24^th World Nursing and Healthcare Conference September 13-15, 2018 Park Inn by Radisson, Copenhagen, Denmark

Biography:

Randi C Haugstad pursued Master’s Degree in Evidenced based Practice. She is a Specialist Nurse in Neuronursing. She is employed by The National Competence Center for multiple sclerosis (MS) of Haukeland University Hospital in Norway and has been working with patients suffering from MS for more than 25 years. She is the coauthor of several international posters about MS. She is also a coauthor on 2 papers in reputed international journals and has published several articles in Norwegian journals regarding MS. She is an Editorial Member in several boards regarding MS in Norway.

Abstract:

Multiple sclerosis (MS) is a chronic neurological disease, and the cause of MS remains unknown. There is no cure for MS, but several disease-modifying treatments (DMT) are available to prevent disease progression for patients with relapsing remitting MS (RRMS). A national guideline recommended that patients with RRMS should be offered DMT to prevent further disability due to MS. A total of 11,000 people are living with MS in Norway today, and about 50% of the MS patients are using DMT. A study performed at a University Hospital in Norway, a total of 837 patients (female 560, male 277) had RRMS. Of this population, 750 (90%) patients had been offered DMT. For not being offered DMT, reasons were stabile MS, uncertainty about fulfilling the criterion for DMT, and unknown reason. Female gender and high age at inclusion were risk factors for not being offered DMT. Reasons for not using DMT were related to adverse events, pregnancy, generally not want to use, stabile MS and unknown reasons. A high adherence to the national guideline in the department was seen, by 90% of the RRMS patients were offered DMT. It is known that patients treated with DMT early in the disease course had delayed long-term disability, but DMT initiated late in the disease course gave better prognosis compared to patients never treated, and due to this knowledge, it is important to offer DMT also for older MS-patients with RRMS.

Biography:

Maria Gouvea pursued her Nursing Degree and her Master’s Degree in Public Management from Federal University of Espírito Santo - UFES. She is a Nurse at Espaço Amar (School) and also works at Cassiano Antonio Moraes University Hospital. She studied palliative care since her college. She has published a paper about nursing care in “Cuidado é fundamental (Care is fundamental) – online Research Journal and participated at 5^th Sao Paulo Congress of Human Milk Banks, XV Maternal Breast Paulista Encounter II Regional Macro Congress of Bank of Human Milk.

Abstract:

The epidemiological and demographic transition in Brazil presents a challenge to the management of public health. Chronic noncommunicable diseases (CNCD) has the highest incidence in elderly population which demands longer hospitalizations in a system that has not increased the number of hospital beds in the past decade. In this scenario arise palliative care (PC), a therapeutic approach for patients with life threatening diseases that seeks to mitigate the pain and ease the suffering of patients and their families. The objective of this research is to identify potential patients to palliative care by creating a situational diagnosis of two months of hospitalization at HUCAM. To this end, documentary and quantitative research was conducted identifying patients who could be benefited by palliative care. Data as age, diagnosis and hospitalizations were collected. Palliative Performance Scale were used to monitor disease progression and as indicator of the functional decline of patient, was applied to define the necessary level of palliative care. Among the 198 identified patients, 57.1% were older than 60 years, 48% were suffering from cancer, 64% had more than one hospitalization. Unfortunately, 18.2% died during this research. The result shows that people maybe dying alone and suffering. Therefore, the implementation of palliative care could lead to an early discharge or to rehospitalization optimizing the use of hospital beds of medium and high complexity also respecting the dignity of the ones facing death.

Biography:

Jana Slobodnikova, MD pursued her studies from Faculty of Medicine at Charles University, Prague. She is a specialist in Radiology I and II. She pursued CSc/PhD from Institute of Experimental Oncology of Slovak Academy of Sciences. She served as an Assistant Professor at the University of Trnava; Professor Emeritus from St. Elizabeth High School. She has lectured at several universities - Prague, Trenčín, Trnava and Bratislava. She is the author of teaching script and university textbooks. She lead workshops, organize international congresses and workshops. She has published more than 90 scientific papers, from then 25 papers in renowned journals and has been serving as an Editorial Board Member of repute. She has also published 3 monography. She founded the Section of Breast Imaging in 1996; President of The Section of Breast Imaging of Slovak Radiologic Society and Vice President The Slovak Society of Ultrasound in Medicine (since 1996). She has several Membership in organizations to her credit: ECR, EUSOBI, EFSUMB, SSUM (Slovak Society of Ultrasound in Medicine) and SRS (Slovak Radiology Society). Her research interest include : oncology, nursing in oncology, radiology, preventive medicine and healthcare.

Abstract:

Obesity belongs to civilization diseases and is a risk factor for the occurrence of a number of serious diseases, including colon and breast carcinoma. Clinical and epidemiological studies have identified many important breast cancer risk factors. Some of these factors are intangible or beyond our control; such as age or family history. However, several modifiable lifestyle factors have been associated with a higher risk of developing breast cancer. The aim of the minireview is summarization of the effect of endogenous estrogen on breast cancer and these clinically meaningful findings should motivate programs for obesity prevention from the view of the selected current studies. The authors whose names are listed in the title of the article certify that they have NO affiliations with or involvement in any organization or entity with any financial interest (such as honoraria; educational grants; participation in speakers’ bureaus; membership, employment, consultancies, or other equity interest), or non-financial interest (such as personal or professional relationships, affiliations, knowledge or beliefs) in the subject matter or materials discussed in this manuscript. All over the world, breast cancer remains a major issue for public health. Increasing numbers of new cases and deaths are observed in both developed and less developed countries, only partially attributable to the increasing population age. In the 28 member states of the European Union, there were 361,608 new breast cancer cases in 2012 and these are estimated to have increased to 373,733 in 2015 (+3.4 %); deaths were 91,585 and 95,357, respectively (+4.1 %). No major differences in this trend can be appreciated across European countries. However, in 2006-2012 the mortality for larger tumours remained greater than that for smaller tumours, significantly for the comparison of T1c and T1a stage, and was independent from nodal status. Recent data demonstrate that the age-adjusted obesity (BMI≥0.0 kg/m2) prevalence in USA is 34.9% among all adults age 20 years and older while that for overweight plus obesity (BMI≥25.0 kg/m2) is 68.5%. More recently, the 2012 annual report to the Nation on Cancer concluded that overweight and obese women have a relative risk for postmenopausal breast cancer of 1.13 and 1.25, respectively vs. normal weight women.

Biography:

Tomomi Goda holds a Doctoral Degree in education from Meisei University, Japan. She currently is an Associate Professor of the School of Nursing at Takarazuka University, Japan. She has published few papers in journals of nursing and education related magazine.

Abstract:

Purpose: We created teaching materials using virtual reality (VR; a system that uses Goggles to freely view a three-dimensional space covering 360°), which feature children and mothers during intravenous drip procedures in hospitals. Here we report our findings about the learning effect of risk prediction for nursing students by viewing these materials.

Methodology: We enrolled 9 fourth-year nursing students from a university school of nursing. Between September and November 2017, we asked students to view the VR material for 3 min and subsequently answer an anonymous, self-administered questionnaire. The questionnaire inquired about students’ sex, interest level, and experience using VR and 28 items on learning effects and identification of self-appointed tasks. This study protocol was approved by the Research Ethics Review Committee of the researcher’s affiliated institution.

Results: We enrolled 2 male and 7 female nursing students who were interested in VR but had no experience using it. The questions regarding the learning effect post viewing revealed that the VR materials featured “images that are easy to understand and that appear real (mean 4.56) and a scenario that is easy to picture and comprehend (mean 4.33).” Furthermore, the students highly rated the materials by claiming that “one can consider what kind of risks exists by viewing the scenario objectively (mean 4.44).” The students to observe their “many oversights (mean 4.44)” and realize that “caution must be paid to lack of observation power as well as knowledge (mean 4.22).”

Biography:

Sonia Cottom is the Director of Pain Association Scotland for three years – a national charity providing self-management training and support for people burdened with chronic pain. She is continuing to underpin the work of the Association through her research work with the University of Oxford (UK). She is a Member of the Institute of Directors (IoD) and recently received the IoD Emerging Director of the Year Award as well as the Sayer Vincent Charity Accounting Award for excellence and has published her work in several healthcare journals.

Abstract:

Chronic pain is a major clinical challenge in Scotland and across Europe as a whole. It is estimated that 18% of the population are currently affected by severe chronic pain . In the UK, approximately a third of the population suffers from chronic pain, it affects individuals and their families, and comes at a significant economic cost. More recently it was estimated that people with chronic pain are responsible for almost 5 million GP appointments in the UK by people seeking help and relief from chronic pain and in many cases, they leave without answers and without effective pain relief with a related cost of almost £70 million to the NHSIII. Pain Association Scotland has continued to provide a high quality staff-led community based service for people burdened with chronic painful conditions. This is because chronic pain is multifactorial, comprising of neuropathic and nociceptive components, based on a bio-psycho-social understanding. To support patients with this condition, the Association has developed appropriate service delivery through collaborative working relationships with health care professionals and extended new joint working opportunities with the majority of Scottish health boards and some in England and North Wales. Such self-management has potential to improve health outcomes in many cases, with patients reporting increases in physical functioning.

Biography:

Linda Jensen, PhD, RN, Professor Graduate Nursing, Clarkson College, has taught and worked in nursing for over 50 years. Her research in nursing education, perinatal depression, and mental health recovery has been presented at conferences in the US, Australia, Austria, Hong Kong, Paris, Japan, and published in several nursing journals.

Lynn Frederick, PhD, LISW, MSW, Online Instructor, Walden Univ. and Our Lady of the Lake Univ. She began social work practice in 1974, is licensed at the highest level in SC and has been teaching social work and sociology since 1991. She has consulted and made presentations in several European countries and in the US since the 1980’s. She currently teaches graduate social work students online.

Abstract:

This presentation reflects on the shift from face to face teaching to online teaching at the college level, especially in colleges of Nursing and other health professions. The authors use the 10 Principles of Effective Online Teaching: Best Practices in Distance Education developed by Penn State’s World Campus1 and numerous other sources to evaluate their own practices and adjustment after over ten years of online teaching. The principles include: Show up and Teach, Practice Proactive Course Management Strategies, Establish Patterns of Activities, Plan for the Unplanned, Response Requested and Expected, Think Before You Write, Help Maintain Forward Progress, Safe and Secure, Quality Counts, and (Double) Click a Mile on My Connection. Informal data collection of comments from other higher education professors showed concerns about adaptations for online teaching. A recent change in learning management systems for one author validated and increased previous frustrations with learning new technology that seems more cumbersome and less adaptable. The presentation will close with recommendations for the authors’ own improvement in designing courses for online learning, as well as suggestions for institutions that employ online faculty to teach courses designed by someone other than the instructor. This presentation could also be given as a workshop, with additional information and hands on examples.

Biography:

Linda Jensen, PhD, RN, Professor Graduate Nursing, Clarkson College, has taught and worked in nursing for over 50 years. Her research in nursing education, perinatal depression, and mental health recovery has been presented at conferences in the US, Australia, Austria, Hong Kong, Paris, Japan, and published in several nursing journals.

Lynn Frederick, PhD, LISW, MSW, Online Instructor, Walden Univ. and Our Lady of the Lake Univ. She began social work practice in 1974, is licensed at the highest level in SC and has been teaching social work and sociology since 1991. She has consulted and made presentations in several European countries and in the US since the 1980’s. She currently teaches graduate social work students online.

Abstract:

This presentation reflects on the shift from face to face teaching to online teaching at the college level, especially in colleges of Nursing and other health professions. The authors use the 10 Principles of Effective Online Teaching: Best Practices in Distance Education developed by Penn State’s World Campus1 and numerous other sources to evaluate their own practices and adjustment after over ten years of online teaching. The principles include: Show up and Teach, Practice Proactive Course Management Strategies, Establish Patterns of Activities, Plan for the Unplanned, Response Requested and Expected, Think Before You Write, Help Maintain Forward Progress, Safe and Secure, Quality Counts, and (Double) Click a Mile on My Connection. Informal data collection of comments from other higher education professors showed concerns about adaptations for online teaching. A recent change in learning management systems for one author validated and increased previous frustrations with learning new technology that seems more cumbersome and less adaptable. The presentation will close with recommendations for the authors’ own improvement in designing courses for online learning, as well as suggestions for institutions that employ online faculty to teach courses designed by someone other than the instructor. This presentation could also be given as a workshop, with additional information and hands on examples.

Biography:

Sanusi R. Adejumoke is a registered nurse, registered midwife, registered public health nurse and finished her Bachelor of Nursing science (BNSc) from Ladoke Akintola University of Technology (LAUTECH), Ogbomoso, Oyo State, Nigeria. She has worked for some years in the hospital setting for some years before joining the university. She has published papers in reputable journals.

Abstract:

Cancer is becoming ubiquitous in developing countries at the moment. The etiology of cancer, though unknown, lifestyle habits including food consumption of the people have been implicated in its origin. The type of food consumed, mode of preparation as well as methods of packaging have lots of implications on human health. To sensitize people in the community on the dangers inherent in packaging foods in plastic and styrofoam containers, the study was conducted among food vendors in Kano state, Nigeria. Rice were purchased from two food vendors and these were taken to the laboratory for analysis. Through experimental design method, leaching of carcinogens into foods packaged in PVC containers were assessed. Two food vendors were selected and twenty four (24) food samples were bought from each of them. From each food vendor, twelve (12) food samples were fatty foods (Jollof rice), while twelve (12) were non-fatty (white rice). Styrofoam, plastic and ceramic plates were used for the study. Two carcinogens (phthalate and nonylphenol) that are used as additives in plastic production were assessed for possible leaching into foods that are packaged in plastic containers. The experiment was carried out through the use of gas chromatophy mass spectrometer (GC-MS). Data were analyzed by descriptive statistics using frequency tables. The results showed that all food samples served in ceramic plates from both food vendors do not contain the carcinogens. Phthalates were present in all the food samples obtained from both food vendors served in both styrofoam and plastic plates. However, the quantities of these phthalates found in fatty food samples were more than non-fatty food samples. Nonylphenols were not found in non-fatty food samples served in both styrofoam and plastic plates. Considerable quantities of nonylphenols were found in fatty food samples served in both styrofoam and plastic plates. Also, the quantities of both phthalates and nonylphenols found in styrofoam plates were discovered to be more in quantity than the ones found in plastic plates. Based on the findings of the study, it was concluded that phthalates do leach into foods served in styrofoam and plastic food containers whether they contain oil or not. Nonylphenol also do leach into styrofoam and plastic food containers when used to package fatty foods.

Biography:

Ayla Yavuz Karamanoglu pursued her PhD at Ege University, Turkey. She is currently working as an Assistant Professor in the Surgical Nursing Department, Faculty of Health Sciences at Pamukkale University. She worked as a Nurse at Dokuz Eylül University Medical Faculty Hospital from 1988 to 1998. She has published articles in various journals.

Abstract:

In places such as war, nuclear and biological crisis, protection places built to meet the needs of individuals and to ensure their security are called shelters. It is required for the provision of housing support to those affected by war and/or natural catastrophe, to prevent disease and death, to be protected from climate, to ensure security and rehabilitation. The care at this domain is provided from shelter nurses. Nurses have important roles in war, disaster and crisis management. Shelter nursing is composed of identification and meeting of individuals' health and emotional needs with professional nursing knowledge, skills and attitudes and nursing services offered to individuals affected by traumas caused by disasters in cooperation with other areas. Nursing process consisting of assessment, diagnosis, outcomes/planning, implementation, evaluation stages determines the roles and responsibilities of shelter nurses in all stages of care. In the case of disasters, nurses have roles such as team member, coordinator, educator, caregiver and researcher. Adequate water, food, supplies, medical support, environmental health and control of waste should be provided to meet the needs of the victims of disaster and to increase the quality of life. Nurses' responsibilities include providing triage, first aid and care, supplies and psychological support to the victims of disaster who need medical support. The responsibilities of shelter nurses were examined in this study.

Biography:

Pitsini Mongkhonsiri is an expert Registered Nurse Acting in Chief of Research Development Group in Research Division at Praboromarajchanok Institute for Health Workforce Development, Permanent Secretary Office, Ministry of Public Health, Thailand. She has completed her Master’s degree in Medical Physiology in Faculty of Medicine at Khon Kaen University, and her PhD in Nursing at Massey University, New Zealand. She had been part of curriculum development team for nursing education and a Nurse Instructor at Boromarajonani College of Nursing, Udonthani for 27 years. She is experienced as a Special Lecturer in Human Resources For Health Development (HRHD) in the areas of health promotion, nursing education, medical and surgical nursing, and research development for health sciences. She works together with Dr Jureerat Kijsomporn to conduct research on cost effectiveness of HRHD in Thailand.

Abstract:

Despite the fact that excellent knowledge and skills are vital, humanized healthcare behaviors (HHBs) have been acknowledged to be essential among healthcare professionals. The purposes of this study were to explore HHBs and to compare HHBs between student nurses who had engaged in nursing practicum and those who had not. 236 1st and 4th year student nurses were obtained by purposive sampling. The research instruments were self-rating questionnaire asking about the participants’ HHBs and an opened-end questionnaire about their opinions regarding HHBs. Results showed that HHBs in 14 dimensions were found in high levels in both 1st and 4th year student nurses. Total HHBs scores of 4th year student nurses were significantly higher than that of 1st year student nurses in morality and ethics dimension regarding duty responsibility. It was interesting to find that 1st year student nurses reached a significantly higher score regarding pride of nursing professional. Sub-scores comparison revealed that 4th year student nurses reached significantly higher scores than that of the 1st year student nurses in the dimensions of service-minded; creation of relationship and trust; establishing relationship in learning processes; supporting and improving physical, social and spiritual environment; and helping in clients’ personal needs. Humanized healthcare mindset and behaviors are vital for cultivating a development of caring in healthcare environment. Appraisal of the gap and attainment of the development of HHBs in a concrete ways in health-related curriculum is significant. However, HHBs assessment including more points of view informed from all stakeholders may imply more precise and useful knowledge for nursing education in the future.

Biography:

Adile Tümer pursued her PhD in the Department of Public Health Nursing of Ege University, Turkey, in 2007. She is currently an Assistant Professor Faculty of Health Sciences at Mugla Sitki Kocman University in Turkey. Her main research interests are healthy lifestyle, health promotion behaviours, behavior of physical activity, women's health, adolescent health.

Abstract:

This descriptive study was conducted with the purpose of examining the research utilization barriers that nurses who work in a training and research hospital confront and the influencing factors. The data were collected in the hospital environment from 224 nurses via “Descriptive Characteristics Survey” and “The Barriers to Research Utilization Scale”. It was determined that the age average of the nurses who participated to the study is 37.31±6.71. It was also found out that 37.5% of the nurses attend scientific activities related to nursing, 46.9% of them follow publications related to nursing and 48.7% of them want to join research projects. In this study, it was identified that the point average of the Barriers to Research Utilization Scale is 2.82±0.64, the highest point average was received from the sub-dimension of “institution/working environment” (3.05±0.75), and it was followed by “research values, skills and awareness of nurses” (2.79±0.77), “research characteristics” (2.69±0.76) and “presentation of research results” (2.69±0.88). It was determined that the perception of barriers is low for the nurses who want to join research projects and this difference is statically significant (p<0.05). According to the other independent variables, it was identified that there is no statistically significant difference in the point average of the Barriers to Research Utilization Scale (p>0.05). As a consequence, the findings of the study emphasize that the nurses who participated in the study have a medium level of a barrier perception and the institution support is not sufficient in terms of research utilization.

Biography:

Faten Fathi Ahmed Mahfoz pursued his PhD from Suez Canal University, Egypt and Postdoctoral studies and is a Lecturer Faculty of Nursing at the same university. a premier Bio-Soft service organization. She has published more than 10 papers in reputed journals and has been serving as an Editorial Board Member of repute and Supervisor on more than 10 thesis for Master and 5 Doctoral Degree students.

Abstract:

Nephrotic syndrome is the most common presentation of glomerular injury in children. It is a clinical state that includes massive proteinuria, hypoalbuminemia, hyperlipidemia, and edema. This study aims to assess effect of an educational program on knowledge and practice of nurses who are caring for nephrotic children. Empirical study was conducted to (57 nurses) working at all available setting providing care to children suffering from nephrotic syndrome in Ismailia city. A structured interview questionnaire sheet included general characteristics of the studied nurses, nurse's knowledge regarding nephrotic syndrome, and observational check list before, immediate after and 3 months' post program regarding nursing care of children with nephrotic syndrome. The results shows that majority of the studied nurse had inadequate practice and unsatisfactory knowledge about nephrotic syndrome. The study recommended that the nurses’ knowledge and practices about nephrotic syndrome could be improved by following existing guidelines on the organization of continuing education programs that could help upgrade the level of knowledge and practice, hence, the quality of care provided to children with nephrotic syndrome.

Biography:

Maria Luíza Bernardo Vidal is a qualified nurse in gynecology, obstetrics and obtained her bachelor's degree from Universidade Gama Filho 1983; She has specialization in Oncology Nursing from UFRJ / Inca 1998; Master's degree in health sciences / Oncology by Inca - "Late effects of radiotherapy on sexual function, bladder and rectum" 2008; and PhD by IFF / FIOCRUZ - "Access to treatment of malignant cervical neoplasia in SUS / RJ" 2017. She is 33 years old, and serving assistance activities in hospital and ambulatory, administrative, permanent education, research, teaching for technical and higher education, as well as participation of examining bank for selection of residents and orientation of TCC.

Abstract:

The attention to women with cancer in the pelvic region requires care and interdisciplinary interventions, which are sometimes not enough to meet the legacy of adverse effects caused by the treatment and coping of the disease. Survival has increased attention to the process of reintegrating survivors into the daily life of their life histories after successful treatments or not. The experience with systematization of nursing assistance practiced in consultations with patients who underwent radiotherapy indicated as most prevalent nursing diagnoses the image disorders and body movements, anxiety, altered self-esteem, social isolation, lack of knowledge of the health disease process, dysfunction sexual and fear. The need for the creation of specific care spaces for intervention in these diagnoses was then perceived, with the aim of increasing the availability of alternatives for patients with or without sexual dysfunction, but with the diagnoses described as prevalent. In order to intervene in this framework, a workshop for the recovery of self-esteem based on the Dorothea Orem theory was implemented at INCA/ HCII, which emphasizes the recovery of self-care. The workshop is playful, interactive and listening to professionals. It consists of a talk wheel on controversial subjects such as women's rights and generally predefined affection directed by interdisciplinary team or patient and light subjects like beauty, art and poetry. Body exercises are performed in a playful way, "belly dancing" with a volunteer teacher with relaxation, safety, revitalization of women's movements and counseling for social reintegration.

Biography:

Grace Daniel is a qualified Nurse and Midwife from Nigeria She has about 14 years’ experience in the profession. She holds a degree in Nursing and has completed her masters in Maternal and Child Health. She is a Lecturer at the Department of Nursing Science, University of Jos. She has published about 13 papers in reputed journals and has been serving as a reviewer for some of the journal.

Abstract:

The high burden of both HIV and cervical cancer in countries like Nigeria necessitates the need for early detection. Pap smear is an effective screening tool for the early detection of precancerous cervical lesions and other cervical abnormalities. Women with HIV have a higher incidence of abnormal cervical cytology as such screening guidelines recommends yearly screening rather than 3 yearly. The study aimed at determining the outcome of cervical cancer screening among HIV positive women in Jos. A descriptive cross-sectional design was employed for the study. 326 HIV positive (18 years and above) women participated in the study. A multivariate logistic regression analysis was used to determine predictors of precancerous cervical lesions. Majority 263(80.6%) of the women had never done a pap smear before. 33(10.1%) had acute inflammation on the cervix; 3(0.9%) had acute inflammation with changes; fungus was seen in 1(0.3%) and acute inflammation and fungus was seen in 1(0.3%). Precancerous cervical lesions was present in 40(12.2%) women. 19(5.8%) had low grade squamous intraepithelial lesions (LSIL); 13(4.0%) had high grade squamous intraepithelial lesions (HSIL); 3(0.9%) had high grade squamous intraepithelial lesions suspect for invasion (HSIL Susp for Inv); 4(1.2%) had atypical squamous cells of undetermined significance (ASCUS) while 1(0.3%) had ASCUS-H. Age (OR: 1.7, 95% CI: 0.3-9.5, p<0.004) and parity (OR: 3.4, 95%CI: 1.3- 9.5, 0.043) were independent predictors of precancerous cervical lesions among HIV positive women. Cervical abnormalities were prevalent among HIV positive women in Jos, Nigeria; strict adherence to the existing protocol of routine Pap smear screening and strengthening family planning services is strongly recommended.

Acknowledgement: Research reported in this publication was supported by the Fogarty International Center (FIC); Office of the Director (OD/NIH); National Institute of Neurological Disorders and Stroke (NINDS/NIH); and the National Institute of Nursing Research (NINR/NIH) of the National Institutes of Health under Award Number ID43 TW010130-02. The content is solely the responsibility of the authors and does not necessarily represent the views of the National Institutes of Health.

Biography:

Ayla Yavuz KaramanoÄŸlu has completed her PhD from Ege University. She work as a assistant professor at Pamukkale University Faculty of Health Sciences, Surgical Nursing Department. She worked as a nurse at Dokuz Eylül University Medical Faculty Hospital between the years 1988-1998. She has published articles in various journals.

Abstract:

The aim of this study was to determine the effect of bed sheets on the prevention of pressure ulcers. The data were collected using socio-demographic form and the Braden risk assessment scale between February - November 2014. The study was carried out at anesthesia intensive care unit. The study population composed of patients receiving treatment for at least 5 days. Totally 107 patients were composed the sampling (61 patients at experiment group, 46 patients at control group). At control group, 100% cotton sheets were used at patients' beds. The sheets made from luxicool branded raw material were used at experiment group. Every day, Braden Scale was used for assessment of the risk of pressure ulcers. It was founded that 50.5% of the patients were younger than 60, 60.7% male, 55.5% were followed up in intensive care unit due to respiratory distress, 52.3% have normal skin, 37.4% of mildly obese, 57.9% a bit mobile, 45.8% have enteral feeding. When the risk status of the patients was examined, 21.5% had high risk, 33.6% had moderate risk and 44.9% had low risk. In 57% of the patients in the experiment group, 43% of the patients in the control group were found to have pressure ulcer. There was a statistically significant difference between the age, nutritional, diarrhea status and pressure ulcers. There was no statistically significant difference was found between the experiment, control group and other variables and the rate of pressure ulcer.

Biography:

Tümer A pursued her PhD in the Department of Public Health Nursing, Ege University, Turkey in 2007. She is currently an Assistant Professor at the Faculty of Health Sciences of Mugla Sıtkı Kocman University in Turkey. Her main research interests are healthy lifestyle, health promotion behaviours, behavior of physical activity, women's health, adolescent health.

Abstract:

This study was conducted to determine the effect of Transtheoretical Model (TTM) based intervention including counseling, training, and a 12-month follow-up on smoking cessation in university students in Turkey. This quasi-experimental longitudinal study was completed with 40 students. Training educational, counseling and follow-up program based on TTM literature was developed and given to students for six weeks. Following the completion of the training sessions, students were monitored at first, third, sixth and twelfth months. Fagerström Tolerance Questionnaire (FTQ), TTM scales were used. Smoking cessation was verified by CO measurements. At the end of the 12 month, smoking cessation rate was 15% and more than 40% were at the preparation stage. None of the participants who were at the precontemplation stage quit smoking. Four from contemplation and two from preparation stages quit smoking and four of them moved to maintenance stage. The average smoking initiation age of quitters were older than smokers. CO levels of quitters were lower than those of the smokers for both measurements performed at the beginning and end of the programme. This TTM-based training intervention had a modest effect on smoking cessation. Our findings concluded that smoking initiation and nicotine dependency level must be taken into consideration while developing the intervention programme. Because this student group also showed some smoking characteristics of adults, and their nicotine dependency was higher.

Biography:

Nazan Kostu pursued her PhD in Community Health Nursing at Ege University. She is a Lecturer at Pamukkale University, Health Sciences Faculty, Nursing Department.

Abstract:

Professionalism in nursing is extremely important in providing quality care and the creation of standards for the profession. The study was carried out in order to determine the current professional behaviour of nurses and midwifes in primary health care at a province in Turkey. The study population was all nurses and midwifes working in family health centers that gives primary health care in a province. After research approval from the province health department and Ethics Comittee, the questionnaires were distributed to 156 nurses and midwifes from October 2016 to January 2017 by researchers. The response rates were 91.02% (142/156). Data were collected using a questionnaire and behavioral inventory form for professionalism in Nursing (BIPN). Data were analyzed in SPSS 22.0. Most of the participant are women (98.6%), 63.4% is between 31-40 ages, 55.6% have baccalaureate degree, 59.9% have 11-20 years working experience. The mean scores of BIPN is 4.16±2.65. The most higher scores means at BIPN subscales are theory development, use and evaluation (1.75±1.16) and competence and continuing education (1.03±0.71). The lowests are publication (0.01±0.12), self-regulation and autonomy (0.03±0.13) and research development, use and evaluation (0.09±0.34). There were significant differences between education level, working years in the current position and total BIPN scores (p=0.000). This study showed that the nurses and midwifes have low professionalism scores. It was found that higher the education level, higher the point of of professionalism. However, there was reverse relation in between score of professionalism and working year; higher the working year, lower the score of professionalism.

Biography:

Sümeyye Arslan pursued his PhD from Hacettepe University, Turkey. She is currently an Assistant Professor in Fundamentals of Nursing Department, Health Sciences Faculty at Pamukkale University, Turkey.

Abstract:

The domains of practice in nursing include clinical care, research, education, policy and administration. Nurses apply the attributes of professionalism daily in the context of practice. The study population was all nurses (1358) working in 1 university, 2 states, and 6 special hospitals in a province at Turkey. Before data collection, written consent was obtained from all institutions. Data were collected between July 2015 and January 2016, using questionnaire and Behavioral Inventory Form for Professionalism in Nursing (BIPN). They were given to the 718 nurses. Data were analyzed in SPSS 22.0. Nearly all participants were women (90.9%) and staff nurse (89.6%), half of were working at state hospital (52.5%). Nearly half of had a baccalaureate degree (46.7%). 39.0% had 1-5 years working experience. The most clinical areas where they have experience were medical-surgical nursing (36.5%). The mean BIPN of nurses was 4.25±3.22. The nurses BIPN scores were low. At the subscales of BIPN; the highest scores were theory development, use and evaluation (1.61±1.20) and competence and continuing education (0.90±0.91). The lowest were publication (0.03±0.22) and research development, use and evaluation (0.09±0.29). There were statistically significant difference between education level, hospital they work, age, working experience, present position with total score of BIPN (p<0.05). The study showed that the nurses' professionalism scores were low. It was found that the nurses who had Master’s Degree in Nursing, at 26-30 ages, had 6-10 years working experience, were administrator/supervisor had higher professionalism scores.

Biography:

Tshitangano T G pursued her PhD at the University of Venda, Republic of South Africa. She is the Head of Public Health Department at the same university. She has published more than 25 papers in reputed journals and has been serving as an Editorial Board Member of reputed journals.

Abstract:

In response to an infection control study that was conducted in 2012 in public hospitals of Vhembe district, Republic of South Africa, which revealed that health care workers implement ineffective measures to control tuberculosis as a result of work-related dynamics they experience, this paper aimed to develop a model having the capability of enhancing the implementation of effective measures of tuberculosis control. The reasoning strategies as well as the components of a theory were used to develop these guidelines. The baseline data analysis revealed that health care workers like any other employees need the support of management regarding the improvement of tuberculosis control related dynamics; and that the management was found to possess inadequate knowledge to deal with such dynamics. The developed model therefore concluded that if managers can be the first to receive training based on national and international tuberculosis control protocols, they will be empowered with knowledge and skills to improve health care workers’ tuberculosis control- related dynamics. The belief is that, if the workplace dynamics are addressed, health care workers will be motivated to implement effective tuberculosis control measures even in rural hospitals.

Biography:

Dr. Nicole M. Barnett, RN, Chair of the Board and offers a comprehensive background in biomedical research, education and nursing. She completed her nursing training at Contra Costa College in 1994. She is also an alumna of Oberlin College in Oberlin Ohio, and California State University Dominguez Hills where she earned her BSN and MBA. In August 2005, she earned her doctorate in health sciences from the Nova Southeastern University College of Allied Health and Nursing. Dr. Barnett is also a state certified public health nurse (PHN) and in 2012 achieved her certification as a Clinical Nurse Leader from the American Association of Colleges of Nursing (AACN).

Dr. Shota Shubladze is non-profit professional with twelve years of non-profit development experience on a local and international level. His field of expertise lies with strategic planning, program and organizational development grant management, proposal writing, program evaluation and fund development. He graduated from Tbilisi State University 1995 with his MS in Oriental Studies, received a Non-Profit Management Certificate and his Master's degree in Public Administration from the California State University East Bay in 2009 and 2011. In 2014 he completed his doctorate course in Walden University. Shota is dedicated professional and scholar practitioner. He is author of Experience Exchange Fellowship Program, Community Ambassadors' Program and many other international initiatives. He is working on his doctoral research as a PhD candidate in Public Policy and Administration with specialization of International Non-Governmental Organizations.

Abstract:

The sexual assault and exploitation of children is an international phenomenon. However, in the Republic of Zambia, children are at a significantly higher risk of exploitation due to child marriage, the vulnerability of AIDS orphans, and the cultural belief that HIV infection can be cured by having sex with a child, also known as the “virgin cleansing myth” (Lecler, 2002). Currently, Zambia is an international leader in the incidence of pediatric AIDS orphans, with current statistics of more than 85,000 children living with HIV and another 380,000 orphaned due to the disease (Avert, 2016). In a country where 1.2 million citizens are affected by the disease, children compete for resources and effective strategies to meet their needs. The multidisciplinary response to sexual assault, which is the hallmark of coordinated Sexual Assault Response Teams (SART), is a model that can fill the gap in Zambia. In the current system, even when assaults are reported, the lack of trained forensic examiners, police investigations and legal interpretation of evidence, results in less than 10% of cases resulting in successful prosecution and conviction. Recognizing the need for a stronger multidisciplinary response system, an experience exchange program was developed, providing training to clinical, police and judiciary representatives. The program brings these key individuals to the US to learn forensic examination techniques, collection and interpretation of evidence. Upon return to Zambia they are supported in adapting what they have learned from the US multidisciplinary training to the dire realities that they face in Zambia.

Biography:

Dr. Nicole M. Barnett, RN, Chair of the Board and offers a comprehensive background in biomedical research, education and nursing. She completed her nursing training at Contra Costa College in 1994. She is also an alumna of Oberlin College in Oberlin Ohio, and California State University Dominguez Hills where she earned her BSN and MBA. In August 2005, she earned her doctorate in health sciences from the Nova Southeastern University College of Allied Health and Nursing. Dr. Barnett is also a state certified public health nurse (PHN) and in 2012 achieved her certification as a Clinical Nurse Leader from the American Association of Colleges of Nursing (AACN).

Dr. Shota Shubladze is nonprofit professional with twelve years of non-profit development experience on a local and international level. His field of expertise lies with strategic planning, program and organizational development grant management, proposal writing, program evaluation and fund development. He graduated from Tbilisi State University 1995 with his MS in Oriental Studies, received a Non-Profit Management Certificate and his Master's degree in Public Administration from the California State University East Bay in 2009 and 2011. In 2014 he completed his doctorate course in Walden University. Shota is dedicated professional and scholar practitioner. He is author of Experience Exchange Fellowship Program, Community Ambassadors' Program and many other international initiatives. He is working on his doctoral research as a PhD candidate in Public Policy and Administration with specialization of International Non-Governmental Organizations.

Abstract:

The sexual assault and exploitation of children is an international phenomenon. However, in the Republic of Zambia, children are at a significantly higher risk of exploitation due to child marriage, the vulnerability of AIDS orphans, and the cultural belief that HIV infection can be cured by having sex with a child, also known as the “virgin cleansing myth” (Lecler, 2002). Currently, Zambia is an international leader in the incidence of pediatric AIDS orphans, with current statistics of more than 85,000 children living with HIV and another 380,000 orphaned due to the disease (Avert, 2016). In a country where 1.2 million citizens are affected by the disease, children compete for resources and effective strategies to meet their needs. The multidisciplinary response to sexual assault, which is the hallmark of coordinated Sexual Assault Response Teams (SART), is a model that can fill the gap in Zambia. In the current system, even when assaults are reported, the lack of trained forensic examiners, police investigations and legal interpretation of evidence, results in less than 10% of cases resulting in successful prosecution and conviction. Recognizing the need for a stronger multidisciplinary response system, an experience exchange program was developed, providing training to clinical, police and judiciary representatives. The program brings these key individuals to the US to learn forensic examination techniques, collection and interpretation of evidence. Upon return to Zambia they are supported in adapting what they have learned from the US multidisciplinary training to the dire realities that they face in Zambia.

Biography:

Filiz Kabu Hergül is currently pursuing Doctoral education at the Ege University since 2013. At the same time, she is also working as a Lecturer in the Nursing Department (Surgical Diseases of Nursing), Faculty of Health Science at Pamukkale University, Turkey. She has been working as a Clinician and Manager Nurse for the past 15 years.

Abstract:

Background: This compilation aimed to assess surgical treatment of obesity.

Materials & Methodology: Studies on obesity treatment were investigated and findings from these studies were included.

Findings: Obesity, very common throughout the world, is actually a treatable health problem. Obesity treatment primarily includes diet, exercise, behavioral change and pharmacological methods. Surgical methods are preferred when these methods are unsuccessful. Obesity surgery (Bariatrics surgery) was first implemented in 1950’s and different surgical operation methods were defined. Today, bariatrics surgery methods, currently used across the globe are collected in two groups: restrictive interventions that limit calorie intake by shrinking stomach reservoir and malabsorptive interventions where the length of small intestines is reduced. Restrictive methods are vertical banded gastroplasty (VBG), adjustable gastric band (AGB), gastric balloon and sleeve gastrectomy; malabsorptive interventions are biliopancreatic diversion and biliopancreatic diversion with duodenal switch (BPD) and both restrictive and malabsorptive interventions are Roux-en-Y gastric bypass surgery (RYGB). It is reported that the most commonly used methods among the surgical treatment options are Roux-en-Y gastric bypass, adjustable gastric band and sleeve gastrectomy surgeries. Biliopancreatic diversion and biliopancreatic diversion with duodenal switch surgeries are usually conducted on the super obese group. One of the most significant criteria in bariatrics surgery for the patient is to have a Body Mass Index (BMI) over 40 kg/m2 or between 35-40 kg/m2 and no systemic disease that can hinder surgical intervention.

Outcome: While there are several treatment methods for obesity, surgical methods have come into prominence due to striking results obtained with these methods in weight loss in recent years. These methods continue to gain importance in the scientific area.

Biography:

Asiye Kartal pursued PhD from Ege University, Turkey. She is currently an Associate Professor of Pamukkale University, Turkey. She has over 15 publications that have been cited over 45 times, and her publication H-index is 4.

Abstract:

The prevalence of diabetes is increasing worldwide. Diabetes and its complications are the leading causes of death in many countries. The frequency of diabetes in our country is 13.7%. Due to its nature of being a long term disease, there is a need for lifelong care and management in self-monitoring of the diabetic patients for prevention of complications. The obstacles the patients meet in their follow-up negative affect disease management. The aim of this study is to investigate the obstacles encountered in coping with their illness in daily life of type-2 diabetic patients and affecting factors. Sample of the study included 186 type-2 diabetic inpatients. As data collection instruments, a questionnaire form including sociodemographic and disease-related characteristics of diabetic patients, Hospital Anxiety and Depression Scale and The Diabetes Obstacles Questionnaire were used in the study. Number and percentage distributions were used to assess sociodemographic and disease-related characteristics of the patients; mean and standard deviation were used to evaluate hospital anxiety, depression and diabetes obstacles. Multiple linear regression analysis was performed to explore the predictors of diabetes obstacles in patients with type-2 diabetes. The mean age of the patients who participated in the research was 60.8±11.4. Mean score from the scale of diabetes obstacles was -13.6324±21.71. Level of compliance with treatment was found to be the strongest predictor of diabetes obstacles in patients with type-2 diabetes. It has been determined that they have experienced significant obstacles in communication with health professionals of patients. A major obstacle in coping with their illnesses of type-2 patients was the level of treatment compliance. Increasing the communication with health professionals can reduce the obstacles that the patient experiences by facilitating the compliance of the patient to the treatment.

Biography:

zeynep deveci is 30 years old. She worked as a clinician for about 4 years. She is a doctorate student at the Dokuz Eylul University. Her research interest areas are breast cancer and breast cancer related lymphedema. At the same time, she is working at Pamukkale University Faculty of Health Science, Nursing Department (Surgical Diseases of Nursing) as a research assistant.

Abstract:

Background: Breast cancer patients experience problems related to cognitive disorders such as forgetfulness, difficulty in concentrating, slowing down in thinking process.

Aim: The study is aimed explore cognitive functions in patients with breast cancer related lymphedema.

Methods: The study was a preliminary report of descriptive type. Study included 40 patients with breast cancer related lymphedema. The data has been collected by using patient identification form, Hospital Anxiety and Depression Scale, FACT-Cognitive Function Scale (FACT-cog) and Blessed Orientation Memory Concentration Test (BOMC) in assessing cognitive function, Sexual Adaptation and Body Image Scale (SABIS) in assessing sexuality. Number, percentage, mean, and Mann Whitney U analyzes used in evaluation of the data.

Results: The average age of the patients is 54, 55.90% married, 39.10% primary school graduates, 59.10% housewives. 95% of the patients are in menopause, 68% received breast conserving surgery, 90% had lymph node dissection, the average number of chemotherapy cures was 8, and most patients were treated by AC+paclitaxel as chemotherapeutics. Perceived cognitive impairment subscale of FACT-Cog average score was 17.30±14.31, and perceived cognitive abilities subscale average score was 18.82±3.47. The average BOMC score was 7.34±6.16. The mean score of the sexual function subscale of SABIS is -4.05±2.77. It was found that cognitive function was lower at patients had anxiety and depression (p<0.05).

Conclusions: It is thought that results contribute to health professionals about educating patients. if the anxiety and depression score of the patient is high, the education given should be repeated at regular intervals and the appropriate education method should be used for the patient.

Biography:

Gulbahar Korkmaz Aslan has completed her PhD at Hacettepe University, Turkey. She is currently working as an Assistant Professor at Pamukkale University, Turkey. She has published over 15 publications that have been cited over 50 times, and her publication H-index is 3.

Abstract:

The aim of the study is to determine insomnia and its risk factors in older adults. A cross-sectional study was conducted. The study was carried out in 16 family health centers in Denizli city center. The participants were a convenience sample of 360 community-welling older adults aged 60 years and older was selected from five family health centers. Individuals admitted to these family health centers for any reason between April 2016-June 2015 were enrolled. The eligibility criteria for the study were age 60 years or older with no apparent communicative or cognitive impairment problems, willingness to participate in the study. The data were collected using insomnia severity index and demographic information and health-related characteristics form. Number, percentage, mean, standard deviation, t test and one-way variance analysis used in the analysis of data. The mean age of the participants was 68.35±5.80 years, 60% were women, and 67.3% were graduates of primary school. More than half of them (68.51) were married. It was determined that 34.4% of the elderly had insomnia. Mean score of the students obtained from Insomnia Severity Index was 8.51±5.56 (Min.0, Max. 28). The average score of Insomnia Severity Index Scale of the older adults who were unmarried, illiterate, low income, living with children, multiple chronic illnesses and multiple drug users and those with bad health perceptions was significantly higher. Older peoples should be asked whether they are getting enough sleep and feel well rested during the day. All patients with complaints of sleep difficulties should undergo a detailed sleep history regarding the nature of the sleep complaint and possible contributing factors.

Biography:

Sebahat AltundaÄŸ has completed his PhD at the age of 34 years from Erciyes University. She is an assistant professor of in Faculty of Health Science at Pamukkale University in Turkey. Her main research interests are home accident, adolescent health, child abuse and precautions to be taken, mentally disabled individuals.

Abstract:

Introduction: Sexual abuse in children is considered an important public health problem due to its prevalence, incidence and consequences. Pre-school children lack abstinence prevention knowledge and self-protective skills. For this reason, it is important for parents to know what the abuse is, their symptoms and their effects on their children so that they can be protected from abuse.

Aim: This study was planned to create “awareness for sexual abuse” among the parents who have children in the preschool period. In this study, “Single Group Pre-Test Post-Test Model”, that is one of the Quasi-Experimental study methods, was used.

Method: The universe of the research constitutes kindergartens attached to the Ministry of National Education in Denizli Center. The sample of the research forms a kindergarten which is determined by simple random method from two districts located in the center of Denizli. When the study group was selected, appropriate sampling method was used for the purposeful sampling types. When the study group was selected, the convenience sampling method was used for the purposeful sampling types. At this point, care has been taken that the mothers who make up the working group are readily available and willing to participate in the research. The study group consists of 69 mothers with a 6-year-old child attending two pre-school education institutions affiliated to Denizli province center in the academic year 2017-2018. Necessary permits were taken from ethics committee, institution in which study was carried out and from the parents. Data were collected by “descriptive information form” and “"Do not touch my body!" Awareness Form”. The study was carried out by the implementation of questionnaire forms, education for parents and completion of the questionnaire forms at one month after the education. Data were assessed by SPSS 20.0 package program.

Findings: The average age of the parents participating in the study is 34.69. It was found that 98.6% of the parents believed that it was beneficial to give sexual education to children, 69.6% gave sexual education to their children, 91.3% told special body regions, 89.9% explained the child in the face of sexual questions. When parents were asked "the protective person in their child's life", it was determined that 88.4% of pre-education knew 100% correctly after education. Parents were most likely to kiss their children before and after schooling (before education= 91.30%, after education = 95.65%); it was determined that there were 20.28% of kiddies before the training but not after the training. A large majority of pre-study parents stated that their children did not know the actual name of the genitals (penis 72.5%, anus 89.9%, vagina 78.3%). After training, it was determined that there was an increase in knowledge (penis 89.9%, anus 84.1%, vagina 88.4%). 91.3% of the parents who participated in the study stated that they heard the special regions of the children before education, 85.5% of the special regions. Knowing special zones after training increased to 97.1%, Knowing who can see special zones increased to 100%. 66.7% of the parents stated that they did not feel good touch before training and 62.3% did not feel bad touch. It was found that 97.1% of the parents had good touch and 98.6% of the parents knew bad touch.

Conclusions and recommendations: Parents should be informed about sexual education and should be in contact with their children to prevent sexual abuse. Through sexual education, the child learns to respect his or her own body and the body of the opposite sex. This causes the child to have a healthy, level relationship with his or her gender and the opposite sex in the later life of the child.

Biography:

Hilda Shilubane pursued her PhD from Maastricht University, The Netherlands. She is currently an Associate Professor in the Department for Advanced Nursing Science at the University of Venda, Republic of South Africa. She has published more than 25 papers in reputed journals.

Abstract:

The objective of this study is to investigate the perceived factors contributing to mixed feeding practices amongst mothers and caregivers of infants 0-6 months at Maloma village, Sekhukhune district of Limpopo province. A qualitative, descriptive research design was used in this study. The population for this study consisted of mothers and caregivers of infants 0-6 months. Data were collected through semi-structured individual interviews with 14 mothers and caregivers until data saturation was reached. Data were analyzed using eight steps as described by Tesch's open coding. Four themes emerged from the raw data which are: lack of knowledge about safe infant feeding practices; cultural and traditional beliefs; perceptions about the feeding choice and related risks; and poor support system. This study recommends that infant and young child feeding policy should be everybody’s responsibility, and strategies to enhance safe feeding be employed. Full support should be given to new mothers immediately after childbirth to promote exclusive breastfeeding, thereby minimizing the use of formula and mixed feeding.

Biography:

Anjali Praveen trained as a BSc in Adult Nursing from India in 2000 and worked as a Nursing Educator for 2 years. She completed her Ophthalmic Nursing course in 2005. She also pursued M- Level Glaucoma Course with Manchester University, London in 2007 and Postgraduation in Non Medical Prescribing Course with St George University, London and become a NMC registered Non Medical Prescriber in 2013. She is currently working as a Clinical Educator at Moorfields Eye Hospital NHS Foundation Trust, London. She also holds an honorary contract with University College London (UCL), UK. She has over 15 years of experience in ophthalmic nursing. Working as a Senior Clinical Nurse Specialist, she got the oppurtunity to join Moorfields Eye Hospital as Clinical Educator. She completed her MSc in Education with Kingston University, London in 2017 and received honorary contract as Fellow Lecturer at UCL. She has published article related to macular degeneration and has presented her work at International Ophthamic Nurses Association (IONA) Conference.

Abstract:

Globally there is a lack of defined career pathways and associated training needs for non-registered staff. Due to capacity and demands, there has been noticeable need in upskilling healthcare assistants and technicians to perform skills previously undertaken by ophthalmic nurses. The enhancement of these new roles requires adequate ophthalmic training and education to maintain better patient outcomes, patient experience, safety and quality of care. Audits surrounding the provision of educational provision for this professional group provide reassurance that there is ophthalmic competence and the quality is of a high standard. Findings from an exploratory research study at Moorfields will be presented. Opportunities and challenges for future healthcare will be discussed. In this paper, healthcare assistants and ophthalmic technicians will be referred to as non-registered staff due to names used interchangeably. Non registered staff are a vital part of delivering frontline compassionate care- but they often have little access to training and personal development. A national health care review reported that there are 1.3 million healthcare support workers (HCSW) and 500000 registered nurses in England. The report emphasized on the importance of education and training to reflect the 21st century health care landscape and enhance delivery of high quality care. This led Moorfields to develop and institute a City and Guilds accredited Certificate in Ophthalmic care training programme in October 2015. The course equips HCSW with ophthalmic knowledge and skills for safe and effectively care delivery. In order to ascertain if this programme was effective, an exploratory study was conducted in May 2017. The findings of this study will be presented followed by a discussion on the implications for practice and future recommendations. The paper will also highlight the intergral role of quality, and competence. A proposed model for training and professional development will be discussed and potential opportunities and threats conferred.

Biography:

Taro Kano obtained his PhD Degree from Gunma University, Maebashi, Japan (2012). He is currently a Professor of Gunma Prefectural College of Health Sciences, School of Nursing, Japan. He is interested in Nursing Education and Geriatric Nursing.

Abstract:

Impressions about the elderly among care workers and nursing students in elderly care affect the quality of the care they provide and their work retention. Scales such as the Fraboni Scale of Ageism and the Facts on Aging Quiz have been developed with the aim of measuring such impressions. However, these scales are focused on evaluating prejudice or stereotypes and lack items for evaluating positive impressions. Therefore, we are currently developing a geriatric impression and attitude scale with the aim of evaluating positive impressions. For development of the scale, a questionnaire survey using the sentence completion method about the elderly’s ways of living, personality, and relationships with society was conducted with 95 nursing students. Furthermore, focus group interviews were conducted with nursing faculty. Results of the questionnaire survey and interviews were categorized by similarity of the response contents. The results showed that the respondents admired the elderly’s motivations for living, their rich experiences, and kindness. Also, they felt warmly about the elderly’s smiles and humor, atmosphere, and consideration for others. Negative impressions of the elderly included rigidity/stubbornness, self-centeredness, and introversion. Based on the responses, we created a questionnaire with 50 provisional items such as “I like talking with elderly people,” “their faces with wrinkles are charming,” “it can’t be helped that you become more rigid/stubborn when you get old,” and “I’m not good at casually talking with the elderly.” We plan to conduct a large-scale survey to test the scale’s reliability and validity.

Biography:

Fadi Zaben completed his secondary education from Anabta Secondary School; pursued Bachelor’ s Degree in Nursing from Bethlehem University; completed Diploma in Ophthalmic Nursing. He was then granted a Master’s Degree in Pediatric Nursing from Al-Quds University, Israel. He is a Registered Nurse at the Palestinian Nursing Association and is licensed to practice in Palestine. He has more than 10 years of experience in hospital nursing care as Senior Staff Nurse, and 6 years in Academic Nursing. While he is currently a Staff Nurse in Augusta Victoria Hospital, he is an academic Clinical Instructor for Bethlehem Universities’ nursing students. He has recently joined the Nursing Department at IMET2000-Pal as a Nursing Teaching Officer with a job prospective to build a successful clinical and academic nursing, education and research program in Palestine.

Abstract:

Background: Ventilator-associated pneumonia (VAP) continues to be a common and potentially fatal complication of ventilator care. Ventilated and intubated patients present critical care nurses the unique challenge to incorporate evidence-based practices surrounding the delivery of high quality care. Bundled practices approach is composed of individual preventive measures for preventing the incidence and prevalence of VAP and improving outcomes of patients.

Methodology: The methodology involved a descriptive cross-sectional design based study design from 1st of August 2017 to 15th of December 2017. Simple Random sampling has been used to conduct the questionnaires to ICU Nurses. The study was conducted to ICU's Department Nurses in middle and northern West bank cities' hospitals.

Findings: 120 nurses from 6 (57.5%) governmental hospitals and 8 (42.5%) private hospitals in middle and northern West Bank responded to our survey. 57.5% were males and 42.5% were female, only 58.3% received training in their local hospitals. The nurses were most frequently correct (>58%) regarding gastric feeding residual volume every 4-6 hours, preventing unplanned extubation, using non-invasive mechanical ventilation, and performing subglottic suctioning before deflating cuff or repositioning the tube. Nurses had the least (poor) knowledge (<24%) regarding regular oral care with chlorhexidine gluconate every 24 hours, frequency of humidifier and suction systems changes and open suction technique, and oral route for tracheal intubation. The nurses’ knowledge mean total score was 53.8 %. And, holding a Master’s Degree in Nursing (88.2%), 5-10 years of experience (78.4%) and acquisition of a training about VAP prevention guidelines (76%) were shown to be associated with better knowledge scores. But, factors including area of work (private and governmental hospital) and gender had no effect on participant’s knowledge score. The overall, ICU nurses’ practice on prevention of VAP was excellent performed but not associated with ICU training, level of education, area of work and years of work experience. The vast majority (73.3%) of participants indicated that infection control training is very much needed whereas (25.8%) is needed.

Conclusions: The average knowledge and level was moderate whereas practice level was excellent. Professional experience and education level were shown to be associated with better knowledge scores. There is no association between practice with ICU training, level of education and years of work experience. ICU nurses need to be encouraged to translate practice with their knowledge and need for further observational studies to measure nurses practice toward VAP Bundle.

Biography:

Taichi Narita pursued his PhD from Graduate School of Health Sciences at Niigata University, Japan. He is currently an Assistant Professor of Graduate School of Health Science at the same university. His speciality lies in public health nursing, especially community mental health.

Abstract:

The ratio of psychiatric hospital beds to the population in Japan is the highest among OECD (Organization for Economic Co-operation and Development) countries. Among 310,000 psychiatric inpatients, 70,000 are considered “socially hospitalized,” and there is a need for supporting long-term hospitalized patients during their transition to local communities. However, it is difficult for them to continue a stable community life. Therefore, the background to the community life of schizophrenia patient’s with long-term hospitalization was investigated to develop stable community life. Qualitative and inductive approaches were used in this study through ethnographic methods. Participants were schizophrenia patients that had experienced over three-years hospitalization and using day-care services (N=9). Interviews and participant observation were conducted by making during home visits. The data identified the conditions of participant’s home and community life and was used to develop themes. Participants were men with a mean age of 58.8±9.0 years, the mean period of hospitalization was 18.7±12.8 years, and the mean use of day-care was 8.8±2.2 years. The following themes were identified as the background of their community life: (1) stability of medical conditions for continuing community life, (2) maintaining daily life by proactively utilizing support, and (3) continuing life by connecting with day-care members. Participants maintained their daily life through different types of support, which stabilizing their medical conditions. They have developed relationships with day-care service staff and obtained a sense of belonging without being isolated. It is essential to provide opportunities for long-term hospitalized patients to build mutual social relationships in local communities.

Biography:

Piyaorn Wajanatinapart pursued her PhD from University of Wisconsin Madison, USA (2015). She is currently a Nursing Instructor in the Psychiatric Nursing Department of Suranaree University of Technology, Thailand. She has more than 20 years of experience teaching mental health and psychiatric nursing for nursing students. She has published her work in reputed Thai and other journals. She has presented her research (poster and oral) in other countries.

Abstract:

The number of persons with dementia (PWD) has increased significantly. Informal caregivers are the major providing care at home. They can have perceived gains and burdens during providing care. Caregivers who reported high in perceived gains may report low in burdens and better health. There was no report psychometric properties in a few studies and most studies with no theory-guided and conducting in Western countries. The self-determination theory (SDT) was used to guide the study and conducting the study in Thailand. The study aimed to evaluate six measures for internal consistency reliability, four measures based on SDT for content validity, and one measure for construct validity. This study was a cross-sectional descriptive design with two convenience samples. Sample 1 was five Thai experts to assess content validity of measures. Sample 2 was 146 Thai caregivers of PWD to assess construct validity, and internal consistency reliability. Experts rated questionnaires and caregivers answered questionnaires at clinics of four Thai hospitals. Data analysis was used descriptive statistics, the content validity index (CVI) and average of content validity index of the scale (S-CVI), Cronbach’s alphas, and Pearson Product Moment Correlation. For study results, most caregivers were female (82%), middle age (M=51.1, SD=11.9), and daughters (57%). They provided care for 15 hours/day with 4.6 years. The CVI and the S-CVI were .80 or higher for clarity and relevance. The CVI of sets of questionnaires were .80 or higher for comprehensiveness and cultural relevance. Experts suggested item revisions. Cronbach’s alphas were .26 to .93. The Gain in Alzheimer Care Questionnaire was acceptable for construct validity. This study was the first use SDT to guide the study about caregiving in Thailand. Caregivers’ characteristics were consistent with literature. Four measures were valid and reliable but two measures would be needed to revise. Researchers could use four measures for further caregiving studies. Using a theory would help describe concepts, propositions and measures used.

Biography:

Nareelux Suwannobol pursued her PhD at Burapa University, Thailand. Currently, she is the Faculty in Family Health and Midwifery Nursing Department at Suranaree University of Technology, Thailand. She has more than 30 years of experience in service and teaching about Family and Midwifery Nursing for nursing service and nursing students She has published in reputed Thai and other jornals. She has presented her research work (poster and oral) in other countries.

Abstract:

The objective of this research is to perform situation analysis, develop infection network and guideline practice to reduce infection rates in hospitals across Nakonchai Burin, the northeast of Thailand. The total number of hospitals as participants were composed of tertiary and secondary hospitals. Thirty hospitals were developed the network in Nakornchai Burin. The study was divided into three periods from December 2013 to September 2015. The 1st period was for situational analysis about nosocomial infection. The 2nd period was for developing network and guideline practice to reduce infection rates. The 3rd period was for evaluation. Qualitative and quantitative methods were used to collect data. Qualitative data were analyzed using content analysis and quantitative data were analyzed by using mean, standard deviation. The results showed that the rate of infections overall an average 0.44 per thousand bed days (SD=0.59), Tertiary hospitals had high rate of infections with an average of 2.19 per 1000 bed days (SD=0.70) than general hospitals and community hospitals. For the development of the infection network included surveillance nosocomial infection network, multidrug-resistance network, and the development of prevention and infection control in Health Promoting Hospital District. It was found that all the networks have developed practices to reduce infection rates to be consistent with the context. After developing the network we found that participants were satisfied with the overall level of scores 4.33 and the knowledge can be utilized to high mean score 4.35. The results of this study suggest that the presentations should include outcome developing a network of prevention and infection control in hospitals to health care committee to achieve sustainability policy further.

Biography:

Sirikon Khaobunmasiri is currently a Lecturer from the School of Psychiatric and Mental Health Nursing at the Institute of Nursing of Suranaree University of Technology, Thailand. She has more than 10 years of experience in teaching mental health and psychiatric nursing to nursing students. She has presented her research work (poster and oral) in several countries.

Abstract:

The following study involved a cross-sectional correlational descriptive design. The study aimed to examine the relationship between stress level and the achievement in the Fundamentals of Nursing Practicum skilled laboratory among sophomore nursing students at Suranaree University of Technology. Seventy-two participants of nursing students who had placements in Fundamentals of Nursing Practicum Laboratory were purposively sampled. Seven students were excluded from the study due to missing of GPA as the achievement. Finally, sixty-five students participated in this study. This study employed validated instruments of stress level with Cronbach’s alpha 0.81. Data was analyzed using descriptive statistics and Pearson Product Moment Correlation. The findings reveal that nursing students were moderate stress level (32.31%), high stress level (53.85%), and very high stress level (13.84%). The average GPA of nursing students was 3.05 (SD=.34). The highest GPA was 3.70 and the lowest GPA was 2.14. For the relationship between stress level and GPA, the result showed that it was mild negative relationship (r=-.16). This may interpret that students with high GPA had moderate level of stress. Oppositely, the students with low GPA had high level of stress. This study has the following recommendations: we should assess stress level of nursing students before the Fundamentals Laboratory of Nursing Practicum begins. This would help lecturers to prepare physical and psychological health of nursing students.

Biography:

Jana Slobodnikova has completed her PhD at the Institute of Experimental Oncology Slovac Scientic Academy, Slovakia. She worked as Assistant Proffessor at Trnaviensis University and Proffessor Emeritus at St. Elizabeth High School. She has lectured at several universities in Prague, Trenčín, Trnava and Bratislava. She is the author of teaching script, university textbooks, and she leads workshops, organizes international congresses and workshops. She has published more than 90 scientific papers, 25 papers in renomed journals and has been serving as an Editorial Board Member of five reputed journals. She has published three monographies. She has founded the Section of Breast Imaging in 1996; from 1996 - President of The Section of Breast Imaging of Slovak Radiologic Society and Vice President of the Slovak Society of Ultrasound in Medicine. She has Membership in organizations such as ECR, EUSOBI, EFSUMB , SSUM ( Slovak Society of Ultrasound in Medicine ) and SRS ( Slovak Radiology Society).

Abstract:

Background: Tumor markers are important tools in laboratory diagnostics of cancer diseases, which allows us continual supervision of patients´ stage and its time-dynamics. Thanks to these laboratory parameters, receiving diseases can be treated significantly earlier. In our study we evaluated routinely tested tumor markers CA125, Ca199, CEA, PSA, AFP, HCG and Ca153 with emphasis on their diagnostic value in clinical practice.

Aim: The goal of our preliminary study is to verify the informational quality of tested parameters in terms of precision, accuracy and reliability of results with the aim of the external quality control (EQC).

Material & Methods: All listed tumor markers were determined by laboratory methods based on the principle of electrochemiluminescence. The anonymous material for the analysis was provided by a supplier of the external quality control in the form of sample pairs with an undisclosed concentration of the analyte. After processing there were obtained concentrations of particular analytes and they were sent back to the supplier of external quality control for evaluation. Acceptable outcomes were cut-off values which didn´t exceed 20% of the CV of the group, to which laboratory methodologically belonged.

Results: Based on the results it can be concluded that in the tested period laboratory succeeded in all measured parameters, while the critical difference was not even once exceeded. This is primarily about the robustness and reliability of the methodology and laboratory analyzers. It was therefore not necessary even once implemented corrective measures that would inevitably followed the findings of non-compliance. Despite these results, it should be noted, that laboratory diagnostics of tumor markers is time-continuous stream of samples, materials and information, during which there may be in non-compliance at any time.

Conclusion: It is necessary to understand that the external quality control is continuous process of systematic activities directed to the improvement of laboratory work.

Biography:

Antonino Montemurro completed his nursing degree and graduated from Palermo University in 2011. In 2014 he graduated from Pisa University, where he completed his masters’ degree in Organ and Tissue Donation and Transplant Co-ordination. From 2011 to 2014 he worked at the Regional Transplant Center in Sicily where he was employed as a regional donation and transplant co-ordinator. Since 2015 he has ben working at the Italian National Transplant Center where he is currently employed ad a national donation and transplant co-ordinator.

Abstract:

From November 4, 2013, the Italia national transplant operational Centre (CNTO) itself as sole interlocutor operating nationally, interfacing directly with the regional centers and ensuring h/24 support necessary for the operational management of the national programs. Centralizing management of allocations and also of waiting lists for national programs, certainly has advantages:

• streamline the path allocation through standardization of processes;
• provide an unambiguous interpretation of the rules that currently govern the programs and therefore more effective to apply;
• promote capacity interlocutory and a higher degree of authority;
• A real-time control of donations, allocative flows and the outcome of processes.

By reference to a national average of 4 donors a day and considering the fact that every donor must still be reported to the CNTO in order to evaluate the potential use for national programs, the operational core is composed of six nurses coordination to be distributed on 3 shifts of 8 hours each (3 for each time slot and 3 off). It also requires six doctors who rotate in shifts to diagnostic problems. The head of the operating CNTO is a nurse manager. Nurses coordination physically carry out their activities in the workplace;

• The staff removed the leaves turn only after transmitting the written instructions to staff upright;
• For each round of coordination should be prepared a written report of the activities;
• The operational headquarters must be equipped with all the technological equipment and the supports they need to perform their assigned functions (PCs, printers, video conferencing equipment, fixed and mobile telephony, internet connection).

The role of the nurse is recognized by the entire national network.