Associate Professor, New York, USA
What makes a good nursing leader? Education, intelligence, smartness or just ambition? There have been many studies about the characteristics of a great leader and one that catches my attention is the “Emotional Intelligence” which is very much applicable to nursing leaders because of the nature of their work environment. It is important to nurses especially in leadership role how they control and manage their emotions. Extensive researches revealed that, emotional competence has been found to matter twice as much as intelligence quotient and technical skill combined in producing superior managerial job performance. Also, nursing literature shows widespread support for Emotional Intelligence as central to nursing practice.
A range of databases in several subject areas were searched to identify documents discussing EI and nursing care. This study draws on published literature to inform a critical discussion of the subject. Initial searches employed several databases, including Medline, Cinahl and Psych Info, using the term ‘emotional intelligence’. Reference lists from identified papers were also handsearched to identify any further literature which had not been identified in the initial searches. The searches were repeated at two points (July 2015 and July 2016) to ensure any newly published studies had been included.
Nursing leaders should be able to convey to their subordinates how to regulate their own emotions for the sake of their patients. They should create a supportive and positive work environment and help nurses to alleviate their stress in managing their own and others emotions at the same time. Having these qualities, nursing leaders can be very effective in their role to manage, supervise, advocate, guide and motivate their staff in performing their job in providing safe and quality care to their patients.
Biography:
Dr. Maria Dolores B. Mangubat is a licensed Registered Nurse and Clinical Nurse Specialist in NY State, and an Associate Professor at St. Josephʼs College in NY City. She received her Doctor of Education degree from Columbia University, NY and has garnered prestigious awards including a Biomedical Informatics Fellowship from NIHʼs National Library of Medicine and a Scholarship Grant from the British Council on Genetic Counseling. She recently published an article on Emotional Intelligence in Nursing2017, July edition, and made several presentations on the topic, both local and international. She maintains certifications as Clinical Nurse Specialist-Adult Gerontology from ANCC, and CCRN from AACN.
Edgewood College, USA
Globalization increasingly impacts the health of the world and global nursing. The ease of transportation and the expansion of communication technology has stimulated the rapid opening of countries borders, bringing continents and people of the world closer together. Nursing education has not adjusted to this massive change in technological innovations and advancements and is being challenged to find innovative experiences and methods to educate our future nurses. International Service-Learning (ISL) provides a pedagogical approach including innovative and evidence-based outcomes and may be best suited to prepare undergraduate nursing students to provide nursing care to the increasingly diverse populations found within a countryʼs borders. A replication of Zornʼs International Education Survey (1996) was conducted to establish and validate the perceived effects of a short-term service-learning project and determine whether its effects continue into a nurseʼs career. The replication and comparison to other studies confers that the IES is valid. The results of the replication study have confirmed that undergraduate nursing service-learning is a pedagogy that is innovated and robust and meets the needs of future nurses. Service-learning also enriches undergraduate nursing students understanding of cultural competency and humility, leadership skills, and critical thinking skills. Is service -learning a pedagogical approach that would fit your nursing curriculum and provide new and pioneering ways to provide clinical experiences to your undergraduate and graduate nursing students?
Biography:
Claude Rochon, DNP, RN, CPN, is a graduate of Bay de Noc Community College (ADN). He has a BSN from Grand Canyon University and completed his MSN – Nursing Education and DNP- Leadership from Edgewood College. As a bedside nurse at the University of Wisconsin-Madison / American Family Childrenʼs Hospital, he worked in Intensive Care Unit (PICU). He is adjunct faculty at Edgewood College, Madison Wisconsin. He has been involved with service learning in South America and South-east Asia since 1992. He has been guest faculty at Marsaryk University, Brno, Czech Republic and University of Puthisastra, Phnom Penh Cambodia.
University West, Sweden
During nursing education students obtain knowledge and skills to develop their professional competence. Teachers may elect toprovide pedagogical tools preparing students for current and future healthcare needs. The purpose of this theoretical article was tohighlight Work-Integrated Learning combined with the Portfolio Method as a pedagogical strategy and tool for nursing students to develop professional competence for lifelong learning. This strategy contains six phases: pre-reflection, reflection-in-action, reflection-on-action, self-evaluation, meta-reflection and knowledge-in-action, which can help nursing students, during theirclinical education, develop deeper understanding of their future profession, while also providing a teaching planning tool.
Biography:
Sandra Pennbrant, RN, MSc, RNT, PhD in healthcare pedagogy and Associate Professor in healthcare sciences, is a senior lecturer in healthcare science at the University West, Trollhattan, Sweden. Her research focuses on professional groups and professional competence in healthcare organizations, interprofessional knowledge and learning for a person-centred care, newly graduated nurses professional development and working integrated learning combined with the portfolio method.
Håkan Nunstedt, RN, MSc, RNT, PhD in healthcare pedagogy and Associate Professor in healthcare sciences, is a senior lecturer in healthcare science and assistent head of department at the University West, Trollhättan, Sweden. His research focuses on professional groups and professional competence in healthcare organizations, interprofessional knowledge and learning for a person-centred care and working integrated learning combined with the portfolio method.”
1Abu Dhabi Womenʼs College, UAE
2Perdana University-Royal College of Surgeons in Ireland, Malaysia
3University of Malaya, Malaysia
4Universiti Putra Malaysia, Malaysia
Antimicrobial resistance (AMR), a phenomenon first reported not long after the discovery of the first antibiotic has snowballed into a significant public health issue, both in and out of the clinical setting. Challenges are constantly encountered during the mitigation process of antibiotic resistance in the clinical setting; especially with the emergence of the formidable superbug, a bacteria with multiple resistance towards different antibiotics; this resulted in the term multidrug resistant (MDR) bacteria. Furthermore, the advancement of an “antibiotic apocalypse” era has been made apparent based on articles such as the one published in the Lancet (February 2016), reporting the emergence of a new resistance in bacteria to colistin, usually considered a drug of last resort. This rapid and extremely worrying evolution of the resistance phenomenon has researchers to continue in their attempts to uncover novel antimicrobial agents in a bid to hopefully, significantly decelerate resistance evolvement amidst challenges. Recently, however, there has been a paradigm shift in the mining of potential antimicrobials; in the past, targets for drug discovery were from microorganisms and at current, this is mainly due to the beneficial attributes that plants are able to confer over that of microorganisms. This presentation aims to briefly discuss antibiotic resistant mechanisms employed by resistant bacteria followed by a detailed expository regarding the use of secondary metabolites from plants as a potential solution to the MDR pathogen with a focus on synergistic approaches. Finally, future prospects recommending enhancements to the usage of plant secondary metabolites to directly target antibiotic resistant pathogens will be discussed.
Biography:
Dr. Swee Hua Erin Lim is presently working as an Assistant Professor in the Division of Health Sciences, Abu Dhabi Womenʼs College, Higher Colleges of Technology in Abu Dhabi, United Arab Emirates and affiliated as an Associate Professor to Perdana University-Royal College of Surgeons in Ireland, Selangor, Malaysia. She obtained her PhD from Universiti Putra Malaysia in 2010 with a National Science Fellowship awarded from the Ministry of Science, Technology and Innovation Malaysia and has been actively involved in research ever since. Her main research interests include analysis of carriage and transmission of multidrug resistant bacteria in non-conventional settings, besides an interest in natural products for antimicrobial testing. She is heavily involved in the elucidation of mechanisms of reversal of resistance in bacteria in addition to investigating the immunological analyses of diseases, development of vaccination and treatment models in animals. She hopes her work will support discovery of therapeutics in the clinical setting and assist in the combat against the burden of antibiotic resistance.
Queens University Belfast, UK
Background: Cohen (2015) argues for the importance of holistic nursing and to better achieve studentsʼ need to be educated holistically. (Young and Paterson, 2007) and (Bruce, 2007) suggest that historically there was perhaps a tendency towards an over structured curriculum and categorisation; the current focus would not necessarily negate `fixed informationʼ but with more of an emphasis on integration better reflecting the need to prepare students for social political and clinical situations that are complex, moralistic and unpredictableʼ (p.423). (Billings and Halstead, 2012) discuss some of the barriers to student centred learning which include addressing traditional silos of knowledge and expertise in a teacher led approach. The 2010 Nursing and Midwifery Council Standards for Preregistration Nursing and Midwifery Education focus the need for an integrated model of learning reflective of both the physical but also the psychosocial reality and living environment of patients and clients. As a result, The School of Nursing in Queens University Belfast sought to incorporate service users into curriculum development, assessment and teaching in the undergraduate programme.
The legacy of The Troubles in Northern Ireland has left thousands of injured and traumatised service users accessing the health service more frequently in their advancing years (WAVE, 2014). Globally, this ongoing experience of injury and disability reflects in many areas of civil conflict and civil war. A joint educative initiative between the School of Nursing and WAVE (a cross community voluntary organisation offering care and support to anyone bereaved or suffering trauma or injury as a result of the conflict) was established to inform students of the skills, knowledge and context required to care for such individuals through tutorials and a core lecture directed by Wave members called Citizen Trainers.
A paper which evaluated the Wave teaching initiative from the students perspective found the students rated the teaching extremely highly (McMullan et al, 2016), however there was a plethora of anecdotal evidence reported by the citizen trainers themselves that they enjoyed and reaped benefit from engaging with the students during this initiative. The aim of this research was to capture these benefits and potential costs to the citizen trainers when engaging in the teaching initiative.
Aim: An exploration into the potential costs and benefits to service users (citizen trainers) disabled by civil conflict of engaging in a co-ordinated teaching and learning initiative with nursing and midwifery students.
Research methodology/research design, any ethical issues, and methods of data collection and analysis
Qualitative methodology, involved fieldwork methods of focus groups and one to one interviews as appropriate immediately after completion of teaching. All citizen trainers were invited to participate and were fully informed and consented. All ethical considerations were addressed including confidentiality, data security and anonymity and ethical consent sought and approved. Measures were put in place to provide support for both students and citizen trainers in the event of stress arising after engaging in the activities.
Data was recorded, transcribed and analysed using a coding thematic content analysis framework (Gale et al, 2013) and data was interrogated by other colleagues involved in the initiative but not with the data collection to insure interrater reliability (Barbour, 2001).
Biography:
Johanna McMullan clinical background in acute care. She practiced in the Emergency Department, Intensive Care and as Bed Manger to the level of Senior Sister in St. Georges and East Surrey hospitals in London. She has been in Education since 2002 working as an NVQ assessor in the Belfast Trust and in Queens as Lecturer in Education since 2004. She teaches life Science to both undergraduate and post graduates and specialize in Trauma and Emergency Care. Her area of research interest is Education especially assessment, student experience and users and carers involvement.
Fooyin University, Taiwan
Communication technique is essential in daily clinical duties. Via communication competence and knowledge, nurses build a trust and rapport relationship with patients and their family as well as help them express emotions. This action research lasted two years and two hundred and fifty nursing students involves. Fifty students were trained in every half year as an action circle was designed to adjust the research direction. The research group consisted of two experts of empathy study and three experienced nursing instructors regularly discussed and amended strategies. Communication strategies came out as ”three steps of emotion empathy-Breaking I-C-E.” 1. Identify emotion: being aware of the oneʼs emotions. 2. Catch emotions: assess the characteristic, categories, and strengths of emotions. 3. Express empathy: react the emotions with empathy. though focus groups. Teaching methodologies and rubric measurement were designed as: 1. Guide students to gain self-awareness in daily life with role play. 2. Teach students to do process record for self-reflection and practice “catch emotions”. 3. Lecture on empathy skill and design communication scenarios for studentsʼ simulation training. The “Guess my mind- communication tabletop game” was also development by the group to lead students reflect the misunderstanding which may exist during their daily communication, ten students were test as the pilot, and modified according to their suggestions. Finally, each of project participants reflected their communication skills, raised their motivation, and gain the better grades during post rubric measure test about communication learning. 88% participants were able to identify emotion categories and features as well as react with empathy. 92% participants were upgraded through this empathy communication skills training. The study revealed the effective strategies of communication education. It is believed that through communication training would improve Taiwanese student Nursesʼ communication and empathy knowledge, intension, attitude, skills and further enhance their nursing communication competence.
Biography:
Wan-Ping Yang is a nurse educator with almost 20 years of experience in clinical practice and academic teaching, program development and administration. She has graduated from the National Cheng Kung University (Tainan, Taiwan) of Nursing with an RN, from the NCKU of Nursing with a PhD in Hospice Palliative Care. Her doctoral study was about spiritual care which focused on mutual suffering of terminally ill cancer patients and others. She is a frequent consultant and speaker on topics such as hospice and palliative care, oncology nursing, comfort care, spiritual care, communication and empathy, nursing education, and distance learning.
1Asia University, Taiwan
2Taichung Veterans General Hospital, Taiwan
This was a cross-sectional study to explore the factors affecting the caregiversʼ burden of patients with dementia. We used to collect 100 dyads of patients with mild to moderate dementia and family caregivers recruited from a dementia clinic at a medical center in Taichung. Caregivers were interviewed at clinic using structured questionnaires, include: The Revised Memory and Behavior Problem Checklist(RMBPC), Chinese Caregiver Burden Inventory(CCBI), Functional Social Support Scale, and self-report health status, et al. The results showed the caregivers of patients with dementia were predominantly female (69%), the relative for the care recipients was daughter for the most (36%), the average age was 54 years, only 26% of caregivers reported their health status was “good”, and 29% of caregivers felt “not good. The average score of caregiver burden(CCBI)was 15.56. The frequency of Behavior and Psychological Syndrome of Dementia (BPSD) of the care recipients was 56 times. There were significant differences in the caregivers ‘ religion and their health status of the caregivers with burden (p<.05). The BPSD of care recipients and the social support of caregivers were both significant correlation with the caregivers ‘ burden (p<.01). The correlation coefficients were .464 and -.594. Social support, health status of caregivers and the BPSD frequency of care recipients could explain 45.4% of the variance of caregiver burden (p<.05). To reducing patientʼs BPSD and taking care of family caregiversʼ health, the professional staffs of health care and social support system should play an important role. It was recommended that the hospital should integrate the care of outpatient service for dementia patients and their family caregivers, especially provide health and information support to caregivers in treatment of patients with dementia simultaneously, to achieve the goal of improving the quality of life of patients and caregivers.
Biography:
Yung Ming is a nurse who had been in nursing work for 30 years and specialized in Emergency, Intensive Care Nursing and Nursing Administration.
University of South Africa, South Africa
Intimacy and intimate care are concepts that are not freely used in nursing education, practice, and literature because of their sexual connotation. Nursing students provide basic nursing care to diverse patients. This care requires exposing and touching body parts considered intimate, private, or sexual in nature. This encounter may bring about feelings of anxiety, embarrassment, and discomfort for both nursing students and patients. The purpose of this study was to develop and describe a model for facilitating teaching of intimate care to nursing students in South Africa. The study utilised a two-phased theory generative design which was based on findings of the empirical phase. In the empirical phase, interpretive paradigm and symbolic interactions were utilized to understand participantsʼ views of intimate care. An explorative, descriptive, and contextual phenomenological qualitative research was conducted. Nine female nurse educators and twenty-five nursing students, nine of which were males, were purposively sampled. Data was collected using focus group and individual in-depth semi-structured interviews. The 1994 phenomenological data analysis method of Moustakaʼs was used. Participants viewed intimate care as the invasion of personal and private space of a patient, and it requires physical closeness and touch between a nurse and a patient. During implementation of intimate care, nursing students experienced feelings of anxiety, discomfort, and embarrassment. Often their touch was misinterpreted as inappropriate and sexual. Nursing education Institutions utilized simulation as a method for teaching basic nursing care, but intimate care is not facilitated in this way. Nursing students are not well prepared to provide intimate care, and they are not supported when experiencing intimate care conflict. Phase two, which was theory-generating in nature, was employed to develop a model which could be used in nursing education, nursing practice, and nursing research to facilitate teaching of intimate care to nursing students. A combination of stages of theory-generating was used to identify and define the main concept. A description of the model entailed a visual portrayal, and a description of the structure and process of the model, as well as evaluating it. Guidelines for operationalizing the model were also developed. It is envisaged that the developed model will empower nursing students to implement intimate care competently, comfortably, and confidently. This will enable them to establish nurse-patient intimate relationships, based on trust, respect, and dignity.
Biography:
Sheila Mokoboto-Zwane is a Senior Lecturer & Researcher at UNISA in South Africa. She has published many articles in different journals.
1Al Buraimi Governorate, Ministry of Health, Oman
2Sohar hospital, Oman
3Al Nahdha Hospital, Oman
Objectives: There have been many declarations defining the importance of the right to lead a healthy life. Sultanate of Oman, the Royal Decree (No. 26/75) assured the citizens that health care is a fundamental right, and should be delivered free-of-charge to all. This Decree seeks justice for all citizens and equity in access to health care. However, there is no specific legislation relevant to health care covering the issue of patientsʼ rights and violation of patientsʼ rights are common in local health institutions. This study aimed to determine the extent to which physicians and nurses are aware and adhere to six domains of patientsʼ rights and how this awareness is differ by the role, nationality, position, and health care institutional level.
Method: Cross sectional survey conducted using self-reported questionnaire. Nurses and physicians ( 685 and 528 respectively) working in different health care levels recruited from 23 MOH health care institutions by proportional stratified random sampling.
Results: Data on 1213 (87%) revealed high perception of importance of patients right among nurses and physicians 1110 (91.51%) with low adherence 774 (63.81%) to these rights in real practice. The study found nationality of health care providers, their role and institute level significantly associated with the perception of importance and adherence to patientsʼ rights, p-values (0.0021, 0.0244, 0.0338, and 0.0001 ) respectively.
Conclusion: Results of this study show that awareness of the six domains of patientsʼ rights is optimal according to nursesʼ and physiciansʼ perceptions; although the performance requires promotion, specifically in the area of information. The results have showed; non-Omani staff more than Omani to perceive and adhere to patientsʼ rights. Tertiary hospital staff two times primary health care institutes staff in perception, and physicians fifty percent more than nurses in perceiving the importance of patientsʼ rights.
Biography:
Ms. Aisha Nasser Al Saadi is a Senior Nurse, Head of Studies and Research Department, directorate of Planning and Studies in Al Buraimi Governorate, Ministry of Health, Oman.
1Ching Kuo Institute of Management and Health, Taiwan
2National Taipei University of Nursing & Health Sciences, Taiwan
Background: Patients with end-stage renal disease under hemodialysis (HD) are associated with dramatically impaired depression and fatigue. Exercise may be effective in improving depression and fatigue in these patients.
Purpose: This study aimed to evaluate the effects of intra-dialytic aerobic and resistance cycling exercise program (ARCEP) on depression, and fatigue.
Methods: This was randomized controlled trial. Data were collected from June, 2013 to August, 2014. Seventy-six maintenance HD patients were included and randomly assigned into control and exercise group, with 38 participants each group. The control group received nursing routine care (n= 31), whereas the exercise group received not only nursing routine care but also a 3-month ARCEP (30 minutes per session, 3 times a week) (n= 27). Data were collected at baseline, 1st month, 2nd month, and 3rd month. Outcome measures include the Beck Depression Inventory, and fatigue scale. Data were analyzed by SPSS 20.0 software. Descriptive statistics were calculated for basic characteristics. The independent t-test and Chi-square test were identically distributed to homogeneity of demographic characteristics. Generalized estimating equation (GEE) examined the repeated measurements data explored the impact of exercise program on depression, and fatigue.
Results: The data shown the depression score was significantly improved over-time between groups in the second and third month (p= .21, p= .003, p< .001), the fatigue score was significantly improved over-time between groups in each testing month (p= .03, p=.02, p= .001).
Conclusion: The 3-month ARCEP revealed reduced depression, and improved fatigue. Future studies might implement this ARCEP in various medical settings, and examining the longitudinal effects of this intervention.
Biography:
Yueh-Min Liu has graduated from National Taipei University of Nursing and Health Sciences She has worked in the hospital for 24 years as a registered nurse. She is working as an assistant professor in the Ching Kuo Institute of Management and Health, Taiwan.
University of Toronto, Canada
When cancer treatment ends, cancer survivors are transferred from specialty oncology care back to primary and community care. Cancer survivors have described this period after completing treatment as more challenging than their actual treatment in some cases, fraught with challenges and questions about what happens next. Although this transition could have critical implications for the long-term health of these individuals, relatively little attention has been paid to this pivotal process.
We are learning that many survivors experience unmet needs during the time following primary cancer treatment. They are speaking out and sharing important insights about gaps in survivorship care. Some of their needs are evident at the completion of active treatment, whereas others emerge later. Survivors have identified needs for improvement in access, availability and coordination of services; they see the system for delivering follow-up care as uncoordinated, fragmented and chaotic. In particular survivors find the transition period anxiety-filled and have described the need to be better prepared at the end of treatment for what they will face in the future and find.
The ever increasing number of cancer survivors has stimulated recent emphasis on finding new models of care and tools to assist with follow-up care. Survivorship care plans have emerged as one such tool. However uptake and implementation of evidencedbased models of survivorship care has been slow, hindered by a range of barriers.
This presentation will highlight recent findings concerning unmet needs from more than 13, 000 survivors, summarize challenges the survivors face in accessing care after active treatment is finished, and present selected solutions to meeting survivor needs. Data are from a national survey of Canadian cancer survivors 3 to 5 years post active treatment.
Biography:
Dr. Fitch RN PhD is Professor (Adjunct) in the Bloomberg Faculty of Nursing and Professor in the School of Graduate Studies at the University of Toronto. Dr. Fitch is also the Editor-in-Chief for the Canadian Oncology Nursing Journal and served as Advisor on Cancer Survivorship to the Person-Centered Portfolio of the Canadian Partnership Against Cancer. She provided leadership across Canada in implementing a person-centered approach for cancer patients. Dr. Fitch was the Founding President of the Canadian Association of Nurses in Oncology and served as a Board member and the President of the International Society of Nurses in Cancer Care.
Norfolk State University, USA
The purpose of this study was to explore spiritual perspectives and comfort levels of African American families and mental health care nurses within the context of depression. This study aimed to support the idea of testing Figueroaʼs (2008a) theoretical framework designed to increase comfort levels of nurses striving to incorporate spirituality within their practice - and to assist in endorsing a culturally sensitive treatment option for African American families within the context of depression.
The participants consisted of mental health nurses (N = 30) between the ages of 29 and 68 years, and 30African Americanfamilies (N = 63) with members between the ages of 17 and 85 years. The nurses reported working with individuals who had an Axis I diagnosis of clinical depression. The families included members who self-reported an Axis I diagnosis of clinical depression and no other mental illnesses. All participants lived in the Hampton Roads, Virginia, area at the time of the study. A descriptive statistical quantitative design and Colaizziʼs (1978) phenomenological qualitative method were used. All participantsʼ spiritual perspectives were measured by Reedʼs (1986) spiritual perspective scale (SPS), and comfort levels were measured by Figueroa and Bakerʼs (2009) spiritual comfort level indicator (SCLI).
Findings indicate the families and nurses had high scores on the SPS. However, the families scored significantly higher on the SCLI. Implications for nursing practice and research include using the Figueroaʼs theoretical framework to help increasecomfort levels of nurses incorporating spirituality into their practice.
Biography:
Dr. Figueroa has over 20 yearsʼexperience in nursing academia, research and clinical management. She earned her BSin Nursing from Long Island University; MSN specializing in community Psychiatric/Mental Health Nursingand PhD from Hampton University, emphases: Family Research. She has published and presented on topics of spirituality as it relates to providing healthcare. Dr. Figueroa has traveled to Africa serving on the First Baptist Church Health Ministryʼs - Benin Africa Project, to help initiate a medical facility in 2008. Dr. Figueroa is currently serving as an Assistant Professor at Norfolk State Universityʼs Department of Nursing and Allied Health.
1Ching Kuo Institute of Management and Health, Taiwan
2Cardinal Tien Hospital, Taiwan
Background: Cancer patients may have poor sleep. High degree of demoralization is more susceptible to suicidal attempt, and resilience is positive power for patientʼs adjustment. This study aim to understand the status, correlation and influencing factors of sleep quality, the degree of demoralization and resilience of cancer patients.
Method: The study is a cross-sectional research, including 104 samples. Data were collected from oncology wards in Taiwan since November 19, 2016 to December 12, 2016 when obtained the project approval number of [CTH-105-2-5-020]. Used descriptive statistics and inferential statistics.
Result:
1. Average age is 57.3 of samples, most of them are unemployed, the average month of cancer is 35.3 months, social support score from family, friends and medical team is more than 85 points.
2. The sleep quality average score is 8.07 ± 2.92 points, indicating poor sleep quality, 35.6% of the subjects are not able to fall asleep within 30 minutes; 40.4% of them requires take medicines for sleep. The demoralization average score was 49.6 points, indicating that cancer patients generally have demoralization. The average score of resilience was 92.07 ± 13.20, showing good resilience. Sleep quality is positively correlated with demoralization and negatively correlated with resilience; demoralization is negatively correlated with the resilience.
3. Different characteristics of the samples were not affect their sleep quality, degree of demoralization and resilience. But Sleep quality negatively correlated with the support of family/medical team, and resilience was positive correlation with the support of friends.
Conclusion: Suggested cancer education programs should include assessment and care skills about sleep quality, demoralization and resilience, and offer psychosocial therapy for demoralization patients. Clinical care also take advantage of social support from significant others to strengthen the positive power.
Biography:
Te-Fen Lee is an associate professor in nursing department of Ching Kuo Institute of Management and Health, Taiwan. She have be a nurse on burn centre and ICU. Her major is in Nursing and development Psychology.
1St. Josephʼs Hospital, Taiwan
2Joint Commission of Taiwan, Taiwan
3Centers for Disease Control, Taiwan
Ventilator-associated pneumonia (VAP) and catheter-associated urinary tract infections (CAUTI) are common healthcareassociated problems, especially for patients in high-risk units. The application of care bundles to reduce infection rate has successfully become an important measure in many countries. This project was conducted in different levels of hospitals, including medical centers, regional hospitals and district hospitals, located in different areas of Taiwan from 2015-2017. In high-risk units, such as adults ICUs, respiratory care units, respiratory care wards were incorporated to implement care bundle intervention in order to reduce VAP and CAUTI, for which were built on evidence-based infection control measures.
In total 52 hospitals were recruited in this project included medical center(11), District hospital(23) and Local hospital(18). The infection density of VAP declined from 1.32% to 0.87% and CAUTI also declined from 3.10% to 2.53% (all P<0.01). It also showed the catheter utilization rate was decreased from 37.04% to 32.55%. It was estimated to save about 4.34 millions USD and that did not include the VAP and/or CAUTI associated mortality.
The feasibility for the implementation of VAP or CAUTI bundles in the healthcare system plays an important role for the quality and policy of infection control. The final outcome of this study will determine the quality of decisions and implementation of the care bundle policy.
Biography:
As a President of Infection Control society of Taiwan from 2009 to 2015, he plays a key role in the development of infection control program in Taiwan. He cooperates with Taiwan-CDC to initiate many infection prevention projects, such as setup infection control guideline, Hand hygiene campaign, CLABSI care bundle pioneer research, Reducing HAI and AMR by environmental cleaning standards, CAUTI, VAP care bundle pioneer research, National CLABSI care bundle campaign et ct. to pursue the zero tolerance. His interests are in infection control, antimicrobial resistance, infectious disease, as well as quality improvement. He is an experienced trainer in infection control.
University of Limpopo, South Africa
The purpose of this study was to determine the factors that contribute to sub-optimal midwifery practice environment in maternity units of public hospitals of Limpopo province, South Africa. A quantitative cross-sectional descriptive design was adopted. Population was 350 midwifery practitioners employed in the maternity units of Public hospitals of Limpopo province. Simple random sampling was used to select the sample of 174 respondents. A self-developed questionnaire was utilized to collect numeric data from midwifery practitioners. The completion of questionnaires took approximately 45 to 60 minutes during lunch time in order not to disturb the smooth running of the unit. The researcher collected the completed questionnaires from all the respondents at the selected maternity units. The questionnaires were grouped according to maternity units were midwifery practitioners were employed. Descriptive statistics helped in making sense of a large volume of data whereas the inferential statistics helped to make inferences about a subset of the population from the study. The results were discussed according to the quantitative numeric information presented in graphs (pie, bar), tables, and figures respectively. The researcher organized the findings of midwifery practitioners in tables for comparison and analysis purposes. Results of the study yielded lack of equipment such as episiotomy scissors, blood pressure apparatus, inadequate supply of material resources and human resources. All these influenced the sub-optimal midwifery interventions proffered to pregnant women.
Biography:
Dr Magdeline Kefilwe Thopola, teaches midwifery, supervising research to undergraduates and Masters Dissertations. Qualifications: Doctor of Philosophy (PhD), Mcur, B Cur:Nursing Education, Community Nursing Science, Occupational Health Nursing, Nursing Administration, Registered Midwife and Registered Nurse.
Midwifery specialist, initiated advanced midwifery training in Ga-Rankuwa Nursing College. PhD Title “An evidence-based model for enhancing optimal midwifery practice environment in maternity units of public hospitals, Limpopo province.
Presented research papers nationally and internationally. Published 13 midwifery articles in accredited journals. Reviewer of articles for publications in accredited journals. Served as faculty advisor of First Africa Cohort of Maternal-Child-Health Care Leadership Academy, 2013-2015.
Nursing and Midwifery Training College, Ghana
Cancer is a general term for a large group of diseases, whose causes, characteristics and occurrence can vary greatly. There is no clear cut – definition of cancer. Cancer is caused by accumulated damage to the genes. Such changes may be due to exposure to a cancer-causing substance. For you to detect cancer is a multi-stage process.
Often, the patient will go to a doctor because of some symptoms. Sometimes cancer can be discovered by chance from screening. Cancer has numerous symptoms. It may be asymptomatic for a long time or it may involve only very general symptoms, such as fatigue or weight loss. When we talk of cancer it also has a number of different stages.
Following exposure to the factor that causes cancer is usually takes a long time before the cancer begins to develop. And cancer is not a unitary disease but a large group of diseases that includes many different cancers.
Their causes, symptoms and forms of treatment differ from one another. Lifestyles are important factors in the formation of many types of cancer. Behavior and choice can affect our own cancer risks. But when it comes to individual cancers, it is not possible say for sure what causes the cancer. We can lessen the risk of getting cancer, but as yet there is not enough known about preventing cancer completely. Everyone should exercise regularly and a varied diet.
People need to eat plenty of plants products and fiber and only very Cancer is a general term for a large group of disease, whose causes, characteristics and occurrence can vary greatly. There is no clear cut – definition of cancer. Cancer is caused by accumulated damage to the genes. Such changes may be due to chance or to exposure to a cancer-causing substance. For you to detect cancer is a multi-stage process.
Often, the patient will go to a doctor because of some symptoms. Sometimes cancer can be discovered by chance from screening. Cancer has numerous symptoms. It may be asymptomatic for a long time or it may involve only very general symptoms, such as fatigue or weight loss. When we talk of cancer it also has a number of different stages.
Following exposure to the factor that causes cancer is usually takes a long time before the cancer begins to develop. And cancer is not a unitary disease but a large group of diseases that includes many different cancers.
Their causes, symptoms and forms of treatment differ from one another. Lifestyles are important factors in the formation of many types of cancer. Behavior and choice can affect our own cancer risks.
But when it comes to individual cancers, it is not possible say for sure what causes the cancer. We can lessen the risk of getting cancer, but as yet there is not enough known about preventing cancer completely. Everyone should exercise regularly and a varied diet.
People need to eat plenty of plants products and fiber and only very little red meat and saturated fat. Things to avoid are smoking drinking and too much exposure to the sun. You can take better care of yourself by seeking regular medical check-ups and take part in any organized cancer screening.
Things to avoid are smoking drinking and too much exposure to the sun. You can take better care of yourself too by having regular medical check-ups and take part in any organized cancer screening. To therefore commence an Oncology is the study and treatment of tumors and cancers, the exact cause of being tumor is often but can be treated, it develops when cells in the body divide and grow at an excessive rate. Typically, unknown, the body is able to balance cell growth and division. When old or damaged cell s die they are automatically replaced with new, healthy cells.
In the treatment of Oncology comes in various parts in the diagnose of a patient. Some of these diagnosis in the field on Oncology is typical example of Benign tumors which can form anywhere in the body. It is the discovery of a lump or mass in the body which can be felt outside, which might be assumed as, cancerous, for instance women who finds lumps women who finds lumps in their breast in which is being alarmed in the growth in the breast known as Benign.
In this aspect benign tumors are been classified by where they grow, an example is of the lipomas, the growth from fat cells, whiles myomas grow from muscle. Different types benign tumors are including;
Adenoma, Myomas, Nevi also known as moles etc.
There are also symptoms pertaining to this disease depending on the tumors location for example, if you have a brain tumor, you may experience headaches, troubles with the vision and fuzzy memory.
Depending on the location, possible symptoms which are of a benign tumor include:
• Chills
• Discomfort or pains
• Fatigue etc.
Over this discovery doctors performs physical examinations and a collection of medical history thereby asking about the symptoms one is experiencing. Therefore, steps which has been taken in the cure of this disease by some machines which has helped in the diagnosis like CT scan, MRI scan, Mammogram etc.
The treatment over these illnesses is all not treated. For example, a doctor may recommend a watch and wait approach when the tumor is small. In this case treatment could be riskier than letting the tumor be. Doctors also decides to pursue treatment depending on the location of the tumor, it may be removed for cosmetic reason if it located at the neck or face. Surgeries are been done by the use of endoscopic techniques, meaning tube-like devices.
To add up these tumors can be left if they show no symptoms and create no complications, which may be told to keep an eye or watch for changes examining as long as the tumor isnʼt causing pain or discomfort.
This has been my notion concerning cancer care and oncology nursing.
University of Toronto, Canada
Individuals diagnosed with cancer experience more than a physical impact. Psychosocial distress commonly emerges as patients cope with many changes. Early identification of distress and the provision of interventions aimed at reducing this burden is stated as a standard of quality cancer care.
The aim of this work was to define the role of cancer nurses in responding to the emotional and symptom distress experienced by cancer patients and document the best practices for implementing a program of screening for distress in ambulatory settings.
A programmatic approach to screening for distress (6th vital sign) has been implemented in several cancer facilities across Canada. The program includes protocols for screening, algorithms for assessment, and guidelines for evidence-based interventions. Introduction of the programs has included relevant education of cancer nurses and close attention to the uptake and utilization of practice guidelines.
Evaluation of successful program implementation has shown increased patient satisfaction with care following the program implementation. Patient concerns are the focus for opening conversations with individuals and the basis for planning person-centered approaches to care. Patient concerns beyond those related to the tumor and side effects are identified through the screening for distress strategy. Nurses are in an excellent position to respond to the patient generated scores on the standardized distress screening tool as part of their patient assessments and care. The response to the screening scores has a direct impact on patient satisfaction and outcomes of care.
Using a concrete programmatic approach, including screening, focused evidence-based assessment and intervention is beneficial in achieving person-center care for cancer patients. However, in busy clinical settings, an intentional effort is needed to implement the necessary components of the programmatic approach (i.e., screening, assessment, intervention). Leadership and clear role definition are critical to the success of the program implementation.
Biography:
Dr. Fitch RN PhD is Professor (Adjunct) in the Bloomberg Faculty of Nursing and Professor in the School of Graduate Studies at the University of Toronto. Dr. Fitch is also the Editor-in-Chief for the Canadian Oncology Nursing Journal and served as Advisor on Cancer Survivorship to the Person-Centered Portfolio of the Canadian Partnership against Cancer. She provided leadership across Canada in implementing a person-centered approach for cancer patients. Dr. Fitch was the Founding President of the Canadian Association of Nurses in Oncology and served as a Board member and the President of the International Society of Nurses in Cancer Care.
Gachon University, Korea
Case management has been adopted in Korea and been recognized as a promising carecoordination method that lowers costs and improves quality of care. However, the effectiveness of case management among individuals with chronic illnesses who reside in the community has yet to be established. This systematic review identifies and synthesizes recent evidence of case managementʼs effectiveness in managing chronic illnesses among adults in Korea. The methodology of this systematic review was guided by the Cochrane processes and PRISMA statements. A search of multiple bibliographic databases to identify studies of case management in the populations of Koreans adult with chronic illnesses was conducted. Studies that met the inclusion criteria were published in English or Korean. Nine empirical peer-reviewed studies published between 2008 and 2016 were selected for review. The retrieved studies show that case management programs in Korea for adults with chronicillness in the community were led by nurses. There was strong evidence that nurse-led case managementwas effective in improving psycho behavioral and objective clinical outcomes; however, results for healthservices utilization outcomes were mixed. In future, research with rigorous study designs and large sample size in multiple settings areneeded to further assess the effectiveness of case management in Korea. Nurse-led case management would be of support in the careof chronic illnesses not only in Korea but also in Asian countries which share standard practice of casemanagement with Korea. Nursing leaders should allocate resources to sponsor educational resources andpractical strategies for evidence-based case management.
Biography:
Dr. Jee Young Joo, PhD, RN, is an assistant professor in the College of Nursing at the Gachon University, Incheon, Korea. Formerly, she was at the University of Missouri-St. Louis. Her research focuses on health care management, especially care/case management of chronic illnesses, outcome improvement, and health care systems models. Dr. Joo received a BSN with honors (cum laude) and an MSN from Seoul National University. She received a Ph.D. in nursing from the University of Iowa.
Ching Kuo Institute of Management and Health, Taiwan
Introduction: The population structure of Taiwan has entered the aged society in year 2018. According to the Ministry of the Interior, the population above aged 65 is 14% (Ministry of the Interior statistics 2017). Oral health of the elderly highly relates to their physical, mental health, systemic disease and quality of life. Also, the condition of oral health may display the significant signs of the elderly health. Moreover, pathological changes of the elderly could be triggered by poor oral health. It is important that the caregivers should implement oral assessment regularly, and providing oral care.
Purpose: This study aimed to assess institutional residents oral health status by applying the Oral Health Assessment Tool (OHAT). A questionnaire was designed to explore the related factors. The oral health assessment tool for non-professionals could provide a successful residential care dental service regularly.
Method: The study was conducted by using the Oral Health Assessment Tool (OHAT) to assess the residents oral health status in a nursing home setting. There are 8 categories including lips, tongue, gums and tissues, saliva, natural teeth yes/no, dentures yes/no, oral cleanliness, dental pain. The OHAT assessment tool including 3-scale (0=healthy, 1= changes, 2=unhealthy) was applied to evaluate participantʼs oral health status. Researcher analysed data with SPSS for Windows release 20.0 and the accepted level of statistical significance for all analysis work was set as p < .05.
Results: The data collected from a nursing home was implemented by two registered nurses during October to November, year 2017. Half of the residential participants were 71-80 years, 20% aged 81-90, and 61.7% were male. The OHAT total scores for the participants showed that 90% scored 1 (changes), 5% scored 0 (healthy), and 3 (unhealthy) respectively. The individual categories of lips (80%), tongue (45%), gums (63.3%), saliva (86.7%), and dental pain (95%) scored 0 (healthy) respectively. Scores were distributed differently for the categories of tongue, natural teeth and oral cleanliness, with tongue (41.7%) scoring 1 (changes), and natural teeth (83.3%) scoring 2 (unhealthy), oral cleanliness (65%) scoring 0 (healthy), 21% scoring 1(changes), 13.3% scoring 2(unhealthy). There are several factors have relation to participantsʼ oral health status such as conscious condition, history of smoking and drinking.
Conclusions: This study demonstrated that residents oral health status were changes, and the need to implement oral health care regularly to maintain oral health status. The OHAT have been developed for use by non-dental professionals with validity and reliability. There is few dentist that can provide dental examinations at most of nursing home on a regular basis in Taiwan. We suggest that the oral health assessment tool should apply constantly.
Biography:
Shere-Er Wang, RN, PhD, Associate Professor and Director of Nursing Department, currently teaches undergraduate nursing students at Ching Kuo Institute of Management and Health. Shere-Er has devoted her mind with passion to nursing education for more than 25 years.
Ching Kuo Institute of Management and Health, Taiwan
Background: Exercise enhance physical fitness on post-cardiac surgery patients and improve their QOL. The study aimed to know how was the exercise habit and QOL of the post-cardiac surgery patients in Taiwan.
Methods: This quantitative study was approved by the Institutional Review Board (Approval No. CTH-106-3-5-040), the study used purposive sampling and structured questionnaires to collect data from November 13, 2017 to December 31, 2017 at a hospital in north Taiwan.
Result:
1. Subjects Characteristics: 94 post-cardiac surgery patients, most of them were male (63.8%); married (70.2%), unemployed, and classified as NYHA-2. The post-operative time was 59.69 months and social support score from family and friends was 89.26 points, while that from medical and nursing personnel was 84.39 points.
2. Status of Exercise Habit and QOL: The study found the exercise frequency, 18.1% subjects never took exercise and 21.3% subjects were seldom. Most of them had exercise environments in the neighborhood. Higher proportions of them did not take warm-up exercise (41.6%) and cool-down exercise (42.9%). The distribution of 4 dimensions(physiological, psychological, social relationship, and environmental) and total score of QOL, social relationship score was the highest (71.5 points), that the lowest was psychological dimension(65.86 points), and the total score of QOL was 96.31 points.
3. Relative factor of Exercise Habit and QOL: The exercise environment, exercise frequency, exercise intensity, exercise partners, days of exercise per week, had a significant effect on 4 dimensions and total score of QOL. The study also found different NYHA Functional Classification, marital status, social support, etc. of subjects caused the differences of exercise habit and QOL.
Conclusion: This study showed exercise habit affected QOL and most subjects never took warm-up and cool-down exercise. Therefore, discharge health education content of post-cardiac surgery patients should including the exercise benefits and safe to strengthen their identity for exercise habit.
Biography:
Te-Fen Lee is an associate professor in nursing department of Ching Kuo Institute of Management and Health, Taiwan. She have be a nurse on burn center and ICU. Her major is in Nursing and development Psychology.
The Nairobi Hospital – Kenya
Introduction: Ventilator-associated pneumonia (VAP) is a form of nosocomial pneumonia that occurs in patients receiving mechanical ventilation for 48 hours or longer after mechanical ventilation often caused by Pseudomonas Auringinosa and staphylococcus aureus. Studies have shown that aerobic gram-negative bacilli such as P. Auringinosa, Acinetobacter Baumannii or Methylene Resistant Staphylococcus Aureus (MRSA) cause 70% of the VAP infections. VAP increases morbidity and mortality to ventilated patients and is a major healthcare concern in many hospital set-ups. It is estimated that the incidence of VAPs ranges between 5–20 cases per 1, 000 of mechanical ventilation (MV) days. Studies show that mortality in ICU is four times higher (18.5%) in patients with VAP than those without (4.5%). Consequently, the problem has substantial cost implications including extended ICU length of stay by at least 6 days and costs by up to £12 000 per patient episode. Many interventions to reduce VAP have been implemented in the Nairobi Hospital, as it has been in many other healthcare institutions around the globe. However, what is not conclusively clear is whether the use of disposable suction liners reduces the incidence of VAP among patients on mechanical ventilation in The Nairobi Hospital Intensive Care Unit.
Methodology: The study utilized Case control study design as it is easy to conduct, can be done retrospectively, and useful in rare conditions. The study sampled from Infection Control Unitʼs, medical records data of patients admitted in the critical care unit during the periods before the intervention (2012-2013) and those after the intervention (2014-2015).
Results and Discussion: This retrospective case study on whether the use of disposable suction liners reduced VAP at the Intensive Care Unit. A sample of 626 patients was done, among them 324 used the reusable suction bottles and 302 used disposable suction liners. The VAP rate with the reusable suction bottles was at 21.3% and with the use of the disposable suction liners was at 2.3%. It was observed that with a P value was at .000, there is a significant of reduced VAP incidences when disposable suction liners are used to ventilated patients in critical care units.
Conclusion/Recommendations: The study concluded that certain known practice like early gastric feeding; nasal intubation in preference to other modes of intubation and isolation practice reduced the risk of VAPs in ventilated patients in critical care units. These practices should be enhanced when and as applicable in all ventilated patients. Importantly, the use of disposable suction liners had the best outcome of reduced VAPs in ventilated patients and therefore was highly recommended.
Biography:
Margaret Wangari Muiyuro is a Senior Registered Critical Care Nurse at the Nairobi Hospital in Kenya. She is a infection control Liaison nurse since 2011 at the ICU Nairobi hospital. She is very passionate in infection control at the ICU, Hospital level and community level. During her time hospital acquired infections has greatly reduced as per the monthly infection control report.
She is a graduate of the Roehampton University MPH (United Kingdom), Registered Critical Care Nurse from Cicelly Mc Donell school of nursing(Kenya), Infection control Nurse from National Cheng Kung University (Taiwan)and Registered nurse from Cicelly Mc Donell of Nursing (Kenya). She has 12 years working experience as a nurse. She is passionate in critical care nursing and believe in evidence based practice. QUALITY patientʼs care to her can reduce mortality in ICU and the patients hospital stay.
Maryville University, USA
Delirium is a common problem affecting patients, with an increased prevalence among intensive care unit patient populations. The effects of delirium can be life changing, including increased length of stay, risk of injury to self and others, and increased mortality and morbidity rates. ICU delirium occurs more frequently among elderly patients, and costs associated with delirium exceed 4 billion dollars per year for mechanically ventilated patients in the U.S. alone. Nurses caring for delirious patients report an increased care burden, emotional and physical stress, burnout and personal injury. The combined effects of increased negative patient outcomes, higher costs and increased nursing care make delirium prevention a major issue in nursing today. By conducting a partial literature review, noise and sleep deprivation were identified as key modifiable risk factors associated with delirium development. Noise pollution with little clinical relevance was identified as a major factor in sleep deprivation, with nurses identified as potential leaders in noise reduction and screening tools for delirium. This paper serves as the foundation for future research into nursing interventions aimed at reducing noise and delirium in the ICU population.
Biography:
Sarah Stein is a current graduate student in the MSN program at Maryville University. Ms. Stein graduated from nursing school in 1999 and has worked throughout the U.S as a cardiothoracic surgical ICU nurse. Ms. Stein currently continues her career working at Magnet designated hospital Barnes Jewish Christian in Saint Louis, Missouri. BJC is ranked No. 12 in the U.S. on the Best Hospitalʼs List, with the cardiothoracic surgical department ranking No. 13 in the nation. Ms. Stein is currently seeking her nurse practitioner degree in both family and psychiatric nursing, with the intention of pursing her doctorate studies abroad.
The Royal Melbourne Hospital, Australia
Background: Detailed understanding of Australasian Emergency Department (ED) restraint practices is lacking.
Objectives: To describe restrictive interventions that occur in Victorian EDsʼ.
Methods: A multicentre retrospective study involving five EDsʼ collated data on all patients who attended in 2016 including the rate of security calls for threats to self, patients or staff, and any restrictive interventions used. From each site, 100 patients who had a restrictive intervention were randomly identified and data extracted from the medical record.
Results: In 2016, 327 454 patients presented to the five EDsʼ; 3 871 had at least one security code (1.5%). Within the population that had a security code, 942 had at least one restrictive intervention (22.7%). Details were extracted on 494 patients. The majority (62.8%) were restrained under a Duty of Care and not the Mental Health Act. Physical restraint was used for165 (33.4%) patients, 296 were mechanically restrained (59.9%, median restraint time 180 minutes IQR: 75-360), and 388 chemically restrained (78.5%).
Approximately half the patients were discharged home or to an ED observation ward, only 81 (16.4%) were admitted to a mental health facility.
Conclusion: Restrictive interventions in the ED are largely occurring under a Duty of Care and only a minority of patients will be admitted to a mental health ward. Care for patients managed under legislation that covers assessment and treatment of mental illness has a strong clinical governance framework, however this will not be the case for the majority of patients who experience restraint in Victorian EDsʼ.
Biography:
Sheriden Dobson is a Clinical Nurse Specialist at the Royal Melbourne Hospital specialising in Emergency. She is enthusiastic and passionate about emergency medicine, trauma care, emergency preparedness and research. Within the 7 years of nursing experience she has completed a graduate certificate in Emergency, and is currently completing her Masters of Advance Nursing Practice with the career ambition of becoming a Nurse Practitioner. Last year she was provided an opportunity to take on the role as a project officer for a research project, headed by the DHHS which is the topic of the Minor Thesis she is currently completing as well as the project being presented to ICEN?
1Tung Wah College, Hong Kong
2The Hong Kong Polytechnic University, Hong Kong
3The Education University of Hong Kong, Hong Kong
4Ginger Knowledge Transfer and Consultancy Limited, Hong Kong
This paper will demonstrate the relationship between emotion and heart rate variability (HRV).
Emotions play a vital role in facilitating human responses to challenges, maintaining social order, regulating social distance toward or away from others, and influencing the behavior of others. Emotions are of dynamic nature and vary among individuals. An objective method of emotion recognition can help people to realize situations and behaviors that may affecttheir physical and mental health.
Measurement of HRV, also known as the beat-to-beat variations of heart rate, has been proposed as a potential method for assessing autonomic nervous activity during different emotional responses. The focus of this paper, therefore is to strengthen this claim by exploring the change of HRV during different emotions elicitation.
Two-group pretest-posttest design was used. Images from the Open Affective Standardized Image Set (OASIS) were selected for the positive and negative video. Subjects were randomly assigned to a positive or negative video groups. They were evaluated by the Chinese version of Positive and Negative Affect Schedule (PANAS) and Chinese State-Trait Anxiety Inventory (C-STAI). Subjects were required to rate the valence and arousal of each image presented in the emotion-eliciting video clip. HRV was assessed by a continuous recording of electrocardiogram. HRV parameters were extracted for analysis.
The results indicated that HRV is associated with emotional response to external stimulations. The significant increase of low frequency in normalized unit (LF n.u.) and the significant decrease of high frequency in normalized unit (HF n.u.) during watching negative emotion-elicitation video clips, supported the use of HRV as an objective method to predict emotional response and promote emotion regulation.
Biography:
Ms. Peggy Chow is a registered nurse. She has graduated with her BSc and MSC from School of Nursing, The Hong Kong Polytechnic University. She has worked in HA hospitals for more than 15 years, mainly served in paediatric intensive care unit. She has completed her training in paediatric intensive care nursing in IANS. Ms. Chow joined the School of Nursing, Tung Wah College as a Senior Lecturer in Jan 2011. She is currently studying for her Doctoral Degree at The Hong Kong Polytechnic University.
1KhonKaen University, Thailand
2Bangkok-Thonburi Hospital, Thailand
Systemic lupus erythematosus (SLE) is the chronic disease. More than 25% of cases of SLE occur in adolescence period. Adolescents with SLE have more worsening symptoms and higher of mortality rate than others age. Self-management behavior can help them to improve their health. The studies of self-management behaviors in Thai adolescents with SLE have limited. The descriptive research aimed to study the dimension of self-management in adolescents with SLE. The sample consisted of 136 adolescents with SLE, aged 10-19 years, who were follow-up at the outpatient department in two tertiary hospitals at Khon Kaen province, South-East region of Thailand. Self management for adolescent with SLE questionnaire was used for data collection. Data was analyzed by frequency, percentage, mean, and standard deviation. Result showed that adolescent with SLE had a moderated level of the overall self-management 50.7%. The almost of adolescentsʼ self-management behaviors were in the good level. Good level of self-management behaviors were as follow: taking medicine 98.5%, food consumption 66.2%, emotion control 58.1%, Prevention of relapse 56.6%, and communication with health team 47.8%. The moderated level of self-management behaviors were exercise 73.5%, sun protection 47.8%. Conclusions, Nurses should be giving clearly information to adolescents with SLE to promote their self-management behaviors. Future research should be study about the development of very effective intervention to promote self-management behaviors in adolescents with SLE.
Keywords: Self-management, adolescents, Systemic lupus erythematosus (SLE)
Biography:
Supattana Sakdisthanont is an associate professor in the faculty of nursing at KhonKaen University, Thailand.
Saint Louis University, Philippines
Pathophysiological processes that initiate cardiovascular disease (CVD) accelerates in adolescence and are associated with the same risk factors that are well established in adults. Therefore, the need to start preventive measures against CVD early in life is essential. The unique characteristic of the adolescent period makes it a significant period where prevention should be emphasized. The study aimed to determine the practices of adolescents in 5 domains of prevention against CVD, as well as the influence of certain factors and variables on their behavior. The study utilized a descriptive-survey design. Approval of the SLU-ERC was sought prior to data gathering. A self-made questionnaire was used after establishing validity (0.94). Using OpenEpi®, a sample population of 384 high school and college students from selected schools in Baguio City, Philippines answered the questionnaire. After data collation, statistical analysis with frequency counts, percentages and Chi-square using Microsoft Excel 2014® was done. Avoidance of smoking, adequate physical activity and regular weight monitoring are the domains in CVD prevention that adolescents are strong in. Improvement is needed in their behavior in terms of alcohol consumption and dietary intake. Several factors have been identified to have a significant association with the behavior of adolescents, with peer influence affecting all domains. Ethnicity and family history of cardiovascular disease have no significant association with the preventive practices of adolescents against cardiovascular. The current educational level was seen as a significant factor in the behavior of adolescents, specifically in terms of smoking, alcohol consumption and physical activity. Existing policieson smoking (RA 9211), alcohol regulation (RA 1224) and school canteen regulation (DepEd Order No. 8, s. 2007) affecting highschool students should be strengthened. Health teachings and counselling regarding cardiovascular disease prevention should be incorporated in appropriate subjects in high school and venues for college students. Further studies should also be done, focusing on dietary intake where adolescents have been consistently performing poorly.
Andalas University, Indonesia
Breast cancer causes the patient to experience various problems related to physical, and psychological aspects of distress. Distress in breast cancer patients occurs due to disease prognosis, changes in body image, role change and long-term repetitive therapy. The effects of prolonged distress can cause anxiety, fear, stress, and depression. This can be influenced by individual characteristics and family support. Family support is an important factor for breast cancer patient and motivate the patient that will reduce the distress when the patient will undergoing. The purpose of this study was to identify individual characteristic, family support and the relationship with breast cancer distress. This study used descriptive analytic design with cross sectional study approach and purposive sampling sampling with 100 breast cancer patients. Data analysis using chi-square. The results showed that there was a family support relationship (p = 0.029) with distress. There was no correlation between age (p = 0, 191), marital status (0, 129), stadium (p = 0, 739), duration of diagnosed cancer (p = 0, 159), treatment (p = 0, 085) and duration of cancer therapy (p = 0, 064) with distress. The results of this study are expected to health care workers to provide counseling in patients with chronic illness who undergo treatment (surgery, chemotherapy or radiotherapy) in order to minimize the level of distress. In addition, it is expected in family members to further increase support for sick family members, in order to have a support for life in performing various treatments as early as possible.
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