Day 1 :
Keynote Forum
Pam Bellefeuille
University of California, USA
Keynote: Unfolding case study simulation strategies to promote clinical judgment using a theatre approach
Time : 09:00-09:25
Biography:
Pam Bellefeuille is a Clinical Professor of Nursing at UCSF with extensive experience developing and conducting simulation in an accelerated Master’s EntryrnProgram in nursing that promotes clinical judgment skills using unfolding case studies and a theatre approach which enhances group critical thinking. Herrnexperience of 40 years as an RN and over 30 years teaching in university nursing programs has contributed to the development of this unique teaching strategy.
Abstract:
Traditional simulation experiences employ a single scenario assigning learners static roles as active participants (in the room)rnor passive observers (in an observation room). We will present an alternative model utilized in an accelerated pre-licensurernMasters Entry Program in Nursing. To promote critical thinking and clinical judgment skills in simulation, we have designedrna series of 4-part unfolding case study scenario simulations with both active participants and observers in the same room asrnone group using a theatre approach. Th e unfolding nature of the scenarios and the engagement of both active participants andrnobservers collectively encourage critical thinking as a team and promote clinical judgment skills. Th e unfolding case studyrnsimulation scenarios are built with an emphasis on QSEN competencies. In particular, the scenarios prioritize patient centeredrncare, patient safety, evidence based practice and team work and collaboration. Th e \"patient\" presentation is the priority forrnassessment and intervention, each student is assigned a \"nursing role\" to assume during the scenario and SBAR is used as thernform of communication to develop teamwork and collaboration, \"safety\" is emphasized by including safety hazards in thernscenario that need to be assessed and the students \"pre-lab\" to explore the \"evidence based practice\" they will utilize in theirrnnursing interventions.
Keynote Forum
Louise Tourigny
University of Wisconsin-Whitewater, USA
Keynote: Occupational mental health among hospital nurses in China and India
Time : 09:25-09:50
Biography:
Louise Tourigny has completed her PhD at Concordia University, Canada in 2001. She is a Professor of Management at the University of Wisconsin-Whitewater.rnHer work has been published in several journals including the International Journal of Human Resource Management, Cross-cultural Management: An InternationalrnJournal, the International Journal of Cross-cultural Management, the Canadian Journal of Nursing Research and Canadian Psychology among others. She hasrnpresented her work at several international conferences including the European Congress of Psychology, the European Academy of Occupational and HealthrnPsychology, Work, Stress and Health and the Academy of Management where she has received the Best International Paper Award from the Health CarernManagement Division in 2009 and the Highly Commanded Paper Award from Emerald journal in 2014.
Abstract:
This presentation focuses on the occupational mental health and job attitudes of hospital nurses in China and India. It presentsrnanalyses enlightening how job stress, emotional exhaustion, absenteeism, organizational commitment, turnover intentionrnand job satisfaction are a function of understaff ed units and shift work. A cross-sectional study method was employed to collectrnthe data using a survey instrument that was identical in content in both countries. Th e survey was fi rst developed in English andrnthen translated to and back-translated from the language in which the survey was administered to ensure accuracy of meaning.rnWe obtained 550 completed questionnaires from Chinese nurses and 683 from Indian nurses. Descriptive statistics and graphicrnillustrations are used in order to compare the variables between countries. Regressions are employed to analyze the impact of jobrnstress and emotional exhaustion on job attitudes while comparing across shift s and levels of understaffi ng. In China, emotionalrnexhaustion has a much stronger impact on turnover intention and job satisfaction when nurses work on fi xed shift and inrnunderstaff ed units. Absence is associated with lower organizational commitment among fi xed shift nurses. In India, nurses whornwork rotating shift s have lower levels of commitment as their job stress increases. Rotating shift nurses use absence as an indicatorrnof a decrease in organizational commitment. Nurses on fi xed shift report lower job satisfaction when working understaff ed andrnexperiencing high job stress and high emotional exhaustion. Findings are discussed in light of the current shortage of nursesrnin Asia. Recommendations regarding the role of Human Resources in managing the occupational mental health of nurses arernprovided. Avenues for future research are off ered.
- Track-1 Psychiatric and Mental Health Nursing
Track-2 Cancer Nursing
Track-3 Clinical Nursing
Track-4 Critical Care Nursing
Track-5 Cardiac Nursing
Track-6 Adult Health Nursing
Track-7 Women Health Nursing
Location: Sierra Ballroom
Chair
Louise Tourigny
University of Wisconsin-Whitewater, USA
Co-Chair
Khatijah Abdullah Lim
University of Malaya, Malaysia
Session Introduction
Anne Martha Kalhovde
Jaeren District Psychiatric Center, Norway
Title: Hearing the voices of people who hear voices others cannot hear
Time : 09:50-10:10
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.
Antoinette David
RMIT University, Australia
Title: Nursing perspectives on the role of nursing ‘end of shift’ verbal handover
Time : 10:10-10:30
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.
Nancy McNamara
Waikato Institute of Technology, New Zealand
Title: Simulation in an undergraduate nursing programme: How do students rate their learning?
Time : 10:30-10:50
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.
Ayfer Elçigil
Koc University School of Nursing, Turkey
Title: Responsibilities and diffi culties of caregivers of cancer patients in home care
Time : 11:05-11:25
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.
Filiz Ozel
Kastamonu University, Turkey
Title: Behcet’s disease and nursing care
Time : 11:25-11:45
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.
Lisa Foertsch
University of Pittsburgh, USA
Title: Evaluation of a surgical site discharge teaching tool using pictures and a mirror
Time : 11:45-12:05
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.
Alice Jane Haines
University of Pittsburgh, USA
Title: Relationship between gender and stress and anxiety experienced by caregivers of lung transplant recipients
Time : 12:05-12:25
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.
Gulsah KOSE
Gulhane Military Medical Academy, Turkey
Title: Reliability and validity of the intensive care delirium screening checklist in Turkish
Time : 12:25-12:45
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.
Ameera Aldossary
King Fahad Specialist Hsopital-Dammam, Saudi Arabia
Title: Patient-Nurse psychosocial and communication skills in Military Hospitals in Saudi Arabia
Time : 13:15-13:35
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.
Shalabia AboZead
Assiut University, Egypt
Title: The incidence and circumstances of Needle Sticks Injury (NSI) among Arab nurses students: Comparative study
Time : 13:35-13:55
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.
Ahsen Sirin
Zirve University, Turkey
Title: Evaluation of health related behaviors and attitudes of women during pregnancy in Edirne, Turkey
Time : 13:55-14:15
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.
Martin Pallauf
Medical informatics and Technology (UMIT), Austria
Title: Paternalism in families – burdens of caregivers of elderly family members
Time : 14:15-14:35
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.
Brahima Amara Diallo
Bayreuth International Graduate School of African Studies, Germany
Title: Problematic of providing better healthcare to childbearing mothers and infants: A case study in a Fulbe community in Mali
Time : 14:35-14:55
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.
Jennifer C Cash
Skin Savvy, USA
Title: The nurses’ role in the use of medical aesthetics to enhance patient satisfaction with post treatment oncology survivorship
Time : 14:55-15:15
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.
Eva Schulc
Medical informatics and Technology, Austria
Title: Quality of Life, Stigma, and Burden Perception among Family Caregivers and Patients with Psychiatric Illnesses in Jordan
Time : 15:30-15:50
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.
Khatijah Lim Abdullah
University of Malaya, Malaysia
Title: Medication adherence among adults with asthma at a tertiary teaching hospital in Malaysia
Time : 15:50-16:10
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.
Vanessa Pepino
University of Campinas, Brazil
Title: Application of tactile/kinesthetic stimulation in preterm infants
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.
Hassan Athamneh & Ashraf Al-Rawashdeh
King Faisal Specialist Hospital & Research Center, Saudi Arabia
Title: Experience in restructuring of the rapid response team and implementation in pediatric hematology oncology outpatient area
Time : 16:30-16:50
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.
Asuncion Alvarez-del-Rio
Universidad Nacional Autonoma de México, Mexico
Title: How nurses face patients’ death in Mexico
Time : 16:50-17:10
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.
Noordeen Shoqirat
Mutah University, Jordan
Title: Sleepless nights and sore operation site: Patients' experiences of nursing pain management after surgery in Jordan
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.