• University of Peloponnese
  • Title:Registered Nurse PerceptionsTowards the Implementation of Nursing Diagnoses in Perioperative Care: A Qualitative Study
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Nursing diagnoses constitute an essential step to the nursing process and a challenging goal in embedding them into clinical practice. Our aim was to explore registered nurses’ perceptions towards the implementation of nursing diagnoses in perioperative care and the factors affecting their applicability. Thus, a qualitative study with open-ended questions was carried out between February and April 2020. The study convenient sample consisted of 35 registered nurses working in the operating room and surgical clinics of a university hospital in Greece. Data were analyzed using qualitative content analysis with an inductive approach.
Three themes emerged from this analysis justifying participants’ agreement with the implementation of nursing diagnoses: ‘quality of the perioperative nursing care’, ‘interdisciplinary collaboration and communication’ and ‘ethical issues’. In addition, facilitating and hindering factors for their implementation in clinical practice were identified. Three themes emerged functioning as facilitators: ‘role of the nurse and nursing care organization’, ‘role of the patient’ and ‘interdisciplinary collaboration’. The themes which were identified as hindering factors were: ‘work organization’, ‘patient needs’ and ‘necessary requirements’. Registered nurses in Greece expressed positive perceptions towards the implementation of nursing diagnoses in perioperative care, highlighting their importance and utilization in the care process. These results can be used to develop strategies to promote nursing diagnosing in perioperative nursing and can be used for further research.

I’m Vasiliki Tsiami, registered nurse from Athens, Greece and where also I currently live. I started my nursing studies on 2012, at University of Peloponnese in Sparta.
I finished the Nursing School on 2016. On 2017, I decided to begin my postgraduate studies in Health Care Administration and Crisis Management at University of Peloponnese, Greece until 2020. The last three years I work as a registered nurse in D’ University Surgical Clinic at Attikon University Hospital in Athens, one of the most prestigious health centers in the country. My occupation with perioperative nursing care was a stimulus for further and deeper research in care process, the quality and the barriers appeared in order to be fulfilled by the perioperative nurses.

  • University of Central Florida
  • Title:Motivational Factors and Barriers Affecting Seniors’ Decision to Relocate to Senior Living Communities
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As the world population is aging rapidly, the U.S. is also experiencing considerable growth in its older population. More than 20% of the U.S. residents are expected to reach the age of 65 and older by 2030 due to the aging baby boomer population and the increasing life expectancy. Because of the growth in the older population, and the increase in their chronic conditions, it is evident that the demographic-driven demand for long-term care will continue to rise.
This study aimed to explore factors affecting seniors’ intention to relocate to a senior living facility. More specifically, the purpose of this study was to examine the influence of push and pull motivational factors and perceived barriers on seniors’ intention to relocate to a senior living facility (SLF). In addition, the mediating role of perceived barriers on the relationships between push motivational factors and intention to relocate and pull motivational factors and intention to relocate were explored. The data of the study was collected from 363 seniors. Structural equation modeling (SEM) analysis was conducted to test the study hypotheses.

The results indicated that health related, social and family/friend related, housing and property related push motivational factors and facility related pull motivational factor positively influenced seniors’ intention to relocate to SLFs. In addition, the study results revealed that family related barriers, economic barriers, socio-psychological barriers, and knowledge and information barriers negatively affected seniors’ intention to relocate to SLFs. In terms of the mediation effects, the study results indicated that (1) family related barriers mediated the positive relationship between health related push motivational factor and intention to relocate; (2) economic barriers mediated the positive relationship between facility related pull motivational factor and intention to relocate; (3) socio-psychological barriers mediated the positive relationship between health related push motivational factor and intention to relocate; and (4) socio-psychological barriers mediated the positive relationship between facility related pull motivational factor and intention to relocate. The findings of this study provide valuable theoretical contributions in the context senior living literature and important practical implications for SLF operators, health care facilitators and government agencies.

Suja Chaulagain is an Assistant Professor at Rosen College of Hospitality Management at University of Central Florida. She holds a Ph.D. in Hospitality Management from University of Central Florida. She received her Master of Business Administration (MBA) from Oklahoma Christian University, and her Master of Health Care Management (MHCM) and Bachelor of Health Care Management (BHCM) from Pokhara University, Nepal. Dr. Chaulagain’s work experience spans over diverse fields of hospitality management, health care management, and hospital administration. Her research foci are on the areas of the integration of hospitality and health care, elderly consumer behavior in the hospitality and healthcare industries, senior housing and relocation, and medical and wellness tourism.

  • Universitas Advent Indonesia
  • Title:Development and Evaluation of a Preparation Model for the Indonesian Nursing Licensure Examination: A Participatory Action Research
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The long-standing underachievement in the Indonesian national nursing competency examination (NNCE) has been a common concern, and there is limited information on the preparation program for this licensure examination. A quasi-experimental study was carried out to develop an NNCE preparation program model and evaluate its effectiveness in increasing competency among nursing graduates at a full-boarding private university in Indonesia. The participants of the study were selected with the purposive sampling method. The 23 course coordinators and clinical instructors met the inclusion criteria of having worked for at least five years as classroom teachers and at least one year as course coordinators or clinical instructors. The 85 nursing graduates met the inclusion criteria of having finished the internship program and planned to take the NNCE. The model was developed using participatory action research. The increase in the competency level and the level of perceived readiness of the nursing graduates and the satisfaction of both the participant educators and nursing graduates were measured quantitatively. The proposed model consists of core components and essential concepts. The core components are a holistic preparation process, active involvement and participation, knowledge and skill specialty, sharp examination-taking and skills, motivation to join the program and self-confidence to pass the NNCE, and time commitment for the preparation program. The essential concepts consist of awareness and trust, desire to change, sense of responsibility, mutual collaboration, equipped and empowered to act, definite direction and goals, mentoring. The model’s evaluation indicated a significant increase in competency level, overall perceived readiness for the national nursing competency examination, and degree of satisfaction with the preparation program. The implementation of the preparation model significantly increased the nursing graduates’ competency level, and both the participating educators and nursing graduates were satisfied with its effectiveness.
Licensure examination preparation model, nursing licensure examination, nursing graduates, participatory action research.


Educational Background:
• PhD (Int’l Nursing) : Department of International Nursing, Faculty of Nursing, Prince of Songkla University, Thailand (2019).
• MSc (PH Nursing) : Department of Nursing, Faculty of Public Health, Mahidol University, Thailand (1995).
• BSc (Nursing) : Dept. of Nursing Science, Universitas Advent Indonesia (UNAI), Bandung, Indonesia (1985)
Academic Rank: Associate Professor
Professional Experience:
• 1985 – 1988: Nurse, San Dimas Golden Age, San Dimas, CA, USA.
• 1989 – 1995: Teacher, Faculty of Nursing Science, Universitas Advent Indonesia, Indonesia
• 1995 – 2000: Teacher, Faculty of Nursing Science, Assumption University, Bangkok, Thailand
• 2000 – Present: Teacher, Faculty of Nursing Science, Universitas Advent Indonesia, Indonesia

  • University of Texas Southwestern, USA
  • Title:NICU Parent Mental Health and Impact on Neonatal Outcomes
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Parental mental health disorders are prevalent in the neonatal intensive care unit (NICU) despite prior history of mental health needs or not. The NICU itself is a risk factor for developing mental health needs, however, screening and treatments for parental mental health needs are not currently a standard of practice in NICUs. There is a growing body of literature supporting that parental mental health disorders left undiagnosed and treated affect outcomes of children and their families. Due to this, there is a higher need for standardized screening, diagnosis, and treatment of parental mental health needs. This talk will focus on current recommendations and novel strategies for treatment of parental mental health in the NICU.
Margaret “Katie” Hoge, M.D. completed her medical school at Wake Forest School of Medicine (’14). She completed her pediatric residency (’17) and neonatal-perinatal medicine fellowship (’20) at UT Southwestern in Dallas, Texas. Currently, she is completing a second fellowship in Developmental-Behavioral Pediatrics at UT Southwestern in Dallas. Her career goals are to continue to improve the care and developmental outcomes of NICU patients and their families both in the NICU and post NICU discharge through novel clinical care. Her research focuses on the effects a NICU admission on parental mental health and its impacts on outcomes for NICU graduates and their families, particularly focusing on the concept of Vulnerable Child Syndrome. She has been internationally recognized for her work in this field by creating novel preventative therapies. She is currently serving as the American Academy of Pediatrics Trainees and Early Career Neonatologists (TECaN) National Advocacy Campaign Chair which is focusing on raising awareness on the importance of mental health within the NICU.

  • University of Regina, Canada
  • Title:Rediscovering Caregiving Traditions through Grandmothers’ Stories to Assist Family Coping with Stress Related to the Covid 19 Pandemic
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The Truth and Reconciliation Commission (TRC, 2015) report calls for organizations to address the mental health gaps between Indigenous and non-Indigenous Canadians. The magnitude of lost caregiving roles for First Nations mothers in Saskatchewan, Canada was identified in the 2010 Saskatchewan Child Welfare Report where 90% of children in Child Welfare were of this descent, and no longer raised with a connection to their culture’s traditions and beliefs. Depression, anxiety and the contributing factors of substance abuse are the most common mental health conditions in Canada. Current mental health programs based in Judeo-Christian interventions do not meet the needs of Indigenous families), therefore, interventions should be more aligned with Indigenous traditions and include the integration of traditional healing methods. Due to COVID-19 pandemic, the mental health and stress on Indigenous families are further complicated by the loss of structure, socialization and relationship building.
Current research is exploring how grandmother’s stories of traditional interventions may provide Indigenous families living in north central Regina with meaningful and culturally appropriate pathways to cope with stress and anxiety during the COVID-19 pandemic. The benefit of Grandmothers’ shared information to gain community participation in lifestyle health is the respect they hold by a community to deal with challenging situations. Their participation in a breastfeeding promotion resulted in a twofold increase of breastfeeding. Collecting information in regards to infection control would lend itself to community use of preventive measures in the spread of Covid 19, recognizing the population’s risk for illness and morbidity dealing with more chronic illness and poverty. It is well known that prior to European contact the population had little disease due to traditional practices that prevented outbreaks or quickly dealt with them.
This research promises support to family cohesiveness, bonding and attachment during the COVID -19 pandemic. Develop of resources established and approved by the grandmothers that families in the north central Regina Indigenous population can use to manage anxiety and stress during COVID-19. Along with this is establishing the caregiving identity of mothers, consistence with the beliefs and definitions of the Indigenous culture to guide and direct government policies put in place to assist this population to cope with mental issues they deal with at this time.

  • Radboud university medical center, Netherlands
  • Title:Openness to new Perspectives Created by Patient Participation at the Morbidity and Mortality Meeting .
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Patient participation in healthcare is seen as a way of improving the quality of healthcare. Inviting patients to join the discussion about an adverse event at their own Morbidity and Mortality meeting (M&MM) is an innovative way to improve the often criticised meeting and provide patient-centred care. The department of gynaecological oncology of a tertiary hospital in the Netherlands started inviting patients to their M&MM. They evaluated which practical constraints and experiences from the perspective of patients’ and their healthcare professionals’ were important and whether and how they can learn from adverse events.
Explorative qualitative research was performed with semi-structured interviews including patients and professionals who attended M&MMs in the period of 2016 – 2018. Two interview guides were developed, focusing on their experiences and practical elements of the meeting. Every interview participant signed an informed consent prior to the start of the interview. The interviews were transcribed, coded and analysed by thematic content analysis with the program Atlas.ti. This analyses process started with open coding of the transcripts and lead to a coding tree.
Eight patients and seventeen healthcare professionals (nurses, registrars, consultants) participated in the study. The most significant themes in the domain of interpersonal dynamics, were trust and safety for patients; notions of quality for healthcare professionals; the patient-doctor relationship, language, openness of communication, learning and personal impact for both patients and healthcare professionals. All participants suggested to maintain the current practical design of the meeting, especially the support from the case manager prior, during and after the meeting and to keep inviting all involved healthcare professionals.
Conclusion Both patients and healthcare professionals valued the M&MM with patient participation. Its new design can be organised in a safe environment when conditions such as a stable patient-doctor relationship are adhered. It also provided more opportunities to learn from the meeting in which healthcare professionals felt more comfortable over time.
Current research to further improve the M&MM with patient participation focuses on how learning points from the meeting can lead to clinical practice change. In addition, research in different hospital departments is currently conducted to inform general guidelines for patient participation at the M&MM that are applicable in different contexts.

  • TELUQ University, Canada
  • Title:The appropriation of preventive practices by nurses: evidence of Canadian health care setting.
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Work-related musculoskeletal disorders (MSDs) are a major problem for nurses, despite the availability of robust research on preventive health and safety practices. Caregivers, including nurses, continue to be one of the categories of workers affected the most by MSDs, particularly back injuries, due mainly to tasks associated with patient handling. Several researchers agree that the availability of research findings on MSD preventive measures does not in themselves guarantee their application. Many of these researchers underscored the prime need to better disseminate this knowledge and, in particular, the importance of documenting conditions facilitating the appropriation and application of MSD prevention practices evidence when implemented in the real workers’ context.

The main objective of this study is to analyze the application of MSD preventive practices among nurses and to shed light on factors that facilitated or constrained this link between evidence and practice. To attain this objective, we conducted a survey filled out by 399 nurses and the structural equation method was used to analyze the survey data.

The results of the study highlighted the limits of basic training and training in the workplace, and especially their inadequacy to the reality of nursing work. The study also notes the importance of organizational facilitation, including the importance of having evaluation and feedback mechanisms that allow nurses to comply with recommended preventive MSD measures.


Saliha Ziam is a full professor at TELUQ University of Quebec. His research interests focus knowledge transfer in health sector, health assessment tools for decision support and knowledge absorptive capacity strategies. His recent works on knowledge transfer have been published in Allergy, Asthma & Clinical Immunology Journal and Evidence & Policy.

  • TELUQ University, Canada
  • Title:MSD prevention in nursing staff : what are the best practices ?
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The objective of this communication is to examine the application of MSD prevention practices among nursing staff and to identify organizational factors that may or may not support their application. We measured the application of prevention practices and its determinants by means of a questionnaire filled out by 399 nurses and nursing staff in Canada. A qualitative component was conducted with two focus groups in order to validate and enrich the interpretation of the survey results. Results show that most respondents “often” (4) apply MSD prevention practices in their daily professional tasks. Significant differences were observed based on position, mission of the institution, degree, and training. The characteristics of the nursing staff (position, training, etc.) and the specificities of the setting must be taken into consideration in MSD prevention interventions for nursing staff.


Elena Laroche is a professor in prevention of occupational health and safety at the TELUQ University School of Administration Sciences. Its work aims to improve occupational health through the application of preventive practices promoting risk prevention. She uses knowledge transfer models to study the processes that guide the application of preventive practices. His current research projects focus on the prevention of cancer risks among firefighters and the use of individual protection equipment and digital tools for the prevention of occupational injuries.

  • Chamberlain University, United States
  • Title:Experience a Virtual Simulation Lab (VSL) and Contemporary Immersive Virtual Reality Simulation (CIVRS) Pilot Research and Non-VR Excursions
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Provide a guided tour of a virtual simulation lab (VSL) showcasing the customizable robust simulations that furnished the backdrop for the VR pilot study:
Examine whether an educational intervention with a pilot Contemporary Immersive Virtual Reality Simulation (CIVRS) builds knowledge and is feasible to implement among nursing students and faculty.
Survey sampling, quasi-experimental, one group pre- and post-test design. Participants consisted of 21 undergraduate students and 10 undergraduate faculty. Instruments consisted of Virtual Presence Questionnaire (VPQ), Virtual Reality Sickness Questionnaire (VRSQ) and a Knowledge Test (pre- and post-test). VR airway intervention consisted of six narrated lessons: 1) headtilt/chin-lift with use of the Bag Valve Mask (BVM), 2) Oropharyngeal Airway (OPA), 3) Nasopharyngeal Airway (NPA), 4) King™ Laryngeal Airway Tube (LT), 5) Laryngeal Mask Airway (LMA) and 6) Endotracheal Tube (ET).
Normality testing demonstrated the faculty and student pre- and post-test differences to be normally distributed. Faculty mean post-test scores were significantly higher than faculty pre-test scores (p<.0001). Faculty had a mean pre-test score of 9 (SD=3.0) while the mean post-test score was 13 (SD=1.8). This average four-point change was of practical significance representing a 44 percent increase in the average score. The effect size was 1.76 (Cohen, 1988) or between very large and huge (Sawilowsky, 2009). Average student mean post-test scores were significantly higher than mean pre-test scores (p<.0001). Students had mean pre-test scores of 6 (SD=2.7) while the mean post-test score was 12 (SD=2.7). This average six-point change was of practical significance representing a 100 percent increase in scores. The effect size was 2.33 (Cohen, 1988) or huge (Sawilowsky 2009). Conclusions: The VR airway lab is an efficacious means of teaching difficult airway management skills to nursing students. The intervention was widely accepted by students and faculty, showed a high level of virtual presence, no cybersickness, and significantly improved knowledge of airway management (p<.0001). Biography

Dr. Dee McGonigle is the Director of the Virtual Learning Experiences Simulation
Excellence (VLESE) in the Center for Transformational Education and Learning
Innovation (TELI) at Chamberlain University and Professor in the Graduate Program in the Chamberlain College of Nursing. She has 44 years of experience in teaching and learning that includes nursing informatics, serious gaming, simulation, and virtual learning with the realities, especially VR.
Dr. McGonigle defined informatics in 1991. She co-founded the Online Journal of Nursing Informatics
(OJNI), a professional, scholarly, peer-reviewed journal in 1996 for which she was the Editor in Chief for
17 years through 2013. OJNI is currently published by the Healthcare Information and Management Systems Society (HIMSS). In 2014, Dr. McGonigle was the first one honored as a Platinum Award recipient from the Online Journal of Nursing Informatics. She developed the Foundation of Knowledge Model, the ETHICAL Model used to address ethical challenges brought about by the volatile information age and co-developed the Faculty Administrators Students Technology Strategic Integration Model (FAST SIM); the FAST SIM provides a framework from which to guide the process of technology integration into the nursing curriculum focusing on virtual simulation from the perspectives of the triad: faculty, administrator, student.
Dr. McGonigle has received over $870,000.00 in funding, presented internationally and nationally, authored workbooks, book chapters and more than 130 publications. Dr. McGonigle co-authored four textbooks: 1) The nursing informatics text, Nursing Informatics and the Foundation of Knowledge took second place as AJN’s 2014 Information Technology/Social Media Book of the Year in its 5th edition being released 2021; 2) Informatics for Health Professionals in its 2nd edition 2020, selected as a Core Title in Nursing Informatics by Doody’s Core Titles in the Health Sciences that lists the most distinguished titles in clinical medicine, nursing, allied health, and the basic sciences; 3) The text written for nurse educators to help them assimilate technology to enhance teaching and learning, Integrating
Technology into Nursing Education: Tools for the Knowledge Era, was AJN’s 2010 first place Technology Book of the Year; and 4) Virtual Simulation in Nursing Education released in 2018.
As part of the Nursing Informatics Research Team (NIRT), she led the development of an online selfassessment tool for level 3 and level 4 nursing informatics competencies, NICA L3/L4, which was cited in ANIA’s (2014) Nursing Informatics Today and ANA’s (2015) NI Scope and Standards document. Dr. McGonigle was a research team member for the development of the online self-assessment tool, TANIC, for basic level 1 and level 2 nursing informatics competencies based on the TIGER initiatives. In 2018, she was Co-PI: Evaluation of Virtual Reality Teaching and Learning Intervention research that was published in Clinical Simulations in Nursing in 2020.

Dr. McGonigle’s continuous and enduring impact on nursing informatics nursing education and virtual simulation have been recognized; she is a Fellow in the American Academy of Nursing since 2006 and a
Fellow in the NLN Academy of Nursing Education since 2013. She was the second President of the Division of Learning and Performance Environments (DLPE) for the Association for Educational Communications and Technology (AECT) in 1998.

  • Alexandria University, Egypt
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Experiencing persistent auditory hallucinations may contribute to unproductive struggle and interference with valued living among patients with schizophrenia. Acceptance and commitment therapy (ACT) represents a new generation of behavior therapies that proposes active acceptance and achievement of worthwhile goals despite experiencing auditory hallucinations. Utilization of acceptance commitment therapy may assist in reducing auditory hallucinations and may increase patient’s feeling of control. Aim: Determine the effect of applying acceptance and commitment therapy on auditory hallucinations among patients with schizophrenia. Setting: The study was conducted at El-Maamoura Hospital for Psychiatric Medicine in Alexandria, Egypt. Subjects: A random sample of 70 male inpatients with schizophrenia was selected and divided equally into a study and a control groups (35 patients in each group). Both groups were matched as much as possible in relation to socio- demographic and clinical data. Tools: Psychotic Symptom Rating Scales (PSYRATS-AHs) and Voices Acceptance and Action Scale (VAAS). A quasi-experimental research design was utilized in this study. Results: Significant differences were found between the study and control groups immediately post and after 3 months of ACT on baseline PSYRATS& VAAS scores. Conclusion: ACT offers a promising new treatment for auditory hallucination among patients with schizophrenia. A significant improvement in auditory hallucination was found in the study group immediately after implementing ACT and after 3 months. As well as a decrement in re hospitalization rate and improvement in drug compliance for the study group compares to control one. Recommendations: ACT should be integrated in psychiatric treatment and nursing interventions of inpatients with schizophrenia who experiencing auditory hallucination.