Day 2 :
Children’s National Health System, USA
Keynote: Advancing Worldwide Nursing Practice Strategies to Transform the Global Health of Families through the Translation of Contemporary Genetic/Genomic Science and Technology into Practice
Time : 09:30-10:10
Beth Harkness has over a decade of experience providing clinical care and disease management to the pediatric and adult cystic fibrosis population and managing cystic fibrosis research at Children's National in Washington, DC, USA. Her interest focuses on the diagnosis of cystic fibrosis disease and connections to care for the population affected with this genetic disease. She has also conceptualized and implemented a program for the advancement of genetic/genomic awareness and education at Children's National and presently, works in collaboration with National Institute of Health (NIH) on methods for introducing new competencies (MINC) in nursing.
In this era of precision medicine, limited strategies are available for educating the workforce of nurses to the global science of genetics/genomics. In response to this contemporary issue, this presentation will describe methods for translating the recent advances in genetics/genomics into the infrastructure global nurse education. A multi-modality educational program and implementation framework was developed based on Everett Rogers’s Diffusion of Innovations Theory and the Genetic/Genomic Competencies for Nursing Comparative approaches and outcomes were evaluated. Surveys were implemented pre- and post- interventions to nurse participants with broad demographic backgrounds. The national collaboration stimulated a synergy that created a convergent vision leading to the development of an electronic process platform. Post survey findings, nurses stated greater understanding of implication of genetics/genomics, family history as the first genetic tool for the prevention and treatment of genetic conditions, concise electronic communication/education preferred, increased belief that genetics/genomics is part of each of nurse’s scope of practice. Time constraints and leadership resources, challenged success and sustainability, infrastructure for policy, procedures and sustainability needed to be established for greater success. Leveraging various national cohorts increased education and awareness of clinical family nursing practice in the precision medicine era. A web platform has been developed with the aggregate of resources from the research collaboration and an implementation pathway for nurse leadership and educators around the globe. Post survey results demonstrated the family nursing profession is poised and ready for the challenge of translating new science into practice to promote preventive care and treatment for families globally.
The Hashemite University, Jordan
Time : 10:10-10:50
Shaher Hamaideh has completed his PhD in 2004 from University of Cincinnati, Ohio, USA. He is the Associate dean at Faculty of Nursing at the Hashemite University, Jordan. He has published more than 25 papers in reputed journals and has been serving as an editorial board member in international nursing journal of repute
Background & Purpose: Moral distress has received much attention in nursing literature. This study aimed to conduct and evaluate the effectiveness of a workshop on moral distress level among psychiatric nurses in Jordan.
Methods: The study was conducted in the two largest public psychiatric hospitals. All nurses in the selected hospitals were invited to participate in the study. The final sample consisted of 105 nurses who were assigned randomly to either interventional or control group. A pre-test and post-test control group design was employed. All participants in both groups completed Moral Distress Scale for Psychiatric nurses (MDS-P) before the workshop and 3 months after the workshop. The intervention group received the workshop while the control group did not. The workshop consisted of case studies and discussions of distressing situations in psychiatric hospitals; discussions of signs, symptoms and causes of moral distress and formulation of strategies to deal with moral distress.
Results: Results showed significant differences in moral distress levels between pretest and posttest measures for the interventional group (t=5.05, p<0.000) indicating that the workshop significantly reduced the level of moral distress among psychiatric nurses.
Conclusions: Further workshops to other psychiatric nurses in other settings as well as for control group nurses are required to be conducted.
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The Chinese University of Hong Kong, Hong Kong
Time : 11:10-11:40
Carmen WH Chan's palliative care research focuses on the promotion of advance care planning and advance directives, and targets on cancer patients, pediatric patients, older adults and the general public. Her research initiatives on this area have demonstrated excellence in design and innovation, and a great impact on the health care profession and the society. Professor Chan has just launched another large-scale population survey on the acceptance and completion of advance directive among the general public in Hong Kong.
The use of advance directives has been advocated in Western countries for over 20 years. In America, it is mandatory to ask admitted patients if they have advance directives under the Patient Self-Determination Act since 1991. In Hong Kong, little has been done about promoting advance directive in the health care context. Patients, family members and sometimes health care professionals still refrain from discussing dying and advance directives.
Aim: The aim of this knowledge transfer project was to promote public awareness and appreciation of the benefits of advance directive.
Methods: Phase one of the project included 8 road-shows to disseminate the philosophy and advertise the services available as regards to advance directive to 2800 citizens in the community in Hong Kong. Participants were given sets of the promotional materials (pamphlet and VCD) and completed a brief counselling and survey. Phase two of the project involved a 2-day training workshop for 58 home care nurses and doctors on advance care planning and advance directives. The projects was evaluated by a pre-test post-test design in 108 clients under the care of these 58 health care professionals. Their understanding and active participation in a written advance director was increased. Family members reported improved scores in a family satisfaction scale and the hospital readmission rate was also improved. The study also stimulate public debate on a legislative form of advance directive in newspaper, forum, and hospital authority committee.
Conclusion: The project has increased the community’s awareness of, and interest in, the available right of advance directive when a person is facing a life-limiting disease and encourage more openness in preparing for a good death
Cleveland Clinic Abu Dhabi, UAE
Time : 11:40-12:10
Kifah Awadallah DNP, MSN, RN has been a Senior Nurse Educator since 2010. 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 of 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 in Cleveland. She is an active member in the Emergency Nurses Association (ENA). She was nominated for her third term as the Education Committee Conference Planning with the ENA
Introduction: This presentation highlights the need for clinical eductaion 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.
Background: 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 practice(s) varied greatly. A method to quantify the quality of care and knowledge the RN possessed for the patient(s) was needed. RNs had a desire to improve their clinical skill(s), but in a manner that was applicable to their experience and individual needs.
Results: 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 occured at the bedside with the patient(s). Increased patient involvement and awareness in their care plan was observed. RNs were made aware in realtime what clinical practice concerns were addressed or needed to be addressed.
Conclusion: A CPR-T has a profound impact in the development of an RNs clinical practice growth. It promoted education and the speak-up philosophy of the healthcare team.
Kanagawa University of Human Services, Japan
Title: Detecting Health Warning Signs of People with Intellectual Disability (ID) Having Difficulty in Express Symptoms in the Community
Time : 12:10-12:40
Sooja Kim is an associate professor at Kanagawa University of Human Services. Her major is fundamental nursing including physical assessment, health assessment, and clinical judgment. She has completed her PhD from Kawasaki University of Medical Welfare. She provided several interventions for workplace users with ID combined with autistic tendencies to take proper health checkups in the community in Japan. After summarizing the findings, she presented a model in her doctoral dissertation that can be implemented by one nurse as a community-based approach to ensure appropriate health checkups for people with ID. Health problems of people with ID having difficulty to communicate are similar in the fields of dementia and pediatric nursing. If we can clarify methods for properly evaluating health condition in this area, it can contribute to the further improvement in the nature of nursing.
Statement of the Problem: Similar to the aging of the general population, people with an intellectual disability (ID) are also aging, and ID’s aging health problems become more severe. People with ID living in the community have little contact with medical institutions and have difficulty in communication with medical staff. There are very few medical workers who can deal with the health problems of adults with ID. Due to these reasons, it is difficult to detect abnormalities should adults with ID have a health problem. Therefore, this research was aimed at how to detect health warning signs of people with ID having difficulty in expressing their symptoms in the community from the perspective of the ID’s family. Methodology & Theoretical Orientation: In the first phase of our research, a qualitative descriptive research design was selected to focus on actual experiences of families living with the adult with ID at home. A retrospective interview was used to clarify clinical incidents related to the following; 1) How to evaluate the health situation while at home, 2) How the family noticed anomalies in his/her daily life, and 3) His/her hospitalization experience and its process. In cases where the experience could not be expressed in words, we encouraged them to explain the situation by using gestures or illustrating simple pictures in order to understand details of the health warning signs of the adults with ID. Conclusion & Significance: The families in this study could detect ID’s health warning signs using their tacit knowledge cultivated by living as a family for more than 20 years. In order to detect internal abnormalities, further research for the second phase to consider information on pain expression and excretion behavior is needed.
Saitama-gakuen University, Japan
Title: Supporting children with disabilities in play activities during the process of shifting from home-based care to daycare settings in Japan
Time : 13:30-14:00
Tomoko YAMAMOTO has completed her Master at the age of 39 years from Osaka Prefectural University and postdoctoral studies from Wasseda University Postgraduate. She is the associate professor of Saitama-gakuen University, faculty of human studies. He has published more than 35 papers in reputed journals and has been serving as an editorial board member of repute
This study examined the support for children with disabilities in play activities during the process of shifting from home-based care to daycare settings.
As the results, the support related to child development, families, and communities promoted playing that took into account children’s age and the types and levels of disability, understanding of children as well as their disabilities in the process of playing, inclusion of children in the community, and the building of a relationship between children and the community.
Also, the results identified the following: in order to protect children’s rights to play, it is important to not only promote their recovery and development through playing, but also respect the independence of children with diseases or disabilities; create a better life for children and ensure their social participation through playing that is supported by a spontaneous motivation aiming at playing for its own sake; and obtain further support from national and local governments.
Jordan University of Science and Technology, Jordan
Title: Nursing students’ knowledge, attitudes and stigmatizing behaviors towards people with mental illness in Jordan
Time : 14:00-14:30
Sawsan Hammad Abuhammad is a PhD candidate from University of Wisconsin Milwaukee in Wisconsin state in USA. Hold BSN degree from Jordan University
of Science and Technology, Master from Oregon Health and Science University. Have sought to expand knowledge with challenges outside those arranged for me.
have had many expertise in many area include pediatrics to a high risk clinic for pregnant to infertility, maternal health nursing, pediatric health nursing, medicalsurgical health nursing, and mental health nursing.
According to the National Centre for Mental Health (NCMH), more than 20 percent of Jordanians are purported to suffer from some kind of mental health disorder; however, many do not receive appropriate treatment. The public’s perceptions of mental illness, knowledge of mental illness and negative attitudes held by healthcare professionals are critical factors to understand in developing and implementing culturally appropriate mental healthcare in Jordan. To this end, undergraduate nursing students are an important population to study and train on how best to provide essential healthcare to their patients. The purposes were to: (a) explore the knowledge, attitudes, and stigma of undergraduate nursing students regarding mental illness, and (b) examine relationships between knowledge and attitudes of the students relative to stigma. Cross-sectional survey descriptive design was employed. Participants included undergraduate nursing students at University of Science And Technology in Jordan. The survey questionnaire was distributed and self-administered to students at various times in a class room. The following findings are summarized from the study. (a) Less than half identified Depression, Schizophrenia and Bipolar conditions as mental illnesses; their knowledge level of mental illness was at its highest level in their second year of college. The total knowledge score for the scale used in this study was 35.74 (SD =10.72) resulting from an average score less than agreement (2.52 to 2.9 for items on the scale). (b) Most students in the study expressed positive attitudes toward people with mental illness. These stigmatizing attitudes toward the mentally ill, they indicated that people with mental should be given and receive appropriate treatment regardless of their behavior. Identifying nursing students’ attitudes and biases towards individuals with mental illness is an appropriate initial first step to developing appropriate educational programs to help train future nurses in working with sensitively with their patients.
Andalas University, Indonesia
Title: The risk factor associated with breast cancer incidence among patients in public hospital, Padang City, Indonesia
Time : 14:30-15:00
Leni Merdawati has her expertise in medical and surgical nursing. She is the Head of Medical and Surgical Department in Faculty of Nursing and is a Lecturer, Instructor in the public hospital, especially surgical nursing ward.
Breast cancer is the second highest cancer incidence in the world that most often attacks women. Breast cancer may also lead to death and has an impact on physical condition than physiological syndrome, impaired body image and decrease in work productivity. The risk factors that can cause a woman affected by breast cancer include reproductive factors and lifestyle, especially in the Public hospital in city of Padang. As for 2015, the incidence of breast cancer in Public Hospital has increased 69% from the previous years and increased again for 2016 as much as 73%. The purpose of this study is to identify the risk factors associated with breast cancer incidence among patients in public hospital by 2017. This study was conducted in public hospital in Padang City from June 6-July 3, 2017. This study used a case-control study method. The number of samples was 168 respondents and divided into 2 groups: 84 are case group and 84 are control group, was done by quota sampling. The result of the study showed that reproduction risk factors associated with breast cancer incidence were menarche age and lifestyle risk factors associated with breast cancer incidence. The health workers are advised to provide health promotion so that people know the risk factor and can be prevent breast cancer. Patients with the breast cancer advised to healthy diet, sufficient activity, managing stress and healthy lifestyle.
Prince of Songkla University, Thailand
Title: Effectiveness and satisfaction of using hand block to protect venous access line in anesthesia
Time : 15:00-15:30
To be updated soon...
Objective: To determine the effectiveness and the satisfaction of hand block to protect intravenous access during anesthesia
Meterial and Method: This observational descriptive study was conducted in patients aged 18 years old who received general anesthesia, patient’s arms with the intravenous or the arterial line attached to the body. Hand block to protect the intravenous line or the arterial line was used during the operation. The nurse anesthetists were asked to evaluate the effectiveness and the satisfaction of hand block to protect the intravenous line and the arterial line. The evaluating scales included the followings: 4=very good, 3=good, 2=fair, 1=poor.
Results: Fifty three patients were recruited in the study. The mean scores of the effectiveness of using hand block to protect venous access and arterial line were good (>3.1-3.6). The items of the satisfaction were very good (≥3.6) that using reused materials, convenience, low surgeon disturbance, easy keeping, avoid pressure sore and durability. The overall satisfaction score of using hand block was very good (=3.8).
Conclusion: The satisfaction of using hand block among nurse anesthetists was very good. Hand block is effective for protecting intravenous access line and arterial line.