19^th Global Nursing Education Conference April 27-28, 2017
(10Plenary Forums - 1Event)
Las Vegas, Nevada, USA

Biography:

Angie Brindowski has her expertise in nursing program development, evaluation, and nursing student retention. Her retention program strategies and programming are grounded in an ecological framework that supports students financially, socially, and environmentally to succeed in nursing school and practice in underserved areas in the U.S. The approach utilizes multiple strategies and programs to support students across the University.

Abstract:

Statement of the Problem:  In the 2016 American Association of Colleges of Nursing graduation report from 851 institutions across the United States (US) the race and ethnicity of graduates is 72% White, 9% Hispanic, and 8% Black. The US census report highlights the race/ethnicity gap in the nursing workforce; the population is 73% White, 13% Black, and 17% Hispanic. To achieve the goal of high quality, safe, and accessible care the US needs a nursing workforce that reflects the cultural values of the community. The Academic Success Program In Nursing (ASPIN) is a descriptive study whose aim is to recruit, retain, and graduate students from minority backgrounds and/or are disadvantaged to earn a Bachelor of Science in Nursing degree. The nature of the ASPIN program is to work with school partners and admitted nursing students offering multilevel programs to retain and graduate a diverse population. Program implementation began on July 1, 2014 with a student group of 17 Hispanic (68%), 2 Black (8%), and 6 White students ((24%). The program retention rate is 84% with 3 Hispanic, 1 Black, and 1 White student who did not continue. The ASPIN program employs the social determinants of health and the ecological framework to focus on supporting students economically, socially, and educationally. Findings: The students in this study who took advantage of academic support, faculty advising, as well as scholarship awards were successful in continuing in the nursing program. However, without adding additional cost and testing ACT reading and math scores should also be utilized to build individual student success programs.  Conclusion and Significance: Hispanic, African American, and White students need financial support, tutoring, and peer group support to succeed. Recommendation:  In addition, faculty advisors should use ACT entrance exam scores to customize an individualized academic success plan.

Biography:

Dr. Brenda Query has been a registered nurse for 20 years and nursing faculty for 14 years; her PhD in Nursing is from the University of Alberta in Canada. Her main areas of interest are pediatrics, critical care, research, pharmacology, and hemodialysis. Focused areas of research are the health and health promoting behaviors of urban and rural caregivers of children with disabilities.  

Abstract:

Engagement in health promoting behaviors has been shown to improve the health of individuals. However, there is a difference in both the health status and the health-promoting behaviors of urban and rural Canadians. These differences and possible reasons as to why these differences exist will be briefly discussed. While individuals are responsible for the decisions that they make regarding their health promoting behaviors, other factors have the potential to influence these behaviors; this viewpoint is supported by proponents of social ecology models. The authors of these models contend that other factors, such as family, social, organizational, environmental, and policy factors can also acts as facilitators and barriers to health promoting behaviors. The purpose of this presentation is to discuss the unique and multi-faceted facilitators and barriers to health promoting behaviors experienced by individuals living in rural communities in Canada. Nursing implications regarding the assessment of these rural Canadians will be explored. Subsequent focuses for the health teaching of patients/clients who live in and/or who are being discharged to rural communities in Canada will then be presented

Biography:

Ana Bandin received her Bachelor of Science in Nursing from the University of Miami in 2006. She’s been a pediatric nurse in the respiratory unit for more than 10 years. Her expertise, passion for teaching, innovation and evidence based practice, led her to her current role of clinical educator for her unit. She’s a Master in Nursing Education candidate this summer. She serves as the facilitator for the nursing research and evidence based practice council at Nicklaus Children’s Hospital. She was presented the certificate of Excellence for an Evidence-based practice Poster from the Society of Pediatric Nurses in April 2016 and awarded Scholar of the Year for her organization in Nurses’ week 2016. Ana strives for quality and safe care through best practices while driving service excellence and patient satisfaction in her unit and organization.

Sofia de la Camara received her Bachelor of Science in Nursing from the University of Miami in 2015. She currently serves as the co-chair for the evidence based practice council at Nicklaus Children’s Hospital in Miami, Fl. Her passion in nursing research and evidence based practice has propelled her to initiate projects to improve patient satisfaction and outcomes. Her time spent living and volunteering abroad in South America sparked special interest in the incorporation and practice of culturally sensitive nursing. 

Abstract:

Statement of the Problem: Healthcare Consumer Assessment of Healthcare Providers and Systems (HCAHPS) surveys collect national data and report patient/caregivers perspective on quality and service of their hospital experience. The question on possible side effects of medications was the focus of this unit. Scores for 1^st quarter, 2016 were inconsistent and reached an all-time low.

Aim: The purpose of this quality improvement initiative was to standardize the educational approach nurses took when teaching patients/caregivers about medication side effects, in turn, improving scores.

Methodology & Theoretical Orientation: Placing a visual magnetic M at the patient’s communication board, cues the teach-back process. Retraining staff on previous M in the box initiative was priority. In collaboration with teach-back, a bilingual double-sided educational leaflet was created for the most used medications on this unit. These leaflets were sensitive to learning barriers such as low health literacy and language. The focus was on partnering with patient/caregiver to assist them in understanding key information and engage them in the teach-back process.

Findings: Evaluation of quarterly HCAHPS scores showed increase in patient satisfaction post implementation of the multi-method initiative. The greatest progress occurred from 1^st to 2^nd quarter, with scores improving from 51.6% to 71.3%, respectively and sustainability shown in the 3^rd and 4^th quarter at 72.9% and 73.2%.

Conclusion & Significance: Partnering with patients/caregivers using the teach-back method and key educational material, proved to be an effective process assisting patients understand important medication information while having a positive effect on consumer satisfaction, therefore, resulting in increased HCAHPS scores outcome. 

Biography:

Jill Moore is an expert in nursing in the academic environment where she is the Director of the Doctor of nursing practice and nursing education programs. She is devoted to student success and interested in policy that affects the learning environment. Prior to transitioning to nurse education she has practiced in the acute care environment working within teams of multigenerational healthcare workers.

Abstract:

Patient acuity in hospital settings continues to increase, and there is greater emphasis on patient outcomes. The current nursing workforce is comprised of four distinct generational cohorts that include veterans, baby boomers, millennials, and generation Xers. Each group has unique characteristics that add complexity to the workforce and this can add challenges in providing optimal patient care. Team building is one strategy to increase mutual understanding, communication, and respect, and thus potentially improve patient outcomes. In this article, we first briefly define generational cohorts by characteristics, and discuss differing expectations for work/life balance and potential negative outcomes. Our discussion offers team building strategies for positive outcomes, a case scenario, and concludes with resources for team building and organizational opportunities.

Biography:

Kathy Baule is an Advanced Practice Nurse who has worked for over 20 years in the area of Critical Care, Neurosurgery and Pain Management. She has presented at American Association of Neuroscience Nursing, Midwestern Pain Society Nursing as well as Midwest Nursing Research Society.  Her special interest in patient satisfaction was the drive to recently investigate patient satisfaction in among established patients in a Midwestern Pain clinic. After receiving her Doctorate in Nursing Practice from the University of Illinois at Chicago, she is practices at Indiana University Ball Memorial Hospital as an APN in Trauma and Neurosurgery.

Abstract:

Background: A problem in many health care practices is deciding the appropriate appointment length for new and established patients. Patients become frustrated when there is inadequate time to have their needs met, yet when a patient's clinic time is spontaneously lengthened; the provider gets behind in schedule, causing delays and greater frustration for others.

Aim: The aims of this evidence based project were to determine whether implementation of a flexible appointment system would improve the current scheduling process in a pain clinic by allowing complex patients the opportunity to schedule a longer clinic appointment and would improve patient satisfaction.

Design: This evidence-based practice innovation followed a program evaluation process using a descriptive, existing survey completed by clinic staff and patients.

Setting: A Midwestern pain clinic caring for patients with acute and chronic pain diagnoses.

Participants: A convenience sample of 120 patients were surveyed before and after the process change. Thirteen staff members completed the survey on SurveyMonkey pre and post procedural change at the same intervals the patients were surveyed.

Results: Patients were more satisfied with the time that they spent in the exam room and the waiting room. The process change improved communication with staff and patients and provided an opportunity to discuss their concerns and health changes prior to their scheduled appointment.

Conclusion: Allowing an option for flexible scheduling in appointment lengths provided an opportunity to meet patient needs, offer improved service, and improve patient-provider communication.

Recommendations: It may be beneficial to assess the level of patient satisfaction with those patients who chose to extend their appointments and compare the level of satisfaction with those patients who did not lengthen their appointments and to evaluate the amount of “no-show” appointments with those who have extended their appointment.  Implementing a standardized script for the schedulers may help with appropriate patient appointment lengths and decrease the number of patients’ appointments that were lengthened without patients’ knowledge.

Biography:

Sherry L Donaworth is an Assistant Professor of Clinical Nursing at the University of Cincinnati, College of Nursing. She is board certified as an Adult-Acute Care Nurse Practitioner and a Family Nurse Practitioner. Her extensive clinical practice experience has included critical care, cardiology, geriatrics as well as primary care. As a Lead Faculty for advanced pharmacology and clinical management of adult health problems, she has utilized the “Flipped Classroom” and advanced technology in teaching, for both onsite and distance learners. She served as a Content Expert on an ANE HRSA Grant for interactive case studies for distance learning students. 

Abstract:

Statement of the Problem: Engagement of students and development of critical-thinking skills are always a challenge for advanced practice nursing faculty. Emphasis in the classroom on active learning and application of complex concepts, rather than memorization of content, is an approach endorsed in the educational literature. How can technology be leveraged to allow use of valuable classroom time for active learning strategies without sacrificing delivery of essential didactic content?  

Strategy/Intervention: An interprofessional team that included clinical faculty, instructional designers and information technologists collaborated to solve the dilemma of adding active learning strategies while providing methods for conveyance of important didactic knowledge. The “Flipped Classroom” was introduced into selected graduate nurse practitioner courses in a large, urban college of nursing. Faculty served as content experts and developed real-world scenarios and case studies to facilitate meaningful student interactions during classroom time. Weekly quizzes, with unlimited attempts to score 100%, were employed to reinforce learning. The expertise of instructional designers and information technologists was utilized to leverage technology to deliver crucial content. Lectures were chunked into 15-25 minute segments and videos were presented in formats that students could download to various platforms such as smart phones, tablets and iPads. Students met in the classroom every other week for active learning sessions.

Findings: The majority of student feedback was positive regarding the active learning case studies and the weekly quizzes. A small number of students objected to the time commitment of listening to lecture and completing weekly quizzes prior to classroom time. Many students reported being able to process didactic content at their own pace and the ability to replay and review complex concepts as a positive result of the “Flipped Classroom”.

Biography:

Lisa Green completed her MSN in 2008 from Cardinal Stritch University in Milwaukee, WI and undergraduate BSN from Viterbo University in LaCrosse, WI in 2000.  She is the senior level leader and coordinates precepted clinical placements.  Lisa teaches Pathophysiology, Professional Practice Preparation, and Medical-Surgical clinical.  She has an interest in nursing simulation research and interprofessional education.  

Abstract:

Purpose: Interprofessional education (IPE) has a goal to help improve the patient experience, improve health, and reduce the cost of health care. Therefore, building IPE into simulations allows students from different disciplines to learn more about roles and responsibilities, values/ethics, teamwork, and communication. In nursing curricula, it is difficult to involve students in interprofessional activity in the clinical setting, so a learning activity was implemented to give nursing students the opportunity to communicate with another profession.

Methodology: A quasi-experimental pretest/post-test design was conducted to explore the effects of an interprofessional simulation experience on nursing students’ attitudes, knowledge, and communication skills. Surveys were administered to all participants on week prior to the interprofessional simulation experience and again after the completion of the simulation experience and debriefing. The surveys included Student Satisfaction and Self-Confidence in Learning (SS&SCL) and the Readiness for Interprofessional Learning Scale (RIPLS). Paired T-tests were used to analyse survey results.

Findings: Results indicated that nursing students demonstrated significant differences when comparing pretests to post-tests in both surveys. The SS & SCL indicated a significant increase in attitudes about the instruction student received following the simulation activity. The RIPLS survey had significantly higher scores for the post-tests in areas concerning shared learning with other health care students which increased student’s understanding of clinical problems and made them think more positively about other professionals. Ultimately the students indicated that this IPE experience would benefit patients if health-care students worked together to solve patient problems.

Conclusion: The use of collaborative IPE within nursing curricula will aide students in developing an understanding of the roles, responsibilities, values/ethics, teamwork, and effective communication with should be continued to aid in understanding of other professions. Nursing students’ perceptions of IPE significantly improved following participation in an interprofessional simulation experience.

Biography:

Prof. Akinsola is a public health specialist and obtained his first degree and Ph.D. at the University of Ibadan, Nigeria; and Master’s degree at the University of Manchester, England. He has worked in different parts of Africa where he served in different capacities.  Between 2009 and 2015, Prof. Akinsola was the Head of the Dept. of Public Health at the University of Venda where he has been working since 2007. He retired in May 2015 and he is currently a Professor Emeritus in Public Health at the University of Venda.

Abstract:

The purpose of the study was to assess the self-perceived impact of work life on nurses caring for people living with HIV/AIDS in a municipality in South Africa. The study adopted a cross-sectional design and the target population was the nurses caring for people living with HIV/AIDS at the hospitals in Thulamela municipality, South Africa. A sample of 200 nurses was taken randomly from the 4 hospitals and wards where HIV/AIDS patients are admitted in the municipality. A Likert Scale type of questionnaire was used as the instrument for data collection. The questionnaire was self-administered. The Statistical Package for Social Sciences software (SPSS) version 20.0 was used for data analysis. Ethical clearance certificate to conduct this study was issued by the University of Venda Research Ethical Committee. The result showed that the general feeling of a sizeable proportion of the respondents was that they suffered from signs of psychological problems due to their caring role and they also expressed feelings of depression and burnout.

Biography:

As a retired military nurse, she has travelled the world being involved with many types of health care systems.  Presently she is  at an academic health care system that is patient centered involved in improving the health care. Her nursing expertise is in critical care nursing where she believe patient mobility can improve patient outcomes and standard work via a multidisciplinary team approach. Currently she is an  CardiacNurseSpecialist in a cardiac thoracic ICU. She has published articles, research and presented at conferences on patient mobility.

Abstract:

A nurse-driven progressive mobility protocol was developed and implemented in a thoracic cardiovascular intensive care, coronary intensive care and thoracic cardiovascular acute care unit evaluating the impact on ventilator associated pneumonia, ventilator days, pressure ulcers, venous thromboembolism, discharge placement, length of stay and the number of patient falls.

A multidisciplinary team approach was used to develop progressive mobility guidelines, protocol, education and interventions for 3 different patient care units.  Several techniques were used to educate unit staff and implement the protocol.  In-services, demos and hands on methods were used for education.  In addition, mobility champions, laminated charts, incentives and a physician champion were approaches used for implementation. Research on immobility has found muscle weakness and wasting to be the most prominent complications responsible for disability in patients evaluated after discharge. Up to 60% of discharged critically ill patients may have long-term complications inhibiting them from complete functional recovery.   In fact, critically ill patients who are on strict bed-rest have a decline of 1% to 1.5% per day and up to 50% of total muscle mass in 2 weeks. Prolonged immobilization of patients in intensive care contributes to the risk of ventilator associated pneumonia; weaknesses associated with immobility have been associated with deep vein thrombosis, falls, and pressure ulcers. Studies have been published demonstrating that early mobilization contributes to an improvement in patients’ quality of life, endurance, and facilitated early weaning from the ventilator. Exercising patients may be challenging, but with a dedicated interprofessional team and protocols, early mobility has been found to be safe.

Biography:

Ana Bandin received her Bachelor of Science in Nursing from the University of Miami in 2006. She’s been a pediatric nurse in the respiratory unit for more than 10 years. Her expertise, passion for teaching, innovation and evidence based practice, led her to her current role of clinical educator for her unit. She’s a Master in Nursing Education candidate this summer. She serves as the facilitator for the nursing research and evidence based practice council at Nicklaus Children’s Hospital. She was presented the certificate of Excellence for an Evidence-based practice Poster from the Society of Pediatric Nurses in April 2016 and awarded Scholar of the Year for her organization in Nurses’ week 2016. Ana strives for quality and safe care through best practices while driving service excellence and patient satisfaction in her unit and organization. 

Jenna Klareich has been practicing as a pediatric nurse for 8 years. She obtained masters in nursing education from the University of Central Florida. While practicing as a bedside nurse, she acquired a certification in pediatric nursing. She then became an assistant nurse manager for a medical surgical pediatric unit and an orthopedic/neurology pediatric unit. Along with working at the bedside and in management, she also worked part time as an adjunct instructor at a local nursing college educating nursing students in the skills lab and taking them to clinical sites. Currently, I practice as a clinical specialist/educator on a medical pediatric unit. The specialties on the unit include, but are not limited to, gastroenterology, endocrinology, nephrology, and adolescent medicine. Educating patients, families, and staff about current evidence based practices is a strong passion of mine so everyone can benefit from high quality care.

Abstract:

Statement of the Problem: Achieving effective nursing education lies in addressing everyone’s learning needs while having students partake in their learning. The literature supports, skills fairs as significant way of validating competencies. Skills fairs are a way to reinforce practice guidelines and add new knowledge. The clinical educator team established the need to develop competency-based learning through a skill fair. The purpose of this skill fair was to increase the knowledge-base of nurses with varied experiences across the point of care, through a nonconventional learning opportunity, which standardized care delivery in medical surgical units.

Methodology & Theoretical Orientation: Skills chosen for the fair were based on a needs- assessment evaluation and common medical surgical skills. The 12 skills stations introduced were: Blood administration, quality indicators, wound care, intravenous access care, sepsis screening, chest tube care, tracheostomy care, pain management, infection prevention, medication administration, feeding tube care, regulatory agency, and code cart review. Pretests and post-tests were administered to all attendees. A passport was provided as a roadmap ensuring attendance at each skill stations. Upon completion, the completed passport entered a raffle. Visual, auditory, and kinesthetic learning styles were captured. Vendors were available to inform attendees about professional development opportunities. Feedback by way of evaluations, helped to clarify unclear points and share experiences.

Findings: From 200 attendees, pretest average was 74%. Post-test average was 90% showing knowledge retention. Three post-tests have showed monthly increase of knowledge retention at 89%, 90% and 92%. Pre-event self-knowledge increased from 78% to 94%. Satisfaction showed an average of 4.1 on a 1-5 scale.

Conclusion & Significance: Competency-based learning with skills fairs, benefits nursing practice and standardizes care. Findings demonstrated knowledge retention and event satisfaction. Competency-based learning with skills fairs enhances care delivery by improving skill sets for a more competent nurse in today’s evolving healthcare system.

Biography:

Salma Alshammari received Bachelor’s degree in Nursing Sciences from University of Hail in Saudi Arabia, and Master’s degree in Nursing Administration from Indiana University of Pennsylvania, USA. She is currently working as Teaching Assistant/Clinical Instructor at Shaqra University, College of Applied Medical Sciences. Her teaching interests include supervising students in the clinical settings in Nursing Administration Course and Community Health Nursing Course. Her role is helping nursing students in identifying their learning needs, strengths and limitations, and they select learning opportunities that will improve their knowledge. Her primary research interests are in the field of decreasing turnover rates among nursing staff through improving their job satisfaction. In her free time, she works as a Volunteer in a nursing home, Indiana PA, and a member in Toastmaster International Club.

Abstract:

One of the most common issues affecting the performance and productivity of healthcare facilities is nursing staff turnover. High rates of nursing staff turnover in healthcare facilities is a recent concern that may have negative impacts on nursing staff, patients, and healthcare organizations. Many of factors lead to increase nursing turnover rates such as nurses’ dissatisfaction, lack of engagement, and poor communication in the workplace. Although many solutions for reducing turnover rate are utilized, the percentages of turnover rates among nursing staff are still a major issue. Since many members of nursing staff cannot become involved in any decision making processes or share their ideas in healthcare sectors, nurses leave their jobs in order to find another workplace where the environment and job satisfaction are better. As a result, implementing of shared-governance principles is an effective strategy that has been recommended by various researchers for enhancing nursing satisfaction and retention rates. The aim of this presentation is to discuss the effectiveness of implementing shared-governance principles on turnover rates. Therefore, implementing of shared governance can provide nurses with an opportunity for involving into organizational decisions that influence the outcomes of quality health care.

Biography:

Lin Tao is working in School of Nursing, West China Hospital, Sichuan University. Her main research direction is Community Care. She has taken part in 2 international nursing conferences, which were held in Singapore and Thailand.

Abstract:

Background: The cost of curing chronic diseases has been the present growth trend. And, improving the health promotion and healthcare management may have achieved significant results in terms of population health maintenance. How to make the community health nurses' role full play and establish a comprehensive education development plan had been the concern of the Chinese Government.

Objective: The purpose of this study was to investigate community health nurses' role, work contents, and explore the reasonable teaching methods by knowing nurses’ learning needs.

Methods: A descriptive cross-sectional design using self-answered questionnaires comprising demographic questions and three scales measuring actual role, work content and teaching needs scale was used.

Results: 1,015 community health nurses in 56 CHS centers were cluster sampled. Findings showed that the community nurses mainly undertook the roles of health educator (94.0%), health care giver (84.9%), collaborator and coordinator (78.5%), observer (73.9%), manager and organizer (52.3%), but seldom undertook advocate role (48.4%), leadership role (27.7%) and research role (32.3%). And, there were five most important work contents: Health education (84.4%), providing care for patient directly (71.4%), community-based prevention (70.1%), chronic disease management (69.6%) and elderly healthcare (66.5%). This presents a problem for community nursing education: lacking of related ability such as advocating for residents, leadership skills and scientific research skills are perceived as the greatest need. Nurses preceptors also need to improve teaching related to maternal healthcare, child healthcare, mental rehabilitation, family health nursing and hospice care.

Conclusions: For community health nurses in China to function perfect, making best use of interactive teaching methodologies and encouraging nurses in community based research projects helped a lot to improve individual quality and ability. Meanwhile, encourage nurses in family health survey and learn to do community diagnosis contributed to take good care of vulnerable groups.

Biography:

Xiaoxia Chang is a Graduate student who has studied in Sichuan University and is registered in West China Hospital. She has published 2 papers in core journals in China. Her major is Clinical Nursing and she is devoted to improve and/or maintain the health behaviors of patients.

Abstract:

Background: Daily management of diabetes is the prerequisite to promote blood glucose and quality of life in diabetic patients, especially in patients with insulin therapy. The self-management behaviors in diabetic patients with initial basal insulin therapy have attracted little attention in the literature.

Objective: To investigate the blood glucose levels and self-management behaviors in diabetic patients with initial basal insulin therapy. And analyze the effect of the Compliance Program for Basal Insulin Usage Standardization on self-management behaviors of diabetic patients.

Methods: A convenient sample of 257 outpatients with initial basal insulin therapy hospitalized in a major hospital during February 2016 to October and August 2016 participated in the study on a voluntary basis. Initial diabetes education was conducted to participants by nursing specialists. Patients’ demographic information and the result of glycosylated hemoglobin were collected at initiate. Short message and telephone follow-up were conducted regularly. The items of summary of diabetes self-care activities (SDSCA) were gathered by questionnaires at initiate and after three months.

Results: The blood glucose control conditions were poor among diabetic patients starting basal insulin therapy, with 24 patients (9.3%) meet the goal of glycosylated hemoglobin (HbA1c<7%). And the total SDSCA score was about (26.64±14.71) at initiate, in which 64 patients (24.9%) performed well. The total score of self-management behaviors was significantly improved after three months intervention with score of (50.61±8.48) and 192 patients (74.7%) performed well. All dimensions of self-management behaviors was significantly different (P<0.01).

Conclusion: The blood glucose levels and self-management behaviors in diabetic patients with initial basal insulin therapy are not optimistic. And the compliance program for basal insulin usage standardization contributes to improve diabetes self-care activities.

Biography:

Susan Brown is a public health nurse who has found her passion in serving and advocating for the underserved in the community. She is a school nurse in a Title 1, low-socioeconomic area and works diligently to bridge the gap by educating and providing healthcare resources to her clients. Her passion led her to South Dakota to work with the Lakota Sioux and assess ways to help the population obtain more and necessary healthcare and wellness services. Her work has ignited a conversation between a local organization and a visiting university where initiating healthcare resources is gaining momentum and may become available in the near future.

Abstract:

The Native American Lakota population in La Plant, South Dakota face abject poverty, isolation, and substandard healthcare resources. In remote regions where access to healthcare is deficient, non-profit organizations are the conduit to linking remote regions to adequate healthcare. With guidance from healthcare professionals, non-profit organizations can bridge the healthcare gap and become a vital pipeline for healthcare services.Specific healthcare recommendations are developed from a community assessment and interviews with the Lakota. The recommendations combine traditional values with modern evidence-based healthcare technology and strategies. Recommendations support cultural values to initiate mHealth, Area Health Education Centers, mental health and other simple, but powerful initiatives. The recommendations account for the political, cultural and socioeconomic barriers that exist on the reservation and introduce a one to three-year phase-in plan.There is only one non-profit, holistic organization operating in La Plant, SD. The organization works to rebuild the Lakota population into a self-sustaining community. Though not a healthcare organization, the company is entrenched in the community and has intricate knowledge of the gaps in healthcare and access. The organization has in-depth knowledge of the Lakota culture, are trusted experts in understanding population needs, and have significant connections that can provide the community with culturally appropriate healthcare services.The Lakota population is in need of adequate health services that are deficient or absent in the community. The goal of the five healthcare recommendations is to close the healthcare gap and decrease the physical and emotional isolation of the Lakota. Utilizing the only on-site organization to facilitate and advocate for a healthcare pipeline can build trust and foster optimum health within the Lakota community.

Biography:

Linda Sage has her expertise & passion in improving personal psychological health &wellbeing. Her significant list of global clients, range from hospitals, educational institutions, prisons and corporate entities; throughout the UK, US, Europe & Middle East.  In all caring environments the professionals are less likely to care for themselves; changing that mindset is at the core of Linda’s message. It is possible to be, do & have everything you want, by helping others and looking after yourself.  An international speaker, author, trainer & mentor, with decades of experience & knowledge, energize any event and attendees. Her simplified message of self-worth, instantly effects  all levels of personnel, to achieve, do and be more with a positive frame of mind; demolishing the irrational fears, phobias, beliefs & habits that Compassion Fatigue can compound.  Building a more resilient person provides the individual, employer and patient/client a much more competent and confident professional.

Abstract:

Statement of the Problem: Compassion fatigue; puts healthcare workers & patients at risk. Everyday  careworkers struggle to function in care giving environments that present heart wrenching emotional challenges.

Compassion Fatigue (CF) the profound emotional & physical erosion takes place when helpers cannot refuel & regenerate.

Helping professionals open their hearts & minds to clients/patients; this empathy makes helpers vulnerable to be profoundly affected & possibly damaged.

Burnout physical & emotional exhaustion; experienced when there is low job satisfaction, feeling powerless & overwhelmed.

Signs of CF & Burnout

overtaxed by work, showing similar symptoms to traumatized clients; difficulty concentrating, intrusive imagery, feeling discouraged, hopelessness, exhaustion, irritability, high attrition (helpers leaving) & negative, dispirited, cynical workers remaining in the field, boundary violations which affect the workplace & create a toxic environment.

Factors in CF &Burnout?

The individual: Life circumstances, coping style, personality type. Life stressors ie; taking care of both young children and aging parents, in addition to managing a heavy & complex workload. Helpers are not immune to pain in their own lives; they can be vulnerable to life changes such as divorce & addictions.

The Situation: Helpers often do work, others don’t want to hear about; spend time caring for people who are not valued or understood in society, homeless, abused, incarcerated or chronically ill. The working environment is often stressful & fraught. The work is very stressful, clients/patients who are experiencing chronic crises, difficulty controlling their emotions, or who may not get better.

What can be done?  Working in a healthy organization. Access to supportive, flexible management, reduction of trauma exposure, ongoing staff education. Timely, good quality supervision; reducing hours working directly with traumatized individuals. Personal strategies: strong social support, home & work; increased self- awareness, regular self care.. Making life changes, prioritize personal health/wellness Develop stress resiliency skills.

Biography:

Christina Ross is Working in  University of Virginia .Her Research interest includes Health Practices,Nursing Standards.

Abstract:

Introduction: In 2014, youths between the ages of 13 and 24 accounted for approximately 22% of new HIV infections. African American youths have disproportionate rates of STD infection and teenage pregnancy in comparison to other races. There is a need for interventions to effectively address the alarming rates of STDs and teenage pregnancy disparity among African American Adolescents.

Purpose: The purpose of this paper was to evaluate the effectiveness of influential and informative adolescent and caregiver communication in fostering positive sexual health practices among female African American adolescents, and generate future implications for necessary interventions.

Methods: A literature review was conducted using electronic databases. There were four main inclusion criteria for study selection: 1) Black or African American females; 2) Adolescents aged 12 – 19 years old; 3) African American parents or caregiver’s sexual health education and parenting strategies, and 4) Research conducted between 2010 to 2015.  Fifteen studies were included in the literature review, in addition to online generated sources. 

Results:  Communication with adolescents regarding sexual health education have been effective in promoting increased use of contraceptive methods, delay in the initiation of sexual activity and adolescents’ better understanding of options related to reproductive health. Mothers are often the primary communicator in sexual health education. Negatively, many parents and caregivers lack the adequate supporting resources to fully engage in communication with adolescents regarding sexual health education.

Conclusions:  Every family dynamic varies; therefore, one strategy might be more beneficial in one household in comparison to another. However, adolescents reported scare tactics, withholding information, close monitoring and dishonesty were the least effective parental strategies. As a result, caregivers should be open and willing to sit with their children and engage in any dialogue, which will open the door for comfort in sharing concerning information between caregivers and adolescents.

Biography:

Watchara Suktae has teached student nurses at Boromarajonani College of Nursing, Sawanpracharak Nakhonsawan for 25 years . She is a specialist in Neonatal Nursing.

Abstract:

The Propose of this quasi-experimental research were 1) to compare pre and post khowledge of nursing students’ premature newborn nursing care by using simulation 2) to compare the  khowledge of nursing students’ premature newborn nursing care between an experimental group and a control group 3) to study the opinion of nursing student after using simulation. The sample groups used in this research were 60 nursing students in 2014 academic year. The subjects were divided into 2 groups, 30 were assigned tobe in control group and 30 were assigned to be in an experimental group by simple random sampling. The instruments were learning lesson plan using simulation, Focus group question and test about premature newborn nursing care. The data were analyzed by using percentile,average and t-test

The research revealed that:

 1. Nursing students who learning by using simulation had better scores in post khowledge about  premature newborn nursing care than that in pre- khowledge.

 2. Nursing students who learned by using simulation had better scores in post khowledge about  premature newborn nursing care than Nursing students who learned normally.

Biography:

Carmel Sheridan graduated with first class honours in her Master’s degree in Psychology from the National University of Ireland in 1986. She completed a second Master’s degree in Health Psychology in 2014. Carmel is a psychotherapist and supervisor in private practice in the West of Ireland. She teaches mindfulness and compassion-based practices to healthcare professionals, including nurses, with a focus on self-compassion to promote resilience, focus, self-care and well-being. She is the author of 3 books: Failure-Free Activities for the Alzheimer’s Patient, Reminiscence: Uncovering a Lifetime of Memories and The Nurse’s Guide to Cultivating Mindfulness and Compassion.

Abstract:

Mindfulness and compassion — the practices of focusing awareness on the present moment, and relating kindly to ourselves and others  — offer nurses powerful resources to cope with stress, resulting in improved self-care and better patient outcomes. To nurse mindfully, you need to be mindful. There’s no way around it. Being totally present with your patients is the greatest gift you can give to them.

   In light of this, the first part of this session will be largely experiential in nature, beginning with a guided mindfulness practice so that you can first learn to embody the practice. Exercises and meditations from the new book, The Nurse’s Guide to Cultivating Mindfulness and Compassion, will be used to explore the benefits and value of cultivating mindfulness and self-compassion.

   The benefits of mindfulness and compassion practice have been well researched. These practices enhance physical and emotional well-being, help cultivate presence and empathy in everyday life, improve awareness and attention, and boost compassion for oneself and others.

   Current research highlighting the benefits of mindfulness and compassion practice will be explored. You will walk away with tangible tools that will build resilience and foster mindfulness by bringing a kind attention to the here and now. Using an interactive and experiential format, the workshop will deepen your understanding of how these practices can be easily integrated into your workday and help you to:

• Nurture others without depleting oneself
• Overcome compassion fatigue and burnout
• Decrease frustration and job overwhelm
• Reduce mistakes through managing attention
• Respond rather than react to crises

Biography:

Erlynda Mangaco-Borja is working as a SNF Director of Staff Development and Clinical Nurse Lead/Educator in Sharp Birch Patrick Skilled Nursing Facility,USA.Her Research Interest includes Nursing practice,Nursing Standards,Nursing care.

Abstract:

Pressure ulcer prevalence remains a major health concern in long-term care facilities. The treatment of these pressure ulcers causes a financial drain on health care resources and adds potential costs for the family of the institutionalized elderly, according to the Agency for Healthcare Research and Quality. The prevention of pressure ulcer development continues to be an essential objective of caregivers for elderly people. This study demonstrated a correlation between the permanent assignment of nursing assistants and the prevention of pressure ulcers among the elderly in a nursing home.

Biography:

Vincent Raphael V. Manarang has completed his BSN and MAN (Major in Nursing Administration) at Centro Escolar University, Manila, Philippines. He is a full-time professor in the same university teaching the subjects: Primary Health Care, General Anatomy 1 & 2, General Physiology, General Pathology and General Microscopic Anatomy and Embryology. He is also a part-time National Review lecturer for both Nursing and Midwifery Licensure Examinations.

Abstract:

In a complex and evolving world of health care environment today, nurse educators are being challenged to prepare the Millenial students for professional practice in nursing through active learning. Assessing Self-directed Learning Readiness (SDLR) is an important factor in promoting active learning and enhancing academic performance of nursing students. Moreover, considering learning styles is also essential in helping students understand their learning needs.

This descriptive-correlational study aimed to assess the level of readiness of student nurses for self-directed learning, their learning styles and the relationship of these two factors. The Autonomous Learner Index of Abu-Moghli et al (2005) assessed the level of readiness in self-directed learning and the Learning Style Inventory of Kolb (2005) assessed their learning styles. Total population sampling was utilized covering 103 regular nursing students of Centro Escolar University for First semester of school year 2016-2017.

Findings of the study revealed that most of the nursing students were independent learners (52%), there were no dependent learners but there are several respondents who were uncertain (48%). Moreover, all the types of learning styles were present showing the variation in learning styles of nursing students but mostly prefer the Convergent learning style. The study concluded that there is no relationship between the variables: demographic profile, level of readiness for self-directed learning and learning style. However, the scores of convergent learning style was higher than that of divergent in their readiness in self-directed learning readiness, as well as those with convergent learning styles compared to those with accommodative learning styles.

Biography:

Clarita Penalba is working in College of Nursing UERMMMCI,Philippines.Her Research interest includes Nursing Education,Nursing Standards,Nursing Practice.

Abstract:

Purpose:  This study was conducted to monitor nursing education programs’ (HEIs) quantitative and qualitative data and to determine its implication in designing a responsive prototype monitoring model.

Methods: Qualitative-descriptive study of two (2) major groups of respondents: 10 or 18.18 percent university administrators; and 45 or 81.82 percent faculty, or a total of 55 participants.            Self-structured survey questionnaire validated by a panel of expert was utilized.

Results: There exist no significant (Z=1.367; cv = 1.645) difference in the assessment of the two groups of respondents (the administration and faculty members).  In the computation of the Z test the highest computed Z is in administration, Z = 1.367; and the lowest is in Laboratory and Cooperating Agencies, with Z = 0.054. The researcher, based on the result of the survey proposed a prototype Monitoring Model for the agency so that a system of monitoring activities can be readily available.

Conclusion: All HEIs adequately comply based on the result of the quantitative and qualitative data. However, compliance failed to attain full level of functionality and interdisciplinary approach in the areas of faculty, facilities and equipment, research and development requirements.  The proposed Prototype Monitoring Model by the researcher adopts the CHEDs monitoring goals and objectives and recommended for the utilization of HEIs administrators as a means to further comply to strategic monitoring requirements of the CHED.