28^th International Conference on Family Nursing and Healthcare September 11-13, 2017 San Antonio,Texas, USA

Biography:

Kathryn M Cacic has completed her DNP with a focus on executive leadership from Rush University in Chicago, Illinois. She is currently an Assistant Professor of Nursing in both the graduate and RN-BS programs. She has a long and varied career primarily in University Teaching Hospitals and spent 31 years with the USAF Reserve. Her Doctoral work focused on the reduction of benzodiazepines in older adults with poster presentations at National NICHE & GAPNA conferences. In addition to teaching, she volunteers her time as a Nurse Practitioner with a local community of Amish and serves on the Board for this Clinic.

Abstract:

A multiple of studies on the use of benzodiazepines in older persons have recently gained attention with changing population demographics. This drug category puts the older person at risk for memory impairment, hypersomnolence, falls, fractures, motor vehicle accidents and potential addiction. This problem is further compounded by the fact that over half of these populations have at least three chronic health problems for which they consume other medications. Together this leads to significant polypharmacy and inappropriate medications. This contributes to a paucity of adverse drug events. The program will discuss use of Beers criteria to reduce inappropriate medications both in the community and acute setting. Dangers of long term use of benzodiazepines results in overall poorer health and the potential harm to quality of life. Nursing must be an active partner in commitment to a multidisciplinary approach for prescribing in older persons. Advocacy for active involvement of the patient and caregivers into the prescribing decisions must be guided by good clinical practice. Non-pharmacological strategies should be encouraged such as sleep hygiene, cognitive behavioral therapy and exercise. Current quality measures focus on extensive drug reviews with reduction strategies to eliminate inappropriate medications. Use of the Beers or STOPP criteria by nursing can make a difference that is patient centered, holistic and involves families will benefit the quality of life for this population. Nursing advocacy for no benzodiazepines contributes to promoting wellness for this population.

Biography:

Sherry L Donaworth is an Assistant Professor of Clinical Nursing at the University of Cincinnati, College of Nursing, USA. She is board certified as both an Adult-Acute Care Nurse Practitioner and a Family Nurse Practitioner. Her extensive clinical practice experience has included critical care, cardiology, geriatrics as well as primary care. She has served as a Content Expert on an ANE HRSA grant for interactive case studies for distance learning students.

Abstract:

Coronary heart disease (CHD) is a major cause of morbidity and mortality in developed countries. Even as mortality rates have declined globally in recent years, one-third or more of all deaths in adults over the age of 35 is attributable to CHD. According to the American Heart Association (AHA) and the Centers for Disease Control (CDC), cardiovascular diseases claim more lives than all forms of cancer combined. Hypertension is a leading risk of heart disease and heart failure and the most common reason for office visits of adults to healthcare providers in the U.S. Aging of the population and improved treatment for CHD has led to an increasing prevalence of heart failure. Prescriptions to treat for cardiovascular disease are among the most commonly prescribed medications for chronic illness. Therefore, it is essential that nurses stay up-to-date regarding these frequently prescribed drug classes. This presentation will review the pathophysiology of heart disease and heart failure, as well as evidence-based treatment modalities. Indications, contraindications and adverse drug effects as well as patient education and monitoring considerations will be discussed.

Biography:

Samantha Pehl has been working as a Nurse since 30 years. She began her practice as an ADN Graduate of Cochise College in Douglas Arizona. She has Bachelors in Liberal Studies Biology, Master in Midwifery, a Postgraduate degree in Family Practice Nursing and finally a Doctorate of Nursing Practice from Frontier Nursing University in 2012. She is an Assistant Professor at Tarleton State University for 16 years, a part-time Nurse Scientist with Texas Health Resources Stephenville for 2 years and a PRN Family Nurse Practitioner with Stephenville Medical-Surgical Clinic for 9 years.

Abstract:

According to the American Association of Colleges of Nursing (AACN) (2012) the entry level enrollment for Baccalaureate nursing programs has risen 82.7% since 2002. The increased enrollment has translated into a need for clinical sites and experiences required to develop skilled, knowledgeable nurses. Nursing schools are looking at advances in technology to help maintain a high standard of education and provide needed clinical opportunities. Current research suggests that the use of high-fidelity simulation is an effective method of preparing nursing students to care for patients. Students can develop teaching, technical and critical thinking skills during the high-fidelity simulations that can be readily transferred to living patients in a standard care situation. This capstone project investigated the premise that simulation experiences are comparable in effectiveness to hospital clinical by comparing pretest/posttest scores and semester exams scores after a four week clinical rotation. Statistical results showed no difference in scores between the test and control groups, thus supporting the literature review and the null hypothesis.

Biography:

Diane Ames is an associate professor in the Family Nurse Practitioner and Adult Gerontology Primary Care tracks at Concordia University. She is also a Co-Director of Graduate Nursing Programs at Concordia University. Her practice hours are at a large mid-western health care system in urgent care. Additionally, she coordinates two interprofesssional primary care projects including Diabetes and Hypertension in an underserved clinic.  

Abstract:

This interprofesssional project was piloted in a mid-western primary care clinic with an underserved African American population. Four conversation maps and facilitators guides were developed and implemented with learners from nursing, medicine, pharmacy, athletic training, nutrition, and art with oversite from faculty and volunteers. The curriculum topics included overview of hypertension, nutrition, medication, and lifestyle interventions including stress, tobacco, and exercise. This project was divided into two phases; the first phase included content on team building, health literacy, racism in medicine, roles, education, and scope of practice for the team members along with patient recruitment. The second phase included implementation of the program which included four educational sessions and one focus group. Thus far, two small cohorts have completed this educational program. The post intervention surveys demonstrated an improvement in quality of life and self-efficacy scores while the biometric data revealed mixed results. 

Biography:

Michelle Sherlin has diverse experience in the use of patient simulation. Currently she works as the Simulation Specialist for the Division of Nursing at Holyoke Community College. She is responsible for center operations, scenario development, data collection and facilitates all simulations occurring in the center. Recently she published an article in the journal Teaching and Learning in Nursing titled “End- of- life patient simulation lessons learned” which describes a different multi-station simulation being successfully implemented in the school of nursing.  She has extensive experience in moulage techniques and works diligently, creatively and effectively to bring realism to the simulation environment.

Abstract:

With increased nursing school enrollments, the anticipated number of retiring nurses working in perinatal nursing and subsequent need to hire newly graduated nurses, it is imperative that student nurses have perinatal educational experiences beyond the classroom. Our Associate Degree (ADN) nursing program at an urban community college was additionally challenged with limited clinical site placements in labor and delivery because of the number of nursing programs in our geographic area and local BSN programs being priotitized for clinical placements. This was the impetus for the implimentation of a four station perinatal simulation experience for all first year ADN students in our program. Utilizing the Gaumard Noelle birthing simulator, Laerdal Vital sims and Gaumard Newborn Hal simulators, each phase of perinatal care is represented. Students spend 30 minutes caring for patients in each of the stages; latent labor, active labor, transition and delivery to 2 hours post partum. They provide guided care for both the mother and baby in each. Staff from a local hospital provided support to students as well as nursing faculty at each station. Perinatal monitoring software enables students to analyze fetal rhythms.  Student feedback has been exceptionally positive and students have successfully achieved learning outcomes over the course of the four years that this simulation has been in place. Students report that this experiential learning opportunity enhances thier understanding and self confidence. Staff at the clinical sites also report that students are better prepared and knoweledgeable about nursing actions in each phase.

Biography:

Teresa Beaudry, MSN, RN is currently a full-time Professor in Nursing Education at Holyoke Community College and adjunct clinical educator for the University of Massachusetts-Amherst. She currently teaches in a combined Practical and Associate Nursing Education Program with additional experience working with the bachelorette and second bachelor’s degree in nursing education. She has been teaching since 2007 with a focus on Women’s, Newborn and Family Health, Pediatrics, and Medical Surgical Acute and Complex Care. She received her BSN and MSN degree from American International College. She has been in the leadership role as course coordinator and program chair. She has participated in nursing program development and facilitating curriculum changes, accreditation with ACEN, and compliance with the MA-BORN, Exam writing success, faculty mentoring and use of simulation in nursing education.  Through her passion to make transitioning in nursing education more fluent she participated in the Massachusetts Higher Education grant in the development of an educational program to promote further education of the Licensed Practical Nurse to Associate of Science in Nursing program and the Associate of Science Nurse to the Bachelorette level. Her teaching philosophy incorporates the importance of the art and science of nursing with an emphasis on critical-thinking, reasoning and problem solving skills.  With the use of advanced technology in education she has integrated the use of high fidelity simulation in the classroom, to enhance student understanding and comprehension of the nurse’s role in clinical nursing practice. This experiential learning style brings clinical into the classroom and has increased student participation, eagerness to learn and ability to apply theory to clinical practice

Abstract:

With increased nursing school enrollments, the anticipated number of retiring nurses working in perinatal nursing and subsequent need to hire newly graduated nurses, it is imperative that student nurses have perinatal educational experiences beyond the classroom. Our Associate Degree (ADN) nursing program at an urban community college was additionally challenged with limited clinical site placements in labor and delivery because of the number of nursing programs in our geographic area and local BSN programs being priotitized for clinical placements. This was the impetus for the implimentation of a four station perinatal simulation experience for all first year ADN students in our program. Utilizing the Gaumard Noelle birthing simulator, Laerdal Vital sims and Gaumard Newborn Hal simulators, each phase of perinatal care is represented. Students spend 30 minutes caring for patients in each of the stages; latent labor, active labor, transition and delivery to 2 hours post partum. They provide guided care for both the mother and baby in each. Staff from a local hospital provided support to students as well as nursing faculty at each station. Perinatal monitoring software enables students to analyze fetal rhythms.  Student feedback has been exceptionally positive and students have successfully achieved learning outcomes over the course of the four years that this simulation has been in place. Students report that this experiential learning opportunity enhances thier understanding and self confidence. Staff at the clinical sites also report that students are better prepared and knoweledgeable about nursing actions in each phase.

Biography:

Olubunmi I. Daramola completed her PhD in Nursing and Masters of Public Health degree from the University of Michigan, Ann Arbor. She is an Assistant Professor at the Wayne State University College of Nursing and board certified Adult /Gerontology Primary Care Nurse Practitioner with expertise in health promotion risk reduction.

Abstract:

This literature review supports development of a theoretical construct that the processes of migration and acculturation in relation to perceptions of hypertension, dietary habits and life style behavior affect the health trajectory of immigrants to the United States and other western nations, specifically African immigrant women. Explanatory models such as the cognitive representation of illness (CR) and Leventhal’s Self-Regulation Model (SRM) are reviewed in relation to perceptions of illness and dietary approaches to health in this population. The purpose is to facilitate understanding and development of culturally relevant preventive program for immigrants.

The discussion will cover traditional African illness representations, which are based on beliefs that include natural and unnatural causes. It is expected these beliefs will influence the CR of hypertension, as well as dietary behavior (DASH Diet) associated with control of hypertension, among African immigrant women. The literature suggests that the process of acculturation exposes African immigrants to new knowledge that will modify their illness representation. A question to ask is if the CR modification is enough to influence coping patterns, adaptive outcomes and subsequent illness management. Programming and formal education are likely needed to modify the SRM in the case of special populations such as African immigrant women.

Biography:

Esther Ampadu has worked as a nursing faculty member for more than 30 years.  Esther started her nursing education in Liberia where she earned her BSN degree and a midwifery certificate. She continued her education at Northeastern University where she earned a master’s degree in nursing in the early 90s. She also completed her PhD in Nursing from Northeastern University a couple of years ago.

Esther taught at Cuttington University for eight years and has been teaching at Laboure for the past 25 years. Her research interests include issues related to nursing faculty. Her main interests as a nursing faculty member is teaching and mentoring students so they achieve success as nurses and future nursing faculty

Abstract:

To maintain sufficient nursing faculty to meet the challenges posed by the 2010 Institute of Medicine (IOM) report, schools of nursing must determine how to decrease faculty job stress, promote job satisfaction, and improve faculty retention. This dissertation’s primary aim is to examine the relationships between job stress, job satisfaction, and intent to remain in academia among nursing faculty with research focused doctoral degree (RFDD), who teach at baccalaureate level or higher. Its secondary aim is to identify predictors of these same phenomena. A tertiary aim is to test the applicability of the effort-reward imbalance (ERI) model to effectively explain the nature of the relationships between job stress, job satisfaction, and intent to remain in academia among RFDD prepared nursing faculty who participated in this study. Responses from 363 nursing faculty members who met the inclusion criteria for this study were analyzed. The questionnaire used included the following components: Effort-Reward Imbalance (ERI) which measured job stress, Job In General (JIG) which measured job satisfaction, Job Descriptive Index (JDI) which measured faculty satisfaction with coworkers, present job, pay, promotion and supervision, and a single question on intent to remain in academia (IRA). Forty-seven percent of faculty reported job stress, 92% (n =326) reported job satisfaction, and 81% (n=275) reported intent to remain in academia. Statistical analysis indicated that demographic factors, such as age, gender, and years as faculty, did not influence job stress, but level of formal education and number of hours worked on the job were influential factors of job stress. A logistic regression showed that job satisfaction was a significant predictor of intent to remain in academia. Job satisfaction also mediated the relationship between intent to remain in academia and job stress. This study indicates that although nursing faculty did report job stress, they also reported job satisfaction and intent to remain in academia.

Biography:

Kim White is a licensed advanced practice nurse and Clinical Associate Professor at Southern Illinois University Edwardsville. She has been the Executive Director of the SIUE WE CARE Clinic for the past four years. She and her team have been responsible for the restructuring of the clinic from a failing endeavor to a growing clinic that is consistently in the black. 

Abstract:

Biography:

Deepti B. Prajapati has completed her BSN at Western Connecticut State University, and her MSN at Southern Connecticut State University.  She is board certified as a Family Nurse Practitioner, and is currently practicing at NYU Langone Medical Center’s Infusion Center at the Center for Musculoskeletal Care (CMC). 

Abstract:

Vedolizumab (Entyvio) is one of several treatment options for the management of Ulcerative Colitis and Crohn's Disease. It is a recombinant humanized anti-alpha-4-beta-7 integrin monoclonal antibody. Integrins are proteins involved in regulating cellular movement, including the migration of leukocytes to the gut.  It is specific to the intestinal tract because it binds to the alpha-4-beta-7 integrin, thereby blocking the interaction of the alpha-4-beta-7 integrin with mucosal addressin cell adhesion molecule-1.  This results in the inhibition of memory T-lymphocytes migrating across the endothelium into inflamed gastrointestinal tissue.  This biologic immunotherapy is utilized in patients who have failed or achieved inadequate response to the different therapies currently available for these disease processes. Certain considerations include monitoring/screening for tuberculosis (TB), progressive multifocal leukoencephalopathy (PML), and liver injury. These are rare adverse effects and occurrences. A protocol for the safe administration of Vedolizumab at NYU's CMC Infusion Center is based on current prescribing guidelines.

Biography:

Dr. Lancaster began her journey in nursing 35 years ago where she has had the opportunity to work in various milieus. She is a graduate of Frontier Nursing University for both her master’s in women’s health nurse practitioner as well as her doctorate in nursing practice.  Dr. Lancaster is an assistant professor at Middle Tennessee State University where she teaches in both the undergraduate and online graduate nurse practitioner courses where she is the author/ developer for the women’s health course. She is involved in foreign medical missions, and is NAMS certified menopause practitioner where she passionately assists women during this often tumultuous time.

Abstract:

Background: Although a natural and normal transition from the childbearing years, menopause is a multifaceted event that affects women physically, mentally, and emotionally. Evidence has shown that a woman’s ability to cope with the changes and stresses of menopause can be enhanced through education. Women will spend a third of their life in a post- menopausal state. A successful transition in the individualized yet unique journey of menopause is a women’s health management challenge that can be lessened when education about menopause is provided to women by health care professionals possessing creativity, commitment, caring and skill.  The positive effects of menopause education have been reported in the literature; however, the United States has a scarcity of research that looks at educational strategies to assist women in increasing their knowledge about menopause.  The purpose of this research was to create a menopause workshop in the Upper Cumberland Region of Tennessee, where educating women could result in increasing knowledge, decreasing fear and anxiety, decreasing cost of unnecessary medications and treatment, decreasing health related issues, and promoting overall health, well-being and empowerment.

Biography:

Gwenn Scott has completed her Diploma in Nursing in 1976, BSN from the University of Incarnate Word San Antonio in 1987, MSN in 1990 from the University of Texas Health Science Center San Antonio, Post-graduate as a Family Nurse Practitioner in 1998 from the University of Texas Health Science Center San Antonio, Doctoral studies in 2013 from the University of Alabama. She is currently an Assistant Professor in the Family Nurse Practitioner program at the University of Texas Medical Branch in Galveston, USA. 

Abstract:

Health literacy is the degree to which individuals has the capacity to obtain, process and understand basic health information and services needed to make appropriate health decisions and follow instructions to treatment. Most health information is written at the 10^th grade level or higher. The average person in the U.S. reads at an 8^th grade level. Reading at or below the 5^th grade level in the U.S. are 20% of adults, 40% of older adults, 50% African-Americans and Hispanics.

Biography:

Judy Kaye Smith has completed her PhD in 2013 from Texas Woman’s University Houston, Texas. She is an Associate Professor at Lamar University, Beaumont, Texas teaching at the graduate level. In 2014 she assumed the role of Graduate Evidence-Based Projects Manager. She has been actively involved in writing and executing several nursing grants, developed several simulation modules and has been both a podium and a poster presentation presenter at several local, regional, state and national conventions.

Abstract:

Postpartum depression (PPD) is a real complication in the postpartum period. This qualitative phenomenological study was designed to gain a broader perspective regarding the phenomenon of postpartum depression (PPD) and its impact on family structure based on face-to-face audio taped interviews. Seven male participants were recruited through a community hospital. The verbatim transcripts were rigorously analyzed and compared to identify common themes within and between the fathers’ individual experiences using a two group analysis and Spiegelberg’s (1965, 1975) six step process. The men experienced overarching feelings of being vulnerable when their partners’ behavior began to change in such a way that they no longer recognized the person she had become. They initially rationalized the cause for the changes. As things changed within their family’s structure, fathers felt an overwhelming need to try to fix things. The second major theme was one of being helpless to know what to do or say; whatever they did was not right or good enough. Given time, the third overall theme of coping emerged in which they were able to identify methods for dealing with the changes that occurred in their lives when their partner was diagnosed with postpartum depression. Suggestions included the need for more one to one education with parents. Also fathers need to be patient and more attuned to the needs of their partner. The foremost clinical implication from the study is the need for healthcare providers to develop better educational methods to relate information about postpartum depression to childbearing couples.

Biography:

Ann W Lambert has completed her Master’s degree in Maternal Child Nursing and is full time Faculty at Auburn University School of Nursing with classroom and clinical responsibilities for Pediatric Nursing. She also maintains her practice as a Pediatric Nurse Practitioner in primary care. She has over 30 years of experience in nursing and teaching nursing students. She is involved in outreach projects related to childhood obesity prevention, safe sleep and promoting breastfeeding and empathy for pregnant women.

Abstract:

We are excited to share our Outreach Project: Tiger Babies™ with our Auburn family. An interdisciplinary team from AU School of Nursing, the College of Education and the School of Industrial and Graphic Design has collaborated to offer Tiger Babies™. The goal is to support mothers who are breastfeeding during family-friendly Auburn events. Mothers and their young infants can come to a clean and private environment to breastfeed, change diapers and receive educational materials. Currently, there are no known designated areas in the stadium or surroundings areas for nursing mothers. According to our random survey of mothers with small babies, conducted during Auburn vs. South Carolina game (2014), half of them had experiences in nursing their babies in the ladies room during football games or tailgates. They also tried to find a quiet and private area, away from the crowd, to nurse their babies. The majority of women indicated they would love to have a place dedicated to nursing their babies and it would increase their willingness to bring their babies to participate in university events. Some of the locations they indicated as potential areas included inside the Stadium, the Campus Green, in front of Miller Hall, or the Wallace Center. The first area offered will be located outside of the stadium on Miller Hall lawn by the School of Nursing. It will consist of a free standing tent with sides to provide privacy to nursing mothers. This area will include a comfortable rocker, side table, an electrical outlet for breast pumps if needed, and a privacy screen. Moms will also have access to baby necessities such as diapers, wipes, disposable burp cloths and bottled water. Other provisions include a fan and heater, whichever is appropriate, for a comfortable setting. The tent will be supervised by nursing faculty and/or Lactation Consultants from East Alabama Medical Center and/or Baptist Medical Center East and will include current nursing students who are enrolled in the Childbearing and Reproductive Health Course. Educational information for new mothers will also be provided. The project could potentially reach many nursing mothers who come to our campus. Future plans are to include and area inside of the stadium, within existing First Aid Stations. We learned that if mothers requested, they have been allowed in the first aid station for nursing, but there was a lack of privacy. We currently have student nurses assigned to the First Aid Stations within the stadium; therefore, they will have the opportunity to provide support to mothers if needed. Furnishings have been approved by the Department of Design and Construction in the facilities division. Plans are to collect information from attendees to evaluate the feasibility and acceptability of offering this outreach service to support breastfeeding mothers, as they enjoy Auburn events, while meeting their infants’ needs.

Biography:

Abstract:

The use of medical cannabis in chronic illness is increasingly investigated, yet little is known about its use in paediatric populations. As child protection clinicians are often asked to provide advice around whether parents’ actions to give medical cannabis to their chronically ill child constitutes harm or risk of harm, a review of the evidence base is required. This systematic review explores the use of cannabis-derived products in children with seizure disorders. While a reduction in seizure activity was observed in some children, included studies were poorly designed and too small to extrapolate reliable conclusions about clinical use. Due to the lack of high-quality evidence, the use of cannabis-derived products is currently not recommended in children with seizure disorders. However, in assessing risk and harm to subject children by child protection physicians in Australia with existing State and Territory legislation, evaluation must occur on a case-to-case basis with each instance considered on its individual merits. Clinical trials addressing drug efficacy and long-term safety of cannabis-derived products are required.

Biography:

Anna Chiesa Graduated in Nursing at the University of São Paulo (1981), degree in Public Health from the University of São Paulo (1982), Masters (1994) and Doctorate (1999) in Public Health at the University of São Paulo and Collective Health by USP (2005). Associate Professor of the Department of Nursing in Collective Health of EESUP. Post Doctor internship at Florence Nightingale School of Nursing and Midwifery, Kings College London (2011). Academic and Professional experience in Nursing, with emphasis on Health Promotion, Child Development, Family Health, Child Health and Health Education. Technical Consultant of Fundação Maria Cecília Souto Vidigal. Leader of the research group Tecnoassistential Models and Health Promotion. Member at the Scientific Committee of the Nucleus Science for Childhood. Scholarship Producer in Technological Development and Innovative Extension since 2010.

Abstract:

Through a RCT , the project tests for the first time in Latin America a novel, intensive nurse home visitation program for first-time pregnant youth living in poor urban areas between 8 and 16 weeks pregnancy until the baby is 12 months old. The program is inspired by two well-studied interventions (Nurse Family Partnership and Minding the Baby) but was tailored to the socio-cultural aspects and to the health system organization of a developing country. The project further innovates by focusing on the biological underpinnings of the positive environmental stimuli promoted by the intervention by measuring repeatedly neurophysiological indicators of brain maturation, which has not been done previously in the field. The program is supported by self-efficacy theory (Bandura), bioecological theory (Brofenbrenner) and attachment theory (Bowlby and Ainsworth). The intervention is based on: (1) Health and social care: Psychoeducation regarding maternal and child health. Also, the nurse encourages the participant to seek for health care and social services when it is needed. (2) Environmental health: The nurse provides support to identify resources to guarantee adequate living conditions, safe housing, day care and school, access to health services. (3) Life course: Life course planning to help participants achieve goals such as finish high school, find a part-time job and postpone the birth of a second child. The needs and goals of the participants are discussed individually and it is always respected. (4) Parenting skills: Intervention on parenting skills and behaviors. At the conference we intend to share the structure and instruments developed for the interventions as well as preliminary data of impact that are being collected till date.

Biography:

Andrea Brooks has completed her PhD from Texas Woman’s University and has specialty certifications as a Pediatric Nurse Practitioner, along with a secondary certification in Nursing Education. She has been involved in pediatrics since 2001 and is currently a Pediatric Nurse Practitioner for both a pediatric underserved primary care and urgent care clinic. She is also a Professor of Nursing at Lone Star Community College, USA. Her future research trajectory includes developing parenting programs, assisting vulnerable populations and encouraging others in lifelong learning with aspirations for being catalysts of change.

Abstract:

This presentation describes a phenomenological study, utilizing Husserl’s (1962) phenomenological approach, which explored the lived experiences of women parenting during Intimate Partner Violence (IPV). Semi-structured open-ended interview questions with prompts were used during face-to-face individual interviews of 20 mothers to understand how each mother parented both within and outside the home. Interviews were digitally recorded and analyzed carefully using Colaizzi’s (1978) method of analysis with the finding of an overarching theme of avoiding judgment. Data from this study may assist in increasing the awareness and further understanding of experiences and feelings of mothers, who parent during intimate partner violence. Recommendations for further research include possible intervention development to support the parenting relationship between a mother and her children to preserve the health and wellbeing of both.

Biography:

Sara Pinto has completed her master’s degree in Clinical Neuropsychology at the University Institute of Maia, Portugal. Her academic and research interests include praxis functioning, rehabilitation of human movement, executive functioning. In 2016 she published the paper “Gestural praxis in young adults with mild to moderate intellectual disabilities” at the Journal of Intelectual Disability Research, searching for an association between this function and the frontal lobe functioning. She is a Psychomotor Therapist at a non-profit organisation (NGO) that deals with individuals with disabilities. In addition, she also works with preschool children, with normal or pathological development, and at a nursing home. 

Abstract:

Praxis functioning has been poorly studied in the population with intellectual disabilities (ID). The goal of the present research was to look for a starting point to study the praxic funtioning in young adults with mild to moderate ID. Thirty participants, between the ages of 18 and 35 years, completed tests that assessed gestural praxis. It was possible to observe similar praxis behaviour in the group with ID in almost domains studied (i. e. performance under verbal command and by imitation; execution of pantomimes – simulation of the tool use - and transitive gestures – real use of the object), albeit showing statistical values lower than those of the group without ID. The sample of participants with ID does not seem to show an apraxic behaviour because they were able to reach the goal of praxic tasks performed, despite the high number of space and time errors commited. These erros may be associated with a deficit in the development of various brain functions and not only with praxis functioning, mainly relate to a lower yield in terms of planning, monitoring and correcting intentional movement. Learning a new gesture can provide support to improve communication in individuals with ID. Our results indicate that we should consider a possible change in the direct path or direct path of imitation, often used in the process of teaching and learning in individuals with ID. 

Biography:

Nancy maintains her licensure as a Registered Nurse in the state of Florida. She has 34 years of experience as a critical care and emergency room nurse. Nancy has taught at Palm Beach State College for the last 10 years, where she develops curriculum and teaches on-line. She also teaches at South University in the nursing graduate program.

Nancy has identified a need for alternative methods of delivering patient education, as a result of her extensive clinical experience and interaction with patients. She has co-authored with Dr. Branton Shearer, a book, MIDAS Clinical Education: A Guide to Enhancing Patient Education which is part of a web-based system of patient education.

Abstract:

MCE (MIDAS Clinical Education) is a unique system of creative patient education focused on providing educational content based upon a person’s learning strengths, preferences and lifestyle. MCE is patient centered, recognizes and encourages the need for individual diversity in education as well as the importance of collaboration among all health care professionals and consumers. Educational content is based upon the latest evidence based practice. MCE does not take the place of health care provider instructions, but rather enhances the instruction and works with the health care provider to present the highest quality educational experience for each person.

A MCE pilot study was done through the CDC Wise Woman program and Clemson University with positive results. The participants enjoyed focusing educational content upon their learning strengths and many stated they felt “empowered” and “smart”.

 MCE is co-created and partnered by a nurse educator, Dr. Nancy Peifer Neil, with 33 years’ experience in the critical care clinical area and a world-renowned educator, Dr. Branton Shearer, known as the world’s top expert in Multiple Intelligences assessment.

An MCE workshop would provide each participant the opportunity to identify their own learning strengths and to create material that is easy and fun to work with.  Each participant will be given a free copy of our new handbook, as well as a link to our website to review additional content.  Our content is downloadable, free and can be customized for any health care settings, hospitals, offices, and clinics. 

Biography:

Cheryl Juneau is an Associate Professor and Track Administrator for the Family Nurse Practitioner program at the University of Texas Medical Branch in Galveston, Texas. She is certified as a Family Nurse Practitioner with over 20 years of clinical experience and 15 years of teaching experience.

Abstract:

The epidemiology of Clostridium difficile is changing. Typically associated as a nosocomial infection, it is now seen within the community in patients with few or no risk factors. This change has been attributed to a more virulent strain known as the North American Pulsed Field type 1, which is correlated with higher morbidity and mortality. This presentation will review the research findings depicting an increase incidence in community-acquired Clostridium difficile, its’ changing epidemiology and clinical implications.

Biography:

Theodore Albert Metzler holds BA degree in Mathematics, an MS in Computer Science and MA and PhD degree in Philosophy. Although most of his work experience in computer application software development has involved artificial intelligence, he responded to a personal calling in recent years, earning an additional MA in Theology and a Certificate in Science and Religion. At Oklahoma City University, he has served as the Director of the Darrell W. Hughes Program for Religion and Science Dialogue, Executive Director of the Oklahoma Interfaith Power and Light program and Visiting Assistant Professor in the Kramer School of Nursing, USA. 

Abstract:

The science and technologies of artificial intelligence (AI) and robotics currently are presenting life-like machines that are claimed to furnish companionship in the nursing care of older people. However, critics of the claim have objected that such robots are inauthentic companions, substituting mere mimicry of human behavior for the real presence of conscious caring provided by human nurses. Viewing the robots as deceptive in this fashion has prompted additional complaints concerning psychological, moral and spiritual implications for people who interact with the machines. On the other hand, various cultural factors tend to support either setting aside or denying these criticisms. In today’s presentation we shall argue that there are some strong philosophical and scientific reasons for supporting the critics, although future development of a particular AI architecture might introduce an intriguing possibility of robotic nurses that really could care for their patients. In either case, the growing prospect of robotic nurses clearly merits attention in the geriatric healthcare community.

Biography:

Flora Koliouli is a Psychologist, received her PhD from the University Toulouse II-Jean Jaures, France. She is a temporary Lecturer and Research Assistant in the Developmental Psychology, Department of the University of Toulouse II-Jean Jaures/ESPE. She has published 4 papers and is participating in the first national interdisciplinary project on infants and toddlers growing up in different contexts (BECO).

Abstract:

New terms emerge in recent research such as the kangaroo father care, in order to demonstrate the necessity of paternal presence in a neonatal intensive care unit. In particular, skin-to-skin contact facilitates fathers in their attainment of paternal role and implicates them more in developing skills in the caregiving process but also improves their parental sense of competence. The aim of this study is to explore the construction of the first bond by means of the skin-to-skin contact between father and infant, their sense of paternal competence as well as the stress levels during the hospitalization in a NICU. Forty-eight (48) French fathers of premature infants were interviewed, taken place in the University Hospital of Toulouse. Mixed methods were used; a semi-structured interview and two questionnaires: PSS-NICU and PSOC. Main findings show that the construction of the first bond is due to skin-to-skin contact. On one hand, it may provoke more stress to fathers but, on the other hand, it is going to involve them more as a caregiver and reinforce the paternal sense of competence. Fathers experience mixed emotions with a prevalence of the stressful aspect of prematurity. The principal sources are sights and sounds and role alteration. Fathers included in our sample have a lower level of parental competence than fathers of the general population. In conclusion, fathers play a crucial role in the caregiving process. Also, future practice is proposed.

Biography:

Jade is currently pursuing a dual doctoral degree at Purdue University. She graduated from Regis University in 2016, where she obtained her Master of Science Nursing: Leadership in Health Care Systems with a graduate certificate in Health Care Education. While at Regis University, Jade was inducted into the Alpha Sigma Nu Honor Society. Jade has been in healthcare for over sixteen (16) years and has a diverse nursing background ranging from Neurosurgery  to Informatics.  Prior to joining Mercy College of Health Sciences, she was an adjunct faculty with Iowa Central Community College for six (6) years. Her most recent academic contribution was as a textbook reviewer for: Giddens: Mastering Concept-Based Teaching 1^st and 2^nd edition. Jade has developed an ALL INCLUSIVE ADA certified playground in Webster City, IA, raising $75,000 through grants and donations.

Abstract:

A weekly checklist was developed to evaluate students’ professional behaviors in the classroom/laboratory/clinical environments. This tool was created to assist in removing the subjectivity surrounding the desired professional behaviors of the student while in these environments. It was determined the tool must also open up dialogue and promote communication amongst staff on clinical units regarding student performance. Lastly, the tool provides a quick reference of the expectation of the student while completing the nursing program. This tool can be completed quickly in 2 minutes or less by clinical faculty and health care staff. Results may be used to develop a Plan of Improvement by the clinical instructor/lab coordinator at the time of review with the student each week.  

Biography:

I have completed my PhD  in the field of Obstetrics& Gynaecology from T.N Dr.M.G.R Medical  University .Postdoctoral studies from T.N Dr.M.G.R Medical  University. I am Prof Obstetrics & Gynaecology   of Saveetha University .Guide for PhD Scholars.   Research Committee member of  Saveetha University Published   more than I5 papers in reputed journals 

Abstract:

Introduction: Interprofessional Education   is for collaborative patient-centered practice and to improve Inter Professional Team building.  . Teamwork , Inter Professional practice and learning are becoming integral to health care.

Objectives: To   promote  and   assess cohesive atmosphere between the different health Professional students by Inter Professional Education   training.

Method: Prospective   Pilot Study was   conducted  at Saveetha Medical College Obstetrics& Gynaecology Department. Three set of  two undergraduate students each from Medicine, Nursing and Physiotherapy formed   a team   and they were given a case   and   they followed the patient from admission to discharge and given structured activities. Team   members    shared the necessary knowledge of their concerned profession. Team members were evaluated  by  pre and  post  test  on the knowledge and skill learnt in the relevant area of understanding in the disciplines.

Findings: Skill  and knowledge were  assessed pre and post training and was increased  from 22%% to  98%. Students   and their other profession’s skill level was increased to 90%. Confidence level  after training  was 94% . Participants appreciated the cohesive atmosphere between team member.

Applications: For   Inter Professional Education   faculty members play a critical role. Complex medical issues can be best addressed by   Inter Professional teams. 

Biography:

Jiri Vevoda has defended his Doctoral thesis entitled “Motivation and stimulation of doctors and nurses” and was awarded PhD in 2010. He has worked in various managerial positions in the General Health Insurance Company of the Czech Republic from 1993 to 2012. Presently, he works as the Deputy Head of the Depertement of Healthcare Management at Palacký University Olomouc. He focuses on the research of motivation, job satisfaction, burnout, psychological safety, occupational stress and coping strategies among physicians, nurses and paramedics and costs associated with labour turnover of health professionals.

Abstract:

The term male nurse often brings a stereotype to mind. While medicine is dominated by men and women have been catching up in recent years, nursing is still a female-dominated profession. In the most countries, male-nurse comprise only a small percentage of the nursing staff. Gendered views of nursing remain widespread. The aim of this study was to determine whether there are differences in preferences of job satisfactions and motivation factors between female and male nurses. The presented research was carried out at the turn of 2015 and 2016 in randomly selected hospitals throughout Czech Republic. The research set included a random sample of nurses working in hospitals in Czech Republic (female-nurse: 592, male-nurse: 59). Based on modified Herzberg´s theory of motivation, the respondents were asked to rank 16 factors on forced selection from the most important to the least important one, where no factor could be assigned the same value. To evaluate the differences in preferences of work values the nonparametric tests were used. To identify differences between females and males, a non-parametric test was used. The research showed that for female the factors like work relations with superiors (p=0.001), cooperation in ward (p=0.026) and job security (p=0.009) are more important than for men. Male-nurses preferred factors like career advancement (p=0.039) and hospital reputation (p=0.019). There were no significant differences between other factors. The differences in preference of these factors between female and male nurses may help the management increase job satisfaction among both sexes.

Biography:

Ronghua Fang has completed her Bachelor’s degree from Sichuan University, China. She is a Health Care Nurse, RN, BN, Associate Professor of Nursing and has been engaged in Clinical Nursing at the West China Hospital, Sichuan University for nearly 28 years. She has published more than 20 Chinese papers in reputed journals and 3 SCI papers recently.

Abstract:

Exenatide, a glucagon-like peptide-1 receptor agonist, has been shown to improve glycemic control and reduce excess body weight in patients with type-2 diabetes mellitus (T2DM). However, its efficacy in the management of the obese T2DM patients receiving nasogastric tube feeding has not been reported. In the present case report, we describe an unusual case of T2DM and obesity with nasogastric tube feeding due to loss of consciousness, in which glycemic control was successfully achieved after addition of exenatide as an adjunctive therapy to acarbose and insulin injection. In addition, the patient’s body weight, liver function and inflammatory parameters related to pulmonary infection were significantly improved and no hypoglycemia was observed. In conclusion, the use of exenatide is recommended in the treatment of obese T2DM patients receiving nasogastric tube feeding.

Biography:

Cristina Noriega studied nursing at the University Of San Francisco, received a Master’s Degree for her graduate studies in Healthcare Ethics at Creighton University in 2011 and is currently working on her doctoral studies in nursing at Bradley University. Cristina has worked in acute care at Alta Bates Summit Medical Center, held various positions in solid organ transplant at UCSF, worked in community health at the City and County of San Francisco, Department of Public Health, and has served as adjunct faculty for Samuel Merritt University for the past seven years. 

Abstract:

It is this author’s goal to establish and explain a contexual understanding of the meaning of health. Healthcare as a mere treatment for disease is not in itself a human right. Humans are not born with an entitlement to receive medical services. This author will contend that human beings are entitled to and deserve a social structure that protects persons from unnecessary risk of disease and that allows for human health and well-being. Social entitlements include secure housing, fresh water, sanitation, fresh food, and a safe environment. The social infrastructures and technologies that have most greatly contributed to the quality of human health and life expectancy, are: Sanitation, environment, and vaccines. In the United States, many communities take for granted having these in place, however, many people in our country do not have access to potable water and lack environmental protections. Many healthcare providers recognize that the greatest factor that determines one’s risk of a compromised life expectancy due to these conditions is poverty. This is a fundamental starting point for health care providers to excercise capacity  in holding lawmakers more accountable regarding health laws and social conditions. Our current system relies on the acute care system to keep sick patients stable often because we lack the protective social systems that would keep people healthy. Therefore, a means of addressing this societal obligation is the provision of healthcare. However, our American paradigm with respect to healthcare delivery has to change for the sake of addressing the human health condition appropriately. 

Biography:

Abstract:

Disparities in prenatal care utilization has been found among women of various racial and ethnic backgrounds, including among Pacific Islanders whose prenatal care utilization ranks the lowest among minority groups living in a southwestern county. Findings by both the state and county health departments about the late entry to prenatal care and high rates of infant mortality and preterm births in this population provided solid evidence to support a practice change. The evidence-based intervention consisted of an education group which utilized a culturally congruent approach to improve prenatal care utilization. Cultural congruence consisted of integrating the state health department’s findings of the top two preferred teaching methods by Pacific Islanders which were large group settings and church-centeredness, involving resource persons of Pacific Islander heritage and providing food and prize incentives during the educational sessions. The intervention program was conducted in a group setting at a chapel where Pacific Islanders met for religious services. This project utilized a 15-item self-report questionnaire to measure two outcomes: Increased knowledge of prenatal concepts and improved motivation to utilize prenatal care. A pretest and post-test were conducted to measure the knowledge and motivation levels before and after the intervention program. Findings indicated that the education group met the intended outcomes and confirmed certain areas influenced by cultural values. The culturally congruent education group was an effective mode of instruction for the Pacific Islander women and could be utilized in a population-based nursing practice to promote health and mediate healthcare disparities.

Biography:

Kelly Brittain is an Associate Professor in the College of Nursing. Her research aims to improve cancer health disparities by helping individuals make informed decisions about cancer screening and risk reduction. Her colorectal cancer screening adherence intervention use mobile technology and social media to improve informed decisions about colorectal cancer screening among women. Her most recent study examined the influences and barriers to a Mediterranean Diet to reduce colorectal cancer risk among African Americans. She has published and presented in the areas of colorectal cancer screening, informed decisions, web-based psychoeducational intervention, social support, and sociocultural differences.

Abstract:

Colorectal cancer is the third leading cause of cancer death among Americans. CRC is a major health threat to women 50-64 years of age as CRC incidence and mortality rates among women have risen near the rates of men. Increasing colorectal cancer screening from 50% to 70% is of importance to the health of the nation as evidenced by CRC screening being a “Leading Health Indicator” for Healthy People 2020. It is estimated that CRC deaths could be reduced by 50% if the current screening guidelines were adhered to. Factors known to obstruct CRC screening include: inadequate communication by health care providers about the importance of CRC screening, fear, lack of knowledge, or lack social support related to CRC screening. Previous research indicates that health care provider recommendation is a key factor in CRC screening adherence. However, there is often a difference between what the provider recommends and what the patient prefers related to CRC screening. Prior single and multi-level interventions to address CRC screening barriers and promote CRC screening such as reminder postcards and interactive computer programs have not improved screening rates and can be very expensive to maintain. Preliminary studies indicate that an emphasis on increasing colorectal cancer screening informed decisions, assessing social support regarding colorectal cancer screening, and incorporating mhealth strategies into primary care may be a method to address to increase colorectal cancer screening uptake.