Seton Hall University, USA
Big data analytics is the analytical process through which investigators examine large sets of data to find the answers to relevant research questions or hypotheses. These large data sets are readily available through found data from a variety of sources. Especially important for nurse investigators to consider is the vast amounts of data generated through sources such as the electronic medical record, Medicaid/ Medicare data. Typically Big Data is defined as data sets that are too large to be managed by typical computer systems.
Data analytics demand the team approach including: Health Professionals (Nurses, Physicians, and Dentists), Statisticians, Information Technology experts. The inter-professional approach to Big Data issues has the potential to identify and solve healthcare problems that were not before possible.
The specific purpose of Big Data Analytics is to examine large sets of data to identify and uncover hidden patterns, new correlations, market trends, preferences and patient care outcomes. Unique characteristics of Big Data include: high volume; high variety whereby innovative forms of innovative arise.
Big Data analytics can be used to answer important questions related to patterns of prevention, patient care outcomes to name a few. Some of the benefits of big data include: cost savings, competitive advantage along with new business opportunities.
Big Data provides an accessible source of rich data that can many answer many important patient care questions. The nurse investigator is key to the effective use of Big Data through the generation of important questions and hypotheses whereby results from robust samples are set in the framework of the scientific data base which builds to answer further research questions.
Although Big Data Analytics did not exist in the time of Nightingale who was a statistician and the first nurse researcher, it is important to recognize that she effectively used statistical methods to identify important patterns to manage and prevent disease. Big Data analytics have great potential for the future of nursing research and will do much for the advancement of nursing science.
Biography:
Dr. Shanley is a Professor in the department of nursing at the Seton Hall University College of Nursing. She graduated from the Mount Sinai Hospital School of Nursing in New York and received masterʼs and doctorʼs degrees in nursing from Columbia University.
Sunnybrook Health Sciences Centre, Canada
Background: Pain following total hip or total knee arthroplasty following discharge from hospital is not well understood, especially inpatients whose primary language is not English. The objective of this study was to review how communication barrier impact the understanding of and reporting of pain levels, rather than whether non-English speaking patients actually experience different pain levels.
Purpose: The purpose of the study was:(1) To determine pain scores of the patients upon discharge from acute care; (2) Assess what level of pain scores were satisfactory; (3) Assess the number of prescribed pain tablets taken; (4)Assess the association between pain score and the number of tablets controlling for age and gender and (5) To determine whether the patients were satisfied with their ability to communicate their pain control needs, describe their satisfaction and to say how to improve pain control.
Method: Consent was obtained in the presence of a substitute decision maker. Ethics approval was obtained. Patients were presented with a Study Instruction Sheet. The sheet provided directions surrounding the completion of the Pain Self-Assessment Form (PSAF). Pain scores were measured 3 times/day with an average daily score for 5 days.
Result: Of the 22/143 patients who met the criteria, 20 consented and 2 declined. The overall response rate was 18/19 = 94.7%. Fifty-six percent of patients were satisfied with pain control. Fifty percent reported nausea; 28%reported dizziness and sweating; 22% reported constipation. Thirty-nine percent needed an interpreter.
Conclusion: Post-operative pain control is important to both patients and health care professionals. The most common recommendation was to use a translator. Impaired communication through language barriers complicates the caring process even more. Information from this study will improve discharge teachings.
Biography:
A Registered Practical Nurse(RPN) working on an acute surgical floor for 15+ years at the Holland Centre of Sunnybrook Health Sciences Centre(HC/SHSC). A preceptor, mentor/resource nurse to new graduates. Completed the RPNAO Leadership/Clinical Practice Fellowship in 2007 and a follow-up study in 2009. Both were published in the International Journal Orthopaedic and Trauma Nursing (IJOTN. Nominated for the 2015 Nursing Hero Award. Awarded the 2014-2015 Canadian Orthopaedic Association Literary Award, the 2014 Dr. Robert Salter Award and the Suzanne & William Holland Health Professional MSK Award, June 2014. Sunnybrook sSchulich Award for Nursing and Clinical Excellence in 2009. An Executive Board Member of the Toronto Chapter of Canadian Orthopaedic Nurses Association (CONA). Presented the studies across Canada and Internationally at various Orthopaedic Conferences inDublin, Ireland; Bristol, England; Qawra, Malta; Melbourne, Australia and at the 4th World Congress of Regional Anesthesia &Pain Therapy in Capetown, South Africa, Nov.2014.
University of Texas at Arlington, USA
This presentation will discuss innovative methods created to provide access to health to women of all ages through Community based Out Patient Clinics (COPC). Women of all ages deserve a good quality of life throughout their lifespan. Access to care in community based outpatient clinics is becoming the new standard of practice. Cervical cancer is one of the worlds deadliest but most easily preventable forms of cancer for women, responsible for more than 270 000 deaths annually, 85% of which occur in developing countries (WHO, 2016). Human papillomavirus (HPV) types 16 and 18 account for approximately 70% of cervical cancers worldwide (CDC. 2016)
This presentation is designed for beginner, intermediate and experienced health care providers who serve women as primary care or specialist providers as they are in the best position to influence health care decisions by providing accurate and current evidenced based information to their clients.
Presentation will compare and contrast national cervical cytological screening guidelines as they have been revised and yet practitioners are not able to agree on the consensus reports for screening and management of Pap smear guidelines. The role of protocols to understand interpretation guidelines for Pap smears for consistent management of womens health will be discussed in detail. Author will Summarize key points onpatient preparation for the pelvic exam and review the steps involved in performing a pelvic examination, including identifying external and internal structures associated with the pelvic exam. Describe the indications and complications of performing a pelvic exam will be discussed along with strategies to limit negative outcomes and make the visit a positive and non-threatening experience for women. Author will elaborate on management of abnormal Pap smear results and the management on COPC setting so women do not fall through the cracks for treatment and management of abnormal Pap smear results. Quality care strategies, indices, processes, benefits and limitations of womens health beginning from the initial exam with Pap smear screening and management will be shared with the audience.
Biography:
Jackie L. Michael, RN, PhD, APRN, WHNP-BC hasbeen a Registered Nurse for 28 years and a Womens Health Nurse Practitioner for 22 years. She is a Clinical Assistant Professor at the University of Texas at Arlington College of Nursing and Health Innovation and a Womans Health Nurse Practitioner II for Parkland Health and Hospital System. She designs online courses. She has practiced as a Nurse Colposcopist and serves as a Legal Nurse Consultant and expert witness. She has many presentations, papers, and posters to her credit. Dr. Michael leadership includes Sigma Theta Tau International Honor Society of Nursing DT-102 President, National Association of Indian Nurses of America Executive VP, Indian American Nurses Association of North Texas Past President and Advisory Committee Chair, Texas Nurses Association District 4 Board of Directors, TNA D4 Mock Trial Committee, and Elsevier Foundations Nurse Faculty Leadership Academy Program mentor.
1Linköping University, Sweden
2Kalmar Hospital, Sweden
Introduction: Families having a family member with critical illness in an intensive care unit face a demanding situation, threatening the normal functioning of the family. Family members often suffer from anxiety, depression and posttraumatic stress syndrome longer compared to the patient being critical ill. In order to gain a better understanding of family adaptation andthe family as a unit, the experience of each family member needs to be acknowledged. Still, there is a knowledge gap regarding the family members wellbeing during and after critical illness.
Aim: To investigate outcomes of a nurse led intervention, Health promoting conversations with families on family functioning and wellbeing in families with a member who had been critical ill.
Methods: Families were randomized to health promoting conversations or ordinary care. Twelve qualitative interviews with family members (n=15)who have had a family member with critical illness and had got health promoting conversations was performed. Inclusion criteria were patients with a minimum of 72 hours at the ICU, and at least one family member (>15 years) interested to participate in the study. The interviews were analyzed with content analyze.
Results: Family members experienced strengthen togetherness, a caring attitude and confirmation through the health promoting conversations. The caring and calming conversations were appreciated although exhausting feelings came up again. Working through the experience and being confirmed promoted their wellbeing.
Conclusions: Health promoting conversations were considered to be healing as the family members take part of each otherʼs feelings, thoughts and experiences of the critical illness.
Biography:
Gunilla Hollman Frisman, is CCRN, PhD and Associate professor at the Department of Nursing, the Faculty of Medicine, the University of Linkoping, Sweden. She is responsible for the Specialist Nursing Programme in Intensive Care, on advanced level. She is a tutor to three doctoral students and also tutoring clinical scientific projects as she also has a clinical position at the University hospital of Linkoping, Sweden.
Thomas Jefferson University, USA
Healthcare changes over the past few years have challenged the health care system to find ways to manage the complex health needs of individuals and the population by increasing access to care and managing costs while providing the highest quality of care. Safe, efficient and effective transitions between providers, levels of care, and various care settings will be key factors for success. The Affordable Care Act (2010) established provisions for Patient-Centered Medical Homes and Accountable Care Organizations where care coordination and transition management are methods to provide safe, high quality care to at-risk populations, such as patients with complex chronic conditions. In an era where cutting costs and registered nurses from community health settings is prevalent; three areas for development are: 1) a model for registered nurse care coordination and transition management (RN in CCTM) with high risk patients; 2) measures to track the impact of the RN in CCTM and; 3) methods to explicate the value proposition for deployment of community health RNs.
The work of registered nurses has been invisible due to insufficient documentation and absence of process and outcome performance measures. A logic model, was developed to delineate, dimensions of the RN in CCTM role; activities, short, medium, and long term outcomes of each dimension and to specify measures and the value proposition for the RN-CCTM as part of an interprofessional team in the community. Uses of the logic model for the RN in CCTM and their contributions to individual, family, and community outcomes will be presented. Use of the logic model for the RN in CCTM in development of a business case for investment in registered nurses doing CCTM will also be delineated.
As much of the needed care and services are delivered beyond the hospital walls in the community, community health nurses are well-positioned to advocate for and provide care coordination and transition management.
This presentation will discuss: 1) processes of developing and using a logic model to capture impact and value of care coordination and transition management in community health nursing, and 2) use of the logic model in developing a business case for investment in registered nurses doing care coordination and transition management in community health nursing.
Biography:
Dr. Beth Ann Swan is Dean at the Jefferson College of Nursing at Thomas Jefferson University. Dr. Swan is a Fellow of the American Academy of Nursing. She is past president of the American Academy of Ambulatory Care Nursing and a 2007-2010 Robert Wood Johnson Executive Nurse Fellow. Dr. Swan was a member of the Veterans Health Administration Choice Act Blue Ribbon Panel and is a member of the Josiah Macy Jr. Planning Committee for Preparing Registered Nurses for New Roles in Primary Care. She also served as an Honorary Visiting Expert, Health Manpower Development Plan (HMDP) for the Ministry of Health, Singapore. Dr. Swan has a distinguished record of extramural funding, publications, and presentations nationally and internationally.
Duquesne University, USA
Background: There is a paucity of research related to the impact of traditional diet, physical activity, cultural and religious beliefs on childhood overweight and obesity among Arab Muslim immigrant school age children in the U.S.
Purpose: The study was conducted for the following purposes: 1. To explorecultural perceptions, values and beliefs of Arab American Muslim parents or guardians of school-age children (11-14) about healthy eating and physical activity; 2. To determine the cultural perceptions, values and beliefs of Arab American Muslim parents of school-age children (ages 11-14) about healthy eating for their children; and 3. To identify the role of health care professionals in promoting culturally congruent healthy eating and activity for the school-age children (ages 11-14) through the collaborative efforts with their parents and schools.
Method: A focused ethnographic approach was used. A semi-structured and open-ended interview guide was designedto investigate and understandpotential cultural and religious perceptions, values and beliefs on eating and physical activity habits for Arab American Muslim parents or guardians and their children.
Participants: A total of 32 Arab Muslim informants (parents and/orguardians) were recruited from three Islamic schools located in the Northeastern U.S. Five focus groups were conducted for data collection. Focus groups included five to 10 informantswho have resided in the United States for an average of 18 years.
Data Analysis: Data was analyzed using Leiningerʼs four phases of qualitative data analysis.
Findings: Four major themes were identified:(1) Homemade meals are healthier; (2) Arab American parents are responsible for their childrenʼs health habits; (3) Positive and negative environmental influences affect childrenʼs health habits; and (4) Cultural beliefs conflict with American customs.
Conclusion: Findings from this study suggest the importance of collaboration between schools, health care providers and parents to design and implement a culturally-tailored intervention that focus on education regarding healthy eating habits, and daily physical activitiesfor Arab American Muslim children. In the future it will become increasingly useful and importantto incorporate technological resources to promote healthy eating and activity behavior for Arab American Muslim children.
Implication: Nurses and other public health care practitioners (HCP)can use this knowledge to play a proactive role in developing culturally targeted and culturally tailored interventions focusing on the health and well being of American-Arab Muslim children.
Biography:
Dr. Salman is specialized in Community and Public Health, with a clinical background in Medical Surgical Nursing. She earned MSN and Dr. PH degrees from the School of Nursing, and Graduate School of Public health at the University of Pittsburgh. Currently, she is a full time faculty member of School of Nursing at Duquesne University. She teaches at the graduate and undergraduate levels, her courses focus on population based health promotion. Her scholarly work focuses on health promotion and disease prevention in communities with different cultural and religious background including immigrant and refugee population, international health, and environmental health. She is a very active member in the local community, serves as an advisory member for the Department of Human Services (DHS), a member in the Immunization Coalition of the Allegheny County, and a board member in the Islamic center of Pittsburgh.
1Kaohsiung Medical University, Taiwan
2Kaohsiung Medical University Hospital, Taiwan
Vulnerable children in this study included the disabled children with Duchenne muscular dystrophy (DMD)/spinal muscular atrophy (SMA), attention deficit hyperactivity disorder (ADHD), or chromosome abnormality. The vulnerable situations exhibited relatively disability/worse health problemand caused problems regarding familiesʼ health issues and general dysfunctional family support. Policy programs for the vulnerable could be created and changed as depending that influenced familiesʼ perception of their health and family support. Therefore, empirical evidence to guide health professional to provide family health promotion that included five previous studies to determined relationship between familiesʼ perception of health andsupport, predictors of family function, the demographic predictors of lower health promotion lifestyles scores, to test the family health promotion model and the model of family resource and health perspective of children. In addition, after reestablished measurement tools for evaluating of promoting family health program. The purpose of the study were to rechecked to compare the differences of family health needs, health capacities, health behaviors and health status amongfamily members and the difference disease groups. As well as analyzing the predictors influence on previous variables. Measurement tools included health needs assessment, family health behaviors, family health capacities, and family adaptation and coherence measurement, family health status, and family structural analysis. First, randomly selected 180 families, including 59 of DMD/SMA, 76 of ADHD, and 45 of Turner syndrome familysubjects from 286 families that had been recruited in constructing of the model of family health promotion. There were no significant differences of different family variables among the different disease types and different family members. Analysis data with combined these disease groups of 180, the results presented: family monthly income was the predictor of influencing on family hardiness, family behaviors, family general function, and duke health assessment. Family monthly income and power to propose an idea/suggest were the factors influenced on general family function through family hardiness and family support. Data from these previous families randomly selectedwho agreed to participate health promotion programs of 91 for the proposed study. The results presented significant differences among four clinics/setting for the subscales of anxiety, anxiety-depression, and resolve, and the health concept practice, especially in lower score of health concept practice of ADHD group than the chromosome abnormality group. Multiple discipline professional design family health promotion with nature-based and socio-ecological model of health promotionto decrease of anxiety and depression and increase of resolve ability.
Biography:
Jih-Yuan Chen completed her PhD in Nursing at University of San Diego, USA. She has been an Associate Professor at Kaohsiung Medical University, School of Nursing, since 1984. She has presented papers at international conference and published more than 49 papers in reputed journals and has been serving as an editorial board member of repute and several journalsʼ member of reviewer. She focused on the concept of family health promotion from several different perspective, like family hardiness, family support, family health, family resilience (family function), family health lifestyles in families of children with vulnerability, role strain and morale, model testing, developing of Instrument.
1University of Quebec in Trois-Rivieres, Canada
2McGill University, Canada
The studies of women with breast cancer have focused on the transition between health and disease without relating the transition to the steps of a complete process (McCann et al, 2010; McCorry et al, 2013). Hébert, Gallagher and St-Cyr Tribble (2015) identified that women with breast cancer through four iterative steps (react emotionally, face the situation, construct a new identity, react to the social representations of cancer) and five sub-stages from diagnosis until the energy level is back after the end of treatments. However, we do not know where are the women with cancer in their illness trajectory. This causes care and education that are not based on the patient centered care philosophy minimizing their recovery (Hébert, Gallagher & St-Cyr Tribble, 2015; Meleis, 2010). A questionnaire on the stages of the health status perceptions transition process would locate women with cancer in all stages of the illness trajectory and guide nurses with appropriate interventions at each stage. Objectives: This study aims the creation and validation of a questionnaire to locate the women with breast cancer in each of the four stages and the five sub-phases to allow nurses to place their clients in the process of transition and thereby reduce their psychological distress. Method: Metrological Study: Step 1: General description of the measurement tool. Step 2: Planning, operationalization and validation of the questionnaire (pre-test and test-retest). Expected benefits: A questionnaire situating women with breast cancer in stages of the cancer trajectory will a) offer a better understanding of the steps that occur after a breast cancer diagnosis, b) integrate current knowledge on perceptions of health and illness as well as the role of the individual and c) direct clinical interventions and evaluate their effectiveness.
Biography:
Maude Hébert R.N. Ph.D. is Professor at the University of Québec in Trois-Rivières. She did her graduate studies with women diagnosed of breast cancer. She teaches research methodology and therapeutic relationship. Her research interests cover the concept of transition between health and illness and the perceptions of health and illness in the population in oncology.
Western University of Health Sciences/College of Graduate Nursing, USA
Background: Breast cancer (BC) is the most common cancer among women in the United States. Mammography screening has been identified as a valuable tool to decrease morbidity and mortality rates from breast cancer. Although the effect of screening with mammography on mortality and morbidity is debatable, it is recommended that mammograms should be continued annually regardless of the age of the woman. Racial disparities in health in the US continue to affect breast cancer screening and early diagnosis even if socioeconomic status is controlled. Arab Muslim and Christian women from different Arab countries may perceive health and screening practices differently. Although general cultural themes can be established, the variations that exist between and within national groups of Arabs, such as country of origin and religion, are important aspects must be considered in the healthcare system to reduce racial disparities and ensure social justice.
Purpose: To explore breast cancer screening rates in Arab Christian and Muslim American women from three Arab countries: Lebanon, Jordan, and Egypt, and to investigate differences in attitudes and beliefs about breast cancer screening among these three subpopulations.
Method: In this comparative, cross sectional study, 316 Arab American women from the three Arab countries completed a survey that combined the sociodemographic variables and the Arab Specific-Culture Barriers instrument. Penderʼs Health Promotion Model was employed to guide the exploration of different biopsychosocial variables in relation to mammography screening.
Results: The results of this study revealed lower mammography screening rates among the three Arab American subpopulations compared to the national screening rate of 67% among all women aged 40 and older in the United States. Of the 316 AAW, 202 (63.9%) reported ever having a mammogram. Having ever had a clinical breast exam (CBE) was reported to be done by 78 (84.8%) women from Lebanon, 81 (76.4%) from Egypt, and 75 (63.6%) from Jordan. Of those women, 80 (77.7%) were Christian, and 154 (72.3%) were Muslim. Performing breast self exam (BSE) was reported by 63 (68.5%) women from Lebanon, 66 (55.9%) from Jordan, and 57 (53.8%) from Egypt. Sixty-one (59.2%) Christian and 125 (58.7%) Muslim women reported performing BSE.
This study presented numerous perceived benefits, barriers, and interpersonal influences on BC screening; it also revealed important differences in mammography screening behaviors among the three subgroups of AAW, Lebanese, Jordanian, and Egyptian, based on religion and country of birth. Several variables influencing utilization of mammography screening were proposed. These variables included sociodemographic characteristics, age, country of birth, religion, marital status, and living status (whether or not the woman lived alone), perceived benefits, barriers, and interpersonal influences. The implications of such findings are significant to nursing practice, knowledge development, and research.
Conclusion: Mammography screening rates in AAW are still lower than those of other ethnic women in the US; therefore, additional efforts are to be made to overcome barriers and motivate these women to make a decision of participating and adhering to BC screening. Influences of religion and culture were addressed in this study which indicated that both of these factors should be taken into consideration when educating AAW about mammography screening. Future endeavors must be made to increase knowledge of AAW about BC sc
Biography:
Dr. Manal Alatrash is an Associate Professor of Western University of Health Sciences/ College of Graduate Nursing. She received her doctoral degree (PhD) in Nursing from Azusa Pacific University in Azusa, California. Her doctorate research focus is on breast cancer screening in Arab American women in order to decrease health disparities in the United States. She obtained her Masterʼs degree in nursing from Georgetown University in Washington, D.C. where she majored in Adult Oncology Nursing. She received her Bachelor of Science in Nursing from Jordan University in Jordan.
1University of Bahrain, Bahrain
Providing learners with a feedback is an essential component of the assessment in any teaching learning process. It is a powerful mechanism for enhancing studentsʼ learning skills and motivation. The aim of this study is to investigate the students and facultyʼs perception of the usefulness of feedback, and to assess the quality of the given feedback on studentsʼ performance. One hundred and six nursing students and all faculty teaching in BSN program participated in this study by filling in a questionnaire consisting of 17 items. Three major aspects related to feedback were examined: quality of feedback, improvement of performance based on the provided feedback, and need for feedback. The results revealed that students strongly believe that feedback improve their learning skills as well as their performance in the course. In addition, the majority of them agreed that they need feedback to revise for exams and to improve their grades and the experienced faculty see the feedback in more essential than others. In conclusion, the study indicated that faculty and students perceived feedback as an important factor in the quality of education.
What will the audience take away from your presentation?
Biography:
She is Head, Nursing Department, and Director WHO Collaborating Center for Nursing Development at College of Health Sciences-University of Bahrain, holding Master degree in Acute Adult Care-oncology from Jordan University of Sciences and Technology, and post graduate Diploma in Health Care Management from RCSI. She is a member in the Gulf Cooperation Council Technical Committee on Nursing, member in the Arab Board for nursing and Midwifery specialization and member in the National Health Regulatory Authority board exam. Worked as a subject expert with Higher Education Quality Assurance Authority in Bahrain. She was hired as a consultant to develop, review nursing curriculum and as an external examiner. Interested in nursing education and oncology research. Active nationally in improving the nursing education and contributes to upgrade the standard of nursing education and services provided by qualified nurses in Bahrain. Received national education achievement awards, and Award of King Abdulla the second University Hospital-Jordan, 2002, and award of excellence from JUST best university graduates leader, 2007.
Queenʼs University Belfast, UK
Some of our most vulnerable patients/clients have a sensory deficit. An app which focused on patients with a vision and/or hearing loss was developed as an aid memoire for nursing students on placement. The intent was to embed the core values necessary for students to provide appropriate care for patients with a sensory deficit.
Nursing students at Queenʼs University Belfast attend a sensory awareness day during year one facilitated by RNIB and a Deaf Trainer. The evaluations taken following these events have been extremely positive with many students commenting on the insight they gained from listening to speakers and their lived experiences. This success encouraged us to consider ways of improving and developing this awareness further.
It was apparent that the most efficient, effective and practical way would be to engage in technology enhanced learning. The result was the development of a mobile software application (app) which utilised a teaching tool template with the essential aspects required for sensory awareness training.
Sponsorship to develop the app was awarded by the Martha McMenamin fund.
This app is specifically designed to provide information and advice for nursing students working with patients/ clients with a sensory impairment. To ensure that this was created using a person centred approach our service users were involved from the innovations inception through to its evaluation.
Overall nursing students positively evaluated the app. Qualitative evidence from service users and practice partnerships was extremely positive. Although initially created for nursing students it is applicable for all those engaged in healthcare.
It is hoped that further implementation of the app will show an improved quality to the care delivered to those with a sensory deficit. We believe that by working in partnership with service users we have helped to create an innovative tool that benefits both staff and patients.
Biography:
Susan Carlisle is a Lecturer in the school of Nursing and Midwifery at the Queenʼs University Belfast. She has published many articles in different journals.
Menofia University, Egypt
Self-care means a personʼs ability to undertake self-care requisites or needs for preserving health and well-being. During pregnancy, the rapidly rising hormones change the maternal body and may cause some symptoms in the mother called as minor disorders.
Aim of this study was to compare between primigravida and multigravida regarding womenʼs self-care practices for management of selected minor discomfort.
Research question of this study are womenʼs self-care practices differs between primigravida and multigravida toward managementof selected minor discomforts during pregnancy? Research Design for this study was correlational descriptive. Setting of this study was conducted in the keebly MCH at Menofya governorate in Egypt.
Subjects and methods: convenient sample was used to collect data in a period of six months, two days / week (Monday and Wednesday) and started from March 2016, until August 2016, and the total number was 300 pregnant women for three trimesters (90primigravida and 210 multigravida, two tools for data collection was structured first; interviewing questionnaire sheet, andsecond; minor discomforts assessment sheet.
Results of the study revealed that the majority of both primigavida and multigravida (85.6%, 87.1% respectively) were housewives, while (33.3%) of the primigavida had moderate education compared to (21.4%) among multigravida. More than half of the primigavida (54.4%)women suffered from nausea and vomiting compared to (65.2 %) among multigravida. Less than half of the primigravida (42.9%) attempts to manage it by avoid food smelling compared (26.3%) among multigravida. Additionally (52.2%) of primigravida complaining from heartburn compared to (40.5%) among multigravida, more than half of both groups (55.3%primi, 54.1%multi)avoid fried, spicy, and fatty food as a one method to manage that complain. Also (60%primi, 76.7% multi) suffering from frequency of micturition. More than half (51.9%) of the primigravida utilize regular evacuation of bladder every two hours for managing of this complain, while less than half (44.1%) of multi gravida women perform decrease amount of drinking especially at night for coping this complain.(61.1%primi, 41.4% multi) were suffering from back pain. More than two thirds (65.5%) of the primigravida women avoid standing for long time for manage this discomfort compared to (46.1 %) among multigravida. Most of them (87.8% primi, 84.8% multi) were suffering from leucorrhea. However (84.8% primi, 83.3% multi) were suffering from sleeping disturbance
Conclusion: There was no significant difference between primigravida and multigravida mothersʼ self- care practice for management of some selected minor discomforts during pregnancy such as (constipation, heartburn, backache, leucorrhea ).
Recommendations: Establishing educational program for all pregnant womenʼs about minor discomforts & its correct self-care practice intended for increasing their knowledge through using health booklets, posters.
Keywords: minor discomforts, self-care practice, and pregnant women.
Biography:
Gamila G. Ayoub is working as a Lecturer in Maternity and Newborn nursing health nursing at Menofia University, Egypt.
1Islamic Azad University, Iran
2University of Social Welfare and Rehabilitation Sciences, Iran
Introduction: The family is not only the basic unit of society, but it is an important place for a personʼs physical and mental development. Family Function is what the family as a unit do it, that contains interact and manipulate the environment to solve problems. Family function is one of the most important indicators of quality of life and mental health of family members. Family has known as a vital element in the success of cochlear implantation.
Method: A search of 4 databases covering English and Iranian language publications since 2004-2015 was undertaken which identified 15 papers.
Results: The quality of mother-child interactions, framework of mother, speech, speaking in home environment, support of child, Family structure, education, social and economic status of families have an impact the outcome of cochlear implant surgery.
Conclusion: Family function directly affects the outcome of cochlear implant, with knowledge and improve family functioning after cochlear implant surgery can be achieved better results after surgery.
Biography:
I have completed my bachelors from Zanjan University of medical sciences with title of top student and I completed my master of Science in medical surgical nursing in Tehran University of medical sciences, I am PhD student in University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. I worked as faculty member at Zanjan University of medical sciences about 3 years 2011-2013, and now I works as faculty member of Department of Nursing, Tehran Medical sciences Branch, Islamic Azad University, Tehran, Iran.
Semnan University of Medical Sciences, Iran
Purpose: Life-threatening illness and later hospitalization in an intensive care unit in the hospital often occur unexpectedly without any warning and no time for the patients and their families to prepare and get ready. The aim of this study was to assess the psychometric properties of the Persian version of the of the critical care family needs inventory (CCFNI) in the cardiac care units (CCU).
Methods: This study was conducted as a cross-sectional research. The main sample comprised 450 family members of hospitalized patients in the CCUs of the hospitals in Semnan, Iran. Participants were randomly selected to evaluate the instrument in terms of construct and convergent validity. The internal consistency of the translated instrument was assessed using Cronbachʼs alpha coefficient.
Results: In line with the original instrument, five different components were extracted from the CCFNI-P, which accounted for more than 53.5% of the total variance. The correlation between the total score for the instrument and the State-Trait Anxiety Inventory criterion was positive and significant (r = 0.66, p = 0.03). The Cronbachʼs alpha coefficient for the entire instrument was 0.94 and more than 0.70 for all dimensions.
Conclusions: This study confirmed the validity of the CCFNI-P in terms of face validity, construct, and convergent and it showed an acceptable internal consistency. The CCFNI-P is suitable for investigating the needs of Iranians.
Keywords: Family, needs assessment, cardiac care units, questionnaire, psychometrics.
Biography:
She has completed her MSc from Research center for Social Determinants of Helath, Semnan University of Medical Sciences, Iran. At present, She is doing her Phd in the same university.
1Trinity College Dublin, Ireland
2Royal College of Surgeons in Ireland – Medical University of Bahrain, Kingdom of Bahrain
3Salmaniya Medical Complex, Kingdom of Bahrain
4Princess Al-Jawhara Center for Genetics and Inherited Diseases, Kingdom of Bahrain
Introduction: The link between metacognition and mood has been well established, particularly in other conditions with psychological comorbidity, however, there is no evidence regarding this association in the area of stroke.
Aims: The aim of the study was to examine correlates of mood symptoms after stroke including global, executive function and metacognition in a Middle Eastern cohort.
Methods: One hundred and thirty patients were recruited to a prospective stroke study in Bahrain and n=64 were assessed for mood and cognition. A neuropsychological battery of cognitive assessments included measures: the Mini-mental State Examination (MMSE), the Trail Making Test (A+B) and the Meta-cognition Questionnaire-30 (MCQ-30) for meta-cognition. The Hospital Anxiety and Depression Scale assessed mood symptoms and stroke severity was measured using the National Institute of Health Stroke Severity Scale (NIH-SS).
Results:Total MCQ-30 scores were significantly associated with both anxiety (r = .47, p=.001) and depression (r = .54, p<.0001). The MCQ-30 subscales cognitive confidence, cognitive self-consciousness and uncontrollability/danger were the specific factors to be associated with mood symptoms (p<.01). Global cognition (r=.32, p<.01) but not executive function, was significantly associated with depression only. Metacognition remained a statistically significant correlate with depression (beta = .42, p<.0001) and anxiety (beta = .51, p<.0001) after adjusting for education and global cognition.
Discussion:Metacognition is a better determinant of mood symptoms after stroke, especially in regions where illiteracy levels are high in older populations, in comparison to executive function and global cognition.
Keywords: Stroke, metacognition, global cognition, executive function, depression, anxiety
Biography:
Dr Claire Donnellan is a Registered Psychologist with the Psychological Society of Ireland, and Assistant Professor and Director of International Initiatives with Trinity College Dublin (TCD), Ireland. She graduated with an honours B.Sc. in Psychology from University of London (2002) and a Ph.D. in Gerontology and Health Psychology from the Department of Clinical Medicine, TCD (2008). Claireʼs work experience in healthcare as a researcher and educator expands across the health sciences both here in Ireland and Internationally in Australia, United Kingdom and the Middle East. Her research interests include examining the challenges to successful ageing in both healthy ageing and in age-related illness and disease populations; specifically stroke and neurological patient cohorts. She has published widely in neurology, gerontology, psychology and nursing journals and has served as guest editor and reviewer for a large number of International high impact factor journals. Her memberships include the International Federation of Ageing, Irish Gerontological Society, the World Federation for Neuro-Rehabilitation including the Special Interest Group for Neuropsychology, and both the European and World Stroke Organisation.
AUT University, New Zealand
Psychiatric nursing in New Zealand predominantly operates within the medical model. Significant emphasis is placed on diagnosis and psychopharmacology. Recovery and progress is assessed through treatment of symptoms. Although the medical model and its approaches assist clients to deal with distressing symptoms of mental illness, it does not allow nurses to fully understand the meaning of distressaccording to the clientsʼ own point of view. Hallucinations and delusions that may have significance to the patient is easily dismissed as psychosis and not necessarily explored with the patient. This can brings about misunderstanding and discord between the nurse and the client, and can sever therapeutic relationship. The client becomes ‘difficultʼ and such presentation are viewed as deterioration in mental state. Pharmacological intervention becomes more intensive and the use of seclusion and restraint may be necessitated. Drawing from my experience and practice, I argue theparadigms; critical theory, postmodernism and Maori worldview (the indigenous people of New Zealand)can provide frameworks in which nurses can understand the experiences of mental illness through varying perspectives. These paradigms offer nurses an alternative theoretical perspective alongside the medical model and perhaps bring into light the medical hegemony that operates within psychiatric nursing. I also used an abstract painting to conceptualize these paradigms as inspired by patients who use painting as part of their recovery program and meaningful occupation in the psychiatric unit.
Biography:
Francis Florencio. I graduated nursing in 2012 at AUT University in Auckland, New Zealand. I have completed post-graduate certificate in mental health and addictions in University of Auckland as part of the new nursing entry to practice program as supported by the district health board. Currently, I work as a clinical educator in AUT University and bureau nursing in forensic inpatient psychiatric nursing.
Chatham University, USA
There are 7.4 billion people alive on Earth today (Worldometers, 2016). Life expectancy around the world has increased at a dramatic rate over time and there is no evidence that it will lessen in the future (United Nations, Department of Economic and Social Affairs, 2015). Along with life expectancy, ratios of old to young are increasing (Blair, 2014). An increase of older populations will result in more people living with long-term illnesses and a desire for some level of control over their healthcare choices and end-of-life circumstances. As such healthcare providers are going to be called upon to provide higher levels of hospice and palliative care in the coming years.
Hospice and palliative care is available in every state in the United States of America (USA) and in countries throughout the world. Commonly, many healthcare providers are unaware of the differences between hospice and palliative care. Not knowing the differences between the two specialties has many consequences: uninformed providers may not offer the best form of care for patients; providers may utilize incorrect terminology which frightens patients and their families; patient care may suffer and patients may not receive the best care for their situation.
In this presentation hospice and palliative care, as offered in the USA, will be defined, compared, and analyzed. Attendees will be offered information about the consequences of not being educated on the differences between hospice and palliative care. This will further be related to patient care and how patient care may suffer due to provider lack of knowledge. Lastly, a personal story of the impact of hospice on the lives of the presenter and her family will be shared.
Biography:
Dr. Julie Slade has over 17 yearsʼ experience as a nursewith a background in intensive care and hospice nursing. She has spent the last 5 years working in nursing education at Chatham University. Dr. Slade maintains her interest in hospice through her role as membership chairperson for a local chapter of the Hospice and Palliative Nurses Association. Additionally, Dr. Slade encourages students to gain the most knowledge possible from their hospice experience. Dr. Slade noted confusion amongst providers and patients between hospice and palliative care and is working towards clearing that confusion for the benefit of excellent patient care.
Menoufyia University- Egypt
Background: Normal vaginal delivery affects womens body organs, especially the genital organs; such changes may cause problems in the sexual relationship.
Aim: This study was conducted with the aim of identifying the effect of pelvic floor muscles exercise program on womens sexual self-efficacy after delivery.
Methods: Research Design: A quasi experimental design was used in conducting this study. Participants were randomly assigned to either study or control group. The study group was asked to perform Kegel exercises for 8 weeks. Both groups were evaluated at 4 and 8 weeks. Tools: three tools were used during the course of this study: interviewing questionnaire, Brink scale for measuring pelvic floor muscles strength and Bailes sexual self-efficacy questionnaire.
Main results: there was a significant increase in pelvic floor muscle strength in the study group at 4 and 8 weeks after the start of the program without a difference in the control group. There was also a significant increase in sexual self-efficacy in the study group at 4 and 8 weeks after the start of the program. The comparison of the two groups showed a significant difference in sexual self-efficacy after implementing the program. Conclusion: The findings showed that pelvic floor muscles exercises program increases the sexual self-efficacy among women after delivery.
Biography:
Amera Bekhatroh Awad Allah Rashed has completed her Ph.D at the age of 29 years from Menofyia University. She is a lecturer of maternal & newborn health nursing at Faculty of Nursing Menofyia University from 2014 until now. She is a member of quality assurance, post graduate affairs and environmental affairs committees at Faculty of Nursing Menofyia University.
1Associate Professor, Chamberlain College of Nursing, USA
2Professor, Azusa Pacific University, USA
Background: Moral distress is a complex phenomenon of human experience that affects many individuals without a clear definition. Moral distress can be described as painful feelings and/or the psychologic disequilibrium that occurs when nurses are challenged or confronted by situations requiring moral action, but cannot carry out that action because of institutionalized obstacles. These obstacles can include lack of time, supervisory reluctance, an inhibiting medical power structure, institution policy, or legal constraints. Moral distress is a serious problem, it has been associated with job dissatisfaction and loss of nurses from the workplace and the profession.
Purpose: To assess the level of moral distress of nurses in acute settings, identify situations that result in high levels of moral distress, explore implications of moral distress, and evaluate associations among moral distress and the characteristics of nurses.
Method: A cross-sectional descriptive design was used. A total of 199 nurses working in acute care settings anonymously completed the moral distress scale questionnaire and described implications of experiences of moral distress.
Results: The Moral Distress Scale was completed by the participants. The responses were separated into frequency and intensity answers. Cronbachʼs α reliability coefficient was usedto assess the reliability of the Moral Distress Scale, which ranged between .89 and .90. Moral distress was significantly correlated with years of nursing experience. Nurses reported that moral distress adversely affected job satisfaction. The most frequently occurring items for moral distress disturbance related to two items: “Work with physicians/nurses who are not as competent as the patient care requires” (M=3.14, SD= 2.91). The least frequent statement was scored for “Ask the patientʼs family about donating organs when the patientʼs death is inevitable” (M=1.77, SD=1.38).
Conclusion: Nurses in acute care settings commonly encounter situations that are associated with high levels of moral distress. Experiences of moral distress have negative impact on workplace conditions beyond job satisfaction and retention. Strategies to mitigate moral distress should be developed and tested.
Biography:
Muder Alkrisat is an Associate Professor of Chamberlain College of Nursing. He completed his doctoral degree in Nursing from Azusa Pacific University. His focus are work place conditions and patient safety, he completed his dissertation on impact of workplace stress in acute settings. He received his Bachelor of Science in nursing and Master in nursing from Jordan University. In 2000, he received two years of training with Natal University in South Africa with research proposals on the “Role of the Facilitator in Case Based and Experiential Learning”. In 2012 he also received extensive training Quality Matter. In 2014-2016 he received extensive training in competency based training to participate actively in curriculum development for BSN-MSN.
His extensive clinical experience spans multiple health care settings, including acute care facilities, specialty and long term facilities, and community-based clinics. He has held a variety of practice and leadership roles in these settings and has been actively involved in local and regional health initiatives. His extensive background in quality, Risk management compliance and regulatory arena helped him to serve for many years as corporate director for Clinical processes (quality, Infection control, Education and Risk Management). He is certified in Six Sigma Black Belt and lean thinking (CSSBB), Certified Performance Improvement Advisor (PIA), Certified Specialist in Healthcare Accreditation (CSHA) and Certified Healthcare Specialist Accreditation (HACP).
Seton Hall University, USA
There is a new world-wide health care crisis; not a new virus, bacteria or disease. Rather it is the aging of the worldʼs population. People have survived pan and epidemics, wars and benefited from new medicine and technologies. From 2010 to 2050, the number of individuals over the age of 60 will double and the areas of greatest growth will be in areas of the world considered underdeveloped. It is estimated that by 2020, up to 75% of a nurses time at work will be spent with providing care for the elderly.
Who will care for the elderly as the amount of older individuals explodes worldwide? How will these nurses be prepared to provide specialized care to the elderly? Seton Hall UniversityʼsMission states that it prepares students to be leaders in their professional and community lives in a global society. At Seton Hall University College of Nursing, Gerontological Nursing is a 2 credit theory course only, placed in first semester junior year. The students are concurrently enrolled in an Adult Health course as their first clinical course.
The General Educational Method (GEM) was used in this course to increase the studentʼs exposure with the elderly. Through the process of experiencing, understanding, judging and deciding, the student is able to incorporate the theory and facts of this course into the real world. There are weekly reflections as well as a Life Story that is part of the ocurse. Through these methods, the outcome is to educate better prepared new nurses to care for all types of people.. No longer would the elderly be a series of facts or figures but real people with real lives, needs, positives and negative, and most importantly, unique individuals The ultimate outcome being excellent, capable nurses who value the elderly and not cast them aside. By experiencing the elder, the student is deciding and judging for themselves what it means to be an elderly individual.
Biography:
Graduated in 1975 Magna Cum laude from Seton Hall University, MSN from Wagner College in Adult Nursing and Education, and Ed.D from Seton Hall University in Leadership and Administration in Higher Education. Worked as a staff nurse in GYN and then Surgical ICU for over 20 years. Started teaching at Seton Hall University in 1986 and continues to teach currently. Has also served in the role of Undergraduate Nursing Chair and as associate dean. Currently teaches in the area of Pathophysiology and Gerontological Nursing. Has received awards for teaching from Gamma Nu Chapter of Sigma Theta Tau International, and the National League for Nursing, New Jersey Chapter
Population ageing is the process by which older individuals become a proportionally larger share of the total population and this was one of the most distinctive demographic events of the 20th century with fertility decline been the primary determinant. Longevity figures globally not only shows that more people are surviving to old age but once there, they tend to live longer meaning there are expected relative gains in life expectancy. The definitions and indicators used to explain ageing assume that people become old at age 65 although generally, 65-year-olds today live longer than 65-year-olds have in previous centuries. The dramatic rise in life expectancy has resulted in increasing interest in promoting healthier ageing and the study of how people actually age successfully. Although the concept of successful ageing dates back to the 1960s, the goal of successful ageing is now more realistic in todayʼs ageing society as a result of more effective interventions to control and reduce disability and health risks. It has recently been proposed as a field of interest in gerontological research and as a challenge for the design of social policy. Given the dramatic rise and demographical change of older people living longer within communities, there has never been a greater need for the nursing profession to be at the forefront for this ongoing change challenging health care. This paper will address some of the challenges that nursing faces in healthcare delivery and management. It will also identify how realistic our ageing indicators are, the real challenges associated with ageing and how the promotion of healthy and successful ageing supports the demands of the ageing revolution.
Biography:
Dr Claire Donnellan is a Registered Psychologist with the Psychological Society of Ireland, and Assistant Professor and Director of International Initiatives with Trinity College Dublin (TCD), Ireland. She graduated with an honours B.Sc. in Psychology from University of London (2002) and a Ph.D. in Gerontology and Health Psychology from the Department of Clinical Medicine, TCD (2008). Claires work experience in healthcare as a researcher and educator expands across the health sciences both here in Ireland and Internationally in Australia, United Kingdom and the Middle East. Her research interests include examining the challenges to successful ageing in both healthy ageing and in age-related illness and disease populations; specifically stroke and neurological patient cohorts. She has published widely in neurology, gerontology, psychology and nursing journals and has served as guest editor and reviewer for a large number of International high impact factor journals. Her memberships include the International Federation of Ageing, Irish Gerontological Society, the World Federation for Neuro-Rehabilitation including the Special Interest Group for Neuropsychology, and both the European and World Stroke Organisation.
University of Regina, USA
The management and prevention of cardiovascular disease is one of the most significant challenges to the health care system, both nationally and internationally. Health 2.0 is a term that denotes the use of web-based tools by health care professionals to communicate with patients, collaborate with other health professionals, and provide health information. The purpose of this interpretive description research study was to explore the factors that have and will continue to influence or contribute to caregiversʼ use of social networking as a form of social support when a family member is learning to live well with heart failure. The researcher created, designed, and developed a social networking site for caregivers. Following focus group sessions with health care professionals, the Living Well with Heart Failure NING site was reviewed and approved for use. Six caregivers participated on the website and were interviewed before and after participation. The results of this research study provided an insight into the factors that have contributed to the caregiversʼ search for online sources of health information and peer support. The caregiversʼ and health care professionalsʼ perceived consequences of utilizing online resources and social support are also identified. Health care professionals and caregivers found the social networking site easy to use, recommended the use of a moderator, and stressed the need for reliable and trustworthy information.
Biography:
Dr. Shauna Davies is an Instructor with the Faculty of Nursing at the University of Regina and works with undergraduate nursing students in all years of the program. Shauna recently completed her Doctorate of Philosophy in Nursing at the University of Saskatchewan by exploring the use of social networking tools for caregiver education. Shauna has worked as a registered nurse in a variety of clinical settings, such as medicine, surgery and critical care for over 19 years. Her research interests include the use of technology in nursing, social media in patient education and informatics in clinical practice. Shauna is also interested in the use of simulation in nursing education and how this may improve nursing care.
St. Vincentʼs College, USA
A new culture bolstering collaborative behavior among nurses and physicians is needed to merge the unique strengths of both nursing and medicine professions into opportunities to improve patient outcomes. To meet this challenge, it is fundamental to comprehend the current uses of collaborative behaviors among nurses and physicians. Evidence for increasing collaboration to decrease communication error is mounting and undeniable. To identify patterns and areas for improvement, a descriptive study was used to delineate frequently used from infrequently used collaborative behaviors of nurses and physicians in order to generate data to support specific interventions for improving collaborative behavior. For the first time in the USA, the Nurse–Physician Collaboration Scale was used to measure the frequency of use of nurse–physician collaborative behaviors self-reported by nurses and physicians. The tool itself is designed to be part of an organizationsʼ ongoing action plan to improve interdisciplinary collaboration, strengthen team building among healthcare professionals and improve culture in Accountable Care Organizations (ACO). Organizations needing to identify and improve areas of communication, medication errors, patient outcomes, etc. are encouraged to implement this tool. In addition to analyzing the frequency of collaborative behaviors, the study compares levels of collaborative behavior reported by nurses and physicians in an USA acute care hospital.
Biography:
Dr. Dawn Marie Nair is an established author, educator and nurse practitioner. She is an assistant professor at St. Vincentʼs College, RN to BSN program. She holds a Doctorate degree from Case Western University and a Masterʼs degree from the University of Pennsylvania. She published her research entitled “The frequency of nurse-physician collaboration in an acute care hospital” in the Journal of Interprofessional Care, March 2012, a peer-reviewed journal. She is a manuscript reviewer for this journal.
Oregon Health & Sciences University, USA
This presentation describes how a large US health system used Appreciative Inquiry to achieve Magnet-Re-designation and through the process, improve patient outcomes and patient satisfaction.
Magnet hospitals have been shown to have higher rates of patient satisfaction. Achieving Magnet Status is a remarkable achievement for a hospital, demonstrating a high degree of staff engagement and dedication to excellence. Maintaining this high degree of engagement over time and achieving Re-designation can be a challenge. Appreciative inquiry is a strengths-based approach emanating from a positive core. From this positive core, teams discover, dream, design and created their preferred destiny. A SOAR (Strengths, Opportunities, Aspirations, and Results) was conducted with members of the Magnet Champions from throughout the organization. The overarching theme that arose from this SOAR was the need for greater embracement of professional practice. The three opportunities that emerged from this theme were a structure for professional practice that promotes evolution of a culture of clinical excellence; recruitment of clinical excellence champions at every nursing level to grow broader engagement; and integration of professional practice with their system of Lean. The team then engaged in an Appreciative Inquiry around these opportunities. The topic chosen for AI was “Living our Magnet Vision through Integration of Professional Practice with Lean.” The shared vision was that through integration of the professional practice model with the power of Lean methodology, the team would set priorities, take ownership and focus their energy and passion on work that brings value to the patient.
Biography:
Kristen Crusoe EdD, MN, RN is an Assistant Professor of Nursing at Oregon Health & Sciences University. Her teaching and research interest lies in complexity science frameworks for leadership and management which brings a holistic rather than reductionist perspective to systems. Dr. Crusoe has practiced in a variety of leadership positions in healthcare and academia. With a clinical background in psychiatric nursing, the experience of working with individuals and groups translates into principles that apply in organizational settings, especially in leading change, managing conflict and building positive group and team interactions.
Edith Cowan University, Australia
Foot ulceration is the most frequent complication of diabetes, and it is deemed that a substantial proportion of these ulcers can be avoided with proper self-care. The care is multifaceted ranging from maintaining optimum blood glucose levels to a wide range of foot care practices. Proper nail trimming is an example of those foot care practices. The purpose of this research was to portray nail trimming practices among Jordanians with diabetes. To do so, qualitative content analysis is currently being employed to analysis responses to an open-ended question concerning the way of nail trimming. SPSS will also be employed to configure respondentsʼ demographic profile. The open-ended question was asked during an interview guided by a questionnaire seeking information from people with diabetes concerning their knowledge and practices. The interviews were conducted after obtaining the required ethics approvals from departments governing the study settings that were nine healthcare facilities in the south of Jordan plus the Capital, Amman. Initial finding of the qualitative content analysis donated four main themes including the direction/ the shape that encompass responses described the way of trimming. The second theme included responses concerning the tool used in trimming. Responses concerned the trimming extend were aggregated under one theme. The fourth theme enclosed the persons from who the participants seek help in nail trimming. These findings will be discussed within the context of available literature concerning nail trimming. Such a discussion will enable developing evidence-based recommendations in which patientsʼ views will be enclosed. As a result, incidence of foot-ulcers will reduced among the population with diabetes.
Biography:
Maen is a registered nurse holding a Doctor of Nursing degree from Adelaide University-Australia in 2007. Maens research interest is chronic conditions mainly the prevention of diabetic foot ulcers. After graduation, Maen has joined the faculty of nursing of Muʼtah University, Jordan, where Maʼen has continued his research mainly qualitative in the field of diabetic foot care.
Ma en has several publications in peer reviewed journals for which Ma en has been promoted as an associate professor, Faculty of Nursing, Muʼtah University. Ma en acted as an external examiner for several master thesis, Adelaide University. Maʼen also supervised (co-supervisor) a PhD student and a master student.
In 2013, Ma en joined the School of Nursing and Midwifery, Curtin University, Australia. In 2014, Maʼen moved to the School of Nursing and Midwifery, Edith Cowan University, Australia in the capacity of lecturer in nursing.
Ma en is currently involved in systematic reviews concerning family experiences with chronic conditions plus environmental causes of foot injuries among people with diabetes.
1Linköping University, Sweden
Background: Chronic kidney disease is a global health burden and affects about 13% of European adults. Aprevalence of insomnia over 80% in all dialysis modalities has been reported. Impaired sleep has consequences on the daytime functioning which is serious in patients with advanced self-care responsibility. Few prospective studies, following sleep quality in dialysis population have been found. It is however, clear that patients in peritoneal dialysis(PD) have generally decreased QoL compared to the general population.
Aim: The aim of the study was to investigate the sleep qualityduring a period of two years in patients, undergoing PD treatment at the baseline assessments.
Method: This study has a prospective design with a 2-year follow-up. At baseline 55 patients with PD were included. After two years 26 were available for follow-up (Md (61) Q1-Q3 (48-69) years), 14 were treated in PD, three in hemodialysis (HD) and nine were transplanted (TX). Sleep quality were assessed by Uppsala Sleep Inventory (USI) and sleep sufficiency index (SSI) i.e. nocturnal sleeping time/expected sleeping time*100 were calculated as an index where a value above 80 were considered to be insufficient sleep.
Results: Sleep quality was improved in the follow up group after two years, but not statistically significant, (p= 0.07). Sleep duration and sleep onset was improved in the follow-up group, but not significantly. Allthough, SSI indicated insufficient sleep both at baseline and after two years, (p=0.3). Difficulty to find a comfortable sleep position and leg jerks significantly predicted 71% of sleep quality outcome in the follow up group after two years, (p<0.001). Pruritus was a lesssleep disturbing factor for the patients who had been transplanted compared to patients in PD/HD after two years (p=0.025).
Conclusion: This study indicates that sleep problems remains over time andthat transplanted patients have less disturbed sleep than patients in dialysis treatment. With such high frequency of sleep problems in dialysis patients healthcare providers must regularly assess sleep quality and sleep disturbing factors and identify a focus for the sleep intervention to reduce the symptom burden.
Biography:
Registered Nurse, MScN Pia Yngman-Uhlin is a PhD and research supervisor in Region of Östergötland and at Linköping University in Sweden. She is working in the field of Renal Care and chronic diseases in southeast of Sweden. Her research is about sleep problems, fatigue and health related quality of life. Other areas of research are, young adults health seeking behavior and implementation of Nurse Practitioners in Swedish health care.
Emirates Home Nursing, UAE
The quality of care was traditionally judged by parameters, such as complication rates and mortality, from 1990 providers have begun to understand that patientsʼ perceptions of their care are also important to them. This led to an increasing interest in patientsʼ perspective of health care delivery as part of the mission to find how health systems can better respond to individual needs and preferences, called continuous quality improvement.
Thus, patient experience started to be recognized as one of the three pillars of quality in healthcare alongside clinical effectiveness and patient safety, as well as a quality improvement tool for overall organizational performance.
Nursing profession is directly related with patient satisfaction as nurses are the closest healthcare providers to patients. In fact, nursesʼ courtesy, respect and careful listening are highly ranked aspects of nursing care on patientsʼ satisfaction in comparison to other factors such as physician care, admission process, physical environment and cleanliness.
Patient satisfaction includes elements of subjectivity, expectations and perceptions and it consists on individualsʼ cognitive evaluation of, an emotional reaction to, their healthcare experience. As a result, the research studies investigated, for this presentation, about the relationship between patient satisfaction and nursing care shown contradictory aspects in their findings. It has been argued that care cannot be of high quality if the patient is notsatisfied. By addressing patient satisfaction, practices and institutions can increase market share, patient retention, referrals and revenue.
Biography:
‘Ana Neto is a Portuguese trained nurse with over five yearsʼ experience between the UK and the Middle East. Qualified from Nursing School of Coimbra in Portugal, Ana went on to acquire her specialization in Neonatal Nursing in Kings College London and postgraduation course in Mentorship in Professional Practice in BUCKS New University, UK. Nominated and awarded CARES title from Imperial Healthcare NHS Trust, Anaʼs passion for her work has shown throughout her career. Currently the Assistant Clinical Manager at Emirates Home Nursing, Ana continues to share this knowledge and enthusiasm through her training and educational workshops for nurses in the UAE.ʼ
1Linköping University, Sweden
2Center of Heart- and Medicine, Region Östergötland
Background: Patient safety has progressed in 15 years from being a relatively insignificant issue to a position high on the agenda for health care providers, managers and policy-makers. In the quest for safer care, the patient remains largely ignored as a source of experience and expertise. There is growing interest in involving patients in safety-related initiatives, premised on the assumption that their interaction can improve the safety of health care.
Aim: To explore nurses perceptions and experiences with regard to patient involvement of relevance for patient safety.
Method: The study was set in Sweden from May 2015 to February 2016. Individual interviews with 19 nurses, (11 registered nurses and 8 nurse assistants) were performed. They were employed in five different work units: (1) pulmonary medical unit in a university hospital (600 beds); (2) surgery unit in mid-sized hospital (350 beds); (3) ear nose and throat unit in a mid-sized hospital (500 beds); (4) one maternity care unit and (5) one nursing home. Data were analysed using content analysis according to Hsieh and Shannon.
Results: Four categories related to patient involvement emerged: Health care providers ways of influencing patient participation for safer care; patients ways of influencing patient participation for safer care; Barriers to patient participation for safer care; and Impact of patient participation.
The nurses described that they can facilitate patient participation by providing conditions to this participation, including taking the time to listen to the patients and inviting them to ask questions and be active in the dialogue. Patients need to receive and understand given information. Continuity of health care staff isa factor that influences the opportunity to establish a trusting relationship. Patients who are active and question aspects of their treatment or care, such as long waiting times or old medical aids, could gain advantages compared to patients who not raise any complaints or concerns.
Patients who perceive that the providers are stressed are unwilling to ask questions or start a dialogue, they dont want to disturb or interrupt more important tasks. Lack of privacy is a problem at clinical wards where patients often share rooms with other patients.
Conclusions: Patient involvement does not happen by itself. Both patients and care givers must take responsibility if patient participation for safer care is going to be realized.
Biography:
Kristina Schildmeijer, RN, PhD and senior lecturer at the Institution of Health and Caring Sciences, Linnaeus University in Kalmar, Sweden.
Kristina Schildmeijer has many years of experience working both as a Registered Nurse and as Head of Division.
She defended her dissertation in 2013 and the name of the thesis was Retrospective record Review- A Matter of Patient Safety.
She is a part of several research teams and is also participating in a national collaboration by the Swedish Association of Local Authorities and Regionsfor the development of a manual for the identification of Adverse Events in Swedish home care settings.
At the Linnaeus University Kristina Schildmeijer is working asa senior lecturer and is teaching subjects as Patient Safety, Caring Leadership, Lifestyle- and Health subjects and System Theory.
1Islamic Azad University, Tehran, Iran
2University of Social Welfare and Rehabilitation Sciences, Iran
Introduction: Cochlear implant as a surgeon for the treatment of severe to profound sensorineural hearing loss is considered, And have major and minor complications, and not only children but also their parents are involved, Role of nurses in maintaining of community health, is a privileged role. nurses not only in hospitals but with other members of rehabilitation teams with an emphasis on the principle of cooperation, A continuum of rehabilitation care and support for children and adults patients provide, for improve the capabilities, achieve independence, reintegration individual to society, in general improve the quality of life people of the community. In this study, nursing care after Cochlear implant surgery be reviewed.
Methods: In this study, we review related literature, with English key words: nursing care, cochlearimplant nursing, in data bases of pub med, web of science, scopus and googlescholar Finally, about 14 related articles was evaluated and results were extracted.
Results: Nursing care includes nursing care immediately after surgery and in the hospital, routine postoperative care and special education after the operation, including: education about drugs, Activity, Nutrition, Limitation of post-operative, Attention to the vaccination, dangerous warning signs, major and minor symptoms in children as well as the symptoms of otitis media, meningitis in them and investigation health-related issues.
Conclusion: The nurses can play a key role in improving the treatment of children after cochlear implant surgery. But, the role of nurses in the team of rehabilitation of cochlear implant patients is not clear.
Biography:
I have completed my bachelors from Zanjan University of medical sciences with title of top student and I completed my master of Science in medical surgical nursing in Tehran University of medical sciences, I am PhD student in University of Social Welfare and Rehabilitation Sciences, Tehran, Iran. I worked as faculty member at Zanjan University of medical sciences about 3 years 2011-2013, and now I works as faculty member of Department of Nursing, Tehran Medical sciences Branch, Islamic Azad University, Tehran, Iran.
Background: Technology plays an increasing role in supporting, innovating and shaping the lives of people around the world. Technological advancements involving mobile technologies are transforming how people interact and communicate with each other (Scottish Government 2011, 2013). Multiple studies have examined the issue of acceptance and technology adoption in health services around the world. Nurses have been slow to accept, adopt and lead on the use of Telehealth in their job roles. Several authors acknowledge this is a neglected area of research for nurses and the impact this has on their professional identity and competencies.
Design: This quantitative study utilised an online survey design to obtain a convenience sample of pre and post qualified nurses (N=800) to determine their readiness and acceptance to use telehealth. The Unified Theory of Use and Acceptance of Technology (UTUAT) was modified with permission to reflect its application to telehealth and nursing. Ethical approval was granted by UWS ethics committee.
Results: 244 pre and post registration nurses undertook the survey accounting for a 30% response rate. 52% were pre-registration and 48% post-registration. Participants were drawn from all areas of clinical practice with a wide range of clinical experience. Participants knowledge of telehealth is good however 77% identify they do not use telehealth in their job role. Nearly all participants (95%) identify that they need to develop their skills in IT, use of equipment such as smart phones and video conferencing facilities.
Conclusions: This study provides a baseline description of the knowledge, skills and acceptance to use technology by nurses in the West of Scotland. The results add to the growing body of evidence around telehealth acceptance and the role of nurses. Further research is planned to understand the nurses experience of use pre and post an educational intervention.
Keywords: nurses, telehealth, knowledge, skills and acceptance.
Biography:
Audrey Cund is a Mental Health Nurse Lecturer and PhD student at the University of the West of Scotland. Audrey has extensive experience in higher education and over 20years in clinical practice. She has a keen interest in research and has published in the area of alcohol education, holistic care, innovation in higher education and self-management. Her current interests lie in self-management, Telehealth and the role technology plays in caring for individuals.
1University of the West of Scotland, UK
Articulation from Further Education (FE) to Higher Education (HE) has been a key area of work for the University of the West of Scotland (UWS), School of Health Nursing and Midwifery. This is viewed as a mechanism to acknowledge students prior learning and facilitate entry into year two of an undergraduate pre-registration nursing programme. Harvey etal (2006) recognises that as a result of widening participation the student population is more diverse, calling for an increased need to support this heterogeneous student group. Gallacher (2006) also advocates that close partnership working between FE and HE institutions is required to adequately prepare students to articulate into 2nd year. Bradbury-Jones et al (2010) concur and further add that empowerment supports the academic and clinical transition and mentors and peers play a key role in their socialisation. Close collaboration with NHS providers and FE Colleges has been central to the development of this programme and the evaluation of the student experience.
Method: This qualitative study captures the studentʼs transition from FE to 2nd year following completion of a bespoke module. Focus groups and questionnaires were utilised to describe and understand the studentʼs experience. Ethical approval was granted by UWS University Ethics Committee.
Findings: Knowledge, preparation and confidence emerged as key themes that support the studentʼs transition and articulation to 2nd year. Peer and Mentor support are pivotal to the studentʼs experience and sense of identity as they transition. The findings add to the growing body of evidence around student experience of articulation and provide a deeper insight into the studentʼs experiences of academic, clinical and social transition.
Conclusions: The student experience is positive and the evaluation highlights that to sustain this articulation route partnership working, preparation; and peer and mentor support are factors that require further development and evaluation.
Keywords: Articulation, Student experience, Empowerment
Biography:
Louise Johnston is a lecturer in Adult Health at the University of the West of Scotland. After 20 years of clinical practice Louise moved into Higher Education in 2008 and successfully completed an MSc in Healthcare Education in 2011 which focused on student transition. Louise is the module coordinator of the bespoke summer module which facilitates the transition of HNC students directly into second year. Louise is a part time PhD student at Edinburgh University where she is researching Adult and Mental Health student nursesʼ articulation journey from Further Education to Higher Education, Graduation and Employment via an Extended Practice Learning Experience (EPLE) transitional module.
University of Regina, USA
The lack of critical thinking among beginning practitioners has resulted in the need to ensure students have learning opportunities that promote the transformation of learning. The areas of cultural competency and self-efficacy among learners are two components essential for students to develop in the nursing profession. Nurse Educators need to recognize strategies that will foster the development of critical thinking and allow students to demonstrate an understanding of safe cultural practice. Service-learning is one method of instructional pedagogy used to promote student success through the construction of knowledge and application of theory in practice education. Providing students with learning opportunities that enhance knowledge and practical application is important in nursing education. An early understanding of cultural diversity assists learners to demonstrate growth in confidence and become culturally competent in their nursing career. A heuristic phenomenological methodology was used to explore first year student perceptions and experiences of service-learning in nursing education. The phenomenological approach included student perceptions and experiences. The heuristic component added a personal influence for the researcher to recognize the importance of curriculum alignment, agency selection, and tasks to enhance knowledge. The evolution of four themes contributing to the improvement of academia and community enhancement became evident through a heuristic approach of data analysis. Data saturation from 13 participants revealed the thematic development of experiential naivety, systems misalignment, personal exhilaration, and transformation of learning. The identification of effective instructional strategies to support learning became crucial for students and beneficial for community stakeholders. Strategies leading to the development of critical thinking and cultural competence was identified as a necessity in the early stages of classroom instruction. Problem-based learning, round table discussions, and reflective writing were identified as examples of how students learn to construct knowledge in the classroom and share wisdom in the community. Conclusions that transpired from the study include: the importance of pre-entry assessment of prior education and knowledge, providing learning environments that foster the transformation of learning, continuous evaluation of student learning and agency opportunities, and the importance of student support to gain an understanding of the benefits of service-learning in the community.
Biography:
I am currently employed with the Faculty of Nursing at University of Regina. I recently completed a Doctor of Education program specializing in curriculum and instruction through the University of Phoenix in collaboration with University of Regina. I focused on nursing student perceptions and experiences of service-learning in nursing education using heuristic phenomenology. The four-year journey of doctoral studies led to the completion of a doctoral degree in May 2015. My scholarship activities include: chapter book contributions, presentations at national conferences, peer review work including journal articles and textbooks, and manuscript writing for publication. Current research projects include the use of Smart Infusion pumps in the Clinical Setting and Bullying Among Nursing Students During Clinical Practicums. During the Spring 2016, I was the recipient of the University of Regina Presidentʼs Award for Teaching Excellence.
University of San Francisco, USA
This presentation will consist of informing participants on best practices in active learning to be used in the typical lecture classroom. Content will focus on the use of strategies that include, audience response systems, case studies, gaming, classroom assessment techniques (CATS), and collaborative learning. A focus will be on the effective use of technology in the classroom to include smart phones, tablets, and computers.
Biography:
Laureen Turner is a dedicated professional with a passion for interactive, evidence-based teaching pedagogy to enhance student learning. In the classroom, Laureen utilizes several interactive opportunities to enhance student learning.
In the clinical setting, Laureen works toward finding unique learning opportunities to augment classroom instruction and promote critical thinking.
Areas of clinical expertise include: pediatrics, maternal child, home care, hospice care, nursery, and informatics. Teaching expertise includes professional nursing, pediatrics, maternal child, evidence-based practice and nursing informatics.
Additionally, Laureen lectures on topics of active learning strategies, critical thinking in clinical education, preparation for clinical education, self-efficacy, and faculty mentorship.
University of Texas at Arlington, USA
This presentation will discuss innovative instructional considerations from content design to teaching strategies and evaluation methods as faculty meet the challenges of rapidly converting in-seat content for on-line delivery while they try to meet their own learning needs along with those of the on-line learnersʼ.
This presentation is designed for beginner, intermediate and experienced instructors and faculty who are teaching in clinical and academic settings, and are faced with the challenges of the “flipped Classroom”. While they are committed to quality instruction in a rapidly evolving environment and learners with diverse learning needs beyond those of age and learning styles.
Presentation will discuss principles of instructional design in detail and will include defining Essential Content including considerations from meeting credentialing requirements to the needs defined by clinical employers who hire our students. Evaluation methods to include quality matrix and measurement tools to measure effectiveness will be discussed. Innovative teaching strategies including technology requirements and clear expectations to meet course outcomes by providing timelines and schedules examples will be compared. Considerations and method for creating rubrics for students and faculty with clear expectations and tips will be shared regarding the dos and donʼts of rubric design. Strategies for “Re-Chunking” the content into doable bite size readings, learning activities and submissions for grading examples of these be shared with the audience during the presentation. Inter Rater Reliability exercise and methods used by the presenter will be evaluated. Process, principles, benefits and limitations and challenges used to for effective and efficient outcomes will be compared. Diagnostic Reasoning Skills and Scenarios used by the author will be discussed and examples will be shared with the audience during the presentation for problem focused exams conducted by graduate students. OSCE and use of Standardized Patients (SP) for objective rubric-based evaluation will be shared along with rubrics and OSCE Lab set-up examples for the audience. Our goal is to encourage the heart and bring the joy of teaching back in the on-line and in-seat class room as the author believes “Mistake is the price paid for a valuable lesson learned and not a failure”, “Itʼ s OK to laugh at yourself- it keeps the heart young”, Remembering why we wanted to teach and revisiting our teaching philosophies from time to time is a good thing.
Biography:
Jackie L. Michael, RN, PhD, APRN, WHNP-BC hasbeen a Registered Nurse for 28 years and a Womenʼs Health Nurse Practitioner for 22 years. She is a Clinical Assistant Professor at the University of Texas at Arlington College of Nursing and Health Innovation and a Womanʼs Health Nurse Practitioner II for Parkland Health and Hospital System. She designs online courses. She has practiced as a Nurse Colposcopist and serves as a Legal Nurse Consultant and expert witness. She has many presentations, papers, and posters to her credit. Dr. Michael leadership includes Sigma Theta Tau International Honor Society of Nursing DT-102 President, National Association of Indian Nurses of America Executive VP, Indian American Nurses Association of North Texas Past President and Advisory Committee Chair, Texas Nurses Association District 4 Board of Directors, TNA D4 Mock Trial Committee, and Elsevier Foundationʼs Nurse Faculty Leadership Academy Program mentor.
Chatham University, USA
Online nursing education attracts geographically diverse students seekinghigher levels of education. Nurses can gain knowledge in the online classroom however learning becomes real whenlivepractice experiences are incorporated into the learning environment. The American Association of Colleges of Nursing (AACN) recommends practice experiences in their Essentials of Baccalaureate Education for Professional Nursing Practice (2008), Essentials of Masterʼs Education in Nursing (2011), and Essentials of Doctoral Education for Advanced Nursing Practice (2006). When working with geographically diverse students executing effective live practice experiences can be challenging. Faculty may not be in the same location as the student and therefore quality may not be assured. A nursing program at a small private mid-Atlantic university in the United States that provides RN-to-Bachelor of Science in Nursing, Master of Science in Nursing, and Doctor of Nursing Practice education has incorporatedlive geographically convenient practice experience opportunities into their online education. Students in each program are required to complete online classroom education where content, concepts, and theories are discussed aiding in the studentsʼ ability to master multiple levels of thinking as outlined in Blooms Taxonomy. Live practice experiences are utilized as a conduit for making the education real and helping students have a better grasp on what they are learning in the online classroom.
During this presentation the live practice experiencesincorporated into the three nursing degree programs will be shared, student expectations will be emphasized, goals of the live practice experiences will be discussed, and legal considerations will be highlighted. Stories of positive outcomes from live practice experiences will encourage attendees to incorporate similar practices into their online nursing programs. Additionally, attendees will learn how creating live practice experiences in online education is possible and develop strategies for creating similar requirements for their online nursing programs.
Biography:
Dr. Julie Slade has over 17 yearsʼ experience as a nursewith a background in intensive care and hospice nursing. She has spent the last 5 years working in nursing education at Chatham University. In her first role at the university Dr. Slade was the Clinical Coordinator for the nursing department. She was responsible for streamlining the practice experience for students in all three degree programs while also ensuring all legal matters were attended to. After three years in that role Dr. Slade moved into the role of Assistant Professor of Nursing and the RN-BSN Program Coordinator. In this role Dr. Slade focuses on all aspects of RN-BSN education while continuing to ensure a quality live practice experience for every student.
University of the West of Scotland, UK
Understanding the factors and characteristics of attrition is a national priority enhancement theme and a contemporary issue in higher education. Age, widening access, and entry qualifications are identified as some of the factors that influence attrition in higher education.
Education in nursing has been radically overhauled in the last two decades in response to a number of unprecedented political, technological and societal challenges (Fry et al., 2009). To achieve recognition and a credible position in society nursing has evolved from a hospital-practice-based culture to a profession governed by professional standards and ethics with a strong public image (NMC, 2010; Watson and Thompson, 2000).
Attrition of students in higher education programmes is a national enhancement theme in the UK and worldwide. The experience of year one students is noted to be a critical period. The studentʼs experience of transition to higher education (HE) involves adapting socially, culturally and personally. However, despite the depth and breadth of the literature on this theme, narrowing down individual or collective characteristics that contribute to attrition remain elusive. This study explores if entry-level qualifications and age are linked to academic and clinical practice performance and progression, as students transition from year 1 to year 2 of a nursing programme.
This is a quantitative retrospective cohort study using pre-existing participant data from a cohort of Adult and Mental Health Nurses (n=604) at one Scottish university. Ethical approval was granted by the Dean of the School of Health, Nursing and Midwifery and the School of Education Ethics Committee.
This study adds to the growing body of evidence around the factors that influence student attrition at the end of year one. Attrition in this cohort was found to be 1% with another 14% of students carrying academic credit deficit into year 2. Age and entry qualifications were found to influence theory results; however, no significance was found in relation to clinical practice results.
Biography:
Hazel Kyle is a Mental Health nurse lecturer and a Practice Education Facilitator working in a joint appointment with the University of the West of Scotland and NHS Greater Glasgow and Clyde, the largest Health Board in Scotland. I have been a nurse for 34 years and the last 13 years in a practice education role.
I have an interest in practice education primarily around how we assess and retain students on pre-registration nursing programmes and look to share experiences and models of practice education from a nursing and education practice perspective with colleagues across the globe.
Queens University Belfast, UK
Before commencement of the academic year 2012/2013 the social sciences, public health and the biomedical sciences were taught to separate modules reinforcing the perception off separate disciplines.
As a result of significant discussion and interdisciplinary negotiation the life, social sciences public health/ health education were drawn together in the one module for the academic year 2012/13. The module provides the undergraduate students with an introduction to an understanding of Life Sciences, psychology, sociology and public health and their contribution within the context of nursing and midwifery. The intention is to provide the student with a more integrated understanding and teaching focussed on health promotion rather than disease management.
One of the particular areas of interest and sensitivity is engaging the students to the context of the Northern Ireland civil unrest (the Troubles); this involves a co-educational initiative with service users. The tutorials are substantially led by those who had been involved with and experienced loss and trauma as a result of the conflict as ‘citizen trainers’, in improving students understanding of the impact of ‘The Troubles’ on patients and clients affected by the events and to help better provide a quality of care. This approach is relatively unique and clearly reflects the Schoolʼs policy of progressively engaging with users and carers of nursing and midwifery services as co-educators to students. Only now could perhaps such a sensitive level of training to student nurses and midwives be delivered across communities with potential educative lessons for other communities experiencing significant civil unrest and sectarian conflict.
Biography:
Dr John Power and Johanna McMullan are both lecturers in the School of Nursing and Midwifery Queenʼs University Belfast. Johanna McMullan is currently a Ph.D. student. They jointly coordinate the life, social science and public health module `Health and Well-Beingʼ delivered to undergraduate nursing and midwifery students. They both emanate from significant clinical backgrounds with many years in clinical practice as front-line clinicians, ward or unit managers or service managers, before returning to education. They both have an increasing range of joint publications significantly reflecting from their teaching and learning experience.
Drexel University, USA
In researching the method of storytelling a comprehensive literature search was conducted using the words “storytelling” or “narratives.” Stories are fundamental dimensions of human experience and nursing practice (Smith & Liehr, 2005). Storytelling also affects the four domains of human existence. In the cognitive domain, the story transmits knowledge and assists in problem solving. Affectively stories bring about hope and may be cathartic; the creation of being connected and in a community occurs in the interpersonal domain, and personally, an individual gains insight by identifying themselves with the narrative of another person (Chelf, Deshler, Hiltman, & Durnazo-Arvizu, 2000).
Telling stories is considered a natural human impulse (White, 1981) and a primary way of making sense of an experience (Mishler, 1986). According to Chamberlain et al., (1997) when people create meaning from an experience often organize encounters into coherent stories. Highlights of using storytelling as a research methodology will be explained and an example provided of using storytelling as a research methodology with pediatric burn patients will be presented. This is a very creative and new way of doing research with vulnerable populations and was proven to add tremendous insight to the research process.
Biography:
Maryann Godshall, PhD, RN, CCRN, CPN, CNE is an Assistant Clinical Professor at Drexel University College of Nursing and Health Professions in Philadelphia, PA. Maryann completed her PhD at Duquesne University (2014) and her research topic was “Exploring Learning of Pediatric Burn Patients through Storytelling.”
Maryann has worked in Pediatrics and continues working in Pediatric Critical Care and Pediatric In-patient Rehabilitation nursing. She holds certification in both Pediatrics and Pediatric Critical Care.
Maryann is co-editor of The Certified Nurse Examination (CNE) Review Manual (2016), and wrote Fast Facts of Evidence Based Practice, 2nd Ed (2016); Springer Publishing Company. She has published chapters in several books & textbooks as well as many journal articles.
Maryann has presented both nationally and internationally most recently in Philadelphia and at the World Federation of Critical Care Nurses (WFCCN) in Brisbane, Australia, April 2016
Charles Darwin University, Australia
Diabetes mellitus is a chronic, systemic disease in which the body produces very little or no insulin, or is unable to use insulin resulting in high levels of glucose in the blood(1). In Australia, diabetes has been among the leading causes of mortality, morbidity and disability, and was the 6th leading cause of death in 2014(2). Research has shown that patient education is vital for diabetes control and management. However, research has shown that nursesʼ (who are at the forefront of care) knowledge of diabetes is variable and not sufficient in the researched populations(3-5).
The study aimed to identify the current state of knowledge of diabetes among nursing staff in South Australia using a cross sectional design involving a check list to guide structured observation of blood glucose monitoring procedures followed by a structured questionnaire to gather information on the knowledge level of nurses in relation to blood glucose levels. The study was conducted in one service unit of a public, teaching hospital in South Australia. A convenience sample of nurses who were directly involved in the provision of care for diabetic patients were recruited for the study. Approval for the study was gained from the hospitalʼs Research Ethics Committee. The observation checklist and the survey questionnaire were scored by hand and entered into SPSS and reviewed for data entry accuracy. Descriptive statistics were used to summarize the data. Non-parametric statistics were used to compare the knowledge scores between the mentioned groups since the data were not normally distributed. Pearson product-moment coefficient was used to describe the strength and direction of correlation betweenselected variables. Twenty nurses completed the questionnaire and 32 nurses were observed during their practice. The results of this study showed that the demographic data were not correlated with higher knowledge scores or higher observation scores. Therefore, the demographic characteristics investigated in this study were not significantly associated with knowledge or practice. The average score obtained from this study was comparatively higher than that of other studies which explored nursesʼ knowledge of diabetes. This may be because participation in the study was voluntary and this self-selection for participation may have positively skewed the results. The areas of knowledge were found to be highly variable with no clear pattern to correct or incorrect responses across the techniques and safe parameters for blood glucose management. It is recommended that this study be replicated in other units of the hospital to see whether the same results could be achieved.
Biography:
Nasreena was born in the Maldives and started her nursing career more than 20 years ago with a diploma of nursing from Baqai University, Pakistan. Since then she has obtained a Bachelors, Masters and Doctorate from three Australian universities and is currently a practicing registered nurse in Australia as well as a full time lecturer. Her clinical experience is mainly on medical nursing and she has been the head of an acute medical unit before transferring to academia. Her research interests range from Primary Health Care to Oncology Nursing and Nursing Education. She supervises postgraduate students from Charles Darwin University as well as Villa College in the Maldives.
Drexel University, USA
Many academic nurse educators recognize the pressure of ‘‘coveringʼʼ an incredible amount of content during the allocated classroom time. Then how are we assured the content we are covering is retained by the student.
Deep learning is both a learning approach and a learning strategy that promotes conceptual learning. It is a term first described by Marton and Saljo (1976). Deep learning occurs when new information is linked to old information which is argued that by linking new information to old information, that information is retained longer. A discussion will be presented of the three types of learning styles (deep, surface, and strategic learning). Latest research will be presented discussing these three learning styles. Insight as to why deep learning strategies has been successful in students understanding and learning complex disease processes and principles will be shared. By utilizing tangible objects in the classroom it is a more active learning strategy and has been found not only engages the students but does facilitate deep learning of complex concepts in advanced medical surgical nursing, critical care, and pediatric nursing courses. Examples of using tangible objects to promoted deep learning will be presented.
Biography:
Maryann Godshall, PhD, RN, CCRN, CPN, CNE is an Assistant Clinical Professor at Drexel University College of Nursing and Health Professions in Philadelphia, PA where she teaches critical care and pharmacology. She obtained her BSN from Allentown College of St. Francis DeSales and her MSN from DeSales University. She has a post-masterʼs degree in Nursing Education from Duquesne University, Pittsburgh, PA. Maryann completed her PhD at Duquesne University (2014) and her research topic was “Exploring Learning of Pediatric Burn Patients through Storytelling.”
Maryann has worked in Pediatrics and continues working in Pediatric Critical Care and Pediatric In-patient Rehabilitation nursing. She has been a nurse for over 25 years. She holds certification in both Pediatrics and Pediatric Critical Care and has been teaching for over 20 years in both the university and hospital settings.
Maryann is co-editor of The Certified Nurse Examination (CNE) Review Manual (2016), and wrote Fast Facts of Evidence Based Practice, 2nd Ed (2016); Springer Publishing Company.” She has published chapters in several books & textbooks. Caring for the Child with a Chronic Condition and the Dying Child & Caring for the Child with Cancer in Maternal-Child Nursing Caring: Optimizing Outcomes for Mothers, Children & Families, 2nd Ed. (2016). F.A. Davis. Disaster Nursing: A Handbook for Practice (2009), Jones & Bartlett as well as many journal articles.
Maryann has presented both nationally and internationally most recently in Philadelphia and at the World Federation of Critical Care Nurses (WFCCN) in Brisbane, Australia, April 2016.
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