Day :
- 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.
- Transcultural Nursing
Chair
Rania Hosny Tomerak
Cairo University, Egypt
Co-Chair
Eunice Nwonu,
University of Nigeria, Nigeria
Session Introduction
Moipone Tlapu
Sefako Makgatho Health Science University, South Africa
Title: Emperical Data: Analysis Of Challenges Experienced By Home Based Care Givers In A Commmunity: North West Province
Biography:
I have 14 years’ experience in nursing education institutions in management echelon as wel as international expert. I previously worked as a manager (Vice principal and later Principal of Mmabatho college of Nursing) in academic institution as well a leader of a union at National and Provincial level. I also worked in Lesotho- SADC to strengthen management capacity on Human resource and training issues as well as Nursing education programme and curriculum development. I worked with international NGO such as HSS-Project Finland and MCA (USA) and SHT (South Africa) Other NGO supported are PEPFAR; USAID; NEPI; IRISH AID and Japhiego. I worked in Lesotho as an expert and consultant in education and training; focusing in areas such as curriculum development in collaboration with CHE and Lesotho Nursing Council. I have coached and mentored more than 200 professionals and executive managers. I have Masters in Business Administration (MBA) at North West University specialising in Human Resource management; labour and industrial relation; strategic HR; performance and design; management of transformation. In 2013 I completed an ADVANCED MANAGEMENT PROGRAMME –distinction with YALE UNIVERSITY/ FPD which covered; Health services in RSA; action research; project management; organisation; development; monitoring and evaluation; information management; donor and human mobilisation; proposal; writing; leadership and management marketing strategy. I am an expert teaching, coordinating Advanced Psychiatric science, including community psychiatric nursing, Advanced Health services Management, research methodology, Nursing dynamics at Sefako Makgatho Health Sciences University.
Abstract:
Background: Home based care is the services rendered to the community by home based care givers in all provinces. They are based under most non-governmental organisations (South Africa, 2005:6). The Informal caregivers assist with the care to be rendered by health care professionals in different health institutions. Furthermore they conduct door to door campaigns in a variety of houses to detect defaulters and submit the report to the health centres for continuation of treatment (Motswasele & Peu, 2008). Research problem: Most of the home care givers are from a disadvantaged background. In their endeavour to assist the needy patients, they are also experiencing some challenges such as transport, financial, negative family behaviour and patients’ problems. However in a study by (Kathryne, Higuchi, Hallberg, Kristenssen and Terprista, 2012:225) reflected that there should be a supportive programme for volunteers including a stipend in order to assist them. Aims and objectives: The aim of this study is to explore and describe the experiences of informal caregivers in home-based care, in in the North West Province Research question(s) and hypotheses: What are the experiences of home based care givers in home-based care, in in the North West Province Research design: Qualitative, exploratory and descriptive designs were used. Analysis of challenges experienced by home based care givers were explored and described. Population(s), sampling and sample size(s): The population in this study consisted of caregivers who visited patients in their homes in North West Province. The inclusion criteria for this population were informal caregivers conducting home visits, and consenting to participate in this study. Research design: Qualitative, descriptive, explorative and contextual. Data gathering: Through qualitative interviews, mutual trust relationships were achieved .The interviews were audiotaped and transcribed. Cross checking of each transcript for quality assurance was conducted. Transcripts were translated into English before data analysis. Data analysis: Tesch’s Qualitative method of data analysis was used to analyse the data. The experiences of home based caregivers were related to antagonism and stigma were also emphasised. Main findings: The Participants raised the issue of the necessity of the support of the family, community and clinic during home-based care. It was recommended that this support group should assist families in dealing with stigma and discrimination. Unique contribution: Government should provide services for developing and empowering informal caregivers in home-based CARE including better salaries. The other support programme cited was extensive training skills and knowledge for volunteers as well as nurses by acquiring points after being motivated by health workers.
Tessa Gukelberger
Durban University of Technology, South Africa
Title: The aim of this study was to determine the demographic, clinical, radiographic and management profile of patients with scoliosis presenting to King Dinuzulu Hospital’s Spinal Unit from 2008-2012
Biography:
Dr Tessa Gukelberger trained and qualified with a Masters degree in chiropractic at the Durban University of Technology. She completed her Masters dissertation on the presentation and causes of scoliosis in the public health setting of King Dinuzulu hospital. During her time as a student, her passion for the profession and for travel motivated her to join the University’s Chapter of the World Congress of Chiropractic Students (WCCS), which she later became the president of. This afforded her the opportunity to travel to several WCCS AGMs around the world and to experience the great diversity this wonderful profession has to offer. She now hopes to use chiropractic to serve people from all walks of life.
Abstract:
Scoliosis is defined as a lateral deformity of the spinal column that can be caused by a multitude of conditions. Currently, little is known about the radiographic and clinical profile and sex preponderance of scoliosis (other than the idiopathic form) in a public health setting in South Africa. Aim: The aim of this study was to determine the demographic, clinical, radiographic and management profile of patients with scoliosis presenting to King Dinuzulu Hospital’s Spinal Unit from 2008-2012. Method: Patient records from the Spinal Unit at King Dinuzulu Hospital were retrospectively analysed from the period 2008-2012 for demographic, clinical, radiographic and management data. The Pearson chi-square and Fisher’s exact tests were used to determine the associations among the demographic, clinical, radiographic and management data.
: Beverley Laura Beute
South African Military Health Service, South Africa
Title: A practical demonstration of an occupational medical surveillance program process as performed in a military setting
Biography:
Beverley holds diploma’s in General Nursing, Midwifery, Post Graduate Diploma in Psychiatry. Beverley was a practicing midwife at 2 Military Hospital for 7 years whereafter she branched out into Occupational Health Nursing in 1998. In 1999 she completed her certificate in Occupational Health Nursing at Stellenbosch University, followed by a certificate in screening audiometry in 2000. In 2003 completed a B Tech degree in Management, Research and advanced Occupational Health Nursing. In September 2002, Beverley then civilian, presented two papers at an International Military Conference held at Sun City, of which one of the papers was published in an International Forces journal, December 2004. Beverley joined the Military as a civilian nurse in 1988 and in June 2003 militarized and on completion of the required military courses became the SO1 Occupational Health Nursing manager in March 2012 having acted in this capacity since 2006.
Abstract:
The Occupational Health and Safety Act No130 of 1993 was legislated in South Africa in 1993. The South African Military Health Service established five Regional Occupational Health & Safety Centres covering the South African Military Community to comply with the implementation of this legislation. The Western Cape Regional Occupational Health & Safety Centre was established in October 1993. The staffing comprises of Occupational Medicine, Occupational Hygiene and Occupational Health Nursing. Sound policy was established and forms the basis of occupational health monitoring activites performed. The responsibility is for the employer to indicate by means of an annual risk assessment, workers risk to exposure albeit physical, chemical, biological, ergonomical, psycho-social. from which an occupational medical surveillance program is designed indicating to the employer risk to exposure and risk to adverse health effects of workers in the workplace. The success of a small grouping of health care professionals providing a service is a matrix model of applied activities totally integrated in an Occupational Medical Surveillance program. The outcome of such a program is to demonstrate to the employer fitness to work, safety compromise, work and non work related health effects impacting on the employer, occupational disease notification procedures and ill health incapacity management. With limited resources HCP’s are able to perform health care activities, which reflects on a health care infomatics system which is used to measure performance based on an annual activity plan. This information is ultimately indicated in the medium term strategic framework and medium term expenditure framework for the allocation of resources.
- Community Health Rural Nursing
Session Introduction
Helen Uche Okoye
University of Nigeria, Nigeria
Title: Maternal Health Seeking Behaviour and Pregnancy Outcome in Rural Communities in Enugu State, Southeast Nigeria
Biography:
Helen Okoye is a lecturer at Department of Nursing Sciences, University of Nigeria, Enugu Campus. She obtained her Registered Nurse (RN) and Registered Midwife (RM) certificates in 1991 and 1995 respectively. She holds a Bachelor of Science Degree in Nursing Education and Master of Science Degree in Community Health Nursing from University of Nigeria. She is currently a Ph.D student (Community Health Nursing) at Department of Nursing Sciences, University of Nigeria, Enugu Campus. She was the best graduating student and best in nursing education in Department of Nursing Sciences, University of Nigera, Enugu Campus, and best in Faculty of Health Sciences and Technology in 2002/2003 academic session. She is an experienced nurse practitioner and educator. She has enhanced the advancement of nursing practice and education having practiced the profession for many years and taught in many basic nursing schools before moving to the university. She is a fellow of the West African College of Nursing and has been involved in outreach programmes of the college in southeast, Nigeria. Her research interests are in areas of maternal and child health, adolescent health and care of the elderly. She is also involved in the coordination of the community health unit of the Department of Nursing Sciences, University of Nigeria, Enugu Campus.. She has presented conference papers and attended a number of conferences locally and internationally and was an exchange visitor to University of Maryland, School of Nursing Office of Global Health, United States of America in 2013. She enjoys reading, gospel songs and travelling.
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.
Jamal Qaddumi
An-Najah National University, Palestine
Title: The University Third Mission as a Model to Enhance the Integration of Adult Health Theory Courses with the Clinical Settings
Biography:
• Jamal A.S. Qaddumi has completed his Ph.D at the age of 42 years from University of Jordan/ Jordan. He has published more than 5 papers in reputed journals and serving as a reviewer member of BMC journal, and an IRB member at An-Najah National University. He worked in University of Jordan, Amman-Jordan, Arab American University/Jenin, Abu Dhabi University (ADU), Abu Dhabi, UAE, , and An-Najah National University. He has Professional Membership. He supervised master theses and undergraduate projects
Abstract:
Integration of theory in the clinical setting is an important part in clinical learning process and need a positive complementary relationship. But, unfortunately, lots of studies revealed a gap between the theory and practice that create obstacles to the learning process at clinical settings. Theory-clinical gap can be considered as a big issue in nursing education and can affect the nursing outcomes. We utilize a model inspired from the university third mission as a means to enhance the integration of adult health nursing courses with clinical setting Phase one: A descriptive cross-sectional design was used to explore the factors that affect theory-practice integration. A questionnaire with 41 agree or disagree response items filled by participants. The sample size is 369 nursing students and 12 clinical instructor. Open ended questions used to explore the perceived barriers and facilitators that can affect theory clinical integration. Phase two: includes the utilization of the university third mission model as a means to enhance the integration. Phase three: evaluate the effectiveness of applying the model inspired from university third mission. Assessment will be based on the main three dimensions of the university third mission (continuing education, technology and innovation, and social engagement).
Biography:
Anne completed her Diplomas in General Nursing and Midwifery at Frere Hospital East London in 1982, Diploma in Community Nursing Science at Cape Technikon in 1987, Certificate in Occupational Health Nursing at University of Stellenbosch in 2000 and her B Tech in Occupational Health Nursing at Cape Technikon in 2003. She has been a practicing Occupational Health Nursing Practitioner at the Department of Defence (DOD) Regional Occupational Health and Safety Centre, Simon’s Town Cape Town since 2003 providing Occupational Medical Surveillance services to the personnel of the DOD in the Western Cape region.
Abstract:
Occupational Medical Surveillance (OccMedSurv) programs are an integral component in the management of occupational health and safety in the workplace. The purpose of such programs is to protect and maintain the health of workers, prevent the development of occupational disease, ensure personnel are fit to perform the job for which they are employed and to provide expert advice on accommodating an ill or injured worker in the workplace without risk to adverse health effects or further compromising existing health conditions. OccMedSurv special health investigations are varied, dependant on an individual workers occupational and medical history, quantified exposures to workplace stressors and the risk of the worker developing resultant adverse health effects from the identified exposures,or posing a resultant risk to others. In order to make medical assessments and conclusions about individual workers health status and fitness to work at a given job in a given environment, it is essential to ensure that all special health investigations for workers included in the OccMedSurv program are performed in line with accepted standards and best practices in order to provide valid and acceptable results for utilization in final decision making which ultimately may have a positive or negative impact on a workers career path. Careful consideration is therefore required with respect to the selection criteria for special occupational health investigations, the performance thereof and the scope of practice of the involved occupational health practitioner, towards making accurate medical conclusions in the best interests of the worker, co-workers and employers.
Theresa Margaret Bosman
Cape Peninsula University of Technology, South Africa
Title: Factors influencing the functions and professional development of the occupational Health Nurses within selected organizations in the Western Cape
Biography:
Theresa holds diploma’s in General Nursing, Midwifery, Community Health Nursing, and Primary Health Care. She completed her B Curr at Unisa in 2001 and her Masters at CPUt in 2015. She has worked in Occupational Health for the past 28 yrs. Theresa has presented a poster presentation at ICOH in 2009 and her Masters at ICOH in Seoul in 2015.
Abstract:
Occupational Health Nursing (OHN) is a specialised field of nursing that deals with exposure risks, prevention of disease and disability in the workplace. These nurses work in isolation and are dependent upon regulations to ensure compliance. Although there is very good legislation, there are no quality-control systems in place to ensure that standards of care have been met, or that companies are compliant. They also report to managers who do not have any medical background. This raises a concern, as managers, due to their lack of field-specific knowledge, will not be able to ensure quality of work rendered or adherence to compliance. The lack of insight into the functions and responsibilities of the OHNP poses frustrations when requests for training and attending meetings are made by the Occupational Health Nurses. The purpose of this study is to investigate factors that influence the functions and professional development of Occupational Health Nurses. A mixed-method, descriptive design was used. The target population was an entire group of OHNPs, working in the Western Cape only. Four managers from the private and public sector were also selected to participate in this study. Two data-collection tools were utilised. One was a questionnaire that was distributed to the Occupational Health Nurses and subsequent, telephonic interviews were scheduled with the nurses’ direct line managers. The process was initiated after ethical approval was obtained from the Ethics Committee at Cape Peninsula University of Technology. The quantitative data was analysed using The Statistical Package for the Social Sciences (SPSS) (V 23). The qualitative data was transcribed by an independent transcriber and descriptive coding was done, after which thematic content analysis was applied. Managers’ responses confirmed the view of 50% of the Occupational Health Nursing Practitioners (OHNPs) that they did not understand the functions of the OHNPs. Although the majority of OHNPs work alone, they do not have a locum or an administrator to assist with administrative duties. The majority of OHNPs attend regular development programmes. The respondents indicated that a Continuous Professional Development (CPD) System should be implemented by the South African Nursing Council (SANC).
- Community Nursing Development
Chair
Colleen A. Kraft
University of Cincinnati, USA
Co-Chair
Sonett van Wyk
University of Pretoria, South Africa
Session Introduction
F. Kajee
, Cape Peninsula University of Technology. South Africa
Title: Accessing Contraceptive Services in Outjo District of Namibia: A negative trend for young adults?
Biography:
Ms Kajee, Co-supervisor for Imelda Katjau Master’s Thesis Coordinator to the BTECH Primary Health Care program. Novice researcher, involved with co-supervision and supervision of Masters Students for the past five years. Currently she is supervising seven students to complete their Master’s degree at the CPUT. PhD candidate at the University of Stellenbosch. Serves on the CPUT Research Ethics Committee in the Faculty of Health and Wellness Sciences
Abstract:
In developing countries, socio-cultural prohibitions tended to negatively influence young adults’ contraceptive use. Sex education and uptake of contraceptives among young adults in Outjo district of Namibia had been a challenge for nurses working in family planning services. The primary focus of this study is to explore both personal issues and external factors that influence young-adults’ decisions to use contraceptives in Outjo district in Northern Namibia. The study population included young-adults aged between 18 to 24 years old attending Outjo high school and youth health centres during the period of data collection. Findings revealed young adults from three distinct ethnic groups appeared to be more sexually active then young adults from other ethnic groups in the Outjo district. Contraceptive use was found to be higher among young adults with formal education; however sex education in schools had minimal influence on contraceptive usage among young adults. The majority of young adults who were sexually active were not aware of the benefits of contraceptive usage. The main reasons for not using contraceptives were; a lack of education about the advantages of contraceptive use, peer pressures, shortage of contraceptives at health clinics, and negative attitude of nursing staff. Health centres and contraceptive services had been situated far from areas of residence making it difficult for young adult to access varieties of contraceptives. Health care professionals, especially nurses need to change their attitudes regarding their manner towards providing contraceptives to young adults. In conclusion young adults who participated in the study preferred different sources for contraceptive information apart from their peers.
- Occupational Healh Nursing
Session Introduction
Nicolene de Jager
University of Johannesburg, South Africa
Title: Strategies to facilitate professional development of the occupational health nurse in the occupational health setting
Biography:
Nicolene de Jager has completed her D Cur at the age of 55 years from the Nursing Science Department of the University of Johannesburg. Her nursing career began, after completing her Baccalaureus Atrium et Scientiae in 1983 at North West University. She also did a Diploma in Advance Nursing, in 1987, through University of South Africa (UNISA), a Baccalaureus Technologiae in Occupational Health Nursing in 2006, and a Magister Curationis (cum laude) in Occupational Health in 2012, at the University of Johannesburg (UJ). The findings from this study were presented at an international conference and an article was accepted and published.
Abstract:
The excessive workload of the Occupational Health Nurse (OHN) often cause that they cannot attend any training to keep up to date with the latest trends in occupational health. They feel unsure about their role, as they are under developed in their field and thus experience the need for further training and development. The purpose of the research undertaken was to determine the needs of the OHN in relation to professional development and to develop strategies in order to facilitate such development. A qualitative research design was used to determine the needs of OHNs in an occupational health setting in the Gauteng Central region. The results of this study revealed four major categories, namely constraints hindering the OHN in developing professionally, positive aspects identified by the OHNs regarding the need for professional development, the development needs of the OHN and suggestions of how to meet the these development needs. A conceptual framework was developed, from which the strategies for professional development were developed and validated. These validated strategies were unique in the context of Occupational Health Nursing as no such strategies were developed previously.