Day 1 :
Kanto Gakuin University, Japan
Time : 10:00-10:40
In nursing, communication is essential for nursing practice and its importance is well known from the viewpoint of the quality of care. However, in communication studies associated with medical care and nursing, how has the importance been examined? Through overview of the definition and the contents of studies on patient-centered communication as well as therapeutic communication, clinical/medical communication and health communication, it was found that previous communication studies focused on medical needs or nursing needs of patients or users. Communication is regarded as a means to solve the problems related to such needs, of which scheme has been examined and the outcome has been evaluated. The concept underlying this trend is that the aim of communication between health professionals and patients is different from daily conversation. To address patients in acute or chronic stage and people requiring disease prevention and health promotion, these studies are very important indeed. However, for the elderly, especially the persons who are forced to be hospitalized in an institution for long term and the patients in end-of-life, the ideal communication should be examined, taking account of the intention of communication for a human as the social existence. According to our previous studies, the mean speech time of the institutionalized elderly requiring long-term care was as extremely short as four minutes, which seemed that they were alienated from communication. This study describes the actual situation, background and importance of life world communication in the institutionalized elderly in Japan.
Nayoro City University, Japan
Time : 10:40-11:20
Yoshiko HASEBE has been working at Nayoro City University School of Health Science. She is a professor of Adult Nursing, and has her expertise in evaluation and passion in improving the nursing practice. She has published many textbooks and DVDs about nursing arts in Japan.
Many cancer patients on outpatient chemotherapy complain of dysgeusia. Thus, we searched the literature database of four journals that publish articles related to anti-cancer chemotherapy and taste perception, and reviewed knowledge useful for nursing care of cancer patients.
We found that dysgeusia frequently occurred at a relatively early stage when FOLFOX/FOLFIRI combined with 5-FU, or regimens involving a taxane and related agents were used. The risk of dysgeusia was significantly higher with DTX than with other regimens. This can be explained by the formation of a chelate between 5-FU and zinc, which in turn elevates urinary excretion of zinc, leading to zinc deficiency.
Perception of all basic tastes (saltiness, sweetness, sourness, and umami), except bitterness, tended to be impaired. The frequency of impairment of saltiness perception appeared to be relatively high. Taxanes and related regimens were associated with a high occurrence rate of impairment of umami perception and with severe changes in saltiness perception. Considering the report showing the link between the impairment of saltiness perception and low plasma zinc levels, regimens involving 5-FU is likely to cause disorders in saltiness perception.
Possible causes of dysgeusia attributed to anti-cancer agents include inhibition of taste bud metabolism, lingual nerve disorder and zinc deficiency. It is likely that dysgeusia in patients receiving a taxane and related agents is attributed to peripheral nerve disorders, since these agents do not cause zinc deficiency. Experimental S-1 administration in rats suggested the possibility that dysgeusia is caused by damage to the gustatory nerve but not mucosal epithelia and taste buds.
Regimens involving relatively low doses of 5-FU, for example CMF and FEC therapies, can cause dysgeusia, although it did not appear severe enough to influence patients’ appetite. The frequency of dysgeusia in patients receiving gemcitabine (GEM) was also significantly low.
- Cardiac Nursing | Clinical Nursing | Critical care Nursing | Nursing Education | Adult Health Nursing | Women Health Nursing | Legal Nursing | Pediatric Nursing | Psychiatric and Mental Health Nursing
The Open University of Hong Kong, Hong Kong
Time : 11:40-12:10
Pin Pin Choi is an Assistant Professor of the Division of Nursing & Health Studies of The Open University of Hong Kong. Her areas of expertise are on nursing education, management and research. She has experiences in conducting both quantitative and qualitative research, and mixed methods research, and has published a no. of papers related to nursing work environment, nursing shortage and student learning
Background: Nurses are important gatekeepers to patient safety and advocacy. Nursing students, our future nurses, are expected to achieve professional competence in order to practice as a qualified nurse upon graduation. Contemporary research, however, continues revealing an intense concern of nursing students over their unmet learning needs, as well as the presence of different barriers to learning. This study was intended to further examine the issue by delineating nursing students’ experiences of learning.
Methods: A descriptive qualitative approach was adopted. Fourteen nursing students from one of the universities in Hong Kong were recruited through snowball and maximum variation sampling. Both higher diploma and baccalaureate, and junior and senior year students were sampled, and they were invited to participate in individual semi-structured interviews to share their experiences of learning. The interviews were transcribed verbatim and analyzed using thematic analysis.
Students were noted to have undergone a three-stage learning process: (1) Envisioning and ideating what nurses should do, (2) experiencing through clinical placement and integrating knowledge into practice, and (3) engaging in self-reflection and realizing what nursing means. Six elements essential for positive learning at clinical, institutional and team levels were identified, namely: role modeling, supportive ward culture, availability of learning resources, provision of integrated learning activities, and informational and emotional support.
Discussion and implications:
The study uncovers an implicit process of learning, which may serve as a framework to guide future curriculum design and planning to better address nursing students’ learning needs. The findings also add to our understanding of what facilitates the learning process, and help to direct future initiatives in creating positive learning experiences for our future nurses.
Kifah Husain Awadallah is a Senior Nurse Educator. She is currently the Senior Nurse Educator at the Cleveland Clinic Abu Dhabi for the Emergency Medicine Institute, Imaging Institute and Critical Care Transport. She is a graduate from Case Western Reserve University in Cleveland, Ohio. She was previously a Chemist and worked as a Laboratory Manager for the Center for AIDS Research at University Hospitals, Cleveland.
This presentation highlights the need for clinical education to return to the bedside in a strategic manner to assist Registered Nurses (RNs) in clinical practice standards: Clinical Practice Rounding Tool (CPR-T). The tool will be able to feel the pulse of clinical practice. The presentation will elaborate on the technique used for creating the CPR-T, specific concerns and improvements that arose during rounding. Building a start-up organization in the Middle East from a USA-based hospital franchise integrated caregivers from around the world with backgrounds of different scopes of practice and models of care. RNs were assessed and it was found that clinical practices varied greatly. A method to quantify the quality of care and knowledge of the RN possessed for the patients was needed. RNs had a desire to improve their clinical skills, but in a manner that was applicable to their experience and individual needs. This proposed tool for practical rounding has enhanced the experience of the RNs. The tool assisted in developing RNs’ learning plans as a clinician. RNs have the opportunity to engage in the CPR-T at least once throughout the year, which occurred at the bedside with the patients. Increased patient involvement and awareness in their care plan was observed. RNs were made aware in real-time what clinical practice concerns were addressed or needed to be addressed. A CPR-T has a profound impact in the development of RNs clinical practice growth. It promoted education and the speak-up philosophy of the healthcare team.
Songklanagarind Hospital, Thailand
Title: The Development of Clinical Nursing Practice Guidelines in the Prevention of: Accidental Extubation in Neonatal Intensive Care Unit, Songklanagarind Hospital
Time : 12:40-13:10
Anothai Comchey , RN, B.N.S, earned her bachelor for Bachelor of Nursing Science from Prince of Songkla University, works as the Neonatal Intensive Care Unit (NICU) at Songklanagarind Hospital in Hatyai, Songkla. She has 20 year of nursing experience in NICU, specializes in neonatal care crisis respiratory care, as head of the project to prevention of accidental extubation in NICU. The year 2002 has training program of Nursing Specialty in Neonat.al Critical Care Nursing, 2010 has training program of The Pediatic Cardiac Critical Care and written work manual the fixation in the prevention of accidental extubation in NICU
The objective of this research was to develop clinical nursing practice guidelines to prevent accidental extubation as well as which to study the evaluation and utilization of these guidelines. Targets were; a purposive sample of 41 NICU nurses along with 62 newborn infant Intubation. The instruments were: 1. Evaluation of the development of clinical nursing practice guidelines 2. A Satisfaction evaluation form 3. An accidental extubation form .The quantitative data were analyzed by frequency, percentage and average. The results:The overall satisfactions of nurses, were of high levels. The incidences of accidental extubation were: 16.04 per 1,000 intubation days before and 6.37 per 1,000 intubation days after. Most NICU nurses have been using the set guidelines for the majority of steps.
Prince of Songkla University,Thailand
Time : 14:00-14:30
This descriptive research was to identify factors predicting weaning time in Surgical Respiratory Care Unit. The samples of the study were from 101 patients who were successful weaning ventilator in Surgical Respiratory Care Unit at Songklanagarind Hospital from February to October 2012. Research instruments were consisted of three parts: (1) the Demographic Patients’ Data and Impeded Factors of Weaning Data, (2) APCHE II Score Assessment, and (3) Period Weaning Record. Content validity was examined by three experts and reliability was tested by using Cronbach’s alpha coefficient obtained at .89. Data were analyzed using frequency, percentage, mean, standard deviation, and multiple regression analysis.
The results of the study revealed that seven factors were statistically significant to weaning time including sepsis (β=0.52), hemodynamic unstable (β=0.32), serum sodium (β=-0.23), age (β=-0.21), operation during weaning (β=-0.16),APACHE II Score (β=-0.15)and pain (β=-0.13).These seven factors could explained the variability the weaning time 65 percent. It is advisable that Surgical Respiratory Care Unit, nurses and health care team should increase the prevention and the management of inhibit factors including sepsis, hemodynamic unstable, APACHE II Score, serum sodium and pain.
Songklanagarind Hospital, Thailand
Time : 14:30-15:00
Jariya Saiwaree has worked in Pediatrics Intensive Care Unit at Songklanagarind Hospital. She has experience in ethic committee in nursing service department more than 5 year. She has sharing knowledge in good story and good feeling about ethics of Nursing Profession. Ethics committee has consider in Patient Safety and Nursing Quality and take personnel to be training in knowledge about Patient right, Ethics dilemma and Nursing Professional Law. She has knowledge sharing in Ethical Scenarios and discussion in team leader ethics.
The purpose of this descriptive research was to study the level of ethical climate in the workplace, as perceived by nurses at Songklanagarind Hospital. The sample consisted of 277 registered nurses, who had work experience of at least 1 year working in Songklanagarind Hospital. The tool for data collection consisted of two main parts: 1.) The general information questionnaire. 2.) The questionnaire an the ethical climate in the workplace perceived by nurses, which was developed byAranya, Tussanee, Jirapa and Passana(Passana, 2010). Data were analyzed using percentages, mean standard variationand ANOVA analysis.
The major findings revealed, that the average score of the ethical climate in the workplace as perceived by nurses at Songklanagarind Hospital was in the high level(M=3.89,SD=.56) Considering each part, it was found that the means of all six parts scored a rating within the high level. The parts which had the highest mean were; fidelity (M=4.07, SD=.56) and veracity (M=4.04, SD=.53). The lowest average score was in respects to autonomy( M=3.54,SD=.54 (The average score of the ethical climate in the workplace as perceived by level of nursing experience at Songklanagarind Hospital being statistically and significantly different at a level of 0.5 are; beneficence, veracity and fidelity. The findings could be used as a guideline for promotion, and development to achieve a better ethical climate in the workplace as well as to improve the quality of nursing care service more effectively.
University Of Indonesia, Indonesia
Title: Overview of knowledge and attitude towards Pulmonary Tuberculosis Disease among Indonesian Housewives who join “Posyandu Lansia”: Preliminary Study
Time : 15:00-15:30
I’am Nur Akbar. Now, I am magister student in community health nursing department, faculty of nursing science, University of Indonesia. My passion is community health, focusing about prevention of tuberculosis. Proviously, I worked as health provider in Communicable Disease Departement in Jeneponto Health Departement, South Sulawesi Province, Indonesia
Statement of the Problem: Management of Pulmonary Tuberculosis (TB) in Indonesia face many challenges. Patient inadherence, poor family support and TB program management need to be considered. TB cases in Indonesia placed second order in the world. Indonesian family play important roles in the participation by maintaining family health. Therefore, good knowledge and positive attitude in preventing pulmonary TB transmission and successfull TB treatment become important for the family. The purpose of this study is to describe knowledge and attitude of Indonesian housewives against TB. Methodology & Theoretical Orientation: This study is a descriptive study conducted on 47 women who join Posyandu Lansia in Bojong Gede, Bogor Regency, Indonesia. “Posyandu lansia” is health integrated post that provide health service for senior citizen.. Findings: Most of the respondents have elementary school background. Nevertheless, most of the respondent have good knowledge and positive attitude towards tpulmonary TB. However, many respondent still regard tuberculosis as a disease caused by God’s curse. Conclusion & Significance: a proper, structured and continuous health education about TB prevention and treatment need to provide for family and community.
Nursing Program Banten School Health of Science, Indonesia
Title: Effectiveness of “Naik Becak Song” as Music Medicine for Preoperative Anxiety: Nursing Approach
Time : 15:30-16:00
Riksa Wibawa Resna is a nurse since the year of 2000 who has special attention to nursing intervention that efforts not only based on medication intervention. Efforts to reduce the level of anxiety by researchers is one proof that nursing care can develop interventions that can help the process of medication that will be undertaken by a patient. The use of media songs, especially Indonesian songs as one of nursing intervention in an effort to decrease the anxiety level of patients who will undergo surgery can be one of the recommendations that can be done by the nurses in helping patients to be ready to undergo surgery.
Statement of the Problem: Surgery is an experience that can cause anxiety that usually associated with a variety of foreign procedures that will be undertaken by the patient during surgery and various threats to life safety procedures and the actions resulting from anesthesia. Anxiety that occurs in patients with pre-surgery may have an impact on the physical changes that would hold over the implementation of surgery such as increased blood pressure and emotional instability. Music is one way that is believed to lower anxiety levels. Indonesia has a wealth of cultural songs that very much. One of the songs known by Indonesian people is the delightful children's song known as "naik becak". This song describe the picture of how fun the mood of a child when doing recreation using a pedicab. With the theme song that describes the fun atmosphere, the researchers hope to bring the mood of patients who will undergo surgery to be happy. This study is intended to look at the effectiveness of music medicine to decrease the patient's level of anxiety in facing surgery. Methodology & Theoretical Orientation: Using an experimental quasi design with a one group pre-test and post-test design, the researchers conducted anxiety-level assessment to all patients who would perform elective surgery. Findings: from total patients undergoing elective surgery showed that 96% patients had decreased anxiety level with mean rank 23.81, sum-rank 1071.5 and p-value 0.000. the patients who experienced an anxiety drop felt that the song "naik becak" was played out to make them feel good and bring fond memories of their pleasant childhood. Conclusion & Significance: subjects feel the benefits of melody medicine is conducted in the form of a decrease in the level of anxiety before undergoing surgery. Recommendations are using music medicine in the management of patients with anxiety.
National United University, Taiwan
Time : 16:20-16:50
Yi-Ling Lu is an Assistant Professor of the Department of Applied Foreign Languages at National United University, Taiwan. Her research interests include English for Nursing Purposes and the evaluation of teacher effectiveness.
Nurses, when progress from the language classroom to the hospital setting, may develop certain beliefs regarding to the role of medical discourse. The aim of this study was to gain insight into nurses’ perceptions of medical discourse, with a focus on how it functions in nurses’ career and how its learning happens in clinical practice. Semi-structured interviews were employed in order to fulfil the research aim. The research sample was comprised of 11 Taiwanese nurses (nine females and two males). They worked in different medical centers located in north and in central Taiwan. The participants had completed their nursing studies from various nursing colleges and universities and had started their nursing career for 2-3 years. The wards where they were working can be categorized into three different attributes: internal medicine wards, surgery wards, and specialist wards. The results demonstrate that the connection with the nursing community leads nurses to develop certain beliefs regarding to the role of medical discourse. Rather than merely being a subject that does not need much effort to study as believed by nurses during their college years, medical discourse in clinical practice is a tool of socializing them into nursing profession. In addition, learning medical discourse in clinical practice generates much stronger motivation and needs for learning.
University of Venda, South Africa
Title: Support of professional nurses caring for HIV/AIDS patients in Tshwane district hospitals of Gauteng province, South Africa
Time : 16:50-17:20
NDOU ND has completed his Ph.D. at the age of 55 years from University of Venda. She is a senior lecturer coordinating Bridging course in nursing Department. She has published eleven papers in reputed journals and she is serving as a trustee representing academics in provident fund. Six master research students supervised completed. Two had completed their PHD. She is a reviewer of University of South Africa’s international journal of nursing and midwifery for 2017. She is an external research examiner for the University of Pretoria, university of Namibia and University of South Africa from 2013- 2017.
Statement of the problem: Professional nurses working in one of the hospitals in Tshwane district of Gauteng Province, South Africa expressed concerns about the poor quality and unavailability of gloves, aprons, masks, which increased the risk of accidental exposure to HIV. Fear of occupational exposure had serious professional ramifications, such as avoidance or refusal to care for patients, personal consequences from partners urging caregivers to quit their jobs to avoid infection of themselves and their children. Purpose: Purpose of the study was to explore and describe support of the professional nurses. Methodology and theoretical orientation: A qualitative approach with explorative, descriptive and contextual designs was employed. Purposive sampling method was used to select 25 participants who participated in the individual face to face interviews. Data gathered from the participants were analyzed using Tesch’s eight step criteria of open coding techniques. Findings: Low work morale was generally identified by the researcher as one of the sources of difficulty within their work environment. This was related to issues of limited resources and, most notably, participants explained that support rendered was ineffective in reducing the caregiving burden. Conclusion and significance: Relationship between work overload and other resulting consequences such as burnout, poor job satisfaction and low employee turnover rates were all seen as negative factors impacting on standards of nursing care. Professional nurses’ who were providing HIV/AIDS care were not valued and unit nurse managers provided ineffective and psychological support. It is hoped that the study findings redirected changes about the needs of professional nurses caring for patients living HIV/AIDS (PLWHA). The research findings could add to the existing body of knowledge on challenges experienced and support needed by nurses who care for PLWHA.
The Hong Kong Polytechnic University, Hong Kong
Wai-Tong Chien is a professor in mental health nursing at School of Nursing, The Hong Kong Polytechnic University for six years and the Associate Head for Research and Scholarship since 2014. As an advanced mental health nursing practitioner and active researcher, Prof. CHIEN has strived to improve mental health in her native Hong Kong SAR, China in the past 25 years by establishing psychoeducation, motivational interviewing, mindfulness-based, mutual support group, and other psychosocial interventions to community-resided people with mental health problems and their family members, as well as through research, advocacy and mental health promotion. He has also served as editors and editorial board members of international refereed nursing/healthcare journals, as well as invited speakers of international conferences/seminars. He has obtained over 25 health research grants with >HKD14,000,000 (>US$2,000,000) and published over 130 articles in peer-reviewed international nursing/psychiatric/health care journals and substantial number of conference papers and book chapters
Psychoeducation and other psychosocial interventions in schizophrenia are evidenced to improve patients’ knowledge about the illness, mental state and relapse rate. Nevertheless, other benefits to patients such as their functioning and insight into illness, or to be substantive in a longer term (e.g., >12 months), are inconsistent and thus uncertain, especially in non-Western countries. This single-blind multi-site RCT was to test the effects of a mindfulness-based psycho-education group intervention (MBPG) for adult patients with early-stage schizophrenia spectrum disorders over an 18-month follow-up, in comparison to a conventional psycho-education group or treatment-as-usual only. The controlled trial (ClinicalTrials.gov: NCT01667601) was conducted with repeated-measures, three-arm design at two psychiatric outpatient clinics in both mainland China and Hong Kong. A stratified random sample of 150 adult outpatients with schizophrenia (i.e., 75 from each country; from which, 25 assigned into each of three arms). After baseline measurement, patients were randomly assigned into a MBPG program, a conventional psychoeducation group, or treatment-as-usual only. Primary outcomes, including psychosocial functioning and re-hospitalization rate, and other patient outcomes were measured and compared between three study groups over the 18-month follow-up (at baseline and 1-week, 9-month and 18-month following intervention). One hundred and thirty-seven (91%) patients completed the three post-tests. Their mean age and duration of illness were about 24-25 years and 28-30 months (range 4-60 months), respectively; and 54-56% were male. Results of multivariate analyses of variance showed that the MBPG got significantly greater improved in psychosocial functioning (p=0.0009), average length of psychiatric hospitalizations (p=0.004), psychotic symptoms (p=0.002), and insight into illness/treatment (p=0.008) than the other two groups over the 18-month follow-up. Mindfulness-oriented psycho-education program for adults with schizophrenia is found to be an effective psychosocial intervention providing several long-term positive effects in patients’ mental health, re-hospitalizations, functioning, and acceptance of their illness/treatment.
Will be updated soon...
Background: The effect of second-hand smoking (SHS) on breast cancer etiology is controversial. Genetic variants of the enzyme N-Acetyl-transferase 2 (NAT2) which is involved in the metabolism of tobacco carcinogens, may modify the association between SHS and breast cancer. The aim of the current study was to evaluate the relationship between SHS and breast cancer risk by NAT2 variants in Arab women in Israel, a unique population with high exposure to SHS and low active smoking and alcohol consumption rates.
Methods – This is a population-based case-control study consisting of never-smoking Arab women aged 30-70 from Northern Israel: 137 prevalent (diagnosed in 2008-2013) breast cancer patients and 274 population- based controls. All participants were interviewed using a detailed questionnaire relating to past and current exposure to SHS and to socio-demographic, gynecological and obstetric characteristics. Each participant provided a buccal smear for NAT2 genotype analyses. Logistic regression models adjusted for potential confounders and stratified by NAT2 variants were used to assess the association between SHS and breast cancer.
Results – SHS was associated with breast cancer risk with an adjusted odds ratio (OR) of 2.14 (95% confidence interval, CI 1.21-3.78). Higher exposure to SHS was associated with higher risk of breast cancer compared to never exposed women, those exposed to SHS during childhood, adolescence and currently had an OR of 3.60 (95% CI 1.85-7.21) while those exposed during adolescence and currently but not during childhood had an OR of 1.73 (95%CI 1.05-2.86). NAT2 variants did not modify these associations.
Conclusions - SHS exposure in Arab women that never smoked is associated with increased risk for breast cancer. NAT2 genetic variation does not seem to play a role in the association. Additional studies are needed in order to support these findings.