6^th International Congress on Emergency and Trauma Nursing April 25-26, 2019 London, UK
Venue: Park Inn by Radisson Hotel & Conference Centre

She is a registered nurse qualified in 2013 by the University of Valladolid, Spain and working for the NHS in Basildon and Thurrock University Hospital since 2016.

noeliaruz91@gmail.com

Introduction: Nursing burnout has become a paramount object of study in order to ensure the best quality of care to patients and prevent professionals from quitting their job. The aim of this review is to determine if there is any correlation between nursing burnout and the various environments this job is performed in.

Methods: The study design chosen was a literature review, with a qualitative methodology applied. The research consisted of original printing that compared the burnout level between nursing staff in hospital and the community.Publications were searched in databases such as PubMed, CINAHL, LILACS and Cochrane Library, using the descriptors “nursing”, “burnout” and “Maslach”, and employing as Boolean operator “and”. Inclusion criteria were original full text publications written in English and/or Spanish between 2013 and 2018, with a sample over 50 registered nurses who work directly with patient. Some publications were dismissed because they studied the burnout level amongst other medical staff besides nurses, like doctors, paramedics or healthcare assistants. In addition, other printings entirely focused on the nursing practice in specialised areas such as psychiatry, critical care and emergency department were discarded. Following this process, the critical reading toll “CASPe” was implemented,other printings entirely focused on the nursing practice in specialised areas such as psychiatry, critical care and the

emergency department were discarded. Following this process, the critical reading toll “CASPe” was implemented, acquiring the 11 publications used in this review.

Results: 13 out of the 1057 publications initially found that were related to the research, met the inclusion criteria, and 6 have been included in this review after passing “CASPe”. The results obtained from this review showed that, predominantly, the environment of practice is correlated to burnout syndrome and their prevalence is larger in nurses who work in hospital. Nevertheless, nurses working in hospitals with better work environment reported lowest levels of burnout and it was determined that an increase in the patient-to-nurse ratio is associated with an increase in emotional exhaustion. To this extend, emotional exhaustion was the trait more consistently related to the environment, being the main affected dimension of burnout in nurses who worked in the community.

Conclusions: Environment may affect burnout levels amongst nursing staff, being nurses who work in hospitals more liable than their peers in community

She is currently coordinator of the Family and Community Nursing Program of the teaching units of the AFYC specialty of Murcia Este_Murcia Oeste and the

teaching unit of La Vega Alta, Vega Media del Segura and Altiplano de Murcia (Spain). Recently, in 2018, she completed the Master's degree in the integral management of nursing in DM2, as one of the competencies of the Primary Care nurse. In May she defends his doctoral thesis, at the University of Murcia (Spain). The doctoral research of Doña, María Solé has focused on the work of the Family and Community Care Nurse (AFyC) with the child with obesity and

its environment. Her research was based on the interdisciplinary work of a community program led by the AFyC nurse. Currently as coordinator of the Resident Internal Nurses (EIR FyC) program, she is working on improving the resident's assessment based on the competences of the FYC EIR.

mariasole@hotmail.com

Introduction: Evaluation and formative feedback are fundamental components of any specialized training teaching program. The resident's book is an appropriate option for conducting formative assessments, particularly for a family and community nursing resident (RIA) whose training includes acquiring many competencies in different rotationsacross multiple disciplines and in multiple locations. However, the resident book evaluation system has limitations when applied in the current context, since it requires that the competences that must be acquired in each of the rotations be

well understood.

Objectives:To detect problems of the current book of the EIR of resident AFyC, and thus to be able to initiate a process to improve its quality and the evaluation of the EIR AFyC.( ínter al nurse resident of family and comunitaria care.)

Methodology: Study, descriptive, opinion, using the technique of key informants. Subjects; 24 professionals accredited for teaching (tutors), residents of EFyC, two teaching units, and their Health Care Centers. A self-report questionnaire with three open-ended questions was sent by email: What are the general problems of the current EIR Book? What are the training problems? What are the problems for the evaluation of the EIR? The data are presented in absolute figures and percentages on the total of responses.

 

Awatif Alrasheeday is a lecturer at Hail University, Kingdom of Saudi Arabia, Nursing College. Currently, she is a fourth -year PhD candidate at the School of Health Science, Salford University, United Kingdom. Her research interests in exploring the experiences of newly graduate nurses in Saudi Arabia during their first destination posts in a government hospital. In her research, she wanted to have a better understanding of the experience of the new graduate nurse transition, especially in the context of Saudi culture. To do so, she chosen to frame her study by using an ethnographic approach because she consider that NGNs are a specific cultural group. For her PhD Thesis, she is working under the supervision Dr- Joan Livesley and Dr- Neil Murphy. Awatif Alrasheeday aim to critically examine how social and cultural mores were interpreted by NGNs and how they framed and shaped their experiences.

a.m.alrasheeday@edu.salford.ac.uk

Background: Although there is much written about the experiences of newly qualified nurses, this tends to focus on those working in westernised cultures. Less research attention has been paid the experiences of NGN (new graduate

nurses) in eastern countries.

Objectives: This study explored, described and interprets the experience of NGNs at one hospital in the northern region of Saudi Arabia. All were in the initial 6 months of their first posts since entering the nursing workforce.

Method: A qualitative case study, informed by ethnographic methods was chosen to conduct the study.

Participants and Sampling: purposive sampling was used to recruit a total of 9 NGNs and 5 senior nurses.

Data collection: Data collection consisted of over 100 hours of fieldwork observations with formal and informal conversations. This data informed one-to-one focused interviews with the participants.

Data Analysis: Data was analyzed using thematic analysis as described by Braun and Clarke (2006) to enable indepth insight into what was going on and develop a coherent synthesis of the case.

Findings: This work highlights the struggle and challenges that NGNs face in the context of Saudi culture and the drive to modernize the Saudi nursing workforce. The NGNs feel and are treated differently as they struggle to find

their place in the structures that frame their working lives.

Margereth Björklund is working as a Senior Lecturer at Jönköping University and has completed her PHD in 2010 in the Nordic School of Public Health Gothenburg, Sweden. Her research is about health, health, promotion and empowerment in everyday life with head and neck cancer. Since no knowledge about positive psychology and flow theory in an HNC context exists her current research focuses on this. She works as a Senior Lecturer since 1999 and has been working as a nurse between 1970-2000 in head and neck cancer context. She has published more than 8 papers in reputed journals and has written chapters in books and two books.

margereth.bjorklund@ju.se

It is well known that patients with head and neck cancer report many disease- and health-related problems before, during and a long time after completed treatment. A salutogenic focus concentrating on individuals’ strength and health resources has shown to be of significance for experiences of well-being and happiness. This approach of positive psychology moves beyond the disease and support individuals’ growth. When thinking optimistic, the weight places on the individual’s growth and the value of this may create a sense of balance of the problem focused care and research. Mihaly Csikszentmihalyi (1975) claims that where there is a request for enrichment of life, the flow theory is one way. The aim of this study was to describe activities creating experiences of flow for persons suffering of head and neck cancer. With a descriptive design based on a deductive qualitative content analysis reflected on the nine elements of the Csikszentmihalyi flow theory. The participants struggle with everyday problems and fight for finding activities that created flow experiences. They were eager to enjoy trivial things in life. During this process they used unknown skills that increased satisfaction. Mastery, participation, involvement and enjoyment were self-rewarding and created self-care. Good relationships with family, friends and doing things together was central. Individual goals, motivation and skills and feedback from the activities contributing pleasure and happiness. This calls for personcentered care with salutogenic-oriented approaches.

Azahara Torres Santos graduated in nursing degree by the University of León (Spain) between 2010 - 2014. When she finished her degree in 2014, she started to work in a nursing home, where she was in charge of 49 residents, in order to acquire professional experience. After one year and a half working there, she decided to try working as a nurse in a different country and moved for a job in an Endocrine and Elderly Care ward in Basildon and Thrurrock University Hospital in UK, and worked there nearly two years and a half. Back in Spain, in her native country, she got a job in the Leon University Hospital where she had her placements during the degree. Currently she is working there in general medicine and palliative care. She do not have any specialization or post graduated master although she studied several post graduated courses to keep me up to date. However, her professional career has been performed mainly on the elderly care field which find rewarding.

azahara_cisneros@hotmail.com

The nursing staff is in permanent contact with death throughout their working life. In addition, attention in the process of dying, to family members and to the patient, is considered part of the nursing role. Patient care at the end of life generates in the nursing professionals feelings and an attitude to death, as well as a stage of coping with the fact of losing a patient, that are very different among professionals.

Objective: To evaluate how a good training in palliative care and teaching techniques of coping with death to nurses, can help these health professionals to cope better with the death of patients and to have a healthier attitude to the patient dying process.

Material and methods: This bibliographical review was achieved through the search of scientific evidence in the PubMed, Google academic, LILACs and Cochrane Library databases of articles in the last five years and the critical

reading of them.

Results: The number of articles that relate training in palliative care and coping with death is insufficient to establish scientific evidence. However, articles found that the attitude and feelings to death by nurses are often negative or

indifferent. Furthermore, the nurses participating in these studies state that the teaching of coping techniques and training in care palliatives could improve these results.

Conclusion: Training in palliative care for nurses during their university period as well as training throughout their professional career should be greater

Nick Millar is currently the clinical nurse leader in the Medicine Program of the Juravinski Hospital of Hamilton Health Sciences in Hamilton, Ontario, Canada. He is also a part-time lecturer and part-time associate clinical professor in the School of Nursing of McMaster University in Hamilton, Ontario, Canada. His clinical practice areas are geriatric medicine, cardiac medicine, and cardiac surgery.

millarn@hhsc.ca

Background: A well-designed on-boarding process for newly-hired nurses (NHN) in acute medicine units promotes patient safety and staff job satisfaction, team integration, and retention. The smooth transition to becoming an acute care nurse ensures that the NHN is successful in learning their new role identity and responsibilities. The inability to ensure this among NHN can result to staff attrition, incremental on-boarding cost, staff shortages, and low morale of existing senior staff. In 2016, the Juravinski Medicine Program, which has 90-bed capacity, supports NHNs through standardized 5.5-day corporate orientation followed by a 4 to 7 days of clinical preceptorship. The corporate orientation provides general information required to care across different settings in the hospital. Meanwhile, the preceptorship exposes the NHN to the specific clinical practice settings. However, based on feedback from NHNs and their mentors, the current process is lacking in providing knowledge with unit-specific processes and procedures.

Methods: A quality improvement approach was undertaken in the restructuring of the current on-boarding process that will better support NHN. The Meleis’ Transitions Theory (1975) was used as the theoretical model of this work.A working group consisting of management and frontline staff redesigned the current on-boarding process to include (a) 4-hour medicine-specific workshop, (b) protocol for determining number of clinical preceptorship days, (c) visual pathway and toolkit, (d) 7 independent consolidation shifts with assigned nurse, and (e) standardized manager and educator touchpoint meetings.

 

Results: A total of 62 NHN (31 pre-implementation and 31 post-implementation) were included in the evaluationof this project. Staff self-reported efficacy on medicine unit-specific processes increased from 44% to 82%. Their selfreported preparedness improved from 66% to 80%. The 6-month retention also went up from 56% to 81%.

 

Conclusion: This project represents the importance of regularly analyzing the on-boarding process so that it aligns with the learning needs of NHNs. It also proves that a smooth transition of NHNs in their new practice environment

can promote patient safety through increased efficacy and financial gain through increased staff retention.

Background: Inhalers are one of the most important resources to treat and control asthma and COPD. The lack of training and follow up, as well as the inability of some patients to perform the right technique, affect their capacity to

Shelene Giles is a licensed Registered Nurse and her certifications include Certified Nurse Life Care Planner, Certified Life Care Planner, Certified Rehabilitation Counsellor, Medicare Set-Aside Consultant Certified, and Legal Nurse Consultant Certified at Hendersonville, NC, USA. She has extensive knowledge in the specialty practice of nurse life care planning. She holds college degrees in Nursing, Rehabilitation Counselling, Psychology, and Business Administration. Decades ago, her career began in assisting those with disabilities in the community. Her attention moved toward understanding the effects and life-changing events of a catastrophic injury/illness. She discovered the valuable impact of nurses in the litigation settlement process. She specializes in determining future cost of care in catastrophic cases. She provides her knowledge as an expert witness. Between 2007 – 2009, she served on the AANLCP Executive Board as President. She is an internationally recognized speaker/ instructor/mentor/coach and has peer-reviewed publications. She has gained a reputation for being an effective hands-on and compassionate educator.

shelene@figeducation.com

The American Nurses Association (ANA) defines nursing as the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities, and populations. Nursing is a key element in patient survival as well as in the maintenance, rehabilitation, and preventive aspects of healthcare. Nurses utilize their education and professional experience to develop a nursing care plan for patients in a medical setting. The nursing care plan and the nursing process have been taken beyond the bedside and into the courtroom. This specialty practice is Nurse Life Care Planning - dealing with individuals who sustained a catastrophic injury/ illness resulting in litigation, outlining a plan of care with associated costs, and testifying on behalf of the patient’s needs. Just as the bedside, the nursing process is the foundation of Nurse Life Care Planning. We are entrepreneurs of a nurse owned business. We have chosen to step away from the bedside – but not step away from our roots as a nurse. We have taken our nursing skills to a higher level. We are the highest paid nurses in the world. We are nurses that specialize in Life Care Planning. Studies show there is a growing need for Nurse Life Care Planners who advocate for patients in the courtroom. This presentation will explain the specialty practice of Nurse Life Care Planning, define the method of Nurse Life Care Planning, demonstrate the nursing process beyond the bedside, and introduce nurses into an entrepreneurial mindset.

Azahara Torres Santos graduated in nursing degree by the University of León (Spain) between 2010 - 2014. When she finished her degree in 2014, she started to work in a nursing home, where she was in charge of 49 residents, in order to acquire professional experience. After one year and a half working there, she decided to try working as a nurse in a different country and moved for a job in an Endocrine and Elderly Care ward in Basildon and Thrurrock University Hospital in UK, and worked there nearly two years and a half. Back in Spain, in her native country, she got a job in the Leon University Hospital where she had her placements during the degree. Currently she is working there in general medicine and palliative care. She do not have any specialization or post graduated master although she studied several post graduated courses to keep me up to date. However, her professional career has been performed mainly on the elderly care field which find rewarding.

azahara_cisneros@hotmail.com

Cancer is a disease with great importance in the sanitary field due to the high morbi-mortality. Cancer patients have a high risk of malnutrition as consequence of the deterioration of the disease itself and the gastrointestinal effects of the treatment against the disease. A large number of studies have shown that the presence of malnutrition in cancer patients reduces the prognosis, the effectiveness of the treatment as well as the quality of life of these people. There are several tools that allow assessing the nutritional status of the oncological patient before, during and after treatment. The systematic use of these assessment instruments contributes to the rapid detection of patients at risk or with malnutrition, and allows the early implementation of nutritional support strategies to help the treatment and improve the quality of life. The role of nursing in malnutrition related to cancer is crucial at the time of making the nutritional assessment and monitoring of patients during the process.

 

Objective: To know the different tools for the nutritional assessment of the oncological patient and its effectiveness in the detection of the risk or stage of malnutrition. On the other hand, it is proposed to determine the nutritional strategies based on scientific evidence, that are needed in order to establish care for cancer patients with malnutrition. Material and methods: This bibliographical review was achieved through the search of scientific evidence in Pubmed, google academic, LILACS and Cochrane Library databases. The search was limited to articles published in the last five years, and its critical reading.

 

Results and conclusions: The studies reviewed show the existence of several nutritional assessment tools that are effective in detecting and monitoring malnutrition in cancer patients. However, they determine that these instruments are not routinely used in clinical practice, not taking into account the effects of malnutrition on the disease and its treatment. It has been also detected that there are various beneficial nutritional strategies that depend

on the individual status of the patients

 

She is currently an Assistant Professor and Faculty Lead for the BScN Accelerated Stream at McMaster University, Canada. Dr. Pratt’s doctoral research focused on the evaluation of unsatisfactory student performance in professional nursing practice courses from the clinical faculty perspective. One of her research recommendations was to develop a multimodal orientation program for novice clinical faculty. She recently completed the Priority Area in Learning and Teaching (PALAT) grant from MacPherson Institute for Leadership, Innovation and Excellence in Teaching based on this research recommendation. Her other research interests include Scholarship of Teaching and Learning in Higher Education, Student Engagement in Large Group PBL and Clinical Lab, and Interprofessional Simulation Learning. Her primary teaching responsibilities are with the undergraduate program. She teaches PBL courses and supervises professional practice students in adult medical-surgical, oncology, and maternal-child practicum settings.

prattm@mcmaster.ca

There is a growing body of literature on the ‘failure to fail’ unsatisfactory students in nursing and other professional health disciplines. While passing underperforming students can pose serious consequences for patient safety, it can also negatively impact the credibility of educators, nursing institutions, and the nursing profession. Clinical instructors comprise a nursing faculty group that plays a fundamental role in evaluating the learning and development of students. A study at a collaborative undergraduate nursing program in Hamilton, Ontario, Canada revealed that novice and part-time (sessional) clinical instructors tended to pass students who did not achieve course requirements due to personal, professional, and organizational factors associated with failing struggling students. This study further revealed the clinical evaluation process to be emotionally draining for instructors who have

failing students. This current quality improvement project involving a multimodal orientation for novice and parttime clinical instructors was designed to address the clinical nursing faculty concerns that emerged following the study described above. The multimodal orientation consisted of didactic, interactive, and mentorship experiences to develop faculty members’ skill with assessment and evaluation of unsatisfactory students in clinical practice. Ten novice participants with three or fewer years of clinical teaching experience participated in an initial workshop on the ‘failure to fail’ phenomenon and learned how to support struggling students in clinical practice. Then, over two semesters from September 2017 to April 2018, participants were paired with experienced clinical instructors for mentorship. Participants were interviewed at the end of the academic year about the usefulness of the multimodal orientation. Most participants’ accounts revealed that the workshop helped increase their understanding about managing unsatisfactory students in clinical practice. The importance of assigned mentors in assisting novice instructors to navigate clinical teaching and evaluation of unsatisfactory students cannot be understated. This quality improvement project highlights that providing instructors with knowledge, skills, and mentorship during their early clinical teaching careers can develop their confidence in their evaluative clinical teaching roles.

Maria del Carmen Yuste Bazan obtained her Nursing Degree in Cadiz University (Spain) and after that she studied a Post-Degree in Urgency and Emergency in The European University from Madrid (Spain). Currently, she is working in Thurrock Community Team (Grays) as community nurse. Previously she was working two years in Basildon hospital (Basildon) in an acute respiratory ward as registered nurse, three years in a nursing home (WZC Koning Albert I, Dilbeek, Brussel, Belgium) as registered nurse and nine years in emergency ward in Gregorio Marañon Hospital (Madrid, Spain) as emergency nurse.

mcyustebazan@gmail.com

Background: NIV is a type of assisted respiration consisting on a machine that delivers a positive pressure into the lungs without using an invasive artificial airway in order to obtain effective inspirations. Usually, when the therapy

starts the patient could refer symptoms like anxiety or discomfort, triggering agitation and doing the therapy ineffective.

 

Aim: The aim of this study is to observe if giving sedation previous NIV therapy could enhance the efficacy of this treatment.

Methods: For this investigation, qualitative methodology has been used with a literature review design. The scientific search has been done over originals studies which analyse the benefits to provide sedation before NIV treatment. The analysed database have been Lilacs, Pubmed, Chocrane Library and BVC Portal Regional. Sedation and non-invasive ventilation have been used as descriptors. The period of analysis covered from 1st January 2014 until 1st January 2019. Different selection criteria have been applied.

 

Results: The articles which have passed the review process show that sedation before NIV is beneficial for the patient, decreasing the usual symptoms and the agitation, therefore, increasing the efficacy of the therapy. Some researches

state that one of the adverse effects of the sedation is respiratory depression, however, giving an effective dose has not presented any problems. In addition, the administration of sedation before NIV has shown to be cost effective

reducing the hospital admission.

 

Conclusion: Even though the scientific literature surrounding the subject of this investigation is limited, the current research suggests that the use of sedation previous NIV treatment provides more benefits than adverse effects. However, more investigations are required to provide stronger evidences that support these findings.

Introduction: Nowadays, smoking is considered one of the most important preventable mortality causes. Smoking cessation in unquestionable beneficial for public health, as it has been proved in several scientific studies, even when

some of the techniques used are not completely harmless, such as Electronic cigarettes. Nurses have the duty to keep their knowledge updated, so they can develop their best care. The main objective of this study is to recognise the benefits and risks of E-cigarettes as an effective tool for smoking cessation, so nurses could beneficiate from this information on their daily basis.

 

Methods: It was employed a qualitative methodology with a literature review as a study design. The research was made about original publications that analyse the benefit/risk of E-cigarettes use against conventional cigarettes, between January 2013 and December 2018. Databases used were PubMed, Google Scholar, CINAHL, LILACS and Cochrane Library. Descriptors “DeCS” used were “vaping”, “lung disease”, “smoking” and “tobacco”, utilizing as Boolean operator “and”. As inclusion criteria, original publications written in English and/or Spanish were accepted, as well as full text publications, studies carried through in humans of both sexes who were over 18, and with a sample over 30 individuals. Several publications related to the topic of study were dismissed due to the realisation of chemical test of diverse substances included in e-cigarettes as lab test. After passing all the selection criteria previously described, a last filter was applied using the critical reading tool “CASPe”, obtaining a total of 8 articles that have been included on this report.

 

Results: 203 studies were initially identified, but just 21 were considered relevant after screening, and just 8 were eligible after passing CASPe. Overall, the analysed results prove that E-cigarettes are one of the most efficient alternatives to quit smoking without professional support. However, E cigarettes use is related to more breathing difficulties and more prevalence of COPD and Asthma, compared to non-smokers.

 

Conclusions: E-cigarettes may be considered as an interesting tool for smoking cessation in terms of risk/benefit if it is compared to other therapies. However, it could not be considered harmless and further research is needed.

Vumilia B. Mmari is a PhD candidate at the University of Dodoma (UDOM) pursuing Doctor of Philosophy in Nursing Education. She is a Nurse Educator

completed MSc degree in Nursing Sciences at Muhimbili University of Health and Allied Sciences (MUHAS) in 2010. In 2015/2016 Vumilia joined Tanzania

Institute of Project Management (TIPM) for Monitoring and Evaluation Programme. She is now working at the Ministry of Health, Community Development, Gender, Elderly and Children (MOHCDGEC) as a National Training Coordinator for Nursing and Midwifery and Community Health Training Programmes at the ministry’s headquarters in Dodoma, Tanzania. She has been serving as a curricula development expert and training materials designer.

vumiliammari@yahoo.com

Ten years of nursing and midwifery Competency Based Education and Training (CBET) curriculum implementation the government of Tanzania has made various interventions to support its implementation. Nurse educators were oriented on the implementation of CBET curriculum and training materials, skills laboratories were established and schools were equipped with ICT facilities. Despite all these efforts there is no evidence on how nursing and midwifery CBET curriculum is being implemented since its adaption in 2008 and major revision in 2017. Thus, the balance between the designed curriculum and implemented curriculum is not known. This lack of implementation information greatly limits interpretation of the effectiveness of the curriculum for the intended programme. The aim of this study is to investigate the implementation fidelity of the Pre service Nursing and Midwifery CBET curriculum among nurse educators in Tanzania. Descriptive cross sectional concurrent mixed method design will be employed, where both qualitative and quantitative approaches will be used to investigate the implementation fidelity of nursing and midwifery CBET curriculum among nurse educators in Tanzania. Population of this study are nurse educators, 215 nurse educators who will be randomly selected to administer questionnaires. In qualitative approach purposeful sampling approach will be used to reach key informants with rich information on the implementation of CBET curriculum for nursing and midwifery pre service programme in Tanzania. Principal of saturation will determine the sample size. Fidelity checklist also will be used to review documents such as CUM master rotation plan, session plans, skills laboratory and clinical rotation schedules. The modified implementation fidelity conceptual framework will be used to investigate the implementation fidelity for pre service nursing and midwifery CBET curriculum in Tanzania. Four elements (Educators characteristics, Adherence, Dosage and quality of delivery) will be treated together for better understanding of the implementation process for nursing and midwifery programme in Tanzania. Below is the conceptual framework of the study.