Day 2 :
Keynote Forum
Han Roeters
Universal college of Learning, New Zealand
Keynote: Integration of ESL International Qualified Nurses (IQN) in the NZ health workforce
Time : 09:30-10:00
Biography:
Han Roeters trained as a registered nurse and Nurse Anaethetist in the Netherlands. After emigrating to New Zealand (NZ) in 1984, he registered as a NZRN and holds a MA in Health Sciences and PgDip in Health Informatics from the University of Otago, Dunedin, NZ. He has held several senior nursing and health management positions. Currently he is a senior nursing lecturer at UCOL in Palmerston North, NZ. He has 10 year experience in competency assessment of IQN. Han has provided several conference presentations at a variety of subjects including dementia care, health informatics and nursing simulation
Abstract:
Contempory literature identifies that IQNs encounter significant issues when assimilating into a foreign workforce which may impact on their safety in practice, confidence, and ability to become fully productive members of the health care team First world English speaking countries have a commonality in the increasing number of ESL IQNs assimilating in their Nursing workforce. 26% of the current NZ workforce consists of IQNs and this is predicted to increase to 35% by 2035. In 2015 45.2% of the RN workforce was over 50 year of age and a large proportion will be retiring between 2017 and 2035. Medical advancements has resulted in an increasing population age and this is associated with an increase in comorbidities. This presentation will discuss some the issues ESL IQNs experience including competency versus capability issues, communication challenges, cultural safety, professional expectation variables and clinical decision making. Finaly the presenter will discuss some potential strategies for improvement in assimilation support. The information is gathered from literature related to the preliminary results of two articles cowritten by the presenter, currently in preparation for publication in scientific nursing journals in 2017. One article describes the succesfull development of a professional diagnostic assessement using nursing simulation to establish suitability to enter the competency assessment programme. The second article evaluates the research of a Graduate Diploma for IQNs which includes competency assessment prior to registration as a NZRN and the potential (dis)advantages of extended comprehensive induction programmes and clinical placements as part of pre-registration preparation of a more in depth preparation using prior.
Keynote Forum
Ursula Smaland
VID specialized university, Norway
Keynote: What the GP doesn’t know might hurt the patient: Health promotion and primary health screening for newly arrived refugees at the GPs office
Biography:
Ursula Småland Goth (MSc. MBA MPH PhD) is Professor of Nursing Science and Migration Health at VID Specialized University. She completed her nursing training at the School of Nursing in Vienna (Austria) and has since been working with vulnerable groups such as migrants and deprived citizens
Abstract:
Introduction: Municipalities in Norway are tasked with front-line facilitation of primary healthcare needs for their local population via a patient-list system. Increasing numbers of newly arrived refugees in Oslo present a challenge to this system. A key difficulty is getting refugees established in a stable relationship with a GP as soon as possible.
Purpose: This study evaluates a pilot project in Oslo examining a sample of refugees’ initial contact with the health care system and its health promoting impact.
Method: Six months after the trial was initiated we conducted 16 semi-structured interviews with key informants.
Results: Our preliminary results show that having decentralized privately employed GPs conduct the initial medical examination only led in isolated cases to a permanent relationship with the patient. We registered further that this approach had only a marginal health promotion impact. Here a key difficulty was refugees’ lack of knowledge of the Norwegian healthcare system and role expectations. We identified external governmental partners particular responsible for conveying information to refugees.
Conclusion: To decentralize the first contact with the primary health care system to the family doctor will not enhance health promotion or safeguard newly arrived refugees and their health needs
Keynote Forum
Irene McGhee
Keynote: Improving Interprofessional Team Performance with "I START-END"TM - a Unique Communication Tool
Biography:
Associate Professor of Anesthesiology, University of Toronto, Canada
Academic focus on teaching medical students and residents, and more recently curriculum development at the national level with a focus on Patient Safety & Quality Improvement.
Extensive training, seminars and workshops in communication, and inter-professional collaboration – ongoing.
Currently involved in education research - development of “I START-END” communication tool and cognitive aid - presented as a storyboard and poster at Institute of Healthcare Improvement conference in 2015.
In 2016, this work was recognized by the Canadian Patient Safety Institute – recipient of “Power of One” Innovation in Patient Safety award.
Abstract:
The complexity of healthcare today means a patient is cared for by many healthcare professionals. Reliable transitions of care are the mainstay of such a system – unfortunately data shows that miscommunication during handovers are common (80% in one study) and can result in patient harm.
A communication tool/framework, “I START-END” was developed, to facilitate effective communication and collaboration among healthcare providers, during handovers and other episodic care encounters (AD HOC) –settings where a group of healthcare workers, usually with no prior relationship to each other, meet episodically to co-manage a patient’s care.
I START-END promotes engagement and dialogue so providers can “get on the same page”, and connect more effectively for improved seamless care of patients.
Speaking up behavior, closed loop communication, shared mental maps, doing readbacks & debriefings, as well as anticipating and planning for next, are the key activities promoted by the
I START-END communication tool.
This tool was studied in a simulator study. Before and after questionnaires showed 90% of residents stated the I START-END tool was OFTEN or ALWAYS helpful in the AD HOC setting. It facilitated communication and speaking up, and made them more aware of what else was happening with the patient and to anticipate additional resources needed.
Residents stated that they would continue to use the tool in their practice and felt it could be applied to many other clinical settings.
To prevent fragmentation of care, resilient communication strategies, such as I START END, are essential for successful inter-professional practice of the future.
- Pediatric Nursing
Session Introduction
Vedrana Vejzovic
Malmo university,Sweden
Title: The child and child’s perspective of bowel cleansing prior to the colonoscopy
Biography:
Abstract:
The purpose of this presentation is to present the child/child’s perspective of going through a colonoscopy based on the result from studies performed in by Vejzovic et al. 2015. The children with symptoms of inflammatory bowel disease (IBD) must often be subjected to a series of diagnostic tests, including abdominal CT, upper endoscopy, and colonoscopy with biopsies. In many paediatric centres, children undergo a combined upper endoscopy, colonoscopy, and terminal ileoscopy as the initial diagnostic procedure. The colonoscopy examination is today the gold standard for the diagnosis of paediatric IBD. It is a routine endoscopic non-surgical investigation of the colon and the outermost part of the small intestine. The investigation is considered effective and safe for children of all ages, and it is normally performed while the child is under anaesthesia. The role of colonoscopy is crucial for the diagnosis and monitoring of paediatric gastroenterology with as clean a bowel as possible for the appropriate detection of bowel disorders. The ESPGHAN working group generally recommend polyethylene glycol (PEG) as a standard laxative, due to its cleansing efficacy. There are several studies which found that the intake of large volumes of bad-tasting laxative (PEG) was the most difficult part of the procedure prior to colonoscopy from both a child’s and a parents’ perspective.
Sara Anna Lin Bitan
Schneider children medical center,israel
Title: Picc line for children. Is there a need for a personal adjustment?
Biography:
Abstract:
Olga Rosenstein
Schneider Children’s Medical Center of Israel
Title: Pressure ulcer preventing program among pediatric ECMO population- quantities study
Biography:
Biography: Olga Rozenshtein has an MEM (master of emergency medicine) degree from Ben-gurion university. She is an ECMO and Pediatric Intensive Care Unit specialist and instructor. She is a nurse in Pediatric Cardiac Intensive Care Unit Schneider Children’s Medical Center of Israel.
Abstract:
Pressure ulcers are common complication of ECMO treatment, due to prolonged sedation, lying position, cannulas fixation and decreased perfusion.
The incidence of pressure ulcers in pediatric intensive care units in US is about 27%. High complexity of pediatric ECMO patients has led to increase incidence of pressure ulcers in this population. Pediatric Cardiac Intensive Care Unit (PCICU) in Schneider Children's
In
The purpose of the study was to evaluate the efficiency of this new practice in preventing pressure ulcers among pediatric ECMO patients.
Benjamaporn Rungsang
Nakhon Patham University,Thailand
Title: Factors Affecting the Suicidal Ideation among Thai Adolescents
Biography:
Benjamaporn Rungsang has completed her PhD in 2015 from Burapha University, Faculty of Nursing, Chon Buri province, Thailand. She currently is a researcher and lecturer at Nakhon Patham University, Faculty of Nursing. Her research interest has been focused on adolescent mental health and psychiatric nursing.
Abstract:
- Mental Health & Psychiatry Nursing
Session Introduction
Nujjaree Chaimongkol
Burapha University, Thailand
Title: Predictors Of Suicidal Ideation Among Thai Adolescents
Biography:
Nujjaree Chaimongkol has completed hes PhD in 2004 from Saint Louis University, School of Nursing, USA. She is currently the Dean of the Faculty of Nursing, Burapha University, Thailand. Her research interest included child development, child and adolescent mental health and measurement. She has published more than 30 papers both national and international journals. She also a committee member of Thai Nurse Association.
Abstract:
Suicidal ideation refers to thought, planning or considering of engaging in behaviour intended to end one’s life. It is an indicator of suicide and significant in anticipating the suicidal attempt and completed suicide. This study aimed to examine suicidal ideation and determine factors predicting suicidal ideation among Thai adolescents. A multi-stage random sampling technique was used to recruit a sample of 408 adolescents with a mean age of 15.35 (SD = 1.76) years who were attending secondary schools in 2016 in Thailand. Research instruments included the Scale for Suicidal Ideation, the General Health Questionnaire, the Strengths and Difficulties Questionnaire, the Rosenberg’s Self-Esteem Scale, and the Negative Event Scale. Their Cronbach’s alpha reliabilities ranged from .70-.85. Descriptive statistics and stepwise multiple regression analysis were used to analysed the data. Results revealed that the mean score of suicidal ideation was 6.61 (SD = 5.05), which was at a high risk. Stressful events was the best significant predictor (β = .293), the second best was overall distress (β = .163) and the third best was negative psychological attribute (β = .151). These three predictors accounted for 21.7 % (F3, 404 = 37.218, p < .001) in the prediction of suicidal ideation among Thai adolescents. These findings suggest that nurses or health care providers who are responsible for adolescent health, especially mental health, should urgently plan activities or an intervention focusing on reduce stressful events, overall distress and negative psychological attribute. Consequently, suicidal ideation would be lessened.
Clemens Hausmann
Kardinal Schwarzenberg Hospital Schwarzach, Austria
Title: Crisis Intervention Programme for Hospital Staff: Psychological Support in the Aftermath of Critical Incidents
Biography:
Dr. Clemens Hausmann is a clinical psychologist, traumatherapist and emergency psychologist. He teaches at the Salzburg University, the Upper Austrian University for Applied Sciences, and traines nurses at several Austrian hospitals. He was the founder and director of the Salzburg Psychological First Response Team and wrote several books on psychological first aid, psychosocial support by nurses, and psychotraumatology
Abstract:
Critical Incidents are potentially traumatic situations during work, being extreme (e.g. severely injured child), similar to one’s private life (e.g. acquaintance with a dying patient) or dangerous (e.g. realistic threat or physical harm). They can lead to heavy psychological reactions and even disorders (mood and anxiety disorders, acute stress disorder, PTSD).
In 2013 the Kardinal Schwarzenberg Hospital in Schwarzach / Austria established a 3-level support programme to foster the employee’s coping strategies in the aftermath of a critical incident and to quickly provide higher levels of care, if necessary. The levels are (1.) psychological first aid by a colleague shortly after the incident, (2.) psychological stabilisation by a clinical psychologist or psychiatrist within the following days, (3.) focused trauma therapy or counselling within the first weeks.
The main emphasis lies on level 1 - psychological first aid. This first response peer support is a structured conversation with a colleague who was not involved in the incident. Approximately 20% of the hospital’s staff (all departments and professions) are trained in this. It follows three simple and helpful questions and takes about 10-15 minutes. Providing psychological first aid to colleagues is also an integral part of student nurses’ training in their final year.
The presentation gives an overview of the three levels of KIMA, of specific aspects of psychological first aid in a hospital, and of the positive effects on hospital staff and mental health in general.
PORNSIRI PHIPATANAPANIT
Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Mahidol University Bangkok, Thailand
Title: Quality of Care Perceived by Those Hospitalized for Heart Failure
Biography:
Pornsiri Phipatanapanit was a lecturer of Ramathibodi School of Nursing, Faculty of Medicine Ramathibodi Hospital, Thailand. She was studing doctoral program in nursing at Mahidol University. She has experience to take care cardiovascular patients at critical care unit of Ramathibodi Hospital, Thailand more than 10 years.
Abstract:
Quality of care from patients’ perspective is a crucial step in improving the quality of care in healthcare service. However, few studies have focus on quality of care from patients’ perspective, particular in Thailand. The purpose of this study was to investigate the influences of preference for participation, symptom burden, age, gender, and educational level on quality of care from patients with heart failure. Ninety- two patients with heart failure participated in this study. Data were collected on two unit in medical wards (one male unite and one female unit) of one tertiary care, university hospital in Bangkok. All patients were asked to complete four questionnaires: demographic data, preference and actual participation in symptom management and care, symptom burden, and quality of care from patients’ perspectives. Statistical analysis was performed by using frequency, percentage, mean, standard deviation, and logistic regression.
The results revealed that most of the patients perceived quality of care as balance high quality (BHQ) and preferred “shared-passive” role for participation in symptom management and care. The results of logistic regression revealed that gender, “difficulty sleeping”, “waking up breathless at night” and interaction effect of “difficulty sleeping” and “waking up breathless at night” were predictive factors of quality of care from patients with heart failure. All variables could together explain 26.6% of variance in quality of care from patients’ perspectives. The findings can be used as a guide for improving quality of care in persons with heart failure and promote their participation in care during hospitalization.
- Cardiovascular Nursing
Session Introduction
Yeela Tomsis1
Faculty of social welfare & health sciences, University of Haifa, Israel.
Title: Different coping strategies influence the development of PTSD among first-time mothers.
Biography:
Member of the Israeli society of psychosomatic in obstetrics & gynecology. A psychiatric rehabilitation trained professional and an associate lecturer in the Departments of Nursing, Social Work and Multidisciplinary Studies in Zefat Academic College, and in the Department of Multidisciplinary Studies in the University of Haifa, Israel. Specializing in research of Post traumatic symptoms and crisis experience after childbirth.
Abstract:
Background: Normal maternal stress during childbirth can sometimes evolve into greater levels of distress, leading to posttraumatic stress disorder (PTSD). Previous studies have shown that 1-6% of postpartum women experienced full spectrum PTSD. Individual personal characteristics, coping strategies and the birth related experience may positively or negatively alter a woman’s vulnerability to post-traumatic symptoms (PTS).
Objective: to evaluate different coping strategies for PTS, described in the non-obstetric trauma literature, with respect to first time postpartum women.
Method: This was a prospective cohort study. Eligible women had a singleton pregnancy and delivered a healthy newborn at term. Five sets of questionnaires (perceived difficulty of the labor, cognitive emotion regulation, conservation of resources, parental perceived competence, and posttraumatic stress disorder checklist) were sent to the participants six weeks postpartum. Posttraumatic stress disorder was defined as per DSM-V criteria.
Biography:
Abstract:
The treatment of pain must be aimed at the patient, adjusted to the culture, based on a correct appraisal, and be given in a safe and timely manner. Lack of an appropriate response to the patient’s complaints may cause slow recovery, high morbidity, extension of the hospitalization, high costs, and lack of satisfaction and even frustration. A clear policy, adherence to standards, the training of staffs, and instruction of patients are a part of the construction of a quality system for the treatment of pain.
Objective: To examine the relation between the types of treatment of acute pain and the quality of the treatment of post-operative pain .
Method: A cross-sectional research. Three questionnaires used – evaluation of pain questionnaire, instruction questionnaire, and patterns of treatment of pain questionnaire.
Results: 172 patients participated, mean of age of 53.2±18.1 years. 93.9% suffered from pain at an intensity of ≥4 on the VAS scale. About 60% reported that the pain influenced their mobility, and 50% reported that the pain disturbed their sleep. A statistically significant difference was found in the intensity of the pain reported among the patients who received analgesics around the clock as opposed to patients who received according to SOS (χ2=6.67, P=0.030).
Janet H. Davis
Purdue University Northwest College of Nursing, IN 46323 USA
Title: PICO: An Alternative to Tradition
Biography:
Janet H. Davis holds the BSN from Georgetown University, the MSN in Maternal Child Nursing from Boston University, an MBA from the University of Illinois at Chicago and the PhD in Education from Loyola University Chicago. She has accumulated numerous accomplishments during her distinguished career in higher education. She has held the roles of faculty and dean. Her funded research includes approximately $200,000 in federal training grants and studies on best practices in education. She is the author and co-author of published research abstracts, 30 articles, a book, and chapters in two additional books.
Abstract:
Today, advanced practice nurses must continually ask themselves: “To what extent is the care and health education that I provide evidence-based?” Advanced practice nurses are eager to identify researchable questions within their clinical settings. An underlying challenge for the advanced practice nurse is distinguishing between research utilization and evidence-based practice for providing the best clinical care. To meet this challenge, analytical skills used in the critical evaluation of research are needed. Graduate research courses traditionally begin with quantitative and qualitative research methods and end with a critical analysis of research evidence for nursing practice. An alternative aproach is to use a PICO (Population, Intervention, Comparison, Outcome) model in research course design. This approach immediatley engages the clinician in the identification of researchable questions while developing a critical appraisal skill set for evidence-based practice. The PICO model offers an applied context for synthesizing advanced nursing knowledge with the best available evidence to make decisions for practice.
- Women Health & Midwifery Nursing
Session Introduction
Raisuyah Bhagwan
Durban University of Technology, South Africa.
Title: Community engagement scholarship within the context of nursing education
Biography:
Raisuyah Bhagwan is an Associate Professor in the Child and Youth Care Program, at the Durban University of Technology, South Africa. I started my career as a social worker and was deeply involved in therapeutic and developmental work with vulnerable children and youth in rural communities. I joined academe in an effort to strengthen the professional preparedness of child and youth care practitioners in South Africa. My research interests focussed on spirituality, indigenous healing and well-being. As such I developed curricula guidelines for social work which focussed on how spirituality acts as a source of strength and the multiple spiritually based therapeutic interventions that can be used in social work practice. My interest in spirituality at the interface of health grew and I subsequently explored the role of spirituality in nursing care and education together with a Masters student. This led to several publications on this topic. I am currently the recipient of a Grant from the National Research Foundation on community engagement and have been involved in both a South African and global inquiry on community engagement in higher education. I am also involved in several international research collaborative projects.
Abstract:
When community engagement becomes embedded within nursing education it enables academics to partner with communities in ways that produce credible scholarship. Community-engaged scholarship holds promise for advancing both the good of communities and enabling teaching, learning and research within a nursing context. This holistic view of scholarship, must be seen as a core imperative of contemporary higher education, vital not only to its civic mission, but to co-create and transmit new knowledge with communities for their good. Universities rest within an eco-system of knowledge, in which “academic knowledge interacts with and is shaped by community-based knowledge” (Sandmann, Saltmarsh and O’Meara, 2008, p.47). This alludes to the fact that knowledge is not restricted to privileged academic discourse, but is enriched through interaction with communities. This paper will highlight some of the academic practices and structures that need to be created within nursing education, to enable engagement with communities. It illuminates service learning within the curriculum as an important dimension and the need for community based research, that can only be increased through a transformation of current educational practices that support this type of engagement. Most importantly this paper will highlight how health educators and students learn within rural contexts in South Africa and how this type of engagement advances knowledge production through community based research .
Kátia C G Bertoncello
University of Santa Catarina,Brazil
Title: NURSING DIAGNOSES FOR PATIENTS WITH HEART FAILURE IN THE EMERGENCY ROOM
Biography:
PhD in nursing by the University of São Paulo, teacher of the Nursing Department of the Federal University of Santa Catarina. Teacher of the Postgraduate Nursing Program PEN/UFSC. Coordinator of the Multidisciplinary Professional Master’s degree in nursing at UFSC/HU. Tutor of the Multidisciplinary Residence in Health of the Urgency and Emergency Area at UFSC/HU. Has 25 years of nursing experience, with emphasis in cardiological nursing. Is researcher and vice president at the Research Laboratory of Caring of People in Critical Health Situation (GEASS/UFSC). Effective member of the NORTH AMERICAN NURSING ASSOCIATION INTERNATIONAL (NANDA-I), The Honor Society of Nursing, Sigma Theta Tau International and of the Rede de Enfermeria Emergenciais Y Desastres en Las Americas.
Abstract:
The heart failure is considered to be one of the greatest public health problems in the world and the most of hospitalizations and hospital readmissions in people over 65 years of age, generating a high cost for the health system. Objective: To identify nursing diagnoses with a focus on the problem of patients with heart failure hospitalized in an emergency hospital of a general hospital according to the North American Nursing Diagnosis Association International NANDA-I Taxonomy. Method: Quantitative, exploratory, descriptive, In the emergency department of a southern hospital. 41 patients, older than 18 years, both sexes, who were not pregnant, were admitted to the emergency unit. Results: total of 28 diagnoses were identified, with the highest frequency being 14: sedentary lifestyle, disposition for improved health self-control, impaired physical mobility, fragile elderly syndrome, self-care intolerance for dressing, Activity intolerance, self-care deficit for Bathing, impaired comfort, decreased cardiac output, self-care deficits for intimate hygiene, poor recreation activity, fatigue, ineffective respiratory pattern, and anxiety. Final considerations: To instrumentalize nurses who attend patients with this profile, this study can contribute to the improvement of the practice and application of the nursing process and reflection on care.
Recent Publications
Salam Hadid
Galilee Medical Center, Nahariya, Israel
Title: Management of post-cesarean pain, its influence on maternal functioning and birthing mothers' recall of pain experience 48 hours later
Biography:
Abstract:
Background: Post-cesarean pain is a problem that affects the mother and, subsequently, the newborn. IV administration of acetaminophen is an accepted treatment option.
Objective: To examine efficacy IV Acetaminophen every 8 hours for the first 24 hours post-op.
Method: A prospective quantitative research study of 102 women after cesarean section (elective and emergency). Pain was recorded and then patients were questioned 48 post-op about the pain experienced and its influence on functioning ability. Pain was measured according to the Visual Analog Scale (VAS).
Results: Of 102, 98 received treatment as described. The medication reduced pain level by 2-4 points on the VAS. Mean maximum pain reported in the first 24 hours was VAS=5.61, in the next 24 hours 4.54. However, mean maximum pain remembered by the patients was VAS=7.99 in the first 24 hours and 7.07 in the next 24 hours. Most women maintained that the medication helped their pain but that the pain hindered their ability to perform tasks such as moving and leaving the bed, caring for the newborn and breastfeeding.