23^rd World Nursing and Healthcare Conference July 10-12, 2017 Golden Tulip Berlin - Hotel Hamburg, Berlin, Germany

Biography:

Emilia Campos de Carvalho, RN, PhD is Senior Professor  of  University of São Paulo. She was Dean of the  Ribeirão Preto College of Nursing – Brazil. Dr Carvalho maintains involvement in Brazilian Nursing Association,   NANDA-I and  Sigma Theta Tau International- Rho Upsilon Chapther  . She is the advisor of students of the doctoral, masters and undergraduate courses in nursing. Has many clinical researches published in national and international journals.

Abstract:

This randomized clinical trial was performed to evaluate the effect of foot reflexology on the feet of 78 people susceptible to skin rupture, by the nursing outcome Tissue Integrity: skin and mucous membranes¹. In the initial phase, the feet of the participants were evaluated by 20 indicators² (score 1 to 5). The score of the nursing outcome was determined by the average of their indicators' scores. Participants were randomized into two groups: Intervention  (n = 40), that received 16 sessions of foot reflexology in the eight-week period; Control  (n = 38), that received usual care. In the final phase, the score of the nursing outcome was determined again. The Intervention Group presented, at the beginning of the study, the average score of 4.64 (SD = 0.28) and, at the end, of 4.90 (SD = 0.13); the Control Group presented, in the initial phase, average score of 4.66 (SD = 0.22); and, in the final phase, of 4.50 (SD = 0.26). There was equivalent in the scores presented by the groups (intergroup analysis) at the beginning (p = 0.951), and differences between them at the end (p < 0.001).  When comparing the two periods (intragroup analysis), there was an increase in the Intervention Group scores (p < 0.001) and decreased in the Control Group scores (p < 0.001). After the intervention, participants of the Intervention Group showed improvement and the participants of the Control Group showed worsening in the score of the nursing outcome "Tissue Integrity: skin and mucous membranes".

Biography:

Qian Chen has completed his PhD  from Sichuan  University. She is the charge nurse of Department of Geriatrics West China Hospital, and the Associate Professor of Sichuan University. She has studies associated with geriatric syndrome. She has published more than 30 papers  about it in chinese journal.

Abstract:

Background: The incidence of deglutition disorders in elderly inpatients had reached  30%, which increased the incidence of complications and death.

Objective: To verify the effectiveness of multi-disciplinary intervention model led by nurses for functional deglutition disorders elderly inpatients .

Methods: By cluster sampling, 73 patients were in the intervention group, who accepted multidisciplinary intervention, and 72 patients in the control group, who received traditional care. The objects were investigated at baseline, collected the data after 30 days and 90 days. The questionnaires contents included: demographics, Kubota Water Swallow test, MNA-SF, aspiration pneumonia etc.

Results：The demographics, swallowing function between two groups had no statistical significance（P＞0.05). The ration of SSA in intervention group was significantly higher than that in control group （67.1% v.s. 44.4%). the difference had statistical significance ( Z=8.964，P =0.011). The incidence of aspiration pneumonia in the 90 days in the intervention group was lower than that in the control group（5.5% v.s. 23.6%). The incidence of malnutrition in the intervention group was lower than that in the control group（2.7% v.s. 11.1%), both with statistical significance（P＜0.05).

Conclusion: The Nurses-led multi-disciplinary intervention model of deglutition disorders elderly inpatients contributed to improve the swallowing function, and reduce the incidence of aspiration pneumonia and malnutrition of elderly patients with deglutition disorders.

Biography:

I am 49 years old. I worked as a clinician and manager nurse for about 15 years. I started my academic studies at Dokuz Eylül University and I completed Ph.D. from Ege University.  I am continuing Postdoctoral studies from Pamukkale University Faculty of Health Science, Nursing Department (Fundamentals of Nursing). I have more than ten published papers in different journals.

Abstract:

Post-operative period of first two days with Coronary Artery By-pass Greft (CABG) has severe pain (11-20%). The reasons of post-op pain in CABG are deep breathing and coughing exercises (DB&CE), moving and rotation in the bed. Pain during DB&CE results in opening the rib cage, pressure on the wound and stress on the sternum lines. DB&CE is important to prevent for puImonary complications. If pain is not controlled during DB&CE, morbidity and mortality risk can be increased. Although the frequently used pharmacological methods can reduce the pain at a certain level they leads to side effects (sedation, nausea, constipation etc.). Also pharmacological interventions are not enough to control the increase of pain by itself, especially the pain related to deep breathing and the cough. Non-pharmacological methods are easy to use and safe adjuvant therapy with low cost. Effects of the cold therapy are analgesic increase of pain threshold, reduce the use of analgesics, anti-inflamatory, spasm relaxing, increase mobility, and improve rehabilitation. Cold therapy effectively decreases the pain in the activities of coughing and mobilization. It is known that combinational therapy of pharmacological and non-pharmacological methods is more successful in CABG (78%) by randomized controlled trial. Our study showed that cold therapy has a positive effects on pain management in the early period of postcardiac surgery by randomised crossover clinical trial. Thereby application of cold therapy should be encouraged as an alternative treatment for pain management in early post-operative period in patients with median sternotomy.

Biography:

Ling Feng has completed her master from Sichuan University and has worked in nursing for more than a decade. She is the head nurse of the neurology department of West China Hospital, Sichuan University,China. She has participated in many activities related to academic research. She is the member of the Chinese nursing association. She has published more than 20 papers in reputed journals and has editted three books.

Abstract:

Objective: To investigate and effectiveness evaluation grading management in neurology nursing management.

Methods: Selecting nurses and patients in neurology, Using Minnesota Satisfaction Questionnaire Scale (MSQ) short scale and Nursing Care Quality Assessment Scale to evaluation and compare nurse satisfaction and patient satisfaction before and after the implementation of grading management.

Results: After the implementation of grading management, nurses’ satisfaction are improved, the dimensions especially  "nurse's own sense of accomplishment", "full play to their ability" “work and reward” improved significantly; patients’ satisfaction as "health education", "awareness of nurse", "ability to work" also improved compared with before the implementation of grading management, Studies have shown statistically significant (P <0.05) ; another ,the nursing research have increased significantly.

Conclusion: Nurse grading management clearly defined job responsibilities at all grades, can improve work initiative; grading nurses’ training and assessment can help nurses’ career planning, improve the nurse enthusiasm for work, to achieve the nurse and patient satisfaction.

Biography:

Ms. Chow Vincci Wing Sze is a nursing student studying Bachelor Degree of Health Sciences (Major in Nursing) at Tung Wah College in Hong Kong. Ms. Chow Vincci Wing Sze is the representative of the group to give the presentation in the conference. Her research interests include Human Papillomavirus (HPV), HPV vaccine, knowledge, barriers and attitudes of parents-of-minor-age-daughters.

Abstract:

Cervical cancer has always been known as one of the most common cancer type globally. Human Papillomavirus, HPV in short, is nearly 100% the cause of cervical cancers and can enter a person’s body through sex. High- risk types HPVs are responsible for causing cervical cancer and type 16 or 18 HPV are responsible for almost 70 percent of cervical cancer cases. In 2013, Hong Kong had 503 new cervical cases diagnosed. Nowadays in Hong Kong, 2-valent, 4-valent and 9-valent HPV registered vaccines are available and aim to help with the prevention against HPV type 16 and 18.
 

A cross-sectional, quantitative and questionnaire-based study was used for this research. 413 Hong Kong residents who can read traditional Chinese and have at least one daughter aged 9 - 17 years old at the moment were recruited. Chosen Participants were recruited at four selected Health Care Centres and were invited to finish a set of questionnaire which is composed of 27 questions. Data analysis is still in progress. The preliminary result showed that around 80% of the subjects had heard of HPV which is relatively high rate among Asian, however their mean score of knowledge towards HPV is 2.4 which revealed an unsatisfactory knowledge level on the topic. Cost of vaccine and risk perception were main barriers that hindered parents’ willingness to vaccinate their daughter. The preliminary result could act as a reference for the Hong Kong Government to help in raising the HPV vaccination rate by strengthening HPV vaccine promotion

Biography:

Ms. Leung Shuk Ching is nursing student studying Bachelor Degree of Health Sciences (Major in Nursing) at Tung Wah College in Hong Kong. Ms. Leung Shuk Ching is the representative of the group to join in the conference. Her research interests include Human Papillomavirus (HPV), HPV vaccine, knowledge, attitude of Cervical cancer and acceptability towards Human Papillomavirus (HPV) Vaccination.

Abstract:

Cervical Cancer is commonplace for women. It is triggered by some categories of human papillomavirus (HPV). It has been proved that HPV infection is a preventable disease with HPV immunization. The earlier the age in receiving the inculcation, and prior to sexual intercourse experience, the higher rate of protection against the infection. According to the Hong Kong Cancer Registry, the numbers of newly diagnosis of cervical cancer were around half of a thousand in 2013. The figure posed cervical cancer at seventh common disease in Hong Kong among female. There are three types of HPV vaccines had been approved by Centre for Health Protection. They are Cervarix (2-valent), Gardasil-4 (4-valent), Gardasil-0 (9-valent) in preventing cervical cancer or the majority of cervical cancer attributed by HPV types 16 and 18.

This study was a cross-sectional research and was conducted throughout districts in Hong Kong. Data was collected through self- report questionnaire. In total, 397 interviewees were randomly picked and were invited to finish the questionnaire which is composed of 39 questions. Data analysis is still in progress. The preliminary result showed that more than 80% of the participants had heard of HPV before which was approximately 6 times more than those who did not (15%). Their mean knowledge score towards HPV, cervical cancer and HPV vaccine was 5.65 in which respondents who had heard HPV before doing the questionnaire had higher level of it. The preliminary result would offer suggestions to the government in formulating strategies for preventing cervical cancer.

Biography:

Ms. LI Wai Ting is a nursing student studying Bachelor Degree of Health Sciences (Major in Nursing) at Tung Wah College in Hong Kong. Ms. LI Wai Ting is representing the group to give the presentation in the conference. Her research interests include blood donation, knowledge and attitudes of undergraduate students

Abstract:

The demand of blood in Hong Kong has been increasing particularly due to ageing and increased prevalence of chronic-illnesses.  Hong Kong Red Cross conducted various campaigns to recruit new blood donors and promote blood donation practice for the shortage of blood supply to the needy in hospitals. Knowledge and attitudes towards blood donation practice are crucial and the perception of blood donation can be different between students in healthcare and non-healthcare programmes. This study aimed to examine knowledge and attitudes towards blood donation between healthcare and non-healthcare students. A cross-sectional study was used to achieve the study purpose. The validated questionnaire related to the study topics towards blood donation was used. By March 2017, a total of 45 eligible subjects were recruited including 6 (13.3%) from healthcare programmes and 39 (86.7%) from non-healthcare programmes. The data collection is still in progress. Of 45 subjects, most of them (80%) had no religion. There were 60% of them with no experience of blood donation. The preliminary result showed that the item “fear of seeing blood” was significant difference between healthcare and non-healthcare student groups (t=3.457, p=0.002). The mean (SD) of the item ‘fear of seeing blood” between healthcare and non-healthcare student groups were 4.17 (0.408) and 3.31(1.151) respectively. Based on this preliminary result, strategies to cope with fear of seeing blood may be needed to promote blood donation in this specific age group. Education with psychological support to improve knowledge and attitudes towards blood donation is important to encourage blood donation practice

Biography:

Ms. LO Hiu Man is a nursing student studying Bachelor Degree of Health Sciences (Major in Nursing) at Tung Wah College in Hong Kong. Ms. LO Hiu Man is the representative of the group to give the presentation in the conference. Her research interests include blood donation, knowledge and attitudes of undergraduate students.

Abstract:

The demand of blood in Hong Kong has been increasing particularly due to ageing and increased prevalence of chronic-illnesses.  Hong Kong Red Cross conducted various campaigns to recruit new blood donors and promote blood donation practice for the shortage of blood supply to the needy in hospitals. Knowledge and attitudes towards blood donation practice are crucial and the perception of blood donation can be different between students in healthcare and non-healthcare programmes. This study aimed to examine knowledge and attitudes towards blood donation between healthcare and non-healthcare students. A cross-sectional study was used to achieve the study purpose. The validated questionnaire related to the study topics towards blood donation was used. By March 2017, a total of 45 eligible subjects were recruited including 6 (13.3%) from healthcare programmes and 39 (86.7%) from non-healthcare programmes. The data collection is still in progress. Of 45 subjects, most of them (80%) had no religion. There were 60% of them with no experience of blood donation. The preliminary result showed that the item “fear of seeing blood” was significant difference between healthcare and non-healthcare student groups (t=3.457, p=0.002). The mean (SD) of the item ‘fear of seeing blood” between healthcare and non-healthcare student groups were 4.17 (0.408) and 3.31(1.151) respectively. Based on this preliminary result, strategies to cope with fear of seeing blood may be needed to promote blood donation in this specific age group. Education with psychological support to improve knowledge and attitudes towards blood donation is important to encourage blood donation practice

Biography:

Xie Caixia has completed her master’s degree at the age of 29 years from the Third Military Medicine college of China and started her PhD learning in 2016 in West China School of Medicine, Sichuan University. She is a head nurse of Sichuan Provincial People’s Hospital, who has had 6 years’ experience in nursing management and 7 years’ experience in clinical nursing. She has published more than 20 papers in reputed journals.

Abstract:

Objective: To investigate the effect the clinical pathway of enteral nutrition on nutritional status in patients with severe head injury.

Methods: 120 cases of patients with severe head injury were randomly divided into control and experimental groups, each group has 60 people. The control group accepted enteral nutrition with traditional model, the experimental group accepted clinical pathway of enteral nutrition. The differences of albumin, hemoglobin, transferrin and Glasgow coma score in two groups were compared.

Results: 116 patients completed the study. On day 21, the albumin and transferrin in study group were significantly higher than control group (P = 0.006, 0.026); the Glasgow Coma Score in two groups were no difference (P > 0.05).

Conclusion: the application of clinical pathway of enteral nutrition in patients with severe head injury standardized the method and nursing technology of enteral nutrition. The clinical pathway of enteral nutrition is better than the traditional mode of enteral nutrition and It is worth learning and promotion.

Biography:

Susan L. Huehn has been a nurse for 32 years, working in all specialty areas both in the United States and Germany.  She has been teaching nursing since 2004.  She is currently instructor of nursing at St. Olaf College in Northfield, Minnesota, USA and is completing her dissertation titled, “Interprofessional Education:  The Experience of Senior Baccalaureate Nursing Students:  A Qualitative Study.

Abstract:

When healthcare professionals collaborate and communicate effectively as teams with a sound understanding of others’ roles and responsibilities, then patients receive higher quality, and safer care (Bridges, Davidson, Odegard, Maki, & Tomowiak, 2011; Sullivan, & Godfrey, 2012).  While this is an expectation in professional practice, little emphasis has been placed on the implementation of interprofessional education in the nursing curriculum (Priest et al., 2011). Healthcare students typically receive their education in a cohort of others working toward the same specialization and training.  IPE is gaining recognition as a way for healthcare students to practice collaboratively. Two separate simulations were conducted at a liberal arts college in the Midwestern United States with current nursing students (n=24) in an attempt to improve interprofessional collaboration and prevent negative stereotypes from developing.  Both simulations utilized the same scenario, a retired nursing professor in the emergency department having ingested an overdose of hypnotics no longer wishing to live following the death of her husband.  Students were required to provide both physical and emotional care, having the chaplain and social workers available as consults in the respective simulation.

Reflections were gathered from the senior mental health students (n=24) in a basic qualitative study.  Encouraging support was gleaned from participant comments.  In the second simulation utilizing the same scenario, social work students participated as members of the interprofessional team.  Quantitative data was gathered exploring attitudinal factors. Favorable results were discovered in the understanding of each other’s profession, as well as the boundaries of one’s own profession.

Biography:

Terri has extensive experience in curriculum design and implementation, using blended learning technologies, and is the Faculty Lead for Blended Learning at USC. Terri has been involved in the development of online blended learning resources including ePortfolios, videos, QR codes and support material to enhance student learning in Nursing, Midwifery and Paramedicine. Further research and teaching interests have extended to the coordination the implementation of PebblePad across the four years of the dual degree in Nursing and Midwifery. Terri has a keen interest in new and emerging digital technologies and is a recipient of USC’s, Advance award for Blended Learning.

Abstract:

EPortfolio use has gained momentum over recent years and many university programs now include ePortfolios across their curriculum. The relationship between ePortfolios and the development of professional competency and graduate employability is of growing interest in Higher Education. The use of innovative technological tools, such as an ePortfolio personalises the ongoing learning process. An ePortfolio allows students to organise, collect a range of artefacts and store evidence of professional development. Professional accreditation rquires evidence of competency and issues of storing and sharing paper-based copies have inspired the move towards ePortfolio. Many Universities both nationally across Australia and internationally (UK, Europe and USA) have adapted the original paper portfolio and transformed it using online technology such as ePortfolios. Additionally using ePortfolio for assessment and learning in clinical settings, allows students to access their personal portfolio via mobile devices. This provides immediate access to relevant information which can instantly be applied to learning (just in time learning). Furthermore ePortfolios are also useful when the student is applying for a permanent position for career development and and later as evidence of mandatory continuing professional development (CPD) requirements.

Biography:

Sawsan Abuhammad is PhD candidate from University of Wisconsin Milwaukee in Wisconsin state in USA.  Hold BSN degree from Jordan University of Science and Technology, Master from Oregon Health and Science University.  She have sought to expand knowledge with challenges outside those arranged for her.  She had many expertise in many area include pediatrics to a high risk clinic for pregnant to infertility, maternal health nursing, pediatric health nursing, medical-surgical health nursing, community health and mental health nursing.

Abstract:

Background: According to the National Centre for Mental Health (NCMH), more than 20 percent of Jordanians are purported to suffer from some kind of mental health disorder; however, many do not receive appropriate treatment. The public’s perceptions of mental illness, knowledge of mental illness and negative attitudes held by healthcare professionals are critical factors to understand in developing and implementing culturally appropriate mental healthcare in Jordan. To this end, undergraduate nursing students are an important population to study and train on how best to provide essential healthcare to their patients.

Purpose: The objectives of this were to: (a) explore the knowledge and attitudes of undergraduate nursing students in Irbid, Jordan regarding mental illness, (b) describe stigmatizing and devaluation perceptions among undergraduate nursing students toward mentally ill patients; and (c) examine relationships between knowledge and attitudes of the students, while controlling selected variables relative to stigma.

Study Design:  Cross-sectional survey descriptive design was employed. All study protocols were reviewed and approved by the university Institutional Review Boards for both universities.  

Participants: Participants included undergraduate Arabic speaking students nursing (N = 169) enrolled in the school of nursing at a large science and technology university in Irbid, Jordan. Participants ranged in ages (18yrs-40 years; mean age = 20.8 years; SD = 2.20). These students were recruited from all college levels. Participants were predominantly females (73.4%) and 88.2% reported being single. Data were collected from participants on (a) Knowledge level of mental illness (b) Attitudes toward the mentally ill; (c) Stigmatization and (d) Sociodemographic information.

Data Collection and Analysis: A combination of strategies were used in recruiting participants for the study. Generally, the survey questionnaire was distributed and self-administered to students at various times in a class room. Students also took the survey with them to their dorms, completed the survey and dropped them in a box in front of the third author’s office door. The data was analyzed using the statistical package for the social sciences (SPSS, version 24).

Results: There were varying perspectives held by the undergraduate nursing students in study related to their knowledge about mental illness and attitudes towards individuals who are mentally ill. The following findings is summarized from the study. (a) Less than half identified Depression, Schizophrenia and Bipolar conditions as mental illnesses; their knowledge level of mental illness was at its highest level in their second year of college. The total knowledge score for the scale used in this study was 35.74 (SD =10.72) resulting from an average score less than agreement (2.52 to 2.9 for items on the scale). (b) Most students in the study expressed positive attitudes toward people with mental illness. For example, (72%) did not view entering a mental hospital as a sign of personal failure.  Forty percent believed they would hire a formal mental patient and treat them the same as any employee (43%).  (c) Students felt that people with mental disease tend to be harmful, childlike and cold hearted. Although students expressed these stigmatizing attitudes toward the mentally ill, they indicated that people with mental should be given and receive appropriate treatment regardless of their behavior.

Conclusion: Identifying nursing students’ attitudes and biases towards individuals with mental illness is an appropriate initial first step to developing appropriate educational programs to help train future nurses in working with sensitively with their patients. Case studies approach that uses stories from those patients that are mentally ill could be used to help provide better perspectives on mental illness for the students. 

Biography:

Geraldine Rebeiro, M.Ed, B.Ed Studs, B.App Sci (Adv Nsng), RN, Midwife, PhD candidate, is a lecturer in nursing at ACU. She is the course coordinator for the Bachelor of Nursing program and her teaching interests include: Child, adolescent and family health, fundamental, acute and complex nursing care and clinical practice education. Geraldine’s interests include the clinical education of UG students and the RNs who support them in their clinical learning. Geraldine is a co-editor of the Elsevier Australian adaptation of Potter and Perry’s Fundamentals of Nursing textbook (2016) and the lead author of the Fundamentals of Nursing Skills Workbook (2016), which is also translated into Bahasa Indonesian and published in Indonesia.

Abstract:

A significant proportion of undergraduate nursing education occurs in the clinical setting in the form of the practice of skills and competencies, and is a requirement of all nursing curriculum for registration to practice. Education in the clinical setting is facilitated by registered nurses, yet the interpersonal relationship between registered nurses and student nurses has not been examined well.

The purpose of this systematic integrative review was to investigate the experience of interpersonal relationships between registered nurses and student nurses in the clinical setting from the point of view of the registered nurse.

The databases of MEDLINE, CINAHL and OVID were searched using the key words: Registered Nurse, Preceptor, Buddy Nurse, Clinical Teacher, Mentor, Student Nurse, Nursing Student, Interpersonal Relationships, Attitudes and Perceptions.

The database search yielded 632 abstracts. Twenty one articles were identified for full text read; of these, seven articles addressed the experience of interpersonal relationships between registered nurses and student nurses in the clinical setting from the point of view of the registered nurse and these were reviewed.

Conclusions include; providing education for registered nurses to enable them to lead student education in the clinical setting communicates the organizational value of the role. Registered nurses identified being supported in having the time-to-teach was considered important in facilitation of the clinical teaching role.

The integrative review did not provide evidence related to the impact diverse clinical settings can have on the relationships between registered nurses and student nurses revealing an area for further examination.

Biography:

Panitsara Leekuan is a nurse lecturer in School of Nursing, University of Phayao, Thailand. She is studying her PhD studies in the University of Nottingham School of Health Science, UK. Her research is based on the views of hermeneutic phenomenology and utilizes a modified interpretive phenomenological analysis following the interpretivist paradigm to insight into the significant of pregnancy.

Abstract:

Adolescent pregnancy has been progressively acknowledged in nursing, medical and psychological literatures as a vital division of holistic care. Pregnant adolescents face significant health risks from pregnancy, which affect both mothers and their babies, with subsequent implications for maternal mortality and morbidity. Pregnancy in adolescence and its holistic dimensions remain under-researched, particularly for developing countries. This evidence and the particular phenomenon of adolescent maternities in Thailand led to my personal interest in this range. This study therefore aims to improve understanding and interpretation of pregnant adolescents’ perspectives associated with first-time pregnancy experiences in Northern Thailand. A qualitative study was conducted using a hermeneutic phenomenological approach to explore the experience of pregnant adolescents, aged between 15 and 19 years, and recruited using a purposive sampling technique from three hospitals in Northern Thailand. Data was collected using in-depth interviews. A modified interpretive phenomenological of 30 interviews was undertaken to incorporate translation into English using a cross-cultural translation technique. Three themes emerged from adolescent participants’ interpretation of their experiences of pregnancy: a result of their ‘ignorance’; however, ‘family’s relationship’ was strengthened while their experience made them understand ‘the state of being pregnant’ These findings offer valuable insights into the significance of pregnancy for pregnant adolescents and have implications for health providers, educators and policy makers’ encounters with adolescents during pregnancy to move beyond biomedical care, identifying the need for support mechanisms and strategies offering guidance from multiple sources of support.

Biography:

Cristina M Zamarioli, has completed her Undergraduation Course and her Mastery Program both from the University of São Paulo at Ribeirão Preto College of Nursing and Specialization in Clinical Oncology from the National Cancer Institute. She is a PhD Student, and has interesting in nursing cancer and nanotechnoloy studies.

Abstract:

The objective of this study was to verify the effect of topical formulations containing solid lipid nanoparticles in the treatment of induced radiodermatitis in mice. Fifteen male mice (7 to 8, weighing 20-25 grams), BALB lineage, irradiated with 30 Gy, single dose, in the left hind paw, 80 kVp energy, 20 mA current, open field with diaphragm 10 X 10 cm and collimated with a 1.5 x 1.5 cm lead plate, at a source distance of 35 cm. They were divided into five groups of three, three groups being treated daily with SLN-CT-based gel (Experimetal 1 - 5 mg; Experimental 2 with 17.5 mg and Experimental 3 with 30 mg), one with gel with SLN without curcuminoids (positive control) and another that received no treatment (negative control). In D7 irradiated areas were biopsied and histologically analyzed. In the control groups, a thinner epidermis was observed, with a thicker corneous layer, viable cells, with well delimited nuclei, but with an extra-cellular matrix - less organized MEC and less delimited dermo-epidermal junction; With better appearance in the positive control. In the experimental groups a more cellular epidermis was observed, more dense and organized MEC, rich in annexes, more fibroblasts and inflammatory infiltrates than controls, being the experimental group 3 the one that stood out the most. However, this infiltrate does not characterize an inflammatory process. NLS-CT can contribute to the tissue repair process after ionizing radiation, given the anti-inflammatory and atioxidant activity of curcuminoids.

Biography:

Ya-Wen Shih is a PhD student from Taipei Medical University, Taipei, Taiwan. She completed MSc of Nursing in Queen's University of Belfast, UK. Her professional research focus is on women's health, immunity and cancer.

Abstract:

Aim: The purpose of this study was to evaluate the effectiveness of non-invasive acupressure on the prevention and improve of chemotherapy-induced myelosuppression among patients with gynecologic cancer.

Methods: A double-blind, randomised controll trial with total of 28 women underwent chemotherapy were randomly assigned to experimental group (n=10) receiving acupressures on Hegu (LI4), Quchi (LI11); Xuehai (SP10); Sanyin-jiao (SP6), Taixi (K3), Zusanli (ST36), Taichong (LR3); and Baihui (GV20), 5 min each, 3 times a day for 6 weeks; or randomly assigned to control group received usual care (n=18). The blood counts, including WBCs, platelets, and hemoglobin, and the blood levels of SCF and GM-CSF were collected for analysed.

Results: The concentration of blood hemoglobin was significantly decreased from 11.6±2.2mg/dL (Mean±SD) to 10.8 ±1.6mg/dL (P=0.03) in control group after 6 weeks, but there was not a significantly different of hemoglobin concentration before (11.4mg±1.0) and after (10.9mg±1.1) chemotherapy in acupressure group. The levels of SCF were significantly increased before and after chemotherapy in both control group (from1196.10±293.17ng/mL to 1325.05±253.77ng/mL; p=0.01) and acupressure group (from1046.78±469.52ng/mL to 1387.06±310.00ng/mL; p=0.007), and the borderline difference (p=0.05) of increased mean difference of SCF before and after 6 weeks of receiving chemotherapy was found between acupressure group (340.28ng/mL±255.46) and control group (128.94ng/mL±250.64). There was a significantly interaction effect between acupressure and time-dependent manner to increase blood level of SCF when the acupressure was conducted for 6 weeks (b=211.34, p=0.02).

Conclusion: Acupressure is a recommended novel strategy for clinical application to the alleviation of myelosuppression induced by chemotherapy, and the effect was associated with the regulation of expression of stem cell factor (SCF).

Biography:

Wencui Li nursing graduate students in The First Affiliated Hospital of Zhengzhou University

Abstract:

Objective: To investigate the Team-based learning (TBL) combined with microteaching method in the teaching of undergraduate first aid courses.

Methods: 72 undergraduate nursing students randomly divided into the observation group (n=36) and control group (n=36).Nursing students in the observation group received TBL combined with microteaching, while nursing students in the control group received conventional teaching.

Results:

1. The average score of Objective Structured Clinical Examination (OSCE) in observation group was 86.66±5.09 and the control group was 84.47±5.78, the difference was statistically significant (t=3.38, P< 0.05).
2. After training the observation group’s the total score of Critical Thinking Disposition Inventory Chinese Version (CTDI-CV) and 5 dimensions were significantly improved, the difference was statistically significant (t=2.11-4.95, P<0.05).

Conclusion: TBL combined with microteaching method in first aid training course can improve the undergraduate nursing students' first aid ability, critical thinking ability.

Biography:

Liu Yi,women,24 years old,Chinese,She has completed her MD from Sichuan University, Chengdu, China. He is an nurse of West China Second University Hosptal,Sichuan University, in the Department of Gynecology and Obstetrics. She has published more than 8 papers in reputed journals of China and SCIs. Her major is obstetrics and gynecology nursing.So, She has a good grasp and understanding of the theory and practice of obstetrics and gynecology nursing and pediatric nursing.

Abstract:

The purpose of this study was to evaluate the efficiency of combined oral sucrose and non-nutritive sucking (NNS) on pain relief in NICU newborns when undergoing painful procedures. We have searched PubMed, Ovid (Medline), Embase (Medline), Cochrane Central Library, and other resources such as Google Scholar, bibliographies of included literatures for all available articles; two reviewers screened literatures and extracted data independently. Then, the fixed effects model was performed for pooling the results by using Reviewer Manager (RevMan) 5.3.

A total of 7 randomized controlled trials (RCTs), including 599 participants, were contained in our meta-analysis. This meta-analysis suggested that the combination of oral sucrose and NNS is associated with reduced pain scores (mean difference [MD], -0.52; 95% confidence interval [CI], -0.68 to -0.36);shorten crying time (MD,-0.92; 95% CI,-1.39 to -0.44);but there is no difference between two groups in reducing bradycardia (MD, 0.73; 95% CI, 0.32 to 1.68), tachycardia (MD, 0.65; 95% CI, 0.38 to 1.10), and desaturations (MD, 0.73; 95% CI, 0.32 to 1.68) . The pooled evidence indicates that the combination measures should be considered as an evidence-based guideline for pain relief undergoing minor painful. Besides, it also indicates that OS+NNS can be an alternative for better prevention and management of procedures pain in NICU newborns. However, the results may impaired due to data were uncompleted, and thus, more RCTs or well-designed studies are required to detect the effects of OS+NNS in the further.

Biography:

Completed her secondary and high school education in Malatya. In 2009, she graduated from the Department of Health Care at the School of Health at Fırat University. After working as a nurse in 2009-2011, she worked as a research assistant at Ataturk University in 2012. In 2013 she was appointed as a student at Inonu University Faculty of Health Sciences, graduated from Public Health Nursing Department Master's degree and started his doctoral education in 2015. The Master of Science in Physiology, which began in 2010, is fnished in 2016.

Abstract:

Background: According to the data provided, women and child form 52.54% of the population in Turkey by TNSA 2013. In order to constitute a healthy society, it is important to improve maternal and child health.

               The purpose of this study was to investigate effect of pregnant women’s parenthood self-efficacy on their prenatal adaptations by using descriptive correlational research method.

Methods: The study was conducted in 10 Family Health Centers serving to population over 16000 at the date between November 11, 2013 and 30 January, 2015. The centers were serving as a unit of Malatya Community Health Center. The population of the study involved  220  women at last trimester of their pregnancy and who have children (1-3 age old) taking service from 10 centers. Due to the purpose of reaching all population, no sampling method was used. Eventually 212 pregnant women participated in the study and the researcher reached 95 % of the population. For collecting data, descriptive information questionnaire, prenatal self-evaluation scale and parenthood self-efficacy scale were utilized. In the process of data collection, the researcher asked the questions and recorded the answers by using face-to-face approach. The data were collected from pregnant women taking service from the centers during 5 working days between July 25, 2014 and December 1, 2014. In data analysis, frequencies, percent, t-test for independent groups, ANOVA and correlation analysis were used.

Results: The results of the study showed that the participants had medium level prenatal adaptation and parenthood self-efficacy. Moreover, there was a statistically significant relationship between prenatal adaptation and parenthood self-efficacy. At the same time, age, duration of marriage, educational level, work situation, social security situation, willingness to pregnancy, number of children, following their pregnancy period situation had an effect on prenatal adaptation and parenthood self-efficacy scores.

Conclusion: In conclusion, it can be said that increasing parenthood self-efficacy levels of pregnant women might improve their adaptation to prenatal period.

Biography:

Abstract:

Introductıon: The increase of the elderly population throughout the world has brought various health problems. In the last few years, one of the main topics for discussion has been the abuse and neglect of the elderly, which has psychosocial aspects (1, 2, 3). Abuse of the elderly is a form of domestic violence that has been observed more in the last thirty years. Abuse can be found in every society, culture, and at every economic level. It is not only a domestic or a nation-wide problem; it is a serious social problem. Elder abuse is evident in institutions providing health and social services. In such places, elder abuse results in physical and psychological damage, and in exploitation of the elderly (1, 4). This research is carried out to identify the incidence of abuse and neglect of individuals over the age of 65, who live in the city center of Malatya in Turkey, and the related factors.

Method: The population of this research consists of 4,291 individuals age 65 and over who were registered in Family Health Centers in “Göztepe, Kernek, TaÅŸtepe, and Ä°stasyon” located in Malatya. The sample is identified as 451 elderly through use of the sample size determination formula, with a 95% confidence interval and a 0.05 significance level.

Findings: Of the elderly people in the study, 1.3% stated that they consistently experienced physical abuse, 0.8% noted that they regularly encountered financial exploitation, and 2.9% held that they werefrequently sexually abused. Also, 5.3% of the respondents noted that they were always neglected and that they experienced moderate emotional abuse. It was found that the level of abuse that elderly individuals regularly experience is low. It was observed that the study participants who were older, single women, poorly educated and low-income experienced the most abuse. They also had broken families.

Result: In light of these findings, our study recommends the following:

(1) nurses should evaluate each elderly patient to determine if there is abuse and neglect

(2) they should closely observe and monitor each case andeducate the abused elderly individuals and their families

(3) nurses should pay particular attention to raising awareness of the elderly who are among high-risk groups

(4) nurses should offer counselling for the abused and neglected elderly individuals, and inform them about support and social service organizations.

Biography:

Aylin Guclu doing PhD in Surgery, Nursing division & Research Assistant in Selcuk University Faculty of Health Sciences and also have an experience as an operating room nurse for 3 years. She also attended Erasmus Student Training mobility to get more experiences in surgical nursing for 3 months in Austria.

Abstract:

Aim: This descriptive research was conducted to determine the relationship between the work environment and nurses' perceptions of the quality of care.

Method: The study was conducted with the nurses working in three different hospitals, a faculty of medicine, a training and research hospital and a public hospital, in Konya. The sample included 237 nurses. The data were collected using a preliminary information form that evaluated their sociodemographic and employment characteristics, the Work Environment Scale (WES) and the Care Attitude Scale-24 (CAS-24). Means, standard deviation and Pearson's correlation analysis were used for data evaluation.

Results: The nurses' mean WES score was 95.15±11.77, and their mean CAS-24 score was 4.98±0.70. A weak, positive, but significant relationship was found between the total WES score (r=0.366, p<0.05), institution quality management (one of its subdimensions) (r=0.418, p<0.05), professional relationships (r=0.398, p< 0.05) and perceptions of the quality of care. A very weak, positive, but significant relationship was found between these factors and the job satisfaction subdimension (r=0.171, p< 0.05).

Conclusion: The nurses' mean WES score and CAS-24 score were found to be higher than the midpoint of the scale, and a significant relationship was found between the nurses' perceptions of the quality of care and the WES sub dimensions.

Biography:

Ni Biyu  has completed her university degree at the age of 22 years from Chengdu University and she is now in Graduate School in Clinical Medical College of Sichuan University.

She is a primary nurse from the rehabilitation center and good at rehabilitation nursing of brain injury. She has published 2 papers in reputed journals. She has participated in many research projects and was on top of the list, for example, the study of family rehabilitation of patients with stroke, multidisciplinary health education in patients with stroke and assisted in carrying out intermittent oro-esphogeal  tube feeding and so on.  She was awarded the advanced personnel in her department for  two consecutive years

Abstract:

With the construction and development of nursing science, the connotation and service of nursing is expanding. In the traditional nursing mode, the discharge of the patients means the end of the nurse-patient relationship. Patients get effective nursing only through further consultation and this model of care cannot satisfy the health needs of patients. Hospital care services will be extended to the family though continuous nursing care and thus better meeting the health needs of patients during the transfer period. China has a large number of the elderly which has the high incidence of stroke. The elderly stroke patients were a special team because they had both elderly and stroke’s characteristics. In this paper, we synthesis literatures on the continuous nursing care in elderly patients with stroke to understand the status of its application, so as to provide guidance for the late clinical nursing work

Biography:

Emine Ergin was graduated from Istanbul University Florence Nightingale Nursing Faculty. Her master's degree in public health nursing. She is doing her doctorate  (public health nursing department) at Selçuk University. Her articles published international journals and national journals. She has a lot of international congress presentations and interested in research methods, elderly health, chronic diseases and sexuality issues. She is 29 years old now and just married. Special interest Special interests (hobbies)  are picture (drawing), photography, history of the world.

Abstract:

Theoretical structure: This article uses a case study, examines the difficulties with planning meta-analysis studies, to clarify the processes involved in writing a meta analysis. The case study is about a phd student, Emine who is writing her  doctoral thesis. Meta-analysis presents new understandings for revealing effect sizes of studies and developing new social policies. Meta-analyses, a part of systematic review, have difficulties in terms of planning and predicting for many researchers.Since meta-analysis planning requires serious effort, expertise and skill, various difficulties prevent researchers from engaging in this process. Especially in nursing science where the importance of evidence-based practices has increased, there is more need for meta-analyses, but practical difficulties have been experienced with them.

Which strategies should be followed: Identifying topic Emine. She is interested in research methods, home visits and elderly health. In the meta-analysis planning stage, the question whether a meta-analysis had been performed on the research topic during the past ten years was initially researched. Research question using the PICO formulation and then literature search was done with appropriate keywords. The systematic revision processes of meta-analysis are similar to those of the research process, and include identifying a problem, selecting a sample, collecting and analyzing data, interpreting data and presenting findings.

What challenges were experienced: It was determined that difficulties were experienced, especially with the issues of subjectiveness and quality evaluation of research report, and most importantly, in determining the conceptual framework of the study. Study characteristics, the risk of subjectiveness in studies included, the types of initiatives (interventions) and the methods used to evaluate their effects were examined. Sufficient randomized controlled work was not achieved in the field of nursing so all quantitative studies are included. She searched fund for the analysis program for meta (CMA).

How to deal with challenges: Emine went to two courses to improve proficiency in meta-analysis. Projected this work in order to get the CMA program to do the meta-analysis. She took international protocols into consideration during the writing and reporting process.

Suggestions: Planning with the use of criteria and tools such as and flow diagrams and PRISMA, suggested by Cochrane Colloboration,will make meta-analysis more convenient for researchers.

Biography:

Yu Shan Kung has completed her Post-Graduated Diploma from Queen's University, Belfast. She is Operating Room Registered Nurse in Gynecological & Obstetrical Operating room in Taipei Veterans General Hospital.

Abstract:

 Perioperative nursing method is an important concept for operative nurses who aim to provide a holistic care to the patient, from preoperative, intraoperative to postoperative periods. In this article, we applied this method to attend to a 63 years old women diagnosed with uterine prolapse with cystocele and underwent pelvic reconstruction surgery. We attended to the patient from the 8^th of September 2016 to the 11^th of September 2016, and we collected the patient’s data via interviews, observations, and thorough communications. The author applied the Gordon 11-item health assessment scale to identify potential nursing issues. Nursing diagnoses included: anxiety in preoperative, risk of urinary retention and infection, risk of perioperative positioning injuries in intraoperative, and knowledge deficit in postoperative. In addition, cultural beliefs influence the perception of disease in Asian women significantly, especially those with gynecological diseases. Therefore, in addition to monitoring the psychological condition and providing mental support to the patient in preoperative, perioperative nursing methods also provided the patient and her family with knowledge of the disease, and information on the surgery procedure to reduce preoperative anxiety. Intraoperative nursing is to prevent harm and risk as a direct result from surgical procedures, operation room environment and equipment. Postoperative nursing offered knowledge for patient care after the surgery and daily care after discharge. The purpose of this article is to emphasize on the importance of perioperative nursing and facilitate nurses to exert their professional perspectives in order to achieve the goal of holistic and personalized healthcare for each individual.

Biography:

Mustafa Kilic is a research assistant at Selcuk University, Faculty of Health Sciences and also doctoral student at the same university.

Abstract:

Aim: To determine self-efficacy level of population with diabetes mellitus (DM), and its association with various sociodemographic features and health locus of control.

Methods: Samples of this descriptive study were composed of 325 patients with type 2 diabetes mellitus admitted to three family health centers. Data were collected via “the questionnaire”, “Self-Efficacy for Diabetes Scale” and “Multidimensional Health Locus of Control Scale”.

Results: Among subdimensions of Self-efficacy scale, participants’ scores were found as 39.4±12.5 for Diet+Foot Care, 22.6±3.1 for Medical Treatment and 9.0±45 for Physical Exercises. Diabetic population is seen to have moderate self-efficacy levels and be apt to believing external effects more in the management of type 2 Diabetes Mellitus. Self-efficacy levels demonstrate changes regarding sociodemographic, disease and health characteristics and are negatively associated with subdimensions of internal control and powerful others.  

Conclusions:Based on these findings,as to nursing science, the determination of self-efficacy levels and the evaluation of health control focus in patients with type 2 DM are significant due to the effects on behaviors and attitudes.

Biography:

Shujie Li The First Affiliated Hospital of Zhengzhou University Chief trainer ,The member of OR Nursing Branch of Henan Association. He has published more than 20 papers in reputed journals.

Abstract:

Objective: To discuss the application of Kirkpatrick model the in training of aseptic technique to medical students.

Methods: Totally 255 students who were clinical medicine in our college were respectively accepted the traditional training (as the control group) and the intensive training (as the experimental group).We will use the Kirkpatrick model to assess the effects of the training.

Results: The scores of the four levels of Kirkpatrick model including reaction, learning, behavior and results in the experimental group were all significantly higher than those of the control group (p<0.05 or p<0.01).

Conclusion: The training of aseptic technique by using Kirkpatrick model to medical students is helpful to improve the learning effects, to strengthen the aseptic concept and to make the aseptic behaviors be more standard. It is a beneficial attempt to transform the model of the training of aseptic technique.

Biography:

Mrs. Wen Yan perusing her post-graduation in Nursing at West China school of medicine, Sichuan University.

Abstract:

Objective: To compare the effects between the traditional fasting method and the ERAS fasting method before surgery which applied in patients with lumbar disc herniation.

Methods: One hundred and ninety-seven patients with Lumbar disc herniation in the department of orthopedics of a tertiary hospital who were in accordance with minimally invasive surgical indications and voluntary accepted the minimally invasive surgery were recruited. The patients were divided into the experimental group (111 cases) and the control group (86 cases) according to surgery scheduling. The patients who were at the first and the second operation on the surgery scheduling were divided into the control group and the third and later on the scheduling were divided into the experimental group. Intraoperative aspiration, the symptoms at the end of the surgery such as thirst，hunger，the symptoms 12 hours after operation such as nausea, vomiting, abdominal distention, the time to eat food postoperative, the first time of exhaust postoperative, Length of hospital stay, hospital satisfaction and cost were compared between the two groups.

Results: There were significant differences in the symptoms of thirst and hunger between the two groups at the end of the operation(P<0.01)．There was no significant difference in intraoperative aspiration, any symptoms postoperative, the time to eat food postoperative, the first time of exhaust postoperative, Length of hospital stay, hospital satisfaction and cost between the two groups.

Conclusions: ERAS preoperative banned diet scheme is feasible in patients with lumbar disc herniation.

Biography:

Abstract:

Introductıon: The increase of the elderly population throughout the world has brought various health problems. In the last few years, one of the main topics for discussion has been the abuse and neglect of the elderly, which has psychosocial aspects (1, 2, 3). Abuse of the elderly is a form of domestic violence that has been observed more in the last thirty years. Abuse can be found in every society, culture, and at every economic level. It is not only a domestic or a nation-wide problem; it is a serious social problem. Elder abuse is evident in institutions providing health and social services. In such places, elder abuse results in physical and psychological damage, and in exploitation of the elderly (1, 4). This research is carried out to identify the incidence of abuse and neglect of individuals over the age of 65, who live in the city center of Malatya in Turkey, and the related factors.

Method: The population of this research consists of 4,291 individuals age 65 and over who were registered in Family Health Centers in “Göztepe, Kernek, TaÅŸtepe, and Ä°stasyon” located in Malatya. The sample is identified as 451 elderly through use of the sample size determination formula, with a 95% confidence interval and a 0.05 significance level.

Findings: Of the elderly people in the study, 1.3% stated that they consistently experienced physical abuse, 0.8% noted that they regularly encountered financial exploitation, and 2.9% held that they werefrequently sexually abused. Also, 5.3% of the respondents noted that they were always neglected and that they experienced moderate emotional abuse. It was found that the level of abuse that elderly individuals regularly experience is low. It was observed that the study participants who were older, single women, poorly educated and low-income experienced the most abuse. They also had broken families.

Result: In light of these findings, our study recommends the following:

(1) nurses should evaluate each elderly patient to determine if there is abuse and neglect

(2) they should closely observe and monitor each case andeducate the abused elderly individuals and their families

(3) nurses should pay particular attention to raising awareness of the elderly who are among high-risk groups

(4) nurses should offer counselling for the abused and neglected elderly individuals, and inform them about support and social service organizations.

Biography:

Marcia Malone-Tedder completed her BSN and Master’s in Nursing at Wichita State University in Wichita Kansas, USA.  She has 40 years of nursing experience including 10 years in Vascular Access.  She is certified in Critical Care (CCRN) and Vascular Access Board Certified.  She has presented posters at the Association of Vascular Access Scientific Meetings in 2014 and 2016 and is active in the local vascular access network. She is the Vascular Access Program Leader at Houston Methodist Willowbrook Hospital.

Abstract:

IV access is a continuing challenge for nurses and patients report dissatisfaction with multiple IV sticks. Typically, there are two options for IV access: traditional peripheral IV or central line placement. Often PICC lines are placed in patients with difficult or limited venous access. Midline IV catheters offer an additional alternative for patients with limited IV options and can be used for long term IV therapy up to 29 days. While midline catheters have been available, our facility did not have a midline product and was not using them for IV therapy. A midline product trial was initiated, but there were concerns regarding confusion between midlines and PICC lines and possible misuse of midlines as PICC lines. In order to address these concerns, a comprehensive education program was developed for nursing staff and physicians that delineated the differences and similarities between midlines and PICC lines. An IV Access Decision Algorithm was developed to guide clinicians in selecting the appropriate option. In addition to ordering a PICC or a midline, clinicians could consult the vascular access team to assess and recommend IV access. Over a 6 month trial period, 150 midlines were placed. No TPN or medications requiring central line administration were given; however, Activase (Cathflo) was given twice in midlines misidentified as PICCs. Three physicians documented midlines as PICC lines and two nurses referred to midlines as PICC lines when troubleshooting, but there was no evidence that the midline was mistakenly used as a PICC. Midline IVs are a viable option for many patients, but as midline IVs become more common, more education is needed to ensure that midlines remain a safe alternative for IV access.

Biography:

Constantin Vintilescu RN, MSN Critical Care nurse in Intensive Care Unit at Veteran Administration Hospital, New Jersey, and Trinitas Regional Medical center .Adjunct faculty instructor in Trinitas Regional Medical Center School of Nursing, Elizabeth, New Jersey. Currently I am a DNP student at Rutgers University School of Nursing Newark, New Jersey. I have published two articles in Nursing Journals.

1. Harold’s Story, in the Student Voice section of Creative Nursing, Volume 19, Issue3, 2013

2. Simulation: A learning Tool for OB Nurses in the Journal of Nursing Practice Applications & Reviews of Research, Vol 3 No 2, July 2013. This was a collaborative study with two of my classmates from Grad School (Monina A. Franco-Tantuico and Luz- Patricia Torres

Abstract:

Nutritional support is very important for critically ill adult patients. Nasogastric tube (NGT) and Orogastric tube (OGT), are very important for critically ill patients .OGT/NGT can be used for initiation of enteral feeding, medication administration and lavage fluid aspiration. Insertion of the NGT/OGT is done currently as a blind placement at the patient’s bedside. Prior enteral feeding, and medication administration the NGT/OGT placement must be verified. In many health care institutions, placement verification is done through chest x-ray. This method is costly and exposes patients to unnecessary radiological exposure increasing patient’s harm.

There have been many research studies with different methods and technology devices to determine the safest, and less expensive, method for placement verification of nasogastric/ orogastric (NGT/OGT) tube. Insertion of NGT/OGT is a high risk procedure, considering the possible complication of misplacement. The placement of NGT/OGT inserted for enteral feeding require accurate verification for prevention of multiple complications. Even during the insertion, there is a risk of aspiration if patient is vomiting at the time of procedure.

Regardless of the  institution, caring for the patients with NGT/OGT, is an important responsibility for nurses, and require many interventions as : carefully insertion of the NGT/OGT, safely  removal of it when it is not needed, assessing the correct placement in the stomach, measuring and  securing the tubes and, monitoring the patient throughout the process.. Patient outcomes are influenced by nurses’ interventions and management of the nasogastric tube. It is important that nursing care follow the best evidence based practice available. Health care providers are ensuring that all the adult patients with NGT/OGT in critical care are safe, and are receiving evidence based practice care across the country over the course of their illness.  However there have been an increased number of incidents and misplacement of NGT/OGT in adult hospitalized patients with serious complications. Registered Nurses around the country value the application of scientific evidence-based practice to guide and improve the quality of healthcare for better outcome.  

Recent evidence suggests that official statistics greatly underestimate the occurrence of complications from misplaced nasogastric (NG) tubes, even when detected (Weinberg & Skewes 2006). NGT may be misplaced in the brain, especially in patients with maxillofacial trauma (Pillai et al 2005), or after endoscopic skull base surgery (Hanna et al 2012). Inadvertent placement of a NGT into the brain of a patient with a traumatic defect in the cribriform plate is a problem that has been recognized for decades but reports of this complication still occur (Rahmi et al 2005).  Serious complications were associated with the malposition in 14 (28 %) of the patients ; these included eight instances of pneumothorax that required chest tubes and one that required endotracheal  tube and intubation, as well as five cases of pneumonia( Taylor, 2014).

There are variety of practices related to the accurate method of verifying the NGT/OGT placement.

The purpose of this systematic review is to conduct a comprehensive research to reconcile the evidence and determine what method for  verification of nasogastric/orogastric (NGT/OGT)  tube placement reduce complications in adult hospitalized patients.

Inclusion Criteria:  This systematic review will incorporate studies related to hospitalized patients who require nasogastric tube for enteral feeding, medication or abdominal decompression. In those patients placement verification of NGT/OGT is very important for patient safety.

Data collection: All project data will be extracted from research studies using a modified Joanna Briggs Institute (JBI) data extraction form

Conclusions & Implications:  Cortrak Enteral Access System, is a new electromagnetic tube placement device that could eliminate the need for x-ray placement verification of NGT/OGT. The review of literature research revealed the evidence that support the use of Contrak Enteral Access System (Creel et al, 2007).   Cortrak enteral electromagnetic tube feeding is a new practice for NGT/OGT placement verification. The use of an electromagnetic tube placement device, such as Cortrak, is potentially the safest and most efficient practice method in current healthcare practices (Roberts et al, 2007). The Cortrak 2 has FDA clearance to be used in confirming tube tip location in lieu of X-ray.

This, in effect, leads to reduced cost and improved patient safety (Sackett et al, 2007). The research literature suggests that the use of Cortrak enteral electromagnetic tube placement device would be more beneficial than existing practices.

This Cortrak Enteral electromagnetic tube feeding placement device needs to be implemented and standardized in hospital settings. The research shows that twelve aspiration events occurred among 276 patients (prevalence, 4.4%; 95 % confidence interval, 2.2% to 7.6%).  In this study the incidence of aspiration as 2.4 % per 1000 tube-feeding days (95% confidence interval, 1.2 to 3.9 per 1000) (Mullan & Roubenoff, 1992). Electromagnetic placement devices have been suggested as a replacement for radiographic confirmation of feeding tube placement at the bedside, although adverse outcomes have been reported, implying that a high level of user expertise may be necessary to obtain consistently  positive results (Metheny,2014).

Biography:

Emilia Campos de Carvalho, RN, PhD is Senior Professor of University of São Paulo– Brazil. She maintains involvement in Brazilian Nursing Association, NANDA-I and Sigma Theta Tau International- Rho Upsilon Chapther and is the advisor of students of the doctoral, masters and undergraduate courses in nursing. Has many clinical researches published in journals.

Abstract:

The aim of this study was to verify the difference in the diagnostic reasoning between sophomore and senior year undergraduate students in a clinical simulation, evaluated by the Diagnostic Thinking Inventory (DTI). Nursing students participated individually in a high-fidelity clinical simulation (scenario + debriefing); the purpose was to evaluate the patient with sickle-cell disease, to diagnose an acute pain and to make appropriate interventions. The design and implementation of scenario was elaborate based in NLN/ Jeffries Simulation Theory1 . After simulation, they responded to DTI2 , validated for Brazilian culture with nursing students3 . It is a Semantic Differential Scale (6 points, score 41-246 points) that evaluates the flexibility in thinking (21 items) and evidence structure knowledge in memory (20 items) that in this sample presented Alfa Cronbrach 0.82. The scores were compared (total and two domains) of two groups of students. Participants were 41 students, 90% female, mean age 23.8 years; 56% intermediate level. The average of the total DTI scores did not differ between groups (by T student Test; p= 0,334). There was no difference between the mean responses for domain flexibility in thinking (by T student Test; p= 0,125) and structure knowledge in memory domain (by U Mann Whitney Test; p= 0,765). The groups demonstrate similar performance considering the total and domains scores of DTI. Although the findings may reflect the performance of groups of students, given the sample size, are

needed similar studies for new data to be integrated into these.

Biography:

Jennifer M. Laper- Ifferte BSN, RN has been practicing as a nurse for over 20 years.  Presently, she is an infusion case manager for Coram/CVS Health servicing the New York area. Mrs. Laper-Ifferte will receive her MSN with a concentration in nursing education February of 2017 through Excelsior College.

Abstract:

Peripheral intravenous catheter access and management have been emphasized as areas for development in infusion management, however, routine exposure for registered nurses employed in home infusion and ambulatory infusion settings may not be extensive and consistent. In 2016, an education module and clinical competency program titled Peripheral Access and Management was developed for registered nurses employed in the home and ambulatory infusion setting. It was initiated with the intent of converting current, evidence based research into best practice. Subject matter covered include; vasculature knowledge, access device selection, pre-insertion techniques, continuing assessment, complications and interventions. Learning is delivered asynchronously via an online module with accompanying precepted insertion competencies. The intent of this education module is to increase the breadth and skill level about peripheral intravenous insertion and management practices. Fundamentally, this will lead to a growth in favorable patient outcomes.

Biography:

Cris Renata Grou Volpe is currently teaching at the University of Brasilia -UNB, Master of Health Sciences University of Sao Paulo and a PhD in Nursing at the Graduate Nursing Program (UNB). It has experience in nursing, with emphasis on fundamental nursing, medical and gerontology acting on the following topics: nursing in adult health and elderly, medicine, nursing in public health, semiotics / semiotics and nursing process.

Abstract:

The present study aimed to identify the most prevalent nursing diagnoses in elderly patients in a geriatric outpatient clinic in the Federal District, Brazil, according to NANDA Taxonomy II relating them to the depression and mental scales. This is a descriptive, observational study of 40 elderly people over 65 years attended at the geriatric clinic. Data collection took place in March 2010 for 60 days. The scales of EDG and MEEM were used. The Pearson's chi-square were used for associations and the significance level of p <0.05. The Geriatric Depression Scale (EDG) and the Mental State Mini Exam (MMSE) were used. This study was approved by the Ethics Committee of the Health Department of the Federal District. The most prevalent nursing diagnoses were: disturbed sensory perception; decreased cardiac output; Impaired dentition; Impaired memory; Risk of falls and insomnia. The indexes of depressive symptoms by EDG were 35% and the cognitive alterations by the MEEM were 60%. There is a significant association between social isolation, risk of loneliness, chronic sadness and hopelessness in relation to the depression indexes demonstrated by the scale. SDs significantly associated with cognitive impairment by MMSE were: poor knowledge and impaired memory. Older people tend to have cognitive deficits and depressive symptoms, especially older ones, and dependence on how much wings activities of daily living. The most prevalent related factor with impaired memory was excessive environmental changes and poor cognition was cognitive limitation.

Biography:

Yu-Ping, Huang has completed her PhD from Griffith University School of Nursing and Miderwifery. She is an Associated Professor and teachs at National Quemoy University School of Nursing. She has published more than 20 papers in reputed journals and has been serving as a reviewer for international and national jourals.

Abstract:

Acute lymphocytic leukemia (ALL) is the most common childhood cancer. Although advanced cancer treatments have significantly improved the survival rate, parents of such children experience considerable stress when their children are diagnosed with the life-threatening illness, particularly 1 year within the diagnosis. Thus, this Taiwan-based qualitative study explored mothers’ caring experiences during 3 months to 1 year after their children were newly diagnosed with ALL. A Heideggerian phenomenological approach was adopted to explore meaning to the mothers caring for their children. Data collection involved semistructured interviews and a hermeneutic analysis was performed. Interviewees were 12 mothers. The interview content elucidated four main themes and eight subthemes:

1. Difficulty in associating cancer with their healthy child, including seeking but not solving the problem and feeling troubled by the disease symptoms continuous.

2. Shock and fear after ALL diagnosis, including the shock of having a child with a life-threatening disease and feeling frightened of critical and intensive medical interventions.

3. The need for time to deal with cancer in their life, including the time to manage the sick child and familial emotions and conflicts and to accept and conduct the cancer care activities.

 4. Fighting for the child’s life, including following health professionals’ recommendations and prioritizing the sick child and related treatments. The mothers were completely shocked when their children were diagnosed with ALL; however, they calmly followed the physician’s treatment protocol and changed their jobs to care for their children during this critical period to ensure their children’s life safety.

Biography:

Minju Kim got her PhD degree from University of Illinois at Chicago at 2010. She is a assistant professor in Dong-A University in Busan, Korea. Her research area is end-of-life decsion making and elderly care.

Abstract:

The purpose of this study was to examine career maturity in Korean high school students and identify factors associated with career maturity in the high self-esteem group and  low self-esteem group. This study used the data from  the Korean Welfare Panel Study, which was an national wide stduy and recruited samples by using  the complex sampling method.  A total of 496 high school students were completed the survey, including caree maturity, self-esteem, depression and anxiety, variables regrading school life, and  relationship with parents and friends. All data were analyzed with SPSS Ver. 23.0 by using complex sample analyses.  In the results of bivariate analyses, gender,  overall grades, study stress, teacher attachment, parental participation in education and supervision, peer attachment, and depression and anxiety were associated with career maturity in the low self-esteem group. However, school year, career consulting experience, overall grades, study stress, teacher attachment, parental participation in education and supervision, peer attachment, and depression and anxiety were associated with career maturity in the high self-esteem group.  The results of logistic regression analyses showed that parental participation in education, peer attachment, and depression and anxiety were significantly associated with career maturity in the low self-esteem group, while career consulting experience, overall grades, teacher attachment, parental participation in education, and perental supervision were significantly associated with career maturity in the high self-esteem group. In conclusion, it is neccessary to develop different programs by levels of self-esteem to enhance career maturity in high school students.

Biography:

Francine Lima Fulquini has completed a bachelor's nursing degree at Ribeirão Preto College of Nursing, PAHO/WHO Collaborating Center for Nursing Research Development - University of São. She is currently a master's student at the same Institution. Since 2014 she has been a member of the Sigma Theta Tau-Honor Society of Nursing

Abstract:

Lymph node evaluation helps to identify signs of health changes, justifying the relevance of their teaching. Considering the importance of acquiring skills to identify and document the presence and characteristics of lymph nodes¹, a teaching aid for this evaluation was built by us in an instrucional module, which consists of a physical prototype for skills training and a recording instrument. At this experimental, randomized-controlled study, we examined the contribution of this instructional module in teaching assessment and documentation of lymph node characteristics in nursing students. In the experimental group, palpation in prototype A and free annotation of the observed characteristics was performed followed by training with the Instructional Module (palpation in the prototype B + standardized instrument record). The control group palpated prototype A and made the notes freely. After, a new prototype C was offered to the groups for palpation and free annotation. Twenty-seven nursing students participated in this phase, which 96% were females and 3.57% were males, with an average age of 20 years. Comparing the two groups, it was noticed an increase in the correctness according to the register of consistency characteristics (112%, 50%), mobility (300%, 128.57%) and coalescence (225%, 0%) among the experimental and control groups, respectively. In the experimental group there was an increase in the percentages of correct answers in all evaluated characteristics. In the control group, the increase only occurred in two of the evaluated characteristics and was less evident when compared to the experimental group.  

¹ ZAGO, M. A.; FALCÃO, R. P.; PASQUINI, R. Hematologia: Fundamentos e Prática. São Paulo: Atheneu, 2004. 1081 p.

Biography:

Cristina M Zamarioli, has completed her Undergraduation Course and her Mastery Program both from the University of São Paulo at Ribeirão Preto College of Nursing and Specialization in Clinical Oncology from the National Cancer Institute. She is a PhD Student, and has interesting in nursing cancer and nanotechnoloy studies.

Abstract:

Skin lesions are the target of nursing research and because of its impact on patients’ life the prevention of these injuries is of great interest. In previous studies was developed a formulation to protect the skin against injuries. However, before it can be applied for this purpose, it is need a preliminary safety test. Thus, the aim of this study was to evaluate the safety of a topical formulation containing microparticles of chamomile coated with chitosan on healthy volunteers’ skin. It is an experimental, controlled and double blind study conducted with 35 volunteers. After approval of the Ethics Committee on Human Research of the Ribeirão Preto School of Nursing, participants applied the formulation with microparticles in a forearm and the same formulation without microparticles in the other forearm during four weeks. The evaluation was performed by objective measurements of erythema, melanin, skin pH using biophysical skin techniques and also was evaluate to burning, itching, heat and pain. The results showed a slight increase in erythema in all skin areas evaluated. The amount of melanin decreased slightly in the area of formulation application. There was a pH increase in all skin areas evaluated. Regarding the subjective parameters of pain, burning, itching and heat only one participant at the end of the evaluation reported mild pain sensation on the area where the microparticle formulation was applied, which was rapidly, alleviated a few minutes after application. There was no change in evaluation of discoloration and edema parameters. We can conclude that the formulation is safe for skin application. In addition, more studies involving prevention of skin injuries will be carried out.

Biography:

Shuyuan Chao completed her Doctoral degree in 1997 from University of San Diego, School of Nursing. She is a professor in Hungkuang University. She had been the Director of Nursing Department in the University, and the associate president in Chung Gung Institute of Nursing in Taiwan. She has published more than 20 papers in reputed journals and had served as an editorial board member of Journal of Nursing, The Journal of Medical Informatics, and The Journal of Science Education.

Abstract:

The purpose of this project was to develop, implement and evaluate the workshops for CNIs to facilitate with CNIs’ teaching practices in clinical situations. The project included a series of workshops, which were conducted in the year of 2015. In total, there were 109 CNIs participants from three nursing schools in Middle Taiwan. The workshops were implemented in small groups which were programmed by CNIs’ expertise and were facilitated by a senior faculty for each group. Based on the adult learning theory, we set a supportive and cooperative climate for the CNIs’. The workshops were implemented in sequence every two month , as follows, (1) Introduction of facilitating group and assess CNIs’ needs,(2) challenges of clinical teaching ,(3) communication between student nurses and CNIs, (4) how to provide supportive environment for student nurses; (5) innovative teaching strategies development. The CNIs share their experiences with each other in the group and the CNIs were encouraged to upload their experiences and opinions on the website we made for communicating and exchanging ideas. A self-administered structural questionnaire including five dimensions, i.e. “ environmental transformation”, “ innovative teaching”, “communication”, “ implementation of teaching”, “evaluation of learning performance”, was administered at the beginning and the end of the project to evaluate the effectiveness of this project. 94 innovative teaching plans/strategies were developed by the CNIs. The CNIs’ teaching efficacy showed significant improvement after participating the program, and achieved statistical significance. The program enhanced the CNIs’ teaching efficacy and facilitated to develop an innovative teaching plan.

Biography:

Ming-Yueh Tseng has completed her PhD in Nursing from Graduate Institute of Clinical Medicine Chang Gung University. She is the Assistant Professor in Mei-Ho University in Taiwan and  specialty is  in nursing education and  long-term care.

Abstract:

The purpose of this study was to explore work adaption for newly graduated nurses during their first year of nursing career. A qualitative approach with narrative inquiry to nurses who were graduated in 2014 and clinical preceptor with purposive sampling and snow ball sampling. A total 18 newly graduated nurses and 4 clinical preceptors were recruited, each one completed interviews between 1 to 5 times. The results derived from this study would share the knowledge about “phenomenon of adaptation”. Three stage of “phenomenon of adaptation” were: “challenge and changeable stage”, “grow up stage”, and “stabilization stage”. In “challenge and changeable stage“, the themes were revealed included a lack of support and belonging in clinical settings, insufficient career planning, insufficient nursing competences to handle various situations, challenge by various clinical situations, a lack of communication skills, value of nursing, clinical reasoning, and self-confidences. In regard to “grow up stage”; most new nurses were struggles with multiple work stress, caring severe patients and highly difficulties, and adjust the time lag with night shift. In “stabilization stage”; new nurses presented with confidence to nursing profession, recognize the hardness and achievement, fulfilled thankfulness, however, due to the hardness in nursing profession, some of them started to exam nursing career critically. The competence and preparation for newly graduated nurses would be in summed with 8 letters of alphabet: “SURVIVAL” which were “S (support network)”, “U (useful tailored plan)”, “R (resilience)”, “V (vivid scenario)”, “I (interdisciplinary communication)”, “V (value of nursing)”, “A (adjusting to environment)”, and “L (learning by doing)”. In suggestion, nursing school should reform curriculum, teaching strategies, and clinical practicum to enhance nursing students’ clinical competence and preparation.

Biography:

Lok Yan, Chu is currently a final-year undergraduate in BSc (Hons) in Mental Health Nursing in The Hong Kong Polytechnic University. She has been a student research assistant under an assistant professor in Centre of Gerotological Nursing at school since June 2016. She was also the editor of two publications related to pain management in people with Dementia. “Nurses in street attire: Facilitator of recovery process?” is the first research project that she was a co-investigator working with her research teammates. She has been nominated to join a nursing exchange programme in National University of Singapore in the summer of 2016.

Abstract:

The Recovery Model has been introduced in Hong Kong since 2010. Recently, the policy of uniform in rehabilitation ward has changed to allow staff wear their own clothes to better fit the Recovery Model. The effects of nursing staff wearing street attire have been under discussion over the past decades in the United States, the United Kingdom and Australia. However, this literature is of limited value to the psychiatric services in Hong Kong, where no related research has been conducted. The aim of the study was to explore Hong Kong mental health nurses’ views about wearing street attire within an in-patient rehabilitation unit in regards to facilitating patients’ recovery process. A qualitative descriptive study method, utilizing individual in-depth semi-structured research interview, was employed in this study. Interview data were content analyzed from the perspective of post-positivism. A total of 11 interviews were conducted with nurse participants. The analysis process initially identified 177 open codes, which were merged into 81 nodes. Finally, 3 main themes and 9 sub-themes were identified. Main themes were ‘building up rapport with patients’, ‘street attire helps deinstitutionalization’ and ‘different approaches to maximize the benefit and to minimize the risk’. A majority of nurse participants positively viewed the policy of wearing street attire in a psychiatric rehabilitation unit, they felt the policy was potentially beneficial to patients’ recovery process. Street attire is not the only key to recovery, nurses are recommended to be aware of their skills in taking care of patients, to further maximize the benefit of the policy.

Biography:

Pr Selma Sakhri has completed her Ph.D. at the age of 27 years from Algiers University and Postdoctoral studies from Maherzy School of Medicine. She has published many papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

The use of Zoledronic acid (ZA) is an established place in the treatment of malignant tumors with a predilection for the skeleton of interest (in particular metastasis). Although the main target of Zoledronic acid was osteoclasts, there are preclinical data suggested that Zoledronic acid may have an antitumor effect on cells other than osteoclasts, including tumor cells. Antitumor activity, including the inhibition of tumor cell growth and the induction of apoptosis of tumor cells, inhibition of tumor cell adhesion and invasion, and anti-angiogenic effects have been demonstrated .

From (2012 to 2014), 438 patients were included respondents the inclusion criteria, respectively. This is a prospective study over a 4 year period. Of all patients (N = 438), 432 received neoadjuvant chemotherapy with Zoledronic acid. The primary end point was the pathologic complete response in advancer breast cancer stage. The secondary end point is to evaluate Clinical response according to RECIST criteria; estimate the bone density before and at the end of chemotherapy in women with locally advanced breast cancer, Toxicity Evaluation and Overall survival using Kaplan-Meier and log test.

The Objective response rate was 97% after (C4) with 3% stabilizations and 99, 3% of which 0.7% C8 after stabilization. The clinical complete response was 28% after C4 respectively, and 46.8% after C8, the pathologic complete response rate was 40.13% according to the classification Sataloff. We observed that the pathologic complete response rate was the most raised in the group including Her2 (luminal Her2 and Her2) the lowest in the triple negative group as classified by Sataloff.

We found that the pCR is significantly higher in the age group (35-50 years) with 53.17%. Those who have more than 50 years in 2nd place with 27.7% and the lower in young woman 35 years pCR was 19%, not statistically significant, the pCR was also in favor of the menopausal group in 51, 4%, and 48, 55% for non-menopausal women. the average duration of overall survival was also significantly in the subgroup(Luminal -Her2, Her2) compared with triple negative. It is 47.18 months in the luminal group vs. 38.95 in the triple negative group. Was observed in our study a difference in quality of life between (C1) was the admission of the patient, and after (C8), we found an increase in general signs and a deterioration in the psychological state C1, in contrast to the C8 these general signs and mental status improves, up to 12, and 24 months. The results of this study suggest that the addition of ZA to néoadjuvant CT has potential anti-cancer benefit in patients (Luminal -Her2, Her2) compared with triple negative with or without menopause status.

• R.Colman the effects of adding Zoledronic acid to néoadjuvant chemotherapy on tumor response : exploratory evidence for direct anti-tumor activity in breast cancer
• PNAS journal , Repurposing of biphosphonates for the prevention and therapy of no small cell    lung ,breast cancer , November , 2014

- EBCSG group Bisphosphonates, bone, and breast cancer recurrence July 24, 2015      

Biography:

JiYeong Seo got her PhD degree from Kyungpook  National University, Daegu, Korea. She is assistant professor in Catholic University of Pusan.

Abstract:

The purpose of this study was to examine career maturity in Korean high school students and identify factors associated with career maturity in the high self-esteem group and  low self-esteem group. This study used the data from  the Korean Welfare Panel Study, which was an national wide stduy and recruited samples by using  the complex sampling method.  A total of 496 high school students were completed the survey, including caree maturity, self-esteem, depression and anxiety, variables regrading school life, and  relationship with parents and friends. All data were analyzed with SPSS Ver. 23.0 by using complex sample analyses.  In the results of bivariate analyses, gender,  overall grades, study stress, teacher attachment, parental participation in education and supervision, peer attachment, and depression and anxiety were associated with career maturity in the low self-esteem group. However, school year, career consulting experience, overall grades, study stress, teacher attachment, parental participation in education and supervision, peer attachment, and depression and anxiety were associated with career maturity in the high self-esteem group.  The results of logistic regression analyses showed that parental participation in education, peer attachment, and depression and anxiety were significantly associated with career maturity in the low self-esteem group, while career consulting experience, overall grades, teacher attachment, parental participation in education, and perental supervision were significantly associated with career maturity in the high self-esteem group. In conclusion, it is neccessary to develop different programs by levels of self-esteem to enhance career maturity in high school students.

Biography:

Emilia Campos de Carvalho, RN, PhD is Senior Professor of University of Sao Paulo. She was Dean of the Ribeirão Preto College of Nursing – Brazil. She has interest in Nursing Education, Nursing Clinical, Clinical Simulation and Nursing Process

Abstract:

Anxiety is one of psychopathological comorbidity most frequent in cancer patients. Thus, the

identification of the feeling of anxiety and related factors it is important to treat this condition. The proposal of this Cross-sectional study is to investigate the correlation between state and trait anxiety and the socio-demographic variables of patients with colorectal cancer in the preoperative. Fifty patients hospitalized for surgical treatment of colorectal cancer fill out a form about sociodemographic questions (age, gender, education, socioeconomic and marital status and religion) and the State-Trait Anxiety Scale. Statistical analyses were performed using the Spearman correlation coefficient and the Pearson correlation coefficient. We observed that women have higher levels of trait anxiety that men (r=0,401; p=0,004). Regarding the state anxiety, older people have lower levels of anxiety (r = -0,302; p=0,033), women are more anxious than men (r=0,333; p=0,018). Literature says that younger people live certain situations, such as worries about the children and career, which can generate more anxiety1. Regarding sex, men tend to have more difficulty to express their feelings and admit their weakness or vulnerability due to social standards2. According to the data of this study, it is concluded that women have higher levels of trait anxiety and state anxiety than men and older people have lower levels of state anxiety than younger. Nurses should observe the characteristics of the patients so that they can provide more appropriate care to the profile of each patient.

Biography:

Ni Biyu has completed her university degree at the age of 22 years and is now in Graduate School in Clinical Medical College of Sichuan University. She is a primary nurse of the rehabilitation center and good at nursing of brain injury rehabilitation. She has published 2 papers in reputed journals. She has participated in many research projects and was on top of the list, for example, multidisciplinary health education in patients with stroke and assisted in carrying out intermittent oro-esphogeal tube feeding and so on. She was awarded the advanced personnel in her department for two consecutive years.

Abstract:

Swallowing dysfunction is one of the common symptoms of stroke patients, resulting in malnutrition, aspiration pneumonia and other complications. Therefore, it is particularly important to standardize nursing care for patients with dysphagia after stroke but because most of the Chinese nurses have not accepted the system of swallowing related knowledge training, and the scholars have different views, therefore, evidence-based practice is particularly important. The aim of this paper is to analyze and report the current domestic and foreign scholars on the application of evidence-based nursing in patients with dysphagia after stroke, so as to provide a more scientific and reasonable basis for clinical nursing

Biography:

Watchara Suktae has teached student nurses at Boromarajonani College of Nursing, Sawanpracharak Nakhonsawan for 25 years . She is a specialist in Neonatal Nursing.

Abstract:

The Propose of this quasi-experimental research were 1) to compare pre and post khowledge of nursing students’ premature newborn nursing care by using simulation 2) to compare the  khowledge of nursing students’ premature newborn nursing care between an experimental group and a control group 3) to study the opinion of nursing student after using simulation. The sample groups used in this research were 60 nursing students in 2014 academic year. The subjects were divided into 2 groups, 30 were assigned tobe in control group and 30 were assigned to be in an experimental group by simple random sampling. The instruments were learning lesson plan using simulation, Focus group question and test about premature newborn nursing care. The data were analyzed by using percentile,average and t-test

            The research revealed that:

            1. Nursing students who learning by using simulation had better scores in post khowledge about  premature newborn nursing care than that in pre- khowledge.

            2. Nursing students who learned by using simulation had better scores in post khowledge about  premature newborn nursing care than Nursing students who learned normally.

Biography:

Hei Tung Ip is currently a final year candidate of Bachelor of Science (Honours) in Mental Health Nursing in The Hong Kong Polytechnic University. She has involved in a research concerning nurses in street attire as a facilitator of patients’ recovery. She also joined different activities related to nursing, a service program, “growing resilience of children in post-disaster contexts”, to hold activities for children in Sichuan in 2015. She has been a member of the Dance Society. She enjoys singing and occasionally performs with her band mates in campus.

Abstract:

The Recovery Model has been introduced in Hong Kong since 2010. Recently, the policy of uniform in rehabilitation ward has changed to allow staff wear their own clothes to better fit the Recovery Model. The effects of nursing staff wearing street attire have been under discussion over the past decades in the United States, the United Kingdom and Australia. However, this literature is of limited value to the psychiatric services in Hong Kong, where no related research has been conducted. The aim of the study was to explore Hong Kong mental health nurses’ views about wearing street attire within an in-patient rehabilitation unit in regards to facilitating patients’ recovery process. A qualitative descriptive study method, utilizing individual in-depth semi-structured research interview, was employed in this study. Interview data were content analyzed from the perspective of post-positivism. A total of 11 interviews were conducted with nurse participants. The analysis process initially identified 177 open codes, which were merged into 81 nodes. Finally, 3 main themes and 9 sub-themes were identified. Main themes were ‘building up rapport with patients’, ‘street attire helps deinstitutionalization’ and ‘different approaches to maximize the benefit and to minimize the risk’. A majority of nurse participants positively viewed the policy of wearing street attire in a psychiatric rehabilitation unit, they felt the policy was potentially beneficial to patients’ recovery process. Street attire is not the only key to recovery, nurses are recommended to be aware of their skills in taking care of patients, to further maximize the benefit of the policy.

Biography:

Jarujit Prajit has received certificate of Advanced Practice Nurse in Anesthesia in the year 2012. She has completed M.N.S. (Nursing Administration) in the year 2016 from Khonkaen University, Thailand. She is the Nurse Anesthetist at Thepparat Nakhonratchasima Hospital and also secretary of  Nursing  Union  of  Thailand.

Abstract:

Pain is an emotional discomfort experience. The effective pain management leads to less complications and helps patient get quick recover. Thepparat Nakhon Ratchasima Hospital is one of the general hospitals that have many surgery cases annually. These cases include general surgical procedures, orthopedic and obstetric surgery. The accumulative surgery cases in the year of 2013, 2014, and 2015 were 2,634, 4,504 and 5,405 respectively. The patients receiving anesthesia were that of 1,409, 2,763 and 3,273 respectively. The study purposes were to survey the patient’s perception of pain within 24 hours after surgery and develop the postoperative pain management system. The cross-sectional study of 60 patients, anesthetic nurses made a visit to patients within 24 hours after anesthesia to record pain score routinely. Patients received, 63.33% of the total patients received general anesthesia and 36.67% of the total were spinal analgesia. Postoperative interview within 24 hours by anesthetists revealed that percentages of patients went through mild pain, moderate pain, and severe pain were 33.33%, 31.67%, and 35.00%. Post-operative patients faced the post-operative pain within 24 hours at the level of moderate to severe pain were 66.67 %. The interview data of post-operative pain among 60 patients receiving surgical treatment reveals informative perception of pain. There was also a high incidence of moderate to severe pain in these particular patients. These could relevant aspect for healthcare service providers to improve nursing care plan for pain management.

Biography:

Yu-Ping, Huang has completed her PhD from Griffith University School of Nursing and Miderwifery. She is an Associated Professor and teachs at National Quemoy University School of Nursing. She has published more than 20 papers in reputed journals and has been serving as a reviewer for international and national journals

Abstract:

Hematopoietic stem cell transplantation (HSCT) is the preferred treatment over chemotherapy and radiotherapy for children with recurrent cancers. However, HSCT has adverse side effects such as infection, sepsis, and graft-versus-host disease. Hence, HSCT is performed in isolation wards; this can cause immersive stress in the treated children and their primary caregivers. Thus, a phenomenological study was conducted using semistructured interviews to explore the roles and functions of health professionals from the perspectives of mothers who took care of their children with cancer in isolation rooms during HSCT. The time between HSCT preparation and leaving the isolation room after HSCT completion was considered the HSCT period. This study recruited 34- to 54-year-old mothers (n = 12) of children aged 11 months to 14 years. The results revealed that the roles and functions of health professionals were as follows: (1) trainer, teaching mothers the necessary skills and knowledge to take care of their children in isolation rooms; (2) supporter, listening and offering encouragement to the mothers and providing them with emotional support; (3) experience guide, sharing with the mothers their experiences of certain symptoms in their children during HSCT; (4) companion, undergoing the entire process with the mothers to provide a sense of security; (5) eyewitness, witnessing and understanding the meanings of HSCT and the mothers’ involvement; (6) monitor and detector, identifying early signs or symptoms of HSCT complications; and (7) care provider, administering drugs and providing care. The mothers’ anxiety and distress were reduced when they encountered caring and supportive health professionals.

Biography:

Cristina M Zamarioli, has completed her Undergraduation Course and her Mastery Program both from the University of São Paulo at Ribeirão Preto College of Nursing and Specialization in Clinical Oncology from the National Cancer Institute. She is a PhD Student, and has interesting in nursing cancer and nanotechnoloy studies

Abstract:

This study aimed to identify the critical incidents reported by students during activities in a practical field, involving knowledge acquired in the discipline of Semiology and Semiotechnics (anamnesis, physical examination and nursing process). It is a study with a qualitative approach, using the technique of critical incident, used to identify relevant events for the individual. The elements of the critical incidents (situation, behaviors and feelings generated) were obtained in cursive written form about positive or negative experiences. Students enrolled in the nursing undergraduate course (n = 62); 25.8% of the intermediate years and 74.2% of the final years; 90.3% female; Age group of 19 to 35 years (mean of 23.2 years). There were mentioned situations related to: anamnesis and the physical examination of patients in different scenarios, clinical conditions and age ranges; the development of the nursing process; the interaction of the student with patients, care team (with the teacher or supervisor). The reports that portrayed student behavior were analyzed. The positive feelings identified (61.3%) include self-satisfaction and recognition and predominated among the students. The negatives were related to the technical difficulty, represented by impotence, anxiety and insecurity, predominating among intermediate students. These reports portray the use of the knowledge of Semiology in different experiences throughout the course. Also, they allow the improvement of the work plans of the disciplines, especially for the identification and prevention of stressful situations that generate negative feelings. It should be the goal of the teacher to offer teaching that will generate student satisfaction and lower stress load.

Biography:

San Yuet Kwok is currently a final year undergraduate student in BSc (Hons) in Mental Health Nursing in The Hong Kong Polytechnic University. She is a undergraduate member of Pi Iota Chapter of Sigma Theta Tau International, Hong Kong since 2016. She has been a student assistant for data collection and data entry in a research project. “Nurses in street attire: Facilitator of recovery process?” is the first research project that she was a co-investigator with her research teammates.

Abstract:

The Recovery Model has been introduced in Hong Kong since 2010. Recently, the policy of uniform in rehabilitation ward has changed to allow staff wear their own clothes to better fit the Recovery Model. The effects of nursing staff wearing street attire have been under discussion over the past decades in the United States, the United Kingdom and Australia. However, this literature is of limited value to the psychiatric services in Hong Kong, where no related research has been conducted. The aim of the study was to explore Hong Kong mental health nurses’ views about wearing street attire within an in-patient rehabilitation unit in regards to facilitating patients’ recovery process. A qualitative descriptive study method, utilizing individual in-depth semi-structured research interview, was employed in this study. Interview data were content analyzed from the perspective of post-positivism. A total of 11 interviews were conducted with nurse participants. The analysis process initially identified 177 open codes, which were merged into 81 nodes. Finally, 3 main themes and 9 sub-themes were identified. Main themes were ‘building up rapport with patients’, ‘street attire helps deinstitutionalization’ and ‘different approaches to maximize the benefit and to minimize the risk’. A majority of nurse participants positively viewed the policy of wearing street attire in a psychiatric rehabilitation unit, they felt the policy was potentially beneficial to patients’ recovery process. Street attire is not the only key to recovery, nurses are recommended to be aware of their skills in taking care of patients, to further maximize the benefit of the policy.

Biography:

Tin Wai was born and raised in Hong Kong. She is a year 5 student of Mental Health Nursing. Last summer, she completed a leadership course and a nutrition course in Alverno College in the US under the student exchange programme offered by the School of Nursing. In 2014, she went to Hui Long Guan Hospital for clinical placement for three weeks in Beijing. In her free times, she likes to have quality chats with her friends, making little improvisation on some songs, reading theological books and playing with her lovely Chinchilla and Scottish Fold.

Abstract:

The Recovery Model has been introduced in Hong Kong since 2010. Recently, the policy of uniform in rehabilitation ward has changed to allow staff wear their own clothes to better fit the Recovery Model. The effects of nursing staff wearing street attire have been under discussion over the past decades in the United States, the United Kingdom and Australia. However, this literature is of limited value to the psychiatric services in Hong Kong, where no related research has been conducted. The aim of the study was to explore Hong Kong mental health nurses’ views about wearing street attire within an in-patient rehabilitation unit in regards to facilitating patients’ recovery process. A qualitative descriptive study method, utilizing individual in-depth semi-structured research interview, was employed in this study. Interview data were content analyzed from the perspective of post-positivism. A total of 11 interviews were conducted with nurse participants. The analysis process initially identified 177 open codes, which were merged into 81 nodes. Finally, 3 main themes and 9 sub-themes were identified. Main themes were ‘building up rapport with patients’, ‘street attire helps deinstitutionalization’ and ‘different approaches to maximize the benefit and to minimize the risk’. A majority of nurse participants positively viewed the policy of wearing street attire in a psychiatric rehabilitation unit, they felt the policy was potentially beneficial to patients’ recovery process. Street attire is not the only key to recovery, nurses are recommended to be aware of their skills in taking care of patients, to further maximize the benefit of the policy.

Biography:

Anakin Ying Kin Long is going to complete his undergraduate degree at the age of 22 years from the Hong Kong Polytechnic University. He is a student of mental health nursing program. He has accomplished clinical placement in medical and surgical unit, psychogeriatric unit, admission unit and substance abuse unit.

Abstract:

The Recovery Model has been introduced in Hong Kong since 2010. Recently, the policy of uniform in rehabilitation ward has changed to allow staff wear their own clothes to better fit the Recovery Model. The effects of nursing staff wearing street attire have been under discussion over the past decades in the United States, the United Kingdom and Australia. However, this literature is of limited value to the psychiatric services in Hong Kong, where no related research has been conducted. The aim of the study was to explore Hong Kong mental health nurses’ views about wearing street attire within an in-patient rehabilitation unit in regards to facilitating patients’ recovery process. A qualitative descriptive study method, utilizing individual in-depth semi-structured research interview, was employed in this study. Interview data were content analyzed from the perspective of post-positivism. A total of 11 interviews were conducted with nurse participants. The analysis process initially identified 177 open codes, which were merged into 81 nodes. Finally, 3 main themes and 9 sub-themes were identified. Main themes were ‘building up rapport with patients’, ‘street attire helps deinstitutionalization’ and ‘different approaches to maximize the benefit and to minimize the risk’. A majority of nurse participants positively viewed the policy of wearing street attire in a psychiatric rehabilitation unit, they felt the policy was potentially beneficial to patients’ recovery process. Street attire is not the only key to recovery, nurses are recommended to be aware of their skills in taking care of patients, to further maximize the benefit of the policy.

Biography:

Abstract:

Public hospitals across the country are flooded by patients diagnosed with HIV/AIDS-related illnesses. South African Acquired immunodeficiency syndrome (AIDS) has completely changed the medical landscape and placed a great burden on the shoulders of professional nurses. The purpose of the study is to explore and describe instrumental support of the professional nurses. Challenges faced by the professional nurses were Fatigue, ill-health, resignation and poor HIV/AIDS care to patients admitted with opportunistic infections. The study was conducted at one of the Tshwane district hospitals of Gauteng province, South Africa. Instrumental support was explored focusing more on tangible assistance provided by the hospital and hospital nurse managers. A qualitative approach with explorative, descriptive and contextual designs were employed. Purposive sampling method was used to select 25 participants who participated in individual face to face interviews. Data gathered from the participants were analysed using Tesch’s eight steps of open coding techniques. The findings of the study revealed that the hospital and nurse managers did not provide effective tangible support. It was recommended that instrumental support of professional nurses caring for patients diagnosed with HIV/AIDS related illnesses be effectively provided by the hospital and the nurse managers through the development of the model to address challenges.

Biography:

SHU-YIN CHU She working in Chi Mei Medical Center of  Medical ward  for 10 years. She has been Nurse Practitioner and new nurses' of clinical  nursing  preceptors.

Abstract:

Introduction/background: When vocal cord paralysis occurs, emergency endotracheal intubation or tracheostomy is required to maintain respiratory tract patency. Tremendous pressure in face of surgery pose extreme threats and burdens to patients in multiple ways. the use providing guidance on effective self-management and establishing good nurse-patient communication channels, thereby improving awareness and enhancing the coping ability in patients.

Purpose/methods: The case study was by tracing the root causes concerning clinical handling and overall surgery pressure management for the patient, for care intervention and strategic measures for three areas were conducted. (1) Emotional orientation: good nurse-patient relationships were established through proactive care and support based on three principles, ”observing (visiting), heeding (listening) and communicating (explaining)”, to guide the patient towards positive thinking. (2)Problem orientation: guidance and consultation on health education. (3) Structural orientation: the aim was to strengthen familial and social care structures.

Results: Through three major orientations interventions did effectively improve the patient’s ability to cope with pre-surgical anxiety and pressure and to accept the post-surgical impact on the patient’s disease with a positive attitude and learn what to pay attention to after tracheostomy and knowledge about the disease, thereby achieving self-care and a positive coping strategy.

Conclusions: Good communication between healthcare teams and patients combined with the also effectively reduce anxiety in patients and their families with surgery by providing appropriate guidance on information about disease-related personalized care and clarifications regarding issues, thereby easing pressure and increasing patient confidence in health maintenance.

Biography:

Abstract:

Abstract: Auditing is part of the management, and through audits process could determine which of the systems implemented does not meet regulatory requirements and needs to be improved. To apply the audit system in the infection control of medical institutions could maintain the  inpatient safety in intensive care unit , improve the quality  and reduce cost of medical care, provide a safe working environment.

Purpose / Methods: This study method based on the current situation analysis and literature review, applying system diagram to summarized three main problems: 1. inappropriate management of care team members. 2. Inadequate environmental cleaning. 3. insufficient of dressing carts. Applying quality control circle PDCA approach, the improvement strategies were including: 1. developed audit checklist of hand hygiene and hand bacterial colony collection 2, implementation bedside equipment and environmental sterilizing in three shifts 3 for the isolation patients, using a simple dressing plate to avoid cross-infection.

Results: The audit inaccuracy rate decreased from 7.82% to 3.41%, the infection density decreased from 10.06 ‰ to 7.60 ‰, and the average cost of medical supply was reduced 3,580 NT / month. Antibiotics use DDD decreased from 15g per person per day to 10g, the use of the amount of drugs accounted of hospital expenses from 46%to 30%.

Conclusions: Infection control is an ongoing task for the intensive care unit, from establishment of the concept, supervision, audit to habits developed, from cleaning workers to department directors, whether it is a brief contact with the radiologist, pharmacist, dietitian, or physician, respiratory therapist, or close contact with the 24-hour care staff, all health care deliverer need to work together to provide a high quality and safety medical environment.

Biography:

She has completed her PhD in 2001 at Hacettepe University, Health Science Institute in Public Health Nursing. She had her professorship in 2016. She is head of nursing department in Selcuk University. She has published many papers in indexed journal and has been mentoring number of doctoral and other thesis. She has been serving as advisory board of some journals.

Abstract:

Despite advocacy is an accepted and integral attribute of nursing partice confusion remains about the precise nature and description of the concept. The aim of this descriptive qualitative study was to investigate nurse academics’ opinion and perceptions of nursing advocacy role. Study was conducted to answer the two research questions: How the academic nurses perceived the nursing advocacy role?  and what are their opinions about bariers and its solutions for nursing advocacay?  The study was carried out in 2015 in an university, Faculty, nursing department in Konya Turkey. The study group was nurse academics (n:5) who had five years teaching experiences. In order to academics’ opinion, three subjects were selected for focus group interview. One focus group interviews was carried out for investigating academics’ views on advocacy. Focus group interview was audiotaped and subsequently transcribed by two researcher. Data are coded systematically and organized into a number of categories. All the academics believed that nurses have not enough power to advocate theirself and advocacy could take place only if nurses have a power as a profession. They also thought that the personal characteristics of nursing students is important for being an advocate and the the cultural environment of the community is not supportive for advocacy, rather support the dutifulness behaviour. The participants stated that in current neo-liberal political health care enviroment make nursing advocacy more important since the community are more vulnerable in current health care system. As a conclusion, advocacy is perceived by academic nurses as a matter of power for nursing as a profession.

Biography:

Muhammed Wasim Raad completed PhD in Embedded Systems from School Of Electronics University Bradford UK, 2005. Currently he is the Head RFID Lab & Lecturer in KFUPM. He was involved in a number of funded projects in Telemedicine for Elderly.

Abstract:

By 2020, it is predicted that chronic diseases to be account for almost three quarters of all deaths. This aging problem contributes greatly to chronic diseases like Alzheimer’s. The major implications of Alzheimer are patient safety and care. The aim of this paper is to develop a Telemedicine system, based on Internet of Things (IoT) technology, for monitoring elderly individuals suffering from Alzheimer’s. We describe a working prototype that is able to capture vital signs and deliver the desired data remotely for elderly staying at home, using wearable ECG wireless sensor. In addition, an Active wearable Radio Frequency Identification (RFID) wristband, with IR room locators are used to monitor the whereabouts of the elderly at room level along with an Android APP tool used by the Elderly loved ones to locate him/her in case of emergency in a smart home context. An alarm is triggered in case the Elderly wanders outside the safe zone.

Biography:

Dr. Edwards is a medical professional with 35 years’ experience in healthcare.  She is a RN, medical investigator, legal nurse consultant and medical writer.  She holds a MHA degree, a MD degree & she completed post-doctoral fellowship training in researching and analyzing medical data at CDC in Atlanta GA. Her passion lies in caring for the elderly and investigating what happens when medicine and law collide. For more than 6 years, Dr. Edwards has volunteered healthcare services to 3rd world countries; earning her the status of Dame of Grace, Dame of Honor and Dame of the Grand Cross.

Abstract:

As a person ages there is a regression in both physical and mental health. This deterioration results in one’s ability to deal with physiological/psychosocial demands. The world’s population is significantly growing. According to the United Nations World Population Prospects 2012, the average human lifespan is 70.7 years, 68.2 years for males and 73.2 years for females. According to WHO, In the US, the human life expectancy is approximately 78.2 years for men and 81 years for women; predicting that within the next 35 years the proportion of the elderly is estimated to increase approximately 10%. This is alarming because there is already a shortage of professionals who provide geriatric mental health services. In 2030, it is estimated that there will only be approximately 1650 geriatric psychiatrists in the US; one geriatric psychiatrist per 6000 geriatric psych patient. Of the aging population, 20% have one mental disorder that has negative effects on their health. Research has proven that elderly are likely to have greater disability, worse health outcomes and higher rates of hospitalization and emergency services than older patients with just a physical condition. Last but not least, the cost per person with mental illness and a medical illness is estimated to be 50% to 200% higher than patients with a medical illness only.

The geriatric population (65 years and older), is most likely to experience frequent, complex interactions with the healthcare system; a system so complex that it has trouble meeting their basic healthcare needs. Unfortunately, as the aging population increases so do mental disorders associated with aging (Alzheimer’s Dementia, Anxiety, Major Depressive Disorder, Suicide Ideation, etc.).  Therefore, the growing geriatric population underlines the need for the development of concrete interventions to improve the care of geriatric psych patients in a complicated healthcare system.

Biography:

April L. Jones has completed his PhD at the age of 35 years from Walden University. She is the outreach manager of U.S. Air Force, Maxwell Air Force Base, a military education and command installation. She has published 2 articles in reputed journals and has been serving as a journal reviewer for three journals of repute. She has presented her research publications at more than four international conferences.

Abstract:

Experience of Protagonists in Workplace Bullying: An Integrated Literature Review (E-PWBILR): Awareness of workplace bullying is increasing due to an improved understanding of the psychological, social, and organizational consequences of these behaviors. In the field of nursing, which has been facing critical shortages for decades, workplace bullying has been blamed for higher attrition rates, reduced productivity, and even the current nursing shortage. Poorer patient care and reduced safety on the job are also noted sequelae of bullying among nurses. While incidents of bullying may be an accepted though unintended consequence of power dynamics within an organizational structure, there is a critical need for managers to analyze the extent of the problem, determine its impact, and try to understand how it affects staff satisfaction and retention. Although there is evidence that lack of managerial support and hierarchical work environments that disempower staff contribute to bullying among nurses, there does not appear to be agreement on the most important factors that contribute to the perpetuation of these harmful behaviors, or more importantly, on how to reduce the frequency and impact of bullying events. A number of studies have been conducted on workplace bullying, however, very few in the field of nursing have been undertaken. This paper systematically examines the impact of bullying, the factors that perpetuate its continuance, and synthesizes the literature on promising environmental and individual-level interventions in the field of nursing.

Biography:

Simge Zeyneloglu, MSN, PhD, is an associated professor at Gaziantep University Faculty of Health  Sciences Department of  Nursing, Gaziantep, and an associated professor at the University of  Gaziantep.

Abstract:

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

Biography:

Yueh-Chen Yeh has completed her PhD from Griffith University School of Nursing and Midwifery in Australia. She is an Assistant Professor and teaches at National Taichung University of Science and Technology Department of Nursing

Abstract:

In Chinese culture, postpartum women are considered to be weakened, vulnerable to a yin and yang imbalance, and in need of special care. They are encouraged to follow the traditional postpartum practice called “doing the month,” which is a 30-day ritual involving physical and social prescriptions and taboos. Traditionally, Chinese and Taiwanese postpartum women perform this practice at home. Currently, many Taiwanese women undertake this ritual in postpartum nursing centers (PNCs). However, information on how the PNCs have modified the traditional Chinese postpartum practices for first-time mothers in the context of modern healthcare is limited.

The present ethnographic study conducted the observations and formal interviews of 27 first-time mothers at a PNC in Taipei, Taiwan. The present study observed that the “doing the month” ritual has been adapted to modern healthcare requirements through the relocation of home settings to healthcare facilities. At these facilities, nurses assume the roles traditionally held by family members, thus influencing the family structure and relationships. In addition, adherence to the traditional dietary, hygiene, activity, and social restrictions varied. Although some practices were performed on the basis of traditional justifications, many were modified or abandoned on the basis of current scientific justifications.

The present study provides information that may aid healthcare professionals in guiding postpartum women to integrate traditional beliefs with modern healthcare and evidence-based practices. Nurses and midwives must be respectful toward their clients’ beliefs. In addition, respect and flexibility should be maintained in the ritual by incorporating modern values and facilities. The present findings demonstrate how traditional and modern cultural beliefs and attitudes are integrated in the “doing the month” ritual to provide culturally appropriate and sensitive postpartum care and support for first-time mothers.

Biography:

Dawn Moeller RN has 30 years of experience in the field of emergency medicine. She currently serves at Advocate Good Shepherd Hospital as clinical manager for emergency and trauma services. She has recently published an article in the Journal of Emergency Nursing on eliminating blood culture contaminations by engaging her front line staff. She has presented nationally on topics such as reducing emergency department recidivism and readmissions, and on how emergency department operational efficiency promotes a positve patient experience

Abstract:

Purpose: Our Emergency Department struggled with unacceptable blood culture contamination rates. The objective was to create a self-governing culture within nursing that would lead and sustain the achievement of monthly blood culture contamination rates below the national benchmark of 3% and the hospital laboratory acceptable threshold of 2.3%.

Design: Blood Cultures: Moving Toward Zero False Positives was an evidence-based quality assurance project developed and implemented by the Emergency Department Shared Governance Quality and Safety Council.

Participants: 100% of all emergency department patients requiring blood cultures, inclusive of pediatric patients, between the time frames of January 2010 through June 2015.

Methods: The Shared Governance council partnered with the laboratory team to review the monthly epidemiology reports.  The goal was to identify the number and overall percentage of contaminated specimens collected within the Emergency Department.  The Emergency Department Shared Governance council conducted a review of the literature. From the information that was gathered, the Shared Governance council created a blood culture collection education tool for the Emergency Department nursing staff. The final step was to design a monthly peer review process to perform ongoing causal analysis with those individuals that were linked with contaminated specimens.

Results and Outcomes: The evidence demonstrates that the new process decreased the blood culture contamination rate from baseline of 5.37% down to 1.55%.

Implications: The chief recommendation is to engage staff through clinical leadership. This quality improvement project translates to improved patient care and a reduction in unnecessary treatment and costs.

Biography:

Selda Arslan was born on 15th January 1980 and graduated at Celal Bayar University Nursing School in 2001 and after that she started to work as a research assistant Selcuk University Health High School. She completed her master's degree in medical nursing in 2005 and doctoral degree in same department in 2012. Her prioritized areas of interest are oncology and rehabilitation nursing. Currently, she is working as an assistant professor at Selcuk University Faculty of Health Sciences.

Abstract:

Background:The study was performed to determine nurses’ information, attitude and practice levels on using physical restraint in intensive care units as an important modality arising physical, psyschological, social and judicial results. 

Aim: Working in ICUs, 158 nurses constituted the sampling. “Levels of Knowledge, Attitudes and Practices of Staff Regarding Physical Restraints Questionnaire” was used to collect data.

Methods: Findings were presented as number, percentage and average, and t test, one-way variance and correlation analyses were used for independent variables.

Results: For information, attitude and practice scores, participants’ scores were 7.1±1.7, 31.8±4.6 and 36.6±3.2, respectively. No association was found between information subscale, and age, professional years, working time in ICUs and weekly working hours (p>0.05). However, for attitute subscale, a negative and weak association was found between age (r=-0.229) and professional years (r=-0.174 ), and increasing these variables decreased attitude score (p<0.05). No association was found between attitude score, and working time in ICUs and weekly working hours (p>0.05). While there was no association between practice score, and age, professional years and working time in ICUs (p>0.05), the increase in weekly working hours (r=-0.243) was found to decrease practice score, and this association was found weak (p<0.05).

Conclusion: In conclusion, we consider nurses’ level of information is sufficient, but attitudes and practice were not at a positive level.

Relevance to clinical practice: Physical restraint may be a must to prevent patients’ agitation and protect therapeutic instruments in clinical settings. It is recommendable that out of such conditions, novel approaches should be developed to decrease the use of physical restraint.

Biography:

Dr. Chesanny Butler completed her PhD from Oakland University with a certification in nursing education. She has been a nurse for over 20 years and a nurse educator for 7 years. She is currently an Assistant Professor of Nursing at the University of South Carolina Beaufort in South Carolina, USA where she focuses on baccalaureate nursing education

Abstract:

The purpose of this study was to identify congruent areas of clinical practice for graduating nursing students as a first step in potentially influencing job retention and satisfaction within the first year of nursing.  A quantitative survey research design was used to analyze individual personality signatures using a cross section of registered nurses from the United States as compared to graduating senior Baccalaureate nursing students from a large Midwest four-year doctoral research (L4/NR, DRU) university.  The RN sample was comprised of nine specialties.  The student sample was comprised of six specialties and drew from both the traditional and second-degree baccalaureate nursing programs offered within a school of nursing.  The target number of participants to obtain a power of 0.05 was obtained for both populations and totaled a final study sample of 815 participants.  Two surveys: 1) The TCI-140-R, and 2) demographic questions comprised of variables found to influence personality in the literature, were administered online to participant groups to identify levels of the seven basic dimensions of temperament and character.  Univariate analysis made multiple and covariate comparisons between TCI-140-R scores, registered nurse groups by specialty, baccalaureate nursing students, age, gender, race, employment status, program, maturity level, and highest level of nursing education.  Significant main effects for age and specialty by group were detected in several Temperament and Character Inventory dimensions.  Both registered nurses and Baccalaureate senior nursing students had similar personality patterns by specialty although the specific level of Cooperativeness (caring and compassion) found in each specialty was significantly different.

Biography:

Ywonne Peterson, Sweden, is a Family therapist and holds a Master in social work, SR Nurse. Y.Peterson has been active for many years as a consulting supervisor and trainer of professionals who are working or going to work with childhood obesity using an SFBT-model. Supervisor/trainer/team member between 2000-2004 at Childhood Obesity Unit, Malmo University Hospital. Lecturer in SFBT method at 3 days basic course in childhood obesity 2003, 2005 and 2007. Lecture in SFBT method at SPOC 2004. Lecture in 7^th Update on obesity, Brussels 2010. Lecture in Bit’s 1^st World Congress of Endocrinology and Metabolism. Xiamen, China. 2011, Lecture in Bit’s 2 nd Annual World Congress of Endobolism. WCE-2012 Beijing, China. Lecture/workshop: Obesity & Weight management. San Francisco 1-3 Dec. 2014, USA.  Bit`s 4th Annual Global Health Conference 2016, Taiwan. Peterson Y. Article: Family treatment. ACTA Paediatrica 2005; 94 (suppl 448): 42-44. Peterson, Y. Väga mig hit och Väga mig dit, ISBN: 978-91-85621–00-2

Abstract:

In 2014 more than 41 million children under the age of 5 years where globally estimated being overweight or obese. Overweight is considered to be a global epidemic and marked increase in childhood obesity is alarming. Preventing the development of obesity in children is therefor a worldwide health priority. Healthcare professionals lack of sufficient knowledge, negative conceptions of families with obesity problems, parents lack of locus of control and professionals –parent relationship at risk sometimes leads to the subject of childhood obesity often is avoided.  The odds for a child to become obese as an adult increase about threefold if one of the parents is obese and rise tenfold with two obese parents. Without a clear goal, it becomes impossible to work successfully with the organization and method development. In a systemic process in which different professions and fields of knowledge interact it can become very helpful for obese children and their families. Attitude, respect for individual´s needs, integrity and influence are very important in any change of life style. It is not enough to use care measures recommended of scientific studies because they also must be useful in practical clinical settings and be useful for the obese patients. There are many barriers in implementation of treatment models and skills in clinical work and prevention of childhood obesity. I will present some ideas/case studies that might get useful.

Biography:

Dr Richard Windle is an Associate Professor of Health E-learning, co-academic lead of the Health Elearning and Media (HELM) team at the University of Nottingham. Richard is a Principal Fellow of the Higher Education Academy. He moved into the field of e-learning research and development following many years working as a researcher within the field of neuroscience at the Universities of Bristol and London. As well as lecturing within biosciences and leading the curriculum innovation work of HELM, Richard’s research and development work now focuses on multimedia content creation by diverse stakeholder groups within the health arena and on the value and reuse of open educational content. Richard has been the recipient of a range of fellowships, grants and awards for his work in this area.

Abstract:

One of educational conflicts that can arise during experiential learning is the issue of how to assess students in order to ensure that they meet module and academic requirements, whilst at the same time not narrowing the potential learning experience of the student, (Barrett, 2004). We recently introduced an e-portfolio to coordinate all aspects of an international elective placement process for second year nursing students. During their placements students were asked to reflect on their experiences and collate evidence of achievement. After their placement, they developed a portfolio of media to document and reflect upon their learning, aimed at supporting cultural competence development and group learning. Whilst it was straightforward to determine the extent to which the e-portfolio fulfilled institutional assessment and management requirements, we also developed an evaluation tool based on Barret’s (2004) principles of e-portfolio functionality to determine the extent to which the process and subsequent portfolios were able to capture the students’ ownership of their learning around cultural competence and the skills that they can take forward into future practice. Here, we will present our results showing how the process functioned as a robust and reliable assessment of cultural competence and the extent to which students were able to develop a constructivist learning resource that matched the characteristics of a student owned portfolio at the same time.

Biography:

Susette Brynard is currently a lecturer in Education Management at the University Free State, South Africa. Previously she was Head of the Department Natural Sciences, Bloemfontein College of Education. She was born in South Africa and graduated at the University Free State to receive a B. Sc.-degree. While lecturing Biology at an Education College she commenced her studies at the University of the Free State, where she received the B Ed (honors) and M Ed Degrees Cum Laude and then her Ph.D.

She received numerous awards during her studies and published papers on the education and development of Down syndrome learners. She is doing ground-breaking work on education opportunities for Down syndrome learners, focusing inter alia on improved educational opportunities through implementing principals of self-advocacy. Her work includes both research about, and advocacy for, such opportunities.

Abstract:

The aim of the article is to provide Down syndrome (DS) learners with better educational opportunities by implementing the principals of self-advocacy, at school level. A literature review was done to obtain background information on the concepts of DS and the self-advocacy program. Qualitative research methods like art-based research combined with a narrative approach was implemented to get information from the participants because they could not always verbalise their feelings. From the findings it can be deduced that some of the principals underlying the self-advocacy movement can be used to enhance the educational opportunities of DS learners. If the principles of self-advocacy could be taught to all DS learners from an early age in schools over a longer period of time, these learners should benefit exponentially. DS learners could then be empowered to make some of their own choices from an early age, taking cognisance of the responsibilities that go with freedom of choice. The contribution this article makes is to apply the ideas of the self-advocacy movement to the education of learners with DS, as a possible way to give these learners a voice. The assumption is that if they can give input regarding their education, it will improve their opportunities to become valued human beings.

Biography:

Asmait Yohannes- RN, BSHM, MPA, CSSM, CLNC

                               Vice chair of Nursing department of surgery

                               Director, Ambulatory Surgery Center

                               Clinical and Operational Director

                               Mount Sinai Hospital/ Department of surgery.

Abstract:

Ambulatory services require more Nurse Executives to oversee operations focus on including items such as unit improvement, cost containment, keeping physicians content, maintaining a high level of satisfaction and quality care for patients and patient’s families. As surgical patient care moves from inpatient to outpatient settings, ASCs Nurse Executive leaders are charged with developing creative solutions to address complex and challenging issues in a most competitive arena. They bring clinical expertise that will allow them to demonstrate a capacity to analyze and synthesize both qualitative and quantitative information in order to reach executive decisions.

Audience take away:-  Operational Excellence/Efficiency

• Fundamental commitment to patient centered model of care
• Analyze ASCs Market data
• Strategic planning
• Commitment to Quality
• Become great by consumer Branding

Biography:

Mary Brown Assistant Professor of nurse education and a Registered Children’s Nurse. Her particular area of interest within nurse education is international educational development within the nursing curriculum. She is nursing lead for Erasmus and the elective programme within the undergraduate nursing curriculum. Areas of teaching expertise lie within personal and professional effectiveness and cultural competency. Mary is joint lead for the e-portfolio model of teaching and learning for electives within the nursing curriculum. The use of an e-portfolio for module assessment of experimental learning and reflection the system allows students to collect and collate their learning experiences and produce a visible multimedia record of their learning. The e-portfolio gives students the opportunity to develop their personal account of their own understanding of cultural competency and awareness of global healthcare issues. The e-portfolio provides students with a visual collection of their learning that can be taken forward to help towards demonstrating employability

Abstract:

One of educational conflicts that can arise during experiential learning is the issue of how to assess students in order to ensure that they meet module and academic requirements, whilst at the same time not narrowing the potential learning experience of the student, (Barrett, 2004). We recently introduced an e-portfolio to coordinate all aspects of an international elective placement process for second year nursing students. During their placements students were asked to reflect on their experiences and collate evidence of achievement. After their placement, they developed a portfolio of media to document and reflect upon their learning, aimed at supporting cultural competence development and group learning. Whilst it was straightforward to determine the extent to which the e-portfolio fulfilled institutional assessment and management requirements, we also developed an evaluation tool based on Barret’s (2004) principles of e-portfolio functionality to determine the extent to which the process and subsequent portfolios were able to capture the students’ ownership of their learning around cultural competence and the skills that they can take forward into future practice. Here, we will present our results showing how the process functioned as a robust and reliable assessment of cultural competence and the extent to which students were able to develop a constructivist learning resource that matched the characteristics of a student owned portfolio at the same time.

Biography:

Lene Bjerregaard has a professional background in nursing and a Master of Science in Soiology, and completed her Ph.D. and Postdoctoral studies at the University Of Southern Denmark. She is now senior Associate Professor (Docent) and research leader at University College Zealand in Denmark (University of applied sciences).

Abstract:

Background: Demographic change, and the increasing number of people in need of help and care are a challenge in the society. Dementia is one of the most common mental illnesses, and not curable. In Germany there are an estimated 1.5 million cases, in Denmark more than 85,000 people suffer from dementia. The prevailing lack of skilled specialists in nursing and care impacts the quality of care being provided and the quality of life of those affected

Aim: The aim of the study is to improve the quality of life for people suffering from dementia and who are residents in nursing care facilities. The project’s overall objective is to establish welfare and health technologies to support people suffering from dementia in maintaining their daily routines.

Methods: Based on cross-border analysis of existing practices, on potential and assumed benefits, and on experiences from three pilot studies, best practice approaches will be developed from the processes of adjusting and further developing innovative technologies targeted residents with dementia. These new approaches will then be applied in the area of further training and result in the establishment of a further training certificate.

Results: The added value will be application of new technologies adjusted, adapted and further developed, based on the users’ needs, routines and processes; and qualified by specialist trained staff in dementia care.

 The project is a part of the EU's INTERREG 5a Programme, and the design include educational as well as Medical Technology Assessment elements. Collaborating partners include private companies aiming to enter new welfare-technological solutions into market.

Partners: University College Sealand(UCSJ), Flensburg University of Applies Sciences (IEMG)(Lead partner), Health Innovation Center Southern Denmark (Colab), Municipality of Aabenraa, “Rise Plejecenter”, Anygroup, LifePartners, Welfare Tech, GesundheitsregionNord, DIAKO-SozialeEinrichtungenGmbH, Pflegenheim “UnterdemRegenbogen” Delta PlegebetriebGmbH.

Biography:

Shengyun Li Vice-Director of clinical skill training center of the first affiliated hospital of Zhengzhou University. Chief Superintendent nurse, supervisor of postgraduate students. The member of OR Nursing branch of Chinese Nursing Association. As a visiting scholar went to UBC Univ and Cancer Agency of Canada in 2008. She has published more than 50 papers in reputed journals

Abstract:

To develop and apply a novel surgical aseptic technique curriculum in specialty training for operating room (OR) nurses. Methods: As surgical environments were improved, related specifications were revised. The proposed surgical aseptic procedure was discussed, improved, and recorded as procedure videos. In the new training program, traditional theoretical lecture training was replaced with sequential theoretical lessons and video demonstration, operation presentation, and skill competition. At the end of the training, the trainees were given questionnaires to assess training outcomes. Differences in student satisfaction regarding the proposed training program and conventional training programs were then compared. Results: A GPA of 3.61 ± 0.58 was recorded after the new training program was implemented. The minimum and maximum average scores of each item were 3.05 ± 0.43 and 4.61 ± 0.33, respectively The satisfaction rate of the trainees in 2013 was significantly higher than that in 2011 (t=2.14, P=0.039).Conclusion: Novel surgical aseptic technique and application in the curriculum design of training for OR nurses should be developed to enhance their mastery of theoretical and practical skills and to modify their behaviors.

Biography:

Professor Maria Monica Doroteo-Espinosa has completed her Doctor of Education major in Educational Administration at the age of 40 years old from the University of Manila (Pamanatsan ng Lungsod ng Maynila). She is an Assistant Professor at Woosong University, College of Health and Welfare, Department of Nursing. WSU is a specialized university, located in Daejeon, South Korea providing a specialized curriculum based on practical foreign-language and high-tech IT education for every major field of study. She is actively involved in Research and has presented in the following countries: USA, China, Thailand and Philippines. She won the Best Paper Award in the International Conference on Management Science and Management Innovation (MSMI) held in Changsha, China in 2014. She is the author of the book Just Ordinary People from Trials to Triumphs, published by Xlibris publication, Australia. She is currently part of the board of Referees of the Trinitian Researcher, Trinity University of Asia, Philippines.

Abstract:

Lived experiences of nursing students learning an English Context Based-Instruction (CBI) provide greater insight to develop an effective classroom teaching strategy in Nursing education. The main objective of this study was to investigate the Freshmen Korean nursing student’s experiences in the classroom as they learn the Nursing subjects taught in English language. Interview as a method of research was used to explore the views, experiences, beliefs and motivations of individual participants. The researcher extracted the different facets from the 9 students from Woosong University, Department of Nursing who were selected randomply based on their grades. To analyze the data, the method used to code and categorize the interview data were adapted from approaches to qualitative data analysis. Five themes emerged from the interview. The Nursing students stories showed that learning an English Context Based-Instruction (CBI) maybe attained by having the following traits, “readiness to learn”, “hardwork”, “devotion to study amidst difficulty”, “determination to pass the subject”, and “staying focused”. Hence, the significance of this study is both educational and cross-cultural in nature. In conclusion, Nursing students learning an English Context Based-Instruction (CBI) is affected by their readiness to learn and the level of their English comprehension. They experienced some degree of difficulty in understanding the subjects taught in English that leads to anxiety. Furthermore, this study extended the data in the field of second language research in South Korea, as it has implications that directly encroach upon Nursing students’ preparation and readiness for globalization in the Nursing field

Biography:

Luo Yang, PhD, professor, doctoral supervisor, has a research and teaching interest in the area of women’s health. She has undertaken more than 20 projects including the National Social Science Found Programme, and other provincial and school-level programmes. She has been awarded the Second Prize of Higher Education Teaching Achievement and granted two national invention patents. She has published more than 100 articles (5 papers in the SCI) and been the chief-editor or editor of 9 textbooks.

Abstract:

This study explored the relationship between nursing students’ critical thinking disposition and their mental self-supporting ability, in order to obtain a profile and determine the psychological predictors of critical thinking. A cross-sectional descriptive study was conducted using convenience sampling from four nursing schools. Findings indicate that there was a positive correlation between these two variables and students’ self-decision, self-cognition, self-confidence, and self-responsibility played a significant role in their critical thinking disposition. Nursing educators should make an effort to improve the students’ critical thinking ability in these four aspects.

Biography:

I hold a NRF C3 rating as an established researcher with specialties in Nursing Education, Health Promotion and Disease Prevention. For two years in a role (2012 and 2013), I emerged as UNIVEN’s best overall active researcher. I am widely published scholar and reviewer of manuscripts for both national and international journals of high scientific repute. I am currently elected to serve in the International Council of Nurses Rural and Remote Nurses Network Core Steering Committee, which is represented by other eight members from international countries. I have been inducted into Hall of Fame for Research Excellence in Nursing in South Africa by the Forum of University Nursing Deans in South Africa. In 2016, I received a Life Time Achiever award of Africa’s Most Influential Women in Business and Government and Titans: Building Nations

Abstract:

The purpose of this study was to obtain the nursing students’ perceptions of clinical learning experiences. Nursing students following the course leading to registration as a nurse general, psychiatric and community) and midwife at the University of Venda constituted the target population. The study used a qualitative descriptive survey to provide insight into the situation. The population was all students studying at the University of Venda and following the four year degree in nursing science. A non-probability purposive sampling was employed to sample 45 participants variably from each level of study. Data was collected from the students through focus group interviews. Participation was voluntary as the study was not interested in obtaining information about a particular clinical setting where learning experiences occur.

Findings indicate that nursing students are aware of the value of the contribution that clinical learning experiences make to their development of professional socialisation. Nursing students regard a patient as the central focus of their clinical learning experiences, they are able to identify those factors which could promote and enhance and those which could hinder or be detrimental to their learning in the clinical setting. However, proper guidance and support from their superiors appears to fall short. There appears to be a need to assist both students and clinical nurse practitioners to increase their understanding with regard to their roles and mutual expectations in the clinical field.

Biography:

Salam hadid is R.N. that  has completed her PhD from Haifa University.  lecturers at Zefat academic college, Department of nursing and pain management coordinator nurse at galilee medical center.

Abstract:

BACKGROUND:

Self-assessment in nursing education is a ubiquitous tool for developing independent learners and critical thinkers.  However self-assessment may be influenced by both demographic and perceptual factors, making it far more complex than students or instructors realize.

METHOD:

A demographically heterogeneous group of nursing students (N = 322) was asked to evaluate their performance of a standard clinical procedure - the insertion of a needle into a peripheral vein in an arm simulator – and their assessments were compared with those of an instructor.

RESULTS:

Self-assessment is influenced by gender, age and faith. When student and instructor assessments were compared, a mismatch was found for gender and faith. Moreover, there was a significant positive correlation between evaluation mismatch and self-efficacy.

CONCLUSION:

Results of self-assessment, commonly considered to be an effective tool for teaching skills in general, and clinical work in particular, may be skewed by both demographic and perceptual factors.

Biography:

Phan Thi Dzung have been working at Viet Duc University Hospital for 35 years, 27 years experience in Operating Theater Nurse and 10 years of  ORs  head nurse, 8 years of  Hospital chief nurse. The current, I am working at Education and Training Center. Having completed a Master of Hospital Management programme in 2012 and PhD of  Public Healthat in 2016 at Hanoi University of Public Health (HUPH). I have had several articles published in well-reputed journals such as Vietnamese journals and Nursing Education Today journal, The Thai Journal of Surgecal, British Journal of Nursing and contributed presentations in: scientific conference in Barcelona, Spain in 2011;  Nursing conference on wound care in 2014 in UK; World Congress on Nursing in 2015, Dubai, UAE; American Professional Wound Care Association 2016 Conference in Philadelphia, US.

Abstract:

Vietnam’s nursing competency standards (VNCS) were issued in 2012 and is the important basis on which the continuous nursing training programme are designed and developed. The study aim is to assess the knowledge, wound care competences of nurses at Viet Duc University Hospital before and one year after an educational intervention conducted. This is a comparative descriptive study carried out from 2013 to 2015 at Viet Duc University Hospital. The article is focused on quantitative results, in which scores of knowledge, Capacity in practice among nurses working at seven clinical departments before and one year after the educational intervention. The data collection tools include one 48-knowledge-item self-administered questionnaire, one sixteen-practice-item observation sheet on nurses’ confidence when conducting wound care. Then it  was entered by Epidata version 3.1 and analysed with SPSS version 18.0. The lowest mean score of knowledge on wound are was that of sature removal (8.65 ± 3.19). The proportion of nurses with inadequate competency relating to wound care ranged from 24.8% to 76.7%. Interventional activities have statistically significantly improved nurses' knowledge and competency related to wound care (p<0.001). Before the intervention, the wound care competency of nurses was below average. Wound care program and materials are suitable, feasible and effective. After the intervention, the competency of nurses has noticeably improved. However, it shows that training contents need to be further developed and disseminated to nurses who provide direct wound care for patients in other hospitals to help in proving the quality of patient care as well.

Biography:

The author at present is an Assistant Tutor (Assistant Professor) Salalah Nursing Institute,Directorate General for Human Resource Development Ministry of Health Sultanate of Oman. He specializes in Nursing Administration, Leadership and, earned units with his Doctor of Nursing Management from Trinity University of Asia (DNsg.M), and  obtained his Doctor of Philosophy in Educational Leadership and Management (PhD.EM)( Meritissimus)  from St. Jude College Graduate School, Manila. His research inclination is geared towards Nursing Education, Trans-cultural Nursing ,and Leadership and Management. He has participated in Major Nursing Conferences with Accepted papers as Presenter for Oral /Plenary and Poster in the Philippines, Singapore, Malaysia, Brazil, Oman, South Africa, United Kingdom, United States & Canada.   He's experience in the service side includes working as an operating room nurse & field researcher. He held post as Assistant Professor II and chaired various committees and cohort groups in his 10 years of teaching.  He received several awards in the academe, practice and teaching.  Recently he was recognized as one of the 10 Most Outstanding Filipino Overseas Worker (TOPES) in the Academe awarded by the Philippine embassy in Muscat. Awarded Best Young Researcher at the 6th World Nursing and Healthcare Conference, in London, United Kingdom 2016.

Abstract:

The research study aimed to identify the degree of learning outcomes of graduated nursing students; learning success is comparatively associated with the passing marks received by the students at the end of the 3 years diploma program. The proponents  identified  the significant contributions of several employed. Non Academic Factors (Age, Gender, Domicile& Type of Secondary School); leading to the success of the students in terms of their marks obtained in their major nursing courses from year one to three having the Final Comprehensive marks and Overall GPA as outcome predictor..  The Proponents utilized Nursing Students who graduated Batch 2011-2015. Sampling Method will utilized a mixed method approach using Consecutive sampling based on criteria on each batch of Salalah Nursing Institute from 2011-2015 N=161  (Identifying those who passed & tracing their previous academic performance and graduated GNP Program ). For this Correlational prospective design the researcher utilized Retrogressive document analysis. Descriptive statistics was performed. The following are the results and findings of the study demographic profile of the respondents shows that majority of the respondents are of female in gender. In terms of domicile it shows that 72.7 % of the student respondents are residing in rural areas and 27.3 % from urban areas. It can be observed that batch 2015 produced less graduates with 19.9 % a big decline from the previous graduates from 2011-2013. In addition the study showed the frequency distribution and percentage of student dropouts and graduates from year 2011-2015. The result implicates the total number of graduates and dropouts from year 2011-2015 with the exemption of year 2014 which is the pioneering year of the foundation program. The perusal of the study indicates that in this year there were 289 students who joined of the Diploma in Nursing, 161 of which successfully passed with the percentage of 55.7% and a 128 total number of dropouts 44.3% from batch 2011-2015. Batch 2013 yielded the highest percentage of successful completion at 64.70% while Batch 2015 got the highest number of dropouts at 61.5%. It can be observed that there is a notable fluctuation of successful completion from year 2011 to 2015. Thus an observed decline of graduates from batch 2015 shows thirty two (32) 38.5 % which has the largest entry students in the span of five years eighty three (83).  Parametric test on correlation of factors age and Overall GPA using Pearson R , the Test results shows  significant relation between Age and Overall GPA  using the decision criteria on the p value <0.01. The Scrutiny of the statistical result using Pearsons R suggests correlation between type of Secondary School and Overall GPA. Using the decision criteria of a p value <0.01. Results indicate relationship between type of secondary school and overall GPA. The review of the statistical results using Kendall's tau_b and Spearman's rho shows correlation between GPA per year of GNP is significant. Result expresses that year two GPA among any other year predicts and correlates strongly with the Overall GPA, Year 2 performance significantly affects the outcomes of student learning as to the rate and marks they get overall after finishing the General Nursing Program.  In conclusion the results of the study shows that majority of the students based the demographic profile are female, single, residing in rural areas and took secondary school in a government run institution. The study showed that the factors such as age, marital status, domicile type of secondary school and year1 to 3 general point averages are factors contributing to the overall learning success. In this study the researcher concludes that the identified large number of dropouts was found among batch 2015.

 

Biography:

Jasmine Schmidt completed her Doctorate in Nursing Practice with an orthopaedic emphasis from Grand Canyon University. She is current faculty at California Baptist University College of Nursing in Riverside, California. Dr. Schmidt is orthopaedic nurse certified and wound care certified. She was the founding director of the Spine and Joint Institute in Southern California and is an orthopaedic nurse leadership consultant, as well as legal nurse consultant and educator, for growing organizations. Dr. Schmidt has spoken nationally and internationally on orthopaedics, customer service, wound care, and cultural diversity and served on a number of committees to promote quality and innovation.

Abstract:

Different orthopedic medical groups have different practice guidelines for MRSA testing and decolonization. Some orthopedic surgeons perform targeted MRSA decolonization and many orthopedic surgeons perform no decolonization preoperatively for elective total joint replacement (TJR) patients. With a forecasted 600% increase in total joint replacement surgeries over the next two decades, there is an expected increase of 20% rise in orthopedic post-operative complications and surgical site infections (SSI). SSI in TJR patients is not only costly for the health care organization, it is life and limb threatening to the TJR patient. Though many hospitals teach their TJR preoperative patients to perform a cleansing wash completed by the patients the night before surgery and the pre-operative staff wash the affected area day of surgery; neither the surgeon's office nor the hospital universally decolonize the nares and complete body (including a wash behind the ears and in the groin) which increases the patient's risk for SSI. In order to obtain and sustain quality outcomes, clinical health care providers must be willing to look at the MRSA decolonization research translated from cardiac preoperative patients, intensive care units, acute care floors throughout various hospitals, and pre-operative cesarean section patients to the pre-operative elective TJR orthopedic patient population. We must continue to expose orthopedic physicians and nurses to new ways of improving patient outcomes and properly leading change. By presenting and applying evidence based practices regarding universal, targeted, and the lack of MRSA decolonization to pre-operative elective orthopedic TJR patients prior to surgery, we can enhance clinical practice and improve patient outcomes in regard to postoperative complications and SSI.

Outcomes:

Review evidence based practice guidelines and outcomes for universal, targeted, and lack of MRSA decolonization on preoperative patients.

Explore the opportunities for implementation of the evidence based practices to the preoperative elective total joint replacement patient for decreasing postoperative complications and SSI.

Biography:

Annamaria Bagnasco completed her PhD in 2010 at the University of Genoa, Italy. Since October 2011 she is Assistant Professor & Researcher in Nursing area at the Department of Health Sciences - University of Genoa. She has published more than 80 papers in reputed scientific journals.

Abstract:

Background: An observational prospective study of the perioperative procedures for prevention of surgical site infections (SSIs) was carried out in a tertiary referral teaching hospital in Liguria, Italy, to evaluate their adherence to international and national standards.

Methods: A 1-month survey was performed in all surgical departments, monitored by turns by trained survey teams. Data regarding pre-surgical patient preparation and intraoperative infection control practices were collected.

Results: A total of 717 elective interventions were actively monitored in 703 patients who underwent surgery. Hair shaving was performed mainly using a razor (92%) by the nurses (72.8%) on the day before the operation (83.5%). All of the patients were showered, either with a common detergent (87%) or with an antiseptic solution (13%). Antimicrobial prophylaxis was administered properly in 75.7% of the patients at induction of anaesthesia; however, according to current Italian guidelines, inappropriate prophylaxis was provided in 55.2% patients. Appropriate antisepsis of the incision area was done in 97.4% of the operations, and nearly 90% of the interventions lasted less than the respective 75th percentile. The doors of the operating theatres were mostly open during the duration of the operation in 36.3% of the cases.

Conclusions: This review of infection control policies identified significant opportunities for improving the safety and the quality of routine surgical practice.

Biography:

Serife Kursun graduated from Istanbul University Florence Nightingale Nursing School in 1998. After graduation, she worked as a nursing for two years in general surgery at a university hospital and after that she started to work as a research assistant Selcuk University Health High School then completed her Master's degree in surgical nursing in 2004, her doctoral degree in same department in 2010. Now she is working as an assistant professor in the nursing department at Selcuk University, Faculty of Health Sciences, Turkey

Abstract:

Aim: The research has been done restrictively and in correlational condition in order to determine the problems of individuals aged 65 and older, they live at their homes after surgical operation, to the situation of having a trouble and socio-demographic characteristics, health features and the status of receiving information

Method: The research has been done between the dates of 15th of March and 16th of July in the clinics of brain surgery, general surgery, eye diseases, thoracic surgery, gynecology, cardiovascular surgery, ear, nose and throat surgery, orthopedics and traumatology, plastic and reconstructive surgery and urology in university hospital in Konya. The Research population was consisted of 907 individuals aged 65 and older who stayed in surgery clinics and had operation. The research has been performed with 227 patients by using stratified sampling method. A questionnaire developed by the researcher was used for collecting the data. In the first meeting, the data were collected by the researcher face to face in the rooms of patients and in the second meeting, they were collected face to face in policlinics a week after the discharge and the data of the patients who were not seen were collected by meeting on the phone. The mean, standard deviation, median, frequency and rate, Mann Whitney U test, Pearson's and chi-square test (Yates Continuity Correction, Fisher’s Exact test and Fisher Freeman Halton) have been used for analyzing the data.

Results: There was determined in the study that 74,4% of old people live problems at their homes after the discharge. There was determined that the problems were mostly towards the operating zone (64,3%) and self-care activity (52,9%) and the  problems which were lived in minimum  level were towards the use of drugs (5,7%) and gastrointestinal system (10,1%), while the kinds of problems lived at homes after the operation  were examined. While the status of providing benefits of the discharge education given towards the experienced problems was asked, it was determined that 67,8% of patients specified that this education became beneficial. There was determined a relation between some facts as sexuality, who is responsible for the domiciliary care, previous periods while the patient stayed at hospital, surgery hospital where the patient stayed, the status of staying at hospital after surgery , length of at the total hospital stay and the situation of living problems at home  (p<0,01).

Conclusion: Consequently, there has been seen that the old individuals live some problems about the pain and self-care after surgery and the discharge education given is adequate. Relevance to clinical practice: Nurses may be advised to provide adequate discharge training to the patient and his / her family for home care of elder individuals after surgical intervention and to make attempts to gain necessary knowledge and skills.

Biography:

Christy has completed her MSN FNP at California State University Dominguez Hills, and is nationally certified through AANP. She is currently completed her DNP in the study of self- efficacy. She is the director of the family nurse practitioner program at California Baptist University. Additionally, she works in internal medicine at Riverside Medical Clinic. She has been an RN for over 18 years and in that time have developed various programs which include an emergency room case management program, gastric bypass program, acute care cardiac nurse practitioner program, and the medical home model. She is an active member of CANP.

Abstract:

In 2016, I established a heart failure program in a large primary care clinic. The fundamental goals of this clinic were to decrease hospital readmissions and improve patient outcomes. In the U.S., three trillion dollars a year is spent on health care. 50% of that is concentrated on patients >65 years old with at least one chronic disease, heart disease being the most common. Heart failure readmissions are a significant burden on the nation’s healthcare system. The thirty-day readmission rates for the diagnosis of heart failure across the nation is 25%. The astonishing factor is that 75% of these readmissions have been deemed preventable. So, the question remains, why can’t we as health care professionals prevent them? I began the heart failure program in hopes of closing the gap from hospital to home, however, in the midst of gathering data something amazing happened. I began to ask the right questions and found that many of the patients that were unsuccessful had one common theme. They scored low on their self-efficacy questionnaire that was given on their first visit to the heart failure program. Self-efficacy is the belief in one's capability to succeed. Various studies have shown that despite the severity of a patient’s disease, those with high self-efficacy showed improved quality of life and fewer hospitalizations. I believe by improving our patient’s self-efficacy through education and empowerment we can improve our patient’s quality of life, and decrease the overwhelming burden of frequent hospitalization on the healthcare system.

Biography:

Selda Arslan was born on 15th January 1980 and graduated at Celal Bayar University Nursing School in 2001 and after that she started to work as a research assistant Selcuk University Health High School. She completed her master's degree in medical nursing in 2005 and doctoral degree in same department in 2012. Her prioritized areas of interest are oncology and rehabilitation nursing. Currently, she is working as an assistant professor at Selcuk University Faculty of Health Sciences.

Abstract:

Objective: This study was planned to determine the knowledge levels and affecting factors about cardiovascular risk factors among individuals living in a central family health area.

Methods: This descriptive- correlational type study was performed between March-April 2013 with the participation of 121 individuals that for any reason a central family health. Questionnaire and Cardiovascular Disease Risk Factors Knowledge Level (CARRF-KL) scale developed by Arıkan et al were used to collect the data of the study. In the assessment of the data, percentage distributions, average, standart deviation, t test on independent groups, one-way variant analysis, Kruskal Wallis Variance Analysis, Mann Whitney U test were used. Data were analyzed using SPSS 22 software.

Results: The average age of the individuals was 40,68±13,63, 70,2 % were female, 81,8% were married. Cardiovascular disease risk factors knowledge level mean score of individuals was found to be 20,21±4,39 (min 8-max 27). Total score (ranging between 0-28) of cardiovascular disease risk factors knowledge level was high. There was a significant relationship between the cardiovascular disease risk factors knowledge level mean scores and age (p<0.01), educational status (p<0.01), body mass index (p<0.01), the state of chronic disease in individuals (p<0.05).

Conclusion: In consequence of this study, it is recommended for nurses, who are an important member of healthcare staff, to render health training and consulting service to individuals regarding prevention and management of cardiovascular diseases risk factors.

Biography:

Christina Louise Lindhardt has completed her Ph.D. from the University of Southern Denmark at The Department of Health Sciences. Currently she is doing her Postdoctoral studies from the same university as well as working at The University College of Zealand with research. She has published in reputed scientific journals.

Abstract:

Background: The prevalence of cancer is rising in the elder generation as development of cancer treatment increase. Subsequently a larger population of elderly patients live with cancer. To relieve the pressure on specialized hospital wards, there is a need to develop monitoring systems as well as integrating patients and relatives in the treatment in their own home as in the hospital.

Aim: The aim of this study is to implement and validate vital sign technologies to test temperature, pulse blood samples in hospital wards and in patient’s home. Further generate knowledge about patients and relatives experience and use of vital sig technologies. Oncology nurses’ perception, attitudes and experience of care practices in relation to vital sign monitoring is explored.

Methods: The project test four innovative vital sign technologies in patients admitted to partner hospitals in Denmark and in Germany. The user perspective include qualitative data obtained by anthropologic observational studies, and qualitative interviews with patients, relatives and healthcare professionals. The validation of the vital sign technologies is performed by quantitative analysis and compared to usual measures of vital signs.

Results: Results will be available in spring 2017 and for presentation at the Berlin conference.

The project is a part of European Union’s INTERREG 5a Program  - Innocan (Innovative high technological cancer treatment Denmark-Germany). The design includes elements according to Medical Technology Assessment. Collaborating partners include private companies aiming to get new welfare-technological solutions into the market. Partners in the project are: University College Zealand (UCSJ), Design School Kolding(DSK), Health Innovation Center Zealand (PFI), University Hospital Nastved (Lead Partner), University Hospital Odense, Opeon Aps, Danish Cancer Society, University Clinic Schleswig-Holstein Lubeck, University Clinic Schleswig-Holstein Kiel, Cancer register Schleswig-Holstein.

Biography:

Dr. Shou Yu (Cindy) Wang is from Taiwan. She is interested in supportive care (especially in complementary and alternative medicine (CAM) use) and palliative care in cancer. Now, she is an assistant professor at Department of Nursing Asia University in Taiwan

Abstract:

A survey indicated that 34% of Amreican had used complementary and alternative medicines (CAM) in the previous year. One study found that 95.8% of adults in the community are using CAM in Taiwan. One study explored Australia nurses responses towards cancer patient who use CAM found that nurses are open, sceptical, or ambivalent towards patients who use CAM. Regarding cancer patients’ family responses to cancer patients who use CAM, there are no similar studies to explore in much depth. Therefore, the purpose of this study is to explore family caregivers’ views and responses to people with cancer who use CAM in Taiwan. Ground theory (GT) was employed in this study. GT approach is a dynamic process whereby people give meaning to the actions of others. Sixteen participants were recruited and volunteered to participate in this study.

Five categories emerge regarding family of cancer patients’ responses and actions to people with cancer who use CAM. The process include: CAM use between patients and family, The purposes of using CAM, The actions of using CAM, Health care professionals’ stands of CAM use process, The needs of family caregivers. The core category is “nothing is more important, as long as he/she is comfortable”. It is expected that this study is able to offer the context of family of cancer patients’ responses and actions to people with cancer who use CAM. Furthermore, relevant in-service education can be suggested in order to enhance heath care professionals’ understanding regarding family of cancer patients’ perspectives regarding CAM.

Biography:

Mrs. Seani Adrinah Mulondo is a lecturer at the University of Venda, School of Health Sciences, department of Advanced Nursing Science. She obtained her Master’s Degree from University of Venda in 2010. She is presently pursuing with her PhD studies and has published four papers in accredited journals from her PhD study topic. Her special field of research is based on Maternal Health. She is serving as a reviewer of the African Journal For Physical, Health Education, Recreation And Dance (AJPHERD)

Abstract:

Globally, approximately 70% of pregnant mothers access Antenatal Care (ANC) at least once in pregnancy. In South Africa (SA), approximately 95% - 97% of pregnant mothers attend ANC although majority present late after 20 weeks of pregnancy and some may have only one visit due to various factors. The purpose of this study was to assess behavioural factors associated with late presentation at ANC in Limpopo Province, SA. A qualitative, exploratory approach was used. Population comprised of pregnant mothers who were attending ANC at Primary Health Care (PHC) facilities. Non-probability, purposive sampling method was used to sample 40 pregnant mothers. Data were collected using Focus Group Discussions (FGDs). Data were analysed qualitatively through open coding method. Findings revealed that knowledge deficiency related to Basic Antenatal Care (BANC), advanced maternal age of 40 years and above feel ashamed of pregnancy, ignorance and laziness of pregnant mothers to attend ANC services and unhealthy lifestyle such as abuse of alcohol were associated with late presentation at ANC. There is a need to develop an intervention programme to increase pregnancy awareness among mothers of child bearing age.

Biography:

Katherine Pollard obtained a PhD in 2007 and has a clinical background in midwifery. She has been working as a researcher in health and social care in the United Kingdom since 2001 and is currently a Senior Research Fellow in the Nursing and Midwifery Department, Faculty of Health and Applied Science, University of the West of England, Bristol.

Abstract:

In the United Kingdom, clinical commissioning groups (CCGs) commission care from service providers. A key priority is providing domiciliary community nursing care for patients, many with complex conditions and co-morbidities. Care quality is typically measured through quality indicator schemes; however, little is known about relevant processes for community nursing. The University of the West of England, Bristol, led a multi-institutional mixed-methods study to identify how community nursing quality indicators are selected and applied, and their perceived usefulness in practice. With National Health Service ethics approval and incorporating public participation, the study comprised three phases (April 2014-December 2016): 1) A national survey determined the range of indicators used in community nursing care in 2014/2015. 2) In-depth qualitative data were collected through observations, interviews, focus groups and documents in five case sites, each comprising a CCG and its associated service provider. Findings revealed that lack of stakeholder involvement in indicator selection processes, particularly front-line staff, patients and carers, impacts negatively on indicators’ application and perceived usefulness. 3) The research team used study findings to draft good practice guidance. Ten national workshops targeting mixed groups of commissioners, provider managers, front-line staff, patients and carers were held between June and September 2016 to test the findings and gain stakeholder feedback on the draft guidance. This presentation will share key findings from the case study data and discuss how these findings together with feedback from workshop delegates can contribute to practice and inform the evidence base about monitoring and measuring quality in community nursing care.

Biography:

Cherie P. Erkmen, MD attended the UCLA School of Medicine and Brigham & Women’s Hospital for general surgery residency and cardiothoracic fellowship. She is currently an Associate Professor at Temple University Medical School. 

Abstract:

Introduction: Clinical pathways have been shown to shorten hospitalization and decrease costs in colorectal and pancreatic cancer. We describe the methodology of creating an esophagectomy pathway and analyze its implementation and effects on outcomes and costs.

Methods: We documented the process of developing an esophagectomy clinical pathway.  We performed a retrospective review of prospectively collected data on 12 patients before pathway implementation and 12 patients after.

Results: Pathway Implementation: More patients had a pre-operative anesthesia consult (11 vs. 0; p<0.0001), were presented at tumor board (9 pathway vs. 2 pre-pathway; p=0.012), and chose their postoperative care facility before surgery (8 vs. 0; p=0.0013) Outcomes: There were no changes in mortality (0 vs. 0), major complications (5 vs. 5), hospitalization period (median 9.5 vs. 12 days; p=0.82), and total costs charges ($98395 vs. $96946; p=0.96). However, pathway patients lost significantly less weight preoperatively (2.3% vs. 7.6%; p=0.012) and perioperatively (6.3% vs. 12%; p=0.021).

Conclusions: To our knowledge, this is the first study to report the process of designing, implementing, and measuring clinical and financial outcomes of an esophagectomy pathway. While there was no significant decrease in mortality, complications, hospitalization, or charges, our pathway significantly decreased pre- and perioperative weight loss. We attribute this improvement in clinical outcome to coordinated patient education and care.  

Biography:

Julie Pullen holds a DNP from Concordia University Wisconsin, a Master’s of Science in Nursing and Counseling Psychology.  She practiced full-time as a Family Nurse Practitioner before completing a post-master’s certification in geriatrics.  She is a certified geriatric nurse practitioner.  Her doctoral project, focusing on suicide prevention in long-term care, was published in a geriatric journal.  She currently serves on a community suicide prevention coalition and educates Montana State University faculty, staff, and students in suicide prevention gatekeeper training.

Abstract:

Gatekeeper training remains fundamental to broad suicide prevention strategies on international, national, and state levels within the U.S.  Among articles reviewed, gatekeeper training was found, with few exception, to be both beneficial and feasible to varying degrees.   This study describes outcomes of gatekeeper training implemented in a community located in a rural northwestern state ranking among the highest for suicide. The aim of this multi-method study was twofold: Examine outcomes of an evidence-based suicide prevention gatekeeper training program entitled Question-Persuade-Refer adopted by one community at-large, and develop recommendations guiding future population-based interventions for the area.   Data were collected utilizing pre- post-survey questionnaires administered from January, 2013 through September, 2016. Participants were from churches, social services, public health, mental health, a suicide prevention conference, a school, college, and a university (n = 897).  The quantitative results were statistically significant (p < 0.0001).  The most significant improvements from pre- to post-training were how to ask about suicide, how to persuade the person to receive help, and information about local resources.  From the qualitative data, two main themes consistent across cohorts that emerged were ‘appreciation’ and ‘desire’ or ‘need’ to learn more. Overall, results were consistent with other studies suggesting that a public health approach to suicide prevention shows promise in terms of increasing awareness and perceived knowledge and ability to intervene.  Findings may be relevant to other rural communities where access to mental health services are limited, however it remains unclear if gatekeeper training impacts suicide rates.

Biography:

Fredricka Gilje holds a PhD, Master’s degree, and Bachelor of Science degree in nursing. She has 40 years of experience as a nurse educator in baccalaureate and graduate nursing programs in North Dakota, Montana, Washington and Alaska. In addition she engages in international collaboration in nursing research in Norway and Sweden. She has authored and co-authored various publications in nursing journals and books, including articles concerning caring for suicidal persons. She is a board member of the American Foundation for Suicide Prevention-Montana Chapter and serves on a local suicide prevention coalition in a state located in northwestern U.S.A.

Abstract:

Gatekeeper training remains fundamental to broad suicide prevention strategies on international, national, and state levels within the U.S.  Among articles reviewed, gatekeeper training was found, with few exception, to be both beneficial and feasible to varying degrees.   This study describes outcomes of gatekeeper training implemented in a community located in a rural northwestern state ranking among the highest for suicide. The aim of this multi-method study was twofold: Examine outcomes of an evidence-based suicide prevention gatekeeper training program entitled Question-Persuade-Refer adopted by one community at-large, and develop recommendations guiding future population-based interventions for the area.   Data were collected utilizing pre- post-survey questionnaires administered from January, 2013 through September, 2016. Participants were from churches, social services, public health, mental health, a suicide prevention conference, a school, college, and a university (n = 897).  The quantitative results were statistically significant (p < 0.0001).  The most significant improvements from pre- to post-training were how to ask about suicide, how to persuade the person to receive help, and information about local resources.  From the qualitative data, two main themes consistent across cohorts that emerged were ‘appreciation’ and ‘desire’ or ‘need’ to learn more. Overall, results were consistent with other studies suggesting that a public health approach to suicide prevention shows promise in terms of increasing awareness and perceived knowledge and ability to intervene.  Findings may be relevant to other rural communities where access to mental health services are limited, however it remains unclear if gatekeeper training impacts suicide rates.

Biography:

Eric Loftsgaarden has an MBA from the University of Montana (1997) and has completed the Master’s degree program in Statistics from Montana State University and is continuing in the Statistic PhD program.  Prior to returning to school he was the Director of the Analytics and Data Warehousing Practice at a public consulting company and directly responsible for implementing systems, best practices and training programs data analysis at over 30 companies including 8 fortune 1000 companies.

Abstract:

Gatekeeper training remains fundamental to broad suicide prevention strategies on international, national, and state levels within the U.S.  Among articles reviewed, gatekeeper training was found, with few exception, to be both beneficial and feasible to varying degrees.   This study describes outcomes of gatekeeper training implemented in a community located in a rural northwestern state ranking among the highest for suicide. The aim of this multi-method study was twofold: Examine outcomes of an evidence-based suicide prevention gatekeeper training program entitled Question-Persuade-Refer adopted by one community at-large, and develop recommendations guiding future population-based interventions for the area.   Data were collected utilizing pre- post-survey questionnaires administered from January, 2013 through September, 2016. Participants were from churches, social services, public health, mental health, a suicide prevention conference, a school, college, and a university (n = 897).  The quantitative results were statistically significant (p < 0.0001).  The most significant improvements from pre- to post-training were how to ask about suicide, how to persuade the person to receive help, and information about local resources.  From the qualitative data, two main themes consistent across cohorts that emerged were ‘appreciation’ and ‘desire’ or ‘need’ to learn more. Overall, results were consistent with other studies suggesting that a public health approach to suicide prevention shows promise in terms of increasing awareness and perceived knowledge and ability to intervene.  Findings may be relevant to other rural communities where access to mental health services are limited, however it remains unclear if gatekeeper training impacts suicide rates.        

Biography:

Nathaniel Stahley holds a BS in Business Management and currently is Grant Coordinator for a community-based project developing systems for trauma response and education.  Nathaniel is passionate about mental health, and over the past eight years he has worked in social service and public heath sectors.  The last three years, he has chaired the Suicide Prevention Coalition of Yellowstone Valley, a local group of volunteers and professionals working for collective impact. He is a certified instructor in Youth Mental Health First Aid and Question Persuade Refer (QPR); both best practice trainings for suicide prevention

Abstract:

Gatekeeper training remains fundamental to broad suicide prevention strategies on international, national, and state levels within the U.S.  Among articles reviewed, gatekeeper training was found, with few exception, to be both beneficial and feasible to varying degrees.   This study describes outcomes of gatekeeper training implemented in a community located in a rural northwestern state ranking among the highest for suicide. The aim of this multi-method study was twofold: Examine outcomes of an evidence-based suicide prevention gatekeeper training program entitled Question-Persuade-Refer adopted by one community at-large, and develop recommendations guiding future population-based interventions for the area.   Data were collected utilizing pre- post-survey questionnaires administered from January, 2013 through September, 2016. Participants were from churches, social services, public health, mental health, a suicide prevention conference, a school, college, and a university (n = 897).  The quantitative results were statistically significant (p < 0.0001).  The most significant improvements from pre- to post-training were how to ask about suicide, how to persuade the person to receive help, and information about local resources.  From the qualitative data, two main themes consistent across cohorts that emerged were ‘appreciation’ and ‘desire’ or ‘need’ to learn more. Overall, results were consistent with other studies suggesting that a public health approach to suicide prevention shows promise in terms of increasing awareness and perceived knowledge and ability to intervene.  Findings may be relevant to other rural communities where access to mental health services are limited, however it remains unclear if gatekeeper training impacts suicide rates.  

Biography:

Professor Zineldin´s  main interest in Health, Medicine, healthcare quality and patient safety, leadership emotions, organizational psychology. He has PhD in BA , two different masters in psychology and  Psychiatry, Medical and Public Health studies. Has taught the Stockholm University for many years and engaged in a considerable number of research and consulting activities. He has published several books and numerous articles in many different international journals. He has been a Member of different editorial boards of different journals and the Guest Editor of the International Journal of Health Care Quality and others. Some of the articles have been cited with the highest quality ratings. He is  Editor in Chief  different journals such as International Journal of Work Organization and Emotions, former guest editor of  International journal of Healthcare Quality Assurance

Abstract:

It’s well known that nursery is an important component of the health care delivery system. Any drop in the quality of nursing will lead to impairment in health care quality.

The communication and integration period between the patient and the nurse is much longer than the communication and integration with the treating physician. The instruction regarding the medical process, critics of medicine and postoperative care is mostly a nursing activity.

The public health nurse deals with a large segment of the society, they represent the major work force in primary health care, material and child health centre, and well-baby clinic. They supervise and deliver a large number of nursing activities including the health and nutrition education of the recipients.

With the expansion of the health care delivery in some countries, there is an urgent need to upgrade the capabilities of the nursing staff. A newly graduated nurse will gain experience through an infrastructure practicing in a hospital or health centre. However this would never upgrade the knowledge especially with the new and recent development in nursing techniques and methodologies.

The public health nurse who is in continues contact with mother and children in health care delivery centres require special atmosphere and attention as they are dealing with a large segment of the population. Training program offered to those nurses are quite limited and there is an evident need to train them in subjects related to the quality of the object-Q1 (medical treatment itself), quality of process-Q2 (how the treatment is conducing), quality of infrastructure (Q3), quality of communication (Q4) and quality of atmosphere (Q5).

The main objective of the paper is to ensure that the healthcare nurse have the needed qualifications and elements to assure high quality care and patient safety. The 5 qualities model includes tools and techniques in all aspects related to the daily activities practiced in primary healthcare. The paper will propose news techniques and methodologies with intention to upgrade the quality of performance of the public health nurse is the institutions providing health care which will be ultimately reflected on the health status of the recipients of the health services.

Biography:

Aissatou Fall is a medical epidemiologist and researcher. She graduated in medicine from the Faculty of Medecine in Cocody, Abidjan, Ivory Coast. In addition, she earned a Master's degree in field epidemiology at University Victor Segalen Bordeaux 2, France. She completed a PhD thesis in public health, epidemiology option, at Université de Montréal (graduated 2013). She worked as a research officer on various public health projects in Québec, Canada

Abstract:

The objective of our study was to describe the exposure to psychosocial work demands and to evaluate the association between psychosocial work demands ("high-strain" or "Iso-strain" jobs) and major depressive symptoms (CES-D score ≥23) among working pregnant women in Montréal, Québec (N=3 765). In total, 24.4% of pregnant women were exposed to "high-strain" jobs (high demand and low control) and the proportion of workers exposed to "Iso-strain" was 69.1% ("high-strain" job with low support at work).

At 24 to 26 weeks of pregnancy, prevalence of major depressive symptoms was 9.8% (95% CI: 8.7–10.8%) for all pregnant women. In our sample, 14.7% (95% CI: 12.5–17.2%) of pregnant women who had been exposed to "high-strain" jobs and 17.0% (95% CI: 14.1–20.2%) of women who had been exposed to "Iso-strain" presented major depressive symptoms. Psychosocial work demands were associated with the mental health of pregnant women, when other organizational and personal factors which they encountered outside the work settings were taken into account. The impact of the "demand-control-support" model and the critical role of social support at work have been demonstrated among working pregnant women.

Despite the application of preventive measures during pregnancy, screening and intervention measures should be implemented in workplaces to reduce the prevalence of prenatal mental health problems and exposure to psychosocial work demands so as to prevent maternal and neonatal complications.

Biography:

Zuoyan Liu has completed her Master degree from Nursing school of Sichuan University, Sichuan, China. She is the deputy head nurse of West China hospital of Sichuan University, and in the Department for rehabilitation Medical center. She has published more than 20 paper in reputed journals and has participated in compiled seven books, and been responsible for compiled one book. She has host three projects as the team leader. At the same time, she is the member of rehabilitation nursing care professional committee of Sichuan nursing association. She is be occupied in the clinical teaching, scientific research and management work.

Abstract:

Background: Because of the hospitalization expense and the state requirement of average length of stay, the rehabilitation of patients with stroke is always implemented at home.

Objective: To assess the comprehensive condition of home-based rehabilitation including physical, psychological and social situation after stroke in China.

Method: This study selected 234 discharged patients from a grade A tertiary hospital rehabilitation medical center using the convenience sampling method. A set of questionnaires were used to measure in the outpatient follow-up, family follow-up and telephone follow-up survey.

Results: The comprehensive effect of home-based rehabilitation after stroke in China is poor. Nearly 40% of stroke patients’ daily life self-care ability was moderate to full dependence and nearly half (50.24%) of the patients had moderate or severe sense of burden. In respect of patients' social support, 59.40% of caregivers said they had a medium/heavy burden. Moreover, the rehabilitation effects of patients’physiology, psychology and social support would interact with each other. There is a positive correlation in Barthel index scores and IADL scores and mobile ability score, a positive correlation between IADL scores and mobile ability score, a positive correlation between depression level and self-perceived burden scale score, but a negative correlation in Barthel index score, IADL scores, mobile ability score and caregivers’ self-perceived burden scale score.

Conclusion: The effect of home-based rehabilitation with stroke patients is poor and the conditions of physiology, psychology and social support of patients would interact with each other. Thus it is important to explore efficient home-based rehabilitation programs after stroke.

Biography:

Lorraine Shields has completed her Doctor of Nursing Practice from Vanderbilt School of Nursing, Nashville Tennessee.  She has 36 years in Neonatal Nursing as a bedside nurse, transport nurse, Clinical Nurse Specialist, and Neonatal Nurse Practitioner.  She has served many positions in the National Association of Neonatal Nurses.  She is currently Assistant Professor of Nursing in the graduate program at College of Nursing at California Baptist University

Abstract:

Objective: Present the development of an evidence-based neonatal discharge pathway based on the core principles of family-centered care designed to increase parent participation in care and to improve parent readiness and confidence in assuming full care of their high-risk neonate.

Background/Significance: Despite the abundance of evidence supporting family-centered care and a comprehensive discharge teaching process for the NICU, implementation of family-centered care practices continues to be a challenge and inconsistencies in discharge teaching processes persist. A neonatal discharge pathway with specific teaching transition points provides a more comprehensive discharge process, integrates the principles of family-centered care into all care practices, enhances the partnership between the nurse and the family, and ensures parents are involved early and throughout their infant’s NICU journey.

Presentation includes:

1. The scientific development of an evidence-based discharge teaching pathway by

       use of the European Pathway Association’s eight step method for pathway

       development. The discharge pathway includes transition points for teaching and

       teaching topics.

2. The integration of Peplau’s Theory of Interpersonal Relations which emphasizes the

partnership between the nurse and the family.

3. Families desire to participate and reasons for their hesitancy to participate in care. Appropriate interventions to address these issues are presented.
4. Presentation of a family-friendly bedside poster which enables the family and all staff

to view and track infant and family progress and readiness toward discharge.

5.  A plan for implementation of the discharge pathway (parent and staff education).

6.  A highlight of nursing’s vital contribution to the development of evidenced-based        

     practice and to the improvement in patient and family outcomes.

Biography:

She has completed her PhD at the age of  31 years from Erciyes University.  She  is a research assistant at Selcuk University, Faculty of Health Science and has national and international publications.

Abstract:

Purpose: This study was conducted to evaluate the effect of motivational interviewing on self-efficiency, metabolic control and health behavioral change during a 12-month period after the motivational interviewing support administered to people with type 2 diabetes mellitus.

Design: Randomized controlled trial

Material and Method: After the intervention (the sixth month), at the end of the one-year period, researchers were able to reach 32 patients from  the study group. The study group was divided into experimental and control groups. After  the  intervention, no other intervention was administered to both control and  intervention groups. The participants received their usual care. Participants in the experimental and control groups were interviewed on the telephone at the eighteenth month after the intervention, and  their self-efficiency, metabolic control and health behaviors were evaluated. For data analysis, this study used the t test in independent samples for variables with a normal distribution, and the Mann-Whitney U test and the Friedman test for variables without a normal distribution. The chi-square test was used to compare categorical variables, and p<0.05 was the threshold for statistical significance.

Results: The mean age of participants in the experimental group was 51.83±7.42 years. Of them, 72.2% were female, 55.6% had primary school or less education, and 77.8% had experienced  type 2 DM disease for  more than 5 years. The mean age of participants in the control group was 53.78±6.65 years. Of them 64.3% were female, 57.1% had primary school or less education, and 57.1% had experienced  type 2 DM disease for  more than 5 years. The difference of the total self-efficiency, sub-scale scores and metabolic values of the experimental group between follow-ups was found to be statistically significant (p<0.05). Apart from metabolic values between follow-ups of the control group (preprandial blood glucose, postprandial blood glucose, HbA1c, weight, BMI, waist circumference), the total self-efficiency and sub-scale scores were statistically significant (p<0.05). Inter-group comparisons determined that the difference between the sixth and eighteenth months was statistically significant in terms of self-efficiency (except for the medical treatment sub-scale score) and metabolic values (except for postprandial blood glucose and waist circumference) (p<0.05). The eighteenth month follow-up indicated that the groups were similar in terms of medication, nutrition and physical activity (p>0.05).

Conclusion: This study determined that not continuing to provide motivational interviewing based on transtheoretical model administered  to people with Type 2 DM after the intervention  has a negative effect on self-efficiency levels, metabolic control and health behavioral change. Thus, it is recommended that motivational interviewing based on the transtheoretical model should be periodically conducted considering patients' characteristics.

Biography:

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

Abstract:

Introduction: Communication is an essential element to the success of health service organisations and therefore it needs to assess its communication systems, (by means of communication audits), from time to time. This study highlighted areas of effective and ineffective communication, as well as areas of communication satisfaction and dissatisfaction, among professional nurses.

Purpose: The purpose of this study was to explore and describe communication effectiveness and communication satisfaction experienced by professional nurses in selected public health services.

Research design: Quantitative, explorative and descriptive research was conducted. The Downs and Adrian (2004) structured questionnaire was adapted to collect the data. The study population consisted of three groups of professional nurses, namely nurse Managers, operational managers and professional nurses in three selected public hospitals.

Results: The findings revealed that although professional nurses are satisfied with their supervisor-subordinate communication, they are dissatisfied with personal feedback between all categories of professional nurses.

Recommendations: for the improvement of the communication effectiveness and communication satisfaction of professional nurses are aimed at creating an organisational atmosphere conducive to two-way communication.

Biography:

Fatma Refaat Abd El-Fattah Ahmed has completed her Msc at the age of 27 and Ph.D. at the age of 30 years from Alexandria University. She is a lecturer of Critical Care & Emergency Nursing department, Faculty of Nursing-Alexandria University. She is certified by European Resuscitation Council by 2014 for Advanced Life Support (valid to 2017) and European Trauma Course (valid to 2019). She has participated in more than 11 national and international conferences. She has published more than 2 papers in reputed journals. She has been serving in preparing more than 5 editions of Critical Care Nursing & Emergency Care Manual.

Abstract:

Statement of the Problem: Critically ill patients are greatly suffering. They are at a vulnerable period of their lives. Becoming a patient in the intensive care unit represents a considerable crisis which increase the like hood to ICU acquired complications such as impaired physical, cognitive and mental well-being. Therefore, it is essential to start rehabilitation while patients are still in ICU, with the emphasis on prevention, early treatment & information-giving to patients and their families. Rehabilitation nursing begins with immediate preventive care in the first stage of illness. It is continued through the restorative stage of care & involves adaptation of the whole being to new life to reduce the burden of illness, injury and disability and to improve health and functional status. . The purpose of this study is to identify barriers to the provision of early and sustained rehabilitation within ICUs. Methodology & Theoretical Orientation:  Two tools were used for data collection.  Tool one titled "Barriers of early/sustained rehabilitation structured questionnaire". Tool two titled "Self-report of the rehabilitation practices for critically ill patients. Findings:  Institution related barriers constitute the highest percentage that hinders the early rehabilitation in ICUs. However, more than three-quarters of the studied critical care nurses practice respiratory rehabilitation (80%) in the form of airway management and respiratory exercise regimen. Conclusion & Significance: Institution, health care providers related barriers are among the barriers that hinder the implementation of structured rehabilitation programs in the critically ill patients. Recommendations are made for developing models to predict adverse events in specific intensive care units acquired impairments and designing rehabilitation service, programs and protocols in intensive care units.