27^th International Conference on Clinical Pediatrics June 10-11, 2019, Golden Tulip Berlin - Hotel Hamburg, Berlin, Germany

Biography:

Abstract:

Purpose: There is limited literature published related to nursing leadership development within small island countries. This project, Irish Nurse Leadership Development, is part of a larger study examining cultural factors that influence leadership development within four small island countries in Europe.  The development of nursing leadership in Ireland is on-going and still found today. This study examined phenomenal nurse leaders who found ways to make numerous advancements in nursing as a profession. The purpose of this study was to understand nurse leadership development within the Irish context. 

Method: A focused ethnographical research design was used in interviewing four Irish nurses as they have evolved and assumed clinical, administrative, and academic leadership roles.

Results: The major themes from this study included: critical feminist theory, leadership strategies, political acumen, and cultural impact.

Conclusion: Irish nurse leaders demonstrated strategies to overcome cultural, political, and socio-economic barriers to influence policy in developing their nursing practice and leadership role while forging a path toward professional development and advancement.

Biography:

Abstract:

Research-active healthcare organisations provide better quality care and improved clinical outcomes. Clinical staff are in an excellent position to identify research questions that matter to patients and families, but previous international studies have identified individual and organisational barriers to nurses’ research utilisation, with a paucity of data related to nurses’ engagement in research.

In 2017, our hospital created a research leadership group of directors, each with responsibility for a specific professional discipline. The aim of this qualittaive study was to explore nurses’ views regarding the research priorities for orthopaedic care and the perceived barriers and facilitators associated with nurses’ engagement in the research process. All nurses (n=373) working at the hospital were invited to participate. 75 nurses (20%) completed a questionnaire and participated in one of 14 audio recorded focus group discussions. Qualitative data underwent thematic analysis and descriptive statistics were used to present questionnaire responses.

Three key themes were identified: Other people do it; research ideas; barriers/facilitators. Although some people acknowledged its importance, research activity was not seen as part of the professional role and participants struggled to identify their own ideas. Key barriers centred around culture (priorities, motivation, support and empowerment), resources (time, competence, knowledge and confidence) and perceptions of research as scary and difficult. Key facilitators focused on resources and effective leadership.

Findings add to the body of evidence supporting the need for effective nursing research leadership. Data have informed a local nursing research strategy, which requires effective collaboration with  the wider multi-disciplinary team for success.

Biography:

May Aasebø Hauken is an Associate Professor at Centre for Crisis Psychology, Faculty of Psychology, University of Bergen, Norway.

Abstract:

Background: There is a huge research gap in rehabilitation interventions for young adult cancer survivors (YACS) between 18-35 years. 

Methods: Twenty YACS were enrolled in a rehabilitation program structured around three weeks of residential rehabilitation and one-week follow-up visits after three and six months. The program consisted of goal setting, physical activity, psychoeducation, individual follow-ups, peer support and a next of kin weekend. A longitudinal mixed-method approach with a convergent parallel design was adopted, collecting data simultaneously through questionnaires, physical testing and semi-structured interviews at four points, in addition to questionnaires at a one-year follow-up. 

Results: The quantitative data showed significant goal –achievement (p>.05), increased physical capacity (p<.05), HRQOL (p<.05) and participation (p< .001). The qualitative data elaborated that cancer rehabilitation was perceived as a process promoting coping and control, dependent on finding a balance, new insight and multidimensional follow-up. Fatigue continued to be a long-term problem.

Conclusion: The program’s structure and content seemed feasible, showing high compliance and improved outcomes. Mixed methods provided comprehensive knowledge of the important factors in rehabilitation of YACS.

Key words: Rehabilitation, young adult cancer survivors, mixed methods, quality of life

Biography:

Abstract:

Sexually transmitted diseases (STDs) are a growing problem worldwide, and premarital sex increases. Especially in low-income countries with lack of knowledge and health care facilities they are a heavy burden. Therefore, the aim was to investigate knowledge, attitudes and beliefs related to STDs among Vietnamese young women by use of quantitative and qualitative methods. Purposive sampling was used at two vocational schools in Ho Chi Minh City. Voluntary 15-24 year-old women were divided into two groups: 187 answered a questionnaire and 31 participated in four focus groups. Data were analysed by use of descriptive statistics and qualitative content analysis, respectively. Most of the women knew about HIV/AIDS but few knew about chlamydia and herpes. The majority knew causes and routes of STDs but some had misconceptions and lacked knowledge. The women had received information from magazines, Internet, TV, school/college and friends. They agreed that young adults should acquire knowledge about STD prevention and that those who get STDs should be treated. They believed that young adults are a high-risk group and that STDs can be prevented. Five categories emerged: having information but lack of knowledge, different sources of STDs, sexuality and unsafe sex, sharing responsibility to prevent STDs, and need of sexual and reproductive health education. In conclusion, the study highlights the young women’s misconceptions and their lack of knowledge about STDs and STD prevention. Healthcare providers should be aware of lifestyles and cultural beliefs of young adults and offer sexual and reproductive health education programs to young women.

Biography:

Karin Philipp is Nurse Assistant (Nursing home, Private Hospital) in the year 1991  and in 1997 Diploma in psychiatric Nursing (Psychiatric Hospital Vienna, 1995 - 2006), 2005 Diploma in general Nursing, 2006 University hospital Vienna, Department of Psychiatry (2006 – 2017), 2010 MSc in Psychotherapy (Danube University, opening of a part-time practice), 2016 MBA in Health Care Management (Medical University of Vienna/ University of Vienna), 2018 Health insurance practice for psychotherapy

Abstract:

Advanced Nursing Practice (ANP) has only been discussed in Austria for about 10 years. There are isolated courses for ANP, but no legal basis. At present, APNs are working informally, the profession of Psychiatric Mental Health Advanced Practice Nurse (PMH-APN) does not exist in Austria. The demographic development and the shortage of resources required the reform of the health care system. One focus of health care reform is the nationwide expansion of primary care. Nurses should play a central role here. The high prevalence of mental disorders in the general population requires the use of specialized healthcare professionals in primary care. PMH-APNs could make a significant contribution here, as experts suggest is the optimal use of PMH-APNs in primary care workplaces, where mental health promotion, mental health prevention and mental health services are also in demand. The increasing demands, as well as the increase of autonomy and responsibility in the nursing field, make a reform of the training and an extension of the nursing skills necessary. The introduction of ANP in Austria could raise the attractiveness of the nursing profession and counteract the lack of nursing staff. After clarification of personnel requirements and framework conditions for the implementation of Psychiatric Mental Health Advanced Nursing Practice in Austria, the economic evaluation is carried out by means of environmental analysis, strengths and weaknesses analysis and opportunity-risk analysis.

Biography:

Galit Palacios-Klein is a R.N. and has a M.A. from the University of Tel Aviv. She worked for many years in the hospital setting and has vast experience in promotion of health in the community. At present she works as a chief manager of Nurses in a consultant clinic in the community in Clalit H.M.O. and also serves as a nursing co-ordinator on the District research committee.

Abstract:

Background: Self-efficacy (SE) is defined as the perception of ones’ ability to affect life events. Patients with high SE have better disease control. Health coaching identifies the gap between desired and actual behavior and increases SE, empowering patients to make healthier choices. The Sharon-Shomron District of Clalit H.M.O, Israel, has embraced health coaching as an essential part of day-to-day care in community nursing.

Objectives: To explore the differences between SE and lifestyle among nurses before and after participating in a health coaching workshop. -To examine whether the nurses' SE influences patients with Type 2 diabetes SE and control level.

Methods: 2-phase intervention study: (1)42 nurses participated in a health-coaching workshop and completed a pre and post questionnaire on SE and lifestyle. (2)50 Patients with uncontrolled diabetes underwent 4-6 nurse-led coaching sessions. Patient SE questionnaire and medical records prior to and 3 months post-intervention were collected.

Results: Nurses' SE increased post- workshop (2.92 vs 3.19, p<0.01) and health behaviors improved (5.97 vs 6.64, p<0.01). Nurses' personal health SE correlated with them ability to affect patients' SE and health behavior (r_s=0.38, p<0.05). Patients' SE increased following intervention (5.34 vs 7.88, p<0.01), also BMI and HbA1C improved (BMI: 32.17 vs 30.56, HBA1C 9.43 vs. 7.85, p<0.01).

Conclusion: Health coaching was effective in improving nurses' health behavior and SE. Nurses' SE positively correlated with better disease control in diabetic patients. These findings should be considered regarding future training resources.

Biography:

Susan Buffington is an APRN and Olivia Milazzo is a PA-C; both working at diagnostic and interventional radiology at Johns Hopkins All Children’s Hospital, USA.

Abstract:

Purpose: To describe the integral role advanced practice providers (advanced registered nurse practitioners and physician assistants) can play in pediatric diagnostic radiology. To describe the background in training of advanced practice providers and application of skill set in fluoroscopy. To describe indications for fluoroscopic studies and to provide examples of normal versus pathologic findings in pediatric fluoroscopy.

Design:

• Explain the educational training of advanced practice providers in pediatric setting in the USA
• Provide a model for job-specific training in pediatric fluoroscopy
• Describe the main fluoroscopic studies and indications
• Provide examples of normal and pathologic fluoroscopy findings

Objective: A better understanding of the role of advanced practice providers, utilization within a radiology department in a pediatric hospital, and explanation of fluoroscopy indications and findings

Conclusion: Advanced practice providers are an integral part of the medical team and have the educational background and job-specific training to perform many duties, including, pediatric fluoroscopy. Fluoroscopy is a useful tool in the diagnostics and treatment evaluation of the pediatric patient population.

Biography:

Anabela da Graça Amaro Pereira Mendes has completed her PhD in Nursing - Advanced Nursing - by the Portuguese Catholic University in 2014. She is a Professor at the Nursing School of Lisbon in the Department of Adult and Elderly Nursing. She published 9 articles in specialized magazines and 25 papers in events proceedings, has 1 book published. She is the Project Manager of Master's Degree in Nursing - Specialization Person in Critical Situation.

Abstract:

In the context of critical care, patient and family members is both nursing client, because they have particular needs that nurses can answer and make them more comfortable. Family in ICU context, faced with the instability of the patient, tell nurses everything what they know and ask nurses for obtain information about their relative. Nurses are interested in knowing the family and responding to their information needs. It is important to identify in the communication process betteen family and nurses, what content, in terms of nursing care, they share. It was decided to carry out an integrative review of the literature since this methodology “have the potential to build nursing science, informing research, practice, and policy initiatives” (Whittemore & Knafl, 2005) The research question was elaborated through the mnemonic "PICo" What information do they share (P), family and nurses (I), when interact in the ICU (Co)? Descriptors, accordance MeSH - Medical Subject Headings: Intensive care units; critical nurses; family; needs assessment; information needs; nurse. Data bases: MEDLINE e CINAHL - 1 to 8 of Abril, 2019. Articles written in Portuguese, English and Spanish. We use boolean expressions AND and OR. After applying the inclusion and exclusion criteria, 9 articles were selected. It was verified that the family intends: “to know specific facts concerning the patient’s progres” (1) (Chiena, et al., 2006); “To know which staff member could give what type of information”; “To talk to the same nurse each day” “To know specific facts concerning the patient’s progress” “To receive information about the patient once a day” “To be called at home about changes in the condition of the patient” “To have questions answered honestly” (Hinkle, et al., 2009); “family members want honest, intelligible, and timely information” (Azoulay, et al., 2001); “want a nurse to explain to them about the care, the unit, the equipment and what they can do for the patient during visiting hours” (Verhaeghe, et al., 2005). For nurses it is important “to develop collaborative relationships with patients’ family members, based on an open exchange of information “ , “to provide family members with the appropriate, clear, and compassionate information they need to participate in making decisions about patients who are unable to speak for themselves” (Azoulay, et al., 2001). We can conclude that the process of information-sharing has three domains that it is important to study in detail: cognitive, emotional and practical needs. This process should be central in the nurses’ approach of family members in ICU.

Biography:

Razieh Froutan has completed her PhD at the age of 48 years from University of Social Welfare and Rehabilitation Science . she is Assistant Professor in Nursing Management School of Nursing and Midwifery Mashhad University of Medical Sciences. She has published more than 15 papers in reputed journals and has been serving as an editorial board member of repute.

Abstract:

One helpful strategy adopted for pain management in non-verbal, intubated patients is the use of a proper pain assessment scale. The purpose of the present study is to achieve a better and deeper understanding of the existing nurses’ challenges in using pain assessment scales among patients unable to communicate.

Methods:

This qualitative study was conducted using content analysis. Purposive sampling was used to select the participants and continued until data saturation. The participants included 20 nurses working in intensive care units. Data was collected using semi-structured interviews and analysis was done using an inductive approach.

Results:

Four categories and ten sub-categories were extracted from the experiences of the nurses working in the intensive care units in terms of nursing challenges in using non-verbal pain assessment scales. The four categories included “forgotten priority”, “organizational barriers”, “attitudinal barriers”, and “barriers to knowledge”.

Conclusions:

The findings of the present study have shown that various factors might influence on the use of nonverbal pain assessment scales in patients unable to communicate. Identifying these challenges for nurses can help take effective steps such as empowering nurses in the use of non-verbal pain assessment scales, relieving pain, and improving the quality of care services.

Biography:

Renate Gibbs, RN, BSN, MA, DTN has served as a faculty member of the Nursing Program at Camosun College. Since 2004, she participated in International Study Abroad programs and has maintained an interest to develop student’s learning experiences and their cultural competence in locations such as Tonga, India, the Philippines and New Zealand.   Professor Gibbs has been recognized for excellence in education in a Baccalaureate Nursing Program, she has served for 29 years as an educator and in leadership roles such as Curriculum Chair and Program Leader as well as in research projects.  Her work in research reflects her interest in hermeneutic studies and interpretive description research and with her colleagues she has contributed to conference presentations as well as publishing their findings. 

Abstract:

Study abroad opportunities in many Canadian Nursing programs have become increasingly popular in the past decade.  Schools of nursing are tasked with making nursing education culturally relevant in a global society and student learning can be enhanced with this expanded curriculum focus in addressing global health content, cultural competence in a variety of overseas placements.   Camosun College’s Nursing Program (Victoria, BC, Canada) has offered international Study Abroad experiences for students in the Baccalaureate of Nursing Program since 2004.  Study abroad opportunities offer an experiential learning opportunity to expand a student’s personal and professional development.  International placements have included both developed and developing countries and require adequate numbers of student participants to support these optional programs.  Students frequently demonstrate strong interest in study abroad programs as nursing programs develop their links with international settings, however a variety of factors may deter the student’s participation from this optional experience.

In order to build on the capacity with individual study abroad programs an exploratory study was conducted in 2016 with nursing students and involved an interpretive descriptive research study. This multi-faceted study sought to address four study objectives with nursing students (n = 21) participating in two programs; New Zealand and in the Philippines.  A combination of data collection techniques included pre and post study abroad focus groups (n = 4), critical reflections (n = 24), a fluid survey (n = 12) and a structured questionnaire (n = 60).  Rich data emerged to address the issues and factors that influence Canadian nursing students motivation and challenges as they considered study abroad opportunities.  It is anticipated that the presentation of these research findings, coupled with recommendations for best practice to consider study abroad programs’ motivating and deterring factors which can influence students’ decisions to participate will help inform the discussion on the merits and challenges of Study Abroad programs.

Biography:

Britta Elena Ricken is a PhD student at the University of Paderborn and has completed her master´s degree in Management Information Systems in 2014. Her research center´s on formal and informal learning of nurses and the multifaceted construct of the learning culture within the workplace. In her master thesis she has analysed the effectiveness of a leadership training program and the learning behavior of nurses.

Abstract:

In times of demographic, medical, financial and organizational changes, nurses are faced with high skill and physical requirements. Furthermore, the access to trainings is often constrained by staff shortages (Eraut et al., 2003). A beneficial learning environment became indispensable for health care organizations.

A learning culture, as a part of the organizational culture, can create a framework for beneficial learning conditions (Tracey et al., 1995). A learning culture is expressed by different norms, values and attitudes. When looking on the strategic level, it becomes manifest in organizational conditions supporting learning through different management systems (Sonntag et al., 2004).

The work of Hilkenmeier and Schaper (2015) shows multiple factors of a beneficial learning culture like encouraged proactivity and supervisor support. They developed a Learning Culture Inventory (LCI) as a measure of an organization's learning culture that could also predict the participation and performance in formal and informal learning activities. Other factor´s determining the learning environment are the different structural factors of a hospital like the structure or the strategy. Körner, Fröhlich, Wirtz and Göritz (2015) determined fifteen influencing items of an organizational learning environment and developed the Clinical-Culture-Questionnaire.

A paper-based survey was conducted with registered nurses (N = 307), working in catholic hospitals in Germany. As a confirmatory data technique, CFA was applied for scale development. Structural equation modeling was applied to build and evaluate a causal model representing a clinical learning environment. The findings show that the developed inventory shows acceptable psychometric properties and a stable structure.

Biography:

Lynne has been a midwife for 35 years and has worked in the public and private sectors across all areas of midwifery. She has taught midwifery in both hospital and tertiary settings and is currently a lecturer in midwifery at the University of Tasmania. A PhD candidate, Lynne is particularly interested in history, technology, the sociology of reproduction, and complex bioethical reproductive issues that face health care professionals involved in maternity care. She is a PhD candidate researching the meanings that healthy women experiencing a normal healthy first pregnancy attach to labour and vaginal birth and to CS.

Abstract:

Sophisticated advances in reproductive and medical technologies have altered the boundaries of conception, gestation, birth, life and death, and reworked Western biomedical and cultural understandings of pregnant women and their bodies. In pre-modern times, when a woman was moribund or died during pregnancy or labour, the foetus was excised from her body as soon as death was determined via sectio in mortua (translated as ‘cutting in death’ and the precursor of Caesarean section). This was undertaken to save the infant’s soul, and to enable proper burial of the woman and infant. Increasingly reported in medical literature and popular media today, are instances where brain death of a pregnant woman has occurred. Although legally dead, her body is corporeally supported sometimes for very prolonged periods solely to continue foetal life, growth and development until viability, failing foetal health or the deteriorating condition of the maternal body necessitates foetal removal from the body in a procedure that parallels sectio in mortua. This discussion provides critical conversation around several issues related to prolonged corporeal support of the body of the brain-dead pregnant woman. These include the difficulties with language when discussing the woman/body/foetus, the impact on nurses and other health professionals of caring for a legally dead body in which a live foetus is growing and developing, the implications for the foetus of growing and developing inside such a body and the absence of long-tern follow-up of individuals gestated and born thus.