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 3 :

  • Nutrition & health

Session Introduction

Ingrid Hanssen

Lovisenberg Diaconal University College, Norway

Title: Moments of joy and delight: The meaning of traditional food in intercultural dementia care
Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

  • Critical care & emergency nursing

Session Introduction

Francisca Cisneros Farrar

Austin Peay State University, USA

Title: West Nile virus: An infectious viral agent to the central nervous system
Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Jodie A Mills

CareFlight Northern Territory Operations, Australia

Title: Aeromedical retrieval of acute psychiatric patients
Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

  • Women health nursing

Session Introduction

Heather MacDonald

University of New Brunswick, Canada

Title: Removing the mask: Women returning to work after a lapse due to depression
Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

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:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

  • Adult health nursing
Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

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:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Mei-Yu Pan

Chang-Gang University of Science and Technology, Taiwan

Title: Factors related to tooth loss among people with disabilities - A community based study
Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

H.Nethnee Sanuri de Silva

International Institute of Health Sciences – Welisara, Sri Lanka

Title: Attitudes of nurses towards end-of-life care for themselves
Speaker
Biography:

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

Abstract:

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

  • Tele medicine & e-health
Speaker
Biography:

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

Abstract:

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

Manuela Siebert

Coagulation Research Centre GmbH, Germany

Title: Successful implementation of telemedicine in hemophilia
Speaker
Biography:

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

Abstract:

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

Steffen Ortmann

IHP, Innovations for High Performance Microelectronics, Germany

Title: Wearable sensors for mobile health monitoring in daily life
Speaker
Biography:

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

Abstract:

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

  • Legal nursing
  • Young Research Forum

Session Introduction

Timothy Finn

University of Chicago Medical Centre, USA

Title: Handoffs and communication: Making team care safe
Speaker
Biography:

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

Abstract:

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

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:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Lin, Li-Chiu

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

Title: A descriptive exploratory study of Postpartum women and family’s demand of knowledge of Postpartum depression
Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Hui-Man Huang

National Taipei University of Nursing and Health Science, Taiwan

Title: The clinical reasoning indicators for nursing students: Qualitative study
Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Anita Jasmine C. Valerio

Trinity University of Asia- St. Luke’s College of Nursing, Philippines

Title: Assessment of cultural competency of filipino immigrant nurses
Speaker
Biography:

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Yun-Hsuan Lin

National Yang-Ming University, Taiwan

Title: The lived experience of the primigravida in Taiwan
Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

Abstract:

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

Speaker
Biography:

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

Abstract:

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

Speaker
Biography:

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

Abstract:

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