E-mail: nursing2017@scientificfuture.com | USA : +1-646-828-7579, UK : +44-203-695-1242 | April 05-07, 2017, Barcelona, Spain  

SCIENTIFIC PROGRAM

Nursing Practice

Session Introduction

Nancy King
University of Colorado, USA
Title: Prevention and management of chemotherapy induced nausea and vomiting in pediatric oncology patients

Biography: Nancy King, RN, MSN, CPNP is an advanced practice nurse specializing in pediatric oncology and palliative care. She works on the inpatient oncology unit managing oncology patients admitted for chemotherapy and is also part of the palliative care team for Children’s Hospital Colorado. She received her BSN from the University of Northern Colorado in 1976 and her MSN in 2001 from the University of Pennsylvania. She is a certified pediatric nurse practitioner and a certified pediatric oncology nurse.

Abstract: Nausea and vomiting caused by chemotherapy agents (CINV) ranks high in the list of most distressing symptoms for children undergoing treatment for cancer. Children who experience severe or prolonged nausea and vomiting are at significant risk for poor nutrition, weight loss, and gastric irritation, all of which can impact their therapeutic treatment and tolerance. Appropriate management of CINV can help decrease distress during the chemotherapy experience for patients and families. CINV is a complex process involving multiple neurotransmitters and is also impacted by previous experience with nausea and vomiting, anxiety and fear, and history of motion sickness. A patient-centered approach to management in crucial. We will review the etiology of CINV and discuss a variety of antiemetics and their use. We will also examine the use of an algorithm based upon the emetic potential of a chemotherapy regimen and options for augmentation of the antiemetic regimen when inadequate response is noted.


Maya Drum
Blacktown Raphael Centre, Australia
Title: Perinatal and infant mental health – promoting wellness now and into the future

Biography: Associate Professor Maya Drum holds a Bachelor of Health Science (nursing), Masters of Health Science (primary health care) and Masters of Health Services Management, is a Registered Nurse and Midwife, an Associate Lecturer at the Western Sydney University (Australia) School of Nursing and Midwifery and a qualified Mediator and Conciliator. Maya has extensive experience in senior executive managerial and leadership positions in both public and private health having services and she is currently the Manager, Raphael Services in Blacktown (New South Wales) for St John of God Health Care. Maya is a passionate advocate for women’s and children’s health and has worked on many New South Wales (Australia) State committees to improve relevant services for families.

Abstract: Anxiety and depression are being diagnosed much more readily today as a result of extensive research and subsequent education of maternity service health care providers. These findings have been made available nationally by researchers with a keen interest in Perinatal and Infant Mental Health (PIMH). This area of speciality spans the maternity, paediatric and psychiatric domains with the results of early identification and different options for treatment having proven more positive outcomes for the mother, father and family. It is imperative that validated screening tools be made available for assessments to support in promoting wellness at the earliest possible time during pregnancy and/or soon after the birth of the child. The incidence of perinatal anxiety and depression is higher during pregnancy than in the postnatal period. This is why early intervention is critical to support the mother during her pregnancy with the hope of a better outcome as a result of treatment. It is also a well- documented fact that partners of a depressed mother have a higher likelihood of also becoming or being depressed and this of course is not a healthy environment for children to be raised in. Best Practice maternity services would embrace screening all women who have accessed the service for psycho social factors and referring women who are at risk to a specialist service. Dependant on the severity of the findings, these women may require intensive therapy from a psychiatric service and may also require medications or even hospitalisation. Screening should be repeated after the baby has been born and appropriate intervention taken dependent on results. Medical, nursing and midwifery personnel need to work collaboratively to ensure where ever possible the safety of the mother and the child/children. By intervening early and having positive outcomes, this in turn will promote wellness for this generation and with the benefit of parent child interaction therapy, also into the future for the next generation. Much inter-generational health promotion success can be achieved with the benefit of early recognition of a problem using validated tools; early intervention by appropriately educated healthcare professionals; referral where necessary and ongoing support with parenting. Certainly a vision worth striving for and committing to!


María de los Ángeles Ordóñez
Florida Atlantic University, USA
Title: A Caring Science Model of Specialized Dementia Care and Supportive Services

Biography: Dr. Ordóñez is a doctoral prepared Gerontological Nurse Practitioner who is an Assistant Professor at Florida Atlantic University (FAU) Christine E. Lynn College of Nursing, engaged in clinical practice, teaching, and research. Dr. Ordóñez is the Director of the Louis and Anne Green Memory and Wellness Center, a nurse-managed, State-designated Memory Disorder Clinic (MDC) under the State of Florida's Alzheimer's Disease Initiative (ADI) and provides services to over 10,000 individuals and their families and caregivers each year. Her practice experience encompasses skilled nursing, post-acute, long-term care, and MDCs. She has done local, national, regional, and international presentations.

Abstract: Aim of the study/ Purpose: To demonstrate the effectiveness of a nurse-led model of care grounded in caring science on addressing the complex needs of older adults and their families affected by Alzheimer’s disease and related dementias (ADRD), and to bridge the gap in dementia-specific care. Introduction in brief: As the population ages, so does the number of people diagnosed with ADRD. The psychosocial burden of ADRD substantially affects patients, families, and society as a whole. The current health care system is not equipped to adequately meet the needs of an aging population, let alone the increasing number of older adults with ADRD. There is a need for a dementia-specific model of care to fulfil this growing gap Program: The Memory & Wellness Center, an innovative nurse-led model grounded in caring science, incorporates a “person-centered”, interprofessional team approach to care, uniquely tailored to each situation (patient-caregiver). An evaluation of the effect the model on health outcomes of older adults receiving care at the Center and their caregivers and supportive services was completed over the past year. Results: About 500 older adults underwent interprofessional team evaluation of their cognitive status, 1300 individuals attended support groups and 500 participated in education activities; 3000 referrals to community supportive services and community outreach to 2400 individuals. Culturally tailored interventions resulted in reduced depression, anxiety, stress, and isolation in older adults with ADRD and their caregivers. Caregivers also had reduced perceived burden and increase perceived competence to fulfil their caregiver role. Conclusion: This model of care represents and recognizes nurses leading, constructing, and transforming health care environments, influencing policy and responding to the call and responsibility to be innovative leaders in sspecialized dementia and supportive services to a population in dire need. This program has served and can continue to serve as a model to improve health outcomes for those with ADRD and their caregivers.


David E. Vance
University of Alabama at Birmingham, USA
Title: Neuroplasticity, cognitive interventions, and cognitive training in older adults with HIV: A state of the science

Biography: Bio: Dr. David Vance is a professor in the School of Nursing at the University of Alabama at Birmingham and is studying cognitive remediation and aging with HIV. Dr. Vance has +180 peer-reviewed publications. He received a White House invitation to attend the first forum on aging with HIV and has participated as an invited member of the USA National Institutes of Health Think Tank – Working Group on HIV and Aging. Recently, he was awarded a 2.8 million dollar grant from the USA National Institute of Mental Health titled, “An RCT of Speed of Processing Training in Middle-Aged and Older Adults with HIV.”

Abstract: Introduction: Combination antiretroviral therapies hinder HIV viral replication, allowing people to age with HIV. With over 50% of adults with HIV over 50+, this challenges the concept of successful neurocognitive aging. Unfortunately, over 50% of HIV+ adults experience HIV-Associated Neurocognitive Disorder ranging from milder forms (i.e., Asymptomatic Neurocognitive Impairment or Mild Neurocognitive Disorder) to a more severe form (i.e., HIV-Associated Dementia). Yet, even such milder neurocognitive impairments can interfere with financial and medication management, driving, and other instrumental activities of daily living that impact quality of life and survival. As this clinical population continues to age well into late adulthood, these milder forms of neurocognitive impairment may be accelerated or accentuated resulting in more severe neurocognitive and functional loss. Objective/Aim: Researchers and clinicians need to identify medical and lifestyle factors that facilitate positive and negative neuroplasticity in this population in order to promote cognitive reserve. Methods/Results: In an ongoing review of the literature, factors that promote positive neuroplasticity include good sleep hygiene, physical exercise, good nutrition, social engagement, and cognitive stimulation. Factors that promote negative neuroplasticity include comorbidities (i.e., diabetes, cardiovascular disease), substance abuse, trauma and stress, social isolation, and loneliness. In this presentation, current research to improve positive neuroplasticity in older adults with HIV emphasizes the use of computerized speed of processing, transcranial direct current stimulation, and their combined used. Conclusion: Emerging insights from the first large longitudinal study (The Think Fast Study) investigating a cognitive training protocol in older adults (40+) with HIV are provided as an exemplar.


Gunn-Tove Minde
The Arctic University, Norway
Title: A Culturally-sensitive Approach to Elderly Care

Biography: Mrs. Minde is a sociologis and associate professor at University of Tromsø, Department of social relation, campus Harstad, Norway. Mrs. Minde has published books, reports and articles in national and international journals. Minde has presented papers in many national and international conferences. She is also a filmmaker and has made documentary about older people and people with disability.

Abstract: Aim of the study/ Purpose: How can an older person rediscover his or her dignity when they arrive in nursing homes? Introduction in brief: This presentation takes a culturally sensitive approach to elderly care in the Arctic region in Northern Norway. The older persons here are ethnic Norwegians, the Sami Indigenous people and the Kven minorities. Cultural values, beliefs and worldviews are anchored in “the living body.” This means that the human’s biological conditions are woven together with life experiences and interpretations thereof. Procedures/ Methods: Case studies from nursing homes in Northern Norway of older residents. Results: The most important motivator in rediscovering the older person`s dignity in nursing homes lies in the interaction between the older person and service workers who have a culturally–sensitive approach. This means that the social and health providers see the older person as a complete person, not just his or her bodily and cognitively impairment. Conclusion: By using a culturally sensitive approach combined with a person-sentred care in milieu therapy in the nursing homes, the employees are preserving health and continuity in the lives of older patients in nursing homes.


David E. Vance
University of Alabama at Birmingham, USA
Title: What does successful aging with HIV mean for mental health? Tips for guiding patients

Biography: Dr. David Vance is a professor in the School of Nursing at the University of Alabama at Birmingham and is studying cognitive remediation and aging with HIV. Dr. Vance has +180 peer-reviewed publications. He received a White House invitation to attend the first forum on aging with HIV and has participated as an invited member of the USA National Institutes of Health Think Tank – Working Group on HIV and Aging. Recently, he was awarded a 2.8 million dollar grant from the USA National Institute of Mental Health titled, “An RCT of Speed of Processing Training in Middle-Aged and Older Adults with HIV.”

Abstract: According to the Dutch ATHENA cohort study of +10,000 patients with HIV, by 2030 nearly 70% of these adults will be 50 and older. Already in Europe and the United State, such older adults (50+) comprise slightly over 50% of this clinical population and will be facing many issues in which aging is either accelerated or accentuated. ATHENA also projects that by 2030, 84% of older adults with HIV will have at least one additional disease and 28% will have at least three (compared to 19% without HIV). The diseases underpinning these projects are cardiovascular disease (78% of cases), cancer (17% of cases), and diabetes (17% of cases); in fact, the HIV medications may exacerbate some of these diseases. Such projections parallel prevalence rates already observed in Europe and the United States. The psychological, cognitive, social, and economic resources needed to manage these diseases can compromise the ability to successfully age with HIV. Thus, it is important to take an inventory of the components that constitute successful aging in order to guide patients as to how HIV may or may not compromise their aging journey. Using the theoretical framework from Baltes and Baltes, the eight components that constitute successful aging are: 1) length of life, 2) biological health, 3) mental health, 4) cognitive efficiency, 5) social competence, 6) productivity, 7) personal control, and 8) life satisfaction. Current research in each of these components of successful aging specific to HIV is provided, along with suggestions for clinical practice and mental health.


Ibtisam Al-Zaru
Jordan University of Science and Technology, Jordan
Title: Depression in Non-hospitalized Jordanian Patients with Coronary Artery

Biography: She earned her bachelor’s degree in nursing from the University of Jordan and joined the Jordan University of Science & Technology (JUST) as a teaching assistant. In 1990, she earned a scholarship to obtain her Masters degree in nursing, from University of Pennsylvania/USA. Major Area: Adult Health and Illness, Minor Area: Advanced Practice Specialist – Clinical Nurse Specialist/ Cardiopulmonary track and join JUST as a lecturer. In 2001 she received her Doctorate in nursing science from University of Ulster: faculty of life and health sciences /UK. In 2011, she was promoted to an Associate Professor in nursing. She has an extensive teaching and administrative experiences at both graduate and undergraduate levels. She has been an academic advisory for many Master's and PhD thesis, all of them successfully defended.

Abstract: Aims and objectives: To assess for depression in non-hospitalized Jordanian patients with coronary artery disease and to identify socio-demographic and clinical predictors of depression. Background: Patients with coronary artery disease are likely to suffer depression, which contributes to the burden of the disease and is a risk factor in mortality. Patients in out-patient clinics are not routinely screened for depression. Significant relationships among patient characteristics need to be determined in order to ascertain predictors of depression. Design: A cross-sectional design using descriptive and correlation statistics was used to examine relationships among socio-demographics and self-reported perceptions. Method: Patients diagnosed with coronary artery disease (n = 174) completed self-reporting forms eliciting demographic and health perception information. Depression scores were obtained using the Cardiac Depression Scale. Data were analyzed with descriptive statistics, Chi squares, and Pearson’s correlations. Results: Half of the participants reported mild to moderate depression, with 37% expressing severe depression. Predictors of depression included gender (female), additional chronic disease, prior surgery, irregular exercise, impaired sexual activity, and perceived psychological health (poor). Conclusion: To maximize resource usage toward improving patient outcomes, clinic personnel should screen coronary artery disease patients for depression and offer joint treatment in terms of pharmaceutical and therapeutic interventions.


Merav Ben Natan
Hillel Yaffe Medical Center, Israel
Title: Readiness of nursing students to screen women for domestic violence

Biography: Dr. Merav Ben Natan is the Director of Pat Matthews Academic School of Nursing located at the Hillel Yaffe Medical Center in Hadera, Israel. She is also an instructor at the Department of Nursing at Tel Aviv University. In addition, she serves as the Chairman of the Committee on Elder Abuse and Violence of the Israel Ministry of Health, and as the Chairman of the Israeli Nursing Research Association. Recognized in 2011 as outstanding worker of the Ministry of Health, Dr. Ben Natan has published more than 72 articles in various professional nursing journals.

Abstract: Although domestic violence against women is common in Israel and elsewhere, and though medical staff in Israel have a universal obligation to screen women for domestic violence, actual screening rates remain low. The aims of the study were to examine which variables affect nursing students' intention to screen women for domestic violence when providing treatment, and whether the Theory of Planned Behavior (TPB) developed by Ajzen (1991) predicts this intention. This study is a quantitative cross sectional study. A convenience sample of 200 nursing students who had completed at least one year of studies took part in the study from a large academic nursing school in central Israel. The Students completed a questionnaire based on the TPB. Nursing students showed high intention to screen women for domestic violence when providing treatment. Normative beliefs, subjective norms, behavioral beliefs, perceived control, and knowledge were found to affect students' intention to screen women for domestic violence. The opinion of the clinical instructor was most significant for students. The theoretical model predicted 32% of students' intention to screen women for domestic violence, with normative beliefs being the most significant variable. DAY 1 : APR-05-2017DAY 2 : APR-06-2017DAY 3 : APR-07-2017


Zeinab M. Hassan
Hashemite University, Jordan
Title: Attitudes, Social Norms, and Perceived Behavioral Control toward MRSA screening among healthcare workers

Biography: Dr. Zeinab Hassan has made exceptional inroads in infection control nursing in Jordan, her home country, and in the Middle East. She has proven herself an innovative leader in examining infectious processes and in teaching this important specialty to nursing students. It is noteworthy that during her studies at UAB, she was mentored by UAB nursing faculty who are recognized experts in infection control. In 2015 she received SHEA International Ambassador Award for her contribution for infection control in nursing. Dr. Hassan has served as on numerous thesis and dissertation committees for both nursing and medical students at other universities. On top of this external research supervision and a heavy teaching load, she still manages to produce data based publications in infection control at a significant rate. In 2004, Dr. Hassan was one of the very first graduates of the UAB/ PhD Program. She is both a trailblazer and an innovator in representing Nursing and her specialty in her home country and the Middle East region.

Abstract: Background: Screening of Meticillin-Resistant Staphylococcus Aureus (MRSA) represents a public health priority worldwide. Screening of patients to detect colonization was considered to be an essential support of any MRSA control program. Objectives: a) determine healthcare workers (HCWs) attitudes, social norms, and perceived behavioral control toward MRSA screening; b) identify the perception of HCWs of barriers and benefits of MRSA screening; and c) identify the sources of information for HCWs about MRSA screening. Method: Data from 870 HCWs were analyzed; the MRSA Screening Survey (MRSASS) was used to collect the data. MRSASS divided into three parts: Part one assessed socio-demographic variables. Part two was placed in the following five sections: a) attitudes and perceived risk for MRSA screening; b) perceived social norms of MRSA screening; c) perceived behavioral control factors; d) barriers precautions; e) benefit of MRSA screening. Part three assessed source of information for HCWs about MRSA screening. Results: HCWs had a favorable attitude toward MRSA screening; the mean score for attitude section was 29.67. The mean score for perceived behavioral control section was low which mean that many HCWs felt that they had little influence on the policy makers to conduct MRSA screening. The most barriers for MRSA screening were a lack of isolation facilities and increased workload. Only (n= 45, 5.2%) of respondents indicated that they had been given a workshop or training session. Recommendations: MRSA screening must be taken at the institutional level to minimize HCW and patients risk contracting MRSA.


Dilek KONUK ŞENER
Düzce University, Turkey
Title: The impact on oral Mucositis of applied oral care with honey to Pediatric intensive care patients

Biography: Dilek KONUK ŞENER completed her Doctorate program at Marmara University Faculty of Health Science in Turkey. She received her PhD (Pediatric nursing) degree in 2011. Dr. Şener is an Assistant Professor in Child Health Nursing in the Duzce University Faculty of Health Science in Turkey. She is an experienced clinician and educator with twenty years of experience. She has published (about child health and disease, intellectually disabled children, complementary/alternative medicine, family centered care, adolescent health) papers and book chapter.

Abstract: Aim: This study was performed to determine the effect of three distinct mouth care methods including honey, vitamin E and chlorhexidine on the prevention and recovery of oral mucositis among the children who were treated in Pediatric Intensive Care Unit. Materials and Methods: The study was designed as randomized controlled (experimental) type. The universe of the study was composed of children who were treated in Pediatric Intensive Care Unit of Duzce University Research and Practice Hospital. Sample size was calculated as 75 with a power of 80% and an error rate of 5%. Two experimental groups were generated as honey and Vitamin E application; and a control group was generated as chlorhexidine application. Groups were determined by randomization methods and composed of 25 children in each. Children in all groups were applied mouth care twice a day and every twelve hours. Data of the study were collected by a questionnaire including characteristics of the children and by World Health Organization Oral Mucositis Index. Results: It was found that mucositis levels of the children in the experimental groups were quite lower compared to the children in the control group; and the difference between the groups was statistically significant (p<0.001). The ratio of the children in the experimental group who developed mucositis was found to be significantly lower than the children in the control group (p<0.001). Conclusions: It was determined that honey, that is a natural nutrient, can be used safely for the children who do not have a diabetes and allergy for honey and who are treated in intensive care in addition to routine medical mouth care products; but Vitamin E is more effective than the honey in mucositis-preventive mouth care applications. Accordingly, use of Vitamin E is recommended in oral mucositis-preventive and curative mouth care applications. Acknowledgments: The data collected to be continues. The authors would like to thank all the children and their parents who participated in the study.


Rahmah Alalawi
King Saud bin Abdulaziz University, Saudi Arabia
Title: Postoperative Cognitive dysfunction in elderly: A systematic review comparing the effects of desflurane and sevflurane

Biography: Rahmah Alalawi, lecturer at King Saud bin Abdulaziz University for Health Sciences, College of Nursing , Jeddah, Saudi Arabia. Graduated from University of Pennsylvania, United States, with a Master Degree in Adult gerontology/ Oncology Clinical Nurse Specialist.

Abstract: Elderly patients constitute a unique group of surgical patients. Despite advancement in surgical and anesthetic techniques that has allowed good outcomes in elderly patients with complex comorbidities, the incidence of Postoperative cognitive dysfunction (POCD)remains a relatively common complication and a cause of concern in them, as it increases morbidity and mortality. Transient reversible state of cognitive alterations might be precipitated due to the anesthesia that is used .The pathophysiology behind POCD still remains elusive. POD (Post-operative delirium) and POCD are the most common neurological disturbances that follow surgery. POD usually occurs during the first postoperative days as an acute, fluctuating condition whereas POCD occurs in the immediate postoperative period, is more subtle retained for weeks or months or can become a permanent condition, greatly impacting a patient’s quality of life. In this review the effects of two volatile anesthetic agents Desflurane and Sevoflurane and their effects on POCD shall be addressed. According to this review and the available literature there is no definitive conclusion that can be drawn with regard to the type of anesthetic used and its relation to subsequent occurrence of cognitive dysfunction. However the information presented is crucial which can help to improve anesthetic usage, patient education, patient safety and outcomes.


Nahla Al Ali
Jordan University of Science and Technology, Jordan
Title: Jordanian parent’s Perceptions and Beliefs about The Effect of Violent Media on Children's Aggressive Behavior

Biography:

Abstract: Background: Violence occupies the largest proportion of children’s media. Evolution of new forms of media increases children’s media exposure as they spend most of their time with media rather than other activities except for sleeping. The evidence proved the association between children’s media habits and their aggressive behavior. Aim: To assess Jordanian parent’s perception and beliefs about the effects of violent media on children's aggressive behavior. Methods: A cross-sectional, descriptive, correlational design used for the purpose of this study. A convenience sample of 262 Jordanian parents of children aged 6-11years completed a Media Quotient questionnaire about children’s media habits, media effects, and children’s aggressive behavior. The Pearson correlation coefficient test used to examine associations between variables. Results: media habits for children as reported by parents were 5.23 hours for watching TV, 3.20 hours playing video games, and 1.17 hours listening to music. Parents were agreed with the knowledge statement about media effects and were concerned about the impact of violent media on child’s aggressive behavior. Based on parents’ perspective, there was a significant positive association between children’s media habits and their aggressive behavior (r= - 0.211, p= 0.002). Significant association between parents’ attitudes and children’s media habits for TV (r= - 0.216, p= 0.000), video games (r=- 0.271, p= 0.000), and music (r= - 0.303, p= 0.000) were also revealed. Conclusion: The study demonstrated that parents had the knowledge and concerned about the effects of violent media on aggressive behavior. The children spent much time with media that equals to sleeping and studying. Increased children’s media habits lead to increase their aggressive behavior. Increasing parents’ knowledge and monitoring of media of evidence-based programs will have a protective effect on children’s behavior. Reducing children’s exposure to violent media would be a positive step that would yield positive benefits.


Nazan GÜRARSLAN BAŞ
Munzur University School of Health Science, Turkey
Title: Weaning practices of mothers in eastern turkey

Biography: Nazan Gürarslan Baş is an Assistant Professor in Child Health Nursing in the Munzur University Health High School in Turkey. She completed her Master and Doctorate program at Mersin University and Atatürk University Faculty of Health Science in Turkey. Her academic background and work experience as a Nurse-Researcher has enabled her to develop a range of skills. Her research focuses on child health and disease, preventive medicine and cultural care.

Abstract: Objective: The study aimed to determine the practices used by breastfeeding mothers to wean their children from the breast. Methods: This mixed-type research was conducted with mothers whose children were registered the pediatric clinics of a state hospital between June- August 2016. In accordance with the purposive sampling method, 232 mothers of children between the ages of two and five years old were included in the study. Data were collected through face-to-face interviews using a questionnaire with demographic characteristics of mothers as well as their weaning practices. The data obtained were analyzed with a computer-assisted program using number and percentage distributions, and the Chi-square test. Results: Average age of the mothers was 30.34±4.85, 45.3% were high school graduates; 79.3% were covered under social security, and 78.4% had a moderate level of income. The average age of the children was 3.67±0.79, the average duration of breastfeeding was 19.00±7.11 months, and 76.3% of the children had been breastfed within the first hour after birth. The study participants’ reasons or causes for weaning were that the child had nursed long enough (26.3%), the mother thought her milk had dried up (24.1%), the child was now too grown up to nurse (17.2%), and the mother was pregnant again (15.9%). It was determined that the majority of mothers used traditional methods for weaning their children. These included applying substances with a bad taste to their breasts, covering their breasts with various materials to make the child not want to nurse anymore and using a pacifier or feeding bottle to substitute for the mother’s breast. Conclusion: It was observed that all the mothers had decided on their own and without professional consultation to stop breastfeeding, and more than half of them were found to use traditional methods for weaning.


Seham Ahmed Elgamal
King Saud bin Abdul-Aziz University for Health Sciences, Saudi Arabia
Title: The Effect of an educational Program about preoperative Liver transplantation care on patient`s knowledge and anxiety level at a University Hospital in Egypt

Biography: Dr. Elgamal has completed her Master and PhD from College of Nursing- Cairo University- Egypt She is working as assisstant professor at College of nursing- King Saud Bin Abdulaziz University for Health Sciences. She is the chairperson for the life support commitee and member in clinical simulation commitee. Her research intrest is Emergency Nursing, Organ transplantation, Critical care nursing, and Clinical simulation.

Abstract: Liver transplantation is acknowledged to be the most suitable treatment for patients with end-stage liver diseases. While, it is considered the recourse to save a patient’s life but it can be a resource for anxiety in transplant patients. The aim of the study is to evaluate the effect of an educational program about preoperative liver transplantation care on patient`s knowledge and anxiety level. A quasi-experimental research design was utilized in this study. 2 research hypothesis were formulated; H1: Mean knowledge scores of posttest will be higher than mean knowledge scores of pretest. H2: Mean Anxiety level scores of posttest will be lower than mean knowledge scores of pretest. A convenience sample of 14 male and female patients admitted to liver transplant unit at El Manial University hospital were included. The following tools were formulated to collect study data. 1- Sociodemographic sheet, 2- Pre/Post knowledge assessment questionnaire sheet, 3- State and trait anxiety inventory. Structured interview and reviewing medical records were utilized for data collection. The study results revealed that, the majority of the studied subjects (90.9%, 90.9 % & 81.8 %) exhibited moderate anxiety level during the three assessment with the following mean scores (48.4 + 4.6, 49.8 + 5.2 & 47 + 5.2) respectively, as well a significant statistical difference was found in relation to the total and subtotal mean knowledge scores during different assessment periods (<0.001) for both. Conclusion: Liver transplantation patients showed a modrate level of anxiety before and after liver transplantation surgery in addition a positive improvement in their knowledge. Replication of this study on a larger probability sample selected from different geographical areas is highly recommended.


Hawazen Rawas
King saud bin Abdulaziz University for Health Science, KSA
Title: A Multi-Level Examination of Secondary Prevention Practices for Saudi People Following a Recent Cardiac Event

Biography: Hawazen Rawas has completed her PhD in 2015 from Queensland Univerity of Technology, School of Nursing, Australia. She is assisstant professor at King Saud bin AbdulAziz University for Health Science, Jeddah, Saudi Arabia

Abstract: Cardiovascular disease (CVD) is a major health problem in Saudi Arabia as well as in other highly developed countries. Notably, 46% of all deaths in Saudi Arabia occur as a result of CVD. The aetiology of CVD within the Saudi population is similar to that of Western countries with atherosclerosis, hypertension, coronary heart disease and diabetes mellitus highly prevalent with the main risk factors being smoking, obesity and physical inactivity. While there has been a focus on some of the risk factors (smoking and obesity) in Saudi Arabia, there is a paucity of research on secondary prevention practices and the health-related behaviours for Saudi people following a recent cardiac event. This study examined the health-related behaviours of Saudi people following a recent cardiac event, and identified the factors that influence these behaviours, using McLeroy et al.’s (1988) Ecological Model of Health Behaviour as a guiding framework. Overall, this study revealed the importance of developing a secondary prevention program for this population. There was a high prevalence of cardiovascular diseases risk factors. The study also revealed the importance of a targeted educational approach and increasing the knowledge and awareness among Saudi cardiac patients in aiming to support behavioural change. The study identified that the knowledge and attitudes of participants were significant factors at an intrapersonal level that influenced their health behaviours. The study also identified that the services and resources in secondary prevention programs for the participants were also significant predictors at the organisational level with regard to developing and maintaining healthy behaviours. The study also identified that factors at interpersonal, community and public policy levels were influenced engagement in health-related behaviours. The present study also confirmed the importance of supportive services in all areas, particularly in areas of physical, emotional and social well-being, to improve patients’ health-related quality of life.


Wejdan A Khater
Jordan University of Science and Technology School of Nursing, Jordan
Title: The Impact of Heart Failure Symptoms on the Life of Patients with Heart Failure and their Management Strategies

Biography: Dr. Khater is an associate professor at Jordan University of science and technology. she earned her bachelor and master degree from university of Jordan. She completed her PhD from university of Kansas/USA in 2005. Her research interest is in palliative care nursing and symptom management. Mrs Ola completed her master degree in Acute Care Nursing for Adults from university of Science and Technology in 2015 and her bachelor degree from university of science and technology. Mrs Ola was a Registered nurse in Neonatal Intensive Care (NICU) and currently she is coordinator of Health and Protection Project in International Relief and Development

Abstract: Background: Patients with heart failure still suffer from a variety of physical and psychological signs and symptoms that negatively affect their lives. Symptoms of heart failure is well studied in the literature, nevertheless patients with heart failure still have problems in understanding and realizing the meaning of their symptoms. Further, they are adopting many strategies, weather those strategies are effective or not or even harmful, to deal with the disease symptoms. Little is known about patients with heart failure symptoms, and their management strategies in Jordan. Objective: The purposes of this study were to identify symptoms that patients with heart failure experience in Jordan, and to examine impact of heart failure and its symptoms on their lives, as well as to identify their home management strategies they adopt to deal with heart failure symptoms. Method: Cross-sectional descriptive design was used. An Arabic version of Edmonton Symptom Assessment Scale (ESAS), Minnesota Living with Heart Failure Questionnaire (MLHFQ), an open-ended questions were used in data collection from a total of 142 patients with heart failure. Results: fatigue was the most prevalent (98.59%) physical symptom among participants in this study, followed by shortness of breath (94.34%), while decrease in well-being was the most psychological symptom and it was reported by the majority of participants in this study (95.56%). All of symptoms studied were present in at least half of the participants. In addition, nearly 60% of the participants in this study have severe impact of heart failure and its symptoms on their lives. When it comes to home management strategies, rest or do nothing were the most common strategies for many symptoms. For psychological symptoms, distraction methods, or do nothing were the most strategies used. Nevertheless, using herbals, and over the counter medication (OCM) were the least common strategies adopted. Conclusion: Results of this study imply that patients with heart failure still have high prevalence of its symptoms, and suffer the negative impact of heart failure and its symptoms. Thus, further interventions are required to relief patient suffering as well as to improve their home management strategies


Mohammad Ibrahim Al Qadire
Al Al-Bayt University, Jordan
Title: Awareness of cancer signs and barriers to help seeking in Jordan: a national survey

Biography: Dr Mohammad Al Qadire, RN, PhD is a doctor of oncology and palliative care nursing and Head of Adult Healthcare department at Prince Salma School of Nursing/Al Al-Bayt University in Jordan. He earned his PhD in Nursing from the University of Manchester-UK. The main focus of his PhD research was on implementing research findings to improve cancer pain management in Jordan. He has Masters of Science in Oncology Nursing from the University Science and technology in Jordan. He has more than 10 years of clinical, teaching, and research experience and worked as oncology nurse, Head Nurse, Research Assistant and currently as Assistant professor. I have published around 20 paper within the field of oncology nursing.

Abstract: Background: About 27% of cancer patients in Jordan are discovered in advanced stages this resulted in poor prognosis and survival rates. One possible cause of late presentation lack of awareness of warning signs and risk factors of cancer. Aim: To identify the level of awareness of cancer warning signs, risk factors, and the barriers to seeking medical advice among Jordanian public. Methods: A cross-sectional survey design was used. Sample and setting: A convenience sample of 2292 participants from the Jordanian public was included in the study. Results: Of 2292 participants, 1206 were females with mean age of 30.5 SD 11.3 years and ranged from 18 to 81 years. Recall (open question) was not good for all warning symptoms, the percentage of the participants who correctly recalled one of the nine symptoms ranged from 1.7% to 22.9%. However, the mean of total number of recognized symptoms was also low 4.7 SD 2.4. Highest recognition percentages were as follows: lump/swelling (77.6%), weight loss (63%), and change in appearance of a mole (61.1%). In regard to recognizing risk factors, the most commonly known risk factor was being smoker (81.4%), followed by drinking more than 1 unit of alcohol (74.8%). Conclusion: Overall this study demonstrated that there is low level of cancer awareness symptoms and risk factors. This provided a room for improvement through public education which remains the mainstay for such improvement. Emotional barriers to seeking medical care should be addressed using behavior changing models.


Merav Ben Natan
Hillel Yaffe Medical Center, Israel
Title: : Predictors of Women’s Intentions to be Screened for HIV during Pregnancy

Biography: Dr. Merav Ben Natan is the Director of Pat Matthews Academic School of Nursing located at the Hillel Yaffe Medical Center in Hadera, Israel. She is also an instructor at the Department of Nursing at Tel Aviv University. In addition, she serves as the Chairman of the Committee on Elder Abuse and Violence of the Israel Ministry of Health, and as the Chairman of the Israeli Nursing Research Association. Recognized in 2011 as outstanding worker of the Ministry of Health, Dr. Ben Natan has published more than 72 articles in various professional nursing journals.

Abstract: Detection of HIV during pregnancy and a consequent treatment may reduce harm to the fetus. We examine whether the combination of Health Belief Model and Theory of Planned Behavior predicts women’s intentions to be screened for HIV during pregnancy. Two hundred Israeli women who participated in birth preparation classes completed e-mailed questionnaires. The results of a multiple linear regression reveal that perceived susceptibility to HIV, perceived benefits of screening, perceived severity of the illness, health motivation, and normative beliefs predicted women's intentions to be screened, while normative beliefs (beliefs about the extent to which significant others think they should be screened for HIV during pregnancy) was the most significant factor. Strategies to increase women's decision to be screened should address 'significant others'. Additionally, strategies should include promoting women's awareness of the risk of contracting HIV while emphasizing the benefits of the test and promoting a healthy lifestyle.


ZHANG Jing-ping
Xiang Ya Nursing School of Central South University, China
Title: An experimental study on improving resilience in patients with esophageal cancer

Biography: Jingping Zhang, PhD, RN, is a Professor at the University of Central South School of Xiangya Nursing. She has a master degree in nursing science from University of Chiang Mai, Thailand, and a Doctor degree in clinical psychology from University of Central South. She focuses on mental health of patient, especially those who diagnosed with cancer, as well as resilience of the special group in communities, like bereaved parents. She has published more than 100 scientific papers, including 20 SCI Journals.

Abstract: Aim of the study/ Purpose: 1. To explore the shared protective factors of resilience in long-time survived patients with esophageal cancer. 2. To establish a Patient Narrative Psychological Resilience Intervention Program(PNPRIP) and test its effectiveness of this intervention program. Introduction in brief: Esophageal cancer is the most rapidly increasing cancer in China and there are many mental problems in the esophageal cancer’s patients. Previous studies indicated that resilience could effectively help individuals to cope with various adversities and promote individuals’recovery from negative events. Procedures/ Methods: 1.Through qualitative interview and videoing, protective factors of psychological resilience of 18 long-term survivors were addressed. Then a patient-narrative video containing 4 sectors was formed based on protective factors. 2. A randomized controlled trial was carried out in Henan Province with 82 esophageal cancer patients randomly allocated into two groups, conventional care group(control group) and intervention group. The PNPRIP was conducted every other week lasting 8 weeks. The efficacy was examined by the using CD-RISC scale, the SUPPH scale, the SDS scale, the SWLS scale, the MCMQ scale, the PSSS scale and the PANAS scale before,after and3 months after the intervention. Results: 1.Four intervention themes: positive personal virtues, life adjustment, devotion to life, family support were emerged. 2.In control group, the scores of in resilience,self-efficacy, coping, life satisfaction,social support and positive emotion were significantly higher and the scores of depression and negative emotion were significantly lower than control group immediately after and 3-month after intervention (P<0.05). Conclusion: Long-term survivors had some shared resilient traits and the PNRIP based on patient’s own experience could effectively improve the psychological resilience, self-management efficacy and active coping, perceived social support, positive emotion, life emotion, so as to relieve depression.


Shirleen D. Chase
The University of Tennessee at Chattanooga-School of Nursing, USA
Title: Understanding regional melanoma survivors health-related experiences and needs following treatment

Biography: Shirleen D. Chase has an undergraduate degree from California State University, Fullerton and a Master’s degree as an Adult Nurse Practitioner and Adult Clinical Nurse Specialist from the University of Tennessee Chattanooga. Currently, Ms. Chase is a candidate for her PhD in Nursing from the University of Tennessee Knoxville and has a Graduate Certificate in Nursing Education. She has worked in the oncology services at Vanderbilt in Nashville with experts in solid tumor and cutaneous malignancies, caring for patients across the spectrum of care in both the inpatient and outpatient environments. Professor Chase’s program of research includes melanoma survivorship post-treatment, cancer survivorship in general, symptom management, chronic illness impact on quality-of-life, nursing education reform, and research methodologies. She has also presented locally, regionally, and nationally.

Abstract: Melanoma is a dangerous form of skin cancer that can spread throughout the body without treatment. The Centers for Disease Control report that melanoma incidence, unlike that of other types of skin cancers, has been steadily increasing for the last 30 years (CDC, 2013; Guy et al., 2015; Siegel, Miller, & Jemal, 2016). The incidence rate of melanoma in the United States (US) has doubled since 1976; however, during the same period there has been a significant rise in the overall 5-year survival rate for those diagnosed with thin lesions or early identified melanoma (Liu & Soon, 1996; CDC). Patients with thicker lesions die disproportionately and are associated with a lower socioeconomic status, lower education levels, and health care access inequalities (Kirby et al., 2006; Pollitt et al., 2008; Zell et al., 2008; & Wich et al., 2011). The melanoma incidence rate in the East Tennessee Appalachian Region (ETAR) is double the national and state estimates. This study focuses on exploring the health-related needs and experiences of melanoma survivors following treatment who reside in a designated underserved area within the US. The purpose of this study is to better understand regional melanoma survivor health-related experiences and needs following treatment. Interpretive description qualitative research guides the researcher toward an “analysis of discovering associations, relationships, and patterns” within the melanoma survivor population. Interpretive description is the preferred strategy when new knowledge pertaining to the “subjective, experiential, and tacit aspects” of human health experience is needed (Thorne, 2008). The understanding gained from this study will inform and guide future decisions that apply evidence to the care and management of melanoma survivors.


Mehta RS
B. P. Koirala Institute of Health Sciences, Nepal
Title: Cardiovascular health risk behavior among the faculties of b.p. koirala institute of health sciences Nepal

Biography: Prof. Dr. Ram Sharan Mehta is Head of Medical-Surgical Nursing Department in College of Nursing, B. P. Koirala Institute of Health Sciences Nepal. I am involved in teaching Medical-Surgical Nursing for more than 20 years. I am involved in teaching the Nursing Education to the undergraduate and post graduate nursing students. I am the research committee member of this institute and actively involved in the guiding the undergraduate and post graduate nursing students.

Abstract: Background and Objectives: Cardiovascular disease is a class of disease that involves heart, the blood vessels or both. The most important behavioral risk factors of heart disease and stroke are unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. The objectives of the study were to assess the cardiovascular health risk behavior among the faculties of BPKIHS Nepal and to find out the association between the cardiovascular health risk behaviors with selected demographic variables. Materials and Methods: A descriptive cross-sectional study design was conducted to find out the cardiovascular health risk behavior among the faculties of B. P. Koirala Institute of Health Sciences. A total of ninety nine samples meeting the eligibility criteria were included by purposive sampling method. Data was collected by using self-administered questionnaire method. SPSS-11.5 software was used for data analysis. Result: Majority of the respondents (77.8%) were of age group <40 years, maximum of the respondents (70.7%) were male. Among ninety nine respondents, 13.1% were light smoker, 54.5% consumed alcohol sometimes,73.3% consumed high fat food sometime, 48.5 % consumed extra salt in their diet, 86.9 % felt stress sometimes. The study showed that there is significant association between cardiovascular health risk behaviors with cardiovascular disease in family of the respondents. Conclusion: Based on the study result it concludes that alcohol consumption, high fat food consumption and stress felt usually are the cardiovascular health risk behaviour commonly found among the respondents but there is no significant association between cardiovascular health risk behaviour with discipline, highest educational degree, designation, socio-demographic variables, health problems in the respondents, problems faced by the respondents within last 3 months and BMI of the respondents.


Mohammad Edris Arbabshastan
Iranshahr University of Medical Sciences, Iran
Title: A Study on the Relationship between Medication Adherence and Belief about Medicines in Hypertensive Patients

Biography:

Abstract: Introduction and objective: Hypertension is one of the major health problems in many countries. Medicinal treatments and lifestyle change have so far failed to effectively influence blood pressure control. One of the main reasons for such incompetence lies in non-adherence of patients to anti-hypertensive therapeutic regimen. Moreover, medication adherence may alter due to patient’s beliefs and convictions. Given the limited data available concerning the level of medication adherence and its relationship with belief about medicines, this study attempted to identify the relationship between medication adherence and belief about medicines among hypertensive patients in Zahedan during 2015. Materials and methods: This was a descriptive-correlational study. The population consisted of all health centers and doctors’ offices for internal medicine and heart diseases based in Zahedan. The sample included a total of 385 hypertensive patients who were selected through convenience sampling. Data were collected through a medication adherence in hypertensive patients’ questionnaire and belief about medicines questionnaire. Furthermore, the findings were analyzed through the Spearman’s correlation coefficient, mean and standard deviation. Findings: Based on the results, there was a significantly inverse relation found between medication adherence and necessity-concern differential based on belief about medicines scale (p=000.0, r=-0.2). Moreover, there was a significantly inverse relationship between medication adherence and belief about medicines. Hence, an increase in medication adherence at the sample subjects led to lower belief about medicines. Furthermore, there was a significantly positive correlation between medication adherence and belief concern (p=051.0, r =0.1). In other words, an increase in medication adherence of participants led to their higher concern about medicines Conclusions: Overall, this study revealed a significantly inverse relationship between medication adherence and belief about medicines among hypertensive patients in Zahedan. This indicated this population, unlike most other populations, adhered to medication while they either did not believe in medicines or refused to express their feelings about it.


Ahmadreza Yazdannik
Isfahan University , Iran
Title: The impact of a Risk assessment and prevention program on the incidence of pressure ulcers in intensive care unit

Biography: Dr. Ahmadreza Yazdannik, Head of Critical Care Nursing Department, Nursing & Midwifery School of Isfahan University of Medical Sciences, Iran

Abstract: Background: Pressure ulcers are a common problem in intensive care units and potentially avoidable. The first step in the prevention of pressure ulcers is to identify patients at risk using standard tools. The aim of this study was to evaluate the impact of prevention programs on the incidence of pressure ulcers based on the Braden scale tool. Methods: This study was a randomized clinical trial with two groups of 65 adult patients admitted to the intensive care unit of a teaching hospital, were randomly assigned to experimental and control groups.in the experimental group using the Braden risk assessment tool, patients at risk for pressure ulcer, were identified and then implemented a prevention program for two weeks. Control group received routine care. Data using SPSS were analyzed. Results: Fisher’s exact test showed a significant difference between the two groups in the incidence of pressure ulcers (P = 0/01), and the occurrence of pressure ulcers in the intervention group was lower than the control group. Conclusions: Identification of patients at risk for pressure ulcers using standard Braden Risk assessment tool and appropriate preventive measures can reduce the incidence of pressure ulcers in hospitalized patients in intensive care units.


Latife Utas Akhan
Bulent Ecevit University, Turkey
Title: Analysis of attachment styles and attitudes of coping with stress In female inmates

Biography: Latife UTAS AKHAN, is currntly working as an Assistant Prof.at Bulent Ecevit University Health College Head of Psychiatry Nursing Department, she was a Instructor during 2010-2012) at Bulent Ecevit University Health College, Head of Psychiatry Nursing Department İnstructor (2004-2009) at Halic University Health College, she has also worked as Psychiatry Nursing Department, Research Asistant (2003-2004) at Halic University Health College Her publications includes, : The effect of art therapy with clay on hopelessness levels among neurology patients. Rehabilitation Nursing, Doi: 10.1002/rnj.2015 (Yayın No: 1381946) (2015). The Sexual Development and Education of Preschool Children: Knowledge and Opinions from Doctors and Nurses, Sexuality And Disability, Ocak, 2015. Study Of Health Care Providers And Attitudes Against Homosexual, Bisexual Individuals.; İnternational Journal of Human Sciences vol 10(1) FEBRUARY 2013. Identification of nursing care methods intended for reducing stres caused by enviromental factors in neonates, Scientific Research and Essays, vol 6(4), 2010, she has also published Articles In National Journals: Psychopathologıcal Art and The Use Of Art In Psychıatrıc Treatment, journal of higher education and scientific, 2(2), 2012, 0-6 Age Group Of Child Care Related To The Problems Faced By Mothers Who Have Children Of Employees And The Study Of Problem Solving Approaches, Istanbul University Florence Nightingale nursing journal 19(3), 2011, Healthy Lifestyle Behaviors of University Students, Journal Of Nursing Science And Art Of Maltepe University, 3(3), 2010, she has also attended International scientific meetings and published in proceedings, Transitional Object Attachment among Kids in Nursery School and Parents Attitudes Regarding the Objects The 14th International Nursing Research Conference. 9-12 November, 2010 Burgos, Spain. Determining The Attachment Mode Of The Female Convicts And Cope With Stress. 10 National And International Congress of Nurse Students, 28-30 Aprıl 2010. Examinatıon Of the Depressıon and Desperatıon Levels In Women Undergone Hysterectomy. The 8. Annual Scientific Meeting of the European Association of Consultatıon Liaison Psychiatry and Psychosomotics and the 8. Turkısh National Congress of Consultation LiaisonPsychiatry,İstanbul,2005.

Abstract: Purpose: This study was conducted for the purpose of determining attachment styles and attitudes of coping with stress in female inmates. Data and Methods: The research is a cross sectional type of descriptive epidemiological research. The study was conducted between September 1st and December 31st of 2012 at a closed prison of females in the province of Istanbul. The target population of the research is composed of 273 female inmates at a closed prison in the province of Istanbul. The sample of the research is composed of 130 female inmates chosen with the method of purposive sampling staying at the closed prison of females at the application of the study who match the research criteria. The “data collection form”, “relationship criteria questionnaire” (RCQ) and “attitudes of coping with stress inventory” (ACSI) which are prepared by the researchers including the socio-demographic characteristics are employed in the study. Findings: The age average of the female inmates participating the study was found to be 34.55  9.223. It was statistically found to be meaningful that the youngest of the female inmates was 18, and the oldest was 56; the score of the ACSI of the married ones taken from the religious inclination sub category was (p<0.05); the score of the RCQ of those who lost both parents or one of them was (p<0.05); the scores of the ACSI of those whose conviction was due to narcotics taken from the religious inclination and escape – abstraction (biochemical) sub dimension and of the ACSI of those whose course attending status was frequent taken from the escape – abstraction (emotional - actual) and escape abstraction (biochemical) sub dimension were (p<0.01, p<0.001). Results: It can be argued that the attachment styles and attitudes of coping with stress in female inmates were influenced from some of their socio-demographic characteristics. That the married ones and those who attend the activities were able to use more positive strategies, those who had lost one or both of their parents were displaying more obsessed attachment, and the participants were using coping strategies such as spirituality and religious methods are the results that could be derived from the study.


Gloria Mabel Carrillo
University of Colombia, Colombia
Title: Cluster symptom in people with gastric cancer in Colombia

Biography: Nurse, Postgraduate in cancer care. Master in Nursing. PhD in Nursing Associate Professor Faculty of Nursing In the National University of Colombia with experience in clinical practice and teaching in nursing care on situations of chronic disease and cancer. Currently, Director of the Nursing Department at the Faculty of Nursing National University of Colombia Researcher in charge of chronic disease care, symptom burden in cancer, palliative care and competence in home care. Author of articles and chapters in publications indexed nationally and internationally. A peer reviewer for National and International Journals. Member of the following scientific associations: International Association for Hospice and Palliative; Sigma Theta Tau Chapter Upsilon Un; And Latin American Association of Palliative Care. Senior Researcher by classification of Colciencias (Administrative Department of Science, Technology and Innovation - Colombia)

Abstract: Objectives: To describe the perception, assessment and ways of grouping of symptoms in adults with cancer who have undergone gastrectomy during 2015 and 2016 in Bogota – Colombia. Generate a theoretical, conceptual and methodological proposal for analyzing the ways of grouping of symptoms. Colombia is among the countries with the highest rates of gastric cancer. Surgery is the cornerstone for treatment of patients with gastric cancer. This surgical therapy is considered difficult, with high predisposition to early or late complications. This infers conditioning of the functional state and the multiple annotations, which require new lifestyles. Methodology: exploratory and descriptive quantitative study. The sample consisted of 240 people with gastric cancer undergoing gastrectomy between 1 month and 4 years of intervention. We used the survey characterization of the person with chronic illness, the scale of perception and evaluation of symptoms in patients with cancer and Karnofsky scale. Results: Most of the participants have gastricadenocarcinoma of intestinal type, stage II and III; 77% reported being able to do normal activities with mild signs and symptoms of illness; 21.67% are unable to work but can live at home and self-care, and they have a good prognosis of the disease. 5 cluster of symptoms were identified. A theoretical approach to addressing the burden of clusters symptoms in gastric cancer, including the concepts: Symptom burden; Cluster of symptoms and Burden of cluster of symptoms. Conclusions: It is necessary to consolidate transition and discharge programs in ambulatory scenarios for people with gastric cancer and their family caregivers including as a central axis the assessment and intervention on the burden of symptoms presented by patients which will result in improved their functional status and quality of life.


Vissandjée Bilkis
Université de Montréal, Canada
Title: Evolution of Experience of Care of Patients with and without Chronic Diseases following a Québec Primary Healthcare Reform

Biography:

Abstract: Increase in the number of the elderly and in the prevalence of chronic diseases presses healthcare systems to offer individuals with chronic diseases more comprehensive care through primary healthcare (PHC) [1–3]. To meet these needs, different models of chronic disease management have been proposed. The most widely known is the “Chronic Care Model” that advocates an integrated approach to care at all levels of the healthcare system for comprehensive and multidisciplinary management of chronic diseases [4]. It also advocates for the establishment of organisational mechanisms to support provision of services and interorganizational linkage to achieve better coordination and integration of services. Related to the “Chronic Care Model,” other models have been proposed for the delivery of primary healthcare, including the Patient-Centered Care Medical Home”, All proposed models focus on common elements, including sharing of responsibilities between healthcare professionals in a multidisciplinary teamwork perspective, active role of individuals in monitoring of their diseases, importance of communication facilitated by a clinical information system, and integration of services in an organizational framework that supports clinical practices and fosters linkages with other components of healthcare systems, Based on these models, two new forms of PHC practices were created in the early 2000s in Quebec: Family Medicine Groups (FMGs) aimed at improving continuity of care and Network Clinics (NCs) intended to provide greater accessibility of services. A FMG is composed of 6 to 10 physicians with no geographical catchment area for patients they can register (between 10,000 and 15,000 patients by FMG). The FMG can count on a grant from the Ministry of Health and Social Services to support its operations, in exchange for a contractual engagement to register a predetermined number of patients and to provide a minimum of specified services. It also provides greater accessibility through extended hours and participation in a regional on-call system. As of November 2010, there were 217 accredited FMGs, including 25 in Montr´eal and 35 in Mont´er´egie, the two regions that participated in this study. The NC is a complementary PHC practice model implemented in both regions, but mainly in Montr´eal at the initiative of the Regional Health and Social Services Agency. It specifically aimed to improve accessibility, through providing walk-in services and ensuring access to radiology and laboratory tests as well as medical specialist services. It receives financial support from the Regional Agency. In August 2010, there were 33 NCs in Montr´eal and 4 in Mont´er´egie. The distinction between FMG and NC is often blurred, especially as some PHC practices have a dual FMG-NCstatus, thus benefiting fromtwo sources of funding. The complementarity between FMGs and NCs was to allow the provision of more complete and better integrated care, particularly for individuals with chronic diseases. In November 2010, 19 PHC practices had a FMG-NC status in Montr´eal and none in Mont´er´egie. Several studies have explored the association between structural features of PHC practices and experience of care. Studies have also assessed the impact of implementing specific components of the Chronic Care Model on various care processes and outcomes [19–21]. Few studies have looked at PHC practice organizational attributes to assess their potential for managing chronic diseases. An Ontario study found that chronic disease management was superior in Community Health Centers compared to other types of practices mainly due to the presence of nurse practitioners and interdisciplinary teams [22]. In the context of a large study conducted in 2005 in two Quebec regions, we examined the overall patient experience of care in PHC practices and found a better continuity of care among practices that were more integrated and coordinated, but the model that focused on walk-in visits providedmore accessible care [13, 23]. This study reported on the situation prevailing in 2005 and did not address the impact of the newPHCpractices as it was too early to assess the change. A related cohort study found that FMGs represented an integrated model of PHC delivery associated with higher levels of achievement in chronic care. In close collaboration with the Regional Health and Social Services Agencies of the two most heavily populated Quebec regions, Montr´eal and Mont´er´egie, we conducted a second study in 2010 to assess the evolution of the PHC reform and its impacts on patients’ experience of care, unmet needs, and use of services. The main objective of this paper is to assess the extent to which new PHC practice models implemented in the two regions (FMG-NC, FMG, and NC) have improved patient experience of care, unmet needs, and use of services for individuals with and without chronic diseases, compared with other forms of PHC practices that did not undergo such a change.


Latife Utas Akhan
Bulent Ecevit University, Turkey
Title: Prevalence frequency of disabilities and psychological symptoms in patients diagnosed chronic obstructive pulmonary disease

Biography: Latife UTAS AKHAN, is currntly working as an Assistant Prof.at Bulent Ecevit University Health College Head of Psychiatry Nursing Department, she was a Instructor during 2010-2012) at Bulent Ecevit University Health College, Head of Psychiatry Nursing Department İnstructor (2004-2009) at Halic University Health College, she has also worked as Psychiatry Nursing Department, Research Asistant (2003-2004) at Halic University Health College Her publications includes, : The effect of art therapy with clay on hopelessness levels among neurology patients. Rehabilitation Nursing, Doi: 10.1002/rnj.2015 (Yayın No: 1381946) (2015). The Sexual Development and Education of Preschool Children: Knowledge and Opinions from Doctors and Nurses, Sexuality And Disability, Ocak, 2015. Study Of Health Care Providers And Attitudes Against Homosexual, Bisexual Individuals.; İnternational Journal of Human Sciences vol 10(1) FEBRUARY 2013. Identification of nursing care methods intended for reducing stres caused by enviromental factors in neonates, Scientific Research and Essays, vol 6(4), 2010, she has also published Articles In National Journals: Psychopathologıcal Art and The Use Of Art In Psychıatrıc Treatment, journal of higher education and scientific, 2(2), 2012, 0-6 Age Group Of Child Care Related To The Problems Faced By Mothers Who Have Children Of Employees And The Study Of Problem Solving Approaches, Istanbul University Florence Nightingale nursing journal 19(3), 2011, Healthy Lifestyle Behaviors of University Students, Journal Of Nursing Science And Art Of Maltepe University, 3(3), 2010, she has also attended International scientific meetings and published in proceedings, Transitional Object Attachment among Kids in Nursery School and Parents Attitudes Regarding the Objects The 14th International Nursing Research Conference. 9-12 November, 2010 Burgos, Spain. Determining The Attachment Mode Of The Female Convicts And Cope With Stress. 10 National And International Congress of Nurse Students, 28-30 Aprıl 2010. Examinatıon Of the Depressıon and Desperatıon Levels In Women Undergone Hysterectomy. The 8. Annual Scientific Meeting of the European Association of Consultatıon Liaison Psychiatry and Psychosomotics and the 8. Turkısh National Congress of Consultation LiaisonPsychiatry,İstanbul,2005.

Abstract: Background: Chronic obstructive pulmonary disease can cause intense psychological distress due to the caused problems that individuals experience in their lives. Objectives: In this study, it is aimed to evaluate the prevalence of psychological symptoms and disability in patients with chronic obstructive pulmonary disease. Methods: The study includes 100 volunteers as a control group and 200 patients diagnosed with COPD who are being treated in a Hospital for Occupational Diseases of the Turkish Ministry of Health. It is performed as definitive-cross-sectional between 12.03.2016-30.04.2016. In gathering the data; Socio-demographic Information Form, Brief Disability Questionnaire and Beck Depression Scale and SCL 90 R scale are applied. The mean age of the COPD group is 49.2 ± 3.4 (25-78) and the control group is 45.1 ± 2.4 (27-60). Results: In our study, depression was detected in 56% of cases with chronic obstructive pulmonary disease. Mean Brief Disability Questionnaire score was found 7.28. Mild disability was found in 21%, moderate disability in 38% and severe disability in 29%. Moreover, It was also found that obsessive-compulsive and depressive symptoms were higher in COPD cases in comparison with the healthy group. Conclusions: This study found that individuals with chronic obstructive pulmonary disease had a tendency to depression and disability was found in most of the cases. When chronic obstructive pulmonary disease is considered as a chronic systemic disease, the control and treatment of accompanying psychological problems should not be overlooked.


Bassem Saleh
Security Forces Hospital, Saudi Arabia
Title: The nursing rounds system: Effect of patient’s call light use, bed sores, fall and satisfaction

Biography: Bassem Salah Saleh has completed his BS in Nursing 1991 from USA. Completed his Master on Health Care Administration, Leadership from Bellevue, Omaha, Nebraska, USA. PHD Candidate. Work as Executive Director of Nursing Affairs at Security Forces Hospital Program – Makkah- Saudi Arabia.

Abstract: The nursing rounds system: Effect of patient’s call light use, bed sores, fall and satisfaction level The nursing round system (NRS) means checking patients on an hourly basis during the A (0700–2200 h) shift and once every 2 h during the B (2200–0700 h) by the assigned nursing staff. The overall goal of this prospective study is to implement an NRS in a major rehabilitation center—Sultan Bin Abdulaziz Humanitarian City—in the Riyadh area of the Kingdom of Saudi Arabia. The purposes of this study are to measure the effect of the NRS on: the use of patient call light; the number of incidences of patients’ fall; the number of incidences of hospital-acquired bed sores; and the level of patients’ satisfaction. All patients hospitalized in the male stroke unit will be involved in this study. For the period of 8 weeks (17 December 2009–17 February 2010) All Nursing staff on the unit will record each call light and the patient’s need. Implementation of the NRS would start on 18 February 2010 and last for 8 weeks, until 18 April 2010. Data collected throughout this period will be compared with data collected during the 8 weeks period immediately preceding the implementation of the NRS (17 December 2009–17 February 2010) in order to measure the impact of the call light use. The following information were collected on all subjects involved in the study: the Demographic Information Form; authors’ developed NRS Audit Form; Patient Call Light Audit Form; Patient Fall Audit Record; Hospital-Acquired Bed Sores Audit Form; and hospital developed Patient Satisfaction Records. The findings suggested that a significant reduction on the use of call bell (P < 0.001), a significant reduction of fall incidence (P < 0.01) while pressure ulcer reduced by 50% before and after the implementation of NRS. Also, the implementation of NRS increased patient satisfaction by 7/5 (P < 0.05).


Tahereh Najafi Ghezeljeh
Iran University of Medical Sciences, Iran
Title: The effect of the self-management education program on the quality of life in patients with chronic heart failure

Biography:

Abstract: Aim and objective. The aim of this study was to investigate the effect of the self-management education program on the quality of life in patients with chronic heart failure. Background. Chronic heart failure is a syndrome that negatively affects patients' quality of life. The self-management education program as a strategy can be adopted for increasing the patients’ quality of life. Methods. This quasi-experimental study was conducted with 60 patients with chronic heart failure. They were selected using the convenience sampling method and were randomly assigned into the intervention and control groups with an equal number of samples in each group (n = 30). The control group received the routine education presented to patients at discharge. However, beside the routine education, the intervention group received the self-management education program consisted of three sessions followed for a 3-month period. The Iranian heart failure quality of life questionnaire was used for data collection before and after the intervention period. Descriptive and inferential statistics were used for data analysis via the SPSS v.16 software. Results. A statistically significant difference was reported between the two groups after the intervention in terms of the total quality of life and its dimensions such as symptoms, social interference, psychological condition, self-efficacy and knowledge. In addition, an improvement was observed in the total quality of life and all its dimensions in the intervention group after the intervention period. Conclusion. The self-management education program can be considered an appropriate strategy for improve the quality of life in patients suffering from chronic heart failure. Healthcare providers especially clinical nurses are suggested to use this method along with the routine care delivered to patients with chronic heart failure for the enhancement of their quality of life.


Tahereh Najafi Ghezeljeh
Iran University of Medical sciences, Iran
Title: The effects of Benson relaxation technique and nature sound’s on anxiety in patients with heart failure

Biography:

Abstract: Background and Aims: Anxiety, as one of the prevalent symptoms in patients with heart failure (HF), has significantly affected HF prognosis. This research was carried out with the aim of comparing the effect of applying the techniques of Benson muscle relaxation and nature sounds on anxiety in the patients with HF. Materials and Methods: As a randomized clinical trial with a control group, this study used convenience sampling to recruit 105 patients with HF who were admitted to the cardiac intensive care unit at the teaching hospitals of Mazandaran University of Medical Science in 2016.Through randomized block design, the patients were allocated to the three groups of Benson muscle relaxation, nature sounds,and control group. Besides the routine care, the patients in each of the two groups of Benson muscle relaxation and nature sounds received intervention twice a day (morning and evening)for 20 minutes. The data were collected immediately before and after the intervention, using Spielberg state anxiety inventory questionnaire.Data analysis was performed via SPSS v.22. Results: As the results indicated, no significant difference was observed between the groups under study after interventions in the morning and in the afternoon. Concerning the changes in anxiety score before and after the two sessions of implementing intervention, there was no significantly statistical difference between groups. ‎ ‎ Conclusion: Given the ineffectiveness of interventions on anxiety in patients with HF and the applicability, inexpensiveness, and availability of these supplementary methods, it is suggested to examine the effect of other methods on these patients to discover the techniques that are beneficial for clinical outcomes and symptoms.


Jacquelyn Owens
West Chester University, USA
Title: Mental Health Awareness in the Campus Community

Biography: Jackie Owens is a Family Nurse Practitioner who works in Family Practice and is a faculty member at West Chester University. She completed Mental Health First Aid Training to assist with the recognition of those students in crisis.

Abstract: The college student population is at risk for mental health disorders that can lead to attempted or completed suicide. The majority of college campuses have health and counseling services for students who seek care. What about those students who do not seek care? How do we reach the socially isolated or those on campus who are at risk of experiencing mental health illness but do not seek assistance from campus resources? The speakers, two nursing faculty members and a nursing student, have introduced two innovative methods to reach those at risk students. Mental Health Frist Aid training reduces the stigma of mental illness. The 8-hour course educates and empowers students and faculty to become aware and informed of mental illness. This leads to better identification of friends, peers or students who need help but don’t know how to ask for it. Water murals is a creative and inexpensive marketing campaign for mental health awareness and campus resources. Images are painted onto concrete walkways using paint that only appears when wet. On rainy days, the messages are displayed. The messages range from the availability of campus resources such as health services and counseling to inspirational quotes. The messages are located in heavily trafficked areas on campus and reach a large range of the campus community including the socially isolated. These two methods encourage student awareness and identification of mental illness and lead to increased access to campus resources.


Gloria Mabel Carrillo
University of Colombia, Colombia
Title: Perception of caring behaviors of patients and oncology nursing staff: Comparative study

Biography: Nurse, Postgraduate in cancer care. Master in Nursing. PhD in Nursing Associate Professor Faculty of Nursing In the National University of Colombia with experience in clinical practice and teaching in nursing care on situations of chronic disease and cancer. Currently, Director of the Nursing Department at the Faculty of Nursing National University of Colombia Researcher in charge of chronic disease care, symptom burden in cancer, palliative care and competence in home care. Author of articles and chapters in publications indexed nationally and internationally. A peer reviewer for National and International Journals. Member of the following scientific associations: International Association for Hospice and Palliative; Sigma Theta Tau Chapter Upsilon Un; And Latin American Association of Palliative Care. Senior Researcher by classification of Colciencias (Administrative Department of Science, Technology and Innovation - Colombia)

Abstract: Objective: This work sought to describe and compare the perception of caring behavior of patients and nursing staff in services at a reference oncological institution in Bogotá - Hospitalization, Hematology, and Emergency. This was a descriptive comparative study conducted with 131 patients and 78 members from the nursing staff in three oncology services. The perception of care was evaluated with Homer’s Professional Caring Behaviors Instrument. Comparison was performed through non-parametric tests. Results. Patients were on average 54 years of age, mostly females, independent, with low schooling and presented a perception of nursing care behaviors of 77.3%, with hematology averaging better, followed by internal medicine and lower in emergency. They perceive, in order, attributes of courtesy, relationship, commitment, and interaction. The nursing staff were 19% professionals, 81% aides, mostly females with over six years experience, presented perception of caring behaviors of 85.9% and similar in the three services. Conclusion. The characteristics of patients and of the nursing staff in the different services are similar. For patients, the perception of nursing care behaviors per total services and in the dimensions of interaction and commitment is positive and different (p < 0.05). For the nursing staff, the perception of caring behaviors is similar among services and above that of the patients in their totality and in the dimensions of courtesy and interaction. Key words: Nursing oncology, chronic disease, nursing care


Posters

Session Introduction

Amber Fiedler
Augsburg College, USA
Title: Creating resilience in nursing faculty through Reiki

Biography: Amber Fiedler is an Assistant Professor at Winona State University, Rochester in Rochester Minnesota, USA. She has been an inpatient nurse in mental health and the neurological intensive care unit. Most recently, as a nurse educator, her focus has been on healthcare for the homeless and underserved populations in Rochester, Minnesota. Her interests center around nurses using integrative healing modalities for a holistic approach to patient care. The mother of four young men, she finds peace and tranquility on her hobby farm, raising goats.

Abstract: In today’s increasingly high-tech, fast-paced healthcare system, nursing faculty are not only the practitioners of healing but also the facilitators of learning. With the AACN recently recommending that nurse educators maintain competency in practice (AACN, 2016), the retention of existing educators is an important to factor to consider in an era when burnout is affecting nurses. High levels of stress experienced by nurse educators is causing burnout syndrome and prevention is key. Reiki, an eastern medicine energetic field intervention, involves channeling universal life energy to an individual, putting them in the best position for healing (Vitale, 2009). An intervention such as the energy medicine healing modality, Reiki, for self-care could not only benefit the health and wellbeing of nurse educators; but role model the importance of self-care to their students. This study examines if incorporating the energy healing intervention, Reiki, into one’s self-care routine improves the resilience of nursing faculty and prevents burnout. For this, those in the department of nursing at a Midwestern university were given the option to become Level One Reiki practitioners. Of those, seven faculty and the administrative assistant completed the training. Four faculty members were unable to complete the training due to scheduling conflicts. The use of several IHMs was incorporated into their daily self-care practice, including herbal remedies, essential oils and meditation. Before the training, the sample completed the Brief Resilience Scale (BRS) and a short questionnaire regarding their utilization of IHM in the classroom. Five months later (February 2017), all 12 nursing department employees will be given the BRS and questionnaire again. The results should give an indication of whether the practice of Reiki and other integrative therapies increases resilience scores and encourages faculty to increase their use of IHM instruction into their classroom.


David E. Vance
University of Alabama at Birmingham, USA
Title: Do older adults with HIV know how to protect or improve their cognition?

Biography: Dr. David Vance is a professor in the School of Nursing at the University of Alabama at Birmingham and is studying cognitive remediation and aging with HIV. Dr. Vance has +180 peer-reviewed publications. He received a White House invitation to attend the first forum on aging with HIV and has participated as an invited member of the USA National Institutes of Health Think Tank – Working Group on HIV and Aging. Recently, he was awarded a 2.8 million dollar grant from the USA National Institute of Mental Health titled, “An RCT of Speed of Processing Training in Middle-Aged and Older Adults with HIV.”

Abstract: Introduction: HIV-Associated Neurocognitive Disorder (HAND) occurs in 52%-59% of adults with HIV; the prevalence and severity of HAND will increase with age. Such adults may be able to protect/improve their cognition through lifestyle behaviors (e.g., physical activity, nutrition). Objective: To develop a lifestyle intervention to address HAND, it is necessary to determine what older adults with HIV know about their own brain health and how it impacts cognition. Aim: This focus group study examined what 30 older (50+) African American and Caucasian men and women know about protecting/improving brain health and cognition. Methods: Four focus groups were asked open-ended questions about their knowledge between cognitive health and physical activity, nutrition, intellectual activity, mood, sleep hygiene, social activity, drug/alcohol use, and cognitive rehabilitation. Results: Most older adults reported cognitive problems in the ability to remember and slower processing speed that interfered with driving and medication adherence. Although the detrimental relationship between drug/alcohol use and cognition was clearly articulated, these older adults were less certain about how lifestyle factors could affect cognition. Furthermore, when presented a template of an individualized cognitive-behavioral intervention, most indicated they would like to participate in such a rehabilitation program designed to protect/improve cognition via physical exercise, nutrition, et cetera. Conclusion: Older adults with HIV are receptive to a formal cognitive rehabilitation program that may protect/improve their cognition. The psychoeducational components of such a program that focuses on physical exercise, social engagement, and so forth are amenable to delivery individually or in group settings.


David E. Vance
University of Alabama at Birmingham, USA
Title: Are computerized cognitive training programs worth it

Biography: Dr. David Vance is a psychologist at the University of Alabama at Birmingham and is studying cognitive remediation and aging with HIV. Dr. Vance has +180 peer-reviewed publications. He received a White House invitation to attend the first forum on aging with HIV and has participated as an invited member of the USA National Institutes of Health Think Tank – Working Group on HIV and Aging. Recently, he was awarded a 2.8 million dollar grant from the USA National Institute of Mental Health titled, “An RCT of Speed of Processing Training in Middle-Aged and Older Adults with HIV.”

Abstract: Computerized cognitive training programs have become more accessible to the general population, but are they worth the time, money, and effort? One meta-analysis of 52 computerized cognitive training studies found treatment effect sizes varied widely, depending on what cognitive domain was being targeted. While statistically significant small to moderate effect sizes were observed for speed of processing (g=.31), visuospatial skills (g=.30), nonverbal memory (g=.24), working memory (g=.22), and verbal memory (g=.08), no significant effect sizes were observed for cognitive training targeting attention and executive abilities. These results suggest particular cognitive domains may be more amenable than others for improvement during rehabilitation. Furthermore, there remains a great disparity in how these cognitive training programs are studied in regards to gaming features, dosage, longevity of cognitive improvement, blending of other cognitive domains being trained, and translation to everyday functioning. Yet, despite such methodological issues, emerging evidence has shown that many of the more robust cognitive training programs can alter brain morphology, brain chemistry, and improve quality of life and everyday functioning, which provides some evidence of their sustained efficacy and feasibility. Finally, this area of practice and research is combining with other novel approaches such as transcranial direct current stimulation or transcranial magnetic stimulation to bolster the efficacy of such cognitive training programs. These issues are reviewed as they relate to older adults and other clinical populations (i.e., breast cancer survivors, HIV) that are vulnerable to develop neurocognitive impairments and may benefit from such training programs.


Else Cathrine Rustad
University of Stavanger, Norway
Title: Continuity of care from hospital to municipal health care. Experiences of older patients, next of kins and nurses

Biography: Else Cathrine Rustad is a PhD candidate in Health Science at the Department of Health Studies. The aim of her PhD study is to explore how people  80 years of age, their caregivers and nurses from both health care levels, experience the care transition from hospital to municipal health-care services. The research project is associated with FOUSAM (R&D unit for coordination), a cooperation project between Helse Fonna, Stord/ Haugesund University College (Norway) and the municipals in the region. The research is funded through the Western Norway Regional Health Authority, and is expected to be finished during 2017.

Abstract: Frail older people often receive health care from several health care providers (1). Care transition across health care levels involves coordination of multiple factors (2). As such, improvement of a fragmented health care system has been a stated goal both politically and within research (3). Older patients are described as vulnerable and previous research identifies unmet needs and preferences during care transitions (4). Nurses have a central role during this important period of the older patients treatment and care (5). In addition, next of kins offer considerable help to their older relative (6). Our project aims at exploring older patients; their next of kins and nurses experiences of continuity during care transitions from hospital to municipal health care. Data was collected through individual interviews with 14 older patients and 13 of their next of kins. In addition, we did stepwise focus group interviews with 30 nurses from hospital and municipal health care. Data was analyzed with qualitative content analysis (7). The preliminary overall findings of the project, indicates that older patients, their next of kins and nurses on both health care levels, experiences different challenges during care transition (8, 9). Nurses carry the main responsibility for the older patients’ experiences of their care transition from hospital to municipal health care as congruent and appropriate with their needs.


Hua-Shan Wu
Asia University, Taiwan
Title: An innovative teaching embracing social caring and participation: Effects of situated learning, problem-based learning and SERVICE-learning on nursing students

Biography: Hua-Shan Wu, PhD, RN is the chairperson and associate professor in Department of Nursing of Asia University in Taiwan. Dr. Wu received her master’s and doctoral degree at the School of Nursing of National Yang-Ming University in Taiwan. Her research interests include two aspects for clinical practice and nursing education. In the field of clinical practice, implementation of evidence-based interventions (e.g., acupressure, massage, respiratory training, memory training, spaced retrieval, errorless learning and Montessori training) in adults or the elderly with chronic dyspnea, cognitive impairment, disability and dementia, translation and psychometric evaluations of research instruments and exploration of eating behaviors of patients with dementia are focused. As for the field of nursing education, effects of different teaching strategies, involving multimedia situated learning, Service-Learning, problem-based learning and flipped classroom, are also investigated.

Abstract: Background: A traditional teaching model hinders the internalization of core competencies of nursing students. To nurture a competent nurse, it is important to construct a people-centered, innovative teaching model in anchored nursing courses. Objectives: To examine the effects of an innovative teaching embracing social caring and participation through situated learning, problem-based learning and SERVICE-learning strategies on students’ nursing core competencies. Methods: A single group, pre- and post-test design was used. Forty-two freshmen were chosen from a four-year nursing bachelor degree program in a private university of central Taiwan. In a required course of introduction to nursing, the subjects received innovative teaching activities embracing social caring and participation through situated learning, problem-based learning and SERVICE-learning strategies. In situated learning, the subjects were guided to discuss and reflect social events presented by an interactive multimedia system for three 2-hour sessions. During SERVICE-learning, the subjects were arranged to service elders in the community or long-term care facilities for a total of 8 hours. Afterwards, the subjects were grouped to learn clinical care issues according to problem-based learning procedures for three 2-hour sessions. After innovative teaching activities, qualitative and quantitative data were collected, including the scores of the Competency Inventory of Nursing Students (CINS), reflection logs and feedback for students and instructors. Results: In CINS, the subscale scores of basic biomedical science, general clinical skills, critical thinking, communication and cooperation, caring, ethics, accountability and life-long learning in the post-test were significantly better than that in the pre-test, respectively (p < .001). Furthermore, qualitative data analysis also showed that students can realize nursing values and demonstrate respectful, caring, empathetic, active and helping attitude after the end of this course. Conclusion: The innovative teaching embracing social caring and participation can help students explore nursing role and values and nurture core competencies of nursing students. It should be applied to nursing courses to improve students’ learning outcome.


Aslı Karakuş
Celal Bayar University, Turkey
Title: Evaluation of sexual functions and marital adjustment of pregnant women in Turkey

Biography: Aslı Karakuş is Research Assistant in Obstetric and Gynecologic Nursing in Manisa Celal Bayar University Health Science Faculty in Turkey. She completed her Master program at İstanbul University and She is a student at Doctorate program at Manisa celal Bayar University in Turkey. Her research focuses on sexual health, complementary and alternative medicine and gynecologic cancer.

Abstract: The aim of the study: The aim of this study was to evaluate pregnant women’s sexual function and marital adjustment. Introduction: Sexuality during pregnancy is a sensitive topic and has been influenced by many factors such as physical, anatomical, psychological, social, hormonal and cultural factors Methods: The sample of the study included 298 women, and it was evaluated using Golombok Rust Inventory of Sexual Satisfaction (GRISS) Scale and Marital Adjustment Scale. Results: The most important reasons for decreasing the frequency of sexual intercourse included the fear of harming the fetus during intercourse (62.1%), fear of having miscarriage (47.8%) and decreased sexual desire (34.7%). It was found that women with sexual dysfunction had a significantly lower educational level, were living with three or more people in their home, were multiparious, had an unplanned pregnancy, reported pain during sexual intercourse and felt that their sexual life was very affected during pregnancy. The findings of the study showed that women had ⩾ 5 points for GRISS for the subscales as follows: infrequency (47.3%), noncommunication (57.4%), dissatisfaction (15.4%), avoidance (6.4%), non-sensuality (19.1%), vaginismus (28.9%), anorgasmia (29.9%) and sexual dysfunction (17.4%). In conclusion, women who were living with three or more people at home, had lower income level, were smoking and had an unplanned pregnancy scored under 43.5 of MAS. It was found negative and there was a medium correlation between MAS score and total GRISS score. Conclusion: Experience of sexual problems during pregnancy increased the risk of negative effects on marital harmony within the couples. Key words: Sexuality, Golombok Rust Inventory of Sexual Satisfaction Scale, Marital Adjustment Scale.


Hee Kang Choi
Seoul National University Hospital, KOREA
Title:

Biography: HEE KANG C is Nursing Director in Department of Pediatric Nursing, Seoul National University Hospital, dhe has also worked as Nursing Director, Regional Emergency Center, Seoul National University Hospital May. 2009-Jan. 2015

Abstract: Aim of the study/ Purpose: The purpose of this study is to develop an evidence-based nursing protocol of the peripheral intravenous catheter management in hospitalized children. Procedures/ Methods: This preparatory protocol of this study was developed based on domestic and foreign guidelines, researches, a survey and analysis of medical records in an university hospital. Also, it is a methodological research to develop evidence-based nursing protocol of the peripheral intravenous catheter management verified by a content validity of a group of specialists and users. Results: According to the result of specialists’ verification on the validity in the preparatory protocol, CVI level was 0.94 and also the propriety and conveniency of users was shown at the average of 3.0±0.52. The final evidence-based nursing protocol is composed of 5 areas (education, dressing and fixation, maintenance and management, observation and recording, side effect measures) and 46 specific recommendations. Conclusion: Based on domestic and foreign researches and guidelines verified by specialists’ and users' validity, this study showed a simple, applicable and evidence-based nursing protocol of the peripheral intravenous catheter management in hospitalized children. By the clinical application of this protocol, nurse tasks for the peripheral intravenous catheter management can be performed with more scientific evidence and be standardized.


Navarro-Perez CF
University of Vic Central-University of Catalonia, Spain
Title: Eating habits in adults. Current situation. NEUROECOBE Study

Biography: Navarro-Perez CF. is Faculty of Health Sciences at Manresa, at University of Vic Central-University of Catalonia, Manresa, Spain

Abstract: Aim of the study/ Purpose: This study aimed to determine the relationship between the nutritional status and the level of physical activity based on sex and the body mass index. Introduction in brief: Actually, excessive body weight has become a major public health issue worldwide since the pressence of this disturbance has alarmingly increased in the last decades. Procedures/ Methods: The sample population was composed of 60 adult people, men and women, 26 with posterior intervention, who a descriptive and transversal study in Granada. Data were extracted from the NEUROECOBE Study between October 2012 and June 2013. Results: Overall, 43.3% of the participants were men (mean age 28.77 ± 9.07 years old). The results obtained in this study showed that the general prevalence of overweight in both sexes was 31.7% and of obesity 38.3%. Overweight people had a better nutritional level than people with an adequate weight. 57.7% of the participants were women (mean age 31.44 ± 8.79 years old). Statistically significant differences were found between men and women, the nutritional status was more low in men before the intervention (p=0.035). Statistically significant differences were found in body fat after the intervention. Conclusion: Women have a better nutritional level than men. Las mujeres presentan un mejor estado nutricional que los hombres. There is an important relationship between participate in the intervention and a decrease in body fat.


Navarro-Perez CF
University of Vic Central-University of Catalonia, Spain
Title: Anthropometric and Biochemical indicators: importance on the risk of insulin resistance in adolescents

Biography: Navarro-Perez CF. is Faculty of Health Sciences at Manresa, at University of Vic Central-University of Catalonia, Manresa, Spain

Abstract: Aim of the study/ Purpose: The objective of the present study was to determine the influence of factors commonly associated with insulin resistance in a sample of adolescents. Introduction in brief: Insulin resistance plays a determinant role in the development of metabolic syndrome in adolescents. Procedures/ Methods: This cross-sectional study included 976 adolescents from southeast Spain. Anthropometric and biochemical measurements were performed, and insulin resistance was assessed using the homeostasis model assessment–insulin resistance (HOMA-IR). Results: Subjects with abnormal HOMA-IR values had significantly higher body mass index (BMI), body fat content, waist circumference, and systolic blood pressure (BP) than those with normal values. Furthermore, levels of glucose, insulin, glycosylated hemoglobin, total cholesterol, triglycerides, low-density lipoprotein-cholesterol, homocysteine, nonesterified fatty acids, and ceruloplasmin were higher in subjects with abnormal HOMA-IR values. Multivariate logistic regression analysis showed the highest odds ratio (OR) for BMI and that combinations of BMI with body fat content or systolic BP can increase the risk of insulin resistance 7-fold. Conclusion: Anthropometric indicators have different levels of influence on the risk of insulin resistance in adolescents, and a combination of two of these indicators is enough to increase the risk 7-fold. Since the highest OR was observed for BMI, the greatest effort should be directed to reducing this parameter in adolescents. An adequate understanding by nursing personnel of factors associated with insulin resistance is a key factor in the prevention of this pathophysiological condition and its complications in adolescents.


Dilek KONUK ŞENER
Düzce University, Turkey
Title: Personal hygiene training for educable intellectually disabled children and their parents: Its effects on the knowledge, skills, attitudes and behavior of the children

Biography: Dilek KONUK ŞENER completed her Doctorate program at Marmara University Faculty of Health Science in Turkey. She received her PhD (Pediatric nursing) degree in 2011. Dr. Şener is an Assistant Professor in Child Health Nursing in the Duzce University Faculty of Health Science in Turkey. She is an experienced clinician and educator with twenty years of experience. She has published (about child health and disease, intellectually disabled children, complementary/alternative medicine, family centered care, adolescent health) papers and book chapter.

Abstract: Background: A mental disability is a condition that emerges due to various factors and affects the entire life of the individual. Educable intellectually disabled children have non-hygienic lifestyles and weak self-care skills. The quality of their hand washing, mouth hygiene, nail cutting and perineal care is low and they are vulnerable to infections. Aims: In order to determine the effects of personal hygiene training on the knowledge, skills, attitudes and behavior of intellectually disabled children. Method: This study employed a pretest/post-test, social cognitive theory design. A 10-week, 10-session program was given to the children and their parents which included activities covering washing of hand/face, mouth/teeth and hair/body, clothing hygiene, and menstrual and genital hygiene. Results: At the end of the program and again three months later, the personal hygiene habits of the students were significantly improved compared to before the program. Conclusions: The training program created a positive change in the personal hygiene habits of the students and consequently, is recommended for implementation by healthcare professionals for all educable intellectually disabled children and their parents. This program is highly advantageous since it can be easily implemented by healthcare professionals.


Magfiret KASIKCI
Sutcu Imam University, Turkey
Title: Prevalence of pain in adult patients hospitalized in hospitals in the province of Erzurum

Biography: Mağfiret Kara Kaşıkçı obtained her PhD from University of İstanbul. Currently is a professor at the Faculty of Nursing University of Atatürk. Her research interests include care of chronic illness, nursing education, nursing ethics and nursing theories. Dr. K.Kaşıkçı has published numerous publications in reputed journals as well as national and international presentations. She is involved in several research projects and a reviewer in many nursing journals.

Abstract: Introduction: Pain is a subjective and difficult to diagnose complication, varying from individual to individual, which is affected by many emotional and behavioral factors such as the individual's environment, gender, culture, education and experience. Despite studies of pain in nursing, medicine and behavioral sciences, the pain of many hospitalized patients cannot be sufficiently relieved. One of the reasons for this inability is that the science of pain is an emerging science, despite the concept of pain is as old as human history, and the other important cause is the insufficient knowledge of nurses and physicians about the diagnosis and management of pain. There were no study in the literature on the prevalence of pain in the Erzurum region in spite of the studies that investigate its prevalence in other regions of Turkey. Objective: This study aims to determine the prevalence of pain in hospitalized adult patients in the Erzurum region. Material and Methods: The present study is a descriptive type research. The study population consisted of patients hospitalized in internal and surgical clinics of 5 hospitals in the Province of Erzurum. And, the sample of the study consisted of 737 patients who were hospitalized in the hospitals, 18 years of age and older, admitted to the hospital at least 24 hours ago, agreed to participate in the study, and met the criteria for inclusion in the study. The data were collected with the "Questionnaire Form" prepared by the researchers in the light of the literature, "Visual Analog Scale", and "Brief Pain Inventory". Since the study was planned as a point prevalence study, research data were gathered by researchers and interviewers on a single day for each hospital in the first week of October. Results: The mean age of the patients was 58.81±17.88 years. Of the patients, 47.4% was female, and 52.6% was male. In addition, 67.4% of the patients was hospitalized in internal clinics, and 32.6% was in surgical clinics. There was a positive, statistically significant moderate correlation between the most severe and mildest pain scores in the last 24 hours (p <0.05). The mildest pain score in the last 24 hours increases as the most severe pain score in the last 24 hours increases. It was determined that pain was accompanied by fatigue (36.4%) and insomnia (32.8%). The most painful areas of the patients were determined as middle of the back (29%), and head (24%), neck and abdomen, respectively. Of the patients, 27.5% had accompanying fatigue, and 24.8% had accompanying asphyxia. In the light of these data, it was determined that the prevalence of the pain of patients was 68.38%. Conclusion: The results of this study show that the prevalence of pain of the hospitalized patients is very high, and that the nurses and doctors have an important role in relieving the pain in this regard. This study will be useful for the quite limited prevalence studies and health disciplines. In addition, it is also believed that it will shed a light on interventions to be performed in order to relieve or eliminate pain.


Magfiret KASIKCI
Sutcu Imam University, Turkey
Title: Determination of nursing students’ perspectives at ataturk university health sciences faculty on gender equality

Biography: Mağfiret Kara Kaşıkçı obtained her PhD from University of İstanbul. Currently is a professor at the Faculty of Nursing University of Atatürk. Her research interests include care of chronic illness, nursing education, nursing ethics and nursing theories. Dr. K.Kaşıkçı has published numerous publications in reputed journals as well as national and international presentations. She is involved in several research projects and a reviewer in many nursing journals.

Abstract: Aim: The aim of this study is to determine the perspectives of nursing students at Atatürk University Health Sciences Faculty about gender equality, Introduction:While sex is an innate factor, culture determines the gender. It is claimed that a woman is more appropriate for nursing because of the traditional gender characteristics that he has. However, the gender roles that enable women to acquire autonomy in the nursing profession are occasionally obstacles to their fulfillment. Having an egalitarian view of gender roles among nursing students will lead them to gain an egalitarian view of the individuals they serve and to strengthen the nursing as a female profession. Method: Population of this descriptive research includes students who study at Atatürk University Health Sciences Faculty. Sample is made of 465 volunteer students that were chosen with non-probability sampling method. Data was collected by “Descriptive Information Form” and “Gender Equality Scale”. Average, standard deviation, percentage distributions, t-test in independent group and One Way Analysis of Variance were used in data evaluation. Results: It was determined that the socio-demographic characteristics such as place of birth, finished high school, educational status of the parents, occupation of the father, place of living, family type, marital status and sexual experience did not affect the gender equality scale point average (p> 0.005) It was determined that the students’ age and grades had an effect on the scale total point average. The gender equality total score average was 48.360±5.97. The female students’ scale total score average was 39.807 + 5.91 and male students’ scale total average score was 39.339 + 5.56. The traditional gender norms subscale average score of students was 39.573±5.73, and the gender equality subscale average score was 8.756 ± 2.28. The difference between "gender equality total score" average of male and female students was statistically insignificant and both groups were found to be at a moderate level. Conclusion Accordingly, nursing students were found to be at a high level related to gender equality. It should be ensured that the subject is discussed by the students and that they are aware of the traditional views formulated by society in the symposiums and panels to be organized on gender.


Magfiret KASIKCI
Sutcu Imam University,vTurkey
Title: Investigation of the prevalence of pressure ulcers and patient-related risk factors in hospitals in the province of erzurum: a cross-sectional study

Biography: Mağfiret Kara Kaşıkçı obtained her PhD from University of İstanbul. Currently is a professor at the Faculty of Nursing University of Atatürk. Her research interests include care of chronic illness, nursing education, nursing ethics and nursing theories. Dr. K.Kaşıkçı has published numerous publications in reputed journals as well as national and international presentations. She is involved in several research projects and a reviewer in many nursing journals.

Abstract: Introduction: Pressure ulcers is an important health care problem due to negative effects on the quality of life of the patients, increased mortality and morbidity rates, and increased the health care costs all over the world. The prevalence of pressure ulcers is one of the most important indicators of the quality of nursing care. Objectives: This study aims to determine the prevalence of pressure ulcers and patient-related risk factors in inpatients receiving treatment in the Province of Erzurum, located in the eastern Turkey. Material and Methods: This is a cross-sectional study. This study included 832 inpatients hospitalized at least 24 hours ago in five hospitals in the province of Erzurum, who were 18 years of age and older, and agreed to participate in the research. Patients in the obstetric, emergency, and pediatric clinics were excluded from the study (due to the low probability of pressure ulcers in these clinics). In the collection of data, "Introductory Information Form" was used for the socio-demographic and clinical characteristics of the patients, and the "Braden Risk Assessment Scale" was used to determine the risk of pressure ulcers. The stage of the pressure ulcers of the patients were determined according to the classification of the National Pressure Ulcer Advisory Panel (NPUAP). Since the study was planned as a point prevalence study, research data were gathered by the researchers and interviewers on a single day designated for each hospital in the first week of October 2016. Results: Of the patients included in the study, 53.1% was male, mean age was 56.62±17.95, 57.2% was treated in internal clinics, and the mean hospital stay was 9.02±13.36 days. Considering the risk of pressure ulcers of the patients, it was determined that 28% of the patients was at risk. The overall prevalence of pressure ulcers was calculated as 12.7% (for stages I-IV), and the overall prevalence was found to decrease by 6.7% when the patients with stage-I were excluded. It was determined that 48.3% of the pressure ulcers was stage-I, and the sacral region (37.3%) was found to be the most affected region. According to the logistic regression analysis conducted to determine the factors and weights that affect the development of pressure ulcers, the age of the patient, the duration of the hospital stay, the presence of incontinence, the problems in the albumin level, and the Braden score being below 17 were found to be effective (p<0.05). Conclusion: In this study, the prevalence of the pressure ulcers was calculated as 12.7%, and the highest prevalence was found in intensive care clinics (35.3%). An, the age of the patient, the duration of the hospital stay, the presence of incontinence, the problems in the albumin level, and the Braden score being below 17 were found to be effective in the development of pressure ulcers.


Aysel KARACA
Düzce University, Turkey
Title: Mental health states of undergraduate nursing students

Biography: Aysel KARACA has completed his Ph.D (Psychiatric nursing) she worked as an Associate as an director Duzce University Faculty of Nursing. She has been working as infertility psychological consultation in the Turkey. She has published (about infertility) papers and book chapter.

Abstract: Aim: The study was performed to determine mental health states of undergraduate nursing students. Method: The universe of the study was composed of nursing students who were studying during spring term of 2016-2017 academic year (N=800). The sample of the study included 641 students who approved to participate in the study. Students were given socio-demographic information form, Cognitive Flexibility Inventory (CFI) and Cognitive Distortions Scale (CDS). Numbers, percentages, t and ANOVA tests were used for the assessment of data. All statistical analyses were performed by IBM SPSS 22 program. p<0.05 was considered as statistically significant. Results: 77.8% of the students in the study were females; 17.2% had a diagnosed disease; 52.1% evaluated their health as well; and 20.3% were going to regular health checks. Mean total score from CFI was 74.31±11.12, mean score from alternatives subscale was 50.53± 7.78, and mean score from control subscale was found to be 23.74 ± 5.27. When total CFI scores of the students were compared with their states of doing sports, health evaluation, class level, success, income, family type and education level of mothers, a statistically significant difference was found between the groups (p < 0.05). Mean CIF scores were found higher among the students who were doing regular exercises everyday, who were studying at 3rd class, who perceived their success at lessons as high, whose income was good, who had a broken family and whose mothers were graduates of university. Mean score from CDS was found to be 79.09±19.35. When total CDS scores were compared with health evaluation and education status of the mothers, a significant difference was detected between the groups (p < 0.05). Cognitive error rates of the students who evaluated their health as well and whose mothers were graduates of university were found to be lower. In the interpersonal relationships subscale of CDS, most of the students were using mind reading, emotional outcome, mental filtering, catastrophizing, personalization, statements of should, all-or-none thinking, labeling, over-generalization and reduction or ignorance of the positive, respectively. In personal success subscale of CDS, majority of them were using mind reading, catastrophizing, personalization, all-or-none thinking, mental filtering, emotional outcome, statements of should, reduction or ignorance of the positive, labeling and over generalization. Conclusion and recommendations: Cognitive flexibility scores of the students were at an intermediate level; and mean score from the alternatives subscale was found to be higher than control subscale. They were using cognitive errors very often. Based on the results of the study, studies regarding improvement of cognitive flexibility skills should be performed in nursing education. It may be provided to raise their awareness about the cognitive errors that the students frequently use by detecting their cognitive features at regular intervals.


Filiz SÜZER ÖZKAN
Duzce University, Turkey
Title: Factors affecting delivery method preference of primigravida women: a qualitative study

Biography: Filiz SÜZER ÖZKAN completed her Doctorate program at Marmara University Faculty of Health Science in Turkey. She received her PhD (Birth and women's health nursing) degree in 2013. Dr. Özkan is an Assistant Professor in Birth and Women's Nursing in the Duzce University Faculty of Health Science in Turkey. She is an experienced clinician and educator with twenty years of experience.

Abstract: Objective: The objective was to identify factors affecting the pregnancy, pregnancy perception and preference of delivery method of primigravida women, and to evaluate their experiences and satisfaction regarding their deliveries. Design: This is a descriptive study using a qualitative method. Setting: The study was carried out at the gynecology and obstetrics department of a university hospital in X. Participants: The study group was composed of 14 primigravida women 18-35 years old who had not undergone IVF treatment. All had become pregnant spontaneously and none had a high-risky pregnancy. Methods: Data were collected via semi-structured interviews after which thematic analyses were performed. Findings: It was found that a planned pregnancy affected the attitude towards pregnancy. In addition, feelings of the women towards their pregnancy changed throughout the pregnancy, while their delivery choices did not change; most wanted vaginal deliveries since they believed it was healthier. All of the pregnant women were afraid of delivery and this fear of childbirth affected the preference of delivery. Key conclusions and implications for practice: Women should be informed about delivery method options and a true perception should be established in order to eliminate false information and beliefs regarding childbirth. Women should be asked what they expect from delivery. The place of birth should be planned and birth preparation classes should be attended in order to established familiarity with the environment before delivery. The fear of childbirth should be expressed to the nurses and each pregnant woman should undergo special counseling to alleviate the fear they experience. Planning and policies should be developed to increase applications that will enhance the mother’s comfort during delivery.


Serpil Uçar
Ankara University, Turkey
Title: Investigation of Nursing Care Making Decision About Weaning From The Mechanical Ventilation Process in Intensive Care Nurses

Biography: She is currently working as a nurse in intensive care depertmant (the Reanimation Department), İbni Sina of Medicine Hospital in Ankara University.

Abstract: The aim of this study is to determine of Nursing Making Decision About Weaning From The Mechanical Ventilation Process in Intensive Care Nurses. The study was conducted on 89 nurses in Ankara University Faculty of Medicine Hospital Intensive Care Unit. Data were collected between February and April 2016. This is a descriptive study. Data were collected by using "Nurses Descriptive Characteristics Form " and “NursingMaking Decision About Weaning From The Mechanical Ventilation Process Form”. It was used 14:01 SPSS (Statistical Package for Social Science) for data analysis. In data evaluation, descriptive statistics Pearson's chi-square test (Pearson Chi-Square), Likelihod Ratio test or Fisher's exact test (Fisher's Exact Test) was used. In terms of the two groups were evaluated by independent benchmarking Mann-Whitney U test. Research ethics committees received permission from Ankara University Faculty of Medicine. Institutional approvals was made from from University Hospital management. The written consent was made from nurses. The mean age were founded 29±4, 698. 42%of intensive care nurses. 42%of nurses are working in intensive care units over a period of five years. 86.5%of the nurses stated that they had received training on weaning from mechanical ventilation. The criteria of nursing care making decision abour weaning from mechanical ventilation were classified as patient clinical indicators, objective and subjective criteria. When deciding about weaning from mechanical ventilation, The nurses stated that they use more subjective criteria than the patient clinical indicators and objective criteria. In weaning process from mechanical ventilation, 38 deciding criteria asked to the nurses. The nurses stated that they used when deciding about weaning half of these criteria by 90%and above. Weaning education from mechanical ventilation should prepare to every intevsive care nurses as theoretical and practical. Every patients condition should be evaluated during weaning process from mechanical ventilation. and cooperation should be provided for joint decisions. Patient care in the intensive care unit and weaning from mechanical ventilation protocols should be improved, these protocols should be used and done research in this regard.


Cris Renata Grou Volpe
University of Brasilia, Brazi
Title: Mapping the medication system: fragilities and risk management

Biography: Cris Renata Grou Volpe is currently teaching at the University of Brasilia -UNB, Master of Health Sciences University of Sao Paulo and a PhD in Nursing at the Graduate Nursing Program (UNB). It has experience in nursing, with emphasis on fundamental nursing, medical and gerontology acting on the following topics: nursing in adult health and elderly, medicine, nursing in public health, semiotics / semiotics and nursing process.

Abstract: Safety systems that aim to prevent medication error are essential. The objective was to describe and map the medication system of a large hospital in Brasilia-DF Brazil, proposing risk management strategies for its main fragilities. This is a cross-sectional, exploratory and descriptive study. Data collection was performed with the support of two nurses trained by the researcher. Direct observations and semi-structured interviews were carried out among the professionals involved in the medication system, covering the following processes: prescription, dispensation, preparation and administration of medications. The data collection period was 15 days and occurred in May / June 2013. Eight nursing technicians participated in the study, who are responsible for the preparation and administration of the drugs in this study. This study was approved by the Ethics Committee of the Health Department of the Federal District. It was identified 34 activities, developed by different professionals, which shows its complexity and greater possibility of error. Fragilities such as disruptions, displacements, environmental problems, human resources, lack of patient identification, infrastructure, non-compliance with safety rules and protocols, technical failures during preparation and administration, and deficiencies in compliance with rules and protocols have been identified It is concluded that the more computerized the process the less fragilities the same presents. In this sense, it is necessary to implement risk management strategies and the use of technologies for the detection and reduction of risks, in order to guarantee the quality of the processes executed.


Tajmohamad Arazi
Babol University of medical sciences, Iran
Title: Effectiveness of a family-centered care program on level of adherence to treatment regimens in stroke patients and their family care-givers; a randomized controlled trial

Biography: Tajmohamad arazi is faculty member in nursing at the age of 33 years from babol university of medical sciences. He has published more than 5 papers in reputed journals.

Abstract: Background: by diversity of physical and mental complications associated with stroke and the chronic nature of the disease, family caregivers are the primary source for ongoing care and support in stroke patient. While family members accompany patients during their hospitalisation, they receive little information about how to assist their relatives, and as a result feel inadequately trained, poorly informed and dissatisfied with the support that is available after discharge. Aim: The aim of this study was to investigate the effects of a family-centered care program on adherence to treatment regimens in 3 area "rehabilitation, diet & medicine" in stroke patients and their family care-givers. Methods: This was a posttest-only randomized controlled trial conducted on stroke patients and their family care-givers in two groups; experimental (N= 30) and the control group (N= 30). The control group received the routine care. The care provided to the experimental group was routine care plus a family-centered care program consisting of four steps, including: need assessment, family education based on the patients’ needs, doing follow-up for the patients’ and care-givers’ conditions, and coordination between families and other health-care professionals as well as making appropriate referrals.. Data were collected using the researcher-made Adherence to the Treatment Regimen Questionnaire. We employed the SPSS software and the independent-samples t test, the Kolmogrov-Smirnov test, the Chi-square test, and the Fisher’s exact test for analyzing the data. Findings: Study findings showed that the levels of adherence to the different components of the treatment regimen, including dietary regimen, medications and rehabilitations, are significantly higher in the experimental group compared to the control group (P value< 0.001). Conclusion: By empowering the families of patients with stroke and improving their adherence to the treatment regimens, family-centered care programs would be able to play an important role in the management of the physical and mental disabilities of the patients suffering from stroke.


Cris Renata Grou Volpe
University of Brasilia, Brazil.
Title: Nursing diagnoses associated of depression indices and capacity mental in elderly people in a geriatric ambulatory clinic of Brazil.

Biography: Cris Renata Grou Volpe is currently teaching at the University of Brasilia -UNB, Master of Health Sciences University of Sao Paulo and a PhD in Nursing at the Graduate Nursing Program (UNB). It has experience in nursing, with emphasis on fundamental nursing, medical and gerontology acting on the following topics: nursing in adult health and elderly, medicine, nursing in public health, semiotics / semiotics and nursing process.

Abstract: The present study aimed to identify the most prevalent nursing diagnoses in elderly patients in a geriatric outpatient clinic in the Federal District, Brazil, according to NANDA Taxonomy II relating them to the depression and mental scales. This is a descriptive, observational study of 40 elderly people over 65 years attended at the geriatric clinic. Data collection took place in March 2010 for 60 days. The scales of EDG and MEEM were used. The Pearson's chi-square were used for associations and the significance level of p <0.05. The Geriatric Depression Scale (EDG) and the Mental State Mini Exam (MMSE) were used. This study was approved by the Ethics Committee of the Health Department of the Federal District. The most prevalent nursing diagnoses were: disturbed sensory perception; decreased cardiac output; Impaired dentition; Impaired memory; Risk of falls and insomnia. The indexes of depressive symptoms by EDG were 35% and the cognitive alterations by the MEEM were 60%. There is a significant association between social isolation, risk of loneliness, chronic sadness and hopelessness in relation to the depression indexes demonstrated by the scale. SDs significantly associated with cognitive impairment by MMSE were: poor knowledge and impaired memory. Older people tend to have cognitive deficits and depressive symptoms, especially older ones, and dependence on how much wings activities of daily living. The most prevalent related factor with impaired memory was excessive environmental changes and poor cognition was cognitive limitation.


Sepideh Mohammadi
Babol University of medical sciences, Iran
Title: Exploring the environment of clinical baccalaureate nursing students' education in Iran; A Qualitative Descriptive Study

Biography: Sepideh mohammadi is PhD in nursing at the age of 29 years from babol university of medical sciences. He is the nursing educator and professor assisstant. He has published more than 10 papers in reputed journals.

Abstract: Introduction: Today's students are the nurses of tomorrow. They need appropriate clinical learning opportunities in order to shape their professional identity, attitudes and values. Despite undeniable progresses of nursing education in Iran, the quality of the clinical education in Iran is not favorable. There is need to exploring the environment of clinical baccalaureate nursing students' education for developing, maintaining and enhancing the quality of clinical program. Method: this is a qualitative study and was conducted base on content analysis multimethod design. Data collected by individual interviews, focus groups and direct observations. 54 nursing students and 8 clinical educators from the four geographically diverse universities in the Iran composed the study sample. A purposive sampling was used. Result: five themes were emerged from data analysis including; Ambiguity in the nursing care role, Routine-based nursing care, Uncritical and dependent thinking climate, Incompetency of clinical educators and Patient education as important component of nursing. Conclusions: The findings of this study describe a clearer understanding of the real environment of the clinical education in Iran. All of themes that emerged from the study play an important role in student learning and nursing education. It is crucial to pay more attention to reconsider care concept as an operational component of nursing, maximize meaningful learning opportunities, reevaluate clinical instructor as role models and preparation effective operational plan to combine theoretical and evidence based knowledge with clinical practice.


Ami Rokach
The Center for Academic Studies, Israel
Title: Pre & post-operative patients, their loneliness and sense of coherence

Biography:

Abstract: We often think of the modern hospital as providing a safe and healing environment for people inflicted with a variety of illnesses, be it for short term visits and minor health problems or more serious conditions requiring long term treatment and care. The experience of illness and hospitalization exerts a great deal of psychological distress. Research demonstrated that the greater the stress and anxiety pre operatively, the slower and more complicated the post-operative recovery. And inversely, when psychosocial interventions were employed before surgery, they were shown to have positive physical and psychological effects post surgically. Research demonstrated that the greater the stress and anxiety pre operatively, the slower and more complicated the post-operative recovery. And inversely, when psychosocial interventions were employed before surgery, they were shown to have positive physical and psychological effects post surgically. This study, using a variety of questionnaires that were collected prior and following surgery [not repeated measures] explored the influence of gender and sense of coherence which were measured on patients who had malignant tumors, undergoing Ear Nose and Throat [ENT] surgery, on their experience of loneliness and the manner in which they coped with it. Multiple regression analyses revealed that gender and one’s sense of coherence or the belief that the situation is not beyond control and that we have the resources needed to address it, has been shown to be at least partially helpful in predicting the manner in which cancer afflicted patients cope with loneliness. Moreover, these two variables interacted, showing that coherence was associated differently with experience factors of loneliness for men and for women. None of these effects was evident for the coping factors. Taken together, these findings suggest that the Salutogenic model may be more perception related rather than coping related, and that patient's gender should be considered in order to better understand this model.


Deyse Conception Santoro
Federal University of Rio de Janeiro. Rio de janeiro Brazil
Title: Contributions of Scientific Production to Improve Nursing Practice on Ressuscitation Cardiopulmonary Intra-hospital

Biography: She holds a degree in Nursing and Obstetrics from the State University of Rio de Janeiro (1985), a Master's degree in Nursing from the Federal University of Rio de Janeiro (1995), a PhD in Nursing from the Federal University of Rio de Janeiro (2000) and postdoctoral Nursing from the University of São Paulo (2005). She is currently an Associate Professor at the Federal University of Rio de Janeiro-UFRJ. She has experience in the area of Nursing, with emphasis on Cardiointensive Nursing and Pre-Hospital Care, working mainly on the following topics: nursing, nursing care, nursing care, cardiovascular nursing, emergency nursing, prehospital care and intensive care nursing . Received the title of Notary Know by the Brazilian Society of Cardiovascular Nursing. UFRJ's Local Coordinator of Special Interest Group Intensive Nursing and High Complexity by the Telehealth University Network / Ministry of Science and Technology-RUTE / MCT. Vice-president of the Brazilian Society of Cardiovascular Nursing-SOBENC management 2010/2012 and 2013/2015.

Abstract: Cardiopulmonary arrest is a fault that requires immediate intervention. This integrative review aims to identify what scientific production has offered to nurses as a subsidy to make your activeness on the service to in-hospital cardiopulmonary arrest and devise an algorithm to guide nurses in guiding the team before a stop cardiopulmonary assisted in intensive care and in their decision making about defibrillation. For the selection of items we used the Medline, Lilacs, SciELO and BDENF and the sample of this review consisted of 10 articles. The results showed that there is a difference when comparing the national articles, which address more conceptual issues, international, which have a greater emphasis on the role of the nurse facing the cardiopulmonary resuscitation. It was proposed also an algorithm considering 6 steps of Basic Life Support, in order to guide the nurse in front of a cardiopulmonary arrest and in front of decision-making defibrillation in intensive care environment. , Is finally stresses the importance of updating by the nurses as the new guidelines from the American Heart Association 2015 for service in cardiopulmonary arrest.


Deyse Conception Santoro
Federal University of Rio de Janeiro. Rio de janeiro Brazil
Title: Contributions of Scientific Production to Improve Nursing Practice on Ressuscitation Cardiopulmonary Intra-hospital

Biography: She holds a degree in Nursing and Obstetrics from the State University of Rio de Janeiro (1985), a Master's degree in Nursing from the Federal University of Rio de Janeiro (1995), a PhD in Nursing from the Federal University of Rio de Janeiro (2000) and postdoctoral Nursing from the University of São Paulo (2005). She is currently an Associate Professor at the Federal University of Rio de Janeiro-UFRJ. She has experience in the area of Nursing, with emphasis on Cardiointensive Nursing and Pre-Hospital Care, working mainly on the following topics: nursing, nursing care, nursing care, cardiovascular nursing, emergency nursing, prehospital care and intensive care nursing . Received the title of Notary Know by the Brazilian Society of Cardiovascular Nursing. UFRJ's Local Coordinator of Special Interest Group Intensive Nursing and High Complexity by the Telehealth University Network / Ministry of Science and Technology-RUTE / MCT. Vice-president of the Brazilian Society of Cardiovascular Nursing-SOBENC management 2010/2012 and 2013/2015

Abstract: Cardiopulmonary arrest is a fault that requires immediate intervention. This integrative review aims to identify what scientific production has offered to nurses as a subsidy to make your activeness on the service to in-hospital cardiopulmonary arrest and devise an algorithm to guide nurses in guiding the team before a stop cardiopulmonary assisted in intensive care and in their decision making about defibrillation. For the selection of items we used the Medline, Lilacs, SciELO and BDENF and the sample of this review consisted of 10 articles. The results showed that there is a difference when comparing the national articles, which address more conceptual issues, international, which have a greater emphasis on the role of the nurse facing the cardiopulmonary resuscitation. It was proposed also an algorithm considering 6 steps of Basic Life Support, in order to guide the nurse in front of a cardiopulmonary arrest and in front of decision-making defibrillation in intensive care environment. , Is finally stresses the importance of updating by the nurses as the new guidelines from the American Heart Association 2015 for service in cardiopulmonary arrest.


Deyse Conception Santoro
Federal University of Rio de Janeiro. Rio de janeiro Brazil
Title: Prevalence and predictive value of clinical signs of patients with cardiac insufficiency

Biography: She holds a degree in Nursing and Obstetrics from the State University of Rio de Janeiro (1985), a Master's degree in Nursing from the Federal University of Rio de Janeiro (1995), a PhD in Nursing from the Federal University of Rio de Janeiro (2000) and postdoctoral Nursing from the University of São Paulo (2005). She is currently an Associate Professor at the Federal University of Rio de Janeiro-UFRJ. She has experience in the area of Nursing, with emphasis on Cardiointensive Nursing and Pre-Hospital Care, working mainly on the following topics: nursing, nursing care, nursing care, cardiovascular nursing, emergency nursing, prehospital care and intensive care nursing . Received the title of Notary Know by the Brazilian Society of Cardiovascular Nursing. UFRJ's Local Coordinator of Special Interest Group Intensive Nursing and High Complexity by the Telehealth University Network / Ministry of Science and Technology-RUTE / MCT. Vice-president of the Brazilian Society of Cardiovascular Nursing-SOBENC management 2010/2012 and 2013/2015.

Abstract: In Brazil, cardiovascular disease was the third cause of hospitalization for the Unified Health System (SUS) in 2010, with heart failure being the most frequent cause of hospitalization with 1,156,136 admissions, and acute myocardial infarction being the most frequent cause of mortality . The one who survives the infarction evolves into heart failure. The perspective is that these numbers increase between 40 and 50%, with the increase of the elderly population and improvement in the infarction treatment conditions. Thus, it is important to understand the individual's responses to cardiovascular disease / affection, considering the emerging need for autonomy and guarantee of evidence-based nursing practice, linking the symptoms and clinical signs commonly known in clinical cardiological practice in phenomena, actions And nursing outcomes. The objective of this study was to characterize the clinical profile of patients who developed heart failure after myocardial infarction; To relate prevalent clinical signs in patients with heart failure; To identify the predictive value of clinical signs for patients with heart failure. Method: This is an observational, quantitative, retrospective descriptive cross-sectional study. The scenario was the Cardiology Service of the University Hospital Clementino Fraga Filho / UFRJ, after approval by the Ethics Committee. The material analyzed consisted of the registry of 38 patients attended between August 2010 and July 2012. For the accomplishment of such investigation were used own form and documentary survey in medical records. From the completed instruments, we created a database in Microsoft Excel 2007, and, selecting the study variables, we imported such a database into the EPI INFO program to perform the statistical analyzes. The analyzes were synthesized in tables to demonstrate the main clinical variables. Results: The results showed that 71.1% of the patients had a prevalent clinical sign as a reduction in cardiac output (measured by cardiac index). Odds ratio (OR) was the third bulge OR = 3,429 and the ejection fraction decreased OR = 2,850. Conclusion: With the predictive value of such clinical signs, the study pointed to the same as important indicators in the evaluation and nursing presumption for the clinical profile of a large number of patients affected by heart failure.


Ladan Zarshenas
Shiraz University of Medical Sciences, Iran
Title: Sense of belonging In nursing students: A qualitative study

Biography:

Abstract: To describe factors involved in the sense of belonging in nursing students a qualitative research design was adopted and data were collected through 40 semi-structured interviews with nursing students. The recorded interviews were analyzed using content analysis. The Validity of the data was evaluated using the criteria of credibility, dependability and conformability method. Data were presented in two main categories: perceived consequences with 8 subcategories and professional relationships with 4 subcategories. Considering the importance of perceived consequences and professional communications, creating a situation where students feel they are part of the care team is of high importance. To this end, preparation and training of personnel to accept students as their future colleagues should be considered by educational planners. The introduction of the professional nursing in the community can play a supporting role in providing a sense of belonging in nursing students.


Nursing-2017 | by: Scientific Future Group