Day 1 :
Keynote Forum
Margareta Nordin,
New York University, USA
Keynote: World Spine Care: Serving people with spine pain in under served areas. It is not a question of pain but of survival Margareta Nordin, New
Time : 10:00-10:30
Biography:
In 1978, I started the Industrial Occupational Clinic at the Occupational Industrial Orthopaedic Center, Department of Orthopaedic Surgery, University of Gothenburg, Sweden in collaboration with Alf Nachemson, M.D., Ph.D. and Gunnar Andersson, M.D., Ph.D. This was the first clinic, research facility, and educational center geared toward prevention of musculoskeletal injuries for industry. Universities in several countries have subsequently adapted the model. In 1983 I started the Occupational and Industrial Orthopaedic Center and Clinic (OIOC) at the Hospital for Joint Diseases, in New York, for the evaluation of occupational and industrial injuries. The Center and Clinic were modeled after the Gothenburg experience, but were adapted to the needs of the New York area. For both the Gothenburg and New York Clinics I had the primary responsibility for setting up the physical facilities, planning research activities and patient care programs, researching and acquiring equipment, planning and implementing the budget, selecting and supervising staff and marketing the services of the Clinic and Center to industry, community and major healthcare providers. During my career I have had the opportunity to serve the following major companies: The Scandinavian Airline System, Volvo, The Boeing Company, Ciba-Geigy, Pan American, United Airlines, TWA, SAAB, HBO, Consolidated Edison, New York City Transit Authority, New York 1 News, United Parcel Service, Amtrak, SONY Music Entertainment, Deutsche Bank, Allergan, JP Morgan, SUVA, US Veteran Administration, US Navy and others. I have also served the following organizations with consultation or research projects: World Health Organization, United Nations Development Fund, Brazil Airforce, Transport Workers Union, Labor International Union of North America, America’s Utility Workers and others. My environment is the interest of work and health and a productive life for all. As part of a team effort at the Occupational and Industrial Orthopaedic Center in New York, I was the project leader of the medical standards project for the New York City Transit Authority (NYCTA) in New York City. This project included an epidemiological study, a job profile analysis and the production of a physician\'s manual for medical standards. The scope of the project involved 800 employees at the NYCTA and 12 full-time researchers from OIOC at work for the period of one year. In 1990, Dr. William B. Rom and I were awarded a grant of US$ 2.5 million by the National Institute for Safety and Health (NIOSH). The purpose was to set up a Model clinic for musculoskeletal and pulmonary occupational disorders. The funding, which began in 1990, was for five years. I was and am responsible for the management of the Model Clinic, as well as, for the design, implementation and scientific soundness of the research. I was the co-principal investigator of this grant and the principal investigator for occupational musculoskeletal disorders. In 1996, the OIOC team was awarded a grant from the National Institute of Arthritis and Musculoskeletal and Skin Disorders (NIAMS) for US$661,329. The funding was for exploring predictors of disability in individuals with acute low back pain. As the model clinic had grown we could now implement a model for prevention of disability. In 1997-2003 the OIOC -team was again awarded with a grant from the Arthritis Foundation (New York Chapter) (US$300,000) and from the Social Security Administration (US$307,000) in a collaborative effort with the American Institutes of Research. Continuos funding have always been a priority, however I have purposely diversified the funding sources to better serve the industry community. Our funding from grant agencies and industry are today equally important. In 2005-2010 the OIOC-team/ERBI faculty was awarded the National Institute for Occupational and Safety Health (NIOSH) NY NJ Educational and Research Center (ERC) Designation in collaboration with 5 other Universities in the greater Metropolitan Area (Mount Sinai School of Medicine, Hunter College School of Health Sciences, New York University, New Jersey Institute of Technology and University of Medicine and Dentistry of New Jersey). Since 1984, I assumed the responsibility as the Director of the Program of Ergonomics and Occupational Biomechanics, New York University, New York, New York. Responsibilities include curriculum development, selecting and supervising faculty, interviewing and screening program applicants, teaching courses, and developing and implementing the program budget. The Program has a student body of about 10 Ph.D. students and about 10 Master of Science students every year. I have a true interest and dedication to education. I have created a multidisciplinary research faculty and multi- disciplinary clinical faculty to meet the increasing demands to prevent disability at work. The occupational environment and non-occupational environment need a multidisciplinary team to better understand ill health and to promote well-being. I retired from my post as Director of the Occupational and Industrial Orthopedic Center, NYU Langone Medical Center in Mars 2012 but maintain my Professor ship at the Departments of Orthopedic Surgery and Environmental Medicine, School of Medicine, New York University, to be able to spend more time on special projects and World Spine Care as a Vice President.
Abstract:
The Global Burden of Diseases has estimated that musculoskeletal disorders and mental health disorders are the major ailments in coming decades. In musculoskeletal ailments spine disorders will become # 1 and create most of the disability measured in DALY’s in the world. In fact lower back pain results in more disability than any other condition world wide. The mission of Word Spine Care (WSC) (www.worldspinecare.org) a charity, is “to improve lives in underserved communities through sustainable, integrated, evidence based, spine care†around the world. With a net- work of of individuals, clinicians, researchers and other stakeholders the WSC care opened it first clinic in Botswana 2012 in a rural area, followed by Dominican Republic and soon to come in India and other countries. Clinics are opened in collaboration with the community and government or/and with univeristy interested. The clinics are staffed with volunteer clinicians coming from all over the world to enhace lives for people with spine disorders. The WSC also foster education for local care givers in spine care at all levels. In a special project the WSC has started the Global Spine Care Initiative with researchers around the world to come up with a resource and implementation model of evidence based spine care sensistive to cultural and traditional aspects of the communities. To do so stakeholders involved in spine care must understand the impact of spine ailments and the prevention of spine disability, education must be based on evidence and must be taught at all levels.
Keynote Forum
Joseph Tan
McMaster University, Canada
Keynote: Mapping the Critical Skills of Community Nursing on a Global Scale: The Nursing Informatics Competency Challenges & Trends
Time : 9
Biography:
Professor Tan specializes in the innovative design, implementation and diffusion of advancing e-technology to improve health services delivery system efficiencies and effectiveness. Serving as Editor-in-Chief of theInternational Journal of Health Information Systems & Informatics, IGI Global (www.igi-global.com), Professor Tan’s research interests cut across multiple disciplines, with emphasis on the application of strategic e-business and e-health models to improve health systems operational efficiencies, individual or group decision effectiveness, and community health behaviours. He teaches health IT project management and special topics in eHealth. His current research focuses on assessing the impact of decision aids and e-learning mechanisms for promoting healthy lifestyles and healthy aging behaviours for chronically ill individuals, groups and populations.
Abstract:
Today, nurses and community health workers (CHWs) are often regarded asrnglobal citizens and community heroes. In the last few decades, with rapidly agingrnpopulations, major destabilization of global economies as well as ongoingrnenvironmental disasters and other unpredictable events such as the Fukushimarnaccident, global climate change impacts, ongoing terrorist activities and warfare,rnthe need for cost-effective and time-efficient community healthcare servicesrnglobally is overwhelming. In an era of smart applications of cell phonerntechnologies and e-health informatics capabilities, governments of manyrncountries will now be looking at the need for a new generation of well-trained andrnengaged nurses and CHWs with e-health informatics competencies to realize thernongoing maintenance of the health and well being of their citizens via securedrnnetworks and infrastructures.rnNot only will e-health informatics competencies provide a significant advantagernover wasteful, poorly coordinated and expensive conventional medicalrnprocedures, but also hold the potential for leveling the playing fields in terms ofrndelivering care where it may be most critically needed, especially for thernunderserved. Understanding the e-health informatics competency challenges andrntrends is therefore a critical step towards identifying the various roles that couldrnor should be played by nurses and CHWs to aid policymakers, vendors,rnphysicians and other health care professionals and/or researchers, and evenrnpatients in this age of the Internet of Things.rnThis talk overviews the prevailing e-health informatics competency challengesrnand trends for practicing community nursing. Starting with the major referencerndisciplines contributing to the evolution of e-health informatics competencies, therntalk will survey current developments, provide insights on new opportunities andrnongoing challenges arising from use of these newer technologies, including thernneed for securing networks and infrastructures. In contrast to the centuries oldrntraditional practice of conventional medicine, the discussion will offer thernaudience important directions and insights related to the next phase research,rndevelopments and practices of community nursing and trends. Among otherrnthings, key challenges include knowledge to translate lean and technology-basedrnthinking into community healthcare practices, envisioning the power andrnconvenience of an interoperable Information and Communication Technologyrn(ICT) infrastructure for e-health and m-health applications, incorporating therndesign of intelligent and appealing interfaces, deploying emerging m-health &rncloud-based strategy, understanding the influence of social media, and debatingrnon the value of digital alerts, monitoring and patient assisted self-carerninterventions.rnWhile identifying the different e-health informatics competencies, challenges andrntrends needed by new generations of nurses and CHWs, I will also attempt tornprovide critical thoughts and lessons gleaned from a few ongoing studiesrnconducted at McMaster University and elsewhere. For example, we are lookingrnat health informatics competencies for paramedical professionals across allrnCanadian Provinces. Finally, the talk will conclude with the observation thatrnregardless of how e-health and m-health technologies evolve, it will still be limitedrnwithin the confines of regulatory policies, sustainable paradigm changes, thernchallenge of interoperability, standards, privacy, security, socio-political, legalrnand ethical concerns.
Keynote Forum
Colleen Kraft
University of Cincinnati, USA
Keynote: Translating Developmental Science into Healthy Lives: Opportunities in Community Nursing
Time : 10:00-10:30
Biography:
Dr. Kraft is the Medical Director of the Health Network by Cincinnati Children’s, and Associate Professor of Pediatrics at the University of Cincinnati School of Medicine. She received her undergraduate degree at Virginia Tech, and MD degree at the Virginia Commonwealth University School of Medicine. Her pediatric residency training was completed at the Medical College of Virginia Hospitals.rnrnDr. Kraft is the co-author of the book Managing Chronic Health Conditions in Child Care and Schools. Her research interests include community-based initiatives to improve child health, innovative health care financing models, and global neonatal mortality reduction. She chairs the National Health in Head Start Advisory Committee at the American Academy of Pediatrics, and is a content expert for Text4Baby.rn
Abstract:
The science of early brain development and the recognition of the effect of social determinants in the life course trajectory of children has revolutionized our understanding of the role of the Family-Centered medical home. This presentation will outline what is behind our understanding of how early childhood medical care should be provided. Discussions on adverse childhood experiences, developmental neuroscience, and translating this science into medical care that empowers parents and caregivers to raise successful children will be highlighted. Changes in the Family-Centered medical home, including community nurses as vital team members, with an emphasis on population health will be discussed.
Keynote Forum
Ijeoma O Ehiemere
University of Nigeria, Nigeria
Keynote: Maternal Health Seeking Behaviour and Pregnancy Outcome in Rural Communities in Enugu State, Southeast Nigeria
Biography:
Ijeoma O. Ehiemere is a Professor of Nursing (Community Health) at the University of Nigeria, Enugu Campus. She is a Fellow of the West African College of Nursing and had previously taught in School of Nursing Bida, Niger state and School of Midwifery Ilorin, Kwara state. She became a Registered Nurse and Midwife in 1975 and 1978 respectively. She holds a B.Sc. (Nursing Education) from the University of Ibadan, M.Sc. (Community Health) from University of Ilorin and Ph.D. from the University of Nigeria, Nsukka. At the University of Nigeria, she has devoted many years of teaching and research in Nursing Sciences and Community Health Nursing at all levels. She pioneered, established and coordinates the Community Health Outreach Programme of the Department of Nursing Sciences at the University of Nigeria and has served as Head of Department of Nursing sciences and Associate Dean of the Faculty of Health Sciences and Technology, University of Nigeria.. She has been the Departmental postgraduate programme coordinator from 2012 to date. Her research interests include Maternal and Child Health (MCH), Adolescent Reproductive Health (ARH) and Care for the elderly. She has authored a book and has published several articles in reputable journals nationally and internationally. She has presented conference papers at different professional fora, enjoys singing, praying and travelling as hobbies and is married with children.
Abstract:
Ante natal clinic attendance by pregnant women and having births attended to by skilled health care providers are still issues of major concern in developing countries including Nigeria. The 2013 Nigeria Demographic and Health Survey noted that only 18% of pregnant women had the first antenatal visit in the first trimester of pregnancy while 34% did not receive any antenatal care. The survey also reported a disparity between urban and rural dwellers in ante natal clinic visit in the first trimester of pregnancy (23% versus 15%). Maternal health seeking behavior during pregnancy has been seen as the way mothers take care of their health and that of the unborn child so that both remain healthy throughout pregnancy. The choice of place of antenatal care and delivery to a large extent influences pregnancy outcomes for both mother and child. Maternal health care services utilization and skilled attendance at delivery are essential for the reduction of the high morbidity and mortality rates associated with pregnancy in developing countries.\r\nPurpose: The aim of the study was to assess maternal health seeking behavior and pregnancy outcome in rural communities in Enugu state.\r\nMethods and Materials: Cross sectional descriptive survey design was adopted for the study. Validated researcher developed questionnaire and observational guide were the instruments used for data collection. Descriptive and inferential (chi – square) statistics were used to analyze data obtained from the study and level of significance was set at 0.05.\r\nResults:\r\nA good number of the respondents 165 (79.7%) booked for ante natal care during the first trimester of pregnancy. Majority of the respondents 193 (93.2%) attended ante natal care in a health facility and only 7(3.4%) did not attend ante natal clinic in a health facility or visited a traditional birth attendant. However, the study revealed that more respondents, (52.2%) attended secondary health facilities, than the primary health facilities in the communities (35.7%). The findings also showed that out of 207 pregnant women studied, 141 (68%) had a health problem associated with their pregnancy and all of them visited a health facility for their health problems but only 42 (20.3%) visited a primary health facility for health problems associated with pregnancy. The pregnancy outcome for the mother was positive as 172 (83%) of the respondents were strong to take care of their babies after delivery while pregnancy outcome for the baby was also good as 175 (84.5%) of the babies cried vigorously after birth though only one baby did not cry at all. The respondents social demographic characteristic (age and educational level) did not significantly influence their health seeking behavior (p>0.05), However, there was a significant association (p<0.05) between pregnancy outcome for baby and place of ante natal care.\r\nConclusion:\r\nBased on the findings of the study, it was concluded that maternal health seeking behavior in the communities studied was good which resulted in positive pregnancy outcomes for most of the respondents and their babies, although primary health facilities were poorly utilized by the respondents in favour of secondary health facilities. It is therefore recommended that primary health care facilities should be strengthened and emphasized and all barriers to their use removed to make them more accessible to pregnant women.\r\n
- Community Nursing
Chair
Joseph Tan
McMaster University
Co-Chair
Belgüzar Kara
Gulhane Military Medical Academy
Session Introduction
Shéri Brynard
Lettie Fouché school, South Africa
Title: The only qualified teacher with Down syndrome in the world
Biography:
Sheri Brynard (33 years old) of South Africa is the only person with Down syndrome (normal Trisomy 21) who is a qualified teacher with a tertiary teacher’s diploma (without any amendments been made to the course), in the world. She is also an international ambassador for all people with Down syndrome. She truly believes that all people have the ability to choose to make the best of their circumstances and she is the living example of that. She is currently an assistant teacher in a Pre-primary school for learners with special needs and she gives motivational speeches all over the world. Sheri tries to change negative perceptions about people with Down syndrome and she is an activist to give all people with Down syndrome the same opportunities they would have had, if they were fully abled. Although she is intellectually disabled and she was brought up in the Afrikaans language, she was determined to learn to speak English to be able to reach more people with her story of hope. She grew up in ‘n middleclass home in a rather small city in South Africa at a time when there were little to no support in the form of therapy, available. Apart from the more than 400 public speeches she has presented in South Africa, she did the opening speech at the previous International Down syndrome Conference in 2012 and she did a key note at the opening day of the International Down syndrome conference again in 2015, in Chennai, India. The day before the conference in India, during the pre-conference, she also delivered a presentation at the Panchayat in India. She was asked to talk the role she plays as an ambassador to DSi (Down syndrome International) and person with Down syndrome in South Africa. In March 2013 Sheri addressed an International Conference on International Down syndrome day held in the headquarters of the United Nations in New York and she spoke at the University of Canterbury in the UK in July 2013.
Abstract:
With this presentation, an Afrikaans speaking woman of 33 will inform the meeting in English how she grew up as a girl with Down syndrome in South Africa. She will explain how her determination to make the best if her situation helped her to cope with her disability and how she, with the help of her parents, handled the preconceived ideas of the people of her time. She will illustrate how a sense of humour and positive outlook on life helped her to achieve against all odds. She made the words and the philosophy of Nelson Mandela “you are the master of your destiny and you are the captain of your soul“, her own life philosophy. She truly believes that one must never focus on what you don’t have, but be proud of who you are. She strongly believes one must work hard to make the best of who you are. Shéri Brynard gives meaning to her life by trying to change people’s perceptions about people with Down syndrome in South Africa and abroad. She also tries to help the so called normal people who listen to her to focus on the positive things in their own lives. The central idea is that anyone has the potential to become a leader in the field where that person can make a difference, if you use every opportunity to the best of your ability. A legacy is cultivated by making the best of your situation, whatever it may be rising above your constraints by striving for excellence and working hard to realise your true potential. A leader inspires others to do the same and does not give up hope, ever. This is what Sheri Brynard did.
Biography:
Professor Oddvar Hollup has a PhD. In Social Anthropology from University of Bergen, Norway dealing with the construction of Ethnic identity among Indians in Mauritius. Presently he is a professor in Social Science at the Faculty of Health and Social Studies, University College of Southeast Norway. Among his recent research interests is the social and cultural construction of the nursing profession in an international perspective. Two articles, concerning recruitment to nursing in Mauritius, have been published in International Journal of Nursing Studies (2012-2014). Now he is working on the changing status of the nursing profession in western India.
Abstract:
Studies of Indian nurses and the nursing profession have emphasized the problems of recruitment from a wider range of social groups within the Indian population other than Christian minorities and lower income groups due to the relatively low status traditionally attributed to nursing in the society. Traditionally the nature of work in nursing carried a low value due to the fact that it was considered a menial work and a ‘polluting’ occupation based on a hierarchical framework of the caste system and its occupational division of labour. Social attitudes towards nursing regarding it as not a very respectable job with low status was related to tasks dealing with unclean substances and bodily work with all sorts of people, doing the service for others and occupying a subordinate role and position in the health services affected the recruitment to nursing adversely turning it into a non-preferred occupational career among the majority of Hindus and Muslims in India. Objective To explore to what extent and in what ways the image of nursing is changing and for whom due to the effects of modernity, increased education, India’s fast growing economy, globalization and employment opportunities in the international health market. To what extent do Hindu women and men in Maharashtra respond to these external conditions and what are the implications for the changing meaning and status of nursing profession. Design and setting This qualitative study is based on semi-structured interviews with 40 nurses, student nurses, and teaching staff working in government and private hospitals, and private nursing colleges in the city of Pune, state of Maharashtra, India. The sample comprises both Hindus from Maharashtra and Christians from Kerala. Results Increased competition in higher education and employment, especially in government service combined with the value of job security has affected recruitment to nursing with a larger portion of local Maharashtrians, including a few males responding to job opportunities abroad. The status of nursing is slowly and gradually improving due to the social mobility that international migration and secure jobs in government hospital represents. Nurses are in high demand both nationally and internationally, increased awareness of what nurses do, better educational qualifications and secure employment opportunities contribute to elevate the status and respect for the nursing profession although it is not evenly distributed but varies between rural and urban contexts, class divisions, types of health services, ideas and values that nursing is embedded within.
Ana Isabel Nogales GarcÃa
Hospital Universitario Infanta SofÃa
Title: Organization and Functions performed by the community nursing in Spain
Biography:
Dr. Nogales received her graduate in Medicine and Surgery at Madrid Autonoma University and her Family and Comunity Medicine residency training was completed at Infanta SofÃa Hospital and V Centenary Health Centre in Madrid. She began his professional career combining general medicine with health care activity in aesthetic medical treatments 17 years ago, but the last 4 years is exclusively dedicated to family and community medicine, publishing several articles on various topics in magazines of the sector. She has wide experience in community work, as well as, in clinical work in hospital.
Abstract:
The community nursing carries out a large number of functions that have been defining and improved as it has evolved the family and community medicine in Spain. It has gone from simple accompaniment of the doctor in consultation by filling in flyers or recipes, to have his own agenda and multiple functions, they are evaluated by how complete plans of care of patients who attend daily both on demand and scheduled, and its function is gaining autonomy and complexity with the creation of the figure of the nurse case manager. To describe every day of a primary nurse can be very varied, a normal day begins with the completion of blood extractions in the laboratory, then go to your inquiry where depending on the patient, must carry out both preventive activities for health, health education and tracking features (nutrition education, diabetes, weight management, blood pressure control ...), vaccination, desensitization allergens etc; to long in the morning may be required, at the request of their medical Associates, for the realization of cures, electrocardiograms, and other complementary tests available. Usually, they end the day with home visits, they attend to elderly patients, terminals or with problems of mobilization which limits them go to the health center. Functions performed continue to define, recently assigned follow-up of hospitalized patients calling to discharge the patient's home to worry about the situation and according to the same take appropriate measures.
Shéri Brynard
Lettie Fouché school, South Africa
Title: The only qualified teacher with Down syndrome in the world
Biography:
Sheri Brynard (33 years old) of South Africa is the only person with Down syndrome (normal Trisomy 21) who is a qualified teacher with a tertiary teacher’s diploma (without any amendments been made to the course), in the world. She is also an international ambassador for all people with Down syndrome. She truly believes that all people have the ability to choose to make the best of their circumstances and she is the living example of that. She is currently an assistant teacher in a Pre-primary school for learners with special needs and she gives motivational speeches all over the world. Sheri tries to change negative perceptions about people with Down syndrome and she is an activist to give all people with Down syndrome the same opportunities they would have had, if they were fully abled. Although she is intellectually disabled and she was brought up in the Afrikaans language, she was determined to learn to speak English to be able to reach more people with her story of hope. She grew up in ‘n middleclass home in a rather small city in South Africa at a time when there were little to no support in the form of therapy, available. Apart from the more than 400 public speeches she has presented in South Africa, she did the opening speech at the previous International Down syndrome Conference in 2012 and she did a key note at the opening day of the International Down syndrome conference again in 2015, in Chennai, India. The day before the conference in India, during the pre-conference, she also delivered a presentation at the Panchayat in India. She was asked to talk the role she plays as an ambassador to DSi (Down syndrome International) and person with Down syndrome in South Africa. In March 2013 Sheri addressed an International Conference on International Down syndrome day held in the headquarters of the United Nations in New York and she spoke at the University of Canterbury in the UK in July 2013.
Abstract:
With this presentation, an Afrikaans speaking woman of 33 will inform the meeting in English how she grew up as a girl with Down syndrome in South Africa. She will explain how her determination to make the best if her situation helped her to cope with her disability and how she, with the help of her parents, handled the preconceived ideas of the people of her time. She will illustrate how a sense of humour and positive outlook on life helped her to achieve against all odds. She made the words and the philosophy of Nelson Mandela “you are the master of your destiny and you are the captain of your soul“, her own life philosophy. She truly believes that one must never focus on what you don’t have, but be proud of who you are. She strongly believes one must work hard to make the best of who you are. Shéri Brynard gives meaning to her life by trying to change people’s perceptions about people with Down syndrome in South Africa and abroad. She also tries to help the so called normal people who listen to her to focus on the positive things in their own lives. The central idea is that anyone has the potential to become a leader in the field where that person can make a difference, if you use every opportunity to the best of your ability. A legacy is cultivated by making the best of your situation, whatever it may be rising above your constraints by striving for excellence and working hard to realise your true potential. A leader inspires others to do the same and does not give up hope, ever. This is what Sheri Brynard did.
Tal Granot
Davidoff Cancer Institute, Israel
Title: Lifelong learning among community and oncology nurses – A cross sectional study
Biography:
Tal Granot – Professional Biography A academic Education • 2014 Master in nursing • 1994-1989 Master of Philosophy • 1986-1989 Baccalaureate in philosophy Current work place: • 2005 - Nurse of the Breast cancer ambulatory unit, institute of oncology, Davidoff center, Rabin medical center, Israel • Main issues: guide women before and after chemotherapy, manage oral chemotherapy clinic, coordinate during crisis issues, and promote learning and research among nurses in the oncology center. Relevant Clinical, educational and administrative experience • 2013- Senior partner in the IONS for oral therapy nursing care. • 2011-Senior partner in national committee regarding job development of expertise oncology nurses in the ambulatory setting. • 2010- Senior partner at the process of clinical safety standards guidelines development in Davidoff cancer center
Abstract:
Background: Rapid changes and development of the health care system evoke the necessitation of professional health caregiver to always be updated. At 2011 the IOM and other nursing institutes performed a statement, that continuing learning among nurses is an imperative category. Literature review regarding nurses' habits and motivation for self updating and continuing learning, are few and sometimes even contradict. Aim: The aim of this study was to determine the importance and responsibility that community and oncology nurses relate to self learning during their daily work. Tools and Method: A cross sectional study. Research population was nurses from cancer center and from the community. The questioner had 2 parts: demographic (13 items) and learning (10 items). Most items based on 5 degree Likert scale. Results: SPSS version 21 used for findings analyze. Cronbach's Alpha was 0.728, and Chi2 test used for group differences analyzed. 72 responders answered the questioner (66%). Average age was 42.8, 87.5% women, 67.3% among oncology center and 75% among community nurses had advance course, 70% and 82.7% (respectively) had an academic degree. 91% of all responders believe that they have the responsibility for self updating and 94% believe that they have the appropriate skills for that, but only 64.8% said they read more than 3 articles at the past year and 45% reported that they turn to electronic library by self initiative rarely. Only 18% reported about often turning to electronic library and not even one as routine. At multi variance analyze there was significant negative correlation between those of 100% hours Vs. partial regard to self learning habits like reading articles, and participant at conferences or courses. No correlation was found between academic degree or advance course and self learning among all participants. Conclusions: Although 79.2% of responders had academic degree, and most of them believe they are responsible for their continuing learning, this study didn't reveal any evidence for academic studies as contributing factor for continuing learning among nurses. These study findings are not differing from some other studies, and its raise a huge question regard to nurses education and motivation for self update as professional caregivers.
Mari Prinsloo
University of the Free State, South Africa
Title: Experiences of parents regarding a school-readiness intervention for pre-school children facilitated by Community Health Nursing students
Biography:
Mari Prinsloo has completed her Master's degree from the University of the Free State, School of Nursing, South Africa. She is a lecturer in Community Health as well as Primary Health Care for post basic as well as under graduate students. She has been involved in different service learning projects for the past 7 years.
Abstract:
A school-readiness intervention, facilitated by Community Health Nursing (CHN) students, was conducted as an effort to provide parents with the skills to contribute towards their preschool children’s early childhood development. The purpose of this study was to understand the experiences of parents regarding this school-readiness intervention. The research followed a qualitative, descriptive, exploratory design. Focus group interviews gave the parents the opportunity to share their experiences of the school-readiness intervention. The data of the pilot interview as well as of the three focus groups interviews were analysed according to guidelines set by Creswell (2009). Experiences of the parents were categorized into: emotional-, awareness-, and impact experiences. The category on emotional experiences was divided into five themes: fear, pride, trust, gratitude and relief. Awareness as category had two themes, namely difficulties and responsibilities. Awareness was further divided in sub-themes: discipline, challenging behaviors and parental involvement. The category impact was divided into themes describing the skills of the participants as well as the development noticed in the child. Development was divided into sub-themes of cognitive as well as social and emotional development. When CHN students engage with communities through service learning, a school-readiness intervention may serve as a powerful tool to provide parents with the support that is needed to empower them with the skills to contribute towards their children’s early childhood development. It may improve the parent–child relationship which is critical in the development of children.
Ijeoma O. Ehiemere
University of Nigeria, Nigeria
Title: Health and social challenges of street children in Enugu urban, southeast, Nigeria
Biography:
Ijeoma O. Ehiemere is a Professor of Nursing (Community Health) at the University of Nigeria, Enugu Campus. She is a Fellow of the West African College of Nursing and had previously taught in School of Nursing Bida, Niger state and School of Midwifery Ilorin, Kwara state. She became a Registered Nurse and Midwife in 1975 and 1978 respectively. She holds a B.Sc. (Nursing Education) from the University of Ibadan, M.Sc. (Community Health) from University of Ilorin and Ph.D. from the University of Nigeria, Nsukka. At the University of Nigeria, she has devoted many years of teaching and research in Nursing Sciences and Community Health Nursing at all levels. She pioneered, established and coordinates the Community Health Outreach Programme of the Department of Nursing Sciences at the University of Nigeria and has served as Head of Department of Nursing sciences and Associate Dean of the Faculty of Health Sciences and Technology, University of Nigeria.. She has been the Departmental postgraduate programme coordinator from 2012 to date. Her research interests include Maternal and Child Health (MCH), Adolescent Reproductive Health (ARH) and Care for the elderly. She has authored a book and has published several articles in reputable journals nationally and internationally. She has presented conference papers at different professional fora, enjoys singing, praying and traveling as hobbies and is married with children.
Abstract:
Background Street children phenomenon is global, alarming, escalating and becoming public health concern especially in developing countries including Nigeria. In Enugu urban, it is common to see children left to loiter, hawking or doing some menial tasks with or without consent of parents or guardians with the attendant challenges. This poses a serious future problem if these children are not studied, harnessed by planning appropriate intervention programme. Purpose The aim of the study was to assess health and social challenges of street children in Enugu Urban, Enugu State, South east, Nigeria Methods and Materials: A cross sectional survey design was used for the study. Due to the transitory nature of street children, convenience sampling technique was used to select 384 study subjects. A validated structured interviewer administered questionnaire was used for data collection. Data was analyzed with the aid of SPSS version 20. P-values< 0.05 were considered significant association. Results: Out of 384 subjects studied, 220 (58.4%)were males with a mean age of 12 years. Majority of the subjects 350 (87.8%) were Christians. About half of the study participants live with both parents while only (12.2%) live with friends or guardians. The main reason for being in the street was to augment family income (62.8%). Major health challenges experienced by the participants included cough (75.9%), headaches (75.6%) body pains (71.9%) and body weakness (65.8%). The major social challenges were hunger (69.5%), verbal abuse (62.3%), harsh weather (63.2%) and dropping out of school (46.9%). Tiredness, wound and bruises were significantly associated with gender(males). The study concluded that economic hardship of parents/guardians was the major cause of street children phenomenon in Enugu urban Enugu State. It is therefore recommended that empowering parents with soft loan to enable them engage in agriculture or trading will help in ameliorating the financial hardship experienced by parents. Also providing basic skill acquisition centers for mothers to improve their economic power will contribute to the reduction of the increasing street children in Enugu urban.
Christina Aggar
The University of Sydney, Australia
Title: Development, Implementation, and Evaluation of a Transition to Professional Practice Program for New Graduate Registered Nurses in Community Healthcare
Biography:
Dr Christina Aggar has been a registered nurse since 1986, with clinical experience in aged care, palliative care, rehabilitation and community health. She completed a Bachelor of Nursing with Honours Class 1 in 2007, a PhD in 2012 and a Graduate Certificate Education Studies (Higher Education) in 2013 at the University of Sydney. Christina joined Sydney Nursing School as a lecturer in 2011, during this time she has held the Academic Advisor for the Bachelor of Nursing (AS) program and in 2015 coordinated the new Master of Primary Health Care Nursing Program. She currently is the Coordinator of the Bachelor of Nursing (AS) program.
Abstract:
Australia has an increasing nursing workforce shortage in community healthcare and there is a growing need to attract nurses to work in this area. Promoting community nursing as a credible career choice is one way of increasing the number of registered nurses working in the area. New graduate registered nurses in Australia have not had opportunities to transition directly from university into community settings, principally because programs to support this do not widely exist. In 2016, a 12-month pilot transition support program in Australia for new graduate registered nurses into community healthcare has been implemented. The program includes preceptorship, education, and support from a program coordinator. This pilot program is the first of its kind in Australia. The pimary objective of this study is to evaluate the new graduate nurses’ intention to stay in the community nursing workforce upon completion of this program. Secondary objectives include the determination of the necessary community nursing skill set for registered nurses; determination of the cost of the community transition program; and to explore the sustainability of the community transition program. The study is a quasi-experiment, mixed-methods, exploratory design. New graduate nurses in the community transition program will be compared to a cohort of new graudate nurses in acute-care transition programs. Data will be collected at 6 months, 12 months, and 18 months (follow-up). New graduate nurses, their preceptors, unit managers, nurse educators, and the community transition program coordinator will complete questionnaires and/or semi-structured interviews. Preliminary results will be presented.
Ma Antonette
University of the Philippines, Philippines,
Title: Roles and Impact of Nurses in Promoting Medication Adherence of Patients Under the TB-DOTS Program in District V, Manila
Biography:
The authors are fresh graduate student nurses from the University of the Philippines Manila who had an undergraduate research under the guidance of their professors: Professor Vanessa Manila-Maderal MA-HPS, RN and Dr. Cora A. Anonuevo, PhD, RN.
Abstract:
Through the National Tuberculosis Program (NTP), TB-DOTS reached and sustained 100% nationwide coverage, achieving the global target for detection of new cases. NTP Manual of Procedures (MOP) enlists functions of health workers in TB-DOTS. PURPOSE: To determine the actual roles and activities of nurses in promoting medication adherence of patients under the TB-DOTS Program in District V, Manila. METHODS: The study employed a descriptive exploratory design to gather baseline data on the actual roles and activities of nurses in promoting medication adherence. Eleven TB nurses were profiled and surveyed using a questionnaire drafted from the 2005 NTP MOP, 29 former TB patients (cured) were interviewed and a cohort of 723 TB case records were tabulated to determine the cure rate, treatment completion rate, and relapse rate for District V Manila. Descriptive statistics, content analysis, and data triangulation were performed and further analyzed using Williams et.al’s Self-Determination Model of Medication Adherence (1998). A pool of experts on TB-DOTS and health policies were consulted. RESULTS: The current treatment success rate of 73% (n=600) in District V Manila did not meet the target National Treatment Success Rate of 90%. The computed cure rate is 26.55% (n=192), relapse rate of 1.24% (n=9), treatment completion rate of 56.43%. CONCLUSION: The roles and activities of nurses related to patients’ adherence to TB medications were deemed essential towards better TB patient outcomes. The study recommends further training of nurses for them to improve in carrying out the TB treatment regimen to improve patient adherence.
Mandefro Asfaw
Borena Zone Health Department, Ethiopia
Title: Prevalence of under nutrition and associated factors among children Aged between 6-59 months in Bule Hora district, South Ethiopia.
Biography:
I have Masters of Public Health in Epidemiology from Jimma University and Degree of Bachelor of Science in Environmental Health from Gondar College of Medical and Health Science. I have worked in different parts of Ethiopia at different rural districts on different programs such as Water, Sanitation and Hygiene (WASH) Officer, Community Based Nutrition Focal Person, Public Health Emergency Management officer on Integrated Disease surveillance. I also took part on Maternal Death Surveillance and Response (MDSR) health survey and health research activities.
Abstract:
Malnutrition among children is a major public health problem in developing countries including Ethiopia. More than half of deaths during the first five years of life are attributed to under nutrition. To alleviate this problem, it is necessary to determine the nature, magnitude and determinants of undernutrition. Therefore, this study attempted to assess magnitude and factors associated with undernutrition in children 6-59 months of age in agro pastoral community of Bule Hora District, South Ethiopia. A community based cross-sectional study design was used to assess the magnitude and factors associated with undernutrition in children between 6-59 months. A structured questionnaire was used to collect data from 796 children of age 6-59 months. Anthropometric measurements and determinant factors were collected. WHO Anthro version 3.2.2 and SPSS version 16.0 statistical software were used for analysis. Degree of association between dependent and independent variables was assessed using OR and 95% CI. Among study participants, 47.6%, 29.2% and 13.4 % of them were stunted, underweight, and wasted respectively. Presence of diarrhea, male sex, uneducated fathers and > 4 children ever born to a mother were significantly associated with underweight. Presence of diarrhea, male sex, pre–lacteal feeding and not using family planning methods by mother were significantly associated with stunting. Similarly, presence of diarrhea, age at which additional food was given and not using family planning methods of mother were predictors of wasting. Under nutrition is very common in under-five children of Bule Hora district. Morbidity like diarrhea was determinants of all form of Protein energy malnutrition. Family planning utilization of status was one determent factor of stunting and underweight. Feeding practices were also related to undernutrition. Thus intervention and prevention strategies of macronutrient undernutrition should focus on these important determinants.
Tonia Crawford
Macquarie University, NSW, Australia.
Title: Tracing the development of rapport in intercultural nurse-patient interactions using discourse analysis
Biography:
Tonia Crawford has worked as a registered nurse since 1988, including 10 years in community nursing with particular interest in wound management. She developed an interest in education and this has ultimately led to teaching undergraduate nurses since 2007. She is currently a lecturer in the Faculty of Nursing, University of Sydney, Australia. Tonia also has an interest in teaching English as a second/other language (ESL), designing and implementing Academic English support workshops. She is currently completing her PhD exploring communication between RNs from culturally and linguistically diverse backgrounds and their patients through the Linguistics Department, Macquarie University, NSW, Australia.
Abstract:
Good nursing practice is underpinned by effective communication. Communicative competence is required to build trusting relationships and the ability to accommodate, empathise and affiliate with patients (Candlin, 1995). There have been growing concerns from employers, regulatory agencies, as well as nurses themselves, regarding the English language and clinical communication skills of nurses from culturally and linguistically diverse (CALD) backgrounds (Chiang & Crickmore, 2009; Shen et al., 2012). Achieving English language proficiency and adapting to social and cultural aspects of their new country has been more difficult than previously recognised (Lum, Dowedoff, Bradley, Kerekes, & Valeo, 2015), however research has found that over time, CALD RNs adjust and develop communicative competence (Crawford, Roger & Candlin, in press). Examining communication using discourse analysis (DA) informed by linguistic frameworks add a different perspective to our understanding of communication processes in nursing. DA examines the practical aspects of communication: for example, speakers’ choices of vocabulary, grammar, intonation, how interactions are sequenced and how the content at each turn of talk is managed. This presentation will provide excerpts of naturally occurring interactions between registered nurses from CALD backgrounds and their patients. The development of rapport will be explained through the use of various strategies and linguistic features. By discussing and reflecting on discourse analytical findings, nurses can become more aware of communication strategies, and translate these understandings and skills into practice. This awareness can also be used to support nurses from CALD backgrounds who are developing English skills by expanding their repertoire of communicative resources, therefore helping to build rapport, patient satisfaction and safety.
Nidal Yazbek
King Faisal Specialist Hospital and Research Center Riyadh, Saudi Arabia
Title: Nursing Education Coordinator fot Critical Care Division( Adult ICUS, Emergency Roon, Pediatric ICU in King Faisal Specialist Hospital and Research Center Riyadh
Biography:
Nidal Yazbek is the Education Coordinator in King Faisal Specialist Hospital and Research Center Riyadh, Saudi Arabia
Abstract:
The overall program objectives • Provide the critical care Nurses with skills and competencies required to provide safe and competent care and to update and improve knowledge and skills • Encourage just in time teaching • Assess, Identify and address education needs in the critical care areas • Improve and sustain the Critical Care quality indicators • Support the magnet model components and especially the structural empowerment model which was supported to the maximum by optimizing the professional development of our staff as was evidenced by assessing direct teaching creating an Education action plan for each individual nurse on each unit, increasing the number of courses, symposia and workshops available for our staff. • Supporting the JCIA Accreditation requirement: Development of a continuous Education Strategic Plan – Education Data- individual Education tracing….. The program will be delivered and supervised by the Education Coordinator and Clinical Instructor of the Critical care units in collaboration with the Head Nurses Program directors of the units. At the end of each month a report will be sent to the following persons for information and to take action; • Program Director • Program Director • Program Director • Program Director • Clinical Instructors of the units • Head Nurses of the units The 7 parts of the Education plan are the following: 1) Individual Education Assessment plus Individual Education Plan. 2) NDNQI Bundles and Medication Marathon. 3) Skills Marathon. 4)Critical Care Course. 5) Special Courses eg Triage, Hemodynamic and CRRT. 6) Specified skills training weeks during the same time as the Critical Care Course, eg Respiratory Week, Cardiac Week…. 7) Preceptor Course for Critical care based on our assessments.
Tosin Popoola
University of KwaZulu-Natal, South Africa
Title: Older AIDS orphans and the distant approach of extended families: A phenomenological study
Biography:
Tosin Popoola is a PhD student at the University of KwaZulu-Natal School of Nursing and Public Health, South Africa. He completed his Master’s degree in Nursing Research with a Cum Laude and has published three articles from his master’s dissertation. He has presented papers at local and international conferences and his areas of interests are children and adolescents health, HIV and AIDS, qualitative research methodologies and ethics. He is a reviewer for a number of reputatble international journals.
Abstract:
Despite that antiretroviral therapy (ART) is positively changing the prognosis of HIV infection, the absence of cure means that the world will still experience an increasing number of AIDS orphans in the coming years due to the time lag of HIV infection. Although there is intense advocacy for keeping the child in the family for improved developmental and psychosocial outcomes, this is not always achievable, especially in regions that have been severely affected by HIV, such as Sub-Saharan Africa. The study utilized a descriptive phenomenological approach to explore the experiences and needs of six unsupported AIDS-orphaned youth in Wannune, Nigeria. The participants, who were between the ages of 18-24, were interviewed using a semi-structured interview guide, and the transcribed interviews were analyzed using Colaizzi’s method of phenomenological analysis. The study participants prematurely assumed adult roles due to loss of their parents to AIDS and discussed the distant approach of extended family members in relation to their care. The distant approach of the extended families, consequently, constitutes an additional stressor to orphans’ psychosocial wellbeing due to resulting feelings of anger and neglect. The findings suggest that AIDS orphans without love and support from significant others are at an additional disadvantage for poorer psychosocial outcomes. The study recommends that health professionals work closely with AIDS orphans, who are taking up adult roles, to co-conceptualize their individual definition of family, so that their care can be sensitively and appropriately situated.
L. Makhado
North West University, South Africa
Title: Impact of integrated tuberculosis/human immunodeficiency virus (TB/HIV) services in Africa
Biography:
Dr Lufuno Makhado has completed his PhD at the age of 32 years from North-West University. He is the Faculty In the department of Nursing Sciences, at the North-West University (Mafikeng Campus). He has published 3 papers in reputed journals and has been serving as a reviewer in South african and international journals.
Abstract:
The human immunodeficiency virus (HIV) pandemic presents a significant challenge to global tuberculosis (TB) control. Worldwide, TB is the most opportunistic infection affecting HIV positive individuals, and it remains the most common cause of death in patients with AIDS. To address the dual burden of TB/HIV, World Health Organization (WHO) developed guidelines promoting the collaboration of the two programmes to achieve holistic patient care. However, in most African countries this policy is often not implemented at the level of patient care contributing to delayed diagnosis and linkage to care. In Africa, the control of TB/HIV a co-infection remains a major challenge despite the availability of international guidelines of TB/HIV services. Hence this study seeks to systematically review the impact of TB/HIV collaborative services in Africa. In order to identify relevant studies, electronic database: Pubmed, Embase, CIHNAL and Sabinet were searched from 2005 to end of august 2013. The general search structure for electronic databases was (impact of or synonyms) AND (collaborat* or integrat*) AND (TB/HIV or TB-HIV or TB and HIV) AND (services) AND (Africa). Further studies were identified by citations in retrieved papers and by consultation with experts. The level of integration seems to vary according to country and facility. It was evident that the impact of TB/HIV integration is somewhat difficult to rigorously measure; hence rigorous evaluative studies are needed to measure the impact of TB/HIV integration. This is due to different models of integration employed in different facilities and countries in Africa.
Biography:
Eunice Ifeyinwa holds a PhD from Nnamdi Azikiwe University, Awka, Nigeria. She is; a senior lecturer in the Department of Nursing Sciences, University of Nigeria, Enugu Campus, Nigeria, a fellow of West African college of Nursing and of the Community Health faculty. She is currently the coordinator graduate and post graduate students’ community maternal and child health field trips/learning experiences and for the West African College of Nursing organized Human Resources Management: Skills Acquisition Program. She has published eight journal articles, one basic nursing textbook and a module for the National Open University of Nigeria.
Abstract:
A woman’s health – related practices during pregnancy can significantly influence her health and that of her fetus. Some of the antenatal care practices in developing countries particularly in low resource rural communities may be impacting negatively on the health and wellbeing of the mother and fetus. There is need to delineate these practices so that health education programs, when planned, will be apt and appropriately directed. The study explored how pregnant women in a rural community in Enugu state, Southeast Nigeria, manage their pregnancy and the associated minor disorders. The exploratory qualitative design was adopted. One hundred and ten pregnant women were purposively drawn through convenience sampling and engaged in ten focused group discussions. The audio-taped information was transcribed, coded and emerging concepts were categorized and four themes emerged. Many participants accessed antenatal care from traditional birth attendants; they registered in the first trimester not because of perceived benefits but because of illness. Food taboos prevented the consumption of some cheap sources of protein, carbohydrate and iron and home remedies were used for treatment of minor disorders of pregnancy. The management of pregnancy by unskilled and uncertified health care providers may result in non detection of early signs of risk factors and in poor management that may be detrimental to both the mother and the fetus. Thus antenatal care practices may be contributing to the continuing high maternal and fetal morbidity and mortality seen in Nigeria. Education on the appropriate antenatal care practices will help to reverse this trend.
Thitaporn Keinwong
The Univrsity of Newcastle, Australia
Title: Health Care Providers’ Perceptions about Health promotion and learning exprinces of Thai Older Adults with Hypertension
Biography:
Thitaporn has completed her Master degree with health promotion at the age of 26 years from Srinakarintharawirot University, Thailand and curently she is studying PhD in nursing at the University of Newcastle, Australia. She is work as nursing lecturer at Suandusit Univrsity, Thailand.
Abstract:
Older adults exhibit a learning style that is different to other age groups. Facilitating supportive learning experiences for older adults with chronic illness is a key element of health education. Health care providers play a crucial role in health education of older adults with chronic illness.This study explored HCPs’ perceptions about their practices, and policies regarding health education for Thai older adults with hypertension. Five medical practitioners and eight registered nurses from five community primary care units, withinThailand were interviewed. The interviews were conducted using semi-structured questions based on World Health Organisation’s health promotion framework (2012) and best practice recommendations for the education of older adults. The data were analysed using the five steps of the Morse and Field’s (1995) process of content analysis. Currently data analysis is underway to reveal the factors that influence health education of Thai older adults with hypertension. Preliminary analysis suggests that the medical practitioners and nurses conduct health education differently. Nurses are more likely to adapt their practices to suit the older adult’s capabilities while the medical practitioners follow recommended general guidelines for education of adults with hypertension. Understanding the factors that influence the health education of Thai older adults with hypertension will lead to better provision of health promotion for older adults.
Susette Brynard
University of the Free State, South Africa
Title: The role of parents in educating learners with Down syndrome successfully: a narrative journey
Biography:
Susette Brynard is currently a lecturer in Education Management at the University Free State, South Africa. Previously she was Head of the Department Natural Sciences, Bloemfontein College of Education. She was born in South Africa and graduated at the University Free State to receive a B. Sc.-degree. While lecturing Biology at an Education College she commenced her studies at the University of the Free State, where she received the B Ed (honors) and M Ed Degrees Cum Laude and then her Ph.D. She received numerous awards during her studies and published two papers on the Education and development of Down syndrome learners. She has been involved in creating opportunities for Down syndrome children and provided support for parents and families with Down syndrome children for many years. She is doing ground-breaking work on the role of parents in the education of Down syndrome learners.
Abstract:
The aim of the paper is to illustrate the important role that parents can play in the education of learners with Down syndrome (DS). A literature review was done to obtain background information on the concept DS and on the history and possibilities of education for learners with DS, as well as on the role of the parent in the education of learners with DS. A qualitative case study, focusing on the narrative approach was implemented to illustrate the management of the educational opportunities and thus, the self-fulfillment of all learners with DS. The educational history of an academically successful girl with DS was followed in order to establish what lay behind her success. From the findings it can be deduced that parents and educators should collaborate to enhance the educational opportunities of learners with DS. The contribution this paper makes is to convey to educators and parents the important role they can play in the advancement of the education of learners with DS, as a possible way to give these learners a better chance to live a meaningful life. The assumption is that if learners with DS receive optimal stimulation and encouragement from their parents and teachers in collaboration with one another, from an early age, their educational skills and self-fulfillment will benefit to a large extent. This will improve their opportunities to become valued human beings.
Joanne Chia
GeriCare@North, Alexandra Health System, Singapore
Title: Advance care planning in nursing homes in Singapore
Biography:
Joanne has a degree in nursing and obtained her Masters in Public Health (majoring in Management of Health Systems) from the University of Liverpool. She started working as a nurse in the cardiothoracic intensive unit, and then as a flying nurse performing medical evacuations worldwide. Eventually she was headhunted to start up a medical evacuation company before joining a medical informatics group to develop electronic medical records. She decided to specialize in public health after working overseas for non-government organizations and the World Health Organization. Joanne recently moved back to Singapore 2 years ago to manage GeriCare@North.
Abstract:
Nursing home residents are admitted to hospitals for treatments that are often distressing and futile. Lack of discussions on end-of-life care and preferred setting of death can lead to unnecessary hospitalizations. This causes more confusion to the elderly, with the elderly dying in hospitals or returning in worse condition than before they were admitted. GeriCare@North program is a partnership between an acute hospital and 8 nursing homes in Singapore working together to enhance the quality of life for nursing home residents by upskilling the nurses in geriatric and palliative care. As part of palliative care, we started training nursing home staff in advance care planning (ACP) in 2014. To date, GeriCare@North has trained staff in 8 nursing homes to carry out ACP discussions with their nursing home residents. The nursing homes are now leading their own ACP discussions. From September 2014 to December 2015, there were 50 deaths with completed ACP. 82 percent of these residents with ACP were able to pass away in the settings of their wishes. While ACP is still in its infancy in Singapore and has yet to gain a firm foothold, initial results show that ACP has an impact on the place of death. With growing awareness and acceptance, ACP can give nursing home residents control over how they would like to be cared for right to the very end.
Davina Houghton
Curtin University, Australia
Title: An Exploratory Study of Aspects Related to Current Inpatient and Nurse-Led Clinic Management of Idiopathic Childhood Constipation
Biography:
Davina completed her MSc in 2013 aged 52 from Curtin University in Perth Western Australia, and this is her first published paper. She is currently a Registered Children’s Nurse working on a general medical and surgical paediatric ward. She is preparing to undertake her PhD and hopes to being this new venture within the next two years.
Abstract:
Evidence relating to the viability and cost-effectiveness of Nurse-led clinics in managing idiopathic childhood constipation will be presented and discussed. A research project reviewed current hospital management, and comprised a: • retrospective audit of medical notes for previous two years (Phase 1), that showed 103 children admitted for 597 days, cost $611,925 (minimum), 29 (21%) and 18 (13%) cases received verbal and written health education respectively, and (excluding General Practitioners) multidisciplinary collaboration occurred in only two cases; and • small-scale prospective survey of parents/carers (n=14) (Phase 2) that showed only two received verbal and two received written health education Idiopathic childhood constipation is a costly, complex, multi-factorial and prevalent condition, requiring early recognition and aggressive treatment to prevent chronicity. The comprehensive literature review demonstrates that the family-centred health education, ongoing and consistent support, and multidisciplinary collaboration undertaken by community-based Nurse-led clinics make them viable in terms of benefits relating to significant improvements in managing idiopathic childhood constipation.