Day 1 :
- Nursing Care Management | Nursing Care Education and Research | Cancer Nursing Care | Midwifery Nursing Care
Graceland University, USA
Time : 11:40-12:05
Dr. Wilaiporn Rojjanasrirat is a Professor and Director of Research and Scholarship at Graceland University School of Nursing, Independence, Missouri. She is currently teaching research and evidence-based courses in the MSN and DNP on-line nursing programs. Her research focuses on promoting and supporting breastfeeding mothers, health promotion in vulnerable populations, psychometric development and testing, and educational evaluation. Dr. Rojjanasrirat also serves as a current president of the Greater Kansas City Lactation Consultant association, and a Board Finance Committee Chair of the Mother and Child Health Coalition of Greater Kansas City, Missouri.
Background: The needs for evidence-based practice (EBP) competencies stemmed from the increasing demands of measurable quality and efficiency of current healthcare outcomes. Thus, assessment of learning and teaching of EBP are essential components of nursing curricula to prepare graduates as effective providers for the future healthcare workforce.
Purpose: To evaluate EBP competencies by comparing knowledge, attitudes and practices (KAP) of EBP scores among online graduate nursing students in Master’s (MSN) and Doctor of Nursing Practice (DNP) programs.
Design: A cross-sectional study was conducted at a private university in Mid-Western, USA.
Methods: The samples included 60 online graduate nursing students from three cohorts were invited to participate in the project. The new MSN students were asked to complete the survey prior to taking an EBP course. The exiting MSN and DNP student groups completed the survey following completion of the EBP application courses. The Evidence-based Practice Questionnaire (EBPQ) (Upton, 2006) was used to measure EBP competencies. Descriptive statistics ANOVA were used for comparison of EBP-KAP scores across groups.
Results: A total of 60 online graduate students participated in the survey. The mean age of students was 37 (SD=8.7). The mean EPB knowledge scores approached significance level among three group, F(2, 54) = 3.019, P = .057. Although a progressive increase in attitudes and practices of EBP scores was noted, no statistically significant differences among groups were found. Having research experience was the best predictor of EBP knowledge/skills (r = .29, P = .03). Years of experience as a professional nurse and completion of a research or EBP course in the past were not associated with knowledge/skill, attitudes or practice of EBP.
Conclusion: Students EBP-KAP did not differ significantly across groups. Further studies are needed to track students’ before and after graduation for a more robust analysis and interpretation of EBP competencies.
Kwassui Women’s University, Japan
Time : 12:05-12:30
Yoshiko Yamaguchi has received her Ph. D in Kyushu University, Japan. Currently, she is working as research associate in Home Care Nursing, Faculty of Nursing, Kwassui Women’s University, Japan. She has successfully completed her responsibilities as reviewer for 11 papers from year of 2016 to 2017. She is serving as an editor of International Journal of Nursing & Clinical Practices and Journal of Comprehensive Nursing Research and Care. And she is honorary president of the scholarly association IAPHLSR: International Association for Promotion of Healthcare and Life-Science Research. She has been awarded as a best presentation of 7th International Conference on Healthcare, Nursing and Disease Management, 2016, Singapore. (Oral presentation), and as a best paper of Journal of Japan Academy of Nursing Administration and Policies, (Research article), 2013.
Shortage of nurses is a serious problem in many countries. Previous research reported that nurses' intention to leave work was related to family variables, such as parenting or work-family interface (e.g., work-family conflict and work-family enrichment). We conducted an empirical research to identify the relationship between nurses’ intention to leave work and their family variables. The following results were derived: (1) parenting was not directly related to nurses’ intention to leave work, (2) female nurses’ intention to leave work was affected by their gender role orientation rather than their actual family role (female nurses who have traditional gender role orientation feel more intention to leave work than nurses who are egalitarian), however, there was no significant relation among male nurses, (3) nurses in hospitals and nursing homes showed that work-family conflict was directly and positively associated with their intention to leave work, however, there was no significant relation among home healthcare nurses, (4)work-family culture and family stress were directly positively related to home healthcare nurses’ intention to leave work, (5) the intention of hospital nurses’ in their twenties to leave nursing was negatively related to work-family culture, however, there was no significant relation in other age groups. Thus, we concluded that nurses’ family variables had complex effects on their intention to leave work.
Tung Wah College,Hong Kong
Title: Evaluation of a Tai Chi Qigong Program in improving the psychological distress in Chinese patient with Heart failure in Hong Kong
Time : 13:45-14:10
Dr. CHAN, Keung-sum has completed his Ph.D. from Australian National University (Australia) in medicine faculty. He is an assistant professor, teaching the Bachelor of Health Science (Honours) Major in Nursing in the Tung Wah College, Hong Kong. He has published papers in reputed journals and has been serving as a journal peer-reviewer in several renowned journals as well
Heart failure (HF) is a major and escalating public health problem that affects millions of people in both developed and industrialized countries. HF affects patients' functional capacity that leads to considerable psychological distress and low quality of life. The psychological impact of heart failure contributes to patients' feelings of poor self-esteem, hopelessness, and depression. Tai Chi Qigong (TCQ), a traditional Chinese health-promoting exercise with low to moderate intensity, is worldwide believed to be beneficial to the cardiac system. Moreover, it embodies a meditative component that may enhance stress management and mood management, as well as provide important psychological benefits for HF patients. The aim of this study attempts to evaluate the effectiveness of a TCQ program in improving the psychological distress in terms of self-esteem, level of hope and depression. In this single-blind, randomized controlled trial, 195 heart failure patients were recruited from the six medical wards. Subjects were randomly assigned into one of the three groups: intervention group (TCQ), attention-control (information) and control (usual care) group. Data were collected at baseline, four weeks, three months and six months. The outcome measures were Rosenberg's self-esteem Scale, Herth hope index and The Center for Epidemiologic Studies Depression Scale. Analyses involved three groups pre-test and repeated post-test, within and between subjects tests.The results indicated that no significant difference was found in the demographic data. The results showed in the intervention group reported statistically significant higher scores in self-esteem, and hope as well as lower scores in depressive symptoms than the control groups across the four time periods. To conclude, TCQ is an effective program that could be used for improving the psychological distress in the patients with heart failure in Hong Kong Chinese population.
Tung Wah College ,Hong Kong
Title: Perceived stress and coping strategies of baccalaureate nursing students clinical practicum: a cross-sectional study
Time : 14:10-14:35
Dr. Anson Tang is currently an Assistant Professor at Tung Wah College of Hong Kong. She has been working in the field for over 10 years and has enormous experience in teaching various nursing programmes in hospitals and tertiary institutions. She is also the programme leader of the baccalaureate nursing programme at the College and has been involving in various programme accreditation exercises. Her recent research interest is nursing education especially on innovative teaching and learning methods.
Background: Nursing students are facing much stress in the course of study especially in the clinical practice component. The unpredictable and complex clinical environment imposes them much pressure and the way they cope with the pressure is essential as the inappropriate coping will definitely have negative impact on the quality of patient care. Since limited literature is available to report the factors affecting their stress level during clinical practicum and their coping strategies in Hong Kong, this study aims to explore the factors affecting nursing students’ stress level and their common coping strategies. Method: A cross-sectional study was conducted to explore nursing students’ stress level, stressors and coping methods during clinical practice in Hong Kong. Baccalaureate nursing students who had completed all clinical practicums required by the undergraduate nursng programme were the accessible population. Simple random sampling was used to randomly select students from a class list of that nursing programme by drawing lot. The participants had to complete the self-reported questionnaire which comprised the demographic survey, Assessment of Stress among Nursing Students and COPE Inventory. Results: A total of 131 eligible students returned the questionnaires with a response rate of 100%. They perceived that the most stressful events during the practicum were performance of practical activities and professional communication. Participants were prone to use problem or emtion-focused coping strategies but they will use non-functional coping strategies especaiily in female students. Female students used more social support, mental disengagement and focus on and venting emtions as compared to those in male students (p<0.05). Conclusion: nurse educators and clinical mentors shall pay more attention to students whom may tend to use non-functional coping methods to deal with their stress. Further studies may focus on investigating the association between the characteristics of students and the use of non-functional coping strategies.
Tung Wah College, Hong Kong
Title: A qualitative study: Perspectives of learning attributes among undergraduate nursing students in small group work
Time : 14:35-15:00
Background: Nurses are required to work collaboration with other healthcare disciplines. Small group work, as one of collaborative learning, is a favorable teaching method to develop and foster personal and professional attributes in nursing education. Evidence showed that this approach enhances knowledge and multi-skill development. Since nursing students are involved in small group work, their experience of learning attributes in small group work is under-investigated. Therefore, the aim of this study was to understand perspectives of learning attributes among undergraduate students in small group work. Method: A qualitative design with a purposeful sample was conducted. Data were collected using an in-depth focus group interviews. Results: Four groups of undergraduate students were interviewed. Three main categories, including self-motivation potentials, empowerment of interactive group dynamics, and barriers were derived towards students’ learning in small group work. Each theme consists of key components that are crucial to direct supporting areas for optimizing students’ learning in small group learning. Based on these identified themes, students can engage in small group learning with certain degree of knowledge enhancement and multi-skill development. The barriers students experienced reduce their feeling of satisfaction and achievement in small group learning. Conclusion: Small group work is an effective teaching mode to enhance knowledge and skill development in nursing education. Such development embraces personal and professional attributes of all-rounds. A multi-disciplinary teamwork is required to achieve optimal patient outcomes in current healthcare services. Effective collaborative training becomes an essential component in nursing education. All themes identified in this study affect students’ learning and performance in collaborative small group learning. The results provide directions for nurse educators to create appropriate collaborative small group working environment in order to enhance students’ learning in knowledge and skills. Educators need to be aware of barriers and develop corresponding strategies to facilitate students’ learning.
Tung Wah College, Hong Kong
Time : 15:00-15:30
Dr. Luk obtained her Bachelor and Master of nursing in Sydney University. Her doctoral degree was obtained from Hong Kong Polytechnic University and her research interest is care for infertile couples. She is currently work in School of Nursing, Tung Wah College as senior lecturer.
Background: Infertility is a condition affect couple as unit. The aim of the study is to identify infertility-related stress, and to determine the levels of self-esteem, sexual satisfaction, perceived intimacy, and partnership support among infertile couples.
Method: This is a cross-sectional study
Results: Total 113 couple’s questionnaires were analyzed and presented in this report. The results of this study show that infertile couples in Hong Kong were bothered by infertility-related stress. Women suffered significantly more than men in the areas of social concern, sexual concern, and relationship concern. Women viewed parenthood as a more important issue than men and would go to any effort to achieve it (women 76.1% vs. men 59.3%). About half of the women (57.5%) and men (49.6%) did not think that their sex life was wonderful, and claimed that their partner was not very sensitive to their sexual needs or desires. Luckily, more than eighty percent of the participants in this study reported that they experienced partner support. The correlation results in females indicated that increased levels of partner support, intimacy, and sexual satisfaction are associated with higher self-esteem and lower levels of infertility-related stress. The correlation in males indicated that increased levels of perceived intimacy and sexual satisfaction are associated with higher levels of self-esteem and lower levels of infertility-related stress.
Conclusion: Interventions to strengthen partnership support among couples and their sexual satisfaction and intimacy will be an essential topic in the future to help infertile couples address their infertility-related stress.
Khon Kaen University, Thailand
Title: Outcome of quality of life program for persons with clp & cfd Tawanchai center, Khon Kaen Thailand
Time : 16:10-16:35
Mrs.Suteera Pradubwong has completed master degree of nursing for 12 years from Khon Kaen University. She is the Nurse specialist and Nurse Coordinator for nursing care Patients with Cleft Lip and Palate at Tawanchai Cleft Center and Srinagarind Hospital, Faculty of Medicine, Khon Kaen University, Khon Kaen, Thailand. She has published more than 10 papers in reputed journals.
Background: Tawanchai Cleft Center, KhonKaen University has continually organized the comprehensive care development project for patients with cleft lip and palate in Khon Kaen province for 5 years. The project targets to improve the participants’ quality of life in 5 aspects comprising of health, education, livelihood, social, and empowerment.
Objective: To evaluate outcomes of Quality of Life Program.
Material and method: The descriptive study was conducted during May 5-6, 2017 Khon Kaen Province. There were total 108 participants. The activity in day one included personality development and lecture on patients care. The second day activity included of 5 stations which involved 5 aspects development. Data was collected through questionnaires and assessment form. Statistical analysis was carried out using percentage and content analysis during 3 months periods (May – July 2017).
Results: Most of participants were male with number of 24 persons (57%). The majority deformities were RCLP with 14 persons (33%). According to the 5-aspects development model, the health aspect was provided for participants including of health status assessment, health care advice, and experience sharing. The education aspect activity was family planning. The livelihood aspect provided education and career opportunities knowledge. The social aspects encouraged the socialization. And for the empowerment aspect, the activities were conducted by enhance self-esteem and assertiveness. The program assessment revealed that the participants had high satisfaction at percentage of 89 ( = 4.45).
Conclusion: The participants successfully achieved knowledge and care giving advice. They had opportunity to share experience in health care, education, social, livelihood, and empowerment which contributed to the abilities to express their feeling and become self-assertive. Therefore, the project should continually organize and include family, friends, and community to achieve best quality of life.
Universitas Indonesia, Indonesia
Title: The use of isbar3 communication technique for nursing shift handover to improve effective communication and patient safety: Pilot study
Time : 16:35-17:00
Rina Karmila is awardee of Indonesian Endowment Fund for Education (LPDP) and she is a candidate master of leadership and management of nursing at Universitas Indonesia, she was completed residence program at one of a provincial public hospital in Jakarta Indonesia
Ineffective handover communication is a highlighted contributing factor in adverse incidents where patient safety is put at risk. ISBAR3 is the communication technique created to improve safety in the communication of vital information by providing a framework for communication. The purpose of this pilot study is empowering nurses on the use of ISBAR3 technique nursing handover. the pilot study begins with an assessment, problem identification, problem prioritization, action plan, implementation, evaluation and gap analysis using review literature. Data collection was done by interview, documentation study, questionnaires and observation of handover. This study begins with initial assessment in 8 inpatient wards with planning, organizing, staffing, actuating, and controlling approach (POSAC), problem identification using fishbone analysis, problem priority and gab analysis with literature review. The main result of this pilot study is ineffective communication technique utilizing a shift to shift nursing handover. Problem solved by using plan, do, check, adjust. the implementation of this study is brainstorming for the head nurse and team leader about the importance of ISBAR3 technique and develop a guide and handover standard with ISBAR3 technique. Observations result of handover practices trial after an introduction of the ISBAR3 technique is more effective handover process. implementation of the ISBAR3 handover technique enhances communication and helps to ensure that information becomes more structured, accurate and can avoid the error/data loss or repetition of information.