20^th World Nursing Education Conference May 22-24, 2017 Osaka, Japan

Biography:

Karry Ming LIU has completed her PhD from Chiang Mai University 2005. She is the Dean of the School of Health Sciences, Macao Polytechnic Institute. She has published more than 40 papers in international and domestic journals and also several books and book chapters. She has been serving as an editorial board member of couple of journals.

Abstract:

This study aimed at investigation of the stress perceived by nursing students in the clinical learning environment, and reviewing teaching and learning modality of nursing education in Macao. The study recruited 203 nursing students and SINS-CN was used to measure nursing students’ stress. The overall SINS-CN mean score was 3.33 (SD = 0.49), while the scores for different dimensions were 3.03~3.44. Study year had a statistically significant association with stress level（p=0.000~0.026）. The high stress scores could be results of inadequate preparation and lack of confidence. Students often worry that any mistake then make will affect their grade and even their status. According to the currently implemented clinical placement procedures, any mistake made by student would be suspended from his/her clinical placement. The other most common stressors were related to the heavy workload. This might be a result of the heavy curriculum with too many clinical placement hours. The 4-year Bachelor of Nursing program in Macao was designed with 160 learning credits, among which 46 credits (1,840 hours) are clinical placement. Another notable result is worth to reflect is that year one students had a highest perceived stress. Though, this result is similar with several other studies’ findings, the consequence is very adverse in Macao context since we found the first year withdrawal rate is incredibly increasing in recent years. It may be a useful way to help junior nursing students to prepare well before clinical placement and adjusting assignments as well as the performance assessment modality.

Biography:

Abstract:

Biography:

Yann-Fen Chao completed her PhD study from Rush University College of Nursing in1991. Currently she was a Professor and Chair of Department of Nursing at Mackay Medical College in New Taipei City, Taiwan. Dr. Chao published more than 100 research papers with 41 in SCI journals. She also has been served as an editorial board member of a SCI journal. Her research areas were patient safety, symptom management and nursing education.

Abstract:

Since2006, 8 core competences were proposed by Taiwan Nursing Accreditation Council for 4-year BSN program.  This paper reported a 5-year longitudinal study examining the trajectory of competence development of nursing students of four-year BSN program and related factors. A total of 119 students who enrolled into a 4-year BSN program during 2011 to 2015 were included. They filled-out a structured questionnaire at the end of every semester from their sophomore year to graduation. The results revealed that students had various levels of nursing competencies on their entrance. One big growth was found in their second year after staring clinical practice, indicating the significance of exposure to clinical settings. At their 4^th year before graduation, all the students could achieve up to 80% of the 8 core nursing competencies. Among the 8 competencies, “ethical” and “accountable” were the two which always ranked top. The levels of competencies were not correlated significantly with their anxiety levels which were ranged at light moderate. Communication ability accounted most of the variances of total competence scores. Time management had the most significant influence on all 8 competencies. The finding suggested enhancing the curriculum on communication and time management for nursing students.

Key words: BSN program, competence development, nursing student 

Biography:

Dr Juliana  graduated from the National University of Malaysia (UKM) in 2005. She obtained her Masters of Obstetric & Gynaecology in 2014  from UKM of which she was trained at Sultanah Bahiyah's Hospital , Alor Star Malaysia from 2009-2012. She is now a lecturer in Obstetric and Gynaecology in Faculty of Medicine in University Institute Technology of MARA ( UiTM) Sg Buloh and also work in Sungai Buloh’s Hospital as an Obstetrician & Gynaecologist. As a lecturer, she is active in coordinating clinical exams for undergraduate students.

Abstract:

To evaluate the prevalence of use of complementary and alternative medicine (CAM) in a Malaysian antenatal population and its impact on obstetric outcome

Design : Cross sectional study in  Obstetric Unit, Hospital Sultanah Bahiyah, Alor Setar, Kedah.Malaysia

Results

Out of  447 women, the overall prevalence  of CAM usage in pregnancy was 85.2 %.  It was popular among pregnant mothers aged between 26-35 years old   and most commonly used in the third trimester (p=.0.010) to facilitate labour.   Traditional herbs was the commonest type of CAM used in pregnancy (58.3%) followed by selusuh (24.3%).  About 78.5% of the CAM users delivered vaginally (p=0.020) but a significant proportion (14.3%) had fetal distress (p=0.035) compared to non CAM users.   The most common type of herbs used was akar kayu bunga Fatimah (37.7%) and gamat (13.4%).  In our study, usage of selusuh product and akar kayu bunga Fatimah had a significant impact in achieving vaginal delivery and shortened the duration of labour particularly in multiparae.  The usage of Kacip Fatimah and Salindah was associated with preterm labour ( p= 0.04)Tongkat Ali  herbal coffee had a significant association with hypertensive disorders in pregnancy ( p=0.011)  and fetal distress (p=0.04)  Meanwhile, the usage of Jamu Mustika Ratu was  significantly associated with low birth weight in grandmultiparae  (p= 0.026)and spirulina  was significantly associated with oligohydramnios (p =0.04)

Conclusion:
Usage of CAM in pregnancy in the Malaysian population  is of  high prevalence  .CAM in pregnancy has both  beneficial and adverse obstetric outcomes  . More research is needed to establish the safety of usage of various forms of CAM in pregnancy.

Biography:

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.

Biography:

Mrs. Sita has completed her Master in Nursing (specialized in child Health Nursing) in 2008 A,D. from Tribhuvan University which is very  reputed and oldest university of Nepal. She is working as a Assistant Professor in Kathmandu University. She  has published more than 9 papers in reputed journalser  (5 orginal research papers and 5 other articles) and has been worked  as a research advisor in more than 25 research paper of B. Sc. Nursing Students.

Abstract:

Background

As the evidence based practice (EBP) movement expands, there is a need for health leaders and educators in each country to assess the extent to which health professional students and practitioners are prepared to locate, evaluate, and apply evidence to guide their practice.

Objective

The study objective was to explore nurses’ and nursing students perceptions and attitudes towards EBP.

Method

This was a descriptive cross-sectional survey administered to all 273 nurses and nursing students from Nepal who attended an EBP conference. The survey instrument that was used by Majid in Singapore was adapted for use in this study with permission from the author.

Result

In total, 121 nurses participated in the study. The majority (93%) of respondents reported that they had no previous training in EBP. The respondents’ perceptions of their EBP knowledge and skills were variable, but most of them demonstrated positive attitudes toward EBP. Respondents identified a number of barriers that limit the implementation of EBP in Nepal. The greatest barriers were lack of time and resources, difficulty understanding research articles and translating the findings to practice, and limited autonomy to change practice based on evidence.

Conclusion

Although respondents had positive attitudes towards EBP, their knowledge and skills were limited and barriers to implementation existed. Nursing faculty can use the findings to guide implementation of EBP into curricula, and nursing administrators and clinicians can use the findings to guide practice to promote EBP. 

Biography:

Noura is a senior nurse educator. She has twenty years’ experience in a variety of nursing roles including clinical and administrative positions within the Ministry of Health (MoH) in Saudi Arabia (SA). In 2000, she achieved a Bachelor’s degree in nursing and worked in clinical and managerial positions. In 2003, she joined a newly established General Directorate of Nursing at the central level of the MoH as Head of Training and Nursing Programmes. In 2009, Noura obtained her Master’s Degree in nursing education from Marymount University, United States of America (USA) and became actively involved in the development of nursing departments in twenty regions of SA, to promote nursing as a profession. She has been involved in a five-year strategic plan of nursing, promoting it as a competitive and professional choice. In 2011, she became Director of Training and Nursing programmes. This role focuses on the assessment of the educational needs for nursing across twenty regions in SA. In 2012, she joined the Nursing Technical Committee of the Gulf Cooperation Council (GCC), a political and economic alliance of six Middle Eastern countries. Currently, she is a PhD student at Salford University and  her thesis on ( nursing workforce planning and development).

Abstract:

Health system reconfiguration in Saudi Arabia as a response to changing demographic and related health needs is an important and timely driver for the development of nurse education, specifically, the introduction of degree education as a basic requirement for nursing practice.  The Saudi government is trying to meet international standards when it comes to nursing degrees and implemented a change to degree education, but, as a result of this, there are many challenges that still need addressing.

Utilising a qualitative case study approach, a document analysis was undertaken and semi-structured interviews conducted with twenty-five participants(at a macro, meso and micro level) in order to critically assess the actual implications of a nursing degree as the baseline criteria for and to enter nursing practice.

The formal and informal documentary analysis indicated that there was a clear lack of involvement from nurses in the consultation process of the implemented degree education policy. However, the interviews indicated a general agreement that a Bachelor degree for nursing would further support knowledge and communication requirements and improve the quality of nursing practice.

Factors affecting degree attainment included a personal commitment/passion for self-improvement, private versus government institutions, education quality and financial implications. Data indicated the benefits of an increased knowledge base in degree education, that it supported confidence and decreased absenteeism, enhanced nursing skills and responsibilities, and gave opportunity for advancement, but, more importantly, it increased the quality of nursing practice, and patient safety outcomes. 

Recommendations based on the findings of this study, highlight the importance of a need for consultation between governmental bodies and relevant nursing staff affected by future policy changes.  The need for a national curriculum, and a differentiation of nursing job descriptions, based on the education level attained, together with improved clinical supervision for nurses in practice.

Biography:

Elisabeth Jacob is currently the Associate Dean (Nursing) for the School of Nursing and Midwifery at Edith Cowan University. She practiced clinically as a registered nurse for over 20 years in both rural and metropolitan hospitals where she developed her interest in nursing education and workforce. She has experience in nursing management and education and practiced in medical, emergency and intensive care wards. Elisabeth’s research interests include: development of the nursing workforce; skill mix and its effect on patient outcomes; critical thinking and patient outcomes; and mixed methods research.

Abstract:

Statement of the Problem: The increasing number of complex patients admitted to hospitals requires registered nurses to be able to recognise complications and picking up on deterioration. Advanced critical thinking skills are required to detect early signs of complications. Registered nurses are expected to commence their clinical careers with the appropriate critical thinking skills to ensure safe nursing practice. Despite the importance of critical thinking in ensuring patient safety and enabling detection of changes in patients’ conditions, no standardised critical thinking tool specific to nurses is available in Australia to assess these skills in nursing. The purpose of this study was to develop an assessment tool to measure the critical thinking ability of nurses. Methodology & Theoretical Orientation: A modified Delphi study was used for the development of the critical thinking assessment tool. Funding for the study and ethical approval were obtained in 2016. The case scenarios for the questions were developed using national health data. Face validity was determined by an expert reference group of clinical and academic nurses. Case study answers were developed using a modified Delphi study. Panel members were expert clinicians and educators. Rasch analysis of the questionnaire was used to assess validity and reliability of the tool. Findings: The use of a modified Delphi study and Rasch analysis provided an effective way of developing a validated assessment tool for critical thinking. Conclusion & Significance: Critical thinking skills are vital to ensure patient safety and improve surveillance. This project reported on the development of a critical thinking assessment tool to provide a consistent method of measuring nurses’ critical thinking skills for Australian nurses. The ability to assess this skill will provide health care facilities with greater confidence in the critical thinking skill level of newly graduate registered nurses and ensure high levels of patient care are maintained.

Biography:

Amy Reitmaier Koehler is an Associate Professor of Nursing at Winona State University since 2006.  She graduated with a PhD in nursing from the University of Wisconsin- Milwaukee and has presented at multiple local, regional, national and international conferences as well as published several articles focusing on gerontological nursing education. She currently practices as an RN in Hospice at Winona Health in Winona, MN. She teaches both Research and Evidence- based Practice and Caring for the Older Adult to junior level nursing students and has also managed multiple research projects with older adults and students.

Abstract:

With an aging population, it is critical that nurses are educated and prepared to offer quality healthcare to older adults. Incorporating gerontology content into nursing curricula and addressing students' perceptions and career choices in relation to working with older adults are important faculty concerns. The purpose of this quasi-experimental study was to examine the impact of a stand-alone course in gerontological nursing on undergraduate nursing students' perceptions of working with older adults and career intentions.  Data were collected from three student cohorts during the spring semesters of 2012 (n = 98), 2013 (n = 80) and 2014 (n = 88) for a total of N = 266.  A survey instrument was administered and completed by students prior to, and following completion of the course. There was an overall significant increase (p = 0.000) in positive perceptions of working with older adults among nursing students following completion of the course. Post-test scores showed no significant difference between these two groups, with both groups having increased perception scores (p = 0.120). Student preferences for working with different age groups suggested an overall increase in preference for working with older adults following the course. A course in gerontological nursing, incorporating learning partnerships with community dwelling older adults, promotes positive perceptions of working with older adults, independently of the quality of prior experience. There was some evidence that students changed their preferences of working with different age groups in favor of working with older adults.

Biography:

Education: BS, 1998 --Taipei medical College, Taipei, Taiwan -- Nursing Master's degree, 2011, National Taipei University of Nursing and Health Science, Taipei, Taiwan-- Graduate Instituate of Health Alliend Education

Experience: Clinical nurse 17 years, BS, RN, Taipei Veterans General Hospital Nursing; Phd student in National Yang-Ming University, Taiwan, Taipei, Taiwan Department , Taipei, Taiwan 2~8 May 2011 Malta ICN conference POSTER presentation.

Abstract:

Objectives:

The purposes of this study were to examine the degree of teaching effectiveness among clinical nursing preceptors and to explore the relationship of teaching effectiveness between preceptors’ self-evaluation and new nurses’ evaluation.

Methods:

The Teaching Effectiveness Questionnaire was used to understand the extent of teaching effectiveness from both clinical nursing preceptors’ and new nurses’ perspectives. This questionnaire included five sub-scales: Maturity of Personal Characteristics, Proficiency of Professional Knowledge, Effectiveness of Teaching Strategies, Harmony of Interpersonal Relationships, and Objectivity of Teaching Evaluation. Descriptive statistics, ANOVA, and Pearson correlation were utilized.

Results:

The results of the research are as follows: (1) The teaching effectiveness was above average rated by both clinical nursing preceptors and new nurse. Harmonious Interpersonal Relationship was rated the highest and Effective Teaching Strategies the lowest. (2) Overall clinical nursing preceptors’ self-evaluation on teaching effectiveness was significantly correlated with new staff nurses’ evaluation on preceptor teaching effectiveness in the positive direction.

Conclusions:

The participants rated teaching effectiveness high in general, and valued having harmonious interpersonal relationship the most. Due to the Effective Teaching Strategies sub-scale scores of teaching effectiveness were low, a few implications can be considered. These include: to promote continuing education on teaching strategies, and to set up peer support network for preceptors to exchange their feedback and experience.

Biography:

Yun-Hsuan Lin has completed her master degree at the age of 28 years from National Cheng Kung University. She is a lecturer of Ching Kuo Institute of Management and Health, and doctoral candidate of school of Nursing at Yang Ming University.

Abstract:

Self-awareness can help nurses increase their concern for patients and perceive the patients’ real needs. Conversely, group dialogues help learners engage in self-exploration as well as facilitate their diversified and deep thinking. Therefore, group discussions have been viewed as a feasible nursing education strategy. The purpose of this study was to explore and analyze the development of self-awareness among nurses through group activities. Using a descriptive and qualitative research design, data were collected at 13 sessions of 90-minute unstructured group meetings from October 2014 to January 2015. The group activity process was audio-recorded and transcribed, and the transcripts were further examined through content analysis. The major research findings were as follows: 1. the development of self-awareness includes the three stages, namely mirror reaction, resonance, and awareness; 2. self-awareness includes: (1) a self developed according to others­­­­­­­­—through gaining others’ recognition and being mindful of others’ opinions, and (2) a true self developed through seeing oneself and looking inside oneself. The results of this study can serve as referential information for nursing education to elevate nurses’ self-awareness.

Biography:

I am a Saudi nurse with twenty years’ experience in a variety of nursing roles within the hospitals in the Ministry of Health hospitals. In 2008, I joined a hospital nursing education programme at a Maternity and Children’s Hospital, and became actively involved in the development of the nursing education department in order to enhance nursing education standards to improve the quality of nursing care. In 2008 I worked as a clinical educator in a MoH hospital and then my position was up-graded to Assistant Director of Nursing in King Abdul-Aziz Hospital. I decided to upgrade my knowledge to study a BSc at university and then I graduated from the University of Nottingham with a Master’s in Advanced Nursing in 2012. I am currently studying for a PhD at the University of Salford, Manchester UK.

Abstract:

Statement of the Problem: In Saudi Arabia, a shortage of Saudi nurses has reached a critical point in nursing workforce planning; there is a need to fill nursing positions in order to cover this shortage and meet patients’ needs. Part of the problem is that many intern nursing students (mentees) are placed in demanding roles without sufficient training or adequate preparation. Many mentees in the early stages of developing their skills consider clinical practice to be a challenge for their capabilities. The purpose of this study is to explore the influence of current mentorship programme for mentees to understand how it influences their knowledge, skills, and attitudes.

Methodology: A qualitative case study design has been chosen as a research strategy for this study, as it can provide realistic information about the influence of current mentorship programmes on intern students in two MoH hospitals in KSA in order to understand different perspectives. Data Collection: documentary material using categorisation strategy, i.e. documents from official, formal or informal sources and recordings made during participant observations and semi-structured interviews will be employed and recorded with the stakeholder teams, mentors and mentees.

Participant Observation in clinical settings: Following observation periods, the informal conversations of the study participants and the researcher will be documented to identify first-hand how the mentees reflect on what they learnt in their mentorship programmes. Analysis: Grounded Theory Analysis will be used to analyse the results of documentary analysis, semi-structured interviews and participant observation.

Biography:

Melvin D. Miranda has completed RN, MAN from Manila Central University College of Nursing EDSA, Caloocan City, Philippines.

Abstract:

Biography:

Abstract:

Pain and symptom management is the most important area of pediatric palliative care, but clinicians often receive little training in this area. Our research evaluated the effectiveness of pain and symptom management training among pediatric professionals. A quasi-experimental pretest-posttest study was used. Fifty-three pediatric nurses and 18 pediatricians participated in this study for a response rate of 80%. Results showed significant main effects of training on confidence levels (p- value < 0.001), and attitude scores (p- value < 0.001) among pediatric clinicians in a variety of areas with no differences in scores between pediatricians and nurses. This suggests that education can effectively increase pediatric clinicians’ confidence in and attitudes toward providing pain and symptom management for children with severe illness. Further training is needed to promote interdisciplinary healthcare team work to improve the effectiveness of pain and symptom management.

Biography:

Abstract:

The study reveals that blended learning approach facilitates competency development among student nurses. Knowledge is transferred faster with the use of digitally prepared modules and comprehension is enhanced sine it is an independent self-directed learning package which allows student to study and review content and actual procedure at their most convenient time as often as they deem necessary. Skills are likewise developed with the provision of guided practice sessions with an experienced clinical instructor using a step-by-step procedure checklist. Moreso, attitude of caring is developed in performing fundamental procedures with a classmate or actual patient. The need to promote being gentle, compassionate and provision of privacy were observed as student nurses performed required nursing procedures.

Biography:

Dr Masango is currently working as a senior lecturer in the Department of Health Studies at the University of South Africa (UNISA). She has previously worked as a professional nurse at Ngwelezane hospital in KwaZulu Natal Province (1982-1985), as a lecturer and senior lecturer  at the University of Zulu Land (1995- 2007), Provincial coordinator for the University Research Cooperation (2007-2009) and Campus manager at Net Care Education (2009-2010). She is and has been involved in the supervision of post-graduate students (M&D) some of which have completed their theses and dissertations. 

Abstract:

Purpose: To explore and describe the lived experiences of student teachers currently registered for the Bachelor of Curationis (BCUR) studying in an ODL university. The degree comprises nursing education and management and the students had attended the teaching practice workshop, a component of nursing education programme.

Method and design: An explorative, descriptive, interpretative and qualitative design was conducted to explore student teachers experiences of the teaching practice workshop they have attended. Purposive sampling which is based on the belief that the researcher’s knowledge about the population can be used to hand pick sample elements was used. Students who were willing to participate were requested to sign the consent form. Data was collected through written narratives and a Collaiz’s method of data analysis was followed.

Results: The majority of the students indicated that the workshop period of five days is too short compromising face to face learning and makes teaching and learning to take place under duress. They also expressed fear of the unknown and anxiety as they had never taught before. Others felt it was real experience situation, where they practiced peer assessment and had an opportunity of socializing with fellow students.

Conclusions:  Student teachers indicated that the one day orientation done beginning of the year should be extended to five days to facilitate maximum guidance by lecturers and to ensure proper preparation of lesson plans. This should be followed by another five days for the teaching practice workshop. Audio visual teachings and recording was suggested as a form of assessment. Use of latest technology such as power point presentation should be used instead of overhead projectors and posters

Biography:

Farida Himat Khan has completed her Mphil in Health Sciences Education from Stellenbosch University South Africa in 2013. Her major subjects were curriculum development and analysis, Assessment Methods, Leadership, Research, Teaching in Primary Health Care and Teaching Methodologies. It involved a great deal of independent research, requiring initiative, self-motivation and a wide range of skills.  She is the principal of Islamabad Nursing College. She worked with International NGOs and Pakistan Nursing Council to strengthen the Examination Systems of nurses.

Abstract:

Aim This study aimed to explore the perceptions of third year nursing students regarding the ethics module at Shifa College of Nursing, Islamabad, Pakistan.

Method Third year nursing students (n=26) completed a retrospective pre/post survey rating their knowledge before and after the ethics module. Focus group discussions (FGDs) addressed the importance of ethics teaching in nursing, the content, teaching and learning strategies of the module as well as whether the application of the concepts learned in the classroom were practiced in the clinical setting.

Results Participants rated their knowledge higher in the post-test (4.00) than the pretest questionnaire (2.26) (p=0.003). The main themes identified during the focus group discussions were: understanding their responsibilities towards the patient; an appreciation of the patient as a human being; applicability of the module to the clinical setting; the role of student nurses in ethical decision making in the clinical setting; and the teaching and learning strategies. The context of the nurse's practice was also identified as being important.

 Conclusion The participants valued the ethics module and its applicability to the clinical setting, but changes in the content of the module and the teaching and learning strategies were suggested. 

Biography:

Abstract:

Introduction: Despite of considerable impact of context based learning as an educational method in the field of Evidence Based nursing education, The workshop is still one of the most widely teaching method that are used, particularly in nursing  for promotion of  the knowledge, attitude and Practice in different contexts. Since the Success of Organ Donation Process is Closely Related to the Knowledge, Attitude and Practice of Nurses toward Organ Donation Process, Therefore This Study was conducted to compare the Effect of Two Teaching Methods (Workshop & Context Based Learning) on Nurse's Knowledge, Attitude and Practice in Relation to Nurse's Role in Organ Donation Process.

Methods: In this Experimental study, Through Random Assignment, 3 ICU Wards of Gheam Hospital of Mashhad university of medical science devoted to Context based Learning and 6 Wards devoted to Workshop Group. Then through Stratified Random Sampling Allocation Method, Demandable Nurse's That Determine based on Pilot Study were Selected and Intervention Was Done on 60 ICU Nurse's (each group, n=30(. The CBL Training was performed in 3 session, every session length 2 hours and Time Interval between Sessions was 1 week. In workshop group, Intervention was performed in two stages, every stages length 3 hours and between two stages was last 1 week. Both group before and 1 month after intervention complete questionnaire of Assessing nurse's Knowledge, Attitude and Practice in Relation to Nurse's Role in Organ Donation Process. Data Analysis was done by SPSS11.5 software and by using t-test, Paired test, Wilcoxon, Man-whinny and Chi-Square.

Results: Change Score of Knowledge in Context Based Learning was (43/4± 13/1) greater Than Workshop Group (14/3± 4/0) that statistically was Significant (p<0/001). Also in Attitude Change Score in Context Based Learning was (28/7 ± 21/2) greater Than Workshop group (13/1± 8/7) that statistically was Significant (p<0/001). Furthermore in Practice Change Score in Context Based Learning was (73/6± 21/1) greater Than Workshop group (23/3± 6/8) that statistically was Significant (p<0/001).

Conclusion: Based on Results, Context Based Learning Program had more effect in increasing average Level of Knowledge, Attitude and Practice in relation to Nurse’s Role in Organ Donation Process rather than the Workshop Method. It is therefore suggested to utilize Context Based Learning Method for Evidence Based education of Nurse's Role in Organ Donation Process.

Biography:

Zaid M Al-Hamdan, PhD, RN, is an associate Professor at the Faculty of Nursing, Jordan University of Science and Technology, Irbid, Jordan. He achieved his PhD in Nursing Management from De Montfort University in the UK, and his post doctorate certificate from the University of Michigan.  Professor Al-Hamdan has more than 25 years of experience in the clinical and educational field; he has published over 15 research papers in different journals and had many oral presentations in different international conferences.

Dr. Al-Hamdan serves as chair of IRB at the Jordan University of Science and Technology’s school of Nursing. He also serves as a reviewer and editorial board member for many international nursing journals. On top of that, he also serves as a supervisor and co-supervisor for many master’s nursing students. He serves as curriculum development consultant for many universities in the region.

Abstract:

Purpose: The purpose of this study was to examine associations among the nursing work environment, nurse job satisfaction, and intent to stay for nurses who practice in hospitals in Jordan.

Design: A quantitative descriptive cross-sectional survey design was used.

Methods: Data were collected through survey questionnaires distributed to 650 registered nurses who worked in three hospitals in Jordan. The self-report questionnaire consisted of three instruments and demographic questions. The instruments were the Practice Environment Scale of the Nursing Work Index (PES-NWI), the McCain Intent to Stay scale, and Quinn and Shepard’s (1974) Global Job Satisfaction survey. Descriptive statistics were calculated for discrete measures of demographic characteristics of the study participants. Multivariate linear regression models were used to explore relationships among the nursing work environment, job satisfaction, and intent to stay, adjusting for unit type.

Findings: There was a positive association between nurses’ job satisfaction and the nursing work environment (t =6.42, p < .001). For each one unit increase in the total score of the PES-NWI, nurses’ average job satisfaction increased by 1.3 points, controlling for other factors. Overall, nurses employed in public hospitals were more satisfied than those working in teaching hospitals. The nursing work environment was positively associated with nurses’ intent to stay (t = 4.83, p < .001). The Intent to Stay score increased by 3.6 points for every one unit increase in the total PES-NWI score on average. The highest Intent to Stay scores were reported by nurses from public hospitals.

Conclusion: The work environment was positively associated with nurses’ intent to stay and job satisfaction. More attention should be paid to create positive work environments to increase job satisfaction for nurses and increase their intent to stay.

Clinical Relevance: Hospital and nurse managers and health care policy makers urgently need to create satisfactory work environments supporting nursing practice in order to increase nurses’ job satisfaction and intent to stay.

Key words: intent to stay, Jordan, nurse job satisfaction, nursing work environment

Biography:

Abstract:

Malpractice is compromising the quality and safety of patient care. In South Africa the underlying factors which result in adverse events causing extensive morbidity and mortality are not well understood. Many patients admitted to health establishments are subjected to malpractice negligence not related to their actual healthcare problem.

For the purpose of this presentation the results of a pilot study will be presented which was completed for a current national study “Retrospective Audit Analysis of Malpractice Litigation Cases

In Nursing Practice in South Africa”. The objectives included categorising the incident types and determining the factors associated with adverse events involving nursing practitioners that have resulted in malpractice litigation, identifying other members of the health service team that were associated with the adverse events that resulted in malpractice litigation and to assess the severity of the adverse events associated with malpractice litigation.  The legal and clinical records of 42 trial bundles of cases which were either heard in South African High courts or settled out of court provided the opportunistic cohort for the pilot study. The trial bundles of cases over a period of 11 years (2005-2015) from predominantly attorneys and advocates in KwaZulu-Natal, Gauteng and Western Cape were used to obtain clinical, legal and circumstantial data surrounding each case. Ethics approval was obtained for the study from Stellenbosch University (Ref N16/02/027).

Data was collected with an audit instrument and analysed using the SPSS computer software with the support of a biostatistician. Results showed that 57% of the adverse events were severe, 26% major and 17% moderate. Among the patients affected 57% were disabled, 93% had an increase in hospital stay, the quality of lives of 93% were affected and 7% died as a result of the adverse event. No difference were identified between the factors contributing to malpractice litigation in private and public hospitals. Further results will be discussed at the presentation.

Biography:

Carole is a Registered General Nurse and qualified as a District Nurse in 1988. She worked as a District Nurse team leader until 2012 and as acted within a professional lead role for District nursing in Worcestershire since 2010. Carole completed her MSc in 2014.She published her first article in the British Journal of Community Nursing in 2016 and has acted as a reviewer for the journal . Her current role involves improving quality of nursing care as well as providing professional support to nurses across Worcestershire. Carole has been a Queen's Nurse since 2012;she has been involved with national projects with the Queen's Nursing Institute and several regional projects  with other healthcare organisations

Abstract:

In the United Kingdom, district nurses are experienced registered nurses that have completed a specialist practitioner qualification in community nursing. The role of the district nurse and community nursing teams has expanded and evolved to deliver appropriate skilled nursing care to people in the community. The district nursing caseloads are increasing in size ,becoming more diverse and complex which requires increased competencies and organisation to ensure the patient receives the right care at the right time by the right person. Consistent, effective and efficient caseload management by district nursing teams is invaluable to supporting the national and local agendas to achieve the best possible outcomes for patients requiring nursing care in their own home, whilst optimising the use of resources. This literature review explored the evidence related to caseload management with the aim of identifying the most effective method of caseload management for district nursing teams. A systematic framework was used, including an electronic search strategy followed by critical appraisal using appropriate CASP (Critical Appraisal Skills Programme) tools. The findings from this review are that there are different styles and methods of caseload management but no single validated tool or method. The literature review identified themes for implementing effective caseload management, specifically caseload  analysis; workload measurement; work allocation; service and practice development; and workforce planning. This review also identified some areas for further research.

Biography:

Yann-Fen Chao completed her PhD study from Rush University College of Nursing in1991. Currently she was a Professor and Chair of Department of Nursing at Mackay Medical College in New Taipei City, Taiwan. Dr. Chao published more than 100 research papers with 41 in SCI journals. She also has been served as an editorial board member of a SCI journal. Her research areas were patient safety, symptom management and nursing education.

Abstract:

A validation study was conducted in 2016 to evaluate the applicability of NAS and NEMS scales ICUs in Taiwan. The NEMS scale constitutes a simplified version of the TISS-28 and consists of 9 items rather than 28. As reported in the literature, the average TISS-28/NEMS score of a ICU patient was 23~28; a TISS-28/NEMS unit was equivalent to 10minnutes and a nurse can take 46 TISS-28/NEMS units in a shift. The nursing activities score (NAS) was developed in 2003. The score obtained when completing the NAS results was a percentage of nursing time spent on direct patient care in a 24 h period; thus was used to calculate the nursing manpower needed. NAS score explains 81% of nursing time in the ICU, whilst the TISS-28 only corresponds to 43% of that time. NAS was widely used by European countries in nursing allocation for years and with research reports published. The pilot study of this project included 375 subjects. The primary result revealed that NEMS scores of Taiwanese ICU patients were similar to the Europeans. However, Taiwanese ICU patients had higher NAS scores. The estimated times for NAS items by Taiwanese ICU experts were different from the coded time. It was indicated that the time consumed for NEMS and NAS items may need revision for different countries and ICUs.

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:

Abstract:

Purpose:  This study aims to compare the self-perceived cultural competencies of different levels of  student nurses according to knowledge, skills and attitude and recommend ways to further improve the cultural competency development in undergraduate course.

Methods: Descriptive comparative design was used to identify, analyze, and explain the differences in the cultural competency in the different year levels of the student nurses.  A total of 207 students participated in the study. The Clinical Cultural Competency Questionnaire of Dr. Robert Like was used to gather needed data.  Descriptive statistics were used to analyze demographic profile, ANOVA was used to analyze to determine differences  among the four year levels and Chi-square  was used to analyze confounding variables that are nominal in nature. The latest SPSS version was used to analyze demographic data.

Results:    The   results   revealed   that   students   were   moderately   culturally   competent   in   terms   of knowledge (3.2) and skills (3.4). But, highly culturally competent with regards to their attitude (3.6) towards providing care to culturally diverse population. Also, students were able to carry out complex activities in a culturally sensitive manner and become more experienced with cross-cultural situations as they move to the next year level. There is no significant difference (0.14; 0.52) between the level of cultural competencies among students in all levels with regards to knowledge and skills; but there is a significant difference (3.6) in their level of cultural competencies in terms of attitude

Conclusion:. The study suggest the importance of enhancing cultural competency  is important in the undergraduate level and opportunities for to practice cultural skills is needed for them to provide relevant care to diverse clients.

Biography:

Background: Quality of life (QOL) is a broad concept that embraces many aspects of life such as standard of living, education, work, health, and family. Health care providers in Jordan should not only aim for optimal physical function but optimal quality of life as it relates to movement and health. More investigation needs to be obtained to investigate the concept of HRQOL among Jordanian population. The purpose of this study was to develop self-reported instrument to measure HRQOL for Jordanian adult population.

Methods: two phases methodological study was conducted to develop the instrument, phase I for generating the candidate items, phase II for reduction the generated items.

Result: This study has made a significant contribution to knowledge development about HRQOL both in terms of the processes used and the outcomes of those processes. Acceptable estimates of internal consistency reliability were determined for the six domains of HRQOL; general health domain (α = 0.857), social health domain (α = 0.651), pain domain (α = 0.933), emotional health domain (α = 0.749), physical health domain (α = 0.749), and sleep domain (α = 0.726).

Conclusion: the findings of this study provide a reliable and valid instrument. The work of this study provided an Arabic version of a HRQOL measure that is now validated and can be used in clinical and research settings.

Abstract:

Biography:

Statements of the problem: Most studies of postpartum depression in parents have been conducted from 2-3 months after delivery up to the child’s first year and only include either mothers or fathers. Research on parents with depressive symptoms and parental stress in a population-based sample after the first year of childbirth including both fathers and mothers is scarce. However, a few studies including younger children have demonstrated the importance of good mental health in both parents for supporting the parent-child relationship.

The aim of this study was to determine the prevalence of depressive symptoms, feelings of incompetence and spouse relationship problems and their mutual relations.

Methodology: Data from a Swedish parent-infant population-based cohort 25 months after childbirth was used. A questionnaire containing Edinburgh Postnatal Depression Scale (EPDS) and a modified Swedish Parental Stress Questionnaire (SPSQ) regarding depression and parental stress were answered by 646 fathers and 700 mothers.

Findings: Parents with depressive symptoms experienced more feelings of incompetence and spouse relationship problems than parents without depressive symptoms. The prevalence of depressive symptoms (EPDS ≥ 12) was more than 11% for mothers and nearly 5% for fathers, 25 months after childbirth. More than 8% of the mothers stated that they had previously received treatment for anxiety/ worrying or depression/low mood, and 34% of these scored high on the EPDS in the study, which suggests that they were experiencing some distress. Among the fathers, 25% reported that they had previously received treatment and scored high on EPDS.

Conclusion & Significance: The result indicated that feelings of incompetence and spouse relationship problems could be important constructs for understanding parental stress and depressive symptoms in the parents of young children. It is important that Child Health Care is attentive to both mothers’ and fathers’ depressive symptoms and parental stress after the first year.

Abstract:

Maude Johansson is an authorized psychologist and psychotherapist. She has mostly worked in the area of child psychiatry. The research topic concerns the identification and treatment of mothers and fathers with depressive symptoms and parental stress in early parenthood. 

Biography:

Dr. Chun-Ming Lee received his medical education at the Taipei Medical University, Taiwan and Institute of Medicine, Chung Shan Medical University, Taichung,Taiwan. As a President of Infection Control society of Taiwan (ICST) from 2009 to 2015, he plays a key role in the development of infection control program in Taiwan. He cooperates with Taiwan-CDC to initiate many infection prevention projects, such as setup Sterilization monitoring and infection control guideline, Hand hygiene campaign program, CLABSI care bundle pioneer research, Reducing HAI and AMR by environmental cleaning program and standards, Catheter-related UTI, VAP care bundle pioneer research, National CLABSI care bundle campaign et ct. to pursue the zero tolerance. He also takes the lecturer in Taipei Medical University and Mackay Medicine, Nursing and Management College as an associate professor. His interests are in infection control, antimicrobial resistance, infectious disease, and chest disease as well as quality improvement. He is an experienced trainer in infection control, quality improvement, and patient safety.

Abstract:

Central line -associated bloodstream infection (CLABSI), Ventilator-associated pneumonia (VAP) and catheter-associated urinary tract infection (CAUTI) are the most common healthcare-associated infections(HAI), especially for patients in high-risk units such as ICUs (intensive care units). The application of care bundles to reduce infection rate has successfully become an important measure in many countries. This presentation will discuss how and what were the results of the care bundles intervention  in different levels of  hospital ICUs, including medical centers, regional hospitals and district hospitals that locate at different areas of Taiwan. In high risk ICUs, different  care bundles were implemented in the past  few years in order to reduce invasive catheter-associated infections, for which were built on evidence-based infection control measures.  The feasibility for the implementation of CLABSI, VAP or CAUTI bundles in the healthcare system plays an important role for the quality and policy of infection control. The final outcome of this study will determine the quality of decisions and implementation of the care bundles policy too. 

Biography:

Abstract:

Purpose: The study aims to strengthen lifelong learning among  adults as basis for the proposed continuing career opportunities education programs.

Methods: The study utilized descriptive research designed in analyzing lifelong learning among adults in selected national high school and selected barangay in Taytay, Rizal. A total of 340 respondents participated in the study, these are 63 administrators/teachers who came from different schools, 52 were trainers and 225 adult learners/beneficiaries. Self-structured questionnaire validated by a panel of expert was used to solicit needed data. The micro, meso organization and management level in assessing the significant difference in the coalition of the participant in Cum Livelihood modules using the Friedman rank test was used for data analysis.

Conclusion: The study strongly indicates that the developed modules contribute in enhancing literacy, skills and training program of the schools/training centers.

Biography:

Dr. Karen Eisler has been a RN for over 35 years. She has worked as a clinical RN for 20 years in ICU and Emergency in an acute care hospital in Regina and for about 15 years primarily in Administrative positions. The most recent was as the Executive Director of the Saskatchewan Registered Nurses’ Association. Karen’s master thesis and doctoral research was in nursing leadership. The results indicated that managers’ use of transformational leadership practices can affect the staff nurses’ perception of the quality of patient care on a unit. Her research interest is in nursing leadership related to patient and staff outcomes, quality workplaces and provincial and national nursing regulation.

Abstract:

Research has demonstrated that quality of care, patient and nurse outcomes are important in healthcare. The goal of this research project was to describe staff nurses' perception of the quality of care, patient and nurse outcomes and examine the relationship of the variables with the nurses’ perception of their nurse managers’ leadership practices.

There were 150 surveys distributed and all RNs, LPNs and RPNs from three surgical units in two hospitals were invited to complete two surveys. One survey was asking for their perception of their nurse managers’ leadership practices using Kouzes and Posners Leadership Practice Inventory (LPI) (2013). The second survey captured their perception of quality of care on the unit, staff intent to leave, medication safety and overall patient safety. There were 103 completed surveys returned. Data was entered into SPSS and descriptive analysis and regression analysis were conducted to examine the relationships between the perception of the managers' leadership practices and the quality of care, patient and nurse safety.

The statistical analysis did not show a relationship between leadership and the outcomes. However, a significant finding was that sixty-five percent of the nurses did report that the overall quality on the unit in the last year had deteriorated. This session will report on the findings of the research project and the follow up with the nursing staff on the three surgical units.

Biography:

Adriana Lilley has been a registered nurse for four years and specializes in emergency care nursing. She is currently working on her Masters of Science in Nursing with a concentration in Nursing Education at Columbus State University in Georgia. In the emergency department, she works closely with the department nurse educator to assist in training new hires, specifically new graduate nurses. She has helped develop and successfully implement multiple courses integrated into residency program.

Abstract:

Nursing programs prepare the new graduate nurse with fundamental skills needed to begin their career as practicing nurses. There seems to be, however, a disconnect between practicum and practice, causing the new graduate nurse to experience a transitional shock as they enter the world of nursing. The purpose of this study was to create and implement a course to facilitate the transition from nursing student to a licensed practicing nurse within the emergency department. Nine nurses with less than one-year nursing experience were surveyed prior to the creation of the course. The survey assessed areas that created the greatest challenge for them as graduate nurses, as well as helpful topics they would like to be included in the course. The graduate nurses attended a six-hour course at a local hospital. Post-survey and post-test showed an increase in competency, confidence, and overall job satisfaction. The results validate the importance of providing new graduate registered nurses with a departmental focused transition course.

Key Words: graduate nurse, transition into practice, transition program, residency, emergency department

Biography:

Alfia Safitri has completed her Bachelor Degree at the age of 24 years from Muhammadiyah University of Yogyakarta. She is a master student in Padjadjaran University, Bandung, Indonesia. She is a lecture in the College of Nursing, West Tenggara, Indonesia. She is an awardee of Educational Institutions Fund Manager, Minitsry of Finance, Indonesia.

Abstract:

The end of life care needs is increase in Intensive Care Unit while the high usage of advance technology to enhance the quality of nursing care and to prolong life. Intensive Care Nurse is the primary caregiver who care for patient and family at the end of life. The Nurse experience caring patient at the end of life is needed as a reference in providing better care. Many Studies identified that nurses expressed distress because of patient dying and family. In otherwise nurses expressed satisfied because of they can provide caring for patient and family in the end of their living. This study was a descriptive phenomenological study of nurse’s experience caring for end of life in intensive care unit in Al Islam Hospital, Bandung, Indonesia. The interviewees include 4 women and 3 men and they have work experience more than two years in Intensive care setting. Nurses shared their experiences of end of life care during in-depth interview with audio recorder. Data were analyzed using Colaizzy method. Three themes emerged from this study: The life and death are in the hand of God; The dilemma between giving the best care and discontinuing life support; Accompany patient and family. The result of this study have the potential constribution to a new understanding of nurse caring for end of life patient and family and so enhance nursing care.

Key Word: Nurse, experience, Intensive Care Unit, end of life care

Biography:

Professor Yoo completed her Ph.D. at the age of 35 from Widener University at Pennsylvania. She has taught undergraduate and graduate students at School of Nursing, Ajou University. Her interesting topics are chronic disease self management program, patient education, community health program development, and trauma nursing intervention focuing on health communication.

Abstract:

The purpose of this study was to examine Osteoporosis-related knolwedge, beliefs, and health promotion behaviors among Korean working women who are, especially, in early adulthood. Data was collected from September 1st to 30th, 2016. Instruments were as followed : Osteoporosis Knowledge Scale (Ailinger, Howard & Braun, 2003), The Osteoporosis Health Beliefs Scale (Kim, Horan & Gendler, 1991), and Health Promotion Behaviors Scale for Osteoporosis (Yoon, 2001). Participant crieria were: Women between 20 and 39 years old and working 8hrs/day, 5 days/week. 248 out of 250 questionnaires were collected from an university-affliated hospital, a middle-sized urban city, Korea. Ethical Consideration was approved by Institution of Research Center at an University Medical Center (MED-SUR-16-236). Descriptive Statistics and Pearson’s Correlation Coefficient were used to analyze data. Results : Participants in this study showed low level of Osteoporisis-related knowledge. They also showed that they were less susceptable to have Osteoporosis at their age, and the disease was not serious enough to do preventive behaviors from now on. However, they believed regular excercise or Calcium supplimentaty intake might be helpful to prevent the disease. They also reported there were no considerable barriers in doing regular excerice or taking Calcium suppliment if they intended to do so. Ironically, participants showed low scores of preventive behaviors such as regular excercise or Calcium intake. This study showed Osteoporosis-related knowledge was significantly related to health beliefs, and health promotion behaviors. Higher knolwedge level showed higher beliefs scores and higher preventive behaviors scores. Participats who had longer education years showed higher knolwedge score, significantly. Participants who lived with old parents showed higher knolwedge score than living their own family or alone.  Conclusions: This study concluded that early adult women who are working eveyday, so that might be more suscptable to Osteoporosis after menopause did not know or consider the disease almost at all. Educational strategy for the target population to enhance knolwedge should be the first step to prevent occurence of the disease.

Biography:

Abstract:

Problem: Many hospitals in the United States as well as Japan, have difficulty orienting and retaining new nurse graduates. Hospitals employing graduates from their own schools of nursing as well as from other schools have been challenged with prolonged periods of orientation time (up to one year) before the new nurse graduate is able to function autonomously. Furthermore, once through orientation, hospitals are again having difficulty keeping these new nurses employed at the hospital, costing the hospital system enormous resources in terms of both money and time. Purpose: Based on a comprehensive assessment of a Japanese hospital system and its associated School of Nursing in Iizuka, Japan, a team of nursing education experts from the U.S. worked with the hospital and its school’s nursing leaders to design a customized, culturally appropriate, Transition to Practice (TTP) model for newly hired registered nurses. Methods: Through a series of focus groups and nominal group techniques involving all levels of nursing (students to the Chief Nursing Officer), the experts designed a model for Transition to Practice based on the Japanese principles of Kaizen (quality improvement) and Wakaba (nurturing the young leaf). Findings: The newly developed Transition to Practice model encompasses an Academic Service Partnership, a Preceptor Academy, and Residency for Practice. It also calls for a school of nursing curriculum redesign to emphasize readiness to practice, particularly in the senior year. QSEN competencies and KSA's serve as the core component for the school of nursing curriculum redesign, preceptor education, and residency infusion.

Biography:

Yuka Moriyama started working as an ICU nurse at Aso Iizuka Hospital (AIH) in 1987. After the clinical experience as a nurse, she completed nursing teacher-training course by Health, Labor and Welfare Ministry in 1993. Since then, she was involved in nursing education as an instructor in Aso Medical and Welfare Fukuoka College, also as a curriculum coordinator in Aso Nursing College for more than 10 years. She assumed the position of Director of Nursing Department, AIH in 2015. Now, she leads over 1,000 nurses there.

AIH was established August, 1918, 98 years of history and is the central general hospital in CHIKUHO Area（450k population) providing primary to tertiary care with 41 Departments. AIH has 1,116 beds and 2,432 employees（MD 301  NS 1,088）. Inpatient; 908/day, Outpatient; 1,899/day, ER Patients; 117/day, Average Length of Stay; 14.5 days

Abstract:

Statement of the Problem: Our Nursing Department changed its system of care delivery in hospital wards from team nursing to lean workcell nursing in April, 2015 with expectations to apply this in all wards starting in March, 2016. The main objectives are, 1) to reduce walking distance between patient’s beds and the nurse’s station, and 2) to increase the nurse’s “caring time” at patient’s bedside. The University of Pittsburgh Medical Center’s (UPMC) Department of Nursing consulted with Aso Iizuka Hospital (AIH) on Quality and Safety Education for Nurses (QSEN) which AIH then incorporated into the new graduate nurse (RN) residency program in April, 2015. Both QSEN and the lean workcell philosophy put their priority on patient-centered care delivery. The purpose of this report: is to report on the synergism of QSEN and the lean workcell within the hospital setting. Method: A clinical evaluation (CE) of new nurses was performed by experienced nurses in the same ward in June and September of 2015 and 2016. The CE was to score 22 items through the view point of knowledge, skills, and attitudes (KSA’s). Findings: The mean CE scores in June were 0.50±0.19 in 2015 (n=85) and 1.69±0.49 in 2016 (n=81)（p＜0.001）. The mean CE scores in September were 1.72±0.63 in 2015 (n=84) and 2.62±0.34 in 2016 (n=81)（p＜0.001）. Thus, the CE scores were statistically significantly improved in 2016 when the lean workcell system had been applied and standardized across all wards in the hospital. Conclusion: The lean workcell system can enhance QSEN application providing new nurses more time to spend collaborating with experienced nurses around the patient’s bedside.

Biography:

He is working as Assistant Lecturer in University of Rwanda, College of Medicine and Health Sciences, School of Nursing and Midwifery, in the Department of Mental Health Nursing. He is an experienced teacher/ Nurse educator and specialized in Mental Health Nursing and he is actively involved in academic activities including mainly teaching modules such as Health Measurement and Research, Mental Health Nursing, Psychiatry, Fundamentals of behavioral sciences, clinical placement and he is also an experienced clinician in the field of psychiatric/ mental health and has worked as practitioner and supervisor in the Psychiatric Reference Hospital and District Hospitals. Also, Mr Vedaste BAZIGA is involved in research activities having many research projects (1 already published, and another 1 accepted for publication and remaining 3 in the process of data collection). In addition, Mr Vedaste BAZIGA participates also in community outreach and he is always increasing knowledge and skills through Continuous Professional Development (CPD) in different areas.

Abstract:

Biography:

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.

Abstract:

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.

Biography:

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.

Abstract:

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

Biography:

Abstract:

Purpose:

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.

Method:

Sampling Frame

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.  

Result:

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.

Biography:

Abstract:

Biography:

Abstract:

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. 

Biography:

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.

Abstract:

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

Biography:

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.

Abstract:

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.

Biography:

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.

Abstract:

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 85^th to 95^th 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.

Biography:

Abstract:

Biography:

Yuanyuan Song is a nursing postgraduate student who is on her second year in West China School of Nursing in Sichuan University in China. She focuses her research on nursing education and nursing of hemodialysis patients. She was her mentor’s assistant to set up this course, collect students’ feedback and analyze data.

Abstract:

Statement of the Problem: Courses related to advanced nursing practice play an important role in nursing postgraduate education aroud the world. But in China, nursing postgraduate education started late and hasn’t set a systematic, unified core knowledge system, each school has its own curricula, nursing-specific courses are limited, many schools still use clinical medicine specialized courses as their leading courses, only a few schools has established courses related to advanced nursing practice. As a result, our school set up a course named “advanced nursing practice: theory and method” on the basis of domestic and foreign literatures in the fall of 2016. The purpose of this study is to describe the implementation of “advanced nursing practice: theory and method” and explore the effect of this course in order to reflect and summarize. Methodology: 23 students chose the course. The effect of the course was evaluated through questionnaires designed by the author as well as interviews. Findings: The majority of the 23 students gave a positive feedback about the course and thought the course so necessary and useful that they could know more about theories and methods of advanced nursing practice and the development status, evidence-based practice, trends of development of the 12 nursing specialties involved in the course. In addition, teamwork, critical thinking as well as evidence-based practice abilities of the 23 students were improved. The students also developed a better understanding of nursing career and said the course is helpful for their future occupational planning. The overall satisfaction about the course content, teaching method, and the evaluation was high. Conclusion ＆ Significance: The content, teaching method and evaluation mode of the course was creative and a satisfactory effect was achieved. The course could provide a reference for other master nursing programs in China.

Biography:

Yuqing Song is a postgraduate student of West China School of Nursing, Sichuan University. She is doing research work in the areas of nursing education, clinical nursing. Now, she has published several articles.

Abstract:

Rheumatoid arthritis is a chronic progressive autoimmune disease. Treatment is effective to control the progress of RA when patients follow medication closely. However, medication adherence is not optimal in patients with rheumatoid arthritis. Poor medication adherence will limit medication efficacy, increase disease activity and the prevalence of disability and mortality. An effective education intervention to improve medication adherence is warranted. However, the effect of telephone education intervention on medication adherence is unknown in patients with rheumatoid arthritis. 92 RA patients recruited from a rheumatology ward in Southwest China were randomized to the intervention (n = 46) or the control group (n = 46). Patients in the control group received the standard care. Patients in the intervention group received both standard care and a 12-weeks tailored telephone education intervention including four telephone education sessions. The content of the education included: knowledge about rheumatoid arthritis, treatment goal, the importance of medication taking, side effect management and reminder of medication taking. Medication adherence was measured by compliance questionnaire rheumatology at the 12th and 24th week after patients’ discharge. Disease activity was measured by Disease Activity Score 28, erythrocyte sedimentation rate and C-reaction protein at the baseline, 12th and 24th week after patients’ discharge. Patients in the intervention group had significantly higher medication adherence compared to the control group at the 12th, 24th week after 12-week telephone education intervention (all P<0.05). Erythrocyte sedimentation rate was significant lower than control group at 12th weeks (P<0.05). No difference between two groups was detected in other disease outcomes at the 12th, 24th week (P>0.05). The tailored telephone education intervention effectively improved medication adherence in patients with rheumatoid arthritis. However, no significant benefits on disease activity were detected. Thus, further studies should explore the long term effects of education intervention on medication adherence and disease activity.

Biography:

Bobby Thapa completed her M.Sc. Nursing in 2014 from Xiangya School of Nursing, Central South University, Hunan, P.R.China and recently working as an Assistant Professor at Janamaitri Foundation Institute of Health Science, Hattiban, Lalitpur, Nepal since 1yr. She completed her B.Sc.Nursing in 2008 and has published two articles; one international and one national journal related to pain management (in Chinese) and HIV/AIDS in the National journal i.e. Nepal Nursing Journal. She worked as an clinical instructor as soon as completed her bachelor degree for 2 and half years and then worked as a registered nurse in Gangalal National Heart Center, Nepal for 6 months and enrolled in Master degree of Nursing in a governmental scholarship from China.

Abstract:

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. However there is not any significant difference in any of the variables within the group regardless of clinical internship. Being a single child, class leader, enrolled in career planning class, perceiving nursing as a challenging job, reasons to be a nurse, course arrangement satisfaction, teacher’s care, internship satisfaction and nurse teacher’s care has identified to influence the nurse self concept, caring behavior and professional commitment among the nursing students. Thus, specific steps to deliberately embellish the foundation of knowledge in developing the self-concept of nurse and nursing students is must nowadays. 

Biography:

Shu-Hui Peng has completed her M.D. at the age of  36 from Mei Ho University in Taiwan and is studying her Master’s degree in I-Shou University in Taiwan. She has been a nursing staff in Kaohsiung Chang Gung Memorial Hospital for 25 years.

Abstract:

Alcohol-related trauma, which including drunk driving, fighting or a fall after drinking alcohol, is the main reason for sustaining trauma injury. To provide objective evidences and more complete therapeutic algorithm, this study was designed to investigate the relationship of alcohol-related trauma and the injury severity as well as medical expenses in adults. A retrospective study of the medical records and registered data in Trauma Registry System from 2009 to 2014 was performed at a medical center in southern Taiwan. The patients whose blood alcohol concentration (BAC) level≧50mg/dl was considered as alcohol intoxication group while those whose BAC level less than 50mg/dl and those who were not required for an alcohol test were deemed as patients without alcohol intoxication group. Of the total 11,033 adult patients, 929 patients with BAC (+) and 10,104 patients with BAC (–) were enrolled in this study. atients with alcohol intoxication had significantly higher rates of head/neck injury, face injury, thoracic injury, and abdomen injury, lower Glasgow coma scale (GCS) score (12.6±3.7 vs. 14.5±1.9, p＜0.001), higher injury severity score (30.8±17.8 vs. 7.7±6.5, p＜0.001), higher short-term mortality (3.6% vs. 1.2%, p＜0.001), longer hospital stay (11.4 days vs. 9.1 days, p＜0.001), and higher proportion of admission to the intensive care unit (ICU) (35.4% vs. 15.0%, p＜0.001) than those without alcohol intoxication. Alcohol-related trauma is associated to a higher injury severity and increase the cost of medical expenses.

Biography:

Siu Wun Benny Cheung  is a final year student of Bachelor of Health Science (Hons.) Major in Nursing at Tung Wah College. The study presented is Cheung’s graduation project. 

Abstract:

Hong Kong nursing students’ perceptions about clinical learning experience: A Qualitative Study: It is a qualitative study exploring the clinical learning experience of Hong Kong nursing students and factors which might affect the effectiveness of clinical learning. It helps nurse educators cultivate a more positive environment for clinical learning by tackling problems facing by nursing students over the period of clinical placement. 20 final year nursing students from Bachelor of Health Science (Hons.) in Nursing programme, who had completed the required nursing practicums, were recruited by convenience via email, social network platforms and face-to-face invitation. Focus group interviews were conducted in January 2017 at Tung Wah College. 5-6 participants were interviewed in each focus group interview. The researcher explained the purpose and potential benefits of the study, and the procedure of the interview to the participants. Information sheets with detailed explanation to the procedure, purpose of study, etc. were given to the participants; informed consents were obtained before interview started. The researcher started the interview with some ice-breaking questions to create a relaxing atmosphere to facilitate the participants to express their view on their clinical learning experience. Question guide with several open-ended questions was prepared to ensure the content of the interview matched with the research aim. Another researcher who also joined the interview acted as an observer to job down the key observation throughout the interview. The whole interview took about 1-1.5 hours and was videotaped. Content analysis was used to analyze the transcription. The preliminary analysis showed that ward environment, mentorship, relationship with ward staff, learning opportunities available in the ward, students’ learning style and supports from school were crucial factors for a positive learning experience. 

Biography:

Wan Shiuan Lin received her master degree in community health nursing from National Yang-Ming University, Taipei, Taiwan. She has special interests in “Maternal and Child Health”, “Medical Sociology and Science”, “Technology and Society(STS)”. Now Ishe is a third-year student of the doctoral program of National Yang-Ming University, Taipei, Taiwan. Moreover, she has been working at Taipei Veterans General Hospital for ten years and focusing on providing the expert advice for clinical care.

Abstract:

Early child development is a concerned problem in health care. However, the Early Intervention Policy were hard to execute in Taiwan. The purpose of this study was to explore the rationality of argumentation which the different parents argue the policy of Early Intervention Policy for Children with Developmental Delays or Disabilities in Taiwan. The document analysis and in-depth interview are adopted. In addition, policy argument and content analysis are regarded as the method of analyzing and processing data. The interview with six parents used Early Intervention Policy was based on the ethics mode of policy argumentation by Dunn. The policy process contains six steps: policy information, claim, warrant, backing, object and rebuttal. The findings of this study showed that the management mode of the expert first causes the gap of the mutual communication. However, the main experts only were the medical team, not the parents. It was worth to note that when the parents did not follow the experts’ instructions, they had been criticized as not know about the developmental delays or disabilities as well. The controversy of the ambivalent signs and the insufficiency of the integrated resource were ignored and therefore the parents were busier to assume more parental responsibility. The policy is far away from the principle of participation. This the main reason causes the dilemma of the Early Intervention Policy for Children with Developmental Delays or Disabilities in Taiwan. Some suggestions are proposed to the nursing practice, education and policy as well.

Biography:

Graduated Bachelor’s degree of Nursing (1^st Class Honours) from Boromarajonani College of Nursing, Suphanburi and now Nursing Instructor in Adult and Elder Nursing Department, Srimahasarakham College of Nursing.

Abstract:

This descriptive correlation research aimed to identify the relationship between unpleasant symptom clusters and quality of life among patients with chronic kidney disease (CKD). The theory of Unpleasant Symptoms was used as the conceptual framework. The study participants consisted of 150 patients with stage 3 to 4 CKD who were treated at CKD clinic of one tertiary hospital in Thailand and were chosen purposively. Data collection was conducted during January, 2016 to March, 2016 by using 3 forms of patient general health information, the CKD unpleasant symptoms, and Quality of Life (SF-36). Descriptive statistics and factor analysis and correlation were used to analyze the data.  Statistical significance was set at .05

                The results revealed that patients with CKD stage 3-4 had 28 unpleasant symptoms. The most frequently perceived were 4 symptoms of limbs numbness, bone and joint pain, nocturia, and fatigue. The 28 unpleasant symptoms could be grouped into 8 clusters with 52.56% of explained variance. Among 8 symptom clusters, psychological and emotional cluster was found to have the greatest severity and the strongest negative correlation with all aspect of QOL. Negative correlations were also found between the remaining symptom clusters and physical component of QOL except the urinary tract cluster.

                This study provides important information related to unpleasant symptom clusters that may deteriorate QOL of CKD patients. Nurses should address the finding in this study in planning to prevent or reduce QOL deterioration

Biography:

Chi-Wen HUANG has completed her Master’s degree at last year from China Medical University of Basic Medical Scinece. She is currently working at China Medical University Hospital of International Medical Service Center. She has been a nurse for 10 years

Abstract:

Lymphedema include congenital or secondary types. The latter is related to infection, trauma or cancer treatment with surgery or radiotherapy. The accumulation of protein-rich fluid in the subcutaneous tissue causes lymphedema and hypertrophy, increased risk of inflammation, tissue fibrosis and decreased quality of life. The modified Charles’ procedure is indicated severe lymphedema and the nursing care after operation had not been clearly described. After the modified Charles’ procedure the goals of nursing include prevention of scar hypertrophy, infection, cellulitis and skin care which are challenging issues for patients and their family. Proper management can reduce the rate of subsequent hospitalization. In this study, the data of 35 patients who underwent the modified Charles’ procedure for lower limb lymphedema were drawn from the medical records between 2010 to 2014. The outcome were evaluated after 1 year. During hospitalization the wound was treated by a special nurse according to our protocol until skin graft take. Then the patients were discharged for continuous care. The patients and their family were educated according to our instructions. In the result, the rate of recurrent infection was 28% which required admission. The rate of verrucous hyperkeratosis was 8%. The rate of regrafting was 22%. However, after modified Charles’ procedure good postoperative care is critical for good results.

Biography:

The present study was a quasi-experimental research with non-randomized control group,  posttest only design which aimed at investigating effects of a nurse-led mechanical ventilator weaning protocol on ventilator duration and weaning success of preterm infants with ventilator-nasal positive airway pressure (V-NCPAP). The study sample consisted of preterm infants who received V-NCPAP and were admitted into the pediatric and neonatal intensive care unit (P-NICU) at Sirindhorn Hospital. Twenty-nine subjects in the control group received routine weaning, while thirty subjects in the experimental group received the nurse-led mechanical ventilator weaning protocol which consisted of 3 phase : 1) pre- weaning phase 2) inter- weaning phase and 3) post- weaning phase. The research instruments composed of the nurse-led mechanical ventilator weaning protocol, the V-NCPAP record form, the nursing record form base on nurse-led mechanical ventilator weaning protocol. Data were analyzed by using descriptive statistics, chi-square test, Fisher’s probability exact test, independent t-test and Mann-Whitney U test. The study findings demonstrated that preterm infants in experimental group had ventilator duration shorter than that preterm infants in control group with statistical significance (p <.05), while weaning success in experimental group more than control group without statistical significance (p >.05).

            The study findings revealed the nurse-led mechanical ventilator weaning protocol might be could reduce ventilator duration and promote weaning success. Therefore, the further study is needed of the effectiveness of nurse-led mechanical ventilator weaning protocol in difference setting or add on other dimensional outcomes of weaning success for enhance quality of care provided to preterm infants with V-NCPAP.

Abstract:

Chonticha Kuldnarm has completed her BSN at the age of 22 years from Kaukarun College of Nursing. She is a professional Nurse at Sirindhorn Hospital, Bangkok and Master’s student, Master of Nursing Science Program (Pediatric Nursing), Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University.

Biography:

Abstract:

Biography:

Hong Kong nursing students’ perceptions about clinical learning experience: A Qualitative Study: It is a qualitative study exploring the clinical learning experience of Hong Kong nursing students and factors which might affect the effectiveness of clinical learning. It helps nurse educators cultivate a more positive environment for clinical learning by tackling problems facing by nursing students over the period of clinical placement. 20 final year nursing students from Bachelor of Health Science (Hons.) in Nursing programme, who had completed the required nursing practicums, were recruited by convenience via email, social network platforms and face-to-face invitation. Focus group interviews were conducted in January 2017 at Tung Wah College. 5-6 participants were interviewed in each focus group interview. The researcher explained the purpose and potential benefits of the study, and the procedure of the interview to the participants. Information sheets with detailed explanation to the procedure, purpose of study, etc. were given to the participants; informed consents were obtained before interview started. The researcher started the interview with some ice-breaking questions to create a relaxing atmosphere to facilitate the participants to express their view on their clinical learning experience. Question guide with several open-ended questions was prepared to ensure the content of the interview matched with the research aim. Another researcher who also joined the interview acted as an observer to job down the key observation throughout the interview. The whole interview took about 1-1.5 hours and was videotaped. Content analysis was used to analyze the transcription. The preliminary analysis showed that ward environment, mentorship, relationship with ward staff, learning opportunities available in the ward, students’ learning style and supports from school were crucial factors for a positive learning experience. 

Abstract:

Leung Sze Ching Joey is a final year student of Bachelor of Health Science (Hons.) Major in Nursing at Tung Wah College. The study presented is her graduation project. 

Biography:

Abstract:

Biography:

Ying-Ching Huang

I am a National Yang-Ming University first year doctoral student in Taiwan.

I have 10 years of clinical nursing experience in surgical department and critical department.

Abstract:

Objectives: Inpatient care is a major part of medical expense in the National Health Insurance. However, few studies explored the nature of medical costs empirically in our setting. Hemorrhoids are the most frequent anal pathology. To investigate the related factors of medical cost among the hospitalized patients survey hemorrhoids surgery.

Methods: Patients who were hospitalized for hemorrhoid surgery (ICD-9-CM; code: 455) were selected from the 2000-2013 Taiwan National Health Insurance Research Database; Data were analyzed using SPSS 22.0 software.

Results: 464,722 patients were hospitalized for hemorrhoid surgery in 2000-2013; There are 77,855 patients (16.75%) of the medical costs higher than the average (NT$24,650). High medical expenses, the male accounted for 59.42%, mean age was 56.19years, Low-income household accounted for 1.89%, Catastrophic illness accounted for  21.57%, Charlson Comorbidity Index(CCI) was 1.42, In Medical center and Regional hospital accounted for 82.59%, General Hemorrhoids surgery accounted for 34.02%, 12.51% were recurrent inpatients.

The factors related with medical costs caused by hemorrhoid surgery were gender, age, Low-income household, Catastrophic illness, Charlson Comorbidity Index(CCI), Level of care, type of operation, length of hospitalization and Recurrance.The characteristics and factors of medical cost of hemorrhoids inpatient in Table1.

Conclusion: Among the related factors, many factor had dominant impact on increase of medical cost. Therefore, providing adequate quality of care for hemorrhoid surgery patients can help post-surgery recovery and reduce the length of hospitalization, which then reduces the use of medical resources.