Scientific Program

Day 1 :

Keynote Forum

Celina Afenir

Loma Linda University Children Hospital, USA

Keynote: Shared Leadership: Creating a Space for Truth to Empower, Engage and Strengthen Relationships

Time : 10:00 - 10:40 AM

Biography:

Celina Afenir is an inspirational and motivational executive with a focus on a truth leadership approach. She has a proven record of success in strategic, organizational, operational, and fiscal management of the Children's Services, specializing in Neonatal Intensive Care Unit and Pediatrics Unit for major healthcare organizations within the United States Pacific Southwest and Northwest (California, Arizona, Oregon and Washington States). She has a BSN, MBA/Healthcare Management and is currently pursuing a PhD (Doctoral in Performance Improvement Psychology) at Grand Canyon University. She was a co-presenter at the 2016 National Association of Neonatal Nurses 32nd Annual Education Conference on the topic of Innovative Family Centered Care Bundle: One Hospital's Journey of Working with Family and Staff to Significantly Improve Communication and Patient Experience in the NICU. She is currently the Director of Patient Care Services NICU Loma Linda University Children’s Hospital California USA.

Abstract:

Background: Based on employee rounding, the NICU leadership team identified the need of the NICU frontline staff members to be encouraged and empowered to make decisions on initiatives, changes, projects and performance improvements.  There is a perception of inconsistent follow through from leadership team on issues, concerns, and suggestions regarding opportunities for improvement.  As a result, historical employee engagement survey participation has been less than 50% and engagement results were below standards. Purpose: The NICU Practice Council was developed to represent the unit-based aspect of the shared governance model in healthcare. The frontline staff members are empowered to identify barriers to clinical practice, improve processes and/or workflow by partnering with the leadership team to help remove identified barriers and facilitate resources. The NICU Practice Council has the responsibility and accountability to establishing and maintaining the standards of evidence-based practice which describe and guide the care provided.  

Keynote Forum

Thubi H.A. Kolobe

The University of Oklahoma Health Sciences Center, USA

Keynote: Robotic and sensor technology: Can we change brain development and functional outcomes in young children with brain insults?

Time : 10:40-11:20

Biography:

Thubi H.A. Kolobe is the Jill Pitman Jones professor of physical therapy in the Department of Rehabilitation Science at the University of Oklahoma Health Sciences Center. Her research in early identification of children with or at risk for disabilities, efficacy of robotics in the early mobility of young infants, cultural and environmental influences on development, and measurement has been funded by foundations and federal agencies such as the National Institutes of Health. She is a co-developer of the Test of Infant Motor Performance for preterm infants, a norm-referenced test that is used worldwide and has been translated into several languages. Dr. Kolobe has served as chair of the Research Committee of the Section on Pediatrics, chaired a task force to develop a research agenda for the American Physical Therapy Association's Section on Pediatrics, served on a recent task force to revise the research agenda for the American Physical Therapy Association, and has been appointed to serve on the Scientific Review Committee for the National Institute of Child Health and Human Development, National Institutes of Health. Dr. Kolobe has extensive clinical experience in pediatrics and community-based interventions. Over the past 30 years, her roles in this area have ranged from direct patient care in various settings, clinical education, and staff development, to program consultation. Her consultation roles have focused largely on program evaluation and development for community-based programs that serve children and families with disabilities and on funded undergraduate and graduate training programs. She serves on the Evaluation Committee for the Oklahoma SoonerStart program, a statewide early intervention program funded through the Part C program of the Individuals with Disabilities Education Amendment Act of 2004. She holds a Ph.D. in pediatric physical therapy (with a minor in family therapy) from Hahnemann University.

Abstract:

Brain insults occurring pre-, peri-, post-natally, or during early infancy have lasting negative impact on functional independence. Many of the neuromuscular problems, educational disparities, and societal participation limitations seen in older children and adults can be traced back to infancy. The period of infancy is also associated with dramatic changes in development and high synaptic connections in the brain further compounding the complexity and neurological sequelae following early brain insults. On the other hand, neuroplasticity research suggests that this period also offers the best opportunity for introducing targeted interventions that are likely to optimize development. The challenge for neurologists and rehabilitation professionals worldwide has been in determining or developing interventions that are effective, can be provided in the first year of life, and can yield sustainable results (dosing). This presentation will discuss findings from novel robotic and sensor technologies aimed at preventing learned non-use, promoting movement exploration, and improving cognition and mobility in infants and toddlers with brain insult. The presentation will also focus on the differential effects of reinforcement and error-based movement learning in this population, including neural correlates, and implications for dosing.

Keynote Forum

Caroliny Guimaraes

Global Academic Support, Brazil

Keynote: Bioethics in nursing

Time : 11:40-12:20

Biography:

Nurse Auditor, Editor-in-Chief of Current Nursing Magazine, Master of Bioethics / Medical Ethics

Abstract:

Keynote Forum

Salil Uppal

Uppal Neuro Hospital, India

Keynote: Prevalence of Migraine in Epilepsy

Time : 12:20-13:00

Biography:

Uppal is a Doctor of Medicine in Neurology. He is the Medical Director of Uppal Neuro Hospital in Amritsar. His area of interests lies in Stroke, Epilepsy, Neuro Critical Care, and Movement Disorders. His research works include Non- motor symptoms in Parkinson's Disease, Transcranial Doppler in Acute Ischemic Stroke, Epilepsy and Migraine.

Abstract:

Abstract: Headache is commonly associated with seizures as an inter-ictal, preictal, ictal, or postictal phenomenon, it is often neglected because of the dramatic neurological manifestations of the seizure. A prospective study was designed to identify epidemiological association between headache and epilepsy and  to evaluate the types and frequency of seizure-associated headaches in patients with epilepsy on anti-epileptics. AIMS AND OBJECTIVES  To  evaluate the type and frequency of  headache in people with epilepsy and risk factors with special attention to the anatomic localization of the epileptogenic focus, seizure classification (focal versus generalized) while on antiepileptic drugs over a period of 3 months. STUDY DESIGN   Study conducted at  Outdoor Patient Department, of Department of Neurology, DMC&H, Ludhiana. Patients ³17 years  with a diagnosis of epilepsy more than 2 years on single antiepileptic agent  - with new onset headache ,increase in frequency and severity of headache in epilepsy were taken . Headache data  analyzed according to IHS criteria, Epilepsy classified  according to the 2010  (ILAE) Commission report. Results : 73 cases (29 female, males 44) on antiepileptic monotherapy  were taken .Mean age was 26years,  median age at epilepsy onset  was 15 years  ,median epilepsy duration  was  8years.Generalized epilepsy seen in  48 (66%),  focal epilepsy  25 (33%) . 23 (30%) reported  headache , inter-IH in 15 (40%)and  peri- IH occurred in 12 ( 50%) of these  5 (18.3 %) had an associated inter-IH,  7  had headache related to the seizures,  Carbamazepine, levetricetam ,valproate, oxcarbamazepine ,lamictal  given in 17,18,29, 6, 2, patients 7,5 ,10,2 1had headache

  • Special Session

Session Introduction

Adel Harb

King Fahad Specialist Hospital, Saudi Arabia

Title: Developing charge nurses as frontline leaders through transformative learning

Time : 14:00-14:40

Speaker
Biography:

Graduated from Faculty of Nursing, University of Jordan 1993. Had worked as Cardiac Registered Nurse in Jordan. Completed Master Degree in Education from University of Jordan on 1998. Completed another Master Degree in Critical Care from Ohio State University on 1999. Worked at Ministry of National Guards for Health Affairs (NGHA-Riyadh) on 2003 as Clinical Resource Nurse in Nursing Education till 2010. Then worked in NGHA (Madinah) as Supervisor for Safety and Quality till 2014. On 2014-2017 worked as Director of Nursing Education at Security Forces Hospital- Riyadh. On Jan 2018 has joined Nursing Education at King Fahad Specialist Hospital as Nursing Educator Manager Obtained Phd in Healthcare Administration on 2010 and worked as visiting Professor Assistant. Supervising all Saudi Nursing Students - Interns and graduates. Publications : one book "Cardiology for Registered Nurses" , 15 Abstracts and Papers. 3 Researches. Speakers at several international Symposia and conferences, Saudi Heart Association member as senior Regional Faculty for ACLS. Developed many courses and programs accredited by Saudi Council such as “Cardiac Catheterization Upgrading Programâ€Â, “Invasive Hemodynamic Programsâ€Â, "Medication Administration Course", "IV Therapy Course", "Preceptor Course", "Charge Nurse Course", "Burn Critical Care Course", "ER Nursing Course", "Pain Management Course", "Wound Care Management Course", "Neonatal Nursing Care', "Critical Care Course" and "Leadership and Management Course" and many Cross Training and Up skilling programs. Currently is developing a Case Management Post Graduate Diploma Program.

Abstract:

Nurses at all levels must be prepared and developed to lead change to advance health care.  Historically, in most healthcare institutes, nursing leadership development programs have focused on nurses in senior management or executive roles rather than those working in frontline leadership roles. This article will describe a professional development initiative program attended by 169 charge nurses. The program has a comprehensive curriculum and road map for developing frontline leaders and ensuring charge nurses are trained, mentored, and supported in their roles. Program development, evaluation, and lessons learned that can be applied in other organizations are discussed

  • Nursing Education and Management | Nursing Practice | Community Health Nursing

Session Introduction

Jennifer Miller

Mednax, USA

Title: Improved Parental Self-Care During the NICU And Beyond

Time : 14:40-15:10

Speaker
Biography:

Jennifer Miller has 19 years of Neonatal ICU experience in both the capacity of a Registered Nurse and Neonatal Nurse Practitioner.  Jennifer has a passion for the overall well-being of NICU families.  Her strong commitment and motivation ignited her into developing and creating a NICU Parent Advisory Council (Phoenix AZ 2013) to support families who are faced with the physiological and psychological challenges inside and outside of the NICU walls.  Her purpose of connecting current and veteran NICU families together has earned an excellence award in the Neonatal Practitioner Innovator category from MEDNAX Health Solutions Partner.  She is also a personal health coach who enjoys being physically active through travelling around the world while consuming the magnificent outdoor activities of her home state of Colorado.  She is

an outstanding advocate who has a vision of making each NICU parent healthier through fitness and adopt an early self-care pattern improving the entire physical and psychological well-being to raise healthier Neonatal ICU baby graduates.

Abstract:

Background

When babies are born and admitted in the NICU for a prolonged period of time, evidence-based research has revealed increased level of anxiety, stress, and post-partum depression affecting NICU parents. These psychological conditions interfere with their ability to bond, breastfeed and care for their child while in the NICU and upon transitioning to home. As they go through their NICU journey, the uncertainty of not knowing whether their baby will live or die can cause their inability to do self-care to meet their own basic needs. They also have high tendencies to feel isolated and alone that can cause major psychological issues common to NICU parents.

Assessment

Exercise releases a natural hormone, serotonin, that regulates one’s psychological status or mood. By improving one’s mood, they have the ability to deal with stressful situations better. Self-confidence and self- efficacy are also positively affected giving parents increased belief in caring for themselves and a medically fragile child.

Recommendation

Program development based on self-care for these families starting in antepartum and immediately after arriving in the NICU. There would be varying different levels of self-care from basic human needs, medication, yoga, meditation, walking or more intense workouts. This program would also come with a virtual NICU community where there would be nothing but positivity to help one another understand they are not alone and the importance of learning to take care of yourself so you can then take care of you NICU grad and your family.

Objectives: The main objective is to decrease the incidence in psychological problems that are related to the NICU. Improved self-care will also improve breast feeding rates, parent bonding and parental emotional states throughout the child’s life span.

 

Giuseppe Donato

Magna Graecia University of Catanzaro, Italy

Title: Role of innate immunity in glioma growth and progression

Time : 15:10-15:40

Speaker
Biography:

Giuseppe Donato is an associate professor of pathological anatomy at the Magna Graecia University of Catanzaro (Italy). He has developed skills in all areas of human pathology and especially neuropathology, working in Italy and other european countries. In recent years he has focused on aspects of the immune response associated to neoplasia, especially concerning the role of mast cells and macrophage polarization.

Abstract:

Although the last WHO classification of brain tumors (2016) has given greater importance to genetic alterations of gliomas, there is an increasing amount of data about the immunological aspects related to this type of neoplasms, that solicit us to focus our attention on the interactions between the immune system and glial tumors. All types of cells of innate immunity may affect the gliomas biology. Macrophage polarization plays a pivotal role in the growth and progression of glial neoplasms where number and type of macrophages varies with the histopathological grade. Moreover, the state of macrophages polarization can be seen as a continuum and possibly reversible through pharmacological interventions. Mast cells are active in various malignant tumors, but their role is not always clear; they may infiltrate mouse and human gliomas in such an extent that depends on glioma grade. “Tumor educated” Mast Cells decrease glioma cell proliferation and migration but promote glioma cell differentiation. Natural Killer cells (NK) can induce the cytolysis of tumor cells and can secrete cytokines. In gliomas, generally, the presence of infiltrating immune cells with immunosuppressive roles such as macrophages and NK, correlates with poorer patient prognosis even if exosomes derived from NK have antitumor effects on glioblastoma cells both in vitro and in vivo. As frequently happens in other cancer patients, glioma patients usually have a strong neutrophilia; the neutrophils-to-lymphocytes count (NLR) higher than 4 has been associated with poor prognosis when measured before treatments. Moreover, there is a correlation between NLR value, the extent of neutrophil infiltration, the glioma grade and the acquired resistance to anti-VEGF therapy. In conclusion, data arising from innate immunity interactions have practical implications and require an urgent inclusion in WHO classification and in histopathological reporting.

Speaker
Biography:

Dr Venus Medina-Maldonado currently works at the Nursing Faculty, Catholic Pontifical University of Ecuador as lecturer and researcher. She teaches subjects such as historical context and development in nursing, Family Nursing, Evidence based Nursing and Dissertation, her research interest is focused on preventing and responding to gender based Violence.

 

Abstract:

Several studies have established the prevalence of workplace violence in the health sector being the nursing staff more likely to experience physical violence and bullying than other health worker’s. In spite of this, in Ecuador only a few researches have directly investigated the issues on nurses’ in association to type of violence, perpetrators, well-being affectation and protecting measures available in the health institutions. Methodology & Theoretical Orientation: A qualitative study with phenomenological method was carried out in (01) major hospital in Quito, Ecuador. Participants were selected from a convenience sample and, before starting the discussion, were given information consent forms to sign. Participants were n = 41/210 professional nurses and the considered selection criteria were being professional, over age 18, and being employers at the hospital as minimum 2 years. The technique selected in data collection was Focus Group Discussion (FGD). Data were collected from Jun. 2018 to Jul. 2018. Discussions were recorded and stored in voice files using a digital recorder. The Mayring’s approach was used for the interpretative process. The feminist epistemological framework was utilized to analyze the power imbalances in the work relationship and the context in which it occurs. Findings: Nursing staff in this study expressed during discussion lack of clarity about what constitutes violence in the workplace, lack of understanding about the magnitude of the problem, nurses affected mostly try to ignore the situation because they considered this to be a typical incident in the workplace, they did not report the situation and it has caused underregistration. The aggressors were mostly staff members, supervisor and general public. When nurses narrated their experiences with violence the researchers identified verbal abuse, bulling/mobbing, sexual harassed and physical violence. Conclusion & Significance: The evidence allowed us to admit that the situation is a significance problem in magnitude and severity. Our recommendations will be oriented toward the implementation of a preventative and minimizing aggression program in the Hospital.

 

Speaker
Biography:

Francis Kyerepagr Kobekyaa is a Nurse Educator at the St. Joseph’s Midwifery Training College, Jirapa in the Upper West Region of Ghana. Francis started his nursing career as a Community Health Nurse after graduating from the Jirapa Community Health Nursing Training School in 2004. Thereafter, he worked at Ketuo Health Centre as the Community Nurse in-charge of the facility in the Puffien Sub-District. He also doubled up as the CHOs’ Supervisor responsible for two CHPS Zones in the SubDistrict. During his time, the Sub-District recorded an increased in skilled delivery with improved maternal and child health service performance indicators. In 2007, he gained admission to the Presbyterian University, an affiliate of the University of Ghana where he obtained Bachelor of Science in Nursing and Registered General Nursing Licensing Certificates. In 2014, he obtained a scholarship from the Netherlands Initiative for Higher Education to pursue an Honours Degree in Nursing Education at the University of KwaZulu-Natal, Durban. He graduated in 2016 and continued with a Full Research Masters (Mphil) in Nursing Research at the same university with funding from the Vice Chancellor of the university. He is currently working on two articles for publication.

Abstract:

Background: The hindrances to collaborative clinical facilitation for effective practical learning of nursing students are worrying. Aim: The aim of this study was to explore the perceived barriers to collaborative clinical facilitation among nurse educators, preceptors, clinical nurses/midwives and nursing and midwifery students at two selected nursing and midwifery colleges and a hospital in Northern Ghana.

Methods: This study adopted a constructivist paradigm using a qualitative exploratory-descriptive approach. Purposive and systematic sampling methods were used to select participants for the study. Data were gathered through focus groups discussions and individual in-depth interviews and transcribed verbatim. The data were analyzed using Framework Analysis Method.

Findings: The study findings showed a sharp increase in student population at the colleges causing overcrowding and congestion at the clinical learning environments. Preceptors and other clinical staff who are trained and mandated to facilitate clinical teaching were insufficient, and therefore not available at all health care facilities or wards every time for students’ guidance and support. Participants further reported role confusion among staff due to lack of working agreements between staff of colleges and health facilities over who had the prime responsibility for clinical teaching of nursing students. This resulted in an adversarial relationship among key players of the collaborative network. Lack of time, heavy workload and busy ward schedules equally impacted negatively on the practice of collaborative clinical facilitation.

Conclusions: Based on these findings, nursing and midwifery colleges, in collaboration with healthcare facilities, need to create clinical placement calendars to coordinate students’ clinical schedules in the wards in order to avert the challenge of overcrowding. This would provide students the opportunity to be effectively supervised and guided during clinical practice in the ward. Ethical Clearance Reference Number: HSS/1553/016M.

 

Day 2 :

Keynote Forum

Adel Harb

King Fahad Specialist Hospital- Dammam, KSA

Keynote: Current Challenges facing Nursing Education in Saudi Arabia

Time : 10:00-10:40

Biography:

Graduated from Faculty of Nursing, University of Jordan 1993. Had worked as Cardiac Registered Nurse in Jordan. Completed Master Degree in Education from University of Jordan on 1998. Completed another Master Degree in Critical Care from Ohio State University on 1999. Worked at Ministry of National Guards for Health Affairs (NGHA-Riyadh) on 2003 as Clinical Resource Nurse in Nursing Education till 2010. Then worked in NGHA (Madinah) as Supervisor for Safety and Quality till 2014. On 2014-2017 worked as Director of Nursing Education at Security Forces Hospital- Riyadh. On Jan 2018 has joined Nursing Education at King Fahad Specialist Hospital as Nursing Educator Manager Obtained Phd in Healthcare Administration on 2010 and worked as visiting Professor Assistant. Supervising all Saudi Nursing Students - Interns and graduates. Publications : one book "Cardiology for Registered Nurses" , 15 Abstracts and Papers. 3 Researches. Speakers at several international Symposia and conferences, Saudi Heart Association member as senior Regional Faculty for ACLS. Developed many courses and programs accredited by Saudi Council such as “Cardiac Catheterization Upgrading Program, “Invasive Hemodynamic Programs, "Medication Administration Course", "IV Therapy Course", "Preceptor Course", "Charge Nurse Course", "Burn Critical Care Course", "ER Nursing Course", "Pain Management Course", "Wound Care Management Course", "Neonatal Nursing Care', "Critical Care Course" and "Leadership and Management Course" and many Cross Training and Up skilling programs. Currently is developing a Case Management Post Graduate Diploma Program.

Abstract:

Kingdom of Saudi Arabia is facing many health related challenges. It was on 1954 when Ministry of Health (MOH) has established Nursing as a profession. Since the last 64 years, nursing has faced many obstacles, difficulties and challenges and there was a direct impact on the growth and development in Nursing Education. Unfortunately, these challenges facing Nursing Education in Saudi Arabia are increasingly complex and dynamic. The main purpose of this paper is to highlight and discuss those challenges through Structure – Process- Outcome model. Moreover, this paper will address some potential strategies that could overcome these challenges and move Nursing Education and Nursing Profession forward and meet the Saudi Arabian vision 2030

 

Keynote Forum

Kita Salabanda Diaz

University Complutense of Madrid, Spain

Keynote: Combined treatment of Spine tumors

Time : 10:40-11:20

Biography:

Kita Sallabanda Diaz has more than 25 years of experience in the field of Neurosurgery. He currently works in this specialty at the Genesiscare Madrid - Arturo Soria, while he is an external medical consultant at the San Carlos University Clinical Hospital in Madrid. Author of Treaty of Radiosurgery (2012) and Guide of Brain Metastases (2015), has published in numerous scientific media of the Spanish and world scene. He is the current President of the Spanish Society of Radiosurgery and the Neuro-Oncology Committee of the Clinical Hospital of Madrid. In the field of teaching, he is an associate professor at the Complutense University of Madrid. His area of expertise mailnly lies in Cyberknife SRS, Epilepsy, Cognitive functions and brain metastases.

Kita Sallabanda Diaz has more than 25 years of experience in the field of Neurosurgery. He currently works in this specialty at the Genesiscare Madrid - Arturo Soria, while he is an external medical consultant at the San Carlos University Clinical Hospital in Madrid. Author of Treaty of Radiosurgery (2012) and Guide of Brain Metastases (2015), has published in numerous scientific media of the Spanish and world scene. He is the current President of the Spanish Society of Radiosurgery and the Neuro-Oncology Committee of the Clinical Hospital of Madrid. In the field of teaching, he is an associate professor at the Complutense University of Madrid. His area of expertise mailnly lies in Cyberknife SRS, Epilepsy, Cognitive functions and brain metastases.

Abstract:

Every year in the U.S., 180,000 new cases are diagnosed and 20,000 of them with medular compression. 5-14% of patients with cancer develop Spine metastases, from them 33% Bone 4% Leptomeningeal 0.1-0.4 Intramedullary. 60% of Spinal Metastases appear in patients with: Breast Cancer Lung Cancer,Prostate Cancer (7.4%). The treatment basicaly is based on: SURGERY, RADIOTHERAPHY COMBINED TREATMENT, RADIOSURGERY. Until 1990 the first treatment was Radiotheraphy, later we come back to surgery, Patchel trial demostrate the superority of surgery (Lancet 2005), Clase I evidence. From these time we take in considerstion NOMS and SINS criteria-The developmant of techonlogy in radiotheraphy make us to chamge the paradigm. Radiosurgery take a very important role in the treatment of sipne tumors. The combine treatment is our first option, surgery and radiosurgery. The principal indication of Spine Radiosurgery as a primary treatment are: residual tumors after surgery, recurrent tumours, multiple lesión, unfarable localization, high risk for open surgery. We present our seria, experience and biblography revisión about the combine treatment in spine pathology.

Every year in the U.S., 180,000 new cases are diagnosed and 20,000 of them with medular compression. 5-14% of patients with cancer develop Spine metastasesfrom them 33% Bone 4% Leptomeningeal 0.1-0.4 Intramedullary. 60% of Spinal Metastases appear in patients with: Breast Cancer Lung Cancer,Prostate Cancer (7.4%). The treatment basicaly is based on: SURGERY, RADIOTHERAPHY COMBINED TREATMENT, RADIOSURGERY. Until 1990 the first treatment was Radiotheraphy, later we come back to surgery, Patchel trial demostrate the superority of surgery (Lancet 2005), Clase I evidence. From these time we take in considerstion NOMS and SINS criteria-The developmant of techonlogy in radiotheraphy make us to chamge the paradigm. Radiosurgery take a very important role in the treatment of sipne tumors. The combine treatment is our first option, surgery and radiosurgery. The principal indication of Spine Radiosurgery as a primary treatment are: residual tumors after surgery, recurrent tumours, multiple lesión, unfarable localization, high risk for open surgery. We present our seria, experience and biblography revisión about the combine treatment in spine pathology.

  • Special Session

Session Introduction

Caroliny Guimaraes

Global Academic Support, Brazil

Title: Scientific Publication in nursing

Time : 11:40-12:20

Speaker
Biography:

Nurse Auditor, Editor-in-Chief of Current Nursing Magazine, Master of Bioethics / Medical Ethics

Abstract:

Speaker
Biography:

Dedicated RPT offering 4 years of experience in physical therapy field. A history of exemplary ratings on performance reviews; bilingual fluency (English and Arabic) and solid credentials that includes Egyptian licensure, B.Sc degree in physical therapy and Master degree with GPA 2.63. Background includes work with neurologic, orthopedic and pediatric patients. Well-versed in a broad range of PT programs, treatments and modalities restoring function and mitigating disability for diseased and injured patients. Excellent interpersonal/communication skills and proficiency in patient assessment, time management and therapy program design/execution. Enthusiastic team player deeply committed to delivering quality care and achieving superior patient outcomes as a member of a multidisciplinary case-management team. 

Abstract:

Post stroke dysphagia (PSD) can decrease the quality of life, increase the risk of medical complications and mortality. So it is a great concern for patients and a tough problem for clinicians. Purpose: The current study was conducted to investigate the effect of adding TENS to the conventional therapy of treating PSD. Methods: Thirty patients complaint from post stroke dysphagia were participated in this study, their ages were ranged from 45 to 85 years. They were randomly divided into two equal groups. Group (A): Received 3 weeks of treatment with Transcutaneous Electrical Nerve Stimulation (TENS), frequency 80 HZ, pulse duration of   300 μsec, intensity according to the patient’s tolerance ranging from 2.5 to 25 mA, duration of treatment 30 min three times/week in addition to the conventional therapy. While Group (B): Received 3 weeks of treatment with conventional therapy and placebo TENS, duration of treatment 30 min three times/ week. Results: Both treatment protocols are effective, minimally invasive option for treatment of patients complaining of post stroke dysphagia, both groups produced subjective improvement and there is a significant increase in both The Functional Oral Intake Scale (FOIS) and The Mann Assessment of Swallowing Ability (MASA) of group A compared with that of group B post treatment. Conclusion: There was significant increase in the MASA of group A compared with that of group B post treatment. Moreover, there was a significant increase in the median values of FOIS of group A post treatment compared with that of group B.

  • Critical Care Nursing | Neurology | Neuromuscular Diseases | Neurodegenerative Diseases | Neurosurgery | Women Health Nursing
Speaker
Biography:

Zamzaliza Abdul Mulud is an academician in Centre for Nursing Studies, UiTM Malaysia. Her specialization is in the nursing field specifically in medical surgical, mental health and gerontological nursing. Her research interest includes the effect of the educational program, resilience among caregivers of individuals with illness, quatitative research, and caregiver burden.

 

Abstract:

Pregnancy-induced hypertension (PIH) is among the top four most common causes of maternal death in Malaysia. The purpose of this study was to examine the effect of a multidisciplinary education program on knowledge, attitude and perceived behavior control of PIH management among antenatal women diagnosed with PIH in rural Malaysia. A quasi-experimental study with pre and post design was conducted to measure the effect of a multidisciplinary education program on study variables guided by the Theory of Planned Behaviour. Sixty-three antenatal mothers with PIH from 6 Maternal and Child Health Clinic in Lahad Datu, Sabah participated in this study and participants were assigned to intervention (n=32) and control group (n=31). Participants in experimental group attended a multidisciplinary education program (8 hours workshop) regarding PIH management and blood pressure control, nutrition, and exercise. Whereas, the control group, did not receive any. Data were collected using a set of questionnaire which measures sociodemographic characteristics of the participants, blood pressure level, knowledge and attitude of PIH management and perceived behavior control. Data were collected from both intervention and control group pre-test and 14 days post-test. A t-test of mean differences was used to examine the effect of the multidisciplinary education program on knowledge, attitude and perceived behavior control of PIH management. Findings showed that there were significant differences in mean score pre and post-test for knowledge (t = 4.97, p < 0.001) and attitude of PIH management (t = 2.76, p < 0.001). However, there was no significant difference in perceived behavioral control between intervention and control group. Findings of this study indicated that the multidisciplinary education program might be utilized as an effective management program for antenatal mother diagnosed with PIH residing in rural areas.

 

Speaker
Biography:

Norfidah Mohamad is a senior lecturer in Centre for Nursing Studies, UiTM Selangor, Malaysia. Her specialization is in Critical Care Nursing. Her research work and interest are in the area of Critical Care Nursing which focus in Intensive Care Nursing and Cardiology Nursing.

 

Abstract:

The National Health Morbidity Survey (NHMS) reported that the prevalence of Malaysian with diabetes mellitus (DM) is 11.6% and 14.6% for individuals age 18 and above and 30 and above respectively. Adherence to medications is an important aspect in patients’ management as many studies reported that non-adherence to medication could lead to hospitalization and higher mortality rates among this population. Thus, this study aimed to determine the prevalence of non-compliance of medication and to examine the association between medication adherences with social support among patients with Type 2 DM in Malaysia (n=173). A cross sectional study was conducted using a self-administered questionnaire which consists of three parts; socio-demographic data, the Morisky Scale to measure medication adherence and the Medical Outcome Study Modified Social Support Survey (MOS MSSS). Results showed that 2.4% of the total number of patients demonstrating a low level of compliance towards the medication. The most common types of social support received by patients was affectionate support which has been proved throughout previous studies to have effect on DM patients’ quality of life. Surprisingly, the lowest type of social support reported by the patients was emotional support. There was a significant positive correlation between medication adherence and social support (rho=0.154, p=0.043). Finding of this study was in agreement with previous studies that social support was the main determinant of compliance to medication. Among all the sources of social support, doctors (physician) were selected by patient as the main source of support followed by spouse, children and nurses. Findings from the present research contribute to the growing evidence on the role of social support environment towards medication adherence among individuals with Type 2 DM. Thus, future research regarding the development of interventions on importance of social support and medication adherence is suggested among this population.

 

Myagmarchuluun S

MNUMS-School of Public Health, Mongolia

Title: Workload of nursing professionals and future perspectives

Time : 15:20-15:50

Speaker
Biography:

Abstract:

Background: In healthcare system nursing care and nursing professionals are the essential parts and implementing advanced, professional nursing care remains inseparably required for quality improvement in health.

Study aim: We aimed to study workload of nursing professionals and to define future tendencies

Materials and methods: We surveyed our study by cross-sectional design in hospital based setting. Subjects were randomly recruited from primary and advanced level healthcare facility nurses. Some nurses were recruited by stratified sampling method from advanced level hospitals and total of 179 nurses from 22 specialties working in 32 facilities. By organization based observational method we analyzed for each specialties (1) and workload of nursing professionals (2) with “Job evaluation” criteria, documentary, and observational methods.

Results: Everyday routine duties were 469.8 minutes in primary level nurses, which is 25.6 minutes longer than advanced level hospitals. Average of time spent for each procedure or action in primary and advanced level hospitals for nurses are 13.1 and 12.4 minutes respectively. Customer load for primary level nurses were higher than advanced level hospital nurses as of 23.0 and 21.5, respectively. However time spent for healthcare services were lower in primary setting (234.0) than in advanced level setting (276.0). In cases timekeeping analysis were unavailable, “Job evaluation” criteria were used for determining skills, knowledge, practice, educational background, responsibilities according to duty and job, personal effort, given freedom, and working conditions. Total scores were calculated and degree of workload was evaluated based on the score. Analysis revealed that the subjects were belonged to III-V degree workloads and of these primary care nurses classified in III-IV degree, and advanced care nurses into III-V degree of workload. Until 1990, number of nurses produced into healthcare human resources were constantly increased, however declined overtime following the open market system. In 2015, 37.5 nurses were recorded per 10000 populations, which is the highest since 1995, although 267 populations are given to a nurse. Currently, nine of the eleven universities that train nurses have bachelor program in nursing education. These findings suggest dominancy in bachelor degree nurses is beingcommon in nursing education comparing other nursing programs. The prediction tendency until 2020 is shown based on the last decade statistics signifying possibilities to reach 13061 by 2020 and 13626.8 by 2024.

Conclusion: Primary care nurses have longer working time of 469.8 minutes, which is 25.6 minutes longer than advanced level care nurses. Although hospital service level and specialty of nurses differ from each other, job evaluation signifying workload classified between III-V grades. Statistical analysis based on last decade statistics revealed that nurses number tend to reach 13061 by 2020 and subsequently 13626.8 by 2024, however physician to nurse ratio may reach only 1:1.16. Population ratio per nurses may decrease gradually by 2024 to 249.5 persons per nurse due to increase of nursing professionals and slowing of population growth.

Speaker
Biography:

He is working as a Lecturer at School of Nursing and Midwifery, Shahroud University of Medical sciences, Shahroud, Iran

Abstract:

Anxiety is one of the most common and important psychological reactions in patients with acute myocardial infarction. Thus, this study aims to effects peer education on cardiac Anxiety in patients with acute myocardial infarction. This is a randomized clinical trial (RCT) study. Samples included 60 patients with myocardial infarction, who were randomly divided into two groups of intervention (peer education) and control. Anxiety was measured in both groups before intervention. Then the control group get routine training and the intervention group, in addition to routine training, was trained by peers; the anxiety level before the intervention, and four weeks after the heart attack, was assessed in the two groups by completing the questionnaires. The collected data were analyzed using SPSS v.22 software, There was no significant difference in the mean of anxiety level in both groups before intervention (p=0/889). The results of this study showed that patients who have received peer education had less level of anxiety compared to patients who received routine education. According to the findings of this study, peer education for patients with myocardial infarction seems to be an effective way to reduce anxiety in these patients. Therefore, it is recommended to use this educational approach in heart wards to educate patients.

Speaker
Biography:

Abstract:

Psychological distress (stress, anxiety, and depression) and quality of life among chronic kidney diseases patients on dialysis at the cape coast teaching hospital

Haemodialysis has proven to be the most effective treatment modality due to its efficiency in sustaining patients for a very long period. Despite this, there is evidence to suggest that factors such as stress, depression and anxiety moderates the quality of life of CKD patients on dialysis.

 Nephrology clinicians primarily should not only treat the physical symptoms of kidney disease but explore and proactively recognise the emotional and psychosocial realities of patients with this disease. The purpose of the study was to investigate the psychological distress and quality of life among Chronic Kidney Disease patients on dialysis at the Cape Coast Teaching Hospital. The study adopted a descriptive survey design. The purposive sampling technique was used to sample 38 patients. Depression, Anxiety and Stress Scales (DASS 42) was adapted to measure psychological distress and quality of life was measured using the World Health Organisation Quality of Life Instruments (WHOQOL-BREF). Data was analysed using Pearson Product Moment Correlation Coefficient, and Independent t test. The result of the study Majority of patients with CKD experience varying levels of psychological distress. Further the study found a negative correlation between psychological distress (stress r= -.488, anxiety r= -.537 and depression r= -.467, n=40, p=.001) and CKD patients’ quality of life. Finally, no significant differences was observed in the psychological distress of males (M=72.64, SD= 9.61) and females M=68.93, SD= 4.33; t (35.95) = 1.67, p =.104 (2 tailed). It was recommended that renal care practitioners should be educated on the need to refer patient to Clinical Psychologist for proper management of psychological related cases. Also, a robust multidisciplinary team approach for the management of renal cases.