Day 1 :
Keynote Forum
Richard Dickey
Louisiana State University
Keynote: Role of modern reproductive technecology in population growth management
Time : 09:45-10:15
Biography:
Richard Dickey is a Diplomate of the American College of Obstetrics and Gynecology, and Clinical Professor of Obstetrics and Gynecology at Louisiana State University New Orleans and Tulane University School of Medicine. He is the author of many articles and book chapters on contraception and safe treatment of infertility. He has served on the US Food and Drug Administration Medical Device Committee and as Consultant to the US Agency for International Development Population Program in the Philippines and Pakistan. His book ‘Manual of Intrauterine Insemination and Ovulation Induction’ with Dr. Peter Brinsden, Cambridge Press 2010 has a Chinese translation.
Abstract:
Population expansion is a major concern of all countries and governments. Effort to limit growth often results in the consequence that when pregnancy is desired women may not be able to conceive. Modern technologies, Ovulation Induction [OI] and In Vitro Fertilization [IVF], egg or embryo freezing, and even older methods of infertility treatment like clomiphene often result in multiple pregnancies. Choice of birth control method and intelligent use of infertility treatment are essential components of population growth management. Hormonal and mechanical methods to prevent pregnancy and birth can adversly affect future fertility in different ways. The main cause of infertility following delay in child bearing is age. The biological clock is real. Even the most advanced methods may often are not successful after age 38 and are associated with twining rates of 10 to 30% and triplet or higher order births of 0.5 to 20% before age 38. Embryo cryopreservation is very successful and egg cryopreservation is becoming more so, but are not practical when applied to large populations. Selection of safe and effective birth control methods when future fertility is desired, and correction of medical and weight disorders followed by mild ovarian stimulation with clomiphene and similiar drugs instead of IVF are the prefered route to birth of a single healthy child. IVF should be reserved for severe male infertility, fallopian tube obstruction, preservation of reproductive ability before cancer treatment, medically indicated preimplantation genetic diagnosis, and to prevent triplet and higher order births when using gonadotropins in women at high risk for multiple pregnancies.
- Healthcare and Management
Chair
Richard P Dickey
Louisiana State University
Co-Chair
Neelam Doshi
Bond University, Australia
Session Introduction
Christine Pabico
American Nurses Credentialing Center
Title: Positive Healthcare Practice Environments: Implications for Patient Safety and Outcomes
Time : 10:15-10:40
Biography:
Christine Pabico is the Director of ANCC’s Pathway to Excellence program. Christine has vast experience in the creation and maintenance of positive practice environments, and expertise in quality improvement strategies, staff engagement, collaborative practice, and evidence based practice. Christine provides leadership for all local and international activities of the Pathway to Excellence® and Pathway to Excellence - Long Term Care® programs. Christine seizes every opportunity to cultivate collaborative partnerships with professional organizations, governmental entities, academic centers, commercial businesses and national and international health care entities that recognize the important role nurses play in all aspects of healthcare delivery.
Abstract:
Studies show that environments with certain characteristics help improve nursing satisfaction and retention. The Pathway to Excellence® framework helps organizations develop those characteristics. Pathway standards represent traits that nurses and researchers agree are critical to an ideal practice environment. Recognition of these positive characteristics objectively demonstrates to consumers, health care providers, third-party agencies, and potential accountable care organization (ACO) partners that processes are in place to support a culture of safety, wellbeing, excellence, interprofessional collaboration, and innovation. Presentation includes case studies and testimonials of how a more satisfied and motivated nursing workforce led to better results for long-term-care organizations around the country. Broward Health Imperial Point nursing leaders sought ANCC’s Pathway to Excellence® framework as a blueprint to deliver high-quality, cost-effective care in a rapidly changing environment which led to marked improvements in several nursing measures and outcomes: • 40% decrease in patient falls in 2 years • 36% reduction in CAUTI rates in 1 year • 33% reduction in CLABSIs in 1 year, with a projected annualized rate of 60% fewer CLABSIs through 2015 • Zero CLABSIs in the ICU for more than 18 months • Zero HAPU, CAP, and post-op VTE for more than 2 years • Significant improvement in engagement scores, up to 98%.
Sandeep Sherlekar
American Spine, USA
Title: Lumbar disc decompression with fusion and Intravenous Anesthesia in a day care setting
Biography:
Sandeep Sherlekar, M.D., was born and raised in Hong Kong and did his Medical Education at Delhi University in New Delhi, India. He was chosen among a few elite groups of applicants to do residency in Anesthesia at the highly acclaimed “All India Institute of Medical Sciences.” After moving to the United States, he re-certified in Anesthesiology Residency at Hahnemann University Hospital in Philadelphia. He was chosen to serve as Chief Resident and helped establish the Pain Clinic during his tenure. Dr. Sherlekar went on to do his specialty fellowship in Interventional Pain Management at Harvard Medical School at Brigham and Women’s Hospital in Boston. Dr. Sherlekar began his esteemed career as a Pain Management Specialist and Anesthesiologist in Maryland in 1996. He founded Capital Area Pain Management Associates and was the Chairman of Anesthesiology for 10 years at Civista Medical Center. To keep updated with current trends in Anesthesiology Dr. Sherlekar continues to work part-time at Johns Hopkins. He is Board Certified in Pain Management and actively participates in International Society of Minimally Invasive Spinal Surgery, The American Society of Interventional Pain Physicians, American Pain Society, and North American Spine Society. Dr. Sherlekar has been working for many years with patients with low back, neck pain and spinal pain. He has a special interest in spine pain but has been managing patients with a myriad of symptoms and complaints that include pelvic pain, headaches, fibromyalgia, He has been publishing articles in Pain Management Journals over the years and has written and lectured extensively on the subject around the country. Dr. Sherlekar and all the physicians, surgeons, and anesthesiologists at American Spine, place a high value on patient education. Dr. Sherlekar enjoys educating doctors and patients alike about herniated disc, bulging disc, spinal arthritis, foraminal stenosis, and other back and neck problems so that patients can find relief from pain and other debilitating symptoms.
Abstract:
From 2004 FDA approved percutaneous nerve root decompression. In 1995, Dr. Said Osman, presently with the American Spine Center, had published one of the earliest studies on the safety of this approach. From early 2013, the American Spine ambulatory spine surgery center has been leading the way for this procedure in Maryland, USA Methods: 150 cases who underwent endoscopic lumbar spine surgery from March 2013 ( 139 single level endoscopic discectomies, 41 two level endoscopic discectomies) were reviewed. The percutaneous transformational approach was used after determining the side from MRI evaluation. 4% patients underwent bilateral discectomies. Lidocaine was used to infiltrate the incision site and the area of surgical approach. Totally intravenous anesthesia ( TIVA) with Barbiturates, Propofol and Ketamine were the drugs used for all cases. All cases were operated with intraoperative neuromonitoring using free running EMG of the lower extemities. L5-S1 was the commonest level operated ( 49 patients). All patients went home the same day. 1 patient complained of severe radicular pain of a VAS level higher than pre-operatively. 2 patients developed a collection at the incision site due to infection, and required post-operative drainage at 2 weeks. The Median ODI score was 65% before surgery and 48% at 6 months. There was an average 3 point reduction in VAS at 6 months after surgery. Conclusion: Ambulatory Percutaneous Disc Surgery is an alternative to open surgery with the benefits of low post-operative morbidity and early mobility. Patient reported scores have shown satisfaction with the procedure.
Fabio Festa
University of Naples Federico II, Italy
Title: Leadership, management and administration of health care systems with Project Management
Time : 10:40-11:05
Biography:
Fabio Festa has always shown interest in the management of healthcare systems, obtaining a Master of Health Administration and, especially focusing on the management of hospitals, other health care organizations and consulting company. Afterwards, he has concentrated its efforts on project management in the healthcare sector, obtaining the PMP certification, issued by the Project Management Instutute. He currently works as a project manager at the Department of Clinical Medicine and Surgery - University of Naples Federico II (Italy).
Abstract:
In today's global health system, it is necessary for all professionals with managerial functions, the acquisition of methodological skills in the design, functional to a gradual shift from a job "for the tasks" for a job "for projects and aims". It must aim at offering an adequate methodology in the context of project management qualifications through professional activities, because it is applicable to all sectors of the Health Science. A good experience in the planning, implementation and review of the project is behind the creation of a network of expertise and skills, targeted to take advantage of the resources provided by national and international institutions, public and private. Project management fits organically in this modern corporate vision. A project is fundamentally characterized by the final result to be achieved, that is unique, and that dedicated resources are temporary and which are available for the duration of the project. The projects are born to solve problems or enhance opportunities (Hynes, 1994).
Denise Cummins
Sydney District Nursing, Australia
Title: Are current assessment protocols capable of identifying people at risk of HIV associated cognitive impairment?
Time : 11:20-11:45
Biography:
Denise Cummins has been working as a Clinical Expert in the area of HIV disease for over 20 years, in acute and ambulatory care settings. Currently, she is working in community health. She has a Master’s in Public Health and purusing her PhD at the University of Sydney. She has published 19 articles and has been the primary investigator in several research projects. She has experience in developing and facilitating workshops in Thailand, Nepal, Papua New Guinea and Myanmar in a voluntary capacity and was a co-author for Asia Pacific Manual and Training Resource on counseling skills for HIV support workers.
Abstract:
Background: As People Living with HIV (PLHIV) are susceptible to chronic and comorbid health conditions, including an increased risk of cognitive impairment, HIV Associated Neurocognitive Disorder (HAND) can affect up to 50% of PLHIV causing various levels of disability. HAND is difficult to identify as signs and symptoms are nonspecific and diagnosis is by exclusion. The study is on how health professionals collect information which can show impact on patient’s current and future clinical care. Aim: The aim of this study was to review protocols for which patient information from two specialist HIV interdisciplinary community teams in Sydney, Australia was collected to ascertain if the patient data methods could identify individuals at risk of HAND. Results: A total of 262 files were audited to determine patient demographics, clinical and social history. Results showed mean age of 50 years, a HIV diagnosis of 15 years, 74% lived alone and 45% referred for case management. Those older than 50 years were more likely to have hypertension p=0.057, hyperlipidaemia p=0.04 and hypercholesterolemia p=0.007. HIV clinical risk factors for HAND (CD4 Nadir, current CD4 count, HIV viral load) were inconsistently collected. Conclusion: PLHIV are an ageing population and may develop chronic conditions potentially increasing their risk of HAND. Routine collection of accurate information is important to assist clinicians to identify PLHIV at increased risk of HAND. Additionally, community care teams providing care to PLHIV may be well placed to notice cognitive changes in PLHIV who live alone and may have no other means of continuous clinical observation.
Li-Ya Lin
Tzu Hui Institute of Technology, Taiwan
Title: Primary concerns about occupational hazards in Taiwanese EDs
Time : 11:45-12:10
Biography:
Li-Ya Lin is an Educator and Researcher not only in nursing practice, but also in health promotion, workplace health and safety among healthcare workers. She began her career as Registered Nurse and has continued to maintain active professional practice in a range of research related to the needs of occupational health improvement and effective strategies development of health promotion to address the best interests for workers in health care institutions.
Abstract:
This study explored the common concerns or worries about the potential risk of occupational exposure in emergency department (ED) workplaces in Taiwan. Issues of workplace violence (WPV) from patients or their family members and job stress were the top priority. In general, the concern about WPV can be attributed to the disadvantages of the physical environment design in EDs and dissatisfaction with the existing arrangements for prevention and management of WPV. The empirical findings in this study provide additional evidence with respect to further improvement of workplace interventions, including policy making, equipment and training provision, and environmental modifications, to minimize the risk of ED violence for health care workers (HCWs). Regarding job stress, workplace issues-including unreasonable expectations from the public, patients’ prolonged stays in EDs, and medical malpractice suits and disputes-were common causes of worry, nervousness or stress for HCWs. In addition, self-reported mental health–related problems among HCWs had significant associations with certain workplace stressors, including unreasonable expectations, shift work and excessive workloads. The evidence from this study suggested the importance of addressing job stress in improving occupational health among HCWs in EDs. However, current strategies for reducing stress among HCWs in Taiwanese EDs are predominantly worker-focused interventions, rather than organisational interventions to address the sources of stress and provide support for effective stress management by HCWs. The findings contribute substantially to understand the most common concerns about WPV and job stress in Taiwanese EDs, and have important implications for developing integrative strategies to address the multiple determinants of these workplace concerns.
H N Shilubane
University of Venda, South Africa
Title: Factors contributing to sub-standard care during intrapartum in maternity wards of selected hospitals, in Mopani District, Limpopo Province
Time : 12:10-12:35
Biography:
H N Shilubane has completed her PhD from Maastricht University, Netherlands in 2013. She is a senior Lecturer at the University of Venda, South Africa and has published more than 20 papers in reputed journals.
Abstract:
Provision of quality patient care is a strategy to reduce maternal and child mortality rate in the maternity wards. The purpose of this study was to determine factors influencing sub-standard care in the maternity ward of the selected hospitals of Mopani District, Limpopo Province. A qualitative, descriptive design was used. 10 midwives and 24 delivery records in maternity wards were purposely selected. Data collection was through structured face-to-face individual interviews and evaluation of records. Data was analysed through open coding method by using Tech’s eight steps. Trustworthiness was ensured. Ethical considerations were adhered too. One theme and two sub-themes emerged, namely; human resource factors determinant for provision of quality care, existence of ward staff coverage versus increased workload and primary health care nurses’ competencies as viewed by hospital nurses. Recommendations included, ensuring staff coverage in maternity ward for provision of quality care and extension of community service for nurses. The attendance of perinatal review meetings should include managers of Primary Health Care (PHC) facilities and to be strengthened at the hospitals.
Pei Liu
Southeast University, China
Title: The effect of integrated health management model on the satisfaction among Chinese elderly
Time : 12:35-13:00
Biography:
Pei Liu is a Professor of Epidemiology and Biostatistics in the School of Public Health, Southeast University, P R China. He completed his PhD Major in Biostatistics, School of Public Health, China Medical University, Shengyang, China.
Abstract:
The study objective was to investigate the effect of integrated health management model on the satisfaction among Chinese elderly. Using a randomized controlled trial, 600 people who are 60 and over have signed the informed consent in China were randomly assigned into management and control group. The management group received care integrated individual health management with community health management model in the follow-up 6 months. The individual health management included establishing health record, performing health evaluation, giving individual instruction, carrying out telephone consultation and follow-up. The community health management includes lectures on health knowledge, distribution of health education materials and physical fitness exercise kit. Factor analysis, t-test, x2-test and logistic regression models were used. The average satisfaction scores of baseline and final of management or control group were calculated through factor analysis. The management group has shown a significant improvement in satisfaction score, no difference in control group. Logistic regression analysis of influencing factors of the elderly satisfaction showed that the satisfaction score of male, individuals without chronic disease and management group was higher. These results suggest that integrated health management model can improve the elderly satisfaction in China through realizing good communication between the elderly and medical staff in community.
Avnesh Ratnanesan
CEO, Energesse Australia
Title: Future Solutions in Australian Healthcare White Paper
Biography:
Dr Avi’s unique career began as a medical doctor in the UK and Australia, practising in both the public and private sectors. After a Masters in Business Administration (Honours), he ventured into biopharmaceuticals with responsibilities from researching ‘Viagra’, to acting as Chief of Staff and strategy advisor to the CEO of industry leader Pfizer Australia, a $1 billion business. Dr Avi is now the CEO of Energesse, a specialist firm providing innovative technology solutions and consultancy services to the industry. As a former medical practitioner, corporate strategist and technology innovator, he is making a difference in the world by advising teams, organisations, businesses and governments.
Abstract:
The ‘Future Solutions in Australian Healthcare White Paper’ has been developed in collaboration with 21 key healthcare thought leaders to help solve Australia’s major health challenges and guide the future of the healthcare system leading up to 2020. This White Paper offers a ‘big picture’ perspective on future trends. It is a resource for organisational strategy or government policy with provocative ideas for change, which could be utilised by any healthcare leader, organisation or government body in Australia. The scope of this paper is focused more on “what we could be doing”, rather than “how we should be implementing it”. In addition, two specific guidelines have been produced for ‘Prevention Strategies’ and ‘Partnership Development’ as these were common priority areas for many leaders interviewed in the development of this Paper. Collectively, these healthcare thought leaders manage over $8 billion of Australian healthcare expenditure and hold roles that influence over $30 billion of healthcare industry annual turnover. Two practical tools and processes have been developed by Energesse to assist leaders, organisations and governments implement some of the recommendations from this Paper immediately. They are guidelines focused on ‘Prevention Strategies and Wellness Programs’ as well as a ‘Partnership Development Guideline for Healthcare Projects’ to help achieve exponentially positive results. Healthcare leaders can therefore achieve markedly improved health outcomes and return on investment by tailoring relevant ideas and strategies for their own situations and make a positive difference in the health and wellbeing of all Australians.
Biography:
Prof. Dr. Murali Raman received his PhD in Management Information Systems from Claremont Graduate University, USA. He is a Rhodes Scholar and a Fulbright Fellow. His other academic qualifications include an MBA from Imperial College of Science Technology and Medicine, London, an MSc in HRM from London School of Economics. Dr. Murali Raman is currently a Dean in the faculty of Management, Multimedia University Malaysia, where he conducts research in the area of Knowledge Management, Management Information Systems, Project Management and E-Business Models. He has published more than fifty papers in International Journals and Conference proceedings.
Abstract:
Fatigued and frustrated employee is a result of poor ergonomic quality. Pretty much summarizes the way of life of an Information and Communication Technology (ICT) employee. Current method of working especially in the ICT environment has demanded great deal of time using various sophisticated technological gadgets. Korunka & Hoonaker, (2014) claimed that long hours dedicated to work and prolonged usage of sophisticated technological gadgets has lead to various issues pertaining to the work-life balance and well-being of employees in the ICT sector. The persistent and permanent use of Information Systems (IS) and the lack of ergonomic quality for the gadgets used might have a negative impact on employee wellbeing. Given the serious importance of wellbeing amongst ICT employees there may be a possible lead to high level of strain and inequity between employment and life obligations. In this circumstance, ease of use, ease of navigation, and the comfort ability of the user may play a clear responsibility in ensuring minimal stress and strain. Ergonomics has grown to be a fashion due to demand from the workforce who desire for further individual comfort when working. Ergonomically premeditated, user friendly system and equipments with a comfortable working environment may be a possible way in balancing an employee’s work and life as it might preserve a healthy workforce, in turn achieving superior employee productivity and minimize turnover (Wells, 2010).
Hina Usman
University of the Punjab, Pakistan
Title: Revisiting the dyslipidemia associated with acute leukemia
Biography:
Ms. Hina Usman is doing her PhD from the Department of Microbiology and Molecular Genetics, University of the Punjab, Lahore, Pakistan since 2012. She is working in the field of tumor metabolism. She has published one research paper and two review articles in reputed journals and is involved in finding new directions of her related field. She is much interested in investigation of the abnormalities in lipid metbolism of cancers.
Abstract:
Background: Previous studies appreciate the leukemia-associated alterations in plasma lipid profiles but fail to provide a consistent pattern of lipid anomalies in leukemia patients. These inconsistencies could be due to overlooking the effects of related confounding risk-factors and comorbidities. Methods: The plasma lipid profiles of acute-leukemia and control groups were compared. Results: We observed that acute lymphocytic leukemia (ALL) patients display significantly higher triglycerides and very low-density lipoproteins, whereas, acute myeloid leukemia (AML) patients display significantly lower high-density lipoproteins. To assess the confounding effects of related risk factors gender-, age- and BMI-based analyses were performed. We observed that the aforementioned significant differences in the lipid profiles of leukemia patients were restricted to female participants of the respective groups. Moreover, a significant decrease in total cholesterol and low-density lipoprotein levels was observed only in male participants of the AML population. Various age-specific trends in plasma lipid profile of the leukemia patients were also observed. BMI-based analysis did not display many significant differences from the overall analyses. In addition to comparing the absolute values of plasma lipids in leukemia and control groups we also compared and observed significant differences in prevalence of various isolated- and mixed-dyslipidemias in these groups. Conclusions: These findings may help in outlining the prevalence and types of dyslipidemia in leukemia patients that may emerge as diagnostic/prognostic factors for the management of acute leukemia.
- Nursing Education
Chair
Richard P Dickey
Louisiana State University
Co-Chair
Neelam Doshi
Bond University, Australia
Session Introduction
Allison Wiseman
University of Surrey, UK
Title: Peer assessed medicines management OSCE for student nurses- a strategy to enhance safe medicines management practice
Biography:
Allison is a qualified nurse with 20 years’ experience in Intensive Care and was awarded a Doctorate of clinical Practice in 2015. She has worked in Higher Education for the last 16 years firstly as a lecturer practitioner and now as a Senior Teaching Fellow at the University of Surrey, UK. She is Director of Studies for a BSc & MSc professional practice and lead for Recognition of Prior and Certificated Learning. Her area of expertise is interdisciplinary simulation in healthcare to promote safe practice. She has presented her work on simulation internationally and has published in peer reviewed journals.
Abstract:
Safe medicines management is a priority nationally in the United Kingdom [UK] and internationally. Professional and regulatory bodies such as the Nursing & Midwifery Council [UK], mandate safe medicines management for pre-registration students and registrants. Evidence highlights medicines management adverse continue to rise despite quality assurance initiatives such as medicines management competency assessments of registrants and students. Similarly student nurses are involved in medicines management adverse events under the supervision of their mentors. Educators have dual responsibility with placement providers to deliver safe and efficacious learning experiences. The PAMMO was designed to develop student nurses’ medicines management skills and knowledge, including error identification, problem solving, decision making, assessment and feedback in a safe and supported learning environment. Phase 1: Evaluated the inter-rater reliability of student nurses PAMMO criterion referenced and global scores of safety Phase 2: Identified what informs students’ global scores of safety Design: Mixed methods exploratory sequential study evaluating Peer Assessed Medicines Management Objective Structured Clinical Examinations [PAMMO] for student nurses. Results Phase 1: Criterion assessing ”five rights” of medicines management demonstrated exact agreement (Cohens kappa 1.0), global scores demonstrated poor reliability (Cohens kappa 0.02) Phase 2: Students judgement making fell within two theoretical frameworks. Firstly Social constructivism, whereby assessments were based upon their learning (theoretical and practical) and views of safe care. Secondly the cognitive continuum- nine modes (Standing, 2010) based on five modes of judgement making. Conclusion: PAMMO may offer educators a cost effective and efficacious way to develop students’ safe medicines practice
Mohammadali Hosseini
University of Social Welfare & Rehabilitation Sciences, Tehran
Title: The Effect of Emotional Intelligence (EI) Training on Nurses' Resiliency in Department of Psychiatry
Time : 13:45-14:10
Biography:
Dr. MohammadAli Hosseini is Associate Professor of University of Social Welfare and Rehabilitation Sciences (USWRS). BSN, RN, MSN, MS in Medical Education, PhD in Higher Education Administration and Postdoctoral Fellow of Knowledge Transfer in Cardiac Rehabilitation from UTS, Sydney, Australia. Head of Rehabilitation Administration Department of USWRS. He have Published more than 140 articles in Persian and English journal.
Abstract:
Introduction: Resiliency capacity as a predictor to prevent and reduce work stress is considered. In this context, one of the most important skills that can predict and improve the resiliency, having emotional intelligence. This study aimed to determine of effects of emotional intelligence training on nurses' resiliency in Department of Psychiatry (1393). Methods: In this semi experimental study, the study population consisted of nurses working in the psychiatric hospital Rouzbeh. 76 persons were that selected, that is based on input standards and calculation of volume sample. The people divided two groups. Intervention and control groups in sample random method. Data were collected with Demographic, Bar-on emotional intelligence and Conner and Davidson resiliency questionnaires. At first both groups were asked to fill in questionnaires. Then a one-day work shop was held for Intervention group then essential training about emotional intelligence and its skill with operational action was represented. After that internalization has been followed with written means such as educational pamphlets about Bar-on emotional intelligence skill for six weeks. At last, both questionnaires were filled again by two both Intervention and control groups. SPSS statistical software SPSS19 data using fisher, covariance, independent t-test, paired T was performed. Results: Results showed that no different between two group of intervention and control about demographic characteristics. The mean emotional intelligence Score was 329/72± 29/91 in intervention group, and 326/73± 36/55 in the control group before intervention, which respectively reached to 354/51± 37/27 in intervention group and 325/92± 34/92 in the control group after implementation of the intervention and this difference was Significant in intervention group (p=0/003). The mean resiliency Score was 61/71± 12/47 in intervention group, and 57/70± 15/14 in the control group before intervention, which respectively reached to 70/40± 13/48 in intervention group and 58/92± 13/71 in the control group after implementation of the intervention and this difference was Significant in intervention group (p=0/001). Conclusion: The result revealed that emotional intelligence skill training can improved nurse's resiliency in department of Psychiatry.
Amber McCall
Augusta University, USA
Title: Nursing’s Next Generation: Innovative Nursing Education for Millennials and Generation Z
Biography:
Dr. McCall is an assistant professor at Augusta University’s College of Nursing. She earned her BSN from the Medical College of Georgia, PhD from Georgia Health Sciences University, and FNP certification from Georgia Regents University. Prior to academia, Dr. McCall worked in the intensive care/medical-surgical units and hospice/palliative care. She currently teaches in AU’s Clinical Nurse Leader Program and Nurse Practitioner Programs. She has experience in clinical, simulation, lab, and lecture. Dr. McCall uses innovative teaching strategies for student engagement, including new-edge technology and interactive lectures. She was recipient of the 2014 AACN Novice Faculty Excellence Didactic Teaching Award.
Abstract:
An anticipated world-wide nursing shortage has been well-documented. Nursing educators report multiple generational differences among current students and seasoned faculty. This trend will likely continue to unfold as “digital natives”, fully equipped with mobile learning wants and needs, seek to become nurses. Thus, updated and innovative teaching methods are needed in nursing education with efforts to engage Millennial and Generation Z nursing students. The objectives of this presentation/workshop are 1) to discuss the mindset needed for innovative teaching success, 2) view easy-to-duplicate examples of innovative teaching methods used in simulation environments, skills lab, clinical (or “hands-on” learning), lecture/didactic content delivery, online courses, and/or research/practice and 3) provide templates and facilitate processes to help attendees brainstorm and create their own innovative teaching resources.
Carol Eliadi
MCPHS University, USA
Title: Using Standardized Testing Outcome Data to Improve Teaching and Learning
Biography:
biography
Abstract:
Overview: Standardized testing is used across the BSN curriculum in this School of Nursing located on three campuses in two states. The standardized exam represents the final examination in all courses (with the exception of Nursing History and Informatics) and is worth 25% of the overall course grade. While cumulative standardized testing is also a requirement for program completion, these exam scores are not used to determine the individual’s subsequent eligibility to graduate and to sit for the NCLEX examination. Standardized exit examinations are administered in order to benchmark cumulative learning and to provide the student with a content directed ‘road map’ from which to prepare for success on the NCLEX examination. Aggregate standardized test results are not used as a component of the formal faculty evaluation but are useful to many faculty in their own personal self-assessment. Objectives: 1) The reader will understand the many benefits (to faculty and students) of implementing standardized testing throughout the curriculum of the undergraduate nursing program 2) The reader will learn how standardized testing can be incorporated across the curriculum Background:The requirement to pass a standardized test as a prerequisite for student progression in nursing programs is an intensifying trend. Because the test scores can sometimes result in course failure, block graduation or deny eligibility to take the NCLEX exam, such testing is called "high stakes."Though licensure exams such as NCLEX are themselves high-stakes, for students, faculty, and schools of nursing, there is no debate about the need to protect the public through standardized evaluation measures of nursing competence (National League for Nursing, 2010). Test results can be used to provide students with information about their knowledge as compared to other students using national norms, to benchmark student performance internally, and to help faculty identify curricular strengths and weaknesses in the spirit of continuous quality improvement. Most commercially available standardized predictive tests provide individual student scores that are linked to a probability of passing the NCLEX-RN. Research has shown that while predictive tests often work well in identifying high-performing students likely to pass the licensing exam, they are much less precise in identifying individual students who will fail the NCLEX. Results:Standardized tests are designed to measure learning and testing abilities at a point in time. They also serve to identify nursing knowledge deficiencies and to aid in the development of student self-remediation plans. Through regular exposure to computerized testing, students also gain confidence with this testing format. Faculty need to be mindful that tests and evaluative measures are used not only to evaluate student achievement, but also to support student learning through remediation, and evaluate and improve teaching and program effectiveness. The NCLEX pass rate improved from 72% to 91% in one year with the implementation of standardized testing across the curriculum. NCLEX scores have remained consistently above state and national scores and this has largely been attributed to standardized testing as implemented in the SON. 100% of the SON faculty across the three individual campuses supports standardized testing as a component of student evaluationrecognizing thatmultiple sources of evidence are fundamental in evaluating basic nursing competence. Conclusion: There are benefits to both students and to faculty when standardized testing is incorporated into the curriculum. Faculty need to be informed about the purpose, use, scoring and results of standardized tests and testing methods within a program and this information needs to be shared with students to minimize the apprehension often associated with standardized testing. The effective implementation of standardized testing in the SON can provide evidenced based data to support ongoing quality improvement in teaching and learning, andcreate a climate where results from the assessment can be used in the aggregate to inform program improvements.
- Work Shop
Session Introduction
Neelam Doshi
Bond University, Gold Coast, Australia
Title: How we integrate pathology in the preclinical medical curriculum using the Bond Virtual Hospital app
Time : 14:10-15:10
Biography:
Neelam Doshi is a locum staff specialist in Microbiology at the Gold Coast University Hospital, where she is active in laboratory and clinical teaching across the continuum of medical learners. She also is designated as Associate Professor of Pathology at the Bond University Medical School, Gold Coast. She has both domestic and international medical training and work experience including India, UK & Saudi Arabia. She trained as a General Pathologist in India in 1994, then specialised as a fellow in Microbiology & Virology in UK/Australia. She was the Clinical Lead Consultant for Infection Prevention and Control at Stockport NHS Foundation Trust hospital, UK and played a key role in developing laboratory and infection control protocols for the UK NHS Influenza Emergency Preparedness in 2010.
Abstract:
Aim: Medical students find the transition from preclinical learning to clinical rotations as quite stressful. Case Based Learning (CBL) using the Bond Virtual Hospital (BVH) app in our new undergraduate medical program has enabled a smoother transition – in part through explicit correlation between basic science and clinical applications. This process requires team work between skilled facilitators. This will also highlight the effective usage of mobile app in adult learning. Method: In this integrated educational approach, the audience will experience a Bond Virtual Hospital ward round and learner’s feedback. This will follow a faculty led ‘debrief’ and learners personal experience on this ‘virtual teaching app’. Participants can reflect on this experience of integrating the scholar and scientist, practitioner and health professionalism themes of the medical curriculum. Finally, participants will consider the qualities and training required for effective educators, delivering this holistic learning. Results: Workshop will give a platform for the participants to discuss how linkages can be made between foundational year basic sciences with clinical knowledge in clinical care. Learners will share their experience on whether this tool improves their clinical reasoning and prepares them for ward work. Discussion will be shared between the participants, facilitators and the medical students on the qualities of facilitators for effective inter-professional teaching Conclusions: The workshop will consider how CBL can be used to encourage students to apply foundation science knowledge into clinical relevance using virtual ward rounds. It will also explore whether the usage of mobile app is helpful in students learning in this modern age of technology. Feedback of medical students and facilitators on this learning method looks promising.
- Video Presentation
Session Introduction
María Maldonado Vega
Hospital Regional de Alta Especialidad del Bajío, Mexico
Title: Bacteria and fungi involved in the development of diarrheic and respiratory diseases in workers handling bovine hides during the tanning process
Time : 15:10-15:35
Biography:
Maria Maldonado Vega is a graduate of PhD in Science with specialization in Toxicology. She has received her PhD and Master of Science in Research and Advanced Studies Center-Polytechnical National Institute (CINVESTAV-IPN) México, D.F. She received several awards for her research such as Prize 2006-2007 ADIAT, Technology transfer mode to companies PyME and Technical merit recognition. She has developed different projects in research and technology, which have resulted in forum disclosure of more papers, technical report and technology transfer. Currently, she has 18 papers refereed journals and 20 international papers. She is serving as an Editorial Board Member of several reputed journal like Journal of Nuclear medicine & Radiation Therapy, Journal International Pollution, and Medical Journals and Magazine of Biochemistry Education. She is a member of Mexican Society of Biochemistry and Member Research Ethics Committee.
Abstract:
The tanning process has preservation of the hide of the animal. The industrialization of animal skins corresponds in its great majority to the skin of bovines. Indoor the tanneries the presence of 11 contamination indicator species in the tanning work environment with pathogenic potential are the following: Bacterium pumilus; Bacterium subtilis; Bacterium cereus; Cladosporium lubricantis, Cladosporium cladosporioides; Penicillium commune; Penicillium echinulatum; Penicillium chrysogenum; Penicillium crustosum; Candida parapsilosis, and Candida albidus. The microorganisms could compromise the state of health of tanning workers due to their incidence, propagation and concentration. This work showed that samples of nasal and oropharyngeal mucosa taken from the tanners (the sentinel group) demonstrated a high burden of bacteria and yeasts, with values up to 76 × 107 CFU/ml for bacteria and 80 × 107 CFU/ml for yeasts, observing bacterial and fungal growth in all of the participants. The nasal-mucosa results of the second group of tanners and of the control group, in which the sample was taken at the clinical laboratory, confirmed the presence of bacteria and fungi previously observed in the first tanners group; however, the concentration was less with respect to the sentinel group of tanners, with values of 1.5 × 103 CFU/ml and 1.9 × 103 CFU/ml for bacteria and yeasts, respectively. In that prior work, the identification was carried out of bacteria, fungi, and yeasts. The bacterial families identified were Bacillaceae, Corynebacteriaceae, Enterobacteriaceae, Moraxellaceae, Nocardiopsaceae, Pseudomonadaceae, and Staphylococcaceae. The genera of fungi identified were mainly Aspergillus and Penicillium, which are considered the most significant allergenic fungi in air, and these have been associated with adverse effects on human and animal health. The yeasts identified were Candida krusei and Candida glabrata, which have been associated with adverse effects on the health of immunosuppressed individuals
- Healthcare Case Studies
Session Introduction
Yvonne Brunetto
Southern Cross University, Australia
Title: Healthcare care management: What do healthcare professionals need to be effective?
Time : 15:50-16:15
Biography:
Yvonne Brunetto is working as a professor at School of Business and Tourism in the Southern Cross University. Yvonne have been research on healthcare management issues over more than a decade across 5 countries: Australia, Italy, USA, UK: Brazil. Yvonne have published may research articles in national and international journals.
Abstract:
Delivering healthcare that leads to higher wellbeing for patients requires a positive care framework. In particular, healthcare professionals will be most engaged in management provides them with effective organisational support and healthcare professionals have high levels of individual attributes. My presentation will firstly discuss the importance of organisational support from managers built on adequate resourcing and rewarding of employees such that over time these relationships develop mutual reciprocity. I will compare healthcare management across public, private and not-for profit sectors across Australia, Italy, UK, USA and Brazil. The quality of healthcare management support predicts the outcomes of professional healthcare employees- their wellbeing and engagement, affective commitment and turnover intentions. I will show how outcomes change for employees across countries based on the quality of management support. My presentation will then discuss the importance of individual attributes that is within each person. I have measured this using Psychological Capital (PsyCap). PsyCap is a socio-emotional resource within humans. Those who have high levels of PsyCap have a natural buffer against stress, and perceive the “glass as half full”. Specifically they have high levels of self-efficacy (they have self-confidence to take on challenges); optimism (they are positive about succeeding); hope (they persevere toward a goal) and resilience (they bounce back after a setback). High PsyCap also predict employee’s work outcomes, including engagement, wellbeing and reduced turnover. I will show my findings about the impact of Psycap on healthcare professionals’ outcomes across sectors and countries and explain the implications of both in making employees effective.
Liu Hsing-Yuan
Chang Gung University of Science and Technology, Taiwan
Title: A Delphi method to construct a competence indicator of gender in healthcare professional education
Time : 16:15-16:40
Biography:
Liu Hsing-Yuan has completed her PhD from National Taiwan University School of Nursing. She is an Associate Professor and Dean of Student Affairs School of Nursing, Chang Gung University of Science and Technology, Taiwan. She has published more than 30 papers in reputed journals and contributes her effort in gender studies and education.
Abstract:
The prevailing gender bias and gender unawareness has been a suffering in our society. Since gender mainstreaming has become an important policy in Taiwan, we foresee challenges in health professional curriculum and gender equality education. The research design combines both quantitative and qualitative approaches. Purposive sampling will be used to select two medical technology colleges in north and central Taiwan. According six-step curriculum (self-understanding of gender, self and personal relationships of the gender and self-breaking competence indicators of gender equity education) developed by professionals at Johns Hopkins University in the United States, the research material from theories and studies, as well as local teaching practices will be derived. In the first year, a Delphi method was applied to construct the competence indicators of gender in health professional education. The second year, we revised the foundation of the study results of the first year to explore the effectiveness of learning and knowledge construction in health professional college students. In the third year, a large scale sample development and testing in Taiwan was done. The substantial research goals are the following: (a) to develop social justice-oriented service-learning curriculum, (b) to construct the competence indicators of gender for health professional education, connected with the upper secondary schools which has features of continuity, depth and stage specific, (c) to explore the learning effect from the gender course and (d) to develop the competence indicator scale of gender and teaching materials for health professional education. Therefore, the results will be useful reference for health professional education and gender education.