Charles Darwin University, Australia
This research constituted the first Australian study to use Coronial reports to analyse nurse-related adverse events resulting in the deaths of patients. As nurses represent the largest group in the health care workforce, providing 24-hour care, they are in a key position to contribute to improving patient safety. James Reasonʼs theory of accident prevention, including his Swiss cheese model (1990), provided a conceptual framework for the research and underpinned the Human Factors Analysis and Classification (HFACS) methodology used for the study. HFACS was used to categorize and analyze active and latent failures at each level of the organizations and to understand the interrelationships between these layers of influence that resulted in the deaths. Contributions to original knowledge derived from this research include the evidence that unsafe acts are not single, isolated events but the result of an error trajectory with influencing factors at all levels of an organization; nurse-related errors are generally preventable; communication problems exist from the top layers of organizations down to the frontline; balancing the skill-mix and number of nursing staff matters; and routine violations are preventable. Latent factors contributing to error can be identified and mitigated which can then prevent errors from occurring. The findings from this research provide an evidence base for developing focused policy and other strategies across health provider organizations to improve the safety of patients.
Biography:
Dr. Melanie Underwood is the Assistant Dean: Learning Futures at Charles Darwin University in Darwin, Northern Territory Australia. Her research program is in patient safety, nursing research and using adverse event analysis frameworks to examine healthcare error.
Tshwane University of Technology, South Africa
Pre-registration programme facilitates and supports the development and integration of new nurses into workplace and profession. It is essential to evaluate if the experiences of new nurses concur with the objectives of Pre-registration programme.
Purpose: To conduct a systematic literature review to describe documented experiences of new nurses on pre-registration programme.
Methods: Search was conducted in accordance to the PRISMA. Primary studies were sourced out using combination of search words. Extracted articles were screened for eligibility based on inclusion and exclusion criteria and quality assessment criteria.
Results: Search generated 55 articles on studies done in South African. After further screening total of 15 articles were reviewed. The four major themes were identified after the synthesis of reviewed studies. They are on: readiness to practise, organisational, senior collegues and remuneration.
Conclusions: New nurses generally possess extensive theoretical knowledge yet their ability to apply this knowledge still needs to be developed. Pre-registration programme should provide new nurses with opportunities to develop practical skills, values and norms associated with being safe practitioners. Experiences of new nurses are not compatible with objectives of Pre-registration programme. The organisations in which new nurses are placed are responsible for their smooth transition into the profession and further development. New nurses desperately need clinical supervisors to guide, coach, support and be a role model to them. A good remuneration is a motivation for them to be satisfied and be productive at work.
Biography:
Mrs. Mabusela P.D. is a lecturer at Tshwane University of Technology also a PhD student at the same university. She has been a lecturer since 2014 to date. She qualified as a professional nurse in 1985 and a nurse educator in 1995. She got her Masterʼs degree in 2012. She had three oral presentations on her Materʼs research. The experiences of pre-registration nurses are Phase 1 of my PhD, has been completed and assessed by an external moderator. Phase two in progress and Phase three to follow. Aimed at developing guidelines for managing new nurses on pre-registration programme.
Charles Darwin University, Australia
This presentation will discuss the ethical, moral and philosophical complexities and challenges for non-Indigenous researchers researching with Indigenous patients. This qualitative study explores whether Indigenous renal patients in the Northern Territory have their rights, as set out in the Australian Charter of Health Care Rights, recognised and realised.
Indigenous people are the most researched population groups in the world and according to Brannelly (2016), research methodologies often reaffirm colonising practices. The history of Indigenous health research has been imperialistic and there has been research conducted with minimal consultation, disrespectful experimentation and theft of traditional knowledge, which has led to suspicion and disrespect for Western researchers (Gray & Oprescu, 2016, Smith 2013).
It is important when researching with Indigenous people to be cognizant of the following questions: who owns Indigenous knowledge? what is the most appropriate way to collect and analyse Indigenous knowledge? And how should we store and share this knowledge? When making decisions about methodologies and methods, it is important to acknowledge the power play between traditional research methodological principles and the cultural orientation and values of the research participants. The following strategies were used in this research to ensure ethical practices.
The study design was firmly aligned with the National Health and Medical Research Council (2003) Guidelines for Ethical Conduct when researching with the Indigenous peoples. This incorporated reciprocity, respect, equality, responsibility, survival and protection and spirit and integrity. The study utilised community consultation and collaboration as a best practice, demonstrating the researcherʼs respect for Indigenous culture and values and the ethical responsibility to ensure comfort and cultural safety for the research participants. The researcher is supported and guided by an Indigenous Reference Group to ensure that this research project appropriately promotes the ethical advancement of knowledge and demonstrates respect for the diversity and integrity of Indigenous cultures.
Biography:
Mrs. Leena Kesava Panicker is a lecturer and coordinator for international students in the College of Nursing and Midwifery, Charles Darwin University (CDU), Australia. She is a final year PhD student with CDU and her thesis focuses on health rights of Australian Indigenous peoples. Her research interests include health and human rights, research ethics, researching with vulnerable groups, empowerment and chronic disease management. Leenaʼs professional and academic career spreads over 27 years in Australia, Ireland, Middle East and India. She has extensive clinical and research expertise in renal nursing and chronic disease management.
University of Kwa-Zulu Natal, South Africa
Background: Student engagement in their education institutions and in learning is a predictor of student success. Postgraduate students pursue further studies to strengthen the health systems and improve the quality of care. Therefore institutions have to ensure that they succeed in their studies and complete within record time.
Purpose: The purpose of this study was to analyze and describe student engagement in postgraduate nursing education programmes
Research Methodology: A quantitative approach and non-experimental, descriptive exploratory research design were used. A total of 179 post-basic students participated in the study and data was collected using a self-administered questionnaire. Data was analyzed statistically through descriptive and parametrical statistics. Ethics principles were observed throughout the study.
Results: The results revealed three forms of engagement; emotional, behavioral and cognitive engagement and variations in the levels of engagement. Active and collaborative learning, student-staff interaction, enriching educational experiences and a supportive learning environment were scored high as drivers as engagement. Maturity of the students, reasons for furthering studies and language of instruction as a home language were rated high as predictors of success. The participants, irrespective of the programme or specialization, had a fair level of engagement. Limited technology skills and resources were cited as barriers to engagement. The Pearson Chi-Square test, however, showed differences among different groups of students in certain areas of engagement.
Conclusion: Student engagement is a shared responsibility between the institution and the students, with both parties having a significant role. There is a dynamic interplay between student engagement, the quality of student learning and the learning environment. When these three areas are aligned the likelihood of success increases. Postgraduate students, as adult learners are better positioned to engage in their education and learning programmes.
Biography:
Ntombifikile Mtshali, known as Fikile is a Professor in Nursing Department at the University of Kwa-Zulu Natal. The Nursing Department is a World Health Organization Collaborating Centre for Nursing and Midwifery in Africa. Fikile is a nurse and a midwife. She has specialized in nursing education. Her research area is in health professionals education, with specific interest in the transformation of nursing and midwifery education in the African Region. She has published extensively in this area.
University of Kwa-Zulu Natal, South Africa
Education is a mechanism to empower graduates with the knowledge and skills relevant to pursue the career paths of their choice and cope with the workplace demands. Even though Nurses play an important role in the delivery of healthcare system, very few studies have been conducted in the Sub Saharan region to track career pathways and destinations of graduate nurses. Graduate surveys enable education institutions to plan their programmes strategically in response to market demands. Literature reflects growing concerns over the mismatch between graduates produced and workplace demands. Furthermore, the healthcare system in South Africa is under tremendous strain because of the excessive burden of disease amidst a rapidly growing population and the shortfall of Nurses to meet health demands. The study aimed attracking professional academic career paths of Bachelor of Nursing graduates from the School of Nursing, the 2010-2014 cohort. A quantitative and descriptive approach was adopted. Data was collected through a survey after obtaining ethical clearance from the University Ethics Committee. A sample comprised of 126 graduates. Data was analyzed on SPSS, descriptive statistics were used. The findings revealed that the majority of graduates were working in the public sector. Their work experience was predominantly in Primary Health Care settings, Maternal and Child Health Care, HIV management and Research Institutes. In terms of furthering their studies a number of them had additional qualifications in leadership and management, primary health care nursing, advanced midwifery, public health and community health nursing with a few having a specialization in Trauma and Critical Care Nursing. The similar interest was observed to those who were still planning to further their studies. Study participants pursued uncommon career paths, including research institutes. Findings reflected majority of graduateʼs interest areas of practice, which were in line with the national health priorities.
University of South Africa, South Africa
Background: Nursing research is important in the nursing profession. It assists nurses to base nursing actions and decisions on evidence. The latter should inform actions that are taken and ensure that they are clinically appropriate and cost effective and will provide positive outcomes for patients. The purpose of the study was to identify and describe professional nurseʼs perspectives on the utilisation of research findings in practice and to make recommendations on how research findings can be implemented to improve patient care.
Methodology: Quantitative, descriptive research was utilised to determine professional nurseʼs (N=284) perspectives on the utilisation of research findings in practice. The study was conducted in two regional training hospitals in Mgungundlovu District using a non-probability sampling approach. A self-administered structured questionnaire was utilised to collect data which were analysed using SPSS version 22.
Results: The majority of respondents indicated that they lacked adequate knowledge of researches undertaken to improve patient and how findings should be applied in practice. Several barriers were also cited as impediments including work overload, time constraints, lack of computer skills and in-service training on research and its utilization and others.
Conclusion: It was concluded that there is a need to put more emphasis on research and its utilisation during nurse education and training so that on completion of training, professional nurses understand and appreciate the importance of utilising research findings to ensure effective patient care.
Biography:
TE Masango is Associate Professor from the University of South Africa (UNISA), department of Health Studies who is passionate about nursing education and its philosophies. She has been teaching for the past 32 years and has supervised 10 masters and 2 doctoral students to completion.
University of Kwa-Zulu Natal, South Africa
Background: Globally the World Health Organization WHO (2014) is calling for the transformation of health professionals education, including nursing for universal health coverage Competency-based education programmes which are underpinned by a Primary Health Care approach are regarded as a tool towards this goal. WHO (2015) in the African Region has published prototype competency-based nursing education curricula to be adapted or adopted by those countries with a need. PHC principles are interlaced across these education programmes as part of preparing PHC oriented nurses. The Health Professionals Council in South Africa developed core competencies for health sciences undergraduate programmes and these were used as basis in the process of developing a competency framework to be adopted in the College of Sciences. The Nursing Discipline will be offering for the first time their new competency-based primary health care oriented programme. Implementation of a competency-based PHC oriented curriculum is different from the process of developing traditional nursing education programmes that are based on a medical model.
Study Aim: This study aims to analyze the implementation of a competency-based; PHC oriented undergraduate nursing and midwifery education curriculum with the intention to inform programme review.
Methodology: This study was grounded on both the constructivist and the pragmatic paradigms. A mixed method approach concurrent triangulation strategy was adopted in this study. These preliminary results are from the data that was collected from several data sources.
Results: The results highlighted the need for recurriculating with PHC philosophy, national priorities and service delivery needs driving the process. Specific PHC oriented competencies have to be threaded through out the curriculum and experiential learning sites to include traditional and none traditional clinical learning settings.
Expected outcome: A guiding framework detailing a process of implementing a competency-based PHC programme is one of the envisaged products.
Biography:
Makhosazane Barbara Dube (M.Ed.; B.Cur; Gen Nurse; Midwifery; Community; Psychiatric Nurse; Nursing Education; PHC) joined the Nursing Department at the University of Kwa-Zulu Natal in 2012. Mrs. Dube obtained her Masterʼs Degree at UKZN and is a PHD candidate. She is teaching Nursing Education both at undergraduate and Post graduate level. Her interests also include Primary Health Care and CPD. Part of her work includes coordination of a Decentralized PHC programme, which is offered in six (6) centers in one of the 9 provinces in South Africa. She is a registered member with the South African Nursing Council.
Adelaide Tambo School of Nursing Science, Tshwane University of Technology, South Africa
The World Health Organization emphasise that post-partum women need support at three, seven and six weeks postnatal. It was unknown whether the City of Tshwaneʼs clinics provided adequate support. The objective of the study was to describe the perceptions of the midwives on the use of the discharge support information package used by midwives for the postpartum women at the City of Tshwaneʼs clinics. A quantitative cross-sectional, descriptive study was conducted using structured questionnaires. Midwives, employed at three primary health care facilities in the City of Tshwane completed questionnaires. Data were analysed using STATA V13 statistical software. Fisherʼs Exact Test was used to identify relationships between different variables of interest in particular age group and according to the midwiveʼs years of experience. Of the midwives 93%; (n=25) identified the most important support need to be informational support during the postnatal check-up of the first time mother-baby pair within six weeks postpartum, emotional support was the second most needed support 31% (n=17), Only 13% (n=7) and 11% (n=6) of the respondents indicated that they need instrumental and appraisal support respectively. The Postnatal Care Policy should be implemented in all health care facilities providing postpartum care.
Biography:
Mmajapi E. Tshidi Masala-Chokwe is a lecturer of Midwifery in Tshwane University of Technology (TUT) since 2003 to date. She has qualified in Advanced Midwifery and Neonatal Science, M Tech Nursing and D Tech Nursing Science: just qualified and awaiting graduations (TUT). She is a reviewer for accredited Journals locally and internationally. She is an external examiner for Masters Programmes. She has published 8 papers in accredited journals and presented 9 papers at national and international midwifery conferences. She took part as a faculty in the Maternal Child Health Nurse Leadership Academy (MCH NLA) project 2014-2015. Took part in the project: 2011-2012 Academic Leadership Development Academy (ALDA) for STTI. She is a member of Society of midwives in South Africa (SOMSA) which is the affiliate of International Confederation of Midwives (ICM). Socially, she is a facilitator of the South African Nursing Students Association (SANSA) in our Nursing Department.
Department of Nursing, The Open University of Sri Lanka, Sri Lanka
End Stage Renal Disease (ESRD) is an incurable, life threatening chronic kidney disease that effects on individualʼs daily living. Currently, most of patients with ESRD used to live longer and healthier because of advanced technology in medicine. However, the outcome is uncertain. Spending the life between hopes of prolonging life and risk of death are often not well understood by health care professionals. This study aimed to explore the patientʼs experiences of end stage renal disease, at Teaching Hospital Kandy (THK), in Sri Lanka. Twenty patients who diagnosed ESRD and undergone hemodialysis in THK were purposefully recruited for this phenomenological study. The ethical approval was obtained from ethics review committee at THK. Data was collected through semi-structured interviews and thematic analysis was used for data analysis. Four themes were derived from the data as physical, emotional, socio-economical sufferings and sufferings from dependency. As physical sufferings, discomfort, physical restrictions, restrictions in diet, difficult in sleep and rest, lack of energy and fatigue were identified. Further, they were suffering psychologically due to uncertainty about the future, loss of hope, negative body image, lack of self-esteem, fear and frustrating, anxiety, depression and suicidal ideation. Under socio-economical sufferings, changing the personal relationships and social supports, restrictions of participation in leisure activities because of limited time with continuing treatments, barriers for sexuality, inadequate financial resources and social isolation were explored. Moreover, all most all the patients were suffering from dependency as depending on their family because of morbidity, dependence in activities of daily living and dependence on treatments and financial dependency caused by decreased working capacity. In conclusion, the patients with ESRD are suffering from physically, emotionally, socio-economically and dependency. Hence it is paramount important to increase more attention to overcome these sufferings to enhance the quality of life of the patients with ESRD.
Keywords: End stage renal disease, patientʼs experiences and phenomenology.
Biography:
E.M.J.K.B Ekanayake has ten years experience as a Registered Nurse, presently working at Teaching Hospital, Kandy, the second largest tertiary care center of the county Sri Lanka.
1Professor of Pediatric & Premature Nursing, Faculty of Nursing, Assiut University, Egypt
2Lecturer of Pediatric & Premature Nursing, Faculty of Nursing, Assiut University, Egypt
3Assistant Professor of Critical Care Nursing, Faculty of Nursing, Assiut University, Egypt
The lack of chances in clinical practice during student learning has made simulation a necessary part of nursing courses.
Aim: The aim was to investigate the effect of simulation on critical thinking, satisfaction and self-confidence of nursing students during care of pneumonic child.
Materials & Method: A quasi-experimental (non-equivalent control group design) was utilized. The study was conducted at Pediatric Nursing Lab in Faculty of Nursing, Assiut University. Simulation group consisted of 35 students who learned through using the simulation scenario besides traditional method. Control group consisted of 35 students who learned through using only the traditional method.
Tools: Three tools were used in this study; critical thinking questionnaire, self-confidence in learning scale and satisfaction in learning scale.
Results: Students in the simulation group had a significantly higher score of critical thinking, satisfaction and self-confidence compared to those in the control group (12 ± 1.6, 21.1 ± 1.5, 30.8 ± 2.5 Vs. 6.6 ± 2.2, 16.2 ± 4.3, 24.7 ± 4.4 respectively).
Conclusion: The present study concluded that using the simulation scenario improved studentʼs critical thinking, increased their self-confidence and reach higher satisfaction with highly statistically significant differences were found between the simulation and control groups.
Recommendations: Simulation method should be used in other courses and staff should be trained in developing scenarios and applying them in their courses.
1,2Medical Surgical Nursing Dept., Faculty of Nursing, Assiut University, Egypt
3Medical Surgical Nursing Dept., Faculty of Nursing, Aswan University, Egypt
4Medical Surgical Nursing Dept., Faculty of Nursing, Sohag University, Egypt
Aim: To assess nurseʼs practice for selection the site and painless intramuscular injections. Subjects and method: This data were collected from all available nurses (about 250 nurses) working in medical and surgical departments at Assiut, Sohage, Aswan, El Menia and South Vally University Hospitals. Two tools were utilized; 1. Interview questionnaire for nurses about safe intramuscular injection. 2. Painless injection practice observational chick list.
Results: Dorsogluteal site to administer intramuscular injections was preferred for use by 116 (46.4%) nurses as regard safe injection; there was highly significant difference between five universities hospitals except Sohag was the highest government where the nurses change needle after aspiration. Increased incidence of abscess in Aswan and Sohag Universities. There was significant difference between the five governments but Sohag was the highest where the nurses changed needle after aspiration.
Conclusions: The research revealed a significant difference between Upper Egypt universities hospitals regarding safe and painless technique.
Recommendations: The choice of site must be based on good clinical judgment and using an evidence based. Additional research on the safety and painless intramuscular injection covering all aspects including site and needle selection is needed.
Keywords: Intramuscular injection, painless and Upper Egypt.
Department of Nursing, Xiʼan Peihua University, China
Discussing the relationship between adrenaline level in blood and cancer related fatigue, symptom management and life quality, as well as the relationship between cancer related fatigue and SNP of adrenaline receptor of the breast cancer patients has an undoubted crucial significance. However, there were few related-researches at home and abroad. Therefore, this research is aimed to discuss the above mentioned relationship. It will provide the theoretical basis of the mechanism research and principles for nurses to take care of breast cancer patients with cancer-related fatigue. Through the present research, the achievements were as followed: 1. Proposed a comprehensive research method by combining descriptive, experimental and phenomenology approaches, for the current circumstance that cancer related fatigue cannot be accurately quantified and the singularity of research methods. It overcomes the disadvantage of independently using either subjective or quantitative research. Expandation and supplement were obtain by perform qualitative research method after quantitative research. 2. Total score and score of each dimension were obtained in accordance with the breast cancer patients in operation, chemotherapy and radiotherapy periods respectively. The relationship between cancer related fatigue and life quality of breast cancer patients was explored. 3. The patients used various and multiple coping strategies in eight coping styles to deal with their stressful situation associated with cancer and therapy. The most effective coping styles were sleeping, lying down and rest and taking a nap. 4. Qualitative and phenomenology methods were performed based on the descriptive research when body and mental experience, which cannot be derived from the quantitative research, were identified from the relative severe patients. It provided theory basis of the clinical care and nursing intervention. 5. The relationship between cancer related fatigue and adrenaline, which has a most sensitive stress, of Chinese mainland breast cancer patients. Findings from this study revealed that there was a significant positive correlation ship between cancer related fatigue and adrenaline level. Reference value was provided for the mechanism research of breast cancer related fatigue. 6. Genetics research indicated that there was no evident relationship between cancer related fatigue and the SNP of the 1296th locu on α2A-AR, which led to the direction of future study.
Biography:
Wanxia Yao has completed her PhD at the age of 48 years from Xiʼan Jiaotong University of Medicine. She works as nurse in First affiliated hospital of Xiʼan Jiaotong University as the director of Medical information management office. She works as professor in Xiʼan Peihua University also. She has published more than 80 papers in reputed journals and has been serving as an editorial board member of repute. She has reviewed more than 1000 manuscripts every year in the entire world.
School of Nursing & Public Health, University of KwaZulu Natal, South Africa
Background: The integration of mental health services into HIV services is still limited to non–existent across the Sub-Saharan African region, despite a significant increase in the volume of literature on mental health needs of people living with HIV (PLWH) over the last two decades. The poor attention to the mental well-being of PLWH across the region is inconsistent with available evidence indicating that firstly, mental disorders contribute largely to disease burdens. PLWH are more likely to suffer from mental disorders compared to the general population. Studies indicate that most health professionals are not ready to integrate mental health into HIV services.
Study Aim: This study aims to analyze the implementation of a national mental health policy framework on the integration of mental health care into HIV services at selected primary health care settings.
Methodology: Data was collected using both quantitative and qualitative research methods. Questionnaires were administered to 200 participants who agreed to partake on the study after having signed the consent. Focus group discussions were done and iinterviews were conducted with key informants. The target population included nurses, doctors, psychologists and experts in mental health and HIV, attending to clients in the Primary Health Care services, Mental Health Care Institutions and HIV services on daily basis and who have been working there for not less than two years.
Results: Findings revealed that almost 75% of the participants had negative perceptions towards the integration of mental health into HIV services at primary health care settings.
Expected Outcome: Guidelines detailing the process on how the integration of mental health into HIV services should be implemented.
Biography:
Winnie Baphumelele Cele (M Cur in Mental Health Nursing.; Dip: Gen Nurse: Community: Psychiatric and Midwifery Nursing science: B.Cur in Nursing Education, Nursing Management; joined Nursing Education at Kwa-Zulu Natal College of Nursing in 2004 till 2017) joined the Nursing Department at the University of KwaZulu Natal in 2018. Winnie Baphumelele Cele obtained her Masterʼs Degree at UKZN and is a PHD candidate. She is teaching Mental Health Nursing both at undergraduate and Post graduate level. Her interests also include Psychology; she is a contributor in different radio stations and 1 KZN TV addressing the issues of Mental Health and Psychological problems affecting the communities. Part of her work includes coordination of a service learning programme in Bachelor of Nursing program. She is a registered member with the South African Nursing Council.
University of South Africa, South Africa
Background: Nursing students register to universities in different disciplines. They are expected to complete a research project as part of a qualification. As a supervisor I am expected to support students and guide them during their journey from registration till completion.
Methodology: To date I have supervised more than 50 students including 10 Doctoral, 30 Masters and 10 Honours students. The aim of this paper is to share my experiences on student supervision. The research design will be self-reflection on my research journey and how innovation strategies were applied to support postgraduate students. The experiences include both students from residential and opendistance higher education institutions. The joys and challenges endured during the past ten years.
Results: I have been privileged to supervise students who are diligent and hardworking and that makes supervision easy. They were those who needed to be pushed so as to complete their research projects. In a residential university I had to adhere to the strict timetable on when students can consult. For the Open Distance University, I had to use email, my discussion forums, Skype, telephone and also meet students personally.
Conclusion: Students are unique and the strategies that you apply should be relevant to that particular students.
Biography:
Z. Z. Nkosi is a Professor from the University of South Africa (UNISA) who is passionate about nursing leadership and management. She has a vast knowledge in student supervision. More than 30 Masters and 10 Doctoral students graduated under her supervision. Presently she is a Manager for Tuition and Learner support in the College of Human Sciences, UNISA.
Valdosta State University, USA
Successful completion of a baccalaureate nursing education program by potentially unsuccessful students is a phenomenon that has repeatedly grabbed my attention. Many nursing students graduate at the top of their high school class, are on the Deanʼs list and for the most part, have achieved academic success with minimal effort. Unfortunately, by the middle of their first semester of nursing school, nearly 20% of these students are at-risk of failure. This number decreases to approximately 5% by the end of the semester. This is significant because graduation rates for baccalaureate programs continue to be negatively impacted by increased attrition and decreased retention. After observing this phenomenon semester after semester, I pondered what enables potentially unsuccessful students to succeed. When counseling potentially unsuccessful students, they verbalize feelings of anxiety and stress, but are able to succeed despite academic adversity. These students possess an indomitable spirit; are supported by family, friends, peers and professors; are able to view adversity through a positive lens and approach it from a position of empowerment; and are flexible with their thoughts and feelings.
A two-day resiliency training program was developed to increase resiliency by cultivating four competencies: Grit, Relationships, Optimism and Emotional agility. Prior to the first session, studentʼs grit and academic resiliency are assessed. Session one occurs 3-5 weeks after the start of the academic term with session two occurring 6-8 weeks later. Educational strategies implemented during the two sessions include motivational self-talk, goal-setting, journaling and relationship building. At the conclusion of the academic term, studentʼs grit and academic resiliency are reassessed.
Biography:
Kwanza M. Thomas, MSN, RN is a nursing faculty member at Valdosta State University, College of Nursing and Health Sciences in Valdosta, Georgia. She is a member of Georgia Association of Nurse Educators (GANE), Sigma Theta Tau International Honor Society of Nursing and is a certified BLS for Health Care Providers instructor. Kwanza has worked in a Level III NICU and also has experience in Medical-Surgical nursing and home health care. She believes the knowledge and skills received from her teachers were gifts and loves sharing those gifts with students who long to partake in this sacred work.
Assiut University, Egypt
Stress is a normal physical response to events that make you feel threatened or upset your balance in some way. There are two types of stress. One of them is called eustress and the other is called distress. Everyone feels and responds to stress differently. In general, stress is related to both external and internal factors. The external factors of stress include major life changes, work load, relationship difficulties and financial problems. While the internal factors; comprise pessimism, negative self-talk and unrealistic expectations. The symptoms of stress vary enormously among different individuals. Excess stress can manifest itself in a variety of physical symptoms like change in appetite, back pain, restlessness, sleeping problems, behavioral symptoms as overeating, increasing use of alcohol or other drugs, emotional such as anxiety, nervousness and being easily upset and cognitive symptoms as inability to concentrate and difficulty making decisions. Various strategies can be used to manage stress. Some of these strategies incorporate talking to someone, avoiding hot-button topics, time management, meditation, listening to relaxing music, praying, deep breathing exercises and getting enough sleep.
Jordan University of Science and Technology, Jordan
There is a high prevalence in malnutrition among traumatic brain injury (TBI) due to the hypermetabolism and hypercatabolism which develop post injury. Traumatic brain injury patients are different, even among themselves, in their energy requirements and response to nutritional therapy. This implies that there are other factors that affect the energy intake of these patients and enhance the incidence of malnutrition.
This study examines the nutritional status of TBI patients upon admission to the intensive care unit (ICU) and during their hospital stay to describe baseline status, detect changes in nutritional status over 7 days and identify the factors affecting the adequacy of energy intake and the change in nutritional status as a consequence. Anthropometric measurements, biomedical measurements, measures of severity of illness, daily health status, level of brain injury severity and other data were collected from the medical records of 50 patients, who were ≥ 18 years old, mechanically ventilated in the first 24 hours of ICU admission and had a Glasgow Coma Scale score between 3-12. These data were used to examine the previous relationships.
Although there was no statistically significant change found in body mass index and weight, there was a significant change detected in other nutritional markers, including hemoglobin, albumin and total lymphocyte levels over the 7 days of ICU and hospital stay. No significant relationship was found between the adequacy of energy intake and total prescribed energy, severity of illness, level of brain injury severity, daily health status, patient age, intracranial pressure or time of feeding initiation.
Biography:
Dina Mashaʼal is a professor assistant at Jordan University of Science and Technology, Irbid, Jordan. She studied the nutritional status of ICU patients who are enterally fed in the ICU. Also, she has done a project about the quality of life of post stroke survivors. She completed her Ph.D. in Nursing in 2016 at University of South Florida.
University of South Africa, South Africa
Newly qualified nurses in South Africa (RSA) are required to perform compulsory community service for a period of one year. The community service nurses (CSN) are allocated at different public health facilities in the South African provinces including the North West province (NWP). Several studies were conducted in other provinces regarding mentoring of the novice CSN. However there was little publication and documentation pertaining to mentoring of the CSN in NWP which is mostly rural and resource challenged. Convergent parallel mixed method design was used to collect data from CSN regarding their mentoring in NWP. In this study, both quantitative and qualitative data were collected, analysed and merged to get corroborative results regardng mentoring of the CSN in NWP. The CSN sample size for quantitative and qualitative methods were and 28 respectively. Merged results revealed: need for mentoring of CSN; possible benefits of mentoring; factors that enhance mentoring; factors that inhibit mentoring. Recommendations were done.
Biography:
Dr. S.H.Khunou has completed her PhD in 2017 from North West University. She has eleven years of teaching experience at nursing college and the university. Currently she is a lecturer at University of South Africa, teaching Health Service Management. She has published four articles at accredited journals.
Macksville Hospital, Australia
Through extensive consultation with both clinical and non clinical healthcare staff members, strategic shifts provide the key focus to guide the workplace design. The five identified strategic shifts provide a platform to inform the transformation to a new way of working for teams at Macksville Hospital Development, a team based strategy that is about empowering people to perform at their best, while not impeding on the need for teams to be together.
(1) Foremost Setting For Teams
(2) Supporting Retreat and Focused Working Environments
(3) New Ways of Meeting
(4) Visual Knowledge Exchange
(5) A Health and Wellbeing Overlay
Staff define success in this space as:
Technology that meets our needs & reduces paper dependence
Harnessing teams & removing the barriers
Breakout spaces to support teams & individuals
Support the need for focus, uninterrupted work
Acoustics & privacy for sensitive conversations
Develop a team code to highlight good behaviours
Access to outdoor space with fresh air & natural light
Happy, harmonious workspace
Flexibility for the future
The right equipment & appropriate storage
The area needed to allow for the provision of 50+ staff, with a minority spend their time in front of a computer, with low mobility. But the majority will be delivering clinical care are highly mobile, they will use the workspace mainly to touch base at the beginning of their day for emails and check-in with team members and then towards the end of their day to close out matters either via email or phone.
While there are less ergonomic workpoints than people, the basis of a team based working strategy specifies alternative settings, allowing for a diversity of choice from settings such as breakaway informal meeting seats, meeting rooms and the staff area, all of which add further seats to work, connect or socialise.
Ensuring these settings have access to power allows staff who only require somewhere to touchdown for a short period of time the ability to get tasks done. This means there will be more seats than people, ensuring that in busy times when the headcount in the workspace peaks during the morning and afternoon, there is somewhere to get work done.
Biography:
Mark Tyler has completed his Masters in Emergency Management from Charles Sturt University and a Bachelor of Nursing Sciences from Queensland University of Technology. He is the Senior Project Officer for the Coffs Clinical Network Redevelopment Projects team. He has spoken at conferences across Australia and in the Middle East.
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