23^rd World Nursing and Healthcare Conference July 10-12, 2017 Golden Tulip Berlin - Hotel Hamburg, Berlin, Germany

Biography:

Dawn Moeller RN has 30 years of experience in the field of emergency medicine. She currently serves at Advocate Good Shepherd Hospital as clinical manager for emergency and trauma services. She has recently published an article in the Journal of Emergency Nursing on eliminating blood culture contaminations by engaging her front line staff. She has presented nationally on topics such as reducing emergency department recidivism and readmissions, and on how emergency department operational efficiency promotes a positve patient experience

Abstract:

Purpose: Our Emergency Department struggled with unacceptable blood culture contamination rates. The objective was to create a self-governing culture within nursing that would lead and sustain the achievement of monthly blood culture contamination rates below the national benchmark of 3% and the hospital laboratory acceptable threshold of 2.3%.

Design: Blood Cultures: Moving Toward Zero False Positives was an evidence-based quality assurance project developed and implemented by the Emergency Department Shared Governance Quality and Safety Council.

Participants: 100% of all emergency department patients requiring blood cultures, inclusive of pediatric patients, between the time frames of January 2010 through June 2015.

Methods: The Shared Governance council partnered with the laboratory team to review the monthly epidemiology reports.  The goal was to identify the number and overall percentage of contaminated specimens collected within the Emergency Department.  The Emergency Department Shared Governance council conducted a review of the literature. From the information that was gathered, the Shared Governance council created a blood culture collection education tool for the Emergency Department nursing staff. The final step was to design a monthly peer review process to perform ongoing causal analysis with those individuals that were linked with contaminated specimens.

Results and Outcomes: The evidence demonstrates that the new process decreased the blood culture contamination rate from baseline of 5.37% down to 1.55%.

Implications: The chief recommendation is to engage staff through clinical leadership. This quality improvement project translates to improved patient care and a reduction in unnecessary treatment and costs.

Biography:

Selda Arslan was born on 15th January 1980 and graduated at Celal Bayar University Nursing School in 2001 and after that she started to work as a research assistant Selcuk University Health High School. She completed her master's degree in medical nursing in 2005 and doctoral degree in same department in 2012. Her prioritized areas of interest are oncology and rehabilitation nursing. Currently, she is working as an assistant professor at Selcuk University Faculty of Health Sciences.

Abstract:

Background:The study was performed to determine nurses’ information, attitude and practice levels on using physical restraint in intensive care units as an important modality arising physical, psyschological, social and judicial results. 

Aim: Working in ICUs, 158 nurses constituted the sampling. “Levels of Knowledge, Attitudes and Practices of Staff Regarding Physical Restraints Questionnaire” was used to collect data.

Methods: Findings were presented as number, percentage and average, and t test, one-way variance and correlation analyses were used for independent variables.

Results: For information, attitude and practice scores, participants’ scores were 7.1±1.7, 31.8±4.6 and 36.6±3.2, respectively. No association was found between information subscale, and age, professional years, working time in ICUs and weekly working hours (p>0.05). However, for attitute subscale, a negative and weak association was found between age (r=-0.229) and professional years (r=-0.174 ), and increasing these variables decreased attitude score (p<0.05). No association was found between attitude score, and working time in ICUs and weekly working hours (p>0.05). While there was no association between practice score, and age, professional years and working time in ICUs (p>0.05), the increase in weekly working hours (r=-0.243) was found to decrease practice score, and this association was found weak (p<0.05).

Conclusion: In conclusion, we consider nurses’ level of information is sufficient, but attitudes and practice were not at a positive level.

Relevance to clinical practice: Physical restraint may be a must to prevent patients’ agitation and protect therapeutic instruments in clinical settings. It is recommendable that out of such conditions, novel approaches should be developed to decrease the use of physical restraint.

Biography:

Simge Zeyneloglu, MSN, PhD, is an associated professor at Gaziantep University Faculty of Health  Sciences Department of  Nursing, Gaziantep, and an associated professor at the University of  Gaziantep.

Abstract:

This study was conducted, in order to determine the opinions of women who had a cesarean delivery (CD) and the problems that they faced in the postpartum period. This descriptive study was conducted with 337 women who delivered babies by cesarean section in order to determine the opinions and problems of women towards cesarean delivery. The data were collected using a semi-structured questionnaire. The results of the study showed that 53.4% ​​of women underwent cesarean delivery for the first time, and 83.1% said that it was the obstetrician’s decision to have a cesarean delivery. More than half of the women (61.1%) had a negative experience with cesarean delivery due to postpartum pain (44.7%) and inability to care for their infant (35.9%). The most common problems associated with cesarean delivery were postpartum pain (96.1%), back pain (68.2%), problems passing gas (62.0%), bleeding (56.1%), feeding problems (49.6%) and limitation of movement (43.6%) respectively.  Understanding the opinions and problems of women towards cesarean delivery assists healthcare professionals in identifying better ways to provide appropriate care and support.

Biography:

Yueh-Chen Yeh has completed her PhD from Griffith University School of Nursing and Midwifery in Australia. She is an Assistant Professor and teaches at National Taichung University of Science and Technology Department of Nursing

Abstract:

In Chinese culture, postpartum women are considered to be weakened, vulnerable to a yin and yang imbalance, and in need of special care. They are encouraged to follow the traditional postpartum practice called “doing the month,” which is a 30-day ritual involving physical and social prescriptions and taboos. Traditionally, Chinese and Taiwanese postpartum women perform this practice at home. Currently, many Taiwanese women undertake this ritual in postpartum nursing centers (PNCs). However, information on how the PNCs have modified the traditional Chinese postpartum practices for first-time mothers in the context of modern healthcare is limited.

The present ethnographic study conducted the observations and formal interviews of 27 first-time mothers at a PNC in Taipei, Taiwan. The present study observed that the “doing the month” ritual has been adapted to modern healthcare requirements through the relocation of home settings to healthcare facilities. At these facilities, nurses assume the roles traditionally held by family members, thus influencing the family structure and relationships. In addition, adherence to the traditional dietary, hygiene, activity, and social restrictions varied. Although some practices were performed on the basis of traditional justifications, many were modified or abandoned on the basis of current scientific justifications.

The present study provides information that may aid healthcare professionals in guiding postpartum women to integrate traditional beliefs with modern healthcare and evidence-based practices. Nurses and midwives must be respectful toward their clients’ beliefs. In addition, respect and flexibility should be maintained in the ritual by incorporating modern values and facilities. The present findings demonstrate how traditional and modern cultural beliefs and attitudes are integrated in the “doing the month” ritual to provide culturally appropriate and sensitive postpartum care and support for first-time mothers.

Biography:

Dr. Edwards is a medical professional with 35 years’ experience in healthcare.  She is a RN, medical investigator, legal nurse consultant and medical writer.  She holds a MHA degree, a MD degree & she completed post-doctoral fellowship training in researching and analyzing medical data at CDC in Atlanta GA. Her passion lies in caring for the elderly and investigating what happens when medicine and law collide. For more than 6 years, Dr. Edwards has volunteered healthcare services to 3rd world countries; earning her the status of Dame of Grace, Dame of Honor and Dame of the Grand Cross.

Abstract:

As a person ages there is a regression in both physical and mental health. This deterioration results in one’s ability to deal with physiological/psychosocial demands. The world’s population is significantly growing. According to the United Nations World Population Prospects 2012, the average human lifespan is 70.7 years, 68.2 years for males and 73.2 years for females. According to WHO, In the US, the human life expectancy is approximately 78.2 years for men and 81 years for women; predicting that within the next 35 years the proportion of the elderly is estimated to increase approximately 10%. This is alarming because there is already a shortage of professionals who provide geriatric mental health services. In 2030, it is estimated that there will only be approximately 1650 geriatric psychiatrists in the US; one geriatric psychiatrist per 6000 geriatric psych patient. Of the aging population, 20% have one mental disorder that has negative effects on their health. Research has proven that elderly are likely to have greater disability, worse health outcomes and higher rates of hospitalization and emergency services than older patients with just a physical condition. Last but not least, the cost per person with mental illness and a medical illness is estimated to be 50% to 200% higher than patients with a medical illness only.

The geriatric population (65 years and older), is most likely to experience frequent, complex interactions with the healthcare system; a system so complex that it has trouble meeting their basic healthcare needs. Unfortunately, as the aging population increases so do mental disorders associated with aging (Alzheimer’s Dementia, Anxiety, Major Depressive Disorder, Suicide Ideation, etc.).  Therefore, the growing geriatric population underlines the need for the development of concrete interventions to improve the care of geriatric psych patients in a complicated healthcare system.

Biography:

April L. Jones has completed his PhD at the age of 35 years from Walden University. She is the outreach manager of U.S. Air Force, Maxwell Air Force Base, a military education and command installation. She has published 2 articles in reputed journals and has been serving as a journal reviewer for three journals of repute. She has presented her research publications at more than four international conferences.

Abstract:

Experience of Protagonists in Workplace Bullying: An Integrated Literature Review (E-PWBILR): Awareness of workplace bullying is increasing due to an improved understanding of the psychological, social, and organizational consequences of these behaviors. In the field of nursing, which has been facing critical shortages for decades, workplace bullying has been blamed for higher attrition rates, reduced productivity, and even the current nursing shortage. Poorer patient care and reduced safety on the job are also noted sequelae of bullying among nurses. While incidents of bullying may be an accepted though unintended consequence of power dynamics within an organizational structure, there is a critical need for managers to analyze the extent of the problem, determine its impact, and try to understand how it affects staff satisfaction and retention. Although there is evidence that lack of managerial support and hierarchical work environments that disempower staff contribute to bullying among nurses, there does not appear to be agreement on the most important factors that contribute to the perpetuation of these harmful behaviors, or more importantly, on how to reduce the frequency and impact of bullying events. A number of studies have been conducted on workplace bullying, however, very few in the field of nursing have been undertaken. This paper systematically examines the impact of bullying, the factors that perpetuate its continuance, and synthesizes the literature on promising environmental and individual-level interventions in the field of nursing.

Biography:

Muhammed Wasim Raad completed PhD in Embedded Systems from School Of Electronics University Bradford UK, 2005. Currently he is the Head RFID Lab & Lecturer in KFUPM. He was involved in a number of funded projects in Telemedicine for Elderly.

Abstract:

By 2020, it is predicted that chronic diseases to be account for almost three quarters of all deaths. This aging problem contributes greatly to chronic diseases like Alzheimer’s. The major implications of Alzheimer are patient safety and care. The aim of this paper is to develop a Telemedicine system, based on Internet of Things (IoT) technology, for monitoring elderly individuals suffering from Alzheimer’s. We describe a working prototype that is able to capture vital signs and deliver the desired data remotely for elderly staying at home, using wearable ECG wireless sensor. In addition, an Active wearable Radio Frequency Identification (RFID) wristband, with IR room locators are used to monitor the whereabouts of the elderly at room level along with an Android APP tool used by the Elderly loved ones to locate him/her in case of emergency in a smart home context. An alarm is triggered in case the Elderly wanders outside the safe zone.

Biography:

She has completed her PhD in 2001 at Hacettepe University, Health Science Institute in Public Health Nursing. She had her professorship in 2016. She is head of nursing department in Selcuk University. She has published many papers in indexed journal and has been mentoring number of doctoral and other thesis. She has been serving as advisory board of some journals.

Abstract:

Despite advocacy is an accepted and integral attribute of nursing partice confusion remains about the precise nature and description of the concept. The aim of this descriptive qualitative study was to investigate nurse academics’ opinion and perceptions of nursing advocacy role. Study was conducted to answer the two research questions: How the academic nurses perceived the nursing advocacy role?  and what are their opinions about bariers and its solutions for nursing advocacay?  The study was carried out in 2015 in an university, Faculty, nursing department in Konya Turkey. The study group was nurse academics (n:5) who had five years teaching experiences. In order to academics’ opinion, three subjects were selected for focus group interview. One focus group interviews was carried out for investigating academics’ views on advocacy. Focus group interview was audiotaped and subsequently transcribed by two researcher. Data are coded systematically and organized into a number of categories. All the academics believed that nurses have not enough power to advocate theirself and advocacy could take place only if nurses have a power as a profession. They also thought that the personal characteristics of nursing students is important for being an advocate and the the cultural environment of the community is not supportive for advocacy, rather support the dutifulness behaviour. The participants stated that in current neo-liberal political health care enviroment make nursing advocacy more important since the community are more vulnerable in current health care system. As a conclusion, advocacy is perceived by academic nurses as a matter of power for nursing as a profession.

Biography:

Ms. Chow Vincci Wing Sze is a nursing student studying Bachelor Degree of Health Sciences (Major in Nursing) at Tung Wah College in Hong Kong. Ms. Chow Vincci Wing Sze is the representative of the group to give the presentation in the conference. Her research interests include Human Papillomavirus (HPV), HPV vaccine, knowledge, barriers and attitudes of parents-of-minor-age-daughters.

Abstract:

Cervical cancer has always been known as one of the most common cancer type globally. Human Papillomavirus, HPV in short, is nearly 100% the cause of cervical cancers and can enter a person’s body through sex. High- risk types HPVs are responsible for causing cervical cancer and type 16 or 18 HPV are responsible for almost 70 percent of cervical cancer cases. In 2013, Hong Kong had 503 new cervical cases diagnosed. Nowadays in Hong Kong, 2-valent, 4-valent and 9-valent HPV registered vaccines are available and aim to help with the prevention against HPV type 16 and 18.
 

A cross-sectional, quantitative and questionnaire-based study was used for this research. 413 Hong Kong residents who can read traditional Chinese and have at least one daughter aged 9 - 17 years old at the moment were recruited. Chosen Participants were recruited at four selected Health Care Centres and were invited to finish a set of questionnaire which is composed of 27 questions. Data analysis is still in progress. The preliminary result showed that around 80% of the subjects had heard of HPV which is relatively high rate among Asian, however their mean score of knowledge towards HPV is 2.4 which revealed an unsatisfactory knowledge level on the topic. Cost of vaccine and risk perception were main barriers that hindered parents’ willingness to vaccinate their daughter. The preliminary result could act as a reference for the Hong Kong Government to help in raising the HPV vaccination rate by strengthening HPV vaccine promotion

Biography:

Ms. Leung Shuk Ching is nursing student studying Bachelor Degree of Health Sciences (Major in Nursing) at Tung Wah College in Hong Kong. Ms. Leung Shuk Ching is the representative of the group to join in the conference. Her research interests include Human Papillomavirus (HPV), HPV vaccine, knowledge, attitude of Cervical cancer and acceptability towards Human Papillomavirus (HPV) Vaccination.

Abstract:

Cervical Cancer is commonplace for women. It is triggered by some categories of human papillomavirus (HPV). It has been proved that HPV infection is a preventable disease with HPV immunization. The earlier the age in receiving the inculcation, and prior to sexual intercourse experience, the higher rate of protection against the infection. According to the Hong Kong Cancer Registry, the numbers of newly diagnosis of cervical cancer were around half of a thousand in 2013. The figure posed cervical cancer at seventh common disease in Hong Kong among female. There are three types of HPV vaccines had been approved by Centre for Health Protection. They are Cervarix (2-valent), Gardasil-4 (4-valent), Gardasil-0 (9-valent) in preventing cervical cancer or the majority of cervical cancer attributed by HPV types 16 and 18.

This study was a cross-sectional research and was conducted throughout districts in Hong Kong. Data was collected through self- report questionnaire. In total, 397 interviewees were randomly picked and were invited to finish the questionnaire which is composed of 39 questions. Data analysis is still in progress. The preliminary result showed that more than 80% of the participants had heard of HPV before which was approximately 6 times more than those who did not (15%). Their mean knowledge score towards HPV, cervical cancer and HPV vaccine was 5.65 in which respondents who had heard HPV before doing the questionnaire had higher level of it. The preliminary result would offer suggestions to the government in formulating strategies for preventing cervical cancer.

Biography:

Ms. LI Wai Ting is a nursing student studying Bachelor Degree of Health Sciences (Major in Nursing) at Tung Wah College in Hong Kong. Ms. LI Wai Ting is representing the group to give the presentation in the conference. Her research interests include blood donation, knowledge and attitudes of undergraduate students

Abstract:

The demand of blood in Hong Kong has been increasing particularly due to ageing and increased prevalence of chronic-illnesses.  Hong Kong Red Cross conducted various campaigns to recruit new blood donors and promote blood donation practice for the shortage of blood supply to the needy in hospitals. Knowledge and attitudes towards blood donation practice are crucial and the perception of blood donation can be different between students in healthcare and non-healthcare programmes. This study aimed to examine knowledge and attitudes towards blood donation between healthcare and non-healthcare students. A cross-sectional study was used to achieve the study purpose. The validated questionnaire related to the study topics towards blood donation was used. By March 2017, a total of 45 eligible subjects were recruited including 6 (13.3%) from healthcare programmes and 39 (86.7%) from non-healthcare programmes. The data collection is still in progress. Of 45 subjects, most of them (80%) had no religion. There were 60% of them with no experience of blood donation. The preliminary result showed that the item “fear of seeing blood” was significant difference between healthcare and non-healthcare student groups (t=3.457, p=0.002). The mean (SD) of the item ‘fear of seeing blood” between healthcare and non-healthcare student groups were 4.17 (0.408) and 3.31(1.151) respectively. Based on this preliminary result, strategies to cope with fear of seeing blood may be needed to promote blood donation in this specific age group. Education with psychological support to improve knowledge and attitudes towards blood donation is important to encourage blood donation practice

Biography:

Ms. LO Hiu Man is a nursing student studying Bachelor Degree of Health Sciences (Major in Nursing) at Tung Wah College in Hong Kong. Ms. LO Hiu Man is the representative of the group to give the presentation in the conference. Her research interests include blood donation, knowledge and attitudes of undergraduate students.

Abstract:

The demand of blood in Hong Kong has been increasing particularly due to ageing and increased prevalence of chronic-illnesses.  Hong Kong Red Cross conducted various campaigns to recruit new blood donors and promote blood donation practice for the shortage of blood supply to the needy in hospitals. Knowledge and attitudes towards blood donation practice are crucial and the perception of blood donation can be different between students in healthcare and non-healthcare programmes. This study aimed to examine knowledge and attitudes towards blood donation between healthcare and non-healthcare students. A cross-sectional study was used to achieve the study purpose. The validated questionnaire related to the study topics towards blood donation was used. By March 2017, a total of 45 eligible subjects were recruited including 6 (13.3%) from healthcare programmes and 39 (86.7%) from non-healthcare programmes. The data collection is still in progress. Of 45 subjects, most of them (80%) had no religion. There were 60% of them with no experience of blood donation. The preliminary result showed that the item “fear of seeing blood” was significant difference between healthcare and non-healthcare student groups (t=3.457, p=0.002). The mean (SD) of the item ‘fear of seeing blood” between healthcare and non-healthcare student groups were 4.17 (0.408) and 3.31(1.151) respectively. Based on this preliminary result, strategies to cope with fear of seeing blood may be needed to promote blood donation in this specific age group. Education with psychological support to improve knowledge and attitudes towards blood donation is important to encourage blood donation practice

Biography:

Xie Caixia has completed her master’s degree at the age of 29 years from the Third Military Medicine college of China and started her PhD learning in 2016 in West China School of Medicine, Sichuan University. She is a head nurse of Sichuan Provincial People’s Hospital, who has had 6 years’ experience in nursing management and 7 years’ experience in clinical nursing. She has published more than 20 papers in reputed journals.

Abstract:

Objective: To investigate the effect the clinical pathway of enteral nutrition on nutritional status in patients with severe head injury.

Methods: 120 cases of patients with severe head injury were randomly divided into control and experimental groups, each group has 60 people. The control group accepted enteral nutrition with traditional model, the experimental group accepted clinical pathway of enteral nutrition. The differences of albumin, hemoglobin, transferrin and Glasgow coma score in two groups were compared.

Results: 116 patients completed the study. On day 21, the albumin and transferrin in study group were significantly higher than control group (P = 0.006, 0.026); the Glasgow Coma Score in two groups were no difference (P > 0.05).

Conclusion: the application of clinical pathway of enteral nutrition in patients with severe head injury standardized the method and nursing technology of enteral nutrition. The clinical pathway of enteral nutrition is better than the traditional mode of enteral nutrition and It is worth learning and promotion.

Biography:

Susan L. Huehn has been a nurse for 32 years, working in all specialty areas both in the United States and Germany.  She has been teaching nursing since 2004.  She is currently instructor of nursing at St. Olaf College in Northfield, Minnesota, USA and is completing her dissertation titled, “Interprofessional Education:  The Experience of Senior Baccalaureate Nursing Students:  A Qualitative Study.

Abstract:

When healthcare professionals collaborate and communicate effectively as teams with a sound understanding of others’ roles and responsibilities, then patients receive higher quality, and safer care (Bridges, Davidson, Odegard, Maki, & Tomowiak, 2011; Sullivan, & Godfrey, 2012).  While this is an expectation in professional practice, little emphasis has been placed on the implementation of interprofessional education in the nursing curriculum (Priest et al., 2011). Healthcare students typically receive their education in a cohort of others working toward the same specialization and training.  IPE is gaining recognition as a way for healthcare students to practice collaboratively. Two separate simulations were conducted at a liberal arts college in the Midwestern United States with current nursing students (n=24) in an attempt to improve interprofessional collaboration and prevent negative stereotypes from developing.  Both simulations utilized the same scenario, a retired nursing professor in the emergency department having ingested an overdose of hypnotics no longer wishing to live following the death of her husband.  Students were required to provide both physical and emotional care, having the chaplain and social workers available as consults in the respective simulation.

Reflections were gathered from the senior mental health students (n=24) in a basic qualitative study.  Encouraging support was gleaned from participant comments.  In the second simulation utilizing the same scenario, social work students participated as members of the interprofessional team.  Quantitative data was gathered exploring attitudinal factors. Favorable results were discovered in the understanding of each other’s profession, as well as the boundaries of one’s own profession.

Biography:

Terri has extensive experience in curriculum design and implementation, using blended learning technologies, and is the Faculty Lead for Blended Learning at USC. Terri has been involved in the development of online blended learning resources including ePortfolios, videos, QR codes and support material to enhance student learning in Nursing, Midwifery and Paramedicine. Further research and teaching interests have extended to the coordination the implementation of PebblePad across the four years of the dual degree in Nursing and Midwifery. Terri has a keen interest in new and emerging digital technologies and is a recipient of USC’s, Advance award for Blended Learning.

Abstract:

EPortfolio use has gained momentum over recent years and many university programs now include ePortfolios across their curriculum. The relationship between ePortfolios and the development of professional competency and graduate employability is of growing interest in Higher Education. The use of innovative technological tools, such as an ePortfolio personalises the ongoing learning process. An ePortfolio allows students to organise, collect a range of artefacts and store evidence of professional development. Professional accreditation rquires evidence of competency and issues of storing and sharing paper-based copies have inspired the move towards ePortfolio. Many Universities both nationally across Australia and internationally (UK, Europe and USA) have adapted the original paper portfolio and transformed it using online technology such as ePortfolios. Additionally using ePortfolio for assessment and learning in clinical settings, allows students to access their personal portfolio via mobile devices. This provides immediate access to relevant information which can instantly be applied to learning (just in time learning). Furthermore ePortfolios are also useful when the student is applying for a permanent position for career development and and later as evidence of mandatory continuing professional development (CPD) requirements.

Biography:

Sawsan Abuhammad is PhD candidate from University of Wisconsin Milwaukee in Wisconsin state in USA.  Hold BSN degree from Jordan University of Science and Technology, Master from Oregon Health and Science University.  She have sought to expand knowledge with challenges outside those arranged for her.  She had many expertise in many area include pediatrics to a high risk clinic for pregnant to infertility, maternal health nursing, pediatric health nursing, medical-surgical health nursing, community health and mental health nursing.

Abstract:

Background: According to the National Centre for Mental Health (NCMH), more than 20 percent of Jordanians are purported to suffer from some kind of mental health disorder; however, many do not receive appropriate treatment. The public’s perceptions of mental illness, knowledge of mental illness and negative attitudes held by healthcare professionals are critical factors to understand in developing and implementing culturally appropriate mental healthcare in Jordan. To this end, undergraduate nursing students are an important population to study and train on how best to provide essential healthcare to their patients.

Purpose: The objectives of this were to: (a) explore the knowledge and attitudes of undergraduate nursing students in Irbid, Jordan regarding mental illness, (b) describe stigmatizing and devaluation perceptions among undergraduate nursing students toward mentally ill patients; and (c) examine relationships between knowledge and attitudes of the students, while controlling selected variables relative to stigma.

Study Design:  Cross-sectional survey descriptive design was employed. All study protocols were reviewed and approved by the university Institutional Review Boards for both universities.  

Participants: Participants included undergraduate Arabic speaking students nursing (N = 169) enrolled in the school of nursing at a large science and technology university in Irbid, Jordan. Participants ranged in ages (18yrs-40 years; mean age = 20.8 years; SD = 2.20). These students were recruited from all college levels. Participants were predominantly females (73.4%) and 88.2% reported being single. Data were collected from participants on (a) Knowledge level of mental illness (b) Attitudes toward the mentally ill; (c) Stigmatization and (d) Sociodemographic information.

Data Collection and Analysis: A combination of strategies were used in recruiting participants for the study. Generally, the survey questionnaire was distributed and self-administered to students at various times in a class room. Students also took the survey with them to their dorms, completed the survey and dropped them in a box in front of the third author’s office door. The data was analyzed using the statistical package for the social sciences (SPSS, version 24).

Results: There were varying perspectives held by the undergraduate nursing students in study related to their knowledge about mental illness and attitudes towards individuals who are mentally ill. The following findings is summarized from the study. (a) Less than half identified Depression, Schizophrenia and Bipolar conditions as mental illnesses; their knowledge level of mental illness was at its highest level in their second year of college. The total knowledge score for the scale used in this study was 35.74 (SD =10.72) resulting from an average score less than agreement (2.52 to 2.9 for items on the scale). (b) Most students in the study expressed positive attitudes toward people with mental illness. For example, (72%) did not view entering a mental hospital as a sign of personal failure.  Forty percent believed they would hire a formal mental patient and treat them the same as any employee (43%).  (c) Students felt that people with mental disease tend to be harmful, childlike and cold hearted. Although students expressed these stigmatizing attitudes toward the mentally ill, they indicated that people with mental should be given and receive appropriate treatment regardless of their behavior.

Conclusion: Identifying nursing students’ attitudes and biases towards individuals with mental illness is an appropriate initial first step to developing appropriate educational programs to help train future nurses in working with sensitively with their patients. Case studies approach that uses stories from those patients that are mentally ill could be used to help provide better perspectives on mental illness for the students. 

Biography:

Geraldine Rebeiro, M.Ed, B.Ed Studs, B.App Sci (Adv Nsng), RN, Midwife, PhD candidate, is a lecturer in nursing at ACU. She is the course coordinator for the Bachelor of Nursing program and her teaching interests include: Child, adolescent and family health, fundamental, acute and complex nursing care and clinical practice education. Geraldine’s interests include the clinical education of UG students and the RNs who support them in their clinical learning. Geraldine is a co-editor of the Elsevier Australian adaptation of Potter and Perry’s Fundamentals of Nursing textbook (2016) and the lead author of the Fundamentals of Nursing Skills Workbook (2016), which is also translated into Bahasa Indonesian and published in Indonesia.

Abstract:

A significant proportion of undergraduate nursing education occurs in the clinical setting in the form of the practice of skills and competencies, and is a requirement of all nursing curriculum for registration to practice. Education in the clinical setting is facilitated by registered nurses, yet the interpersonal relationship between registered nurses and student nurses has not been examined well.

The purpose of this systematic integrative review was to investigate the experience of interpersonal relationships between registered nurses and student nurses in the clinical setting from the point of view of the registered nurse.

The databases of MEDLINE, CINAHL and OVID were searched using the key words: Registered Nurse, Preceptor, Buddy Nurse, Clinical Teacher, Mentor, Student Nurse, Nursing Student, Interpersonal Relationships, Attitudes and Perceptions.

The database search yielded 632 abstracts. Twenty one articles were identified for full text read; of these, seven articles addressed the experience of interpersonal relationships between registered nurses and student nurses in the clinical setting from the point of view of the registered nurse and these were reviewed.

Conclusions include; providing education for registered nurses to enable them to lead student education in the clinical setting communicates the organizational value of the role. Registered nurses identified being supported in having the time-to-teach was considered important in facilitation of the clinical teaching role.

The integrative review did not provide evidence related to the impact diverse clinical settings can have on the relationships between registered nurses and student nurses revealing an area for further examination.

Biography:

Panitsara Leekuan is a nurse lecturer in School of Nursing, University of Phayao, Thailand. She is studying her PhD studies in the University of Nottingham School of Health Science, UK. Her research is based on the views of hermeneutic phenomenology and utilizes a modified interpretive phenomenological analysis following the interpretivist paradigm to insight into the significant of pregnancy.

Abstract:

Adolescent pregnancy has been progressively acknowledged in nursing, medical and psychological literatures as a vital division of holistic care. Pregnant adolescents face significant health risks from pregnancy, which affect both mothers and their babies, with subsequent implications for maternal mortality and morbidity. Pregnancy in adolescence and its holistic dimensions remain under-researched, particularly for developing countries. This evidence and the particular phenomenon of adolescent maternities in Thailand led to my personal interest in this range. This study therefore aims to improve understanding and interpretation of pregnant adolescents’ perspectives associated with first-time pregnancy experiences in Northern Thailand. A qualitative study was conducted using a hermeneutic phenomenological approach to explore the experience of pregnant adolescents, aged between 15 and 19 years, and recruited using a purposive sampling technique from three hospitals in Northern Thailand. Data was collected using in-depth interviews. A modified interpretive phenomenological of 30 interviews was undertaken to incorporate translation into English using a cross-cultural translation technique. Three themes emerged from adolescent participants’ interpretation of their experiences of pregnancy: a result of their ‘ignorance’; however, ‘family’s relationship’ was strengthened while their experience made them understand ‘the state of being pregnant’ These findings offer valuable insights into the significance of pregnancy for pregnant adolescents and have implications for health providers, educators and policy makers’ encounters with adolescents during pregnancy to move beyond biomedical care, identifying the need for support mechanisms and strategies offering guidance from multiple sources of support.

Biography:

Cristina M Zamarioli, has completed her Undergraduation Course and her Mastery Program both from the University of São Paulo at Ribeirão Preto College of Nursing and Specialization in Clinical Oncology from the National Cancer Institute. She is a PhD Student, and has interesting in nursing cancer and nanotechnoloy studies.

Abstract:

The objective of this study was to verify the effect of topical formulations containing solid lipid nanoparticles in the treatment of induced radiodermatitis in mice. Fifteen male mice (7 to 8, weighing 20-25 grams), BALB lineage, irradiated with 30 Gy, single dose, in the left hind paw, 80 kVp energy, 20 mA current, open field with diaphragm 10 X 10 cm and collimated with a 1.5 x 1.5 cm lead plate, at a source distance of 35 cm. They were divided into five groups of three, three groups being treated daily with SLN-CT-based gel (Experimetal 1 - 5 mg; Experimental 2 with 17.5 mg and Experimental 3 with 30 mg), one with gel with SLN without curcuminoids (positive control) and another that received no treatment (negative control). In D7 irradiated areas were biopsied and histologically analyzed. In the control groups, a thinner epidermis was observed, with a thicker corneous layer, viable cells, with well delimited nuclei, but with an extra-cellular matrix - less organized MEC and less delimited dermo-epidermal junction; With better appearance in the positive control. In the experimental groups a more cellular epidermis was observed, more dense and organized MEC, rich in annexes, more fibroblasts and inflammatory infiltrates than controls, being the experimental group 3 the one that stood out the most. However, this infiltrate does not characterize an inflammatory process. NLS-CT can contribute to the tissue repair process after ionizing radiation, given the anti-inflammatory and atioxidant activity of curcuminoids.

Biography:

Ya-Wen Shih is a PhD student from Taipei Medical University, Taipei, Taiwan. She completed MSc of Nursing in Queen's University of Belfast, UK. Her professional research focus is on women's health, immunity and cancer.

Abstract:

Aim: The purpose of this study was to evaluate the effectiveness of non-invasive acupressure on the prevention and improve of chemotherapy-induced myelosuppression among patients with gynecologic cancer.

Methods: A double-blind, randomised controll trial with total of 28 women underwent chemotherapy were randomly assigned to experimental group (n=10) receiving acupressures on Hegu (LI4), Quchi (LI11); Xuehai (SP10); Sanyin-jiao (SP6), Taixi (K3), Zusanli (ST36), Taichong (LR3); and Baihui (GV20), 5 min each, 3 times a day for 6 weeks; or randomly assigned to control group received usual care (n=18). The blood counts, including WBCs, platelets, and hemoglobin, and the blood levels of SCF and GM-CSF were collected for analysed.

Results: The concentration of blood hemoglobin was significantly decreased from 11.6±2.2mg/dL (Mean±SD) to 10.8 ±1.6mg/dL (P=0.03) in control group after 6 weeks, but there was not a significantly different of hemoglobin concentration before (11.4mg±1.0) and after (10.9mg±1.1) chemotherapy in acupressure group. The levels of SCF were significantly increased before and after chemotherapy in both control group (from1196.10±293.17ng/mL to 1325.05±253.77ng/mL; p=0.01) and acupressure group (from1046.78±469.52ng/mL to 1387.06±310.00ng/mL; p=0.007), and the borderline difference (p=0.05) of increased mean difference of SCF before and after 6 weeks of receiving chemotherapy was found between acupressure group (340.28ng/mL±255.46) and control group (128.94ng/mL±250.64). There was a significantly interaction effect between acupressure and time-dependent manner to increase blood level of SCF when the acupressure was conducted for 6 weeks (b=211.34, p=0.02).

Conclusion: Acupressure is a recommended novel strategy for clinical application to the alleviation of myelosuppression induced by chemotherapy, and the effect was associated with the regulation of expression of stem cell factor (SCF).

Biography:

Wencui Li nursing graduate students in The First Affiliated Hospital of Zhengzhou University

Abstract:

Objective: To investigate the Team-based learning (TBL) combined with microteaching method in the teaching of undergraduate first aid courses.

Methods: 72 undergraduate nursing students randomly divided into the observation group (n=36) and control group (n=36).Nursing students in the observation group received TBL combined with microteaching, while nursing students in the control group received conventional teaching.

Results:

1. The average score of Objective Structured Clinical Examination (OSCE) in observation group was 86.66±5.09 and the control group was 84.47±5.78, the difference was statistically significant (t=3.38, P< 0.05).
2. After training the observation group’s the total score of Critical Thinking Disposition Inventory Chinese Version (CTDI-CV) and 5 dimensions were significantly improved, the difference was statistically significant (t=2.11-4.95, P<0.05).

Conclusion: TBL combined with microteaching method in first aid training course can improve the undergraduate nursing students' first aid ability, critical thinking ability.

Biography:

Liu Yi,women,24 years old,Chinese,She has completed her MD from Sichuan University, Chengdu, China. He is an nurse of West China Second University Hosptal,Sichuan University, in the Department of Gynecology and Obstetrics. She has published more than 8 papers in reputed journals of China and SCIs. Her major is obstetrics and gynecology nursing.So, She has a good grasp and understanding of the theory and practice of obstetrics and gynecology nursing and pediatric nursing.

Abstract:

The purpose of this study was to evaluate the efficiency of combined oral sucrose and non-nutritive sucking (NNS) on pain relief in NICU newborns when undergoing painful procedures. We have searched PubMed, Ovid (Medline), Embase (Medline), Cochrane Central Library, and other resources such as Google Scholar, bibliographies of included literatures for all available articles; two reviewers screened literatures and extracted data independently. Then, the fixed effects model was performed for pooling the results by using Reviewer Manager (RevMan) 5.3.

A total of 7 randomized controlled trials (RCTs), including 599 participants, were contained in our meta-analysis. This meta-analysis suggested that the combination of oral sucrose and NNS is associated with reduced pain scores (mean difference [MD], -0.52; 95% confidence interval [CI], -0.68 to -0.36);shorten crying time (MD,-0.92; 95% CI,-1.39 to -0.44);but there is no difference between two groups in reducing bradycardia (MD, 0.73; 95% CI, 0.32 to 1.68), tachycardia (MD, 0.65; 95% CI, 0.38 to 1.10), and desaturations (MD, 0.73; 95% CI, 0.32 to 1.68) . The pooled evidence indicates that the combination measures should be considered as an evidence-based guideline for pain relief undergoing minor painful. Besides, it also indicates that OS+NNS can be an alternative for better prevention and management of procedures pain in NICU newborns. However, the results may impaired due to data were uncompleted, and thus, more RCTs or well-designed studies are required to detect the effects of OS+NNS in the further.

Biography:

Completed her secondary and high school education in Malatya. In 2009, she graduated from the Department of Health Care at the School of Health at Fırat University. After working as a nurse in 2009-2011, she worked as a research assistant at Ataturk University in 2012. In 2013 she was appointed as a student at Inonu University Faculty of Health Sciences, graduated from Public Health Nursing Department Master's degree and started his doctoral education in 2015. The Master of Science in Physiology, which began in 2010, is fnished in 2016.

Abstract:

Background: According to the data provided, women and child form 52.54% of the population in Turkey by TNSA 2013. In order to constitute a healthy society, it is important to improve maternal and child health.

               The purpose of this study was to investigate effect of pregnant women’s parenthood self-efficacy on their prenatal adaptations by using descriptive correlational research method.

Methods: The study was conducted in 10 Family Health Centers serving to population over 16000 at the date between November 11, 2013 and 30 January, 2015. The centers were serving as a unit of Malatya Community Health Center. The population of the study involved  220  women at last trimester of their pregnancy and who have children (1-3 age old) taking service from 10 centers. Due to the purpose of reaching all population, no sampling method was used. Eventually 212 pregnant women participated in the study and the researcher reached 95 % of the population. For collecting data, descriptive information questionnaire, prenatal self-evaluation scale and parenthood self-efficacy scale were utilized. In the process of data collection, the researcher asked the questions and recorded the answers by using face-to-face approach. The data were collected from pregnant women taking service from the centers during 5 working days between July 25, 2014 and December 1, 2014. In data analysis, frequencies, percent, t-test for independent groups, ANOVA and correlation analysis were used.

Results: The results of the study showed that the participants had medium level prenatal adaptation and parenthood self-efficacy. Moreover, there was a statistically significant relationship between prenatal adaptation and parenthood self-efficacy. At the same time, age, duration of marriage, educational level, work situation, social security situation, willingness to pregnancy, number of children, following their pregnancy period situation had an effect on prenatal adaptation and parenthood self-efficacy scores.

Conclusion: In conclusion, it can be said that increasing parenthood self-efficacy levels of pregnant women might improve their adaptation to prenatal period.

Biography:

Abstract:

Introductıon: The increase of the elderly population throughout the world has brought various health problems. In the last few years, one of the main topics for discussion has been the abuse and neglect of the elderly, which has psychosocial aspects (1, 2, 3). Abuse of the elderly is a form of domestic violence that has been observed more in the last thirty years. Abuse can be found in every society, culture, and at every economic level. It is not only a domestic or a nation-wide problem; it is a serious social problem. Elder abuse is evident in institutions providing health and social services. In such places, elder abuse results in physical and psychological damage, and in exploitation of the elderly (1, 4). This research is carried out to identify the incidence of abuse and neglect of individuals over the age of 65, who live in the city center of Malatya in Turkey, and the related factors.

Method: The population of this research consists of 4,291 individuals age 65 and over who were registered in Family Health Centers in “Göztepe, Kernek, TaÅŸtepe, and Ä°stasyon” located in Malatya. The sample is identified as 451 elderly through use of the sample size determination formula, with a 95% confidence interval and a 0.05 significance level.

Findings: Of the elderly people in the study, 1.3% stated that they consistently experienced physical abuse, 0.8% noted that they regularly encountered financial exploitation, and 2.9% held that they werefrequently sexually abused. Also, 5.3% of the respondents noted that they were always neglected and that they experienced moderate emotional abuse. It was found that the level of abuse that elderly individuals regularly experience is low. It was observed that the study participants who were older, single women, poorly educated and low-income experienced the most abuse. They also had broken families.

Result: In light of these findings, our study recommends the following:

(1) nurses should evaluate each elderly patient to determine if there is abuse and neglect

(2) they should closely observe and monitor each case andeducate the abused elderly individuals and their families

(3) nurses should pay particular attention to raising awareness of the elderly who are among high-risk groups

(4) nurses should offer counselling for the abused and neglected elderly individuals, and inform them about support and social service organizations.

Biography:

Aylin Guclu doing PhD in Surgery, Nursing division & Research Assistant in Selcuk University Faculty of Health Sciences and also have an experience as an operating room nurse for 3 years. She also attended Erasmus Student Training mobility to get more experiences in surgical nursing for 3 months in Austria.

Abstract:

Aim: This descriptive research was conducted to determine the relationship between the work environment and nurses' perceptions of the quality of care.

Method: The study was conducted with the nurses working in three different hospitals, a faculty of medicine, a training and research hospital and a public hospital, in Konya. The sample included 237 nurses. The data were collected using a preliminary information form that evaluated their sociodemographic and employment characteristics, the Work Environment Scale (WES) and the Care Attitude Scale-24 (CAS-24). Means, standard deviation and Pearson's correlation analysis were used for data evaluation.

Results: The nurses' mean WES score was 95.15±11.77, and their mean CAS-24 score was 4.98±0.70. A weak, positive, but significant relationship was found between the total WES score (r=0.366, p<0.05), institution quality management (one of its subdimensions) (r=0.418, p<0.05), professional relationships (r=0.398, p< 0.05) and perceptions of the quality of care. A very weak, positive, but significant relationship was found between these factors and the job satisfaction subdimension (r=0.171, p< 0.05).

Conclusion: The nurses' mean WES score and CAS-24 score were found to be higher than the midpoint of the scale, and a significant relationship was found between the nurses' perceptions of the quality of care and the WES sub dimensions.

Biography:

Ni Biyu  has completed her university degree at the age of 22 years from Chengdu University and she is now in Graduate School in Clinical Medical College of Sichuan University.

She is a primary nurse from the rehabilitation center and good at rehabilitation nursing of brain injury. She has published 2 papers in reputed journals. She has participated in many research projects and was on top of the list, for example, the study of family rehabilitation of patients with stroke, multidisciplinary health education in patients with stroke and assisted in carrying out intermittent oro-esphogeal  tube feeding and so on.  She was awarded the advanced personnel in her department for  two consecutive years

Abstract:

With the construction and development of nursing science, the connotation and service of nursing is expanding. In the traditional nursing mode, the discharge of the patients means the end of the nurse-patient relationship. Patients get effective nursing only through further consultation and this model of care cannot satisfy the health needs of patients. Hospital care services will be extended to the family though continuous nursing care and thus better meeting the health needs of patients during the transfer period. China has a large number of the elderly which has the high incidence of stroke. The elderly stroke patients were a special team because they had both elderly and stroke’s characteristics. In this paper, we synthesis literatures on the continuous nursing care in elderly patients with stroke to understand the status of its application, so as to provide guidance for the late clinical nursing work

Biography:

Emine Ergin was graduated from Istanbul University Florence Nightingale Nursing Faculty. Her master's degree in public health nursing. She is doing her doctorate  (public health nursing department) at Selçuk University. Her articles published international journals and national journals. She has a lot of international congress presentations and interested in research methods, elderly health, chronic diseases and sexuality issues. She is 29 years old now and just married. Special interest Special interests (hobbies)  are picture (drawing), photography, history of the world.

Abstract:

Theoretical structure: This article uses a case study, examines the difficulties with planning meta-analysis studies, to clarify the processes involved in writing a meta analysis. The case study is about a phd student, Emine who is writing her  doctoral thesis. Meta-analysis presents new understandings for revealing effect sizes of studies and developing new social policies. Meta-analyses, a part of systematic review, have difficulties in terms of planning and predicting for many researchers.Since meta-analysis planning requires serious effort, expertise and skill, various difficulties prevent researchers from engaging in this process. Especially in nursing science where the importance of evidence-based practices has increased, there is more need for meta-analyses, but practical difficulties have been experienced with them.

Which strategies should be followed: Identifying topic Emine. She is interested in research methods, home visits and elderly health. In the meta-analysis planning stage, the question whether a meta-analysis had been performed on the research topic during the past ten years was initially researched. Research question using the PICO formulation and then literature search was done with appropriate keywords. The systematic revision processes of meta-analysis are similar to those of the research process, and include identifying a problem, selecting a sample, collecting and analyzing data, interpreting data and presenting findings.

What challenges were experienced: It was determined that difficulties were experienced, especially with the issues of subjectiveness and quality evaluation of research report, and most importantly, in determining the conceptual framework of the study. Study characteristics, the risk of subjectiveness in studies included, the types of initiatives (interventions) and the methods used to evaluate their effects were examined. Sufficient randomized controlled work was not achieved in the field of nursing so all quantitative studies are included. She searched fund for the analysis program for meta (CMA).

How to deal with challenges: Emine went to two courses to improve proficiency in meta-analysis. Projected this work in order to get the CMA program to do the meta-analysis. She took international protocols into consideration during the writing and reporting process.

Suggestions: Planning with the use of criteria and tools such as and flow diagrams and PRISMA, suggested by Cochrane Colloboration,will make meta-analysis more convenient for researchers.

Biography:

Yu Shan Kung has completed her Post-Graduated Diploma from Queen's University, Belfast. She is Operating Room Registered Nurse in Gynecological & Obstetrical Operating room in Taipei Veterans General Hospital.

Abstract:

 Perioperative nursing method is an important concept for operative nurses who aim to provide a holistic care to the patient, from preoperative, intraoperative to postoperative periods. In this article, we applied this method to attend to a 63 years old women diagnosed with uterine prolapse with cystocele and underwent pelvic reconstruction surgery. We attended to the patient from the 8^th of September 2016 to the 11^th of September 2016, and we collected the patient’s data via interviews, observations, and thorough communications. The author applied the Gordon 11-item health assessment scale to identify potential nursing issues. Nursing diagnoses included: anxiety in preoperative, risk of urinary retention and infection, risk of perioperative positioning injuries in intraoperative, and knowledge deficit in postoperative. In addition, cultural beliefs influence the perception of disease in Asian women significantly, especially those with gynecological diseases. Therefore, in addition to monitoring the psychological condition and providing mental support to the patient in preoperative, perioperative nursing methods also provided the patient and her family with knowledge of the disease, and information on the surgery procedure to reduce preoperative anxiety. Intraoperative nursing is to prevent harm and risk as a direct result from surgical procedures, operation room environment and equipment. Postoperative nursing offered knowledge for patient care after the surgery and daily care after discharge. The purpose of this article is to emphasize on the importance of perioperative nursing and facilitate nurses to exert their professional perspectives in order to achieve the goal of holistic and personalized healthcare for each individual.

Biography:

Mustafa Kilic is a research assistant at Selcuk University, Faculty of Health Sciences and also doctoral student at the same university.

Abstract:

Aim: To determine self-efficacy level of population with diabetes mellitus (DM), and its association with various sociodemographic features and health locus of control.

Methods: Samples of this descriptive study were composed of 325 patients with type 2 diabetes mellitus admitted to three family health centers. Data were collected via “the questionnaire”, “Self-Efficacy for Diabetes Scale” and “Multidimensional Health Locus of Control Scale”.

Results: Among subdimensions of Self-efficacy scale, participants’ scores were found as 39.4±12.5 for Diet+Foot Care, 22.6±3.1 for Medical Treatment and 9.0±45 for Physical Exercises. Diabetic population is seen to have moderate self-efficacy levels and be apt to believing external effects more in the management of type 2 Diabetes Mellitus. Self-efficacy levels demonstrate changes regarding sociodemographic, disease and health characteristics and are negatively associated with subdimensions of internal control and powerful others.  

Conclusions:Based on these findings,as to nursing science, the determination of self-efficacy levels and the evaluation of health control focus in patients with type 2 DM are significant due to the effects on behaviors and attitudes.

Biography:

Shujie Li The First Affiliated Hospital of Zhengzhou University Chief trainer ,The member of OR Nursing Branch of Henan Association. He has published more than 20 papers in reputed journals.

Abstract:

Objective: To discuss the application of Kirkpatrick model the in training of aseptic technique to medical students.

Methods: Totally 255 students who were clinical medicine in our college were respectively accepted the traditional training (as the control group) and the intensive training (as the experimental group).We will use the Kirkpatrick model to assess the effects of the training.

Results: The scores of the four levels of Kirkpatrick model including reaction, learning, behavior and results in the experimental group were all significantly higher than those of the control group (p<0.05 or p<0.01).

Conclusion: The training of aseptic technique by using Kirkpatrick model to medical students is helpful to improve the learning effects, to strengthen the aseptic concept and to make the aseptic behaviors be more standard. It is a beneficial attempt to transform the model of the training of aseptic technique.

Biography:

Mrs. Wen Yan perusing her post-graduation in Nursing at West China school of medicine, Sichuan University.

Abstract:

Objective: To compare the effects between the traditional fasting method and the ERAS fasting method before surgery which applied in patients with lumbar disc herniation.

Methods: One hundred and ninety-seven patients with Lumbar disc herniation in the department of orthopedics of a tertiary hospital who were in accordance with minimally invasive surgical indications and voluntary accepted the minimally invasive surgery were recruited. The patients were divided into the experimental group (111 cases) and the control group (86 cases) according to surgery scheduling. The patients who were at the first and the second operation on the surgery scheduling were divided into the control group and the third and later on the scheduling were divided into the experimental group. Intraoperative aspiration, the symptoms at the end of the surgery such as thirst，hunger，the symptoms 12 hours after operation such as nausea, vomiting, abdominal distention, the time to eat food postoperative, the first time of exhaust postoperative, Length of hospital stay, hospital satisfaction and cost were compared between the two groups.

Results: There were significant differences in the symptoms of thirst and hunger between the two groups at the end of the operation(P<0.01)．There was no significant difference in intraoperative aspiration, any symptoms postoperative, the time to eat food postoperative, the first time of exhaust postoperative, Length of hospital stay, hospital satisfaction and cost between the two groups.

Conclusions: ERAS preoperative banned diet scheme is feasible in patients with lumbar disc herniation.

Biography:

Abstract:

Introductıon: The increase of the elderly population throughout the world has brought various health problems. In the last few years, one of the main topics for discussion has been the abuse and neglect of the elderly, which has psychosocial aspects (1, 2, 3). Abuse of the elderly is a form of domestic violence that has been observed more in the last thirty years. Abuse can be found in every society, culture, and at every economic level. It is not only a domestic or a nation-wide problem; it is a serious social problem. Elder abuse is evident in institutions providing health and social services. In such places, elder abuse results in physical and psychological damage, and in exploitation of the elderly (1, 4). This research is carried out to identify the incidence of abuse and neglect of individuals over the age of 65, who live in the city center of Malatya in Turkey, and the related factors.

Method: The population of this research consists of 4,291 individuals age 65 and over who were registered in Family Health Centers in “Göztepe, Kernek, TaÅŸtepe, and Ä°stasyon” located in Malatya. The sample is identified as 451 elderly through use of the sample size determination formula, with a 95% confidence interval and a 0.05 significance level.

Findings: Of the elderly people in the study, 1.3% stated that they consistently experienced physical abuse, 0.8% noted that they regularly encountered financial exploitation, and 2.9% held that they werefrequently sexually abused. Also, 5.3% of the respondents noted that they were always neglected and that they experienced moderate emotional abuse. It was found that the level of abuse that elderly individuals regularly experience is low. It was observed that the study participants who were older, single women, poorly educated and low-income experienced the most abuse. They also had broken families.

Result: In light of these findings, our study recommends the following:

(1) nurses should evaluate each elderly patient to determine if there is abuse and neglect

(2) they should closely observe and monitor each case andeducate the abused elderly individuals and their families

(3) nurses should pay particular attention to raising awareness of the elderly who are among high-risk groups

(4) nurses should offer counselling for the abused and neglected elderly individuals, and inform them about support and social service organizations.