38^th International Conference on Nursing & Healthcare Oct 16-18, 2017 New York, USA

Luigina Mortari is Dean of the Department of Human Sciences of the University of Verona. She is full professor in Epistemology of Qualitative Research. Her main research fields are: epistemology and qualitative methods in educational research, epistemology and qualitative methods in nursing research, the evaluative research in educational contexts, the practice of caring in educational settings

Care is today a widespread term, but its meaning is not clear. One evident fact is that caring is fundamental in life, given that, without caring, life could not flourish. Therefore it is essential achieve a valid theory of good caring that illuminates in its essence the entity of a human being and how it is necessary to take care of human existence. The lacking of a full and complete being that characterizes human life at the same time opens up to the being, to further not predefined existential possibilities; to exist means to be called upon to embody these possibilities. Giving body to the potentiality of our being requires care; therefore caring for life also means committing to achieve our potential for a fully human life, one that is worthy of being lived. To define the essential qualities of care in nursing involves to develop a discussion process capable of showing that care is not only an obligation that the subject has towards him/herself, but that there is a relational dimension of care, a dimension that is ontologically necessary, and since it is ontologically necessary to interpret cure in relational terms, caring for others has all the features of becoming an ideal of existence. In order to define this issue this presentation will present the line of a rigorous theoretical analysis recursively related to a rigorous empirical research. Through this it will be achieved a descriptive theory of caring based on well-pondered arguments and on the results of our investigation aimed.

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.

Low molecular weight and unfractionated heparin have long been effective interventions to prevent and treat clots. Potential complications of this therapy includes bleeding, clotting or heparin Induced thrombocytopenia. Frequent monitoring of lab work is critical to maintain positive patient outcomes. When assessing therapeutic levels of unfractionated Heparin, two laboratory tests are available; the Activated Partial Thromboplastin Time (aPTT) and the Anti-Factor Xa Assay. The aPTT has been the gold standard for monitoring IV heparin for more than 50 years. It is cost-effective and familiar to most personnel. However, it has no standard result. Each hospital has their own therapeutic range based on equipment that is available. It was determined that a “normal therapeutic ” result was obtained when the patient’s aPTT was 1.5-2.5 times the control. This is now considered to be an unsafe assumption because in many cases, as the patient is actually sub-therapeutic when within this range. The Anti-Factor Xa Assay is recommended for monitoring unfractionated heparin by both the American College of Chest Physicians and the College of American Pathologists. Advantages of this test include less blood needed for the test, shorter time to therapeutic goal, fewer dosage adjustments and laboratory tests,. This may decrease hospital length of stay. Disadvantages include cost, initial errors form a learning curve and that after the blood has been obtained.the test must be completed within 1 hour The presenters will conclude by discussing how a major health system converted from the aPTT to the Anti-Xa Assay.

Jean D. Pawl is an Associate Professor and Chair of the Biobehavioral Department of Nursing at Augusta University. She completed her PhD in nursing prior to consolidation while teaching in the former Department of Nursing on the liberal arts campus. She served as the interim program director of the BSN program at Augusta State University after the program director resigned with the announcement of consolidation. She led the relocation of faculty and students to the Health Sciences Campus and participated in the weekly task force. She is a certified nurse educator with 20+ years of academic experience.

Leading change to create a singular identity between two diverse cultures is challenging. During a consolidation of two Bachelors of Science in Nursing programs, the ADKAR Change Management Model provided a framework for guiding and assisting individuals through the change process. By examining Awareness, Desire, Knowledge, Abilities, and Reinforcement, leadership can foster the desired behavior by assessing individual needs to promote new ways of thinking and working. Each of the five sequential areas of focus presents with unique challenges that may need to be addressed by leadership. Behaviors exhibited in each element during this consolidation illustrate the concepts and measurements used by leadership to move the consolidation efforts forward. When the five elements are achieved, faculty are engaged and energized; however, if any element is weak or missing, the change progression can be undermined and halted. Lessons learned by leadership involved in the consolidation of these two programs included: respect and patience is needed as individuals move through transitional change at different paces; clear, honest and frequent communication is imperative; allow faculty to participate and help with problem solving; and to realize that losses continue in many forms, yet remember to celebrate the successes.

Lori S. Anderson is an Associate Professor and Associate Dean for Academic and Student Affairs at Augusta University College of Nursing. As Associate Dean, she ensures quality and excellence of the college’s nursing programs and provides leadership and vision in the development, implementation and evaluation of all academic programs. During consolidation, she led various faculty teams with the creation of the BSN curriculum and was instrumental with the various accreditation requirements that ensued. She has over twenty-nine years of nursing experience in various roles ranging from staff to administration and academia.

Leading change to create a singular identity between two diverse cultures is challenging. During a consolidation of two Bachelors of Science in Nursing programs, the ADKAR Change Management Model provided a framework for guiding and assisting individuals through the change process. By examining Awareness, Desire, Knowledge, Abilities, and Reinforcement, leadership can foster the desired behavior by assessing individual needs to promote new ways of thinking and working. Each of the five sequential areas of focus presents with unique challenges that may need to be addressed by leadership. Behaviors exhibited in each element during this consolidation illustrate the concepts and measurements used by leadership to move the consolidation efforts forward. When the five elements are achieved, faculty are engaged and energized; however, if any element is weak or missing, the change progression can be undermined and halted. Lessons learned by leadership involved in the consolidation of these two programs included: respect and patience is needed as individuals move through transitional change at different paces; clear, honest and frequent communication is imperative; allow faculty to participate and help with problem solving; and to realize that losses continue in many forms, yet remember to celebrate the successes.

Prof. Congiunti is Directress of International Society of St. Thomas Aquinas (SITA), Corresponding Academician of Pontifical Academy of Saint Thomas and Member of Scientific Committee of Vatican Foundation STOQ “Science, Theology and the Ontological Quest”. Since 2007, she has thaught “Introduction to Ethics” in John Carroll University at Vatican City.

There are some philosophical notions connected to nursing and healthcare, such as compassion, vulnerability and happiness. Compassion isn’t only a feeling, but it is a moral virtue, and vulnerability isn’t only an accident but it is a weakness of ontic character. For a clearer analysis of compassion and vulnerability we need a clear philosophical anthropology. Materialistic monism and spiritualist dualism try to explain the essence of human beings, but only an ontologically based Personalism is capable of an explanation: human beings are a unified whole of body and soul. Humanity consists not only in being-human but also in becoming human, making one-self human, drawing ever closer and better to what we are. We are human beings: this is a fact. We are imperfect: this is a fact. So our being-human is bit simply a fact, but it is a task. Our end is to realize the potential implicit in our humanity, by developing ourselves in the direction indicated by our humanity. Finally, happiness consists in this task of “humanization.”

Prof.Dr. Gülten Kaptan ;graduated from Istanbul / Maltepe High School in 1977. She completed the university education in Hacettepe University Nursing High School between 1978-1983 .Between 1985 and 1993, she worked as a research assistant and lecturer in Cumhuriyet University Nursing High School. In 1989 she had master degree in fundamentals of nursing from the same university. Between 1993-1995, she worked as a lecturer at Van 100. Yıl University Health Services Vocational High School Nursing Department. She received Ph.D. degree in Internal Medicine Nursing from Hacettepe University Institute of Health Sciences in 1997. She worked as an assistant professor at Celal Bayar University School of Health in 1997 and served as an assistant professor in 1997 at Celal Bayar University Health Services Vocational School Nursing Department. In 2005, she had been assoc.prof.degree. Kaptan ,also served as the Director of the Institute of Health Sciences at Celal Bayar University and the Director of the School of Health at the same university and as the Manager of Nursing Services at the Celal Bayar University Educational Research Hospital. She worked as a professor / manager at Istanbul Arel University School of Health Sciences. She is still working as a vocational college manager at Beykoz University. KAPTAN, have many national and international publications and books in internal medical nursing area.

Nursing

Anita Comfort

Nursing

Aline Neutzling Brum is a Brazilian Ph.D scientist, graduated in biological science since 1997, when started to investigate tropical agriculture and rural development. She started her studies focusing in herd modeling and biostatistics looking for alternatives toquality life improvement. During the last ten years she was based on GAUG University in Germany participating in research for tropical areas. Actually she is occupying a PD position at Nursing School at Federal University of Pelotas in Brazil when started study public health and drugs consumption.

An observational, cross-sectional and descriptive study aimed at establishing quantitative indicators to help monitor and evaluate the effects of the new Uruguayan policy of regulating the Cannabis market on aspects of drug use practices in 9 municipalities in the Brazilian border zone with Uruguay. The urban area of each municipality was divided into seven strata for which routes were defined to be covered for seven days, in the morning, afternoon and evening shifts. Between January and March 2016, the data were collected through a semi-structured instrument of observation of consumer practices, which sought to ascertain the profile of the places where the consumption was carried out, as well as the characteristics of the users observed. Data collection was complemented with the application of georeferencing and photographic registration. A total of 667 users of Cannabis were observed, most of whom were young people aged 15 to 25 (84.1%), male (91.7%) and white (65.8%). With predominant use in the night shift (64.2%), being 91.4% the use of shared type. At the time of use it was observed that 21.2% used alcohol and 27.8% tobacco. For a faithful portrayal of patterns of drug use in the border area and possible changes resulting from the new Uruguayan law on Cannabis, annual monitoring of the indicators raised in this study is necessary. This is a part of report on the results obtained from the qualitative-quantitative research entitled "Identification of indicators for monitoring and evaluating the impact of the new Uruguayan policy on the regulation of Cannabis on public health and drug use in the border area between Brazil And Uruguay, developed by the Faculty of Nursing (FEn) of the Federal University of Pelotas (UFPEL), with funding from the National Secretariat for Policy on Drugs of the Ministry of Justice SENAD / MJ.