1Istishari Arab Hospital, Palestine
2University of Al-Quds, Palestine
Patient satisfaction is one of the important indicators in the health system that should be considered when evaluating the quality of health services provided and the impact of accreditation systems. This study aims to assess the level of patient satisfaction in accredited and non-accredited hospitals in Palestine. Cross-sectional design used to compare patient satisfaction in Palestinian hospitals. The researcher measured the patient satisfaction between October and November 2016 using the SERVQUAL tool to assess five dimensions of quality. The sample size included was 332 inpatients, who were recruited by the researcher through convenient sampling method and the data was analyzed using SPSS version 18.
The patients have a high level of satisfaction with a total mean of (4.34) out of 5 points and a (0.70) standard deviation. The patients have a high level of satisfaction regarding each patientʼs satisfaction dimensions with the quality of services provided in the two hospitals. The results indicated that there are statistically significant differences at the level (P ≤ 0.05) between the means of patient satisfaction relating to patient characteristics (with the exception of gender) and indicated that there are no statistically significant differences related to hospital characteristics. The study indicated that there are no significant differences between the means of patient satisfaction attributed to accreditation status. The results reinforce that the patient perspective should also be given much importance in the health system and certifies that it should be taken into consideration to ensure the quality of services provided by healthcare organizations.
Biography:
Ebaʼa Dasan Barghouthi has completed his BA of Nursing from Al-Zaytoonah University of Jordan and Post Graduate Diploma in Healthcare Quality Management from the German Jordan University at the age of 27 years, Master of Policies and Health Management at the age of 31 years from Al Quds University. He is the director of quality and patient safety department at Istishari Arab Hospital, the largest investment in the Palestinian health sector. He has published paper in reputed journal and has been serving as a management board member of Palestinian Association for Quality and Management (PAQM) and Health Accreditation Specialists.
Centro Escolar University, Philippines
Research Description: According to the World Health Organization (WHO), people suffering from diabetes have quadrupled since 1980. Diabetes is prevalent in the Philippines nowadays and is one of the common illnesses of Filipino adults. This is one of the reasons why the researchers have decided to conduct this study. Filipinos are known to be rice-eaters and eats rice in almost all meals of the day and this factor contributes to having a high blood glucose level. This research was based on a study by a Filipina Professor, Trinidad P. Trinidad entitled: Nutritional and Health Benefits of Coconut sap sugar/syrup.
The researchers utilized pre-experimental one-shot case study design and convenience sampling in choosing the respondents. The researchers also provided a food journal for each respondent to serve as a monitor for the researchers on the respondentʼs daily food intake. The study was conducted on 12 respondents who are pre-diabetics (with a fasting blood sugar level of 100-125 mg/dl), ages 35-55 years old and were asked to use coconut sugar as replacement for the usual table sugar that they use for 2 weeks.
Results and Conclusion: After 2 weeks of the study, it has shown that majority of the respondents have their blood sugar levels decreased by as much as 5.83 mg/dl. There is one whose blood sugar level remains unchanged, but there are respondents whose blood sugar decreased by 12 mg/dl and 18 mg/dl. To determine the difference between blood sugar levels, paired t-test was applied. The p-value of 0.011 (t=3.06) in the paired t-test indicates the rejection of the null hypothesis of no difference in the blood sugar of respondents before and after using the coconut sugar. Therefore, coconut sugar has helped in decreasing or maintaining the blood sugar levels of the respondents.
The Open University of Sri Lanka, Sri Lanka
Background: Cardiac surgery is an operation for repairing structural defects of the heart. It is a unique, fearful, traumatic and unpleasant experience for patients. An intensive care is needed for patients immediately after the cardiac surgery. Staying in an Intensive Care Unit (ICU) is a significant, incomprehensible experience for them and it can vary from patient to patient.
Aim: The aim of the study is to explore the patientʼs experiences regarding intensive care following a cardiac surgery.
Design: This phenomenological study was conducted with 20 patients who were given intensive care for at least four days following cardiac surgery at National Hospital of Sri Lanka. The data collection was done through semi-structured interviews of patients after transferred from ICU to cardiothoracic ward.
Results: Three major themes were emerged from the data such as discomfort faced by the patients, emotional aspects of the patients and their impression on ICU surroundings. The patients faced discomfort due to pain intolerance, insufficient sleep, difficulty in maintaining body postures and thirst. The emotional aspects faced include the satisfaction with care given, renewal of hopes after successful surgery, feeling like a stranger and uncertainty of survival. The availability of modern technology, lightings of the ICU and noise disturbances was highlighted under the theme of their impression on ICU surroundings.
Conclusion: It was concluded that, discomforts of body, emotional aspects and environmental factors that experienced by the patients in the intensive care following cardiac surgery make their stay in ICU an unpleasant one. All these experiences collectively influence the quality of life in patients who have undergone cardiac surgeries. Hence, it is recommended to educate the patients about the ICU experiences in advance.
Keywords: Cardiac surgery, patient experiences, intensive care
Charles Darwin University, Australia
Individuals who identify as transgender are often discriminated against and marginalised by society, based upon the perceived challenges to heteronormativity and/or an assumed psychiatric condition known as gender dysphoria. Traditionally, research about transgender people was conducted within a biomedical discourse; where the “subjects” were dissected and pathologised from surgical and psychological perspectives. This objective, scientific approach to a marginalised group of people, while embedding psychiatric and medical knowledges as all powerful, demeaned transgender people as something outside of what is accepted as normal, essentially creating the “other”.
This objectivity also removes the notion of what it is like to be a nursing researcher who also happens to be transgender and views the world from multiple realities using qualitative approaches to research. This paper evolved from a PhD project undertaken from 2012 – 2016 on the psychosocial experiences of transgender people who underwent sex reassignment surgery. That study explored the everyday life experiences of transgender people undergoing surgeryand concluded that transition, like life, is messy. My relationship with the participants was equally as messy as an insider or was I an outsider and how do you navigate that phenomenon? This presentation will show that the dichotomies known as insider and outsider cannot neatly be compartmentalized and that the nature of this type of research goes beyond sameness and difference through a dynamic relationship with the participants.
Biography:
Belinda is a lecturer in nursing, with 8 years experience teaching at undergraduate and postgraduate levels including research and evidence based practice and cultural safety. Her research interests are concerned with the health and wellbeing of transgender people and as such her professional activities are closely linked to this with her association with two world leading organisations in transgender health, WPATH and ANZPATH (where she is secretary). Belinda is also a board member of NTAHC, the premier HIV/AIDS body in the Northern Territory and a recipient of an Australia Day Award for her community service.
University of Kwa-Zulu Natal, South Africa
The current health-care environment is depicted by rapid transformation and fast paced, technologically advanced world, coupled with constant knowledge explosion. Nurse educators are therefore required to opt for innovative teaching and assessment strategies so that students are able to think critically, solve problems and have the ability to practice competently in a variety of situations.
Aim: The aim of the study was to analyse the cognitive levels of final examination questions for the Diploma Nursing Programme using the Revised Bloomʼs Taxonomy at a selected nursing college in South Africa.
Methodology: A quantitative descriptive approach was adopted. Ninety five final examination question papers consisting of 1709 questions were selected through a non-probability, convenience sampling method from nursing modules of first to fourth year level for the period 2011-2015. Ethics principles were observed throughout the study.
Data Collection: Utilized a researcher designed template incorporating the six cognitive levels of the Revised Bloomʼs Taxonomy. SPSS version 24 was used to analyse the data.
Results: The study revealed that examinerʼs emphasis was on lower cognitive level of Bloomʼs Taxonomy evaluating understanding and comprehension and rarely application. The higher order cognitive levels (analyse, evaluate and create) were less assessed in the examination questions papers. The discussion concludes that examination questions were not cognitively demanding.
Recommendations: Re-enforcement of use of assessment guidelines, staff development through in-service trainings, workshops and seminars to improve question construction.
Biography:
Ms. Pakkies is a Lecturer at the University of Kwa-Zulu Natal (South Africa) in the Discipline of Nursing. She is involved in undergraduate and postgraduate teaching as well as postgraduate research supervision. Her research interests include quality assurance in Higher Education as well as research in Advanced Nurse Practice.
Centro Escolar University, Philippines
Research Description: The researchers have chosen Gout Arthritis as the main disease to be focused on, since Gout Arthritis frequently involves the joints in the lower extremities, causing pain, swelling and redness, resulting to difficulty in walking.
The researchers used quasi-experimental quantitative method in conducting the study. The Pretest-Posttest Design was used. For the Pretest, the respondentʼs mobility was tested using the Timed Up and Go (TUG) Test, without administering the Bundle of Care. Then once the treatment was done daily, the researchers again conducted the TUG Test, to discover if the Bundle of Care has been effective, making this the Posttest procedure.
Results and Conclusions: Effectiveness of the Bundle of Care in Improving the Walking Ability of the Geriatric Clients with Gout Arthritis
In the 1st Week, there was an average completion time of 18.0000 seconds. While in the 2nd Week, there was an average completion time of 17.4667 seconds. For the the 3rd Week, there was an average completion time of 16.7667 seconds. And in the 4th Week, there was an average completion time of 16.1000 seconds. Lastly, in the 5th Week, there was an average completion time of 15.1667 seconds.
To determine if the mean differences are statistically significant, one-way analysis of variance was applied. Result shows that there is a computed F-value of 2.686 with a p-value of .034. Since the p-value of .034 is less than the alpha at .05 level, the null hypothesis is rejected. This means that there is a significant difference in the weekly results of the Timed Up and Go Test among the geriatric clients. As observed in the average completion time, there is a gradual decrease from week 1 to week 5, signifying that there was significant progress observed in the walking ability of the geriatric clients.
Sultan Qaboos University, Oman
Objective: To determine the prevalence of childbirth anxiety and its associated factors among pregnant women during the third trimester of pregnancy.
Design: A cross sectional survey was conducted among 200 low-risk Omani pregnant women of age 18–35 years.
Setting: A major maternity government hospital in Muscat region of Sultante of Oman.
Sample: 200 convenient sample of low risk pregnant women who attended the major maternity government hospital during the period of June 2014 to 2015 June.
Methods: The data were collected by self-reported questionnaire of State Trait Anxiety Inventory (STAI) and Pregnancy-Specific Anxiety Inventory (PSAI).
Results: During the third trimester of pregnancy, high prevalence of childbirth anxiety was reported as compared to anxiety about being pregnant, anxiety on new born. Nulliparous pregnant women reported higherlevels of pregnancy specific anxiety especially of childbirth anxiety than parous pregnant women. Young age, nulliparous status and nuclear family nature were identified as common risk factors of high childbirth anxiety.
Conclusion: Higher prevalence of childbirth anxiety among nulliparous andyounger pregnant women necessitates an integrated routine screening during prenatal care and recommended to implement maternal awareness program on easy childbirth preparation. Early interventions will enable women to cope with the usual stress and reduces childbirth anxiety.
1Charles Darwin University, Australia
2Queensland University of Technology, Australia
3Sunshine Coast University, Australia
Introduction: This research provides an overview of the findings from my doctoral research relating to the factors affecting obesity in a rural village in Fiji.
Method: The study was a community based participatory research that engaged with community members from a rural iTaukie village on Viti Levu, approximately 3 hrs from Suva. A Community Based Participatory Research Approach was utilised. The research strategies included community consultation, a health survey and interviews, dissemination of findings to the community and feedback from the community. Data was analysed using the ANGELO framework.
Results: Interview analyses revealed food intake and physical activity were associated with sociocultural, economic, political and physical environmental factors that influenced obesity. Participants revealed previous health promotion programs were not culturally designed to meet the cultural values, beliefs and traditional ways in the community. The findings indicated healthcare providers and policymakers need to be involved with the community culture, to recognised and appreciate community culture and traditional ways to promote equitable participation in decision making.
Discussion: Recommendations from this research include calls for new social policy that supports active participation of the local community, that incorporates community goals, cultural wellbeing and fairness and results in culturally competent approaches to health promotion.
Biography:
Kamal Singh he has been nursing for the last 19 years. His nursing background extensively involves emergency care nursing, community health, indigenous health and primary health care nursing. His other research interests include indigenous health care access, heath promotion and Non-Communicable Diseases, CBPR Approach and Obesity prevention in the community setting. It is his goal that by sharing his talents and experiences, that he might help to better the greater whole, demonstrated through his interactions with patients, students and colleagues, in hospitals, at institutes of learning and in our world community.
Perth Paediatrics, Australia
Background: Laser Tongue Tie Division is an option suitable for neonates, older children and adults. No general anaesthetic is used, but an analgesic gel is applied. The procedure is very quick, taking only 2 to 3 minutes to perform.
Aim: To assess the outcome of patients who underwent tongue tie division with Diode Laser at Perth Paediatrics.
Methods: We conducted a retrospective review of the 49 children who underwent Laser Repair of Tongue Tie at Perth Paediatrics between 30/01/2017 and 10/7/2017. The age of the children ranged from 4 days to 6 months. We assessed the outcome after 1 to 6 months, with a questionnaire via telephone of the 49 childrenʼs mothers telephoned, a total of 41 children were contactable. The outcome was assessed in terms of improvement of breastfeeding comfort to the mother and procedural complications.
Results: The outcome was assessed in terms of improvement in breastfeeding and lack of discomfort. 41 mums had immediate relief, which was rated good to excellent. 3 mums had poor immediate relief but there was improvement after 2 weeks if procedure and was rated good. Only 2 out of 41mothers reported no relief in improvement in breastfeeding. Furthermore, it was noted that reflux Symptoms in 3 children decreased post laser treatment and aweight gain increase was noted. There were no immediate or delayed procedural complications in terms of post-operative bleeding, infection, scaring or recurrence.
Conclusion: 95.2% (39/41) of children who underwent Tongue Tie Division with Laser were reported by their mothers to have improvement in breastfeeding improvement in terms of latch/leakage. This outcome also included an improvement in the motherʼs discomfort. i.e., nipple pain, nipple damage and mastitis.
Nova Southeastern University, USA
Nurse Educatorʼs Perceptions of Using High-Fidelity Simulation in Teaching. High-fidelity simulation in nursing refers to the use of computerized manikins to offer realistic hands-on training to nursing students. The problem addressed by this dissertation was resistance among some faculty to the use of new computerized simulation technology in the nursing curriculum. The research question for this case study investigated how faculty members can incorporate simulation into the curriculum and barriers faced in setting the stage for simulation experiences for their students.
The goal of this applied dissertation study was to examine the perceptions of nurse educators regarding the benefits of and barriers to use of high-fidelity (computerized manikin) simulation with students in a university nursing program. The theoretical underpinning of the study was concentrated within a constructivist framework.
School of Nursing and Public Health, University of Kwa-Zulu Natal, South Africa
Background: Clinical reasoning (CR) remains central in midwifery care in the light of uncontrollable high maternal mortality rates and errors in midwifery practice. However, there is no consensus, locally and internationally, on how clinical reasoning skills can be developed in undergraduate students particularly within midwifery context.
Aim: This study analysed the processes used to develop clinical reasoning skills within undergraduate midwifery students with the aim of generating a middle-range theory for the production of competent midwifery graduates for optimum patient outcomes. Qualitative and grounded theory approach, underpinned by Social Constructivism Paradigm, was used. Data were collected over twelve months, using multiple methods of observations, interviews and document analysis. The participants comprised of midwifery nursing students, the 2016 and 2017 cohorts as well as midwifery educators. A total of 16 focus group discussions and 12 individual in depth interviews were conducted.
Methods and Analysis: Data collection and initial data analysis occurred simultaneously using coding process, which comprised of three distinct phases (open coding, axial coding and selective coding), with constant comparative analysis at each phase. Ethical clearance was obtained from the University Ethics Committee, with the Protocol reference number HSS/1288/016D.
Findings: Developing clinical reasoning skills emerged as the main concept in the middle-range theory that was generated in this study. This main concept was supported by major concepts, which included context, nature of the curriculum, clinical reasoning process, pillars including individual and system related outcomes.
Discussion and Conclusion: Quality midwifery care is what is founded on the clinical reasoning abilities of the midwives. The process of developing clinical reasoning skills is a hypothesis-oriented inquiry, hinged by process-product, relevant and responsive curriculum.
Keywords: Clinical-reasoning skills, Clinical reasoning, Student midwives, Midwives, Midwifery, Education
Biography:
Dr. Baloyi is a faculty member in the School of Nursing, College of Health Sciences at the University of Kwa-Zulu Natal, Durban, South Africa. Her research focuses on midwifery with specific interest midwifery education. In her PhD, she developed a model to guide the development of clinical reasoning skills within undergraduate midwifery students. She also has a passion for qualitative and grounded theory research. Dr. Baloyi is the author of 4 peer reviewed articles all published in International Journals. As an emerging academic, Dr. Baloyi is supervising two (2) PhD students and four (4) Masters.
Charles Darwin University, Australia
There is a paucity of studies into the causal factors associated with suicides1 while in custodial care in hospitals and prisons. Much of the existing research is orientated towards understanding risk factors and patient and prisoner demographics. Despite inpatient suicide consistently being one of the leading sentinel events2 in the Australian healthcare system and a significant burden in the correction services, it is often viewed as unpredictable and thus largely unpreventable.
The aim of this study is to develop a deeper understanding of how and why suicides in hospitals and prisons occur and whether they are truly unpredictable and thus unpreventable. This study will improve the understanding of the complex interplay of causal factors; both system and individual, involved in suicides of individuals in custodial care in hospitals and prisons.
My research uses The Human Factors Analysis and Classification (HFACS) system designed by Wiegmann & Shappell (2003) and conceptually based on Reasonʼs Swiss cheese model of human error and accident causation (1990), to map the trajectory of completed suicides in the hospital and prison population. Data has been obtained from publicly available coronial reports in New South Wales (NSW) from the years 2012-2018 inclusive. Using HFACS as an analytical framework allows the identification of both individual and system causal factors implicated in the completed suicides, which is essential in understanding the link between human factors and suicides in custodial care. The results of this study will provide an evidence base for developing strategies to increase safety in these institutions and contribute to the growing research supporting human factor analysis in healthcare.
Reference:
1. A death caused by self-inflicted measures, where the intent is known or where the lethality of the method chosen was more than likely to cause death
2. A subset of adverse events which result in serious patient harm or death and reflect a serious breakdown in healthcare processes and systems.
Biography:
Penelope Sweeting is a 1st year academic working in the College of Nursing as a Lecture in Nursing (Clinical) and has extensive clinical experience in critical care and emergency. Penelope is currently investigating suicides in prison and hospitals using a human factors analysis approach. Penelopeʼs publications include an editorial accepted by Nursing Children and Young People in February 2018 titled Paediatric pain management the painful truth. Penelopeʼs qualifications include a Bachelor of Nursing from the University of Technology Sydney Australia, a Graduate Certificate in Acute Care Nursing from the University of New England and a Master of Advanced Nursing, where she majored in management, also from the University of Technology.
Keigwin School of Nursing, Jacksonville University, USA
The objective of this active learning short course is to provide nurse educators from all settings with a toolkit of resources. The goal of the toolkit is to provide tools for the educator to cultivate a sense of wonder, using an experiential, appreciative teaching approach that inspires powerful, joyful teaching and learning experiences. During the short course, we will review the science and theory of joy in teaching and learning. Research indicates that joy is a critical to engaging learners and to enhancing their self-efficacy, competence, intrinsic value, goal proficiency and higher levels of cognition. Attendees will be provided an evidence-based toolkit of experiential and innovative strategies to foster resilience in teaching and interventions to foster curiosity, innovation and joy in learning. Attendees will have the opportunity to experience the results of an appreciative teaching approach and to directly apply strategies during the short course.
Biography:
Dr. Christopher an Assistant Professor in the Keigwin School of Nursing at Jacksonville University. She has been a nurse for more than 20 years. Dr. Christopher specializes in theoretical foundations of appreciative inquiry and joy, to optimize teaching, learning, health, well-being, quality and safety outcomes. Dr. Christopher is an ANCC board certified nurse executive, board certified as a healthcare technology specialist clinician/practitioner consultant (CHTS-CP) and has special training as an Appreciative Inquiry Facilitator through the Center for Appreciative Inquiry. Dr. Christopher is well published and is the co-director of the QSEN Institute Regional Center at Jacksonville University.
Working for Global Rehab, UK
We live in a maturing world and that is closely associated with conditions such as, osteoarthritis, osteoporosis, cataracts, stroke, growth, coronary supply route illness and dementia, which increasingly affect the group wellbeing (Guccione, 2011) of these conditions, dementia emerges as the one to inspire dread in those contemplating over a solid seniority. “Dementia” is principally a term used to portray a gathering of manifestations that might be brought on by various distinctive ailments. This incorporates Alzheimerʼs infection, vascular dementia, frontal temporal dementia and dementia with Lewy bodies (Curran, 2004).
Aim: To develop an understanding of the role of physiotherapy in dementia in current practice, the identifyable short-comings of the current services provided and approaches that can be used to tackle the identified problems.
The worldwide predominance of dementia is prone to be as high as 24 million and is anticipated to double at regular intervals through to 2040, resulting to a costly burden of disease (Reitz et al, 2011).
As a physiotherapist targets a variety of structural as well as psychological deficits in demented patients and provides treatment for the same, the significance of interaction plays a vital role in building up a therapeutic relationship, leading to successful assessment and treatment (Orange et al, 1998). The key, therefore, as a physiotherapist is to adapt communication strategies unique to patients with dementia in clinical practice.
Conclusion: Physiotherapy is a significant factor in rehabilitation of patients with dementia and must adapt a holistic approach during assessment and treatment taking into consideration all the factors affecting patient centered care.
Biography:
Urmichavan has completed her Masters from Sheffield Hallam University, UK. She is currently working with a private physiotherapy clinic in UK and is an aspiring PhD student. She has done past research in the field of physiotherapy in dementia and has two publications on her name.
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