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Message<br />

Warm welcome to all guests, participants and visitors to this 2nd Collaborative<br />

International Nursing Conference of the Philippine Nurses<br />

Association of America Foundation and the Central Philippine Adventist<br />

College School of Nursing.<br />

This is a laudable undertaking as it promotes quality<br />

healthcare through the sharing of experiences in the field and from<br />

knowledge acquired from illustrious reference speakers. Aside from the<br />

camaraderie fostered among practitioners, this conference will renew the<br />

seal and individual commitments of nurses to pursue their sworn duty as<br />

healthcare providers.<br />

May you emerge enriched and energized from this conference for<br />

your personal advantage and that of those under your care.<br />

Mabuhay and God bless.<br />

Atty. Evelio "Bing" R. Leonardia<br />

Mayor, Bacolod City


President Victoria B. Navarro<br />

President-Elect Leticia Hermosa<br />

Vice-Pres idents<br />

Dino Doliente III (ER)<br />

Lourdes Nisperos (WR)<br />

Elizabeth Rosas (NCR)<br />

Pamela Windle (SCR)<br />

Sec retary<br />

Jennifer = Dizon<br />

Assistant As sis tant Secretary<br />

Amy Tizon<br />

Treas u rer<br />

Jeanette Livelo<br />

Assistant Ass is tan t Treasu Treasurer rer<br />

Asteria Vargas<br />

Auditor<br />

Hedda Gonzalez<br />

Board Bo ard Mem bbers ers<br />

Jennifer Aying Aying<br />

Romeo Devera Devera<br />

Bessie Schiroky<br />

Alberto Espinas<br />

Grace Diaz-Font<br />

Circle Circ le of Presidents<br />

Majuvy Sulse (ER)<br />

Mindy Ofiana (WR)<br />

Manelita Dayon (NCR)<br />

Cecille Santos-Medenilla (SCR)<br />

Executive Exec utive Director Direc tor<br />

Merlita Velasquez<br />

Parliamentarian<br />

Leo-Felix M. Jurado<br />

Legal Leg al Coun Counsel s el<br />

Arnedo Arnedo S. S. Valera, ESQ<br />

Past Presidents<br />

Clarita Go-Miraflor<br />

Phoebe Andes<br />

Maria Redona-Couper<br />

Emma Balquiedra Nemivant<br />

Filipinas Lowery<br />

Remedios A. Solarte<br />

Beatriz F. . Miranda<br />

Carmen T. Galang<br />

Ampy A. dela Paz<br />

Lolita B. Compas<br />

Pete-Reuben Calixto<br />

Anunciacion S. . Lipat<br />

Mila C. Velasquez<br />

Rosario-May Mayor<br />

Leo-Felix M. Jurado<br />

Reynaldo R. Rivera<br />

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<strong>PNAAF</strong> Board of Trustees<br />

2011 – 2012<br />

Trustee Officers<br />

President<br />

Ernesto Rosas, BSN, RN<br />

Vice President<br />

Brenda Cohen, BSN, RN<br />

Secretary<br />

Amuerfina Castro, MA, RN-BC<br />

Treasurer<br />

Martha Cabarios, BSN, RN<br />

Auditor<br />

Nancy Dimaano, RN, MSN<br />

Executive Director<br />

Aniceta Vista, PhD, RN<br />

Trustees<br />

Alice Andam, BSN, RN<br />

Leda Layo Danao, MPA, PhD, RN<br />

Lolita Compas, MA, CEN, RN<br />

Gilda Lauchli, BSN, RN<br />

Ted Ray Llasos, MAN, RN<br />

Luzviminda Micabalo, MPS, CHE, RN<br />

Merlita Velasquez, BSN, RN<br />

Advisory Council<br />

Phoebe Andes, MA, RN<br />

Araceli Antonio, MS, RN<br />

Legal Advisor<br />

Arnedo Valera, Esquire<br />

!<br />

PHILIPPINE NURSES ASSOCIATION OF AMERICA FOUNDATION, INC.<br />

February 7, 2013<br />

3813 NE 62 nd Street, Gladstone, MO 61942<br />

Ernie.Rosas@gmail.com<br />

This is indeed a special privilege to greet each one of you on this special<br />

event of the 2013 <strong>PNAAF</strong> International Collaborative Conference II here in<br />

Bacolod City, Philippines. I want to congratulate first and foremost our<br />

Collaborator the Central Philippines Adventist College, School of Nursing for<br />

this splendid conference and to all your hardworking leaders and committee<br />

members.<br />

As the President of the PNAA Foundation, I am very excited with the Theme<br />

of the Conference "Promoting Quality Health through Transformative<br />

Leadership and Global linkages. It is so fitting since it reflects our<br />

missions.“The Philippine Nurses Association of America Foundation, Inc.<br />

(<strong>PNAAF</strong>), in partnership with the Philippine Nurses Association of America,<br />

Inc. (PNAA), supports the development of Filipino American nurses to their<br />

fullest potential and facilitates their contributions to health and well-being all<br />

through nursing care, education, leadership, management and research<br />

The <strong>PNAAF</strong>, a 501 (c) 3, non-profit nursing organization, is the philanthropic<br />

arm of PNAA which was formed in 2001 by some of our visionary leaders led<br />

by your very own, PNAA Past President, Phoebe Andes. Through the years,<br />

we have witnessed the dedication and commitment of the Board of Trustees<br />

in meeting the <strong>PNAAF</strong>’s mission in “Promoting and providing opportunities for<br />

philanthropy in support of professional advancement of all Filipino American<br />

nurses.”<br />

A million thanks to our great nursing leaders and colleagues for hosting a<br />

great and unforgettable Conference. Tonight, let us celebrate and enjoy the<br />

hospitality of Bacolod, the "City of Smiles" and with colleagues, friends,<br />

guests and families. Good evening! Mabuhay at Maraming Salamat po.<br />

Sincerely,<br />

Ernie Rosas, RN BSN<br />

President, PNAA Foundation


<strong>PNAAF</strong> Board of Trustees<br />

2011 – 2012<br />

PHILIPPINE NURSES ASSOCIATION OF AMERICA FOUNDATION, INC.<br />

Welcome to the Collabora.ve Conference of Philippine Nurses Associa.on of America<br />

Trustee Officers<br />

President Founda.on with the Central Philippines Adven.st College School of Nursing. Expert resource<br />

Ernesto Rosas, BSN, RN<br />

speakers will share and exchange ideas, studies, and stories related to the theme<br />

February 7, 2013<br />

Secretary “Promo.ng Health Care Quality through Leadership and Global Linkages”. The diverse topics<br />

This is indeed a special privilege to greet each one of you on this special<br />

that were planned for the Collabora.ve Conference reflect certain health issues, health<br />

Treasurer<br />

event of the 2013 <strong>PNAAF</strong> International Collaborative Conference II here in<br />

!<br />

management, and cuLngBacolod edge nursing City, prac.ces Philippines. thatI need want to to incorporate congratulate in today’s first and foremost our<br />

MESSAGE Auditor<br />

Collaborator the Central Philippines Adventist College, School of Nursing for<br />

changing health care environment. this splendid conference and to all your hardworking leaders and committee<br />

members.<br />

Vice President<br />

Brenda Cohen, BSN, RN<br />

Amuerfina Castro, MA, RN-BC<br />

Martha Cabarios, BSN, RN<br />

Nancy Dimaano, RN, MSN<br />

Executive Director<br />

Welcome to the Collaborative Conference 11 of the Philippine Nurses Association of America<br />

Aniceta Vista, PhD, RN<br />

Foundation with the Central Philippines Adventist College School of Nursing. Expert resource<br />

As the President of the PNAA Foundation, I am very excited with the Theme<br />

With the rising cost of health care, effec.ve disease management, efficient electronic record<br />

Trustees speakers will share and exchange ideas, of the studies, Conference and stories related "Promoting to the theme Promoting Quality Health through Transformative<br />

management, Health Care Quality and through effec.ve Leadership Leadership quality and Global health and Linkages. care Global The delivery diverse linkages. topics alterna.ves that It were is to so name fitting a few, since need it to reflects our<br />

planned for the Collaborative Conference missions.“The reflect health Philippine issues, health management, Nurses Association and nursing of America Foundation, Inc.<br />

be con.nually studied, introduced, and discussed through research and educa.on. The<br />

practices that health care practitioners (<strong>PNAAF</strong>), face today. in partnership with the Philippine Nurses Association of America,<br />

Inc. (PNAA), supports the development of Filipino American nurses to their<br />

Collabora.ve Conference is one venue for the educa.on to occur. I am confident that<br />

fullest potential and facilitates their contributions to health and well-being all<br />

With the rising cost of health care, effective disease management, efficient electronic record<br />

par.cipants of the conference through will nursing gain knowledge care, education, that they leadership, can sharemanagement with their colleagues and research<br />

Alice Andam, BSN, RN<br />

Leda Layo Danao, MPA, PhD, RN<br />

Lolita Compas, MA, CEN, RN<br />

Gilda Lauchli, BSN, RN<br />

Ted Ray Llasos, MAN, RN<br />

Luzviminda Micabalo, management, MPS, and CHE, effective RN quality health care delivery alternatives to name a few, need to be<br />

and continually withintroduced, the clients studied, they and The serve. discussed <strong>PNAAF</strong>, through a research 501 (c) and 3, education. non-profit The Collaborative nursing organization, is the philanthropic<br />

arm of PNAA which was formed in 2001 by some of our visionary leaders led<br />

Conference is one venue for that education to occur. I am confident that participants of the<br />

by your very own, PNAA Past President, Phoebe Andes. Through the years,<br />

conference will gain knowledge that they can share with their colleagues and with the clients<br />

As the <strong>PNAAF</strong> Conferencewe Chair, have I welcome witnessed everyone the dedication to the and Collabora.ve commitment Conference of the Board 11. of Trustees<br />

they serve.<br />

in meeting the <strong>PNAAF</strong>’s mission in “Promoting and providing opportunities for<br />

I thank the Philippine organizers philanthropy for their in support .relessof effort professional and commitment advancement in making of all this Filipino American<br />

As the <strong>PNAAF</strong> Conference Chair, nurses.” I welcome everyone to the Collaborative Conference 11. I<br />

conference a produc.ve and engaging one.<br />

thank the Philippine organizers for their tireless effort and commitment in making this<br />

A million thanks to our great nursing leaders and colleagues for hosting a<br />

conference<br />

!<br />

productive, informative, great and engaging. and unforgettable Conference. Tonight, let us celebrate and enjoy the<br />

Sincerely yours, hospitality of Bacolod, the "City of Smiles" and with colleagues, friends,<br />

Sincerely yours,<br />

guests and families. Good evening! Mabuhay at Maraming Salamat po.<br />

Merlita Velasquez, BSN, RN<br />

Advisory Council<br />

Phoebe Andes, MA, RN<br />

Araceli Antonio, MS, RN<br />

Legal Advisor<br />

Arnedo Valera, Esquire<br />

Araceli D. Antonio, MS, RN<br />

Sincerely,<br />

Araceli D. Antonio, MS, RN<br />

<strong>PNAAF</strong> Conference Chair<br />

<strong>PNAAF</strong> Immediate Conference Past President Chair and Advisor<br />

!<br />

<strong>PNAAF</strong> Immediate Past President and Advisor<br />

3813 NE 62 nd Street, Gladstone, MO 61942<br />

Ernie.Rosas@gmail.com<br />

Ernie Rosas, RN BSN<br />

President, PNAA Foundation


Greetings.<br />

Message<br />

It is an honor and a great privilege to host the second Philippine Nurses Association of<br />

America Foundation (<strong>PNAAF</strong>) Collaborative Conference here in Bacolod City.<br />

My profound gratitude and appreciation to the <strong>PNAAF</strong> officers led by their President Ernie<br />

Rosas and Conference Chair Araceli Antonio for their genuine commitment and concern to<br />

come up with an organized program of sharing their expertise to their colleagues here in the<br />

Philippines. Likewise, I like to recognize the collaborative efforts of Director Lily Ann<br />

Baldago of Professional Regulation Commission, Region V1, who initiated the preparation<br />

for this event, the Philippine Nurses Association, Negros Occidental Chapter and the<br />

Association of Deans of Philippine Colleges of Nursing, Region V1.<br />

I like to congratulate and thank the working committees in their individual capacities;<br />

Mr. Teody Ray Llasos of <strong>PNAAF</strong>, Dr. Chris Sorongon of RGO, Dean Helen Correa, Dean<br />

Jocelyn Cadena, and Dean Maricor Famillaran and others who contributed their invaluable<br />

time and efforts to make this event a significant one for health care providers.<br />

The theme for this conference is what we need to consider since quality care and competent<br />

workers are emphasized worldwide." Promoting Health Care Quality through Leadership<br />

and Global Linkages: Building Capacity for Evidence- Based Practice" is the conceptual<br />

framework of the sessions. This is a global call for improvement of health care quality<br />

through leadership and professional development in building our capacity to conduct<br />

researches as evidence of our nursing practice. As nurses, the pursuit of quality must be<br />

integrated in our system and relentlessly incorporated in what we say, think and do.<br />

I am confident that our learning during the two days' conference will ripple to our health<br />

care providers in our health care institutions. Together let us make a difference in the lives of<br />

our fellow nurses, and of our clients toward quality and satisfying life.<br />

It is my pleasure to cordially welcome all nurses coming from USA, and nurses from our<br />

government and private health care institutions as well as other health care providers.<br />

Welcome to the second <strong>PNAAF</strong> Collaborative Conference in Bacolod City.<br />

Joebenie L. De Villa, RN, MSN, PhD<br />

Dean, CPAC School of Nursing


Program<br />

THEME: “PROMOTING QUALITY HEALTH CARE THROUGH TRANSFORMATIONAL<br />

LEADERSHIP AND GLOBAL LINKAGES”<br />

DAY 1. FEBRUARY 6, 2013 WEDNESDAY<br />

7:00 – 8:00 AM REGISTRATION<br />

8:00 – 8:30 AM WELCOMECEREMONY<br />

EntranceofColors WNUROTC<br />

Doxology WNU CHORALE<br />

PhilippineNationalAnthem WNUCHORALE<br />

Welcome Address<br />

EVELIOR.LEONARDIA<br />

Mayor, City of Bacolod<br />

NOELC.CADETE,RN,MAN<br />

National President, Philippine Nurses Association<br />

ERNIE ROSAS, BSN, RN<br />

President <strong>PNAAF</strong><br />

ARACELI D. ANTONIO, MS, RN<br />

<strong>PNAAF</strong> Conference Chair<br />

JOEBENIE DE VILLA, PHD, MAN, RN<br />

Philippine Conference Chair<br />

8:30 – 9:20 AM Keynote Speaker<br />

Health Issues In Bacolod And Visayas<br />

DR. ENRIQUE T. ONA<br />

Secretary, Department of Health<br />

CONFERENCE PROPER<br />

9:20 – 10:10 AM Leaders Build Winning Teams<br />

SPEAKER: PETE CALIXTO, BSN, CNN, RN<br />

10:10 – 10:30 AM BREAK<br />

10:30 – 11:20 AM A Case Study of the Implementation<br />

of Electronic Health Record in the Pre-­‐Admission Testing and Same<br />

Day Surgery Units in Central New Jersey<br />

SPEAKER: ROSARIOESTRADA,DNP,RN,BC,CPN<br />

11:20 – 12:10 PM What color best suits you? Communicating through your color and<br />

personality styles<br />

SPEAKER: MERLITA VELASQUEZ, BSN,RN


Program<br />

THEME: “PROMOTING QUALITY HEALTH CARE THROUGH TRANSFORMATIONAL<br />

LEADERSHIP AND GLOBAL LINKAGES”<br />

DAY 1. FEBRUARY 6, 2013 WEDNESDAY, Cont’d<br />

12:10 – 1:10 PM LUNCH<br />

1:10 – 2:00 PM Adult Day Healthcare Center-­‐ Community Based Services<br />

SPEAKER: EVELYN ANDAMO, BS OT, MPA<br />

2:00 – 2:50 PM Continuing Care Retirement Community – a Housing Alternative for<br />

Older Adults<br />

SPEAKER: ARACELI D. ANTONIO, MS, RN<br />

2:50 – 3:10 PM BREAK<br />

3:10 – 4:00PM Hypertension Education Program:<br />

a Success Story<br />

SPEAKER: SARLA DULLER, MN, NP,RN<br />

4:00 – 4:50 PM Management of Patient with Type 2 DM: An Evidence – Based Practice<br />

SPEAKER: ANICETAVISTA,PHD,RN<br />

4:50 – 5:10 PM EVALUATION<br />

DR. CHRIS G. SORONGON, RN, MAN, LLB<br />

OFFICER OF THE DAY/MASTER OF CEREMONY<br />

7:00 – 11:00 PM GALA NIGHT ATTIRE: FORMAL<br />

DAY2. FEBRUARY 7, 2013 THURSDAY<br />

7:00 – 8:00 AM REGISTRATION<br />

8:00 – 8:30 AM RECAPOFDAY1SESSIONS<br />

8:30 – 9:20 AM Nursing Issues in the Philippines<br />

SPEAKER PREFERABLY FROM PRC<br />

9:20 – 10:10 AM Creative Leadership in Nursing: Professional development from Novice<br />

to Expert<br />

SPEAKER: TED RAY LLASOS, MAN, RN<br />

10:10 – 10:30 AM Break


DAY2. FEBRUARY 7, 2013 THURSDAY Cont’d<br />

10:30 – 11:20 AM Behavioral Management of Patient with Alzheimer’s Dementia<br />

SPEAKER: CHERINATINIO,MSN,CNS,RN<br />

11:20 – 12:10 PM Maternity & Child Issues in the Philippines<br />

SPEAKER: PHILIPPINE MD<br />

12:10 – 1:10 PM LUNCH<br />

1:10 – 2:00 PM Simultaneous Kidney Pancreas Transplantation: Answer to Diabetic Nephropathy?<br />

SPEAKER: PETE CALIXTO, BSN, CNN, RN<br />

2:00 – 2:50 PM Therapeutic Communication<br />

SPEAKER: JOSEPH MOJARES, BSN, RN<br />

2:50 – 3:10 PM BREAK<br />

Program<br />

3:10 – 4:00PM Pharmacy in Nature: alternative Treatment in the Promotion of Health<br />

SPEAKER: LUZMINDA TENEFRANCIA LLASOS, PhD, MSN, RN<br />

4:00 – 4:30 PM Keynote Speaker<br />

HON. PIA S. CAYETANO<br />

Chairman, Committee on Health<br />

Senate of the Philippines<br />

(FOR CONFIRMATION 1/22/2013)<br />

4:30 – 4:45PM Evaluation<br />

4:45 – 5:00 PM Closing Prayer WNU CHORALE<br />

ExitofColors WNUROTC<br />

7:00 – 11:00 PM Community and Nurses Night<br />

ATTIRE: HAWAIIAN<br />

FEBRUARY 8, 2013 FRIDAY<br />

7:00 – 8:00 AM REGISTRATION<br />

8:00 AM – 3:00 PM EDUCATIONAL FIELD TRIP<br />

DR. JOEBENIE DE VILLA, RN, MAN<br />

OFFICER OF THE DAY/MASTER OF CEREMONY


Philippine Nurses Association of America Foundation and<br />

Central Philippine Adventist College School of Nursing<br />

Promoting Health Care Quality through Leadership and Global Linkages<br />

Collaborative International Conference<br />

isher Hotel, Bacolod City, Philippines, 6-8 February 2013<br />

ABSTRACT<br />

Author: Antonio, Araceli<br />

Title of presentation:<br />

Continuing Care Retirement Community: A Housing Alternative for Older Adults<br />

Email and phone of primary author: aracelidantonio@aol.com 650-878-0622<br />

ABSTRACT<br />

Housing strategies must be explored for an expanding baby boomer population - as part of the advanced<br />

care planning for Older Adults. The Continuing Care Retirement Community (CCRC) is a housing<br />

alternative for the Older Adults. CCRC is part independent living, part assisted living and part skilled<br />

<br />

needs. Healthy adults can reside independently in single-family homes, apartments or condominiums.<br />

These communities give older adults the option to live in one location for the duration of their life, with<br />

much of their future care already planned. This provides a great level of comfort to both residents and<br />

their families as the stress of the care giving relationship is greatly relieved. (1)<br />

The author provides in depth information on <br />

Levels of care, services, care providers, and clientele of continuing care retirement communities will be<br />

described. The author will discuss the impact of regulations on quality of care and client outcomes, as<br />

well as the rationale for the recommended standards of CCRC Best Practices on Disclosure and<br />

Transparency (1).<br />

In California, CCRCs offer a long-term continuing care contract that provides for housing, residential<br />

services, and nursing care, usually in one location, and usually for a resident's lifetime. The California<br />

Department of Social Services is responsible for the oversight of continuing care providers. The<br />

Department's Community Care Licensing Division has two branches that participate in the regulation. The<br />

Senior Care Program monitors continuing care providers for compliance with the Community Care<br />

licensing laws and regulations regarding buildings and grounds, accommodations, care and supervision of<br />

residents, and quality of service. The Continuing Care Contracts Branch is responsible for reviewing and<br />

approving applications to operate a CCRC and monitors the ongoing financial condition of all CCRC<br />

providers and their ability to fulfill the long-term contractual obligations. (2)<br />

.<br />

AUTHOR: Araceli D. Antonio, MS, RN<br />

Ms. Antonio is currently the Director of Health Services at Channing House, a CCRC in Palo Alto,<br />

California. She has worked in long term care for at least 35 years. Nursing positions held include<br />

Director of Nursing Services, Director of Staff Development, and Nursing Consultant. Other long term<br />

care management positions held include Director of Professional Services, Director of Clinical Services,<br />

and Vice President of Operations. Ms. Antonio is the Immediate Past President of the Philippine Nurses<br />

Association of America Foundation (<strong>PNAAF</strong>) and an Advisor of the Philippine Nurses Association of<br />

Northern California.<br />

1 https://www.seniorshousing.org/filephotos/research/CCRC_whitepaper.pdf<br />

2 http://www.calccrc.ca.gov/


Philippine Nurses Association of America Foundation and<br />

Central Philippine Adventist College School of Nursing<br />

Promoting Health Care Quality through Leadership and Global Linkages<br />

Collaborative International Conference<br />

isher Hotel, Bacolod City, Philippines, 6-8 February 2013<br />

ABSTRACT<br />

Author: Tinio, Cherina<br />

Title of presentation: Behavior Management of Patient with Alzheimers Dementia<br />

Email and phone of primary author: cherinacns@gmail.com- 650.438.9326<br />

ABSTRACT<br />

Dementia is a progressivee disabling disease that resulted in impaired memory, judgment and<br />

reasoning. Dementia is an umbrella term for a collection of symptoms that can be caused by a<br />

number of disorders that affect the brain. It causes damages to brain which causes a steady loss<br />

of memory, thinking and behavior. It is not part of aging and symptoms develop slowly and gets<br />

worse over time. (1)<br />

As the dementia progresses symptoms of the diseases varies. One in eight older Americans has<br />

<br />

unpaid caregivers which causes caregiver burnout.<br />

The author provides information on the different stages of dementia, triggers, and management<br />

through evidence-based literature. The author will share real stories and actual experience in<br />

dealing with the complex behaviors in the actual unit setting. The authors will state the nonpharmacological<br />

and pharmacological interventions in the care of the individual with dementia.<br />

Alzheimers organization goals are <br />

the latest research in the care of the dementia. Research continues and dementia remains a puzzle<br />

that treatment for this progressive disease remains incurable (2).<br />

!AUTHOR: Cherina Tinio, RN CNS MSN<br />

Currently Assistant Chief Nurse for Veterans Administration Palo Alto Health Care System<br />

(VAPAHCS) Menlo Park Division. Ms. Tinio is a former Clinical Nurse Specialist for seven<br />

years in VAPAHCS. Had 30 years of experience at long term care setting and has held<br />

numerous nursing positions from a charge nurse, MDS Coordinator, and Clinical Coordinator.<br />

Ms. Tinio was awarded in 2011 as <br />

Behind the Scenes Le<br />

resident of the Philippine Nurses<br />

Association of Northern California Chapter from 2008-2010.<br />

REFERENCES:<br />

"# !$%%&'())***#*+,-.#/0-!<br />

1# $%%&())***#234#056!


A Case Study of the Implementation of Electronic Health Record in the Pre-Admission Testing<br />

and Same Day Surgery Units in Central New Jersey<br />

Rosario P. Estrada, DNP, RN, BC, CPN<br />

Abstract<br />

The purpose of this project was to construct a case study research on the implementation of an<br />

electronic health record (EHR) on the Pre-Admission Units and Day Surgery Centers in an acute<br />

care hospital in Central New Jersey. Rogers's Innovation-Diffusion Theory was used to guide<br />

the study of this technological innovation in the Pre-Admission Testing Unit and Day Surgery<br />

Center. Case study research permitted an in-depth investigation of the impact of diffusion of<br />

EHRS as a technological innovation and bounded phenomenon that was undertaken in real life<br />

situations. The use of multiple methods was considered to be a key activity promoting rigor in<br />

the case study method and constitutes methodological triangulation. For this case study, survey<br />

questionnaires, interview, time and motion study, and documentary data comprised the data<br />

sources for secondary analysis. Data were reduced to conceptual groups so that conclusions<br />

could be derived and a case description developed. The intended outcome of this project was to<br />

gain insight into the ways in which technological advances are diffused across nursing units.<br />

There were no statistically significant findings on the paired samples T-test comparing<br />

pre and post mean scores on the attitude scale (t=1.938, p =.094 (sig. 2-tailed). Comparing the<br />

pre-implementation and post-implementation mean scores revealed that nurses had more<br />

negative attitudes post-computerization as evidenced by a decreased mean attitude score from<br />

2.53 to 1.78.<br />

An interview provided more in-depth analysis to understand the phenomenon –<br />

diffusion and use of EHR and its impact on nursing practice and patient care from the<br />

perspective of working nurses. Overall, the nurses preferred the EHR to paper record but wanted<br />

it to better support their nursing practice. Nurses stated that there is no current policy and<br />

procedure for the EHR but training guidelines were being used for training. The time and motion<br />

study findings revealed variables and inefficient time practices that could be reduced/eliminated<br />

to improve nursing workflow and generate cost savings. Results of the completeness of the<br />

documentation review indicated that the EHR (N=20) provided a 100% compliance compared to<br />

11% paper chart record (N=16) with the elements selected for review.<br />

Results of this case study will be valuable to streamline EHRs and improve/redesign<br />

nursing workflow as well as to develop more organized plan and effective implementation<br />

strategies in the diffusion of the EHR hospital wide.


Philippine Nurses Association of America Foundation and<br />

Central Philippine Adventist College School of Nursing<br />

Promoting Health Care Quality through Leadership and Global Linkages<br />

Collaborative International Conference<br />

isher Hotel, Bacolod City, Philippines, 6-8 February 2013<br />

ABSTRACT<br />

Author(s) Last and First Name (print): Andamo, Evelyn M.<br />

Title of the study/presentation: Adult Day Healthcare Center- Community based Services<br />

Email and phone of primary author: evelyn.andamo@gmail.com<br />

ABSTRACT<br />

Behavioral Objectives: At the end of the session attendees will be able to <br />

1. Identify three goals of an Adult Day Healthcare Center (ADHC)<br />

2. Discuss the roles of the core services of an ADHC<br />

3. Differentiate between a restorative therapy and a maintenance program.<br />

4. State five mandated requirements to meet licensure for an ADHC<br />

The Center shall provide core services: nursing, social work, maintenance program, and activity<br />

Program. Specialized services are required: Restorative therapy (i.e. physical therapy.<br />

Occupational therapy and speech pathology services), Dietary, and psychiatry/psychology<br />

services. Other services stipulated by state regulations are food services and transportation to<br />

and from the center.<br />

Mandates for both core and specialized services are: Initial evaluations and evidence-based<br />

treatments, reassessments every six months, quarterly progress reports, and documentation every<br />

treatment visit.<br />

Finally, the interdisciplinary team comprised of a nurse, social worker, dietitian, therapists, and<br />

<br />

. Patients who were given their<br />

six month reassessment and those provided with initial evaluations are discussed . An<br />

individualized patient care plan (IPC) is established for each patient discussed during this<br />

interdisciplinary team meeting.<br />

Each member representing the interdisciplinary treatment team implements the treatment for<br />

each patient per established IPC.<br />

ABOUT THE AUTHOR(S)<br />

Evelyn Machan Andamo, B. Sc. Occupational Therapy (OT) and Masters degree in Public<br />

Admin, Health Services; Field Work Supervisor, OT, California State University, Dominguez<br />

Hills, 2004-present; Clinical Associate, Dept. Physical Medicine & Rehabilitation, College of<br />

Medicine, Univ of California, Irvine, 1983-1991; Guest Lecturer, OT, Masters Degree Program,<br />

Univ of Southern California, 1986-1991; Field Work Instructor, Public Admin Internship<br />

Program, California State Univ, LB, 1980- 1981; Senior health care professional specializing in<br />

rehabilitation services with over 30 years of experience. Directed both occupational therapy and<br />

other clinical professionals ensuring each clinician under her direction meets required practice<br />

licensure guidelines as stipulated by the state regulatory bodies and demonstrates accountability<br />

in achieving treatment outcomes.


Philippine Nurses Association of America Foundation and<br />

Central Philippine Adventist College School of Nursing<br />

Promoting Health Care Quality through Leadership and Global Linkages<br />

Collaborative International Conference<br />

L Hotel, Bacolod City, Philippines, 6-8 February 2013<br />

ABSTRACT<br />

Presenter(s) Last and First Name (print): Solarte, Remedios Alvarez<br />

Title of the study/presentation: Management of patients with Type 2 Diabetes Mellitus: An<br />

Evidence-based Update<br />

Email and phone of presenter: rasolarte@gmail.com<br />

ABSTRACT:<br />

Objectives:<br />

*Discuss the planning, implementation and outcomes of the PNAM 2010 capacity building project,<br />

and the outcomes learned.<br />

*Discuss the Clinical Practice Guidelines (CPGs) in the diagnosis and management of patients with<br />

Type 2 Diabetes Mellitus<br />

*Develop a capacity-building project for adoption and implementation of evidence-based practices<br />

in the care of patients with Type 2 Diabetes Mellitus<br />

Methods: Questionnaires and Focus Groups<br />

Results: Descriptive analysis was used to determine the differences or significance of the responses.<br />

The data was used to address social determinants of health disparities.<br />

Conclusions and Implications:<br />

This presentation focuses on clinical management of patients with Type 2 Diabetes Mellitus (T2DM)<br />

based on review of literature and the latest evidence-based guidelines. The guidelines suggest using a<br />

team of specialists for patient-centered care.<br />

According to the National Guideline Clearing House website, the clinical practice guidelines (CPGs)<br />

for diagnosis and management of type 2 DM were developed by several international organizations.<br />

In regards to Pharmacotherapy, there was agreement on the key principles for the development of the<br />

CPGs, except for the disclosure of conflicts of interest (COIs). As a result of the controversy over the<br />

COIs, the policy for Guideline Committees was changed in 2010 so that at least 50% of writing<br />

committee members, plus the chair may have no relationship with industry (RWI). The CPGs for<br />

drug therapy are primarily founded on expert consensus rather than on evidence-base grading of the<br />

literature.<br />

Two important lifestyle changes in the clinical management of T2DM are medical nutritional therapy<br />

(MNT) and physical activity. Carbohydrate counting of food has been found effective in the<br />

glycemic control of patients with Type 2 DM on insulin therapy.<br />

About the Presenter: Remedios A. Solarte, MSN, RN, NP, is a Professor Emeritus of Nursing at<br />

Oakland Community College, Waterford, Michigan, where she was on the faculty for 32 years. She<br />

obtained her nursing diploma and BSN from Far Eastern University, Philippines, and MSN from<br />

Wayne State University. In 2010, she was the Project Director of the PNA Michigan Phase I<br />

Capacity Building Project, funded by the Michigan Department of Community Health, Health<br />

Disparities Reduction Minority Health (MDCH-HDRMH). This project addressed social<br />

determinants of health disparities among Filipinos. Her other career highlights include: caring for<br />

patients as a part time clinical nurse specialist for eight years in the Diabetic Clinic, St. Joseph Mercy<br />

Hospital, Michigan; President of the PNAA from 1990-1992; and Member, Michigan Board of<br />

Nursing for 4 years, for which she was awarded a Certificate of Appreciation by Governor James<br />

Blanchard and honored with a Resolution from the Department of Commerce for unselfish service to<br />

the people of Michigan.


Philippine Nurses Association of America Foundation and<br />

Central Philippine Adventist college School of Nursing<br />

Promoting Health Care Quality through Leadership and Global Linkages:<br />

Building Capacity for Evidence-Based Practice<br />

Collaborative International Conference<br />

L’ Fisher Hotel, Bacolod City, Philippines, 6-8 February 2013<br />

www.pnaafconference.org<br />

Author Llasos, Luzminda Tenefrancia<br />

ABSTRACT<br />

Title of the study/presentation: Pharmacy in Nature: Alternative Treatment in the Promotion of Health<br />

Email and phone of primary author: HYPERLINK "mailto:luztenefrancia@gmail.com"<br />

luztenefrancia@gmail.com 956-720-7220<br />

ABSTRACT<br />

Objectives:<br />

1. Identify herbs/plants/tress with pharmacological /therapeutic effects<br />

2. Discuss therapeutic effects of herbs/plans/tress as alternative treatment to promote healing.<br />

3. Present quantified therapeutic effects of different herbs/plants/trees identified.<br />

Methods: Information data were collected through review of literature from different authors who have interest<br />

on the pharmacological effects of plants/trees as alternative treatment in the promotion of health and prevention<br />

of illness.<br />

Data collection method of its effect was done through actual utilization of processed plant/trees product.<br />

Sampling population are from the (1) community who are interested to use the natural product after receiving<br />

information through lectures with problems identified in the related literature and its positive outcome to<br />

alleviate suffering as relief from respiratory allergy, skin allergy, prevention from mosquito bites, severe sore<br />

throat, respiratory problem as bronchitis, laryngitis with no voice, lowering of blood sugar, blood pressure,<br />

removal of warts, decrease face wrinkles, prostate cancer, abdominal cancer (2) Patients or (residents) of the<br />

skilled nursing facility where the author is working; residents who have skin problems as pressure sore,<br />

psoriasis, heat rash, skin cancer, herpes zoster/simplex.<br />

Results of the pharmacological effects were collected through testimonials and actual<br />

observation from population who utilized the plants/trees product.<br />

Conclusion and Implications: Based on the quantified evidences on the use and effect of garden products,<br />

pharmacy in nature is an alternative treatment of ailment and promotion of health.<br />

Author: Luzminda Tenefrancia Llasos MSN PhD RN<br />

Dr Luz Llasos is currently the Director of Nursing at Valley Grande Manor in Weslaco Texas. She obtained her<br />

nursing diploma from Baguio General Hospital School of Nursing, BSN from Mountain View College School<br />

of Nursing , MSN from Philippine Union College Graduate Studies, Philippines and Doctor of Philosophy<br />

from Kennedy Western University , Wyoming USA. A missionary in Malamulo Hospital Malawi Africa for 6<br />

years. She is a lifetime member of Philippine Nurses Association. She is the current chair of Community<br />

Outreach/ Global Health of Philippine Nurses Association of America; Incoming vice president of Philippine<br />

Nurses Association of Rio Grande Valley South Texas 2013-2015). Received the 2009 Modern Nightingale<br />

Award from PNA Texas Cameron County because of her commitment to her profession and service to the<br />

community. Highlight contribution to PNAA was being the author of the lyrics of PNAA theme song “Shine<br />

PNAA Shine’.


Best Wishes to the <strong>PNAAF</strong> and<br />

CPAC-SN for a Successful Conference<br />

From<br />

Philippine Nurses Association of Central California<br />

2012-2014 Executive Board<br />

President: Nancy Nolasco Hoff Asst. Treasurer: Mary Grace Reyes Board of Directors:<br />

President-elect: Sally Wee Auditor: Ramon Barcenilla Glenda Robles Luz Newell<br />

Vice President: Rizza Elep Parliamentarian : Ceri Biltz Cecile Utleg Lorna Romero<br />

Secretary: Mila Nino PRO: Maricon Estebar Elnora Bugay Victoria Baxter<br />

Asst. Secretary: Nelfa Reynon Imdt. Past president: Lourdes Nisperos Fermina Rivera Krishna<br />

Treasurer: Leonor Baruela Past Presidents Rep: Christy Wood Analisa Rafanan


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PNA-­‐San Antonio – Gertrude Umaming<br />

3. PNA-­‐El Paso – Marcelita Torres<br />

4. PNAST-­‐RGV – Normita Hayes<br />

5. PNAT-­‐Cameron County – Cris Bernal<br />

6. PNA-­‐North Texas – Mona Gaw<br />

7. PNA-­‐Georgia – Venus Soriano<br />

8. PNA-­‐NE Florida – Velia Callao<br />

9. PNA-­‐Central Florida – Rosie Antequino<br />

10. PNA-­‐SE Florida – Fely Perlas<br />

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12. PNA-­‐TB – Ariel Zabala<br />

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a. PNAMH TGT – Joy Angulo<br />

b. PNAMH North – Eillen Luster<br />

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The Philippine Nurses Association<br />

of Northern California<br />

Congratulates<br />

The Philippine Nurses Association<br />

of America Foundation<br />

and<br />

Central Philippine Adventist College<br />

School of Nursing<br />

for its<br />

2 nd International Collaborative Conference 2013<br />

Bacolod, Philippines


Executive Officers<br />

2011 - 2013<br />

M ARISSA BANAGAN USM AN<br />

President<br />

LEONORA P. M ENDOZA<br />

President-elect<br />

VIVIAN M. SOLA<br />

Recording Secretary<br />

FLORINA REYNOSO<br />

Asst. Recording Secretary<br />

PRIMA E. COLBURN<br />

Corresponding Secretary<br />

LORNA IMPERIAL-SEIDEL<br />

Asst. Corresponding Secretary<br />

CAROL M ANILAY- ROBLES<br />

Treasurer<br />

LOURDES B. CAREAGA<br />

Assistant Treasurer<br />

ELSA A. AQUINO<br />

ALICIA CALAYAG-DE LEON<br />

TRINIDAD P. PADAM A<br />

ROSABELLA V. DE LA PEÑA<br />

CLAIRE C. GOTICO<br />

M ARINA B. UTAYDE<br />

JOY ARELLANO<br />

Public Relations Officers<br />

FEBES M . GALVEZ<br />

Auditor<br />

TERESITA DELIM A<br />

Assistant Auditor<br />

ALICE NAM ATA-ANDAM<br />

DIANA COM ISO<br />

EMM A O. DE LA ROSA<br />

NATY P. LABRADOR<br />

RESURRECCION B. JAO<br />

TERESITA S. SAM OY<br />

Board of Directors<br />

RODNEY GARCIA, Esq.<br />

Legal Counsel<br />

FELIPE DIM AYUGA, M .D.<br />

In-House Physician<br />

PHILIPPINE NURSES ASSOCIATION<br />

OF METROPOLITAN D.C., Inc.<br />

7315 Farr Street, Annandale, Virginia 22003 Tel: (703) 914-9383<br />

Website: http://pnamdc.org<br />

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EXECUTIVE BOARD 2010-2012<br />

PRESIDENT<br />

Normita Hayes, MBA, RN<br />

956 929-3042<br />

normitahayes@rocketmail.com<br />

EXECUTIVE BOARD 2010-2012<br />

PRESIDENT ELECT<br />

Normita Christie Hayes, Candelaria, MBA, RN MA, RN, CCRN<br />

956<br />

956<br />

929-3042<br />

207-9277<br />

clmcandelaria@hotmail.com<br />

normitahayes@rocketmail.com<br />

VICE PRESIENT<br />

PRESIDENT ELECT<br />

Febe Dela Cruz, BSN, RN<br />

Christie<br />

956 867-7852<br />

Candelaria, MA, RN, CCRN<br />

956<br />

gandaco@yahoo.com<br />

207-9277<br />

clmcandelaria@hotmail.com<br />

RECORDING SECRETARY<br />

VICE PRESIENT<br />

Marian Divinagracia BSN, RN<br />

Febe 956 Dela 533-4796 Cruz, BSN, RN<br />

956 mdivinagracia@yahoo.com<br />

867-7852<br />

gandaco@yahoo.com<br />

TREASURER<br />

RECORDING SECRETARY<br />

Evelyn Fule, BSN, RN<br />

Marian 956-212-6589 Divinagracia BSN, RN<br />

956 evelynbarbin@yahoo.com<br />

533-4796<br />

mdivinagracia@yahoo.com<br />

AUDITOR<br />

TREASURER<br />

Eva Gravador, BSN, RN<br />

956-867-2531<br />

Evelyn evagravador@sbcglobal.net<br />

Fule, BSN, RN<br />

956-212-6589<br />

evelynbarbin@yahoo.com<br />

PUBLIC RELATIONS<br />

AUDITOR Adora Usudan, BSN, RN, CCRN<br />

956 624--2587<br />

Eva danteusudan@yahoo.com<br />

Gravador, BSN, RN<br />

956-867-2531<br />

evagravador@sbcglobal.net<br />

Myrna Grajo BSN, RN<br />

956 583 1279<br />

Myrna grajo@yahoo.com<br />

PUBLIC RELATIONS<br />

BOARD OF DIRECTORS<br />

Adora Usudan, BSN, RN, CCRN<br />

956<br />

Jayson<br />

624--2587<br />

Valerio MSN, RN<br />

danteusudan@yahoo.com<br />

(956) 739 8623<br />

Myrna Jaysonvalerio@hotmail.com<br />

Grajo BSN, RN<br />

956 Christina 583 1279 Te BSN,RN, CCRN<br />

Myrna 956 grajo@yahoo.com<br />

867-0148<br />

crstnte@yahoo.com<br />

BOARD Marisa OF Raynaldo DIRECTORS MSN,RN<br />

956 624 6161<br />

Jayson jelmar5357@aol.com<br />

Valerio MSN, RN<br />

(956) 739 8623<br />

Jaysonvalerio@hotmail.com<br />

Maria Theresa Yongson, BSN, RN<br />

956 624 7674<br />

Christina mtyongson@southtexascollege.edu<br />

Te BSN,RN, CCRN<br />

956 867-0148<br />

crstnte@yahoo.com<br />

Joy Altamirano BSN, RN<br />

Marisa 956 Raynaldo 668-1875 MSN,RN<br />

956 joyvee@sbcglobal.net<br />

624 6161<br />

jelmar5357@aol.com<br />

Bebra Perez BSN, RN<br />

Maria Theresa Yongson, BSN, RN<br />

956-874-4721<br />

956<br />

bebraperez@yahoo.com<br />

624 7674<br />

mtyongson@southtexascollege.edu<br />

Mariano Alfred Acevedo, PhD, RN<br />

Joy 956-789-4341<br />

Altamirano BSN, RN<br />

956 alfredacevedo@gmail.com<br />

668-1875<br />

joyvee@sbcglobal.net<br />

Bebra Perez BSN, RN<br />

956-874-4721 ADVISORY BOARD<br />

bebraperez@yahoo.com<br />

Aster Vargas BSN, RN<br />

Mariano 956 655 Alfred 1335 Acevedo, PhD, RN<br />

956-789-4341 Past President 2004-2006<br />

alfredacevedo@gmail.com<br />

a4vargas@yahoo.com<br />

Ted Ray Llasos MAN, RN<br />

956 607-2299<br />

Immediate Past President<br />

tedray@yahoo.com<br />

ADVISORY BOARD<br />

Aster Vargas BSN, RN<br />

956 655 1335<br />

Past President 2004-2006<br />

a4vargas@yahoo.com<br />

Ted Ray Llasos MAN, RN<br />

956 607-2299<br />

Immediate Past President<br />

tedray@yahoo.com<br />

Sept. 19, 2011<br />

Dear Sponsor,<br />

Rio Grande Valley Chapter<br />

Philippine Nurses Association<br />

(PNAST-RGV)<br />

of South Texas<br />

Visibility Viability Vitality<br />

Rio Grande Valley Chapter<br />

Congratulations <strong>PNAAF</strong> and CPAC-SN<br />

on 2013 Collaborative<br />

(PNAST-RGV)<br />

Conference 2<br />

Visibility Bacolod City, Viability Philippines<br />

Vitality<br />

Sept. Greetings! 19, 2011 The Philippine Nurses Association of South Texas Rio Grande Valley<br />

Chapter will be hosting its annual education day on November 19, 2011at the<br />

Dear Cooper Sponsor, Center, South Texas College. We would like to appeal to your generosity to<br />

be a sponsor during this event. For a minimum amount of one hundred dollars<br />

Greetings! ($100.00), you The will Philippine be provided Nurses with Association a table for of whatever South Texas company Rio materials Grande Valley you<br />

Chapter<br />

may want<br />

will<br />

to exhibit,<br />

be hosting<br />

one<br />

its<br />

free<br />

annual<br />

registration<br />

education<br />

to the<br />

day<br />

seminar,<br />

on November<br />

and free<br />

19,<br />

breakfast<br />

2011at<br />

and<br />

the<br />

Cooper<br />

lunch for<br />

Center,<br />

a company<br />

South<br />

representative.<br />

Texas College.<br />

We<br />

We<br />

hope<br />

would<br />

you will<br />

like<br />

give<br />

to appeal<br />

this your<br />

to your<br />

full favorable<br />

generosity to<br />

consideration and be a partner in our efforts to maintain and sustain life-long<br />

be a sponsor during this event. For a minimum amount of one hundred dollars<br />

learning for all the nurses of the Rio Grande Valley. We would appreciate your<br />

($100.00), you will be provided with a table for whatever company materials you<br />

response on or before October 15, 2011.<br />

may want to exhibit, one free registration to the seminar, and free breakfast and<br />

lunch<br />

The Philippine<br />

for a company<br />

Nurses<br />

representative.<br />

Association of South<br />

We hope<br />

Texas<br />

you<br />

RGV<br />

will<br />

Chapter<br />

give this<br />

is<br />

your<br />

a professional<br />

full favorable<br />

consideration<br />

nursing organization<br />

and be<br />

established<br />

a partner in<br />

on<br />

our<br />

March<br />

efforts<br />

17,<br />

to<br />

2004.<br />

maintain<br />

Our primary<br />

and sustain<br />

goal<br />

life-long<br />

is to support<br />

learning the nursing for profession, all the nurses develop PNAST-RGV<br />

of the partnership Rio Grande with Valley. other We professional would appreciate and civic your<br />

response organizations on or before October 15, 2011.<br />

Where to make everyday a difference in the is community, Christmas to serve the needy Day! and the<br />

underprivileged.<br />

The Philippine Nurses Philippine Our organization<br />

Association Nurses provides<br />

of Association a mechanism<br />

South Texas of RGV South for networking<br />

Chapter Texas with other<br />

organizations and agencies in developing and implementing programs is a relevant professional to<br />

nursing organization practice, education, established and Rio research. Grande on March Valley 17, 2004. Chapter Our primary goal is to support<br />

the nursing profession, develop partnership with other professional and civic<br />

organizations If you have any to questions make a difference please feel in free the to community, contact me to directly serve at the (956) needy 207-9277. and the<br />

underprivileged. Our organization provides a mechanism for networking with other<br />

organizations Thank you. and agencies in developing 9th Anniversary<br />

and implementing programs relevant to<br />

nursing practice, education, and research.<br />

Sincerely,<br />

and<br />

If you have any questions please feel free to contact me directly at (956) 207-9277.<br />

Induction Gala<br />

March 30, 2013 from 7:00 pm - 12:00 am<br />

Thank you.<br />

Christie M. Candelaria, MA, RN, CCRN<br />

Sincerely,<br />

Chair, Education Committee<br />

Normita Hayes MBA, BSN, RN<br />

Christie M. Candelaria, MA, RN, CCRN<br />

President, 2010-2012<br />

Chair,<br />

PNA South<br />

Education<br />

Texas<br />

Committee<br />

RGV Chapter<br />

Philippine Nurses Association<br />

of South Texas<br />

UNITY<br />

IN<br />

DIVERSITY<br />

EXECUTIVE BOARD<br />

2011-2012<br />

COME DRESSED WITH YOUR NATIONAL COSTUME.<br />

Normita Hayes MBA, BSN, RN<br />

BRING YOUR FAVORITE NATIONAL DESSERT.<br />

President, 2010-2012<br />

PNA South Texas RGV Chapter<br />

Registration Tickets:<br />

ADULT and Children $30.00<br />

Embassy Suites<br />

1800 South 2nd St.<br />

McAllen, Texas<br />

Call: Normita Hayes (956)929 3042; Christie Candelaria (956) 207 9277


PILIPPINE NURSES ASSOCIATION OF AMERICA<br />

FOUNDATION,INC<br />

Statement of Appreciation and<br />

Recognition<br />

On behalf of the <strong>PNAAF</strong> Committee Members of<br />

Collaborative Conference 2, I am honored to recognize the<br />

Philippine Team of Collaborators in the successful<br />

planning and the execution of the Collaborative<br />

Conference in Bacolod City. I commend their hard work,<br />

commitment, enthusiasm, and professionalism.<br />

Araceli D. Antonio, MS, RN<br />

<strong>PNAAF</strong> Conference Chair<br />

!<br />

Philippine Collaborative Conference 2 Team<br />

Dean Joebenie Devilla, PhD,RN<br />

CPAC<br />

Dean Helen Correa –<br />

WNU<br />

Dean Jocelyn May Flor Cadena –<br />

USLS<br />

Dean Maria Corazon Familiaran –<br />

RIVERSIDE<br />

Dr. Chris G. Sorongon and Rgo Staff


Sapphire Founding Members:<br />

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PHILIPPINE NURSES ASSOCIATION OF AMERICA FOUNDATION<br />

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AYALA<br />

PHILIP<br />

PINES

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