Day 2 :
Keynote Forum
Cathy Rodgers Ward
UCLA Medical Center, USA
Keynote: Innovation in nursing leadership: Improvements in nursing communication
Biography:
Cathy Rodgers Ward is an experienced Nurse Executive and Researcher and Chief Nursing Offi cer at the UCLA Medical Center in Los Angeles, USA. He is also a Clinical Faculty in the UCLA School of Nursing. His research focuses on the effects of nursing leadership on patient outcomes in hospitalized patients. He has also received many awards including the 2017 UCLA Leadership Award, 2015 Distinguished Alumni Award from the University of Alabama in Birmingham, the 2015 Transformational Leadership Award at UCLA and the United States 2011 Nurse week National Management Nurse of the Year.
Abstract:
Statement of the Problem: Improving nurse communication is directly correlated to increasing overall patient satisfaction. Best practices for increasing nurse communication will be presented using a professional practice model as a foundational approach. Proven strategies for nurse communication include bedside handovers, use of the patient story, commit to sit programs, nurse leader rounds, nurse-physician rounds and teach back methods. Individual nurse feedback on performance on these measures will also be discussed. Many quality programs are implemented only to have temporary gains in patient outcomes. Th is study describes a nursing leadership approach involving feedback to the individual nurse regarding their own patient’s outcomes, therefore engaging the nurse at a personal level for motivation to sustain outcomes.
Method: Th eories of human caring and motivation as well as professional practice models guide the theoretical orientation to this research. Th is study was conducted in a large academic medical center in the United States with >2000 nurses receiving their own scorecards on their performance related to nurse communication and patient satisfaction. Special emphasis was placed on positive nurse communication as a driver of patient satisfaction. Patient responses on patient satisfaction questionnaires were matched using medical record numbers with the nurse caring for them in the hospital using the nurse assigned to them each shift as documented in the electronic medical record. Analytics soft ware was utilized to prepare the data for each unit manager to share with their staff .
Findings: Nurse communication scores have steadily increased each year for the past 10 years and have been sustained since the implementation of individual nurse feedback on their scores. Patient satisfaction scores are over the 90th percentile consistently. Nurses and unit managers have responded positively to the use of the
individual nurse report as a feedback tool for coaching and motivating nurses.
Conclusions & Signifi cance: Strategies employed to increase nurse-patient interaction improve nurse communication scores. Providing nurses with an innovative and positive approach to delivering individual nurse feedback on their performance contributes to sustained patient satisfaction.
- Nursing in Health Care | Emergency and Acute Care Medicine | Education and Nursing in Research | Psychiatric Mental Health Nurses (PMHN) | Neurological Emergency | Rehabilitation Nursing | Aneasthesia and Pain Management
Location: Helsinki, Finland
Chair
Daphne van der Putten
Integral Pelvic Therapy, Netherlands
Co-Chair
Shamim Ahmad Bhat
King Saud Medical City, Saudi Arabia
Session Introduction
Daphne van der Putten
Integral Pelvic Therapy-Netherlands
Title: Integral pelvic therapy: A new approach to pelvic health for women
Biography:
Daphne van der Putten is a Midwife and the Developer of Integral Pelvic Therapy as an answer of pathology in the obstetric care. She has completed her Graduation as a Midwife and worked within all the ranges of the birthing fi eld. She is also one of the developers of the Integral Pelvic Therapy-education training and is one of the Founders and Board Member of the Integral Pelvic Therapy Association.
Abstract:
Integral Pelvic Th erapy (IPT) is a holistic form of pelvic fl oor therapy for women, with the aim of restoring balance in the pelvic area. Th is is done by using soft external and internal massage techniques in which concepts such as consent, presence and the capacity of slowing down are essential, suitable for every woman who simply wants to know more about her body, sexuality or general wellbeing. But also to treat conditions like a numb feeling in the pelvic area, dyspareunia, sexual trauma, hyper-hypotone pelvic fl oor, stress/urge
incontinence, organ prolapse or chronic infl ammations around the area of the vulva and as preparation before, during and birth. Th e IPT- practitioner works only aft er an embodied felt consent in the feminine body, so the client has an autonomous position, where she can receive the touch, instead of undergoing the treatment. For most women, this way of touching makes all the diff erence in feeling violated or not and can be applied in any case in the health care. An IPT-practitioner works with an extremely sensitive touch where full presence is required to notice the slightest change in color, tone and breathing of the client.
Case study: One Client 34 years old she got stabile marriage and gives birth 1.5 years ago. She is having severe pain in het vulva area, since she was at age 15. She feels the vulvar skin cracking during intercourse and due to the pain, she not intimate with her partner anymore. Th is is causing relationship issues. She went to the gynecologist, dermatologist, sexologist, pelvic fl oor therapist and at a psychologist. She had ultrasounds and a MRI-scan. She was diagnosed with Vulvary Vestibulitis Syndrome but no therapy helped. At last her psychologist was aimed at acceptance of the pain. At this point she felt devasted and came to me for help.Treatment was applied to give a soft stretch on the fasciae of the inner labia were tension and small restrictions were felt. Th is gave the client confi rmation about her pain. Slowly, with a lot patience, the restrictions melted away and the area of the vulva became less painful. Due to the memory of painful intercourse and medical examinations, stored emotions came loose. Aft er two treatments, the client could receive an external and internal touch without pain, for the fi rst time aft er 19 years. Th is is not a single case. I have worked with manyclients like the above. Th e combination of presence, consent and touch with awareness, seems to have an incredible benefi cial eff ect on the emotional and physical layer in a women’s body. It is time for research, so this form of therapy can be accepted as a full form of complementary care in womans pelvic health.
Daphne Van Der Putten
Integral Pelvic Therapy-Netherlands
Title: Integral pelvic therapy: A new approach to pelvic health for women
Time : 10:35-11:05
Biography:
Daphne van der Putten is a Midwife and the Developer of Integral Pelvic Therapy as an answer of pathology in the obstetric care. She has completed her Graduation as a Midwife and worked within all the ranges of the birthing fi eld. She is also one of the developers of the Integral Pelvic Therapy-education training and is one of the Founders and Board Member of the Integral Pelvic Therapy Association.
Abstract:
Integral Pelvic Th erapy (IPT) is a holistic form of pelvic fl oor therapy for women, with the aim of restoring balance in the pelvic area. Th is is done by using soft external and internal massage techniques in which concepts such as consent, presence and the capacity of slowing down are essential, suitable for every woman who simply wants to know more about her body, sexuality or general wellbeing. But also to treat conditions like a numb feeling in the pelvic area, dyspareunia, sexual trauma, hyper-hypotone pelvic fl oor, stress/urge
incontinence, organ prolapse or chronic infl ammations around the area of the vulva and as preparation before, during and birth. Th e IPT- practitioner works only aft er an embodied felt consent in the feminine body, so the client has an autonomous position, where she can receive the touch, instead of undergoing the treatment. For most women, this way of touching makes all the diff erence in feeling violated or not and can be applied in any case in the health care. An IPT-practitioner works with an extremely sensitive touch where full presence is required to notice the slightest change in color, tone and breathing of the client.
Case study: One Client 34 years old she got stabile marriage and gives birth 1.5 years ago. She is havingsevere pain in het vulva area, since she was at age 15. She feels the vulvar skin cracking during intercourse and due to the pain, she not intimate with her partner anymore. Th is is causing relationship issues. She went to the gynecologist, dermatologist, sexologist, pelvic fl oor therapist and at a psychologist. She had ultrasounds and a MRI-scan. She was diagnosed with Vulvary Vestibulitis Syndrome but no therapy helped. At last her
psychologist was aimed at acceptance of the pain. At this point she felt devasted and came to me for help. Treatment was applied to give a soft stretch on the fasciae of the inner labia were tension and small restrictions
were felt. Th is gave the client confi rmation about her pain. Slowly, with a lot patience, the restrictions melted away and the area of the vulva became less painful. Due to the memory of painful intercourse and medical examinations, stored emotions came loose. Aft er two treatments, the client could receive an external and internal touch without pain, for the fi rst time aft er 19 years. Th is is not a single case. I have worked with many clients like the above. Th e combination of presence, consent and touch with awareness, seems to have an
incredible benefi cial eff ect on the emotional and physical layer in a women’s body. It is time for research, so this form of therapy can be accepted as a full form of complementary care in womans pelvic health.
Ehsan Khan
King’s College London, UK
Title: THORAX: The online respiratory auscultation experience
Time : 11:05-11:35
Biography:
Ehsan Khan has completed his PhD in Physiology from King’s College London and has been a Registered Nurse. He is currently working as Lecturer in King’s College London. He is Academic Lead for development and utilization of online learning in the faculty and is involved in research and teaching of biosciences in nursing. He has published more than 30 papers and a number of book chapters primarily related to physiology and pharmacology in nursing.
Abstract:
Learning lung sounds (auscultation) requires repetitive listening to diff erent areas of the chest. Th is virtual reality tool will assist students in knowing where to place the stethoscope on the chest to enable them to diff erentiate between normal and abnormal chest sounds in clinical practice. Th e THORAX is developed as a tool that can be uploaded to any virtual learning environment and utilizes a rotatable torso with full sets of lungs sound were recorded from individual patients; thus providing an authentic experience of full respiratory auscultation. THORAX consists of two sections. Th e fi rst section is a training section that utilizes sanitized and fi ltered lungs sounds to acclimatize the student to the variant sounds possible. Th e second section utilizes sets of recordings that consist of 12 recordings per patient. Th ese recordings will enable students to localize problems to particular lobes and also contain ambient sounds such as the heart and gut sounds that contribute to authentic lung auscultation.
Mohammed Kaleemuddin Papa
Huma Urgent Care Centre, India
Title: Urgent care: Making healthcare affordable and accessible in India
Time : 11:35-12:05
Biography:
Mohammed Kaleemudin Papa is a committed Emergency Physician and Disaster Preparedness and Mitigation Trainer, currently pursuing his Fellowship in Wilderness Medicine. He was awarded ‘the Best Scientifi c Research Paper’ at the 10th Annual National Conference of the Society for Emergency Medicine, ‘Dr. Shanmugasundaram Gold Medal’ by an international jury. His research paper presented at the ACEP Research Forum at Boston in 2009 received much adulation. He is a Former Assistant Professor of Cardiac Care Unit at Sri Ramachandra Hospital, a tertiary care in India and Former Registrar at the Barnet & Chase Farm Hospital, NHS Trust, UK. He is a founder visionary of an unconventional 24/7 urgent care concept for India with currently six successfully functional centres, a model which provides exclusive urgent care services to students, residents and corporates. He is currently the Medical Director at HUMA Hospital established in 1987 and also Heads the HUMA Urgent Care Centre, Humanitarian Outreach Initiative (India) and Therapeia holistic health care.
Abstract:
India is a booming economy, though it is challenged by an ever-growing population and a perennially burdened health care system. Government hospitals struggle to provide quality care and health insurances are not yet within the reach of the common man. Emergency departments are in dearth and emergency transfers lack promptness and standardized practices. Th e infrastructure does not support air transfers (helicopter services) to all zones and also unaff ordable by the majority of its citizens. Road ambulances are
not quick enough, needless to say unapproachable in some urban and majority of rural areas. Call centres are not yet professional enough to cope up with the medical emergency needs of the country. With all these limitations and aff ordability issues, having to respond promptly to emergencies within the golden hour for this large population with a conservative mindset, there had to be a concept which could fi rst be aff ordable and also accessible to the larger society. An insight into how for the fi rst time in India, the urgent care concept
evolved. How an urgent care is made aff ordable to the people. What are the advantages of an urgent care center in your own locality and what are the diffi culties of running an urgent care center in a large developing nation? Why urgent care centers are quickly becoming the preferred choice over traditional physician appointments and emergency room visits. Peek into the heart of an Indian urgent care center which could be the future of prompt emergency care in this diverse cultural land.
Shamim Ahmad Bhat
King Saud Medical City, Saudi Arabia
Title: Approach to trauma resuscitation: Beyond ATLS evidence based approach
Time : 12:05-12:35
Biography:
Shamim Ahmad Bhat is working as a Consultant Emergency Medicine in Dept. of Emergency Medicine King Saud Medical City Riyadh. He is a board certifi ed from India and currently holding the chair of Academic and research co coordinator in the same department. He is also holding the chair of deputy program director for Saudi diploma in emergency medicine. He is the director of the TRR (KSMC and ALFRED University) training in King Saud Medical City. He is a part of the panel of evaluators and examiners for Saudi board of Emergency Medicine, approved by Saudi commission for health specialties.
Abstract:
Trauma is a global burden and one of the most common reasons for mortality and morbidity worldwide. With the advance in urbanization, the incidence of trauma has increased a lot. Th is magnitude is aff ecting the young generation more than the extremes of the age. Trauma affl icted critical patients need a timely management and if provided in time the outcome is too good. Th e management needs insight about the presentation, mechanism and other associated factors. Th ese all aspects need to be kept in mind while resuscitating such a critically ill patient. Since so many years the age old ATLS guidelines help us in managing the trauma patients and it serves well in achieving good outcome for such cases. But since a lot has changed in fi eld of medicine due to a great quantum of research, trauma management also needs to be updated regularly. Th e ATLS guidelines do keep us giving new updates in management of trauma cases but such guidelines take years together to be updated. While as applying evidence-based approach in resuscitating critically ill trauma cases makes us to be updated to the best and gives us the best primary outcome in such cases. And even applying the EB approach keeps us
in the limelight of best practices of resuscitation. So many things are not touched in ATLS guidelines which can be brought into clinical practice as they have been well studied in various RCTs, meta-analysis or systematic reviews, e.g. resuscitation sequence intubation, newer ventilation strategies, fl uid management and initiation of blood products transfusion, MTP protocol, damage control resuscitation and damage control surgery, etc. Time is here that we need to think out of the box while managing our precious patients in day to day life.
Denise Hall
USA
Title: Behavioral health, Alzheimer’s and dementia related illness
Time : 15:00-15:30
Biography:
Abstract:
Background: Dementia is a general term for a number of progressive, organic brain diseases, characterized by memory loss and degeneration of cognitive skills. Most neurodegenerative diseases that lead to dementia are characterized by processes that result in the aberrant polymerization of proteins, and a small proportion of subjects with these diseases develop dementia as a direct result of the presence of mutations or polymorphisms in genes that infl uence these processes. Th e most common cause of dementia, and the best studied, is
Alzheimer’s disease. Other important causes include vascular dementia, dementia with Lewy bodies, and frontotemporal dementia. Management of dementia is largely focused on helping caregivers to cope with the increase in physical dependence of patients as the disease progresses, or with the emergence of troublesome neuropsychiatric symptoms. Cholinesterase inhibitors and N-methyl-D-aspartate receptor antagonists offer some help in ameliorating the inevitable cognitive decline found in Alzheimer’s disease. Although considered as discrete entities, these diseases are not mutually exclusive and mixed pathologies are common. The etiology of dementia is determined by the underlying causative disease. By age 100, the number spikes to 60 percent. Of those who develop dementia, roughly 60 percent will prove to have Alzheimer’s disease. It’s predicted that the current number of patients with Alzheimer’s disease in the United States is roughly 5 million. In The United States, average month costs per patient totaling for nursing home care (approximately $19,900), followed by out-of-pocket spending (approximately $8,200), formal home care (approximately $12,700), and Medicare (approximately $9,700). Due to demographic developments, it is expected that by the year 2050, the number of persons suff ering from a moderately severe or severe dementia among the population over the age of 65 years will total more than two million cases. Worldwide, there are now an estimated 24 million people living with some form of dementia. Without a major medical breakthrough in the fi ght against dementia, this number could jump to as many as 84 million who have age-related memory loss by the year 2040.
Method: Qualitative research, methods and methodologies, has received increased attention in health care research, and data collect is still being collected at this present time. In the fi eld of dementia care qualitative research has been used extensively to study the lived experience of family members and more particular family caregivers. In particular burden and coping have been paid attention to. In addition to the domain of the care for persons suff ering from dementia. Our qualitative research is oft en used to study the lived experience of health care our “clients”, their perception of their situation and the meaning they give to the situation they are in. It allows uncovering processes at play in dealing situations in care giving and ward atmosphere have
been fruitfully studied using this method. Observation studies, oft en using video-registration, can help to understand care processes in dementia care, in addition to clinical trials.
Significance: Th e prevalence of dementia rises steeply with increasing age and although there are a number of forms of dementia, Alzheimer's disease is the most common, and most well-known, of the age-related memory loss diseases. Currently, more than fi ve million Americans suff er from Alzheimer's, and it is the seventh leading cause of death in the U.S. About 13% of Americans over the age of 65 have Alzheimer's and half of those over age 85 will develop Alzheimer's or a closely related dementia.
Result: To date, mutations in three genes (amyloid precursor protein, presenilin 1 and presenilin 2) have been described which lead to this early form of Alzheimer’s disease and dementia related illnesses. Th esemutations all have the same eff ect, which is the increased production of a longer version of bamyloid peptide (42 amino acids compared with 40 amino acids); this aggregates to form a condensed core of amyloid protein that becomes surrounded by degenerating neurites. Th ese relatively large extracellular structures, known asplaques, are a characteristic feature of both sporadic and inherited Alzheimer’s. While current drug therapies only treat the symptoms of Alzheimer's disease, researchers have great hope that in the near future there
will be treatments that can stop or slow Alzheimer's. Many clinical studies focus on fi nding better ways to accurately diagnose Alzheimer's disease, particularly in the early stages. Th ese studies will hopefully lead to a trusted method that enables physicians to diagnose persons at risk for the disease even before symptoms appear and begin treatment in time to prevent the development of dementia. Until such time, we found that through the in-home clinical assessment results, proves positive and signifi cant qualitative outcomes for both clients suff ering from dementia and their caregivers.
- Management Skills in Nursing | Neurological Emergency | Rehabilitation Nursing | Nursing in Emergency Medicine | Genitourinary Emergency | Innovations in Health and Medicine & Clinical and Surgical Nursing Care | Disaster and Travel Nursing & Education and Research in Nursing
Location: Helsinki, Finland
Chair
Mohammed Kaleemuddin Papa
Huma Urgent Care Centre, India
Co-Chair
Shamim Ahmad Bhat
King Saud Medical City, Saudi Arabia
Session Introduction
Shamim Ahmad Bhat
Shamim Ahmad Bhat
Title: TOX oriented ACLS: An evidence-based approach
Time : 10:55-11:25
Biography:
Shamim Ahmad Bhat is working as a Consultant Emergency Medicine in Dept. of Emergency Medicine King Saud Medical City Riyadh. He is a board certifi ed from India and currently holding the chair of Academic and research co coordinator in the same department. He is also holding the chair of deputy program director for Saudi diploma in emergency medicine. He is the director of the TRR (KSMC and ALFRED University) training in King Saud Medical City. He is a part of the panel of evaluators and examiners for Saudi board of Emergency Medicine, approved by Saudi commission for health specialties.
Abstract:
Statement of the Problem: Toxicology is one of the subspecialty which has grown leaps and bounds in the recent years worldwide. Intoxication constitutes a global burden and most of the emergency physicians are worldwide facing diffi cult cases of intoxication more over arrival of an intoxicated unresponsive patient makes it more diffi cult for the treating physicians to approach their management. Researchers have reported diverse diff erent approaches for managing such cases and international bodies are framing day in and day out
the updated guidelines for such cases. Th e purposes of this literature review are to identify the recent TOX oriented ACLS guidelines and compare them with the recent evidence.
Method: Aft er looking through the recent 2015 ACLS guidelines in relation to TOX affl icted patients presenting with cardiac arrest or instability in terms of neuro and hemodynamics, a through literature review was done for the most commonly poisoning patients and the guidelines were compared to the recent standard evidence available related to various poisoning cases. Following this the level of evidence and recommendations made were also evaluated. Th is all was done to have an evidence-based approach for the commonest poisoning
induced instability and cardiac arrests and incorporate it for the board residency residents of emergency medicine. In addition, it was anticipated to form a general consensus for treating such cases in future and clear off some of the myths related to treatment involved for such cases.
Findings: Th e comparison of the recent guidelines from ACLS and the evidence in its support proved most of the treatment has weak evidence as to the disbelief of most of the treating physician. Some of the antidotes used in current practice are at the edge of being disrepute and are no more recommended to be standard of care e.g. Flumazenil in BZD poisoning.
Conclusion: Th is literature review made it clearer that it is needed to review the standard guidelines every now and then in terms of the supporting evidence against or in favor of it particularly if it is a subspecialty
like TOX.
Dercan Gencbas
Atılım University, Turkey
Title: Turkish validation of the nursing outcomes for urinary incontinence and their sensitivities on nursing interventions
Time : 11:25-11:55
Biography:
Dercan Gencbas has completed her PhD from Gulhane Military Medical Academy, Public Health Nursing Department and Postdoctoral studies from Atılım University in Turkey. She is the Assistant Professor of Faculty of Health Science, Nursing Department. She has a lot of articles which was published in reputed journals. Her research interests are elderly health, school nursing and standard classifi ed nursing data systems.
Abstract:
There are many scales to measure Urinary Incontinence (UI). Nursing Outcomes Classifi cation (NOC) scales are ideal for use in the nursing process for comprehensive and holistic assessment with surveys available. For this reason, the purpose of this study is to evaluate the validity of the NOC outcomes and indicators used for UI. Th is research is a methodological study. In addition how much NOCs will contribute to recovery aft er the nursing intervention was assessed by experts. Scope validations have been applied and
calculated according to Fehring 1987 work model. Total of 55 experts rated Fehring as a “senior degree” with a score of 90 according to the expert scoring. Aft er the expert opinion, these weighted scores obtained for NOC indicators were classifi ed critical, supplemental or excluded. In the NOC system, 5 NOCs proposed for nursing diagnoses for UI were proposed. Th ese outcomes are Urinary continence, urinary elimination, tissue integrity, self-care toileting and medication response. Aft er the scales are translated into Turkish, the weighted average of the scores obtained from specialists for the coverage of all 5 NOCs. Aft er the opinions of the experts, 79 of the 82 indicators were calculated as critical, 3 of the indicators were calculated as supplemental. All NOCs were identifi ed as valid and usable scales in Turkey. In this study, fi ve NOCs were verifi ed for the evaluation of the output of individuals who have received nursing knowledge of UI and variant types.
Emily Taylor
St Helen’s & Knowsley Teaching Hospitals, UK
Title: Emergency department ambulatory care: Patient experience and satisfaction
Time : 11:55-12:25
Biography:
Emily Taylor is an F2 Trainee at St Helens and Knowsley Teaching Hospitals with particular career aspirations and interest in emergency medicine and research.
Abstract:
Introduction: Ambulatory Emergency Care (AEC) was introduced in 2012 via NHS Elect. St Helens & Knowsley Teaching Hospitals (STHK) was early adopters-cohort 3 in 2013. We are challenging the concept of emergency care-delivering same day care and avoiding admitting patients overnight unnecessarily. ED AEC worked closely with inpatient specialties to achieve this, through development of new protocols and clinics. Performance audits have shown reduction in time to be seen reduction in admission and decreased
length of stay in hospital. STHK is an exemplar site for AEC, being one of only a few UK EDs to house AEC. To continue improving we decided to evaluate patient experience in AEC to gain the patient’s perspective of this new service.
Method: A questionnaire involving one qualitative question and nine quantitative questions was distributed to patients. Data was collected over two months. Questions were based on STHK core standards (attitude, communication and experience).
Results: Quantitative results provided ratings of excellent/good/average/poor/very poor. Qualitative results included patient’s comments. We had 80 responses: 80% excellent or very good feedback noted for staff attitude, which involves staff professionalism and delivery of care; patient experience showed 62% excellent or very good experience which involves length of stay, comfort, quality of care and feeling supported; communication shows 67% excellent or good which incorporates information provided to patients.
Conclusion: Significant positive feedback for care delivery and staff professionalism with some areas for improvement. Action points that have been developed for the future are amended SOP to emphasize communication with the patient, patient information leafl ets, FAQ posters and improved signage. We plan to re-audit aft er implementation of changes.
Biography:
Binu Sharma is a Senior Vice President Nursing Services at Columbia Asia Hospitals India. She received Nightingale Award for Nursing Leadership. She was a Founder Member Association of Nurse Executives India. She have presented various research papers and have been a speaker at various national & international events with a special focus on Patient Safety, Infusion Safety and Infection control.
Abstract:
Leaders do more than delegate, dictate and direct, the American Nurses Association (ANA) writes. Leaders help others achieve their highest potential. Nurse managers are crucial to a medical establishment. Their presence is one of the reasons why most hospitals are functioning as smoothly as they should. A biennial survey of hospitals and health systems conducted in 2007 by the Governance Institute found that only 0.8 percent of voting board members were Chief Nursing Offi cers compared with 5.1 percent who were vice presidents for medical aff airs. New qualifi ed nurses and new nurse managers are oft en expected to hit the ground running with no management training. A management framework is required to provide a consistent approach to management development for all staff in healthcare, irrespective of discipline, role, function or seniority. Simply giving someone the title of leader or manager does not make them profi cient in that role and the titles themselves may be misleading. Given the importance of good management in creating a
healthy work environment, it is crucial that the diff erences and challenges of these roles are acknowledged to create more realistic expectations of those who hold them. Internationally, there is strong evidence that role ambiguity can discourage junior nurses from taking up leadership roles. As a result, career pathways and training opportunities need to be actively championed. A 2009 survey of primary nurses in New Zealand for example found that 82 per cent of respondents were keen to advance their careers by training for a leadership
role. Despite these positive fi gures however, the same report found that only 30 per cent of respondents felt satisfi ed with the current level of career progression on off er to them
Conclusion: Being visionary and proactive when faced with a healthcare system defi ned by rapid change and chaos is perhaps the most important of all the qualities listed. Today’s healthcare organizations face continual change in the form of organizational restructuring, quality improvement and employee retention. Such change brings with it feelings of pride and stress in equal measures. Nurse leaders need to embrace change, adapt to it and in doing so re-energize and empower the workforce with their management skills.
Kwan Sharis
Caritas Institute of Higher Education, China
Title: The effectiveness of using adventure-based training in enhancing the competency, self-efficacy and resilience among nursing students for clinical practicum
Time : 13:50-14:20
Biography:
Kwan Sharis joined in nursing community, Sharis worked as a nurse in the maternity ward. In 2016, he began to transfer to teaching work and became a nursing instructor at Caritas College.
Abstract:
Background & Aim: Clinical practice is a vital component in nursing education that provides students with real-life opportunities to practice in hospital and community settings. Nevertheless, with an increasing complexity of the healthcare system, accountability for patient care and expectations for higher-quality service from the general public, clinical practicum can be a very stressful experience for nursing students. Th is study aimed to examine the eff ectiveness of using adventure-based training in enhancing the self-effi cacy, resilience and competency among nursing students towards clinical practicum.
Methods: A pilot Randomized Controlled Trial (RCT), two-group pretest and repeated posttest, betweensubjects design was conducted in a tertiary institution. Twenty (20) baccalaureate nursing students were invited to participate with 10 students received 1-day adventure-based training (experimental group) and another 10 students received the same amount of time and attention as the experimental group but not in such a way as to have any specifi c eff ect on the outcome measures (placebo control group) before clinical practicum. Adventure-based training was based on the experiential learning theory that emphasize on physical challenge, periods of refl ection, overcoming adversity and team work building. Most importantly, the training allowed students to experience the “cannot” and learn to achieve the “can”; such experience could enhance students’ self-effi cacy and resilience, consequently improved their competency for clinical practicum. Participants’ self-effi cacy, resilience and competency were assessed at the time of recruitment, 1-week, 3-months and 6-months aft er clinical practicum.
Results: Participants in the experimental group reported statistically signifi cant higher levels of self-effi cacy (p<0.01), resilience (p<0.01) and competency (p<0.01) than those in the placebo control group.
Conclusion: Adventure-based training was found to be eff ective in enhancing nursing students’ competency, self-effi cacy and resilience towards clinical practicum. Th e fi ndings of the pilot study support for a large RCT on the eff ectiveness and sustainability of such training.
Tomasz Iwanski
Institute of Health Sciences PWSZ in Oswiecim, Poland
Title: Nurse in the process of preventing domestic violence
Time : 14:30-15:00
Biography:
Tomasz Iwanski is the Doctor of Health Sciences and has completed his Master of Nursing. He has completed his post-graduation degree in Medical Law. He is a Specialist in Organization and Management and is a Certifi ed Tutor. He is a Lecturer, Trainer of medical personnel, education, social welfare, police, in the fi eld of diagnostics and organization of assistance to victims of violence. He is the Creator of diagnostictherapeutic standardization regarding the treatment of abused child, standard of nursing diagnostic and therapeutic procedures with victims of violence, based on the assumptions of the European Quality Assurance Network-EuroQuan (The European Quality Assurance Network) by
Donabedian theory. He is also a Member of the PARPA council for the prevention of domestic violence for many years. He is the Editor in Chief of the magazine, Human-Health Integration in PWSZ Oswiecim where he works now as an Academic Teacher being also Vice Director of the Institute of Health Sciences.
Abstract:
The problem of domestic violence occurs in all societies and cultures and for many years it’s been regarded as an important social issue especially in Western Europe. At that time, international organizations created plenty of documents advising the member States of the European Union, to take changes in law and practice in order to raise the eff ectiveness of combat with domestic violence and to provide victims of violence with assistance and eff ective interaction for domestic violence perpetrators. Up to this day in Poland,
domestic violence was not seen as a purely pathological phenomenon. Initially, the problem was marginalized and silenced, because families with a domestic violence problem carefully hid these facts, especially in contact with health care system. Th erefore, it was necessary to determine the role of nurses as people of fi rst contact with the patient, which in the event of diagnosis of symptoms which indicate violence can take an appropriate diagnose and therapeutic measures which would lead to the prevention of domestic violence. Th e main objective was to determine the level of knowledge of professionally active nurses and students of nursing connected with the problem of domestic violence (279 active nurses and 281 students of nursing). Th e author used a questionnaire. Both groups of respondents did not recognize the long-term eff ects of domestic violence; they well recognize factors infl uencing the violence development. Respondents experienced violence in their families and problem of violence is oft en found in work of nurses and students’ private environment. Both groups rated their knowledge at the secondary level. Nurses and students perceive a nurse as a person who can prevent domestic violence and have their place in an interdisciplinary team procedure called blue bear, implementation of procedures designed for nursing standard diagnoses and therapeutic procedure in case of violence in the family.
Thokozile Gininda
Institute of Nursing in Mpumalanga, South Africa
Title: Factors influencing the recruitment and retention of nurse educators in a selected higher education Institute of Nursing in Mpumalanga, South Africa
Time : 15:30-16:00
Biography:
Abstract:
Statement of problem: Challenges to recruitment and retention include amongst other, an aging population, increased work load and unattractive salary packages. Researchers have focused on recruitment, such as an insuffi cient pool of nursing doctoral graduates and a lack of resources for nursing schools.Th e focus of the analysis was to examine what attracted the nurse educators to teaching, how they were recruited to nursing education. Th e study also aimed to investigate retention of educators. Research Methodology: An exploratory descriptive design, using a quantitative approach, was used in this study. A structured questionnaire was used.
Results: According to the respondents, who are nurse educators, knowing what their responsibilities are and how much authority they have were the retaining factors in their position. Recommendations: On final analysis several recommendations were proposed:
1. It was recommended that the study should be cascade to other
provinces for comprehensive report of nurse educator experiences. 2. Th e researcher also recommended the second translation Factors infl uencing the recruitment and retention of nurse educators in a selected higher education Institute of Nursing in Mpumalanga, South Africa
Lata Mandal
Sri Ramachandra Institute of Higher Education & Research, India
Title: Prioritized nursing care: A deviation in the holistic concept of nursing
Time : 15:35-16:05
Biography:
Lata Mandal is pursuing her Doctoral research as a full time research scholar in Sri Ramachandra Institute of Higher Education. She has served as a Critical Care Nurse for more than 15 years in the Indian Military Nursing Service. She is an Active Member of the Nursing Research Society of India and has publications in various national journals.
Abstract:
Prioritized care is a term used to defi ne nurses’ inability to carry out holistic care for patients. Literature and the world view suggest that this phenomenon of prioritized care challenges the basic concept of nursing care. It has also been closely linked with issues of patient safety, satisfaction and has been negatively
associated with nurse’s job experience. A quantitative study was undertaken among 100 staff nurses in a tertiary care hospital of South India to identify the activities that nurses gave least and most priority and to also explore the factors responsible for nurse’s decision for prioritization. Findings revealed that individual needs based interventional care like emotional support and teaching, basic care interventions like mouth care, ambulation, etc. were given less priority by nurses. Activities related to therapeutic and diagnostic procedures
like administration of medications, were given more priority majority of nurses cited inadequacy of human resource and communication failure as reasons for prioritization. Th e fi ndings suggested a deviation of nursing practice from the original holistic concept of the discipline. Nurse leaders need to acknowledge measure and prevent prioritization to ensure a climate of patient safety and better professional experience for nurses.
Shae Krizia Romualdo
Saint Louis University, Finland
Title: Nursing in emergency medicine (Philippines Set up)
Time : 16:05-16:35
Biography:
Shae Krizia Romualdo has pursued her Bachelor of Science in Nursing from Saint Louis University. She has worked as a Registered Nurse in Attendo Suomi. She is currently working as a Practical Nurse in Finland.
Abstract:
The setup of emergency medicine may vary greatly in fi rst world countries in contrast to developing countries such as the Philippines. In my experience as a general nurse in a primary hospital in my home country, I could say that doctors, nurses and the whole health care team make the most out of the limited
resources that we have. Th e primary hospital I’ve been working in caters to over 3,000 company employees, their dependents, and the residents of the outlying communities. Due the large population of people the hospital covers, nurses are trained to have a keen clinical eye and triage the patients as soon as they walk in the emergency room. Nurses are very oft en the fi rst ones to receive a patient, make a detailed interview, history taking, assess vitals including ECG and do initial interventions such as administering oxygen, starting IV lines and of course starting CPR even before doctor’s orders. Th is fast-paced routine is set up to be able to deliver care immediately as we have few doctors and the doctors had to rely on nurses’ reports, assessments
and initial interventions before they proceed with the course of care. Th is also means that nurses have more hands-on training, bigger responsibilities as we always have to do something fi rst before the next doctor is available and we have more interaction with the patients. We know that every second count in saving one’s life so nurses have to act fast, more independently and be resourceful.