Day 1 :
Keynote Forum
Juliana thompson
Northumbria University, United Kingdom
Keynote: Development of a workforce competency framework for older people with complex needs
Time : 10:15-11:00
Biography:
Juliana Thompson is currently working as a Senior Lecturer in Adult Nursing at Northumbria University, UK. She is a Scholar of the Florence Nightingale Foundation. Her academic and research activities focus on the development of a workforce skilled in the health and social care of older people, integrated health and social care, advanced clinical practice development in primary care and the involvement of older people in nurse education.
Abstract:
Health and social services are challenged to meet the care needs of increasing numbers of older people who are highly dependent and have complex multi-morbidities. Providing quality care for older people requires a highly competent workforce. Researchers have reported that currently, the workforce is not adequately proficient. A multi-disciplinary, multi-sector Pathways of Care team was set up to identify competencies required for a skilled workforce. The team commissioned this study to develop understanding of required competencies of the workforce caring for older people, develop a workforce competency framework for Enhanced Care for Older people with Complex Needs (EnCOP) and develop understanding of priority areas for development by mapping staff against the EnCOP framework. A mixed methods study was undertaken. Thematic analysis of focus groups with staff working in health, social and voluntary sector services informed understanding of the required competencies. This, together with analyses of existing workforce competency research literature and discussions with the Pathways of Care team informed development of the EnCOP framework. Statistical analysis of surveys and practice observations and qualitative thematic analysis of stakeholder focus groups and workshops informed a competency gap analysis. A standardized, integrated competency framework working across sectors and professions is required. Gap analyses found competency development is required in teaching, learning and support across organizational and sector boundaries, if competency in clinical care is to be successfully developed. Agreement and support across all sectors, organizations and professions for adoption of an integrated competency framework is required.
Keynote Forum
Jantra Keawpugdee
Mahidol University, Thailand
Keynote: Hospital readmission risk screening tools for older adults: A systematic review
Time : 11:20-11:50
Biography:
Jantra Keawpugdee has completed her PhD in Public Health Nursing from Mahidol University. She is working as a Nursing Lecturer of Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University. She has published two papers in reputed journals and has been traning at the School of Nursing, University of Massachusetts Lowell, USA.
Abstract:
Background & Aim: Hospital readmissions are defined as multiple inpatient stays within a specified time period by the same patient (Agency for Healthcare Research and Quality, 2013). Screening is the first step in identifying patients at risk for hospital readmissions and predicting readmission to the hospital. The study aims to identify, summarize and evaluate readmission screening tools for older adults.
Method: A systematic review of articles written in English and identified via CINAHL, MEDLINE/PubMed, Ovid UML and Cochrane Library was conducted. Additional studies were identified by through reference lists of the identified articles and by Google search. Search items included keywords for readmission, risk assessment, tools and the terms hospital settings and older adults. Reliability, validity and predictors of readmission tools were extracted independently by two authors and categorized by the authors classification tool.
Result: 14 studies using five screening tools were identified. Based on the author developed scale screening tools, ISAR, TRST and hospital score showed low to moderate validity and moderate to good reliability. The RRAT validity and reliability scores were low to moderate, and the LACE index validity score was low to moderate, but the reliability of the tool was not reported. Independent variables that were most often identified as predictors of hospital readmission were history of hospital admission, polypharmacy, cognitive and memory problems, the need for help as well as difficulties in walking, the length of stay and comorbid conditions.
Conclusion: No single older adult readmission tool stands out as the best hospital readmissions risk screening tool. Tools can be chosen based on ease of use, predictors and hospital needs. Future studies comparing tools with patients with different diagnosis should be conducted.
Keynote Forum
Noppawan Piaseu
Mahidol University, Thailand
Keynote: Effects of arm swing exercise program on nutritional status in female older adults at risk for metabolic syndrome
Time : 11:50-12:20
Biography:
Noppawan Piaseu is currently the Chair of Master Program in Community Nurse Practitioner, Ramathibodi School of Nursing.
Abstract:
This quasi-experimental research with one-group self-control design aimed to investigate effects of arm swing exercise program on Body Mass Index (BMI) and Waist Circumference (WC) in female older adults at risk of metabolic syndrome. Sample included 55 female older adults with excessive WC, residing in an urban community in Bangkok. Data were collected using questionnaire and nutritional assessment at baseline, before (4-week control period) and after the program (4-week experimental period). Data were analyzed using descriptive statistics, Oneway ANOVA with repeated measures and multiple comparisons. Results revealed that after the program, mean BMI of the sample (27.0±3.2 kg./m2) was less than the baseline (27.3±3.2 kg/m2) and before the program (27.4±3.3 kg/m2) with statistical significance (F=31.296, p<0.001). The mean WC (93.6±8.9 cm) was less than the baseline (94.6±9.2 cm) and after the program (94.7±9.2 cm) with statistical significance (F=18.645, p<0.001). The results indicated that the arm swing exercise program was effective in reducing BMI and WC in female older adults. Community nurse practitioners and health team could apply the program for health promotion in female older adults residing in communities.
Keynote Forum
Rosemarie Lockwood
University of Newcastle, Australia
Keynote: Evaluation of a nurse-led intervention to improve adherence to recommended guidelines for prevention of venous thromboembolism for hip and knee arthroplasty patients: A quasi-experimental study
Time : 09:30-10:15
Biography:
Abstract:
Background & Aim: Venous thromboembolism morbidity and mortality of hospitalized patients is a major concern for health professionals. Venous thromboembolism prevention guidelines have been developed, however adherence to guidelines is variable. The aim of this study was to measure adherence to a nurse-led evidence based venous thromboembolism prevention program (intervention) compared to usual care in hip and knee arthroplasty patients and associated clinical outcomes.
Method: There were 410 potential participants who were adult patients’ booked for elective hip or knee arthroplasty at the two study sites during a two-year period (2011-2013). Of these, 27 did not meet the inclusion criteria and the remaining were eligible for inclusion in the study (intervention site n=196 and control site n=187, total population n=383). This study adopted a quasi-experimental design, using an intervention and control study site, conducted in two private hospitals in a regional area in Australia.
Result: The intervention group had a mean compliance score of 11.09, higher than the control group score of 7.19. This is equivalent to a compliance rate of 85% and 55%, respectively and indicates that adherence at the study site was significantly higher. Patient adherence and outcomes in the post-discharge period were not significantly different between the study sites.
Conclusion: This study demonstrated a nurse-led intervention achieved high adherence with translating evidence-based guidelines into routine patient care for hip and knee arthroplasty patients. Nurses can be critical to implementing clinical practice guidelines and adopting preventive programs in acute care to improve patient outcomes and reduce postoperative VTE in arthroplasty patients.
- Special Session
Location: Holiday Inn Warwick Farm
Session Introduction
Noppawan Piaseu
Faculty of Medicine Ramathibodi Hospital-Mahidol University, Thailand
Title: Development of the model mobilizing nutrition health promotion and education in community
Time : 14:20-15:20
Biography:
Noppawan Piaseu is currently the Chair of Master Program in Community Nurse Practitioner, Ramathibodi School of Nursing.
Abstract:
Aim: This mixed method approach was aimed to develop the model for nutrition health promotion and education in communities in Thailand.
Method: Situational analysis was conducted in five catchment areas in Bangkok. The focus groups and public forum revealed a need for nutrition monitoring, capacity building and community engagement concerning non-communicable diseases in Thailand. Trained community volunteers conducted nutrition screening using anthropometric measurement in 466 community dwellers aged 20-82 years.
Results: It was revealed that 18.9% were overweight and 62.8% were obese. Campaign involving stakeholders was then launched aiming at promoting appropriate intake of low fat, low salt, less sweet diet and increased regular exercise. Mobilizing change was successful through community empowerment, participation, partnership, networking and continuing support from family, community and health team. At 6-month follow up, overweight and obesity decreased to 16.3% and 48.7%, respectively.
Conclusion: This driving process named RAMA model included four major strategies: Raising community awareness; Aiming at target outcome; Mobilizing change; and Assuring synergy and sustainability as key success. The results suggested that nutrition health promotion through community-based intervention and participation was successful. The RAMA model was applied and extended by many studies, achieving effectiveness with positive outcomes.
Ek-uma Imkome
Faculty of Nursing, Thammasat University
Title: A Bayesian structural equation modeling approach of the Thai Impact and Burden Care Scale (TIBCS) in caregiver of persons with schizophrenia: psychometric properties testing
Biography:
Assistant Professor at Faculty of Nursing, Thammasat University
Abstract:
Objective: The Thai Impact and Burden Care Scale (TIBCS) was developed to assess the impact on caregivers of caring for patients with schizophrenia. The objective of this study was to develop a scoring algorithm for the TIBCS, and evaluate its measurement properties.
Methods: The TIBCS was administered to 297 caregivers of persons with schizophrenia. Three a priori models, the two-factor, three factor, and bi-factor models, were examined by maximum likelihood confirmatory factor analysis (ML-CFA) and Bayesian structural equation modeling (BSEM). BSEM specified approximate zero cross-loadings and residual correlations through the use of zero-mean, small-variance informative priors. The model comparison was based on the Bayesian information criterion (BIC).
Results: The using ML-CFA, none of the three models provided an adequate fit for either sample. The BSEM two-factor model with approximate zero cross-loadings and residual correlations fitted both samples well with the lowest BIC of the three models and displayed a simple and parsimonious factor-loading pattern.
Discussion: Overall, the scale demonstrated very good measurement properties supporting its relevance to comprehensively measure the impact and burden care of caregivers of persons with schizophrenia.
- Community Nursing | Psychiatric and Mental Health Nursing | Oncology Nursing | Nursing Informatics | Nurse Practitioner
Location: Holiday Inn Warwick Farm
Chair
Rosemarie Lockwood
University of Newcastle, Australia
Session Introduction
Mohammad Bayoumi
Hamad Medical Corporation, Qatar
Title: Endotracheal intubation in inter-professional neonatal emergencies simulation workshops versus neonatal resuscitation program courses
Time : 12:20-12:50
Biography:
Mohammad Bayoumi is a Neonatologist in Hamad Medical Corporation, Qatar. He has completed his Bachelor’s degree in 2001 from Al-Azhar Faculty of Medicine, Egypt and Master’s degree of Medicine in 2006, MD in 2010 and MRCPCH in 2012. He is a Member of Society for Simulation in Healthcare and a Member in the Board of Directors (BOD) of International Pediatric Simulation Society. He is the Director of Neonatal Simulation Program, Neonatal Central Line Insertion Workshop and Communication Skills Simulation Course. He is an NRP and Communication Skills Instructor.
Abstract:
Introduction & Aim: The use of simulation during the Neonatal Resuscitation Program (NRP) course allows clinicians to solidify their cognitive skills, practice their technical skills and improve their behavioral skills to optimize communication, teamwork and patient safety. Maintaining resuscitation skill requires continuous practice, supplemented by simulation maintenance training as needed. The aim of the study is to assess the inter-professional simulation outcome in the decision making, timing and skills of neonatal endotracheal intubation. The study compares the outcome in those with and without Neonatal Resuscitation Program (NRP) certification.
Method: The Mobile Pediatric Simulation (MPS) team conducted two inter-professional multiphasic hands on neonatal emergencies simulation workshops in Qatar and Egypt. We used the online survey tool to measure the effectiveness of the workshops, surveys were sent to the attendees immediately after the workshops. The survey defines the NRP certification but the identities of the responders were not disclosed.
Results: We received 22 questionnaire’s responses from different levels of the attendees. Half of them only are NRP certified. There was a highly positive correlation between the pre and post workshop neonatal intubation decision making, timing (R=0.83) and hand skills (R=0.82). Unexpectedly, there was no significant correlation between those who have a valid NRP certification and those who do not regarding the intubation hand skills, timing and decision making.
Conclusion: It is concluded that the inter-professional hands on neonatal emergencies simulation workshops were very effective and essential learning tools to improve the decision making, timing and skills of neonatal endotracheal intubation. It is an essential adjuvant tool for the NRP to promptly save lives and enhance the patient safety.
Tayebeh Gharakhani Bahar
Tabriz University of Medical Sciences, Iran
Title: A comparative study of the effects of mint tea bag, mint cream and breast milk on the treatment of cracked nipple in the lactation period: A randomized clinical trial study
Time : 13:50-14:20
Biography:
Tayebeh Gharakhani Bahar has completed her Midwifery Bachelor's degree from Tabriz University of Medical Sciences, Iran. She is currently working as a Midwife and conducted research at Hamedan University of Medical Sciences.
Abstract:
The purpose of the present study was to compare the effects of mint tea bag, mint cream and breast milk on the healing of cracked nipple during lactation. This was a clinical trial with a control group and pre-test and post-test design. This study was conducted in Health Centers of Hamadan University of Medical Sciences in 2016-2017. Samples were divided into three groups (n=72 subjects in each group). Interventions were performed at least 4 times a day for 14 days after the start of treatment. Data was collected through the cracked nipple measuring checklist, the amount of wound and demographic questionnaire before the intervention and on days 4, 8 and 14 after the intervention. Data analysis was conducted using descriptive and inferential statistics via the SPSS v.21 software. There was a decreasing trend in the mean score of crack pain on days 0-14 in the groups of mint cream, mint tea and breast milk after the intervention. However, there was a statistically significant difference in the breast milk group (p<0.001). Additionally, in the comparison between the groups, there was a decreasing trend with a significant difference in the mean score of wound in three groups before the intervention (p<0.001) and on the fourth day after the intervention (p=0.003). The results of the present study indicated that breast milk was more effective than mint cream and mint tea in the treatment of cracked nipple.
- Cardiac Nursing | Surgical Nursing | Environmental Nursing | Women Health Nursing | Dental Nursing
Location: Holiday Inn Warwick Farm
Session Introduction
Bongkot Wiriya
Mahidol University, Thailand
Title: Prevalence of sarcopenia and factors related to components of sarcopenia in older adults with type- 2 diabetes mellitus
Time : 10:00-10:30
Biography:
Bongkot Wiriya has completed her Master of Nursing Science (Community Health Nurse Practitioner) studies from Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University and Bachelor of Nursing Science from Faculty of Nursing, Mahidol University. She is a Registered Nurse at Siriraj Hospital, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.
Abstract:
This correlational research aimed to describe prevalence of sarcopenia and investigate relationship of personal factors and health and behavioral factors with components of sarcopenia in older adults with type-2 diabetes mellitus. Sample included 396 older adults from Bangkok and surrounding areas. Data were collected using structured interview, nutritional assessment, body composition analyzer, handgrip strength test and 6-meter walk test. Data were analyzed using descriptive statistics, Spearman Rank Order Correlation, Point Biserial Correlation and Biserial Correlation. The results revealed that the majority of the sample were female with mean age of 68.6±6.8 years and the prevalence of sarcopenia was 1.3 %. Also, the findings found that the components of sarcopenia comprising of low muscle mass, low handgrip strength and low gait speed were significantly correlated with personal factors of age (rs=0.307, p<.001), gender (rpb=-0.204, p<0.001) and co-morbidity (rs=0.124, p=0.013); moreover, they were significantly correlated with health and behavioral factors of depression (rs=0.237, p<0.001), level of physical activity (rs=-0.178, p<0.001), waist circumference (rs=-0.145, p=0.004), alcohol consumption (rb=-0.204, p<0.001) and cigarette smoking (rb=-0.147, p=0.003). However, two personal factors, diabetes duration and hemoglobin A1c and one of health and behavioral factors, body mass index, were not significantly correlated with the components of sarcopenia. The results suggest that nurses promote physical activity and adequate protein consumption, monitor depression and advise for reduction of alcohol consumption and cigarette smoking, particularly in female older adults with co-morbidity.