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

Biography:

Magda Mohamed Bayoumi is currently working as an Assistant Professor, Head of Nursing Department at Al-Farabi Colleges Riyadh. She has been the Dean College of Medical Applied Sciences, King Khalid University in the Medical & Surgical Departments for 4 years and as a Lecturer in the Faculty of Nursing, King Saud University for 4 years and before to that; working in haemo and peritoneal dialysis for seven years. She was awarded with PhD in 2007 from Ain Shams University. She has published more than 10 papers in reputed journals and has been serving as Reviewer of repute. Her main interests are in nursing research, adding to new nursing knowledge for the benefi t of patients, families and communities; this encompasses all aspects of health including promotion and prevention.

Abstract:

Background: Physical functioning decline over time with dialysis therapy, in hemodialysis (HD) patients, the exercise has been established as a vital part of health promotion activities to improve all aspects of quality of life.

Methods: A quasi-experimental intervention design was used, pre-post assessment of the eff ect of implementation of exercise program for hemodialysis patients at Mohail General Hospital- southern of Saudi Arabia. Th e questionnaires were used to collect data: Physical Fitness Measurement, KDQoL-SFTM 1.3, Borg's 15-point scale for rating of perceived exertion (RPE), vital signs and lab investigation (Hemoglobin, Serum phosphates, Serum albumin, Creatinine, Fasting blood sugar, Kt/v and Urea).

Results: Th e pre-post physical fi tness scale as assessed among patients; statistically signifi cant changes in the scores of all activities (p<0.001). Regarding the correlations between pre-post-program QOL scores were indicate weak to strong statistically signifi cant positive correlations in all domains except for those of cognitive function, quality of social interaction and sleep. Moreover the patients’ Borg scores statistically signifi cant decreases in throughout the three months of follow-up (p<0.001); in addition improvements in the adequacy of dialysis (kt/v) and in serum potassium level (p<0.001) from the fi rst to the third months. Although the percentages of patients with hemoglobin level 11 gm/dl or higher increased from 41.1% at the fi rst month to 60.3% at the third month, the diff erence could not reach statistical signifi cance (p=0.067).

Conclusions: Th e implementation of the exercise program was associated with signifi cant improvements in the score of all domains of quality of life and physical fi tness scale. Th erefore might be applied in other similar situations as on peritoneal dialysis patients and evaluated for further improvement.

Biography:

Rita Ramos is an Assistant Professor of the Faculty of Management and Development Studies in the UP Open University and the current Program Chair of the Master of Arts in Nursing, UP Open University. She fi nished her Bachelor of Science in Nursing from San Juan De Dios College. She obtained her Master of Arts in Nursing from the University of the Philippines Manila. Her research interests include Item Response Theory; Classical Test Theory; tool validation; motivation in distance education; achievement goals in education; self-regulation; clinical learning environment; dignifi ed dying; and aggression. Sheis taking her PhD in Educational Psychology, major in Quantitative Methods in De La Salle University Manila, currently on dissertation writing.

Mary Joan Therese Valera is currently enrolled in the Doctor of Communications degree in the University of the Philippines Open University. She has a Master in Public Health degree in 2007, with specialty in Health Promotion and Education, and a Bachelor of Science in nursing degree in 1991 from the University of the Philippines Manila (UPM). Her nursing career started in 1992, when she worked as staff nurse in the adult medical-surgical ward of the Philippine General Hospital (PGH). In 1996, she was invited by the UPM College of Nursing (UPM-CN), and joined their roster of faculty that same year in June. She served as research assistant in the Adult Health Section of Medical Research Unit, and the National Poison Management and Control Center of the Philippine General Hospital, the National University Hospital in the Philippines from December, 1999 to April, 2003. Prof Valera has authored several researches on fall risks of the older persons, and poisoning in the community. She has co-authored researches on nursing students’ core competencies, registered nurses in the Philippines’ hospital and public health competencies, and clinical learning environment of student nurses. She has been presenting the results of her researches in European and Asian countries.

Abstract:

CLE encompasses the clinical setting and placement of students studying to become professional nurses, and includes all practitioners that students are exposed to and work with, and the supervision that they receive from ward managers and classroom teachers. Additionally, learner’s characteristics refl ect individual diff erences among student nurses in terms of motivational variables. Intrinsically motivated individuals’ engagement in learning is coupled with pleasure and enjoyment as this can bring challenge and arouse curiosity (Pintrich, 1999). CLE mirrors external factors namely academic supervision, supervision in the hospital and nursing care in the ward. Th e individual factors will be taken into account which represents the individual diff erences of nursing students in terms of motivational level in this study. Having both Clinical Learning Environment (external) and learner’s characteristics (internal) will provide us a model of good clinical learning outcomes. Th us, this study will test a model showing the eff ects of Clinical Learning Environment, Learner’s Characteristics and Clinical learning outcomes using Structural Equation Modeling (SEM).

Biography:

Hamdan Mohammad Albaqawi has completed his PhD from RMIT University School of Nursing and Midwifery in Australia. He is currently working in the University of Hail as an Assistant Professor and acting as the Head of Academic Affairs in the College of Nursing. He has worked in many hospitals in Saudi Arabia and attended many courses and participated in some international conferences.

Abstract:

Background: Pain is a human experience that aff ects overall quality of life and it is known to be the most common reason for people seeking healthcare. Nurses play a crucial role in assessing and managing patients’ pain. Eff ective pain management requires precise knowledge, attitudes and competent assessment skills. Knowledge defi cits and inappropriate attitudes are major contributing factors to the under-treatment of pain.

Materials & Methods: Th is descriptive mixed-methods study samples local and expatriate nurses working in Hail region hospitals. Th e study involves administering a questionnaire to a sample of 303 nurses to ascertain their knowledge and attitudes regarding pain management ‘Knowledge and Attitudes Survey Regarding Pain’ (KASRP).

Results: In this study, the average correct response rate to the various questions was 41.75 percent with rates ranging from 5-87 percent. Th e fi ndings indicate inadequate knowledge regarding pain, pain assessment, pain management and pain medications.

Recommendations: Th is study recommends increased education regarding pain management as well as an annual assessment of skills for all clinical nurses. Th e expertise gained in training programs could be enhanced through workshops and courses that are conducted on a regular basis in order to keep nurses’ knowledge up to date.

Conclusion: Th e results of this study indicate problems in nurses’ knowledge and negative attitudes regarding pain and pain management. Educational and training enhancements should be implemented to correct these defi ciencies.

Biography:

Bandana Bisht has completed her Graduation from PGIMER, Chandigarh and Post Graduation in Mental Health Nursing from CMC & H, Punjab in India. Presently she is pursuing her PhD in Nursing. She has worked in OT and ICUs. Currently she is the Vice Principal at Chitkara College of Nursing. She has a passion for teaching with innovative and interesting methods. She has won RJ hunt and Best Faculty Advisor Award at Chitkara University, India.

Abstract:

A pre test-post test experimental study was conducted to assess the impact of multimedia approach to an awareness program on knowledge and attitude regarding Schizophrenia. A sample of 176 students of Chitkara University was selected by simple random sampling technique. A self reported questionnaire on knowledge assessment and Attitude scale regarding Schizophrenia was prepared and validated. Th ere were 40 items in Knowledge questionnaire and 30 items in Attitude scale. Th e tools were administered to the respondents to measure their baseline pre test knowledge and attitude regarding schizophrenia. Aft er the pre test, the Hollywood movie, ‘A beautiful mind’ based on the life of Dr John Nash, a schizophrenic and a Nobel Prize winner was shown to the participants. It was followed by an awareness talk on ‘Living with Schizophrenia’ with the help of PowerPoint presentation and videos. Post test was conducted to measure the impact of information on knowledge empowerment and attitude of respondents. Data was analyzed through descriptive and inferential statistics using SPSS 16.0 version. Th e fi ndings of the study showed that the baseline knowledge of the participants was surprisingly very poor. Discrimination and stigma was found in their attitude towards schizophrenic patients. Th e knowledge of the participants improved signifi cantly aft er sensitizing them through the awareness program given by multimedia approach. Results also suggest there were positive gains in attitude. Th us, in conclusion, multimedia approach can be the eff ective tool in sensitizing people towards stigmatized mental disorders like schizophrenia.

Biography:

Alicia J Mangram is a Medical Director of Trauma and Acute Care Surgery as well as Medical Director of Surgical Intensive Care Unit at John C Lincoln Health Network, Phoenix Arizona. She has been recently appointed as a Program Director for the John C Lincoln Health Network AOA General Surgery Residency. She was trained at the University of Texas Health Sciences Center where she excelled as a Surgeon and Assistant Program Director for many years. As Trauma Surgeon Team Lead, she distributes her practice time between trauma clinical care delivery, general surgery, surgical intensive care, administrative work and research. She also serves on the American College of Surgeons General Surgery Advisory Board. She has published many scientifi c and medical articles in peer-reviewed journals. She is highly recognized nationally for her G60 program service innovation for the elderly.

Abstract:

The recent dramatic explosion in the US geriatric population is associated with increased complications, cost and trauma death rates. Geriatric trauma management strategies which had been previously developed during an era when the census of the elderly was comparatively low are now seen by many as woefully inadequate to meet present-day challenges. Presented with this challenge we must now cease the opportunity to develop innovative interventions designed specifi cally to address the enormous unmet health quality and economic needs of the elderly. Innovation in geriatric trauma will require thought leaders who are not only prepared to lead but must champion the cause of the elderly and function as catalysts to transform the New Trauma Culture. Th is presentation will describe services we developed in response to intervention gaps we identifi ed in geriatric trauma care through research. Several of these projects include: Geriatric G-60 service, falls and deaths, rib plating, femoral iliaca nerve blocks for hip fractures. We have tested-driven a number of these strategies to see how well they perform and we plan to share these fi ndings with you including lessons learned. Finally we suggest research needs to advance the fi eld of geriatric trauma. We believe these plans may improve outcomes for the ever increasing number of geriatric patients.

Biography:

Nancy McNamara is currently pursuing her PhD from Central Queensland University in Australia. She is a Senior Nursing Lecturer working in the Postgraduate Nursing Program in the Centre for Health and Social Practice at Wintec in New Zealand. She has an interest in simulation in nursing education and has published several papers in reputed journals.

Abstract:

For many undergraduate students in the health industry, limited numbers of quality clinical placements and variable placement experiences limit learning opportunities. In order to introduce students to the collaborative care and develop communication skills, social work, occupational therapy and nursing students in undergraduate health programs at Wintec in New Zealand took part in a simulated Inter-professional meeting which was part of a simulated nursing practice program. Selfselecting participants completed a questionnaire answering fi ve open ended questions and responded to an opportunity to take part in a focus group. Research fi ndings were analyzed through a process of thematic analysis whereby each sentence of data was analyzed in the fi rst instance and categorized. Categories were then analyzed and merged where appropriate to form the overall themes. Kolb’s (1984) Experiential Learning Th eory provided a theoretical framework to guide this study. Of the 72 participants, (54 nursing students, 8 occupational therapy students and 10 social work students) (n=48) responded to the questionnaire. Nine of these students also took part in the focus group. Th emes identifi ed from overall participant responses were: Professional role clarifi cation and awareness, preparedness, safety and realism. Results in this study suggest that the simulated collaborative meeting overall provided a valuable learning experience for students. Th e study also highlighted the need to ensure that all students involved, receive the same information and are well prepared for the simulated meeting. Further research is required within the professional group to establish the value of including this type of experiential learning into undergraduate health and social practice programs.

Biography:

Shirley Strachan-Jackman is a Nurse Practitioner at the Toronto Western Hospital, University Health Network in the Department of Emergency Medicine. She has obtained her Master of Nursing and Nurse Practitioner degree from the University of Toronto and she also holds a certifi cation in Emergency Nursing. She has cross appointment with the University of Toronto and she is very active with precepting nurse practitioner students from the University as well as York University and Ryerson University. Her interests lies in education, conference planning and she is just getting her feet wet in research activity.

Timothy Stewart has been working in the Health Care Industry for almost 20 years as a Registered Nurse, Nurse Educator and Nurse Practitioner, in the areas of Primary Care, Emergency and Stroke. He has a strong interest in clinical practice, systems and research, specializing in the analysis of the quality of patient care and safety. He is currently a Nurse Practitioner with the Krembil Neuroscience Centre stroke program at the University Health Network in Toronto.

Abstract:

Family presence during resuscitation (FPDR) is an area that has gained increased attention over the past few decades. For years the question that is under debate is, “Should health care providers recommend family presence during resuscitation or should they recommend against it”. In North America, traditional paternalistic views have prevented the practice of the more family-centered approach of FPDR, where as in the UK 79% of emergency departments (EDs) allowed FPDR. Although FPDR has been accepted as best practice by the Emergency Nurses’ Association and the American Heart Association, fears concerning increased liability for the institution and practitioner fears such as disruption of clinical activities and lack of space for the family and staff have prevented many institutions from off ering the option to family members. Although incorporating family practice into resuscitation events can be challenging, our philosophy at Toronto Western Emergency is that families should be given the opportunity to be in the room in what may be the last minutes of their loved one’s life. Our belief is that FPDR will allow for a fi nal goodbye by a spouse, sibling, adult child or parent who cannot fathom being separated at the moment of death. Th us our service provides a dedicated nurse to provide guidance, explanation and support to the family members who decide to remain in the room during a resuscitation event. As a new practice, we were interested in better understanding members’ experiences. Th is presentation will discuss the fi ndings of our phenomenological study that was undertaken to describe” lived experiences of families when given the choice to be present during cardiopulmonary resuscitation (CPR)” in the emergency department setting. Six relatives or signifi cant others elected to stay with their family member during the resuscitation and participated in a semi-structured personal interview within 3 months of the event. Findings will be discussed in light of practice, education and future research needs.

Biography:

Letourneau Dominique is a Chairman of the Foundation of the Future (applied medical research recognized of public utility foundation). He is an Associate Professor in Creteil University School of Medicine. He is also the Head of Master Management of health care organizations since 2008 and previously the Director of the Institute engineering of health (1996-2007). He has about thirty articles published in the professional press health and social and more than forty communications in conferences on health and training issues, two books and various reports. He is also a member of several committees and ministerial working groups in the fi eld of health and training as a qualifi ed person.

Abstract:

For 10 years the France is engaged in an in-depth study on the evolution of its health system. Th e issue of collaboration between doctors and nurses is redesigned on the mode of practice advanced care. Th e ageing of the population, medical demography and technological development accelerate this change. Once the principles lay down, the actors struggle to agree to their implementation as professional hierarchies are debates. But most importantly, this has remained a debate between specialists. We drove the fi rst survey to query the French population on this development concerned fi rst. Th e results are very interesting because they show the lack of information and overall expressed objections. Surprisingly, it is those who would be most recipients (elderly, isolated people in rural areas) which are more reluctant. With the issue of advanced care practices, it is the entire process of the transfer of nursing education to the University which is at stake with the prospect of clinical masters and then PhD in care as exists in many countries. Th e development of clinical training at the University will feed nursing research and contribute to the knowledge on the evolution of the practices of care for the benefi t of users.

Biography:

Letourneau Dominique is a Chairman of the Foundation of the Future (applied medical research recognized of public utility foundation). He is an Associate Professor in Creteil University School of Medicine. He is also the Head of Master Management of health care organizations since 2008 and previously the Director of the Institute engineering of health (1996-2007). He has about thirty articles published in the professional press health and social and more than forty communications in conferences on health and training issues, two books and various reports. He is also a member of several committees and ministerial working groups in the fi eld of health and training as a qualifi ed person.

Abstract:

For 10 years the France is engaged in an in-depth study on the evolution of its health system. Th e issue of collaboration between doctors and nurses is redesigned on the mode of practice advanced care. Th e ageing of the population, medical demography and technological development accelerate this change. Once the principles lay down, the actors struggle to agree to their implementation as professional hierarchies are debates. But most importantly, this has remained a debate between specialists. We drove the fi rst survey to query the French population on this development concerned fi rst. Th e results are very interesting because they show the lack of information and overall expressed objections. Surprisingly, it is those who would be most recipients (elderly, isolated people in rural areas) which are more reluctant. With the issue of advanced care practices, it is the entire process of the transfer of nursing education to the University which is at stake with the prospect of clinical masters and then PhD in care as exists in many countries. Th e development of clinical training at the University will feed nursing research and contribute to the knowledge on the evolution of the practices of care for the benefi t of users.

Biography:

Ellemes Phuma-Ngaiyaye has completed MSc in Parent and Child Health from University of Botswana and currently pursuing her PhD at the University of the Western Cape, South Africa. She works with Mzuzu Univeristy, Malawi, as a Lecture in Pediatric and Neonatal Nursing and Nursing Ethics and Professionalism. She has also worked as a School Coordinator for the ICAP-NEPI Malawi project at her University. As a young and upcoming scholar, she has great interest and motivation in maternal and neonatal health, education and research to contribute to quality health services in the country.

Abstract:

Background: Illness and hospitalization of a newborn baby may interrupt the natural maternal-infant bonding and attachment process. Th is may in turn aff ect the maternal-newborn relationships because of stress. It is not documented what strategies were used in the neonatal intensive care units in Malawi to support maternal-newborn bonding.

Aim: Th is paper explored the strategies used by healthcare providers to support maternal-newborn bonding and attachment for mothers with neonates admitted in a neonatal intensive care unit.
Methodology: Th e study was qualitative in nature and used in-depth interviews and observations. Five nurse/midwives working in and 10 mothers with infants admitted in the neonatal intensive care unit at one of the tertiary hospitals in Malawi participated in the study.

Results: Th e results showed that as the nurse/midwives strive to provide special nursing care to the sick infants, several measures were also carried out to support maternal-infant bonding. Th ese measures focused on maternal-infant interaction through breastfeeding, kangaroo mother care and maternal participation in the child’s care and nurse/midwife-mother interaction through communication and psychosocial support. Th ese strategies helped the mothers to feel close to their children and develop positive and trustful relationships.

Conclusion: Nurses and midwives working in neonatal intensive care units should strive to promote these strategies to support maternal-newborn attachment. Th is will minimize maternal-infant separation thereby alleviating anxiety and enhancing maternal confi dence when interacting with the newborn baby.

Biography:

Amal Mohamed Ahmad has completed her PhD and Postdoctoral studies from Assiut University; Faculty of Nursing. She is an Assistant Professor and Dean in Faculty of Nursing, Aswan University, Egypt. She has published more than 15 papers in reputed journals. She is an Academician in the fi eld of Medical-Surgical Nursing teaching both theory and clinical courses and actively participating in professional activities of Aswan University.

Abstract:

Aim: Th is study aimed to evaluate the eff ect of designed protocol for patients with peptic ulcers disease.
Design: A quasi-experimental research design was utilized.
Sample & Setting: Convenience samples of 60 patients with peptic ulcer at Assiut University Hospitals were selected. Th ey are divided into two equal groups matched for age, sex, educational status and co-morbidity.

Method: Tools for data collection were through a structured interview questionnaire and lifestyle assessment. Th e designed protocol was applied to improve the patient's lifestyle and decrease the rate of complications. Th e tools were used for pretest before conduction of the designed, protocol, immediate posttest and follow-up at 6 weeks.

Results: Th e mean knowledge scores and mean practice scores among the study group increased immediately post the program implementation and continued to be high at the follow-up phases. No such improvements could be noticed among the control group throughout the study phases. Statistical signifi cant improvements in study group, fewer complications and some improvement in their life style.

Conclusion: Nursing intervention protocol provided for patient with peptic are necessary to reduce complications and to improve their life style status.
Recommendation: Application of the designed intervention is recommended in similar settings.

Biography:

Leesa McBroom has completed her PhD from University of Missouri in Columbia, Missouri. She has completed her Masters in Nursing with emphasis in Family Nurse from University of Missouri, Kansas City. She has received her Undergraduate from Dominica University in California. She is the Chair of the Department of Nursing at William Jewell College, a premier liberal arts college. She maintains a practice as an Advanced Practice Family Nurse Practitioner seeing patients of all ages. Her research interests are family-centered care, family dynamics and nursing education

Abstract:

In the United States, approximately 1.5 million children are aff ected by divorce annually. Maintaining separate households and inter-parental confl icts related to divorce likely result in diff erent experiences for divorced families. Divorced family dynamics have not been well studied in relation to chronic illness and nursing care. Th is presentation will describe the diffi culties related to divorced co-parenting dynamics identifi ed by divorced mothers in managing Type-1 Diabetes (T1D) for their children. Open-ended interviews were conducted with mothers who had children diagnosed with diabetes. Co-parenting divorce dynamics were identifi ed for divorced mothers who manage T1D for their children. Interventions for family-centered nursing care will be discussed.

Biography:

Jayne Skehan is the Director of Pediatric Cardiology Services at New York Presbyterian Hospital in New York City as well as a Per Diem Nursing Administrator at Mount Sinai Hospital in NYC. She has published in peer review nursing journals and she is pursuing her Doctoral degree in Nursing Practice (DNP) at Saint Peter’s University, USA.

Abstract:

Workplace bullying has become increasingly prevalent in healthcare and there is signifi cant data to support bullying befalls and carries destruction. Th e zone of silence that surrounds and insulates this surreptitious behavior is real. In an environment in which bullying is not addressed, it oft en spreads. Many ramifi cations of workplace bullying aff ect employees as well as patients and can lead to decreased reimbursement, unsafe conditions and increases in errors in addition to an overall negative reputation for an organization. Recently, studies have suggested there is a direct correlation between professional nursing educational programs and decreased incivility in the workplace. Research studies support that when bullies in the workplace are held accountable, staff are more empowered to come forward and report these events. Th rough education, prevention and awareness, nursing educational programs can be instrumental in eradicating this behavior both in the academic world and hospital based settings. Undergraduate nursing students in the academic arena could benefi t from evidence-based education on ramifi cations of buying and how to address it in their practice. Hospital based nursing education programs outlining policies and acceptable behaviors are another forum that could help to prevent workplace violence. Researchers agree additional studies are needed in order to examine the eff ectiveness of nursing educational programs on eliminating covert bullying.

Biography:

Raymond J Shamberger has completed his PhD from the University of Miami, USA. He is an Emeritus Laboratory Director of King James Medical Laboratory at Westlake, USA. He is a member of several scientifi c organizations and he has published 215 papers, abstracts, books and patents. His latest work is related to nutritional epidemiology and childhood diseases which include SIDS, ADHD, autism and multiple sclerosis.

Abstract:

In November 2009, during an ice storm in Cleveland an autistic mother brought her two autistic daughters to our Clinic for help. I decided to investigate further on how to help her. Th e consensus among autism researchers was that genetic and environmental factors were the main causes. Vaccines containing thimersol with mercury were also suspected because parents noticed symptoms around the time of vaccination. With thimersol removal the autism rate increased. Reliable statistics were not available. Th e CDC set up stations in 14 states to monitor incidence and found an 18% yearly increase. Use of the statistic of 8 year olds was found to be more reliable because by that time the diagnosis of autism has been established. However, dietary intake could not be established and a process called nutritional epidemiology was used. Results showed that the greater the percentage of breast feeding the higher the number of autism cases in the states and the counties of 4 of these states. Th e amounts of milk that babies drank were determined from the USDA and the amounts of B-vitamins consumed were calculated. Results showed that the minimal daily requirements were not met. Sugar was signifi cantly related directly to the autism rate of eight year olds. In conclusion, it appears that autism may be related to inadequate intake of B-vitamins.

Biography:

Hekmat Ibrahim Abed El Kerim has completed her PhD and Postdoctoral studies from Assiut University; Faculty of Nursing. She is an Assistant Professor in the Faculty of Nursing, Assiut University; teaching Pediatric Nursing.

Abstract:

Aim: Th e aim of this study is to assess the eff ect of nutritive versus non nutritive feeding methods on pain relive for premature infants in prone position following invasive procedures.

Research Design: Quasi Experimental research design was utilized.
Setting: Th is study was conducted in neonatal Intensive care unit (NICU) at Assuit University Pediatric Hospital.

Subjects: Th e subjects who participated in this study included a convenient sample of 90 premature infants who were selected randomly from the previous setting. Th ey were divided into three groups of premature infants (30 neonates for each group). Two fi ft hs of the premature infants of both the control and study group-2 (46.6% for both) and more than half (56.7) of group-3 had birth weight from 1500 to less than 2500 kg. More than half of the control group (53.3%) had 28-31 weeks of gestational age while 53.3% and 50.0% respectively of study group-2 and 3 respectively had 32-35 weeks of gestational age. Th e majority of the subjects had history of respiratory distress [control group (93.3%), study group-2 (86.6%) and study group-3 (76.6%)]. Th e majority of premature infants in the control group (60%) was active or awake and had eye open, facial movement of behavioral state.

Results & Conclusion: Th e highest percentage of premature infants' in the control group had an increase in heart rate by 25 beats per min or more (46.7%) and a decrease in oxygen saturation (50.0%) by 7.5% or more. Th e highest percentage of the control group (60%) was taking a maximum of 70% of time or more to express the facial action. It was concluded that sucrose solution and non-nutritive sucking were eff ective in reducing premature infants' pain during invasive procedures in prone position as signifi cant diff erences were found between the control group and study groups. In addition, it could be said that sucrose solution is slightly better than non-nutritive sucking (pacifi er) in pain relief for premature infants during invasive procedure. Although no signifi cant diff erence was found, the percentage of premature infants who suff ered from mild pain & received sucrose solution was higher than those who suff ered from mild pain & received non-nutritive sucking.
Recommendation: Based on the fi ndings, the study recommends that encourage nurses to use of feeding methods such as sucrose solution and non-nutritive sucking (pacifi er) before painful invasive procedures in premature infants on prone position is a simple, non invasive and eff ective method in pain management. Th e use of sucrose solution is slightly better than non-nutritive sucking (pacifi er) in reliving premature infants’ pain.

Biography:

Minoo Pakgohar has completed her PhD from University Putra Malaysia. She is the Faculty Member of School of Nursing and Midwifery, Tehran University of Medical Sciences.

Abstract:

Background & Aim: Osteoporosis is a chronic disease and the most common metabolic bone disease. Complications of osteoporosis aff ect the quality of life especially in older adults. It has been estimated that between 20 to 50 percent of bone density is infl uenced by lifestyle. Th e present study aimed to determine the lifestyle and related factors in older adults with osteoporosis.

Methods: In this cross-sectional study, 300 osteoporotic elderly who referred to the bone densitometry centers of Tehran University of Medical Sciences, Tehran, Iran were recruited. Data was collected by demographic form as well as lifestyle elderly questionnaire with acceptable validity and reliability. Data was analyzed by descriptive and inferential statistics including ANOVA, Chi-Square tests, t-test and Pearson correlation coeffi cient with using SPSS-PC (v-21) and P<0/05.

Results: Th e study fi ndings showed that lifestyle of the most osteoporotic elderly (71.3%) was moderate. 10.7% of them had adequate lifestyle. Th ere was a statistically signifi cant relationship between lifestyle and marital status (p<0.001), educational level (p<0.027) and comorbidity (p<0.009). Th ere was not relationship between age, gender and lifestyle.

Conclusion: Th e researchers concluded that health policy makers have to pay more attention to screening and prevention program for osteoporosis through lifestyle modifi cation.

Biography:

Dr. Mangram is Medical Director of Trauma and Acute Care Surgery, as well as Medical Director of Surgical Intensive Care Unit at John C Lincoln Health Network, Phoenix Arizona. Dr. Mangram recently was appointed Program Director for the John C. Lincoln Health Network AOA General Surgery Residency. She was trained at the University of Texas Health Sciences Center where she excelled as a surgeon and assistant program director for many years. As trauma surgeon team lead, Dr. Mangram distributes her practice time between trauma clinical care delivery, general surgery, surgical intensive care, administrative work and research. She serves on the American College of Surgeons General Surgery Advisory Board. Dr. Mangram has published many scientific and medical articles in peer-reviewed journals. She is highly recognized nationally for her G60 program service innovation for the elderly.

Abstract:

The recent dramatic explosion in the US geriatric population is associated with increased complications, cost and trauma death rates. Geriatric trauma management strategies which had been previously developed during an era when the census of the elderly was comparatively low are now seen by many as woefully inadequate to meet present-day challenges. Presented with this challenge we must now cease the opportunity to develop innovative interventions designed specifically to address the enormous unmet health quality and economic needs of the elderly. Innovation in geriatric trauma will require thought leaders who are not only prepared to lead but must champion the cause of the elderly and function as catalysts to transform the New Trauma Culture. This presentation will describe services we developed in response to intervention gaps we identified in geriatric trauma care through research. Several of these projects include: Geriatric G-60 service, falls and deaths, rib plating, femoral illiaca nerve blocks for hip fractures. We have tested-driven a number of these strategies to see how well they perform and we plan to share these findings with you including lessons learned. Finally we suggest research needs to advance the field of geriatric trauma. We believe these plans may improve outcomes for the ever increasing number of geriatric patients.

Biography:

Yasser Moullan has a PhD in Economics from the University of Paris 1 Panthéon Sorbonne. He has specialized in the linkages between migration and health. His main research concerns the determinants, the consequences and the policy implications of medical brain drain for origin developing countries. As an Associate Researcher at IRDES, he has analyzed the socio-economic determinants of health immigrants in Europe. He is a Research Officer at the International Migration Institute at the University of Oxford where he has been awarded from the John Fell Foundation for a new research project in 2015-2016 about “The international migration of medical doctors: Trends, drivers and policies”.

Abstract:

Today, several OECD countries face shortages of physicians in remote areas. Policymakers try to tackle this issue by creating a suffi cient number of physicians through training system into medical schools and by recruiting internationally. Th is paper investigates which strategies OECD governments adopt and when these policies are really eff ective to address the medical shortages. We argue that due to the duration of training in medicine, the eff ectiveness of the medical school policy should be longer compared to the recruitment of foreign physicians. We built a dataset that comprises information about medical shortage, the number of medical graduates and the number of foreign trained physicians by using the A. Bhargava et al. (2011) dataset for 17 OECD countries between 1991 and 2004. Our empirical results confi rm our theoretical assumption. We found that OECD governments aft er a period of medical shortages create a higher number of medical graduates and in the same time hire much more from abroad. In terms of policy time delay, medical education policy takes at least fi ve years whereas the recruitment from abroad only takes one year to address the shortage issue. Finally, we found that foreign physicians over-respond to the shortage of physicians in OECD countries.

Biography:

Stephen Hartley is the Senior Director of Analytics for the Population Health Management products at Optum. He has more than 20 years of experience in the health care industry. Currently, he and his team of research and data analysts are responsible for development and execution of an analytic agenda to assist in product research, design, execution and evaluation for Optum Population Health Management products. Prior to joining Optum, he has worked in Reporting, Analytics and Data Management for SHPS, Principal Financial Group and J F Molloy & Associates. He holds a BS in Mathematics & Actuarial Science from Butler University.

Abstract:

Telephone nurse lines help callers select the most appropriate site/level of care for acute conditions. Th e study objective was to determine whether compliance with nurse recommendations were associated with lower average health care expenditures and to identify employer characteristics associated with achieving higher than average savings. Telephone calls placed between 1/1/2012 to 12/31/2012 by commercial health plan members who worked for large employers were identifi ed. Callers’ preintent and nurse recommendation regarding site/level of care were captured and compliance was determined using medical claims during a 30 day post-call observation period and was based on adherence to nurse recommendations. Aft er regressionbased adjustment, average medical expenditures were compared between compliers and non-compliers. A logistic regression analysis identifi ed employer characteristics positively associated with achieving higher than average savings. 132,509 calls were identifi ed for study inclusion. Nurse recommendations were that 31.0% of the callers seek a higher level of care than mentioned at the start of the call, 24.9% use a lower level of care and 44.1% pursue their originally intended level of care. Overall, 56.8% of callers were compliant with nurse recommendations. On average expenditures was $328 lower among compliant callers. Employer characteristics associated with greater savings included having a low employee to dependent ratio, a headquarters in the Western region of the US, a low prospective health risk score and participation by the employer in a targeted communication campaign. Compliance with Nurse Line triage recommendations results in lower average health care expenditures and several characteristics were positively associated with achieving higher savings.

Biography:

Henny Suzana Mediani has completed her PhD from School of Nursing and Midwifery Faculty of Health Science Curtin University, Australia in 2014. She is a Senior Lecturer of Pediatric Nursing at the Faculty of Nursing Universitas Padjadjaran Bandung Indonesia. She has been working in Faculty of Nursing Universitas Padjadjaran since 1994. She is working as a Lecturer to undergraduate and postgraduate students in the Faculty of Nursing Universitas Padjadjaran. She is also as Clinical Nursing Consultant at few hospitals in West Java Province Indonesia. She has published some papers in Indonesian journals and has been serving as a Reviewer in Royal College of Nursing Publishing Company, United Kingdom since 2014 and some Indonesian Journals.

Abstract:

Background: Every day an unknown number of hospitalized Indonesian children endure pain from surgery, illness, nursing interventions and other medical procedures during hospitalization. However, little attention has been given to Indonesian children’s pain management and care. Th ere is a dearth of research in Indonesia regarding pain management in children. Th e aim of the study was to explore Indonesian nurses’ perceptions of and experiences with pain management of hospitalized children with a view to discovering factors that infl uence nurses’ ability to provide pain management practice in clinical setting.

Design & Methods: Th e study used Glaserian grounded theory methodology. Th is approach has allowed for inductive exploration and analysis of how Indonesian nurses’ pain management practice used to manage pediatric patients in pain and to develop a substantive theory that explains how Indonesian nurses attempt to resolve the main concerns experienced by them when caring for hospitalized children in pain. Data were collected from a sample of 37 nurses through semi structured, indepth interviews and was guided by theoretical sampling. Data were managed by using manual thematic analytic procedures to identify themes, patterns and essential elements contained within the text, while constant comparative analysis using open, theoretical and selective coding was performed.

Results: Findings from this study indicated that nurses working in Indonesian pediatric wards felt that they were not able to provide eff ective pain care to hospitalized children and as a result they experienced professional role tensions. Th ey found themselves internally confl icted because, although they had desire to provide eff ective pain care, they were unable to achieve this goal. Nurses identifi ed several organizational structure and cultural factors that were thought to hinder their provision of eff ective pain care to pediatric patients. Th ese factors are embedded in nurses’ clinical practice. Results of study provided a portrait of the clinical reality for pediatric nurses in managing hospitalized children’s pain. Th e study fi ndings can assist to inform relevant initiatives and strategies to improve clinical nurses’ performances and competency in providing pain care to pediatric patients.

Biography:

Madu, Laurette Philomena Nkem, a State Registered Nurse and Midwife, majored also in the following specialty areas: Nursing Education (1st degree); M.Sc. (Nursing); M.Ed. & Ph. D (Educational Administration & Supervision); as well as a certified MBTI Practitioner. She headed the renowned School of Nursing Ihiala for 15 years after many years of Clinical Nursing, and some years of classroom teaching. Madu, Laurette served in Our Lady of Lourdes Governing Board for 15yrs, and made outstanding contributions. Served as a member-Standards and accreditation Committee, Nursing and Midwifery Council of Nigeria. She is highly interested in research work.

Abstract:

Background: Breast cancer has been popularly defined as a malignant tumor of the brain cells. This paper assessed the factors militating against the practice breast cancer among nuns in Anambra State, Nigeria.

Methods: To guide the study, five research questions were raised which includes social demographic data. Adopted for the study was Health belief model. Cross-sectional descriptive survey was the design used. Power Analysis was used to draw a sample of 324 nuns from an estimated population of 794 of them living in communities located in Anambra State, Nigeria through stratified, proportionate, and convenient sampling techniques. Data were collected by administration of a set of seventeenitem self-developed questionnaire on knowledge of preventive measures towards breast cancer. Personal contact and direct instrument administration to the respondents with the assistance of three trained preceptors was used for data collection was, during the respondents’ general regional meetings. Analysis of the data obtained were done descriptively using frequencies and percentages. Unpaired t-test was used to compare the responses of the two groups.

Results: The reasons for the respondents’ inability to engage themselves with breast cancer early detection practices abound and vary. As many as 148 (45.7%) nuns were not aware of where to obtain the services. Of these number, 31 (64.6%) were the contemplatives while 117 (42.4%) were from the active nuns. Seventy-three (22.5%) avoided the detective practices because they were afraid that lump may be detected, and as such preferred to live in ignorance, while 65 (20.1%) were due to financial handicaps which affect more of the contemplatives (27.1%) than the actives (18.8%). There was no significant difference between the two groups of respondents (P >0.05).

Conclusion: The result of the study revealed that the nuns in Anambra State, have a number of militating factors against their practice of breast cancer early detection behaviors. Ignorance was a major factor as the respondents claimed being unaware of where to obtain the services. Fear of lump detection, forgetfulness, time, finance, culture and so on were the factors militating against the respondents’ early detection practices. It appears that a higher percentage of the contemplatives are victims of the above militating factors. The reason could be attributed to the respondents’ high and extreme degree of decency/humility.
Recommendation: In order that the problems of the militating factors be properly addressed, and as a matter of urgency, there should be evidence based policies backed by appropriate legislation mandating sisters to be committed to breast cancer education programs, with adequate funding. There should be policy guidelines which should contain plans for training and retraining of all health workers with the aim of disseminating knowledge and skills for the best practice. This suggests that all identified militating factors should be addressed objectively, and this topic co-opted into the course on breast cancer/women health, so as to allay any fear and bias that bewitch some nuns. Similar study should be conducted using a larger sample which should include all age brackets. Anambra State government should be actively involve.

Biography:

Abstract:

Aims: This study assessed the practices, proportion of sharp injuries and associated risk factors among medical practitioners practicing in slum areas of Karachi, Pakistan.

Methods: A cross sectional study was conducted in slum area of Landhi Town Karachi. All medical practitioners running the private clinics in the given area were asked to participate in the study. Data was collected on self-administered pre-tested structured questionnaires. Proportion with percentage and 95% confidence interval was calculated for at least one sharp injury (SI) in the last one year. Predictors of sharp injuries were assessed using multiple logistic regressions.

Results: 327/397 (80%) private medical practitioners consented to participate. 277/317(87%) were males, and 40/317(13%) were female. Mean age was 38 (SD 11) years and mean work experience was 12 (SD 9) years. Proportion of at least one sharp injury in the last one year was 86/317(27%, 95% CI: 22.2-32). Almost 40/86(47%) of SI were caused by needle recapping. Less work experience, less than 14 years of schooling, more than 20 patients per day, administering more than 30 injections per day, reuse of syringe, and needle recapping after use were significantly associated with sharp injuries.

Conclusion: Injection practices are very poor among private medical practitioners in slum area of Karachi, and proportion of SIs is high. There is a risk of occupational transmission of blood borne infections among medical practitioners warranting an urgent need for launching awareness and training on standard precautions for private medical practitioners in slum area of Karachi.

Biography:

Anne Martha Kalhovde is in the process of completing her PhD, at The Artic University of Norway, Tromsø, Norway. She is Head of the research and education unit at Jaeren District psychiatric Center in Bryne, Norway. Along with other researchers she has published 4 articles regarding experiences on hearing voices and sounds.

Abstract:

In this paper the author aim to contribute to the understanding of how some people experience recurrently hearing voices and sounds others cannot hear, and dealing with them in daily life. Nurses and other health care providers commonly term these experiences as auditory (verbal) hallucinations, unreal perceptions, and symptoms of serious mental illness. Many people who hear voices do not need health care. Others have experienced health care as unhelpful and even burdening. They have claimed that lack of understanding has resulted in insufficient and inapt approaches. The lived experience of hearing voices and sounds has only recently received attention from nurses and nurse researchers. This paper is based on two studies, in which 19 people participated in 1-3 in-depth interviews. All but one of the participants had been diagnosed with a psychotic disorder. The transcribed interviews were analyzed using a hermeneutic phenomenological approach inspired by Gadamer’s philosophy. According to my overall Understanding the following themes were central to understanding the participants’ experiences: (a) Sensing the presence of someone else and me, and (b) recurrently having to deal with the intrusive presence of others. The author will reflect on the implications of these findings and accentuate the need for nurses to attempt to understand and engage in collaborative explorations of people’s experiences of hearing voices and sounds and ways of dealing with them.

Biography:

Antoinette David is currently pursuing PhD from RMIT University, Melbourne. With a keen passion for neuroscience nursing, she began her nursing career in the Neurosurgery and Neurotrauma ward at The Alfred Hospital, a major teaching hospital in Australia. For the last 6 years, she has been the Clinical Support and Development Nurse on the ward with a focus on monitoring, reviewing and upholding high standards of nursing clinical practices. Her clinical supervisors, Dr Mervyn Jackson, Dr Heather Pisani and Professor Eleanor Holroyd have inspired her to pursue her current educational path.

Abstract:

The intrinsic nature of nursing necessitates continuity of care, a concept enabled informally through verbal handover. Nurses ritualistically practice verbal handover to provide focus and direction for the oncoming nurse. Th e following research will report on phase 1 of a 2-phase study examining the nurse’s perspective of verbal handover. Phase-1 of the research was undertaken using Grounded Th eory Methodology, a qualitative study design that is philosophically underpinned by symbolic interactionism. Th e study aimed to identify the role of verbal handover in the provision of nursing care from the perspective of the nurse. Th e participants were 41 Registered Nurses from acute care surgical and medical backgrounds in a metropolitan hospital in Melbourne Australia. Purposive sampling was utilized and data was collected using intensive interviewing techniques in 6 focus groups with approximately 7 members each. Th e data was then coded and analyzed concurrently allowing the categorization of core concepts. Th e research fi nding indicated that communication was the underlying core-concept with linked themes such as relevance of information, duty of care, professional roles of nursing, timelines, scope of practice and modes of handover also infl uencing handover practices. Th ese themes then led to the development of the following theory: Nurses feel the need to be prepared in order to know and care for their patients which in turn identifi es the role of ‘end of shift verbal handover. Th is information will further serve as the foundation for Phase-2 of a Mixed Method study to quantitatively generalize the fi ndings and to identify what information nurses require for them to care for patients. It will also provide an opportunity to review communication in verbal handover from clinician’s perspective.

Biography:

Nancy McNamara is currently pursuing her PhD from Central Queensland University in Australia. She is a Senior Nursing Lecturer working in the Postgraduate Nursing Program in the Centre for Health and Social Practice at Wintec in New Zealand. She has an interest in simulation in nursing education and has published several papers in reputed journals.

Abstract:

The aim of this research was to evaluate student learning from a newly introduced simulation program. Th e n=158 second semester nursing students taking part in a 40 hour simulated nursing practice program reported signifi cant learning in the areas of basic skills, clinical documentation collaboration and care. In this subsequent study students were asked to rate their learning in the areas identifi ed. Students were asked to complete a questionnaire at the start of their simulated practice program by rating their knowledge, understanding and perceived competence in diff erent areas of practice. At the end of the program students were asked to re-rate their knowledge, understanding and perceived competence in the identifi ed areas of the learning. Student scores were recorded and analyzed three ways using descriptive statistics. Overall, the analyses showed a statistically signifi cant diff erence between students’ pre and post scores. Students’ highest post-test score was in their understanding of the patient experience. Th is study provides evidence that the program signifi cantly improved students’ ability to confi dently make clinical decisions, complete professional documents and maintain a therapeutic patient relationship. Similarly, the program appears to have signifi cantly improved students’ understanding of issues directly relevant to patient care such as reason for admission and diagnosis, patients’ experience and competencies in providing patient care.

Biography:

Ayfer Elcigil was graduated from Hacettepe University School of Nursing in 1992. She has completed her PhD In 2003 from Ege University School of Nursing. She has interest and experience for Palliative care and involved many educational activities; the most prominent of these being the Chair of Palliative Care Working Group of TONA.

Abstract:

Background: From having been known as a virulent disease in 1970s, cancer is now considered a chronic disease and about two thirds of cancer patients live for fi ve years aft er diagnosis. Home care has gradually gained more importance and it is a great burden on the shoulders of caregivers. Caregivers have to undertake the responsibility of the cancer patient's home management and organize care and arrange health care services according to the ever-changing condition of patients. Caregivers should be prepared for home care so they can provide accurate and complete care. Th is descriptive study aimed to investigate challenges that caregivers encounter in the home care of patients and the reasons for these challenges.

Materials & Methods: Th e research group consisted of caregivers of outpatients in a daily treatment center in a university hospital. Th e research sample consisted of 137 voluntary caregivers of patients who attended the Daily Treatment Center for control, chemotherapy or other supportive cares services between January-June, 2011. Data were collected with face-to-face interviews in the Daily Treatment Center. Ethics Committee approval was taken from the university hospital; caregivers and their patients were informed about the research and their approval was obtained as well.

Results: It was found that 54.0% of caregivers helped with patient's nutrition, 50.4% with medicine use, 26.3% with oral hygiene, 26.3% with meeting urinary needs and 51.8% with changing clothes. In addition, 69.3% of caregivers helped to change bed sheets, 38.7% assisted patients to communicate with their environment and 71.5% to bring the patient to hospital or outside.

Conclusions: In this study, it was found that Turkish caregivers experience challenges due to following factors: Patient nutrition, medicine use, oral and body hygiene, colostomy maintenance and stomach tube feeding, concern of dropping the patient, feeling incompetence in body temperature and fever control, fatigue and lack of personal time.

Biography:

Filiz Ozel has completed her Undergraduate study in the Nursing Section of Uludag University School of Health (2004-2007). After obtaining her undergraduate degree, she has worked as a Clinic Nurse (2007-2009). She has initiated her Postgraduate study in the Department of Internal Diseases Nursing, Ege University Health Sciences Institute. She has completed her Doctorate education from the Department of Internal Diseases Nursing, Ege University School of Nursing. She has then worked as an Observer in the Behcet’s Syndrome Center af New York Langone Medical Center Seligman Center For Advanced Therapeutics. She took part in a number of national and international congresses and courses during her postgraduate and doctorate education. She is currently working in the Department of Internal Diseases Nursing, Ege University Nursing Faculty as a Research Assistant.

Abstract:

Behcet’s Disease (BD) is a chronic, relapsing, systemic vasculitis of unknown aetiology with clinical features of mucocutaneous lesions, ocular, vascular, articular, gastrointestinal, urogenital, pulmonary and neurologic involvement. In BD, symptoms are varied and all these symptoms negatively aff ect the biopsychological and social life of the patients and reduce their quality of life. In a study by Canbolat et al. (2010), it was determined that, of the patients, 75.5% had pain, 31.9% had sleep problems and 23.4% suff ered from fatigue. While bodily pains aff ected the daily lives of 59.6% of the patients, fatigue aff ected the daily lives of 69.1% of them. In a study conducted by Karlıdag et al. (2001) it was determined that patients with Behcet’s disease experienced fear, sadness, anxiety, hopelessness and ambiguity (74.9%), that they oft en used active relaxation strategy (36.1%), distraction strategy (25%) and avoidance strategy in order to cope with the disease and that those who had diffi culty in coping suff ered psychiatric symptoms. Nursing care is for these people who need a qualified nursing care team available to them 24 hours a day. Th at might include people who need intensive rehabilitative care, for example, people who need oral care, people with physical disabilities and people with long-term conditions. Nursing care is based on the use of personalized care plans. Individual nursing care plan is important for these patients.

Biography:

Lisa Foertsch has completed her MSN in 1989 and she has recently completed DNP with Adult Medical Surgical Clinical Nurse Specialist Concentration. She has 25 years of teaching experience in nursing primarily caring for surgical patients.

Abstract:

Purpose: Th e purpose of this project was to develop, implement and evaluate a teaching tool for self assessment of the surgical incision aft er laparotomy surgery. Background: Hospitalized patients have an increased level of acuity and are discharged earlier. Shorter length of stay limits the nurses’ ability to provide comprehensive discharge instructions and validate understanding of surgical incision care.

Description: Two sets of discharge instructions, one with text only and one with text and pictures were used in this project with post-operative exploratory laparotomy patients. A total of 60 patients were recruited over a 3-month period. Th e fi rst 30 patients received standard discharge instructions (text only). Th e next 30 patients received discharge instructions utilizing the new tool and a hand held mirror (text, pictures and mirror) to assist with visualization of the incision. A follow up phone questionnaire was completed on day seven post surgery to assess patient’s ability to inspect their incision for infection and confi dence with discharge instructions.

Outcome: Th e group receiving text, pictures and mirror had improvement in comprehension of the instructions. Th is group of patients felt that the instructions were clearly stated and confi dent in their ability to identify normal healing versus a surgical site infection and felt confi dent about notifying physicians. Th e intervention group felt that the pictures helped in identifying normal healing versus a surgical site infection (SSI) and the mirror assisted with visualization.

Conclusion: Th e revised teaching tool (pictures and text) and use of a hand held mirror improved patient ease and confi dence for early detection of a surgical site infection.

Implications: Clinical nurse specialists can infl uence the patient, nursing staff and health care system as a change agent making a signifi cant impact on patient outcomes.

Biography:

Alice Jane Haines has obtained her BSN from West Virginia Wesleyan College and her Master of Science in Nursing Education and Doctor of Nursing Practice from the University of Pittsburgh. She is currently an Assistant Professor in the Department of Acute and Tertiary Care at the University of Pittsburgh. She has worked for 33 years in Nursing and has 25 years of Nursing Education experience. She has also worked as a Staff Nurse for more than 5 years on a Lung Transplant Step-down Unit. Caring for Lung Transplant recipients and their caregivers is truly her passion.

Abstract:

Introduction: Th e literature has documented the stressful nature of care giving. It is a well-known fact that caregiver health affects patient health and vice versa. Prior studies have reported that female caregivers in other populations are more stressed and anxious than their male counterparts. Few of these studies have assessed gender diff erences in transplant caregivers and most have addressed issues that occur pre-transplant. Th e purpose of this study was to assess the level of stress and anxiety by gender and over time in a population of post-lung transplant caregivers.

Methods: Th e study was a single group longitudinal design. 83 caregivers (59 females, 24 males) of lung transplant recipients located at a large tertiary health care center in southwestern Pennsylvania completed the Perceived Stress Scale (PSS) the State Anxiety Scale (SAS) and the Trait Anxiety Scale (TAS) a three points during and aft er the hospitalization of their signifi cant other (baseline, 4 weeks, 8 weeks). Eligibility criteria included; Primary caregiver for a lung transplant recipient, 30-80 years of age and able to read, write and speak English.

Results: Mean age for females was 54.9 years; for males 55.9 (range 30-75). Most sample members were white (91%) spouses (72%). All were educated at least at the high school level. All subjects had scores for the PSS, SAS and TAS that were above the normed group scores for their age group (ages 50-69). For the PSS, normed means for males is 12.1; for females it is 13.7. For the State Anxiety Scale (SAS), normed means for males is 34.51 and 32.20 for females. Th e Trait Anxiety Scale (TAS) normed mean for males and females is 33.86 and 31.79 respectively. Th ere were decreased scores noted in both sexes at 4 and 8 weeks on the PSS but this was not found to be statistically signifi cant. Data were analyzed using an independent sample t test.

Conclusions: Preliminary fi ndings show that all subjects had PSS, SAS and TAS scores above the normed means at all three data collection points indicating that this sample is more anxious and stressed than the general population. To our knowledge, this was the fi rst study that assessed stress and anxiety by gender in post-lung transplant caregivers.

Biography:

Gulsah Kose has completed her PhD from Gulhane Military Medical Academy, School of Nursing and currently she is the Lecturer at the same school. Her areas of interests include neurosurgery nursing, intensive care nursing, orthopedics nursing and education. She has done her Master’s and Doctorate thesis in cranial surgery patients.

Abstract:

Introduction: Nurses in the ICU can detect delirium not only through clinical experience but also a suitable instrument should be used. ICDSC is a quick-administered instrument with many advantages in terms of patients and users. Th erefore, ICDSC is one of the instruments used by nurses to detect and monitor delirium in the ICU.

Purpose: Th e aim of this study is to investigate and evaluate the cultural and linguistic validity and reliability of intensive care delirium screening checklist (ICDSC) for the diagnosis of delirium in intensive care unit patients in Turkey.

Methods: A cross-sectional study design was used. Fift y-nine patients in an intensive care unit for longer than 24 hours were included in this study. Th e patients were assessed for delirium by two nurses and a psychiatrist. Th e nurses evaluated the patients by using ICDSC and the psychiatrist assessed them according to Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV) criteria. Th e assessment of the psychiatrist was taken as gold standard for the diagnosis of delirium. Th e evaluations of the nurses were compared with the gold standard method and the receiver operating characteristic (ROC) curve analysis of the scale was performed for the validity of scale.

Results: Cronbach’s alpha coeffi cient indicated that ICDSC was a reliable test with high internal consistency (specialist nurse min: 0.720, max: 0.855, primary nurse min: 0.728 and max: 0.830). ROC curve analyses of the nurses’ evaluations were found 0.863 and 0.767 respectively. Th e specifi city (82.1 and 81.4), sensitivity (90.6 and 71.9) and inter rater reliability (0.607-0.921) of the ICDSC were found in both nurses’ evaluations.

Conclusion: Th e fi ndings showed that the sensitivity and specifi city of ICDSC are high for Turkish patients. ICDSC provides fast and eff ective evaluations of the patients for delirium. So, ICDSC may be easily integrated into routine nursing practice.

Biography:

Ameera Aldossary has completed her PhD in Nursing Studies on January 2011 from King’s College London and her Master of Science in Health Services Management on November 2004 from London School of Hygiene and Tropical Medicine, UK. She is the Director of Nursing Practice, Education and Research in King Fahad Specialist Hospital-Dammam and she was an Assistant Professor of Nursing in Prince Sultan Military College of Health Sciences form 2005 to 2014. She has published three papers in reputed journals and has been participating in several workshops, symposiums and conferences nationally and internationally. She was the Member in the Nursing Scientifi c Board in the Saudi Commission for Health Specialist.

Abstract:

Background: High reliance on expat nurses without preparing them to develop psychosocial and communication competencies (i.e., language, culture) to deal with Saudi patients is a major problem. Previous studies conducted in the Middle-East indicating that nurses are not performing eff ective communication with patients as they are not using patient-centered approach when delivering nursing care. Many factors were stated as hindering of eff ective communication such as workload, organizational support and culture with priorities were given to the physical care.

Objectives: To compare the view of patient and nurse participants regarding patient-nurse psychosocial and communication performance in three military hospitals in the Eastern province of Saudi Arabia and to identify hindering factors of patientnurse psychosocial and communication performance in three military hospitals in the eastern province of Saudi Arabia.

Methods: A descriptive survey was considered to be the most appropriate design to address the study aim and objectives using Quota sampling method in order to achieve good response rate. All nurses and Saudi patients located in the Military hospitals in the eastern providence were the target population. A 14 activity items of “psychosocial and communication aspects of patient care” that drawing upon the King’s Nurse Performance Scale was used as a measurement tool. In addition, 6 items were developed from the literature review and added to the self-administered questionnaire in order to address all the study objectives.

Results: Th e overall response rate was 61% (n=362) with a response rate by sample group as follows: Nurses (n=218, 73%) and patients (n=144, 48%). Th e patient participant’s response confi rming that patient-nurse psychosocial and communication performance in military hospitals needs improvement as it is performed occasionally and seems not delivered within the nursing daily care. While more than half of the nurse participants (n=112, 53%) agreed that the nurse does not have enough time to communicate with the patient eff ectively, slightly more than 60% (n=86) of the patient participants disagreed indicating that patients are expecting patient-nurse psychosocial and communication within the nursing daily care. However more than half of the patient participants agreed that the nurse does not speak the patient’s language to be able to communicate with him/her (n=74, 53%) and the nurse has very limited knowledge about patient’s culture to be able to communicate with him/her (n=79, 56%).

Conclusion: Th us, an improvement of nurses’ psychosocial and communication skills is needed for eff ective performance. Policy and decision makers in Saudi Arabia especially in Military hospitals need to consider this issue seriously as it is a part of quality of care and patient safety.

Biography:

Shalabia El-Sayead Abozead has completed her PhD and Postdoctoral studies from Assiut University Faculty of Nursing. She is a Teacher in Faculty of Nursing, Assiut University, Egypt. She has published more than 10 papers in reputed journals and has been serving as a Reviewer in some journals.

Abstract:

Background: Needle stick and sharp injuries are important problems for nursing students as they increase the risk of spread of infection.

Aim: Th e aims of this study were to found out the incidence of needle sticks injury (NSI) among Arab nurse students and to evaluate the circumstances around this situation.

Design: Th is multi-centre study was carried out as a cross-sectional survey based on a self-administered questionnaire. It was conducted among the undergraduate nursing students (from 2nd year to the fi nal year). A descriptive comparative design was used to explore the incidence of needle sticks injury (NSI) among Arab nurse students and evaluate the circumstances around this situation.

Setting: Th e study was conducted at faculties of nursing among four Universities at Jordan, Egypt, Iraq and Saudi Arabia.

Sample: Th e study sample included all undergraduate faculties of nursing students (1320) who agreed to participate in this study from their second year to their fourth year of study at faculties of nursing for the selected countries.

Method: A self structured questionnaire of two parts was used: Th e fi rst part presented socio-demographic questions. Th e second part includes questions about the needle stick at clinical practice, their frequency (including number, nature and reason), the place where the NSIs occurred and whether the event was reported.

Results: Th ere was high percentage of students exposed to needle stick the percentage who have been exposed to injury were 40% and this is a serious indicator. Also not all students know about the global preventive measures, acupuncture safety device or how to deal with the contaminated needle. Finally there was a high incidence rate, lack of knowledge toward needle sticks among university nursing students within all the selected universities which was statistically signifi cant.

Conclusion: Proper steps are needed to promote the awareness of and educate students about the dangers and prevention of injuries.

Biography:

Ahsen Sirin has completed her Undergraduate study in Nursing from Hacettepe University Faculty of Nursing. She has completed her Master’s degree at Population Studies Institute from Hacettepe University, Ankara and Second Master’s degree in Women's Health and Diseases Nursing from Ege University, Faculty of Health Sciences, Izmir. She has completed her Doctorate degree in Women's Health and Diseases Nursing from Ege University Faculty of Health Sciences and became Associate Professor and Professor in the same branch (1996-2002). She has retired her governmental occupation from Ege University in 2011. From the year 2012, she has started working in private and or foundation institutions and universities. During the years 2012-2014, she gave midwifery lessons at midwifery department of Bilim University Istanbul. She is working as Members Instructor from 2014 in Zirve University; Health Sciences Faculty in School of Nursing Department at Gaziantep city.

Abstract:

Objective: To determine the health related attitudes, behaviors and practices of women during pregnancy and to establish appropriate nursery applications that may aid in improvement and promotion of women’s health during pregnancy.

Methods: Data was derived from 244 pregnant women admitted to the obstetrics and gynecology department of a tertiary care centre for their routine follow-up. Two questionnaires consisting of “Personal Introductory Form” and “Health Practice Questionnaire-II” were applied to gather information about demographics and health related knowledge and attitudes. Cronbach’s alpha has yielded a coeffi cient of 0.644 indicating a satisfactory level of reliability.
Results: Pregnants were assigned into 5 age groups as 18-22, 23-27, 28-32, 33-37 and ≥38. No statistically signifi cant diff erence could be detected between age groups in terms of Health Practice Questionnaire-II scores (p=0.849). No statistically signifi cant diff erence could be detected between age groups (p=0.849), marital statuses (p=0.379), economical status (p=0.539), numbers of pregnancies (p=0.057) and site of accomodation (urban vs. rural) (p=0.572) in terms of Health Practice Questionnaire- II (HPQ-II) scores. In contrast, a remarkable diff erence for HPQ-II scores was noted with respect to professions (p=0.001), educational levels (p<0.001) and body-mass indices (p=0.004) of pregnants. No diff erence was noted between planned or unplanned pregnancies with respect to HPQ-II scores (p=0.083). However, HPQ-II scores displayed signifi cant variation between pregnants whose husbands assisted them during daily life and whose husbands did not (p<0.001).

Conclusion: Our results have shown that investigation of the health related behaviors and attitudes of women during pregnancy in addition to increased awareness of nurses could yield substantial contribution to improve the healthcare of pregnant women.

Biography:

Martin Pallauf studied care management and is a registered elderly care nurse. He completed his PhD in Nursing Science (focus on gerontology) at UMIT, the Health & Life Sciences University, in Tyrol/Austria in 2013. He has worked as a scientist at the Institute for gerontology and demographic development and at the Institute of Nursing Science at UMIT since 2009. His research focuses on gerontological topics.

Abstract:

Background: Th is presentation focuses on a gerontological research project on the burden amongst informal caregivers of older family members. Th e research project addresses the impact of multiple caregiving roles and relationship confl icts on caregivers’ burdens and their social and psychological well-being.

Method: Th e qualitative research project has been divided into three steps: In the fi rst step, 13 informal caregivers of noninstitutionalized older family members are interviewed. All caregivers are sandwiched between own children and aging family members. In the second step, 13 informal caregivers of institutionalized older family members are interviewed. In a third step, the data received in steps one and two is discussed with nine diff erent experts.

Results: Th e combined results derived from all three steps clearly show that caregivers suff er from personal, social, psychological and fi nancial strains. Caregiver burden can lead to a high level of long-term stress and lower personal life quality. Sometimes demands are extremely high, more than caregivers can handle. Th is can contribute to caregiver symptoms such as depression or burnout. Especially burdens and stress caused by multiple role confl icts have a determining infl uence on those symptoms. Feelings of guilt and a bad conscience are dominating the caregivers’ basic mood. For caregivers, diffi cult decision-making situations are part of their daily routine. Especially paternalistic decisions can burden caregivers.

Conclusion: Further systematic qualitative research is necessary, comprising the view of additional family members and aff ected individuals. Detailed examinations of external support and infl uences have to be examined. At the same time, quantitative research projects will be necessary to survey qualitative based opinions.

Biography:

Brahima A Diallo is an Anthropologist and he is currently pursuing PhD at the Bayreuth International Graduate School of African Studies, Germany. He has got his Master’s degree at the University of Tromsø (Norway) working on Traditional Midwifery in Tuareg community in East-northern Mali. The work was published by Lambert Academic Publishing. His fi elds of interest are Women reproductive health and health system research. He is co-author of two published articles in scientifi c journals.

Abstract:

This work explores women’s reproductive attitudes and the knowledge transaction among actors involved in the process of taking care of expectant mothers and babies in a Fulbe community in Mali. It draws on an 11 months fi eldwork using observation and semi-structured interview techniques. Th e work demonstrates the challenges of local health centers providing health services and the trajectories of mothers and infants looking for remedies for their health needs. In Diondiori commune, issues related to the pregnancy, childbirth and babies’ healthcare are surrounded by social and cultural representations. Local people have their own image of an ideal child bearing. A woman should demonstrate her bravery throughout the gestation and at the delivery. Apart from primiparas who are mostly entrusted to their own mother, the other expectant mothers should deal with their pregnancy and childbirth alone. In order to bridge the gap between the people and the health centers, local health authorities undertake some initiatives. Community health workers are recruited to sensitize pregnant women to come to health centers for antenatal visits and for childbirths. Consecutively, health workers regularly visit villages for preventive vaccine to infants against illnesses. Th ese initiatives sponsored by Médecins du Monde (NGO) have been assessed by health professionals as being a success. And through the one year intervention of the NGO, the local health system was reinvigorated although there is still a dilemma to health workers regarding the sustainability of off ering satisfactory health services to women and children in the commune.

Biography:

Jennifer C Cash has completed her Undergraduate and Graduate Nursing studies at the University of South Florida in Tampa. She has over 25 years experience in Medical/Surgical and Radiation Oncology with numerous publications and speaker engagements. She is currently employed at Skin Savvy, Rx, an ARNP owned Medical Aesthetics facility in South Tampa.

Abstract:

The role of the nurse is multifaceted with the care of oncology patients that includes emotional, psychological and physical support throughout the course of a patient’s diagnosis and treatment. However, once treatment is fi nished, when patient’s must go back to their lives and start dealing with the sequalae of post treatment eff ects, the opportunity to continue this support lies within the fi eld of Medical Aesthetics. It is well known that post treatment eff ects from surgery, chemotherapy and radiation therapy can be signifi cant, causing physical changes in body image, decreased or loss of self esteem and coping abilities. Th e use of neurotoxins, dermal fi llers and a variety of lasers (i.e., light based, Iridex, ablative Profractional) can improve patient’s lives by minimizing and or erasing the eff ects of these therapies. Neurotoxins are commonly used for a number of conditions that include facial asymmetry aft er surgery and for recurrent migraines secondary to muscle pain and or chronic medication use. Dermal fi llers replace the loss of volume and fat in the face that is a visible reminder of the weight loss from the disease and treatment as well as surgical defects. Light based therapies (IPL and Broad Band Light) decrease red and brown pigment around scars and surgical sites. Broken blood vessels surrounding implanted intravenous ports that have been removed are well treated with lasers such as Iridex (Varilite). Ablative Profractional lasers (Sciton) address deeper surgical defects and soft en the signs of treatment related stress and fatigue. Nurses play an integral role in helping patients’ plan for their future beyond their diagnosis and treatment. Medical aesthetic treatments can and should be advocated as a treatment option for patients’ having completed their formal therapies as another tool for assisting the patients’ in their path of survivorship.

Biography:

Eva Schulc has studied Sports Sciences and Health Sciences and she is a Registered (Sport) Physiotherapist. She has completed her PhD in Nursing Science at UMIT, the Health & Life Sciences University in Tyrol, Austria in 2010. She has worked as a Scientist at the Institute of Nursing Science at UMIT since 2006. Her research focuses on community health nursing.

Abstract:

Background: Th e aim of this study was to determine whether or not the Barthel Index (BI) is an adequate basic assessment tool to identify a risk group in people aged 70+ living at home whose capacity for independent living is at risk.

Methods: A multidimensional nursing assessment was performed on 344 people aged 70+ living at home in Austria using the Barthel Index to rate activities of daily living and other functional health indicators. Instead of categorizing the total BI scores (TS) into four groups, the sample was divided into two groups: Independent older people (TS 85-100 pts.) and nonindependent older people (TS 0-80 pts.). Th e division into two groups is based on the assumption that independent living at home is virtually impossible with a TC of 0-80 pts. However, people aged 70+ who are completely independent or only partly in need of care are certainly able to live an independent life. Th e strength of the association between an independent or nonindependent lifestyle and functional health impairments was measured by means of odds ratios with a 95% confi dence interval.

Results: Th e BI classifi ed 76.8% of the 70+ year-olds (n=265) as independent. In comparison to the independent group, the non-independent group (n=79, 22.8%) had signifi cantly more health-related problems in all assessed dimensions (e.g., TS of the IADL Index [0-7 pts.] (OR 1.4, 95% CI [1.31, 1.53]), dissatisfaction with general health status (OR 5.1, 95% CI [2.99, 8.71]) and falls during the last year (OR 2.9, 95% CI [1.69, 4.88]).

Conclusion: Categorization of the BI was able to identify a risk group and can provide a solid basis for target-group-specifi c support planning in the fi eld of home-based primary care in Austria under due consideration of bio-psychosocial conditions.

Biography:

Khatijah Lim Abdullah is an Associate Professor at the Department of Nursing Sciences, Faculty of Medicine; University of Malaya. She has obtained both her BSc in Nursing Studies and Masters in Health Services Management from the University of Manchester UK and her Doctorate from the University of Southampton, UK. Her current research interests are in inter-professional education, nursing practice, patient shared decision making, particularly in non-communicable diseases (NCDs), patient safety and clinical leadership.

Abstract:

Introduction: Asthma aff ects an estimated 300 million people worldwide. Th e estimated prevalence of asthma among adults in Malaysia is 4.2%. One of the important factors in poor asthma control is non-adherence to treatment. Evidence has indicated prevalence and severity of symptoms and rates of hospital admission for adults with asthma are increasing in many countries due to non-adherence to prescribed medication.

Methods: Th e purpose of this study was to assess the level of knowledge and attitude of patients with asthma at a tertiary teaching hospital and to determine factors that infl uence adherence to prescribed medications. Th e study design was a nonexperimental, cross sectional design using self administered questionnaire adapted from Leroyer et al. Th e sample consisted of 109 adults with asthma from the respiratory clinics at the hospital.

Results: Nearly two thirds (61%, n=67) was found to be in the low adherence range with only 3% (n=3) and 36% (n=40) in the high and medium adherence range respectively. Th e mean score on asthma knowledge and attitude indicated poor knowledge (mean score: 5.45 max score: 12, SD 2.58) but positive attitude (mean score: 81 max score: 93 SD 8.78). Th e presence of comorbidities signifi cantly predicted the adherence (OR=16.21, 95% CI: 7.76-33.84, P<0.01). However other factors, including age, sex, ethnicity, duration of asthma diagnosis and number of prescribed medications did not signifi cantly adhere adherence (P>0.05).

Conclusion: Adults with asthma at a tertiary hospital in Malaysia had poor adherence to prescribed medications. Comorbidities were the only factor found to signifi cantly predict medication adherence in adults with asthma. Th us management of comorbidities is essential to achieve better adherence to medication and better control of the condition.

Biography:

Vanessa Pepino has graduated in Physiotherapy by Pontifi cal Catholic University of Campinas in 2002 and pos graduate in Osteopathy by Madrid School of Osteopathy in 2007. She has completed her Master at the age of 33 years from Campinas State University (UNICAMP). She is currently a doctoral student at UNICAMP in the program of "Child and Adolescent Health"

Abstract:

Preterm infants are exposed daily too many stressors in the neonatal intensive care unit inherent to the critical care they need to survive. It has already been shown that this exposure can aff ect its development, language, social-emotional and adaptive-behavior. Tactile stimulation sometimes associated with kinesthetic stimulation has been the object of clinical studies since the 1960s and is used in preterm infants along with the standard clinical treatment. Tactile stimulation has advantages of being non invasive and a relatively inexpensive technique; generally some kind of benefi t such as faster weight gain, shorter hospital stay and better behavior among others was reported by studies that used this technique in preterm infants. Tactile stimulation seems to represent a potential tool to improve preterm health. Th e differences and similarities between the methods were reviewed in clinical trials and were highlighted in an attempt to improve the methodological quality of future trials.

Biography:

Hassan Athamneh has completed his Bachelor’s degree in Nursing with Postgraduate Diploma in Oncology, adding to that a 15 years of Pediatric Hematology Oncology experience as staff nurse, Charge Nurse, Manager and Clinical Nurse Educator. He is currently enrolled in a Master’s degree program in Health Care Administration and Management. In addition, he is a certifi ed AHA Instructor for Basic Life Support and also for Pediatric Advanced Life Support. He is currently working as a Clinical Nurse Educator in King Faisal Specialist Hospital and Research Centre.

Ashraf Al-Rawashdeh is a Graduate from University of Jordan with a Bachelor’s degree in Nursing, working in Emergency Department in Amman. He has then joined King Faisal Specialist Hospital-Pediatric Cancer Center as Staff Nurse-I, Charge Nurse. In 2006, he started working as a Clinical Nurse Coordinator for Neuro-Oncology and Lymphoma Program as a Specialist Nurse to provide support and education to staff and patients in the specifi c specialty areas and in the year 2011, he has became the Head Nurse for OPD-Treatment Area with the main responsibility to direct and supervise nursing staff in provision of nursing care and ensure the availability of support services which facilitate this care. He has also worked on various projects with his team such as Patient fl ow project, Treatment Area Streamlining Project, Walk-in Guide line project and Restructure of Rapid Response team Process & coverage at KFNCCC.

Abstract:

The health care organizations today have to be constantly on their toes to improve the health conditions of its patients and provide with holistic health care and treatment. Moreover, with the awareness among health care consumers and patient centered approach, the safety of patients has become one of the primary concerns of health care organization. Hence, it is the core responsibility of medical settings to provide with customer wellbeing and satisfaction at all levels, since failure to rescue the patients and recognizing deterioration of their health can immediately increase the mortality rate of the health care center. In the United States, the ‘100,000 lives campaign’ started the facilitation of Rapid Response Teams or RRT to ensure that the patients are safe and being provided with holistic approach of wellbeing through across all hospitals and medical centers. Th e Rapid Response Team was initially set up to ensure that hospitals maximize their service and ensure that their patients are safe. It also helps to reduce death rates in the medical centers and prevents cardiac arrests that usually occur aft er the symptoms of physiological deterioration. Th e system of RRT is a team based approach that supports the patients with the objective of instant attention and quick service to those patients who suff er from various clinical health deterioration conditions such as cardiac failure, hypotension, pulmonary edema, respiratory failure, diff erence in consciousness, sepsis and arrhythmias. With our hospital experience implementation, data reveals that this team based process has signifi cantly reduced mortality rates and transfer of patients to PICU department. Hence, various health care settings have decided to install the RRT system as it provides with great advantages to the hospitals. Th ese include: Increase in rescue incidents; less number of pediatrics codes outside critical care departments and limited unplanned transfer of patients to PICU.

Biography:

Asuncion Alvarez-del-Rio has received her Master’s degree in Clinical Psychology and PhD in Science, main fi eld Bioethics, both from the Universidad Nacional Autonoma de México (UNAM). She is a Professor and Researcher at the Psychiatry and Mental Health Department, Faculty of Medicine, UNAM. She is the Member of the Board of the National Bioethics Commission from 2005-2009 and Academic Secretary of the Colegio de Bioetica from 2006-2012.

Abstract:

Views regarding death vary within the healthcare profession. We present the results of a study which explores the views of Mexican nurses about death in their clinical practices using the Nurses’ Views about Death Questionnaire, which was developed for this study. Two hundred and eighty nine nurses were surveyed, all of which had experience treating terminally ill patients. Th e questionnaire was applied in a voluntary fashion to nursing personnel of two diff erent hospitals in Mexico City. Th e study brought objective information on a situation that has been mainly viewed through anecdotic information. Results show that most nurses claim that patients should be informed when she/he is in a near death situation. However, only about half of them feel comfortable dealing with terminally patients. Additionally, the study explored nurses views about physicians’ attitudes towards patients who inevitably will die thus enhancing our comprehension on this topic which was fi rst addressed through a study conducted with Mexican physicians. In the current study, nurses consider that physicians do not have as much conversations regarding death with their patients as what physicians claim (when compared with results from a previous study). Nurses in the study agreed with the need of establishing special places and opportunities to discuss and refl ect about issues related to death. Understanding how health care teams face patients’ death in Mexico will have a positive impact on the development of educational activities in order to help them cope with end-of-life situations.

Biography:

Noordeen Shoqirat is a Jordanian Researcher graduated in 1998 from Jordan University with a BSc degree in Nursing. He has then received his Postgraduate studies in UK. In 2004 he was rewarded his MSc in Acute Care Nursing from Edinburgh-Napier University about care of patients in comma. Later in 2009, he has obtained his Doctor of Philosophy degree from Queen Margaret University in the UK. He has an extensive international nursing clinical experience. He has worked as an In-charge of neuro-ICU at Jordan University Hospital and Clinical Neuroscience for 4 years and neuro-surgery at Western General Hospital, UK for 5 years. In 2013, he was awarded a Fulbright Scholarship. He is currently the Dean of Nursing Faculty at Mutah University. His 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.

Abstract:

Internationally, it is agreed that pain management is a central component of nursing care. Although much has been written about pain prevalence among patients aft er surgery, research is scant on patients' experiences of nursing pain management and factors involved. Th is study explores patients' experiences of nursing pain management in Jordan and identifi es 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. Th e fi rst theme was living in pain and comprised two categories: From sleep disturbances to the fear of addiction and from dependence to uncertainty. Th e second theme was about barriers that aff ect 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. Th e 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 eff ective pain management. Unless this occurs in their daily encounters with patients, another decade will pass with little change in the practice of pain management.

Biography:

Mary T Boylston has completed her Doctorate in Educational Leadership in 2005 at Immaculata University. She is an Advanced Practice Board Certifi ed Holistic nurse, full Professor and End of Life Coordinator and Trainer. She has been appointed by the Collegiate Commission of Nursing Education as a site visitor. She has also worked for the PA Department of Education. While at Eastern University, she has served as Nursing Informatics Coordinator, Faculty Development Director and two stints as Chair of the Department of Nursing and she is the editor of the Nursing Connections magazine.

Abstract:

The current economic climate of the United States has contributed to the crisis in health care delivery services. As a result, an increasing number of individuals present as indigent and vulnerable. Currently, there are 50.7 million uninsured Americans with literature clearly reflecting an association between poverty and ill health. With a number of economic barriers to health care, it has been suggested health care providers’ attitudes and subtle prejudices have also contributed to access. These preconceived negative attitudes can shame and embarrass vulnerable, homeless, immigrant, and impoverished individuals from attempting to access care. This research attempted to identify preconceived attitudes that second degree baccalaureate nursing students possess prior to clinical exposure to indigent and immigrant populations through qualitative and quantitative investigative methods. Senior level community health students preparing to deliver health care at a suburban homeless day shelter were asked to describe their experiences and opinions relative to indigent persons before and after their actual contact with this population. Collected data suggest there are subtle stereotyping and negative attitudes regarding the plight of overtly impoverished individuals before rendering care. After the eight-hour clinical experience with the a fore mentioned population, attitudes toward the vulnerable slightly improved suggesting clinical and didactic exposure to the plight of impoverished populations may assist to sensitize student nurses to exude compassion through a holistic therapeutic nurse-client relationship.

Biography:

Sharon Elizabeth Metcalfe is currently an Associate Professor of Nursing at Western Carolina University in Asheville, North Carolina. For over 8 years, Sharon has been an Associate Professor of Nursing and has had previous academic appointments as a Dean of Nursing for a private and community college. Additionally, she has been an educational grants researcher and has focused on grant funding for partnerships with colleges and medical facilities. Sharon is currently serving on the Board of the North Carolina Nursing Association Foundation from 2010 to the present. Sharon has focused her nursing research agenda on global leadership development for nurses and on mentoring transformational nurse leaders to meet the needs of the future. She additionally has been serving as the Program Director of the NN-CAT Program (Nursing Network-Careers and Technology Program) which is a national program that provides scholarships, stipends, and personal mentors to underrepresented ethnic minority students for guidance for applying to the baccalaureate of nursing education program at Western Carolina University, USA.

Abstract:

Despite the increased diversity and multicultural transformation of the population within the United States, the majority of nurses in the workforce are found to be educated from Caucasian backgrounds. At present, there is the minimal inclusion of students from underrepresented ethnic minorities, as well as students from the rural Appalachian region. This article describes an innovative and creative mentoring program that was implemented at a university to increase the diversity of the student enrollment in nursing. Through the use of specially trained nurses from the community, students received specialized mentoring, guidance and encouragement for academic and social success. Additionally, students received academic scholarships and monthly stipends to help eliminate financial hardships. With the guidance of the nursing mentors with students, there was an increase in the ACCEPTANCE rate of underrepresented ethnic minorities and rural Appalachian students for the School of Nursing program.

Biography:

Karen McQueen is an Associate Professor with the School of Nursing at Lakehead University in Thunder Bay, Ontario and Graduate Coordinator of the Master of Public Health (Nursing) and Primary Health Care Nurse Practitioner Programs. She graduated from the University of Toronto with a PhD in Nursing in 2009. With an extensive background in perinatal nursing and education, Karen's main clinical and research interests include breastfeeding promotion and intervention, the early identification and treatment of mothers with postpartum depression, care of infants with neonatal abstinence syndrome and preceptorship as a strategy to enhance clinical learning.

Abstract:

Preceptorship has been identified as an effective strategy for facilitating clinical learning among diverse health care professionals including nursing students and advanced practice nurses (e.g., Nurse Practitioners). The benefits of preceptor experiences are well documented within the health care student literature; however, barriers to the preceptorship experience have also been identified. Thus, the purpose of this study was to further evaluate the preceptorship experience within the Ontario Primary Health Care Nurse Practitioner (PHCNP) Program where preceptorship is an integral component. The study used a cross sectional design with an online survey and open-ended questions. The sample included 77 preceptees (recent graduates of the PHCNP program) and 169 preceptors from the PHCNP program. Descriptive data from the preceptee and preceptor survey responses were generally positive regarding the preceptorship experience with the preceptors having more favorable responses. While overall responses were positive, approximately 35% of preceptees identified at least one negative clinical experience and preceptors identified challenges to being a preceptor. Common facilitators and barriers to the preceptorship experience were identified. Facilitators included a clinical learning environment that had adequate space and diverse learning opportunities. The common barriers included aspects of the clinical learning environment (too small, too specialized, too slow), time (too busy), unclear expectations and lack of communication. Consideration should be given to addressing the barriers as they are amenable to intervention and could potentially enhance the preceptorship experience.

Biography:

Rita Marie Wi-Mahmoud has completed her PhD from Georgia State University. She is an Assistant Professor at University of West Georgia. She has presented in Spain, Malta, Canada and Philippines.

Abstract:

The objective of this presentation is to describe clinical performance of nursing students studying abroad on caring and cultural diversity aspects. Nursing students who study abroad have personal and professional interests in honing their knowledge and skills in the clinical practice. Students in the study abroad program are required to complete a daily journal and submit a summary of their clinical performance in eight areas. Th e eight areas include: Safety, education, informatics, competency, communication, teamwork and collaboration, critical thinking and reasoning, caring, holism and cultural diversity. Th e students’ journal and clinical evaluation tool serve as a method in eliciting the students’ caring and cultural diversity. Students are expected to adapt and study nursing practice in a diff erent cultural environment. Th e purpose of this presentation is to relate the nursing students’ caring behaviors and cultural diversity awareness while studying in Budapest, Hungary. Th e focus of discussion is on the importance of incorporating study abroad program in the nursing education in order to foster caring and cultural diversity in the students’ professional values. Th e experiences, challenges and issues of a study abroad program among nursing students are worth exploring and sharing thereby upholding nursing education, practice and research.

Biography:

Beth Marquez has completed her Doctor of Nursing Practice from Chamberlain College of Nursing in 2015 and her Master of Science in Nursing and Master of Business Administration with a concentration in Healthcare Management from University of Phoenix. Her Doctoral work focused on the impact of formal preceptor training on nurse satisfaction and role confi dence among nurses serving as preceptors. She has more than 15 years of academic and leadership experience and over 30 years in healthcare including serving as Dean of Academic Operations for the Atlanta campus when it opened in 2012 and as Dean of Academic Affairs since 2013. In her role, she oversees curriculum implementation, delivery of student services, growth and development of regional clinical partnerships and management of dayto- day campus operations. She is a Member of Sigma Theta Tau International, the American Nurses Association and the Georgia Association of Deans and Directors.

Abstract:

Healthcare organizations today are faced with signifi cant operational challenges. Th e substantial transformation of healthcare delivery has resulted in organizations searching for innovative ways to ensure sustainability of their fi nancial and human resources. Stakeholders at all levels are forming expectations of what the future will hold for the provision of quality healthcare services. If the fi nancial implications associated with nurse retention are not convincing on their own merit, the impact of turnover on patient care is a compelling concern as well. Increased turnover has been identifi ed as a factor associated with an increase in sentinel events. Literature reveals that by 2020, half a million nurses will retire resulting in a signifi cant loss of nursing expertise. Retention of existing nursing staff is critical to the fi nancial and operational sustainability of healthcare systems. A key factor impacting retention is nurse satisfaction which is directly impacted by the culture of the healthcare organization. Th e relationship between the new nurse and their preceptor can be a powerful factor in job satisfaction and retention. In the absence of a strong preceptor fi gure, nurses can have signifi cant barriers adjusting to the culture of an organization. Th e presentation will provide an overview of the value formal preceptor training can have on nurse satisfaction and role confi dence. Factors impacting retention, the link between nurse satisfaction and retention and the impact of nurse preceptor programs will be discussed.

Biography:

Tutticci Naomi is a PhD student, Session Academic and Research Assistant in the School of Nursing at the Queensland University of Technology, Brisbane. She has combined her interest in adult education and nursing to explore the role of refl ective thinking in undergraduate nursing programs. Her nursing practice has primarily been in nursing education and cardiac critical care.

Abstract:

Background: Critical refl ection underpins critical thinking, a highly desirable generic nursing graduate capability. To improve the likelihood of critical thinking transferring to clinical practice refl ective thinking and self-effi cacy needs to be measured within the learning space of simulation.
Study Design: This study was divided into two phases: Phase one used interviews and expert panel to address the validity measures of previously untested surveys and Phase two used a post-test only design to address the reliability measures of all instruments used.

Setting & Sample: Th e study was conducted in an Australian metropolitan university. All fi nal year Bachelor of Nursing (BN) students enrolled in the clinical capstone subject were eligible for inclusion.
Data Collection: Phase one data was collected by individual interview using a ‘think aloud’ approach and expert panel to review content validity. Phase two data was collected by an online survey.

Data Analysis: For phase one verbatim comment analysis and grouping of similar responses was undertaken. Expert reviewers rated each item and the content validity index was calculated. For phase two internal consistency using Cronbach’s alpha was measured for each subscale and total scales.

Results: Th e refl ective thinking instrument and self-effi cacy VAS was modifi ed (n=6) and items contextualized to simulation. Expert review confi rmed the instrument and VAS exhibited content validity. Internal consistency was demonstrated by all subscales and the refl ective thinking instrument as a whole (r=0.849). Participant (n=58) responses were positive about the simulation experience.
Discussion/Signifi cance of Impact: Th e research fi ndings demonstrated that the refl ective thinking and simulation satisfaction survey is reliable. Further development of this survey to establish validity is recommended to make it viable.

Biography:

Elizabeth Andersen is an Assistant Professor in the School of Nursing, Faculty of Health and Social Development, University of British Columbia. Her program of research has two streams. The fi rst is focused on exploring specifi c components of nursing home cultural change models and their effects on residents, families and paid caregivers. The second is education particularly undergraduate nursing education, student readiness and acculturation to practice. She is especially interested in the working conditions and expanding roles of more marginalized nursing home employees (care aides).

Abstract:

In this presentation, I describe and demonstrate an activity that clinical nursing instructors can easily use during post conferences to encourage refl ection, inspire, refresh and support nursing students. Th is activity is also comforting for students who are distressed and is congruent with the middle range theory of comfort. Th e activity builds on the role of the unconscious mind, the default network and the concept of distraction. Researchers have found that creative and unique thoughts or ideas occur more oft en to people who are engaged in a distracting activity than to people who are actively engaged in focused, deliberative and conscious eff orts to generate original opinions or ideas. Additionally, those who are pressed to think in situ by someone else (for example by an instructor) will generate only the most readily accessible ideas and perform less creatively than those who are not as focused on the problem at hand. Th e goal of a distracting activity during post conference is to “occupy conscious attention” to allow more divergent and less accessible ideas to surface. Th ese ideas are associated with the default network; regions in the brain that are most active when the brain is allowed to rest and wander. Distracting activities that are enjoyable, not too demanding and can be sustained for more than just a few minutes work better for idea generation and refl ection than demanding, unpleasant distracting tasks that cannot be tolerated for more than a few minutes.

Biography:

Katherine Riegelmann is a Faculty Member at West Coast University of Los Angeles teaching fundamentals and introduction to medical/surgical nursing. Her passion is nursing education and teaching the joy of both the art and science of nursing.

Abstract:

Based on research studies, lateral violence also known as workplace bullying continues to occur within the nursing profession. Having access to bullying policies, procedures and clear avenues on how to report such behaviors on a nursing unit/fl oor increases a nurse’s awareness of this topic. How can this behavior be brought to the forefront of nursing and be eliminated? Exposure of this topic gives nurses a clearer understanding of what is acceptable behavior and what is not. Much of these behaviors are “learned” in nursing school through exposure to poor clinical instruction and nursing mentors on medical fl oors. Many people are leaving the nursing profession aft er 6 months because of such bullying behaviors and lack of support upon reporting. Providing a confi dential third party survey every 6 months to nurses in their work place to safely report bullying behaviors will increase retention, morale and overall job satisfaction. Nurses do not have to accept the statement, “nurses eat their young” nor become part of the problem and perpetuate this behavior. Nurses need to take responsibility of their own behaviors and also know what to accept and not accept from others. Th e survey results can provide a means of education for any healthcare facility to educate staff on this continuing issue in the nursing profession.

Biography:

Marcio Accioly S Fossari has completed his Bachelor’s in Medicine from Pontifi cal Catholic University from the State of Rio Grande do Sul (1997) and Master’s at Medicine in the same University (2003). He has 15 years of experience acting on the following subjects: Child, Preterm Newborn and Neonatology. He is currently working at Department of Health from City of Itajai with a born action plan and multi professional work for better results and reduction of neonatal and infant mortality.

Abstract:

The main objective of our work is to demonstrate how strategic management of people and commitment of services related to the care of the mother and newborn are an essential part in the development of Public Health Policy for prevention, care and knowledge of prematurity in Itajai, Brazil. We will discuss the positive impact of knowledge management and the generation of the commitment of the professionals who work in the care of pregnant women, women in labor and preterm infants bringing results in the short, medium and long-term eff ects on prematurity in regions where the project is adopted. We all are trying a better proposal, making the aft er contact with the primary care units and asking the care for the hierarchical network proposed by the Public Health Policy in Brazil. Th us we need greater interaction between diff erent levels of care for improvement, dissemination and knowledge of current results. Th e public system of care for pregnant woman and her baby works without expected results and lacking alternative proposals for health care for the population of pregnant women and newborns in our region. As the main result forward to creating an integrated model and interrelation between primary care, secondary and even tertiary care in a humanized model, integral and technically suitable for pregnant women in medium and high risk as well as the best possible care to Newborn product of this gestation.

Biography:

Zafar Iqbal Channa has completed his MSc Nursing and additionally did his Diploma in Educational Planning & Management and Diploma in Hospital Administration & HRM. He is currently working as Nursing Superintendent at Pakistan Institute of Medical Sciences, Islamabad. He has two research articles/papers to his credit.

Abstract:

Degree or license is not the end point of education aft er basic nursing study. Apparently, basic nursing education for practice becomes obsolete within fi ve to ten years aft er graduation. Th is obsolescence can lead to the poor performance of nurses in clinical practice. Rapid scientifi c and technological discoveries proved that increased demands of specialized nursing knowledge and skills can be replaced by engaging nurses in a set amount of continuing nursing education (CNE) activities for effi cient and eff ective quality care. Study was designed to investigate most infl uential and predicting barriers impeding nurses’ participation in non-formal CNE programs and suggest strategies to increase nurses’ participation in such activities. Descriptive cross sectional study designed used and data were collected by applying convenience sampling technique of three hundred (n=300) nurses. Modifi ed research instrument “Barriers to Participation Questionnaire (BPQ)” was used to collect data aft er pilot testing α=0.861. Study results showed as “lower the mean score in each type of barrier” higher the barrier is measured. Th erefore, administrative barrier was found higher and most prevalent barrier with the mean score 2.19±0.83 and work-related barrier was found predicting barrier than fi nancial barriers with the mean score of 2.53±0.85. Financial, family and personal barriers were less impending barriers in nurses’ participation of the CNE programs. To keep nurses abreast with advanced knowledge in changing health care environment, more opportunities of non-formal CNE programs should be provided both in and outside of the hospital or organization.

Biography:

Nancy is currently completing her PhD through Central Queensland University in Australia. She is a senior nursing lecturer working in the Postgraduate nursing programme in the Centre for Health and Social Practice at Wintec in New Zealand. She has an interest in simulation in nursing education and has published several papers in reputed journals.

Abstract:

Background: Educating undergraduate nurses in the 21st century provides some very realistic challenges. Decreased government health budgets, increased student numbers and higher patient acuities have resulted in a reduction in the availability and quality of clinical placements. Simulated nursing practice is an innovative strategy designed to address these concerns. A simulation programme was designed for first year undergraduate nursing students to help prepare them for clinical placement.

Aims: The aim of this research is to assess student perspectives and learning from the newly introduced simulation programme

Methods: This study is a descriptive design with Kolb’s experiential theory providing a theoretical framework. 158 first year students taking part in a four day simulation programme chose to complete a questionnaire on programme completion. Students responded to five statements using a likert scale and for the remaining four questions, responses were categorised and merged to form broader categories for discussion.

Results: Students reported significant learning in the areas of basic clinical skills and clinical documentation and collaborative care. 100% of students recommended the programme continue.

Biography:

Miyoung Kim is currently a Doctoral student in College of Nursing, Yonsei University, Korea. She has 9 years of Clinical Experience working at OB/GYN Department in University affi liated Hospitals. Her research interest centers on health promotion of pregnant women. As Graduate Research Assistance, she has been involved in an international research project entitled as “Community Based Family Planning Capacity Building in Arsi Zone, Ethiopia”.

Abstract:

Objectives: This study aimed to identify the content of prenatal education conducted and to examine the level of participation in prenatal education, influencing factors on their knowledge and attitude.

Methods: This cross-sectional, exploratory correlations study recruited 134 nulliparous women living in metropolitan area in South Korea. Survey data reflecting participation experience of prenatal education, resources to get prenatal information, knowledge, and attitude were collected by face to face interviews using structured questionnaire.

Results: The total number of prenatal education contents were 35 items: items for prenatal and delivery were 15, items for postpartum self-care were 10, and items for parenting were 10. Women using books and healthcare provider as the first information source were more likely to participate in prenatal education compared to those preferring internet website or family. Relatively older women were more likely to participate in prenatal education than the younger women. Multiple linear regression showed that knowledge about delivery, postpartum self-care, newborn care among nulliparous women were predicted by levels of participation in prenatal education(β=1.780, p=.007), occupation (β=-.690, p=.044), and income(β=.997, p=.032). An attitude about self- efficacy for delivery, postpartum care, and parenting confidence were predicted by age(β=-.022, p=.042) and income(β=.115, p=.017).

Conclusion: Individual characteristics and participate in prenatal education are critical for the success of preparing nulliparous women as a new mother. The findings of this study suggest that nurses and physicians should emphasize the importance of prenatal education and should establish strategies to improve participation in prenatal education especially for working pregnant women.

Biography:

Irene Kane is an Associate Professor of Nursing with extensive clinical, teaching and research experience in developing and teaching health promotion programs emphasizing disease prevention and health management to improve psychobiological wellbeing. She is a certifi ed Screening Brief Intervention and Referral to Treatment (SBIRT) trainer with over 25 papers published in peer-reviewed journals and share SBIRT training knowledge, skills and outcomes to address substance use identifi cation and brief interventions earlier along the continuum of use, misuse, abuse and dependence.

Abstract:

Background: Substance use is an international public-health priority with 2.5 million deaths from the harmful use of alcohol reported annually (World Health Organization (WHO) 2011 Global Status Report). Further, at least 15.3 million persons have drug use disorders (WHO, 2014). Risks with use of alcohol and other drugs are connected with accidents, violent behavior, and societal/developmental issues. To address substance use risks, an interprofessional (academic-community-health provider) partnership trained Emergency Department Registered Nurses (EDRNs) in four diverse hospital settings to utilize an evidence-based practice (Screening, Brief Intervention and Referral to Treatment: SBIRT). Screening individuals for substance misuse presents opportunity for timely brief interventions to enhance motivation to reduce use or suggest further referral options. Training and curriculum infusion of SBIRT face-to-face sessions, online course review, one-on-one booster guidance, and nurse champion development into EDRN professional continuing education practice required individualized planning and coordination with multiple management level support, buy-in from ED nurses, and flexible training schedules.

Methods: The University of Pittsburgh School of Nursing partnered with a community non-profit organization, the Institute for Research, Education and Training in Addictions (IRETA), and the University of Pittsburgh Medical Center (UPMC) to educate ED nurses in the skills necessary to address substance misuse to improve the quality of care through SBIRT. This interprofessional (academic-community-health provider) partnership trained ED staff in four hospitals located in urban, rural, and low-income communities. SBIRT training implementation required: 1) collaboration and planning with all levels of management; 2) appointment of a nurse champion to support on-site education and ensure ongoing SBIRT competency; 3) detailed discussion of training components and scheduling with ED nurse manager and champion; and 4) implementation of EDRN training with evaluation and consultative return visits by trainers.

Results: Multi-level management coordination and engagement of EDRNs with ensuring flexible SBIRT educational opportunities and timelines ensured successful EDRN training outcomes. Overall, 134 staff RNs demonstrated high rates of effectively engaging patients in the SBIRT process, with 91% conducting effective screens, 73% engaging patients in a negotiated interview, and 70% collaborating with patients to determine next steps. The most frequently cited reasons for not engaging in SBIRT was lack of relevancy to the patient population at the screening stage (N=4), difficulty in connecting use to a patient’s presenting health problem at the brief intervention stage (N=3), because they felt a referral was not necessary (N=2), and waiting to collaborate with a behavioral health/ mental health/ social work colleague at the brief interview (N=1) or referral stage (N=2). Personal discomfort was cited as a reason for not engaging in SBIRT by only two individuals.

Biography:

Ann M Mitchell has completed her PhD from the University of Pittsburgh. She is a 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 CDCfunded 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.

Abstract:

While health care providers will be required to work interprofessionally upon graduating and entering their field, there is little education or training on this matter. In order to provide patient-centered care with optimum outcomes, health care providers must be provided with the education to work together. This lack of education may contribute to the fact that there are 23 million Americans with substance use problems, yet 83% remain untreated. The focus of this project is on the interprofessional training of anesthesia students. The University of Pittsburgh School of Nursing and Dentistry partnered with the Institute for Research, Education, and Training in Addictions (IRETA) and provided training, including: 1.5 hours of didactic instruction, online booster sessions, simulation at WISER and the Dental Hygiene Clinic, and lastly, interprofessional case conferences. Before and after the training sessions, students completed the Alcohol and Alcohol Problems Perception Questionnaire (AAPPQ), the Drug and Drug Problems Questionnaire (DDPPQ), and a measure of SBIRT and interprofessional knowledge. Several of the AAPPQ and DDPPQ subscales increased significantly from pre- to post-training. Scores on the interprofessional knowledge scale also showed an increase from pre- to post-training. Simulation exercises seemed to make a positive impact on change in scores. The students were exposed to collaborating as a team using SBIRT and was associated with positive changes in knowledge of interprofessional practice as well as the student’s perceptions of alcohol and drug misuse in patients. Interprofessional education and practice should improve patient outcomes by providing more congruent, patient-centered care.

Biography:

Lunic Base Khoza has completed her PhD from the University of South Africa. She is currently serving as Dean and 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.

Abstract:

The Directly Observed Treatment program has been proven to be eff ective in many countries worldwide which is why the World Health Organization is promoting its implementation globally. However, among the nine Tuberculosis high burden countries in Africa, of which South Africa is in position two, seven of these countries have a 100% of the population covered by the strategy but with low cure rates. Th e program is being implemented in Limpopo province, South Africa but there are several challenges that act as barriers to the effi ciency of its implementation. Th e purpose of this study was to critically analyze the eff ectiveness of the existing tuberculosis; Directly Observed Treatment program in Limpopo province, South Africa. Qualitative and descriptive designs were employed. Focus group discussions were conducted with the various groups of Health Care Workers using a semi-structured interview guide. Individual interviews were conducted with the patients. Th e fi ndings indicate that there are gaps such as minimal supervision and monitoring, minimal community support and diff erent health beliefs that were found to be contributing to high defaulter rates, late presentation, low cure rates and development of Multiple Drug Resistant tuberculosis and Extremely Drug Resistant tuberculosis. Based on the fi ndings of the study an adapted program has been developed in order to add value to the existing program for better outcomes.

Biography:

Sonto Maputle has completed her PhD in 2004 on Maternal and Child Health, from the University of Johannesburg, South Africa. She is an Advanced midwife, Professor and the Researcher at the School of Health Sciences, University of Venda in South Africa. She has published more than 50 papers in reputed journals on maternal health issues and a reviewer for reputed journals. Her interests are: Maternal and Child health care, Reproductive Health Care and HIV&AIDS.

Abstract:

The purpose of this study was to explore perceptions of parents regarding sex education of their adolescent children. Th e population comprised of parents aged between 36-55 years to adolescents who were pregnant or delivered within a year during the time of the study. A non-probability snow balling sampling method was used to select five parents and was determined by data saturation. An unstructured interview directed by one question was conducted which was; ‘what are your perceptions regarding sex education of your adolescent children’? Data were analyzed using Tech’s eight-step process. Results revealed that although respondents had prior knowledge on the need and the how-to educate their adolescents on sex-related matters, some respondents chose to shun away from that responsibility, citing their cultural belief system as the main reason. Th e overarching reason for the respondents that chose to engage their adolescents on sex-related education was fear that they would contract HIV/ AIDS or become pregnant before they fi nish their education. It is recommended that parents from rural-based environments should be encouraged and empowered to establish diff erent local sex-education platforms. Th ese platforms should also aim at engaging local traditional leadership in partnership with other stakeholders to initiate and maintain collaborative conversations around sex-related matters geared at negotiating a progressive change around the local cultural belief systems alluded to by respondents in the study. From the data collected it is evident that there are parents who are willing to educate their adolescent child on issues of sex whilst some of the parents perceive educating adolescents on issues of sex as being improper.

Biography:

Seani Adrinah Mulondo have completed Masters Degree in 2010 at the age of 47 years from the University of Venda and presently pursuing Doctoral studies in the same University (UNIVEN). I am a lecturer in the Department of Advanced Nursing Science, School of Health Sciences; fi eld of my research study is midwifery. I have published 5 papers in DHET accredited journals and serving as a reviewer of Health SA Gesondheid journal.

Abstract:

Basic Antenatal Care (BANC) was introduced in all Primary Health Care (PHC) facilities in order to reduce the burden of consistently high maternal and neonatal mortality rate. Pregnant mothers with risk factors such as HIV/AIDS are vulnerable to Tuberculosis (TB). Th e study identifi ed risk factors and described complications associated with TB in pregnant mothers and neonates. A quantitative and descriptive research design was used to collect data at ten selected hospitals in Limpopo province. Sample size of 150 Medical maternity case records were randomly selected from 500 records of discharged pregnant and breastfeeding mothers diagnosed with TB. Records were assessed and analyzed using checklist. Th e fi ndings revealed socioeconomic problems such as poverty and HIV/AIDS infections as the major risk factors associated with TB in pregnancy and neonates. Complications such as pre-eclampsia, eclampsia and low birth weight in mothers and neonates were revealed. Th ere is higher rate of HIV/AIDS infection among pregnant mothers with TB. Emphasis needs to be placed on strengthening the integration and implementation of PMTCT, TB/HIV in BANC services and continue to build on past achievements. Guidelines related to prevention of complications of TB during pregnancy and puerperium should be developed.

Biography:

Mrs Raliphaswa Is associated with University of Venda in south Africa.Her Research interests focuses on Women health and pediatric health.

Abstract:

Admission of a child to the unit has long been recognized as an emotionally charged and highly stressful experience. Th is can be a traumatic experience for the parents because it may force the family to restructure their lives and re-organize their priorities. Th e objectives of the study were to describe the challenges faced by mothers when their children are hospitalized at one public hospital in Vhembe district. Th e qualitative, explorative and descriptive research design was used. Th e population comprised of mothers whose children were admitted for more than 3 days in the pediatric ward of one public hospital, Vhembe district, Limpopo province, South Africa. A non- probability purposive sampling of 10 mothers were sampled. Data were collected through unstructured in-depth interviews before the mother leaves the hospital aft er discharge until saturation was reached. Data were analyzed by open-coding method. Findings revealed two themes namely; care provided by health care professionals and confl icting expectations about participation in child’s care. Th e study had implications for provision of individualized care to mother and child during hospitalization.

Biography:

R A Khosa has completed Master of Public Health at the University of Venda. She is currently working for the Department of Health as a Clinical Nurse Practitioner at Ntlhaveni C Clinic in the Republic of South Africa.

Abstract:

The main objective of the study was to engage members of Ntlhaveni C village and relevant stake holders in exploring factors which contribute to water scarcity and the health implications thereof. Th e study employed qualitative, descriptive approach. Purposive sampling was used to select participants who took part in focus group discussions. 10 focus groups consisted of 8 to 10 people each were conducted. An interview guide with semi-structured questions was designed and used to collect data. Tesch’s eight steps of data analysis were employed to analyze and manage data. Th e fi ndings revealed that water scarcity at Ntlhaveni C village was caused by factors which were either man made or natural. Man-made factors included lack of infrastructure, poor service delivery, political factors which were confl icts amongst local communities and cultural factors. Natural factors such as lack of rain and climate change were also identifi ed. Recommendations included the establishment of community water and sanitation task team.

Biography:

S E Tshivhase has completed her Master of Public Health Degree at the University of Venda, South Africa. She is currently working for the Department of Health as an Operational Manager Specialty for eye and transfer unit at Tshilidzini Hospital in the Republic of South Africa.

Abstract:

South Africa is facing a major challenge of waste management due to an increase in waste generation which has led to littering and dumping of household solid waste around the environment. Th e purpose of this study was to assess the knowledge of Tshisahulu community members regarding solid household waste management. A quantitative approach using a descriptive cross sectional survey was applied. Th e population was comprised of 2090 households and the sample size was comprised of 342 households. Each household was systematically sampled and one adult represented a household in the sample. A selfadministered questionnaire was used to collect data from participants. About (34.2%) of the participants had knowledge on the relationship between burning wastes at home with diseases such as respiratory problems. Th e results further showed that 32.6% of the participants knew that cholera was associated with drinking contaminated water as well as diarrhea (24.9%) and typhoid (14.4%) respectively. Th ere is a need to develop and introduce waste management education programs in all the schools especially at the lower primary level. Local authorities should develop new strategies on the management of solid household in rural villages.

Biography:

Rachel Labese is associated with university of venda in south Africa.she participated in many group discussions and qualitative research projects in south Africa.Her research interests include Sociological Theory,Social Work, Poverty Reduction, Social Care.

Abstract:

HIV epidemic is worsening with almost 5 million new infections in 2003, mostly in developing countries and half of these new infections are among young people aged between 15-24 years. Th is study’s main objective was to explore the perceptions of teenagers on sexual and reproductive health services in selected villages within Greater Giyani Municipality, South Africa. Qualitative, explorative, descriptive designs were used. Th e population included all teenagers both male and female age between 10-19 years old and non-probability purposive sampling technique was used. Data was collected through focus groups using unstructured interviews, observations and fi eld notes. Th e interview was directed by one central question which was, “what are your perceptions on sexual and reproductive health services?” Data was analyzed using the eight steps of Techs’ open coding method. Th e study found that teenagers have negative perception towards sexual and reproductive health services due to perceived barriers that exist which made them not to perceive any benefi ts of going to health facilities and utilize sexual and reproductive health services. Also some had positive perception on sexual and reproductive health services as they had knowledge of the available services at the clinics. Recommendation to the Department of Health, Education, community leaders and further research was made and a conclusion drawn from the results.

Biography:

Vhilinga Mafune is associated with university of venda in south Africa. She participated in many group discussions and qualitative research projects in South Africa. Her research interests include primary and secondary healthcare during the antiretroviral therapy.

Abstract:

Human Immunodefi ciency Virus (HIV)/Acquired Immune Defi ciency Syndrome (AIDS) commonly referred to as HIV/ AIDS has a devastating impact on the lives of African men, women and children. HIV/AIDS decreases the life expectancy of aff ected South Africans and leave many families and children socially and economically vulnerable and socially stigmatized. HIV/AIDS also results in increasing numbers of AIDS orphans and mortality among young adults and in 2007, 12.1 million South African (SA) children were estimated to have been orphaned due to HIV/AIDS. In addition, 300000 SA children were estimated to be in need of antiretroviral (ARV) treatment (ART) in 2010 whilst the estimated ARV coverage was at 36%. Th is study explored and described the challenges experienced by primary and secondary caregivers of children on antiretroviral therapy (ART) at Mutale municipality, Vhembe district in the Limpopo province. Th e study sought to achieve the following objective: Identify the challenges experienced by primary and secondary caregivers of children on ART at Mutale municipality, Vhembe district and to make recommendations to appropriate stakeholders on the basis of challenges identifi ed, how the government may use such challenges to develop further programs to improve the quality of life of caregivers of children on ART. Th e research design was qualitative, explorative, descriptive and contextual using a phenomenological approach. Th e study population consisted of all primary and secondary caregivers of children 0 to 15 years of age on ART at Mutale municipality from April 2013 to March 2014. Non-probability purposive sampling was used to select participants. Th e objectives of the study were met through data collection by means of unstructured phenomenological interviews using an interview guide. One central question was asked and more questions emanated from the discussion. Data collection was done up to 16 female caregivers because no new information was forthcoming from the caregivers. Data from participants were collated into themes and sub-themes. Th ree themes from primary and secondary caregivers emerged from analysis of the raw data namely (THEME-1) challenges faced by caregivers of children on ART, (THEME-2) psychological challenges experienced and (THEME-3) positive perceptions related to caring for children on ART. Th e trust worthiness of the qualitative data was established following four criteria namely credibility, transferability, dependability and conformability. Participant’s rights were respected. Permission to conduct a study was sought from relevant authorities. In addition, freedom from harm was ensured and the right to privacy and right to self-respect were maintained. It is recommended that all primary and secondary caregivers be motivated to participate in community projects to generate income and alleviate poverty. Th e study suggested that the government should develop organizations or community centers that will support and empower caregivers to cope with challenges of caring for children on ART. Th e conclusions were discussed in relation to the objectives of the study.

Biography:

Nesane Kenneth has completed his BCur degree from University of Venda and Masters Studies from University of Venda School of Health Sciences. He is the Professional Nurse at Kutama Sinthumule maximum security prison in South Africa. He has published one paper in Primary Health Care and Med. Journals.

Abstract:

Background: Male partners have a strong infl uence on pregnant partners’ health and their access to care. Th eir involvement is critical in the delivery and uptake of maternal health care services and to improve the maternal and child health outcomes.

Aim: Th e study sought to determine the male partner’s views on their involvement in maternal health care services.

Setting: Makhado B local area, Vhembe District at Kutama, Madombidzha and Vleifontein clinics.

Methods: Qualitative design, which is exploratory, descriptive and contextual in nature, was used. Population consisted of 10 males whose partners were pregnant within the last 2 years. Non-probability, purposive sampling procedure was used. Data was collected through in-depth individual interviews using the voice recorder and the interview schedule guide. Tesch’s open coding method was used to analyse data.

Results: Th e fi ndings revealed one major theme which is maternal health issues are viewed as women matter and three subthemes namely; culture and participation in childbirth, male partners’ employment status and unwillingness to participate on maternal health issues.

Conclusions: Th e recommendations to facilitate promotion of involving male partners in maternal health care services, to policy makers and for further research were proposed.

Biography:

Jayne Skehan RN is the Director of Pediatric Cardiology Services, at New York Presbyterian Hospital in New York City as well as a per diem nursing administrator at Mount Sinai Hospital in NYC. She is published in peer review nursing journals and is completing her Doctoral degree in Nursing Practice (DNP) at Saint Peter’s University.

Abstract:

Workplace bullying has become increasingly prevalent in healthcare and there is significant data to support bullying befalls and carries destruction. The zone of silence that surrounds and insulates this surreptitious behavior is real. In an environment in which bullying is not addressed, it often spreads. Many ramifications of workplace bullying affect employees, as well as patients and can lead to decreased reimbursement, unsafe conditions, and increases in errors in addition to an overall negative reputation for an organization. Recently, studies have suggested there is a direct correlation between professional nursing educational programs and decreased incivility in the workplace. Research studies support that when bullies in the workplace are held accountable, staff are more empowered to come forward and report these events. Through education, prevention and awareness, nursing educational programs can be instrumental in eradicating this behavior both in the academic world and hospital based settings. Undergraduate nursing students in the academic arena could benefit from evidence-based education on ramifications of buying and how to address it in their practice. Hospital based nursing education programs outlining policies and acceptable behaviors are another forum that could help to prevent workplace violence. Researchers agree additional studies are needed in order to examine the effectiveness of nursing educational programs on eliminating covert bullying.

Biography:

Ann M Mitchell has completed her PhD from the University of Pittsburgh. She is a 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. Irene Kane is an Associate Professor of Nursing with extensive clinical, teaching and research experience in developing and teaching health promotion programs emphasizing disease prevention and health management to improve psychobiological wellbeing. She is a certifi ed Screening Brief Intervention and Referral to Treatment (SBIRT) trainer with over 25 papers published in peer-reviewed journals and share SBIRT training knowledge, skills and outcomes to address substance use identifi cation and brief interventions earlier along the continuum of use, misuse, abuse and dependence.

Abstract:

Alcohol Screening and Brief Intervention (Alcohol SBI) is a public health and evidence-based practice used to identify, reduce and prevent problematic use, abuse and dependence on alcohol. Th e Alcohol SBI model calls for inter professional, widespread and community-based screening for risky alcohol use behaviors to reduce alcohol exposed pregnancies (AEPs), fetal alcohol spectrum disorders (FASDs) and other negative health consequences. Healthcare providers cannot ignore the worldwide statistics which relate that alcohol misuse causes signifi cant morbidity and premature mortality among all patient populations. Th e question is: How can health care professionals assess the potential for or the presence of alcohol use in their patients? Th is workshop for both novice and experienced Alcohol SBI users will provide: An overview of alcohol use worldwide, a review of the Alcohol SBI process and a simulation exercise to practice alcohol screening and a brief intervention for a patient drinking at a risky or hazardous level. Upon completion of the workshop, participants will be able to describe alcohol use worldwide, list the steps in the Alcohol SBI process and discuss the pros and cons of the simulation exercise.

Biography:

Mary Joan Therese Valera has a master’s degree in public health in 2007and a bachelor’s degree in nursing in 1991 from the University of the Philippines Manila (UPM). Her nursing career started in 1992, when she worked as staff nurse in the adult medical-surgical ward of the Philippine General Hospital (PGH). In 1996, she was invited by the UPM College of Nursing (UPM-CN) to join their roster of faculty that same year in June. In May, 1997, she had a seizure while undergoing teacher’s training, and was diagnosed to have low grade brain tumor. After five brain surgeries that left her with right-sided motor deficits, she went back to PGH as research assistant in the Adult Health Section of Medical Research Unit, and at the PGH National Poison Management and Control Center from December, 1999 to April, 2003. She enrolled at UPM College of Public Health in June, 2003, and at the same time rejoined the UPM-CN faculty up to the present.

Prof. Valera is a member of the Community Health Nursing Specialty Group. Among her research works are nursing competencies and clinical learning environment of student nurses. Her published works were community-based studies on fall risks of older persons and poisoning. She has made research presentations across Asia and Europe.

Abstract:

Introduction In nursing, we are interested with learning outcomes of student nurses because they impact on how they would perform as professional nurses. Cognitive, Psychomotor, Affective are the expected aspects in which they are honed as student nurses. The Clinical Learning Environment (CLE) has been shown to be most influential in shaping and directing the development of student nurses (Saarikoski & Kilpi, 2002; Tiwari et al, 2005). CLE encompasses the clinical setting and placement of students studying to become professional nurses, and includes all practitioners that students are exposed to and work with, and the supervision that they receive from ward managers and classroom teachers. Additionally, learner’s characteristics reflect individual differences among student nurses in terms of motivational variables. Intrinsically motivated individuals’ engagement in learning is coupled with pleasure and enjoyment as this can bring challenge and arouse curiosity (Pintrich 1999). Several researches done in higher education showed that a learning climate which involves respect for students, freedom to learn, and teacher enthusiasm encourages a deeper approach to learning.

CLE has been extensively used in most parts of the world. Ferguson's CLE study (2000) concluded that the diversity and complexity of clinical areas and the implications for student learning must be acknowledged. One of the most anxious times for a learner was entering a new clinical situation that they desire to ‘fit in’. And Ferguson's study discovered the importance of the “mentors” role at this time as she/he played an important role in assisting the student to ‘fit in’. And the uniqueness of nursing education in the Philippines is that the teacher in the university is mostly doing the clinical supervision in the hospital wards and other settings. This was evident in the unpublished study of Ramos & Valera (2012) where three factors, namely 1) Supervision in the hospital, 2) Academic Supervision, and 3) Nursing Care in the Ward is being done by the “clinical instructor” who is usually the teacher from the academe. Clinical learning is achieved when the student receives effective hospital and academic supervision, and sees the “teacher” as mentor and model in providing quality and safe nursing care. These enhance the student’s “intrinsic” or innate motivation.

Clinical Learning Environment mirrors external factors, namely academic supervision, supervision in the hospital and nursing care in the ward. Individual factors will be taken into account, which represents the individual differences of nursing students in terms of motivational level in this study. Having both Clinical Learning Environment (external) and learner’s characteristics (internal) will provide us a model of good clinical learning outcomes. Thus, this study will test a model showing the effects of Clinical Learning Environment, Learner’s Characteristics and Clinical learning outcomes using Structural Equation Modelling (SEM).

Methods Research design
This study will use exploratory cross- sectional design (Johnson 2001). This will test the model where Clinical learning Environment, Learner’s Motivational Factor as it affects clinical learning outcomes.

Biography:

Saghi Moosavi is associated with Guilan University in iran. She participated in many group discussions and qualitative research projects in iran. Her research interests include Nursing issues, rhinology and midwifery.

Abstract:

Background: One of the most important principles of education concepts and establishing skills in nursing students is the use of proper goal based educational methods and applicable to operation room conditions. Special attention has to be paid to: practical skills of circulation, scrubbing, preparing instruments and implants. The aim of this study was: Identifying the best educational way for practical skills by nursing students in OR field. This experimental study was conducted to compare the impact of traditional and multimedia independent teaching method on cognitive knowledge and psychomotor skills of 4th year nursing students.

Summary of Work: in an experimental study 38 nursing students participated and were randomly divided into 19 samples of experimental and control groups. The control group was taught by traditional method and the experimental group by multimedia independent (short movie) teaching method. Evaluation method was performed by DOPS for both groups. Comparison of basic specifications of two groups were performed by X2 test. Data normalization were measured by KolmogrovSmirair test. Non parametric Mann-Whitney were used for groups comparison. Also mean and standard deviation were calculated.

Summary of Results: Based on the results of evaluation between two groups’ performance by resemblance evaluation instrument, a significant increase in mean and standard deviation (P<0.0001) was observed in the case group.

Discussion and Conclusions: Analysis of data indicated that cognitive and psychomotor skills were statistically increased in multimedia teaching method. Multimedia teaching will improve cognitive and psychomotor skills of nursing students.

Biography:

Biography Sana Hassan Ali has completed her midwifery in 2002 at Aga Khan Hospital for Women’s Garden and she has completed her Registered Nurse (Diploma) program from Aga Khan University Hospital 2010. She has joined Endocrinology Unit of Aga Khan University Hospital in 2010 and is working as a Diabetes Nurse Educator in Endocrine Clinic & doing her post RN BSCN from St James School of nursing.

Abstract:

Abstract According to current figures in Pakistan 7.1 million people suffer from diabetes, making it the seventh highest population of diabetic patients in the world. Education is the cornerstone of diabetes care. Lack of awareness can lead to patients suffering from diabetes complications. This project was conducted to determine the knowledge and practices of the patients and make them independent through continue education so they can participate their Diabetes management programme. To evaluate the impact and effectiveness of a structured multidisciplinary group education programme for diabetic patients about their disease; psychosocial factors and lifestyle measures. This data was collected from endocrine clinic at the Aga Khan University hospital from year Jan 2012- Jan 2013. A total number of 17 patients, 8 males and 9females, 3 with type-1 and 14 with type-2 diabetes mellitus (DM) were included in the project. Data was retrieved from pre & post questionnaire sheets which were recorded during patients visit in the “Diabetes Modular Classes”. The comparison of pre and post knowledge assessment of approx 17 patients, who attended all four modules, revealed that their pre knowledge score were 67.6% where as their post results after attended all sessions were 87.3%. Comparison of pre & post quiz results shows that multidisciplinary well planned group education programme have better impact on patient’s. The knowledge imparts via these classes make patients independent regarding their self-management of disease process & life style modification.

Biography:

Abstract:

Background I am a nurse educator working in an Intensive Care Unit (ICU) and I am interested in exploring and understanding the actual or potential impact that learning strategies used in practice will have on the relationship between mentees and mentors, particularly within specialised clinical learning environments.

Methodology I have used a qualitative, social constructivist, grounded theory (GT) methodology in this doctoral study as it fits with the study’s interpretative perspective and philosophical assumptions.

Method After obtaining ethical approval, gatekeepers were engaged to gain access, and consent was obtained from participants who met the study’s inclusion criteria. I conducted semi structured, in-depth taped interviews with 17 mentors and mentees, working in Intensive Care Units and Midwifery areas. In keeping with the tenets of GT, I systematically coded the interview scripts after each interview using NVivo. Constant comparison enabled me to develop my interview skills and recruit participants until I achieved data saturation (no new properties or any further theoretical insights emerge). I also kept memos through the data collection period to maintain reflexivity, aid with the development of the emerging codes and augment the understanding of the context of the research process.

Data Analysis GT data handling of the interviews scripts produced five axial codes: two (2) major codes and three (3) minor codes.

Study Outcome A substantial pedagogical theory has emerged from this study related to the mentoring relationship in specialised clinical learning environments.

Impact of Study The GT concepts of ‘Fit’, ‘Relevance’, ‘Workability’ and ‘Modifiability’ have been applied in my reflection on the theory’s impact on clinical practice, teaching & learning, epistemology, society, policy development and economics. The challenges of being an insider researcher, power relations and validity have augmented my development as a reflexive practitioner. I was also able to ‘find my voice’ in the research journey.

Biography:

Cathy has been a Lecturer at the University of Western Sydney for the past 11 years. Having been inspired by her international students’ stories and determination to succeed, she completed a Doctor of Nursing in 2013 answering the research question, What is the nature of learning to nurse in the Australian clinical environment for international culturally and linguistically different students? Cathy is rapidly developing a profile as an expert regarding international nursing students receiving many requests for presentations both nationally and internationally.

Abstract:

International students comprise some if not the majority of undergraduate nursing cohorts in countries such as Australia, The United States of America and the United Kingdom. As nursing is a socially constructed enterprise, there are notable variations in the professional status and role of the registered nurse between countries. International students who come to study nursing bring with them culturally derived conceptions about the profession of nursing and its practice, often creating a dissonance between expected and actual roles. This dissonance needs to be negotiated by the student themselves so that they develop into competent practitioners, as deemed by local registration standards. This presentation will focus on the findings of an interpretive descriptive study that revealed the complex process undertaken by the participants whilst on clinical placement to become an Australian nurse. As motivated and active players in their own learning journey, waiting and watching and seeking and finding were some of the strategies used in the process of learning to nurse in the clinical environment. This process will be of global interest to all sectors of nurse education from policy development to clinical practice.

Biography:

Ms. W. C. Wong is the Lecturer (Division of Nursing and Health Studies) of The Open University of Hong Kong. She is a Registered Nurse and Registered Psychiatric Nurse. She had worked in many different clinical areas, including acute care unit and psychiatric unit before joining the university. Her research interests include mental health nursing and nursing education. Dr. Mimi Tiu is the Assistant Professor (Division of nursing and Health Studies) of The Open University of Hong Kong. She is a Registered Nurse in Hong Kong and in Canada. Her research interests include quality of care, nursing ethics and nursing education. Dr. C W Tam is the Assistant Professor of the Division of Nursing & Health Studies, the Open University of Hong Kong. He has been actively engaging in chronic illnesses and rehabilitation research. Currently, he is conducting studies to explore any effective ways for the treatment/ prevention of prostate cancer.

Abstract:

Abstract: A comprehensive nursing education nurtures competent nurses. Apart from designed nursing curriculum, extra-curricular activities (ECAs), which are believed to enhance perceived social support, are appraised for a comprehensive development of University students. None of previous studies, however, investigated the influences of ECAs among undergraduate nursing students. This study aimed to examine the influences of ECAs on perceived social support of undergraduate nursing students in Hong Kong. Ethical approval was gained from the research University. A cross-sectional survey was employed. Convenience samples of all full-time, Bachelor of nursing students in a local University were recruited. A self-administrative questionnaire was used to collect the hours involved in ECAs and assess perceived social support of subjects. An independent samples t-test was conducted to compare the perceived social support scores between subjects spending different hours on ECAs per week. There was a significant difference in perceived social support scores for spending less than 5 hours per week (M=48.4, SD=6.07) and spending more than 5 hours on ECAs per week (M=50.13, SD=4.76; t (15) =-1.98, p=0.05, two-tailed) among female students. For the male students, no significant difference was manifested. Female students mostly take part in the ECAs that involve others, such as social club. Female students experienced and perceived more support in the interactive human relationship in ECAs. Hence, female students, who spent more time on ECAs, had perceived better social support than those spent less time on them. ECA exerts positive influence on perceived social support among female undergraduate nursing students. Better perceived social support enhances the development of competent nurse. It is suggested that ECAs, exclusively those involve others, should be promoted in nursing education.

Biography:

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.

Abstract:

The Directly Observed Treatment programme has been proven to be effective in many countries worldwide, which is why the World Health Organization is promoting its implementation globally. However, among the nine Tuberculosis high burden countries in Africa, of which South Africa is in position two, seven of these countries have a 100% of the population covered by the strategy but with low cure rates. The programme is being implemented in Limpopo Province, South Africa but there are several challenges that act as barriers to the efficiency of its implementation

The purpose of this study was to critically analyse the effectiveness of the existing tuberculosis Directly Observed Treatment programme in Limpopo Province, South Africa. Qualitative and descriptive designs were employed. Focus group discussions were conducted with the various groups of Health Care Workers, using a semi-structured interview guide. Individual interviews were conducted with the patients.

The findings indicate that there are gaps such as minimal supervision and monitoring, minimal community support and different health beliefs that were found to be contributing to high defaulter rates, late presentation, low cure rates and development of Multiple Drug Resistant tuberculosis and Extremely Drug Resistant tuberculosis. Based on the findings of the study an adapted programme has been developed in order to add value to the existing programme for better outcomes.

Biography:

Dr. Abeer Al-Hazmi was an Assistant professor in department of nursing at King Abdulaziz University, Jeddah, Sauidi Arabia.

Abstract:

Introduction: Clinical education is considered a significant part of the learning process for nurses and nursing students. However, recruiting high- caliber individuals to train them to be tomorrow’s educators/teachers has been a recurrent challenge. One of the troubling challenges in this field is the absent of prober training programmes to train educators to be future education professionals and leaders. Aim: To explore the impact of a stage 1 and stage 2 clinical instructor courses on developing leadership skills for nurses as educators. Theoretical Framework: Informed by a symbolic interactionist framework, this research explored the Impact of stage 1 and stage 2 clinical instructor courses on nurses' knowledge, attitudes, and leadership skills. Method: Using Glaserian grounded theory method the data were derived from 3 focus groups and 15 in-depth interviews with nurse educators/ clinical instructors and nurses who attended stage 1 and stage 2 clinical instructor courses at King Abdu-Aziz University Hospital (KAUH). Findings: The findings of the research are represented in the core category Exploring new Identity as educator and its two constituent categories Accepting change, and Constructing educator Identity. The core and sub- categories were generated through a theoretical exploration of the development of educator’s identity throughout stage 1 and stage 2 clinical instructor courses. Conclusion: The social identity of the nurse educators was developed and changed during and after attending stage 1 and stage 2 clinical instructor courses. In light of an increased understanding of the development process of educators identity and role, the research presents implications and recommendations that may contribute to the development of nursing educators in general and in Saudi Arabia in specific.

Biography:

Noor hanita binti zaini is a lecture and works at faculty of medicine, university of malaya. She graduated from the universiti putra malaysia of malaysia and did her master at the s university of malaya. She is also the member of national heart association of malaysia, associate member, nursing research steering group (nrsg), malaysian nursing board.

Abstract:

The use of applications (app) has already been shown to be a useful method and an essential mechanism to guide the patient towards healthcare knowledge. Apps used in healthcare are emerging as an adjunct to assist patients in self-management. Patients who undergo open cardiac surgery face a difficult recovery process. Studies have shown that nursing education can improve health outcomes and reduce the risk of new cardiac events. Despite this, there are no guidelines or standards for how to best educate cardiovascular surgical patients. The use of medical apps is increasing in frequency however locally there are only limited applications available in healthcare sector. Objective: To develop My Education: CABG as a learning tool for Coronary Bypass Graft Surgery (CABG) patients. Methodology: The development process of app is based on systematic instructional model (assessment, design, development, implementation and evaluation). The level of satisfaction and helpfulness of app were assessed by an adapted questionnaire completed by 30 patients undergoing CABG. Result: The application of My Education: CABG was developed through review of literatures associated with education given to CABG patient. After review by experts, the app finally was developed and evaluated by patients who reported that they were satisfied with the usefulness of My Education: CABG app. Conclusion: My Education: CABG is designed to help CABG patients in the pre and post-surgery process, creating a patient-sided driver of successful recovery. This app is beneficial for healthcare providers in educating CABG patients and preventing secondary complications.

Biography:

Ms. Salima is a PhD candidate in Faculty of Nursing, University of Alberta. Her research interest are Early Child Development and Care. She has published many research papers in reputed journals and attended many national and international conferences.

Abstract:

In the nursing profession critical thinking (CT) has increasingly been the focus of investigation for the past several years. CT dispositions and skills are valuable in nursing practice. Nurses need complex thinking skills to effectively manage the fast-paced and constantly changing health care environments in which they work. CT is also vital in developing evidence-based nursing practice. Currently, no published studies could be located that specifically examined CT dispositions and research utilization of undergraduate nursing students. In this presentation we report on early findings about research utilization behaviors and critical thinking dispositions of a sample of undergraduate nursing students enrolled in the Bachelor of Science in Nursing (BScN) program at a major university located in Western Canada (n=181). Descriptive statistics and correlations were compiled for the research utilization and critical thinking dispositions measures. The majority of participants (69%) scored below the target score of 280 on the California Critical Thinking Dispositions Inventory. This indicates an overall deficiency in critical thinking depositions. However, participants scored high on overall research utilization (mean=3.4/5) on research utilization survey questionnaire. At this point in our analysis we are reflecting on factors that may have impacted the lower CT disposition scores and the role that nursing educators in assisting students to develop their critical thinking skills.

Biography:

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.

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:

Abstract:

Introduction:
Throughout the nursing course, students will be encountering a lot of difficulties and challenges that will require motivation. Unfortunately, not all who applied for BS Nursing considered this course as their first choice. This gave the researchers the idea of using a motivational video as an intervention to inspire them to take nursing as their career. This study determined the effect of motivational video in increasing the level of self-motivation among first year nursing students to pursue their nursing career.
Methods:
quantitative quasi experimental one-group pretest-posttest research design was used and purposive sampling technique was utilized. Motivation for Choosing Nursing as a Career Questionnaire was used in determining the level of motivation before and after using the motivational video. The motivational video entitled, “Testimonials from Nurses” was used as the intervention wherein testimonials from successful Thomasian nursing graduates was considered and viewed by the students. The subjects are nursing students who obtained a score ranging from 21-40 in the questionnaire. Before the viewing, the researchers provided a brief introduction and background. After which, debriefing was done. The data gathered was analyzed using the Paired T-Test using SPSS version 21.0. The Pre-test and Post-test scores were compared, which further statistically, differentiated by mean, standard deviation and t-test scores.
Results:
The t-test value is -17.221 and p value of 0.00<0.05 which indicates that there is a statistically significant change in the level of self-motivation of first year nursing students before and after viewing the motivational video.
Discussion:
The result of the study showed an increase in their level of self-motivation. Indicates that motivational video entitled, “Testimonials from Nurses is an effective intervention in increasing the level of self-motivation of first year nursing students to pursue their nursing career.

Biography:

Dr. Pratum Soivong is an Assistant Professor in Faculty of Nursing, Chiang Mai University, Thailand

Abstract:

This pilot study aimed to develop and explore the feasibility of the evaluation model for medical, nursing comprehensive practice using Objective Structure Clinical Examination (OSCE) in Senior Nursing Students to Promote Nursing Students’ Competency Based on Thai Qualifications Framework for Higher Education (TQF). Data were collected in two phases. Phase I, development of the evaluation model using OSCE. It included the development of questions and quality testing. Phase II, implementation to test the evaluation model with 7 senior nursing students. The feasibility of using the model through OSCE was obtained through satisfaction questionnaire and focus group discussion. Data were analyzed using frequency and content analysis. The evaluation model using OSCE consisted of 8 stations. Each station required 15 minutes to finish each scenario. The duration of an examination was 2 hours. Three students rated their satisfaction to the model at 70 percent, the other 4 students rated at higher than 80 percent. In the focus group, students expressed that the scenarios and duration spending in an examination were appropriate. This model was feasible to evaluate students’ skills and competency based on TQF. This evaluation model may be used as one part of the medical, nursing comprehensive practice course evaluation. The evaluation model using OSCE should be used to evaluate senior nursing students in the medical, nursing comprehensive practice course base on TQF. It would lead students’ competency evaluation to be reliable and valid. Thus, nursing students will have guides for self-improvement after graduation.

Biography:

Ali Kavosi has completed his MSc of nursing in 2011 from Tarbiat Modarres University Tehran. He has published more than 15 scientific papers in Iranian journals. And more than 40 papers presented at conferences and seminars in Iran. He has cooperated with three Iranian Journal as referee. He has 4-year membership in Research Council the Golestan University of Medical Sciences and Neyshabur University of Medical Sciences in Iran

Abstract:

Introduction: Human being is a multidimensional creature, with the spiritual dimension as the central dimension which is effective in achieving health and feeling of satisfaction. In fact, spirituality is a well-known concept of holistic nursing care and midwifery is care provided in a holistic focus on spiritual and religious. Therefore, the aim of this study is nurses and midwifery attitude to spirituality and spiritual care in hospitals to neyshabur city in 2014. Methods: In this descriptive and analytical study, 30 midwifery with Census method and 200 nurses of hospitals to neyshabour city were recruited randomly into the study. Data were collected using questionnaire Spirituality & Spiritual Care Rating Scale (SSCRS) in two parts, demographic information and questions related to the research objectives. Data were collected and analyzed using SPSS19 software and doing descriptive (Frequency, mean, standard deviation) and inferential statistics (T Test, Anova) and considering levels of significance (P <0.05). Results: The results showed that Mean and standard deviation is nurses attitude to spirituality and spiritual care (3.55±0.47) and midwifery (3.55±0.72). The T-test, did not show any significant differences between mean scores between nurses and midwives (p>0.05). The result did not show significant differences between attitude to spirituality and spiritual care and Demographic data in nurses and midwifery (p>0.05). Conclusions: Midwives and nurses have positive attitude to spirituality and tend to spiritual care. Therefore, providing the perfect platform to provide this care and implement at the maternity is recommended.

Biography:

Mary Joan Therese Valera is currently enrolled in the Doctor of Communications degree in the University of the Philippines Open University. She has a master’s degree in public health in 2007, with specialty in Health Promotion and Education, and a bachelor’s degree in nursing in 1991 from the University of the Philippines Manila (UPM). Her nursing career started in 1992, when she worked as staff nurse in the adult medical-surgical ward of the Philippine General Hospital (PGH). In 1996, she was invited by the UPM College of Nursing (UPM-CN), and joined their roster of faculty that same year in June. In May, 1997, she had a seizure while undergoing teacher’s training, and was diagnosed to have low grade brain tumor. After five brain surgeries that left her with right-sided motor deficits, she went back to PGH as research assistant in the Adult Health Section of Medical Research Unit, and the National Poison Management and Control Center from December, 1999 to April, 2003. Prof Valera enrolled at UPM College of Public Health in June, 2003, and at the same time rejoined the UPM-CN faculty and is still currently teaching there.

Abstract:

Introduction
In nursing, we are interested with learning outcomes of student nurses because these impact on how students would perform as professional nurses. Cognitive, Psychomotor, Affective are the expected aspects for which they are honed as student nurses. The Clinical Learning Environment (CLE) has been shown to be most influential in shaping and directing the development of student nurses (Saarikoski & Kilpi, 2002; Tiwari et al, 2005). CLE encompasses the clinical setting and placement of students studying to become professional nurses, and includes all practitioners that students are exposed to and work with, and the supervision that they receive from ward managers and classroom teachers. Additionally, learner’s characteristics reflect individual differences among student nurses in terms of motivational variables. Intrinsically motivated individuals’ engagement in learning is coupled with pleasure and enjoyment as this can bring challenge and arouse curiosity (Pintrich, 1999). Several researches done in higher education showed that a learning climate which involves respect for students, freedom to learn, and teacher enthusiasm encourages a deeper approach to learning.
CLE has been extensively used in most parts of the world. Ferguson's CLE study (2000) concluded that the diversity and complexity of clinical areas and the implications for student learning must be acknowledged. One of the most anxious times for a learner was entering a new clinical situation that they desire to ‘fit in’. And Ferguson's study discovered the importance of the “mentors” role at this time as she/he played an important role in assisting the student to ‘fit in’. And the uniqueness of nursing education in the Philippines is that the teacher in the university is mostly doing the clinical supervision in the hospital wards and other settings. This was evident in the unpublished study of Ramos & Valera (2012) where three factors, namely 1) Supervision in the hospital, 2) Academic Supervision, and 3) Nursing Care in the Ward is being done by the “clinical instructor” who is usually the teacher from the academe. Clinical learning is achieved when the student receives effective hospital and academic supervision, and sees the “teacher” as mentor and model in providing quality and safe nursing care. These enhance the student’s “intrinsic” or innate motivation.

CLE mirrors external factors namely academic supervision, supervision in the hospital and nursing care in the ward. The individual factors will be taken into account which represents the individual differences of nursing students in terms of motivational level in this study. Having both Clinical Learning Environment (external) and learner’s characteristics (internal) will provide us a model of good clinical learning outcomes. Thus, this study will test a model showing the effects of Clinical Learning Environment, Learner’s Characteristics and Clinical learning outcomes using Structural Equation Modelling (SEM).

Methods Research design This study will use exploratory cross- sectional design (Johnson 2001). This will test the model where Clinical learning Environment, Learner’s Motivational Factor as it affects clinical learning outcomes.

Biography:

Rita Ramos is an Assistant Professor of the Faculty of Management and Development Studies in the UP Open University. She finished her Bachelor of Science in Nursing from San Juan De Dios College. She obtained her Master of Arts in Nursing from the University of the Philippines Manila. Her research interests include Item Response Theory; Classical Test Theory; tool validation; motivation in distance education; achievement goals in education; self-regulation; clinical learning environment; dignified dying; and aggression. She is taking her PhD in Educational Psychology, major in Quantitative Methods in De La Salle University Manila, currently on dissertation writing.

Abstract:

Introduction

In nursing, we are interested with learning outcomes of student nurses because they impact on how they would perform as professional nurses. Cognitive, Psychomotor, Affective are the expected aspect to which they are honed for as a student nurse. The Clinical Learning Environment (CLE) has been shown to be most influential in shaping and directing the development of student nurses (Saarikoski & Kilpi, 2002; Tiwari et al, 2005 ;). CLE encompasses the clinical setting and placement of students studying to become professional nurses, and includes all practitioners that students are exposed to and work with, and the supervision that they receive from ward managers and classroom teachers. Additionally, learner’s characteristics reflect individual differences among student nurses in terms of motivational variables. Intrinsically motivated individuals’ engagement in learning is coupled with pleasure and enjoyment as this can bring challenge and arouse curiosity (Pintrich 1999).Several researchers done in higher education showed that a learning climate which involves respect for students, freedom to learn, and teacher enthusiasm encourages a deeper approach to learning.

CLE has been extensively used in most parts of the world. Ferguson's CLE study (2000) concluded that the diversity and complexity of clinical areas and the implications for student learning must be acknowledged. One of the most anxious times for a learner was entering a new clinical situation that they desire to ‘fit in’. And Ferguson's study discovered the importance of the “mentors” role at this time as she/he played an important role in assisting the student to ‘fit in’. And the uniqueness of nursing education in the Philippines is that the teacher in the university is mostly doing the clinical supervision in the hospital wards and other settings. This was evident in the unpublished study of Ramos & Valera (2012) where three factors, namely 1) Supervision in the hospital, 2) Academic Supervision, and 3) Nursing Care in the Ward is being done by the “clinical instructor” who is usually the teacher from the academe. Clinical learning is achieved when the student receives effective hospital and academic supervision, and sees the “teacher” as mentor and model in providing quality and safe nursing care. These enhance the student’s “intrinsic” or innate motivation.

Clinical Learning Environment mirrors external factors namely academic supervision, supervision in the hospital and nursing care in the ward. The individual factors will be taken into account which represents the individual differences of nursing students in terms of motivational level in this study. Having both Clinical Learning Environment (external) and learner’s characteristics (internal) will provide us a model of good clinical learning outcomes. Thus, this study will test a model showing the effects of Clinical Learning Environment, Learner’s Characteristics and Clinical learning outcomes using Structural Equation Modelling (SEM).

Methods Research design This study will use exploratory cross- sectional design (Johnson 2001). This will test the model where Clinical learning Environment, Learner’s Motivational Factor as it affects clinical learning outcomes.

Biography:

Anju Rani is Research Scholar with Indian Nursing Council, INDIA. She has completed Graduation from Indian Nursing Council and worked at Nidhi Sanduja Maternity Hospital for more than one year. She has published more than 10 research papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

Social media use can have a significant impact on the health of nurses, both at the individual level and in the workplace. There are positive and negative consequences of facebook, twitter, whatsapp and any other social media use for nurses, including potential health consequences. This Research paper provide an extensive and brief overview of social media and then explores nursing health and social media and risks for nurses. Social media use also extends to healthcare organizations; with implications for consumers of healthcare delivery. A variety of emerging best practices can guide social media use for nurses. The authors also discuss suggestions for using facebook, watsup and twitter or any other social media carefully, and future directions for research.

Biography:

Zafar Iqbal Channa has completed his MSc Nursing and additionally did his Diploma in Educational Planning & Management and Diploma in Hospital Administration & HRM. He is working as Nursing Superintendent at Pakistan Institute of Medical Sciences, Islamabad. He has two research articles/ papers at his credit.

Abstract:

Degree or license is not the end point of education after basic nursing study. Apparently, basic nursing education for practice becomes obsolete within five to ten years after graduation. This obsolescence can lead to the poor performance of nurses in clinical practice. Rapid scientific and technological discoveries proved that increased demands of specialized nursing knowledge and skills can be replaced by engaging nurses in a set amount of continuing nursing education (CNE) activities for efficient and effective quality care. Study was designed to investigate most influential and predicting barriers impeding nurses’ participation in non-formal CNE programs and suggest strategies to increase nurses’ participation in such activities. Descriptive cross sectional study designed used and data were collected by applying convenience sampling technique of three hundred (n=300) nurses. Modified research instrument “Barriers to Participation Questionnaire (BPQ)” was used to collect data after pilot testing 0.861. Study results showed as “lower the mean score in each type of barrier higher the barrier is measured. Therefore, administrative barrier was found higher and most prevalent barrier with the mean score 2.19 ± 0.83 and work-related barrier was found predicting barrier than financial barriers with the mean score of 2.53 ± 0.85. Financial, family and personal barriers were less impending barriers in nurses’ participation of the CNE programs. To keep nurses abreast with advanced knowledge in changing health care environment, more opportunities of non-formal CNE programs should be provided both in and outside of the hospital or organization.