Biography:

Barbara Ann M. Messina, PhD, RN, ANP is an Associate Professor in the School of Health Professions and Nursing at Long Island University Post, in Brookville, New York where she directs the Inter-professional Learning Institute Simulation Laboratory as well as Director of the Master of Nursing Education. 

Dr. Messina is received Associate of Applied Science from State University of New York at Farmingdale, is an alumni of Long Island University Post where she received her Bachelor of Science in Nursing in 1980, a post baccalaureate certificate in Adult Health Nursing Education from the New York Institute of Technology,  a Master of Science/Adult Nurse Practitioner from the State University of New York at Stony Brook, her Doctorate of Philosophy in Nursing from Adelphi University and recently completed a Post Masters Certificate Program in Health Care Simulation and Leadership from Robert Morris University.

Dr. Messina is very active in national professional education and professional nursing organizations. 

Dr. Messina has served as a reviewer for the Commission on Collegiate Nursing Education (CCNE) since 2011 as well as serving as the Chair the CCNE nomination committee.  Dr. Messina is also active in the American Nursing Association (ANA) and is currently serving in the capacity as a reviewer on the Barbara Thoman Curtis Member Awards Subcommittee as well as member of the ANA Education Committee.  Additionally, Dr. Messina has also been a member of the ANA Advisory Committee Care Coordination Quality Measures Panel since 2013.

As well as conducting committee work for national educational and professional nursing organizations Dr. Messina is be also an active member of the Society of Information Technology and Teacher Education. Where she has been a member of the Program Committee for the Society of Information Technology and Teacher Education annual conference for the past 5 years.

Abstract:

The need for primary healthcare providers in the US is expected to continue to exceed the supply of primary care physicians (PCP).  Conversely, the supply of nurse practitioners (NP’s) is expected to continue to increase thereby meeting the need for primary health care providers in the US (HRSA, 2013, 2016).  However, the national turnover rate for NP’s is twice that of physicians.  NP turnover is 12.6% as compared to a 6% turnover rate for physicians (Bureau of Labor Statistics, 2016; Cejka, 2014).  The purpose of this study was to examine if there is a relationship between job satisfaction and intent to leave.

Fifty-seven actively practicing NP’s throughout New York State (NYS); study Effect Size; 0.3 minimum n = 52, completed the Misner Nurse Practitioner Job Satisfaction Scale (Misener & Cox, 2001) and the  Anticipated Turnover Scale (ATS) (Hinshaw & Atwood, 1984; Hinshaw & Atwood, 1985). 

The study’s findings supported past research that has been conducted in private industry as well as in healthcare; there is a positive correlation between job satisfaction and an employee’s intent to voluntarily leave their place of employment (Bhatnagar & Srivastave, 2012; De Milt, Fitzpatrick & McNulty, 2009; Hertzberg, 1987; Hinshaw & Atwood, 1984;  Hill, 2011; Kramer & Schmalenberg, 1991; Misner et al., 1996; Wells, 1990).

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:

Ms. Fitzgerald is in her second year Doctor of Nursing Practice program from The Pennsylvania State University College of Nursing. She is currently the Simulation Lab Coordinator for Penn State Harrisburg and recently achieved national certification as a Simulation in Healthcare Educator. Ms. Fitzgerald is also an Instructor of Nursing in Adult Health for Penn State Harrisburg’s Accelerated Second Degree Undergraduate program. She has over 25 years of nursing experience in various roles and settings and the last 13 have been in clinical and education practice. 

Abstract:

Nurses are ranked as one of the most trusted, ethical, and honest professions by public opinion polls, according to the American Nurses Association (ANA). In an increasingly complex health care system, delivery of high quality care to complicated patients by nurses while maintaining this public perception is challenging. Moral distress occurs when one knows the right action to take but feels hindered because of an over-riding authoritative power or institutional policy. One in three nurses report experiencing moral distress. Critical care nurses experience ethical dilemmas and moral distress at higher rates than non-critical care nurses due to the nature and acuity of the patient population they serve. Moral distress has emerged as a significant factor contributing to nurse turnover, burnout, and also impacts patient safety and quality of care outcomes. The purpose of this project in progress is to determine the level of moral distress experienced by direct care critical care nurses at one academic medical center and with implementation of an online continuing education program based on American Association of Critical Care Nurse’s 4A’s approach, will determine if there is a decrease in moral distress.  A prospective observational design will be used wherein baseline and one- month post intervention will be measured by Moral Distress Scale-Revised (MDS-R) (Hamric, et al., 2012). This innovative project will systematically address moral distress among critical care nurses and importantly provide a sustainable moral distress program that can be broadly implemented in nurse residency and new staff orientation programs in the future.   

Biography:

Yvonne A Johansson: RN, MSc, BSc, PhD-Student at School of Health and Welfare Jönköping University, Quality leader at Skaraborg Hospital, Skövde, Sweden.

Inger Bol: RN, Quality leader at Skaraborg Hospital, Skövde, Sweden.

Elisabeth Kenne Sarenmalm, PhD, RN, Director of Research and Development Centre at Skaraborg Hospital, Skövde, Sweden. 

Abstract:

This action research project started in 2015 with the aim to achieve an overall sustainable hospital transition to person-centered care. In the first wave of change towards an overall hospital transition to person-centered care, hospital managers were invited to work-shops and discussions. Eight hospital units were nominated as pilot units. Specific facilitators/change leaders were educated in the philosophy of person-centered care. A learning network was created including the project managers, project unit managers and facilitators/change leaders. Based on the theory of person-centered care^1-3, and the importance of focusing soft skills and learning skills and not just technical skills⁴, as well as experiences and reflections during this action research project, a general model for transition to person-centered care was developed. Steps included in the model: 1) Introduction; 2) Values linked to person-centered care; 3) Multidisciplinary teams including/involving patients and/or next of kin; 4) Communication skills, and in-depth knowledge about person-centered care, 5) Practical application of the person-centered approach into clinical practice.

Biography:

Jennifer Adamski DNP, APRN, ACNP-BC, CCRN, is an assistant clinical professor and the Director of the Adult-Gerontology Acute Care Nurse Practitioner program at Emory University. Dr. Adamski is an expert critical care clinician and educator and serves as an APRN expert witness for trauma and critical care nationally. She is a past Director of Advanced Practice leading clinical operations and serves as an independent consultant for APRN model development.  She has an APRN seat on the Georgia Board of Nursing and leadership roles in 

Abstract:

Management of patients with non-compressible torso hemorrhage of the chest, abdomen and/or pelvis can be challenging, to say the least. The fate of a patient with potentially survivable injuries depends on the acute care surgeon’s effective action and the availability of necessary resources.^17-20  It is critical that this technique be rigorously evaluated before widespread use. A current multicenter study of the American Association for the Surgery of Trauma is collecting data on patients who undergo aortic occlusion via REBOA, thoracotomy, or laparotomy with aortic cross-clamping to compare outcomes. This study will likely supply valuable data on the outcomes in a variety of settings.²¹ Widespread promotion of REBOA for the use in trauma is premature at this time, but should be considered as part of “toolbox” for the trauma and acute care surgeon, as an adjunct for hemorrhage, along with the tradition emergency department thoracotomy (EDT), pelvic packing, surgical exploration, and/or angiography. Institutional resources allocation and training for the trauma and acute care surgeon will likely have a large role in the adoption of REBOA as a first-line therapy over the EDT.

Biography:

Deborah H. Charbonneau is an Associate Professor in the School of Information Sciences at Wayne State University in Detroit, Michigan. She earned her PhD in Medical Sociology from Wayne State University. She currently teaches in the areas of Health Informatics and Research Methods. Dr. Charbonneau has been an invited speaker at local, national, and international conferences on the topic of information privacy. Her articles have appeared in the Journal of Women & Aging, Journal of Midwifery & Women's Health, and CIN: Computers, Informatics, Nursing.

Abstract:

While online communities for social support continue to grow, more research is needed about personal health information collection and potential privacy risks for participants using health social networking sites. This presentation will report the findings of a privacy policy analysis and the information collection practices for 25 online cancer communities. Given that many people utilize health social networking sites, the study's findings provide insight into an array of privacy-related issues. These privacy concerns are relevant to nurses connecting individuals with supportive resources. In particular, implications for privacy, confidentiality, consumer choice, and data safety in online environments will be highlighted. These findings can also help build awareness of privacy-related issues in online support communities among nurses, nursing students, and other health professionals. Overall, nurses and other health professionals can utilize these findings to encourage individuals seeking online support and participating in social networking sites to build awareness of privacy risks to better protect their personal health information in the digital age.

Biography:

Dr. Neva Crogan is a Professor of Nursing at Gonzaga University in Spokane, Washington where she conducts aging research, practices nursing as a Geriatric Nurse Practitioner, and acts as a consultant and expert reviewer for nursing homes and attorney groups.  Dr. Crogan has published more than 70 data based research articles, several book chapters and workbooks and has spoken at multiple regional, national and international conferences. She is a Fellow of the American Academy of Nursing and was the co-recipient of the 2013 Sigma Theta Tau International Research Utilization Award. 

Abstract:

Medication assistants (MA’s) are a legal alternative to whom licensed nurses may safely delegate medication administration for stable residents in non-acute settings. MA’s are certified nursing assistants who have typically completed 100 or more hours of didactic, simulation training and clinical education to safely administer medications, with the exception of those administered by pareneral or enteral routes. Licensed nurses retain the responsibility to assess, diagnose, treat and evaluate clients.  The use of MA’s enables licensed nurse to have more time to perform professional roles which require clinical judgment while controlling costs.  The purpose of this quality improvement (QI) intervention is to implement a new staffing model that includes the use of MA’s in two local nursing homes and measure organizational and individual level quality indicators at baseline, 3 and 6 months post implementation. This presentation will discuss findings from the QI project to include medication errors, numbers of residents returned to the hospital post admission, call light response time, staff satisfaction, changes in the facility staffing model and its associated costs.  Data will be entered into an Excel spreadsheet and imported into SPSS for analysis. Descriptive statistics (mean, standard deviation will be used to analyze interval level participant characteristics and responses to survey items. ANOVA and t-tests will be performed to explore the differences in responses based on location and data points.  Study findings will be used to refine the staffing model and may lead to a major paridigm shift in how nursing homes are staffed in the United States. 

Biography:

Jennifer Adamski DNP, APRN, ACNP-BC, CCRN, is an assistant clinical professor and the Director of the Adult-Gerontology Acute Care Nurse Practitioner program at Emory University. Dr. Adamski is an expert critical care clinician and educator and serves as an APRN expert witness for trauma and critical care nationally. She is a past Director of Advanced Practice leading clinical operations and serves as an independent consultant for APRN model 

Abstract:

Rapid response teams (RRT) are increasingly found in critical care environments and can positively impact patients by providing an opportunity for early detection and intervention for clients undergoing a health crisis.  However, not all RRT are created equal, and RRT leadership provided by an advanced practice provider (APP) has been shown to positively impact patient care. Objectives: The purpose of the study was to compare the effectiveness in a pilot program of a RRT managed by Advanced Practice versus that of an RRT managed by RN. This project illustrates potential recommendations for implementation of an APP-led RRT.

Methods: Rapid response calls were collected over a 2 month period and categorized as either a) APP-RRT managed calls, or b) RN-RRT managed calls.  Measured outcomes of each call were: admissions to the ICU, in-hospital cardiopulmonary arrests, failure to rescue rates, and LOS in the ICU. 

Results: During the 2 month intervention period, the APP-managed team had lower ICU admission rates, lower length of stay in the ICU, lower number of non-terminal cardiopulmonary arrests, and a lower Failure to Rescue Rate. 

Conclusions:  Advanced practice providers are leaders that are uniquely qualified to provide additional modalities, beyond the scope of the registered nurse and advanced cardiopulmonary life support (ACLS), which are essential to improving patient outcomes. 

Biography:

Mike Sonny has his expertise in evaluation and passion in clinical commissioning, improving the management, health and well-being. He is currently Principal / Director of Health Education at Waterloo Academy.

Abstract:

Research topic: identifying the needs of patients in clinical commissioning, implications for nursing practice. Discussion will include implications for nursing/multidisciplinary holistic care and will detail the community-based participatory research approach, mixed-methods research methodology, and helpful hints for those interested in applying these principles to other decision making /clinical settings.

Nursing practice have direct experience of how changing clinical commissioning in the community affect the quality of care patients receive, so it is important that they engage with commissioning to influence decisions and identification of patients needs, the quality and direction of service. This research article seeks to demystify commissioning priorities and implications for nursing practice drawing on findings from a survey of Commissioning for Quality and Innovation indicators for nursing. The article focuses specifically on commissioning goals, highlighting the impact on NHS priorities on quality assessment in practice nursing.

Biography:

After gaining experience as a general Emergency/Intensive Care Nurse, Sadami Momiyama completed the Master’s course at Graduate School of Nursing, Jichi Medical University in Japan. After that, he has been wearing as two hats. While working as Certified Nurse Specialist in Critical Care Nursing (CNS), he teaches Adult nursing energetically in university.

His main research field is Clinical nursing science, Nursing support for patients' family members concerning surrogate decision-making. 

Abstract:

Background  

Recently, nursing support for surrogate decision-making for lifesustaining treatment by patients' family members during hospitalization receives extensive attention, as well as in medical emergency care center. Yet its appropriate way has not been discussed  sufficiently. 

Aim  

The aim of this study was to specify future challenges for its research by discussion about how nursing support for patients' family members concerning surrogate decision-making for lifesustaining treatment should be in medical emergency care center.

Methods

Based on the tentative theories shown by previous studies and well-known facts, the author, experts, and clinical nurses in critical care discussed the future challenge of research about support for patients' family members concerning surrogate decision-making for life-sustaining treatment of patients in medical emergency care center     .

Results 

The following four challenges were specified through discussion. 1) To specify the difficulties in supporting for discussion about concrete nursing action or support, 2) To clarify the environmental factors which hamper the support in order to arrange the environmental settings, 3) To invent concrete support which is practicable for nurses who don’t have enough time, and 4) To implement invented concrete nursing support in clinic, which gives back the concrete case with educational function.

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:

Dr. Sylvia Anasi, DNP, MSN, RN, Clinical Care Manager at United Health Care Group, has extensive experience with the management of patient populations. She believes outcome improvements are best achieved through careful application of high-level evidence.

Dr. Audrey Klopp, PhD, RN, NHA, Director of the DNP Program at Loyola University Chicago, served as the academic project director for Dr. Sylvia Anasi’s DNP scholarly project. Dr. Klopp brings extensive experience in clinical and administrative work with the older adult population.  

Abstract:

The prevalence of Osteoarthritis (OA) in the United States is alarming. It has a high occurrence among the older population. The symptoms of OA: pain, stiffness, and inflammation in the joints make it one of the five leading causes of disability among those affected. Disability results in home bound status and the need for home health nursing care. The economic impact of OA is distressing because of the increased rate of emergency room visits among osteoarthritis patients. Evidenced-based interventions are necessary to address OA to reduce its impact on the functional abilities of those affected. The National Public Health Agenda for Osteoarthritis 2010 recognized self-management as expedient in achieving effective OA management. Studies show that the evidenced-based Arthritis Self-Management Program (ASMP) is effective in improving health status of patients with OA. Home health nurses need the knowledge to use ASMP in helping OA patients build self-management skills. This project attempted to motivate a change in a home health agency's nursing care plan for patients with OA. This change was stimulated through the implementation of a skill-training educational intervention that focused on the contents of ASMP. The Diffusion of Innovations Theory was used to guide development of the project. The success of this project was measured by interviewing the nurses to determine adherence to the new care plan that was developed based on the attributes of ASMP, and by auditing the patients’ charts for evidence that the new material in the care plan was being implemented.

Biography:

Dr. Sylvia Anasi, DNP, MSN, RN, Clinical Care Manager at United Health Care Group, has extensive experience with the management of patient populations. She believes outcome improvements are best achieved through careful application of high-level evidence.

Dr. Audrey Klopp, PhD, RN, NHA, Director of the DNP Program at Loyola University Chicago, served as the academic project director for Dr. Sylvia Anasi’s DNP scholarly project. Dr. Klopp brings extensive experience in clinical and administrative work with the older adult population.  

Abstract:

The prevalence of Osteoarthritis (OA) in the United States is alarming. It has a high occurrence among the older population. The symptoms of OA: pain, stiffness, and inflammation in the joints make it one of the five leading causes of disability among those affected. Disability results in home bound status and the need for home health nursing care. The economic impact of OA is distressing because of the increased rate of emergency room visits among osteoarthritis patients. Evidenced-based interventions are necessary to address OA to reduce its impact on the functional abilities of those affected. The National Public Health Agenda for Osteoarthritis 2010 recognized self-management as expedient in achieving effective OA management. Studies show that the evidenced-based Arthritis Self-Management Program (ASMP) is effective in improving health status of patients with OA. Home health nurses need the knowledge to use ASMP in helping OA patients build self-management skills. This project attempted to motivate a change in a home health agency's nursing care plan for patients with OA. This change was stimulated through the implementation of a skill-training educational intervention that focused on the contents of ASMP. The Diffusion of Innovations Theory was used to guide development of the project. The success of this project was measured by interviewing the nurses to determine adherence to the new care plan that was developed based on the attributes of ASMP, and by auditing the patients’ charts for evidence that the new material in the care plan was being implemented.

Biography:

Dr. Sylvia Anasi, DNP, MSN, RN, Clinical Care Manager at United Health Care Group, has extensive experience with the management of patient populations. She believes outcome improvements are best achieved through careful application of high-level evidence.

Dr. Audrey Klopp, PhD, RN, NHA, Director of the DNP Program at Loyola University Chicago, served as the academic project director for Dr. Sylvia Anasi’s DNP scholarly project. Dr. Klopp brings extensive experience in clinical and administrative work with the older adult population.  

Abstract:

The prevalence of Osteoarthritis (OA) in the United States is alarming. It has a high occurrence among the older population. The symptoms of OA: pain, stiffness, and inflammation in the joints make it one of the five leading causes of disability among those affected. Disability results in home bound status and the need for home health nursing care. The economic impact of OA is distressing because of the increased rate of emergency room visits among osteoarthritis patients. Evidenced-based interventions are necessary to address OA to reduce its impact on the functional abilities of those affected. The National Public Health Agenda for Osteoarthritis 2010 recognized self-management as expedient in achieving effective OA management. Studies show that the evidenced-based Arthritis Self-Management Program (ASMP) is effective in improving health status of patients with OA. Home health nurses need the knowledge to use ASMP in helping OA patients build self-management skills. This project attempted to motivate a change in a home health agency's nursing care plan for patients with OA. This change was stimulated through the implementation of a skill-training educational intervention that focused on the contents of ASMP. The Diffusion of Innovations Theory was used to guide development of the project. The success of this project was measured by interviewing the nurses to determine adherence to the new care plan that was developed based on the attributes of ASMP, and by auditing the patients’ charts for evidence that the new material in the care plan was being implemented.

Biography:

Abstract:

The study seeks to investigate aspects of sexuality of women with breast cancer admitted. The emergence of the study took place at the time of my professional practice where I came across patient dialogues, and health professionals with the behavior of women in different times, having sexual practice and professional assistants, on the other hand the kind of suppressed such an attitude as well as the patients more "brawling". I realized the need to discuss such issues: women who is hospitalized for treatment that theoretically move with biopsicoemocional, self-image and self-esteem,should have "head for such behavior? There is a need of nurses to direct a group for care to sexuality. Aiming to analyze the psychophysical need, using the philosophical approach of Jean Watson. Methodology the study presents a review and synthesis of the literature on the theory of nursing sexual need. Final considerations the nurse has the key role of facilitating communication of sexuality, not to become fragmented, to emphasize the importance of the role of the sexual partner. Thus discussion related to sexual health.