Day 1 :
- Nursing
Session Introduction
Lijuan Xuan
Sichuan University, China
Title: Readiness for Hospital Discharge and its Association with Quality of Discharge Teaching in Heart Failure Patients
Biography:
Background: Heart failure(HF) is the end stage of many cardiovascular diseases, which incurs a high prevalence, mortality and morbidity. An increasing number of studies showed that about 30% of the HF patients were readmitted within 30 days after discharge due to the clinical exacerbation. Recurrent hospitalizations not only worsen the heart function, but also increase the healthcare costs. Researchers have reported that high level of readiness for hospital discharge can lower the readmission rate. In addition, quality of discharge teaching(QDT) has emerged as a momentous factor influencing the readiness for hospital discharge(RHD). However, there is little research on the status of RHD and its association with the QDT in HF patients. Objective: The purpose of this study is to assess readiness for discharge and explore its correlation with the QDT in HF patients. Method: This is a cross-sectional study and a convenience sample of 160 patients were selected according to the inclusion criterions. Results: There were 88.8% (n=142) patients who were ready for discharge. The average scores of the readiness of discharge and the QDT were respectively (7.47±1.16) and (7.32±1.36). The scores of the RHD sub-scales from high to low were expected support (7.80±1.51), personal status (7.54±1.47), coping ability (7.48±1.66) and knowledge (7.27±1.57). There was positive correlation between the readiness of discharge and QDT in HF patients (r=0.457, P＜0.01). Conclusion: The RHD in HF patients presented in a medium level. There was positive correlation between readiness of discharge and QDT. Important consideration should be given to patient education and the training on discharge teaching skills also recommended for medical staff.
Abstract:
Tang Xiumei
Sichuan University, Chengdu, China
Title: The Training of Master of Nursing Specialty under the Outline of “Healthy China 2030†Planning
Biography:
Tang Xiumei(1996-now), Department of Orthopedics, West China Hospital, Sichuan University, Chengdu 610041, Master of Nursing, Research Field: Clinical Nursing.
Abstract:
To analyze and interpret the "Healthy China 2030" policy while combining the current status of Master of Nursing Specialty training in China. Methods Read the "Healthy China 2030" plan (‘‘The strategic plan to build healthy China and improve people’s health’’), refine the guiding ideology from relevant papers and put forward relevant thinking and suggestions. Result "Healthy China 2030 plan outline" explained how the healthy China strategy work and guid the developments in many areas including medical and nursing. There are many obstacles need overcoming in China: the training objectives of our Master of Nursing Specialty are only a general goal by far and the curriculum settings are lack of features; our professional degree development model has not yet mature and faculty still be in huge demand of specialties of nursing professors; our nursing humanistic education is ignored and separated with the science and can not meet the needs of our social. We need more cooperations among Interdisciplinary institutions and different regions in regard with eliminating regional disparities, uneven distribution of resources and other issues which still affect the quality of graduate students cultivation in China. Conclusion We should improve master's training mode of nursing specialty in China following the guidance of national policies, aiming to enrich its connotation, promote the construction, realize basic health care services for all and realize the great rejuvenation of the Chinese nation and all humanity.
[Keywords] Health China 2030, Master of Nursing Specialty, Nursing Education
Khusbu Regmi
Institute of Medicine, Kathmandu, Nepal
Title: Abortion Practices and its Associated Factors among the Women in Bhaktapur District, Nepal
Biography:
Mrs Khusbu Regmi has completed her master degree in public health in 2019 from Institute of Medicine,Tribhuwn University,Nepal.She joined intermediate in nursing education in 2006 to 2009 and worked as a ICU/CCU nurse or 2 years.She completed her bachelor degree in nursing science in 2015 and then been involved in INGOs like JSI Research and Training Institute and Plan International Nepal for promoting and enhancing the health of pregnant mothers and neonates.
Her previous research work was selected for poster presentation in Npeal Health Research Council annual submit.
She is a learner who has profund interest in research and is seeking for the learning opportunities.
Abstract:
With the legalization of abortion services and availability of prenatal diagnostic technique, evidence of sex selective abortion are seen in such countries where there is patriarchal society with strong son preference and preference for small family size. This study aimed to explore the factors associated with the sex selective abortion and health workers perspective on sex selective abortion.
METHODS:
Mixed method study design was used and using a multistage cluster random sampling technique 320 women were interviewed using semi structured questionnaire and key informant interview was done among the four health workers. This study was conducted in Bhaktapur district during September-November, 2019.
RESULTS:
Finding of the study showed that 7.8% of the women had sex selective abortion. Pressure to have a son (AOR= 6.859, 95% CI=2.255-20.867) and knowledge on abortion law (AOR= 4.616, 95% CI=1.496-14.247) were positively associated with the sex selective abortion practices. Findings from the KII also suggest about the prevalence of son preference in the society and increasing trend of sex selection practices among the couples.
CONCLUSIONS:
Promoting gender equality and enhancing girls’ status on the society are crucial along with strong enforcement of law against sex disclosure and sex selective abortion.There is also the need for additional research on these issues. More of the qualitative study might further help to bring forward the information on these adverse form of gender inequality like sex selective abortion.
Keyword: abortion, sex selective abortion, sex selection
Susan Bendersky Sacks
University of Pennsylvania School of Nursing, USA
Title: Clinical Hypnosis for Chronic Pain
Biography:
Ms. Sacks is a board certified Psychiatric Clinical Nurse Specialist, Certified and Approved Consultant with American Society of Clinical Hypnosis, and is certified in Rational Emotive Behavior Therapy from the Albert Ellis Institute. She is a clinical instructor for the University of Pennsylvania School of Nursing, where she also completed her baccalaureate and master’s degrees in nursing. She has provided clinical hypnosis workshops for the American Society of Clinical Hypnosis and The Greater Philadelphia Society of Clinical Hypnosis. She has 37 years of private practice experience in clinical hypnosis and cognitive behavioral therapy in Plymouth Meeting, Pennsylvania.
Abstract:
Chronic pain is the most common cause of long term disability in the United States, and effects over 1.5 billion people worldwide. Possible complications and co-morbidities include major depressive disorder, suicide, and unintentional opioid overdose death. Because chronic pain may be unresolved by conventional medical treatment, many individuals seek relief from complementary and alternative medicine treatments. The National Institute of Health recognizes hypnosis as a complementary health approach to manage chronic pain, and most insurance companies provide partial reimbursement. Research with controlled trials over the last 30 years have confirmed that hypnosis treatments are effective to reduce daily pain intensity for all types of chronic pain, including neuropathic, nociceptive and psychogenic pain. There are over 100 years of scientific literature to support the safety and effectiveness of hypnosis, with an average of 150 articles published yearly. Hypnosis is considered a treatment as well as a state; it is described as a self-induced state of altered perception and inward absorption achieved by heightened attention and concentration. Experts believe that in this altered state, the mind holds back its’ critical and analytical tendencies, permitting cognitive flexibility, receptivity, and acceptance of therapeutic suggestions. Researchers have discovered that hypnotic ability is not always innate, but can be learned and enhanced through practice. This presentation will include a description of current research, mechanism of action, the hypnotic procedure and experience, examples of application, number of sessions, duration of benefits, predictors of responsivity, contraindications and precautions, informed consent, training and certification opportunities and requirements.