7th Global Experts Meeting on
Nursing and Nursing Practice

Biography:

Dr Piotr Karniej, Ph.D., MBA is an economist, assist. professor of public health and health management with an experience of management of hospitals and private clinics. He is a Head of the Public Health Department and Vice Dean of the Faculty of Health Sciences of the Wroclaw Medical University (Poland). Co-operates on the scientific level with the Catholic University of Valencia (Spain), Sapienza University in Rome (Italy) and others. He is an expert for evaluation of the projects financed by the European Union on a field of health. Member of the European Public Health Association (EUPHA), the European Society of Cardiology - Association of Cardiovascular Nursing & Allied Professions (ACNAP). Vice President of the Polish Association of Health Care Managers (STOMOZ)

Abstract:

Nurses are the largest group of professionals within the global health care system, with a total of 19.3 million nursing and midwifery personnel in the world. The current and growing shortage of registered nurses (RNs) in health care systems is thus a global concern. In fact, the European Commission has estimated that there will be a shortage of 590,000 nurses by the year 2020. In the United States, employment of RNs is expected to grow faster than the expected average for all occupations. Most countries within the Organization for Economic Cooperation and Development (OECD) have reported a nursing shortage, which is predicted to get worse because the current nursing population is aging. This shortage of RNs influences the delivery of health care and negatively affects patient outcomes; an insufficient nurse staffing level is associated with negative patient outcomes and decreased nurse job satisfaction. At the same time of this global nursing shortage, many nurses are considering leaving their job, profession or are out of the nursing workforce. 

Understanding of health exclusion also in the context of access to professional nursing care allows us to express concern whether in the era of increasing awareness of patients, changing needs of elderly people, changes in the paradigm of fighting infectious and non-infectious chronic diseases, we have an adequate number of nurses? Research and practice prove that despite the steady increase in the number of nurses starting their careers, the number of nurses who are leaving to other professions increases at the same time. There is a need to define a new role of nursing in the context of contemporary public health challenges and expectations of employees in the health care sector

Biography:

Rajasperi (Jessie) is currently an educator within the corporate Nursing department,Practice Development at Sidra Medicine. She is an expat from New Zealand who is based in Doha, Qatar. Jessie has approximately 24 years of leadership expertise both from NZ and Johannesburg, South Africa. A past recipient of the WDHB excellence awards for Workforce Development, in Auckland, NZ, Jessie leads on multiple clinical programs to strengthen the inter-professional workforce at Sidra Medicine. These include General Nursing & Midwifery orientation, non-clinical staff orientation, TeamSTEPPS, a  US program SafeMedicate, a UK based program and various process improvement  initiatives.

Abstract:

Statement of the Problem: Activation of the services for women and children in a newly commissioned hospital required mass onboarding of clinical and non-clinical staff who have been recruited from 98 plus countries. These new hires are culturally diverse; have varying clinical skills and practice expectations. Streamlining them into a world-class platform with sophisticated systems, processes, technology and equipment to deliver excellent safe patient care was certainly challenging but equally rewarding. Macro nursing and midwifery orientation is the starting point. The strategies and implementation process required rigorous teamwork with consistent PDSA cycles which proved to be perpetual work in progress in response to a very fluid environment.

The purpose of this presentation is to describe the impact and influence of macro-orientation strategies to ensure evidence-based best practice, safe, clinical care in the absence of robust standards of practice.  This includes a feedback analysis from the evaluation of the processes implemented and to share the experiences learned.

 Methodology & Theoretical Orientation: A review of the publication on similar situation in patient care has been conducted. Our orientation process and uniqueness of the ideas we implemented are narrated. In order to evaluate the impact, a pre and post survey (at the time of intake and 6 months after the in site patient care) as well as a qualitative interview with blindly selected staff has been conducted. Findings: The staff has expressed an immense value of the orientation, skill and diversity of culture and cohesiveness learned. The survey and interview highlighted the skill mix, inter-professional mix and other innovative strategies implemented to be most useful. Overall, the general theme of the limitation they highlighted is lack of time and the multiple competing priorities resulting is staff feeling overwhelmed at times. A gap identified is that such a survey shall include the psychosocial augmentation points as well as a learning needs assessment to build the content for orientation in future such studies.

Biography:

Dr Antonio Bonacaro is a critical care nurse with a considerable experience in an international academic setting. Since 2000 Antonio has been teaching and researching in various countries including Italy, United Arab Emirates, Spain and Australia. Antonio completed his PhD in 2010 focusing on the benefits of the use of different types of simulation in undergraduate nursing education. Antonio’s research areas of interest are: clinical simulation in nursing education, holistic nursing, pain management, advanced technology, safety and quality of life and critical care nursing. He is currently working as a senior lecturer in adult nursing at Anglia Ruskin University, Chelmsford UK. He is conducting different research and income generation projects in collaboration with colleagues in the UK and Europe with a particular focus on the benefits of the use of wearable technologies in chronic patients.

Abstract:

A considerable part of nursing students’ training takes place in simulation laboratories where real-life clinical situations are replicated through guided learning experiences. The subjective experience of stress and anxiety can significantly reduce the quality of the teaching and learning experience, limit the quality of students’ performance and increase the probability of making mistakes that can compromise patients’ safety. Patients’ safety is paramount in any healthcare setting and clinical simulation associated to regular mindfulness meditation practice might help preventing adverse events and improve quality of care. In fact, mindfulness meditation is a technique that helps students develop skills of paying attention to themselves and the world in a non-judgemental manner and encourages compassion, acceptance and kindness which are values at the core of the nursing profession. A significant body of literature demonstrates the benefits of mindfulness meditation in terms of stress reduction, increased quality of sleep, increased self-regulatory processes of attention and emotion regulation. This presentation will discuss the preliminary results of an experimental study which explores the potential of mindfulness meditation in improving the accuracy of nursing students’ clinical performance while involved in a simulated clinical scenario based on a case of sudden cardiac death. For the purpose of this study six third year undergraduate nursing students took part in a 21-day mindfulness meditation training programme, delivered by a qualified instructor and adapted from the Mindfulness-Based Stress Reduction Programme, devised by Jon Kabat-Zinn.

Biography:

Katie has been a surgical critical care nurse for 13 years. She has extensive trauma experience, and is both a Trauma Certified Registered Nurse and Critical Care Registered Nurse.  She was integral in the development and continued growth of the Trauma Response Nurse position. She is actively involved in the Stop the Bleed campaign, and has taught courses throughout New York City.

Abstract:

Problem Statement: Trauma patients often present with multiple complex injuries and can benefit significantly from specialized, multidisciplinary care. Prior to mid-2016, the trauma team activation response at this hospital did not include a surgical intensive care unit (SICU) nurse. As the value of bringing this expertise to the patient upon arrival was realized, the role of the Trauma Response Nurse (TRN) was developed to meet this need.

Implementation: The TRN role was designed to provide a dedicated SICU nurse to care for trauma patients from ED arrival through disposition. The integration of the TRN role into the trauma activation response sought to improve quality and safety of care, facilitate communication and collaboration between the trauma and ED clinicians, and enhance continuity of care. 

The primary responsibilities of the TRN were to respond to the ED to assist with clinical interventions, transport patients from the ED to tests and procedures, and assume care of the patient through disposition. Additional TRN duties included education, community outreach and performance improvement.

Discussion: TRNs now respond to all trauma activations that occur Monday-Friday (day shift). Implementation of the TRN role has improved collaboration between nursing disciplines, improved the overall function of the trauma team, and enhanced the safety of trauma patients during TRN transport. The TRNs have made valuable contributions to education and outreach missions of the trauma program, and ensure that patients at this hospital are receiving the highest level of trauma care.