Day 2 :
- Critical Care and Emergency Nursing
Location: Osaka, Japan
Copenhagen University, Denmark
Marie Collet is a RN and PhD student with a master in Health Science form Copenhagen University. She a clinical nurse specialist in Intensive Care, with special attendance to nursing education and innovation both on an executive and bedside level.. She has published 1 paper and is on the board of an international research committee, NOFI. Her main focus in research is Delirium in critical ill patients. Currently doing study on haloperidol use for treatment of delirium in Intensive Care Unit.
Delirium in the intensive care unit (ICU) has received more attention in the past decade. Early detection, prevention and treatment of delirium are important, and the most commonly used tool for delirium assessment is the Confusion Assessment Method for the ICU (CAM-ICU).
The aim of this study was to identify perceived professional barriers to using the CAM-ICU in Danish ICUs. With a qualitative explorative multicentre design we conducted five focus groups with nurses (n=20) and four with physicians (n=14) with a semi-structured interview guide. Strategic sampling was used to include participants with varying CAM-ICU experience at units, with variable implementation of the tool.
Using a hermeneutical approach, three main themes and nine sub-themes emerged. The main themes were (1) Professional role issues: CAM-ICU screening affected nursing care, clinical judgment and professional integrity; (2) Instrument reliability: nurses and physicians expressed concerns about CAM-ICU assessment in non-sedated patients, patients
with multi-organ failure or patients influenced by residual sedatives/opioids; and (3) Clinical consequence: after CAM-ICU assessment, physicians lacked evidence-based treatment options, and nurses lacked physician acknowledgment and guidelines for disclosing CAM-ICU results to patients.
We concluded that, ICU nurses and physicians raised a number of concerns regarding the use of the CAM-ICU for delirium detection. It might be necessary to revalidate the instrument as ICU care has changed in recent years, with lighter sedation and early mobilization of patients. We recommend that nurses and physicians receive more training in the use of the CAM-ICU to address some of the issues identified in our study
ICU Mediclinic City Hospital, United Arab Emirates
The purpose of our survey was; a) to assess the quality and efficacy of nursing handover in our ICU b) to evaluate nurse’s knowledge about ISBAR c) to implement the concept of ISBAR in our handover and d) most importantly to improve quality of patient care by applying safer and evidenced based nursing handover techniques.
We conducted a cross sectional survey to assess the efficacy of nursing handover in our ICU at Mediclinic City Hospital. Our 15 bed ICU consist of 3 beds in isolation and 12 beds in open bay. Our nursing staff comes from different professional and cultural background. Nursing handover usually takes place at the beginning of the shift, at the time of change in patient assignment and while receiving patient from different nursing units and hospitals. The handover generally takes 15-20 minutes but it can be more or less depending upon patient’s condition.
Audit development and formatting
The members (nurses) of quality task force of our ICU investigated and generated the assessment criteria to be included in the audit form. After several discussions within the task force and with the guidance of our unit manager final audit form was made keeping in view that it has to be concise yet covering all the aspects of handover so that it provides accurate data and is less time consuming for the auditors. The audit has to be done by the members of quality task force only.
Inclusion & Exclusion criteria
All the nurses working in our ICU (full time/part time) were included in the survey except the nurses who are member of quality task force. Also the nurses from other department and hospitals were excluded from the survey.
Good nursing handover is vital to protect patient safety and provide quality care. Systems need to be put in place to enable and facilitate handovers. Using SBAR has helped us in managing information and deliver safe handovers. After the implementation of SBAR in our handovers, we were able to reach 95% compliance and it reduced errors significantly and improved patient outcomes.
Songklanagarind Hospital, Thailand
- Nurse Practitioners
Location: Osaka, Japan
Janamaitri Foundation Institute of Health Science, Nepal
Self-concept provides the foundation for ones’ professional self-concept. Gap between educational influences and healthcare system expectations influences graduate nurses’ professional self-concept and their ability to be socialized into the healthcare environment ultimately leading to poor retention and a negative professional self-concept. A comparative longitudinal study design was conducted to explore the effect of clinical experience on the nurse self concept, caring behavior and professional commitment among the final year nursing students of diploma (n=63) and bachelor level (n=52). The mean score of nurse self concept, caring behavior measurement and professional commitment is higher after the clinical internship of six months compared to pre internship among all the nursing students. There is a positive correlation between the nurse self concept, caring behavior and professional commitment. There is a significant difference in the professional commitment between the diploma and bachelor level of nursing students both pre (t=5.293, p<0.01) and post (t=3.620, p<0.01) clinical internship.
Bülent Ecevit University,Turkey
Sevim Çelik has completed her PhD at the age of 28 years from Istanbul University, Turkey She is the director of Bülent Ecevit University Zonguldak School of Health. She has published more than 20 papers in reputed journals and has been serving as an rewiever of international repute journals.
Purpose: The purpose of this study was to determine the perceptions of nursing care in the preoperative and postoperative period at the patients who hospitalized with disc hernia.
Methods: This study was designed as a descriptive study. The sample consisted of 108 patients with cervical and lombar disc hernia, admitted to the neurosurgery unit, Zonguldak, Turkey. This study was carried out between April 2015 and April 2016. Data were collected by using personal information form and Turkish version of Caring Behaviors Inventory-24. Participants considered the nurses' behaviors to be indicative of caring in each of the 4 areas measured-assurance, knowledge/skills, respectfulness, and connectedness. Data were evaluated by using descriptive statistical methods, independent sample t test, one-way ANOVA and Kruskal- Wallis tests.
Results: About 62.5% (n=5) of nurses working at the neurosurgery had bachelor’s degree. Nurses were worked between 1 and 28 years. Patients’ mean age was 48.53 ± 1.08 and 51.9% of them were male, and 51.9% had an elementary school. Most of the patients had lombar disc hernia (78.7%). Patients had an mean 6.85±4.41days stay in the hospital. About 81% of patients thought that adequate nursing care is given. On a scale of 1 to 6, inventory mean score was 5.46 ±0.79 in the preoperative period and was 5.63 ±0.65 in the postoperative period for perceptions of nursing care among the patients. It was obtained higher scores in the knowledge/skills subscale (5.72 ±0.74) and lower scores in the connectedness subscale (5.12 ±0.94) in the preoperative period. Also, in the postoperative period, it was obtained higher scores in the knowledge/skills subscale (5.84±0.58) and lower scores in the connectedness subscale (5.32 ±0.92). It was determined that demographic characteristics were not associated with perception of nursing care of patients. (p>0.05). The perceptions of nursing care of patients positive increased significantly in the postoperative period (p=0.000).
Conclusion: This study showed that none of patients demographic characteristics correlated with their perceptions of care. Patients perceived nurses’ caring behaviors on neurosurgery unit as positive both in the preoperative period and in the postoperative period
- Cancer and Tumour Nursing
Location: Osaka, Japan
National Yang- Ming University,Taiwan
My name is Chia Hui Liao, from Taipei Taiwan. I am a Nursing PhD candidate at National Yang-Ming University. I’m also a full-time RN at Taipei Veterans General Hospital and I have worked for 15 years. I love my job and study very much, I hope my patients could get better care and benefit from my research result. There are 5 people in my family. My father died of cancer, he get the good palliative care during his terminal stage because my families believed in my nursing profession. My mother is a house wife, my sister is also a nurse, and my brother is a Airport Customs officer.
The purpose of this study was focused on understanding the trend change of quality of life on newly diagnosed lung cancer patients and their influential factors. A one-year prospective longitudinal research design was used. A total of 250 newly diagnosed lung cancer patients were recruited using convenience sampling from a medical center in Taipei Taiwan. The instruments including demographic data, M.D. Anderson Symptom Inventory-Taiwan form, Pittsburgh Sleep Quality Index, the Taiwan version of IPAQ-SF and WHOQOL-Taiwan version were used for data collection at the time of being diagnosed, 1-month, 3-month, and 6-month post-diagnosed. Data were analyzed using SPSS version 20.0 software package. The frequency, percentage, mean and standard deviation were used for descriptive statistical analysis and chi-square test, t-test, one-way ANOVA, Pearson’s correlation and GEE were used for inferential statistical analysis. A p-value of less than 0.05 was to be the reference for the statistical significance. The findings indicated the degree of symptoms interfered walking and PSQI score were major predictors of QOL of newly diagnosed lung cancer patients, and the global QOL of newly diagnosed lung cancer patients didn’t improve over time. The results of this study revealed the trend change of health outcomes on newly diagnosed lung cancer patients, and it could be as the references for providing care to these patients and identifying the appropriate time to implement health promotion intervention for lung cancer survivors in the future.
- Paediatrics Nursing
Location: Osaka, Japan
University of Southampton, United Kingkom
Chuntana Rogerson has completed a PhD at the Faculty of Healthsciences University of Southampton in 2016. She has 20 years experience as a paediatric nurse caring for children in a regional hospital. Dealing with caregivers in rural Thailand inspired her to undertaken this research to investigate the nutritional problems they encountered and how the families managed to overcome nutritional issues.
The purpose of this study was to explore the nutritional problems of children with VSD in rural Thailand because they have a long waiting time for surgery. An ethnographic approach was used to explore and understand the nutritional problems cargivers’ experienced in caring for their child with VSD within their cultural context; especially the experiences of how the families managed to overcome the issues of maintaining optimal weight prior to surgery. Ten main caregivers who were taking care of children with VSD aged 6 months to 4 years who were waiting for surgery, and ten health professionals who dealt with these children were purposively selected. Data were collected through in-depth interviews, field notes, observations, and photographs with the ten main caregivers at their homes and the health professionals were interviewed at a regional hospital. A thematic approach was used to analyse the data. The triangulated findings generated themes indicating that children with VSD in rural Thailand had difficulty in gaining or maintaining optimal weight prior to surgery, resulting from some of the knowledge the caregivers used which was inappropriate for supporting weight gain in their child. Also both the health professionals and caregivers in rural areas had limited nutritional knowledge for taking care of children with VSD, who were waiting for surgery. Additionally there were inadequate resources provided at the clinic to help support caregivers.
University of Santo Tomas, Philippines
Clarisse Jamiel Geronimo has completed her Bachelors Degree in Nursing at the age of 20 years from University of Santo Tomas. She is currently preparing for the upcoming Philippine Nursing Licensure Exam this November 2016. This is the first research paper she conducted for her bachelors research study together with her co-researchers from the same university. She is known for one of the pioneers of establishing a new political party inside the College of Nursing. She serves as the chairperson of Lakas ng Diwang Tomasino – Nursing Unit. She is also a member of Tomasian Cable and Television, a university wide organization and she serves as a talent, a senior jock in the UST Tiger Radio.
AIMS: Today’s society standardizes how an adolescent should look like. One of the traits of an ideal adolescent should be maintaining a normal body weight. Adolescents strive to be in line with the standards of the society. The aim of this study is to know and understand the lived experiences of the various adolescents who fall under the category of being overweight. It intends to find out on how their weight affects different aspects of their personal and social relationships.
METHODS: Participants were selected through the use of purposive sampling method. A semi-structured interview questions were formulated by the researchers with the grand question, “What is life like for an overweight adolescent?”The set of questions formulated were validated by the qualitative expert and translated by a language expert. With the six Filipino overweight female adolescents living in Metro Manila that have a BMI from the 85th to 95th percentile or a BMI of 25-29.9 was interviewed by the researchers. The participants are aged from fourteen to sixteen years old and an informed consent and assent was secured to the participants and to their respective guardian. The Colaizzi’s method was used to analyze and interpret the gathered data from the participants.
RESULTS: The following themes emerged from the study: Awareness and Acceptance. Awareness is defined as how the female overweight adolescent have or shows realization, perception or knowledge about something such as situation, condition or problem that exists in their life. Acceptance is defined as to how female overweight adolescents embrace their condition and experiences. An eidetic insight was presented as the representation of the Weightism Phenomenon.
CONCLUSION: Through the collective analysis of the verbalizations of the participants’, the female overweight adolescents are aware of their condition and how it affects them. The different experiences they underwent made them aware of how others perceived them.
National Yang-Ming University,Taiwan