53^rd World Congress on Nursing and Health Care June 21-22, 2019 | Brisbane, Australia

Biography:

Terri has specialized as a labor and delivery nurse for 21 years at a high-risk tertiary hospital. She has taught in Maternal-Childbearing Nursing Theory and Practicum in higher education for 6 years, and had taught Maternal-Childbearing Clinical Practicum for Loma Linda University, for 15 years.  Terri is the BSN Program Director and Assistant Professor at California Baptist University (CBU), Riverside, CA, U.S.A. Terri is the Faculty Advisor for the Preconception Peer Education club on campus at CBU,  is an advisor for the Office of Minority Health in Maryland, and Counselor for the Chi Mu chapter of Sigma Theta Tau International (STTI). Terri has presented extensively on Preconception Health Education across southern California and in Oregon over the past six years.

Abstract:

Statement of the Problem:  Maternal and newborn mortality continue to increase in the United States, but may be preventable with comprehensive reproductive health education, prior to conception. Preconception health education begins in childhood, teaching health promotion across the life span, including proper diet, exercise, and folic acid supplementation. Education and training needs to be presented, to health science students, to promote healthfulness and promote an increased awareness about the importance of preconception health education. Health care providers should provide preconception health education during routine office visits, however, preconception health education is often not addressed. Among pregnant women, preconception health education decreases the incidence of hypertension and gestational diabetes. Preconception health education decreases the risk of neural tube defects, preterm delivery, and poor health outcomes, in neonates. Gaps exist in curricula, regarding recommendations by governing agencies, about when to address preconception health education. Purpose of the study: To evaluate if preconception health education could improve knowledge and promote changes in lifestyle practices of health science students.

Methodology and Theoretical Orientation: In order to educate health care providers about preconception health education, a study was performed with a face to face presentation to 71 health science  students, at one university in California.   Faculty and student knowledge deficits were addressed and faculty advisors were trained to help students educate peers and members of the community. Pretest-posttest data were collected using a 12-item instrument and analyzed using t-tests. Findings: Analyses of pretest and posttest data yielded a significant increase in knowledge among participants about preconception health education. Three theories were utilized in this study which included: the Life Course Theory, Theory of Androgogy, and Diffusion of Innovation Theory.   

Recommendations:  To introduce curricula regarding preconception health education among students.  The introduction of preconception health education may improve health outcomes for pregnant women and neonates.

Biography:

Dr Jo Lidster is the Deputy Head of Nursing and Midwifery, at Sheffield Hallam University. She is responsible for the Department’s post graduate and international portfolio. This includes working closely with stakeholders and practice partners to develop a quality learning experience. Jo leads on learning, teaching and assessment developments for the Department as well as supporting placement learning initiatives. She has had a number of key roles including leading research and innovation and research informed teaching developments as well as course leader roles. Jo is an adult nurse and prior to working in education worked in and managed acute and critical care settings. She teaches on a range of undergraduate and postgraduate courses in the areas of research methods and evidence based practice, health care education and supporting learners in practice. Jo’s research interests include nurses' professional identity and their transition into new roles.

Abstract:

Biography:

Abstract:

In nursing education, evaluating students’ learning outcome on the ability to perform nursing skills is an essential but a challenging process, and is associated with the subjectivity of judgement. The nursing skills examination via videotape has been implemented as an alternative approach for a fairer and objective judgement of nursing students’ performance. Following this, this study explores the use of videos for practical exam and its relevant interrater reliability, with the aim that it is as reliable as and more flexible and efficient than the real-time practical exam. The respondents were 29 final year nursing students from School of Health Sciences (Nursing), Ngee Ann Polytechnic Singapore. Their performance was first assessed by direct observation or real-time assessment. Six months later, two raters assessed these students’ performance via videos captured during the real-time assessment. An independent t-test was employed to compare the scores awarded between real-time and videotaped assessments. The results showed no significant difference between the 1) two raters via videotaped assessment; 2) real-time and videotaped assessments. The Intraclass Correlation Coefficient for all three assessors was 0.867, demonstrating high interrater reliability. This study showed that the videotaped practical exam is as effective and reliability as the practical exam. It is also more flexible as raters can assess at any time they want to or at any place. The videotaped practical exam can be employed as an alternative way for assessing nursing students’ performance, especially in large cohort for its objectivity and efficiency. 

Biography:

Tam B acted as an ex-nurse consultant in Renal Nursing in Hong Kong. She was appointed as senior lecturer at the Tung Wah College.  Likewise, she serves as the Adjunct Assistant Professor of the Chinese University, Hong Kong, Honorable consultant of Lingnan Hospital, Sun Yat-sen University, China, and the Professional Consultant of Lock Tao Nursing Home-Renal Centre. Being one of the founder of the Hong Kong Renal Nurses Association,  She is very much concern the continuous nursing education and quality patient services. Her research interests are renal nursing, palliative care and patient education.

Abstract:

Background: Palliative care was increasing adopted for irreversible chronic disease in the recent decade. A nurse-led transitional palliative care model was adopted in the process of care.

Objectives: This randomized clinical trial examines the difference of intervention effect between the intervention and control groups.

Method: Purposeful criterion sampling was adopted. There were 76 ESRF patients (intervention : 38 and control : 38) recruited from a general regional hospital in Hong Kong. Demographic data such as gender, age, education level, accommodation, cohabitants, occupation, and comorbidity illness were collected. 

Primary outcome variables include non-scheduled readmission rate, length of stay in the hospital and utilization of Accident and Emergency Department.

Secondary outcomes variables including health-related quality of life with subscale of symptoms problem list, effects of kidney disease, burden of kidney disease , physical and mental  composite score, physical symptom manifestation; palliative performance Scale; Hospital Anxiety and Depression;  Satisfaction with care and Zarit carer burden. Data collection was carried out from August 2014 to October 2017 at the baseline, 1, 3, 6 and 12 months after recruitment.  Repeated measures of analysis of variance were adopted for comparing the group difference over five time-points of two independent random samples.

Results The mean age of the participants was 80.8 + 10.8 years old with comparable demographic characteristic in both groups. There were significant between group differences with intervention group presented better in both primary and secondary outcomes.

Discussion The findings evidenced the positive effects of the nurse-led transitional palliative care model on patient with irreversible chronic renal disease. In addition, caregivers of the intervention group presented less burden in caring the patient that echoed the implications of appropriate and timely supports to the patient and their caregivers.  

Biography:

Martha Rowe, Speech Pathologist since 2000 has spent years researching and developing papaya enzyme formulation as a result of her own difficulties with a dry mouth following surgery due to facial trauma in 2008.  She has worked in both Public and Private hospitals across Victoria and has been involved in clinical studies and patients management in the areas of dysphagia and dry mouth.

Abstract:

A Dry mouth syndrome occurs when there is not enough saliva (spit) in the mouth. A dry mouth is a symptom of an underlying problem, rather than a disease in itself. Causes may include drugs or medication, dehydration, mouth breathing, Sjogren's syndrome, infection, nerve problems and some cancer treatments.  Our research aims were Investigate effects of papaya enzymes in patients with dry mouth, Create a product that super cedes current products on the market, Determine microbiological and immunological outcomes and Investigate Quality of Life Measures.  Our results found categorically that papya enzymes assist with maintaining a clean and moistened mouth, free of bacteria and assisted with the increase in saliva flow.

Biography:

Martha Rowe, Speech Pathologist since 2000 has spent years researching and developing papaya enzyme formulation as a result of her own difficulties with a dry mouth following surgery due to facial trauma in 2008.  She has worked in both Public and Private hospitals across Victoria and has been involved in clinical studies and patients management in the areas of dysphagia and dry mouth.

Abstract:

A Dry mouth syndrome occurs when there is not enough saliva (spit) in the mouth.

A dry mouth is a symptom of an underlying problem, rather than a disease in itself. Causes may include drugs or medication, dehydration, mouth breathing, Sjogren's syndrome, infection, nerve problems and some cancer treatments.  Our research aims were Investigate effects of papaya enzymes in patients with dry mouth, Create a product that super cedes current products on the market, Determine microbiological and immunological outcomes and Investigate Quality of Life Measures.  Our results found categorically that papya enzymes assist with maintaining a clean and moistened mouth, free of bacteria and assisted with the increase in saliva flow.

Biography:

Hsiu-Hsin Tsai has completed her PhD from Chang Gung University. She is a professor of nursing. She specializes in geriatric nursing and community health nursing.

Abstract:

Aims and objectives. To develop, validate and test an instrument to support patients’ nursing home to emergency room transfer (NHERT).

Background. Transfers from a nursing home care facility to an acute care facility such as a hospital emergency room are common. However, the prevalence of an information gap for transferring residents’ health data to acute care facility is high. An evidenced based transfer instrument, which could fill this gap, is lacking.

Design. Development of a NHERT checklist, validation of items using the Delphi method, and criterion-related validity to test the instrument.

Methods. Items were developed based on qualitative data from previous research. Delphi validation, retrospective chart-review (baseline data), and a 6-month prospective study design were applied to test the validity of the instrument. Variables for criterion-related validity included residents’ 30 days readmission rate and length of hospital stay.

Results. Development of the NHERT checklist resulted in four main parts: 1) demographic data of the NH resident, 2) critical data for nursing home to emergency room transfer, 3) contact information, and 4) critical data for ER to NH transfer. Two rounds of Delphi validation resulted in a mean score (standard deviation) ranging from 4.39 (1.13) to 4.98 (.15). Time required to complete the scale was 3-5 minutes. Use of the NHERT checklist resulted in a 30-day readmission rate of 13.4%, which was lower than the baseline rate of 15.9%.

Conclusions. The NHERT checklist was developed for transferring nursing home residents to an emergency room. The instrument was found to be a valid tool.

Relevance to clinical practice. Use of the NHERT checklist for nursing home transfers could fill the information gap that exists when transferring older adults between facilities such as nursing homes and hospitals.

Biography:

I am a highly qualified and awarded Registered Nurse, with a specialty in Health Science (Public Health).I am also studying for an Honours Degree in Psychology and Criminology I have extensive experience working some of the most demanding and challenging emergency departments within the country, especially within very remote areas. I have managed to retain my own unique and individualistic approach to nursing, which is a constant hunger for knowledge and an ability to quickly create rapport with not only my patients but my colleagues, has been one of the main reasons for my many successes. I am also an entrepreneur and operate my own IT business, specialising in complex data recovery procedures for corporate clients. Coming from a Public Health background, I have worked on several health promotion projects. My most successful being those that translate research evidence into "real-world" interventions, especially within the mental heath field.

Abstract:

Biography:

Mrs Simranjit Kaur, has completed her Bachelor’s degree in Nursing from College of Nursing, Christian Medical College and Hospital, Ludhiana, Punjab, INDIA and did Master’s Degree in Paediatric Nursing from University college of Nursing, Baba Farid University of health sciences Faridkot, Punjab, INDIA. Presently she is also pursuing Post-doctoral studies in Paediatric Nursing from Baba Farid University of health sciences Faridkot, Punjab, INDIA. She has published more than 15 papers in reputed journals.

Abstract:

A cross-sectional study was undertaken to assess the co-relation of BMI with the prevalence and severity of asthma in 23 school children aged 07-12 years and the BMI of 16.27 3.11. Automated spirometer was used to assess the lung function tests of the children. I used mainly PEFR ((Peak Expiratory Flow Rate) as a guideline to make the diagnosis of asthmatic or non-asthmatic based on the Spiro metric results. Reversibility of airway obstruction was done by repeating spirometery after two puffs of salbutamol inhaler. The results indicate that BMI, which is a measure of body fat, has a strong co-relation with the lung function tests. A significant decrease was observed in the values of Pre-PEFR and FEV1 ((Forced Expiratory Volume in 1 second)  with an increasing BMI indicating that body fat has a bearing on the severity of asthma (p=0.001). No significant relationship was identified between % FEV1 and BMI. Per-PEFR showed a trend towards becoming significant (p=0.187). This study supports the view that there is a definite trend co-relating severity of asthma symptoms and body weight.

Biography:

Vandana Bhagat is a dentist from India and completed her Masters degree in advanced Health Services Mangement from Griffith University, Australia. She is currently a PhD candidate in the Centre of Rural Health at University of Tasmania, Australia.

Abstract:

Statement of problem: The oral health of older people in residential aged care has been widely identified as poor.  The growing number of age care residents, especially those who have retained their teeth, has raised concerns for policy makers when addressing service gaps in the provision of effective and timely oral care.  Nurses play an important role in providing oral health care to older people, but currently, it is a low priority. This study synthesized the evidence on incorporating oral health education into the nursing curriculum and evidence on the current attitude and knowledge of nursing students towards oral health.

Methodology & Theoretical Orientation: Three databases PubMed, CINHAL & Scopus were searched using  keywords: oral care, oral health, oral hygiene, nursing students, nurse educators, curriculum, knowledge and attitudes. Inclusion criteria were (1) published between 2008-2018, (2) studies written in English, (3) participants being nursing students or nursing educators , (4) based in  Organisation of Economic Co-operation and Development (OECD) countries. Selected articles were assessed using the Mixed Methods Appraisal Tool and data extracted were thematically analysed.  

Findings: Few nursing schools incorporated an oral health module in their curriculum or adopted the interprofessional education (IPE) model.This model focusses on teaching nursing students about oral-systematic health connections, with the nursing students working with, learning from, and contributing to the knowledge of dental and allied health professionals. There was poor oral health knowledge and an inconsistent attitude towards oral health practice among nursing students.

Significance: The incorporation of oral health knowledge and effective care into regular nursing education and practice, and adoption of IPE model may contribute to improvement in the attitude of nursing students towards maintaining the oral  health of older people in residential aged care.

Biography:

Michelle Regan is a former radiologic technologist who decided to return to school to advance her ability to care for patients. She obtained her BSN at The University of Tennessee Health Science Center. She then began working in emergency medicine, which she currently continues. She recently completed her Master of Science, FNP track at MCPHS. She accepted a role as a staff family nurse practitioner at a local community center. She hopes to continue to work with the underserved throughout her new career. She also is interested in women’s health. She plans to seek out leadership opportunities with the goal of improving service delivery and patient care outcomes.

Abstract:

In the United States, one in five children are obese, therefore it is a major public health concern.  Extra weight increases a child’s risk of developing numerous health ailments including depression, anxiety, cardiovascular disease, and diabetes.  Many research studies have focused on determining the most effective method to prevent this epidemic.  Common recommendations include a healthy maternal diet and regular exercise, but the percentage of overweight children continues to climb.  Breastfeeding has also been suggested as an approach to impede weight gain in children.  This literature review aims to determine if exclusive breastfeeding for six months compared to formula feeding will reduce obesity in children aged 2 to 18.  Current, peer-reviewed research studies published between 2013-2018 were analyzed to establish the relationship between these variables.  The majority of the research found that breastfeeding compared to formula feeding promotes a healthy weight in children.  Additionally, the evidence supports delaying solid food introduction until at least six months to encourage children to develop internal satiety cues.  The research is limited by inadequate subject diversity and difficulties managing confounders that may also impact a child’s weight.  This review adds to the ever growing body of nursing knowledge and hopes to inspire further research into the impact of exclusive breastfeeding and delayed solid food introduction on childhood obesity.

Biography:

Craig Lavin is a registered nurse currently employed as a registered nurse on the Washington Heights community service unit at New York State Psychiatric Hospital. He graduated summa cum laude and received his BSN from Rory Meyers College of Nursing at New York University in 2017. Craig is currently finishing up his Doctorate of Nursing Practice in Psychiatric Mental Health at Columbia University.

Abstract:

Statement of the Problem: Post-traumatic stress disorder (PTSD) affects around 7.7 million Americans across the lifespan and costs society over 42 billion dollars annually. Notably, according to the US Department of Defense in 2012, more US soliders committed suicide due to PTSD related symptoms than were killed in combat operations. Currently, there are only two Food and Drug Administration (FDA) indicated medications for PTSD, Paxil (paroxetine) and Zoloft (sertraline). For treatment-resistant PTSD, clinical guidelines are inadequate and not up to date with current research. In recent years, new research and alternative interventions for treatment-resistant PTSD have included 3,4-methylenedioxy-methamphetamine (MDMA)-assisted psychotherapy for PTSD. The present contribution aims to synthesize this new body of evidence, expand on treatment guidelines for treatment-resistant PTSD and consider its impact on the psychiatric-mental health nurse practitioner role.

Methodology & Theoretical Orientation:  Comprehensive literature searches will be completed using PubMed, PsycINFO and PsycArticles. We plan to review the literature and propose a conceptual framework and procedure for adapting current guidelines.

Findings: In the combined analysis, MDMA-assisted psychotherapy appears a promising modality for treatment-resistant PTSD. It is recommended that clinical guidelines be updated to consider MDMA as a treatment approach to PTSD, in the event that treatment with psychotherapy and selective serotonin reuptake inhibitors (SSRI) fail to show adequate response.

Conclusion & Significance: As nurses, we often approach treatment from a holistic perspective, treating the whole person. MDMA-assisted psychotherapy is a combined holistic approach to treatment that uses both psychotherapy and psychopharmacology. If treatment guidelines are updated, psychiatric-mental health nurse practitioners will be instrumental in implementing this innovative care in the future.

Biography:

Dr.Harper has had a long career in executive positions within healthcare.Building teams and knowing what works within diverse settings,she has produced success stories for hospitals,health plans and medical groups through complex and multiple projects.Concurrent with her executive positions,she is also principal of JCHC Healthcare Consulting.Though teaching has paralleled her work for decades,she joined academics as a full-time faculty member five years ago.She holds a Master of Science Degree in Health Care Administration and a Doctorate in Health Sciences/Nursing with an emphasis on leadership. She is currently the lnterprofessional Education Core Director for National University based in the United States and has published several articles on interprofessional education and practice.

Abstract:

The Interprofessional Education Collaborative (IPEC) formed in 2009 provided significant guidance to advance interprofessional collaboration in its publication of the IPEC competencies in 2011, which described Four Domains and associated competencies to address interprofessional education and practice. Its updated publication in 2016 included public health and the care of populations and clarified its intent that interprofessional collaboration is the overarching theme of the now renamed 4 Core Domains to 4 Core Competencies. These IPEC competencies have been adopted by several professional accrediting organizations representing nursing, medicine, pharmacy, physical therapy and a cadre of others. Core Competency 4: Teams and Teamwork (TT) is examined during a planned workshop: “Apply relationship-building values and the principles of team dynamics to perform effectively in different team roles….”. Each sub-competency statement that supports TT is reviewed to identify the underpinnings that support their fulfillment. The workshop is presented in two sections:

• In Section 1 the literature is presented that correlates with the sub competency statements. Though the existing literature describes structural characteristics and behavioral elements of good functioning teams, the repertoire is not collectively accessible and assimilated into a whole, but is fragmented, embedded in multiple sources. The presentation integrates the literature and describes the qualities of teams and team-members likely to be successful while getting underneath the competency statements to identify the mechanisms and dispositions that drive those competencies.

• In Section 2. Dr. Harper facilitates a practicum that begins with the structural components of teams and then proceeds to key attributes of teams and team members. Liberating structures, a means for consensus and team building exercises, are engaged with attendee participation to demonstrate how large and small groups might learn teamwork by actively doing.

Biography:

Majdi is a Ph.D. candidate at University of  Malaya (Malaysia). Majdi received his BS degree in Nursing Science from the University of Jordan (UJ), Jordan, in 2008. He obtained his MS degree in Psychiatric and Mental Health Nursing from the University of Jordan (UJ), Jordan, in 2013, as well. Currently, his research interests include psychiatric & mental health topics and educational issues. In addition, he has expertise in clinical teaching, training, and lab stimulation in the field of psychiatric and mental health nursing for more than eight years. Finally, he participates in many extensive training programmes in the field of psychiatric nursing, in Jordan, USA, and Sweden.

Abstract:

Background: Schizophrenia is one of the most complicated psychiatric disorders, which have a chronic phase, as many patients do not promote from only psychotropic medications. Psychoeducation is one of the most recognized cognitive and behavioral therapies in specific to schizophrenia. In Jordan, the majority of patients with schizophrenia are treated by psychotropic medications as treatment as usual ( TAU), only 1-20% received any psychosocial interventions in addition to their (TAU). Moreover, the lack of knowledge about the effectiveness of psychoeducation intervention makes it even more difficult to provide mental health care to patients with schizophrenia in Jordan. Further knowledge about the impact of this type of intervention on patients with schizophrenia is required.
Objectives: The general objective of this study is to investigate the effectiveness of psychoeducation program on the knowledge about schizophrenia, psychiatric symptoms, Insight into illness, and internalized stigma for patients with schizophrenia in Jordan.

Methods: This study was used a quasi-experimental-longitudinal method with nonequivalent control group pretest-posttest. Participants ( n= 122) were assigned to an interventional psychoeducational group (n=66 ) or a control group (n= 56 ). The participants in the control group were received their ( TAU), while those in the interventional group participated in a psychoeducational program, in addition to their (TAU). The two groups were compared at baseline and post-intervention (1 week, and 3 & 6-month follow-up) on measures of knowledge about schizophrenia, psychiatric symptoms, Insight into illness, and Internalized Stigma. This study was conducted in the biggest psychiatric hospital in Jordan.

Results: The interventional psychoeducational group experienced greater improvement in the study outcome measures than the control group. Thus, these findings have important implications for future research, policy, and mental health nursing practice in Jordan.