24^th International Conference on Global Nursing Education & Research May 27-28, 2021 London, UK

Biography:

Alanood Kateb Alruwaily is a postgraduate student in nursing at Glasgow Caledonian University

Abstract:

Research Aim: In response to the noted rationale, this structured literature review sought to investigate the impact of the SBAR communication and handover tool when used by nurses upon patient safety outcomes. Background: In nursing practice, effective communication is the most primitive and fundamental trait that has direct influence over the provision of care and thus, care quality and patient safety. Indeed, a wider range of evidence and serious case reviews have shown that deficits in communication and clinical handover can lead to patient harm and even death and thus, utilising tools to optimise communication quality and sufficiency represents an opportunity to prevent such adverse outcomes. The Situation, Background, Assessment and Recommendations (SBAR) framework is one of the most common communication tools used in nursing practice but little is known about its specific direct impact upon measures of patient safety. Thus, there is a need to address this important knowledge gap to help inform current and future nursing communication and handover practices. Methods: A structured literature review was designed using the PRISMA criteria for systematic reviews to enhance credibility. A search for literature relevant to the research aim was undertaken in February 2021 using the databases of MEDLINE, CINAHL, EMBASE and Google Scholar. Search terms were constructed using the research question, modified with syntax and combined with Boolean logic to optimise search precision. Articles eligible for review were restricted to English language, peer-review and publication since the year 2010. All studies were appraised using the principles of CASP and data was analysed via narrative synthesis due to limited homogeneity across studies that precluded meta-analysis. Results/Discussion: A total of 12 studies were eligible for review, which comprised eight quasi-experimental before-and-after studies, three cohort studies and one randomised controlled trial. The overall risk of bias was moderate to high for most studies given the detection of issues associated with non-response, recall, confounding and outcome ascertainment biases. Applicability to the UK context also varied due to issues of sample size and representativeness. Narrative synthesis revealed that the use of SBAR by nurses to guide inter-professional communication and clinical handover was consistently positive in optimising patient safety when compared to non-structured communication controls or baseline. Specific improvements in safety outcomes included: reductions in the number of care omissions, the incidence of near-miss and patient safety events, falls, adverse drug events, restraint use and nosocomial infections and even mortality. Moreover, some studies explored the impact of SBAR upon indirect patient safety measures, which included perceptions that the tool optimised patient safety, as well as inducing improvements to care quality and culture through enhancing communication and documentation quality and sufficiency. These findings were supported by the wider literature and this derived some key implications for nursing practice and handover guidelines. Conclusion: Overall, this review that was based on the most relevant and best available evidence showed that SBAR can be used to enhance patient safety within varied health contexts and for patients of differing age groups. It is strongly recommended that SBAR is employed with routine nursing practice to guide inter-professional communication and handover, although this may require supplementation with more extensive information exchange in situations of clinical complexity. Moreover, it is important that the current NICE guidelines for structured handover better emphasise the value of SBAR in optimising communication and in reducing the risk of communication errors that can compromise patient safety. Through wider adoption and use of SBAR, it is hoped that the findings of this review will promote marked improvements in patient safety across national and international health systems. Future research, that can account for biases detected among the current evidence, is needed to re-explore the value of SBAR upon patient safety such to validate the findings herein.

Key Words: Handover tool, SBAR, Communication errors, ISBAR, Adverse outcomes and Patient safety.

Biography:

Amira Assiry is from University of Warwick, United Kingdom

Abstract:

The nurse managers' role is pivotal in healthcare organisations as they directly influence staff nurses and, therefore, patient safety outcomes. Hence, NMs have significant responsibilities and high expectations from patients, staff nurses, leaders, and organisations. However, these responsibilities remain unclear in the Saudi context. Therefore, it is crucial to identify the current NMs role and activities in Saudi Arabia and understand the challenges and enablers experienced in this role.

Objectives:

·         To describe the current role of first line nurse managers (FLNMs), and middle line nurse managers (MLNMs) in the Saudi context;

·         To identify any role challenges and enablers experienced by both FLNMs and MLNMs in this role;

·         To identify whether the NMs demographic and organisational factors are influence any of these challenges and enablers;

·         To explore how if any role challenges are experienced, and how they could be addressed;

·         To explore the enablers experienced in this role and how they could be enhanced.

Methodology: A mixed methods -sequential explanatory design will be used. Phase one  will be descriptive correlational study, following by a hermeneutic phenomenological study in the second phase .

Methods: Quantitative phase will administer cross-sectional survey to 300 NMs. Two scales will be adapted in this study; The Nurse Managers’ Work Content (NMWCQ)( Nurmeksela et al ,2019) and a sub-scale from occupational stress scale (Al-Hawajreh ,2011). Qualitative Phase will use in depth ,phenomenological interviews, with an anticipated a number of approximately 30 participants.

Data analysis: Quantitative phase will use Statistical Package for Social Sciences (SPSS). Descriptive test and Inferential statistics test multiple linear regression analysis. Qualitative phase will use Van Manen’s framework (1997), to analyse a hermeneutic-phenomenological data.

Integration: Integration in this study will occur in three levels; 1) design level ;2) Methods level; 3) interpretation & reporting level. 

Key Words: Nurse manager’s role , challenges, leadership competence ,mixed methods, phenomenology study, correlational design

Biography:

Prof. Dr. Xia Liping, RN, has completed her Ph.D. program in nursing from the Second Military Medical University, Shanghai, in 2016. She is the dean of Nursing Faculty, Jiangsu Vocational College of Medicine. She has published more than 20 papers in journals, the article “Genetic Variants in Noncoding PIWI-Interacting RNA and Colorectal Cancer Risk” was published in the Journal Cancer. She has been serving as an editorial board member of Chinese Journal of Nursing Education.

Abstract:

Effective empathy training interventions based on scientific evidence becomes essential. A theoretical framework should guide the proposed interventions and be coherent with the evaluation of the dimensions taking in account that empathy is currently a multidimensional concept. The study aimed to determine, for nursing students, what is the effectiveness of experiential versus humanistic training, in terms of improvement of empathic ability (dimensions) and maintenance over time of what has been learned, and to establish the degree of coherence between the proposed theoretical model and the trained and evaluated dimensions. A systematic review using six databases was performed. The data were synthesised, and the risk of bias was analysed using the Equator Guidelines. Nine articles were selected. Further evidence of the effectiveness of experiential intervention against humanistic educational strategies was observed. Most studies were not based on a solid theoretical framework and, in these cases, inconsistency between empathic trained dimensions and those evaluated was detected. Although a better understanding of training time variable is required, middle-term interventions are recommended. Increasing the multicentre controlled trials; specifying the intervention that includes the empathy dimensions; triangulating the data from health professionals, patients, and external observers; and including monitoring, becomes a necessity.

Biography:

Dr. Marianne Allen is an assistant professor at the University of Pittsburgh and perinatal clinical nurse specialist. She is a leader in promoting quality and safety of health care through nursing research and evidence-based practice, nursing education, and collaboration with faculty and colleagues. Her research interests focus on the childbearing family. Dr. Allen earned her BSN and MN from the University of Pittsburgh and her DrNP from Drexel University.  She has presented topics at national and international conferences and is the primary author of the AWHONN Monograph Hyperbilirubinemia: Identification and Management in the Healthy Term and Late Preterm Infant (2015).

Abstract:

The Covid-19 pandemic continues to affect lives. This evidence-based strategy describes pathways to address the crisis and meet goals of undergraduate baccalaureate nursing education. Impact of the pandemic on clinical site availability provided opportunities to revise the maternity clinical course from direct on-site clinical to a clinical course with multiple modalities including small-group hospital clinical, faculty-facilitated remote clinical days, and written assignments. The design incorporated adult learning principles.

This presentation illustrates transformation of the “Community Clinical Education Day” from on-site activities to remote virtual experiences. Teaching strategies that successfully fulfilled requirements of maternity clinical course, components of the eight-hour offering, and effectiveness of a multimodal clinical course compared to a traditional clinical course are described:

Objectives: To identify mission, services, and population of community agencies and to develop education offerings for target population

Format: Live remote faculty presentation on community-based health promotion; assessment, values, and beliefs; social and health-related issues affecting women; cultural competence in healthcare; and health literacy.  Students independently review agency websites, and in small groups develop client education materials on assigned topics. Students reconvene remotely to present teaching projects.

Implications: Changes from traditional methods of on-site community clinical education to remote model with multiple modalities of instruction reflect adult learning principles, enhance student engagement, and provide templates for educators. Evaluations of remote community clinical demonstrate completion of course objectives and positive student and faculty perceptions of the experience. The effectiveness of a remote multimodal course compared to traditional course provides a model for adaptation of clinical courses. 

Biography:

Sevde Aksu is an Assistant professor, Balikesir University, Faculty of Health Sciences, Department of Nursing, TURKEY.

Abstract:

When the health level of the countries and the efficiency of health services are evaluated; It is seen that the most important difference between developing countries and developed countries is in the area of "Mother and Child Health".The midwife is one of the most important members of the healthcare profession in this field in terms of duties, powers and responsibilities. Midwives are faced with many legal incidents in the field, considering their work areas (maternity and gynecology clinics, pediatric wards and intensive care units, pediatric emergencies, MCH-FP centers, family health centers) and their legal responsibilities. In most forensic cases, midwives, who are the first to see the individual, who first communicate with their family or relatives, who touch their belongings during the examination and who are the first to come into contact with the laboratory samples taken from the individual, in short, who are one of the health personnel who can reach the first forensic evidence, should not be limited to the notification obligation. Midwives are in a position to recognize domestic violence, as well as obstetrics and women's health nurses, emergency care nurses and public health nurses, who are closest to the victims and can provide adequate care. Midwives whose main duty is the health of women and children in judicial events; It should not be forgotten that history taking, physical examination, identification of evidence, collection of evidence, storage of evidence, provision of evidence protection chain, recording of evidence, and crisis intervention will have important roles. Forensic midwifery, a new area of expertise, serves as a bridge in bridging the gap between law and medicine. Increasingly, the forensic midwife plays the critical and important role of the forensic midwife in establishing the link between civil servants, lawyers, other health professionals, law and the health system in the justice system will perceive and accept, therefore the need for a forensic midwife will arise.

Biography:

Su Yujie is now a graduate student in the School of Nursing of Lanzhou University. Her research direction is evidence-based nursing and nutritional nursing.

Abstract:

Pressure injuries as common adverse events in clinical practice which would affect the well-being of patients and cause considerable financial burden to the healthcare systems.  It is therefore essential to manage and assess through the collaboration of the Interprofessional team to identify pressure injuries for early prevention. The Evidence-Based Nursing Research Center of the Lanzhou university secondary hospital has formed an interprofessional team through the localized application and implementation of the RANO BPG (Ontario Registered Nurses Association, Best Practice Guidelines), and in the two years from 2019 to 2020, good results we have been achieved in the clinical practice and nursing management of stress injuries. First, we have established a clinical quality management system for pressure injuries based on BPG, and a quality control management information system was used to realize big data analysis of pressure injuries. For example, through the information system reporting, the wound specialist analyzes the treatment of each case to increase the quality of management of pressure injuries; We enter the information system for the quality inspection of pressure injuries, visualize the quality control analysis of the obtained relevant information, which improves the nursing level of the nursing staff of the entire hospital for pressure injuries. In addition, we have held related academic communication meeting, established wound training courses, and invented a three-step training model for wound specialist nurses; in terms of health education, we established an online WeChat platform and integrated the health education manual and posture management videos are posted on the information platform to improve the knowledge level of the people on pressure injuries. Finally, we plan to continue to extend the achievements of our team to other hospitals in Gansu Province, including county-level hospitals, in order to expand the scope of application of this management model.

Biography:

Dr Tracy Roake is an advanced midwife and general nurse.  She is currently the Head of Education and Student Affairs at Danat Al Emarat Hospital, Abu Dhabi.  Dr Tracy has been awarded a DBA, MBA, M.Sc. Healthcare management degree, and has a Master of Applied business research; she is a qualified hypnobirthing instructor and has a diploma in Aromatherapy, Herbalist, Reflexology and Naturopathy.  She is a BLS, NRP and PROMPT instructor. She has a great passion for midwifery and pioneered all the first private hospital water births in KZN, South Africa.  She is also a facility member or the PROMPT foundation in the United Kingdom.

Abstract:

The intention of this presentation is to provide the participants with an overview of looking deeper into how persuasion works and how it can help clinicians develop the ability to get what they want to convince stakeholder.

This presentation will describe the journey to of developing excellent persuasion skills, while creating affective communication pathways and brilliant ideas.

The presentation will aim to knowledge share and highlight the different processes put into place for excellent persuasion skills, whilst ensuring adequate knowledge retention is maintained.

Biography:

Wang Xinglei, postgraduate, deputy chief nurse. She is currently the head nurse of the Department of Liver Diseases of the Second Hospital of Lanzhou University, and the Director of China Aged Nursing Federation, member of Infectious Disease Nursing Committee of Gansu Provincial Nursing Society. Main research direction: chronic disease management. As a visiting scholar, she went to Singapore, Canada and other countries to exchange and study, and report to the conference. She has published 5 papers in reputed journals

Abstract:

To evaluate the effects of clinical rehabilitation exercise on post-stroke dysphagia (PSD). We used an evidence-based method to summarize the effects of rehabilitation training in patients with PSD. The Delphi method was used to demonstrate, amend and validate evidence-based outcomes. A total of 108 stroke patients who were admitted to the third-class hospital from January 2019 to January 2020 were selected and divided into the experimental group (54 cases) and the control group (54 cases) according to the time of consultation. Based on routine care, the control group received neuromuscular electrical stimulation (NES) treatment. The experimental cohort received NES along with rehabilitation exercise interventions for dysphagia for 3 weeks after the stroke event. The recovery rate of two rounds of expert letter inquiry questionnaires were 90% and 100% with expert authority coefficients of 0.895 and 0.9, respectively. The formation of rehabilitation exercise of post stroke dysphagia contained 8 first-level entries and 26 second-level entries. After the intervention, the standardized swallowing assessment (SSA) scores in the experimental group were significantly lower than those in the control group (P<0.05). The effective treatment rate in the experimental group was significantly higher than that in the control group (P<0.05). The self-rating depression scale (SDS) and self-rating anxiety scale (SAS) scores were both significantly lower in patients in the experimental group compared to those in the control group (P<0.05). The rate of patient PSD rehabilitation exercise was over 83.3%. Therefore, the clinical rehabilitation exercises can be used to improve functional outcomes in patients suffering from PSD.

Biography:

Mr. Yang, RN, started his Ph.D. program in nursing from Burapha University, Thailand, in 2019. He is the research co-director of Nursing Faculty, Jiangsu Vocational College of Medicine. He has published more than 8 papers in journals, the article “Simulation with Standardized Patients Designed as Interventions to Develop Nursing students’ Cultural Competence: A Systematic Review" has been accepted for publication in the Journal of Transcultural Nursing. He majors in nursing education and clinical nursing.

Abstract:

Background: Cultural competence is one of the principal foundations of clinical nursing. It has not yet been clearly defined and analyzed and there are different views regarding this issue. Objective: Analyzing the concept of cultural competence in nursing. Design: A concept analysis. Data Sources: The literature was searched using electronic databases including CINAHL, Medline, ScienceDirect, Google Scholar and EBSCO. Any quantitative or qualitative studies published in English, which were focused on cultural competence in nursing were included in the study. Review methods: Walker and Avant’s strategy for concept analysis was used. The attributes, antecedents, consequences, and uses of the concept were identified. Results: The four defining attributes of cultural competence were cultural awareness, cultural sensitivity, cultural knowledge and skill, and dynamic and critical process. Antecedents included Cultural diversity, Cultural encounters and interaction, cultural desire, cultural modesty, educational groundwork, and organizational aid. The consequences of cultural competence included consequences related to patients, nurses, and healthcare organizations. Conclusion: A theoretical definition and a conceptual model of cultural competence were developed. The attributes, antecedents, and consequences of cultural competence identified in this study can be used in nursing education, research, and managerial and organizational planning.