26^th Cancer Nursing & Nurse Practitioners Conference July 16-17, 2018 Park Inn by Radisson, London, UK

Shiow Luan Tsay has completed her PhD from University of Maryland, USA. She is the Dean of College of Nursing & Health Sciences, DaYeh University, Chunghwa, Taiwan. She is the President of Taiwan Nurse Practitioner Association. She has published more than 100 papers in reputed journals and serving as a Chief Editor for the Journal of Nursing Research (SCI).

The purpose of this study is to explore the relationships between organizational climate, job satisfaction and practice outcome of Nurse Practitioners (NP) in Taiwan. The study is a descriptive and correlational design. Certified nurse practitioners who are the member of Taiwan Association of Nurse Practitioner invited to participate in this study. 513 NPs completed the structured questionnaire. The research measure included the basic information form, the Nurse Practitioner Primary Care Organizational Climate Questionnaire (NP-PCOCQ), the Misener Nurse Practitioner Job Satisfaction Scale, (MNPJSS) and the Nurse Practitioner Practice Outcome Scale (NPPOS). SPSS 22.0 Statistical Software used to coding and analyze data. Statistics include descriptive analysis, t-test, Pearson correlation coefficient, analysis of variance (ANOVA) and linear regression analysis. Results showed that the average age of NP was 36-40 years old (66%), married (64.1%), and had a Bachelor’s (71.1%) or Master’s (23.4%) education. Majority of NPs certified in medical (44.1%) or surgical (44.8%) specialty. NPs practiced in medical centers (50.9%) or regional hospitals (36.6%). The most common practice model in the acute care hospitals is collaboration with attending physicians (59.1%). 54.2% of NPs are routinely on call. The average patients load is 15 (71.1%) daily. Overall, NPs are highly trusted by physicians (94.8%), nurses (94.9%), and patients (92.6%). Study results revealed a significant positive correlation between organizational climate, job satisfaction and practice outcome (p<0.01). Linear regression analysis showed that NPs who had a working contract, additional salary as a promotion, charting bonus, special unit (ED or ICU), patient load, trust of physicians, nurse, and patients explained 15% of variances in the practice outcome, while the organizational climate and job satisfaction explained an additional 5.4% of the variance.

Víctor J Costela Ruíz has completed his Bachelor’s at the University of Granada and he is now enrolled in a Predoctoral contract in the Faculty of Health Sciences at the University of Granada. He has several Bachelor´s degrees (Social Work, Anthropology, Criminology and Nursing) and Master´s degrees in Anthropology and in Nursing Emergencies. He also works directly with the Hematologist Unit of the General Hospital of Granada.

Nowadays, therapeutic phlebotomy (TP) is the first option in polycythemia vera (PV) treatment. It is a technique done by nursing staff with the continuous supervision of a doctor during the procedure. The diagnosis chriteria of PV are an increase in haematocrit more than 45% in men and more than 42% in women, and an level of haemoglobin more than 18.5 g/dL or 16.5g/dL, respectively, as well as an increase of red bloob cell count. The objetive is to determinate the nurse role in the following up of this kind of patients in order to know what are the possible complications related to TP. Be means of literature collection from different clinical database (PubMed, MEDLINE, BioMedCentral); and with keywords: nursing, polycythemia, phlebotomy, therapeutic; it has been collected 20 paperes related to this field. Thus, this group of patientes can develop several events such as those cardiovascular and cerebrovascular, arterial and venous thromboembolism, and hematologic diseases like myelifibrosis and/or acute myeloid leukaemia/mielodisplastic syndrome. It has been found that the main risk in TP along the first 3 years is thrombosis events. In patients with a high risk of thrombosis or those who are not able to tolerate therapeutic phlebotomy, it is used hydroxyurea (oral chemotherapy). Nursing function in this group of patients if highly important in order to detect complications related to TP, giving an important role to the joint medical and nursing approach.

Yu-Mei Chiu is a Specialist Nursing in emergency department. She holds a Master's degree from Taiwan Tzu Chi University. She has over 20 years of experience in first aid education and training.

Objectives: Aim of this study is to analyze the present performance of advanced cardiovascular life support (ACLS) knowledge and skills among nursing staffs in the emergency and critical care department of a regional hospital in Taiwan, before and after the intervention of ACLS training and context simulation. Methods: 61 nurses were included in this study. First we evaluated the knowledge and skills before the intervention of ACLS training and evaluated again after the ACLS training. ACLS context simulation was performed three months later and the third evaluation was arranged six months later. The research parameters were included the basic information of nursing staffs, ACLS written tests, BLS and Mega code skill tests. All data have been analyzed by SPSS 24.0 software. Results: The age, nursing status, total nursing experience years, the seniority of emergency and critical care, and frequency of practicing CPR and review of ACLS article of nursing staffs were significantly different in the result of performing ACLS knowledge and skills. After receiving ACLS education training, there were statistically significant differences. Knowledge and skills of ACLS education three months after the intervention of the situation simulation review, for the first aid of knowledge and skills of memory there is a significant retention effect. Conclusions: The situational simulation review three months later of the ACLS course has a significant effect on the memory of the knowledge and skills for resuscitation. Therefore, the ACLS simulation review course should be arranged within three months after the initial ACLS training course to prevent deterioration of knowledge and skills. The review course would be designed in 10 to 15 minutes by the way of context simulation to increase team strategy understanding and keep CPR quality in an efficient way.

Wei Shu Lai has completed her PhD from National Cheng Kung University. She is an Assistant Professor in National Cheng Kung University in Taiwan. Her specialty is palliative care, bereavement care, comfort care, and adult nursing care.

Integrated immediate postmortem care and acute bereavement care can help bereaved family members deal with strong emotions and physical pain caused by acute grief following the death of a patient. However, the integration of immediate postmortem care and acute bereavement care is lacking in nursing education. Competency-based milestones will be served as a framework for developing entrustable professional activities (EPAs) which may contribute to enhancing nursing students’ competence in providing adequate acute bereavement care when carrying out postmortem care. The purpose of this study is to develop competency-based nursing EPAs that integrate immediate postmortem care and acute bereavement care. Two- phase focus group was applied in this study. During phase one, six transdisciplinary experts of end-of-life care were invited to discuss the content domain, competence indicators for each milestone level, and transdisciplinary cooperation in the implementation of integrated immediate postmortem care and acute bereavement care EPAs. Data were analyzed using a content analysis approach. In second phase, a consensus meeting with the experts was held to confirm the content of EPAs, establish content validity, and accordingly develop a EPAs assessment tool. The findings in this study indicated five levels of EPAs and their competence indicators. The competency-based EPAs that integrate immediate postmortem care and acute bereavement care can serve as the basis for training in end-of-life care.

Olena Crechanina has completed her PhD from National Medical University, Department of General Medicine; and Postdoctoral studies from National Medical University, Department of Obstetrics and Gynecology. She is the General Director of Kharkiv Interregional Specialized Medical Genetic Center – Center of Rare (Orphan) Diseases.

Children with an acute organic aciduria in the neonatal period, as an acute metabolic crisis, need emergency specialized nursing and consultation by the clinical geneticist. The conduction of the selective screening has allowed revealing the following diseases among all children who are in intensive care units (centers for emergency medical care and disaster medicine): Glutaric aciduria type 1 (GA1) – six patients; Canavan disease – three patients; Alkaptonuria – four patients; maple syrup urine disease – five patients; 5-oxoproline aciduria (deficiency of the mitochondrial import of 2-aminoadipate) – one patient; disorders of mitochondrial oxidation of fatty acids – four patients; peroxisomal disorders – one patient; tetrahydrofolate reductase deficiency– one patient; carnitine deficiency – one patient. Three of patients with 5-oxoproline aciduria died. The rest of these patients survived. Medication that should be available in every accident emergency department of children’s hospitals: biotin, folic acid, folinic acid, hydroxocobalamin, L-arginine-HCl, L-carnitine, pyridoxal phosphate, pyridine-HCl (Vitamin B6), Na-benzoate. The chances of survival rate of children will be increased due to the presence of the mentioned medication in every accident emergency department. The received experience has increased the survival rate of children, which for today is 88.5 percent.

Yi Lin is a Lecturer of Wuxi Medical School, Jiangnan University, and she is also studying for a Doctorate at the Second Military Medical University. She is a Registered Nurse, and majors in Psycho-Oncology. She has published more than 20 papers in Chinese journals

Background: In patients with advanced cancer, the pain management is an essential element in a comprehensive strategy for palliative care. While most cancer patients with short hospital stay, continuity of care is an extension of pain management to discharged patients. Objective: The aim of this study was to explore the feasibility and effectiveness of pain management for advanced cancer patients with hospital-based home care. Method: The oncology nurses in hospital specialized in pain and palliative care (n=7) cooperated with community nurses to provide a 6-month services for pain management to advanced cancer patients at home. The feasibility and efficacy of the program was evidenced by the acceptability, satisfaction and cancer pain knowledge of the patients. Results: A total of 192 patients with moderate to severe pain were enrolled in the study from January 2015 to June 2017. Proportion of patients receiving pain management at home and satisfaction were increased significantly every year (p<0.05), and the patient's knowledge of pain management improved significantly between the pre-post intervention (p<0.01). Conclusions: The hospital- based home care for cancer pain can effectively improve the knowledge of pain management and satisfaction of advanced cancer patients.