Day 2 :
Keynote Forum
Sheila Blackstock
Thompson Rivers University, Kamloops, British Columbia, Canada
Keynote: The impacts of organisational factors on horizontal bullying and turnover intentions in the nursing workplace
Time : 10:30-11:00
Biography:
Sheila Blackstock is a nursing lecturer at Thompson Rivers University, Kamloops, British Columbia, Canada.She has over 30 years nursing experience in rural, acute care, aboriginal and community and occupational health nursing that enriches both her student-centered teaching pedogagy and research interests. She is committed to Aboriginal health and to improve quality of nursing work environments, focusing on the relationship of organizational workplace structures and processes to horizontal workplace bullying among RNs.
Abstract:
Aim: To examine the impact of organizational factors on bullying among peers (i.e. horizontal) and its effect on turnover intentions among Canadian registered nurses (RNs).Background: Bullying among nurses is an international problem. Few studies have examined factors specific to nursing work environments that may increase exposure to bullying.An Australian model of nurse bullying was tested among Canadian registered nurse coworkers using a web-based survey (n = 103). Three factors –misuse of organizational processes/procedures, organizational tolerance and reward of bullying, and informal organizational alliances – were examined as predictors of horizontal bullying, which in turn was examined as a predictor of turnover intentions. The construct validity of model measures was explored.Informal organizational alliances and misuse of organizational processes/procedures predicted increased horizontal bullying that, in turn, predicted increased turnover intentions. Construct validity of model measures was supported.Conclusion: Negative informal alliances and misuse of organizational processes are antecedents to bullying, which adversely affects employment relationship stability and the implications for nursing management. The results suggest that reforming flawed organizational processes that contribute to registered nurses’ bullying experiences may help to reduce chronically high turnover. Nurse leaders and managers need to create workplace processes that foster positive networks, fairness and respect through more transparent and accountable practices.
Keynote Forum
Umit Yuksek
Cardiologist, Odemis State Hospital Cardiology Clinic, Izmir, Turkey
Keynote: Kounis Syndrome- from diagnosis to treatment a real challenge
Time : 10:00-10:30
Biography:
Dr. Umit Yuksek is a cardiologist (M.D.) at Odemis State Hospital, Izmir, Turkey. He graduated from Hacettepe University Medical Faculty at 2003. He became a cardiology specialist from Izmir Ataturk Education and Research Hospital at 2010. Between 2010-2014 he studied at Kastamonu State Hospital aCrdiology Clinic. He currently studies as a director of Cardiology Clinic at Odemis State Hospital, Izmir, Turkey. His studies mainly focus on coronary artery disease and heart failure. He is a member of Turkish Society of Cardiology, Cardiovascular Academy and Eurupean Society of Cardiology Heart Failure Association.
Abstract:
Kounis syndrome is the coexistence of acute coronary syndromes with hypersensitivity reactions. There are many etiologies that have been reported including drugs, medical conditions, environmental exposure and stent implantation. There are 3 types of Kounis syndrome. Type 1 Kounis syndrome is the one seen in patients with normal coronary arteries. Type 2 is seen in patients with pre-existing atheromatous disease. Type 3 is stent thrombosis due to hypersensitivity reactions to the components of the stent. The exact mechanism of this syndrome is not clearly identified. There are some possible mechanisms. The most accepted mechanism is mast cell degranulation after the allergic insult. Chemical mediators released from mast cells are thought to induce coronary artery spasm or to promote platelet aggregation. Some interesting samples of Kounis syndrome, a brief summary of our case report, the diagnosis, etiology and pathophysiology of the disease, the treatment options (including the hint points related to the treatment) and the future perspective for the disease will be discussed.
Keynote Forum
Sek Ying Chair
Director and Professor, The Nethersole School of Nursing, Faculty of Medicine,The Chinese University of Hong Kong. Shatin, New Territories, Hong Kong.
Keynote: The effect of motivational interviewing on outcomes of cardiac patients
Time : 11:20-11:50
Biography:
Prof. SY Chair is the Director and Professor of the Nethersole School of Nursing at The Chinese University of Hong Kong. She is the President of Hong Kong College of Cardiac Nursing and an Honorary Advisor of Hong Kong College of Critical Care Nursing and the Institute of Advanced Nursing Studies, Hospital Authority. Prof. Chair’s research interests focus on cardiovascular and critical care nursing and she has published over 100 peer-reviewed research articles. Prof. Chair is Co-Editor of Connect: The World of Critical Care Nursing and an Editorial Board Member of Asian Nursing Research and Journal of Research in Nursing.
Abstract:
Motivational interviewing (MI), a well-recognized counselling skill, has been widely used in promoting behavioral changes. A randomized controlled trial was conducted to examine the effects of MI on patient outcomes and health-related quality of life (HRQoL) among cardiac patients. The control group (CG) received usual care of an 8-week cardiac rehabilitation (CR), including 16 sessions of 2-hour exercise and 6 sessions of 1-hour education. The intervention group (IG), on top of the usual care, received extra 10 sessions of MI (30-45 minutes/session) on building the motivation for change. Clinical outcomes (blood pressure, body mass index, and lipid profiles), depression and anxiety (Hospital Anxiety and Depression Scale), and HRQoL (SF-36) were measured at baseline and 3-month after entering study. As result, 146 patients (73 per group) were recruited. There was no significant difference in clinical outcomes between groups after intervention (all p values > 0.05). Patients in the IG had more improvements in HRQoL, in the aspects of general health (p = 0.048) and role limitation due to emotional problems (p = 0.024). However, the IG group reported significantly higher increases in anxiety levels than those in CG (p = 0.030). In conclusion, MI contributed no significant effect on clinical outcomes and limited effect on HRQoL in cardiac patients at 3-month. With an already comprehensive and intensive CR program, it might be difficult to achieve extra clinical improvements. Given the increased anxiety levels in the IG, MI might become a burden to those who need to rush to work after CR.
Keynote Forum
Dr. Shade Akande
Stony Brook Medicine. USA
Keynote: Factors associated with Heart failure Readmissions from Skilled Nursing facilities
Time : 12:15-13:05
Biography:
Shade Akande has completed her doctoral of nursing practice from Stony Brook University. NY. USA. she has given numerous podium presentations related to nursing practice. As a clinician, she has the expertise, leadership and motivation to successfully contribute to the mission and values of programs and the institution as a whole. She is dedicated to continuously deliver excellent and quality care to the population with increased productivity and positive outcome, fostering education and to embrace the concept of continuous performance improvement.
Abstract:
Background: Despite guideline-driven pharmacological therapies and careful transitional care, the rates of preventable hospital re-admission of heart failure patients and associated costs remain unacceptably high in the SNF populations. Transfer to SNF is one strategy to limit hospitalizations. As such, 25% of patients are still symptomatic at time of discharge. Purpose: The objective of this study is to identify patient factors affecting re-admissions of HF patients residing in SNF within 30-days. Methods: A retrospective electronic chart review was completed on patients >65 years with HF who were admitted into large medical center between 2012 and 2014. Descriptive statistics and univariate analyses using the chi-square test or Fisher’s exact test for categorical variables and the Mann-Whitney test for continuous data was used to compare patients readmitted within 30 days vs. those who were not readmitted within 30 days. Significant factors associated with readmission in the univariate analysis (p<0.10) were included for a multivariate logistic regression model. Results: Fifteen variables: creatinine, weight difference, CKD, Angina, Arrhythmia, VHD, Tobacco, ADL, independent in bathing, independent in the toilet, S3 Heart sounds present, HJR, AF, Nitrates, and Hydralazine, were identified for the multivariate logistic regression as potential risk factors associated with “readmission within 30 days”. Creatinine and ADLs were included in the final model as this subset of predictors was found to be the best for prediction of “readmission within 30 days”. Creatinine (p<0.0087) and ADLs (p<0.0077) were both significantly associated with readmission within 30 days in the final logistic regression model. Every 1-unit increase in creatinine is associated with an 87% increase in the odds of being readmitted within 30 days (OR = 1.87). Those patients who require assistance with ADLs are over 9 times more likely to be readmitted within 30 days (OR=9.25) as compared to patients who are independent