Conference Schedule
Day1: April 23, 2018
Keynote Forum
9:30-10:00
Isabel Coetzee
University of Pretoria, South Africa
Title: Appreciative education to enhance quality outputs through assessment and feedback practices
9:30-10:00
Biography
Prof Isabel Coetzee is a senior lecturer at University of Pretoria for past 19 years involved in the education and training of pre-graduate and post-graduate students. Her area of clinical expertise is Critical Care Nursing Science.. She has supervised post-graduate scholars to completion a total of 30 Masters and 1 PhD students.. Currently she is supervising 15 Masters and 7 PhD students. She is an external examiner at several national and international universities, has examined 30 Masters dissertations and 9 PhD thesis. Prof I Coetzee has presented at various National and International Conferences relating Critical Care, Higher education and Practice development aspects. She has 18 published article in National and International Journals and is a co-researcher in a International Practice development research project with NRF Funding. She is a Fellow of the Academia of Nursing in South African (FANSA), as well as the South African representative of the World Federation for Critical care nurses (WFCCN). She is a recipient of the Critical Care Society of South Africa`s Presidents` Nursing Award for outstanding contribution to Critical Care in South Africa.
Abstract
Traditionally, educators focus on the negative aspect of a learning activity, module, or programme as evidenced in the examples of questions usually asked: What is wrong and why are the students performing so poorly? What is causing conflict between students and preceptors and who is responsible? Being asked to answer questions in a negative language, students may experience feelings of failure and negativity that, in turn, has an adverse effect on innovation and creativity. These types of questions may cause students to be demotivated and unable to plan actions to improve their academic performance and outcome. The aim of this article is to enhance educators’ awareness of the value and importance of appreciative feedback. Furthermore this article will guide educators in higher education institutions on how to facilitate learning in an appreciative manner and in turn increase quality outputs. The findings of this article are based on an in-depth literature review and findings from my doctoral study. The findings illustrated the importance of the educators to focus on (1) assessment for learning, (2) assessment of learning, (3) important questions to ask when giving feedback, and (4) giving appreciative feedback. The results have implications for educators/facilitators’/preceptor as well as for the student. The power of appreciative education lies in the way in which students become engaged and inspired by focusing on their own positive educational experiences. The emphasis is firmly on appreciating the activities and responses of people (students) rather than concentrating on their problems, furthermore it challenges people (educators/students) to rethink their ideas on how people work, how changes happens, and how research can contribute to this process.
10:00-10:30
Ligia Patricia Rojas
Valenciano,University of Costa Rica, Costa Rica
Title: Follow-up of evidence-based nursing training course taught by the ciebe-cr program of the nursing school of the university of Costa Rica
10:00-10:30
Biography
Dr. Ligia Patricia Rojas has completed his PhD at the age of 45 years from UNED University. She is Catedratical Professor and Researcher in the University of Costa Rica. She is the Coordinator of Evidence-based Nursing Research Collaboration Program in Costa Rica, Coordinator of Master's Degree in Gynecological, Obstetric and Perinatal Nursing in the Postgraduate in Nursing Sciences at the University of Costa Rica. Editor in Chief of the Current Nursing Journal of Costa Rica. She has published papers in international and national journals and participates as a peer reviewer in several nursing journals.
Abstract
Method: The CIEBE-CR Program developed a training course aimed at nursing professionals, the course lasts four months and is given annually -to date they have taken out 10 courses- in the educational modality as a hybrid course. The participant develops his research based on the evidence as the units of the course are developed and upon completion will present his brief review of literature, which may be submitted for publication. Each participant is also assigned a tutor who will help in the training process. During the process, the learning follow-up is carried out through the formative evaluations and activities that are requested of the participant and at the end of the course the quantity and quality of final works presented and recommended by the tutors for their publication is valued.
Results: Ten courses on "Clinical practice based on evidence" have been carried out since 2008 to date, aimed at health professionals, especially nurses. 200 professionals who work in different institutions of the country both in the hospital area and primary health care have participated in the course. Of the professionals participating in the 10 courses, only 150 have completed them. From the training of the course, 10 local centers of evidence-based research (CLIBE) have been established to work with both primary and secondary research and motivate other health professionals to improve their practice by strengthening safety in patient care.
Conclusion: Evidence-based nursing training is perceived as a very important research methodology that must be mastered by all nurses; however, there are personal and labor barriers that underestimate, limit or hinder the development of this methodology in daily clinical practice, it observes more support in the last three years by the authorities of the health and social security system of Costa Rica for training and Nursing update in this research.
Tracks
- Nursing in Emergency Medicine | Critical Care and Emergency Nursing | Nurse Career and Education | Patient Safety & Health Care |Teaching Strategies in Nursing Education
Location: Olimpica 1
Branko Gabrovec
National institute of Public Health, Slovenia
Chair
Marcella Kelly
National University of Ireland, Galway
Co Chair
Mari H Salminen-Tuomaala
Seinajoki University of Applied Sciences, Finland
Title: Nursing and medical staffs experiences of simulation educatio
Biography
Mari H Salminen Tuomaala, PhD in Health Sciences is a Senior Lecturer in Seinäjoki University of Applied Sciences, School of Health Care and Social Work. She is a Project Manager in simulation based education research and development project. She has worked over 20 years as Registered Nurse at medical departments, cardiac care unit and emergency department before teaching career. Her main research and expertise areas concern acute care (intensive care, out-of-hospital emergency care, care and counseling at the emergency department), simulation based education, psychosocial coping of myocardial infarction patients and their spouses, families as clients in health care and families in challenging life situations. She has about 40 conference presentations and over 50 scientific publications.
Abstract
Statement of the Problem: Today’s professionals are faced with increasingly complex health needs of the population. A combination of interdisciplinary knowledge and skills is required to ensure that the care is patient-centered, holistic and of the highest possible quality. However, multiprofessional simulation education has not been used enough as a part of continuing education.
Objective: The purpose of the research was to describe nursing and medical staff’s experiences of the usefulness of simulation education in one hospital district in Finland. The research aimed at producing user-oriented knowledge to be used in the development of multiprofessional simulation pedagogical continuing education. The study is part of a larger research project, whose purpose is to build up a multiprofessional simulated learning environment for a network of partners. They involve a university of applied sciences, a vocational education center, a health technology development center and a hospital district.
Methodology: Data were collected using a web-based survey tool. The questionnaire contained both quantitative and qualitative items. Quantitative data was analyzed using SPSS Statistics for Windows 23 and qualitative data was analyzed using inductive content analysis.
Findings: Both nursing and medical staff experience that simulation education is useful for the development of their theoretical and practical competence. They need simulation based education that aims at better management of clinical care situations. Simulation education enables to develop communication skills. Simulation education has also an important role in promoting teamwork skills. Teamwork is one of the essential skills that should be practiced to promote collaboration and reduce errors. Successful multiprofessional teamwork has the benefits of combining skills and knowledge, crossing boundaries and creating effective networks to develop a more client-centered approach. Learning together can improve participants’ technical and non-technical skills.
Conclusion & Significance: The knowledge produced in this research can be used in planning multiprofessional simulation pedagogical continuing education.
Tal Granot
Davidoff Cancer Center & Tel Aviv University, Israel
Title: Do we know how to learn after graduating? Lifelong learning among community and oncology nurses: A cross sectional study
Biography
Tal Granot RN, MA, has completed Master’s in Nursing, Master of Philosophy and serves as Nurse of the Breast Cancer Ambulatory Unit, Institute of Oncology at the Davidoff Cancer Center (affiliated to Tel Aviv University). She guides women before and after chemotherapy, manage oral chemotherapy clinic, coordinate during crisis issues, and promote learning and research among nurses in the oncology center. She has relevant clinical, educational and administrative experience as senior partner in the IONS for oral therapy nursing care. She is a senior partner in national committee regarding job development of experienced oncology nurses in the ambulatory setting and a senior partner in the development of clinical safety standard guidelines in Davidoff Cancer Center.
Abstract
Background: Development of the health care system evokes the necessitation of professional health caregiver to always be updated. The IOM and other nursing institutes performed a statement, that continuing learning among nurses is an imperative category. Literature review regarding nurses' habits and motivation for self-updating and continuing learning, are few and sometimes even contradict.
Aim: To determine the importance and responsibility that nurses relate to self-learning during their daily work.
Tools & Method: Research population was nurses from cancer center and from the community. The questioner had 2 parts: demographic (13 items) and learning (10 items). Most items based on 5 degree Likert scale.
Results: 72 responders answered the questioner (66%). 67.3% among oncology center and 75% among community nurses had advance course, 70% and 82.7% (respectively) had an academic degree. 91% of all responders believe that they have the responsibility for self-updating and 94% believe that they have the appropriate skills for that, but only 64.8% said they read more than 3 articles at the past year and 45% reported that they turn to electronic library by self-initiative rarely. Only 18% reported about often turning to electronic library and not even one as routine. At multi variance analyze there was significant negative correlation between those of 100% hours vs. partial regard to self-learning habits like reading articles, and participant at conferences or courses. No correlation was found between academic degree or advance course and self-learning among all participants.
Conclusions: Although 79.2% of responders had academic degree, and most of them believe they are responsible for their continuing learning, this study didn't reveal any evidence for academic studies as contributing factor for continuing learning among nurses. These study findings are not differing from some other studies, and it raises a huge question regarding nurses’ education.
Marcella Kelly
National University of Ireland, Galway
Title: Exploring the views and experiences of teenage parents as service users of universal child and family health care services in the Irish context
Biography
Abstract
This study explores the views and experiences of teenage parents as service users of universal child and family health care services. The focus of this study was to reveal lived experience from the emic perspective. For this purpose interpretive hermeneutical phenomenology underpinned by Martin Heidegger’s philosophical perspective was utilized. Thus, this study’s phenomenological focus emphasized the explication of ‘Being’, in this instance ‘being a teenage parent service user’ and the exploration of that existence.
The thematic analysis of the data revealed phenomenological findings represented in themes and subthemes of the phenomenon of both being a teenage parent service user of universal child and family health care services and of being in the world of the teenage parent. These themes included; being in the world of the teenage parent, being supported and helped and encounters with service entities as a service user. In the context of presenting these findings ‘world’ in this instance was viewed from the ontological perspective of being a teenage parent service user.
Following the initial explication of the phenomenological findings it was evident that participants’ existence was impacted by other people, processes and structures within their world. From these viewpoint critical realist principles using Derek Layder theory of social domains to explicate the causative mechanisms within social life that shaped the lived experience of being a teenage parent service user.
The culmination of utilizing both phenomenological and critical realist approach facilitated the explication of lived experience within the social context. The conceptualization of being a teenage parent service user revealed existence shaped by ideological social norms of the teenage parent. These understandings served to shape the personal and social sense of self contributing to the sense of difference, stigma and othering experienced. The negotiation of social milieu at the personal, interactional and contextual level revealed a struggle for participants in challenging the effects of social norms. This negotiation revealed the experience of being a teenage parent service user as dependent on how others in their world viewed them. It reveals the inherent power of others to shape the teenage parents’ existence. It reveals the struggle teenage parents have to strive toward future goals and ambitions drawing on both material and cultural resources that facilitate these goals.
Tanya Heyns
University of Pretoria, South Africa
Title: Why do we sometimes say NO? Consensus on the acaccommodation of traditional practices in critical care unit
Biography
Prof T Heyns is a senior lecturer at University of Pretoria for past 19 years involved in the education and training of pre-graduate and post-graduate students. Her area of clinical expertise is Emergemcy Nursing Care. She has supervised post-graduate scholars to completion a total of 41 Masters and 3 PhD students.. Currently she is supervising 11 Masters and 10 PhD students. She is an external examiner at several national and international universities, has examined 25 Masters dissertations and 9 PhD thesis. She has presented at various National and International Conferences relating Trauma and Emergency care as well as Practice development in the Critical Care environment. She has 20 published article in National and International Journals and is a lead researcher in an International Practice development research project with NRF Funding. She is a Fellow of the Academia of Nursing in South Africa (FANSA), as well as the past president of the Emergency Nursing Society of South Africa.
Abstract
Background: Patients admitted to critical care units receive specialised care based on modern science and technology. In these units doctors and nurses perceive western practices as superior to traditional practices. Conversely, South Africa comprises of diverse people (including nurses and doctors) and cultures, where up to 85% of the population believe in and make use of traditional practices when ill. Nurses are requested by patients and/or family members to incorporate traditional practices in the management of critically ill/dying patients. Some nurses do allow traditional practices, whilst others say no. Consensus should be reached on what should and what should not be accommodated.
Aim: Evaluate healthcare professionals accommodation of traditional practices in the critical care unit
Methods: Appreciative conversations with healthcare professionals and creative arts with nurses were used to collect data relating traditional practices accommodated in critical care units. Strategies were identified and consensus reached on which traditional practices should be accommodated in future.
Results: Healthcare professionals acknowledged that traditional practices are accommodated in a haphazard way and dependant on bedside nurses. Consensus was reached that traditional practices such as prayer, singing, religious symbols and rituals associated with dying are allowed by some nurses. In future traditional practices that are risk-free (e.g. topical application) and non-disruptive (healing session) should also be accommodated.
Conclusion: Healthcare professionals are required to develop cultural sensitivity and respect patients and/or families requests to allow traditional practices for the critically ill/dying patient. Accommodation of traditional practices should become an integral part of daily bedside nursing in critical care units. Traditional practices requested by patients and/or family members which cannot be accommodated should be discussed and re-negotiated to accommodate Western and traditional practices.
Maria Hedman
University of Gavle, Sweden
Title: Caring in nursing homes to promote autonomy and participation
Biography
Maria Hedman is a PhD student in the Department of Caring Science at the Faculty of Medicine, Uppsala University. She is a Specialist Nurse in care for older people. She has completed her MSc in Caring Science and is working as a Lecturer at University of Gävle since 2010. She is a RN since 1996, working mostly in care for older people. The research topic for her thesis is autonomy and participation for older people when living with long term conditions such as chronic illness.
Abstract
Background: Autonomy and participation are threatened within the group of older people living in nursing homes. Evidence suggests that healthcare personnel act on behalf of older people but are still excluding them from decision-making in everyday care.
Objective: The purpose was to describe registered nurses’ experience of caring for older people in nursing homes to promote autonomy and participation.
Research Design: A descriptive design with a phenomenological approach was used. Data were collected by semi-structured individual interviews. Analysis was guided by Giorgi’s method.
Participants & Research Context: A total of 13 registered nurses from 10 nursing homes participated.
Ethical Considerations: Ethical approval was obtained from the Regional Research Ethics Committee. Informed consent was achieved and confidentiality guaranteed.
Findings: The essence of caring for older people in nursing homes to promote autonomy and participation consisted of registered nurses’ awareness of older people’s frailty and the impact of illness to support health and well-being, and awareness of acknowledgement in everyday life and trusting relationships. Paying attention to older people by being open to the persons’ wishes were aspects that relied on registered nurses’ trusting relationships with older people, their relatives and surrounding healthcare personnel. The awareness reflected challenges in caring to promote older people’s right to autonomy and participation in nursing homes. Registered nurses’ strategies, hopes for and/or concerns about development of everyday life in nursing homes were revealed and mirrored their engagement in caring for older people.
Discussion & Conclusion: Awareness of older people’s frailty in nursing homes and the importance of maintained health and well-being were described as the main source for promoting autonomy and participation. Everyday life and care in nursing homes needs to be addressed from both older people’s and healthcare personnel’s perspectives, to promote autonomy and participation for residents in nursing homes.
Hala Mohamed Mohamed Bayoumy
King Saud Bin Abdul Aziz University for Health Sciences, Kingdom of Saudi Arabia
Title: The relationship of ethics education and moral sensitivity among undergraduate nursing students
Biography
Hala Mohamed Mohamed Bayoumy, BScN, MScN, DScN is an Assistant Professor, King Saud Bin Abdulazziz University for Health Sciences. She is an author of many research articles (18) published in reputed journals. She has presented papers in numerous international conferences. She is in the Editorial Board of International Journal of Nursing & Clinical Practices. She was Editor for the special issue: Self Care Skills and Quality of Life of Patients - which was published under that journal. She is also a Reviewer for multiple journals and member of many academic bodies. Her research interests centers on advances in nursing education as well as exploring impact of different illness conditions, treatment modalities and nursing interventions.
Abstract
Background: The nursing profession requires increasing competence of its practitioners at all levels. Competency among nurses cannot be achieved unless equipped with necessary moral sensitivity skills. Moral sensitivity is needed in protecting and promoting human health in uncertain, high degree of difficulty situations due to the nature of healthcare services. Nurses who have moral sensitivity skills can be trusted to act in ways that advance the interest of patients and could be made accountable for the practice. Therefore, how to best prepare students to deal with the ethical issues arise at work place is an important obligation of nursing education and research. There have been limited studies on the effects of ethics education on developing students’ moral sensitivity.
Methods & Design: The study aimed at gaining an in-depth knowledge of the relationship of ethics education on nursing students' moral sensitivity. Students’ perceptions of the relative value of the ethics study in their morals were also explored among other background factors. A non-probability, convenient sampling techniques was utilized for recruiting 419 nursing students from different level of the Bachelor program. A quantitative cross-sectional design was used; accordingly, data were collected at one point in a time. The Arabic version of the moral sensitivity questionnaire (A-MSQ) was used to measure moral sensitivity among participants. This instrument has excellent psychometric properties.
Results: Students’ mean age was 21.27±2.48 and GPA was 3.5±0.64. 44.15% of students studied ethics, 11.93% faced ethical dilemmas during their clinical practicum. Moral sensitivity mean score was 130.87±16.99 for the total participants. Moral sensitivity mean score did not significantly differ between those who studied ethics and those who did not (132.61±14.72; 129.46±18.52 respectively). Patient centered caring, professional responsibility, and constructing moral meaning was significantly different between the two groups (at pË‚0.001). Experience of moral meaning experience moral dilemmas and conflicts, nurse-patient relationship, and experience of good deeds was similar across students regardless of the study of ethics course. Moral sensitivity was significantly different between students engaged in other ethics related learning activities (p=.001).
Conclusion: Ethics study among participants was influential on their patient centered caring, professional responsibility and constructing moral meaning aspects of their moral sensitivity. Despite total score for moral sensitivity was not affected by ethics course study, it did significantly differ among students who did and did not engage in other ethics related activities. Current findings should inform program and curriculum developers of the impact of incorporating ethics study in all components of nursing education including theory and practicum training. Future longitudinal studies are needed to explore moral sensitivity development among nursing students.
Paul Rega
University of Toledo, USA
Title: START or SALT: Which triage system would you choose for yourself and your community?
Biography
Paul Rega has been an Emergency Physician for over thirty years and has been board-certified in Emergency Medicine and Pediatric Emergency Medicine until his retirement. At present, his activities have been concentrated in education and research at The University of Toledo College of Medicine where he is an Assistant Professor in both the Department of Public Health & Preventive Medicine and the Department of Emergency Medicine. He currently has a number of semester courses relating to pandemics, global health, and disasters. Virtually all of his educational endeavors are multidisciplinary in nature (Medicine, Nursing, PA, Pharmacology, and Public Health) and he makes extensive use of simulation (table-top and functional exercises, high-fidelity simulations, hybrid simulations, etc.). His association with the university has also resulted in a number of publications in peer-reviewed journals and grants associated with disaster medicine, simulation medicine, and pandemic preparedness and response.
Abstract
Statement of the Problem: Triage is critical in disaster medicine. There are a number of triage tools globally, but none has been scientifically validated. START (simple triage and rapid treatment) has the most traction because of its simplicity and its advocacy of two key medical interventions. SALT (sort, assess, life-saving interventions, treatment) has been advocated by reputable agencies in the United States such as FEMA, AMA (American Medical Association), and the National Disaster Medical System. SALT differs from START because of its recognition of victims with non-survivable conditions (gray) and the addition of two additional medical interventions (antidote administration and needle thoracostomy). However, despite SALT’s proponents, it is not as well-known among healthcare professionals and students. The positives and negatives of both triage systems will be presented.
Methodology & Theoretical Orientation: The learner will receive an introduction of triage, its history and its evolution. Then there will be a comprehensive presentation of START and SALT triage reviewing the advantages and limitations of each. Following this, there is one or more triage table-top exercises with which the learner will review each case scenario and determine which victims are red, yellow, green, black, and gray. They will also determine what medical interventions are required. Debriefing of the scenarios will follow.
Findings: The learner will then determine which of the triage tools they would select for their own community and their own healthcare institution based on the knowledge they acquired in class and during the drill.
Conclusion & Significance: Triage is a critical aspect of emergency and disaster medicine. The presentation of triage in general and START and SALT systems in greater detail will empower nurses to take the lead in improving their own triage skills and selecting the best tool for their hospitals and their community.
Tanya Heyns
University of Pretoria, South Africa
Title: Lions don’t eat grass…Addressing communication in critical care to enhance teamwork
Biography
Prof T Heyns is a senior lecturer at University of Pretoria for past 19 years involved in the education and training of pre-graduate and post-graduate students. Her area of clinical expertise is Emergemcy Nursing Care. She has supervised post-graduate scholars to completion a total of 41 Masters and 3 PhD students.. Currently she is supervising 11 Masters and 10 PhD students. She is an external examiner at several national and international universities, has examined 25 Masters dissertations and 9 PhD thesis. She has presented at various National and International Conferences relating Trauma and Emergency care as well as Practice development in the Critical Care environment. She has 20 published article in National and International Journals and is a lead researcher in an International Practice development research project with NRF Funding. She is a Fellow of the Academia of Nursing in South Africa (FANSA), as well as the past president of the Emergency Nursing Society of South Africa.
Abstract
Background: Nurses appear to be disengaged from their work and workplace cultures. A three-year emancipatory practice development research project was done in 11 critical care units in Gauteng, a province in South Africa supported the statement. Existing workplace cultures in five public and six private critical care units were observed for a total of 230 hours. Communication was identified as one of the key challenges that affected teamwork negatively.
Aim: To share how communication challenges were collaboratively addressed to improve teamwork in one public critical care unit.
Methods: Using a qualitative approach, all nurses working in one critical care unit in a public hospital were purposively sampled. Five caring conversations were held (including six to nine participants per session) in the unit over a period of two months. Collaborative data analysis and consensus were used to identify communication challenges and co-construct a way forward to improve teamwork.
Results: Consensus was reached that through verbal and non-verbal communication nurses displayed ‘unacceptable behaviour’ which negatively affected teamwork in the critical care unit. The ‘unacceptable behaviour’ characteristics were outlined and then linked to the animals e.g. the crocodile. Photos of the animal were displayed in the tearoom to raise awareness of unacceptable behaviour that will not be tolerated in the unit. The actions improved the overall behaviour as well as teamwork in the unit.
Conclusion: Nurses should be able to be open and speak about challenges relating to workplace culture experienced in practice. Setting ground rules such as being non-judgemental provides a psychological safe space to talk freely about feelings and co-construct action plans to move towards positive workplace cultures. The nurses voiced that we should remember that ‘Lions do not eat grass’…
Selen OZAKAR AKCA
Hitit University Health School, Corum, Turkey
Title: Mothers’perception of their term and preterm babies
Biography
Selen Özakar Akça received her PhD degree from Istanbul University Institute of Health Science with the thesis entitled “Risk-taking behaviours of adolescents and the effect of nursing practice on substance abuse in accordance with model of change in adolescents” in 2013. She has been working in Hitit University Health School since 2008.
Abstract
Mother's perception of her baby is influenced by; reactions, previous experience, age, intellectual abilities, personal and cultural experiences, lack of social support, lack of information about support resources, disappointment after birth, mature/premature birth of baby. Pediatric nurses should help to initiate and maintain love formation in prenatal, postnatal, and postnatal periods with family and infant. Adoption of mother's pregnancy after pregnancy should help mother and baby in the early postnatal period to help the mother to perceive herself and her baby positively. This study aimed to determine how mothers with term and preterm babies perceive their new born babies. The study was conducted on term and preterm infant mothers who gave birth in the training and research hospital. No sampling has been applied in this comparative descriptive research method, term baby mothers (N=60) with at least primary school graduation who accepted to participate in the study between January 2015-December 2017, who gave their first birth and had no physical and psychological problems, and 35th-37th week born preterm infant mothers (N=60) have constituted the sampling.
A questionnaire and a newborn perception scale were used as a data collection tool. The questionnaires were developed by the researcher, including demographic characteristics of the mother and introductory information about postnatal characteristics. The obtained data were evaluated using the significance test for the difference between two means of number and percentage and chi-square. It was determined that premature born babies were perceived as negative while term births were perceived positive by their mothers and this difference was found to be statistically significant (p=0.00). Furthermore, it was detected that the descriptive characteristics of term and preterm infant mothers did not influence the perception of their infants (p>0.05). The fact that preterm infant mothers were not informed about prenatal babysitting, and if additionally the baby was not born in the desired gender, has increased their negative perception of babies. It has been recommended to support the behavior of mothers to perceive their baby positively, especially the early initiation of the relationships of preterm infants with their mothers.
Mohammad Gholami
Lorestan University of Medical Sciences, Khorramabad, Iran
Title: Comparison the effects of concept mapping and problem-based learning on critical thinking skills of nursing students
Biography
Mohammad Gholami has work experience in emergency, critical cardiac care and neurosurgery care for 5-6 years. His PhD dissertation is focused on: process of health information seeking in patients with cardiovascular disease: design of model via grounded theory and Walker-Avant strategy. Currently, he supervises MScN theses, which concentrate on acute-chronic management diseases, cardiac care and evidence based nursing. He has been employed as a Faculty Member in the Nursing and Midwifery School of Lorestan University of Medical Sciences.
Abstract
Statement of the Problem: Concept mapping (CM) and problem-based learning (PBL) methods are constructivist teaching strategy used to develop problem solving abilities and meaning learning in nursing students. However, studies on the effects of CM and PBL on critical thinking have shown mixed results. The purpose of this study was to compare the effect of CM and PBL on critical thinking skills in nursing student in an orthopedic nursing course.
Methodology & Theoretical Orientation: A single-group quasi-experimental study with a pretest and posttest design was used. A convenience sample of second-year undergraduate students (n=44) enrolled in an orthopedic nursing course in an Iranian university of medical sciences (in Khorramabad, the administrative town of Lorestan Province in the west of Iran) were included. The CM method was used in one group over the first eight weeks of the first semester and PBL was adopted in the second eight weeks. Standardized self-administered questionnaire including the California Critical Thinking Skill Test-B (CCTST-B) administrated before and after the use of each of the approach methods. Data were analyzed in SPSS using the paired t-test.
Findings: Both groups showed significant improvement in overall and some subscales of the critical thinking skills from pretest to posttest (P<0.01), but findings demonstrated that improvement in students’ critical thinking skills (subscales of deduction, analysis, and inference) in the PBL group was significantly greater than in the CM group (P<0.05).
Conclusion & Significance: The PBL has greater potential in foster the growth of critical thinking skills in nursing students. Further studies are also recommended to compare the effects of PBL and other teaching methods.
Paul Rega
University of Toledo, USA
Title: Hydrofluoric Acid: The next terrorist weapon? Preparing yourself and your team
Biography
Paul Rega has been an Emergency Physician for over thirty years and has been board-certified in Emergency Medicine and Pediatric Emergency Medicine until his retirement. At present, his activities have been concentrated in education and research at The University of Toledo College of Medicine where he is an Assistant Professor in both the Department of Public Health & Preventive Medicine and the Department of Emergency Medicine. He currently has a number of semester courses relating to pandemics, global health, and disasters. Virtually all of his educational endeavors are multidisciplinary in nature (Medicine, Nursing, PA, Pharmacology, and Public Health) and he makes extensive use of simulation (table-top and functional exercises, high-fidelity simulations, hybrid simulations, etc.). His association with the university has also resulted in a number of publications in peer-reviewed journals and grants associated with disaster medicine, simulation medicine, and pandemic preparedness and response.
Abstract
Statement of the problem: Hydrofluoric acid (HFA) is an agent whose components’ action upon human tissue is unique among hazardous agents. This ubiquitous chemical destroys skin, fascia, muscle, and bone. The fluoride anion attaches with the body’s calcium creating the potential for hypocalcemia, tetany and death in minutes if countermeasures are not instituted immediately. Calcium in all of its iterations is the antidote of choice. However, as much as HFA is a clear and present danger, knowledge of the agent, its clinical manifestations, and the therapeutic options are not taught among the medical and nursing specialties. This presentation serves to discuss HFA, demonstrate the use of high-fidelity simulators to reinforce education, and present an HFA mass casualty table-top exercise.
Methodology & Theoretical Orientation: A primer on HFA was available to the learner. Afterwards, an HFA case scenario was developed and the learner was challenged to deliver appropriate care at the scene of the exposure and in the emergency department. Emphasis was placed on the proper utilization of antidotes. The final stage is a table-top exercise dealing with multiple victims of an intentional attack and the efficient use of the various therapeutic choices based upon the initial triage of the victims.
Findings: Learners have acknowledged that the use of high-fidelity simulations reinforced their traditional education of uncommon but life-threatening medical conditions such as HFA exposure. The addition of a mass casualty event was purposely created to address terrorism and the need of emergency nurses and physicians to act quickly and competently to utilize resources efficaciously and save lives.
Conclusion & Significance: HFA is a unique hazardous agent that has not achieved the proper recognition as a potential agent of terror. The use of case simulations and table-top exercises can resolve that issue efficiently and entertainingly.
Amadeu Matos Goncalves
School of Health of the Polytechnic Institute of Viseu, Portugal
Title: Competences of clinical communication of nurses in health care
Biography
Gonçalves A M is the Assistant Professor of Polytechnic Institute of Viseu (Health School), and Researcher of the Centre for the Study of Education, Technologies and Health (CSETH), Portugal. He did his PhD in Nursing Science at ICBAS University of Porto, 2014. His specialization includes Mental Health and Psychiatry Nursing. He is the Member of Pedagogic Council of the Health School (2003-2008) and Technic-Scientific Council (CTC) of ESSV since October 2004. He served as a Vice President of the Health School Representative Assembly since 2013. He took part in the Electoral Commission for the Election and Cooption of the Statutory Assembly of the Polytechnic Institute of Viseu (2008). He is the Founding Partner and Fiscal Council Member of the Portuguese Society of Mental Health Nursing since 2007, later integrated the social organs between 2008 and 2011 (General Assembly); since 2011 he integrated the Editorial Committee of the Portuguese Journal of Mental Health Nursing, and from 2014 to present day, its scientific committee. He is the Member of the Portuguese Suicidology Society. He took part on several organizing committees of scientific events (Congresses, Symposia and Seminars) and also on the “Invest in Capacity Project” from the Gifted Children Portuguese Association 2015/2016. His research interests include: nursing, mental health and psychiatry, suicidology, social sciences/educational anthropology, social sciences or anthropology and health socio-anthropology.
Abstract
Background: Providing nursing care involves an interpersonal relationship between nurse and the patient, which is set by communication. The ability/competence to communicate therapeutically with the patient/family is an autonomous nursing intervention that allows nurses to meet the needs of patient care.
Objectives: The objectives of the study was: to conduct a psychometric study of a clinical communication skills scale; evaluate the clinical communication skills of nursing professionals; identify the sociodemographic and professional variables that influence the clinical skills of communication and to analyze the opinions of nurses on training in clinical communication area.
Methodology: Quantitative study, non-experimental, correlational and cross-described. We used the questionnaire for sociodemographic data collection and professionals, questions about training in communication and clinical communication skills scale, built on the Kalamazoo consensus statement and used in Portugal by Leite. The sample consisted of 275 nurses in health institutions in the center of Portugal.
Results: The sample has an average age of 36.20±7.539 years. Most are nurses (75.6%); in the professional category 93.1% has a nurse category; 57.8% report having had training in clinical communication, but 73.1% admit to feeling a need for more specific training in the area. They have averaged 13.58±7.664 years of professional practice and 66.9% work in hospitals. The scale showed five factors: involve therapeutic, facilitate dialogue, understand the concerns, communicate assertively and carry interview. Overall nurses had an average level of clinical communication skills (43.3%). Most (74.8%) considered good or very good training that had the course in this area, however we found that 25% considered mediocre or bad. Almost all (98.9%) agree with the existence of specific training in clinical communication area for nurses. They had better communication skills nurses, those over 40; those with the category of nurses (without managerial functions/coordination) and those with more years of professional practice.
Conclusion: The scale clinical communication skills we used revealed good internal consistency. Despite considering the good training they have had, we see a deficit in clinical communication skills in nurses referring to the need for training in this area. The data point to increased investment in clinical communication in the training of nurses and suggest the promotion of training in this area.
Chih Wei Lu
Department of Industrial System and Engineering Chung Yuan Christian University, Taiwan
Title: Ergonomic approach for musculoskeletal disorders of nurse people in a surgery room
Biography
Chihwei Lu is an Associate Professor in the Department of Industrial System and Engineering, Chung Yuan Christian University, Taiwan. He is an expert in the fields of ergonomics testing and evaluation, individual research in industrial engineering, human research, musculoskeletal disorders of nurse people, ergonomics, occupational biomechanics, psychology, etc. His publications include, Evaluation of the Indonesian National Standard for elementary school furniture based on children's anthropometry, 2017; Prevalence of urinary tract infections and associated factors among pregnant workers in the electronics industry, 2009; Evaluating work ability and quality of life for clinical nurses in Taiwan, risk factors of adult inpatient fall events, 2005 and many more. He has won many academic and competition awards.
Abstract
The surgery-room is one of the key medical care locations in hospitals, and the tools and materials are prepared in the operation preparatory room. The people of surgery team are medical doctors, assistants and nurses who often complain about musculoskeletal disorder (MSD) problems. The MSDs originate from multiple factors. In this study, musculoskeletal disorder has been approached by using ergonomic analysis to evaluate risk factors. The objective is to estimate the risks of nurses and to redesign the tool carriage in surgery rooms. The subjects are the nurses at surgery rooms in a university hospital of south of Taiwan. The ergonomics analysis of nurse work was processed in the hospital. Not only professional observation has been done, but also camcorder and camera recorded key activities. The results of ergonomic job analysis and questionnaire show that muscle disorders are very common symptoms of low back; the results of checklist shows that the nurses and assistant people are under high musculoskeletal disorder or injury risk. The recommendations were: 1) to redesign a new carriage to reduce the handling weight of surgery tools for lifting and moving, 2) to redesign the layout of surgery rooms and preparation room should to increase productivity and reduce lifting and moving activities, 3) to provide standing-chairs and to train nurses with valid postures are recommended to decrease nurses' musculoskeletal disorders.
Fernandez-Ruiz VE
Murcia Unviversity, Spain
Title: International nurse nomenclature for integral approach of metabolic syndrome
Biography
Virginia Fernández is a Professor-Nursing Degree from 2009-2014, NHS. Basildon and Thurrock University Hospitals. She is a Nurse at the Murcia Health Service from 2008-2015, Catholic University of Murcia, Spain. Currently working as a nurse in the UK and collaborating with the University of Murcia in the direction of Nursing Master Dissertation. She is the member of Organizing Committee and Collaboration in the VII AENTDE Work Days, Redefine the Diagnosis Nurse? Mamma Mia!, UCAM in May 2009, collaboration in the First National Congress of Nursing UCAM, occupational health and current research, UCAM. May 2013 and also collaboration in the Second National Congress of Nursing UCAM, integral and special care Vision Research, UCAM. May 2014.
She is also the member of scientific committee: Collaboration in the XXVI National Congress of Clinical Interview and Communication Assistance in December 2015 at Cartagena and in the III National Congress of Young Nursing Researchers in December 2017. Murcia. Her publications include Journal Citation Report (1-) and in the international nomenclature of nursing (6-10).
Abstract
Introduction: Many authors consider “metabolic syndrome” as the 21st century pandemic, pointing it as a huge challenge for the modern public health1,2. That consideration comes from the constant increase of its prevalence, the close relation between different conditions leading to cardiovascular mortality and, as consequence, the reduction of life expectancy3. Murcia, stands out as one of the Spanish regions with a higher rate of people suffering this metabolic disorder1. It is paradoxical that a disease with a modifiable base, without ignoring the genetic load, constitutes one of the greatest challenges of public health today. In addition, different publications have shown an effective treatment3-6.This suggests that comprehensive research in tackling this epidemic is still necessary. In Spain, since the publication of the Royal ordinance 1093/20107 that recognize the legal obligation for nursing professionals to use and document the international NANDA-NOC-NIC taxonomy on their care reports; different authors,8-10 have expressed the necessity to carry out investigations based on nursing methodology, making possible the description of problems (NANDA), objectives (NOC) and interventions (NIC), that nurses work with nowadays without being aware of them.
Aim: To legalize the care and improve nursing care practice on patients with obesity and metabolic syndrome.
Methods: Identification study proposed by Gordon (1996)11, in the international nomenclature of the nursing discipline, which has been accepted by the three international reference organizations.
Results: The publication of a NANDA diagnosis to label patients with MS is presented, "Risk for Metabolic Imbalance Syndrome"12; a NOC result to objectify the analytical variations involved in it, “Metabolic Function” 13; a NIC interventions into the alterations of the pathologies involved in that metabolic entity "Hypertension Management”14, “Hypotension Management”15 and “Dyslipidemia management” 16
Conclusion: This proposal has been presented under the nursing nomenclature (NANDA, NOC, NIC) or the integral approach and to help the comprehensive approach of metabolic syndrome and cardiovascular risk.
Day2: April 24, 2018
Keynote Forum
Isabel Coetzee
University of Pretoria, South Africa
Title: Family centered care in the critical care: Voices of family members
Biography
Prof Isabel Coetzee is a senior lecturer at University of Pretoria for past 19 years involved in the education and training of pre-graduate and post-graduate students. Her area of clinical expertise is Critical Care Nursing Science.. She has supervised post-graduate scholars to completion a total of 30 Masters and 1 PhD students.. Currently she is supervising 15 Masters and 7 PhD students. She is an external examiner at several national and international universities, has examined 30 Masters dissertations and 9 PhD thesis. Prof I Coetzee has presented at various National and International Conferences relating Critical Care, Higher education and Practice development aspects. She has 18 published article in National and International Journals and is a co-researcher in a International Practice development research project with NRF Funding. She is a Fellow of the Academia of Nursing in South African (FANSA), as well as the South African representative of the World Federation for Critical care nurses (WFCCN). She is a recipient of the Critical Care Society of South Africa`s Presidents` Nursing Award for outstanding contribution to Critical Care in South Africa.
Abstract
Introduction: Critically ill patients and their family members experience the critical care unit as an extremely stressful environment. Patients admitted to critical care units are members of a wider patient-family network that functions as a small social network. Nursing care should move away from the traditional models of care, where care focuses on the physiological care of patients, to family-centered care, thus recognizing the needs of the families as inseparable from those of the patient.
Aim: To observe current family centered practices in the critical care unit.
Research Design & Methods: A qualitative research design was utilized to observe current practices relating family-centered care in the critical care unit. The researcher and critical care nurses observed current family centered practices during visiting hours on day and night duty. The nurses collaboratively analyzed the data using hermeneutic data analysis. Based on the findings strategies were identified to enhance family-centered care in the critical care unit.
Findings: The study found that the participants wanted healthcare providers to be consistent in their information sharing, not only sharing patient information when the condition changed, on admission and discharge. According to the participants, complete information sharing would promote understanding of the progress; leave them with fewer questions to ask, and make them feel part of the care team. Weekly family meetings should be held with doctors to have face-to-face conversations regarding concerns about their family members’ condition and progress. Information brochures/leaflets should be readily available for families about the ICU environment, equipment and general rules and regulations that will be important for them as family members. Supporting and involving families in the care of the critically ill family member may improve family satisfaction, reduce complaints and ultimately lead to positive health outcomes for the patient. Healthcare professionals should collaboratively and continuously engage families in care decision making. Consequently such partnership will promote a family-centered care environment in the ICU.
Biography
Paul Rega has been an Emergency Physician for over thirty years and has been board-certified in Emergency Medicine and Pediatric Emergency Medicine until his retirement. At present, his activities have been concentrated in education and research at The University of Toledo College of Medicine where he is an Assistant Professor in both the Department of Public Health & Preventive Medicine and the Department of Emergency Medicine. He currently has a number of semester courses relating to pandemics, global health, and disasters. Virtually all of his educational endeavors are multidisciplinary in nature (Medicine, Nursing, PA, Pharmacology, and Public Health) and he makes extensive use of simulation (table-top and functional exercises, high-fidelity simulations, hybrid simulations, etc.). His association with the university has also resulted in a number of publications in peer-reviewed journals and grants associated with disaster medicine, simulation medicine, and pandemic preparedness and response.
Abstract
Statement of the Problem: Botulism is a category A bioterrorism agent according to the CDC (center for disease control and prevention). However, a comprehensive knowledge of the manifestations, therapy, and short-and long-term management of the botulism patient is lacking in US medical and nursing circles. Additionally, the management of multiple botulism patients in terms of assessing criticality and prioritizing treatment and transport of multiple patients with inadequate resources is rarely addressed.
Methodology & Theoretical Orientation: The learner will learn the pathophysiology and clinical manifestations of botulism as well as the acute and long-term management of a botulism patient. Subsequently, a table-top exercise and/or drill will address strategic and tactical options when emergency nurses are confronted with multiple botulism victims. The similarities and differences between an intentional botulism outbreak and an accidental botulism outbreak will be explored.
Findings: Using case-based simulation and table-top exercises, the learner will have a better perspective about botulism, its manifestations, its management, and the triaging of and resource management for multiple patients.
Conclusion & Significance: Botulism is a disease that is rarely taught and planned for in the USA despite its placement as a category A bioterror agent. Providing emergency and critical nurses a thorough background in the short- and long-term characteristics of this disease will prove valuable if ever they are confronted with a mass casualty incident.
Biography
Abstract
Introduction: Critical care nursing in South Africa experiences a crisis. Nurse leaders, managers and the public opinion reveal poor standards of nursing care, which is confirmed by headlines in the media. At the heart of these challenges and plaguing health care services lays the disengagement of nurses from their work and workplace cultures.
Objective: Reflecting on the crisis in critical care nursing, academics from the Department of Nursing Science, University of Pretoria, envisioned facilitation of change through practice development. Practice development is a continuous process which has the intent to address existing workplace cultures and bring about change towards the development of person-centred cultures. The process is enabled by facilitators. A three year practice development programme was initiated in September 2013. The first objective was to explore the current workplace cultures in selected public and private critical care units in Gauteng.
Methods: Practice development as a methodology was used to observe the workplace culture through utilising the Workplace Culture Critical Analysis Tool. A total of 230 hours of observation in 11 critical care units (six public and four private) was done. The observation was conducted by internal (critical care nurses) and external (academia) observers in four phases. The phases included pre-observation, observation, consiousness raising and problematisation, reflection and critique. The data was analysed using a creative hermeneutic data analysis method.
Results: The “Big 7” challenges relating to workplace culture in critical care practice were identified, namely: care and caring, communication, therapeutic environment, team effectiveness, learning environment, time management and professionalism (not in order of priority).
Conclusion: Using practice development as a methodology allowed critical care nurses to collaborate with academia and participate in data collection and analysis. Participating with the critical care nurses provided them with an opportunity to observe their practice, raise awareness for taken-for-granted practices and reflect on these practices. Stepping outside their usual role of doing and getting inside the prevailing workplace culture provided the first step for taking action and addressing change.
Tracks
- Types of Nursing Education | Nursing Research and Evidence Based Practice | Professional and Continuing Nursing Education | Midwifery & Women’s health
Location: Olimpica 1
Paul Rega
University of Toledo, USA
Chair
Ligia Patricia Rojas Valenciano
University of Costa Rica, Costa Rica
Co Chair
Biography
Tal Granot, RN, MA, has completed Master’s in Nursing, Master of Philosophy and serves as Nurse of the Breast Cancer Ambulatory Unit, Institute of Oncology at the Davidoff Cancer Center (affiliated to Tel Aviv University). She guides women before and after chemotherapy, manage oral chemotherapy clinic, coordinate during crisis issues, and promote learning and research among nurses in the oncology center. She has relevant clinical, educational and administrative experience as senior partner in the IONS for oral therapy nursing care. She is a senior partner in national committee regarding job development of experienced oncology nurses in the ambulatory setting and a senior partner in the development of clinical safety standard guidelines in Davidoff Cancer Center.
Abstract
Introduction: The ongoing trend of using orally-administered instead of intravenously-administered anti-cancer agents might improve patients’ quality-of-life and sometimes reduces costs. However, as this trend facilitates transition of patients to the home-care setting, issues such as patient monitoring, and addressing adverse events (AEs), become more challenging. Thus, this trend requires remodeling patient care and the communication between the ambulatory care staff and the patients.
Objectives: To describe the development and implementation of guidelines related to the treatment of cancer patients with oral anti-cancer agents in a comprehensive cancer center.
Methods: Guideline development included several steps such as performing a literature review, identifying safety issues, evaluating the number of patients, developing patient capabilities assessment tool, and creating relevant documents (e.g. information and contacts orders for each treatment and checklists/follow up sheets for the staff).
Results: Guidelines were developed and implemented during 2013-2014. At present, the ambulatory care nurses proactively monitor the treatment of approximately 70 patients (per week), who are being treated at home. The monitoring is performed by phone/email/meetings, and includes confirming appropriate drug handling and administration (e.g., issues related to storage, dosage, and drug-food interactions), follow-up on blood tests, symptoms assessment, and hospitalization, if needed. Guidelines adoption by staff members improved patients' monitoring and decreased the rates of AEs (e.g., renal failure) and hospitalizations (will be presented).
Conclusions: Proactive approach by developing and implementing guidelines for managing patients treated with OACA was associated with improved patient care.
Branko Gabrovec
National institute of Public Health, Slovenia
Title: Violence against employees in nursing care in Slovenia
Biography
Branko Gabrovec, PhD, MSc is a Senior Researcher at the Department of Health Care, NIJZ. With 19 years of working experience at health care system and also as an Assistant Professor, he started his career in a psychiatric hospital, continued at community health care center and National Institute of Public Health. His research interests are in nursing, ageing, healthy ageing, frailty, quality and safety in health care. He is author of many scientific publications.
Abstract
We are presenting results of 5 researches on violence on employees in nursing care. In this research we have included nursing employees in psychiatric nursing care, homes for the elderly, paramedic services, community nursing and drug addiction rehabilitation centers. Researches were carried out by means of quantitative, non-experimental research, with a questionnaire being used as the method for gathering data. Researches were carried out from year 2013 to 2016. Accumulated data were analyzed by means of descriptive statistics, correlation, Kolmogorov-Smirnov test, Pearsonov χ2 test, Mann-Whitney U test and linear regression with statistical significance value of p<0.05. We have found a high exposure to violence of employees in nursing care from patients. In the greater extend they are exposed to verbal violence, often also to physical violence and sexual harassment. The highest prevalence can be observed at psychiatric nursing care. In the researched fields we have also found that a lateral violence in common. Research identifies issues of assuring safety and quality of treatment in the field of aggression. It is directed to the filed that is yet not covered by present regulative or work practice. Researches on the field of nursing care, which come in contact with aggressive patient, have yet not included wider circle of participles or discuss the need of additional functional training for employees.
David Huynh and Wai yin Mak
University of Calgary, Canada
Title: Qualitative Study: Educational value of volunteering with the elderly during nursing school
Biography
David Huynh is a graduate from the Bachelor of Nursing program in University of Calgary. His passion for making a difference in society leads him to this career path. Along the way he participated in a wide variety of volunteer activities including visiting elderly patients in this hospital. With this particular experience, he found it supplemented his learning in school and supported his development into a registered nurse. Specifically, it helped strengthen his communication skills and allowed him to see older adults as unique individuals as opposed to stereotyping this population. He pondered on the educational value of volunteering with older adults to nursing education, thus leading to a qualitative study on the topic. The study focuses on the learning and experiences of nursing students who volunteered in a similar setting.
Wai Yin Mak as a graduate from the Bachelor of Nursing program at the University of Calgary, he has developed a continuing interest towards the aging population in society. Prior to his post secondary education, he was actively involved in a variety of volunteering activities including working closely with older adults in long term care and visitations with older adults in the hospital setting. Throughout his nursing degree, he found his volunteer experience reinforced many of his learnings at school. Specifically, his volunteer vastly influenced his approaches to patient care, communication and interaction with patients, and much more. As such, Wai Yin strived to find a means to bring both his extracurricular volunteering and school knowledge together, ultimately resulting in this research study. The topic of this study primarily focuses on the learned experiences of nursing students who have volunteered with this aging population.
Abstract
This abstract describes how the educational value exposure to older adults in a work or volunteer environment can influence a nursing student’s perception of them. Two groups of nursing students from the University of Calgary were recruited via email. One group only worked with older adults during routine clinical placement as part of their undergraduate nursing degree, while the other group volunteered at the Wing Kei Care center for 3 months in addition to their usual clinical placement. All of the participants were interviewed by members of the research team. Audios from the interviews were analyzed. All participants described a positive change in their attitudes towards older adults. Regardless of the role, nursing students said they developed stronger communication skills and increased confidence in working with older adults. However, participants who volunteered for longer periods of time voiced more profound changes in communication skills. Both volunteering and clinical experiences with older adults had a positive impact on nursing student’s perceptions of older adults, and their communication skills. However, development of communication skills varied, apparently influenced by participants’ roles and the time they spent in them.
Fateme Goudarzi
Lorestan university of Medical Sciences, Iran
Title: Educating family caregivers of vegetative patients as a very important necessity: A qualitative study
Biography
Fateme Goudarzi is an Assistant Professor in Nursing, Medical-Surgical Department, School of Nursing, Lorestan University of Medical Sciences, Khorramabad, Iran, She did her BSc in Nursing at Shahid Beheshti University of Medical Sciences, MSC in Medical-Surgical Nursing, at Tehran University of Medical Sciences and PhD in Nursing, Ahvaz jundishapur University of Medical Sciences
Abstract
Introduction: Patients in a permanent vegetative state are living human beings, thus providing dignified and humanized care for them is very important. The mean survival predicted for these patients is 2-5 years, but there have been reported some patients with survivals of more than 10 years. It is worth noting that, because of their special self-care state, these patients need continual medical and social interventions and should also receive extensive care related to keeping their airways clear, immunity, liquid and electrolyte balance, nutrition, skin and corneal integrity, defecation and urination, giving them sensory stimulation, etc. On the other hand, the mentioned care should be provided by professionals, but in many countries such as Iran, because of the prolonged care period of these patients, they are discharged after their situation gets stabilized, and then they are cared for by family caregivers at home. So, continued education for family caregivers of these patients is very important but is unfortunately neglected because although home care is a very important part of the health system, it has not been adequately implemented or has been mis-implemented in the primary health care of Iran. Therefore, the present study was conducted to explain the process of vegetative patients’ care performed at home by home caregivers, one of the dimensions of this process being their educational needs and how to receive them.
Materials & Methods: The present qualitative study was conducted from 2013 to 2015 in some provinces of Iran. Purposive sampling was used and 22 informants, including 17 family caregivers and 5 professional caregivers and hospital nurses, participated in this study. Ethical considerations were respected in the sampling process. Unstructured face-to-face interviews, observation, and field notes were used for data gathering. Data collection continued until data saturation was achieved and major themes became apparent. Content analysis was performed using the Lundman and Graneheim approach and the constant comparative technique. Guba and Lincoln’s criteria were followed to ensure rigor in this qualitative study.
Findings: As a result of data analysis, the main theme of seeking opening education emerged, and its' three sub-themes included: the necessity of education, avid seeking of education and effective education. These three sub-themes had 8 subcategories. These subcategories revealed that incomplete discharge education and the patients’ need to receive multiple cares result in much fear in family caregivers. In response to this scary lack of knowledge, caregivers sought information from all sources, including professional and unprofessional sources. However, the result of the efforts of family caregivers in searching for information was accessing effective education that resulted in providing effective care for their patients.
Conclusion: Patients in a vegetative state need a variety of professional care and lack of optimized education to the family caregivers and families results in much psychological stress for them. So creating a process and a system for continuous and desirable education in the health system is very necessary. To achieve this goal, the proper intervention is to add home care to Iran's health system.
Shobha Naidu, Sheetal Barde alias Sheetal Anand Bobade, Kalpana Sawane alias Jasneet Kaur, Sheela Upendra
Symbiosis International University, India
Title: Progression of nursing education and research in India
Biography
Sheetal Barde, a dynamic individual with excellent nursing and leadership skills who has a track record of delivering academic excellence in a professional manner through her academic performance. She is highly motivated, energetic and has a positive, realistic and supportive attitude towards the needs of her students. She can effectively lead and supervised students with varied level of knowledge to help them to achieve set targets. She is working as an educationalist for last 8 years. Her Passion is to teach and guide students in developing new learning strategies as well as to make them aware about their strengths. She has done her specialization in Psychiatric Nursing. To her account she has 15 research publications in Indexed Journals. Reviewer Board Member of Scopus indexed Journals. Currently she is working as Assistant Professor at Symbiosis College of Nursing, Symbiosis International University, Pune. India.
Kalpana Sawane alias Jasneet Kaur has her expertise in Community health nursing and Andragogy with 14 years of teaching experience. She has embraced a fanatical interest in research so have contributed to 9 research publications and on a way for her doctorate. Her action research focused on application of cooperative learning on off task behavior of nursing students and problem of large classes as a part nursing teaching strategies. Her focus area at community practice is aiming on health practices related to HIV, Hepatitis B, and alcoholism and disaster management at community level. On a personal note she reflects a varied personality including ambition and thoughtfulness. She is very close to her family and blessed with two kids.
Dr Sheela Upendra is Assoc. Professor at Symbiosis College of Nursing, Symbiosis International University, Pune, India. She has logged in health care nearly 21 years of experience in Clinical and Educational sector. She has an outstanding academic background that includes Ph.D in Nursing, Masters in Sociology, Post graduate diploma in hospital administration and in Diabetes education. She believes that Research serves the key foundation and contributes towards strong academic foundation. Her true desire is to become a focus and strong leader in Nursing Profession. Her recent activities include associations with Non-governmental organizations in support of Community service for the betterment. She is Reviewer and Editorial board member in Indexed journals. She is a frequent speaker at State and National Conference and is an approved Speaker and Observer of State Nursing Council. A Gold medal recipient in Undergraduate Programme, a University topper in Post Graduation and Trained Nurses Associations of India, Pune Chapter Best Teacher Award for 2011. She is interested in badminton and a singer. On a Personal level, Life to Dr Sheela means Family and Friends.
Lt Col Shobha Naidu (Retd) is an alumnus of Armed Forces Medical College (AFMC) College of Nursing, Pune. The lady officer was commissioned into the Military Nursing Service in the rank of Lieutenant. She is an all-rounder with keen interest in Sports, Co-curricular and Extra-curricular activities. She has done M.Sc. nursing with specialization in Obstetrics & Gynaecological nursing. She will be shortly completing the Doctorate programme. Col Shobha has rendered 22 years of impeccable service in the Armed Forces and served in different terrains of the country including the high altitude area. She is presently the Offg. Director at Symbiosis College of Nursing. The lady faculty has put in a total of 26 years of service including 18 years of teaching experience. Col Shobha is a sober and disciplined individual with a friendly demeanor. She is passionate about teaching her clinical specialty and has special interest in research.
Abstract
Nursing had originated independently and existed centuries ago in India. In past, the progress of nursing has been hindered by many difficulties. Since Independence 1947, many changes have taken place and attitude toward nursing is still changing. The basic programme for combined general nursing and midwifery developed rapidly after 1871. Nursing research progression is evident by emergence of professional organizations, growth of educational institutions, research and in-depth curriculum. Indian Nursing Council is a statutory body that regulates nursing education and ensures measures for equivalence, exchange and practice for nurses in India and in abroad. Continuing nursing education supports the professional practice of nursing and the delivery of safe, evidence-based, high-quality care for patient. It supports nurses to acquire updated knowledge and skills needed to practice as technology advances. In India, nursing profession follows evidence based practice; it is booming day by day. In contest, statutory councils have initiated continuing nursing education at national and state level as a mandatory practice to renew the licensure for nursing practice. Inter professional research for nurses and inculcation of research in the curriculum echoed the impact of evidence-based practice (EBP) to improve the safety, efficiency and effectiveness of care. The nursing teacher in today’s times of rapid advancement in technology is no longer be the only way for imparting knowledge and skill in classroom and in clinical setting. Integration of theoretical and practice is a demand in nursing. In India, the teaching strategies in most of the nursing colleges are still following traditional method but there are universities, which follow advance technology in theory and clinical teaching. Name a few; simulation based learning, problem based learning, e-learning, use of multimedia in the classroom, blended learning, etc. Commonly recommended strategy to improve nursing education is to recruit more quality faculty and to support existing faculty to develop their educational provision and practice. Challenges are inadequate educational monitoring and governance at state and central level; poor physical infrastructure; lack of professional development; inadequate clinical experience etc. Opportunities are international collaborating for conferences; international partnership indicated for collaborative approach for education and research; participatory approach for entire nursing curriculum development process.
Zehra AYDIN
Hitit University Health School, Corum, Turkey
Title: Sleep problems in patients treated at surgical services
Biography
Zehra Aydin was born in Iğdır, Turkey in 1986 and she is a PhD student in Istanbul University Institute of Health Science and has been working in Hitit University Health School since 2013.
Abstract
Sleep is an important need for people to be healthy both physically and spiritually. As patients need more sleep and resting, it is important to make nurses, who are responsible for taking appropriate initiatives for sleeping problems, aware of sleep qualities and how they should be evaluated. It is well known that sleeping qualities can be affected by pain, related to diseases, encounter with unknowns after surgery and environmental factors and it is aimed to determine the factors affecting the sleeping conditions of the patients in surgical clinics and to improve these factors. This descriptive study was conducted on patients treated in the training and research hospital surgical services. No sampling was applied in the study and the patients who were treated on the dates of the study (May 2016-December 2017) constituted the sample. Data has been collected through the personal characteristics data sheet and the Pittsburgh Sleep Quality Scale using face-to-face interview method. The data of the study were evaluated by appropriate statistical methods. Statistical significance level was accepted as p<0.05. Two hundred and ninety seven patients have participated in the study, 44.7% of the patients were women and 55.3% were male. When the sleeping qualities are examined according to the personal information form of the participants, there was a statistically significant difference in terms of gender, hospital information state, daily sleep time, hospitalized clinic and hospital stay period (p<0.05). When the patients' sleep quality during hospitalization is considered to be low according to the scale results; it is recommended that patients should be informed about the diseases and the interventions to be done. The influence on the sleep routine has to be prevented and the treatment and maintenance of the patient has to be planned to avoid any change in the sleeping patterns.
Isabel Coetzee
University of Pretoria, South Africa
Title: Twelve tips for using participant observation in clinical practice
Biography
Isabel Coetzee is working as a Senior Lecturer in the Department of Nursing Science at University of Pretoria for the past 19 years. She has published 16 articles since 2010. Her tertiary experience includes teaching Postgraduate Diploma in Critical Care for past 19 years; Medical and Surgical Nursing Science for pre-graduate second year students and Research Methodology for Master’s students. She is the Coordinator for PhD programme. She has completed supervising 30 Master’s students since 2009, 2 PhD candidates and currently supervising 10 Master’s and 7 PhD students. She has done her PhD (UNISA) in 2010. She played a role of an examiner for approximately 25 Masters’ degree and 11 PhD candidates since 2011. She received the Critical Care Society of South Africa`s Presidents` Nursing Award for outstanding contribution to Critical Care (2013), inaugurated as a Fellow of the Academy of Nursing in South Africa (FANSA) (2015) and South African representative of the World Federation of Critical Care 2017-2020.
Abstract
Participant observation is a method of data generation through the observation of activities as it occurs in a natural context. Using the views of participants during observation enabled the researchers to gain an understanding of practices, social views and interaction between people to give meaning to aspects for which little was known prior to the observation. The researchers did 230 hours of participant observations in 11 different critical care units, to gain a deeper understanding of the current workplace culture in the critical care environment. The researchers paired with participants in the critical care units to observe collaboratively. Following the observation session the researcher and the participant shared what they have observed regarding the workplace culture. Clinical practice in nursing is complex and the nature of the context most often influences data collection and research findings. Participant observation is regarded as a method of data collection to observe, explain and understand relationships between team members and normal daily activities of clinical practice. The researchers used direct observation as method to gain contextual understanding of the clinical practice and approach the observations as observer-participants. The aim of this presentation is to share the 12 tips to take into consideration when using participant observation as a data collection method in clinical practice.
Biography
Amir Hossein Hossein Pour is an Undergraduate Nursing Student. He works as a Researcher at the School of Nursing and Midwifery of Lorestan University of Medical Sciences (Iran). He has research experience in cardiac and chronic care.
Abstract
Statement of the Problem: There is evidence that participation in self-management programs is beneficial for patients with musculoskeletal disorders and a large number of trials have been performed; however, the conclusions are not consistent with each other. The purpose of this review study was to evaluate the impact of self-management interventions in improving health outcomes/statues for patients with musculoskeletal disorders.
Methodology & Theoretical Orientation: In this review study PubMed, CINAHL, and EMBASE were searched for intervention studies published between 2000 and 2015 with the following Mesh terms: pain, disability, fatigue, quality of life, depression, distress, health outcome, health statues, rheumatoid arthritis, fibromyalgia, arthritis, neck/back pain and self-management or self-care. We included randomized controlled trials (RCTs) of self-management interventions that enrolled patients 18 years of age or older who were diagnosed with musculoskeletal disorders. Articles were limited to journals published in English-language. Abstracts were identified against inclusion criteria and appraised independently by two reviewers, using a critical appraisal tool.
Findings: In this review, 21 studies which met the review criteria were fully retrieved and appraised. Fourteen of 21 studies with 6581 patients measured health outcomes. Outcomes were grouped into clinical improvement, and improved health status. Six out of 10 studies that measured pain intensity, disability and fatigue reported significant reduction among those receiving self-management programs. In 5 RCTs, there were significant improvement in health distress, depression, activity limitation, global health, and self-efficacy with long term benefits for depression and quality of life subscales (to 12 months follow up). The findings of two study showed that self-management programs have small to moderate effects in improving pain and disability at the long-term level (16-18 weeks), but the medium-term (8 weeks) effect for disability is not significant. Finally in one study, no significant reduction in pain was recorded.
Conclusion & Significance: Our findings suggest that self-management programs had a positive effect in reducing pain, fatigue and in improving health outcomes/ statues.