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

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.