Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 58th World Advanced Nursing and Nursing Practice Congress Tokyo, Japan.

Day :

  • Advanced Nursing 2021
Speaker
Biography:

Dr. Christine M. Silverstein is a graduate of the Program for Nurse Executive at Teachers College, Columbia University, where she earned a Doctorate of Education (EdD). For 25 years, at  The Summit Center for Ideal Performance, she has worked as a peak performance coach, clinical hypnotherapist, and RN, to assist clients of all ages in reaching their ideal performances in health/wellness, athletics, academics, business, and performing arts. As a published historian, she has presented professional papers globally at conferences as well as on TV and radio, covering such topics as fertility coaching, stroke recovery, holistic healing, and sports peak performance.  

Abstract:

Writer and philosopher, George Santayana, said “Only the dead have seen the end of war.” The same can be true of the global COVID-19 pandemic, where hundreds of thousands of Americans lost their lives and millions of people worldwide. This includes many nurses who died and those who experienced mental health issues, PTSD, and suicide as a result of enduring untenable stressors and horrific conditions on the front lines amidst political strife, unpreparedness of government public health officials, and inadequate personal protective equipment. In the absence of Federal support, nurses struggled internally to find ways to treat patients as persons and to communicate interpersonally. Santayana further espoused: “Those who cannot remember the past are condemned to repeat it.” This harsh reality for the nursing profession demands an in-depth look back at pivotal events in nursing history that transpired during its foundational development in the 19th and 20th centuries and during the early pandemic within the microcosm of NYC, where Coronavirus first spiked in the US. Via a Feedback Loop Analysis, information will be gleaned as to what was learned, what nursing discarded indiscriminately, and what can be applied and implemented today to promote the mental health of nurses, holistically, in body, mind, and spirit, through science and Mind Power, and the use of coping and peak performance tools geared towards wellness in the 21st century. 

Speaker
Biography:

Guillaume Decormeille has been a nurse for 15 years, trained in health simulation and completed his master's degree in educational science in 2015. He is currently pursuing his PhDc in cognitive psychology at the University of Toulouse Jean Jaures, France. My work focuses on the individual factors that influence the learning of nursing students on Screen-based simulators. I am a member of a critical care society to the research and epidemiology commission and a member of the editorial board of a French nursing research journal. 

Abstract:

During the global coronavirus pandemic (COVID-19), the real "face-to-face" was exchanged for the virtual "face-to-face". Serious games (SG) was at the heart of the educational system to ensure continuity in the training of nursing students who were teleworking. How is this digital innovation perceived by nursing students? 
 
A collection of 35 virtual care situations was set up free of charge by a French startup to ensure pedagogical continuity for all the French nursing training school that wanted. A free and anonymous online questionnaire was set up to assess the perception, the motivation to learn on SG and the satisfaction of the students who used or not this device during the confinement.  
 
69% of nursing schools (n=220) used SG. 1363 students were included in the study (85%). Only 493 students declareted using the SG (36.2%) and 91.2% were female. All the students were motivated to learn on SG: M=65.2% (SD=22.4), the satisfaction was M=75% (SD=18.8), independently of the students who tested F (1,950)= 2.49 P = .115 and F (1,1200) = 2.34 ; p = .126 reciprocally. 88% of the students declared “agree” to "totally agree" that the use of SG would reduce the stress before arriving at the clinical pratice ( n=1199).  
 
SG is well perceived as a pedagogical tool in nursing education independently of the students who tested during the confinement. A multicentric study on self-regulated learning with SG is underway with 10 nursing schools. 

Charlie C. Falguera

Assistant Professor, University of the Philippines Manila, School of Health Sciences, Philippines

Title: The Association between Work Engagement, Nurse Work Outcomes, and Patient Outcomes: A Survey Study in the Philippines
Speaker
Biography:

Charlie C. Falguera is both a registered nurse and registered midwife in the Philippines. He completed his Master of Arts in Nursing in the University of San Carlos, Cebu City, Philippines in the year 2010. He is currently working in the University of the Philippines Manila, School of Health Sciences, Philippines with an academic rank of Assistant Professor 7 and administrative position as Chair, Midwifery Department. He has six publications in peer-reviewed and Web of Science journals.

Abstract:

With relatively stressful work environment, nurses must acquire a state of positive work engagement. Thus, determining the association between nurse work engagement, work outcomes, and patient outcomes is essential. This study aimed to evaluate the association between work engagement among hospital nurses, their work outcomes (i.e., job satisfaction, stress, burnout, and turnover intention), and patient outcomes (i.e., missed nursing care, adverse events, and quality of care). A cross-sectional study involving 549 registered nurses working in different hospitals in the Philippines was conducted. This is a secondary data analysis from responses generated through adopted eight self-report questionnaires. Results showed that nurses with lower levels of work engagement reported increased levels of job burnout and turnover intention. Higher scores in the quality of care measure were attributed to better responses on the dedication sub-scale. Thus, work engagement is associated to nurse work and patient outcomes. High work engagement as explained by job resources is essential among nurses. Higher levels of work engagement prevent nursing staff from leaving their workplaces and may find their job fulfilling. Management strategies and procedures that increase staff nurse work engagement must be enhanced. They must embrace the significance of having highly engaged nursing workforce, considering its inherent benefits for the organization; the professional nurses, especially as means in counteracting their migration abroad; and, most importantly, the patients who are the primary beneficiaries of health care.

Speaker
Biography:

Tingting Cai is a PhD student in Fudan University School of Nursing. She has published more than 20 papers in peer-review journals. Her major research direction is oncology nursing and nursing informatics. She is now doing research projects in the field of symptom management of breast cancer and patient-reported outcomes measurement information system in this population.

Abstract:

Currently, there is a lack of studies assessing social relationships issues in breast cancer patients during a course of chemotherapy. This study aimed to explore profiles of instrumental, emotional, and informational support, and to identify the predictors in Chinese breast cancer patients undergoing chemotherapy. In a multicentric study performed between January 2018 and March 2020 in China, a total of 638 breast cancer patients completed the demographic and clinical characteristics including the PROMIS-Social Relationships short forms, the PROMIS-Anxiety short form and the PROMIS-Depression short form. Analysis of variance and chi-square test were performed to examine between-group differences in demographics characteristics, anxiety, and depression outcomes across the identified latent classes. Multinomial logistic regression was performed to identify the correlation of significant demographic variables among the identified groups. Three profiles of social relationships were identified: Class 1-low social relationships group (14.3%); Class 2-high instrumental support, medium emotional and informational support group (24.6%); Class 3-high social relationships group (61.1%). Demographic characteristics that distinguished the identified classes were found. Additionally, the level of anxiety and depression differed between the identified classes. The findings revealed the heterogeneity of instrumental, emotional, and informational support in Chinese breast cancer patients undergoing chemotherapy, which were significantly correlated with educational background, monthly family income, health insurance, and employment status. Additionally, patients with low instrumental, emotional, and informational support was more likely to report higher anxiety and depression. Therefore, when conduct interventions to promote social relationships, nurses should consider the sociodemographic characteristics, anxiety, and depression symptoms of breast cancer patients, and identify the high-risk patients for tailored interventions.

Speaker
Biography:

Walter C. Millazni has completed his MSc. Nursing Education (MSc.NE) at the age of 36 years from the University of Dodoma (UDOM) – Tanzania and is currently pursuing doctoral studies (PhD) at the same University. He has published 4 papers in reputed journals and has been serving as an Assistant Lecturer at the department of nursing management and education, school of nursing and public health, UDOM.

Abstract:

Pedagogical approaches in nursing education are vital for the proper formation of nurses who can demonstrate adequate meta-competencies to care for the patients and clients. Nurse tutors need to blend with the current educational changes that require multiple innovative pedagogical approaches when implementing classroom and clinical teachings to encourage active and self-directed learning (SDL) readiness among nursing students. This study intended to investigate the effect of facilitation in a problem-based environment on SDL among 401randomly selected participants in Tanzania. Descriptive analysis via statistical package for service solution (SPSS version 23) served to establish participants’ profiles. Independent samples t-test determined mean score differences of  SDL readiness and regression analysis determined the association between variables. The post-test results showed that participants in the intervention scored significantly higher [(M = 33.01±13.17; t(399) = 2.335; 95%CI: 0.486,5.668)] than their counterparts in the control. Findings of SDL readiness subscales were significantly higher among participants in the intervention including self-management [(M = 10.11±4.09; t(399) = 1.354; 95%CI: 0.173,4.026)], interest learning [(M = 9.21±2.39; t(399) = 1.189; 95%CI: 0.166,4.323)] and self-control [(M = 13.63±5.05; t(399) = 2.335; 95%CI: 0.486,5.668)]. Nursing students in an intervention were 1.291 more times higher to demonstrate SDL readiness (AOR = 1.291, p<0.05, 95%CI: 0.767,2.173) than the controlled students. Facilitation in a problem-based environment approach promises to change the spectrum of nursing competencies and therefore quality of patients’ care. Nurse tutors need to be empowered with multiple innovative pedagogical approaches to prepare nursing students to meet their academic and professional potentials.

Speaker
Biography:

Xin Sui has completed her master degree at the age of 27 from the School of Nursing,Jilin University. She is engaged in the study of chronic care.She has published two papers in related journals.

Abstract:

Aim: To investigate the sleep quality, social isolation and loneliness status in patients with CHD and analyze the correlation among themï¼›and to provide a theoretical basis for improving the sleep quality of CHD patients at the psychological and/or social level.

Methods: Convenient sampling method was adopted to select patients who were hospitalized in the cardiology department of three tertiary A hospitals in Changchun from November 2018 to January 2019. The questionnaire included general information, Pittsburgh sleep quality index, social isolation and distress scale, and UCLA Loneliness Scale. All data were analyzed with SPSS23.0 statistical software.

Results: Among the 249 enrolled patients, 82.3% had sleep quality problems. According to the degree of sleep quality,the distribution was as followed: “good” accounted for 10.4%, “OK” accounted for 48.6%,“general” accounted for 36.5%, and “poor” accounted for 4.4%. M (P25, P75) of sleep quality score was 10 (8,12), social isolation score was (13.20±5.30) and M (P25, P75) of loneliness was 39 (35 ,44). The results showed that sleep quality was related to social isolation (r=0.414, P<0.05), and loneliness (r=0.481, P<0.05). The total score of social isolation was correlated with loneliness (r=0.411, P<0.05).

Conclusion: Patients with CHD generally had sleep quality problems. PSQI score indicated that sleep quality of patients was at a moderately severe level; social isolation and loneliness were both at a moderately high level.Sleep quality of CHD patients was negatively correlated with social isolation and loneliness respectively. Social isolation was positively correlated with loneliness.

Speaker
Biography:

Currently Yirou Niu studying in Jilin University, master of nursing and my research direction is rehabilitation nursing and elderly nursing.

Abstract:

Pension agency have become an important supplement to the social elderly service system in China. Elderly people in the pension agency may suffer from depression due to pain caused by chronic diseases. Non-pharmacological intervention is becoming one of the adjuvant treatment methods to improve the psychological condition for the elderly. Laughing Qigong Program (LQP) is a pattern of exercise that combines laugher and Chinese Qigong, so the LQP advantage includes the physical, physiological and/or psychological benefits of laughter and Chinese Qigong. The objective of this study is to investigate the effect of LQP on depression in the elderly living in the pension agency in Changchun, China.According to the inclusion/exclusion criteria, 53 elderly were enrolled from the 2 pension agencies in Changchun, China. 27 participants were in the intervention group and received LQP exercise for 4 weekswhile 26 participants in the control group received routine care. Geriatric Depression Scale (DGS), Global Pain Scale (GPS), Mini-mental State Examination (MMSE), Montreal Cognitive Assessment (MoCA), Medical Outcome Survey 36-item Short Form health Survey (SF-36), Activity of Daily Living Scale (ADL) and Pittsburgh Sleep Quality Index (PSQI) were evaluated. Results: Compared with the control group, LQP for 4 weeks significantly decreased DGS scores and significantly increased SF-36 scores for the elderly in the intervention group (P<0.01). LQP might inhibit the reduction of MMSE and MoCA. Conclusion LQP as a non-pharmacological intervention method could improve the depression symptoms and slow down the cognitive function decline in the elderly with chronic diseases.

Speaker
Biography:

Yayu He is currently studying for a master's degree in the School of Nursing of Jilin University.

Abstract:

About 70% to 80% of stroke patients need long-term rehabilitation and care because of disability. Most of the stroke patients are transferred to their families after receiving early treatment and rehabilitation in hospital, so the family caregivers provide the primary rehabilitation and care services. However, the effect of family rehabilitation and care for the stroke patients in not satisfactory because of the insufficient care ability for the family caregivers due to the imperfect out-of-hospital support system and/or the poor effect of oral/written health education in the hospital. Therefore, in this study, the video combined teach-back(V&T) method for health education was used to train the family caregivers of the stroke patients in the hospital. And the impact of V&T method for health education on the care ability of family caregivers will be evaluated and the family continuous rehabilitation effect of the skoke patients will be observed. This is a double-blinded, two-arm, randomized controlled trial. 50 participants will be randomized in a 1:1 ratio to the intervention or the control group. The participants in the intervention group will be trained with V&T method while the participants in the control group will receive usual education. The outcomes include the care ability of family caregivers, motor function, the activities of daily (ADL), and psychological status of stroke patients. All outcomes will be measured at baseline, 3 weeks, and 1 month and 3 months after discharge. This study may provide a new helth education method for the family caregivers of stroke patients.

Speaker
Biography:

Huihui Xi is currently studying as a graduate student in the Nursing School of Jilin University

Abstract:

Snoring is one of the common symptoms of sleep in men and often caused by increased upper airway resistance. Previous studies have shown that person with snoring often suffer from hypertension. The purpose of this study is to summarize the evidence for the association between snoring and essential hypertension. Methods We searched Cochrane Library, PubMed, Scopus, Web of Science and Embase for eligible studies published up to 12 November 2020 to evaluate the association between snoring and essential hypertension. Studies were selected according to the predefined screening criteria, and their qualities were assessed by Newcastle-Ottawa Quality Evaluation Scale. Linear and non-linear dose-response models were used to assess the relationship between snoring and essential hypertension. Stata 16.0 was used for the meta-analysis. Odds ratio and 95% confidence interval were used as effect indexes. Results Six prospective cohort studies and two cross-sectional studies were included according to the inclusion/exclusion criteria. The results showed that snoring significantly increased the risk of essential hypertension compared with non-snoring participants [odds ratio (OR)=1.25; 95% confidence interval (CI), 1.22-1.28]. Conclusion Snoring was considered as a predictor of essential hypertension independently, which might play a role in the prevention and control of hypertension. People who snore frequently should pay close attention to their blood pressure levels in order to achieve early prevention of essential hypertension.

Speaker
Biography:

An Ran is pursuing a master's degree in nursing in Central South University, one of Associate Professor Chen’s students. She is interested in oncology nursing and Evidence-Based Nursing.She has published more than one article in reputed journals.

Abstract:

Objective: In order to provide a basis for continuous care in hospitals, communities and families, we systematically review and synthesize the relevant studies on the inner feelings and emotional experiences of family caregivers of leukemia children.

Methods: The qualitative researches on the family carers’ experiences of leukemia children were retrieved from following English databases, including Cochrane library, PubMed, Medline, Embese, Web Of Science, and Chinese databases, including China Biology Medicine disc, CNKI, Wan Fang and VIP were retrieved from databases establishment to February 2021. Quality evaluation criteria for quality research in Australian JBI evidence-based health care centers(2016)was used to evaluate the qualities of studies. The results were integrated by using pooled integration method in Meta integration.

Results: A total of 78 results that were extracted from 29 studies, which were summarized and integrated into 12 new categories. Three results were synthesized from 12 categories above. Integrated Finding 1: Caregivers have complex psychological experiences, with diverse and stage-specific features of psychological experiences; Integrated Finding 2: Caregivers suffer from economic, social, and psychological pressures, and face difficulties such as role adjustment and impact on family life; Integrated Finding 3: Caregivers have weak social support systems and have diverse psychological and social needs about disease-related knowledge, medical equipment and technology.

Conclusions: Caregivers of children with leukemia are under pressure from multiple sources, and have diverse needs. Relevant hospital, community, and institutional staff should understand the psychological experiences of caregivers, to provide appropriate support and guidance to enhance caregiving capacity and promote the physical and mental health of caregivers.

Tara Karels

Director of Nursing, Central Lakes College, USA

Title: Caring for the Caregiver
Speaker
Biography:

Tara Karels started her career in nursing, working with prenatal education, labor, delivery, and postpartum care. Her passion for improving patient care led her to travel worldwide training childbirth educators and doulas. To increase her impact on quality patient care, Tara moved into a college setting, teaching future nurses. Today, she continues to teaching at the college as well as with Rural Comprehensive Advanced Life Support (CALS). Tara has also returned to the bedside and works as a staff nurse at a local critical access hospital. Tara continues to serve her local community with presenting on topics related to self-care and healing while finishing her first of three memoirs. Through her own life experiences and her work with woman in recovery, Tara’s passion for helping others is at the forefront in all she does. Tara uses her own experiences to leave her audience laughing, crying, and feeling empowered to create change.

Abstract:

Statement of the Problem: Caregivers are experiencing heightened levels of physical, mental, and emotional manifestations due to burnout and compassion fatigue. These symptoms can lead to decreased function in work and day to day life. With the growing awareness of mental health issues, caregivers need to find ways to protect themselves and learn self-care techniques to maintain their health and wellness.

Presentation: Caring for the Caregiver will look at the symptoms of burnout and compassion fatigue but then focus forward with a journey of self-reflection for attendees. The self-care journey, created by Tara Karels, will take participants through real-life examples of trauma and recovery and provide practical applications that can be used immediately to begin a path to making self-care a priority. Although a serious topic among caregivers, this presentation is designed to provide humor and breathe life into conference participants. Often used to ignite an audience during a long day of educations sessions.

 

Speaker
Biography:

Erin-Joy Bjorge is the Dean of the Buntain School of Nursing at Northwest University in Kirkland, WA.  Erin-Joy has been a nurse for over 30 years and a nurse educator for 25 years at the baccalaureate level.  She is a Certified Nurse Educator and a Certified Online Instructor. Erin-Joy’s passion in nursing are global health and transcultural nursing.  She has travelled extensively and her most recent presentations were in Italy and Dubai. 

Abstract:

The United States (US) is projected to be more racially and ethnically diverse in the years to come.  More than half of all Americans in 2044 will belong to a minority group, and by 2060 almost one in five of the total population will be foreign born (Colby & Ortman, 2015).  The changing ethnic demographics of the US will directly impact nurses in all areas of healthcare as they strive to provide culturally competent care for all clients.  Nurse educators have a responsibility to provide education for students to help them become culturally competent practitioners who provide more effective care and better outcomes for their clients (American Association of Colleges of Nursing, 2008b).  Virtual cultural immersion experiences can provide students with experiential learning.  Experiential learning is a well-recognized method used to change attitudes, an essential component of cultural competence (Ballestas & Roller, 2013).  The project was conducted to determine whether there was a difference in cultural competence among baccalaureate nursing students after a required virtual  cultural immersion experience abroad.  The null hypothesis was rejected.  There was a statistically significant increase in IAPCC-SV total scores from the participant’s pretest (M = 62.48, SD = 6.79) to the student’s posttest of the cultural immersion experience (M = 68.50,SD = 5.64, t (44) = - 5.58, p < 0.000, two-tailed).  The mean increase in IAPCC-SV total scores was -6.02 with a 95% confidence interval ranging from -8.20 to -3.85.

  • Day 2
Speaker
Biography:

Yukiko Takada is an assistant professor at Japanese redcross college of nursing since 2018. Previously, she was a unit nurse manager in the intensive care unit of a 600-bed general hospital. she was completed her Master of nursing at 2013 from Japanese redcross college of nursing. She has published two treatises. One is about disaster education in the Japanese journal of Disaster Medicine, and the other is about Inter professional work in the journal of the International University of Health and Welfare.

Abstract:

Background: In Japan, after the creation of the Chief Nurse Executive position in 1989, the practice has been analyzed in terms of hospital management. However, there has been no analysis using management indicators on the effects of appointing a Chief Nurse Executive.

Purpose: The purpose of this study was to compare two groups of hospitals: hospitals that have appointed a Chief Nurse Executive and hospitals that have not, using management indicators. The report clarifies the difference between the two groups.

Method: This study was a cross-sectional study of 69 hospitals with 200 beds or more based on the 2018 Japanese Red Cross Hospital Facility Management Overview Public Data. Quantitative analysis and comparisons were performed using management indicators selected from the literature review on management in a Chief Nurse Executive.

Results: Of the 69 hospitals, 19 had appointed Chief Nurse Executives, and 50 hospitals had not done so. The hospital-appointed Chief Nurse Executive, along with the nurses, pharmacists, radiologists, and clinical engineers, were assigned to be a part of an advanced emergency and community medical support hospital team and continue medical treatment from advanced and multifunctional hospitals to home areas.The public data provided no indicators of an advanced education in this position.

Conclusion: The hospital-appointed Chief Nurse Executive position is characterized by the staffing requirements that matched the functions of the advanced and multifunctional hospital. This is a hospital that responded to a wide range of medical needs.

Speaker
Biography:

Wenfeng Chen is an associate professor of nursing. She has 30 years clinical
experience in a general hospital and specialized in Orthopedic nursing and Oncology nursing . She has published more than 25 papers in reputed journals and has been serving as an head nurse at the Oncology Department in Xiangya hospital of Central South University.

Abstract:

Objectives: By comparing peripherally inserted central venous catheter (PICC)-related complications in real-life patients, we aimed to analyze the significance of color Doppler ultrasound (CDU) applied routinely or once with symptoms of thrombosis before extubation.
Methods: For this retrospective study, patient data from January to December 2019 were collected from an intelligent safe platform for infusion, which was embedded in the hospital information system (HIS). After screening by the inclusion and exclusion criteria, venous therapy liaisons were interviewed regarding the PICC procedures and complications of the enrolled patients. Then, the patient medical records were checked to verify the CDU usage and collect the CDU results. Difficulties in extubation and serious complications, including catheter fracture or pulmonary embolism during or after extubation, were also collected.
Results: Of the 1455 patients, 489 underwent CDU examination before extubation. Among these, thrombosis was detected in 37 (7.6%) patients and only 1 (0.2%) patient without thrombosis experienced difficulties in extubation. No serious complications were observed in the CDU group. Meanwhile, among the 966 patients in the non-CDU group, three (0.3%) faced difficulties and one patient developed symptoms of pulmonary embolism. Furthermore, among patients with thrombosis in the CDU group, the duration of catheter retention was significantly shorter than that in patients without thrombosis (76.65±42.55 vs. 121.04±45.99 days, P <0.001).
Conclusions: After evaluation of their clinical symptoms, patients without symptoms could be directly removed according to conventional procedures, while patients with symptoms should undergo CDU examination before extubation.

Speaker
Biography:

Rasmieh al-amer is an assistnat professor at Isra University -Amman, Jordan. She has more than 30 publichations in high ranking journal, and she is a Fellow of the Higher Education Academy Kingdom. She is intrenseted in research related to mental health areas.

Abstract:

Nurses are one of the main front linear in health workforce and are important players in health care system worldwide. However, Sars-Cov2 otherwise known COVID-19 pandemic added huge pressure on the health care providers in particular nurses. This study is proposed to evaluate the levels of psychological reactions such as anxiety and stress and their correlates among nurses during this pandemic. Thus, we conducted an online survey during first of March to April 2020. This study used Recruited 305 nurses working at acute clinical setting in Jordan; anxiety, and stress were assessed using anxiety, and stress subscales that were parts form the depression, anxiety, and stress scale (DASS). The study found that nurses have suffered from a high level of anxiety (40.8%, and 59.2%, respectively). Delivering bedside care to active COVID-19 patients was associated with significantly with higher levels of anxiety and stress in comparison to those who were working with other patients (partial= 0.273, part= 0.241). Notably, gender was found to be a significant predictor of, anxiety [(Beta= 0.20; P value <0.001), and stress (Beta= 0.230; P value <0.01)]. Remarkably, providing hands-on care for patients with active COVID-19 infection generated the most significant relationship with anxiety and stress, (Beta= 0.301)]. Hence, we conclude that nurses felt high levels of anxiety and stress during providing hands-on care for COVID-19 patients. Thus, policymakers and nurses’ managers are invited to put a plan in place to enhance the mental health status of nurses during such outbreak.

Speaker
Biography:

Entisar Dwikat is an MSc candidate at Isra University-Jordan, and she is a director of the pediatric department at Jordan University-Amman. She has vast experience in clinical nursing, and she is particularly interested in working with adolescents.

Abstract:

This study used cross-sectional design to assess the prevalence of depression and its correlated factors among a group of school students in Jordan. It used the depression subscale from the Depression, Anxiety, and Stress Scale (DASS) and Multidimensional Social Support Scale (MSPSS). Out f 1300 school studetns, 65.6% were females, 34.4% were males with an average of 16.9 (SD=±1.0) years;  39.0% were at their senior year, 27.7%  at a secondary year, 21.8% and 11.5% were tenth and ninth-graders respectively; 57.4%, and 50.4% reported that their fathers and their mothers had completed their secondary schools respectively. Moreover, 97.1% and 44.9% reported that their fathers and  their mothers were employed respectively. Also, 43.1% had their family income 250 to 500 JDs. The overall prevalence of depression was75%. Notably, 44.5% of them reported having severe depressive symptoms. Less than 20% reported having mild to moderate form of depressive symptoms. A Point-biserial correlation was used to examine the relationship between depression and the participants’ characteristics and social support. A significant positive relationship between gender and depression (r =0.069; p < 0.05), and age and depression (r =0.083; p < 0.05). However, there was a negative correlation between monthly income and fathers’ educational level and depression (r =- 0.418; p < 0.001, r=- 0.307; p < 0.001, respectively). This study is important for policymakers and educators, for activating mental health counselling services in schools.

Speaker
Biography:

Wing Yi Kaness Ching has been working as a registered nurse and midwife for over ten years. She earned her degree of Master of Nursing (Public Health) in 2015 from the University of Hong Kong and degree of Juris Doctor from the Chinese University of Hong Kong in 2019. She is the Deputy In-Charge of the maternity ward in St. Paul’s Hospital. She has participated in several international nursing research congresses and has been conducting quality improvement projects in maternity care.

Abstract:

Hypothermia is associated with neonatal morbidity and mortality. A drop in temperature was noted between the time of birth and admission to nursery, and the risk increased with longer transport duration. Instant heated disposable (IHD) blankets are typically used in adult patients undergoing hypothermia or cardiac interventions. This project aimed to examine the application of IHD blanket in preventing neonatal hypothermia during transportation. A total of 672 newborns and 665 mothers in St. Paul’s Hospital were recruited from 6 March to 31 August 2019. After delivery, the newborn was dried thoroughly, wrapped in IHD blanket, and transported from delivery or operating room to nursery in incubator. Admission temperature was taken rectally using digital thermometer and maternal satisfaction level was surveyed on the second day. The mean temperature using routine interventions and IHD blanket were 36.1°C and 36.5°C respectively. Incidence of moderate to severe neonatal hypothermia decreased from 15% to 10%. There was no cases of hyperthermia or dermal irritation. Most (76%) mothers rated their satisfaction at high levels. By generating a predictable amount of heat instantly and over a prolonged period of time, IHD blanket helps preventing neonatal hypothermia in a reliable manner and weaning newborns from incubator to open cot. It could potentially be an innovative and cost-effective thermal solution not only in hospitals but also during inter-hospital transfer for critically ill newborns. It would also be beneficial to explore products with longer heat duration for premature newborns who have difficulty in reserving heat during incubator care or breastfeeding.

Speaker
Biography:

Shuai Yang has completed her PhD in 2019 from Xiang Ya Nursing School, Central South University and now working at the School of Nursing, Jinan University. She has published more than 5 papers in reputed journals and has reviewed for two journals.

Abstract:

Intensive care unit (ICU) nurses are at high risk for work-related musculoskeletal disorders (WRMDs). Intervention programs have previously been developed to reduce WRMDs, but different intervention methods need to be adopted for different groups of people. This study was designed as a two-armed cluster-controlled trial. The clusters were independent hospital ICUs, and the participants consisted of registered nurses in China. By cluster random sampling, 89 nurses from two ICUs were assigned to the intervention group, and 101 nurses from two other ICUs were assigned to the control group. A multidimensional intervention program based on previous studies was designed. This program combined improving risk perception, health behavior training, and promoting a safe working environment. The multidimensional intervention program was implemented in the intervention group, whereas routine specialist training was implemented in the control group. Baseline and follow-up (3 and 6 months) data were collected using self-reported online questionnaires. A total of 190 nurses provided three recorded outcome measurements. After 6 months, the intervention group experienced significant improvement relative to the control group in the report rate of WRMDs in the past 7 days (OR = 1.953, p = 0.037), risk perception (OR = 0.517, p < 0.001), application of health behavior (OR = 0.025, p < 0.001), and perception of a safe working environment (OR = 1.637, p = 0.024). The multidimensional intervention program was superior to routine specialist training in preventing the occurrence of WRMDs in ICU nurses.

Speaker
Biography:

Marguerite Lawrence, DNP, FNP-BC, PHCNS-BC is an Assistant Professor of Nursing at Columbus State University. Originally from Brooklyn, New York, she served over 20 years of active duty military service as a U.S. Army Family Nurse Practitioner and Public Health Clinical Nurse Specialist. Her clinical practice background includes a deployment to Baghdad Iraq, internal medicine, pediatrics, deployment health, occupational and community health and Department of the Army health promotion policy development.  Her research interests include health care disparities.

Abstract:

Census projections suggest that the U.S. population will grow to more than 130 million by 2030, and will approach 164 million by 2060. Current national estimates suggest that 2.6-4.9 million of the population will self-identify as lesbian, gay and bisexual (LGB). Lack of knowledge of the health and well-being of the LGB population remains a significant shortcoming in health disparities research. The Institute of Medicine (IOM) found that the LGB population, when compared to heterosexuals, are at risk for the following high risk behaviors; smoking, excessive alcohol use, illegal drug use, suicide attempts, and depression.

As research continues addressing the health disparities of the LGB population, there is a lack of scientific knowledge pertaining to the physical health care needs of the active duty LGB population. Only recently has the Department of Defense (DoD) identified LGB active duty service members as a population within the military health care system with unique health care needs. Like other healthcare systems, the Military Healthcare System (MHS) has begun to focus on the environment of care and specific needs of the LGB active duty service member. As the LGB active duty service members and L, G, B military dependents have started to seek care in the MHS, the MHS must be prepared to welcome and provide tailored services to the population.

The purpose of this quality improvement project is to evaluate the effect of a tailored culturally competent intervention for the military health care providers caring for the LGB active duty service members

Jezyl C. Cutamora

Cebu Normal University, Cebu City, Philippines

Title: Granular Lockdown through Network Modularity Analysis
Speaker
Biography:

Dr. Jezyl Cempron-Cutamora is a former dean of Cebu Normal University – College of Nursing and is currently a professor who handles both undergraduate and graduate school courses. She is the Vice-Chair of Cebu Normal University - Ethics Review Committee and the Director of the Research Institute for Ageing and Health (RIAH). She is a registered nurse since 2005 and she finished her Masters in Nursing (Major in Medical-Surgical Nursing) in 2008 and Doctor of Philosophy in Education (Major in Research and Evaluation) in 2017 from Cebu Normal University. She has authored and co-authored published researches in several international and national peer-reviewed refereed journals. She received research awards for publication and presentation of research articles.

Abstract:

As COVID-19 outbreak continues, network analysis is playing a crucial role as a basis for sound policy decisions. Considering that COVID-19 is transmitted mainly through person-to-person contact, undeniably, it can be controlled by strategies that limit the convergence of people. This risk-based study aims to provide an objective basis to reduce infectious disease transmission from one community to another by visualizing and describing the interactions between the different communities in Cebu City Philippines during the COVID-19 pandemic using gephi network analysis. The network consists of two components: (1) a list of the actors composing the network (nodes) was the 80 communities, and (2) a list of the interactions between actors (edges) was mainly based on the presence of common establishments as the point of convergence of people. Findings showed that network analysis is a good approximation technique to predict hotspot communities in terms of disease incidence since the modularity of the community is consistent with the high incidence of COVID-19 cases.  Further, it is apparent that most of the communities that are grouped in one cluster are also proximate. Policymakers can then design a sufficient win-win strategy on how to reduce transmission of COVID-19 within and between communities utilizing these findings, yet also taking into consideration the socio-economic-political dimensions. A purposive granular lockdown scheme is proposed wherein instead of the usual practice of putting the whole city or a certain barangay on lockdown at once, this scheme can be implemented so that transmission is prevented, and the economy is sustained. 

Speaker
Biography:

Huang Qingmei has completed her PhD at the age of 28 years from School of Medicine, Zhejiang University and is undergoing postdoctoral studies at School of Nursing, Fudan University. She severs as the academic sectroy of PROMIS National Centre of China. Her research focuses on the field of caring of cancer patients, patient-reported outcome and nursing informatics. She is now in charge of two national level projects and has published more than 7 papers in reputed journals as first author. 

Abstract:

For prostate cancer patients with radical prostatecomy, 1 year after surgery is the main recovery period for their physiological complications and psychological problems and maladaptation will seriously affect the quality of life during their survival period. Using longitudinal study design, this study was aimed to identify distinct trajectories of psychological adjustment of prostate cancer patients after radical prostatecomy. Using the Chinese version of MAX-PC scale as measurement, the psychological adjustment level of patients were assessed after diagnosis(T0), at about 1 month after surgery (T1), 3 month(T2), 6 month (T3) and 12 month after surgery(T4), respectively. Growth mixture models (GMM) were used to identify trajectory classes of psychological adjustment among different patients. The results showed that the MAX-PC scores were highest at T0, while the scores had significant reduced from T1 to T4 after surgery. Repeated-measures ANOVA showed that there was statistically significant difference in the mean MAX-PC scores over time. By GMM analysis, the results suggested that the four-class model fitted best as for the lower BIC of 5317.19, the higher entropy value of o.84 and the statistically significant result both for BLRT test and VLMR test. Overall, four distinct classes of trajectories patterns were identified for psychological adjustment in prostate cancer patients with radical prostatectomy, which were named as good adaptation class, positive adjustment class, negative adjustment class and poor adjustment class. Although most of patients would achieve a good psychological adjustment outcome, some patients still couldn’t adjust well, being with a poor psychological adjustment outcome.

Speaker
Biography:

Ahmad has completed his Master digree in Management and Education from King Saud University. He is the Associate Chief Nursing Officeer fro Development at King Saud Medical City. He has three publications in leadership and Nursing Transition and to Practice and Traing.  Ahmad has spoken in several semposea nationaly and internationaly.

Abstract:

Nurses and their leaders have gone through difficult times during this pandemic. They’ve suffered from finding the ultimate ways to provide the best care to their patients while the demand is increasing, the scope of service is changing and the circumstances are becoming tougher day by day. Although staff nurses are suffering physically and emotionally while doing their best to provide outstanding care to their patients, the nursing leaders are suffering as well. Nurse leaders working even harder than any time before to maintain adequate, healthy, and competent staff and making sure there are enough available resources to keep the process of care delivery going.

During this presentation, there will be a highlight on the challenges faced by the nursing team and will share with peers the innovative approaches to meet the demand, prepare staff to deal with the changes in the scope of service and to cope with the increase in the turnover of the competent nurses. Moreover, strategies taken to keep staff alert, engaged, and informed will be shared. This presentation will also share with the audience how the staff nurses became the key player in the decision-making and how they had been empowered to work to their full potentials. Besides, this presentation will provide some recommendations to nursing leaders from a country that is depending highly on the expatriate nursing staff.

Speaker
Biography:

Dr. Abdiqani is a Nursing Consultant. He completed his first nursing diploma in 1981 in Somalia. He completed second nursing diploma from Seneca College, Canada in 1993.   He obtained his BSN in 1995 from Ryerson University in Canada. Abdiqani Graduated from D'Youville College in 2000 as Family Nurse Practitioner and Buffalo University as Advanced Acute Care Nurse Practitioner. He completed his DNP at American Sentential University (ASU) in 2015. Prior to joining King Fahad Medical City (KFMC) in 2008 as a consultant in nursing education, he worked a university affiliated tertiary hospital as an advanced  acute care nurse practitioner in cardiology ward.   Dr. Abdiqani held several posts within KFMC, and he is currently the nursing consultant to Executive Nursing Administration, and  the director  for Advanced Practice Nurse Department.

Abstract:

Objective: This study was conducted to assess frontline healthcare providers (HCPs) in Saudi Arabia for their perceptions of the impact of the ongoing COVID-19 pandemic and of their individual and institutional preparedness in handling it.

Background: Given the recency of the COVID-19 pandemic, there are not many studies focusing on the challenges frontline healthcare providers (HCPs) in Saudi Arabia face.

Methods: A cross-sectional and descriptively designed study of nurses was conducted in King Fahad Medical City, Riyadh. 

Results: On concerns over working and non-working conditions, the responses confirm the findings of similar studies globally. But a significant association was observed between HCPs grouped by age and job title and perceptions of the impact of     COVID-19 on their work and personal lives.

Conclusion: Psychosocial counseling, epidemiological education, and environmental control training for HCPs are important elements in operational planning and implementation in healthcare facilities in managing the impact of COVID-19.

Speaker
Biography:

Siqi Zhang has completed her MSc in nursing from Kings College London, UK. She is now a lecturer of Hainan Medical University, China. Her research interests are tobacco control and smoking cessation as well as nursing education. She is specializing at qualitative research and has published a meta-ethnography in Journal of Advanced Nursing this year.

Abstract:

Evidence based practice (EBP) is an interdisciplinary approach entailing making clinical decisions by using best scientific evidence to indicate practice. However, there are challenges for Chinese nurses who working in clinical ward to implement EBP owing to the fact of lack of training on literature review skills (LRS) which referred as the foundation of EBP. Therefore, a participatory action research of three phases aimed to explore a training mode to LRS for nurses working in a clinical ward was undertaken between November 2018 and January 2020 in Hainan, China.  Eight female nurses aged from 27 to 35 years old actively participated in each phase. Phase one (first PAR cycle) was two months of preparing, while phase two was seven months of training workshops (seven PAR cycles) with continuous engagement of every participant. Each PAR cycle was embedded with its next and consisted of three stages: LR training, reflective discussion and adjustment for next. In last phase, all participants needed to complete a literature review essay within a month and then scored by two independent researchers. Individual semi-structured interviews were finally made to collect participants feedback. Thematic analysis was employed to analyse both field notes of researcher and interview with participants. All participants had reached the baseline of a good LR. A participatory LR training mode for Chinese clinical nurses was finally proposed. Improved research skills and work performance was expressed by most participants therefore their confidence was spontaneously increased. Participants preferred step-by step homework, such as forms and checklists, to gradually help them finish the LR due to busy schedule, limited private time and long break from university.  However, working stress and lack of workplace based academic resources were seen as inevitable barriers to “drag along” their learning process. Clinical nurses in China still facing challenges on evidence-based practice and increasing stress on research. However, lack of systematic education on LR impeded their progress on EBP. Participatory LR training mode for clinical nurses this study proposed could be promoted to resolve this problem which exists in most Chinese hospitals even in rural area. 

YUAN Jing

Kidney Disease Center, the First Affiliated Hospital, College of Medicine, Zhejiang University, Hangzhou, China

Title: Management practice of prevention and control of novel coronavirus infection in Zhejiang Hemodialysis Center
Speaker
Biography:

YUAN Jing is the chief nurse, master's tutor, the head of the nursing discipline of the Kidney Disease Center of the First Affiliated Hospital, College of Medicine, Zhejiang University, and a member of the Blood Purification Nursing Professional Committee of the Chinese Nursing Society. She presided over 8 projects, edited 1 set of professional books, and has published more than 25 papers in reputed journals. She was awarded a second prize of National Science and Technology Progress Award as the main contributor, 2 first prizes and 2 second prizes of Zhejiang Science and Technology Award.

Abstract:

Objective: To summarize the experience of prevention and control management of hemodialysis cen-  ters during the epidemic situation of novel coronavirus(COVID-19)infection and to improve the effect of prevention and control management of hemodialysis centers in order to reduce the occurrence of COVID-19 infection. Methods: By developing the standards for prevention and control of COVID-19 in hemodialysis centers,the 267 hemodialysis centers in Zhejiang province were trained in the aspects of organization management,prevention and control proce- dures,patient education and management,staff training and management,We also standardize the hemodialysis procedures during the COVID-19 infection period,and standardize the isolated hemodialysis procedures of confirmed cases,suspected cases and patients observed at home. Results: There  were  2  confirmed  COVID-19  infection  cases of 32071 hemodialysis patients in Zhejiang Province,and 10 hemodialysis patients in close contact with them were also taking isolation dialysis. No COVID-19 infection occurred after medical observation of 14 days. There were also no infections happened after 14 days' medical observation among 8 suspected cases and  78  home  observation patients who were treated with standard isolation dialysis or continuous renal replacement therapy. None of the 4700 medical staffs got the nosocomial infections of COVID-19. Conclusion: The practice in hemodialysis centers is effective in preventing and controlling the new coronavirus infection in  the  provincial  hemodialysis  centers,which  can reduce or even block the coronavirus infection in hemodialysis patients.

Agusta Palsdottir

University of Iceland, School of Social Sciences, Reykjavík, Iceland

Title: The Use of New Information and Communication Technology for Health Information Among Older Icelanders
Speaker
Biography:

Ágústa Pálsdóttir is Professor of Information Science, University of Iceland (UoI). She completed her PhD from Åbo Akademi University, Finland. Besides services at UoI, she has been a visiting professor at Transilvania University of Brasov, University of Latvia, and Åbo Akademi University. She has organised international PhD workshops, acted as pre-reviewer of doctoral dissertations, participated in international evaluation committees for academic positions, and a chair of expert committee for quality assessment of university programs. Her main field of research is health information behaviour and media and health information literacy, particularly senior citizens, and she has authored several articles on this topic.

Abstract:

The paper examines the adoption and use of information and communications technologies (ICTs) for health information among Icelanders aged 56 years and older. The following research questions were asked: 1) How do older adults use recently available ICT to access information about their health history and about healthy lifestyle? 2) How do they evaluate their capabilities to start using new ICT? 3) How do they perceive their possibilities to receive help at using ICT? A random sample was used, and after weighing the data by gender, age, place of residence and education it corresponds with the distribution in the population. The results demonstrate that the participants were motivated towards getting health information, also in digital form. The majority of them had, however, not yet adopted new ICT for health information into use but used older technology, such as blood pressure monitors to track and record their health information. About half of them, however, considered it difficult to take new ICT into use and the majority claimed that it was not easy for them to get help at using technology when they needed it. The main finding is that it is not sufficient to make new ICT systems available in order to provide older adults with information about their health history and healthy behaviour. For them to be ready to accept new technology and take it into use, they need training and technical support.

Speaker
Biography:

Shuyu Han has completed her PhD at the age of 28 years from Fudan University. She currently is a post-doctoral fellow in Peking University School of Nursing. She has published 21 papers in English or Chinese in reputed journals.

Abstract:

Persons living with HIV (PLWH) continuously experience symptom burdens. Their symptom prevalence and severity are also quite different. Mobile health (mHealth) applications (apps) offer exceptional opportunities for using personalized interventions when and where PLWH are needed. This study aimed to demonstrate the development process of the symptom management (SM) app and the structure and content of it. Our research team systematically searched for evidence-based resources and summarized up-to-date evidence for symptom management and health education. Our multidisciplinary research team that included physicians, nurses, software engineers, and nursing professors, evaluated the structure and content of the drafted app. Both quantitative data and qualitative results were collected at a group discussion meeting. Quantitative data were scores of sufficient evidence, situational suitability, practicability, cost-effectiveness, and understandability (ranged from one to four) for 119 items of the app contents, including the health tracking module, the self-assessment module, coping strategies for 18 symptoms (80 items), medication management, complementary therapy, diet management, exercise, relaxation techniques, and the obtaining support module. The SM app was comprised of eight modules and provided several personalized symptom management functions, including assessing symptoms and receiving different symptom management strategies, tracking health indicators, and communicating with medical staff. The SM app was a promising and flexible tool for HIV symptom management. It provided PLWH with personalized symptom management strategies and facilitated the case management for medical staff. Future studies are needed to further test the app’s usability among PLWH users and its effects on symptom management.