29^th International Conference on Nursing Education and Research February 18-19, 2019 Hotel Novotel Amsterdam Schiphol Airport - Amsterdam, Netherlands

Biography:

Jimmy Chen is a nursing professor at Centennial College with pain management experience in critical care service. He also worked at Centennial Health Simulation center as a simulation support for faculty with limited simulation experience. Jimmy holds a Master of Science in Nursing from York University.

Angela Harrinanan is a nursing professor at Centennial College with extensive pain management experience in acute pain service. She also works at Centennial Health Simulation center as a simulation support for faculty with limited simulation experience. Angela holds a Master in Nursing from University of Toronto, specializing in Nurse Practitioner.

Abstract:

Pain management has been identified as one critical element in nursing practice and students are required to assess and manage pain appropriately. Many studies support the effectiveness of simulation as a teaching methodology; however there is a gap in measuring students’ learning outcomes in pain simulation. The purpose of this study is to assess students’ knowledge of pain assessment and management. Furthermore this research study is to explore students’ perspectives in pain simulation.

Biography:

Jimmy Chen is a nursing professor at Centennial College with pain management experience in critical care service. He also worked at Centennial Health Simulation center as a simulation support for faculty with limited simulation experience. Jimmy holds a Master of Science in Nursing from York University.

Angela Harrinanan is a nursing professor at Centennial College with extensive pain management experience in acute pain service. She also works at Centennial Health Simulation center as a simulation support for faculty with limited simulation experience. Angela holds a Master in Nursing from University of Toronto, specializing in Nurse Practitioner.

Abstract:

Pain management has been identified as one critical element in nursing practice and students are required to assess and manage pain appropriately. Many studies support the effectiveness of simulation as a teaching methodology; however there is a gap in measuring students’ learning outcomes in pain simulation. The purpose of this study is to assess students’ knowledge of pain assessment and management. Furthermore this research study is to explore students’ perspectives in pain simulation.

Methods: A mixed methods approach was utilized to gain an understanding of student’s learning of pain assessment and management in simulation. A convenience sample of 159 year two BScN students were recruited for Adapted Pain Knowledge and Attitude Pre- and Post-Simulation Surveys during their scheduled simulation experience in Winter 2018 semester. Additionally, ten students participated in focus group sessions to explore nursing students’ experience in pain simulation.

Results: Descriptive and qualitative data were analyzed with five themes emerging: Developing appropriate pain assessment skills, administrating pain medication with clinical reasoning, enlightening pain management from patient’s perspective, developing clinical decision making and providing new perspective of pain management. Themes were derived from qualitative focus group findings and aligned with the pre- and post-pain knowledge and attitude survey (PPKAS) quantitative results (McCaffery and Ferrel, 2012). Key learning points that student have gained from pain simulation experience are: Communicating effectively with patient, do not underestimate patient’s pain, acquiring “solid” pain medication knowledge to provide safe patient care, “Practice makes perfect” and tailoring pain medication based on patient’s conditions. 

Conclusion: The PPKAS surveys and focus group discussions reveal student’s learning perspectives and suggestions for future pain simulation to (a) supporting student learning in pain simulation, (b) fostering student centered learning simulation environment and (c) providing faculty support in pain simulation.

Biography:

Stavros Theologou works as a Registered ITU Nurse in Cardiac Surgery ICU of ‘Evangelism’s’ General Hospital of Athens. He completed a Post-graduate course in ‘Intensive Therapy Units and Emergency Nursing’ in Medical School of National and Kapodistrean University of Athens and a Post-graduate course in Health and Social Welfare Services in School of Business Administration of University of West Attica and currently is a PhD candidate in Medical School of Athens. He has also contributed in publications in several reputed scientific health journals

Abstract:

Introduction: The hospitalization of post cardiac surgery ICU patients constitutes a complex mixture of procedures affected by a variety of clinical, administrational and technical aspects of care. The respective cost may drastically increase due to these patients’ increased clinical needs, including also the clinical state of delirium which is a quite common complication following this type of operation.

Methods: Τhe study included 179 consecutive patients who underwent open heart operation with cardiopulmonary bypass. The Confusion Assessment Method (CAM-ICU) was used for delirium diagnosis. Hospitalization outcomes were recorded by measuring certain intra - and post - operative procedure time intervals, along with the ICU and in-hospital length of stay as well.

Results:
A total of 179 patients post cardiac surgery were investigated, 129 of them were male and the rest 50 were female. The delirium complication was recorded in 20 out of 179 patients of the study (11.2%)

Bivariate analysis revealed that prolonged intraoperative time in cardiopulmonary bypass (p<0,001), prolonged sedation time (p=0,005) and prolonged length of stay with endotracheal tube (p<0,001) were significantly correlated with increased total health care cost.

Multivariate analysis showed that the level of complexity of the surgical operation (p<0,001), delirium complications (p<0,001) and the prolonged in-hospital length of stay (p<0,001), formulated altogether a group of factors for total health care cost increase.

Conclusions: A variety of factors seem to increase post cardiac surgery ICU patients’ total hospitalization cost and jeopardize quality of care and health outcomes. Resource management and monitoring, analytical process of health care costing in the Cardiac ICU and Ward, and recruitment of nursing staff with advanced

Key words:Health care cost increase, delirium complications, quality of care and health outcomes, hospitalization cost, in-hospital length of stay

Biography:

Jinhyun Kim completed his PhD in health economics from Seoul National University and postdoctoral studies from Harvard School of Public Health. He is professor of health policy and econonmics at Seoul National University College of Nursing. He has published more than 300 papers in reputed journals and has been serving as an editorial board member of repute as well as health policy adviser to the Ministry of Health & Social Welfare and National Health Insurance Service.

Abstract:

Nurse shortage in hospitals has been a significant policy issue related to patient safety and family’s economic burden of caregivers of inpatients in Korea. In line with this, the Korean government introduced nurse staffing policy reform to improve the ratio of nurse to patient in general ward from less than 14~16 to above 8~12. It is optional for hospitals to join in the new nurse staffing scheme, and for hospitals fufilled with required staffing level, a 130% of total labor cost is reimbursed by the national health insurance. This paper analysed the economic effect of the reform on nurse employment in hospital industry. An input-output interindustry model was used to estimate the direct and indirect effects of the new policy on hiring nurses and data was collected from the national health insurance claims database. A total of 26,381 beds in hospitals joined in the new scheme and 12,381 registered nurses(RNs) and 6,194 assistant nurses(ANs) were hired, for which the insurance reimbursed 646.35 million dollars in the year of 2017. The job creation effect for RNs and ANs was estimated to be 74.7 persons including 28.7 persons directly and 46.0 persons indirectly per one million dollars’ expenditure. Compared with an average of 20.2 persons in total industry and 26.6 persons in health care industry per per one million dollars’ expenditure, the new nurse staffing policy showed a job creation effect of as high as 281%~370%. The government is expected to support and extend the policy based on the performance.

This work was supported by the National Research Foundation of Korea(NRF) grant funded by the Korea government (MSIT) (No. 2016R1A2B4015298)

Biography:

Dr. Jee Young Joo, PhD, RN, is an assistant professor in the College of Nursing at the Gachon University, Incheon, Korea. Formerly, she was at the University of Missouri-St. Louis. Her research focuses on health care management, especially care/case management of chronic illnesses, outcome improvement, and health care systems models. Dr. Joo received a BSN with honors (cum laude) and an MSN from Seoul National University. She received a Ph.D. in nursing from the University of Iowa.

Abstract:

Case management has been adopted in Korea and been recognized as a promising care coordination method that lowers costs and improves quality of care. However, the effectiveness of case management among individuals with chronic illnesses who reside in the community has yet to be established. This systematic review identifies and synthesizes recent evidence of case management’s effectiveness in managing chronic illnesses among adults in Korea. The methodology of this systematic review was guided by the Cochrane processes and PRISMA statements. A search of multiple bibliographic databases to identify studies of case management in the populations of Koreans adult with chronic illnesses was conducted. Studies that met the inclusion criteria were published in English or Korean. Nine empirical peer-reviewed studies published between 2008 and 2016 were selected for review. The retrieved studies show that case management programs in Korea for adults with chronic illness in the community were led by nurses. There was strong evidence that nurse-led case management was effective in improving psycho behavioral and objective clinical outcomes; however, results for health services utilization outcomes were mixed. In future, research with rigorous study designs and large sample size in multiple settings are needed to further assess the effectiveness of case management in Korea. Nurse-led case management would be of support in the care of chronic illnesses not only in Korea but also in Asian countries which share standard practice of case management with Korea. Nursing leaders should allocate resources to sponsor educational resources and practical strategies for evidence-based case management.

Biography:

Suppawan Lertpongpakpoom  has completed BNS at the age of 24 years (2002) from Prince of Songkhla University .          
 

Abstract:

Readmission within 6 month after a hospital discharge can effectively indicate clinical outcomes of heart failure (HF) patients. Nowadays, clinical variables assessed prior to hospital discharge can serve as a predictor of hospital readmission. This study aimed to investigate a set of clinical variables which were assessed right before a hospital discharge in order to predict hospital readmission of HF patients within a month. A retrospective study was applied with a sample of 461 ADHF patients, aged 18 years and older, who were admitted to a tertiary hospital in Thailand due to acute heart failure (AHF) between January 1, 2016 to December 31, 2016. Reviews of annual medical records were conducted for data collection. The last clinical variables which were measured and recorded before hospital discharge included systolic blood pressure (SBP), diastolic blood pressure (DBP), heart rate (HR), and important laboratory investigations (creatinine, sodium, and potassium serum). Binary logistic regression was used for the multivariate analysis. There were female 53.6% (n= 247) and male 46.4 (n= 214), aged 21-97 years (66.9 + 14.9). The One hundred and eighty seven (40.6%) of sample in this study were readmissions with AHF within 6 month. Clinical variables, both blood pressure value (SBP and DBP) and important laboratory investigations (creatinine, sodium, and potassium serum), were not significantly associated with hospital readmission within 1 month. Only HR variable was a predictor of 1 month hospital readmission with AHF (OR 1.148; 95%CI 1.017-2.147, p < .05).

Biography:

Joselyne Mukantwari, Masters degree  in perioperative nursing, An assistant lecturer at the University of Rwanda. Teaching in undergraduate nursing programs and master’s program of perioperative nursing with motivation to persue her studies PhD studies that will provide the needed potentials and confidence for being a good lecturer, researcher, innovator and nurse leader.Author of a published paper in Rwanda Journal series and 5 abstracts presented in 4 international conferences.

Abstract:

A nurse within a surgical team, plays a fundamental role in contributing to the success of the surgery undertaken and in the patient's recuperation. In order for nurses to carry out this role effectively, they need specific training that has been planned and adapted to new circumstances that parallel the growth of nursing, anesthesia and surgery professions as a whole. The aim of this article is to share the journey of perioperative nursing training in Rwanda and associated challenges.

Method: This is narrative of an in-country accredited training process by a team of international expatriates initiated by the Government of Rwanda, Ministry of Health through Human Resources for Health (HRH) Program (2012-2019) and a consortium of USA Universities.The due process of curricula development by a diverse team of international and local experts was undertaken and domesticated. The University of Rwanda, School of Nursing and Midwifery started formal Masters of Sciences in Nursing Training for Rwandans in eight nursing specialities to include perioperative nursing in October 5^th 2015.

Results: The training was successful and the first cohort of thirteen perioperative nurse graduates were trained between2015-2017. Five graduates of the program have since been deployed as academic members of staff at the University, while the remaining graduates are working in the university teaching hospitals, the practicum of the university. The second cohort (2017-2019) of seven students is on course.

Conclusion: The goal of the program of strengthening the capacity of academic institutions in Rwanda besides capacity building of a large, diverse, and competent health workforce has been achieved to some extent.Although the training is expected to expand over time, financial cost to sustain training and expertise mentorship poise challenges.

Biography:

Ms. T. Thuileiphy M.Sc. Nursing (pediatric) student at All India Institute of Medical Sciences, New Delhi. Worked as staff nurse for 7 years at AIIMS, New Delhi.

Abstract:

Statement of the problem: A study to assess the effectiveness of an Information, Education and Communication (IEC) package on compliance to Glaucoma medication among the caregivers of children attending glaucoma clinic AIIMS, New Delhi.

Background and objective: Glaucoma is the leading cause of irreversible blindness worldwide. It is preventable if timely effective and successful treatment is provided. Quality teaching, support and guidance are needed to ensure the compliance to glaucoma medication. The present study was aim to develop IEC package on compliance to glaucoma medication and to assess its effectiveness in increasing knowledge and practice of caregivers of children glaucoma.

Methods: Quantitative research design - pre experimental one group pretest post test was used. Ethical approval was obtained from institute ethical committee. Sixty caregivers of children attending glaucoma clinic in tertiary care hospital were included in the study. Knowledge questionnaire, practice questionnaire observational checklist and medication log sheet are used for pretest and one month after the administration of IEC package (post test) were self-developed, validated and found reliable. One to one teaching, demonstration and return demonstration was provided.

Result: Majority of the caregivers were females, the mean post test knowledge score was increased from 7.3±2.19 to 12.23±1.36 which was significant at p<0.05. There was significant (p<0.05) increase in post test practice score from 11.5±1.91 to 18.08±1.12 The pretest and post test knowledge scores had significant association with educational status and family monthly income (p<0.05) The pretest and post test practice score had significant association with gender and relationship to child (p<0.05). Increase in the knowledge and practice was dependent of caregivers selected variables such as educational status, family monthly income, gender and relationship to child.

Conclusion: The study revealed that an Information, Education and Communication (IEC) package played a crucial role in increasing knowledge and practice regarding compliance to glaucoma medication among caregivers of children with glaucoma one month after the intervention. The most and effective factor identified in the study is the teaching session which takes only 15 minutes in teaching and demonstrating the content in the information pamphlet.