Day 2 :
- Cancer Nursing | Innovations in Nursing Education | Nursing Programs and Courses | Dental Nursing | Health Care | Medicine | Emergency Nursing | Public Health Nursing | Environmental Health Nursing | Midwifery
Kanagawa University of Human Services, Japan
Sooja Kim is an associate professor at Kanagawa University of Human Services. Her major is fundamental nursing including physical assessment, health assessment, and clinical judgment. She has completed her PhD from Kawasaki University of Medical Welfare. She provided several interventions for workplace users with ID combined with autistic tendencies to take proper health checkups in the community in Japan. After summarizing the findings, she presented a model in her doctoral dissertation that can be implemented by one nurse as a community-based approach to ensure appropriate health checkups for people with ID. Health problems of people with ID having difficulty to communicate are similar in the fields of dementia and pediatric nursing. If we can clarify methods for properly evaluating health condition in this area, it can contribute to the further improvement in the nature of nursing.
Statement of the Problem: Similar to the aging of the general population, people with an intellectual disability (ID) are also aging, and ID’s aging health problems become more severe. People with ID living in the community have little contact with medical institutions and have difficulty in communication with medical staff. There are very few medical workers who can deal with the health problems of adults with ID. Due to these reasons, it is difficult to detect abnormalities should adults with ID have a health problem. Therefore, this research was aimed at how to detect health warning signs of people with ID having difficulty in expressing their symptoms in the community from the perspective of the ID’s family. Methodology & Theoretical Orientation: In the first phase of our research, a qualitative descriptive research design was selected to focus on actual experiences of families living with the adult with ID at home. A retrospective interview was used to clarify clinical incidents related to the following; 1) How to evaluate the health situation while at home, 2) How the family noticed anomalies in his/her daily life, and 3) His/her hospitalization experience and its process. In cases where the experience could not be expressed in words, we encouraged them to explain the situation by using gestures or illustrating simple pictures in order to understand details of the health warning signs of the adults with ID. Conclusion & Significance: The families in this study could detect ID’s health warning signs using their tacit knowledge cultivated by living as a family for more than 20 years. In order to detect internal abnormalities, further research for the second phase to consider information on pain expression and excretion behavior is needed.
Prince of Songkla University,Thailand
This descriptive research was to identify factors predicting weaning time in Surgical Respiratory Care Unit. The samples of the study were from 101 patients who were successful weaning ventilator in Surgical Respiratory Care Unit at Songklanagarind Hospital from February to October 2012. Research instruments were consisted of three parts: (1) the Demographic Patients’ Data and Impeded Factors of Weaning Data, (2) APCHE II Score Assessment, and (3) Period Weaning Record. Content validity was examined by three experts and reliability was tested by using Cronbach’s alpha coefficient obtained at .89. Data were analyzed using frequency, percentage, mean, standard deviation, and multiple regression analysis.
The results of the study revealed that seven factors were statistically significant to weaning time including sepsis (β=0.52), hemodynamic unstable (β=0.32), serum sodium (β=-0.23), age (β=-0.21), operation during weaning (β=-0.16),APACHE II Score (β=-0.15)and pain (β=-0.13).These seven factors could explained the variability the weaning time 65 percent. It is advisable that Surgical Respiratory Care Unit, nurses and health care team should increase the prevention and the management of inhibit factors including sepsis, hemodynamic unstable, APACHE II Score, serum sodium and pain.
Kifah Awadallah DNP, MSN, RN has been a Senior Nurse Educator since 2010. She is currently the Senior Nurse Educator at the Cleveland Clinic Abu Dhabi for the Emergency Medicine Institute, Imaging Institute and Critical Care Transport. She is a graduate of Case Western Reserve University in Cleveland, Ohio. She was previously a Chemist and worked as a laboratory manager for the Center for AIDS Research at University Hospitals in Cleveland. She is an active member in the Emergency Nurses Association (ENA). She was nominated for her third term as the Education Committee Conference Planning with the ENA
Introduction: This presentation highlights the need for clinical eductaion to return to the bedside in a strategic manner to assist Registered Nurses (RNs) in clinical practice standards: Clinical Practice Rounding Tool (CPR-T). The tool will be able to feel the pulse of clinical practice. The presentation will elaborate on the technique used for creating the (CPR-T), specific concerns and improvements that arose during rounding.
Background: Building a start-up organization in the Middle East from a USA-based hospital franchise integrated caregivers from around the world with backgrounds of different scopes of practice and models of care. RNs were assessed and it was found that clinical practice(s) varied greatly. A method to quantify the quality of care and knowledge the RN possessed for the patient(s) was needed. RNs had a desire to improve their clinical skill(s), but in a manner that was applicable to their experience and individual needs.
Results: This proposed tool for practical rounding has enhanced the experience of the RNs. The tool assisted in developing RNs’ learning plans as a clinician. RNs have the opportunity to engage in the CPR-T at least once throughout the year, which occured at the bedside with the patient(s). Increased patient involvement and awareness in their care plan was observed. RNs were made aware in realtime what clinical practice concerns were addressed or needed to be addressed.
Conclusion: A CPR-T has a profound impact in the development of an RNs clinical practice growth. It promoted education and the speak-up philosophy of the healthcare team.
International Institute of Health Sciences, Sri lanka
Kalanika completed her BSc. Nursing at the age of 25 with a Second class degree from University of Peradeniya and joined to the International Institute of Health sciences, which is a well-recognized institute for Health education in Sri-Lanka. Since joining the International Institute of Health Sciences, Kalanika has been involved with studies related to Health issues in the society, Health care quality improvement and Psychosocial Health issues. Kalanika has done one publication related to clinical health. Before joining the institute, Kalanika worked at a Well-known hospital in private sector as a Nursing Officer.
Blood donation is a self-directed volunteer service. Younger people are the future source of blood and they are aware and have knowledge about donation but there is lack of regular donation practice among youngster. Regular donors in younger age group are less so it is very important to sensitize these people for regular donation. Objectives were to determine the Knowledge, Attitude and Practice (KAP) of blood donation among undergraduate students in University of Peradeniya. And To compare the knowledge of the blood donation between health related and non-health related categories. Method of the study was a survey based, descriptive cross sectional study was conducted among 375 undergraduate students in University of Peradeniya which was selected using stratified random sampling. Data collection tool was a Self-administered questionnaire. Results reveled 32.28% of the non-health related students were aware of the appropriate criteria for blood donation. Health related students had higher knowledge about the blood donation criteria (84.44%). In health related group 66.6% replied HIV/ AIDS can be transmitted to donor while donating blood and while looking at practice only 15.5% donate blood. Similarly in case of non-health group 78.59% replied HIV/ AIDS can be transmitted to donor while donating blood and 22.1% have donated blood. The reasons for not donating blood are fear of needle, transmission of infections, they think that after donation people becomes weak and their weight decreases. Study conclude though the respondent has good knowledge but there is poor practice and it revealed the fact that adequate knowledge only cannot result in regular blood donation practice. The misconceptions regarding blood donation needs education and motivation through dissemination of information regarding blood donation particularly on electronic media
Songklanagarind Hospital, Thailand
Jariya Saiwaree has worked in Pediatrics Intensive Care Unit at Songklanagarind Hospital. She has experience in ethic committee in nursing service department more than 5 year. She has sharing knowledge in good story and good feeling about ethics of Nursing Profession. Ethics committee has consider in Patient Safety and Nursing Quality and take personnel to be training in knowledge about Patient right, Ethics dilemma and Nursing Professional Law. She has knowledge sharing in Ethical Scenarios and discussion in team leader ethics.
The purpose of this descriptive research was to study the level of ethical climate in the workplace, as perceived by nurses at Songklanagarind Hospital. The sample consisted of 277 registered nurses, who had work experience of at least 1 year working in Songklanagarind Hospital. The tool for data collection consisted of two main parts: 1.) The general information questionnaire. 2.) The questionnaire an the ethical climate in the workplace perceived by nurses, which was developed byAranya, Tussanee, Jirapa and Passana(Passana, 2010). Data were analyzed using percentages, mean standard variationand ANOVA analysis.
The major findings revealed, that the average score of the ethical climate in the workplace as perceived by nurses at Songklanagarind Hospital was in the high level(M=3.89,SD=.56) Considering each part, it was found that the means of all six parts scored a rating within the high level. The parts which had the highest mean were; fidelity (M=4.07, SD=.56) and veracity (M=4.04, SD=.53). The lowest average score was in respects to autonomy( M=3.54,SD=.54 (The average score of the ethical climate in the workplace as perceived by level of nursing experience at Songklanagarind Hospital being statistically and significantly different at a level of 0.5 are; beneficence, veracity and fidelity. The findings could be used as a guideline for promotion, and development to achieve a better ethical climate in the workplace as well as to improve the quality of nursing care service more effectively.
Tongji Medical College, China
Huimin Zhao is a master candidate in Huazhong University of Science and Technology, Tongji Medical College.
Chronic obstructive pulmonary disease(COPD) is one of the common respiratory diseases with high and increasing morbidity and mortality. Patients with COPD experience continual uncertainly regarding to the nature of their illness and its treatment. Higher levels of uncertainty have consistently been associated with lower quality of life among COPD patients. However, influential factors of illness uncertainty remain unclear, and little is known about the relationship between uncertainty and quality of life in Chinese COPD patients. The aims of the present study are to (1) identify influential factors of illness uncertainty, and (2) determine the relationship between uncertainty and quality of life in Chinese COPD patients. This study was designed to be a cross-sectional survey. Patients (>40 years old) diagnosed with COPD will be recruited from three tertiary hospitals. Demographic questionnaire, the Mishel Uncertainty in Illness Scale, the SF-12v2 questionnaire, the Multidimensional Scale of Perceived Social Support, and the Modified British Medical Research Council Dyspnea Scale will be used to collect data. Our study could be useful for health-care professionals understanding contributing factors of illness uncertainty and the relationship between illness uncertainty and quality of life in Chinese COPD patients, moreover, health-care providers by nursing interventions to reduce their uncertainty which in turn would improve their quality of life. Furthermore, this study is the first study to use reconceptualization of the uncertainty in illness theory as the theoretical framework in China, so it provides a theoretical basis for future research in the area of uncertainty in illness.
Al Hussein Bin Talal University, Jordan
Will be updated soon....
Background: Needle stick injury (NSI) is one of the major causes of blood borne infections in the present day healthcare system. Among healthcare professionals, nursing students will most likely be exposed to this dilemma. Interventions like institutionalizing educational programs to produce awareness and knowledge among nurses can depict positive outcomes in changing perceptions toward safety measures.
Objectives: This study aimed to investigate the incidence, perspectives, views, perceptions, and knowledge of NSIs among nursing students studying at Al-Hussein Bin Talal University.
Methods: The sample population consisted of all undergraduate nursing students from second to fourth academic levels at the university who consented to participate in this study. The mode of data collection utilized a self-structured questionnaire apportioned into four parts. The first portion of the questionnaire presented the socio-demographic details of the respondents. The second part of the questionnaire demonstrated questions about needle stick incidences at the clinical units of the participants; frequency of occurrences (i.e., number, nature, and rationale); place of occurrence; and, whether the event was reported to higher authorities. The third part of the questionnaire entailed queries associated with the knowledge of the students with respect to needle stick injury. The last part focused on the student's knowledge and perception on the risks associated to needle sticks injuries and the relative precautions to prevent such.
Results: The results showed that most of the students had positive perception of NSIs; while two thirds of the student nurses experienced NSI with increasing number of injured nurses occurring among second year students. This is due to the lack of knowledge regarding universal precaution guidelines and acupuncture safety device.
Conclusion: Nursing students are at risks of getting infection. Proper steps are needed to promote awareness of NSI as well as the dangers and prevention from such events.
Keywords: infection, incidence, needle stick, nursing students, Jordan
Obafemi Awolowo University, Nigeria
Olufemi Oyebanji has just enrolled for PhD in nursing at Department of Nursing Science, Obafemi Awolowo University, Ile-Ife, Nigeria. He is presently a Lecturer at the Department of Nursing Science, Obafemi Awolowo University, Ile-Ife, Nigeria. He is an upcoming researcher who had published few papers in reputed journals
Surgery plays an increasingly prominent role in healthcare around the world and growing attention is being focused on the safety and quality of such care. Half of all surgery related iatrogenic complications are avoidable and breakdown in communication and non- adherence of surgical team nurses inclusive to standard practice regarding sterilization, aseptic technique and prevention of wrong patient and site are all contributing factors. The study assessed perioperative nurses’ knowledge about safety practices in operating theatre, determines their attitude towards teamwork and safety practices and also evaluated various safety measures employed by the nurses to ensure patients safety in operating theatre.
Descriptive cross sectional design was adopted and the setting were eight selected tertiary health institutions in south western Nigeria. Multistage sampling technique was used to select 211 respondents from the setting. Yamane’s formulae was used to determine the sample size. Twenty point scale was used for knowledge with yes/no option and the score was categorized into poor (10-11), fair (12-13) and good (14-20). Questionnaire and observation were used to collect data between January and April 2015. Descriptive and inferential statistics were used to analyze the data with the aid of Statistical Product and Service Solution (SPSS) version 20. The P values was considered significant at >0.05
The results showed that (80.0%) of the respondents in both state and federal institutions had good knowledge about safety practices. Findings from questionnaire revealed that identification of patient at the red line as a measure to ensure patient safety in theatre had the highest mean (2.45 ± 1.42). Result from the observation revealed that use of operation schedule to send for patient from the ward had the highest means 6.91 ± 0.28 while only 57% of the respondents were using WHO surgical safety checklist. Findings also showed that socio-demographic and professional characteristics are predictors of good safety practices (F4,196 = 5.047, p< .001) .
This study concluded that Perioperative nurses have good knowledge about safety practices, perioperative nurses in federal and state government owned institutions had positive and negative attitude to teamwork and safety practices respectively while they engaged in near standard safety practices in the operating theatres but WHO surgical safety have not been fully adopted in the selected theatres.