6^th World Nursing and Healthcare Conference August 15-17, 2016 Crowne Plaza, Heathrow, London, UK

Biography:

Nevin Sahin has completed Ph D in 1996 from Istanbul University. She received the title of associate professor in 2010, became professor in 2015. She has been the Chairwomen in Department Women Health and Disease Nursing in Florence Nightingale Nursing Faculty in Istanbul University. She has published more than 20 papers in reputed journals and also the author of internationally printed books and book chapters. She has been serving as an editor in Journal of Women Health Nursing (in Turkish).

Abstract:

This study which was conducted in Istanbul, Turkey was to determine nurses and midwives' knowledge, views and practices about oral and dental health (ODH) during pregnancy. A cross-sectional survey was conducted on nurses/midwifes who work at a maternity services during in-service education courses attended in Istanbul. Anonymity and confidentiality were explained to the participants, before the study. Of health professionals, 420 accepted to participate in the study. As they were not fully completed, 42 forms were not taken into consideration. 378 participants’ forms (172 nurses, 206 midwives) were assessed. Participation rate was 84%. The data was collected using the self-administered questionnaire developed by the researchers. The questionnaire included 15 questions related to the socio-demographic characteristics of the participants and 23 questions related to the knowledge, attitudes and practice in relation to ODH during pregnancy. The analysis of the data gathered from the study was performed with the SPSS for Windows. The descriptive characteristics of participants analyzed with the percentages. The mean age of the participants was 32,89± 8,25 years (min 17- max 60), 97.0% of them were female, 54.3% midwife, and 45.7 % nurse. 92.1% participants stated that pregnant should be guided on ODH and 86.8% of participants reported that ODH for pregnant should be a part of prenatal care but 78% of them did not provide information to pregnant. 56.3% participants believed that nurses and midwives have limited contribution to ODH of pregnant. 28.8% participants said that they have sufficient training to inform pregnant about ODH.

Biography:

Mr. Finn’s specialization is in anesthesia where he works at the University of Chicago Medical Center as a Certified Registered Nurse Anesthetist. He acquired his Bachelors Degree in Nursing from Salem State University, Masters Degree in Nursing from Boston College and Masters Degree in Business Administration from the University of Notre Dame. He has numerous years in teaching as a nurse educator at the Bachelors and Masters Degree level. He now lectures nationally on anesthesia topics specifically focusing on patient safety and enhancing anesthesia care. He is published in a current Nurse Anesthesia text book and finishing his PhD at Loyola University Chicago. His area of research is Vigilance of the Anesthesia provider, where he hopes to continue to improve patient safety.

Abstract:

Healthcare providers rely on the communication amongst each other to maintain the optimal care of patients and progress of positive outcomes. Discontinuity is an unfortunate but realistic phenomenon in modern healthcare environments. This discontinuity leads to gaps or misinformation provided that puts our patients at risk for adverse events. Handoffs and signouts occur in every facet of healthcare, from Emergency Departments to the Operating Rooms and Intensive Care Units. The Joint Commission of Accreditation Healthcare Organizations have estimated that greater than 80% of sentinel events resulted from a lack of communication. There are many culprits for the lack of communication with handoffs in healthcare. The bigger question is why are highly educated, motivated and caring individuals still struggling with handoffs and communication in modern healthcare? The answer is more cumulative than one basic event. Leadership, Communication, Situational Awareness, and Teamwork are for key concepts that can help improve the discontinuity that exists in healthcare and lead to positive outcomes.

Biography:

Naomi Lollback has completed her Bachelor of Nursing at the age of 21 years from Griffith University, Australia and has completed a Postgraduate Certificate in Advanced Practice Nursing from the University of Queensland. She is a Clinical Nurse in the Coronary Care Unit at the Princess Alexandra Hospital, Brisbane Australia, and has worked in the acting role of Electrophysiology and Pacing Clinical Nurse Consultant for the last two years. She has published two papers in reputed journals.

Abstract:

Introduction: External DC cardioversion (EDCCV) is standard procedure for treatment of tachyarrhythmias. Objective: A review of an outpatient-based cardioversion service led by a cardiac trained electrophysiology and pacing nurse consultant (CNC). Methods: A review of patients (pts) referred from the general hospital population was undertaken from 2006-2015. Patients were included only if they had adequate, continuous anticoagulation monitored by the CNC in the 3 weeks prior to EDCCV and reviewed in a preadmission clinic where informed consent was obtained by a junior cardiology registrar. The CNC directed all procedures as day cases in a high dependency cardiac monitoring unit in the presence of an anaesthetist and a trainee cardiology registrar. A consultant cardiologist attended patients with a pacemaker or defibrillator. Results: EDCCV was performed in 729 patients, 74% males, median age 65 yrs (range 23-95) in whom 73% had atrial fibrillation and 27% atrial flutter. Biphasic external shock, range 50-200J, was applied with an anterior posterior vector. The mean shock energy was 155J with a mean number 1.35+0.16 (range 1-4) per patient. The success rate was 89%. Patients were usually discharged within 4 hours but 13 required admission: 1 asystole requiring external pacing, 5 admitted for sinus bradycardia, 1 for bronchospasm and hypotension, and 5 for temporary heart block needing monitoring. One patient suffered a CVA 12 hours post procedure. There were no deaths or other serious morbidity. Conclusion: An EDCCV service run by a trained experienced electrophysiology nurse in a monitored environment is safe and effective.

Biography:

Abderrahim Akroute is graduated as a nurse from Universitet and has completed his a Master’s degree in clinical Nursing. He currently Work as CCN in Bodø Hospital, Norway. His research interests pertain to the experiences of families of elderly patients in ICU and Ethics

Abstract:

The objective was to explore the experiences of CCNs in relation to relatives of elderly patients 80 years and older admitted to ICU. Through methods grounded in phenomenology, six CCNs were purposefully selected for their experiences with relatives of elderly patients admitted to an ICU in Norway. Each CCN participated in semi-structured personal interviews. Using content analysis, interviews were coded and categories and themes were identified. An overall theme emerged: “CCNs ambivalent interactive struggle with the relatives of elderly patients”, which reflected the mixed feelings that CCNs recalled having towards relatives. Two themes emerged during the analysis. These were: “relatives are a resource for CCNs and the patient”; and “relatives are seen as challenge”. Six sub-themes were identified: (1) CCNs are relying on relatives (2) Relatives and their understanding of the situation (3) Relatives are committed (4) Relatives have high expectations (5) Relatives can be seen as burden (6) Relatives with cultural differences are a challenge. CCN's experiences with the relatives of elderly patients in ICU represent a significant personal, mixed struggle. The findings indicate that development of communication, education, reflection and a more structured organization of intensive care unit can improve results for CCNs and may improve the possibilities for CCNs to promote an excellent family nursing for the elderly patient and his relatives.

Biography:

Ruff Joseph Cajanding finished his Bachelor of Science in Nursing degree from the University of Santo Tomas in Manila, the Philippines, magna cum laude. He took up Master of Arts in Nursing from the University of the Philippines, Manila; Master of Science in Biology from De La Salle University, Manila, and Master of Health Professions Education from the University of Santo Tomas Graduate School, Manila. He currently works as an Intensive Care Unit nurse in the Liver Intensive Therapy Unit of King’s College Hospital, London, and is taking up Master of Science in Genomic Medicine from St. George’s University, London.

Abstract:

AIMS/OBJECTIVES: The diagnosis and complications associated with heart failure (HF) have been very well established to adversely impact an individual’s physical and psychosocial well-being, and interventions such as cognitive behavioral techniques have demonstrated potential positive benefits among patients with HF. However, the effects of such interventions among Filipino HF patients have not been studied. This study aimed to determine the effectiveness of a nurse-led cognitive behavioral intervention program on the quality of life, self-esteem and mood among Filipino patients with HF. METHODS: A randomized control two-group design with repeated measures and collected data before and after the intervention was used in this study. Participants were assigned to either the control (n=48) or the intervention group (n=52). Control group participants received traditional care. Intervention participants underwent a twelve-week nurse-led cognitive behavioral intervention program focusing on patient education, self-monitoring, skills training, cognitive restructuring and spiritual development. Measures of quality of life, self-esteem and mood were obtained at baseline and after the intervention. RESULTS: At baseline, participants in both groups have poor quality of life, low self-esteem, and moderate depressive symptom scores. After the 12-week intervention period, participants in the intervention group had significant improvement in their quality of life, self-esteem and mood scores compared with those who received only standard care. CONCLUSION: Nurse-led cognitive behavioral intervention is a feasible, disease-appropriate and effective strategy in improving the quality of life, self-esteem and mood among Filipino patients living with HF. It is recommended that this intervention be incorporated in the optimal care of patients with this cardiac condition.

Biography:

Anna Elizabeth Van den Heever obtained a MCur Psychiatric and Mental Health Nursing (Cum Laude) in 2012 from the University of Johannesburg. She is presently an undergraduate psychosocial lecturer at the University of the Witwatersrand. She published 2 articles in reputed journals and has a number of post graduate diplomas and experience in psychosocial nursing and working with addictive and personality disorders.

Abstract:

Psychosocial nursing students in their final year were asked to reflect on their emotional experiences and feelings during clinical placement with severely traumatised children. Despite four years of theoretical and clinical training in general, midwifery, community and psychiatric nursing, the students were found to be in a state of personal, emotional and ethical conflict with themselves and society and left a placement with the residue of unsolved issues and traumatic experiences. Rape, child neglect, abuse, environmental accidents and violence are only a few of the risk factors to the country’s health problems, resulting in children suffering severe developmental, and intellectual, psychological and physical disabilities. Attitudes in the community shift between disregard, stigmatization, rejection, sympathy and sadness. The question was asked: are students emotionally protected and prepared for the reality of coming face to face with severely emotionally, intellectually or physically traumatized children in the community? A purposive sample of written and marked narratives from psychosocial reflective journals of (16) final year students were used. Qualitative analysis of the narratives highlighted an emotional rollercoaster of feelings, ethical and professional conflict between the abused and being the abuser as well as admiration for those caring for them. Information gained will be applied towards continuous improvement of professional and clinical training and emotional support for students in practice.

Biography:

WEN Xin,has completed her bachelor degree at the age of 22 years from Sichuan University and as a postgraduate student studying at West China Medical School of Sichuan University.

Abstract:

In order to test the reliability and validity for Chinese version of Information System Use Behavior Scale for nurses.,680 registered nurses from 7 general tertiary hospitals in Chengdu were enrolled by a convenience sampling method. 654 returned the questionnaires and 617 were valid. Data were analyzed using SPSS version 17.0 to evaluate the structure validity, internal consistency and split-half coefficient of the scale. Finally, two factors were identified (including the expanding use behaviors and the exploratory use behaviors) using the exploratory factor analysis. These two factors contributed to 83.43% of the cumulative variances. The item factor loading in its respective dimension ranged from 0.62 to 0.91(P<0.05). The coefficient of internal consistency (Cronbach’а value) reached 0.918 and the split-half coefficient was 0.798. From the analyzed outcomes we can know that the Chinese version of Information System Use Behavior Scale for nurses has demonstrated good construct validity and reliability in this study. It can be utilized to assess nurses’ Hospital Information System use behaviors.

Biography:

Eman Fateel RN, BSN, MSc Nursing, Nursing Faculty in School of Nursing and Midwifery at RCSI-Bahrain. Her research interest is in clinical nursing and education. Prof. Seamus Cowman, PhD, MSc, PG Cert Ed, DiP N (London), RNT, RGN, RPN, FFNMRCSI, FAAN, Head of School of Nursing & Midwifery at RCSI-Bahrain. Seamus completed his academic studies at University of London, University of Surrey and in completing his PhD at Dublin City University he became the first nurse to obtain a PhD from an Irish University. He is a Fellow of the Faculty of nursing and Midwifery RCSI, and in Nov 2010 he was the first nurse from Ireland to be inaugurated as a Fellow of the American Academy of Nursing. Prof Cowman’s has 160 publications – journal and books and has obtained over €3.5 million in research funding.

Abstract:

Since the foundation of the School of Nursing & Midwifery at RCSI Bahrain in 2006, students’ were provided with textbooks and a laptop as a part of the programme funding arrangements. We were conscious of the high level of usage of IPhones and social media among young people and we believed that this could be harnessed in learning approaches for nursing students. The 2014 entry nursing students’ year 1 (N1) and year 2 (N2) were provided with eBooks as an alternative to textbooks. eBooks are consistent with our emphasis on blended, independent and flexible learning approaches. A longitudinal descriptive study with data collection through surveys and focus-group interviews was approved through the ethics committee. Our preliminary findings reflected no difference in examination results compared to previous cohorts. Overall N1 students favoured eBooks when compared to N2 students who used textbooks in year 1. eBooks facilitated the accessibility of wide ranging learning materials through different platforms at any time and any place in formal and informal locations; stimulated peer-to-peer interactions and supportive learning. Difficulties reported related to the artifact of the digital technology and system unfamiliarity and highlighted the need for continuous technology support and guidance for students while using eBooks. Important patterns of eBook usage and learning were identified through technology platform records. The study will provide important educational insights into Arab nursing students’ learning and studying approaches in Bahrain where no previous studies have taken place.

Biography:

Xia Duan has completed his MD at the age of 26 years from Tongji University,And she is a PhD Candidate now at Tongji University. she is the nurse manager of cardiac Cardiac surgery ICU in Tenth people’s hospital of Shanghai,Chian. She has published more than 15papers in reputed journals.

Abstract:

Tracking Management is a commonly used method in business management, It looking for some causes both individuals and system after adverse event occurred,remediation and tracking. we always used the tracking management in the nursing practice.This study is to explore the role of tracking management applied to patient safety management in nursing practice. We established a tracking management teams, implementied two kinds of methods to tracking related root reasons for adverse nursing events,one is case tracking,another is system tracking;took corresponding measures in terms of risk level of adverse nursing events, and updated or revised the system, to let these adverse nursing events never happen again.After implement of the tracking management, incidence rate of adverse nursing events was significantly decreased , and reported rate of the adverse nursing events was significantly increased(P < 0. 01for both) . In a word,the tracking management play an active role in ensuring nursing safety. Which reduces the occurrence of adverse nursing events, and ensure patient’s safety, At the same time,It changed the attitude of nursing administrators to deal with adverse nursing events ,it help the administrators to seek for flaws and loopholes from the system more than the personal mistakes, and let the administrators to improve the system, strengthenthe system, to ensure safety and nursing quality.

Biography:

Yi-Hui Sung has completed her Master in the National Changhua University of Education at 2005. She has been working for Chung Shan Medical University Hospital in Taiwan for16 years. She is Supervisor of the Department of Intensive Care and Lecture of School of Nursing, Chung Shan Medical University. Now, she is a PhD-student at the China Medical University, Taiwan.

Abstract:

Background & Problems: The catheter associated urinary tract infection (CAUTI) was the number one of health care associated infection. The literature emphasize to implement bundle care that may reduce catheter-related infections. The CAUTI bundle care containing urinary catheter placement and daily care. The urinary catheter placement complete rate was 58.3% and urinary catheter daily care complete rate was only 44.2% in our unit. Purpose: We design a project to enhance of bundle care complete rate on CAUTI above 90%. Resolution: Project period is February 2013 to January 2014. The strategy included developing urinary catheter evaluation sheet, urinary catheter indwelling day board, providing education on bundle care, change the bag hanging place, and additional catheters of various sizes. Results: The urinary catheter placement complete rate was 93.3%, the urinary catheter daily care complete rate was 95.8%, and reducing catheter urinary tract infections from 3.94 ‰ 1.47 ‰ after project implement. Conclusions: To enhance of bundle care complete rate can reducing catheter-related infections, and improving critical care quality.

Biography:

Lin, Li-Chiu has completed her PhD at university of Wollongong Australia. She is majoring in program design for overseas qualified nurses. Recentily, she is concentrating efforts on health education program design for Postpartum women and families.

Abstract:

Postpartum depression (PPD) is one of important concerns in the stage of postpartum. PPD can influence the postpartum woman, their children and their family members’ health. Sometimes causes the postpartum woman to hurt herself perhaps the child. However, the postpartum woman and their family member do not know the whole picture of PPD, also do not know how and where to seek help. The purpose of this study is to investigate the postpartum women and their family the needs of the knowledge about postpartum depression. Expecting by understand family’s cognizance toward postpartum depression to help women and their families to face the problem that may occur. Apart from the understanding of postpartum women and their family’s demands of the knowledge of postpartum depression, the result of this study will offer an anterior partum program about postpartum depression to help women and their families to realize postpartum depression in the early stage and seek help. Study Design： Descriptive exploratory study was applied. Questionnaire combined with opended question was used. Effect： Understand postpartum woman and the family member’s knowledge of PPD. Therefore we can establish an effective and individualizing health education program.

Biography:

Merve Kadioglu is a PhD student at Ä°stanbul University. She is also research assistant at the same university in Women Health and ilnesses Nursing Department since 2012.

Abstract:

It is essential in nursing education to create the integration of theory and nursing skills. While theoretical information is given in the traditional classroom environment; in order to acquire skills, demonstration methods, clinical skills laboratory and clinical hospital internship are utilized. However, in recent years, nursing educators have been experiencing a number of difficulties in transferring the acquisition of clinical skills and theoretical knowledge to students. Due to the increasing number of students, inadequate number of teaching staff, ever-increasing importance of patient safety and inadequate practice in clinical environment, web-based e-learning began to be integrated into different branches of nursing in order to ensure the participation of students and increase their motivation. The number of studies examining the effect of web-based education on nursing skills are increasing. In studies examining the effect of e-learning environment on skills education in Turkey, it is mostly benefited from the skills videos and it is considered as a method increasing the quality of teaching and complementary to formal education. However, for nursing education in countries such as Norway, USA, UK, Thailand, Brazil training, it is determined that different methods which are integrated to e-learning environments (multimedia, animation, virtual simulation, virtual reality, role playing, game-based, second life, etc.) provide a significant contribution to the development of permanent learning and learner’s motivation. E-learning environments, especially in practice-based nursing education, should allow students learn through discovery and improve learners’ problem solving, clinical decision making and creativity skills by putting the learner at the center.

Biography:

Hui-Man is studying her Ph.D. degree at this moment in nursing department of National Taipei University of Nursing and Health Science. She is a nursing teacher as well in St. Mary’s Junior College of Medicine, Nursing and Management. She has published some nursing education papers in reputed seminars.

Abstract:

Clinical reasoning is essential in preserving the standards of the profession and promoting quality patient outcomes. Purpose: This study was to explore the clinical reasoning indicators for nursing students in Taiwan. Methods: An qualitative study design was used. The thirteen participants were experts of nursing education. Individual interviews were transcribed into the procedural record. Data were analyzed by content analysis method by Waltz, Strickland, & Lenz (2010). Results: Analysis of interview showed four main themes. First theme was ” Perceived clinical clues”, included five sub-themes: 1. with sensitivity; 2 Application of observation; 3. Accumulated life experiences; 4. Personal motivation and willingness to initiate. The second theme was “Confirm clinical problems”, included four sub-themes: 1. Search clinical clues; 2. Connect theory with clinical practice; 3. Integrate clinical clues; 4. Identify clinical problems. The third theme was “Decided to act”, included three sub-themes: 1. Determine priorities; 2. Connect theory with clinical practice; 3. Verify hypothetical answers; 4. Solve the patient's problems. The last theme was “Evaluation and reflection”, included three sub-themes: 1. Evaluation effect of problem; 2. Self-evaluation; 3. Self- improvement. Conclusions: The clinical reasoning indicators for nursing students will be expected to build a new instrument to assessment clinical reasoning of students in the future.

Biography:

Jalilova S.A. has completed her bachelor at the age of 22 years in 2003 from Tashkent Medical Academy. She worked at Tashkent Medical Academy from 2003 to 2007. Master degree studies from Tashkent Pediatric Medical Institute from 2007 to 2009. From 2010 until now she is a PHD resident in Tashkent Medical Academy. In July of 2008 she participated in ESCO student conference. In this year in November she participated in “Actual problems of Modern Medicine” congress which holds in Kiev and she was winner of oral presentation award. She was member of a big project in Uzbekistan named of “Organization of Nursing in Uzbekistan”. Now she works as the medical statist at “Population and Reproductive health center of Uzbekistan”. She studied in screening program of cervical cancer master class which holds in Israel (2011). In May of 2012 she had master class on screening program of cervical cancer in Riga. Now she works under her research investigation on topic “Optimization of participation of nurses in determination of cervical diseases”

Abstract:

Women’s health as well as their abilities to become good mothers and live active family and social life largely depends on their reproductive health. Issues of protection of mother- and childhood have been given a particular priority since early independence of our country. Since recent years we can observe increased frequency of cervical diseases (CD) in women aged 20-40. The incidence rate of the diseases in this age group has increased to reach 2.1% a year and now causes a concern, as women of this particular age group represent the most socially and reproductively active share of the country’s population. According to summary statistics, incidence rates of ectopy make 25-39% of all pathologies occurring in the cervix uteri. Aims of the Research: Review the scope of competence and performance of the nursing staff in the issues relating to cervical diseases (CD). Research findings: In order to review the scope of competence of medical nurses in the afore mentioned issues, we have designed a questionnaire covering 13 issues relating to cervical diseases including their diagnostics and prevention, based on which we have questioned 446 medical nurses from 60 family policlinics in Tashkent Findings from the survey show that however 93.0 ± 1.2% of medical nurses are aware of the issues relating to CD, the knowledge they have is not always correct and complete. So, for example, most respondents mentioned cervical erosion as a most common inflammatory disease of the female reproductive system 85.0±1.7%; the second by the level of incidence, in their opinion is cervicitis 16.7± 1.7%, however this should be salpingoopharitis (only 5.4±0.9% answers). According to opinions of the survey respondents, cervical erosion 76.9±2.0%, candiloma and polypus 9.4± 1.4% are inflammatory diseases of the cervix uteri, while the original inflammatory disease of cervicitis was marked as a correct answer by solely the quarter of the medical nurses 24.9 ±2.0%, and 3±0.8% of the tested could not answer the question. Undoubtedly, ectopy is a dangerous cervical disease however it is far to be considered as an immediate background process for cervical cancer development, though it was chosen by the majority of respondents 44.6±2.3%. Only about 37% of our respondents were able to name the background cervical cancer diseases correctly: polypus 23.2±2.0%, leukoplakia 8.3±1.3%, erythroplakia 5.8±1.1%. 10.9±1.5% of those asked could not answer the questions relating to background diseases for cancer of cervix uteri. It is obvious from the findings that the scope of competence of medical nurses working at family polyclinics, in the issues of cervical diseases is incomplete and insufficient. 69.5±2.2% of medical nurses have come across precancerous diseases in their practical work. Those who have seen patients with possible cervical cancer development are 46.6±2.3% of respondents. According to the respondents, these patients should seek advice of oncologists 61.6±2.3%, gynecologists 28.0±2.1%, breast physicians 4.2±0.5% and of GP 1.6±0.1%. When answering the question, many respondents picked several doctors (average number of answers made 1.3). 15.2±0.38% of respondents were not sure of where the patients suffering possible malignant developments upon the body of their cervix uteri should seek medical advice. When asked about the incidence rates of cancer localization in the female genital organs, 71.3±0.83% of respondents indicated the cervical cancer, 29±0.4% of them indicated – the vulva cancer, 5.38±0.23% - ovarian carcinoma and 2.5 – uterine cancer. Among all factors causing the development of cervical cancers, the human papilloma virus was correctly indicated and was put on the first place by 63.4 ±0.8% respondents. These are followed by the second by their severity risk factors - various complex cervical diseases mentioned by 7.6±0.3%, which occupied only the fourth place in this ranking. The second place in the opinion of respondents can be given to abortions 29.8±0.5%, the third place belongs to hormonal factors 10.9±0.3%, and the fifth – environmental factors 6.9±0.3%. Many of respondents listed several risk factors (1.3). So, all respondents were able to demonstrate good knowledge of risk factors causing cervical cancers. We could also observe good competence of the medical staff in the issues of practical diagnostics for cervical cancer diseases including cytological method mentioned by 81.2±0.9% of respondents, colposcopy 11.2±0.3%, ultrasound examination – 9.9±0.3%, only 3.5±0.2% of respondents could not answer the question, whereas some of the survey participants named several diagnostics methods at a time. Most of medical nurses consider prevention as the most effective measure in combating cervical cancers and various precancerous cervical diseases. 47.3±0,7% of all respondents could properly indicate the level of efficacy of the secondary prophylaxis in 80% of cases, while 18.4±0,4% respondents believe that prevention can be effective in 100% of cases. However, one third of the respondents 34±0.6% think that prevention can be effective in less than half of incidents, that can be regarded as negative data. In our respondents’ judgment, main cervical diseases prevention activities amongst women should be carried out by gynecologists, oncologists, GPs, while medical nurses’ involvement in these works is given only 32,3±0.5%. When asked if cervical diseases prevention issues, including prevention of cervical cancer, are effectively promoted among population, only the half of the respondents could answer positively 56.0±0.7%. So it can be concluded that findings from the survey among medical staff have demonstrated good level of competence in the issues relating to cervical diseases, deflated self-esteem within this category of personnel of family policlinics in terms of their involvement in the activities focused on reducing the incidence rates of cervical diseases, as well as their dissatisfaction with the quality and performance of prevention and awareness raising activities accomplished at their workplaces.

Biography:

Petmanee Viriyasubephong has completed her Ph.D. at the age of 15 years from Chulalongkorn University and Certificate of Infection Control in hospital from San Francisco University School of Medicine, USA. She is the instructor of Nursing, Praboromarajchanok of health work force and development, the health work force and development organization in Thailand. She has published more than 20 papers in reputed journals and has been serving as an editorial board member of repute.The most of papers were supported by the Global Fund grants with the new Funding Model (NFM).

Abstract:

Utilization of performances indicators, an online learning module, to decrease mortality rates of breast cancer patient in community of Thailand. The most of breast cancer patient’s assessment competencies and increase population reports of a self screening: Results from a development of performances indicators for prevention and control incident rates of breast cancer in community. Background: At present, the increase of incident rates of breast cancer patient in community of Thailand will have to lead the policy of prevention and control incident rates of breast cancer in communities of Thailand. However, in order to succeed in doing so, the health care workers must set up and transformation by means of this policy. Presently, one of the problems often found at the most of communities setting in Thailand is its lack of performances indicators for prevention and control breast cancer in communities of Thailand. As a result, health care workers find it troublesome and difficult to lead this policy in forming. These, in turn, affects this policy which actually yields direct impacts on the incident rates of breast cancer patient. In the past, the experts of breast cancer had previously assigned such performance indicator. In their research, they found that developing indicators in participation with health care works and patients who have direct experience in breast cancer would assist with some of the drawbacks and limitation. Thus, the research question state what the performances indicators for prevention and control incident rates of breast cancer in communities should be. Objective: to development of performances indicators for prevention and control incident rates of breast cancer patients, Thailand. Methods: This study adopted the longitudinal research and development. The study participants were 1,310 nurse who had used performances indicators for prevention and control incident rates of breast cancer in community and 104 patients > 35 year of age who had been diagnosed with breast cancer 12 mouth. Moreover, this research was divided in to three phases. The first phase was situation analysis and planning. The second phase was transformed policy and implemented this performances indicator for prevention and control incident rates of breast cancer in 15 communities from A.D. 2005 to A.D.2015. The final phase was evaluated the effectiveness of all process including the utilization of performances indicators. The data were collected through interviews, observations, and evaluation form. The analysis of the data involved both qualitative as well as quantitative methods with Exploratory Factor Analysis. Conclusion: There were 4 indicators significantly related to prevention and control incident rates of breast cancer in Thailand, (all with p<0.01).The range of factor loading amount 0.579-0.889. The result of the implementation of performances indicator shown decrease incident rates of breast cancer from 10 per 100,000 of population to 3 per 100,000 of population. These result due to the participation and ownership of population in communities. Result suggest the addition of evaluation process can be help get information to prevention and control incident rates of breast cancer in communities of Thailand successively.

Biography:

Summer has completed her M.A at the age of 30 years from Tel Aviv University School of nursing, Israel. She is the Director of Nursing in primary care clinics, Clalit Health Services. Summer is a nurse specialist in oncology, has completed advanced course in oncology at the age of 28, during the six years she worked as a nurse and clinical instructor Department of Oncology Orthopedics in Tel Aviv Medical Center and instills academic work at the School of Nursing "Shoenbrun" as teacher of Oncological Nursing care

Abstract:

Background: Smoking tobacco in a nargila (water pipe) is an increasingly serious phenomenon among young people in Israel, and is considered to have a negative effect on health. The literature that has been published reports a connection between smoking tobacco in a Nargila and the incidence of cancer of the mouth, bronchi, lungs, esophagus, and stomach. Mortality due to Nargila smoking is greater than due to cigarette smoking. Nursing students in Israel have the characteristic health behavior of young people like themselves. Nursing students smoke tobacco in a Nargila despite the knowledge they have acquired in the course of their studies. Aims: To assess the effect of the professional knowledge acquired in the course of nursing studies on the scope of Nargila smoking among students and on their attitudes towards health behaviors. Method: The research tool consisted three elements: social health behavior, knowledge and attitudes towards Nargila smoking, and demographic data. Results: 601 nursing students (75.5% females, 24.4% males, age mean 24.7 sd 3.5) participated. A connection between smoking water pipe and women students in the nursing program studies was found c²(2) 51.7750; p = .00000 and a connection between water pipe smoking and cigarette smoking c²(2) 51.7750; p = .00000 There was a relatively very high frequency of Nargila smoking among immigrants from the former Soviet Union, despite the fact it is a rare phenomenon in their country of origin. Conclusion: The role of the registered nurse in promoting health required a broad and in depth knowledge of health issues. The adoption of positive attitudes towards health behaviors, and personally following these behaviors will increase their ability to influence those around them.

Biography:

Rüveyda YÜKSEL has completed her Master’s Degree at the age of 26 years from Adnan Menderes University in Turkey. She is a research assistant in Söke School of Health.

Abstract:

This study was conducted as a descriptive in order to examine the relationship between the university students' loneliness, rejection sensivities and social anxiety levels. Study sample was selected from 352 nursing students attending Adnan Menderes University Aydın School of Health in 2012-2013 academic year. Census sampling method was used and 215 students admitted to participate in the study consisted the sample of the study. The data of the study was collected by a survey form which had four sections (Personal Information Form, UCLA Loneliness Scale (UCLA), Rejection Sensivity Scale (RSS), Social Anxiety Scale (SAS) that prepared by the researchers in accordance with the literature. Statistical data was analyzed by using the computer package program called SPSS 15.00. In addition to descriptive statistical methods such as percentage distrubition, average and standard deviation; t test, Mann Whitney U test, Kruskal Wallis test, One-Way Analysis of Variance (ANOVA) and Pearson Moment Correlation were used for the data analysis. In the study, 74.1% of students were female, 25.9% of students were male and the mean age was 20.13±1.69. 65.4% of all students (n=134) evaluated to the attitudes of their mothers as protective. 50.7% of all students evaluated to their academic achievement at medium level, 64.4% of them evaluated to their mental health at good level and 75.6% of them evaluated to their interpersonal relationship at good level. Students’ gender, mother’s attitude, academic achievement, mental health and interpersonal relationships affected the their loneliness levels. It was found that when loneliness levels of the students increased, rejection sensivity and social anxiety level increased. In line with these results, it is suggested to open courses in nursing schools intended for improving social skills, comunication skills and individual development and to support them to cope with loneliness.

Biography:

She graduated from Hacettepe University Faculty of Nursing in 2010. Started to work as a Research Assistant in Kilis University in September, 2010. Started to work as a research assistant 2011. Graduated from Hacettepe University, Institue of Health Sciences, Department of Community Health Nursing master program in 2013. She has started doctorate program in 2013. She has been continued PhD thesis.

Abstract:

The term person-centered care (PCC) has been frequently used in the literatüre. Also, “individualized-care,” “person-centered care,” “patient-centered care,” “client-centered care,” and “resident-centered care” terms are used emphasizes a partnership in care between patients and healthcare professionals. Person-centered care is advocated by WHO as a key component of quality health care. PCC was defined as “care that is respectful and responsive to individual patient preferences, needs, and values, and ensuring that patient values guide all clinical decisions” . McCormack (2003) defined PCC as “the formation of a therapeutic narrative between professional and patient that is built on mutual trust, understanding and a sharing of collective knowledge”. The concept of PCC has a long history and tradition in health care. The origins of this concept could be traced back to Florence Nightingale, “who differentiated nursing from medicine by its focus on the patient rather than the disease”. The traditional clinician-centered or disease-focused medical model is being changed to one in which care is customized to each person. (PCC) has been recognized as one of the critical elements needed in the redesign of health care system. This is a monumental task for the traditional health care setting where efficiency, standardization, and architectural design were created to organize systems around medical providers rather than patients. PCC is an essential component of quality health care delivery, and the concept is increasingly being advocated and incorporated into the training of health care providers. A central component of PCC is that the professional and patient jointly develop a care and treatment plan using resources identified in each patient’s illness history but also by defining potential barriers. While nurses agree that patient focus has been central to nursing, the context must be broader as nurses work as members of inter professional teams. Hence, understanding the fundamental elements of patient-centered care (PCC) in nursing is essential in the provision of health care today. To recognize the significance of this need, one must have an understanding of contextual factors influencing health care and the provision of PCC. In providing PCC, healthcare providers “identify, respect, and care about patient differences, values, preferences, and expressed needs; relieve pain and suffering; coordinate continuous care; listen to and continuously advocate disease prevention, wellness, and promotion of healthy lifestyles, including a focus on population health” (IOM, 2003). As a result, PCC is a phrase used by healthcare professionals to describe a quality of interactions between patients and healthcare workers that ultimately affect patient outcomes. The inherent goal of providing PCC is to offer excellence and improve the quality of patient care.

Biography:

Denise Allison Garcia is an undergraduate nursing student from the University of Santo Tomas. The paper entitled "Effectiveness of Laughter Yoga in Reducing Anxiety among Pre-operative Patients for Scheduled Major Surgery" is the first paper that she co-authored with her classmates Keanu Raphael Garrido and Camille Garcia under the guidance of their adviser, Mrs. Crestita B. Tan, PhD, RN. She is also the news editor of her college’s publication, The Nursing Journal

Abstract:

Introduction: Anxiety is a common problem among pre-operative patients. Several methods or interventions are being applied in order to relieve anxiety. Laughter yoga, however, is a method that has been used to relieve anxiety but has not yet been tested to pre-operative patients. Therefore, this study determined the effectiveness of laughter yoga in reducing anxiety among pre-operative middle-aged patients scheduled for major surgery. Methods: After Ethics Review Board approval, a quasi-experimental study was conducted among 40 purposely-selected pre-operative patients in two tertiary hospitals. Anxiety level was measured prior to administration of laughter yoga using the State-Trait Anxiety Inventory with a Cronbach alpha of 0.83. After Laughter yoga, anxiety level was then measured again. Gathered data were analyzed in SPSS version 20 using paired and independent t-test and ANCOVA. Results: After analysis of the data gathered, the results showed that there was a significant decrease in the anxiety level of patients in the experimental group. From an anxiety level of 44.00, the rating went down to 36.85. Meanwhile in the control group, the anxiety level at the pretest at 41.25, went up to 42.50. Laughter yoga was an effective non-pharmacologic intervention for reducing anxiety of pre-operative patients. Conclusion: It is therefore concluded that laughter yoga causes a significant decrease in the anxiety level of patients.

Biography:

The authors of this study is an undergraduate nursing students from University of Sto.Tomas, Who will be graduating this coming June.

Abstract:

INTRODUCTION: It is stated in Article III, section 9 of Republic Act (R.A.) No. 9173, otherwise known as the Philippine Nursing Act of 2002 that the Professional Regulatory Board of Nursing (BON) is to maintain that there is quality nursing practice complying with the standards of Philippine nursing. Thus, the office of the BON is incumbent in leading to significantly promote and effectively implement the core competencies. Moreover, these competencies ensure safe quality care and maintain the integrity of nursing profession in the Philippines. In the absence of competencies for mental health nursing in the Philippines, there are only a few number of attributes to reflect competent nursing practice and effective application of theories in the actual clinical scenarios. Hence, this study determined the competencies and attributes for mental health nurses in the Philippines. Methods: This study utilized a sequential exploratory mixed-method design through a Delphi technique. Purposive expert sampling was used in the convenience of 12 panel of experts from the National Center for Mental Health. In the first round of the study, a qualitative data collection was done through a semi-structured interview. In the second round, a questionnaire was developed using the qualitative data and integrating the 2012 Nursing Core Competency Standards and other literature. Median and Interquartile range was used to indicate their level of agreement. Results: During the first round of the study, 101 competency statements were derived. There were a total of 62 attributes identified and were classified according to knowledge, skills, and attitude. In the second round of the study 91 competency statements were added and taken from the 2012 NCCS. 187 out of 192 competency statetement had reached consensus while 61 out of 62 attributes had reached consensus. Conclusion :There were 187 Competency statements validated by panel of experts which resulted to the development of the Mental Health Nursing Competency Framework. Furthermore, 61 attributes in terms of knowledge, skills and attitudes were identified as part of the attributes of mental health nurses

Biography:

Ms. Al-Shualah has completed her MSN degree at the age of 28 years from University of Dammam with a first-class honour. She is Coordinator of Training & Education, Royal Commission Hospital in Jubail Saudi Arabia. She has published in national and international journals, lately was in the show edition of Arab Health Magazine 2014. She has Participated in many national and international conferences. she is a member in “ Saudi Heart Association” , “ The Saudi Critical Care Society” and “European Society of Cardiology”.

Abstract:

Post cardiac catheterization puncture site care is usually done with a tight pressure dressing in many institutions and cardiac centers due to the belief that it should prevent the bleeding. This practice is uncomfortable to the patients. Nurses have also described difficulty in assessing the sheath insertion site in the groin when a pressure dressing is in place. A new way of dressing using transparent film dressing (TFD) has approved and rated better with regard to: comfort, less pain, decrease hematoma formation and facilitates nurses assessment of puncture wound site after femoral sheath removal. The aim of this study was to determine the efficacy of using a small transparent non pressure dressing compared with the traditional controlled pressure dressing applied to the femoral artery puncture wound to maintain haemostasis with respect to 3 outcomes: patient satisfaction, bleeding or hematoma formation, and ease of nursing assessment of the groin puncture site after the procedure. 80 post cardiac catheterization patients were randomized to have their groins dressed either with pressure dressing or TFD. 100% in TFD group vs 55% in pressure dressing group reported feeling very comfortable (p value of 0.003). Hematoma formation was equal in the two dressing groups with no incidence of bleeding complications. Nurses rated the ease of assessing the groin significantly higher for TFD than for pressure dressings (p value of 0.000). Dressing of the puncture site after cardiac catheterization with TFD was more comfortable than the conventional pressure dressing without any difference in hematoma or bleeding complications.

Biography:

Nahar AlReshidi is an doctoral research student in the School of Nursing, Midwifery & Social Work in the University of Salford. He is the Director of Nursing in King Khalid hospital- Hail Region of the Kingdom of Saudi Arabia, with a Diploma in Nursing from KSA, a BSc in Nursing from the University of Technology Sydney in Australia, and a MSc in Nursing Education from University of Salford in UK

Abstract:

Background: Post-operative pain management has been researched extensively, but it fails to receive the same attention from paediatric nurses in Saudi Arabia. Practices are not evidence-based, but there is a willingness to improve. The factors to be addressed in this study had not been considered together in any study, and each in turn is supported by only minimal evidence of variable quality. No work of significance had been undertaken in the context of Saudi Arabia or other Gulf nations. Aims: To test the impact of an interactive postoperative pain management education programme for paediatric nurses Study Design: A non-equivalent groups, pre-test post-test design was used. A sample of 229 paediatric nurses working in surgical units in Hail region hospitals was recruited and completed four questionnaires on three occasions, before the intervention, and at 1and 3 months after. The intervention was an interactive educational programme on DVD with explanations, exercises, video presentations and self-check games. Results: There was significant improvement in participants' knowledge and attitudes. Perception of barriers to effective pain management reduced, while self-efficacy improved. No improvement was found in perception about children’s pain. This study will improve pain management for children following surgery. It will prompt the use of an alternative, digital, interactive education programme in Saudi Arabia.

Biography:

Ling-Chun, Lu is a phD candidate in National Taipei Univsersity of Nursing and Health Sinece. She has completed her Master degree in 2012 from National Taipei University of Nursing and Health Sincece. She is also the nursing practioner of Koo-Foundation Sun Yat-Sen Cancer Canter for 17 years and the nursing teacher of ST. Mary’s Junior College of Medicine, Nursing and Mangement for 2 years. She teaches curriculums of Pain Management and Nursing Ethics. This is the first oral presentation at international conference to her. Sincerely, welcome all valuable options to encourage the novice.

Abstract:

Chemotherapy induced neuropathic pain (CINP) is a very common side effect associated with oxaliplatin based chemotherapy. CINP in limbs may inducted restriction of daily activities (RAD). However, relationship between RAD related to CINP, negative mood, and quality of life (QoL) remind unclear. The aim of this study is to investigate the relationships between RAD related to oxaliplatin induced neuropathic pain, mood and QoL in patients with colorectal cancer. 76 patients with adenocarcinoma in colon or rectum were enrolled. This is a a cross-sectional study of 3 instruments: Screening of activity limitation and safety aweareness scale (SALSA), Profile of Mood States short form (POMS SF), and Functional Assessment Cancer Therapy-Colorectal instruments version 4 (FACT-C version 4). The results reveal mild severity of RDA in major of patients. Significant correlations were found among the RAD, mood and QoL (p<.01-.001). RAD and mood are the two major predictors of QoL (p<.01-.001). Under mediation model analysis, mood mediated 64.43% variance of RAD on QoL. The results prove negative mood mediated effects of RAD on QoL. RAD related to CINP with negative mood should NOT be neglected. The identification and management of negative mood may relieve the imapction of the RAD as well as promote QoL in patients with colorectal cancer.

Biography:

Saliha Yurtçiçek is a PhD student at İstanbul University, Florence Nightingale Nursing Faculty. She is also research assistant at the same university, Department of Women Health and Diseases Nursing since March 2015

Abstract:

The goal of this descriptive research is to determine the level of physical activity and quality of life among office workers. All of staff (n=420) of a center from a public institution’s Istanbul branch were invited to the study. Of those 300 accepted to take the survey. The data of the survey were gathered through the “Personal Information Form”, “International Physical Activity Questionnaire Short Form (IPAQ)” and “Short Form-36 (SF-36. The analysis of the data was performed with the SPSS for Windows. The descriptive characteristics of participants analyzed with the percentages. Women constituted 50.7 % of the participants (49.3 % men). The overall average age was 33.4±6,76 and 53.4% of participants were married. 65.7 % of those taking the survey said they spent more than five hours sitting in office desk. According to IPAQ, 78.5 % had not performed vigorous exercise within the last 7 days, while 74.6 % did not perform medium-intensity exercise, and 55.3 % had not performed moderate-intensity exercise. 49.0 % of them walked at least 10 minutes seven times a week. The rate of walking an hour a day was 39.0 %. The mean SF-36 scores were found 50,7± 18,9 for vitality, 56.9±20.2 for body pain, 81,4±22,6 for physical functioning, 9,5± 7,6 for general health perceptions, 72,9± 38,3 for physical role functioning, 60,4± 44,7 for emotional role functioning and 59,4±17,9 for mental health. In order to increase physical activity levels, necessary supportive environment and other motivational factors should be provided. Therefore, the importance of the awareness raising programs on health promotion and behavior modification initiatives was highlighted

Biography:

Prof. Dr. Ismet Eser had finished her PhD in the department of internal diseases nursing in 1993. Prof. Dr. Eser, who had also 3-year experience as a nurse manager in eye clinic.. She has been studying at Ege University, Fundamentals of Nursing Departmant. She has more than 20 international papers and more than 80 paper national papers in journals.

Abstract:

This study was conducted to determine open system endotracheal suctioning knowledge and practice of the critical care nurses and to investigate relationship between defining characteristics and nurses’ knowledge and practices. The study was conducted through a cross-sectional and non-participant structured observational design between 2013 and 2014 in a teaching hospital in Western Turkey. The study sample included 72 nurses working at 3 adults ICUs. After the ethical approvals, data were collected using a 45-item structured and self-administered questionnaire and a 31-item onservational checklist. The questionnare and checklist were first sent to12 experts for assessment of content validity. In terms of reliability of the tools, a pilot study was undertaken. Descriptive and inferential statistics were utilized to analyze the data. The mean years of age of the nurses was 30,87 + 6,18, 75% of them were female and 65,3% had a Bachelor’s degree. The mean scores of knowledge and practice were 23,79 + 3,83 and 12,88 +2,53. The relationship between the type of intensive care unit and the nurses’ knowledge scores was statistically significant (Kruskal-Wallis x2=8,619, p= 0,013).This study suggests that most of the nurses’ knowledge level was good and practice level was fair. Intensive care nurses should perform suctioning procedure accurately in order to ensure delivery of quality of care and eliminate complications. It is very important to improve themselves by obtaining knowledge from diverse scientific sources continuously.

Biography:

Abstract:

Intensified by the rising complexity of globalization, dynamics of information technology, demographic changes, health care reforms and demands for quality nursing care, the expectations for current nursing practice competencies were developed. Therefore, it is of paramount significance to recognize the impact of generational differences in the core competencies of public health nurses. Hence, this study sought to determine if age cohort is a predictor of the self-report competencies of multigenerational public health nurses. After Ethics Board approval, a predictive-correlational design was conducted to examine if the predictive power of age on the self-report competencies of the 200 randomly-selected public health nurses in three (3) generational cohorts: Generation X, Generation Y and Baby Boomers. Data were gathered using the Research-made Public Health Nursing Competency Scale (PHNCS) and were analyzed using Structural Equation Modeling (SEM), and Path Analysis. Analysis revealed that public health nurses of generation X were competent in Client Care Personal and Professional Growth and Linkage and Resource Management while the Generation Y’s prominent competencies were: Research and Moral and Ethico-Legal Contrarily, Baby Boomers were mainly competent in Leadership and Management Moreover, results showed age cohort predicted Client Care, Leadership and Management, Moral and Ethico-legal and Research. In addition, age cohort has an indirect effect on client care research and linkage and resource management. Findings also showed an interaction among the different dimensions of competencies. Age Cohort is a predictor of the Self-Report Competencies of the Multigenerational Public Nurses and the development of a structural model illustrating the interaction of age cohort and self-report competencies can be utilized as a basis for creating programs and policies by the different policy and regulation agencies for curricular development by educational institutions; and for improving continuing nursing education programs.

Biography:

She graduated from Hacettepe University Department of Nursing in 2010. Worked as a nurse in Dr. Zekai Tahir Burak Women's Health Research and Education Hospital in the years between 2010-2012. Started to work as a Research Assistant in Kastamonu University in February, 2012. Graduated from Hacettepe University, Faculty of Health Sciences, Department of Psychiatry Nursing master program in 2013. Started to work in Hacettepe University, Faculty of Nursing, She has started doctorate program in 2013. She has been continued PhD thesis.

Abstract:

Relationships between nurses and physicians are important. Because collaborative nurse-physician relationships lead to better patient and organizational outcomes such as decreased length of stay and net reduction in treatment costs without reduction in functional levels or decrease in satisfaction among patients. In addition to patient outcomes, high-quality nurse-physician relations result in increased satisfaction among nurses and physicians and increased autonomy for nurses. This study aims to define of physicians-nurse collabration with using the qualitative research method. This study was conducted in a Education and Research Hospital, Turkey. Purposive sampling method was used and selected at least 1 year experienced physicians and nurses. Participants were primarily explained the purpose and methodology of the study and then, were included in the study of 5 physicians and 5 nurses who agreed to participate of the study. In order to achieve data, a semi-structured style interviews were made. The interviews with nurses and psychicians took place in a private place in the ward. The interviews were taped recorded and transcribed. After that, writing all interviews were tried to remove the main-themes and sub-themes related to physicians and nurses collabration. The results of this study; psychicians and nurses collabration is effected of working conditions, workload, lack of staff as institutional; the lack of known roles and responsibilities, professional bias, lack of common sense as professional; focus on body language instead of communication, the lack of mind-reading behavior, the dual groupings of communication as communication factor.

Biography:

I am doctorate student at community health nursing and also I am research assistant at Hacettepe University. I have completed my master at 2013 from Hacettepe University and now I am making my doctorate at the same university.

Abstract:

In the recent past, long-term care expenditures have been practically synonymous with expenditures for nursing home care, but policymakers are now expressing greater interest in home-based long-term care. Home care is an integration of versalite applications that cover hospital services that prevent problems likely to occur while conducting the daily living activities as well as patient care, rehabilitation and personal care. Home care services have negative and positive effects for caregivers, patients and their families. The focus of this article is advantages and disadvantages of home care for care givers. Firstly, taking care at home may have positive implications for patients and their families, but it may also be burdensome to the caregivers with implications for their health and well-being. Patients who are taking care at home are generally elderly and have chronic illnesses so the care givers do not see the improve in health status easily and in short time. Secondly, going to the patients home and giving care at their homes have some security problems especially if the patient has mental/psychological illness. Thirdly, if there is not a positive relationship and communication between the care givers and patient and his family, the treatment and care will be affected negatively. There can be some cultural problems between the health professionals and patients. Because everybody can have different background. Sometimes the care giver feels disqualified depends on lack of equipment. Also the care givers feel stressful when they leave from the patient’s home because they think that what will do the patient in an emergency case? In addition, there are some environmental risks about medical contamination. Although these negative effects, home care services have positive effects for care givers. Giving care at home is less stressfull than working at hospital. Because in hospital there are a lot of patients and their families who are stressed, angry and sad. Also, the patients in hospital change in short time so the care givers meet a lot of patients and they can not build hard relationship. In addition health professionals use their otonomy at home more than at hospital. Care givers make health educations easily at home because patients are not under stress and they have enough time. Additionally, improving health status and making health promotion activities are easier than at hospital. Health professionals can evaluate the house, the family and the other risk factors so they can give holistic care. Finally, there are no hospital infection risks at home. To sum up, home care services have advantages and disadvantages for care givers. It depends on the home environment, relationship between patient and care givers and the existence of equipment.

Biography:

Hui-Fang has complete her Master at the age of 7 years from Fooyin Science and Technology of University. She also has doctoral candidate in National University of Nursing and Health care. She is the Vice Nursing Minister in E-Da hospital. She’s experts area in critical care, neurology, nursing education, elderly care, evidence-based health care.

Abstract:

Background: Depression is a common complication for the post-stroke patients. Post-stroke depression (PSD) is associated with decreased functional recovery that has been reported to be associated with increased risk of falls. This study aimed at exploring the association between depression following stroke and subsequent risk of hip fracture. Methods: Using a longitudinal database for patients with stroke in Longitudinal Health Insurance Database, Taiwan, between 1997 and 2010, two cohorts were categorized from the stroke patients: One with depression within 1 year after the date of newly diagnosed stroke (depression cohort), and the other without depression within 1 year after newly diagnosed stroke (non-depression cohort). Non-depression cohort was matched (1:10) with depression cohort according to age, gender, and index day. Demographic characteristics, comorbidities (including diabetes, hypertension, heart failure, osteoporosis, coronary artery disease, and peripheral vascular diseases), and event (i.e., hip fracture) were compared. Fine and Gray regression model is used for estimation of sub-distribution hazard ratios (sHR) with confidence interval of 95%. Results: Patients with depression had a higher risk of hip fracture compared with the non-depression group (sHR 1.28, 95% C.I.: 0.99-1.66). While depression was associated with remarkably increased risk of hip fracture for patients with age<50 (sHR 3.27, 95% C.I: 1.45-7.34), no difference was noted for those >50. No gender difference in risk of hip fracture was noted in both depression and non-depression groups. The presence of comorbidities also showed no significant correlation with hip fracture risk in both groups. Conclusion: PSD was a significant contributor to risk of hip fracture in patients with stroke. The impact of PSD had a greater adverse impact on hip fracture risk in the younger population compared with their older counterparts regardless of the gender and the presence of comorbidities.

Biography:

Pei-Lun Hsieh is currently a PhD Student, Institute of Allied Health Science at the National Cheng Kung University (NCKU), Taiwan. She has served as Nurse Practitioner of Chi Mei Hospital in 2004-2011, Practicum Instructor of the National Tainan Junior College of Nursing in 2011-2012 and Teaching Assistant of Community Health Nursing and practice of the Department of Nursing at the NCKU in 2013-2016. She is working as a Lecture of nursing at the Min-Hwei College of Health Care Management. Her research interest is in Geriatric Nursing, Long-Term Care and Community Health Care.

Abstract:

Aim: This paper applies a systematic approach to reviewing the current geriatric educational curriculum in baccalaureate nursing programs. Design: We conducted a systematic review of research to assess the content of Geriatric of Course on nursing student’s knowledge, care intension and competence. Electronic databases including MEDLINE, CINAHL, PUBMED and ERIC between 2000 and 2015 were searched in March 2015. Data synthesis: A total of one hundred thirty publications was identified from the databases, eleven were duplicates. All together from one hundred nineteen publications, 101 publications were excluded due to incorrect population and lack of geriatric education. Eighteen articles were eligible for inclusion in the analysis. Results: Geriatric nursing program could effectively enhance students’ nursing competence. A literature review of research revealed that most of the curriculums focusing on gerontological education and trends of geriatric content. Common topic including (1) knowledge and attitude of geriatric student nurses; (2) clinical care practice experience among students practicum; (3) faculty preparation; and (4) teaching strategies. The finding indicated the geriatric course significantly improved students’ nursing competence. Conclusion: Geriatric course must be recognized as a specialty area by requiring stand-alone courses and interdisciplinary education in baccalaureate nursing curricula. The geriatric curriculum development was based on considering the need to offer a determined content on geriatric as a foundation for learning experiences early in the curriculum.

Biography:

She graduated from Ankara University Çankırı Department of Nursing in 2009. Worked as a nurse in Hacettepe University, Emergency Clinic in the years between 2009-2010. Started to work as a Research Assistant in Sinop University in October, 2010.Graduated from Hacettepe University, Faculty of Health Sciences, Department of Psychiatry Nursing master program in 2013. Started to work in Hacettepe University, Faculty of Nursing, She has started doctorate program in 2013. She has been continued PhD thesis.

Abstract:

The aim of this study was to determine the perception style of the profession of male nursing students by using phenomenological approach. The study was carried out with 6 male nursing students. Students attended by voluntary policy criteria; three of them were second year and the others were third year students. Because of clinical experiences of nursing students begin at the second year of the nursing education, selection of attended students were made from second year. Study data were collected with student data form and semi structured interviews. After data collection process completed, interview texts read several times by researcher and determined the appropriate theme titles. These titles were made within the scope of analyses and assessments. Themes which were emerged from the analysis of data: traditional masculinism, profession choice and future plans. By the traditional masculinism theme participants were mostly stated that they are usually used for works which require strength in the clinic. In the choice of nursing profession theme, the reasons that the participants choosing this profession have been determined. Economic conditions, interested in health field and indispensability of choosing department according to university exam results are these reasons. The number of male students in nursing is less than girls’ so it has been determined some difference attitudes towards male students. These differences are especially about relationships of male students’ with the teachers. In nursing education, trainers approaches shouldn’t display priority and pressure to male students. Male students should be provided to express themselves without any concern

Biography:

Yasemin Altınbaş is an Assistant Professor at Adıyaman University. She has worked at Surgical Nursing Department.

Abstract:

The aim of this study was to determine the experiences with strengths-based nursing care model of coronary artery bypass graft surgery patients. The study carried by using a phenomological design. Population of the study consisted of 32 patients who had developed coronary artery bypass graft between August 14 and November 02, 2015. Sample of the study consisted of 23 patients who agreed to participate in the study. In order to collect data, ethical approval was taken from Ethical Committee the Ege University Faculty of Nursing, written consent was taken from Ege University Hospital and verbal and written permission was taken from patients. Data were collected by using a questionnaire from containing identifying information of patients, semi-structured interview forms, qualitative classification of strengths form, SWOT analysis form, postoperative patient follow-up form and nursing care plan using NANDA nursing diagnosis. All interviews were recorded with tape recorder after written permissions were taken from the patients and patient’s family on administration and discharge day. Interviews in-depth interview technique was done by using face-to-face. Mean of the length of interview on administration day 53 minutes (min.45-max.72) and on discharge day 38 minutes (min.32- max.50). After the interviews, the written records are saved in a computer then the data were encoded and classified according to themes and the report was brought into interpreted. Data were analyzed through the content analysis method. Interviews were investigated in two parts. Most strong aspects of the patients who were cared according to Strengths Based Nursing Care Model are “Being Request Of Managing The Operating Process”, “Basic Physiological and Safety Needs Can Provide”, “Have Hope Of Life”, “Strong Demand Of Learning” and “Family Support”. The elements that make the most weak to individuals in the surgical process are “Lack Of Information On The Disease Process”, “Lack Of Information On The Treatment Process”, “The Presence Of Other Diseases”, “Overweight” and “Being Nervous”. According to the conclusions of the study, it is recommended that Strengths Based Care Model should be used in different and larger patients groups because of its positive effects on healing.

Biography:

Nil Kucuk had worked in the child infection clinic of Mersin University Medical Faculty Hospital in the years of 2012-2014, in the Istanbul Bilim University as a research assistant in the years of 20014-2015. She has been working as a research assistant in the Istanbul University Florence Nightingale Nursing Faculty, Departman of Nursing Education. She graduated from the Psychiatry Nursing Master Programme of Mersin University Institute of Health Sciences in January 2016 and has been awarded the tittle of Specialist Nurse. As well as she continue her Ph D studies at the Istanbul University.

Abstract:

The study was put into practice as descriptive and cross-sectional in the aim of evaluating the effect of obesity on self-respect and sexuality in women. The sample of the study consisted of 184 volunteer women who didn’t go through menopause, had the body mass index of (BMI)≥30kg/cm2, and applied to Istanbul University Medical Faculty at the women health polyclinic. The data of the study was collected by Rosenberg Self Esteem Scale, Body Cathexis Scale and Female Sexual Satisfaction Scale which consisted of the sociodemographic features of women. The data were analyzed using descriptive statistical methods as well as Student–t test and ANOVA in the comparison with the quantitative data. The average of women’s age who attend the study was 37,13±7, the average of body mass index of the women was 32,64±3,1 and the average of marriage years of the women was 14,89±9. The women were determined as having a medium-high self-esteem level and as having low body-image level which meant they were not optimist. It is also determined that; as the body mass index of the women increased, the self-esteem of the women decreased significantly (p<0,05);and there is no significant connection in between body mass index and sexual satisfaction (p>0,05). It was specified that as the women’s years of the marriage and ages increased, sexual satisfaction of the women significantly decreased. As a consequence; it was detected that as the self-esteem of the obese women decreased, their sexual satisfaction decreased significantly and body image of the women effected the sexual satisfaction of the women.

Biography:

Mohamed Zoromba has completed his master degree in Psychiatric nursing and mental health at the age of 26 years from Mansoura University and now he studies for PhD from Mansoura Univerity. He is an assistant lecturer of Psychiatric and mental health Nursing, Faculty of Nursing, Mansoura University, Egypt

Abstract:

Present study aims to assess the severity of autistic symptoms and adaptive behavior and the relationship between those two variables among Egyptian sample of children with Autism Spectrum disorder (ASD). A descriptive study was utilized with a sample of (28) children diagnosed with ASD by a consultant psychiatrist at "Maharaty center" in "Alzhour Association for community development". It’s a governmental association affiliated to the Ministry of Social Affairs. Data collected using three tools, one for assessing socioeconomic status scale for health research in Egypt, the second for assessing the severity of autistic symptoms using Gilliam Autism Rating Scale (GARS), and the third for assessing adaptive behavior using Vinland Adaptive Behavior Scale (VABS). Results reveals that the severity of autistic symptoms correlate significantly and negatively with communication, daily living skills and social behavior where no significant relation between severity of autistic symptoms and motor skills. In conclusion, there is a significant negative relationship between severity of autistic symptoms and adaptive behavior. Therefore, it is recommended for nurses to enhance adequate training about adaptive behavior for those children to minimize their dependence and disability.

Biography:

Öznur Yaşar is currently a PhD Student, Department of Obstetric and Gynocology Nursing at the Ege University Health Sciences Institute, Turkey. She is also lecturer at the Balıkesir University in Obstetric and Gynocology Nursing Department since 2012

Abstract:

Aim of this research is analyze the effects of cultural values on women at postpartum period to choose the method of family planning. This cross sectional and descriptive research carried out at the Research Hospital in İzmir and Balıkesir between the dates May-November 2015. Sample of this research made by 269 volunteer women in postpartum period. The data has been gathered by using Individual Description Form that is prepared in accordance with the model named "Cultural Diversities and Universiality" of Leninger. It has been designated that the age average of the women is 27.41±5.79, first marriage age is 21.23±3.72, their first pragnancy age is 22.42±3.75, their average of marriage duration is 6.09±5.03 and %11.5 of them made kin marriage. It determined that %31.2 of them are middle school graduate, 77.3% of them are housewifes, 87.4% of them got nuclear family, 70.3% of their family are living in countryside and they lived long time mostly in Marmara Region (43.1%) and Aegean Region (40.9%). It confirmed that 53.9% of them had vaginal delivery, 30.8% of them get pragnant three and more time, 23.4% of them had less time than 2 years between their pragnancy, 24.2% of them didn't planned their pragnancy and 61.7% of them wanted to have two babies. As we determine on knowledge of the women in postpartum period about family planning; it has been determined that 92.9% of the women find methods of family planning necessary and beneficial but 74.4% of them scared about methods (because of 50% side effects, 39.7% pragnancy scare, 10.3% applying method), 7.4% of them can not get them easily (because of distance and embarrassment), 29.4% of them use one of the traditional way withdrawal in particular time of their life, 92.6% of their hushands are deciding the way for prevent pragnancy, 52.4% of them already got information about family planning (mostly about oral contraceptive) and 44.2% of them don't know whether the family planning have any protections about sexually transmitted diseases or not. It has been designated that 90% of the women in postpartum period are thinking about using family planning methods and these methods are condom (36.7%), intrauterine device (27.4%), oral contraceptive (9.7%), female sterilization (9.3%), withdrawal (9.3%), injectable (3.8%) and the reason for preference of method is most of the women are finding these easy to use (38.4%). Also it has been determined 15.6% of women in postpartum period don't think about any kind of method because of their husband doesn't want, the most important factor to choose family planning method is their husband and his family, 56.6% of them never think about having a medical operation for not having a baby, 28.3% of them are thinking about breastfeeding will prevent them to be pragnant (38.2% six months) but 79.9% of them didn't get any information about this topic. In this research it determined that; women don't have enough knowledge about family planning methods, they are scared from the side effects of the methods, despite modern methods they insist on keep using the withdrawal method, they get pragnant more then they planned along their life time and husband and his family is important factor to choose the family planning method. Moreover it determined that women in postpartum period are using the lactation like a method of family planning. As a conclusion cultural values in our society is effecting the preference about family planning , causes unplanned pragnancies and it effects mother and baby's health in negatively.

Biography:

Abstract:

This study is a survey and is conducted only to assess the cultural competency of Filipino Immigrant Nurses (from: America, England, Middle East and Asia). The study was conducted via online using social networks such as email, vibers and facebook in communicating with the respondents and sending them the website where they can take the survey (https://www.esurveycreator.com/s/fa5ea34). Prior to the collection of data, the researchers had their questionnaire validated by 3 qualified psychology and sociology professors. The researchers then gathered and analyzed the data to support the study. This study shows the competency level of the immigrant nurses in the area of awareness, knowledge and skills towards diverse culture. The study uses Madeleine Leininger theory of transcultural nursing also known as culture care theory. The study shows that nurses who are culturally aware render a more refined quality of care for their patients and improved health outcomes. This study also shows the correlation between the 3 variables. Included in the study are information gathered inside literatures that supports the research.

Biography:

Suwarno is a Master of Family Nursing Student from Khon Kaen University, Thailand. He is a lecturer of STIKES Achmad Yani Yogyakarta, Indonesia. He has present his research in Thailand and South of Korea (Bachelor degree and Working in STIKES Achmad Yani Yogyakarta) and also has been conducted the joint research with one of the University in Japan.

Abstract:

Family can influence the family health and illness of the family members and also family nursing process especially in family health assessment. Assessing the family health is not only from the assessment tool but also from a Nurse. Nurses’ have to increasing their capacities (knowledge, skills and experiences) about family health assessment by continuing nursing education especially try out program. The aim of this study is to determine the KKU FHA Tool try out program to improving nurses capacities in Primary Care Unit Kulonprogo, Yogyakarta. The Quasi Experiment with one group pre-, post-test design as a research design with convenience sampling technique for Nurses who work in five PCU Kulonprogo, Yogyakarta as much as ten respondents. The research processes was used try out program with module, video and handbook KKU FHA Tool, KKU FHA tool form and capacities questionnaires. It was analysed by descriptive data, Kolmogorov-smirnov and Paired Sample t-test. The mean level of nurses capacities before and after try out program is knowledge pre- (3.450.283) and post- (3.920.332) with p value 0.002. Second is mean of nurses skills pre- (3.400.320) and post- (4.130.346) with p value 0.002. Third is mean of nurses experiences pre- (3.550.586) and post- (4.280.234) with p value 0.011. Finally, the results of paired sample t-test shown that mean pre-test is 3.370.304 and post test 3.970.268 with p-value = 0.002. We are recommend try out about KKU FHA Tool form have to develop and implement in another PCU in Yogyakarta by training program.

Biography:

Ä°lknur DOLU is PhD student at Florence Nightingale Faculty of Nursing of Istanbul University, Turkey. She has also been at University Medical Center of Groningen (UMCG) in The Netherland about the subject is rational use of medicine for 3 months. She is the department chief of primary health care standardization unit at Public Health Institution of Turkey (MoH). On the other hand, she also go on her academic studies. She have 2 papers in reputed journals in Turkey, 8 oral or poster abstracts national or international congress and symposium and run 2 project in nationwide.

Abstract:

Aim: The multidimensional thinking, multidisciplinary working and the new problem-solving methods are essential for the solution of the number of health issues. The aim of this research is to determine that entrepreneurship characteristic of the nursing students individually and related factors. Methods: In this descriptive study, totally 322 nursing students from one private university in Istanbul were surveyed using online survey that includes socio-demographic characteristics and Student Entrepreneurship Scale which is developed by Yılmaz and Sünbül, 2009. Results: The mean age of students was 21 years (SD: ±2.11) and 57.8 % of them graduated from ordinary high school, 89.1 % of students were female. The main score of the scale was 139 (SD: ± 18.33, Min.: 92.00, Max.: 180.00) which means “high rate entrepreneurship”. Students with club membership (z=-.,51798, p=0.000, r=-.25178) and students who were planning post-graduate education (z=-2.144, p= 0.030, r= -.11948) have higher score than others. There was no statistically differences between gender, family characterized, family income, education level of mother or father, career status of mother or father, type of high school that was graduated from, birthplace, career plan, employment perception and the level of entrepreneurship (p>.05). Conclusion: Surveyed students have high level of entrepreneurship despite none of entrepreneurship education. Consequently adding the entrepreneurship courses to the nursing curriculum and learning principle of the entrepreneurship to the solution of health problems is considered to be a significant contribute to improving health services and innovative programs.

Biography:

Ms. SHIH, SHU- LING is a Certificated Diabetes Educator at Sijhih Cathay General Hospital. She received a master degree of nursing from National Taipei University of Nursing and Heath science and was authorized by a Certificate of Master Animal Assisted Therapist.

Abstract:

Dementia results from the progressive deterioration of the brain. They even lose the ability of self-caring. This study was to explore the effects of intervention in animal-assisted therapy（AAT） for people with dementia. The experimental group was set as 18 people with average age 78.5 ± 5.8 years to accept once a week, a total of nine-week AAT group program intervention. And control group was set as 17 people with average age 77.6 ± 8.2 years, nine-week without animal group program. Before & after interventions, we checked blood pressure, autonomic nervous system function evaluation (frequency domain analysis of heart rate variability), Depression Scale, positive behavioral observation and cognitive assessment scale. The results showed that: In physiological indicators, diastolic blood pressure was decreased in both of the experimental group and the control group but with less significant difference in between. However, the heartbeat spacing (ln RR), standard deviation (ln SD), total power (ln TP), and high frequency (ln HF) were increased with significant differences (p <0.05) in experimental group. That is, AAT on heart rate and autonomic nervous system affected. In psychological indicators, Geriatric Depression Scale (GDS) and positive behavior showed a significant improvement for both groups but experimental group was doing better than the control group. For cognitive indicators, the experimental group improved significantly before and after cognitive testing but the control group was less changed. The study suggested that AAT can be prompted to improve the function of physiological, psychological and cognitive for the elderly with dementia.

Biography:

Melike is studying for doctorate on Psychiatric Nursing in Hacettepe University. They are working as research assistants at the same university.

Abstract:

Students who are coming from abroad for college education may suffer different problems such as being a member of a certain group, having a profession, worries about future with a new level of education, living in a new country and adaptation a foreign environment. The semi-structured interview technique was used in this qualitative study which aimed to determine the problems experienced by foreing students who come to Turkey for nursing education. This research was carried out from May to June 2015 in Hacettepe University, Faculty of Nursing. The study reached a total of five students with snowball sampling and each participant were interviewed approximately 50 minutes. All five participants were female, two of them Iranian, two of them Uzbekistanian and the other one is from Turkmenistan. Foreign students who agreed to join the survey and institution where the research will apply have all the required permissions. In this research, students were asked 6 questions in order to identify their problems by living in Turkey except demographic questions. These questions were configured to redirect the conversation depending on the process of the subject detailed time to time. While two researchers were conducting the study with interviews saving with a tape recorder, at the same time one of the researchers has taken notes during the interview. After all analysis of the audio recordings, all speeches were transcripted by both researchers. Data were resolved by content analysis. “Social problems, problems with being a student in Turkey and economic problems” themes occured as a result of the analysis. The sub-themes of the social problems has been obtained such as language, procedures applied to foreign nationals, accomodation, security, cultural diversity, the health system and social environment sub-themes. The other sub-themes of the themes is not formed. As a result of the resarch students who faced problems determined compatibility points to the literature.

Biography:

Xuelin Wang has completed her Bachelor at the age of 22 years from Sichuan University and master studies from West China School of Medicine in Sichuan University. She has published more than 2 papers in reputed journals and has 2 patents.

Abstract:

Background: Clinical practice is one of the crucial components in nursing education, studies showed that the initial period of clinical practice can bring high pressure to nursing students, especially the first five months. Because of the multiple events, such as took exams and found jobs, stress levels would occur large fluctuation, it is necessary to give timely interventions. Current studies were to compare undergraduate and college practice nursing students or only for undergraduate nursing students, not yet for different levels of undergraduate nursing students. The key undergraduates who had higher scores in college entrance examination than ordinary undergraduates and come to first-class university, while ordinary undergraduates are from second-class university. Objectives: This investigation was to analyse related factors and the correlation between stress level and coping styles among different levels of Chinese nursing undergraduates during clinical practice. Methodology: 52 key and 53 ordinary undergraduates who had finished 5 months clinical practice completed a self-administrative survey including demographics, Nursing Students Stress Scale and Simple Coping Style Questionnaire. Results: Results showed that undergraduates perceived a moderate level of stress, key undergraduates stress (M=2.76, SD=0.70) was higher than ordinary undergraduates (M=2.35, SD=0.69). The most common stressor for key undergraduates was social support and professional identity (M=3.25, SD=0.89), while for ordinary undergraduates was clinical work (M=2.61, SD=1.02). Undergraduates took more positive coping styles such as transference and staying optimistic. Key undergraduates negative coping styles and stress levels were positively correlated(r =0.281, P<0.05), and clinical teaching stress, family registered residence type and whether it is the only child were the influence factors of negative coping styles. For ordinary undergraduates negative coping styles were positively correlated with working environment and interpersonal stress level (r =0.303, P<0.05), positive coping styles and clinical work stress were negatively correlated(r =-0.279, P<0.05). Conclusions/Recommendations: Clinical educators and nursing colleges should pay attention to the difference of the stressors and coping styles among different levels of nursing undergraduates during clinical practice, and take the targeted effective pressure management strategy to improve the stress response and stress management ability of practice nursing students.

Biography:

I had completed my master degree in critical care and emergency nursing with excellence degree at age of 28 years from Cairo University – Faculty of Nursing. I am an assistant lecturer of critical care and emergency nursing. I had published one paper in Egyptian Nursing Journal 2015 volume 11. Now, I am in the process of completion of my book about my thesis by lambert academic publishing. I will start my Ph.D. study at the next February 2016.

Abstract:

Sepsis is a major cause of mortality and morbidity in trauma patients. Body mass index was reported as a predictor of injury pattern and complications among critically ill injured patients. Aim: investigate the relationship between body mass index and the development of sepsis, systemic inflammatory response syndrome among adult trauma patients. Research design: Descriptive correlational. Research questions: What is the relationship between the development of sepsis, systemic inflammatory response syndrome and body mass index among adult trauma patients?. Sample: A purposive sample of 52 adult trauma patients with revised trauma score 10 to 12. Setting: The Emergency Hospital - Cairo University. Tools: Socio demographic and medical data tool, Systemic inflammatory response syndrome assessment tool, Revised Trauma Score tool, and Sequential organ failure assessment tool. Results: No significant statistical relationship was found between body mass index and occurrence of Systemic inflammatory response syndrome (2= 2.89 & P = 0.23). However, Sequential organ failure assessment scores were affected significantly by body mass index was found mean of initial and last Sequential organ failure assessment score for underweight, normal and obese where t= 7.24 at p = 0.000, t= 16.49 at p = 0.000 and t= 9.80 at p = 0.000 respectively. Conclusion: Underweight trauma patients showed significantly higher rate of developing sepsis. Recommendations: Carrying out of further studies in order to assess the other risk factors influencing trauma outcome and incidence of its complications. Establishment of standardized guidelines for managing underweight traumatized patients with sepsis.

Biography:

Fatma Refaat l-Fattah Ahmed has completed her MSC at the age of 27 years from Alexandria University and now she is about finishing her PhD from Alexandria University Faculty of Nursing. She is an assistant lecturer, Critical Care & Emergency Nursing Department-Faculty of Nursing Alexandria University. She has published more than 2 papers in reputed journals

Abstract:

Background; Nosocomial anemia in critically ill patients may be the result of a variety of causes including RBCs losses and insufficient RBCs production. Therefore, critical care nurses should prevent nosocomial anemia through identifying the risk factors group, minimizing the factors contributing to nosocomial anemia, using of blood conservation strategies in the ICU, and monitoring of oxygen status as well as hematological one. Aim of this study was to identify factors contributing to nosocomial anemia in the critically ill patients. Methods; three tools were used for data collection. Tool one "Factors contributing to nosocomial anemia assessment", tool two "Indicators of nosocomial anemia" and tool three "Estimation of blood loss volume tool". Results of the study; more than three-quarters of the studied patients developed nosocomial anemia (76.9%) by the third day while the rest of them did not develop nosocomial anemia. Conclusion; Critically ill patients were highly susceptible for exposure of multiple iatrogenic factors which can contribute to nosocomial anemia during ICU stay. The volume of blood withdrawn for laboratory tests and malnutrition are among the factors that contribute to nosocomial anemia in the critically ill patients. Keywords: Nosocomial Anemia - Critically Ill Patients

Biography:

Do Thi Ha completed her secondary nursing (1992) and BN (2005) from HoChiMinh University of Medicine and Pharmacy, Vietnam, MNS from Burapha University (2012) and PhD in nursing qualification (2014) from Khonkaen University. She has a 14-year experience as a nurse in hospital and 8-year as a nurse lecturer in university. She is the vice-head of the Community Health Nursing Department. Her research has been published in international journal. As one of the Vietnamese pioneers conduct research concerning nursing competency development in Vietnam, she desires to improve nursing competency as well as quality of nursing care in Vietnam.

Abstract:

Competency of nurses is vital to safe nursing practice as well as essential component to drive quality of nursing services. There exists little up to date information concerning how nurses employing in hospital context in Vietnam learn to improve their own nursing competency. Objectives: to investigate the ways Vietnamese nurses practicing in clinical settings had learned to improve their own nursing competency. Methods: A qualitative study, ethnographic method, comprised of the participant-observation, in-depth interview, and focus group discussion with multidisciplinary groups of nurses employing in Cho Ray hospital, Vietnam, managers/administrators, nurse teachers, medical doctors, other health care professionals, patients and family members which derived from purposeful sampling technique. Content analysis was used for data analysis. Findings: The two essential ways of learing in order to develop nursing competency among nurses were identified by the participants through the data collection in this study, including formal and informal learning. Nurses have received their formal training in nursing education programs in nursing schools after graduation to upgrade their nursing professonal level was identified as formal learning. Informal learning identified by the participnats in this study included continuing nursing education, learning from working experience, learning from daily reflective process, and coaching and mentoring. Conclusions: The findings from this study provide valuable information and understanding of the ways Vietnamese nurses working in hospital context have learned to improve individual competency. It would assist to establish an effectively and appropriately strategy in an effort of enhancing nursing competency among nurses in Vietnam.

Biography:

Gul Gunes Celik has is a MSc student at the Ege University. She is also Research Assistant at the same university in Fundamentals of Nursing Department since 2014

Abstract:

The study was conducted in order to define states of knowing of patients’ name and touch to them by nurses and doctors during communication and patients’ opinion about this issue. The research was held at thirteen services of a university hospital, between the dates of 1th May-1th August, 2015. The research was applied to 288 patients. “Data Collection Form” was used by researcher. This form was created by using literature. 52.1% (n=150) of the patients famale and 42.4% (n=122) of the patients had educational level primary school and lower than primary scool. 29% (n=86) of patients knew the names of nurses while 82.3% (n=237) of them knew the names of doctors. However most of the nurses (89.9%) and doctors (88.2) knew the names of patients. In terms of communication by touching it was detected that 26% (n=75) of the nurses and 42.4% (n=122) of the doctors touched their patients. It was detected that only 2.8% (n=8) of the patients felt disposed because of the nurses touching and 2.4% (n=7) of the patients felt disposed because of the doctors touching them. As a consequences of study it was seen that when healthcare workers know the names of their patients and touc them during communication the patients feel positively and their satisfaction increases.

Biography:

Ling-Hua has completed her PhD from Saint Louis University (USA) in 2012. She is the faculty of Fooyin University and her research work is focus on women health and maternal-child care.

Abstract:

The purpose of this study was to investigate the relationships of prenatal depression and health behavior among pregnant women in the south of Taiwan. This study, a cross sectional study design, recruited convenience sampling 289 adult pregnant women, between 20 and 40 weeks gestational age from two prenatal clinics in Koahsiung city. Two main instruments were used in this study to test the model including the Health Practices Questionnaire-II and the Center for Epidemiologic Studies Depression Scale. Results of this study supported a significant correlations found between these two main variables (prenatal depression level and health behavior) and prenatal and maternal variables. In general, pregnant women with higher levels of depression were less health behaviors during their pregnancy (r=-.355, p< .01). Pregnant women who reported higher level of depression were younger, less educated, and had lower income, and more children. Health behavior had a significant positive relationship with insured status (r=.129, p< .05), health status (r= .136, p<.05) and family income (r= .177, p< .01). Recognizing pregnant women with experiencing depression, clinical professionals encourage them to receive treatment. Prenatal nurses need to help pregnant women to deal with their depression, because decreasing their depression might improve their health behavior during pregnancy and would have positive birth outcome.

Biography:

Abstract:

Intensified by the rising complexity of globalization, dynamics of information technology, demographic changes, health care reforms and demands for quality nursing care, the expectations for current nursing practice competencies were developed. Therefore, it is of paramount significance to recognize the impact of generational differences in the core competencies of public health nurses. Hence, this study sought to determine if age cohort is a predictor of the self-report competencies of multigenerational public health nurses. After Ethics Board approval, a predictive-correlational design was conducted to examine if the predictive power of age on the self-report competencies of the 200 randomly-selected public health nurses in three (3) generational cohorts: Generation X, Generation Y and Baby Boomers. Data were gathered using the Research-made Public Health Nursing Competency Scale (PHNCS) and were analyzed using Structural Equation Modeling (SEM), and Path Analysis. Analysis revealed that public health nurses of generation X were competent in Client Care Personal and Professional Growth and Linkage and Resource Management while the Generation Y’s prominent competencies were: Research and Moral and Ethico-Legal Contrarily, Baby Boomers were mainly competent in Leadership and Management Moreover, results showed age cohort predicted Client Care, Leadership and Management, Moral and Ethico-legal and Research. In addition, age cohort has an indirect effect on client care research and linkage and resource management. Findings also showed an interaction among the different dimensions of competencies. Age Cohort is a predictor of the Self-Report Competencies of the Multigenerational Public Nurses and the development of a structural model illustrating the interaction of age cohort and self-report competencies can be utilized as a basis for creating programs and policies by the different policy and regulation agencies for curricular development by educational institutions; and for improving continuing nursing education programs.

Biography:

Yabin Shang, BM, graduated from Southern Medical University(former First Military Medical University) in 2013. After graduation, she worked at Nanfang Hospital, which is affiliated to Southern Medical University as an assistant nurse. After working for one year, she is now a graduate student at Beijing University of Chinese Medicine.

Abstract:

Objective: To investigate the relationship between perceived social support(PSS) and quality of life in liver transplant recipients. Methods: Using Multidimensional Scale of Perceived Social Support(MSPSS) to investigate the social support in liver transplant recipients and Chinese version of post liver transplant quality of life instrument (pLTQ) to investigate their quality of life. PLTQ, a specific questionnaire to investigate the quality of life in patients after liver transplantation, was developed by Saab (2011) and was introduced to China by Xiao Peng(2014). Pearson correlation was used to evaluate the relationship between perceived social support and the patients’ quality of life. Results: 246 patients was selected using convenience sampling in the outpatient department in one general hospital in Beijing. The average age of the patients were 53.72 and 187(75.70%) patients were male. The average score of each pLTQ item was 5.373±1.103. The average score of PSSS was 5.589±1.007, significant others was 5.394±1.186, family was 6.074±1.050 and friends support was 5.282±1.357. Pearson correlation has shown that friends’ support was correlated with pLTQ’s each domain. Besides Financial domain, significant others’ support was also correlated with PSSS’s every domain. Family’s support was correlated with pLTQ’s four domains except Financial and Complication domain. Discussion: Family’s support was the highest among the three domains of PSSS. PSS was significantly correlated with the quality of life in patients after liver transplantation. Among which, friends’ support was correlated with pLTQ’s each domain.

Biography:

Mohamed Mamdouh Al-Banna has completed his Bsc of Nursing at the age of 23 years from Cairo University and started his postgraduate studies from Cairo University Faculty of Nursing. He is a teaching assistant at Critical care and Emergency Nursing Department Faculty of Nursing Cairo University from the year of 2011. He has shared as a volunteer in the Resala Charity Organization in Egypt from the year of 2011.

Abstract:

Background: The mechanically ventilated patients need a special nursing care with continuous closed observation. The patients’ body mass index may affect their prognosis or outcomes. Aim of the study: to investigate the relationship between BMI and selected outcomes of critically ill mechanically ventilated patients. Research Design: A descriptive correlational research design was utilized Research questions: a) what is the BMI profile of mechanically ventilated patients admitted to critical care units over a period of six months? b) What is the relationship between body mass index and frequency of organ dysfunction, length of ICU stay, weaning from mechanical ventilation, and the mortality rate among adult critically ill mechanically ventilated patients? Setting: different intensive care units of Cairo University Hospitals. Sample: A convenience sample of 30 mechanically ventilated patients for at least 72 hours. Tools of data collection: Three tools were utilized to collect data pertinent to the current study: tool 1: patients’ sociodemographic and medical data sheet, tool 2: BURNS Wean Assessment Program (BWAP) checklist, tool 3: Sequential organ failure assessment (SOFA score) sheet. Results: The majority of the studied sample (77%) was males, and (26.7 %) of the studied sample were in the age group of 18-28 years old, and (26.7 %) were in the age group of 40-50 years old. Moreover, two thirds (66.7%) of the studied sample were within normal BMI. No significant statistical relationship between BMI category and ICU length of stay or the mortality rate among the studied sample, (X2= 11.31, P value = 0.79), (X2 = 0.15, P value = 0.928) respectively. No significant statistical relationship between BMI category and the weaning trials from mechanical ventilation among the studied sample, (X2= 0.15, P value = 0.928). No significant statistical relationship was found between BMI category and the occurrence of organ dysfunction among the studied sample, (X2 = 2.54, P value = 0.637). Conclusion: No relationship between the BMI categories and the selected patients’ outcomes (weaning from MV, length of ICU stay, occurrence of organ dysfunction, mortality rate). Recommendations: Replication of this study on a larger sample from different geographical locations in Arab Republic of Egypt, conducting farther studies to assess the effect of the quality of nursing care on the mechanically ventilated patients’ outcomes).

Biography:

Ayse AKBIYIK a Research Assistant in Ege University Faculty of Nursing. She took master's degree on infection control nursing Faculty of Nursing, Ege University, in 2011. Currently, she is a master's degree PhD student at Department Fundamentals of Nursing in Nursing Faculty and at the same time she is a master's degree PhD student at Department Pharmaceutical Microbiology in Faculty of Pharmacy. She has been working on healthcare-associated infections, prevention and control of healthcare-associated infection.

Abstract:

Hospital surfaces are often contaminated with hospital based pathogens including methicillin-resistant Staphylococcus aureus, vancomycin-resistant enterococci, Clostridium difficile, Acinetobacter spp.. Although, aggressive cleaning protocols for controlling the spread of these pathogens are applied decontamination of patient rooms, this cleaning protocols are inadequate for removing bacterial contamination on the surfaces. In recent years researchers have focused on the elimination of important nosocomial pathogens which can not be removed from the hospital environment using of conventional cleaning, and disinfection procedures, and led to the outbreak in the hospitals. Non-touch techniques for terminal room disinfection such as ultraviolet or hydrogen peroxide systems, and antimicrobial-containing surfaces such as titanium dioxide, silver, copper are promise for reducing the healthcare-associated infections. Also last few years, researchers have studied on potential effects of the plasma (cold air atmospheric pressure plasma) to be used isolated room decontamination while patients in the room without any toxic effects on patients. At this point, multi-drug resistant pathogens spread easily from patient to patient patient and may lead to the possibility of closing the unit by causing the epidemic. Although nurses and other health workers apply all infection prevention and control procedures at maximum level, many hospitals or units faced this problems. These newly methods studied for using in the hospital environmental surfaces’ decontamination may solve this problem. These methods for using in the hospital environmental surfaces’ decontamination, which are still in the research phase, may solve this problem because of the target pathogens’ reservoir.

Biography:

Ms. Chang is currently a doctoral student at University of Washington in Seattle. She is also a senior lecturer at Fooyin University in Taiwan since 1999. Her research interest is focus on parenting, premature care, and children's oral health.

Abstract:

Background: Chinese immigrant children have higher decayed and filled primary teeth than their US counterparts. According to recommendations by the American Academy of Pediatric Dentistry, child oral health-related behaviors are crucial factors for preventing dental caries. There is limited information regarding Chinese immigrant parents’ barriers of assisting their children’s oral health-related practices. Accordingly, this descriptive study provided new knowledge about parental barriers towards caries prevention. The purpose of this qualitative study was to describe Chinese parents’ perceived barriers of young children’s oral health-related behaviors (sweet consumption, tooth brushing, routine dental visits) within the Chinese immigrant family context. Methods: Purposive and modified respondent-driven samplings were used to recruit Chinese immigrant parents of children aged 0-6 years through three Chinese immigrant agencies and participant referrals in King County, Washington. Participants completed in-person, semi-structured interviews that included perceived barriers of engaging in children’s daily oral-health practices (sweet consumption, tooth brushing, routine dental visits). Interviews were audio-recorded, transcribed verbatim in Chinese and analyzed by two coders using content analysis. Results: Forty-six parents participated in the study. Barriers to control children’s sweet consumption included child factors (physical development, temperaments, diet habits), parent factors (parenting styles and skills), family factors (sibling influence, grandparents’ care, family events and holidays), social factors (peer influence, events and holidays), and environmental factors (access to sweets). Barriers to assist children’s oral hygiene practices included child factors (physical development, temperaments), parent factors (lack of oral hygiene knowledge and skills, parenting styles and skills, lack of time), family factors(sibling influence, grandparents’ care, lack of family routine), and environmental factors (preschool’s lack of brushing equipments, eat out). Barriers to take children for routine dental visits included parent factors (lack of time, schedule issue), family factors (lack of grandparents’ support), and environmental factors (weather, transportation). Conclusion: Caries prevention education and parenting skills is needed to facilitate parents’ assistance roles in children’s healthy snacks, oral hygiene practices, and regular dental visits. Health professionals should be informed about Chinese immigrant parents' barriers of promoting their children’s oral health behaviors in order to understand parents better and provide culturally competent care.

Biography:

Ahmed Mostafa Shehata has completed his Master Thesis at the age of 29 years from Cairo University. He has published this paper in reputed journal and has five years of experience as a clinical instructor at faculty of Nursing, Beni-Suef University.

Abstract:

Compliance with hemodialysis (HD) precautions is essential in preventing the transmission of hepatitis C Virus (HCV) in hemodialysis units (HDUs). The aim of the study was to assess nursing staffs' knowledge and practice regarding the prevention of hepatitis C virus transmission in HDUs. Three main research questions were formulated to achieve the aim of the study. Research design: A descriptive exploratory study was utilized to fulfill the aim of the study. Subjects: A convenient sample of all hemodialysis nurses (55 nurses) in three HD units at Cairo University Hospital, Egypt. Tools: Two tools were designed to collect date pertinent to the study: a) Self-administered questionnaire to assess the subjects’ level of knowledge, and b) Observational checklist, used to assess subjects’ level of practice. Results: Showed that (54.5%) of the studied subjects have got a satisfactory level of knowledge regarding prevention of HCV transmission, while all of them (100%) have got an unsatisfactory level of practice related to prevention of HCV transmission in HD units. No significant statistical relationships have existed between nurses’ knowledge and practice and the designated socio-demographic variables except positive correlation between practice scores and gender as well as the working areas. Recommendations: In-service training programs should be designed and implemented regularly to all hemodialysis nurses to enhance their knowledge and practice regarding prevention of HCV transmission in HD units.

Biography:

Hale Sezer has studied her PhD from Ege University Medical Education Department. She is a research assistance from Nursing Education Department at Ege Universty Faculty Of Nursing. She has published 5 papers in reputed journals.

Abstract:

Organizational citizenship behavior, increases the tendency cooperation and information sharing within the organization, develops a employees sense of responsibility within the organization and employees have positive attitudes. Services more efficiently be served at the institution, employees' satisfaction in order to increase their performance and organizational commitment, they exhibit the work of the employees of managers to have foresight about the organizational citizenship behavior is important. Academician nurses who are working at nursing education institutions in Turkey is a descriptive study in order to examine level of organizational citizenship. The study sample was School of Nursing (n=6), School of Health (n = 54), the Faculty of Health Sciences (n = 25), the School of Health Sciences (n = 3) and the Faculty of Nursing (n = 5) total 95 institution in Turkey which academician nurses are working and who agreed to participate in the study (n = 676) were included. Data collection forms were Individual Identification Form and Organizational Citizenship level Scale which was made reliability and validity by Altuntaş and Baykal (2010). According to findings, academician nurses' level of organizational citizenship (X=3.45±1,54) were found to moderate. Academician nurse’s educational status (F=5,163; p=0,006), being an academic staff (F=4,047; p=0,000), recruitment of administrative staff in status (F=3,154; p=0,008) found a statistically significant difference between Organizational Citizenship Level Scale. At this point, leader in the organisations organize activities to improve regulations to coordination among the nurses, sharing and communications, are recommended that make a reward system to increase the voluntary behaviours.

Biography:

Sadiye Dur is a PhD student at Istanbul University. She is also research assistant at the same university in Pediatric Nursing Department since 2011

Abstract:

Warming the heel before drawing blood accelerates blood flow. The heat causes vasodilation in the blood vessels of the heel. The vasodilation increases the flow of blood from the site and also causes the blood values of the capillaries to reach the level of the arteries. This study was conducted to evaluate the effect of the warming method on infant crying time and on the duration of the procedure in heel-prick blood sampling. The data is derived from 120 newborns matching the inclusion criteria over the period June 2015 - April 2016 at the Neonatal Intensive Care Unit of a training and research hospital working under the Ministry of Health. The information sheet and observation form prepared by the researcher were used in data collection. When the groups in the study were compared, they were found to be similar (p>.05). The crying time of infants whose heels were warmed before heel-pricking with manual lancets was found to be significantly less than the infants whose heels were not warmed before heel-pricking with manual lancets (p=0.007; p<0.01). The duration of the procedure in the case of infants whose heels were warmed before heel-pricking with manual lancets was found to be significantly less than in the case of infants whose heels were not warmed before heel-pricking with manual lancets (p=0.030; p<0.05). No significant differences in crying time or procedure duration was observed when automatic lancets were used before the heel-pricking. The use of manual or automatic lancets after the heel-warming revealed no statistically significant differences between crying times and procedure durations (p=0.199; p=0.648; p>0.05). The data collection is ongoing. In the light of the findings on hand, heel-warming when using manual lancets shortens crying time and procedure durations.

Biography:

Mary Deo Luigi J. Mabunay is a graduating student in University of Santo Tomas, Manila Philippines under Bachelor of Science in Nursing degree program. She will graduate this June 2016. The study was defended last November 2015 and was orally presented last January 18, 2016 in the “Annual Research Forum: Disseminating Research Output through Oral and Poster Presentation” held in the University of Santo Tomas- Collge of Nursing. The group won 2nd runner up in the oral presentation.

Abstract:

Background: Across the literature, varying definitions of successful aging can be found. As result, several determinants have been associated with successful aging. However, there is a paucity of literature exploring the relationship between successful aging and factors such as spiritual experience, gerotranscendence and social engagement. Objective: Thus, this study purports to ascertain the relationship between and among spiritual experience, gerotranscendence, social engagement and successful aging. Methods: The Daily Spiritual Experience Scale (DSES), Social Engagement Scale (SES), Gerotranscendence Scale Revised (GS-R) and Expectations Regarding Aging (ERA) were fielded to 349 incarcerated elderly to measure spiritual experience, social engagement, gerotranscendence and successful aging respectively. Data was analyzed using Structural Equation Modelling through AMOS 21. The hypothesized model was evaluated using goodness of fit and parsimony indices. Results: Social engagement (β= .179, p=.128) and spiritual experience (β= .375, p=.262) contribute to successful aging through the mediating effect of gerotranscendence (β= .973, p=.718). Conclusion: Today more than ever, health care providers in penal institutions are challenged to ensure that incarcerated elderly are socially and spiritually engaged; and have high levels of gerotranscendence.

Biography:

Duygu Bayraktar has completed her MSc Degree at the age of 26 years from Ege University and she ıs a doctoral student in the same university in the Fundamental of Nursing.

Abstract:

Purpose: The aim of this methodological study was to adapt the Stressors in Students Scale into Turkish and to evaluate its psychometric properties for a Turkish nursing student population. Design: The psychometric properties of the scale were examined by collecting data from 309 nursing students in Izmir between 18 March and 26 April 2013. The reliability coefficient of the subscales of the scale is 0.85. The study was approved by the Ethical Committee and written permission was obtained from Nursing Faculty. Permission to use the scale in our study was obtained from Salamonson et al. (2011) by mail. The students were informed about the aim of the study. Results: An exploratory factor analysis identified that the eigenvalues for the two factors of the scale were 25.91 and 23.40; these two factors explained 49.32 % of the variance. A confirmatory factor analysis indicated a sufficient model fit for the construct validity of the scale. Cronbach’s Alpha for the total scale was 0.79, and the Kaiser-Meyer-Olkin Measure of Sampling Adequacy coefficient was 0.76. Conclusion: This instrument can be used to measure stressors in nursing students. Relevance to clinical practice: As stressors can differ in different countries, further studies are needed to test the psychometric properties of this scale in different cultures.

Biography:

Jana Camilla Erika P. Francisco is a 20 year old undergraduate of Bachelor of Science in Nursing at the University of Santo Tomas in the Philippines. She is the head of the 4th Year Membership of the newly formed political party, Lakasdiwa Nursing in the said university. She is involved in the university’s organizations such as, Medical Mission Inc., Red Cross Youth Council, and Lingkod E.R. She, together with her colleagues, Lei Nicola S. Fresnosa and Jannine A. Galimba, have recently participated in the poster presentation of the annual research forum of the College of Nursing in the University of Santo Tomas.

Abstract:

Work-related musculoskeletal disorders (WMSDs) are inflammatory or degenerative diseases aggravated by work and results to pain and functional impairment. It is one of the most frequent occupational health problems, and has been profound among health workers (65.4%) and educators (83.30%) causing temporary or short-term work disabilities. Nevertheless, researches comparing the prevalence and risk factors of WMSDs among staff nurses and nurse educators were limited especially in the Philippines. Hence, this study aims to compare the prevalence and risk factors of WMSDs among staff nurses and nurse educators. A descriptive-comparative research design was conducted among purposively-selected staff nurses and nurse educators from tertiary hospital and schools offering nursing program within Metro Manila respectively. After ERB approval, data was collected using the following: robotfoto, Modified Standardized Nordic Questionnaire, and Job Description Questionnaire. Gathered data was encoded and analyzed using Chi-Square Test and MANOVA. WMSDs in the upper back (56.1%), shoulders (58.6%) and elbows (67.3%) were reported to be significantly higher among nurse educators. Recognition or appraisal for good work (2.14), receiving help from co-workers (2.04), availability of equipment (1.93) and encouragement for self development (1.84) were found to be the most common psychosocial risk factors that contributed to the development of the event in this study. Between staff nurses and nurse educators, the latter reported more symptoms of WMSDs according to affected body parts. Job risk factors did not have an effect whereas; psychosocial risk factors promoted the occurrence of the condition, with staff nurses being more affected. Recognition of the principle of ergonomics, its application and importance promotes prevention of WMSDs and through this, new and alternative ways could be developed.

Biography:

Sz-Ching Lin is a PhD. Candidate, School of Nursing National Yang-Ming University, Taiwan

Abstract:

Health literacy is one of the crucial factors that influences chronic disease outcome. Elderly people are the main population that is affected by chronic disease. The purpose of this study was to determine whether the participatory action approach (PAR) program can improve the health literacy of elderly people. This is a quasi-experimental design, In total, experimental group 21 elderly people and control group 20 elderly people, defined in this study as people over the age of 50 years, were recruited. The PAR approach was used to design 12 2-hour lectures on health literacy, including functional health literacy, communicative and interactive health literacy, and critical health literacy. These lectures were expected to increase the cognitive skills and critical thinking ability of the elderly participants. All the experimental group participants were provided with a handbook, which included pictures and text that the participants could use as a basis for designing games, role-playing activities, or learning to use a sphygmomanometer. Sociodemographic information and the health literacy questionnaire (HLQ) were employed. The HLQ comprises nine parts: (Part 1) feeling understood and supported by healthcare providers, (Part 2) possessing sufficient information to manage health, (Part 3) actively managing health, (Part 4) social support for health, (Part 5) appraising health information, (Part 6) possessing the ability to actively engage with healthcare providers, (Part 7) navigating the healthcare system, (Part 8) possessing the ability to identify useful health information, and (Part 9) understanding health information sufficiently to manage health. According to the results, the health literacy scores were 9.86 ±1.55 and 9.65±2.70 . In addition, the HLQ scores were improved significantly: Part 3 (P = 0.004). The participants’ health literacy level was initially medium, even if not all variables had significantly, but after they joined 12 lectures, their ability to self-manage their health and apply health information to address health problems was enhanced. When an appropriate approach is used, health literacy can be increased and chronic disease incidence and complications can be reduced, especially in elderly people.

Biography:

Tran Thi Hanh got MPH qualification from Mahidol University after 10 year working in a district hospital. She takes charge of the office for Scientific Technology and International Relation in her college. Besides the local government’s scholarship, she has awards from Bread for the World and TOYOTA research Foundation to develop her professional. Her researches in hospital nursing management, nurse education and traffic accidents were published in journals. As a pioneer in Vietnam to study Dr.PH in nursing, she desire to improve quality of post-stroke care in the city and to initiate nurse education in public health in Vietnam.

Abstract:

Background: Stroke incidence in Can Tho City, Vietnam has been increased to the alarming level and the stroke survivors (SSs) have been facing challenges to get better care. Objectives: To describe post-stroke management (PSM) in Can Tho City, Vietnam and to evaluate PSM in the city. Methods: A Cross-sectional descriptive study was conducted in 8 district hospitals. Health staffs involving PSM filled in the quessionnaire covering all variables. The independent variables detected characteristics of input, process and output for PSM; the dependent variable is their evaluation for PSM. Usual scales were used to measure variables but Liker scale for PSM. Chi-squared-test and Fisher exact test were applied at p = 005. Results: Of 103 participants, 50% doctors and 59% managers in hospital/department. Findings on PSM: (1) Inputs: Mean time delay is 65 minutes; 34% health staffs involving were trained; insufficient facilities of basic safety for SSs were found out. (2) Process: Care for SSs in hospital: 59% having basic care; 59% with care to prevent complications, 42% having family caregivers; 60% family caregivers having guilded on post-stroke care. Care for SSs after hospital discharges: 58% having arrangement of re-examine. (3) Output: Length of hospital stay was 12.4 days; 58% was discharged without any plan to keep on post-stroke care; no rehabilitation facility but traditional medicine is recommented for 7% SSs. (4) Evaluation on PSM: Of the respondents 48% suggested “PSM needs to be improved”. Factors related to the evaluation for PSM: working place, job title, input facilities, time delay, patient's exercises and re-checkup after hospital discharge Conclusion: Input for PSM was insufficient; Process and output for PSM were inappropriate. Almost ½ respondents evaluated PSM as “Need to be improved”. Recommendation: Strengthening community alert on stroke; strengthening investment for PSM input; improving PSM process and keeping on PSM after hospital discharge.

Biography:

Ayse Akbiyik a Research Assistant in Ege University Faculty of Nursing. Currently, she is a master's degree PhD student at Department Fundamentals of Nursing in Nursing Faculty and at the same time she is a master's degree PhD student at Department Pharmaceutical Microbiology in Faculty of Pharmacy. She has been working on healthcare-associated infections, prevention and control of healthcare-associated infection.

Abstract:

Objective: The aim of this research is to comprehensively evaluate the infection prevention and control practices of ambulance service. Methods: This cross section survey was carried out between June-September 2010, in Izmir. The study sample consisted of 213 ambulance service workers, all the emergency and rescue station buildings and ambulance vehicles. A questionnaire and two check-list forms were used as a means of data collection. Results: Within the framework of the employees’ responses, of 40 items of infection prevention and control criteria that is required to be met for ambulance service, an average 25 (24.86±4.09) were met while 15 weren’t. In the observational controls, it was found that the infection prevention and control criteria for ambulance vehicles were met with an average of 32.96±5.22. It was found that of 50 items of the criteria for infection prevention and control of ambulance vehicles, 33 were met while 17 weren’t. According to observational controls, of 17 items of infection prevention and control criteria for emergency and rescue station buildings, an average of 6 (5.88±1.52) were met while 11 weren’t. Conclusion: The questionnaire responses given by the ambulance personnel and observation controls made in the ambulance vehicles and emergency and rescue station buildings by the researchers suggest that the criteria set for infection prevention and control practices were not met at a satisfactory level, which meant the infection prevention and control practices were not in sufficient condition. It is advised that an IPC guideline which includes standards and procedures to be followed by ambulance service personel should be prepared.

Biography:

Merve Kadioglu is a PhD student at Ä°stanbul University. She is also research assistant at the same university in Women Health and ilnesses Nursing Department since 2012.

Abstract:

The purpose of this study is to identify the attitudes and views of Turkish women with regard to Human Milk Bank (HMB). This study was conducted in primary healthcare centers located in Istanbul and uses a population-based, descriptive method. The participants included 1055 volunteer women who had at least one child. The participants were interviewed in person by the researcher in their homes. Of all participants, 62.8% heard about HMB. However, 63.8% of them stated they would not donate their milk to a baby in an intensive care unit while breastfeeding their own child. In addition, 78.6% stated they would not receive support from a human milk bank for their own baby for any reason. The most important issue related to HMB, as stated by 46.8% of the participants, is that it conflicts with that Islamic beliefs (babies are believed to become milk siblings). As a result, 57.2% of the participants think that HMB would not be approved in Turkey. Human milk banks being accepted by Muslim societies is much different from western societies. The most important step to be taken is to inform and help families resolve their worries regarding "milk sibling marriages." In human milk banks to be established in Muslim countries, we need to ensure that the mothers' milk will not be mixed and also develop a model where both donor and recipient can exchange information about each other.

Biography:

Ms. Ryana Anjela DR. Quero has completed her BS Nursing degree at the University of the Philippines Manila in 2015, graduating as Cum Laude and the Batch Valedictorian. She was the Top 8 nationwide in the 2015 Philippine Nursing Licensure Examination and has been awarded the Bienvenido M. Gonzales Award for Academic Excellence. Ms. Quero is also a member through invitation of the International Honor Society of Phi Kappa Phi and the UP Honor Society of Nursing, a Pre-chapter of Sigma Theta Tau International Society of Nursing.

Abstract:

Purpose: Inconsistencies in the performance of practices in gastric gavage, a fundamental nursing skill, remain despite the presence of evidence-based guidelines. The study aimed to (1) Describe gastric gavage practices of nurses (2) Determine factors associated with the performance of such practices. Design: Descriptive correlational Methods: Quota sampling of nurses (n = 111) working in wards and intensive care units of a tertiary hospital for adult patients requiring nutritional support through gastric gavage was performed. Gastric gavage practices were assessed using a self-report survey. Results: Majority of respondents correctly identified x-ray as the gold standard for determining tube placement (58.5%), and use of gastric pH measurement as another reliable method (61.9%). However, only 13.5% correctly identified air insufflation as an unreliable method. In terms of feeding skills, 75% of the respondents checked for food allergies, presence of bowel sounds, tolerance to previous feedings, and feeding complications prior to feeding. On the other hand, 39.6% routinely added gastrointestinal medications to nutrition formula and 30% crushed sustained-release oral tablets when administering via enteral tubes. Scores on knowledge and skills on gastric gavage were found to have a significant positive correlation (p < 0.01). No significant correlations were found between gavage practices and nurse- and work-related factors, such as length of experience, nurse rank, nurse-patient ratio and patient load. Conclusions: Strengthening of knowledge on gastric gavage standards may improve actual bedside practice. Addressing documented gaps in practices and standards may have an impact in the provision of safe and quality nursing care.

Biography:

Elif Donmez Temucun PhD student at Florence Nightingale Faculty of Nursing of Istanbul University, Turkey. She is lecturer in Bahcesehir University Faculty of Health Sciences Nursing Department. She has book sections in national books in Turkey, 15 oral or poster abstracts national or international congress and symposium, run 1 project in nationwide, run on 1 project internationalwide.

Abstract:

Aim: Across the literature, the diseases that are responsible for 40-80% of deaths have been associated with the healty lifestyle behaviours. Some studies that are conducted to understand to promote healthy life style and to clarify behavioral changing and motivational process have revealed the concept of self-efficacy. In this concept this research is conducted to determine healthy lifestyle behaviours and self- efficacy of the nursing students. Method: In this descriptive study, 212 students were surveyed using paper-based survey that include socio-demographic characteristics, General Self- Efficacy Scale (GSE) is developed by Sherer and etc (1982) and Health Promoting Lifestyle Profile Scale-II is developed by Walker and etc. (1987). Results: 86 % of the students whose ages were range from 20 to 26 were female and 13% were male. The main score of GSE was 60,35 ± 8,56 and the main score of HPLP-ll was 137,51 ± 19,04. Among the GSE and HPLP-ll scores of students was determined weak positive correlation (p=0,05, r= .15). Having studied subgroups, among spiritual growth subgroups of HPLP-ll and behavioral completing subgroup of GSE (p=0,05, r=.40) and tackling barriers subgroup of GSE (p=0,05, r=.38) was determined weak positive correlation. And, among interpersonal relationship subgroup of HPLP-ll and completing subgroup of GSE (p=0,05, r=.38) and tackling barriers subgroup of GSE (p=0,05, r=.34) was also determined weak positive correlation. Conclusion: Consequently adding new educational progmammes to improve self-efficacy of students and provide opportunity to also improve healthy lifestyle are recomended.

Biography:

Duygu Bayraktar has completed her MSc Degree at the age of 26 years from Ege University and she ıs a doctoral student in the same university , in the Fundamental of Nursing.

Abstract:

Objective: This descriptive study was implemented in order to examine nurses’ professional attitudes and affecting factors. Methods: The population of the study was consists of all nurses who worked at a university hospital. Totally 132 nurses were recruited to the study. Data was collected by using a questionnaire and Professional Attitudes Inventory. The minimum score may be obtained from the scale is 32, the maximum score may be obtained from the scale is 160. Written consent was obtained from researcher who developed the scale. Distribution of numerical and percentage were calculated. Average, ANOVA and, t test, correlation test was used in analysis of the data. Results: The mean score of scale was 134.97 + 16.01. Of all 24.2% of nurses have been working for1-3 years, 27.3% of them have been working for 4-10 years, 32.6% of them have been working for 11-21 years, 15.9% of them have been working for 22-34 years. The mean working duration in profession of nurses is 11.88 + 8.45 years. Conclusion: It was determine that age group, gender, working time in the profession, education level of the nurses does not affected the level of professional attitudes, but is found that the clinic in which they worked is influenced the professional attitude of the nurse. As a result, it was determined that the professional attitudes of all nurses participating in the study was in high level and that the professional attitudes of nurses who working in surgical clinics is higher than those who working in internal clinics

Biography:

Bis Hia Pan currently is a master student in the School of Nursing, Fooyin University, and she has worked as the anesthesia nurse in Taipei and Kaohsiung Chung Gang Memorial Hospital for 13 years, the anesthesia nurse in the Chungjen Orthopedics Hospital Kaohsiung for 6 years, and the current anesthesia nurse in Shin Huey Shin for 14 years. Although she is an anesthesia nurse in the hospital for a long time; however, she is still interested in the academic study and hope to apply the music therapy into the pregnancy women for her Master thesis.

Abstract:

A case study applying Parse’s theory of human becoming to a pneumothorax female patient that had experienced a car accident is presented. The three principles of Parse’s theory are structuring meaning through the articulation of the patient’s values and experiences; cocreating rhythmical patterns of relating in a mutual process with the universe, such as revealing–concealing, enabling–limiting, and connecting– separating; and powering unique means of being recreated through the process of transformation. Three health problems of pain, anxiety, and posttraumatic stress disorder (PTSD) were identified through communicating with the patient. Nursing interventions entailed using the communication applications Line and Facebook to conduct therapeutic communication with the patient to empower her positive thinking. The interventions also involved applying individualized music to encourage the patient to originate her transformation process and teaching rehabilitation skills. All of these methods facilitated overcoming the three health problems. The author experienced a connecting–separating relationship with the patient in a paradoxical unity while practicing the nursing interventions. Parse’s theory can be recommended to be applied to people who have experienced accidents or tragedies that result in PDST.

Biography:

Fortuna Angelli Jolyn Lumawag is graduating from the University of Santo Tomas, Manila, Philippines under the degree program of Bachelor of Sciene in Nursing. The sudy was defended last November 2015 and they also won 1st place in the oral presentation for qualitative research entitled “Disseminating Research Output through Oral and Poster Presentation” which was held in the University of Santo Tomas last Januay 18, 2016.

Abstract:

Background: Across the literature, impairment and disability among the elderly has been associated with a decline in meeting their special needs. Failure in meeting such needs may cause deterioration of function and threaten successful aging. Surprisingly, much of the literature has described successful aging of mostly males and those who are in health care institutions or living amongst society. The process of successful aging of elder women who are incarcerated remain to be a blank spot in nursing research. Aim: Hence, this study purports to describe the process by which incarcerated Filipino female elderly experience successful aging. Methods: Strauss and Corbin’s grounded theory design was employed. Semi-structured interviews were conducted to 15 purposively selected incarcerated female Filipino elderly from a penal institution for women in the Philippines. Further, data gathered was reduced to field text and was analyzed through open, axial and selective coding. Finally, truthfulness and trustworthiness of the findings was established through member checking. Findings: The study generated The Road to Success Model. Interestingly, five phases relative to successful aging emerged, namely: Struggling, Remotivating, Reforming, Reintegrating and Sustaining. These phases describe how select female Filipino incarcerated elderly undergo transformation towards successful aging. Similar to a road, each phase is considered a station one must pass through in order to get to the destination. Conclusion: Findings of the study serve as impetus for structural and procedural changes in prison, with a view to providing an environment conducive to successful aging; and appropriate recognition to the elderly’s efforts to achieve successful aging.

Biography:

Yun-Hsuan Linhas completed her master degree at the age of 28years from National Cheng Kung University. She is a lecturer of Ching Kuo Institute of Management and Health, and doctoral student of school of Nursing at Yang Ming University.

Abstract:

Purpose: The purpose of this study was to explore the lived experience of the primigravida in Taiwan. Methods: Phenomenological approach as research methodology. The study used convenience sampling to recruit 6 participants who met the study criteria.Face-to face semi-structured interview was applied to collect data. Interviews were taped recorded and transcript. Data were then analysed and categorized by using Colazzi method. Results: The analysis resulted in five categories from the interviews which included: (1) At a loss as to what to do (2) Follow the traditional culture (3) Body and perception discomfort (4) Unconditionally for baby (5) Shift the role. Conclusions: The findings of this study can provide better and appropriate health care for primigravida, and in order to improve the quality of life. It would also be extend both practical and academical value domestically.

Biography:

Zhi Li is a Master Candidate from West China School of Nursing, Sichuan University, in Chengdu, China. Her research orientation is clinical nursing.

Abstract:

Background Delirium is a serious and highly prevalent disorder in the intensive care unit patients, and is associated with an increased mortality and morbidity and prolonged hospital and intensive care unit stay. Despite practice guidelines promoting delirium assessment in intensive care, few data exist regarding current delirium assessment practices among nurses in China. Objective The aim is to investigate the current practices of ICU delirium assessment among ICU nursing staffs and analyze the perceived barriers, then providing reference for the implementation of delirium assessment in the intensive care unit. Methods This cross-sectional study was applied to 280 nursing staff working in six intensive care units of one large size Tertiary comprehensive hospital in Sichuan Province. A survey design was used and a questionnaire designed to collect the data. Results Overall, 256 (91.4%) nurses responded. 94.9% had the experience of caring delirium patients in the ICU work. Preferred methods for assessing delirium included clinical experience (80.5%), delirium assessment tools (14.5%), and psychiatric consultation (5.0%). The top three perceived barriers included difficulties for assessing intubated patients, sedative patients and lack of knowledge to distinguish delirium. Nurses who assessed by clinical experience (F=4.893, P=0.008), who had never received educations(F=12.252, P＜0.001)and who thought the knowledge they had couldn’t meet their clinical needs(F= 17.51,P＜0.001), had higher scores of barriers. Conclusions The current practices of ICU delirium assessment were not satisfied and the barriers mainly included lack of techniques and knowledge.

Biography:

Yung-Hua Liu has completed her Master in Nursing Science from Department of Nursing, Fooyin University. She personally has worked in the different nursing clinics for 13 years, including medical and surgical intensive care units, GI, Hemo, and RHC units. Currently she has involved into the narrative studies with her adviser Ya-Lie Ku and published a series of conference papers on narrative studies.

Abstract:

This study explored the spiritual growth experiences of nurses caring for terminally ill patients. Using the method of narrative study, we interviewed five nurses who used to care for terminally ill patients, and we followed a semi structured guideline for data collection. The participants were single women aged 30 40 years and holding a bachelor degree; moreover, they had no preferences for religious activities; had no chronic diseases; have family members with experiences of being hospitalized; had worked in hospice and palliative units for 8.3 years on average; have a total working experience of 12.5 years; and had more than 100 hours of training on spiritual lessons. The participants were interviewed twice individually. The first data analysis analyzing the whole context data was based on the integrate content model by Lieblich, Mashiach, and Zilber (2008). The second data analysis categorizing the content experiences into specific styles followed the category form model. The results were divided into the two main spindles of hospice care and spiritual growth experiences. The categories of hospice care experiences included communication, ethics, and training. The categories of spiritual growth experiences included struggles in life, growth, and philosophy of life. The results could provide a positive outlook for nurses in promoting their spiritual growth and transformation and in continually disseminating the energetic aspects of nursing.

Biography:

Abstract:

Intensified by the rising complexity of globalization, dynamics of information technology, demographic changes, health care reforms and demands for quality nursing care, the expectations for current nursing practice competencies were developed. Therefore, it is of paramount significance to recognize the impact of generational differences in the core competencies of public health nurses. Hence, this study sought to determine if age cohort is a predictor of the self-report competencies of multigenerational public health nurses. After Ethics Board approval, a predictive-correlational design was conducted to examine if the predictive power of age on the self-report competencies of the 200 randomly-selected public health nurses in three (3) generational cohorts: Generation X, Generation Y and Baby Boomers. Data were gathered using the Research-made Public Health Nursing Competency Scale (PHNCS) and were analyzed using Structural Equation Modeling (SEM), and Path Analysis. Analysis revealed that public health nurses of generation X were competent in Client Care Personal and Professional Growth and Linkage and Resource Management while the Generation Y’s prominent competencies were: Research and Moral and Ethico-Legal Contrarily, Baby Boomers were mainly competent in Leadership and Management Moreover, results showed age cohort predicted Client Care, Leadership and Management, Moral and Ethico-legal and Research. In addition, age cohort has an indirect effect on client care research and linkage and resource management. Findings also showed an interaction among the different dimensions of competencies. Age Cohort is a predictor of the Self-Report Competencies of the Multigenerational Public Nurses and the development of a structural model illustrating the interaction of age cohort and self-report competencies can be utilized as a basis for creating programs and policies by the different policy and regulation agencies for curricular development by educational institutions; and for improving continuing nursing education programs.

Biography:

Reham Dyab has completed her Masters of Nursing at 2015 from University of Haifa. She completed her BA at 2009 from Tel Aviv University. She completes her RN education at 2004 from Barzelai hospital. She is Nurse at Carmel hospital in Haifa in Israel, at the vascular surgery department since 2008. Parts of her thesis were presented last year at SSTI international conference and in three other local conferences in Israel. She is working on paper and preparing for PhD.

Abstract:

Background: Life quality among seniors in societies undergoing transformation processes is different than that of seniors in past-traditional societies, as in the Arab population in Israel. Help sources for senior – informal sources (family), in comparison to combined formal (senior centers) and informal sources – may have a different effect on the senior's quality of life. Other factors which might have an impact are norms of expected filial piety (normative solidarity) and the combined formal and informal care (structural solidarity). Therefore, this study's research question is: Do both structural and normative solidarity affect life quality among Arab seniors in Israel? Method: The research design is cross-sectional, case-control. It examined Arab seniors, 65 years old or older, who used senior center services along with family care, compared to seniors who used family care only (the two study groups) (N=157). Data was collected via a questionnaire and a structured interview for each subject. Statistical tests were held to examine research model and reliability of expected filial piety scale. Findings: Regression analyses revealed significant differences in physical life quality between the two groups (p< 0.001), after adjustments for level of functioning (ADL) (p<0.001), number of chronic diseases (p< 0.001), and help from family members (p< 0.01). Age, gender, marital status and education level variables were non-significant. Expected filial piety was not associated with life quality. The Expected Filial Piety Scale required adjustments for the Arab population (α Cronbach=0.89). Conclusions: Future services for Arab seniors in Israel must consider the unique needs of this community.

Biography:

Born in 1987 in Turkey and I graduated at 2010 from Nursing Faculty of Hacettepe University. Then I took my master degree at 2013 from the same university and now I am making doctorate. My department is community health nursing

Abstract:

Bullying among children has become a serious issue in schools today and a universal phenomenon that is affecting an extraordinary number of school-aged children in the world. Bullying can have large and important effects on both the bullies and their victims as depression, anxiety, sleeping disorders, school achievement and these effects appear to have lifelong consequences. Bullying is also a family issue, as the family environment has a major impact on the way children view the world, and this includes the development of both violent and victimizing behaviors. Because bullying is a behavior often impacted by family environment, it seems only logical that intervention and prevention of this issue could be successfully. Olweus (1993) defined bullying as a behavior that leaves a child “exposed, repeatedly and over time, to negative actions on the part of one or more other students” . He further explained a “negative action” as a behavior that “intentionally inflicts, or attempts to afflict, injury or discomfort upon another” . A negative action can be carried out verbally, as in threatening, teasing, name calling, or in physical forms such as hitting, kicking, pushing, shoving, and making faces or gestures. Numerous intervention programs have been developed to help children about bullying problem. One of them is Solution Focused Brief Therapy (SFBT).The principles of SFBT were developed by Steve de Shazer and Insoo Kim Berg at the Brief Family Therapy Center in Milwaukee (de Shazer, 1991). In their clinical work with couples and families, de Shazer and Berg discovered that clients’ concerns were resolved most effectively when therapists focused on the solution rather than the problem. They found that it was more effective to deliberately and skilfully focus attention on solutions rather than focus on the problem. They did this by encouraging the conversation to concentrate around three main areas. First is past successes and exceptions to the problem, second is existing skills and positive personal qualities and the last one is the preferred future. SFBT techniques are simple to implement and can be used by counselors who have different levels of experience to generate a satisfactory outcome for clients. Nowadays school health professionals especially nurses use SFBT because of some reasons. One of them is SFBT using are simple. The other one is you can see the improvement in a short time. Also adolescents don’t like talking the negative behaviour or situation so SFBT is acceptable for them. SFBT emphazises pozitive behaviour and strengths to find the solutions. School is an important setting for the promotion of social skills and children’s health. The role is school nurses for the promote health and stop the bullying is very important. Because the relationship between the students and nurses in schools is very influential. School nurses should take a course and gain qualification and then should use SFBT to stop bullying in schools.

Biography:

Kristin Monza is a nurse navigator in the Advanced Heart Failure clinic at Carolinas Medical Center in Charlotte, N.C. Kristin obtained her MSN Education from Garder-Webb University in 2013 and is currently enrolled in UNCC Acute Care Adult Gerontology Nurse Practioner program.

Abstract:

Today’s healthcare systems are constantly faced with challenges to transform healthcare delivery and provide quality and valued services for the heart failure patient population. These challenges require all members of the healthcare team, including patients, to collaborate and develop strategic processes that will redefine healthcare industry’s best practices. Implementing a multidimensional nurse navigator transition program is one approach to facilitating cross continuum of care for heart failure patients. Such program has been proven to significantly reduce 30-day all cause hospital readmissions, enhanced self-management skills, and improved follow-up compliance among the heart failure population. In addition to heart failure patients, this transitional care model can be used to address the needs of all patients with chronic conditions.

Biography:

Diana Due graduated from Nykoebing nursing school in 1989, specialist nurse in anesthetist in 1996. Teaching at the ATCN- and StaR program in Denmark. Facilitator from CAMES1. Working as nurse in Department of anestesilogical at Nykoebing Hospital.

Abstract:

Technical skills are highly depending on Non-Technical Skills (NTS) when treating acute critical ill patients. A vital role in safety is the ability to adapt information, to maintain focus in decisions making. Furthermore, staff have to be able to anticipate, identify and prevent errors. In our study, we investigated if SIM training could improve the NTS in teams of physicians and nurses from a relative newly established department (ED) with 120 health workers. The goal was to investigate the effects of SIM training with NTS. The study was a prospective interventional study using “in situ” simulation scenarios inspired from cases with acute critical ill patients. Staff (N=70) were trained in the use of the ABCDE approach, closed loop and structured communication. Mixed groups of 5-7 physicians and nurses worked in three simulation scenarios on manikin through 6-7 hours. Each scenario was debriefed using the description, analysis and application method. The staff made a pre- and post self evaluation on their NTS, rating the ability to use the NTS on a 5 step Likert scale. Data were tested with paired double-sided students T-test. After SIM, most of the participants reported an increase in self-efficacy with significance in 6 out of 12 questions, among these increased awareness of their role in teams. The facilitators observed that the teams became aware of the tools implicit in the NTS. We conclude that SIM training, for a majority of the participants, was an efficient tool to train Non-Technical Skills. Planning a follow-up study.

Biography:

With the current position of deputy program convenor for the Bachelor of Midwifery, Donovan has been actively involved in the development of new curriculum starting in 2016 for the Bachelor of midwifery at University of Newcastle. The new curriculum brings teaching innovation not previously used in undergraduate midwifery programs such as cadaveric anatomy labs, 3rd year clinical viva’s and the use of technology to deliver midwifery teaching across a wide demographic context. In addition to this Donovan is the chair of the Bachelor of midwifery simulation committee and is responsible for strategic planning for the continuing advancement of midwifery teaching simulation programs, ensuring students become leaders in the field of obstetric emergency hi fidelity simulation and learning. Donovan is also a integral team member of the iLIVE project, looking at the integrated learning that meets the needs of individual students, clinical venues and universities.

Abstract:

The emotional wellbeing of men with pregnant partners is central to supporting both the woman and the child (Bergstrom, 2013; Wynter, Rowe, & Fisher, 2013). There is substantive evidence to support that high levels of stress are as prevalent for men as women in the perinatal period, with men being as likely to suffer stressors associated with pregnancy as their pregnant partners (Wynter et al., 2013). Depressive or anxious episodes experienced by men as a result of stressors in pregnancy increase the possibility of anger being expressed physically (Bergstrom, 2013). Negative results of anger experienced during pregnancy can then lead or contribute to a decrease in physical and emotional wellbeing of the woman that has a cascade effect on the child, family and community. The use of mindfulness interventions for men with pregnant partners provides the possibility to change emotions and behaviours that unchallenged might otherwise have the potential to manifest into stress, anger and violence. An improved ability to cope with stressors is postulated to improve wellbeing and decrease the chance of stress and anger becoming uncontrollable. Escalation of unmanaged anger during the perinatal period can also potentially lead to domestic violence; mindfulness interventions postulate a potential pathway for primary intervention in reducing intimate partner violence toward women during the perinatal period. Current literature on mindfulness interventions establishes positive outcomes across a variety of clinical and non-clinical populations. Reduction in the emotions of anger, anxiety and depression has been reported in literature on mindfulness interventions (Bergen, Possemato, & Pigeon, 2014; Kearney, McDermott, Malte, Martinez, & Simpson, 2011; Mastrianno, 2012). However, there is currently a gap in the literature regarding whether mindfulness interventions can be used to support the emotion regulation and emotional wellbeing of men with pregnant partners. Accordingly a pilot research project is currently underway at the University of Newcastle in conjunction with Smiling Minds to trial the benefits of mindfulness for men with pregnant partners in an online environment. For further information on this pilot project please contact any of the authors.

Biography:

Minyoung Kim has completed her Ph.D. at the age of 33 years and Assistant Professor from Ulsan University School of Nursing. She is the Adult Health advanced practice nurse for 10 years. She has published 9 papers in reputed journals.

Abstract:

Purpose: The aim was to develop and validate a delirium prediction scoring system that allows identification of individuals with a high probability of postoperative delirium at the end of surgery based on preoperative and immediate postoperative data. Methods: This was prospective study and consisted of (1) the development of delirium prediction scoring system and (2) validation of developed system. The first part of the study was included 561 patients and the second part of the study was included 553 patients. Collected hospital information was potential risk factors of postoperative delirium identified by conducting a comprehensive review of the literature. Results: The risk factors for postoperative delirium included 18 predisposing factors and 15 precipitating factors in univariate analysis. Logistic regression analysis identified the following 9 risk factors: old age, reduced physical activity, heavy alcoholism, previous history of delirium, hearing difficulty, emergency surgery, open surgery, C-reactive protein >10 mg/dL , and ICU admission. The delirium prediction score was developed with these 9 risk factors and the maximal score was 16. A high risk of postoperative delirium was defined as a score of more than 7. Validation of the delirium prediction scoring system resulted in the following values: AUC 0.943; sensitivity, 84.2%; specificity, 86.8%; PPV, 57.1% and NPV 96.3. Conclusion: The delirium prediction scoring system is a simple predictive model for postoperative delirium based on 9 risk factors. Patients at higher delirium risk need to be monitored closely to prevent or mitigate postoperative delirium after major general surgery.

Biography:

Maude Charron is completing her master’s degree in nursing at Université de Montréal. Before starting her master’s degree, Maude worked in various types of health care organizations because of her interest in the clinical, educational and scientific facets of the profession, she is currently completing her master’s degree on the advancement of nursing practice in an inter professional context

Abstract:

Problematic: Common mental health disorder rates are increasing worldwide. Primary health care should be able to support patients with depression or anxiety problems. During their training, nurses develop the skills to work with those patients. Unfortunately, role of nurses about mental health in primary health care usually doesn’t represent their full scope of practice. Objective: to describe and to analyse the role of nurses working in inter professional primary healthcare teams with patients who are suffering from common mental health disorders. Methodology: A multiple case study was performed in two primary health care organizations in Quebec, Canada. Interviews with nurses and health professionals were conducted. First, the data are currently analysed independently for each organization. Secondly, transverse analysis will be performed to compare the two participating organizations. Results: The final results of this research will be presented. The results will include the role of nurses working with patients suffering from common mental disorders as described in the interviewees. Organizational and individual factors influencing this role will also be discussed. Conclusion: The role of primary health care nurses is constantly changing and expanding but it often differs from one organization to another. Clarifying their role in primary mental health care should facilitate the deployment of their full scope of practice and should have a beneficial impact on the services to patients suffering from depression or anxiety disorders.

Biography:

Christina Oersted graduated from Nykoebing nursing school in 2000. Facilitator from CAMES. Diploma in health professional education. Working as an educational nurse in the ED at Nykoebing Hospital.

Abstract:

Technical skills are highly depending on Non-Technical Skills (NTS) when treating acute critical ill patients. A vital role in safety is the ability to adapt information, to maintain focus in decisions making. Furthermore, staff have to be able to anticipate, identify and prevent errors. In our study, we investigated if SIM training could improve the NTS in teams of physicians and nurses from a relative newly established department (ED) with 120 health workers. The goal was to investigate the effects of SIM training with NTS. The study was a prospective interventional study using “in situ” simulation scenarios inspired from cases with acute critical ill patients. Staff (N=70) were trained in the use of the ABCDE approach, closed loop and structured communication. Mixed groups of 5-7 physicians and nurses worked in three simulation scenarios on manikin through 6-7 hours. Each scenario was debriefed using the description, analysis and application method. The staff made a pre- and post self evaluation on their NTS, rating the ability to use the NTS on a 5 step Likert scale. Data were tested with paired double-sided students T-test. After SIM, most of the participants reported an increase in self-efficacy with significance in 6 out of 12 questions, among these increased awareness of their role in teams. The facilitators observed that the teams became aware of the tools implicit in the NTS. We conclude that SIM training, for a majority of the participants, was an efficient tool to train Non-Technical Skills. Planning a follow-up study.

Biography:

Pediatrics, Child Neurology, Epilepsy, developmental disorder Current Position(s): Chief of Department of Child Neurology, National Center Hospital, National Center of Neurology and Psychiatry, (NCNP) 1989　M.D. University of Tsukuba 1996-1999 Neurology: Department of Neurology, University of British Columbia (Canada) 1999-2002 Lecture of Department of Pediatrics, Dokkyo Medical University 2002- Present Chief of Department of Child Neurology, National Center Hospital, NCNP

Abstract:

Objectives: In pharmacotherapy for developmental disorders, not only anti-psychotic drugs, a combination of anti-epileptic drugs have an effective for sleep disturbance. Evidence of sleep disturbance in developmental disorders associated with abnormal EEG has not been established. We evaluated the EEG abnormalities and usefulness of anti-epileptic drugs for sleep disturbance in developmental disorders. Methods: A total of 202 children (146 males, 46 females, mean 12.7 years) were included in this study. EEG had been recorded every 6 months under sleep conditions. We examined the therapeutic effect of behavioral and psychiatric improvement and sleep disturbance. Results：EEG abnormalities were present in 76.7%, sleep disturbance was complicated in 33.3% of whole; 41.4% in autism spectrum disorders and 16.4% in attention deficit hyperactivity disorders respectively. Epilepsy was present in 53.3%. Almost patients showed EEG abnormalities on frontal areas. Although, there is no statistically difference in the effectiveness of anti-psychotic drugs or anti-epileptic drugs, all patients in the both combined patients were more improved. Conclusions: Anti-epileptic drug is effective for sleep disturbance in developmental disorders who showed EEG abnormalities. In cases of EEG abnormalities, anti-epileptic drugs may be an alternative treatment for sleep disturbance in developmental disorders.

Biography:

Abstract:

Introduction: The ongoing trend of using orally-administered instead of intravenously-administered anti-cancer drugs improves patients’ quality-of-life and reduces costs. However, as this trend facilitates transition of patients to the home-care setting, issues such as adherence, patient monitoring, and addressing adverse events (AEs), become more challenging. Thus, this trend requires remodeling patient care and the communication between the ambulatory care staff and the patients. Objectives: To describe the development and implementation of guidelines related to the treatment of cancer patients with orally-administered drugs in a Comprehensive cancer center. Methods: Guideline development included several steps such as performing a literature review identifying safety issues, evaluating the number of patients treated with orally-administered drugs, developing patient capabilities assessment tool, and creating relevant documents (eg, information and contacts orders for each treatment and checklists/follow up sheets for the staff). Results: Guidelines were developed and implemented among 2013-2014. At present, the ambulatory care nurses proactively monitor the treatment of approximately 70 patients (per week), who are being treated at home. The monitoring is performed by phone/email/meetings, and includes confirming appropriate drug handling and administration (eg, issues related to storage, dosage, drug-drug-food interactions), follow-up on blood tests, symptoms assessment, and hospitalization, if needed. Guidelines adoption by staff members improved patients' adherence and decreased the rates of AEs (eg, renal failure) and hospitalizations (will be presented). Conclusions: Proactive approach by developing and implementing guidelines for managing patients treated with OOACD was associated with improved patient care and represents the commitment of the oncology staff to patients’ quality-of-life and safety.

Biography:

Insil Jang has worked as a staff RN and Clinical nurse specialist of cardiovascular surgery part for 13years in Asan Medical Center. I have received a Ph.D. at the age of 35 years old and I became an assistant professor at department of nursing in University of Ulsan. My speciality is adult health nursing. My research interests are cardiovascular patient care, clilnical nurse specialists and nursing management. I already have published several papers and I am currently some ongoing some studies.

Abstract:

Purpose: This study is a cross-sectional study to determine the relevance and impact factors to critical thinking competencies by nursing practice environment and self-esteem for clinical nurses. Methods: The survey was conducted from March 2015 to May 2015 with self-report questionnaire. Participants were 281 registered nurses working in one tertiary hospital. Data were analyzed with descriptive statistics, t-test, ANOVA, Pearson correlation, and multiple regression using SPSS/WIN(21.0). Results: The factors affecting the subjects’ critical thinking competencies included their age(F=7.234, p<.001), educational background(F=7.820, p<.001), position(F=14.949, p<.001), clinical career(F=7.658, p<.001). And critical thinking competencies represented a positive correlation with nursing practice environment(r=.595, p<.001) and self-esteem(r=.408, p<.001). Critical thinking competencies were affected by factors of clinical career, nursing foundations for quality of care, collegial nurse-physician relations and self-esteem with an explanatory power of 45.1%. Conclusion: Based on the study findings, critical thinking competencies were influenced by nursing foundations for quality of care and collegial nurse-physician relations of nursing practice environment. Therefore, it’s necessary to improve continuing education for clinical nurses and to reconstruct the organizational culture for partnerships with nurse-physician. In addition, the rise of self-esteem by mentoring and individual coaching raise critical thinking competencies.

Biography:

Hui-Mei Chen obtained her PhD from Taipei Medical University. She is an assistant professor at the National Taipei University of Nursing and Health Sciences. She has practiced clinical nursing for 10 years and been involved in nursing education and research for 18 years. She has published several papers in Cancer Nursing as well as the British Journal of Cancer and serves as a reviewer for a nursing journal in Taiwan.

Abstract:

Background: Lung cancer is a highly symptomatic disease, involving symptoms such as anxiety during the treatment period and in the follow-up stage. Although exercise has been addressed as an adjuvant treatment for anxiety, few studies have evaluated the efficacy of exercise in patients with lung cancer. Walking is strongly recommended for patients with pulmonary diseases by American College of Sports Medicine; because it is involved in most activities of daily living (ADL). The purpose of this study was to determine the effectiveness of a 12-week home-based walking-exercise program in managing anxiety in Taiwanese patients with lung cancer. Methods: We recruited 116 patients from a medical centre in northern Taiwan, and randomly assigned them to either a walking-exercise group (n = 58) or a usual-care group (n = 58). We conducted a 12-week exercise program that comprised home-based, moderate-intensity walking for 40 min per day, 3 days per week, and weekly exercise counselling. The outcome measures included the Hospital Anxiety and Depression Scale (HADS-anxiety subscale). Results: We analysed the effects of the exercise programme on anxiety by using a generalised estimating equation method. The patients in the exercise group exhibited a significant improvement over time in their levels of anxiety (P = .007) compared with those in the usual-care group. A cutoff point of 8 was used to investigate the clinical significance of the observed changes; the walking-exercise and usual-care groups revealed similar numbers of definite and suspicious (scores 8) anxiety cases at baseline (13 vs 8, P = .288). Although a significant difference was observed from the baseline to the third month (a decrease of 4 patients in the walking-exercise group vs an increase of 9 patients in the usual-care group, P = .014), no significant differences were observed from the baseline to the sixth month (a decrease of 8 patients in the walking-exercise group vs no decrease in the usual-care group, P = .118). A significant interaction term (group difference  time) in the GEE model (Wald x2 = 6.04, P = .049) verified that the walking exercise program effectively reduced the number of patients with anxiety over time. Conclusion: The home-based walking exercise can reduce anxiety and elucidate the critical role of exercise in the rehabilitation of patients with cancer. Health care team members must comprehend and consider exercise as a supportive care intervention for lung cancer survivors.

Biography:

Hsin Hsin Chang is a Distinguished Professor at the Department of Business Administration and Institute of International Business, National Cheng Kung University, Taiwan. She holds a PhD in IT & Management from School of Management, University of Bradford, UK. She current research interests fit broadly into the areas of e-business, m-commerce, online consumer behaviour and decision, relationship and service quality, human-computer interaction, collaborative and innovation, health care service, and global logistics. Her publications have appeared in several journals such as Decision Support Systems, Health Information Management J., Information & Management, Information Systems J., Int. J. of Computers-Human Studies, Int. J. of Information Management, Int. J. of CIM, Internet Research, J. of Business & Industrial Marketing, J. of Information Management, J. of Organizational and End User Computing, Computers in Human Behavior, IT & People, Online Information Review, Supply Chain Management, TQM&BE, Technovation, etc. She has received Outstanding Achievement Award, the Best Interdisciplinary Paper Award, at the 44th Annual Decision Sciences Institute (2013DSI).

Abstract:

This study adopts social capital theory (SCT) and transaction cost theory (TCT) to explore the feasibility of an inter-organizational cross-hospital electronic medical records (EMR) exchange system, and the factors that affect its adoption. The concept of value co-creation is also used to assess such a system, and its influence on the performance of participating medical institutes. This work has the following four objectives: (1) construct a model using SCT and TCT to investigate whether performance improvements can be achieved with the use of an inter-organizational EMR system, (2) examine whether the use of SCT (social interaction ties, norm of reciprocity, and shared values) could enhance medical institutes’ investments in relation-specific assets, and subsequently increase the value co-created with the inter-organizational EMR system, (3) examine whether the use of TCT (asset specificity and uncertainty) could increase internal costs when adopting cross-hospital EMR exchanges, and further decrease co-creating IT value, and (4) examine whether the value co-created when using an inter-organizational EMR system could enhance the performance of participation in medical institutes. This research collected 330 valid paper-based questionnaires from the medical staff of various institutes. The results showed that social interaction ties and shared vision positively affected medical institutes’ willingness to adopt the EMR exchange system, while asset specificity and uncertainty increased the related transaction costs. With a greater willingness to invest in relation-specific assets and to meet the related transaction costs, this behavior lead to an increase in medical IT value , as well as better results for the related medical institutes, medical staff, and patients. Therefore, this study suggests that such institutes encourage their medical staff to participate in seminars or reunions in order to develop their professional and social networks, and set up clear schedules and desire for expected effects when introducing the cross-hospital EMR exchange system.

Biography:

Rungrungsee Vibulchai has completed her Ph.D. at the age of 14 years from Chulalongkorn University and Certificate of Infection Control in hospital from San Francisco University School of Medicine, USA. She is the instructor of Nursing, Praboromarajchanok of health work force and development, the health work force and development organization in Thailand. She has published more than 18 papers in reputed journals and has been serving as an editorial board member of repute.The most of papers were supported by the Global Fund grants with the Round 8 and Single Stream Funding (SSF).

Abstract:

The research‘s objective were to develop and evaluate the effectiveness of the performances for the tuberculosis transmission of prevention and control in hospitals. The research design was applied the research and development. The population sand sample was the nurses of infection control in hospitals and nurses in TB Clinic. The sample size was estimated by proportion 1,310 samples and multistage random sampling. Moreover; this research was divided in to three phases. The tools of research were examined validity by 5 experts and reliability used alpha Cronbach's amount 0.83. The data analyses were carried out based on contents analysis, and descriptive statistics percentage. These data were collected through observations, and evaluation form. The analysis of the data involved both qualitative as well as quantitative methods. The results of this study showed that: (1) the situation analysis of the performances for the tuberculosis transmission of prevention and control in hospitals was the lack of a specific plan for the tuberculosis transmission of prevention and control in hospitals. (2) the development of an action plan that takes action plan as part of the fourth plan (3) an operation manual for the prevention, control the spread of tuberculosis in hospital (4) the results of the competency development personnel found, that 88 percent performance increase (5) the monitoring found that a measure of operating procedures to prevent and control the tuberculosis transmission with performances indicators which were operated quarterly. (6) The results of evaluation for the tuberculosis transmission of prevention and control in hospitals were varied. The recommendations of this research: The director of hospital should have specific policies and evaluate their performances for the tuberculosis transmission of prevention and control in hospitals constantly. Moreover, these activities are linked with the number of the health care workers of pulmonary tuberculosis and tuberculosis exposure times of healthcare staffs and patients.

Biography:

Shu-Yuan Liang has completed her PhD at the age of 40 years from Queensland University of Technology. She is the professor of National Taipei University of Nursing and Health Sciences. She has published more than 60 papers in reputed journals.

Abstract:

Background: Despite advancements in cancer treatment increase survival rates for head and neck cancer (HNC), the therapy also induce serious side effects. It is important to apply more evidence base approaches to deal with the side effects of oral mucositis (OM) caused by chemotherapy. Objective: The purpose of this study was to test effectiveness of the OM guideline for the quality of life (QOL) in Taiwanese patients with HNC. Methods: This research involved a prospective, repeated measure, quasi-experimental design with a control group. A convenience sample of 60 patients with HNC was recruited from one medical centre in Taipei area. The experimental group received the clinical practice guideline of OM (CPGOMCP), the control group maintained on their routine care. The QOLwas measured with the Chinese version of European Organization for Research and Treatment of Cancer (EORTC) QLQ-HN35 at baseline and on day 10 and day 14 after the intervention . Results: The generalised estimating equation showed statistically significant group-by-time interactions in QOL. Using the control group as the reference group and baseline as the reference time, the experimental group had significantly reducing the impact of mucositis on patients’ QOL than the control group after the intervention: on day 10 (β = -0.91, p <.001) (Likert 4-point)/(β= -2.73, p <.001) (dichotomy) and day 14 (β = -1.10, p <.001) (Likert 4-point)/(β= -3.57, p <.001) (dichotomy). Conclusions: The study findings support the effectiveness of the OM guideline in alleviating the impact of OM on patients’ QOL.

Biography:

Shih-Hsien Kuo, and has completed his Ph.D. from College of Pharmacy, Kaohsiung Medical University and also is a registered pharmacist of Taiwan R.O.C.. He is the associate professor of School of Medical and Health Science, Fooyin University, Kaohsiung, Taiwan. He has published more than 30 papers in scientific journals in the field of clinical care of special populations such as pregnacy women, elderly, and DM patients etc. In addition, he is also interest in the foods for treating symptoms, such as pitaya for constipation or ginger for nausea and vomiting.

Abstract:

Background and Purpose: The high prevalence of obesity is a major public problem worldwide. Hence, the needs to explore the factors, not only the physiological but psycho-social factors, have been merged. The aim of this study was to explore the factors affecting the efficacy of weight control in young adults. Methods: A questionnaire consists of external and internal environment sub-questionnaires to measure the factors affecting weight control efficacy in young adults. Participants were 300 college students, including 3 domains of professionals (nursing, nutrition, and non-health-related) from the university in southern Taiwan. The self-administered questionnaire was collected successfully for univariate statistical analyses. Results: The major sex of this sample was female (74%; n=222). 212 (70.7%) individuals intended to losing weight recently, yet, 131 (37.7%) of this sample were actually to execute their weight control plan, and 2 majority of methods to lose weight were exercise or exercise with diet (n=92, 31.7%; n=80, 27%, respectively). In actually executing weight control plan prospect, body weight, BMI, and body shape content were major determinants (p= 0.005, t= -2.806; p<0.001, t=-4.935 ; and p<0.001, t= 6.459, respectively). Furthermore, the more positive psycho-social supports, such as positive colleagues relationships ( p=0.036, t=2.108) have the more social support to weight control motivation. And the higher believe of weight control, more attempt of weight loss, and good diet behaviors (p=0.002, t-3.135; p<0.001, t=11.827; and p=0.04, t=3.199, respectively) have more consistency for weight controlling. There was no association between individual professions and intended to losing weight recently, yet, health related professions likelihood to more actually to execute their weight control plan than non-health-related profession. Conclusion: Psycho-social factors of successfully weight control are determined by body shape content, positive colleagues relationships, higher believe of weight control, more attempt of weight loss, and good diet behaviors.

Biography:

Dr. Ming-Lee Yeh is an assistant professor in the National Tapei University of Nursing and Health Scienses. She is also the founder of The Professional Animal Assisted Therapy Association of Taiwan. This NGO proposes the concept of “Golden Triangle AAT model”, and also creates the first AAT specialist training program in Taiwan

Abstract:

In Taiwan, the prevalence of Dementia for over 65 years is 3.7-4.4%, and almost 90% of patients with Dementia stay in their own homes and are taken care of by their families. Heavy caring loadings cause caregivers’ stresses in physical, psychological, social, and economical levels.This research explored the effects of an Animal- Assisted Therapy (AAT) program on health status of dementia patients’ cargivers. 12 primary caregivers who were average 51.5 years old, female (83.3%), patients’ children (75%), mandarin Chinese spoken (83.3%), participated in this research. A 9-week structured AAT group program was held once a week, 2 hours per each. A well-trained therapeutic dog teams was applied every time. Blood pressure, autonomic nervous system function evaluation (frequency domain analysis of heart rate variability, HRV), caregiving loading scale, positive emotion scale, and Chinese happiness scale were used for assessing the effectiveness. The results showed that:1) AAT can significantly improve caregivers’ feeling of care loading (p=.013). 2) AAT can significantly improve caregivers’ feeling of positive emotion (p=.002). 3) AAT can significantly improve caregivers’ feeling of happiness (p=.003). 4) AAT can significantly alleviate caregivers’ hear rate (p=.004), but no significantly influence on blood pressure. 5) Only the SD, TP, LF, Var of HRV have significant difference. 6) AAT can significantly improve the Parasympathetic activity, which relax people and reduce their HR. This study suggested that AAT can be prompted to improve the function of autonomic nervous system, psychological and emotional quality for the primary caregivers of patients with dementia.

Biography:

Hwey-Fang Liang has completed her Ph.D. at the age of 38 years from Duquesne University School of Nursing in USA. She is an Associate Professor in the Department of Nursing in Chang Gung University of Science and Technology in Taiwan. She has published more than 40 papers in reputed journals with English and Chinese.

Abstract:

Background: Pediatric practicum is an essential course for nursing students. Thus, pediatric clinical practice can be highly stressful for nursing students and it might affect their subsequent professional development. Purpose: The purpose of this study was to describe the experiences of nursing students’ providing care during a pediatric practicum. Method: Qualitative research method was applied for this study. A semi-structured interview guide was used to interview 20 participant nursing students who had completed a pediatric nursing practicum in their junior-year at a university in the southern area of Taiwan. The verbal and non-verbal behaviors expressed by the students during interviews were, then, audiotaped and recorded during narrative process. Following, the collecting data was systematically analyzed and categorized. Results: The results show that experiences of the students can be categorized as the following: 1) developing proper relationship with children and their families (appropriate communication with children and families, being seen as a friend with child, rather than being treated as a nursing staff); 2) developing appropriate care strategies for different age level of children (using creative therapeutic play); 3) taking a good look at children’s interests and following with child care theories (children’s favorite television program, nursery rhymes, and cartoons; learning child development theories to promote children’s physical, and psycho-social status; and knowledge of childhood disease); 4) gentle and calm to cope with uncertainties during clinical practice situation. The roles expressed by these students can be categorized as follows: being a friend, a teacher, a brother or a sister. Conclusion: The result of this study can be used as references for guiding students during first stage of pediatric nursing clinical practice.

Biography:

Dr. Yang has completed her PhD from National Taiwan University School of Medicine. She is the associate professor of National Taipei University of Nursing and Health Sciences, a premier nursing school in Taiwan. She has published 29 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

Background: Breast cancer is a leading killer of Taiwanese women. The aim of this study was to investigate the net effects of innovative community-wide breast self-examination (BSE) program that we designed and administered to promote Taiwanese women’s BSE competence. Methods: A quasi-experimental pretest and posttest were conducted on 203 women participants aged 50 or less. The data collected was direct measurement of the examinees’ BSE performance. Results: At a four-month follow-up after training, the experimental group mean scores of outcome measures were all of significantly higher than those of the control group (all ps＜.001). An average of BSE monthly frequency was 0.7 versus 0.4, proficiency of BSE was 91.3% versus 16.6%, sensitivity was 70.0% versus 20.0%, and positive predictive value (PPV) was 92.8% versus 18.6%. The coefficient shows the effect of treatment, those women in the experimental group comparison to the control group: frequency increase by 105% (e0.72-1=1.05), sensitivity increase by 249% (e1.25-1=2.49), PPV increase by 371% (e1.55-1=3.71), and proficiency increase by 74.5%; all of above remove of the potential confounders in the model. Conclusions: This study has yielded valuable information about the net effects of an experimental BSE instruction program on competency. The results indicate that the treatment, as administered, had strong, positive, and significant effects on BSE behavior in terms of practice and accuracy. Worthy of special note is that BSE teaching can be highly effective if it involves model breasts as a necessary auxiliary aid to self-examination practice.

Biography:

Fan-Hao Chou, RN, PhD, Professor, College of Nursing, Kaohsiung Medical University

Abstract:

Nausea and vomiting (NV) are the most common symptoms of pregnancy, affecting 70%to 85% of women. These also impact women’s and fetal health, such as low quality of life (QOL) and low body weights of the mother. In addition, QOL is one of the most important indicators of evaluation for health care recently. There are many studies related to QOL, but few related to QOL and pregnancy-related NV. The purpose of this study was to explore the variation on QOL and its related factors among pregnant women with NV throughout three trimesters. This study was a longitudinal study design. A convenience sample of 101 pregnant women using questionnaires was recruited from prenatal clinics in southern Taiwan. The measurement instruments of this study included the Index of Nausea, Vomiting, and Retching, the NVPQOL-Taiwan version, and visual analogous scales of stress and symptom disturbance. Data were collected at three times: during the first (weeks 6–13), second (weeks 14–27), and third (weeks 28–40) trimesters. Data were analyzed using SPSS packages for Windows. Generalized Linear Mixed Models indicated that significant differences (p < .001) for the scores of the perceived level of symptom distress, stress, and NVPQOL were observed at the first, second, and third trimesters. The score of NVPQOL obtained in first trimester was higher than those of the second and third trimesters (133.73 vs. 105.54 vs. 103.64), indicating the worst QOL in the first trimester. The scores of the perceived level of symptom distress, stress, and NVPQOL in the first trimester were significantly higher than those of the second and third trimesters. There was no significant difference between these scores of the second and third trimesters. These findings can provide advanced knowledge of transformation in QOL and related factors for pregnant women with NV to healthcare providers. It can also serve as empirical data for clinical care based on different trimesters to have better QOL for these women.

Biography:

Hsiu-Min Tsai received her PhD from the University of Texas at Austin, School of Nursing in 2005. After graduating from the University, she went back to her country and served in Chang Gung University of Science and Technology, Taiwan as the Dean of Academic Affairs for 9 years. In 2013, she was promoted to Professor and meanwhile was inducted as Fellow of the American Academy of Nursing in the United States. Tsai’s research interests focus on multiethnic women's health. She authored more than 35 papers in reputed journals and has been serving as an chief editor of repute.

Abstract:

The purposes of this research were to: (1) develop the Female Health Literacy Mobile App, (2) implement and evaluate App effects on females’ self-leaning, self-efficacy, health promoting behavior and health literacy. The research was a pre-experimental design with pre- and post-test. Snowball sampling was used to recruit participants. A total of 443 multi-ethnic females (Taiwanese, aboriginal, Vietnamese) participated in the study: 326 of them completed pretest and 118 completed both pretest and posttest. Instruments used including demographic information sheet, the General Self-Efficacy Scale, Self-Directed Learning Instrument, Adolescents’ Health-Promoting Behavior, and Health Literacy Vocabulary Scale for Taiwanese Women. Mean age of the participants was 32.19 years. Large proportion of the participants were Taiwanese, single, employed or owned a home business, had an educational level equal or higher than senior high school, had a family income between 30,000 and 50,000 NTD. Participants who graduated from high school or above scored higher on scales measuring self-learning, health promoting behavior, and health literacy. In the pretest, no significant differences were found among different ethnicities in self-leaning, self-efficacy, health promoting behavior, and health literacy. From the posttest, Hakka females scored significantly higher on self-learning, self-efficacy, and health literacy than other ethnicities. Paired t tests showed that female of any ethnicity group scored higher on self-learning, self-efficacy, health promoting behavior, and health literacy after using the Female Health Literacy Mobile App (p<.01).

Biography:

Wan-Ru Wu is a dietician student of School of Medical and Health Science, Fooyin University, Kaohsiung, Taiwan. She proceeds the independent study for weight control in college adults. She is also very interested in developing the healthy food specially for weight loss and dysmenorrhea.

Abstract:

Background and Purpose: The rising prevalence of chronic diseases, such as cardio-vascular diseases, hyperlipidemia, Diabetes, osteoarthritis is all associated with obesity, which is the major public health problem worldwide. The need of a comprehensive instrument to evaluate the success of individual weight control is merged. This study aimed to construct the internal reliability and validity of the Weight Control Efficacy Evaluation Scale (WCEE Scale). Methods: A questionnaire, based on regulatory focus theory (RFT), including “external and internal factors toward weight control”, “diet behaviors of weight control”, and attempts to weight control” was constructed. Participants are 300 young adults (18-25 years old) recruited from a university of southern Taiwan. Construct validity were evaluated using a principal axis factoring method with varimax rotation. Reliability and constructive validity were also evaluated. Results: After factor analysis for “external and internal factors toward weight control” and “attempts and diet behaviors of weight control” (KMO 0.8 and 0.79, respectively), there are six factors were included, factor 1, barrier of exercise( 6 items), factor 2, colleague relationships (3 items), factor 3, belief of weight control (7 items), factor 4, content of body shape (5 items), factor 5, self-efficacy of weight control (9 items), and factor 6, levels of self-esteem ( 7 items). Factor 1 and Factor 2 are categorized as the external domain of weight control and factor 3 to 6 are categorized as internal domain of weight control. WCEE Scale and its subscales showed good reliability values (Cronbach’s ’s were between 0.672 and 0.847). Other statistical analyses were proceeded to evaluate the availability and validity of this questionnaire. Conclusions: Results showed that this theory-based weight control measurement, WCEE scale, is performed good availability and validity and has adequate psychometric properties to support both research and the clinical practice.

Biography:

Abstract:

Background: Recent studies have demonstrated that women treated for gynecological cancer experience long-term sexual problems. Although several studies have described physical sexual dysfunction among gynecological cancer survivors, there is a relative dearth of research related to sexual knowledge, sexual attitudes and related factors treated for this disease. Purpose: This study explores sexual knowledge, sexual attitudes and related factors of Taiwanese women who have undergone gynecological cancer therapy. Methods: For this cross-sectional study, the authors sampled 139 women with gynecologic cancer from gynecologic cancer outpatient service of a medical center in northern Taiwan. The authors gathered data on sexual knowledge, sexual attitudes toward sexuality with gynecological cancer and background information using a self-report, structured questionnaire, and were analyzed using the one way ANOVA, t Test, Pearson’s correlation coefficient and multiple regression. Results: 1. Women after treatment for gynecological oncology showed insufficient sexual knowledge, particularly management of sexual problems, sexual well-being effects after oncology treatment. 2. Women after treatment for gynecological oncology showed positive attitudes regarding sex while negative ones are revealed in sex repulsive after treatment, worse sex lives after treatment, and influence on sexual relationship after treatment. 3. There was a positive correlation between sexual knowledge and sexual attitudes. 4. Women with younger, higher educational level, more sexual activities and having previous sex health education, would have higher sexual knowledge and sexual attitudes. Conclusions / Implications for Practice: Study findings can help healthcare professionals understand and educate patients about the potential sexual health implications of gynecological cancer treatment. Healthcare professionals can focus particular attention on patients who are lower educational level, older, or without previous sex health education.

Biography:

Ahmed El-Monshed is a PhD student, he completed his Master Degrss at the age of 27 years from Mansoura University, Egypt. He is Assistant Lecturer of Psychiatic and Mental Health Nursing.

Abstract:

Background: Chronic kidney disease (CKD) is a worldwide public-health problem in which most of the physical functions of the body are affected including sexual function. Apart from physical impacts due to renal failure, there are a number of psychological impacts that may also contribute to changes in sexual functioning. Therefore, the aim of this study is to assess the prevalence of psychosexual dysfunctions experienced by hemodialysis male patients. Methods: A descriptive cross-sectional research design was conducted in the hemodialysis units at Mansoura Urology and Nephrology Center. The data were collected from 100 hemodialysis male patients who corresponded to the inclusion criteria. Arizona Sexual Experience Scale (ASEX) and Psychosexual Dysfunction Questionnaires were used to achieve the purpose of the study. Results: The results indicate that (94%) of the study sample complain of psychosexual dysfunctions. The most prevalent psychosexual dysfunctions are psychosexual discomfort, fatigue, low self-esteem during sex, difficulty in reaching orgasm, difficulty in maintenance erection and low sexual desire while suicidal ideation was the lowest prevalent psychosexual dysfunctions. Conclusion: The vast majority of the study sample has psychosexual dysfunctions. Application of psychiatric liaison nursing program in hemodialysis units is recommended.

Biography:

She has completed her PhD at the age of 29 years from Inonu University and postdoctoral studies from Kahramanmaras Sutcu Imam University School of Health. She is the director of nursing departmant. She has published a lot of papers in reputed national and international journals

Abstract:

Pain is unpleasant experience that emotional and physical aspect. When assessment in children, the important problem is children cannot explain the pain. Uncured pain may cause biological, emotional, social problems and even developmental, behavioral problems. Effective pain management requires nurses to have accurate knowledge and skill. This study is explained assessment pain in children by pediatric nurses. This study is cross-sectional descriptive. It was planned to reach pediatric nurses between 22 April- 2013 and 1 june 2013. There was total 90 pediatric nurses working state hospital, private hospital in Bitlis city (east of Turkey). All of the nurses were included in this study. It was requested to fill out a questionnaire containing questions about their knowledge and skill about pain management in children. Data were analyzed by the program of SPSS 22.0 and evaluated by descriptive statistics, and either the Chi-square was used to determine the statistical differences between categorical variables and p< 0.05 was considered statistically significant.The mean ages of the nurses were 26.61±6.45. 51.1% of nurses married and have minimum a child. 46.7% of nurses working in day shift, 34.4% of nurses working day and night shift. 60% of nurses reported they want to work pediatric clinics. Nurses reported how do they assessment pain in children; question to child (76.5%), evaluate the behavior and physiological changes (81%), question to parents (56.6%),evaluate results (19.9%), medical examination (19.9%).Nurses reported what are first interventions management pain in children; consultant doctor (50%), gave analgesic (41.1%), other interventions excluding analgesics(27.6%). Commonly used interventions; gave analgesic (19.3%), to help sleeping (22.3%),to play a game (12.2%) give a massage (36.9%) gave a toy, balloon (5.5%).Optimal pain management is the right of all patients and the responsibility of all health professionals. Especially nurse should offer other interventions excluding analgesics and should be knowledge to nurses about different interventions and evidence based assessments for childrens’ pain.

Biography:

Chiu-Chu Lin had completed his PhD degree from University of Michigan, Ann Arbor, USA. Dr. Lin is a professor of school of Nursing, Kaohsiung Medical University, Kaohsiung, Taiwan. Her major is adult health nursing and the specialty focus on the nephrology nursing; her research interests include self-management of chronic illness, instrument development and testing, and intervention study. In recent years, she have been conducting theory-based intervention study. In the teaching area,she is responsible for the courses of adult health nursing and intervention study in the graduate institution and the course of medical-surgical nursing in the undergraduate program.

Abstract:

Introduction: Diabetes is the most common cause of chronic kidney disease (CKD) in Taiwan and also an increasing same cause worldwide. Studies show one third of patients with type 2 diabetes mellitus (DM) have concomitant early stage CKD. Self-management for patients with both of these chronic conditions is conflicting, complex and often inadequate. With proactive interventions, CKD-related self-management behavior may be improved and the progression of the CKD may be delayed. Objectives: The purpose of this study was to evaluate the effectiveness of an empowerment-based self-management program (EBSM) on CKD self-efficacy, CKD self-management behavior and biomedical measures in T2DM patients with early stage CKD. Methodology: The study adopts a quasi-experimental design, 71 patients (52% men, mean age 54.97 years) were assigned to the group-based EBSM program or usual care group based on their availability to attend the intervention. The EBSM group which used the empowerment approach to help patients aware self-management problems, set goals and make evaluation to their CKD self-management plans. All of the patients underwent testing at baseline (T0), 3 (T1) and 6 (T2) months after a six weeks intervention. A generalized estimating equation (GEE) models was conducted to determine the effectiveness of the intervention. Results: After adjusting for baseline and covariate, the EBSM intervention resulted in improvements in CKD self-efficacy scores (p<.001 at 3 months; p<.001 at 6 months), CKD self-management behavior scores (p<.01 at 3 months; p<.01 at 6 months); body weight (p<.05 at 3 months); BMI (p<.05 at 3 months), waist (p<.001 at 3 months; p<.001 at 6 months); systolic blood pressure (p<.001 at 3 months; p<.01 at 6 months), diastolic blood pressure (p<.01 at 3 months; p<.05 at 6 months), Haemoglobin A1c levels (, p<.01 at 3 months; p<.01 at 6 months); blood lipid levels (p<.01 at 3 months) as compared to the usual group. No group differences but maintain in GFR and UCAR were observed. Conclusion: A EBSM program for T2DM patients with early stage CKD resulted in greater improvements in self-efficacy, self-management behavior and positive effect in biomedical measures but no difference in GFR and UACR levels up to 6 months after intervenntion. Future studies testing empowerment-based interventions in larger samples with longer follow-up, and randomized controlled trial design were warranted.

Biography:

Kim Jonas has completed her undergraduate studies and MA from the University of the Western Cape (SA). She is currently a PhD student at Maastricht University (NL), at the School for Public Health and Primary Care (CAPHRI). She is an enthusiastic young researcher who recently published her very first authored paper from her masters’ thesis and a few co-authored papers with colleagues from the HSRC. Her research interests are centered on adolescent health, maternal and child healthcare, and healthcare systems. She is also interested on the use e-Health technologies for improving access to and utilization of maternal and child healthcare services.

Abstract:

To provide insight into the behaviour and related determinants among healthcare professionals’ towards women and teenagers seeking maternal and child healthcare (MCH) services in South Africa (SA), a cross-sectional, health facility based study was conducted. A self-administered questionnaire was used to examine healthcare professionals’ knowledge, attitudes, social norms, and self-efficacy related to the provision of adequate and sufficient MCH services in SA. Descriptive statistics and Pearson’s correlation analysis were used to analyze the data, to ascertain the associations between the behavioural measures. Of the 193 respondents, 183 (94.8%) were female. Overall the nurses and midwives had moderately high knowledge of MHC practices with 55.3% achieving mean scores of 17 – 18 (highest scores); and 38.8% achieving mean scores of 13 – 16. However, a proportion of nurses and midwives (25.6%) had low scores for family planning knowledge. There was a significant positive correlation between subjective norms and self-efficacy (r = 0.29), and between self-efficacy and intention (r = 0.59) to provide a desirable behavior in MCH services. The deficits in knowledge of some registered midwives and nurses is a cause for concern. Increased knowledge levels and behavior change methods are needed to influence determinants most strongly related to MHC practices, and thus improve the quality of care mothers and infants receive, and therefore reduce maternal and infant mortality and morbitidy rates in SA. Provision of quality emergency obstetric care, and behaviour of healthcare professionals in MCH services are of paramount importance in averting maternal and child morbidity and mortality rates.

Biography:

In 1998, she graduated from Ege University School of Nursing. She had master degree in the field of nursing in Department of Surgical Nursing at Ege University Institute of Health Sciences in 2003 and finished Ph.D. in 2010. She worked as nurse in pediatric surgery units of Ege University Faculty of Medicine Hospital between 1998-2002 and researcher and lecturer at Odemis Health School of Ege University between 2002-2013. She works as assistant professor in Ege University Nursing Faculty Department of Surgical Nursing since 2013. She has published papers in journals.

Abstract:

Objective: This study was designed to develop a functional constipation follow-up protocol and to assess its impact on patient management. Material and Methods: The sample of the study comprised of children who were referred to the Department of Pediatric Surgery with the complaint of functional constipation and its complications, and their families (n=26), all willing to participate to the study. The protocol was developed by discussing with specialist nurses and doctors. The children comprising the study sample were monitored according to the developed protocol. The children were assessed by using Rome III constipation criteria on the 1st and 12th month interviews. Results: There was a statistically significant difference in the Rome III criteria of two or fewer bowel movements per week, at least one episode of fecal incontinence per week, history of retentive habits or excess voluntary stool retention, history of painful or hard bowel movements, presence of a large fecal mass in the rectum, history of large calibre stools that may obstruct the toilet when the results of the 1st and 12th month interviews were compared. Conclusions: The results of the study revealed that regular care and monitoring have a positive impact on the treatment of children with functional constipation problem.

Biography:

Chi-Wen Peng is a pharmacy student of College of Pharmacy and Health Care, Ta-Jen University of Technology, Taiwan. She used to research the natural products analysis of Chinese herb medicines for her independent study, and recently, she proceeds the pharmaceutical care of ederly in the long-term care institue.

Abstract:

Background and Objectives: Elderly in long-term care institute are suffered from constipation and most of them use psychological medication to treat insomnia, anxiety, or even psychotic conditions as well. This study is one of pilot studies of “Medication review and constipation problem solving for elderly with chronic disease” research. The purpose of this pilot study was to evaluate the prevalence of psychological medication used and the association of constipation among the elderly residents of a nursing home. Patients and Methods: A total of 48 residents older than 65 years old was enrolled in this study. The following variables were gathered: age, gender, body mass index (BMI), length of stay, functional level of ADL, somatic and psychiatric diseases, number of medications, and medication use. The use and dosage of laxatives were also recorded. Bowel function was collected on Bristol Stool Form Scale. Results: Constipation prevalence is high in this sample of 48 elderly (n=26, 54.2%). The amount of total daily drug used was 10.4±6.5. The items and amount of drugs used were correlated to constipation incidence(. Prevalence of psychological medication is high (n=28, 58.3%). The most use of psychological drug is sedatives (n=22, 45.8%). Other categories of drugs, such as CV drugs, were most use of drug. Residents used laxatives due to constipation were also high (n=26, 54.2%). The most frequently used laxatives were senna glycoside, and magnesium oxide. Furthermore, quantity of physical activities was also correlated to constipation incidence (p=0.023, 2=5.185) and CV diseases was correlated to constipation. Conclusions: This study suggested that amounts and items of drugs used, quantity of physical activities, diseases and CV drugs likelihood have some association with residents’ constipation. To improve constipation condition, a coordinated approach with involvement of physicians, nurses, dieticians and pharmacists is needed.

Biography:

Chen-Mei Chen is currently an assistant professor at Chang Gung University of Science and Technology, but she is also a doctoral candidate at National Taiwan University. She has published more than 10 papers in reputed journals. She loves her job, and her main research areas is diabetes care.

Abstract:

To explore the fundamental of self-monitoring of blood glucose (SMBG) experiences in patients with noninsulin-treated type 2 diabetes. The role and value of SMBG regarding the care of type 2 diabetes are undetermined. Clinically, although SMBG is widely applied among patients of noninsulin-treated type 2 diabetes, discussions about patients’ views of SMBG are insufficient. The phenomenological method was applied. Purposive sampling was conducted to recruit participants from Taiwanese medical institutions. The selection criteria are as follows: (a) being medically diagnosed with type 2 diabetes, (b) having not been on insulin, (c) having performed SMBG at least once within the previous 6 months, (d) being at least 20 years old, and (e) not having any major mental or cognitive disorders. In-depth interviews were conducted to collect data from a total of 16 diabetic patients. Interview transcriptions were analyzed in accordance with the Colaizzi (1978) process for phenomenological data analysis. The rigor of data collection and analysis was established using the trustworthiness criteria proposed by Lincoln and Guba (1985). The themes encompassed included: the variability of the SMBG frequency, lifestyle reflection and adaptation to self-care behavior with blood glucose level variation, and SMBG continuation factors. The patients’ feelings, knowledge, and emotions regarding blood glucose variation and healthcare professionals’ (HCPs) attitudes affect their SMBG behavior. The empirical findings illustrated SMBG experiences and recommended that HCPs closely attend to patients’ feelings, requirements, and emotional adaptations and response measures to diabetes, and incorporate SMBG into therapy plans.

Biography:

Sevgi Turkmen has completed Ph.D at the Ege University-Turkey, in 2011. She was born in 1978. She is working as an assistant professor at Department of Mental Health and Diseases Nursing in Celal Bayar University School of Health-Turkey. She is the president of Department of Mental Health and Diseases Nursing. She has published more than 20 papers in reputed journals.

Abstract:

Introduction: It is a workplace issue that psychological harassment in the workplace, which is extremely harmful and devastating consequences for workers and a major source of stressful work environment. With the start of the process of psychological harassment in the workplace, various groups are affected by this process. The most affected part of the process, the side exposed to harassment. However, institutions and colleagues of the victims along with aggravation and the process of progress can be affected Objective: This study was conducted in order to determine the perception of psychological harassment cases at the workplace of assistant doctors and nurses which are work in Celal Bayar University Hafsa Sultan Hospital Materials and Methods: The target population of the study is the assistant doctors and nurses working in Hafsa Sultan Celal Bayar University. The sample space of the study consists of 110 staff members accepting to participate in the study between the dates October 2014-January 2016. The date is collected through an information form and Workspace Mobbing Scale. Percentage, T-test, mann whitney U test, kruskal wallis test are used in the evaluation of data. Result: 110 health employees have participated in the study. The ageaverage age of the participants is 29.92 ± 5.47, 73.6 percent female, 60.9 percent nurse/midwife, 32.7 percent assistant doctors, 59.1 percent were married, 46.4 percent were undergraduate, 38.0 percent graduate and post graduate, 61.8 percent income balanced. 26.4 percent of the employees weree xposed to mobbing cases. The employees that needed psychological consulting due to the hostile behaviours they experiend is 22.5 percent. To the question “do you feel being a victim of psychological mobbing 16.9 percent of the staff responded positively and 18.3 percent had stated that they had no opinion. 13.6 percent of those exposed to mobbing from 6 months to 11 months were exposed to mobbing, 21.8 percent stated that Mobbing applied to themselves by 3 or more people. 42.7 percent of health workers stated that they witnessed mobbing applied to someone else. The employees that needed psychological consulting due to the hostile behaviours they experiend is 24.5 percent. Health employees which is psychological support needed and high the level of education in the study has been determined to be higher. The difference was statistically significant p <0.05. In order to prevent or stop mobbing it is necessary to understand the esence of the issue. Consequently the duties of the employees must be well defined and the irresponsibilities must be obvious. An consistent and coherent employee policy must be defined which states the expected behaviours and ethical standarts.

Biography:

Chia-Hsing Wu has completed her Master degree at Royal Melbourne Institute Technology University in Australia. She is majoring in Women health .She is currently cencertrating in the area of the care of postpartum depression.

Abstract:

Emotional instability is quite common in the group of postpartum women; it sometimes can be a sign of postpartum depression. This illness is not only a disaster event happened on individual postpartum women and it also bring significant negatively effect within the relatives even in the family. However, their relatives usually received less care in this period of time although they are the key person taking care of pregnant women after delivery. The aims of this study were to explore 1) what are the beliefs of postpartum women’s family’s in relation to the causes of postpartum depression. 2) Mental health literacy regarding postpartum depression among relatives of postpartum women in order to develop knowledge and prevent the strategies related to postpartum depression. Snowball sampling with open ended interview combines with qualitative analysis to achieve the target of this study. The results of this study indicated that family believed that postpartum depression related to mental health issues, Family conditions, including the understanding of postpartum depression, family and social support and the relationship with families, were also believed as risks of postpartum depression. The results of this study are not only providing several useful recommendations for health workers regarding to the education to pregnant women and their family, but also contribute the literacy of postpartum depression among postpartum women and their relatives.

Biography:

Hui-Tzu Huang has completed her Ph.D from Institute of Allied Health Sciences, College of Medicine, National Cheng Kung University in Taiwan. She is the director of Department of Nursing, Chung Hwa University of Medical Technology. Her research focus is on elderly nursing. She has published more than 12 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

Background：As the population ages, the percentage of elderly hospitalized patients also increases. In Taiwan, 26.93% of hospitalized patients consist of the elderly population. However, the literature pays low attention to physical functional change and mortality for hospitalized elderly patients after discharge in Taiwan. Purpose： (1) To explore the incidence rate of mortality in hospitalized elderly patients at 6 months after discharge. (2) To explore the risk factors for mortality in hospitalized elderly patients at 6 months after discharge. Methods：A cohort study design and convenience sampling were used at a medical center in southern Taiwan. The subjects should be hospitalized and 65 and over will be recruited. The tools used for data collection include, demographic data sheet, geriatric syndrome, modified Katz activities of daily living, instrumental activities of daily living, mini-mental status examination, geriatric depression scale and Charlson comorbidity index. Each participant will be collected data and follow survival condition until 6 months after discharge by telephone. Results: A total of three hundred and eight (308) participants met the inclusion criteria. Thirty-seven participants died until 6 months after discharge. Mortality rate was 12%. Cox regression found that body mass index, two weeks before admission in IADL score, and CCI could significantly predict mortality six months after discharge. Implications for Practice: Predictors of mortality included IADL score two weeks before admission, body mass index, and comorbidities. Clinical nurses can integrate the findings of this study and apply Comprehensive Geriatric Assessment to tailor intervention during hospitalization to prevent older patient’s functional decline and early mortality after 6 months discharge.

Biography:

Cheng,Yachun is completed her Master's degree at the age of 36 years from National Taipei University of Nursing and Health Sciences of Pediatric Nursing. She is headnurse of Hualien Tzu Chi Hospital.

Abstract:

Purpose: The purpose of this study was to understand the lived experiences of Taiwanese aboriginal adolescent survivors of childhood cancer in the recovering process. Method ： Snowball sampling strategy was used to recruit participants from the pediatrics unit of a medical center in the east region of Taiwan. In-depth interviews were conducted to 11 aboriginal adolescent childhood cancer survivors. The data were analyzed using content analysis. Results ：The results revealed three major themes with sub-themes under each theme. The three major themes are: roots of resilience, transformation and growth, and impact of traditional tribal rituals on resilience. The three sub-themes under “roots of resilience” include: “feeling secured from family accompany, care and financial support”, “received support from the significant ones and religion” and “learned self-adjustment”. The three sub-themes revealed under “transformation and growth” are: “restructure the relationship with peers”, “appreciate parents’ hard-work”, and “learned to seize the moment”. The two sub-themes found under “impact of traditional tribal rituals on resilience” include: “feel blessed by the power of ancestral spirits and clansmen”, and “strengthened ethnic identity”. Conclusion ：This study provided insight into the experiences of aboriginal adolescents as they recovered from childhood cancer. The experiences made positive impacts by inspiring growth in maturity and consolidating the aboriginal ethnic identity. The adolescents were empowered by the support from family, friends and clansmen, and their participation in the aboriginal rituals. As healthcare professionals care for the aboriginal adolescents, it is critical to consider these culturally and ethnically specific knowledge/experience of surviving cancer to improve quality of care.

Biography:

Saori Yoshinaga has completed her PhD from Miyazaki University. She is assistant professor of Miyazaki University, department of fundamental nursing, and studies on the development of the evaluation method for the physical load

Abstract:

The awkward movements and postures associated with childcare activites can lead to musculoskeletal symptoms in the neck and shoulders. To our knowledge, the relationship between childcare activities and the physical load on the neck and shoulders is poorly understood. Topography can be used to produce a visual expression of a physiological phenomenon and image processing is the most useful method for evaluating the amplitude, or localization. Elucidating the myogenic potential topography of the human trapezius muscle may provide the foundation for visually assessing childcare worker’s physical conditions. Using myogenic potential topography, the physical load on the neck and shoulders was verified through simulations of lifting up and setting down a child. From repetition of these movement loads, high-potential changes were observed in regions of the trapezius on myogenic potential topograms. By projecting myogenic potential topograms on a model of the neck and shoulders, high-potential regions were observed not throughout the entire trapezius but only in limited areas of the neck or scapular region. Examination of the relevance between the myogenic potential topograms and actual complaints of musculoskeletal symptoms showed that the distribution of high-potential changes and subjective symptoms were in agreement. These results suggest that the high-potential changes indicate specific muscle activity from the physical load associated with the childcare activity, and that the myogenic potential topogram is able to visualize individual loads on the neck and shoulders. The understanding of physiological symptoms related to musculoskeletal disorders will help personliazed interventions.

Biography:

Huey-Shyan Lin is an associate professor of department of Health-Business Administration, school of nursing at Fooyin University in Taiwan. She received the Ph. D. in health services policy and management from University of South Carolina, USA. She now serves a consultant of Research and Development, Department of Health, Kaohsiung City Government, and research consultants of several hospitals, Taiwan, R.O.C. She also possesses a good publication record in nurse depression, stress management, health promotion, instrument development, and clinical medicine. Her biography was included in Who’s Who in the World 2014-2016, and Who's Who in Science and Engineering® 2016-2017.

Abstract:

Background: Discharge-planning services are aimed at meeting the post discharge care requirements of patients. Thus, an effective method for assessing their care requirements is critical. Objective: This study was to explore the effectiveness of using a systematic assessment tool for hospital discharge planning. Methods: This research adopted a longitudinal two-group comparison study design, and a convenience sampling method was adopted to recruit patients requiring discharge-planning services at eight wards in a regional teaching hospital in Southern Taiwan. The post discharge care requirements of the patients were evaluated using a traditional assessment tool or a systematic assessment tool as an alternative. Sixty-eight patients were matched with similar age and with similar activity in daily living index scores to compare the effectiveness of the tools. Results: The systematic assessment tool exhibited significantly higher assessment integrity and significantly lower rates of rehospitalization and mortality within discharge 14 days. The two groups exhibited no significant difference in inappropriate hospital days, and primary decision-makers’ satisfaction. However, the differences in three items of satisfaction exhibited moderate-to-large effect sizes, which may be of clinical importance. Conclusions: To meet the needs of primary decision-makers in a family, enhance their satisfaction, and provide effective discharge-planning services, clinicians should adopt the systematic assessment tool to assess the post discharge care requirements of patient, and the hospital should provide relevant facilities to assist in implementing all plans.

Biography:

Mei-Ling Lin has completed her PhD at the age of 41 years from institute of allied health Ssciences of medicine college of National Cheng Kung University in Taiwan. She is a psychiatric head nurse in Tsaotun Psychiatric Center of Ministry of Health and Welfare in Taiwan and asisant professor of nursing department in Central Taiwan University of Science and Technology. Her research interests in psychiatric nursing and clinical ethics issues.

Abstract:

Background: Social participation is a part of psychiatric rehabilitation program that connect mental illness person into community. Self-efficacy is an essential factor among social participation to lead patient in social participation. Self-efficacy for social participation needs to be more fully examined. Purpose: The purpose of this study was to examine the associated factors of mental illness self-efficacy for social participation. Methods: Cross-section designs and convenience sampling were used in this study. Participants’ ages above 20 whose diagnosis is schizophrenia or affective schizophrenia from community and outpatient department of hospital in central of Taiwan. Self-efficacy for social participation scale (SESP) to measure self-efficacy in social participation among mental illness. The SESP scale consisted of four dimensions with 27 items. Internal consistency of the overall SESP Cronbach’s α= .96 in this study. Three hundred valid questionnaires were analyzed. Results: The participants were 300 severe mental illnesses. There are no significant differences between demography data with SESP, i.e., onset age, gender, education, diagnosis in SESP. One-way ANOVA analysis of group mean scores showed significant differences among employed status (F=8.33, p<.000). Employed participants reported significantly greater SESP than patients who did not work. Participants have psychiatric rehabilitation work reported significantly greater SESP than patients who did not work. Conculsion: This study clinical implications shows that self-efficacy for social participation has significantly affects SMI in work participation but not significance with demography. Work may be experienced interaction with other to leads higher social participation. In clinical, professional should can be encourage patients participate work traning to increase social interaction.

Biography:

Fan-Ko Sun is a professor at the I-Shou University in Taiwan. With regard her Qualifications: She qualified with her PhD degree at the University of Ulster, Northen Ireland, UK, in 2004. She has published more than 45 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

The competence of family members in caring for their suicidal relatives plays a key role in preventing these relatives from committing suicide. However, a scale to assess the caring competence of caregivers for suicidal individuals is not available. The purpose of this study was to develop and test the psychometric properties of the Suicide Caring Competence Scale (SCCS) for family caregivers in Taiwan. This study was a cross-sectional questionnaire survey. A preliminary 20-item SCCS was developed and tested on 165 caregivers of people who attempted suicide in 2009 and 2010. Item analysis was used to delete redundant items. Exploratory factor analysis (EFA) and confirmatory factor analysis (CFA) were used to examine the construct validity. The association between educational level and the SCCS was used to examine the concurrent validity of the SCCS. Cronbach’s α and test-retest reliability were examined to understand the reliability of the SCCS. A second-order factorial model with five subscales and 19 items best fit the data. The five subscales were proactive prevention, daily living care, seeking assistance from professional resources, seeking assistance from laypersons, and seeking assistance from religious resources. The higher the educational level, the higher the competence. The Cronbach’s α and test-retest reliability of the total scale and the subscales ranged from 0.67 to 0.90 and from 0.62 to 0.82, respectively. The SCCS had acceptable validity and reliability. Nurses can use the SCCS to assess the suicide caring competence of family caregivers and to provide proper education to improve their suicide caring competence.

Biography:

Professor Ching-Yu Cheng has completed her PhD from the University of Texas at Austin, USA. She is currently teaching at the Chang Gung University of Science and Technology in Taiwan. She has been teaching for more than 20 years and has published more than 30 papers in reputed journals and conducted many resaerches. Her researches focused on women’s health including biobehavioral studies

Abstract:

Traditionally, clinical competence was measured using self-report scales; however, whether those measurements can reflect acture competence is questioned in literatures. The study was to explore performance-based clinical competence of pregraduate nursing students and hospital nurses using a Computerized Model of Performance-Based Measurement (CMPBM) system. The study was a cross-sectional research design. 52 nurses and 50 students completed the CMPBM that was built based on the Clinical Reasoning Theory with case scenarios and questions to assess performance competence including critical thinking, conflict resolutions, and common clinical technical problems. Results showed that both nurses and students were not highly competent with 53.85% and 32.0% respectively met the satisfactory level of competence of the CMPBM (higher than 70% of the total score). Participants especially had low scores on “collecting data from onsite physical assessment,” “processing information,” “recognizing and prioritizing problems,” and “arranging a course of action for patient care.” They were not competent in solving common technical problems and conflicts as well. Nurses were more competent than students in “considering the patients’ situations,” “collecting data from onsite physical assessment,” “processing information,” “arranging a course of action for patient care,” and “evaluating and reflecting.” The top-three difficult technical skills to perform were performing CPR, reading EKG, and performing venipuncture/starting intravenous lines. The study revealed level of performance competence and deficiencies in competence of nurses and nursing pregraduates. Current academic curriculum/course design for nursing students and orientation/training programs for nurses need to be reviewed to meet the competence needs of nursing pregraduates and nurses.

Biography:

I got PhD degree in Nursing from National Yang Ming University in 2013. My area of expertise is pediatric nursing, qualitative research and evidence base nursing. I have been teaching in Nursing College ten years. The courses I’m responsible for are pediatric nursing, nursing research, and human developmental.

Abstract:

Tourette Syndrome is a chronic neuropsychiatric disorder with an onset during childhood. Its symptoms include tics and comorbidities that are involuntary and difficult to hide, forcing adolescents with the syndrome to experience physical discomforts and emotional disorder, which interfere with interpersonal relationships, the establishment of self-esteem, and social adaptation and even affect their social interactions with people during adulthood. The purpose of this study is to investigate the social adaptation experiences of interactions with other people for those adolescents with Tourette Syndrome and its unique tics. Phenomenology is the research design employed. This study used purposive sampling to enroll patients at the outpatient clinic of the Pediatric in Taiwan as the subjects. This study interviewed a total of 16 adolescents with Tourette Syndrome and collected data by using open-ended questions in one-on-one, in-depth interviews that lasted 1 to 1.5 hours. Giorgi’s phenomenological analysis methods were applied to analyze the data, and four criteria were employed to evaluate methodological rigor. The research results derived a total of four themes: (1) my encounter and coexistence with Tourette Syndrome; (2) family interactions with love and care; (3) peers are beneficial to the stabilization of campus life; (4) learning difficulties with tics. The research results can help medical personnel, special educators, and school teachers understand the empirical social adaptation experiences of adolescents with Tourette Syndrome, as well as develop intervention measures and consultations that meet the needs of adolescents with Tourette Syndrome, in order to assist them in achieving a proper social adaptation.

Biography:

Thaise Marques da Silva is a Nursing undergraduate student from Universidade Federal de Alagoas in Brazil. She has a project named Family carers: enabling the family carer to promote elderly health in the Family Health Strategy and studies in Public Health and Education presented in internationals congresses. At present, she has been studying Adult Nursing for a year in the University of Salford as visiting student.

Abstract:

Health education is an important instrument which facilitates community empowerment, helping in health-promoting. Thus, is necessary knowledge about educational practices, whereas is essential recognize this other’s gaze, interact with him and collectively reconstruct knowledge and daily life practices. The aim is report an experience of nursing students during the conduction of an educational activity with adolescents from a deprived community of Brazil. The educational activity was done with teenagers who are registered in a Family Health Unit- a practice in Brazilian Public Health System-. The activity plan was guided by Charles Marguerez arc in order to contribute to teaching–learning process which prioritizes and encourage critical and reflective thinking in a movement of action-reflection-action, concurrently with the appreciation of prior knowledge and exchange of experiences with the local community. It was organized in three moments: 1- A mime dynamic to stimulates union and participation, also valorize dreams and expectations about the future.2- Discussion about STD, safe ways to prevent them, the importance of the health team to answer questions and diagnose, treat and prevent. 3- A educative quiz about STD, which was served as educational activity evaluation. This way, the educational activity has shown that the use of participative educational strategies and appreciation of positive aspects of health are essential for raising awareness. It was possible to learn about the role of the nurse when performing health actions in impoverished areas, respecting and valuing individual projects, however, looking for a better quality of life and well-being.

Biography:

Zuhal Bahar has completed his PhD from Ege University in 1983. She became professor in 1997. She is the Director of Community Health Nursing, has published more than 30 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

This study aimed to conduct the reliability and validity study of the Prostate Cancer Fatalism Inventory in Turkish language. The study carried out in methodological type and consisted of 171 men. The ages of the participants ranged between 40 and 82. The content validity index was determined to be 0.80, Kaiser-Meyer-Olkin value 0.825, Barlett’s test X2 = 750.779 and p=0.000. Then the principal component analysis was applied to the 15-item inventory. The Inventory consisted of one dimension and the load factors were over 0.30 for all items. The explained variance of the inventory was found 33.3 %. The Kuder-Richardson-20 coefficient was determined to be 0.849 and the item-total correlations ranged between 0.335-0.627. The Prostate Cancer Fatalism Inventory was a reliable and valid measurement tool in Turkish language. Integrating psychological strategies for Prostate Cancer screening may be required to strengthen the positive effects of nursing education.

Biography:

Chin-chi Tsai has completed her Master degree at National Yang-Ming University in Taiwan. She is majoring in Women health

Abstract:

The purposes of this study were to investigate the association between health literacy and health behaviors among Southeast Asian immigrant women, and analyze the effects of sociodemographic characteristics and health literacy on health behaviors. This study since March 2013 to April 2014,it was a cross-sectional research design. We used purposive and snowball sampling methods to recruite 223 Southeast Asian immigrant women living in Northern Taiwan. The survey included the measurements of functional, interactive, and critical health literacy, health promotion behaviors (exercise, eating, Pap smear), and sociodemographic characteristics. Among 223 Southeast Asian immigrant women, 182 were Vietnames and 42 were Indonesian. 19.3% reported engaging regular exercise, and 64.6% undergoing a Pap smear within the past 2 years. The findings show that healthy eating behavior was significantly associated with interactive and critical health literacy (p=0.010 , p<0.001 respectively). No significant association was found between health literacy and regular exercise and Pap smear. Residential location, age, and years of residence were significant predictors of regular exercise. Critical health literacy, age, and employment were significant predictors of healthy eating behavior. Ethnicity, age, and years of residence were significant predictors of Pap smear screening. Health literacy was an important factor influencing Southeast Asian immigrant women’s healthy eating behavior. Developing health literacy interventions are recommended to promote their healthy eating behaviors. More studies should be conducted to understand factors that influence Southeast Asian immigrant women’s exercise and Pap smear screening behaviors in additional to health literacy.

Biography:

Lee-Han Kuo is a dietician student of College of Public Health and Nutrition, Taipei Medical University, Taiwan. He also pay much of attention at the residents of the rural area in the Northern Thailand, specially in public health of nutritional status and diseases condition.

Abstract:

Objective: The purpose of this research was to report the health status of local residents dwelled in Northern Thailand (border of Thailand and Burma). This very remote area of Thailand had very unique geographic site and historical past in World War Two. Methods: A cross-sectional questionnaire survey was used to collect health status, medication used, and nutrition intake of adult residents and anthropological review of children (age from eight to thirteen years old). Results: We collected 157 adults in this remote area of Northern Thailand. The average age was 56.8 years old. The average blood pressure was 135.2/83.6 mmHg, which was higher than normal range. The rate of abnormal BMI of male and female were 44.6%、55%, respectively. Notably, the frequency of protein intake, such meat, fish, and egg was lower than seven times per week. A total of 139 children (age from 6 to 11 years old) data was collected. The average of body weight, and body height were 35.5 Kg and 140.6, respectively. Eye vision was obtained from a vision exam. The average of right and left eye vision were 1.65 and 1.60, respectively. Conclusions: The data revealed that protein intake was likelihood insufficient, yet, blood pressure was high since their very high salt consumption in adults. It is critical that health education related to health promotion and nutrition should be involved to eliminate this potential health risk.

Biography:

Mei-Chen Su is an assistant professor working for the department of nursing in Chang Gung University of Science and Technology. She has completed her PhD at National Tapei University of Nursing and Health Sciences, Taiwan. She has been teaching for nursing students at different levels for over fifteen years. Her research interests include women health, E-health, community health nursing and adolescent health. She has published more than 10 papers in reputed journals.

Abstract:

Women with previous gestational diabetes mellitus (GDM) are at increased risk for developing type 2 diabetes mellitus or metabolic syndrome in their later life. Infants of mothers with GDM are more susceptible to stillbirth and more serious health concerns. Understanding the beliefs of pregnant women who were at a high risk of GDM in regard to self-management is therefore critical to designing and implementing effective interventions. A qualitative design was applied in this study. Theoretical and snowball sampling techniques were used in this study. Pregnant women were eligible for the study if they had at least one of the following risk factors: (1) ages over 34 years; (2) BMI ≥24 kg/m2; (3) GDM or any signs of glucose intolerance; (4) had macrosomic newborn (≥ 4500 g) in any earlier pregnancy; (5) had family history of diabetes mellitus. The constant comparative method was used to inductively analyze the interview data. Thirteen pregnant women were at high risk of GDM participated in comprehensive interviews. The average age was 36.64 years; the average pre-pregnancy BMI was 27.76 kg/m2. They were between gestational weeks 26-39. The themes included: high risk and little knowledge, worried about fetal unhealthy, struggled to incorporate the dietary and exercise recommendations, learning new strategies; and need supportive information. These findings can guide healthcare professionals to provide appropriate interventions to understand the hidden health problems of this particular group of women.There is a pressing need to develop innovative outreach strategies and GDM high risk prevention programs to better reach these population.

Biography:

Ting-Yu Chiang has completed his BS at the age of 15 years from Yuanpei University of Medical technology in Taiwan. She is the case manager of Colorectal cancer.

Abstract:

The incidence of colorectal cancer in Taiwan continues to increase. The treatment and thus survival of colorectal cancer patients can be improved by a complete therapy. We aimed to investigate the status and associated factors of treatment refusal and discontinuation in colorectal cancer patients. A total of 3441 cases of colorectal cancer from 2010 to 2012 were retrieved from the system of a medical institute in northern Taiwan using the secondary analysis method in order to investigate patients who refused or discontinued treatment. A total of 68 (1.97%) and 278 patients (0.08%) refused and discontinued treatment, respectively. On multivariate logistic regression analysis of patients who refused the treatment, the probability of treatment refusal in rectal cancer patients (p=.02) was 2.194 fold higher than in colon cancer patients. The probability of treatment refusal was 1.071 fold higher with each additional year of age (p<.001). On multivariate logistic regression analysis of patients who discontinued treatment, the probability of treatment discontinuation was 1.016 fold higher with each additional year of age (p=.004); the patients living outside northern Taiwan (p<.001) was 0.506 fold higher than the probability of treatment completion; the patients with advanced cancer (p<.001) was 3.606 fold higher than the probability of treatment completion. We found that treatment refusal in cancer patients was significantly associated with rectal cancer diagnosis and age, while treatment discontinuation was associated with age, location of the resident, and cancer stage.

Biography:

Chang-Chiao Hung was born in Kaohsiung, Taiwan. She received her BSN from Emory University, USA, in 1997, MSN from University of South Alabama, USA, in 1999, and her Ph.D. in Nursing from University of North Carolina at Chapel Hill, USA, in 2011. She is currently an Assistant Professor of Nursing at the Chang Gung University of Science and Technology. Her research interests have been in the areas of patient safety, organizational behavior, and nursing education

Abstract:

Background: To bridge nursing education and the clinical practice setting, simulation-based learning (SBL) has blended with nursing curricula. However, evidence as to whether SBL affects student competences is controversial. Purpose: The aim of this study is to explore the effects of SBL on student perception of nursing competences. Research design: Kolb’s (1984) Experiential Learning Theory is the theoretical base for implementation of SBL. A pretest-posttest group design was used with students undertaking self-report surveys at the onset and end of the semester. This study was conducted at a university of science and technology, located in the northern part of Southern Taiwan. A total of 170 sophomore students who taken basic medical-surgical nursing curricula was invited to participate in this study. Three simulated scenarios were added to the basic medical-surgical nursing curricula, and the effects of simulation training on student perception of nursing competence were examined. Each scenario was required approximately 1.5 hours to complete. A Chinese version Simulation-Based Learning Evaluation Scale (SBLES) that consisted of five subscales: professional knowledge, nursing process, patient safety, communication, and attitude of reflection was distributed to the participants before and after the course. Data analyses included descriptive statistics and Student’s t test. Result: One hundred and thirty students completed and returned questionnaires (response rate = 80%). The participants were predominantly female (99%) with an average age of 19.04 years (SD = 0.28). They had an average of 3 weeks clinical practice experience in hospital. The finding showed that nursing process, patient safety, and attitude of reflection were significantly different between before and after three scenarios. Conclusions: These findings suggest simulation-based learning (SBL) might increse nursing students’ particular competences. This study also reflect Kolb’s (1984) Experiential Learning Theory. The authors recommend that whether SBL could be applied in different curricula needing further examination.

Biography:

Ya-Wen Kuo is an assistant professor of department of nursing at Chung Hwa University of Medical Technology. She received Ph.D. in nursing from National Cheng Kung University of Taiwan. Her research focuses on the issue with long-term care and community health care. She has served for the past fifteen years in the medical centre of Chuanghua Christian Hospital (1999-2014) in Taiwan as supervisor of community medical and nursing department. In 2013, she was awarded a Medical Contribution Award of Changhua County for outstanding contribution to promoting community health. In 2014, she was also awarded the Health Promotion Contribution Award of Health Promotion Administration, Ministry of Health and Welfare, Taiwan.

Abstract:

An associate between body mass index (BMI) and recurrent stroke outcome have been reported, but there was an inverse results. We therefore conducted a meta-analysis to see if there is an increased risk of recurrent stroke for obese or underweight stroke patients. PubMed and Embase from January 1966 to March 2016 were searched to identify relevant studies. Inclusion criteria were case control studies, patients with first ischemic stroke. The major outcome was recurrent stroke event. The pooled relative risks with the corresponding 95% confidence intervals were calculated by using random-effects model. The systematic search identified 3 studies, with a total of 44, 578 participants. Pooling the results showed that recurrent stroke was significantly lower in obesity patients (OR= 0.875; confidence interval, 0.753 – 1.016) and overweight patients (OR =0.901; confidence interval, 0.85 – 0.956) while significantly higher in underweight patients (OR = 1.662; confidence interval, 0.777 – 3.556) compared with normal weight ischemic stroke patients. The meta-analysis shows that ischemic stroke patients who are obesity or overweight have a better progosis when compared with ischemic stroke patients with underweight or normal weight. We suggest that the body weight management was recommended in patients after first time ischemic stroke because the assessment of body weight seems often undervalued.

Biography:

Jing Juin Huang is an assistant professor of nursing at Chung Hwa University of Medical Technology. She is also an executive director at Formosan Association of Care and Education for the seniors in Taiwan. Primary areas of research include women's health, long-term haemodialysis and long term care.

Abstract:

The incidence and prevalence of End Stage Renal Disease in Taiwan are ranked first in the world. Renal anaemia in Chronic Renal Failure can be due to multiple causes. Resolving these controversies and thus providing more efficacious management of renal anaemia might reduce morbidity and mortality. Objectives of this study were to identify factors influencing renal anaemia in patients with long-term haemodialysis according to patient characteristics and to provide basic data to develop nursing interventions for renal anaemia in these patients. The study was designed by cross-sectional and the data were collected form the haemodialysis status and dialysis treatment parameters and biochemical profile under dialysis and nursing evaluation data of hospital chart. This study subject were the cases of haemodialysis that treated by the region hospital centre of dialysis in southern Taiwan. Total cases were 104 in hospital and there were 99 case samples which recruited were fit in this research. Mean age 62 (27-91). Male: Female ratio 45:54. The underlying diagnosis for CKD most commonly was diabetic nephropathy (45.5%) and chronic glomerulonephritis (22.2%). Findings from this study indicate that nursing professionals should provide proper management for renal anaemia for patients with long-term haemodialysis, as well as factors influencing renal anaemia, including erythropoietin, total bundle volume, anticoagulant, active clotting time and nutrition support. There is also a need to training programs for these patients and new staffs.

Biography:

Wei-Wen Wu completed her PhD degree in 2009 from University of Washington. Currently she is the assistant professor of School of Nursing, University of Nursing and Health Sciences. She has published more than 15 papers in reputed journals.

Abstract:

The advanced cancer treatment for pediatric cancer has increased adult survivors of childhood cancer. These survivors have reduced bone mineral density (BMD)1 while beginning to age.2 Self-efficacy is crucial for enhancing individual health behavior in osteoporosis prevention. 3,4 There is a paucity of valid and reliable scales to capture the self-efficacy for adolescents with cancer either in Taiwan or other countries. The purpose of this study was to develop and examine the psychometric properties of the Osteoporosis Prevention Self-Efficacy Scale – Adolescent Form (OPSES-AF). In the first stage, the content validity was established by six experts. In the second stage, confirmatory factor analysis (CFA) was performed. Data was collected from 120 adolescents who aged 13 – 20 and who were treated with cancer in the two medical centers from February to July 2015. The finalized OPSES-Af was a 7-item scale through CFA. Item responses were on a 5-point Likert scale ranging from 1 to 5 with total scores ranging from 7 to 35; higher scores reflected higher confidence to complete osteoporosis prevention activities. Construct validity was established through CFA that revealed a good fit of the model: RMSEA = .042 and p value of RMSEA = .51; NFI = .96; NNFI = .98; CFI = .99; IFI = .99; RFI = .93. Cronbach’s alpha was .80. Guttman split-half coefficient was .80. Spearman-Brown coefficient was .81. The OPSES-AF showed appropriate results for describing the self-efficacy of osteoporosis prevention for adolescents with cancer.

Biography:

Prof Lale Buyukgonenc (Algıer), is the director of Koc University College of Nursing and Semahat Arsel Nursing Education and Research Centre. She obtained her PhD degree in paediatric nursing. She has certifications related the quality assessment, and she has published researches regarding quality improvement and development. She has taken an active role in developing and revisions of the curriculum in schools of nursing. Also she has actively involved in planning and further development of master and doctorate programs in health science institutes. Prof Lale Büyükgönenç (Algıer) has a great number of national and international publications and presentations in children's health, quality of life, nursing education, nursing ethics and oncology nursing.

Abstract:

This study is determined to analyze caregiving burden for mothers of children with autism diagnosis and affecting factors. The research sample group is consisted of mothers of children with autism diagnosis who are monitored by a private educational institute in Avcılar, İstanbul. The sample group included 92 mothers who have an autistic child within age group of 0-18 and agreed to participate in the study. The research data was gathered in between August 14th – October 14th 2015 by using Zarit Burden Interview Scale and creating socio-demographic form through scanning related literature. As a result of research; numbers, percentage, and arithmetic mean was used for specifications by transferring gathered data to SPSS 22.0 software. The difference between socio-demographic characteristics and child’s autism level scale score was determined by using single direction analysis of variance, significance test for difference of two means, and correlation methods. Also non-parametric Kruskal Wallis U tests were used along with parametric T test. It is determined by evaluating the data that caregiving burden has increased for mothers of children with autism diagnosis in correlation with mothers’ ages, incomes, health issues, time after autism diagnosis, existence of health issues other than autism, and child’s autism level (p<0.05). On the other hand, it is found that mother’s education and occupation, marital status, social security and sense of health, family type, knowledge on autism, and having an assistant for care were irrelevant to caregiving burden (p>0.05). The major issues for mothers on caregiving were listed as financial issues caused by education expenses, troubles on behavioral control caused by repetitive and obsessed behaviors along with incapability of communication and social skills which were observed in case of autism, and inability communicate with the child. Also, travelling with the child by using public transportation causes trouble hence the child’s behaviors. Mothers also addressed issues on insufficient time for both child and other family members, along with insufficient time caused by their work. They also mentioned that they do not have time for themselves due to insufficient time. Child’s dependency and mothers’ psychological fatigue are listed along mothers’ issues as well. In accordance with gathered results, pediatric nurse’s aim on autism should be focused on improving speaking and social skills, reducing behavioral issues, supporting and educating the family, child, and caregiving mothers. Nurses, by undertaking many functions, will be essential on reducing caregiving burden for mothers.

Biography:

I work as the leader of Telehealth & Home health care in MacKay Memorial Hospital which I work for around 25 years. My working experience including home health care, discharge planning, telehealth and elderly day care center. I'm interested in long term care field. I got a master degree from the institute of Long-term Care at National Taipei University of Nursing and Health Sciences in 2015.

Abstract:

The issues on aging have been drawing attention since Taiwan became an aging society. Literature on those issues to date were more physiologically rather than psychologically focused therefore this study attempted to fill the void by probing the role of religiosity in alleviating the impact of aging related stressors on life satisfaction and depressive moods among elderly people in Taiwan. The purposes of this study were to analyze the current states of religiosity, life satisfaction, and depressive mood in a nationally representative sample of the elderly people in Taiwan, and to investigate the buffering effect of religiosity on alleviating the impacts of stressors on life satisfaction and depressive moods, as well as to draw the implications for practices from the results of this study. This research employed a cross-sectional design with secondary analyses using the data from Taiwan Longitudinal Study of Aging (TLSA), including descriptive and bi-variance, and multi-variate hierarchical regression statistics through SPSS version 22.0. The results showed a positive effect on religiosity in buffering the stressors toward depressive moods but not in alleviating negative impact of life stressors on life satisfaction when demographic variables and main effects were controlled. The results also showed that life satisfaction was higher in cases with less physical pains, IADL difficulties, and lower religious or spiritual trust while more severe depressive moods were found among those having more IADL and ADL difficulties, physical pains, and higher religious trust. The academic and clinical application principles were also purposed based on study results.

Biography:

HSUAN-JU KUO completed her BSN from National Taiwan University, College of Medicine. After three years of practice as a registered nurse in Endocrinology/Rheumatology ward of National Taiwan University Hospital, she is currently a first-year graduate student for her master’s degree in Department of Nursing, College of Medicine, National Taiwan University.

Abstract:

Purpose: The purpose of this case study was to delineate the experience of using representational approach based patient education in caring for a 47-year-old female subject suffering from fatigue of systemic lupus erythematosus. Methods: This qualitative single-case study used the seven key concepts of representational approach to patient education for managing fatigue. The subject was approached twice a week during hospitalization from November 24 to December 3, 2015. Telephone and outpatient clinic follow-up was conducted once respectively after her discharge. Data was collected and analyzed from patient interviews, chart reviews, and weekly nursing care summaries. A numeric rating scale of 0 to 10 (0 indicating no fatigue; 10 indicating worst fatigue) was used to evaluate her fatigue level before and after education session; and her self-care ability was also evaluated during outpatient clinic follow-up. Results: After sessions of representational approach based education, the subject reported improved self-care skills as well as fatigue symptom management techniques. On a numeric rating scale of 0 to 10, self-reported fatigue level improved from 8 to 4. Conclusions: Findings from this case study indicates that representational approach based patient education can effectively improve the subject’s self-care and fatigue symptom management skills. This result further implies that assessment of illness representations and plan interventions accordingly provides positive coping behaviors and improves patient outcomes. However, the application and study of representational approach based education in patients with systemic lupus erythematosus in Taiwan is limited. Research with a large sample size should be conducted to further acknowledge the findings in this single-case study.

Biography:

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Abstract:

This study aimed to conduct the reliability and validity study of the Prostate Cancer Fatalism Inventory in Turkish language. The study carried out in methodological type and consisted of 171 men. The ages of the participants ranged between 40 and 82. The content validity index was determined to be 0.80, Kaiser-Meyer-Olkin value 0.825, Barlett’s test X2 = 750.779 and p=0.000. Then the principal component analysis was applied to the 15-item inventory. The Inventory consisted of one dimension and the load factors were over 0.30 for all items. The explained variance of the inventory was found 33.3 %. The Kuder-Richardson-20 coefficient was determined to be 0.849 and the item-total correlations ranged between 0.335-0.627. The Prostate Cancer Fatalism Inventory was a reliable and valid measurement tool in Turkish language. Integrating psychological strategies for Prostate Cancer screening may be required to strengthen the positive effects of nursing education

Biography:

She had worked in the oncology clinic of Amerikan Hospital in the years of 2007-2010 and then worked in the intensive care unit of the Haydarpasa Numune Training and Research Hospital as a nurse in the years of 2010-2013. She has been working as a research assistant in the Istanbul University Florence Nightingale Nursing Faculty, Departman of Women's Health and Diseases Nursing. She graduated from the Women's Health and Diseases Nursing Master Programme of Istanbul University Institute of Health Sciences in June 2010 and has been awarded the tittle of Specialist Nurse. She is still a phD student at the same university.

Abstract:

Introduction: During the diagnosis and treatment of gynecologic cancers, other cancers, as well as body image problems experienced in the type of women and their families about sexuality and fertility affect the quality of life in a negative way is emerging major health problems. Objective: The aim of this study is about sexual life changes experienced by women undergoing treatment for gynecological cancer of the change is determined with and lived to describe the impact on sexuality. Methods: In this study, endometrial, ovarian and cervical cancer has been diagnosed with cancer and had surgery for the treatment of 20 women was conducted to determine changes on sex life. As the study was a qualitative study using the phenomenological method. Data on forms, consisting of identifying information form prepared after cancer treatment and women by researchers in the literature according to open-ended questions, questioning the changes in sexual life was filled with face to face. Then, data were coded and themes about the topic were emerged by content analysis method. Results: Ages of cases were between 29 and 62 (mean±sd: 47,70±10,12). 10 women participated in the study over 8 endometrial and cervical cancer was 2. Sixteen cases bilateral salphingo total abdominal hysterectomy and oophorectomy (TAH + BSO), 1 total abdominal hysterectomy (TAH) and 3 had undergone radical hysterectomy operations. Conclusions: The loss of experienced women with pelvic organ cancer treatment, treatment-related sudden and enter menopause at an early age with the dilemma of experienced sexual problems makes it more intense and complex

Biography:

Shan-ju Shen has completed her Master degree at Taipei Medical University in Taiwan. She is majoring in community nursing, especially in women health

Abstract:

Postpartum depression, a common complication of childbearing in many countries, affects more than 10% postpartum women. As a public health issue imposes a great burden on families, society and postpartum women. Many scholars contribute the efforts in the diagnosis, mechanism and management of problem, also the stress it may occur. Different from prior concerns, this study tried to listen to postpartum women to see how much they know about postpartum depression, in order to develop knowledge and prevent the strategies related to postpartum depression. Purposive sampling with open-end questions was applied in this study. Qualitative analysis was applied to achieve the target of this study. The results of this study indicated that postpartum women believed that postpartum depression is a negative emotion, emotional instability and loss of pressure, generated is also a depression. Moreover, in postpartum women’s point of view, postpartum depression related to poor children health status, less family support. The results of this study were not only providing several useful recommendations for health workers regarding to the education to pregnant women, but also contribute the literacy of postpartum depression among postpartum women.

Biography:

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Abstract:

Purpose: Verbal communication between elderly person and caregivers are of two types: Type I, associated with nursing care tasks, and Type II, daily conversations in social life. This study aimed to develop a QOCE scale for evaluating type-II communication． Study Method: The survey participants were 56 persons from geriatric health care facilities and home care. The average age was 84.6 years (SD 7.26). The survey contents were basic participant attributes, utterance duration type per day by older adults, QOCE, motor function (FIM), cognitive function (HDSR), depression score (CESD), and life satisfaction (PGC). We used the statistical software SPSS ver. 21 for analysis. Results: As the interim QOCE, we chose 16 items consisting of topic (9), older adult spontaneity (3), and conversation prompt by staff (4) and created a four-point Likert scale. We excluded two items and made a 14-item QOCE scale following item analysis by item distribution, inter-item correlation, and item-total correlation. Internal consistency was observed, and Cronbach’s α = .87. However, the stability of test–retest (r = .55, p < .001) was poor. Construct validyty was examined by factor analysis, from which three factors were extracted, and the cumulative contribution was 59.6%. For criterion-related validity, significant correlations between QOCE and type-II utterance duration (r = .53, p < .001) and between QOCE and type-II spontaneous utterance (r = .48, p < .01) were observed and confirmed. Discussion: Although internal consistency was observed in QOCE reliability, a few problems were observed in stability.

Biography:

Professor Shwu-Ru Liou has completed her PhD from the University of Texas at Austin, USA. She is currently teaching at the Chang Gung University of Science and Technology in Taiwan. She has been teaching for more than 20 years and has published more than 30 papers in reputed journals and conducted many researches. Her researches focused on nursing education, nursing administration, and women’s health.

Abstract:

Prevalence of depression of infertile women varied among reports. Studies pointed out that women who seek infertility treatment had poorer mental health and more emotional problems related to role functioning. Infertile women who seek for infertility treatment experience psychological distress easily. Understanding depression might help improve quality of life of infertile women. This preliminary analysis was part of a larger study that purposed to establish a website to moderate negative emotions and stress of infertile women. The purpose of this report was to explore infertile women’s depressive symptoms and their related factors. The study was a cross-sectional design. Eight-nine infertile women completed a set of questionnaires including the Center for Epidemiologic Studies-Depression (CESD), Fertility Problem Inventory, State-Trait Anxiety Inventory. Results showed that the mean CESD score of the participants was not high (M=13.63, SD=9.27); however, 40.4% of them experienced depressive symptoms. Except for menstrual regularity, none of surveyed demographic variables including maternal age, length since infertility was diagnosed, living with in-laws, educational level, employment, income, having child(ren), BMI, menstrual amount, and infertility treatment, were related to CESD. Depression was however related to infertility stress, state anxiety and trait anxiety (r ranged .44-.69). In addition, menstrual regularity and trait anxiety had predictive relationship with depression (R2=54.6%). The study found that infertile women regardless of their personal characteristics had high potential for experiencing depression. While screening for depression, stress and anxiety need also to be screened. Those who felt anxious easily need to be counseled to decrease the possibility of depression.

Biography:

Hui-Chen Huang has been studying master program of nursing school at Fooyin University since 2014. Her research focuses on lifelong learning and health promotion. She has accumulated a plenty of clinic experiences as an instructor of nursing interns of Kaomei Healthcare Junior College and Hsin Sheng Medical College for 6 years and as a lead nurse at Puzih Hospital for 25 years. These well-grounded practices enable her to well intergrade active aging learning and health promotion and their future advancement.

Abstract:

In Taiwan, the senior’s population will reach to 4.75 million (20.3% of ,total population) by 2025 and the will-be elder age group of 55-64 is 2.7 million in a decade. How to maintain elder people’s health, and help them engage in social activities after retirement living without special medical care are the lifelong education objectives of Taiwan’s Education Ministry. The Active Aging Learning Programs intends to utilize high education resources to provide seniors with diverse learning experience in later life. 103 higher education institutes were linked up in 2015 to provide the elder people a chance to learn with young adults and promoted understanding and interaction of different generations better. The program arrangement is the same as normal university program scheduled by two semesters a year, 10-18 weeks a semester with a total of 216 hours a year. The curriculum covers topics on aging, healthy entertainment, the latest knowledge and each university’s specialization. In the case university studied, issues like active aging and new information technology are arranged as well as special physical fitness and nursing application. To sum up, seniors of 55 years old or more under fair health condition without caring need are all welcome in a hope of helping them realize high-education dream by the implement of the “active aging learning” program.

Biography:

Hong-Yi Jong is a nursing student of College of Nursing, Fooyin University, Taiwan. He also is a outstanding student of the Honors Programe. He is very interested in the field of geriatric care of long-term care institution.

Abstract:

Background and Objective: The care burden for elderly requiring care is not only a social issue but also the problem of work efficacy and the resulting need for long-term care institute. The authors qualitatively described how care-providers dealt with the prolonged caregiving and incorporated caregiving into their lives. Method: Data were obtained from semi-structured interviews conducted in a long-term care institute in Southern Taiwan from 2015 December to 2016 February about care experience with 12 primary care-providers. The content analysis approach was applied for data analysis. Results: In this study, care-providers perceived their caregiving as everlasting and overloading. In particular, when care-providers suffered from diseases and perceived lack of enthusiasm. When they underwent care-giving, however, they also need the passionate consideration in the manner as a family member since there were lots of residents were lack of family visiting. As a result, care-providers feel that they endure caregiving for an endless period, not only an employee of the institute but the family member of those residents. The authors identified three categories for surviving care-providers: the positive meaning of the job of care-giving services, deeply co-operation with families of residents, Receiving assistance that can be accomplished without making considerable changes in the lifestyles of their own family. Conclusion: In this study, the authors suggest that care-providers need not only on-the-job professional training but the psychological interview and consultation to balance the daily life and empower their passion to another day’s works.

Biography:

Carla Ricafort is a Level IV student of the University of Santo Tomas College of Nursing, Manila, Philippines. She was born in Dubai, UAE, from full Filipino parents, and later moved to the Philippines for Primary Education. She then migrated to the United States with her family and spent 8 consecutive years finishing her Primary and Secondary Education from 2003-2011. In 2012, she made the decision to pursue nursing as a life career after the footsteps of her mother. Inspired by her own experiences of becoming an international student and the relentless care demonstrated by nurses, she aspires to seek higher education and health care profession in other continents such as Europe and North America. Because of her love for culture, she continues to strive for the acculturative needs of her fellow international students by leading the university’s international student organization as the President of the UST International Students Association from 2014-2016.

Abstract:

Introduction: International students (IS) are vulnerable individuals that often experiences challenges in adaptation, which leads them to experience anxiety and depression. The Philippines has become a popular choice for international study, but there is a lack of knowledge about adaptation status of international students in the country. This study aims to fill the gap of knowledge regarding the adaptation status of international students in the Philippines by determining the level of academic stress (AS), psychological adaptation (PA), and sociocultural adaptation (SCA) experienced by international students enrolled in a metropolitan university in Manila, Philippines and to find a significant correlation among the three variables. Method: Using a descriptive-correlational design, the researchers combined two survey tools to determine the level of AS, PA, and SCA. Pearson correlation was used to determine if there is a significant difference between the 3 variables. Convenience sampling was used to gather the participants. A total of 59 undergraduate international students participated the study. The rights of the participants were upheld throughout the entire study. Results: Results show that the participants experience moderate levels of academic stress (mean=3.83, SD=1.49), moderate levels of psychological adaptation (mean=3.43, SD=1.49), and high levels of sociocultural adaptation (mean=4.42, SD=1.38). The results also show that AS is significantly correlated to PA, PA is significantly correlated to SCA, and AS is not significantly correlated to SCA. Discussion: Undergraduate IS experience moderate stress in school, adapt moderately using various coping patterns, and adapt highly to other people and their surroundings. IS become more psychologically adapted as the experience more stress, while they become less stressed when they build relationships and explore their surroundings. Interventions for specific concerns should be addressed individually.

Biography:

Ismael Martínez studied nursing in Valme´s Hospital in seville, in 2001 he joined the primary care District Emergency Nursing Team of Cadiz Bay la Janda. His research fourser on urgency an emergency givin greater importance to training the first aiders, which took him to take part in training the pólice, fireman and nursing collegues, but it was in the trainig of school children where he found his bigger challenge.

Abstract:

The training of cardiopulmonary resusitation given to children was criticized in a study published in the Bristish Medical Journal 2007, based in the lack o sufficient strength to carry out effective chest compressions and the rigth depth. This study concluded tahat even thougth the best age to carry out an effective cardio pulmonare resusitation was front 13 yers of ages. The training of younger childrens give then the knowledge and perspective to achieve greater skill in the future. With our ork we wanted to present didactic guidance for the teaching of cardio pulmonary resucitation to children base don the sequence, repetitions and frecuency, adaptating the content to the age of the child. Having trainined in cardiopulmonary resusitation the whole eviroment of the child (thechers, parents and family) the learning is greater. The result of the work make us consider the simple game techniques that involve repetition and songs as diffusion tools with greater acceptance by the child and his/her environment.

Biography:

Ye-Feng Lu has completed his MSN at the age of 25 years old from School of Nursing Shanghai Jiao Tong University. He serves the nursing specialists who’re in charge of the follow-up visit and management of pediatric Living Donor Liver Transplantation patients in Renji Hospital. He has published more than 15 papers in reputed journals and achieved kinds of fund.

Abstract:

Objective: The purpose of this study was to: observe the value of the score of Braden Q scale in predicting the pressure ulcer in pediatric ICU patients in China; determine the critical cutoff point for classifying patient risk; and describe the pressure ulcer incidence. Methods: A prospective cohort descriptive study with a convenience sample of 198 patients on bedrest for at least 24 hours without pre-existing pressure ulcers were enrolled from a pediatric intensive care unit (PICU). The Braden Q score and skin assessment were independently rated and data collectors were blind to the other measurer. Patients were observed up to 3 times per week for 2 weeks and then once a week until PICU discharge. Results: Fourteen patients (7.1%) developed pressure ulcers; 12 (85.7%) were Stage I pressure ulcers, 2 (14.3%) were Stage II pressure ulcers, and there were no Stage III of IV pressure ulcers. Most pressure ulcers (64.3%) were present at the first observation. The Braden Q Scale has an overall cumulative variance contribution rate of 69.599%. Using Stage I+ pressure ulcer data obtained during the first observation, a Receiver Operator Characteristic (ROC) curve for each possible score of the Braden Q Scale was constructed. The area under the curve (AUC) was 0.57, and the 95% confidence interval was 0.50~0.62. At a cutoff score of 19, the sensitivity was 0.71 and the specificity was 0.53. The AUC of each item of the Braden Q Scale is 0.543~0.612. Conclusions: The PICU patients are susceptible to the pressure ulcer. The value of the Braden Q Scale in Chinese pediatric population is relatively poor, it should be optimized when used in Chinese pediatric patients.

Biography:

Mrs.Ruenrudee Kaennak has completed her BS in nursing at the age of 23 years from Nursing Faculty of Khon Kaen University, now she is learning in Master degree of Nursing Administration in Nursing Faculty of Khon Kaen University. She is the head nurse of out patient pediatric unit at Srinagarind hospital, Khon Khane University, Thailand. She has experiences in caring the Thalassemic patients more than 30 years, especially teaching how to use iron chelator both oral and injection in the iron overload thalassemic patients.

Abstract:

Thalassemia is a genetic disease. The most side effect in thalassemic patients are iron overload, prevention by Iron chelator. Desferrioxamine have proved effective but needs administered by parenteral route several days a week. Follow through the patients if they use Desferrioxamine once a week, no problem but if more than once a week. The patients can’t hold because of poor compliance. Then in 2011, our team researchers have pilot study of desferrioxamine administration by intrasubcutaneous in thalasemic patients. Each injection needle was used twice thus reducing the number of needle sticks. The study show that this method can reduce pain, no fever, no edema and non complication of the patients. In 2014, our team researcher want to follow the thalassemic patients who use this method, they have problem or can have activity for example can exercise, can do their homework, how to protect the needle withdraw, and this method appropriate for their live style or not. This investigation aims to determine 30 thalassemic patients on Desferrioxamine infusion more than once a week. It was found that, the patients can prepare and correct inject, no blood in needle line, no one to hunt the inject site, the patients can have activity, a little problem about sleeping, middle to height satisfaction level, prevent from contamination when take a bath by elevates the injection site, prevent from needle withdraw in night by sticky transpose and not lay down the injection site. In part of caregiver , This method should be highly recommended.

Biography:

She had worked in The Gynecology And Obstetrics Clinic of Istanbul Universty Ä°stanbul Faculty of Medicine in the years of 2010-2015. She has been working as a research assistant in the Istanbul University Florence Nightingale Nursing Faculty, Departman of Women's Health and Diseases Nursing. She graduated from the Women's Health and Diseases Nursing Master Programme of Istanbul University Institute of Health Sciences in June 2010 and has been awarded the tittle of Specialist Nurse. Now she is continuing education as doctor of philosophy (phD) student.

Abstract:

Introduction: During the diagnosis and treatment of gynecologic cancers, other cancers, as well as body image problems experienced in the type of women and their families about sexuality and fertility affect the quality of life in a negative way is emerging major health problems. Objective: The aim of this study is about sexual life changes experienced by women undergoing treatment for gynecological cancer of the change is determined with and lived to describe the impact on sexuality. Methods: In this study, endometrial, ovarian and cervical cancer has been diagnosed with cancer and had surgery for the treatment of 20 women was conducted to determine changes on sex life. As the study was a qualitative study using the phenomenological method. Data on forms, consisting of identifying information form prepared after cancer treatment and women by researchers in the literature according to open-ended questions, questioning the changes in sexual life was filled with face to face. Then, data were coded and themes about the topic were emerged by content analysis method. Results: Ages of cases were between 29 and 62 (mean±sd: 47,70±10,12). 10 women participated in the study over 8 endometrial and cervical cancer was 2. Sixteen cases bilateral salphingo total abdominal hysterectomy and oophorectomy (TAH + BSO), 1 total abdominal hysterectomy (TAH) and 3 had undergone radical hysterectomy operations. Conclusions: The loss of experienced women with pelvic organ cancer treatment, treatment-related sudden and enter menopause at an early age with the dilemma of experienced sexual problems makes it more intense and complex.

Biography:

Jan Masie J. Olaco batch 2016 comes from Manila and a senior student in University of Santo Tomas, College of Nursing. She is a member of Nursing Red Cross and Nursing Journal. She and her partner finished this research this decemeber 2015 in line with our requirements. She plans to pursue masters degree either nurse practitioner or nurse rehabilitation. She also plans to continue making research in the future regarding the implementation and improvement of health care.

Abstract:

Patients are the key stakeholders in health care providers and it’s extremely important to increase their satisfaction level. Patient’s satisfaction is defined in different way that is influenced by our expectation and experience, multi dimensional concept and indicator of health outcome. The study was conducted to determine the satisfaction level among pregnant women obtaining prenatal health care services. A correlational research design among pregnant women, obtaining prenatal healthcare services was conducted to determine their level of satisfaction. The researchers adapted and modified a questionnaire-satisfaction survey (Cronbach α = 0.808) from a study that was done in Binmaley, Pangasinan. Pilot testing was done prior in conducting the study. The researchers used the following methods to analyze the gathered data: a) Frequency and Percentage b) Weighted Mean c) T-Test d) ANOVA and e) Coefficient of Correlation (Pearson-R) using Microsoft Excel and IBM SPSS v.20. The results show that there is no significant difference between the extents of availment across their profile variables and the level of satisfaction of the respondents across their profile variables. However, the extent of availment is highly significant in relation to the level of satisfaction of respondents as seen in the computed r-value of 0.518 and the significance of 0.001. There is a highly significant relationship between the extent of availment and level of satisfaction. As the level of availment increases, there is an increase in the level of satisfaction of the clients. Similarly, if the pregnant women are highly satisfied with the prenatal healthcare services of RHU, the extent of availment will also increase.

Biography:

Yu-Hsiang Liu had worked in obstetrics and gynecology clinic nursing for 14 years. She had completed her master at the age 36 years from Kaohsiung Medical University and Ph.D is studying from National Cheng Kung University. She is also a faculty in fooyin University, a lecturer school of nursing. She has published some papers in reputed journals about women health

Abstract:

Background: Pregnant women often experience physical and psychosocial change and have poor sleep quality compared with non-pregnant women due to fetal movements, urinary frequency, hormones change, uterine contraction and back pain. The prevalence of sleep disturbance in pregnant women is 66%-94% and prenatal depression rate is 9%–44%. Prenatal depression can cause poor maternal and infant outcomes. Pregnancy could be a life stressor which can cause sleep disorder, low birth weight, and premature labor. Regular physical activity contributes positively to physical and psychological health and reduces the risk of illnesses, including heart disease, stroke, diabetes mellitus, obesity, osteoporosis, and depression. Reductions in physical activity and a worsening mood are common during pregnancy. Prior correlation research with non-pregnant women has demonstrated a consistent relationship between physical inactivity and mood disturbances. However, physical activity’s relation to sleep quality, depression and stress remains unclear in pregnant women during their three trimesters. Purpose: The purpose of this study is to explore physical activity in healthy pregnant women in relation to sleep quality, depression and stress during the three trimesters. Methods: This is a cross-sectional research design. A purposive sampling technique will be used to recruit 600 participants from three certified prenatal centers in southern Taiwan. The inclusive criteria are pregnant women who are in their first, second or third trimester, normal pregnancy and single fetal pregnant. Pregnant women who can read Chinese will fill out the questionnaires. Each participant will complete questionnaires, including demographic data, International Physical Activity Questionnaire (IPAQ), Pittsburgh Sleep Quality Index (PSQI), Edinburgh Perinatal Depression Scale (EPDS), and Perceived Stress Scale (PSS). Data entering will be double checked by a trained assistant before performing analysis. Statistical analysis will be performed using SPSS 20.0 statistical software. Individual categorical variables will be described in terms of frequency and percentage, whereas continuous variables will be described in terms of mean and standard deviation. Pearson correlation will be used to investigate factors associated with the physical activity and physical activity’s relation to sleep quality, depression and stress. Expected Result: Our findings will provide information in current status of physical activity, sleep quality, perinatal depression and stress in health pregnant women during their three trimesters. We will also describe factors related to pregnant women’s physical activity, sleep quality, depression and stress, as well as relations among physical activity, sleep quality, depression and stress. The knowledge of this study can serve as a foundation for developing health-promotion interventions in health pregnant women in response to each trimester.

Biography:

The authors are current undergraduates in the University of Santo Tomas College of Nursing and is in their last semester for their baccalaureate degree. Their adviser Maria Corazon Olayres, RN, MAN, is an expert in the field of qualitative research in the Philippine setting.

Abstract:

Multi-media videos have been used in multiple studies as a means to modify health behaviors such as smoking because of its advantage of being standardized which would decrease the inconsistencies on the information delivered. However, studies conducted relating to this type of intervention had varied results, with video interventions not being able to change the behavior relating to addictions when it was not tailored appropriately. Literature on individualized video interventions is also limited and remains to be unexplored which is why the study focused on assessing the effectiveness of a personalized video intervention to increase the motivation for smoking cessation. A quasi-experimental study among 63 purposively-selected smokers who have previously attempted to quit smoking was conducted in Metro Manila. The tools utilized were Cigarette Dependence Scale (CDS-12) and Motivation to Stop Scale (MTSS). The gatherEd data was analyzed using paired t-test and 2-way ANOVA. There was no significant difference between the Post-test scores of the control and experimental group. However, the Pre-test score of the experimental group when compared to its Post-test score shows that there was a significant difference. In conclusion, the use of Personalized Active Learning Movie (PALM) is effective in increasing the motivation of the smokers to stop smoking and in decreasing their dependence to cigarettes.

Biography:

Ahmed Loutfy has completed his Master Thesis at the age of 27 years from Port-Said University. He has five years of experience as a clinical instructor at Pediatric Nursing Department and is an assistant lecturer at Faculty of Nursing, Beni-Suef University.

Abstract:

Preterm infants are at risk for respiratory distress syndrome which defined as a breathing disorder resulting from lung immaturity. The aim of the current study was to assess quality of nursing care provided to preterm infant with respiratory distress syndrome. A descriptive research design was utilized in this study. The study was carried out at the neonatal intensive care units of El-Nasr, El-Tadamon, and Port-Fouad General hospitals in Port Said City. The subjects comprised of 48 neonatal nurses and 71 preterm infants. The data were collected using an interview questionnaire sheet for nurses and data sheet for preterm infants. The study’s results indicated that less than two-thirds of the studied nurses had poor level of knowledge and more than half of them had poor level of practice. There was a highly statistical significant relation between the studied nurses' total knowledge mean scores and total practice mean scores with their educational level with p ≤ 0.001. The study concluded that there was a highly statistical significant correlation between the studied nurses' total knowledge mean scores and their total practice mean scores. It was recommended that educational and training programs should be provided to neonatal nurses to improve their level of knowledge and practice about nursing care which provided to preterm with respiratory distress syndrome.

Biography:

• Ariadna Villanueva Arias has completed her Bachelor nurse at the age of 23 years from Carlos J. Finlay Medical Sciences High Institute. (Cuba) 1992-1997. She is Infection Control reviewer and Master Infectious Diseases. She has published more than 5 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

Quality of hand hygiene was evaluated with direct observation method of six World Health Organization steps. It was monitored 2497 HH opportunities, which 1573 (63.0%) were hand rub. Compliance was high in nurse compared with physician and auxiliaries, and for step 1 and 2 in hand rubs and the first three steps of hand washing, with lowest figure after these. Rubbing of thumbs and fingertips achieves the lowest compliance in both HH types. A combination of five moments and six steps and staff education will be recommended to improve quality of hand hygiene.

Biography:

The authors are current undergraduates in the University of Santo Tomas College of Nursing and is in their last semester for their baccalaureate degree. Their adviser Maria Corazon Olayres, RN, MAN, is an expert in the field of qualitative research in the Philippine setting.

Abstract:

Multi-media videos have been used in multiple studies as a means to modify health behaviors such as smoking because of its advantage of being standardized which would decrease the inconsistencies on the information delivered. However, studies conducted relating to this type of intervention had varied results, with video interventions not being able to change the behavior relating to addictions when it was not tailored appropriately. Literature on individualized video interventions is also limited and remains to be unexplored which is why the study focused on assessing the effectiveness of a personalized video intervention to increase the motivation for smoking cessation. A quasi-experimental study among 63 purposively-selected smokers who have previously attempted to quit smoking was conducted in Metro Manila. The tools utilized were Cigarette Dependence Scale (CDS-12) and Motivation to Stop Scale (MTSS). The gatherEd data was analyzed using paired t-test and 2-way ANOVA. There was no significant difference between the Post-test scores of the control and experimental group. However, the Pre-test score of the experimental group when compared to its Post-test score shows that there was a significant difference. In conclusion, the use of Personalized Active Learning Movie (PALM) is effective in increasing the motivation of the smokers to stop smoking and in decreasing their dependence to cigarettes.

Biography:

Talal Alharbi is a clinical specialist nurse obtained a Bachelor of Nursing degree from the University of Southern Queensland in 2013. Following by Master of Nursing focus on Education from Monash University, Australia 2015. His experience in diabetes related work was gained while working as a Diabetes educator at the University Diabetes Centre of King Saud University for 10 years. His research interests are in the field of nursing education.

Abstract:

Background: Diabetes incidence in Saudi Arabia is among the highest in the world. Given the important role of nurses in diabetes care, their relevant knowledge is of significance. This study, while assessing the diabetes knowledge of primary care nurses in Saudi Arabia, also investigated the relationships between demographic variables and knowledge level. Methods: A sample (N=172) of nurses employed at 35 primary-healthcare centers in the Al-Qasim province, was studied, according to a quantitative research design. The study used a 23-item purpose-designed diabetes knowledge test (DKT). Results: The overall mean DKT score was 61%, which was below the required score (70%) to be considered as adequate knowledge. Those with longer nursing experience, and female nurses, displayed significantly better knowledge in diabetes care compared with those with fewer years of experience and male nurses, respectively. Expatriate nurses and those who are of non-Arabic ethnicity, scored higher than the Saudi national nurses. In both groups, those with degree level nursing qualification performed significantly better. However, knowledge varied significantly dependent on country of nurse-training, with Saudi-trained nurses scoring lower compared to overseas-trained. The length of time since graduation was significant only for the 11–15 year and more than 20 year groups who had higher DKT scores than the rest. Conclusion: Diabetes knowledge inadequacy among nurses, in a country of high diabetes prevalence, is alarming, and calls for remedial actions. Results indicating significant variation in knowledge among demographically distinct groups enables the identification of groups that should get priority in such remedial, knowledge-enhancing interventions.

Biography:

Alyssa Rica A. Villanueva and Mr. Bernard Joseph Z. Villaflores are both graduating nursing students from the University of Santo Tomas College of Nursing in the Philippines. The undergraduates were mentored and supervised by their respective research adviser, Assoc. Prof. Maria Corazon S. Olayres, RN, MAN.

Abstract:

Pregnancy can place a woman’s life into various instances that can induce anxiety. This anxiety can then cause serious complications that may occur throughout gestation. Hence, this study introduced music therapy as an intervention and evaluated its effectiveness in reducing anxiety among third trimester primigravid mothers. A pre-test and post-test experimental design was utilized. The participants were chosen using purposive sampling. The study consisted of experimental (n=25) and control (n=25) groups. In the experimental group, music therapy was given. The Beck Anxiety Inventory (BAI), a standardized instrument, was used to assess the pre- and post- anxiety scores of the respondents. Independent t-test, paired t-test, and analysis of covariance were utilized as measures to determine the effectiveness of the therapy.For the pre-test anxiety scores, the control group had a score of 37.64 while the experimental group had 41.32. When post-test scores were collected and interpreted, the control group showed a score of 30.88. Meanwhile, the experimental group acquired 11.44. There was a significant difference after in the post test anxiety scores (p=0.0001).It is concluded in this study that music therapy especially containing gospel songs is an effective way in alleviating the anxiety experienced by primigravid women who are in their third trimester of pregnancy.

Biography:

Li-Chen,HUNG is currently an Lecturer, Department of Nursing, at Chang Gung University of Science and Technology, but she is also a Doctoral Student, School of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan. She main research areas is pediatric care

Abstract:

With the widespread convenience of internet and extension of service range, the development of internet-based provision of health management model has become the currently most convenient choric illness management model for improving learners’ self-control. This model of operational independence and decision-making is also popular with teenagers. This study used systematic literature review to investigate the application of E-health management for glycemic control of teenagers with T1DM. This study searched 6 electronic databases from 1995 to December 2015. After screening the studies according to the inclusion and exclusion criteria, this study used modified Jadad scale to evaluate literature quality. The research subjects were mainly teenagers with T1DM whose HbA1c was higher than 8.0%, and their average age was from 12.3 (SD = 1.1) to 15.9 (SD = 2.9). The research results showed that, E-health management did not have a statistically significant influence on the decrease in HbA1c. However, diabetes self-care and problem solving abilities of participants in the experimental group improved significantly, which significantly improved their self-efficacy and quality of life. The research results showed that, diabetes care knowledge and emotional stress problem-solving program offered by E-health management intervention could improve the psychosocial functions of teenagers with T1DM. However, the effectiveness for indices, such as online registration and frequencies of self-monitoring of blood glucose, diet, and execution of insulin therapy is unclear. Future studies may add warning system to motivate patients to take actions, in order to improve the effectiveness for glycemic control

Biography:

Denice Victoria L. Reyes currently fourth year nursing students of the University of Santo Tomas (UST). Abigail Ng is currently the President of the Nursing Varsity Council and Denice Reyes is currently the Treasurer of the Rotaract Club Nursing Unit.

Abstract:

A disease is typically caused by an imbalance in the energy field. Chromotherapy or color light therapy is an alternative treatment that helps in balancing energies. Color plays an important role in human comprehension and, in effect, on thinking and human conduct. In this study, Chromotherapy refers to the application of red, green and white LED lights with 2,500 lux exposed to the selected group of subjects for 15 minutes. The study determines whether Chromotherapy has an effect on the mental state of the selected subjects in the town of Cabugao, Ilocos Sur. In addition, the study identifies which among the three colors is most effective. A quasi-experimental pretest and posttest design was used in this study. Purposive sampling which includes inclusion and exclusion criteria was utilized to select the subjects were randomly assigned into three different groups; white, red and green light therapy. The pretest and posttest scores were measured using Mini-mental state 2. Power is 0.99 (99%), alpha level was 0.05 and effect size is large (1.42). The following statistical measures that were used include mean, paired t-test, ANOVA and Levene’s test. Red and green light therapies have significantly improved the mental state of elderlies in the community of Cabugao. However, the use of white light therapy has only slightly improved the mental state scores of elderlies compared to the experimental group. In addition, both the red and green light therapy has improved the mental state scores at almost the same level.

Biography:

Fernan N. Torreno has completed his Master of Arts in Nursing degree at Lyceum-Northwestern University, Dagupan City Philiipines. At present, he is a Clinical Instructor of the same university. He is a Registered Nurse, Registered Midwife. He plans to study Doctor of Nursing Practice this summer 2016.

Abstract:

This study assessed the Citizens’ Satisfaction Index on the Health Services of the Local Government Unit of Binalonan, Pangasinan. The descriptive, quantitative cross-sectional method of research was employed with the use of survey questionnaire as the main data-gathering instrument. Slovin’s Formula was used to determine the sample size. Frequencies and percentage distributions were used to present the descriptive characteristics of the respondents, while a Pearson r correlation was employed to determine significant relationships. The respondents composed of 395 registered voters with ages 41 and above, mostly females, married, high school graduates, Roman Catholic and residing for 21-30 years, employed as professionals within the barangays with monthly incomes of Php15, 100 and above, majority suffered an illness for the past 12 months and pneumonia topped among other diseases. Results revealed Low Awareness (31.33) and Availment (39.20) net scores on the health services, Fair for Satisfaction net score (59.77) and High for the Importance net score (70.77). There was a positive association between Level of Awareness and Level of Availment. (r=0.827) but a negative significant relationship between Importance and Satisfaction (r=-0.945) and Importance and Availment (r=-0.946). Majority of the respondents are not aware of the health services provided by the local government unit. The type of job and monthly income of the respondents affect their availment of health services. The proposed measures should be observed and implemented to improve areas of concerns in the health services delivery. Due to the limitations of the study, findings cannot be claimed to be definite, hence, similar studies focusing on health services should be conducted to include other categories under health which are not included in this study.

Biography:

Bernard Joseph Z. Villaflores and Ms. Alyssa Rica A. Villanueva are both graduating nursing students from the University of Santo Tomas College of Nursing in the Philippines. The undergraduates were mentored and supervised by their respective research adviser, Assoc. Prof. Maria Corazon S. Olayres, RN, MAN.

Abstract:

Pregnancy can place a woman’s life into various instances that can induce anxiety. This anxiety can then cause serious complications that may occur throughout gestation. Hence, this study introduced music therapy as an intervention and evaluated its effectiveness in reducing anxiety among third trimester primigravid mothers. A pre-test and post-test experimental design was utilized. The participants were chosen using purposive sampling. The study consisted of experimental (n=25) and control (n=25) groups. In the experimental group, music therapy was given. The Beck Anxiety Inventory (BAI), a standardized instrument, was used to assess the pre- and post- anxiety scores of the respondents. Independent t-test, paired t-test, and analysis of covariance were utilized as measures to determine the effectiveness of the therapy.For the pre-test anxiety scores, the control group had a score of 37.64 while the experimental group had 41.32. When post-test scores were collected and interpreted, the control group showed a score of 30.88. Meanwhile, the experimental group acquired 11.44. There was a significant difference after in the post test anxiety scores (p=0.0001).It is concluded in this study that music therapy especially containing gospel songs is an effective way in alleviating the anxiety experienced by primigravid women who are in their third trimester of pregnancy.

Biography:

Mayumi HASHIMOTO has completed her Master of Science Nurse from National Institution for Academic Degrees and University Evaluation in Japan. She has been actively involved as a technical advisor on nursing and midwifery education system, and legal framework for human resources for health in low-middle income countries, especially Southeast Asia.

Abstract:

Objectives: To clarify current situation and analyze Regulatory Framework for Professional Nursing in Low - Middle income countries Southeast Asia. Design: This study used a cross-sectional descriptive design. A semi-structured interview was conducted. The participants were national nursing leaders; administrative nursing officers and executive board members of nursing association and/or nursing council if the organization exists, from Cambodia, Lao PDR, Myanmar and Vietnam. Findings: Cambodia, Lao PDR and Vietnam plan to establish licensing system aiming for ASEAN Mutual Recognition Arrangements on Nursing Services by 2015. These three countries developed legal basis in last decade rapidly. Vietnam enact the Law in 2010 and started to issue license for nurses from 2013. Cambodia and Lao PDR advanced the preparation for licensing with Law. Myanmar has established regulatory framework since 1920’s. Licensure with renewal has implemented from 1995. The renewal does not has specific requirements. The Licensing Body is the Nurses and Midwives Council, however, the Ministry of Health has the power to suspend and revoke the issued license. Conclusions: The ASEAN Economic Community accelerates to establish licensing system for nursing in Low- Middle income countries Southeast Asia. Next step is functional activities of regulatory framework to nursing professional practice.

Biography:

The authors are current undergraduates in the University of Santo Tomas College of Nursing and is in their last semester for their baccalaureate degree. Their adviser Maria Corazon Olayres, RN, MAN, is an expert in the field of qualitative research in the Philippine setting.

Abstract:

Multi-media videos have been used in multiple studies as a means to modify health behaviors such as smoking because of its advantage of being standardized which would decrease the inconsistencies on the information delivered. However, studies conducted relating to this type of intervention had varied results, with video interventions not being able to change the behavior relating to addictions when it was not tailored appropriately. Literature on individualized video interventions is also limited and remains to be unexplored which is why the study focused on assessing the effectiveness of a personalized video intervention to increase the motivation for smoking cessation. A quasi-experimental study among 63 purposively-selected smokers who have previously attempted to quit smoking was conducted in Metro Manila. The tools utilized were Cigarette Dependence Scale (CDS-12) and Motivation to Stop Scale (MTSS). The gatherEd data was analyzed using paired t-test and 2-way ANOVA. There was no significant difference between the Post-test scores of the control and experimental group. However, the Pre-test score of the experimental group when compared to its Post-test score shows that there was a significant difference. In conclusion, the use of Personalized Active Learning Movie (PALM) is effective in increasing the motivation of the smokers to stop smoking and in decreasing their dependence to cigarettes.

Biography:

Sun Xiao has completed her MD at the age of 27 years from Tongji University, shanghai, China. She mainly works at the chronic managenment. She has published more than 10 papers in Chinese reputed journals and one SCI

Abstract:

Background Home is the mainly place for patient to rehabilitation. Home caregivers take an important role in taking care of the stroke patients.The study was to know about cognition situation of home caregivers on stroke related knowledge Methods The method of questionnaire was used to know about the cognition of 103 cases of family caregivers about stroke induced factors,stroke onset symptoms and family first aid measures. Results The cognition of family caregivers on stroke induced factors was poor,especially that the behavior of type A and life stress will induce stroke.More than 50% family caregivers were lack of cognition on stroke onset “difficulty speaking”“headache unbearable”“suddenly vertigo”;More than 50% family caregivers were lack of cognition on stroke related home first-aid measures.There was statistical significant difference in cognition on stroke induced factors and pre-hospital delay factors among the home caregivers in different care time and job types(P <0.05). Conclusion The cognition of home caregivers of stroke patients is poor on stroke induced factors,stroke onset symptoms and pre hospital stroke family first aid measures,so it is necessary to develop suitable and effective health education aiming at home caregivers in the extension of nursing service.
It was necessary to point out that diversity ways of the health education such as lectures, brochures, video, etc. could meet demands for home caregivers from different age, educational level,etc.

Biography:

The authors of this research study are senior Bachelor of Science in Nursing students from University of Santo Tomas, Manila, Philippines. Their adviser, Asst. Prof. Marica G. Estrada, RN, PhD is an expert in the field of research having presented multiple studies in both local and international conferences.

Abstract:

Cultural competence is important in nursing practice. Students study this baccalaureate degree in high hopes to pursue their careers abroad. It is indeed a challenge to render quality nursing care in a clinical setting where there are clients with different cultural backgrounds. Various factors play an important role in determining the cultural competence of a healthcare professional, such as Cultural Knowledge, Cultural Awareness and Cultural Encounter. This study was conducted at the University of Santo Tomas - College of Nursing. A descriptive-correlational research design was utilized in the study in order to determine the relationship between the different variables associated with the level of cultural competence among Thomasian senior nursing students. The study showed that Thomasian Senior Nursing students have a high perceived measure of cultural competence in terms of the mean scores of all three constructs, however, age and gender did not show any correlation to one another.

Biography:

Eun Young has completed PhD from Seoul National. She is the ANP in Oncology nursing and professor at college of nursing in Gachon university in Korea. She has published more than 15 papers in reputed journals . Her research area is qualitative and psychosocial nursing intervention for cancer patients.

Abstract:

This study was to explore and conducted attributes of homeboundness experienced by low-income elderly people. We studied using qualitative research method with individual interviews. The participants were 23 adults with above 65 years. The data were analyzed using the inductive method, based on a threshold frequency of going out of the home once a week, participants were categorized into two groups. When the data from the two groups were compared, the following attributes of low-income elderly people’s homeboundness were derived: ‘concern about expenses’, ‘being unable to move about as one wants’, ‘distress due to lasting symptoms’, ‘feelings of wretchedness in life’, ‘loneliness’, ‘lowered self-esteem’, ‘difficulty in relationships’, and ‘restrictive environment’. The findings of this study are expected to help improve health professionals’, including community nurses’, understanding of homeboundness in low-income elderly people, and to contribute to develope the care guide for them .

Biography:

Ekin Dila TOP is currently a PhD Student, Department of Obstetric and Gynocology Nursing at the Ege University Health Sciences Institute, Turkey. She is also lecturer at the Kâtip Çelebi University in Obstetric and Gynocology Nursing Department since 2014.

Abstract:

Aim of the research is, determine attitudes of women in pospartum period about breast-feeding and analizing the factors that effect these attitudes. This research having cross sectional and descriptive qualities has been held in Maternity and Gynecology Training and Research Hospital of Ege in İzmir between the dates of November 2014-June 2015. The sample of this study was consisted 218 volunteer women in postpartum period. The data has been gathered by using Individual Description Form and Breastfeeding Attitude Scale. It has been designated that the age average of the women is 27.45±5.98, 39.9% of them are primary school graduate, 89.9% of them are housewife, 59.2% of them have equal income and expence, 76.6% of them have nuclear family, 52.3% of them is living in the city centre. 38.9% of women' number of pregnancy and 28.5% of their number of living children are three and more, 55.5% of them got epidural anesthesia at the birth and 59.6% of them is cesarean section. 85.8% of the women wanted to be pregnant and 69.3% of them planed, 53.7% of their baby is boy, 93.2% of their baby is between 2500-4000 grams. At the time that we analize women' knowledge about breastfeeding they expressed that, 33.9% of them got information about breastfeeding and breast milk and 37.8% of these information retrivaled at the first pragnancy and 66.2% of them retrivaled the information from medical personnel, the retrivaled information is about breastfeeding technique (50%) and 65.5% of their breastfeeding duration is 12 months and more; 32.6% of them feed their baby one hour later after the birth at first, 83.7% of them think about breastfeed their baby along 12 month and more, 26.6% of them breastfeed their baby when crying, 68.8% of them hold their baby fifteen minutes on the breast, 64.7% of them are using teat or feedingbottle, 50.5% of them are giving another food and they are using 69.1% recipe baby food, 21.8% water, 9.1% sugared water and 26.4% of their reason for giving extra food is lack of breast milk. Breastfeeding attitude of the women in postpartum period evaluation tool's mean is X=100.38±18.88. According the to family type, getting knowlage about breast feeding and breast milk before, using teat or feeding bottle situation and the time that planed for breastfeeding; the difference between breastfeeding attitude points gained meaning. The women which had three and more pragnancy and living child, got boy baby, experienced breastfeeding before, breastfeed their baby within the thirty minutes after the birth, breastfeeds her baby once at half an hour, university graduated, are working, have more income than expence and are living in the country side has high average at the breast-feeding attitude point averages. In this study; it is determined that one-thirth of the women retrivaled information at their first pragnancy and the information that they retrivaled is just about breast-feeding techniques, in the postpartum period one-thirth of women could breastfeed their baby after one hour and frequency and duration of their breastfeeding is effecting their breastfeeding attutide point. Moreover it is determined that women are consulting some ways (teat, feding bottle, additional food ect.) to remove the breast milk from their baby. And it concluded that although most of the mothers are thinking about breastfeed their baby 12 month and more, they have not enough knowlage about breastfeeding, have a boy baby, their level of income, aducational level and their living place is effecting their breastfeeding attitude point.

Biography:

Abstract:

Back pain is quite common after Cardiovascular Angiography and Interventions. Patients are restricted to rest in bed with their foot in a straight position for 4-6 hours after the procedure due to potential vascular complications from using a femoral approach. This study aimed to develop a Clinical Practice Guidelines for Reduce Back Pain after Cardiovascular Angiography and Interventions. This Clinical Practice Guidelines was constructed based on the framework of the development of clinical practice guideline of Australian National Health and Medical Research Council. Eight articles were obtained which comprised of one systematic review, six randomized-controlled trials, and one descriptive study. The empirical evidences were analyzed and synthesized yielding the Clinical Practice Guidelines. The content and feasibility of developed Clinical Practice Guidelines was approved by three experts and corrected following their suggestion. The results showed that the Clinical Practice Guidelines for Reduce Back Pain after Cardiovascular Angiography and Interventions: (1) Early ambulation (2) Changing patients' position in bed (3) The Device to support the straight leg and had no application of a sandbag. The recommendation of this study is that the Clinical Practice Guidelines for Reduce Back Pain after Cardiovascular Angiography and Interventions should be implemented in practice and developed appropriately. The Clinical Practice Guidelines nurse can easily take a few are safe for patients. And the independent role of the nurse can. And should evaluate both the process and outcomes, and tailored to the context of the agency, together with the research results.

Biography:

BeÅŸer Ayse has completed a PhD in department Public Health Nursing from Ege University. She has been working as a professor at the Koc University School of Nusing. She has published more than 40 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

This study intended to examine the experiences of poststroke patients in terms of urinary incontinence on the basis of Health Belief Model. The study was conducted during October-November 2014 in Izmir, TURKEY. The study was conducted on a total of 15 patients. The age average of participants was 67.93±1.23. Data was collected by means of a "personal information form" and a "semi-structured interview form". Four main dimensions were obtained in relation to patients' experiences during the study, which are (i) Perception of urinary incontinence, (ii) Effects of urinary incontinence, (iii) Application of pelvic floor muscle exercises, and (iv) Coping with urinary incontinence. Perception of urinary incontinence; while majority of patients did not indicate urinary incontinence as a problem that developed after stroke, they related it to the treatments applied, menopause, past urination related experiences, sneezing and excessive water consumption. Effects of urinary incontinence; This dimension consists of three sub-dimensions, which are: "psychological effects", "effects on daily life", and "effects on caretakers". Application of Pelvic Floor Muscle Exercises (PFME); This dimension consists of four sub-dimensions, which are: "Knowing the exercise", "Considering its benefits", "Obstacles in execution of exercises", and "Reminders". Coping with urinary incontinence; This dimension consists of two sub-dimensions, which are: "Changes in lifestyle" and "Treatment methods". As a result of the study it was found that all patients and caretakers experienced negative consequences in physiological, psychological, social and economical terms due to the urinary incontinence occurring after stroke and therefore had certain needs.

Biography:

Nilo Mercado Lapid has completed his Masters degree with a merit of Benemeritus at the age of 29 years from Angeles University Foundation, Angeles City, Philippines. Finished his bachelors degree in Nursing in 2006 and licensed to practice by February 2007. In the same year clinical trainings were continuously attended. In particular, he continued his career in renal nursing as he attended further his knowledge and expertise through formal trainings, seminars and conventions in hemodialysis from 2007 to 2015. He solely earned his clinical nephrology practice in a private tertiary hospital in the Philippines from 2007 to 2015.

Abstract:

This retrospective cohort study aimed to determine factors associated to survival of hemodialysis patientsin the Selected Tertiary Hospital in Pampanga – Hemodialysis Unit and to estimate their mean and median survival time as well as their survival rates. The sample consisted of 200 patients who underwent hemodialysis treatment from 2007 to 2011. Patients aged below 18, those who underwent kidney transplant, and transient patients (those who went through dialysis only during the course of their short stay / vacation in Pampanga) were excluded. Kaplan-Meier Survival Analysis was used for examining the distribution of the survival time of the hemodialysis patients. Survival times were compared by levels of the various demographic, hemodialysis-related, and bio-chemical factors and diagnosis or cause of ESRD using log-rank tests. P-values less than 0.05 were considered significant. Results showed that about 3 out of every 4 hemodialysis patients in the Selected Tertiary Hospital in Pampanga started dialysis at more than 50 years of age while 3 out of every 5 of the hemodialysis patients are males. Half of the hemodialysis patients are prescribed twice a week hemodialysis sessions. Only 1 out of every 3 patients on hemodialysis for at least one year is compliant to the prescribed hemodialysis treatment. Most of the patients had hemoglobin, phosphate, BUN and creatinine and levels below the recommended range at baseline but these decreased during the course of their hemodialysis although there were several missing data on these bio-chemical factors during hemodialysis. Diabetes was found to be the leading cause of kidney disease leading to hemodialysis followed by chronic glomerulonephritis and then by hypertension. On the average, hemodialysis patients in the selected institution live up to about 2 and a half years after starting hemodialysis. After 5 years of hemodialysis approximately 1 out of every 3 hemodialysis patients in the selected institution would still be alive. The following hemodialysis patients were found to have a survival advantage: those who started dialysis between 18 to 40 years, males (who happened to be younger than females), baseline hemoglobin levels between 11 to 12 g/L, phosphate level more than 5.51 mg/dL during the course of dialysis, BUN level between 60 to 110 mg/dL during the course of dialysis, creatinine levels greater than 11.1 mg/dL during the course of dialysis, and with CGN as the cause of ESRD. In line with the results, the researcher recommends that the health care providers reiterate to the patients and their significant others to try to maintain during the course of hemodialysis the prescribed hemoglobin, phosphate, BUN and creatinine levels, which have been found in this study to be associated with greater survival. Incidentally, a more organized record keeping among hemodialysis patients is recommended to facilitate the development of a good database that may be used for research purposes. Since diabetes was found to be the leading cause of kidney disease leading to hemodialysis followed by chronic glomerulonephritis and then by hypertension, modifiable risk factors for these diseases have to be identified such that these factors could be modified as early as possible in the current study population. Lastly, the researcher recommends the implementation of the proposed series of seminars for hemodialysis nurses which will ultimately benefit hemodialysis patients and their significant others.

Biography:

Jescel Mari C. Rivera is a fresh graduate of Bachelor of Science in Nursing at the University of Santo Tomas, Philippines. She finished her Primary Education in Central Luzon State University on 2008. One year after the graduation, she migrated to Qatar with her family. She finished her Secondary Education in the Philippine School Doha, State of Qatar. In 2012, she came back to Philippines to study nursing in University of Santo Tomas. She aspires to work as a registered nurse in abroad like western countries such as Germany and United States of America. She also plans to continue her studies to pursue a Masters of Science in Nursing.

Abstract:

Introduction: International students (IS) are vulnerable individuals that often experiences challenges in adaptation, which leads them to experience anxiety and depression. The Philippines has become a popular choice for international study, but there is a lack of knowledge about adaptation status of international students in the country. This study aims to fill the gap of knowledge regarding the adaptation status of international students in the Philippines by determining the level of academic stress (AS), psychological adaptation (PA), and sociocultural adaptation (SCA) experienced by international students enrolled in a metropolitan university in Manila, Philippines and to find a significant correlation among the three variables. Method: Using a descriptive-correlational design, the researchers combined two survey tools to determine the level of AS, PA, and SCA. Pearson correlation was used to determine if there is a significant difference between the 3 variables. Convenience sampling was used to gather the participants. A total of 59 undergraduate international students participated the study. The rights of the participants were upheld throughout the entire study. Results: Results show that the participants experience moderate levels of academic stress (mean=3.83, SD=1.49), moderate levels of psychological adaptation (mean=3.43, SD=1.49), and high levels of sociocultural adaptation (mean=4.42, SD=1.38). The results also show that AS is significantly correlated to PA, PA is significantly correlated to SCA, and AS is not significantly correlated to SCA. Discussion: Undergraduate IS experience moderate stress in school, adapt moderately using various coping patterns, and adapt highly to other people and their surroundings. IS become more psychologically adapted as the experience more stress, while they become less stressed when they build relationships and explore their surroundings. Interventions for specific concerns should be addressed individually.

Biography:

Nety Mawarda Hatmanti (27 years of age) graduated from Master’s Program of Faculty of Nursing Science, Airlangga University, Indonesia in 2012. This will be the first great opportunity for the writer to publish the result of research in an international conference.

Abstract:

Family-centered care is a philosophical approach used to provide care to patients and their family in which all family members collaborate to support such care. Diabetes Mellitus is a significant problem in global health. Until now, Diabetes Mellitus is a disease that has no cure. Dietary restrictions and medications, including insulin injection are associated with the morbidity rate that affects the quality of life (QoL). This quasi experiment research used pre-test and post-test design in which the treatment group received health education on dietary and ideal weight management, whereas the control group did not receive it. The result of Mann-Whitney test showed that there was a significant difference between the control and treatment group in which Z = -2.776 (p = 0.006), confirming that family-centered care improved the patients’ confidence in dietary and ideal weight management. Based on this result, the nurses are encouraged to use the method of family-centered care to increase the quality of life of the patients with type 2 Diabetes Mellitus.

Biography:

Muhammad saied has completed his Bsc of Nursing at the age of 22 years from Port-Said University as well as completing his master thesis process waiting for discussion it at the next February 2016. He has five years of experience as a clinical instructor at medical surgical nursing department ,faculty of nursing ,port-said University.

Abstract:

Blood transfusion is one of the most commonly performed procedures in hospitals and an essential component of modern health care. making it a highly effective and potentially life-saving treatment for many patients.However, it can also not be risk-free. Many hospital transfusion protocols and related nursing practices have been based more on tradition and assumptions than on scientific.The aim of the current study was to assess nurses’ performance regarding care of patients undergoing blood transfusion and three research questions addressed the comprehensive scope of nurses’ involvement with blood transfusions. A descriptive research design was utilized in this study. The study was carried out at three hospitals affiliated to the Ministry of Health (Port-Said General Hospital, Port -Fouad General Hospital, and El-Zohoer Central Hospital). The subjects comprised of 134 nurses and the data were collected using an interview questionnaire sheet for nurses developed by the researcher.The study’s results indicated that slightly more than the half of the studied nurses had poor level of knowledge and slightly less than two thirds of them had poor level of practice. There was a highly statistical significant relation between the studied nurses' total knowledge mean scores and total practice mean scores with their educational level with p ≤ 0.001.. The study concluded that serious performance deficits which have the potential to threaten patient safety and reduce the effectiveness of the transfusion. Patients are placed at serious preventable risks such as receiving incorrect transfusions and acquiring bacterial infections.

Biography:

Tiyas Saputri has completed her master degree (M. Pd.) majoring in English Literary and Language Education at the age of 25 years from Universitas Negeri Surabaya. She is an English lecturer of Nahdlatul Ulama University of Surabaya (UNUSA) in S1 Nursing Department. She teaches an English for Nursing profession. She has been working there for four years. She has published one book and sold online in a reputable website and has been serving as an editorial board member of repute.

Abstract:

This study concerns on the analysis of phonology on madurese english S1 nursing student’s pronunciation in reading an english text entitled ‘insomnia’ compared to that of the American English teacher. The writer identified the differences of oscillographic pronunciation between Madurese English students and that of the American English teacher in reading the English text and the impact of Madurese language characteristics toward Madurese English students’ pronunciation in reading the English text. In the process of data collection, the writer used descriptive qualitative. The writer observed and recorded the Madurese English teachers’pronunciation by using MP4 then analysed it by using Praat program version 4027. After analyzing all of the data, the writer then found that in reading the English text, the oscillographic pronunciation of subject 1 (Madurese English student 1) and subject 2 (Madurese English student 2) when it is compared to subject 3 (American English teacher) is different and makes different meaning, but for some words, it is slightly different but it does not make different meaning. Furthermore, it is found that subject 1 and subject 2 made mispronunciation in reading the English text. It is proven when they read it, they made some sound changes: vowel, consonant and diphthong. The sound changes are: 1). the vowel changes: ;, ;, , ;;, ;;, , 2). the consonant changes: , , , , 3). the diphthong changes: ;, ;;, , , ;. Madurese language characteristics found by Wahyuningrum in her thesis finding are almost the same as the Madurese language characteristics found by the writer, but there are some additions. In reading an English text entitled ‘insomnia’, it is found that subject 1 and subject 2 also made deletion and addition. From the data analysis, the writer concludes that the pronunciation of subject 1 and subject 2 are unintelligible because they often make mispronunciation which can make other people do not understand what they say.

Biography:

Mahmoud Magdi is an undergraduate in the Mansoura University, School of Medicine, Mansoura, Egypt. He was born in Fujairah, UAE, from full Egyptian parents, and later moved to the Egypt for higher Education. In 2014, He made the decision to pursue Medicine as a life career and was a member of Mansoura University Safety Society (MUSS). He aspires to seek higher education and health care profession in other continents such as Europe and North America. Because of his love for research, he continues to strive for the needs of international students by leading the Mansoura University Safety Society from 2016. He also plans to continue making research in the future regarding the implementation and improvement of health care.

Abstract:

Background: Methicillin-resistant Staphylococcus Aureus(MRSA) is a strain of Staphylococcus Aureus that has developed resistance to beta-lactam antibiotics and thus is considerably dangerous. Aim(s)/Objective(s): To evaluate the current level of knowledge of MRSA among medical students and para medical students given that health workers are vulnerable to catching the disease. Also to raise awareness of the risk factors for MRSA infection and the protective measures individuals and institutions can take. Method: This is a field study carried in the campus of the Faculty of Medicine, Mansoura, Egypt. A stand has been divided into: a pre-survey, an awareness station and a post-survey. Students were asked to participate in the survey and were handed the pre-survey questionnaire. The students were asked to identify their gender, area of study and level of education. The questionnaire addressed basic facts about MRSA and how to prevent it, its route of transmission, risk of morbidity and mortality, treatments available and countries afflicted. The next station was an awareness station where a talk was given to students about MRSA in small groups. Brochures and educational videos were shown to them. Last station was post-survey; which had the same questionnaire as pre-survey. Results were collected and analysed Results Out of 674 students surveyed, 534 acknowledged the prevention measures needed to prevent MRSA. 620 even knew how to diagnose it roughly by learning more about its complications. Moreover, after the post survey 545 students knew how to effectively attempt treating the MRSA. Discussion, and/or Conclusion: Involving health care workers through awareness to follow infection control measures to limit developing the spread of MRSA in hospital settings.

Biography:

Yu-Ying Chen is currently a BSN student from Department of Nursing, Fooyin University. She personally has proposed the interesting about learning how to conduct the integrative literature review and hope to learn more about academic studies. She is a young nursing student with the initial experience of participating into the international nursing conference.

Abstract:

This article presents an integrative review of the literature on spiritual nursing care in Taiwan from 2010 to 2015. The results identified that the amount of qualitative and quantitative research is approximately half of the sample of major studies on nursing. The sample includes studies on promoting spiritual nursing in the workplace; exploring the perceptions of nurses and nursing students toward spiritual care, patients with terminal cancer, and the elderly population; and developing and testing spiritual scales. However, only one study covered the application of spiritual nursing intervention in patients. On the basis of the literature review, the authors proposed five future directions for spiritual nursing care in Taiwan: enhancing the development and study of spiritual care skills, establishing an evidence-based spiritual care model, promoting the study of spiritual nursing intervention in patients, spreading spiritual nursing care applied to the workplace, and cultivating spiritual care as the basic level of nursing education.

Biography:

Maha Atout is a PhD student at the University of Nottingham. She has worked as a lecturer in Isra University in Jordan. She published two papers.

Abstract:

Background: A systematic review of research examining the experiences of nurses who work with children with palliative care needs and their educational requirements showed that nurses faced several challenges with regard to communication with children and their families such as inadequate skills to support grieving families, responding to difficult questions and conflicts with families. However, there has been little research into the experience of communication from different perspectives such as the perspectives of physicians, family carers and nurses in the field of paediatric palliative care. Aim: To explore the process and experience of communication in the care of children with palliative care needs, from the perspective of physicians, nurses and family carers to identify implications for interdisciplinary palliative care education and practice. Design: A collective case study approach was conducted in this study. Cases were constructed starting from identifying children with palliative care needs first and then building up a case around them which includes family carers, physicians and nurses who are most involved with their care. Data collection: This study adopted two data collection methods: participant observation and individual interviews. During the observation, there were some informal conversations which were taken into considerations and documented as field notes. At the end of the observation period, for every case or shortly afterwards, tape recorded interviews were arranged in order to undertake a more formal semi-structured interview with the study participants. Findings: The mutual protection dominated the communication between children, parents and health care providers who participated in the study. Parents protected their children by disclosing only partial information about their disease, while avoiding any hopeless or painful information for them. Similarly, children played the same role with their parents by avoiding expression of their anxieties or fears regarding their disease with their parents. Nurses tried to protect professional boundaries with them in order to avoid having grief if the expected death happens. Doctors avoided involving children with any painful information related to their disease in order to protect the feelings of children and their parents, but also to protect themselves from these emotionally exhausting situations. Conclusion: The issue of how much professionals should be open children related to the issue of death might be decided on an individual basis, dependent on certain arrangements with parents who would naturally resent being bypassed in the professional-patient relationship. However, the patients (children) should be heard and be encouraged to talk and express their suffering. I recommend that further studies explore this issue from the perspective of children, taking children as the primary source of information to explore their awareness in more depth in environmental and cultural contexts.

Biography:

Dr. Gabriela Lemos Negri Rique has completed her Medicine graduation in 2012 from Federal University of Paraiba, Brazil. She is now pursuing residency in Psychiatry at Faculdade de Medicina Nova Esperança, Brazil

Abstract:

The aim of this study was to identify chronotypes of medical students at the Federal University of Paraíba (UFPB) and its relationship to quality of sleep, daytime sleepiness, age, sex and season of birth. The sample consisted of 221 students, assessed by four questionnaires: demographic questionnaire, Morningness–Eveningness Questionnaire (MEQ), Pittsburgh Sleep Quality lndex (PSQI) and Epworth Sleepiness Scale (ESS). There was a statistically significant difference between groups with respect to chronotypes and PSQI score (po0.0005), but not with excessive daytime sleepiness. A significant negative correlation was found between the scores of MEQ and PSQI (rho¼ 0.3, po0.0005), demonstrating that the greater the eveningness, the worse the sleep quality. It was observed that 51.6% of students were classified as indifferent chronotype, 61.5% had poor quality of sleep, while 42.1% had excessive daytime sleepiness. Sex and season at birth did not differ between chronotypes. These findings demonstrate that the evening chronotype was associated with poor quality of sleep in medical students, but not with increased daytime sleepiness, with potential impairment to their academic performance and quality of life.

Biography:

Ken Randall, PT, PhD, MHR is Associate Dean in the University of Oklahoma’s College of Allied Health and is Associate Professor in its Department of Rehabilitation Sciences. He has been in physical therapy practice for twenty eight years, and has taught in the academic environment for twenty three, eighteen of which have involved interprofessional education using distance education technology. Ken has presented extensively in the United States and internationally, and he has numerous publications on topics ranging from academic integrity to fostering diversity to developing novel educational strategies to foster student success in the practice environment.

Abstract:

Telehealth can be a paradoxical technology in caring for patients: Even as it diminishes geographic barriers and improves health outcomes by extending care to people in remote locations, it may be creating other barriers, particularly interpersonal ones. In education, teaching nurse practitioner, occupational therapy, and physical therapy students about team-based care using telehealth can lead to positive outcomes for these future practitioners and their patients. Nurse practitioner and rehabilitation students at two campuses of a Midwestern university in the United States engaged in a three-part interprofessional curriculum to deliver team-based care using telehealth technology.The curriculum consisted of 1) On-line learning modules about interprofessional care and telehealth; 2) Applying knowledge using telehealth with standardized patients in simulated clinical environments; and 3) Clinical application with true-to-life patients using telehealth. We used a pre-/post-test repeated measures design to gauge student knowledge and attitudes regarding telehealth and interprofessional teams. Students demonstrated enhanced knowledge of telehealth and showed that they could use it to effectively treat patients as an interprofessional team. An intriguing finding was that students rated the telehealth experience lower after the patient encounters. Qualitative data from student reflections linked this with the perception that telehealth creates a barrier to developing patient and team rapport, one that can be overcome, but which they perceive does exist. Optimal interprofessional teamwork using telehealth technology can be an effective tool to achieve positive patient outcomes, however, awareness of potential barriers created by the technology requires thoughtful deliberation and development of strategies to overcome them.

Biography:

Manuela Siebert is a Clinical Research Coordinator at the CRC-Coagulation Research Centre GmbH in Duisburg, Germany. Her research interests are focused on treatment options of hemophilia with special interest in cases of von Wille-brand diseases and rare bleeding disorders. She is a Member of the World Federation of Hemophilia (WFH) and Member of the scientific committee of the European Hemophilia Nurses Network (EHNN).

Abstract:

Hemophilia A is an X-linked, recessive disorder caused by deficiency of functional plasma clotting factor VIII (FVIII), which may be inherited or arise from spontaneous mutation. To prevent patients with hemophilia from spontaneous and life-threatening bleedings substitution with FVIII-concentrates are essential. In accordance with §14 of the German Transfusion act, patients are obligated to document each factor substitution. Usually this is done by a paper based substitution calendar. Since 2007 an electronic substitution diary that works on the basis of a Personal Digital Assistant, offers another option for the documentation of factor consumption for hemophilia patients in Germany. The electronic patient diary records details of FVIII infusions like total dose, time of infusion, brand name and reason for infusion and bleeding with bleeding location. In our centre 36 patients switched to electronic documentation and we see similar compliance compared to the paper based documentation. The physicians receive information’s about suspicious bleeding quickly and they can control the therapy compliance easily. This offers an opportunity to optimize therapies easily and it helps to eliminate distance barriers. For our patients it is easy to use. But elderly patients seem to be not qualified for using it as this generation is mostly not so experienced in the use of modern electronic devices. Since recently one system is available in Spain and shortly in more European countries. This would be a chance to reduce paper based documentation in the following decades.

Biography:

Steffen Ortmann holds a diploma in computer since and a PhD in engineering. Since 2005 he is active in the sensor network research group of IHP. He has published about 40 refereed technical articles about reliability, privacy and efficient data processing in wireless sensor networks and medical applications. His current research focuses on wearable wireless sensors for tele-medical innovations. He has coordinated the FP7 project StrokeBack.

Abstract:

Wearable sensing devices have become very popular for consumer health and fitness monitoring in the private sector. It is quite obvious that a mass of people in need of daily care, rehabilitation interventions, or patients with chronic diseases can also benefit from being monitored by smart wearables. We have developed a wearable sensor platform that was and is successfully applied for two different e-health applications, i.e. home rehabilitation after stroke and control of asthma patients respectively asthma control. In the stroke rehabilitation setting, we have been able to assess the effectiveness of ambulant therapy by analyzing motor skills during daily life activities. The progress of rehabilitation state can be documented by statistics about usage of upper limbs yet up to the point of comparing affected versus not-affected limbs. For smart asthma control we develop prototypes of novel devices that collect insights of inhaler usages/medication in correlation to medication intakes, personal activities as well as environmental effects of the actual surroundings. Given that about 50 % of asthma patients are not well controlled, we expect boosting patient’s self-management capabilities by automated feedback and guiding features for disease control on 24/7 basis. Likewise we assume a monitoring of inhaler use allows physicians for much better dosing medications to prevent from risky over- or underspending of medication intake. Promising measurement results of laboratory settings are currently transferred into real-world prototypes. The research leading to these results has received funding from the European Commission’s Horizon 2020 under grant agreement from project myAirCoach – No. 643607.

Biography:

Jeanette Kallstrand Eriksson is a RN and ophthalmic nurse. She is also a PhD in Medical Science with a specialization in Healthcare Sciences and works as a senior lecturer at the School of Health and Welfare at Halmstad University in Sweden.

Abstract:

Injuries among seniors such as fall injuries are one major problem today even though various actions are taken in promoting healthy ageing and self-management. However age is one of the most important independent fall predictors since the body does change with age. A decline of visual ability is one of the natural changes and it is known that affected visual ability is one of the most predictive risk factor of falling both independently and in combination with other risk factors. In a population of independently living seniors 70 years and older (n=212) 43%, 36 men and 55 women, reported at least one fall. Both perceived and performance-based visual ability and its association to falls were investigated. The National Eye Institute Visual Function Questionnaire (NEI VFQ-25) was used assessing various dimensions of self-reported vision functioning in daily life activities such as going down steps or curbs, and difficulties in noticing objects off to the side while walking along. Significant associations with falling (p<5%) were found for nine out of eleven NEI VFQ- 25 vision-related subscales for men, but none for women. However regarding performance-based visual ability such as visual acuity, contrast sensitivity, stereopsis and visual field no associations were found with falls(p<5%). The majority of the seniors presented normal performance- based visual ability even though falls were common. One reason may be that at an eye clinic the conditions are optimal and standardized and do not agree with the conditions in the seniors’ daily life where difficulties may occur. The results shows that when planning fall prevention actions it is of importance investigating seniors’ perceived visual ability when performing various daily life activities.

Biography:

Cathy Bailey (PhD) is a Senior Research Fellow in International Ageing, at the Department of Public Health and Wellbeing , Northumbria University, Newcastle upon Tyne, UK. Her interests broadly encompass participatory approaches to working with older people, to develop preventative, enabling and cost effective, services and supports. She has managed and supported international and national research projects including those focusing on: health technologies and older adults; social aspects of falls and older adults; creating dementia friendly communities and intergenerational understanding of health and well being. Cathy has collaborated within large multidisciplinary and cross sector research teams and is widely published.

Abstract:

Abstract: Falling and fear of falling are not inevitable conditions of later life but may have serious negative health impacts. In the UK, falls in older people cost the National Health Service (NHS) approximately £4.6 million pounds per day and with an ageing population, this is a concern. Many older adults know about effective falls prevention such as strength and balance exercise classes, but drop out rates are high. Perceived negative stereotyping of ageing, decline and falls, may also lead some older people to restrict daily activity, stay indoors and remain fearful of falling. Dance can improve balance and increase strength and overall confidence, cornerstones of effective falls prevention. Dance is sociable, and in the UK, has enjoyed a revival through popular TV programmes such as ‘Strictly Come Dancing’. There is growing evidence of the physical activity benefits of dancing in later life, but more needs to be known about its wider health benefits, particularly on fear of falling and social isolation. This paper presents the evaluation findings of a 12 week, twice weekly, dance intervention for people 65 years and over, led by Helix Arts, NE England, with choreographer and dancer, Nadia Iftkhar and funded by NHS England. The evaluation was carried out by Northumbria University and discussion groups, interviews, and professional dancer feedback, captured participants’self reported benefits. Key questions focused on what participants valued about the sessions and whether regular dancing, engendered feeling safer and less fearful of falling. Longer term, the evaluation considers the value of dancing maintaining a healthier and socially connected older age.

Biography:

Sakine Boyraz is professor at Adnan Menderes University Aydın School of Health, Division of Nursing. She has completed her PhD at Istanbul University Health Science Instuties on medical nursing. She worked at Istanbul University Florence Nightingale Faculty of Nursing as lecturer and nurse up to 2002. She has worked at Adnan Menderes University since 2002. She is assistant School Director. She has published 10 international papers and 23 national papers in reputed journals and has 20 the author of the book section, and has been serving as reviewers for some international and national journals.

Abstract:

Purpose: This study was to evaluate the risk of diabetes Type-2 diabetics who have not received their 1st degree relatives diagnosed with diabetes, FINDRISK score to test the validity of type-2 diabetes in determining the risk. Equipment and Method: The first degree relatives of the patients being treated in the hospital with no diagnosis of diabetes and willing to participate in the research have been taken in the sectionally planned research. Sampling of the research is based on 200 people defined using power analysis. Data have been collected with question form and FINRISK scale. Venous fasting plasma glucose(FPG) and HbA1c of the participant have been taken by the researcher. Chi-square and Roc analysis have been used in the assessment of the data. Results: The age average of the individuals is defined as to be 46.93±14.83. It is found that 41.5% of the participants are in the ‘high risk group’in terms of Type-2 Diabetes according to the FINDRISK scale. The sensitivity of the FINDRISK score according to the FPG and specificity of it are founded as 100% and 60% respectively. Furthermore positive predictive value and negative predictive value are determined as 7.2% and 100% respectively. Conclusions: It is observed that the DM risk of the first degree relatives of the patients being treated as Type-2DM is high and FINDRISK score scale is good method in predicting the new asymptomatic Type-2 diabetes.

Biography:

Jiang Xiaolian completed her PhD in 2004 from School of Nursing, The Hong Kong Polytechnic University. She is the Professor of West China School of Nursing, Sichuan University, China. She has published more than 100 papers in reputed journals and has been serving as an Editorial Board Member of five nursing journals. She is the Vice-Chairman of Nursing Education Committee, Chinese Nursing Association and the chairman of Nursing Education Committee, Sichuan Nursing Association.

Abstract:

Objective: To examine the prevalence of post-traumatic stress disorder (PTSD) and its predictive factors among Tibetan adolescents in most heavily hit area three years after Yushu earthquake. Method: A cross sectional study was adopted. 4072 Tibetan adolescents in the most heavily hit area of Yushu earthquake, Jigu Zhen were surveyed. Socio-demographic Questionnaire, Earthquake Exposure Questionnaire, the Internality, Powerful other, Chance Scale, Coping Style Scale, Social Support Appraisal and PTSD Checklist-Civilian Version (PCL-C) were delivered. Besides, the Structured Clinical Interview for DSM-IV Disorders (SCID) was used by psychiatrists to confirm the PTSD diagnosis. Statistical analysis was performed by using SPSS 22.0. Result: The mean scores of PCL-C and its three subscales (re-experiencing, avoidance and hyper- arousal) were 32.0 (25.0, 41.0), 11.0 (8.0, 14.0), 11.0 (9.0, 15.0), 10.0 (7.0, 13.0) respectively. The prevalence rate of PTSD was 9.70% (n=395). Significant predictive factors for the total score of PCL-C include age, earthquake exposure, powerful others, imagination, abreaction, endurance, seeking help, support from family members, and support from others. Significant predictive factors for PTSD incidence include earthquake exposure, powerful others, imagination, abreaction, endurance, support from family members and support from others. Conclusion: The prevalence rate of PTSD among Tibetan adolescents in most heavily hit area three years after Yushu earthquake was 9.70%. Age, earthquake exposure, locus of control, coping style, and social support were its significant predicting factors.

Biography:

Chia-Hui Yu has completed his Master at the age of 34 years from Chung Shan Medical University. She is the director of Center of Quality Promotion, Chung Shan Medical University Hospital , and lecturer , College of Nursing, Chung Shan Medical University. She also is a doctoral students of College of Nursing, National Taipei University of Nursing and Health Sciences, Taipei, Taiwan, ROC.

Abstract:

Background: Literature shows that HIV infected patients often experience physical, mental and spiritual impact resulting from the stigma associated with the illness. However, in Taiwan, there is no appropriate instrument that assess the impact of HIV/AIDS stigma on patients. Purpose: To develop a Chinese version of HIV Stigma Scale and to establish reliability and validity of the instrument. Method: In this cross-sectional design, a purposive sample of 331 HIV infected individuals were recruited to test the reliability of the instrument. There are four phases of this study: translation and back translation for the development of the Chinese HIV Stigma Scale, establishment of construct validity and convergent validity, and verification of reliability. Results: Four factors and 30 items emerged from explorative factor analysis: personalized stigma, negative self-image, concern with public attitudes, and disclosure concerns. The cumulative explained variance are 65.03%. The results of confirmatory factor analysis revealed four factors and 19 items that are consistent with the conceptual framework of stigmatization (GFI = .92, AGFI = .89, RMSEA = .054). In addition, there is a significant positive correlation between the Chinese HSS instrument and the depression instrument Center of Epidemiological Study-Depression; (CES-D) (r = .53; p< .01). There is a good convergent validity. The Cronbach’s α for the internal consistency is .92. Conclusion/application: The reliability and validity of the Chinese HIV Stigma Scale (CHSS) has been established in this study. The CHSS may be used to assess HIV stigma in practice, and to understand the cognitive, emotional, behavioral and social impact of stigma on HIV patients.

Biography:

Mei-Yu Pan is a lecturer working for the Nursing department in Chang Gung University of Science and Technology. She has been teaching courses including community nursing, long-term care, and aroma therapy, etc. for nursing students at different levels for over fifteen years. Her research interests include NHS data mining, public health care, community health care, and aroma therapy.

Abstract:

Background: Tooth loss is an implicit disease may lead to malnutrition and is a serious health problem worldwide. People with disabilities are especially at risk of tooth loss. Objective: The prevalence of tooth loss and risk factors for Taiwanese adults with disabilities are to be surveyed. Methods: A community-based, cross-sectional study was conducted in 2013. Participants include 531 adults with disabilities aged 20-80 living in communities nationwide. Statistical analyses, including chi-squared tests, t-test and logistic regression, were used to identify the relationships between the variables. Results: Most of the disabled subjects (56% extremity, 19% intellectual, 25% others) could care themselves independently. 45% of them had NRT< 20, and 28% ≤ 10. Regarding the oral hygiene care, 77% reported seldom teeth brushing after meal, 83% said seldom using dental floss, and 78% responded no regular dentists visiting every 6 months. After adjusting the potential confounding variables, the determinant risk factors for NRT<20 were age (OR = 1.08, 95% CI: 1.06-1.10, p<0.001), less educated (OR = 1.65, 95% CI: 1.02-2.69; p=0.042), seldom using dental floss (OR = 1.92, 95% CI: 1.07-3.45; p=0.028), unbalanced diet (OR = 1.53, 95% CI: 1.01-2.32; p<0.044), smoking (OR = 1.91, 95% CI: 1.03-3.53; p<0.040), hypertension (OR = 1.79, 95% CI: 1.19–2.69; p=0.005), and intellectual disability (OR = 2.42, 95% CI: 1.34-4.38; p<0.004). Conclusions: The association between the high prevalence of tooth loss and poor oral hygiene care among adults with disabilities was identified. Adults with intellectual disability were worse than those with physical disability. Other risk factors like seldom using dental floss, unbalanced diet, smoking, and hypertension were significantly associated with tooth loss, too.

Biography:

Nesrin Sen Celasin has completed Ph.D at the Ege University-Turkey in September 2011. She was born in 1971. She is working as an Assist.Prof.Dr. at Department of Pediatric Nursing in Celal Bayar University Faculty of Health Sciences, Manisa/ Turkey. She is the president of Department of Nursing Education. She has published more than 20 papers in reputed journals.

Abstract:

Type 1 Diabetes Mellitus (T1DM) is a complex, demanding disease, requiring frequent self-monitoring of blood glucose levels and the adjusting of insulin doses, diet, and exercise accordingly. The goal of optimal diabetes management is to keep blood glucose levels within a target range. Diabetes control in adolescence is significantly poorer than in other age groups, it is vital to develop interventions that resonate with adolescents and maximize good diabetes control prior to adulthood. Today, technology is playing a growing role in the management of chronic diseases. Technology can be utilized to help adolescents manage diabetes. Because, research has demonstrated that adolescents have significant exposure to technology on a daily basis. Adolescents use on average 7 hr and 38 min of social media per day. Researchers are increasingly focusing on various technologies to deliver health management, healthcare information, behavioural support and behavioural intervention in T1DM paediatric populations. Examples of the use of mobile technology have included telehealth via telephone or videoconferencing technology, CD-ROMs, private networks to link patients with particular health issues and web-based interventions available via the internet. Technology for teens with T1DM has been successfully used in three primary ways: (1) technology that can directly impact day to-day management of diabetes (e.g. insulin pumps and continuous glucose monitors); (2) technology that allows for information and support directly from a health care provider that does not involve in-person interactions (e.g. telehealth and cell phones); and (3) technology that allows for individuals to access information and support for behaviours.

Biography:

HWKim has been a professor at Seoul National University, College of Nursing. She in Director of the Research Institute of Nursing Science, Seoul National University.

Abstract:

The rate of HPV vaccination is low and formal education for HPV prevention is not provided to Korean students. This study explored the perception of HPV and the willingness to prevent HPV infection of Korean boys. The survey design involved 615 Korean boys. Measurements were the levels of the perception of the severity of HPV as a sexually transmitted infection (STI) and as a cause of cancer, and their willingness to prevent HPV infection using at least one of four methods toward the boys and the girls. HPV as an STI in boys (p<0.05) and as a cause of cervical cancer (p<0.05) were associated with minimizing the number of sexual partners toward the boy. Whereas, HPV as a cause of cervical cancer was associated with condom use (p<0.05), delaying sexual activity (p<0.05), and minimizing the number of sexual partners (p<0.05) and HPV as an STI in boys (p<0.01) were associated with minimizing the number of sexual partners toward the girl. Extending the perception of HPV to the girls could increase the willingness of boys to prevent HPV infection. Boys should be made more aware that HPV causes cervical cancer and is a common STI in both sexes. This work was supported by Basic Science Research Program through the National Research Foundation of Korea (NRF) funded by the Ministry of Science, ICT & Future Planning (grant number: 2015-R1-A1-A3A0-4001267)

Biography:

: Dr. Hala Ibrahim Abo Deif had completed phd in nursing scince in 2015 at faculty of nursing cairo university arab rebublic of egypt , working as a lecturer at faculty of nursing medical surgical departement, Educating a second level Bsc nursing students the course of adult health nursing

Abstract:

Chronic fatigue is common, is difficult to measure, can be associated with considerable morbidity, and is rarely a subject of controversy. It is probably the most common symptom of illness affecting sufferers of both acute and chronic conditions. However, a growing interest in the health problem presented by fatigue both in clinical practice and research, coupled with a decreasing number of reported studies on fatigue in the last decade, make an updated and systemic review of factors related to fatigue necessary. Therefore the aim of this study was undertaken to investigate correlates of fatigue among patients with chronic airway limitation. Related factors may be described as any internal or external elements which have an effect on the person, family or community and which contribute to the existence or maintenance of patient's health problems. The study sample compromised 90 patients. The tools utilized for data collections were: a) socio-demographic data sheet. b) A Modified extended version of fatigue questionnaire (MEVFQ) was developed from the combination of two tools; an Arabic version of fatigue questionnaire, composed of two dimensions i.e. physical (7 items) and mental (4 items), the added dimension were, temporal (6 items), behavioral (12 items), sensory (4 items), and affective/ emotional dimension (5 items). The study results indicated that majority of patients (91.11 %) suffered from fatigue as it completely affects their pattern of life. Also, more than two third of the sample (67.2 %) described fatigue as it occurred in severe form. Positive correlation was found between age and duration of disease with behavioral dimension (p=.05). In conclusion, patients with chronic air way limitation CAL reported that fatigue is a common and distressing symptom and the importance of this symptom is generally recognized by health care professionals, also they need more information about the effectiveness of existing interventions for CAL-related fatigue. Nurses are in need to understand the dimensions of fatigue in order to provide effective care for individuals with CAL who experienced it. Further research is required to improve the current management of this debilitating symptom.

Biography:

H.Nethnee Sanuri de Silva is currently an undergraduate nursing student who has completed her Advanced Diploma in General Nursing at the International Institute of General Nursing in welisara, Sri Lanka, and is awaiting to join the Murdoch University, Perth, Western Australia inorder to complete my Bachelors of Nursing degree.

Abstract:

Introduction:88.3% of physicians decided to choose a “no-code” or a DNR order if hospitalized and would choose to die less aggressively at home. But their wishes were mostly over ridden. Objective: To assess the attitudes of nurses towards the end-of-the-life care they would like to receive for themselves and their attitudes towards terminal illnesses. Methods: A mixed method approach was used. A closed and open ended questionnaire was administered to 73 participants and 5 registered nurses who has more than 10 years of experience, working in hospitals both in Sri Lanka and abroad, were interviewed. Results:94.1% of the participants stated that they would like to die at home, spending their last hours at home surrounded by their loved ones and engaging in religious activities but 57.7% of unmarried nurse said they would agree on euthanasia if they had a terminal disease, and also 66.2% of them stated they would agree in DNR order if they happen to be admitted to the ICU, but 82.5% wanted to diagnose if they had a terminal illness or cancer but did not agree on euthanasia. Qualitative analysis confirmed the findings and revealed that despite having adequate confidence about the hospital care, nurses would choose to die at home, surrounded by their loved once and engaging in religious activities. Euthanasia was believed to be inappropriate as it is religiously incorrect and as death is a natural process. Conclusion: The perception of death among nurses depends on their religious belief.

Biography:

Heather MacDonald completed her MSc at University of Toronto, Canada and her PhD in Nursing at University of Manchester, UK. She has been a Professor at the University of New Brunswick in Fredericton, Canada, since 1990. In addition to having authored a number of publications, she has presented papers at various local, national and international conferences. In addition to working at the University of New Brunswick, she has a Parish Nursing Practice.

Abstract:

Women who experience depression often refer to wearing a mask to conceal their illness. In this paper the results of a qualitative study involving 40 women who returned to work after being off for a minimum of three months are presented. The women reported that they wore a mask due to the stigma associated with having a mental illness. Unfortunately wearing this mask further contributed to the feelings of social isolation the women experienced. Women were asked about how depression affected them at work and about their experiences of returning to work. Responses included “I needed a gradual return” and “I had no support – if I had a broken leg there would have been support.” Women return to work for financial reasons, because their sick time has expired and to combat social isolation. Some of the barriers to women returning to work that have emerged from the data include stigma and discrimination, a fear of self-disclosure, and concentration and memory issues. Strategies for combating these barriers will be discussed.

Biography:

Zekiye Karaçam is a Professor at Adnan Menderes University Aydin School of Health, Division of Midwifery. She completed her PhD in Obstetrics and Gynecology Nursing from Hacettepe University Health Science Institute. She worked at Hacettepe University as Lecturer and nurse up to 2004. She worked at Adnan Menderes University since 2004. She is head of the Department of Midwifery. She has published 16 international papers and 21 national papers in reputed journals and has been serving as reviewers for some international and national journals.

Abstract:

The aim of the study was to determine the relationship between self-care power of women and postpartum fatigue in the postpartum second month. This is a cross-sectional study and included 313 women determined with convenience sampling method in postpartum second month. Research data were collected with a questionnaire including questions about demographics and independent variables tested, Visual Analog Scale for Fatigue, Self- Care Power Scale, Edinburgh Postpartum Depression Scale and the Multidimensional Perceived Social Support Scale. Data were analyzed using descriptive statistics, ANOVA, t-test, Mann Whitney U, Kruskal-Wallis, correlation and multiple regression analysis. The mean age of the women included in the study was 25.36 ± years (standard deviation=3.67, range: 18-35). Of all women, 57.6% were primary school and secondary school graduates, %77.3 were housewives, 12.5% had large family, 31.0% had health insurance and 52.1% had low income levels. Negative correlation was between the fatigue subscale of visual analog scale scores and self-care power scale (r=-0.183, p<0.001), the multidimensional perceived social support scale (r=-0.131, p<0.05) and the energy subscale of visual analog scale for fatigue (r=-0.318, p<0.001), and positive correlation was between the fatigue subscale of visual analog scale for fatigue and Edinburgh postpartum depression scale (r=-0.173, p<0.001). Stepwise multiple regression analyses, performed to determine factors associated with fatigue and energy symptom scores, revealed two statistically significant variables which increased the strength of the model. These variables were being a secondary school graduate of husbant for fatigue and having high income levels. It could contribute to the improvement the self-care power of women in the postpartum period and to the development of the baby's and mother’s health, increasing social supports including especially spousal support and improving the coping with depressive symptoms.

Biography:

Hüsniye Çalışır is Assoc. professor at Adnan Menderes University Aydın School of Health, Division of Nursing, Pediatric Nursing Department. She has completed her PhD at Ege University Health Science Institutes on pediatric nursing. She worked at Istanbul University Medical Hospital as nurse up to 1999. She was working at Adnan Menderes University since 2000. She is head of the Department of Pediatric Nursing. She has published 7 international papers and 14 national papers in reputed journals and has been serving as reviewers for some national journals.

Abstract:

The aim of this study was to determine effects of positioning on adaptation to spontaneous breathing in premature infants after weaning from mechanical ventilation. This randomized controlled study was performed between December2012 to December 2013. Data were collected from randomly selected 60 premature infants in the NICU. Of the infants, 30 were assigned into the study group and 30 into the control group. The study group had the prone position and the control group had the supine position for the first 120 minutes when spontaneous breathing started after weaning from the mechanical ventilation. The heart rate, SpO2 and the respiration rate were recorded at every 20 minute. The infants were also monitored in terms of respiratory distress symptoms, breathing rhythms and presence of apnea. Data were analyzed with descriptive statistics, Chi-square test, Student’s t test, Mann-Whitney U test, single factor variance analysis for repeated measures and Friedman test. The parents were informed about the study and their written informed consent was obtained. Approval was obtained from the head physicians of the hospitals and the ethical committee. There were significant intragroup differences in the mean heart rate between repeated measures. This difference was found not be due to positioning. The mean SpO2 was higher in the study group than in the control group, though not significant. This suggested that positioning did not have an influence on SpO2. Four infants in each group developed desaturation (SpO2 ≤85%). Two infants in the control group failed to maintain spontaneous breathing and were put on mechanical ventilation again. Although the study group had a significantly higher respiratory rate than the control group, the difference was not significant. Therefore, positioning was not found to affect the respiratory rate. The results of the study revealed that positioning did not influence mean values of SpO2, heart rate and respiratory rate, respiratory rhythms, presence of apnea and respiratory distress symptoms in premature infants after weaning from the mechanical ventilation.

Biography:

Ms. Onnalin Singkhorn, She has specialized in Advanced Practitioner Nursing for patients with Major Depressive Disorder since 2002. In 2013, she was appointed to be a lecturer at School of Nursing, Mae Fah Luang University, Thailand. Her career was expanded by working full-time in teaching and part-time in APN for patients with MDD.

Abstract:

Objective: To determine the effects of group psychoeducation program based on Transformative Satir’s model on depressive symptoms in Thai women with Major Depressive Disorder. Method: The samples of this quasi experimental research were 24 Thai women with major depressive disorder in Chiangrai Prachanukroh hospital. With random assignment, 11 participants (M = 46.9, SD = 9.2 years old) underwent to 6-weekly-session psychoeducation program while 13 samples (M = 42.5, SD = 7.2 years old) experienced routine care. The researcher measured the severity of depressive symptoms by using The Hamilton Rating Scale named pretest (per inclusion criteria requirement), posttest 1 (6-weekly-sessions ended), posttest 2 (2 weeks after intervention). One factor repeated measure ANOVA was used to analyze the data. Results: Mean depressive symptom differed statistically significant between groups (F1, 22 = 12.786, p = .002). The result revealed reductions of the mean depressive symptom between experiment (M = 5.32, SD = 0.576) and control (M = 8.115, SD = 0.576) groups. Also, Mean depressive symptom differed statistically significant between time periods (F1, 22 = 13.801, p = .001). The mean depressive symptom at 6-weekly-sessions ended (M = 8.034, SD = 0.614) was higher than 2 weeks after intervention (M = 5.339, SD = 0.452). Conclusion: The group psychoeducation program significantly elicited decreases in depressive symptoms across groups and time periods. Effective the group psychoeducation program implementation combined with standard treatment in women with depressive disorder will help the patients enhance recovering mental condition.

Biography:

Kerime Derya Beydag has completed her Ph.D. at the age of 31 years from Marmara University and Postdoctoral studies from Okan University Faculty of Health Sciencess Department of Nursing, Istanbul, Turkey. She is the Assistant professor in Okan University Faculty of Health Sciencess Department of Nursing. She has published more than 40 papers in national and international journals and has been serving as an editorial board member of repute.

Abstract:

Background: The most important decision of humans in their lifetime is having a baby. Wish of being mother bears a great importance in women's life, having babies provides continuning human's generations. Whereas pregnancy is a physological process which women live important biological differencies, it is also a process can be defined as a sociological, physcological, complexive crisis. It is important that adopting mother role in the future in mean time Purpose: This research was carried out to determine prenatal attachment grades and its effecting factors of pregnants living in two different cities placed in west and east sides of Turkey. Methods: The research was carried out in three different hospitals which service in İstanbul and Kars. Environmment of this research is consisted of pregnants applied those hospitals in told above. Sampling of the research is consisted of 5173 pregnants applied to and aggreed the research in the hospitals above between November 2014 and June 2015. Collecting data 'Personal Datum Form' and ' Prenatal Attachment Inventory' were used. Evaluating data, percentage, avergae and standart deviation and ANOVA test were used. Results: Prenatal attachment grades of the pregnants living in Kars city : 60,57±9,20; Prenatal attachment grades of the pregnants living in İstanbul : 59,16±10,82. Average of prenatal attachment of all pregnants involved in the research 59,89±10,03. Prenatal attachment grades of the pregnants who are above of 40 years old, piramary school graduated, are not working, whose income is lesser than their incomes, live in a crowded house and whose marriage time is more than 11 years, is lower than other participants. (p<0,05).Pregnancy numbers of pregnants, situation whether the pregnancy is planned or not, that who decided the pregnancy, living children numbers, having handicapped childs and case of getting pregnant with treatment has got meaningful differencies with prenatal attachment of pregnants (p<0,05); there is no statistical meaningful differencies with pregnancy month and prenatal attachment grades. (p>0,05). Prenatal attachment grades of the pregnant who go to contols in fewer times, have no education and do not make sufficient controls during their pregnancies are stated lower. (p<0,05). Conclusions: Evaluation of prenatal attachment grades of all pregnants until detection of pregnancy are suggested and lower ones ought to be followed closely.

Biography:

Xin Wang has completed her PhD from Southern Medical University. She engaged in nursing education for 8 years, the main research direction is the obstetrics and gynecology nursing, midwifery education and the rehabilitation research of female pelvic floor. She has published more than 18 papers in reputed journals and hosted several education and research provincial subjects. She was the member of the Guangdong Provincial Committee of Gynecology and Obstetrics Nursing Association and member of the Hong Kong branch of the International Nursing Honor Society.

Abstract:

Purpose: To evaluate the effect of pelvic floor muscle training as a nursing intervention ondelivery outcomes and postpartum pelvic floor myodynamia. Methods: In total, 106 nulliparas were randomized into an intervention group and control group. All nulliparas participated in a pelvic floor training program led by a midwife. Apelvic floor physical therapist measured the women’s pelvic floor myodynamia and taught them how to correctly perform pelvic muscle contractions before the intervention. A registered nurse monitored the intervention group via twice-weekly telephone checkups. The control group did not receive individual direction. Results: There were no differences in the rate of Caesarean section or elective Caesarean section between the two groups. There was a difference in the timing of the second stage of labor between the two groups; no difference was observed in the timing of the other two stages of labor. In addition, no differences were observed in the gestational weight gain, neonatal weight, rate of episiotomyor rate of perineal laceration between the two groups. The pelvic floor myodynamia of the intervention group had improved to a greater degree than that in the control group at 6 weeks and 3 months after delivery. Conclusion: Persistent nursing intervention for pregnant/postpartum women helped to shorten the second stage of labor and contributed to the recovery of postpartum pelvic floor myodynamia. The influence of this intervention on the delivery mode and rates of episiotomy and laceration of perineum was undiscovered. The medical staff should strengthen the health education about the pelvic floor functional rehabilitation.

Biography:

Şule ÇINAKLI, Master Student, She had working in the general clinic nurse of private Bodrum Hospital 2010-2011, Neonatal Unite Care nurse of Adnan Menderes University Medical Faculty Hospital since 2011. She is Psychiatry Nursing Master Programme student of Adnan Menderes University.

Abstract:

The purpose of this research is determining the relationship between personality traits and premenstrual syndrome prevalence on students in nursing, midwifery and nutrition and dietetics departments of Aydin Health High schools. This research which was planned as cross-sectional, covers 490 students who are studying these three departments students who were at school and accepted to join the research that day which this survey has been done, created the working group. To collect the data, questionnaire which questioned on sociodemographic characteristics of the students, Premenstural Syndrome Evaluation Scale and Basic Personality Traits Scale has been used. For this research, prevalence of premenstrual syndrome is 57.1%. Premenstrual Syndrome is more frequent for those who lives in rural areas, who has chronic diseases, who has menstrual pains and who uses alcohol and tobacco products. The most frequent indications are strain, unknown origin unhappiness, tension or distention on breasts, headache, stomach distention, distention or gaining weight sensation as shoes, clothes or rings become narrower, feeling tired or lazy or losing energy. The methods for handling with premenstrual syndrome are using pain killers, keeping the stomach warm or using herbal teas, respectively. It has been seen that premenstrual syndrome prevalence is increasing as emotional incoherence or negative mood; as well as they become less extrovert or more irresponsible. According to those findings, to make students able to handle with premenstrual syndrome more effectively, preparing such programs like health education, guidance and psychological counseling also, guiding properly according to personality qualifications with an healthy diet and practice advices, might be useful.

Biography:

Abstract:

Childbirth is a unique individualized event that women experience during their transition to motherhood. Women have different locus of control beliefs regarding their role during the childbirth process, The purpose of the study was to assess the childbirth locus of control beliefs and to identify the predictors of these beliefs among Jordanian primigravida women. The study is part of prospective correlation study. Convenience sampling was used to recruit 180 low risk pregnant women. Data were collected through self report questionnaire by using the Multidimensional Health Locus of Control Scales-Labor and Delivery (MHLC-LD). The results of this study showed that women reported high total mean score for Powerful-other expected control subscales as the total mean score was 22.0 ± 2.5 with a total score ranged from 11 to 24. For the Internal expected control beliefs subscale, the women reported total mean score of 16.6 ± 3.6 with a total score ranged from 5 to 24. The Chance Control beliefs subscales had total mean score of 13.5 ± 5.3 with a total score ranged from 4 to 24. By using Step wise linear multiple regression, employment status and receiving information were predictors of powerful other beliefs (R² =.07, p<.05). The findings of this study revealed that the women reported limited beliefs in their ability to have role during childbirth process. The study findings supported the need of strategies to empower the women to pass through childbirth experience.

Biography:

Aysel KARACA has completed his Ph.D. she worked as an Associate as an director Duzce University Faculty of Nursing. She has been working as infertility psychological consultation in the Turkey. She has published (about infertility) papers and book chapter.

Abstract:

Infertility is defined as the inability to become pregnant or maintain a pregnancy despite having intercourse three to four times per week for at least a year. Rather than a medical issue, due to the problems it can cause for individuals and marriages, infertility is seen as a developmental crisis. Although both sexes are emotionally affected by infertility, women appear to experience greater stress and pressure as well as higher rates of anxiety and depression. Several studies have found that up to 50% of infertile women specified that infertility was the most challenging issue in their lives. Other studies have found that the psychosocial pain was similar to that reported by patients with life-threatening diseases, such as cancer and coronary failure. In women, the most important underlying causes of the high levels of stress and anxiety upon learning about their infertility have been the loss of motherhood and reproductive abilities, greater negative self-concept, and loss of genetic continuity. High stress may also result from the socially determined status of children within certain traditional societies, which can lead to social stigma because of infertility. Women generally respond to infertility with deep sorrow and mourning, which can lead to the adoption of emotion-focused coping strategies such as crying, praying, and a belief in God. In regions where traditional Turkish practices prevail, infertile women can be excluded and subjected to violence by their husbands or in-laws. As people in these regions may be biased against infertility treatments, women avoid sharing their experiences with others, and the use of traditional fertility methods is quite high.

Biography:

Wen-Li Hou, PhD, is an assistant professor at the Department of Nursing, Meiho University, Taiwan. Her research interests focus on intimate partner violence, women mental health, and psychiatric and mental health care.

Abstract:

The purposes of this study were to examine factors that predicted resilience in women survivors of intimate partner violence in Taiwan. A cross-sectional, descriptive correlation design was adopted. A survey interview was used to collect data on women survivors of intimate partner violence recruited from two Domestic Violence and Sexual Assault Prevention Centers and two Women Associations in southern Taiwan. The inclusion criteria were: (a) women had experienced physical, psychological or sexual abuse by their intimate partners; (b) women had been out of an abusive relationship for at least 1 year; and (c) women agreed to participate in this study. Fifty nine participants completed the structured questionnaires: the Demographic Questionnaire, Taiwanese Depression Questionnaire (TDQ), Resilience Scale (RS), and State Hope Scale (SHS) between December 2009 and September 2011. For this study, hope was measured as a goal driven behavior comprising two components: agency (the perception that one can reach his/her goals) and pathway (the perception that one can find alternative routes to reach these goals should the need arise). Data were analyzed by Descriptive analysis, Pearson product–moment correlation and Stepwise Multiple Regression. The results showed that resilience has significant positive correlations with both hope (agency plus pathway) and religion, as well as is negatively correlated with depression, take medicine regularly, and major stressful event. The strongest predictors for resilience were pathway (R2 Change =.555) followed by major stressful event (R2 Change =.048) and agency (R2 Change =.035), with R2 of 0.638. Health professionals should enhance resilience on women survivors of intimate partner violence, which might increase the level of hope and further assistant them to manage their major stressful event. Hope is a potentially factor that could be utilized in intervention to help increase resilience on women survivors of intimate partner violence.

Biography:

Emine Gerçek has completed her Ph.D. at the age of 30 years from Ege University and Postdoctoral studies from Adnan Menderes University Söke School of Health, Söke, Aydın, Turkey. She is the Director of Adnan Menderes University Söke Health Services Vocational School, assistant professor in Söke School of Health Nursing Department. She has published more than 20 papers in national and international journals and has been serving as an editorial board member of repute.

Abstract:

The objective of this study is to examine the physical and psychological problems of pregnant women who have gestational diabetes mellitus [GDM]) and are on partial bed rest and the correlations between them. This cross-sectional study was conducted in a public hospital in Izmir, Turkey between January 2012 and August 2012. The study sample included 44 women who were diagnosed with GDM and had been on bed rest for at least five days. Of the pregnant women, 38.6% were between ages 25 and 32, 38.6% were primaparous, and 22.7% had a living child. The participating pregnant women had been in the hospital for 14.00±10.03 (5-60) days on average. The study did an analysis of their psychological symptoms, and found that 27.3% had difficulty concentrating, 40.9% had mood changes, and 90.9% had anxiety. The study also analyzed the women's physical symptoms, finding that 59.1% had indigestion and nausea, and 61.4% had loss of appetite. Of the participants, 61.4% had pain in their pelvis and dry skin and 77.3% had pain in their groins and legs. The study analyzed the correlation between the subdimensions of Antepartum Hospital Stressors Inventory (Separateness, Environment, Health Condition, Communication with Health Professionals, Self-image, Emotional Condition and Family State) and the psychological symptoms, and found that there was a correlation among mood change, anxiety and boredom (p<0.05). No significant correlation was found between the physical and psychological symptoms of the pregnant women with gestational diabetes (p>0.05). The study suggests that psychological symptoms should be considered to enhance the quality of the care provided to pregnant women with GDM.

Biography:

Ekin Dila TOP is currently a PhD Student, Department of Obstetric and Gynocology Nursing at the Ege University Health Sciences Institute, Turkey. She is also lecturer at the Kâtip Çelebi University in Obstetric and Gynocology Nursing Department since 2014

Abstract:

Pregnancy and parenting is considered as one of the substantial developmental steps of life in many cultures and the lack of fertility frequently creates a social stigma. The object of this research is to study the effects of cultural values on infertile women. This research having cross sectional and descriptive features has been held with 315 infertile women in a Family Planning and Infertility Application and Research Center of a University Hospital. The data has been gathered by using Individual Description Form that is prepared in accordance with the model named “Cultural Diversities and Universiality” of Leninger. The age average of the women is 32.84±5.29, 31.1% of them are primary school graduate, 54.6% of them are housewives, 15.9% of them made kin marriage, they have undergone the infertility treatment for 4.27±3.53 years, and 87% of them have decided the treatment with their partners. The women specify that 24.4% of them cannot talk about infertility with their friends, 68.8% of them with their own relatives, and 61% of them with their partners’ relatives, and that 15.6% of them draw reaction of their partners’ families. The women express that they get quite sad when they find out one of their kin is pregnant (51.3%) and they are primarily told to be treated (52%), and 56.8% of them state that the treatment should remain between partners and doctor, and in this period only their own families mostly support (26.3%). 30.2% of them define having no children as deficiency and not becoming a family, 50.5% of them live the fear of not having children, 49.6% of them feel pressure on themselves about infertility, and they describe the reason of this pressure as the compulsory disclosure of having no children to their relatives (22.3%), 42.9% of them have used a conventional method (abdomen vacuuming) to have children, 67.9% of them do not want to adopt and 21.3% of them think that having no children can affect their marriage. It is determined that one of the most important reasons for infertile women to have children is “becoming mother” (41%). It is concluded that the cultural values in our society have negative effects on the infertile women, and it effects the emotional, social and family relations of women.

Biography:

Eppy Setiyowati has completed her Ph.D. at the age of 43 years from Airlangga University. She is an educative staff of Unusa, one of the leading educational institutions in Surabaya, and has been dedicated her life in teaching for 16 years,. Besides, she plays her role as a clinical instructor in hospital. She also participated in a sandwich-like program in Queensland University, Australia in 2012. She has published 4 papers in different reputed international journals.

Abstract:

The benefit of breastfeeding for babies is as the best food because it contains all the nutrients needed by them. In 2012, Sidoarjo reached 58 percents of babies who got exclusive breastfeeding from their mother, in 2013 only reached 48 percents and decreased as 10 percents, while the national target is 80 percents. The research objective was to analyze the behavior changes and family support in exclusive breastfeeding in Sidoarjo area. The design of the research was providing treatment through FGD workshops on the target group. The sample was pregnant, postpartum and breastfeeding women and their families taken by simple random sampling. Data were collected through questionnaire, deep interview and observation then analyzed with MANCOVA statistical test. The result showed a good knowledge of almost all respondents (72%), a positive attitude of most respondents (56.25%) and the majority of respondents (56.25%) gave an exclusive breastfeeding based on the babies’ need. Statistical test result was obtained  = 0.001 <  = 0.05, it meant that there were significant behavior changes and family support in giving an exclusive breastfeeding in Sidoarjo city. The conclusion of the research was greater family support, more increase the mother’s behavior in an exclusive breastfeeding. The families were suggested to keep always motivating the mothers to give an exclusive breastfeeding to their babies starts from 0-6 months.

Biography:

Endam Cetinkaya is currently a PhD Student at Ege University. She is also the Research Assistant at the same university in Women Health Nursing Department since 2014.

Abstract:

The research was planned as a descriptive field study to investigate the levels of quality of life and social support of the pregnant women diagnosed with hyperemesis gravidarum. The universe of the study was formed by pregnant women who were hospitalized in three different hospitals between June 2012 and May 2013. As a result of the power analysis done, it was found out that at least 151 pregnant women needed to be included in the study so that it could be statistically significant. Thus, 154 voluntary pregnant women diagnosed with hyperemesis gravidarum were selected by convenience sampling technique. The data were collected with the usage of “Pregnant Identification Survey”, “WHOQOL-BREF” and “MSPSS”. Social support mean score of pregnant was determined as 55.10±16.15. The social support sub dimensional scores ranged between 4 and 28, their mean score for family support was 26.47±3.66, their mean score for friends support was 17.107±9.39 and their mean score for special people was found as 11.56±9.94. In the WHOQOL-BREF scores; physical health mean score of pregnant women was found as 5.80±2.12, spirituality mean score was found as 12.39±2.85, social mean score was found as 10.96±3.45 and environmental mean score was found as 13.22±1.86. As for the findings, it was found that there was a significant relationship between the total score of social support and the scores of the physical domain, social domain, and environment domain of WHOQOL-BREF of pregnant women. In addition, there was a significant relationship between the support friends’ score and the social and environment domains of WHOQOL-BREF of pregnant women. It was also discovered that there was a significant relationship between the score of personal relationship and the scores of the physical domain, social domain and environment domain of WHOQOL-BREF of pregnant women. The prospective studies may look into the comfort and adaptation to maternity of the pregnant women diagnosed with hyperemesis gravidarum.

Biography:

Francisca Cisneros Farrar received her EdD in higher education administration with a concentration in nursing, MSN and BSN from Vanderbilt University. She has 40 years of clinical experience as a registered nurse and 35 years of experience as an educator. She has a diverse clinical background working in hemodialysis, administration, critical care, emergency room, oncology, home health, pediatrics and mental health. She has conducted multiple research projects, developed best practice guidelines and had several grants funded. She has authored multiple articles and made numerous presentations at the state, regional, national and international level.

Abstract:

The West Nile virus (WNV) is a reportable arboviral illness that has emerged as an important global virus causing epidemics. The primary route of human infection is through an incidental bite of a mosquito carrying the infection. This article overviews the growing epidemic of WNV, clinical manifestations of the two primary groups of WNV, diagnostic tests, critical nursing management, risk factors and prevention of WNV. A person with WNV can be asymptomatic, develop flu-like symptoms, or develop a neuro-invasive infection that can cause meningitis, encephalitis and acute flaccid paralysis. A patient with WNV may have clinical features of both meningitis and encephalitis. The presence or absence of normal brain function is the important differentiation feature between them. Case reports will demonstrate the differences between the two clinical syndromes. Critical care nursing management is based on symptom management and supportive therapy for neuro-invasive disease complications. Nursing management for complications such as altered level of consciousness, mechanical ventilator respiratory support, high fever, cerebral edema, increased intracranial pressure, seizures and neuropsychiatric issues will be presented. Preventive measures for WNV are overviewed such as surveillance programs, personal protective measures; source reduction, mosquito programs and vaccine develop.

Biography:

Evelyne Zibung Hofmann graduated 2006 from the Zurich University Medical School. She started her residency in general surgery 2007 in Zurich, Switzerland and completed it in 2015 in Stockholm, Sweden. Currently, she is working as a surgeon at the Karolinska University Hospital and in parallel she is a PhD-student at the Karolinska Instituet in Stockholm, Sweden.

Abstract:

Bicycle crashes often affect individuals in working age, and can impair quality of life (QoL) as a consequence. The aim of this study was to investigate QoL in bicycle trauma patients and to identify those at risk of impaired QoL. Methods: 173 bicycle trauma patients who attended a level I trauma center from 2010 to 2012 received Hadorn’s QoL questionnaire six months after their crash. Medical data was collected from the patient’s records. Univariate ordinal logistic regression was used to investigate the association between QoL and other factors. Results: 148 patients returned the questionnaire (85.5%). The majority had only mild or minor injuries (85.1%; n=126). However, 72.1% (n=106) still suffered from pain or other physical symptoms more than six months after their bicycle crash. Patients with a Glasgow Coma Scale (GCS) ≤13 or an Injury Severity Score (ISS) >15 experienced impaired emotions/outlook on life (p-values 0.003 and 0.045, respectively). Physical suffering was reported by patients with a GCS ≤13 and in those with injuries to the cervical spine (p-values 0.02 and 0.025, respectively). Patients with an ISS >15 or facial fractures experienced limitations in daily activities (p-values 0.031 and 0.025, respectively). Conclusions: More than 70% of bicycle trauma patients suffered physically more than six months after their crash, even though only 15% were severely injured. Risk factors for an impaired QoL were cervical spine injuries or facial fractures, a GCS ≤13 and an ISS >15.

Biography:

Dr. Christien van der Linden is a Registrated Nurse, a Certified Emergency Nurse, and a Nurse Practitioner. She got her Masters in Clinical Epidemiology and Evidence Based Practice. Her PhD-thesis was called “Emergency Department Crowding: Factors influencing Flow”. Christien works as a Clinical Epidemiologist and Expert Evidence Based Practice at an Emergency Department in the Netherlands. She has published more than 40 articles, most of them concerning Emergency Department Crowding.

Abstract:

Summary: Emergency department (ED) overcrowding has been extensively described in hospitals in developed countries. However, lower amounts of resources may result in more severe overcrowding in developing countries. The purpose of this presentation is to provide insight into key issues and bottlenecks affecting patient flow, and into promising solutions to reduce overcrowding, which apply to hospitals all over the world. Emergency department (ED) overcrowding is an international crisis affecting patient care. ED overcrowding is associated with delays in treatment, diminished quality of care, and increased inpatient mortality. The problem of ED overcrowding has been extensively described in hospitals in the USA, Canada, and Australia. However, the problem is not limited to developed countries. Although no comparison has been made between overcrowding issues in developed versus developing countries, lower amounts of resources may result in more severe overcrowding in developing countries. In this study, patient flow was compared between the Aga Khan University Hospital (AKUH) in Pakistan, a developing country, and the Medical Center Haaglanden Westeinde (MCHW) in the Netherlands, a developed country. Key issues and bottlenecks affecting ED patient flow and through analysis of the relative importance of contributing factors, provide insight into promising solutions.

Biography:

Kim Sweers has completed her Master’s degree in Nursing Sciences from the Catholic University of Leuven (KU Leuven). She has won the price of Professor Evers for most innovating work of her class in 2012. She currently works in UPC ZORG KU Leuven as Research Assistant since 2005. In clinical practice she is a Bereavement Consultant and Member of end-of-life associations in Belgium. Her present research work is connected to her publication about end-of-life care: Testing a self-developed scale which measures mental suffering in dealing with severe mental illness.

Abstract:

Background: Schizophrenia is a disabling and life-shortening psychiatric disorder due to disease, medication and lifestyle-related factors. It is therefore not unreasonable to assume that existential themes are important for these patients. Methods: Transcripts of 20 patients were coded and analyzed thematically using a modified grounded theory approach in the exploration of perspectives and expectations of end-of-life (care). Results: No fear of death, skilled companionship and preserving quality of life were major themes in the interviews. Conclusion: This study showed that patients, despite emotional flattening and cognitive deficits, find the possibility to discuss end-of-life topics reassuring and some even therapeutic.

Biography:

Nurdan GEZER is assistant professor. She is working Surgical Nursing Department in Aydin School of Health Adnan Menderes University in TURKEY. She worked as a nurse for 10 years. She has working as a nursing teacher for 15 years. She gave nursing education and midwifery education between 1999 and 2009. She has giving lesson nursing management and surgical nursing areas for 1999. Her research interest is nursing skill, critical thinking, student nurses conflict management styles, nursing education, nursing students behaviours, patient education.

Abstract:

Aim: The aim of this study is to define and evaluate in a university hospital of intensive care units of nurses working The California Critical Thinking Disposition Inventory (CCTDI) related factors. Methodology: The population of the study consisted of 60 nurses. The sample size was 40 nurses who volunteered to participate in the study. The data are collected in 2012 year. Socio demographic Features Data Form and CCTDI, were used as data collection tools. This inventory is inquisitiveness, open-mindedness, systematicity, analyticity, truth-seeking, critical thinking self-confidence, and maturity. Statistical program were used in evaluation of data and numbers, percentage estimation, arithmetic mean, Kruskal-Wallis Test, t test and Pearson correlation analysis were used. Results:Once total score means are examined, it is seen that the score mean obtained by the nurses was 190.90 ±20.23. CCTDI score means of the nurses taken into the scope of the study reveal that the score mean of the “truth-seeking” subscale was 21.50±5.62; the score mean of the “Openmindedness” subscale was 36.95±7.32; the score mean of the “systematicity” subscale was 19.32±3.56; the score mean of the “Self-confidence” subscale was 27.75±6.02; the score mean of the “İnquisitiveness” subscale was 34.47±6.00. It was determined that there was not statistically significant difference between the nurses’age, study years, incomes level, and education level with the CCDTI scale, means (p>0.05). Conclusion: In this study the low of critical thinking in nursing disposition scale score. Development of critical thinking disposition in nursing must be provided educational opportunities of the institutional and outside the institution.

Biography:

Jodie Mills has completed her Master in Public Health majoring in Aeromedical Retrieval and concurrently holds a Post Graduate Diploma in Critical Care Nursing and Bachelor of Midwifery. Jodie is a Senior Flight Nurse specialising in Research and Quality and has been working for CareFlight Northern Territory Operations in Australia for 5 years. Jodie has an interest in employing best practice research to continue improving prehospital care in remote Australia, with a focus on developing strategic management pathways that emphasises supportive and responsive aeromedical retrieval of acute psychiatric patients. Jodie will be commencing an RCT in February 2016 comparing the safety of Ketamine versus Propofol in the aeromedical retrieval of acute psychiatric patients.

Abstract:

The aim of this study is to review the characteristics of acute psychiatric patients requiring aeromedical retrieval across the Top End of the Northern Territory (NT), to assess the sedation requirements and incidence of in-flight complications, and to review the optimal flight crew composition required for safe retrieval. Retrospective data was collected for all psychiatric patients retrieved by CareFlight Aeromedical Retrieval Service for the Top End of the Northern Territory of Australia over a 12-month period between 1st February 2012 and 31st January 2013. 262 patients were retrieved using fixed-wing transport, 90% were indigenous with a male: female ratio of 1.45:1. Mean age was 31yrs. 5% of patients were under the age of 18. 81% of retrievals occurred during the day averaging approximately 4 hours 40 minutes. A flight doctor was tasked with a flight nurse to retrieve 79% of patients. 89% of patients received sedation in the healthcare centre prior to flight, while 39% of total patients required further in-flight sedation. Eight patients required intubation before transport. 4% of patient’s developed hypotension with the use of Propofol. This review highlights the characteristics of psychiatric patients retrieved by an aeromedical retrieval service in the NT of Australia. The majority of patients retrieved had a background psychiatric history and also a history of violence. Given the nature of the retrieval and the risk to crew and aircraft, a flight doctor was tasked on a high number of cases. The complication rate was negligible

Biography:

Dr. Albaqawi has completed his Ph.D. at the age of 32 years from RMIT University School of Nursing and Midwifery in Australia. Currently he is working in the University of Hail as an assistant professor and the vice dean of the academic affairs in the college of Nursing. Dr. Albaqawi has worked in many hospitals in Saudi Arabia and attended many courses and participated in many international conferences.

Abstract:

The study aims to determine relationship between the level of awareness of the ICU staff nurses on holistic care approach and the level of their nursing competencies. The study will utilize a quantitative, descriptive, correlational design. Frequency distribution, weighted mean, percentage, ANOVA and Pearson product moment of correlation will be employed for statistical treatments. This study will be conducted in four different hospitals in Ha’il City. Purposive sampling will be utilized in the selection of the respondents. The researcher will administer a researcher-made instrument for determining the level of awareness of the ICU staff nurses on holistic care approach. The researcher will utilize secondary data in the form of a copy of the competency evaluation tool, utilized by the nursing service and issued by Ministry of Health to determine the level of competency of ICU staff nurses. The results of the study can be utilized by the nursing service to develop a quality patient care program and unit-specific caring enhancement plans for ICU staff nurses.

Biography:

Ingrid Hanssen, RN, Master of Nursing Science, completed her Dr. of Political Science in 2002 from the University of Oslo, Norway. She has worked as nurse in Norway and the UAE, and has headed research nationally and internationally (South Africa, Montenegro, and Serbia). She is Professor of Intercultural Nursing at Lovisenberg Diaconal University College, Oslo. She has published several books and book chapters in addition to 19 papers in reputed journals.

Abstract:

Traditional food strengthens the feelings of belonging, identity and heritage, which help institutionalised ethnic minority patients with dementia to hold on to and reinforce their cultural identity and quality of life. Taste is more cultural than physiological. Dietary habits are established early and life and may be difficult to change. Being served unfamiliar dishes may lead to disappointment and a feeling of being betrayed and unloved. A qualitative design were used where in-depth interviews were conducted with family members and nurses experienced in dementia care in South Africa and among ethnic Norwegians and the Sami in Norway. The study shows that traditional foods created a feeling of belonging and joy. Familiar tastes and smells awoke pleasant memories in patients and boosted their sense of wellbeing, identity and belonging, even producing words in those who usually did not speak. The cultural significance of food for feeling contentment and social and physical wellbeing is discussed. Besides helping to avoid undernutrition, being served traditional dishes may be very important to reminiscence, joy, thriving, and quality of life. Conclusion: In persons with dementia, dishes remembered from their childhood may help maintain and strengthen cultural identity, create joy and increase patients’ feeling of belonging, being respected and cared for. Traditional food furthermore improves patients’ appetite, nutritional intake and quality of life. To serve traditional meals in nursing homes demands extra planning and resources, traditional knowledge, creativity and knowledge of patients’ personal tastes.

Biography:

Professor Jeong-Sang Lee has completed his Ph.D. at Seoul National University College of Pharmacy (Biochemistry major) and postdoctoral training from Yale University School of Medicine (Comparative Medicine and Pharmacology) for 3 years. He is now serving as the Director of M.F.Laboratory of Jeonju University. He has published 45 papers in reputed journals and has been serving as editorial board members of Journal of Food Chemistry & Nanotechnolgy and Frontier in Bioscience. He has been studying cancer prevention research especially focusing on gastro-intestinal inflammation. He expanded his expertise to translational research, utilizing human patient samples (gastritis, colitis, gastric and colon cancer).

Abstract:

Micro-RNAs (mi-RNAs) are a class of small non-coding single-strand RNA molecules (22 nt in length) that play an important role in inhibition of translation or degradation of targeted messenger RNAs (mRNAs) by binding 3'-untranslated region (UTR) of target mRNAs. mi-RNAs are involved in diverse physiological and pathological processes, including apoptosis, cell proliferation, the cell cycle, carcinogenesis and skeletal muscle function. On this basis, mi-RNAs can be used to combat disease and maintain health. mi-RNAs may also facilitate development of enhanced food or feed. We assessed three factors required for use of mi-RNAs in food: stability, safety, and efficacy. This review highlights emerging evidence in the use of mi-RNAs as ingredients in food or animal feed. Dietary mi-RNA, such as plant mi-RNAs and milk mi-RNAs, we confirmed the possibility of their application in food or animal feed. mi-RNAs stable under harsh conditions (pH 1, RNase, 37 ï‚°C) which is associated with their packaging into vesicles, including exosomes and micro vesicles. In addition, ingested mi-RNAs can regulate human gene expression with cross-kingdom activity. We also discuss the challenges to, and perspectives for, the application of miRNAs. As found additional role of nutrients on the indirectly inhibition of the gene via the mi-RNA, synergic effect between nutrients and dietary mi-RNA would be also possible. The relationship between foods and mi-RNAs is highly associated at the epigenetics mechanistic support. Therefore, mi-RNAs or mi-RNA-containing biomaterials (anti-sense oligonucleotides or mimic nucleotides) may be useful function food ingredients to prevent and treat various diseases.

Biography:

Micaela Scuri ended a degree in Nutrition at the age of 23 years at Universidad Maimónides and is pursuing a postgraduate degree in Psychotherapy Nutrition for addressing chronic patients at the Argentina Association of Metabolic Research. She has collaborated in the publication of articles about Diabetes and Diabetic Foot Treatment with colleagues of Universidad Autónoma Metropolitana in Mexico.

Abstract:

The diabetic foot is one of the chronic complications of diabetes mellitus secondary to sustained hyperglycemia. Arterial ulcers are lesions which appear as a result of blood flow deficit and chronic ischemic processes. Objective: The following research was aimed to compare those elements of intervention currently used for both diagnosis and prevention of diabetic foot ulcers in order to obtain an overview of the procedures according to their evolutionary state. The presence of risk factors is essential in the ischemic disease, so promoting healthy lifestyles should be done on the general population. Methodology: We start by the detection of the 'risk foot' as well as an exploration of neuropathies mainly by two methods: Perception of the monofilament Semmens-Weinstein and Vibration of a tuning fork. A literature review on the methods of diagnosis and prevention was performed. The information was sought by the combination of the keywords: diabetic foot, diabetes complications, diabetic neuropathy, foot ulcers and diabetes prevention guidelines. Research made on free access sources of databases: DGB-UNAM, SciELO, Google Scholar, LILACS, PubMed, American Diabetes Association, WHO, IntraMed and websites belonging to the Argentine Government: Ministry of Health of the Nation and Ministry of Social Development. Results: It was found that the perception of the monofilament was the most appropriate in terms of convenience and cost-effectiveness for early detection of lower extremity numbness; we even recommend this method to the Latin American Population as it is a very practical method.

Biography:

Dilek Ongan has completed her PhD from Hacettepe University (in 2012). Post-doctoral studies are conducted at Izmir Katip Çelebi University Faculty of Health Sciences. She is the Head of the Department of Nutrition and Dietetics. Her doctoral dissertation was “Evaluation of Nutritional Services and Nutritional Assessment of Elderly in Residential Homes”. She has publications & proceedings on malnutrition in infants/children, breast milk, nutrition in pregnancy/lactation, nutrition in school aged children, school nutrition programs, elderly nutrition, nutritional services in nursing/residential homes and assisted living facilities, quality of nutritional services, satisfaction from food services, obesity & metabolic syndrome and food safety.

Abstract:

Aim: In this study providing overall assessment of nutritional quality of Turkish residential/nursing homes was aimed. Methods: Nutrition services were evaluated with “Food and Nutritional Care Indicators in Assisted-Living Facilities for Older Adults” and “Menu Checklists” in 25 institutions chosen with stratified sampling method among NUTS 1 regions throughout Turkey. Hygiene perception of food service staff was investigated, food safety practices were observed. Findings: Dietitians worked at 12 of the institutions (48.0%). Between-meals were generally served (76.0%); being “pastries and dairy products/fruits/juices” or “milk and fruit” most frequently (27.8% and 16.6%, respectively). Institutions had good level of menu control. Foodservice staff was given in-service education about personal (32.2%) and food hygiene (28.6%) mostly by nurses (37.1%). 65.11±10.53% of “Food and Nutritional Care Indicators” was complied. Some general and therapeutic nutrition services were lacking; healthy cooking methods, provision of similar meals for meals missed/rejected by the residents, monitoring body weight, assessment of nutritional status, updating diet menus. Hygiene perception score of the staff was 154.46±12.74 while the lowest perception was on personal hygiene. Staff wore right shoes, dressed clean (84.0%), had clean and short nails (100%), however they did not follow hygienic hand washing rules. Nutrition services and menu control were significantly better in the institutions in which dietitians worked (p<0.05). Conclusions: It was concluded that nutrition services can be improved by increasing dietitian employment and conducting audits with checklists to give better nutritional care to the elderly. Food safety practices should be improved by regular applied training sessions for foodservice staff.

Biography:

Helen Janiec is currently a wound, ostomy and continence nurse specialist for Sharp Grossmont Hospital in San Diego, California. She has over 25 years’ experience as a registered nurse in numerous areas of nursing. She is completing a Masters in Science of Nursing at Point Loma Nazarene University of San Diego. She wishes to continue her education with a focus in Adult/Geriatric studies as a Nurse Practitioner. She is involved in many professional and charitable organizations in both national and local levels. She also has many interests including healthy-aging through nutrition, public health care and multi-culturalism in nursing.

Abstract:

Background/Problem: The occurrence of Hospital Acquired Pressure Ulcers (HAPU) reflects upon nursing care effectiveness and is seen as a nursing quality outcome measure. HAPUs are a global concern due to many factors and contribute to an increase in treatment costs, increase length of stay, possible litigation, and reimbursement issues. HAPU are seen as a preventable adverse event as identified by Centers for Medicare and Medicaid services (CMS) in the United States. Data gathered before initiation of this project indicated within a 12-month period, that the ICU demonstrated a HAPU rate of 27% of the total HAPU occurrences in the hospital. Goal Statement: Among intensive care patients would daily clinical skin assessment rounding, done with a wound nurse specialist and bedside nurse, versus current standard practice, decrease Hospital Acquired Pressure Ulcer rates? Innovation: Utilized the 8 A’s Evidence-based Practice Consortium for Nursing Excellence Model, as well as the United States National Pressure Ulcer Advisory Panel Staging System as a guide for this project. The certified wound specialist rounded on each ICU patient with the assigned critical care nurse and made focused Head-to-Toe assessments. Informal teaching by the wound specialist was provided at the bedside with guidance on recommendations for pressure relieving interventions, disease process risk, and proper identifiable staging. Outcome: Assessment of 450 patients demonstrated no identified stage II or higher HAPUs and a clinically relevant reduction in the incidence of pressure ulcers during the project period. Benefits to patients included improved skin surveillance interventions and early HAPU detection.

Biography:

Monica Kvande, RN, MSc, ICN is a PhD student. Her research interest is in intensive care nurses’ clinical competence. She is currently working on her PhD project, which investigates the experiences of intensive care nurses of becoming aware of changes in patient conditions and of how changes are communicated in the ICU team. She is working as an Assistant Professor of nursing at The University of Tromsø, The Arctic University of Norway. She teach in graduate programs at masters level which prepare advanced practice nurses, nurse educators, nurse administrators and leaders in healthcare and educational organizations.

Abstract:

Objectives: The aim of this study was to explore the phenomenon of becoming aware of incipient changes in patient condition from the perspectives and experiences of intensive care nurses. Research Methodology: This study involved close observations of an in-depth interview with 11 experienced intensive care nurses. The text was analyzed using a hermeneutic phenomenological method that was inspired by van Manen. Setting: This study was undertaken at two different high-technology intensive care units (ICUs) in Norwegian university hospitals. Results: Nurses formed images of individual patients composed of signs (of changes in a patient’s condition) that were sensory, measurable, and manifested as the mood of the nurse. The signs may be viewed as separate from and opposed to one another, but they are tightly interwoven and interact with one another. Care situations are powerful stimuli for the patient, and it is of great importance for nurses to become aware of signs in these situations. Nurses also ascribe that following the patient over time is important for becoming aware of signs. Conclusion: An awareness of incipient changes in patient clinical condition requires understanding the ever-changing dynamics of patient condition and dialogic images composed of signs. Care situations and the following of patients through shifts are essential in enabling nurses to detect these signs.

Biography:

Merete Gregersen is nurse and master of health science, and has completed her Ph.D. in 2015 from Aarhus University. She is involved in many of the clinical research areas in the Department of Geriatrics e.g. orthogeriatrics, oncogeriatrics, and organizational improvements in the acute older medical patients. She has published 16 papers in scientific journals and has reviewed several journal submissions.

Abstract:

Objectives: ‘Early geriatric follow-up after discharge’ is a care model designed to create a safe transition from hospital to home by adding a follow-up visit in the patient’s home within 24 hours after discharge. Patient satisfaction is of major importance to evaluate health care services. Therefore, the aim of this study was to compare patient satisfaction after early geriatric follow-up with that of usual care after discharge. Materials and methods: The target population was 75+ years’ medical patients acutely admitted to an emergency department. Consecutive admission days were randomized to intervention or control. Admitted eligible patients belonged to the assigned day’s strategy. A quantitative 14- item satisfaction questionnaire, based on semi-structured interviews, was mailed to all cognitively well-functioning patients in both groups 2-4 weeks after discharge. The themes of importance were: feeling safe at home, receiving sufficient information, experiencing good communication between health care professionals, involvement in care decisions, and relatives’ involvement. Each question was evaluated by a 5-point Likert scale. The patients, who did not respond within 14 days, were reminded by phone and offered assistance to fill out the questionnaire. Results: In total, 173 out of 272 patients (64%) returned their questionnaire. Baseline characteristics of the groups were similar. More patients in the intervention group were satisfied with the early geriatric follow-up compared to the patients who received usual care. More women were non-responders than men. Conclusion: Older medical patients acutely admitted to hospital were more satisfied with early geriatric follow-up than usual follow-up after discharge.

Biography:

Prof Regina Komsa – Penkova, PHD Co-Director of Life Long Learning Program for Continuous Medical Education of Physicians in Clinical Nutrition, in the frame of ESPEN – European Society in Clinical Nutrition and Metabolism since 2005 (http://lllnutrition.com/). Head of Department of Biochemistry, Ex Vice-Dean of Faculty of Medicine (2009-2013), Medical University-Pleven, Bulgaria.

Abstract:

Inadequate provision of energy and nutrients create the condition of malnutrition, which is associated with an increased morbidity, complications and hospitalizations. Eight out of ten of the leading causes of morbidity and mortality in the world are nutritionally related. Both under- and over-nutrition are not beneficial. This observation is supported by a wide-ranging evidence that continues to grow. Malnutrition is a challenging issue for hospitals and communities, which is not given proper attention. Inadequate processes to identify patients who are malnourished or at risk in hospitals and in the community. It is also clear that disease can induce an increasing the nutritional needs or decreased food intake. Prominent lack of awareness among caregivers and patients themselves about malnutrition produce a crucial impact on clinical outcome. Healthcare professionals are uniquely positioned to provide and information and encourage patients about personalised nutrition. The primary key importance for health professionals is to have a competence and skills in nutrition and to apply it to all aspects of health care. The knowledge, skills in nutrition and personal attributes must contribute to better performance and ultimate result in patient health. Many barriers exist to better nutrition education for healthcare professionals as a limited patient contact time, lack of awareness and administrative support, etc. Action needs to be taken now, to ensure that nutrition support is expected to provide the patients with significant objective benefits regarding clinical outcome and quality of life. Nutritional health depends on more than essential nutrient intake. Chronic imbalances of diet in a background of varying lifestyles and genetics are causing metabolic diseases. New scientific knowledge on personalised diet, metabolomics, microbiota should be introduced When awareness meets strategy, it has the potential to change the world.

Biography:

Sakine Boyraz is professor at Adnan Menderes University Aydın School of Health, Division of Nursing. She has completed her PhD at Istanbul University Health Science Instuties on medical nursing. She worked at Istanbul University Florence Nightingale Faculty of Nursing as lecturer and nurse up to 2002. She has worked at Adnan Menderes University since 2002. She is assistant School Director. She has published 10 international papers and 23 national papers in reputed journals and has 20 the author of the book section, and has been serving as reviewers for some international and national journals.

Abstract:

Aim: The aim of this study was to assess situation of 65 years and older stroke patients malnutrition in the elderly, to compare MNA and SNAQ65+, and to determine their availabilities. Materials and Methods: This study which is determined and cross-sectional was conducted with 130 persons with stroke in neurology department of a univesity hospital. The data were collected by a Questionnaire, Mini Nutritional Assessment(MNA) and Short Nutritional Assessment Questionnaire(SNAQ65+). Chi-Square analysises were used in statistical analysis. Results:The meanage of persons participating there search were 74,21±6,04 (Min:65 Max: 88) years, the majority of them were male. Accordingto MNA, 16,9% of them, and according to SNAQ65+ 18,5% of them had malnutrition. According to both tests, it was determined that malnutrition rates were higher in patients with primary school degree. It was found that there was significant correlation between SNAQ65+and MNA (p=0,000). Compared to MNA, it was determined that the sensitivity of the SNAQ65+was 68,9%, and its the specificity was %96. Conclusions: According to SNAQ65+, it was determined that 24 patients (18.4%) were "malnourished"; according to MNA, 29 (22.3%) patients had “malnutrition/risk under", 9 patients identified as “well fed” by the SNAQ65 +scale were "malnourished/risk under ". While the use of the MNA scale is recommended as "gold standard" in the screening of malnutrition in the elderly population, also the use of SNAQ65+scale is suggested that it could be used to screen malnutrition in elderly stroke patients to our results.

Biography:

Ms.Xiaoping Zhu worked at Deptartment of Respiratory Diseases, Rodbourd Hospital of the Nijmegen University in Netherlands to do PhD project. She is working as vice director for the department of respiratory diseases in shanghai east hospital. Her Research focus includes Diaphragm and Mechanical ventilation and pulmonary diseases.

Abstract:

Objective: To standardize the classification, reporting and analysis of medication errors in nursing in order to achieve real-time monitoring and systemic analysis in patient safety management and improve the level of safety management. Methods: The problems in the existing classification medication errors in nursing were identified according to the International Classification of Patient Safety (ICPS). Results: The new medication error classification standard included all significant statistical information in the reporting system, which reduced the category related errors in the reporting and contributed to the standardization of data analysis and targeted improvement strategies. Conclusion: The establishment of medication errors classification standard based on ICPS can help nursing administrators to accurately detect the system- and process-related defects from multiple perspectives and propose targeted improvement measures and thereby to improve the level of patient safety management.

Biography:

Monika Binkowska-Bury is a Vice-Dean at the Faculty of Medicine, the University of Rzeszow. She successfully completed her Ph.D. at the Medical University of Lublin and in 2015 she obtained a degree of an Assistant Professor of Health Sciences. She was a Vice-Director at the Institute of Nursing and Midwifery in Rzeszow between 2004 and 2012. She has published over one hundred articles in reputed medical journals. Eleven years of experience have allowed her to broaden the interests in the field of nursing and public health as well as conduct numerous scientific researches.

Abstract:

The Act of 22 July 2014 amending the Nurses and Midwives Act, permits individuals performing these professions to prescribe medication in Poland as of 2016. Experience of numerous countries worldwide shows both a great need for introducing the above competences and benefits resulting from expanding nurses’ rights. To identify and examine the differences in opinions held by health care professionals and the general public concerning the right to administer and prescribe medication which has been awarded to nurses and midwives in Poland. The study was conducted from 1 December 2014 to 1 July 2015, in randomly selected primary health care clinics, among 2,227 individuals, including 849 subjects representing medical personnel of primary health care and 1,378 patients receiving primary care services. The study employed two versions of a questionnaire. The data was processed with the use of analytic software package STATISTICA 11.0. The relationships were examined with chi-square test for independence and Kruskal-Wallis test.The findings show that the health professionals do not believe the new rights awarded to nurses and midwives will reduce the waiting time for medical consultations (p<0.001). Nurses’ qualifications for the new tasks were most highly rated by patients, while the least favourable opinion was expressed by doctors (p<0.001) who also most frequently emphasized the obligatory requirement for nurses to complete second-degree university course and acquire professional specialization (49.5%). Majority of the health professionals and patients agree it is necessary for nurses and midwives to be able to legally issue prescriptions, including renewed prescriptions, for selected medications and specified medical products.To introduce nurse prescribing it is necessary to develop a suitable strategy enabling implementation of the government’s initiative and facilitating the process of taking up the new task by nurses. The statutory assignment of new responsibilities to nurses will not improve effectiveness of medical care, despite the public approval for nurse prescribing of medication, selected medical products and foods for special medical purposes.

Biography:

Mariana de San Juan Licona Aguilar completed her nutrition degree at the age of 23 from the Universidad Autónoma Metropolitana in Mexico City, Mexico – and is currently researching maggot therapy for diabetic foot treatment in Hospital General Dr. Manuel Gea Gonzalez. Aguilar has published papers in reputed American journals and has been serving as researcher collaborator at the Universidad la Salle, México, Department of chemical Sciences since 2013.

Abstract:

Maggot-therapy (MT) has been known for centuries to aid in the healing of wounds,venous ulcers, and diabetic ulcers.It is the intentional application of aseptic fly larvae that causes benign myiasis in wounds.The proposed mechanisms of action involving the production of lytic enzymes are carboxypeptidases A and B or leucine aminopeptidase collagenase;by mechanical action by movement of the larvae in the necrotic tissue;production of antiseptic substances as phenylacetaldehyde and antibacterial substances(as a type of defense mechanism).MT promotes rapid debridement with little loss of healthy tissue,removal of pathogens,is economical,and helps with healing through granulation tissue formation.It is necessary to compare MT with a less invasive method for a patient,which might be substantially easier. Methodology: Was conducted a longitudinal prospective comparative clinical study with blind evaluation to compare the efficacy of a gel of extracts from Lucilia sericata fly larvae comparing MT using conventional free larvae of the same species in patients of both sexes with a diagnosis of diabetic foot Stages A and B.We used compounds randomized by groups formed by 2 patients to be treated with conventional MT and 2 patients with the gel of extracts of maggot (GLS) for a period of two months -with periodic evaluation visits.The percentage of debridement and granulation tissue formation using methods of descriptive statistics and stockings dispersion was evaluated. Results: A greater percentage of debridement and granulation tissue formation was found in the group treated with MT.The application of GLS was better accepted by the patient,suggesting that both methods could be used together to treat diabetic foot ulcers.

Biography:

Gunnar Glauco De Cunto Taets has completed his Doctoral Degree two years ago from Federal University of State of Rio de Janeiro. Also, he has a PhD Degree from Lorenz University and a Master Degree in Nursing beyond more four Post Graduations. He is an Intensive Care and Oncology Nurse at National Cancer Institute of Brazil and Professor at Federal University of Rio de Janeiro.

Abstract:

Objective: To determine whether patients in a coma hospitalized in an intensive care unit feel pain when subjected to bath nursing intervention in bed. Method: This is a quasi-experimental research which were collected 25 samples of which perform quantitative analysis of substance P (SP) in saliva by ELISA and correlated with clinical signs and signic. Results: You can tell that there is evidence that when we take care of patients in a coma or add provoke painful stimuli by an increase in score of Behavioral Pain Scale with Δ=1.0 (p=0.0001221) and the score on the scale for Changes facial with Δ=1.0 (p<0.0001). The Spearman correlation test showed that there is a correlation between the SP variables and blood pressure (r=1.000). Conclusion: Our findings suggest that SP may be considered a biomarker of pain for the patient in a coma.

Biography:

Qian Wu has been working at Department of Nursing, affiliated Shanghai 10th People's Hospital Tongji University School of Medicine since she attained her Master of Nursing Science in 2012. She is also the Research Assistant at the State and Municipal Key Discipline of Clinical Nursing of Tongji University.

Abstract:

Purpose: To avoid the nursing risk of inpatients, reduce the occurrence of nursing errors and improve inpatients’ safety. Methods: The nursing risk early warning and control system was established, which was including safety monitoring network, the application of risk screening and early warning tools, risk control system and process. Results: Nurses’ qualified rate of risk control measures on the prevention nursing risks of pressure ulcers, catheter, fall were all improved, the number of reported nursing errors was reduced and the number of near-miss events of medication errors in 2013was significantly different from that in 2009 (P<0.01). Conclusions: Early warning and control system could effectively prevent nursing risk, improve nurses’ risk prevention abilities, ensure patients' safety and continuously improve nursing quality.

Biography:

Jinbo Fang has completed her Ph.D. at the age of 33 years from ChiangMai University. She is the associate professor in school of nursing, Sichuan university. She has published more than 30 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

Background: The quality of life in heart failure patients could be impaired. Cardiac resynchronization therapy may improve quality of life in heart failure patients. However, there are still lack of empirical studies to exam the quality of life and the influencing factors in patients with cardiac resynchronization therapy. Objectives: To describe the quality of life and identify its influencing factors in chronic heart failure patients with cardiac resynchronization therapy. Methods: This cross-sectional study recruited 141 chronic heart failure patients with cardiac resynchronization therapy by convenient sampling. Instruments used in present study were Morisky Medication Adherence Scale, Charlson's Weighted Index of Comorbidities (WIC), Minnesota Living With Heart Failure Questionnaire (MLHFQ), Social Support Rating Scale (SSRS), Cardiac Depression Scale(CDS). Statistical software SPSS 20.0 are used for statistical analysis. Results: The mean overall score of MLHFQ was 30.89±12.11, and the mean score of subscales were 13.36±4.91 on physical domain and 7.43±2.86 on emotional domain. Male got higher scores than female on overall score and physical domain score (p<0.01). Patients aged lower than 65 got higher scores than those aged higher than 75 (p<0.01). Patients of whose family average monthly incomes less than 1000 Yuan got higher scores on physical domain(p<0.05). Patients without spouses got higher scores than those with spouses on emotional domain (p<0.05).Patients with pre-operation WIC scores more than 4 had higher scores than those with pre-operation WIC scores less than 3 overall (p<0.05). Pre-operation NYHA class IV patients get higher scores than Pre-operation NYHA class I-III patients overall and on physical domain and emotional domain(p<0.05). Patients with length of post-operation shorter than 3 months get higher scores than patients with length of post-operation longer than 3 months overall(p<0.05). Patients exercising regularly get lower scores than those without regular exercise overall and physical domain and emotional domain (p<0.05). The higher scores on subjective support, objective support, use of support and total level of social support related with lower scores on MLHFQ overall and physical domain and emotional domain(p<0.05). The higher scores on CDS related with higher scores on MLHFQ overall and physical domain and emotional domain (p<0.05). Multiple regression showed that: (i)for MLHFQ overall scores, influential factors were pre-operation NYHA class (β=0.262, p=0.001), scores on subjective support (β=0.239,p=0.002), gender (β=0.200,p=0.008), exercise (β=-0.207,p=0.006), scores on CDS (β=0.179, p=0.018). (ii) for scores on physical domain, influential factors were pre-operation NYHA class (β=0.251,p=0.001),scores on objective support (β=0.-0.209, p=0.006),exercise (β=-0.255,p=0.001),scores on use of support (β=-0.183, p=0.015),gender (β=0.177,p=0.019). (iii) for scores on physical domain, influential factors were scores on subjective support (β=-0.309,p=0.000), exercise (β=-0.22,p=0.004),scores on CDS (β=0.210, p=0.006), scores on WIC (β=0.165,p=0.030). Conclusion: Quality of life in patients with chronic heart failure could be improved by cardiac resynchronization therapy. Gender, age, income, material status, exercise, comorbidity, pre-operation NYHA class level, length of post-operation, social support and depression were influencing factors on quality of life in chronic heart failure patients with cardiac resynchronization therapy.

Biography:

Bani issa has completed his Ph.D. at the age of 32 from University of Kansas Medical Center, USA. She has published several papers in reputed journals in the area of diabetes care and management and nursing education.

Abstract:

Integration of electronic health records (EHRs) has shown promise in improving health care quality. In the United Arab Emirates (UAE), EHRs have been recently adopted to improve the quality and safety of patient care. A cross-sectional survey of 680 Healthcare Providers (HCPs) was conducted to assess the satisfaction of HCPs in the UAE with EHRs’ impact on access/viewing, documentation and medication administration, and to explore the barriers encountered in their use. High overall satisfaction with EHRs was reported by HCPs, suggesting its acceptance (M = 4.08/5, SD = 0.52). Physicians reported the greatest overall satisfaction with EHRs, while nurses showed significantly higher satisfaction with the impact on medication administration compared to other HCPs (P = 0.001). The most significant reported barrier was lack of belief in the value of EHRs for patient care. With the large investment in technology, additional research is needed to promote the full utilization of EHR for improved clinical outcomes and cost efficiencies.

Biography:

Dr. Aslam Pathan (PhD) is the Lecturer of Clinical Pharmacology at College of Medicine, Shaqra University, Kingdom of Saudi Arabia. He has published more than 21 papers in reputed National & International journals. He is Author of one International Book and one National Book. He is National Fellowship Awardee.

Abstract:

Ethnopharmacological relevance: seeds of Coriandrum sativum L. have been used in the Indian traditional medicine to relieve stress and other neurological disease conditions. Aim of the study: The present study was under taken to evaluate the anxiolytic effects of seeds of Coriandrum sativum L. Ethanolic Extract (CSEE) in mice. Materials and methods: seeds of Coriandrum sativum L. Ethanolic extract was screened for anxiolytic effect by using Rota rod test, Open field test and Hole board test at doses of 100 and 200 mg/kg. Distilled water and Diazepam were employed as negative and positive control groups, respectively. Results: anxiolytic like activity assessment of seeds of Coriandrum sativum L. Ethanolic Extract (CSEE) 200 mg/kg by using rota rod test shows significantly decrease in performance time (124) as compared to standard (110) and control (150) treatment group. While open field test of seeds of Coriandrum sativum L. Ethanolic Extract (CSEE) 200 mg/kg shows significantly decrease in number of square crossing (21) as compared to standard (15) and control (28) treatment group. Hole board test of seeds of Coriandrum sativum L. Ethanolic Extract (CSEE) 200 mg/kg shows significantly decrease in number of head dipping (09) as compared to standard (07) and control (14) treatment group Conclusion: The results of this study established a support for the traditional usage of seeds of Coriandrum sativum L. as anxiolytic medicinal plant.

Biography:

Hui-Chen Chen is a full-time Senior Lecturer at the Alice Lee Centre for Nursing Studies, National University of Singapore (NUS). She has received her Master of Nursing degree with an Award of International Merit Scholarship from the University of Sydney, Australia in 2002. She is a part-time Doctor of Philosophy student in NUS. Her research focuses on psychoeducation, psychosocial well-being and psychosocial interventions for patients with physical health conditions and their caregivers in acute and community settings. Prior joining NUS, she has extensive clinical and academic work experiences in Australia, Singapore, Taiwan and the United States of America.

Abstract:

End stage renal disease (ESRD) is the last stage of chronic kidney disease. The numbers of patients with ESRD have increased worldwide due to the growing number of aging, diabetes and hypertension populations. Patients with ESRD suffer from physical illness and psychological distress due to complex treatment regimens, which often affect the patients’ social and psychological functioning. As a result, the patients may fail to perform daily self-care and self-management and consequently experience worsening conditions. The study aims to examine the effectiveness of self-efficacy psychoeducational program on primary outcome and secondary outcomes. A randomized controlled, two-group pretest and repeated post tests design was carried out. A total of 154 participants (n=154) was recruited. The program is a two-session of educational intervention within a week. A booklet, face-to-face individual education and an abdominal breathing exercise are adopted in the program. Outcome measurements include Dialysis Specific Self-efficacy Scale, Kidney Disease Quality of Life-Short Form, Hospital Anxiety and Depression Scale, Renal Adherence Attitudes Questionnaire and Renal Adherence Behavior Questionnaire. The questionnaires will be used to measure at baseline, immediately post-intervention and 1 and 3-month follow-up periods. Quantitative data were analyzed using SPSS22.0 software. This study will identify a clinically useful and potentially effective approach to help patients with end stage renal disease and haemodialysis by enhancing their self-efficacy in self-care behavior and therefore improving their psychological wellbeing, treatment adherence and quality of life. This study will provide information to develop clinical guidelines to improve patients’ disease self-management and to enhance health-related outcomes.

Biography:

Paweł Wiech is a Doctor of Health Sciences and a Specialist of Emergency Nursing. He works at the Nursing and Health Sciences Institute at the Faculty of Medicine, the University of Rzeszow. Between 2007 and 2012 he was gaining experience while working on Intensive Care Unit at Clinical Hospital in Rzeszow. He has published more than twenty articles in reputed journals.

Abstract:

The Act of 22 July 2014 amending the Nurses and Midwives Act, permits individuals performing these professions to prescribe medication in Poland as of 2016. Experience of numerous countries worldwide shows both a great need for introducing the above competences and benefits resulting from expanding nurses’ rights. To identify and examine the differences in opinions held by health care professionals and the general public concerning the right to administer and prescribe medication which has been awarded to nurses and midwives in Poland. The study was conducted from 1 December 2014 to 1 July 2015, in randomly selected primary health care clinics, among 2,227 individuals, including 849 subjects representing medical personnel of primary health care and 1,378 patients receiving primary care services. The study employed two versions of a questionnaire. The data was processed with the use of analytic software package STATISTICA 11.0. The relationships were examined with chi-square test for independence and Kruskal-Wallis test.The findings show that the health professionals do not believe the new rights awarded to nurses and midwives will reduce the waiting time for medical consultations (p<0.001). Nurses’ qualifications for the new tasks were most highly rated by patients, while the least favourable opinion was expressed by doctors (p<0.001) who also most frequently emphasized the obligatory requirement for nurses to complete second-degree university course and acquire professional specialization (49.5%). Majority of the health professionals and patients agree it is necessary for nurses and midwives to be able to legally issue prescriptions, including renewed prescriptions, for selected medications and specified medical products.To introduce nurse prescribing it is necessary to develop a suitable strategy enabling implementation of the government’s initiative and facilitating the process of taking up the new task by nurses. The statutory assignment of new responsibilities to nurses will not improve effectiveness of medical care, despite the public approval for nurse prescribing of medication, selected medical products and foods for special medical purposes.

Biography:

Yu Ying Chou has more than thirteen years of clinical nursing experience, and four years of Clinical Nursing Teachers in Fu Jen Catholic University Department of Nursing in Taiwan. She has completed her Master's Degree in June 2009 from National Taiwan University College of Medicine Department of Nursing, and Doctoral Program from 2013 until the present. She has published more than 6 papers in reputed journals in Taiwan.

Abstract:

Home-based exercise program is extended in application to heart failure patients recent years, and used the way to replace the hospital-based exercise. Little is known about the effectiveness on clinical practice in Taiwan. Systematically review to investigate the effectiveness of home-based exercise interventions for heart failure patients. Randomized controlled trials in MEDLINE, PUBMED, CINAHL, EMBASE, and CEPS were reviewed using the keywords including Home-based exercise, exercise, and heart failure. Types of outcome were not restricted. The Jadad scale appraised the quality of identified studies. Nine studies met the inclusion criteria. There were significant improvement in participants’ physical capacity, depression mood, and quality of life. Home-based exercise program (walking combined resistance training; at least three times per week; duration 12 weeks). Supervised with telephone or home visit is important for provided safety and effectiveness, as well as adherence in heart failure patients.

Biography:

Professor Dr. Mohd. Anisur Rahman Forazy RN, PhD is a Bangladeshi citizen. He obtained Masters of Nursing Science from University of Adelaide, Australia and PhD in Nursing from University of New Castle, Portland, Oregon, USA. He obtained 1st PhD degree in the field of Nursing in Bangladesh. He did overseas job as a clinical Nursing Supervisor as well as a Nurse Educator. He has various publications nationally and internationally. Currently he is a Principal of a renowned Nursing College in Bangladesh, named Begum Rabeya Khatun Chowdhury Nursing College. He raised the voice and image of Nursing Globally. He is having a regular correspondence with the President of “International Council of Nurses”. He has been trying to buildup Nurses work capacity, Global standard, handsome wages and honor of Nurses

Abstract:

Globalization has become exhortation in the new era of global development. It has drastically influenced the life of the people of all classes and all countries; there is hardly any area of life which has not been influenced by globalization. Nursing is not an exception in this regard. So, it is an acknowledged fact that modern nursing was harbingered by a Florintine time lady named Florence Nightingale. She set an international slandered for nursing. Although nursing got the aroma of internationalization in the hands of Nightingale, it tends to decline with the outbreak of two world wars. Internationalization of nursing developed in the mid 19th century and expanded throughout the world. Some factors played pivotal role in spreading international standard of nursing. Of them colonialism and missionary activities played significant role. In the early 20th century, when nursing was established as a profession, it tended to succumb to nationalism in lieu of internationalism. Nursing is a part and parcel of Health Care System. It is not only engages itself in aiding the ailing people but also in active participation in the development policy in promoting long term health of population. In clinical settings in respects of national nursing workforce; poor staffing and imbalanced staffing are creating nurses workload which has been violating the Labor Law and constitute the working hours of the nurses more & more. Critical Nursing shortages in industrialized countries are generating demand of nurses day by day. Nurse educators have been prepared skilled nurses, but the qualified & skilled nurses cannot have access to the global job market uniformly. The unemployed nurses are in frustration as the global employers are not recruiting skilled Nurses to fill the shortages of nurses. Due to poor & inadequate staffing peoples or clients is not getting quality & proper nursing care & the skilled nurses are depriving from job. It is the time to take proper initiative to ensure quality care of the clients in Hospital setting, Home Health Care, Community Sectors, School Health Nursing and Rehabilitation Centre.

Biography:

Abstract:

Aim of the study: was to evaluate the effectiveness of a designed warfarin educational program on patients’ knowledge and incidence of side effects. Research hypothesis were H1: patients who would receive a designed warfarin educational program will have higher knowledge scores related to warfarin therapy than patients who would not have received it. H2: patients who would receive a designed warfarin educational program will have lower incidence of warfarin side effects than patients who would not have received it. Research design: One group pre/post- test quasi-experimental design was utilized. Setting: The study was conducted at the two cardiovascular surgical wards at Cairo University Hospitals. Subjects: A sample of convenience of 46 adult patients. Tools for Data Collection: Two tools were utilized to collect data pertinent to the study; 1- Personal data sheet and 2- Pre/post knowledge assessment questionnaire related to warfarin therapy. Results: a high statistical significant difference was found in total knowledge scores of the studied subjects as well as lowering incidence of warfarin side effects. Recommendation: warfarin educational program should be provided to patients on warfarin therapy to maintain health and prevent complications.

Biography:

Yuet Ying Wong is pursuing her doctoral degree in The Chinese University of Hong Kong. She is a Senior Lecturer in the division of Nursing and Health Studies of OUHK. She has ten years clinical experience in community and gerontology nursing and five years teaching experience in university. Her research interest is gerontological care and quality of life.

Abstract:

In order to promote the health and well-being among demented older adults, providing adequate assistance in feeding and hydration is crucial in maintaining good residential care. An evidence-based protocol for health worker is essential to promote their knowledge and guide them to manage feeding difficulties among residents with dementia. The overall goal for managing feeding difficulties among residents with dementia is to maintain social interaction with cultural consideration. Besides, ensure adequate oral intake and preserve dignity & quality of life are also the goal of care. The specific objectives of this protocol are (1) To provide a supportive environment for feeding, (2) To identify the reasons of feeding difficulties, (3) To manage the feeding difficulties with appropriate measures and (4) To evaluate the effectiveness of these measures. Based on the objectives set for the protocol, several expected outcomes would be measured. First, the caregivers would be competent to implement the nursing intervention, monitor and record the eating and feeding behaviors of the residents with dementia. Second, nutritional status and feeding behaviors of the residents with dementia would be assessed and recorded correctly. To evaluate the effectiveness of the protocol, different data would be collected in a weekly basis. For the nutritional status of the resident with dementia, BMI and MNA would be collected. For the appropriateness of using the protocol; oral intake, types of feeding difficulties and appropriate nursing intervention used would be recorded and evaluate by principle intervener.

Biography:

Abstract:

Adherence to fluid restrictions, dietary and medication guidelines as well as attendance at prescribed hemodialysis sessions of a hemodialysis regimen are essential for adequate management of patients on hemodialysis. The objective of the this study is to investigate the effect of an educational program on adherence to therapeutic regimen among chronic kidney disease stage 5 (CKD5) patients under maintenance hemodialysis at Kasr AlAiny center for Nephrology, Dialysis and transplantation (KAC-NDT), Cairo University. The following research hypotheses was formulated, there would be no significant difference of patient's adherence scores before and after implementation of the program. A purposive sample of sixty adult male and female patients on maintenance hemodialysis for at least 6 months to one year were assigned. Socio-demographic and medical data, laboratory investigation, pre/post knowledge assessment and adherence data were collected. The study results revealed that, the post program total mean knowledge scores of the study subjects increased significantly in follow up assessment times as compared to the pre-program assessment (X2= 186.332, P= 0.001). The post program total mean adherence scores is increased significantly in follow up assessment times as compared to the pre-program assessment ( X2= 34.587 , P= 0.001). Frequent contacts with renal nurses can help these patients develop problem-solving skills, set goals, and understand their progress in managing multiple aspects of their disease. Individualization of the common educational approach by incorporating the patient’s beliefs, behaviors, and emotional and physical feelings as well as culture, economic situation, ability and knowledge of the disease and its treatment supports self- management as a means of improving patients' outcome.

Biography:

Carla Ricafort is a Level IV student of the University of Santo Tomas College of Nursing, Manila, Philippines. She was born in Dubai, UAE, from full Filipino parents, and later moved to the Philippines for Primary Education. She then migrated to the United States with her family and spent 8 consecutive years finishing her Primary and Secondary Education from 2003-2011. In 2012, she made the decision to pursue nursing as a life career after the footsteps of her mother. Inspired by her own experiences of becoming an international student and the relentless care demonstrated by nurses, she aspires to seek higher education and health care profession in other continents such as Europe and North America. Because of her love for culture, she continues to strive for the acculturative needs of her fellow international students by leading the university’s international student organization as the President of the UST International Students Association from 2014-2016

Abstract:

Introduction: International students (IS) are vulnerable individuals that often experiences challenges in adaptation, which leads them to experience anxiety and depression. The Philippines has become a popular choice for international study, but there is a lack of knowledge about adaptation status of international students in the country. This study aims to fill the gap of knowledge regarding the adaptation status of international students in the Philippines by determining the level of academic stress (AS), psychological adaptation (PA), and sociocultural adaptation (SCA) experienced by international students enrolled in a metropolitan university in Manila, Philippines and to find a significant correlation among the three variables. Method: Using a descriptive-correlational design, the researchers combined two survey tools to determine the level of AS, PA, and SCA. Pearson correlation was used to determine if there is a significant difference between the 3 variables. Convenience sampling was used to gather the participants. A total of 59 undergraduate international students participated the study. The rights of the participants were upheld throughout the entire study. Results: Results show that the participants experience moderate levels of academic stress (mean=3.83, SD=1.49), moderate levels of psychological adaptation (mean=3.43, SD=1.49), and high levels of sociocultural adaptation (mean=4.42, SD=1.38). The results also show that AS is significantly correlated to PA, PA is significantly correlated to SCA, and AS is not significantly correlated to SCA. Discussion: Undergraduate IS experience moderate stress in school, adapt moderately using various coping patterns, and adapt highly to other people and their surroundings. IS become more psychologically adapted as the experience more stress, while they become less stressed when they build relationships and explore their surroundings. Interventions for specific concerns should be addressed individually.

Biography:

Jia Chen, RN, MSN, is an associate professor and vice dean for undergraduate eduation in Xiangya Nursing School of Central South University. She is now doing her Ph.D. program on HIV prevention among men who have sex with men in China. She is the PI of 5 projects founded by Chinese different resources, and she has published more than 10 papers in reputed journals in China and abroad.

Abstract:

The HIV infection rate in China among men who have sex with men (MSM) is high due to the high prevalence of high-risk sexual behaviors. This study aims to explore the association of high-risk sexual behaviors and the prevalence of HIV and syphilis among MSM with different sexual roles in Changsha, China. A convenience sample of 601 MSM who came to a gay organization for voluntary counseling and testing completed a pencil-and-paper survey from April to December, 2014. At the same time they also accepted HIV and syphilis testing. Results showed that 27.3% (164/601) of the participants self-identified as “top”, 15.3% (92/601) as “bottom”, and 57.4% (345/601) as “versatile”. The overall prevalence were13.3% (80/601) for HIV and 7.3% (44/601) for syphilis. HIV prevalence was significantly greater for MSM identified as bottom (16.3%, 15/92), and versatile (15.9%, 55/345) than top (6.1%, 10/164). Prevalence for syphilis infection was not significantly different among different roles. Multivariate analyses indicated that MSM who were married (OR = 2.125, 95% CI 1.004~4.500), with a receptive role (OR = 5.289, 95% CI 1.821~15.362) and a dual role (OR=3.551, 95% CI 1.371~9.200), had no oral sex in recent 6 months (OR=0.065, 95% CI 0.010~0.420), didn’t have sex with woman in recent 6 months (OR=0.218, 95% CI 0.058~0.817) were more likely to be HIV positive. MSM of different sexual roles had different characteristics of high-risk sexual behaviors and different HIV infection rates. Targeted interventions should consider their characteristics of the sexual roles in future.

Biography:

Sepideh mohammadi is PhD candidate in nursing at the age of 28 years from Babol University of Medical Sciences. She is the nursing educator. She has published more than 10 papers in reputed journals.

Abstract:

Introduction: Today's students are the nurses of tomorrow. They need appropriate clinical learning opportunities in order to shape their professional identity, attitudes and values. Despite undeniable progresses of nursing education in Iran, the quality of the clinical education in Iran is not favorable. There is need to exploring the environment of clinical baccalaureate nursing students' education for developing, maintaining and enhancing the quality of clinical program. Method: this is a qualitative study and was conducted base on content analysis multimethod design. Data collected by individual interviews, focus groups and direct observations. 54 nursing students and 8 clinical educators from the four geographically diverse universities in the Iran composed the study sample. A purposive sampling was used. Result: five themes were emerged from data analysis including; Ambiguity in the nursing care role, Routine-based nursing care, Uncritical and dependent thinking climate, Incompetency of clinical educators and Patient education as important component of nursing. Conclusions: The findings of this study describe a clearer understanding of the real environment of the clinical education in Iran. All of themes that emerged from the study play an important role in student learning and nursing education. It is crucial to pay more attention to reconsider care concept as an operational component of nursing, maximize meaningful learning opportunities, reevaluate clinical instructor as role models and preparation effective operational plan to combine theoretical and evidence based knowledge with clinical practice.

Biography:

Dr. Amicucci’s areas of expertise include Med Surg/Telemetry, Public Health & Community nursing, as well as nursing administration. She has been certified as a nurse educator with the National League for Nursing since 2007 and has been teaching nursing full time for the past 11 years. She has taught as a clinical adjunct in both RN to BSN completion and Accelerated BSN programs. She is currently an Associate Professor and is also completing her post graduate FNP clinical and coursework to augment her teaching and clinical practice. Her research interests in nursing education include clinical education and evaluation

Abstract:

Purpose: The purpose of this research presentation is to share the process and findings of a phenomenological study which was conducted to understand the experience of clinical grading for clinical nursing faculty in pre-licensure nursing programs. This understanding has the potential to improve clinical grading practices including preparation of faculty for the role, and administrative support of faculty. Background: The role of the clinical nursing faculty is laden with responsibility and possible effects on patient safety and professional practice. Clinical grading is one approach to assure that future nurses have the knowledge and skills to provide safe patient care. Methods: Through the use of a qualitative phenomenological method, full-time nursing faculty were recruited to obtain a purposive sample. Outcomes: Findings from this study revealed five essential themes. These essential themes were collated to form a textual interpretive statement which illuminated the meaning of the experience of clinical grading for the participants. Significance & Implications: Implications for improvements in nursing education include faculty considerations, improvement in clinical objectives and evaluation tools, and administrative support. The translation of this research to practice can result in changes in educational policies. Improvements in clinical nursing education grading practices will result in better performance by new graduate nurses and have a positive effect on safe patient care.

Biography:

Dr. Kathleen Becker received her Doctor of Nursing Practice from Chatham University and is a Distinguished Practitioner and Fellow of the National Academies of Practice. Dr Becker is the Track Coordinator for the Adult-Geriatric Nurse Practitioner Program at The Johns Hopkins University School of Nursing. Dr Becker’s scholarship focuses development and testing of curricula on interdisciplinary primary care practice and high functioning teams. She has published more than 25 papers in peer reviewed journals as well as multiple book chapters.

Abstract:

Interprofessional education (IPE) and collaborative practice is a core competency in the education of health professionals in the United States and Europe. Defined as learners from “two or more professions learning with, from, and about each other to improve collaboration and quality of care ”. 1 IPE integrates the understanding of different health care providers’ roles and educational culture with clinical care experiences. IPE is formative, process driven and experiential. Debriefing, or facilitated reflection and discussion is an integral aspect of experiential education and is used extensively in interprofessional education3. Debriefing is the time that follows a simulated or actual clinical experience when the student and preceptor revisit the encounter reflectively and learn from the events that occurred. Debriefing can develop learners’ critical thinking, problem-solving, and interpersonal skills, potentially establishing a foundation for lifelong learning and effective interprofessional, collaborative practice. In this presentation we describe a novel application and synthesis of two complementary models of debriefing, the 3D Model 2 and System Centered Therapy3. This newly conceptualized model provides a more robust approach to the debriefing encounter and offered the opportunity to address learner anxiety and group dynamics. Twenty-six faculty representing four professions; nursing, medicine, pharmacy and spiritual care utilized this debriefing approach in a longitudinal IPE curriculum. Debriefing and facilitated reflection occurred in small interprofessional student groups (nurse practitioner, pharmacy and pastoral care trainees) after 3 separate learning experiences; a discovery and team building exercise, a standardized patient simulation, and home visits. Qualitative and quantitative data that describes faculty experiences in applying the model and evaluating its utility with interprofessional groups of students will be described as will recommendations for future applications

Biography:

In order to assess outcomes of the use of active learning strategies, 5 groups of nursing students (n=56) across three bachelor degree levels (years 2-4) in Macao demonstrated higher clinical evaluation and higher appraisals in verbal and written comments than students without the intervention. Students in practicum experiences in medical, surgical, critical care and palliative care in hospital and community settings were encouraged to actively extend their own skill acquisition and demonstrate learning while in clinical experiences. Active behaviors included asking questions, seeking support, repeating skills, seeking more clinical opportunities, and responding to patient questions about their condition or care. Study findings suggest that teaching principles of active learning improves student clinical performance. Skill learning, skill practice and provision of nursing care appear to increase when active learners seek out clinical learning opportunities. An active learning model in nursing education is recommended and may improve student performance in Macao. Findings were specific to Macao bachelor degree nursing students; however concepts may be generalizable to others globally. Nursing students who engage in active learning demonstrate acquisition of knowledge, theory and skills used in clinical practice with resultant improved preceptor evaluations of performance. Students were more self-directed, confident and pleased with outcomes. Preceptors enjoyed mentoring active-learning students. Barriers to active learning exist and can be effectively addressed by educators. Features of active learning models, ways of encouraging active learning, and clinical applications fostering student engagement are aspects addressed in the oral presentation. Clinical learning is a major means of advancing nursing education.

Abstract:

Lynn B Clutter works extensively in nursing care of the family. She is faculty in the university BSN program where she enjoys teaching and mentoring students. She is a Lactation Consultant at Saint Francis Hospital. Teaching and clinical encompass areas of pediatrics, community health, genetics, ethics and research. Qualitative and quantitative research include publication topics of test anxiety & cortisol levels, nursing student clinical experiences, attachment, children's pain, spiritual care, adolescent parenting, unintended pregnancy and adoption. She serves as Vice President of the Wong-Baker FACES Foundation Board, is a leader in professional organizations and has practiced as a Clinical Nurse Specialist.

Biography:

Julie M Pullen has completed DNP from Concordia University, Wisconsin (USA) in 2014. She has practiced full-time as a Family Nurse Practitioner before completing a Post-master’s Certification in Geriatrics. She is a certified Geriatric Nurse Practitioner with more than 10 years of experience and currently teaches full-time. Her doctoral project, focusing on suicide prevention in long-term care was recently accepted for publication in a geriatric journal. She currently serves on a community suicide prevention coalition, the education committee of American Foundation for Suicide Prevention-Montana chapter and educates Montana State University faculty and staff in suicide prevention gatekeeper training.

Abstract:

Internationally, little is known of educational content focused on suicide prevention in undergraduate nursing curricula. Through 2014, there were no known published research studies on implementation of suicide prevention training in a BSN curriculum, despite the need for such instruction as cited by various international healthcare and nursing initiatives. The aim of this multi-method study was to describe senior baccalaureate students’ responses to an evidence-based suicide prevention gatekeeper training program entitled Question-Persuade-Refer which was implemented in a required course. Data were collected utilizing a pre & post-survey questionnaire administered to 150 students in four classes of a psychiatric nursing course from 2012 through 2014. The quantitative results were statistically significant (p<0.000) indicating an overall positive rating of the training. From the qualitative data, the main theme was ‘becoming capable intervening with persons at risk for suicide’. Students responded favorably to the evidence based suicide prevention gatekeeper training program. The training addressed various international suicide prevention strategies and filled a void in nursing curriculum. Moreover, it empowered students to engage in suicide prevention efforts in a northwestern state, which ranks among the highest for suicide in the USA.

Biography:

Fredricka Gilje holds a PhD, Master’s and Bachelor of Science degree in Nursing. She has 40 years of experience as a Nurse Educator in Baccalaureate and Graduate Nursing Programs in North Dakota, Montana, Washington and Alaska. In addition she engages in international collaboration in Nursing Research in Norway and Sweden. She has authored and co-authored various publications in nursing journals and books including articles concerning caring for suicidal persons. She is a Board Member of the American Foundation for Suicide Prevention-Montana Chapter and serves on a local suicide prevention coalition in a state located in northwestern USA.

Abstract:

Internationally, little is known of educational content focused on suicide prevention in undergraduate nursing curricula. Through 2014, there were no known published research studies on implementation of suicide prevention training in a BSN curriculum, despite the need for such instruction as cited by various international healthcare and nursing initiatives. The aim of this multi-method study was to describe senior baccalaureate students’ responses to an evidence-based suicide prevention gatekeeper training program entitled Question-Persuade-Refer which was implemented in a required course. Data were collected utilizing a pre & post-survey questionnaire administered to 150 students in four classes of a psychiatric nursing course from 2012 through 2014. The quantitative results were statistically significant (p<0.000) indicating an overall positive rating of the training. From the qualitative data, the main theme was ‘becoming capable intervening with persons at risk for suicide’. Students responded favorably to the evidence based suicide prevention gatekeeper training program. The training addressed various international suicide prevention strategies and filled a void in nursing curriculum. Moreover, it empowered students to engage in suicide prevention efforts in a northwestern state, which ranks among the highest for suicide in the USA.

Biography:

Dr. Su-Fen Cheng has completed her Ph.D. at the age of 34 years from University of Colorado Health Sciences Center in the USA. She is an Associate Professor of National Taipei University of Nursing and Health Sciences and teaches pediatric nursing. Her research focus is on nursing education and pediatric nursing. She has published more than 20 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

Background: The flipped classroom (FC) teaching strategy has been used in recent year. Literature showed that FC can help students to improve their self-directed learning (SDL). However, little is known about the application of FC to nursing education. Objectives: The objectives of the study are to implement FC in a Pediatric Nursing course and to evaluate its effects on SDL. Method: A quasi experimental research design with the intervention of the FC teaching strategy was used. A total of 94 RN to BSN students were asked to participate this study. Forty seven students took the Pediatric Nursing, and the other 47 students took non-Pediatric Nursing course. The data was collected before and after the implementation of the FC. Cheng, Kuo, Turton & Lee-Hsieh (2010) Self-Directed Learning Instrument (SDLI) was used to measure students' learning outcomes. Results: Students who took Pediatric Nursing course with FC teaching strategy had a significant higher score on SDL than students who did not take Pediatric Nursing course. The FC teaching strategy increased students learning motivation, planning and implementation, and interpersonal communication significantly. The students who used FC stated that the FC teaching strategy can improve their clinical reasoning (100%) and problem solving ability (98%). The mean satisfaction score of teaching was 9.18 (SD= .78), the mean satisfaction score of FC was 8.98 (SD= .96). Conclusion: The FC teaching strategy can improve students’ SDL, help students engage in teamwork. The authors suggested to implement FC teaching strategy to RN to BSN students.

Biography:

Dr Jennifer Loke, a lecturer at the University of Hull, is a Senior Fellow of the Higher Education Academy. She was awarded the Professor Sir Ron Cook International Scholarship in 2012 which has provided her the opportunity to extend her researh work outside the UK. Dr Loke is committed to integrating research with pedagogic practices, in the hope to benefit learners who are responsible for delivering nursing care and also, service users who are receiving the care. She is also keen on supporting others’ learning; this paper is a research project she led and supported the learning of colleagues and students. Her research interests include caring behaviours, critical theories, simulation learning and leadership and management in healthcare. Learn more about Dr Loke at http://www.kwlee.karoo.net/

Abstract:

The growing need for nurturing non-technical caring behaviours amongst nursing students may have resulted in the increasing emphasis on high fidelity simulation scenario learning. Given the current resources in higher education, many nursing faculties faced challenges in using this advanced but costly technology. That being the case, digital technologies such as podcasting were encouraged to allow open access learning to reduce cost. In light of the developments in higher education and also, in the context of limited evidence regarding the use of podcasting with simulations on caring behaviours; a mixed-methods design was employed to investigate the blended approach to learning using medium fidelity simualtion scenarios and podcasting. The second year full time undergraduate nursing students at a University in North England were potential participants. Students who consented were assigned to intervention and control groups. While all participants received low and high fidelity simulation learning sessions, the intervention group received an additional medium fidelity simulation scenario and podcasting learning session. Students’ caring behaviour were evaluated at various stages of the research. Students from the intervention group were invited to participate in a focus group discussion to share their perspectives on the various simulation learning strategies and their effects on their learning of caring behaviours. Both quantitative and qualitative findings supported the blended approach to learning.There are implications for nursing faculties to carefully craft a blended approach for nurturing student caring behaviours. The application of our study is not only important to nursing, but also to all who engaged in simulation teaching.

Biography:

Over a decade of experience providing clinical care and disease management to the pediatric and adult Cystic Fibrosis population at Children's National, Washington, DC which encompasses genetic testing newborn screening for diagnosis and treatment of cystic fibrosis, caused be a single-gene defects due to inherited or spontaneous mutations. In 2009 conceptualized and implemented a program for the advancement of Genetic/Genomic awareness and education for the 2,000 nurses employeed by Children's National Health System that lead to participation in nation wide genetic/genomic education grant in 2012-2013, MINC Study. This work continues today with The National Institute of Health (NIH).

Abstract:

Genomics is “personalized healthcare” in action. Understanding genomics is essential for all clinical nurses and nurse leaders. However, most nurses have limited knowledge of genetics/genomics, how it translates into their practice or the Essentials of Genetic and Genomic Nursing Competencies.1 Genomic competencies include family history assessment, understanding targeted therapies, and assessing variability in patients’ responses to medications based upon genomic profiles. Perspectives of the nurse champion will be offered and the various strategies that were implemented for introducing genomics to clinical nurses in a 300-bed mid-Atlantic pediatric Magnet® health care system which employs approximately 2000 nurses. This institution was selected to participate in “Method for Introducing New Competencies (MINC)” study. A transformative nursing practice approach was established with collaboration amongst targeted leadership champions in administration, nursing, genetics and experts in the community. A multi-modality communication/education program was developed based on Everett Rogers’s Diffusion of Innovations Theory.2 Genomic competencies were selected with an emphasis on genomic relevancy aligned with the Centers for Disease Control Public Health Genomics3 themes and specialty specific diseases as a framework. The approach culminated into a pervasive knowledge-based strategy that incorporated interactive continuing education offerings, advanced practice nurse-led rounds, interprofessional collaboration, and family history tools. Educational advertising juggernaut campaigns with tag-lined genomic messages were used to intensify interest, awareness and relevancy. Program outcome achievements; increased awareness, knowledge and translation into practice. Outcomes were measured using baseline and post-project statistics from the Genetics and Genomics in Nursing Practice Survey and evaluation of individual hospital educational offerings and action plans. Learner satisfaction scores following each educational offering were consistently greater than 85%. The achievements of the interventions translated into practice through the collaboration with the genetic molecular biologists and genetic counselors that lead to expanded genetic testing and support capabilities in the health care system, development of guidelines for nurse initiated genetic referrals, and the adoption of a Family History Tool into practice. The goal of sharing these experiences, barriers, successes, and recommendations of this healthcare systems approach is to aid others introduce “new (genomic) knowledge” because the future is now.

Biography:

Svetlana Kostromina completed her Ph.D. at the age of 29 at Moscow State Pedagogical University and Dr. of Sciences at the age of 39 at Saint-Petersburg State University. She is a professor of the Department of Psychology and Pedagogy of Personaland Professional Development, President of Saint-Petersburg Psychological Society. She has more than 65 publications in reputed Russian and foreign journals.

Abstract:

Personality structure of a professional is a system of interrelated individual characteristics which determine peculiarities of their behaviour typical of various situations. As a rule, in the course of studies, professional development outpaces personal development. Specialists starting work turn out to be immature, which affects the quality of their work and relationships with others. Our research is aimed at studying personality structure of future nurses (240 first-, second- and third-year students, aged 18-21). The methods of the research are: «Sixteen Personality Factor Questionnaire» (16PF - 105-С) by R.B. Cattell, Plutchik-Kellerman-Konte technique (Life Style Index), Milton Rokeach’s technique «Value Survey» (RVS). It was found out that low scores on factors F (restraint М1=4.41, σ=1.76; М2=4.57, σ=2.03; М3=4.30, σ=2.09) and N (straightforwardness М1=4.31, σ=1.72; М2=4.54, σ=1.8; М3=3.85, σ=1.27) are common characteristics of future nurses. At the same time, delicacy and the ability to empathize (М1=6.11, σ=1.91) characteristic of 1st-year students are replaced by greater toughness (М1=6.11, σ=1.91) and straightforwardness (М2=4.54, σ=1.8) in their 2nd year. By the 3rd year, a decrease in self-esteem (М3=4.00) and an increase in suspicion (М3=5.19) can be clearly traced. Among psychological defences, projection dominates in all respondents. But evidently, 3rd-year students use such psychological defences as repression (М3=36.7) and regression (М2=51.3) more often. In personality structure, a high level of ambitions decreases self-esteem and has an inverse relationship (р=0.03) with such qualities as responsibility, diligence and consideration. Graduates’ orientation towards materially secure life is interrelated (р=0.01) with greater relaxation, calmness, emotional maturity, realistic attitudes and stable interests.

Biography:

Dr. Robyn Rosina has completed her Doctorate in 2009 at the University Technology, Sydney. Robyn has published a range book chapters, journal ariticles and conferences over many years. She is an academic and researcher at the University of Newcastle, Newcastle. Robyn is part of a research team including the Australian Catholic University, North Sydney.

Abstract:

The dynamic of clinical education has changed immensely without responsive change in nurse clinical teaching pedagogy or skills. The context for clinical teaching is gradually shifting from universities back to hospitals with nurse teachers swirling in this change professionally and industrially. The teaching skills required have rarely been described or evaluated but assumed present alongside clinical experience. The professional development and leadership potential of this role has been neglected despite the complexity and demand for high-level clinical teaching and assessment skills, for an increasingly diverse student group. This paper will present the progress of a program of educational research that has included several components. This paper will present the results of a pilot survey with two aims: to identify the required skills of a nurse clinical teacher and to explore the professional issues challenging the clinical learning environment. This work has tested the results of a previous study and laid the foundation for a systematic review currently underway with some early findings to present. Disciplinary and interdisciplinary clinical education is undergoing significant change in both context and pedagogy. Nursing needs evidence to contribute and position itself effectively to influence this change. This research work will make a significant contribution to enable a nursing contribution to clinical education reform into the future.

Biography:

Pazit Azuri is a Dean of Nursing Science School at Tel Aviv-Yaffo Academic College. She is a nurse for 20 years. Most of her career involved regulatory management of quality care in the Israeli Ministry of Health, and teaching in BSN programs at Tel Aviv University. She believe that the first step in improving communication in healthcare is to educate the student about communication skills and the power of knowledge sharing as integral elements in quality healthcare.

Abstract:

The first step in improving communication in healthcare is to educate the student about communication skills and the power of knowledge sharing as integral elements in quality healthcare. The purpose of this project was to combine the teaching of communication skills with clinical reasoning exercises in a Communication Patient-Caregiver Simulation (CPCS) to study feasibility of the approach, the effect on learners’ self-efficacy and attitude toward learning communication skills, and the effect of providing multiple sources of immediate, collaborative feedback. Simulated scenarios are designed to ensure patient safety and prevent treatment errors in risk-prone situation such as work overload. The sessions were evaluated using a retrospective questionnaire to 80 students including the advantages and disadvantages from the Communication Patient-Caregiver Simulation (CPCS). Results indicate a positive impact on attitudes toward learning communication skills and self-efficacy regarding communication in the clinical setting. Also, learners considered feedback by peers, and faculty valuable. In addition, the instructor and actor will also evaluating the student's performance. At the data analysis phase, we will compare the identical questionnaire throughout the training and clinical experiences period, to see whether the students' confidence and communication skills have improved as a result of the simulations.

Biography:

Sandra is a PhD nursing student at Queens University, Kingston Ontario, Canada. Her area of research is Clinical Teaching. She is Director, Clinical Education, Humber College and in that role is responsible for all aspects of nursing clinical education in the School of Health Science. Sandra has presented her model of support for clinical education at other national conferences and her current research investigates the use of rubrics in supporting clinical teacher effectiveness and student self-regulated learning.

Abstract:

Canadian nursing programs clinical practicums are almost entirely staffed by part time clinical teachers. It has been suggested that while these nurses are clinical experts they often lack pedagogical knowledge of how to teach nursing students. In attempting to identify appropriate supports for Clinical Teachers it was determined that there was a lack of measurement tools to assess the current state of clinical teacher pedagogical knowledge. In fact, only one instrument developed and tested by Wolf, Beitz, Peters and Wieland (2009) was found. The Clinical Teacher Knowledge Test instrument utilized a 40 item multiple-choice test developed based on clinical teaching literature and case studies. An assessment of psychometric properties and a thematic analysis of the study results were conducted by the authors. Most of the teachers in the study found that items related to the teacher role and the patient, student teacher relationships, student counseling approaches, the use of theory in clinical teaching, student rights and the responsibilities of teachers with regards to their rights and responsibilities as educators were challenging. The researchers recommended that further research be conducted to examine the psychometric properties of the tool and identify further areas to support clinical teachers in their work. With permission of the original authors, an expert Canadian clinical educator panel adapted the test to the Canadian context. This research presents the psychometric properties of the Canadian Clinical Teacher Pedagogical Content Knowledge Test after implementation with new and returning Humber College nursing clinical teachers. An analysis of the study findings and suggestions for appropriate resources to support the work of Nursing Clinical Teachers will be presented.

Biography:

With the current position of deputy program convenor for the Bachelor of Midwifery, Donovan has been actively involved in the development of new curriculum starting in 2016 for the Bachelor of midwifery at University of Newcastle. The new curriculum brings teaching innovation not previously used in undergraduate midwifery programs such as cadaveric anatomy labs, 3rd year clinical viva’s and the use of technology to deliver midwifery teaching across a wide demographic context. In addition to this Donovan is the chair of the Bachelor of midwifery simulation committee and is responsible for strategic planning for the continuing advancement of midwifery teaching simulation programs, ensuring students become leaders in the field of obstetric emergency hi fidelity simulation and learning. Donovan is also a integral team member of the iLIVE project, looking at the integrated learning that meets the needs of individual students, clinical venues and universities.

Abstract:

The importance of developing and sustaining welcoming and supportive academic and clinical environments for students undertaking health care programs is not new (Carolan-Olah & Kruger, 2014). However, the ways in which these environments interrelate and impact on student retention rates, academic success and engender professional belongingness is unclear. This study is exploring the student experience of nursing and midwifery students from the University of Newcastle. Bridging the theory practice gap using the concept of link lecturers (linking the academic context and knowledge with the clinical context and skills) may positively impact on nursing and midwifery students’ academic connectedness, professional belongingness and academic outcomes. Exploring nursing and midwifery students’ sense of connectedness to the academic environment and learning activities as well as the development of a sense of professional belongingness within different models of clinical placement and linked academic support. The study objectives include identification of: • Clinical placement models that best support a sense of professional belonging • Academic practices that best support student learning in the clinical environment • Academic practices that best support student success in the academic environment Improving students’ sense of professional belongingness and student connectedness with their academic environment has the potential to increase student retention rates and success. Clinical placements provide opportunities for professional socialisation and experiential learning; there is evidence of a pivotal relationship between the extent to which students’ experience belongingness and their capacity and motivation to learn when undertaking clinical placements (Levett-Jones & Lathlean, 2008). The use of a link lecturer may afford a practical way to strengthen the connection and belonging of nursing and midwifery students.

Biography:

Hung-Cheng Tai is an Assistant Professor working for the department of General Education in Chang Gung University of Science and Technology. He has been teaching English for nursing students at different levels for over ten years. His research interests include technology enhanced writing instruction, educational psychology for English writing teaching and learning and English for nursing purposes.

Abstract:

This one year study was a qualitative research using the TPACK model– technology, pedagogy, and content knowledge to develop a multidisciplinary course for university nursing students. Aims are to investigate the participants’ perceptions about the: (1) technological knowledge learning; (2) pedagogical knowledge experiences; and (3) content knowledge acquisition from the program. Participants included 50 nursing students conveniently selected from a language classroom, an English language teacher and a teaching assistant (TA). Learners were grouped into 7 to 8 members each, and were required to produce short videos served as health education materials speaking in English as their foreign language. Seven data collection instruments were used –participants’ individual interviews, learners’ group interviews, course satisfaction questionnaire, tasks portfolios, intergroup evaluation forms, Teacher/TA reflective journals and classroom observations. Data were analysed through the grounded theory and the codes were further processed by the constant comparative method and the triangulation strategy was also employed. Results demonstrate that students recognized the coursedesign as interesting and inspiring and enabled them to learn technology and content knowledge. The TA was benefitted from the pedagogical knowledge and the teacher focused on the linguistic knowledge teaching. All participants perceived the course as demanding and exhausting. Some students preferred the traditional teaching method solely emphasized on the content knowledge for its easier implementation and achievement. Teaching implications arethen discussed.

Biography:

Jinbo Fang has completed her Ph.D. at the age of 33 years from ChiangMai University. She is the associate professor in school of nursing, Sichuan university. She has published more than 30 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

Purpose: The purposes of this study were to investigate social problem solving ability and compare it according to different teaching-learning strategies in Chinese baccalaureate nursing students. Methods: A descriptive cross-sectional research design was conducted with a stratified random sample of 485 Chinese baccalaureate nursing students. The Chinese Version of the Social Problem Solving scale was used. Descriptive analyses, independent t-test and one-way analysis of variance were applied to analyze the data. Results: The average scores of Chinese nursing students’ social problem solving in Rational Problem Solving subscale was 10.36±3.94; Positive Problem Orientation subscale was 11.05±3.58, Negative Problem Orientation subscale was 6.57±4.09, Avoidance Style subscale was 4.53±4.41, and Impulsivity/Carelessness Style subscale was 3.99±3.18. The final year nursing students presented the highest positive social problem solving scores. Meanwhile, the highest negative problem solving scores were found in third year nursing students. Nursing students with experience in self-directed learning and problem-based learning presented a significant higher scores in Positive Problem Orientation subscale and lower scores in negative Avoidance Style subscale comparing with non-experienced group. Critical thinking training experience group, however, had higher negative problem solving scores comparing with non-experience group. Conclusions: The existing variation in students’ social problem solving may be helpful for nursing faculty to identify student’s characteristics. Self-directed learning and problem-based learning could be recommended as suitable teaching-learning model to improve nursing students’ social problem-solving ability.

Biography:

Dr. Xianqiong Feng received her undergraduate degree from Hong Kong Polytechnic University, Master degree in Nursing from Chiang Mai University of Thailand, and Doctoral degree in Nursing Administration from Marquette University in Wisconsin, US. Her research interests include health services and outcomes research, nursing quality and patient safety issues, and research on vulnerable populations. She has published more than 50 professional articles and edited (or coauthored) several professional books. Dr. Feng has rich teaching experience. She has taught a number of courses at both undergraduate and graduate level.

Abstract:

Background and Purpose: Building nursing students’ research capacity and increase their research competency is one of the major educational goals for nursing programs, however, very limited valid and reliable instruments could be found to measure nursing students’ research competency. The purpose of the study was to evaluate the reliability and construct validity of the Nursing Students Research Competency Scale (NSRCS). Methods: Data were obtained from 194 baccalaureate nursing students in a nursing school in southwest part of China. The students from two grades were involved: grade 2011 (N=100) and grade 2012(N=94). The scale was administered before and after the course of Nursing Research. 99 were collected at the beginning of the course, 95 collected when the course was completed. Results: Cronbach's alpha for this 24-item NSRCS was 0.982. Exploratory factor analysis supported a 2-factor solution that explained 75.308% of the variance. Conclusions: The NSRCS may be a useful tool for measurement of nursing students’ research capacity and competency.

Biography:

Farai Makoni is currently in the process of completing his PhD at University of Southampton. He worked in a range of healthcare services including, men’s, women’s and child and adolescent mental healthcare settings. His area of specialty is Forensic Mental Health. He spent his clinical career working within a Specialist and Forensic Mental Health setting within the UK. Prior to moving into a lectureship role, he was a Team Manager for a Secure Forensic Mental Health for Young people Unit. Currently, he is a Senior Lecturer at Bucks New University and researcher at University of Southampton, UK. He has published work across the globe in reputable conferences for example, the Royal College of Psychiatrists, Shangahai International Nursing Conference II. His work has also been published in other conferences within the UK and USA. Research interests include inter-professional education, reflective practice, collaboration, risk mitigation and widening participation within higher education.

Abstract:

Reflective practice has gained prominence within the health, education and social care sectors in particular within the United Kingdom (UK). This prominence has been driven and shaped by differing assertions and counter-assertions about the relevance of reflective approaches in shaping collaborative enterprises that may help meet patient satisfaction and outcomes agendas. Given the competing assertions within the literature discourse, an emerging model is proposed in order to make a connection between the significance and relevance of reflective practice meetings (RPMs) as an aspect of inter-professional education and its application within clinical contexts. Emphasis is placed on how professionals engage with the cross-disciplinary viewpoints in order to help understand the nature of caring in differing caring contexts. Notably, some contributors within the literature sources posit that a divergence of opinion about the contribution of RPMs as an aspect of inter-professional education exists. For example, some note that inter-professional education (IPE) represents a particular challenge for those engaged with the task of facilitating knowledge construction and knowledge transfer due to the social power issues, real or perceived, as reflected within different professional disciplines. Advocates for IPE postulate that individuals have to utilize IPE as something that helps professionals from diverse and distinct disciplines to identify the different lenses that help to foster a collaborative ethos within a context of shifting priorities. Consequently, engaging with the differing viewpoints within an RPM context may contribute to how IPE is conceptualized for example is it about informing, conforming or transforming professional discourse. This paper reports on a Qualitative study conducted within a Secure Forensic Adolescent Mental Health setting in the UK. The study offers findings that have a potential to aid an understanding of the theoretical and practical implications of utilizing Reflective Practice Meetings as an aspect of IPE. The study explored the processes that occur during the weekly inter-professional reflective practice meetings within a Secure Forensic Mental Health Adolescent Unit. The study was informed by a case study approach underpinned by ethnographic tenets. Data collection methods utilized included discursive methods complemented by Participant Observations (PO). Additionally, data was gathered through Reflective logs and one-to-to semi-structured interviews. Data collection triangulation methods for completeness of the phenomenon were utilized. An eclectic data analysis process was utilized notably; the analytical lens utilized within this study was informed by a combination of grounded theory approaches with social-psychology discourse analysis framework.

Biography:

ChuehFen, Lu was a psychiatric nurse then a senior lecturer at Chung Gung University of Science and Technology for 20 years, Taiwan. She is an associate professor, after earned the PhD. degree in school of Nursing at Glasgow University.

Abstract:

Background: According to the statistics of Taiwan Ministry of Health and Welfare, over 90% of suicide events were reported by hospitals since 2008, indicating nurses are situated at the forefront of suicide management. Suicide intervention is essential competence for nursing education. Methods: Students of two year bachelor program were the study participants because they are the major manpower currently. The adult learning theory which addressed learner centre concept was adopted in the study. Focus groups and reflective writing were administrated. A semi-structure guideline included both professional and individual viewpoints and a confidence self-rating score of 100 points was applied. The data was transcribed verbatim and analysed by content analysis. Results: Four focus groups (n=32), and 141 reflective wiring were collected and analysed. The average score of confidence to take care suicidal patients was rather low (68/100). Four major needs of learning are i) smoothing their language over the culture sensitive suicide assessment ii) clarifying the suicide myths iii) increasing the completeness of assessment and iv) delivering empathetic responses. Conclusion: The study finding provides learner centre perspective to advance nursing education especially on the cultural sensitive health problem. Also, the findings can be woven into design of scenario teaching, and students can practise before they start their professional career.

Biography:

M S Ajimsha is a young researcher in the field of neuro-rehabilitation and myofacial release. After receiving his Post-graduate degree in Neuro-Physical therapy, he has obtained a PhD in Neuro-rehabilitation from India, a PhD in Myofascial Release from UK and Doctor of Osteopathy and management degree in health care from Spain. Currently he is working as a specialist, Physical therapy in the Physical therapy department of Hamad Medical Corporation, Qatar. He is the chairman of the ‘Myofascial Therapy and Research Foundation’ India. His areas of interest include neuro engineering, robotics, virtual reality, pain, myofascial release and neuroplasticity. In 2014 his paper was awarded as the best oral paper in the ‘Qatar international pain conference’. Recently he won the best free paper award in the ‘Abu Dhabi neuro rehabilitation conference’ by WFNR. He had more than 80 conference proceedings and 20 high impact journal publications. He is a renowned resource person in the field of Myofascial release and his contributions are highly appreciated across the globe.

Abstract:

Objective: To investigate whether Self Myofascial Release (SMFR) technique can reduces pain and disability in non-specific low back pain (NSLBP) in comparison with a control group receiving a sham Myofascial release (Sham-MFR) in nursing professionals. Methods: Design: Randomized, controlled, single blinded trial. Participants: Nursing professionals (N=57) with NSLBP. Interventions: SMFR group or control group. The SMFR were administered by the nurses themselves whereas the sham-MFR was applied by physical therapists in a predetermined dosage (16 sessions /4 weeks). Main outcome measure: The McGill Pain Questionnaire (MPQ) for subjective pain experience and Quebec Back Pain Disability Scale (QBPDS) to assess the disability associated with NSLBP. The primary outcome measure was the difference in MPQ and QBPDS scores between week 1 (pretest score), week 4 (posttest score), and follow-up at week 12 after randomization. Results: The simple main effects analysis showed that the SMFR group performed better than the control group in weeks 4 and 12 (P<0.005). The patients in the SMFR group reported a 62.6% reduction in their pain and 36.3% reduction in functional disability as shown in the MPQ and QBPDS scores in week 4, whereas patients in the control group reported a 11.5% and 4.6% reduction in their MPQ and QBPDS scores in week 4, which persisted as a 43.8% reduction of pain and 29.2% reduction of functional disability in the follow-up at week 12 in the SMFR group compared to the baseline. The proportion of responders, defined as participants who had at least a 50% reduction in pain between weeks 1 and 4, was 63% in the SMFR group and 0 in the control group. Conclusion: This study provides evidence that SMFR can be a useful tool in the management of NSLBP in nursing professionals than a control. A cost and time benefit analysis can be undertaken in the future studies. A major section of nursing professionals with NSLBP might benefit from the use of SMFR and can be taught as a LBP prevention strategy for nursing professionals.

Biography:

Meryem Yavuz Van Giersbergen has completed her PhD in Surgical Nursing in 1998 at the Ege University. She became Docent of Surgical Nursing in 2006 and Professor in 2013. She was one of the founders (1997) and President of Turkish Surgical and Operating Room Nurses Association from 2008-2012. She has published 55 articles in international/national journals, 180 presentations at (inter)national congresses, 20 chapters in six books and has been an Editorial Board Member of (inter)national journals. She worked in 22 organization communities for national congresses (6 of them she was president), two international congresses and 40 sciences communities at national congresses. She has more than 50 speeches in congresses.

Abstract:

Quality health care is important issue for worldwide and nursing can and must play a major and global role in transforming the healthcare environment. Doctoral degree nurses are very much needed in the discipline to further develop and expand the science, as well as to prepare its future educators, scholars, leaders and policy makers. The first University School of Nursing opened in 1955 in Turkey. In 1968, the Master of Science in Nursing Program was initiated, followed by the Nursing Doctoral Education Program in 1972. In 2001 six Universities provided nursing doctoral education while in 2015 20 Universities provided nursing doctoral education. In Turkey, the doctoral education in nursing is carried out with a Doctor of Philosophy in Nursing (PhD) via the Health Sciences Institutes. This presentation centers on the structure and model of doctoral education for nurses in Turkey. The presentation will describe in detail nursing doctoral education in Turkey, including program structure, admission process, course units, assessment strategies and dissertation procedure. Many countries in the world are systematically building various collaborative models of their own nursing doctoral education programs. Turkey would like to play an active role in creating collaborative nursing doctoral education programs together with other countries.

Biography:

Amina Bargawi is graduated from Nursing College, King Abdul-Aziz University in 1992, later she pursued her journey in academic learning, as she has got MSN in community health nursing from King Saud University, MSc in Research Methodology & Statistics from Manchester University and MSc & PhD in Health Care Management from Wales University. She is a Co-Chairperson of Saudi Nursing Scientific Society since 2007 and Chairperson of Saudi Nursing advancement committee, since 2003. Currently, she is working at the Community and Preventive Medicine center and is holding several responsibilities, which include; coordinating of community health nursing services, coordinating of health informatics and statistics and coordinating the professional development of PHC nurse.

Abstract:

Throughout more than five decades, nursing profession in Kingdom of Saudi Arabia has been facing remarkable changes. Nursing in Saud Arabia is considered a young profession, as just in 1960 the first Nursing School has been established. However, its development is not accelerating fast, as it was handicapped by limited educational opportunities, restricted by inadequate recruitment process, uncontrolled by weak regulation system and bonded by cultural & customs’ restrains. Not surprisingly, the inspiration of new Millennium (21stcentury) worked very well in advancing the nursing career in Saudi Arabia, and the development is going on. Practical steps toward advancing the nursing education are taking place, Nursing qualification is given a high priority and collaborative effort for re-designing the Saudi nursing image is continuing. In aspiration, given the currently effort of improvement, Nursing in Saudi Arabia is expected to be moved in to a bright future. the challenges in education , recruitment, management & nursing image will be overcame and all opportunities to reach Nursing excellence locally, regionally and globally will be grabbed. As a Conclusion; we were in gloomy eras restricted by challenges and hidden under Saudi desert’s sand, we are now in promising era struggling for rising up and planning the nursing road map & we will be on bright era moving upward, forward toward the light of recognition and accreditation.

Biography:

Liu Changqing has been studying Clinical Medicine at West China School of Medicine of Sichuan University since 2014. He is now a doctoral degree candidate, majoring in nursing.

Abstract:

Purpose: To build the Chinese standards of teaching resources access and development of nursing undergraduate education. Methods: From May to July 2015, a questionnaire survey and expert consultation were performed in the nursing colleges and hospitals nationwide, in which the teaching resource configuration standard and implementation status of nursing undergraduate education were inquired, and then the standard of teaching resources access and development of nursing undergraduate education were also developed based on the present standard of nursing undergraduate education in China. Results: A total of 22 nursing colleges and hospitals, totaling 285 valid experts were included. The experts’ opinions on the standards of teaching resources of nursing undergraduate education were recycled and generalized. There were six domains finally included in the developed standards, which were the education budget and allocation of resources, infrastructure, clinical teaching bases, books and information services, educational experts, educational exchanges. And the experts’ consensus rate was much more than 90.2%. Conclusions: The standard of teaching resources access and development of nursing undergraduate education could be regarded as the guidance and reference for the development of nursing undergraduate education in China, and it should be well implemented.

Biography:

Coming Soon

Abstract:

To determine the efficacy of different methods of cardiopulmonary resuscitation (CPCR) training in nurse personnel. In a prospective and observational study of 150 individuals in nurse personnel 4 different protocols of CPCR training were applied and their efficacy was investigated. Also, 12 months after the study course, 60 participants were asked to take apart in a theoretical and practical examination to evaluate the long-term efficacy of the 4 protocols. Nurse personnel with more duration of special work time obtained more scores. Also individuals with history of CPCR training in other courses were more successful. Comparison of different methods of CPCR learning showed that the workshop using interactive lecture as well as human model, educational film, and reference CPCR book has the highest efficacy in all groups. This protocol of CPCR training showed more efficacy in long-term post-delayed evaluation. This course also increased confidence for doing CPCR in nurse personnel.

Biography:

Shi Fan Han is a Professor and Master Tutor of Shanxi Medical University, Dermatological Chief Physician of The First Hospital of Shanxi Medical University. He is the Editor-in-Chief of 5 journals of Shanxi Medical Periodical Press such as Chinese Nursing Research. He is also the Vice-President of Chinese Nursing Association, Shanxi branch. He has 30 years of work experience, mainly engages in nursing scientific research and trained over 20 Masters. He has applied for 2 patents, undertaken 6 scientific projects, published more than 14 works and 50 academic papers in reputed journals. He has been serving as an Editorial Board Member of repute.

Abstract:

Objective: To explore the feasibility of the nurse's prescription right in China, to develop the requirements for the qualification of the applicant for the prescription right of nurse, and to determine the content of certain prescriptions in the specific circumstances. Methods: Literature review on the relevant articles/material with the contents of the nurse’s right of prescription home and abroad. Semi-structured depth interview method was used to interview 18 experts on whether the nurses can participate in the graded nursing decision and whether nurses with certain ability can make the decision. Using the self-made questionnaire “Nurses involved in graded nursing decision-recognition questionnaire”, 553 nurses completed questionnaires on willingness to nurse decision-making grading. Using the analytic hierarchy process, the 23 experts' judgment on the main body of the graded nursing was rated. Using semi-structured depth interview method, 17 experts were interviewed on the graded nursing quality assessment and training outline. The form of expert personal judgment and the "grading nursing qualification experts predict questionnaire" were used as a preliminary designing tool, 32 experts were asked to predict the graded nursing quality. The relatively important factors that might promote implementation of right of Chinese nurse prescribing weights setting were obtained by analytic hierarchy process. Using Delphi method, 2 rounds of consultation to 291 experts/times were performed, and determined its content on the fields of graded nursing decision, nurses' job description, decision making nurse in graded nursing work process and related management system, decision-making main body of clinical nursing, nurse authority of prescription application qualification, clinical nurses, diabetes specialist nurses, tumor specialist nurses, nurses in emergency department, community nurses in certain circumstances writing prescription, and nursing undergraduate added with nurse authority of prescription related courses.

Biography:

Felicity is in her final year of PhD in Medical Education. Her work follows on from a twelve-month leadership and simulation fellowship in Yorkshire. She is a year 4 Urology Registrar and currently works as simulation and patient safety lead at the University of East Anglia, Norwich while completing her PhD. She has developed a fully integrated simulation based curriculum at Norwich Medical School for years 1 to 5, runs and supports inter-professional learning sessions and delivers human factors workshops for Norwich undergraduates and postgraduates. She is simulation lead for a nationally run urology registrar induction programme in the UK.

Abstract:

Objective: 1. Track impact of simulation intervention on confidence. 2. Explore qualitatively, value of simulation for undergraduates. Methods: A mixed methods study: evaluation of repeated measures over time with exploration of emergent themes. Final year students (n=94) from two UK Universities underwent a simulation course with structured debriefing using a Sim Man 3G® and part task trainers. Learning outcomes mapped to Tomorrows’ doctors and FP curriculum. Self-expressed confidence scores in 19 domains were collected. Baseline scores collected immediately prior to course (1 = None, 10 = very), repeated immediately after (n = 94), one-week post (n = 79) and one month into FP (n = 58). Thematic analysis was performed on facilitated focus group data. Data was analysed on SPSS v21 with ANOVA and Bonferroni correction for repeated testing. Results/ Findings: Confidence scores increased significantly, post course (F(2.48,148)=49.98, p = <0.001). Mean baseline confidence score was 5.88 (SD 1.2) (range 3 - 8), increased to 7.22 (SD 1) immediately post course (p<0.001), 7.4 (SD 0.8) at one week (p = 0.655) and 7.8 (SD 1) one month in to FP (p = 0.15). Main emergent themes were ‘practise under pressure’, ‘responsibility’, inter-professional learning, specific personalised debriefing and realism. Conclusions: A simulation based intervention had a positive impact on confidence with effect maintained into FP. Added value of simulation was opportunity to practice under pressure, grade pressure and complexity, consequence learning and development of situation awareness, decision-making and judgement skills.

Biography:

Dr. Shargall completed his medical school and bachelor in medical sciences and immunology at the Hebrew University in Jerusalem. He then completed cardiothoracic residency at the Haddasah University Hospital of Hebrew University Jerusalem, followed by cardiac and thoracic surgery fellowship at the University of Toronto. Since 2004 he practiced thoracic surgery at the University of Toronto, St. Joseph’s Health Centre and St. Michael’s Hospital (both in Toronto). Between 2007 and 2010 he was the director of medical education at St. Joseph’s Health Centre and the associate director of undergraduate education at the department of surgery, University of Toronto. Since October 2010 he is the division head of Thoracic Surgery at McMaster University and St. Joseph’s Healthcare in Hamilton, Ontario Canada. He is an Associate Professor of Medicine and Surgery at McMaster University and an adjunct Associate Professor of surgery at the University of Toronto. He is the local LHIN 4 (Ontario) thoracic oncology lead and serves at multiple expert panels for Cancer Care Ontario. His main research focus is on post-discharge care for thoracic surgery patients and he has received numerous grants, including the Canadian Institute of Health Research (CIHR), Heart and Stroke Foundation and Ontario Thoracic Society. He is currently chairing the European Society of Thoracic Surgeons’ working group on VTE in Thoracic Surgery.

Abstract:

Objectives: The study evaluates the Integrated Comprehensive Care (ICC) program, a novel health system integration initiative that coordinates home care and hospital-based clinical services for patients undergoing major thoracic surgery relative to traditional home care delivery. Methods: A pilot retrospective cohort analysis compared the intervention cohort (ICC), composed of all patients undergoing major thoracic surgery in the 2012/2013 fiscal year with a control cohort who underwent surgery in the year prior to the initiation of ICC. Length of stay, hospital costs, readmission and emergency room visit data were stratified by degree and approach of resection and compared using univariate logistic regression analysis. Results: A total of 331 ICC patients and 355 Control patients were enrolled. Hospital stay was significantly shorter in VATS ICC patients (Sub-lobar median 3 versus 4 days, p=0.013; Lobar median 4 versus 5 days, p=0.051) but not for open resections. The frequency of ER visits within 60 days of surgery was lower for all stratification groups in the ICC cohort, except for VATS sub-lobar (25.7% Control versus 13.9% ICC, p=0.097). There were no significant differences in sixty-day readmission frequency in any sub-cohort. The mean in-patient case cost was significantly lower for ICC VATS sub-lobar resections ($8505.39 versus $11,038.18, p=0.007), with the other resection types trending lower for ICC but non-significant. Conclusions: A hospital based, post-discharge, patient-centered program could potentially result in shorter hospital stay, fewer readmission and ER visits, cost savings and no increase in adverse post-discharge outcomes after major thoracic surgery.

Biography:

Arzu Aslan is a PhD student at Ege University. She is also Research Assistant at the same university in Surgical Nursing Department since 2011.

Abstract:

The study was aimed to determine of the implementation status of the preoperative skin preparation in surgical clinics. Research was performed between the dates of 12-18th October 2015 in surgical clinics at a university hospital. Samples of the study consisted of 164 patients who had a planned surgery during this period. The researcher used the documents “Patient Introduction Form”, a form for detection of the implementation status of the preoperative skin preparation in surgical clinics. The data collection form was developed according to literature findings. 51.8% (n=85) of the patients were men, 50% of the patients (n=82) have low education level. Most of patients (92.7%) had a shower before surgery. 65.9% (n=108) of patients did it the night before surgery and 57.9% of patients had a shower with soup and water. Preoperative shaving of the surgical site was performed 73.8% of (n=121) patients. Patients were mostly prepared by shaving with a razor blade (50.6%). The conclusions of the research show that procedure of pre-operative skin preparation was used in surgical clinics.

Biography:

Yasemin Altinbasis is a PhD student at Ege University. She is also research assistant at the same university in Surgical Nursing Department since 2011.

Abstract:

This descriptive study was aimed to investigation of pain managements of surgical patients. The study was conducted in 12-18th October 2015 in surgical clinics at a university hospital. The study sample consisted of 164 patients who had a planned surgery during this period. To conduct the study, written/verbal permissions/consents were obtained from the scientific ethics committee, surgical clinics and patients. To collect the data, the researcher used a questionnaire including items questioning the patients’ sociodemographic characteristics and their opinions about their pain levels and their satisfaction about pain managements before and after surgery. The questionnaire was developed according to literature findings. The data were analyzed using the SPSS for Windows 18.0, numbers, percentage distribution and the Chi-square test. According to the sociodemographic characteristics 51.8% (n=85) of the patients were men, the mean age of patients were 52.33±16.48 and 50% of the patients (n=82) had low education level. In the preoperative period, 45.1% of patients had pain. Pain evaluations of them were the average of 7.08point (1-10) and 15.2% of patients with pain gave10 point to their pain. 26.8% of patients received oral analgesic, 59.8% patients were unsatisfied with the treatment of pain. Also in the postoperative period, 56.1% patients had pain. Pain evaluations of them were the average of 4.68 point (1-10) and 48.8% of patient received intravenous analgesic. Patient satisfaction about pain treatment was the average of 3.63 point (1-10) and 35.4% patients were unsatisfied with the treatment of pain. In accordance with the results of the research, before and after surgery there is statistically significant difference between the pain levels and the satisfaction about pain managements of surgical patients (p<0.05).

Biography:

Burçak ŞAHİN KÖZE is a PhD student at Ege University. She is also research assistant at the same university in Surgical Nursing Department since 2009.

Abstract:

The aim of this study was to investigate preoperative fasting times of surgical patients. This descriptive study was carried out in surgical clinics of Ege University Faculty of Medicine Hospital, between 12-18th October 2015. Samples of the study consisted of 164 patients who had a planned surgery during this period. The researcher used the documents “Patient Introduction Form”, a form for detection of the implementation status of the preoperative fasting times in surgical clinics. The data collection form was developed according to literature findings. Data collection was interviewed patients face to face. Data was analyzed frequency and percentage with SPSS for Windows 18. The mean ages of patients were 52.33±1.28, 51.8% men (n:85), 50.0% (n=82) of educated in primary school. Most of patients (92.7%) had information about nutrition before surgery and they told that they must fast after midnight (24:00) and this information is (40,2%) given by nurse. It is found that, the patients who were included the research had not had solid food an average of 14.03 hours and liquid for 10.06 hours. After surgery patient began oral intake after 13.35 hours. 62.8% of patient started with the oral intake of water. According the result of this study, patients’ preoperative fasting and fluid restriction times are longer than suggested. It is seen that, changes in preoperative fasting time is not reflected to practice.

Biography:

Lori A Loan, PhD, RN, FAAN is an Associate Professor at the University of Alabama at Birmingham, USA. She received her BSN degree from Pacific Lutheran University in Tacoma, Washington and her MS and PhD degrees from the University of Washington, School of Nursing in Seattle, WA. She has extensive experience as a nurse scientist and mentor. She has completed 48 sponsored research studies with grant funds totaling over $6,000,000 and has 33 data-based, peer-reviewed published papers. Her research efforts led to improved policies, staffing models, training programs and other practice and health services enhancements.

Abstract:

The purpose of this presentation is to describe the program evaluation appraising the effectiveness of key aspects of the Patient Caring Touch System (PCTS), a comprehensive framework and strategic, yet patient-centered, model for nursing practice. The program evaluation assessed PCTS implementation at ten hospitals using a standardized Operational Inspection Program Checklist; existing data were used to compare pre-implementation, implementation, and post-implementation nursing context and outcomes, and patient-related care processes and outcomes. The degree and quality of spread and sustainment of PCTS were also evaluated. In hospitals observed, 85% of all aspects of the PCTS had been implemented and sustained. Larger hospitals appeared to have an advantage with sustainment.Care Teams and Peer Feedback presented the greatest challenge for implementation and sustainment. Program evaluation results also support the PCTS as an effective model for nursing care. These aspects of the nursing work environment improved following PCTS implementation: Participation in Hospital Affairs; Nurse Manager Ability, Leadership and Support; Quality of Care; and Nurse-Physician Relationships. Favorable nursing work environments were associated with greater implementation and sustainment of PCTS. Predictive models of outcomes (medication errors, falls, patient satisfaction, nurse job satisfaction, turn-over) and process measures (pain assessment, pain reassessment) are being evaluated and will be reported. This program evaluation provides information about the effectiveness of the new model for nursing care as well as a toolkit of best practices and sustainment strategies to share with both current and future PCTS users.

Biography:

Mary S McCarthy is a PhD, RN, CNSC and a senior nurse scientist at Madigan Army Medical Center in Tacoma, WA. She has over 15 years of clinical nursing experience in medical-surgical, emergency and critical care and 20 years of funded research in nutrition, bone health and nursing quality outcomes with a bench-to-bedside focus. Her program of research, supported by over $2 million in grant funding, focuses on health and wellness for service members. She is currently leading a 3-year clinical trial funded by the Tri-Service Nursing Research Program to evaluate vitamin D genomics and War-fighter nutritional resilience.

Abstract:

US military healthcare is delivered via one integrated system, with the Army, Navy, and Air Force considered different subsystems. The Military Health System (MHS) as a whole has faced the same resource pressures as civilian hospitals, including nursing shortages and rising healthcare costs. However, the MHS also has the requirement of supporting a nation at war while providing healthcare to beneficiary populations worldwide. The Army Medical Department, one subsystem of the MHS and the medical arm of the Army, strives to provide a seamless continuum of care from battlefield to fixed hospital facilities worldwide. The nursing workforce in military hospitals is a dynamic combination of four types of nurses: Active Duty and Reserve Component military nurses, Army civilians, and per diem or contract nurses. The Army mission is to provide responsive, innovative, and evidenced-based nursing care integrated with the Army Medicine Team to enhance readiness, preserve life and function, and promote health and wellness for all those entrusted to our care. Army Nurse Corps officers are graduates of accredited Baccalaureate or Master’s degree nursing programs and licensed to practice professional nursing in accordance with the National Council of State Boards of Nursing. Both military and civilian registered nurses are responsible for leading, assessing, coordinating, delivering, and evaluating all aspects of patient-centered care in ambulatory and inpatient settings. Nursing care in the Army is delivered by over 17,000nursing personnelin 600 military ambulatory clinics with 300 million visits annually, and 22 hospitals providing all levels of acute and critical care.

Biography:

Sara T Breckenridge, PhD, RN has a broad range of clinical, administrative, operational, research and leadership positions in a variety of acute care settings. She has been an Active Duty Army nurse for over 27 years and is currently the Regional Nurse Executive for Regional Health Command Europe. She has spoken internationally and published in the areas of nurse staffing, acuity, nursing workload, change management, organizational culture and empowering junior nursing staff. She is currently the Principal Investigator on a program evaluation appraising the effectiveness of key aspects of the Patient Caring-Touch system, a comprehensive and strategic, yet patient-centered, framework for nursing practice in military hospitals.

Abstract:

Based on a commitment by Army Nurse Corps leaders to transform military nursing for the future, the Patient Caring Touch System (PCTS) was created and implemented in 2011. The PCTS is a comprehensive practice framework and a strategic plan for Army Nursing. There are five main elements that ground the PCTS: enhanced communication, capacity building, evidence-based practices, healthy work environments, and patient advocacy. The combination of these five elements is thought to produce the best patient, nurse and system outcomes. The PCTS was developed to foster excellence and reduce clinical quality variance by adopting a set of internally and externally validated best practices. In addition, the PCTS includes components such as talent management, standardized documentation and leadership development to re-focus on professional practice. Other components include shared accountability, peer feedback, care teams, core values, optimized performance metrics, skill building and research and evidence-based practice support services. Before innovations such as the PCTS are adopted and become self-sustaining, it is necessary to have a great deal of support and engagement from the staff and leadership. Although the PCTS has been implemented for several years now, the degree to which it has become embedded into the organizational culture of any Medical Treatment Facility has varied and projections for future sustainment are speculative.

Biography:

Mary Jean Ohns has obtained her DNP degree from Wayne State University. Her DNP project addressed non-urgent use of the emergency department by pediatric patients. She is a Pediatric Nurse Practitioner in the Pediatric Emergency Department at Toledo Children’s Hospital. She is also on Faculty in the College of Nursing at the University of Toledo. An article describing the theoretical framework of her DNP project has been accepted for publication in the Journal of Pediatric Health Care.

Abstract:

Providing quality cost-effective care to children and their families in the appropriate setting is the goal of nurse practitioners in primary and acute care. However, increased utilization of the emergency department (ED) for non-urgent care threatens cost-effective quality care, interrupts continuity of care and contributes to ED overcrowding. To date, descriptive research has identified demographics of those using the ED for non-urgent care, the chief complaints of children seeking non-urgent care, the cost to the healthcare system of pediatric non-urgent care, and characteristics of associated primary care settings. Using Donabedian’s Model of Quality of Healthcare (1988) and a Theory of Dependent Care (Taylor, Renpenning, Geden, Neuman & Hart, 2001) acute and primary care Pediatric Nurse Practitioners (PNP) can incorporate interventions that will channel care to the appropriate setting and educate caregivers regarding common childhood illnesses and the value of continuity of care. By using a theoretical framework as a guide both acute and primary care PNPs may understand why parents seek non-urgent care for their children in the ED and actions they can take to assure care is provided in an optimal setting.

Biography:

Patricia A Patrician, PhD, RNN, FAAN, is the Donna Brown Banton Endowed Professor at the University of Alabama at Birmingham (UAB). She joined the UAB faculty in 2008 after a 26 year career in the US Army Nurse Corps. She teaches in the PhD Program and conducts research on nurse staffing, the nursing practice environment and patient and nurse quality and safety outcomes. She is a Senior Nurse Faculty/Scholar in the Veteran's Administration Quality Scholars fellowship program that focuses on the science of quality improvement and a national Consultant for the Quality and Safety Education for Nurses program.

Abstract:

Inter-rater reliability is an important consideration in instrument development as well as in the ongoing fidelity of measurements that can be somewhat subjective.The Cohen’s kappa statistic takes chance into consideration and thus, provides a more robust measurement of agreement than inter-rater reliability. This analysis was an important step in a program evaluation of an innovative, multi-faceted professional nursing frameworkthat incorporated a newly developed instrument. In order to evaluate the implementation and diffusion of the innovation, site visits were conducted by a team of two investigators using the instrument comprised of six unit-level components. The two investigators met separately with nursing staff and leaders on all study units in 50% of the military hospitals included in the program evaluation. Using the “Optimized Performance Checklist,” each rated the implementation as met, not met, or partially met. Each of the 34 units was rated separately on 20 data elements, or items, in the checklist, generating 675 pairs of data elements for the observers. The formula for the kappa statistic (observed-expected agreement/1-expected agreement) was applied. The observers agreed on 652 of the 675 ratings, resulting in 97% agreement. However, when taking into consideration chance agreements and disagreements, the Cohen’s kappa statistic was .91. The Cohen’s kappa indicates a very high level of agreement even when chance is considered. The kappa is an easy to calculate statistic that provides a more conservative and realistic estimate of inter-rater reliability. It should be used when attempting to verify observer fidelity.

Biography:

Heather L MacDonald completed a Master’s degree in Nursing at University of Toronto, Canada and a PhD at the University of Manchester in the UK. Currently she is a Professor in the Faculty of Nursing at the University of New Brunswick (Canada). Her doctoral work examined respite for parents who were caring for children who required complex care. This paper comes from that work.

Abstract:

Advances in nursing and medical care augmented by developments in pharmaceutical and health technologies have led to an increasing number of children who require complex care at home. Parents are their care-givers. In this ethnographic study there were 47 participants out of whom 19 were mothers, 4 fathers, 7 grand-parents, 13 nurses and 4 Social Workers. Data Collection consisted of in-depth interviews; participant observation and document review. There were five emergent themes: Parents Caring; Caring and the Impact on Parental Identity; The Nature of Respite and Fair Play. In this paper the key categories within the theme Fair Play will be discussed. These categories include: Care obligations, feelings of entitlement, respite information needs, ongoing support needs, negotiating the system and equity.

Biography:

Anjan Bhattacharya is a MRCPCH, UK and DCH, UK Examiner for RCPCH, UK and a Fellow of the Royal College and Honorary Affiliate Tutor and Course Coordinator of DCH/IPPC of Sydney University Australia; He is ex-head DNB Program of AGH, Kolkata and DNB Centre Appraiser of NBE, New Delhi. He is one of the 26 experts in the pioneering ICF Core Set designed by WHO in a global consultative meet in Vancouver, Canada and he led the pioneering multicentric international validation study of the tool, presenting its finding in Stockholm, Sweden in June 2016. He is one of the course designer and national Trainer of the Trainers (T-o-T) module on Emotional Intelligence as part of Presidential Action Plan 2014 of Indian Academy of Pediatrics and a trainer of its Cradle to Cryon & Beyond ToT in 2016.

Abstract:

Emotional/Educational, Behavioral and Developmental [EBD] problems including Dyslexia, Autism Spectrum Disorder (ASD) or Attention Deficit Hyperactivity Disorder (ADHD) constitutes 20% of children suffering globally, often unnecessarily. A sizable number of such children are passing through the hands of nurses in healthcare set ups, both in-patient and out-patients (including community and immunization clinics). Missed opportunities of reporting EBD concerns must be one of the important determinants of such morbidity. Current author proposed a universal model during Nursing 2014 at Chicago on how a nurse can improve vastly up on the knowledge and professional input so that the “miss outs” are minimized to enable Early Detection and Early Intervention. An output of that presentation is a model of universal reporting developed as a proposal in healthcare set up as follows: Author proposes that Nurses and other healthcare professionals shall have over-riding obligations to report any “red-flag” signs or symptoms observed or reported to them about a child in any healthcare set up. Child Development Centre (CDC) or its equivalent e.g. IDEA Centre in many parts of the USA (designated centre) should be a point of direct access for such reporting. Professionals should report to their Line Managers. But to avoid the consequences of professional ignorance on the subject (item number 20 of the Pediatric Symptom Checklist [PSC] of the Bright Futures), a direct referral must always accompany. Nations will have to support the legislative framework in lieu with their respective Child Protection Agencies to empower Early Detection and Early Intervention of Sub-syndromic and Sub-threshold neuro developmental and bio-psychosocial disorders, which take up half of the office visits of the family physicians at least in three quarter of instances, where less than a fifth of the family physicians have any clue on these disorders as par current Evidence Based Medicine! This could be one of the most potent cost saving tools in Pediatric Healthcare.

Biography:

Dr. Roganovic is the Full Professor of Pediatrics, School of Medicine Rijeka, and the Head of the Division of Hematology and Oncology, Department of Pediatrics, Clinical Hospital Centre Rijeka. At the national level, she contributed to the improvement of cure rate of children with cancer, and is interacting with regulatory bodies and parent groups. Dr Roganovic is a certified member of many national and international pediatric hematological and oncological societies. She is the author of more than 300 publications, abstracts and proceedings and several book chapters. She serves as a reviewer and editorial board member for number of journals. Dr Roganovic received several awards, including Patients' Choice Award Winner for 2011 and 2015, City of Rijeka Annual Award for outstanding contribution to the lives of children with cancer and the humanization of hospital care, and University of Rijeka Foundation Award for the contribution in biomedical and biotechnical sciences.

Abstract:

During the past decades, significant advances have been made in treatment of pediatric malignancies, with more than 80% of children being cured in most developed countries. Therapy responsible for this survival rate can also produce adverse long-term health-related outcomes, referred to as late effects. Late effects manifest months to years after completion of cancer treatment. It is estimated that 60% of pediatric cancer survivors develop at least one chronic condition and almost 30% experience serious or life-threatening complications during adulthood. The common late effects of childhood cancer encompass several broad domains including growth and development, organ function, reproductive capacity and health of offspring, secondary malignancies, and psychosocial sequelae. Late effects can be anticipated based on therapeutic interventions, but the magnitude of risk and the manifestations in an individual survivor are influenced by numerous factors which are tumor-related, treatment-related and host-related. Any organ system can potentially be affected. Late effects also contribute to an excess risk of premature death among long-term survivors. Relapsed primary cancer remains the most frequent cause of death, followed by cause-specific mortality from subsequent primary neoplasms, and cardiac and pulmonary toxicity. Childhood cancer survivorship is a national public health priority. Long-term follow-up care has taken place in a variety of settings: primary care clinics (pediatrics, internal medicine, family practice), oncology clinics (pediatric and adult), and specialized long-term follow-up clinics. To facilitate survivor and provider access to appropriate follow-up care, compendium of exposure- and risk-based health surveillance recommendations has been developed, including guidelines, health links and comprehensive reviews.

Biography:

Jih-Yuan Chen completed her PhD in Nursing at the University of San Diego, USA. She has been an Associate Professor at Kaohsiung Medical University, School of Nursing, since 1984. He has presented papers at international conference and published more than 25 papers in reputed journals and has been serving as an Editorial Board Member of repute and Member of Reviewer for several journals.

Abstract:

Adolescence is one of the most complex transitions in his/her life span. Severe anxiety was derived from the conflict. With protector factors female adolescents facilitate their capability for coping and solving problems. Resiliency is the ability of the people to maintain health function under the stress environment or an unhealthy situation. The purpose of the study was to understand the correlation among health status, life-pattern, quality of life, depression and resiliency with the female adolescents and to find the predictors of resiliency. Using the instruments including the Duke Health Profile, the Center for Epidemiological Studies Depression Scales, Quality of Life Index-Self- Assessment and the Adolescent Resilience Screening Instrument assessed 269 of the female adolescents, age in 13 to 19 years old. The sampling was selected from the primary school, high school, vocational high school and dropping out of school. The result was to find the predictors of resiliency that was anxiety and social health. There was a negative or positive relationship among depression, resiliency. These results could be as the reference for the supporting group to arrange the anxiety relaxing or enforce the adaptability for the adolescents.

Biography:

Hsing-Yi Yu has completed her PhD from National Yang-Ming University and is a full assistant professor in Chang Gung University, school of Nursing in Taiwan. She is responsible for both undergraduate and graduate programs. The focuses of her studies include three main categories: “pediatric nursing “, “quality of life “, and “nursing career development”. As to her professional and scientific research publication, over 15 research papers had been published in SCI/SSCI journals. She also has been serving as a reviewer board member of repute.

Abstract:

Background: Intermittent exotropia typically occurs during early childhood. Most children undergo corrective surgery before 7 years of age to avoid negative reactions from their classmates. Parents are responsible for maintaining their child’s visual acuity and for making decisions regarding disease treatment. Few studies have addressed the experiences of parents living with children with intermittent exotropia, particularly during early childhood. Purpose: This study examined the experiences of parents living with children with intermittent exotropia in early childhood. Design: A descriptive phenomenological design was adopted for this study. Participants: Fifteen parents of children with intermittent exotropia (age, 5–7 years; agemean, 5.4 years), were recruited by purposive sampling from an ophthalmology clinic at a medical center in North Taiwan. Data were collected through semistructured interviews and analyzed using a descriptive phenomenological method developed by Giorgi. Results: The parents observed the impact of the disease on their child’s life. Uncertainty and worry about the disease caused them to be highly vigilant regarding their child’s eye position and daily life. To assist their children in coping with intermittent exotropia, the parents maintained positive and active coping strategies and assured them that the disease would resolve itself. Four themes were observed: (a) Perceptions: the effect of the disease on the physical, psychological, and social aspects of the child’s life; (b) Uncertainty: inability to perceive and comprehend the world from the child’s perspective; (c) Considerable worry: insufficient information on the disease, concerns regarding the child’s future visual acuity, negative reactions by others, concerns regarding surgical outcomes, the child’s safety when engaging in daily activities; (d) Active and positive behaviors: reassurance and reminders, preventative strategies for developing children’s positive social relationships, the construction of the child’s and parents’ psychological self, and active treatment. Conclusions: Parents of children with intermittent exotropia must learn about their child’s disease, attempt to imagine and understand the world from their child’s perspective, and develop positive strategies for assisting their child in coping with the disease. The findings of this study elucidate the experiences of parents who have children with intermittent exotropia and provide valuable insights into and directions for the clinical care of children with intermittent exotropia.

Biography:

Hüsniye Çalışır is Assoc. professor at Adnan Menderes University Aydın School of Health, Division of Nursing, Pediatric Nursing Department. She has completed her PhD at Ege University Health Science Institutes on pediatric nursing. She worked at Istanbul University Medical Hospital as nurse up to 1999. She was working at Adnan Menderes University since 2000. She is head of the Department of Pediatric Nursing. She has published 7 international papers and 14 national papers in reputed journals and has been serving as reviewers for some national journals.

Abstract:

The aim of this study was to determine hope levels and its relationship between socio-demographic variables of adolescents with thalassemia major. The universe of study, pediatric hematology outpatient clinics followed with thalassemia major adolescents 12-18 years age group and healthy adolescents both primary and secondary schools in Muğla City. The research sample consisted, 112 thalassemia major adolescents in 12-18 years age group selected with improbability sampling method (study group) and 121 healthy adolescents in 12-18 years age group (control group) matched with the thalassemic adolescents' age and gender. Research data were collected by socio-demographic questionnaire for Adolescents with thalassemia and Hopefulness Scale for Adolescents. Data were evaluated by descriptive statistics, Student's t-test, Chi-square test, Mann-Whitney U test, Kruskal-Wallis test, variance and regression analysis. There were not statistically significant difference Hopefulness Scale for Adolescents scale mean scores between the adolescents with thalassemia and healthy adolescents (p>0.05). Statistically significant difference was determined between Hopefulness Scale for Adolescents scale mean scores and educational status, family type, number of siblings, place of residence, family income, parents' age, parents' employment status and the education level of mothers of adolescents with thalassemia major (p>0.05). According to multiple regression analysis; adolescents’ fathers graduation level which elementary/ junior school was associated with lower Hopefulness Scale for Adolescents scale scores (p<0.05) and adolescents’ mothers graduation level which elementary/ junior school, being lost a close because of thalassemia, having blood transfusion in two weeks range were not associated with lower Hopefulness Scale for Adolescents scale scores of adolescents (p<0.05). According to these results, nurses should plan interventions for increasing hope levels of adolescents with thalassemia major and awareness level of health care professionals should be increased about the identification of risk factors associated with hope levels.

Biography:

Dr. Henny Suzana Mediani has completed his Ph.D from Curtin University Australia in 2014. She is Senior Lecturer of Paediatric Nursing and Vice Dean at Faculty of Nursing Universitas Padjadjaran Indonesia. She has conducted research more than 10 studies and has been serving as a reviewer board in Royal Collage of Nursing Publishing Company and Nursing Children and Young People Journal.

Abstract:

Thalassemia is a major genetic blood disorder that considered as a public health problem in Indonesia. Yet, little is known about affected individuals and parents overall experiences with and perceptions of thalassemia mayor. A total of (N=24) mothers were chosen as participants. Focus Group Discussion (FGD) was carried out to explore the concerns, beliefs and feelings of parents having a thalassemic child. A semi-structure focus group moderator’s guide corresponding to the research questions was developed. To gain in-depth understanding, questions were divided in four major domains which were (i) Belief about child disease, (ii) Knowledge about Thalassemia and its treatment, (iii) Thalassemia impact on child and family, and (iv) Needs and future concerns of child and family. Transcripts were thematically coded according to the research themes that emerged from the data, and the themes were further sorted into subthemes. The finding of this study identified significant impact of Thalassemic children on their families in terms of emotional well being, financial burden and social impact. Mother’s education level was very low about Thalassemia and its treatment. Parents also expressed their needs for more information about thalassemia and its treatment, social, professional support, and financial support. Results of this study provided a portrait of the reality that Thalassemia has a significant impact on children and their families. A holistic care approach should be carried out while caring with thalassemic children and their families. Nurses and health care professionals should explore the feelings, concerns and needs of parents who have thalassemic children and eventually provide holistic care that alleviate their suffering.

Biography:

Barbara Kegl has completed her MSc at the age of 39 years from University of Ljubljana, Faculty of social sciences. She is lecturer at the Faculty of Health Sciences for the subject pediatric nursing care, community nursing and out-patients clinic. Actively participates in many international and domestic conferences and congresses in nursing and management. The results of her scientific and research works are published in domestic and foreign journals.

Abstract:

Caring for a person has to be a core basic value of the member of nursing team, as care work is carried out by the people for the people. Caring nursing, care treatment and good interpersonal relations offer patients safety, maintaining dignity, humanity, integrity and acceptance. The empirical research is based on quantitative methodology. We used a validated questionnaire (Caring Nurse-Patient Interaction Scale) for members of the nursing team and for parents of hospitalized children. A structured survey questionnaire contained 70 claims classified in ten Caritas processes. We found out that members of the nursing team are average estimating themselves very well on all 70 claims, while parents’ estimation of their work was not so good. The study of a network of human relations that make up a part of everyday life is interesting to sociology and health care. In her theory (Theory on Human Caring Science) Jean Watson stressed the importance of care and interpersonal relationships, which are the most important in nursing, but still difficult to implement in the abundance of tasks and pressures often felt by the members of the nursing team in the workplace.

Biography:

Hala Mahmoud Obeidat, RN , PhD: assistant professor of Maternal Child Health Nursing and assisstent dean of academic affairs at Mutah University / Princess Muna College of Nursing, Royal Medical Services, Amman, Jordan. He has around 10 publications in the field of maternal child health nursing and nursing education

Abstract:

Objective: The purpose of this phenomenological study was to describe the lived experience of Jordanian Muslim mothers having their preterm infants admitted to the neonatal intensive care unit at a large Jordanian hospital in Amman, the Hashemite Kingdom of Jordan. Methods: Twenty Muslim mothers participated in audio-taped narrative interviews describing the lived experience of having their preterm infant at the neonatal intensive care unit. Results: Mothers described feeling emotional instability; living with challenges in family relationships and often feeling isolated; experiencing challenges in religious observances; finding strength through spiritual beliefs; and trying to normalize life. Conclusions: Attention should be given to cultural and spiritual dimensions of the lives of mothers with infants in the newborn intensive care unit. Family centered developmentally appropriate interventions should be implemented to promote positive psychosocial outcomes and enrich the family perspective.

Biography:

She graduated from Hacettepe University School of Nursing, in 1992. She completed PhD at Ege University School of Nursing in 2004. She became an associate professor in 2013. She worked at Hacettepe University School of Nursing between 1992 and 2000, she worked at Dokuz Eylül Ünviersity, Oncology Nursing Department between 2000 and 2013. She has six months experienced about palliative care in Calvary Hospital in USA. Currently She is working at Koç University School of Nursing. Her main research areas are “pediatric oncology” and “palliative care”. She is an active member of Oncology Nurses Association. She has numerous studies published in national and international peer-reviewed journals about palliative care. She is experienced qualitative research and scales development.

Abstract:

Although certain social and health services are provided to disabled children and their families in Turkey, respite care is not sufficient enough compared to Europea or America instutively. EÇADEM is a support centre providing relief to parents of disabled children –especially to mothers- established by nurses and instructors of Koç University. The Project, EÇADEM, developed by instructors of Pediatric Health Department of Nursing School, Koç University, realized with the support of Istanbul Development Agency. Additionally, The project and the Center are managed in collaboration with Sariyer Municipality and the Bosphorus Association for the Disabled. A director, a physcologist, an activity therapist, an administrative assistant, a support staff and 10 nurses are available in the centre. Caregivers are provided 30-hours (20 hours theoretical, 10-hours practice) disabled-caregiving education by the coordinators of the project. 60 mentally disabled children are lifted to the centre; two days for severely disabled children and two days for mildly disabled children. Each staff is responsible for 3 children. Following the breakfast activity therapist plans various ,activities such as yoga, dance, music, theatre, for children. Consultancy and psychosocial support services for mothers and healthy siblings of disabled children are included in the centre. Besides, mothers are provided education on communication skills and overcoming the stress strategies. As for the healthy siblings of disabled children, some social activities, such as taking them to the cinema or watching a play, are planned to promote their psychosocial development.

Biography:

She completed her high school education at TED Ankara College. She got graduate degree at Nursing School, Hacettepe University; master’s and PhD degrees at Health sciences Institute, Nursing School, Hacettepe University. She became an Associate Prof. at Karaelmas University, Zonguldak and Professor at Marmara University. Her interest area covers Basic Principles of Nursing and Pediatric Nursing. She has numerous studies in the field of Social Pediatry on “working children”. She is an active member of PNAE and Family Health Nurses Association. She has numerous studies published in national and international peer-reviewed journals as well as seven boks published in Turkish

Abstract:

The present investigation was planned as a descriptive study to investigate the association of some socio-demographic characteristics with mother-child relationship in mothers who have children in primary schools. The universe of the study consisted of mothers of children aged 6-12 years attending to randomly selected 2 primary and secondary schools located in Istanbul province. Mothers of all children existed in the study universe were included into the study and mothers of a total of 214 children accepting to participate into the study have constituted the study sample. Data collection was performed using Child and Mother Information Form and Parental Accoptance - Rejection Questionnaire - Mother Form. Data were collected by face to face interviews with mothers. Results demonstrated that mother’s age, educational level, number of children and monthly income have a significant negative association with rejecting behavior. Gender of the child and family type have no significant association with mother-child relationship.

Biography:

Maziah has completed her Ph.D. at the age of 34 years from National University of Malaysia and student mobility in PhD Study Abroad Attachment from University College Cork Ireland. She is the Coordinator of Master Program (Nursing). She has published more than 25 papers in reputed journals and has been serving as a reviewer for some papers on nursing management and patient safety studies.

Abstract:

This paper reports some of the findings related to obesity prevention programs that are 'child-friendly' in educating healthy lifestyle among young children. 'Child-friendly' refers to approaches designed in learning and activities that are compatible, liked and creates fun to children during the process of classroom learning. The program involved 40 children aged 3-6 years for 32 weeks in a kindergarten by using the approaches of 'child-friendly', while their parents reported the difference on health behaviors practiced by their children before and after participating in the program. The data obtained from photos and parents' report that were sent by parents through 'Facebook' Maziah's MyObes were analyzed inductively and coded using ATLAS.ti version 7.0. The study found the applicability of 'child-friendly' approaches contributed to the positive health practice behaviors of children which was 80% eat healthy and balanced diet and 32.5% do healthy physical activities, thus this proves the approach of 'child-friendly' to be the best approach in educating children about healthy lifestyle practices.

Biography:

Hamide Nur Cevik is currently a PhD Student, Department of Child Health Nursing at the Ege University Health Sciences Institute, Turkey. She is also Research Assistant at the same university in Child Health Nursing Department since 2013.

Abstract:

The purpose of this research is to investigate the mothers’ traditional attitudes and practices concerning putting the baby to sleep and their level of knowledge in Turkey. This research is descriptive. The research sample is a simple random sampling. 270 mothers who had 0-12 months old babies and were registered to the 3 Family Health Center in Turkey was determined. The data was gathered by using a survey form. The data gained was evaluated by SPSS program. This study based on ethical issues. It was determined that all the babies needed help to fall asleep. It was determined that 57.4% of mothers used traditional methods to assist in putting the babies to sleep (swinging, singing lullabies, music playback, making massage, swaddling, wrapping and covering the baby’s face with a cheesecloth), 30.4% of mothers created an appropriate environment and 12.2% of mothers fed the babies before sleep. Within the framework of the results obtained by this study, it was determined that mothers used a variety of conventional methods to put the infants to sleep. In addition, it was also found out that there were electromagnetic appliances in the room where the baby slept, babies did not sleep in the right position and the mothers did not pay attention to the baby’s sleeping position.

Biography:

Helle Terkildsen Maindal has completed her PhD in 2009 from Aarhus University, Denmark. She is an Associate Professor and the Head of the Section for Health promotion and Health Services, a novel section at Aarhus University focusing on complex intervention and health promotion e.g. Health literacy. She has published more than 40 papers in reputed journals, including new important studies in health literacy. She is affiliated to Deakin University, Australia as a scientist and has a number of positions of trust.

Abstract:

Health literacy, the ability to understand and gain access to healthcare, is a key aspect of health promotion and patient-centered healthcare. In many countries prevention, treatment and rehabilitation of chronic conditions such as cardiovascular diseases and diabetes mellitus are to an increasing extent carried out in outpatient settings and primary care. This gives the patient a more active role and thus increases the demands on the patients’ health literacy skills, and the professionals’ competences. Health literacy (HL) is defined by WHO as “the cognitive and social skills which determine the motivation and ability to gain access to, understand and use information in ways which promote and maintain good health”. This presentation will provide an overview of novel health literacy theory, models, empirical research and practical implication for nursing. New results from our studies of health literacy competencies in people with long term conditions (diabetes, cardiovascular disease, chronic obstructive pulmonary disease, musculoskeletal disorders, cancer and mental disorders), and in people with different health behavior (diet, physical activity, smoking and alcohol) will be given together with a discussion of the association between health literacy and socio-economic characteristics across these groups. The studies are based on a large Danish Population-based survey in a representative sample (1/5 of the Danish population). The studies clearly show that certain target groups have certain challenges, and call for awareness of targeting interventions based on health literacy and modifying health services e.g. existing patient education programs to reduce inequality across long term conditions.

Biography:

Naomi Lollback has completed her Bachelor of Nursing at the age of 21 years from Griffith University, Australia and has completed a Postgraduate Certificate in Advanced Practice Nursing from the University of Queensland. She is a Clinical Nurse in the Coronary Care Unit at the Princess Alexandra Hospital, Brisbane Australia, and has worked in the acting role of Electrophysiology and Pacing Clinical Nurse Consultant for the last two years. She has published two papers in reputed journals.

Abstract:

Introduction: External DC cardioversion (EDCCV) is standard procedure for treatment of tachyarrhythmias. Objective: A review of an outpatient-based cardioversion service led by a cardiac trained electrophysiology and pacing nurse consultant (CNC). Methods: A review of patients (pts) referred from the general hospital population was undertaken from 2006-2015. Patients were included only if they had adequate, continuous anticoagulation monitored by the CNC in the 3 weeks prior to EDCCV and reviewed in a preadmission clinic where informed consent was obtained by a junior cardiology registrar. The CNC directed all procedures as day cases in a high dependency cardiac monitoring unit in the presence of an anaesthetist and a trainee cardiology registrar. A consultant cardiologist attended patients with a pacemaker or defibrillator. Results: EDCCV was performed in 729 patients, 74% males, median age 65 yrs (range 23-95) in whom 73% had atrial fibrillation and 27% atrial flutter. Biphasic external shock, range 50-200J, was applied with an anterior posterior vector. The mean shock energy was 155J with a mean number 1.35+0.16 (range 1-4) per patient. The success rate was 89%. Patients were usually discharged within 4 hours but 13 required admission: 1 asystole requiring external pacing, 5 admitted for sinus bradycardia, 1 for bronchospasm and hypotension, and 5 for temporary heart block needing monitoring. One patient suffered a CVA 12 hours post procedure. There were no deaths or other serious morbidity. Conclusion: An EDCCV service run by a trained experienced electrophysiology nurse in a monitored environment is safe and effective.

Biography:

Claudia Fischer has completed her Ph.D. at the Erasmus Medical Center in Rotterdam, the Netherlands. She has a background in Health Science (specialized in lifestyle and chronic disorders), Public Health and Health Care Management. Her main research focus is on outcomes research and quality of care. She presented at numerous international conferences, published in reputed scientific journals and has been serving as a reviewer in different peer-reviewed journals. Currently, Claudia Fischer is working as a research scientist at Philips Research in Cambridge, UK.

Abstract:

In recent years, readmission rates have been increasingly used as a measure of quality of hospital care for patients with heart failure. The aim of this systematic review is to assess the scientific evidence regarding the relation between hospital readmission rates and quality of hospital care for patients with heart failure. We defined quality of hospital care for patients with heart failure by adhering to the performance measures developed by the American College of Cardiology (ACC)/American Heart Association (AHA). Relevant articles published in English and indexed in the bibliographic databases Embase, Medline OvidSP, Web of Science, Cochrane Central, and PubMed were reviewed. Of the 2,638 studies identified, 18 were included. They varied widely in their methodology, data sources used, and study populations. We found mixed but rather limited evidence that there is a relationship between the ACC/AHA process measures and the rate of readmission. Four of 10 studies showed a significant correlation of readmission rate with "angiotensin-converting enzyme inhibitor/angiotensin receptor blocker use." Three of 9 studies showed a significant correlation between readmission rates and "evaluation of left ventricular systolic function." One of 7 studies showed a significant correlation with "smoking cessation counseling," and 2 of 8 showed a significant correlation with "providing discharge instructions." No evidence was found for a relationship between readmission rates and the performance measure "warfarin for atrial fibrillation. In conclusion, readmission rates after heart failure are mostly not related to the tested indicators. It is unclear whether in-hospital quality of care is the key determinate of the readmission rate or whether readmissions are likely influenced more by post-discharge care.

Biography:

Professor Fatma Demir Korkmaz has completed his PhD Ege University Nursing Faculty in 2003. She has published more than 16 papers in international journals and has been serving as an reviewer in some of the nursing journals

Abstract:

The aim of this descriptive study was to investigate hope, depression and social suppot level of the patients awaiting heart vessel surgery. The sample consisted of 185 patients over 18 ages accepting volunteerly to enter the study. Data were collected using socio-demographic form, Hert Hope Scale, Multidimensional Scale of Perceived Social Support and Beck Depression Scale between May 2014 to May 2015 by the researchers at a university hospital's heart vessel surgery clinic in Izmir, Turkey. IBM SPSS Statistics 21 programme was used to evaluate the data. Number percentage, Mann-Whitney U and Chi-square, correlation and multiple regression analyssis were performed. Mean age of patients were 59.96±13.27 (min:18, Max:85) and 129 of them were male. The mean depression, hope and social support levels of patients were found as 11.96±1.88, 68.07±1.11 and 73.07±1.00 respectively. It has been found that depression, social suppport and education status effected the hope (R2=0.403) That the hope, social support and marital status affected the depression(R2=0.350), were found. In conclusion patients awaiting heart and vessel surgery have mild depression, high hope and social support levels.

Biography:

Jennifer Kitchens completed her MSN in Adult Health Clinical Nurse Specialist (CNS) and her BSN from Indiana Univeristy School of Nursing (IUSON). She currently works as a CNS at Eskenazi Health, is a Clinical Instructor for Western Governors University, and Adjunct Faculty at IUSON. Jennifer has presented at both national and international conferences and has published. She is currently serving as co-chair of the Indianapolis Coalition for Patient Safety Heart Failure Workgroup. Jennifer is certified in Adult Health CNS and Cardiovascular Nursing. In 2014, she was awarded NACNS Precpetor of the Year, and the AACN’s Nurses Continuing Professional Development Scholarship.

Abstract:

Background: Heart failure (HF) readmissions can lead to poor patient outcomes, escalated healthcare costs, and are indicative of inadequate management or gaps in care. The average cost of a HF readmission is $13,000. Interdisciplinary collaboration to improve care transitions is one way to reduce HF readmissions. Purpose: The purpose was to improve heart failure care transitions and reduce hospital readmissions of patients diagnosed with HF within 30 days of discharge through a citywide interdisciplinary collaboration. Methods: A citywide coalition for patient safety workgroup that included multidisciplinary representatives from hospitals, skilled nursing facilities (SNF) and home health care agencies (HHCA) collaborated to reduce heart failure readmission rates through a four-phased community-wide effort. Phase 1: Improving preventable HF readmissions by better medication management; early follow-up care; symptom management; post-discharge care management. Phase 2: Implementing minimum care standards for treatment of patients with HF in SNF. Phase 3: Improving verbal handoff communications for patients transferred from hospitals to SNFs. Phase 4: Implementing minimum care standards for treatment of patients with HF in HHC. Results: HF readmission rates for HF (including all patients city-wide, not just Medicare) was 7.37% in 2010 compared to a post-program rate of 4.92% in 2014. HF readmission rates for any reason (including all patients city-wide, not just Medicare) was 16.75% in 2010 compared to post-program rate of 13.93% in 2014. Feedback to the workgroup from the community partners demonstrated satisfaction with the program. Conclusions: City-wide interdisciplinary collaboration among representatives of hospitals, SNF and HHC led to reduction in readmissions for patients with HF.

Biography:

Ayman K M Hassan has completed his PhD in Interventional Cardiology from Leiden University Medical Centre; The Netherlands after finishing his Master studies from Assiut University School of Medicine. He was nominated as the Vice-Director of Assiut University Hospitals and the head of a new health care quality unit. He has published more than 20 papers in reputed journals and has been serving as an Editorial Board Member of repute. He is the founder of e-learning courses for under-and post-graduate students. Also as an experienced interventional cardiologist he pushed the field forward by practicing difficult cases.

Abstract:

This study was performed to evaluate the safety and efficacy of a locally designed Assiut femoral compression device (AFCD) versus manual compression (MC). Femoral compression devices have been developed thorough the past decades without being strongly implemented in the catheterization laboratory. Their limited adoption reflects concerns of high cost and conflicting data regarding their safety. This was a prospective study. We enrolled 206 consecutive patients undergoing diagnostic coronary angiography From July, 2012 to April, 2013. They were divided into two groups: 100 patients used AFCD and 106 patients used MC for arterial hemostasis. Both groups were comparable regarding baseline characteristics. Concerning the primary effectiveness end point, there was no difference in the mean time-to-hemostasis with AFCD (12.5 ±3 min) vs. MC (13 ±2 min, p=0.4). As regards safety, none of our research population experienced major adverse events. No complication was new or unanticipated, and the type of complication did not differ between the two groups. The incidence of vagal episodes were comparable between both groups (3 patients (3%) in AFCD vs. 2 patients in MC (1.8%); p=0.2). The use of AFCD was associated with similar occurrence of minor complications, mainly ecchymosis and oozing, compared with MC (27% vs. 27.4%, p=0.8). Large hematoma >5 cm was noted only in 1 patients (1%) in the AFCD arm vs. 2 patients (1.8%) in the MC arm (p=0.8). In conclusion, our results indicate that AFCD is a simple, safe and effective alternative to MC for hemostasis following diagnostic coronary angiography.

Biography:

Hawazen Rawas has completed her PhD in 2015 from Queensland University of Technology, School of Nursing, Australia. She is the Assistant Professor at King Saud bin Abdulaziz University for Health Science, Jeddah, Saudi Arabia.

Abstract:

Cardiovascular disease (CVD) is a major health problem in Saudi Arabia as well as in other highly developed countries. Notably, 46% of all deaths in Saudi Arabia occur as a result of CVD. The aetiology of CVD within the Saudi population is similar to that of Western countries with atherosclerosis, hypertension, coronary heart disease and diabetes mellitus highly prevalent with the main risk factors being smoking, obesity and physical inactivity. While there has been a focus on some of the risk factors (smoking and obesity) in Saudi Arabia, there is a paucity of research on secondary prevention practices and the health-related behaviors for Saudi people following a recent cardiac event. This study examined the health-related behaviors of Saudi people following a recent cardiac event, and identified the factors that influence these behaviors, using McLeroy et al.’s (1988) Ecological Model of Health Behavior as a guiding framework. Overall, this study revealed the importance of developing a secondary prevention program for this population. There was a high prevalence of cardiovascular diseases risk factors. The study also revealed the importance of a targeted educational approach and increasing the knowledge and awareness among Saudi cardiac patients in aiming to support behavioral change. The study identified that the knowledge and attitudes of participants were significant factors at an intrapersonal level that influenced their health behaviors. The study also identified that the services and resources in secondary prevention programs for the participants were also significant predictors at the organizational level with regard to developing and maintaining healthy behaviors. The study also identified that factors at interpersonal, community and public policy levels were influenced engagement in health-related behaviors. The present study also confirmed the importance of supportive services in all areas, particularly in areas of physical, emotional and social well-being, to improve patients’ health-related quality of life.

Biography:

María del Pilar Sosa Rosas has completed his Ph.D. in Nursing Science, 12 years of experience in the care of the cancer patient, 30 years of experience as a nursing teacher at the National School of Nursing and Midwifery of the National Autonomous University of Mexico, associate professor in the division of professional studies, has been responsible for four research projects, she has given national and international conferences related to topic of oncology, she has written several national and international articles and is part of the portfolio of evaluators of the Mexican Council for Accreditation Nursing AC (COMACE).

Abstract:

Cancer is one of the illnesses which provoke more deaths in the population in a world level. This illness it affects not only the body, (subject-object which we the nursing professionals care an which low is what we have reflected on), also the psychology and spirit of the person. To initiate a philosophical reflection on the body of the person with cancer, involves the need for to engage into the different concepts of the body so that it is comprehended from the philosophical point the view that the body is a subject which requires company during its care, from the comprehension of the functioning of that different body, result of the treatment used for its healing, because it is not easy to accompany a mutilated body due to a surgical treatment, to understand that it was a treatment to save its life, but it affects the daily activities which are the engine of the human being. Nursing is a corner Stone during the treatment of the persons with cancer, because this oncology illness process gives to the emergence of a different person but willing to continue existing, independently of the transformations of the body and its relation to the environment.

Biography:

Dr. Brendan Noonan trained as a General Nurse in Limerick University Hospital and attained his MSc in Clinical Nursing and Doctorate in Nursing (DN) in University College Cork. Since 2005, he has worked as a lecturer, researcher and practitioner in the Catherine McAuley School of Nursing and Midwifery University College Cork and the South Infirmary-Victoria University Hospital Cork. Brendan is an active member of the cancer research strand within the school. His research interests pertain to the experience of cancer, with a specific focus on the entire cancer trajectory and the supports required throughout. Brendan supervises MSc students for their research dissertation and has published widely in the international literature.

Abstract:

Background: The treatment of oral cancer is complex and lengthy. Curative treatment implies a combination of surgery, radiotherapy and chemotherapy. The main goal of treatment is to guarantee long-term tumour free survival with as little functional and cosmetic damage. Despite progress in developing these strategies, cancers of the oral cavity continue to have high mortality rates that have not improved dramatically over the past ten years. Aim: The aim of this study was to uniquely explore the dynamic changes in the physical, psychological, social and existential experiences of newly diagnosed patients with oral cancer at two points across their cancer illness trajectory i.e. at the time of diagnosis and at the end of treatment. Methodology: A qualitative prospective longitudinal design was employed. Non-probability purposive sampling allowed the recruitment of 15 participants. The principal data collection method used was a digital audio taped semi-structured interview along with drawings produced by the participants. Analysis: Data was analysed using latent content analyses. Summary: Three ‘dynamic’ themes, physical, psychosocial and existential experiences were revealed that interact and influence each other in a complex and compound whole. These experiences are present at different degrees and throughout the entire trajectory of care. Patients have a number of specific concerns and challenges that cannot be compartmentalised into unitary or discrete aspects of their daily lives. Conclusion & Implications: An understanding of the patient’s experience of their illness at all stages of the disease trajectory, is essential to inform service providers’ decision making if the delivery of care is to be client centred. Dynamic and fluctuating changes in the patient’s personal experience of the cancer journey require dynamic, energetic and timely input from health care professionals.

Biography:

Susanne Hellerstedt Börjesson is a registered nurse and PhD-student at the Inst. for Public Health and Caring Sciences, Uppsala University. Experiences of chemotherapy-induced pain (CHIP) in women treated with adjuvant treatment for breast cancer is in focus for her research. In one mixed method study she captured experiences of CHIP in women with breast cancer and CHIP impact on daily life during treatment. In a second study she made a follow up interview with the same women one year after completed treatment. This to investigate their memory of CHIP any residual pain as well as their thoughts of residual pain in the future

Abstract:

Background: Breast cancer survivors make up a growing population facing treatment that poses longstanding side-effects including chemotherapy-related body function changes and/or pain. There is limited knowledge of patients’ lived experiences of chemotherapy-induced pain (CHIP). Objective: To explore CHIP and any longstanding pain experiences in the lifeworld of breast cancer survivors. Interventions/Methods: Fifteen women participated in a follow-up interview a year after having experienced CHIP. They were interviewed from a lifeworld perspective; the interviews were analyzed through guided phenomenology reflection. Results: A past perspective: CHIP is often described in metaphors, leads to changes in a patient’s life world, and impacts lived time. The women become entirely dependent on others but at the same time feel isolated and alone. Existential pain was experienced as increased vulnerability. Present perspective: Pain engages same parts of the body, but at a lower intensity than during CHIP. The pain creates time awareness. Expected normality in relationships/daily life has not yet been achieved, and a painful existence emerges in-between health and illness. Future perspective: There are expectations of pain continuing and there is insecurity regarding who to turn to in such cases. A painful awareness emerges about one’s own and others’ fragile existence. Conclusions: Experiencing CHIP can impact the lifeworld of women with a history of breast cancer. After CHIP, there are continued experiences of pain which trigger insecurity about whether one is healthy. Implications for Practice: Cancer survivors would likely benefit from communication and information about and evaluation of CHIP.

Biography:

Salima Ouahrani Djermoune obtained his magister in Galenic pharmacy at the age of 28. She was educated in post graduation at the University of Algiers in pharmacy school. She has worked in the pharmaceutical industry for 10years. she held several positions responsability (production manager, technical director and director of regulatory and quality assurance business). She undertook to do his doctorate in pharmaceutical technology in hospital to 42 year old. She received her doctorate from the University Saad Dahlab Blida in Algeria to 46 years old. Today she is head of department of Galénic pharmacy department of the University Hospital of Blida.

Abstract:

The Concord study published in the journal Lancet Oncology in July 2008 on the future of oncological diseases which covered 1.9 million people from 31 countries study led us to analyze the vulnerability of anticancer drug therapy in Algeria countries reported to have the lowest survival rates at 5 years of the study. The aim of our study was to contribute to improve the anticancer drug management in hospitals, by a prospective risk analysis. We analyzed the existing process at the Amine Zirout clinic, part of the University Hospital Beni Messous, Algiers, Algeria by the Failure Modes and Criticality Effect Analysis (FMECA) method. . The process has been described, the risks have been identified, the criticality indexes (CI) calculated, the causes of identified deficiencies and the impact of improvement measures estimated by an interdisciplinary group of experts (doctors, pharmacists and nurses). The sum of the CI of 30 identified failure modes was estimated to be 6511 in a decentralized system. The main causes identified were related to an insufficient regulatory basis to secure the clinical cancer chemotherapy process in Algeria. The estimation of the impact (‘‘FMECA after’’) of an organization in a centralized system gave a sum of CI = 4648 and computerization of various stages gave a sum of CI = 3154 suggesting a otential 50% security gain of the criticality of the process. Our study was the starting point of an active and dynamic continuous analysis and risk reduction approach at the Amine Zirout clinic (Algiers, Algeria). On the other hand, it will allow recommendations to secure by regulation the cancer chemotherapy process and the adequate training of those responsible for the anticancer drug process and re-engineering in a centralized and computerized system, which means economic efficiency and safety improvement for the institution.

Biography:

Sevgi Turkmen has completed Ph.D at the Ege University-Turkey, in 2011. She was born in 1978. She is working as an assistant professor at Department of Mental Health and Diseases Nursing in Celal Bayar University School of Health-Turkey. She is the president of Department of Mental Health and Diseases Nursing. She has published more than 20 papers in reputed journals.

Abstract:

Today, Cancer is one of the most important health problems at risk of dying; fear, hopelessness, guilt, helplessness, the abandonment, anxiety, panic, involving death and uncertainties is a disease. There are medical and psychosocial factors that play a role in adaptation to disease of with cancer patients. It is that the most important of the signs and symptoms of disease, treatment regimen, previous experience of the disease, the threat posed to the age periods of disease levels, support systems, disease-related cultural attitude, personality and are coping power and skill. In patients with cancer diagnosis, treatment and post-treatment phase may be encountered in many different psychological reactions. Ä°n the diagnosis stage can be seen disbelief, denial, anxiety, anger, rebellion and patients with cancer may refuse treatment denying the disease. During diagnosis, disbelief, denial, anxiety, anger and rebellion can be seen and may refuse treatment denying the disease. In this case, without destroying the hopes of patients to accept treatment and tell the truth to ensure the continued, empathy, attention, understanding and support must be provided. Disease threatens the role in life and self-esteem, independence, competence, autonomy of the individual in the future. Cancer patients need psychological, emotional and social support. Nurses have an important role in the process recognizing of their condition of cancer patients. The role in the maintenance process, which may affect patient's quality of life by contributing to the increase his motivation and morale, can speed the patient's recovery, may facilitate his acceptance of treatment that can lead to positive results.

Biography:

Dr. Özlem Aslan completed his PhD at the age of 32 years from Gülhane Military Medical Academy School of Nursing. Her dissertation was on oncology nursing. She has published more than 10 papers in reputed journals. She is Associate Professor and the Chief of Fundamentals of Nursing Department in School of Nursing at Gülhane Military Medical Academy.

Abstract:

Nutritional problems lead challanging situations in cancer patients. Nurse’s role is crucial in nutrition with health care team. Experiences of oncology nurses during nutritional process of cancer patients are not sufficiently addressed. The aim of this study was to describe and understand the experiences of oncology nurses concerning nutritional process of cancer patients. A descriptive phenomenologic design was used to understand the experiences of oncology nurses. Semistructured interviews were conducted with nine oncology nurses from an education and research hospital. Interviews were recorded digitally and transcribed verbatim. Data were analysed using Colaizzi method. Four main themes concerning experiences of oncology nurses were practices, suggestions, positive experiences and negative experiences. They coordinated the nutrition with health care team. They gave nutritional suggestions. Positive experiences were on routine clinical practices, environmental arrangements, patient preferences, team work and contributions of family caregivers. However, they didn’t assessed patients systematically for nutrition. Patient’s symptoms, nurse’s feeling of helplessness and insufficiency, poor nutritional status and poor communication with inpatients were negative experiences. The results provided health care professionals a benefical information to understand the experiences of nurses regarding nutritional process in cancer patients. Health care professionals should 1) be aware of experiences of oncology nurses communicating with patients for the longest period of time during care process, 2) use these experiences to plan and implement the high quality of nutritional care during cancer trajectory.

Biography:

Abstract:

BACKGROUND: O6-methylguanine-DNA methyltransferase (MGMT) protein expression using immunohistochemical analysis was proposed as a prognostic marker for patients with newly diagnosed glioblastoma (GBM) who treated with radiation therapy with concurrent and adjuvant Temozolomide(TMZ). METHODS: From April 2012 to October 2014, 73 patients with newly diagnosed GBM, MGMT protein expression was analyzed in formalin-fixed, paraffin-embedded tumor specimens. Patients received the radiation therapy plus concomitant and adjuvant TMZ chemotherapy. RESULTS: For the whole cohort, the median overall survival (OS) was 15 months, and the progression-free survival was 10 months. Patients who had low MGMT protein expression (≤15%) had a significantly improved OS and PFS compared with patients who had high MGMT expression (17.0 months vs 14 months; P value .006) and (15.0 months vs 10 months; P value .016) respectively. The age and extent of tumor resection were the strongest clinical predictor of outcome. In multivariate Cox models MGMT protein expression, extent of tumor resection and age were identified as independent prognostic factors. CONCLUSIONS: MGMT expression was identified as positive prognostic factor in patients with newly diagnosed glioblastoma who underwent surgical resection followed by adjuvant radiotherapy and concomitant oral TMZ chemotherapy (the Stupp protocol).

Biography:

Sanaa Ali El-benhawy has completed his Ph.D at the age of 30 years from Alexandria University, Egypt. She is lecturer of Radiation Sciences. She is teaching many courses such as radiation protection, exposure to radiation and radiation chemistry for master degree and Ph.D students. She has published more than 10 papers. She has supervised on many master and Ph.D theses.

Abstract:

Background: There are evidences of association between occupational radiation exposure, cytogenetic alterations and the increase in cancer rates. It is known that the probability of carcinogenesis is greater in populations exposed to radiation, since ionizing radiation can raise the frequency of chromosomal aberration and spontaneous mutations. Objective: Our purpose was to assess the role of chromosomal aberrations and oxidative DNA adduct 8-hydroxy-2-deoxyguanosine (8-OHdG) as biomarkers of radiation injury in individuals occupationally exposed to ionizing radiation. Subjects and Methods: Blood samples were collected from 60 radiation workers and 30 healthy volunteers age and sex matched as control group who had never worked in radiation-related jobs. Chromosomal aberrations in peripheral blood lymphocytes were assayed by conventional cytogenetic technique and serum levels of 8-OHdG was measured by enzyme linked immunossorbent assay (ELISA). Results: The incidence of all types of chromosomal aberrations was significantly higher in all exposed groups than in controls with the highest rate of chromosomal aberrations in the industrial radiographers. Serum 8-OHdG in all radiation workers was significantly higher than in control group. There was a significant higher values among industrial radiographers compared to diagnostic radiologists or radiotherapists. Significantly lower mean corpuscular volume (M.C.V) was found among radiation workers versus the controls reflecting erythrocyte microcytosis. Conclusions: Scoring of chromosome aberrations such as breaks, fragments and dicentrics is a reliable method to detect previous exposure to ionizing radiation. This type of monitoring may be used as a biological dosimeter instead of physical dosimetry.8-OHdG is a useful oxidative DNA marker among radiation workers and those exposed to environmental carcinogens.

Biography:

Isabelle Brault, RN, PhD, is an Assistant Professor in the Faculty of Nursing of the Université de Montréal. She is a researcher at the Quebec Nursing Intervention Research Network and at the Université de Montréal Public Health Research Institute. e. She is the leader of an interfaculty interprofessional education curriculum on collaboration in health care in the Faculty of Nursing. She is also the vice president of the Interfaculty Operational Committee for Interprofessional Education on Collaboration and Partnership in Care at the Université de Montréal. Her main research field focus on evaluative research in interprofessional education, collaboration, partnership in care, nursing administration, clinical governance as well as knowledge transfer.

Abstract:

Despite numerous initiatives to improve transitional care for patients with chronic diseases such as cancer, clinical teams and patients still encounter some difficulties during these transitions. Challenges persist in health care transfers, follow-up, support and communication between health care professionals. To address these issues and to facilitate access to best practices our research team has developed a web 2.0 Knowledge Exchange Portal. This presentation aim to outline the development and implementation processes of the web Knowledge Exchange Portal. The Knowledge Exchange Portal (KEP) is an interdisciplinary online platform that brings together researchers, nurses, doctors, decision-makers and patients in a new space to share scientific and experiential knowledge and improve discharge and care transition planning in oncology.This study uses a participative methodology and is conducted in six clinical settings that span the continuum of care in oncology. Patient partners are an integral part of the implementation process, as active participants rather than in a simply advisory role. Our results shows that the knowledge exchange network has improved transitions between the different phases of the care continuum. The co-construction of knowledge stemming from this clinical research study should lead to a renewal of clinical practices and thus guide clinical decision-making in multidisciplinary teams and patients.

Biography:

Prof Priscilla Reddy holds a PhD from Maastricht University (NL), an MPH from the University of Massachusetts (USA) and a BSc degree in nursing from the University of Cape Town (SA). She has supervised more than 15 PhD students. She holds several prestigious awards for academic excellence. She has conducted research as a PI in maternal and child healthcare, NCDs, tobacco control, youth rick behaviours, etc. with grants from reputable funders such as the British MRC, Wellcome Trust, CDC, and NIH RO1 grants. She has published extensively in peer-reviewed journals and has been serving as a reviewer for number of peer-reviewed journals. She has served on a number of national and international committees as a board member, including the Academy of Science of South Africa (ASSAf), McMaster University / Maastricht University Global health Programme; and served on expert panels for the Institute of Medicine of the National Academies of Science of the USA (IOM), National Committee for Health Research, World Health Organization Health Promotion Glossary Reference Group, International Presidential AIDS Panel established by the President of South Africa, to name a few.

Abstract:

Provision of efficient emergency obstetric care is critical in maternal and child healthcare (MCH) services. The purpose of this paper is to determine the association between education and skills training related to MCH for the provision of adequate neonatal care in South Africa (SA). A self-administered questionnaire was used in this cross-sectional study; to assess healthcare professionals’ education, continuous professional development (CPD) training, and the provision of adequate and sufficient care for the neonates in the MCH services. Descriptive statistics and Pearson’s correlation analysis were used to analyze the data, and to ascertain the associations between the measures. Of the 193 respondents, 65.1% were working as registered nurses, whilst 30.8% were registered midwives, the remainder were either staff nurses or enrolled nurses. Certain basic and essential protocols, such as assessing and recording the Apgar score in all neonates at 2 and 5 minutes after birth, were not always conducted at deliveries. There was a significant positive correlation between a CPD training and provision of basic obstetric care for the neonate (r = 0.81). CPD training is a critical intervention in obstetric services where updated knowledge of protocols is necessary to identify and manage high-risk pregnancies and provide efficient neonatal care. A training programme that imparts the correct knowledge and that improves the clinical skills of both registered midwives and nurses, will help reduce the maternal and infant mortality rates in SA.

Biography:

Susette Brynard is currently a lecturer in Education Management at the University Free State, South Africa. Previously she was Head of the Department Natural Sciences, Bloemfontein College of Education. She was born in South Africa and graduated at the University Free State to receive a B. Sc.-degree. While lecturing Biology at an Education College she commenced her studies at the University of the Free State, where she received the B Ed (honors) and M Ed Degrees Cum Laude and then her Ph.D. She received numerous awards during her studies and published two papers on the Education and development of Down syndrome learners. She has been involved in creating opportunities for Down syndrome children and provided support for parents and families with Down syndrome children for many years. She is doing ground-breaking work on the role of parents in the education of Down syndrome learners.

Abstract:

The aim of the paper is to illustrate the important role that parents can play in the education of learners with Down syndrome (DS). A literature review was done to obtain background information on the concept DS and on the history and possibilities of education for learners with DS, as well as on the role of the parent in the education of learners with DS. A qualitative case study, focusing on the narrative approach was implemented to illustrate the management of the educational opportunities and thus, the self-fulfillment of all learners with DS. The educational history of an academically successful girl with DS was followed in order to establish what lay behind her success. From the findings it can be deduced that parents and educators should collaborate to enhance the educational opportunities of learners with DS. The contribution this article makes is to convey to educators and parents the important role they can play in the advancement of the education of learners with DS, as a possible way to give these learners a better chance to live a meaningful life. The assumption is that if learners with DS receive optimal stimulation and encouragement from their parents and teachers in collaboration with one another, from an early age, their educational skills and self-fulfillment will benefit to a large extent. This will improve their opportunities to become valued human beings.

Biography:

Shona Hamilton qualified as a nurse and then a midwife in Belfast and has worked in a variety of posts within the nursing midwifery profession. Her professional and academic interests lie in public health, intrapartum care and perinatal mental health. Shona currently works as a Consultant Midwife in Northern Health and Social Care Trust and Queens University Belfast. Shona is involved in the current Maternal Mental Health Alliance Campaign on maternal mental health.

Abstract:

This Regional Pathway has been implemented throughout Northern Ireland in five Health and Social care Trusts. It was developed by a multi-professional group with the support and direction of the Public Health Agency (NI). It is intended that the care pathway will facilitate a consistent regional approach for all pregnant and postnatal women in Northern Ireland. Mental ill health, complicating pregnancy and the postpartum year, is relatively common. In some cases this illness may be of a serious nature and may have long lasting effects, not only on maternal health, but also on child development and family relationships. Women with pre-existing mental health illness may have a relapse or recurrence of their illness following childbirth. Women who previously have been symptom free may have an elevated risk of suffering from a mood disorder particularly the more serious mood disorders in the postnatal period. Puerperal psychosis in the UK has an overall incidence of 2:1,000 births (Jones, 2010). The group recognized that the antenatal period offers professionals a unique opportunity to screen for risk factors associated with maternal mental ill health and thereby ensuring appropriate early interventions are provided, including referral to the best available services. Identifying and treating mental ill health is not only beneficial for the woman but also for the future health and wellbeing of her child and the family unit as a whole. A regional training strategy provided the support and education during the implementation phase and the pathway is now an integral part of midwifery practice.

Biography:

Zekiye Karaçam is a Professor at Adnan Menderes University Aydin School of Health, Division of Midwifery. She completed her PhD in Obstetrics and Gynecology Nursing from Hacettepe University Health Science Institute. She worked at Hacettepe University as Lecturer and nurse up to 2004. She worked at Adnan Menderes University since 2004. She is head of the Department of Midwifery. She has published 16 international papers and 21 national papers in reputed journals and has been serving as reviewers for some international and national journals.

Abstract:

The aim of the study was to examine the content and quality of the intrapartum care services in vaginal births in the example of a government hospital in Turkey, by use of the Bologna Score. This cross-sectional study was performed between January 2013 and December 2014, in Aydin Maternity and Children Hospital, Turkey. The sample of the study included 303 Turkish women gave birth normal vaginally delivery using convenience sampling. Data were collected with a questionnaire prepared by the researchers and Bologna Score. Descriptive statistics were used for all variables. The mean age of women was 25.14±5.37 and 40.5% of women were in first-time mothers. Of the women 7.3% had not the spontaneous onset of the labor and 45.2% were admitted in the latent phase to the hospital, 76.6% were applied enemas, 3.3% had epidural anesthesia, 2.6% gave birth with the help of vacuum extraction and episiotomy were performed on 54.1% of the women. Twenty three point eight percent of the women had spontaneous laceration requiring stitches. Two infants had an Apgar score <7 at 5 minutes after birth. When evaluated the quality of intrapartum care using the Bologna Score, in 92.7% of women labor began as spontaneous, all deliveries were assisted by midwives and doctors, 7 women had a companion, and non-supine position was used for 1 woman. Percent of a partograph use was 72.6, bonding between mothers and their infants was started within one hour after birth for 82.5% of women. Induction of labor was used for 76.6% of women and fundal pressure was applied to 27.4% of women. This study revealed that there was insufficient quality of intrapartum care in vaginal deliveries. To improve the mother and infant health, intrapartum care services should be reorganized according to the World Health Organization's recommendations and evidence-based practice.

Biography:

Hande DAG has completed his PhD at the age of 29 years from Ege University Institute of Health Science. She had worked in Ege University Faculty of Nursing, as a Research Assistant between 2008- 2015. She has published more than 16 papers in journals about infertility, hysterectomy, amniocentesis, discharge readyness after birth subjects. She has Internatıonal Certıfıcate On Laboratory Anımal Science, attend Combating Youth Violence-Education, in England, in 2012; 'Training Course on Sexual and Reproductive Health of Adolescents' of ICC & UNFPA in Bilkent, Ankara, 2009; Erasmus programme and worked in Copenhagen/Denmark as a nursing student in 2007.

Abstract:

This study was performed by using qualitative and phenomonological research methods and aimed to determine the stressors experienced by infertile women, the effects of identified stressors and the responses given to this stressors according to Neuman Systems Model (NSM) through in-depth interviews. Qualitative and phenomonological research method were used in this study. This research was carried out with volunteer 15 primer infertile women who were experienced treatment failures and choosen according to homogeneous and criterial purposive sampling methods by using in-depth interviews in Infertility Research and Practice Center (IRPC) of an university hospital from December 2012 to 2013. Participants received an informed consent forms before interviews were conducted. In data analyzing, content analysis method and Nvivo 10 software programme were used. The stressors which were experienced by infertil women were divided into two groups such as Internal and External stressors and their effects on women were investigated in Core Response group. Inside the Internal Stressors group Intrapersonal Stressors which contain 11 sub-themes were found. In External Stressors Group such as main themes of Interpersonal Stressors and Extrapersonal Stressors were determined. Interpersonal Stressors contain 4 and Extrapersonal Stressors contain 7 sub-themes. Certain themes for Core Response Group such as Psychological Reactions, Physical Reactions and Defense Mechanisms themes were determined. Using NSM in this classification was found appropriate. Nurses should use this classification to evaluate the stressors of infertil women and care them in this direction.

Biography:

Simge Zeyneloglu is an Associate Professor of Faculty of Health Sciences, Department of Nursing at Gaziantep University.

Abstract:

This study was conducted in order to determine the opinions of women who had a cesarean delivery (CD) and the problems that they faced in the postpartum period. This descriptive study was conducted with 337 women who delivered babies by cesarean section in order to determine the opinions and problems of women towards cesarean delivery. The data were collected using a semi-structured questionnaire. The results of the study showed that 53.4% of women underwent cesarean delivery for the first time and 83.1% said that it was the obstetrician’s decision to have a cesarean delivery. More than half of the women (61.1%) had a negative experience with cesarean delivery due to postpartum pain (44.7%) and inability to care for their infant (35.9%). The most common problems associated with cesarean delivery were postpartum pain (96.1%), back pain (68.2%), problems passing gas (62.0%), bleeding (56.1%), feeding problems (49.6%) and limitation of movement (43.6%) respectively. Understanding the opinions and problems of women towards cesarean delivery assists healthcare professionals in identifying better ways to provide appropriate care and support.

Biography:

Evrim Celebi has completed her PhD on public health nursing from Firat University. She is working as assistant professor in Firat University Faculty of Health Sciences.

Abstract:

Background: University students spend most of their time in their schools, and the university environment may affect students' nutrition and physical activity. On the contrary, midwifery students are an important part of health labor and should be a role model for individuals they serve in terms of positive health behaviors. Objectives: This descriptive study aimed to determine physical activity levels of students in the Firat University, Faculty of Health Sciences, Department of Midwifery. Methods: The entire study population was included without sampling, and the study was conducted on 262 students (88.8%). Personal information form and short form of the International Physical Activity Questionnaire were used to collect data. The data were analyzed using the statistical package with a chi-square test Results: Of the midwifery students, only 4.6% were active at a sufficient level, 63.4% were active at a low level, and 32.1% were physically inactive. The physical activity levels of the students were analyzed according to their age, year in the university, and body mass index. The distributions were found to be similar to each other. Conclusion: Approximately three fourths of the midwifery students in this study were found to have normal body weight but insufficient physical activity levels.

Biography:

Working as Professor at College of Nursing at Umm Al Qura University, Makkah, Saudi Arabia. She holds Doctor of Philosophy in Nursing from India and she pursued her Post-doctoral Nursing administration degree from USA. With more than twenty years of experience in nursing education, she held national credentials as a Member, Inspection committee in Indian Nursing Council, State Nursing Council and the T.N.Dr.M.G.R.Medical University from 2001 to 2012.She was awarded as best teacher in Nursing education in 2012 from the T.N.Dr.M.G.R.Medical University. She published more than 30 of her Article in national and international reputed Journals.

Abstract:

Introduction: Kangaroo mother care has often been used as a treatment for premature or preterm babies. As the 21st century is in the threshold of challenging preventive healthy interventions, the evidence based practice of newborn care must be efficiently adopted for applying in the operational milieu of rural care facilities and the awareness on KMC should be taught , among the expected mothers in all country wide, perinatal-neonatal care units. Aim: To determine the level of knowledge and practices regarding KMC among the mothers with preterm babies. To find out the association between the knowledge and practices regarding KMC among the mothers with preterm babies. To determine the association between the knowledge and practices regarding KMC among the mothers with preterm babies with their selected demographic variables. To develop a self-instructional module for rural health Centers for the selected rural maternity health centers. Materials and Methods: The conceptual framework of this study was based on Pendersons Health Promotion Model. Descriptive survey approach was adopted, where the structured interview schedule was conducted to collect the data to assess their knowledge and their practices on KMC. Sampling Technique: Purposive sampling Technique was used for this study where 60 postnatal mothers with pre-term babies were included in the research. Findings: Majority of the mothers had inadequate knowledge (65%), none of them had adequate knowledge. The mothers who belonged to moderate practices of KMC were 76.66%, in comparison with 23.33% of mothers with adequate practices. In association of knowledge with practices, it was revealed that, the mean knowledge scores of subjects were found to be 39.48% only, with the SD of 3.1, which fall in the category of average knowledge, further to this, it was found that the mean practice scores of subjects were 66.12, with a SD value of 1.54, which concluded that the respondents had higher level of practices as compared to the level of knowledge on KMC. There was a positive correlation between knowledge and practices of postnatal mothers regarding KMC. There was a positive association found between level of knowledge and practices with demographic variables such as age, education and parity. Conclusion: It was concluded that there is a need to improve the knowledge and the practices with regard to KMC, hence the self- instructional module was developed for the maternity centre’s to promote the wellbeing of neonatal care of preterm babies.

Biography:

Gizem Güneş is a Research Assistant at Adnan Menderes University Aydin School of Health, Division of Midwifery. She has completed Hermaster at Adnan Menderes University Health Science Institute midwifery. She has worked at Adnan Menderes University since 2013.

Abstract:

The aim of this study was to assess abuse, sexual abuse and posttraumatic stress disorders associated with experiencing discomfort during the vaginal examination. This descriptive study was carried with 320 women who are hospitalized in Aydin Women Birth and Child Disorders Hospital between July 2014 and August 2015. The data was obtained through Information Form about Women and Posttraumatic Stress Disorder checklist- Civilian Version. Descriptive statistics, t-test, variance, Mann Whitney U, Kruskal Wallis and Chi-square analysis were employed while assessing the data. The average age of the women in the study was 26.32±5.98. The average experiencing discomfort score during the vaginal examination of the women is 3.92±3.34. Also twenty six percent of the women reported strong discomfort during the vaginal examination. It was established that sixty four percent of the women reported Posttraumatic Stress Disorder. It was established that experienced of physical, emotional and sexual abuse in women increased to occurrence of Posttraumatic Stress Disorder. It was found out that 11.9% of women experienced emotional abuse, that 7.8% experienced physical abuse. Also 7.8% of women reported that were forced sexual intercourse by their partners. Forty percent of that women described forcing sexual intercourse by partners as an abuse. Emotional abuse history, Posttraumatic Stress Disorder and live birth rate were associated with a discomfort during the vaginal examination. The study revealed that experiencing discomfort during the vaginal examination of the women more likely reported Posttraumatic Stress Disorder and emotional abuse. Decreasing a live birth-rate increased a strong discomfort during the vaginal examination. There was not an association between strong discomfort during the vaginal examination and a sexual abuse history. Integrating of these results into care during vaginal examination might make a positive difference for vaginal examination experience in women and reduce trauma of women.

Biography:

Ibtisam Titi has completed M.Sc. from AL Quds University - Master in Health Management. She is a Mother and Child Health Supervisor in Ministry of Health at North Hebron directorate. Participated in many heath researches with the school of public health at Al Quads University, East Jerusalem. Participated in the Lancet Health Alliance Conferences for five times, this research has been published in The LANCET on December 2013.

Abstract:

The incident of Gestational Diabetes Mellitus (GDM) and Hypertension disorders during pregnancy (HDP) are increasing and are associated with adverse pregnancy outcome. Appropriate prenatal and postnatal follow up care was shown to control and reduce the adverse health outcomes on mothers and their children. Literature was collected from different sources including PubMed. This study aims to evaluate antennal and postnatal care for pregnant women with GDM and HDP at the Ministry of Health high risk pregnancies (HRP) clinics in Hebron district for the year 2009 and to identify the determinants of prenatal and postnatal management of the adverse maternal complications related to GDM and HDP. All files of women registered at the main six HRP clinics from January 1 to December 31 in 2009 were investigated to estimate prevalence of GD and GH. Then, from October 1, 2010 to January 31, 2011 we followed up all the women who during last delivery in 2009 had GD and/or GH. also, women’s files with other complications were randomly selected as comparative group. A questionnaire interview was performed. SPSS version 16 was used in data analyses(p<0·05). We found significant differences of complications between cases and the comparison groups and also cases’ infants suffered from all complications in higher percentage than the comparison group.

Biography:

I completed my MD from Kharvkov Medical Institute and postdoctoral studies from the Institute of Social Studies, The Hague, The Netherlands. I have many papers on national and international journals on women and health. I had also advocated for making abortion legal in Nepal and later on lobbied with policy makers to provide training to nurses so that they could deliver safe abortion services in remote areas of Nepal. I have translated books from Hesperian published, “Where women have no doctors “, A health guidelines for women with disability and” A book for midwives” (http://hesperian.org/2014/02/05/3-womens-health-titles-released-in-nepali/). I have also worked as public health and maternal child health specialist in Afghanistan, India, Sri Lanka, Iran, Tibet, Iran and most remote parts of Nepal. I also write regularly in national and internal paper on the issue of women and nutrition, women and mental health, role of midwife in women’s health.

Abstract:

Till last decade, women in Nepal were denied basic reproductive rights and abortion was not legal. Low access to health care had resulted in high Maternal Mortality Ratio (MMR) -- 790 per 100,000 live births in 1990. According to the World Health Organization these deaths were largely attributable to complications related to delivery and unsafe abortions. Maternal morbidity was rampant including sepsis, pelvic infection, infertility etc. Nepalese health program launched in 2002 was seminal in looking beyond MMR and focusing on maternal morbidity and enhancing utilization of public health services. In addition, Advocacy and activism from grass root levels to the corridors of the parliament led to legalization and decriminalization of abortion in 2002 which aided in reduction of unsafe abortion related maternal mortality. At the beginning of the implementation of safe abortion service, only doctors were allowed to provide services to the patients but health rights activists conducted advocacy so that nurse practitioner, Auxiliary nurse midwives also could deliver safe abortion in remote areas of Nepal where doctors are not available. This advocacy brought fruit and now nurses are allowed to provide safe abortion services after taking training provided by the government. Other strategies were also made by the Ministry of Health so that women who are in need of safe abortion service, family planning council could have access to those services. This presentation elucidates the public health system strengthening strategies which led to successes in maternal health in Nepal and achievement of Millennium Development Goal 5 — reduction in MMR (190 in 2013). The specific strategies which ultimately led to lowering maternal mortality include consistent political commitment and policy focus on maternal health over the last two decades with increased funding to improve quantity and quality of care. These steps led to increased access to health care, mobilization of 52,000 Female Community Health Volunteers, trained nurses and mother’s groups, availability of trained health workers, and expansion of pharmacies and private health sector. At the beginning Steps were taken to improve service delivery and these consisted of provision of basic obstetric emergency care, strengthening birthing centers, provision of Misopristol and launching free delivery service, abolition of user fees, and initiation of evidence based provider incentive program called ‘aama surkakchya’( security of mother ) However, despite the success of maternal health programs some challenges remain including inadequacies in data collection and increasing sex-selective abortion which continue to threaten women’s health in Nepal.

Biography:

Abstract:

Breastfeeding was and still is viewed as the optimal method of infants’ feeding. Its benefits for both infant and mother have long been recognized and are widely documented. Objective of this study was to investigate breastfeeding knowledge, attitudes, practices and perceived barriers among Saudi women in the National Guard Hospital in Jeddah. A descriptive correlational cross-sectional design was used to collect data from a convenient sample of 100 Saudi women. The study participants were recruited from Ward2, King Khalid Hospital in National Guard, Jeddah. Women were interviewed face to face after agreeing to participate in the study. Data was collected by using five sections structured questionnaire: Socio-demographic background; breastfeeding knowledge; breastfeeding perceived barriers and breastfeeding practice; and Iowa Infant Feeding Attitude Scale (IIFAS). The mean age of the women was 28.2±6.55 years and (83%) of them were highly educated. Majority of the participants were housewives (77.2%) and (33.7%) of them had a house keeper. Two thirds of the participants (62%) had a good knowledge regarding breastfeeding’s health benefits for mother and baby. However, minority of them (10%) had positive attitude toward breastfeeding. The most commonly reported barriers were Insuffient milk supply and lack of knowledge (82%). A statistically significant correlation was found between breastfeeding knowledge and maternal age (r = 0.22), also there was a good significant correlation between women’s knowledge and their attitude (r = 0.60) toward breastfeeding. Although Saudi women have good knowledge regarding breastfeeding importance, they have neutral attitude toward it and several barriers might prevent them from its practice.

Biography:

Sezer Kısa, PhD, is an associate professor at Gazi University, Faculty of Health Sciences, Department of Nursing. She recieved her doctoral degree from Hacettepe University. Her research area is aging of women, women’s health, reproductive health, nursing administration and health services utilization.

Abstract:

This study was conducted, in order to determine the opinions of women who had a cesarean delivery (CD) and the problems that they faced in the postpartum period. This descriptive study was conducted with 337 women who delivered babies by cesarean section in order to determine the opinions and problems of women towards cesarean delivery. The data were collected using a semi-structured questionnaire. The results of the study showed that 53.4% of women underwent cesarean delivery for the first time, and 83.1% said that it was the obstetrician’s decision to have a cesarean delivery. More than half of the women (61.1%) had a negative experience with cesarean delivery due to postpartum pain (44.7%) and inability to care for their infant (35.9%). The most common problems associated with cesarean delivery were postpartum pain (96.1%), back pain (68.2%), problems passing gas (62.0%), bleeding (56.1%), feeding problems (49.6%) and limitation of movement (43.6%) respectively. Understanding the opinions and problems of women towards cesarean delivery assists healthcare professionals in identifying better ways to provide appropriate care and support.

Biography:

Nour Eldaim Elnoman Elbadawi is an Associate Professor of Medical Biochemistry and has completed his PhD from Gezira University College Of Medicine (Sudan) and participated in many national, regional and international scientific activities. He is the Director of student affairs at Shaqra University (KSA). He has published more than 14 papers in reputed journals and has a lot of unpublished works. He has been serving as a reviewer for various journals.

Abstract:

To determine if quinine has a metabolic effect during treatment of severe or complicated malaria, we studied its effects on plasma glucose and plasma insulin levels in 150 pregnant women with malaria referred to Madani Maternity Teaching Hospital, Gezira state and 50 healthy pregnant controls. Levels were determined at baseline (day 0) before the start of quinine treatment, after 2 days of treatment (2 hours after the 4th dose) and after 7 days of treatment (day 8). There was a statistically significant increase in plasma insulin concentrations during the quinine infusion and fall in plasma glucose concentration (P<0.001). Quinine administered at the recommended dose and rate can disrupt plasma glucose homeostasis although it is still the drug of choice for severe and complicated malaria in Sudan.

Biography:

Maureen P Cardoza is currently a nursing professor at the New York Institute of Technology. She is a national and international speaker at nursing and educational conferences and is a recipient of numerous grants that include Gerontology nursing, human simulation, nursing curriculum design and nursing education strategies. Her areas of research interest and professional publications include High Fidelity Human Simulation, Neurobiology of learning, self-efficacy, orthopedic joint replacements, quality of life, aging, cancer survivorship, palliative care and bereavement. She is on the Editorial Board for the interprofessional journal Gerontology and Palliative Care and is a reviewer for the nursing journals International Journal of Nursing Education Scholarship and Computer, Informatics, Nursing (CIN)

Abstract:

This session will explore the role of hope and the clinician as a palliative care provider for persons and their families living with advanced illnesses. Advanced illness management requires a comprehensive team approach for people with serious chronic illness such as heart failure, kidney disease and Alzheimer’s disease. Palliative care teams coordinate the transition from curative treatment toward end-of-life care optimizing the quality of life in chronic illness and nursing management.

Biography:

Dian Baker, PhD, APRN, is a Professor at the School of Nursing and volunteer clinical faculty in pediatrics at University of California Davis Medical Center. She obtained her PhD from University of Hawaii and completed a Post-doctoral fellowship at the Betty Irene Moore School of Nursing at the University of California, Davis. She has partnered with multiple organizations and hospitals to design research studies and disseminate findings aimed at guiding nurses to influence and change practice. She has published in several prestigious journals including “Pediatrics” and “The American Journal of Public Health”.

Abstract:

Purpose: Non-ventilator hospital acquired pneumonia (NV-HAP) is an understudied disease, with substantial fiscal impacts and potential for reduction of morbidity and mortality. Because it is not required by regulatory agencies, most hospitals do not monitor NV-HAP. We sought to utilize transdisciplinary partnerships to determine the incidence and implement a basic oral care protocol to reduce NV-HAP. Background: The US Centers for Disease Control and Prevention’s 2014 study on hospital acquired infections indicated that NV-HAP (i.e., non-device related) is the leading cause of hospital-acquired infections. We mined the Healthcare Utilization Project data set and found a NV-HAP rate of 4.3% (284,601/6,567,271). In several hospital systems, we found unreported NV-HAP rates of 1.22–8.9 per 1,000 hospital days, mean excess stay of 14 or more days, and NV-HAP on all types of hospital units. Further analysis indicated than 50% of our NV-HAP occurred in post-surgical patients. Methods: Our transdisciplinary team implemented a universal (i.e., every patient) new oral care protocol at a 600-bed community hospital. In addition, we partnered with perioperative nurses to implement a basic oral care protocol prior to surgery for every patient and added oral care to the standard perioperative check list. We used a descriptive, retrospective comparative study to determine changes in oral care delivery and prevalence of NV-HAP. The Influencer Model™ was used to manage the complexity of the multi-levels of intervention required. Results: Implementation of a universal oral care protocol, both in the perioperative area and on the floors, resulted in an overall decrease of NV-HAP by 71%, with a 75% decrease in post-operative patients (p<0.0001: (OR=0.292, 95%CI = 0.199, 0.429), extra cost for new therapeutic oral care equipment was $120,000. Cost savings resulting from 80 avoided NV-HAP cases was $3.2 million. Thus, return on investment for the organization was $3.08 million in avoided costs and an estimated 15 lives saved. Importantly we have sustained these positive outcomes over a three-year period of time.

Biography:

A D John completed BA from Harvard University and MD from New York Medical College. He has done his Internal Medical Residency from Metro West Medical Center; Framingham, MA and Anesthesia and Critical Care Residency from Johns Hopkins Hospital; Baltimore, MD. He has done Cardiac Anesthesia subspecialty in Johns Hopkins Hospital; Baltimore, MD and Cardiac Anesthesiology Fellowship from Massachusetts General Hospital; Boston, MA. He is an instructor at Harvard Medical School; Boston, MA and also at Johns Hopkins School; Baltimore, MD. He is an Assistant Professor of Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine; Baltimore, MD. He served as a Coeditor with Sancho Rodrigues-Villar for Protocols in Critical Care (in Press) and as an Editor for Anesthesia: Essential Clinical Updates for Provider (in Press)

Abstract:

The Post Anesthesia Care Unit (PACU) is a key element in ensuring a successful operative experience. Recovery from surgery is dependent on a transition from intensive focus of the operating room to safe care in the hospital ward or home after surgery. The key area of transition is the Post Anesthetic Care Unit. It is in the PACU that the patient “awakens” from anesthesia. Respiratory function has to be maintained and stable vital signs have to be assured. In addition, pain issues as well as postoperative nausea have to be addressed. In an effort to facilitate throughput, each type of surgery is establishing protocols to aid in rapid recovery, minimize pain, increase ambulation, and decrease hospital stay. What are the keys to ensure patient safety in the PACU?

Biography:

Anna Elizabeth Van den Heever obtained a MCur Psychiatric and Mental Health Nursing (Cum Laude) in 2012 from the University of Johannesburg. She is presently an undergraduate psychosocial lecturer at the University of the Witwatersrand. She published 2 articles in reputed journals and has a number of post graduate diplomas and experience in psychosocial nursing and working with addictive and personality disorders.

Abstract:

Psychosocial nursing students in their final year were asked to reflect on their emotional experiences and feelings during clinical placement with severely traumatised children. Despite four years of theoretical and clinical training in general, midwifery, community and psychiatric nursing, the students were found to be in a state of personal, emotional and ethical conflict with themselves and society and left a placement with the residue of unsolved issues and traumatic experiences. Rape, child neglect, abuse, environmental accidents and violence are only a few of the risk factors to the country’s health problems, resulting in children suffering severe developmental, and intellectual, psychological and physical disabilities. Attitudes in the community shift between disregard, stigmatization, rejection, sympathy and sadness. The question was asked: are students emotionally protected and prepared for the reality of coming face to face with severely emotionally, intellectually or physically traumatized children in the community? A purposive sample of written and marked narratives from psychosocial reflective journals of (16) final year students were used. Qualitative analysis of the narratives highlighted an emotional rollercoaster of feelings, ethical and professional conflict between the abused and being the abuser as well as admiration for those caring for them. Information gained will be applied towards continuous improvement of professional and clinical training and emotional support for students in practice.

Biography:

Dr. Ozcan has intense experience in diabetes nursing over 25 years. Currently teaching in undergraduate and graduate programmes in Koç University School of Nursing. Exec.Com.Member (2001-2007;2015- cont), Special Advisor (2007-2014) of FEND; Member of Diabetes Education Consultative Section(2008-2013) and Insulin Taskforce (2014-cont) of IDF; Exec.Com.Member and General Secretary of Turkish Diabetes Nursing Association (1998-2011); Member of Board of Trustee of Turkish Diabetes Foundation (2009-cont). Achieved scientific awards, research fundings, published articles and books. Member of the editorial board and review panels of the journals. Visiting professor at the New York University (2004-2005); guest researcher in Uppsala University/Sweden (2006); FEND Clinical Research Fellow in King’s College London&Hospital (2011).

Abstract:

Diabetes is an emerging health problem. Accordingly, number of people with diabetes doubled in the last 15 years in Turkey. Nurses need to be powered to deal with the burden of growing number of patients. The study which is a Turkish arm of SEND(Study of European Nurses in Diabetes) explored the role performance and job satisfaction of diabetes nurses in Turkey. Methods: Postal or electronic questionnaires were sent to the diabetes nurses via diabetes nurses network. In addition, the participants of the annual diabetes symposia filled the printed questionnaires. Finally, the study comprised of 161 diabetes nurses. Questionnaire included the questions regarding structure, process, and outcomes of the work of diabetes nurses, their role performance, and job satisfaction. Findings: Majority (72%) worked over 2 years as diabetes nurse. All nurses(n= 161) had full-time position, over 80% were employed in the inpatient and outpatient diabetes services of university and state hospitals. Of participants, 77% reported that their centers had over 1000 patients with diabetes in a year. Seventy-seven percent worked in the cities while the remaining participants worked in small towns and urban areas. Diabetes nurses had heavy workload; 24% of nurses cared and educated 2000 or more patients in a year. Half of participants reported that at least 20% of their patients were low educated. Most diabetes nurses provide diabetes care on individual base. Findings explored the roles of diabetes nurses as expert practitioner / care giver, educator, consultant, administrator, collaborator / liaison, change agent / innovator. The mean score of general job satisfaction was high (Mean±SD:4.03±0.83; min: 1-max: 5). Conclusion: Diabetes nurses showed high performance in their professional roles. Although they had heavy workload, their job satisfaction was high. Key-words: Diabetes nurse, role performance, job satisfaction

Biography:

She had worked in the Internal Diseases Service of Ege University Medical Faculty Hospital in the years of 2008-2009, in the Oncology Clinic of Dokuz Eylul University Medical Faculty Hospital in the years of 2009-2011 and worked as a surgical nurse in the Karadeniz Technical University Medical Faculty Hospital in the years of 2011-2014. She has been working as a lecturer in Cankiri Karatekin University. She graduated from the Psychiatry Nursing Master Programme of Adnan Menderes University Institute of Health Sciences in October 2015 and has been awarded the tittle of Specialist Nurse

Abstract:

This study is conducted as a cross sectional research in order to investigate the loneliness and related factors in adolescents of high school students.It is targeted to reach 690 students.In the study,Personal Information Form and UCLA Loneliness Scale are used.In the evaluation of the data,descriptive statistics,test in unrelated measurements,one way variance analysis are used. 657 of the adolescents, who participated to the survey, had replied the questions in the loneliness scale.The reviews were conducted with 657 adolescents.When the characteristics of adolescents of high school students who participated the survey are examined, it is found that 46.0% of the adolescents are female,30.6% of them study in 9th grade,30.9% of them are 17 years old and it is determined that they have medium level loneliness.It is found that the level of loneliness of female students(X ̅ =52.33±5.82) are higher than the male students (X ̅ =49.74±7.45).It is found that the loneliness situation of the adolescents is not affected by staying either with the parents or in the dormitory(t(649)=0.378; p>0.05),the family structure (t(641)=1.702;p>0.05),the region that they live(F(2.654)=2.342;p>0.05),income level (F(2.654)=1.978;p>0.05),seeing their pocket money sufficient (t(665)=0,033; p>0,05),the number of siblings(F(2.633)=0.468;p>0.05),the relation with their siblings (t(623)=1.209;p>0.05),the education level of their fathers(F(3.648)=1.596;p>0.05)and mothers(X2(3)=0.965;p>0.05).It is determined that the loneliness level of adolescents whose mothers are employed(X ̅ =52.33±6.45)are higher than the adolescents whose mothers are not employed(X ̅ =50.81±6.79).The loneliness level of the adolescents who have the idea of self-harm in the recent year(X ̅ =53.10±5.36) is higher than the adolescents who do not have the idea of self-harm in the recent year(X ̅=50.82±6.89).

Biography:

Dr. Alhelali is consultant family physician with two certificates; the Saudi board of family medicine 2009 & the Arab board of family & community medicine 2010. She is working as director of Home Medical Care Center in Ministry of Health (MOH) in Madinah. She works in family medicine clinic in primary health care (PHC) in MOH. She is a trainer in postgraduate training program of family medicine in Madinah. In May 2014, she earned a Master degree in public health from Rollins School of Public health at Emory University, Atlanta, USA. Regarding research, she conducted two studies: “Prevalence of Burnout among Ministry Of Health Physicians in Madinah, Saudi Arabia, 2008 “ and “Evaluation of Home Respiratory Therapy Delivered to Patients in the Ministry of Health’s Home Medical Program (HMP) and Administered through the Madinah HMP Center, Kingdom of Saudi Arabia, 2013”. This study was published in Journal of Epidemiology and Global Health (JEGH) August 2015.

Abstract:

The various benefits of incorporating home health care (HHC) in the health system are known worldwide. Research reveals that home health care has a role in improving the clinical outcomes of patients, that it is cost-effective, and that it is an excellent solution for the bed occupancy issue, freeing hospital beds for acute cases while ensuring quality care for stable patients with chronic health issues. In this lecture, there will be an illustration of home health care and its basic principles through definitions and demonstrating cases scenarios. There will be highlighting on HHC’s importance in any health system by evidence. A comprehensive team runs HHC in Saudi Arabia, and the nursing care is the cornerstone of these services. Here, we will know the role of each team member in HHC: family physicians, nurses and other support teams. Moreover, the services provided through HHC programs are different from country to country, but most programs are community-based, so, the experience of Madinah’s Home health care center will be discussed at the end of this presentation.

Biography:

Dr. Glenn Ford Valdez at 30 is an Assistant Tutor and Program /Course Coordinator in Salalah Nursing Institute, Ministry of Health Sultanate of Oman for 5 years, he has 10 years of Nursing Practice and Nursing Administration/ Education Experience combined. He is an Operating Theater Nurse and Nurse Educator in the Philippines. He graduated Bachelor of Nursing in year 2005 in Dr. Yangas Colleges in the Philippines, Masters of Arts in Nursing in 2007 – St. Jude College Graduate School, Manila , Earned Units of His Doctor of Nursing Management in 2011 at Trinity University of Asia and His Doctor of Philosophy in Education Leadership and Management in 2015 at St. Jude College Graduate School he finished his Bachelors, Masters and Doctoral Degrees with High Distinction/ Magna Cum laude ; He is a recipient of Leadership Awards and Teaching Excellence Awards. Recently named as one of the 10 Most Outstanding Filipino Overseas Workers) for 2015 awarded by the Philippine Embassy in Muscat, Oman. He is a community leader with advocacies on health, gender equality and transcultural integration. His Research Inclination is in Nursing Education, Education Management Process, Outcome Predictors, Trans cultural Nursing and Diversity.

Abstract:

Nursing practice in the Philippines is comprised of several components in order to lawfully practice the profession. . In the advent of changing times and the lucrative offers overseas to work as professional nurse the Professional Filipino nurses have found their way across the Diaspora crossing continents in search for a far greener pasture The researcher utilized an online survey study wherein the respondents are the Philippine Registered Nurses working in the GCC were asked to identify their perceived context of what educationally prepared , competent and culture adaptive nurses should be . The Study utilized quota sampling from all six (6)GCC states comprised of Bahrain, Kuwait , Qatar , Oman , Saudi Arabia and the UAE . The internal consistency (Chronbach Alpha) was 0.950, Indicating that the measures that are used for the instrument is highly reliable . Data collected were analyzed statistically using descriptive and Parametric measurements such as MANOVA and Pearson r. The foregoing results of the study shows the following indices related to demographic profile on aspect of gender the study showed that 56.67% of the Respondents are female and 43.33% are male.. In terms of country of work 45 % of the respondent was from Oman, followed by Saudi Arabia 22%, Bahrain 10%, UAE 10%, Kuwait 9.3%, and Qatar 3%. The perusal of the findings shows the level of cultural adaptability of the respondents it shows that the level of adaptability in terms of knowing the Health and Illness beliefs in Islam rendered a mean of 3.03 which may imply the higher requirement for the nurses to be familiarized and culturally competent . This is seconded by Traditional practice and belief with a mean score of 3.280 this implies that the nurses in the GCC perceives that knowledge about rational belief and practice and its implications to their daily work.

Biography:

Xiaoling Li has completed her Master degree from Chiang Mai University of Thailand 1996. Her research interests include postoperative pain control, surgical patient’s quality of life and teaching methods and skills training. She has published more than 35 professional articles and edited 7 professional books. She is a master's tutor and has rich teaching experience. She has taught several courses at both undergraduate and graduate level.

Abstract:

Objective: To investigate the effect of teaching method reformation and its outcome in the course of Nursing Interpersonal Communication and Etiquette (NICE) for nursing undergraduates. Methods: Recruit nursing undergraduate students (short for “Nursing Students”) coming from Grade 2012 and Grade 2013 and then set it as control group and experimental group, respectively. The control group used traditional teaching methods while the experimental group implemented the reformed teaching methods. In the reformed methods, the syllabus was amended with reduced total teaching hours and increased proportion of practice class. The role play and case discussion teaching method were applied in the experimental group. When the course was over, same questionnaire of students’ satisfaction and examination of the course were assessed and analyzed. Results: There were significant differences in students’ satisfaction of the course (P<0.05). There were no significant differences in examination grades between the two groups. Conclusion: In the teaching process of NICE curriculum, arranging the course one year in advance, limiting the teaching hours of theory and increasing the ratio of practice time can be propitious to enhance theory understanding and communicating knowledge application of nursing students, which not only boost their comprehensive ability of nursing students but also ensure the quality of the course teaching.

Biography:

Abdulkarim Alzayyat completed his Master Degree in Clinical Nursing in 2013 with first rank in Mental Health/Psychiatric Nursing subspecialty from The University of Jordan. Mr. Alzayyat had a deep involvement in community mental health research and he had been awarded several research Awards. Mr. Alzayyat has so far published more than 10 papers most of them are published in ISI international journals and conferences.

Abstract:

The literature revealed that Perceived Stress Scale (PSS) is the most utilized tool to measure clinical education stress among nursing students. The aim of this methodological study was to assess the psychometric properties of the Arabic version of the PSS. The study used a cross-sectional design with all questionnaires completed at classrooms. Data was collected from 160 undergraduate nursing students whom were recruited by simple random method. The study was conducted on five Jordanian universities during the 2014–2015 academic year. The exploratory factor analyses of the 29-item PSS illustrated that a five-factor solution presented the most robust explanation of the collected data. These factors are clinical teachers, providing nursing care, situation unfamiliarity, nature of clinical practice, and student’s role demands. Moreover, the scale-level CVI for the PSS was 0.94. On the other hand, the total PSS scale alpha coefficient was 0.92 and alpha coefficients for the five subscales were ranging from 0.65 to 0.83. This study supports the use of Arabic version to measure clinical education stress among Jordanian nursing students. Future studies should test the validity of the PSS by using of more advanced analyses that boost the gained results of this exploratory study

Biography:

Liu suzhen has completed her Master of Nursing Science in Qiang Mai University,Thailand. Her research interests is community health nursing, focus on chronic illness management in community, She has taught several courses at both undergraduate and graduate level. She is the director of Community Health Nursing Branch, Nursing association of Sichuan province, and academic header of Sichuan Health Bureau. She published more than 60 papers in reputed journals.

Abstract:

Client satisfaction is one of the desired outcomes of community health care. From 1999, chronic illness management care has being provided in community health agency in China. Now, It is one of basic task of community health. By the end of 2014, there were 397 community health centers in 21 cities of Sichuan. This study armed to assess blood pressure control, to discrible satisfaction level of hypertension patients in urban communities of Sichuan provienc, and to explore the relationship between blood pressure control and patients’ satisfaction. The cross-sectional survey was condacted. Convinence sampling and face-to-face interview were used. Totally, 2279 hepertension patients in urban communities in 12 cities completed questionnaire survey. 89.1% Questionnaires(2030) were effective. The results showed 1317(64.88%) community patients controled their high blood pressure successfully. The total satisfaction score was 3.91±0.67. The ranking of sub-satisfaction scale score from higher to lower was nursing etiquette, nursing technique, care provided by other health worker, following-up care by nurses, collaborating with other health workers and health guiding by nurses. There was statistic difference between satisfaction scores patients with successful blood pressure control or not (t=2.88, P=0.004). This finding indicated blood pressure control rate of patients received chronic illness management care provided by community health center were improved. However, patients did not satisfied with chronic illness management care provided by nurses. Promoting nursing care may increase blood pressure control of patients with hypertension.

Biography:

Helen Riess, M.D., is Associate Professor of Psychiatry at Harvard Medical School. She directs the Empathy and Relational Science Program at Massachusetts General Hospital. Her research team conducts translational research utilizing the neuroscience of emotions. The effectiveness of Dr. Riess’s empathy education approach has been demonstrated in a randomized controlled trial. Dr. Riess has published extensively in peer-reviewed journals and is an internationally recognized speaker and researcher. Her Empathy TEDx talk has been viewed by over 100,000 viewers. Her empathy training curricula are implemented internationally in healthcare. She is Chief Scientific Officer of Empathetics, Inc, providing web-based empathy training solutions.

Abstract:

The decline in empathy in healthcare has reached global proportions (Berwick Report, 2013) and highlights the need for evidence-based interventions. Ninety percent of nurses, physicians and hospital administrators endorsed the need for institutional empathy training in a recent Schwartz Center Survey. Professional empathy is correlated with patient safety, patient satisfaction, better health outcomes, and clinician wellbeing. Research shows that empathy for patients declines throughout medical training with increasing burnout in medical professionals. implicating up to 60% of nurses in the US. Patients are demanding humanistic care which is paramount to restoring the public’s trust in the medical profession. This presentation will highlight novel empathy research that demonstrates that empathy can be taught with sustainable behavior changes and our recent meta-analysis that demonstrated that relationship factors improved health outcomes such as obesity, asthma, diabetes, hypertension, and pulmonary infections. These interventions are closely tied to cost reduction. A multi-centered randomized controlled trial was conducted at a large general hospital to determine whether a novel neuroscience-based empathy training could improve clinician empathy at the level of patient perception. The training group showed significant improvement in patient ratings of empathy (p=.02). A brief series of three training sessions significantly improved clinicians’ empathic and relational skills as rated by their patients. The training has been translated into a web-based format for global accessibility. With patients deserving humanistic care from their healthcare institutions, we present a solution that offers a step towards systemic changes to improving compassionate care.

Biography:

Werner Schuetze has finished law schhool at the university of Freiburg in germany before he studied medicine and became a Dr. med in 1981. He is a children and youth psychiatrist as well as for adults, studied family therapy and was educated in psychodynamic therapy as well as treatment of severe psychic traumas. As a head of a psychiatric department in Nauen/ Brandenburg/ Germany he implemented the finnish Open Dialogue Approach in his hospital. After retirement he is working as a trainer and supervisor in the education of Open Dialogue and connected projects in Germany, Poland , Italy and US

Abstract:

Open Dialogue is a post modern approach to severe crises in mental illness and has been developed in Finland since the early 80ties of the last century. Y. Alanen from the University of Turku together with his team created the Need Adapted Treatment Approach, which later has been further developed mainly by Jaakko Seikkula and the team of the Keropoudas Hospital in Tornio in Western Lappland. It promotes an early intervention by involving the family and the network of a patient at once, uses best practices of systemic therapies, integrates other professions and peers, uses low dose medication and shared decision making within the network. It is a very comprehensive change in organizational aspects of the treatment system going along with it. It needs a different way of financing and reduces inpatient treatment in the long run. And that is where the risks are: Medication is not at the core interest any more, we prefer a low dose, intervall treatment as short as possible. We also know, that the relation to the psychiatrist has in influence on the dose needed.Outpatient treatment is vastly in favor, hospitals would have to close beds, doctors , psychologists and nurses are no longer the all knowing persons, everybody is an expert of his own life. People interested in this approach gather in the annual meeting of “The International Network For The Treatment of Psychosis”, founded in 1996. Participants come mainly from scandinavian countries and Finland, Germany, Poland, Lithuania and nowadays from the UK and ths US:

Biography:

Eileen Savage is a Chair in Nursing at the School of Nursing & Midwifery, University College Cork, Ireland. Her primary research interests relate to chronic illness management across the lifespan. She has conducted a number of funded commissioned reports, systematic reviews and studies relating to chronic illness management. She has published widely in the international literature and is on the Editorial Board of Chronic illness. She leads a research cluster on chronic illness management at University College Cork and has developed strong collaborative interdisciplinary research relationships both nationally and internationally.

Abstract:

Evidence from the international literature is that the prevention and management of chronic diseases through integrated care should be primary care GP led supported by primary care specialists and secondary care specialist services. Primary care led services towards integrated care marks a shift away from hospital centric services, which has traditionally dominated healthcare in many countries including Ireland. The shift towards primary care led services is now a strategic priority at Government level in an effort to tackle the growing burden of chronic disease. The emphasis on integrated care is to avoid fragmentation of services between primary and secondary care and to ensure the delivery of “the right service, at the right time, in the right place by the right team”. In this paper, the evidence on how best to support a national approach to primary care led services within a model of integrated care for chronic disease prevention and management is examined. The features of a well-designed model of care that contribute to improved clinical, process and service utilization outcomes will be presented. The implications and related challenges for implementation will be considered with application to Ireland. Lessons learned from other countries will inform this discussion.

Biography:

Weichang Du has been a Professor in Computer Science at University of New Brunswick, Canada since 1991. He obtained his MSc and PhD in Computer Science from University of Victoria, Canada in 1985 and 1991. In past 25 years, he has published many research articles and supervised more than 50 Master’s and PhD students. In recent years, he has been conducting research on designing and developing knowledge-based and intelligent software and knowledge systems and applications on Web and mobile platforms, including health related systems and applications.

Abstract:

The Personal Health Services Framework (PHSF) is a general framework of online services for healthcare providers and individual patients to connect through the internet using their mobile devices and computers, for establishing and configuring healthcare related applications. Using the services, through their mobile devices or computers, individual patients can communicate and coordinate with their healthcare providers to report their daily self-health monitoring data from their personal health monitoring devices and receive healthcare related instructions and advices and healthcare providers can view and analyze reported personal health monitoring data from individual patients and effectively diagnose patients’ health information and provide patients further instructions and advices on one-to-one basis. The framework also provides location-aware and context-aware services, for individual patients to seek nearby healthcare providers during travelling to different places in order to receiving timely healthcare services. The context-aware services can intelligently monitoring and analyze individual patients’ health situations and trigger corresponding actions such as timely informing patients’ healthcare providers, nearby hospitals or medical emergency services. The services provided by PHSF are fully pluggable and configurable. Customized specific healthcare applications involving individual patients and their healthcare providers can be created. Multiple customized healthcare applications with multiple patients and healthcare providers can operate simultaneously using the services. The framework is implemented by four layers of services and multiple databases on the internet.

Biography:

Abstract:

Background: To explore three school based transitions and their impact on positive Self- Reported- Health (SRH), pre-school to elementary school (6–10 y), elementary school to junior high school (10-13y), and junior high school to upper secondary school/high school (13-16y), in a long-term longitudinal population based study. Methods: The study followed three cohorts through one school transition each. A longitudinal study with data from 6693 children and their Health Dialogue Questionnaires© were used. Data were collected in the middle of Sweden during 2007–2012 with school children age 6–16 years old. Results: Several significant factors were identified impacting the positive SRH among children age 6-16y; not feeling sad or depressed, afraid or worried, positive school environment (schoolyard and restrooms), not bullied, good sleep, daily physical activity and ability to concentrate. There was no single factor identified, the factors differed according to gender and age. Conclusion: The study has identified several gender and age specific factors for successful school transitions relevant for a positive SRH. This is valuable information for school staff, parents and school children and provides a possibility to provide support and assistance when needed.

Biography:

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

Abstract:

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

Biography:

Erin Shankel was prepared as a Family Nurse Practitioner (FNP) at Vanderbilt University in 2003 and proceeded to earn her DNP at Belmont University in 2014. She is an associate professor and interim FNP track director at Belmont Unitversity. Additionally, she maintains her clinical practice at East Nashville Family Medicine treating urgent care needs of the local community. Her research interests include compassion fatigue, pediatric asthma self-management, and symptom management theory.

Abstract:

Nurse educators have long strived to produce competent, compassionate graduates. However, those who are the most compassionate may also be at the highest risk for developing compassion fatigue. In our School of Nursing, and in the broader College of Health Sciences, we have begun an initiative to proactively develop self-care habits among our students, thereby preventing compassion fatigue before they ever enter the workforce. Nurses and other health care professionals find themselves witnessing and partnering in the profound joys and sadnesses of life along with their patients. The cumulative effects of these encounters can result in feelings of frustration, powerlessness, and diminished morale. In short, these clinicians are left “running on empty”. As a result, they may ultimately leave the profession. A 2012 study showed that 29.6% of turnover could be attributed to compassion fatigue. The nursing profession cannot afford to lose the most compassionate among us to compassion fatigue; neither can our patients. Although only recently studied, several interventions for preventing compassion fatigue are emerging in the literature. Some of these include mindfulness, self-care, self-reflection, and careful work-life balance. Ironically, although most nurses are giving, caring people but find it hard to nurture themselves. It occurs to us as faculty that it might be possible to teach our students these compassion fatigue strategies, thereby equipping them for a long, productive, and fulfilling career in the field. Nursing, OT, PT, and social work students may attend sessions on subjects such as mindfulness, meditation, and early identification of compassion fatigue symptoms.

Biography:

Malin Rising Holmström has completed her Ph.D. in 2013 at Mid Sweden University and has started her Postdoctoral studies in 2015. Malin Rising Holmström has long experience from clinical work associated with children´s health. Lisbeth Kristiansen is a senior lecture at Mid Sweden University and has a long experience of research concerning different aspects of health among children and adults.

Abstract:

Background: To explore three school based transitions and their impact on positive Self- Reported- Health (SRH), pre-school to elementary school (6–10 y), elementary school to junior high school (10-13y), and junior high school to upper secondary school/high school (13-16y), in a long-term longitudinal population based study. Methods: The study followed three cohorts through one school transition each. A longitudinal study with data from 6693 children and their Health Dialogue Questionnaires© were used. Data were collected in the middle of Sweden during 2007–2012 with school children age 6–16 years old. Results: Several significant factors were identified impacting the positive SRH among children age 6-16y; not feeling sad or depressed, afraid or worried, positive school environment (schoolyard and restrooms), not bullied, good sleep, daily physical activity and ability to concentrate. There was no single factor identified, the factors differed according to gender and age. Conclusion: The study has identified several gender and age specific factors for successful school transitions relevant for a positive SRH. This is valuable information for school staff, parents and school children and provides a possibility to provide support and assistance when needed.

Biography:

Prof. Eze was Director, University of Winnipeg’s Global College “Institute for Health and Human Potential”; Coordinator, “Biochemistry Program”; and Director, “Summer Institute in Diseases and Policy.” As a Health-enhancement Biochemist, he is engaged in laboratory and interdisciplinary research addressing well-being, disease surveillance and interventions from a multi-/cross-/inter-disciplinary standpoint, with experts in the various areas. The diseases vary from infections (malaria, HIV/AIDS, etc.), to chronic conditions. He explores the role of reactive oxygen, nitric oxide, and other chemical commonalities, and seeks herbal and other remedies, for optimal public health.

Abstract:

The biochemical basis for sustaining good health lies mainly in continued consumption of fresh foods and clean air. Thus we are able to maintain homeostasis: Keeping our internal chemistry optimally stable. Homeostatic imbalance spells ill-health. Many diseases are associated with inflammation: stimulation of the immune system. Inflammation leads to production of copious amounts of reactive oxygen species (ROS) and nitric oxide (NO) yielding oxidative stress (OS). OS causes oxidation of cellular DNA, proteins, lipids, carbohydrates etc. Accumulation of oxidized forms causes aging, cancer, degenerative diseases, and death. Thus, inflammation and homeostasis are at the core of Health and Wellness. We therefore recognize unique chemical species and biochemical principles serving as common denominators in diseases and health. Intervention strategies targeted towards these commonalities are warranted, especially for Indigenous peoples (as in Canada) who rely on traditional remedies. Herbal resources provide antioxidants and other phytochemicals, producing healing outcomes towards good health. Our work has revealed the role of herbal antioxidants in quelling OS and installing wellness. The common denominators connect the diseases: Infectious to chronic (e.g., Human papilloma virus to cancers) and chronic to chronic (e.g., diabetes and its complications). The herbal phytochemicals also deal with infectious agents. For example, Neem plant (Azdirachta indica) extracts cure many ailments including malaria. Recently, Neem antimalarial principles have been formulated into the antimalarial capsule “IRACARP” by ROCITUS IJU International Ltd in Nigeria. This success story of harnessing local Indigenous resources should inspire similar bold steps against other ailments, for instance diabetes using Indigenous Canadian Labrador Tea (Rhododendron groenlandicum) and other herbs.

Biography:

Tamar Jacob, PT, MPH, PhD, is a registered physitherapist. She has completed her master's and PhD degrees in public health from the Hebrew University in Jerusalem. She is the head of the Masters' program at the Physiotherapy Department in Ariel University, Israel. She has published more than 30 papers in peer review journals and has been serving as the editor of the Journal of The Israeli Physiotherapy Society. She has been engaged in education of physiotherapy students for over thirty years. Her present main research areas are education in physiotherapy and physiotherapy services in Israel.

Abstract:

To date no research has described Israeli Physical Therapy (PT) services to determine whether they are provided in the spirit intended by the National Health Care Law (NHCL). This study aimed to assess the equality, accessibility, and availability of PT services in Israel. Qualitative research was based on semi-structured personal interviews with all national directors of PT services in Israel, followed by content analysis of the data obtained. According to the findings, PT services are provided by all HMOs throughout Israel. In peripheral areas, access to services is limited; availability of services at most clinics is poor, aspect problem which is solved mainly by referring patients to PT outsourcing. The number of treatment sessions are determined by the NHCL, however, all directors agreed that the number of treatments should be a professional decision following patient evaluation and progress, rather than by administrative considerations. Inequality of service to peripheral areas could be reduced by creating cooperation between HMOs, thereby establishing clinics capable of providing accessible and equitable services. In addition, the number of sessions provided to patients in the health-care basket should be reassessed and a set of uniform criteria should be created for determining the optimal number of PT sessions. This could lead to greater uniformity in distribution of PT services provided by the HMOs.

Biography:

Rupesh Kumar Pati has completed his PhD from IIT Roorkee, India on Sustainable Supply Chain (focus on paper industry) and is a Gold Medalist during his Masters at Indian School of Mines. He is Associate Professor at IIM Kozhikode, Kerala India. He has published more than 15 papers in reputed journals like OMEGA, IJPE, JPSM, IJPHM, IJLM etc. He has been serving as a reviewer of number of top journals like EJOR, IJPE, JCP, Journal of Cleaner Production, Resource conservation and Recycling etc. His current research interests are in the area application oriented studies on Green Business, GrSCM and Sustainability in Pharmaceutical.

Abstract:

The effect of industrializing has challenged the healthcare industry, where various new diseases like Anthrax, Bird flu, Ebola etc. Researches in these countries have found significant presence of expired drugs in Solid Waste Management (SWM). These pollute air, water and soil through incineration, seepage to river/water table and land filling. The exposure to these expired drugs (unknowingly) over a longer period negatively impact the immune system. The presence of large number of drug manufacturers (developing similar drugs under different brand) especially in developing nation (with less stricter regulations) allows flooding of drugs at retail/pharmacy. Hence, the need for effective disposal of large quantity of drugs (3-5% in India). The production of these excess drugs requires lot of water (as input) and discharging certain dangerous chemical byproducts. This leads to increased cost as-well-as pollution during production, transportation; and on expiry reverse logistics, disposal process. Hence, prices of drugs in the market are increased (as claimed by manufacturer during our focus group interaction). This increase makes the drug unaffordable to certain market segment/patients (especially in developing and under developed countries where Out of Pocket expenses are common) with poor public healthcare and insurance mechanism. All the above, challenges the basic business model of Healthcare sector on “sustainability framework” adversely affecting society, environment and economic of various stakeholders. The basic research question in this study is to provide inputs to policy formulation on: how to make the healthcare sector more sustainable: with easy accessibility of drugs at low cost (social), minimum wastages through expiry (environmental) and providing profit to the manufacturer to encourage him to invest in future needs?

Biography:

Xianhong Li, RN, Ph.D. is an associate professor and the vice dean for research in Xiangya Nursing School of Central South University. She has received research training in Yale School of Nursing from 2007-2008, and in UCLA in USA from 2014-2015. She has been the PIs for 5 projects from different funding resources. She has published 17 articles with 7 indexed in SCI journals. In 2009, she got the Ray Wu Prize of Excellence to graduate students of life sciences in USA; in 2010 she got the third prize of Science and Technology Progress Award in Hunan Province of China.

Abstract:

The HIV prevalence among Chinese men who have sex with men (MSM) is on a rapid increase during recent years. Successfully reducing high risk sexual behaviors of MSM is an important strategy for controlling the HIV epidemic. In some parts of the world, motivational interviewing (MI) has shown effectiveness in reducing unprotected anal intercourse, but the feasibility and effectiveness of MI has not been evaluated among Chinese MSM. This randomized control pilot study aimed to test the feasibility of Motivational Interviewing (MI) in reducing high-risk sexual behaviors among MSM in Changsha, China. Eighty MSM were randomly assigned to either the MI group, where participants received a three-session MI intervention over 4 weeks, or the control group, where participants received usual counseling from peer educators. High-risk behavior indicators and HIV knowledge level were evaluated at baseline and 3 months after intervention. The results showed that MI significantly improved consistent anal condom use in the MI group compared to everyone at baseline (OR 5.7, 95% CI: 1.63-20.2). However, there was no significant change in consistent condom use for oral sex or number of sexual partners between the two groups over time. The average HIV knowledge score improved equally in both groups over time (P=0.06). This study demonstrates that an intervention using MI was feasible and partially effectiveness among MSM in China in increasing condom use. However, the sustainability of MI to improve consistent condom use among MSM in China needs to be evaluated in further.

Biography:

Erhabor Osaro is a Chartered Scientist and Fellow of the Institute of Biomedical Science of London. He holds a Doctor of Philosophy degree in Immunohematology. He completed the University of Greenwich Specialist Training in Blood Transfusion and Laboratory Quality Management System. His teaching experience spans both Nigeria and the United Kingdom. He is a recipient of several awards including the famous British Blood Transfusion Society young scientist award and the Margaret Kenwright young scientist award. He is a registration portfolio verifier/examiner for the Institute of Biomedical Science of London. He is the author of 4 scientific books and 5 chapters of scientific books. He is a Member of the Editorial Board as well as an article reviewer to several International Scientific Journals. A well published contributor with more than 100 published articles in the field of Infectious Diseases, Immunohematology and Transfusion Medicine. His work now spans the connected research themes of hematology, immunology, transfusion science, tropical infectious disease and breast cancer.

Abstract:

The National Health Service (NHS) is a term used to describe the publicly funded healthcare delivery system providing quality healthcare services in the United Kingdom. There are several challenges militating against the effective laboratory service delivery in the NHS in England. Biomedical scientists work in healthcare to diagnose disease and evaluate the effectiveness of treatment through the analysis of body fluids and tissue samples from patients. They provide the “engine room” of modern medicine with 70% of diagnosis based on the laboratory results generated by them. This review involved the search of literature for information on working condition of biomedical scientist in the NHS in England. Laboratory service delivery in the NHS in England faces numerous daunting challenges; staffing levels in the last few years have become dangerously low, less remunerated, relatively less experienced and predominantly band 5's, multidisciplinary rather than specialty based, associated with working more unsocial hours without adequate recovery time, de-banding of staff, high staff turnaround, profit and cost driven rather than quality. These factors has resulted in burn out, low morale, high sickness absences, increased error rate, poor team spirit, diminished productivity and suboptimal laboratory service delivery. There is the urgent need to retract our steps on unpopular policies to ensure that patient care is not compromised by ensuring adequate staffing level and mix, ensuring adequate remuneration of laboratory staff, implementing evidenced-based specialty oriented service, determining the root cause/s for the high staff turnover and implementing corrective action, identifying other potential sources of waste in the system rather than pruning the already dangerously low staffing levels and promoting a quality delivery side by side cost effectiveness.

Biography:

Derya ADIBELLÄ° has completed her PhD in 2014 from Ataturk University and Postdoctoral studies from Adnan Menderes University Soke Health High School. She is assistant professor and the Assistant Director of Soke Health High School. She has been working on public health nursing, geriatrics, heart health in women and domestic violence. She has published articles in (inter)national journals, presentations at (inter)national congresses, chapters in books. She has membership in various scientific associations/societies and has been an Editorial Board Member of an international journal.

Abstract:

The average length of life in societies has increased with the increase in the level of welfare, which in turn led to a rise in the rate of the older people in the general population. As a result of these demographic changes with respect to the increase in the average lifespan, restrictions occur in the daily care activities of individuals, and older people require more social, economic and health protection as well as better nursing care on various levels. In geriatric patient care, as in all age groups, nurses obtain patient’s health history, determine his/her needs, develops a comprehensive care plan, provides treatment and care and evaluates the results. While carrying all these tasks through and fulfilling their responsibilities, nurses experience several problems and difficulties in patient care in their work environment. The difficulties experienced by nurses in geriatric patient care include the inadequacy of physical conditions and technical equipment in hospitals, care problems experienced due to patients’ physical restrictions, administrative difficulties, communication problems experienced with the patient or family caregiver, difficulties arising from insufficient knowledge, skills and experience in geriatric patient care, prejudice of older patients and family caregivers toward hospital environment and health personnel and not being appreciated for the care given to patients. These problems and difficulties experienced by nurses give rise to an increase in workforce loss, care moves and job suspension as well as in early retirement rates among nurses, a decrease in work efficiency, delays in returns to work, and an increase in medical treatment costs. Additionally, nurses experience physical problems and psychosocial problems due to the difficulties they faced in geriatric patient care. Realizing and solving these difficulties will enable nurses to be more satisfied with their job and thus enable them to provide patients with a more satisfactory care service.

Biography:

Sun Xiao has completed her MD from Tongji University, Shanghai, China. She mainly works at the chronic management. She has published more than 10 papers in Chinese reputed journals and one SCI.

Abstract:

Background: In present, the incidence rates on chronic diseases increase every year across the world. The chronic diseases lead to physical / psychological injury and economic losses. So it is necessary to make effective measures to improve healthcare outcomes. Process: 10 healthcare groups of chronic diseases in the field of diabetes, stroke, peritoneal dialysis and others were established. The survey included KAP and demands investigation of patients/ family caregivers; intervention measures for improving healthcare outcomes, such as follow-up, health education, extended care and others. For example, diabetes nursing group had established: 1) health management system for recording blood glucose every time, for monitoring dynamically daily trends and average value; 2) health education turntable for providing standardization education of 5 to 10 minutes; 3) monitor network based on the mode of Hospital - Community - Patients; 4) E mode of diabetes management, that is: building archives-periodically measuring blood sugar-remote-monitoring-actively healthcare-providing health education. Stroke nursing group opened the outpatient clinics for screening risk factors when stroke happening, carried out various of health education methods (such as Micro Message Public Platform, rehabilitation App, etc), and instructed the post-strokes’ early rehabilitation exercise according to the standardized flowchart. Peritoneal dialysis nursing group developed the "health education prescription" and "Family Visit Form". Health education group built the “Community Health Education School”, and surveyed the community nurses on the training demand for theory knowledge and practice skills, investigate the chronic patients on the health education demand, the purpose of which were to build the operating model of community health education school including training classes and methods of community nurses, health education curriculum and education forms of chronic patients, etc. Results: Completion rate of follow-up reached to 63.5%. Percent of using insulin pen incorrect dropped from 61.7% to 12.5%. Complications related to stroke falling from 38.8% to 15.5%, readmission rate from 40% to 27.5%. Patients’ satisfaction was as high as 98%.We finished 50 times health education classes, 27 times community activities covering 5 districts and more than 3000 community residents came to join us. Awareness rate of health knowledge was more than 80%. Conclusion: Patients having chronic diseases received extended care, will effectively improve healthcare outcome including complication rates, readmission rates, awareness rates of health knowledge, health behavior compliance, etc.

Biography:

Sheri Brynard is a 30 year-old South African lady from Bloemfontein who is living with Down syndrome. She has set new boundaries for people with Down syndrome by qualifying as an assistant-teacher in a public school and becoming a motivational speaker nationally and internationally. She became the first, and still is, the only person in South Africa with Down syndrome who has received a tertiary qualification when she graduated from the National Technical College in Bloemfontein. This qualification followed after she was also the first child with Down syndrome, 23 years ago, to attend and successfully graduate from a mainstream school. Sheri was chosen by Down Syndrome South Africa (DSSA) to become their ambassador and also serves as ambassador on the international Down syndrome board. She was also awarded the highest prestige award from the South African Down Syndrome Association for the highest academic achievement received by a person with Down syndrome in South Africa.

Abstract:

With this presentation, an Afrikaans speaking woman of 33 will inform the meeting in English or Afrikaans how she grew up as a girl with Down syndrome in South Africa. She will explain how her determination to make the best if her situation helped her to cope with her disability and how she, with the help of her parents, handled the preconceived ideas of the people of her time. She will illustrate how a sense of humour and positive outlook on life helped her to achieve against all odds. She made the words and the philosophy of Nelson Mandela “you are the master of your destiny and you are the captain of your soul“, her own life philosophy. She truly believes that one must never focus on what you don’t have, but be proud of who you are. She strongly believes one must work hard to make the best of who you are. Shéri Brynard gives meaning to her life by trying to change people’s perceptions about people with Down syndrome in South Africa and abroad. She also tries to help the so called normal people who listen to her to focus on the positive things in their own lives. The central idea is that anyone has the potential to become a leader in the field where that person can make a difference, if you use every opportunity to the best of your ability. A legacy is cultivated by making the best of your situation, whatever it may be rising above your constraints by striving for excellence and working hard to realise your true potential. A leader inspires others to do the same and does not give up hope, ever. This is what Sheri Brynard did.

Biography:

Ching-Min Chen has received her Doctor of Nursing Science (Health Policy and Health of the Community) in 1995 from Indiana University, USA. She has joined Taipei Medical University as a Lecturer shortly after her return. She was promoted to full Professor in 2007. She has served as Deputy Director of Nursing Services Department of the University Hospital in 2003-2004 and Director of the School of Geriatric Nursing and Care Management in 2007-2011. In 2011, she relocated and took her position as Professor in Department of Nursing, National Cheng Kung University and Adjunct Professor, both at the Institute of Gerontology and Institute of Allied Health.

Abstract:

Population ageing and the increasing of longevity associating with chronic diseases in old age are crucial issues around the world. While providing community-based primary care services, public health nurses (PHNs) have faced the increased demands in providing comprehensive and continuity of care for community dwelling elderly with chronic conditions. The objective of this study was to analyze PHNs’ perceptions of empowerment and practice in chronic disease management in Southern Taiwan. Both qualitative and quantitative research methods were used. A purposive sample of PHNs from four public health centers in Southern Taiwan participated in focus group discussion and completed the questionnaire survey. PHNs reported highest in communication followed by disease care and management in practice of chronic disease management. Perception of empowerment in chronic disease management showed PHNs felt as a nature to agree in psychological empowerment and about 50% felt the organizational empowerment. Practice in chronic disease management was correlated with empowerment. Four themes were emerged based on the result of the focus group: "Gather and Collect Community", "Between Ideal and Reality", "Seamless Integration and Well Considered in Every Aspect: The Demands from Individual, Organization to Environment", and "Blueprint for a Better Chronic Disease Management". It is recommended that PHNs should keep the original care services and provide service through developing partnerships, strengthened the training, building up medical information networks, apply smart ways or tools, combine with related of resources and promote policies to support PHNs in chronic care management.

Biography:

Hema Malini has completed her Master and PhD level in nursing from Monash University, Australia. She just graduated for her PhD in the early of this year 2016. She work sas a senior lecturer in Faculty of Nursing, University of Andalas, one of the leading university in Indonesia. Her works mostly in the chronic disease management has been published in two international journal such as Collegian. Her continuing passion in developing an excelllent care for chronic disease management will continue for long time in the future.

Abstract:

Aims. To describe the process development of group-based diabetes education program in the Indonesian context. Background. People with diabetes need significant knowledge and skills in managing their disease. Evidence has shown that an effective way to increase the knowledge of people with diabetes to enable them to perform good self-management is through a structured health education program. However, such a program has hardly implemented in developing countries. In this present study, the process of developing such a program is described, focusing primarily on two main aspects of the study: the development and implementation. Findings. Overall, throughout the course of the program, some changes in diabetes knowledge, self-care activities, and glycaemic blood level (HbA1c) were observed. It was found that there were some misperceptions in diabetes management in patients prior to attending the program. Experience in attending and being involved in the program was explored and several benefits were identified. These benefiteincluded improved knowledge and confidence in diabetes management. Conclusion. The application of the program benefitted patients and health professionals in terms of improving knowledge and skills. It also had a positive impact in terms of the experience it gave to those involved in the program.This study demonstrated that a structured group-based education program can work in the Indonesian setting and can bring short-term improvement to both people with diabetes as well asbenefit the health professionals involved.

Biography:

Hatice Simsek has completed her Master’s degree from Istanbul University, Public Health Department. She is currently a PhD Student at Ege University Nursing Faculty, Department of Public Health Nursing.

Abstract:

Tuberculosis affects not only the physical aspect but also the social and psychological on patients. This social dimension of tuberculosis and tuberculosis pose a significant problem for patients. This study aimed to determine internalized stigma of tuberculosis patients. The universe of the descriptive research has established a definite diagnosis of tuberculosis patients (n=202) is registered in the Manisa Central Tuberculosis Dispensary, 2007-2012 in treated/undergoing treatment in which the residents of Manisa central. The sample of the study consisted of 83 patients that meet the criteria for participating (n=83). Survey participation rate was 84.3%. Permission institutions and ethics committee approval received for research, data were collected using Tuberculosis Patients Stigma Scale (Cronbach's alpha=0.79) with a face to face interview technique from March to August 2012. Data was assessed using frequency, percentage, mean, t-test, Pearson's correlation and Man Whitney U test in SPSS 15.00 for Windows program. The average age of the participants 47.11±14.43; 65.7% were male; 51.4% of primary school graduates; the 72.9% were married and 85.7% social security. 82.9% of patients completed their treatment; 94.3% of tuberculosis patients had no other family. 37.1% of TB patients are not told anyone that. The results shows that faced with the stigma of tuberculosis, the intermediate scores obtained from the scale (mean score 70.01). In this study that conducted to evaluate the stigma of TB patients, which detected no significant relationship between stigma and age, marital status, employment status, the longest living place, education, social security, treatment continuation condition, no other disease except TB and regular examination status; just to mention a significant relationship between stigma and tell the disease status and sex.

Biography:

Yabin Shang has graduated from Southern Medical University (former First Military Medical University) in 2013. After completion of graduation, she has worked as an Assistant Nurse at Nanfang Hospital affiliated to Southern Medical University. She is currently a Graduate Student at Beijing University of Chinese Medicine.

Abstract:

Objective: To investigate the relationship between Perceived Social Supports (PSS) and quality of life in liver transplant recipients. Methods: Using Multidimensional Scale of Perceived Social Support (MSPSS) to investigate the social support in liver transplant recipients and Chinese version of post liver transplant quality of life instrument (pLTQ) to investigate their quality of life. PLTQ, a specific questionnaire to investigate the quality of life in patients after liver transplantation was developed by Saab (2011) and was introduced to China by Xiao Peng (2014). Pearson correlation was used to evaluate the relationship between perceived social support and the patients’ quality of life. Results: 246 patients was selected using convenience sampling in the outpatient department in one general hospital in Beijing. The average age of the patients were 53.72 and 187 (75.70%) patients were male. The average score of each pLTQ item was 5.373±1.103. The average score of PSSS was 5.589±1.007, significant others were 5.394±1.186, family was 6.074±1.050 and friends support was 5.282±1.357. Pearson correlation has shown that friends’ support was correlated with pLTQ’s each domain. Besides financial domain, significant others’ support was also correlated with PSSS’s every domain. Family’s support was correlated with pLTQ’s four domains except financial and complication domain. Discussion: Family’s support was the highest among the three domains of PSSS. PSS was significantly correlated with the quality of life in patients after liver transplantation. Among which, friends’ support was correlated with pLTQ’s each domain.

Biography:

Ayşe Beşer completed her Doctorate in 2003 and assumed the title of Associate Professor in 2008 and Professor in 2014. She worked as an Associate Dean and Head of the Department of public health in Dokuz Eylül University Faculty of Nursing. She has written 26 research articles that have been published in international indexes and presides the occupational health association in Turkey.

Abstract:

As tuberculosis is both a common and social disease, it causes individuals to fail in easily expressing their disease in society, remain in the background, get stigmatized and labeled in society. This study was aimed at evaluating the views of individuals living in urban areas of Turkey regarding tuberculosis. This qualitative study was conducted between April-May, 2015. The target population of the study consisted of healthy individuals living in the Region of Balçova and totally 26 individuals aged 18 and older without tuberculosis were included in the study by using the criterion sampling method. The data were collected via the Information Form of Socio-Demographic Features that was developed by the researchers and the semi-structured question form with totally 11 questions that was assessed by three experts for the purpose of evaluating the views of individuals regarding tuberculosis. Totally four focus group interviews with 5-6 participants were conducted by two researchers (one observer and one moderator). The interviews were recorded on tape and they were maintained until no new concept or different statement was obtained regarding the research subject and the data collection process was terminated when the data reached the saturation point. The data were analyzed by using the content analysis technique. According to the findings acquired from this study, two main themes were obtained as information about the disease and attitudes and behaviors of society. The participants stated that they did not exactly know the reasons of tuberculosis and the only information they had had been acquired from the environment. Majority of participants stated that they kept away from patients with tuberculosis. They were observed to display behaviors like avoiding sharing the same environment with patients, eating with them, kissing them, hugging them and working in the same environment with them. The employers also abstained from employing them.

Biography:

Tcheunkeu Ebanga Nadine is a Bachelor degree holder in Nursing. She work with the Catholic Health Organization, Cameroon as a Nurse

Abstract:

Background: Initiating HIV+ patients on ART require lifelong commitment to treatment. Nurses are the first health care workers these patients meet in the hospital and thus failure for nurses to establish a cordial relationship with these clients can lead to refusal to start treatment and more especially stopping treatment by patients who have started. Stopping treatment at anytime will lead to increase morbidity and mortality. Rational: This study sought to bring out the importance of good nurse patient relationship in reducing loss to follow-up and enhancing patients’ adherence to treatment. Methodology: Four hospitals were use for this study which included to public hospitals and two religious hospitals. Data was then collected for 12 months comparing the rate of adherence of patients on ART in mission hospitals and that of patients on public hospitals. The study lasted for 12 months and a total of 450 naïve clients were enrolled on ART from all 4 hospitals at the start of the study. Results: Out of these 450 patients seen at the start of the studies 300 (66.7%) was coming from the public hospitals while 150 (33.3%) was the number of patients seen by the mission hospital. A six months survey was conducted to assess how many of the patients in both sites were still coming regularly for their follow up and refills. It was noticed that in the public hospitals they still had 200 i.e., 66.7% patients coming regularly while the mission sites still had 110(73.3%) faithful clients. The last survey was done after 12 months on the same sites considering the same number that is 450 clients which were enrolled in the study at the very beginning. There was no doubt that the public hospitals still had more lost to follow-up cases than the mission as they had lost another 30 clients leaving them with 120. Hence their total loss to follow up clients was 180 patients while the mission settings had lost more 15 clients so their total loss to follow-up clients came up to 55 patients. Conclusion: The public hospitals loss more patients on ART than the mission hospitals they loss up to 180 patients making it a percentage loss of 60 while the mission just recorded a percentage loss of 36.7. It was so because the mission nurses played a key role as they are more welcoming and caring due to their strong religious affiliation that makes them more empathetic and comforting than their counterparts of the public settings. Nurses have a vital role in making patients stick to ARTs.

Biography:

Heather J. Sobko, PhD, RN, APRN, CRRP is a specialist in the development of innovative tools that support patient engagement for improvement in quality of care and patient outcomes. Dr. Sobko completed her doctoral studies in Nursing and Informatics at the University of Alabama at Birmingham and also has degrees in Psychology and Sociology. She completed a two-year National Research Service Award (NRSA) Post-doctoral Fellowship in Comparative Effective Research and is also a nationally certified readmission reduction fellow. She has published numerous papers and serves as a reviewer for several peer-reviewed journals.

Abstract:

Chronic diseases - such as heart disease, diabetes, COPD, arthritis and asthma – are among the most common, costly and preventable health problems in the U.S. Innovative technological “tools of engagement” can effectively address intransigent inefficiencies in healthcare delivery including uneven distribution of quality, escalating costs and adverse lifestyles that tend to exacerbate these problems. A large and growing segment of the population suffers from chronic diseases and can benefit from improved spatial-temporal access to health resources that promote engagement via information and communication technologies designed to connect patients with health care providers. These strategies are particularly effective during transitions of care, a time of well-documented increased risks known to lead to ED visits and hospital readmissions. We implemented a comprehensive Care Transition System designed to support both patients and providers. The system gathers clinically relevant information from patients and automatically triages needs to promote efficacious, cost effective clinical workflow. The system calls out to patients throughout the thirty day time period following hospital discharge and assesses the need for support along four clinical domains: signs and symptoms, medication management, follow-up care and health behaviors. Patients respond using their telephone – an inexpensive, readily accessible tool requiring no special training or equipment. Clinicians receive information in real time through a web-based, nurse-designed dashboard where they complete clinical documentation and generate progress notes that can be securely shared with external providers and EHRs. Use of the system demonstrated an 86% patient response rate with a 23% reduction in ED visits and hospital readmissions.

Biography:

Thomas Kropmans has obtained his MSc in Education, Psychology and Social Sciences and PhD in Medical Sciences (Clinical Decision Making) from the University of Groningen, the Netherlands. He was appointed as Senior Lecturer in Medical Informatics and Education at NUIG’s College of Medicine, Nursing & Health Science in Galway, Ireland in 2006. The OSCE Management Information System was developed, validated and implemented within his domain at the School of Medicine, National University of Ireland, Galway and 22 prestigious Universities and Professional bodies worldwide. He has published and presented his research on OMIS data, at conferences in London, Malta, Singapore, Milan, Glasgow and Dubai.

Abstract:

Background: The Objective Structured Clinical Examination (OSCE) is an established tool in the repertoire of clinical assessment methods in nurse education. Identified benefits of OSCE assessment include development of students’ confidence in their clinical skills and preparation for clinical practice. Objectives: To explore electronic OSCE delivery and evaluate the benefits of using an electronic OSCE management system. To explore assessors’ perceptions of and attitudes to the computer based package. Design: This study was conducted using electronic software in the management of a four station OSCE assessment with a cohort of first year undergraduate nursing students delivered over two consecutive years (n=203) in one higher education institution in Ireland. A quantitative descriptive survey methodology was used to obtain the views of the assessors on the process and outcome of using the software. Methods: OSCE documentation was converted to electronic format. Assessors were trained in the use of the OSCE management software package and laptops were procured to facilitate electronic management of the OSCE assessment. Following the OSCE assessment, assessors were invited to evaluate the experience. Results: Electronic software facilitated the storage and analysis of overall group and individual results thereby offering considerable time savings. Submission of electronic forms was allowed only when fully completed thus removing the potential for missing data. The feedback facility allowed the student to receive timely evaluation on their performance and to benchmark their performance against the class. Conclusions: Assessors’ satisfaction with the software was high. Analysis of assessment results can highlight issues around internal consistency being moderate and examiners variability. Regression analysis increases fairness of result calculations.

Biography:

Dr. Jasper Tolarba has completed his Doctor of Nursing Practice with concentration on Leadership and Policy at Yale University, USA. He holds a Masters of Science in Nursing as well as a Masters in Education. He is the Director of Nursing at Tufts Medical Center in Boston, Massachussetts, a large nationally recognized academic medical center. He also holds an adjunct faculty position at University of Massachusetts-Amherst in their College of Nursing. His written work appeared in the American Journal of Critical Care, The Philippine Daily Inquirer, and other publications. He has also lectured in various in international conferences on a similar topic

Abstract:

Background: Advanced practice nursing (APN) is broadly defined as nursing interventions that influence health care outcomes, including the direct care of individual patients, management of care for individuals and populations, administration of nursing and health care organizations, and the development and implementation of health policy (AACN Position Paper, 2004). APN has been widely successful and well received in the United States, Canada, Singapore, Japan, etc. and its practice is steadily on the rise internationally. This paper describes the emerging trend of advanced practice nursing worldwide. It discusses the significant contributions of advanced practice nurses and how they positively impact patients’ clinical outcome and explains why they are beneficial members of the health care team. Purpose: The goal of this paper was to describe the BIT model of care and the role of the APN. This was achieved through four specific aims: (1.) Describe the overall context and structure of the BIT, (2.) Describe the BIT members’ clinical and operational responsibilities, (3.) Describe the collaborative relationships among stakeholders, and (4.) Validate the overall BIT model of care and the role of APNs with a group process. Design: The conceptual framework used in this project to describe the overall framework of the BIT model of care was the Donabedian Model of Quality Health Care (Donabedian,1988). Methods: An initial description of the overall structure of the BIT and the roles and responsibilities of Advanced Practice Nurses was written. The multifocal roles of the APNs were also described as they function within the BIT model of care. The draft was validated via a group process involving all members of the BIT. Results: The draft of this paper was distributed to all members of the BIT and the group process of content validation showed an accurate description of the role of the APN in the BIT program with minor revisions. Conclusions: The BIT model of care is an evidence-based, proactive approach in providing psychiatric services to patients in a general medical inpatient setting. It has been proven effective and innovative, which has fueled replication of the BIT program in other hospitals in the United States. Results from this study can be used as template for other healthcare insitutions to replicate the program and utilize the APN role for its success.

Biography:

Chris King is a Registered Nurse for both adult and paediatrics and has worked in many roles during her nursing career including in intensive care. She has worked as Primary Health Manager, Regional Manager in Aged Care, Clinical Facilitator for Edith Cowan University Western Australia and now as Unit Coordinator for the Training Centre for Subacute Care WA. With an interest in nursing education she is undertaking her PhD at the University of Notre Dame Australia and has presented at conferences in both Melbourne and Perth Australia. She is awaiting confirmation of a publication of her work on the development of a toolkit for nurses.

Abstract:

This presentation will illustrate the research method and toolkit development process of a PhD project undertaken for the purpose of supporting and guiding nursing staff to create a sense of belonging to the team, for students undertaking clinical placement. Literature suggests that the need to belong to any given community influences health and well-being, which in turn affects behavioural, emotional and cognitive responses. However student nurses are often in a vulnerable position of being excluded intentionally or otherwise from ward/unit activities leading to feelings of isolation and poor achievement. The toolkit is to be developed from data extracted from a series of rounds conducted using the Delphi method. The toolkit will be distributed to selected clinical areas for use during periods of clinical practicum for students and evaluation of its applicability, usefulness and sustainability will be conducted. For the purpose of this study, the research strategy is a sequential mixed method which consists of two distinct phases, qualitative and quantitative research. The aim is to connect the results of the initial qualitative phase to the design, implementation and evaluation of the subsequent quantitative phase. The significance of this research lies in designing a relevant and practical ‘belongingness’ toolkit for nurses working in the clinical practice setting. It will encourage and enable a fundamental shift in attitude towards students by taking into account individual personal values and characteristics, the impact of the direct environment along with the need to belong in order to create a learning environment.

Biography:

Kimberly New is the Executive Director of the International Health Facility Diversion Association, an organization that specializes in the prevention, detection and response to drug diversion by healthcare personnel. Kim help healthcare facilities across the US develop their drug diversion programs with the goal of protecting patients, staff and facilities from the harm frequently associated with diversion. Kim has extensive clinical experience as a nurse, and has worked for many years as a healthcare lawyer and a Compliance Officer. Kim is a frequent author and national speaker. She has been featured in USA Today and the Wall Street Journal.

Abstract:

Prescription drug abuse is a well-recognized issue in the US, Europe and elsewhere in the world. Healthcare personnel are not immune. While there are no reliable estimates of the prevalence of drug theft or diversion activities by healthcare personnel, diversion occurs regularly in facilities across the US and Europe. Cases reported in European literature bear striking similarity to North American cases. Access to narcotics represents an underappreciated occupational hazard and patient safety risk. Harm to patients from healthcare personnel who divert opioids may take many forms, including care delivered by an impaired provider, untreated pain, and infection risks stemming from tampering with injectable drugs. Since 2004, there have been 5 recognized hepatitis C outbreaks in the US associated with infected healthcare workers who diverted injectable opiods, involving more than 32,000 potentially exposed patients. Healthcare personnel who steal opioids are at substantial risk as well. They may suffer the physical and social implications of opioid abuse, risk criminal prosecution, and even overdose and die. The community may be impacted by DUI-related incidents involving impaired healthcare personnel. A formal program is essential to properly prevent, detect, and respond to diversion. A comprehensive program of staff education is crucial to fostering a culture of vigilance and open communication. Staff must be informed of the scope of the problem, the risks associated with diversion, and how to protect themselves and their colleagues. Basic patient and staff safety considerations demand effective, reliable safeguards to maintain the security of prescription opioids in healthcare settings.

Biography:

Hana Hajduchová has completed his Ph.D. at the University of South Bohemia in České Budějovice in Czech republic, Faculty of Health and Social Studies. Since 2004 she works at the same faculty at the Department of Nursing and Midwifery. Her professional focus, inter alia, is the issue of nursing care in psychiatry. She is a registered general nurse.

Abstract:

This research survey was aimed at identifying the opinions of nurses regarding the issue of patient safety in the use of restraints on patients in hospitals in the Czech Republic. The research was designed as a sociological study and was accomplished through the technique of a questionnaire survey using an interviewer. The sample group of nurses included nurses working in shifts on the hospital wards and was based on the needs of the project and the methodology of the Institute of Health Information and Statistics of the Czech Republic. The entire sample consisted of 772 nurses. Most nurses considered the likelihood of an injury to the patient in the use of means of restraint (specifically when strapping the patient) to be negligible (48%) and low (36.9%). Nurses working in surgical and medical wards reported a higher likelihood of patient injuries during restriction while bedridden than nurses working in other departments. The existence of a standard or regulation that would regulate the procedure for the use of restraints, if a patient is restless, aggressive or at risk of self-harm was confirmed by 91.3% of nurses. Immobilization and restraint in justifiable cases in surgeries are carried out by 65.5% of nurses. To prevent complications connected with the use of restraints, we consider continual training sessions and education of medical personnel important in connection with the use of restraints and auditing in maintaining standards of nursing care and the prevention of complications associated with the use of restrictive procedures, and then using these measures only in necessary and justified cases.

Biography:

Working as a associate professor of Psychiatric Nursing Department at Adnan Menderes University College of Nursing in Aydin,Turkey. Dr.Arslantaş currently nursing concepts, problem solving therapy,nursing concepts,group therapy,therapeutic relationship to undergraduate,graduate students at Adnan Menderes University.The main issues are related to the area of group therapy,problem solving therapy.She has extensive experiences preventing violence to nurses and patient’s and their families psychosocial problems and with burden.She worked as Chief Nurse in Psychiatry Department and conducted education of chronic psychiatric patients and their families, and conducted hospital supported home visits and clinic group therapies as therapist and co-therapist.

Abstract:

This study is conducted as a cross sectional research in order to investigate the depression, internet addiction and loneliness relationship in adolescents of high school students. It is targeted to reach 690 students. In the study, Personal Information Form, Beck Depression Scale, Internet Addiction Scale and UCLA Loneliness Scale are used. In the evaluation of the data, descriptive statistics (frequency and percentage values, minimum, maximum, average and standard deviation), and Pearson correlation coefficients are used. When the characteristics of adolescents of high school students who participated the survey are examined, it is found that 46.0% of the adolescents are women, 30.6% of them study in 9th grade, 30.9% of them are 17 years old, 74.3% of them have internet connections in their homes. It is determined that the level of internet addiction in the adolescents with depression tendency ( =19.40±18.61) is significantly higher than the adolescents without depression tendecy ( =9.81±11.77) and the level of loneliness in the adolescents with depression tendency ( =52.61±6.57) is significantly higher than the adolescents without depression tendency ( =50.75±6.74). It is determined that there is no significant relation between the levels of loneliness and internet addiction in the adolescents (r=0.011; p>0.05). Besides, it is determined that there is a positive and high level relation between the depression level and internet addiction of the adolescents (r=0.384; p<0.05) and there is a positive and low level relation between the loneliness level and internet addiction of the adolescents (r=0.090; p<0.05)

Biography:

Nurdan GEZER is assistant professor. She is working Surgical Nursing Department in Aydin School of Health Adnan Menderes University in TURKEY. She worked as a nurse for 10 years. She has working as a nursing teacher for 15 years. She gave nursing education and midwifery education between 1999 and 2009. She has giving lesson nursing management and surgical nursing areas for 1999. Her research interest is nursing skill, critical thinking, student nurses conflict management styles, nursing education, nursing students behaviours, patient education.

Abstract:

Aim: The aim of this study was to evaluate the nursing care-oriented attitudes and behavior towards the nurse-patient interaction. Method: This study was conducted as a descriptive and cross-section. In this study, the ability of sample to the hospital's intensive care unit, received a total of 379 nurses working in medical and surgical clinics. The study reached 221 nurses. The data were collected Care Nursing Patient Interaction Scale (CNPI) and nurse identification form was used. Points can be taken from this scale it is between 70- 350. The scale of humanism, hope, awareness, helping relations, expressing emotions, problem solving, education, environment, requirements, there are 10 sub-groups as spirituality. Results: The α value of the study was found to be 0.98. CNPI average total score was 313.61 ± 36.81 Nurses. Considering the average scores by gender, women, 315.73 ± 34.01, 299.62 ± 50.21 males scored points. There was no difference between the total scores by gender, significant differences were found in the expression of emotion subscales(p<0,05). Mean total score according to the service they receive from the scale difference was found between the nurses they work, it was found that higher scores on the environmental subgroup of intensive care nurses. (p<0,05). The expression of emotions scale scores by gender were taken by men in low dimensions. The scale is based on clinical nurses working in intensive care nurses environmental dimensions of the reason for the high score in the intensive care unit may be associated with the patient-centered work.

Biography:

Ya-Lie Ku as an assistant professor has completed her Master in Nursing Science from Penn State University and conducted the spiritual studies for more than 10 years from Fooyin University School of Nursing. She personally has published approximately 25 journals and 25 conference papers with one book as following Ku, Y. L. (2010). Spirituality in Nursing: Theory, Practice, Education, & Research Taipei, Taiwan: Farseeing Publishing Group. ISBN：9789861941714

Abstract:

This article is to integrative review of literature on spiritual care in nursing. In this article, the keywords “systematic review,” “spiritual care,” and “nursing” were used to search the CINAHL database. A total of 19 articles were identified in the CINAHL database. The integrative review of 11 systematic reviews or evidence-based papers revealed six categories: the definition of spirituality, concept analysis of spiritual care, spiritual assessment, spiritual care in the clinical setting, ethical issues, and nursing education. Additional studies should conduct concept analysis of spiritual care for different patient groups. Moreover, there is a need to conduct a concept analysis of the ethical role of spiritual care in nursing. Finally, spiritual care in nursing education should emphasize the content and strategies of teaching spiritual care with cultural sensitivity, particularly for effective therapeutic listening. Spiritual care should assess from generic to specific aspects, and develop the comprehensive assessment steps for spiritual care in nursing. Additionally, the mixed method is suggested to study spiritual care in nursing. Nursing researchers should apply the manual therapeutic life review interventions for existential and religious domains as the evidence-based interventions for spiritual care in the different care units to generalize the validity of these spiritual interventions.

Biography:

Yafen Mao has completed his bachelor from Shanghai Second Military University. She is the Full-time secretary of Shanghai nursing quality control center. She host over 5 scientific research projects, participate in more than 10 projects. She has published more than 40 papers in reputed journals and has been serving as an editorial board member of Chinese Nursing Management and Shanghai nursing.

Abstract:

Tracking Management is a commonly used method in business management, It looking for some causes both individuals and system after adverse event occurred,remediation and tracking. we always used the tracking management in the nursing practice.This study is to explore the role of tracking management applied to patient safety management in nursing practice. We established a tracking management teams, implementied two kinds of methods to tracking related root reasons for adverse nursing events,one is case tracking,another is system tracking;took corresponding measures in terms of risk level of adverse nursing events, and updated or revised the system, to let these adverse nursing events never happen again.After implement of the tracking management, incidence rate of adverse nursing events was significantly decreased , and reported rate of the adverse nursing events was significantly increased(P < 0. 01for both) . In a word,the tracking management play an active role in ensuring nursing safety. Which reduces the occurrence of adverse nursing events, and ensure patient’s safety, At the same time,It changed the attitude of nursing administrators to deal with adverse nursing events ,it help the administrators to seek for flaws and loopholes from the system more than the personal mistakes, and let the administrators to improve the system, strengthenthe system, to ensure safety and nursing quality.

Biography:

Prof. Dr. Ismet Eser had finished her PhD in the department of internal diseases nursing in 1993. Prof. Dr. Eser, who had also 3-year experience as a nurse manager in eye clinic.. She has been studying at Ege University, Fundamentals of Nursing Departmant. She has more than 20 international papers and more than 80 paper national papers in journals.

Abstract:

This study was conducted to determine open system endotracheal suctioning knowledge and practice of the critical care nurses and to investigate relationship between defining characteristics and nurses’ knowledge and practices. The study was conducted through a cross-sectional and non-participant structured observational design between 2013 and 2014 in a teaching hospital in Western Turkey. The study sample included 72 nurses working at 3 adults ICUs. After the ethical approvals, data were collected using a 45-item structured and self-administered questionnaire and a 31-item onservational checklist. The questionnare and checklist were first sent to12 experts for assessment of content validity. In terms of reliability of the tools, a pilot study was undertaken. Descriptive and inferential statistics were utilized to analyze the data. The mean years of age of the nurses was 30,87 + 6,18, 75% of them were female and 65,3% had a Bachelor’s degree. The mean scores of knowledge and practice were 23,79 + 3,83 and 12,88 +2,53. The relationship between the type of intensive care unit and the nurses’ knowledge scores was statistically significant (Kruskal-Wallis x2=8,619, p= 0,013).This study suggests that most of the nurses’ knowledge level was good and practice level was fair. Intensive care nurses should perform suctioning procedure accurately in order to ensure delivery of quality of care and eliminate complications. It is very important to improve themselves by obtaining knowledge from diverse scientific sources continuously.

Biography:

J-D Wagner has graduated from the University of South Africa (UNISA) in 2013 with a Master’s degree in Health Studies. He has functioned in both the public and private health sectors in South Africa, in the clinical nursing domain and is currently a Senior Lecturer at Ann Latsky Nursing College (Gauteng, South Africa).

Abstract:

This study aimed to establish and describe the level of communication satisfaction that professional nurses experience in selected public hospitals in the City of Johannesburg, South Africa. Quantitative, explorative and descriptive research was conducted to determine the communication effectiveness and levels of communication satisfaction. Data were collected by means of questionnaires, based on an adapted version of the Downs and Adrian (2004) Communication Satisfaction Questionnaire (CSQ). A sample of 265 professional nurses, from different nursing categories, was chosen using a disproportionate random stratified sampling method. The study population consisted of three groups of professional nurses, namely nurse managers (n=18), operational managers (n=22) and professional nurses (n=90). Cronbach’s alpha internal consistency analysis: Item analysis was done to assess the reliability of the different dimensions or constructs in the questionnaire via Cronbach’s alpha values. The study highlighted areas of effective and ineffective communication, as well as areas of communication satisfaction and dissatisfaction, among professional nurses. The recommendations for the improvement of the communication effectiveness and communication satisfaction of PNs are aimed at creating an organisational atmosphere conducive to two-way communication.

Biography:

Nuray Turan has completed her Ph.D at the age of 30 years from Istanbul University, Institute of Health Sciences. She is graduated from Istanbul University, Florence Nightingale School of Nursing. She is working at Florence Nightingale Faculty of Nursing, Department of Fundamentals of Nursing since 2005. Her areas of interest are intramuscular injection, complementary therapy, nursing informatics, nursing process and nursing care. Author and co-author of articles, books and other publications on fundamentals of nursing and leader of statutory research projects. She is member of Turkish Nurses Society, Nursing Education Society, and Graduates Florence Nightingale School of Nursing Society.

Abstract:

Although intramuscular injection is one of the nursing practices frequently performed by nurses, the knowledge of nurses on intramuscular injection sites and method is not sufficient and evidence-based. This study was conducted to determine the injection sites selected by nurses in intramuscular (IM) drug administration and the factors that affect the selection of site. Population of this descriptive cross-sectional study consists of 250 nurses who work at two private hospitals in Istanbul. Sample group of the study included 171 nurses (68.4% of the population), who were selected from said population using the stratified random sampling method. The data were collected through a questionnaire developed by the researchers, and frequency, percentage, minimum, maximum, mean, standard deviation and chi-square methods were used in the analysis of data. It was found that average age of the nurses is 26.27 (SS=7.46) years, average duration of professional experience is 68.96 (SS=84.53) months, average duration of experience in the unit is 32.78 (SS=38.41) months, majority of nurses in the first line (62.6%) are graduated vocational school of health, and they have worked in units like emergency, surgery, intensive care unit, obstetrics/delivery room, surgical units, pediatric, and polyclinic. It was also determined that 40.4% of nurses administer IM injection very frequently (more than 5 times a week), 83.6% of nurses firstly prefer dorsogluteal site for IM injection, 74.9% have not received a training on IM injection administration sites in recent times, 73.7% have not read any literature, but 76% can transfer their knowledge to practice. On the other hand, from among the nurses who stated that they recently received training on IM injection administration sites and read literature, 21.9% said that deltoid site is recommended for IM injection, 65.8% said laterofemoral site, 47.2% said ventrogluteal site, and 77.8% said dorsogluteal site. When the knowledge level of nurses on complications which may develop depending on the IM injection site was examined, it was observed that they know that a pain/discomfort develops in all administration sites but some do not develop; although there is a risk of nerve injury development in the deltoid site, considerable majority of them claim that nerve injury will not develop; although there is no risk of sciatic nerve damage development in the ventrogluteal site, some nurses stated otherwise; and although there is a risk of bone injury, vascular injury, infection, necrosis, tissue irritation, nodule or hardness, abscess and hematoma in all sites, some nurses do not report these complications as a risk. It was also found that variables such as age, professional education status and duration of experience of nurses do not affect selection of site in IM injection administration, but the unit where they work and duration of experience in that unit affect selection of site when administering IM injection. The nurses frequently prefer dorsogluteal site for administering IM injection, their knowledge about the complications which may develop in the sites they select for IM injection is insufficient, the unit where the nurses work and duration of experience in that unit affect their selection of site in IM injection administration.

Biography:

Nurten Kaya is graduated from Istanbul University, Florence Nightingale School of Nursing in 1987. She completed her PhD from Istanbul University, Institute of Health Sciences. She worked at Florence Nightingale Faculty of Nursing, Department of Fundamentals of Nursing between from 1993 to 2013 and she has worked at the Health Sciences Faculty since 2013. Her areas of interest are intramuscular injection, complementary therapy, nursing informatics, nursing theories and models, nursing process and nursing care. Author and co-author of articles, books and other publications on fundamentals of nursing and leader of statutory research projects. She is member of Turkish Nurses Society, Nursing Education Society, and Graduates Florence Nightingale School of Nursing Society.

Abstract:

While administering medication through intramuscular injection, the ventrogluteal site must be used instead of the dorsogluteal site, and it is of great significance to locate the ventrogluteal site correctly. This was a cross-sectional study aimed at comparing and contrasting two methods (G and V method) for locating the ventrogluteal site, an IMI site. The study population comprised 120 randomly selected healthcare personnel at a university hospital. A two-part questionnaire was developed comprising 14 questions to collect relevant data. The first part contained questions about the socio-demographic characteristics of the respondents. The second part contained questions aimed at obtaining ventrogluteal site data acquired through ultrasonography. Written permission was obtained from the ethics committee and management board of the hospital as well as from the head of the department of radiodiagnosis. Participants were informed of the aim and benefits of the study and their roles in the study. The ventrogluteal site was determined using the geometric (G method) and V method and these sites were scrutinized under ultrasonography. It was investigated whether there was any anatomic vessels or neural structure present, and also determined the thickness of subcutaneous tissue, musculus gluteus medius, and musculus gluteus minimus. Of the participants, 65.8% were female and the average age was 32.30 years and body mass index was 25.31 kg/m2. The results showed that G and V methods were statistically significant in terms of variables. It was also found that sex affects subcutaneous tissue thickness and the skin-bone margin in the G and V method, and that body mass index determines subcutaneous tissue, musculus gluteus medius thickness and skin-bone margin. When the ventrogluteal site is used for intramuscular injection purposes, the site must be determined in line with the geometric method.

Biography:

Dr. Saleh has completed his PhD on 2002 from the University of Kentucky . He is the director of Health Training Department at King Abdullah Medical City, Makkah, Saudi Arabia. He has published several papers in reputed journals.

Abstract:

Background: Nursing shortage caused recruitment of foreign nurses who has different educational background and different scope of practice, leading to non-standardized care and jeopardizing patient safety. Aim: The aim of this descriptive study is to train and assess nurses on generic competencies that are frequently used in their areas of clinical practice. Method: Train the trainer workshop was designed and conducted for six-generic competencies stations to assess 239 nurses who are engaged in the delivery of patient care at KAMC. Eighty-nine nurses were randomly selected to assess the impact of the competency training by pre-test post-test exams. At the completion of the competency assessment, participating nurses completed the competency fair satisfaction survey. Results: Eighteen percent of nurses failed the “Adult Physical Assessment” competency. About 18% of nurses failed the “Medication Administration” competency. Nurses scored the highest pass rate in the “Vital Signs” competency (96.19) and “Oxygen Therapy Administration” (93.62%). There was significant differences in means of pre-test and post-test in regard to the impact of competency training. The majority of nurses (87%) reported their satisfaction with the competency fair. Conclusion: Competency training and assessment in a multi-cultural institution is very paramount in standardizing patient care. Clinical educators must carry the responsibility of classifying nurses according to their competencies and plan developmental portfolio accordingly.

Biography:

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

Abstract:

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

Biography:

She had worked in the Internal Diseases Service of Ege University Medical Faculty Hospital in the years of 2008-2009, in the Oncology Clinic of Dokuz Eylul University Medical Faculty Hospital in the years of 2009-2011 and worked as a surgical nurse in the Karadeniz Technical University Medical Faculty Hospital in the years of 2011-2014. She has been working as a lecturer in Cankiri Karatekin University. She graduated from the Psychiatry Nursing Master Programme of Adnan Menderes University Institute of Health Sciences in October 2015 and has been awarded the tittle of Specialist Nurse.

Abstract:

This study is conducted as a cross sectional research in order to investigate the depression,internet addiction and related factors in adolescents of high school students.It is targeted to reach 690 students.In the study,Personal Information Form,Beck Depression Scale and Internet Addiction Scale are used. In the evaluation of the data,descriptive statistics,test in unrelated measurements, Kruskall Wallis test,one way variance analysis are used. When the characteristics of adolescents of high school students who participated the survey are examined, it is found that 46.0% of the adolescents are women,30.6% of them study in 9th grade,30.9% of them are 17 years old,74.3% of them have internet connections in their homes. It is found that 21.1% of the adolescents has the risk of the depression, and this risk of depression increases in the ones with low income,the ones with insufficient pocket money,the ones with moderate relations with their siblings,the ones who face the attitude of authoritarian father,the ones with moderate relations with their mothers (Kw(2)=7.569;Kw(1)=27.524;Kw(1)=13.452;Kw(2)=7.349;Kw(1)=10.525;p<0.05 respectively),the ones with moderate school success,the ones with moderate relations with their teachers,the ones with moderate relations with their friends and the ones who have no close friends (Kw(1)=15.865;Kw(1)=18.625;Kw(1)=4.852;Kw(1)=5.731;p<0.05 respectively).It is found that 2.1% of the adolescents has showed limited symptoms in internet addiction and 0.4% of them are pathological internet users.It is found that the level of internet addiction was increased by being a male, studying in ninth grade,increasing age(t(667)=2.557;Kw=15.364; Kw=9,549;p<0.05 respectively). Moreover,it is found that the internet addiction is increased in the adolescents with insufficient pocket money(t(660)=2.673;p<0.05),the ones with fewer siblings,the ones with moderate relations with their siblings (Kw(2)=21.584;t(633)=3.120;p<0.05 respectively),in increased educational level of the father and authoritarian father attitudes of the father towards the adolescent (Kw(3)=5.750;Kw(2)=6.155;p<0.05 respectively).Still,it is found that it is increased in increased educational level of mother, when mother is employed and in the ones with moderate relations with their mothers(Kw(3)=12.546;t(667)=1.486;t(653)=3.449;p<0.05 respectively),the ones with moderate relations with their teachers and the ones with no close friends(t(637)=4.728; t(667)=2.580; p<0.05).