Day 3 :
- Cancer Nursing and Clinical Nursing
Burapha University, Thailand
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.
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.
King Fahad Specialist Hospital, Saudi Arabia
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.
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).
The University of Jordan, Jordan
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.
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.
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.
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.
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.
King Saud Bin Abdul-Aziz University for Health Sciences, Saudi Arabia
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
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.
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.
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.
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).
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.
Shaheed Mohtarma Benazir Bhutto Medical University, Pakistan
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.
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.
Tehran University of Medical Sciences, Iran
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.
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.
Al Quds University, Israel
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.
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.
University of St. Thomas, USA
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.
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.
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.
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.
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.
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.
Burapha University, Thailand
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.
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.