Day 2 :
Keynote Forum
Jose Russo
Fox Chase Cancer Center-Temple Health, USA
Keynote: PThe molecular mechanism of the dual effect of pregnancy and lactation in risk and prevention of breast cancer
Time : 14:05-14:35
Biography:
Jose Russo, MD is a Senior Member and Director of the Irma H Russo, MD Breast Cancer Research Laboratory, Director of the Breast Cancer and The Environment Research Center at the Fox Chase Cancer Center and Professor of Biochemistry in Temple Medical School and Adjunct Professor of Pathology and Cell Biology at Jefferson Medical School in Philadelphia, Pennsylvania. He has authored more than 400 publications; 13 books and is a member of several editorial boards of scientific journals. He has received numerous research awards from the National Cancer Institute- National Institute of Health (NIH) of the United States, the American Cancer Society and the Department of Defence for his original research on breast cancer. For the last 40 years, he has been an active member of the NIH peer review system and has served as a special reviewer for the American Cancer Society, National Science Foundation, Department of Defence and Veteran Affairs. He has trained 55 PhD and MD investigators in cancer research. His interest has a broad base, but with a focused goal: to understand the mechanisms that control the susceptibility of the breast epithelium to undergo neoplastic transformation; to identify markers of susceptibility, and; to develop strategies for breast cancer prevention.
Abstract:
We have studied the genomic profile of nulliparous and parous women in the premenopausal and postmenopausal period and found genes that are activated only during the first five years after pregnancy and lactation that may contribute to the increased risk of breast cancer experienced by certain women after pregnancy. At the same time, we have confirmed that pregnancy and lactation induces a long lasting genomic signature that starts after pregnancy and explains preventive effect. The molecular mechanism related to prevention is based on chromatin remodeling process.
Keynote Forum
Shahid Sheikh
Ohio State University College of Medicine
Keynote: Pediatric asthma: Diagnosis and management
Time : 14:05-14:35
Biography:
Shahid Sheikh is an Associate Professor of Clinical Pediatrics at The Ohio State University College of Medicine. Currently, he is working at divisions of Allergy/Immunology and Pediatric Pulmonary Medicine in Department of Pediatrics at Nationwide Children’s Hospital, Columbus Ohio. His major interests are Pediatric Asthma and Cystic Fibrosis. He has published about 50 papers in peer-reviewed journals and has been serving as co-editor in editorial board of seven peer-reviewed journals.rn
Abstract:
Asthma is the most common chronic childhood disease with increasing prevalence especially in urban minority communities. It is important to identify asthma early in risk groups such as children. In 2011, the lifetime asthma prevalence among children ages 5 to 14 years in the United States was 15.6%. Studies have reported that estimates of the prevalence of undiagnosed asthma among children in the United States were between 14%-17%. Young children with episodes of wheezing, night time cough and/or exercise related limitations are always a dilemma as parents are never certain if their children have asthma or will develop asthma at a later age. It is estimated that about 30% of preschool children with wheezing may have underlying asthma and most of children with asthma develop symptoms in pre-school years. We will discuss difficulties in making a diagnosis of asthma in early age. How can we simplify do the diagnosis so that early therapies can be initiated to decrease morbidity will be discussed.
- Women Health Nursing, Health Care & Family Medicine
Chair
Kathleen Flaherty
Concordia College-NY, USA
Co-Chair
YeounSoo Kim-Godwin
University of North Carolina Wilmington, USA
Session Introduction
Lynn B. Clutter
The University of Tulsa College of Health Sciences, USA
Title: Birth Mother Perceptions of Their Own Past Open Adoption Placement and Experience
Time : 09:00-09:20
Biography:
Lynn B Clutter is a Faculty in the University BSN program where she enjoys teaching and mentoring students. She is a Lactation Consultant at Saint Francis Hospital. She serves as a Vice President of the Wong-Baker FACES Foundation Board and a Leader in professional organizations and has practiced as a Clinical Nurse Specialist.
Abstract:
Birthmothers are those who have maintained their pregnancy and made an adoption plan. Birthmothers are also those who make choose an adoption plan for their child or children after birth and a time of parenting. Those choosing open adoption have some degree of involvement in their birth child’s life but no longer act as parent. This presentation discusses unintended pregnancy, the decision to make an adoption plan and the choice of open adoption from the birth mother’s retrospective viewpoint. Two qualitative research study findings will be reported. Retrospective views of adolescent birthmothers versus those who were in their 20’s at the time of placement suggest some differences in process and satisfaction with outcome. However both groups affirmed that this was one of the most difficult but best choices of their lives resulting in personally improved quality of life. Additional satisfaction came with knowing the wellbeing of birth children and having some degree of input into the developing child’s life. Findings suggest that retrospective satisfaction with the decision to place versus parent increased over time. Implications for those in the adoption triad: Birth families, adoptive families and adoptees will be addressed in the presentation. Additionally, the topic of unintended pregnancy and adoption will be overviewed as a global matter. The process and degree of open adoption can be quite varied and multifactorial. Open adoption will be specifically defined and described. Adoption placement is a milestone in birthmother’s lives. Even in the adoption triad, their voices are rarely heard.
Sharon K. Byrne
The College of New Jersey, USA
Title: Incorporating Concepts of Population Health within the Context of Family Nursing
Time : 09:20-09:40
Biography:
Sharon K Byrne completed her DrNP at Drexel University. She is a Co-chair and an Assistant Professor of Nursing at The College of New Jersey. She serves as an Advanced Practice Nurse within a NJCEED funded program, where she delivers cancer education and care to individuals from underserved communities. She is a volunteer FNP in Haiti with primary care medical missions to individuals across the lifespan. She has published and presented in the area of global health and cancer outreach and is a peer reviewer for nursing, medical and public health journals.
Abstract:
The goal of the Population Health Program is to improve health and wellness in patient populations. Disparities can negatively impact individual/family or community subsets that have experienced access, resource or socioeconomic obstacles to health and wellness. As such, it is important to understand the determinants that impact health outcomes at the population level. Family-centric nursing in both the educational and practice arena can broaden its impact through incorporating concepts from population health to enhance the well-being of persons across the lifespan in local community and broader global settings. The Department of Nursing at one state college has made an effort to incorporate Population Health and its tenets into the curriculum to create change. Grant funding through the Robert Wood Johnson Foundation has supported strategies utilized in the transition. The strategies include, but are not limited to; educating faculty, students, and affiliated clinical settings and their providers about issues involved in determining population health; utilizing existing research evidence or best practice interventions in the planning and delivery of care; increasing interprofessional collaboration; mobilizing existing community resources to achieve better health outcomes; and the use of informatics and technology. Lessons learned in developing knowledge, establishing learning objects, and offering clinical experiences that promote competencies in population-based health care will be shared. Highlights will include a discussion of learning experiences of nursing students involved in an academic-practice partnership within an underserved urban area and a global health medical mission with a NGO to address population health disparities in a resource poor environment.
Annsofie Adolfsson
Orebro University, Sweden
Title: The EKO-Model gives empathy knowledge and care to women in their issue during the reproductive health life
Time : 09:40-10:00
Biography:
Annsofie Adolfsson has completed his PhD from Linköping University and Post-doctoral studies from University of Washinton, Seattle, US and Skovde University of Sweden. She is the Professor of University college of southeast Norway and Associate Professor of Örebro University Medical sciences. Se has published more than 43 papers in reputed journals and has been speaker at several conferences and reviewer of journals.
Abstract:
EKO -Model gives empathy knowledge and care to women in their issue during the reproductive health life. Approach to caring requires that healthcare workers are also knowledgeable in how to confirm that a patient has suffered one or more suspected miscarriage or IUFD. Through understanding and training in the EKO approach healthcare professionals increase their ability to be sympathetic and empathetic to a patient’s needs, whether they are meeting with them or talking to them on the telephone. Sexual and reproductive health and how interact in peoples and families life’s and physical and psychological health and wellbeing. Sexual and Reproductive Health is a cross-sectional science and include medicine, psychology, sociology and caring science. In the area of Spontatneuts Abortion, Miscarriage, Invitrofertilisation and Adoption. Widespread Sexual Violence: Impact on post assault reproductive health practices by women victims and on health system. Women with diabetes are studied in the research project ‘Maternity and Diabetes’ This project was developed for MODIAB-WEB. Intimate knowledge about how the grieving process works is essential to be able to provide optimum support to the patient. It may be that this support gives them the courage to try to conceive again. One key aspect of the EKO-model is open and clear communication between the healthcare personnel and the patient, whether face-to-face or remotely. The structured EKO conversation provides a viable tool to help healthcare professionals assist patients in coming to terms with their loss. Research shows that, when the EKO-model is used, patients feel that they have received the proper professional care when they needed it. The EKO-model recommends offering to meet the patient one or two times but more sessions can be scheduled as necessary.
Kachaporn Nimdet
Suratthani hospital, Thailand
Title: A model of congenital heart disease screening in elementary school children
Time : 10:00-10:20
Biography:
Dr. Kachaporn Nimdet has over 8 years experience as pediatric cardiologist at Suratthani hospital, the cardiac center in the south of Thailand. She has been a principle lead in developing and implementing the entire service system for children with heart diseases and transcatheter intervention for CHD patients in the cardiac center. Her research interest includes the development of strategies for screening CHD in rural areas with the aim to provide early diagnosis and therapeutic intervention.
Abstract:
Congenital heart disease (CHD) is the most severe form of congenital malformations which increases the morbidity and mortality risks. Early diagnosis not only provides optimal therapy but can also prevent complications. The avialability of pediatricians is scarce, especially in rural areas in Thailand. Therefore, healthcare officers and nurses who work in primary healthcare hospitals have an important role on healthcare services in communities, for example, to treat uncomplicated diseases, provide vaccination and perform yearly physical examination in elementary schools. Accordingly, implement CHD screening through existing healthcare services should enhance the possibility of early diagnosis. The CHD screening model was established to provide physical examination skills related to cardiovascular diseases for healthcare officers and nurses, for early CHD detection. Three steps of the model were: 1) participation in the training program, consisting of the study of common CHD, clinical manifestation and practical examination; 2) screening in the elementary school that they were responsible for during the study period; and 3) re-evaluation the children suspected of having CHD by pediatric cardiologists. At the screening process, checklists of common manifestations, including the history and physical examination of CHD, were provided to facilitate the screening. Of 23,633 children in 179 elementary schools, a total of new diagnosed 38 CHD children were detected by healthcare officers and nurses and confirmed diagnosis by pediatric cardiologists. One year after participation, five more CHD cases were recognized and treated. This study emphasizes that utilization of an effective model provides the opportunity of detection and optimal therapy for CHD.
LaDonna Hatley Dulemba,
Indiana University East School of Nursing and Health Sciences, USA
Title: Comprehensive needs assessment of COPD patients residing in east-central Indiana and westcentral Ohio
Time : 10:20-10:40
Biography:
La Donna Hatley Dulemba has completed her DNP degree at the University of Cincinnati in the College of Nursing. She is an Assistant Professor of undergraduate and graduate nursing students at the Indiana University East, School of Nursing and Health Sciences. Her areas of expertise include: Student health, COPD, rural health and nursing leadership.
Abstract:
Introduction: This poster addresses a needs assessment project conducted to determine the population needs, health risks and health status to develop a plan to implement early interventions that will work to improve health outcomes of chronic obstructive pulmonary disease (COPD) patients residing in east-central Indiana (IN) and west-central Ohio (OH). Sample: A convenience sample of 70 adult COPD patients in east-central IN and west central OH. Method: The Vulnerable Populations Conceptual Model (VCPM) was used to construct a survey that assessed available resources, relative risk and health status of COPD patients. The thirty-item survey was distributed in two pulmonary practice sites and a rural hospital’s outpatient services. Findings: The project used descriptive analysis and t-tests. Results demonstrate resource availability mean (M) 7.06±1.88 (SD) out of 0 to 11, relative risks (M) 4.16±1.25 (SD) out of 0 to 9 and health status (M) 5.36±1.60 (SD) out of 0 to 9. Participants who had 2 or more co-morbidities and took 5 or more daily prescriptions were more likely to have increased emergency room (ER) visits and hospital admissions. Conclusion: The results demonstrate the greatest frequencies for resource availability were education level and caregiver support. Low resource scores were found for available health programs and enrollment in them. Smoking and increased sadness were the greatest relative risks. Implications of the project support developing COPD interventions and programs that address smoking cessation, depression screening and self-management that work to improve the health status of the population and improve their health outcomes.
Jingting Wang
Second Military Medical University, China
Title: Developing “Care Assistantâ€: A Smartphone Application to Support Caregivers of Children with Acute Lymphoblastic Leukemia
Time : 11:00-11:20
Biography:
Jingting Wang is currently a PhD Student in School of Nursing, Second Military Medical University, China. Currently she is an International Visiting Student in Lawrence S. Bloomberg Faculty of Nursing, University of Toronto supported by China Scholarship Council. Her research focuses on the combination of family-centered care for pediatric cancer with the technology of mhealth. She got outstanding Graduate Candidate Fund of Second Military Medical University with her research “Feasibility and effectiveness evaluation of a smartphone application ‘Care Assistant’ in supporting caregivers of children with acute lymphoblastic leukemia”. She has also published several papers in both English and Chinese.
Abstract:
Acute lymphoblastic leukemia (ALL) is the most common childhood malignancy. Family caregivers, especially parents, play an important role in delivering complex health care services. Caring for children with ALL is an uncommon experience for parents without medical training. They urgently need professional assistance when their children are recovering at home. The objective is to document the process of developing an Android application (app) “Care Assistant” for family caregivers of children with ALL. Key informant interviews and focus group studies were used before programming the app. The key informants and focus group members include: Caregivers of children with ALL, cancer care physicians and nurses and software engineers. Study participants highly appreciated the idea of developing an app to assist caregivers. We found several major challenges faced by caregivers: Limited access to evidence-based clinic information, lack of financial and social assistance, deficient communications with doctors or nurses, lack of disease-related knowledge and inconvenience of tracking treatments and testing results. These feedbacks were used to develop “Care Assistant”. This app has eight modules: Personal information, treatment tracking, family care, financial and social assistance, knowledge center, self-assessment questionnaires, interactive platform and reminders. A web-based administration portal to manage the app was also developed. Engaging parents of children with ALL and cancer care physicians and nurses is critical in developing an app for family caregivers, which improves relevance and appeal of the app to target users. The usability and effectiveness of “Care Assistant” is being evaluated in our ongoing studies.
Shahid Sheikh
Ohio State University College of Medicine, USA
Title: Cystic fibrosis: Diagnosis and management
Time : 11:20-11:40
Biography:
Shahid Sheikh is an Associate Professor of Clinical Pediatrics at The Ohio State University College of Medicine. Currently, he is working at divisions of Allergy/Immunology and Pediatric Pulmonary Medicine in Department of Pediatrics at Nationwide Children’s Hospital, Columbus Ohio. His major interests are Pediatric Asthma and Cystic Fibrosis. He has published about 50 papers in peer-reviewed journals and has been serving as co-editor in editorial board of seven peer-reviewed journals.
Abstract:
Cystic fibrosis (CF) is an autosomal recessive multi-system genetic disorder mostly seen in Caucasian population. It is characterized by pulmonary disease, pancreatic exocrine insufficiency, and abnormal sweat electrolyte concentrations. Progression of lung disease, which is the primary cause of morbidity and mortality, is associated with chronic airway infection and inflammation leading to progressive loss of lung functions and bronchiectasis requiring lung transplant. Early diagnosis and aggressive therapies in accredited CF centers have improved mean life of CF patients from <10 years to >40 years over the last 30 years and continue to improve. Our goal of this lecture is to identify clinical symptoms/signs which can be associated with CF and to define standard of CF care as per CFF guidelines.
Heidi Mason
University of Michigan, USA
Title: Ethical considerations in end of life discussions: How nurses can make a difference
Time : 11:40-12:00
Biography:
Heidi Mason has been an Oncology Nurse for 30 years and a Nurse Practitioner in head and neck oncology for 16 years. She is presently pursuing a Doctorate in Nursing Practice at Madonna University in Livonia Michigan. She is a clinical instructor at University of Michigan School of Nursing for the acute care nurse practitioner program. She also has an appointment at the University of Michigan Cancer Center as an Oncology Nurse Practitioner. She has published in reputable journals and has presented at multiple national conferences.
Abstract:
Patients have a right to compassionate and respectful care during the final stages of their lives. End of life discussions need to focus on promoting the optimal well-being of patients. To accomplish this, providers need open and honest dialogue with patients and their loved ones. It should begin early, as the patient transitions into a more palliative care stage, and be continuous, re-addressed as changes in the their status occur. End of life care requires a multidisciplinary team, if nurses are left out of the process, the opportunity to provide the best possible care during this final stage in life will be missed. Nurses are in a unique position to initiate end of life discussions. The nurse-patient relationship lends to a more open and easy communication pattern. Nurses are often aware of the values and goals of patients since they are involved in their day-to-day care. This intimacy helps nurses recognize beginning signs of transition into a more palliative care mode allowing them to initiate difficult conversations earlier. Nurses promote health throughout the continuum of life, including the dying process. The ANA nursing code of ethics mandate nurses to take an active role in end of life care. It specifically states that nurses should assist patients in decisions regarding resuscitation, aggressive care, nutrition and other heroic measures. A survey of nurses at University of Michigan Cancer Center demonstrates a lack of comfort and knowledge regarding their ethical responsibility in end of life care. Further education, especially inter-professional education, is warranted.
Joyceline Ntoh Yuh
University of Oldenburg, Germany
Title: Socio-cultural construction of HIV/AIDS stigma among African migrant women in Lower Saxony, Germany
Time : 12:00-12:20
Biography:
An estimate of 80,000 people are living with HIV in Germany with 4,400 sero-positive persons in the state of Lower Saxony which counts amongst the high HIV prevalence states in Germany. Yet, many sexually active people do not know their HIV status. In so doing, HIV-related stigma stands as a major barrier in seeking VCT especially within the African communities. Gender and culture play a significant part in the aftermath of the infection. Women are more likely to be blamed for the transmission of HIV compared to men. All these complicate the disclosure of infection and prevention of HIV transmission. HIV prevention efforts are slowed down by societal and cultural factors that largely lead to stigmatization of infected individuals. The current research therefore examines the socio-cultural constructions of HIV stigma and dilemmas as African-migrant women struggle to cope with the challenges posed by HIV/AIDS in their day to day lives. The social context of HIV-related stigma is reflected in negative behaviors including discrimination, denial, secrecy and self-blame. Most HIV infections are through heterosexual transmission, a mode of transmission closely linked to promiscuity and the resultant HIV-related stigma. The complexity surrounding HIV-related stigma cannot be ignored considering the fact that, it is layered amongst other stigmas such as gender and promiscuity. Intersectionality is an ideal framework for analyzing complex health inequalities that occurs among HIV-infected subgroups especially African women whose experiences are different from their male counterparts. Multiple factors often precipitate stigmatization experiences and their social identities at the individual level such as being female, ethnic minority, low economic status which interlocks with oppressive forces at the macro level e.g., classism or sexism which creates social injustice. It is vital to examine the underlying aspects creating and re-enforcing HIV-related stigma in order to design culturally sensitive intervention. Thus, redefining is necessary for HIV/AIDS from the social perspective which created stigma in order to eradicate it.
Abstract:
Joyceline Ntoh Yuh is a Feminist and PhD candidate in the University of Oldenburg, Germany. She holds an MA in Women & Gender Studies from the ISS Erasmus University Netherlands. Her research interest includes HIV/AIDS related stigma, gender issues, sexual and reproductive health. Since 2006, she took keen interest in the field of HIV/AIDS and researched on the impact of HIV affecting mostly women with the UN FAO Gender unit, mainstreaming HIV policies in UNFFE Uganda, HIV stigma & child bearing in Cameroon and currently facilitates workshops with MA students in the area of Gender, Migration & HIV/AIDS (Health).
Dorothea Frederick
Thomas Jefferson University, USA
Title: Mitigating Caregiver Burden
Time : 12:20-12:40
Biography:
Dorothea Frederick is a DNP/FNP candidate at the University of Massachusetts, Amherst. This is her capstone project to be presented at graduation, May 2016. She has been a Nurse for 37 years working in a wide variety of settings. She is currently full-time faculty at Thomas Jefferson University, College of Nursing, teaching in the undergraduate nursing program. While working in the operating room, she published articles on Mentoring and Bullying and Cultural Competency. While teaching neuro at Jefferson, she published an article on Lemierre’s Disease and co-authored an article on Simulation in Nursing. She currently teaches the neuro section to senior nursing students, prep for NCLEX and clinical health assessment.
Abstract:
Informal caregiving is the most common form of long-term care provided in the United States, and with the projected rapid growth of older adults, informal caregiving will be even more critical in the foreseeable future. In the United States, slightly more than 20% of informal caregivers provide care for more than one care recipient, and 10% provide care for three or more care recipients. Caring for a dependent, older adult patient may have negative effects on physical, psychological, psychosocial, social and financial health of caregivers. Careful assessment of the impact of informal caregiving on the caregiver’s functioning is imperative, and will enable a practitioner to not only find ways to help caregivers shoulder the effects of caregiving, but also to measure the effectiveness of interventions that seek to mitigate the effects of caregiving.
Erin Bennion
Brigham Young University Idaho, USA
Title: Lifelong Learning: A constructivist grounded theory study
Time : 12:40-13:00
Biography:
Erin Bennion has earned her PhD in Nursing and she is a Nursing Faculty Member at Brigham Young University-Idaho. She currently teaches nursing research and maternal/child nursing. She specializes in lifelong learning efforts in medicine, using a unique learning model where understanding of the learning and teaching process grows as one pursues inquiry and innovation.
Abstract:
Lifelong learning has been established as an essential component of nursing culture, yet there continues to be substantial obstacles to implementing lifelong learning into nursing practice. The research questions were: What are the perceptions of nurses regarding lifelong learning, what experiences describe the nurse's pursuit of lifelong learning and what theory, grounded in data explains lifelong learning of acute care nurses? The sampling and data collection took place in a southern Utah health care organization and data saturation occurred after 15 interviews. The conceptual base for the study was The American Association of Colleges of Nursing (AACN) and Association of American Medical College's (AAMC) lifelong learning in medicine and nursing final conference report (2010). A constructivist grounded theory method was chosen and theoretical sampling methods were used to collect the data. Theoretical sampling and constant comparative analysis were the primary methods of data analysis. The theory that emerged from the data was confined learning, which is a descriptive theory depicting lifelong learning of acute care nurses. This theory describes how nurses have become dependent upon hospitals for lifelong learning opportunities. Some of these opportunities are provided by the hospital and others were experienced within the hospital and occurred at the patient bedside or by interacting with coworkers. The implications of the research findings expose an over dependence for nurses upon hospital provided learning resources. This overdependence upon a hospital for providing learning opportunities decreases the nurse's opportunities to explore learning resources, become familiar with current research and develop information literacy.
Jeanne Widener
Marshall University, USA
Title: Venous leg ulcers: Impact on nursing of new practice guidelines
Time : 13:00-13:20
Biography:
Jeanne Widener has completed her PhD from the Ohio State University with a dissertation focus in vascular nursing. She has been a member of the Society of Vascular Nurses for 12 years. She teaches medical-surgical nursing content in the BSN program at Marshall University. She has published several articles and serves on the editorial board for the Journal of Vascular Nursing.
Abstract:
The Society for Vascular Surgery (SVS) and the American Venous Forum (AVF) published guidelines for the management of venous leg ulcers in August 2014. The goal of this presentation is to summarize the guidelines explaining how they may affect the nursing practice of vascular nurses. The epidemiology and financial impact of venous ulcers, anatomy and pathophysiology of venous leg ulcer development, clinical manifestations and prevention of venous leg ulcers will be briefly addressed to provide context for the diagnosis and treatment recommendations. The venous ulcer guideline committee included members from both the SVS and AVF and was further divided into 6 subcommittees to address diagnosis, compression issues, endovascular and surgical interventions, general wound care, ancillary treatments and preventative care. Each subcommittee was charged with evaluating the evidence available for quality and strength. The grading of recommendation assessment, development, and evaluation (GRADE) system (reported by the American College of Chest Physicians) was used by the committees to rate the evidence. High quality evidence received an A, moderate quality received a B and lesser quality received a C. Strong recommendations were assigned a 1 indicating greater benefit than harm. Suggestions were assigned a 2 indicating weak evidence of benefit or little difference in risk. Best practice is recommended when no research evidence is available or there is no alternative to that practice which must be provided. The GRADE scale includes 1A, 1B, 1C, 2A, 2B, 2C, and best practice.
Gerlinde Agate Platais Brasil Teixeira
Federal Fluminense University, Brazil
Title: Maternal fetal immune regulation in experimental food allergy induction
Biography:
Gerlinde Agate Platais Brasil Teixeira is a Medical Doctor and has completed her PhD at Universidade Federal Fluminense (UFF), where she is a full Professor and the Head of the Gut Immunology Group at UFF. She has been dealing with food allergy research since 2003 having published more than 25 papers in reputed journals. Along with her research activity in Immunology, she has also been actively engaged both in health-professional continued education programs and in the development of Pedagogical Content Knowledge Transposition for which she has produced more than 10 teaching models.
Abstract:
The aim of our study was to determine the impact of the mother's immunological status over the immunological response of their offspring in an experimental setting. For this, female mice, tolerant or allergic to peanuts, were exposed or not to a challenge diet containing peanuts (P-CD) during gestation-lactation (TEP/AEP; TNEP/ANEP respectively). After weaning, the offspring was submitted to the peanut allergy or tolerance protocol and then P-CD. Our results showed that allergy induction in the offspring is influenced by the mother's immunological status. Offspring born to TEP mothers produced the lowest antibody titters while those born to AEP mothers produced the highest antibody titters compared to mice born to TNEP and ANEP. On the other hand, tolerance induction of the offspring is not influenced by the mother’s immunological status or contact with peanuts during the gestation-lactation. The histological gut profile of the offspring correlates well to the serological response. In other words, offspring born to TEP mothers and submitted to the allergy induction protocol presented a normal histological profile, while offspring born to AEP mothers produced the worst gut inflammation indicating that mothers, exposed to the antigen (by the oral route) during gestation, actively influence the immune response of their offspring. This work sheds some light on the importance of dietary antigen immunomodulation induced during gestation and its influence on the immunological response of the offspring. However, more work is needed to elucidate the molecular and cellular components of this regulatory phenomenon.
Biography:
Sandra M Olguin has obtained her Baccalaureate and Master of Science in Nursing from Orvis School of Nursing at the University of Nevada and Doctor of Nursing Practice from Touro University, Nevada. She is an Assistant Professor within Orvis School of Nursing and the Chief Executive Officer of the Nevada Nurses Foundation.
Abstract:
Chronic disease affects individuals, families and populations and is often associated with lifestyle choices. Unmanaged, it can be debilitating and fatal. Caregivers have traditionally used threatening and consequential communication when attempting to institute behavioral change in patients. Patients are told what to do, when to do it and given the consequences of non-compliance. Non-compliance leads to disappointment, shame and frustration for patients and providers. Patients desire healthcare involvement and choices and deserve respect and support. Motivational Interviewing (MI) is an evidence based communication style designed to help people create change, allowing providers to impact the health and wellness of persons with diabetes. This scholarly project was designed to deliver a four-hour educational program on MI to nurses who provide direct care to persons with diabetes. Orem’s Theory of Self-Care Deficit and the Transtheoretical Model of Change were utilized and pre and post tests, demographics, evaluation and analytical process were completed. The findings identified enhanced confidence and basic MI skills in the participants. Nurses who participated in the training reported the information and skills learned enhanced their professional competence or ability and will improve the treatment outcomes of their patients. Future recommendations include integrating MI into curriculum throughout nursing education and practice. Since nurses naturally use many MI techniques, fully incorporating its principles is felt to be ethically correct, as well as obligatory for patient-assisted behavioral change.
Poonam Sheoran
Maharishi Markandeshwar University, India
Title: Infertility under Social, Religion and Cultural Influence : Phenenological exploration in Northern India
Biography:
Poonam Sheoran is currently pursuing her PhD in Nursing and working as an Associate Professor at Maharishi Markandeshwar University. She has published more than 25 papers in national and international journals of repute and has been serving as a Member of Research Committee at institutional level. She has gained her Postgraduate degrees in field of Nursing, Sociology, Psychotherapy and Counseling. She has been awarded with INSPIRE fellowship for Doctorate by Department of Science and Technology, Government of India and Presidents’ Gold Medal Award for academic excellence during MSc Nursing program.
Abstract:
Society, culture and religion frame the major sphere of life for human kind since starting. Fertility has been one of man’s desired attributes since the beginning of recorded history and remains a driving need for young couples today. Infertility, however, continues to be a major worldwide problem, affecting an estimated 60-80 million women and men, a vast majority of whom live in low resource countries. The aim of the study was to assess the living-in experiences of infertile women under social, religion and cultural influence. Present study was a phenomenological study conducted at Infertility Clinic of Haryana, India. Data was collected was semi structured interview guide and face to face in depth interviews. Participants were selected using criterion sampling technique. All interviews were audio-taped using a digital recorder. The findings of the study showed that three main themes related to social, religious and cultural influence with core theme of environmental influence of their infertility experience. The study concluded that there is a huge burden on the part of female to have a baby after marriage. Also the childless women face social and financial adversities at time and this is not limited to low income or low education strata. Healthcare professionals need to understand cultural and social implications of infertility in order to provide counseling and referring women with fertility concerns for consultation and further treatment.
Lufuno Makhado
North West University, South Africa
Title: Experiences of TB/HIV Co-infected Patients Regarding the Provision of TB/HIV Integrated Services
Biography:
Lufuno Makhado has completed his PhD from North-West University. He is the Faculty/Senior Lecturer in the Department of Nursing Sciences, at the North-West University (Mafikeng Campus). He has published 3 papers and have 2 accepted papers in reputed journals. He has been serving as a reviewer in South african and international journals.
Abstract:
TB/HIV integrated services were implemented with the aim of reducing the dual burden of TB and HIV in countries most affected by both diseases. Since the implementation of TB/HIV integrated services, studies have shown that there has been a decline in TB related deaths in people living with HIV, and early diagnosis of HIV in TB patients. Hence this study sought to explore and describe experiences of TB/HIV co-infected patient regarding the provision of TB/HIV integrated services in Mafikeng (North West Province). A semi-structured in-depth interview was conducted with 6 TB/HIV co-infected patients during 2015. Our sampling criteria included patients who have been receiving TB/HIV integrated services since 2012-2014. Three major themes emerged, namely outcomes of TB/HIV integrated services (Effectiveness of TB/HIV integrated services, Patients’ satisfaction and Improved TB/HIV treatment awareness), factors inhibiting the provision of TB/HIV integrated service (Shortage of nurses and Frequency of visits versus long distance), and the positive aspects regarding TB/HIV integrated service (Treatment availability). Patients reported that TB/HIV integrated services are effective and were satisfied with the services provided to them. It was evident that/HIV treatment is always available, patients received quick services and attendance and good nurses-patients relationship.
Wai Kuen Kam
Singapore General Hospital, Singapore
Title: Human factor and operating considerations for door lockset design for patient bathrooms in a tertiary acute hospital
Biography:
Wai Kuen Kam has spent 20 years in workplace safety and health (WSH) management starting from 1995. In 2008, she joined the Singapore General Hospital where she is a part of the Safety Network which looks into WSH in all workplaces, processes and staff groups. She is passionate about improvements that would make the hospital safer for healthcare workers, patients and visitors. Currently, she is actively involved in the design team for the upcoming 500-bed Outram Community Hospital that will be ready in 2019. She has presented papers and posters in international and local conferences on occupational health and safety.
Abstract:
In the analysis of patient fall incidents occurring in the patient bathroom/toilet, there was a relationship seen between the door lockset design, patient human factor, the operating requirements of patientcare and ease of emergency rescue. The mismatch of these four criteria was one of the contributory factors to the falls. The purpose of the research was to evaluate that relationship and to categorise it in a way that could be easily used by healthcare facilities planners for improvement works and in the planning of new patient care facilities. 130 patient bathroom and toilet door locksets in an acute hospital were surveyed to evaluate the design features of door handle type, latch and lock bolts, ‘in-use’ indicators and external lock release mechanisms. The design features were evaluated against the design criteria of universal design, patient human factors, patientcare operating requirement, and ease of emergency rescue. Out of the 9 door lockset designs found, there was one that met all the 4 criteria. That design was then established for use in all future patient bathroom/toilet door projects in the hospital. The findings also revealed those patient bathroom door locksets that could pose difficulties in patient rescue and those were prioritised for rectification. It is acknowledged that patient collapse and rescue from hospital bathrooms/toilets are multi-factorial but the paper aimed to eliminate the factor due to door lockset design.
Valentina Mouebolam
Anambra State University Uli, Nigeria
Title: Parameter and risk factors of overweight among undergraduates of Anambra State University Uli
Biography:
Valentina Mouebolam has completed her Master’s degree in Public Health from Imo State University. She has 17 years of experience as the Chief Nursing Officer in Anambra State University Uli
Abstract:
This study was conducted to assess the parameter and risk factors of overweight among the undergraduates of Anambra State University Uli. The main purpose of the study was to ascertain the parameter and risk factors of overweight among undergraduates in Anambra State University, Uli. The study has 5 objectives, 4 research questions and 3 hypotheses. Related literature were reviewed and summarized. The research design was a cross sectional study which involved 300 undergraduates consisting of males and females in the campus. The sample of the study was calculated using Cochran’s formula, while a portable weighing scales for their weight and a measuring tape for their height. The data generated were statistically analyzed using analysis of variance and chi square test with SPSS version 17.0 at significance level of p<0.05 from 21-25 years have the highest frequency of overweight. The research was validated by a jury of public health lecturers in Imo State University Owerri. The sample random method was used; this because the collection was faster. The findings of this research work were that 23.7% were overwight students, at the age of 21 -25 years, also their being overweight were as a result of much consumption of carbohydrate food. Those who were overweight were due to genetic factors and inactive lifestyle that is without exercise as 44% was inactive. Non-governmental organizations and medical professionals should organize health programmes to create awareness on risk factors and complications of being overweight and obese.
Eduardo Stegensek
Universidad Nacional Autonoma de Mexico, Mexico
Title: Pressure Ulcers In Several Wards Of A Secondary Care Hospital
Biography:
Eduardo Stegensek has a Bachelor Degree in Nursing from the Escuela Nacional de Enfermeria y Obstetricia, Universidad Nacional Autonoma de Mexico. He works at Smith & Nephew Mexico as Education Analyst.
Abstract:
Objective: To describe the epidemiological characteristics of pressure ulcers and of the affected population and to estimate the direct costs of care at a secondary level hospital. Methodology: Descriptive and cross-sectional study, in which the entire population over 18 years old from the following medical units was evaluated: General Surgery ward, Plastic Surgery ward, Internal Medicine ward and Intensive Care Unit of a secondary care hospital. Each patient was evaluated daily for 30 consecutive days through the application of a clinical record format. Results: 218 patients were evaluated, of which 61 had one or more pressure ulcers, detecting 378 wounds. The crude prevalence rate was 27.98%, and the incidence rate was 13.30%. The mean age of the affected patients was 61.4+/- 20.94. The most frequent pathologies were cardiovascular diseases. Most of patients with pressure ulcers had some type of incontinence, and/or were overweight. The mean score in the Braden scale was 12.5 +/- 2.83. The greatest proportion of pressure ulcers were localized on the heels, sacrum and shoulder blades, 81.5% being Category I. The direct costs of pressure ulcer care were estimated in $6,457.64 MXN per capita a day. Conclusion: Pressure ulcers are still a problem for patients hospitalized in secondary care units, requiring the intervention of the operative level, healthcare managers and authorities alike, the enhancement of material and human resources and the creation of healthcare politics focalized on prevention and attention of pressure ulcers.
Kathryn Banks
University of Calgary in Qatar, Qatar
Title: Understanding the challenges faced by women who experience intimate partner violence during pregnancy
Biography:
Kathryn Banks has a background focused on maternal-child health issues and working with vulnerable families. She has worked in a variety of clinical roles that have focused on women’s health during the child bearing period (prenatal, fetal diagnosis, postnatal). Her interest in intimate partner violence and abuse began with her work in Aboriginal communities. She has learned about the tension women experience when making decisions to stay or leave an intimate relationship while becoming a new mother. Understanding this experience from the context in which women make their decisions is helpful to nurses as they plan care for women and families.
Abstract:
When a woman experiences abuse form her intimate partner during pregnancy it can have long lasting implications, for her own health and that of her unborn child. As nurses our understanding to date has focused on screening for abuse and safety planning. How pregnant women take on and define their roles as mothers in two parent family is affected by their experiences of intimate partner violence and abuse, this in turn influences how pregnant women feel about themselves as new mothers. By understanding the woman’s decision-making as told from her own lived experience; we can better understand the complex relationship between the woman and her child, and her partner (the father of her child). The aim was to develop an in depth understanding of pregnant women’s decision-making related to staying in or leaving an abusive intimate partner relationship. An interpretive description research design was used to generate a description of pregnant women’s experiences of deciding whether to stay in or leave an abusive intimate partner relationship during pregnancy. Individual interviews were conducted with women who were 18 years of age and older who had experienced intimate partner violence and abuse during a previous pregnancy. Women were asked to reflect on their experience of making decisions about staying in or leaving an abusive intimate partner relationship during pregnancy. The research design examined the position of women within their experiences, the diversity, as well as shared patterns of women’s experiences and the contextual factors that shaped the women’s choices and actions.
- Family Medicine
Chair
Jose Russo
Fox Chase Cancer Center-Temple Health, USA
Co-Chair
Shahid Sheikh
Ohio State University College of Medicine, USA
Session Introduction
Hatice Simsek
Ege University, Turkey
Title: Family Medicine and its Effects on Nursing in Turkey
Time : 15:05-15:25
Biography:
Simsek Hatice has completed her Master’s in 2011 at the Istanbul University, Public Health Department. She became a Research Assistant in the same year at Celal Bayar University. She is currently a PhD student and Research Assistant at Ege University Nursing Faculty, Department of Public Health Nursing.
Abstract:
The main objective of the health care system is to minimize differences in health status between individuals and groups and to optimize health level as much as possible. Modern health care system aims to offer health services “everyone, always and everywhere”. Since 1990s, WHO has encouraged this system by giving high-stake loans to countries applying the family medicine system. “Health for All 21” program has identified community and family-centered primary health care services on the fifth target. In many countries (Cuba, America and UK) in the world, family medicine model is applied. In order to expand access to basic health services, Family Practice Model was adopted by Turkey in 2004. The first application was started in Düzce on 15th September 2005 and the family medicine system was introduced in the whole country as of December 13, 2010. With this application, individual preventive health services with the first stage diagnosis, treatment and rehabilitation services in family health centers and other tasks that also involved the coordination of social preventive health services in community health centers were collected. Nurses working with family physicians are one of the main components of family medicine. According to Turkey Health Statistics Yearbook 2014 report; 21 384 doctors, 6922 nurses, 12647 midwives and 1815 other health staff are working in family medicine unit. Among nurses (94 404) who are working in 82% of hospitals, only 7% are working in Family Medicine Unit in Turkey. WHO stated two members, "family physician/family doctor" and "family health nurses" are as indispensable in primary health care team. But nurse title doesn’t pass in the family medicine system in Turkey; "Family Health Personnel" title is used for midwives, nurses and emergency medical technicians. Therefore, public health nurse academics in Turkey conducted a workshop on "Impact of Family Practice in the Public Health Nursing Education and Practice" during 22 to 23 September 2011 in NevÅŸehir. According to the report of the working group; the main problems experienced as a result of family medicine practices in undergraduate and postgraduate public health nursing training were identified and practice specified and proposals have been made to solve the identified problem. This presentation will describe the family medicine in Turkey, including nursing services, personal rights and duties of family healthcare personel, public health nursing workshop reports associated with family medicine and the effects of family medicine on nursing.
Susan D’Agostino
Quinnipiac University School of Nursing, USA
Title: Exploring the Influence Student Inter-professional Teams May have on Health Outcomes in Families with Special Needs Children in a Latin American Country
Time : 15:25-15:45
Biography:
Susan D’Agostino is an Assistant Professor of Nursing in the Quinnipiac University School of Nursing. She has received her Doctor of Nursing Practice from University of Connecticut in 2012. Presently she is the Director of Graduate Nurse Practitioner program. She is board certified as a Family Nurse Practitioner. Her experience and skill in clinical practice are extensive in both adult internal medicine private practice and primary care settings. She continues to maintain her practice weekly in adult medicine. Her research interest includes: Global health and student inter-professional innovative experiences.
Abstract:
The purpose of this project is to determine the influence a student inter-professional team approach may have on physical health outcomes (weight gain, mobility, range of motion) in families of children with complex health issues and disabilities in a Latin American country. Many universities provide students with opportunities to participate in outreach programs to Latin American countries. A literature search revealed limited data showing any impact these outreach programs have on health outcomes. Due to this lack of research, student inter-professional healthcare teams and their impact on healthcare outcomes require further exploration. A university located in New England has a long-standing affiliation with a Latin American organization whose mission is to promote leadership and empower students to have various learning opportunities within their community. The association between these two organizations will allow nursing, occupational and physical therapy students the opportunity to reach vulnerable populations including children with chronic health needs. Without this inter-professional team approach these particular families would more than likely not receive the necessary healthcare services for their children with special health care needs. World Health Organization states, “Inter-professional education occurs when students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes”. This research will help fill the gap on ways student inter-professional teams may positively influence physical health outcomes in families with children disabilities in a Latin American country.
Teresa Castro Twomey
Quinnipiac University School of Nursing, USA
Title: Exploring the influence student inter-professional teams may have on health outcomes in families with special needs children in a Latin American country
Time : 15:45-16:05
Biography:
Teresa Castro Twomey is an Assistant Professor of Nursing in the Quinnipiac University School of Nursing. She has received her Doctorate in Education Leadership from the University of Hartford in 2013. She has been in Nursing Education for ten years and her clinical expertise focuses on pediatrics and neonatal intensive care nursing. Her research interest includes cultural sensitivity of healthcare providers and she currently serves as an Editorial Board Member of Pediatrics and Neonatal Nursing-Open Journal.
Abstract:
The purpose of this project is to determine the influence a student inter-professional team approach may have on physical health outcomes (weight gain, mobility, range of motion) in families of children with complex health issues and disabilities in a Latin American country. Many universities provide students with opportunities to participate in outreach programs to Latin American countries. A literature search revealed limited data showing any impact these outreach programs have on health outcomes. Due to this lack of research, student inter-professional healthcare teams and their impact on healthcare outcomes require further exploration. The methods used to address this research problem will include two to three times a year alternating student visits by either an occupational therapy, physical therapy or nursing student (supervised by licensed professionals). During these visits, children will be assessed for mobility, range of motion and weight gain. Parents will be educated on performing interventions related to mobility and range of motion. Data on mobility, range of motion and weight will be collected by researchers during site visits to families. Case conferences will be held after each data collection period to discuss findings and adapt patients’ plan of care as necessary. World Health Organization states, “Inter-professional education occurs when students from two or more professions learn about, from and with each other to enable effective collaboration and improve health outcomes”. This research will help fill the gap on ways student inter-professional teams may positively influence physical health outcomes in families with children disabilities in a Latin American country.