Contents

Introduction and Organising Committee 1

Co-organisers 2

Welcome Messages 4

Programme at a Glance 10

Forum Venue 12

Keynote Speakers 13

Concurrent Session List 16

Concurrent Sessions 1: Maternal & Child Health 25

Concurrent Sessions 2 : Gerontology 30

Concurrent Sessions 3 : Patient-Centred Care 36

Concurrent Sessions 4 : Smoking Cessation and Tobacco Control 41

Concurrent Sessions 5 : Health Promotion and Disease Prevention 45

Concurrent Sessions 6 : Chronic Illnesses 49

Concurrent Sessions 7 : Health Care Systems and Policy 53

Concurrent Sessions 8 : Nursing Education 61

Concurrent Sessions 9: Community and Mental Health Nursing 69

Poster Presentations 75

Acknowledgements 86

1

Introduction

The 9th Hong Kong International Nursing Forum cum 1st Greater Bay Area Nursing Conference, jointly organised by the School of Nursing of The University of Hong Kong and The University of Hong Kong - Shenzhen Hospital (HKU-SZH), will be a special one with the theme on “Shaping the Future of Nursing through Specialisation". We expect the Event this year will attract delegates from different disciplines and different parts of the world.

The Event, aims to bring together international and local leading authorities in nursing research, nursing education and clinical practice, to present and discuss their insights on latest development in nursing specialisation.

Organising Committee

Co-Chairpersons Dr Patsy Chau Dr Janet Wong

Advisors Mr Alan Wong Professor Chia-Chin Lin

Scientific Sub-committee

Chairperson Dr Daniel Fong

Members Dr Patsy Chau Dr Derek Cheung Dr Edmond Choi Dr Mandy Ho Dr JoJo Kwok Dr Agnes Lai Dr Wendy Lam Dr Jay Lee Dr William Li Dr Kris Lok Dr Alina Ng Dr Kelvin Wang Dr Janet Wong

Promotion and Sponsorship Sub-committee

Co-Chairpersons Ms Samantha Chong Ms Susanna Lee

Members Ms Joyce Chong Dr Cecilia Kong Dr William Lam Ms Zoe Ng Dr Rebecca Poon Ms Mary See Ms Vivien Tsang Ms Alice Wong

Programme Sub-committee

Co-Chairpersons Ms Claudia Chan Dr Edmond Choi

Members Dr Maggie Chan Ms Do Do Chow Ms Angie Lam Ms Mable Lam Ms Jennifer Li Ms Michelle Pang Dr Maggie Pun Ms Lanping Shi Ms Cherry Sun Ms Hellene Yiu Dr Grace Yuen

2

Co-organisers

School of NursingCapital Medical University

Graduate School of NursingChiba University

School of NursingDalian University

School of NursingFujian Medical University

College of NursingJeju National University

Graduate School of Health SciencesKobe University

School of NursingNational Taiwan University

School of NursingPeking Union Medical College

School of NursingCentro Escolar University

Faculty of NursingChulalongkorn University

School of NursingFudan University

Kulliyyah of NursingInternational Islamic University Malaysia

College of NursingKaohsiung Medical University

Department of Health SciencesKyushu University

Department of NursingNational Cheng Kung University

School of Health SciencesNgee Ann Polytechnic

College of NursingPusan National University

Nam Dinh University of Nursing

3

School of NursingQueensland University of Technology

College of NursingThe Catholic University of Korea

Division of Nursing, Midwifery and Social WorkThe University of Manchester

Faculty of NursingUniversitas Indonesia

School of NursingUniversity of Birmingham

Sue & Bill Gross School of NursingUniversity of California, Irvine

Health Science CenterXi’an Jiaotong University

School of NursingZhejiang University

School of NursingSun Yat-sen University

School of NursingThe Secondary Military Medical University

Department of NursingThe University of Melbourne

PAPRSB Institute of Health SciencesUniversiti Brunei Darussalam

School of NursingUniversity of British ColumbiaOkanagan Campus

Department of Nursing SciencesUniversity of Malaya

College of NursingUniversity of the Philippines Manila

College of NursingYonsei University

University of Nursing, Yangon

4

On behalf of The University of Hong Kong, a very warm welcome to the participants of the 9th Hong Kong International Nursing Forum cum 1st Greater Bay Area Nursing Conference.

I am pleased to see the event being jointly organised by the School of Nursing of The University of Hong Kong and The University of Hong Kong – Shenzhen Hospital (HKU-SZH). My thanks to our colleagues from HKU-SZH, and to colleagues from our co-organiser universities and institutes from around the world, for the support.

The Forum will bring together international and local leading authorities in nursing research, nursing education and clinical practice to exchange knowledge and insights about the latest developments in the discipline, while also providing a platform to establish networks and partnerships with peers and colleagues. By exploring the future of nursing through specialisation within the discipline, the Forum aims to ultimately improve the health outcomes and the quality of care nurses provide.

Furthermore, as the inaugural Greater Bay Area Nursing Conference, the Forum is a visionary and timely occasion to explore the opportunities and potential for nursing research, education and clinical practice in the region.

My congratulations to the organisers of the Forum on what I am sure will be a productive and successful event.

Professor Xiang ZhangPresident and Vice-ChancellorThe University of Hong Kong

Welcome Message

5

Nursing, like every other area in health care, has become more technology-enabled, more advanced and more complex. Nurses today are required to undertake a much broader

repertoire of competencies while being ever the caring professional to their patients – needs which themselves are becoming more complex as we improve our understanding of health. Increasing specialisation within nursing (and medicine in general) has become necessary to ensure trained professionals can keep abreast of these trends. It is therefore most fitting that this year’s conference focuses on the theme of specialisation.

Specialisation applies to all aspects of nursing – from nursing education to patient care to public health. As a public health practitioner and frontline clinician, I am deeply appreciative of the role that nurses play at the clinical interface caring for, educating and interacting with patients, and observing the influence of lifestyle factors that have health impacts. These observations have inspired important research and community programmes here at HKU, such as the longstanding work on tobacco control by Hong Kong’s Secretary for Food and Health, Professor Sophia Chan Siu-chee, during her stewardship of our School of Nursing.

Hong Kong has embraced nursing specialisation only relatively recently. Last year, in April 2018, the government invited the Nursing Council to formulate a voluntary scheme on advanced/specialised nursing practice and move towards a registration system. At HKU, we offer the Master of Nursing programme, with tracks aligned with the specialisation trend to ensure nurses can serve patients’ needs and keep pace with rapid changes in health care. Hong Kong therefore has a growing cohort of competent nurse specialists. Events like this year’s conference will further encourage their efforts. The conference is also playing an important regional role by embracing the Greater Bay Area. There are many exciting developments in the health care arena in the GBA that I am sure will be of deep interest today and in future conferences.

I wish all of you a productive and enjoyable conference.

Professor Gabriel LeungDean of MedicineThe University of Hong Kong

Welcome Message

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It is my great pleasure to welcome all attendees to the 9th Hong Kong International Nursing Forum cum 1st Greater Bay Area Nursing Conference at The University of Hong Kong-Shenzhen

Hospital, next to the mangroves of Shenzhen Bay.

I wish to convey my appreciation to the 9th Hong Kong International Nursing Forum cum 1st Greater Bay Area Nursing Conference committee. The Forum aims to promote nursing at all levels through discussions among Chinese and international experts on research, education and nursing practice. Enabled by this unique Shenzhen-Hong Kong cooperative platform, nursing specialists from Shenzhen, Hong Kong and around the world will share their opinions and ideas about the development of nursing. It is no doubt a grand event of great historical significance.

Geographically, Shenzhen and Hong Kong are close to each other and have long-established relationships in many aspects. The University of Hong Kong – Shenzhen Hospital typifies the cooperative endeavours possible between the two cities. Since the founding of the hospital seven years ago, we have pioneered many initiatives in public hospital reform and established numerous key milestones in the history of medical cooperation between Shenzhen and Hong Kong. We are proud of our 1,300-staff nursing team who recently received the 2019 Asian Hospital Management Awards – Nursing Excellence Award.

I wish all attendees a fruitful experience and our guests from overseas an enjoyable stay in Shenzhen. I am certain that the cooperation in health and medical care will further deepen and widen the opportunities for partnership between Shenzhen and Hong Kong.

Professor Chung-Mau LoHospital Chief ExecutiveThe University of Hong Kong – Shenzhen Hospital

Welcome Message

7

It gives me great pleasure to welcome you all to participate at the 9th Hong Kong International Nursing Forum cum 1st Greater Bay Area Nursing Conference, jointly organised by the School of

Nursing of The University of Hong Kong and The University of Hong Kong – Shenzhen Hospital. As many of you know, the Nursing Forum is our School’s flagship event. And this year’s forum is a momentous and precedent one, not only do we organise it with our sister teaching hospital, The University of Hong Kong - Shenzhen Hospital, but for the very first time, this event is held outside of Hong Kong.

We are pleased to host this year’s event with the support from 35 Co-organisers, which are leading universities and institutions from around the globe. The number of co-organisers is a significant recognition of our previous efforts and dedication in nursing collaboration.

The Forum theme of this year is “Shaping the Future of Nursing through Specialisation”. In view of the evolving needs and healthcare service demands, nursing specialisation help nurses becoming experts in their specialised fields with focused knowledge and evidence-based advanced clinical practice skills. It also helps influencing and improving the research, education and practice outcomes for the healthcare industry.

Shaping the future of nursing takes great effort. The School is humble to be part of the driving force in the process and we recently launched a new specialized Perfusion Track in our Master of Nursing programme to align with the trend of nursing specialisation and professionalism enhancement. The School will be celebrating its 25th anniversary next year, I sincerely believe that our School will continue to contribute our efforts in healthcare advancement with commitments and dedication.

Last but not least, I wish this event every success and I hope all of you will find this occasion a rewarding experience. Thank you.

Professor Chia-Chin LinAlice Ho Miu Ling Nethersole Charity Foundation Professor in NursingHeadSchool of NursingThe University of Hong Kong

Welcome Message

8

Welcome to The University of Hong Kong-Shenzhen Hospital for the 9th Hong Kong International Nursing Forum cum 1st Greater Bay Area Nursing Conference!

The ongoing healthcare reform in China has established a higher standard for nursing, and patient care is increasingly recognized as the essence of nursing in complex healthcare systems. The nursing team at The University of Hong Kong - Shenzhen Hospital endeavours to deliver excellent care by focusing on continuous improvement of service quality, integration of the latest nursing developments into practice, and ensuring evidence-based practice. Among all the initiatives, we regard talent grooming and leadership cultivation as essential elements for the sustainability of nursing. Therefore a tailor-made training program named “one nurse one plan” has been developed, whereby each of our nurses has a handbook to record their professional development activities. This will enable our nurses to develop the required core competencies and career advancement at their own pace.

Looking into the future of nursing, creative cost-effective approaches are highly appreciated, given the opportunities offered by the healthcare reform and rapid socioeconomic growth. An intelligent shift system and ward management system, for instance, supported by smart information technology could gear up our nursing staff to meet the varied demands of multigenerational patients. I sincerely hope the dialogues and discussions among specialists from around the globe at the Forum could lead the nursing sector to new heights for the benefit of all.

Mr Alan WongGeneral ManageNursing Department (Nursing Services)The University of Hong Kong – Shenzhen Hospital

Welcome Message

9

On behalf of the Organising Committee, we are most delighted to welcome you to the 9th Hong Kong International Nursing Forum cum 1st Greater Bay Area Nursing Conference,

jointly organised by the School of Nursing of The University of Hong Kong and The University of Hong Kong – Shenzhen Hospital (HKU-SZH). It is our honour to host this event, and co-organise with renowned universities/institutes around the world.

The theme of the Forum this year is "Shaping the Future of Nursing through Specialisation", which aims to bring together international and local leading authorities in nursing research, nursing education and clinical practice, to present and discuss their insights on latest development in nursing specialisation. The HKU-SZH, one of the affiliate teaching hospitals of The University of Hong Kong, is a pioneer in intensifying collaborations between Hong Kong and Shenzhen for the excellence in healthcare practice, teaching and research. We expect the Forum this year will attract delegates from different disciplines and different parts of the world.

Our sincere gratitude goes to all distinguished speakers for their insightful presentations, all delegates and guests for their active participations and all sponsors for their enduring supports to the Forum. We would also like to take this opportunity to extend our heartfelt gratitude to members of the Organising Committee who dedicated efforts and invaluable input towards this Forum. Wishing you a professionally rewarding and pleasurable stay in Shenzhen, China!

Dr Patsy ChauCo-Chairperson9th Hong Kong International Nursing Forum cum 1st Greater Bay Area Nursing ConferenceSchool of NursingThe University of Hong Kong

Welcome Message

Dr Janet WongCo-Chairperson9th Hong Kong International Nursing Forum cum 1st Greater Bay Area Nursing ConferenceSchool of NursingThe University of Hong Kong

Dr Patsy Chau Dr Janet Wong

10

DAY 1 (December 9, 2019, Monday)

09:00 - 16:00 Registration Lobby 10:00 - 10:30 Opening Ceremony Lecture Theatre

10:30 - 11:15 Opening Keynote Address Lecture Theatre Professor Agnes Tiwari Chairman, The Nursing Council of Hong Kong 11:15 - 12:00 Keynote Address Lecture Theatre Professor Elizabeth Madigan, Chief Executive Officer, Sigma Theta Tau International Honor Society of Nursing, the United States

Topic: Speciality Nursing in the US and Worldwide 12:00 - 12:45 Keynote Address Lecture Theatre Dr Melanie Rogers, Chair, Core Steering Group International Council of Nurses Nurse Practitioner / Advanced Practice Nursing Network, the United Kingdom

Topic: Global Perspectives of Advanced Practice Nursing

12:45 - 14:15 Lunch and Poster Presentation 13:00 - 14:00 1-Minute Oral Presentation Lecture Theatre

14:15 - 15:45 Concurrent Sessions Concurrent Session 1: Maternal and Child Health Lecture Room Concurrent Session 2: Gerontology Room 1320 Concurrent Session 3: Patient-Centred Care Room 1420

15:45 – 16:15 Tea Reception and Poster Presentation

16:15 – 17:30 Concurrent Sessions Concurrent Session 4: Smoking Cessation and Tobacco Control Lecture Room Concurrent Session 5: Health Promotion and Disease Prevention Room 1320 Concurrent Session 6: Chronic Illnesses Room 1420

18:00 - 20:00 Forum Dinner (for invited guests)

Programme at a Glance

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DAY 2 (December 10, 2019, Tuesday)

09:00 - 17:00 Registration Lobby 09:30 - 11:30 Concurrent Sessions Concurrent Session 7: Health Care Systems and Policy Lecture Room Concurrent Session 8: Nursing Education Room 1320 Concurrent Session 9: Community and Mental Health Nursing Room 1420

11:30 - 12:15 Plenary Session Lecture Theatre

Speakers Professor Xiaoying Jiang, President, Chinese Journal of Nursing Professor Shouzhen Cheng, President, Guangdong Nursing Association Professor Alice Sau Mui Tsang, Vice-President (Academic), Kiang Wu Nursing College of Macau Ms Susanna Lee, Associate Professor (Nursing Practice), The University of Hong Kong

Moderators and speakers Professor Xinjuan Wu, President, Chinese Nursing Association Dr Janet Wong, Associate Professor, School of Nursing, The University of Hong Kong

Topic: Specialisation in Practice: Experience in the Greater Bay Area

12:15 – 12:30 Award Presentation for Best Poster Awards & Lecture Theatre Closing Remarks

14:30 – 16:30 Post-Forum Workshops A) Promoting Translational Research in Nursing and Health Care Room 1320 B) Enhancing Simulation-based Clinical Education for Lecture Room & Sim Lab Nursing Education C) Advancing Nursing Practice in Nurse Clinic for the Room 1420 21th Century

17:00 – 18:00 Post-Forum Hospital Tour

Programme at a Glance

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Forum Venue The University of Hong Kong – Shenzhen Hospital (HKU-SZH), Shenzhen, China

REGISTRATION & ENQUIRY COUNTERSLobby, Research, Education and Administration Block, HKU-SZH

KEYNOTE LECTURESLecture Theatre, HKU-SZH

CONCURRENT SESSIONSLecture Room, G/F, Research, Education and Administration Block, HKU-SZHRoom 1320, 3/F, HKU-SZH (access via the lift next to VIP Room)Room 1420, 4/F, HKU-SZH (access via the lift next to VIP Room)

POSTER PRESENTATIONSHallway, Lecture Theatre, HKU-SZH

1- MINUTE ORAL PRESENTATIONSLecture Theatre, HKU-SZH

POST-FORUM EVENT“Promoting Translational Research in Nursing and Health Care” – Room 1320, 3/F, HKU-SZH (access via the lift next to VIP Room)

“Enhancing Simulation-based Clinical Education for Nursing Education” – Lecture Room and Sim Lab, G/F, Research, Education and Administration Block, HKU-SZH

“Advancing Nursing Practice in Nurse Clinic for the 21th Century” – Room 1420, 4/F, HKU-SZH (access via the lift next to VIP Room)

PREVIEW ROOMRoom 1101, G/F, Research, Education and Administration Block, HKU-SZH

LUNCHCanteen, Support Service Block, HKU-SZH

TEA BREAKHall, Research, Education and Administration Block, HKU-SZH

EXHIBITION BOOTHSHall, Research, Education and Administration Block, HKU-SZH

Lecture Theatre

Room 1320,

3/F

Lecture Room

Room 1420,

4/F

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Opening Keynote Speaker

Professor Agnes TiwariChairmanThe Nursing Council of Hong KongHong Kong

Professor Agnes Tiwari is a nurse with extensive experience in clinical practice, administration, education and research.

She received her nursing education in the United Kingdom where she continued her career as a practicing nurse, educator and administrator. She was Head of Pre-registration Nursing Programmes at St George’s Hospital School of Nursing before returning to Hong Kong in 1993. She was head of School of Nursing at the LKS Faculty of Medicine of The University of Hong Kong and is currently Honorary Professor of the School of Nursing of The University of Hong Kong, Head of School of Nursing at Hong Kong Sanatorium & Hospital and Chairman of The Nursing Council of Hong Kong.

Prevention of family violence is the focus of her practice, research, teaching and advocacy work. Professor Tiwari has received grants and awards for her research and published extensively on violence prevention and intervention.

Her studies on violence prevention were cited by the Institute of Medicine (IOM) Forum on Global Violence Prevention as key evidence to inform policy, practice and research in 2011 and was invited by the World Health Organization (WHO) as Temporary Advisor for the development of policy and clinical guidelines for responding to violence against women in 2009 and 2011.

In recognition of her contributions to research and education on violence prevention, she was selected as a Fellow of the American Academy of Nursing in 2010, awarded the Women of Influence 2011 by the American Chamber of Commerce in Hong Kong and was appointed as a Board member of Hospital Authority in Hong Kong.

OPENING KEYNOTE ADDRESSDecember 9, 2019 (10:30 – 11:15) Lecture Theatre

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Keynote Speaker

Professor Elizabeth MadiganChief Executive OfficerSigma Theta Tau International Honor Society of Nursingthe United States

Professor Elizabeth Madigan is the Chief Executive Officer of Sigma Theta Tau International Honor Society of Nursing. She assumed the position in November 2017 following a 21

year period as a professor at the Frances Payne Bolton School of Nursing, Case Western Reserve University, Cleveland Ohio. Her clinical background and her program of research focused on home health care. She has been funded by the National Institutes of Health and private foundations for her research. She is widely published in the area. During her time at Case Western Reserve University she led the global health initiatives for the School of Nursing and has provided consultation in multiple countries for home care and aging care in the community. She is a graduate of Wright State University, Dayton Ohio (BSN), The Ohio State University (MS in nursing) and Case Western Reserve University (PhD), a fellow in the American Academy of Nursing and proud member of Sigma Theta Tau.

KEYNOTE ADDRESSDecember 9, 2019 (11:15 – 12:00) Lecture Theatre

Speciality Nursing in the US and Worldwide

In this presentation, Professor Madigan will explain the breadth of specialty nursing in the US and worldwide. She will describe how specialty nursing developed, the organizations that support specialty nursing, and why specialization benefits nurses and the patients they care for. Specialty nursing has a long history in the US and in other countries and can include both clinical focus areas (e.g. pediatrics, geriatrics) as well as nursing roles (e.g. nurse practitioner, nurse informaticist, nurse administrator). Most specialties in nursing, whether clinical or role-based, have organizations to support the specialty. Some specialty organizations are country-specific while others are global (e.g. International Society of Nurses in Cancer Care). Both kinds of organizations may be of value to nurses in countries where there are not specialty organizations. In addition, other kinds of global nursing organizations, like Sigma Theta Tau International Honor Society of Nursing, also offer support for nurses in specialty care. The presentation will describe member benefits from various specialty organizations.

Specialization benefits nurses and the patients they care for by providing depth in the area of practice. The most recent evidence to support and inform practice comes from a specialty focus. Basic nursing practice and skills should be considered the starting point for excellent nursing care, not the end point.

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Keynote Speaker

Dr Melanie RogersChair, Core Steering GroupInternational Council of Nurses Nurse Practitioner / Advanced Practice Nurse Network the United Kingdom

Dr Melanie Rogers is a University Teaching Fellow for Advanced Practice at the University of Huddersfield in the United Kingdom. She is also an Advanced Nurse Practitioner in

Primary Care as well as the Chair of the International Council of Nurses (ICN), Nurse Practitioner / Advanced Practice Nurse Network. She is a Queens Nurse having been awarded this title for her work in practice and education. She has worked as a nurse for over 25 years having trained at St Bartholomew’s Hospital in London. She has worked in many settings including acute medicine, endocrinology, gynaecology, oncology and emergency care in the United Kingdom and Canada before training to be a Nurse Practitioner in 1998.

After pioneering the Nurse Practitioner role in the Yorkshire region she went on to develop the Advanced Practice routes at the University of Huddersfield. She set up and developed a local Nurse Practitioner forum, became active nationally in the Association of Advanced Practice Educators before serving on several Sub Groups with the ICN Nurse Practitioner Network. She was elected as Chair of this network in 2017. Dr Rogers is passionate about advanced practice as a way of providing the care needed at the point of need for patients. Her work and research has focused on how to provide truly holistic care to patients and her doctoral studies have led to a framework for Nurse Practitioners to help patients find hope, meaning and purpose during times of illness and challenge.

She has multiple publications on clinical aspects of advanced practice and has just published an edited book on Spiritually Competent Practice. Her recent research projects have included an international study with colleagues from the network on Job Satisfaction for Nurse Practitioners in Developed and Developing Countries and she has worked closely with the ICN to clarify and define the Advanced Practice roles for nurses.

KEYNOTE ADDRESSDecember 9, 2019 (12:00 – 12:45) Lecture Theatre

Global Perspectives of Advanced Practice Nursing

The speaker will provide an overview of global perspectives of advanced practice nursing including the new ICN definitions for the Advanced Practice Nurse roles.

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Concurrent Session 1: Maternal and Child HealthDecember 9, 2019 (14:15-15:45) Lecture Room

CS1-1 The Beliefs about Mothers-to-Child Transmission of HIV Positive Mothers in Jakarta, Indonesia

Hening Pujasari1, Enie Novieastari1, Nani Nurhaeni2, Alicia K. Matthews3, Veronika Hutabarat1, Laras Adythia Pratiwi1

1Basic Science and Fundamentals of Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia, 2Pediatric Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia, 3Health System Science, University of Illinois at Chicago College of Nursing, the United States of America

CS1-2 Knowledge and Awareness on Hormonal Contraceptives among High Risk Mothers in a

Health Clinic, Malaysia Yah San Pek Nursing, Faculty of Medicine, Universiti Kuala Lumpur Royal College of Medicine Perak, Malaysia CS1-3 The Feasibility Study of a Parent-Child Sandplay Therapy Program for Children with Autism

and Their Mothers Guihua Liu1, 2, Rongfang Hu1, Ping Ou2, Longsheng Huang2, Qinfang Qian2

1School of Nursing, Fujian Medical University, China, 2Department of Children Healthcare Centre, Fujian Provincial Maternity and Children’s Hospital, Affiliated Hospital of Fujian Medical University, China

CS1-4 Acupuncture for Menstrual Migraine: A Systematic Review Mingxiao Yang1, 2, Ting Du3, Mingsheng Sun4, 5, Hulin Long5, Lixing Lao1, 2

1School of Chinese Medicine, The University of Hong Kong, Hong Kong, 2Department of Chinese Medicine, University of Hong Kong-Shenzhen Hospital, China, 3Department of Rehabilitation, Xishan People's Hospital, China, 4School of Acupuncture, Chengdu University of TCM, China, 5Department of Acupuncture and Rehabilitation, Teaching Hospital of Chengdu University of TCM, China

CS1-5 Parents’ Education is the Most Important Factor that Contributes to the Incidence of ARI in

Under-Five Children due to Vehicle Smoke in East Jakarta, Indonesia Nani Nurhaeni, Ratri Utami Pediatric Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia

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Concurrent Session 2: GerontologyDecember 9, 2019 (14:15-15:45) Room 1320

CS2-1 Gait Characteristic under Dual-Task Condition and Their Relationships with Falls among Elderly Patients with Vascular Mild Cognitive Impairment

Lingling Zhu, Yu Sheng School of Nursing, Peking Union Medical College, China CS2-2 Effects of an Exercise Programme on the Cognitive Function and Quality of Life of

Community-Dwelling Elderly People with Mild Cognitive Impairment: A Randomised Controlled Trial

Dan Song1, Doris Yu2

1School of Nursing, Zhejiang Chinese Medical University, China, 2Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong

CS2-3 Subjective Cognitive Decline and its Relationship with Objective Cognitive Performance

and Depression Symptoms in Older Adults Ying Zhou, Zheng Li School of Nursing, Peking Union Medical College, China CS2-4 The Effects of Exercise on Thoracic Hyperkyphosis among Older Adults — A Systematic

Review Wei Ying Li1, Pui Hing Chau1, Agnes Tiwari2

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Nursing, Hong Kong Sanatorium & Hospital Limited, Hong Kong

CS2-5 A Meta-Analysis of Risk Factors for Falls among Community-Dwelling Older Population Xing Xing Qian, Daniel Yee Tak Fong, Mandy Ho, Pui Hing Chau School of Nursing, The University of Hong Kong, Hong Kong CS2-6 Evaluation of the Effectiveness of an Incontinence-Associated Dermatitis (IAD) Prevention

Protocol on the Incidence of IAD among Acutely-Ill Geriatric Patients in a Tertiary Hospital in Spain

Aldin Gaspar College of Nursing, University of the Philippines Manila, the Philippines

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Concurrent Session 3: Patient-Centred CareDecember 9, 2019 (14:15-15:45) Room 1420

CS3-1 Missed Nursing Care from Patients’ Perspective in a Teaching Hospital of Malaysia Sri Theyshaini Nahasaram, Vimala Ramoo, Wan Ling Lee Department of Nursing Science, Faculty of Medicine, University of Malaya, Malaysia CS3-2 The Burden of Mental Ill Health Associated with Childhood Maltreatment in the United

Kingdom: A Retrospective Cohort Study Joht Chandan1, Tom Thomas1, Krishna Gokhale1, Siddartha Bandyopadhyay2, Julie Taylor3

1Insitute of Applied Health Research, University of Birmingham, the United Kingdom, 2Department of Economics, University of Birmingham, the United Kingdom, 3School of Nursing, University of Birmingham, the United Kingdom

CS3-3 Evaluation on Child Life Service in Management of Children who Undergo Medical

Procedures Janet Yuen Ha Wong, Ka Wai Yim, Suk Fun Lam, Yin Yim Lau, Pui Hing Chau School of Nursing, The University of Hong Kong, Hong Kong CS3-4 Effectiveness on First Colostrum Collection from Maternity Unit to Neonatal Unit Yu Ngai Leung1, Kit Ming Yeung1, Ka Man Chan2, Lai Ping Chan1, Yuen Yu Lam2, Shui Fan Chung1,

Wing Cheung Leung1

1Department of Obstetrics and Gynecology, Kwong Wah Hospital, Hong Kong, 2Department of Paediatric, Kwong Wah Hospital, Hong Kong

CS3-5 Factors Related to Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer

Patients Undergoing Chemotherapy: A Systematic Review of Literature Preeyanan Thanakun , Chanokporn Jitpanya, Noppamat Patthong Faculty of Nursing, Chulalongkorn University , Thailand

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Concurrent Session 4: Smoking Cessation and Tobacco ControlDecember 9, 2019 (16:15-17:30) Lecture Room

CS4-1 Smoking Behavior of Chinese Smoking Expectant Fathers, and Predictors of Smoking Abstinence after Their Partner Got Pregnant: A Cross-Sectional Study

Wei Xia, William Ho Cheung Li School of Nursing, The University of Hong Kong, Hong Kong CS4-2 A Pragmatic Randomized Controlled Trial of Physicians’ Very Brief (30-Second) Smoking

Cessation Intervention in China Derek Yee Tak Cheung1, Nan Jiang2; Chao Qiang Jiang2, Run Sen Zhuang2, Wen Hui Gao2, Jian

Zhou2, Jin Hong Lu2, Hui Li2, Jun Feng Wang2, Yi Sheng Lai2, Jun Sheng Sun2, Jiu Chang Wu2, Chiang Ye2, Na Li2, Gang Zhou2, Jing Ying Chen2, Xiu Yan Ou2, Liu Qing Liu2, Zhuang Hong Huang2, Sai Yin Ho2, William Ho Cheung Li2, Sheng Hua Su2, Yan Yang2, Yuan Jiang2, Wei Hua Zhu2, Lie Yang2, Peiru Lin2, Yao He2, Kar Keung Cheng2, Tai Hing Lam2

1School of Nursing, The University of Hong Kong, Hong Kong, 2HKU and other institutions in Shenzhen, Guangzhou, Beijing, Zhongshan, Shantou, New York and Birmingham

CS4-3 Prospective Associations of Partner Smoking with Mental and Perceived Family Well-Being

in Mothers of Young Children Hiu Laam Chan1, Tzu Tsun Luk1, Tai Hing Lam2, Sophia Siu Chee Chan1, Man Ping Wang1

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Public Health, The University of Hong Kong, Hong Kong

CS4-4 Examining the Perceptions and Experiences of Heated Tobacco Products Use in Chinese

Smokers in Hong Kong: A Qualitative Analysis Yongda Wu1, Janet Yuen Ha Wong1, Tzu Tsun Luk1, Sheng Zhi Zhao1, Jung Jae Lee1, Sai Yin Ho2,

Takahiro Tabuchi3, Tai Hing Lam2, Man Ping Wang1

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Public Health, The University of Hong Kong, Hong Kong, 3Cancer Control Center, Osaka International Cancer Institute, Japan

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Concurrent Session 5: Health Promotion and Disease PreventionDecember 9, 2019 (16:15-17:30) Room 1320

CS5-1 Impact of a Community-Based Participatory Physical Activity Intervention for Community-Dwelling Older Adults in a Low-Income Neighbourhood in Hong Kong: A Mixed Methods Study

Janet Lok Chun Lee1, Rainbow Tin Hung Ho1, 2

1Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, 2Centre on Behavioral Health, The University of Hong Kong, Hong Kong

CS5-2 Effects of Internet-Based Psycho-Educational Interventions on Mental Health and Quality

of Life among Cancer Patients: A Systematic Review and Meta-Analysis Ying Wang1, Yazhu Lin1, Jingyi Chen1, Chunfeng Wang1, Rong Hu1, Yong Wu2

1School of Nursing, Fujian Medical University, China, 2Department of Hematology, Fujian Medical University Union Hospital, China

CS5-3 Effectiveness of Adventure-Based Training Program in Enhancing Competence, Resilience

and Self-Efficacy in Nursing Students Preparing for Clinical Practicum Sharis Wing Gi Kwan, William Ho Cheung Li School of Nursing, The University of Hong Kong, Hong Kong CS5-4 Development of an Evaluation Tool for Smoking Cessation Clinics and Services Tai Hing Lam1, Yan Yang2, Yuan Jiang2, Wei Hua Zhu3, Peiru Lin4, Yao He5, Chao Qiang Jiang3, Derek

Yee Tak Cheung6, Sai Yin Ho1, William Ho Cheung Li6, Kar Keung Cheng7, Nan Jiang8, Sheng Hua Su9

1School of Public Health, The University of Hong Kong, Hong Kong, 2Tobacco Control Office, Chinese Center for Disease Cocntrol and Prevention, China, 3Guangzhou No.12 Hospital, Guangzhou No.12 Hospital, China, 4Guangzhou First Municipal Peoples Hospital, Guangzhou Medical University, China, 5Institute of Geriatrics, Chinese PLA General Hospital, China, 6School of Nursing, The University of Hong Kong, Hong Kong, 7Insititute of Applied Health Research, University of Birmingham, the United Kingdom, 8Department of Population Health, School of Medicine, New York University, the United States of America, 9Health Care Center for Cadre of Guangdong Province, Health Care Center for Cadre of Guangdong Province, China

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Concurrent Session 6: Chronic IllnessesDecember 9, 2019 (16:15-17:30) Room 1420

CS6-1 Sex-Specific Impact of Diabetes on Short- and Long-Term Mortality Among Adults with Acute Myocardial Infarction: A Systematic Review and Meta-Analysis

Qinglan Ding1, 2, Marjorie Fun2, Robin Whittemore2, Haiqun Lin3, Erica Spatz4, Rachel Dreyer5, Nancy Albert6

1College of Health and Human Sciences, Purdue University, the United States of America, 2Yale School of Nursing, Yale University, the United States of America, 3Rutgers School of Nursing, Rutgers University, the United States of America, 4Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, the United States of America, 5Department of Emergency Medicine, Yale School of Medicine, the United States of America, 6Office of Nursing Research and Innovation, Cleveland Clinic Health System, the United States of America

CS6-2 Measurement of Fatigue in Patients with Chronic Liver Disease: A Systematic Review Surachai Maninet, Chanokporn Jitpanya, Yupin Aungsuroch Faculty of Nursing, Chulalongkorn University, Thailand CS6-3 The Affecting Factor of Discomfort in Diabetic Foot Ulcers: A Theoretical Modeling Using

Structural Equation Modeling Dewi Gayatri1, Elly Nurachmah2, Muchtaruddin Mansyur3, Pradana Soewondo4

1Basic Science and Fundamental of Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia, 2Medical Surgical Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia, 3Community Medicine Department, Faculty of Medicine, Universitas Indonesia, Indonesia, 4Internal Medicine Department, Faculty of Medicine Universitas Indonesia, Indonesia

CS6-4 Effect of Cognitive Behavioural Therapy (CBT) for People Undergoing Haemodialysis: A

Systematic Review Blessy Prabha Valsaraj1, Shripathy M Bhat2, Jyothi Mallya3

1Community and Mental Health, College of Nursing, Sultan Qaboos University, Oman, 2Department of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, India, 3Library, Welcomgroup Graduate School of Hotel Administration, India

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Concurrent Session 7: Health Care Systems and PolicyDecember 10, 2019 (09:30-11:30) Lecture Room

CS7-1 Patient Safety Practices in Population-Focused Health Care: A Narrative Review of Literature

Luz Barbara Dones College of Nursing, University of the Philippines Manila, the Philippines CS7-2 Strategies for Improving Working Conditions of Public Hospitals in South Africa Zodwa Manyisa Department of Health Studies, University of South Africa, South Africa CS7-3 Theory of Nursing Advocacy to Improve Patient Outcomes : A Theory Synthesis Sunyoung Park 1, Hyeonkyeong Lee2

1Department of Nursing, College of Nursing, Yonsei University, South Korea, 2Department of Nursing Environments and Systems, College of Nursing, Yonsei University, South Korea

CS7-4 The Effect of Disaster Relief Effort among Volunteers in Malaysia Chen Hoi Yen1, Ahmad Che An2, Abdullah Khatijah3

1Nursing Department, Faculty of Medicine, Universiti Kuala Lumpur, Royal College of Medicine Perak, Malaysia, 2Faculty of Nursing and Midwifery, MAHSA University, Malaysia, 3Department of Nursing Sciences, Faculty of Medicine, University of Malaya, Malaysia

CS7-5 Exploration of the Needs of Training for Nurses Working in Disaster-Prone Areas in

Yogyakarta, Indonesia Herni Susanti, Agus Setiawan, Achir Yani Hamid, Anggun Frida Faculy of Nursing, Universitas Indonesia, Indonesia CS7-6 The Challenges of Nursing Profession in Bangladesh Md Shaikh Farid Faculty of Education, The University of Hong Kong, Hong Kong CS7-7 Effect of Health System Responsiveness on Health Related Quality of Life Nimisha Vandan1, Janet Yuen Ha Wong1, Paul Siu Fai Yip2, Daniel Yee Tak Fong1

1School of Nursing, The University of Hong Kong, Hong Kong, 2Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong CS7-8 The Motivations which Induce Men in Nursing- Findings from a Collaborated Qualitative

Study Between Macau and Mainland China Aimei Mao1, Jialin Wang2

1Kiang Wu Nursing College of Macau, Macau, 2School of Nursing , Chengdu University of Traditional Chinese Medicine, China

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Concurrent Session 8: Nursing EducationDecember 10, 2019 (09:30-11:30) Room 1320

CS8-1 Effects of Endotracheal Cuff Pressure Management Educational Intervention on Intensive Care Nurses’ Knowledge and Practice

Uma Rani Murugiah1, Vimala Ramoo2, Mei Chan Chong2, Mohamad Fadhil Hadi Jamaluddin3, Abqariyah Yahya4

1College of Health Sciences, University of Malaya Medical Centre, Malaysia, 2Department of Nursing Science, Faculty of Medicine, University of Malaya, Malaysia, 3Department of Anaesthesiology, Faculty of Medicine, University of Malaya , Malaysia, 4Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Malaysia

CS8-2 Determining the Educational Objectives and Outcomes for the Pre-Registration Diploma

Nursing Program: A Modified Delphi Katherine Tan1, Mei Chan Chong1, Li Ping Wong2

1Department of Nursing Sciences, University Malaya, Malaysia, 2Department of Social and Preventive Medicine, University Malaya, Malaysia

CS8-3 Gender-Based Violence: A Five Country, Cross-Sectional Survey of Health and Social Care

Students’ Experience, Knowledge and Confidence Caroline Bradbury-Jones, Dana Sammut School of Nursing, University of Birmingham, the United Kingdom CS8-4 The Effects of Experiential Learning Simulation via Patient Journey on the Nursing

Students' Preparedness Before the First Clinical Placement in Hong Kong Catherine Siu Man Leung, Annemarie Hor Wan Cheung School of Nursing, Caritas Medical Centre, Hong Kong CS8-5 10-Year Research Focuses and Future Trends in Interprofessional Education: A Co-Word

Clustering Analysis Based on PubMed Guiying Liu, Yujie Yang, Kepei Xu, Qing Wang, Huaping Liu School of Nursing, Peking Union Medical College, China CS8-6 Memento Mori: Using Art to Assist Nursing Students Explore Death and Dying Mary Pocock School of Nursing, University of Birmingham, the United Kingdom CS8-7 A Qualitative Analysis of the Outcomes of Service Learning in Health Assessment Pak Leng Cheong, Wan Cheong Teaching Department, Kiang Wu Nursing College of Macau, Macau CS8-8 A Theoretical Investigation of the Emergence of End of Life Care in Macao Kuai In Tam1, Elaine Haycock-Stuart2, Sarah Rhynas2

1Kiang Wu Nursing College of Macau, Macau, 2Nursing Studies, School of Health in Social Science, The University of Edinburgh, Nursing Studies, the United Kingdom

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Concurrent Session 9: Community and Mental Health NursingDecember 10, 2019 (09:30-11:30) Room 1420

CS9-1 E-Devices During Family Dinner was Associated with Lowered Subjective Happiness and Family Well-Being in Hong Kong Adults: A Population-Based Survey

Shengzhi Zhao1, Man Ping Wang1, Daniel Yee Tak Fong1, Tai Hing Lam2

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Public Health, The University of Hong Kong, Hong Kong

CS9-2 Measurement Properties of the Simplified Chinese Version of Nonrestorative Sleep Scale

in Adolescents Sha Li1, Daniel Yee Tak Fong1, Yan Xu2, Janet Yuen Ha Wong1, Kate Wilkinson3, Colin Shapiro3

1School of Nursing, The University of Hong Kong, Hong Kong, 2Luhe High School, China, 3Department of Psychiatry, University of Toronto, Canada

CS9-3 Description of a Nurse-Led Model Program and Acceptability/ Feasibility for Latent TB

Completion among Homeless Adults Adeline Nyamathi School of Nursing, University of California, Irvine, the United States of America CS9-4 The Effectiveness of Nursing in the Health-Promoting-Schools Approach in Hong Kong: A

Qualitative Descriptive Study Wai Hin Wan, Maggie Mee Kie Chan School of Nursing, The University of Hong Kong, Hong Kong CS9-5 Factors Related to Community Preparedness in Facing Volcanic Eruptions in the Kinilow

Village, Tomohon City Hana Ngantung, Johanis Kerangan, Syenshie Wetik Nursing Faculty, De La Salle Catholic University, Indonesia CS9-6 Perceived Challenges in Delivering Comprehensive Care for Patients Following Stroke

among Chinese Health Care Providers Chanchan Wu1, 2, Karina Kielmann3, Guanyang Zou4, Minjie Chen1, Lihong Wan1, Brendan

McCormack5

1School of Nursing, Sun Yat-Sen University, China, 2School of Nursing, The University of Hong Kong, Hong Kong, 3Institute for Global Health and Development, Queen Margaret University, the United Kingdom, 4School of Economics and Management, Guangzhou University of Chinese Medicine, China, 5Division of Nursing, School of Health Sciences, Queen Margaret University, the United Kingdom

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Concurrent Session 1: Maternal and Child HealthDecember 9, 2019 (14:15-15:45) Lecture Room

CS1-1 The Beliefs about Mothers-to-Child Transmission of HIV Positive Mothers in Jakarta, Indonesia

Hening Pujasari1, Enie Novieastari1, Nani Nurhaeni2, Alicia K. Matthews3, Veronika Hutabarat1, Laras Adythia Pratiwi1

1Basic Science and Fundamentals of Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia, 2Pediatric Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia, 3Health System Science, University of Illinois at Chicago College of Nursing, the United States of America

Background and Objectives: HIV transmission from mother to child tends to increase with increasing numbers of women infected with HIV from their partners. Although the Prevention of mother-to-child transmission (PMTCT) program has been running, the increase in cases of pregnant women with HIV is high, especially in Jakarta. This study aimed at understanding the reasons that influence the behavior of mothers with HIV in complying with the treatment adherence.

Methods: Data were collected July to October 2019. Ethical approval was granted from the hospital IRB. Study participants were ten HIV positive women of child-bearing age, visited out-patient clinic at an infectious diseases public hospital in Jakarta Indonesia. The participants were recruited using purposive sampling technique. Sample size was determined by the data saturation. Eleventh participants visited the researcher’s room and ten agreed to participate. Participant was interviewed once for approximately 45 minutes with semi-structured questions. The Health Behavioral Model was used to develop the semi-structured interviewed questions. Interviews were audio recorded and field noted. Member checking and memo-ing were carried out during each interview. The ten records were transcribed by professional transcriber. Thematic analysis was undergone to identify categories. Disagreement were solved through discussion among the researchers.

Results: Nine themes were identified; perceived overall health status, being HIV positive to their self-identity, engagement in HIV care, state of beliefs on HIV transmission to child, role of faith/cultural, benefits for their child of adhering to medications, facilitators to adherence, barriers they experienced, and current unmet needs regarding accessing HIV medication and quality health care.

Conclusions: The influence of cultural, environmental, educational, economic, and psychosocial factors in the behavior is central in understanding the complexity of situation in the effort of reducing mother to child HIV transmission.

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CS1-2 Knowledge and Awareness on Hormonal Contraceptives among High Risk Mothers in a Health Clinic, Malaysia

Yah San Pek Nursing, Faculty of Medicine, Universiti Kuala Lumpur Royal College of Medicine Perak, Malaysia Background and Objectives: The proper use of contraceptive has significantly improves health-

related outcomes among the mothers and infants (United Nation, 2015; WHO, 2016). Family planning programme has been implemented free or at affordable charges in Malaysia Healthcare System; however, it was underutilized or not being fully utilized (Mansor, M., et. al., 2015). Based on the health records from one maternal-child health clinic, 62.5% of registered high risk mothers were reluctant to practice hormonal contraceptives. Literatures suggest that health education has positive impacts in changing individual’s health behavior; also empowering the clients on their own health decisions and behavior. The objective of this health promotion project is to increase awareness and knowledge on hormonal contraceptives among the high risk mothers after interventions implemented.

Methods: Pre-Intervention Phase Data collected to identify the factors influencing clients’ health behavior through review of health records, observation of clients’ behavior and a self-administered questionnaire (pre-test). Intervention Phase Health promotion approaches were designed with various interventions implemented, including health talk, health forum, small group discussion, counseling & health education, home visit and sharing of information/updates using social media and advanced technology, such as WhatsApp messenger group chat, digital print, augmented reality and web-tools. Post-Intervention Phase The same methodology of data collection as in the Pre-Intervention Phase including self-administered questionnaire (post-test) to ensure consistency and increase accuracy in data analysis.

Results: Pre-Intervention Phase Participants have adequate knowledge on family planning (80%); while the factors influencing their health behavior were lack of knowledge, lack support from husband and cultural beliefs. Post-Intervention Phase Marked increase in the level of knowledge (> 85% respondents have good knowledge) and 11.1% increase in the practice of hormonal contraceptives among high risk mothers.

Conclusions: Knowledge can be improved much easier than change of health behavior. The findings of this project suggested that health education must be emphasized extensively by healthcare personnel. In addition, one of the new approaches introduced and imparted was adopting the advancement in technology in giving health education. The application of information and communication technology (ICT) has certainly increased the effectiveness in health promotion. Healthcare personnel should continue to empower women to practice of family planning.

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CS1-3 The Feasibility Study of a Parent-Child Sandplay Therapy Program for Children with Autism and Their Mothers

Guihua Liu1, 2, Rongfang Hu1, Ping Ou2, Longsheng Huang2, Qinfang Qian2

1School of Nursing, Fujian Medical University, China, 2Department of Children Healthcare Centre, Fujian Provincial Maternity and Children’s Hospital, Affiliated Hospital of Fujian Medical University, China

Background and Objectives: Previous research has illustrated that Sandplay Therapy plays

an important role in children’s and adults’ psychotherapy. It can effectively improve the core symptoms and sleep quality of preschool children with Autism Spectrum Disorder (ASD). However, a Parent-child Sandplay Therapy (PCST) program for children with ASD and their mothers has not been carefully examined. This study aims to evaluate the efficacy of a PCST program among preschool children with mild-to-moderate ASD and their mothers.

Methods: This was a pilot and feasibility randomized control Trial. 30 preschool children with mild-to-moderate ASD and their mothers were recruited from February 2017 to June 2018. The participants were randomly assigned into the intervention group (n=16) or the control group (n=16). The control group was treated with structured teaching treatment and the intervention group was treated with a PCST program plus structured teaching treatment. Behaviors, social responsiveness, and parent’s stress were measured at pre, post, and 3 months following the program. The tools included Autism Behavior Checklist (ABC), Social Responsiveness Scale (SRS), and Parenting Stress Index-Short Form (PSI-SF).

Results: Thirty children with ASD and their mothers completed the study. The results of the repeated measurement analysis showed that a significant decrease in children’s ABC score and SRS score, as well as their mothers’ PSI-SF score in the intervention compared to the control group (P<0.05). In the intervention group, there were significant differences in the characteristics of the initial and the final sand table (t traumatic subject=7.897, t curing subject=-5.688, P<0.01).

Conclusions: The PCST program can effectively reduce the core symptoms and improve social interaction for the children with ASD, as well as reduce the parental stress of their mothers.

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CS1-4 Acupuncture for Menstrual Migraine: A Systematic Review Mingxiao Yang1, 2, Ting Du3, Mingsheng Sun4, 5, Hulin Long5, Lixing Lao1, 2

1School of Chinese Medicine, The University of Hong Kong, Hong Kong, 2Department of Chinese Medicine, University of Hong Kong-Shenzhen Hospital, China, 3Department of Rehabilitation, Xishan People's Hospital, China, 4School of Acupuncture, Chengdu University of TCM, China, 5Department of Acupuncture and Rehabilitation, Teaching Hospital of Chengdu University of TCM, China

Background and Objectives: In clinical practice, the evidence of acupuncture treating migraine without aura is employed interchangeably to guide menstrual migraine treatment. However, its effect and safety are not substantiated. This study aimed to assess the efficacy of acupuncture on the frequency and pain intensity of menstrual migraine.

Methods: We searched the PubMed, Cochrane Library, CNKI, and other two Chinese databases from their inception to May 1, 2019. This study included randomized controlled trials with menstrual migraine women receiving acupuncture or a valid control. Two reviewers independently completed study selection, data extraction, and risk of bias assessment. We combined data with a fixed-effect model in RevMan. Clinical outcomes included migraine frequency and duration, headache intensity and adverse events.

Results: Thirteen studies with 826 subjects were included, 9 of which had data suitable for meta-analyses. Current evidence showed that acupuncture was not superior to sham acupuncture in reducing monthly migraine frequency and duration, average headache intensity and analgesics use whenever at the completion of treatment or follow-ups. Pooled data demonstrated a significant improvement in mean headache intensity in acupuncture group compared with drugs. However, all studies were underpowered and associated with moderate to high risk of bias. No serious adverse event was related to acupuncture treatment.

Conclusions: There is no convincing evidence to support the use of acupuncture in treating menstrual migraine. Acupuncture is not ready yet to be recommended to patients with menstrual migraine until more solid evidence is produced.

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CS1-5 Parents’ Education is the Most Important Factor that Contributes to the Incidence of ARI in Under-Five Children due to Vehicle Smoke in East Jakarta, Indonesia

Nani Nurhaeni, Ratri Utami Pediatric Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia Background and Objectives: The incidence of Acute Respiratory Infection (ARI) is still a common

problem in children under five year old. One of the risk factors for ARI is environmental such as smoke exposure in public places and public transportation. This study aimed to determine the correlation between knowledge of vehicle smoke exposure and motorized driving behavior of the parents with the incidence of ARI in under-five children.

Methods: The study design was correlative analytic with cross sectional approach. A number of 112 dyad parent-child were selected by simple random sampling technique in 8 (eight) community health centers in Cakung, East Jakarta. Data collection was conducted May-June 2019. This study used an instrument that had been modified from Motevalian et al (2011), and also valid with the results of a corrected item total correlation of 0.167-0.529 and reliable with a Cronbach alpha value of 0.705. Chi square test was used to analyze bivariate data. Ethical approval was granted from Ethic Committee Faculty of Nursing, Universitas Indonesia.

Results: The results of this study indicated there was no significant correlation between parental behavior as well as knowledge and ARI (p = 0.865; p=0.477 respectively). Parents' education was found to be significantly associated with the incidence of ARI (p = 0.002). Nevertheless, this study indicated there was no significant correlation between knowledge of vehicle smoke exposure as well as motorized driving behavior and the incidence of ARI in under-five children. Only one variable that showed a significant relationship with the incidence of ARI in toddlers on parental characteristics, that was the parents’ education (p = 0.002).

Conclusions: There is no significant correlation between the knowledge of vehicle smoke exposure as well as parents' motorized driving behavior and ARI. However, parents’ education was found to have a significant relationship with incidence of ARI.

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Concurrent Session 2: GerontologyDecember 9, 2019 (14:15-15:45) Room 1320

CS2-1 Gait Characteristic under Dual-Task Condition and Their Relationships with Falls among Elderly Patients with Vascular Mild Cognitive Impairment

Lingling Zhu, Yu Sheng School of Nursing, Peking Union Medical College, China Background and Objectives: Cognitive impairment and dementia are known risk factors for

falls, and the incidence of fall in older people with cognitive impairment (60% per annum) is approximately double that of their cognitive intact counterparts. Underlying mechanisms for this increased risk are poorly understood and gait dysfunction may play an important role. Whilst considered primarily an automated motor process, the simultaneous performance of an attention—demanding task while walking often results in changes in gait patterns. No studies have examined whether dual task gait abnormalities are associated with falls in elderly patients with vascular mild cognitive impairment. To investigate the relationship between gait parameters and falls in elderly patients with vascular mild cognitive impairment.

Methods: Convenience sampling method was adopted to select 103 elderly patients with vascular mild cognitive impairment who met the standard as the study objects. General data survey was conducted, including Barthel index rating scale and timed standing walking test (TUGT) and wearable gait analysis instrument for gait measurement and quantitative collection of related indexes. According to the situation of falling or not falling in the past year, they were divided into falling group and non-falling group.

Results: The comparison of Barthel index and TUGT results between the two groups of elderly patients showed statistically significant difference (P<0.05).In terms of gait parameters, the difference in step speed, step length, step frequency, single step time, standing phase, swinging phase and ground impact force was statistically significant (P<0.05).

Conclusions: When elderly patients with vascular mild cognitive impairment walked in the dual-task situation, gait parameters of the elderly with a history of fall within one year were different from those without a history of fall. The elderly with a history of fall had a slow pace, a long pace length, a low pace frequency, a long single step time, a short standing phase and a short swinging phase, and a weak ground impact. The characteristics of gait parameters can reflect the walking ability of the elderly, which can be used to identify the risk of falling in the future.

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CS2-2 Effects of an Exercise Programme on the Cognitive Function and Quality of Life of Community-Dwelling Elderly People with Mild Cognitive Impairment: A Randomised Controlled Trial

Dan Song1, Doris Yu2

1School of Nursing, Zhejiang Chinese Medical University, China, 2Nethersole School of Nursing, The Chinese University of Hong Kong, Hong Kong

Background and Objectives: Individuals with mild cognitive impairment have a heightened

risk of developing dementia. Physical exercise, especially moderate-intensity aerobic exercise, is a promising lifestyle intervention to improve the cognitive function. However, the mechanisms underlying the exercise–cognition relationship are not fully understood. Whether the cognitive benefits of exercise can improve the overall well-being of this group remains unknown. This study aims to evaluate the effects of a moderate-intensity aerobic exercise programme on cognitive function and health-related quality of life of Chinese elderly with mild cognitive impairment and to explore the mediating roles of depressive mood and sleep quality in the exercise–cognition relationship.

Methods: This is a single-blinded randomised controlled trial conducted in two urban community healthcare centres in Hangzhou City, China. Elderly people aged over 60 years screened with mild cognitive impairment were included. A total of 120 eligible participants were randomly assigned to receive either the group-based moderate-intensity aerobic exercise programme or the health education programme. Montreal Cognitive Assessment, Quality of Life-Alzheimer’s Disease, Geriatric Depression Scale and Pittsburgh Sleep Quality Index were administered at baseline before randomisation and immediately after the completion of the interventions. Analysis followed the intention-to-treat principle. Generalised estimating equation was used to compare the changes in the cognitive function and health-related quality of life over the pre-test and post-test periods between the groups. The mediating roles of depressive mood and sleep quality in the exercise–cognition relationship were examined with the PROCESS macro.

Results: Participants in the intervention group had a significantly greater improvement in terms of cognitive function (β = 1.895; 95% confidential interval [CI] = 1.421, 2.368; p < 0.001) and health-related quality of life (β= 0.605; 95% CI= 0.295, 0.914; p < 0.001) compared with the control group over the pre-test and post-test periods. The exercise–cognition relationship was significantly mediated by reduced depressive symptoms (indirect effect: β=0.705; 95% CI:1.028,0.382) and improved sleep quality (indirect effect: β=0.205; 95% CI:0.122, 0.831).

Conclusions: This study revealed the benefits and outlined the underlying mediating mechanism of an aerobic exercise programme to the cognitive function and health-related quality of life of Chinese elderly people with mild cognitive impairment. The findings provided insights into the development of public health initiatives to promote brain health amongst the elderly with mild cognitive impairment.

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CS2-3 Subjective Cognitive Decline and its Relationship with Objective Cognitive Performance and Depression Symptoms in Older Adults

Ying Zhou, Zheng Li School of Nursing, Peking Union Medical College, China Background and Objectives: Subjective cognitive decline (SCD) may be an early marker of

Alzheimer's disease (AD). However, it remains controversial about its associations with objective cognitive performance and depression symptoms.

Methods: A sample of 353 individuals aged 60-94 were recruited from a memory clinic and two community health clinics in Beijing. All participants underwent a neuropsychological assessment and completed the 30-item Geriatric Depression Scale (GDS-30) and 9-item Subjective Cognitive Decline Questionnaire (SCD-9). Linear regression models examined the cross-sectional associations between SCD, depression symptoms, and concurrent objective cognitive performance, adjusting for demographics.

Results: Among the subjects, 87.8% reported subjective cognitive decline. Multiple regression analysis showed that there was no significant association between SCD and concurrent objective cognition after adjusting for age, sex, education, and depression (P>0.05). In contrast, there was a significant association between SCD and depression after adjusting for age, sex, education, and objective cognition (P<0.001).

Conclusions: Subjective cognitive decline is very common in this study sample. Findings suggest that SCD may not be accurately consistent with objective cognitive performance, and depression symptoms may exaggerate the presence of SCD. Nurses should interpret SCD in older adults within the context of information about depression symptoms. Future study is needed to understand whether depression symptoms accelerate the conversion of SCD to AD.

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CS2-4 The Effects of Exercise on Thoracic Hyperkyphosis among Older Adults — A Systematic Review

Wei Ying Li1, Pui Hing Chau1, Agnes Tiwari2

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Nursing, Hong Kong Sanatorium & Hospital Limited, Hong Kong

Background and Objectives: Exercise has been used for improving thoracic hyperkyphosis. However, the lack of study compared the effects of different exercise on improving the condition of thoracic hyperkyphosis among older adults. The objective of this study was to review existing evidence on the effects of exercise interventions on improving thoracic hyperkyphosis among older adults.

Methods: Using three groups of keywords about exercise, thoracic hyperkyphosis, and older adults, a systematic search was performed in PubMed, Cochrane library, CINAHL Plus, EMBASE and Wanfang Med Online (Chinese). The reviewer removed duplicates, screened titles/abstracts and full-texts. Studies published in English or Chinese, tested the effect of exercise on thoracic hyperkyphosis, in individuals aged ≥ 60 with the angle of kyphosis > 40° were selected. The JBI critical appraisal tool was used to assess methodologic quality.

Results: Seven RCT and five pretest-posttest longitudinal studies fulfilled selection criteria and had satisfied quality were included. Three conducted group yoga or plates, one gave customized exercise training. Six studies conducted group spinal exercise including at least one of the following exercise categories: strength training, alignment exercise, mobility exercise, and correction practice. All studies gave interventions in the form of face-to-face exercise classes by professional instructors. Interventions lasted from 8 weeks to half-year, twice or three times a week. All studies arranged exercise classes as 60 minutes except one as 75 minutes. Three studies asked participants to do extra home practice every day. Nine studies reported the statistically significant reduction of the angle of kyphosis after the intervention, ranges from 1.75° to 6°. The studies using group spinal exercise as intervention reported more reduction, ranged from 2.2° to 6°, than yoga and plates which ranged from 1.75° to 2.3°.

Conclusions: The group spinal exercise has been found as the most effective intervention in reducing the thoracic hyperkyphosis in people aged ≥ 60.

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CS2-5 A Meta-Analysis of Risk Factors for Falls among Community-Dwelling Older Population Xing Xing Qian, Daniel Yee Tak Fong, Mandy Ho, Pui Hing Chau School of Nursing, The University of Hong Kong, Hong Kong Background and Objectives: Globally, about one-third of older people fell each year.

Understanding the risk factors is essential for development of intervention programs. Studies have reviewed the effect size of risk factors for falls in older people. However, there is a lack of reviews addressing the studies published over the past decade, and Chinese publications are usually not covered. This study was aimed to use the standard meta-analytic methods to summarize the effect size of risk factors for falls among older population in the past decade.

Methods: A meta-analysis was conducted using four English and two Chinese databases including PubMed, Cochrane library, CINAHL Plus, Embase, WanFang, and CNKI, to identify the cohort studies published from January 2008 to April 2019 that addressed the risk factors for falls among community-dwelling older people. Four groups of keyword search themes were generated from the terms “falls,” “old,” “risk factors,” and “community”. The quality of selected studies was evaluated by the Newcastle-Ottawa Scale. We extracted the odds ratios (ORs) of risk factors investigated by ≥4 studies in a comparable way, and performed a meta-analysis using a random-effect model to calculate the pooled ORs.

Results: 45 articles were included in the meta-analysis, in which 34 were appraised as having good quality. Among the 20 risk factors extracted, gender and living alone were the most frequently investigated factors. The meta-analysis shows that falls history and impaired balance were the factors having the highest risk for falls, with a pooled OR of 3.4 and 2.2 respectively. For most other factors, the pooled ORs were moderately above 1.

Conclusions: This meta-analysis provides up-to-date information of risk factors for falls in community-dwelling older people. The results are consistent with that in previous meta-analysis. Fall risk assessments and intervention strategies should target to the factors with higher risk, such as falls history and impaired balance.

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CS2-6 Evaluation of the Effectiveness of an Incontinence-Associated Dermatitis (IAD) Prevention Protocol on the Incidence of IAD among Acutely-Ill Geriatric Patients in a Tertiary Hospital in Spain

Aldin Gaspar College of Nursing, University of the Philippines Manila, the Philippines Background and Objectives: With its high incidence and prevalence rates, incontinence-

associated dermatitis (IAD) has debilitating effects, not only on the physiologic, but also on the psychological and socio-economic aspects of care of acutely-ill elderly patients. For prevention and management of IAD, a structured skin care regimen that includes gentle cleansing, moisturization, and application of a skin protectant is recommended. This study aimed to evaluate the effects of a structured IAD Prevention Protocol on the incidence of IAD among acutely-ill geriatric patients in a tertiary hospital in Spain.

Methods: A single-center, prospective, randomized-controlled trial was conducted in Hospital Monte Naranco, Oviedo, Spain. Population included acutely-ill geriatric patients (≥70 years old), who were incontinent with urine, feces, or both. After signing an informed consent, 180 patients were randomized to receive care utilizing the conventional skin care regimen, or a structured IAD Prevention Protocol for three consecutive days. Primary outcome involved the presence of IAD; while pain level, itch level, presence of decubitus ulcer, and patient satisfaction were the secondary outcomes.

Results: Significantly higher number of participants had lower pain levels (t=2.200, p=0.030), lower itch levels (t=4.928, p=0.000), lower incidence of IAD (χ2=22.160, p=0.000), & higher patient satisfaction (t=-3.766, p=0.000) in the treatment group. There was no significant difference on the incidence of decubitus ulcer (χ2=5.636, p=0.121) between the two groups.

Conclusions: The structured IAD Prevention Protocol utilized as intervention in this study was found to effectively decrease the incidence, and alleviate the development of IAD and its manifestations among acutely-ill geriatric patients.

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Concurrent Session 3: Patient-Centred CareDecember 9, 2019 (14:15-15:45) Room 1420

CS3-1 Missed Nursing Care from Patients’ Perspective in a Teaching Hospital of Malaysia Sri Theyshaini Nahasaram, Vimala Ramoo, Wan Ling Lee Department of Nursing Science, Faculty of Medicine, University of Malaya, Malaysia

Background and Objectives: An appropriate and timely delivery of nursing care to hospitalized patients enhances recovery, promotes better health outcomes, and reduces length of hospital stay. If the care is not delivered or gets delayed, it could lead to serious threats to patient’s safety. International studies have reported widely on missed nursing care (MNC) from nurses’ perspective, however, little has been explored from patients’ perspective and none from Malaysian setting. Thus, this study was aimed to assess frequency and type of MNC from patients’ perspective and patients’ satisfaction with nursing care received.

Methods: A cross-sectional study was conducted on a stratified random sample of 217 patients from 6 medical and 4 surgical in-patient wards of a 1250-bedded teaching hospital in Malaysia. Data collected using self-administered Missed Nursing Care – Patient Version questionnaire were analysed using univariate and multiple linear regression with SPSS version 22.

Results: The overall mean of MNC in this study was 1.90(SD=0.54). 96.8% of the patients reported that nurses missed at least one nursing care during their stay. “Nurses introducing themselves to patients” (M=3.74, SD=1.36) was the most frequently missed care, while “considering opinions raised by patients” (M=1.07, SD=0.43) was the least missed. Overall, patient satisfaction score was noted high (M = 4.02, SD = 0.87). A Pearson correlation showed a significant association between occurrences of MNC and patients’ overall satisfaction on nursing care received (r= - 0.31; p<0.001). A stepwise multiple linear regression showed types of ward was significantly contributing to MNC (p<0.05).

Conclusions: The MNC rate found in this study poses a significant concern to patient safety and patient satisfaction, which are among the key performance indicators of healthcare organizations. Identifying factors associated with MNC will assist in planning targeted interventions to reduce occurrences of MNC. Thus, further studies are recommended to assess MNC in-depth using multifactorial and multi-centred approach.

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CS3-2 The Burden of Mental Ill Health Associated with Childhood Maltreatment in the United Kingdom: A Retrospective Cohort Study

Joht Chandan1, Tom Thomas1, Krishna Gokhale1, Siddartha Bandyopadhyay2, Julie Taylor3

1Insitute of Applied Health Research, University of Birmingham, the United Kingdom, 2Department of Economics, University of Birmingham, the United Kingdom, 3School of Nursing, University of Birmingham, the United Kingdom

Background and Objectives: Childhood maltreatment is a global public health, human rights and moral issue that is associated with a vast mental health burden. This study explores the association between childhood maltreatment and the development of mental ill health, also measured by the initiation of new prescriptions for mental ill health.

Methods: Retrospective cohort study using the UK primary care database, ‘The Health Improvement Network’ between 1st January 1995 - 31st December 2018. 217 758 patients of all ages who had experienced childhood maltreatment or related concerns (exposed patients) were matched to 423 410 unexposed patients. Outcomes of interest were depression, anxiety or serious mental illness or initiation of a prescription drug used to treat mental ill health. The average age at cohort entry was 12 years and length of follow-up was 2.7 years.

Results: At study entry, the exposed cohort had an increased likelihood of having experienced mental ill health (OR 3·07; 95% CI 3·00-3·15) and mental ill health related prescription (OR 1·27; 95% CI 1·23-1·31) compared to the unexposed group. In keeping with previous literature, of individuals without pre-existing mental ill health, the exposed group developed 11 665 new diagnoses (Incidence Rate (IR) 16·8 per 1 000 person years) compared to 15 301 (IR 8·3 per 1 000 person years) in the unexposed group. This translated to an adjusted IRR 2·14 (95% CI 2·08-2·19). There were 30 911 new prescriptions (IR 46·5 per 1 000 person years) within the exposed group compared to 36 390 (IR 20·5 per 1 000 person years) in the unexposed group (IRR 2·44 (95% CI 2·40-2·48)). The relationship with the development of mental ill health became even more apparent when examining the officially confirmed cases of maltreatment.

Conclusions: Childhood maltreatment is thought to affect one in three children; therefore, a doubling of the risk of developing mental ill health among these individuals represents a substantial contribution to the mental ill health burden in the UK. It is imperative that public health approaches, including those aimed at preventing and detecting childhood maltreatment and its associated negative consequences, are implemented in order to prevent mental ill health.

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CS3-3 Evaluation on Child Life Service in Management of Children who Undergo Medical Procedures

Janet Yuen Ha Wong, Ka Wai Yim, Suk Fun Lam, Yin Yim Lau, Pui Hing Chau School of Nursing, The University of Hong Kong, Hong Kong

Background and Objectives: Commonly, children undergoing daily medical procedures experience stress and pain. Previous studies have shown that children and their family members can benefit from psychosocial services and interventions provided by Child Life Specialists in western countries. However, not many pieces of research related to Child Life Services have been conducted in Hong Kong to evaluate its local effectiveness. This research aims to evaluate the effectiveness of the Child Life Service in reducing the level of pain and fear experienced by sick children during daily medical procedures.

Methods: 200 participants will be recruited for the study using convenient sampling method. They were either assigned to the intervention group on the days with Child Life Service provision in UCH and to the control group when services are not available. Children’s fear level and pain level were measured in this research after the intervention.

Results: This is an interim report of the study. A total of 132 children aged between 4 and 15 (intervention group = 61 and control group = 71) admitted to the UCH were recruited from 02/2019 to 06/2019. 68% of the participants received either full or partial intervention. No statistical significance was shown in the mean score of the fear level between the intervention group and the control group (Mean = 1.75, SD = 1.49), p-value = 0.077. Besides, there is no significant differences between the mean score of the pain level between the intervention group (Mean = 1.31, SD = 1.29) and control group (Mean = 4.39, SD = 3.31), (p-value = 0.134). All these preliminary results show there is no statistical significance between the intervention group and the control group, yet both the fear and pain levels in the intervention group are lower than those in the control group.

Conclusions: Although the mean scores are more favorable in the intervention group for both the fear and pain level, preliminary results cannot show any statistical significance. Further investigation is needed to see the effectiveness of Child Life Service in reducing pain and fear levels in children undergoing daily medical procedures.

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CS3-4 Effectiveness on First Colostrum Collection from Maternity Unit to Neonatal Unit Yu Ngai Leung1, Kit Ming Yeung1, Ka Man Chan2, Lai Ping Chan1, Yuen Yu Lam2, Shui Fan Chung1,

Wing Cheung Leung1

1Department of Obstetrics and Gynecology, Kwong Wah Hospital, Hong Kong, 2Department of Paediatric, Kwong Wah Hospital, Hong Kong

Background and Objectives: Background: Early and effective breastfeeding supports with milk expression (within 6 hours after birth) are known to be crucial for the separated mother-baby dyads. Our hospital showed substantial gap in annual breastfeeding survey. In order to enhance the practice, an improvement project aiming at revamping the workflow for collection and transport of expressed breastmilk within 6 hours of birth from maternity wards to neonatal unit and strengthening milk expression skill of newly graduated midwives was implemented and commenced in January 2018. It examine the effectiveness of and staff ’s opinion on the streamlined workflow.

Methods: The revamped workflow was launched on 1st January 2018. Staffs including midwives, nurses and supporting staffs working in labour room, postnatal ward and neonatal unit (NNU) were involved in the improvement project. Numbers of first colostrum collected in maternity wards was recorded. The percentage of babies receiving colostrum (≤6 hours since birth) in NNU was examined. Opinion of staffs who have participated in workflow redesign was collected using a self-administered, structured questionnaire. The competency in hand expression and collection of colostrum for new graduate midwives in a postnatal ward was evaluated. The data were subjected to descriptive and univariate analysis.

Results: A total of 1242 newborn babies were directly admitted to NNU from delivery suite after birth in 2018. 301 babies who have received (≤ 6 hours after birth) colostrum in NNU were significantly increased by 22.2% (24.5% in 2018 versus 2.3% in 2017). The enhanced workflow was statistically associated with higher rate (OR 13.87, 95% CI 9.6-20.05, p<.001). 77% (n=23) staffs reported that the revamped workflow helped breastfeeding (mean 3.97±SD 0.67). 90% (n=28) staffs agreed that babies could receive colostrum earlier (mean 4.23±SD 0.63). 70 %( n=21) felt the necessity to change the workflow (mean 3.87± SD 0.68). The overall staff satisfaction rate was 70% (mean 3.83±SD 0.65). 80% (n=4) new graduate midwives attained competency level of ≥3.

Conclusions: More mothers were statistically significantly helped and more babies could receive early colostrum through this program. By improving communication and interdepartmental collaboration through staff engagement and empowerment, it is possible to enhance and advance our care toward excellence and expertise. Furthermore, the result translates into satisfaction of all stakeholders. The sustainability of project on the workflow enhancement and staff engagement was warranted to evaluate in the future.

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CS3-5 Factors Related to Chemotherapy-Induced Peripheral Neuropathy in Breast Cancer Patients Undergoing Chemotherapy: A Systematic Review of Literature

Preeyanan Thanakun , Chanokporn Jitpanya, Noppamat Patthong Faculty of Nursing, Chulalongkorn University , Thailand

Background and Objectives: Chemotherapy-Induced peripheral neuropathy (CIPN) is an adverse effect experienced by most breast cancer patients. Clinically, chemotherapy-induced peripheral neuropathy presents as deficits in sensory, motor, and autonomic function which negatively affect daily functioning and quality of life in breast cancer patients. There are many factors relating to CINP. Purpose: To describe CIPN and to identify factors related to CIPN in breast cancer patients undergoing chemotherapy.

Methods: Databases of literature were screened. Research articles from the year 2000 – 2018 were reviewed, analyzed, and synthesized.

Results: Thirteen articles met the inclusion criteria. The final model of factors influencing CIPN in breast cancer patients were physiological factors including age, body mass index, cumulative dose, treatment schedule, chemotherapy regimen, dose per cycle, duration of infusion, sleep impairment, fatigue, comorbidity, stage of disease. Psychologic factors included anxiety, depression and situational factors including physical activity, food and vegetables intake and antioxidant intake.

Conclusions: Results of this review could be used as evidences in improving nursing care. Nurses should intervene modifiable factors such as sleep, fatigue, and eating behaviors. Keywords: chemotherapy induced peripheral neuropathy, breast cancer, factors, sleep, fatigue

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Concurrent Session 4: Smoking Cessation and Tobacco ControlDecember 9, 2019 (16:15-17:30) Lecture Room

CS4-1 Smoking Behavior of Chinese Smoking Expectant Fathers, and Predictors of Smoking Abstinence after Their Partner Got Pregnant: A Cross-Sectional Study

Wei Xia, William Ho Cheung Li School of Nursing, The University of Hong Kong, Hong Kong Background and Objectives: Long-term secondhand smoke can negatively affect the health

of pregnant women, fetuses, and newborns. About 40% of Chinese expectant fathers are current smokers and rarely quit smoking. However, no intervention exists in practice. To guide the development of effective interventions, this study aimed to evaluate the smoking behavior and explore predictors of smoking abstinence among smoking expectant fathers after their partner got pregnant.

Methods: A cross-sectional survey was conducted. Expectant fathers who smoked at least one cigarette per day for 1-month within the past 12-month were invited to participate in this study. A total of 466 participants were recruited and asked to complete a structured questionnaire that assesses their smoking behaviors before and after their partners got pregnant. LASSO regression was performed to select features associated with smoking abstinence. Multivariable logistic regression was conducted to identify predictors of expectant fathers’ abstinence of smoking after their partners got pregnant.

Results: The results indicated that 329 (70.6%) of the participants were current smokers, while 144 (30.9%) were quitters. The multivariable logistic regression analysis found that first-time expectant father (OR 2.08; 95% CI 1.02 to 3.85; p= 0.046), severe dysfunction family (OR 0.48; 95% CI 0.24 to 0.95; p=0.036), knowledge on the health hazards of smoking among the smokers themselves (OR 1.39; 95% CI 1.24 to 1.58; p<0.001), knowledge on the health hazards of SHS among the pregnant women (OR 1.46; 95% CI 1.09 to 1.97; p<0.001), knowledge on the health hazards of SHS among the fetus and newborns (OR 1.58; 95% CI 1.25 to 2.03; p<0.001) were significant predictors of expectant fathers’ smoking abstinence after their partners got pregnant.

Conclusions: Finding in this study will aid the development of appropriate and innovative smoking cessation interventions that can promote smoking cessation among smoking expectant fathers.

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CS4-2 A Pragmatic Randomized Controlled Trial of Physicians’ Very Brief (30-Second) Smoking Cessation Intervention in China

Yee Tak Derek Cheung1, Nan Jiang2, Chao Qiang Jiang3, Run Sen Zhuang4, Wen Hui Gao4, Jian Zhou5, Jin Hong Lu6, Hui Li7, Jun Feng Wang8, Yi Sheng Lai9, Jun Sheng Sun9, Jiu Chang Wu10, Chiang Ye10, Na Li9, Gang Zhou3, Jing Ying Chen11, Xiu Yan Ou12, Liu Qing Liu13, Zhuang Hong Huang14, Sai Yin Ho15, Ho Cheung William Li1, Sheng Hua Su16, Yan Yang17, Yuan Jiang17, Wei Hua Zhu4, Lie Yang3, Peiru Lin18, Yao He19, Kar Keung Cheng20, Tai Hing Lam15

1School of Nursing, The University of Hong Kong, Hong Kong, 2Department of Population Health, School of Medicine, New York University, USA, 3Guangzhou No.12 Hospital, Guangzhou Guangdong Province, China, 4Shenzhen Health Education and Promotion and Promotion Centre, Shenzhen, China, 5Department of Respiratory Medicine, the Second Affiliated Hospital of Guangzhou Medical University, Guangzhou, China, 6Traditional Chinese Medical Hospital of Huangpu, Guangzhou, China, 7Shenzhen Bao’an District Songgang People’s Hospital Hongqiaotou Community Health Service Center, Shenzhen, China, 8The Fifth Affiliated Hospital of Sun Yat-sen University, Zhongshang, China, 9Shenzhen Longgang District Central Hospital, Shenzhen, China, 10Shenzhen Bao’an District Fuyong Hospital, Shenzhen, China, 11Shenzhen Longgang District Second People’s Hospital, Shenzhen, China, 12ZhongShan City People Hospital, ZhongShan, China, 13Longhua District People’s Hospital Yansong Community Center, Shenzhen, China, 14The First Affiliated Hospital of Shantou University Medical College Guan Bu Zhai Mei Healthcare Station, Shantou, China, 15School of Public Health, The University of Hong Kong, Hong Kong, China, 16Health Care Center for Cadre of Guangdong Province, Guangzhou, China, 17Tobacco Control Office, Chinese Center for Disease Control and Prevention, China, 18Guangzhou First Municipal People’s Hospital, Guangzhou Medical University, Guangzhou, China, 19Institute of Geriatrics, Chinese PLA General Hospital, Beijing, China, 20Institute of Applied Health Research, University of Birmingham, the United Kingdom

Background and Objectives: Three to 10 minutes of smoking cessation advice by physicians

is effective but not routinely practiced in most countries, partly because it is not brief enough and not feasible. We tested if a very brief (about 30 seconds) intervention during outpatient consultations effectively increased cessation.

Methods: This was a pragmatic two-arm randomized controlled trial. Participants were adult current smokers recruited by 424 physicians from 72 medical outpatient departments of hospitals or community health centers in Guangdong, China. The intervention group (n=7,015) received a standard 30-second intervention, which included a physician’s brief warning, specifying “the WHO warned that one in two smokers will be killed by smoking but new research updated the risk to 2 in 3 smokers”, a leaflet with strong graphic warnings, explicit images of serious diseases and motivational messages to quit, and a small card showing the telephone numbers of available cessation services. The control group (n=6,656) received a card and an information leaflet about eating fruits and vegetables. The primary outcome was self-reported tobacco abstinence in the past 7 days at the 12-month follow-up. Secondary outcomes included 30-day self-reported abstinence, carbon monoxide and saliva cotinine validated abstinence, quit attempts, smoking reduction by 50% or more, and the use of smoking cessation services.

Results: By intention-to-treat, the intervention (vs. control) group had greater self-reported 7-day abstinence (9.1% vs 7.8%; odds ratio [OR]=1.14; 95% confidence interval [CI], 1.03-1.26; P = .007), 30-day abstinence (8.0% vs 6.9%; OR=1.14; 95%CI, 1.03-1.27; P = .01), and smoking reduction (18.% vs 16.6%; OR=1.12; 95%CI, 1.04-1.20; P=.003) at the 12-month follow-up. Other outcomes were not significantly different between the 2 groups.

Conclusions: The very brief smoking cessation intervention effectively increased tobacco abstinence by about 14% at the 12-month follow-up. If delivered widely, it can be more impactful than all prior brief interventions.

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CS4-3 Prospective Associations of Partner Smoking with Mental and Perceived Family Well-Being in Mothers of Young Children

Hiu Laam Chan1, Tzu Tsun Luk1, Tai Hing Lam2, Sophia Siu Chee Chan1, Man Ping Wang1

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Public Health, The University of Hong Kong, Hong Kong

Background and Objectives: Nearly one-third of mothers whose partners are smokers in Hong Kong. Yet, studies on the impacts of partner smoking on the well-being of mother and family are limited. This study examined the associations of partner smoking (mostly husband) with mental and perceived family well-being in mothers of young children in Hong Kong.

Methods: A 3-year prospective cohort of 422 non-smoking mothers with young children (aged ≤18 months) were enrolled from four Maternal and Child Health Centres. Mother reported partner smoking, depressive symptoms (Patient Health Questionnaire-9 [PHQ-9]), happiness level (Subjective Happiness Scale score [SHS]; range 1–7), and perceived family harmony and family happiness (each measured on a Likert scale of 0 to 10). Linear and logistic regression were used to examine the prospective association of partner smoking with depression symptoms, happiness and family well-being, adjusting for age, education level and monthly household income.

Results: 169 (40%) partners of mothers were smokers. 5.7% (95%CI: 3.9%, 8.3%) mothers had risk of depression (scoring >4 on PHQ-9); the mean±SD score of SHS, perceived family harmony and happiness were 5.3±1.0, 7.7±1.4 and 7.7±1.4, respectively. Multivariable analyses showed that mothers whose partners were smoking (vs non-smoking) were associated with an increased risk of depression (AOR=3.72, 95% CI: 1.46, 9.44), lower happiness level (adjusted b= -0.067, 95% CI: -0.13, 0.0034), and lower levels of family harmony (adjusted b= -0.28, 95% CI: -0.56, -0.0033) and family happiness (adjusted b= -0.36, 95% CI -0.64, -0.085). The results were similar after excluding fathers who initiated (n=19) or quit smoking (n=20) during the study period.

Conclusions: Partner smoking predicted adverse mental and perceived family well-being in mothers of young children. The findings, if confirmed by further studies, could be a new warning for motivating male smokers to quit.

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CS4-4 Examining the Perceptions and Experiences of Heated Tobacco Products Use in Chinese Smokers in Hong Kong: A Qualitative Analysis

Yongda Wu1, Janet Yuen Ha Wong1, Tzu Tsun Luk1, Sheng Zhi Zhao1, Jung Jae Lee1, Sai Yin Ho2, Takahiro Tabuchi3, Tai Hing Lam2, Man Ping Wang1

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Public Health, The University of Hong Kong, Hong Kong, 3Cancer Control Center, Osaka International Cancer Institute, Japan

Background and Objectives: Heated tobacco products (HTPs) are increasingly popular,

especially in East Asia. Promotions of HTPs often involved health claims. These claims may affect HTP users’ perceptions and subsequently usage, but current knowledge is lacking, especially in Chinese smokers. The cultures in HK may also affect HTP use. This study investigated the perceptions and experiences of heated tobacco products (HTPs) in Chinese smokers in Hong Kong, where HTPs are not formally marketed.

Methods: Qualitative interviews were conducted on 22 Cantonese-speaking Hong Kong adults aged ≥15 in 2018, including 6 past HTP users, 8 current HTP only users and 8 dual users (HTPs and cigarettes). The semi-structured interview guide included: (1) the occasion to become aware of HTPs and the information received; (2) experiences and patterns of using HTPs; (3) perceptions of HTPs; (4) the reasons for continuous use /cessation of HTPs. All interviews were audio-recorded and transcribed verbatim. The transcripts were analyzed by 2 coders independently following the principles of thematic analyses. The disagreements on the codes were resolved through discussion and reanalysis of the transcripts.

Results: Information on HTPs was from unreliable sources (e.g. social network), which led to the myths of the health effects of HTPs. But health was not always the top concern for use. HTPs help sustain smoking since they can provide acceptable sensations compared with cigarettes. Having less odor and smoke from HTPs was especially appealing and misperceived as less harmful to non-smokers.

Conclusions: The coexisting individualistic and collectivist cultures in HK favors HTP use. HTPs may hinder further tobacco control. Public health education is needed to disseminate the scientific evidence of the harmful effects of HTPs, and continuous monitoring is warranted.

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Concurrent Session 5: Health Promotion and Disease PreventionDecember 9, 2019 (16:15-17:30) Room 1320

CS5-1 Impact of a Community-Based Participatory Physical Activity Intervention for Community-Dwelling Older Adults in a Low-Income Neighbourhood in Hong Kong: A Mixed Methods Study

Janet Lok Chun Lee1, Rainbow Tin Hung Ho1, 2

1Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, 2Centre on Behavioral Health, The University of Hong Kong, Hong Kong

Background and Objectives: To investigate the impact of the neighbourhood-based physical

activity (PA) intervention co-designed by community-dwelling older adults, social worker, and researcher using the convergent parallel mixed-methods approach.

Methods: A pre-post design approach was used. World Health Organization criteria on PA and Rapid Assessment on Physical Activity were used to assess the change in PA. Chinese self-efficacy for exercise scale, Chinese barriers to exercise scale, five-item neighbourhood cohesion scale, environmental supports for physical activity questionnaires were used to assess changes in participants at individual, social, and environmental levels. 30-second chair stand test and tandem stance test were used to assess physical functional change. Individual semi-structured interviews were conducted to collect qualitative feedback to compare with quantitative data.

Results: Following the intervention, twenty participants (43%) were able to fulfill PA recommendations suggested by WHO. For acute intervention effects, RAPA score on aerobic physical activity at post-intervention (Mdn = 6.0) was statistically significantly higher than pre-intervention (Mdn = 3.0), Z=-5.452, p=<0.001. RAPA score on anaerobic physical activity at post-intervention (Mdn = 3.0) was statistically significantly higher than pre-intervention (Mdn = 2.0), Z=-5.082, p=<0.001. In terms of change in exercise attitude, there were significant increase in exercise self-efficacy and decrease in exercise barriers. In terms of changes in the physiological and physical parameter, there were significant reduction in blood pressure and improvement in balance. The effect ranged from small to medium (Cohen’s d: 0.30-0.53, all p<0.01). Integration of quantitative and qualitative data reveals that while quantitative evaluation suggested insignificant change in participant’s usage of public PA resources in the neighbourhood, qualitative data reveals that participants increased usage and has better utilization of public outdoor exercise facilities after the intervention.

Conclusions: The positive findings suggest that PA intervention developed using community-based participatory research approach is effective in promoting PA in the community.

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CS5-2 Effects of Internet-Based Psycho-Educational Interventions on Mental Health and Quality of Life among Cancer Patients: A Systematic Review and Meta-Analysis

Ying Wang1, Yazhu Lin1, Jingyi Chen1, Chunfeng Wang1, Rong Hu1, Yong Wu2

1School of Nursing, Fujian Medical University, China, 2Department of Hematology, Fujian Medical University Union Hospital, China

Background and Objectives: Cancer can dramatically influence the physical and psychological

of patients and has been the highest barrier to increasing life expectancy. The process of treating cancer is usually complex. Nowadays, the internet is used more frequently for particular types of intervention and to provide psycho-oncological support. The aim of this study is to systematically review evidence regarding the benefits of Internet-based psycho-educational interventions among cancer patients.

Methods: We performed a systematic review with meta-analysis and qualitative evidence synthesis. Systematic searches for published studies in English or Chinese identified eligible randomized and clinical controlled trials. The following databases were searched: Medline, Embase, CINAHL, PsycINFO, Web of Science, Cochrane Central Register of Controlled Trials (CENTRAL), Proquest Digital Dissertations, Foreign Medical Retrieval System, China National Knowledge Infrastructure, China Science and Technology Journal Database, China Wanfang Database, and Taiwanese Airiti Library. We also searched the grey literature and reviewed reference lists from relevant articles. Studies were scored for quality using the Cochrane Risk of Bias Tool.

Results: Seven eligible studies (1,220 participants) were identified that used three intervention tools: website programs (n = 5), e-mail counseling (n = 1), and a single-session psycho-educational intervention (n = 1). The quality of all studies was moderate. The meta-analysis showed that Internet-based psycho-educational interventions had a significant effect on decreasing depression [standardized mean difference (SMD) -0.58, 95% confidence interval (CI) (-1.12, -0.03), P = 0.04] and fatigue [mean difference (MD) -9.83, 95% CI (-14.63, -5.03), P < 0.01]. However, there was no evidence for effects on distress [SMD -1.03, 95% CI (-2.63, 0.57), P = 0.21] or quality of life [MD 1.10, 95% CI (-4.42, 6.63), P = 0.70].

Conclusions: Internet-based psycho-educational interventions appear to have potential benefits on fatigue and depression in cancer patients. More rigorous studies with larger samples and long-term follow-up are warranted to investigate the effects of these interventions on cancer patient quality of life and other psychosocial outcomes.

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CS5-3 Effectiveness of Adventure-Based Training Program in Enhancing Competence, Resilience and Self-Efficacy in Nursing Students Preparing for Clinical Practicum

Sharis Wing Gi Kwan, William Ho Cheung Li School of Nursing, The University of Hong Kong, Hong Kong Background and Objectives: Clinical practice is a vital component of nursing education that

provides students with real-life opportunities to practice in hospital and community settings. Nevertheless, with the increasing complexity of the health care system, accountability for patient care and expectations for higher-quality service from the general public, the clinical practicum can be a very stressful experience for nursing students that requires the development of competence, resilience and self-efficacy in school. Adventure-based training has been found to be effective in promoting resilience and self-efficacy in primary and secondary school students, but large-scale studies of its effectiveness remain scarce. It is unclear from the literature whether an adventure-based training programme could enhance nursing students’ competence, resilience and self-efficacy in preparation for their clinical practicum, so rigorous empirical scrutiny of its effectiveness is needed.

Methods: Before the main interventional study, a pilot study was conducted to determine the feasibility of the study protocol, its acceptability by the participants and the appropriateness of the evaluation tools. A randomised controlled trial was then conducted (i.e., the main interventional study). Of 146 Year Two nursing students between 19 and 25 years of age recruited from a Hong Kong institution of higher education, 74 were randomly assigned to the experimental group to participate in two sessions of a 1-day adventure-based training programme, and 72 were assigned to the wait-list placebo control group to receive a placebo intervention. All subjects were assessed for competence, resilience and self-efficacy at the baseline and at 3 and 6 months after the intervention began.

Results: Statistically significant differences in competence, resilience and self-efficacy were seen between the groups. Results of mixed between-subjects and within-subject analysis of variance show that the participants in the experimental group reported significantly higher levels of competence, resilience and self-efficacy than those in the wait-list placebo control group. The partial eta squared value indicated a large intervention effect size.

Conclusions: This is the first randomised controlled trial to examine the effectiveness of an adventure-based training programme for nursing students in preparation for their clinical practicum. Overall results provide evidence that such training is effective in enhancing competence, resilience and self-efficacy in nursing students in preparation for their clinical practicum.

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CS5-4 Development of an Evaluation Tool for Smoking Cessation Clinics and Services Tai Hing Lam1, Yan Yang2, Yuan Jiang2, Wei Hua Zhu3, Peiru Lin4, Yao He5, Chao Qiang Jiang3, Derek

Yee Tak Cheung6, Sai Yin Ho1, William Ho Cheung Li6, Kar Keung Cheng7, Nan Jiang8, Sheng Hua Su9

1School of Public Health, The University of Hong Kong, Hong Kong, 2Tobacco Control Office, Chinese Center for Disease Control and Prevention, China, 3Guangzhou No.12 Hospital, Guangzhou No.12 Hospital, China, 4Guangzhou First Municipal Peoples Hospital, Guangzhou Medical University, China, 5Institute of Geriatrics, Chinese PLA General Hospital, China, 6School of Nursing, The University of Hong Kong, Hong Kong, 7Insititute of Applied Health Research, University of Birmingham, the United Kingdom, 8Department of Population Health, School of Medicine, New York University, the United States of America, 9Health Care Center for Cadre of Guangdong Province, Health Care Center for Cadre of Guangdong Province, China

Background and Objectives: Most, if not all, smoking cessation (SC) clinics are passive, depending on motivated smokers to proactively seek help, and thus have great difficulties in receiving the expected number of smokers. This project, commissioned by Tobacco Control Office, Department of Health of Hong Kong SAR Government, developed and published an evaluation tool (E-tool, version 1.1) for SC clinics and services, which can be used to evaluate the quality and outcomes, and provide an outcome-oriented guidance for setting up new clinics and services.

Methods: The project team gathered documentations and data from SC clinics in Hong Kong, Guangzhou and Beijing. Stakeholders discussed and agreed on what would be the most appropriate items for the E-tool. The finalized E-tool consists of 33 most basic and essential items in 4 assessments (https://mrct.sph.hku.hk/): Organization (manpower, equipment, technology and system), Environmental (environment, publicity and referral), Process (Patient intake, documentation, follow-up response and assessment) and Outcome (Abstinence and smoking reduction rate).

Results: The E-tool draft was pilot-tested by 34 SC clinics, hospitals and governmental health bureaus from China Mainland (Beijing, Wuhan, Macao, Guangzhou, Shenzhen and Hong Kong), Philippines, Malaysia, Japan and Korea from 2015-17. Mean and median score was 71.2 and 77.2 (Range: 23.4-100). All SC units scored 10 or above in the organization assessment (Full score 17). 24 (70.6%) units scored 10 or above in the environmental assessment (Full score 14). 21 (61.8%) units scored 18 or below in the process assessment. In the outcome assessment, 16 (47.1%) service units did not have any follow-up assessment on long-term abstinence status.

Conclusions: Most SC units in Asia-Pacific region hade good organization and environmental factors to operate, but poor process and outcome assessment. Resources to improve publicity of the services, increase referral of smokers, conduct follow up scientific assessment on the service outcomes are needed.

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Concurrent Session 6: Chronic IllnessesDecember 9, 2019 (16:15-17:30) Room 1420

CS6-1 Sex-Specific Impact of Diabetes on Short- and Long-Term Mortality Among Adults with Acute Myocardial Infarction: A Systematic Review and Meta-Analysis

Qinglan Ding1, 2, Marjorie Fun2, Robin Whittemore2, Haiqun Lin3, Erica Spatz4, Rachel Dreyer5, Nancy Albert6

1College of Health and Human Sciences, Purdue University, the United States of America, 2Yale School of Nursing, Yale University, the United States of America, 3Rutgers School of Nursing, Rutgers University, the United States of America, 4Section of Cardiovascular Medicine, Department of Internal Medicine, Yale School of Medicine, the United States of America, 5Department of Emergency Medicine, Yale School of Medicine, the United States of America, 6Office of Nursing Research and Innovation, Cleveland Clinic Health System, the United States of America

Background and Objectives: Diabetes mellitus is a well-established risk factor for cardiovascular

disease and is associated with higher risks of acute myocardial infarction (AMI) and mortality after AMI. There is some evidence to suggest that diabetes exerts a greater negative impact on post-AMI mortality in women than men. This study aimed to conduct a comprehensive systematic review with meta-analysis to determine whether diabetes confers the same excess risk of death in women and men after AMI.

Methods: We searched PubMed, Embase, MEDLINE, and Cochrane Library databases (1945-2018) to identify studies. Studies were included if they included both women and men with diabetes and AMI, provided sex-specific risk estimates of relative risks (RRs), and results were at least adjusted for age. Of 2,623 identified articles, 186 studies met inclusion criteria. Random effects meta-analyses models were used to obtain pooled sex-specific RRs of short- (in-hospital or 30 days after discharge) and long-term (>30 days) mortality for adults with diabetes compared with those without diabetes.

Results: 22 studies had sufficient data for sex-specific statistical analysis. In multivariable-adjusted analyses, RRs for short- and long-term mortality were higher in AMI patients with diabetes than those without and were higher for women than men. The pooled multivariable-adjusted RRs for short-term mortality among patients with diabetes versus those without was 1.84 (95% CI 1.25-2.27) in women versus 1.37 (95% CI 1.12-1.69) in men. For long-term mortality, the pooled adjusted RRs in patients with diabetes versus those without was 1.56 (95% CI 1.37-1.78) in women and 1.35 (95% CI 1.22-1.50) in men.

Conclusions: Both short- and long-term mortality after AMI were significantly increased in men and women with diabetes. Compared with men, the impact of diabetes on short- and long-term mortality after AMI appeared to be stronger in women.

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CS6-2 Measurement of Fatigue in Patients with Chronic Liver Disease: A Systematic Review Surachai Maninet, Chanokporn Jitpanya, Yupin Aungsuroch Faculty of Nursing, Chulalongkorn University, Thailand Background and Objectives: Fatigue is recognized as prevalent and problematic leading to

diminish functional status and quality of life in patients with chronic liver diseases. Although several instruments assessing fatigue have been developed and validated, yet inconsistent results when administered among this population cause overwhelming for nurses to select an adequate tool with sound psychometric properties. This study aimed to critically appraise and compare the characteristics and measurement properties of self-report questionnaires measuring fatigue in patients with chronic liver disease.

Methods: This study was performed according to the PRISMA guidelines. A systematic search was conducted across 9 databases. The quality of the selected studies was assessed using the COSMIN checklist. Data were summarized and analyzed descriptively. Pooled data were analyzed using SPSS for Windows version 22.0.

Results: Forty-five studies were included in systematic review involving 8,524 participants. Nineteen of different fatigue measure instruments were commonly used across the studies, which divided into 3 categories including multidimensional (n=14), unidimensional (n=4) and multiple-symptom measures (n=1) scales. Nineteen studies reported internal consistency of Cronbach’s alpha of the fatigue measure instruments ranged from 0.82 to 0.97. Most scales demonstrated moderate to high test–retest correlations. Only 4 scales have been tested for the validity, which reported acceptable results. The Fatigue Impact Scale was the most frequent used to assess fatigue among this patient groups. However, Fatigue Severity Scale was the easiest to administer, have been widely used, and reported sound psychometric properties.

Conclusions: This review provides evidence about the characteristics of existing instruments that measuring fatigue as well as their psychometric properties. The findings would assist nurses to select the simple, easy to use, and give useful information about fatigue.

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CS6-3 The Affecting Factor of Discomfort in Diabetic Foot Ulcers: A Theoretical Modeling Using Structural Equation Modeling

Dewi Gayatri1, Elly Nurachmah2, Muchtaruddin Mansyur3, Pradana Soewondo4

1Basic Science and Fundamental of Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia, 2Medical Surgical Nursing Department, Faculty of Nursing, Universitas Indonesia, Indonesia, 3Community Medicine Department, Faculty of Medicine, Universitas Indonesia, Indonesia, 4Internal Medicine Department, Faculty of Medicine Universitas Indonesia, Indonesia

Background and Objectives: Comfort is vital in nursing care, nevertheless, this aspect remains

neglected. Patients experiencing chronic ulcers may feel discomforts, and these subsequently affect patients’ psychological, spiritual, social and cultural well beings. The study aimed to examine the theoretical comfort model in diabetic foot ulcer patients.

Methods: This study employed cross sectional design involving 140 patients with diabetic foot ulcers. This study used Discomfort Evaluation of Wound Instrument (DEWI) that was developed and tested for reliability and validity on the previous study. Data was analysed using Structural Equation Modelling and M plus programs.

Results: Results of the study showed that diabetic foot ulcers significantly contributed to discomforts and affected emotional- psychological state. Discomforts, in addition, could increase the emotional- psychological disturbances. Our study interestingly found that family supports would lower patients’ emotional- psychological disturbances. There was a reciprocal association between discomforts and emotional- psychological disturbances. Nonetheless, the study indicated no significant link between patients’ characteristics and discomforts and emotional- psychological state.

Conclusions: Our study suggested holistic nursing care for patients with chronic ulcers, particularly diabetic foot ulcers. In addition, further studies to examine stress management with family involvement are essential to promote patients’ comfort and quality of life.

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CS6-4 Effect of Cognitive Behavioural Therapy (CBT) for People Undergoing Haemodialysis: A Systematic Review

Blessy Prabha Valsaraj1, Shripathy M Bhat2, Jyothi Mallya3

1Community and Mental Health, College of Nursing, Sultan Qaboos University, Oman, 2Department of Psychiatry, Kasturba Medical College, Manipal Academy of Higher Education, India, 3Library, Welcomgroup Graduate School of Hotel Administration, India

Background and Objectives: People affected with chronic kidney disease undergo myriad of physical and psychosocial complications due to the chronicity and burden of disease and studies testing efficacy of CBT are scarce. Objective: To analyze the effect of CBT in anxiety, depression, adherence and quality of life of haemodialysis patients.

Methods: The review was conducted based on the guidelines described in Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) that ensures transparent reporting of systematic reviews. The review was carried out independently by the three authors. A comprehensive and extensive review of the relevant original studies published between the year 2000 and 2019 were carried out in the online data sources such as Pro Quest, CINAHL, Cochrane Library, PubMed, Ovid SP, Science Direct, Scopus and Web of Science along with the hand search of grey literature and direct contacting of the authors. The search terms used were; ‘cognitive behavior therapy’, ‘effectiveness’, ‘haemodialysis’, ‘anxiety’, ‘depression’, ‘adherence’, ‘compliance’ and ‘quality of life’. Detailed search strategy specific to each database were applied.

Results: Through the online database search, 285 studies were obtained and further three studies were accessed through the search of grey literature. Nine studies were selected after screening for inclusion and exclusion criteria, in which six found that CBT is effective in reducing the depression (p = 0.001). One study reported reduction in anxiety with p=0.001. Five studies found that CBT is effective in achieving the fluid adherence with p value ranging from 0.001 to 0.002. Diet adherence was found to be improved in two studies with p values 0.001 and 0.006. The quality of life also was found to be improved with CBT in three studies (p= 0.001, 0.001, 0.04).

Conclusions: CBT was found to be effective in alleviating anxiety and depression, improving fluid, diet and drug adherence and quality of life of people undergoing hemodialysis.

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Concurrent Session 7: Health Care Systems and PolicyDecember 10, 2019 (09:30-11:30) Lecture Room

CS7-1 Patient Safety Practices in Population-Focused Health Care: A Narrative Review of Literature

Luz Barbara Dones College of Nursing, University of the Philippines Manila, the Philippines Background and Objectives: Public health nurses are expected to provide population-focused

care with patient safety as a cornerstone of quality nursing care. Unfortunately, patient safety has not received attention in the specialty of public health nursing owing to conceptual challenges of applying this individual level concept to populations. The aim of this study is to explore current literature on factors affecting patient safety practices in population-focused care in primary health care facilities.

Methods: A comprehensive search strategy was used to search four major databases for peer-reviewed publications on patient safety practices in population-focused care rendered in primary health care facilities. The articles were published from 2015-2018 and written in English. A narrative analysis was undertaken.

Results: Issues highlighted the factors related to structural, operational and system failures and process errors of commission and omission occurring at population level of practice.

Conclusions: The above issues provide evidence on the inability of health systems to deliver safe population-based care. There is a need to develop Public Health Nurse-sensitive indicators on safe population-focused care. When competent Public Health Nurses work in supportive systems, population-patient safety is preserved.

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CS7-2 Strategies for Improving Working Conditions of Public Hospitals in South Africa Zodwa Manyisa Department of Health Studies, University of South Africa, South Africa

Background and Objectives: In south Africa, employees in public hospitals work under horrific conditions and as a result they are subjected to psychological stress, low morale and burnout. These poor working conditions were attributed to poor infrastructure, inadequate resources, poor interpersonal relationships, flawed communication channels, lack of support and unsafe environment. The purpose of the study was to propose strategies for improving working conditions of public hospitals in Mpumalanga Province, South Africa.

Methods: Research design and methods: An explorative sequential mixed method approach was used for this study. The study comprised two phases, namely: Phase 1: Qualitative approach. Thirty-two participants were purposefully selected to participate in the qualitative study. The sample comprised senior managers, middle managers, operational managers, occupational health nurses and employee representatives. In-depth individual interviews were used to obtain information regarding the statuses of the working conditions of public hospitals in Mpumalanga Province. Phase 2: Quantitative approach This phase comprised a total of 344 employees. A self-administered questionnaire was used to obtain data from different categories of employees, namely; nurses, doctors, physiotherapists, pharmacists and other health care providers as well as administrative officers.

Results: The study suggests that Improvement should focus on enablers such as leadership commitment, infrastructure, resources, interpersonal relationships, support and education and training, appointment of more occupational health nurses, compliance to the health and safety standards and guidelines, improving security systems in the institutions and holding frequent health and safety meetings between safety officers, managers and employees.

Conclusions: From the results of the study it is evident that improvement can only be achieved if employees and managers work interdependently for the betterment of the working conditions of their hospitals. It is therefore envisaged that the proposed strategies will be used as a framework for improving the working conditions in these public hospitals.

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CS7-3 Theory of Nursing Advocacy to Improve Patient Outcomes : A Theory Synthesis Sunyoung Park 1, Hyeonkyeong Lee2

1Department of Nursing, College of Nursing, Yonsei University, South Korea, 2Department of Nursing Environments and Systems, College of Nursing, Yonsei University, South Korea

Background and Objectives: Nurse's patient advocacy is directly related to nursing quality

and patient safety. However, there is no clear understanding between the relationship between nursing advocacy and patient outcomes. In order to improve nursing professional development and patient outcomes, evidence must be accumulated to demonstrate the relationship between the two. The purpose of this research was to provide the theoretical explanation of the relationships among patient advocacy and patient outcomes.

Methods: Theory synthesis by Walker and Avant was used to develop the theoretical framework: (1) specify focal concepts from literature review about patient advocacy; (2) identify factors related to focal concepts and relationships among them; (3) organize concepts and statements into an integrated representation of the phenomena of interest. Nursing role effectiveness model and concepts related to nursing advocacy were incorporated into the proposed theory. To specify focal concepts, a literature search was conducted using EMBASE, MEDLINE, Cochrane library, CINAHL, KoreaMed, RISS, and KISS for the years 2001–2019.

Results: Focal concepts of the theory were (a) attributes, (b) nursing advocacy activities, and (c) patient outcomes. Attributes consisted of nurse education, nurse experience, role tension, job autonomy, and time of care that affects the frequency and quality of nursing advocacy. Advocacy activities in clinical care and in defining the scope and credentialing of nursing practice was underpinned by four concepts: knowing patients’ safety, autonomy, needs, information; educating patient and family; coordination with others in healthcare team; and protecting with acting on behalf of patients. Patient outcomes are influenced by advocacy activities and occur as patient satisfaction, patient safety, patient autonomy.

Conclusions: A new theory to provide the processes of nursing advocacy to patient outcomes was proposed. It appears that nursing advocacy has the potential to improve patient outcomes. It is recommended that healthcare agencies and nursing schools cultivate the nursing advocacy. It needs to test of this theory in future.

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CS7-4 The Effect of Disaster Relief Effort among Volunteers in Malaysia Chen Hoi Yen1, Ahmad Che An2, Abdullah Khatijah3

1Nursing Department, Faculty of Medicine, Universiti Kuala Lumpur, Royal College of Medicine Perak, Malaysia, 2Faculty of Nursing and Midwifery, MAHSA University, Malaysia, 3Department of Nursing Sciences, Faculty of Medicine, University of Malaya, Malaysia

Background and Objectives: Malaysian disaster relief volunteers have a long history of providing

relief missions within and outside the country. Yet, despite a plethora of research into the various areas of disaster relief, there has been little scholarly activity looking into the experiences of the medical volunteers worldwide and even less research on the experiences of the relief volunteers from Malaysia. Therefore, the objective of this study is to identify the effect of disaster relief works on volunteers in Malaysia.

Methods: This is a non-experimental cross-sectional design study conducted using survey questionnaire to examine the incidence of burnout, PTSD symptomatology, and the quality of life (QOL) among disaster relief volunteers and also examined in relation to these, are the socio-demographic variables. In addition, the association between the sociodemographic variable and the preferred method of coping was also investigated through self-report checklist.

Results: The findings of this study revealed that 93.3% of volunteers (n=312) experienced some level of recurring stress throughout their lives which led to burnout. Also, 96.8% (n=332) of the participants were categorized as having at least some symptoms of PTSD. However, self-reporting QOL measurements indicated that the participants are, in general, satisfied with their lives. Significant associations between the incidence of burnout, incidence of PTSD, and QOL were identified. In terms of the coping measure adopted, both positive styles of coping and the more behavioral or avoidant styles of coping were also identified. Furthermore, a number of socio-demographic factors were also seen to interact significantly with burnout, PTSD, and QOL.

Conclusions: This study has shed some light on the experiences of Malaysian disaster relief volunteers which impacted on their wellbeing, the effects of which can last long after the volunteer returns home. Suggestions to buffer the impacts on their wellbeing are presented for the perusal of the relevant organization and authority.

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CS7-5 Exploration of the Needs of Training for Nurses Working in Disaster-Prone Areas in Yogyakarta, Indonesia

Herni Susanti, Agus Setiawan, Achir Yani Hamid, Anggun Frida Faculty of Nursing, Universitas Indonesia, Indonesia Background and Objectives: Yogyakarta is one of the disaster-prone areas in Indonesia,

especially earthquake and volcano eruptions. Our previous study has identified what the survivors' need from nurses before, during and after the disasters. Subsequently, we have developed a standard of nursing practice in disaster risk management. This study aimed to explore the need for training for nurses in order to achieve the standard

Methods: We surveyed 40 nurses working in one hospital and two community health centers in Yogyakarta. An instrument was developed on the basis of the developed standard Ten of the 40 nurses were interviewed to gain richer data related to the training needs. The interview guideline was developed through the process of studying relevant literature and expert consultations. The qualitative data were analyzed thematically and linked to the survey one.

Results: The study indicated that only 10 % of the nurses had high, followed with 45 % had average, and 45% had low competencies in disaster nursing care. The nurses were confident mostly for helping families in grieving (mean= 3.47 SD=3.9), but less able to empower the community (mean =2.91 SD=6.8). From the interviews, we could discover various understanding of general knowledge of disaster, key principles as health providers working in disasters, competencies to be improved through training, expectations for training, and the anticipated barriers.

Conclusions: The results are expected to be the basis for developing a training module and program for disaster risk management in Indonesia.

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CS7-6 The Challenges of Nursing Profession in Bangladesh Md Shaikh Farid Faculty of Education, The University of Hong Kong, Hong Kong Background and Objectives: There is a severe shortage of nurses in Bangladesh. Bangladesh is

one of the countries in the world that has more medical doctors than nurses. The development of the nursing profession in Bangladesh is affected by various factors that prevent it from achieving its recognition it deserves. This study analyzes the religious, cultural, and professional barriers to the nursing profession in Bangladesh.

Methods: The article is based on examining available literature and primary sources, i.e., religious decrees of religious leaders of faith traditions, and government documents on nursing. The literature was retrieved from databases such as PubMed, BioMed, and Google Scholar using the keywords: nursing in Islam, cultural and social issues in nursing, nursing in Bangladesh, nursing profession Bangladesh.

Results: In Bangladesh, the nursing profession has been poorly regarded. The socio-cultural, religious and professional factors found to influence the prevailing negative images and perceived the low status of nursing in the country. Nurses are stigmatized because they touch the bodies of nonfamily members and work outside the home and at night. Both nursing education and the profession in Bangladesh have suffered from these cultural and religious perceptions. Moreover, Bangladeshi nurses lack skills in empathetic communication, assertiveness, and critical and ethical reasoning; even such training is absent in the nursing curriculum. Thus, to increase the number of nurses and fulfill the need both the government and private sectors should come forward with the initiative to educate and train young Bangladeshi to join in nursing.

Conclusions: There is also a need to uphold the significance of nursing profession in Bangladesh.

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CS7-7 Effect of Health System Responsiveness on Health Related Quality of Life Nimisha Vandan1, Janet Yuen Ha Wong1, Paul Siu Fai Yip2, Daniel Yee Tak Fong1

1School of Nursing, The University of Hong Kong, Hong Kong, 2Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong Background and Objectives: The World Health Organization has made the patient experience

as one of the three main goals of a health system and coined the term “health system responsiveness”. Health Related Quality Of Life (HRQOL) is an important outcome for assessing the quality and effectiveness of care. However, the association between patient experience and HRQOL not been adequately examined. The objective of this study was to evaluate the effect of patient experience with out-patient care and an overnight hospital stay expressed as health system responsiveness on HRQOL.

Methods: We conducted a cross-sectional study of 1069 participants who were aged ≥18 years and had experience of using the healthcare services in the past 12 months in Hong Kong. The World Health Survey responsiveness module was used to assess the health system responsiveness, while the Veteran-12 items (VR-12) that comprise the physical component (PCS) and mental component scores (MCS) was used to assess HRQOL.

Results: Sixty percent of participants were in the 30-59 years age group and 41% were male. The mean score of health system responsiveness for out-patient and in-patient care was 5.83 and 6.78, respectively, on the scale of 1-10 with a higher score indicates better responsiveness. The mean score for PCS and MCS was 46.53 and 49.36, respectively, on the scale of 0-100 with a higher score indicates better HRQOL. After adjusting for socio-demographic characteristics, each unit increase of health system responsiveness in out-patient care was associated with 1.52 units increase (95% CI = 1.08 to 1.96, p < 0.001) in PCS, and 1.46 increase (95% CI = 0.90 to 2.02, p < 0.001) in MCS. For in-patient responsiveness, there was a corresponding increase of 1.03 in PCS (95% CI = 0.60 to 1.47, p<0.001) and 1.31 in MCS (95% CI = 0.74 to 1.88, p<0.001).

Conclusions: Health system responsiveness in both out-patient and in-patient settings is an important aspect to consider for improving the quality of patients.

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CS7-8 The Motivations which Induce Men in Nursing- Findings from a Collaborated Qualitative Study Between Macau and Mainland China

Aimei Mao1, Jialin Wang2

1Kiang Wu Nursing College of Macau, Macau, 2School of Nursing , Chengdu University of Traditional Chinese Medicine, China

Background and Objectives: Nursing has been a female-dominated profession. By comparing the professional development experiences of male nurses from Macau and mainland China, this study aimed to get in-depth knowledge on the influencing factors which had impacts on males’ decisions on joining and staying in nursing.

Methods: This was a collaborated qualitative research study between Macau and mainland China. Each side invited 12 clinical male nurses to participate in the study. Semi-structured interviews were conducted with similarly designed interview guidelines. The same analytic framework were used in data analysis.

Results: There are startling differences in motivations to induce males in Macau and mainland China into nursing. Male nurses in mainland China regarded nursing as a job to make a living; while male nurses in Macau treated nursing as a profession requiring input of commitment. Male nurses in Macau might manoeuvre to other departments or other health institutions but never thought of leaving nursing. Male nurses in mainland on the other hand, often kept an eye on other job opportunities while doing nursing. Male nurses in both sides hoped to thrive in career development, particularly in specialty nursing. While males in Macau pursued advanced nursing programs in order to provide better health care in frontline, males in mainland wanted to get promoted to leave the frontline. Both sides agreed that nursing was a profession suitable for male and female. Male nurses in mainland somehow enjoyed more opportunities offered to them than to female colleagues in professional development.

Conclusions: Male nurses in Macau and mainland share some common views on nursing profession and professional identity but have experienced different professional development. The findings have implications for nursing educators and policy makers in both sides.

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Concurrent Session 8: Nursing EducationDecember 10, 2019 (09:30-11:30) Room 1320

CS8-1 Effects of Endotracheal Cuff Pressure Management Educational Intervention on Intensive Care Nurses’ Knowledge and Practice

Uma Rani Murugiah1, Vimala Ramoo2, Mei Chan Chong2, Mohamad Fadhil Hadi Jamaluddin3, Abqariyah Yahya4

1College of Health Sciences, University of Malaya Medical Centre, Malaysia, 2Department of Nursing Science, Faculty of Medicine, University of Malaya, Malaysia, 3Department of Anaesthesiology, Faculty of Medicine, University of Malaya , Malaysia, 4Department of Social and Preventive Medicine, Faculty of Medicine, University of Malaya, Malaysia

Background and Objectives: Intensive care nurses have significant responsibilities in

safeguarding patients against complications related to endotracheal tube cuff pressure. Underinflation and overinflation of cuff pressure have significant impacts on patient outcomes, hence it is compulsory to maintain the cuff pressure within the ideal limits. Nurses’ knowledge and skills are deemed necessary to carry out such responsibilities. Thus, the study aimed to assess the effect of an educational intervention on nurses’ knowledge and practice towards endotracheal cuff management.

Methods: A single group of pre-post intervention study design was used. Sample compromised of 112 registered nurses (92% of the total nurses in the unit) from a 24-bedded adult general intensive care unit of a teaching hospital in Malaysia. The educational intervention includes theoretical session on endotracheal cuff pressure management and hands-on practice with conventional cuff pressure monitoring method. Nurses’ knowledge and perceived practices were measured using self-administered questionnaire at pre-intervention, 3 months and 9 months post-intervention phases. 160 cuff pressure readings were taken randomly from 54 mechanically ventilated patients at pre and post-intervention phase. Data were analysed using Repeated Measure ANOVA and Chi square test with SPSS version 25.

Results: Significant increase in mean knowledge score (SD) noted at post-intervention phases, [8.13 (1.531), 8.97 (1.574) and 10.34 (1.078), p <0.001, respectively]. However, no statistically significant changes found in their perceived practice level between the post intervention phases [10.54 (2.464), 12.84 (2.440), and 12.88 (1.865), p=.302, respectively]. Significant improvement were noted in the percentage of cuff pressure reading within the normal limits between the two phases (42% vs. 77%, p < .0001).

Conclusions: The results show that educational intervention had significantly improved nurses’ knowledge and practice in maintaining patients’ cuff pressure within the safe limits. Thus, this study supports the existing evidences that on-going training is essential to improve patient care practices.

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CS8-2 Determining the Educational Objectives and Outcomes for the Pre-Registration Diploma Nursing Program: A Modified Delphi

Katherine Tan1, Mei Chan Chong1, Li Ping Wong2

1Department of Nursing Sciences, University Malaya, Malaysia, 2Department of Social and Preventive Medicine, University Malaya, Malaysia

Background and Objectives: Outcomes- based education recognizes the need to clearly specify

the outcomes that students should be able to demonstrate upon leaving the education system. Clearly stated educational outcomes is critical in helping students understand what is expected of them. However, the process of reaching consensus on educational outcomes for basic nursing education was not explicitly described in published literature. The aim of this study is to present, discuss and draw important implications from the consensus of a panel of experts in determining the required educational objectives and program outcomes of the pre-registration (Diploma) in Nursing Program in Malaysia.

Methods: A Modified Delphi methodology was employed to answer the aim of the study. A panel of 20 experts ( 67% response rate) representing key stakeholders' groups comprising mainly of senior nurse academicians, nurse administrators, medical practitioners, nurses in clinical practice representing both the public and private institutions participated.

Results: A final list of four educational objectives and seven outcomes statements were determined after two Rounds of Delphi. Statements under the learning domains of knowledge, practical skills, values, attitudes and professionalism, social skills and responsibilities, information management and lifelong learning skills had achieved 90% level of consensus.

Conclusions: The findings from this study is an important first step towards a curriculum change to outcome-based and can be readily employed or modified by any institution offering pre-registration nursing program. Further research is needed to evaluate the achievement of these outcomes and correlating it with the improvement in nurse graduate competencies. The participation of medical practitioners in this study is also an encouraging initiative towards the trend of interprofessional education.

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CS8-3 Gender-Based Violence: A Five Country, Cross-Sectional Survey of Health and Social Care Students’ Experience, Knowledge and Confidence

Caroline Bradbury-Jones, Dana Sammut School of Nursing, University of Birmingham, the United Kingdom

Background and Objectives: Health and social care professionals are well placed to identify and respond to those affected by gender-based violence (GBV), yet students across a range of health disciplines describe a lack of knowledge, preparation and confidence in dealing with the issue. Our study aimed to explore health and social care students’ perceptions of their own knowledge and confidence on the subject of GBV, recollections of GBV learning opportunities through university and clinical placements, and opinions about the content of future e-learning curricula on the subject.

Methods: We designed and implemented a multinational cross-sectional survey across six universities from five countries: Australia, Canada, England, New Zealand and Scotland. Participants were students from seven health and social care disciplines. Participants completed an online survey which was distributed among a convenience sample of health and social care students enrolled at the six participating universities. The questionnaire contained closed- and open-ended questions relating to the study objectives. Descriptive and bivariate statistics were used to analyse quantitative data. Thematic analysis was used to evaluate free-text responses.

Results: Responses were obtained from 377 students. Principally, the study found that students were underprepared in their professional programmes in terms of dealing with GBV. Nursing and social work students reported higher levels of self-assessed knowledge and confidence than students from other disciplines. There were no significant differences in the results between males and females. Many students had witnessed or heard about cases of GBV on clinical placement, but reported feeling generally unconfident in dealing with the issue. Regarding future e-learning, students indicated that content should be inclusive and relate directly to clinical practice.

Conclusions: Future generations of health and social care professionals are being insufficiently prepared to address GBV. There is a universal need for healthcare education programs to include the issue of GBV in curricula.

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CS8-4 The Effects of Experiential Learning Simulation via Patient Journey on the Nursing Students' Preparedness Before the First Clinical Placement in Hong Kong

Catherine Siu Man Leung, Annemarie Hor Wan Cheung School of Nursing, Caritas Medical Centre, Hong Kong Background and Objectives: Nursing is a practice and theoretical based discipline. In recent

years, many nursing students experience anxiety in a real ward that can adversely impact on learning and critical thinking. Thus, experiential learning simulation has emerged as an effective and safe alternative for practice learning with debriefing and reflection. During simulation, students are expected to apply learnt concepts in future practice via forward-reaching in learning transfer, and connect learnt knowledge with current scenarios by backward-reaching. In Hong Kong, no research study is available on the effect of experiential learning simulation on nursing students’ psychological perspectives. The objectives are to test the effectiveness of the experiential learning simulation in students’ level of anxiety.

Methods: A one-group pre-test post-test research design was used in this study. The participants consisted of year-one students in one nursing school in Hong Kong. A random sample method was used. Briefing session was conducted by the researcher and facilitators. After the briefing session, the students were required to fill in the STAI questionnaire (pre-test). They were assigned to one of five scenarios to experience different roles involving in a patient journey, where they took turns to assume the roles of a client, relative, nurse, and supporting staff during the experiential learning simulation intervention and to observe others do. Debriefing was conducted by the facilitator at different time points and at the end of the simulation experience within the 2-hour intervention for review of the learning experience. After the implementation, participants were asked to complete the STAI questionnaire again (post-test).

Results: A total of 96 year-1 students: 83 females and 13 males were enrolled. A pre- and post- test STAI comparison was made between the five groups. No significant difference was observed total scores of pre-test STAI and post-test STAI between five groups (P> 0.05). A pre- and post- test of the STAI comparison was made. The post-test scores of S-Anxiety Scale and T-Anxiety Scale were statistically significantly lower than pre-test scores with p< 0.05).

Conclusions: The average post-scores of S-Anxiety and T-anxiety were significantly lower than pre-scores with P<0.05. Thus, students’ current anxiety and usual anxiety levels were significantly decreased after experiential learning simulation training.

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CS8-5 10-Year Research Focuses and Future Trends in Interprofessional Education: A Co-Word Clustering Analysis Based on PubMed

Guiying Liu, Yujie Yang, Kepei Xu, Qing Wang, Huaping Liu School of Nursing, Peking Union Medical College, China Background and Objectives: Interprofessional Education (IPE) has been putting forward

to develop health professionals’ knowledge, skills, attitudes for effective interprofessional collaboration, in responding to the pressing needs of our increasingly complex health care systems and patient needs. The aim of this article was to summarize research hotspots and advances in IPE in the past 10 years, calculate future trends by using Co-word Cluster Analysis based on PubMed, help further exploration of IPE in China.

Methods: We first retrieved and screened articles of IPE published in PubMed between 2010 to 2014, as well as 2015 to September 12th, 2019, downloaded bibliography in XML. Then extracted publishing year, country for Econometric analysis, intercepted high-frequency subject headings for “subject-article” Co-word matrix creation using Bibliographic Item Co-occurrence Matrix Builder (BICOMB2.0). Two 5-year Co-word matrixes were then imported into gCluto1.0 to generate visual cluster mountains, with each showed 3 representative articles.

Results: The number of articles has increased by year, with the largest amounts published in UK and America which lead the speed. After analyzing and comparing cluster figures and articles, we found that research focused on 4 topics which are IPE project building and evaluation, teaching method improvement, feasibility of integrating IPE with different professions and clinical context. Future exploration of IPE may continue to focus on building and assessing IPE curriculum according to the core competencies, teaching method reforming especially multiple forms of simulation class, advanced training effectiveness evaluation in both personal behavior, teamwork performance and patient-relate outcome improvement.

Conclusions: Future IPE exploration in healthcare institutions and schools should base on their real demands and resources. As nurses gradually play the key roles in medical teams, we are expecting to hold the responsibility for effective interprofessional collaboration to achieve higher quality of care. Nursing leaders and educators can be advocators and program sponsors to break silos between different professionals, change their perception and promote IPE in China.

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CS8-6 Memento Mori: Using Art to Assist Nursing Students Explore Death and Dying Mary Pocock School of Nursing, University of Birmingham, the United Kingdom Background and Objectives: In nurse education, art, as a form of object-based learning, has

been used to explore ageing, observational and assessment skills, empathy and spirituality, and interpersonal skills. This qualitative study investigated how an art-based workshop assisted undergraduate nursing students to explore their experiences and beliefs about death and dying. The objectives were to examine the role the art and the environment had in promoting discussion and reflection, and to determine the impact the workshop could have on participants’ clinical practice.

Methods: Using a qualitative approach, long answer questionnaires were completed anonymously by 48 undergraduate student nurses, all of whom had participated in the art-based workshop. Response rate was 100%. Thematic analysis (Braun and Clarke, 2006) was used to identify, analyse and report themes identified.

Results: Four themes were identified: exploring experiences and beliefs, the role of the art in supporting discussions, the gallery environment, and impact on practice. This study demonstrated that using art to learn about issues related to death and dying can be beneficial to student nurses by enabling open conversation of the topic. Participants valued the opportunity to slow down, and be challenged by the art, prompting reflective and critical discussion. Participants noted the workshop increased their understanding of the complexities of end-of-life care.

Conclusions: The combination of a varied selection of art, guided questions and the conducive environment enabled students to discuss death and dying and loss, grief and bereavement candidly. While this study focused on an educational strategy, it is an approach that could be used with other health and social care professionals. Close and critical observation of the selected art increased participant understanding and insight in to the many experiences and interpretations of death and dying. This shared experience enhanced critical thinking and the need for compassionate person, and family-centred palliative and end-of-life care.

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CS8-7 A Qualitative Analysis of the Outcomes of Service Learning in Health Assessment Pak Leng Cheong, Wan Cheong Teaching Department, Kiang Wu Nursing College of Macau, Macau Background and Objectives: A subject of BSN program- Health Assessment, subject teachers

had cooperated with a NGO and social workers, led a group of students, to carry out a community service to foreign workers. This activity purposed to provide health assessment (blood pressure measurement, body fat percentage measurement, body flexibility measurement etc.) and promote health awareness to foreign workers. Meanwhile, it also provided a chance for students to contribute to community. Activity was held for 2 years, about 300 participants took part in the activity, and 150 students provided health assessment and health promotion to the participants. This analysis aims to disclose the learning outcomes of students from this activity.

Methods: Students were assigned into different groups, taking the role of health assessment providers and health educators. Students were invited to submit their reflections for this activity. Content analysis was used for coding and facilitating the data analysis.

Results: 28 reflections were collected finally. The analysis revealed three major categories: 1) Personal development; 2) Applying knowledge; and 3) Engagement. Most of participants reported that it was a challenge to provide assessment to foreigners, but learnt a lot of collaboration and communication skills to overcome it. Service learning is not only a chance to apply knowledge, but also to inspire students' engagement to community.

Conclusions: Service learning is a teaching activity of Health Assessment in BSN program, students applied their knowledge and skills to meet the foreign workers’ needs. From planning, training, implementation, it is a collaborative effort between NGO, social workers, teachers, and students. Results showed that this activity promoted students' personal development, application of the knowledge and engagement, it is a great learning opportunity for nursing students to learn and serve in community.

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CS8-8 A Theoretical Investigation of the Emergence of End of Life Care in Macao Kuai In Tam1, Elaine Haycock-Stuart2, Sarah Rhynas2

1Kiang Wu Nursing College of Macau, Macau, 2Nursing Studies, School of Health in Social Science, The University of Edinburgh, Nursing Studies, the United Kingdom

Background and Objectives: The modern hospice movement has never been theoretically

investigated as a social movement. This study aimed to theoretically explore the end of life care movement through a social movement theory in Macao. Implementing the framing perspective theory (Snow & Benford, 1988; Snow et al., 2014, Snow et al, 1986) to theoretically examine how the end of life care (EoLC) movement was established, and to investigate factors that have shaped the development of this movement in Macao.

Methods: A qualitative case study approach was conducted and the EoLC in Macao was the case. The research duration was between 2012 and 2018. Data was collected through in-depth, semi-structured interviews. All data was analysed by thematic analysis and data analysis software, Nvivo 11, was used. The study was set in the socio-cultural context of Macao and purposive sampling approach was adopted. Initiators (n=3) and developers (n=8) whom had pioneered the EoLC in Macao were recruited.

Results: The EoLC movement was established to address the social problem of suffering as experienced by people at the end of their lives in Macao. Pioneers were however found to have developed incoherent strategies in addressing this social issue, and the substantial cultural and contextual gap between the EoLC movement and the socio-cultural environment of Macao had contributed the stagnation of the EoLC movement in Macao.

Conclusions: The framing perspective identified three conceptual perspectives elucidating factors contributing to the growth and stagnation of EoLC movement in Macao: 1) the conceptualisation of the grievance: the suffering of people as experienced at the end of their lives, 2) the lack of internal frame cohesion: the incoherent strategies developed by initiators, and 3) The lack of external frame cohesion: the contextual and conceptual constraints that contributed to the stagnation of the EoLC movement. The three conceptual perspectives identified by the framing perspective had led to a holistic, theoretical understanding of the EoLC movement in Macao, addressing the research objective and contributes to knowledge about EoLC. This study has provided a new way to examine the emergence of EoLC movement as a social movement, which would facilitate the exploration of EoLC development in other cultural contexts.

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Concurrent Session 9: Community and Mental Health NursingDecember 10, 2019 (09:30-11:30) Room 1420

CS9-1 E-Devices During Family Dinner was Associated with Lowered Subjective Happiness and Family Well-Being in Hong Kong Adults: A Population-Based Survey

Shengzhi Zhao1, Man Ping Wang1, Daniel Yee Tak Fong1, Tai Hing Lam2

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Public Health, The University of Hong Kong, Hong Kong

Background and Objectives: E-devices were commonly used in daily life but the association

with well-being was rarely assessed. We examined the association of e-devices (computer, smartphone and tablet) use in daily life and mobile e-devices (smartphone and tablet) use during family time with subjective happiness and family well-being.

Methods: A probability-based telephone survey was conducted in 2017 to record the e-devices use in daily life and mobile e-devices use when with family members and during family dinner. Subjective Happiness Scale (4-items; score ranged 1 to 7) was used to measure perceived subjective happiness. Family wellbeing (ranged 0 to 10) was assessed using a mean score of 3 questions with a higher score indicating better well-being. Beta-coefficient (β) for subjective happiness and family well-being by e-devices use in daily life and by mobile e-devices use when with family members and during family dinner were calculated, after adjusting for socio-demographics.

Results: Of the 2064 randomly sampled respondents (mean age 56.4±19.2, male 45.0%), 76.7% used e-devices for 3.6 hours daily on average. Almost half (46.6%) respondents used (often or sometimes use) mobile e-devices when with family members, one fifth (20.5%) used during family dinner and 38.2% reported family members’ use during dinner. Lower subjective happiness was associated with hourly increased in the time of using e-devices before sleep (adjusted β -0.18; 95%CI -0.28, -0.08) and family members often use (vs. never use) of mobile e-devices during dinner (adjusted β -0.24; 95%CI -0.39, -0.10). Lower family well-being was associated with e-devices use before sleep (adjusted β -0.26; 95%CI -0.42, -0.09), own (adjusted β -0.48; 95%CI -0.83, -0.12) and family member (adjusted β -0.50; 95%CI -0.72, -0.28) often use of mobile e-devices during family dinner.

Conclusions: The lowered happiness and family well-being were associated with the use of e-devices before sleep and the use of mobile e-devices during family dinner.

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CS9-2 Measurement Properties of the Simplified Chinese Version of Nonrestorative Sleep Scale in Adolescents

Sha Li1, Daniel Yee Tak Fong1, Yan Xu2, Janet Yuen Ha Wong1, Kate Wilkinson3, Colin Shapiro3

1School of Nursing, The University of Hong Kong, Hong Kong, 2Luhe High School, China, 3Department of Psychiatry, University of Toronto, Canada

Background and Objectives: This study aimed to assess the linguistic and psychometric

properties of a simplified Chinese version of the Nonrestorative Sleep Scale (NRSS) among adolescents.

Methods: A simplified Chinese version of the NRSS was obtained by standard forward-backward translation procedures and was administered in a cross-sectional survey of 481 students who were attending Grade 7 to 11. Moreover, the Pittsburgh Sleep Quality Index (PSQI), the Athens Insomnia Scale (AIS), the Centre for Epidemiological Studies Depression Scale (CESD), and the Toronto Hospital Alertness Test (THAT) were also self-completed. The sample was randomly split into two halves, with the first half used to explore the scale structure using exploratory factor analysis (EFA). The identified and hypothesized scale structure was assessed with the second half using confirmatory factor analysis (CFA).

Results: A total of 481 adolescents (49% male) with a mean age of 16 years participated in the study. The EFA revealed a four-factor structure which was consistent to the original hypothesized structure. Its root mean square error of approximation (RMSEA), standardized root mean square residual (SRMR), and comparative fit index (CFI) in CFA were 0.000, 0.041 and 1.000, respectively. Convergent validity was demonstrated by significant correlation of the simplified Chinese NRSS with the PSQI (r = -0.64), AIS (r = -0.75), CES-D (r = -0.68), and THAT (r = 0.59). The internal consistency and test-retest reliability for the global scale were 0.83 and 0.86, respectively. Measurement non-invariance was not concluded between boys and girls.

Conclusions: The simplified Chinese NRSS is a valid and reliable instrument to measure NRS among the Chinese adolescents.

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CS9-3 Description of a Nurse-Led Model Program and Acceptability/ Feasibility for Latent TB Completion among Homeless Adults

Adeline Nyamathi School of Nursing, University of California, Irvine, the United States of America Background and Objectives: Describes an innovative nurse-led community health worker (CHW)

model to enhance completion of 3HP for latent tuberculosis infection (LTBI) for a LTBI+ homeless population. Tuberculosis (TB) is caused by Mycobacterium tuberculosis bacteria and is associated with poverty and homelessness. In the US, as compared to the general population, homeless persons have a 10-fold increase in TB incidence. In Los Angeles County, about 7% of TB cases are among the homeless; yet less than 20% of homeless adults complete treatment for LTBI. We describe a novel comprehensive nurse-CHW model where 3HP is administered as well as discuss acceptability and feasibility among those targeted.

Methods: Using community participatory action research, and engagement with a community advisory board, we conducted a qualitative study using focus groups of homeless adults.

Results: In total, 11 participants participated in focus group discussions. The average age was 51.2; the majority were men (90.0%) and African-American (46%) or White (46%). The majority (91%) felt that the program addressed experienced challenges to complete LTBI medication treatment program, including substance use challenges (64%). However, less than half (46%) reported that the proposed intervention program identified mental health issues. Nearly three quarters (73%) felt that the discussion included useful information on stable housing. All the participants felt that the program would be relevant to both men and women, that the discussion helped improve the program, and that they would recommend the program to those with LTBI. Participants further provided advice on: engaging and recruiting participants, delivering an LTBI intervention, and retaining participants. Within those themes, barriers and facilitators were discussed to facilitate program recruitment, program delivery and program retention.

Conclusions: Nurse/CHW intervention delivery methods impact 3HP LTBI medication adherence, substance use, mental health, and unstable housing among populations at high risk for active TB.

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CS9-4 The Effectiveness of Nursing in the Health-Promoting-Schools Approach in Hong Kong: A Qualitative Descriptive Study

Wai Hin Wan, Maggie Mee Kie Chan School of Nursing, The University of Hong Kong, Hong Kong Background and Objectives: A total of 35% of the global burden of disease has its roots

in adolescence and 70% of adult premature deaths are caused by behaviors developed in childhood. The World Health Organization’s (WHO) Health Promoting Schools (HPS) framework is one of the strategies that has been used to promote students’ physical, social and emotional wellbeing by building a health curriculum and policies at school and in the community. However, many studies indicated that Hong Kong students have a poor physical activity level, with fewer than half meeting HPS recommendations. Therefore, there is a need to understand what barriers influence stakeholders’ views and also how their experiences influence the implementation of HPS. The objectives of this study are to explore the experience of different stakeholders with the implementing process of HPS and their perceptions of the benefits of HPS.

Methods: This was a qualitative descriptive study. A snowball sampling technique was used to assist in recruitment. Data were collected through semi-structured interviews with seven key stakeholders which included one secondary school vice-principal, four secondary school teachers, and one student who was on a youth gymnastics team. The data were audio-recorded and transcribed verbatim. A qualitative descriptive method was used to analyze the results.

Results: Three themes were emerged: (1) theoretical worthiness, which had two sub-themes, knowing the potential benefits for student health and meaningful guidance for school administration in building a healthy school environment; (2) Barriers experienced at the administrative level; (3) Health care provider as key person in promoting and implementing HPS in school. The findings suggest that health care provider is needed in the sophisticated HPS implementation process. Nurses, as a health care provider, play an important role in collaborating, promoting and implementing the HPS.

Conclusions: This study demonstrated the importance of nursing input in facilitating the sophisticated HPS implementation process.

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CS9-5 Factors Related to Community Preparedness in Facing Volcanic Eruptions in the Kinilow Village, Tomohon City

Hana Ngantung, Johanis Kerangan, Syenshie Wetik Nursing Faculty, De La Salle Catholic University, Indonesia Background and Objectives: Volcanic eruption is an impactful event that can occur anytime and

anywhere that can threaten the survival of human life. Actions of preparedness are very necessary to minimize the impact that might occur. However, in reality, the actions of preparedness itself are still lacking. This is influenced by a number of factors such as knowledge, attitude and roles of health workers. This study aims to analyze the relationship of factors (community knowledge, community attitudes, and roles of health workers) with community preparedness in facing volcanic eruptions in the Kinilow Village, Tomohon City in 2019

Methods: This research uses descriptive analytic method with cross sectional approach conducted in Kinilow Village, Tomohon City of 277 respondents using purposive sampling technique. Data were collected by interview using a questionnaire. The statistical test used was Chi-Square Tests.

Results: In this study, it was found that community preparedness who are ready are 75.8% and there are 24.2% of not ready. The people who have good knowledge are 95.7% and those who lack are 4.3%. The number of people who have good attitudes are 25.3% while those who lack are 74.3%. Communities who chose the role of health workers are 91% and those who didn’t are 9%. Factors related to community preparedness in facing volcanic eruptions are level of knowledge (p=0.013), attitude (p=0.079) and roles of health workers (p=0,000).

Conclusions: The conclusion of this study is that there is a relationship between the level of knowledge, attitudes and roles of health workers with community preparedness in dealing with volcanic eruptions.

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CS9-6 Perceived Challenges in Delivering Comprehensive Care for Patients Following Stroke among Chinese Health Care Providers

Chanchan Wu1, 2, Karina Kielmann3, Guanyang Zou4, Minjie Chen1, Lihong Wan1, Brendan McCormack5

1School of Nursing, Sun Yat-Sen University, China, 2School of Nursing, The University of Hong Kong, Hong Kong, 3Institute for Global Health and Development, Queen Margaret University, the United Kingdom, 4School of Economics and Management, Guangzhou University of Chinese Medicine, China, 5Division of Nursing, School of Health Sciences, Queen Margaret University, the United Kingdom

Background and Objectives: Stroke is a primary cause of mortality and disability in China,

causing a considerable care burden. Though there are an increasing number of studies relating to stroke care delivery, most of which focused on pre-hospital delays or the best treatment ways. However, evidence on the functioning of existing stroke care services has not been given the same attention and little is known about the current challenges of delivering comprehensive stroke care from care providers’ experiences and perceptions. Thus this study was to understand these challenges in delivering care for patients recovering from stroke.

Methods: A cross-sectional qualitative study was conducted in two tertiary hospitals with different socio-economic characteristics in Guangdong Province, Southern China. Interviews were conducted with 16 stroke care providers including doctors, nurses, rehabilitation therapists and care workers. The interviews were audiotaped, transcribed and translated from Mandarin Chinese to English. Thematic analysis was used to draw out descriptive and analytical themes relating to care providers’ experiences of existing routine stroke care services and the perceptions of challenges of delivering comprehensive stroke care.

Results: The interviews with stroke care providers highlighted three key themes hindering the capacity of the two hospitals to deliver comprehensive stroke care. First, expertise and knowledge regarding stroke and stroke care is lacking among both providers and patients; second, stroke care systems are not fully integrated, with inadequate coordination of the stroke team and inconsistency in care following discharge of stroke patients; third, stroke patients had insufficient financial protection.

Conclusions: While comprehensive stroke care has become a priority in China, our study highlights some important gaps in the current provision of stroke care, which are of service to both health care providers and policymakers.

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Poster Presentations

Patient-Centred Care

P1 - 1 Core Components of Palliative Care for Stroke Patients: A Delphi Study in Thailand Vachira Posai, Chanokporn Jitpanya Faculty of Nursing, Chulalongkorn University, Thailand

P1 - 2 Effects of Short-Term Qigong Training on Functional Aerobic Capacity, Upper Limb Blood Flow, and Lymphedema in Survivors of Breast Cancer: A Randomized Controlled Trial

Joyce C.Y. Leung1, 2, Cecilia L.W. Chan2, Karen P.Y. Liu3, Catherine Mary Schooling4, 5, Joanne W.Y. Chung6, Thomas K.S. Wong7, Shirley S.M. Fong4, 7, W.S. Luk8, 9, Siu Man Ng2

1School of Nursing and Health Studies, Open University of Hong Kong, Hong Kong, 2Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong, 3School of Science and Health, Western Sydney University, Australia, 4School of Public Health, The University of Hong Kong, Hong Kong, 5Graduate School of Public Health and Health Policy, City University of New York, the United States of America, 6Department of Health and Physical Education, Education University of Hong Kong, Hong Kong, 7School of Nursing and Healthcare, Hong Kong Nang Yan College of Higher Education, Hong Kong, 8The Association of Licentiates of Medical Council of Hong Kong, Hong Kong, 9Nature Health Qigong Association, Nature Health Qigong Association, Hong Kong

P1 - 3 Perception of Preoperative Education among Postoperative Patient Norhaini Majid, Amizanurlaili Abdul Samad, Ermarina Kamaruddin Centre for Nursing Studies, Faculty of Health Sciences, Universiti Teknologi Mara, Malaysia

P1 - 4 Factors Associated with Health Related - Quality of Life in Patients with Gout Paweena Oumtanee, Chanokporn Jitpanya Faculty of Nursing, Chulalongkorn University, Thailand

P1 - 5 Analysis of Family Relationship Support with Self-Care Levels in Post-Stroke Patients in the Working Area of Sonder Health Center Minahasa

Gloria Kaat, Johanis Kerangan, Syenshie Wetik Faculty of Nursing, De La Salle Catholic University, Indonesia

P1 - 6 Quality of Life after Brain Injury: A Disease-Specific Instrument Study in Thai People Chanokporn Jitpanya, Tanita Puengching Faculty of Nursing, Chulalongkorn University, Thailand

P1 - 7 Secondary Lymphoedema in Patients Treated for Head and Neck Cancer - a Retrospective Audit

Zerina Tomkins, Erin Mercieca, Rosemary Marshall, Monica Mansilla, Harjot Brar, Sandeep Brar, Shamin Rodrigo, Novatus Kwe

Department of Nursing, University of Melbourne, Australia

P1 - 8 Literature Review: The Experiences of Hospitalization from Perspective of People with Dementia

Yuka Ishii1, Yuri Fukazawa1, Yuichi Osawa2, Yukie Torium3, Harue Masaki1

1Graduate School of Nursing, Chiba University, Japan, 2Department of Nursing, Tsukuba Medical Center Hospital, Japan, 3Department of Nursing, Kawasaki Municipal Hospital, Japan

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P1 - 9 Predictive Factor of Postoperative Hypothermia under Anesthesia of Patients at post-Anesthesia Care Unit (PACU)

Bencharat Somgiat Department of Anesthesia, Police General Hospital, Thailand

P1 - 10 A Review on the Influencing Factors on Meaning of Life among Patients Undergoing Maintenance Hemodialysis

Yuanyi Liu, Aimei Mao Kiang Wu Nursing College of Macau, Macau

P1 - 11 Effect of One-on-One Individual Counseling on Asymptomatic Hyperuricemia Patients Gyuri Eum1, Min-Seo Son2, In-Soon Kang2

1Department of Health Care, Agency for Defense Development, South Korea, 2College of Nursing, Pusan National University, South Korea

P1 - 12 Prevalence of Pre-Frailty and Frailty in Older Cancer Survivors in Hong Kong Denise Shuk Ting Cheung1, Chia Chin Lin1, Tai Chung Lam2, Chun Yat Ip3, Pui Hing Chau1

1School of Nursing, The University of Hong Kong, Hong Kong, 2Department of Clinical Oncology, The University of Hong Kong, Hong Kong, 3Clinical Oncology Department, Queen Mary Hospital, Hong Kong

P1 - 13 Reducing the Incidence and Potential Harm from Extravasation Injuries in Children and Young People

Karl Emms1, Rhian Isaac2, Richard Standage1

1Corporate Nursing, Birmingham Women's and Children's Hospital, The United Kingdom, 2Pharmacy, Birmingham Women's and Children's Hospital, The United Kingdom

P1 - 14 Physical Activity Preference of Patients with Lung Cancer Agnes Yuen Kwan Lai1, David Chi Leung Lam2, Mary Sau Man Ip2, Michelle Cheong2, Peony

Chong2, Kelvin Man Ping Wang1, Chia Chin Lin1, Tai Hing Lam3

1School of Nursing, The University of Hong Kong, Hong Kong, 2Department of Medicine, The University of Hong Kong, Hong Kong, 3School of Public Health, The University of Hong Kong, Hong Kong

P1 - 15 Effects of a Mind Map-Based Life Review Programme on Psychospiritual Well-Being in Cancer Patients: A Randomised Controlled Trial

Ying Chen1, Huimin Xiao1, Jianwei Zheng2, Xiaoling Zhang1, Xiaoyan Lin2

1School of Nursing, Fujian Medical University, China, 2Department of Oncology, Fujian Medical University Union Hospital, China

P1 - 16 Status and Influencing Factors of Intestinal Stoma Care Needs after Discharge from Patients with Enterostomy

Danqi Chen1, Shian Ning2, Xiaotong He3

1School of Medicine, Zhejiang University, China, 2School of Nursing, Peking Union Medical College, China, 3Department of Nursing, Peking Union Medical College Hospital, China

P1 - 17 Application and Effect Evaluation on Discharge Planning in Self-Care Ability of Patients with Colostomy

Shian Ning1, Danqi Chen2, Xiaotong He3

1School of Nursing, Peking Union Medical College, China, 2School of Medicine, Zhejiang University, China, 3Department of Nursing, Peking Union Medical College Hospital, China

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P1 - 18 The Mediating Effect of Spiritual Well-Being on Depressive Symptoms and Quality of Life in Korean Elderly Cancer Patients

Han-Gyo Choi, Hye-Ah Yeom College of Nursing, The Catholic University of Korea, South Korea

P1 - 19 The Influence of Parent-Participated Health Education Video on Parental Efficacy in Children with Viral Pneumonia

Meng Yao, Ting Su, YuTing Jiang, MingXin Yang, RunTing Lin, MingYi Wei, Xi Hu, LiMei Huang Department of Pediatric, The University of Hong Kong-Shenzhen Hospital, China

P1 - 20 Quality of Care for Osteoarthritis Patients in Outpatient Department: Case Study Police General Hospital, Thailand

Siriwan Choojaturo, Thanisara Muangnart, Napawan Polpinich Police Nursing College, Police General Hospital, Thailand

P1 - 21 Kangaroo Mother Care: A Reviewed of Application Effects and Influencing Factors Zhe Jin, Shengnan Zhao, Jun Yan, Yeping Jiang, Wentao Li, Libin An School of Nursing, Dalian University, China

P1 - 22 Development Patient Version of Foot Management Guideline for Patient with High Risk of Diabetic Foot

Jingya Ma1, Yufang Hao2, Zheng Li1, Yuting Jiang3, Lijiao Yan2, Xuejing Li2

1School of Nursing, Peking Union Medical College, China, 2School of Nursing, Beijing University of Chinese Medicine, China, 3Department of Nursing, The University of Hong Kong-Shenzhen Hospital, China

P1 - 23 Factors Affecting Patient Engagement Nursing Service Activities of Nurses in Small and Medium Hospitals in Korea

Yoon Jung Ji, Yea Seul Yoon, Tae Wha Lee College of Nursing, Mo-Im Kim Nursing Research InstituteYonsei University, South Korea

P1 - 24 Affecting Factors of Patient Safety Activities of Nursing Staffs in Long-Term Care Facilities Youran Lee, Eunhee Cho College of Nursing, Yonsei University, South Korea

Advanced Nursing Practice

P2 - 1 Effects of Rheumatic Gymnastics against Arthritis Joint Pain and Osteoarthritis in Elderly Aged 65 to 75 in Kolongan Tetempangan, Kalawat District

Thenesia Sesa Faculty of Nursing, De La Salle Catholic University, Indonesia

P2 - 2 The Oncology Nurse’s Scope of Practice in the Identification, Treatment and Management of Secondary Lymphoedema: A Scoping Review.

Zerina Tomkins, Claudia Fenwick, Rebecca Loh, Navinda Nayakaratne, Varisha Parveen, Teresa Chu Department of Nursing, University of Melbourne, Australia

P2 - 3 Effect of Nurse-Led Interventions for Stroke Survivors: A Scoping Review Mami Nemawari, Ikuko Sakai, Casenove David School of Nursing, Chiba University, Japan

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P2 - 4 The Effect of Dementia Cares with the Systematic Programs: A Scoping Review Mariko Noda School of Nursing, Chiba University, Japan

P2 - 5 The Effectiveness of Buteyko Breathing Exercise in Asthma Patients Shanti Farida Rachmi, I Made Kariasa, Agung Waluyo Faculty of Nursing, Universitas Indonesia, Indonesia

P2 - 6 Understanding the Challenges of Providing Holistic Oncology Nursing Care in Nigeria Arinze Luke Enweonye, Simisola Abigail Adeyemo Faculty of Medicine, University of Abuja, Nigeria

P2 - 7 Effect of Reminiscence Therapy Based on Positive Psychology Theory (RTBPPT) on Caregivers of Elderly Patients with Advanced Cancer in China

Jingjing Chen1, Huimin Xiao1, Jianjing Zheng2, Shaohua Chen3, Haiyan Sun4, Ying Chen1

1School of Nursing, Fujian Medical University, China, 2Department of Oncology, Fujian Provincial Hospital, China, 3Department of Oncology, Quanzhou First Hospital, China, 4Department of Oncology, Fujian People's Hospital, Affiliated with Fujian University of Traditional Chinese Medicine, China

P2 - 8 New TIRAPY System Reduced Parkinson’s Tremors Naohiro Hohashi Division of Family Health Care Nursing, Graduate School of Health Sciences, Kobe University, Japan

P2 - 9 Research Thematic Evolution on Heart Transplant Nursing in Two Decades (From 1999 to 2019 ) by a Bibliomatric Analysis

Chen Gong, Xiaofeng Kang, Beibei Tong, Yingying Chen School of Nursing , Peking Union Medical College, China

Health Promotion and Disease Prevention

P3 - 1 Breastfeeding and Maternal Sensitivity During the First Year of Life Sawsan Abuhammad1, Sawsan Abuhammad2

1Department of Maternal and Child Health Nursing, Jordan University of Science and Technology, Jordan, 2Maternal and Child Health Nursing, College of Health Science, University of Wisconsin Milwaukee, The United States of America

P3 - 2 Relationships of Social Support, Health-Promoting Lifestyles, Glycemic Control, and Bone Turnover among Adults with Type 2 Diabetes

Mei Ha School of Nursing, Chongqing Medical and Pharmaceutical College, China

P3 - 3 A Community-Based Chinese Martial Art Training Program for Middle-Aged and Older Adults

Joanne W.Y. Chung1, Shirley S.M. Fong2, 3, Yang Gao4, Timothy T.T. Yam3, Yvonne T.C. Chak5, Joyce C.Y. Leung6, 7, Thomas K.S. Wong2

1Department of Health and Physical Education, Education University of Hong Kong, Hong Kong, 2School of Nursing and Healthcare, Hong Kong Nang Yan College of Higher Education, Hong Kong, 3School of Public Health, The University of Hong Kong, Hong Kong, 4Department of Sport and Physical Education, Hong Kong Baptist University, Hong Kong, 5Hong Kong Christian Service, Hong Kong Christian Service, Hong Kong, 6School of Nursing and Health Studies, Open University of Hong Kong, Hong Kong, 7Department of Social Work and Social Administration, The University of Hong Kong, Hong Kong

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P3 - 4 Cross-Cultural Adaptation of Questionnaire – Enhancing Validity with Two Theoretical Underpinnings

Wan Ling Lee1, Khatijah Lim Abdullah1, Chinna Karuthan2, Imran Zainal Abidin3

1Department of Nursing Science, University of Malaya, Malaysia, 2School of Medicine, Taylor's University, Malaysia, 3Department of Medicine, University of Malaya, Malaysia

P3 - 5 Influence in Health Education Using Buzz Group Method and Audio Visual Method against Dengue Hemorrhagic Fever Prevention Behavior in Taratara Tiga Urban Village, West Tomohon

Monica Sidun Faculty of Nursing, De La Salle Catholic University, Indonesia

P3 - 6 The Effectiveness of Health Education Using Storytelling Method for Early Childhood’s Personal Hygiene of Washing Hand at Gmim Dorkas Kamasi Kindergarten Tomohon

Brian Timbuleng, Langelo Wahyuny, Sasube Laurensi Faculty of Nursing, De La Salle Catholic University, Indonesia

P3 - 7 Sarcopenia and Its Association with Quality of Life Among Older People in China Haiyan Zhang1, Binti Abdullah Khatijah1, Meichan Chong1, Mawpin Tan1, Jinhua Zhang2

1Department of Nursing Science, University of Malaya, Malaysia, 2Faculty of Nursing, Xinxiang Medical University, China

P3 - 8 The Association Between Breastfeeding and Neonatal Jaundice in Ipoh, Malaysia: A Cohort Study

Yah San Pek Department of Nursing, Universiti Kuala Lumpur Royal College of Medicine Perak, Malaysia

P3 - 9 Knowledge and Self-Efficacy of First Aid among Parents with Children of 0-4 Years Old in Hong Kong

Pui Han Alison Cheung School of Nursing and Health Studies, Open University of Hong Kong, Hong Kong

P3 - 10 Efficacy, Accessibility and Cost-Effectiveness of Internet-Based Cognitive Behavioral Therapy for Adolescents with Depression, Compared to Usual CBT: A Scoping Review

Takuya Tsujino School of Nursing, Chiba University, Japan

P3 - 11 Analysis of Family Support Factors and the Role of Health Care Workers with Self Care Behavior in Patients with Type II Diabetes Mellitus in Tuminting Community Health Center, Manado City

Priskila Pangkey, Johanis Kerangan, Consolatrix M. Da Silva Faculty of Nursing, De La Salle Catholic University, Indonesia

P3 - 12 Development of Tailored Mobile Health Message Program for Married Immigrant Women with Young Children

Hyunmi Son, Gyumin Han College of Nursing, Pusan National University, South Korea

P3 - 13 Motivational Interviewing for Parents in the Care of Infants and Young Children with Overweight or Obesity: A Scoping Review

Miei Kimura School of Nursing, Chiba University, Japan

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P3 - 14 Factors Related to Dyspnea in Patients with Heart Failure: A Systematic Review Patmanee Taimpitak, Sunida Preechawong Faculty of Nursing, Chulalongkorn University, Thailand

P3 - 15 A Review on Multicomponent Intervention Programmes to Increase Influenza Vaccine Uptake in Children in Primary Care Setting

Hoi Yi Sup, Maggie Mee Kie Chan, Kris Yuet Wan Lok School of Nursing, The University of Hong Kong, Hong Kong

P3 - 16 Family Smoking Cessation Intervention for Smoking Fathers and Non-Smoking Mothers: A Review

Po Shan Choi, Maggie Mee Kie Chan, Man Ping Wang, Kris Yuet Wan Lok School of Nursing, The University of Hong Kong, Hong Kong

P3 - 17 Quality of Life in Elderly with Chronic Musculoskeletal Pain: Gender Multiple Group Analysis

Hyesun Jeong1, Yoonju Lee2

1College of Nursing, Pusan National University, South Korea, 2College of Nursing, PNU Research Institute of Nursing Science, Pusan National University, South Korea

P3 - 18 The Influence of Health Beliefs Emergency Department Nurses' on Their of Infection Prevention Performance of Respiratory Disease

Kyeong-Yae Sohng1, Yeon Hee Lee2

1College of Nursing, The Catholic University of Korea, South Korea, 2Emergency Department, The Catholic University of Korea Seoul St. Mary's Hospital, South Korea

P3 - 19 Practices and Predictors of Expressed Breast Milk Feeding among Health Term Infants Heidi Sze Lok Fan1, Daniel Yee Tak Fong1, Kris Yuet Wan Lok1, Marie Tarrant2

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Nursing, University of British Columbia, Canada

P3 - 20 Evaluation of a Smartphone Noise Assessment Application Using an External Microphone Ningjing Chen1, Daniel Yee Tak Fong1, Hao Xia2, Leith K.Y. Chan3, D.B. McPherson4, Hugh Davies5,

Lixi Huang6, Janet Yuen Ha Wong1

1School of Nursing, The University of Hong Kong, Hong Kong, China, 2Institute of Remote Sensing and Digital Earth, Chinese Academy of Sciences, China, 3Department of Industrial and Manufacturing Systems Engineering, The University of Hong Kong, Hong Kong, China, 4Faculty of Education, The University of Hong Kong, Hong Kong, 5School of Population and Public Health, The University of British Columbia, Canada, 6Department of Mechanical Engineering, The University of Hong Kong, Hong Kong

P3 - 21 Preconception Care Through Community Leaders in Indonesia – A Qualitative Approach Wiwit Kurniawati1, Yati Afiyanti1, Sabarinah Sabarinah2, Endang Achadi2

1Maternity Nursing, Faculty of Nursing, Universitas Indonesia, Indonesia, 2Faculty of Public Health, Universitas Indonesia, Indonesia

P3 - 22 Evaluation of the Implementation of Disaster Mitigation Training for Teenagers in Binongko, Wakatobi

La Ode Abd Rahman, Silvia Elki Putri, Arjuna, Boby Nurmagandi Faculty of Nursing, Universitas Indonesia, Indonesia

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P3 - 23 Creative Expression Art Program in Persons with Mild Cognitive Impairment: An Action Research Study

Yuanjiao Yan1, Hong Li2, Rong Lin1

1School of Nursing, Fujian Medical University, China, 2Department of Nursing, Fujian Provincial Hospital, China

P3 - 24 Prospective Associations of Change in Breakfast Habit with Adolescent Emotional and Behavioral Problems

Weijie Gong1, Daniel Yee Tak Fong1, Man Ping Wang1, Tai Hing Lam2, Thomas Wai Hung Chung3, Sai Yin Ho2

1School of Nursing, The University of Hong Kong , Hong Kong, 2School of Public Health, The University of Hong Kong, Hong Kong, 3Student Health Service, Department of Health, Hong Kong

P3 - 25 Study on the Occurrence of Postpartum PTSD and Its Relationship with Mental Resilience Guiru Xu, Xiaoyan Wang, Pingping Qiu, Qin Xu, Jihong Song School of Nursing, Fujian Medical University, China

P3 - 26 Examining the Effect of Dance Movement Therapy amongst Older People with Depression Symptoms in Long-Term Residential Care

Ian Kei Ho, Smith Graeme Drummond, Xiang Li Kiang Wu Nursing College of Macau, Macau

P3 - 27 Chat-Based Instant Messaging Support for Smoking Cessation in Workplaces: A Cluster Randomized Controlled Trial

Xue Weng1, Alice O.S. Lau2, Tai Hing Lam3, William Ho Cheung Li1, Man Ping Wang1

1School of Nursing, The University of Hong Kong, Hong Kong, 2The Lok Sin Tong Benevolent Society, Hong Kong, 3School of Public Health, The University of Hong Kong, Hong Kong

P3 - 28 Effectiveness of Aerobic Exercise Versus Mind-Body Exercise in Cancer Patients with Poor Sleep Quality: A Systematic Review and Meta-Analysis of Randomized Controlled Trials

Naomi Takemura1, Denise Shuk Ting Cheung1, Wen Deng1, Ka Yan Ho2, Jojo Yan Yan Kwok1, Jingxia Lin1, Robert Smith1, Chia-Chin Lin1

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Nursing, The Hong Kong Polytechnic University, Hong Kong

Health Care Systems and Policy

P4 - 1 Fever Pediatric Emergency Department Return: A Review of Risk Factors and Interventions Sun-Fei Li, Janet Yuen Ha Wong, Daniel Yee Tak Fong School of Nursing, The University of Hong Kong, Hong Kong

P4 - 2 Challenges of Community Service Nurses at a Province in South Africa Sisinyana Hannah Khunou Department of Health Studies, University of South Africa, South Africa

P4 - 3 The Value of ‘Assistants in Nursing’ Employment to Nursing Students Zerina Tomkins, Melvin Khor, Kate Mathews Department of Nursing, University of Melbourne, Australia

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P4 - 4 Validation of Nurse Satisfaction Questionnaire Based on Maslow's Hierarchy Need Model Qing Guo1, Herng-chia Chiu2, Yuchun Kuo2, Lanping Shi1

1Department of Nursing, The University of Hong Kong-Shenzhen Hospital, China, 2Hospital Management, School of Medicine, Tsinghua University, China

P4 - 5 Factor Associated with Intend to Leave Nurse and Left Nurse Qing Guo1, Herng-chia Chiu2, Fang Du2, Lanping Shi1

1Department of Nursing, The University of Hong Kong-Shenzhen Hospital, China, 2Hospital Management, School of Medicine, Tsinghua University, China

P4 - 6 How Can We Attract New Generation to Nursing Profession? Tai Loi Sun, I San Hoi, Weng Ian Lei Kiang Wu Nursing College of Macau, Macau

P4 - 7 Impact of Nurse’s Person-Job Fit on Job Satisfaction: The Multiple Mediating Effects of Income Satisfaction and Job Autonomy

Sunyoung Park Division of New Health Technology Assessment, National Evidence-Based Healthcare Collaborating

Agency, South Korea

P4 - 8 Nursing Staffing Calculation Methods: A Literature Review Tuti Afriani, Krisna Yetti, Roro Tutik Sri Hariyati Faculty of Nursing, Universitas Indonesia, Indonesia

P4 - 9 Understanding Wastage in Resolving Shortages-Lessons Learned from Chinese Nurses Leaving Nursing Practice

Junhong Zhu, Hui Huang Nursing Studies, School of Medicine, Zhejiang University, China

P4 - 10 The Nursing Audit and Continuous Quality Improvement of Clinical Blood Transfusion Yin Xue1, Chun Hong Liu2

1Department of Pediatric/NICU, The University of Hong Kong-Shenzhen Hospital, China, 2Department of Endocrinology, The University of Hong Kong-Shenzhen Hospital, China

P4 - 11 Factors Affecting Turnover Intention of Nurses Using Quantile Regression Method Yesul Lee1, Yoonju Lee2

1Department of Nursing, the Graduate School Pusan National University, South Korea, 2College of Nursing, Pusan National University, South Korea

P4 - 12 Nurse Staffing Level, Overtime, and Care Left Undone in Korean Long-Term Care Facilities Eunkyo Kim, Seonhwa Choi, Eunhee Cho College of Nursing, Yonsei University, South Korea

Information and Communication Technology

P5 - 1 “Had Google Replaced Me?”- Qualitative Narrative Analysis of Challenges Faced by Healthcare Professionals Due to Internet Surfing among Pregnant Women

Frincy Francis1, Sheeba Elizabeth.J1, Arcalyd Rose Ramos Cayaban1, Vidya Seshan1, Raya Abdullah Al Zahli2

1College of Nursing, Sultan Qaboos University, Oman, 2Nursing Department, Sultan Qaboos University Hospital, Oman

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P5 - 2 Relationship Between Smartphone Usage and VDT Syndrome of Nursing Students So Young Kim, Sung Nam Choi, Soo Ah Park School of Nursing, Doowon Technical University, South Korea

P5 - 3 Knowledge, Accessibility and Use of Information Communication Technology (ICT) among Students and Teachers in the Department of Nursing Sciences University of Nigeria

Okechukwu Frank Faculty of Medicine, Nnamdi Azikiwe University, Nigeria

P5 - 4 Blended Learning Based Training of Slideshow Designing Skills for Clinical Nursing Educators: A Study Protocol

Xiaolan Lai, Jiayuan Zhuang, Zhuzhu Wang School of Nursing, Fujian Medical University, China

P5 - 5 Using the Internet of Things for Fall Prevention in Basic Nursing Care: A Systematic Review Wai Hin Wan1, Maggie Mee Kie Chan1, Kim Fung Tsang2, Tyrone Kwok3, Pui Hing Chau1, Yat Fung

Shea4, Henry Kwok Ho Chan3

1School of Nursing, The University of Hong Kong, Hong Kong, 2School of Electronic Engineering, The City University of Hong Kong, Hong Kong, 3Technology-Enriched Learning Initiative, The University of Hong Kong, Hong Kong, 4Geriatrics Division, Queen Mary Hospital, Hong Kong

Interprofessional Education

P6 - 1 Knowledge and Readiness for Inter Professional Education and Collaboration among Nursing Students

Judie Arulappan1, Sathish Kumar Jayapal2, Gerald Amandu Matua1, Sophia Cyril Vincent1

1College of Nursing, Sultan Qaboos University, Oman, 2Centre of Studies & Research, Ministry of Health, Oman

P6 - 2 Identifying Undergraduate University Student’s Learning Styles and Their Academic Performance Using Bernice McCarthy’s 4MAT Model

Sheeba Elizabeth John Sunderraj, Frincy Francis, Arcalyd Rose Ramos Cayaban, Harshita Prabhakaran

College of Nursing, Sultan Qaboos University, Oman

P6 - 3 The Effect of Gerontology Course on Knowledge and Attitude towards Care of Older Person among Student Nurses

Mei Chan Chong1, Fatin Amirah2, 3, Vimala Ramoo1, Thandar Soe Sumaiyah Jamaludin3, Wan Ling Lee1, Chong Chin Che1

1Department of Nursing Science, University of Malaya, Malaysia, 2Ageing and Age-Associated Disorders Research Group, University of Malaya, Malaysia, 3Kulliyyah of Nursing, International Islamic University Malaysia, Malaysia

P6 - 4 Issues of Reflective Practice Intervention for Nurses in Nursing Practice: A Literature Review

Emi Kondo Graduate School of Nursing, Chiba University, Japan

84

P6 - 5 The Effects of Essentials of Fundamental Nursing Skills Training on the Self-Confidence of Nursing Students

So Young Kim School of Nursing, Doowon Technical University, South Korea

P6 - 6 Which Violence against Women Educational Strategies are Effective for Prequalifying Health-Care Students? A Systematic Review

Dana Sammut, Caroline Bradbury-Jones School of Nursing, University of Birmingham, the United Kingdom

P6 - 7 Scoping Review of Competency for Clinical Nursing Educator Tingting Feng1, Xin Zhang1, Lingling Tan2, Liyan Xiao2, Jing Jiao3, Huaping Liu1

1School of Nursing, Peking Union Medical College, China, 2Department of Nursing, The Second Affiliated Hospital of University of South China, China, 3Department of Nursing, Peking Union Medical College Hospital, China

P6 - 8 Nursing Students' Perception of High-Fidelity Simulation Teaching Comparing to Case Study Teaching to Learn Clinical Judgment: A Qualitative Study

Mio Leng Au Department of Education, Kiang Wu Nursing College of Macau, China

P6 - 9 Using Reflective and Creative Learning Activities to Develop Personal Optimism in Undergraduate Nursing Students

Cecilia Hoi Mei Kong, Angie Ho Yan Lam, Jay Jung Jae Lee, Jessie Jungxia Lin, DoDo Wai Nei Chow, Janet Yuen Ha Wong

School of Nursing, The University of Hong Kong, Hong Kong

P6 - 10 Nursing Students’ Experience in High-Fidelity Simulation-Based Learning on Critically-Ill Adult and Pediatric Patients

Aldin Gaspar, Aprille Banayat College of Nursing, University of The Philippines Manila, the Philippines

P6 - 11 Student Nurses’ Level of Satisfaction on the Clinical Learning Experience in Intensive Care Units

Aldin Gaspar College of Nursing, University of The Philippines Manila, the Philippines

P6 - 12 Nursing Coaching Competency: A Concept of Analysis Wen-Wen Chang, Wen-Yu Hu School of Nursing, National Taiwan University, Taiwan

P6 - 13 Changes in Knowledge, Skills, Confidence and Willingness to Rescue after Training of Basic Life Support Course for Nursing Students in Macao: A Long-Term Follow Up Study

Xiang Li, Ka Kit Wong, Hon Lon Tam Department of Education, Kiang Wu Nursing College of Macau, Macau

P6 - 14 Using Narrative Reflection Journal to Increase Cultural Sensitivity among Nursing Students Yung Mei Yang College of Nursing , Kaohsiung Medical University, Taiwan

85

Global Health Nursing

P7 - 1 It's Good to Be Blue: Nursing Study Abroad Blue Zone Experiences in Sardinia, Italy and Ikaria, Greece

Jessica Naber School of Nursing, Murray State University, the United States of America

P7 - 2 Health Perspectives Elicited from Subjective-Health and Health Problems of Older Chinese Permanent Residents in Japan

Li Yao, Yuka Ishii, Harue Masaki Graduate School of Nursing, Chiba University, Japan

P7 - 3 Psychometrics of Modified Sleep Habits Questionnaire (K-SHQ) for Korean Older Adults with Chronic Illness

Hye-Ah Yeom1, Sujeong Kim2

1College of Nursing, The Catholic University of Korea, South Korea, 2College of Nursing, Seattle University, The United States of America

P7 - 4 Analysis of Need to Improve Family Empowerment in Treating Non Communicable Disease at the Disaster Areas

Tuti Nuraini, Nani Asna Dewi, Siti Nur Shafriani, Nurul Jannah Faculty of Nursing, Universitas Indonesia, Indonesia

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