Biography:

Mohammad Khatib has completed  his Nursing Bachelor (RN & BA) and his Public Health Master (MPH) from the Hebrew University, Jerusalem, Faculty of Medicine. He has completed his Ph.D. at the age of 47 years from Haifa University, School of Education. He is a lecturer at Zefat Academic College, Nursing Department in transcultural nursing, community nursing, and health promotion. He is a community activist through number of health NGO's, health promoter and educator.

His main professional and research interests are Arabs health in Israel, culture and health, community health promotion and health education.

Abstract:

The image of nursing as a profession can be defined as its perception in the eyes of the nursing staff, the multidisciplinary team, the patients and their families. The perception of professionalism in nursing can influence the profession in several ways. Cooperation between nursing and other health professionals includes direct and open communication when most functions are performed by a multidisciplinary team. This collaboration affects the well-being of patients, and the satisfaction of medical and para-medical staff. This study examines the status and image of the nursing profession in the eyes of medical and para-medical professionals and the relationship between selected characteristics of these professionals and their perceptions of nursing. Method: The study was a quantitative, descriptive study, based on data collected from 234 interviewees working in different health care settings who filled in a structured questionnaire and took part in a face-to-face interview. Findings: Attitudes of health care professionals to the nursing profession are generally positive. However there is still reluctance to acknowledge the contribution of academic studies to professional development. Conclusion: Despite the general consensus among health professionals about the importance of professionalization of nursing, the role of nursing personnel is still seen as focused mainly on the satisfaction of the physical needs of patients and far less as involved in treatment decision-making processes, organizational policy and health promotion.

Biography:

Chad Rasmussen has completed his BSN in 1996 from Morningside College, and his Master of Science from Creighton University in 2005. He is currently an Instructor of Surgery and an Assistant Professer of Family Medicine for the Mayo Clnic College of Medicine. He has practiced as a Registered Nurse in the Pediatric ICU, CVSICU, Level One Trauma Centers, Flight Nursing, APRN in Family Medicine, Emergency Medicine, Cardiology, and Critical Care . Mr Rasmussen is currently a Nurse Practitioner at Mayo Clinic in Rochester, MN working in Family Medicine. 

Abstract:

Nurse practitioners and physician assistants have become a more common staffing model in urban and rural emergency departments. Typically, in the rural settings, the NPPA are usually running the emergency department solo, making clinical decisions, with or without collaboration of a back up physician. This can lead to many specific challenges for the NPPA, specifically in education and training. 

Biography:

Tracey completed her Doctorate in Clinical Practice in 2015 from the University of Southampton. She is the lead for the doctoral programmes within the faculty of health sciences, which include the clinical doctorate, the PhD as well as an integrated PhD and clinical doctoral fellowship schemes. She is currently writing her research up for publication, a psychosocial study of alcohol and families, with other examples of publications from previous research on leadership and decision making and a discussion paper on binge drinking and cognitive impairment. Tracey is a member of the research sub-committee of a national charity.

Abstract:

Manley (1996) subscribed to the notion of advanced practice as that which advances nursing practice encompassing the role of educator, researcher and consultant, promoting and developing clinical nursing from clinical to strategic and policy levels effectively driving patient and health care delivery.

However deficits in the development of research leadership, capacity and capability among healthcare professionals within the United Kingdom (UK) were reported (UKGCE, 2003; UKCRC, 2006).

Leadership (Brook and Rushforth, 2011), education and research remained key to advanced practice (DH, 2010).

Rapid change within the health and social care arena has meant that more sophisticated knowledge and skills related to service/practice design and redevelopment as well as governance are required. The document published in December 2015, ‘Delivering the Forward View: NHS planning guidance’, refers to research and its improvement within the NHS, in implementing research proposals and initiatives, leadership of service developments.

The Doctorate in Clinical Practice (DClinP) programme places emphasis on strengthening clinical practice alongside research leadership, building on existing expertise focussing on practice in health and social care, promoting contribution made to meeting global contemporary health and social care challenges, thereby improving patient outcomes.   

Within the last five years, approximately 24 students have been awarded a doctorate. The impact of clinical and research leadership training is evident. Practitioners have talked about being aware of a whole new world of research and academic practice, and the wider career opportunities available.   The strength of the programme and its impact is in advancing practice through its rich mix of intellectual stimulation increasing research capacity and research-led practice.

Biography:

Tracey Rickards completed her PhD in 2013 from Dalhousie University. She has 30 years of experience working as a Nurse. She holds a 4-year Canadian Institute of Health Research salary award as the Embedded Clinician Researcher with a focus on improving the health outcomes of vulnerable populations. She is an Assistant Professor and teaches Community Nursing both in the classroom and in clinical setting. Her area of research interest is Primary Health Care, LGBTQ health, and homelessness

Abstract:

Nurse practitioners (NPs) were incorporated into the Canadian healthcare system to respond to a population need for increased accessibility to primary care providers. The integration of NPs in New Brunswick began in 2003. Evaluation of the NP role is essential to determine whether the expected outcomes (i.e. increased accessibility) occurred and for future practice guidance. We asked, “Did the implementation of the NP role in New Brunswick meet the identified community health care needs?” The objectives were (1) To understand the practice patterns of NPs in New Brunswick; (2) to evaluate NP outcomes and overall success of implementation of the role; and (3) to provide much needed foundational documentation in furthering the ongoing and future evaluation. Because there has been no evaluation of the NP role within the province, we have no understanding of a healthcare landscape that includes NPs to determine the strengths and limitations that arise through the holistic practice of NPs in primary healthcare in New Brunswick. A multi-method approach using an NP Practice Pattern and Patient-Experience survey consisting of questions and standardized self-report measures of demographics, geographic setting, and practice models was used. Results highlighted: (1) patients’ extreme satisfaction with the healthcare received through NP providers, correlating with findings globally; (2) accessibility to care increased since the initiation of NPs as primary care providers; and (3) NPs working to full scope of practice provide an economically sound solution to an overburdened provincial economy. 

Biography:

Sharon Schaaf has board certification as a Family Nurse Practitioner (FNP) as well as an Adult/Gerontology Acute Care Nurse Practitioner (AGACNP) and earned her Doctor of Nursing Practice (DNP) from Texas Woman’s University. She has been working as a cardiovascular nurse practitioner for 14 years, both inpatient and outpatient, the last 5 years has been providing nocturnal coverage for a premier cardiology practice in Albuquerque, NM. She is also the Concentration Coordinator for the UNM College of Nursing Adult/Gerontology Acute Care Nurse Practitioner program.

Abstract:

The number of Acute Care nurse practitioners (ACNP) in the United States in increasing and approximately 20% have a clinical focus area of cardiology. The role and responsibilities of the ACNP in this arena differs with the various cardiovascular subspecialties. The cardiovascular ACNP providing nocturnal coverage has its own unique set of responsibilities that encompasses each subspecialty. The aim of this discussion is to address the role, responsibilities, and challenges of a private-practice, nocturnal cardiovascular nurse practitioner working in a frontier-designated state in the United States

Biography:

Abstract:

Statement of the Problem: In the United States, one-in-five Medicare fee-for-service beneficiaries are readmitted within 30-days of hospital discharge at a cost of $26 billion dollars annually. The Hospital Readmissions Program created under the Affordable Care Act of 2013, supports reduced payments to hospitals that do not meet incentives to reduce readmissions. The organizational goal at the project site, a 551-bed academic medical center, has a readmission rate of 12.5% or less. The 2014 baseline readmission rate for the Medical Intensive Care Unit (MICU) and the Medical Intermediate Care Unit (MIMCU) was 28.9%. A potential solution for reducing readmissions is the Rothman Index (RI), a predictive analytic tool embedded in the electronic medical record that uses existing clinical data, including vital signs, nursing assessments, and lab values, to generate a predictive score for discharge readiness. The purpose of this evidence-based quality improvement project was to evaluate whether use of the RI in discharge decision-making could reduce 30-day readmission rates for patients discharged from the MICU and MIMCU.

Methodology & Theoretical Orientation: The Johns Hopkins Nursing Evidence-Based Practice Model framework was used to guide this project from evidence appraisal through translation. A retrospective review included the admission and discharge RI score of patients discharged from the MICU and MIMCU between September and November 2015.

Findings: The measured intervention variables were RI score on admission and discharge. The RI score on admission was found to significantly correlate with readmission (p=0.03854). The outcome metric was 30-day readmission rate (24.2%).

Conclusion & Significance: This retrospective analysis demonstrated a statistically significant correlation between an admission RI score <70 and 30-day readmission. This allows targeting resource intensive interventions to patients at greatest risk for readmission. Findings suggest use of the RI in discharge decision-making may reduce readmissions. Implications include improved patient outcomes and decreased associated costs.

Biography:

Annie has an incredible professional journey, with her most recent accomplishment of being named the Chief Operating Officer for the Kaiser Permanente Southern California Permanente Medical Group (SCPMG) which serves over 4.3 million members in Southern California and has an operating revenue of $6 billion.  She is the Operations executive for the Kaiser Permanente medical office buildings attached to 13 medical center areas in Southern California.  It spans from San Diego to Kern County. This includes over 15 executives, 220+ medical office buildings, and over 35,000 employees. Annie is an accomplished senior healthcare executive with over 30 years of knowledge and experience in managing medical office operations, physician, nursing, ancillary, and support services across the health care continuum. She has demonstrated ability to deliver excellent outcomes with emphasis on patient safety, quality, satisfaction and effective resource utilization in a complex and highly regulated environment.

Abstract:

Annie is a creative and dynamic leader looking to serve both Kaiser Permanente members and the broader community. She thinks out-of-the-box. An example is the leadership she demonstrated to set 12 Guinness World Records in 2013.  Each record was based on a Health Prevention message. An example of this is the importance of flu shots. Every year in the U.S., there are about 30,000 influenza-related deaths. These deaths are largely preventable. The previous world record for the largest number of flu shots at one site, in one day, had been 3,271. To raise awareness, and to increase the lifesaving vaccinations, Annie led the Kaiser Permanente of San Diego attempt to break the Guinness World Record at the Qualcomm Stadium. Under her leadership, the San Diego Medical Center completed 6,215 – nearly double the record! Her approach was creative, engaging, and highly effective. Come learn how she accomplished this under her leadership and more information on the role teams play in the extraordinary care delivery

Biography:

Ruth Chen is an Associate Professor in the School of Nursing at McMaster University. She is the Chair of Academic Resources and Department Education Coordinator. Her research program focuses on the development and application of education technologies in health professional student education.

Abstract:

Health professional programs in Canada and abroad have begun to implement competency-based curricula to ensure graduates possess the necessary skills required in future practice environments. The College of Nurses of Ontario (CNO) is the provincial regulatory body for registered nurses (RNs) in Ontario, Canada, and the CNO outlines entry-to-practice (ETP) competencies expected of new graduate nurses. The purpose of this education innovation is two-fold. First, we aim to develop a competency-based pediatric nursing Web Application (Web App) with content, learning modules, and learning activities guided by the CNO ETP competency framework. Second, we will evaluate the effectiveness of the Web App using a mixed-methods approach. This will incoroporate data collection from interviews and focus groups from students, faculty, and pediatric nursing staff; furthermore Web App use will be correlated to students’ results on the BScN Program exit examination. In this presentation, the process for Web App development and implementation will be discussed, pilot data will be presented, implications for nursing education and education technologies use will be reviewed

Biography:

Bonnie H Bowie is an Associate Professor at Seattle University, College of Nursing where she served as the Chair of the Community Psychosocial Nursing Department from 2011 to 2015 and is currently the Track Lead for the DNP program. He graduated from the University of Washington with a PhD in Nursing in 2007. She holds dual Master’s degree in Nursing and Business from the University of San Diego (1986). Her research centers around creating partnerships with stakeholders to create healthier communities and health care systems

Abstract:

The DNP was introduced in the United States in 2004 as the terminal degree for advanced practice nurses. The goal was to educate nurses to meet the AACN essentials and thereby effectively lead across complex health care environments. In 2016, using their own words, how do DNP graduates describe themselves in relationship to the AACN essentials? Ten DNP graduates from seven schools across the U.S. were interviewed either in person or over the phone. Interviews were recorded, transcribed verbatim and subjected to inductive content analysis. For each of the eight DNP essentials, at least eighty percent of participants provided supportive exemplars from their current practice. The overarching theme was, “Becomeing more: Re-envisioning self as an agent of change”. Sub-themes included (1) “Belonging at the table”, (2) “Acting from an engaged sense of agency”, and (3) “Leading with and through others”. Results support the claim that doctoral education prepares advanced practice nurses for effective leadership across complex health care systems. Enactment of the DNP essentials is realized when graduates perceive themselves as equal to other leaders and capable of driving change through the use of evidence and effective collaboration.

Biography:

Danuta M Wojnar has completed BSN and MScN education at Dalhousie University in Halifax, NS, Canada and PhD in Nursing Science at University of Washington in Seattle, US. Over the past 20 years, she served in various capacities in healthcare and academia disseminated her research through peer reviewed and invited publications and presentations at national and international forums. Currently, she is the Professor and Associate Dean for Undergraduate Education at Seattle University College of Nursing, Seattle, WA.

Abstract:

Over the past few decades the costs of healthcare in the USA have dramatically increased while the population health has declined. Obtaining desired results and decreasing expenditures necessitates fundamental changes in how care is delivered. With the current emphasis on including registered nurses (RNs) on the primary care teams, it is essential that nursing programs, which historically educated students in the acute care settings, make equal effort to prepare students for employment in primary care. This study explored the current state of pre-licensure and RN-to-BSN online education in US regarding the implementation of primary care concepts. A sample of 1,409 schools/colleges from across the US was invited to participate in an online survey. 529 surveys were returned for an overall response rate of 37.5%. Summative content analysis was used to analyze survey data to identify facilitators and barriers to incorporating primary care content in the pre-licensure curricula. Although the majority of programs have implemented some primary care content in their curricula, many found it challenging. Some have demurred from incorporating primary care content altogether. Teaching primary care content in undergraduate nursing programs in the United States is inconsistent. Academic leaders and faculty must collaborate with clinical partners to overcome barriers and to design and expand didactic and clinical learning experiences that emphasize primary care content in the pre-licensure education to prepare future nurses for new, expanded roles in the growing primary care market to meet the populations’ healthcare needs in the 21^st century.

Biography:

Maud Low is a Clinical Assistant Nursing Professor at University of Massachusetts Amherst. Her ten years teaching at UMass has included theory and clinical courses in obstetrical, psychiatric, community health, senior internship and physical assessment. Professor Low holds a masters’ degree in Women’s Health Nursing from Boston College, is a Certified OB/GYN Nurse Practitioner, and has published articles on nursing. Professor Low is currently clinically active as a psychiatric nurse. She served as an officer in AWHONN, reviewed for JOGNN, and presented at national conferences. Maud is a Certified Legal Nurse Consultant. Her PhD work is on bullying in 

Abstract:

Statement of the Problem: Nurses experience aggression in the workplace more than twice as often as workers in other professions. The phenomenon of society’s care-givers intentionally hurting their own kind would seem to be an oxymoron, if it were not so wide-spread and long-standing. Nurse peers are found to be the most frequent perpetrators of bullying among nurse groups. Mistreatment of others occurs in all ranks of healthcare, but lateral violence in nursing (LVN) is of particular interest because it is not affected by hierarchical complexities. LVN harms nurses all over the world and redirects their energy from patient care to interpersonal drama. LVN is associated with higher rates of nurse attrition which fuels the nursing shortage and therefore is of particular concern for an aging society. LVN is common, complex, and continues despite decades of LVN research and policy development.

Methodology & Theoretical Orientation: A review of literature was conducted, yielding over 100 relevant, recent and classic publications from nursing and related fields. Findings were analyzed for potential misdirection and/or theoretical concerns.

Findings: Eight recurrent themes were identified and explored for effects on LVN practice and policy.

Conclusions & Significance: These findings point out the need to relook at nurse peer 

Biography:

I am R.N , M.A - in Occupational Health from Tel-Aviv University, PhD Student in Alexandru  Ioan Cuza University of Iasi, Romania. my current job: Head of Community Section , Coordinator of Continuing Education in Wolfson School of Nursing and work as a Community Nurse in Clalit Health Services. I published 7 papers in reputed journals

Abstract:

Nursing teachers teach and consult the next generation of nurses. They serve as role models for nursing students and guide students through the challenges that accompany them in learning to be a nurse (Greenwood, 2017). Nursing teachers provide instruction in the classroom and in some cases also work in clinical settings such as hospitals, clinics, and nursing homes. Most nursing schools also have clinical laboratories where students learn to perform basic nursing tasks such as managing medications, inserting catheters, giving injections and other hands-on skills, under the direct supervision of a nursing teacher. After the students have finished learning these skills they continue to the perceptorship, where they treat patients and perform the clinical skills taught in class under the supervision of the preceptor, who supervises trials and actual practice (Greenwood, 2017). The question is whether nursing teachers must have clinical experience as a nurse in the field, or is  it enough for them to teach at nursing school? In this study I will present a discussion I held at a nursing school among the teachers on the role of nursing teachers and the essentialness of practice in the field, concurrent with their work as nursing school teachers. Another discussion held included a group of students as well. The purpose of the discussion was to examine the attitudes of those engaged in nursing and in nursing education with regard to the clinical effectiveness (clinical competence) of the nursing teacher and how it can be maintained and improved. The conclusions presented in the study, representing the personal attitudes of the teachers and students, offer educational and political recommendations for the national head of nursing.

Biography:

Gad Vitner holds BSc and MSc degrees in Industrial Engineering and Management from the Technion Israel Institute of Technology and a PhD degree in Industrial and Systems Engineering from USC in LA. He started his career in Ben-Gurion University and after few years joined industry working for many years in various manufacturing and service companies. In 2000, he returned to academy joining the Ruppin Academic Center where he developed a new school of engineering and acted as the School Dean for 6 years. His research interests are: Operations Management mainly in areas: Health Care and Agriculture, Service Engineering, Quality Management and Project Management

Abstract:

"No shows" is a critical management issue in outpatient clinics operations. It occurs in cases where the patient does not arrive to a scheduled appointment or a patient cancels the appointment at a point of time that does not enable appointing another patient. Research results present no shows of 10-30% with clinics like pediatrics with 80%. Research findings point out various causes as: geographical distance, long waiting time to the appointment date (patient forgets), long waiting time resulting in ‘no need to visit the clinic’ situation, period of the year (e.g. bad weather), socioeconomics issues, patient's age; native language; demographic sector and culture, leaving work place and children's care. The issue of "no shows" may be resolved using overbooking. More patients are scheduled for a given period to override the phenomena. Implementation may cause situations where in a specific hour both the scheduled patient and the patient due to overbooking arrive creating longer waiting time and service providers' overtime. An effective overbooking strategy balances patients' waiting time and service providers' idle time and minimizes overtime. The study researched a community neurological clinic. Daily service hours were 09:00-15:00. No shows level was 33% with 10 min waiting time. An economic analysis revealed that the optimal revenue will result with an overbooking of 10 patients. Various overbooking strategies were examined. Results show an improvement in number of treated patients, service providers' idle time together with minor increase in overtime hours.

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 cardio logical nursing. Are 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 Emergencies Y Desastres en Las Americas. 

Abstract:

The advanced life support aeromedical service with helicopters compound by the health professionals: Nurses and Doctors, that make use of invasive procedures to maintain the patient hemodynamic stability. Among these procedures, is the use of the supraglottic device laryngeal mask airway (LMA) to manage difficult airways when definitive techniques are not possible. Objective: Experience report about the use of the LMA by a flight nurse. Methodology: Relate of Case: Patient with cardiorespiratory arrest in the supine position on the floor of his house in basic life support maneuvers with Automated External Defibrillator (AED) by firefighters. With the aeromedical team arrival was noticed difficult, after 3 attempts, to use the orotracheal tube in a patient with morbidly obese, BMI higher then 40, and short neck, Mallampati scale III. It was used the LMA number 6 (> 100kg), in accordance to the protocol, with the support of an orogastric (OG) tube, succeeding at first try. Results: It was observed a quick recovery of the ventilatory patterns, thoracic expandability, peripheral oxygen saturation and the gastric decompression, of air and solids, after the insertion of the OG tube. Conclusion: The use of a LMA by a flight nurse is a quick, technique and safety procedure that provide a clear provisory airway, providing good oxygenation for critical health condition patients. It can be executed by the flight nurse with the procedure certificate and by the flight doctor.
 

Biography:

Dr. Deborah Cullen is a respiratory specialist and has education as a medical educator. She is a Professor of the Science of Nursing Care at Indiana University in Indianapolis, Indiana, USA. As an Affiliate Member of the Joanna Briggs Institute, she is an expert in teaching evidence-based practice and specializes in conducting meta-analyses of quantitative and qualitative findings. Dr. Cullen also is interested in measures, interventions, and therapy related to infant suffocation and COPD dyspnea, in particular monitoring and patient teaching  practices. She is a mentor to students and colleagues and has published extensively in the mentoring literature. Currently, she directs a mentoring program which promotes activities for non-tenured faculty towards promotion.
 

Abstract:

Formal developmental mentoring programs in schools of nursing are not widespread, but interest in their integration is rising. Successful mentoring can lead to increased productivity, compensation, and job satisfaction. Problem: Non-tenured nursing faculty may have high service and teaching responsibilities with little focused career coaching. The lack of investment in human capital can lead to faculty disengagement, turnover and a poor work climate. Recent studies revealed that non-tenure track nursing faculty require planned programs and mentoring strategies unique to their role and abilities.. Methods. A two-year mentoring initiative was developed to enhance doctorally prepared clinical assistant nursing professors’ ability to achieve promotion to associate rank in the university. The structured activities guided 15 protégés’ development toward a better understanding of promotion requirements and scholarship expectations. Careful matching of protégés and mentors was carried out for two cohorts of 8 and then 7 faculty protégés. The mentoring elements focused on improving knowledge about promotion, available university resources and scholarly writing. Measures via surveys over time observed statistically significant results for Knowledge (promotion, resources) and Mentoring Experience. Results: Dissemination of scholarly nurse practice articles and abstracts noted a 3-fold increase and faculty knowledge about promotion improved. Non-tenure track assistant professors were ripe for a structured approach to faculty promotion. Their voices were strong with the desire to be valued and receive programming to better assist them with promotion. 

Biography:

Cheryl has completed her Doctor of Nurse Practice and has 25 years nursing experience specializing in cardiothoracic and nephrology as an RN and a Nurse Practitioner.  She currently is a faculty nurse educator at a four-year university in North Carolina, United States.

Abstract:

Background:   For years women have had consistently higher rates of chronic kidney disease (CKD) in comparison to men.  However, men initiate dialysis sooner, are referred for pre-emptive surgical dialysis access creation more frequently, and receive renal transplants in greater numbers.  For Asian Americans, CKD has increased tenfold in the last three decades yet little is known about gender differences in those living with CKD. 

Objective:  The purpose of this study was to examine gender variations in socioeconomic demographics, clinical chronic diseases (diabetes, hypertension, cardiovascular disease, depression), modifiable lifestyle behaviors (alcohol, smoking physical activity, BMI, dietary choices) and healthcare access of Asian American females with CKD.  

Methods:  A retrospective, secondary data analysis of Asian Americans with CKD (N=180) using descriptive-correlational design examined data obtained from the Behavioral Risk Factors Surveillance System (BRFSS).  Descriptive statistics, Chi-square and Cramer’s V statistical analyses were performed to examine gender differences.

Results:  Females had higher rates of depression than males (26.7% vs. 12.6%, x²=5.484, p=0.019, V=0.176) and had more office visits with a health care professional than their male counterpart (x²=8.874, p=0.031, V=0.351).  There were no statistical differences in modifiable lifestyle factors.  However, obesity increased by 5% from 2009 to 2013, there was a lack of healthcare insurance in 18 – 64 year olds (14.3%), and the rates of unemployment (23.3%) were much higher than the 2013 national norm of 5.6% and 7.4%.

Conclusions:  This study offers support that primary care providers have increased opportunities at the point of care with Asian American females with CKD.  Conversely, many remain uninsured in the post Affordable Care Act era.  Thus healthcare disparities still exist for many Asian Americans with CKD and access to care. 

Biography:

Chad Rasmussen has completed his BSN in 1996 from Morningside College, and his Master of Science from Creighton University in 2005. He is currently an Instructor of Surgery and an Assistant Professer of Family Medicine for the Mayo Clnic College of Medicine. He has practiced as a Registered Nurse in the Pediatric ICU, CVSICU, Level One Trauma Centers, Flight Nursing, APRN in Family Medicine, Emergency Medicine, Cardiology, and Critical Care . Mr Rasmussen is currently a Nurse Practitioner at Mayo Clinic in Rochester, MN working in Family Medicine.
 

Abstract:

Stroke Care and Management continues to change and develop. There are medications that are used to treat acute strokes, including by not limited to thrombolytics, anti-hypertensives, anti-platelet medications, anti-emetics, as well as specific IV medications. There are also goals of care to establish, determine, as well as definiative care. The case study is a 77 year old female who was administered the wrong thrombolytic agent, and had an adverse outcome. This presentation will help educate the importance of the right medications for acute non-hemorrhagic stroke. 

Biography:

Tracey completed her Doctorate in Clinical Practice in 2015 from the University of Southampton. She is the lead for the doctoral programmes within the faculty of health sciences, which include the clinical doctorate, the PhD as well as an integrated PhD and clinical doctoral fellowship schemes. She is currently writing her research up for publication, a psychosocial study of alcohol and families, with other examples of publications from previous research on leadership and decision making and a discussion paper on binge drinking and cognitive impairment. Tracey is a member of the research sub-committee of a national charity.

Abstract:

Manley (1996) subscribed to the notion of advanced practice as that which advances nursing practice encompassing the role of educator, researcher and consultant, promoting and developing clinical nursing from clinical to strategic and policy levels effectively driving patient and health care delivery.

 However deficits in the development of research leadership, capacity and capability among healthcare professionals within the United Kingdom (UK) were reported (UKGCE, 2003; UKCRC, 2006).

Leadership (Brook and Rushforth, 2011), education and research remained key to advanced practice (DH, 2010).

Rapid change within the health and social care arena has meant that more sophisticated knowledge and skills related to service/practice design and redevelopment as well as governance are required. The document published in December 2015, ‘Delivering the Forward View: NHS planning guidance’, refers to research and its improvement within the NHS, in implementing research proposals and initiatives, leadership of service developments.

The Doctorate in Clinical Practice (DClinP) programme places emphasis on strengthening clinical practice alongside research leadership, building on existing expertise focussing on practice in health and social care, promoting contribution made to meeting global contemporary health and social care challenges, thereby improving patient outcomes.   

Within the last five years, approximately 24 students have been awarded a doctorate. The impact of clinical and research leadership training is evident. Practitioners have talked about being aware of a whole new world of research and academic practice, and the wider career opportunities available.   The strength of the programme and its impact is in advancing practice through its rich mix of intellectual stimulation increasing research capacity and research-led practice.

Biography:

Tracey Rickards completed her PhD in 2013 from Dalhousie University. She has some 30 years of experience working as a nurse. She holds a 4-year Canadian Institute of Health Research salary award as the Embedded Clinician Researcher with a focus on improving the health outcomes of vulnerable populations. She is an assistant professor and teaches community nursing both in the classroom and in clinical setting. Her area of research interest is Primary Health Care, LGBTQ health, and homelessness. 

Abstract:

Nurse practitioners (NPs) were incorporated into the Canadian healthcare system to respond to a population need for increased accessibility to primary care providers. The integration of NPs in New Brunswick began in 2003. Evaluation of the NP role is essential to determine whether the expected outcomes (i.e. increased accessibility) occurred and for future practice guidance[TR1] . We asked, “Did the implementation of the NP role in New Brunswick meet the identified community health care needs?” The objectives were (1) To understand the practice patterns of NPs in New Brunswick; (2) to evaluate NP outcomes and overall success of implementation of the role; and (3) to provide much needed foundational documentation in furthering the ongoing and future evaluation. Because there has been no evaluation of the NP role within the province, we have no understanding of a healthcare landscape that includes NPs to determine the strengths and limitations that arise through the holistic practice of NPs in primary healthcare in New Brunswick.  A multi-method approach using an NP Practice Pattern and Patient-Experience survey consisting of questions and standardized self-report measures of demographics, geographic setting, and practice models was used.  Results highlighted: (1) patients’ extreme satisfaction with the healthcare received through NP providers, correlating with findings globally; (2) accessibility to care increased since the initiation of NPs as primary care providers; and (3) NPs working to full scope of practice provide an economically sound solution to an overburdened provincial economy.

Biography:

Sharon Schaaf has board certification as a Family Nurse Practitioner (FNP) as well as an Adult/Gerontology Acute Care Nurse Practitioner (AGACNP) and earned her Doctor of Nursing Practice (DNP) from Texas Woman’s University. She has been working as a cardiovascular nurse practitioner for 14 years, both inpatient and outpatient, the last 5 years has been providing nocturnal coverage for a premier cardiology practice in Albuquerque, NM. She is also the Concentration Coordinator for the UNM College of Nursing Adult/Gerontology Acute Care Nurse Practitioner program.

Abstract:

The number of Acute Care nurse practitioners (ACNP) in the United States in increasing and approximately 20% have a clinical focus area of cardiology. The role and responsibilities of the ACNP in this arena differs with the various cardiovascular subspecialties. The cardiovascular ACNP providing nocturnal coverage has its own unique set of responsibilities that encompasses each subspecialty. The aim of this discussion is to address the role, responsibilities, and challenges of a private-practice, nocturnal cardiovascular nurse practitioner working in a frontier-designated state in the United States.

Biography:

Lynn Motz is a board-certified Acute Care Nurse Practitioner and has practiced in the critical care area for 17 years. Dr. Motz is a member of the Surgical Intensivist team in a Surgical Intensive Care Unit specializing in Trauma and Acute Care Surgery. Dr. Motz completed scholarly work using predictive analytics to improve patient outcomes. Additionally, Dr. Motz is an involved member of the advanced practice leadership group at an academic medical center with a focus on onboarding, orientation, and education of advanced practice nurses. 

Abstract:

In the United States, one-in-five Medicare fee-for-service beneficiaries are readmitted within 30-days of hospital discharge at a cost of $26 billion dollars annually. The Hospital Readmissions Program created under the Affordable Care Act of 2013, supports reduced payments to hospitals that do not meet incentives to reduce readmissions. The organizational goal at the project site, a 551-bed academic medical center, is a readmission rate of 12.5% or less.  The 2014 baseline readmission rate for the Medical Intensive Care Unit (MICU) and the Medical Intermediate Care Unit (MIMCU) was 28.9%. A potential solution for reducing readmissions is the Rothman Index (RI), a predictive analytic tool embedded in the electronic medical record that uses existing clinical data, including vital signs, nursing assessments, and lab values, to generate a predictive score for discharge readiness. The purpose of this evidence-based quality improvement project was to evaluate whether use of the RI in discharge decision-making could reduce 30-day readmission rates for patients discharged from the MICU and MIMCU. 

Biography:

Annie has an incredible professional journey, with her most recent accomplishment of being named the Chief Operating Officer for the Kaiser Permanente Southern California Permanente Medical Group (SCPMG) which serves over 4.3 million members in Southern California and has an operating revenue of $6 billion.  She is the Operations executive for the Kaiser Permanente medical office buildings attached to 13 medical center areas in Southern California.  It spans from San Diego to Kern County. This includes over 15 executives, 220+ medical office buildings, and over 35,000 employees. Annie is an accomplished senior healthcare executive with over 30 years of knowledge and experience in managing medical office operations, physician, nursing, ancillary, and support services across the health care continuum. She has demonstrated ability to deliver excellent outcomes with emphasis on patient safety, quality, satisfaction and effective resource utilization in a complex and highly regulated environment. 

Abstract:

Annie is a creative and dynamic leader looking to serve both Kaiser Permanente members and the broader community. She thinks out-of-the-box. An example is the leadership she demonstrated to set 12 Guinness World Records in 2013.  Each record was based on a Health Prevention message. An example of this is the importance of flu shots. Every year in the U.S., there are about 30,000 influenza-related deaths. These deaths are largely preventable. The previous world record for the largest number of flu shots at one site, in one day, had been 3,271. To raise awareness, and to increase the lifesaving vaccinations, Annie led the Kaiser Permanente of San Diego attempt to break the Guinness World Record at the Qualcomm Stadium. Under her leadership, the San Diego Medical Center completed 6,215 – nearly double the record! Her approach was creative, engaging, and highly effective. Come learn how she accomplished this under her leadership and more information on the role teams play in the extraordinary care delivery.

Biography:

Ruth Chen is an Associate Professor in the School of Nursing at McMaster University. She is the Chair of Academic Resources and Department Education Coordinator. Her research program focuses on the development and application of education technologies in health professional student education.

Abstract:

Health professional programs in Canada and abroad have begun to implement competency-based curricula to ensure graduates possess the necessary skills required in future practice environments. The College of Nurses of Ontario (CNO) is the provincial regulatory body for registered nurses (RNs)

in Ontario, Canada, and the CNO outlines entry-to-practice (ETP) competencies expected of new graduate nurses.1 The purpose of this education innovation is two-fold. First, we aim to develop a competency-based pediatric nursing Web Application (Web App) with content, learning modules, and learning activities guided by the CNO ETP competency framework. Second, we will evaluate the

effectiveness of the Web App using a mixed-methods approach. This will incoroporate data collection from interviews and focus groups from students, faculty, and pediatric nursing staff; furthermore Web App use will be correlated to students’ results on the BScN Program exit examination. In this presentation, the process for Web App development and implementation will be discussed, pilot data will be presented, implications for nursing education and education technologies use will be reviewed.