Day 1 :
Keynote Forum
Pam Bellefeuille
Proffesor
Keynote: Unfolding case study simulation strategies to promote clinical judgment using a theatre approach
Biography:
Pam Bellefeuille is a Clinical Professor of Nursing at UCSF with extensive experience developing and conducting simulation in an accelerated Master’s EntryrnProgram in nursing that promotes clinical judgment skills using unfolding case studies and a theatre approach which enhances group critical thinking. Herrnexperience of 40 years as an RN and over 30 years teaching in university nursing programs has contributed to the development of this unique teaching strategy.
Abstract:
Traditional simulation experiences employ a single scenario assigning learners static roles as active participants (in the room)rnor passive observers (in an observation room). We will present an alternative model utilized in an accelerated pre-licensurernMasters Entry Program in Nursing. To promote critical thinking and clinical judgment skills in simulation, we have designedrna series of 4-part unfolding case study scenario simulations with both active participants and observers in the same room asrnone group using a theatre approach. Th e unfolding nature of the scenarios and the engagement of both active participants andrnobservers collectively encourage critical thinking as a team and promote clinical judgment skills. Th e unfolding case studyrnsimulation scenarios are built with an emphasis on QSEN competencies. In particular, the scenarios prioritize patient centeredrncare, patient safety, evidence based practice and team work and collaboration. Th e "patient" presentation is the priority forrnassessment and intervention, each student is assigned a "nursing role" to assume during the scenario and SBAR is used as thernform of communication to develop teamwork and collaboration, "safety" is emphasized by including safety hazards in thernscenario that need to be assessed and the students "pre-lab" to explore the "evidence based practice" they will utilize in theirrnnursing interventions.
Keynote Forum
Ali H Mokdad
Professor
Keynote: The global burden of disease: The status of 188 countries, 1990-2013
Biography:
Ali Mokdad, PhD, is Director of Middle Eastern Initiatives and Professor of Global Health at the Institute for Health Metrics and Evaluation at the University of Washington. He started his career at the US Centers for Disease Control and Prevention (CDC) in 1990. He has published more than 300 articles and numerous reports and received several awards, including the Global Health Achievement Award for his work in Banda Aceh after the tsunami, the Department of Health and Human Services Honor Award for his work on flu monitoring, and the Shepard Award for outstanding scientific contribution to public health.
Abstract:
The Global Burden of Disease 2013 (GBD) is a systematic, scientific effort to quantify the comparative magnitude of health loss from all major diseases, injuries, and risk factors by age, sex, and population and over time for 188 countries from 1990 to present. It covers 306 diseases and injuries, 2,337 sequelae, and 76 risk factorsIn addition to the traditional health metrics such as disease and injury prevalence and incidence, death numbers and rates, GBD provides Years of life lost due to premature mortality (YLLs) – count the number of years lost at each age compared to a reference life expectancy of 86 at birth, Years lived with disability (YLDs) –for a cause in an age-sex group equals the prevalence of the condition times the disability weight for that condition and Disability-adjusted life years (DALYs) –are the sum of YLLs and YLDs and are an overall metric of the burden of disease. Global life expectancy for both sexes increased from 65.3 years in 1990, to 71.5 years in 2013, while the number of deaths increased from 47.5 million to 54.9 million over the same interval for women aged 25–39 years and older than 75 years and for men aged 20–49 years and 65 years and older. YLDs for both sexes increased from 537.6 million in 1990 to 764.8 million in 2013, while the age-standardized rate decreased from 114.87 to 110.31 per 1,000 people between 1990 and 2013. At the global level, the most important contributors to the overall burden were high blood pressure, smoking, high blood glucose, and diet. Strategies and policies to improve the health of populations should be guided by the comparative importance of health loss arising from exposure to major risk factors, whatever their position in the causal chain.
Keynote Forum
Sandra Kundrik Leh
Professor
Keynote: Enhancing understanding of poverty through simulation
Time : 10:30am : 11:00 am
Biography:
Sandra Kundrik Leh earned her MSN in Community Health Nursing from West Chester University and a PhD in Nursing from Widener University. She is an Associate Professor at Cedar Crest College in Allentown, PA. She is a Certified Nurse Educator and member of several professional organizations. She has published and presented in the US and abroad on a variety of topics related to nursing education, global health and community health nursing.
Abstract:
Teaching complex concepts such as poverty can be a daunting and challenging task for nurse educators. However, it is imperative that nursing students understand the health care challenges that face vulnerable populations. Textbook readings alone may not capture the depth of the issues and struggles faced by those living in poverty. Low fidelity simulation experiences, in addition to traditional teaching strategies, have shown to be effective in giving students the opportunity to gain a new level of empathy for families who struggle with few resources. Participants are compelled to examine their own attitudes, biases, and beliefs about poverty during the simulation session. By increasing students’ understanding of the complexities and challenges faced by low income families on a daily basis, they will be better positioned to provide more meaningful and effective health care. By enabling students to examine poverty from various perspectives, they can then recognize and discuss the potential for change in their local communities. This session presents an overview of an interdisciplinary-based low fidelity poverty simulation used in an undergraduate community health nursing course. The planning, implementation, and evaluation phases of the simulation experience are discussed.