08:00 - 09:00
09:00 - 09:15
09:00 - 18:30
09:15 - 09:30
Tilte: Compassionate, Diverse Nursing Leadership - A question of care, quality and safety
Laura Serrant OBE, Head of Nursing Department, Manchester Metropolitan University, UK
Nursing and healthcare in the 21st century is charged with delivering high quality care within an increasingly diverse society. Much of the policy, practice and research drivers underpinning the UN Sustainable Development Goals (SDGs) aim to optimise health equity and improving life chances. In pursuit of this, nursing practice often focuses almost exclusively on meeting the needs of patients, service users and the public. However, recent reports on nursing shortages worldwide, also highlight that compassionate care for patients often occurs in isolation from recognising the needs of the workforce or the nursing profession as a whole - in this regard we do ourselves a dis-service - and in the silent spaces between patient need and workforce responsibilities, we fail to acknowledge the importance of professional leadership as the catalyst to delivering the high quality, equitable and culturally competent care that we all hope for. This presentation will use personal and professional reflections to highlight the importance of culturally competent and compassionate leadership to truly achieving safety and quality in 21st century health care. It explores the challenges and opportunities faced at an individual and professional level in Nursing, looking back at some of the Global health and nursing strategic drivers of the last few years and makes a case for centralising culturally competent, compassionate leadership for the future sustainability of our Nursing profession.
Biography:
Professor Laura Serrant is Head of Nursing and Professor of Community and Public Health Nursing in the Faculty of Health, Psychology and Social Care at Manchester Metropolitan University, UK. Professor Serrant has an extensive experience in national and international health policy development with particular specialist input on racial and ethnic inequalities and cultural safety. It was her work in this area which led to her being awarded an OBE in the Queen's Birthday Honours list 2018 for services to Health Policy.
She is one of the 2017 BBC Expert women, Chair of the Chief Nursing Officer for England's BME Strategic Advisory group and a 2017 Florence Nightingale Scholar. She is an ambassador of the Mary Seacole Memorial Statue and the Equality Challenge Unit Race Equality Charter for Higher Education. Her work has been recognized with numbers awards and prizes, including Queens Nurse status and Fellowship of the Queens Nursing Institute to those who have shown leadership in community nursing. In 2014, she was named as one of the top 50 leaders in the UK by The Health Services Journal in three separate categories: Inspirational Women in Healthcare, BME Pioneers and Clinical Leader awards. In October 2019 she was listed in the top 100 most influential Black people in the UK by the Powerlist 2020.
Professor Serrant has been awarded Queens Nurse status by the Queens Nusing Institute and has received various research scholarships and awards including the Mary Seacole nursing research leadership award, Florence Nightingale travel fellowship and Smith and Nephew research fellowship. She has over thirty years’ experience of health care practice, research, policy development, training and management. In 2014 she was recognised by the Health Service Journal in three separate categories: Inspirational women in healthcare, BME pioneers and Clinical leader awards.
Honours
Professor Laura Serrant was recognized as the 8th most influential black person in the United Kingdom. In 2017, she was awarded an honorary doctorate by Abertay University. In the 2018 Queen's Birthday Honours, she was appointed an Officer of the Order of the British Empire (OBE) for services to health policy.
Remarkable Contributions
Find more information @ https://en.wikipedia.org/wiki/Laura_Serrant
Remarkable Contributions
January 2001: Serrant-Green, L. "Inequality in provision of sexual health information".
Professional Nurse. 16 (4): 1038–42. PMID 12029731.
November 2001: Serrant-Green, Laura. "Transcultural nursing education: a view from within".
Nurse Education Today. 21 (8): 670–678. doi:10.1054/nedt.2001.0663.
July 2002: Serrant-Green, Laura "Black on black: methodological issues for black researchers working in minority ethnic communities".
Nurse Researcher. 9 (4): 30–44. doi:10.7748/nr2002.07.9.4.30.c6196.
2005: Higginbottom, Gina Marie; Serrant-Green, Laura. "Developing Culturally Sensitive Skills in Health and Social Care with a Focus on Conducting Research with African Caribbean Communities in England".
The Qualitative Report. 10 (4): 662–686. ISSN 1052-0147. Retrieved 24 October 2017.
August 2006: Higginbottom, G. M. A.; Mathers, N.; Marsh, P.; Kirkham, M.; Owen, J. M.; Serrant-Green, L.. "Young people of minority ethnic origin in England and early parenthood: views from young parents and service providers".
Social Science & Medicine. 63 (4): 858–870. doi:10.1016/j.socscimed.2006.03.011.
April 2007: Serrant-Green, Laura. "Ethnographic research".
Nurse Researcher. 14 (3): 4–6. doi:10.7748/nr2007.04.14.3.4.c6027.
November 16, 2010: Serrant-Green, Laura. "The sound of 'silence': a framework for researching sensitive issues or marginalised perspectives in health".
Journal of Research in Nursing. 16 (4): 347–360. doi:10.1177/1744987110387741.
Awards, Honours & Distinctions
·
2018 Officer of the British Empire (OBE) for services to Nursing and health Policy
· 2017 Powerlist Top 100 most influential Black people in Britain for 2018 ( listed 8Th)
· 2017 Florence Nightingale Foundation Nursing Leadership Scholar
· 2016 Fellow of the Queens Nursing Institute
· 2016 Inducted into Sigma Theta Tau International honour Society for Nursing (UK Chapter)
· 2014 HSJ Inspirational Women Award
· 2014 HSJ Clinical Leaders Award
· 2014 HSJ BME Pioneers Award
· 2014 Queens Nurse Award
· 2013 Winston Churchill Memorial Trust Travel Fellow
· 2011 Precious Online Mentor of the Year
· 2004 Florence Nightingale Travel Fellow
· 2004 Smith and Nephew Foundation Nursing Research Fellow
· · 1998 Mary Seacole Nursing Leadership Scholar
09:00 - 09:30
Title : Intentional Happiness: 7 Paths to Lasting Happiness-Self-Care for Healthcare
Dr. Elia Gourgouris
#1 Best-selling Author
International Keynote Speaker,
Happiness and Wellness expert, Executive Coach & Leadership Consultant, USA
What is Happiness? Aristotle answered this by saying "Happiness is the meaning and purpose of life, the whole aim and end of human existence" Happiness is a choice! However, knowledge without application, is just education, meaning that it takes awareness, effort, and practice, to be happy.
That being said, what inhibits our happiness, and how can nursing practitioners find happiness and fulfillment in their professions, when far too many suffer from profession burn-out, due to the high stress nature of their jobs. In my keynote, I will address practical tools that are applicable to both them and their patients. Several factors have a direct impact on our level of life satisfaction and fulfillment, including fear (of change, fear of success, and fear of failure), comparisons, selfishness, the burden of perfectionism, lack of forgiveness (and self-forgiveness), our inner critic, and toxic relationships. When these mental and emotional roadblocks are removed, our inner joy will be freed from constraints and returned to our awareness.
The 7 Paths to Lasting Happiness reviews several of these roadblocks and provides both principles and “take action exercises” for individuals to learn from, and through its application to ultimately achieve genuine happiness, including:
1st Path: Loving Yourself a)Personal Brand b) Perfectionism c)Inner Critic d)Comparisons
2nd Path: Gratitude a) Attitude of Gratitude b)University of Adversity
3rd Path: Forgiveness a)Forgiveness equals freedom b) Self-forgiveness is the key
4th Path: Follow Your Passion a) Getting out of your comfort zone brings growth
5th Path: Nourish Your Spirit a) Faith vs Fear b) Meditation & Purpose
6th Path: Loving relationships a) Love languages b) Criticisms & Toxic relationships c) Authentic listening d) Trust
7th Path: Service a) The antidote to selfishness
Biography:
Elia Gourgouris is an International Keynote Speaker, Happiness and Wellness expert, Executive Coach, and a Leadership Consultant. He is the author of the #1 Amazon Best-Selling book, 7 Paths to Lasting Happiness which has now been translated in Spanish, Chinese, and Greek. Dr. Elia is also the President of The Happiness Center –an organization of world-leading experts in the field of Positive Psychology. Together, they have helped thousands of individuals, both personally and professionally to achieve happiness, success, and wellness. The Happiness Center offers Keynote Speaking Engagements and Executive Coaching services to leaders, organizations, and corporations in the US, Europe, Asia, and Australia. He graduated from UCLA and holds a Ph.D. in Clinical Psychology. Finally, he's a partner with Mindcurrent the world's first personalized Energy & Happiness
Dr. Elia Gourgouris is an #1 Best-selling Author, International Keynote Speaker, Happiness and Wellness expert, Executive Coach, and a Leadership Consultant. He is the author of the #1 Amazon Best-Selling book, 7 Paths to Lasting Happiness which has now been translated in Spanish, Chinese, and Greek. Dr. Elia is also the President of The Happiness Center –an organization of world-leading experts in the field of Positive Psychology. Together, they have helped thousands of individuals, both personally and professionally to achieve happiness, success, and wellness. The Happiness Center offers Keynote Speaking Engagements and Executive Coaching services to leaders, organizations, and corporations in the US, Europe, Asia, and Australia. He graduated from UCLA and holds a Ph.D. in Clinical Psychology. Finally, he's a partner with Mindcurrent the world's first personalized Energy & Happiness
09:30 - 10:00
Title: Scanning the Horizon: Emerging Evidence in the Pediatric Wound Care 2020
Vita Boyar, Chair of PI Prevention group at CCMC
Co-Chair of Northwell PU Task Force
Member, Association for the American Academy of Pediatrics,
Advancement of Wound Care
American Professional Wound Care Association, Newyork, USA
There is an emerging awareness that hospitalized children and neonates are at risk for multiple cutaneous injuries. More than 40% of children entering our hospitals leave with scars; over 25% are non-intentional secondary to pressure injuries, medical adhesive device related injuries, PIV extravasations, infections, burns and surgical wounds. Over 50% of pediatric pressure injuries are medical-device related, most are avoidable. PIV extravasations are a common and at times, serious complication of neonatal stay. Medical adhesives related skin injuries are on the rise. Technology have advanced pediatric care to new height, but with that came a new wave in skin injuries. A common cause of delayed wound healing/ wound dehiscence is colonization with microbes, often leading to infection. Infection can impede the healing process by inducing a strong systemic and local inflammatory response. Most prevention and treatment protocols are extrapolated from adult practice, despite the fact that many “adults” products are contraindicated in neonates. Studies support the use of non-medicated dressings in managing wound bioburden. Pediatric population is in great need of guidelines, protocols and less harmful treatment.
This presentation will present an overview of pediatric wound care state in 2020, most common injuries and discuss new, non-toxic products to heal pediatric wounds from actual case presentations as well as offer insight into preventative care and quality improvement in pediatric and neonatal care.
Biography:
Vita Boyar is a Board-Certified Neonatologist and Certified Wound Specialist Physician, specializing in pediatric and neonatal wound care. She is an Assistant Professor of Pediatrics at Hofstra University Medical School and practices both neonatology and wound care at Cohen Children’s Medical Center of NY, Northwell Health System. She combines both specialties as a director of Neonatal Wound Services. Her neonatology research involves safe antimicrobial practice, neonatal skin maturation, respiratory care and devices; as well as Quality Improvement, specializing in pressure injury (PI) reduction. As a chair of PI Prevention group at CCMC and a Co-Chair of Northwell PU Task Force she had implemented numerous protocols, achieving reduction in medical-device related and ECMO related PI. Dr. Boyar is a creator and author of monthly pediatric column for Ostomy, Wound Management and Prevention Journal, “Children with wounds, asking the right questions”. She is a member of the Association for the American Academy of Pediatrics, Advancement of Wound Care, American Professional Wound Care Association and serves as a Trustee of International Society of Pediatric Wound Care.
Dr. Vita BoyarAs a chair of Pressure Injury Prevention group at CCMC and a Co-Chair of Northwell PU Task Force she had implemented numerous protocols in PI Prevention, achieving reduction in medical-device related and ECMO related PI. she is a Board Certified Neonatologist and Certified Wound Specialist Physician, specializing in pediatric and neonatal wound care. Dr. Boyar is an Assistant Professor of Pediatrics at Hofstra University Medical School and practices both neonatology and wound care at Cohen Children’s Medical Center of NY, Northwell Health System. She combines both specialties as a director of Neonatal Wound Services. Her neonatology research involves respiratory care and devices; it is closely intervined with her work in Quality Improvement, specializing in pressure injury (PI) reduction. Her active areas of research include use of natural products in pediatric population and education on injury prevention.
10:00 - 10:30
10:30 - 10:45
Sessions: Background: Description: Evaluation: Outcomes and Implications: Sandra “Sam” Brzoza MS, RN has been in the healthcare and nursing education field for the past 40 years. Sam brings a wealth of experience in leading and managing healthcare organizational change. For the past 22, years Sam has been in full-time academic teaching. Using her administrative hat, Sam directs the RN to BS completion program and serves as an Associate Professor at Roberts Wesleyan College, Rochester, NY. Courses that Sam has designed and implemented include a transcultural trip to Cutshin, Kentucky, a community health transcultural experience to the Seneca Nation, and an Amish emersion clinic in New York State. The Institute of Medicine (2010) focused on nursing report identifies that the shortage of well-prepared nurses have an impact on the population. This report also discusses that there will be an increased need of well-prepared nurses in the near future because of the increase in population, more chronic illness, among other things. IOM discusses 2 main suggestions to assist the nursing workforce in gaining well prepared nurses. First suggestion is to increase the numbers of BSN (Bachelor of Science in Nursing) nurses by 80% by 2020. Second, offer nursing residencies that assist new nurses for easier transition into the nursing workforce. There are recommendations from agencies such as AACN and NCSBN on how these initiatives can be implemented. There is extensive evidence on the positive and negative impacts of both of these initiatives identified above. However, the first initiative is coexistent of the second. This is because, nurse residency programs that assist new nurse’s transition to nursing workforce are developed based on evidence based research involving BSN prepared nurses. In fact, the AACN has certification status for post baccalaureate RN residency programs and not associate degree RN residency programs. This paper will discuss the need for academic progression from associate degree nursing to BSN nursing which will then allow the increase in development of standardized nurse residency programs for BSN prepared nurses and where are we now in 2020! 11:45-12:05 12:05-12:25 12:25-12:45 12:45-13:05 |
10:45 - 13:05
13:05 - 13:15
13:15 - 14:00
Title: Nursing Enterpreneurship
Tammy, The Fixer Peebles Nurse Mentor, American Nurses Association Program Class of 2019-2020, CEO, Infinity Long Term Care Consulting, LLC, USA
Tammy Peebles is the President and CEO of Infinity Long Term Care Consulting, LLC, full-service healthcare consulting company. Tammy is executive clinical nurse consultant, nurse educator, coach and consultant with more than 30 years working in various sectors of healthcare such as long-term care, long-term acute care, acute care, home health, hospice, home and community-based services. Tammy has also served in various roles such as Vice President of Clinical Services, Chief Nursing Officer, Senior Regional Nurse Consultant, Director of Nursing Services, Risk and Regulatory Manager, Clinical Supervisor, and many more. Tammy attended Chamberlain College of Nursing where she obtained all of her professional nursing education and degrees. Tammy is a regulatory compliance strategist known as The Fixer ™ in the healthcare industry because she can quickly take nursing facilities from regulatory noncompliance to compliance by streamlining processes and creating sustainable outcomes that ensure regulatory compliance and excellent patient outcomes. Tammy brings a wealth of experience with leading and managing healthcare organizational change. Using her clinical expertise, knowledge, professional experiences, and love of nurs.es, Tammy has developed the Center of Nursing Professional Development (COPND), a subset of Infinity Long Term Care Consulting, that houses educational programs that focus on high-quality professional development programs for nurses from novice to expert. With Tammy’s guidance, Infinity Long Term Care Consulting was awarded Accreditation with Distinction by the American Nurses Credentialing Center.(ANCC). The ANCC Accreditation distinguishes organizations that demonstrate quality and excellence in the curriculum design and delivery of continuing nursing education (CNE). Accredited organizations like Infinity meet comprehensive, evidenced-based criteria to ensure CNE-certified activities are effectively planned, implemented and evaluated. Only organizations that demonstrate zero deficiencies requiring a progress report achieve Accreditation with Distinction. Industry affiliations and certifications include: • American Association of Nurse Assessment Coordinators (AANAC) American Nurses Association (ANA) • American Nurse Credentialing Center (ANCC) American Nurses Association Mentoring Program (Class of 2019-2020) • Association for Professionals in Infection Control and Epidemiology Certificate (APIC) • Certified Dementia Practitioner through National Council of Certified Dementia Practitioners (NCCDP) • Director of Staff Development (DSD) • Missouri Nurses Association (MONA) • Missouri Women Owned Business Network (WOBN) • National Alliance of Wound Care and Ostomy Consultant (NAWCO) National Association of Professional Women (NAPW) • Sigma Theta Tau International Honor Society of Nursing Web: http://www.infinityltcare.com
Tammy Peebles is the President and CEO of Infinity Long Term Care Consulting, LLC, full-service healthcare consulting company. Tammy is executive clinical nurse consultant, nurse educator, coach and consultant with more than 30 years working in various sectors of healthcare such as long-term care, long-term acute care, acute care, home health, hospice, home and community-based services. Tammy has also served in various roles such as Vice President of Clinical Services, Chief Nursing Officer, Senior Regional Nurse Consultant, Director of Nursing Services, Risk and Regulatory Manager, Clinical Supervisor, and many more. Tammy attended Chamberlain College of Nursing where she obtained all of her professional nursing education and degrees. Tammy is a regulatory compliance strategist known as The Fixer ™ in the healthcare industry because she can quickly take nursing facilities from regulatory noncompliance to compliance by streamlining processes and creating sustainable outcomes that ensure regulatory compliance and excellent patient outcomes. Tammy brings a wealth of experience with leading and managing healthcare organizational change. Using her clinical expertise, knowledge, professional experiences, and love of nurs.es, Tammy has developed the Center of Nursing Professional Development (COPND), a subset of Infinity Long Term Care Consulting, that houses educational programs that focus on high-quality professional development programs for nurses from novice to expert. With Tammy’s guidance, Infinity Long Term Care Consulting was awarded Accreditation with Distinction by the American Nurses Credentialing Center.(ANCC). The ANCC Accreditation distinguishes organizations that demonstrate quality and excellence in the curriculum design and delivery of continuing nursing education (CNE). Accredited organizations like Infinity meet comprehensive, evidenced-based criteria to ensure CNE-certified activities are effectively planned, implemented and evaluated. Only organizations that demonstrate zero deficiencies requiring a progress report achieve Accreditation with Distinction. Industry affiliations and certifications include: • American Association of Nurse Assessment Coordinators (AANAC) American Nurses Association (ANA) • American Nurse Credentialing Center (ANCC) American Nurses Association Mentoring Program (Class of 2019-2020) • Association for Professionals in Infection Control and Epidemiology Certificate (APIC) • Certified Dementia Practitioner through National Council of Certified Dementia Practitioners (NCCDP) • Director of Staff Development (DSD) • Missouri Nurses Association (MONA) • Missouri Women Owned Business Network (WOBN) • National Alliance of Wound Care and Ostomy Consultant (NAWCO) National Association of Professional Women (NAPW) • Sigma Theta Tau International Honor Society of Nursing Web: http://www.infinityltcare.com
14:00 - 14:20
Sessions 14:40-15:00 Title: Practicum to Practice: How well are Nurses Prepared to Care for Today’s Population? Abstract: Given the changes in the healthcare environment, specifically the total cost of care, it is imperative that all clinicians understand the importance of population health or the concept for understanding and meeting the needs of patient communities. Moreover, the healthcare community must have seamless workflows to improve the manner in which care is delivered. Learning Objectives:
Biography: Charleeda Redman, RN, MSN ACM, FAACM graduated with her BSN in Nursing from Carlow University in 1995. She completed her graduate studies in Case Management/Leadership at Carlow University in 2000. Ms. Redman has been a nurse for over twenty years and worked in case management for over eighteen of those years. Ms. Redman is currently the Vice President, Strategy Integration at Children’s Hospital of Philadelphia.She has a diverse background in nursing, care management, informatics, and strategic planning. She has held positions as Vice President, Strategic Initiatives at Jefferson Health in Philadelphia and Vice President of Accountable Care at the University of Pittsburgh Medical Center. Ms. Redman is the recipient of numerous honors including HealthShare Exchange Champion (2018), New Pittsburgh Courier 50 Women of Excellence (2012), 40 Under 40 Recognition (2010), Manchester’s Who’s Who of Executives and Professionals (2005), and KDKA-TV Lift-up Award (2003) for hard work and dedication in the workplace. She has been a member of the American Case Management Association (ACMA) since 2005 and Past President of the Western Pennsylvania Chapter. She has recently become a member national board member of Community Health Charities. 15:00-15:20 16:55-17:20 Lashanda Brumfield is a native of Mississippi with a B. S. in Therapeutic Recreation & Minor in Psychology from The University of Southern Mississippi, a Master’s in Public Health from Jackson State University, and a Doctoral in Clinical Health Sciences from University of Mississippi Medical Center. Lashanda worked in the field of Mental as a Certified Recreation Therapist and a Certified Health Educator for 19 years Health (specializing in Adventure/Experimental Therapy in Substance Abuse Recovery, Behavioral Intervention Among Adolescent & Children, and Leisure Programming for Individuals with Developmental Disabilities), before transitioning to academia. She has been named Who’s Who among Women in Business and Among Professionals in Healthcare. She is a published author and professional presenter. Her research interest includes Healthcare Disparities, The Use of and Communication of the Use of Complementary Medicine in Patient Services, Culture Diversity Among Healthcare Service Providers (Communication Barriers), The Stigma of Depression and Anxiety Among Different Ethnicities, Evolution of Mental Health Services, Prayer & Spirituality in a Healthy Lifestyle, & Addictive Behaviors. She currently works at Piedmont College in Demorest Georgia as an Assistant Professor if Health Sciences. She enjoys life, family, & her relationship God. |
14:20 - 16:05
16:05 - 16:30
Title: Metahabilitation: A Strengths-Based Model of Recovery Promoting Wellness and Resilience for Secondary and Vicarious Survivors
Joyce Mikal-Flynn, Founder and Originator, METAHAB, USA
Highly stressful professions can bring turmoil, questions and concerns about one’s ability and inner strength, personally and professionally. It is also time to learn who we are and more importantly, who we can be. How does one deal with ongoing challenges productively, finding personal strengths as well as growth brought forth by intense professions and life experiences? What is one’s philosophy and practice supporting wellness, health, healing and growth? These are aspects health care personnel and health care providers must tackle themselves before they are able to assist another. For clinicians, therapists, staff and others providing consumer health, personal wellness is critical and necessary to address. Without appropriate support and assistance anxiety, mental fatigue and dissatisfaction in one’s profession and life can and does occur. Metahabilitation, a strengths-based recovery program, is used for individual survivors of trauma but also for secondary and vicarious survivors of acute and ongoing trauma, such as health care professionals and their staff, that specifically and uniquely encourages and promotes resilience, self-care, and wellness. Additional research revealed the opportunity provided by such professions to find personal strength, greater meaning in life and experience posttraumatic growth (PTG) as a direct result of their work.
Key elements of this presentation include: 1) Scientific evidence supporting the individual’s capacity for resilience and posttraumatic growth (PTG). 2) Research illuminating individual, secondary and vicarious trauma survivor’s skills which support and build resilience, promote self-care, and PTG. 3) Application - utilization of existing personal skills and strengths with specific information demonstrating integration of content to encourage and build resilience, encourage wellness and PTG in one’s professional life.
Biography
Dr. Joyce Mikal-Flynn received a Bachelor of Science in Nursing from University of San Francisco (1976), a Nurse Practitioner Certificate from University of California, Davis (1981), a Masters in Nursing from California State University, Sacramento (1994) publishing the thesis: A Phenomenological Investigation of Near Death Event Survivors. In 2007 she completed her Doctor of Education publishing her dissertation: Transforming Life Crisis: Stories of Metahabilitation After Catastrophic Life Events. She held faculty positions at University of California, Davis: NP/PA program and Samuel Merritt College. Since 2005 she has been at California State University, Sacramento in the School of Nursing.
Currently a Professor at CSUS teaching courses in Neuroscience and Trauma Informed Care. Due to her area of research and expertise she focuses on the course she created: Traumatology: An Introduction to Posttraumatic Growth and direct application of PTG in recovery programs. Along with her FNP practice, she continues studying and collaborating with institutions and organizations focusing on direct clinical application of metahabillitation, a recovery system which supports and guides one toward PTG. She has several peer-reviewed publications and over 40 podium presentations at international and national conference, lecturing about PTG and her unique system of rehabilitation, MetaHabilitation. Her publications include her book: Turning Tragedy Into Triumph. Metahabilitation; A Contemporary Model of Rehabilitation.
Dr. Joyce Mikal-Flynn was a triathlete who passed out during a race, died, and then came back to life. Afterward she wrote a book detailing her journey to recovery, her research on posttraumatic growth, and her trademark rehabilitation process called metahabiliation. In this episode we explore her incredible story and more. Dr. Mikal Flynn received her BSN (Bachelors of Science in Nursing) from University of San Francisco, her FNP (Family Nurse Practitioner) from University of California, Davis, and her MSN (Master’s of Science in Nursing) from California State University, Sacramento. Her Doctor of Education was completed in 2007 at St. Mary’s College, Moraga. She is CEO of Metahab.com and an associate professor at Sacramento State University teaching courses in: Neuroscience and Traumatology. Her system of recovery and rehabilitation, MetaHabilitation©, guides survivors and families toward posttraumatic growth (PTG) and is currently utilized in veteran and oncology programs, individuals with chronic pain, addiction and dependency and in private practices. Her work is presented internationally and nationally. Multiple publications include her book, Turning Tragedy Into Triumph. Metahabilitation; A Contemporary Model of Rehabilitation. For more on Dr. Mikal-Flynn head to www.metahab.com. If you enjoyed this episode visit www.joshuasteinfeldt.com/podcast for show notes and more.
16:30 - 16:55
16:55-17:20
Title: A System-Based Remediation Algorithm for Nursing Education
Laura J Wallace, Assessment and Evaluation Coordinator, Brenau University Mary Inez Grindle School of Nursing, Gainesville, United States
Nurse educators have been looking for an elusive set of pre-licensure nursing program admission criteria leading to a zero attrition rate since nursing education left the hospitals and moved into the collegiate setting. Should face-to-face interviews or essays be required? What is the minimum GPA to guarantee not just program completion, but passing NCLEX the very first time? Should programs require a minimum score on a standardized nursing admission test and what should the score be? A meta-analysis of the literature revealed multiple best practices in basic RN pre-licensure program remediation leading to decrease in attrition rates and increase in NCLEX-RN first time pass rate success. When successful nursing programs were researched, integration of multiple best practices were used to maintain low attrition and high NCLEX-RN first time pass rates. The proactive System-Based Remediation Algorithm for Nursing Education provides a guideline using specific learner attributes to identify at risk students at multiple stages when enrolled in the nursing program. The algorithm also identifies the best practices to integrate at the course, semester, or end of program level. It is an algorithm supporting a learning centered curriculum and program success based on active learning strategies integrated throughout the curriculum, student remediation using metacognitive learning tool construction, individualized student support and study plans, and problem-solving activities aimed at developing clinical judgment. After implementing the algorithm, the data for one BSN prelicensure program resulted in a decrease in attrition rate (from 20 to 10 %) and an increase in the first time NCLEX-RN pass rate (from 72 to 93 %) over four years.
Biography:
Laura Wallace currently has practiced 40 years as a registered nurse. This time includes 35 years as a certified nurse-midwife and 17 years as a nurse educator. She has taught at the patient education, undergraduate, graduate, and doctoral level. Dr Wallace obtained her BSN from Spalding College in Louisville, Kentucky. She obtained her nurse-midwifery education and MS from the University of Minnesota. Her doctoral work was completed at Capella University, Minneapolis, Minnesota. Dr Wallace is an associate professor at Brenau University in Gainesville, Georgia. She continues to teach obstetrics and women’s health and NCLEX-RN preparation. As Assessment and Evaluation Coordinator she is the Learning Coach for students and is involved in program evaluation and curriculum development.
16:45-17:10
Title: Correlational study measuring nursing empowerment and nurse faculty job satisfaction
Susan L. King, USA
The Health Resources and Services Administration (HRSA) reported one-third of the current national nursing workforce is older than 50 and will reach retirement age over the next 10-15 years. Maryland is one of sixteen states projected to experience a shortage of RN’s by 20205 (HRSA, 2014). Identifying factors leading to job satisfaction is the first step in stabilizing work environments and attracting nurses for careers in higher learning. The purpose of this descriptive, correlational research is to investigate the extent to which variations in nurse faculty empowerment (opportunity, information, resources, support, and formal and informal power) corresponded with variations in job satisfaction (people, work, pay, opportunity, and supervision). In 2016, the researcher conducted foundational research in the area of job satisfaction of nurse faculty. Kanter’s (1983) model of organizational empowerment served as the theoretical foundation of the foundational research. The researcher administered an online questionnaire using Survey Monkey® to collect data from a convenience sample of over 300 faculty employed full-time in 17 campuses across a private-sector national college of nursing. Two valid and reliable research tools were combined in one survey to measure nurse faculty empowerment and job satisfaction. Descriptive statistics including means and standard deviations, examined the facets of the CWEQ-II Workplace empowerment tool as well as the aJDI tool measuring job satisfaction. The results of the foundational research supported organizational change and a reduction in nurse faculty turnover, changes in employee orientation, and recruitment referrals from current faculty. A call to action to supports further exploration of this topic to retain the current nurse faculty and recruit new faculty as the current workforce retires from their Universities.
17:10-17:35
Title: TBA
Donna Hartz, Charles Darwin University, Australia
17:35-18:00
Title: TBA
Ana (Ana Moreira) Williams, Neurology and Neuro Diagnistics LLC, USA
18:00-18:25
Title: Improve practice and patient outcomes by equipping nurses with evidence-based education on the phenotypic expression of attention-deficit hyperactivity disorder/attention-deficit disorder (ADHD/ADD) in women
Brynne Calleran, USA
Purpose: Improve practice and patient outcomes by equipping nurses with evidence-based education on the phenotypic expression of attention-deficit hyperactivity disorder/attention-deficit disorder (ADHD/ADD) in women. Summary: Despite equal prevalence, women with ADHD/ADD, compared to men, are diagnosed at a ratio of approximately 1 to 31. Entrenched referral/diagnostic bias heightens the risk of delayed diagnosis, misdiagnosis, or lack of diagnosis entirely2. Delayed treatment, for decades or lifetimes, sets women up for dangerously poorer outcomes3. DESCRIPTION: ADHD/ADD diagnostic criteria were largely developed from samples of male children and fail to sufficiently capture the female ADHD/ADD phenotype4. Women are more likely to experience inattentive and/or internalizing symptoms. Because (1) externalizing behaviors drive referrals, and (2) outward symptom severity drives diagnosis, women are far less likely to be diagnosed5. Ironically, research suggests women are more impaired by ADHD/ADD6. VALIDATION: ADHD/ADD women, compared to men, show significantly higher rates of comorbid mood/anxiety disorders. Comorbid depression in women emerges earlier in life, recurs more frequently, and is symptomatically more severe. Nearly half of all ADHD/ADD women will consider suicide. ADHD/ADD women face greater intellectual impairment, perceived mental health impairment, and mortality rates7. Relevance: Failing to recognize ADHD/ADD symptoms in women leads to significant under treatment and poorer outcomes8. As patient advocates, it’s critically important we improve our understanding of ADHD/ADD in women in order to provide high-quality, potentially lifesaving, nursing care. Future Implications: Though research is beginning to explore gender differences in ADHD/ADD symptomology and neurobiology, women remain largely neglected in the literature9. A paradigm shift in our understanding of ADHD/ADD in women is needed.
Presentation Summary (49 words) A paradigm shift in our understanding of attention-deficit hyperactivity disorder/attention-deficit disorder (ADHD/ADD) in women is needed. Failure to recognize phenotypic gender differences can lead to significant undertreatment and poorer outcomes. As a female PMH-RN diagnosed at age 30, this session will be presented from an academic, professional, and personal perspective.
Biography:
Brynne Calleran MSN, BSN, BS, NE-BC, IN-BC, PMH/RN-BC is a Nurse Educator at Gracie Square Hospital and Clinical Nurse at NewYork-Presbyterian/Westchester Division. She is a Board Officer for the American Psychiatric Nurses Association’s (APNA’s) New York Chapter and a Program Facilitator for APNA's Suicide Risk Assessment & Management Program. She was recently appointed to APNA’s Personality Disorders/Cluster-B Task Force Steering Committee and is the 2019 recipient of APNA’s Excellence in Nursing Leadership Award. Brynne led the development of NewYork-Presbyterian’s Nursing Suicide Risk Inventory, the world’s first nursing suicide risk clinical-decision-support-tool for inpatient psychiatry. She is a 2016 recipient of Hudson Valley Magazine’s Excellence in Nursing Award and is recognized as a Sigma Theta Tau Community Nurse Leader. Brynne received her MSN in Informatics from Western Governors University, her BSN from Binghamton University, and her BS in Human Development (Social/Personality Psychology) from Cornell University.
18:25-18:50
Title: Mobile App Improved Self-care of Patients with Heart Failure and Reduced Readmission. Result from Feasibility Studies
Ponrathi Athilingam, University of South Florida, USA
Introduction: Heart failure (HF) is a progressive chronic disease affecting 6.5 million Americans and over 26 million individuals globally. Patients with HF are required to engage in complex self-care behaviors. Although the advancements in medical care have enabled people with HF live longer, they often have poor health-related quality of life and experience severe and frequent symptoms that limit several aspects of their lives resulting in frequent hospital admissions. Mobile phone apps have not only created new and interactive ways of communication between patients and health care providers but also provide a platform to enhance adherence to self-care management. Therefore, a theory-based, patient centered android mobile app called “HeartMapp” was developed to improve self-care behaviors and quality of life of patients with HF and thus potentially reduce readmissions.
Methods: The feasibility study included 25 patients and 12 health care providers, who completed the mobile app usability questionnaire and self-confidence questionnaire. The pilot randomized controlled trial included 18 patients. Participants were enrolled in the hospital before discharge and followed at 30 days.
Results: Patients in the feasibility study were between the ages of 43-81. More than half of the patients used a mobile phone to access health information, of which one third of them were Blacks. Participants reported strong confidence and ease of use of HeartMapp. Health care providers (n=12) reported high confidence in recommending HeartMapp to their patients and use data from HeartMapp for decision making in the care of their patients. In the pilot randomized trial, the mean age of the participants was 53 (SD 4.02) years, 56% (10/18) were females, 61% (11/18) lived alone, 33% (6/18) were African Americans, and 61% (11/18) used mobile phone to get health information. The mean engagement with HeartMapp was 78%. Results were promising with a trend that participants in the HeartMapp group had a significant mean score change on self-care management (8.7 vs 2.3; t3.38=11, P=.01), self-care confidence (6.7 vs 1.8; t2.53=11, P=.28), and HF knowledge (3 vs −0.66; t2.37=11, P=.04. Depression improved among both groups, more so in the control group (−1.14 vs −5.17; t1.97=11, P=.07). Quality of life declined among both groups, more so in the control group who did not use HeartMapp (2.14 vs 9.0; t−1.43=11, P=.18). Twenty-two present in the control group compared to none in the HeartMapp group was readmitted within 30-days.
Conclusions: Finding from these two studies demonstrated the feasibility of using HeartMapp to improve self-care of patients with HF that could potentially reduce readmission. Given the preliminary nature of these studies, further exploration on the use of HeartMapp to improve HF outcomes is warranted in a large well designed randomized control trial that is under review by NIH.
Implication to Practice: Mobile apps like HeartMapp could offer solution to hospitals and home health agencies to keep patients stay healthy at home. The data from the app may be used for early decision making by providers.
Acknowledgements: Dr. Labrador, students from college of nursing and computer science and engineering and patients.
Biography:
Ponrathi Athilingam (Dr. Pon) is a Tenured, Associate Professor at the University of South Florida College of Nursing. She is an acute care nurse practitioner who shares her expertise with her students and the community in which she lives. Dr. Athilingam’s research is focused on auditory cognitive training and technology-based interventions for patients with heart failure to improve self-care practices, quality of life, and thus reduce admission rates. She is the Principal investigator, who designed a Mobile phone application (Heart Mapp) intervention to improve self-care of patients with heart failure at home thus improve quality of life and reduce hospital readmission. She collaborated with Dr. Labrador from USF Department of Computer Science and Engineering in the design of HeartMapp. Her research was funded
by Florida High-Tech Corridor, The CS Draper Laboratory, and National Science Foundation Innovation-Corps.The HeartMapp is a noninvasive mobile application that serves as a health coach for patients. The app has seven modules and 14 self-care components allowing patients to assess their heart condition daily. HeartMapp also reminds patients every morning to check their weight, blood pressure and answer questions about their symptoms, thinking ability and mood. Initial development, feasibility and a pilot efficacy testing has been completed. With the current funding from National Institute of Health’s small business innovation research (SBIR) grant, Dr. Athilingam is examining further efficacy of HeartMapp with cognitive training as a device ready for commercialization. Dr. Athilingam is working on translating the current HeartMapp system in Spanish and other languages for use by global citizens. She is a Fellow of the Heart Failure Society of America (HFSA) and Fellow of the American Association of Nurse Practitioner (FAANP).
Ponrathi Athilingam, Ph.D., A.C.N.P., assistant professor of Clinical Nursing at the University of Rochester’s School of Nursing, was awarded the Heart Failure Society of America Nursing Investigator Award at the organization’s annual scientific meeting in Toronto last month. Athilingam was one of five finalists chosen to compete for the award. A nurse practitioner with the University of Rochester Medical Center’s Program in Heart Failure and Transplantation, she presented her dissertation research, titled “Montreal Cognitive Assessment May Be an Appropriate Tool to Assess Cognitive Dysfunction in Heart Failure,” for which she is proposing a longitudinal study to expand the research. For Leway Chen, M.D., M.P.H., director of the Program in Heart Failure and Transplantation, who works closely with Athilingam, the award was no surprise. “Pon is an amazingly dedicated nurse practitioner,” Chen said. “She was able to design, complete and analyze her study in a very short period of time. She is tireless, working full-time on the heart failure and transplantation unit, teaching full-time at the School of Nursing school, and conducting research. I foresee a tremendous academic career in her future.” Athilingam graduated from nursing school in India in the early 1970s, the first young woman in her village to go to nursing school. She went on to complete two master’s degrees, one in community health from the University of Liverpool in England, the other as part of the accelerated M.S./Ph.D. program at the University of Rochester’s School of Nursing. She was the first to graduate from this rigorous program that was started in 2002. She has been an employee of the University of Rochester Medical Center since 2000. Dr. Athilingam is an ANCC certified Acute care NP, and tenured research faculty, who works with heart failure patients. Her research is focused on technology-based interventions to improve self-care of patients with heart failure and thus reduce readmissions. Received funding from National Science Foundation Innovation-Corps award and Florida Hi-Tech Corridor in developing a mobile app called "HeartMapp". She has received numerous awards for her nursing practice and research including the "Nurse Investigator of the year 2008 from Heart Failure Society of America. She was named Fellow of the American Academy of Nurse Practitioners (FAANP) and Fellow of the Heart failure Society of America (FHFSA). Dr. Athilingam's current NIH funded SBIR grant is to test the "Usability and efficacy of the mobile app "HeartMapp" with Cognitive Training in improving self-care of patients with heart failure and the potential to commercialize HeartMapp.
Awards/Honors
Fellow FHFSA (Heart Failure Society of America - 2016) mHealth Scholar 2015 (National Institute of Health - 2015) Fellow FAANP (American Association of Nurse Practitioner - 2012)
Service for Humanity Leadership Award (Chi Eta Phi Sorority, Inc. - 2010)
First place Paper Presentation (American Association for Heart Failure Nurses - 2008)
Nurse Investigator Award (HFSA - 2008)
Dissertation Award (Sigma Theta Tau International Epsilon xi Chapter - 2008)
Research Award (Sigma Theta Tau International Epsilon Xi chapter - 2007)
First place for Doctoral Student Poster (ENRS - 2007)
Katharine Donohoe Scholarly Practitioner Award (University of Rochester, NY - 2007)
Memberships
Southern Nursing Research Society (Member, 2011 - Present) American Association for Heart Failure Nurses (Member, 2008 - Present)
American Academy of Nurse Practitioners (Member, 2008 - Present)
Heart Failure Society of America (Member, 2006 - Present)
American Heart Association (Member, 2005 - Present)
Eastern Nursing Research Society (Member, 2004 - Present)
Sigma Theta Tau International Honor Society of Nursing (Member, 2003 - Present)
Ponrathi Athilingam, Ph.D., A.C.N.P., assistant professor of Clinical Nursing at the University of Rochester’s School of Nursing, was awarded the Heart Failure Society of America Nursing Investigator Award at the organization’s annual scientific meeting in Toronto last month.
Athilingam was one of five finalists chosen to compete for the award. A nurse practitioner with the University of Rochester Medical Center’s Program in Heart Failure and Transplantation, she presented her dissertation research, titled “Montreal Cognitive Assessment May Be an Appropriate Tool to Assess Cognitive Dysfunction in Heart Failure,” for which she is proposing a longitudinal study to expand the research.
For Leway Chen, M.D., M.P.H., director of the Program in Heart Failure and Transplantation, who works closely with Athilingam, the award was no surprise.
“Pon is an amazingly dedicated nurse practitioner,” Chen said. “She was able to design, complete and analyze her study in a very short period of time. She is tireless, working full-time on the heart failure and transplantation unit, teaching full-time at the School of Nursing school, and conducting research. I foresee a tremendous academic career in her future.”
Athilingam graduated from nursing school in India in the early 1970s, the first young woman in her village to go to nursing school. She went on to complete two master’s degrees, one in community health from the University of Liverpool in England, the other as part of the accelerated M.S./Ph.D. program at the University of Rochester’s School of Nursing. She was the first to graduate from this rigorous program that was started in 2002. She has been an employee of the University of Rochester Medical Center since 2000.
Dr. Athilingam is an ANCC certified Acute care NP, and tenured research faculty, who works with heart failure patients. Her research is focused on technology-based interventions to improve self-care of patients with heart failure and thus reduce readmissions. Received funding from National Science Foundation Innovation-Corps award and Florida Hi-Tech Corridor in developing a mobile app called "HeartMapp".
She has received numerous awards for her nursing practice and research including the "Nurse Investigator of the year 2008 from Heart Failure Society of America. She was named Fellow of the American Academy of Nurse Practitioners (FAANP) and Fellow of the Heart failure Society of America (FHFSA).
Dr. Athilingam's current NIH funded SBIR grant is to test the "Usability and efficacy of the mobile app "HeartMapp" with Cognitive Training in improving self-care of patients with heart failure and the potential to commercialize HeartMapp.
Awards/Honors
Fellow FHFSA (Heart Failure Society of America - 2016)
mHealth Scholar 2015 (National Institute of Health - 2015)
Fellow FAANP (American Association of Nurse Practitioner - 2012)
Service for Humanity Leadership Award (Chi Eta Phi Sorority, Inc. - 2010)
First place Paper Presentation (American Association for Heart Failure Nurses - 2008)
Nurse Investigator Award (HFSA - 2008)
Dissertation Award (Sigma Theta Tau International Epsilon xi Chapter - 2008)
Research Award (Sigma Theta Tau International Epsilon Xi chapter - 2007)
First place for Doctoral Student Poster (ENRS - 2007)
Katharine Donohoe Scholarly Practitioner Award (University of Rochester, NY - 2007)
Memberships
Southern Nursing Research Society (Member, 2011 - Present)
American Association for Heart Failure Nurses (Member, 2008 - Present)
American Academy of Nurse Practitioners (Member, 2008 - Present)
Heart Failure Society of America (Member, 2006 - Present)
American Heart Association (Member, 2005 - Present)
Eastern Nursing Research Society (Member, 2004 - Present)
Sigma Theta Tau International Honor Society of Nursing (Member, 2003 - Present)
16:45 - 18:50
08:00 - 09:00
09:15 - 18:30
Title: Application of 7 Paths to Lasting Happiness for Nursing & Healthcare Professionals
Workshop Chair: Elia Gourgouris
President of The Happiness Center, USA
#1 Best-selling Author
International Keynote Speaker
Happiness and Wellness expert
Executive Coach & Leadership Consultant, USA
Dr. Elia Gourgouris is an #1 Best-selling Author, International Keynote Speaker, Happiness and Wellness expert, Executive Coach, and a Leadership Consultant. He is the author of the #1 Amazon Best-Selling book, 7 Paths to Lasting Happiness which has now been translated in Spanish, Chinese, and Greek. Dr. Elia is also the President of The Happiness Center –an organization of world-leading experts in the field of Positive Psychology. Together, they have helped thousands of individuals, both personally and professionally to achieve happiness, success, and wellness. The Happiness Center offers Keynote Speaking Engagements and Executive Coaching services to leaders, organizations, and corporations in the US, Europe, Asia, and Australia. He graduated from UCLA and holds a Ph.D. in Clinical Psychology. Finally, he's a partner with Mindcurrent the world's first personalized Energy & Happiness
09:00 - 11:00
11:00 - 11:20
Sessions: 11:45-12:10 12:10-12:35 12:35-13:00 |
11:20 - 13:00
13:00 - 14:00
Sessions: Cardiac Nursing, Emergency Nursing, Oncology Nursing, Holistic Nursing, Clinical Nursing, Geriatric Nursing, Family Nursing, Dental Nursing, Transcultural Nursing, Public Health Nursing, Advances In Nursing, Men in Nursing, Healthcare Workplace Violence, Evidence-Based Nursing, Occupational Health Nursing, Midwifery and Womens Health, Complementary Therapies in Nursing & Midwifery
14:00- 14:25
Title: TBA
Melody Taylor, President of Black Nurses Rock-Orlando, USA
14:25- 14:50
Title: TBA
Vivienne Friday, EdD, MSN, RN, CNE, Goodwin College, USA
14:50- 15:15
Title: International Symposium on “Frailty”
Chantel Cox, Bournemouth University, UK
15:40-16:05
Title: The Newborn Assessment-From Textbook To Tool
Melanie Johnson, USA
Maternal-newborn nursing is a considered a specialty area of the hospital where nursing students, nursing professionals, physicians, and nursing assistants take care of expectant mothers and their infants. The newborn assessment can be a very daunting and anxiety producing task to any healthcare professional new to the area of maternal-newborn nursing or any nursing student who steps onto an obstetrical or postpartum floor for their first clinical rotation. This tool is a simple, up-to-date, and easy to read reference tool designed to guide the healthcare practitioner system-by-system when assessing the newborn infant. A comprehensive and visual look at the newborn assessment in a tool that will aid in the complete and thorough assessment of the newborn patient.
Committed and professional nurse, educator, manager, and leader with 31 years of continuous nursing experience. I have had the opportunity to work across the country building my skills in the healthcare arena to include nursing roles in leadership, education, coordination and community outreach. I am comfortable teaching, presenting, managing, and leading in many areas to include but not limited to: -Academic venues (Lab, clinical settings, classroom, simulation lab) -Online education - Nursing conferences and seminars -Perinatal outreach education in the home and community setting. -Pediatric, community health, and maternal-infant nursing content areas -Managing, leading, and organizing committees and governing bodies related to my field I am a dynamic speaker, proficient at presenting and lecturing in front of large audiences that include professionals, para-professionals, students, and lay persons alike. In addition, I am an excellent instructor and educator who is adept when working with large and small groups as well as with families and individuals. I look for interesting ways to present content as I utilize and apply tools from adult learning theories to develop my curriculum, programs, and lectures. I believe an educator must be enthusiastic about teaching and learning and be able to convey that to his/her audience in a variety of ways. I also believe effective communication and ongoing evaluation is imperative to any teaching-learning environment. Incorporation of different teaching modalities that cater to students with various learning styles is necessary in order to, not only capture your audience and hold their attention, but to allow for information retention and skill execution. I look forward to further utilizing my advanced degree in the hospital and/or academic setting as I continue to broaden my role as a competent nurse educator, education specialist, and health professional.
14:00 - 16:05
16:05 - 16:20
16:20-16:45 Title: Addressing the Social Determinants of Health is Essential to Ensuring Positive Health Outcomes The purpose of this presentation is to define the Social Determinants of Health and to discuss the importance of addressing them through the lens of ensuring positive patient outcomes. Given the many health issues we face in our nation, especially in rural areas, we must begin to address healthcare through also addressing the Social Determinants of Health. As healthcare providers what appears to us many times as we provide health care to patients, is a small symptom of a larger problem. To ensure positive patient outcomes, we must begin to pull back the layers to truly understand the underlying cause of why patients have negative health outcomes. Nurses are at the forefront of healthcare and we have an important role to play. This presentation will dissect each Social Determinant of Health and discuss ways in which nurses can ensure positive patient outcomes. Biography: Michael L. Jones has practiced as a Registered Nurse for approximately 20 years, which includes his time as an Orthopedic and Spinal Cord Injury Rehabilitation nurse. Mr. currently serves as Associate Vice President for Health Plan Operations for Molina Healthcare of Mississippi. He has also taught at both the undergraduate and graduate level in nursing and healthcare administration courses. He obtained his BSN from the University of Mississippi Medical Center and a Master of Science Degree from University of Phoenix. He is currently a Doctoral student in the Hampton University School of Nursing. 17:35-18:00 18:00-18:25 |
16:20 - 18:25
18:25 - 18:55
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