The elderly and life’s channels: The threads of life

           Dr. Elma Jazz Macrohon

AssociateProfessor at Mekelle University

                      Philippines

This study was undertaken with the aim to validate the assumption in JEM’s Theory on Intergenerational Visits to the Elderly, which states that Intergenerational visits promote socialization, that spirals into family solidarity, quality time shared; that affords the elderly parents more meanings, purposes, significance in their lives, the feeling of successfully aging, and make family relationship tighter every time it happens. It is also to come up with narrative materials from the experiences of the informant-elderly during intergenerational visits, together with children, grandchildren, friends, and relatives, before, during, and after the visitation. The method used is the narrative inquiry. Interview schedules were used both in Filipino and English.  There were recorded interviews and later transcriptions of them, then a story was woven entitled: “The Elderly and Life’s Channels: The Threads of Life”.  There were six parents interviewed equally to six families.  The characters in the narrations are representatives from these families.  Findings proved that “intergenerational visits to the elderly”, is a key factor to improve the social relationship between children and parents and between and among parents and children.  Other findings were on the smooth and rough (conflicts) events in the family, but the latter mended by the faithful observance of intergenerational visits, which serve as the knot that binds family members together because the former promotes socialization. It is recommended that Intergenerational visits be included in the yearly activities for the elderly people or the senior citizens, by their respective family members, often or even far in-between.

Time Management Tips for Busy Nurses

Nursing is a demanding job and it can often feel as though there are not enough hours in the day to complete all your tasks. Unlike other jobs, priorities can change rapidly. When a patient is in urgent need of your attention, your to-do list can change rapidly. The hectic pace of the job is one of the reasons that many nurses get burned out and stressed out. Using these time management tips for nurses is one way to make your life a little easier, as well as getting more done.

1. Plan your day out in advance

Many nurses say that while planning is a good idea, their days are too unpredictable to plan. It is difficult to plan your day because your environment can change rapidly, and much of your day is spent responding to the needs of patients. However, nurses who do plan their day and the tasks they must accomplish will find that they get more done with less stress. Make a list of everything you must get done today. Then, make a note of how long it will take and rank the jobs in order of importance. Start looking at tasks and seeing when you will have time in your day to get one or two items done. When you have a few minutes, complete a task that you can get done in that time. You will also feel better knowing that you are not forgetting anything.

2. Focus on the most important activities first

When you make the list, focus on the items with the highest priority. Remember, you may not be able to get everything done. But by completing the most important tasks, you will be less stressed. Also keep in mind that if nothing is going on right now, you should be working on one of your tasks. Due to the unpredictable nature of your nursing job, you can’t be sure that you will have time later. As you complete tasks, check them off on your list. It will give you a sense of accomplishment and make your stress levels drop.

3. Don’t let interruptions disrupt your day

Nurses must deal with many interruptions, many of which can’t be helped. However, there are many interruptions that are not so important. Interruptions like long non-work-related chats with other staff members, checking non-work email, or other non-essential tasks can get you off track quickly. Make time to relax, visit, and do things to lower your stress. But don’t let those things become more important than your work.

4. Keep yourself and your workspace organized

Being organized saves time. If you have a desk, spend a few minutes at the end of the day to put papers where they belong so that you can find them when you need them. At the beginning of the day, make sure all equipment is clean and ready for use. This will lower your stress level and make your day easier.

5. Learn to delegate tasks

Remember that you can’t do it all, nor should you have to. Remember the five rights of delegation in nursing; right orders, right instructions, right skills, right tools, and the right time frame.

Practice Rationale Care Model: The Art and Science of Clinical Reasoning,Decision Making and Judgment in the Nursing Process

Jefferson Garcia Guerrero

Ph.D. NS, DNS, MAN, RN

          Saudi Arabia

Nurses must be enlightened that clinical reasoning, clinical decision making, and clinical judgment are the key elements in providing safe patient care. It must be incorporated and applied all throughout the nursing process. The impact of patients’ positive outcomes relies on how nurses are effective in clinical reasoning and put into action on clinical decision making occurs. Thus, nurses with poor clinical reasoning skills frequently fail to see and notice patient worsening condition, thus misguided decision making arises that leads to ineffective patient care and adding patients suffering. Clinical judgment, on the other hand, denotes on the outcome after the cycle of clinical reasoning. Within this context, nurses apply reflection about their actions from the clinical decision making they made. The process of applying knowledge, skills, and expertise in the clinical field through clinical reasoning is the work of art in the nursing profession in promoting patient safety in the course of delivering routine nursing interventions.  Nurses must be guided with their sound clinical reasoning to have an optimistic outcome and prevent iatrogenic harm to patients. Nurses must be equipped with knowledge, skills, attitude, and values but most importantly prepared to face the bigger picture of responsibility to care for every patient in the clinical field.

Nurse as second victim after adverse event

Essam Ezat Mahmoud

King Saud Medical City, Saudi Arabia

Background: Nurses is being a second victim after made error. They suffered from physical and psychological symptoms followed an event. Healthcare organization has a significant role in support nurses after an event. However, little attention is paid from governmental bodies, to support the second victims.

Aim: To describe nurses' experience followed adverse events and the importance of the organization to support them.

Methods: A descriptive study conducted at King Saud Medical City, a total of 355 staff nurses were selected from clinical areas. Data were collected between July, 2 to Dec 5, 2017, using a self-administered questionnaire.

Results: 33.8% of the participants were involved in an adverse event in their career, and 64.2% involved with no patient harm, while 19% with fetal harm. Also, 82% experienced physical and psychological symptoms. Flashback returned to work anxiety, difficult concentration, grief and depression were the most psychological symptoms reported. Sleep disturbances, unable to relax and Sweaty palms were the most physical symptoms reported by them. 42.3% of them spent one to three weeks till they rid all symptoms. 55.2% received informal support from Head Nurse (216%), Nurse Manager (18.9%), Director of Nursing (8%) and friend/ Family. Nurses were worried a lot about what their clinical peers would think about them after the events. They have not been adequately supported by the organization (77.6%). there was no designated member of the organization guiding them after an event.

Conclusions: Adequate support can work effectively to reduce symptoms, after an event. Lack of supports can lead to an emotional burden.

Keynote Speakers of Nursing Education 2019

 Title: Making a difference for staff and the patient

Sue Kitching

Director of Nursing
Northern Area Armed Forces Hospital
United Kingdom

  Title: Quality in decision making

Asma Hussein Rammal

Nursing Director 
Madina National Hospital 
Saudi Arabia

  Title: Critical Care Nurses' Perspectives toward Family Presence 

                                          during Resuscitation  

Abdulelah Alhaidary

Director of Nursing
king Abdul Aziz University Hospital
Saudi Arabia

  Title: Understanding and implementing EBP to foster and maintain

                                          safe and competent care

Rabie'e Al Rashdi

Planning and Development Expert
Oman Academic Accreditation Authority
Muscat

  Title: Nursing Education in Saudi Arabia: A 60 years of obstacles 

                                         and Opportunities

Adel Bashatah

Dean Of Skills Development 
King Saud University
Saudi Arabia

Making a difference for staff and the patient

Sue Kitching

Director of Nursing, Northern Area Armed Forces Hospital, Saudi

Statement of the Problem:

Taking on a new role in a Hospital that had not had much evidence based nursing utilized would for some be a step too far. For those who enjoy a challenge, it gives a great opportunity to lead and direct staff to strengthen their knowledge and more so patients outcomes. Transformational leadership is about transforming and Cummings et al 2009, 2011 have highlighted the links between patient outcomes and leadership. So how do you go about righting poor practice, limited understanding whilst leading and engaging a workforce? Well, the opportunity arose when the morning report kept highlighting pressure injuries but with no outcomes and solutions.  So, rather than being the leader I took on the role of clinical nurse with experience to go and investigate and see what change I could make. “Amazing,”  is a nice word  and one that sums up the effect of my transformation in the staffs understanding, ownership  and improvement leading to   better outcomes for their patients

Pressure injuries at Grade 4 and above are now reduced to Grade 2 and below and staffs have confidence in how to tackle pressure injury prevention and care.  Just through a leader changing focus and showing nursing skills are never lost and knowledge is a wonderful asset and what simple motivation and encouragement can do to a workforce.

Cultural influence in communication and nursing care: The case of UAE

JOHN NYAH MBOUT, SRN, BSN, HAAD-RN

UAE

The increasing diversity of the nation brings opportunities and challenges for health care providers, health care systems, and policymakers to create and deliver culturally competent services. Cultural competence is defined as the ability of providers and organizations to effectively deliver health care services that meet the social, cultural, and linguistic needs of patients.

“Culture" refers to integrated patterns of human behavior that include the language, thoughts, actions, customs, beliefs, and institutions of racial, ethnic, social, or religious groups (California Endowment, 2003). Every culture has beliefs about health, disease, treatment, and health care providers.

Health is a cultural concept because culture frames and shapes how we perceive the world and our experiences.

All cultures have systems of health beliefs to explain what causes illness, how it can be cured or treated, and who should be involved in the process. The extent to which patients perceive patient education as having cultural relevance for them can have a profound effect on their reception to information provided and their willingness to use it.

Business leaders know that intercultural savvy is vitally important – not just because they have to deal increasingly with globalization, but also because the workforce within their own national borders is growing more and more diverse.

Intercultural communication in its most basic form refers to understanding how people from different countries and cultures behave, communicate and perceive the world around them. Given the growing multicultural population in the UAE, intercultural communication research is actively being applied in healthcare settings so that doctors and their staffs can relate effectively to their patients from diverse cultural backgrounds.

The United Arab Emirates houses a diverse and vibrant community. The residing population originates from a number of Arab tribes. Over the time, the existing community has started to diversify with the arrival of the Iranians in the 1800s, followed by Indians (both Muslims and Hindus), especially in Dubai due to its prosperous pearl market, given its location on the coastline.3  The Emirati Arabic culture is a perfect blend of the Islamic, Persian and even Indian culture. This is evident in the architecture, dressing norms, cuisines, folk dances, and the usage of certain words in everyday language.  But the Arabic Islamic culture remains the strongest and the most obvious influence on the UAE community.

Delivering high-quality care to Muslim patients involves having an awareness of the ramifications of the Islamic faith and Islamic beliefs. Nurses need to understand the implications of spiritual and cultural values for clinical practice. They should be aware of the need for modesty and privacy, the appropriate use of touch, dietary requirements and use of medications.

For a better understanding, this presentation will provide a brief overview of the existing culture and beliefs in UAE, before wading into it influences in communication and nursing care.

This concept will be presented in the following sub-topics:

• The significance of the concept
• Critical analysis of the concept
• Overview of existing culture and beliefs in the UAE
• Application and influence of the concept in nursing care in the UAE: culture as a competency and influence of religion
• Way forward of the concept