Day 1 :
Keynote Forum
Kathleen Flaherty
Concordia College-NY, USA
Keynote: Developing a healing presence and an authentic caring nursing practice
Time : 9:15-09:45
Biography:
Kathleen Flaherty is the Dean and Professor of Nursing at Concordia College-NY. She has expertise in nursing leadership, teaching, curriculum and program development, grant writing, and mentoring. She is nationally certified in rehabilitation nurse and nursing education. She has numerous years of nursing practice in rehabilitation, medical-surgical and pediatric nursing. She has a Doctoral degree from Teachers College, Columbia University and a Master’s Degree from New York University. Her dissertation was “Self-Care Agency and Wellness Behaviors in Baccalaureate Nursing Students†and she continues to have a passion for supporting caring and wellness for caregivers and their patients.rn
Abstract:
Applying theoretical caring concepts from Florence Nightingale and Jean Watson, strategies toward authentic caring and healing presence in nursing practice will be explored and case scenarios will be used to apply these concepts. Before we can create a caring healing presence for our patients and colleagues, we need to develop our own self-awareness and self-care practices. Suggestions toward a reflective nursing practice with strategies toward self-awareness and self-care will be emphasized so that our presence promotes an environment that is conducive toward holistic healing. Mindfulness, creating of intentions, meditation, and centering are among the approaches that facilitate the development of your healing presence and authentic nursing care.rn
Keynote Forum
Heather MacDonald
University of New Brunswick, Canada
Keynote: Getting back into the game: Returning to work after depression
Time : 9:15-09:45
Biography:
Heather MacDonald has completed a Master’s degree in Nursing at the University of Toronto, Canada and a PhD at the University of Manchester in the UK. Currently, she is a Professor in the Faculty of Nursing at the University of New Brunswick (Canada). Her doctoral work examined respite for parents who were caring for children who required complex care and this paper comes from that work.
Abstract:
In this grounded theory study 40 English speaking women from a rural province of Canada were interviewed to learn about their experiences of returning to work after a depression. Women described getting back in the game as being difficult and challenging as they had not completely recovered by the time they returned to work. However, they felt compelled to return to work in order to keep their jobs, in order to resume health and social benefits, and to reinstate their wages. A number of themes emerged from the interview data. These included the presence of stigma, the active pursuit of silence, and battling adversity. Each of these core themes serves to describe the women’s experiences of returning to work. The women described wearing a mask or “putting on a face” to combat the stigma associated with their illness. In this presentation the three themes will be discussed along with a thorough description of wearing a mask. Strategies that employers can employ to ease the transition back to work will be discussed.
Keynote Forum
Andrew G Weinstein, MD
Thomas Jefferson University, USA
Keynote: Asthma adherence pathway app improves adherence, quality of life and outcomes in both children and adults with asthma
Time : 10:45-11:15
Biography:
Andrew G Weinstein MD received his Medical degree from the University of Pennsylvania; residency and allergy and immunology fellowship from Children’s Hospital of Philadelphia; Family Therapy training from the Philadelphia Child Guidance Clinic. He is a “Train the Trainer” in both Motivational Interviewing and Shared Decision Making. He founded Asthma Management Systems LLC., and initiated research funded by the NIH and Merck to test effectiveness of the Asthma Adherence Pathway. He has authored more than 30 articles and chapters in the area of adherence and psychosomatic asthma and is a Leader in the American Academy of Allergy Asthma and Immunology.
Abstract:
Asthma Adherence Pathway (AAP) app enables clinicians to help patients follow through with complex treatment plans. There are three components to this proven effective population healthcare model: The AAP permits identification of reasons (barriers) for not taking asthma medication. Patients then receive in both print and video format the significance of their responses and actions they may take to promote adherence to treatment. Clinicians see the patient’s responses and are given clinical decision support adherence strategies to help the patient follow the treatment plan; Clinicians are trained to use Motivational Interviewing, which helps the patient overcome ambivalence about medication use. Training is provided both in person and online and the curriculum is part of the AAP and; Patients are given Internet enabled electronic monitors that fit onto their metered-dose inhalers (both preventative and rescue) which record date and time of use. Clinicians can: monitor the course of treatment in their clinic and apply the AAP to improve adherence to preventative treatment and reduce the need for rescue medication when needed. The model has been found effective in trials with children and adults with severe asthma. The AAP app has been proven effective to increase adherence and quality of life of adult asthma patients. This model is being tested in controlled trials funded by Merck at Highmark and the National Institutes of Health at Geisinger Health Plan.
- Nursing Education & Research
Chair
Kathleen Flaherty
Concordia College, USA
Co-Chair
Lynn B. Clutter
The University of Tulsa College of Health Sciences
Session Introduction
YeounSoo Kim-Godwin
University of North Carolina Wilmington, USA
Title: Student Perceptions of Group Experience in RN-to-BSN Online Research Course
Time : 11:05-11:25
Biography:
YeounSoo Kim-Godwin completed her Ph.D. 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.
Abstract:
Objective: The overall aim of this pilot study was to explore students’ perception of teaching, social, cognitive and learner presence within an RN to BSN asynchronous online nursing research course. Methods: This descriptive correlational study used an online survey. Students’ perceptions of learning effectiveness regarding group size and class size were assessed with the Revised Community of Inquiry (RCOI), which measures the dimensions of Teaching Presence (TP), Social Presence (SP), Cognitive Presence (CP), and Learner Presence (LP). Results: Among the total of 121 enrolled RN to BSN students, 67 students participated in this study (response rate of 55.4%). The findings of ANOVA indicated no statistical differences (p > 0.05) in learning effectiveness among the different group sizes. However, groups with 5 members showed the highest scores of RCOI total (M=149.5), TP (M=36.82), SP (M=35.25), and CP (35.57). In contrast, groups with 3 members showed the lowest scores of RCOI total (M=137.19), TP (M=33.21), and CP (M=32.32). Additionally, the findings of t-tests indicated no statistical differences (p > 0.05) in learning effectiveness between the different group sizes. Conclusions: The findings of the current study imply that learning effectiveness was not associated with group sizes or class sizes. However, the findings suggest that the use of group collaboration promotes teaching, social, cognitive, and learner presence.
Donna Fraysier
King Univeristy, USA
Title: Growing up with Type 1 Diabetes: A Photo Elicitation of Memory
Time : 11:25-11:45
Biography:
Dr. Fraysier is an Advanced Practice Nurse and Certified Diabetes Educator. In 2007, she graduated with a Master’s of Science in Nursing Degree from King University. She completed her Doctor of Nursing Practice Degree in 2013 at Union University. Presently she is employed as Assistant Professor of Nursing at King University in Bristol, Tennessee. She serves on the Board of Directors for the Epsilom Sigma Chapter of the Sigma Theta Tau International Honor Society of Nursing. Diabetes management and education is her passion. Her particular interest is exploring innovative options for providing diabetes education to the pediatric population.
Abstract:
This presentation will discuss the findings of a scholarly project that was completed as a requirement for completion of the Doctor of Nursing Practice Program at Union University in Jackson, Tennessee. The aim of this project was to learn from the lived experiences of those who were diagnosed with type 1diabetes as children. A photo elicitation design was utilized. Participants were chosen from the endocrinology clinic at Holston Medical Group in Kingsport, Tennessee. They were asked to take photographs that illustrated memories of their experiences growing up with type 1 diabetes. The number of photographs taken was left to the discretion of each individual participant. Interviews with each participant were conducted utilizing prepared open-ended questions. Some common themes that emerged are: the perception of a life changing experience; lack of understanding from school staff and coaches; feeling different from friends; embarrassment; no plan or structure during the transition period; belief that education focused more on the negatives; and thoughts that diabetes education tells you what to do, but not how to do it. The information obtained from this project supports the need for education for all individuals who are involved in the life of a child with type 1 diabetes. It also supports the notion that education for children with type 1 diabetes and their parents should be ongoing instead of a one-time event. This project is limited due to the small amount of participants. Further research is needed to help providers give patient centered care to this population
Folake Elizabeth Adelakun
Minneapolis Community and Technical College, USA
Title: The journey of foreign educated nurses integrating in to the American health workforce
Time : 11:45-12:05
Biography:
Folake Elizabeth Adelakun was graduated from Lagos University Teaching Hospital Nigeria with Diploma in Nursing and Midwifery and worked as a Nurse Midwife at Lagos University Teaching Hospital, Nigeria before immigrating to the United States in 2001. She has graduated from Bethel University, St Paul Minnesota with Bachelors in Nursing and University of Phoenix Arizona with Master’s degree in Nursing and Business Administration. She has obtained Doctorate in Nursing Practice in Trans-cultural nursing from Augsburg College, Minneapolis, USA. She has worked in long term care, home care, medical surgical unit, public health department and as Nurse Educator teaching at Associate and Baccalaureate level. She is the chair of the Newsletter Committee of the Association of Nigerian Nurses in North America.
Abstract:
There has been continuous influx of foreign educated Nurses to the United States of America. Even though the flow of immigration of foreign educated nurses has fluctuated over the years, it is evident that with the epileptic shortage of nurses, it will continue to happen. This paper seek to tell the stories of these nurses, their experiences and suggestions about how they can be helped to have a smooth transition in to living and working in the United States of America. Van Manen descriptive interpretative/selective phenomenology approach was used to analyze comments and stories from 10 foreign educated nurses interviewed using semi structured questions. Themes were identified and recommendations proposed.
Cordelia Obizoba
Bowie State University, USA
Title: Exploration of Nursing Faculty Members’ Lived Experiences of Objective Structured Clinical Examination (OSCE) in Undergraduate Nursing Education
Time : 12:05-12:25
Biography:
Cordelia Obizoba is an Assistant Professor of Nursing at Bowie State University. She has obtained her PhD in Nursing Education from Capella University, Minnesota in 2014. Her educational development was influenced by the knowledge that education provides the opportunity for an upward social mobility. She has recently presented at the International Conference on the Institutional Leadership, Learning and Teaching (ILLT) in London, UK. She believes in transformative student-centered educational learning activities that enable the learner through active participation in his/her own learning to acquire adequate knowledge for lifelong learning and work experiences.
Abstract:
The effective evaluation of students’ clinical competencies is a challenge to nurse educators due to variations in clinical experiences and the subjectivity of numerous traditional methods. Contrary to the subjectivity of the traditional evaluation method, OSCE is considered a valid, objective and powerful tool in the formative or summative evaluation of students’ clinical competencies. However, OSCE is not frequently used in undergraduate nursing programs due to its high resource intensiveness in terms of the number of faculty, materials and time required for organization and implementation. This study illuminated the lived experiences of the faculty in a nursing program involved in the OSCE evaluation method. Through observations and audio-taped open-ended semi-structured individual interviews, data were collected from ten faculty members, transcribed and analyzed using the Colaizzi’s (1978) 7-step data analysis method. The cluster of themes that emerged showed varied formative and summative OSCE-type evaluation of competencies among clinical courses, driving and restraining forces of OSCE and strategies the faculty use to ameliorate the restraining forces. Implications for nursing education, practice, and research based on the findings of the study included awareness of the drawbacks of an OSCE-type evaluation as a challenge that should not negate its utilization. Furthermore, the results provided recommendations for improvement in strategies to programs utilizing or not utilizing the OSCE method of evaluation of skills competencies.
Biography:
Monika Wild has been the Head of the Health and Social Services Department at the Austrian Red Cross since 1993. She has completed her Master in 1990 and graduated in further studies in Health and Nursing Management as well as in Health Promotion. She publishes on a regular basis and gives presentations at national and international conferences.
Abstract:
In Austria about 5% of the population is in need of long-term care and nursing and about 82% of those in need of care live at home. The majority is cared for only by their family members and about 30 % receive support from professional home care services. The Austrian Red Cross is a big provider of home care in Austria. Together with partners (University of Vienna, Ministry of Health and others) it has developed a curriculum for “Family Health Nursing” based on the WHO concept of the same name. While there is still no overall training for Family Nursing in Austria, individual parts of the curriculum were integrated in further trainings and there are ongoing initiatives to implement the program as a whole. A need for family nurses is shown example by a study on the situation of child and adolescent carers, commissioned by the Federal Ministry of Social Affairs. According to this study, more than 40,000 children and adolescents in Austria regularly have long-term care responsibilities for a family member with a chronic illness. Several projects in this context are being developed currently, example one on counseling of families with a chronically ill family member run by the Austrian Red Cross and the University of Vienna, Institute of Nursing Science. The presentation will provide an overview on the situation of long-term care and home care provision in Austria with a special focus on young carers. Also the curriculum for family health nurses as well as the current project on family counseling will be presented.
Victoria Greenwood
The Sage Colleges, USA
Title: Flipping The Nursing Classroom Without Flipping Out The Students
Time : 12:45-13:05
Biography:
Victoria Greenwood is an assistant professor at The Sage Colleges, USA
Abstract:
Background. Flipping the class has been touted as a method of increasing student participation and improving learning outcomes. According to Bergmann and Sams (2012), the basic premise of this instructional technique is to have students complete at home that which is traditionally done in class, and to complete in class that which is traditionally done as homework. Nursing professors are trying their hand at this educational technique with success. Research Question. Will flipping the classroom positively affect student learning, as evidenced by an increase in test scores? Methodology. A group of baccalaureate nursing students were introduced to the “flipped classroom” at the start of their junior year. As part of the students’ classroom orientation, a brief explanation of “flipping the classroom” was given. In keeping with the philosophy of “flipping the classroom”, narrated Power Points were made available before each class. Students were instructed to watch and listen to the PowerPoint presentations and to be ready to participate in case studies that would enhance their understanding of the material covered in the presentations. Classroom time was used to incorporate additional case studies. Students were divided into groups and each group given a different case study relevant to the material in the narrated presentations. Each case study was accompanied by a series of questions edited to promote increasingly complex levels of student understanding. Using a rotating group leader, students were assigned questions and groups presented to the entire class. Results. When comparing student test scores before (n= 46) and after flipping the classroom (n=169), we found a statistically significant average increase of 8.04 points after the change in instruction (t -6.076, p < .0001). Results of the one way ANOVA to further test the hypothesis that flipping the classroom would improve test scores showed the omnibus F test was statistically significant F (15.852, p = < .0001). Post hoc tests revealed that, as hypothesized, there was a statistically significant difference in the mean test scores of students in the traditional classroom (M= 69.89) and the first semester of the flipped classroom (M= 76.58) and the second semester of the flipped classroom (80.86). Test blueprint was held constant throughout this process. Conclusions. Our hypothesis that flipping the classroom will improve test scores was supported by the data, as outlined above. Test scores progressively improved with each semester of the flipped classroom. Recommendations. Despite the increase in test scores, student satisfaction as noted in anonymous course evaluations declined the first semester of implementation of this strategy. This is consistent with Berrett (2012) and Missildine, Fountain, Summers & Gosselin (2013) who found similar correlation with student satisfaction and the flipped classroom. Instructors should be mindful when initiating this new pedagogy and prepare themselves and the students. Students in subsequent semesters appear significantly more satisfied with this teaching method as compared with first semester students, with minimal negative comments in anonymous course evaluations. Further analysis over several semesters is need to identify trends, including possible effect on student attrition and NCLEX pass rates.
Christiana Nwachukwu
Union County College, USA
Title: Flipped classrooms: A best practice approach for effective global education and training
Time : 13:05-13:25
Biography:
Christiana Nwachukwu has been an Assistant Professor of Nursing at Union County College, New Jersey since 2010. She teaches Adult Health Nursing I & II and does clinical instruction in some of the area's healthcare facilities. She has a passion for teaching her students and enjoys working with them as they transition from the classroom to practice. She implemented a flipped classroom with her nursing students and saw how it positively impacted the students’ transition to practice. She has been a Registered Nurse since 1996 and in 2007, received her Master of Science degree in Nursing from University of Medicine and Dentistry/Ramapo College of New Jersey. Prof. Nwachukwu completed her Doctor of Nursing Practice degree in 2015 from Sacred Heart University, Fairfield, Connecticut.
Abstract:
Background/Introduction: The Education-practice gap remains a barrier to effective nurse training. The evolving complexities of the health care system makes it imperative to re-evaluate the current instruction process, modify and adopt a best practice approach for quality outcomes and professional growth. There is a dire need for educators to keep pace with the changing realities and for nursing to compete effectively with other health care professions. Methods: Using a quantitative, quasi-experimental research design, the researcher evaluated the effects of two instructional methodologies, the flipped instruction model (FIM) and the traditional instruction format (TIF) using the pretest, posttest scores of practical nursing students. The tests were for 3 topics, COPD, diabetes and hypertension. 44 students enrolled in the Adult Health I course, recruited via a convenience sampling method. 23 of these students experienced the TIF, while the other 21 experienced the FIM. A total of 19 participants represented the ESL subgroup. Results/Finding: The results of the statistical analysis using chi-square test did not reveal any statistically significant difference between the 2 classrooms with p-values of (COPD=1.0, DM=0.266, HTN=0.488). Analysis of Covariance (ANCOVA) revealed statistically significant results for the DM unit within the FIM (p=0.001) but not for COPD (p=0.319) and HTN (p=0.692). Analysed test scores for the ESL participants for both groups were not significant. Discussion: The small sample size, pre-class access, non-contributory grade and the length of the study were limitations for this study. Conclusion: The flipped classroom model is a student-centered process. It uses technology and active learning as a best practice approach to enhance transition to practice and ultimately is significant for effective global nurse training.
Ruifang Zhu
Shanxi Medical Periodical Press, China
Title: A Research Report on the Prescription Rights of Chinese Nurses
Biography:
Ruifang Zhu is a Registered Nurse and an Editorial Director of Chinese Nursing Research. Chinese Nursing Research is the first nursing academic English journal in China. She has 3 years of clinical experience, 10 years of editing experience and has studied 1 year in Germany. She has undertaken 2 scientific projects, participated in 5 works and published more than 6 academic papers in reputed journals. She also serves a few societies as Board Member.
Abstract:
Literature review on the relevant articles/material with the contents of the nurse’s right of prescription home and abroad. Semi-structured depth interview method was used to interview 18 experts on whether the nurses can participate in the graded nursing decision and whether nurses with certain ability can make the decision. Using the self-made questionnaire “Nurses involved in graded nursing decision-recognition questionnaire ", 553 nurses completed questionnaires on willingness to nurse decision-making grading. Using the analytic hierarchy process, the 23 experts' judgment on the main body of the graded nursing was rated. Using semi-structured depth interview method, 17 experts were interviewed on the graded nursing quality assessment and training outline. The form of expert personal judgment and the "grading nursing qualification experts predict questionnaire" were used as a preliminary designing tool, 32 experts were asked to predict the graded nursing quality. The relatively important factors that might promote implementation of right of Chinese nurse prescribing weights setting were obtained by analytic hierarchy process. Using Delphi method, 2 rounds of consultation to 291 experts/times were performed, and determined its content on the fields of graded nursing decision, nurses' job description, decision making nurse in graded nursing work process and related management system, decision-making main body of clinical nursing, nurse authority of prescription application qualification, clinical nurses, diabetes specialist nurses, tumor specialist nurses, nurses in emergency department, community nurses in certain circumstances writing prescription, and nursing undergraduate added with nurse authority of prescription related courses.
Fusun Terzioglu
Hacettepe University, Turkey
Title: A new strategy in nursing education: From hybrid simulation to clinical practice
Biography:
Fusun Terzioglu graduated from Hacettepe University in 1989. She won the İhsan Dogramacı Superior Merit Award and Science Incentive Award. She earned her pilot’s license from Republic of Turkey Ministry of Transport. She studied about counseling on assisted reproductive techniques at Liverpool Women’s Hospital Reproductive Medicine Unit in United Kingdom on the British Council Research Scholarship. She earned a certificate in management and leadership in nursing. She is an active member of Thematic Network leadership work group. She studied as a research scholar at Kent State University College of Nursing in 2006 for 3 months. In 2007, she worked on a project named “Development of Leadership Skills in Nursing Doctoral Students†at University of Michigan Faculty of Nursing on an international research scholarship which was supported by International Network for Doctoral Education in Nursing (INDEN) and Sigma Theta Tau and provided to only three people around the world every year. She worked as a Research Assistant at Hacettepe University School of Nursing in the Maternity and Women's Health Nursing Division from 1990 to 1997. She was promoted to Assistant Professor in 1998, Associate Professor in 2006 and Professor in 2012. She worked as a Co-Head of Nursing Department, Erasmus Department Coordinator, Head of Strategic Planning Group and board member of Hacettepe University Women’s Research and Implementation Center (HUWRICH) between 2009 and 2011. Her interest subjects are sexuality and reproductive health and management and leadership. She is a member of national and international nurse’s organizations such as INDEN and Sigma Theta Tau. She has been working as a Director of Nursing Services at Hacettepe University Hospitals since September 2012 and Founding Dean of Faculty of Nursing between 2012- 2013. She has published more than 50 papers, 15 grant projects, eight books as an editor and author, and 90 presentation in the national and international congress. She is also invited speaker for more than 60 congress and symposium.
Abstract:
Background: Various instructional methods and environments are used in nursing education to develop students’ psychomotor skills, communication skills, to reduce their anxiety levels, and to enhance their satisfaction. Objectives: To examine the effect of 3 different instructional environments on the development of the students' psychomotor and communication skills and their levels of anxiety and satisfaction. Design & Methods: A prospective study design was used with a sample of 60 nursing students. Before the implementation of the study, the students' cognitive skills and trait anxiety levels were evaluated. The students were divided into 5 groups and 5 nursing activities (Leopold’s maneuvers, teaching breastfeeding, family planning education, teaching vulvar self-examination and teaching breast self-examination) were specified for each group. They implemented these nursing activities under the supervision of a faculty member in the nursing skills laboratory, standardized patient laboratory and clinical practice environment respectively. In each instructional environment, the students' psychomotor and communication skills, state anxiety levels and satisfactions were evaluated. Results: The median scores for psychomotor skills (Nursing Skills Laboratory=73.1; Standardized Patient Laboratory=81.5; Clinical Practice Environment=88.6) and communication skills (Nursing Skills Laboratory=64.9; Standardized Patient Laboratory=71.6; Clinical Practice Environment=79.0) were found to increase as the students went on practicing in a more complicated environment (p<0.05). Similarly, it was determined that the students' anxiety levels decreased as they were practicing incrementally (Nursing Skills Laboratory=33.0; Standardized Patient Laboratory=32.0; Clinical Practice Environment=31.0). As the instructional environments were getting more similar to the reality, the students' satisfaction levels were found to become higher. Conclusions: Students are supposed to deliberately practice in the instructional environments until they are competent and develop their psychomotor skills while reducing their anxiety levels, and enhancing their communication skills and satisfaction. For that reason, the development of students' competency areas is thought to be effective for the enhancement of patients and healthcare workers’ safety.
Shahid Sheikh
Ohio Sate University College of Medicine, USA
Title: Pediatric Asthma, Diagnosis and Management
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:
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.
Jennifer S Hurlbert
Mississippi Gulf Coast Community College-Jefferson Davis Campus, USA
Title: Nursing pharmacology: A comparison of separate course versus integrated concepts in an associate degree nursing program
Biography:
Jennifer S Hurlbert, RN, has completed her PhD from William Carey University in August 2014. She was a speaker at the Mississippi Nurses Convention Fall 2014. She is a Nurse Educator in the Associate Degree Nursing Program at Mississippi Community College. She is a NCC Certified Inpatient Obstetrics Nurse and has worked as a Maternal Child Nurse for 30+ years. She began teaching ADN program at MGCCC in 2002. Currently, she serves as course Coordinator of the separate pharmacology course for the integrated Nursing program at MGCCC.
Abstract:
During the infancy of professional nursing, Florence Nightingale acknowledged in the Notes on Nursing that ignorance of medicinal properties could cause adverse outcomes. In 1919, the National League of Nursing Educators recommended that pharmacology be a part of the standard nursing curriculum. Contemporary nurses need thorough pharmacology knowledge for clinical practice to ensure public safety. Therefore, it is important to discover a teaching methodology in nursing education to enhance retention of pharmacology knowledge. A retrospective, causal, comparative quantitative study was conducted: to determine whether there was a difference in mastery of pharmacology knowledge between students in a separate pharmacology course and those for whom pharmacology concepts were integrated into other nursing courses, and; to determine if there was a difference or relationship between mastery of pharmacology knowledge of ADN graduates and their age, gender, or previous direct healthcare experience. Mastery of concepts was measured by Assessment Technologies Institutes Registered Nurses Comprehensive Predictor Pharmacological and Parenteral Therapies section scores. The results of the research demonstrate that teaching pharmacology, as a separate course as opposed to integrated pharmacologic didactic content did not increase students’ pharmacology scores. The performance scores of the ADN graduates on the Pharmacological section were comparable within and between variables. Educators should focus on delivering the pharmacologic content to all students equally. Finding an effective method of teaching pharmacology that enhances retention for clinical application can reduce medication errors. A graduate that experiences enhanced pharmacology retention for application through effective teaching methodology can benefit the public.
May N. Khoury
American University of Beirut, USA
Title: Coping with the experience of having a child with cancer; a Lebanese perspective
Biography:
Mrs. May Naifeh Khoury earned her BSN from American University of Beirut (AUB) at the age of 22 years, and her MSN at Pennsylvania State University at the age of 27 years. She is a Clinical Assistant Professor at AUB, Hariri School of Nursing, Faculty of Medicine. She the author of 9 publications published in professional reputed journals, her focus is on children and Palliative Care ; “Palliative Care Education in Lebanon: Past Endeavors & Future Outlook.†An “Palliative Care Education in Lebanon: An Update†; Integrating palliative care into health education in Lebanon.;Quality of palliative care in children with cancer in Lebanon; Lebanese parents’ experiences with a child with cancer .
Abstract:
Background: Families with a child with cancer face significant emotional and psychosocial stressors. The frequency of childhood cancer is increasing in Lebanon with more than 282 child diagnosed each year. This condition is reported to evoke a range of challenging emotions for parents, yet no studies reported about Lebanese parents’ coping strategies with a child with cancer. Objectives: the purpose of the study is to gain more in depth understanding of the coping strategies of Lebanese parents with a child with cancer. Methods: the study followed purposeful sampling and saturation principles in which 12 parents (mother or father) of a child were interviewed. Data were analyzed following the Utrecht School of phenomenology. Seven core themes emerged from the data describing the coping strategies of Lebanese parents with a child with cancer: the waiting time and the hospital stay; change in the couple’s relationship; siblings’ rivalry; social / family support; talking about it makes a big difference; dependence on God and communication style of health workers. Conclusions: these results cannot be directly generalized, but they could act as a basis for additional research on which to base a development of a structure for an approach to care that endorses coping processes in Lebanese parents with a child with cancer. Implications for practice: nursing and medical staff need to be conscious of parents’ coping strategies and its impact on the interaction process between the family and the health care team and the family dynamics.
Molly J Bradshaw
Rutgers School of Nursing, USA
Title: Infographics: A novel approach to prescribing education
Biography:
Prescribing medication is an essential part of daily practice for primary care nurse practitioners. However, due to current gaps in prescribing education, competency is not being achieved. The purpose of this project was to develop, implement, and evaluate an innovative intervention for nurse practitioner prescribers utilizing an infographic and the World Health Organization’s Guide to Good Prescribing. Adult Learning Theory and Knowledge Translation were used to guide project development. The infographic, Good Prescribing was piloted in the classroom using a convenience sample of 62 nurse practitioner students. Students were assessed pre and post intervention for knowledge, skill, and level of confidence regarding prescribing. The results demonstrate a positive impact on all outcomes, better description of student concerns, and a vision for improved educational approaches. Findings support use of infographics as a fresh, first-step approach to laying the foundation for prescribing education at Rutgers School of Nursing. The project has made a contribution to a limited body of evidence regarding both nurse practitioner prescribers and the utility of infographics in the nursing classroom.
Abstract:
Molly J Bradshaw is a full-time faculty member in the graduate, advanced-practice nursing division at Rutgers School of Nursing in Newark, New Jersey. She has been a practicing nurse for 17 years, a veteran of the United States Navy Nurse Corp, and in 2014 received the New Jersey Health Foundation Award for Teaching Excellence. For the last 10 years, she has practiced as nurse practitioner. She maintains clinical practice at Cardiac Associates of North Jersey located in Oakland, New Jersey where she is a primary care provider and specializes in treatment of patients with cardio-metabolic disorders.
Ase Boman
University West, Sweden
Title: Diabetes coach to support and to be supported: Parents supporting other parents to children with type-1 diabetes
Biography:
Ase Boman is a Senior Lecturer and the Head of Section for Nursing (Graduate Level) at the University West, Sweden. She has completed her PhD from Nordic School of Public Health, NHV Gothenburg. She is a Specialist in Pediatric Nursing with research interests in health promotion for children and adolescents with type-1 diabetes and gender structures in parenthood. She is a Member of the Board of The Scandinavian Interdisciplinary Researcher’s Network Text, Talk and Tools and of the Center on Salutogenesis, University West. She has published several scientific papers and written chapters in textbooks.
Abstract:
In the project “Diabetes coach†parents of children with well-functioning self-care of type-1 diabetes (T1D) have been recruited as coaches with the aim to support parents (project parents) of newly diagnosed children with T1D in their everyday life. When a child is diagnosed with T1D each family member and the family unit is intimately involved and the child’s health depends on how well the family manage the situation. Guidance was given to both coaching parents and project parents in repeated focus group discussions. The sub-aim was to describe the parents’ process of giving and receiving support and describing obstacles and opportunities in supporting. The coach and the project parents met nine respectively six times. The coach parents argued their participation as a wish to offer the support they had needed themselves in the acute situation. Further they wanted to learn more about the disease and thereby enable their child better health. Obstacles in the process were unclear information when being recruited, difficulties in remaining contact with the project parents, language difficulties and other social problems in the project family. Opportunities were a two-sided learning process and the group-dynamic enabled support and information within the group. The project parents problematized the initial offer of coaching. Their needs were initially support in the first chaos, normalizing their new life and support in their proceeding everyday life. Their final goal was to become a coach parent as a proof of their knowledge and skills.
Biography:
Rebecca Golding completed her Master’s of Nursing at Syracuse University in 1999, with an Adult Health Certification. She returned to receive her Psychiatric Nurse Practitioner Certification in 2005. In 2010, she completed her Post-Master’s in Child and Adolescent Psychiatric Mental Health and in 2015 Doctor of Nursing Practice, developing an evaluation of a National Child Traumatic Stress Network Resource Parent program in conjunction with Duke University, University of Rochester and Hillside Children’s Center. She is currently employed at Hillside Children’s Center, Auburn, New York as a psychiatric provider and as an adjunct Professor in the SUNY Upstate Family Psychiatric Nurse Practitioner Program.
Abstract:
This project evaluation was to determine if the National Child Traumatic Stress Network‘s “Caring for Children Who Have Experienced Trauma: A Workshop for Resource Parents†(RPC) program meets its stated objectives. A pre and post non-experimental design was used with a purposive sample of resource parents (n=9) recruited from the Gaining Resiliency Through Overall Wellness (GROW) Program and the Therapeutic Foster Care (TFC) Program, affiliates of Hillside Family of Agencies, located respectively in Auburn and Syracuse, NY. Project evaluation results indicated that the majority of resource parents rated the project intervention highly and recommended that other resource parents (defined as a non-biological caregiver) be required to participate in the project; 5 out of 7 parents felt that the curriculum assisted in their maintaining traumatized children in their home. The project implementations had a 100% retention rate. Quantitative measures demonstrated moderate effect sizes of resource parent’s trauma-informed knowledge, empathy for their child’s experience, parenting satisfaction and ability to allow a child more autonomy.
Maria Jaquelini Dias dos Santos
University of Sao Paulo, Brazil
Title: Longitudinal outcomes of cochlear implanted children with cerebral palsy
Biography:
Maria Jaquelini Dias dos Santos has completed her MSc from University of São Paulo (USP-Brazil) and pursuing PhD at University of São Paulo, Brazil. She also works in a Clinic with Neonatal Hearing Screening, Audiologic Diagnostic and she is a Tutor and Assistant Professor in Postgraduate e-learning course about Auditory Rehabilitation to Hearing Impaired Children (0 to 3 years old).
Abstract:
Due the safety and encouraging outcomes from auditory rehabilitation through the cochlear implant (CI), the indication process could include children with additional disabilities besides the hearing loss. One of these, are the children with cerebral palsy (CP), who have an intimate relation with hearing loss, due to some risk factors are equal for the both disabilities: hyperbilirubinemia, hypoxia, low Apgar scores. First of all, to analyze the progress of hearing and language in a group of cochlear-implanted children with cerebral palsy (CP) is necessary and holistic approach, to consider their progress in the clinical and functional domains. In this longitudinal study with four evaluations, nine cochlear-implanted children with CP participated, two to ten years old. The assessments undertaken included audiological, language and communication assessments complemented by the assessment of functional abilities and the level of independence evaluated by the Pediatric Evaluation of Disability Inventory (PEDI), Gross Motor Function Classification System (GMFCS) and DENVER-II. The outcomes varied, two children achieved hearing comprehension in open-set evaluations after two years using CI. These children presented the same type of CP, athetosis, but with different functional skills and GMFCS levels (I and IV). Four children had any spoken language, respectively about GMFCS: Two level I, one level IV and one level V. A holistic view of change and development is central to understanding progress made in children with CP who received cochlear implants (CI). The functional evaluation of these children with CP is a useful tool for monitoring their progress and measuring their outcomes with CI.
Donna W Driscoll
Molloy College , USA
Title: Indoor tanning legislation: Shaping policy and nursing practice
Biography:
Donna W Driscoll PhD, RN, CPNP, is a Professor of Nursing in the Division of Nursing at Molloy where she directs the Pediatric Nurse Practitioner Program. Her doctoral studies investigated risk awareness and risk perception of parents related to the use of tanning beds by adolescents. She has presented her research at international conference meetings and workshops including 1st Global Conference for Consensus in Pediatrics & Child Health in Paris, France and Duquesne University – School of Nursing: Exploring Social Justice for Vulnerable Populations: Face of the Child. Additionally, she has written numerous articles in nursing and pediatric health care issues including research focusing upon the adolescent access to tanning beds. She is a graduate of Molloy College (BSN), Stony Brook University (MSN) and TUI University (PHD- Health Sciences).
Abstract:
Legislation exists regulating the use of tanning beds by adolescents, however, the rate at which adolescents use these devices has not been reduced. The purpose of this study was to provide an analysis of indoor tanning bed legislation in the United States specifically related to legal issues and parental consent along with enforcement of current laws. Data were collected via web-based or telephone interview of all 50 states by the investigator. The findings reveal wide variation in legislation related to adolescents’ access to tanning devices and enforcement of violation of legal statutes. Nurses and other health care professionals can play key roles in educating families and adolescents to the dangers from the use of tanning beds along with being role models for proper skin protective behaviors. In addition, nurses should become advocates by supporting legislative efforts that ban tanning salons for all minors with the long term goal of reducing the skin cancer from ultraviolet radiation (UVR) exposure from the use of tanning salons today.
Yabin Shang
Beijing University of Chinese Medicine, China
Title: The relationship between perceived social support and depression in older kidney transplant recipients
Biography:
Yabin Shang has completed her undergraduate from South Medical University (former First Military Medical University) and she is currently a Master’s Student in Beijing University of Chinese Medicine. She has worked in kidney transplantation unit for more than 2 months and has done her Internship in Liver Transplant Follow-Up Clinic for more than 3 months. She is dedicated to research on quality of life in organ transplantation recipients and medication adherence in these individuals.
Abstract:
Background: The prevalence of depression was high among transplant recipients. Depression has been found to have negative impact on recipient outcomes. Purpose: The aim of this study was to investigate the prevalence of depression and assess the relationship between depression and perceived social support in older kidney transplant recipients in China. Methods: The cross sectional study was conducted at one general hospital in China from August to November 2014. Depression was assessed by the Chinese version of the Zung Self-rating Depression Scale (SDS) and perceived social support was measured by Multi-dimensional Scale of Perceived Social Support (MSPSS). The correlation between SDS and MSPSS summary scores was assessed using Pearson correlation coefficient (r). Results: A total of 83 renal transplant recipients (42 male, 41 female) with an average age of 61.23±5.23 were recruited. The average SDS standard score was 50.45±9.85. The prevalence of depression in older renal tranplant recipients were 59.04% (49/83). MSPSS total score, significant others’ support, family support and friends support was 64.72±12.71, 21.02±4.79, 22.40±4.16 and 21.30±4.98 respectively. Perceived social support and its three dimensions correlate significantly with depression (r ranges from -0.480 to -0.343, p>0.05). Conclusion: More than half of the older kidney transplant recipients had depression which indicates that the prevalence of depression in older kidney transplant adults were relatively high. The correlation between perceived social support and depression indicates that the more support the patient perceived, the less chance that they would develop depression.
Xi Cao
Sichuan University, China
Title: The training differences between Master of Nursing Specialist and Master of Science in Nursing: A qualitative study
Biography:
Xi Cao is pursuing her Master’s degree in West China School of Nursing Department Si Chuan University. Her major is Nursing, and the research interest is Nursing Management. She is under the supervision of Ji-Ping Li, who is a doctoral and master tutor and whose research interests include nursing human resource management, continuing education, and professional nursing training.
Abstract:
Objective: To explore the training differences between Master of Nursing Specialist and Master of Science in Nursing, and to provide references for the training model of the Master of Nursing. Methods: Twenty-four interviewees, who were students studying in school and graduating from colleges for master’s degree in nursing, nursing postgraduate tutors and the colleges of nursing leaders were investigated by using semi-structured interview in an attempt to collect their views on the training differences. Then data were analyzed by using Colaizzi’s seven steps of phenomenological studies. Results: The training differences between Master of Nursing Specialist and Master of Science in Nursing included the training objectives, curriculum plan, scientific research ability and clinical ability, and clinical practice period. Moreover, the differences about dissertation were quantity of the published papers, journal level, paper design, and thesis subject selection. Six interviewees thought the dissertation category should been limited, eleven interviewees said no, others said nothing. Conclusion: In order to guarantee the training quality of the Master of Nursing and improve the level of clinical and scientific research, it is important to perfect the training program, establish the authoritative, standard and uniform training system and practice assessment mechanism.
Andrew G Weinstein
Sidney Kimmel Medical College - Thomas Jefferson University, USA
Title: Asthma Adherence Pathway app improves adherence, quality of life and outcomes in both children and adults with asthma
Biography:
Andrew G Weinstein MD received his medical degree from the University of Pennsylvania; residency and allergy and immunology fellowship from Children’s Hospital of Philadelphia; Family Therapy training from the Philadelphia Child Guidance Clinic. He is a “Train the Trainer†in both Motivational Interviewing and Shared Decision Making. He founded Asthma Management Systems LLC. and initiated research funded by the NIH and Merck to test effectiveness of the Asthma Adherence Pathway. He has authored more than 30 articles and chapters in the area of adherence and psychosomatic asthma and is a leader in the American Academy of Allergy Asthma and Immunology.
Abstract:
Asthma Adherence Pathway (AAP) app enables clinicians to help patients follow through with complex treatment plans. There are three components to this proven effective population healthcare model. (J Allergy Clin Immunol: In Practice 2013) 1) The AAP permits identification of reasons (barriers) for not taking asthma medication. Patients then receive in both print and video format the significance of their responses and actions they may take to promote adherence to treatment. Clinicians see the patient’s responses and are given clinical decision support adherence strategies to help the patient follow the treatment plan. 2) Clinicians are trained to use Motivational Interviewing, which helps the patient overcome ambivalence about medication use. Training is provided both in person and online and the curriculum is part of the AAP. 3) Patients are given Internet enabled electronic monitors that fit onto their metered-dose inhalers (both preventative and rescue) which record date and time of use. Clinicians can: 1) monitor the course of treatment in their clinic and 2) and apply the AAP to improve adherence to preventative treatment and reduce the need for rescue medication when needed. The model has been found effective in trials of children and adults with severe asthma. (J Allergy Clin Immunol 1996, 1998) The AAP app has been proven effective to increase adherence and quality of life of adult asthma patients (Annals Allergy 2015, JACI 2016). This model is being tested in controlled trials funded by Merck at Highmark and the National Institutes of Health at Geisinger Health Plan.
Xuelin Wang
Sichuan University, China
Title: Perceived stress and coping styles among Chinese nursing undergraduates during clinical practice
Biography:
Xuelin Wang completed her Bachelor’s from Sichuan University and Master’s from West China School of Medicine in Sichuan University. She has published more than 2 papers in reputed journals and has 2 patents.
Abstract:
Background: Clinical practice is one of the crucial components in nursing education. Studies showed that the initial period of clinical practice can bring high pressure to nursing students, especially the first 5 months. Because of the multiple events, such as exams and new job, stress levels would occur in large fluctuation and it is necessary to give timely interventions. Current studies were to compare undergraduate and college practice nursing students or only for undergraduate nursing students. The key undergraduates are who had higher scores in college entrance examination and belongs to first-class university, while ordinary undergraduates are from second-class university. Objectives: This investigation was to analyse related factors and the correlation between stress level and coping styles among different levels of Chinese nursing undergraduates during clinical practice. Methodology: 52 key and 53 ordinary undergraduates who had finished 5 months clinical practice completed a self-administrative survey including demographics, Nursing Students Stress Scale and Simple Coping Style Questionnaire. Results: Results showed that undergraduates perceived a moderate level of stress, key undergraduates stress (M=2.76, SD=0.70) was higher than ordinary undergraduates (M=2.35, SD=0.69). The most common stressor for key undergraduates was social support and professional identity (M=3.25, SD=0.89), while for ordinary undergraduates was clinical work (M=2.61, SD=1.02). Undergraduates took more positive coping styles such as transference and staying optimistic. Key undergraduates negative coping styles and stress levels were positively correlated (r=0.281, P<0.05), and clinical teaching stress, family registered residence type and whether it is the only child were the influence factors of negative coping styles. For ordinary undergraduates negative coping styles were positively correlated with working environment and interpersonal stress level (r=0.303, P<0.05), positive coping styles and clinical work stress were negatively correlated (r=-0.279, P<0.05). Conclusions/Recommendations: Clinical educators and nursing colleges should pay attention to the difference of the stressors and coping styles among different levels of nursing undergraduates during clinical practice, and take the targeted effective pressure management strategy to improve the stress response and stress management ability of practice nursing students.
- 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.
- Public Health, Geriatric Nursing & Cancer Nursing
Chair
Heather MacDonald
University of New Brunswick, Canada
Co-Chair
Shahid Sheikh
Ohio State University College of Medicine, USA
Session Introduction
Laura Terriquez-Kasey
Binghamton University, USA Title: Legal and ethical considerations when delivering end
Title: Disaster Preparedness Education Program for Elders in the Community : The Geriatric Passport Project
Time : 09:00-09:20
Biography:
Laura Terriquez-Kasey is an Associate Professor at Binghamton University, teaching since 2000. He is currently teaching three courses in Disaster Preparedness Certificate Program for graduate nurses. He has completed his DNP specialization in Geriatrics (2015). He has been an Advanced Practice Nurse in Administration with a sub-specialization in Emergency and Trauma Care. He has served for 14 years with New York DMAT-2 and 20 years in the Army Nurse Corp. He was a Nurse Manager for Emergency services for many years and spent 12 years at Bellevue Hospital as an Emergency Nurse Leader.
Abstract:
Over the last half century, the frequency and intensity of tornados, floods and other severe weather events have underscored the need for disaster preparedness, particularly for older adults. Functional limitations, cognitive decline and medical comorbidities such as heart disease and diabetes create additional vulnerabilities, regardless of the type of disaster. Still, elders are capable of self-identifying needs and can be empowered to prepare communication plans, assemble disaster kits and learn how to respond to threats posed by specific disasters. By increasing the level of disaster preparedness through training, many of the health problems faced by elders during a disaster could be alleviated and their overall response improved. Yet despite their abilities and the known benefits of disaster preparedness, disaster education and planning for elders has not been widely implemented. This project hopes to change this in these rural communities. The purpose of the Geriatric Passport Project was to increase the level of disaster preparedness through implementation of a disaster education program among community-dwelling older adults over the age of 55. Recruitment strategies included media, engaging key staff from program sites, and word of mouth. The project used a pre-post reflexive control design. Knowledge about the elements to include in a disaster communication plan increased as did knowledge about items to include in a disaster kit. Notably, self-rated level of stress associated with evacuation to a shelter remained unchanged. Most importantly, the perceived level of disaster preparedness increased, suggesting that those who participated in the Geriatric Passport Project felt more prepared to respond to a disaster as a result of having attended the disaster education program. The Geriatric Passport Project appears to have beneficial effects and the success of the pilot project supports exploring the feasibility of expanding the program to a wider geographic region and conducting a more rigorous evaluation of program effectiveness, efficacy and efficiency.
Edward L King
City University of New York, USA
Title: Legal and ethical considerations when delivering end of life care to a pediatric client at home
Time : 09:20-09:40
Biography:
Edward L King is a Practicing Lawyer for 27 years as well as a Registerd Nurse for over 30 years. As an RN he has worked in a variety of fields icluding pediatrics and has worked with hospice in the home for the last 14 years. He attended Law School at the Benjamin N. Cardozo School of Law, Yeshiva University and completed his EdD at Dowling College. His dissertation examined the right to refuse care in New York State from 1914 to 2008. He did his Post-doctoral studies at Yale University’s Interdisciplinary Center for Bioethics in 2013. He is presently teaching Nursing as an Associate Professor at Hostos Community College, part of the City University of NewYork.
Abstract:
The home care team caring pediatric clients at home follow a different set of laws and ethical rules than when caring for a competent adult. A competent adult is free to refuse medical care, when it does not endanger others and he has an understanding of the consequences. This set of patients can utilize healthcare directives, such as a Living Will or a Healthcare Proxy. Neither a pediatric patient, nor their parent, is completely able to refuse medical care when their medical doctor is of the opinion that a certain course of treatment will benefit the child. Therefore, conflicts may arise between the healthcare team caring for the child, as well as between the parents, when there is disagreement over the treatment plan. This is especially true, when end of life care is being delivered to a pediatric client at home and the events are accompanied by high level of emotions. These emotions may arise not only from the present end of life situation but from unresolved conflicts between individuals, either in the family or in the healthcare team, caring for the client. This lecture will examine the ethical obligations that a healthcare provider owes to a child, their family and the rest of the healthcare team. It will provide options to understand the state and federal laws that govern pediatric care at the end of life. Lastly, it will provide options on how to recognize ethical dilemmas and how to constructively address them within the healthcare system.
B. Suzy Diggle-Fox
New York Institute of Technology, USA Title: Lifelong Learning: A constructivist grounded theory study
Title: Suicide Risk Assessment in a High-Risk Population: The Elderly
Time : 09:40-10:00
Biography:
B Suzy Diggle-Fox has completed her PhD from Capella University as a Nurse Educator, Master’s of Science from Hunter College and her BSN from Downstate Medical Center. In addition, she has had experience as a Nurse’s Aide and a Licensed Practical Nurse. She is both a Geriatric and an Adult Nurse Practitioner. She has been a Geriatric Nurse Practitioner since 1988 and has practiced within various areas, for example 9 years at the Veteran’s Administration and 10 years at Gurwin Jewish Geriatric Nursing and Rehabilitation Center. At present, she is a full-time tenure track faculty member at New York Institute of Technology.
Abstract:
Geriatric suicide is continuing to rise and, as the older population increases, so will the rate of suicide. The United States has the largest number of suicides within the elderly population. It is estimated that every hour and a half a geriatric individual will commit suicide. Nurse practitioners (NP) and other primary care providers (PCP) are in ideal positions to be able to screen for at-risk individuals in the elder population. Some PCPs may not feel competent in screening for suicide. The NP/PCP should be able to collaborate with mental health professionals to facilitate counseling, medication, and other supportive services to reduce suicide risk and incidence. If primary care providers learn more about risk factors, assessment areas to explore and ways to improve treatment the incidence of suicidal behaviors will have better statistical odds of decreasing.
Canan Karadas
Hacettepe University, Turkey
Title: The effect of range of motion exercises on delirium prevention among patients aged 65 and over in intensive care units
Time : 10:00-10:20
Biography:
Canan Karadas was graduated from Abant Izzet Baysal University, School of Nursing and has started to work as a Research Assistant since 2013. Her fields of interest are intensive care, mobility and geriatrics. She has completed her Master’s degree at Hacettepe University in 2015. She is currently pursuing PhD degree about medical diseases nursing in same university.
Abstract:
Delirium, as an acute state of confusion, is a severe geriatric syndrome common among older patients in the intensive care unit (ICU). Delirium occurs at a high incidence in patients with ventilation support. Delirium incidence differs as to the type of ventilation support. Although its incidence in patients with NIMV is 20%-50%, in patients with IMV this ratio is 60%-80%. Among elderly populations, the incidence is also high. Although delirium screening is important, it does not ensure an improvement in health outcomes. Therefore, the clinical guidelines recommend early mobility to prevent delirium. Early mobility prevents complications of immobility by encouraging the patient to move and improve vital functions. Mobility has positive effects such as improving the venous return and stroke volume, increasing the amount of oxygen distributed to tissues, reducing ventilation time and enhancing cognitive abilities. Exercise is beneficial and highly recommended for patients to prevent delirium. According to our study which is mentioned in the title, the incidence of delirium was 8.5% in the intervention group (n=47) and 21.3% in the control group (n=47). Delirium incidence and duration decreased by 2.5-fold in the intervention group compared to the control group. So, this abstract aims to explain the effect of exercise to prevent delirium in geriatric patients.
Ozdemir Ozlem
Yıldırım Beyazıt University, Turkey
Title: Investigation of Efficacy of Home Visits That Compliance Drug Treatment for Elderly Individuals with Diabetes and Hypertension
Time : 10:20-10:40
Biography:
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.
Abstract:
This front-end measurement quasi-experimental study evaluated drug compliance and the effectiveness of home visits to increase drug compliance in elderly individuals with diabetes and hypertension. The study was conducted between September 2012 and March 2013 at the homes of elderly people followed at the Ankara Gülhane Military Medical Academy Geriatric Outpatients and living in the city center. The sample of the study consisted of elderly individuals with diabetes and hypertension, followed up at the Geriatric Outpatients and meeting study inclusion criteria (n=45). Evaluation to determine the pre-implementation compliance of elderly people was performed at the beginning of the first home visit and the measurement to evaluate the effectiveness of the first home visit was performed prior to the second home visit. The data were collected with the data collection form prepared in accordance with the literature, a form to determine drug use status in the elderly, and the Medication Adherence Self-Efficacy Scale-Short Form. The data were analyzed by using the relevant tests in the SPSS 15.0 statistical software. The drug compliance of elderly individuals and their knowledge on the names of the drugs and what needs be considered related to drugs increased after the training at the first home visit. Therefore, training by a nurse at a home visit was found to be effective in increasing drug compliance of elderly people. According to these results, we suggest that home visits should be performed for the elderly to improve drug compliance, nurses should play an active role in these home visits and the necessary arrangements should be made within the current health care organization.
Sema Kocasli
Yıldırım Beyazıt University, Turkey
Title: Physical and psychosocial recovery patterns of patients after open heart surgery
Time : 10:40-11:00
Biography:
Sema KoçaÅŸlı has completed her PhD from Ä°stanbul 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.
Abstract:
This study was carried out as a descriptive-correlational type research to determine physical and psychosocial recovery conditions of patients after open heart surgery and to gain our country a measurement scale which will be used for this evaluation. The research was done in Dr. Siyami Hersek Thoracic and Cardiovascular Surgery Training and Research Hospital between March – July 2010 with 691 patients using patient identification form and Sickness Impact Profile-SIP 68. SIP 68’s Cronbach α reliability co-efficient was found to be µ=0.92 for the whole scale. It was also determined that reliability co-efficient of three sub-dimensions were between r=0.62 and 0.97 and in positive direction (p<0.001), reliability co-efficient of emotional stability of subgroups was low (r=0.16), reliability co-efficient of the other five subgroups were between r=0.51 and 0.97, in the positive direction and statistically highly meaningful. Of the patients participating in the research, 72.6% were male, 56% were between the ages 49-69, 75.3% were taken coronary artery bypass grafting and 99.4% of them had taken support from their family and relatives during their illness. It is determined that age, sex, smoking condition, body mass index, sport routines, support from family relations, which are between demographic characteristics, affected patients’ physical, social/psychological and cognitive/sexual behaviors. As a result, SIP 68 was found as an unsuitable scale for Turkey and inappropriate for physical, psychosocial healing of patients in the first periods after discharge.
Betul Tosun
Gulhane Military Medical Academy, Turkey
Title: Nursing Care of a Patient with Osteogenesis Imperfecta in Accordance with Kolcaba’s Comfort Model: Case Study
Time : 11:20-11:40
Biography:
Betül 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.
Abstract:
Aim: Comfort Theory, which defines comfort as state of absence of pain, anxiety, distress, uneasiness, was presented by Katharine Kolcaba in 1994. Kolcaba presented taxonomy for comfort comprised of 3 types (relief, ease and transcendence) and 4 dimensions (physical, psychospiritual, environmental and sociocultural). Osteogenesis Imperfecta (OI), known as fragile bone disease, is the most common genetic bone disease that deteriorates life comfort of patients from the early years of life. The aim of this case study was to test the applicability of Kolcaba’s Comfort Model in nursing care of a patient with OI. Methods: Nursing care of a patient with OI was planned and executed in accordance with Kolcaba’s Comfort Model and the outcomes were assessed in this case study. Case: Female, 13 years old patient with OI, who had heart shaped face, short stature and scoliosis, was hospitalized for right femur fracture. OI was diagnosed one month after the birth and she was able to walk at 18th month. Mobility was limited by time as she often experienced multiple fractures. The patient had experienced 3-6 fractures per year and was not able to walk when she had femur fracture at age 11. The child who was well informed about her disease and had developed self-protection behaviors, was easy to communicate and displayed proper reaction and affect. She was educated at home by visiting teachers, she did not get out of the house when she was not hospitalized and she spent most of her time with her family and friends at home. She was fed with mashed food instead of solid food because she lost her teeth at early ages. Patient was living with her mother and sister, and had no psychological support. Within the context of physical comfort; pain, frequent fractures and bone deformity due to decreased bone strength, difficulty in feeding due to loss of teeth was observed. Within the context of physical comfort; it was assessed that the family was inadequately informed about environmental setting reorganization. It was observed that the patient was not using wheelchair, spending most of her time at home and was shown around in a stroller. It was determined that this condition deteriorated the sociocultural comfort of the patient and leaded to social isolation. It was determined that the patient had no support for psychospiritual support but her mother had support for psychospiritual needs. The problems determined within the 4 dimensions of Comfort Model were solved with nursing activities planned according to 3 types of comfort. It was appreciated that physical, psychospiritual, environmental and sociocultural comfort of the patient and the family were promoted. Conclusion: We suggest that nursing care of patients with OI, planned in accordance with Comfort Model may reduce negative experiences of patients and their families. This study may give guidance to nurses who care for orthopedics and traumatology patients.
Nursemin Unal
Gulhane Military Medical Academy, Turkey
Title: Effects Of Planned And Unplanned Orthopedics Operations On The Patients’ Self- Esteem, Body Image And State Anxiety
Time : 11:40-12:00
Biography:
Nursemin Ünal has completed her Master’s degree in Nursing from Gazi University Medical Sciences Institute Department of Psychiatric Nursing and currenty 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.
Abstract:
This study was planned to observe the effects of planned and unplanned orthopedic operations on the patients’ self- esteem, body image and state anxiety. The required permission was taken from the hospital where the study was done. The universe of this study was composed of 104 patients who had operations between March 1st, 2013 and October 31st, 2013 at Gulhane Military Medical Academy Orthopedics and Traumatology Service. The sample of this study consisted of 80 patients who accepted to join the study. The data was collected by using Patient Information Form, State Trait Anxiety Inventory, Coopersmith Self- Esteem Inventory and Body Cathexis Scale. The patients who had completed Patient Information Form and State Trait Anxiety Inventory before the operation, were given Coopersmith Self- Esteem Inventory, Body Cathexis Scale, State Trait Anxiety Inventory on the first day after the operation and they were given State Trait Anxiety Inventory again before discharge. SPSS 15 package program was used in evaluating the data. In the analysis of the data, Mann-Whitney U test and Friedman test were used and the statistical significance value was accepted as p<0.05. Bonferroni corrected Wilcoxon test was used and the statistical significance value was accepted as p<0.017. In Pearson Correlation test r<0.24 was accepted as weak correlation, 0.25-0.69 was accepted as moderate correlation and ≥0.70 was accepted as good correlation. The 62.5% of the participants were over 65 years old. The vast majority of the participants were women (76.3%) and married (63.8%). The education level of the majority of the participants was elementary school or below elementary school (76.3%) and only 12.5 % of them were working. Finally, the level of trait anxiety of young people before surgery was found high compared to old people. The level of trait anxiety of single people was also found high compared to married people. The anxiety level of the patients who received emergent surgery was found to be higher than the patients who received planned surgery. A positive relation was found between self-esteem and body image. In the light of the results obtained from the study, taking care of patients in a holistic way is suggested. It is also recommended to cooperate with consultation liaison psychiatry unit and generalize consultation liaison psychiatry nursing.
Hatice Simsek
Ege University, Turkey
Title: Last grade nursing and midwifery student recognition levels signs of violence against women
Time : 12:00-12:20
Biography:
Simsek Hatice has completed her Masters in 2011 from 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:
This study was conducted to determine the level of recognition of signs of violence against women by nursing and midwifery students which will be the future of health care professionals. Ege University Faculty of Nursing and Celal Bayar University School of Health Sciences Nursing and Midwifery students were constituted the universe of descriptive study (n=557) and purposive sampling was used in the research. The sample of the study include nursing and midwifery students who are studying 4th year and agreed to participate as volunteers between September 2015-November 2015 (n=443). Survey participation rate was 80%. The research data were collected with “Descriptive Characteristics Form and Nurses†and “Midwives to Recognizing Symptoms Related to Violence Against Women Scale Formâ€. To conduct the study, application permission from the ethics committees and institutions has been taken and verbal consent was obtained from nursing and midwifery students. To assess the results, SPSS statistical analysis (Statistical Package for Social Sciences) was used for Windows 21.0 program. The average age of students was 22.22±1.50 (min:20-maks:35) (n:443) and 86.0% of the students were male and 14.0% were female. 74.7% of nursing and 25.3% of the midwifery section of students were educated about the issue. 94.6% of the students had information about violence against women; 80.4% of students found enough themselves diagnosing the symptoms of violence against women; 41.3% have received training on violence; 23.5% of the trainees was found with partially sufficient education. It was determined that 24.4% of the students were exposed to violence and who exposed to violence faced more emotional violence. Students rated physical symptoms subscale as 8.35±1.65 points and emotional symptoms subscale as 11.97±2.19 points. It was determined as 20.32±3.14 was the average total score of the scale. When the obtained results are evaluated, students' knowledge in recognizing the signs of domestic violence against women was found to be partially sufficient. The age, sex, nursing department, exposure to violence, receiving training about violence, status notification to violence of the students between the sub-dimensions and scale total score was with statistically significant difference (p<0.05). Diagnostic levels of signs of violence against women of students were partially sufficient. The findings suggested undergraduate training for nurses and midwives and planning of in-service training after graduation. So nurses and midwives will be able to perform interventions in earlier stages related to the prevention of violence against women.
Nkechi M Enwerem
Howard University, USA
Title: Knowledge, attitudes and awareness of food and drug interactions among nurses with different levels of experience
Time : 12:20-12:40
Biography:
Nkechi M Enwerem is an Assistant Professor in the Department of Nursing, Howard University. She has a Master’s degree in Nursing (University of Maryland), PhD in Medicinal Chemistry (University of Ibadan, Nigeria), and Post-doctoral training, developing methods for the analysis of drugs using HPLC in the school of Pharmacy, Howard University. She has over 25 publications in the area of Chemistry, Medicinal Plants and Nursing. She served as a Program Director of United Nations Development Program: medicinal and aromatic plants project in National Institute of Pharmaceutical Research and Drug Development (NIPRD), Abuja, Nigeria, between 1995 and 2000.
Abstract:
Background: The 2004 Institute of Medicine report (IOM), “Keeping Patients Safe,†recognized that the nursing profession is playing a critical role in patient safety. Although new nurses possess a strong theoretical knowledge of nursing, experience from practice is important in providing a safer level of practice. The retention of experienced nurses in practice would require a continuous, career-long learning. Medical errors resulting in Adverse Drug Reactions (ADRs), pose a significant public health problem. Studies on the knowledge, attitudes and awareness of FDI among nurses with different levels of experience are lacking. Aim: To examine the knowledge, attitudes and awareness of food and drug interactions (FDI) among nurses with different levels of experience in their day to day practices. Methods: This was a cross sectional study which included a structured questionnaire. The study included a convenience sample of 278 nurses divided into 5 groups with different levels of experience: 0-4 years (66); 5-9 years (75); 10-14 years (45); 15-19 years (41); and ≥20 years. Results: There was statistical difference in knowledge and attitude to FDI among the 5 groups. 72.3% of nurses had not observed food and drug interaction during their practice. Conclusion: The five groups all scored low in their knowledge of FDI. Most of the participants recommended in-house training on FDI every six (6) months. There is a significant difference in the knowledge of FDI among the five groups with different levels of nursing experience.
Priscilla O Okunji
Howard University, USA
Title: Urban teaching hospital patients’ outcomes: A comparative study
Time : 12:40-13:00
Biography:
Priscilla O Okunji is an Assistant Professor at Division of Nursing, Howard University, USA. She has obtained her Baccalaureate and Master’s degree in Nursing and Informatics respectively from University of Maryland. In addition, she has earned her Health Sciences Doctoral degree with concentration in International Health Educator/Researcher. She has been board certified in ANCC Medical Surgical Nursing since 2010. She is a recipient of several awards and often been invited to deliver podium presentation at both national and international conferences. She has published in peer reviewed journals and she is also a Principal Investigator of intramural grants/projects.
Abstract:
Patients with type-2 diabetes reportedly have different outcomes on discharge, according to hospital characteristics. In the present study, we evaluated the differences in the outcomes of diabetic patients admitted to a Minority Large Urban Teaching (MLUT) Hospital in 2012. Sample of 2,311 subjects diagnosed of type-2 diabetes (2,185) with comorbidities of myocardial infarction (77) and diabetic myocardial infarction (49) were extracted from the emergency room dataset of a Minority Large Urban Teaching, private and non-profit Hospital using the International Classification Data, ICD 9 codes 25000. The result of the study showed that more females (15%) were admitted than their male counterparts with 42.2% males and 57.8% females, 2.2% white and 97.8% black. For age distribution, the MLUT Hospital had more age groups (40-59 years) and (60-79 years) admitted than those with age less than 40 years and 80 years or older group. A significant difference (~32%) of patients admitted with income ($1.00-$38,999.00) and ($39,000.00-47,999.00$) was observed while patients with income ($48,000.00-$62,000.00) range were admitted more (~49%) in the MLUT than any other age group. For the outcomes, patient mortality rate was significant when compared to those that did not die in the hospital. However, a difference (~5%) was noted for hospital stay of 3 days when compared to other hospital stay categories. A significance difference (36.9%) was noted for patients with hospital charges of less than $20,000.00 and $80,000.00 or more. The overall outcomes showed that the mortality rates for patients who died in the hospital were not significant and most patients stayed more than 3 days on admission. However, majority of the patients were either charged less or more. This study is to be replicated with a higher level of analytics to ascertain the impact of the variables on the outcomes for a more validated result.
Michelle Ollivierre-Lawrence
City College School of Nursing Fort Lauderdale, USA
Title: Transitioning novice nurses in today’s health care world
Time : 13:45-14:05
Biography:
Michelle Ollivierre –Lawrence is a RN for over 10 years with vast areas of experience. She received her MSN from University of Phoenix, BSN from University of Miami and is currently a DNP candidate (completion date 12/2016) at Capella University. She has been a Nurse Educator for 8 years and at current college, lectures, coordinate clinical experiences for undergraduate nursing students, assist with NCLEX passing for graduates and placement in health care organizations. She has been a Director of more than three nursing programs, serves as a community liaison for new nurses in hospital settings. Her current project focuses at the decreasing incidence of medication errors in novice nurses by adopting the transition to practice module developed by the NCSBN.
Abstract:
The Institute of Medicine (2010) focused on nursing report identifies that the shortage of well-prepared nurses have an impact on the population. This report also discusses that there will be an increased need of well-prepared nurses in the near future because of the increase in population, more chronic illness, among other things. IOM discusses 2 main suggestions to assist the nursing workforce in gaining well prepared nurses. First suggestion is to increase the numbers of BSN (Bachelor of Science in Nursing) nurses by 80% by 2020. Second, offer nursing residencies that assist new nurses for easier transition into the nursing workforce. There are recommendations from agencies such as AACN and NCSBN on how these initiatives can be implemented. There is extensive evidence on the positive and negative impacts of both of these initiatives identified above. However, the first initiative is coexistent of the second. This is because, nurse residency programs that assist new nurse’s transition to nursing workforce are developed based on evidence based research involving BSN prepared nurses. In fact, the AACN has certification status for post baccalaureate RN residency programs and not associate degree RN residency programs. This paper will discuss the need for academic progression from associate degree nursing to BSN nursing which will then allow the increase in development of standardized nurse residency programs for BSN prepared nurses.
Creso Machado Lopes
Federal University of Acre, Brazil
Title: The health strategy of the family and nurse holding: Prospects and challenges
Time : 14:05-14:25
Biography:
Creso Machado Lopes has completed his PhD at the University of São Paulo and Postdoctoral studies at the Nursing Course at the University of Valladolid, Spain in 2015. He is a Professor of Research Methodology in Nursing and Nursing Surgical Center and he has published three books and has 28 published articles. He is a Leader of the research group and he was also the Vice-Coordinator of the Master's degree in Public Health, Deputy Director of Health and Sport Sciences Center and he is currently Assistant Professor Advisor.
Abstract:
Descriptive and bibliographical study, with the goal of raising literature on the Family Health Strategy and the Nurse Practice, focusing on the Prospects and Challenges within the Brazilian context. The Unified Health System was implemented in 1988, representing a movement of organized civil society, the movement for health reform, scientific societies, technicians, researchers, popular participation, governments, still relying on the results of the 8th National Conference Health, and is in line with the Primary Health Care, the World Health Organization. In turn, with the implementation of the National Primary Care Policy, there were several health actions at the individual and collective, including the Family Health Strategy, with broader assignment to develop a multidisciplinary work in health units, to break the fragmented care of human beings, meet in full with the participation of the individual, family and community and with the inclusion of shares in the physical and social environment, expanding access and health care. This is implemented by a multidisciplinary team, with the maximum 4,000 people, the average recommended 3,000 belonging to a defined urban-rural geographic area, where they developed the basic programs defined by the Ministry of Health, aimed at promoting health, prevention, diagnosis, recovery, control of the most frequent diseases and community health maintenance. For nurses to act in this strategy, the trainer body should set your profile, form professional questioning, participatory, apply the knowledge for the community, to break with the biomedical model, change the hospital-centered vision and medicalization of disease, emphasis in public health including individual, family and community, and meet the other members of the healthcare team for a humane and holistic action. To the prospects and challenges, there is a lack of investment in comprehensive care, need to expand the number of teams, problems in infrastructure, poor working conditions, lack of medicines and supplies, high turnover of staff, concerned managers with quantification of services, policy decision by the manager, difficulties in reference and counter reference, promote the process of continuous and permanent education, academic education that considers the family as the center of care, reconciliation of working hours and training, lack of training in management, low number of nurses with a specialization course, salary dissatisfaction by nurses to comply with more hours and receive lower wages than the doctor, the above number of families to be met, activity overload, lack of time for planning, multi-role, lack of vehicle in drive to transport users, lack of professionals in the health and safety of staff in the unit. Because the nurses and staff working alongside communities in a constant state of vulnerability, by socioeconomic and cultural conditions, and is included in this context, teenagers and even young adults, and given the current international situations and national force as the issue of changes climate overall, water scarcity, intense migratory movements, religious conflicts, wars, risk of terrorist practices, attacks, youth grooming to integrate these moves, alcohol and drugs, violence, among others, that may affect this population. It is of fundamental importance that professionals in the family health team keep up to date and able to include in their actions these specific topics aimed at prevention and promotion of healthy citizenship. Thus, it is concluded that the Family Health Strategy is still under implementation and adaptation, but that strides to achieve success and culminate to the promotion of family health for its individual and collective, thus corroborating achieving the principles and guidelines.
Teresa V. Hurley
Mount Saint Mary College School of Nursing, USA
Title: Making a Difference in Healthcare Outcomes: Facilitating Evidenced-based Projects by Nurse and Family Nurse Practitioner Students
Time : 14:25-14:55
Biography:
Teresa V Hurley has completed her MS from City University of New York 1987 and her DHEd from A T Still University in 2011. Currently she is teaching all graduate nurse practitioner research courses. She is a quantitative, qualitative and mixed-method Researcher focusing on experiential teaching strategies, academic success predictors, financial and academic effects of remediation and course repeats and qualities sought in new hires. She has presented to international audiences and is a published author including co-chaptering transcultural concepts integration in foundation all nursing courses.
Abstract:
The driving forces in healthcare delivery are quality patient care outcomes, patient satisfaction, and cost-effectiveness. Resolution of issues or problems is these areas, are contingent on nurses understanding the role of research in supporting their practice decisions. Exposure to evidenced-based practice typically occurs in academic settings at the undergraduate level; undertaking research occurs at the graduate level, where nurse educators are in a prime position to facilitate the utilization of research in varied practice settings using experiential and constructivist teaching/learning strategies. At Mount Saint Mary College, graduate students enrolled in the nurse or the family nurse practitioner program is making profound changes in healthcare. Their evidenced-based projects are from birth through dying that requires administrative support and inter-professional collaboration Projects occur in acute care, educational (K-6 grades), nursing homes, military, clinics, group and private practice settings, projects examples are maternal laboring down, kangaroo care, pre-operative warming; fall reduction, hand hygiene compliance, tobacco cessation, pain assessment and re-assessment; adolescent suicide risk assessment, pre-colonoscopy stress reduction and anxiety; reduction in CHF re-admissions; antibiotic compliance; hepatitis C viral load reductions; decrease urinary catheter use and infections, pressure ulcer reduction, Intervention examples included traditional educational approaches, simulation, videography, telephonic follow-up, inter-professional coaching and complementary and alternative modalities as lavender and Yoga. These interventions obtained from research and applied to specific problems and issues, the graduate students identified resulted in positive outcomes and policy changes. The prime focus of the nurse educator is to tap into the students’ passion and provide positive and frequent formative feedback.
Helen Donovan
Central Queensland University, Australia
Title: Overburdening Families at a time of Graduate Vulnerability
Biography:
Helen Donovan is a Lecturer in Nursing at the Queensland University of Technology in Brisbane, Australia. She has a strong interest in professional practice and particularly the transition to practice experiences of graduate nurses and midwives. This paper draws from her PhD studies of double degree graduate nurse midwife transition experiences which included participants working in Australian rural, regional and metropolitan areas of practice.
Abstract:
Background: The graduate year for novice registered nurses and midwives is known to be a time of anxiety and excitement punctuated with ‘highs and lows’ directly related to changing workloads, increased responsibility and staff dynamics. The need for professional support during this time has been well documented. The graduate demands on family and friends at this challenging time has however been rarely examined. Method: This descriptive phenomenological study explored the experiences of 23 Australian double degree (Bachelor of Nursing/Bachelor of Midwifery) graduates in their 1st year of practice. Individual face to face interviews conducted between 9-12 months of the participant’s commencing employment provided an opportunity to understand both the professional and personal support needs of these graduate nurses and midwives during their year of transition to registered nurse midwife practice. Findings: The findings showed that all participants in this study needed more support than that which was provided in the clinical environment. This was most evident in the first 3 months of practice where detailed sharing of experiences via daily phone calls, emails, social networking and face to face debriefing with family and friends was regarded by the participants to be essential for them to cope with the intrinsic and extrinsic expectations of their new role. Debriefing with family and friends who worked and understood the health care industry was regarded to be the most valuable, as support could be practice focused if necessary. Conclusion: Graduate nurses and midwives look externally to family and friends for support when the clinical environment does not meet their beginner needs. As a result, family and friends are at risk of becoming overburdened by: Graduate demands for counseling and advice; being exposed to confidential information while having no support systems themselves from which to draw. The need for clinical facilities to provide adequate support systems for the beginning nurse midwife is essential to ensure that families and friends are not forced into a role of professional mentor and mediator.
Biography:
Hossam Ibrahim Eldesuky Ali Hassan has completed his MD from Zagazig University Egypt, Faculty of Medicine, Anesthesia and Critical Care Department, Egypt. He is the Director of AICU Department in King Salman Military Hospital, Tabouk, Saudi Arabia and Associated Professor in the Faculty of Medicine, Zagazig University, Egypt. He has published more than 12 papers in reputed journals and has been serving as an Editorial Board Member of repute.
Abstract:
Objectives: The study was conducted to compare 2 techniques of moderate sedation for patients undergoing ERCP, using either dexmedetomidine or ketofol as regards to hemodynamic, sedation, pain, respiratory effect, recovery time, patients’ and endoscopists’ satisfactions, and complications during and after the procedure. Patients & Methods: Fifty patients were randomly allocated in one of two groups; dexmedetomidine group D (n=25) received 1 lg/kg i.v. bolus over 10 min followed by 0.5 lg/kg/h or ketamine/propofol (ketofol) group KP (n=25) received 1 mg/kg i.v. bolus followed by 50 lg/kg/min. The level of sedation was adjusted to achieve a Ramsay sedation scale (RSS) score of 4 in both groups of patients. Mean arterial pressure (MAP), heart rate (HR), peripheral oxygen saturation (SPO2), and facial pain score (FPS) were compared. Time to achieve RSS, modified Aldrete’s score (MAS) of 9–10 and the related complications were compared between groups. Patients’ and endoscopists’ satisfactions were compared. Total amount of rescue sedation was recorded. Results: After loading dose HR and MAP were significantly lower in group D as compared with group KP (p<0.05). HR was significantly lower in group D during the recovery (p<0.05). No significant difference between both groups as regards to time to achieve RSS, MAS, FPS and total dose of rescue sedation. Personnel restraint was significantly lower in group KP (8% versus 20%) than in group D. Endoscopists’ satisfaction was significantly higher in group KP than D group (92% and 80%) respectively. Conclusion: Ketofol (1:1) provided better hemodynamic stability than dexmedetomidine and standard alternative to it in moderate sedation during ERCP.
Biography:
Hamdan Mohammad Albaqawi has completed his PhD from RMIT University School of Nursing and Midwifery in Australia. Currently he is working in the University of Hail as an Assistant Professor and the Vice Dean of the Academic Affairs in the College of Nursing. He has worked in many hospitals in Saudi Arabia and attended many courses and participated in many international conferences.
Abstract:
The study aims to determine relationship between the level of awareness of the ICU staff nurses on holistic care approach and the level of their nursing competencies. The study will utilize a quantitative, descriptive, correlational design. Frequency distribution, weighted mean, percentage, ANOVA and Pearson product moment of correlation will be employed for statistical treatments. This study will be conducted in four different hospitals in Ha’il city. Purposive sampling will be utilized in the selection of the respondents. The researcher will administer a researcher-made instrument for determining the level of awareness of the ICU staff nurses on holistic care approach. The researcher will utilize secondary data in the form of a copy of the competency evaluation tool, utilized by the nursing service and issued by Ministry of Health to determine the level of competency of ICU staff nurses. The results of the study can be utilized by the nursing service to develop a quality patient care program and unit-specific caring enhancement plans for ICU staff nurses.
Burcu Arkan
Uludag University School of Health, Turkey
Title: The Impact of Positive Parenting Programs (Triple P) on Family Mental Health with Turkish Parents
Biography:
Burcu Arkan has completed her Bachelor’s degree in Dokuz Eylul University, Faculty of Nursing in 2004, Master’s degree and PhD from Dokuz Eylül University, Institute of Health Sciences. She also had additional training in child and adolescent psychiatry in Queensland University, Australia. She participated in Triple P Provider Training Courses in Australia. She has been conducting Triple P with parents in Turkey. She teaches psychiatric nursing, child and adolescent mental health nursing and coping with stress. She conducts research in the area of parenting and family psychology. She has several textbook chapters, national and international articles published in mental health journals.
Abstract:
Triple P- Positive Parenting Programme features strong collaboration between family and community, decreases risk factors, increases preventive factors, with a multidisciplinary approach and has compiled a strong eveidence base where randomised controlled research models were used and long time follow-up outcomes gathered. Triple P- Positive Parenting Programme was developed at the University of Queensland Parenting and Family Support Center started in 1979 and is now actively implemented in 25 countries. Triple P is a multi-level family intervention programme developed for the parents of children and adolescents that have or are at risk for behavioral problems. The programme is particularly helpful for the parents of children who have persistent, rebellious, defiant, aggressive and in general, distressing behavior. In randomised controlled trials, strong evidence was reported regarding the efficiency of various Triple P preventive and clinical interventions. Evidence across a range of different levels of the intervention indicates a decrease in problematic behavior of the parents’ children, and dysfunctional parenting practice of parents (neglect, talking too much, overreacting), an increase in positive parenting practice of the parents, feeling satisfied as a parent, an increase in the level of efficient parenting and parents’ overall trust, attachment and interest levels, and a decrease in the levels of stress and depression of parents.
Seyed Mohammadreza Hashemian
Masih Daneshvari Hospital, Iran
Title: Radiologic manifestations of pulmonary tuberculosis in patients of intensive care units
Biography:
Seyed Mohammadreza Hashemian is an Assistant Professor at Shahid Beheshti University of Medical Sciences, Iran.
Abstract:
Tuberculosis (TB) is a serpent disease with various pulmonary manifestations, and timely diagnosis of the disease is paramount, since delayed treatment is associated with severe morbidity, particularly in intensive care units (ICU). Therefore, it is imperative that intensivists understand the typical distribution, patterns, and imaging manifestations of TB. This study was conducted to describe different manifestations of pulmonary TB in patients in the ICU. In this retrospective study, all patients with a clinical and a laboratory-confirmed diagnosis of TB who were admitted to the ICU were involved the study. All patients had a confirmatory laboratory diagnosis of TB including positive smears. The patterns of parenchymal lesions, involved segments and presence of cavity, bronchiectasis and bronchogenic spread of the lesions with computed tomography (CT) and chest/X-ray (CXR) were recorded and analyzed. Data of 146 patients with TB were entered in the study. The most common finding in CT was acute respiratory distress syndrome (ARDS) like radiologic manifestations (17.1%), followed by parenchymal nodular infiltration (13.6%) and cavitation (10.9%), consolidation (10.2%), interstitial involvement (9.5%), calcified parenchymal mass (8.3%), ground-glass opacities (7.5%), and pleural effusion or thickening (6.9%). Radiologic evidence of lymphadenopathy was seen in up to 43% of adults. Miliary TB was observed in 2.3% of patients, mostly in those older than 60 years of age. ARDS like (64.5%) manifestations on CT and miliary TB (85.5%) had the highest mortality rates among other pulmonary manifestations. ARDS, interstitial involvement, and parenchymal nodular infiltration are the most common manifestations of pulmonary TB. Various features of TB in ICU patients could be misleading for intensivists.
Biography:
Lu Xing is a student of Master of Nursing Specialist (MNS) from West China School of Medicine/ West China Hospital of Sichuan University. Her research area of interest is Clinical Care and she had already done some researches and written some papers about clinical nursing and nursing education, especially about patients’ quality of life after discharge.
Abstract:
Objective: To discuss the current situation of abdominal surgery patients’ readiness for hospital discharge, compare the discrepancy between patients’ self-appraisal, nurses’ evaluation and family members’ self-appraisal, and provide evidence to improve patients’ quality of life after discharge. Methods: A convenience sample of 239 patients, 74 nurses and 239 family members were selected according to the criterions. Four instruments were used to collect data: General Data Scale, the Chinese version of the Readiness for Hospital Discharge Scale (RHDS-C), the Readiness for Hospital Discharge Scale of Family, the Registered Nurses’ Perception of Readiness for Hospital Discharge Scale (RNRHDS). Results: The score of RHDS-C was (159.94±37.61), the scores of subscales in descending order were: expected support, coping ability, knowledge and personal status. Nurses’ evaluation score and family members’ self-appraisal score of readiness for hospital discharge were (167.93±26.71) and (166.49±36.17) respectively, they both had statistically significant difference with patients’ self-appraisal (t=-3.192, P=0.002, t=-3.444, P=0.001). Conclusion: Abdominal surgery patients’ readiness for hospital discharge was above average, nurses overestimated patients’ readiness for hospital discharge, and readiness for hospital discharge of family members’ and patients’ self-appraisal were different. Therefore, medical workers should add patients’ self-assessment to the evaluation system of readiness for hospital discharge to evaluate more objectively and accurately, and actively carry out patient-centered discharge planning services. In addition, medical workers should pay attention to the family members’ readiness for hospital discharge at the same time and give them individualized discharge guidance. Thus it can improve the patients’ rehabilitation effectiveness and quality of life after discharge ultimately.
Biography:
Alvisa Palese has been attending the Doctoral Program of the Hull University. She is an Associate Professor at Udine University School of Nursing. She has published more than 170 papers in reputed journal and has been serving as an Editorial Board Member of Assistenza Infermieristica e Ricerca, the only Italian scientific nursing journal indexed in the MedLine database and with impact factor.
Abstract:
Informal caregiving, intended as the presence of family members, friends or other lay caregivers providing care at the patient’s bedside, has been widely recommended for its important emotional and social impact, and for its contribution to basic care. With the increased frailty of patients admitted into hospital and the current economic crisis, which may have increased the amount of needed care and reduced the hospital nursing staff, there is a need to update the knowledge available on in-hospital informal care. The aim of this longitudinal study was to describe the individual and organizational predictors of the amount of informal care received by patients admitted into 12 acute medical units in the Northern Italy. The 77.1% of the included patients (N=1,464) received at least one shift of informal care during their in-hospital stay, especially during the mornings and afternoons. At the patient level, those at higher risk of prolonged hospitalization and difficult discharge on admission (b=0.119, 95% CI 0.035-0.203) and those reporting higher occurrence of negative outcomes, such as pressure sores (b=1.508, 95% CI 0.567-2.449), confusion events and use of physical restraints (b=0.532, 95% CI 0.370-0.695) during the hospitalization (b=0.182, 95% CI 0.027-0.337), were more likely to receive informal care. At the organizational level, a higher amount of missed nursing care (b=0.179, 95% CI 0.086-0.271), was associated with an increased number of informal care shifts. The results seem to suggest that families contribute substantially to the care of patients, especially of the frailer ones, and that try to compensate for organizational failures.
Ahmed M Nooh
Zagazig University, Egypt
Title: Nature and prevalence of menstrual disorders among teenage female students at Zagazig University, Zagazig, Egypt
Biography:
Ahmed M Nooh is an Egyptian/British qualified and trained Consultant Obstetrician & Gynaecologist with extensive experience in emergency and elective gynaecological surgery (laparoscopic, abdominal and vaginal). He qualified from Zagazig University in Egypt and further highly qualified both from Egypt (Master & Doctorate degrees) and the United Kingdom (Fellowship in gynaecological surgery from the Royal College of Surgeons of Edinburgh, Scotland and the British Board in Obstetrics & Gynaecology (CCST) from the Royal College of Obstetricians & Gynaecologists in London). He completed his advanced clinical training in Britain and Ireland. Dr Nooh is a member of the British Fertility Society, the British Society of Colposcopy and Cervical Pathology and the Egyptian Fertility & Sterility Society. He attended and actively participated in numerous international training courses and scientific meetings in laparoscopy, advanced vaginal surgery, assisted reproductive techniques, colposcopy and high risk pregnancy. Dr Nooh has been involved in the teaching programme for junior doctors and medical students of several teaching hospitals in Britain, Ireland and Egypt. He has a track record of research and publications in international peer-reviewed journals in the field of Obstetrics and Gynaecology.
Abstract:
Study Objective: To determine the nature and prevalence of menstrual disorders among teenage females. Design Setting: An observational descriptive cross-sectional study was conducted at Zagazig University Students’ Hospital, Zagazig, Egypt. Participants include a representative sample of female students attending the university pre-enrolment medical examination. Interventions: Self-administered questionnaire covering items on the adolescents’ demographic data and menstruation characteristics was used to collect the data. Main Outcome Measures: Information about menarche, body mass index (BMI), physical exercise, cycle length and regularity, duration of menses, menstrual blood loss, dysmenorrhea, and pre-menstrual syndrome (PMS). Results: A total of 285 questionnaires were analysed. Mean age at menarche was 12.3±1.5. Oligomenorrhea was reported by 18 participants (6.3%) while 5 others (1.8%) mentioned having polymenorrhea. Hypomenorrhea was noted in 25 students (8.8%), while hypermenorrhea was reported by 12 (4.2%). Irregular periods were mentioned by 24 students (8.4%). Dysmenorrhea was reported in 188 students (66.0%). Out of these, 81 (28.4%) graded their pain as mild, 69 (24.2%) as moderate and 38 (13.3%) as severe. PMS was mentioned by 160 girls (56.1%). Consulting somebody regarding their menstrual problems was reported by 36 students (12.6%). Conclusion: Our results are not greatly different from those in other parts of the world. Data on nature and prevalence of menstrual disorders and their impact on young women’s health status, quality of life and social integration suggest that management of these disorders should be given more attention within the available reproductive health care programs. Further research into prevalence of and risk factors for menstrual disorders and their morbidity is warranted and anxiously awaited.
Saima Hamid
Health Services Academy, Pakistan
Title: Ethical dilemmas faced by nurses in clinical practice in a district in Pakistan
Biography:
Saima Hamid started working at HSA as a Research Officer in 1998. In 2000, she was appointed as the Instructor through Public Service Commission. She completed her MSPH in 2001. She completed her PhD from Karolinska Institute, Sweden. She is currently working as Associate Professor and Registrar at Health Services Academy, Islamabad. She is also a visiting and adjunct faculty at the Karlinska Institute and Univeristy of the United Arab Emirates. She has published more than 25 papers in reputed journals and has been serving as the Chief Editor for the Pakistan Journal of Public Health.
Abstract:
As health care becomes complex, nurses encounter difficult ethical issues in clinical practice on daily basis. This study was designed to explore the ethical issues and gaps using the Pakistan Nursing Council’s ethical code framework. A qualitative study was undertaken. Six focus group discussions were done with nurses in six government hospitals of District Layyah, Pakistan. The qualitative data from all the FGDs was analysed by applying thematic analysis. Six themes for nurse’s ethical dilemmas identified were: compromised professional accountability to patient, uncooperative behaviour of peers and poor image of a nurse in society. Ambiguity and dilemmas concerning the professional codes of ethics, related to patient care, colleagues and oneself, were encountered more as compared with issues of resource allocation. Nurses reported that they were unable to act on the PNC code fully because of many constraints in clinical practice. The reasons identified by the respondents were complex administrative processes and mixed messages, poor image of the nursing profession, and a power imbalance in the workplace. It was concluded that nurses were not working according to their job description - it was because of lack of knowledge in some cases, while implementation of the established guidelines was problematic in others. Awareness among the nurses regarding PNC guidelines and further implementation of standardized rules is required on an urgent basis. This study provides evidence which will set the scene for the health managers to develop mechanisms to sensitize their staff towards ethical dilemmas they may potentially face in their clinical practice.
Kimberly A. Derico
Fairmont State University
Title: Making Informatics Come to Life Through Assessment: Linking assessment and documentation education in the classroom
Biography:
Kimberly Derico has completed her BSN from West Virginia University School of Nursing and MSN from Marshall University School of Nursing. She is an assistant professor of nursing in the ASN program at Fairmont State University in West Virginia, USA, where she teaches in the maternal-child I, II & III courses. She has practiced nursing for 21 years in the following clinical areas: Level I Trauma/Medical/Surgical ICU, Level IV NICU, PICU, Pediatrics, Obsterical and Community School Nursing. She has taught in both ASN and BSN programs for 7 years in the following course areas: Fundamentals, Pediatrics, Maternity, Maternal-Child and Simulation Lab Coordination.
Abstract:
Informatics, which is defined by QSEN as: Using information and technology to communicate, manage knowledge, mitigate error, and support decision making; is one of the core competencies for nursing set forth by the Institute of Medicine (IOM) and The Quality and Safety Education for Nurses (QSEN) faculty. One of the QSEN core skills linked to informatics is documenting and planning patient care in the electronic medical record (EMR), a skill that can be confusing to a beginning nursing student. Nursing students can also become easily confused when learning assessment skills in the classroom, but accurate assessment skills must be achieved in order to complete accurate documentation. When assessing a patient, distinquishing what the assessment findings are and what should be documented in the electronic EMR to clearly communicate the findings are special skills that are vital to the nursing role, communication among care team members and patient safety. Linking these two skills in a real-life, fun and innovative way in the classroom can make for better overall understanding of each skill and its importance to safe patient care.
Horathalge Nethnee Sanuri de Silva
National Hospital of Sri Lanka
Title: Attitudes of Nurses towards end-of-life care for themselves.
Biography:
Silva H N S D is currently an Undergraduate nursing student, who completed her Advanced Diploma in General nursing at the International Institute of General Nursing in Welisara, Sri Lanka, and is waiting to join the Murdoch University, Perth, Western Australia in-order to complete her Bachelor of Nursing degree.
Abstract:
Introduction: 88.3% of physicians decided to choose a “no-code†or a DNR order, if hospitalized and would choose to die less aggressively at home. But, their wishes were mostly over ridden. Objective: To assess the attitudes of nurses towards the end-of-the-life care, they would like to receive for themselves and their attitudes towards terminal illnesses. Methods: A mixed method approach was used. A closed and open ended questionnaire was administered to 73 participants and 5 registered nurses, who have more than 10 years of experience, working in hospitals both in Sri Lanka and abroad, were interviewed. Results: 94.1% of the participants stated that they would like to die at home, spending their last hours at home surrounded by their loved ones and engaging in religious activities but 57.7% of unmarried nurses said they would agree on euthanasia if they had a terminal disease, and also 66.2% of them stated they would agree in DNR order if they happen to be admitted to the ICU, but 82.5% wanted to diagnose if they had a terminal illness or cancer but did not agree on euthanasia. Qualitative analysis confirmed the findings and revealed that despite having adequate confidence about the hospital care, nurses would choose to die at home, surrounded by their loved ones and engaging in religious activities. Euthanasia was believed to be inappropriate as it is religiously incorrect and as death is a natural process. Conclusion: The perception of death among nurses depends on their religious belief.
Laila Akber Cassum
Aga Khan University, Pakistan
Title: Experiences of elderly people who are brought to live in shelter homes in Karachi, Pakistan
Biography:
Biography Laila Akber Cassum has recently graduated as a Master of Science in Nursing (MScN) from Aga Khan University School of Nursing and Midwifery (AKUSONAM), Karachi, Pakistan. She did her diploma in 1998 and Baccalaureate of Science in Nursing (Post RN BScN) in 2003 from the same institution. She has worked as a Critical Care Nurse (CCN) for 3 years in Cardiac Intensive Care Unit (CICU) from Aga Khan University Hospital (AKUH). Then, she pursued her career as a Nurse Educator in facilitating the coming generation of students in the field of Nursing. She has also worked in the domain of research in the capacity of Research Assistant and then as a Research Coordinator. She has completed her undergraduate nursing education with high
Abstract:
Objective: The study aimed to explore the experiences of the elderly people who are brought to live in shelter homes, in the context of Pakistan. It also aimed to identify the reasons which compelled the elderly people to reside in these shelter homes. Methodology: A qualitative methodology, with a descriptive exploratory design, was adopted for the study. In line with the pre-set inclusion criteria, a purposive sample of 14 elderly males and females were selected for the study, from two different shelter homes in Karachi, Pakistan. Data was collected through a semi-structured interview. The interviews were audio recorded and transcribed precisely. The data was coded, categorized manually, and analyzed using the guidelines given by Miles and Huberman (1994). Results: Content analysis of the data revealed 5 major themes: circumstances of leaving home, experiences, challenges, coping with challenges, and decision to live in a shelter home. The analysis revealed that the elderly were experiencing lack of physical, psychological, emotional, and financial support from their family and children. It also indicated that migration of children for better career and employment opportunities, entrance of women into the workforce, and insensitive behavior of children, left the senior citizens neglected and helpless. The findings also uncovered the challenges of unemployment and family disputes that the elderly had to face made them dependent, distressed, and helpless, resulting in both their apparently willing and forceful decision to reside in shelter homes. Conclusion: The study indicated the emerging notion of institutionalization of the elderly in Karachi, Pakistan. The findings point to need for further investigation of the identified areas in this study through qualitative and quantitative researches. There is a dire need for increasing public awareness through the social, electronic, and print media, and providing capacity building training to HCPs for the care of the elderly. The lobbying group can act as a catalyst in persuading the government officials for the execution of a policy on retirement, day care centers, and subsidized provision of health services for the betterment of the elderly.
- 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.
- Pediatric Nursing, Psychiatric and Mental Health
Chair
Andrew G Weinstein, MD
Thomas Jefferson University, USA
Co-Chair
YeounSoo Kim-Godwin
University of North Carolina Wilmington, USA
Session Introduction
Elaine F. Martin
Southern Connecticut State University, USA
Title: Content Analysis: Parental Perceptions of Living with a Child with a Behavioral Sleep Problem
Time : 14:05-14:25
Biography:
Dr. Elaine F. Martin has been a Pediatric/NICU Nurse/Pediatric Nurse Practitioner/Family Nurse Practitioner for 30 years. She graduated from the University of Connecticut in 2011 with a PhD in Nursing and a teaching degree in the Pedagogy of Adult Nursing Learners. She completed a pre-doctoral GAANN fellowship. Her areas of expertise include pediatrics, behavioral sleep problems in children, perinatal loss bereavement, digital stories and nursing leadership. She teaches Nursing at Southern Connecticut State University to doctoral, master’s, undergraduates and accelerated second degree nursing students.
Abstract:
A qualitative content analysis was conducted on an open ended question to parents of children who perceived that their child age 1 to 3 had a behavioral sleep problem. Parents were responding to an online survey regarding toddlers with behavioral sleep problems and assessed using the Brief Infant Sleep Questionnaire - Expanded. Parents were asked what it was like to live with a child with a behavioral sleep problem. 115 parent respondents were included writing between one line and 4 pages of responses. Content analysis by Krippendorf’s method was utilized to examine thematic unit and themes in the data that were recurrent in the answers of the parental responses. Content analysis results revealed 8 significant recurring level one themes expressing various levels of distress and denial by the parent when dealing with their child. There were 3 recurring level 2 themes expressing the negative effects on parental relationships, parent-child relationships and family systems disruption. These were further distilled to one overarching level 3 theme expressing that their lives were chaotic and the quality of their lives were adversely affected by living with a child with a behavioral sleep problem.
Sue Lamburne
Southmead Hospital, United Kingdom
Title: An Assessment tool for infants requiring continuous positive airway pressure via Nasal CPAP devices and Nasal high Flow devices
Time : 14:25-14:45
Biography:
Susan Lamburne trained as a Registered General Nurse in 1988. In 1990 she obtained the special and intensive care qualification in the care of the newborn and since then she has worked extensively within Neonatal units in the UK and Bermuda. She has been a research nurse to two multi centre randomised controlled trials,DRIFT and TOBY. She is currently a senior sister/team leader at the Neonatal Intensive Care Unit,Southmead Hospital,Bristol,UK. She has published articles in peer reviewded journals relating to the care of the neonate.
Abstract:
Nasal CPAP devices have the potential to cause tissue break down if used incorrectly. In an effort to prevent nasal scaring an assessment tool was implemented within the Neonatal Intensive Care Unit at Southmead Hospital ,Bristol,UK in 2008. The assessment tool has since been updated and now includes babies who receive Nasal High Flow and babies receiving Nasal CPAP. On an hourly basis the infants nares are scored and the score is documented on the Infants intensive care record chart. This unique visual assessment tool is a simlpe staging system that when used together with the nCPAP care plan/competency and the nasal High flow competency serves as a strategy for prevention and treatment to this iatrogenic and cutaneous event. Following an extensive and scrutinized literature search involving PubMed and CINHAL this Assessment tool has been published in peer review Journals relating to the care of the neonate. The author is currently assisting managed neonatal networks within England in implementing this assessment tool through presentations at conferences and in attending individual neonatal units to support senior nurses in implementing this work.
Eileen O Costello
Mount Wachusett Community College, USA
Title: The lived experience of placing a child into residential care; what parents need you to know
Time : 14:45-15:05
Biography:
Eileen O Costello is a doctorally prepared RN with over 30 years of experience in Pediatric Nursing. She has worked with children requiring complex care and their families for over 20 years, in both acute care and home environment. For the past 18 years, she has provided nursing students with a clinical education experience in a long-term care pediatric facility in Massachusetts. Her DNP research is focused on parents’ experiences of transitioning their medically complex child into residential care.
Abstract:
Advances in healthcare and technology have resulted in the survival of infants and children suffering from prematurity, diseases, disorders and accidents that would have claimed their lives in the past, but now are left with a diagnosis of developmental disability. It is estimated roughly 4.5 million individuals in the United States are diagnosed as having a developmental disability which affects the individual’s mental and/or physical functioning for their entire life. Caring for these children at home places may be stressors on parents and families. When the burden of providing this care becomes overwhelming, parents seek out of home placements. The purpose of this study was to determine how parents negotiate the transition process once the child has been placed. Findings can offer guidance to nurses and other health care professionals to better understand this process and provide insights as to how to best assist parents in the process. This topic was explored using the phenomenological inquiry method of qualitative research. Interviews were conducted with parents of developmentally disabled children within three years of initial residential placement.
Louann McGinty
Pennsylvania College of Health Science, USA
Title: Migraine through the life span: Focus on the child and young adult
Time : 15:05-15:25
Biography:
Louann McGinty MSN, RN, CNRN is a faculty member at Pennsylvania College of Health Science. She has published book chapters and peer reviewed articles. Her most recent podium presentation addressed teaching modalities to facilitate student understanding of the Glasgow Coma Scale at the European Association of Neuroscience Nursing in Belgium. She received both her Bachelor and Master degrees from the University of Pennsylvania.
Abstract:
A World Health Organization (WHO) review of global data found migraine to be one of the most prevalent health disorders worldwide. The goal of this presentation is to provide the learner with an overview of the incidence and presenting scenarios of migraine type headaches during the life span. Studies have identified the peak incidence of migraine is between the ages of fourteen and seventeen years. The peak prevalence is between forty five and sixty four years of age. The pediatric population is often undertreated and stereotyped as being depressed or having school avoidant behavior. Timely and accurate diagnosis of migraine type headaches are vital in choosing appropriate treatments and improving outcomes for affected children. Special attention will be given to neurologically assessing the pediatric client, noting the impact of headache syndromes on developmental goals and family dynamics. The professional, family and community roles are impacted by migraines in the middle aged client. The psychosocial impact on the middle aged client affected by migraine headaches will be discussed along with management strategies. Preventative interventions, nursing management and pharmacological interventions will be addressed for these age groups.
Vicki Hensley
University of Kentucky College of Nursing, USA
Title: Childhood Bullying: Assessment Practices and Predictive Factors Associated with Assessing for Bullying by Health Care Providers
Time : 15:25-15:45
Biography:
Vicki Hensley completed her PhD in 2015 and is a pediatric nurse practitioner at the University of Kentucky. She also has served as a professor at the University of Kentucky College of Nursing for more than 10 years.
Abstract:
Childhood bullying affects over 25% of today’s youth and causes up to 160,000 missed school days per year. Bullying causes short and long term adverse effects to both mental and physical health. Many organizations encourage healthcare providers to take an active role in bullying prevention. However, there has been little research into the role of primary healthcare providers regarding childhood bullying and the effectiveness of different approaches to screening and management. Therefore the purposes of this research were to a) explore childhood bullying and the role of the healthcare provider in bullying prevention, and b) develop and evaluate the psychometric properties of Hensley’s Healthcare Provider’s Practices, Attitudes, Self-confidence, & Knowledge Regarding Bullying Questionnaire. Pediatric healthcare providers were asked to participate in this study if they conducted well-child exams on a weekly basis. Information on the provider’s current bullying assessment practices, attitudes, self-confidence, and knowledge regarding bullying was gathered. Results indicated that approximately one-half (46.6%, n=55) of the healthcare providers reported assessing their patients for bullying behaviors during well-child exams. The strongest predictor of positively assessing for bullying was attitudes, recording an odds ratio of 1.24. This indicated for every one-unit increase in attitudes score, the odds of assessing for bullying will be 24% higher. The odds ratio of self-efficacy or self-confidence was 1.18, indicating that for every one-unit increase in self-efficacy score, the odds of assessing for bullying will be 18% higher.
Huey-Fang Sun
National Defense Medical Center School of Nursing, Taiwan
Title: Relationships between Parenting Attitudes and Stress Coping Strategies of Military Inpatients with Adjustment Disorders in Taiwan
Time : 16:05-16:25
Biography:
Huey-Fang Sun has completed her PhD from Johns Hopkins University School of Public Health. She is an Assistant Professor in School of Nursing, National Defense Medical Center, Taipei, Taiwan. Her research field mainly focused on stress responses and psychosocial adaptation.
Abstract:
The specific aims of this study were to investigate the associations between parenting attitudes (PA) and stress coping strategies (SCS) of military patients with adjustment disorders in Taiwan. The study was conducted in 4 hospitals of northern part of Taiwan from April 1, 2013 to March 31, 2015. Military patients who admitted to psychiatric wards and met the diagnosis of adjustment disorders were included as potential participants. Patients with repeated hospitalizations and illiteracy were excluded from the study. 248 patients enrolled the study after completing the consent forms, and 2 questionnaires including parents bonding instrument (PBI) and COPE inventory were used for measuring variables of PA and SCS respectively. By treating scores of COPE subscales as dependent variables and scores of PBI subscales as independent variables, a series of multiple linear regressions were applied for data analysis. The results showed that after controlling for the variables of education levels and hospital locations, the coping strategy of denial was significantly positively associated with the domain of overprotection (β=0.095, P=0.004); the coping strategy of behavior disengagement was also significantly positively associated with the domain of overprotection (β=0.113, P<0.001) and negatively associated with the domain of care (β=0.057, P=0.028); the rest of stress coping strategies had no significant associations with the variables of PA in the analysis. The study finding provides useful information about the risk factors of adjustment disorders for the military population who are mainly young adults and typically vulnerable to stress environments to facilitate evidence-based mental health intervention.
Jody Russon
Center for Family Intervention Science, Drexel University, USA
Title: Attachment-based family therapy for depressed and suicidal adolescents
Time : 16:25-16:45
Biography:
Jody Russon, PhD is a project manager, Post-doctoral research fellow, and Family Therapist at the Center for Family Intervention Science at Drexel University. She currently oversees the Family Safety Net II research project: an NIMH-funded randomized controlled trial testing the effectiveness of Attachment-Based Family Therapy (ABFT) for depressed and suicidal adolescents. Her research is focused on family intervention and implementation sciences for underprivileged populations. She recently obtained funding to conduct an implementation study for ABFT at an LGBTQIA community center.
Abstract:
Attachment-Based Family Therapy (ABFT) is an empirically-supported treatment for depressed and suicidal adolescents. In this presentation, Dr. Russon will use lecture and PowerPoint to provide an overview of the clinical strategies, and research support for ABFT. In the first 10 minutes of the presentation, the presenter will provide a brief overview of theoretical principles and research support for ABFT. In the next 10 minutes, she will give an overview of the five treatment tasks: reframing therapy to focus on interpersonal development; building alliance with the adolescent; building alliance with the parents; facilitation of conversations to resolve attachment ruptures and; promoting autonomy in the adolescent. Following this, questions will be answered. Participants will be provided with a handout of the PowerPoint slides which detail the model being presented. Learning objectives for participants include: discuss the empirical support for ABFT and; explain the purpose of the five treatment tasks in ABFT. Current and future research will be discussed.
Elaine F. Martin
Southern Connecticut State University, USA
Title: Integrative Review: Behavioral Sleep Problems in Toddlers
Time : 16:45-17:05
Biography:
Dr. Elaine F. Martin has been a Pediatric/NICU Nurse/Pediatric Nurse Practitioner/Family Nurse Practitioner for 30 years. She graduated from the University of Connecticut in 2011 with a PhD in Nursing and a teaching degree in the Pedagogy of Adult Nursing Learners. She completed a pre-doctoral GAANN fellowship. Her areas of expertise include pediatrics, behavioral sleep problems in children, perinatal loss bereavement, digital stories and nursing leadership. She teaches Nursing at Southern Connecticut State University to doctoral, master’s, undergraduates and accelerated second degree nursing students.
Abstract:
The purpose of this integrative review is to detail current state of the science of behavioral sleep problems in toddlers without serious co-morbidity. A systematic integrative literature review focused on children aged 12 months through 36 months. A total of 128 articles published between 1978 and 2015 were identified and 68 articles used. Articles using a quantitative research design using valid, reliable instruments, strong methodology and rigor, survey response rate and adequate sample size were included. Most articles in the exclusion criteria were related to specific sleep disorders such as parasomnias, psychophysiological insomnia and specific populations with co-morbid conditions such as autism, neurodevelopmental delays, specific psychiatric illnesses and chronic medical conditions. Limitations were examined Study results indicate that behavioral sleep problems are a common parental concern and that between 15% and 35% of toddlers exhibit some type of behavioral sleep disturbance and these exist across all cultures. Maternal depression, co-sleeping and inadequate sleep hygiene have been positively linked to behavioral sleep problems in toddlers. Results suggest that toddlers’ behavioral sleep problems are common and persistent despite treatment in infancy. Interventions were reviewed. Current interventions are effective, but each method has its own problems with implementation, some with poor parental compliance.