49^th World Congress on Advanced Nursing and Nursing Practice july 05-06,2018 Bangkok, Thailand

Biography:

Rodolfo C. Borromeo has completed his Doctoral degree, major in Educational Management at the Philippine Women’s University. He is currently the Director of Nursing Service Division of San Juan de Dios Educational Foundation, Inc. – Hospital since 2005. He is also the Vice President of the Association of Nursing Service Administrators of the Philippines (ANSAP) and is a member of the Ethics Committee and Chairman of the Research Committee of the same organization. 

Abstract:

One of the values of the hospital that relates to work engagement is Co-responsibility, which was found to be a challenging behavior. Nevertheless, it devotes its context towards developing individual’s capability to engage in the organizational activities. The study determined the impact of the Reflective and Interactive Coaching Huddle (RICH) in building workplace engagement among nursing service employees of San Juan de Dios Educational Foundation Inc. - Hospital. The purpose of this study was to determine the significant variations on the achievement work engagement metrics of the nurses under study after the implementation of the said coaching guidelines. This study employed a descriptive, evaluative research design, of which 183 staff nurses, charge nurses and nurse managers have participated. Findings reveal that the participants were predominantly female, aged 21 to 25 years old. The extent of workplace engagement was evidently observed by nurses and rated from high to very high extent of achievement. There were significant variations on the extent of achievement to workplace engagement based on positions, age, and interdisciplinary communication. It was then recommended to continue the use of the Reflective and Interactive Coaching Huddle to among nurses, blended understanding of both staff nurses and nurse managers, decreasing generational gaps through training modules capitalizing on reflecting generational limitations and devising a recognition criterion to acknowledge the most engaged team among nursing units and positions.

Biography:

Ma Ave Lorraine P Llorin has completed her Graduation from University of Santo Tomas with a Bachelor’s degree in Nursing and is currently pursuing her Master’s degree in Nursing, major in Nursing Service Administration at Concordia College. She is currently the Assistant Training Coordinator of San Juan de Dios Educational Foundation, Inc. – Hospital.

Abstract:

Adopting a nurturing culture of coaching that promotes nurses’ growth, development and confidence is necessary. Coaching using reflecting and interactive coaching huddle (RICH) is implemented in the nursing Service of SJDEFI – Hospital to support the learning and development of nurses. Coaching is being conducted as a corrective action instead of preventive. Thus, this study aims for novice nurses to evaluate RICH as a preventive coaching strategy used by unit preceptors in helping novice nurses develop their fullest potential as competent nurses and effective leaders of their units. This quantitative study focuses on the relationship between the demographic profile of the novice nurses and the effectiveness of RICH. The study was conducted in various areas of the five sections of the Nursing Service of SJDEFI – Hospital. The identified novice nurses were the 41 participants who underwent coaching sessions every after shift with their unit preceptors. 53.66% of the novice nurses came from the 20-24 age group. The population of novice nurses was predominantly female with 85.37%. Only 4.88% of the novice nurses attained a master’s degree in Nursing. Novice nurses were mostly assigned in special areas of the institution. 41.46% of the novice nurses have less than six months of experience in the institution. Evaluation of novice nurses on RICH as an effective strategy in improving their job performance in terms of: Dynamic involvement, Interdisciplinary communication, individual task expectations and acquired leadership roles attained very high extent ratings. The only relationship that was significant was between age and individual task expectations.

Biography:

Gulzade Uysal currently works at the Faculty of Health Sciences, Okan University. Gulzade does research in Pediatrics, Nursing Science and Addiction Medicine.                         

Abstract:

The aim of the research was to prospectively evaluate the frequency and reasons of vaccine rejection 0-24 months old children’s parents. The data of the study were determined by simple randomization and were obtained from two Family Health Centers in Istanbul between March 1st and October 31th 2017. The study's universe consists of 3942 parents who applied for two health centers within that period, and the sample was 470 parents who were willing to participate in the study. In the research, the questionnaire was applied face to face with the parents. Data were transferred to SPSS 21.0 program and analyzed with appropriate statistical tests.

When investigating parents' infant/child immunization status; 80.4% of them had their babies/children vaccinated, and 11.9% didn’t have some vaccinations. It was determined that 7.7% (n=36) of the parents refused to have the vaccine. It was found that 79.1% of the parents have the vaccine because they believed that the vaccines were necessary and 46.7% of the rejected group refused because they thought that the substances were harmful. The difference between the vaccination status of parents and the descriptive characteristics of the baby/child was statistically insignificant (p>0.05). When the vaccinated cases were compared with the whole interviewed parents, the difference between the groups was found to be significant (p<0.05). The difference between the parents' perception of the side effects of vaccinations and the descriptive characteristics of the baby/child was statistically insignificant (p>0.05). When the parents, education status and parents' perception about the side effects of vaccinations were compared, it was determined that the difference between the groups was meaningful (p<0,05). The difference between the parents' intentions to obtain information about the vaccination and the descriptive characteristics of baby/child was statistically insignificant (p>0.05). When the age of the baby/child, the parents and the socioeconomic status and the parent’s desire of getting information about the vaccination were compared, it was determined that the difference between the groups was significant (p<0,05).

As a result, it has been determined that the majority of parents have their children completed their vaccinations, and those who completed their vaccination have concerns about the content of vaccinations and also have concerns about whether or not to vaccinate.

Biography:

Chutima had worked as a registered nurse in surgical unit for few years after graduation then continued to study master degree in adult nursing and completed her PhD from Faculty of Nursing, Chiang Mai University. Now, I am an instructor at Faculty of Nursing, Chiang Mai University and teach in the surgical unit.

Abstract:

In Thailand, hepatocellular carcinoma (HCC) ranks as number one cancer in men and fourth in women. It is also the major cause of death in men and ranks second in women. Transarterial Chemoembolization (TACE) is the recommended treatment for HCC patients, resulting in delayed tumor progression and prolonged survival. However, TACE leads to several life-altering symptoms including pain, fever, and nausea and/or vomiting. Current knowledge on integrative therapies demonstrates that some techniques such as the progressive muscle relaxation might assist with pain management. The study used a one-group pre- and post- test design. Participants were 30 HCC patients who underwent first TACE attending a university hospital in Thailand. They received PMR training and provided a PMR CD for home practice. They were educated to use PMR as needed for symptom management for six weeks at home, kept a log of symptom rating book each time PMR was used, recorded the time of day and made immediate pre- and –post treatment recording of the symptoms severity on a 0-10 scale. The two most life-altering symptoms after TACE were pain, which can be classified as upper back pain, and lower back pain. The changes in symptom ratings from pre- to post- PMR were significant. Mean upper back pain scores decreased from 4.33 (SD = 0.45) pre-treatment to 2.73 (SD = 0.33) post-treatment (Z=-3.92, p<0.001), and mean lower back pain scores decreased from 4.71 (SD = 0.82) pre-treatment to 3.80 (SD = 0.60) post-treatment (Z=-3.70, p<0.001).

Biography:

Pingqiao Yuan has completed her Undergraduate degree from Lanzhou University, China. Currently she is pursuing her Graduation from Sichuan University majoring in Nursing.

Abstract:

Objective: To investigate the knowledge of stroke warning signs among nursing staff and analyze the influencing factors, and to providing the basis for improving the ability of rapid identification of stroke among nursing staff.

Methods: Investigating the general information and knowledge of stroke of among nurses, And according to the nurses’ knowledge of the number of clinical symptoms of sudden stroke, they were divided into two groups: The group with rapid identification ability and the group without ability and the univariate analysis was used to analyze the influencing factors.

Results: Influencing factors include whether the nurses had been exposed to stroke patients, whether the nurses had studied the knowledge of stroke, whether the nurses had participated in stroke-related training, work location of the nurses, nurses’ assessment of the importance of rapid identification of stroke and nurses’ confidence of rapid identification of stroke. The nurses' education background, professional qualifications, work-hospital levels are not associated with the nurses’ ability of rapid identification of stroke.

Conclusion: Nurses lack of the knowledge of rapid identification of stroke, nurses should be intervened aimed at the influence factors to enhance the ability of stroke rapid identification and improve the rate of early detection of in-hospital stroke.

Biography:

Shuqi Huang is currently pursuing graduation in Nursing at West China Hospital of Sichuan University, China.

Abstract:

Objective: To study the risk factors of falls in patients with Parkinson’s Disease (PD) and give adequate advice to prevent fall in PD patients.

Methods: 197 patients with PD from outpatient clinic of neurology were recruited. The demographic, clinical data were collected. Assessments of physical, psychiatric, cognitive status and falls were conducted during interview. Multivariate logistic regressions were performed to analyze the risk factors of falls in patients with PD.

Results: 110 (55.3%) patients had at least one fall in the past year. Logistic regression showed dyskinesias (OR=2.415, CI 1.013-5.757 95%, P=0.047), orthostatic hypotension (OR=3.890, CI 1.136-13.318 95%, P=0.031), H-Y rating (OR=6.174, CI 2.803-13.600 95%, P=0), MOCA score (OR=6.894, CI 1.826-26.030 95%, P=0.004), HAMD score (OR=1.144, CI 1.044-1.253 95%, P=0.031), HAMA score (OR=0.920, CI 0.852-0.995 95%, P=0.036) were independent risk factors of falls in patients with PD.

Conclusion: Falling is a common problem in Chinese PD patients. PD patients with dyskinesias, orthostatic hypotension, high H-Y scores and high score of MOCA, HAMD and HAMA will increase the risk of falling. Indicating the condition of the disease, the clinical symptoms, the cognition and the mental condition are important in the assessment and prevention of falls in PD.

Biography:

Dilshad Begum is the Assistant Manager in clinical Trials Unit and she has more than seven years of experience in clinical trials management. She has managed several international multicenter clinical trials as study coordinator and also facilitates trainings on ICH-GCP, protocol writing and budget development. She is also member of The Association of Clinical Research Professionals (ACRP).

Abstract:

Ethical and legal dogmas mandated obtaining informed consent from the research participants and their legal representatives before enrolling them in any clinical research. Regulatory guidelines emphasize that research participants should have adequate information and understanding about the research and informed consent should be an ongoing process rather than an event. There is a debate that the quality of informed consent is poor in developing countries, as compared to the developed ones. The purpose of this study was to explore the research participants’ perceptions on the informed consent process in clinical trials and observational studies. The study also intended to assess the participants’ understanding on basic elements of informed consent, i.e. purpose, risks and benefits, voluntary participation, alternative treatment or procedures, confidentiality, indemnity or compensation for harm or injury and whom to contact in case of injury. Data was categorized into themes, categories and subcategories. Five major themes emerged from the results of the study, which includes: (1) Information disclosure, (2) comprehension or understanding and (3) voluntariness, (4) competence, (5) and decision making. The results showed that information about research studies was partially disclosed. Research participants with higher level of education have better understanding of the informed consent as compared to those who have less education. All participants shared that they have voluntary participated in the studies and most of them showed altruism as motivating factor for participation. Research participants preferred to discuss informed consent with family and then take a shared decision with the research investigators after getting all the information. Research investigators need to give proper training to the research team on research consent administration and monitor the process frequently. National and institutional regulatory bodies need to be Stringent in protocol reviews and should have infrastructure for monitoring and audits, monitor the compliance and take appropriate action on noncompliance.

Biography:

Sarah Cope has received her Doctoral degree in 2016 from Queensland University of Technology, Dementia Collaborative Research Centre: Carers and Consumers (DCRC:CC). Australia. She is a Senior Lecturer at the University of Canberra where she enjoys the enthusiasm and sprite from students for the nursing profession. She holds special interest in dementia care, residential aged care gerontology, symbolic interactionism and researching spatial and temporal realties socially negotiated nursing practice. In her work she has provided expert clinical advice on specific care to support people living with dementia, to carers and health care providers. She is a Registered Nurse and holds a Bachelor of Nursing and a Master of Nursing (Dementia Care).

Abstract:

Specialized dementia care within the residential aged care sector has undergone significant change over the last few decades. One important shift is in the way that aged care providers market their services in offering specialized care including dementia care. The aim of this research was to gain insight into the perceptions and practices around the direct care giving experiences of care staff that provide care in RACFs to people with dementia who wander. This research adopted a social interpretive framework informed by symbolic interactionism and dramaturgy. Data were generated from eleven focus groups conducted with 48 nursing staff at four NSW/Sydney metropolitan RACFs. Data were analyzed using a symbolic inter-actionist lens and open and focused fracturing of data methods of Charmaz (2011). The key finding was that a social order of practice was constructed in the RACFs through participant interpretations of spatial and temporal frames within the RACF setting. The participants used space and time to organize and mediate the ways in which they worked with people with dementia who wander. The construction of care was also positioned within the social order of the organization and the broader regulatory environment. Thus there existed a tension between the organization of care work in the RACF and the person-centered care approach as advocated by the residential care industry and the nursing profession. The research found that the construction of nursing care within a RACF environment is predominantly framed by efficiency measures that privilege linear clock time and habitual practice over the flexibility required for a person-centered approach to caring for people with dementia who wander.

Biography:

Rodolfo C Borromeo has completed his Doctoral degree major in Educational Management at the Philippine Women’s University, Philippines. He is currently the Director of Nursing Service Division of San Juan de Dios Educational Foundation, Inc. Hospital since 2005. He is also the Vice President of the Association of Nursing Service Administrators of the Philippines (ANSAP) and is a Member of the Ethics Committee and Chairman of the Research Committee of the same organization.

Abstract:

One of the values of the hospital that relates to work engagement is co-responsibility, which was found to be a challenging behavior. Nevertheless, it devotes its context towards developing individual’s capability to engage in the organizational activities. The study determined the impact of the Reflective and Interactive Coaching Huddle (RICH) in building workplace engagement among nursing service employees of San Juan de Dios Educational Foundation Inc. Hospital. The purpose of this study was to determine the significant variations on the achievement work engagement metrics of the nurses under study after the implementation of the said coaching guidelines. This study employed a descriptive, evaluative research design, of which 183 staff nurses, charge nurses and nurse managers have participated. Findings reveal that the participants were predominantly female, aged 21 to 25 years old. The extent of workplace engagement was evidently observed by nurses and rated from high to very high extent of achievement. There were significant variations on the extent of achievement to workplace engagement based on positions, age and interdisciplinary communication. It was then recommended to continue the use of the reflective and interactive coaching huddle to among nurses, blended understanding of both staff nurses and nurse managers, decreasing generational gaps through training modules capitalizing on reflecting generational limitations and devising a recognition criterion to acknowledge the most engaged team among nursing units and positions.

Biography:

Hasnain Sabih Nayak, a Bachelor in Architecture and Master of Public Health, has been involved in Early Childhood, Infrastructure, Institutional, Projects/Programs, Advocacy & Communication/ Promotional & Social Marketing/ IEC & BCC  Programs/Materials/Strategies Development in the health sector for 25 years. He is an independent consultant; Adjunct Faculty, School of Public Health, Independent University, Bangladesh; Trustee, Mental Health Awareness Training Education Research & Services Trust; President, Social Assistance and Rehabilitation for the Physically Vulnerable; Country Representative, Healthcare Information For All; Co-founder and Int’l Relations & Culture Editor of TOITOMBOOR (leading children & juvenile monthly of Bangladesh); and an active Rotarian.

Abstract:

Bangladesh has made a great progress in reducing infant and maternal mortality rates as part of the MDGs. Yet every year there are significant numbers of maternal and neonatal deaths. Thus, introduction of midwifery services seemed imperative. A 3-year midwifery diploma was started by Government of Bangladesh, supported by WHO and UNFPA in public/govt sector and by BRAC University (BRACU) with UKAid funding from UK Government in non-govt sector. In Cox’s Bazar more than 90% women give birth at home, less than half of them attended by skilled healthcare workers. As one of the seven partner sites of BRACU in the ‘Community-based Midwifery Diploma Program’, HOPE Foundation for Women and Children of Bangladesh, based in Cox’s Bazar, started training Bangladesh’s first class of 30 midwives in 2013. All the students selected for this program are local to Cox’s Bazar, with the intent that these girls will remain local upon graduation to meet the high needs of maternal care in the remote areas. Despite some challenges, 29 graduated from the first cohort and obtained professional certificates to be able to practice individually on their own. Institutional Job opportunities work as pull factors for migration of the midwives to the bigger cities. However, forced displacement of Rohingya population to Cox’s Bazar from Myanmar, with a huge number of pregnant women, resulting in a higher need/demand for the midwives, acts as a counter pull-factor for repatriation or re-migration for the midwives to get back to Cox’s Bazar.

Biography:

Salma Al Yazeedi is a PhD candiadate at Arizona State University. She is a nurse tutor at Ibra Nursing College, Sultante of Oman.

Abstract:

Recently, there has been a great focus on spirituality and spiritual care. However, the potential impact on terminally ill elderly at end of life and palliative care remains unaddressed. The purpose of this systematic review is to synthesize publications that addressed the effect of spirituality and spiritual care, particularly at palliative care and end of life. It also highlights the role of palliative health care providers and reviews measures that enable them to effectively address the spiritual needs of critically ill elderly. Research was conducted through Pubmed and PsychINFO databases. The search was specified for the period between 2005 and 2016, using the key terms “spiritual care,” “spirituality,” “elderly,” “senior adults,” “palliative care,” and “end of life.” The inclusion criteria for studies selection were applied included: a) articles published in English language, b) studies' participants aged 50 years and more, and c) articles should be relevant to the addressed concepts. A total of 64 articles were retrieved from the two databases and18 duplicated articles were eliminated. Titles and abstracts of 46 publications were reviewed, and 22 were eliminated for irrelevancy.  The remaining 24 articles were reviewed comprehensively and eight were excluded. 16 articles were retained for final review, which found to be relevant to the inclusion criteria. The findings from this systematic review prove that spirituality positively enhances the well-being of senior adults, supports them to cope with the catastrophes, and adjusts well in their lives. Palliative health care providers obviously play an essential role in meeting the spiritual needs of critically ill elderly. Addressing practical strategies to increase their awareness, knowledge, and skills regarding spirituality will effectively enhance delivery of efficient spiritual care.