Day 2 :
- Nursing Practice
Session Introduction
Joseph Peter Regondola
Trinity University of Asia, Philippines
Title: Core competency and job performance of staff nurses working in selected tertiary private and public hospitals: Towards theory development
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.
Hongxiu Chen
West China Medical School of Sichuan University, China
Title: Compliance of Individualized nursing for asthma patients: A meta-analysis
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.
Jennifer Rhae Lim
Trinity University of Asia, Philippines
Title: The effect of community acquired pneumonia bundle of care in the acute care setting
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.
- Critical Care Nursing
Session Introduction
Carl Backman
Vastra Gotalandsregionen, Sweden
Title: Group meetings after critical illness- Giving and receiving strength
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.