4^th International Conference on Nursing & Healthcare October 05-07, 2015 San Francisco, USA

Pam Bellefeuille is a clinical professor of nursing at UCSF with extensive experience developing and conducting simulation in an accelerated Masters Entry Program in Nursing that promotes clinical judgement skills using unfolding case studies (based on Patricia Benner’s work) and a theatre approach which enhances group critical thinking. Her 40 years an RN and over 30 years teaching in university nursing programs have contributed to the development of this unique teaching strategy.

Traditional simulation experiences employ a single scenario assigning learners static roles as active participants (in the room) or passive observers (in an observation room). We will present an alternative model utilized in an accelerated pre-licensure Masters Entry Program in Nursing. To promote critical thinking and clinical judgment skills in simulation, we've designed a series of 4-part unfolding case study scenario simulations with both active participants and observers in the same room, as one group, using a theatre approach. The unfolding nature of the scenarios and the engagement of both active participants and observers collectively, encourage critical thinking as a team and promote clinical judgment skills. The unfolding case study simulation scenarios are built with an emphasis on QSEN competencies. In particular, the scenarios prioritize patient centered care, patient safety, evidence based practice, and team work and collaboration. The "patient" presentation is the priority for assessment and intervention, each student is assigned a "nursing role" to assume during the scenario and SBAR is used as the form of communication to develop teamwork and collaboration, "safety" is emphasized by including safety hazards in the scenario that need to be assessed, and the students "pre-lab" to explore the "evidence based practice" they will utilize in their nursing interventions.

Chairman of the Foundation of the future (applied medical research recognized of public utility Foundation) from the 1St January 2012 and since 1993 Associate Professor in Créteil University School of Medicine. Head of Master Management of health care organizations since 2008, previously Director of the Institut engineering of health (1996-2007).Qualification Associate Professor, Créteil University School of Medicine (1993) Diploma of thorough study in social history, Créteil University (1991) Masters of science and technology in mental health, Créteil University (1989) Diploma of psychiatric nurse (1980)

Publication of about thirty articles in the professional press health and social and more than forty communications in conferences on health and training issues. Contribution to two books and various reports, studies and research. Member of several committees and ministerial working groups in the field of health and training as a qualified person.

Dr. Ann M. Mitchell, PhD, RN, FAAN completed her PhD from the University of Pittsburgh. She is Professor of Nursing and Vice Chair for Administration in the Health and Community Systems Department, at the University of Pittsburgh School of Nursing. She is the Project Director or Principal Investigator on two HRSA-funded grants, two CDC-funded grants, and a grant through SAMHSA. She has over 50 peer-reviewed publications and sits on the editorial boards of a number of journals. She and members of her team received the International Award for Excellence in Evidence-Based Practice Award from Sigma Theta Tau International (STTI), the Honor Society of Nursing.

My scholarly interests include mental health outcomes research, bereavement following sudden, unnatural death specifically by suicide, complicated grief, and alcohol and drug use/misuse. Pilot data from a recent study is being used to develop and evaluate the effectiveness of a crisis intervention program for survivors of suicide after the death of a family member or significant other. I am also working on a technology project using a phone application called COMPANION to evaluate its feasibility for use with survivors’ and their social support networks. Currently I am the Project Director (PI) on two HRSA-funded grants designed to 1) teach Emergency Department REGISTERED Nurses (EDRNs) the evidence-based practice of screening, brief intervention, referral to treatment (EDRN-SBIRT) for patients who use or misuse alcohol and/or other drugs; and 2) teach interprofessional groups of anesthesia students how to assess and intervene with both patients and colleagues who may be misusing alcohol or other drugs. Most recently, I and two colleagues received the International Award for Excellence, Evidence Based Practice Award from Sigma Theta Tau International. I am certified as a clinical research coordinator (CCRC) through the Association of Clinical Research Professionals and provide consultation and education specific to research and evidence-based practices.

Dr.Rose E. Constantino, PhD, JD, RN, FAAN, FACFE, is Associate Professor at the University of Pittsburgh School of Nursing, Department of Health and Community Systems. She teaches Forensic Nursing. She is the senior editor of Forensic Nursing: Evidence-based Principles and Practice published by F. A. Davis in 2013. Her pro bono family law practice is founded on her research on the consequences of Intimate Partner Violence on the health, safety and well-being of women, men and children worldwide. Her current research is in comparing the effectiveness of Online and Face-to-Face intervention in women and children in intimate partner violence. She is mentoring students in developing the HELPP Zone app as a training tool for bystanders worldwide in recognizing, responding and preventing relationship violence including domestic and sexual violence.

My research is focused on comparing the effectiveness of online with face-to-face HELPP intervention in women experiencing intimate partner violence (IPV) which gave us the impetus to integrate evidence-based studies into the book. HELPP means Health, Education on Safety, and Legal Participant Preferred intervention. HELPP intervention came about after completing a RO1on nursing care of widows whose spouses committed suicide funded by NIH division of nursing. A serendipitous finding in the RO1 was that 63% of the suicide victims were reported as being abusive to their surviving partners immediately prior to their suicide. Because the consequences of IPV are multi-faceted, we are comparing multi-faceted interventions such as comparing the feasibility of online, face-to-face and control HELPP on depression, social support, and other measures using mixed methods methodology with women who have experienced IPV. As a lawyer in Family Law, I see lawyers come too late in helping the survivor of violence because there are now children, parents, in-laws, and workplaces involved in the abusive relationship. For primary prevention to be effective, we need to reach young people before experiencing TDV and provide them with knowledge, social networking, and social support accessible from a product that they use daily (cell phone) during their waking hours in making safe choices and practice safety-seeking behaviors. I am currently working with two undergraduate students in a research project using text messaging as a strategy in building healthy dating relationships and preventing intimate partner violence among college students. Further, I am working with 2 graduate students in developing a HELPP Zone App to prevent IPV. With Robinson’s Diffusion of Disruptive Innovations (DDI) as the framework for both projects, we attempt to diffuse an intervention using an intentionally and deliberately developed product or service, designed as a simple product that enters the transformative research arena as a common activity- text messaging and the App. It OFFERS an inexpensive and convenient service that has the potential to be diffused as a disruptive tool in preventing or stopping intimate partner violence. Our research projects enhanced the evidence-based portions of the book while this book provided robust nursing research questions for future research topics and proposals. I am very interested in collaborating with other mHealth working group members to prevent if not stop violence worldwide through mobile interventions.

Dr Noordeen Shoqirat is Jordanian researcher graduated in 1998 from Jordan University with a BSc degree in nursing. He then received his postgraduate studies in UK. In 2004 Dr. Shoqirat was rewarded his MSc in acute care nursing from Edinburgh-Napier university about care of patients in comma. He later in 2009 obtained his doctor of philosophy degree from Queen Margaret University in the UK. He has an extensive international nursing clinical experience. He worked as an in charge of neuro-ICU at Jordan university hospital and clinical neuroscience for 4yrs and neuro-surgery at western general hospital , Edinburgh, UK for 5 yrs years . Currently he is dean of nursing faculty at Mutah University. Dr.Shoqirat’s research interest focuses on health promotion, clinical placement, pain management and adult and neuroscience health nursing. He is experienced in both quantitative and qualitative research approaches as well as meta-analysis.

Internationally, it is agreed that pain management is a central component of nursing care. Although much has been written about pain prevalence among patients after surgery, research is scant on patients' experiences of nursing pain management and factors involved. This study explores patients' experiences of nursing pain management in Jordan and identifies contributing factors. A qualitative research design was used. Data were collected through focus group discussions (n = 4). A total of 31 patients were purposively selected. Two main themes emerged. The first theme was living in pain and comprised two categories: from sleep disturbances to the fear of addiction and from dependence to uncertainty. The second theme was about barriers that affect nursing pain management. Patients' experiences of nursing pain management were not up to their expectations; their needs were largely ignored and were dealt with in a mechanistic way. Barriers precipitating this situation were referred to in this study as the three “nots,” including not being well-informed, not being believed, and not being privileged. The study concluded that patients' experiences of nursing pain management are a complex world that goes beyond medically orientated care. Nurses, therefore, are urged to look beyond standardized assessment tools and use patients' experiences and voices as valuable evidence contributing to more effective pain management. Unless this occurs in their daily encounters with patients, another decade will pass with little change in the practice of pain management.

Dr. Andi Mabhala: is a reviewer for the National institute of health research, International Journal of Preventive Medicine; and International Journal for public health research and environment. He is a senior research fellow at Newman University and Fellow of the Royal Society for Public Health. His research interest is around the area of inequalities in health and social justice. His research has been published in several international peer-reviewed journals. He was an invited speaker at the “UK public health Festival in Manchester in 4 July 2013, presented a research paper at the International Public Health Conference in Kuching, Malaysia in August 2013 and International conference for nursing and healthcare in Chicago, USA, 2014. He contributed several chapters in Key Concepts in public Health wrote several (2009), London: Sage edited book Key concepts in public health (2009) London: Sage. He contributed a chapter “Policy Drivers” in Key Concepts in Palliative Care (2010). London: Sage. His recent book is “Health Improvement and wellbeing” published in October 2014.

His research interest is around the area of inequalities in health and social justice. His research has been published in several international peer-reviewed journals.

Lunic Base Khoza has completed her Ph.D. from the University of South Africa. She is currently serving as Dean, Senior Professor in the School of Health Sciences. Her area of specialty is nursing education, nursing management and health promotion. She has published more than 40 papers in reputed journals and has previously served as an editorial board member of reputed national Journal Curationis and involved in peer review of manuscripts for national and international journals. She is a National Research Foundation C3 rated as established researcher.

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.