17^th World Congress on Clinical Nursing and Practice August 29-30, 2018 Hotel Hilton Zurich Airport, Zurich, Switzerland

Biography:

Shu-Ling Tsai has completed her PhD degree in Nursing at Kaohsiung Medical University, Kaohsiung, Taiwan. She has been a Registered Nurse for 28 years and a clinical nursing teacher for 20 years. She is the Leader of Clinical Training Division of Nursing Department at Chang-Gung University of Science & Technology. She has published three papers in internationally-reputed journals and more than 10 journal papers in Taiwan.

Abstract:

This research purports to uncover an aspect of clinical nursing often left unattended as parental death occurs in the clinical setting. While the dying patient along with his/her spouse receives most of the clinical care, children in the family are often forgotten or ignored for a variety of reasons. This clinical ignorance may subsequently cause a difficult path of bereavement for the children after parental death. Before any significant improvement of clinical nursing care can be made to assist those bereaved children, a genuine understanding as to how those children feel about the parental death incident must be acquired first. Against this background and guided by hermeneutic-phenomenological method, this research was designed to explore the embedded meaning of the bereavement experience of those children. 11 children from 11 bereaved families in Taiwan were recruited purposively. Data collection was through semi-structured interviews and field notes. The interviews were digitally recorded and then transcribed verbatim to form the research text. It was then analyzed via an interpretive circle, and the rigor was assured. The findings were presented in four main themes as follows: excluded yet intruded; twisted emotional reactions; who am I; reconstructing the family image. It is found that the bereaved children were tremendously influenced by how they were treated during the dying stage of their parent and after the parental death. The current study may help improve the understanding of clinical nursing in terms of extending the range and depth of dying patients’ care.

Biography:

Chang-Hsiung Tsai has completed his PhD in Religion Department at Temple University, Pennsylvennia, USA. He is an Assistant Professor and the Former Director of Life-and-Death Studies at Nanhua university, Taiwan. He has published more than 15 papers in reputed journals and chapters in books. He is former Editor of  Journal of Life-and-Death Studies and Taiwan Hospice care Journal

Abstract:

The psycho-spiritual dimension of dying patients in hospice ward has been an emphasis of care based on the holistic model adopted by hospice. However, it is considered a rather tough part or even maybe the critical core of hospice care. This research is thus aimed to explore the psycho-spiritual treatment of senior hospice nurses based on their embodied knowledge of care. The main concern of this design has to do with the valuable experience of care of senior nurses that can be passed down to those hospice nurses with less experience. Due to the embodied nature of nurses’ care experience, this qualitative research adopted hermeneutic-phenomenology as the guiding method during the entire research process. Through purposive sampling, 12 senior hospice nurses were recruited as research participants from three hospitals (north, central, and south) renowned for their hospice care programs in Taiwan. Semi-structured depth-interviews were conducted to form the narrative texts. The texts were then analyzed via a reciprocally interpretive circle between units of meaning, sub-themes and main themes. The results were synthesized as the following four themes, indicating the senior nurses’ characteristic psycho-spiritual treatment for terminal patients; respecting individuality, proceeding indirectly, conducting life review and touching existential dilemma. As a result, the psycho-spiritual treatment of nurses to the dying patients was grasped by way of nurses’ embodied knowledge based on their clinical experience. It helps establish an embodied knowledge basis from which both hospice clinical teaching and school education for better nursing can be benefited.

Biography:

Diana Taylor is a Clinical Nurse Specialist with 30 years of clinical experience in acute care and outpatient settings. For the past 7 years, she has been working in acute and chronic pain management at Nepean Hospital, NSW Australia (a tertiary teaching facility), where she has been actively involved in quality initiatives, teaching and leadership roles. Since 2016, she has been the Project Coordinator for the Murrumbidgee Project, developing and implementing chronic pain services in rural and remote New South Wales, Australia.

Abstract:

The remote and rural Murrumbidgee (Big Water) region of central south New South Wales, Australia expands across an area of 125,561 square kilometers, with a population of 242,561 (Australian Bureau of Statistics, 2016). Compared to Australians in major cities, those who live remotely tend to have a shorter life expectancy, are more likely to suffer from chronic conditions such as back pain, arthritis, major injuries, and tend to make lifestyle choices detrimental to their health (Australia’s Health, 2016; Rural and Remote Health Report, 2017). The Pain Management Network (NSW), in response to inequities of access to chronic pain services in rural and remote areas, launched the Murrumbidgee Project in 2016. Extensive collaboration ensued between pain specialists, general practitioners, specialist nurses, allied health professionals and consumers. The result was the development of an evidence-based model of care to include services provided via Telehealth (video conferencing) and outreach visits. The main goals of the Murrumbidgee Project are consumer empowerment and building the capacity of local clinicians through up skilling and development of a network of local skilled providers in chronic pain management. In summary, evaluations of the Telehealth service have indicated consumer and clinician satisfaction at 90% and 83% respectively. Consumers reported positive experiences, in particular the opportunity to access specialist pain services locally without increasing the financial burden and added stresses of travelling lengthy distances to a city hospital. While work continues to improve engagement with local indigenous communities, an expansion of Telehealth services has resulted from increasing service demand.

Biography:

Jette Lind is a Senior Lecturer at Center for Nursing. Besides this project, she is involved in research on dementia and welfare technology.

Abstract:

During the nursing education in Denmark, the students spend 40% of the time in clinical training. They study in a surgical ward, a medical ward, a mental hospital and primary health care. They encounter a variety of conditions such as traditions and learning environments as well as patients and relatives in different life situations. The aim of this study is to gain knowledge about nursing students’ experiences of being a newcomer in the nursing clinics. Data is generated as a part of 5^th semester nursing students’ training in research methods. Nursing students conducted 18 qualitative interviews with younger students focusing on their first days in a new clinic. Based on a phenomenological analysis, we found characteristics of being a newcomer such as being in good hands, feeling welcomed, being allowed to practice, as well as feeling unwelcome, awkwardness, shattered illusions and the feeling of being excluded. The results have implications for improvements of the study preparation lectures as well as for the further collaborations between the fields of theory and practice.

Biography:

Hilda Shilubane has completed her PhD at Maastricht University, Netherlands. She is an Associate Professor in the Department of Advanced Nursing Science at University Of Venda. She has published more than 25 articles in reputed journals.

Abstract:

Patient satisfaction has become an important indicator to measure the quality of care rendered to the patients while in hospital. Patient satisfaction surveys can help identify ways of improving nursing and health care services. The purpose of the study was to determine patient’s satisfaction with the care received from the nursing staff while admitted in the surgical and medical wards of the public hospitals within Makhado municipality. An exploratory, descriptive design was used. The population consisted of all patients admitted in all three sampled hospitals of Vhembe district in Limpopo province. A non-probability convenient sampling of 200 men and women who were admitted in the sampled public hospital at the time of data collection were recruited to participate in this study. A questionnaire with open and close ended questions was used to collect data. This study found that patients were less satisfied with resources such as equipments including television, cleanliness of the environment, nurse-patient relationship and quality of food. The findings of the study revealed that the majority of patients were satisfied with cleanliness of the beddings and hospital attire. However, patients were less satisfied with unavailability of resources such as equipments; cleanliness of the environment; interpersonal relationship and quality of food.

Biography:

Pınar Irmak Vural has completed her PhD at Istanbul University Women Health and Diseases Nursing in 2017 and Postdoctoral studies at Istanbul Medipol University, Faculty of Health Sciences as lecturer.

Abstract:

The aim of this descriptive study was to evaluate the NANDA-I nursing diagnoses of mental health and nursing students for the patients they undertook the care of and to determine the nursing diagnoses. The study was carried out by reviewing 93 care plans retrospectively, which was prepared between 03.11.2017-01.01.2018 by the data collected by nursing students who applied mental health and diseases nursing lesson in Istanbul Medipol University School of Health Sciences in terms of life activity model. In the study, patient identification with life activities form and care plan forms were used. The students determined 50 different diagnoses in 12 domains of NANDA-I. A total of 601 nursing diagnoses were used. The nursing diagnoses most frequently favored by the students, according to classification of NANDA-I, were in the domains of activity/rest (20.63%) and safety/protection (19.46%). On the other hand the students diagnosed life principles (0.33%) at least. The nursing diagnoses that the students used most in these domains were disturbed sleep pattern (7.82%) impaired social interaction (7.32%), self-neglect (7.15%) and anxiety (5.65%). It was determined that the nursing diagnoses most frequently used by the students in preparing the care plan were in the fields of safety/protection, coping/stress tolerance, perception/cognition, role relationship areas according to the NANDA-I classification. Psychosocial problems are generally diagnosed in mental health and psychiatric clinics by nursing students.

Biography:

Maria Ponto has many years of nursing experience before going into Education. She is an Associate Professor at the School of Nursing and leads a team of 9 academics. She designed the MSc in Clinical Leadership in 2006 and run this course in Kingston and St. Petersburg, Russia for 3 years and in Kingston until 2017. She is passionate about the future of healthcare education and firmly believes that education must be relevant to practice and that workforce development should be given more prominence. She is currently leading on an evaluation project, examining ways to improve staff retention in London.

Julia Gale has strategic responsibility for the leadership and management of a School of Nursing in the UK. She has extensive experience of leading the development and delivery of pre-registration nursing and continuing professional development education, Julia’s role interfaces with the NHS, national professional bodies and the national arena for nursing. Julia’s most recent research has included a Health Education South London funded project as part of Health Education London on Adult Nurse Turnover and Retention: South London, Students' first year of a BSc in Nursing: A Pilot study

Abstract:

This presentation will discuss new approaches to healthcare education which are being offered at Kingston University. These new approaches are offered in response to the changing healthcare needs and focus on clinical leadership and apprenticeships. Clinical leadership is considered to be vital for an effective provision of the modern healthcare therefore healthcare professionals should be well prepared for this role. In order to prepare the students for their future roles, the educational leaders must be conversant with the needs of the current healthcare provision. In the last 25 years the UK education of nurses moved from being hospital based to university but now different models of education are being considered such as work based learning (WBL) and apprenticeship. WBL model acknowledges the learning that takes place in the workplace which often centres on projects or personal development plans. The lecturers help students identify the learning outcomes for WBL projects as well as activities needed to achieve the learning outcomes. Such student involvement promotes greater understanding of the learning process and encourages responsibility for own education. The use of the apprenticeship model in healthcare is new and essentially provides opportunities for health care assistants (HCA’s) to be released to university for one day a week to learn academic aspects of nursing, whilst working in the healthcare setting. The apprenticeship programme will help HCA’s to gain promotion and extend their nursing role. This in turn will help towards the cover of healthcare provision at times of acute nurse shortage in UK.

Biography:

Sharon Elizabeth Metcalfe is an Associate Professor at Western Carolina University in Asheville, North Carolina, USA. Her previous academic appointments have been as Interim Director of Nursing and also as the Dean of Nursing for a private college. She has been an Educational Grants Researcher with colleges and hospitals. Currently, she is serving on the Board of North Carolina Nursing Association Foundation. Her research agenda is on global leadership development and mentoring transformational nurse leaders. She has been serving as the Program Director of the NN-CAT Program (Nursing Network-Careers and Technology), a national program that provides scholarships, stipends and personal mentors to underrepresented ethnic minority students

Abstract:

In 2010, the Institute of Medicine made a recommendation in the future of nursing report to diversify the student population of the health care professions in order to provide increasing minority providers to meet the culturally competent needs of the growing multicultural populations of the United States (Institute of Medicine, 2010). The nursing network and careers and technology nurse mentoring program provides a nursing mentor to underrepresented ethnic minority and educationally disadvantaged students a significant scholarship and stipend for tuition and monthly living expenses. Ethnically diverse and rural students have lifelong familial and geographical educational barriers that prevent them from succeeding. There are a plethora of major environmental and familial factors that need to be addressed by society for these students to be successful. These factors include improvement of county schools by financial support, improving the home environment through social supportive services and implementing improved parent–child bonding with nurse family partnerships. Nursing faculty must embrace new approaches for increasing the number of ethnically diverse nursing providers through novel admission criteria and collaborative cohort peer-mentoring programs.

Biography:

Mari Salminen-Tuomaala has completed her PhD in Health Sciences and is a Senior Lecturer at Seinäjoki University of Applied Sciences, School of Health Care and Social Work. She is Project Manager in simulation based education research and development project. She has worked over 20 years as Registered Nurse at medical departments, cardiac care unit and emergency department before teaching career. Her main research and expertise areas concern acute care (intensive care, out-of-hospital emergency care, care and counseling at the emergency department), simulation based education, psychosocial coping of myocardial infarction patients and their spouses, families as clients in health care and families in challenging life situations. She has about 40 conference presentations and over 50 scientific publications

Abstract:

 Organizational changes bring on challenges and increase hospital staff’s need for support. This study introduces a central hospital in Finland, which has sought to prepare for change by applying an anticipatory model and by arranging collaborative workshops for staff. In 2018, the hospital will open a new intensive and intermediate care unit, created with help of evidence-based design. The new unit will combine three existing units, currently responsible for cardiac observation and evaluation, intensive care. The purpose of the study was to describe nursing staff’s anticipated experiences of working in the new unit. The research questions were: What kind of challenges do members of the nursing staff anticipate when preparing for the introduction of the new unit? Which factors do nurses see as likely to promote their coping in the early stages of running the new unit? The target group consisted of nursing staff members in the current cardiac observation and evaluation, intensive care and surgical observation units. The method of empathy-based stories was used to acquire data because it allows participants to anticipate and reflect on future events. The data were analysed using inductive content analysis. Respondents anticipated a great number of challenges in the transition to the new unit. The challenges were related to personal factors that affect coping at work, to co-operation among nursing staff and to the new work context. Respondents foresaw a need for support from colleagues’ in future clinical nursing situations. They believed that both informational, concrete and social support would be required.

Biography:

 Ahmad Tassi is an Assistant Professor in the Department of Nursing, Faculty of Health Sciences, Beirut Arab University, Beirut, Lebanon

Abstract:

Technological innovations have been shown to improve the quality of health information and improve safety in health care systems. The purpose of this project was to offer a more flexible and practical alternative to education and training than the traditional face-to-face method, supporting healthcare educators in overcoming many of the obstacles in responding to nurses’ needs in the clinical areas. A randomized, 2-group control experimental design was adopted. A total of 130 randomly chosen participants were equally distributed to experimental group (received a new instructional approach using an electronic learning management system (ELMS)) and the control group used the site’s traditional standard method. Data analysis showed a significant difference between the 2 groups’ posttest scores (p<.00), indicating that the participants who used the innovative ELMS method attained a higher median knowledge than the participants who received traditional, face-to-face instruction. These results suggested that this innovative ELMS-based learning is an effective method of instructional delivery that could effectively replace many of the traditional face-to-face education programs and support clinical educators to improve healthcare education at the clinical areas.

 

Biography:

Marianne Frilund has completed her PhD at Abo Academy University, Finland. She is an Associate Professor of Nursing Science at the Norwegian University of Science and Technology, in the Department of Health Sciences Aalesund. She has published more than 15 papers in reputed journals and has been serving as an Editorial Board Member of reputed journals.  
 

Abstract:

Ethos is a fundamental human value which is visible in words, needs and attitudes. Eriksson state that ethos stands for the good as a potential. Something each nurse has opportunities to choose or refrain. The majority of nurses have an obvious picture about how the daily care together with older people should be designed. However, many nurses expire they lack realistic opportunities to care in accordance with their ethical ideals. Conflict between the ideals and possibilities tended to generate moral stress or conscience stress to caregivers. This in turn affects the patient's care negatively. An important question for the author is whether ethical values have opportunities to be making visible. Are our values and the caring culture been transferred from the caregivers to caregivers or has tradition been cancelled because of other values are sounding increasingly higher? For the daily nursing, the operationalized abstract concepts to concrete phenomena make ethically manners and acts understandable for the nurses. Ethical values and their significance, for the daily care work, was the subject of her thesis. The study ended up with a model she chooses to call the synthesis between ethical values and nursing intensity. The model includes elements of significance to developing ethically responsible care in a stressful everyday life emerge.

Biography:

Pınar IRMAK VURAL has completed her PhD from Istanbul University Women Health and Diseases Nursing at 2017 and postdoctoral studies from Istanbul Medipol University Faculty of Health Sciences as lecturer

Abstract:

This study was conducted in order to determine and compare the effects on the situational anxiety and vital signs of the breathing exercise, music therapy, and Emotional Freedom Technique (EFT), which were administered before the OSCE (Objective Structured Clinical Exam) to nursing students.

A randomized controlled experimental, classroom-based trial was conducted. The study was conducted on nursing students of one of university in Istanbul before the OSCE exam. 120 nursing students who met the inclusion criteria were divided into four equal groups-breathing therapy, music therapy and EFT. The techniques were implemented 20 minutes before the OSCE exam. Meanwhile, the control group (n=30) was given 20 minutes of free time. Data collection was carried out using the student identification form, the Situational Anxiety Scale and vital signs form. Before and after administering the techniques, “The Situational Anxiety Inventory” was administered to students, and vital signs were measured.

The mean age of the students was 19. Before interventions, the mean anxiety scores of the students were similar (p>0.05). After breath therapy, the mean anxiety score of the students was 44.90±7.97, 45.23±7.56 in the music therapy, 43.20±10.60 in the EFT and 52.23±12.95 in the control group and the difference was statistically significant (p<0,05). The difference between the mean vital signs of the groups wasn’t statistically significant (p>0,05).

The results of the study, breathing therapy, music therapy and EFT administration were found to decrease the average score of situational anxiety while not having any significant effect on vital signs before the OSCE exam. 

Biography:

Ms Tran Thi Mai Huong was the Head Nurse of the Cardiovascular Department, National Children’s Hospital from 2011 to 2015. During that time, she was a visiting lecturer of Department of Pediatrics, Hanoi Medical University, Hanoi, Vietnam. In 2015, she left for study in Australia and successfully gained the Master degree in nursing science in the Queensland University of Technology in 2017. She had two articles published in the Vietnamese journals in 2017. She now works as a nursing educator and researcher in the Children Heart Center, National Children’s Hospital to empower cardiac nursing staff in terms of practice and research skills.

Abstract:

Background: The sufficient parental knowledge of CHD is extremely important to prevent complications and positively impact on their children’s knowledge level. The Leuven Knowledge of Congenital Heart Disease (LKQCHD) was first developed to measure knowledge for both adult patients and parents of children with CHD.

Objectives: The study consisted of two main aims, including (1) to translate and content valid test for the LKQCHD for the use in Vietnam context; and (2) to measure parental knowledge of CHD among Vietnamese parent population.

Method: The study included two phrases. Phase 1 was the translation and content valid test of LKQCHD guided by seven steps for translation, adaptation and validation of an instrument for cross-cultural uses. Phase 2 was a cross-sectional study using the questionnaire measuring knowledge of CHD in a sample of 324 parents in Vietnam.

Results: The Vietnamese version of LKQCHD had the minimal average I-CVI of .8 and S-CVI/Ave of .95, except questions 21, 24, 26 and 27. Results showed that most parents had poor knowledge of CHD with the mean percentage of correct answers of 46.6% (Sd = 9.7). Most parents had incorrect answers in the use of medication, endocarditis and dental care. Parents who had higher education levels had better knowledge of CHD compared to those with lower education levels (p<.01).

Conclusion: The Vietnamese LKQCHD was highly valid. Vietnamese parents had poor understanding regarding the use of medication, endocarditis and dental care. Parental educational level had impacts on knowledge level of CHD.

Biography:

Heather Nolette completed her B.S. in Nursing from Plattsburgh State University in New York. She has over twenty-one years’ experience within healthcare striving to improve clinical outcomes at the bedside with the use of innovative technology. Heather is an Information Technology Project Manager, Clinical Informatics Analyst IV, Practicing Registered Nurse, Adjunct Nursing Instructor, and Felis Scholar. She has been involved in several information technology projects and research/evidence-based practice initiatives. She serves on the: Informatics & Technology Committee; ISS Executive Steering Committee; New Knowledge, Innovation & Improvement Committee; and PeraHealth Product Advisory Council.

Abstract:

A real-time surveillance warning tool is an innovative application that is integrated within the electronic medical record. It utilizes established data sets from nursing assessments, labs and vital signs. The organization utilized an evidence-based scoring system that produces a Rothman Index Score to predict impending failure. The Rothman Index Score is then trended on a graph that can depict patient deterioration. The graphs were setup to display within the patient’s electronic medical record, computer workstations, and kiosk monitors. The fundamental goal of this qualitative study was to reduce the time between initial physiological signs of deterioration and recognition of that, thereby reducing incidence of cardio-respiratory failure. This was done using an evidence-based tool that incorporates existing clinical data into a score that alerts the clinicians to potential failure sooner. The outcomes can be co-related to the implementation and external services involved. In 2017, rapid response calls declined an average of 6.5 calls per quarter compared to 2016. They declined by 78 calls or 24% from 2016 to 2017. In 2017, cardio-respiratory failure declined an average of 5 calls per quarter compared to 2016. They were reduced by 61 cardio-respiratory failures or 84% from 2016 to 2017. The development of the sustainability practice model emerged from the literature review. It provides structure, sustainability, and management for a surveillance warning tool. Intellectual competence, expertise and scientific inquiry are not replaced. This is a tool that provides additional analytical considerations to prevent a “failure to rescue”.       

Biography:

My name is Kelly Samolis; I grew up in the northern tip of the Adirondack park loving the outdoors since I could explore them. I entered the healthcare field young at age 16 years old as a Clinical Nursing assistant. I worked with elderly throughout nursing school. After graduating from Clinton Community College in 2013, with my Associates of Nursing Degree I began my acute care experience. I obtained my Bachelors degree of science in nursing; here I took a class called Nursing Research. I graduated from Plattsburgh State University in 2014. I eagerly joined to be a Felis scholar, this was a program my facility offered to guide nurses in developing and researching a topic of their choice. This program has opened doors in nursing research since joining I have presented in nursing research symposiums and educated multiple staff on my research program. Currently I am working on publishing a nursing journal article on this topic to educate healthcare staff on opiate use disorder.

Abstract:

Purpose: An evidence-based practice project was undertaken to investigate the clinical practice questions: What are the best practices in treating acute pain during hospitalization in adults with a history of opiate use disorder?

Rationale and significance: Opiate addiction is a current national epidemic, with evidence to suggest that patients with opiate use disorder do not receive proper pain management in the acute healthcare setting. In 2013, 2 million Americans were found to have abused or are currently addicted to opiates. Substance abuse and mental health services administration found in 2015, 14% of hospital admissions were related to patients with drug abuse problems. Healthcare professionals typically lack the needed education and confidence to treat these patients, resulting in improper pain management.

Methodology: An extensive literature search was completed utilizing CINHAL, PebMed, Up to Date, EBSCO databases. The search was limited to studies within the last 10 years, with the exception of two journal articles that were relevant to current best practices. The search term utilized were: competence, pain assessment, drug monitoring, and opiate administration, opiate use disorder, opiate addiction, opiate dependence, acute pain, inpatient practices, and pain assessment. Articles fitting inclusion criteria were then systematically appraised utilization of The John Hopkins Evidence Appraisal Tool.

Findings: 17 journal articles were critically appraised. The seven common themes found in the evidence-based research appraised were increased nursing education, more research indicated, changing staff perception, use and education of motivational interviewing, better focused nursing assessment, substance abuse team, and better pain management regimens.

Conclusion: Based on findings, increased nursing education was found to be the most identified theme, with the goal of increased nursing education to improve pain assessments and decrease stigmatization of these patients to result in better pain management. Literature was somewhat limited in due to the ethical limitation of studying pain in this patient population.

Recommendations for future study: Next steps include continued presentations to increase awareness in these findings. Educate nursing staff annually on pain assessment, motivational interviewing, and opiate use disorder. Lastly publish a professional nursing journal article to nationally educate nurses and healthcare professionals on these evidences-based suggestions.

Biography:

Dr. Klavdija ÄŒuček Trifkovič, Senior Lecturer and researcher is the vice dean for education at the University of Maribor, Faculty of Health Sciences (UM FHS). She obtained her BSc degree at the Faculty of Health Sciences and the Faculty of Education (both Univ. of Ljubljana), and her MSc and PhD degree at the Faculty of Education (both Univ. of Ljubljana). Her doctoral dissertation is focused on alcohol-related problems. In the past she worked some years as a registered nurse at the Clinic for Internal Diseases, and for the last fifteen years she has been working as a lecturer at the UM FHS. She has actively participated in different conferences and congresses in nursing. Her research interests are related to the field of quality and satisfaction with life and mental disorders. Her main research interest is focused on the problems in the psychiatric field, such as alcoholism, depression, and the quality of life. Also, an important area of her professional and research interest is supervision. She has many teaching responsibilities which include supervising and mentoring undergraduate students in their clinical placements, and also in their diploma preparation.

Abstract:

Introduction: During the nursing study students have to recognize the importance of communication skills to be effective in practice. Communication skills training can improve patient-centered communication, enhance empathy, provide reassurance and assist discussion of psychosocial needs.  The aim of the study was to explore the attitudes of nursing students toward learning communication skills at one of the Slovenian faculties.

Methods: In the research was used a quantitative research methodology.  Data were collected with structured questionnaire. Attitudes of nursing students towards learning communication skills were assessed by the communication skills attitudes scale (CSAS). For testing the reliability of the questionnaire was used Cronbach’s alpha (0.722). The data were analyzed using the descriptive statistics and One-way ANOVA. The statistical significance was tested on a 5% risk level.

Results: The mean scores for positive attitudes scale (PAS) was 52.8 ±6.7 out of 65, and the mean scores for negative attitudes scale (NAS) was 32.7±6.3 out of 65. There were identified statistically significant differences when examining the positive attitude scale according to the year of the study (F=10.950; p<0.001), but there were no statistically significant differences according to previous education (t=1.434; p=0.155) and mode of the study (t=1.566; p=0.120). Three factors extracted from the principal component analysis explained 74% of communication skills attitudes identified.

Conclusion: Effective communication skills training programs point to the importance of students taking an active role in the learning process. Our findings indicate that CSAS measurement may be helpful for monitoring the effect of different teaching strategies on students' attitudes about communication skills during nursing education. Teachers need to continue to develop and implement the use of effective communication skills to nursing students to exemplify the need for the critical skills and the importance of their part in nursing education for practice.

Key words: Education, Nursing, Students, Communication skills

Biography:

Mrs. Tamar is Courses Coordinator since 2010 in Qualification Center of Pat Mattews Academic School of Nursing, Hillel Yaffe Medical Center, and Chairman of the Education Division of the Nurses' Union since 2014. Prior this position Tamar was a member of Executive Committee of The Israeli Society for Research in Nursing. She has been teaching in nursing program since 1999. She has taught a variety courses in B.A. program in Fundamental Nursing area and in Medical-Surgical area clinical issue in Diabetes type 2, Liver disease, and AIDS. In addition, Tamar is a head of a Preceptor ship Program that prepares clinical instructors since 2001.Her teaching interest is Clinical Instruction. Her specialty is in diabetes.

Alona Karol is a nurse educator, researcher, and Deputy Director of Nursing at the Hillel Yaffe Medical Center in Hadera, Israel, a regional hospital and trauma center serving a population of over 400,000 and an important teaching and research institution. Ms. Karol began her career at Hillel Yaffe in 1988 as a nurse in the general Intensive Care Unit. After 10 years working in the ICU, she joined the faculty of the Medical Center’s on-site Pat Matthews Academic School of Nursing as the Coordinator for Adult and Surgical Nursing Education. In 2000, Ms. Karol became the head nurse for the Department of Pediatric and Vascular Surgery, which she directed until 2010. In that same year, she completed a certification course in Safety and Risk Management at Tel Aviv University and became the Director of Quality and Safety at Hillel Yaffe, a role which included training physicians, nurses and paramedical staff in patient and occupational safety. Since 2014, she has served in her current position as Deputy Director of Nursing, a position which entails responsibility for all nursing personnel and resources, as well as management of hospital resuscitation practice and procedures and oversight of the Institutional Resuscitation Committee. Additionally, Ms. Karol directs and manages projects relating to quality and safety as well as other research and training endeavors, and is a member of the Israeli Nursing Research Association.

Abstract:

The main cause of death among the population over 40 years old is fatal arrhythmia and sudden cardiac arrest. Improving nurses' practice by CPR simulation and sense of self- efficacy may be a critical element in translating knowledge and resuscitation skills into effective action during critical situation. Therefore, the aim of this study was identify nurses' perception of self-efficacy in performing CPR simulation in Hillel Yaffe Medical Center. The sample consisted of 360 Registered Nurses who were working in General, Surgical departments, Intensive Care Units, Emergency Rooms and Maternal Division. The survey included the 17-item Resuscitation Self-Efficacy Scale for Nurses with 4 component structure termed 'Recognition', 'Debriefing and recording', 'Responding and rescuing', and 'Reporting' (RSES) ( Roh, Issenberg, Chung,, & Kim, 2012). A logistic regression model tested the hypothesis that explains the difference of nurses' perception of self-efficacy in performing CPR simulation in various departments. A total of 309 (85%) completed, usable surveys were returned. Pearson's correlation demonstrated modest but statistically significant association between education, professional experience, scope of position, and moderate statistically significant association between various medical departments and 4- component structure of the RSES. These findings indicated that RSES assessment of current practice, promote the implementation of educational interventions by CPR simulation that improve self-efficacy for nurses, and eventually contribute to the improvement of patient care.

Biography:

Dr. Pazit Azuri. Is the dean of school of Nursing Science since 2012 In The academic college of Tel Aviv Yafo. Dr. Azuri Has been a Registered Nurse for over 20 years, worked as head of Quality Assurance of Nursing Administration at the Ministry of Health. From 2017, Dr. Azuri is involved in Erasmus + Strategic Partnerships Transcultural nursing for practice. The creation of the project was based on the current migration situation in Europe. Dr. Azuri believe that knowledge of healthcare professionals will contribute to the smooth communication and mutual respect among health professionals and patients

Abstract:

The demand on nurses to possess knowledge and skills that are necessary to care for all patients who seek help from the health care services.

transcultural nursing has focused on understanding cultures and their specific care needs and how to provide care that fits their lifestyles rather than assuming professional nurses always knowing what is best for them.

Positive transcultural communication style of nurses leads to establishment of trust, increasing satisfaction of care and higher quality interactions between nurses and patients.

The project "Transcultural Nursing for Practice" (TNP) from EU focused on developing coherent, comprehensive and easily accessible information, which deals with the specifics of individual cultures focused primarily on treating patients of different cultures in health care facilities like multicultural nursing.

Transcultural Health Care Screening Questionnaire was creating to evaluate the term culture all over the participated in this Erasmus Program TNP, (Israel, Cyprus, Denmark, Chest Republic, Spain, Turkey). The questions evaluate cultural care beliefs, values, and lifestyles of people to help them maintain regain, their health, care needs, their lifestyles.

Each European Country should include culture diversity in their Health System in order to promote cultural care to maintain their health

Biography:

Assistant Prof. Tiraporn Junda has completed her PhD in Nursing from University of Washington, USA in 2002. Currently she is an instructor for undergrad, grad, and international Master degree programs at Adult and Elderly Nursing Department, Ramathibodi School of Nursing, Mahidol University, Thailand. Most research had been done in Oncology nursing fields. She has published more than 20 papers in Thai and English.

Abstract:

After Thailand launching the palliative care policy and services to all primaly hospitals in 2015, a follow up study in the central region had been done by the palliative care services satisfaction questionnaire, focus group and in-depth interviews with palliative care teams, patients and family members. Ten palliative care teams self evaluated with over all most satisfaction epecially in topics of “the palliative care team is committed to providing continuous support to patients” and “Palliative care team give patient care with a sense of service as the best service”. However they indicated the shortcoming of staff, not enough settings, and less effective pain management system. Content analysis for all interviews with palliative care teams was revealing their feelings toward palliative care services in four parts; 1) working with heart and need visibility, 2) working need help, knowledge, and understanding, 3) working need teams and mutisectors and 4) working need Expanding networks and close communication. For patients and family members interviewed results found that most of them did not understand much about the word “palliative” or “Pra-kub-pra-kong” so most of their feelings and needs related to patients conditions and some were under physical and emotional stress especialy when they were at home. When the palliative care services was launched can help support both patients and families. Some can connect more network to continuing assisted them at home.

Conclusion, improve palliative care services include integrated palliative care in the long term care service can improve palliative care services. However for better care services need more support in terms of staff who like to work with palliative care; improve knowledge and skills; better understanding of palliative care to others; team work with multidisciplinary professions, multisectors, and communities; and expanding networks. In addition integrated palliative care concept in society is needed for better understanding in general population.
Keywords: Thai palliative care services, palliative care teams’, patients’, and Families’ Perspectives

Biography:

Faezeh Sahbaeiroy has completed her PhD from Shahid Beheshti University of Medical Sciences, Tehran; Iran. She is the nursing deputy IAU. She has published more than 45 papers in reputed journals and has been serving as an editorial board member of repute

Abstract:

The main goal of pharmaceutical Care is to provide effective services in the field of drug-related issues that ultimately leads to improvement of patients’ status and increase in their quality of life. This qualitative study using three-step approach of the Strauss and Corbin (1998 ) was conducted with 20 participating patients of doctors, pharmacists, and nurses semi-structured interviews .Total of 4508 basic codes were obtained at open coding step, the codes were overloaded based on their similarities, and common points. Finally, 795 overloaded basic codes were created. In the next step, they were in the 152 Classes and by frequent analysis, basic Classes were reviewed and subsequently compared. Classes were merged together to create finally 48 Classes. The data were re-examined in the axial-coded of similar integrated Classes that have certain common features were formed of the 19 subclasses and then the Classes that were around of an axis created the axial-Classes, According to this process of five-axial Classes which focus on causal-background conditions where the phenomenon happened, the strategies that were used to control the phenomenon, barriers and facilitators were obtained. The five main Classes were as inadequate responsibility of pharmaceutical Care, prioritizing treatment over prevention, non-patient-centered vision, and pharmaceutical Care with ignoring nurses.
 Description of story line and the final explanation method were used at selective coding step. Based on the findings of this study the main concerns of the participants were inadequate collective responsibility and inefficient management ultimately.         
Keywords: Explanation, pharmaceutical Care, Cardiovascular Patients, Exploratory Design.