Day 3 :
- Clinical Nursing
Location: San Antonio, USA
Mercy College of Health Sciences, USA
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 1st and 2nd edition. Jade has developed an ALL INCLUSIVE ADA certified playground in Webster City, IA, raising $75,000 through grants and donations.
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.
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
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.
Palacky University Olomouc, Czech Republic
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.
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.
West China Hospital Sichuan University, China
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.
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.
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.
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.
University of Utah, USA
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.
Michigan State University, USA
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.
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.