18^th International Conference on Nursing & Healthcare December 05-07, 2016
(10Plenary Forums - 1Event)
Dallas, Texas, USA

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 identification and brief interventions earlier along the continuum of use, misuse, abuse and dependence.

Abstract:

Aim: The purpose of this study was to explore pedometer-determined physical activity in adults with schizophrenia.

Methods: A prospective and observational design explored the pedometer-determined physical activity (PA) frequencies and patterns of adults, aged 18 to 60 years, recruited from a local clinic where patients with schizophrenia are managed. Subjects learned how to wear and properly use the pedometer to walk briskly for 30 minutes each day. Descriptive statistics included average hours calculated over the 2 week study with mean step counts recorded each day of the 14-day monitoring period to enable determination of any PA patterns. Motives for PA Measure-Revised (MPAM-R) and stress by Perceived Stress Scale (PSS) were assessed at baseline and 2 weeks.

Results: Fourteen subjects were recruited, 2 were dropped. Most subjects identified themselves as African American (n=12, 83.3%), average age 43.25±10.58 years; 13.5±1.78 years of education; and unemployed (n=10, 83.3%). Sample baseline data indicated 33.3% (n=4) were overweight and 66.7% (n=8) were obese. Subjects walked average 52.64 (SD=35) minutes each day week one, 56.07 (SD=26.47) minutes each day week two. Five subjects (42%) walked 30 minutes each day more than 5 days week one, 6 subjects (50%) week two. PA patterns exhibited repeated walking engagement approximately 3 days, back-to-usual sedentary habits. Highest exercise motive: Fitness (baseline mean=6.03±1.10; two week mean=5.72±1.03). No significant correlations were found between exercise motives and PA baseline-2 weeks respectively (p>0.05). Mean stress score: 1.97±0.72 baseline; 1.99±0.64 two weeks. Relationships between stress level and PA steps: Negatively associated baseline and 2 weeks (r=-0.02, p=0.96; r=-0.54, p=0.07).

Biography:

Kari Ingstad has completed her PhD from Norwegian University of Science and Technology and Post-doctoral studies from Nord University. She is Director of Research in the Faculty of health Sciences, Nord University. She has published more than 20 journal papers, book chapters and conference papers. She has edited one book on gender, work and employment.

Abstract:

Extended work shifts of 12 hours or more have become a common scheduling strategy for nurses in several countries, though this is not the case in Norway. There, many managers, nurses and union representatives have expressed concerns about whether nurses can function effectively while working long shifts. This study thus aimed to examine how long shifts influence nursing outcomes such as stress, continuity and responsibility in Norwegian nursing homes. Data were collected during in depth interviews with 16 nurses employed at four different nursing homes who have worked 12–14-hour shifts. Results suggest that long shifts actually reduce stress and increase both work continuity and accountability, though these positive impacts of long shifts occur primarily when all departmental staff work long shifts. Furthermore, fewer shift changes mean more time spent with patients and better communication.

Biography:

Lu Ann Sowko RN PhD. received her PhD in Exercise Physiology from the University Of Pittsburgh School Of Education. She is an Assistant Professor in The Acute and Tertiary Department. of the School of Nursing. She has 15 years of experience in undergraduate teaching in the clinical and classroom setting. Her current interests are physical activity, leadership, interprofessional education and medical surgical nursing. Currently, she is a member of Sigma Theta Tau and AMSN.    

Abstract:

Purpose: To explore knowledge, self-efficacy, beliefs and practices for engaging in physical activity (PA) counseling in undergraduate nursing students.

Theoretical Framework: Bandura’s theory of self-efficacy.

Methods: Cross-sectional survey distributed to 603 undergraduate nursing students. The 21-item questionnaire requested information regarding: (1) knowledge of current PA guidelines, (2) self-efficacy in PA counseling, and (3) personal PA beliefs and practices. Responses were analyzed by (1) program level (freshman, sophomore, junior, senior) using one-way Analysis of Variance and (2) type of program (traditional, second degree) using the Mann-Whitney U test and Kruskal-Wallis test.

Major Findings: 539 students returned completed questionnaires (89%). The majority were females (89.2 %) enrolled in a traditional program (92%). Almost half (48%) responded they would recommend the amount of PA consistent with the current guidelines (≥150 min per week). However, less than 40% reported having an opportunity to engage in PA counseling. The majority (74.2%) reported partial to strong confidence in providing PA education. Students ranked providing PA counseling as 4th among 9 other lifestyle behaviors. Senior students reported better knowledge of the current PA guidelines than juniors (p = 0.02). Self-efficacy related to PA counseling was significantly lower in freshmen compared to sophomores, juniors, and seniors (p<0.001). Traditional students had lower self-efficacy in PA counseling compared to those in the accelerated program (p=0.003). Freshmen ranked PA higher compared to other lifestyle behaviors (3.9 ± 2.2) compared to juniors (4.8 ± 2.2) and seniors (5.0 ± 2.4) (p<0.001). Sophomores ranked PA higher compared to other lifestyle behaviors (4.1 ± 2.2) compared to seniors (5.0 ± 2.4).

Conclusion: Nursing students infrequently provide PA counseling, potentially due to low self-efficacy.

Implications: Undergraduate curricula may need to incorporate strategies to build competence to deliver PA counseling

Biography:

Linda L Vila is a Graduate of Brooklyn Law School and Hunter College of the City University of New York. She is a full-time Faculty Member at Long Island University, Post, where she has also served as Associate Dean of the College of Management and Chair of the Department of Health Care & Public Administration. She has extensive professional experience as a member of executive leadership at several New York City health care systems. Her research interests include health care administration, risk management, Magnet organizations and health care law.

Abstract:

An exploratory study using focus group methodology and qualitative content analysis was conducted to examine physician perceptions of Magnet nurses and Magnet designation. This study is significant because it is the first of its kind to give physicians a voice regarding Magnet. Findings from the research suggest that Magnet nurses are highly regarded by physicians. They possess the knowledge, skills and values needed to deliver superior care to patients and they promote a culture of excellence, not just in nursing but across all disciplines. Physicians benefit from working with Magnet nurses, especially nursing leadership, because the nurses are vigilant about communication, cooperation and consideration. Physicians also benefit from the Magnet designation as it cloaks the organization in an aura of distinction and connotes added value for patients and staff. Key themes emerged related to Magnet nurse characteristics, relationships with physicians, nursing leadership, shared governance and Magnet as a marketing tool. “Magnet Marginalization” emerged as a new theory. Knowledge of how physicians regard Magnet nurses and Magnet recognition can be used to inform organizations considering Magnet designation, to attract a high caliber of medical staff to Magnet institutions, and to induce affiliations with other organizations.

Biography:

Abstract:

Problem: Central nervous system (CNS) tumors are the most commonly diagnosed solid tumor in childhood, accounting for nearly 20% of all pediatric cancers.  Radiation therapy is an effective treatment modality for many CNS tumors; however, this treatment may produce significant physical and psychosocial stress for both the child and parent.  Many pediatric healthcare institutions use intervention programs delivered by certified child life specialists (CCLS) to provide psychosocial support and thereby promote successful coping in children and families facing a variety of stressful illnesses and procedures.  The purpose was to examine the relationship between play-based procedural preparation and support intervention and use of sedation in children with central nervous system (CNS) tumors during radiation therapy. The secondary objective was to analyze the cost-effectiveness of the intervention compared to costs associated with daily sedation.

Methodology: A retrospective chart review was conducted for inclusion. Outcome measures included the total number of radiation treatments received, the number of treatments received with and without sedation, and the type and duration of interventions, which consisted of developmentally appropriate play, education, preparation, and distraction provided by a certified child life specialist.

Findings: The results of univariate analyses showed that age, tumor location, and total number and duration of interventions were significantly associated with sedation use. The results of multivariate analyses showed that, after adjustment for age and tumor location, a significant relationship was found between the total number and duration of the interventions and sedation use. The implementation of a play-based procedural preparation and support intervention provided by a certified child life specialist significantly reduced healthcare costs by decreasing the necessity of daily sedation. 

Conclusions: Support interventions provided by child life specialists significantly decreased both sedation use and the cost associated with daily sedation during cranial radiation therapy in children with CNS tumors.

Biography:

Amy Kennedy is a Lead Child Life specialist in the Child Life program at St. Jude Children’s Research Hospital.  She is responsible for providing Child Life services to the patients and families in the Radiation Oncology Clinic.  She was recently awarded the national clinical excellence award within the field of child life recognizing her exemplary skills and dedication to the field.  Amy assists in research and presents her work nationally

Abstract:

Problem: Central nervous system (CNS) tumors are the most commonly diagnosed solid tumor in childhood, accounting for nearly 20% of all pediatric cancers.  Radiation therapy is an effective treatment modality for many CNS tumors; however, this treatment may produce significant physical and psychosocial stress for both the child and parent.  Many pediatric healthcare institutions use intervention programs delivered by certified child life specialists (CCLS) to provide psychosocial support and thereby promote successful coping in children and families facing a variety of stressful illnesses and procedures.  The purpose was to examine the relationship between play-based procedural preparation and support intervention and use of sedation in children with central nervous system (CNS) tumors during radiation therapy. The secondary objective was to analyze the cost-effectiveness of the intervention compared to costs associated with daily sedation.

Methodology: A retrospective chart review was conducted for inclusion. Outcome measures included the total number of radiation treatments received, the number of treatments received with and without sedation, and the type and duration of interventions, which consisted of developmentally appropriate play, education, preparation, and distraction provided by a certified child life specialist.

Findings: The results of univariate analyses showed that age, tumor location, and total number and duration of interventions were significantly associated with sedation use. The results of multivariate analyses showed that, after adjustment for age and tumor location, a significant relationship was found between the total number and duration of the interventions and sedation use. The implementation of a play-based procedural preparation and support intervention provided by a certified child life specialist significantly reduced healthcare costs by decreasing the necessity of daily sedation. 

Conclusions: Support interventions provided by child life specialists significantly decreased both sedation use and the cost associated with daily sedation during cranial radiation therapy in children with CNS tumors.

Biography:

Gitte Bunkenborg completed her PhD in April 2014 from Lund University, Sweden, and she is currently working on Post-doctoral studies at Holbaek University Hospital, Denmark, a 350-bed university hospital, where she is Head of Nursing Research. Her research interest concerns patient safety, early warning score, nurses’ monitoring, documentation- and communication practice.

Abstract:

We evaluated adherence to an intervention comprising systematic, mandatory early warning scoring (MEWS) of vital parameters and the process of implementing the intervention. Systematic early warning scoring is reported to reduce unexpected in-hospital mortality. However, reports of adherence to the intervention are often lacking but necessary to interpret intervention outcome correctly. Adherence to the intervention, known as implementation outcome, and the implementation process was evaluated using mixed-methods. Adherence was assessed by comparison of time intervals between bedside measuring of vital parameters before (2009) and after (2010 and 2011) the intervention was implemented and by calculations of time to the next MEWS scoring. Evaluating the implementation process using semi-structured interviews of nurse ward managers complemented quantitative results. There were significant reductions in time intervals between measuring heart rate and body temperature (corresponding to MEWS 0-3), and blood pressure (corresponding to MEWS 0-2), between 2009 and 2010, and between 2009 and 2011. Scoring was repeated within eight hours in 71% of all patients with MEWS 0. In 2010 and 2011, scoring was repeated within eight hours in 69% and 72%, respectively, of patients with MEWS 2, and in 71% and 77%, respectively, of patients with MEWS 4. Interviews illuminated that nurses were motivated to adhere to the intervention because of the clinical relevance and meaningfulness of the intervention. We found high short- and long-time adherence to systematic, mandatory early warning scoring resulting in 69-77% of patients being re-scored every eighth hour. The clinical relevance of the intervention motivated the implementation process.

Biography:

Dr. Sharon Elizabeth Metcalfe is currently the Program Director for the NN-CAT (Nursing Network-Careers and Technology Program) Nursing Mentoring and Diversity Program at Western Carolina University in Cullowhee, North Carolina. Dr. Metcalfe is additionally an Associate Professor of Nursing. Dr. Metcalfe has published numerous international articles on mentoring of students, nurses and additionally leads a collaborative mentoring program with nursing students and nurses between Western Carolina University and the Edinburgh Napier University with Schools of Nursing, with student exchanges with nurse mentors.

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 minimal inclusion of students from underrepresented ethnic minorities, as well as students from the rural Appalachian region. This presentation 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. Programs such as these may prove to be beneficial in helping to integrate a diversity of nursing professionals into the nursing workforce in the United States.

Biography:

Dr. Wagner completed her Ph.D. from the University of Alberta. She is the acting Dean of Graduate Programs and Coordinator of Research and Scholarship for the Faculty of Nursing, University of Regina. In addition, she is a Research Associate with the Regina Qu’Appelle Health Region.  She has published more than 13 papers in reputed journals.       

Abstract:

Background: The recent world-wide financial crisis led to a focus on professional practice changes and healthcare restructuring. These changes motivated by the need to optimize resources had the potential to dehumanize health care. Spirit at work (SAW), identified as a holistic measure of workplace outcomes, has emerged as a response to Canadian nurse determination to maintain a healthy and productive healthcare work environment.

Aim: The aim of this research was to describe the care provider’s perceptions of SAW within the restructured continuing care workplace.

Method: Explanatory mixed methods research using concurrent triangulation was conducted. 18 Likert style questions were further informed by two open-ended questions. The survey was provided to a convenience sample of 53 care providers within a continuing care centre during February, 2014. 31 care providers, comprised of registered nurses, licensed practical nurses and unlicensed continuing care aides responded to the survey. The survey results were compared with previous research conducted with licensed care providers.

Results: This mixed group of licensed and unlicensed care providers reported perceptions of SAW that were lower than those reported by licensed care providers in previous studies. They also described a low sense of community and low mystical experience. Responses to open ended questions provided suggestions for improvements which included; improving manager/care provider interactions, listening to provider concerns, supporting teamwork, creating a non-punitive workplace and providing adequate resources for patient care.

Conclusions: The high proportion of unlicensed continuing care aides in this sample may have contributed to low SAW. Further research identifying the relationship between care provider perceptions of SAW and measureable patient morbidity statistics is essential. SAW research investigating workplace perceptions of licensed and unlicensed health care providers offers valuable decision making information for policy makers and health care leaders.

Biography:

Lorraine Mongiello is a registered Dietitian/Nutritionist and a certified Diabetes Educator. She has specialization in “Public health, nutrition and the prevention and treatment of diabetes”. She was Director of Campaign Against Diabetes at City University of New York (CUNY) and was Director of Diabetes Care Center at St. Charles Hospital, where she implemented a diabetes education program serving more than 500 people annually. Currently, she is a Professor in Clinical Nutrition and Interdisciplinary Health Sciences departments at New Your Institute of Technology (NYIT) in Old Westbury, New York. She has completed her Doctor of Public Health degree at CUNY Graduate Center, Master’s degree in Nutrition and Public Health at Teacher’s college, Columbia University and Bachelor’s Degree in Food and Nutrition Science at Lehman College in New York City. Her current research focuses on “The social determinates of health and how the environment impacts health behaviors among young adults”.

Abstract:

Background: Although the rapid increase of type 2 diabetes is crossing all socio‐economic groups, it is still most prevalent among minorities and the poor. Recent data suggest that non-Hispanic African-American (16%) and Mexican-American (15.7%) adults exhibit higher age-adjusted prevalence than non-hispanic white adults (8.8%) and Asian-Americans are 30-50% more likely to have diabetes than their white counterparts. It is unknown if at risk young adults recognize their increased likelihood of developing diabetes.

Methods: Diabetes risk knowledge, individual risk perception, health status and individual health behaviors were collected and examined from 1,579 multiracial urban college students. Students have little knowledge of diabetes risk factors; identifying less than three of the 10 most important factors. Significant variation exists in the understanding of risk among racial/ethnic groups; only 0.02% of Asian, 14.0% of Hispanic and 22.8% of black students recognized that their race increased their risk. Among those students reporting three or more known risk factors (n=541) only 39% perceived that they were at high risk.

Discussion: These under-estimators (students unaware of their high risk) scored lower on a diabetes knowledge test (P=0.03) than those who acknowledged their risk; indicating that the cause of under-estimating risk may be, at least, in part due to a lack of information about risk factors. Asian students may be unaware of their risk as Asians develop diabetes at a much lower or normal BMI than other groups.

Conclusion: There is a pressing need to heighten knowledge and perception of diabetes risk among young adults in all groups to decrease the future burden of diabetes.

Biography:

Robert Scoloveno PhD, RN is an assistant professor and director of simulation laboratories at Rutgers, The State University of New Jersey school of Nursing-Camden. He has studied the concept of residence for the past 8 years, specially health outcomes of resilience in adolescence.  His other area of research is educational outcomes of simulation technology among schools of nursing, and is an expert in curriculum integration of simulation into schools of nursing.

Abstract:

There is a dearth of knowledge about the health outcomes of resilience during adolescence, making the study of health-related outcomes of resilience important. The purpose of this study was to develop a theory-based just-identified model and to test the direct and indirect effects of resilience on hope, well-being, and health-promoting lifestyle on middle adolescents.  The study used a correlational design.  The sample consisted of 311 middle adolescents, aged 15 to 17, who were recruited from a public high school.  Participants responded to instrument packets in classroom settings.   The structural equation model was tested with the LISREL 8.80 software program.   All seven hypotheses were supported at a statistically significant level (p< .001).  The results of the study supported the theoretical propositions and the previous empirical findings that were used to create the theoretical model of health-related outcomes of resilience. Alternate models of outcomes of resilience need to be developed and tested on adolescents.

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:

Purpose:  The lung transplantation process is stressful for both patient and caregiver.  Infection and rejection are post-transplant concerns that may impact long-term survival.  Several qualitative studies have assessed caregiver feelings, but none of these have analyzed the effects of complications and re-hospitalization on caregiver stress and anxiety. The purpose of this study was to assess stress and anxiety levels of post-lung transplant caregivers, and how these may be affected by re-hospitalization and/or development of complications. The authors also wanted to gain an increased understanding of the post-transplant experience from the perspective of the caregiver.

Methods:  A convenience sample of 94 caregivers was recruited from a large tertiary medical center. Caregivers were approached during the hospitalization of their significant other. Each caregiver completed the Perceived Stress Scale (PSS), and the State Trait Anxiety (STAI) inventory on three occasions; baseline, 4 weeks, and 8 weeks.  Interviews took place at those times asking about the patient’s location and health, and a description of the caregiving experience.  Each interview lasted 30-60 minutes.  The baseline interview was conducted face-to-face in the hospital; the 4 and 8 week follow-ups were by telephone.  Interviews were written and transcribed as soon as possible. 

Results/conclusion: Nineteen caregivers dropped out or were lost to follow-up; 2 patients died during the study.  Thirteen other records were deemed incomplete and were not included in the analysis.  60 interviews are currently being reviewed and coded. Most caregivers were married, white, female, and high school graduates.  Both the PSS and STAI scores at all three data collection points were higher than normed group scores.  Time since transplant and PSS scores were statistically significant (r=0.29 p=0.005) indicating the longer the caregiving experience, the higher the stress.  Six themes have emerged from the interviews thus far.  They include; 1) Concern for recipient health, 2) Concern for caregiver’s health and well-being, 3) Not being prepared for the transplant experience, 4) Significant life changes made for recipient 5) the Honeymoon phase , and 6) Resilience. These are preliminary results; data analysis is on-going.

Biography:

Linda L Vila is a Graduate of Brooklyn Law School and Hunter College of the City University of New York. She is a full-time Faculty Member at Long Island University, Post, where she has also served as Associate Dean of the College of Management and Chair of the Department of Health Care & Public Administration. She has extensive professional experience as a member of executive leadership at several New York City health care systems. Her research interests include health care administration, risk management, Magnet organizations and health care law.

Abstract:

Today’s health care landscape requires a new standard of service delivery aimed at quality outcomes, cost-effective provisions of coordinated treatment and access to equitable care. This standard has brought emerging risks that pose threats to the operational and financial well-being of health care organizations, especially safety net hospitals. The establishment of enterprise risk management (ERM) programs, guided by the efforts of efficacious health care managers, will promote deeper risk analysis, engagement of the entire health care organization, and structured, coordinated and cohesive mitigation responses to risk exposures. This paper examines the managerial competencies needed in today’s demanding health care climate. It discusses ERM, matches managerial competencies with effective ERM, and introduces a unique ERM framework implemented in a New York City hospital: The Administrator on Duty (AOD) model. A study using an inductive qualitative content analysis was conducted to explore the utility and value derived from the AOD model as perceived by organizational senior leadership as well as from the managers themselves who served as AODs. Results of the study suggest that the AOD model significantly contributes to all phases of ERM, particularly risk identification, risk assessment, risk response and monitoring. The model provides tremendous benefits to a health care organization. These include, among many others, a substantial leadership presence, dynamic risk mitigation efforts, continuous education to staff and facilitation of problem solving and conflict resolution. The AOD program is a vital constituent of an ERM endeavor.

Biography:

Dr. Dorah Ursula Ramathuba holds a PhD in Nursing Science. She is a senior lecturer at University of Venda, South Africa. Has been a lecturing for the past 25years facilitating integrated nursing science at undergraduate level, a nurse administrator, nurse educator and oncology nurse, teaches nursing management at post graduate level and promotes masters and doctoral students. She has presented papers in the field of womens’reproductive health nationally and internationally and has published manuscripts in accredited national and international journals

Abstract:

Background: HPV infections have the potential to cause various adverse health outcomes in males, including genital warts and some types of cancer (anal, penile and oral cancers). HPV concordance levels are high among sexual partners, so infected males also put their female partners at increased risk of cervical disease.

Purpose: The purpose of the study was to assess the knowledge of human papilloma virus and HPV vaccine among rural women in Vhembe district in Limpopo Province.

Methodology: A quantitative descriptive approach was adopted. The quantitative design enabled the discovery of more information by means of direct questioning of a sample of women 30 years and older. A convenience sampling was be used to select the respondents. Data was analyzed using the Statistical Package for Social Sciences. Measures to ensure ethical issues were adhered to.

Results: The findings revealed that women lacked knowledge about human papilloma virus and HPV vaccine, and displayed negative attitudes to the use of vaccines if given a pamphlet to let their daughters be immunized. Health workers did not adequately inform women about the availability of the services.

Conclusions: The awareness on human papillomavirus and HPV vaccine among women in Vhembe district is limited. There is a need to educate and promote awareness on cervical cancer screening methods among women in order to reduce the burden of morbidity and mortality.

Biography:

Dr. Wolf is an Associate Professor of Nursing and an independent Healthcare Informatics Consultant. Dr. Wolf has over 35 years of experience within the healthcare arena. Her area of expertise focuses on integrating technology into a healthcare setting focusing on change management, process redesign and more recently the use of social media in supporting clinicians health 2.0 needs. Dr. Wolf has worked closely with various IT vendors and health systems in exploring and integrating new technologies. In 2013 she published her first book titled “Social media for nurses: Educating practitioners and patients in a networked world”.

Abstract:

Source of health information that continues to empower patients’ is the use of the internet and social media sites. Technology has made electronic health information resources readily available 24 hours a day, seven days a week. When patients use these sites for health information seeking, nurses have to ask themselves, “What education is communicated in order for this patient to become empowered and be a well-educated participant in their internet health-seeking behavior? Nurses, in the inpatient and outpatient settings, are in a key position to assess and communicate educational principles to the empowered patient on how to effectively access and assess information on the internet. An exploratory study was conducted assessing nurses’ level of knowledge and use of the internet. In addition, the study explored nurses’ assessment and education of their patients in using the internet. This presentation will introduce the results of the study supporting the need for educational programs on how to use the internet safely for both patients and nursing professionals. Several tools will be presented that will guide individuals in using the internet to seek health related information.

Biography:

Bonnie B. Anton MN RN FHIMSS has over 35 years of experience in acute care nursing. Presently she is an informatics nurse conducting electronic health record implementation and education training sessions for nursing and health care providers. Presently, in addition to her role as an informatics nurse, she also is evaluating the impact of patient education and health literacy on patients’ hospital readmissions and has implemented a health literacy educational session for newly hired hospital employees. She has presented nationally and internationally on informatics, social media and health literacy.

Abstract:

Source of health information that continues to empower patients’ is the use of the internet and social media sites. Technology has made electronic health information resources readily available 24 hours a day, seven days a week. When patients use these sites for health information seeking, nurses have to ask themselves, “What education is communicated in order for this patient to become empowered and be a well-educated participant in their internet health-seeking behavior? Nurses, in the inpatient and outpatient settings, are in a key position to assess and communicate educational principles to the empowered patient on how to effectively access and assess information on the internet. An exploratory study was conducted assessing nurses’ level of knowledge and use of the internet. In addition, the study explored nurses’ assessment and education of their patients in using the internet. This presentation will introduce the results of the study supporting the need for educational programs on how to use the internet safely for both patients and nursing professionals. Several tools will be presented that will guide individuals in using the internet to seek health related information.

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:

Rapid scientific and technological discoveries have increased demands of specialized nursing care. Because knowledge and skills can be replaced by engaging nurses in a set amount of continuing nursing education (CNE) program activities. Literature suggested that 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 of graduation. This obsolescence can lead to the poor performance of nurses in clinical practice. Therefore, a comparative study was designed to investigate and compare most influential and predicting barriers to participation among hospital nurses of two provinces in Pakistan. This was a cross sectional analytical study in which convenience sampling approach was used to collect data of three hundred (n=300) nurses through “Barriers to Participation Questionnaire” (BPQ).  Quantitatively, result interpretation was set as “the lower the mean score in each type of barrier, higher the barrier was measured due to reverse Likert scale rating. Generally, administrative barrier was found higher and most prevalent barrier, work-related barrier was more predictive and financial barriers as predicting barrier as compare to family and personal barrier.  Data also revealed that Punjab nurses have greater administrative with mean score of 2.16±0.87 and work-related barriers with mean score of 2.43±0.81 than the nurses from Sindh province with mean score of 2.26±0.75 and 2.81±0.90. Regarding financial barrier, both provinces nurses have equal level barriers than the family and personal barriers among nurses of two provinces. If nurses wish to make change in their practices, they need to connect with non-formal CNE programs. Nursing administration should provide these program opportunities for employed nurses both in and outside of the organization in all provinces.

Biography:

Abstract:

Background: Health care providers (HCP) are at high risk expose to blood borne infections such as hepatitis B (HBV), C (HCV) and immune deficiency viruses (HIV). A huge number of injections are being administered in private clinics in Pakistan. Majority of clinics run by unqualified quacks in a rural area. The risk exposures to HCPs in these clinics differ from those working in tertiary care hospitals due to accessibility of resources, infection control management, workshops, awareness and qualifications. Many studies have shown strong association between transmission of blood borne pathogens and needle stick injuries.

Aim: Aim of this study is to determine the frequency and factors leading with unsafe injection practices at four major cities of district Sanghar (Sindh).

Methodology: A cross sectional study was conducted in HCPs running private clinics at four major cities of district Sanghar, Sindh Pakistan. By using multi stage sampling technique, 370 clinics proportionately selected through cluster sampling and stratified sampling. A pre-tested questionnaire was used to determine the percentage of unsafe injection practices among HCP.

Analysis: Categorical variables were calculated in frequency with percentage, and continuous scale variables with mean and standard deviation such as age and years of experience. 95% confidence interval with proportion was used to calculate at least one needle stick injury in the last one year.

Results: Out of 370 clinics, 368 HCPs were interviewed; 37.8% paramedics, 29.9% quacks, 22.6% MBBS, 4.9% DHMS and 1.4% Hakeem. Mean age (SD) of HCPs was 39 (8.92) years, and with mean (SD) experience of 14.7 (7.2) years. 55.71% were collecting used syringes in dustbin, 22.01% in sharp container and 22.28% using needle cutter. At least one needle stick injury (NSI) in last one year among HCPs at clinics in district Sanghar Sindh was 27.4%.

Conclusion: HCPs running private clinics are at higher risk in acquiring blood borne infection (BBIs) due to reused needle stick injuries, and poor hepatitis B vaccination program. There is an emergency need in launching protective measure for HCWs, and shield them from epidemic of blood borne infections (BBIs).

Biography:

Ntsieni Mashau has completed holds a Ph.D. in Rural Development from the University of Venda, South Africa. She is a senior lecturer in the Department of Public Health, University of Venda. She has published 15 papers in reputed journals and has been serving as a peer reviewer of manuscripts in accredited journals.

Abstract:

Background: Medical male circumcision has become a significant dimension of HIV prevention interventions, after the results of three randomized controlled trials (RCTs) in Uganda, South Africa and Kenya demonstrated that circumcision has a protective effect against contracting HIV of up to 60 percent. Following recommendations by the WHO, Zimbabwe in 2009 adopted voluntary medical male circumcision (VMMC) as an additional HIV prevention strategy to the existing ABC behavior change model.

Purpose: The purpose of this study thus is to investigate the perceived barriers to the low uptake of medical male circumcision.

Methods: The study was quantitative cross-sectional survey conducted in Mutare rural district, Zimbabwe. Questionnaires with open and closed ended questions were administered to the eligible respondents. The target populations were males aged 15-29 who met the inclusion criteria. The households were systematically selected with a sample size of 234. The statistical Package for Social Sciences (SPSS) was used to analyze data.

Results: Socio-culturally, circumcised men are viewed as worthless (37%), shameful (30%) and are tainted as promiscuous (20%), psychological factors reported were infection and delayed healing (39%), being ashamed and dehumanized (58%); stigmatized and discriminated (40.2%) and fear of having an erection during treatment period (89.7%) while socio-economic factors were not having time, as it will take their time from work (58%) and complications may end up spending money on treatment (84%).

Conclusion: Knowledge deficits regarding male medical circumcision leads to low uptake, education on male medical circumcision and its benefits. Comprehensive sexual health education should target men and dispel negative attitudes related to use of health services.

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 identification and brief interventions earlier along the continuum of use, misuse, abuse and dependence.

Abstract:

Background: All health professionals, especially nurses, are uniquely positioned to identify, intervene with and educate women about risks associated with excessive alcohol use. Nurses can: identify women at risk for alcohol-exposed pregnancy (AEP); deliver evidence-based interventions to at-risk women and; provide referrals as necessary. The Centers for Disease Control (CDC) has funded University of Pittsburgh, School of Nursing in collaboration with University of Alaska and University of California at San Diego to disseminate information about alcohol screening and brief intervention (SBI) for prevention of AEPs and fetal alcohol spectrum disorders (FASD). Alcohol use among women of child bearing age (18 to 44 years) has remained high over the past several decades (CDC, 2014, 1999; SAMHSA, 2004). Alcohol use screening is not a routine standard of care, and yet, FASD training for nurses can be effective.

Aim: Aims of this study are to: Describe the findings from the nursing environmental scan related to information on FASD; describe the gaps in nurses’ knowledge related to FASD and; collaborate with national nursing partner organizations to increase the reach and number of nurses trained to use alcohol SBI to prevent AEPs and FASDs.

Results: An environmental scan was completed to identify evidence-based/evidence-informed training materials and resources related to alcohol SBI and FASD. The environmental scan reviewed existing literature, statements of national nursing organizations, and training curricula. Over 400 items initially were obtained. Abstracts were used to narrow down to the most relevant material. Thus, 125 items were reviewed in-depth and rated on several factors including coverage of alcohol SBI, FASD issues and potential patient reach and sustainability. Results point to areas where nurses can improve their knowledge, attitudes and behaviors related to alcohol SBI for AEPs and FASD.

Conclusion: This extensive process will serve as the basis to complete a national training plan for nursing practice around implementation with multiple nursing organizations.

Biography:

Mozhdeh Tahghighi has a Bachelor of Nursing, and has completed her Master of Nursing from the University of Western Australia. She is a PhD candidate in Psychology (third year) at Curtin University. She is working on resilience of nurses working shift work in Australia, which is a first Australian study. Also, she is Registered Nurse in this country.

Abstract:

The overall aim was to investigate the impact of shift work on resilience in nurses and to determine whether nurses who work shifts have different mental health/professional quality of life outcomes compared to those who work regular hours. This study examined data collected from registered and enrolled nurses (n=1495) as part of a 2013 online self-report study among employed nurses who were members of the Queensland Nurses’ Union. Generalized Linear Mixed Model analysis revealed shift workers had significantly lower scores on the compassion satisfaction measure; however, this was a very small effect. There were no significant differences between shift and non-shift workers on depression, anxiety, stress, resilience, secondary traumatic stress and burnout. Nurses working shifts showed significantly lower levels of compassion satisfaction compared to non-shift worker nurses; however, they did not indicate they will leave the profession compared to non-shift worker counterparts.

Biography:

Sofi Dhanaraj has completed her BSc in Nursing from Madras Medical College, Chennai, India. She has worked for 18 years in the field of Nursing including more than 14 years in Oncology Services. She completed her BSc in Palliative Care Nursing in 2006 from Birmingham City University, United Kingdom (UK) and MSc in Clinical Oncology in 2014 from University of Birmingham, UK. She has been working in Liver Services as a Clinical Nurse Specialist in Hepato-Pancreato-Biliary (HPB) Oncology for the past three years at Queen Elizabeth Hospital Birmingham, UK. She has published one paper in a reputed journal.

Abstract:

The incidence and mortality rates of hepatocellular carcinoma (HCC) have been rising in the United Kingdom over the last 30 years. The aim of this research was to study the frequencies of chronic hepatitis B and C virus (HBV and HCV) infection and their associations with HCC in immigrant populations. We also aimed to compare the results with the native UK population. The research data was largely collected prospectively for studies on the serological diagnosis of HCC on all immigrants and native UK patients with HCC who were seen at Queen Elizabeth Hospital Birmingham, UK, between 2007 and 2012. Additional relevant data was collected retrospectively. 17% of HCC cases in the UK arose among immigrants and there was a notable difference in the primary aetiology between the natives UK and immigrants. HBV and HCV-related diseases were the main cause of HCC in immigrants (accounting for 92% of immigrant but only 27% of native cases) and there was a significant difference in the median survival between the two groups (median survival=15.461 and 22.599 months respectively). Immigrant populations may be at increased risk of HCC because of their viral status, there is a need for recognition that this risk group should be screened for HBV and HCV infection so that early diagnosis and appropriate HCC screening may enhance early detection of HCC and result in better survival.

Biography:

Lois E Rockson is pursuing her PhD in Urban Systems with a focus in Urban Health in the Joint Doctoral Program at New Jersey Institute of Technology, Rutgers School of Nursing, and Rutgers University, Newark. Her dissertation work focuses on “Cancer screening among immigrants from the Caribbean Basin”. She completed her Master’s in Public Health at University of Medicine and Dentistry of New Jersey’s School of Public Health in 2008 and; a Joint Master’s in Health Professions Education at Seton Hall University and University of Medicine and Dentistry of New Jersey’s School of Health Related Professions in 2001. She is an Assistant Professor at Rutgers School of Health Related Professions, Department of Clinical Laboratory Science’s. This study was the result of an interdisciplinary collaborative study with Rutgers School of Health Related Professions, Department of Psychiatric Rehabilitation and Counseling Professions.

Abstract:

Growing evidence shows that disparities exist in health services for those with mental disorders served by the public mental health system. This study assessed the use of cancer screening services among New Jersey residents enrolled in publically funded mental health programs. Self-administered surveys were completed by 148 adults who utilize services at peer-led community wellness centers throughout New Jersey. The survey instrument collected data on their use of breast, cervical and colorectal cancer screening services as well barriers to receiving such preventative services and their perceptions on their overall health. Schizophrenia spectrum disorders were the most common self-reported psychiatric condition. More males than females participated in the study with African Americans and Whites participating equally. Most participants perceived their overall health as excellent (17%) or good (45%). Screening for colorectal cancers (42%) was low when compared to the general population (57%). Physicians not advising patients to receive cancer screening tests emerged as the main cause of low screening rates. Wellness initiatives designed and initiated by peers, collaborating with other health care providers may improve adherence to cancer screening measures.

Biography:

Nahla Nahla Gadir Tayyib has over 14 years of experience as a Registered Nurse. She has completed her PhD in Nursing in 2016 at Queensland University of Technology, Australia. She has worked as an Assistant Proferssor in Nursing Faculty at Umm al-Qura University, Saudi Arabia. Currently, she is a member of the Sigma Theta Tau International Honor Society of Nursing. Her research interest includes “Wounds, particularly pressure injury”. She has nine published articles in this field.

Abstract:

Pressure injuries (PIs) have been identified as a worldwide problem that contribute significantly to increasing health care costs, compromise an individual’s health, and in some cases contribute to mortality. The intensive care context poses special challenges to preventing PIs developing due to the high acuity of patients and the highly invasive nature of interventions and therapies which critically-ill patients receive. In response to these challenges, we test the effectivness of PI care bundle, to reduce the incidence of PIs in ICU in Saudi Arabia. This study was conducted in multicenter critical care units, Saudi Arabia. Of the 140 patients who admitted to ICUs during the enrolment period, 70 with 728 days of observation were in the control group and 70, with 784 days of observation, were in the intervention group, the mean age in control and intervention group was 52 and 47.5, respectively. Almost 71% of both groups were male. There was no significant differences between both groups in all demographic characteristics and all clinical characteristics except time in operation room. Survival was improved with the intervention, with 12 PIs among intervention group and 37 PIs among patients receiving standard skin care. The Poisson regression model infers that the rate of any new PIs in the intervention group is 70% lower in the intervention group than the control. Timely implementation of a bundle of measures to reduce PIs demonstrated a significant reduction in PIs development in Saudi Arabia ICU.

Biography:

Antoinette Barton-Gooden is a Lecturer at UWI School of Nursing. Her research interests include “Patient safety issues, sickle cell disease, nursing leadership and tobacco smoking”. Issues surrounding restraint usage has been an area of focus as it impacts patient safety and dignity during care. Direct involvement in clinical teaching and supervision has highlighted the need for strengthening nursing leadership and systems change to create a safety culture in healthcare settings in Jamaica.

Abstract:

Statement of the Problem: Physical restraint usage is widespread in acute care settings and contributes to patient injuries and death. Nurses are ambivalent about the practice and face moral dilemma when it is used. However, little is known or documented about the use of physical restraints in Jamaica.

Aim: The purpose of the study is to examine the use of physical restraints among adult patients on the medical-surgical wards and one psychiatric unit at a teaching hospital in Jamaica.

Method: This mixed-methods study utilized a restraint prevalence tool to directly observe 172 patients and conduct 47 chart audits. Two focus group discussions with nurses and medical doctors working on the wards and unit were conducted. Qualitative data were audio taped, transcribed and thematically analyzed using a comparative matrix. Quantitative data was analyzed using SPSS® version 17.

Results: The prevalence of use of physical restraints was (75%) on the medical-surgical wards. Bedrails accounted for 70%, while limb and trunk restraints using stockinet and leather straps (5%). No restraint usage was observed on the psychiatric unit. Limb restraints were inappropriately applied (43%), and no doctors’ order or written consent was seen (90%). Focus group discussants were female ages 20-39 years, with 8-36 months experience in the area. They reported feelings of sadness, guilt and fear regarding the use of physical restraints. Also, restraints were necessary when the patient was at risk for harm to self and others. Majority reported being unaware of the policy (83%), not being formally trained in restraint application, but had learnt from peer observation.

Conclusion & Significance: High prevalence of bedrails was a standard procedural practice to prevent patient falls. Nurses and doctors experienced moral dilemma when restraints are used. Adequate institutional support and integration of evidence-based information is necessary to enhance patient safety.

Biography:

Irma Bustamante has been in nursing practice and nursing education for the last 35 years. She rose up from a community health nurse, staff nurse, senior nurse, and director of nursing services; in education, she moved from instructor to full professor and has taught in the Diploma Program, Bachelor’s Program, Master’s and PhD Programs for Nursing. Her interest in research includes both quantitative and qualitative methodologies. Currently, she is the Dean of St. Paul University Manila’s College of Nursing and Allied Health Sciences. She acts as the corresponding author for this conference.

Abstract:

It has been observed that food wastage is high among the St. Paul University Manila dormers and canteen customers. This study analyzed the reasons behind food wastage and attempted to elicit behavior change by the use of photovoice methodology as an innovation in a biphasic study–the descriptive analytical technique and analysis of narratives. The study was anchored on the core values of Paulinian education specifically on the wise use of resources and Fogg’s 2012 Behavior Model. The research participants were 20 dormers of the university. They were asked to take the photo of their food before and after eating. Their views towards the photos they have taken were consequently asked. The data gathered through the informal interview were analyzed qualitatively. They generally felt that food is an important resource that should not be wasted. However, they added that the reasons why they did not consume the food that they have taken on their plates was because it was “Not Delicious” nor appetizing. The food being served is prepared in university cafeteria kitchen. The views of the dormers towards the way the food is being prepared and served has been imparted to the cafeteria administration. A dialogue has been facilitated to heighten awareness on the food wastage issue. The findings indicated that students were open to change their behavior towards food wastage. The use of photovoice is a promising way to bring out behavior change.

Biography:

Jason Alcorn is in the final stages of completing his professional Doctorate from the University of Huddersfield, West Yorkshire, England. He is currently the Lead Nurse for Urology Cancer in the Mid Yorkshire Hospitals NHS Trust, a specialist urology cancer center in West Yorkshire, England. He has been nursing for more than 15 years and has published 5 papers in reputed journals and is a reviewer for the International Journal of Urological Nursing.

Abstract:

Since the turn of the 20^th century, Bacillus Calmette-Guerin (BCG) treatment for non-muscle invasive bladder cancer (NMIBC) has been in and out of favor. However, only a small proportion of patients, as low as 16%, complete what is seen as the preferred treatment option. The treatment itself presents issues, which are reported in the literature as being side effects, which can be from mild to severe and local to systemic. An integrative-based literature review was conducted to generate a broad overview of the existing knowledge for BCG treatment. A significant number of articles were identified. The major conclusion from the literature review is that BCG treatment, when given through an induction and maintenance regime, significantly reduces the risk of progression and recurrence, but can cause withdrawal of over 80%. This could be through side effects that the patient and the nurse need to be aware of. This review also highlighted that there is a lack of research from the UK and that there is a paucity of research showing why patients withdraw from BCG treatment. This formed the basis of a mixed methods study, which has been carried out in a large district general hospital, to explore the influences that cause patients to withdraw from BCG treatment. The conclusion is that there are multiple factors that cause patients to withdraw from BCG treatment e.g. physical, psychological (including emotional), age and the social impact, that nurses need to be aware of and to minimize to keep patients on the preferred treatment.

Biography:

Carol Hewart has completed her Degree in Health Studies. She has 12 years Renal Nursing experience before moving to Operational Support for three years. She is currently a Clinical Site Manager and Specialist Nurse. She has published nursing related journal articles.

Abstract:

Much research has been undertaken regarding the psychological and physiological effects of sleep deprivation on patients in hospital. However, there are very few suggestions regarding measures that could be taken to address this. Members of the Acute Care Team (ACT) visit the wards at night and have become increasingly aware of the high noise and light levels during these times. We care for critically ill patients in general wards and have noticed an increase in the length of stay along with other complications that may be caused by inadequate and interrupted sleep. Two audits were carried out in 2015 to assess noise and light levels on wards at night, with the aim of offering suggestions regarding ways to reduce recovery time and length of stay. A survey of the light levels was undertaken in addition listening to the noises on the wards between the hours of 23:00 and 03:00. Some objections were voiced as some staff understood us to be asking them to work in poor lighting as opposed to low lighting conditions, and to be silent when carrying out their work. The repeat audit indicated that the majority of wards had adopted the recommendations, many noting that their patients now appeared less confused and more settled. It is possible, with low- and no-cost interventions to reduce noise and light levels on the wards, thus enhancing recovery. Further studies could be undertaken to look at specific issues and discussion regarding the maintenance of the new measures.

Biography:

Yasmaine Karel has almost completed her Ph.D. at the age of 28 years from the Erasmus University in Rotterdam. She is a teacher and researcher for the department of Health at the Avans University of Applied Sciences and has been a board member of the European Society for Shoulder and Elbow Rehabilitation.

Abstract:

Purpose
The increasing use of diagnostic imaging has led to high expenditures, unnecessary invasive procedures and/or false-positive diagnoses, without certainty that the patients actually benefit from these imaging procedures. This review explores whether diagnostic imaging leads to better patient-reported outcomes in individuals with musculoskeletal disorders.

Method
Databases were searched from inception to September 2013, together with scrutiny of selected bibliographies. Trials were eligible when: 1) a diagnostic imaging procedure was compared with any control group not getting or not receiving the results of imaging; 2) the population included individuals suffering from musculoskeletal disorders, and 3) if patient-reported outcomes were available. Primary outcome measures were pain and function. Secondary outcome measures were satisfaction and quality of life. Subgroup analysis was done for different musculoskeletal complaints and high technological medical imaging (MRI/CT).

Results
Eleven trials were eligible. The effects of diagnostic imaging were only evaluated in patients with low back pain (n = 7) and knee complaints (n = 4). Overall, there was a moderate level of evidence for no benefit of diagnostic imaging on all outcomes compared with controls. A significant but clinically irrelevant effect was found in favor of no (routine) imaging in low back pain patients in terms of pain severity at short [SMD 0.17 (0.04–0.31)] and long-term follow-up [SMD 0.13 (0.02–0.24)], and for overall improvement [RR 1.15 (1.03–1.28)]. Subgroup analysis did not significantly change these results.

Conclusion
These results strengthen the available evidence that routine referral to diagnostic imaging by general practitioners for patients with knee and low back pain yields little to no benefit.

Biography:

Tendai Nzirawa completed her Under-graduate Diploma in Nursing in 2005 at City University, London and Bachelor of Science with Honours in Nursing (Neonatal Care) in 2012 at City University, London. Currently, she is pursuing his/her Master of Science in Nursing (Neonatal Care) at London Southbank University, London. Since 2010, she has been involved in setting up and running a Neonatal Parent Support Group with other health professionals. She set up a Down Syndrome Parent Support Group, run it with the assistance of two mothers who have children with Down syndrome. In 2012, she participated at European Academy of Pediatric Societies.

Abstract:

Over the last 10 years, there has been a drive to move health services from hospital to community. Part of this has been driven forward, by hospitals participating in the UNICEF Baby Friendly Initiative. The role of the community neonatal nurse is to ensure that there would be no brakes, therefore this initiative will continue being driven forward right until the parents and infant have settled in their home environment. The data from our service has identified an increase of infants being discharged early, mostly before their expected date of delivery, with home oxygen and at times with nasogastric feeding tube. Since 2009, at least 18 infants are discharged per year from our neonatal unit, and at least five infants are discharged per year with nasogastric tube feeding. This indicates an estimated average of £600 per day being saved per cot space. The argument would be that, not only do we save financial and increase the cot availability, but this would reduce the parental anxiety and fears by discharging these complex infants to not only bond with their families but increase their developmental milestones. Two recent surveys done within our service have shown that parents value the support they receive at home from our service, and felt there was no increased stress caring for their baby on home oxygen.

Biography:

Lori Persico is a doctoral candidate at Molloy College. Persico has held numerous clinical, administrative, tenured faculty, and nurse educator positions over her remarkable 30+ year career within Nursing. She holds certifications in Nursing Professional Development and is a Certified Health Simulation Educator.  She was recognized as Faculty Exemplar for the Arnold P. Gold Grant Mentoring and Professionalism in Training for physicians and nurses. At the Patient Safety Institute, she has collaborated in over 90 interprofessional programs. Publications include Interprofessional education: Partnerships in the educational process, and Interprofessional Education in the Healthcare Setting, in the book, Progress in Education.

Abstract:

The curriculum for healthcare professionals is primarily dictated by the demands of the specific discipline. Detailed curricula are essential to develop professional healthcare providers such as nurses, physicians and pharmacists. In traditional educational methods create a system or process where professionals operate in isolation from each other. A siloed structure inhibits effective communication, patient-centered care and safety. Today the focus in healthcare has shifted towards a more patient-centeredness approach using interprofessional collaboration to achieve optimal patient outcomes. Nurses are at the forefront of patient care and play a key role in quality patient care and improved patient outcomes. Interprofessional education is one type of academic strategy that nursing educators can incorporate into educational curricula.

Biography:

Eliezer Bose, PhD, is an Assistant Professor (tenure-track) at the University of Texas at Austin. Having trained as an Adult-Gerontology Acute Care Nurse Practitioner, his research work is focused on studying patterns of cardiorespiratory instability in acutely ill patients using time-series analysis and machine learning techniques in order to enable bed-side nurses to preemptively intervene, thereby preventing failure to rescue of the hospitalized patient.

Abstract:

As we report in (Bose, Hoffman, & Hravnak, 2016), unrecognized in-hospital cardiorespiratory instability (CRI) risks adverse patient outcomes. Although step down unit (SDU) patients have continuous non-invasive physiologic monitoring of vital signs and a ratio of 1 nurse to 4-6 patients, detection of CRI is still suboptimal. Telemedicine provides additional surveillance but, due to high costs and unclear investment returns, is not routinely used in SDUs. Rapid response teams have been tested as possible approaches to support CRI patients outside the intensive care unit with mixed outcomes. Technology-enabled early warning scores, though rigorously studied, may not detect subtle instability. Efforts to utilize nursing intuition as a means to promote early identification of CRI have been explored, but the problem still persists. Monitoring systems hold promise, but nursing surveillance remains the key to reliable early detection and recognition. Research directed towards improving nursing surveillance and facilitating decision-making is needed to ensure safe patient outcomes and prevent CRI.

Biography:

Ruth Cross is Acting Principal Lecturer in Health Promotion at Leeds Beckett University and Course Director for the MSc Public Health Promotion.  She has researched and published widely in the field of health promotion, is a member of the Centre for Health Promotion Research in the Faculty of Health and Social Sciences and is co-editor of the International Journal of Health Promotion and Education.

Abstract:

The authors of this paper argue for the potential of creative, innovative approaches in nursing research which aim to mine experience, understanding and perspectives on a range of nursing issues. This paper therefore presents a creative, participatory approach to generating conversation in focus group discussions using storyboards. It will present real life visual data drawing on the authors’ own experiences of novel methods in qualitative research. This research has been conducted with vulnerable young women needing specialised support. Creative qualitative approaches can generate richer, more in-depth data and promote a more empowering, participatory form of research giving voice to those who are relatively excluded or marginalised. A feminist perspective underpins the approach taken and this will be explored in more detail highlighting the importance of the co-production of knowledge and the participant as an equal partner in the research process. The advantages and disadvantages of using storyboards in qualitative research will also be considered. Namely a feminist approach to research. The data collection method is then described in detail outlining each stage of the process step by step.

Conclusion
Using creative techniques within more traditional qualitative approaches may lead to further in-depth data as well as increased participation. Such approaches could be of value in nursing research in which patients, clients and service user perspectives are often vitally important.

Biography:

Promise is a Nigerian graduated as a registered general nursing. (2010) and Bachelor's in Nursing science. He is presently doing his Masters in public health (in view) He is Co-founder advocacy of patient right Nigeria. Member of Red Cross society of Nigeria. NOTABLE ACHIEVEMENT Best graduating student 2010. Best patient right Advocate. Certificate of merit for protection of patients & there rights. Certificate of merit from Ebonyi legislative house of assembly for my role in the sponsored bill of patient right protection. Recognition by Nigerian community in Dubai after my lectures & awareness about patient right protection.

Abstract:

A patient's bill of rights is a list of guarantees for those receiving medical care. It may take the form of a law or a non-binding declaration. Typically a patient's bill of rights guarantees patients information, fair treatment, and autonomy over medical decisions, among other rights as a young boy in 2001 when I took care of my father in the hospital who finally died as result of violation of his right as a patient, he refused surgery because of his diabetic condition but the health care provider induced him and conducted the surgery against his will. He later developed diabetic foot ulcer and died. After his death I was inspired to be a life saver and also an advocate to patient right. As I grew up I became aware of this, knowing that it is a big problem in the society. Respecting patients’ dignity has been described as a fundamental part of nursing care. Many studies, debates, discussion have focused on exploring the concept of patients’ dignity and satisfaction from the patient and nurse perspective, but knowledge is limited regarding nursing perceptions of the impediments they pose to patients’ satisfaction and experiences of the patients themselves. The main objective of my NGO is to ensure the safety of patients’ rights and satisfaction.

Biography:

Edgardo D. Rivera Rivera completed his MD degree from Ponce School of Medicine in Puerto Rico.  He then completed his combined Internal Medicine and Pediatrics Residency at Jackson Memorial Hospital in Miami and subsequently a Pediatric Gastroenterology Fellowship at the University of Chicago.  He is currently an Assistant Professor of Pediatrics at the University of Miami were he runs the Transition of Care Clinics in Inflammatory Bowel Disease, and is part of the Pancreas Center.  He has published in Celiac Disease, Inflammatory Bowel Disease and Pancreatic Disease and currently serves as part of several local and national committees.

Abstract:

A 13 year-old boy with a strong family history of hereditary pancreatitis was found to have a PRSS1 mutation after been tested at age 5 for his first documented pancreatitis episode.  Since then, a multidisciplinary team has been following him for the diagnosis of hereditary pancreatitis.  Unfortunately, his pain episodes were severely interfering with his life and after extensive discussion a total pancreatectomy with auto islet cell transplant was performed.  He is now pain free and not requiring insulin at this point.  However, what is hereditary pancreatitis and how is it diagnosed?  What are the management and follow up strategies needed for these patients?  We aim to address these questions as well as to inform the healthcare community about this diagnosis and the importance of having a high index of clinical suspiciousness

Biography:

Guang Zeng completed her PhD in Policy Research, Evaluation and Measurement at University of Pennsylvania. As an Associate Professor at Texas A&M University-Corpus Christi, she has published reputed journals. She was previously a Minority Serving Institution (MSI) Faculty Fellow of American Evaluation Association (AEA). Further, she is a nationally certified Reviewer of single-case design research.

Abstract:

This presentation examines the U.S. federal response to the crisis in child mental health in relation to its efforts to address the crisis in public education. By presenting side-by-side federal responses to these two seemingly unrelated crises, this presentation highlights the co-occurring nature of the problems. The interconnectedness of these crises explains in part why the federal initiatives that have dealt with these problems separately, in isolation, have been minimal in their effectiveness. It is concluded, therefore, that federal efforts in improving children’s mental health and academic performance should be integrated to achieve optimal outcomes. From a national policy perspective, we recommend a broader accountability system that emphasizes both academic performance and social emotional development, and making schools the focal point for child mental health and bolstering the function of School-Based Mental Health (SBMH) services. School nurses can play an active role in helping effectuate such policy changes. Findings from an additional study compares the developmental trajectories of internalizing problems from kindergarten to fifth grade in young kindergarteners versus older peers in kindergarten will be presented. These findings further illustrate the unique roles that school nurses could play given their strategic positions in the schools.

Biography:

Rita Thapa Budhathoki has completed her Master’s degree in Social Science. She has been working in Public Health Research in Nepal specially focusing on Maternal and Newborn Health since 2003. She has presented various papers in national and international conferences and published research articles related with Reproductive Health in various national and international journals. Currently, she is working at Nick Simons Institute.

Abstract:

Delivery of good quality health services depends on motivated, satisfied health workers. Motivation and job satisfaction are also key predictors of intention to leave the workplace. We present the results of our qualitative study of nurses in the rural Nepal, exploring factors affecting their motivation. We took a qualitative case study approach, with the health institution as the case and hypothesized that remoteness affects motivation, satisfaction and intent to leave. Therefore, we sampled three health facilities that were remote, and two that were less remote. We conducted semi-structured interviews with nurses, and with in-charges. Focus group discussions were also held with health management committees, and women’s groups. Motivation appears to be affected by length of time working as a health professional, job security, community support and support of colleagues. Nurses are de-motivated if they cannot implement their skills and if infrastructure prevents them from providing good care. Nurses may be motivated while being paid low salaries and having restricted terms and conditions, but participants felt that this could not continue in the long term and nurses should be fairly compensated for their efforts. Motivated health workers need to be fairly compensated for their work and they should work in an environment that supports and encourages them to expend effort to meet the goals of the organization. We found that motivation concerns broader issues than monetary compensation, and the keenness found in younger nurses should be cultivated and maintained throughout their career.

Biography:

Michael Frass has completed his MD from Medical University of Vienna. He is Specialist for Internal Medicine and Internal Intensive Care Medicine. He is the Director of the Outpatients Unit “Homeopathy in Malignant Disease” at the Medical University of Vienna. He has published almost 200 papers in reputed journals and has invented the Combitube as an emergency airway.

Abstract:

The use of complementary and alternative medicine has increased over the past decade. The aim of this study was to evaluate whether homeopathy influenced global health status and subjective wellbeing when used as an adjunct to conventional cancer therapy. In this pragmatic randomized controlled trial, 410 patients, who were treated by standard anti-neoplastic therapy, were randomized to receive or not receive classical homeopathic adjunctive therapy in addition to standard therapy. The study took place at the Medical University of Vienna, Department of Medicine I, Clinical Division of Oncology. The main outcome measures were global health status and subjective wellbeing as assessed by the patients. At each of three visits (one baseline, two follow-up visits), patients filled in two different questionnaires. 373 patients yielded at least one of three measurements. The improvement of global health status between visits 1 and 3 was significantly stronger in the homeopathy group by 7.7 (95% CI 2.3 to 13.0, p=0.005) when compared with the control group. A significant group difference was also observed with respect to subjective wellbeing by 14.7 (95% CI 8.5 to 21.0, p<0.001) in favor of the homeopathic as compared with the control group. Control patients showed a significant improvement only in subjective wellbeing between their first and third visits. Results suggest that the global health status and subjective wellbeing of cancer patients improve significantly when adjunct classical homeopathic treatment is administered in addition to conventional therapy.

Biography:

Abstract:

Background: In recent years, there has been nursing manpower shortage in medical workplaces. At present, many medical institutions in Taiwan have developed interdisciplinary training programs one by one to enable nursing personnel to flexibly support other divisions/departments, as well as improve their care capacity.

Methods: This comparative study enrolled a total of 142 subjects, and divided the subjects into two groups (with 71 subjects in each group, respectively). One group was nursing personnel who provided external support, while the other was nursing personnel who did not provide external support. This cross-sectional study used purposive sampling to enroll subjects, and used Minnesota satisfaction questionnaire and scale on nursing personnel’s intention to stay to conduct questionnaire surveys on the subjects. For statistical analyses, this study used descriptive statistics, one-way ANOVA, Two-sample t test, Pearson’s product-moment correlation and stepwise regression analysis to analyze the data.

Result: According to the result of analysis, this study could be briefly concluded as the following: the average age of nursing personnel was 31.96 years old, the average seniority at the current unit was 6.46 years, the average seniority at the hospital was 7.55 years, and the average total seniority of nursing work was 9.55 years; the fixed shifts of nursing personnel who provided external support were significantly positively correlated with their intention to stay (F=6.694, p=0.012), and fixed shifts (F=6.840, p=0.110), having children or not (F=5.618, p=0.006), and seniority at the current unit (5.395, p=0.002) of nursing personnel were significantly positively correlated with their intention to stay. Other background information was not significantly positively correlated with nursing personnel’s intention to stay; the job satisfaction of nursing personnel who provided external support was significantly negatively correlated with their intention to stay (γ=-0.345, p<0.01), and that of those who did to provide external support was also significantly negatively correlated with their intention to stay (γ=-0.338, p<0.01); the significant predictor of nursing personnel who provided external support was fixed shifts, and its coefficient of determination (R2) was 0.088, suggesting that this variable could explain 8.8% of the total variance of nursing personnel’s intention to stay. The significant predictor of nursing personnel who did not provide external support was fixed shifts, having children or not, and seniority at current unit, and their coefficient of determination (R2) was 0.195, suggesting that these three variables could explain 19.5% of the total variance of nursing personnel’s intention to stay. Fixed shifts could explain the maximum individual variance of nursing personnel’s intention to stay (9.0%), followed by seniority at the current unit (5.3%) and having children or not (5.2%).

Conclusion: This study is limited by money and nursing manpower, but in this era of nursing manpower reduction, this conclusion on the nurses will have a lot of help and hope for government agencies.

Biography:

Nancy Goldstein has been a practicing Nurse for over 36 years at Johns Hopkins Medical Institutions and University, caring for patients, participating in research and educating future nurses. Her DNP capstone project “Relationship of psychosocial risks and referrals by nurses to birth outcomes” focused on “Healthcare provider assessments and their intervention practices for patients affected by intimate partner violence and mental health disorders in the perinatal period. Her main areas of focus include “Mental health and women’s health”. Over the past several years, she has coordinated courses for the pre-licensure nursing students and taught courses in the nurse practitioners’ program. She has developed an expertise in “Simulation technology and inter-professional education”. She is a member of American Nurses Association and holds leadership positions in numerous professional organizations including the American Heart Association, Sigma Theta Tau and Maryland Nurses Association.

Abstract:

New graduate nurses experience many complex and transitional adjustments upon entering the workforce post education and clinical orientation. New graduate nurses are defined as nurses who recently graduated and have less than 12 months of professional experience as a registered nurse. The relationship between the new graduate and preceptor can influence whether the transition into the work environment for the new graduate is positive or negative, and consequently affect the confidence and level of competence of the new nurse. When there is effective teaching behavior by nurse preceptors, there can be a positive outcome in the development and unit specific competence of new graduate nurses. This study is designed to evaluate the effects of preceptors’ readiness to assist new graduate nurses in their role transition. A non-timed, three part, online module has been developed to prepare and educate preceptors. The module includes adult learning theory, key elements of mentoring and precepting; problem solving, effective communication, conflict resolution and lateral violence and; delivering effective constructive feedback and evaluation. This module will help to prepare and educate preceptors/nurse leaders and ensure that new graduate nurses are experiencing a positive learning environment with opportunities to build confidence and strengthen competencies. Upon the completion of the module, self-report surveys will be conducted to allow nurse preceptors to evaluate their level of preceptor readiness before and after the module experience.