49th Annual Nursing Research and Evidence Based Practice Conference August 20-21, 2018 Tokyo, Japan

Biography:

Nikki Akparewa, RN, MSN/MPH completed her master’s at the Johns Hopkins University. She worked as a cardiac critical care nurse at the Johns Hopkins Hospital before going on to teach internationally. She was the Director of Nurse Education for the Trinidad & Tobago Health Sciences Initiative. Nikki has partnered with both corporate and community organizations to deliver workshops, motivational speaking and educating hundreds of students around social justice and leadership in nursing.

Abstract:

In the United States, we boast of of being a superpower country. We have the best to offer in terms of economic  advancement, jobs, infrastructure, technology, but the same cannot be said about healthcare. As a country, the U.S. would place about 34th in the “Health Olympics.”

According to United Nations Human Development Report, If the “Health Olympics” were won by the greatest life expectancy we would come in about 34th place. As our influence on other countries increases, the concept of global health becomes increasingly important as well. If history has shown that spending trillions of dollars on illness care does not necessarily produce more well people then we must somehow create a culture that is capable of providing multicultural and inclusive care.

When it comes to disparities in health, racial minorities in the United Sates have the worst statistics. They are at higher risk of poverty, poor health, and incarceration. I would like to share with you my approach for eliminating and reducing health inequities and increasing social justice, diversity and inclusion through the Transform Nursing Leadership model.

Biography:

Deryn is eczema and allergy specialist nurse and a lecturer at the University of South Australia in undergraduate and postgraduate nursing courses. She is a member of Australian Professional Allergy and Dermatology organizations and British Dermatology Nurses Group. She has published in a number of journals, received a Premiers Nursing Scholarship and numerous dermatology and academic awards. She is a Ph.D. candidate exploring Paediatric and Child Health nurses’ parent education practice and parents’ expectations.

Abstract:

Background: Parents and parents require considerable knowledge, practical and problem-solving skills to optimise their child.’s care. Nurses facilitate the learning process, but there is little evidence in the literature of nurse’ awareness of how people learn, in their parent-education practice. Despite education and cognitive psychology literature establishing the importance of implementing learning principles for developing problem-solving and decision-making capabilities, there is a paucity of such research in health-education literature. The research aims to explore, through a scoping literature review, what learning principles inform parent-education practice.

Aim:  A scoping review of literature explored and identified the learning principles health professionals reported, implemented and evaluated in parent-education practice.

Method: Marzano et al.’s Five Dimensions of Learning provided the lens to identify learning principles used. Arksey & O’Malley’ framework guided the review and analysis.

Results: Of 2692 articles located, 89 were suitable for full-text analysis, including 10 practice standards. Only 16 papers utilized all 5 learning principles and evaluated parent learning. Thematic analysis identified a dearth of descriptions of learning principles use in practice, varying conceptualization of ‘learning’, divergent learning expectations of health professionals and parents and learning assumed from clinical outcome measures.

Conclusion: The findings suggest there is a lack of awareness by HPs of what ‘learning’ in parent education encompasses. The review highlights the need to explore what learning principles nurses are using in parent education practice and what parents expect to learn. These findings will inform the next phase of the research: the action research cycles of a bigger project.

Biography:

Monette recently completed her Doctor in Nursing Practice from American Sentinel University in Aurora, Colorado with a focus on Executive leadership. She is currently the director of a 30-bed heart failure unit at Moses Cone Memorial Hospital, a 500-bed acute care hospital that is a part of a 6 hospital enterprise in southeastern North Carolina. She has presented numerous evidence-based posters to various national nursing conferences including the American Nurses Association and the American Association of Critical Care Nurses.

Abstract:

Description:

Indwelling Urinary catheters are commonly used for heart failure inpatients to support strict intake and output monitoring related to IV diuretic administrations.

In our 30-bed heart failure unit, high indwelling catheter utilization and high Foley days led to increased catheter-acquired urinary tract infection (CAUTI). As we drilled down the problem, we identified the inconsistent use of the nurse-driven urinary catheter protocol and inaccurate documentation of I & O.

These triggers prompted our team to use the IOWA model to identify best practices in CAUTI prevention.

Methods/Materials:

Using the IOWA model, the team reviewed literature for best practice strategies. Baseline data on I & O documentation and catheter care practices were collected.

Staff was re-educated on the urinary catheter guidelines, proper Peri and Foley care, use of a nurse-driven protocol to discontinue Foley catheter and I&O documentation through daily huddle messages and one on one staff education.

The practice was changed in Intake and Output documentation of catheter output to every 4 hours; Foley/Peri care annual competency was established.

Results:

The unit CAUTI rate in 2013 was 3.16 with 3 CAUTI’s and 949 Foley utilization days.

After staff re-education and practice change in 2014, the CAUTI rate decreased to 1.22 with 1 CAUTI and 807 in Foley utilization days.

In 2015 the unit CAUTI rate continued to decline despite a slight increase in Foley utilization of 924 days.

By 2016, the unit continued to be CAUTI free and for 2017, they remain CAUTI free with 598 days of Foley utilization

Conclusion:

This evidence-based project positively impacted practice by promoting early removal of Foley catheters and accurate documentation of Intake and output. The results demonstrate a dramatic and consistent decrease in CAUTI rates, as well as a decrease in catheter days.

Adherence to Protocol-driven care and commitment to maintaining increased staff awareness has dramatically reduced the incidence of CAUTI in this department resulting in the unit’s achievement of 3 years CAUTI free.

Biography:

Rekha Timalsina has completed Master Degree in Nursing from Nursing Campus Maharajgunj, Tribhuvan University (TU), Institute of Medicine (IOM), Kathmandu, Master Degree in (MA) Sociology from, Patan Multiple Campus, TU and Master Degree (MA) in Psychology from TU, Kirtipur. She has been awarded Aishwarya Vidya Padak, Mrigendra Chikitsa Guthi Gold Medal, Meera Devi Rana Gold Medal, Madan Aashrit Scholarship and Best Poster Presentation Award. She had previously received a research grant from University Grant Commission of Nepal. Her experience and skills pursued during 17 years in nursing profession count much in areas of nursing education, research, and writing.

Abstract:

Increasing work efficiency, improving psychological health, decreasing turnover, turnover intention, and absenteeism may be depended on organizational commitment of an employee. A cross-sectional analytical study was carried out for identifying the predictors of organizational commitment among 197 university nursing faculties of Kathmandu valley. Proportionate stratified random sampling technique was used for selecting samples from 18 colleges of nursing. Structured questionnaires were used for the collection of data. Data entry and data cleaning were done by using Epi-data software and data analysis was done using SPSS version 16 software. Regression analysis was done for identifying the predictors of organizational commitment. The findings of this study showed that nursing faculties had a moderate level (68%), high level (28.9%) and low level (3%) of organizational commitment. Moreover, this study also revealed that the nursing faculties who were having a master level of education in nursing, who was in the position of assistant instructor to assistant lecturer level, had a permanent appointment, having greater than 5 years of work experience in same organization and job satisfaction had a high level of organizational commitment. On the basis of this findings, it is concluded that nursing faculties had a moderate level of organizational commitment. The predictors of organizational commitment are higher education in nursing, position, type of appointment, current organizational tenure and job satisfaction. Therefore, the organization must pay attention to the modifiable predictors of organizational commitment for enhancing the organizational commitment of nursing faculty members. So that it may reduce turnover, increase efficiency in quality of teaching and student’s satisfaction. 

Biography:

Abstract:

Background: Postoperative pain is considered as a major, complex and multidimensional problem that impacts the clinical and functional outcomes of patients and may contribute to increased postoperative complications.

Aim: To determine the prevalence of inadequate pain control and to investigate the factors associated with inadequate pain control among postoperative cancer patients.

Design: A descriptive correlational, cross-sectional design was used.

Participants: A convenience sample of 800 cancer patients were selected; postoperative patients, diagnosed with cancer, aged ≥18 years, willing to participate, and being able to use the numeric rating scale.

Result: About 32.9% of patients had pain score more than 4/10 at rest and 56.4% of patients had pain score more than 4/10 at the movement. Data revealed that patients aged between 18 – 63 years old (OR= 0.196, P< 0.0005) and (OR= 0.245, P< 0.0005) and chronic user patients (OR=28.029, P< 0.0005) and (OR= 10.332, P< 0.0005) were associated with increase odd of being poorly pain controlled at rest and at movement respectively. Preemptive medications and Fentanyl and bupivacaine during the post-operative period were significantly associated with decrease odd of poor pain controlled. Intravenous route was associated with increased odds of poor pain control at rest and at movements (OR=2.279, P=0.016) and (OR=5.393, P=0.012) compared with other routes including a combination of intravenous and oral or epidural route.

Conclusion:  chronic users of pain medications and adult patients were a predictor of inadequate pain control postoperatively. While receiving preemptive medications and combinations of Fentanyl/Bupivacaine via epidural route were associated with better pain control. 

Biography:

The researcher is a nurse since the year of 2000 who has special attention to nursing intervention that efforts not only based on medical intervention. Efforts to develop many alternative interventions that can be used by nurses is one proof that nursing care is one of the interventions that can help the process of medication that will be undertaken by a patient. The use of exercise, especially the exercise that can be easy to do by the elderly as one of nursing intervention in an effort to decrease the health problem on the elderly whose having a difficulty to mobilize can be one of the recommendations that can be done by the nurses.

Abstract:

Statement of the Problem: Development of the elderly number from year to year continues to increase. By 2050 the number of elderly will reach 10-20% of the total population of the world population. Elderly is a group of individuals who experience many health problems caused by the decline in body function. Decreased muscle strength, especially in the lower extremity is a problem that many experienced by elderly. Problems such as muscle weakness can lead to various disorders such as impaired mobility and postural balance disorders. Based on data from one hospital in Jakarta, the prevalence of immobilization in elderly is 33.6% in 2001.  Methodology & Theoretical Orientation: This study using pre-posttest with control group design with the number of respondents 28 elderly who were divided into two groups where the sampling is done by using a quota sampling method. Data collection was done before and after the elderly done balance exercise by using Berg Balance Scale instrument. Data analysis was performed using Wilcoxon rank sum test. Conclusion & Significance: based on test Wilcoxon rank sum test showed that there were significant differences in elderly postural balance between the conditions before and after exercise balance (0.005). Besides that, there is a difference of postural balance in the group given intervention and group which not given intervention (0.041). Recommendations: balance exercise can be used and developed as one of the nursing interventions that can help the elderly who have problems with the musculoskeletal system, especially the problem of balance and risk of falling.

Biography:

Dr. Susan Hopkinson focuses primarily on identifying contextual factors that contribute the complexity of the nursing work environment, such as interruptions, horizontal violence and communication. Prior to becoming a researcher, she worked in multiple clinical roles to include pediatric staff nurse and medical-surgical staff nurse. She also held the role of nurse manager for both a pediatric unit and a medical-telemetry unit. She is currently the Director of the Center for Nursing Science and Clinical Inquiry at Tripler Army Medical Center in Hawaii, USA. In this position she conducts research, oversees the evidence based practice program, and mentors staff nurses and novice scientists in the performance of research and evidence based practice.

Abstract:

Statement of the Problem: Horizontal violence (HV) is repeated behaviors over time that intimidate or demean another individual. Horizontal violence impacts physical and psychological health of nurses, with a secondary impact on quality of care and job satisfaction. A gap exists regarding the experience of HV within military nursing and the effectiveness of any interventions. The purpose of this study was to explore the experience of HV by military nursing staff and to determine if education changed the experience. Methodology & Theoretical Orientation: This interventional research study used a two group, pretest and posttest design at three different military treatment facilities (MTF). Initially, a link to an anonymous questionnaire was sent to nursing staff, open for one month. A 30 minute educational intervention including HV awareness and cognitive rehearsal responses was then provided over a period of 2-3 months. The anonymous questionnaire was again sent to nursing staff at 1 to 3 months following completion of the education. Findings: At all MTF’s, the average occurrence of HV behaviors on a scale of 0 (never) to 5 (monthly), was between once (1) to twice (2) in the past 3 months. Respondents experienced personal effects from HV an average of once (1) in the past 3 months. The most frequent perpetrators were females, nurses and supervisors. When conducting one-way ANOVA comparing the pre vs post-education groups for each site separately there were no significant between-group differences.  Conclusion & Significance: The HV occurring within military nursing is at a lower frequency than reported in civilian nursing facilities. The education alone was not an effective method. Future research and clinical application should focus on military nursing leader engagement in conflict management, establishment of positive work environments, holding staff members accountable, and providing clear guidance on how to manage reported HV

Biography:

Dr. Chow is the Associate Dean and Associate Professor of Tung Wah College. Over the past years, she has gained vast experiences in nursing education and academic programme administration. She is the Associate Editor of BMC Nursing and the editorial board member of Open Nursing Research. She serves as a reviewer of various international nursing and health care journals. She has published widely in international referee journals and her research areas are nurse case management, care of patients with chronic diseases, teaching and learning of nursing students and instrument testing. Her teaching areas are community health nursing, health education and promotion and nursing research

Abstract:

Aim: To examine the relationship between perceived level of stress and physical activity among junior and senior year nursing students in undergraduate programme.

Methods: Cross-sectional survey was used. The study included six universities and colleges that offer undergraduate nursing programme in Hong Kong. Convenient sampling was adopted to recruit second and final year nursing students. There were 308 students participated in the study. The self- administered questionnaire including demographic characteristics, perceived stress scale (PSS) and Godin-Shephard Leisure-Time Physical Activity Questionnaire (GSLTPAQ). Higher scores of PSS represented higher level of perceived stress. The GSLTPAQ classifies level of activity into active, moderately active and insufficiently active. The study was approved by the human subjects reseach ethics committee of the College. All of the participants signed informed consent forms.

Results: The mean score of PSS was 27.31/56 (SD 5.41) and 26.70/56 (SD 4.91) for year 2 and year 5 students, respectively. For weekly physical activity level, the mean score was 21.99 (SD 16.30) and 22.23 (SD 14.47) for year 2 and year 5 students, respectively. There were about half, 53% of year 2 and 47% of year 5 students classified as insufficiently active. For relationships between level of perceived stress and physical activity among the two groups of students, the corelation coefficient for year 2 and year 5 students were 0.084 and -0.085, respectively.

Conclusion: Peviousely, it was believed that that senior year nursing students are facing higher level of stress due to study pressure and clincial practices. Both junior and senior nursing students perceived similar level of stress. Junior students are adopting to new life while final year students are worrying about joining the workforce after graduation. Nurse educators and universities should supports the next generation of nurses to reduce the negative impact of stress and avoid living a sedentary lifestyle.

Biography:

Abstract:

Background: Nurses are expected to be the role model in health promotion and they should adopt healthy lifestyle to live a productive life. The unhealthy lifestyles developed in young age may continue into adulthood which could create an impact on the individual, family and community health. As a key member of the healthcare professional, nurses are required to be an advocate in health promotion and related activities.

Self-rated health is commonly used in health research to gauze the general health status of the participants. The single question is found valid and reliable to predict the morbidity and mortality. A complex relationship exists between self-rated health and health behaviours.

Objectives: The purpose of this study was to investigate the relationship between self-rated health and health promoting lifestyle of nursing students in junior and senior year, and to explore the demographic factors that are affecting the adoption of healthy lifestyle among nursing students.

Design: Cross-section study. The junior (Year 2) and senior year (Year 5) nursing students were invited to participate.

Setting and Participants: The study was conducted between January to April, 2018. A total of 325 students were recruited, including173 junior year students and 152 senior year students.

Results: The majority of nursing students were female (78.3%), with part-time job (71.7%), lived with family (96.8%) and non-smokers (99.7%). Significant difference was found between junior and senior year students on health responsibility. Moderate positive correlation was found between health management and spiritual growth (r = 0.61, p < .001), nutrition and physical activities (r = 0.42, p < .001). Family conflict was a factor that significantly affecting nursing students’ self-rated health. Gender, year of study, part-time work and religious belief were significantly factors that affected their health-promoting lifestyle.

Conclusion: Interventions are encourage to be implemented to the junior year students to enhance their health responsibilities. Further studies are required to find how family conflicts are affecting an individual’s self-rated health. Conflict management could be embedded into nursing curriculum to improve thewell being of nursing students. The Longitudinal study for the same cohort of students is recommended to evaluate the trend of self-perceived health and health promotion lifestyle of college students.

Biography:

Mr. Bajjali recently has submitted a research paper for his MSc in pediatric nursing from Al Quds University School of nursing. He had 3 years' experience in pediatric field, currently he works as registered nurse at pediatric cardiac surgery ICU at Al Makassed Hospital in Jerusalem.

Abstract:

Background:  Pain management is a very necessary aspect of nursing care of pediatric patients. nurses play a vital role in managing pediatrics' pain. Proper  assessment, adequate intervention, and evaluation of pain relief measures are important for positive outcomes. The need of this study in Palestine has been raised due to lack of facilities, protocols, educational programs and insufficient training materials in Palestine. Ultimately Palestinian children are suffering of pain and pain become poorly managed. Purpose of this study was to assess level of knowledge and attitudes of pediatric nurses regarding pain management in Palestinian hospitals in West Bank. Instrument: The pediatric nurses' knowledge and attitudes survey (PNKAS) was used in this study to assess the level of nurses' knowledge and attitudes regarding pain management in children among pediatric nurses in Palestinian hospitals. Method: This descriptive, quantitative cross sectional study was performed at 14 hospitals among 256 nurses who work in general pediatric wards in West Bank. Results: The total mean score on PNKAS scale was 50.4%, highest score was 84.8%, and lowest score was 25%. The majority of participants 213(83%) had less than 60% of correct answers, while 39(15%) of nurses their scores were between 60-79%. However only 4(2%) nurses who had 80% or above in PNKAS scores. Most nurses demonstrated lack of knowledge about pain management. 98.4% of nurses had misconception about incidence of opioid addiction, 94.9% of them also had knowledge deficit about incidence of respiratory depression in opioid management, and 91% of nurses believe that children over-report their pain. The findings of this study showed that pediatric nurses in Palestine have insufficient knowledge and attitudes regarding pain management. Recommendations: Educational programs, continuous training may be beneficial related to this issue.

Biography:

Dr. Hala Shalaby has completed her Medical college from Zagazig university in Egypt, at 1989, then got DCH from the same university at 1996, and finally passed MRCPCH. She also had a membership in the Royal college of pediatric and childhood in London-England, on 2015. She is a senior registrar of pediatric and neonates in Riyadh Care Hospital in Riyadh-Saudi Arabia and have been working there for 15 years. During which, she presented many lectures there. Last year, she has published a scientific article about breast feeding in the journal of 5th International Conference on pediatric Nursing & Health in Cologne- Germany. She published another article on” Neonatal ovarian cysts/case presentation” at the “2nd World Congress on Midwifery and Neonatal Nursing”, that was held during August-2017 in Philadelphia, USA.

Abstract:

OBJECTIVES: Discuss the eiliology, diagnosis, and management of laryngomalacia in in neonates with a spotlight on alarming symptoms and signs.

BACKGROUND: Laryngomalacia is the most common cause of congenital stridor and is the most common congenital lesion of the larynx. It is a dynamic lesion resulting in collapse of the supraglottic structures during inspiration, leading to airway obstruction.

EITIOLOGY:  It is a congenital abnormality of the laryngeal cartilage. It is thought to represent a delay of maturation of the supporting structures of the larynx. Laryngomalacia may affect the epiglottis, the arytenoid cartilages, or both.

DAIGNOSIS: Laryngomalacia results in partial airway obstruction, most commonly causing

 a characteristic high-pitched squaking noise on inhalation (inspiratory stridor)

-flexible laryngoscopymay recommend for further evaluation

ASSOCIATIONS: Gastrocesphageal reflux

TREATMENT: Time is the only treatment necessary in more than 90% of infant cases. In other cases, surgery may be necessary (supraglottoplasy).

Biography:

Xianmei Meng has completed her doctoral program from the Second Military Medical University, P.R.China, and the research topic focus on developing an evidence-based nursing program for patients with stroke in the Chinese context. She is the assistant professor of nursing, in the Department of Nursing. She has published 30 papers in reputed journals. Her researcher interests are community health nursing, rehabilitation nursing

Abstract:

Statement of the Problem: Stroke can bring serious health and social issues for patients and their families, however there were no specific stroke nursing practice standards in China yet. The purpose of this study was to design a stroke nursing program with best evidences and adaption of the Chinese domestic context, which could provide a scientific and continuing theoretical guideline of standardizing the stroke nursing practices in China.

Methodology & Theoretical Orientation: Four phases were included in the study. Phase one--- Field study of three health institutions and semi-constructive interviews among multiple professional health care providers were conducted to explore the current stroke nursing practices in terms of i-PARIHS framework; phase two---The construction of a nursing program was based on reviewing and evaluating guidelines (44) and systematic review articles (64) in stroke nursing practices by using AGREEâ…¡ methodology and OQAQ methodology;  phase three---The nursing program was revised through interviews among multiple professional health care providers and a focus group discussion of nursing specialists in health institutions of clinical translation, and totally 12 sub nursing programs were developed; phase four---Two sub nursing programs, Deep Venous Thrombosis (DVT) prevention nursing program and dysphagia and nutrition nursing program, were applied in three health institutions to evaluate the effects of clinical translations during two periods of Plan-Do-Check-Action method. Findings: In DVT prevention nursing program translation, nursing recording materials and the nursing program management were standardized. Based on the standardization of DVT prevention nursing program, swallowing rehabilitation management was standardized in clinical translation of the nutrition nursing program, such as responsibilities of speech and language therapists (SLT) and nurses on swallowing rehabilitation; and a swallowing rehabilitation recording form of stroke patients between SLT and nurses. In addition, the nurses’ knowledge and compliant behaviors of preventing DVT and swallowing training increased significantly after implementing the two nursing programs.

Conclusion & Significance: This study set up 12 sub nursing programs in terms of evidence-based approaches, providing a standardized nursing practice framework for continuously caring patients with stroke. Clinical translation of two sub nursing programs showed approved that the nursing programs were scientific and practical, which provided direction for stroke nursing practices in China.

Biography:

Meng is a fresh postgraduate in West China Hospital, Sichuan University, major in cardiovascular nursing. She devotes her energy to build a transitional care model in patient with chronic heart failure. She always treats it as her greatest responsibility to promote nursing development.

Abstract:

Background: Patients with heart failure (HF) experience physical symptoms and poor health-related quality of life (HRQOL). Physical symptoms are associated with QOL. A valid instrument to assess symptoms of patients with HF would be useful for comparison of groups and for illness assessment and intervention. The Symptom Status Questionnaire-Heart Failure (SSQ-HF), a convenient, reliable, and valid instrument for evaluating symptoms in patients with HF, has not been validated in China.

Purpose: To examine the psychometric properties of the Symptom Status Questionnaire - Heart Failure (SSQ-HF) in Chinese with HF. Method: The Chinese version was translated using translation and back-translation. The cross-sectional study of 180 patients was designed to evaluate the validities and reliabilities. Participants were asked to complete 3 instruments including Chinese version of MSAS–HF, English version of the SSQ-HF and Chinese version of the Minnesota Living with Heart Failure Questionnaire (MLHFQ) as the criteria of criterion-related validity and factorial validity, internal consistency reliability. Results: The SSQ-HF demonstrated acceptable internal consistency (Cronbach's α of .70). The correlation (r=.43–.68) between items and the scale provided further evidence of internal consistency. There was acceptable criterion validity with significantly high correlations (varying from 0.70 to 0.82) between the SSQ-HF and the criteria. Principal component analysis revealed two factors which differs the original scale.

Conclusions: The Chinese version of the SSQ-HF appeared to be a valid and reliable instrument and was considered ready for use in the routine screening of patients with HF.

Biography:

Monette recently completed her Doctor in Nursing Practice from American Sentinel University in Aurora, Colorado with a focus on Executive leadership. She is currently the director of a 30-bed heart failure unit at Moses Cone Memorial Hospital, a 500-bed acute care hospital that is a part of a 6 hospital enterprise in southeastern North Carolina. She has presented numerous evidence-based posters to various national nursing conferences including the American Nurses Association and the American Association of Critical Care Nurses.

Abstract:

Reducing hospital readmission for heart failure patients is a major focus for healthcare organizations to improve quality and reduce cost, following Center for Medicare and Medicaid rule to lower reimbursement to hospitals with increased readmissions for heart attack, heart failure, and pneumonia. Advance community paramedicine program is an innovative approach to reducing hospital readmission by employing paramedics to conduct follow up visits to high-risk heart failure patients. This quantitative non-experimental before and after a comparative study of a single group using retrospective data of high-risk heart failure patients. This study will attempt to establish a statistically significant relationship between the advance community paramedicine program and heart failure patient’s readmission rate and address questions by describing correlation and causation based on objective measurement and observations (Hammer & Collinson, 2004). A non-probability convenience sample of approximately 100 records on patients, who were admitted to a heart failure unit before and after the community paramedicine program was implemented, will be retrieved from the electronic health system. Data will be analyzed using IBM SPSS version 23.0. Descriptive statistics will be used to describe the characteristics of the patients and the Chi-square, a non-parametric test will be used to analyze the variables that are measured on a categorical level (Kim & Mallory, 2014).

Biography:

Dr. Yuki Maeda finished her Master’s Programs in Osaka University School of Health and Nursing Science and has been continuing to study in Doctor’s Program of Mukogawa Women’s University. Moreover, she engages nursing education as a teaching staff at Wakayama Medical University. Her specialty is pediatric nursing and had experienced care and management of pediatric patients in Wakayama Red Cross Hospital for 12 years as a chief nurse, before starting her academic experiences. The goal of her academic process should be the development of novel evaluation of nursing program and enhancement of the quality of nursing care, and ongoing study is the discharge support for pediatric patients to identify the risk factors of discharge difficulty as her Ph.D. thesis.

Abstract:

Background; It is well known that the early support of discharge by expert nurses and patients support team is important for hospitalized pediatric patients, and these efforts have translated to develop providing maxim time for developing an organized discharge plan, more time for discharge teach by staff nurses for elder and pediatric patients, and also their family engagement and efficiently need coordination of care service. The discharge supports have been focusing in elderly patients in Japan and other Western countries, and not fully discussed in pediatric patients. Then we have identified the factors of discharge difficulty and proposed the resolving methods regarding supports for early discharge in pediatric patients. This study has been approved in the ethical committee of our institution.  Purpose and Methods; We have performed a semi-structured interview using a qualitative approach by 18 experienced nurses for pediatric patients care, and the average period of work experiences was 15.6 years.  The interview was also intended to compare the factors for discharge difficulty of pediatric and elderly patients.  Results; We have referred Holland’s results (J Pediat Nurs2014) to adjust Japanese pediatric patients. The reasons for the difficulty of early discharge were found for 17 categories including Poor nutrition, Unstable condition, Home nursing visit after discharge, Difficulty of a caring child, Bother about the decision of treatment, Difficulty of a caring child, Unstable family relationships, Financial concerns.  Discussion; We have clarified the risk factors of discharge difficulty for pediatric patients such as patients’ and caregiver factors and home environment. The difference of discharge difficulty between pediatric and elderly patients was that pediatric patients have factors associated with problems of patients and caregivers and home environment. The reason why these factors are dominant in Japan is that the main persons for home care might be caregivers.

Biography:

Wu Yueh-Chu earned her Master’s degree in the Department of Counseling and Applied Psychology, National Taichung University of Education in Taiwan.

She is a Diabetes Educator at the Department of Nursing, Chung Shan Medical University Hospital, Taichung, Taiwan. She has worked in clinical nursing for 24 years and has been working in the field of diabetes health education for 13 years. She also specializes in consulting, group education psychology, and other related research

Abstract:

Statement of the Problem: Diabetes is a chronic disease with continuously increasing prevalence worldwide. In 2017, the International Diabetes Federation (IDF) reported 190 million women are diabetic globally. By 2040, this figure may reach 301 million. The purpose of this study was to explore factors affecting home insulin therapy and blood glucose self-monitoring in female diabetic patients with poor glycemic control. Methodology & Theoretical Orientation: A grounded theory guided this study. Semi-structured in-depth interviews with ten female diabetics, aged 45 years or older, with glycated hemoglobin A1c over 8.5% were analyzed by inductive content analysis. Purposive sampling was used to collect data in May 2016 in a hospital in Taiwan. Findings: The results revealed four themes. The theme I: mental and emotional problems, including two sub-themes: (1) family tensions coexisting with the disease, feeling powerless, and lacking confidence; (2) insecurity, including fear of hypoglycemia and diabetic complications, depression, and negative emotions/despair. Theme II: misunderstandings regarding treatment-related information, including two sub-themes: (1) lacking knowledge about blood glucose level, and having no self-efficacy to attain goals; (2) unable to adjust insulin dose. Theme III: lack of disease control beliefs, including two sub-themes: (1) subject to the physical control of the body, can not control the disease process; (2) limited living habits, cannot adopt correct life adaptation strategy. Theme IV: Unable to overcome dietary challenges, including two sub-themes: (1) the need to be constantly reminded by the family to discuss the implementation strategy; (2) the need to share difficulties with their family to establish good communication. Conclusion & Significance: The views of diabetic patients and their families about diet differ, which may partly explain the patients’ poor glycemic control. Thus, lack of confidence in disease control, social support, and differences in dietary views are vital components of diabetes control as they affect self-care behaviors. 

Biography:

Shu Yu is a professor of School of nursing, National Yang-Ming University in Taiwan. Chih-Yun Hsieh completed her MS degree in Nursing from National Yang-Ming University in 2015. Kang-Hsi Wu is a pediatric oncology attending physician of China Medical University Hospital. He is also a professor and director of School of Post-Baccalaureate Chinese Medicine, China Medical University in Taiwan. Pei-Fan Mu is a professor and the director of Institute of Clinical nursing, National Yang-Ming University. They have published many papers in scientific journals and international conferences.

Abstract:

The five-year survival rates of children with acute lymphoblastic leukemia (ALL) reveal significantly increasing trend in recent decades. For children with cancer, as a chronic disease, maintaining a normal lifestyle and positive adjustment are very vital. School nurses (SNs) as the role of health gatekeeper must have sufficient knowledge to understand clients’ (children and their parents or caregiver) health care needs and then to develop a client-centered case management model. However there is lacking of studies regarding SNs’ knowledge of caring children with ALL. The aim of this study was to examine school nurse’s knowledge of caring children with ALL. A nationwide-based study was conducted with a randomly selected sample of 303 SNs using a structured questionnaire. Based on the findings, we found that there is an obvious room to improve SNs’ knowledge (20.55 4.34, total score 31; an average overall correct answer rate of 66.3%). Among five dimensions of knowledge, the highest was noted for “treatment of ALL” (average mean = 0.70; SD=0.22), then was in “late effects in long-term survivors” (average mean = 0.67; SD=0.44); and the lowest score was in “care after treatment of ALL within two years” (average mean = 0.62; SD=0.22). The evidence-based results found that SNs have insufficient knowledge about caring of children with ALL as well as developing a case management of ALL in school. Thus, health care organizations and school administrators should pay more attention and support to SNs join in more continuing education about caring of and developing a case management model of children with ALL. To effectively empower SNs’ knowledge and competence then to increase quality of health care and get healthier and better life for children with ALL. Our findings are also helpful for program development, policy making, future research, practice, as well as improving the quality of care and life for children with cancer (ALL).

Biography:

Ms. Sugano has a passionate interested in dementia care for elderly in acute hospitals. She has development above scale after years of experience in research, concept development by using the hybrid model (Schwartz-Barcott & Kim, 2000).      

Abstract:

The purpose of this study was to develop a scale to measure nurses’ clinical foresight for elderly patients with cognitive decline (hereinafter referred to as “scale”). Methods: First, the concept of nurses’ clinical foresight for elderly patients with cognitive decline was analyzed by using the hybrid model, which comprises three phases (theoretical, fieldwork, and final analytic). Second, based on the results of the above concept analysis, a conceptual framework was devised. A survey method was used to collect data from a total of 600 nurses at hospitals providing regional medical care in the provincial areas of Japan. To evaluate the scale’s internal consistency, Cronbach’s alpha was calculated. To evaluate the factor structure, exploratory and confirmatory factor analyses were performed. To evaluate the discriminant validity, the difference in the scores between nurses and Certified Nurses in Dementia Nursing (CNDNs) were calculated.

Biography:

Dr Chow is the Associate Dean and Associate Professor of Tung Wah College. Over the past years, she has gained vast experiences in nursing education and academic programme administration. She is the Associate Editor of BMC Nursing and the editorial board member of Open Nursing Research. She serves as a reviewer of various international nursing and health care journals. She has published widely in international referee journals and her research areas are nurse case management, care of patients with chronic diseases, teaching and learning of nursing students and instrument testing. Her teaching areas are community health nursing, health education and promotion and nursing research.

Abstract:

Aim: To examine the relationship between perceived level of stress and physical activity among junior and senior year nursing students in undergraduate programme.

Methods: Cross-sectional survey was used. The study included six universities and colleges that offer undergraduate nursing programme in Hong Kong. Convenient sampling was adopted to recruit second and final year nursing students. There were 308 students participated in the study. The self- administered questionnaire including demographic characteristics, perceived stress scale (PSS) and Godin-Shephard Leisure-Time Physical Activity Questionnaire (GSLTPAQ). Higher scores of PSS represented higher level of perceived stress. The GSLTPAQ classifies level of activity into active, moderately active and insufficiently active. The study was approved by the human subjects reseach ethics committee of the College. All of the participants signed informed consent forms.

Biography:

Abstract:

The self-perceived burden plays an important role in the rehabilitation of stroke survivors. Stroke patients often experience a self-perceived burden that affects their quality of life. However, little is known about the self-perceived burden at different time after stroke.

Purpose: The purposes of this study were to evaluate dynamically the level of self-perceived burden of patients at different time after stroke and to explore characteristics of patients and caregivers associated with that burden.

Methods: A longitudinal descriptive and correlational study was conducted with a sample of 363 consecutive hospitalized acute stroke patients recruited from the neurology department of three general hospitals of China. The self-perceived burden was measured using Chinese versions of the Self-Perceived Burden Scale (SPBS) in the acute phase of stroke and at the end of 1st and 3rd month after stroke.

Biography:

Abstract:

Background: Nurses are expected to be the role model in health promotion and they should adopt healthy lifestyle to live a productive life. The unhealthy lifestyles developed in young age may continue into adulthood which could create an impact on the individual, family and community health. As a key member of the healthcare professional, nurses are required to be an advocate in health promotion and related activities.

Self-rated health is commonly used in health research to gauze the general health status of the participants. The single question is found valid and reliable to predict the morbidity and mortality. A complex relationship exists between self-rated health and health behaviours.

Biography:

Abstract:

Statement of the Problem: High turnover rate and shortage of nursing manpower are now critical problems all over the world. The workload of nursing staffs is significantly increased with this trend, especially in Hong Kong. The new graduated (NG) nurses are the precious resources to the medical system in order to provide good quality of nursing care and enhance public health. Working experience of the NG nurse is the crucial element in recruitment and retention of NG nurses. However, we discovered that there no related study has been done in Hong Kong yet which raised our interests and attention in this issue. This study aimed to describe the working experience of newly graduated nurses in Hong Kong, so to address the following research problem: “How is the working experience of the newly graduated nurses in Hong Kong?”. Methodology & Theoretical Orientation: The purpose of this descriptive phenomenology study is to acknowledge the reasons or personal characteristics of clinical maladaptation of NG nurses, and hence the hospitals can devise different strategies to help them with respect to the problems or difficulties identified.  3 in-depth focus group of interviews were conducted. Findings: The result suggested there are seven crucial working experience of NG nurses that affect their experiences, which includes knowledge, relationship, working environment, competency, emotional, adaptation and reasons for staying. Conclusion & Significance: We hope that the result can help the hospitals in Hong Kong to devise strategies or policies to help these nurses with respect to the problems or difficulties identified in the study. Hence, increase the retention rate and reduce the turnover rate of NG nurses.

Biography:

Meng is a fresh postgraduate in West China Hospital, Sichuan University, major in cardiovascular nursing. She devotes her energy to build a transitional care model in patient with chronic heart failure. She always treats it as her greatest responsibility to promote nursing development.

Abstract:

Background: Patients with heart failure (HF) experience physical symptoms and poor health-related quality of life (HRQOL). Physical symptoms are associated with QOL. A valid instrument to assess symptoms of patients with HF would be useful for comparison of groups and for illness assessment and intervention. The Symptom Status Questionnaire-Heart Failure (SSQ-HF), a convenient, reliable, and valid instrument for evaluating symptoms in patients with HF, has not been validated in China. Purpose: To examine the psychometric properties of the Symptom Status Questionnaire - Heart Failure (SSQ-HF) in Chinese with HF. Method: The Chinese version was translated using translation and back-translation. The cross-sectional study of 180 patients was designed to evaluate the validities and reliabilities. Participants were asked to complete 3 instruments including Chinese version of MSAS–HF, English version of the SSQ-HF and Chinese version of the Minnesota Living with Heart Failure Questionnaire (MLHFQ) as the criteria of criterion-related validity and factorial validity, internal consistency reliability. Results: The SSQ-HF demonstrated acceptable internal consistency (Cronbach's α of .70). The correlation (r=.43–.68) between items and the scale provided further evidence of internal consistency. There was acceptable criterion validity with significantly high correlations (varying from 0.70 to 0.82) between the SSQ-HF and the criteria. Principal component analysis revealed two factors which differs the original scale.

Biography:

I am studying on master in nursing at the age of 25 years from Sichuan University and my Undergraduate school is JiLin University.Now my teacher is the head-nurse of the thoracic oncology department of West China Hospital, the research direction of her is oncology care and intravenous therapy. She has published more than 100 papers.

Abstract:

Abstract Objective:To identify the prevalence and related factors of emotional disorder of inpatients with lung cancer. Then to provide the basis fo individual nursing,emotional intervention and management model. Method: The cross-sectional study and convenience sampling method were applied to patients who are treated in the thoracic oncology department of West China Hospital of Sichuan University in Chengdu from October 2017 to March 2018. The general information of the patients and Huaxi Emotional-distress Index(HEI) were included in the questionnaire to evaluate the states of emotional disorder. Result: The survey investigated a total of 257 patients, including 187male patients and 70 female patients.The prevalence of emotional disorder of patients was 27.2%（70/257）. The HEI result of patients ranged between 0~20 with the average (4.35±4.71). Univariate analysis showed that the factors which are gender, marital status (spouse), pain could effect the HEI of patients(P<0.05).Logistic regression analysis showed that the gender and the degree of pain was the main factor of emotional disorder. Conclusions: Psychological status of patients with lung cancer is poor,and emotional disorder is related to gender and pain. Timely management model should to used in order to evalute and improve the level of emotion. And then the HEI is worth to apply in assessment of emotional disorder in patients with cancer.