15^th Euro Nursing & Medicare Summit October 17-19, 2016 Rome, Italy

Biography:

Kathleen Lamaute EdD, FNP-BC, NEA-BC, CNE, MA, MS, RN is a Professor of Nursing at Molloy College Barbara Hagan School of Nursing in Rockville Centre, New York. She has given numerous national and international presentations Dr. Lamaute has designed, developed and implemented numerous courses offered within the college curriculum: These courses include: Family nurse practitioner program- all courses, Genetics and Genomics: Implications for Nursing Practice, Leadership focus on global issues, Vulnerable Populations, Nursing Focus on the Post Katrina Environment: Homelessness and Humanism, Leadership and Management.

She is past Chairperson American Nurses Association Individual Member Division. She is the President of the Board of Directors Rota Care- a free clinic for the uninsured in Uniondale New York.

She is an active researcher currently working on nutritional and agricultural community empowerment programs in Haiti.

Abstract:

There are many reports on the state of malnutrition in Haiti. Exacerbated by the 2010 earthquake, conditions such as poverty, lack of access to food, clean water and medical care are threatening many Haitians, particularly children. Haiti does not have enough food. It relies heavily on imported food. Extreme poverty prevents many Haitians from adequate nutritional intake. Experience in the development and implementation of a ready-to-use-therapeutic food program for malnourished children age 6 months to 5 years in a small medical clinic in Carrefour made it evident that this intervention was not sustainable due to the cost of supplying Medika Mamba. In addition, the program did not address all of the village people suffering from malnutrition. Pregnant women are of particular concern due to the increase in caloric needs. The ongoing nutrition problem prompted the investigator to seek a sustainable project that would empower the village population to create an agricultural project that would improve nutrition in the area.

PURPOSE: The purpose of this study was to empower the village population to create an agricultural project that would improve nutrition in Carrefour, Haiti. RESEARCH DESIGN: Community based collaborative action research was the framework for this project. Initial phase involving inquiry and inviting participation was completed. Ongoing transcultural issues related to this project are explored.

SAMPLE: Purposive sampling was used.

METHODS: The data collection plan includes: minutes from nutrition committee meetings, participant observation, in depth individual interviews, focus group interviews.

ANALYSIS: The findings of this study are not generalizeable beyond the population of the study. Exploration of the development, implementation, monitoring and evaluation of a sustainable agricultural and food distribution program in Carrefour will be presented. Transcultural issues will be addressed.

Biography:

Dr. Mitchell is a professor at the University of Pittsburgh School of Nursing. Dr. Mitchell is currently the Project Director (PI) on two HRSA-funded grants designed to teach Screening, Brief Intervention, and Referral to Treatment (SBIRT) to Emergency Department Registered Nurses (EDRN) and Interprofessional Groups of Anesthesia Students (InGAS). She is also funded by SAMHSA to integrate SBIRT training into the Nurse Practitioner curriculum, addressing substance use across the lifespan. Lastly, she is working with the CDC on two projects to incorporate Alcohol Screening and Brief Intervention (Alcohol SBI) into nursing practice with the ultimate goal of preventing Fetal Alcohol Spectrum Disorders (FASD).

Abstract:

Background Worldwide, over 3 million deaths result from harmful use of alcohol. Alcohol, tobacco, and other drug use and misuse are a public health problem resulting in high healthcare and societal costs. This presentation will review the implementation of screening, brief intervention, and referral to treatment (SBIRT) across multiple groups of students and settings. These include: an undergraduate nursing school curricula, five emergency departments, and within two advanced practice graduate nursing school curricula. Results of multiple measures including improvements in knowledge, skills, and attitudes will be presented. Methods A mixed-method approach was used to measure the effects of training and curriculum infusion of SBIRT into three nursing educational settings: undergraduate, professional continuing education, and advanced practice. Pre-to-post attitude surveys of nurses and nursing students towards working with individuals with alcohol or other drug problems were measured as well as knowledge post training. Results SBIRT training and education positively influenced participants attitudes towards working with individuals with alcohol or drug problems. SBIRT training and education had the most pronounced significant effect on indicators of Role Security, including role adequacy and role legitimacy (p<.05) across all types of settings. Effects on indicators of Therapeutic Commitment, including motivation and role support, varied depending upon setting. Knowledge surveys indicated a significant increase in post-training knowledge of SBIRT across all settings (p<.05). Conclusions SBIRT training and education infused into multiple settings has positive effects on nurses’ role adequacy, legitimacy, and work satisfaction. These results have policy implications, suggesting that training and educating nurses in an evidenced-based practice such as SBIRT can increase their role adequacy for providing care to individuals with alcohol and other drug use problems.

Biography:

Dr. Debra Parker received her Doctor of Nursing Practice from Indiana Wesleyan University in the USA after working as a Nurse educator for 6 years and working as a critical care registered nurse for 34 years in management and at the bedside. She is happily married to Phil and they have 5 children and 15 grandchildren. Debra loves spending time alone with God, praying and reading her Bible and she loves spending time with her family. Her hobbies include: traveling, walking on a sandy beach and/or watching classic movies.

Abstract:

Retention of classroom learning is foundational to clinical reasoning and adequate practice for student nurses particularly when confronted with critical clinical situations such as acute stroke. Simulation has been successful in developing clinical reasoning, however little is known if it helps retention of key classroom material This cross-sectional interventional project examined the use of simulation to improve knowledge retention in junior-level BSN students of classroom material about stroke. The intervention group was exposed to a simulation scenario along with usual classroom lecture and reading. Retention of classroom material was assessed in intervention and control groups by pretest and repeated post-test at one and six weeks. 141 participants were enrolled from a gerontology course taught over fall and spring semesters. Mean delayed post-test scores of the intervention group (n=76, m=15.64, SD 2.62) were significantly higher than the control group (n=65,m =14.35,SD 2.35), (t(139) =-.3054, p=.003), with a moderate effect size Cohen's d= .52, indicating the simulation experience increased retention of classroom didactic material. Sample demographics revealed the older the student, the higher the delayed post-test mean score (rho=.220, p=.009), traditional students had lower mean scores overall than Transition to Nursing (TTN) students (r = -.193, p = .022). There was a significant difference (p<.05) between delayed mean post-test scores between traditional (n=110) and TTN students (n=31), however due to inequality in numbers this must be interpreted with caution. Use of simulation increased retention of classroom learning in BSN students.

Biography:

Dr Joy Penman holds bachelor and master's degrees in Nursing and Pharmacy. She completed her doctoral studies in palliative care. Joy teaches at the School of Nursing and Midwifery, Whyalla Campus. She has over thirty years teaching experience locally and abroad and many years nursing experience in various health care facilities. Joy has extensive experience in research and community engagement as well. In recognition of her contributions, she has been a recipient of various teaching, research and community service awards. Joy has earned internal and external research funding for various collaborative projects. She is well published in peer reviewed and non-peer reviewed journals, conferences and books.

Abstract:

The recruitment and retention of qualified mental health nurses is a concern with an aging mental health workforce in Australia. It is a challenge because mental health nursing is not a popular career path for most nurses entering the workforce. Mental health nursing is one of the least desirable career options. It is important to determine the factors that may divert or attract students/nurses to mental health nursing. The aims of the study are to determine the factors that motivate nurses in rural and regional South Australia to pursue mental health nursing, and to identify the strategies that might entice students/nurses to pursue mental health nursing as a professional career. A descriptive qualitative study design with semi-structured interviews was used. Ethics approval was obtained from the university and the Country Health. Key individuals were approached in various hospitals and community health centres to distribute information letters and promote the study. Fifteen (15) face to face interviews were conducted, transcripts transcribed verbatim, and content analysis undertaken. The majority of the interviewees were in the 50-year age range. Thirteen (13) were females and two (2) were males. The majority had varied nursing backgrounds before going into mental health nursing. The factors that motivated the participants to pursue mental health nursing were complex, multifactorial and may be categorised as intrinsic and/or extrinsic. The strategies that might entice students/nurses to pursue mental health nursing were many, but the most popular suggestion was the provision of high quality meaningful clinical placements in mental health.

Biography:

Professor Kirkhorn completed her PhD at the age of 25 years from Gonzaga University in Spokane, Washington, USA. She has also participated in postdoctoral studies in statistics at University of Michigan-Ann Arbor and at University of North Carolina Chapel Hill for the study of Chronic Illness. She is Professor and Chair of Nursing at Indiana University-Purdue University Fort Wayne. She has co-edited six books on Pathophysiology and she has written many papers regarding chronic illness, ethics, and healthcare in reputed journals throughout the USA.

Abstract:

We often think first of scientific innovations, such as those in the fields of telehealth and telemedicine, however, innovations within the humanities and social sciences also speak to the heart of nursing practice. At Indiana University-Purdue University Fort Wayne (IPFW), baccalaureate nursing students engage in a week-long domestic intercultural immersion with the Lac du Flambeau Band of Lake Superior Chippewa—a federally recognized Ojibwa Native American tribe with an Indian Tribal Settlement in the Wisconsin Northwoods. Development of the experience is facilitated using social media and networking. A private FB group page for Lac du Flambeau Planning Purposes enables coordination of the many details involved in organizing the immersion such as bus/van transportation across three states, forms for confidentiality and HIPAA, and other essential details. Funding is provided by the Nursing Department and Student Government. During the clinical immersive experience, students engage with tribal members, perform a community assessment in partnership with the Native Health Clinic, and they work and serve side by side elders and younger members of the community. Students provide evidence of their ability to assess a community using classic and contemporary community health nursing literature. They work on projects that are of interest to the Tribe, and return home with a greater appreciation of some of the challenges and opportunities for Native Americans residing on a reservation. At the conclusion of the immersion, students de-brief with their professors and on the nine (9) hour bus trip home, share insights about American Indians and Indigenous People worldwide.

Biography:

Author: Dr Ali M AlShehri, Chairman, Community and Environmental Health and Associate Professor at King Saud bin Abdulaziz University for Health Science. Well known national figure in public health, primary care, medical education and healthcare management in KSA. She has more than 50 publications in peer reviewed scientific journals and many international presentations.

Abstract:

Nursing education in Kingdom of Saudi Arabia (KSA) dates back to 1958 when a diploma program offered in collaboration between Ministry of Health (MoH) and World Health Organization (WHO). Since then, however, major transitions and challenges took place that require careful attention to learn from the past, reflect on the present and plan for the future. This paper explains major challenges in nursing education and practice in KSA and presents a developmental model that may be helpful in facing these challenges.

Biography:

Venise Bryan has completed a Master of Science in Nursing Education from the University of the West Indies in 2011. Currently she is pursuing a PhD in Educational Leadership at the University of Calgary. She has been a faculty member at the University of the West Indies School of Nursing and at the University of Calgary. Her area of interest is in nursing education with special interest in interpersonal relations from a teaching and learning context and authentic leadership. She is involved in mission groups that take healthcare to people living in various countries in Africa and the Caribbean. She is passionate about nursing and her students, as she aims to improve the product of nursing and nursing education.

Abstract:

This session discusses a theory that has at its core “the self”, namely, authentic leadership. Authentic leadership draws upon positive psychological capacities and ethical climates to bring about greater self- awareness and self-development through balanced processing of information and relational transparency on the part of leaders working with followers (Rego, Sousa, Marques, & Cunha, 2012). An authentic leader is described as optimistic, confident, hopeful, strong, ethical, futuristic, goal oriented, aware of core beliefs and values, and are loyal to them exhibiting them in all interactions possible and at every level of the organization (Algera, & Lips-Wiersma, 2012). Leadership in caring professions have been guided by several theories that focus on the behaviour and attributes of the leader, but the person (self) has been ignored. Authentic leadership addresses this great deficiency and promotes self-awareness and self-development. Nursing like many professions of care is relational focus, as such, practicing authentic leadership assists in knowing oneself, and the leader is mindful of others as they help them to know their self and personally develop. Applying authentic leadership in nursing improves nurses’ wellbeing, job satisfaction, and learning. Authentic leadership has far reaching implications for recruitment, retention and effective organizational financial performance

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:

In recent years one of Bahrain hospitalhas experienced an acute shortage of qualified nurses. This shortage has been attributed to work shift duties combined with family commitments. This situation has placed issues of recruitment and retention high on the political agenda. The dwindling workforce has led to tensions and stresses within the system. We therefore attempted to measure the levels of work satisfaction among female nurses with different shift duties using a self-administered questionnaire. A quantitative cross-sectional descriptive study survey was performed using scalerelated to satisfaction with irregular working hours. A total of 235 questionnaires were distributed to selected female nurses working in the inpatient unit and outpatient clinics. This was carried out in the second largest hospital at the kingdom of Bahrain. 227 completely answered questionnaires were returned completed with a 96.6 response rate. Our findings revealed that the nurses had neutral satisfaction level, which increases with the age. The overall satisfaction level mean was (3.29). We concluded that the function of the nursing department in hospitals was challenging both physically and spiritually. Hospitalmanagementmust endeavor to assess the nurses' shift work and create job incentives to raise nurse's morale materially and decently as well as to sustain them in the nursing profession.

Biography:

Susette Brynard is currently a lecturer in Education Management at the University Free State, South Africa. Previously she was Head of the Department Natural Sciences, Bloemfontein College of Education. She was born in South Africa and graduated at the University Free State to receive a B. Sc.-degree. While lecturing Biology at an Education College she commenced her studies at the University of the Free State, where she received the B Ed (honors) and M Ed Degrees Cum Laude and then her Ph.D. She received numerous awards during her studies and published two papers on the Education and development of Down syndrome learners. She has been involved in creating opportunities for Down syndrome children and provided support for parents and families with Down syndrome children for many years. She is doing ground-breaking work on the role of parents in the education of Down syndrome learners.

Abstract:

The aim of the paper is to illustrate the important role that parents can play in the education of learners with Down syndrome (DS). A literature review was done to obtain background information on the concept DS and on the history and possibilities of education for learners with DS, as well as on the role of the parent in the education of learners with DS. A qualitative case study, focusing on the narrative approach was implemented to illustrate the management of the educational opportunities and thus, the self-fulfillment of all learners with DS. The educational history of an academically successful girl with DS was followed in order to establish what lay behind her success. From the findings it can be deduced that parents and educators should collaborate to enhance the educational opportunities of learners with DS. The contribution this paper makes is to convey to educators and parents the important role they can play in the advancement of the education of learners with DS, as a possible way to give these learners a better chance to live a meaningful life. The assumption is that if learners with DS receive optimal stimulation and encouragement from their parents and teachers in collaboration with one another, from an early age, their educational skills and self-fulfillment will benefit to a large extent. This will improve their opportunities to become valued human beings.

Biography:

Dr. MacDonald completed a Master’s degree in Nursing at the University of Toronto, Canada and a PhD at the University of Manchester in the UK. Currently she is a Professor in the Faculty of Nursing at the University of New Brunswick (Canada). Dr. MacDonald’s doctoral work examined respite for parents who were caring for children who required complex care. This paper comes from that work. Dr. MacDonald has three children of her own.

Abstract:

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. Using grounded theory, the researcher recruited and interviewed 40 English speaking women who had a period of time away from work due to depression. These women were interviewed using a conversational approach that encouraged them to tell their story. The interviews were audio recorded, transcribed verbatim and entered into N Vivo. Line by line coding led to the development of categories and themes that described the women’s experiences. Women revealed that they were stigmatized by their co-workers and bosses but at the same time they stigmatized themselves. The women also 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:

Ms. Yael Moshe-Eilon is a registered nurse (RN), is active in promoting nursing standards at Rambam Health Care Campus since 1992. Ms. Eilon first began working in the Spencer School of Nursing and subsequently became one of the founders of the Department of Nursing at Haifa University. Over the years served as a lecturer there on a variety of nursing courses and concurrently worked in the Rambam Health Care Campus in different positions, including coordinator of nursing research. Now she is the hospital Internal auditor.

Abstract:

Nursing role stress effects wellbeing, health and increases burnout. It may impact quality and safety of patient care, organizational outcomes, and overall care costs. Reliable and valid stress measurement scales tailored for specific nursing roles are inadequate. Based on Lazarus' relational theoretical framework of stress, we developed a reliable and valid Israeli tool for measuring actual work place stress as perceived by charge nurses (CN)—the Charge Nurse Stress Questionnaire (CNSQ). Four stress factors were identified and a shortened version was translated into English and validated. A descriptive methodological study was conducted in Israel, Ohio, and Thailand (n=2,616 CNs). Mean stress level of the total sample was moderate. Significant stress level differences were noted: Thai CNs scored the highest and Israeli CNs the lowest stress levels. All stress perceptions were similar (all countries) with "responsibility burden" and "lack of resources" being the most stressful. Thai CNs differed from Israelis and Americans in their perception of stressful situations. Demographic, professional, and cultural differences partially explain these findings. A mathematical model is offered to predict stress levels of CNs in each country. Educational programs should be mandatory for nurses prior to taking on the CN role, which specifically relate to CN role stress, taking into consideration demographic and professional needs and cultural variations. Ongoing training would help CNs develop leadership abilities and cope with role stress. Future research should use the CNSQ in different cross-cultural settings. Further comparative studies and new tools are needed to evaluate stress perceptions of nurses in other roles.

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:

Breast cancer is a major health burden in Bahrain. Breast self-examination is one of the screening techniques which aid the early detection of abnormalities. Bahrain has a paucity of educational programs related to screening for breast cancer in schools. Nursing students, and in turn, nursing professionals have a pivotal role and a unique responsibility to protect themselves and the public through information. We performed a study which explored the knowledge level and the attitudes that influence the compliance with recommended practices for breast self-examination, among student nurses. This was a cross-sectional quantitative descriptive study. A total of 348 undergraduate nursing students at a School of Nursing and Midwifery in Bahrain were selected randomly and surveyed using a questionnaire. Our findings showed a positive attitude and a moderate level of knowledge regarding breast self-examination. However, 61.2% of participants did not performing breast self-examination. The main motivating reason for students to carry out regular examination was to become more aware of their breasts (28.7%). The main reason for not performing breast self-examination was because participants had not experienced any symptoms (36.2%). A significant relationship was found between the knowledge score and the attitude (P < 0.05). There was a significant difference in the mean knowledge score between their age, year of study, and sex. There was also, a significant relationship between sex and attitudes. This highlights the need for breast self-examination awareness and the implementation of educational training programs. Improved awareness should improve performance of professional nurses in their role as educators within the community.

Biography:

A D John completed BA from Harvard University and MD from New York Medical College. He has done his Internal Medical Residency from Metro West Medical Center; Framingham, MA and Anesthesia and Critical Care Residency from Johns Hopkins Hospital; Baltimore, MD. He has done Cardiac Anesthesia subspecialty in Johns Hopkins Hospital; Baltimore, MD and Cardiac Anesthesiology Fellowship from Massachusetts General Hospital; Boston, MA. He is an instructor at Harvard Medical School; Boston, MA and also at Johns Hopkins School; Baltimore, MD. He is an Assistant Professor of Anesthesiology and Critical Care Medicine at Johns Hopkins University School of Medicine; Baltimore, MD. He served as a Coeditor with Sancho Rodrigues-Villar for Protocols in Critical Care (in Press) and as an Editor for Anesthesia: Essential Clinical Updates for Provider (in Press)

Abstract:

The Post Anesthesia Care Unit (PACU) is a key element in ensuring a successful operative experience. Recovery from surgery is dependent on a transition from the intensive focus of the operating room to safe care in the hospital ward or home after surgery. The key area of transition is the Post Anesthetic Care Unit. It is in the PACU that the patient ‘awakens’ from anesthesia. Respiratory function has to be maintained and stable vials signs have to be assured. In addition, pain issues as well as postoperative nausea have to be addressed. In an effort to facilitate throughput, each type of surgery is establishing protocols to aid in rapid recovery, minimize pain, increase ambulation, and decrease hospital stay. What are the keys to ensuring patient safety in the PACU?

Biography:

Dr Stephen McNally is a registered nurse and has extensive experience as an academic and is the Director of the Undergraduate Nursing Program at Western Sydney University). Awarded a PhD in 2007, his thesis was titledTriage Education: From Experience toPractice Standards

Abstract:

Apart from anecdotal experiences, little is known about the qualities required from unit coordinator’s to effectively lead and manage a large teaching team within a Bachelor of Nursing course. Much of the research literature related to leadership in university education tends to benon- discipline specific. This is probably because it focuses on senior and not on lower end management levels. Historically, nurse academics have developed the leadership and management skills inherent in the unit coordination role "on the job". Ad hoc skill development is unreliable and inefficient and may have been responsible for the many anecdotal experiences where poor team leadership and management skills have been exhibited by unit coordinators. Peer evaluation is a valuable resource that has been used as a strategy to inform academics about their teaching practices. However, a recent search of the literature did not reveal studies specific to using peer evaluation as a strategy to develop teaching team leadership and management skills.Consequently, a peer evaluation survey was developed toencourage all members of the teaching team to provide their ideas; thoughts and opinions related to the unit leadership, management and the teaching and learning activities associated with the unit. This paper will present the results from thepeer evaluation survey that has provided unit coordinators with empirical evidence related to their leadership and management abilities, which can be used for their personal self-development. In addition, an overview of the workshop that was developed from the peer evaluation survey to enhance the leadership and management skills for unit coordinators will be presented.

Biography:

Seher Ünver,  has completed her PhD from Ä°stanbul University in 2013 and works as an Asst. Prof. at Surgical Nursing Department of Health Sciences Faculty at Trakya University. Her interest areas are pain, wound care, neurosurgery, nursing education and operating room nursing.

Abstract:

Students may have some difficulties about deciding for proper nursing diagnoses, writing down the etiological factors, goals, interventions and outcomes. This study aimed to investigate the effect of group-work on satisfaction and preparing nursing care plans among nursing students. Between June 29th – August 21st 2015, 28 voluntary nursing students took surgical nursing lesson during summer education term and completed their training at university hospital. This study followed two steps. Asurgery patient scenario was prepared by lecturers. NANDA-approved nursing diagnosis cards were given to all the students at the beginning of the study. On the first step, students were told to read this scenario carefully and prepare a nursing care plan individually in 45 minutes. After this step, meal break was given and students were randomly selected into 4 groups. On the second step, students were told to read this scenario carefully and prepare a nursing care plan with all together in 45 minutes. A form was given to students contained 20 items about if they had any difficulties during preparation of the nursing care plan and their satisfaction levels on VAS. Students stated that, understanding the case, writing down the etiology, interventions and outcomes, evaluating the laboratory data were easier with group-work than preparing individually. This difference between group-work and individual preparing satisfaction level was found significantly different (p<0.05). It is recommended to constitute group-works during clinical practicing about preparing the nursing care plans. This may provide 'synergy' and help students to share their knowledge and experiences each other.

Biography:

Cheryl Rockwell is a clinical assistant professor of nursing at Indiana University- Purdue University in Fort Wayne. She have been a full faculty member of the nursing department since 2010 and was a limited term lecturer 6 years prior. She currently teach courses in medical-surgical, critical care, and trauma nursing, and teach in the RN to BS online program. She started my career 27 years ago in the Surgical/Trauma/Neuro Intensive Care Unit and presently still work at the bedside as much as she can in this very unit. Her dedication and vows to always stay current in bedside practice has been a monumental gift and advantage in teaching nursing students and collaborating with fellow faculty members. She had certifications in CCRN and ATCN. She is a member of AACN and have held positions both locally and nationally. She is also an honored member of Sigma Theta Tau and hold a local chapter position.

Abstract:

As nurse educators, we are responsible for ensuring that nursing students have the ability to provide safe patient care to elicit the best outcomes for patients. A first and foremost endeavor that educators have to allow is giving students the theoretical knowledge and transferring that knowledge to the bedside through psychomotor skills. The teaching and development of psychomotor skills begins within in the first semester of the nursing program and this acquisition of knowledge, skills is progressively reiterated throughout the curricula. (Payne, C., Ziegler, M., Baughman, D., & Jones, J. 2015) There is aplethora of literature that addresses the stress experienced by nursing students and the impact this has on their learning. This stress accumulates and follows their clinical experience and these students shut down and are not fully confident in their psychomotor skills at the bedside. One of the important psychomotor skills needing more emphasis is the head to toe assessment and the capability to focus on that assessment. Students need to be proficient to understand the why’s of doing a systematic assessment and also when to intervene appropriately in a complex situation. There are many ways that assists curricula in this competency such as simulation, flipping the classroom so clinical is brought to the didactic classroom, realistic unfolding case scenarios, and of course the hospital based clinical environment itself. For students to become competent and confident, a trauma elective course objective was to build this skill in a different systematic approach and bring the competency to a higher level. To” assess” is to evaluate or estimate the nature, ability, or quality of.This trauma elective course provided the student with the necessary psychomotor systematic approach tools to conduct a head to toe assessment. Ultimately, this reinforced and verified their confidence and ability to do a quality assessment. Therefore, the end result would be safe patient interventions and care. The trauma course elective was a two day eight hour course that focused on the trauma population but specifically focused on how this population was assessed for injuries. The A-I mnemonic and the trauma nurse assessment is the systematic approach in the trauma patients and this course provided the psychomotor skill station to have the opportunity to practice. The students participated in learning the A-I approach to assessing the patient throughout these two days. In the course the students where continually reinforced and practiced their assessment skills through a variety of teaching strategies. The teaching strategies used in the trauma course were critiquing ER videos for proper systematic assessments, group simulations, group case scenarios where the students practiced assessments. The students engaged the different modes of learning because assessment is the key to patient safety and providing holistic care. Even though this systematic A-I approach in the assessment was geared towards the trauma population in the course, the outcome was for the students to be proficient and become intimate with their ability to understand a thorough assessment. Evaluations of the course provided positive feedback to students learning and adapting this assessment modelin their clinical setting. Further thoughts to embedding this type of assessment into other courses with could be relevant just for the mere fact of students needing continuous practice and students becoming comfortable at the bedside with these skills.

Biography:

Stacy is a Registered Nurse and full time academic at Western Sydney University (Australia). Her research interests include vulnerable children and families, child protection and foster care.

Abstract:

Infant Mental Health is based on the understanding that the infant period of development lays the foundation for psychological, emotional and social development. The concept of attachment is fundamental to infant mental health. Loosely defined, attachment refers to an affective relationship between the infant and a particular, preferred individual (usually the infant’s biological mother). It is within this primary attachment relationship that infants develop their ability to emotionally self-regulate and socially interact. There is consistent evidence that compromised or absent attachment in infancy leads to significant social, emotional and psychological sequale in adulthood. Infants who experience prenatal substance exposure often require specialised treatment and extended periods of hospitalisation. Current research and policy regarding infants with prenatal substance exposure focus on symptom relief and physiologic health. There is a scarcity of literature or reference to the importance of promoting the mental health of these infants. Social and health policy acknowledge the significance of the infant primary attachment relationship. However, in current clinical practice little is done to support or faciliate attachment for infants who are prenatally substance exposed. This is particularly problematic as often these infants have limited to no interaction with their mothers due to poor maternal health, maternal issues of addiction and/or the involvement of child protection services. This paper highlights the gaps in current policy, practice and research in relation to the mental health of infants who are prenatally substance exposed. Specifically, it highlights implications for nurses at the infant bedside and makes recommendation for future practice and research.

Biography:

Monica Kvande, RN, MSc, ICN, PhD student. Her research interest is in intensive care nsurse’ clinical competence. She is currently working on her PhD project, which investigates the experiences of intensive care nurses of becoming aware of changes in patient conditions and of how changes are communicated in the ICU team.

Abstract:

Objectives: The aim of this study was to explore the phenomenon of becoming aware of incipient changes in patient condition from the perspectives and experiences of intensive care nurses. Research Methodology: This study involved close observations of and in-depth interviews with 11 experienced intensive care nurses. The text was analyzed using a hermeneutic phenomenological method that was inspired by van Manen. Setting: This study was undertaken at two different high-technology intensive care units (ICUs) in Norwegian university hospitals. Results: Nurses formed images of individual patients composed of signs (of changes in a patient’s condition) that were sensory, measurable, and manifested as the mood of the nurse. The signs may be viewed as separate from and opposed to one another, but they are tightly interwoven and interact with one another. Care situations are powerful stimuli for the patient, and it is of great importance for nurses to become aware of signs in these situations. Nurses also ascribe that following the patient over time is important for becoming aware of signs. Conclusion: An awareness of incipient changes in patient clinical condition requires understanding the ever-changing dynamics of patient condition and dialogic images composed of signs. Care situations and the following of patients through shifts are essential in enabling nurses to detect these signs.

Biography:

Awatif Juma Al Bahar is a Medical Director, Senior Consultant, Obstetrics/Gynecology, Reproductive Endocrinology at the Dubai Gynecology & Fertility Centre, Dubai Health Authority. After completing her graduation, she has specialized in Obstetrics & Gynecology from the German Board, Koln and she has a Membership in Endocrine and Infertility from Academic University in Bonn. She has been selected in 2002 in Dubai Excellency Program. Her name is mentioned in the UAE Book of Special Personalities of All Fields (i.e., medicine, politics, art etc). She has been awarded by his highness Amro Mosa in 2004 as to be the Leader in Medicine and Social Services. She was also awarded as Hero of Health Care in 2012 by his highness ruler of Ajman. She has held multiple posts in various capacities in the OBS/GYN and she is currently the Director of the IVF Board of the Ministry of Health of UAE. She is the Chairperson of the Emirates Obstetrics/Gynecology & Fertility Forum (EOFF) and a regular speaker on UAE activities in mother and child health via media: Television, radio, ladies association, universities etc. She has many publications on polycystic ovaries and infertility

Abstract:

Reproductive health refers to the diseases, disorders and conditions that affect the functioning of the male and female reproductive systems during all stages of life. A woman’s reproductive system is a delicate and complex system in the body, it is important to take steps to protect it from infections and injury, and prevent problems – including some long-term health problems. Hormones are key to reproductive health in all aspects of a woman’s sexual life. They regulate menstruation, fertility and menopause. The WHO assessed in 2008 that "Reproductive and sexual ill-health accounts for 20% of the global burden of ill-health for women, and 14% for men.” Reproductive health is a part of sexual and reproductive health and rights.

Biography:

Dr. Freida Pemberton, RN-BC is a Full Professor of Nursing at Molloy College, Rockville Centre, NY and served in the position of Director of the Graduate Nursing Program for four years. Dr. Pemberton has made numerous contributions to the advancement of the Molloy College community and the community at large. She developed its Graduate Nursing Informatics component of the Administration track. Dr. Pemberton is American Nurses Credentialing Center (ANCC) Board Certified as an Informatics Nurse and continues to practice as a consultant in informatics. She has published on Distance Education, Development of a Faculty Learning Center and A Study on Nurses Attitudinal Tendencies. She has also published numerous websites designed to meet the healthcare needs of communities with limited to no access to healthcare. Dr. Pemberton’s contributions to the Profession are far outreaching after 43 years in practice. She has an exhaustive list of awards and honorable mentions. Dr. Pemberton has involvement in health care organizational programs at local, national, international, and federal levels. She established the World Wide Holistic Health Outreach non-profit 501 c3 public charity serving indigenous communities both nationally and internationally. Dr. Pemberton continues to develop innovative telecommunication programs designed to meet the specific needs of clients both nationally and internationally. She enjoys challenging students to be innovators and design programs and services that will improve the human condition for all. She has developed enrichment programs for the advancement of students in primary and secondary education that focused on science, mathematics, and computers. Students are challenged to be visionaries and to continue the outreach work that incorporates the advancements in telecommunication.

Abstract:

Following five missions to provide healthcare programs for communities in Ghana, Togo, and Benin, West Africa where the average life-span is age 50, the notion to create an individualized tailored-fitted tele health program that incorporated virtual and mobile technology for sustainability was generated. The conditions of hypertension, diabetes, vitamin deficiencies, mal-nutrition, and heart disease contributed to the shortened life-span. These conditions continue to challenge health care providers to produce innovative solutions that will not only resolve their patient-clients’ existing health problems, but reduce their future occurrences. This data generated the creation of the Health Guardian for Longevity Program. The Health Guardian for Longevity Program takes in hand the patients’ assessed health data, mobilizing the powerful tools of mobile, interactive, remote, video, and virtual technologies, as well as selected learning models and behavioral theories, to treat patients as individuals, applying a tailored-centered approach to healthcare. This multifaceted approach allowed caregivers and their patients to focus on the needs to restore, maintain, and integrate healthier behavioral practices. The qualitative pilot study explored the impact of patients’ online use of the Health Guardian for Longevity Program related to their health status and sustainability following a healthcare crisis. In this pilot study, data was randomly collected from 100 participants in Benin, West Africa, who utilized the Health Guardian for Longevity Program for a period of 1.5 years. Qualitative surveys and focus groups were assembled to gather data. The collection of data was analyzed using the QDA Miner Lite software program with themes developed and interpreted for meaning. This study was guided by prior research on the benefits of tailored-centered patient care, the meaningful use of technology in healthcare, and telehealth practice. The results of the analyzed data identified both effective and ineffective practices related to the use of the Health Guardian for Longevity Program. The findings from this pilot research study provided specific strategies for sustainability of quality healthcare using telehealth practice, virtual, and mobile devices. The increased utilization of the Health Guardian for Longevity Program has the potential to shape how care is delivered using an interactive, web-based custom health promotion program.

Biography:

Sister Angela Moss has predominantly worked in Cardiology and Critical Care having qualified as a nurse in 1999. Post-graduate qualifications exist in both areas, most recently a Masters module in Arrhythmia Management. Angela is half way through the Masters programme for Advanced Practice. The local arrhythmia service were runners up in the National Arrhythmia Awards in the United Kingdom in 2014. Local innovations have lead to invitations to speak at conference, quality service awards, senior managerial and medical committees and as part of a national group initiative to improve the management of patients with atrial fibrillation.

Abstract:

The Nurse-Led Rapid Access Arrhythmia Clinic is an innovative service which has revolutionised patient access to specialist support, enhanced management of patients with arrhythmias and dramatically reduced waiting times in the cardiology department. Service need was the most significant driver for the establishment of the clinic, which acts as a one stop shop and triage service for patients with arrhythmias. Improving patient access to arrhythmia services was an initial objective of the Arrhythmia Nurse Specialist. As experience has grown, patient assessment and intervention has enabled the arrhythmia nurse to work more autonomously in an advanced nurse practitioner position. As a qualified non-medical prescriber this also enhances complete care. At the start of the service, waiting times for a new cardiology appointment with the medical team was nine months. Appointments for the arrhythmia service are one to two weeks from referral and as a result, overall waiting times for cardiology appointments are six weeks. In 2014, 221 were seen and 263 in 2015. Routes of referral include the emergency department, in-patient departments, primary care and the cardiac team. The majority of patients are assessed and discharged back to primary care. Those who require further input are managed accordingly. An interdisciplinary approach encourages convenient access to the consultant cardiologist and cardiology team including nurse specialists and cardiac physiologists to expedite investigations. Patients, relatives and health professionals can access the service for advice. The successful implementation of the Rapid Access Arrhythmia Clinic has been down to motivation of a close working cardiology team and communication within primary and secondary care. Quarterly statistics and annual reports continue to demonstrate an efficient and effective service with patient satisfaction rated highly.

Biography:

Mr Elmer Catangui is a Filipino-British who obtained his stroke nursing expertise from the United Kingdom. He worked as a clinical nurse specialist in stroke and TIA in the UK for 12 years at Imperial College Healthcare NHS Trust, London. He graduated his Masters Degree in London South Bank University major in Nursing but with a background of specialist neuroscience, acute management in stroke, thrombolysis nursing and stroke prevention. He has published numerous articles and research in the UK’s Nursing Standards, British Journal of Nursing and British Journal of Neuroscience Nursing and other international journal of nursing and practice. He has involved in the launching of the pan London Stroke Competencies . He has led and organized various stroke nursing initiatives such as nurse – led ward round and stroke support group. He has been nominated by the UK Health Service Journal Awards for his valuable contribution to stroke care. He has passion in the hyper-acute management of stroke including thrombolysis treatment for acute ischaemic stroke, inter-professional stroke education and secondary stroke prevention. He has been invited in many international conferences as external speaker. He is currently working as a Stroke Nurse Specialist and acting Director of Clinical Nursing at the King Abdulaziz Medical City , Kingdom of Saudi Arabia (Riyadh). He has developed the Specialized Stroke Nursing Program in the Kingdom with excellent feedback from his colleagues. His research interests include: Public health, Stroke epidemiology, stroke management, stroke nursing, thrombolysis, transient ischaemic stroke, Inter-professional learning in stroke, rehabilitation and hyper-acute management of stroke. He is currently an editorial board member of the Public Health Open Journal

Abstract:

The incidence of stroke in the KSA is expected to be higher in the next decades. The creation of the stroke model of KAMC-Riyadh, as a novel care approach of admitting patients directly to the High Dependency Unit ( HSDU), is aimed to improve patient’s functional outcome following a stroke. Prior to the launch, a Specialized Stroke Nursing Program ( SSNP) using an inter-professional approach was developed and implemented in order to address the nurse’s learning needs in stroke care. The aim of the project is to recount the structuring of the SSNP and continuously sustaining it toward collaborative and integrated stroke care. Method: A collaborative team model (CTM) is utilized in order to design, implement and sustain a SSNP. The CMT, consisting of nurse specialist, clinical resource nurses and stroke therapists, work cohesively and regularly meet in order to continuously improve the program components and restructuring the learning objectives focusing on patient safety and outcome. The SSNP is up and running since August 2014 and is consistently evaluated after each run. All participants’ feedback from the course evaluation was collated and analyzed thematically. The findings of the course evaluation were discussed as a team and made some necessary adjustments if necessary. Results: The SSNP has attended by more than 700 nurses from emergency, acute medical and stroke units. Six major themes have emerged using the evaluation feedback: The SSNP as (1) a program focusing on patient safety, (2) an inter-professional program promoting a collaborative stroke care, (3), a sustainable program which is relevant not only to stroke patients but to all medical patients, (4) a starting point to improve stroke care (5) a well-structured program that tailored –made to nurses’ learning needs. Conclusion The creation of the SSNP is a showcase of dedication, passion and commitment of the team in order to provide an inter-professional learning education among nurses. The use of CMT promotes effective communication, coordinated and organized team work. Collaborative team has a direct impact to enhanced and comprehensive stroke care. It has a significant impact on the participant’s learning experience and patient care through enhanced access to bedside care as well as improved quality and safety outcomes.

Biography:

Fiona Cust is working as a faculty of health science in Stafford university, UK. She is specialized in women health nursing, midwifery nursing.

Abstract:

As the number of mothers suffering from postnatal depression (PND) continues to rise at an alarming rate it was decided to explore methods of trying to support new mothers diagnosed as ‘at risk’ of PND. Recent NICE guidelines (2015) have highlighted the need for the utilisation of psychosocial support – as opposed to the, often first hand, use of antidepressant medication. One of the main reasons for PND has been a distinct lack of social interaction and isolation (Dennis 2009). Could, therefore, disclosing to a fellow mother – who has previously shared a similar journey – may help to assist in the recovery from this debilitating illness? A small number of peer support workers (PSW’s) were recruited to offer one to one home visits within the postnatal period to a mother considered to be at elevated risk of PND – as diagnosed by the Edinburgh Postnatal Depression Scale (EPDS). The PSW’s visited the mother within their own homes from week six postnatally for a period of six weeks. Results were recorded both quantitatively and qualitatively by the recording of the EPDS scores, log book entries and one to one interviews. These were transcribed, coded and catergorised. Results collated display that the PSW’s did indeed have a positive effect upon the mothers’ mental health, outlook and indeed, their relationship with their baby.

Biography:

Mison Bashara is working in Gailee Medical Center in Emergency department, Israel. Her main specialization is women health nursing.

Abstract:

Background: In Israel, four criteria allow for legal abortion: women's age <17 or >40, fetal malformation, danger to the woman's health, unmarried woman or caused by rape.

Research Objective: To understand why women seek abortion, so as to build appropriate prevention/intervention programs.

Research Type: Cross-sectional study. Research Population: 102 women who applied to the Committee for Termination of Pregnancy at Galilee Medical Center, January-December 2013.

Research Instruments: Questionnaire examining violence experienced by the woman, use of contraceptives, and motives for abortion. Findings: The mean age of the women was 28.75±7.25 years. Reason for seeking abortion: poor economic situation 53.7%, violence in the home 13.7%. 91.7% reported a poverty-level monthly income no income at all. 42.6% of women who experienced violence in the home had had previous abortion, as opposed to 36.8% who did not experience violence. 57.1% did not use contraceptives regularly. 21.5% cited the prohibitive cost of contraceptives. 18% of participants noted the importance of their attending nurse's presence at the Committee for Termination of Pregnancy.

Conclusions: The major reasons for abortion, poor economic situation and violence in the home, are not included in the legal criteria for abortion. There is a need to re-think public policy on cost of contraceptives and to educate the public on contraceptive use. Violence in the family is more likely to be identified if a nurse is present at the Committee for Termination of Pregnancy. Also, a nurse should advise on the purchase of contraceptives and instruct on their use.

Biography:

Meral Altlok is working as a faculty of Health sciences in Mersin University, Turkey

Abstract:

This research has been done to describe healthy life style behaviors with illness perception of individuals who have essential hypertension and relationship between medicine adaptation. Exemplification of research comprises of 375 patients applying Erciyes University Medicine Faculty Yılmaz Mehmet ÖztaÅŸkın Heart Hospital Cardiology Policlinics and suitable for filling applications older than 18 and diagnosed Essential hypertension at least 6 months ago. Dates of research have been collected as Personal Information Form, Adaptation to Medicine Treatment –Self Efficiency Short Form and Healthy Life Style Behaviors Range II. In statistical analysis, Shapiro Wilk Test, Ki Square Analysis Test, Mann Whitney U have been used p<0,05 has been found meaningful. Patients participating in the research are %67,5 female, %41,9 are 50-59 age frequency, %54,1 primary school and over the majority is married and jobless. It has been determined that %88,1 of patients are over normal weight, %32,8 are smokers and %83,7 are regular medicine users. Healthy life style behaviors range has been found higher at regular medicine users/applying health control, blood pressure under control, living with his family and in city, high school compared to other groups (p<0,05). Adaptation to medicine treatment- self influence range total point has been found higher at female jobless and regular medicine users (p<0,05). Individuals applying to our research mostly have suffered from headache since the beginning of illness (%86,9). In the research the patients having essential hypertension. It has been detected that as they detect their illness, the adaptations of medicine treatment and performing healthy life style behaviors increase (p<0,05). Key words: Essential hypertension, Healthy life style behaviors, medication, adaptation, perception of illness.

Biography:

Johannesssen completed her PhD at the University of Oslo in 2013. She has a full time position as researcher and teacher at the Faculty of Nursing and Health promotion, Oslo and Akershus University College of Applied Sciences, and holds a part time position as a senior researcher at Health Services Research Unit, Akershus University Hospital, Lørenskog, Norway. She has a background as anestethist nurse and holds a master degree in pedagogics. She is a member of Østfold Hospital research board, and the board of Care - Health and Welfare at Oslo and Akershus University College.

Abstract:

Municipal acute units (MAU) is a new healthcare service that all Norwegian municipalities are obligated to offer their residents within January 1, 2016. These units, organized at the interface between hospital and municipal homecare services, aim to prevent or shorten hospital stays and alleviate some of the pressure on the hospital sector. Urgent inpatient municipal care involves organizational changes, and raise questions whether this creates new interfaces with increased risk of failure in patient safety. Common diagnosis for admission to a MAU are: fractures, pain conditions, leg ulcers, infections, constipation, diarrhea, pneumonia, COPD exacerbation and cognitive impairment. The patient’s average age is 75. GPs, emergency departments and outpatient polyclinics transfer patients to MAUs. The inpatient timeframe is three days. In an pilot study we have explored how user participation in treatment and care happens in a MAU. Findings show that lack of resources, short length of stay and bustle result in limited user participation. The staff collaborate well, but they strive to establish an appropriate collaboration towards the patients’ families, and professionals working at the purchaser offices in the city districts. Fragile patients, some suffering of dementia or complex somatic diseases, influence the degree of user participation. Findings in the pilot study will be important for further development of a PhD project aiming to study conditions promoting and preventing user participation from the perspectives of patients and family caregivers.

Biography:

Ms. Purnell is currently a licensed Family Nurse Practitioner who serves as an Assistant Clinical Professor at the University of Memphis, Loewenberg College of Nursing and a Sub-Investigator for the University of Tennessee Preventive Medicine, Clinical Trials Department. She also practices at Stern Cardiovascular Center on a part-time basis where she has functioned as a NP in both acute care and clinic settings. She received her BSN from the University of Tennessee Health Science Center and her MSN, FNP at the University of Memphis. She is an active member of Sigma Theta Tau, American Academy of Nurse Practitioners, Greater Memphis Association of Advanced Practice Nurses and Desoto County Nurse Practitioner Association. She is currently licensed in both Tennessee and Mississippi as an Advanced Practice Nurse. She is also credentialed and maintains current privileges to practice as a Nurse Practitioner at Baptist Memphis and Baptist Desoto Hospitals.

Abstract:

Introduction/Objectives:Mounting evidence suggests that non-excitable cells respond to changes in membrane potential, and that these “bioelectric” signals play important roles in the development, physiology, regeneration and pathology of cells.It is well established that the transmembrane potential of inflamed/injured cells is depolarized (-20mV) compared to healthy cells (-70mV). Our research suggests that the transmembrane potential of these inflamed/injured cells can be modulated through the application of an electromagnetic field in water such thatincreased cellmigration and decreased cell inflammationoccur as verified by scratch assays, Affymetrix 2.0 microarray analyses and real-time PCR (polymerase chain reaction) validations. Methods: Experimental controlled, in vitroand genomic experiments were conducted onmouse fibroblasts (L929) and human breast epithelial cells (MCF-10A). The experiments involved culturing aliquots of each cell line in growth media that was reconstituted with a hypotonic saline solution (3mM, NaCl) that had been exposed to an electromagnetic field generated by a device called the Cellular Energy Transfer Science (CETS) unit. The controls consisted of cells cultured in media prepared with the same hypotonic saline solution prior to treatment with the CETS unit. Aliquots of each cell type were plated and scratches made (n=18) in each of the treated and control plates of these cell lines. Phase contrast pictures were obtained at 3-hour intervals until the treated groups reached confluence. The data were analyzed withImageJ software to obtain the percent area of wound healed over time. We then conducted Student’s t-test between the percent change in area at the time points of 3 and 9 hours using SAS 9.4. Also, after isolating mRNA with a QIAcubefrom the treated and control MCF-10A cells grown in the treated and control media for 3 days,Affymetric 2.0 microarray and real-time PCR were conducted. The microarray data were analyzed using Ingenuity pathway analysis and the real-time PCR data were analyzed with the delta-delta CT method and with unpaired t-tests using SAS 9.4. Results: In the scratch assay analysis, there was a significant difference in percent area of wound healed over time in the treated versus the control groups. Also, there was asignificant up-regulation and fold change noted inAmphiregulin (AREG) and vascular endothelial growth factor (VEGF) that aregenes known to regulate wound care. Chloride intracellular channel protein 4 (CLIC4) which is found to help regulate cell pH, transepithelial transport and membrane potential also showed a significant fold change in gene expression. Conclusion: Wound care presents significant challenges to our health care system. The scratch assay data suggest improved wound healing through organized cell polarity and migration. Also, the genomic data suggests the treated hypotonic saline solution from the CETS unit significantly affectstranscription and gene expression of membrane potential and wound healing. This application of the electromagnetic field by the CETS unit has potential to translate to human subjects in the near future through the administration of footbaths/baths. In vivo mouse experiments and Phase 1 safety clinical trials are currently under way and could offer a new treatment option with few side effects for wound care that society as yet to experience.

Biography:

Odelia Keshev is a nurse and has completed her Master degree from the Hebrew University. She workes at Maccabi Health Services headquarter since 2012 and coordinate woman's health nationwide.

Abstract:

Background: Studies have shown significantly lower risk of complications during labour following prenatal care, allowing early detection, promoting normal pregnancy and birth. In May 2013 Maccabi Health Services launched "prenatal personal care" - a dual gynecologist and nurse follow up model . Goals: 

Preserving and promoting physical and mental condition of pregnant women.

• Early identification of high risk situations and intervention. Method: The model is based on periodic visits provided by 150 designated nurses and 200 gynecologists working in collaboration. The follow up consists of 5-6 visits through pregnancy period. Additional visits provided according to woman's health state. The intervention includes information on recommended tests, abnormal conditions, preliminary screening for depression during pregnancy (Edinburgh questionere) and counseling. Various communication services such as, Facebook, email, phone, app and personal meetings are availiable. The model maintains interfaces with other health care providers such as dieticians, pelvic floor physical therapysts, social workers and others. A designated computerized record was developed allowing generate and transparent follow up.

Findings: Prenatal care was given to 22% of pregnant women. 58% of them were vaccinated for pertussis compared to 22% in standard care. Depression screening found 0.4% positive answers to tendency for suicide, 11.5% were suspected for depression. In adition, 85.6% performed GCT test versus 74.3% with standard care.

Biography:

Denise Brehmer has been a Registered Nurse for 36 years with experience as a Pediatric Nurse in the acute care setting as well as the community setting. Having had a varied background in Nursing from Pediatrics to Critical Care and Community Health has allowed Professor Brehmer to be an effective faculty member for the last 20 years. She is currently employed at Indiana Wesleyan University in the USA as an Assistant Professor of Nursing. She is also employed as a Nurse Practitioner in a Wellness Setting. She is married to Lawrence Brehmer and they are parents of two grown daughters. She enjoys spending time with family, reading, attending church functions, and traveling.

Abstract:

The purpose of the presentation is to discuss trends in Pediatric Nursing with a focus on childhood obesity, Sudden Infant Death Syndrome (SIDS) and Otitis Media Treatment. Nursing care of pediatric patients has changed over the years. Practices once thought as normal practice have now been replaced by newer innovative care. Nurses must read the literature to stay abreast of new practices to remain current in the field. Childhood obesity, treatment of otitis media, and prevention of Sudden Infant Death Syndrome (SIDS) are just a few of the trending care topics. Childhood obesity is at epidemic rates in the US partially due to a more sedentary lifestyle than 20 years ago. School lunches had been filled with starch and fat. Busy parents often provide convenience foods or dine out as meals due to their busy schedules further adding more empty calories and a lack of nutritious foods. The nurse plays a crucial role in educating parents regarding making behavior changes for their children. Research revealed that nurses using motivational interview can help children make significant changes in their body mass index (BMI) Tucker, S., Ytterberg, K., Lenoch, L, Schmit, T, Mucha, D., Wooten, J., Lohse, C., Austin, C., &Wahlen, K. (2013). . Overuse of antibiotics results in multi-drug resistance as well as antibiotic use causing antibiotic related adverse effects such as diarrhea (McCormick, D., Chonmaitree, T., Pitman, C., Saeed, K., Friedman, N., Uchida, T., & Baldwin, C., 2005). Watchful waiting has been utilized as current practice in treating otitis media. Rather than provide an antibiotic at the first signs of an ear infection, waiting up to 72 hours has allowed otitis media to resolve on its’ own without an antibiotic therapy. In a comparative study, symptom resolution was quicker with antibiotic use but the number of patients that had complete resolution of symptoms was similar. The antibiotic group had a 74% resolution of symptoms at 7 days while the watchful waiting group had 53% (Hoberman, A., Paradise, J., Rockette, H., Shaikh, N., Wald, E., Kearney, D., Colborn, D., Lusky, M., Bhatnagear, S., Haralam, M., Zoffel, L., Jenkins, C., Pope, M., Balentine, T., &Barbadora., A., 2011) Sudden infant death syndrome (SIDS) has been linked to prone sleeping, sharing a bed and sleeping on a surface not indicated for sleeping (Allen, P. 2013). The Back to Sleep initiative began in 1994 by the National Institute of Child Health and Human Development recommending supine sleeping for infants. The number of infants sleeping in this position has greatly increased with overall SIDS rates decreasing. Current research on SIDS revealed that nearly 70% of cases involved infants sleeping on surfaces not intended for infant sleeping (Allen, P., 2013). Education of parents regarding safe sleeping is the primary role of the pediatric nurse in prevention of SIDS (Allen, P., 2013).

Biography:

Dr. MacDonald completed a Master’s degree in Nursing at the University of Toronto, Canada and a PhD at the University of Manchester in the UK. Currently she is a Professor in the Faculty of Nursing at the University of New Brunswick (Canada). Dr. MacDonald’s doctoral work examined respite for parents who were caring for children who required complex care. This paper comes from that work. Dr. MacDonald has three children of her own.

Abstract:

Advances in nursing and medical care augmented by developments in pharmaceutical and health technologies have led to an increasing number of children who require complex care at home. Parents are their carer givers. In this ethnographic study there were: 47 Participants 19 Mothers 4 Fathers 7 Grandparents 13 Nurses 4 Social Workers Data Collection consisted of in-depth interviews; participant observation; anddocument review. There were five emergent themes: Parents Caring; Caring and the Impact on Parental Identity; The Nature of Respite; and Fair Play.In this paper the key categories within the theme Fair Play will be discussed. These categories include:  care obligations feelings of entitlement respite information needs ongoing support needs negotiating the system and equity

Biography:

Suzanne Guzelaydin completed her MS from University of Michigan in 1982. She currently is a Lecturer II faculty of the University of Michigan-Flint. In 2008, she authored and was funded for a 3 year Nurse Practice, Educatation and Practice grant from the Health Resource Service Administration (HRSA). The grant was used as an exemplar exampleby HRSA for 3 consecutive years. She has presented at National League of Nursing, American Academy of Nursing and Infusion Nurse Sociey nation conventions.

Abstract:

The presentation will discussimplemention of an innovative clinical practice program that integrated computerized simulation, an electronic health record, point-of -care handheld health reference and tele-health resources throughout an undergraduate nursing curriculum. The STEPS program created a student-centered learning environment that combined theQuality and Safety Education for Nurses (QSEN) elements with informatic essentials from the undergraduate nursing students' first introduction to clinical fundamentals. This foundation was integrated throughout the undergraduate nursing curriculum, targeting learning objectives to develop student critical thinking and decision making skills appropriate to their academic level (sophomore, junior, senior). Simulation case scenarios introduced students to progressive complexities of care and engaged them in active-learning situations exploring health care issues across the life span. Scenarios provided student experiences in acute care and community based settings. Core essentials of informatics were utilized in every simulation case scenario. Students gained proficiency in using technology systems to promote, support and improve patient and staff safety, interdisciplinary communication and the provision of patient centered care. Students learned the skills of navigating an electronic health record (data entry, retrieval, communication, aggregation and evidence based practice decision making), use of point-of–care hand held reference resources and tele-health methodologies in the delivery of care. Lessons learned by the project team in bringing the project to lifewill be discussed along with recommendations for avoiding pitfalls in implementation. Approaches used to build partnerships and support for the project from both internal and external prespectives will be examined.

Biography:

Nahar AlReshidi si working as senior lecturer in University of Salford , Nursing school UK.

Abstract:

Background Although post-operative pain management has been researched extensively, it does not receive the same attention from Children nurses in Saudi Arabia. Practices are not based on sound evidence, but there is a willingness to improve. The factors to be addressed in this study had not been considered together in any study, and each in turn is supported by only minimal evidence of variable quality. No work of significance had been undertaken in the context of Saudi Arabia or other Gulf nations. Aims To test the impact of implementing an interactive postoperative pain management education programme on children nurses’ knowledge, attitudes, beliefs and perceptions of children’s pain; self-efficacy; and perceptions of barriers to optimal practice. Methods A quasi-experimental approach with a non-equivalent group, pre-test post-test design was used. A sample of 229 children nurses working in surgical units in Hail region hospitals was recruited and completed four questionnaires on three occasions, before the intervention, and at one and three months afterwards. The intervention was an interactive educational programme on DVD with explanations, exercises, video presentations and self-check games. Results Preliminary findings have shown a significant improvement in children nurses’ knowledge, attitudes, beliefs and perceptions of children’s pain, self-efficacy, and perceptions of barriers to optimal practice after receiving the education programme.

Biography:

Naomi Albert is working as a nurse in Emergency unit in Gailee Medical centre, Israel

Abstract:

Background: To test for both hereditary and metabolic diseases, nurses routinely draw blood from an infant's heel within 36-72 hours after birth. Since there is no obligatory protocol for pain prevention, we wanted to raise awareness of infant pain and suggest effective non-pharmaceutical analgesia. Methods: This cross-sectional study included infants born at Galilee Medical Center during 2012-2013. 150 infants were divided into three groups of 50 each: one received a pacifier dipped in sugar and no parental presence, one was hugged by a parent, and a control group had no intervention and no parental presence. A nurse trained to assess pain using the FLACC scale.

Results: Two minutes before needle prick, no pain was observed in any of the three groups. During the test, a statistically significant difference in pain level was seen (p<0.001), between group 1 (pacifier dipped in sugar) (median=2) and the other two groups both of which exhibited moderate pain (median=6 and median=5, respectively). Two minutes later there was no statistically significant difference in pain level among the three groups.

Conclusions: Pain-preventing intervention was found effective. Adopting non-pharmaceutical interventions for minimizing pain in healthy infants during clinical practice should be an integral part of providing quality treatment