Abstracts. GLOBAL Nursing Symposium. Sponsored by. January 9-10, 2015

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1 GLOBAL Nursing Symposium Abstracts January 9-10, 2015 Sponsored by SCHOOL OF HEALTH AND HUMAN SERVICES UNIVERSITY OF RIVERSIDE Riverside, California

2 Global Nursing Symposium Book of Abstract January 9-10, 2015 Sponsored by School Of Health And Human Services University of Riverside Riverside, Ca Telephone: Fax: Copyright 2015 by the University of Riverside. All rights reserved. Each abstract in the following Book of abstract is copyrighted and owned by each individual author. Authors work is used by permission and copyrighted to each individual. For information on reproducing any of the following material for publication or for more information in general, please contact the publisher or each author individually. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form by any means, (electronic mechanical, photocopying, recording or otherwise) without prior written permission by the publisher or individual author. ISBN

3 CONFERENCE HEADQUARTERS Dr. Raj K. Singh, Conference Chair, University of Riverside, Riverside, California Mrs. Jeannette Singh, University of Riverside, Riverside, California Mrs. Veronica Venegas, University of Riverside, Riverside, California Miss Dilushika Senarathgoda, University of Riverside, California Session Chair Mawousse Imaku Message from the Chair It is with great pleasure, I want to welcome presenters, organizing committee members, reviewers and session chairs to our conference dealing with global nursing issues. This conference is designed to serve as an important meeting for the discussion and exchange of ideas and information to enhance understanding, appreciation, and cooperation among diverse groups of professionals. The sessions and the abstracts deal with opportunities and challenges faced by professionals in the new global environment. This document contains abstracts in several important subject areas of nursing. The collection exhibits an excellent selection of quality submissions. The authors are from various educational institutions located in different parts of the world. Please note that book of abstract of this symposium are distributed globally. I want to extend my sincere thanks to conference organizers and participants for their support. Raj K. Singh, Ph.D. Conference Chair 3

4 Global Nursing Symposium Schedule of Presenters Friday, January 9, :00 am Registration 9:30 am Welcome Address Raj Singh USA 10:00 am Challenges to Effective Health Care Delivery among Patients with Chronic Conditions in South Eastern Nigeria Joseph Chibuzo Anyanwu Nigeria Skype 10:45 am Break 11:00 am 11:45 am Spirituality And Job Satisfaction Among Patient Care Assistants In Long-Term Care Facilities Photovoice Project: The Face Of Homelessness Within Our Community Cynthia Lindsay USA Joyce Bredesen USA Video 12:15 pm Nursing Services Given to Turkish Women during Gynecological Examination and Women s Expectations from Nurses Gulten Koc Turkey 4

5 Global Nursing Symposium Schedule of Presenters Saturday, January 10, :00 am Registration 9:30 am Welcome Address Raj Singh USA 10:00 am Peer Mentoring in Nursing Education: A Turkish Experience Sergul Duygulu Turkey 10:45 am ICT Integration and Contemporary Nursing Education in Croatia Boris Ilic Croatia 11:30 am Break 11:45 am Holistic Health Consciousness: An Integrated Medical Approach to Health and Wellness Regina Webster USA 12:30 pm Cancer Patients Perceptions of Nursing Presence Saliha Bozdogan Turkey 1:15 pm Presentation of Certificates Raj Singh USA 5

6 About the Authors Joseph Chibuzo Anyanwu is a Lecturer and Public Health Nursing Officer at School of Nursing Department, University of Nigeria Teaching Hospital, Enugu, Nigeria. He is a registered and licensed public Health Nurse with Nursing and midwifery Council of Nigeria. He graduated B.Sc Nursing Sciences with second class honours (upper Division) from University of Nigeria, Enugu Campus. He has a specialization in Public Health Nursing from the same institution. He has worked as project officer (Care and Support) with an NGO, (Africare-Nigeria) in their Technical Response for AIDS Affected Population Project in Portharcourt, Rivers State. He is the National Secretary, Graduate Nurses Association of Nigeria (GNAN). Joseph has delivered numerous educational sessions at Professional Conferences, Training and Meetings. He is married with three children The following contact information was provided by: [email protected] After successful completion of Bachelors degree in Nursing at the University of Applied Health Studies in Zagreb (Croatia), Mr. Boris Ilic completed Masters Degree programme in the field of Clinical nursing, specializing in nursing diagnostics at the before-mentioned University. Currently, Mr. Ilic is attending the Doctoral programme study of Biomedicine at the Faculty of Medicine, University of Ljubljana (Slovenia). Mr. Ilic is currently working as an assistant lecturer at the University of Applied Health Studies in Zagreb (Croatia), where he teaches several nursing classes to students of Nursing, Physiotherapy and Radiological diagnostics. He has published articles in the field of nursing education and technology, and presented his work at various international conferences. Besides his professional field, he was a VP of University s Student Assembly during his undergraduate studies, former member of Academic Senate, current member of Alumni Association board of directors and providing assistance for European student exchange program Erasmus. The following contact information was provided by: [email protected] 6

7 Sergul Duygulu, RN, Ph.D, Assoc. Prof. Hacettepe University Faculty of Nursing Ankara/TURKEY She has a Ph.D in Community Health Nursing Program, a Master in Nursing Services Administration and 16 years of nursing practice experience in a range of areas such as pediatrics, public health, physical rehabilitation as a nurse, supervisor in Ministry of Health. She teaches "Nursing and Leadership, Education in Nursing and Nursing Services Administration at both undergraduate and graduate level nursing education at Hacettepe University Faculty of Nursing. She developed and implemented a transformational leadership program for unit charge nurses to develop their leadership behaviours. She mentored nurse managers to develop unit based change projects. She was part of the Thematic European Nursing Network and Leonardo da Vinci project which is titled Development of the Professional Knowledge and Skills of Nursing Undergraduate and Graduate Students. She was also a member of the team established a high fidelity simulation laboratuvary at Hacettepe University Faculty of Nursing. She has been at Minnesota University as a visiting scholar for three months in USA in 2008 and also she has been in Medinische Hochschule as an observer for four months in Hannover/ Germany in She is a member of Sigma Theta Tau International Honor Society of Nursing, Turkish Nurses Association and several national nursing associations. She is vice coordinator of Hacettepe University International Education and Collaboration. She is also vice dean of Faculty of Nursing. Her research interests: Nursing leadership Nursing management Power in nursing Mentorship Simulation The following contact information was provided by Dr. Duygulu: [email protected] 7

8 Dr. Bozdogan got her BSN from Cukurova University in 2004, her Psychiatric Nursing Master degree from Mersin University in 2007, and she got her Psychiatric Nursing PhD from Hacettepe University in During her educational period she was working as a nurse in emergency department and public health department for 7 years. After 2007 she worked as a lecturer at Cukurova University until And then she worked as a research assistant at Hacettepe University for four years. Now, she is working as a research assistant at Cukurova University Faculty of Health Science, Nursing Department in Adana, Turkey. The following contact information was provided by Mrs. Bozdogan: [email protected] The following contact information was provided by Dr. Gulten Koc: [email protected] 8

9 Global Nursing Symposium Volume III Table of Contents Challenges to Effective Health Care Delivery among Patients with Chronic Conditions in South Eastern Nigeria.. 10 Joseph Chibuzo Anyanwu University of Nigeria Teaching Hospital Nigeria Cancer Patients Perceptions of Nursing Presence.11 Saliha Bozdogan, MsN, RN, PhD Cukurova University Fatma Öz, Prof., PhD, RN Hacettepe University, Ankara, Turkey Turkey Peer Mentoring in Nursing Education: A Turkish Experience.13 Sergul Duygulu, RN, PhD Suheyla Abaan Seher Basaran Oznur Ispir Hacettepe University Turkey ICT Integration and Contemporary Nursing Education in Croatia..14 Boris Ilic, BSN, RN Sonja KALAUZ, PhD, MSc, MBA, BSc, RN University of Applied Health Studies Croatia Nursing Services Given to Turkish Women during Gynecological Examination and Women s Expectations from Nurses. 15 Gulten Koc, MSc, PhD, Assist.Prof., Vice Dean of Faculty of Nursing, Hacettepe University Nilay Ozmen, RN, MSc, Gulhane Military Hospital Turkey 9

10 CHALLENGES TO EFFECTIVE HEALTH CARE DELIVERY AMONG PATIENTS WITH CHRONIC CONDITIONS IN SOUTH EASTERN NIGERIA By Anyanwu Joseph C (Mr.), Rn, Rphn. B. Sc. School Of Nursing University Of Nigeria Teaching Hospital (Unth) Enugu. Nigeria Ananyanwu Bibiana C. (Mrs.). Rn, Rm, Rne, Rpon. B.Sc. M.Sc Post Basic Perioperative Nursing School University Of Nigeria Teaching Hospital (Unth) Enugu Nigeria. Abstract Chronic diseases are the major cause of deaths and disability globally. Chronic diseases (long term conditions) account for 60% of all deaths with 80% of such deaths common in middle and low income countries (WHO, 2014). This study investigated the challenges faced by patients with chronic conditions in South Eastern Nigeria. A purposive sampling technique was used to select 1000 respondents spread across the five states in south eastern Nigeria as the sample size. Chronic conditions such as heart diseases, stroke, cancer, chronic respiratory disease, diabetes, chronic kidney disease and chronic mental conditions were the major conditions suffered by these patients. The study revealed that the major challenges faced by patients with chronic conditions includes; financial problems to meet medical treatment, lack of organized health care insurance and social welfare services, inadequate specialized health facilities and problem of accessibility of proper medical care. Recommendations made based on findings were; the government should meet up with responsibilities of provisions of specialized health care facilities, proper health insurance and social security, training of specialized health care practitioners and setting up of health research centers. 10

11 CANCER PATIENTS PERCEPTIONS OF NURSING PRESENCE By Saliha Bozdogan Msn, Rn, Phd, Psychiatric And Mental Health Nursing, Cukurova University, Adana, Turkey. Fatma Öz, Prof., Phd, Rn, Psychiatric And Mental Health Nursing, Hacettepe University, Ankara, Turkey. Abstract Aim The aim of this study was to determine that cancer patients perceptions of nursing presence. Method A descriptive design was adopted. Data were collected from two biggest oncology hospitals, Hacettepe University Oncology Hospital and Doctor Abdurrahman Yurtaslan Oncology Hospital, in Ankara, Turkey. The main data collection was carried out from September 15 to October 15, Data were collected with socio-demographic questionnaire developed by the researchers and Presence of Nursing Scale (PONS). The sample selection criteria were as follows: (a) 18 years of age or older, (b) mentally alert and oriented to person, place, and time; (c) ability to see, hear, and use their hands; (d) ability to read, write, speak, and understand Turkish; (e) minimum of eighth-grade education, (f) hospitalized at least 5 days, and (g) ability to distinguish between nurses and unlicensed caregivers, h) willingness to participate in the study. Power analysis was used to determine the appropriate sample size for this study. The estimations required (for a 95% power level to be achieved, α= 0.05) at least 111 completed questionnaire from patients. Questionnaires with missing data were removed, and a total of 110 questionnaires were used for analysis. Data were analysed using SPSS 20 for Windows. Descriptive statistics, Kruskall-Wallis, Mann-Whitney U and Multiple Regression Analysis tests were used for data analysis. Hacettepe University Non- Interventional Clinical Researches Ethics Board (GO 13/171-15) approved the research protocol. Each participant was free to participate, refuse or withdraw at any time, without any consequences. Findings A total of 110 patients partiticipated this study. Patients mean ages was 40.89±13.74 years, and the mean days of hospitalization was 9.24±9.39 days. Most of the patients (54.5%) were men, married (67.3%) and had been living with wife s and childrens (47.3%). The majority of the patients had university (48.2%) education. Most of the patients (59.1%) had not been working and had metastasis (89.1%). The mean months of illness 13.76±28.21 months, the mean number of hospital admission was 2.96±3.06, and the mean days of lenght of stay in hospital was 9.24±9.39 days. The mean score of PONS was ±22.64 point. The patients scores were found minumum 28, maximum 120 point. There is a correlation between patients satisfaction and nursing presence (r=0.770, p<0.001). Multiple regression model 11

12 conducted to examine which variables affected perceptions of nursing presence. Three variable, age, period of illness and satisfaction of current nursing care are affected perceptions of nursing presence (F=56.094, p<0.000). Patients age and lenght of ilness are affected negatively, satisfaction of current nursing care is affected positively on perceptions of nursing presence. Current nursing care satisfaction were a stronger predictor of perception of nursing presence (β =0.776). Conclusion The results of this study revealed that patiens peceptions presence of nursing scale point is upper than average, and there is significant positive correlations between patients current nursing care satisfaction and nursing presence. This research was supported by H.Ü.B.A.B., Project Grant (013-D ). Key words: Presence, Nursing Presence, Cancer Patient 12

13 PEER MENTORING IN NURSING EDUCATION: A TURKISH EXPERIENCE By Suheyla Abaan Sergul Duygulu Seher Basaran Oznur Ispir Hacettepe University Faculty of Nursing, Ankara, Turkey. Abstract Background: Multiple studies have shown the value of peer mentoring in nursing education. Nursing Faculty is under pressure by the increasing number of students, rising competency requirements, understaffing, budget cuts, limited clinical placement opportunities, and observing patient and student rights therefore the need for alternative solutions for competency development is tremendous then ever in many countries as well as in Turkey Aim: The aim of this paper is to share our experience on peer mentoring of nursing students for newly admitted peers to one Turkish University Bachelorate nursing program. Methods: In Fall Term 68 senior nursing students who randomly assigned as mentors to 136 beginning nursing students (mentees) listed in University registrar were included in this descriptive study. Mentors were enrolled in Education in Nursing course with mentorship practicum. During the mentorship practicum, the mentee s knowledge, skills and attitudes towards being a nursing professional were assessed by the seniors; a process aimed at developing professional autonomy as well as helping the mentees in transition to university life. During the term, small group seminars were held every three weeks with the faculty. Mentors prepared reflective dairy handed in to faculty before the sessions and self assessment forms at the end of the term. The mentee was invited to these sessions. Faculty supervised and gave support to the mentors during this session as well as whenever they needed. Results: Orientation process to a new environment, responsibilities, issues such as accommodation, obtaining financial resources; examining the values, beliefs and attitudes toward nursing, examination of learning styles, study habits, problem solving- decision making ability, stress reduction, motivation, setting personal and professional goals for future and as well as personal needs of mentees were studied during three month period (one term) and empowerment strategies were used for both mentors and mentees. Most of mentors stated in their self assessment reports that the peer mentoring experience developed them individually as a nursing student. In their role, peer mentors developed an increase in confidence with skills such as problem solving, critical thinking, and communication skills as well as with leadership and teaching abilities. The process also allowed mentees to grow and mature in coping skills and to be internally locus of controlled. Conclusion: This experience opened up many learning opportunities for both mentees and mentors, and could be used in a nursing curriculum as a part of practicum. 13

14 ICT INTEGRATION AND CONTEMPORARY NURSING EDUCATION IN CROATIA By Boris ILIĆ, BSN, RN Sonja KALAUZ, PhD, MSc, MBA, BSc, RN University of Applied Health Studies Zagreb, Croatia Abstract Background: Contemporary education, nursing and healthcare can hardly be imagined without the advantages of modern technology and continuous availability of information. The aim of this research was to determine nursing students habits and attitudes regarding mobile technology usage in education and clinical practice. Methods: 282 respondents participated in the research. The research was conducted using a questionnaire, which consisted of 16 questions. The data was analyzed using statistical methods and content analysis, and presented as percentage values. Respondents included randomly selected nursing students of undergraduate level, at the University of Applied Health Studies in Zagreb, Croatia. Results: Respondents that participated in the research were mostly female (92%), between the ages of 18 and 21 years (82%), and 100% of them own a mobile device or a tablet. Most of the respondents (98%) stated that technology is important in the educational process and 71% of the respondents agree that using technology increases the quality of health care. 89% respondents mostly use mobile electronic technology for educational purposes (writing papers, research, etc.). During the stay in clinical setting, 63% respondents cannot use a mobile electronic technology in the presence of a mentor and 71% respondents understand the risks of infection via mobile electronic technology in a clinical setting. Conclusion: The results indicate that mobile electronic technology usage is very common among nursing students, but not in a clinical setting. Technology is important in the educational process for more than a half of the nursing students and the usage of technology for educational purposes is very common. Nursing students in majority agree that applying technology increases the quality of health care. Key Words: health care technology, nursing, educational technology, cross infection 14

15 NURSING SERVICES GIVEN TO TURKISH WOMEN DURING GYNECOLOGICAL EXAMINATION AND WOMEN S EXPECTATIONS FROM NURSES By Nilay Ozmen, RN, MSc, Gulhane Military Hospital Gulten Koc, MSc, PhD Hacettepe University Ankara, Turkey. Abstract Aim: To determine the nursing services concerning nursing approachs and expectations of women during gynecological examination. Sampling: The sampling of the study was done among women who were admitted to the biggest women s health hospital in Turkey. A total 380 women were included in the study. Method: The data were collected by means of face-to-face interviews, in which, a questionnaire developed by the researchers was used. Tha data were evaluated with descriptive statistics and, Chi- Square test. Results: The age of participants varied between years, 75% were graduated from highschool and 99.2% were married. Regarding the nursing service provided during the gynecological examination, 87.9% found that the nurse paid no attention to her, 89.3% nurse did not give the patient an opportunity to express her feelings and concerns, 48.4% said that no information was given about the procedure before the gynecological examination. A total of 89.7% said that the nurse did not help in getting on the examining table, 92.9% found that there was no respect for privacy while mounting the examining table, whereas 60.5% said that the nurse did take special measures to respect privacy during positioning on the table. A total of 99.2% found that the nurse was not supportive during the examination an 92.1% reported that the nurse did not have the spesific knowledge or skills, at all. A total of 97.6% of the women concluded that their expectations were not met, 92.4% wished that the nurses had used more positive communication techniques, and 61.1% wanted to get more information about the procedures and the results. The difference in meeting of expectations was statistically significant with respect to the level of education and the income (p<0.05). Conclusions: In Turkey, women s expectations different from nursing services during gynecological examination procedures. That s why the regulation of nursing services should be based on patient expectations in gynecology outpatient clinics. 15