Scientific Program

Conference Series LLC Ltd invites all the participants across the globe to attend 26th World Congress on Nursing Care Osaka, Japan.

Day 2 :

  • Onccology Nursing Care | Nursing Care Informatics | Nursing Care Practice | Nursing Care Practitioner Updates

Session Introduction

Lam Chi Chung

Tung Wah College, Hongkong

Title: Study on stressors, coping skills and general well-being of Hong Kong final year nursing students

Time : 13:55-14:20



Background. Nursing is considered as a stressful occupation among the health care profession. Nursing students who share similar patient care activities of the qualified nurses face not only stressors in the clinical environment during their practice but also experience various academic and personal stressors during their academic study. In particular, final year nursing students may encounter additional stressful events due to the requirements of clinical skills assessment and final year project. High level of stress may have detrimental effects on health and general well-being. There has been little evidence on the stressors and the general well-being of the final year nursing students in Hong Kong. This study attempted to explore the sources of stress and the general well-being among final year nursing students in Hong Kong, and to determine how they cope with stressful events.

Method. A cross-sectional survey using self-reported questionnaires was conducted to elicit responses from 293 final year nursing students in January 2018. The sources of stressors, coping skills and general well-being were evaluated by Stressors in Nursing Students Scale Chinese version (SINS-C), Brief Coping Behavior Inventory and General Health Questionnaire (GHQ) respectively.

Findings. Results showed that educational (mean, 3.12; SD, 0.49) and clinical (mean, 3.10; SD, 0.52) stressors are higher than other stressors in the finance (mean, 2.98; SD, 0.69) and confidence (mean, 2.97; SD, 0.51) factors. For coping behavior, support-seeking method is the commonly used to cope with stressful events.  This study showed that 85.7% of the subjects were under psychological distress (mean, 15.35/36; SD, 3.76).

Conclusion. This cross-sectional study was carried out to assess the stressors, coping style and general well-being among final year nursing students in Hong Kong. The result showed that nursing students perceived education and clinical factors are the stressors during their final year of study and they experienced a state of psychological distress. Among various type of coping styles, most of the students adopted support seeking method to cope with stress. The findings can illuminate nurse educators in reviewing the curriculum and devising a better strategy to reduce nursing students’ stress when they seek support from educators and academic advisors.


Ping Ni has got her bachelor degree in nursing in 2012. She is a nursing master candidate in West China School of Medicine, Sichuan University now. She has finished her one-year internship in a grade A tertiary hospital, and now is an intern in West China Hospital, Sichuan University.


Objective: The purposes of this study was to assess the effectiveness of a web-based diabetes education project on diabetic knowledge of nurses from non-endocrinology departments.

Methods: This research was conducted on 542 nurses from 10 hospitals. They were asked to register on the Johnson & Johnson Diabetes Institute and take the course called “Specialized Training Program on Blood Glucose Management of Inpatients”. The course consists of 4 major sections and 8 subsections. Nurses registered on the website and logged into the site to take courses according to their own time. Tests were used to measure diabetic knowledge before and after the intervention. Each pre- and post-test consists of 10 questions each worth 10 points .Descriptive statistics analyzed demographic data, and t-test compared data before and after the intervention by SPSS.

Results: After the intervention, all the mean scores were above 80 points (out of 100).The pre-test mean score of Blood Glucose Monitoring was (80.30±20.47) which increased to (92.41±9.75) in post-test(t=-12.107,p<0.001). The pre-test mean score of Emergency Treatment for Hyperglycemia/Hypoglycemia Crisis was (93.86±8.18) and increased to (96.37±7.68) in post-test(t=-14.776,p<0.001). For Nursing of Hypoglycemic Agents, it increased to(89.19±10.14) from (74.78±17.37)(t=-15.562,p<0.001).The last part mean score was (77.10±17.54) and increased to (92.13±7.81) (t=-4.371,p < 0.001).

Conclusion: Web-based diabetes education can increase diabetic knowledge of nurses from non-endocrinology departments, and this might have a positive effect on nursing quality and clinical outcomes of patients.


Dr. Elaine Chow is working as senior lecturer in School of Nursing, Tung Wah College, Hong Kong. She is an experienced registered nurse and nurse educator, she has over 10 years of experiences in the field. She obtained her doctoral degree, Master degree and Bachelor degree in the University of Hong Kong. She has developed her research interest in domestic violence especially intimate partner violence against women since studying the doctoral degree


Intimate partner violence (IPV) is a significant and preventable public health problem. IPV is one of the most common forms of violence against women which occurs in all countries across cultures with different forms. Although different types of interventions have been developed and demonstrated to have positive effects in preventing intimate partner violence and addressing negative health outcomes of the women, however, the needs of the Chinese women IPV survivors have not been fully addressed. Programme developed by a Community-based participatory approach seems to be able to address the specific needs of the Chinese women IPV survivors. This study aims to assess the acceptability, usefulness and feasibility of the programme developed by a Community-based participatory approach and explore the perceptions of women in this approach.
Chinese women who have history of IPV in the preceding 12 months and have participated in the programme with or without involved in the implementation process were invited for interview. Qualitative data was obtained from eleven women through semi-structured focus group and individual interviews. Women’s perceptions of the acceptability, usefulness and feasibility of the programme were assessed, and their impression and experience regarding this approach were explored.
Conventional content analysis revealed that the women were highly satisfied with the content, they gained multiple benefits from the programme and the result demonstrated that this approach was feasible. In addition, women gained a sense of achievement and satisfaction in the approach as which gave them more freedom and a sense of power and control over their own needs.
This study suggests the feasibility and acceptability of Community-based participatory approach programme. It provides a tailor intervention for the women and this a may be a promising approach to meet the multi-faceted and complex needs of the community-dwelling Chinese women IPV survivors effectively


Mengyan Tang has completed her bachelor degree from nursing school,west china hospital of medicine,sichuan
university,China.And now is a graduate student of nursing school,west china hospital of medicine,sichuan


Only a few researches relating to ACP were conducted at the nurses’ point of view, and little is knownabout the nurses’ knowledge and their willingness of promoting ACP in China. The aim of this study was toinvestigate oncology nurses’ knowledge and their willingness of promoting ACP, and explore the influencing factors related to knowledge and willingness of promoting ACP.Methods: A questionnaire survey was conducted to investigate 350 nurses in 4 oncology departments of 4 different university hospitals in China. Results: among them, 176 never received hospice care education (60.1%), 213 never heard of ACP (72.7%), and 261 never received training about ACP (89.1%). Nurses with higher position title (χ 2=18.41, p<0.001) , longer working experience ( χ 2=12.25, p=0.001) were more likely to received hospice care education; nurses with higher educational background (χ 2=12.91, p<0.001) , higher position title (χ 2=9.77, p=0.003), and longer working experience (χ 2=7.92, p=0.006) had a greater chance to heard about ACP; nurses with higher position title had more opportunities to received relating training ( χ 2=5.10, p=0.03). “Heard about ACP” ( t=-3.26, p=0.001;B=3.113, p=0.018) and “received training about ACP” (t=-2.71, p=0.007;B=3.894, p=0.04) were associated with “willingness of Promoting ACP”.Conclusion: Our findings indicate that oncology nurses are willing to promote ACP but with very poor knowledge in China, a systematic and adequate training toward ACP for nurses is in urgent need, to build this ACP training fit for Chinese nurses, three important factors as the nurses’level of education, position title and working experience are must be considered,thus, a targeted ACP training for
nurses in different seniority is needed.


Ms. Jintana   Singkhornard , Clinical  Psychologist  . Department of Psychiatry, Faculty of Medicine Khon Kaen  University ,Khon Kaen, Thailand

- B.Sc.  (Psychology)   Faculty of Humanity , Chiang Mai  University, Chiang Mai, Thailand

- M.Sc. (Clinical Psychology) Faculty of Medicine, Mahidol University, Bangkok, Thailand

Clinical Experience:

            -  Psychiatric evaluation in various types of psychopathology and personalities.

          - Providing services of psychotherapy and counseling particularly in adolescents and patients with AIDs problems


Cleft lip and palate is a congenital anomaly of facial development. Most syndromic with facial Cleft have Intellectual disability.  However, both type of cleft  are common associated with intellectual disability, speech and language disorder. Objectve: to determine the Intellectual function and learning achievement function of 10 school age children with Cleft lip and palate. The standard IQ test ,Wechsler Intelligence Scale for Children – 3rd edition (WISC-III ) and learning achievement test , Wide Range Achievement Test-Thai version (WRAT-Thai)  were done in 10 Children with cleft lip and palate age between 6-12 years old at Srinagarind hospital.  Result : Mean IQ score of these population is in average (90.5). One in ten case ,IQ score was low meet criteria of Intellectual disabilities disorder. 3 cases meet criteria of Leaning disorder. Conclusion: The majority of children with cleft lip and palate has average IQ. 1/10 has Intellectual disabilities and higher proportion of Learning disorder (3/10 case).


Mrs. Tippawan Muknumporn has completed Bsc.(Nursing & midwife level 1) at the age of 22 years from Faculty of Nursing , Khon Kaen  University and postdoctoral studies at the age of 25 years from Anesthesiology Department , Faculty of Medicine, Khon Kaen University. She is the Supervisor of Nurse Anesthetist.


Background: Anesthetic unit is one of the nine units in Srinagarind Hospital that provides care for patients with cleft lip/palate (CLP). Various complications are adverse outcomes that can occur in these patients during the operation. To prevent these complications the key performance index (KPI) for anesthetic nurses should be developed.   

Objective: To develop and monitor the KPI of the quality of care in patients with CLP in anesthetic unit of Srinagarind Hospital.

Material and Method: The descriptive method was used in this study. The researchers obtained the demographic and illness history data of the patients from medical records. Moreover, focus-group discussions were performed among anesthetic nurses to identify proper nursing care to prevent operative complications. Themes emerged from medical records and focus-group discussions were used to develop the KPI which was used as a nursing practice guideline to prevent complications. Also, the information technology system was developed to record and monitor the KPI. The researchers tested the KPI with 67 patients who underwent an operation in Srinagarind Hospital from March to June 2014. The results were measured and analyzed using frequency and percentage distributions.

Results:  Out of 67 patients, 21 (31.34%) had cleft lip, 30 (33.78%) had cleft palate, 13 (19.40%) had abnormalities of the mouth and nose, and 3 (4.48%) had fistula in the palate, respectively. Two KPIs were developed including the prevention of intra- and post-operative complications (such as respiratory problems, bleeding, nausea, and vomiting) and pain management. By using the KPIs, 66 patients (98.5%) had no complications during the operation. Only one patient (1.2%) had nausea.   

Conclusion: The KPI is proper for anesthetic nurses to use with the CLP patients who undergo an operation.

Key word:  Key Performance Index, Quality of Care, Cleft, Anesthetic