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Abstract - 1

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Co-Lead for this research/ QI project

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Global Nursing and Health Equity: Minority Nursing Organization’s role in Global Health Issues and Advocacy.

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

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0%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Background: National Association of Indian Nurses of America (NAINA), a U.S.A based Organization of nurses of Indian origin, initiated a cumulative initiative across two countries, the USA and India. The goal was to benefit and recognize selected Indian frontline nurses during the Covid-19 pandemic. Nurses were the frontline providers in battling this pandemic and subsequently reported high levels of stress, anxiety, and mental exhaustion (Hebbar, P. 2020 & Gu, etal. 2020). NAINA responded to this global crisis by creating a NAINA Caritas team to recognize the contribution of these nurses in India (Inocian, E. 2021).

Method: NAINA developed advocacy strategies through the NAINA Caritas team, who identified selection criteria to recognize the nurses. Partnerships were established with nursing leaders from India who were responsible to verify the eligibility, collect information of nurses, and distribute the e-vouchers. Caritas team was responsible for the overall implementation of the project including funding, distribution of the certificate of appreciation, and President’s letter.

Outcomes: The project to date has assisted in recognizing over 530 nurses with a target of 1500 nurses. This ongoing advocacy project by NAINA, received over $30,000, to be utilized for the Caritas project. Major contributors include the American Nurses Association (ANA), Commission on Graduates of Foreign Nursing School (CGFNS International), and NAINA chapters. As a result of this advocacy, NAINA built partnerships with organizations like the Asian Institute of Nursing Education (AINE), Trained Nurses Association of India (TNAI), Association of Nurse Executives of India (ANEI), and Tri-Council.

As nurses of Indian origin, NAINA members have a moral and ethical responsibility to serve and give back to our motherland. NAINA advocacy capacity survey tool (Lalwani, et al 2016), will be used before and during the conference to add to the body of knowledge regarding advocacy for global health and health equity.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

(2020) Characteristics associated with racial/ethnic disparities in covid-19 outcomes in an academic health care system. JAMA Network Open, 3(10), e2025197. https://doi.org/10.1001/jamanetworkopen.2020.25197(2020). Healthcare delivery in India amid the Covid-19 pandemic: Challenges and opportunities. Indian journal of medical ethics, 1–4, 5(03), 215-218. https://doi.org/10.20529/IJME.2020.064(2021). Professional quality of life and caring behaviors among clinical nurses during the COVID-19 pandemic. Journal of clinical nursing. https://doi.org/10.1111/jocn.15937(2016). Assessment of a tool for measuring non-profit advocacy efforts in India, Uganda and Yemen. Health promotion international, 31(1), 200–208. https://doi.org/10.1093/heapro/dau063

Abstract - 2

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

I teach in the graduate program and practice as a primary care provider. This has helped me to hone my skills on the vaccine content and increasing vaccine access in the community.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Bridging Gaps: Nurses Role in Promoting Vaccine Equity

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

No

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

50%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Vaccines are among the most cost-effective public health strategies. Despite effective vaccines for many bacterial and viral illnesses, tens of thousands of adults and hundreds of children die each year in the United States from vaccine preventable diseases (Schwarz et al., 2020). Health promotion needs to be built into all the policies and if utilized efficiently will lead to positive health outcomes. Multiple barriers to immunizations have been identified. Healthcare access, cost, and perceptions of safety and trust in healthcare are factors that has depressed global immunization rates (Sha, 2019). Arguably, immunizations could be a part of all health care encounters. Although the number of families who choose not to vaccinate may be rising, nurses and providers can be innovative and increase their familiarity with new vaccine recommendations to continue to prevent serious vaccine-preventable diseases (Brodie., Metzenberg, & Silberholz, 2020). Shared responsibility is paramount if deaths are to be reduced (Hogue, 2016). Nurses can participate in outreach programs to ease the burden of patients and families in accessing immunizations and can improve trust and knowledge about immunizations in their local communities. Nurses are a powerful influence in the struggle to increase immunization rates, which is a vital aspect of global health promotion and disease prevention. The Advisory Committee on Immunization Practices of the Centers for Disease Control and Prevention updates its recommended immunization schedule annually and primary care clinicians should be aware of the most current immunization recommendations. This presentation will focus on vaccine inequity, updated vaccine guidelines for both adults and children, and nurse’s role in promoting vaccine equity.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Brodie N, Metzenberg G.E., Silberholz E.A. (2020). A clinical update on vaccines: focus on determinants of underimmunization and special considerations for adolescents. Current Opinion in Pediatrics, 32(2):328-335. doi:10.1097/MOP.0000000000000881. PMID: 32068599
Hogue M.D, Meador A.E. (2016). Vaccines and Immunization Practice. The Nursing Clinics of North America,51(1):121-36.doi:10.1016/j.cnur.2015.10.005. PMID: 26897429

Schwarz Chavarri, G., Sánchez Hernández, C., Moreno Millán, N., Morató Agustí, M.L., Martín, M.S., Javierre Miranda, A.P., Gutierrez Pérez, M.I., Gómez Marco, J.J., García Iglesias, C., Aldaz Herce, P., & PAPPS Infectious Disease Prevention Group (2020).

Sha B. E. (2019). Adult Immunization Update. JAMA. 322(11), 1096–1097. doi:10.1001/jama.2019.12739

Abstract - 3

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Academic preparation

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Enhancing Equity and Building Resilience among healthcare workers during Covid-19

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

No

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

0

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Background: Coronavirus disease (COVID-19) is a source of unexpected stress and anxiety for many people including healthcare workers. COVID-19 is affecting our health care community in unparalleled ways. Covid-19 is causing too much burden on healthcare workers nationally and internationally. Too many unknowns, an increase in the number of infection rates, inadequate personal protective equipment, and the lack of availability of hospital beds and resources has resulted in further deterioration of the mental health of healthcare workers (Baskin & Bartlett, 2021). Resilience can help us get through and overcome this hardship. Promoting resilience among health care workers and organizations is critical for better patient outcomes. Resilience is a complex construct, and its meaning varies with individuals, families, organizations, societies, and cultures. Resilience is the ability to bend come around and grow in the face of adverse life experiences. It is “the process of adapting well in the face of adversity, trauma, tragedy, threats or even significant sources of stress.” (The American Psychological Association APA, 2014, para. 4).  Factors affecting resilience: Genetic, epigenetic, developmental, demographic, cultural, economic, and social variables should be considered while approaching the same (Southwick et al., 2014). Nurse leaders need to be vigilant and build a long-term strategy to address nurse well-being in the aftermath of stress and trauma created by the COVID-19 pandemic and provide updated information to nurses from trusted sources. Nurse leaders should be able to create an inclusive, safe work environment and implement policies to protect nurses and their rights (National Academies of Sciences, Engineering, and Medicine, 2021). Resilience should be addressed at different levels including: 1. Primary-Building coping and communication skills. 2. Secondary- Evaluating levels of burnout and providing support for those who are at risk for burnout. 3.Tertiary levels- targets nurses who have surpassed their resilience threshold and need support.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

American Psychological Association. (2014). The road to resilience. Washington, DC: American Psychological Association. http://www.apa.org/helpcenter/road-resilience.aspx.

Baskin R.G. & Bartlett R. (2021). Healthcare worker resilience during the COVID-19 pandemic: An integrative review. Journal of Nursing Management 1–14. doi: 10.1111/jonm.13395

National Academies of Sciences, Engineering, and Medicine. (2021). The future of nursing 2020–2030: Charting a path to achieve health equity. Washington, DC: The National Academies Press. https://doi.org/10.17226/25982

Southwick, S. M., Bonanno, G. A., Masten, A. S., Panter-Brick, C., & Yehuda, R. (2014). Resilience definitions, theory, and challenges: interdisciplinary perspectives. European journal of psychotraumatology, 5, 10.3402/ejpt.v5.25338. https://doi.org/10.3402/ejpt.v5.25338

Abstract - 4

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Ph.D. prepared in Nursing, in teaching since 2011

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Teaching Nursing during the Pandemic

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

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%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

In March of 2020, the Covid-19 pandemic caused an abrupt closure of campuses across the country with the transition from face-to-face classes to remote learning. Faculty needed to quickly become well versed in the use of technology to deliver course content online as well as devise alternate clinical assignments as the clinical partners abruptly ceased clinical rotations.

As faculty, professors needed to be sensitive to what students were experiencing physically, mentally, and emotionally while assisting them to stay on course with their academic program. High fidelity simulation, virtual learning, and telehealth were used to meet educational and professional standards, it included e-mail; Canvas (learning management system (LMS)); Zoom; proctorio (online testing); Panopto (video lectures) and Shadow Health (online clinical experiences).

The learning management system, canvas, allowed Professors to post grades, information, and assignments online.

Synchronous and asynchronous platforms were used. Some examples of asynchronous activities include recording lectures; Panopto (video lectures). Shadow Health online clinical experiences was used for hands-on experience Students were asked to evaluate the classes and some of the advantages of online classes shared were the following: timing was flexible; more comfortable at home; saved travelling time; less stressed; did not to sit in traffic. Some students wrote about the negative aspects of online learning; loss of personal feeling and presence; felt alone and discouraged; difficulty concentrating, discouragement and less engagement. After reviewing the evaluations of online classes, the authors summarized students’ evaluation and noted that online classes should be made motivating, engaging, and presentable to students and faculty alike.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Champlin, A., Roberts, L., Pueschel, R., Saunders, J., Hueta, G., (2020). Using objective structured clinical examination as a teaching tool in a hybrid advanced health assessment course. Nurse Educator, www.nurseeducatoronline.com.

Corbera, E., Anguelovski, I., Honey-Rosés, J., & Ruiz-Mallén, I. (2020). Academia in the Time of COVID-19: Towards an Ethics of Care. Planning Theory & Practice, 1-9.

Day, C., Barker, C., Bell, E., Sefcik, E., Flournoy, D., (2018). Flipping the objective structured clinical examination: A teaching innovation in graduate nursing education. Nurse Educator, 43(2), 83-86.

Higgins, H., Kirkland, T., le-Jenkins, U., Ruteledge, C., (2019). Preparing students to be ready for practice:

Abstract - 5

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Pain Management Nurse Practitioner for 5 years. Conducted multiple presentation on opiods , safety in opioid prescription, PMP and chronic pain management. Prepared a module for advance practice providers regarging PMP

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Cancer pain management: General principles and risk management for patients receiving opioids

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

No

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

95%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Pain is highly prevalent in the cancer population. Virtually all patients with malignant disease experience recurrent episodes of acute pain, which may accompany surgery, invasive procedures, or complications, such as a pathological fracture. In addition, chronic pain that is severe enough to warrant opioid therapy is experienced by 30 to 50 percent of patients undergoing active antineoplastic therapy and by 75 to 90 percent of those with advanced disease. Opioid therapy is the first-line approach for moderate or severe chronic cancer pain. While opioids are effective analgesics, they are potentially abusable drugs. The public health consequences of opioid abuse drive the imperative that all physicians assume responsibility for risk management when these drugs are prescribed for legitimate medical purposes. Opioids are potentially abusable drugs and safe prescribing requires consideration of the risks associated with drug abuse, addiction, and diversion to the illicit marketplace. Their potential for abuse and addiction results from the “brain reward” they induce in biologically predisposed individuals, which is mediated through dopamine pathways in the brain. Health care professionals should discuss the availability of naloxone with all patients when prescribing opioids, and consider prescribing it to patients who are at increased risk of an opioid overdose (eg, concomitant use of benzodiazepines or other medicines that depress the central nervous system, who have a history of opioid use disorder, or who have experienced a previous opioid overdose), or if the patient has household members, including children, or other close contacts at risk for accidental ingestion or opioid overdose. Clinicians should counsel all patients on chronic opioid therapy about the potential for transient or lasting cognitive impairment that may affect driving or work safety.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

1. American Pain Society. Principles of Analgesic Use, 7th ed, American Pain Society, Chicago, IL 2016.

3. Zhang H, Kilaru AS, Meisel ZF, Bao Y. Prescription Drug Monitoring Program Mandates and Opioids Dispensed Following Emergency Department Encounters for Patients With Sickle Cell Disease or Cancer With Bone Metastasis. JAMA 2021.

4. ASCO Policy Statement on Opioid Therapy: Protecting access to treatment for cancer-related pain. Policy statement available online at http://www.asco.org/sites/new-www.asco.org/files/content-files/advocacy-and-policy/documents/2016_ASCO%20Policy%20Statement%20on%20Opioid%20Therapy.pdf (Accessed on July 20, 2016).LeBaron VT, Camacho F, Balkrishnan R, et al. Opioid Epidemic or Pain Crisis? Using the Virginia All Payer Claims Database to Describe Opioid Medication

 

Abstract - 6

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

1. I am board certified APRN working in one of the largest hospitals in Florida.

2. I am one of the original founding members of the Climate Committee at our hospital.

3. I received my certificate on Environmental Policy and International Development – Sustainable Development from Harvard University, Boston.

2. I am a certified Climate Speaker from the CLEO institute (Miami).

3. Have done several speaking engagements in the US and internationally.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

A Path to Health Equity: How Hospitals can play an important role in Addressing Climate Emergency Amongst Vulnerable Populations.

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

According to the World Health Organization (WHO), climate change poses the biggest health threat of the 21st century. It has caused the largest health and equity issues of our time. Its effect on health is increasingly apparent with the spread of infectious diseases, poor air quality, rising heat levels, including severe weather disruptions, along with food and water scarcity. This has led to vulnerable populations being disproportionately burdened. Furthermore, climate change threatens the ability of the US healthcare system to deliver safe, effective, and efficient care. For many vulnerable populations living in rural and urban communities, hospitals are often their only source of health care. However, the health sectors are a significant contributor to the climate crisis and associated effects. They contribute about 10% of total greenhouse gases in the USA, through energy consumption, transport, product manufacture and disposal. The largest share of emissions is primarily derived from the healthcare supply chain. Hospitals along with healthcare professionals have an essential role to play in the health impact of the environmental footprint of hospitals. They serve as credible sources of information on the health consequences of climate change and provide strategic advice to decision makers.

This presentation will make a case for why the healthcare industry needs to take responsible mitigation actions such as decarbonization, adapting data infrastructure, renewable power purchase agreements and developing climate-resilient facilities as well as a climate-ready workforce, with a vision of creating a sustainable, climate-smart health system. Finally, I will present how developing partnerships with organizations that provide sustainable solutions that benefit patients and employees, communities, financial security, and the environment will help further mitigate the climate change healthcare conundrum. Further research will be necessary to better understand trends in the interplay of health care and climate change.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

1) Crimmins, A., J. & Balbus, J.L USGCRP. (2016). The Impacts of Climate Change on Human Health in the United States: A Scientific Assessment. Retrieved August 2, 2021 from https://health2016.globalchange.gov/

2) Lenzen M , Malik A , Li M , Fry J , Weisz H , Pichler P-P et al. (2020). The environmental footprint of health care: a global assessment. Lancet Planet Health.4(7):e271– 9. https:// doi: 10.1016/S2542-5196(20)30121-2.

3) Salas RN. (2020). The climate crisis and clinical practice. N Engl J Med.382(7):589– 91. https:// doi:10.1056/NEJMp2000331

Abstract - 7

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Dr. Sood is the creator of the Resilient Option program. He is one of the world’s leading experts on resilience and wellbeing, and executive director of the Global Center for Resiliency and Wellbeing. He was also professor of medicine, and Chair for student life and wellness at Mayo Clinic.

Jackie Michael, PhD, APRN, WHNP-BC is the NAINA India Covid Relief Resilience Program (NICRRP) faculty and administrator and has launched 2 cohorts of NICRRP who will share program design, content delivery operational considerations, and support for participants enrolled in the NICRRP at the presentation. She has completed the Transform program with Global Center for Resiliency ad Wellbeing.

Solymole Kuruvilla, PhD, RN, ANP, ACNP-BC is the NAINA India Covid Relief Resilience Program (NICRRP) faculty and administrator and has launched 2 cohorts of NICRRP and will discuss operational considerations and support for participants enrolled in the NICRRP.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Transforming Healthcare: Building Resilience and Decreasing Burnout

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

No

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

0%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Nursing is challenging as healthcare increases in complexity placing healthcare workers at risk for burnout and stress. Resilience is effective in increasing happiness and mindfulness while decreasing anxiety and stress. Effective strategies can improve workplace environment by reducing stress and burnout, while increasing job satisfaction and productivity. Physiological and psychological benefits of intentional mindfulness practices can improve the worker, the work, and the workplace in healthcare settings facing new and unique stressors.

This interactive presentation is intended to engage the audience as healthcare workers in stressful environments are vulnerable to stress, anxiety and other negatively impacting variables in our occupational settings. The presenters will include evidence-based strategies to increase resilience and reduce negative variables and related comorbidities. Practical strategies to increase mindfulness along with relaxation techniques will be demonstrated. The benefits of mindfulness in the literature make a strong argument to incorporate these in everyday life. The challenge continues to be the implementation of resilience building exercises and activities which are time consuming. Simple strategies to incorporate mindfulness and relaxation techniques must also become a part of our occupational practices to increase resilience and reduce stress.

This presentation will discuss the steps to embark on the journey towards resilience with scientific underpinnings to include the Heart-Brain connection. The benefits of mindfulness and intentionality along with strategies to develop these skills will be expounded upon. Training the brain to increase gratitude, mindful presence, kindness, forgiveness, and compassion mindset towards positivity will be compared considering neuroplasticity and brain fatigue.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Carpio, R. C., Castro, L. P., Huerto, H. M., Highfield, M. E., & Mendelson, S. (2018). Exploring resilience at work among first-line nurse managers. JONA: The Journal of Nursing Administration, 48(10), 481–486. https://doi.org/10.1097/nna.0000000000000655

Rieckert, A., Schuit, E., Bleijenberg, N., ten Cate, D., de Lange, W., de Man-van Ginkel, J. M., Mathijssen, E., Smit, L. C., Stalpers, D., Schoonhoven, L., How can we build and maintain the resilience of our health care professionals during covid-19? recommendations based on a scoping review. BMJ Open, 11(1), e043718. https://doi.org/10.1136/bmjopen-2020-043718

Sood, A. (2019). Smart with Dr. Sood: The four-module stress management and resilience training program.

Abstract - 8

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

DNP in Nursing Administration with focus on health literacy.
Mentor for community Service Learning of Undergraduate nursing students
Presented the Community needs poster in Sigma’s induction meeting of 2021 Spring 2021 undergraduate nursing students

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Health Needs Assessment of South Asian Americans in South Texas

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

0 %

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Background: South Asians are the third largest and fast-growing racial-ethnic group in the United States (US). Previous

health-related research studied Asians in aggregate, with limited studies on South Asians, and none on South Asians in South Texas. Knowledge of community health concerns is essential in prevention, early detection, and disease management.

Objectives: The project aimed to identify significant community health concerns and unhealthy practices, and wellbeing among South Asians in San Antonio. Knowledge of these factors will inform the development of community-based interventions.

Methods: An English community health assessment questionnaire translated into four South Asian languages was uploaded into Qualtrics. The Qualtrics survey link was sent to community partners through e-mail and social media.

Participants (N=138) started the survey completion; 98 had all sections completed. Data (N=98) were analyzed for descriptive statistics.

Results: Participants were mostly from India (93%), live in Bexar County (91%), female (65%), and have private health insurance (75%). The common age distributions were 18-20 (23%), 41-50 (23%), and >51 (22%). Their main health concerns were diabetes (24%), heart diseases (17%), and cancers (13%); their main unhealthy behaviors were lack of exercise (23%), poor eating habits (21%), and angry behaviors (11%). They identified access to healthcare (18%), healthy food choices (18%), and job opportunities (14%) as major factors influencing well-being. Although most (75%) see primary care provider consult when sick, 10% indicated they do not see medical attention.

Outcomes/Implications: The identified health and healthcare-related issues among South Asians in Bexar County showcase a population at-risk for lifestyle modifiable chronic conditions such as diabetes and cardiovascular diseases.

Screening, education, and appropriate interventions are required to identify at-risk individuals to promote behavioral changes towards healthy lifestyle. Collaborative relationships with the South Asian community will help determine culturally-congruent acceptable interventions.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Chevli, P. A., Aladin, A. I.,— & Herrington, D. M. (2020). Alcohol consumption and subclinical atherosclerosis among

South Asians: Nutrition, Metabolism and Cardiovascular Diseases, 30(1), 123–131. https://doi.org/10.1016/j.numecd.2019.07.021

Gordon, N. P., Lin, T. Y.,- & Lo, J. C. (2019). Aggregation of Asian-American subgroups masks meaningful differences in health and health risks among Asian ethnicities, BMC Public Health, 19(1), 1551. https://doi.org/10.1186/s12889-019-7683-3

Gujral, U. P., Narayan, K. M. V., Kandula, N. R., Liu, K., & Kanaya, A. M. (2020). Incidence of diabetes and prediabetes and predictors of glycemic change among South Asians in the USA: BMJ Open Diabetes Research & Care, 8(1), e001063.

Abstract - 9

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Interventions to deal with excessive polypharmacy among geriatrics

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Every year more than 10000 ER visits in the US are contributed by adverse effects of polypharmacy, 66% of these hospitalizations are the result of unintentional overdose (Sherman, 2017). The Healthy Aging concept of New York State Department of Health (NYSDOH) is being affected by this issue and its negative impacts on the senior population. This undue expenditure on healthcare is detrimental for the growth of the healthcare industry and economy of the nation. Target audience is people over the age of 65 years, receiving home care services with a LHCSA (Licensed Home Care Agency).

Project Objectives

1: To prevent the people >65 years of age from negative effects of polypharmacy

2: To find out efficacy of alternatives to potentially avoidable medicines

3: To meet the Health Aging concept (2020)

4: To reduce undue cost on healthcare industry

Problem Statement

In older adults over 65 years of age (P) how intervention of pharmacogenomics, non-pharmacological methods, fall prevention program and education for medication management (I) as compared to no intervention (C) can help to improve overall self-sufficiency of this population (O) over a period of 1 year (T).

Solution Description
Pharmacogenomics
Non Pharmacological Methods
Medicine Education
CHHA mobilization
Fall prevention Initiative

Methods
Questionnaire( Pre and Post intervention)
Semi Structured Interviews
Telehealth visits for follow ups
Seminars and Group Discussions

Resources
Manpower
Fiscal
Material
Budget: 12000$

A Randomized Controlled Study with a group of 50 patients as study group and 50 as control group. Self Developed questionnaire with level of with disease diagnosis with ICD 10 codes, Number of pills(including Over the counter, herbal supplements), other Demographic Data, Incontinence pattern, Level of weight bearing assistance required for Activities of Daily Living( ADLs) & Instrumental Activities of Daily Living(IADLs).

Semi Structured Interviews will be conducted with the use of Audio Recorder, weekly tele-health.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Brody, J. E. (2019, December 16). The Hidden Drug Epidemic Among Older People. Retrieved August 5, 2020, from https://www.nytimes.com/2019/12/16/well/live/the-hidden-drug-epidemic-among-older-people.html CDC. (2019, December). Pharmacogenetic Tests. Retrieved August 11, 2020, from https://www.labcorp.com/help/patient-test-info/pharmacogenetic-tests

Justin J. Sherman, P. (2017, June 16). Addressing the Polypharmacy Conundrum. Retrieved August 4, 2020, from https://www.uspharmacist.com/article/addressing-the-polypharmacy-conundrum

Melnyk, B. M., & E. F. (2015). Evidence Based Practice in Nursing (3rd ed.). Retrieved August 19, 2020, from https://www.gcumedia.com/digital-resources/wolters-kluwer/2014/evidence-based-practice-in-nursing-and-healthcare_a-guide-to-best-practice_ebook_3e.php.

NCOA. (2017, April 21). Falls Free® Initiative: Dedicated to Preventing Fall Injuries. Retrieved August 11, 2020, from https://www.ncoa.org/healthy-aging/falls-prevention/falls-free-initiative/#intraPageNav0

Abstract - 10

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

I have been involved with on-campus skills introduction and Skill evaluation sessions preparation with content, videos, skill room settings etc. for more than 10 years. Due to COVID 19, I had to change the gear from on-campus to virtual skill introduction and virtual skill evaluation.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Nursing Students’ skills evaluation using virtual/remote Zoom sessions during COVID-19: Is it possible?

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

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DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Title: Nursing Students’ skills evaluation using virtual/remote Zoom sessions during COVID 19: Is it possible?

Background/significance:
Nursing students always had skill introduction and evaluation in the skill lab at the college campus. Students were not allowed to go to the hospitals for clinicals or to the campus for practicing or demonstrating skills during COVID-19 pandemic. It was critical for the students to demonstrate at least some skills with using what is available in their skill set. One might have said evaluating the nursing skill remotely will be impossible. The Howard Community College of Nursing made impossible to possible with combined efforts of instructors, lab staffs, and of course our accelerated summer 2020 graduate students.

Method:
The course leader and the lab manager decided to evaluate the skills related to 4th semester. Students were encouraged to watch the videos posted on canvas site and created video on how to improvise using equipment available from home to simulate the setting for assigned skills. For example, use of small water bottle as tracheostomy tube was suggested. Nursing Laboratory staff conducted Zoom sessions on introduction to skills with small groups.
Students were encouraged to practice with simulator setting and contact instructors and lab staffs for any questions.
Students signed up for skill evaluation using sign-up Genius for one hour one on one zoom link. There were 5 lab staffs who evaluated 26 students during one-week period.

Outcome/Implications:
All 26 students passed skill evaluation in first attempt and prepared simulators suggested by the staff or created their

own simulators. With the availability like Zoom platform and with an uncertain COVID-19 situation, we can expect to evaluate nursing skills remotely.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Luke, S., Petitt, E., Tombrella, J. et al. (2021.) Virtual Evaluation of Clinical Competence in Nurse Practitioner Students.

Med.Sci.Educ. 31, 1267–1271. https://doi.org/10.1007/s40670-021-01312-z

Vandenberg, S., Magnuson, M. (2021). A Comparison of student and faculty attitudes on the use of Zoon, a video

conferencing platform: Q mixed-methods study. Nurse Education in Practice. 31,

https://doi.org/10.1016/j.nepr.2021.103138

Shin, H., Rim, D. et.al. (2019). Educational characteristics of virtual simulation in Nursing: An integrative Review.

Clinical Simulation in Nursing, 37, 18-28. https://doi.org/10.1016/j.ecns.2019.08.002

Abstract - 11

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

System-Level Diversity, Equity, Inclusion Advisory Team member. DEI ambassador. Clinical Excellence Program Manager, Magnet Program Director promoting DEI initiatives at all levels. DNP (nurse executive) student and had a specific course on this topic.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Diversity, Equity, and Inclusion Initiatives Through Inter-Professional Collaboration

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

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DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Diversity, Equity, and Inclusion Initiatives Through Inter-Professional Collaboration

Background

Though diversity in healthcare is represented by improvements in population health and quality of health care delivery, the healthcare system benefits from diversity in the healthcare workplace (Rosenkraz et al., 2021). This presentation is focused on sharing the action-oriented diversity, equity, and inclusion (DEI) initiatives developed by a multi-hospital high reliable health care organization through interprofessional collaboration. The successful venture, considered as a strategic priority, generated an inclusive work culture promoting the promising behavior of “Individuals caring for individuals”.

Method

An evidence-based approach was utilized including multiple case studies across the care continuum to develop an infrastructure to focus on high-quality outcome-oriented DEI strategies. Socially and culturally sensitive care approaches prioritizing the social determinants of health were implemented across the healthcare system. Recent socio-political situations escalated conscious efforts, leading to the creation of a systemwide DEI organizational structure to address people and culture issues, to build a strong foundation for long-term sustenance. Six key areas focused, using interprofessional team members, included: reliable health; people, and culture; patient and family experience; community engagement and advocacy; governance; and supply chain and finance.

Outcomes

The strategies included a system-wide advisory team involving interprofessional team members and nurses to serve as ambassadors of DEI throughout the system. The DEI strategies significantly influenced customer-focused outcomes

such as :

· Inclusive experience for employees, patients, and consumers

· Improvement in communications and creation of meaningful relationships

· Recognition of the needs of employees and communities served.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

References

1. Geisler, J. (2021, April 1). How organizations can take a comprehensive approach to DEI initiatives: To achieve substantive change, leaders must ensure diversity, equity and inclusion are pillars of organizational cultures. Healthcare Financial Management, 75(3), 38.

2. Rosenkranz, K. M., Arora, T. K., Termuhlen, P. M., Stain, S. C., Misra, S., Dent, D., & Nfonsam, V. (2021). Diversity, equity and inclusion in medicine: Why it matters and how do we achieve It? Journal of Surgical Education, 78(4),1058–1065.

3. Roy, D. (2021). Diversity, Equity & Inclusion. Professional Safety, 66(4), 6.

Abstract - 12

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

EBP fellow and mentor. Served as EBP mentor for this project. Presented a paper on this topic and similar topics in the past at the regional level. Prepared and analyzed sustenance of the program and submitted the project report for Magnet designation to ANCC. DNP (nurse executive) student – prepared and presented scholarly works on similar topics.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Workplace Violence Against Nurses

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

0%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Workplace Violence Against Nurses

Significance of the problem

Due to their close interactions with people in frontline healthcare settings nurses are prone to workplace violence (WPV). In November 2020, National Nurses United surveyed 15,000 registered nurses across the United States and found that 20% reported increased WPV (National Nurses United, 2020). WPV leads to emotional trauma such as anxiety, burnout, depression, lack of ability to perform patient care, job dissatisfaction, and even post-traumatic stress disorder. This presentation will elaborate on how a Magnet designated organization implemented an evidenced-based workplace violence prevention and intervention program to prevent, minimize injuries and risk of exposure to WPV.

Method

In alignment with the strategy to become a high-reliability organization, safety against employees especially nurses were established as a top strategic priority. A Threat Management Team (TMT) monitored WPV and implemented error prevention tools such as Reliable Learning Tool (RL). With the focus on a culture of safety, nurses were encouraged to input events including near misses, work-related injuries (physical, psychological violence, threats of incivility), illnesses and/or exposure, as well as any unsafe working conditions.

Outcome

Along with TMT, a new organizational safety strategy, Safe Workplace Policy, that intervened in decreasing workplace violence events against nurses was implemented. Instructions on the Safe Workplace program were communicated through blogs, videos, nursing forums, e-newsletters, screen savers, Promise Packets, and safety fairs. This empowered nurses to apply strategies to prevent a crisis/violent situation. These strategies decreased the WPV against nurses from 10% to 1.5 % within six quarters.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGHQUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Faghihi, M., Farshad, A., Abhari, M. B., Azadi, N., & Mansourian, M. (2021). The components of workplace violence against nurses from the perspective of women working in a hospital in Tehran: a qualitative study. BMC Women’s Health, 21(1), 1–13. https://doi.org/10.1186/s12905-021-01342-0

Oerther, S., Wolfe, T., Lucas, H., & Goodyear, C. (2021). Addressing the persistent epidemic of violence against nurses. Nurse Education in Practice, 54, 103098. https://doi.org/10.1016/j.nepr.2021.1030984.

Somani, R., Muntaner, C., Hillan, E., Velonis, A. J., & Smith, P. (2021). A systematic review: Effectiveness of interventions to de-escalate workplace violence against nurses in healthcare settings. Safety and Health at Work. https://doi.org/10.1016/j.shaw.2021.04.004

Abstract - 13

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Teaching Nursing courses for the last 20 years.

Presented in previous Biannual conferences hosted by NAINA.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Healing benefits of Humor

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

No

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

0%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

A cheerful heart is good medicine, but a crushed spirit dries up the bones (Bible, Proverbs 17:22). Voltaire stated that the art of medicine consists of amusing the patient while nature cures the disease. Bringing humor into patient care, can help our patients in many ways, including releasing the stress, social connection [1]. Humor helps relieve tension, reassures people, and draws people together. It likely strengthens the bonds between patients and members of their care team. Humor seems to increase people’s willingness to disclose, so it may help with obtaining required information during patient interviews [2]. Overall laughter makes our work environment more enjoyable and fulfilling.

Laughter has several positive physiological effects on body and mind. It can increase the heart function and respiratory rate and helps increasing the oxygen consumption, In a day ,10- 15 minutes of laughter not only burns 10-40 extra calories, it also lowers the cortisol’s (stress hormone) levels. Additionally, Laughter activates the mesolimbic dopaminergic reward system in the brain and can increases serum immunoglobulins by releasing beta-endorphins (the feel-good chemicals) of the body [4]. As shown in many research studies, incorporating laughter in daily routine can aid in reducing many diseases including Parkinson’s Disease, coronary heart disease, type 2 diabetes, asthma, COPD and pain tolerance [4]. Hospitals and health care facilities have accepted the importance of humor and incorporated Laugh mobiles, Laughter Yoga and “Elder clowns” [3]. Parkinson’s patients have significant improvement in symptoms after laughter yoga sessions [4]. As quoted by Milton Berle laughter is an instant vacation, we as health care health care professionals can prepare ourselves to offer this as an adjunct therapy to pills and vaccines.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

1. Cousins N. Anatomy of an illness (as perceived by the patient). N Engl J Med. 1976;295(26):1458-1463

2. Oczkowski S. Virtuous laughter: we should teach medical learners the art of humor. Crit Care. 2015;19:222.

3. Kim SH, Kook JR, Kwon M, Son MH, Ahn SD, Kim YH. The effects of laughter therapy on mood state and self-esteem in cancer patients undergoing radiation therapy: a randomized controlled trial. J Altern Complement Med.2015;21(4):217-222.

4. Sridharan K, Sivaramakrishnan G. Therapeutic clowns in pediatrics: a systematic review and meta-analysis of randomized controlled trials. Eur J Pediatr. 2016;175(10):1353-1360

Abstract - 14

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

I am an Oncology APRN and my expertise is in the management of patients with hematologic malignancies especially Chronic Lymphocytic Leukemia. I have presented this topic as an educational webinar.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Chronic Lymphocytic Leukemia – Challenges in diagnosis and management

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

35%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Chronic Lymphocytic Leukemia (CLL) is the most common leukemia in adults in Western countries, with a male predominance and average age at diagnosis of 72 years and accounting for 35% of all new leukemia cases. The disease is characterized by an accumulation of monoclonal, mature, CD5+ B cells in the peripheral blood bone marrow and secondary lymphoid organs. Often CLL is diagnosed after a workup of lymphocytosis. The presentation and clinical course are highly variable, ranging from an asymptomatic indolent disease that may never require therapy to active disease that can lead to progressive lymphocytosis, cytopenia’s, lymphadenopathy, hepatosplenomegaly, B symptoms, fatigue, recurrent infections, and autoimmune complications. Since this disease is more common in the geriatric population, who have several additional comorbidities and are very specialized, Advanced Practice Providers (APP) working in any specialty, especially among the geriatric population, plays a vital role in early identification and risk stratification.

In addition, molecular prognostic markers help determine outcomes of patient’s with CLL than initial treatment choice. The progressive or high-risk CLL treatment includes immunotherapy and targeted therapies, which places this group of patients to a unique group of adverse reactions that must be managed outside conventional methodologies. As new targeted therapies evolve, effective combinations of medications with and without chemo are being explored. Furthermore, special attention and care are required to treat elderly patients with underlying health problems that may prevent them from getting standard chemotherapies. Consequently, the management of CLL becomes increasingly personalized and requiring detailed and advanced knowledge regarding diagnosis, management, and treatment modalities.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

1. Burger, J. A. (2020). Treatment of Chronic Lymphocytic Leukemia. New England Journal of Medicine, 383(5), 460–472. https://doi.org/10.1056/nejmra1908213

2. Kurtin, S. E., & McBride, A. (2017). Chronic Lymphocytic Leukemia in 2018: What the Advanced Practitioner in Oncology Needs to Know. Journal of Advanced Practice Oncology, 8(7),916.https://doi.org/https://doi.org/10.6004/jadpro.2017.8.7.13

3. Rogers, B. B., & Khan, N. (2017). Supportive Care and Management of Treatment-Emergent Adverse Events in Chronic Lymphocytic Leukemia. Journal of Advanced Practice Oncology, 8(7), 97- 111. https://doi.org/https://doi.org/10.6004/jadpro.2017.8.7.19

4. Hallek M. 2019. Chronic lymphocytic leukemia: 2020 update on diagnosis, risk stratification and treatment. Am J Hematol 94: 1266–1287. 10.1002/ajh.25595

Abstract - 15

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

I have experience on conducting simulation for nursing students, I was the lead for this Evidence Based Project conducted as the part of DNP project.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Does the use of simulation based education on tracheostomy care increases confidence level in bed-side nurses?

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

0%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Title: Does the use of simulation based education on tracheostomy care increases confidence level in bed-side nurses?

Background/Significance: Often, education regarding low volume and high-risk procedures like tracheostomy are ignored. Lack of experience, skills, and human resources can lead to decreases in confidence levels, diminished quality of care, and potentially an adverse event.

Method: The purpose of this DNP project was to prepare simulation-based education on the tracheostomy procedure and provide hands-on education to bedside nurses. The project answered the question: To what extent will a simulation-based teaching method adequately prepare staff nurses in a post-acute surgical unit to perform this high risk low volume procedure? The Johns Hopkins evidence-based model method was used to assist in translation of the practice change process. The International Nursing Association for Clinical Simulation and Learning standards were used to design simulation scenarios. The goal of the project was to develop and provide an annual competency on tracheostomy care using a simulation method for surgical acute care bedside nurses. Simulation scenarios and conducted simulation sessions were prepared. Pre- and post-surveys on confidence level data, and National League of Nursing evaluation tool data on educational practices and simulation designs were collected.

Result/Implication: Paired t-test statistics showed a significant increase in confidence level from pre to post education (p = .000). Because of the significant impact on patient care due to preventing complications and by improving nursing staff’s level of confidence, the project makes a substantial contribution to positive social change.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Avery, J., Overton, S. (2019). The wheel in the lab: Innovative learning strategy with simulation. Clinical Simulation in Nursing, 35, 1-4. https://doi.org/10.1016/j.ecns.2019.05.007

Bolsega, T., Lou, M. (2018). Tracheostomy Care practices in simulated setting -An exploratory study. Clinical Nurse Specialist, 32, 4, 182-188 doi: 10.1097/NUR.0000000000000385

Mosazade Sari, Z., Maleki, M., Atashzadeh Shoorideh, F., & Mehrabi, Y. (2015). The level of observing standard tracheostomy care and some barriers from perspective of nurses. Medical- Surgical Nursing Journal, 4 (1), 39-46.https://www.sid.ir/en/journal/ViewPaper.aspx?id=442822

Abstract - 16

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Academic preparation, experience, QI Project, presented in the past with similar topic. position

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Best resiliency practices during pandemic from nurse activist, clinical nurse practitioner, nurse entrepreneur, graduate nursing student, nurse administrator & nurse educator

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

0%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Title:

Best resiliency practices during pandemic from nurse activist, clinical nurse practitioner, nurse entrepreneur, graduate nursing student, nurse administrator & nurse educator

Background:

Covid 19 has led to a dramatic loss of human life globally and it presents an unprecedented challenge to public health, food systems, health care, economy and disrupted the social life. Its impact has affected tens of millions of people and led to extreme poverty. Covid19 pandemic has a great impact on the lives of everyone and especially on nurses as we serve as front line health workers. Nurses serve in different settings and play different roles. Each one has impacted by Covid in different way. In this panel discussion we hear from the panelists how pandemic impacted them, and their resilience success stories. We will also learn how each one of them supported the communities in their unique manner (WHO, United Nations).

Method:

Saladino et al. emphasizes the effect of Covid 19 on the society. The panelists used storytelling, discussion & question answer as their method of presenting their best resilience practices

Implications:

Digital story telling is potentially a powerful tool for social impact. It inspires the listeners, educate them, and supports in behavioral change. The authentic, insightful stories, with clear goals will motivate & stimulate critical thinking. The best practices shared by the panelists will have a greater impact on the audience. The discussion, question & answer sessions during the panel discussion will bring other best practices being practiced by the audience (Hattaway & Geneske, 2014).

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Hattaway, D., & Geneske, J. (June 2014.). Digital storytelling for social impact. Stanford Social Innovation Review:

Informing and Inspiring Leaders of Social Change. https://ssir.org/articles/entry/digital_storytelling_for_social_impact.

Saladino, V., Algeri, D., & Auriemma, V. (1AD, January 1). The psychological and social impact of covid-19: New perspectives of well-being. Frontiers. https://www.frontiersin.org/articles/10.3389/fpsyg.2020.577684/full.

United Nations. (n.d.). Everyone included: Social impact of COVID-19 | DISD. United Nations.

https://www.un.org/development/desa/dspd/everyone-included-covid-19.html.

World Health Organization. (n.d.). Impact of covid-19 on people’s livelihoods, their health, and our food systems. World Health Organization.

https://www.who.int/news/item/13-10-2020-impact-of-covid-19-on-people’s-livelihoods-their-health-and-our-food-systems.

Abstract - 17

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Subject matter expert, conducted QI projects, presented in the past on similar topic, academic preparation, teaches geriatric nursing course

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Evidence based best practices of elder care during Covid 19

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

0 %

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Title: Evidence based best practices of elder care during Covid 19

Background:

The majority of Covid-19 related deaths in the U. S have been adults over the age of 65 (CDC.gov/coronavirus, 2021).

There are many factors that put older adults at risk. Some of the risks cited in the literature include certain comorbidities, fear of hospitalization and leaving their homes. One way to help this population during these challenging times is through tele medicine. It’s important to note that during the pandemic, providers in the US have seen a significant increase in the use of telehealth visits by older individuals. It understood that this technology is a key component to our healthcare and critical to keep older individuals safe. The problem many providers are currently seeing is that many older adults do not fully understand the technology.

Method: There is a need to evaluate the perceptions of older adults in regard to the use of telehealth. This review of the literature will identify current technologies that are available to older adults and discuss the barriers and the facilitators to the use of those technologies.

Implications:

Nurse educators should provide telenursing experience for students in geriatric nursing courses. Geriatric nurses need to be trained and provide teleconferencing experience while providing geriatric care. Nurse researchers should focus on evidence based geriatric care. More geriatric clinics should be opened, health team members should be trained in telehealth. Providing structured routine, open communication, practicing hobbies, connecting with old friends, being active, selective content consumption, gratitude journaling, positive mindset are some of the best practices to be shared with elders.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

References

Centers for Disease Control and Prevention. (2021, August 4). COVID-19 recommendations for older adults. Centers for Disease Control and Prevention. https://www.cdc.gov/aging/covid19-guidance.html. Date accessed 20 August 2021.

Murphy RP, Dennehy KA, Costello MM, Murphy EP, Judge CS, O’Donnell MJ, et al. Virtual geriatric clinics, and the COVID-19 catalyst: a rapid review. Age Ageing. (2020) afaa191. Doi:10.1093/ageing/afaa191. Date accessed 20 August 2021.

World Health organization. (n.d.). Older people and Covid-19. World Health Organization. https://www.who.int/teams/social-determinants-of-health/demographic-change-and-healthy-ageing/covid-19. Date accessed 20 August 2021.

Abstract - 18

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Academic preparation; presented workshop on coping and resilience to International Family Nursing Association in June 2021, ongoing research on grief and loss.

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Building a strong academic practice in times of uncertainty: resilience for the Nursing Professor

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

No

IF APPLICABLE, PLEASE INDICATE AN APPROXIMATE PERCENTAGE OF PHARMACOTHERAPEUTIC CONTENT* IN YOUR PRESENTATION

0%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Background/ Significance: Faculty members in higher education are reporting significant levels of stress and burnout because of the COVID pandemic. Many have considered leaving the profession via resignation or early retirement. The loss of nursing faculty against the backdrop of an already critical shortage of nurse educators will be catastrophic when coupled with the ever-increasing need for a larger nursing workforce. It is imperative to develop strategies that increase job satisfaction and improve retention of nursing faculty. Providing nursing professors with tools to build a strong academic practice will enhance their well-being, improve their mental health and allow them to develop and maintain resilience, even during uncertainty.

Method/ Content Discussion: The purpose of this discussion is to draw on evidenced based strategies that will help nursing faculty to lay the foundations of a strong academic practice. Best practices in pedagogy, strategies to meet professional goals, and the use of creative coping strategies to navigate the unique challenges presented in nursing education by the pandemic will be presented. Nursing professors will learn how to continue seeking excellence in teaching, scholarship and service, during and beyond the pandemic.

Implications/ Contribution to nursing: Providing concrete strategies that allow nursing faculty to thrive in their pedagogy will result in nursing students who are motivated and well prepared. Encouraging nursing scholarship in spite of the hurdle of the pandemic will strengthen nursing science, which is particularly relevant in these times of misinformation. Most importantly, improving job satisfaction and mental health of nursing faculty will lead to engaged nursing professors who are able to build a strong future nursing workforce.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Dewart, G., Corcoran, L., Thirsk, L., & Petrovic, K. (2020). Nursing education in a pandemic: Academic challenges in response to COVID-19. Nurse education today, 92, 104471.

Reed, K., Cochran, K. L., Edelblute, A., Manzanares, D., Sinn, H., Henry, M., & Moss, M. (2020). Creative Arts Therapy as a Potential Intervention to Prevent Burnout and Build Resilience in Health Care Professionals. AACN Advanced Critical Care, 31(2), 179–190.

Roney, L. N., Beauvais, A. M., & Bartos, S. (2020). Igniting Change: Supporting the Well-Being of Academicians Who Practice and Teach Critical Care. Critical care nursing clinics of North America, 32(3), 407–419. https://doi.org/10.1016/j.cnc.2020.05.008

Abstract - 19

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Poster

PRESENTATION TITLE

The Relationship Between Health Behaviors of Women and Health Locus of Control among Black Caribbean Women and

Non- Caribbean Black American Women with Hypertension

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

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5%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Title

The Relationship Between Health Behaviors of Women and Health Locus of Control among Black Caribbean Women and Non- Caribbean Black American Women with Hypertension

Background/Significance

Millions of Caribbean women have migrated to the United States and a sizeable number of this population and Black American women suffer from hypertension and other cardiovascular health problems. It was shown that culturally specific beliefs regarding hypertension and perceptions regarding weight within the African-American and Caribbean community place this population, particularly African-American and Caribbean women, at increased risk for hypertension. There are numerous social determinants that produce sources of inequalities among diverse populations. Health disparities are rarely caused by one determining factors.

Method/Content/Discussion

A sample of 131 women were recruited and interviewed using structured, established measures of interest. Quantitative analysis and a non-experimental, comparative and correlational design. Descriptive statistics, (ANOVA) and independent sample T-test was used to test differences among the cultural groups. Pearson correlation was used to correlate for interval variables analysis and to conduct variables of health locus of control and health behavior. Cronbach’s alpha was performed on all the study’ subscales to test internal consistency/reliability. As diversity in our population has rapidly increased, health care workers need to understand the different cultures in order to give quality care to these different groups. To develop an appreciation for the uniqueness of members of a specific cultural team, it is necessary to understand the cultural values, beliefs and practices of other groups.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Figueroa, J. P., Harris, M. A., Duncan, J. P., & Tulloch-Reid, M. K. (2017).

Hypertension Control: The Caribbean Needs Intervention Studies to Learn How to Do Better. West Indian Med J, 66(1),1.

Forde, A. T., Crookes, D. M., Suglia, S. F., & Demmer, R. T. (2019). The weathering hypothesis as an explanation for racial disparities in health: A systematic review. Annals of Epidemiology, 33, 1-18. Doi :https://doi.org/10.1016/j.annepidem.2019.02.01

Gambardella, J., Morelli, M. B., Wang, X. J., & Santulli, G. (2020). Pathophysiological mechanisms underlying the beneficial effects of physical activity in hypertension. The Journal of Clinical Hypertension, 22(2), 291-295

Abstract - 20

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Population health nurse working in the health inequities for last 4 years Masters in community health nursing with public health masters

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Census and Health Equity: How Nine questions influences health equity, What nurses can do to improve health equity

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

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NA

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Census is a constitutional process that occurs every ten years. It decides the distribution of $675 billion dollars in public funding. Traditionally the persons of color, minorities, immigrants, and children often undercounted in the census. There is an estimated cost of $4,000 per year for filling out a census. In every community, there is a hard-to-count population. Counting these groups is crucial for districts with minority and immigrant populations in large proportions.

Census plays a major role in health equity. As a tool, the census decides the funding for building the schools and clinics in the community. It decides the public transit systems and construction projects in the area to serve the community. These factors affect the person’s ability to make healthy choices.

Health equity is defined as the state in which everyone has the opportunity to attain full health potential and no one is disadvantaged from achieving this potential because of social position or any other socially defined circumstance.

Social Determinants of Health (SDOH) is the major component in improving health equity. Social determinants of health are the conditions in the environments where people are born, live, learn, work, play, worship, and age that affect a wide range of health, functioning, and quality-of-life outcomes and risks.

Once the nurses understand the power of census as a tool for health equity, the nurses can utilize their influence in the communities that are undercounted. The nurses should act as champions of the census at the communities and utilize their influence to count everyone. That way the communities can understand that the census is not just answering nine questions but as a tool for making social change.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Cohen, G. H., Ross, C. S., Cozier, Y. C., & Galea, S. (2019). Census 2020—A Preventable Public Health Catastrophe.

American Journal of Public Health, 109(8), 1077–1078. https://doi.org/10.2105/AJPH.2019.305074

Furman, L. (2021). The Census–Why Counting Everyone Matters So Much. AAP News.

https://www.aappublications.org/news/2020/01/21/census-why-counting-matters-pediatrics-1-21-20

Hale, K. (2020). Being Undercounted In The U.S. Census Costs Minority Communities Millions Of Dollars. Forbes.

Retrieved August 20, 2021, from https://www.forbes.com/sites/korihale/2020/03/24/being-undercounted-in-the-us-census-costs-minority-communities-millions-of-dollars/

“The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity” at NAP.edu. (2021). https://doi.org/10.17226/25982

Social Determinants of Health—Healthy People 2030 | health.gov. (2021) Retrieved August 20, 2021, from https://health.gov/healthypeople/objectives-and-data/social-determinants-health The Census and Health Care • Penn

Abstract - 21

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

DNP project

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Poster

PRESENTATION TITLE

Delirium Detection in Dementia patients: An Evidence Based Project

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

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0%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Delirium is a common, serious under-recognized problem in patients with dementia. Even though delirium is associated with increased rate of death, falls, healthcare cost and hospitalization, it is disproportionately ignored. The heterogeneous and transient nature of symptoms, the subjective clinical judgment based diagnosis, and lack of utilization of a valid screening tool, is just a few reasons for under-recognition. An extensive review of the literature revealed the Confusion Assessment Method (CAM) as a valid screening tool to detect delirium for patients with dementia when used along with clinical judgment. Purpose- The purpose of this project was to educate the primary care providers on the use of CAM tool in long term care. Methods: Following IRB approval and permission from the site, an educational intervention consisting of definition of delirium, importance of early delirium detection, the ways to differentiate delirium from advancing dementia and use of CAM tool for detection of delirium was administered for Nurse practitioners in long term care. The participants were asked to complete pre and post interventional survey to assess the change in knowledge, comfort and confidence level for using the CAM tool. Results- A Wilcox on signed rank test showed statistically significant increase in provider’s knowledge level n (Z=-3.077, p<0.05) after the intervention.

Majority of participants (75%) identified CAM tool as very easy to use tool. In addition, the participant’s confidence increased by 50%. Conclusion-Delirium detection is challenging when complicated with dementia. The results of this project demonstrated statistically significant improvement in provider’s knowledge and increase in confidence and comfort in using the tool which can increase the likely hood of a practice change and adoption of CAM tool for delirium detection. However, due to short time line a change in use of the tool after the intervention is not assessed.

Keywords: Delirium, detection, Dementia, Confusion

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

Alagiakrishnan, K., Marrie, T., Rolfson, D., Coke, W., Camicoli. R., Duggan, D …Magee,B., (2009). Gaps in patient carepractices to prevent hospital acquired delirium. Can Fam Physician, 55(10), 41-46.

Alzheimer’s Association (2013). Alzheimer’s disease facts and figures. Alzheimer’s & Dementia, 9(2). Retrieved from http://www.alz.org/downloads/facts_figures_2013.pdf

Clegg, A., Siddiqi, N., Young, J., Holt, R., & Heaven. A. (2014). Interventions for preventing delirium in older people in institutional long-term care. Cochrane Database of Systematic Reviews. doi: 10.1002/14651858.CD009537.pub2

Cole, M .G., McCusker, J., Voyer, P., & Monette, M. (2013). Symptoms of delirium predict incident delirium in long- term care residents. International Psycho geriatrics, 25(6).

Abstract - 22

YOUR EXPERTISE SPECIFIC TO THE TOPIC: (FOR EX. ACADEMIC PREPARATION, LEAD FOR THIS RESEARCH/ QI PROJECT, PRESENTED IN THE PAST ON SIMILAR TOPIC, ETC.)

Independent Literature Review and real life experiences

IS THERE AN ACTUAL, POTENTIAL, OR PERCEIVED CONFLICT OF INTEREST FOR YOURSELF?

No

PREFERRED PRESENTATION FORMAT

Podium presentation

PRESENTATION TITLE

Resilience – My journey as an Advanced Practice Provider, from novice towards competence

IF THIS ABSTRACT IS NOT SELECTED FOR ORAL PRESENTATION, DO YOU WANT THE ABSTRACT TO BE CONSIDERED FOR POSTER PRESENTATION?

Yes

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0%

DETAILED DESCRIPTION OF ABSTRACT(NO MORE THAN 300 WORDS)

Health care in acute care settings has become increasingly complex and stressful with rapidly evolving treatment options, a growing population of patients with multiple complex comorbidities and the expectation to deliver high quality care with limited resources. These demands have contributed to poor job satisfaction, increased incidence of medical errors and reduced staff retention. During my journey as a novice advanced practice provider (APP), I had to not only adapt to the role transition but also accommodate to the increasing demand for high performance, keep up to date with the ever-changing landscape of oncology treatment modalities, and provide high-quality care to a unique population of patients. Learning personal resiliency was essential to cope with the increasing stress and burnout from role transition.

Resilience is the ability to adapt successfully in the face of stress and adversity. It’s not about avoiding the stress but learning to thrive under pressure. Burnout, high staff turnover and reduced resiliency among health care providers in acute care settings have been well documented in the literature. It is identified as one of the critical barriers to retaining health care providers. Learning to live a more resilient life harvests many benefits, including increased emotional well-being, improved working memory, immune system function, relationships, and coping. Resilience as successful adaptation relies on effective responses to environmental challenges and ultimate resistance to the harmful effects of stress. Therefore, a greater understanding of the factors that promote such outcomes is of utmost relevance. This presentation focuses on the lessons I learned on personal resiliency as a novice APRN during my journey towards competence. What it is, why we need it and how to develop it. It focuses on the integral and interrelated components that make us resilient and expand upon strategies to strengthen resilience pillars.

PLEASE PROVIDE AT LEAST THREE EVIDENCE-BASED REFERENCES TO SUPPORT CONTENT TO BE DELIVERED: (HIGH QUALITY EVIDENCE PUBLISHED 2015 AND FORWARD) (100 WORDS)

1. Manomenidis, G., Panagopoulou, E., & Montgomery, A. (2019). Resilience in nursing: The role of internal and external factors. Journal of nursing management, 27(1), 172–178. https://doi.org/10.1111/jonm.12662

2. Alharbi, J., Jackson, D., & Usher, K. (2020). Personal characteristics, coping strategies, and resilience impact on compassion fatigue in critical care nurses: A cross-sectional study. Nursing & health sciences, 22(1), 20–27. https://doi.org/10.1111/nhs.12650

3. Yu, F., Raphael, D., Mackay, L., Smith, M., & King, A. (2019). Personal and work-related factors associated with nurse resilience: A systematic review. International journal of nursing studies, 93, 129–140. https://doi.org/10.1016/j.ijnurstu.2019.02.014

4. https://www.cipd.co.uk/Images/developing-resilience_2011-evidence-based_tcm18-10079.pdf