Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 6th World Nursing and Healthcare Conference Crowne Plaza, Heathrow, London, UK.

Day 2 :

  • Cancer nursing

Session Introduction

María del Pilar Sosa Rosas

Universidad Nacional Autónoma de México, Mexico

Title: Nursing care in the body of the person with cancer
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Sevgi Turkmen

Celal Bayar University, Turkey

Title: Psychosocıal approach in cancer patıents
Speaker
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. İn 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.

Speaker
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.

Speaker
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).

Speaker
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.

Speaker
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.

  • Heart & cardiovascular nursing
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

  • Pediatric nursing

Session Introduction

Lori A Loan

University of Alabama, USA

Title: Evaluation of the patient caring touch system
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Roganovic Jelena

Clinical Hospital Centre Rijeka, Croatia

Title: Late effects of treatment for childhood cancer
Speaker
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.

Jih-Yuan Chen

Kaohsiung Medical University School of Nursing, Taiwan

Title: Resilience in female adolescence in Taiwan
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Barbara Kegl

University of Maribor, Slovenia

Title: Caring in the pediatric nursing in Slovenia
Speaker
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.

Speaker
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.

Speaker
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.

Ayse Ferda Ocakcı

Koc University College of Nursing, Turkey

Title: Mother-child Relationship in Turkey
Speaker
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.

Speaker
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.

Speaker
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.

  • Surgical nursing
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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).

Speaker
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.

  • Dental care nursing
Speaker
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.

  • Clinical nursing
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Qian Wu

Tongji University, China

Title: retrospective study of adverse events
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

  • Poster Presentaions

Session Introduction

Kristin Monza

Carolinas Medical Center Charlotte NC, USA

Title: The role of the nurse navigator in the management of the heart failure patient
Speaker
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.

Speaker
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.

Donovan Jones

The University of Newcastle, Australia

Title: Mindfulness for men with pregnant partners
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Hui-Mei Chen

National Taipei University of Nursing and Health Sciences, Taiwan

Title: Effectiveness of exercise for anxiety in patients with lung cancer: A randomised controlled trial
Speaker
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.

Speaker
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.

Speaker
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.

Shu-Yuan Liang

National Taipei University of Nursing and Health Sciences, Taiwan

Title: Effectiveness of the standardized protocol for prevention and management of oral mucositis
Speaker
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.

Speaker
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.

Speaker
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.

Hwey-Fang Liang

Chang Gung University of Science and Technology, Taiwan

Title: Nursing students’ experiences of providing care during a pediatric practicum
Speaker
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.

Rea-Jeng Yang

National Taipei University of Nursing and Health Sciences, Taiwan

Title: Effects of an educational program on BSE competency: A quasi-experimental study
Speaker
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.

Speaker
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.

Speaker
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).

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Chia-Hsing Wu

Cardinal Tien College of Healthcare & Management Department of Nursing, Taiwan

Title: Exploration study of the beliefs of postpartum depression in postpartum women’s relatives
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Mei-Yin Lee

Mackay Medical College School of Nursing, Taiwan

Title: Social adaptation experiences of adolescents with tourette syndrome in Taiwan
Speaker
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.

Speaker
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.

Speaker
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.

Chin-chi Tsai

Cardinal Tien College of Healthcare & Management, Taiwan

Title: Health literacy and health behaviors among Southeast Asian immigrant women in Taiwan
Speaker
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.

Lee-Han Kuo

Taipei Medical University, Taiwan

Title: Health status of residents in northern Thailand
Speaker
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.

Speaker
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.

Speaker
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.

Chang-Chiao Hung

Chung Gung University of Technology and Science, Taiwan

Title: Effects of simulation-based learning on nursing student competences
Speaker
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.

Speaker
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.

Jing Juin Huang

Chung Hwa University of Medical Technology, Taiwan

Title: Factors influencing renal anaemia in patients with long-term haemodialysis
Speaker
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.

Wei-Wen Wu

National Taipei University of Nursing and Health Sciences, Taiwan

Title: Development and psychometric testing of osteoporosis prevention self-efficacy scale – Adolescent form
Speaker
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.

Speaker
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.

Chao-Chi Wang

Telehealth and Home care Center of MacKay Memorial Hospital, Taiwan

Title: The relationship of religiosity toward life satisfaction and depression among elder population in Taiwan
Speaker
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.

Speaker
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.

Speaker
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

Speaker
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

Speaker
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.

Speaker
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.

Shwu-Ru Liou

Chang Gung University of Science and Technology, Taiwan

Title: Depression and its related factors of infertile women
Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
Biography:

She had worked in The Gynecology And Obstetrics Clinic of Istanbul Universty İstanbul 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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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 .

Speaker
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.

Speaker
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.

Speaker
Biography:

Beşer 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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.

Speaker
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.