Day 2 :
Keynote Forum
Joy Baldridge
Baldridge Seminars International, USA
Keynote: Effective communication skills
Biography:
Joy Baldridge, CPC, CSP, is a renown self-management expert who helps the best companies in the world become even better at increasing revenue and productivity while decreasing stress and frustration. She began her speaking and training career at birth. She was born into a family of driven entrepreneurs and dynamic educators. Her parents founded the Baldridge Learning Center in 1956. Her first official speaking engagement was at the White House, at the age of 19. She got there by cold calling the president. In 1992, Joy founded Baldridge Seminars International, a professional development organization that focuses on management, leadership, sales, communication and priority management skill development. In her seminar and keynote presentations Joy shares innovative ways to adapt to change while increasing revenue, productivity and profitability. Her keynote presentations and seminars are highly entertaining, extremely informative and completely customized. They are known for producing immediate, positive, and tangible results.
Abstract:
Keynote Forum
Cristina Florescu
Craiova University of Medicine and Pharmacy, Romania
Keynote: Cardiac toxicity risk of long-term use of trastuzumab in metastatic breast cancer: The importance of a cardio-oncology team
Biography:
Cristina Florescu is a Lecturer at Craiova University of Medicine and Pharmacy, Senior Doctor in Cardiology and Internal Medicine. She has a Master’s degree in Health Services and is Doctor of Medicine. Her domains of interest are heart failure, echocardiography, prevention medicine and cardio-oncology.
Abstract:
The prognosis of patients with cancer was substantially improved by early detection and modern treatments, one of these being signaling inhibitors, alone or combined with conventional chemotherapy. Patients receiving cancer therapies may have their quality of life and survival affected by cardiotoxicity, because higher survival rates bring more patients presenting with cardiac adverse effects. Signaling inhibitors like trastuzumab have a risk of cardiovascular adverse effects including cardiac dysfunction and development of heart failure, myocardial ischemia, arrhythmia, QT prolongation, and arterial hypertension. Iatrogenic side effects of these drugs could be irreversible lesions or reversible dysfunction, but exist also the possibility of being overlapped, for example, trastuzumab may produce irreversible cardiac damage in patients with preexisting cardiac dysfunction or augment anthracyclines type I cardiotoxicity. Cardiovascular treatment may delay expression of cardiac dysfunction in these patients. Monitoring the cardiac health of patients before, during and after cancer treatment is very important. It is possible that patient’s eligibility for cancer therapies may be affected and also their life expectancy. In some cases, cancer treatments may be stopped without prompt access to cardio-oncology expertise. Also, patients are not eligible for the aggressive treatments needed, remaining a potential risk of being undertreated, having treatment delays or having dose decreased. Trastuzumab, a monoclonal antibody targeted against HER2/erbB2 and VEGF (vascular endothelial growth factor) signaling pathways, in combination with chemotherapy improved prognosis of women with HER2 overexpressed breast cancer. The main concern of long-term therapy with trastuzumab remains its association with potential cardiotoxicity. Although real, cardiac side effects of trastuzumab are probably overemphasized. I report the case of a woman with metastatic breast cancer, who is currently in complete remission, and who was treated with trastuzumab for more than nine years without significant cardiac toxicity.
Keynote Forum
Diann L Martin
American College of Education, USA
Keynote: Conflict happens: Handle it successfully
Biography:
Diann Martin has completed her PhD in 1990 at Rush University in Chicago IL. She has been a Nurse since 1974 with a specialty in Home Health and Hospice. Since 2005, she has been an Academic Leader in nursing programs nationwide and has held four positions as Dean and many online teaching assignments at BSN, MSN and PhD programs in Nursing. She is the best-selling Author of the successful and conscious caregiver in mastering the Art of Success published by Celebrity Press in July 2017. She is a certified success coach in the Jack Canfield Success Program and a Master Trainer in the Passion Test system helping people to identify and live their ideal lives. She has published three books on Nursing Practice and is a Member of the Center for Health Care Innovation.
Abstract:
The field of healthcare is ripe for conflict and nurses are regularly facing conflict from all sides. Under the name of incivility or lateral violence, conflict has been recognized as a major source of organizational and individual problems in nursing practice. Patients are worried, physicians are harried, family panic and nurses are stressed. Conflict is inevitable, but it does not need to escalate or result in violence or incivility. This presentation will explore the issue of conflict and what factors and beliefs contribute to conflict, including limiting beliefs among the involved individuals. A group of common reactions and responses to conflict will be reviewed. Methods and steps to mitigate or de-escalate the problems associated with conflict will be presented along with 10 strategies that you can apply immediately in your work setting. Case examples and experiences with conflict in nursing practice will be examined and analyzed. Finally, some of the possible benefits of conflict will be suggested.
Objectives
Identify common sources of conflict in nursing practice
Describe a variety of reactions and responses to conflict in healthcare
Apply strategies that can effectively de-escalate conflict
Discuss how and when conflict can be useful in an organization
- Critical Care Nursing Science | Evidence- Based Nursing | Healthcare and Nursing Management | Women Health and Midwifery Nursing
Location: Desert Palm A
Chair
Charlotte Ann Syme
British Columbia Institute of Technology, Canada
Co-Chair
Diann L Martin
American College of Education, USA
Session Introduction
Yanmeng Yang
Sichuan University, China
Title: Meaning-centered group psychotherapy for patients with lung cancer: A randomized controlled trial
Biography:
Yanmeng Yang is studying on their master degree in Sichuan University.She work hard and actively participate in the activities at school.Junying LI is their graduate tutor. She is working at the Department of Cancer Center, West China Hospital, Rujun Zheng also working at the Department of Cancer Center,he is the contributor of MCGP.
Abstract:
Objectives: A diagnosis of cancer and its treatments are stressful. Meaning in life, psychological distress and quality of life (QoL) may affected by cancer. We conducted this trial to explore whether meaning centered group psychotherapy (MCGP) could increase these factors.
Methods: Patients with lung cancer (N=212) were randomly assigned to either MCGP or a control group by computer and the proportion of the test group and the control group was 2:1. Patients were assessed before and after completing eight times intervention. Outcome assessment included measures of meaning in life, anxiety, depression and QoL.
Results: MCGP resulted in greater improvements in meaning in life (especially in seeking the sense of meaning in life) (p<0.05), reduction in anxiety and depression (p<0.01). There were no significant difference in Qol (p=0.186), but the role function, social function, emotional function, sleep and pain were ameliorated in the test group.
Conclusions: MCGP appears to be a beneficial intervention for lung cancer patients’ psychological distress and meaning in life.
Yue Feng
Sichuan University, China
Title: Efficacy of meaning-centered group psychotherapy for lung cancer patients: A randomized controlled trial
Biography:
Yue Feng is studying on their master degree in Sichuan University.They work hard and actively participate in the activities at school.Junying LI is their graduate tutor,she is working at the Department of Cancer Center,West China Hospital,Rujun Zheng also working at the Department of Cancer Center,he is the contributor of MCGP.
Abstract:
Aim: The aim of this study was to assess the efficacy of meaning-centered group psychotherapy (MCGP) in improving social support, using better coping strategies, enhancing the doctor-patient relationship and decreasing the caregivers burden in patients with lung cancer.
Methods: A total of 212 lung cancer patients were randomly assigned to either MCGP or care as usual in a 2:1 ratio. Patients were assessed before and after completing the 8-times intervention. Outcome assessment included social support, coping strategies, caregivers burden and doctor-patient relationship.
Results: MCGP resulted in significantly greater improvement in social support (t=5.149, P<0.001) and doctor-patient relationship (t=4.639, P<0.001). MCGP utilized active coping strategies more frequently (t=4.639, P<0.001) while negative coping strategies less frequently (t=-6.006, P<0.001). Patients’ caregivers burden had been decreased compared to the control group (t=-5.149, P<0.001).
Conclusion: This randomized controlled study provides evidence that meaning-centered group psychotherapy is an effective intervention to improve social support, utilize better coping strategies, enhance doctor-patient relationship and decrease the caregivers burden for lung cancer patients.
Christmals C D
University of Witwatersrand, South Africa
Title: A context analysis for the development of advanced child health nursing practice program in sub-Saharan Africa
Biography:
Christmals C D is a PhD Candidate at the University of Witwatersrand working on the research title ‘The Development of an Advanced Practice Nursing Curriculum Framework for Sub-Saharan Africa: A multimethod Study’. He has completed his MS in Nursing Education from the University of Witwatersrand, BS from the University of Cape Coast, Ghana. He was a former Clinical Educator for West End University College, Ghana and two other Nursing Colleges in Ghana. He is a multiple Academic Merit award winner and under the mentorship of Professor Janet J Gross.
Abstract:
Aim: The aim of this study was to explore the ‘why’ and ‘how’ Advanced Child Health Nurse Practitioner programme could be introduced into the sub-Saharan Africa context?
Design & Methods: A sequential multi-method (a scoping review followed by a Delphi) study was applied in this study. The scoping review framework developed by Arksky and O’Malley (2005)was to review literature on Advanced Practice Nursing and Child Health in sub-Saharan Africa to develop a Delphi questionnaire on sub-Saharan African context regarding the introduction of Advanced Practice Nursing (Child Health Practitioner) for a multinational multidisciplinary expert review. The Redcap online Delphi took two stages to reach expert consensus.
Results: Children form the majority of sub-Saharan Africa and live in rural areas where access to timely, quality and cost effective care is difficult due to the acute shortage of medical doctors and inability of the countries to provide legislation and training for Advanced Practice Nursing programme. Nurses form the majority (above 70-80%) of the health workforce in sub-Saharan Africa. Introduction of APN programmes in Africa are opposed by the medical profession, lack of political will, inability of nursing councils to develop scopes of practice and physical and human resources. Advanced Child Health Nurse Practitioners are essential in meeting the sustainable development goals related to health in SSA.
Conclusion: Nurses need to undertake research and take advantage of their overwhelming majority in the healthcare workforce to advocate for the legislation and educational programmes for Advanced Child Health Nurse Practitioner programmes in sub-Saharan Africa to meet the healthcare needs of the underserved children.
Eman Salman Mohamed Salman Taie
Helwan University, Egypt
Title: Peer coaching as an innovative approach to accelerate development for Helwan intern
Biography:
Professor Eman Salman Mohamed Salman Taie is the Head of Nursing Administration Department, Faculty of Nursing in Helwan University, Cairo, Egypt. She is an International Certified Trainer and Human Resource Development Consultant in International Board for Certified Trainer. She has experiences in different nursing administration issues. Also, has sixteen international research articles published all over the world.
Abstract:
Background: Peer coaching is a partnership between coach and coachee in a nonjudgmental environment. It is a confidential process through coach and coachee share their expertise and provide one another with feedback, support and assistance for the purpose of enhancing learning by refining present skills, learning new skills, and/or solving classroom/clinical area-related problems.
Aim: The aim of this study was to explore peer coaching as an innovative approach to accelerate development for Helwan intern nurse.
Method: It was a quasi- experimental study. The study was conducted at El Salam hospital, El Nile Badrawy hospital and Wady El Nile hospital. Study subjects composed of all intern nurses (N=230) in faculty of nursing–Helwan University, for the internship years which started in the first of September 2015 to the end of August 2016 and in September 2016 to the end of August 2017. Two tools were used for data collection, questionnaire format and intern nurse evaluation sheet.
Results: There was a high significant (p<0.001) difference between them before and after awareness sessions regarding their knowledge about coach and peer coach. Most of them applied what they learned in coaching awareness sessions.
Conclusion: There was high significant difference between coached and not coached intern nurses four months post peer coaching regarding their evaluation score in two areas.
Recommendations: Peer coaching should be included in the faculties of nursing as a vital component of the professional development programs, nursing curricula should be restructured to introduce the coaching and peer coaching approach. Also, future researches on the effectiveness of the peer coaching model with more partnerships will provide more rigorous results.
Paulette Sides-Sasser
Duquesne University, USA
Title: Integration of behavioral and mental health care into primary care clinics: A program evaluation
Biography:
Paulette Sides-Sasser has completed her Doctorate in Nursing Practice from Duquesne University with a focus on the integration of mental health into primary care systems. During her 25 years in the fields of mental health and primary care, she has worked as a Graduate School Faculty, and Manager of community, emergency, and forensic mental health programs. She acted as a Clinical Expert for the National Medicare Reimbursement Pilot for the United States. She has also presented topics in ambulatory nursing, reimbursement, primary care, and mental health at national and international conferences.
Abstract:
Fragmentation of physical, mental and chemical dependency care delivery systems has led to significant gaps in care for individuals with severe mental illness and substance use disorders. A shifting international focus to chronic illness and the default provision of mental health care demands new approaches. In the US, the rise in numbers of those identified with mental health conditions has risen, while the resources to care for those patients have declined, creating a gap in service to a vulnerable population. This DNP project is a program evaluation of an integrated behavioral health and mental health program provided by a Patient Cantered Medical Home Primary Care Clinic. This DNP Project’s purpose was to evaluate the impact of the implementation of integrated behavioral and mental health services within a primary care clinic on patient’s adherence to the treatment plan, staff and patient experiences and cost of care for patients with severe mental illness. Qualitative and quantitative data was collected 12 months prior to and after the program change which included the addition of a licensed mental health expert and workflow adjustments. Upon completion of data collection and analysis, results showed that the integration of mental health into primary care has had a positive impact on patient adherence to treatment, patient satisfaction and staff satisfaction.