28th World Nursing Care Congress April 29-30, 2019 Seoul, South Korea

Biography:

Dr. Haron received her nursing degree and MA from the Tel Aviv University School of Health Professions (1987); her PhD from the Technion Medical School Haifa Israel (2000), and her postdoctoral training in Queen's University School of Medicine Ontario, Canada (2002). Dr. Haron was Director of Research at the Israeli Ministry of Health's Nursing Division 2009-2017. Her research focuses on health policy, quality in healthcare and healthcare systems. Dr. Haron also serves in the following capacities: member of the Israel National Advisory Committee on Geriatrics, referee in the nationwide Israel Civil Service Rabin Competition for Organizational Quality and Excellence, member of the Israeli Scientific Council for Quality in Healthcare. Dr. Haron's scientific activities include applied, methodological and epidemiological studies as basis for health policy decision making. She presented her studies in international conferences at Cambridge and Sheffield Universities, UK, as well as in Italy, USA, and Canada. Since 2017, Dr. Haron has been a faculty member at the Yezreel Valley Academic College (Senior Lecturer) in Nursing Department and in Master program in Health System Management Department.

Abstract:

Background: Studies in various countries about the core activities of public-health nurses show a large number and diversity of these professionals’ roles. In view of the changing climate of advanced-practice public-health nursing, the actual scope and focus of public-health nursing practice have not been well documented.

Objectives: To provide a detailed, up-to-date account of the job description and practice areas of current public health nurses (public-health nurses).

Design and sample: A cross-sectional study was designed. A sample of 824 public-health nurses, 80% of public-health nurses in Israel, participated in a national structured survey.

Method: A structured questionnaire eliciting self-reported public-health-nursing activities, priorities, perceived deficiencies, and job satisfaction was compiled.

Results: Nearly 70% of surveyed public health nurses provided individual-level interventions and less population-health-focused activities such as community needs assessments and development and implementation of community-based projects.

Conclusions: Advanced training should be required in several areas of practice and the scope of public-health nurses’ practice should be expanded, with greater emphasis on population health.

Biography:

Abstract:

This mixed-method research design utilized Copeland and Hewson’s (2000) questionnaire through a survey of all the clinical instructors and student-nurses in the fourth-level from the four universities in Negros Oriental, Philippines to evaluate the level of effectiveness of the teaching strategies employed in the clinical area.  The evaluations made were compared across the different universities and whether the evaluations of the students relate to those of the instructors in general. It also employed separate Focus Group Discussions (FGDs) with six to eight instructors and student nurses, randomly chosen from those who have answered the questionnaire. These were analyzed through qualitative content analysis.  Initially, open-coding was done to the transcribed FGD proceedings to map general categories and form themes, and, consequently, a framework was created to reveal the challenges they face in the clinical area. The study revealed that the clinical instructors rated their teaching strategies as excellently effective, while the students rated them as very effective. The study also revealed that the instructors are challenged by teacher-student generation, linguistic, and cultural gaps and the students’ disturbed values system, undesirable scholastic traits, and socio-economic state. Conversely, students are challenged by their instructors’ teaching and discipline styles.  They are also confronted with institutional and personality prejudices in the clinical area. The study concluded that while the instructors and students view the effectiveness of the teaching strategies differently, they are also each other’s challenges.  Thus, the study recommends enhanced teaching strategies through training.

Biography:

Jan Rodd, MN, RN received her master of nursing degree from Emory University in Atlanta Georgia in the USA and has taught nursing for over 20 years.  She lived in Newfoundland, Canada and Japan while growing up.  She has been the co-leader of medical teams to India and El Salvador since 1984.  Her master’s thesis was on “The Childbirth Practices of the Women of South India”.  For the past 2 years she has taken nursing students to South India to complete their community health and geriatrics courses for the BSN degree.

Abstract:

Albany State University is an Historically Black College and University (HBCU) in rural southwest Georgia in the USA.  Most students are African Americans and the first persons in their families to attend college.  In addition, they almost all are on financial aid because of limited family income.  The challenge for the department of nursing is how to incorporate global health information into their classes.  The United States is a melting pot of many different races and ethnic groups.  It is imparitive that students learn how to function in a global society.  This presentation will provide the strategies used by Albany State University to prepare their nursing students to function at a high level in today’s healthcare environment.

Biography:

Yonrizal Nurdin is a lecturer at the Andalas University Nursing Faculty since 2004. Currently, he is conducting education in the doctoral program of public health, Faculty of Medicine, Andalas University, Padang Indonesia.

Abstract:

Background: sexual abuse against elementary school children occurs in many countries around the world, including Indonesia. A module of “ Neherta “ model is one of intervention model of sexual abuse prevention that can be provided for primary school children. Aim & Objective: To know the effectiveness intervention Module of sexual abuse prevention against Children from “Neherta” model. Material & Method: Research Design Quasi-Experiments type Times Series Design with 864 samples. The study was conducted in Batusangkar City from Mei 2017 to November 2017. Data is analyzed using average grade of knowledge and attitudes of primary school-aged children. it proved by the results of multivariate tests, with a value of P = 0.00. Conclusions: Modules of the “Neherta” model proved to be effective increasing the average value of knowledge and elementary school-aged children’s assertiveness in West Sumatra. It is recommended to test the module from the “Neherta” model in elementary school children outside West Sumatra.

Biography:

Shi zhengyan is studying for a master's degree in nursing education at West China School of Nursing in Sichuan University.

Abstract:

Objective: This study aimed to explore the effect of mixed teaching methods and process evaluation in nursing education curriculum revolution. Methods: 79 undergraduate nursing students from Grade 2016 studying in an university in Sichuan Chengdu were chosen. A designed teaching model including theoretical teaching, personal practice and team-based learning along with process evaluation was conducted during the Nursing Education course. Results: Students got excellent points(86.99±2.53,totally 100) as well as the promotion of integral teaching ability in Self-assessment questionnaire (95.7%). Students show good autonomy and participation in the curriculum, and they are satisfied with the reformed teaching (78.6%) and assessment methods (87.1%). Conclusion: Diversified teaching strategies and process evaluation should be more creatively used in undergraduate nursing education to give full play to students’ autonomy and promote them comprehensive development in the new media era.

Biography:

Dr. Hofmann’s background includes experience in an integrated health system where she served as Chief Nurse and Assistant Vice President responsible for patient care delivery, nursing standards, and overall nursing operations. Dr. Hofmann’s career includes contributions in teaching, Baccalaureate, Masters and Doctoral levels. Her specialty is leadership, health policy, quality, workforce, and healthcare finance. Research interests aret the nursing workforce, workload, patient acuity, novice to expert ratios and factors influencing stabilizing the nursing workforce with experienced and expert nurses. Dr. Hofmann is currently teaches in the Organizational Leadership, doctoral program in the College of Nursing at the University of Utah.

Abstract:

The purpose of this study was to review and summarize the evolution of patient classification systems to understand; 1) the history behind patient classification, 2) Patient classification tool development, 3) types of patient classification systems 4) development of classification criteria, and 5) testing and evaluation of systems types. Patient classification systems are used to measure the intensity of care required for patients or groups of patients that results in allocations of nursing resources. Patient classification systems are widely utilized in the hospital setting and yet they are rarely standardized or validated.  Many hospitals use home-grown or in-house developed systems. Erroneously, classification systems are bundled with the purchase of a payroll or staff attendance software systems. Needless to say, system-wide critique and evaluation often goes by the wayside. The results of this study inform the current discussion on staffing ratio regulation and the potential mandate for use of a patient classification system. Patient classification and calculation of patient acuity are seen as key factors in nursing unit operations and are utilized to establish patient care requirements at the level of care necessary to provide safe patient care. Patient classification uses descriptive criteria to develop staffing patterns and to project nursing staffing needs to meet patient care requirements. Consistent approaches in classification and the inclusion of nursing judgement are important in ensuring safe care. Factor analysis and prototype classification system types are explained and differnetiated.

Biography:

Dr. Karry Ming LIU is currently working as professor/Dean of School of Health Sciences at the Macao Polytechnic Institute. Dr. Karry Liu received her PhD on Philosophy of Nursing Science from the Chiang Mai University of Thailand 2005 and completed her Masters of Science in Nursing from the Chiang Mai University of Thailand. She then worked as Associate Professor and Professor at the Macao Polytechnic Institute. Dr. Karry Liu has published more than 40 papers in various journals and books. Her publications reflect her research interests in clinical nursing and nursing management. Dr. Karry Liu is also an Associate Editor of several domestic Journals and peer reviewers of two international journals. She is serving as a chairperson of nurse qualification committee of Macao government, and vice president of Nursing Education Association of Macao. He is currently in charge of ongoing scholarly project of a serial study on pressure ulcer management. Dr. Liu was honored by Macao Polytechnic Institute as an outstanding faculty in 2010.

Her Research interests include Critical care and Core competency of nurse.

Abstract:

Objective To investigate the sensitivity, specificity and Cut-off value of the Braden scale for predicting pressure sore risk in critical care patients. Method This study was a cross-sectional descriptive study. The Brandon scale was used to assess the risk of pressure sore in 1547 ICU patients who were purposely sampled within 24 hours of admission. Data on 1075 patients who did not have pressure ulcers at the time of admission to the ICU were included in the analysis. Results The score of Braden scale was 6 to 18 points with an average of 12.30±1.44 points. The incidence of pressure sores during ICU admission was 12.1%. Age, length of hospital stay, disease severity and the score of Braden scale were considered for predicting pressure ulcers. When the cut-off value of pressure sores was 11 or 12 points, the sensitivity was 34.6% or 66.9%, and the specificity was 75.9% or 43.4%, respectively. The cut-off values of disease severity were not less than 19.5 or 20.5 point with the sensitivity of 62.3% or 56.2% and the specificity of 49.9% or 56.8%. Conclusions The Braden Scale can be used to predict the risk of pressure ulcers in critical care patients, but cut-off values need to be explored in evidence-based practice. The assessment indicators and criteria need to be further supplemented and quantified. The disease severity can predict the risk of pressure sores. The age of the patient and length of hospital stay should be considered as risk factors for pressure ulcers.

Biography:

Abstract:

Stent thrombosis(ST) is a severe postoperative complication of percutaneous coronary intervention(PCI) which is an important method in treating coronary heart disease. Therefore, thrombosis prophylaxis of patients with PCI is the important work in nursing. Beginning with the definition of ST, this paper has analyzed the influencing factors resulting in ST, e.g. patient-related factors, operation technical factors, scaffold material factors, antiplatelet drug factors and so on. The paper also proposed the preventive measures such us mental nursing, predictive nursing in perioperative period and appropriate health education.

Biography:

Soon has completed her Master in Midwifery and PhD in Nursing from Flinders University of South Australia, Australia. She is currently members of the Board of Director of Ramsay Sime Darby Healthcare College and secretary of the Human Research Ethics Committee, Universiti Sains Malaysia. She has published more than 25 papers in reputed journals and has been serving as a reviewer of Journal of Advanced Nursing and the Malaysian Journal of Medical Sciences.

Abstract:

Preconception use of folic acid is known to significantly reduce the risk of having a child with birth defects. Unfortunately, there are scarce data on the general public views about the importance of preconception folic acid use for birth defect prevention. The study aimed to explore the public views about preconception use of folic acid for birth defect prevention using a qualitative approach. Twenty-two public aged 18 years and above from a community market in northeast coast Peninsular Malaysia were recruited using semistructured interviews, which were audio-recorded, transcribed and subject to thematic analysis. The themes emerged were “partial information”, “lack of communication” and “acceptance”. Partial information was reasons given for the dearth of knowledge about the benefits of preconception folic acid intake for birth defect prevention. Lack of communication were drawbacks contributing to barriers which hindered the knowledge of the public. The magnitude of having a baby born with birth defects was publics’ expression of acceptance to be God’s will. We suggest that these views about preconception use of folic acid for birth defect prevention form a need for patient education and health promotion.

Biography:

Saowanee  Naowapanich, RN, CNS, Nurse Researcher, earned her bachelor of nursing science degree from Mahidol University and master degree of administration nursing.  She has 23 years of nursing experience and 11 years in Cardiac Care Unit. She is a head nurse in Cardiac Care Unit and she also has contributed article to several nursing journals and publications including journal of medicine association Thailand and Siriraj medicine bulletin. For the past 10 years, she has overseen advanced nursing care and has published more than 6 papers in reputed journals.

Abstract:

Nurses who take care for patients with cardiovascular disease patients have the right to determine a performance to suit different situations. Performance assessment tools must be accurate. This tool can be used to evaluate the real talent.

Objective : 1) to analyze the expectation on competencies of professional nurses who took care of patients with cardiovascular diseases at Siriraj Hospital, 2) to develop a competency scale for cardiovascular nurses, and 3) to evaluate the implementation of the developed competency scale.

Methods: The research setting was a cardiac care unit at Siriraj Hospital. Key informants were selected by a purposive sampling technique. These included the informants about expectations on competencies comprising head nurses, professional nurses, nurse educators, physicians, patients, and caregivers. The instruments were semi-structured interview guides about expectation on competencies, a competency scale, and an evaluation form for the implementation of the developed competency scale.

Main findings: 1) The expectation of competencies of cardiovascular nurses consisted of 8 issues, which were used for developing the competency scale. 2) The competency scale for cardiovascular nurses should consist of 3 aspects including professional competency, common functional competency and specific functional competency. 3) After implementation, the results showed that the developed competency scale could be applied to evaluate the performance of nurses and classify performance of each nurse.

Conclusion and recommendations: This study provides an informational base for the further development of a competency scale for nurses to assess their competencies according to the comprehensive and desired performance.

Biography:

Abstract:

Purpose of the Study: To determine the core competency and job performance of staff nurses

Methods:
The study used quantitative descriptive correlational utilizing adapted and modified questionnaire. The participants of this study was composed of a total of 100 staff nurses and 40 nurse managers.

Weighted mean, frequency and percentage for the profile variables of the staff nurse respondents was used, t-test was employed to ascertain the relationship and significant difference.

Results and Findings:
Most of the staff nurses is female, most belongs to the young adult age ranges of 23-26 years old, had a BSN degree, and had clinical experience for 1-3 year. The self-assessed competencies of the staff nurse rated themselves as high in areas of competency.

The assessments of the nurse manager on the competency of the staff nurse is high

For the educational attainment, age and length of service variable, the results imply that there is no significant difference in the self-assessed competency of the staff nurse.

There is a significant difference in the self-assessed competency of the staff nurse working in tertiary private hospitals and the assessment of the nurse manager respondents on the competency of the staff nurses. The job performance of the staff nurse respondents as evaluated by the nurse manager is high. There is no significant difference in the job performance. The results implies that there is no significant relationship between the self-assessed competency and the job performance of staff nurses.

Conclusion:
The staff nurse and nurse manager working in tertiary private and public hospitals yielded a congruently and consistently high in terms of competency. There is significant difference in the assessment of the self-assessed competency of the staff nurse and the assessment of the nurse manager on the competency of staff nurse. There is no significant difference in terms of job performance of the staff nurses both in tertiary private and public hospitals.

Biography:

Chen Hongxiu is studying nursing postgraduate at Sichuan University.She has done a series research on geriatric nursing. Hu Xiuying is a professor and has published more than 100 articles in in reputed journals and has been serving as an editorial board member of repute

Abstract:

Objective To evaluate the compliance of individualized nursing for asthma patients. Methods We searched PubMed,Embase,CBM,CNKI,VIP and the Cochrane Library datebases to collect randomized controlled trials(RCTs) and semi-randomized controlled trials(semi-RCTs) of individualized nursing for asthma patients from January,2013 to December,2018.Two reviewers independently screened literatures,extracted data and assessed the risk of bias of included studies.Meta-analysis was then performed using RevMan 5.3 software.Result A total 9 RCTs and 2 semi-RCTs involving 1120 patients were included.The results of meta-analysis showed that: the individualized nursing was superior to the normal nursing on compliance [RR=5.51,95%CI(2.79,10.90)],cognitive rate disease[RR=5.14,95%CI(2.69,9.83)], compliance with medical advice[RR=4.16,95%CI(2.33,7.42)] and the quality of life[MD=10.87,(95%CI：8.05,13.70).Conclusion current evidence shows that individualized nursing has improved compliance,cognitive rate disease,compliance with medical advice and significantly improved the quality of life.Due to the limited quality and quantity of the included studies,more high quality studies are requied to verify above conclusions.

Biography:

Abstract:

Background: A standardized group of interventions which is what we call “Bundle of Care”  holds a promising future in the healthcare industry and how this set of interventions promote faster recovery from the disease process will definitely break grounds in healthcare. The study aimed to seek specific bundle of care for Community Acquired Pneumonia to avoid exacerbations and complications.

Methods: The study utilized quasi-experimental non-equivalent comparison group to compare the subject groups and measure the degree of change as a result of the CAP Bundle of Care. Patients received the CAP bundle that includes 4 nursing interventions: deep breathing and coughing exercises, moderate high back rest, effective clinical assessment and decision making include oxygen monitoring and assessment of patient which also involved monitoring of oxygen saturation, and turning. Status of both control and experimental group was sought pre and post intervention and described using mean and SD. Significant difference between the control and experimental group was also investigated utilizing t-test.

Results: The pretest status shows low risk interpretation for the confusion parameter of the subjects. Urea level and respiratory rate are above normal while blood pressure remains to be normal. CURB score requires inpatient hospitalization and chest radiographic findings show positive infiltrations suggestive of pneumonia. The post -test status shows an interpretation of low risk for the confusion parameter. Respiratory Rate, Blood pressure and urea levels became normal with negative infiltrations in the chest radiographic findings suggestive of home treatment or management. There was a significant difference with the CURB 65 score specifically in confusion score of patients.

Conclusions: CAP Bundle of Care is effective to be implemented in the acute care setting.  The CAP Bundle of care is effective to avoid further complications and comorbidities as well as mortality, could fasten up recovery and wellness, and optimizes patient comfort and satisfaction.

Biography:

Abstract:

Introduction: An increasing number of intensive care patients are surviving critical illness, but many develop mental, cognitive and physical impairments after discharge. Adapting to a new life situation, often with major challenges, implies the need of support. Therefore, it is important to develop interventions aimed at promoting recovery. 

Objective: The aim was to describe former intensive care patients' feelings of sharing their experience of critical illness with other former patients.

Method: Former intensive care patients (n=17) participated in group meetings and wrote about their thoughts in a notebook after each group meeting.  To deepen the understanding of the patients’ experience 11 of the patients were interviewed. The notes in the notebooks and the interviews were analyzed using qualitative content analysis.

Findings: Meeting others revealed to the former patients new dimensions of being critically ill, and they both gave and received strength from each other. The meetings were meaningful as they gained insight into other patients’ lives, and realized what it meant to survive intensive care.

Conclusions: The group meetings meant sharing experiences and understanding the process of survival after critical illness. Giving and receiving strength from others helped the participants to go further.