- University of Exeter, UK
- Title:The Phenomenology of Healing
- Time :
We have been using qualitative methods to study the phenomenology of healing; working with healers and their clients, health care professionals and the general public.
Healing is an emergent property, a process of change for the better leading to greater wholeness and integrity of mind, body and soul; it may involve a long journey, or a sudden transformation. Factors that facilitate it include connecting with others, nature, creativity, safety, trust and unconditional love. We have developed the concept of ‘nourishing exchanges’ as an overarching theory of healing.
The language of healing is metaphor, and explanations for it vary. Scientific materialism tends to dismiss it because nothing can be measured. But many nurses and other health care professionals accept and work with healing phenomena (sometimes surreptitiously). We have identified three overlapping concepts of where healing comes from: 1) from an external source (energy, consciousness, or your god), 2) from the activities of other people you connect with, and 3) from within, as we all have the capacity to heal.
We believe that Western medical systems need to be more inclusive and to accept and work with the phenomenology of healing, rather than rejecting it as unscientific.
Paul Dieppe is an Emeritus Professor in the medical schools of the Universities of Exeter and Bristol in the UK. His previous posts have included Professor of Rheumatology, Director of the MRC Health Services Research Collaboration, and Dean of the Medical Faculty at Bristol. For the last decade his research interests have centred on the placebo/nocebo responses, caring in health care, and healing.
- ICESI University , United States
- Title:Characterization of the Learning Environment of an Internal Medicine Course for Medical Students of Universidad Icesi of Cali, Colombia
- Time :
Introduction: The learning environment has many constructs involved and there is not a single ideal instrument that measures all of them. In Colombia, there are few publications on measuring the learning environment in clinical settings, most of them have only quantitative measurements.
Objective: To characterize the learning environment of the students of the internal medicine course of ICESI University.
Material and methods: Mixed study (quantitative and qualitative), which is based on the classroom research method, where the first step is to diagnose the current learning environment.
Results: 58 students participated in the study. The DREEM overall score was of 125/200. The average of teacher’s evaluation was 6.38/7. The percentage of students who passed the final written evaluation was 96.7%. We also describe favorable and unfavorable findings in objectives, methodology, didactics, learning resources, evaluation and interaction of educational actors.
Discussion: The results allow us to say that although in general the students perceive a more positive than negative view by DREEM questionnaire, we found in the other results multiple points that can be improved. Curricular changes and comprehensive teacher training plans are necessary to meditate before, during and after their teaching practice, in order to promote educational innovation in the classroom.
I’m Nathalia Salazar Falla, physician from Cali, Colombia and where also I currently live. I started my medical studies on 2007, at Libre University in my city. Since my undergraduate training I had an important interest about adult’s pathologies, research and epidemiology and because of that, I decided to participate in this area, specially in case reports.
I finished the Medical School on 2013, being recognized as a honor student. After that, I started my rural year (a volunteer medical activity during 12 months in a vulnerable zone of my country) where I could apply my skills as a physician. When it finished, I started working as a general physician for 2 years more and at the time, I did university teaching and investigation methodology graduates.
On 2016, I decided to begin my postgraduate studies in Internal Medicine at Icesi University in Cali, Colombia until 2019. Right now, I work as an internist for Fundación Valle del Lili in Cali, one of the most prestigious health centers in the country. Also, I work as a teacher of Internal Medicine course for the Icesi University school of medicine, institution where I’m also currently doing a Master of Education and my investigation area is medical teaching.
- Xi’an Jiaotong University, China
- Title:Evaluating the Effect of Hierarchical Medical System on Health Seeking Behavior: a Difference-in-Differences Analysis in China
- Time :
The unbalanced allocation of healthcare resources and the underutilization of primary care facilities are the core problems that restrict the current healthcare reforms in China. In order to encourage residents to go to primary care facilities, China implemented the Hierarchical Medical System (HMS) in 2015. This study aims to evaluate the effect of HMS on health seeking behavior in China using panel data. Statistics for the study were derived from China Family Panel Studies (CFPS) 2012, 2014, 2016 and 2018, and China health and family planning statistical yearbook 2012, 2014, 2016 and 2018. We employed the difference-in-differences (DID) model with multiple periods. In total, 61,932 residents were incorporated for a final sample covered 25 provinces. The results indicated that the implementation of HMS had a significantly positive effect on the probability of urban residents going to primary care facilities for contact. However, the effect of HMS was not significant for rural residents. Basic health insurance was a significant factor for directing residents to primary care facilities. Self-assessed health, chronic disease, economic level and educational status were also found to be focal factors of health seeking behavior. In conclusion, the introduction of HMS has led to improved health seeking behavior and is worth putting more effort into. For policy makers, basic medical insurance is still an important health policy that enables systematic health seeking behavior. Initiatives to continue to expand the adjustment range of economic incentives should be adopted to promote the implementation of HMS. However, the effect of HMS in chronic disease is poor and efforts to formulate chronic disease as a breakthrough to HMS should be carried out. Moreover, the government should increase the publicity of HMS.
- Kansai University of Nursing and Health Sciences, Japan
- Title:Issues Regarding Assistance of one another among Residents to Maintain Activities in Depopulated Areas
- Time :
Purpose: Concerning the health policies in depopulated areas and the measures regarding elderly persons, the residents must perform activities themselves rather than being directed by the government. For example, residents may assist each other to evacuate during a disaster and also with daily shopping. With the declining population, public finances would be reduced, and therefore, mutual assistance among residents would become essential. In Japan, self-help and mutual assistance have been introduced in governmental policies. However, whether the residents are truly aware of each other’s assistance remains unexamined.
Community involvement will not be activated if mutual assistance is not perceived similar to the perception of public health nurses. Fostering awareness of mutual assistance among residents is necessary to maintain villages in depopulated areas through self-help and mutual assistance. Therefore, we aimed to clarify the awareness of mutual assistance among residents in depopulated areas.
Methods: A semi-structured interview was conducted with the participants (14 elderly men, aged 65 years or above, living in a depopulated area) using an interview guide. The participants were asked the question, “what comes to mind on hearing the phrase ‘mutual assistance’?” The interviews were recorded and transcribed verbatim. The perception of mutual assistance was extracted using qualitative inductive methods.
Results: The awareness of mutual assistance in the depopulated areas comprised 150 clauses and consequently, 39 categories were extracted. Mutual assistance was regarded to be based on one’s wellness, as shown by the response “I am the foundation of mutual assistance.” The responses of “caring about others” and “everyday human relationships create mutual assistance” showed the normal state of assistance. Therefore, it was inferred that “everyone is aware of the idea of mutual assistance” and “everyone has self-awareness and makes efforts.”
Discussion: Residents’ perception of mutual assistance was based on oneself and involved daily human relationships. The entire local community was aware of the concept of mutual assistance. Coordination of the entire local community is important for the residents to help one another.
- GGZ Noord-Holland-Noord, Netherlands
- Title:The Role of the Nurse in RecoverE, Implementation of Community Mental Health Teams
- Time :
RecoverE is a multinational, multi-site project with as aim to implement community mental health teams in Croatia, Montenegro, Romania, Bulgaria and North Macedonia. Clinical staff were trained and are supported to form a mental health team offering ongoing community treatment and outreach to people with severe mental illness who would otherwise be admitted to a hospital ward.
The aim of the workshop is twofold:
1. to inform participants about the RecoverE research project (LaRge-scalE implementation of COmmunity based mental health care for people with seVere and Enduring mental ill health in EuRopE). This is an example of a European collaboration involving 16 consortium partners under the project management of the Trimbos Institute, The Netherlands. The aims, methods and organisation of the project will be discussed.
2. Participants will take part in one of the sessions used in the training programme aimed at the role the nurse can take within an interdisciplinary team. Aims of this session are clarifying the nurse’s role, emancipation of the nursing discipline and discussion skills to work as an independent professional alongside other disciplines.
Shuna Vanner is an English national who retrained as a nurse in The Netherlands, specializing in the field of mental health. She has been working as a clinical nurse specialist within GGZ Noord Holland Noord since 2017 where she is a treatment coordinator on an open ward for intensive treatment and an advisor on care development projects. She is local project leader for RecoverE and has written and delivered the training for the project’s sites.
- The People’s Hospital of Deyang City, China
- Title:Caregiver Burden: A Concept Analysis
- Time :
Objective: Caregiver burden is used frequently within the nursing literature. The purpose of this paper is to provide clarity surrounding the concept caregiver burden.
Methods: An electronic search of MEDLINE, CINAHL, Health Source Nursing/Academic Edition and Academic Search Complete (ASC) of EBSCO, China National Knowledge Infrastructure (CNKI) and Google Scholar were searched with a limit of 10 years and published in the English or Chinese language. The paper adopted the framework by Walker and Avant. The attributes, antecedents, consequences and uses of the concept were identified.
Results: At total of 33 articles were included. The three attributes of caregiver burden were identified as self-perception, multifaceted strain, and over time. The antecedents included insufficient financial resources, multiple responsibility conflict, lack of social activities. The consequences of caregiver burden resulted in negative change which included decreased care provision, decrease in quality of life, physical and psychological health deterioration.
Conclusion: A definition of caregiver burden was developed. Tools to measure caregiver burden were identified. The findings from this analysis can be used in nursing practice, nursing education, research and administration.
I have almost 9 years of nursing experience and have worked in hepatobiliary surgery department at The People’s Hospital of Deyang City, Sichuan province, China.
I graduated in June 2020 in 5th International Master of Science in the nursing program from the Institute of Technology Tralee, Ireland. And obtained a first-class honour degree.
- University General Hospital of Patras, Greece
- Title:Diagnosis of Gastrointestinal Stromal Tumors - Review of the Literature
- Time :
Gastrointestinal stromal tumors (GIST) represent rare malignancies of mesenchymal origin that can appear at any site of the gastrointestinal tract. Their classification, patient treatment and prognosis had been a source of controversy. The biology of these tumors revealed association to the type III tyrosine kinase receptor and the KIT CD117 protein expression. GIST mesenchymal lesions derive from the interstitial cells of Cajal. Classification methods include the one by Miettinen and Lasota and the ‘‘modiﬁed NIH classiﬁcation’’. Histologically, the diagnosis of GIST falls into one of the following categories: spindle cell type (70%), epithelioid type (20%), or mixed type (10%). Histological diagnosis is usually performed via echoendoscopy-guided-biopsy or CT-guided percutaneous biopsy.
Panagiota Xaplanteri has graduated from Medical School, Patras University in 1999 and acquired the medical specialty of Biopathology (Laboratory Medicine) in 2007. She has completed her PhD in 2008 from Medical School, Patras University, Greece and her MSc in Health Care Management, Hellenic Open University in 2018. She has worked in the following positions:
•Senior Assistant, Department of Microbiology, University General Hospital of Patras, Patras, Greece, 29/9/2015-today
•Part time Assistant Professor, School of Rehabilitation Sciences, University of Patras, Greece, 2019-today
•Part time Lecturer/Assistant Professor, School of Sciences of Health and Care, Technological Educational Institute of Western Greece, Patras,2007-2019
•She has published more than 20 papers.
- University of Alicante, Spain
- Title:Gender Equality in Education Systems: A Scoping Review
- Time :
Gender perspective is essential in order to evaluate strategies aimed to generate equal opportunities and innovate in coeducational methodologies, which are oriented to the elimination of sexist stereotypes that produce gender inequalities. Thus, the main aim of this paper is showing the scientific evidence related to coeducational practises and their social impact on education systems. Coeducation has been understood as an educational approach oriented to promote gender equality and to create equal opportunities through educational methodology. The coeducation has been gaining importance in recent years given the interest of the gender studies issues.
In order to synthesize the scientific evidence gathered for the research issue, we carried out a systematic selection process (Scoping Review). Finally, the Scoping Review includes 18 articles from six different databases. Inclusion and exclusion criteria were considered before the review. Additionally, an ad hoc protocol was developed, which allowed extracting relevant information pertaining our research question.
The research found that there is still scare scientific evidence of coeducational interventions within the education system. Educational laws of different social contexts have been implementing gender equality, but, for the most part, a gender perspective has not been present in such modification. Moreover, it has been observed that the issue of gender equality and education has become widespread since the 90s, when the Fourth World Conference of Women took place in Beijing (1995).
On the other hand, the study reveals how the coeducational interventions have focussed primarily on equal access in the education system, but, some forms of discrimination based on sex still thrives within classrooms and promotes by hidden curriculum. Also, there has been an apparent lack of teacher training in gender equality and feminist theory for the implementation of coeducational pedagogies.
Thus, the results show the need to promote legislation reform based on the coeducational interventions and the necessity to promote specific teacher training in gender and equality.
PhD student in Interuniversity Doctorate in Interdisciplinary Gender Studies, in the research line of “Gender, gender violence and education” (University Institute for Gender Studies Research, University of Alicante). In addition, I am a Social Worker graduated from the University of Alicante with a Masters in Equality and Gender in the Public and Private sphere (Equality Agent) from the Jaume I University. On the other hand, I have the university degree of Technician in Equality Training gender, Expert in Intervention with male assailants of gender-based violence, Expert in the implementation of gender equality in public administration, among other degrees related to gender equality, education and gender mainstreaming.
I have contributed scientifically in various international conferences and seminars. Recently I have published a scientific article in “Children and Youth Services Review” (Aragonés-González, M., Rosser-Limiñana, A., & Gil-González, D. (2020). Coeducation and gender equality in education systems: A scoping review. Children and Youth Services Review, 111, 104837).
- Hiroshima University, Japan
- Title:Evaluation of Basic Training for Current Public Health Nurses to Educate Residents on Genetic Knowledge
- Time :
Access to genetic information has become easier. For residents to use genetic information for early detection and prevention of disease without discrimination and prejudice, knowledge of proper genetics is required. To date, public health nurse education has not kept pace with advances in genetics. The purpose of this study was to provide current public health nurse education for understanding genetics and diversity, and evaluate it.
This was a semi-pilot study involving a single group. There were 23 public health nurses who cooperated. The average years of experience was 11.9 years. A questionnaire was created for the educational goals on the five-point Likert scale. Goals include the following: Cognitive domain: can explain genomic diseases. Affective domain: interested in human genetics.
Psychomotor domain: Residents can respond by using genetic knowledge. Each area has a maximum of 15 points. The case is of “a man who is worried about familial hyperlipidemia at a medical checkup.” The consultation was considered in advance, and was considered again after the lecture. The study has been approved by a relevant ethics committee (approval number E-1776). The composition was evaluated by the ARCS model. A Wilcoxon signed rank test was used. P-value less than 0.05 was considered statistically significant.
The mean before score was 6.3 and the mean after was 9.3 (p <0.001) for the goal of being able to explain genomics disorders. The mean score for the goal of interest in human genetics increased from 8.5 to 11.0 (p <0.001). The score for the goal of being able to respond to the residents using genetic knowledge also increased significantly from 4.4 to 8.1 (p <0.001). The mean of Attention was 4.30 (maximum 5), Relevance was 4.35, Confidence was 3.13, and Satisfaction was 3.91. Conclusion The effects of current public health nurse education on basic knowledge and attitudes about genomics were recognized. In the composition evaluation, participants highly evaluated Attention and Relevance. The state of high lipids is a situation in which a public health nurse provides life guidance during a medical examination. It is believed that the job-related situations experience by public health nurses is a result of using the state of high lipids as teaching materials in genetics. Confidence in composition evaluation was low compared to others. Findings suggested that multiple training sessions were needed to build confidence. Biography
KAWASAKI Hiromi, RN, PHN, MPH, Ph.D.
Professor at Hiroshima University, School and Public Health Nursing.I am in charge of education for public health nurses and school nurses. These occupations support people’s healthy lives.
It provides support for people to gain basic knowledge about genetics and diseases in their daily lives. I am worried that children will have easy access to genetic information.In Japan, animals are applied to the year of birth. I was born in a mouse year.I use it as my symbol instead of a photo. The mouse is on my homepage at the university.
- Hiroshima University, Japan
- Title:Actual Conditions and Issues of Disaster Preparedness for Students Enrolled in Special Needs Schools
- Time :
Purpose: Students with intellectual, physical, and other disabilities attend special needs schools. Based on the assumption that in the event of a disaster students in a special needs school would not be able to go home, we checked the stockpiles of emergency supplies held in a special needs school.
Methods: We checked stockpiles in a special needs school for students with physical disabilities or health impairments. We further compared the amount of emergency goods with recommendations of researchers.
Results: There were 141 students (from preschool through high school) and 174 teaching staff at the school. The food stocks for children consisted of 550 meals of pregelatinized rice, 100 meals of rice porridge, and approximately 700 meals of pregelatinized rice, cookies, and canned bread for teaching staff. In addition, there were 900 two-liter plastic bottles of drinking water as well as five generators (gasoline or gas cartridge type), eight portable cookstoves, and 48 gas cartridges. There were also spare clothes and disposable diapers for children that had been prepared by their parents as a daily reserve in classrooms, but insufficient for more than one day (which would likely be necessary in a disaster situation). There was only standard everyday medical equipment, such as bag valve masks, pulse oximeters, oxygen cylinders, and sputum aspirators.
Conclusion: In previous disasters, local governments have been able to prepare support for each shelter in around three days. The stocks of food and drinking water were found to be adequate for this period. However, studies have pointed out that shelters should store special foods such as tube-feeding nutrients, diabetic diet foods, and allergy-free food. Even though some of the children at the school need tube-feeding nutrients and allergy-free food, there were no stocks on hand. Moreover, there were no spare clothes for children, medical equipment, batteries, or manual generators. The stockpiles in this school did not consider the needs of the children based on current research. It is recommended that a budget be created, a checklist drawn up of stockpiles that meet the needs of the children enrolled in the school, and measures taken to check these stockpiles periodically.
TAMURA Hiroshi, B.A., M.S.W. Health Sciences Major, Doctoral Course, Division of Nursing Science,
Hiroshima University. When I was in university, I majored in English literature.I studied English poetry, especially “Songs and Sonnets” written by John Donne (1572-1631).I studied School Social Work in my Master’s program. I’m researching the functions of welfare shelters. I have been working in Ehime prefecture for about 18 years as an English teacher in high schools and special needs school.
- University of Cambridge, United Kingdom
- Title:Relationship between Job Burnout and Perceived Organizational Support of Nurses under the Two-Child Policy
- Time :
Objective: To investigate the status of job burnout and perceived organizational support of nurses under the two-child policy, and to explore their relationship. Methods: 445 nurses were investigated with Maslach Burnout Inventory (MBI) and Nursing Organization Support Scale.
Results: The total scores of job burnout and organizational support were 36.65±19.79 and 53.53±10.70 respectively. Job burnout was positively correlated with perceived organizational support (P<0.01). Conclusions: Job burnout and perceived organizational support of nurses are moderate under the two-child policy. Nursing administrators should provide and implement targeted organizational support measures to promote nurses' physical and mental needs and improve nursing quality.
I am 52 years old and I have been working for 34 years. I am the director of nursing in the Second People’s Hospital of Foshan. As the vice chairman of nursing Economic Management Committee of Guangdong Nursing Association, the member of Administrative Management Committee of Guangdong Nursing Association and the vice chairman of Foshan Nursing Association, I have accomplished 6 research projects. Meanwhile, 9 papers have been published during this time. I have been invited to give speeches for many times, thus, I am good at presentation skills. Seventeen years ago, when SARS broke out, I worked in the front line and won the title of “Advanced Individual in fighting against SARS”. 17 years later, when the COVID-19 occur, I joined the war again together with 120 nurses from Foshan to Wuhan, achieving initial success.
- Taibah University, Saudi Arabia
- Title:Management of an Emergency Tooth Extraction in Diabetic Patients on the Dental Chair
- Time :
Background and objective:
Approximately 75% of diabetic patients in Saudi Arabia had poor glycaemic control. A high proportion of these patients will attend dental surgery clinics for treatment. Therefore, dentists should be well-prepared to control any complications they might arise on the dental chair during the dental procedures. Management of the associated risk factors is important to limit disease complications and improve the health of patients with diabetes. The objectives of this review were to determine the maximum acceptable level of blood glucose for tooth removal in diabetics, show a systematic technique for the management of patients with diabetes on the dental chair. By using PRISMA guidelines, analysis of the published articles and reports across the world is considered one of the most appropriate available methods to obtain strong evidence about the acceptable levels of blood glucose where teeth extraction can be done safely.
A total of 1080 studies were retrieved using the search strategy. After screening 185 titles, abstracts and 85 full-text articles, 36 studies were included. The outcome of this systematic
review revealed that fasting blood glucose level of 240 mg/dl is a critical point for any dental treatment because the warning signs of diabetes start coming out. Maximum acceptable levels of blood glucose for removal of teeth in diabetics are 180 mg/dl (before meal) and 234 mg/dl (2 h after a meal). High blood glucose levels reduce the secretion of nitric oxide (powerful vasodilator) in the body which leads to poor circulation and slow-healing socket. Uncontrolled diabetics are at high risk of infection because of the high ketone levels in the blood.
Fasting blood glucose level of 180 mg/dl is a cut-off point for any selective dental extraction. However, Random blood glucose level of 234 mg/dl (13 mmol/l) is a cut-off point for an emergency tooth extraction. Tightly controlled diabetic patients (blood glucose level below 70 mg/dl) are susceptible to hypoglycemia.
Dr Giath Gazal is an Associate Professor and Consultant in the Oral and Maxillofacial Department in the Taibah College of Dentistry, Taibah University,Kingdom of Saudi Arabia