Day 1 :
Keynote Forum
Veronica Ruffin-Ellis
Walden University, Columbia
Keynote: How Does Organizational Culture Impact RN Engagement
Time : 10:00
Biography:
Veronica Ruurin-Ellis has completed her DNP at the age of 48 years from Walden University. She is the Director of Staff Development, at Terence Cardinal Cooke, a Long Term Care Facility of Archcare. She has worked as an adjunct professor at her alma mater, The College of New Rochelle. Dr. Ellis ha salso been the key note speaker at the pinning ceremony of another alma mater, Bronx Community College where she has also been the guest speaker for lecture for a senior class.
Abstract:
There is a wide range of literature that focuses on the importance of RN engagement; however, there are few health care organizations that have taken the initiative to implement programs that foster RN engagement. In multiple studies, RN engagement correlates directly with patient safety, quality, and patient experiences. Hence the understanding of RN engagement and its drivers must be a intentional goal of an organization. This project focused on the relationship between the levels of RN engagement and their perceptions of their organizational culture. Focusing on a small community hospital in New York, the research question addressed existing levels of RN engagement and their perceptions of their organizational culture. As described by Kolcaba, a humanistic approach to meeting the needs of RN staff will benefit both the RN and the organization. The correlational design included review of the NDNQI RN engagement surveys conducted from 2012 to 2014. The findings noted concerns related to nursing participation in hospital affairs as well as staffing and resource adequacy. Nursing foundations for quality of care was the only significant driver related to RN levels of engagement. RN engagement is crucial to the profession’s sustainability when considering the influence of demographic, economic, and technological pressures felt throughout the health care industry. RN engagement is also crucial to the success of strategies to improve health care delivery outcomes across the continuum of care
- Nursing Practice
Session Introduction
Chureerat Charoenchit
Registered Nurse and the Head of Family Practice, Community Health Services and Thai Traditional Medicine at Khlung Community Hospital in Chanthaburi, Thailand.
Title: Establishing a Primary Care Cluster, Khlung District, Chanthaburi Province, Thailand
Time : 10:30-11:00
Biography:
Chureerat Charoenchit is a Registered Nurse and the Head of Family Practice, Community Health Services and Thai Traditional Medicine at Khlung Community Hospital in Chanthaburi, Thailand. She holds a master’s degree in Educational Administration from Burapha University (Thailand) and a bachelor’s degree in Nursing from Phra Pok Khao Nursing College (Thailand). Charoenchit is a Chief Nurse Officer for Chanthaburi Province and the Eastern Region in Thailand and has served on numerous high-level government committees responsible for developing Community Nursing Standards Guidebook used by the Nursing Division of the Thai Ministry of Public Health. Charoenchit began her career as a Family Practice Nurse Representative and has progressed through the ranks to her current position. She dedicates her research in support of her work and for her people so that they may live in this world with positive physical and mental health.
Abstract:
The purpose of this study was to assess approaches taken in establishing a primary care cluster at the Khlung Community Hospital and to build a more efficient model for primary care cluster operation. Qualitative research was conducted in three groups of 5 administrators, 12 practitioners and 8 clients. A research instrument was developed and utilised around a semi-structured, 3S model interview questionnaire focusing on staff, program structure, system operation and clients. Focus group discussions and in-depth interviews were used to collect the data. The results revealed: (1) establishment of primary care clusters require staff who are well prepared to operate as multidisciplinary profession teams to best leverage existing physical and infrastructural assets; and (2) the need for the creation of proper forums for the exchange of knowledge and experiences that maximise information sharing among healthcare providers throughout the new operating environment. Establishing a primary care cluster provided an opportunity to assess teaming capabilities of existing staff; knowledge and ability of teams to operate under primary care cluster model; and expansion of the involvement of families and community in health care. This study highlighted the necessity of having infrastructure in place, benefits of budget supplementation from community donations, support in creation of a health promotion campaign for the hospital, and pathways to overcoming logistical deficits that affect delivery of health care via home visits. The study also helped in the formulation of service system improvements in appointment scheduling, improvements in doctor access, enhancements in the collection of population and illness data, boosting coordination between all provider team players after home visits; improvements in prescription medication monitoring and modernisation of patient referral processes.
Alka Bohit
BSN, MS, Department of Medical Oncology, All India Institute of Medical Sciences. New Delhi, India
Title: Assessment of psychological symptoms among cancer patients and their relatives visiting a genetic clinic counselling and testing clinic at a tertiary care hospital in India
Time : 11:00-11:30
Biography:
The presenting author, Alka is aged 29 years and is a registered nurse in the medical oncology department at All India Institute of Medical Sciences (AIIMS), India. She recently finished her masters in clinical psychology and is currently pursuing a diploma in guidance and counselling. She along with Dr. Raja Pramanik established the first ever genetic counselling and testing centre in AIIMS, New Delhi. This centre caters to patients visiting various inpatient and outpatient units within AIIMS and provides low cost testing facilities. The results from this pilot research study will be used to make the services provided more efficient and responsive to the needs of the community. The results will also be used to plan a larger scale research study in the future.
Abstract:
Background: Psychological issues like stress, anxiety and depression are common among cancer patients and their relatives. In India, clinical genetic services to estimate the potential risk for hereditary or familial cancer among blood relatives of the patients are scarce, with only a couple centres that provide such services. Therefore, there are fewer opportunities for health care providers to provide genetic counselling as well.
Objectives: The project was initiated with an aim to provide genetic testing and counselling services to patients with familial and their relatives who may be at a risk for developing the disease. We established a genetic counselling and testing (GCT) centre at AII India Institute of Medical Science (AIIMS), the premier most medical institute in India. This research project explores the impact of the diagnosis of suspected familial cancer on the psychological stress, anxiety and depression among cancer patients and their first-degree relatives.
Methodology: This assesses distress, anxiety and depression both among cancer patients and their relatives using Distress thermometer (DT), Generalised anxiety and depression -7 (GAD-7), and Patient health questionnaire -9 (PHQ-9) respectively. Information is also obtained regarding the respondents socio-demographic, and other health-related characteristics. Each of these three questionnaires is being administered twice; first one being before the counselling, and the next a month after counselling. Patient satisfaction towards genetic counselling will be assessed by Genetic counselling satisfaction scale (GCSS). The goal of this pilot study is to obtain data on 100 patients and 100 relatives (ongoing).
Result and conclusion: The data collection is underway. The analysis involves employing multivariable regression models to estimate the risk of the three psychological outcomes among the study groups. The estimates will account for within-person correlations, and will be adjusted for relevant confounders. The findings from this study will be used to plan a larger study that will prioritize interventions based on the results obtained.
Bayan Alilyyani
PhD, The University of Western Ontario, London Ontario, Canada
Title: Antecedents, Mediators, and Outcomes of Authentic Leadership in Healthcare: A Systematic Review
Time : 11:30-12:00
Biography:
Bayan Alilyyani has completed her Master’s at the age of 27 years from The University of Western Ontario, and she is a PhD student in her first year. She is a lecturer at Taif University in Saudi Arabia. She has published two papers in reputed journals.
Abstract:
Background: Leaders are essential in every organization to c environments. Authentic leadership is a relational leadership style purported to promote healthy work environments that influence staff performance and organizational outcomes. Given recent growth in authentic leadership research in healthcare and the importance of new knowledge to inform leadership development, there is an obligation to determine what is known about the antecedents and outcomes of authentic leadership in healthcare settings and clarify mechanisms by which authentic leadership affects healthcare staff and patient outcomes.
Objectives: The aim of this systematic review was to examine the antecedents, mediators and outcomes associated with authentic leadership in healthcare.
Design: Systematic review
Data sources: The search strategy included 11 electronic databases: ABI Inform Dateline, Academic Search Complete, Cochrane Database of Systematic Reviews, PubMed, CINAHL, Embase, ERIC, PsycINFO, Scopus, Web of Science, and ProQuest Dissertations & Theses. The search was conducted in January 2017. Published English-only quantitative research that examined the antecedents, mediators and outcomes of authentic leadership practices of leaders in healthcare settings was included.
Review methods: Quality assessment, data extractions, and analysis were completed on all included studies. Data extracted from included studies were analyzed through descriptive and narrative syntheses. Content analysis was used to group antecedents, outcomes and mediators into categories which were then compared to authentic leadership theory.
Results: 1036 titles and abstracts were screened yielding 136 manuscripts for full-text review which resulted in 21 included studies reported in 38 manuscripts. Significant associations between authentic leadership and 43 outcomes were grouped into two major themes: healthcare staff outcomes with 5 subthemes (personal psychological states, satisfaction with work, work environment factors, health & well-being, and performance) and patient outcomes. There were 23 mediators between authentic leadership and 35 different outcomes in the included studies and one antecedent of authentic leadership.
Conclusions: Findings of this review provide support for authentic leadership theory and suggest need for additional testing in future studies using longitudinal and interventional designs in more varied healthcare settings with diverse and interprofessional healthcare samples. Knowledge generated through this systematic review provides a more comprehensive understanding of authentic leadership, which can be used to educate future leaders and has the potential to improve leadership development strategies and positive outcomes in healthcare workplaces.
Fatemeh Heshmati Nabavi
assistant professor in nursing, Department of Nursing Management, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran
Title: Directed qualitative content analysis: The description and elaboration of its underpinning methods and data analysis process
Time : 12:00-12:30
Biography:
Fatemeh Heshmati Nabavi (PhD, MScN, BScN) is assistant professor in nursing, Department of Nursing Management, School of Nursing and Midwifery, Mashhad University of Medical Sciences, Mashhad, Iran. Her main areas of research interest are ‘medical education’, ‘nursing management’ and ‘qualitative study’.
Abstract:
Qualitative content analysis is consisted of conventional, directed and summative approaches for data analysis. They are used for the provision of descriptive knowledge and understandings of the phenomenon under study. However, the method underpinning directed qualitative content analysis is insufficiently delineated in international literature. Different international databases were used to retrieve articles related to directed qualitative content analysis. A review of literature led to the integration and elaboration of a stepwise method of data analysis for directed qualitative content analysis. The proposed sixteen-step method of data analysis in this paper is a detailed description of analytical steps taken in directed qualitative content analysis that covers the current gap of knowledge in international literature regarding the practical process of data analysis. The directed qualitative content analysis method proposed in this paper is a reliable, transparent and comprehensive method for qualitative researchers. It can increase the rigor of data analysis, make the comparison of the findings of different studies possible and yield practical results.