Day 1 :
- 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.
- 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.