared for patients that have experienced all forms of domestic violence and sexual assault, Theresa is dedicated to improving DV content included in nursing curriculum. 

Abstract:

Numerous barriers to screening patients for domestic violence (DV) appear consistently in research. Existing studies conducted on barriers to screening by nurses identified lack of education and training as a commonly identified barrier to screening.  When and how these barriers develop is poorly understood. Qualitative interviews with 16 newly licensed nurses (NLRNs) were conducted to determine if they screen for DV, how they screen for DV, which patients are screened, and how pre-licensure education and current workplace training has influenced these screening. An exploratory qualitative design guided by Constructivist Grounded Theory (CGT) was used. Sixteen NLRNs who were contacted via a social media (Facebook) ‘sharing’ strategy agreed to participate in the study.  Individual interviews were conducted utilizing an open ended interview guide. Data collection and analysis were done concurrently exploring factors influencing screening behaviors.  Six themes emerged from the interview data: Preparedness, Uncomfortable, Taboo, Disenchanted, Presumptuous, and an over-arching them, Evolving Truths. In this sample of NLRNs, the overall perception was a lack of education and training on DV. These findings suggest this sample of NLRNs were not taught about or how to screen for DV, and essentially became products of their work environment reporting that if and how diligently they screened was heavily influenced by their peers. There is an interpersonal or intimate nature to screening for DV that is unique and may require highly interactive training throughout pre-licensure education. This study is one of the first to examine how inadequate or lack of inclusion of DV screening in pre-licensure nursing education may affect screening behavior in NLRNs.

Biography:

Monette recently completed her Doctor in Nursing Practice from American Sentinel University in Aurora, Colorado with a focus on Executive leadership. She is currently the director of a 30 bed heart failure unit at Moses Cone Memorial Hospital, a 500 bed acute care hospital that is a part of a 6 hospital enterprise in southeastern North Carolina. She has presented numerous evidence based posters to various national nursing conferences including the American Nurses association and the American Association of Critical Care Nurses.

Abstract:

Reducing hospital readmission for heart failure patients is a major focus for healthcare organizations to improve quality and reduce cost, following Center for Medicare and Medicaid rule to lower reimbursement to hospitals with increased readmissions for heart attack, heart failure and pneumonia. Advance community paramedicine program is an innovative approach to reducing hospital readmission by employing paramedics to conduct follow up visits to high risk heart failure patients. This quantitative non-experimental before and after comparative study of a single group using retrospective data of high risk heart failure patients. This study will attempt to establish statistically significant relationship between the advance community paramedicine program and heart failure patient’s readmission rate and address questions by describing correlation and causation based on objective measurement and observations (Hammer & Collinson, 2004). A non-probability convenience sample of approximately 100 records on patients, who were admitted to a heart failure unit before and after the community paramedicine program were implemented, will be retrieved from the electronic health system. Data will be analyzed using IBM SPSS version 23.0. Descriptive statistics will be used to describe the characteristics of the patients and the Chi-square, a non-parametric test will be used to analyze the variables that are measured on a categorical level (Kim & Mallory, 2014).

Biography:

Zafar Mehdi has completed his PhD in 2015 from the Department of Gerontology, University of Vechta, Germany, Masters’ in sociology, university of the Punjab, Lahore, Pakistan and Masters’ in Demography from ANU Australia and diploma in Public Health from University of Saskatchewan, Canada.  He has been teaching social sciences in Pakistan and Canada for many years.  At present, Mr. Mehdi is working as an assistant professor of social sciences at Dhofar University Oman (Middle East). He has published several papers at reputed National and International Journals. 

Abstract:

There are mandatory and volunteer further training programs in health care and long-term care sectors in Canada. The relations between further training of care workers and quality of patient care in hospitals, home care settings and residential care facilities are unclear.  The study investigates the association between further training and care workers staffing (nurses, elderly carers and care assistants) on the elderly health situation, work situation, and quality of patient care in Canada. Cross-sectional data were drawn from 2010, Canadian Survey of Labour and Income Dynamics (SLID) 2010, and Canadian National Survey of the Work and Health of Nurses (2005) for the analysis.  Findings reveal that additional training of care workers has a positive association with work situation and quality of patient care as in reduction of injury, infection, medication error, and satisfaction.  Likewise, staffing level among elderly health workers has a strong relation with lower injuries, lower medication errors, lower Nosocomial infection and increased satisfaction.  The implication of the study suggests a greater role and staffing of health workers and professional development programs to improve the quality of life of elderly. 

Biography:

Abstract:

Background: In 2016, approximately 163,087 new Registered Nurses (RNs) were licensed in the United States. Of these, over a quarter will leave their first position in less than a year. While 90% of academic leaders feel newly graduated nurses are ready for nursing practice, only 10% of clinical leaders agree. In the past, research has focused on the new RN after a year or more of practice without addressing the necessary knowledge, skills and attitudes required to ensure timely and successful orientation and a strong start to the new career.  It is possible that recent changes in health care, increased emphasis on health maintenance, an intensifying theory-practice gap and an educational tradition distinguished by content overload mean that Nurse Educators may be preparing new RNs who are not equipped for the fast-paced orientation and increased accountability that come with the new RN role.

Purpose: This qualitative study seeks to answer the question: What do hiring nurse managers and hospital educators perceive as required competencies of newly licensed nurses (NLNs) to ensure successful and safe progress through orientation periods? The aim is to assist nursing education professionals to focus on competencies that are needed to ensure a solid foundation and effective orientation of newly licensed nurses.

Theoretical Foundation: This study draws on Patricia Benner’s “Novice to Expert” theory. Specifically, it seeks to identify those competencies in which newly licensed nurses should be at the advanced beginner stage if not approaching the competent stage at graduation.

Method: Semi-structured interviews lasting about an hour each were conducted with hiring nurse managers and hospital based nurse educators responsible for hiring and orienting newly licensed nurses. Recorded interviews were then transcribed and analyzed using ATLAS TI software. Themes were identified and knowledge, skills and attitudes were ranked by frequency of occurrence both generally and by unit type.

Results: In Progress

Conclusion: In Progress

Biography:

Marina Calleja-Reina has completed his PhD at the age of 30 years from Málaga University School of Psychology. She is the co-reseach in several research projects (national and international scope). She has published more than 15 papers in reputed journals.

Abstract:

It is normal for people to have sufficient resources to be able to carry out communicative exchanges, among which the ability to speak as a fundamental means of transmitting communication stands out. However, sometimes there are certain circumstances that make some people have little or no possibility of using speech to carry out the communicative exchanges. In this case we refer to the people affected as people with "Complex Communication Needs" (CCN)

Due to the difficulty or inability to use speech as a natural means of communication, people with CCN will need to resort to systems or strategies of Augmentative and Alternative Communication to carry out communicative exchanges.

EC + is an application (henceforth app) free of charge whose purpose is to increase functional communicative competence in people with Intellectual Disability. It is a downloadable app on mobile phones and tablets and its purpose is to serve as an AAC device with a high technological level. With this app we have tried to alleviate some of the disadvantages that we have detected in the use of AAC devices. The first to be free and available for phones and tablets both Android and IOS can be used by a large number of users. On the other hand, given that it has been designed taking into account the needs of the specific population, people with ID and their interlocutors (habitual or punctual).

Biography:

Director of Nursing at New York Presbyterian Hospital/Allen with oversight of inpatient, Behaviral Health and Emergency Department. Graduate from Lehman College-City University of New York and attended University of Phoenix’s online MBA, MSN/HCM program, graduating in 2007 with this dual degree. Member of several cross-campus initiatives on quality and patient safety and received the Relationship Based Care and Clinical Excellence Leadership Awards.  I am an exam writer for The Beryl Institute’s Patient Experience Institute’s new CPXP exam and have also obtained CPXP certification. I encourage my teams to learn and explore the cultural norms and within the context of healthcare.

Abstract:

In our  ever changing landscape of healthcare, we are in a constant race to balance value based purchasing, with the patient experience and employee engagement. Here at The Allen Hospital, we embarked on a journey of continuous quality improvement that first relies aon several key feedback loops in order to be successful in how we approach both improving quality indicators and patient satisfaction. Through several “Deep Dive” events, we were able to (and continue), to gather interprofessioanl teams (MD, RN, Nursing Support Staff, Environmental Services, Laboratory, Materials Management, IT, Pharmacy, Food & Nutrition, Talent Development, Operations, Nurse Administrators, Quality Dept) who brain storm together for an all day event. The Deep Dive gives the opportunity to create innovative , practical and sustainable  solutions that align with both the organizational vision and mission. Through the use of this technique, we are able to:

·         Review current state (define the problem and review data related to the problem statement)

·         Brain storm on solutions by emerging themes

·         Action plan around suggestions

·         Create process oweners for sustainability

·         Reveiw of outcome metrics

·         What’s working well and what do we need to modify?

·         Most of all build highly effective, engaged and agile teams

Many actionable and highly interactive solutions have been implemented and sustained though the use of these events. In addition to improving the patient and employee experience, Deep Dives give us the opportunity to get to a granualar level of problem solving. 

Biography:

Dr. M. M. Madumo completed her PhD (Nursing Sciences) from the University of Limpopo Medunsa Campus in 2014. She is a senior lecturer at Sefako Makgatho Health Sciences University. She specializes in Community Health Nursing Science including Reproductive Health Care. She is also involved in teaching of the postgraduate Diploma in Occupational Health Nursing as well as supervision of postgraduate masters students. She has published 3 articles in accredited journals and has written chapters in 3 Community Health Nursing Science books. She is serving in the School Research Ethics Committee as well as the Research Publications committee of the university. 

Abstract:

The purpose of the research was to construct a programme for prevention of unplanned pregnancies in adolescent girls through emancipated decision-making. Decision making in adolescent unplanned pregnancy prevention is an important public health issue. Adolescent unplanned pregnancy, although preventable, remains common globally and is usually associated with negative health and socio-economic outcomes for the baby, adolescents themselves, the family and society. A qualitative, explorative, descriptive and contextual research design was followed based on the Wittmann-Price theory of emancipated decision making in women’s health care issues. The research took place in four phases: Phase 1: A situation analysis, Phase 2: The concept analysis and the conceptual framework, Phase 3: A description of the programme as well as guidelines for the implementation of the programme, Phase 4: Evaluation of the programme, limitations and recommendations. The results indicated that adolescent girls need personal knowledge, empowerment, flexible environment, the ability to reflect and awareness of social norms to be able to make emancipated decisions in preventing unplanned pregnancies. Based on the results, an emancipatory education programme for enhancing emancipated decision making in pregnancy prevention in adolescent girls was constructed. Healthcare professionals have the responsibility to practice ethically, be guided by applicable public policies on adolescent girls’ pregnancy prevention, benchmark the best practices and engage in reflective dialogue with adolescent girls and colleagues to improve the programme and practice. 

Biography:

Dr MJ Black has completed this PhD degree Doctor of Literature and Philosophy in 2017 from the University of South Africa and M Cur including a degree B Cur I et A from the Medical University of Southern Africa (Medunsa) . She completed several diplomas: Nursing Administration & Community Nursing (1996) from Medunsa. Paediatric Nursing Science: 1987; Midwifery 1984; General Nursing Science (1982) obtained with distinction from Nursing Colleges in South Africa. She presented an oral paper that got a first prize in her category. She is a lecturer and supervisor in post graduate research at Sefako Makgatho Health Sciences University currently. 

Abstract:

A qualitative, descriptive, exploratory and contextual study was undertaken to explore and describe how clinic nurses practice their role regarding growth development monitoring and anthropometric measurement of children and interpretation of their values. An accessible population of twelve clinic nurses of all categories were purposively recruited to participate in the study. In depth individual interviews were conducted to generate data. Interviews were audio-taped and transcribed by the researcher verbatim. The direct quotes of participants were coded and arranged into meaning units for analysis. Tech’s (1990:142-145) eight steps of analysis to analyse the textual qualitative data as cited by Creswell (2009:186) was used until themes, categories and subcategories were identified and developed. Data analysis was triangulated by using Atlas.ti computer software version 7.0 to organise text, audio data files coding, memos and findings into project files. An independent coder analysed data for validation using content analysis. Data analysis revealed that nurses had challenges in ways of doing practice evidenced by inconsistencies and discrepancies in GDM, APM of children and incorrect interpretation of their values. Non-compliance to protocols from both nurses and parents was a significant finding. Shortage of resources was reported as a major hindrance. Guidelines were formulated to guide clinic nurses. Recommendations were proposed that the matter be taken up by nurse managers, educators and leadership from the Department of Health. 

Biography:

Dr. April Dobroth serves as a regional clinical faculty member for Frontier Nursing University.  For the over six years, she has served in rural and underserved communities as a National Health Service Corp (NHSC) member and has been appointed as an ambassador for NHSC in the state of New Mexico.  Additionally, she served as a representative for primary care providers on the New Mexico Behavioral Health Coalition (NMBHC) where she worked closely with the director of Health and Human Services, the Governor Susana Martinez, and several other medical professionals in New Mexico to address the dire need for increased access to behavioral health services in the state. 

Abstract:

Access to mental health services in the United States is severely limited¹.  The integration of mental health services into the primary care setting is in close alignment with the Institute of Healthcare Improvement (IHI) triple aim to increase patient satisfaction and access to care, improved health of communities, and decrease per capita costs of care². The purpose of this project was to examine the efficacy of a model of care that fully integrated mental health services into the primary care milieu.  Efficacy of this model of care was examined using the IHI triple aim².  Patient satisfaction was measured utilizing the CollaboRATE tool with positive ratings ranging from 9.86-9.91/maximum 10.0³.  Improved population health was measured by the number of calls received and handled by the mental health crisis team.  Reduction in the per capita cost of care was analyzed by comparing the number of crisis calls handled through the integrated model of care to local emergency room visits involving a mental health diagnosis. Over the course of the study, 44 crisis calls were diverted from the local emergency room through the program. The average cost of an emergency room visit for patients with a psychiatric diagnosis in Montezuma County Colorado was found to be $14,863 per visit.  A cost savings of $653,972 for the 44 visits handled through the integrated model of care was realized⁴.  Further studies are needed to effectively evaluate the integrated model of care over a period of several years and in a variety of clinical settings. 

Biography:

Abstract:

Background: Adolescence is a time of enormous physical and psychological change for young females. Menstrual disturbances are not uncommon and may add further disruption to this difficult phase so this is an opportunity for clinicians to advise the adolescent on abnormal conditions related to delayed menstrual cycle and its treatment. 
Aim: To explore the habits followed among adolescents and families toward treatment for delayed menstrual cycle at puberty. 
Methods: This is a cross sectional/ Quasi-experimental.  The recruited 200 adolescent girls from two different localities: urban and rural preparatory schools in Asyut city, Egypt. 
Statistical analysis: The data were tested for normality using the Anderson-Darling test and for homogeneity variances prior to further statistical analysis. Results:  Comparison between parents’ habits based on locality revealed a statistical significant difference. Knowledge about causes of delayed menstruation among urban adolescent students revealed a statistically significant difference.

Conclusion: This study highlights an important theme of habits and knowledge about amenorrhea among adolescents and their parents. 
Clinical implications: Further research should be done to figure out the relationship between knowledge and habits related to puberty abnormalities and its management. Moreover, to provide students in the preparatory phase with a simple guidance program.

Biography:

Abstract:

Background: Faculty scholarly productivity in the form of research publication consistently appreciated for its role in improving education and advancing knowledge.

Purpose:  The purpose of this study is to increase research productivity among academic staff of higher education institution.

Design: A prospective, one group pre and post-test experimental design was performed in a nonrandomized intervention group of nursing faculty members who attended a series of seminars and workshops of research. The target population comprised the 50 faculty members working in a governmental university in the eastern region of KSA during the period of 2015 and 2016.

Results: Results indicate that the difference in number of publications, web of science citations, Scopus citations, and google scholar citation after implementation of stimulating research productivity program were statistically significant.

Conclusion: Faculty members experience changes in attitude toward and intention to conduct research, as well as the number of their published research articles as the result of two-year educational interventional program on research productivity. The researchers, thus, recommend that higher education institutions, including schools of nursing and other health professions, adopt the Thomson Reuters’ intervention to accomplish the well-needed improvement in scholarly productivity, especially in the developing world, such as Middle Eastern countries. 

Biography:

Jackie Malesela hold a PhD and works at the Sefako Makgatho Health Sciences University as a Midwifery lecturer. She has published 4 papers in accredited journals and has been serving as a reviewer in 3 journals. 

Abstract:

The purpose was to describe a model to facilitate best practice during intrapartum care. A contextual, qualitative, explorative, descriptive research design for theory generation has been used. The study consist of four phases: Phase One focuses on exploration and description of the meaning of the concept ‘best practice’ during intrapartum care. The results thereof were used to direct data collection during the empirical phase. Phase Two explores the perceptions of midwives regarding how best practice can be facilitated during intrapartum care. A non-probability, purposive sampling method was used to select a sample of registered midwives willing to participate in three sessions of semi-structured agenda-focused group interviews. Data saturation occurred during the third agenda-focused group interview session. A qualitative method was used to analyse data. An independent co-coder was involved in data analysis followed by a consensus discussion meeting between the researcher and the co-coder to finalise the findings. The findings in phase two include values and ethical practice; enabling environment, introspection, and needs analysis; effective and efficient clinical practice; professionalism/regulatory framework; and strong leadership and clinical governance. The researcher held a follow-up interview to verify the findings. The trustworthiness was ensured and the ethical principles were adhered to throughout the study. Phase three involve conceptualisation of the findings. Phase four describes and evaluates the model followed by a description of the guidelines to operationalise the model. The original contribution of the study is justified, limitations and the recommendations are made. The concept of best practice during intrapartum care is cyclical in nature and is continuously evolving. 

Biography:

Pamela Fonju is a Family Nurse Practitioner and earned her Doctor of Nursing Practice Degree from William Paterson University. She is the Regional Administrator for the Department of Children and Families where she oversees the health care needs of over 500 children within an assigned Geographic region. Dr. Fonju is also an adjunct professor of nursing at William Paterson University.  Dr. Fonju has provided numerous presentations on her most passionate interest: hypertension and diabetes. Dr. Fonju is professionally associated with Sigma Theta Tau International; American Academy of Nurse Practitioners, American Academy of Nursing Leaders, and Project Smile.

Abstract:

Background - Hypertension is a primary risk factor for cardiovascular disease, premature morbidity and mortality worldwide. The World Health Organization (WHO) estimates a global prevalence of approximately 1 billion and project and increase to 1.7 billion by 2025. Global hypertension increase has been attributed to steady increase in developing countries. The use of anti-hypertensive medications have been shown to produce significant gains however non-adherence remains a global health problem. This study examines factors associated with medication adherence among hypertensive adults in the North West Regions of Cameroon.

Methods - Descriptive cross-sectional survey design; data collected by self-administered questionnaires. A convenience sample of established patients in two hospitals. Patients who presented for regular visits were administered 2 surveys: Demographic variables (15 items) and approved Morisky medication adherence questionnaire - Cronbach alpha .83 (Morisky et. al. 2007). 

Results - Sample (n=200): (47%, n = 94) reported a normal blood pressure. Mean systolic blood pressure: 141mm/Hg and diastolic blood pressure was 85mm/Hg. Mean adherence score was 6.33, SD=2.089. 31% (n = 63)- low adherence, 32%  (n= 64 ) medium adherence and 36% high adherence. A weak negative correlation was found in systolic BP(r(198) = -.204, p<.01) and in Diastolic BP (r(198) = -.237, p<.01).

  Conclusions - The long-term reduction strategy of acute cardiovascular events associated with high medication adherence to antihypertensive treatment underscores its importance to hypertension control.  Efforts focused on early antihypertensive treatment initiation and customized intervention programs may likely improve patient outcome and provide major benefits in global hypertension control efforts

Biography:

Bihter Akın has been working as a midwife in the maternity unit for about 15 years and continues her Ph.D. education. There are published many articles and book chapters on birth, birth pain, prenatal education.

Abstract:

Recently, nonpharmacological methods have been used as well as pharmacological agents in the management of birth pain. Labor dance  is a combination of many nonpharmacologic methods. The research has been conducted to determine the effects of labor dance on perceived birth pain, birth satisfaction and neonatal outcomes. The data were collected during the active phase of labor as three groups; Midwife Dance Group (MDG) (40 pregnants), Spouse/Partner Dance Group (SDG) (40 pregnants) and Control Group (CG) (80 pregnants). In Midwife Dance Group, the midwives who are in charge of the in delivery room and following the pregnancy; in the Spouse/Partner Dance Group, spouse/partners have danced with pregnant during the active phase (dance with a RELAXING/slight/gentle musical accompaniment, wrapped around partner's shoulders, swinging to the right and to the left). For the control group, only routine practices/treatments were implemented in the hospital. In all three groups, perinatal birth pain, birth weight, newborn 1st, 5th and 10th minute Apgar score and oxygen saturation levels were compared.  Pain score was lower in Dance Groups than Control Group, 5th minute Apgar score, 5th and 10th minute oxygen saturation level and birth satisfaction score were significantly higher than the Control Group. There is a positive effect on the birth pain, birth satisfaction and neonatal outcomes of the labor dance performed with the spouse or midwife in the intrapartum period. For effective management of birth pain the family should be included in the intrapartum period. Midwife, pregnant and family should act in cooperation.

Biography:

My name is Nataly lazarovitch, I was completed my MA before 2 years from Tel Aviv University.  At last 8 years I am working in intensive care cardiac surgery Sheba medical Center and two last years I am Deputy Head Nurse in ICU Cardiac Surgery.

Abstract:

Extracorporeal membrane oxygenation (ECMO) is a complex and expensive technology that can be used to provide temporary support during respiratory and heart (or bough) failure. Two cases of critically ill patients who received ECMO  using different forms of circuitry and for different indications and presented. Both patients had life-threating problems with shock and were not able to be supported by conventional means. We discuss the expanding indications for this technology and the role it has to play in our intensive care nursing management. We find a number of important managerial and policy implications regarding technological adoption, like ECMO, specialization in this professional domain, and the quality of interaction nursing team.  Focuses on the process of decision making in managing the care of ECMO clients experiencing critical conditions that are life threatening and/or involve multiple body systems and multiple machine system.  Complex medical-surgical-nursing conditions in intensive care units are discussed in terms of pathophysiology, etiology, diagnosis, and treatments that are based on current research and experience over the years

Biography:

Gemma Umali BSN RN completed her Bachelor Degree of Nursing from Pines City College in the Phillipines and is also currently a Clinical Nurse III on a general medical surgical unit at New York Presbyterian Hospital/Allen Hospital. 

Abstract:

Background:

Aromatherapy has been shown to have positive effects on several different aspects of pain managment and well being. This project was initiated as a way to improve pain management on a general medical/surgical unit  in conjunction with opiate pain management. Aromatherapy therapy tabs were offered to patients with sickle cell/general pain, nausea/vomiting and a post survey about the patient’s experience was conducted to determine effectiveness. Lavender-Sandalwood for relaxation, comfort, sleep, pain relief. Orange-Peppermint uplifts, energizes, and can soothe queasiness and was used for nausea/vomiting patients.

Results:

97% of all other patients with pain reported it helped them to relax and feel comfort.

All nausea and vomiting patients reported it helped them to relax and feel comfort.

85% of nausea and vomiting patients reported it helped soothe queasiness.

25% of staff survey reported it made their job easier.

We measured one data point prior to the intervention and in pain management score (PMS) was 45.5%

The (PMS) improved to 77.5% then 50% respectively then 100% in the post intervention periods still showing improvement from the initial score of 45.5%

With the implementation of the aromatherapy as an adjunct to pain management we noted an improvement in pain scores from the initial to present which reflects the impact this project had on the patients’ experience. Although it did not totally help relieve pain for the majority of our patients, it helped in other areas such as sleep, relaxation and comfort.

Biography:

Kåre Karlsson completed his MSc in 2009 from Borås University, and has worked in the ambulance service in Skaraborg hospital, Sweden for 33 years. He is a specialist nurse in the prehospital field. He is also a PhD student at half-time at Jönköping University. He has published 2 papers in reputed journals.

Abstract:

Background

Previous research has shown that paramedics are exposed to risks in the form of injuries to the musculoskeletal system and they are over-represented in terms of cardiovascular disease, cancer and psychiatric diseases, partly explained by exposure to stress. The aim of this study was to see if the use the of shoulder straps decreases physical effort in the form of decreased heart rate and cortisol concentration.

Methods

 A stretcher with a dummy was carried by 20 participants 400 metres on two occasions, one with and one without shoulder straps and cortisol samples were taken at intervals of 0, 15, 30, 45 and 60 minutes and heart rate was monitored continuously. Each participant was her or his own control.

Results

 A significant decrease in both heart rate and cortisol concentration were seen when shoulder straps were used. Median for women at 0 minutes 85/23.3  (heart rate/cortisol concentration), 15 minutes 92/20.8, and 60 minutes 70/18.4 and without shoulder straps at 0 minutes 84/32.4, 15 minutes 100/32.5, and 60 minutes75/25.2. For men, the results were 78/21.1, 85/16.9, 76/15.7 and 78/21.9, 93/21.9, 73/20.5, respectively.

Conclusions

The use of shoulder straps decreases measurable physical stress and should therefore be implemented when heavy equipment or a stretcher need to be carried. To ensure this, shoulder straps should be personal or alternatively be sewn into alarm jackets. 

Biography:

Patrik Niemelä completed his MSc in 2009 from Borås University, and has worked in the ambulance service in Skaraborg hospital, Sweden for 11 years. He is a specialist nurse in the prehospital field. He has published 2 papers in reputed journals.

Abstract:

Background

 According to previous research, ambulance personnel often experience themselves as healthy, but at the same time several studies show that they suffer from a number of stress-related illnesses, take early retirement and even suffer early death. The aim of this study has been to examine mental stress during priority-1 alarms.

Methods

During 91 priority-1 alarms heart rate and salivary cortisol concentrations were measured. During priority-1 alarms salivary cortisol was collected on two occasions, at alarm and after end of alarm. Heart rate was measured every 15 seconds. Fourteen men and six women (sixteen ambulance nurses and four paramedics) participated. A questionnaire with background data was collected.

Results

 Elevated heart rate was associated with priority-1 alarms. When comparing individual alarms and different participants, there are clear differences in heart rate and cortisol response.  There was no tolerance development for heart rate response. Alarms concerning traffic accidents, fast track and children seemed to generate the highest stress response. There was no significant difference in stress regarding personnel’s age, gender, level of education or point in time for alarms.

Conclusions

 Predefined fast track schedules and traffic accidents appear to generate stress among staff. Since no correlation could be seen between heart rate and salivary cortisol concentration they cannot replace each other as indicators of stress.  

Biography:

Yuki Ohtsuyama, an assistant proffesor, has worked with the elderly for many years in clinical environments. Her personal experiences lead to her interest in research on elderly abuse and how it can be better identified by nurses. After graduating with a BSN in 2008, Yuki began clinical work with patients as an RN in a surgical ward specializing in respiratory medicine, and orthopedic and gastrointestinal surgery. She continued work as a nurse both in an emergency room and in a nursing home while working to achieve her MSN. She graduated with a specialization in gerontology in 2014.

Abstract:

TOPIC: The population of the elderly is increasing rapidly in Japan. Nurses need to become more conscious of elderlu abuse. Ageism may affect the ability of nurses to discover elderly abuse.

PURPOSE：To Review literature concerning ageism among nurses in japan.

SOURCES: Selected published nursing literature 2001 to 2016 on Japan Medical Abstracts society.

RESULT: There were 22 articles, 2 of them were about ageism of nurses and care givers who work in nursing homes. All the other articles were about ageism of nursing students or educations of ageism in nursing schools. According to several authors (Kukihara,2012; Sano,2010;Tanaka,2007), education and experiences of associating with elderly people effects ageism. However there wasn’t any articles about ageism of nurses in general hospitals.

CONCLUSIONS: Researching ageism of nurses in general hospitals is a matter of great urgency.

Biography:

Michiyo Yamamoto has completed her PhD from Sapporo Medical University. Her major was public health and she studied about end-of-life care of older adults. She is a teacher of the gerontrogical nursing at Hokkaido University of Science from 2013. She has been research for aged skin, end-of-life care, and interprofessional educatio. (Up to 100 words)     
 

Abstract:

The purpose of this study was to clarify the changes in the stratum corneum hydration compared to temperature and air humidity.The subjects of this research were fifty-eight older adults. The researches were conducted in March and May of 2017. A self-administered questionnaire was consisted demographic data, frequency of taking a bath, nutritional status (MNA® SF) and condition of xerosis cutis. The stratum corneum hydration was measured on the center forearm by Mobile Moisture HP10-N®. Data was analyzed for gender, age, frequency of taking a bath and nutritional status to examine differences in stratum corneum hydration. Later differences of the stratum corneum hydration data obtained in March and May were examined.The results of this research displayed thirty-two female subjects (55.2%), thirty-five subjects under seventy-five years old (60.3%), twenty-eight subjects who took a bath every day or almost every day (48.3%), twelve subjects at risk of malnutrition (20.7%) and eight subjects with rough skin (13.8%). There was no significant difference recognized in the stratum corneum hydration regarding gender, age, frequency of taking a bath or nutritional status. At the time of research in March and May, the temperature was 24.9±0.4 ℃ and 24.4±0.4 ℃ (p>0.001), respectively, and the air humidity was 29.8±1.3% and 47.3±3.6% (p>0.001), respectively. The stratum corneum hydration in March and May was 41.6±8.5 (minimum value, 22.0; maximum value, 59.7) and 50.3±9.0 (minimum value, 34.0; maximum value, 72.0) (p>0.001) respectively.The stratum corneum hydration was significantly low in low humid environments.

Biography:

Ms. W. C. Wong is the Assistant Professor (Division of Nursing and Health Studies) of The Open University of Hong Kong. She is a Registered Nurse and Registered Psychiatric Nurse. She had worked in several different clinical areas, including acute care unit and psychiatric unit before joining the university. Her research interests include mental health nursing and caregivers’ needs. 

Abstract:

The Open University of Hong Kong, Division of Nursing and Health Studies, School of Science and Technology, Hong Kong SAR Background: With the rise of ageing population, dementia population will soar in the coming decades in Asia. Western studies stated that dementia patients always suffered from stigma; thus they hesitate to seek diagnosis until late stage. Despite the prevalence of dementia, studies concerning the stigma of these people are lack in Asia. Purpose: This article aims to review stigma towards dementia in Asian cities. Method: Criteria were set for searching among published studies listed in various databases, including MEDLINE, CINCAHL, PsycINFO, ProQuest, and Springer Link. Asian articles investigated the stigma of dementia were included. Articles with the words “dementia”, “Alzheimer’s disease”, “stigma”, “perception”, “attitude”, “stereotype”, “label” in titles and abstracts were identified. Articles with all types of research designs and methods, regardless of whether in English or Chinese, were included. Articles are limited to year between January 2007 and August 2017. Results: Of the five articles included in this study, four were conducted in Hong Kong and one was from Japan; one was editorial, one was commentary, two was survey and one was cross-sectional study. Samples were recruited from community. Authors proclaimed that stigma on dementia patients were strong in Asian cities. Older people and people who rarely contacted dementia patients inclined to have stronger stigmatization. In addition, higher level of stigma associated with lower care seeking intention. Conclusion: Studies concerning stigma on dementia patients were insufficient in Asian countries. More studies should be conducted to explore condition of stigmatization, so strategies to reduce stigma can be established. 

Biography:

Natascha holds a Nursing and Obstetrics degree from Catholic University of Santos (2006) and post-graduate degree in Medical-Surgical Clinic from UNIFESP (2009). She is currently a PhD student in Cardiology at UNIFESP, has already presented papers in congresses and three scientific publications. In addition, she has experience in collective health area with emphasis on geoprocessing in leprosy, defense in recognized congresses. She is a Clinical Senior Nurse at an internationally renowned Hospital Institution (Hospital Israelita Albert Einstein), responsible for Medical Clinic Units with scientific projects development concerning 

Abstract:

The Urinary Tract Infection (UTI) associated with bladder catheterization is one of the infections related to health care with a high financial impact (mean therapeutic expenditure of US $ 1.6 billion per year), high rate of hospitalization and elevated morbidity and mortality . Interventions to reduce UTI rates associated with urinary catheters advocate  strategies for prevention and reduction of UTI, trained staff to perform bladder catheterization technique, and resolutive approaches in team engagement in the adoption of protocols for  prevention of urinary tract infection. The study was carried out in the hospitalization units of a private hospital accredited by the Joint Commission Accreditation Health Care Certification (JCAHO), in  2017 with the analysis of indicators that aid in the measurement of changes. It is a quantitative approach to  care indicators of bedside care and staff engagement strategies. The number of UTI was reduced to zero in the last quarter of 2017, surpassing the national benchmarking (National Database of Nursing Quality Indicators) of 1.32%. The training of professionals as well as awareness was a fundamental starting point for a sustained practice with positive results through the formation of a work team to disseminate, implement the strategies of infection control and stimulate adherence to the protocols. Other implemented strategies  such as the use of ultrasound to assess urinary retention for the correct indication of catheterization; training with differentiated methodologies provided an effective result for UTI's safety and control.

Biography:

Soraia holds a postgraduate degree in Nursing from University of São Camilo, postgraduate degree in Child and Adolescent Health from the Medical School of USP and a Masters degree in Nursing from Albert Einstein College of Sciences and Health. She is coordinator of the Medical Clinical Surgical Unit directed to Gastroenterology at Hospital Israelita Albert Einstein with development of several scientific projects focused on the quality of nursing care.

Abstract:

The study is an experience report with 300 patients performed in  2017 at a private hospital, certified by the Joint Commission Accreditation Health Care Certification (JCAHO), located in São Paulo/ Brazil,  which addresses efforts in the safe use of  anti-embolism stocking  by nurses in daily practice. Inadequate placement of  elastic stocking by the nursing team may lead to ineffective antithrombolytic treatment, skin lesions, and increased risk of developing thrombosis due to poor adjustment and misuse of the device. Taking into consideration this  scenario of risk and therapeutic ineffectiveness,  a simple economical and innovative proposal to solve issues related to  practice  in order to improve the delivery of patient´s care was presented. This innovative and practical  method is based on the use of a low density polyethylene plastic bag, which will be coupled inside the elastic stocking to facilitate sliding of the stocking in the lower limbs, thus improving the correct ergonomic positioning by the nursing team in order  to reduce the risks of musculoskeletal injuries related to  elastic stockings placement. The elastic stockings, worn  in the institution, have an opening in their tips to provide  a better  control of  blood circulation and to facilitate  the removal of the plastic accessory used for this stocking  placement. This simple and innovative method provides  practice based on evidence for  collaborator´s and  patient´s best experience and safety.

Biography:

Soraia holds a postgraduate degree in Nursing from University of São Camilo, postgraduate degree in Child and Adolescent Health from the Medical School of USP and a Masters degree in Nursing from Albert Einstein College of Sciences and Health. She is coordinator of the Medical Clinical Surgical Unit directed to Gastroenterology at Hospital Israelita Albert Einstein with development of several scientific projects focused on the quality of nursing care.

Abstract:

The discomfort experienced by the patients at the time of nasogastric and nasoenteric tube insertion, the contact of the device in the oropharynx mucosa, stimulating the reflex of  vomit, as well as the hyposalivation caused by the stress to which the patient is being submitted, make the swallowing process difficult  which is essential to  tube insertion  technique. The objective of this study was to evaluate the nasogastric or nasoenteric tube technique with popsicle ingestion and to compare the occurrence of discomfort during the insertion  with this technique and the traditional method. It is an interventionist , controlled clinical trial type, randomized, and parallel study   with quantitative data analysis. The study was developed in an extra hospital in the units of Clinical Surgery . In CG, 90% of the patients reported some discomfort and in EG, this proportion was only 10%. The majority (90%) of  patients who did not use the fruit popsicle (CG) presented discomfort (anguish, nausea, suffocation, vomiting and breath shortness) and 10% of patients in the fruit popsicle group (EG) presented discomfort (vomiting); all (100%) EG patients reported that the fruit popsicle helped in the swallowing of the tube and reduced the occurrence of discomfort. All the patients (100%) of EG would recommend  the tube insertion  using the fruit popsicle technique. The tube insertion technique with introduction of  popsicle fruit is a tool that facilitates the daily practice of bedside nurse, as well as patient experience in relation to  tube insertion  procedure.

Biography:

Yoon completed her PhD in 2005 from Keimyung University in Korea and has served as an assistant professor in Hanil University since 2014. She is a hospice specialist, giving consultation in various hospital settings and community care organizations. She has published papers in peer-reviewed journals regarding hospice, spiritual nursing and program development for Korean nursing students.

Abstract:

This study was to present education and holistic care of Elizabeth J. Shepping (1880~1934), a nursing missionary and a founder of the Chosun Nursing Association who visited Korea during the Japanese colonial period. Primary and secondary sources were collected and analyzed. This study provides important implications regarding Shepping’s holistic nursing as follows: First, she came to Korea after studying nursing and bibliology and being trained for nursing missionary works. Second, she cared for many Koreans, especially Korean women, to protect them from poverty, oppression, ignorance, and illnesses. Third, she continued to spread holistic care in hospitals and other local communities. She trained nurses, developed nursing education, and produced a large number of domestic nursing leaders by establishing women’s Bible school. Fourth, she founded the Chosun Nursing Association, serving as its first president for 10 years and applied to join the International Council of Nurses (ICN). Finally, suggestions were provided for future research, and it will be necessary to study thoroughly nursing achievements by nurses from other countries who practiced their nursing activities in Korea, and such studies are expected to lead to analysis of nursing missionaries’ experiences.

Biography:

Dr. Le has more than 20 year experience with international organizations in public health covering nutrition; immunizations; Integrated Management of Childhood Illnesses; reproductive, maternal and child health; tuberculosis; malaria; and health system strengthening. Dr. Le’s expertise is in international research bioethics; implementation research; public health programming and management; communication for behavior change; monitoring & evaluation (M&E); capacity building; and advocacy for health policies and strategies. She has Master of International Research Bioethics degree from Monash University (Australia, 2008), Master of Public Health from the University of Queensland (Australia, 2005), and Medical Doctor degree from Hanoi Medical University (Vietnam, 1990).

Abstract:

Village-based ethnic minority midwives (EMMs) is a human resource strategy for strengthening maternal and child health in hard-to-reach areas in Vietnam. Regulated financial support is essential to maintain their performance.

This review analysed EMM’s relevant policies, strategies, plans, published papers, unpublished reports and plans.

The maternal and infant mortality rates in hard-to-reach areas are 3-4 times higher than those of the country. The percentage of home delivery and delivery without skilled-birth attendants are double the country’s (2016). Customarily many ethnic groups don’t allow male village health-workers attending the delivery.

The EMMs’ official role was recognized by the Ministry of Health's Circular 07 in 2013. The circular directed that each trained-EMM has a monthly allowance of 0.3-0.5 of the local minimum wage set by the State (US$14-$23 a month). However, the Prime Minister’s Decision 75/2009/QD-TTg (2009) decided that the national budget covers only one health-worker a village. A hard-to-reach village that needs an additional EMM should have allowance from province.

By 2017, nearly 40% of 2331 trained EMMs had no allowance. Many hardly maintained working as EMMs. Only 3 of 51 provinces with special difficult villages planned for EMMs allowance from local budget. Several provinces used to have international support (UNICEF, EU) stopped paying EMMs when projects ended.

To maintain the EMMs, we recommend: 1) review the Decision 75/2009/QD-TTG; 2) include EMMs in government salary scheme; 3) apply minimum local wage for EMMs (USD120); 4) set a specific portion of tax to cover the EMM’s allowance; 5) establish an EMM foundation.

Biography:

Chi Ping Chang has completed his PhD at the age of 48 years from National Taipei University of Nursing and Health Science. She is the Associate Professor, Dep  of Nursing, Tzu Chi University of Science and Technology. She has published more than 10 papers in reputed journals and has been serving as an editorial board member of repute. 

Abstract:

With advances in information technology, the e-portfolio focusing on individualized learning, reflection, and self-management has received positive attention, and the nursing profession has adopted e-portfolio to nursing education. This study based on technology acceptance model 2 explores the needs and perceptions of graduate student nurses regarding the use of e-portfolio in the Last Mile Practicum Course (LMPC). Five focus groups comprising ten to twelve student volunteers participated. The focused interview data was analysed through content analyses aimed at evaluating the perceptions of e-portfolio. The results revealed four key research themes: (1) anticipated functions achieved, (2) ease of uploading data and showcasing learning results (3) functionality extensions to enhance mobile learning, and (4) policy guidelines and plagiarism prevention. Majority of students identified that the e-portfolio system must facilitate positive rapport between nursing students and instructors, while establishing clear internship goals. The system should provide a user-friendly and stable system function for data upload. The e-learning content should be linked with the teaching system used by the practicum hospital, and offer additional functionality. The mobile versions of the e-portfolio technology should be developed to increase accessibility. User policy guideline for teachers and students as well as antiplagiarism measures should be implemented. E-portfolio assists in integrating knowledge, skills, and achievement recognition into the learning process. The nursing students’ suggestions for e-portfolio include: a user friendly/useful system and a policy of use and antiplagiarism to promote adoption of e-portfolios. This enables students learning their clinical competency for future nursing practice in the LMPC.

Biography:

Abstract:

Biography:

Yupin Tanatwanit is an Assistant Professor of Faculty of Nursing, Burapha University and completed Ph.D in Nursing from The Catholic University of America, Washington D.C., USA. The responsibility covers teaching baccalaureate and graduate students (Thai and inter-nursing students). Research funding is supported by Burapha University, Thai Health Promotion Foundation, or National Research Council of Thailand.

Abstract:

The descriptive qualitative design aimed to study the palliative care system providing continuum care from healthcare services to homes in end-of-life (EOL) persons in the East of Thailand. The samples were both healthcare providers and EOL patients and their family caregivers from three selected palliative care networks. These were recruited by the purposive sampling technique. Three methods were used to collect data: group meeting of healthcare providers (2 networks: N₁ = 80, N₂ = 60), focus group (1 network of healthcare providers [N₃ = 26]), and in-depth interview for EOL persons (N = 5) and their family caregivers (N = 8). Four instruments were applied: Palliative Performance Scale Version 2 (PPSv2), Demographic data forms, Issues for group discussion, and Semi-Structured Interview Guide. The data were noted, documented, and recorded by two tape-recorders. The data were summarized and categorized; and then validated in the meeting among 5 research leaders (5 regions of Thailand). In addition, the literature review was used to synthesize for quality palliative care model.

The results revealed that the palliative care system in Thailand still needed to be improved continuously encompassing 8 aspects: palliative care system and structure, law-ethics, palliative care service, palliative care system linking between healthcare services and homes, drug management, medical-equipment management, referral system, and palliative-care support. For Thai palliative care model, 4 models should be considered: Hospital palliative care model, Hospice center, Home-based palliative care model, and Rapid response service (RRS) for emergency. Conclusion, palliative care system in Thailand still needs to be improved.

Biography:

Ameera Aldossary has completed her Ph.D. in Nursing Studies on January 2011 from King’s College London and her Master of Science in Health Services Management on November 2004 from London School of Hygiene and Tropical Medicine - UK. She is the Director of Nursing Practice, Education and Research in King Fahad Specialist Hsopital-Dammam and was an assistant professor and department head of Nursing in Prince Sultan Military College of Health Sciences – Dhahran from 2005 to 2014 (Saudi Arabia). She has published some studies in reputed journals and participated in several national and international conferences. Dr. Ameera Aldossary is a recognised healthcare traineer and conducted several workshops within this field in Saudia Arabia and abroad. She is an associate memebr with the Saudi Sociaty of Health Administration and was a member in the Nursing Scientific Board in the Saudi Commission for Health Specialist. 

Abstract:

Nurses play an important role in promoting the health of patients and public (WHO, 1989), as nurses were identified as the most appropriate healthcare personnel to provide health promotion. Many studies found that there is a significant relationship between nurses’ health-related behaviours and their health promotion practice (Aldossary, 2012; McEwen and West, 2001; Hall, 2005; Chan, 2007). Thus, this study used a self-administered questionnaire that drowns upon Walker, (1995) study, to investigate the health-related behaviours of nurses work in Saudi Arabia and identify the need of promoting their health.  A convenient sampling was applied for this study and a descriptive analysis was used, to test the association between six health-related behaviors and four variables (gender, age, nationality and degree). The results showed the highest average score was in spiritual growth and inter personal relations (27.7). Health responsibility average was very similar, physical activity average was significant in favor of male (M 22.8- F 18.36), nutrition, spiritual growth and stress management was minor variation. Variations of scores by gender were very minor and insignificant (P > 0.05). Average score distribution by age showed minor variations and were found insignificant (P > 0.05). It can be seen at MSc holders have relatively higher score but was found insignificant (P>0.05).

Biography:

Abstract:

Background: Nursing is a stressful job requiring supportive management and effective interventions using appropriate planning. To change work environments and improve organizations, accurate data are required.

Objectives: To explore the nursing staff stress and strain in relation to elderly care and to examine the association between staff development, work conditions and staff-perceived work stress and strain.

Methods: Cluster random sampling was undertaken to select three hospitals from the 31 private hospitals, in addition to the three governmental hospitals, which are located in Amman, the capital of Jordan. A cross-sectional design was used to recruit the 500 nurses who worked with elderly clients in the study settings.

Results: The most common sources of stress for geriatric nurses in Jordan were unsocial hours and difficult patients; psychological strain arose from working with dementia patients and insufficient time for tasks; physical stress came with cleaning and a single workspace. Predictors for work strain lay in factors of gender, job satisfaction, competence, development skills, and employee development. Stress predictors added work climate to this strain list. Female nurses had more physical and psychological strain and stress than male nurses; and nurses who have a better work climate had less stress.

Conclusion: Employeeship culture ideas could be partially implemented to improve partnership in the workforce within a hospital or between health institutions. Rotating elder care nurse groups through other wards would temporarily replace the stress of dementia patients with a varied workspace, different collegiate and superordinate interaction and different new tasks.

Biography:

Yea-Pyng  has completed the  PhD from Chang Gung  University . Now the director of Nursing Department at Mennonite Christian Hospital . I has published  papers in reputed journals and has been serving as an reviewer board member of Nursing Journal.

Abstract:

Aim: To develop and psychometrically test an instrument to assess nurses’ skills in providing dignity in care for patients in clinical settings

Background: Maintaining patient dignity is an important aspect of nursing care. No instrument is currently available to measure skills that provide dignity in care.

Design: A cross-sectional, descriptive survey.

Methods: A survey questionnaire was developed to measure dignity in care for clinical nurses guided by individual interviews with 40 nurses, literature, and the authors’ clinical experiences. In 2013, a purposive sample of clinical nurses (n =610, response rate = 100%) completed the inventory. A 36-item Likert-type scale was analysed by descriptive statistics and factor analysis.

Results: Kaiser–Meyer–Olkin and Bartlett's sphericity tests showed that the sample met the criteria required for factor analysis, which identified six factors influencing dignity of care: communication skills, confidentiality of patient information, prompt response to patient needs, respect for patient’s autonomy, providing a safe environment, and protecting privacy of care. The reliability coefficient for the total scale was 0.93; alpha coefficients for the subscales ranged from 0.70 to 0.94. The scale had acceptable content and face validity.

Conclusions: This new scale was found to be a reliable and valid tool for assessing nurses’ abilities in providing dignity in care in the clinical setting. The questionnaire can be used to provide feedback to nurses regarding their skills in maintaining patient dignity. This instrument could be used to design nursing education programmes, which could help nurses enhance their practical skills.

Biography:

Souzan Abd El-Menem Abd El-Ghafar  Harfush has completed his PhD at the age of 32 years from Tanta  University (since 18 months). I have  published 2 papers in reputed journals.

Abstract:

Caring for mentally ill patients affects the family caregivers' physical and mental health which leads to a lot of burden. Consequently, family caregivers need resilience to help in relieve this burden and to regain their quality of life. Objective: The present study was designed to assess the levels of resilience, burden and quality of life among family caregivers of patients with schizophrenia and their relationships. Setting: The study was conducted at the psychiatric outpatient clinic of Mental Health Hospital in Tanta City (which is affiliated to General Secretariat of Mental Health) and Psychiatric Outpatient Clinic Affiliated to Tanta University. Subjects: A descriptive correlational design was utilized in the study, using a convenient sample of family caregivers of patients with schizophrenia (N=109). Tools: Connor Davidson Resilience Scale (CD-RISC), Burden of Care Inventory, and the World Health Organization Quality of Life Scale. Results: The present study indicated a significant positive correlation between resilience level and quality of life. On the other hand, caregiving burden was negatively correlated with each of resilience and quality of life. Moreover, family caregivers have moderate level of resilience, and around two thirds of them have poor overall quality of life and experiencing moderate to severe burden. Conclusion: The present study concluded that, decreasing family caregivers' burden and enhancing their quality of life is imperative, this can be done by emphasizing the significant role of resilience. Recommendations: A rehabilitation  program and ongoing  interventions for family caregivers should be established to enhance their resilience and consequently to decrease their burden and improve their quality of life. 

Biography:

Abstract:

Background : Premarital program (PMP) is a worldwide activity aiming to diagnose, treat unrecognized disorders, and reduce transmission of diseases to couples which may affect the quality of marriage and the health of future generations. It worth mentioned that none of the reviewed literature has addressed the knowledge ,attitude and practice of premarital program among nursing students in KSA.Nursing students as a future health care providers may encourage regular checkups or testing for people with a medical condition that runs in their family. The aim of our study is to investigate the Knowledge, Attitude and Practice of Nursing Students Regarding a Pre-marital Program in Jeddah.

Objective: is to investigate the  Knowledge, Attitude and Practice of Nursing Students Regarding a Pre-marital Program in Jeddah. 

Method:A quantitative cross-sectional design was used .The study sample accounted 160 nursing students. Non probability, convenient sampling technique was used .The study tool was devoleped by the researchers. The study questionnare consists of six parts: sociodemographic data of the students and their families, student's knowledge and attitude about the PMP, intention of engaged students towared PMP, experience towared PMP among married students.

Results:The mean age of the students was 21.34 years,majority of them in stream 1, However, about one quarter of them had family history of hereditary diseases,and about three quarter of them Knew about PMP and its availability in KSA. Considerable number of the sample had Knowlege about the services provided inPMP, However most of them recognize the importance of PMPespecillay in reducing the risk of genatic disesaes. In addition the total knowledge score of the partecipants regarding PMPshow that less than three quarter of the particepants(70%) have good knowledge while the rest of the studied  sample (30%) have poor knowledge, the total attiude score regarding PMP shows that the  majority (90%) of the studied sample have positive attiude  while only (9%) of the studied sample have negative attitude, and those who have neutral attitude represent only (1%) of the sapmle. Most of them agreed that law should obligate future couples to do PMP.while most of engaged students had an intention to do PMPand all of married sutudents conduct PMP.

Conclusion: Based on the result of the study we conclude that , Most of the participant had a good knowledge, attitude as well as good practice concerning PMP.Even thought, the majority of the participant thought that it’s important to carry out PMP, less than one third of them preferred making it obligatory before marriage.Significant relation was observed between the knowledge and attitude of the students.No significant relation was observed between the educational level and occupation of the participant's parents and their attitud

Biography:

Abstract:

Background

The concept of Family Presence During Resuscitation (FPDR) is gradually gaining recognition in western countries, however, it is rarely considered in South Asian countries including Pakistan. Over time patients’ and families’ rights have gained recognition and healthcare has progressed to become more patient-family centered.

Objectives

The objective of this study was to evaluate the impact of an educational program on the Knowledge, Attitude, and Practices (KAP) of healthcare professionals (HCPs) towards FPDR in Emergency Department (ED), at a tertiary care setting, in Karachi, Pakistan.

Methods

This was a Pre-test and Post-test study design. A convenient universal sampling was done, and all ED nurses and physicians with more than one year of experience were eligible. The intervention included one hour training sessions for physicians (three sessions) and nurses (eight sessions), The KAP of nurses and physicians were assessed immediately after (post-test I), and two weeks(post-test II) after the intervention using a pretested questionnaire.

Results

The findings of the study revealed that the mean scores of knowledge and attitude of HCPs at both time points were statistically significant (p-value=<0.001), however, an insignificant difference was found on practice of FPDR (p-value=>0.05).

Conclusion

The study findings recommend that the educational program on FPDR for HCPs needs to be offered on an ongoing basis. Moreover, training modules need to be developed for the staff, and formal guidelines need to be proposed for FPDR, through a multidisciplinary team approach.

Biography:

Ghulam Abbas Panhwar, s/o Muhammad Moosa Panhwar, holder of MS/ M.Phil in Nursing from Liaquat University of Medical and Health Sciences (LUMHS) Jamshoro, presently working as Assistant Professor Nursing with additional charge of Vice Principal of Benazir Institute of Nursing And Community Health Sciences @ Shaheed Mohtarma Benazir Bhutto Medical University (SMBBMU) Larkana Sindh Pakistan. 

Abstract:

The crucial aim of this study was to assess occupational stress among nurses working at liaquat University Hospital Hyderabad/ Jamshoro. Job related stress increasingly big disorder among nurses stress has a cost for individual in term of health, wellbeing and for organization in term of absenteeism and turnover which indirectly affect quality of patient care. Objectives: To determine the sources of occupational stress and level of stress & to suggest measures to decrease level of occupational stress among the staff Nurses of Liaquat University Hospital Hyderabad/ Jamshoro. Methodology: A study was conducted on 100 staff nurses of Liaquat University Hospital Hyderabad/ Jamshoro hospital using a data collection tool “Hospital Consultants’ Job Stress & Satisfaction Questionnaire (HCJSSQ) February 2008” it is a structured personal interview questionnaire consisting of 25 sources of stress and each question have a scale of 0 (not at all), 1 (a little), 2 (quite a bit) and 3 (a lot), and requires 15-30 min to salve for each questionnaire. Result: The mean age of staff nurses was 32.29 SD +7.025 years. Age ranged from 24 to 45 years.10 (10%) was male and 90 (90%) was female nurse making male to female ratio 1:9. Majority of staff nurses 40.64% responded moderate stress followed by 35.48% of nurse’s responded severe stress. Than 16.32% of nurses responded mild stress. We found that older age group and more service length staff have highest frequency 61 (61%) belongs to above 30 years of age and majority of them were in severe or moderate stress level 26 (43%) nurses found in severe stage of stress and 24 (40%) nurses found in moderate level of stress.  The prime sources of stress were found to be having too great an overall volume of work as 56 % populations is in severe stress 32% in moderate stress and 32% are in mild stress. Encountering difficulties in relationships with junior medical staff as 51% nurses are in sever, 36% are in moderate and 9% are mild stress, Being involved with the emotional distress of patients as 50% population is in severe stress 38% in moderate and 5% in mild stress, Being responsible for the quality of the work of other staff level of stress as 38% are in sever, 50% are in moderate and 7% nurses are in mild occupational stress. Underpayment, inadequate staff, & being involved in the emotional distress of patients, inadequate facilities, and disturbance of home life are causes of stress among Nurses of Liaquat University Hospital Hyderabad. Conclusion: Nurses have to face frequent occurrence of stress which could have negative impact on organizational climate in the future. Out of all considered causes of stress, workload is major factors responsible for frequent occurrence of stress among majority of nurses. This stressor could be remove/ minimize through workload management, job redesign, & by offering occupational health education, continue education.

Biography:

I have completed my PhD at the age of 35 years from Liverpool University, School of Tropical Medicine in UK. I am faculty member of Tehran University of Medical Sciences and full professor in health education and health promotion. I am published more than 55 papers in reputed journals and has been serving as an editorial board member of repute. I also published 37 books.

Abstract:

The aim of this study is to find out the effect of education based on Health Belief  Model  and social support on parental care of pregnant women. The present study is a quasi- experimental study which 90 women (45 intervention and 45 controls) who were randomly selected from health centers were rolled. The results of the findings showed that there is a significant difference at the first post-test, 3 months and 6 months after the intervention between the intervention and control group concerning knowledge, health belief and social support and parental care. (P<0.05). The findings of the research indicated that the average score of all components  before and after the intervention were statistically significant (P<0.01). Six months after the intervention, the average behavior in experimental group increased by 14.36% (P<0.001). Comparing birth weight, there was a significant difference between experimental and control groups after the intervention. The components of the Health Belief Model and Social support are able to predict 78% of the variance of parental care. According to the path analysis, social support (0.466), self-efficacy (0.389), perceived severity (0.263) and perceived susceptibility ( 0.205 had the highest effect on parental care. This study showed that the effectiveness of HBM and social support structure to improvement and continuation of parental care.

Biography:

Mr. Bajjali recently has completed his MSc in pediatric nursing at the age of 25 years from Al Quds University School of nursing. He had 3 years' experience in pediatric field, currently he works as registered nurse at pediatric cardiac surgery ICU at Al Makassed Hospital in Jerusalem.  He is interested in research field and this is first study that will be published. 

Abstract:

Al Quds University  School of Nursing, Jerusalem, Palestine

Background  Pain management is a very necessary aspect of nursing care of pediatric patients. nurses play a vital role in managing pediatrics' pain. Proper  assessment, adequate intervention, and evaluation of pain relief measures are important for positive outcomes. The need of this study in Palestine has been raised due to Lack of facilities, protocols, educational programs and insufficient training materials in Palestine. Ultimately Palestinian children are suffering of pain and pain become poorly managed. Purpose of this study was to assess level of knowledge and attitudes of pediatric nurses regarding pain management in Palestinian hospitals in West Bank. Instrument: The pediatric nurses' knowledge and attitudes survey (PNKAS) was used in this study to assess the level of nurses' knowledge and attitudes regarding pain management in children among pediatric nurses in Palestinian hospitals. Method: This descriptive, quantitative cross sectional study was performed at 14 hospitals among 256 nurses who work in general pediatric wards in West Bank. Results: The total mean score on PNKAS scale was 50.4%, and highest score was 84.8%, and lowest score was 25%. Most nurses demonstrated lack of knowledge about pain management. 98.4% of nurses had misconception about incidence of opioid addiction, 94.9% of them also had knowledge deficit about incidence of respiratory depression, and 91% of nurses believe that children over-report their pain. The findings of this study showed that pediatric nurses in Palestine have insufficient knowledge and attitudes regarding pain management. Recommendations: Educational programs, continuous training may be beneficial related to this issue.

Biography:

Dr. Campbell-Law is a Professor, and Doctorate of Nursing Practice Program Coordinator at the University of St. Thomas, Peavy School of Nursing in Houston, Texas. She earned her Doctorate from Texas Woman’s University, in Houston, Texas.  She is an Adult/Psychiatric/Nurse Practitioner and assesses service members getting ready for deployment evaluating those returning from battle for any indication of traumatic brain injuries. Dr. Campbell-Law is well known for her work in the mentally ill arena and has a proven record of publications and presentations on the topic of depression and bipolar disorders.

Abstract:

The purpose of this presentation is to discuss how mission trips in international settings, with faith-based organizations, are used to help meet the clinical needs of undergraduate nursing programs. There is a constant struggle and competition to find clinical sites for undergraduate nursing students while also meeting the obligation to expose students to the concepts of diversity and inclusivity.  Taking undergraduate nursing students on mission trips can provide a solution to this dilemma.  The high-impact educational practice (HIEP) concepts of diversity and global learning were integrated into the experiential learning experience by introducing a study abroad component into the nursing curriculum. Our nursing school partnered with a church-based organization that provides medical, nursing, dental, health care and humanitarian aid to medically underserved communities all over the world. Two faculty and five senior nursing students traveled with a church group to a remote underserved area in Jacmel, Haiti.  Students and faculty spent seven days delivering health care to approximately 300 underserved patients.  Partnering with a faith-based organization to provide the nursing care component met the clinical needs of the students, faculty, and the faith-based organization. This presentation focuses on the steps, processes, procedures, and the pros/cons of forming a collaborative relationship with a faith-based organization in order to provide (HIEP) and clinical opportunities for undergraduate nursing students. 

Biography:

Souzan Abd El-Menem Abd El-Ghafar Harfush has completed  PhD at the age of 32 years from Tanta  University (since 18 months). I have  published 2 papers in reputed journals.

Abstract:

        Current studies about increasing compliance to decrease treatment and healthcare costs have gained more significance. Social support is an important component in the recovery of patients with psychiatric disorders; therefore, it is difficult to ignore its role in improving patient's compliance to treatment. Aims This study aimed to assess the levels of perceived social support, medication compliance and their relationship. Design: The present study follows a cross sectional design. Setting: The study was conducted at the Psychiatric Inpatient Wards of "Tanta University Hospital'' and Psychiatry- Neurology and Neurosurgery Center. Subjects: The study subjects were 144 psychiatric patients. Tools: Tool (1): Socio-demographic data sheet. Tool (2): Multidimensional perceived social support scale (MSPSS). Tool (3):  Drug attitude inventory (DAI). Results: (74.3%) of patients had a poor social support and only 21.5% of them had good medication compliance. there was a statistical significant correlation between perceived social support and medication compliance  Recommendations:  development of social skills training program for patients with psychiatric disorders aimed to teach them how to obtain help and support from family , friends, and significant others .  Training psychiatric hospital staff to increase their understanding about the importance of their supportive role to provide appropriate nursing intervention for patients with psychiatric disorders. 

Biography:

Ms. Simarjeet Kaur is RN, RM from Himachal Pradesh Nursing Registration Council, PhD Scholar (Public Administration) in Panjab University, Chandigarh and has completed M.Sc.(Community Health Nursing) from Baba Farid University Health Sciences Faridkot, India, PG diploma in Bioethics from PSG University Coimbatore. I am working as Lecture (3yrs Teaching Experience) in Akal College of Nursing collaboration with Drexel University USA, Eternal University, Himachal Pradesh. I have attended many National Seminars Co-sponsored by Indian Council of Medical Research, Delhi as Resource person and chairperson and have published 8 papers in indexed and non-indexed journals with additionally paper presentations in International and National conference, Seminars & has been serving as an editorial board member of Nursing and Health Care International Journals as Associate Editor. 

Abstract:

Public health refers to “the science and art of preventing disease, prolonging life and promoting human health through organized efforts and informed choices of society, organizations, public and private, communities and individuals.” Public health nursing includes integrate community involvement and knowledge about the entire population with personal, clinical health and illness experience of individuals and families within the population.

The Public Health Nurse looks for areas of concern within the community and assesses and plans ways through which the concerns can be resolved or minimized such as she may work on are infection control, health maintenance, health coaching, as well as home care visits for welfare of the community.

Public Health innovation identifies new or improved health policies, products and technologies, services and delivery methods that improve people’s health and wellbeing through preventive, promotive, curative and rehabilitative or assistive care. WHO engages in health innovation to achieve universal health coverage within the context of the Sustainable Development Goals (2017).These six goals address key issues in global public health: Poverty, Hunger and food security, Health, Education, Gender equality and women's empowerment, water and sanitation.

**There are some innovative ways to improve public health in world such as

-New technologies (Tele-health/Tele-nursing) could drive greater patient engagement and self-management of disease.

-Regenerative medicine could slow the aging process.

-Precision medicine could transform how patients with disease are treated

-Targeted clinical trials could enable new, more effective treatments to reach the market faster.

-New technologies to more quickly understand and respond to urgent public health crises.

Biography:

Laddawal Vonk is a graduate nursing student (Adult nursing) of  Faculty of Nursing, Burapha University. The nursing experience involves cancer patients (about 19 years)--as an oncology nurse--and in the position of Head nurse in the male ordinary ward, Chonburi Cancer Hospital. Currently, the most interesting area now focuses on palliative care and end-of-life care. For the next project, to apply evidence based practice to improve the quality of palliative care for cancer patients will be done.

Abstract:

The predictive correlational research aimed to study the loneliness of hospitalized cancer patients in Chonburi Cancer Hospital and its predictive factors (stress, self-esteem, and pain). Sample random sampling was used to identify the samples--cancer patients receiving chemotherapy, radiation, and/or surgery, admitted to the female, male, and semi-intensive care units in Chonburi Cancer Hospital. They also met the inclusion criteria. The sample size was 77. This study applied5 questionnaires for data collection: Personal information, Thai version of 10-Item Perceived Stress Scale, Rosenberg’s Self-Esteem Scale, Loneliness Scale, and Pain Numeric Ratting Scale.The consistency reliability was used to test the Thai version of 10-Item Perceived Stress Scale, Rosenberg’s Self-Esteem Scale, and Loneliness Scale. Their Cronbach’s alpha coefficient values were .83, .88, and .95 respectively. The Pain Numeric Rating Scale was tested by the test-retest method (r = .98). The data were analysed by descriptive statistics and multiple regression (Stepwise).

               The result demonstrated that the cancer-patient samples had the moderate degree of  both

loneliness (= 68.18, SD = 6.73) and stress (= 24.97, SD = 5.42). However, they had the high level of self-esteem (= 34.48, SD = 4.54) and low severity level of pain (= 3.39, SD = 2.26).

To predict loneliness, there was only one factor, that is stress (R² = .156, p < .001) Thus, cancer patients who had stress tended to experience loneliness. Nurses should recognize, understand, and investigate how to manage stress in order to prevent loneliness in hospitalized cancer patients.

Biography:

Patricia (Harvard) Hinchberger, EdD, GCNS, APRN has been a nurse for over 20 years. She has held many influential and often nontraditional roles in nursing education, global community health and culture.  She is currently faculty and coordinator of the online RN to BSN program at California State University San Marcos. 

Abstract:

The perception of Global Health and nursing practice varies worldwide.  As countries with limited resources begin to move toward improving care through standardization, there have been an increasing number of international collaborative educational training opportunities. A recent example of this type of collaboration occurred in the village of Bafut Cameroon where training for healthcare personnel was focused on Western standards of care, Western standard operating procedures, and facilitated by an American Nurse Educator. All newly hired personnel attended mandatory orientations provided by the Nurse Educator. Classes on job performance, patient confidentiality, and Code of Conduct were the primary concepts presented. During training, Participatory Action Research, Participant Observations, and an Ethnography worldview were used to assess willingness, resistance, or barriers to Western standards of practice. Themes identified related to cultural differences in the perception of healthcare and values associated with social norms and ideals. These identified themes seemed to prevented or delayed ongoing integration of newly learned standards. 

Biography:

Lorna Kendrick is the current Director of Nursing at California State University San Marcos. Dr. Kendrick earned her PhD from UCLA School of Nursing. Her research focuses on culture and collaboration with her global community partners using Participatory Action Research and Ethnography to guide her worldview.  

Abstract:

The perception of Global Health and nursing practice varies worldwide.  As countries with limited resources begin to move toward improving care through standardization, there have been an increasing number of international collaborative educational training opportunities. A recent example of this type of collaboration occurred in the village of Bafut Cameroon where training for healthcare personnel was focused on Western standards of care, Western standard operating procedures, and facilitated by an American Nurse Educator. All newly hired personnel attended mandatory orientations provided by the Nurse Educator. Classes on job performance, patient confidentiality, and Code of Conduct were the primary concepts presented. During training, Participatory Action Research, Participant Observations, and an Ethnography worldview were used to assess willingness, resistance, or barriers to Western standards of practice. Themes identified related to cultural differences in the perception of healthcare and values associated with social norms and ideals. These identified themes seemed to prevented or delayed ongoing integration of newly learned standards.