5^th International Conference on Family Nursing June 13-15, 2016 Philadelphia, Pennsylvania, USA

YeounSoo Kim-Godwin completed her PhD at the University of South Carolina. She is a Professor in the School of Nursing University of North Carolina Wilmington. She has published over 35 peer reviewed articles in nursing and interdisciplinary journals. She is serving as manuscript reviewer of several health/nursing journals on a regular basis.

Although a growing body of research suggests that spirituality is a significant resource for Korean-Americans, there exists a paucity of research which has explored the cultural dimension of spirituality among Korean-American elderly families. The purpose of this study is to explore and understand the cultural aspects of family spirituality among church attending Korean-American elderly families, and how it influences family health. A purposive sample of 51 Korean-Americans (27 older adults and 24 family members) were recruited from three local churches in the Southeastern United States. A thematic and interpretive method was used to analyze transcribed interviews, which were conducted with each older adult and family member separately. Four main themes of family spirituality were identified: (1) family togetherness, (2) family interdependence, (3) family coping, and (4) family spiritual rituals and routines. Korean-Americans experience family spirituality in the cultural context of spiritual rituals and routines. After immigration, most participants discontinued their traditional rituals and replaced these with new church oriented family routines because they had converted to Christianity. Moreover, participants reported that family spirituality strengthened family health by fostering family commitment, improving emotional wellbeing, developing new healthy behaviors, and providing healing experiences. As our society becomes more culturally diverse, healthcare providers should seek to understand family spirituality from different cultural perspectives to develop a more holistic approach to care.

Sunita Bhandari Shah has completed her MSc Nursing from IOM (Institute of Medicine) Kathmandu, Nepal. Currently, she is a faculty at the Department of Child Health Nursing, College of Nursing at BPKIHS. Her total work experience is 20 years, in which 12 years was in clinical activity and 18 years was in research and teaching learning activities. The teaching learning activities are like guiding BSc and MSc Nursing students in the clinical area especially in the Child Health Nursing as well as research. As researcher, she has done various studies in the field of Child Health which are now published in various national journals and indexed journals as well.

Background: Children's rights are the human rights of children with particular attention to the rights of special protection and care afforded to minors, including their right to association with parents, human identity as well as the basic needs. Method: A descriptive study was conducted to assess the knowledge and attitude regarding child rights among primary school teachers of government schools of Dharan and to find out the association of knowledge and attitude regarding child right with the demographic variables and opinion and information. There are total 34 government schools in Dharan and there are all together 209 teachers teaching in primary level. As our sampling technique was census sampling technique, our sample size was 205 (4 out of 209 were mortality sample due to absenteeism). Data was collected by using pretested self-developed self-administered questionnaire. Results: The study revealed that 53.2% of respondents had adequate knowledge and 46.8% had inadequate knowledge regarding child right. Regarding the attitude, majority 87.3% of respondents had positive attitude whereas only 12.7% had negative attitude towards child right. There was association between attitude and teaching experience as the p value was 0.032 which shows that teachers with more teaching experience had positive attitude. There was association of attitude with opinion and information on punishment given in school violates child rights as p value was 0.036 which shows that the teachers who think punishment given in school can violate child right had positive attitude regarding child right. Except these no other significant associations was found. Conclusion: The study findings indicate that more than half of the respondents had adequate knowledge regarding child right and majority of respondents had positive attitude towards child right. There was association between attitude and teaching experience.

Ying-Tsen Lin has earned her MS degree in Community Health Nursing from Kaohsiung Medical University in 2015. Since then, she works at Yon-Yen General Hospital in Taiwan as an Advanced Practice Nurse, Health Educator and Case Manager of Smoking Cessation. She not only provides smokers with adequate information about tobacco hazards but monitors their management of smoking cessation including daily smoking amounts and nicotine withdrawal symptoms. To prevent the smokers from relapse and establish a tobacco-free home for health promotion, she encourages them to return to the clinic regularly and to receive a more complicated course for long-term smoking cessation.

Influenced by societal culture and media advertisements, girls have changed their perception of body images, leading to pursue for a slim body via unhealthy weight-loss methods. Our aim is to design a Facebook-based health education approach to resolve the underweight problems for 17 junior high school girls. We utilized a one-group pretest-posttest design approach, followed by developing multimedia-based course content on Facebook and managing the Facebook group for 5 months. The assessment instruments cover body weight control knowledge scale, self-perceived severity scale, dietary status scale and BMI. The preliminary results indicated that underweight adolescent girls had changed their perception of body images: The percentage of girls believing they were underweight increased from 17.6% to 88.24%; learned correct knowledge on BMI: The correct response rate for body weight control knowledge scale increased from 59% to 100%; become more aware of the effects of being underweight on their health: The total mean score on the self-perceived severity scale increased from 3.03 to 3.96; learned how to monitor their BMI and gradually developed positive dietary habits with balanced diet: The total mean score increased from 2.61 to 3.34 and the average BMI increased from 15.41 to 16.15. Our Facebook-based course contents include essays, pictures, videos and news articles, all of which enhance students’ learning incentives and reach a significant improvement in their knowledge on weight management, as well as change their attitude and behavior. This Facebook-based health education approach show great potential to other social group networks for health-related matters.

De-shan Liu, MD, PhD is a Professor of Shandong University, Director of the Department of Traditional Chinese Medicine, Qilu Hospital of Shandong University, President of Shandong Geriatric’s Research Society, and a member of the editorial board of “International Journal of Nursing”. He has been in the field of senile disease for more than 20 years, especially in the field of diabetes and its complications, cardiovascular disease and advanced cancer. The main research direction is the comprehensive prevention and treatment of senile medicine. He has obtained fruitful research results and published more than 100 articles in core journals.

The demands of pension service for the Oldest-Old in urban community: A qualitative research De-shan Liu, Pu-rui Yang, Man Li, Wei Gao, Rong Wei and Ling-yun Li Qilu Hospital of Shandong University, China Abstract Objective: To explore the demands of pension service for the Oldest-Old in urban community. Methods: A purposive sampling method was used to select 16 elders in 6 communities of Jinan. A face-to-face semi-structured interview was conducted with the 16 respondents. The data were analyzed with phenomenological analysis. Results: Four themes were extracted including economic demand, daily life care service demand, medical and nursing care service demand, and mental support demand. Conclusions: Understanding the pension service demands of the elders can provide the basis for service institutions of the community to carry out the comprehensive pension services, to improve the capability and level of community service, and meet the demands of pension service for the community elderly better.

Wei Gao is an Associate Professor of Shandong University, Master supervisor and Head Nurse of PICC out patient of Qilu Hospital of Shandong University. She has been engaged in PICC for more than 10 years, especially good at inserting PICC line for critically ill patients and children, and handling all kinds of complications related to PICC. Her main research direction is cancer care and PICC. She gained fruitful research results and published 30 articles in domestic core journals.

Objective: To explore (investigate) the experiences of family caregivers of children with tumor receiving PICC -line insertion. Methods: A semi-structured interview was conducted with 16 family caregivers of children with tumor receiving PICC insertion. Data were analyzed based on Colaizzi’s phenomenological research method. Results: Five themes were extracted, including lack of knowledge and skills of family care, heavy psychological burden, weakness of social support system, to face calmly and respond actively, a sense of achievement from nursing experience accumulation. Conclusions: Understanding the experiences and problems of family caregivers can help nurses provide professional family care education and psychological counseling to alleviate their psychological burden and meet their needs.

Ardahan Melek has completed her PhD in 2005 at the Ege University, Department of Public Health Nursing. She became Associate Professor in 2012. She works on cancer, women health, family nursing and elderly health. She is a member of professional associations. She has more than 50 articles, award-winning research and oral-poster presentations at many conferences.

In recent years, the World Health Organization and United Nations Children's Fund has emphasized that infants should be only fed with breast milk in the first 6 months. The rate of feeding only breast milk the first 6 months of life being worldwide are similar values (38%). Less developed countries are more successful than other countries in the terms of continuing breastfeeding. Breastfeeding is fairly common in Turkey. According to the Turkey Demographic and Health Survey (2013) data, 58% of babies in 0-1 months, 35.4% of babies 2-3 months, 9.5% of babies 4-5 months were breastfed. The median duration of breastfeeding is 16.7 months. According to the years in Turkey, we see that the feed rate with only breast milk is reduced and some factors are affecting the uptake of breastfeeding. In order to avoid this reduction, in this case report emphasis will be made to breastfeeding counseling. Our case comprised of a 26 years old housewife. She married at the age of 18-years, and her first pregnancy was at the age of 19. She conceived twice, both resulting in live births. She was diagnosed with gestational diabetes during pregnancy. To control the level of sugar, she was hospitalized two weeks before giving birth. During home visits, it was determined that the mother had nipple cracks, small size and fullness respectively. She was not concerned about her breast care, which in turn reduced the flow of breast milk. The baby showed resistance to mother’s breast, therefore she also seemed to be worried. Mother considered that this was the reason for inadequate weight gain of the baby. First, the feelings of the mother were considered and factors that hindered the baby's breast milk intake were determined. These factors include the failure to breastfeed, the form of delivery (caesarean section), neonatal outcome, newborn status, head cracked nipples and diabetes. İt was described to the mother how to cope with nipple crack. Blockage in the milk ducts, symptoms of cystitis were checked. It was observed that she wasn’t having trouble with her first child about lactation but there was a lack of knowledge about breastfeeding. For this reason breastfeeding counseling was done. It was informed about how breastfeeding should be, the importance of breast milk and its structure, breast care, breastfeeding technique, technique of feeding with cup, milking with hands and preservation techniques and all these factors helped to gain self-confidence. Mother was followed up thrice with home visits. At the end of these follow-ups, it was determined that breast milk increased, mother nursed her baby in an effective way and nipple cracks decreased. Mother was encouraged for breastfeeding for at least 6 months. Nurses have an important place in breastfeeding counseling. So nurses should carry out the family nursing process by organizing home visits efficiently. Breastfeeding counseling should be done in terms of the survival of the infant, physical and mental development, protection from diseases, mental health, maternal health, environmental health, economic development of family and community.

Özlem Özdemir has completed her PhD from Gülhane Military Medical Academy and Post-doctoral studies from Yildirim Beyazıt University Department of Nursing. She has published 6 papers in reputed journals and serving as an Editorial Board Member of Journal of Behavioral Health.

The purpose of hip replacement is promoting the life quality of patients by eliminating pain, enhancing mobility and regaining functions. After hip replacement, knowing and implementing safe mobilization and exercise interventions in daily life activities is important in ensuring early mobility and enhancing physical adaptation. Patients are under supervision and guidance of healthcare professionals when hospitalized but after discharge exercise programs may be neglected or wrongly implemented. Studies emphasize that sustaining exercise programs by home exercise programs after hip replacement is effective in strengthening muscles, better functioning and minimizing complications. In this paper, studies focused on the effects of home exercise programs implemented during home visits after hip replacement on patients are reviewed. Pubmed (MEDLINE),Wiley Online Library, EBSCOhost databases (between 2005 and June 2015) were searched with keywords “hip replacement, home exercise program and home visit”. Studies related to home exercise programs implemented during home visits after hip replacement in English were included in the study. 11 original articles were retrieved. The patients included in the studies were aged 60-94 years old. The length of home exercise programs in the studies were ranging from 2 weeks to 12 months. Home visits in 2 studies were limited to 8 and 20 times but they were executed daily on each day in other studies. In nearly all of the studies it is reported that patients completing the home exercise program were having improvements in physical functioning and daily life activities. One of the studies also reported that early recovery of daily life activities was observed with home exercise programs. Another study reported that all of the patients allocated to different intervention groups in home exercise program had exercised more regularly. Within the home exercise program, only three studies had environmental regulations regarding accommodation, training and assessment regarding safe mobilization and pain management. Reviewed studies suggest that home exercise programs implemented during home visits after hip replacement improve patients’ physical functions and life quality. It is recommended that by home visits, environment of patients who had hip replacement and living at home in the society should be assessed and their motivation for home exercise program should be boosted.

Sema Koçaşli has completed her PhD from İstanbul University and Post-doctoral studies from Yildirim Beyazıt University Department of Nursing. She has published 2 papers in reputed journals and 4 chapters written in the different books.

Objective: This study was conducted as a descriptive and cross-sectional study within the context of the practice of surgery nursing, that patients who were responsible for care by nursing students, using nursing diagnoses by evolve North American Nursing Association (NANDA). Method: Population of this study consisted of 116 nursing care plan prepared by students of Yıldırım Beyazıt University, Health Science Faculty Nursing Departmen between 2014-2015 years, contend surgery nursing practice. Data collection form was prepared according to Gordon's functional health patterns model. NANDA nursing diagnoses was taken into account in surgery nursing lessons. All nursing care plans were examined and student’s practice about pain diagnoses was investigated according to nine criterion in NANDA nursing diagnoses handbook. SPSS 20 programme was used for statistical analysis. Results: Results of the study revealed that 58.6% of students used pain nursing diagnosis. The most used three practices were pain assesment (80.9%), identifying pain’s reducing or increasing factors (61.8%), applying analgesics with doctor’s order (58.8%) by students in nursing care plan. In addition the least used were informing the patients about pain (30.9%), providing sleep and rest (16.2%), use of nonpharmacological methods to reduce pain (massage, hot and cold applications etc.) (26.5%), Drug efficacy and pain assessment in 30 minutes after applying analgesics (10.3%), making positions and mobilization (45.3). Students used therapeutic methods like listening to music and/or watching TV (14.7%), converse with patients (10.3%) and bothways (8.8%) for distraction. Conclusion: If the nursing students learn nursing process from the first year, they will use this process effectively and systematicly and can provide developmental professional nursing. Also nursing students will come to know that nursing process is not a grading tool or an unnecessary burden, instead it provides interdisciplinary communication, increase the quality of care and standard language. Subject of pain, pharmacology and physiology of pain allow better understanding by the students, as well as they can focus on the importance of providing holistic care to patients. Students should be encouraged to use non-pharmacological methods.

Betul Tosun has completed her PhD in Nursing from Gülhane Military Medical Academy, School of Nursing, Department of Fundamentals of Nursing. She is working as a Lecturer at Gülhane Military Medical Academy, School of Nursing, Department of Fundamentals of Nursing. She has published 7 papers in reputed journals.

Aim: Traumatic amputations due to traffic accidents are leading in total amputations. Even the lost extremity replanted, sometimes the outcome may not be successful and patients may suffer from extremity loss. It is obvious that during this process, patients and their families experience a long and hard treatment and care process. When nursing models, giving a scientific perspective to nursing interventions and guiding nursing researches, are represented in care, they give an evidence based and high quality approach. Applicability of models in clinical settings is important to test them. The aim of this study is to explain the nursing care of a patient with under knee amputation in accordance with Rogers’ “Unitary Human Model”. Methods: Nursing care of a patient with under knee amputation was planned, executed in accordance with the principles of completion, reflection and spirality described by Rogers’ “Unitary Human Model” and assessed in this case report. Case: Twenty five years old male patient had right under knee traumatic amputation due to vehicle accident. After reimplantation, circulation was not achieved and under knee amputation was performed. For stump edge healing Vacuum Assisted Closure was performed. It was planned to place a prosthesis at the third month after the stump edge healing was achieved. In the context of completion principle; as a consequence of being dependent to an aid for the rest of the life, reduction in self-esteem and deterioration in body image nursing diagnosis were given. Completion principle may also be interpreted as the need for medical professionals’ and family support to fulfil the requirements that are impossible or hard to perform due to loss of extremity. In the context of Reflection principle; life style of patient is completely changed compared to old routines. There are diagnosis of being exposed to invasive interventions, stump edge pain, immobilization, infection and delay in wound healing due to infection. Antibiotics and analgesics were given by the physician order. Air mattress was given to the patient and exercise program was cooperated with a physiotherapist in the immobilization period. Patient was encouraged to use crutches, mobilize frequently. Low molecular weight heparin was given for risk of venous thromboembolism by the physician order. Patient was prepared for rehabilitation period and aimed to achieve a rhythm appropriate to his old life rhythm. In the context of Spirality principle; new body of the patient deteriorates the patients’ interaction with environment and ruins his rhythm. The rhythm between environment and patient is maintained as the patient first sent to clinic from intensive care unit and then to home. Initiatives to give appropriate professional support for the patient experiencing anxiety due to ambiguity in his health status and loss of his role in his family and work life. It was observed that the patient’s nursing problems were solved in the healing process. Outcome: We suggest that with its’ new and different perspective, Unitary Human Model may guide nurses in care for patients with amputation.

Nursemin Ünal has completed her Master’s degree in Nursing from Gazi University Medical Sciences Institute Department of Psychiatric Nursing and currently she is a PhD student in Gülhane Military Medical Academy, School of Nursing, Department of Fundamentals of Nursing. In addition, she is working in Gulhane Military Medical Academy Department of Orthopedics and Traumatology as a Education and Training Nurse.

Aim: The aim of this study was to determine the life quality of patients with knee osteoarthritis (OA) and affecting parameters on this condition. Method: This cross-sectional study was conducted between December 2013 and June 2014 with 117 eligible OA patients who were admitted to orthopedics and traumatology outpatient clinic in a training and research hospital and accepted to participate in the study. The data were collected using a descriptive characteristics form and the Quality of Life Scale Short Form (SF-36). Data were analyzed using SPSS for Windows Version 15.00 program pack and p≤0.05 was accepted as statistically significant. Findings: Mean age of the participants was 64.15±8.84 years, 90.6% of them were female and the mean BMI was 31.69±4.54. It is found that the patients older than 65 years, female, single, having lover, educated, having bilateral OA diagnosis, having BMI ≥30.00kg/m2, having higher grade OA are to have statistically significantly lower scores in some subscales of life quality (p≤0.05). Presence of chronic disease and state of working were not found to make any significant difference in life quality (p>0.05). Conclusion: In our study it is found that age, gender, marital status, education level, radiological grade, BMI and bilateralism of OA affect life quality of patients. We recommend making further research with larger sample, assessing more risk factors that will lead better treatment outcomes and quality of life in patients with OA.