Deb Pidd is a registered nurse and midwife with 25 years of experience as a midwife unit manager in antenatal care settings.

Deb completed a BA at La Trobe University, majoring in Sociology, followed some years later with a Master of Midwifery, also at La Trobe.

Her practice and research interests are in women-centred care, education and clinical leadership. 

She is currently undertaking a PhD at La Trobe. The aim of this research is to improve the subsequent pregnancy and birth experience of women who have experienced a prior psychologically traumatic birth by enhancing shared decision-making between women and clinicians.

Dr. Mitzi Brammer is an associate professor and graduate program director in the Speech, Language & Hearing Sciences program at Saint Louis University. Her research interests include student and faculty resilience, interprofessional practice/education, inclusive practices, and language and literacy, particularly with adolescents. Dr. Brammer received her

B.S.E. and her M.Sp. from Arkansas State University. She has a Ph.D. in Curriculum Design and Instruction from the University of Missouri-St. Louis. Future research endeavors include the development of a Yes/No protocol for preschool autistic children as well as investigating resilience strategies adapted in an interprofessional team regarding intellectual humility.

Teija-Kaisa Aholaakko, PhD (Med.), LicSc (Educ.), MSc (health care), RN (spec.) has worked at Laurea University of Applied Sciences, Finland as a Senior Lecturer in Nursing between 1995 and 2009, and since that as a Principal Lecturer in responsible for masters in global health and crisis management degree. Her clinical research and development interests are focusing on infection prevention and control in perioperative nursing. Contemporary she leads a group constructing recommendations for surgical site infection prevention in Finnish Nursing Research Foundation. She has been a member of the ethical boards of the universities of applied sciences since 2012, and a steering group member in the Ethical Barometer of The Finnish Advisory Board on Research Integrity (TENK) from October 2022 to spring 2024.  Recently her pedagogical focus has been on strengthening ethical competences in nursing as a partner in ETHCOM-project funded by EU Erasmus + programme. Earlier she has participated in research and development projects with National Technical Research Institute (VTT), Helsinki University Hospital, World Bank in Central Asia, Nordic Council of Ministers in Scandinavian countries, EU Horizon 2020 Pre-commercial Procurement STARS-project, and EU Horizon 2020 SHAPES-project. To keep her methodological capabilities updated she serves several professional journals as a peer reviewer. Her pedagogical approach, Learning by Developing, justifies her writing and publishing together with her master students.

James Waterson is a registered nurse and has specialist qualifications in Children’s Critical Care, Offshore Medicine and in Renal Nursing.

He has Master’s Degrees in Medical Education from the University of Dundee, and in Health Economics and Pharmacoeconomics from Pompeu Fabra University School of Management, Barcelona.

He has published papers on medication safety, alarm fatigue, medical device interoperability, introducing robotics into compounding and dispensing units, and on managing critically ill paediatric patients in adult facilities, and is a peer reviewer for the Journal of Infusion Nursing, Applied Clinical Informatics Journal, and the Journal of Pediatric Pharmaceutical Therapeutics.

Dr Bernadette Eather is the Chief Nurse and Clinical Services Director for Ramsay Australia. She has worked for more than 30 years in a range of clinical, operational, and clinical governance roles. She spent most of her clinical career as a Clinical Nurse Specialist in Intensive Care. She also holds a Masters in Health Management and a Masters in Health and Medical Law.

Bernadette is passionate about patient safety and she has a doctorate from the University of Technology Sydney; with her research focussed on the role of nurses in patient safety and clinical quality systems in acute care.

Dr Christine Nightingale originally trained as a registered nurse for people with learning/intellectual disabilities. This experience has influenced her whole career and her advocacy for fairness, equality, equity and social justice, most especially in health and education. Chris believes strongly that designing inclusive provision impacts positively on everyone.

Chris has worked in four UK universities, in third sector organisations and the UK National Health Service (in hospitals, community and commissioning).. She is Associate Professor of Nursing at the University of Suffolk.

Geetha is a Professor in INTI International University, Malaysia. She graduated from University of Malaysia (UM) with Ph.D. in Medical Virology. She is a dedicated academician with 30 years of research experience and more than 50 publications to date. Her research is focused on antibiotic resistance in pathogens and in screening indigenous herbs for antimicrobial activity to be translated into suitable options to eventually replace or potentiate the use of antibiotics. Her dedication to research has led to an award by Asia International Research Awards in Microbiology in 2023. She has also been invited as a Keynote speaker in several international conferences in India and Indonesia.

Nicolaus Dahlmann completed his PhD from University Hamburg with his work about childhood development and obesity and published the results in three international journals as a student.He worked ten years in the Department of Molecular Biology, University Hamburg and detected a new enzymatic activity (dTTPase), received two awards (Dr. Martini Prize, G.E. Konjetzny Prize).He became consultant in Laboratory Medicine and then head of the Laboratory, General Hospital, Hamburg-Harburg.He was conferred Professor for Laboratory Medicine by the University Bonn. In 2022, he founded the Institute for Biometry and Nutrition, Hamburg and is CEO of the start-up “stringID”.He published about 50 articles in peer-reviewed international journals.

Intimate Partner Violence and family Violence in Regional Western Australia: Knowledge, Attitudes, and Practices of Social Workers.
In the Midwest region of Western Australia, rates of intimate partner and family violence (IPV/FV) are high. We undertook research into social workers’ knowledge, attitudes, and skills as part of addressing this significant public health issue. Social workers come into contact with people experiencing IPV/FV in multiple settings, so their understandings and responses are critical to the prevention and interventions related to violence against women. The goal of the research was to determine the issues that the social workers in this region needed to be addressed that could assist in tackling the problem of IPV/FV. A questionnaire included open-ended questions to capture information on respondents’ profiles, knowledge, attitudes, practices, and education around IPV/FV, with 29 of 37 social workers working in the region responding. We also elicited respondents’ recommendations related to training and service delivery. Despite working in many settings, most social workers had contact with people experiencing IPV/FV and had reasonable confidence and knowledge that showed an understanding of the complexity of FV, including why women stay in violent relationships.

Interprofessional education in research and community-based programmes: Main challenges in undergraduate programmes implementation.
In health care, Interprofessional education (IPE) represents a cross-faculty programme that enhances a team’s concerted expertise in managing the growing complexity of patients’ needs. However, the literature provides less information on the significance of IPE in undergraduate health-related research and community-based programmes.

Empowering Patients: A Framework for Meaningful Participation in Evidence-Based Research and Healthcare.
Patients and caregivers frequently find themselves not actively participating in the development of clinical practice guidelines and other evidence-based activities. It is crucial to create accessible and user-friendly approaches to engage them, encouraging their active involvement in both research and its practical applications.

Anaesthetic nurse specialist's role in perioperative anaesthetic management of patients who are morbidly obese
The prevalence of Morbid Obesity (MO) is growing globally with a significant impact on all aspects of healthcare, including perioperative care. AAGBI (2015) emphasised that the perioperative management of MO patients presents important organisational and practical issues. However, some limited data or guidelines comment on whether surgeons, anaesthetists, and nurses routinely take special precautions in managing MO patients undergoing elective orthopaedic operative procedures. The responsibility of an Anaesthetic Nurse Specialist (ANS) is to provide high-quality perioperative anaesthetic assistance to ensure the welfare of patients.

Anaesthetic nurse specialist's role in perioperative anaesthetic management of patients who are morbidly obese
The prevalence of Morbid Obesity (MO) is growing globally with a significant impact on all aspects of healthcare, including perioperative care. AAGBI (2015) emphasised that the perioperative management of MO patients presents important organisational and practical issues. However, some limited data or guidelines comment on whether surgeons, anaesthetists, and nurses routinely take special precautions in managing MO patients undergoing elective orthopaedic operative procedures. The responsibility of an Anaesthetic Nurse Specialist (ANS) is to provide high-quality perioperative anaesthetic assistance to ensure the welfare of patients. The research on the specific perioperative care of the MO patient undergoing elective orthopaedic Surgery has been inadequate.

Does implementation of a mindfulness based intervention decrease stress and burnout in the registered nurse working in the acute care setting?
Stress and burnout in the bedside registered nurse have deleterious consequences for registered nurses, patients, and the hospitals that employ them. The objective of this study was to determine whether a sixty-minute mindfulness workshop was effective in reducing perceived levels of stress and decreasing mindfulness in registered nurses working in the acute care setting. Registered nurses at a community hospital in the Northeast part of the country were recruited through e-mail and flyers in breakrooms

Developing Nurse Leaders of Tomorrow
Leadership in nursing has never been more important. A Nurse Leaders of Tomorrow (NLOT) has been developed and implemented. The NLOT program provides professional development and upskilling for leaders to develop their capability for executive and senior leadership positions. The program is designed to drive a culture of patient-centred care, and quality customer focus in all clinical areas of the organisation. The 12 month program provides the opportunity to learn from Ramsay and industry experts focusing on the skills needed to be a NLOT.

Kathleen’s journey: improving mental health outcomes for women with bipolar affective disorder
For most women, pregnancy and the postpartum period are times of great joy and expectation. Women with a diagnosis of bipolar affective disorder, are at exceptionally high risk of deterioration in their mental health. There is the real possibility of developing postpartum psychosis, possibly requiring acute psychiatric admission and being separated from their baby. This case review aims to illustrate the complexities of and potential in collaborative team working to support a woman with a pre-existing a mental health disorder, and her family, during pregnancy.

An Assessment of Critical Care Nurses' Knowledge of Correct Line Types for Administration of Common Intravenous Medications.
An Assessment of Critical Care Nurses' Knowledge of Correct Line Types for Administration of Common Intravenous Medications.

Association between cortisol level and performance in a clinical simulation: A systematic review
Realistic simulation is a training method being explored in teaching laboratories and simulation centers, bringing benefits in the learning and improvement process. Therefore, has already been described as a stressful experience. Therefore, stress can lead to cognitive impacts such as decreased concentration, memory degradation, increased number of errors, difficulty and delay in responding to stimuli. Objective: To identify the available evidence on the level of stress experienced by participants in simulation-based education through salivary cortisol and its association with performance.

Optimising Shared Decision-Making in a Subsequent Pregnancy After a Psychologically Traumatic Birth
There is a growing appreciation of psychological birth trauma as a significant sequela from childbirth, with the incidence reported as up to 45%. For some women, this can result in a range of psychological distress symptoms negatively impacting their pregnancy experience and resulting in a secondary fear of birth. We aimed to summarise evidence on women’s care needs and models of care to improve the pregnancy and birth experience for a subsequent pregnancy and identify gaps in the research.

Incentivizing Sleep in Continuing Professional Development
The science of learning (learning science) is an interprofessional field that concerns itself with how the brain learns and remembers important information. Learning science has compiled a set of evidence-based strategies, such as distributed practice, retrieval practice, and interleaving, which are quite relevant to continuing professional development (CPD). Spreading out study and practice separated by cognitive breaks (distributed practice), testing oneself to check mastery and memory of previously learned information (retrieval practice), and mixing the learning of distinct but related material (interleaving) represent strategies that are underutilized in CPD.

Fidelity and the impact of patient safety huddles on teamwork and safety culture: an evaluation of the Huddle Up for Safer Healthcare (HUSH) project
The YHIA supported all adult wards across 5 acute NHS hospitals to adapt and embed safety huddles (Huddle Up for Safer Health Care “HUSH”) into their daily routine using quality improvement methodology. The aim was to understand what is the impact on patient safety, staff teamwork and safety culture

Connections: urban community gardens, healthy lifestyles and thriving environments
Urban community gardening is growing in prevalence around the world, especially in the Global North, and studies are showing that it can improve people’s psychological, psychosocial, and physiological health in a myriad of ways. Sometimes referred to as ‘green healthcare’, community gardens increase social capital, provide opportunities for altruism, and create accessible and sustainable food sources in urban environments. To look at these and other health benefits, we conducted a focused ethnography in an urban community garden located in Edmonton, Canada

Connections: urban community gardens, healthy lifestyles and thriving environments
Urban community gardening is growing in prevalence around the world, especially in the Global North, and studies are showing that it can improve people’s psychological, psychosocial, and physiological health in a myriad of ways. Sometimes referred to as ‘green healthcare’, community gardens increase social capital, provide opportunities for altruism, and create accessible and sustainable food sources in urban environments. To look at these and other health benefits, we conducted a focused ethnography in an urban community garden located in Edmonton, Canada

Competences for conducting research by nurses and midwives in Bulgaria
A number of international organizations not only call for nursing and midwifery practice to be based on scientific evidence, but also set requirements for the training of these specialists. The conduct of scientific research in health care by nurses and midwives is normatively regulated in various documents in Bulgaria. However, such competencies are not provided for in their training. The purpose of this study is to determine the necessary competencies for scientific activity of nurses and midwives at different levels of education.

Physicians’ perceptions about collaborating with speech-language pathologists for dysphagia treatment in interprofessional healthcare
Swallowing disorders affect over fifteen million people across the United States. Dysphagia is a complex disorder and occurs co-morbidly with other diagnoses. As such, there is frequent collaboration amongst healthcare professionals, including speech-language pathologists, to appropriately assess and manage the dysphagia

The Use of Virtual Reality To Decrease Perceived Stress Among ICU Nurses
Intensive Care Unit (ICU) nurses are frequently exposed to high-stress environments, characterized by critical patient conditions, life-saving decisions, and emotional intensity. Addressing the well-being of these healthcare professionals is paramount to ensure the delivery of safe and compassionate care. This study explores the effects of utilizing virtual reality (VR) interventions as a novel approach to alleviate perceived stress among ICU nurses.

Community Paramedic Home Care Program for Acute Decompensated Heart Failure; A Pilot Study
Community paramedic (CP) mobile integrated healthcare program (MIHP) home visits for acute decompensated heart failure (HF) may ease care transitions, reduce costs, and prevent emergency department visits.1,2 Still, CPMIHP HF programs have observed 30-day readmission rates as high as 30% to 40% in end-stage

Community Paramedic Home Care Program for Acute Decompensated Heart Failure; A Pilot Study
Community paramedic (CP) mobile integrated healthcare program (MIHP) home visits for acute decompensated heart failure (HF) may ease care transitions, reduce costs, and prevent emergency department visits.1,2 Still, CPMIHP HF programs have observed 30-day readmission rates as high as 30% to 40% in end-stage

The use of an innovative fluorescence imaging system to aid in bioburden-targeted debridement and management in the treatment of chronic wounds of the lower extremity
Acute wounds heal by a progression through a complex, but orderly series of physiologic and molecular processes. In contrast, chronic wounds are characterized as having stalled in this healing progression due to a variety of systemic and local factors. These include high microbial burden and excessive devitalized tissue. Optimal wound-bed preparation of chronic ulcers consists of debridement, control of infection, and establishment of a balanced healing environment.

Gender of Professions: The Nurse and the Doctor at Tokyo Imperial University Hospital
This talk explores the shaping of gender hierarchy between the nurse and the doctor in modern Japan, through the lens of the Tokyo Imperial University Hospital. I understand gender hierarchy of these two professions not just in terms of ranks in hospital bureaucracies, salaries, or educational credentials, but also the ways their work was defined, their skill levels were evaluated, as well as the probability of their united actions as members of a single profession to advocate their shared interests

Clinical reasoning like a doctor or a nurse? A systematic integrative review
When physicians and nurses are looking at the same patient, they may not see the same picture. Understanding clinical reasoning of both professions may benefit patient care, education and research. To do justice to the versatility of clinical reasoning, we aimed to peel ‘the shells of the onion’: What are the features of clinical reasoning of medical and nursing professionals and what can we learn from this comparative analysis?

Feasibility of conducting a clinical trial with colchicine in primary care to prevent the development of pulmonary complications during the COVID-19 pandemic. COLCHICOVID
At the beginning of the COVID-19 pandemic there was no effective treatment and pulmonary complications generated most admissions and mortality, especially in >60 years with comorbidities. In this context, the use of colchicine was considered given its antiviral, anti-inflammatory and antithrombotic effect 1,2,3,4. The primary care (PC) setting was considered because it was the first level of care and where the target population was concentrated, and because nursing care was crucial for infected patients in home isolation. The objective was to investigate whether the early use of colchicine in patients with COVID-19, >60 years old and with comorbidities at risk of developing severe pulmonary complications, reduced their incidence and mortality and to assess the safety of its use.

Learning by Developing in Masters’ Thesis Project by Updating Nursing Awareness about Photon Technologies in Hospital Environmental Disinfection
Aseptic Practices, six practically oriented sub-concepts: Aseptic Technique, Aseptic Behaviour, Central Services, Environmental Services, Preparation of Patient and Preparation of Personnel for nursing or medical interventions construct a base for hospital infection prevention. This bundle of core competences requires proper and continuously updated evidence-base. After the outbreaks of severe antimicrobial resistance cases the importance of other than non-medicinal means have become important in environmental infection prevention and control. This presentation focuses on recent evidence on photon disinfection as part of Environmental Services revealed in a Masters’ Thesis.

Enhancing Teaching and Learning of Evidence Based Practice via Game-Based Learning
The Singapore Institute of Technology-University of Glasgow (SIT-UofG) Nursing Programme has traditionally taken a didactic teaching approach in the delivery of the Evidence-Based Practice (EBP) module. A hybrid approach was introduced using Game-Based Learning (GBL) to encourage active learning through gameplay.

Effectiveness of Applying Scenario-based E-learning to College Students on Oncology Nursing Curriculum
Cancer is a global health issue, and nursing professionals should have core competency. For college students who are learning about cancer nursing for the first time, the diverse and high complexity of treatments can cause learning difficulties. This study develops a scenario-based e-learning on oncology nursing curriculum and evaluates the differences between two groups of students in terms of course tests, learning engagement, self-efficacy, and self-directed learning.

Will the addition of images improve meta-cognitive components and performance in the exam of drug dosage calculation: A randomized prospective study
Accurate and secure performance of medication calculations is a significant aspect of nursing care. Incorrect calculations can cause major adverse events. Therefore, exploring effective methods for better skill proficiency in medication dosage calculations is imperative throughout nursing studies. A small pilot study (25 nursing students) has shown that adding images might improve test results.

Using Simulation for Effective Personal Protection Equipment Education and Training.
Using personal protection equipment (PPE) requires proficiency and an adequate understanding of the principles of infection prevention whenever used. Our simulation program has designed a multi-layered approach to train and educate about this area of clinical practice where practitioners are potentially exposed to harmful pathogens. This approach focused on using multiple and sequential educational formats, including high-fidelity simulation, where learners were presented with clinical and contextual latent challenges for optimum demonstration and integration of training outcomes.

Longitudinal Evaluation of a Statewide Quality Improvement Program for Nursing Homes
The National Academies of Sciences, Engineering, and Medicine (NASEM) Nursing Home Quality report recommends that states “develop and operate state-based…technical assistance programs…to help nursing homes…improve care and…operations.” The Quality Improvement Program for Missouri (QIPMO) is one such program. Research: This longitudinal descriptive evaluation examined and compared differences in quality measures (QMs) and nursing home (NH) characteristics based on intensity of QIPMO services used. QIPMO services include on-site clinical consultation by expert nurses; evidence-based practice information; teaching NHs use of quality improvement (QI) methods; and guiding their use of Centers for Medicare and Medicaid Services (CMS)-prepared QM comparative feedback reports to improve care.

A pilot study of the Nursing Activities Score in Latvia
Measuring nurses' workload first started in the 1970s. The original TISS - Therapeutic Intervention Point System has been refined several times and the current version in use is the TISS-28 . Later, in 2003, the TISS-28 research team adapted the components to reflect more than just severity of illness and created the Nursing Activities Score (NAS), which reflects the diverse nature of nurses' workload.

Community Based Participatory Research and Prevention: Strategic Prevention Framework (SPF)
According to Substance abuse and mental health administration (SAMHSA) among people aged 12 or older in 2021, 61.2 million people (21.9 %) used illicit drugs in the past year and nearly 2 in 5 young adults 18 to 25 used illicit drugs in the past year.: The purpose of this 5-year SPF-PFS program is to help reduce the onset and progression of substance misuse throughout a state jurisdiction for individuals and families by building and expanding the capacity of local community prevention providers to implement evidence-based programs

Global Health Competency Integration and Credentialing in Nursing Education
Global health issues, encompassing factors such as population health disparities, governmental policies, and pandemics, significantly influence care delivery across all healthcare system levels. The interconnected nature of healthcare today underscores the importance of interprofessional collaboration for promoting individual and population health and wellness. Despite this, a noticeable gap exists in global health content coverage within nursing programs. A systematic approach was undertaken to address this gap to integrate purposeful global health competencies into nursing programs. By doing so, healthcare providers can be better equipped with the necessary knowledge to tackle health disparities effectively worldwide. Strategies of how a nursing program embedded interprofessional global health competencies into both undergraduate and graduate curricula will be shared.

Palliative care: economic challenges for researchers
Palliative care services have seen a tremendous expansion in recent years, and palliative care needs are likely to expand further in the future. This begs the question,‘must everything that can be done, be done?’ (Wichmann et al, 2017). The economic challenges for researchers in palliative care is an emerging and challenging topic. Knowing where, how and how much is spent is fundamental for palliative care (PC) provision to be increasingly efficient and with lower costs. To accomplish this, there are three important factors to consider: early access to PC ( Cassel,2014); specialised PC using standardised procedures ( Bickel and Ozanne, 2017) and informal and home-based PC (McCarthy et al, 2015; May et al, 2018). Beyond the costs, one of the most challenging factors in palliative care provision arises from the ethical values of health care.

Integrating community voices in the research continuum: Perspectives on a consultation service.
C-RAC includes 25 members (15 community members). Nineteen of 22 C-RAC members and 14 of 25 researchers responded to the survey. The researcher survey queried reasons for consultation requests and satisfaction with the services. The C-RAC member survey queried demographics and their consultation experience. Open-ended queries generated improvement strategies which included additional training for C-RAC members, clearer communication from researchers, timely feedback in response to recommendations and need to increase the visibility of the consultation service.

Using Human-Centered Design to Address Growing Pains in the ED
In 2021, a large urban university-based hospital transitioned to a new two-floor emergency department. Despite the new environment, there were usability and workflow challenges with the space. The authors of this paper created a multidisciplinary, human-centered design collaborative of clinicians, university faculty, and students to increase Emergency Department efficiency. After thorough design-research and clinician-focused collaboration, the authors and design team identified the need to improve medical supply retrieval time, which directly impacts patient care and clinician satisfaction

Community Health Nursing in Austria – a survey
Around the globe, Community Health Nurses (CHNs) play a pivotal role within healthcare systems. However, until recently, Austria’s primary care was solely delivered by general practitioners. Community health nursing was introduced to Austria in spring of 2022 by implementing 95 115 local CHN pilot projects as parts of an overall EU funded project, “Community Nursing in Österreich”. We present results from the first survey among Austrian CHN, conducted in spring 2023 by the Department of Economy and Health, University for Continuing Education, Krems

Sharps injuries and reports of occupational exposure among nurses.
Globally, acute injuries represent one of the most serious occupational hazards among health care workers, with more than 2 million occupational exposures among 35 million health workers annually, according to the World Health Organization. In our own study conducted on the basis of registers obtained from 252 hospitals in Poland, we estimated that annually we deal with over 13.5 thousand acute injuries among only 3 professional groups (nurses, doctors, paramedics), and that every second incident of injury is not reported anywhere. Nurses who participated in training in the prevention of occupational infections reported injuries significantly more often. Participation in post-exposure management training did not have a significant impact on injury reporting, but the duration of the training did.

A competency-based theoretical model for the precepted nursing clinical experience
Precepted clinical experience has been identified as a significant predictor of clinical competency but there is wide variation in the definition, structure, and implementation. The purpose of this research was to create and test a theoretical model for the precepted clinical experience that explains the rationale, purpose, and outcomes of using preceptors to facilitate student learning in clinical settings. The goal to create a model that will be used to map clinical competencies based on the new AACN Essentials for Undergraduate students in the United States.

Multiple teaching strategies for self-efficacy with pediatric nursing students
The fact is that the teaching goal of teaching pediatric nursing is to integrate relevant pediatric clinical knowledge, students often have insufficient self-confidence in problem solving in Taiwan. This study with problem-solving methods is integrated into the cooperative learning model to encourage students to join multiple teaching strategies. Achieving tasks and goals and then improving self-efficacy is actually an important part. Methods

Enhancing Palliative Care for Metastatic Cancer Patients: A Chulabhorn Evaluation of Video Call Follow-up Interventions
Metastatic cancer presents significant challenges for patients, often necessitating palliative care to manage symptoms and improve quality of life. Despite advancements, unplanned readmissions remain a concern, indicating potential gaps in post-discharge support. This study aimed to assess the effectiveness of video call follow-up using the Chulabhorn Assessment Form in promoting sustainable self-care among metastatic cancer patients after palliative care.

Assessing the Effectiveness of Vaginal Dilator Therapy in Mitigating Vaginal Stenosis among Cervical Cancer Patients Post-Radiation Treatment
Vaginal stenosis is an inevitable adverse effect of pelvic radiation therapy, with a prevalence of 38% within the first year of treatment. Studies have demonstrated the efficacy of dilators in maintaining vaginal tissue elasticity. Leveraging 3D printing technology allows for highly customized patient-specific medical devices. This study aims to ascertain the effectiveness of utilizing a customized vaginal dilator in preventing vaginal narrowing and shortening in cervical cancer patients post-radiation therapy within one year.

Effectiveness of Amiodarone in Preventing the Occurrence of Reperfusion Ventricular Fibrillation After the Release of Aortic Cross-Clamp in Open- Heart Surgery Patients: A Meta-analysis
We searched the Web of Science, Cochrane Library, EMBASE, and PubMed databases through January 2021 for relevant studies addressing the efficacy of amiodarone in preventing RVF after ACC release in patients undergoing cardiac surgery. A complete statistical analysis was performed using RevMan 5.3. Risk ratios (RRs) and 95% confidence intervals (CIs) were calculated to express the results of dichotomous outcomes using random or fixed-effect models. The chi-square test and I2 test were used to calculate heterogeneity.

Nurse educator retention: Motivators that influence entering and staying in the teaching profession
The nurse faculty shortage has impacted the nursing workforce that is needed to fulfill the healthcare needs of society. Nursing academia has an increasing challenge to recruit and retain nurse educators. Reasons for leaving nursing academia are well-documented. Understanding what factors motivate nurse educators to remain in the teaching profession can improve strategies for retention. The objective of this phenomenological study was to explore nurse educators' motivating factors that influence their decision to remain in academia.

The potential of community nursing in mitigating cardiovascular and fall risks among the community-dwelling elderly
Cardiovascular diseases (CVD) are the leading cause of death among the elderly (65+ years), who also face an elevated risk of fall-related injuries and their resulting comorbidities (FALL). Both health outcomes are associated with enormous social costs. Costs could be reduced with targeted interventions, which – as we propose – could be implemented or orchestrated in part by community nurses. We present an inventory of preventive interventions for CVD and FALL that could be implemented within routine tasks of community nurses, or by slight extension thereof, and fit into the Public Health Intervention Wheel. To ensure consistency, most proposed interventions were randomized controlled trials where outcome measures corresponded to clinically relevant CVDs or FALL risk factors or outcomes, and the referred studies enrolled community-dwelling elderly persons in high-income countries. We processed (when possible) the results of existing scoping reviews, meta-analyses, Cochrane reviews, and, in some compelling cases, single RCTs and cost-benefit estimates.

Assessment of the intensity of stress experienced and strategies for coping with stress among nursing staff in anesthesiology and intensive care units
Throughout the history of nursing, we can see nursing staff playing an invaluable role in society. Modern nurses - educated people, independently making decisions regarding the patient and performing nursing, preventive, therapeutic, diagnostic and rehabilitation services. The workload, the impact of physical and mental factors in the performance of duties and the constant responsibility for the highest values: the health and lives of people cause the work of nurses to be burdened with stress. This phenomenon has become known as a disease of civilization and burnout syndrome (occupational burnout) has been included in ICD 11 (International Classification of Diseases 11th Revision). With the frequent appearance of the concept of stress, researchers have also focused their interest on the causes and ways of coping with it.

We Did it: A Covid Qualitative Study
Nurse researchers from a mid-size integrated healthcare system in Northern New Jersey conducted focus group interviews with bedside nurses who cared for COVID-19 patients during the pandemic. The sample (N =10) were recruited through snowball sampling to best inform on the phenomena of interest. The interview questions focused on the nurses’ perspective of their experience before, during, and after the pandemic. After each interview, a qualified transcriptionist manually transcribed the recorded files into transcripts and uploaded the transcripts into the qualitative software. Data analysis was performed using constant comparison, investigator collaboration, and member checking with participants to confirm findings.

The results of the knowledge training program on basic ECG interpretation for novice nurses in the critical care unit
This study aimed to assess the results of the training program on basic electrocardiogram (ECG) interpretation for novice nurses in the critical care unit. The results were using a questionnaire about the basics of the electrocardiogram, knowledge in interpreting ECG and satisfaction.

The nurse role in the era of telemedicine healthcare services – What can be learned?
Many countries have begun assimilating remote medical technologies into their care services, a trend that was substantially accelerated with the COVID-19 pandemic. During lockdowns, telemedicine replaced face-to-face meetings with the nurses; however, there is still a lack of information related to the scope of this phenomenon, and its effect on the nurse's role.

Enhancing nursing students’ communication using Teamstepps to improve patient safety
Improving healthcare safety necessitates examining current trends and beliefs about safety and devising strategies to improve. Errors in healthcare continue to increase and experienced by patients is preventable and directly correlated to a breakdown in healthcare communication. TeamSTEPPS is an evidence-based process designed to improve the quality, safety in healthcare by improving communication and team processes. Communication is at the core of effective team collaboration and is vital for patient safety

Enhancing nursing students’ communication using Teamstepps to improve patient safety
Improving healthcare safety necessitates examining current trends and beliefs about safety and devising strategies to improve. Errors in healthcare continue to increase and experienced by patients is preventable and directly correlated to a breakdown in healthcare communication. TeamSTEPPS is an evidence-based process designed to improve the quality, safety in healthcare by improving communication and team processes. Communication is at the core of effective team collaboration and is vital for patient safety

Factors affecting mortality in patients with COVID-19: case study after the declaration of an endemic disease
The research aimed to study the factors affecting mortality in patients with COVID-19: case study after the declaration of an endemic disease. The 54 subjects were diagnosed as the COVID-19 infected and admitted in the ICU from October 1, 2022, to June 30, 2023. This research used the descriptive, the Fisher’s exact test and Chi-square test to analyze the factors affecting with mortality in patients with COVID-19

family or community nurse and telenursing to support home care
Family or community nurse (FCN) is health professional who provides nursing care in primary care. The Italian strategic reform1, promoted by National Recovery and Resilience Plan (NRRP), defines the role of FCN in new Italian organisation of primary care by introducing new proactive care models, such as Telenursing, to boost public health and digital innovation. The objective is to define the impact of Telenursing provided by FCNs on home care in Italy.

The experience of nurses related to trauma: understanding and remediating the effects of trauma on the caregiver.
Nursing staff are exposed to primary and secondary psychological trauma daily. According to the Substance Abuse and Mental Health Services Administration (SAMHSA) (2014). Trauma can be “a single event, multiple events, or a set of circumstances that is experienced by an individual as physically and emotionally harmful or threatening and that has lasting adverse effects on the individual’s physical, social, emotional, or spiritual well-being” (p. 2). It is a result of an intensely threatening event or events that exceed a person’s ability to protect his or her psychic wellbeing and integrity. Trauma doesn’t have to be experienced by the individual to cause difficulty. It can be something an individual observed, rather than experienced him/herself.

The Effect of Web Based Type 2 Diabetes Education On Diabetes Self Management
This study is a control group intervention study to determine the effect of web-based education on diabetes self-management in individuals with type 2 diabetes. Statistically significant decrease in HbA1c and LDL values, diabetes self-management scale, diabetes attitude scale and self-care scale scores were found to be significantly different between the intervention and control groups.

Enrolment to Employment: Equipped, Empowered, and Enabled - Supporting nursing and midwifery students with a lived experience of a disabling condition to develop skills and strategies for transition into high skilled employment.
Indicate the purpose and objective of the research, the hypothesis that was tested or a description of the problem being analysed or evaluated. The purpose and objectives of the research were to improve practice placement experiences of disabled nursing and midwifery (N&M) students and explore ways to increase their agency in negotiating reasonable adjustments.

Using poetry to confront the boundaries that separate us in nursing practice
My poem entitled “Resume Compressions” is a winning entry in the University of Nebraska Medical Center (UNMC) College of Nursing’s 2023 creative writing contest (Hepburn, 2023). I am a nursing PhD student at UNMC, which is located in Omaha, NE, USA. The contest’s theme was “Nurses Confront Boundaries That Separate Us.” This poem is based on personal experiences I had as an Emergency Department (ED) nurse. Though I am no longer an ED nurse, many of the people and situations stuck with me through the years. I know that bearing the burden of lasting impressions is not unique to me and believe my poem may strike a chord with a wide audience of nurses. I am submitting “Resume Compressions” to your conference hoping that other nurses will hear it and feel seen.

Improving psychosocial well-being after stroke
Background: About one third of all stroke patients develop one or more psychosocial problems after stroke. These problems can lead to suboptimal rehabilitation and reduced participation in daily and social activities. Although in the last decades a lot has been invested both in research and daily practice to improve psychosocial care, the prevalence of psychosocial problems after stroke did not decrease. Most previous studies have in common a sole focus on one particular psychosocial disorder, while practice and research suggest clustered occurrences of psychosocial problems. Furthermore, healthcare professionals generally do recognize the importance of psychosocial care after stroke, but are often unsure about how to best provide psychosocial care or whose responsibility this is. Therefore, the aim of our study was to identify effective interventions – or intervention components – which could be used by nurses to improve patients’ psychosocial well-being after stroke.

A new anthropometric model for estimation of fat and muscle mass as a tool in public health
To our knowledge, it is the first time that a direct relationship between increasing amounts of obesity and muscle could be demonstrated. The current study provides another step on the roadmap to develop the DBA model as a tool in public health in relation to management of obesity and sarcopenia.

Nursing Students’ Experiences of a Student-Led Collaborative Online International Learning Program
Research on COIL programs is limited. This program, developed across three global universities, was implemented to provide an internationalization-at-home experience for students during the COVID-19 pandemic. The study aimed to explore undergraduate nursing and midwifery students’ perspectives on participating in a student-led collaborative online international learning (COIL) program.

Stronger Together: RN and RPN Collaborative Practice
In health care is essential as it strengthens the relationship among teams and enhances an integrative work platform. Registered Nurses (RNs) and Registered Practical Nurses (RPNs) work together across different care settings in a supportive role that enhances patient outcomes, job satisfaction, and retention. Nursing stands as the largest healthcare profession in the nation, boasting nearly 4.2 million nurse’s nationwide (Statistics Canada, 2022). In Canada, nurses constitute the largest segment of regulated health professionals, comprising approximately half of the total health workforce. However, globally, there has been a shortage of nurses attributed to burnout, physical injuries, and job dissatisfaction (Statistics Canada, 2022). To address the nursing shortage, several healthcare services have adopted the nursing skilled-mix model, facilitating collaboration between RNs and RPNs. At NHU (pseudonym), over the last six years, this practice model has been utilized to adequately staff nurses on Specialized Acute Care (SAC) units. Nonetheless, no formal study has been conducted to explore the experience of RNs and RPNs regarding collaborative practice. Qualitative Action Research (AR) was conducted to comprehend challenges and pinpoint effective strategies for strengthening collaborative practice among RNs and RPNs.

Engaging a Workforce Utilizing an “All In” Approach
Elevated levels of team member engagement are associated with high performing teams and healthy work environments. Employee engagement surveys are one method to assess the health and wellness of the work environment. The leadership team of two community hospitals wanted to improve team member response rates and implemented creative strategies to engage the team. This project's purpose was to improve team member engagement with the employee engagement survey. The primary outcome measure was to improve team member response rates by 5% on the following survey.

Home based palliative care takes a team approach: the addition of paramedics
People with advanced chronic disease most often wish to spend their final days at home, yet over three-quarters will have at least one Emergency Department visit in the last six months of life, with over half of those visits involving transport by paramedics. The public sees paramedics as part of a system of care, including nurses, physicians, home care and inpatient services. The Paramedics Providing Palliative Care program was launched in 2014. Eliminating silos between palliative care nurses and physicians, and paramedics, has been key to successful implementation.

Nursing education in the era of AI chatbots
The emergence of Artificial Intelligence (AI) chatbots has created unique learning opportunities for both nursing educators and students. Utilizing AI chatbots in nursing education offers advantages such as the quick retrieval of information. The purpose of this presentation is to describe the use of AI chatbots by educators and students across various healthcare disciplines, including nursing, and to present examples of diverse AI chatbot software tools and their applications.

Early referrals save lives in advanced heart failure
Heart failure (HF) is a chronic, progressive medical condition that can quickly cause deterioration of the patient’s medical and functional status. Delay of HF diagnosis and improper treatment can lead to catastrophic patient outcomes. This case report describes a 62-year-old with HF with reduced ejection fraction secondary to nonischemic cardiomyopathy, s/p cardiac resynchronization therapy defibrillator in 2020. He presented to the emergency department for worsening shortness of breath and chest pain for 3 days and subsequently had cardiac arrest. The patient eventually underwent a successful implantation of left ventricular assist device as a bridge to transplant. Timely referral yields a better patient outcome. This case study illustrates a clinical pathway that can be used by primary care providers when considering referral of a patient with advanced HF (AHF) to an AHF center for management and possible advanced therapies.

eHealth competence strategy for implementation of Clinical Information System (CIS) in Alberta
This presentation highlights the monumental undertaking of the development on a eHealth competence training strategy to support the implementing of a Clinical Information System (CIS) across 682 healthcare sites in Alberta, Canada (Alberta Health Services, n.d.). With a vast network encompassing 118,000 healthcare professionals, this initiative aims to revolutionize patient care, streamline workflows, and enhance overall efficiency within the provincial healthcare system

Reducing Use of Seclusion on a Male Medium Secure Forensic Ward
The reduction of restrictive practices is a priority for mental health inpatient services. Often such practices are considered to increase patients’ feelings of anger, loneliness, hopelessness and vulnerability. Moreover, such approaches are counterintuitive to both recovery-orientated and trauma-informed practice. Our project, based in a male 15-bed secure forensic ward, aimed to reduce the duration (outcome measure) and frequency (balancing measure) of the use of seclusion by 10% over 6 months. Following the analysis of our local data systems and feedback from both patients and staff, we identified the high levels of use of seclusion, and reluctance to terminate it. These included a lack of awareness of the effective and appropriate use of such a facility, a hesitancy to use de-escalation techniques and an over-reliance on multidisciplinary team and consultant decision making.

The Impact of Parental Overprotection on the Emotions and Behaviors of Pediatric Leukemia Patients: A Multicenter Cross-sectional Study
Parental overprotection may have an impact on children’s emotional and behavioral problems (EBPs), particularly in cases of childhood leukemia where the immune system is compromised. This excessive worry can impede the physical and mental development of these children. Hence, it is imperative to mitigate overprotection for the comprehensive well-being of pediatric leukemia patients. The aim of this study is to explore the present status of EBPs in pediatric hematologic tumors and analyze the associated risk factors.

Early ambulation protocol after diagnostic transfemoral cerebral angiography an evidence-based practice project
A quasi-experimental study was conducted on 214 patients undergoing TFA with manual compression. Patients in the experimental group were placed supine position for 2 hours with a sandbag placed on the wound dressing, followed by a semi-seated position for another 2 hours. After this period, patients took 2h bed rest(move freely) with the sandbag removed, and were allowed to get out of bed 6h after TFA. Patients in the control group were restricted to an 8h bed rest in a supine position with the affected leg straight and immobilized. The vascular complications(bleeding, hematoma, ecchymosis) and levels of comfort(low back pain, leg pain, and blood pressure)were evaluated after the procedure. Numeric Rating Scale(NRS) pain scores, systolic blood pressure(SBP); diastolic blood pressure(DBP) were measured hourly for 8h after TFA.

Nature's Pharmacy: Harnessing Plant Extracts for Wound Healing
Medicinal plants have been used to treat human ailments since ancient times, providing a rich library of bioactive chemicals with a wide range of applications. With the increase of antibiotic resistance and the limitations of traditional wound treatments, there is an urgent need for alternative therapeutic agents, hence the studies on natural products. Extracts derived from medicinal plants are perceived as safer alternatives compared to synthetic drugs. They typically contain a complex mixture of bioactive compounds that work synergistically to promote healing. Furthermore, plant extracts tend to have fewer adverse effects compared to synthetic drugs, as they are composed of natural constituents that are often well-tolerated by the body. This makes them particularly suitable for long-term or repeated use in chronic wound management.

Caffeine consumption habits, sleep quality, sleep quantity, and perceived stress of undergraduate nursing students
Consumption of energy drinks is prevalent among college students and has increased over the last decade. Many students consume stimulants like caffeine and energy drinks to combat feelings of sleepiness or to boost mood, which may undermine the practice of healthy habits. Nursing school is known for its rigorous curriculum, which includes fluctuating schedules, rigorous testing, and clinical rotations that require shift work, resulting in feelings of stress and limited sleep. There is inadequate research regarding the energy drink consumption habits of undergraduate nursing students.

Mnemonic utilization in stroke education: FAST and BEFAST adoption by certified comprehensive stroke centers
Will briefly discuss the importance of stroke symptom recognition and the need for easy to remember educational content for public and healthcare providers. Will discuss two mnemonics widely used for recognizing stroke symptoms: FAST (Face-Arm-Speech-Time) and BEFAST (Balance-Eyes-Face-Arm Speech-Time). The FAST mnemonic can miss up to 14% of strokes. BEFAST includes common posterior circulation stroke symptoms and has been implemented by several Comprehensive Stroke Centers (CSCs).

Semi-automated artificial intelligence (AI)-powered techniques to empower evidence-based nursing practice
Evidence-based best practice guidelines (BPGs) provide a variety of recommendations to inform clinical practice, developed through rigorous methodologies including systematic reviews and input from expert panel members. Health service and academic organizations around the world formally partner with an Ontario-based Nursing Association to systematically implement BPGs to foster an evidence-based culture and provide quality care to persons and their families1-3. Organizations conduct gap analyses to inform the selection of BPG recommendations and indicators to report on to indicate the impact of BPG implementation. Health service organizations use multi-faced approaches to implement recommendations that are valid and feasible given the gap analysis, to achieve positive health outcomes. A semi-automated artificial intelligence (AI)-powered technique was developed to understand how to best prioritize recommendations for implementation.

Improvement in Communication Domains of Patient Satisfaction Survey in a Regional Community Hospital in Minnesota through the Application of Six Sigma Methodology
Communication gaps, incomplete, or fragmented can be attributed to many disasters in human civilization. Coordination of care within healthcare is directly related to proper communication and handoff between multidisciplinary teams throughout multiple shifts during the patient’s hospitalization. Mayo Clinic Health System Mankato in Southwest Minnesota realized a decline in patient communication with doctors and nursing in 2017-2018 which was reflected through patient surveys and direct patient feedback. Leadership took this as an opportunity and initiated several changes to increase doctor and nursing communication resulting in no significant improvements. A systematic quality improvement approach was implemented utilizing the Six Sigma methodology.

Early ambulation protocol after diagnostic transfemoral cerebral angiography an evidence-based practice project
A quasi-experimental study was conducted on 214 patients undergoing TFA with manual compression. Patients in the experimental group were placed supine position for 2 hours with a sandbag placed on the wound dressing, followed by a semi-seated position for another 2 hours. After this period, patients took 2h bed rest (move freely) with the sandbag removed, and were allowed to get out of bed 6h after TFA. Patients in the control group were restricted to an 8h bed rest in a supine position with the affected leg straight and immobilized. The vascular complications (bleeding, hematoma, ecchymosis) and levels of comfort (low back pain, leg pain, and blood pressure) were evaluated after the procedure

Improvement in Communication Domains of Patient Satisfaction Survey in a Regional Community Hospital in Minnesota through the Application of Six Sigma Methodology
Communication gaps, incomplete, or fragmented can be attributed to many disasters in human civilization. Coordination of care within healthcare is directly related to proper communication and handoff between multidisciplinary teams throughout multiple shifts during the patient’s hospitalization. Mayo Clinic Health System – Mankato in Southwest Minnesota realized a decline in patient communication with doctors and nursing in 2017-2018 which was reflected through patient surveys and direct patient feedback.

Internationally educated nurses joining the nursing workforce in England
There is limited literature on the experiences of internationally educated nurses (IENs) who joined National Health Service (NHS) Trusts in England over the past 20 years. The objectives of this integrative review included: exploring and analysing the experiences of IENs in England; identifying the cultural, pastoral and training needs of IENs during their first 2 years working in England; and providing research informed recommendations to better support IENs.

Internationally educated nurses joining the nursing workforce in England
There is limited literature on the experiences of internationally educated nurses (IENs) who joined National Health Service (NHS) Trusts in England over the past 20 years. The objectives of this integrative review included: exploring and analysing the experiences of IENs in England; identifying the cultural, pastoral and training needs of IENs during their first 2 years working in England; and providing research informed recommendations to better support IENs.

Team-based learning in nursing education: A student-centered teaching and evaluation strategy
Nursing students are expected to develop critical thinking and clinical judgment skills to succeed in nursing programs as well as in passing tests including the National Council Licensure Examination (NCLEX). As the current health care continues to evolve, follows the reform of nursing education, nursing practice, and regulations. There is an increase in the need to gather evidence-based knowledge and translate to practice to ensure learner and healthcare needs are met.

Competence Assessment in Nursing Education – Phase 1
There is currently no standardized method of assessing the clinical competence of undergraduate nursing students in New Zealand. Each educational institution has developed their own methods and processes for determining clinical competence. Establishing the suitability of competence assessment tools and consistency of undergraduate clinical assessment practice is paramount to student and patient safety.

Effectiveness of Amiodarone in Preventing the Occurrence of Reperfusion Ventricular Fibrillation After the Release of Aortic Cross-Clamp in Open- Heart Surgery Patients: A Meta-analysis
We searched the Web of Science, Cochrane Library, EMBASE, and PubMed databases through January 2021 for relevant studies addressing the efficacy of amiodarone in preventing RVF after ACC release in patients undergoing cardiac surgery. A complete statistical analysis was performed using RevMan 5.3. Risk ratios (RRs) and 95% confidence intervals (CIs) were calculated to express the results of dichotomous outcomes using random or fixed-effect models. The chi-square test and I2 test were used to calculate heterogeneity.

Person-centered care associated with management of non- communicable chronic diseases
Adults with non-communicable diseases self-assessed their quality of life, health, and life satisfaction as positive. More than half of the participants self-assessed managing their non- communicable diseases as effective. It was found significant differences in individuals’ quality of life according to gender, level of education, relationship status, number of non- communicable disease and management of non-communicable disease. A positive association was found between person-centered care and effective management of non-communicable diseases. Better managing non-communicable diseases is associated with individuals’ quality of life, life satisfaction, and health.