Day 2 :
- Psychiatric and Mental Health Nursing
Session Introduction
Heather MacDonald
University of New Brunswick, Canada
Title: Removing the mask: Women returning to work after a lapse due to depression
Biography:
Heather MacDonald completed her MScN at the University of Toronto, Canada, and her PhD in Nursing at the University of Manchester, UK. She has been a Professor at the University of New Brunswick in Fredericton, Canada, since 1990. In addition to having authored a number of publications, she has presented papers at various local, national, and international conferences. In addition to working at the University of New Brunswick, she has a Parish Nursing Practice.
Abstract:
Women who experience depression often refer to wearing a mask to conceal their illness. In this paper the results of a qualitative study involving 40 women who returned to work after being off for a minimum of three months are presented. The women reported that they wore a mask due to the stigma associated with having a mental illness. Unfortunately wearing this mask further contributed to the feelings of social isolation the women experienced. Women were asked about how depression affected them at work and about their experiences of returning to work. Responses included “I needed a gradual return” and “I had no support – if I had a broken leg there would have been support.” Women return to work for financial reasons, because their sick time has expired and to combat social isolation. Some of the barriers to women returning to work that have emerged from the data include stigma and discrimination, a fear of self-disclosure, and concentration and memory issues. Strategies for combating these barriers will be discussed.
Biography:
Chun-Yip Hon is an Assistant Professor with the School of Occupational and Public Health at Ryerson University and obtained his PhD in Occupational and Environmental Hygiene from the University of British Columbia. He is also a certified industrial hygienist (CIH) and a Canadian registered safety professional (CRSP) with more than 12 years of experience as an occupational hygienist. His doctoral dissertation examined healthcare workers’ exposure to antineoplastic drugs and he is the lead author of several publications on this topic. His research interests are occupational exposure assessments, risk assessment methods and evaluation of intervention measures to prevent occupational exposure.
Abstract:
Urine samples are collected to determine the body burden of healthcare workers exposed to antineoplastic drugs. However, many studies are limited in that only a fraction of the drug is eliminated unchanged. Given this, researchers have suggested that both the parent product and its metabolites should be quantified. The purpose of this study was to compare body burden levels for the parent product alone (cyclophosphamide or CP) with the levels of CP plus its metabolites. Participants were from six healthcare facilities in the Vancouver area. Participants were asked to provide 24-hour urine samples and the output volume was estimated. The urine was analyzed for CP and three of its metabolites, 4-ketocyclophosphamide, carboxyphosphamide, and N-dechloroethylcyclophosphamide by HPLC-MS/MS. The results were reported as mass of contaminant (in ng) per 24 hours. We obtained 201 urine samples. When looking strictly at the parent product, the average concentration of CP was 285 ng/24 hours. Comparatively, the average concentration of CP plus its metabolites was 2,158 ng/24 hours. Our results suggest that analyzing for CP plus its metabolites provides a more accurate reflection of the overall body burden. The average concentration of CP represented about 13% of the concentration of CP plus its metabolites. This is consistent with reports that <20% of the administered dose of CP is eliminated unchanged in the urine. We therefore recommend that future studies, which assess occupational exposure to antineoplastic drug via urine samples, quantify the parent product and its metabolites.
Christian Holscher
Lancaster University, UK
Title: Drugs developed to treat type 2 diabetes show protective effects in Parkinson and Alzheimer’s disease
Biography:
Christian Hölscher is the Head of translational Neuroscience at Lancaster University, UK, and has been working in the field for 30 years. He holds 3 patents for the use of novel incretin analogues in Alzheimer’s and Parkinson’s disease. He is currently running a clinical trial of one compound in Alzheimer’s patients at the Hammersmith hospital in London. He has published 86 scientific publications, 14 review articles, 12 book chapters and two books. He is the Editor of 6 journals and publishing companies.
Abstract:
Long acting analogues of the incretin hormone Glucagon-like peptide-1 (GLP-1) have shown very promising results in preclinical studies of a range of diseases such as Alzheimer and Parkinson’s disease. GLP-1 analogues can readily cross the blood brain barrier, which set them apart from other growth factors. Another important aspect is that there are GLP-1 receptor agonists already on the market as a treatment for type 2 diabetes (liraglutide, Victoza®, exendin-4, Byetta®, lixisenatide Lyxumia®). Based on the extensive pre-clinical evidence, several clinical trials are currently under way, testing liraglutide and exendin-4 in AD and PD patients. A clinical trial of liraglutide in AD patients is ongoing. A recently completed clinical trial of exendin-4 in PD patients showed very promising effects. We have tested a range of novel analogues of dual agonists of GLP-1 and Glucose dependent Insulinotrophic Polypeptide (GIP) receptors. These are effective in reducing the hallmarks of AD in an APP/PS1 mouse model. Amyloid plaque load, amyloid levels, synapse loss, oxidative stress and the chronic inflammation response was reduced in the brain. Memory formation and synaptic plasticity in the hippocampus was enhanced, as was neurogenesis in the dentate gyrus. These novel peptide drugs show great promise to be developed as neuro protective drugs. They are currently in clinical trials in diabetes and therefore can be tested in Alzheimer’s patients without delay.
B. Gaudelus
Service Universitaire de Réhabilitation, France
Title: GAÃA s-face (schizophrenia facial affects cognitive enhancement)
Biography:
Baptiste Gaudelus is a French nurse. He’s working in the Service Universitaire de Réhabilitation (Pr. N. Franck) at CH Le Vinatier, Lyon, France. He completed a CBT therapist diploma from University of Lyon and Chambery (France). Since 2010, he has a clinical, teaching and research activity in the topics of cognitive remediation and social cognition. He developed the GAÏA s-face program and the Facial Emotion Recognition Task (TREF). He has several publications in last three years.
Abstract:
Social cognition, defined as cognitive processes specifically engaged in interactions with others, is one of the seven domains of cognition commonly impaired in schizophrenia. Recent studies suggest an important impact of social cognition deficits on social functioning, and promising effects of specific cognitive remediation on those deficits. Social cognition is a composite domain and five different processes are consensually identified: emotional processing, theory of mind, attributional style, social perception and social knowledge. Social cognition remediation interventions can be classified as large (programs including neuro cognitive, social cognition and social abilities training) global (programs taking into account of all components of social cognition) or targeted on one process. We propose to present GAÏA s-face, an individual social cognition remediation, computer assisted, program targeted on facial affects recognition, and the first results on social cognition processes, symptoms and social functioning of a controlled randomised study which has compared GAÏA s-face with a cognitive remediation of attentional processes program.
Biography:
Xiao-yi Cao has completed her PhD from Sichuan University School of Medicine. Her studies focus on psychiatric nursing and mental health nursing among disaster survivors and she has published 4 papers in reputed journals.
Abstract:
Background/Objectives: Post-traumatic stress disorder (PTSD) is a severe psychiatric symptom, but limited previous studies have focused on the longitudinal course of the psychopathological symptom in bereaved survivors after disasters. This study examined the trajectory of PTSD prevalence, and to analyze the changes in risk factors for PTSD severity among bereaved survivors at 6 months and 18 months after the 2008 Sichuan earthquake. Methodology/Findings: This was a longitudinal study with a convenience sample of 113 bereaved survivors evaluated at 6 months and 18 months post-earthquake. The measures used in the study included the revised version of the Impact of Event Scale and a questionnaire including demographic characteristics, and earthquake-exposed and post-earthquake variables. The results indicated that the prevalence of PTSD among bereaved survivors decreased significantly from 38.9% at 6 months to 16.8% at 18 months. Loss of a child, directly exposed to the death of family members and property loss during the earthquake, as well as post-earthquake mental health services utilization were significant risk factors for PTSD severity at both assessments. Self-reported health status after the earthquake was a significant contributing factor to PTSD severity at 6 months post-earthquake. Bereaved survivors who lived in shelters or temporary houses reported significant higher PTSD score than those who lived in original houses at 6 months. Conclusions/Significance: These findings can contribute to post-disaster psychological rescue work. The bereaved survivors at high risk for PTSD should be particularly targeted. These outcomes support providing effective and sustainable mental health services for bereaved trauma survivors.
Yu-Hui Ku
Chang Gung University of Science and Technology, Taiwan
Title: The Experiences of Using Group Therapy among People Living with Schizophrenia in Day Care of Southern Taiwan Hospital
Biography:
Yu Hui Ku is a registered nurse in the Institute of Nursing of Chang Gung University of Science and Technology in Taiwan.Her research includes the effects of schizophrenia and the stigma experiences in the Taiwanese people.
Abstract:
Stigma started to pay attention in worldwide after the new DSM-V published. Stigma was constructed from social environment and family perspectives. According to literature review, few studies had group intervention to reduce stigma for patients with schizophrenia. However, no studies were found in Taiwan. Our purpose of this study was to explore the effectiveness of the group therapy among people with schizophrenia in day care of southern Taiwan hospital. This study used group therapy in order to reduce stigma among people with schizophrenia in day care of southern Taiwan hospital. Eight participants were recruited after selecting by psychiatrists. This group therapy developed by the psychiatric nursing practitioner and psychologist lasted nine sessions. The group intervention consisted of introduction, psychoeducation about schizophrenia and stigma, sharing with others about stigma experiences, teaching cognitive behavior therapy, playing psychodrama and countering experienced stigma and self-perspectives feedback. The collected data was analyzed by thematic analysis. Four core themes were explicated from the data analysis: "Perceptions of external stigma", "Perceptions of internalize stigma", "Unable to escape from the shackles" and "Toward beautiful sunlight". According to the finding, group therapy was effective in reducing self-stigma among people with schizophrenia in day care of southern Hospital in Taiwan. The findings could be utilized to nursing staffs in caring with patients with schizophrenia in day care or to nursing educators at school.
Ju-Young Ha
Pusan National University, South Korea
Title: Perceived Health, Suicide risk and Menarche in Korean Adolescents
Biography:
Ju-Young Ha is an Associate Professor at Pusan National University College of Nursing. She has completed her PhD in college of Nursing Science from Ewha Woman’s University, Seoul, Korea. The main courses she teaches at Pusan National University include women’s health nursing and gerontological nursing. Her research area includes reproductive health promotion for women aged over 35 and elderly care. She has numerous publications in reputed journals utilizing both quantitative and qualitative methodologies and also has numerous presentations at local, national, international and invited. She has been serving as an Editorial Board Member of repute.
Abstract:
Early puberty in girls has been identified as an important risk factor for various health problems, such as depression and suicidal attempts. This study was performed to evaluate the perceived health and suicide risk among students with early, on-time, and late menarche in middle and high school.ï€ The subjects were selected using data from the 9th Korea Youth Risk Behavior Web-based Survey 2013 (KYRBS), which included 35,739 girls from 1st grade of middle school to 3rd grade of high school. Data were analyzed using the PASW 18.0 program. Mean age of menarche in Korean adolescents was 11.98 years. Early onset refers to menarche before 10 years, and late onset refers to menarche after 13 years, including those who had not experienced menstruation after 13 years old. Among participants, 1,816 (5.1%) had early menarche, 18,682 (52.3%) had on-time menarche, and 15,241(42.6%) had late menarche. There were statistically significant differences among three groups in perceived health (χ2=155.34, p<.001), perceived body image χ2=1554.02, p<0.001), perceived happiness (χ2=70.20, p<0.001), sad mood (χ2=50.56, p<.001), suicidal ideation (χ2=90.23, p<0.001), suicidal plan (χ2=120.56, p<.001), and suicidal attempts (χ2=113.40, p<.001) within 1 year by onset of menstruation. In a multivariate logistic regression model, early menarche did persist as a risk factor for perceived health (OR: 1.24, 95%CI: 1.17-1.32) and body image (OR: 1.97, 95%CI: 1.86-2.09). Poor self-rated health, negative body image, and unhappiness are more common in early menarche adolescents. Teachers and parents should pay attention to the psychological health needs of early mature adolescent.
Session Introduction
Hui-Mei Chen
National Taipei University of Nursing and Health Sciences, Taiwan
Title: Randomised Controlled Trial on the Effectiveness of Home-Based Walking Exercise on Depression in Patients with Lung Cancer
Biography:
Hui-Mei Chen obtained her PhD from Taipei Medical University. She is an assistant professor at the National Taipei University of Nursing and Health Sciences. She has practiced clinical nursing for 10 years and been involved in nursing education and research for 18 years. She has published several papers in Cancer Nursing as well as the British Journal of Cancer and serves as a reviewer for a nursing journal in Taiwan.
Abstract:
Background: Lung cancer is a highly symptomatic disease; depression symptoms might limit the functional ability and impair the quality of life (QOL) in lung cancer survivors. Although exercise has been addressed as an adjuvant treatment for depression, limited studies have evaluated the effectiveness of exercise in patients with lung cancer. Walking is strongly recommended for patients with pulmonary diseases by American College of Sports Medicine; because it is involved in most activities of daily living (ADL). The purpose of this was to determine the effectiveness of a 12-week home-based walking-exercise programme in managing depression in Taiwanese patients with lung cancer. Methods: We recruited 116 patients from a medical centre in northern Taiwan, and randomly assigned them to either a walking-exercise group (n=58) or a usual-care group (n=58). We conducted a 12-week exercise programme that comprised home-based, moderate-intensity walking for 40 min per day, 3 days per week, and weekly exercise counselling. The outcome measures included the Hospital Anxiety and Depression Scale (HADS-depression subscale). Results: We analysed the effects of the exercise programme on depression by using a generalised estimating equation method. The exercise group patients exhibited significant improvements in their depression levels over time (P=.00006 and .004 in the third and sixth months respectively) than did the usual-care group patients. A cut-off point of 8 was used to investigate the clinical significance of the observed changes; both the walking-exercise and usual-care groups revealed a similar number of definite and suspicious (scores 8) depression cases at baseline (18 vs. 14, P=.406). Moreover, although a significant difference was observed from the baseline to the third month (a decrease of 8 patients vs. an increase of 9 patients, P=.001), no significant differences were observed from the baseline to the sixth month (a decrease of 5 patients vs. an increase of 2 patients, P=.257). The significant interaction term (group difference  time) in the GEE model (Wald x2=10.74, P=.005) indicated that the walking exercise programme effectively reduced the number of patients with depression over time. Conclusion: The home-based walking exercise programme is a feasible and effective intervention method for managing depression in lung cancer survivors and can be considered as an essential component of lung cancer rehabilitation.
- Clinical Nursing
Session Introduction
Vladimir Obolensky
Russian National Research Medical University, Russia
Title: Efficacy of electrical muscle stimulation in clinical practice
Biography:
V N Obolenskiy, PhD (2002) is the Head of the Septic Surgery Unit, City Clinical Hospital â„– 13, Moscow. He is also an Associate Professor of the Department of Surgery of the Russian National Research Medical University named after N.I. Pirogov, Moscow; correspondent member of the Russian Academy of Natural Sciences (RANS). He is a member of several professional societies, including EWMA, AO Trauma, participant EBJIS. He has published more than 40 articles in reputed journals and 8 tutorials. He has been serving as an Editorial Board Member of the journal "Wound Medicine" and "International Academic Journal of RANS".
Abstract:
Indirect electro-myostimulation (EMC) is an effective method of activation of the muscle pump of the leg. EMC increases the speed and volume of blood vessels in the extremities, which improves tissue oxygenation, improves venous outflow, which is a key factor in the prevention of venous stasis and deep vein thrombosis; reduces swelling, prevents atrophy of the muscles which increases the quality of life. The method is simple and available, used in hospital and outpatient practice under the supervision of nurses. In addition to the use of EMS in the treatment of patients with venous insufficiency and leg ulcers we had a number of prospective randomized studies of the effectiveness of the EMS in the treatment of patients with limited physical activity with diabetic foot syndrome (DFS), with shin bone fractures (SBF) and the long-term operational interventions (LTOI) with high risk of venous thromboembolism (VTE). EMS treatment was performed with the use of a portable autonomous device. DFS: On average, in the EMS group (14 patients), edema subsided on the first day by 45%, on the third day it dropped down some 40% more and on the 5th day edema were cut short completely. 12 patients (86%) did not present an edema relapse. In control group (10 patients) edema subsided on the first day by 10%, on the third day it reduced some 30% more and on the 5th day it decreased 20% more and later on stayed at this level. SBF: Edema of the affected extremity was relieved in the EMS group (30 patients) by 5th day on the average, the mean time to final osteosynthesis was 7.3+0.7 days, the mean hospital stay was 16.6+1.0 days; no case of VTE was diagnosed. In the control group (30 patients), edema of the affected extremity was relieved by 8th day on the average, the mean time to final osteosynthesis was 10.4+0.9 days, the mean hospital stay was 17.7+1.3 days; two cases of VTE were diagnosed, one of them being a fatal pulmonary embolism (p<0.05). The average SF-36 score increment was 24.9% by 5th day in the EMS group and 14.5% by 5th day in the reference group. LTOI: In the experimental group 1 case (3.3%) of deep vein thrombosis of the calf without signs of pulmonary embolism was observed, while in the control group there were 10 cases of thrombosis (33.3%) and 2 cases of pulmonary embolism (6.7%), p=0.008.
J. Ngwang Menang
Global Health University, USA
Title: Retrospective Study of chronic disease prevalence and impact in resource limited community
Biography:
J Ngwang Menang obtained the following diplomas in Nursing at the Alison College, USA in November, 2013; Diploma in Nursing, at the local Training School for Nursing Cameroon in 2000, and Ethics in clinical research, at the Vienna School of Clinical Research in 2008. He has undertaken Clinical placements at Pisa University Italy in September 2012, Witten/Herdecke University, Datteln Germany, May 2012, and Central Manchester University, UK 2013. He is presently completing Public Health Certificate Distance Learning at Global Health University, USA. He was awarded the Best staff 2009 for CALMEF practice and secured 3rd position in 2012, ‘‘International Journal of Palliative Nursing Volunteer Awards’’.
Abstract:
Background: Sub-Saharan region, worst hit by HIV on the globe also records high prevalence and deaths from either diabetes, HIV/AIDS or both since both diseases are chronic, requiring highly skilled professionals and well-equipped infrastructures which often lack which often lack. HIV therapies said to influence obesity further predisposes clients to diabetes. Methods: Pilot study from June 2014-June 2015 to identify the chronic disease prevalence, challenges responsible and impact on the population. Results: The study, aimed at understanding the common health challenges and to come up with mechanism on addressing them is ongoing with no results yet, but the complexity of enormous health issues from the studies point to an urgent need of addressing regional health disparities especially on life limiting diseases such as HIV/AIDS and diabetes. Diabetes and HIV/AIDS top the prevalence of chronic disease, rapidly rendering sufferers handicapped, with complications and subsequent premature deaths. Conclusion: A growing global diabetes trend, portray diabetes now a global epidemic with the developing nations shouldering as much as 75% of the global diabetes burden by 2035 calls for urgent action. HIV/AIDS and diabetes are serious interwoven public health issues with each manifesting various degrees of organ degeneration, and subsequent incapacitation from complications and then death. Both can benefit from qualified professionals ranging from social workers, nurses, psychiatrists and medical doctors among many but the most common professionals although in huge shortage are general practitioners and general nurses. These portray discrepancies in community, regional and global health, calling for international effort to address.
Halise Coskun
Gülhane Military Medical Academy, Turkey
Title: Evaluation of the knowledge of nurses on intramuscular injection in the ventrogluteal and dorsagluteal sites
Biography:
Halise Coskun has completed her PhD from Gülhane Military Medical Academy. She is a Navy Captain nurse and Assistant Professor at nursing school at the same academy since 2011.
Abstract:
This is a descriptive and cross section study. The sample of the study comprised 283 nurses who accepted to participate to the study. In collecting data, a form containing 14 statements about the using dorsogluteal and ventrogluteal sites for the intramuscular injections was used. For statistical analyzing of the data; numbers, percents and chi-square test had been used. Of the nurses, they used DG site, VG site and both of these sites were 50.2% , 26.1% and 23.6%, respectively. Most of the nurses responding statements with correct answers were gradute nurses and with 1-5 years experience. Most of the DG site user nurses explained that the reasons for using this site as its safety (17.6%) and easier ( 29.4%) application. Most of the nurses using VG site describe the main reasons for using this site were far away from neurovascular structures (50.9%). In order to avoid complications of intramuscular injections, nurses knowledge need to be updated via the in-service training. In addition, nursing curricula should be reviwed.
Vladimir Obolensky
Russian National Research Medical University, Russia
Title: The providing of the method of the local negative pressure in the treatment of the wounds
Biography:
V N Obolenskiy, PhD (2002) is the Head of the Septic Surgery Unit, City Clinical Hospital â„– 13, Moscow. He is also an Associate Professor of the Department of Surgery of the Russian National Research Medical University named after N.I. Pirogov, Moscow; correspondent member of the Russian Academy of Natural Sciences (RANS). He is a member of several professional societies, including EWMA, AO Trauma, participant EBJIS. He has published more than 40 articles in reputed journals and 8 tutorials. He has been serving as an Editorial Board Member of the journal "Wound Medicine" and "International Academic Journal of RANS".
Abstract:
The high clinical and economic efficiency of method of treatment of the wounds by negative pressure (NPWT) doesn't raise doubts. The using of NPWT allows us to improve all the main indicators to reduce the terms of the treatment and the duration of a stay of the patient in a hospital, to reduce the cost of the funds, working hours of the personnel. Besides, the long absence of the bandaging at the inpatient, so the contact of a wound with the tool and the air of medical institution, with the hands of the medical personnel, reduces the risk of a contamination of the wound by the hospital strains of microorganisms. Our more than seven years experience in the application of this method includes more than 1,500 patients with chronic wounds and trophic ulcers, acute purulent inflammation of soft tissues, infectious complications in trauma and orthopaedics, in the abdominal, thoracic and colorectal surgery. We conducted a number of prospective randomized and comparative clinical and clinico-economic studies on the effectiveness of NPWT in the treatment of various wounds. However, the demand method on the one hand and the high cost of the equipment on the other hand has forced us together with engineers to develop a cheap mobile model vacuum aspirator designed for use in both residential and outpatient settings under the patronage nurses.
- Critical Care Nursing
Session Introduction
John G. Shiber
Kentucky Community & Technical College System, USA
Title: Arsenic, cadmium, lead, and formaldehyde in commonly consumed beers
Biography:
John G Shiber is Professor of Biology in the Division of Nursing, Biology & Allied Health in the KCTCS. He has done advanced study in marine environmental science at University of Houston and holds a PhD in Biology from Purdue University. Much of his technical research has been devoted to heavy metals in coastal biota, sediment, drinking water, and food, with more than 45 scientific publications to his credit. He is also well-published in areas of education, environment, and health.
Abstract:
Seventeen canned sardine samples, originating from six countries and sold commercially in eastern Kentucky-USA were analyzed for trace elements. Total arsenic (As), cadmium (Cd) and lead (Pb) were determined by graphite furnace atomic absorption spectrophotometry (AAS), and mercury (Hg) by thermal decomposition amalgamation and AAS, according to U.S. Environmental Protection Agency guidelines. Reported in µg/g (wet) the metal levels found were: As 0.49-1.87 (mean: 1.06), Cd <0.01-0.07 (mean: 0.03), Pb<0.06 to 0.27 (mean: 0.11) and Hg was either less than the lower reporting level of 0.09µg/g or not detected. Hg and Pb concentrations are well below Food and Agriculture Organization (FAO) guidelines for fish in general, but no guidelines exist for these elements in canned fish specifically and there are none at all for Cd or As in any kind of fish. Health risks associated with chronic, long-term ingestion of As at low concentrations in drinking water has been linked to certain cancers, cardiovascular and other health problems that are prevalent in this Central Appalachian region of the USA. The role of As in human disease via food, however, has only recently been scrutinized, and maximum allowable limits for this element in fish is now being reviewed. Since small pelagics may soon become commercially important seafood of choice in the face of diminishing populations of large species, further, more extensive studies of this nature are recommended.
Melanie Berube
McGill University, Canada
Title: Evaluation of the feasibility and acceptability of a nursing intervention program to facilitate the transition of adult SCI patients and their family from ICU to a trauma unit
Biography:
Mélanie Bérubé is an advanced practice nurse in orthopedics and trauma since 2011 at the Hospital du Sacré-Coeur, Montreal, Canada; a large level-one trauma center. She has been a clinical nurse specialist in trauma and critical care fields for 10 years before occupying this position. She completed a post-masters acute care nurse practitioner diploma at the University of Toronto in 2009 and she is currently pursuing Doctoral studies at the Ingram School of Nursing - McGill University, in Montreal. Her research interests are to develop and evaluate nursing interventions in acute care settings for the prevention of adverse events and optimization of patients’ recovery, and knowledge translation.
Abstract:
Background: ICU transfer towards a general ward is recognized as a high-risk episode of care especially for patients with SCI. Objective: To evaluate the feasibility and acceptability of a nursing intervention program developed to optimize the transition of SCI patients and their family from ICU to a trauma unit. Methods: A participative constructivism design was used for the co-construction and preliminary evaluation of interventions by researchers, patients, families and healthcare professionals. Results: Nine tetraplegic patients, 8families and 8 health professionals participated to the study. Interventions pertaining to provision of information with regard to the functioning of the trauma unit and gradual decrease of ICU monitoring and nursing surveillance were found feasible. Other interventions, such as patients and families introduction to the receiving team and the use of a written report form were more difficult to apply. Patients and families considered the program highly acceptable and both greatly appreciated being informed on differences in the intensity of care between the two units. Healthcare professionals also identified the provision of such information as facilitating for the transition of care. Potential improvements identified were visits standardization to the receiving team before ICU discharge, introduction of bedside report to tackle the lack of continuity of care, and education to the nursing personnel of the trauma unit on specific care required by recently ICU transferred SCI patients. Conclusion: The nursing intervention program proposed in this study was found for the most part feasible and acceptable. Need for refinements were identified which will be considered before further evaluation.
Biography:
Dr. John J Power is a lecturer in Nursing and Midwifery at the largest University in N Ireland. He completed both his M. Phil and his Doctorate at Queen’s University, Belfast in particular areas of teaching and research include social psychology and public health. Dr. Power is a qualified and practicing nurse. He has been involved in the UK Health Service for a number of years. Prior to his teaching appointment he managed nursing services in part of the Scottish Highlands.
Abstract:
A qualitative study exploring disordered eating in a small group of first-year undergraduate students studying for professional health care related degrees (n=12) illustrating what support mechanisms and services are required for those 1st year students experiencing or at risk. Key issues emerging included: Lack of understanding to the nature/risks associated with disordered eating and the use of disordered eating as a stress coping mechanism; isolation; disordered eating perceived negatively as a mental health issue carried stigma and reticence to acknowledge being wary of the academic/ professional consequences. This was possibly reflected in a sometimes concealed /sub-clinical experience. A number of the students were evidently wary of eating in more public refectories. Students felt very positive about their arrival at university and that their experience with disordered eating could potentially add to their repertoire as future health care professionals. Conclusion: The University could; further develop its outreach to new students with a more consistently supportive program including stress training and more support via student buddying; extend its program on positive mental health to reduce a sense of stigma within the student population; consistent training in the understanding and person- centered approach to students experiencing disordered eating, particularly the sub-clinical group; consider some small changes and adaptations to the refectory eating areas to better facilitate at risk students. Finally the University could perhaps better use the first few months of student's arrival at university to help embed a program to develop a stronger sense of coherence and wellbeing.
Hae Won, Kim
Professor, South Korea
Title: Development of the Human papillomavirus infection prevention program
Biography:
Hae Won Kim has been the Professor from Seoul National University College of Nursing. She is Director of the Research Institute of Nursing Science, Seoul National University, and she has been Editor in chief for Journal of Korean Academy of Nursing (indexed in SSCI) since 2014 and Perspectives in Nursing Science (published by Research Institute of Nursing Science, Seoul National University) since 2013.
Abstract:
Human papillomavirus (HPV) awareness among the Korean population was low. This study was performed to develop the program that prevents HPV for the Korean University students. The program was assumed that HPV prevention should be applied to men and women. Eight 50 minute sessions program consisted of pathological aspect, individual cognitive aspect, and interpersonal & social aspect to embrace the multiple attributes to prevent HPV effectively. The methodologies of the program were included lecture, small group discussion, and practice. The main component of the program were information, motivation and behaviors based on the information-motivation-behavioral (IBM) model; in specific, HPV facts, HPV prevention methods, sexual rights, prejudice of the HPV infection, sexual autonomy, gender equal attitude, for both genders. Experts in the HPV prevention confirmed the content validity for this program. A small group discussion could enable the University students to get close and to break their prejudice toward the opposite genders. In addition, their intention to prevent HPV would be enhanced. This prevention program would be useful for the University male and female students to be aware of HPV and to improve their intention to prevent HPV. The short term and long term effects of HPV prevention program will be necessary.
Biography:
Sukyong Seo has completed her Ph.D. from UC Berkeley, USA. Having worked for Kaiser Permanente Care Management Institute as analyst, she is currently assistant professor of community health nursing in Eulji University, South Korea. She has published many papers on nursing shortages and provider payment system.
Abstract:
Objective: This study examines the effect of a national legislation paying hospitals depending on nurse staffing levels to increase hospitals’ use of nursing resources in Korea. Background: The concept of pay-for-performance (P4P) has been adopted in health care as a means to alter financial incentives of providers. The rationale is that if quality of care becomes a direct component of their ï¬nancial success, providers will shift more resources towards quality improvement. Although P4P has been widely adopted to improve hospital care quality, little is known about whether the approach is effective in increasing quality in nursing services and nurse staffing. A decade of experience in Korean nursing payment system provides a testable case to examine the effectiveness of the approach. Methods: Time series data on hospital-level nurse staffing and a nationwide survey of nurses (N=2,387) were used to compare before and after the hospital payment reform. Results: We found an increasing trend of hospital RN staffing after implementing the reform. However, the effects differ depending on hospital type. Nurses work conditions including job dissatisfaction, burnout and intention to leave were not significantly improved. Conclusions: Linking reimbursement rates to nursing resources can be more effective in improving staffing levels, if considering hospitals in poor financial shape.
Nicole Allard
Université du Québec à Rimouski, Canada
Title: Evaluation of the psychometric properties of the French wccnr stomatitis instrument to determine the degree of severity of stomatitis
Biography:
Nicole Allard is currently a Professor at the University of Quebec in Rimouski, campus of Levis. She holds a Master Degree in nursing from the University of Montreal and also a PhD in nursing from the University of Toronto. Her main areas of research are: symptom management in cancer patients and survivors, nursing interventions, validation of instruments and evidence-based practice.
Abstract:
Significance: Stomatitis, an inflammation and ulceration of the mouth, is a common and devastating complication of cancer therapy. Incidence levels range from 10% to 90%. Stomatitis can cause treatment delays and dose reduction, severe pain, weight loss, difficulty talking, infections, emotional distress and altered morbidity and mortality. The WCCNR developed a new tool, the WCCNR Stomatitis Staging System. This 3-item instrument was found to be reliable and valid both in French and English. Problem & Purpose: There are several problems with the currently available stomatitis assessment tools. First, assessors can arrive at a total score in a variety of different ways, depending on how they scored different parts of the mouth. As a result, the meanings of the scores obtained are clinically inconsistent. This is problematic from a nursing point of view since changes that warrant an alteration in intervention may remain undetected. The use of a simple tool that yields valid and reliable scores would be easier to incorporate into a routine nursing assessment. The purpose of this study is to address the validity and reliability of the translated 4 items, French version plus 2 subjective items: pain and ability to eat. Methods & Analysis: Factor analysis will assess the validity of the 4 factors. Item total correlation evaluation will be used to establish the internal consistency of the instrument. Weighted Kappa or intra-class correlation coefficients will be used to test the instrument’s inter-rater reliability. Implications for practice, education and research will be discussed.
Zeynep Cicek
Istanbul Arel University School of Health, Turkey
Title: Needs of family of intensive care unit with patient
Biography:
Gülten Kaptan, PhD, studied Nursing from Hacettepe University Institute of Health Sciences in the field of Internal Medicine in year of 1997. In 2005 she received the title of Associate Professor in the same area and Professor in 2012. She published many articles in international journals and served as a faculty member as well. She serves as the Director of Nursing at the hospital. She is the Scientific Board Member of one of the international open access journal. She is in the Turkish Nurses Association, Oncology Nursing Society and is a Nephrology Nursing association member. Currently, she is working as Professor of Medical Nursing in Istanbul Arel University.
Abstract:
Aim: To study is to determine the needs of families with patients in the intensive care unit. Method: Study will be carried out in Istanbul Provincial District of private hospitals in the Flat relatives of hospitalized patients in intensive care units (n=250 ). Demographic questionnaire and Intensive Care of the Patient with family for family members in collecting the data will be used Needs Inventory: This inventory was created by researchers. The number of questions were 46. Questionnare included: Patients' relatives, medical personnel, physical environment, individual needs, covers the psychological support needs etc. Data analysis with SPSS for Windows version 11.0 statistical program will be evaluated. Their caregivers participated in the survey, informed consent will be signed stating that they participate voluntarily paper. The realization of the work permit is taken from the ethics committee of Istanbul Arel University .
Biography:
Nurse, Nurcan Kolaç was born in Mazgirt 1966. 1990 Ä°zmir Ege University School of Health. 1994-1997 Academic year Hacettepe University of Health Sciences Institute of Public Health Department was awarded the Master's examination and began her graduate studies on 1994-2000. Karaelmas University college of Public Health Department. Nurcan Kolaç Marmara University public health nursing has long served as an instructor in the department. Academic mission, Marmara University faculty of health sciences nursing department, public health nursing, college of health sciences, nursing section continues.
Abstract:
Being considered as a burden in the face of rapid growth of elderly population, the inadequacy of social security and support systems and aggravating economic conditions, the elderly faces growing abuse and neglect. It has been emphasized that cases of neglect against the elderly in need of care are greater in number in multigenerational households and that the care giving family member might develop increased propensity for aggression and violence. Most of the elderly are financially dependent on their families. Need for care and the economic troubles of the family combined are considered to set the stage for neglect. Economic difficulties faced in physical and social changes that occur in old age result in violence against the elderly when the individual is not supported by caretaking at home or at an institution. Despite the fact that a large majority of elder abuse cases go unreported or undetected, it is estimated that approximately 4% to 10% of elderly persons are subject to abuse or neglect. As part of their studies on physical and financial abuse and neglect among 204 persons above 65 have found that 1.5% of the said persons face physical abuse and the abuser is the son or the husband. It has been also found that the revenues of 2.5% of the elderly have been spent against their will. The actions included in the National Ageing Action Plan of 2007 may be listed as The Elderly and Development; Increasing Health and Welfare in Old Age; Providing Supportive Environments with Possibilities in Old Age. Goals aimed at the mental health of the elderly are a part of actions for Increasing Health and Welfare in Old Age and Providing Supportive Environments with Possibilities in Old Age. Among these actions, the subject entitled Abuse, Neglect and Violence includes Goal 1: "Elimination of All Sorts of Elder Neglect, Abuse and Violence, Regulation in four areas (legislative regulations, vocational education, taking measures through services (hotline to report abuse), community education)" and Goal 2: "Providing Services for the Prevention of Elder Abuse."
Minyoung Kim
Ulsan University, South Korea
Title: Noise in South Korea Intensive Care Units: Causes and Patients’ Responses
Biography:
Minyoung Kim has completed her PhD from Keimyung University School of Nursing and is an Assistant Professor at Ulsan University School of Nursing. She is the Adult Health advanced practice nurse of Keimyung University hospital for 10 years. She has published 6 papers in reputed journals.
Abstract:
Purpose: The purpose of this study was to measure noise levels in South Korea intensive care units (ICUs) and to analyze the causes of noise and responses of the patients. Methods: Noise levels were recorded in adult ICUs for 24 h over a week from the patients’ bedside with a sound level meter. Noise sources were categorized into three groups: Medical machines, health care providers, and the environment. Noises from the environment were recorded in an empty ICU side room. Responses to the noise of 125 patients admitted to ICUs were recorded using a questionnaire. Results: The mean level of noise in ICUs was 58.5 dBA (range, 34.2–80.2). The causes of noise higher than 70 dBA were nebulizers and infusion/syringe pumps among medical machines, and drawer slamming, phone ringing, and stripping packages of medical fluids among environmental noises. According to the questionnaire, 64% of the patients responded that the ICU was noisy and that they suffered from sleep disturbance due to noise. Conclusion: Noise is considerably high in South Korea ICUs and is an annoying factor for the patients. Most noise sources are adjustable, and we should try to reduce their contributions to make the ICU environment more pleasant.
- Cardiac Nursing
Session Introduction
A Qadeer Negahban
Barnsley Hospital NHS, United Kingdom
Title: Uncommon type of Tako-Tsubo Cardiomyopahty – Case Report and current view
Biography:
A Qadeer Negahban graduated from Masaryk University in Brno Czech Republic in 2003. He completed his Postgradual training and Specialty training in Cardiology at St. Anne’s University Hospital and ICRC in Brno Czech Republic. The subject of his PhD studies is Takotsubo cardiomyopathy. He has published the first case of uncommon type of Takotsubo cardiomyopathy in peer review journal Cor et Vasa. He is the main investigator for the research‚ genetic polymorphisms in estrogenic receptors and their association with Takotsubo cardiomyopathy – final results to be published very soon.
Abstract:
Takotsubo cardiomyopathy is a heart disease that imitates acute myocardial infarction. Classical findings include apical and mid segment hypokinesia. However, it may have different appearance than originally described. In our case report we describe a case of a woman with tako-tsubo cardiomyopathy (TTC), who was admitted to hospital after a stressful event because of chest pain, with smooth coronary arteries on coronary angiography and mild elevation of troponin-I level. Electrocardiogram corresponded with non-Q myocardial infarction of inferior wall. Following left ventricle ventriculography, echocardiography and magnetic resonance, impaired contractility of the basal part of inferior wall was noticed, together with good overall ejection fraction. Full recovery was attained in five weeks after the onset. This impairment of left ventricle is not typical for TTC. In our patient, the basal part of left ventricle was involved, and not the apex as is usual in TTC. This finding corresponds to rare “inverted” form of TTC. Another atypical feature is segmental involvement that, moreover, covered the inferior wall. This morphological pattern, according to our best knowledge, has not yet been described in literature. Pathophysiology, epidemiology and clinical significance are shortly reviewed in the paper.
Wenru Wang
National University of Singapore, Singapore
Title: Effects of home-based cardiac rehabilitation programme for patients with acute myocardial infarction: A randomized controlled trail
Biography:
Wenru Wang has over twenty years of professional experiences in clinical nursing and university teaching. She is now an Assistant Professor of National University of Singapore. Her major research interests include cardiovascular nursing and cardiac rehabilitation. Over the past years, she has published over 60 peer-reviewed papers in international refereed journals. She has also presented her research at over 30 international conferences and has been recognized with several national and international awards for the achievement in her research endeavors. She is a member of the Editorial Board of four international journals, and a reviewer of 20 medical/nursing journals.
Abstract:
This study aimed to evaluate the effects of a home-based rehabilitation program for Chinese patients with myocardial infarction (MI) in terms of health related quality of life and psychological status. This was a randomized, controlled trial with data collected at 2 university-affiliated public general hospitals in Xian, Shaanxi Province, and People’s Republic of China. One hundred and sixty patients with an MI were randomly assigned to either the interventional group (a home-based cardiac rehabilitation program using a self-help manual) or the control group (usual care). Health-related quality of life (generic, Chinese Short Form 36-Item Health Survey[C:SF-36]; disease-specific, Chinese Myocardial Infarction Dimensional Assessment Scale[C:MIDAS]) and psychological status (the Chinese Hospital Anxiety and Depression Scale) were measured at baseline, program completion (6 weeks), and 3 and 6 months after hospital discharge. The results showed significant differences were evident in the main outcomes when the home-based group was compared with the usual care group at 6 weeks, 3 months, and 6 months. The home-based group had significantly higher scores on 4 of the 8 domains of the C:SF-36 and on 3 of the 7 dimensions of the C:MIDAS, with significantly lower scores on the anxiety, but not the depression, subscale of the Chinese Hospital Anxiety and Depression Scale. This study concluded that a simple, home-based cardiac rehabilitation program for patients with acute myocardial infarction, using a self-help manual, improves health related quality of life and reduces anxiety. It appears feasible and acceptable, and does not produce inferior outcomes compared with usual care in China.
Ana Domingo Rueda
Hospital Universitario Ramón y Cajal, Spain
Title: Collaborative programme in Pediatric Cardiac Surgery in Ethiopia: Nursery role
Biography:
Ana Domingo has completed his studies of nursing at the age of 23 years from San Pablo CEU University. She has worked as PICU staff nurse at Royal Brompton Hospital at London, UK. She has completed Introduction in Congenital Heart Disease at St Thomas Hospital In London. She is the currently staff nurse at A&E department at Hospital Ramón y Cajal. She has supervised the PICU and 7 cardiac missions in Ethiopia.
Abstract:
Introduction and Objectives: Cardiac disease among children remains an important and significant cause of morbidity and mortality in developing countries. Most of the children, however, could reach a normal development in adulthood after a proper on-time diagnosis and treatment. Our aim is to review our experience in the care of children undergoing congenital heart disease surgical and percutaneous procedures, and the training experience of the local staff in a center in Ethiopia. Material &Methods: In 2009, a medical centre exclusively dedicated to the care of children with heart disease and supported by several international NGOs, was opened in Addis Ababa. From January 2010 to November 2014 we have performed seven campaigns with a double aim: medical assistance and staff training. Our team was formed by: 9 doctors, 3 nurses, and 1 perfusionist. Consumable medical devices and medication were obtained as a donation from the pharmaceutical industry. Results: Each campaign lasted between 10 and 15 days. Local staff was not trained for complex surgical procedures. We developed an on-going training schedule in the fields of surgery, catheterization and intensive care, for both medical and nursery staff, trying to be equal to the training programme of other internationals groups. 120 surgeries in 117 children with congenital heart disease were performed. In children on whom cardio-pulmonary by-pass was performed, the diagnosis was: VSD, n=26, (with pulmonary hypertension, stenosis of the RVOT or ductus), ASD, n=37 (with pulmonary stenosis, ductus, mitral regurgitation or anomalous pulmonary venous drainage), subaortic stenosis (n=37). Regarding the percutaneous procedures, 121 out of 146 were interventional, mainly for PDA closure (n=71), pulmonary valvuloplasty (n=33) and ASD closure (n=10). 92% of the children were extubated within 3 hours of PICU admission. The average ICU stay was 1.2 days. We carried out the training programme as planned, with special dedication to the on-going training schedule in the surgical and intensive care field. The patient follow-up was performed by doctors at the local hospital. There was not any major complication during the follow-up. Conclusions: The implementation and development of a program in pediatric cardiac surgery in developing countries is possible with good results, on the condition that the training programme is adapted to the culture and special needs of the local staff, giving them on-going involvement and avoiding imposing of any work rule.
Guillem Pons-Lladó
Universitat Autònoma de Barcelona, Spain
Title: Non-Invasive Cardiac Imaging: the challenge of resource management for an efficient diagnostic workup in the era of new emerging techniques
Biography:
Guillem Pons-Lladó, MD, PhD, FAHA, Cardiology specialist, is Director of the Cardiac Imaging Unit at the Department of Cardiology of the Hospital de Sant Pau, Autonomous University of Barcelona, Spain. He is also Director of a Master Degree and regular Training Courses on Advanced Cardiac Imaging Techniques (Cardiac-MR and Cardiac-CT) addressed to either medical specialists or nurses/technologists. He has published 3 books on these issues, and is the author or co-author of more than 100 papers in peer-reviewed journals of the specialty, including articles on guidelines for the appropriate use of Cardiac-MR of the Spanish Society of Cardiology.
Abstract:
Cardiac Imaging Units (CIUs) encompass today conventional techniques, such as Echocardiography (ECHO), together with other recently appeared methods with proven advantages for cardiac applications, as Magnetic Resonance (CMR) or Multidetector Computed Tomography (CCT). ECHO is an omnipresent technique in the vast majority of patients due to its availability, low cost, and the large amount of useful information that provides. The actual value of ECHO, however, is largely dependent on the skill of the operator (cardiologist and technologist) and, also, limited by physical constraints of ultrasound, as the reduced field of view, or interferences due to non-cardiac structures. CMR, appeared later in time, does not face with these limitations and, in addition, provides with new important information, as is that on the tissue components of heart muscle. Finally, CCT, the most recently introduced technique, has made available a true non-invasive coronary angiography, which is the optimal complement to the other techniques. ECHO, CMR and CCT constitute, thus, indispensable resources in a modern CIU upon which rational diagnostic schemes may be based, allowing to achieve the ideal threefold aim in every patient with heart disease: 1) diagnostic accuracy; 2 ) prognostic stratification; and 3) therapeutic planning. The diverse nature of these techniques, however, and their different adscription pose a particular challenge of organization to the CIU, which requires the involvement of committed cardiologists, radiologists, and nurses/technologists, who must be specifically trained on this truly new subspecialty in Cardiology/Radiology as is Cardiac Imaging.
Esra Koroglu
Istanbul Arel University School of Health, Turkey
Title: Determining the effectiveness of training and follow-up program given to patients with pacemaker
Biography:
Esra Koroglu graduated from Nursing School of Zonguldak Karaelmas University in 2006 and earned her Master’s degree in 2008 from the Institute of Health Science, Gazi University. Following, she received her PhD from Institute of Health Science (medical nursing), Hacettepe University in 2014. Apart from her academic experience, she worked in Emergency Service of Ankara University Hospital as a clinic nurse for 1.5 years. Then she studied in Faculty of Health Sciences in Ankara University as a Research Asistant for seven years. She has been working in Ä°stanbul Arel University, Nursing Departmant as an Assistant Professor since September 2014. Her areas of academic interest are nursing, cardiovascular nursing, pacemakers, oncology nursing, and geriatrics.
Abstract:
This research is an intervention study to evaluate the effectiveness of planned education and follow-up program on quality of life, anxiety and depression levels of patients with pacemaker. The research sample consists of 60 (30 intervention, 30 control) patients implanted with pacemaker that meet the study criteria followed at Ankara University Faculty of Medicine Heart Center, and Turkey High Specialization Education and Investigation Hospital. Non probability sampling method was selected as the research sampling. Data was collected with patient identifier data collection form, Spielberger's State-Trait Anxiety Inventory, the Beck Depression Inventory and SF-36 Quality of Life Questionnaire. These scales were applied to the patients at the beginning of the study and then again after two months. In the first interview with patients in the intervention group, individual interviews were carried to identify education requirements, individual education was given on the related subjects and second meeting was scheduled for two months later. A phone number was given to the patients and their relatives to reach the researcher during this time. Patients and their relatives received counseling from the researcher via phone in between the interviews. The normal clinical procedure continued for the control group, this group was also given education at the end of the research. When the first and last assesment results between the groups were compared; a decrease in the anxiety, depression level, an increase in average scores of many sub-scale quality of life were identified in the intervention group patients. In accordance with the results obtained from this study, as well as evaluation of psychosocial aspects of patients with pacemakers, the presence of consultants reachable via telephone, implementation of planned education and follow-up programs by nurses are recommended.
Cicek Senture
Gulhane Military Medical Academy, Turkey
Title: Analyzing The Efficiencies Of Discharge Education For The Patients Who Had A Cardiac Surgery
Biography:
Cicek Senture has completed her Msc from Gülhane Military Medical Academy. She is a PhD student in the same academy since 2013.
Abstract:
The study was aimed to analyse the efficiencies of discharge educations for the patients who had a cardiac surgery. Research was performed between the dates of November 2011 and June 2012 in Post Operation Clinics at Cardiovascular Surgery Department. Samples of the study consisted of 180 patients who had a planned cardiac surgery during this period. The first 90 patients were accepted as control group, and the last 90 patients were accepted as experimental group. The researcher used the documents “Patient Introduction Form”, a form for detection of the knowledge status before taking the discharge education of the patients and a form for detection of the knowledge status after taking the education. The control group had taken the discharge education by clinic nurses and the resarcher gave this education with the education booklet which has been made for the conclusions of searching the literature- to the patients who are in the experimental group. The conclusions of the research shows that nurses had been given a successful oral education to the patients who had a cardiac surgery, but if a written education material will be added to this education and with standardization of the discharching education will make it more effective.
Ibrahim I. Elmahallawy
Menoufiya University, Egypt
Title: Prevalence Of Chronic Renal Failure In COPD Patients
Biography:
Ibrahim I Elmahallawy is an Associate Professor of Chest Diseases, Chest Department, Menoufiya University, Shebin Elkom, Egypt. He is the President of the Nile Thoracic Society (NTS) which is a scientific respiratory society and the Director of the bronchoscopy unit in Menoufiya Chest Department. He has published more than 20 papers in international reputed journals.
Abstract:
Background: COPD is a leading cause of death worldwide. It is associated with a large number of comorbidities. Methods: The current study included 300 COPD patients aged 65.28±6.32 years, 148 of them (49.3%) were females and the rest were males and 300 control age and gender matched patients with diseases other than COPD; aged 64.70±7.12 years, 138 of them (46%) were males and the rest were females. They were enrolled in the study during their follow up visits to the outpatient clinic of the Chest Department, Menoufiya University Hospitals from August 2009 to August 2012. The GFR was estimated and patients were categorized according to their renal function as having normal renal function (GFR ≥ 60 mL/min/1.73 m2), concealed CRF (normal serum creatinine and GFR < 60 mL/min/1.73 m2), or overt CRF (increased serum creatinine and GFR < 60 mL/min/1.73 m2). Results: In the COPD group; the mean BUN value was 22.86±13.63, the mean serum creatinine concentration was 1.29±0.67mg/dL and the mean estimated GFR was 75.20± 35.78 mL/min/1.73 m2. In the control group; the mean BUN value was 14.04±9.61, the mean serum creatinine concentration was 0.85±0.34 mg/dL and the mean estimated GFR was 92.04±25.54 mL/min/1.73 m2 (P<0.01 for all in comparison with the COPD group). The prevalence of normal renal function, concealed CRF, and overt CRF in COPD group of patients was 54%, 26% and 20%, respectively. The corresponding figures in the control group were 78%, 10%, and 12%, respectively (COPD vs. control group: P<0.001). The overall prevalence of CRF (GFR<60 mL/min/1.73 m2) was 46% in the study group and 22% in the control group (P<0.001). COPD was significantly associated with both concealed and overt CRF. Age and hypoalbuminemia were significantly associated with overt CRF while the number of comorbidities was significantly associated with concealed CRF. Conclusions: CRF may be an important COPD comorbidity and should be screened for not only by serum creatinine level but also by the estimated GFR.
- Adult Health Nursing
Session Introduction
Joaquim J.F. Soares
Mid Sweden University, Sweden
Title: Abuse against older persons
Biography:
Joaquim J F Soares has a PhD in clinical psychology (Uppsala University). He is Professor in psychology and public health sciences (Mid Sweden University). H e is a Tutor of 12 PhD students in the areas of psychology and public health. He is the Reviewer of journals such as Quality of Life Research and Psychosomatic Medicine. He has over 80 publications in peer-reviewed journals in the areas of psychology, public health and epidemiology. He was awarded several research grants, including grants from the European Union.
Abstract:
Older age is often connected with stresses (e.g. reduced financial capacity, aloneness, increased morbidity). Violence may be an additional strain increasing the overall burden of older persons. Recent data with different samples (e.g. general population) concerning abuse towards older persons show prevalence rates up to 55%. Elder abuse co-exists for instance with depression, premature mortality and injury. Interestingly, little attention has been paid to sex differences in elder abuse. To the extent that such data exist, the findings are inconsistent, i.e. no differences between the sexes, women more abused than men and the opposite. Based on a randomly selected sample of 4,467 women and men aged 60-84 years from 7 European countries (Germany; Greece; Italy; Lithuania; Portugal; Spain; Sweden) and with well-known instruments (e.g. CTS2), we found the following. There were no differences between women and men concerning the prevalence of abuse (e.g. psychological), and its chronicity (how often) and severity (e.g. minor). However, when abuse acts were divided into low and high frequency, women tended to have been exposed to higher levels of abuse (e.g. psychological) than men. Furthermore, although abused women and men were doing worse (e.g. poor quality of life) than non-abused, women´s problems were more evident. Practitioners should consider these issues and develop effective prevention and treatment interventions to alleviate the situation of older persons.
Andrea Pokorna
Masaryk university, Czech Republic
Title: The possibilities to use special communication techniques in geriatric care
Biography:
Andrea Pokorna has completed her PhD in 2009 at Masaryk University Brno (her doctoral thesis was focused on the prevention of ageist attitudes to elderly). She became an Associate Professor in Nursing in 2014 at South Moravian University in ÄŒeské BudÄ›jovice. She works at Masaryk University and also at Institute of Health Informatics and Statistics. She is also involved in wound care activities (member of the board of Czech wound Association and EWMA – European wound management association). She is publishing regularly in Czech and also in international journals.
Abstract:
The increasing number of seniors suffering from dementia symptoms is a reality all over the world. The disease is associated among other characteristics with a communication barrier, requiring care takers to think about the ideal conditions for treating the elderly with dementia. There are several possibilities to improve communication and to use several types of communication tools and techniques in communication to elderly people. One of them is the Validation by Naomi Feil® concept, which seems to be a convenient communication tool for those who are caring for the disoriented senior. This is a communication method claiming to lessen stress, nervousness, crying and aggression, and to positively affect the relationship between caregivers and seniors. What has to be highlighted is that the caregivers who would like to use this method should be well educated to know the way to use it. The best learning methods for nurses in daily geriatric practice are seminars with practical demonstrations in the own workplace, self-studying, obtaining professional theoretical knowledge, use of an interactive-learning course and an online counseling or internet advisory center. Validation methods used by professional caregivers could lead to the prevention of the burn-out syndrome and of course help not only caregivers but also to their elderly patients to understand each other.
Eda Yasar
Celal Bayar University, Turkey
Title: The effect of music on the comfort and anxıety of the elderly lıvıng nursıng home
Biography:
Eda Yasar has completed the MSc at the age of 27 years from Institute of Health Science (Fundamentals nursing), Ege University. She is a PhD student in the same Academy since 2014. She is as a Research Assistant at Celal Bayar University School of Health, Department of Fundamentals Nursing.
Abstract:
In this study which includes experimental research (randomized control), it was examined the impact of music on the comfort and anxiety of the elderly living in nursing home. The research had been carried in Zübeyde Hanım Nursing Home, in Ä°zmir, between December 15, 2013 and May 15, 2014. The sample of study were consisted of 56 elderly, reflecting the selectioncriteria. 28 of them represent the experimental group and the rest the control group. The data of the study had been collected by using Eldely Identification Form (EIF), General Comfort Scale (GCS) and Beck Anxiety Scale (BAS). The elderly were followed for 22 days. There was not any attempt to the elderly in the control group; 1st day EIF, 1st, 8th, 15th and 22nd GSC and BAS had been applied respectively. EIF, GSC and BAS forms had been applied to the expermental group for comparison records before the 1st day of music practice. The experimental group elderly have been listened 30 minutes music for 22 days duration between 8:00 p.m. to 10:00 p.m. and GCS and BAS had been applied in the 8th, 15th and 22nd days of the study. Chi-square, the test of significance between two means, the significance test of the difference between two pers, LSD (Least-Significant difference) test were used in the data analysis process. As a results of the study, it is seen with significant (p<0.05) that music reduces anxiety by increasing the comfort level on the elderly living in nursing home. Due to the positive results of the music on anxiety and comfort obtained from this study, some proposals are suggested fort he potential applications in nursing homes and inclusion in the independent nursing practice.
Iveta Mintale
P.Stradins Clinical University hospital, Latvia
Title: Baltic diet vs Mediterranean diet
Biography:
Dr.Iveta Mintale is a Cardiologist at Latvian Cardiology Centre and she is professor at P.Stradins Hospital University.She has published over 20 Publications on the topics of public health, cardiology, nutrition and dietetics.She is the division head of the outpatient assistance of the cardiology department in the Latvian University. Her Research interest Include Cardiology, Public health, Nutrition and diet.
Abstract:
The milestone of illness prophylaxis is a healthy lifestyle, which is composed of regular physical activity and a healthy diet. Following the Mediterranean diet for two years has been shown to have significant decrease in cardiovascular death by 9%, cancer by 6%, Parkinson's and Alzheimer's by 13%. This diet helps to control the perfect weight, improves lipid profile and diminishes the risk of diabetes. The Mediterranean diet consists of extra virgin olive oil, vegetables and fruit, wholegrain products, legumes, nuts and seeds, dairy products (with no other sources of fat other than milk fat), fish (at least twice a week), poultry, veal, pork in limited amount, eggs - 0-4 per week. It is possible to adapt this kind of alimentation in the Nordic countries, but it is important to find products grown there with similar nutritional characteristics. Nowadays, fresh fruits and vegetables can be bought all year round, but it is essential to use seasonal products. In Latvia, at this point, attention should be brought to more efficient storage and conservation. We have a vast variety of legumes and cereals. The selection of dairy products should be bigger and of higher quality, because you rarely see local cheeses made in an artisanal manner at the marketplaces. There is good availability of saltwater fish in the cities, but in the countryside the only fish one can buy is salted and smoked, having exaggeratedly high amounts of salt. Consumption of meat and its products should be lowered to a maximum of three times per week. A special attention should be brought to game (such as deer), because it contains low levels of cholesterol and higher amounts of unsaturated fatty acids due to the alimentation of wild herbs. Unfortunately, there is a lack of good quality oil in Latvia, because no other product can be compared to the nutritious components of extra virgin olive oil and its effects on cardiovascular health. Consumption of high amounts of olive oil decreases the incidence of stroke by 41%. Education should be done widely to promote tradition and gastronomic heritage as a cultural aspect.Healthy lifestyle has to be visible to everyone at any time as a constant reminder of its importance.
Feride Yigit
Istanbul Arel University School of Health, Turkey
Title: Health personnel attitudes to Hpv
Biography:
Feride Yigit received her PhD degree from Marmara University, Obstetric and Gynecologic Nursing in 2005. She has been working as Assistant Professor at the department of Nursing in the School of Health Sciences at Ä°stanbul Arel University since September 2014. She has published more than 15 papers in reputable journals and has been serving as an editorial board member of reputable journals in Turkey since 2008.
Abstract:
HPV is the most common viral infection in the reproductive system. Most of the men and women who have been sexually active, in particular polygamy is in question that after a certain time the disease will occur, some becoming infected more than once. It is a sexually transmitted infection and does not need full vaginal intercourse, even genital contact is sufficient to be infected. The aim of this study is to identify type research; information on HPV and the attitudes of health workers. Research was done as a tool for data collection; personal information form, Hendrick Sexual attitude Scale and HPV information form including 3 questionnaires will be used. The data in the computer environment will be evaluated using the appropriate statistical analysis. The realization of the work permit is taken from the ethics committee of Istanbul Arel University.
Biography:
Aysun Perim Ketenciler is a nurse and completed her secondary education in Istanbul Pertevniyal High School in 2000. She completed her Master degree in 2005 from Trakya University of Health Sciences Institute of Public Health Department and began graduate studies. She worked as a nurse in the Neurosurgery Service. In 2007, she worked at the Women and Family Health Center in Istanbul as a training nurse. She served as an instructor in the department, Hasan Kalyoncu University Public Health Nursing.
Abstract:
Aging is a social phenomenon. Today, a dramatically extend the life span of human life and make more visible the fact that aging is having more healthy. WHO, active aging "health to improve the quality of life of the elderly, community participation and the process of ensuring a high level of security" is defined. Target submission of this opportunity and the need to defend. That proposed by the WHO and in 2002, in Madrid, the United Nations World in Aging Meeting (United Nations World Assembly on Ageing) emphasized that "active aging" concept, energetic, as well as the elderly frail elderly is also to consider and a lot of rights as active aging is a requirement emphasizes the handling. Referring to the recommendations made to the various sections on active aging, national and local governments, mental health, disability and the development of preventive health policy issues by focusing on the treatment of chronic diseases; health consulting, protective services, ensuring universal and equal access to quality health care and long-term care services; prevention of all kinds of abuse of older persons; will encourage these people to live independently shelter and transportation facilities to make convenient and secure their access to the elderly and to provide adequate care and support to people in their homes is recommended that the provision of vehicles. Ensure that older people remain healthy and active is a necessity not a luxury. Priority to improve the health of the elderly due diligence must be done, programs and policies should be tailored to these findings. Also regulation to improve the environmental health of the elderly, the development of social support, actively maintaining of the programs, the creation of new programs and intersectoral collaboration is necessary.
Somayeh Ghafari
Isfahan University, Iran
Title: Exploring the rehabilitation care process of patients with multiple sclerosis
Biography:
Somayeh Ghafari has completed his PhD from University of Social Welfare and Rehabilitation Sciences (USWR). She is the Assistant Professor of Isfahan University of Medical Science. She has published more than 15 papers in reputed journals.
Abstract:
Many physical, psychological, familial, social problems, financial losses of Multiple Sclerosis (MS) caused rehabilitation care process essential for the patients to diminish these symptoms and side effects. Exploring the rehabilitation care process helps the rehabilitation care team to provide safe and high quality care. Therefore, this study aimed to explore the rehabilitation care process of patients with multiple sclerosis. A qualitative grounded theory method was used in this study. The study participants were 40 people with MS chosen via purposeful sampling. Participants including: Patients, family members, nurses, physicians, physiotherapists, psychologists and other members of rehabilitation care team. Subsequently, the data were analyzed according to ‘the Strauss and Corbin constant comparative analysis method. Data analysis showed that the main concern of patients and their families was the loss of independence and productivity. Faced with this concern, the participants were passed "perception of disease threat" "decline in the personal integrity" "strive to accept and adapt to disease" and actualized patents’ abilities with maximum independence "in order to" return to a productive and independent life". These attempts to return to a productive and independent life reflected the process of rehabilitation care that was done by patients, families and health care team in an interactive, dynamic, participatory, but was not coordinated. In this way, there were a number of inhibitors that often lead to failure of the process. Finally the "theory of trying to return to a productive and independent life" was explored of gathered data. Results showed that the core concept of rehabilitation care process in MS patients was "actualizing the abilities". The inhibiting factors often caused the patients failure to return to an independent and productive life. It seems designing an appropriate model of rehabilitation care based on the findings of this study may overcome the barriers and lead patients to have a productive and independent life.
- Women Health Nursing
Session Introduction
Jan Hodgson
The University of Melbourne, Australia
Title: Are we meeting couples’ needs following prenatal diagnosis of a fetal abnormality? Findings from Prenatal Testing: A Longitudinal Study (PeTALS)
Biography:
Jan Hodgson has worked in a variety of healthcare settings including nursing, critical care, community care and genetic counselling for over 35 years. She is currently Senior Lecturer at the University of Melbourne (UOM) in the areas of health communication, counselling, medical genetics, biomedical ethics and research methods, and is also the Research Coordinator for the UOM Master of Genetic Counselling. An experienced qualitative researcher, she is a Member Scholar of the International Institute of Qualitative Methods (IIQM). Her research interests include women's reproductive health, prenatal diagnosis and reflective counselling practice and she has widely published in these fields.
Abstract:
Background: The PeTALS project aims to explore the psychosocial impact of prenatal diagnosis and identify professional and social supports that are utilized and needed. Method: A longitudinal case study approach is being used at 3 Victorian sites to collect questionnaire and qualitative data from women and men at 3 different time-points – 6 weeks post definitive diagnosis of fetal abnormality, 6-9 months later, and 2 years post-diagnosis. Results: Over 90 individuals have been interviewed at the first time-point, regarding their experience of receiving a prenatal diagnosis. Parents commonly experienced significant grief and overwhelming sadness; many described intense feelings of isolation. Those choosing to have an abortion frequently described feeling negatively ‘judged’. Access to abortion, levels of support and the perceived quality of support varied both within and across the sites. Conclusions: Following prenatal diagnosis, women and men describe variable and sometimes inadequate levels of follow-up bereavement care and support. The expanding scope of prenatal testing means couples are increasingly faced with complex choices. Providing prenatal testing in the absence of a full range of supportive options may be considered unethical.
Ece Kaplan
Hasan Kalyoncu University Faculty of Health Sciences, Turkey
Title: The effects of women’s sexual satisfaction on their marital accordance, whose spouses implementing “coitus interruptus†as the family planning method
Biography:
Ece Kaplan, MSN, is in instructor at Gaziantep University, Faculty of Health Sciences Department of Nursing, Gaziantep, and an instructor at the University of Hasan Kalyoncu University, Faculty of Health Sciences, Department of Nursing, Gaziantep.
Abstract:
Objective: The research has been conducted fractionally with the aim of the determination the factors, which affect the sexual satisfaction of women, whose spouses prefer the coitus interruptus as the family planning method and the effects of sexual satisfaction on their marital accordance. Methods: Out of 1422 women applying to the Binevler Family Health Center, the number of the women, who have been evaluated as the specimen, is calculated by 302 women. As the data collecting method with the questionnaire form, “Gloombook-Rust Sexual Satisfaction Scale (GRSSS)” (Cronbach Alpha Reliability Coefficient 0.91) and “Marital Accordance Scale (MAS)” (Cronbach Alpha Reliability Coefficient 0.90) have been utilized. The questionnaire form consists of two groups. In the first chapter there are sociodemographic features of the women and their spouses, and in the second chapter there are questions about the factors, which may affect the sexual satisfaction of women. The GRSSS and MAS have been conducted with the questionnaire form between the dates of 15th February and 10th June 2014. The result data from the survey have been evaluated via the computer program “SPSS for Windows 18” (Statistical Package for Social Sciences) with the calculations of average, standard deviation, percentage numbers with minimum and maximum values, t-test and OnewayAnova Test. Results: The average points of GRSSS, which determines the sexual satisfaction of women, the age of women, education level, working situation, age of marriage, the education lever of their spouses, the sharing of feelings with her spouse, the resemblance in their living habits and values, the mutual decision on significant matters with her spouse, the number of children they have the number of pregnancy, the planned pregnancy, the frequency of sexual intercourse, the decision on coitus interruptus, the reasons of coitus interruptus preference, undesired pregnancy situations and the difference of sexual satisfactions between spouses have been found statistically important (p<0.05). Conclusions: As a result, it is stated that the sexual satisfaction of women is low (The average point of GRSSS is 83.07). Additionally it is found out that women with less sexual satisfaction have also less marital accordance(r = 0.514, p = 0.001).In accordance with the results of the research, the recommendations regarding the improvement of women’s sexual satisfaction and their marital harmony have been developed and propounded.
Souria Aissaoui
Aix-Marseille University, France
Title: Genetic mutation risk calculation in Lynch syndrome inheritance: Evaluating the utility of the PREMM1,2,6 Model in a French population.
Biography:
AISSAOUI has completed her Ph.D. from Aix-Marseille University.She is the first genetic counselor graduated bas Doctor in France. She is the referral genetic cousellor and doctor in cancer genetic counselling in Lyon.
Abstract:
Lynch syndrome is due to germline mutations in mismatch repair genes: MLH1, MSH2, MSH6 and PMS2. It is characterized by an increased risk of various cancers including colorectal and endometrial cancers. Early diagnosis of these patients allows appropriate surveillance that improves survival rate. Differentiating between patients who should undergo genetic testing and those for whom it is not necessary is difficult despite various established criteria (Amsterdam and Bethesda). Often, health professionals meet in Multidisciplinary Committees (MDC) to discuss patients cases regarding Lynch syndrome. In this study, we wanted to know if the prediction model PREMM1,2,6 could be used to enhance MDC decision-making and whether it could be included in our own routine practice and in those of other French teams. In our cohort, using the prediction model would have avoided 12% of analyzes decided by the MDC, and would have detected all patients with a mutation in MMR genes. In addition, the study suggested that the decision-making criteria used by the professionals in our MDC was too restrictive since we should have performed 20% more genetic testing according to the model. These results suggest that PREMM1,2,6 should really be used in current practice to validate the decisions of the MDC before genetic testing in complex cases. It should also be coupled with immunohistochemistry as major quality criteria for genetic testing as previously reported in the literature.
Semra Ay
Celal Bayar University, Turkey
Title: “Nurses’ Beliefs and Practices Related to Breast Cancer and Breast Self-Examination determined with the Health Belief Modelâ€
Biography:
Semra A Y has completed her PhD at University Nursing School Public Health Department (2008). She is as a Lecturer at Celal Bayar University Vocational School of Health Services. Her research on public health, health promotion, woman-child and health-related have been published.
Abstract:
Introduction: Breast cancer, the most widespread type of cancer in women, is an important public health problem not only in Turkey but also in the world. The purpose of this study is to determine factors affecting nurses’ beliefs and practices related to breast cancer and breast self-examination with the Health Belief Model. Materials and Methods: This study designed as across-sectional study was conducted using a questionnaire which was based on the Champion's Health Belief Model Scale (CHBMS). Results: Of the nurses who participated in the research, 52.1% were in the 30-39 age group (n = 493). The scores obtained from the susceptibility subscale of CHBMS were higher among the nurses in the 50-59 age group, married, having previous pregnancies, having meat-/fat-based diet, having first-degree relatives with breast cancer history and performing BSE regularly. In this study, the scores obtained from the perceived benefits of performing BSE and self-efficacy subscales increased as the nurses’ education levels increased, which can be explained by the fact that the nurses developed preventive and health promoting behaviors during their university and graduate education. The nurses with higher income levels, nonsmokers, having regular breast ultrasonography and performing BSE regularly obtained higher mean scores from the perceived benefits of BSE subscale.
Biography:
Simge Zeyneloglu, MSN, PhD, is an associated professor at Gaziantep University Faculty of Health Sciences Department of Nursing, Gaziantep, and an associated professor at the University of Gaziantep.
Abstract:
Objective: The research has been conducted fractionally with the aim of the determination the factors, which affect the sexual satisfaction of women, whose spouses prefer the coitus interruptus as the family planning method and the effects of sexual satisfaction on their marital accordance. Methods: Out of 1422 women applying to the Binevler Family Health Center, the number of the women, who have been evaluated as the specimen, is calculated by 302 women. As the data collecting method with the questionnaire form, “Gloombook-Rust Sexual Satisfaction Scale (GRSSS)” (Cronbach Alpha Reliability Coefficient 0.91) and “Marital Accordance Scale (MAS)” (Cronbach Alpha Reliability Coefficient 0.90) have been utilized. The questionnaire form consists of two groups. In the first chapter there are socio-demographic features of the women and their spouses, and in the second chapter there are questions about the factors, which may affect the sexual satisfaction of women. The GRSSS and MAS have been conducted with the questionnaire form between the dates of 15th February and 10th June 2014. The result data from the survey have been evaluated via the computer program “SPSS for Windows 18” (Statistical Package for Social Sciences) with the calculations of average, standard deviation, percentage numbers with minimum and maximum values, t-test and OnewayAnova Test. Results: The average points of GRSSS, which determines the sexual satisfaction of women, the age of women, education level, working situation, age of marriage, the education lever of their spouses, the sharing of feelings with her spouse, the resemblance in their living habits and values, the mutual decision on significant matters with her spouse, the number of children they have, the number of pregnancy, the planned pregnancy, the frequency of sexual intercourse, the decision on coitus interruptus, the reasons of coitus interruptus preference, undesired pregnancy situations and the difference of sexual satisfactions between spouses have been found statistically important (p<0.05). Conclusions: As a result, it is stated that the sexual satisfaction of women is low (The average point of GRSSS is 83.07). Additionally it is found out that women with less sexual satisfaction have also less marital accordance(r = 0.514, p = 0.001).In accordance with the results of the research, the recommendations regarding the improvement of women’s sexual satisfaction and their marital harmony have been developed and propounded.
Saber Boutayeb
National institute of oncology, Morocco
Title: The evaluation of nurse activity in the day hospital of the national institute of oncology
Biography:
Bouhajjari Nacer has completed his license nursing from the Institute of Nursing of Rabat. He works as Chief Nurse Officer in the Department of medical oncology of National Institute of Oncology (Rabat, Morocco). He also had training in the Institut Curie in Paris and participated in several international congresses such as Eurocancer and AMFROM.
Abstract:
Objective: The purpose of this study was to investigate the activity of nurses in oncology in the context of the national institute of oncology in Morocco. Material & Methods: This study is retrospective and was conducted between 01/01/2013 and 31/12/2013. The primary end point was the evaluation of nurse activity in the day hospital of oncology. The data was collected from our software win hospital. Results: A total of 2600 new patients were treated in our institute in 2013 and 16500 cycles of chemotherapy were administered by our team of nurses which include 12 nurses. Breast cancer represented the first pathology in women (33%) whereas the lung cancer was the most common in men (21%). The short protocols represented 49%, the intermediate 28% and the long protocols 23%.The number of patients per seat of chemotherapy was 2.64/day. Discussion: These results will be discussed during the congress.
- Pediatric Nursing
Session Introduction
Chin-Wen Chen
Antai Tian-Sheng Memorial Hospital, Taiwan
Title: Symptoms, Adherence and the Quality of Life in Patients Receiving Stent Implantation
Biography:
Chih-Wen Chen has obtained her Master degree in Nursing from College of Nursing at National Taipei University of Nursing and Health Sciences. She is the nurse practitioner leader at AnTai medical care cooperation Antai Tian-Sheng Memorial Hospital.
Abstract:
The purpose of this study was to explore cardiac-related symptoms, adherence, and the quality of life in 100 patients who undergone first cardiac stenting implantation at both baseline and six months post cardiac stenting implantation. Convenience sampling was utilized and recruited patients from a regional teaching hospital in south of Taiwan. This study was a follow-up design. Data collecting instrument included Cardiac symptoms scale, compliance scale, and 12-item Short-Form Health Survey. Results included: (1) following cardiac stent implementation, patients experienced mainly chest pain, shortness of breath, and fatigue frequently; patients’ chest pain had significantly improved (p<0.05) at six months post cardiac stenting implantation; (2) dyspnea, fatigue, palpitations, and poor appetite were significantly related to the physical component of the quality of life (p <.05) at six months. In addition, fatigue, depression, difficulty sleeping, anxiety, stress, and poor appetite were negatively related to the mental component of the quality of life (p<0.05); (3) cardiac-related symptoms interfere, friends/family support, severity of symptoms, adherence, family history could predict the quality of life.
Ayfer Ekim
Istanbul Bilgi University, Turkey
Title: Transition from hospital to home in the management of childhood chronic diseases
Biography:
Ayfer Ekim has completed her PhD at Marmara University Department of Pediatric Nursing. She is an Assistant Professor at Department of Nursing, Istanbul Bilgi University, Istanbul, Turkey. Her primary interests are childhood chronic diseases, pain management and nursing theory and models. She still works as a writer, researcher and educator in the field of pediatric nursing.
Abstract:
The nurse is a member of health care team who provides primary care to the patients and their families, experiencing transition period. According to ANA “The nurse is responsible and accountable for individual nursing practice and determines the appropriate of tasks consistent with the nurse’s obligation to provide optimum patient care”. The nurse is also responsible for the planning of transition of health care responsibilities to patients and their families. For childhood chronic diseases, planning and implementing interventions for the child and his family on transition from hospital to home should be part of nursing process. The child and his family should be acquired certain skills in order to manage the transition process appropriately. Also, some nursing interventions should be planned to help them overcome that complicated transition period. Those interventions are: a) Assessment of the child and his family, b) Determination of the sources to make the transition easier, c) Gaining disease management skills Recently, it has been shown that one-sided, education based strategies are not adequate for childhood chronic diseases so that multiple-sided interventions have gained importance in transition from hospital to home. The positive outcomes of multiple interventions such as phone-counselling, home visits have been promoted for management of childhood chronic diseases. The role of nurses in those multiple interventions should be motivating the patients and families to participate in disease management process and helping them about problems which might possibly be occurred during home visits and phone counselling.
Jihea Choi
Yonsei University, South Korea
Title: Health-related Quality of Life of Adolescent with Idiopathic Scoliosis in Korea
Biography:
Jihea Choi has completed her Doctoral program in Yonsei University College of Nursing and currently works as Assistant Professor for Department of Nursing, Wonju College of Medicine, Yonsei University in Korea. Hyejung Lee has completed her Doctoral program in the University of Illinois at Chicago and currently works as Assistant Professor for College of Nursing, Yonsei University in Korea.
Abstract:
Purpose: To identify health related quality of life (HRQoL) by severity of disease in adolescents with idiopathic scoliosis (AIS) in Korea. Methods: One hundred ten adolescents with medically diagnosed idiopathic scoliosis completed the SRS-22r questionnaire. Data were collected over 1 year and analyzed using descriptive statistics, Kruskal-Wallis and Mann-Whitney U tests and ANOVA. Results: For 52 adolescents (47.3%) was mild AIS in its severity and for 46 (41.8%) moderate AIS, and for 12(10.9%) severe. Half of the participants were first diagnosed with AIS during the early adolescent period (10~12years) (48.2%) and the rest during the middle adolescent period (13~15years) (44.5%). The mean SRS-22r score for the participants was 4.21 out of 5. The median scores were not significantly different among groups. However, the median score for self-image/appearance of the severe AIS group which was a sub-domain of SRS-22r was significantly lower than those of the other groups. Conclusions: HRQoL was not significantly influenced by severity of disease, except self-image/appearance in Korean with AIS. To enhance HRQoL of AIS, strategies should be developed tailored to individuals based on severity of disease. As the highest prevalence rate was detected during early adolescence early screening examination is warranted for AIS.
Tcheunkeu Ebanga Nadine
Catholic Health Organization, Cameroon
Title: Good nurse –patient relationship a route to eradicating loss to follow up inpatients on art; case study Cameroon meme
Biography:
Tcheunkeu Ebanga Nadine is a bachelor degree holder in nursing. I work with the catholic health organization Cameroon as a nurse a post I have held for 5 years. Nadine is born of Tabe Susan and Tcheunkeu Thomas. She is a proud mother of 3 kids and very pationate about her research.
Abstract:
Background: Initiating HIV+ patients on ART require lifelong commitment to treatment. Nurses are the first health care workers these patients meet in the hospital and thus failure for nurses to established a cordial relationship with these clients can lead to refusal to start treatment and more especially stopping treatment by patients who have started stopping treatment at anytime leads to increase morbidity and mortality. Rational: This study sought to bring out the importance of good nurse patient relationship in reducing loss to follow-up and enhancing patient’s adherence to treatment. Methodology: Four hospitals were use for this study which included to public hospitals and two religious hospitals. Data was then collected for 12months comparing the rate of adherence of patients on ART in mission hospitals and that of patients on public hospitals. The study lasted for 12 months and a total of 450 naïve clients were enrolled on ART from all 4 hospitals at the start of the study. Results: Out of these 450 patients seen at the start of the studies 300 (66.7%) was coming from the public hospitals while 150 (33.3%) was the number of patients seen by the mission hospital. A six months survey was conducted to assess how many of the patients in both sites were still coming regularly for their follow up and refills. It was notices that in the public hospitals they still had 200 that is 66.7 % patients coming regularly while the mission sites still had 110 (73.3%) faithful clients. The last survey was done after 12months on thesame sites considering the same number that is 450 clients which were enrolled in the study at the very beginning. The was no doubt that the public hospitals still had more lost to follow-up cases than the mission as they had lost another 30 clients leaving them with 120 hence their total loss to follow up clients were 180 .patients while the mission settings had lost more 15 clients so their total loss to follow-up clients came up to 55 patients. Conclusion: The public hospitals loss more patients on ART than the mission hospitals they loss up to 180 patients making it a percentage loss of 60 while the mission just recorded a percentage loss of 36.7. It was so because the mission nurses played a key role as they are more welcoming and caring due to their strong religious affiliation that makes them more empathetic and comforting than their counterparts of the public settings. Nurses have a vital role in making patients stick to ARTs.
Simge Zeyneloglu
Gaziantep University, Turkey
Title: Determınatıon of attachment levels of women to ınfants ın prenatal perıod
Biography:
Simge Zeyneloglu, MSN, PhD, is an Associated Professor at Gaziantep University Faculty of Health Sciences Department of Nursing, Gaziantep, and an Associated Professor at the University of Gaziantep.
Abstract:
Objective: The research has been conducted fractionally with the aim of the determination the factors, which affect the attachment levels of women to infants in prenatal period. Methods: The population of the study consists of 89.138 women that applied to Follow-Pregnant Clinic of Necip Fazil Maternity and Child Health Hospital in KahramanmaraÅŸ, and the sample is composed of 382 women. As a data collection tool, the questionnaire "Prenatal Attachment Inventory" (Cronbachalpha reliability coefficient of 0.84) is used. The questionnaire consists of two parts. In the first part; socio-demographic characteristics of pregnant women and their spouses; these condpart includes questions for fertility characteristics depend on what affects the attachment to babies of the women. Questionnaire and Prenatal Attachment Inventory were implemented between 20 January and 16 May 2014. The data obtained from this study is assessed by using SPSS 18 for Windows (Statistical Package for Social Sciences), and mean, standard deviation, minimum and maximum values with percentage numbers, t-test area lsoassessed using SPSS. Results: It is determined that there is statistically significant difference between means of Prenatal Attachment Inventory scores determining the attachment levels of pregnant women to infants and education level, number of pregnancies, number of living children, planned pregnancy, previously experienced pregnancy loss, healthy the emotions experienced when pregnancy learned, positive health behavior changes during pregnancy, tobacco and alcohol consumption habits (p <0.05). According to the results of there gression analysis; a significant relationship was found that is between the level of prenatal attachment with positive changes in health behaviors during pregnancy and the pregnancy is planned (p <0.05). Conclusions: As a result, attachment levels of pregnant women to their infants in prenatal periodare respectively high (calculated Prenatal Attachment Inventory mean score is 59.31). Suggestions for increasing the attachment levels of pregnant women to their infants in prenatal period connecting the study results have also been developed.
Amnon Raviv
Dream Doctors medical clowns, Israel
Title: The Dream Doctors: Medical Clowning as part of the medical teamwork in medical procedures in pediatric units
Biography:
Amnon Ravi is a PhD candidate, and he teaches in the Ben Gurion University School of medicine, Israel. He works as a medical clown in hospitals for more than a decade as part of the Dream Doctors Project. He has published many articles about medical clowning, his book 'Medical Clowning: The healing performance' is going to be published next year by the University of Chicago Press.
Abstract:
The Dream Doctors' medical clowns are now involved in many and varied medical procedures carried out on children. Studies have shown how their work contributes greatly to reducing anxieties among child patients (and their families) prior to and during medical procedures. The medical clown thus assists the medical treatment team in carrying out the procedures more easily and comfortably. The cooperation within the triad of physician-nurse-medical clown during medical procedures is a new team model for many nurses, physicians, and even for the medical clowns. This presentation characterizes this unique collaboration and proposes ways to improve cooperation between the multidisciplinary team to benefit the wellbeing of child patients. In recent years, medical clowning has entered a new era. No longer confined to the rooms on the ward, the medical clown has now become part of the multidisciplinary healthcare team, and is involved in an increasing number of various medical procedures carried out on children. Recent studies have shown the significant impact of the medical clown's presence in assisting to reduce children's anxieties during medical procedures, thus helping the nurse and physician to carry out the procedure more easily. The need arises to create a new model of the multidisciplinary healthcare team's work to include the triad of nurse-physician-medical clown, based on the understanding of what is required to carry out the procedure, clear job definitions, and agreement on the most desirable type of verbal and nonverbal communication among the team members.
- Nursing Education and Research
Session Introduction
Marianne Hattar-Pollara
California State University, USA
Title: Global Guidelines for Culturally Competent Nursing Practice
Biography:
Marianne Hattar-Pollara is Chair of the Nursing Programs at California State University Northridge. Her research and publications examine cross cultural and global women’s health issues and international nursing. She holds a Doctoral degree from the University of California, San Francisco, a Master’s degree in psychiatric nursing from the University of California, Los Angeles. She is a Fellow of the American Academy of Nursing (FAAN)) and past Chair of the Expert Panel of the Global Nursing and Health of the American Academy of Nursing. She is a Fulbright scholar and currently serves on national and international Board of Trustees.
Abstract:
Globalization and migration of populations including professional nurses has heightened the challenge of caring for patients and groups with different life experiences from those of health providers. It has also heightened the awareness of health and care inequities in populations within a society and across different countries. A task force comprised of members of the American Academy of Nursing and the Transcultural Nursing Society was formed for the purpose of proposing standards of nursing practice that promotes culturally congruent/competent and equitable care for diverse populations worldwide. The first draft was published in the Journal of Transcultural Nursing and subsequently presented at the 24th quadrennial ICN Congress. Nurses around the globe were invited to comment on the standards’ applicability, relevance, and completeness using the worldwide web. This presentation incorporates the input and feedback form nurses across the globe and discusses the process of global implementation of the guidelines.
Cara Gallegos
Boise State University, USA
Title: The Case for an Undergraduate Nursing Research Class
Biography:
Cara Gallegos received her PhD from University of New Mexico where her dissertation focused on stress and coping in parents of critically ill children in the Pediatric Intensive Care Unit (PICU). She also holds an MSN– Advanced practice in Pediatrics specializing in Pediatric Cardiology, and a BScN from the University of Alberta in Canada. She is currently an Assistant Professor at Boise State University in Idaho. She teaches research, leadership, and evaluation in the undergraduate, graduate, and doctoral programs. Her areas of scholarship are parental stress and coping of critically ill infants and children, evidence-based practice, and educational research.
Abstract:
The Institute of Medicine's (IOM, 2001) report set in motion sweeping quality initiatives for reform of the healthcare system. The nursing profession responded by including core competencies of utilizing research and incorporating evidence-based practice in undergraduate baccalaureate nursing education. Yet, nursing students often struggle to recognize the importance of EBP/research and faculty struggle to engage and facilitate learning. The purpose of this pilot study was to determine whether an undergraduate nursing research class increases students’ confidence in their ability to understand evidence based practice and research. Secondly, student learning was compared to see if there was a difference between content delivered in a traditional course management format or in a game-based format. One class received content through Blackboard and the other in 3D Game lab. Participants in this study filled out a short demographic questionnaire, pre/post Nursing Research Self-Efficacy Scale (NURSES), and a pre/post EBP survey (EBP-COQ). Preliminary results demonstrate that student confidence did increase from pre to post test score. Students using 3D Game lab struggled to access course information; however, preliminary results show that there were no significant differences in assignment scores. There is evidence to show that an undergraduate research course gives nursing students the skills to more effectively utilize research findings in their practice thus meeting the competencies set forth in the Essentials of Baccalaureate Education for Professional Nursing Practice (2008) and the call by the IOM (2001). Gaming is useful in K-12 education; however, the benefits may not translate to an undergraduate research class.
Christine Roland-Levy
University of Reims, France
Title: Nurses Social Representation of their Profession and Professional Practice
Biography:
Christine Roland-Lévy has completed her PhD at la Sorbonne University in 1980. She then held a position of Senior Lecturer at the University of Paris Descartes for 20 years and now holds a tenured position as a full Professor of Social Psychology at the University of Reims Champagne-Ardenne, France. She published 50 papers in international academic journals. She is currently the President of the Consortium of French Psychology Associations, A-CIPA, and the President-Elect of the International Association of Applied Psychology (IAAP).
Abstract:
This presentation is about a comparative study between France and Gabon. It approaches what female nurses share of their profession and their professional practices. This study, with nurses (French: 103; Gabonese: 140), is based on the theory of social representations, with a free association task around the target term “nurse”. It is completed by questions concerning the valence of each of the spontaneously produced terms. The participants were also asked to fill in 20 five point Likert-type scales measuring the type of behavior and relationship with their patients; this instrument covers two dimensions: the behavior focuses more on the relation with patients or more on the technical “taking care of”, with the same number of positive items and negative ones for each of the two dimensions. The data shows that both French and Gabonese nurses share in the center of the social representation of their profession the idea of “taking care of” (French: 70%; Gabonese 63.6%). But, what differs is that, for almost half of the Gabonese nurses, it is completed by the importance of “welcoming” (46.4%) the patients, whereas for the French nurses it is followed by “listening” (29%), “empathy” and “relation” (for 23% of the nurses). Concerning their practice with patients, the Gabonese nurses obtain a higher score in favor of the relational dimension (Gabonese relational score=3.88; French relational score=2.74). These results will be discussed in terms of the social representations of the profession in connection to their professional practices.
Lars Brorson Fich
Aalborg University, Denmark
Title: Can architectural space be healing ? A virtual stress experiment
Biography:
Lars Brorson Fich is educated as an architect, graduating from the School of Architecture Aarhus, Denmark, in 1984. He has worked for 24 years in an architectural office part wise specialized in hospital design, the last 10 years as a partner, before turning to research at the Department of Architecture and Media Technology at Aalborg University, Denmark, in 2008. He completed his PhD entitled “Towards a Neuroaffective Approach to Healing Architecture” in 2014. His research is concentrated on how architectural space might influence health, concentrating on how space might influence physiological stress reactions.
Abstract:
In this study, we wanted to examine whether it was thinkable, that architectural space could influence healing processes. Part of the field of Evidence Based Design, which has gained increasing influence within hospital design, has been to promote patient healing by the manipulation of environmental factors. Perhaps the most well-known study is still the study by Ulrich (1984) in which it is shown, that views to nature versus a view to another hospital block can reduce the length of hospitalization. However, these studies all have some environmental factor as the variable, and the space e.g. identical wards as the constant. As a consequence, the results offer no or very little information for hospital designers about the design of the space itself. Our aim was therefor to make space the variable and furthermore, we wanted to have physiological measures to help understanding the underlying physiological mechanisms. Our focus was on stress because of the long established connection between stress and the immune system. As a stressor, we used a virtual version of the so called Trier Social Stress Test, a much used laboratory test for research in psychosocial stress. Because a virtual version was used, the architecture of the space could be systematically varied. Our result shows, that the design of the space influenced the release of cortisol, and thereby potentially has an immune regulatory effect.
Vivien Xi WU
National University of Singapore, Singapore
Title: Perspectives of Hospital Nurse Educators, Clinicians and Managers on Clinical Assessment for Undergraduate Nursing Students
Biography:
Vivien Xi Wu is a Lecturer at Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, and National University of Singapore. She is a central committee member in the Centre for Healthcare Simulation at National University of Singapore. She has facilitated simulation-pedagogical workshops for local and international medical and nursing clinicians. Currently, she works on the collaborative project that focuses on the Holistic Clinical Assessment for nursing students at Transition to Practice with two tertiary hospitals in Singapore. She also works on project to enhance the knowledge and awareness of chronic conditions for working population.
Abstract:
Achieving clinical competency in the final year of nursing education is a key element in the development of professional standards and patient safety. Assessment of clinical competence requires explicitly defined standards meeting national standards of the nursing profession. It is a complex process due to the diverse nature of nursing practice. Assessment of clinical competence is a crucial task for nursing educators and administrators. The study aims to explore the perceptions of hospital nurse educators, clinicians and managers on clinical assessment tool and practices for undergraduate nursing students. An exploratory qualitative approach using focus group discussion was adopted. A purposive sample of 14 hospital nurse educators, clinicians and managers from two tertiary hospitals in a cosmopolitan city was recruited to participate in two focus group discussions. Five themes emerged from data analysis: need for a valid and reliable clinical assessment tool, preceptors’ efforts and techniques in reflection and feedback, challenges and support system for preceptors, challenges and support system for students, and support system for hospital nurse educators, clinicians and managers. The study has raised the awareness of the professional and educational issues in relation to clinical assessment. Workload, time, availability of resources, adequate preparation of preceptors were deemed to influence quality of students’ clinical learning and assessment. Nursing leaderships in hospitals and educational institutions have a joint responsibility to shape the clinical environment to ensure a holistic clinical learning and assessment for students. Involvement of all stakeholders in the development of a valid and reliable assessment tool is essential.
Biography:
Melek Sahin, graduated from Hacettepe University School of Nursing in 2004. Then she earned her Master’s degree in 2013 from the Institute of Health Science, Fundamentals of Nursing Department, Ege University. She is a Doctorate student in the same institute since 2014. She has been working as a nurse at Ministry of Health Hospital since 2002.
Abstract:
This research was carried out as a single-blind, randomized controlled study. The aim of study to investigate the effect of Buzzy application on pain and injection satisfaction in adult patients who received intramuscular (IM) injection. Research was carried out in Physical Therapy Service of 75th Year Milas State Hospital between November 2012 and January 2013. A total of 65 patients (experimental group=33, control group=32) for whom IM diclofenac sodium injection was ordered and who met the selection criteria comprised the sample of research. Data of the research were collected by using “Patient Information Form”, “Visual Analog Scale” and “Injection Satisfaction Scale”. Intramuscular injections were applied to ventrogluteal site. Each patient received only one injection. Randomization technique was used when forming groups according to age and gender. In experimental group of patients 30 seconds before and during process Buzzy® was used. Standard injection was applied to control group. Pain and satisfaction scores were measured by the nurse. In evaluation of data chi-square, Mann-Whitney U and Kruskal Wallis tests were used. According to findings of research; the post-injection pain scores and injection satisfaction scores of patients in experimental group were found higher than in control group (p<0,05). Consequently, it was determined that Buzzy® device was an effective method in decreasing injection pain and in improving post injection satisfaction in adult patients received IM injection.
Hana Kadhom
Royal Collage of Surgeon in Ireland, Kingdom of Bahrain
Title: Safe patient-handling techniques: does the theory match the practice?
Biography:
Hana Kadhom has 33 years experience in nursing as a practitioner and educator. Her experience has been across the Middle East and UK. She obtained her PhD from the University of Hull (UK) and she has Postgraduate diplomas from British universities (in nursing education and Health & Safety). She is currently a senior Lecturer and Director of a Nursing Degree Bridging program in Bahrain and Saudi Aramco.
Abstract:
Back pain is prevalent among nurses. Specific manual handling tasks are associated with an increased risk of lower back pain. Employing mechanised methods of patient transfer reduces this risk. The early introduction of student nurses to safe patient transfer techniques is now part and parcel of preparation for clinical practice. Manual handling courses incorporate theoretical knowledge combined with practical applications within the clinical-skills classroom. To assess the appropriateness of a manual handling course, delivered to student nurses, we surveyed participants regarding their real life patient-handling experiences in relation to aspects of manual handling theory. The study included 230 student nurses who had started their clinical attachments as part of a University degree program. A 25-item questionnaire was used; designed to document the participants’ experiences in clinics and canvass their opinions on why unsafe transfers were sometimes practiced. 205 completed questionnaires were returned (response rate 89%). Back pain was reported by 115 (61%) participants during their clinical training. 47% of respondents had been asked to move patients without use of equipment during their practicum period. 44% claimed no equipment was available in the clinics they attended and 18% claimed patient transfer equipment was ‘never’ used in their experience. Out of those that reported this lack of usage, 56% attributed this to the non-availability of equipment. Fewer than 4 out of 10 students reported their clinical experience to be a pain-free experience. Poorly equipped clinics may be a factor leading to a gap between classroom theory and clinical practice.
Fusun Terzioglu
Hacettepe University, Turkey
Title: Innovative Teaching Strategies: Examples from Practice-Hybrid Simulation to High Fidelity Simulation
Biography:
Fusun Terzioglu graduated in first place from Hacettepe University in 1989. She won the Ä°hsan Dogramacı Superior Merit Award and Student Science Incentive Award. She studied about counseling on assisted reproductive techniques at Liverpool Women’s Hospital Reproductive Medicine Unit in United Kingdom. In 2007, she worked on a project named “Development of Leadership Skills in Nursing Doctoral Students” at University of Michigan Faculty of Nursing. She worked as a Research Assistant at Hacettepe University School of Nursing in the Maternity and Women's Health Nursing Division from 1990 to 1997. She was promoted to Assistant Professor in 1998, Associate Professor in 2006 and Professor in 2012. She worked as a Co-Head of Nursing Department, Erasmus Department Coordinator, Head of Strategic Planning Group and board member of Hacettepe University Women’s Research and Implementation Center (HUWRICH) between 2009 and 2011. Her interest subjects are sexuality and reproductive health and management and leadership. She is member of national and international nurse’s organizations such as INDEN and Sigma Theta Tau. She has been working as a Director of Nursing Services at Hacettepe University Hospitals since September 2012 and Founding Dean of Faculty of Nursing between 2012- 2013.
Abstract:
Background: Nursing is a profession that theoretical and practical training need to be integrated. Different education strategies have been used to improve students’ psychomotor and communication skills such as simulation, standardized patients and part-task trainers. Students can examine all other parts of each other’s bodies during the learning process; the sensitive parts of the anatomy remain areas that are not routinely appropriate. Performing a clinical procedure required integration of the acquisition of a technical skill with effective communication skills. Purpose: Hybrid simulation allows students to practice complex skills and therapeutic communication simultaneously. Emergencies that require manual and verbal skills can be trained with ‘hybrid’ simulation. Increase realism and allow communication between team members and the patient. Method: We used to hybrid simulation in this study. Standardized patients provide feedback from the patient’s viewpoint, highlighting a perspective that is often overlooked in clinical skills teaching and assessment. Hybrid simulation has also taken the form of pairing simulators with other simulators. Results: This study indicated that nursing students’ satisfaction and confidence/competency were high after participating in hybrid simulation sessions. According to the study results, it is recommended to use hybrid simulation in nursing education as an innovative teaching strategy to develop students’ clinical competencies and confidence. Conclusion: The outcomes following hybrid simulation experiences are of an incredible benefit to nursing students and faculty. It allows students to practice skills and communication techniques simultaneously and gives them the multitasking experience that they would get on the clinical floor. It can increase the diversity and complexity of simulation activities that can be offered to students to cover complex scenarios and ensure patient safety, respect, and dignity during real-life encounters.
Bani issa
University of Sharjah, UAE
Title: Congruency between educators’ teaching beliefs and electronic health records as a teaching strategy
Biography:
Baniissa W has completed her PhD from University of Kansas Medical Center, USA and earned a Masters degree in Nursing from University of Windsor, Ontario, Canada. She is currently an Assistant Professor at University of Sharjah, UAE. She has published several publications in nursing education and diabetes care in reputed journals and has been serving as a reviewer of repute.
Abstract:
Background: Technology has changed healthcare institutions into automated settings with the potential to greatly enhance the quality of healthcare. Implementation of electronic health records (EHRs) to replace paper charting is one example of the influence of technology on healthcare worldwide. In the past decade nursing higher education has attempted to keep pace with technological changes by integrating EHRs into learning experiences. Little is known about educators' teaching beliefs and the use of EHRs as a teaching strategy. Aim: This study explores the composition of core teaching beliefs of nurse educators and their related teaching practices within the context of teaching with EHRs in the classroom. Methods: A collective case study and qualitative research approach was used to explore and describe teaching beliefs of seven nurse educators teaching with EHRs. Data collection included open-ended, audio-taped interviews and non-participant observation. Content analysis of transcribed interviews and observational field notes focused on identification of teaching belief themes and associated practices. Findings: Two contrasting collective case studies of teaching beliefs emerged. Constructivist beliefs were dominant, focused on experiential, student-centered, contextual and collaborative learning, and associated with expanded and a futuristic view of EHRs use. Objectivist beliefs focused on educators' control of the context of learning and were associated with a constrained, limited view of EHRs. Constructivist educators embrace technological change, an essential ingredient of educational reform. Conclusions: We encourage nurse educators to adopt a constructivist view to using technology in teaching in order to prepare nurses for a rapidly changing, technologically sophisticated practice.
Sevil Telli
Izmir University of Economics, Turkey
Title: Examination of nurses state anxiety and tendency to medical error in different working hours
Biography:
Telli Sevil was born in Izmir in 1983. Undergraduate education in 2004, Süleyman Demirel University School of Health and graduated in Burdur. Master's degree in 2013, Ege University Faculty of Nursing at the department of fundamentals of nursing has been completed. Between the years 2005-2013 she worked as a nurse in the ministry of health. 2014 – Still Izmir University of Economics, Health Services Vocational School Elderly Care Program has been working as a lecturer in Ä°zmir University Of Economics
Abstract:
Objective: This prospective, descriptive and cross sectional study research was implemented with the aim to compare the state anxiety and the tendency for nursing medical mistake during day working and night shift. Method: Research has been made in Aydin, Aydin Atatürk, KuÅŸadasi, Germencik, Söke State Hospital between 30 November 2012-30 May 2013 with 317 nurses. Data were collected by using “Individual Identification Form”, “Trait Anxiety Inventory” and “Nursing Medical Mistake Scale”. Results: Trait Anxiety Inventory” and “Nursing Medical Mistake Scale” were applied to the same nurses during both their day and night shift. It was determined that nurses were experienced state anxiety during day and night shift. Work units, anti depressant touse, and individuals who care for their children was effected the experienced state anxiety of nurses during day and night shift. It was determined that the error tendency was related to “The medication and Transfusion administration”, “Nosocomial infections” and “Patients monitoring and “Equipment Safety” of the most nurses during night shift according today shift. It was founded that the error tendency changed “Communication” of the nearly half of the nurses during night shift according today shift. Conclusion: There is difference between the medical error tendencies and state anxiety during day and night shift. State anxiety and the error tendencies are higher with in day shift.
Nihal Taskiran
Adnan Menderes University Soke School of Health, Turkey
Title: Investigation of Nursing Students Opinions Related to Their Pharmacology Knowledge Levels
Biography:
Nihal Taskiran first doctorated in 2014, department of Physiology at Afyon Kocatepe University Healthy Sciences Institute and now is an ongoing PhD student in Ege University of Turkey in Principles of nursing care. She worked a clinical nurse at the deparment of coronary intensive care at Afyon Kocatepe University Ahmet Necdet Sezer Practice and research hospital in 2006-2011. For four years, she is working as a Lecturer at Adnan Menderes University Soke School of Health.
Abstract:
This descriptive study was conducted to investigate nursing students' opinions related to their pharmacology knowledge levels. The study was conducted in February 2015 and March 2015, at Ege University Faculty of Nursing and Celal Bayar University Faculty of Health Sciences both of which are located in the Aegean region of Turkey. The study sample consisted of 173 final-year students who agreed to participate in the study. To conduct the study, written/verbal permissions/consents were obtained from the scientific ethics committee, institutions where the study was conducted and the students participating in the study. To collect the data, a questionnaire including items questioning the students’ sociodemographic characteristics and their opinions regarding their pharmacology knowledge levels was used. The data were analyzed using the SPSS for Windows 21.0, numbers, percentage distribution and the Chi-square test. Upon the completion of the study, the students' mean age was determined as 22.87±1.61. Of the students, 83.8% were female. While 70.5% were not satisfied with the length of the pharmacology course, 67.1% were dissatisfied with content of the pharmacology course. On the other hand, 56.6% considered the length of the drug administration course insufficient whereas 54.9% had the opinion that the content of the drug administration course was inadequate. Of the students, 12.7% considered their knowledge about drugs and drug applications as enough, 67.1% considered partly enough and 20.2% considered inadequate. While the topic about which the highest proportion of the students (52.6%) perceived their knowledge level as satisfactory was the “ways of administering medicine”, the topic about which the lowest proportion of the students (13.9%) perceived their knowledge level as satisfactory was the “drug-drug interaction”. The analysis revealed no difference between the students in both schools in terms of considering their pharmacology knowledge levels as adequate (p>0.05).
Prathana Langkarpint
Payap University, Thailand
Title: Human patient simulation: A global teaching method for global nursing education
Biography:
Prathnana Langkarpint has completed her PhD in Nursing Studies in 2005 from University of Hull, UK and Postdoctoral Research Fulbright Scholar from Valparaiso University, Indiana, USA in 2012. She is a former Dean of McCormick Faculty of Nursing and Assistant to the President for International Affairs. Currently she is Assistant Professor in Nursing at Payap University, Chiang Mai, Thailand.
Abstract:
The Human Patient Simulation (HPS) was originally developed in the 1960s to enhance the clinical skills in healthcare staff training. HPS is increasingly used in the USA, Europe, and throughout the world. This study aims to investigate nursing students’ perception, satisfaction, and self-confidence after using HPS. The two research instruments used were the Student Perception of Simulated Learning Experiences Student Feedback Form (SPSL) developed by the College of Nursing Valparaiso University and the Learner Satisfaction and Self-Confidence in Learning form (LSSL) developed by the National League for Nursing. The research project was given approval by the Valparaiso University Institutional Review Board. Data were collected at the Virtual Nursing Lab Center (VNLC) at College of Nursing Valparaiso University, USA in the fall semester 2011. Forty-three participants were voluntarily recruited. Two questionnaires were incomplete, so forty-one questionnaires were analyzed. Students reported their satisfaction on the use of HPS in terms of helpfulness, suitability, effectiveness, how motivating it was, the materials used and the way the instructor taught. It can be summarized that students have a high level of satisfaction with HPS and reported an increase in their confidence in clinical skills.
Adel F. Almutairi
King Abdullah International Research Center, Saudi Arabia
Title: Complexities of Cross-Cultural Interaction in a Multicultural Healthcare Environment: Toward a Promising Approach
Biography:
Adel Almutairi has completed his PhD from Queensland University of Technology in Australia, and Postdoctoral fellowship from University of British Columbia, School of Nursing in Canada. Almutairi is currently working as Associate Research Scientist at King Abdullah International Research Center- Saudi Arabia. Dr. Almutairi has published a number of papers in reputed international journals.
Abstract:
Constant change in the demographic profile of many societies around the globe caused by a wide range of factors, such as colonization, immigration, acculturation and the mobility of workforces, contributes to the creation of multicultural environments. Regardless of the degree of pre-existing cultural diversity, people from different cultures bring with them their own languages, values, beliefs, traditions, ethical and moral perspectives, and attitudes to illness, health and healthcare as well as their historical, political and economic circumstances. Such diversity can create difficulties for healthcare providers and patients alike due to the potential for cultural clashes, misunderstandings and discrimination, and individual power differences which eventually will impinge on the health and safety of all the parties involved. In this paper, I will argue that Almutairi’s model of critical cultural competence (CCC) is a promising approach that can address the complexities that arise from cross-cultural interactions in healthcare settings, which ultimately can improve the standard of healthcare for patients, families and the community as a whole. I will close by discussing how his approach can influence organizational policy, orientation programs and continuous professional development initiatives.
Biography:
Neesha is an experienced district nurse who has worked in the community for the last ten years. She continues to work in clinical practice, spending one evening a week working as a district nurse.Since qualifying as a registered nurse, Neesha has progressed as a district nurse and associate matron. Neesha joined Kingston & St George's with a focus on community care delivery and diabetes.Her professional interests lie in community nursing with a particular focus on district nursing theory and skills, as well as caseload and diabetes management.Externally, Neesha is a Queen's Nurse and external examiner at Brighton University.
Abstract:
The education sector faces major challenges in providing learning experiences so that newly qualified nurses feel adequately prepared to work in a community setting. With this in mind, HEIs need to develop more innovative ways to deliver the community nurse experience to student nurses. Simulation provides an opportunity for educators to evaluate student performance in an environment that models a complete patient encounter. As senior lecturers, two being district nurses and one experienced in ward simulation, we came together proactively to enrich student learning and develop a highly realistic community learning environment in a non-conventional manner. We used each other’s skills and knowledge to challenge thoughts, reinforce thinking, prevent task orientated care and promote the use of efficient and effective communication as well as autonomy. Both quantitative and qualitative data was collected. Various questions were asked using a Likert scale and the answers were analysed by a group of senior lecturers to identify possible solutions for issues raised. Most changes occurred on the second day however they slowly continued throughout the week. This can be evidenced in the analysis of evaluation which represents a higher proportion of students giving a more positive rating towards the end of the simulation week.
Evelyn Chilemba
University of Malawi, Malawi
Title: Educator perceptions of the Bsn programme at the university of Malawi
Biography:
Evelyn Chilemba completed her PhD from the University of Witwatersrand in Johannesburg, Republic of South Africa, in 2010. She is a senior Lecturer at the University of Malawi where she teaches medical-surgical nursing courses, ethics and human rights, and nursing education to both undergraduate and Master of Science degree students. She has published 10 research articles, contributed to four book chapters and has four international conference proceedings. She won a fellowship grant with an International Organization Sigma Theta Tau International in collaboration with International Doctoral Educational Network which she shall undertake at University of North Carolina at Chapel Hill.
Abstract:
Learning for optimal practice demands good teaching and is a dynamic curriculum requirement pertinent to the needs of the society. The stakeholders’ growing concerns and observations on the BSN programme at Kamuzu College of Nursing in Malawi formed foundational bases for exploring the educators’ perceptions on this programme. Educational level makes a difference on how graduate nurses’ practice, the study explored on how the nurse educators’ had perceived the BSN graduate education towards learning for practice. A two–phased, cross sectional, sequential explanatory mixed research design was deployed to investigate the educators’ perceptions on their graduate nurses’ educational processes. An analysis of quantitative data from phase one informed the construction of an interview guide that formed basis for the epistemological assumptions of the educators’ perceptions. Purposive intensity sampling strategy was utilized while observing the principle of saturation was deployed to recruit ten participants who were invited to participant during phase one. Content analysis approach, systematic classification process coding, themes and patterns identification was used to interpret text data. Trustworthiness ensured through strategies of prolonged observation, peer debriefing and member checking. Safety and rights of participants were observed and respected. The results had three sub-themes that emerged from the main theme of “educators’ perceptions”, these are lectures preferred, created student dependency and learner characteristics guide teaching. The educators were skeptical about learners’ reliance on lecture notes, saying that their practice resulted in poor learning empowerment and that the educators had preferred teaching methods that were not based on curriculum benchmarks.
- Emergency Nursing
Session Introduction
Shirley Strachan-Jackman
Canada
Title: Family Presence during Resuscitation: To Be or Not To Be
Biography:
Shirley Strachan-Jackman is a Nurse Practitioner at the Toronto Western Hospital, University Health Network in the department of Emergency Medicine. University Health Network is Canada’s largest research hospital and a major teaching hospital of the University of Toronto. Shirley obtained her Masters of Nursing and Nurse Practitioner designation from the University of Toronto and also holds a certification in Emergency Nursing. She is cross appointment to the University of Toronto and is very active with precepting nurse practitioner students from the University as well as York University and Ryerson University. Her interests lies in education, conference planning and is just getting her feet wet in research activity.
Abstract:
Family presence during resuscitation (FPDR) is an area that has gained increased attention over the past few decades. For years the question that is under debate is, “Should health care providers recommend family presence during resuscitation or should they recommend against it.” In North America, traditional paternalistic views have prevented the practice of the more family-centred approach of FPDR, where as in the UK 79% of emergency departments (EDs) allowed FPDR. Although FPDR has been accepted as best practice by the Emergency Nurses’ Association and the American Heart Association, fears concerning increased liability for the institution, and practitioner fears such as disruption of clinical activities and lack of space for the family and staff have prevented many institutions from offering the option to family members. Although incorporating family practice into resuscitation events can be challenging, our philosophy at Toronto Western Emergency is that families should be given the opportunity to be in the room in what may be the last minutes of their loved one’s life. Our belief is that FPDR will allow for a final goodbye by a spouse, sibling, adult child or parent who can’t fathom being separated at the moment of death. Thus our service provides a dedicated nurse to provide guidance, explanation and support to the family members who decide to remain in the room during a resuscitation event. As a new practice, we were interested in better understanding members’ experiences. This presentation will discuss the findings of our phenomenological study that was undertaken to describe the live experiences of families when given the choice to be present during cardiopulmonary resuscitation (CPR) in the emergency department setting. Six relatives or significant others elected to stay with their family member during the resuscitation, participated in a semi-structured personal interview within 3 months of the event. Findings will be discussed in light of practice, education and future research needs.
Katarzyna Matusiak
AGH University of Science and Technology, Poland
Title: Body temperature control and regulation-Educational mechanical model of blood flow regulation
Biography:
Katarzyna Matusiak has completed her PhD in 2009 at the AGH University of Science and Technology in Krakow. From the beginning, her work is specifically involved in the search for new methods of teaching. Her search activity focuses on issues related to the dosimetry and imaging techniques in medicine.
Abstract:
Maintaining body temperature within an optimum range, so called thermoregulation, is a complex process based on a number of mechanisms (e.g. sweat secretion, shivering and blood flow regulation). Visualization of selected control and regulation processes may be attractive way of teaching. The aim of the study was to design and construct a mechanical model of a body response to temperature changes. Presented device consists of elements used in home appliance (e.g. electrovalve, thermostat and pump) and generally reachable materials (e.g. tubes, plastic box, hydraulic tees, silicon, metal zip-ties, heater and electronic thermometer). All of them have been chosen, taking into account the criterion of analogues into the human body. Plastic box filled with water simulates human’s body because of the similar density. Thicker tube, situated on the bottom, correspond to the deep blood vessels whereas the thinner one joined above symbolize those surficial. Water circulation in the tubes is provided by the pump so as to simulate the work of the heart pumping blood into the vessels. Thermostat sensor represents thermoreceptors and thermostat on his own, sending an electrical impulse to the electrovalve, is a well representative of hypothalamus. Mechanism is quite simple-when water temperature reaches 38°C, sensor sends signal to the thermostat which is conjunct with the electrovalve. Then electrovalve opens and the water flow through the upper tube starts. This leads to heat exchange with environment and decrease of water temperature. When temperature falls to about 36°C, the electrovalve closes what stops water flow through smaller tube.
Sevil Olgun
Adnan Menderes University School of Health, Turkey
Title: Effect of Nursing Ethics Course on Ethical Decision Making Status of Students
Biography:
Sevil Olgan obtained a license of nurse from adnan menderes university school of health. She became a graduate in 2006 from celal bayer university of health sciences. In 2013 she completed her PhD from Ege university institute of health sciences. Her research interests include fundamentals of nursing.
Abstract:
Nursing ethics is a winning concept topicality parallel to bioethics. Nursing students to take courses in ethics training process, in terms of the creation of responsibility is important both very important in terms of raising awareness of the professional identity. In order to measure the status of ethical decision based on this research, students who take courses in ethics course was planned by the students. The research was done by Soke Adnan Menderes University Medical School studying in 90 nursing students. Data were collected using a data collection form and Ethical Dilemmas in Nursing Test contains the demographic characteristics of the students. Descriptive statistical methods to evaluate the data (number, percentage, mean, and standard deviation, median) were used. During the course the students ethical nursing education students, by the students who take the course of the ethical decision-making level is considered to be more advanced.
Oznur kavakli
Gulhane Military Medical Academy, Turkey
Title: The analysing of the hypertension reasons that are required admission to the emergency department
Biography:
Oznur Kavakli is a PhD student from Gülhane Military Medical Academy. She is a major nurse in Turkish Army. She is interested in emergency nursing and had an education for emergency nursing at University of North Carolina in 2013.
Abstract:
Hypertension is a chronic disease that will continue long life which requires change of nutritional behavior and life style. In this study, we aimed to investigate the hypertension reasons that are required for admission to the emergency department. Medical records of 53 patients who were admitted to the Emergency Department of a University Hospital for hypertension crisis in 2014 were reviewed, prospectively. The data collection form was developed according to literature findings and expert opinion. Most of the patients were women (64%), low education level (64%) and unemployed (80%). 18% of the patients were smokers. The rate of family history of hypertension was 70%. The rate of recurrent admission for hypertension crisis was 63%. The rate of determination of urgency was 60%. We found that 57% of the patients have used drugs regularly. Emotional stress (60%) and patients who had no diet (66%) were the most common reasons for admission. Only 7.5% of the patients have done regular exercise. In conclusion, we found that the most common reasons for admission to the emergency department were emotional stress and patients who had no diet. The patient should be educated for their life style and the control of hypertension before admission to the emergency department.
- Healthcare
Session Introduction
Merav Ben Natan
Stanford University, USA
Title: Israelis’ Perceived Motivation for Choosing a Nursing Career
Biography:
Merav Ben Natan completed her PhD at the Haifa University Faculty of Health Professions. She is the Director of the Pat Matthews Academic School of Nursing, at the Hillel Yaffe Medical Centerin Hadera, Israel, and an instructor at the Department of Nursing, Tel Aviv University. She is the Chairman of the Israel Nurse Association of Nursing Research and Editor of the Hebrew academic journal "Body of Knowledge". She has published more than 55 papers in reputed journals.
Abstract:
Recruitment problems are one of the main reasons for the shortage of nurses in Israel and elsewhere. The purpose of this study is to clarify factors affecting choice of ideal careers and nursing careers among the general population. A questionnaire constructed by McCabe, Nowak et al., (2005) was administered to 309 men and women aged 18-50. Data were analyzed by quantitative methods. Research findings indicate that 8% of respondents expressed interest in studying nursing. Significant differences were reported between the choice of ideal and nursing careers. Nursing careers were perceived as lacking interest, challenge, creativity, responsibility, varied wages, high status, comfortable conditions, versus ideal careers. A moderately positive correlation was identified between choice of a nursing career and intrinsic factors affecting this choice. People motivated by desire to help others rather than personal interest or challenges are predisposed to choose a nursing career. Finally, a negative correlation was identified between psychometric scores and choice of a nursing career. The study also identified a positive correlation between both the image of nursing as a profession and the availability of nursing jobs and the decision to choose a nursing career. This study may facilitate the development of nurse recruitment programs.
Vladimir Obolensky
Russian National Research Medical University, Head & Associate Professor. Russia
Title: No-air-plasma currents and ozone therapy in treatment of patients with diabetic foot syndrome
Biography:
V N Obolenskiy, PhD (2002) is the Head of the Septic Surgery Unit, City Clinical Hospital â„– 13, Moscow. He is also an Associate Professor of the Department of Surgery of the Russian National Research Medical University named after N.I. Pirogov, Moscow; correspondent member of the Russian Academy of Natural Sciences (RANS). He is a member of several professional societies, including EWMA, AO Trauma, participant EBJIS. He has published more than 40 articles in reputed journals and 8 tutorials. He has been serving as an Editorial Board Member of the journal "Wound Medicine" and "International Academic Journal of RANS".
Abstract:
Aim: To determine the effect of joint use of NO-air-plasma currents (APC) and ozone therapy (OT) on cellular elements and the level of bacteriological contamination of wounds occurring as a result of diabetic foot syndrome (DFS). Methods: A total of 160 patients suffering from purulo-necrotic feet wounds arising from DFS were selected. Patients’ average age was 63.9+9.7 years, with men slightly outnumbering women, 57.1 vs. 42.9% respectively. Predominant conditions neuro-ischemic form of DFS were >87%. The main group consisted of 57 (35.6%) patients that underwent corrective surgery on major vessels of lower limbs and treated daily with APC and OT. All procedures were carried out qualified nurse. The wound then was dressed with water-soluble ointment. The first control group consisted of 75 (46.9%) patients that did not undergo corrective surgery on major vessels of lower limbs; the second group consisted of 28 (17.5%) patients with corrective vascular measures. Treatment in these groups involved daily changes of wound dressings and application of water-soluble ointment. Results: Proliferation activity of fibroblastic cells, collagenogenesis and mitotic activity of epithelial cells in the main group exceeded the same indexes in the first control group more than two times and more than 1.5 times in the second control group. Microbiological contamination of wound in the main group on the 4-5 day declined down to 103-105 CFM/cm2, however in both control groups this score remained >105 for up to 12 days. Conclusion: Sequenced application of APC and OT in treatment of patients with DFS is characterized with pronounced bactericidal effect and boosts epithelialization process, making it two times faster.
Felip Burgos
Hospital Clinic Barcelona, Spain
Title: High Quality Spirometry across the Healthcare System
Biography:
Felip Burgos is a register nurse in the Respiratory Diagnostic Center in Hospital Clinic, University of Barcelona, Spain. He received a master’s degree in respiratory medicine and the PhD degree from University of Barcelona. During the last 30 years, he has been involved in Lung Function in several topics, specially related to reference values and standardization of lung function methodology. He was a Research Fellow at Harbor-UCLA (USA). He is a regular member of the ERS-ATS Pulmonary Function Standards Committee. He has published over 60 original manuscripts, editorials and reviews (36 internationals & 24 national) and 28 book chapters.
Abstract:
Extensive deployment of eHealth services is showing enormous potential to generate efficiencies in healthcare. In a previous research, we demonstrated enhanced quality of forced spirometry (FS) in Primary Care (PC). Recently, the Master Plan for Respiratory Diseases in Catalonia has consolidated further developments including different services supported by Information and Communication Technologies aiming at ensuring high quality spirometry (HQS) and interoperability at regional level, namely: i) generation of standards to transfer FS data (HL7-XML) across the system; ii) deployment of web-based support to PC and Community Pharmacists (CPh); and, iii) assessment of an algorithm for automatic Quality Control (QC) of the tests. We explored 1894 subjects from 15 PC and 1456 subjects from 100 CPh. The percentage of HQS in PC increased from 58% to 78% during a follow-up period. Similarly, the CPh study showed on average 70% HQS. Validation of the algorithm for automatic QC was carried out with 778 curves from 291 patients. The score produced by an expert professional and that automatically generated through the algorithm (Sensitivity 96%; Specificity 95%). We conclude that our results foster extensive adoption of strategies to facilitate interoperability of HQS tests at regional level facilitating information sharing across the system that reduce testing duplicities and generate healthcare efficiencies. Currently, the scheme is being generalized to other diagnostic/therapeutic procedures such as management of obstructive sleep apnoea. The study facilitates future strategies addressing early diagnosis, enhanced management and long-term follow-up of chronic respiratory patients.
Daniel Doherty
Christiana Care Health Systems, USA
Title: Vicarious Trauma: Beyond Burnout and Compassion Fatigue
Biography:
Daniel Doherty has been a Staff Development Specialist in the Emergency Department at a large teaching hospital for 14 years. He serves as adjunct faculty at a college in Delaware and as in service to over 100 nurses within Christiana Care Health System and Wilmington Delaware Police Department.
Abstract:
Healthcare providers are socially recognized and required by society to care and their job involves personal investment to fulfill their role. There are significant effects associated with the providing patient care; including burnout and compassion fatigue which we are all very familiar with. However, there is another less familiar yet more profound effect called vicarious trauma. Vicarious trauma is an internal transformation caused by repeated exposure to experiences in dealing with pain, suffering, and death daily. The result may be lingering intrusive images, avoidance behaviors, isolating physically, anxiety, detachment, and feelings of isolation. It is important to examine the challenge of separating work from one’s personal life. Organization’s suffer with higher absenteeism, changes in co-workers’ relationships, and possible outbreaks of aggressive behaviors among staff. Stress related to intense working environments and high patient acuity are some of the main reasons newer nurses leave the profession. Review of the literature, while showing the prevalence of burnout and compassion fatigue and vicarious trauma does not provide information on useful, effective interventions to prevent these complications of the healthcare work. Proactive coping is more future-oriented, with having in place general resources to overcome challenging experiences and allow the nurse to cope more effectively. The inservice will provide very specific strategies for health promotion behaviors and resiliency; how to put these very specific acquired insights into practice to decrease or minimize the effect of working with the sick, dying, and/or critically ill patients and families.
Su-Fen Cheng
National Taipei University of Nursing and Health Sciences, Taiwan
Title: Flipping the classroom to improve self-directed learning for RN to BSN students in Taiwan
Biography:
Su-Fen Cheng has completed her PhD from University of Colorado Health Sciences Center in the USA. She is an Associate Professor of National Taipei University of Nursing and Health Sciences and teaches pediatric nursing. Her research focus is on nursing education and pediatric nursing. She has published more than 20 papers in reputed journals and has been serving as an Editorial Board Member of repute.
Abstract:
Background: Literature found that Taiwanese nursing students had lower self-directed learning ability. O'Neil, Kelly and Bone (2012) maintained that flipped classroom teaching strategy (FCTS) can effectively improve self-directed learning for nursing students. Aims: The purposes of this study were (1) to design a pediatric nursing course for nursing students in a RN-BSN program using FCTS and (2) to examine the effectiveness of the FCTS. Methods: A series of teaching strategies for flipped classroom in a pediatric nursing course of a RN-BSN program were developed. A total of 46 students were asked to complete a survey of learning satisfaction in the pediatric nursing course. Ten students who experienced flipped classroom were invited to interview in order to understand their learning experiences. Results: Forty three students (93.5%) completed the survey. They all agreed that the flipped classroom teaching strategies were effective in improving their abilities of clinical reasoning and problem-solving. Forty students (93%) reported that the scenario based learning augmented their self-directed learning; 88% students had increased their interesting in pediatric nursing and motivated learning. The qualitative data revealed that flipped classroom can (1) bridge the knowledge-practice gap; (2) improve the self-directed learning ability and expand the depth and breadth of learning and (3) increase reflective learning, community skills and team competency using strategy of collaboration. Conclusion: The FCTS improves self-directed learning and increase student satisfaction toward learning. The findings of this study may serve as a guide for faculty to develop and implement flipped classroom model in nursing education.
Gabriela Rique
Federal University of Paraiba, Brazil
Title: Relationship between chronotype and quality of sleep in medical students at the Federal University of Paraiba, Brazil
Biography:
Gabriela Lemos Negri Rique completed her medicine course in 2012 at the Federal University of Paraíba, Brazil. Currently she is a psychiatry resident physician at Famene (Faculdade de Medicina Nova Esperança).
Abstract:
The aim of this study was to identify chronotypes of medical students at the Federal University of Paraíba (UFPB) and its relationship to quality of sleep, daytime sleepiness, age, sex and season of birth. The sample consisted of 221 students, assessed by four questionnaires: Demographic questionnaire, Morningness–Eveningness Questionnaire (MEQ), Pittsburgh Sleep Quality lndex (PSQI) and Epworth Sleepiness Scale (ESS). There was a statistically significant difference between groups with respect to chronotypes and PSQI score (po0.0005), but not with excessive daytime sleepiness. A significant negative correlation was found between the scores of MEQ and PSQI (rho¼ 0.3, po0.0005), demonstrating that the greater the eveningness, the worse the sleep quality. It was observed that 51.6% of students were classified as indifferent chronotype, 61.5% had poor quality of sleep, while 42.1% had excessive daytime sleepiness. Sex and season at birth did not differ between chronotypes. These findings demonstrate that the evening chronotype was associated with poor quality of sleep in medical students, but not with increased daytime sleepiness, with potential impairment to their academic performance and quality of life.
Thurayya Eid
King Abdulaziz University, Saudi Arabia
Title: Patients’ and nurses’ differences in postoperative pain scores in Saudi Arabia
Biography:
Thurayya Eid has completed her PhD from the University of Melbourne. She is the Director of Nursing Clinical Practice and Research Unit at King Abdulaziz University hospital since 2012. Her research interests are in decision-making, pain management and communication. She has undertaken various clinical positions, published in reputed journals and served as reviewer for abstracts of medical decision-making conferences and manuscripts for various journals.
Abstract:
Introduction: More than 50% of hospitalized patients experienced moderate to severe pain following surgery. Patients’ self-reporting of pain is considered the most reliable form of pain assessment. While past research has shown nurses often underestimate or overestimate patients’ pain score, there has been a lack of work in this area conducted in Saudi Arabia. Aim: To determine nurses’ judgments about patients’ postoperative pain intensities. Method: The study was conducted in surgical wards at a tertiary teaching hospital in Saudi Arabia. A 10 cm Visual Analogue Scale was used to rate the patient’s pain on two occasions: at 4 hours pre-observation and 4 hours post-observation. Data were analyzed using Bland-Altman measurements of agreement. Results: Participants were 137 nurse-patients pairs; adult patients had undergone various surgical procedures. Nurses’ first language was different from the patients, and nurses tended to not be Arabic-speaking. At pre- and post-observation, the mean differences were 2.05 cm (SD=2.0, SE=0.17) and 1.96 cm (SD=2.41, SE=0.2) consequently; indicated a significant disagreement between patients’ and nurses’ ratings of patients’ post-operative pain. More than 85.0% patients experienced from mild to severe post-operative pain. Nurses’ judgment about assessing patients’ postoperative pain often involved the use of simple questioning. Communication difficulties between Arabic speaking patients and non-Arabic speaking nurses were prominent. Conclusion: Communication problem need to be addressed for accurately determining patients’ pain intensity following surgery in Saudi Arabia.
Marisa Krairiksh
Khon Kaen University, Thailand
Title: Implementation of Nursing Service Strategies Supporting ASEAN Economic Community in the Year 2015 of Nursing Organizations in Thailand
Biography:
Marisa Krairiksh has completed her Ph.D. at Frances Payne Bolton School of Nursing, Case Western Reserve University, USA. She is working at Nursing Administration Department, Faculty of Nursing, Khon Kaen University, Thailand as an Associate Professor. The subjects teaching in Master Program of Nursing Administration are nursing leadership, nursing management, nursing human resource management, nursing project management, and practicum in nursing management. Her research papers focused on nursing leadership which were published in Thai journals and were presented in international conferences.
Abstract:
This descriptive research aimed to study the implementation of nursing service strategies to support nursing during changes in the ASEAN Economic Community (AEC) in 2015 of nursing organizations in hospitals being under The Ministry of Public Health, Thailand. Five hundred and eighteen nursing directors, who were working in hospitals in north, central, northeast, and south part of Thailand, responded to a questionnaire developed by the researchers. The questionnaire was comprised of five dimensions based on the Nursing Service Strategies Supporting the ASEAN Economic Community (AEC) Year 2013-2015 which were 1) Establishment of understandings about the AEC to nursing personnel; 2) Competency development of nursing personnel supporting nursing changes in the AEC; 3) Development of manpower management system; 4) Development of emergency and disaster nursing system and emerging and re-emerging diseases nursing system; and 5) Elevation of nursing care quality. The reliability of the questionnaire tested by using the data derived from the nursing directors of hospitals in northeastern part was 0.97. Frequency, percentage, mean and standard deviation were used for data analysis. The finding underlined that nursing organizations in north, central, northeast, and south part of Thailand were implementing the strategies of competency development of nursing personnel supporting nursing changes in the AEC, development of manpower management system, development of emergency and disaster nursing system and emerging and reemerging diseases nursing system, and elevation of nursing care quality in moderate levels (mean=2.11 to 2.82). While, the implementation of the establishment of understandings about the AEC to nursing personnel strategy was in low levels (mean=1.68 to 1.74).
Hwey-Fang Liang
Chang Gung University of Science and Technology, Taiwan
Title: Equipping nursing students for cultural care
Biography:
Hwey-Fang Liang has completed her PhD from Duquesne University School of Nursing in USA. She is an Associate Professor in the Department of Nursing in Chang Gung University of Science and Technology in Taiwan. She has published more than 40 papers in reputed journals with English and Chinese.
Abstract:
Insufficient cultural care perception may obstruct student nurses to provide care for patients and families in clinical practice. The purpose of this study was to establish a culture care embedded in a nursing course and to explore its effectiveness as related to student nurses’ culture care perception. This study employed a one-group pre- and post-quasi-experimental research design and used proposed sampling to recruit nursing students in a university. A total of 150 nursing students took an 18-week, totally 36 hours, cultural care competence embedded in a Child and Adolescent Nursing course, which including variety teaching strategies including lectures, team based learning (TBL) and workshop discussions. Cultural care perception questionnaires with a 5-point Likert-type scale administered before and after the course to evaluate the effectiveness of the culture care perception. Results showed that the average post-course score (28.13±3.11) was significantly higher than the pre-course score (24.22±2.18) in cultural care knowledge, the average post-course score (26.05±2.36) was significantly higher than the pre-course score (24.14±3.12) in cultural care action, and the average post-course score (86.14±6.27) was significantly higher than the pre-course score (80.36±3.12) in cultural care perception. There was significant improvement noted after the intervention (p<0.01). Results of the study showed that a thorough nursing education program improve nursing students’ culture care knowledge, action, and perception. The research outcomes support the value of cultural care competence embedded in the nursing course programs, incorporating a multidisciplinary teaching strategies to help nursing students perceive adequate culture care for patients in clinical practice.
Nieves Cedenilla
Universidad de Castilla- La Mancha, Spain
Title: News strategies for the promotion and health care for the empowerment of citizenship: ´Health Ambassadors´Network´ and creating´ health apps´.
Biography:
Nieves Cedenilla is degree in clinical psychology and is preparing for the defense of doctoral thesis at the UCLM. She works as an Associate Professor at the University, in the area of PETRA, and she´s technique innovative projects and teaching in Red Ebersalud, a company that currently holds awards for its innovations as Bancaja young entrepreneurs, or innovation by Center for Minimally Invasive Surgery Jesus Usón. Julián O Salgado is diploma in nursing, mental health specialist. Currently he is working on mental health team Cáceres. He´s teacher in Red Ebersalud, and school Health sciences Extremadura, and community manager´s Red Ebersalud innovative health services.
Abstract:
One of the major emerging global challenges is the promotion and health care with reasonable efficiency, and sustainability of the actions initiated. It is time to promote new working methods, and move people the ability to know, the confidence and motivation to care. To "explore the possibilities to better health" propose boosting the community towards this goal shared work, through two strategies that have demonstrated good levels of efficiency to date: first, the formation of community volunteerism, a network Ambassadors of health, as essential to promote the empowerment of care, process tool by which people strengthen their skills, confidence, vision and leadership, to promote positive change in their communities and the realities in which they live. On the other hand, the development of new applications, both for health professionals that are enabling not only access to more patients but also to help nurses to assess, diagnose, trained and informed