“Transforming Healthcare - Exploring the Current Challenges and Possibilities in Nursing” Poster Presentations February 15, 2018 These Presenters have provided outstanding research and projects Be sure to visit each of the participants and their presentations
Poster Presentations Poster #1 Narumi Fujinc RN MSN Email: fujionon@cc.saga-u.ac.jp “Challenges in providing outreach support by community activity support centers” Research – Qualitative Abstract Purpose : To clarify the challenges in providing outreach support by community activity support centers in cooperation with institutions. Method : Qualitative descriptive research was conducted by analyzing the contents of semi- structured interviews with 10 professionals providing outreach support for persons with mental disorders at community activity support centers. Results: The following challenges in providing outreach support by community activity support centers in cooperation with institutions were extracted: 1. Necessity to maintain the strength of cooperation with medical institutions 2. Strengthen the process of evaluating various outreach support. Discussion : The outcome of outreach support is the decrease in re-hospitalization of persons with mental disorders and the enhancement of their settlement in the community. It is expected that outreach support can enable medical institutions to reduce the number of beds occupied by providing methods of continuation of “independent life on their own” for persons with mental disorders in the community. In the future, it is important to provide comprehensive multi-disciplinary out-reach support that takes into consideration a person’s individuality. Track: Mental Health Nursing
Poster Presentation #2 Stacy Glocke RN BSN MN Email: sglocke@smcgov.org Phone 651-485-2449 Title of Presentation “ Enhancing Nursing Education for Pediatric Emergencies ” Research Qualitative Abstract Enhancing Nursing Education for Pediatric Emergencies Pediatric acute care places great strain on and presents many challenges for nursing. In our level III emergency department at San Mateo Medical Center (SMMC), acute care for the pediatric population is considered to be a low frequency/high risk situation. Purpose : Providing realistic educational pediatric education was a priority for the staff. Simulation education allows participants to learn in an environment that is as close as possible to real clinical situations. Simulation provides ‘hands on’ education and testing of knowledge, skills and critical thinking. In May of 2016, we developed a Pediatric Simulation program with guidance from Stanford’s medical education center. Method : Our team consisting of: 1 physician, 1 clinical nurse and the emergency department clinical nurse educator, we spent 1 day at the Stanford Simulation lab learning how to create a successful Simulation program. We created content based on our pediatric population and pre-developed learning objectives for each scenario. Debriefing of each scenario allows for positive feedback, discussion about observed teamwork and performance assessment. Quantitative and qualitative data is collected from each scenario. Each scenario is scored based on timeliness of meeting set objectives. Comparison data is maintained and narrative feedback is compiled. Results : While our program is still young, we have already witnessed improved confidence, critical thinking, communication and teamwork when dealing with pressured filled critical pediatric situations. Simulation allows us the opportunity to learn and practice critical care skills in a controlled and safe environment and provides a bridge between theory and practice. Keywords: Pediatric, simulation, education, emergency department. Track 4: Nursing Education
Poster Presentation #3 Bobbi Whitworth, PhD, MSN RNC bobbie.whitworth@mail.waldenu.edu Patti Urso PhD patti.urso@waldenu.edu Robin E. Squellati , PhD, APRN-C Robin.Squellati@gmail.com Title of Presentation “ Transforming the Practicum Experience for an Online MSN Program ” Research Qualitative Abstract The online MSN practicum experience is a supervised, structured experience, taking place in both the online didactic setting and the onsite practicum setting. Purpose : The practicum experience is designed to assist students in developing analytical and critical thinking skills, and integrating professional knowledge, while providing a quality student experience in the practicum setting based on course and program objectives. These experiences, while essential for the MSN students to assimilate and apply knowledge learned, can be laden with challenges. Some of the challenges include 1. Partnering with appropriate practicum settings and preceptors for online students who may live in remote areas and in distant countries. Even students in heavily populated urban areas can have difficulty finding appropriate preceptors, validating the American Association of Colleges of Nursing’s (AACN) statement that there is a shortage of preceptors available for MSN students. 2. Another challenge is competition between nursing programs to partner with appropriate practicum settings. 3. Evaluation of the students by their preceptors can also present a challenge, especially when different academic programs utilize different evaluation tools. 4. Obtaining approval for the affiliation agreement can be difficult and time consuming; many practicum settings choose to use their own legal jargon, which may conflict with that of the nursing program’s affiliation agreement. In this presentation , the practicum steps for the Walden MSN students will be outlined. The AACN Master’s Essentials will be mapped to the practicum e xperience. Challenges will be described and new models for transforming the practicum experience to meet the needs of the 21st century will be presented. Track 5 : Innovations in Nursing Education
Poster Presentation #4 Dr. Jennifer Armfield, RN MSN DNP Email: jennifer.armfield@nau.edu Phone 928-266-5548 Title of Presentation “ Project Boost and Cardiovascular Disease Readmissions in Rural Acute Care Facility “ Research Quantitative Background : Hospital readmissions are a source of reduced payment as mandated by the Centers for Medicare and Medicaid Services as part of the Affordable Care Act (ACA). The number of dollars used for hospital readmissions has increased over $17 million for heart failure alone. The changes in the ACA reimbursement guidelines has put stress on many hospitals as they are facing reduced income, increased use of resources, and increased length of stay. Objective : The objective of this presentation is to describe risk factors for 30-day hospital readmission in patients with cardiovascular disease using the Project BOOST risk assessment tool and compare hospital readmission rates between pre- and post-intervention groups. This presentation will also address strategies of project boost that most greatly affected the reduction in readmission rates. Methods : A retrospective chart review was performed while descriptive and predictive statistics were used to analyze obtained data. Pre- (n = 114) and post-intervention (n = 93) groups were compared to evaluate the implementation of Project BOOST, its components, and their predictability for hospital readmission. Results : Patients with cardiovascular disease admitted to the study hospital have high risks for readmission, such as problem medications, polypharmacy, psychological issues, and principal diagnoses. Integrating elements from Project BOOST significantly decreased 30-day hospital readmissions. Discussion: Data from this study revealed a statistically significant reduction in 30-day hospital readmission rates from 22% in the pre-intervention period to just 4% in the post-intervention period. Patients who did not receive the risk assessment tool were 14 times more likely to be readmitted to the hospital within 30 days of the index hospitalization. Track Track 21: Transitional Care Nursing
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