World Nursing Education and Evidence Based Practice Conference

Antoinette Tall graduated with her Bachelor's of Nursing from the University of South Florida in 2005 and received her Masters from Loyola University in 2009 and is employed at the James A. Haley Veterans Hospital in Tampa, Florida. Antoinette currently serves as a team coordinator for the VA Hospital and University of South Florida and is also a simulation educator. Antoinette is interested in advancing the science of simulation in our students and fellow nurses

Urinary tract infections are one of the most common hospital acquired infections; 70-80 %of these infections are attributable to an indwelling catheters ( Weber et al, 2011). A simulated experience on catheter insertion techniques and possible adverse effects was created to empower the students to speak up when they observe sterile technique not being performed correctly. During the simulation, poor and incorrect techniques were performed by the registered nurse. The student identified the wrong techniques, but did not advocate for a new foley to be inserted using proper sterile technique. Student nurses are prepared using the most up to date education and can help prevent catheter associated urinary tract infections in our patients. Review of literature has indicated that peer to peer education has resulted in increased knowledge months after the intervention was performed. In addition, additional eyes and hands with a student/or another nurse present, will be helpful in prevention of breaking sterile technique during catheter insertion. The performance of a simulation to nursing students may translate to decreased catheter associated urinary tract infections in healthcare facilities. Patient develops confusion and imagines there are Star Wars Character in her room. She uses her cane to fight Darth Vader and Chewbacca comes to her aid. New catheter is placed after confusion begins using proper sterile technique. During debriefing, the students felt empowered to advocate for their patients when they observe improper sterile techniques The use of simulation to educate students on the dangers and adverse effects of improper catheter techniques greatly improved their awareness of the effects that improper technique could have on their patients.

Leptospirosis is infectious bacterial disease of rodents, dogs, and other mammals, transmissible to humans. The disease is endemic in Kerala Tamilnadu, Gujarat (SOUTH GUJARAT), Andaman, Karnataka, Maharashtra. It has also been reported from Andhra Pradesh, Orissa, West Bengal, Uttar Pradesh, Delhi & Pondicherry. Leptospirosis has been under reported and under diagnosed from India due to a lack of awareness of the disease and lack of appropriate laboratory diagnostic facilities in most parts of the country. The disease is endemic in south Gujarat since 1994. The endemic districts are Valsad, Tapi, Navsari and Surat. Cases are seen during the monsoon months and mortality is very high due to killer disease.

Introduction: Satisfaction is an important indicator of quality of nursing care. Through certain improvement measures, nursing care quality may be improved as well as patient satisfaction. Aims: To build up effective measures to improve nursing care quality in rehabilitation wards. Objectives The purpose of this study was to investigate the relevance of using multiple strategies and satisfaction of rehabilitation services in rehabilitation wards.

Objectives：Reducing the time from entering the emergency room (ER) to trans-arterial embolization (TAE) in trauma patients to speed up the treatment of trauma. Methods： Twenty patients from ER who activated trauma team and underwent TAE from January 2015 to May 2016 were evaluated. In these twenty patients, the time from entering the ER to receiving TAE was 276.5 minutes on average. The reasons that delay time to receive TAE treatment included 1. Staffs are not familiar with the trauma patient's severity and situation； 2. Lack of knowledge about handling the trauma case； 3. Wait for families to sign TAE consent form too long. According to these reasons, we designed the following strategy for improvement, the items included 1. Build up a standard operating procedure for these trauma patients to achieve the ER-TAE process smooth and safety； 2. Design a checklist for trauma patients to facilitate staffs； 3. Formulation of family members did not arrive at the hospital signed TAE consent form. We applied descriptive statistics to compare before and after improvement the time trend of the trauma patients from emergency room to TAE.

Background: Bacteremia is associated with significant healthcare costs and mortality, and thus bacteremic patients need high healthcare cost and large facility manpower. Although several predictors of bacteremia onset were discussed in the literature, the relationship of outdoor temperature and bacteremia incidence was lacking. Objectives: To establish the correlation of outdoor temperature and incidence of community-onset bacteremia among the emergency department (ED) visits. Methods: In a retrospective, cohort study, ED visits and adults with community-onset bacteremia in the ED were monthly calculated in the National Cheng-Kung University Hospital during the period between January 2007 and June 2014. The bacteremia incidence was defined as the bacteremia onset among all the ED visits. The average outdoor temperature was obtained by Pingtung, Kaohsiung, Tainan, and Chiayi weather station. The relationship of temperature and incidence was tested by the Pearson’s correlation. Results: Of the total 560,904 ED visits, 3,223 adults having community-onset bacteremia resulted in the overall incidence of 0.57%. Among causative microorganisms in these bacteremic patients, the leading was E. coli and the most common origin of bacteremia was urinary tract infection. The highest and lowest bacteremia incidence was 1.02% in August 2008 and 0.15% in November 2013, respectively. The monthly mean (standard deviation) of outdoor temperature is 24.3℃(4.3℃). Of note, the vast correlation (γ=0.287, P=0.006) of outdoor temperature and bacteremia incidence was disclosed, as shown in Figure 1.

Agnes K. P. Mak was graduated from the Nethersole School of Nursing, the Chinese University of Hong Kong. She worked as a registered nurse in the medical and surgical fields with experience specialized in gastroenterology and clinical teaching. In 2011, she attained her Master’s Degree in Nursing and changed her career path from clinical to nursing education. She is currently pursuing a Doctoral Degree in Education at the Northeastern University. Her research interests are nursing education, high-fidelity simulation, innovative learning, and aromatherapy.

Statement of the Problem: High-fidelity simulation (HFS) is a teaching method using full-scale, high-fidelity human patient simulators, virtual reality, or standardized patients to offer a high level of interactivity and realism for learners. In the recent decade, HFS has been adopted in many nursing programs to enhance nursing students’ self-confidence, critical thinking, and decision-making capacities. Since nurse educator demonstrates an essential role in HFS by acting as a facilitator, it is crucial to understand their genuine experiences and thoughts toward HFS as this area is still a paucity in research. The purpose of this study is to understand the experiences of nurse educators with HFS in baccalaureate prelicensure nursing programs in Hong Kong and how do they make sense of those experiences in terms of meaning, value, and future development of HFS in nursing education. Methodology & Theoretical Orientation: A qualitative study using narrative inquiry was adopted. In-depth semi-structured interviews were conducted with 8 participants invited from all the nursing schools in Hong Kong which offer baccalaureate prelicensure nursing programs. Knowles’ Theory of Andragogy and NLN Jeffries Simulation Theory were utilized to understand the participants’ personal experiences with HFS in nursing programs. Findings: Four common narrative threads are identified – (1) accept HFS as an unavoidable trend in nursing education which creates experiential learning opportunities for students in response to the limited opportunities of clinical practicum; (2) concern about students’ engagement in HFS affected by learning initiative, level of fidelity, time, group size, and debriefing style; (3) acknowledge its potential to create multidisciplinary learning; (4) willing to accept a small percentage of clinical hours substituted by good quality HFS hours. Conclusion & Significance: The themes emerged inform and inspire every stakeholder’s awareness, contributing to the future development and planning regarding the integration of HFS in nursing curriculum.

Yuri Wada has a nurse’s licence of Japan. Her study topic which is the decision making for the living organ transplantation has been influenced by her experiences as a nurse. She has tried to build the caring method of the donor of living organ transplantation. Her recent study: Content analysis in communication by transplant coordinator supporting decision making of organ transplant donors, bulletin of Osaka University Graduate School of Medicine

Statement of problem: The Living Organ Transplantation has gradually been a part of common medical treatments in Japan. The nurses play a significant role on their nursing care for the donor and family members who will have physically and mentally problems. However, the number of university and college facilities which provide the nursing education for the living organ transplantation was only 22% of the university facilities of nursing in Japan (Shuuda, et al., 2014). The purpose of this study it to examine the nursing-students’ imagination and the way of gathering the information of living organ transplantation. Methods: The focus group interviews for 19 nursing-students who have not received the education about the living organ transplantation were performed. We analysed the data with a ward frequency analysis software called KH coder.Results: In figure 1; Co-occurrence network and figure 2; Hierarchical cluster analysis of ward, these were analysed from the contents of interviews. The figure 1 showed the relation between “television”, “television drama” and “imagination” and also “fear”, “oversea” and “money”. From the order with frequency list of word, it was “oneself”, “think”, “organ”, “transplantation” and “human”. From the order with frequency list of adjective word, two characteristic words such as “fear” and “difficulty” were identified. We focused on these adjective words and analysed the words by the KWIC concordance. As a result, there were two meanings of “fear”. One of them was the transplantation itself such as a pain and health, and another meaning was that the students do not have an opportunity to receive the education about the living organ transplantation as the professional nurses in the future. There was the meaning of “difficulty” which was the decision making of organ donation as a donor, recipient and their family members. Conclusion: The nursing-students have passively built their perceptions concerning the living organ transplantation by the information from the television and television drama. However, there are the lack of knowledge and skills for the living organ transplantation to become a nurse in the future. We consider to renovate the education system including the living organ transplantation. interest.

Charm Yee Chong is a registered nurse.

Statement of the Problem: Effective communication facilitates nurses providing holistic care to patients, therefore, learning of how to communicate with patients is one of the important topics in nursing education. It is worthwhile to evaluate how the nursing students applied different communication approach in the real practice. The purpose of this study: To identify the communication approach that was used by the nursing students with patients during clinical practicum. Methodology: Eleven descriptive qualitative individual interviews were conducted. All of the participants were recruited through purposive sampling method from the year four students of the Bachelor of Nursing programme from a local university of Hong Kong, who had completed the courses of basic communication theory and with previous clinical practicum experience. Content analysis was adopted for data analysis after each interview.