Download Event Schedule - Fraser Health

Event Schedule for Researchers’ Cafe
Event Name: Researchers’ Café: Nursing Research
Event Date: February 25, 2013
Event Time: 1:00pm-3:30pm (3:30pm-4:00pm Networking)
Event Location: CC, Central City, 4th Floor, Arbutus and Birch Conference Rooms
TIME
MINS
ACTIVITY/TITLE
12:45-1:00
15
1:00-1:10
10
Registration and Light
Snacks/Beverages
Welcome Remarks: Set the Stage for
the Researchers’ Café
1:10-1:30
20
South Asian Postmenopausal Women
at Risk for Cardiovascular Disease (CVD)
& Health Benefits of Yoga
1:30-1:40
10
Q&A
1:40-2:00
20
2:00-2:10
10
Creating a New Care Delivery System
for Fraser Health Patients Needing an
Implantable Cardiac Electrical Device
(ICED)
Q&A
2:10-2:20
10
Cardio Break
2:20-2:40
20
Assessment of the Generalist RN/LPN’s
Knowledge of Heart Failure SelfManagement Strategies and Comfort
Level in Delivery of Information
2:40-2:50
10
Q&A
2:50-3:10
20
Royal Columbian Hospital Heart
Function Clinic
3:10-3:20
10
Q&A
3:20-3:30
10
Closing Remarks: Thank You to the
SPEAKER(S)
TITLE(S)
Susan Chunick
Director, Department of
Evaluation and Research
Services, FH
Faculty of Community & Health
Studies, BSN Faculty Member,
Langley Campus, Kwantlen
Polytechnic University
Amandah
Hoogbruin, PhD
Jocelyn ReimerKent
Clinical Nurse Specialist, Cardiac
Program
Lauren Thomas and (LT) Heart Failure Outreach
Krista Greenberg
Support Team (HOST) RN,
Cardiac Services, SMH
and (KG) Heart Failure Outreach
Support Team (HOST), RN,
Cardiac Services, ARHCC
Charline Hooper
Nurse Practitioner Family,
Cardiac Clinics, RCH
Angela Wolff, PhD
Director, Clinical Education,
3:30-4:00
30
Speakers and Participants and Recap
of Today’s Event
Networking
Professional Practice and
Integration, FH
AMANDAH HOOGBRUIN, PHD
Title:
South Asian Postmenopausal Women at Risk for Cardiovascular Disease (CVD) & Health
Benefits of Yoga
Overview:
In Canada, South Asians suffer disproportionate rates of cardiovascular-related
morbidity and mortality. Postmenopausal South Asian women are at even greater risk
due to the elevated prevalence of hypertension, physical inactivity, and obesity in this
population. Current evidence suggests that yoga, an ancient mind-body practice that is
a long-standing part of the Indian culture and tradition may reduce psychological and
physiological CVD risk factors, and represents a safe, acceptable, and feasible
intervention for inactive older women. Yoga may thus have particular promise in CVD
prevention and management in this population.
JOCELYN REIMER-KENT
Title:
Creating a New Care Delivery System for Fraser Health Patients Needing an Implantable Cardiac
Electrical Device (ICED)
Overview:
Within Fraser Health (FH) the service delivery model and clinical care model were nonstandardized and fragmented for patients needing an implantable cardiac electrical
device (ICED). ICEDs include permanent pacemakers, implantable cardioverter
defibrillators (ICD) and cardiac resynchronization therapy (CRT). High demand for ICED
was compounded by capacity and budget issues leading to unacceptable wait times.
This initiative saw collaboration and partnership between the cardiac and the surgery
programs as they worked to engage multiple stakeholders. Strategies such as
comprehensive literature reviews, environmental scans and gap analysis, interviews
with subject matter experts, and surveys were used to develop action plans. Three (3)
models were developed or adopted for the initiative including a new Service Delivery
Model; new Intra-Procedure Care Model; and new Pre- and Post-Procedure Clinical Care
Model which adopted the Reimer-Kent Postoperative Wellness Model © (Reimer-Kent,
J. (2012). CJCN 22(2), 7–14) as foundational to developing numerous practice support
tools. This initiative has been about quality care, patient safety, access, flow, fiscal
stewardship, integration and standardization. It will be fully evaluated at 6 and12
months post-implementation to ensure that it meets the needs of patients and care
providers. The outcomes from the evaluation will be analyzed and used to support
future enhancements
LAURA THOMAS and KRISTA GREENBERG
Title:
Assessment of the Generalist RN/LPN’s knowledge of heart failure self-management
strategies and comfort level in delivery of information”
Overview:
Heart failure (HF) accounts for 22,259 in-patient hospital days in Fraser Health Authority
(FHA) annually (FH Heart Failure Report, Gap Analysis & Recommendations, 2010). Not
only are there a large number of HF patients being admitted to acute care but they are
also at risk for early and frequent readmission; 20% of patients with a heart failure
diagnosis are readmitted within 30 days(MOH, 2008-2009). Patients do not currently
experience a quality discharge transition and typically leave hospital with limited
knowledge of self-management strategies. Self-management programs have been
proven to be an efficient way to reduce readmission and cost (Todd, M. et al 2005,
Phillips C.O. et al 2004, Jovivic, A. et al, 2006) However, it is generally acknowledged that
there are many barriers to discharge teaching for generalist nurses. This project’s aim is
to explore the knowledge and comfort of generalist registered nurses (RNs) and licensed
practical nurses (LPNs) teaching clients. This is a quantitative, observational, descriptive
study that will be conducted using a survey. The assessment of baseline knowledge and
comfort level of generalist RNs and LPNs would provide a basis for implementation for a
specialized educational intervention in the future. This would be designed to stimulate
an increase in bedside teaching of heart failure self-management. Enhancing selfmanagement education will empower health care professionals and patients, reduce
readmission rates, improve quality of life for patient and reduce burden on the FHA
acute care system.
CHARLINE HOOPER
Title:
Royal Columbian Hospital Heart Function Clinic
Overview:
According to Cardiac Services BC there are over 90,000 people in BC diagnosed with heart
failure, and over 40% live in the Fraser Health Authority. The Royal Columbian Hospital (RCH)
Heart Function Clinic was initiated February 1, 2011 with a multidisciplinary approach to
promote heart failure education and management. The goals of the Heart Function Clinic
include; improvement in client quality of life (QOL) and reduction in heart failure
hospitalizations and mortality. The clinic has received over 465 referrals and currently cares for
over 245 clients. Charline Hooper NP, Margaret Meloche and Rita Sobolyeva completed an
evaluation project of the RCH Heart Function Clinic and analyzed data from February 1, 2011 to
May 1, 2012. Findings pre and post client enrolment in the RCH Heart Function clinic include a
50% reduction in heart failure related emergency room visits and hospitalizations. A 76%
improvement in heart function symptoms as demonstrated by the New York Heart Association
Class Scale (NYHA). Confirmation tele-managment and emergency avoidance visits as an
effective strategy for early heart failure assessment and treatment. The RCH Heart Function
Clinic Emergency Avoidance Visit Evaluation Project was presented at the Canadian Council of
Cardiovascular Nurses Conference 2012.