4^th International Conference on Nursing & Healthcare October 05-07, 2015 San Francisco, USA

Biography:

Magda Mohamed Bayoumi is currently working as an Assistant Professor, Head of Nursing Department at Al-Farabi Colleges Riyadh. She has been the Dean College of Medical Applied Sciences, King Khalid University in the Medical & Surgical Departments for 4 years and as a Lecturer in the Faculty of Nursing, King Saud University for 4 years and before to that; working in haemo and peritoneal dialysis for seven years. She was awarded with PhD in 2007 from Ain Shams University. She has published more than 10 papers in reputed journals and has been serving as Reviewer of repute. Her main interests are in nursing research, adding to new nursing knowledge for the benefi t of patients, families and communities; this encompasses all aspects of health including promotion and prevention.

Abstract:

Background: Physical functioning decline over time with dialysis therapy, in hemodialysis (HD) patients, the exercise has been established as a vital part of health promotion activities to improve all aspects of quality of life.

Methods: A quasi-experimental intervention design was used, pre-post assessment of the eff ect of implementation of exercise program for hemodialysis patients at Mohail General Hospital- southern of Saudi Arabia. Th e questionnaires were used to collect data: Physical Fitness Measurement, KDQoL-SFTM 1.3, Borg's 15-point scale for rating of perceived exertion (RPE), vital signs and lab investigation (Hemoglobin, Serum phosphates, Serum albumin, Creatinine, Fasting blood sugar, Kt/v and Urea).

Results: Th e pre-post physical fi tness scale as assessed among patients; statistically signifi cant changes in the scores of all activities (p<0.001). Regarding the correlations between pre-post-program QOL scores were indicate weak to strong statistically signifi cant positive correlations in all domains except for those of cognitive function, quality of social interaction and sleep. Moreover the patients’ Borg scores statistically signifi cant decreases in throughout the three months of follow-up (p<0.001); in addition improvements in the adequacy of dialysis (kt/v) and in serum potassium level (p<0.001) from the fi rst to the third months. Although the percentages of patients with hemoglobin level 11 gm/dl or higher increased from 41.1% at the fi rst month to 60.3% at the third month, the diff erence could not reach statistical signifi cance (p=0.067).

Conclusions: Th e implementation of the exercise program was associated with signifi cant improvements in the score of all domains of quality of life and physical fi tness scale. Th erefore might be applied in other similar situations as on peritoneal dialysis patients and evaluated for further improvement.

Biography:

Rita Ramos is an Assistant Professor of the Faculty of Management and Development Studies in the UP Open University and the current Program Chair of the Master of Arts in Nursing, UP Open University. She fi nished her Bachelor of Science in Nursing from San Juan De Dios College. She obtained her Master of Arts in Nursing from the University of the Philippines Manila. Her research interests include Item Response Theory; Classical Test Theory; tool validation; motivation in distance education; achievement goals in education; self-regulation; clinical learning environment; dignifi ed dying; and aggression. Sheis taking her PhD in Educational Psychology, major in Quantitative Methods in De La Salle University Manila, currently on dissertation writing.

Mary Joan Therese Valera is currently enrolled in the Doctor of Communications degree in the University of the Philippines Open University. She has a Master in Public Health degree in 2007, with specialty in Health Promotion and Education, and a Bachelor of Science in nursing degree in 1991 from the University of the Philippines Manila (UPM). Her nursing career started in 1992, when she worked as staff nurse in the adult medical-surgical ward of the Philippine General Hospital (PGH). In 1996, she was invited by the UPM College of Nursing (UPM-CN), and joined their roster of faculty that same year in June. She served as research assistant in the Adult Health Section of Medical Research Unit, and the National Poison Management and Control Center of the Philippine General Hospital, the National University Hospital in the Philippines from December, 1999 to April, 2003. Prof Valera has authored several researches on fall risks of the older persons, and poisoning in the community. She has co-authored researches on nursing students’ core competencies, registered nurses in the Philippines’ hospital and public health competencies, and clinical learning environment of student nurses. She has been presenting the results of her researches in European and Asian countries.

Abstract:

CLE encompasses the clinical setting and placement of students studying to become professional nurses, and includes all practitioners that students are exposed to and work with, and the supervision that they receive from ward managers and classroom teachers. Additionally, learner’s characteristics refl ect individual diff erences among student nurses in terms of motivational variables. Intrinsically motivated individuals’ engagement in learning is coupled with pleasure and enjoyment as this can bring challenge and arouse curiosity (Pintrich, 1999). CLE mirrors external factors namely academic supervision, supervision in the hospital and nursing care in the ward. Th e individual factors will be taken into account which represents the individual diff erences of nursing students in terms of motivational level in this study. Having both Clinical Learning Environment (external) and learner’s characteristics (internal) will provide us a model of good clinical learning outcomes. Th us, this study will test a model showing the eff ects of Clinical Learning Environment, Learner’s Characteristics and Clinical learning outcomes using Structural Equation Modeling (SEM).

Biography:

Hamdan Mohammad Albaqawi has completed his PhD from RMIT University School of Nursing and Midwifery in Australia. He is currently working in the University of Hail as an Assistant Professor and acting as the Head of Academic Affairs in the College of Nursing. He has worked in many hospitals in Saudi Arabia and attended many courses and participated in some international conferences.

Abstract:

Background: Pain is a human experience that aff ects overall quality of life and it is known to be the most common reason for people seeking healthcare. Nurses play a crucial role in assessing and managing patients’ pain. Eff ective pain management requires precise knowledge, attitudes and competent assessment skills. Knowledge defi cits and inappropriate attitudes are major contributing factors to the under-treatment of pain.

Materials & Methods: Th is descriptive mixed-methods study samples local and expatriate nurses working in Hail region hospitals. Th e study involves administering a questionnaire to a sample of 303 nurses to ascertain their knowledge and attitudes regarding pain management ‘Knowledge and Attitudes Survey Regarding Pain’ (KASRP).

Results: In this study, the average correct response rate to the various questions was 41.75 percent with rates ranging from 5-87 percent. Th e fi ndings indicate inadequate knowledge regarding pain, pain assessment, pain management and pain medications.

Recommendations: Th is study recommends increased education regarding pain management as well as an annual assessment of skills for all clinical nurses. Th e expertise gained in training programs could be enhanced through workshops and courses that are conducted on a regular basis in order to keep nurses’ knowledge up to date.

Conclusion: Th e results of this study indicate problems in nurses’ knowledge and negative attitudes regarding pain and pain management. Educational and training enhancements should be implemented to correct these defi ciencies.

Biography:

Bandana Bisht has completed her Graduation from PGIMER, Chandigarh and Post Graduation in Mental Health Nursing from CMC & H, Punjab in India. Presently she is pursuing her PhD in Nursing. She has worked in OT and ICUs. Currently she is the Vice Principal at Chitkara College of Nursing. She has a passion for teaching with innovative and interesting methods. She has won RJ hunt and Best Faculty Advisor Award at Chitkara University, India.

Abstract:

A pre test-post test experimental study was conducted to assess the impact of multimedia approach to an awareness program on knowledge and attitude regarding Schizophrenia. A sample of 176 students of Chitkara University was selected by simple random sampling technique. A self reported questionnaire on knowledge assessment and Attitude scale regarding Schizophrenia was prepared and validated. Th ere were 40 items in Knowledge questionnaire and 30 items in Attitude scale. Th e tools were administered to the respondents to measure their baseline pre test knowledge and attitude regarding schizophrenia. Aft er the pre test, the Hollywood movie, ‘A beautiful mind’ based on the life of Dr John Nash, a schizophrenic and a Nobel Prize winner was shown to the participants. It was followed by an awareness talk on ‘Living with Schizophrenia’ with the help of PowerPoint presentation and videos. Post test was conducted to measure the impact of information on knowledge empowerment and attitude of respondents. Data was analyzed through descriptive and inferential statistics using SPSS 16.0 version. Th e fi ndings of the study showed that the baseline knowledge of the participants was surprisingly very poor. Discrimination and stigma was found in their attitude towards schizophrenic patients. Th e knowledge of the participants improved signifi cantly aft er sensitizing them through the awareness program given by multimedia approach. Results also suggest there were positive gains in attitude. Th us, in conclusion, multimedia approach can be the eff ective tool in sensitizing people towards stigmatized mental disorders like schizophrenia.

Biography:

Alicia J Mangram is a Medical Director of Trauma and Acute Care Surgery as well as Medical Director of Surgical Intensive Care Unit at John C Lincoln Health Network, Phoenix Arizona. She has been recently appointed as a Program Director for the John C Lincoln Health Network AOA General Surgery Residency. She was trained at the University of Texas Health Sciences Center where she excelled as a Surgeon and Assistant Program Director for many years. As Trauma Surgeon Team Lead, she distributes her practice time between trauma clinical care delivery, general surgery, surgical intensive care, administrative work and research. She also serves on the American College of Surgeons General Surgery Advisory Board. She has published many scientifi c and medical articles in peer-reviewed journals. She is highly recognized nationally for her G60 program service innovation for the elderly.

Abstract:

The recent dramatic explosion in the US geriatric population is associated with increased complications, cost and trauma death rates. Geriatric trauma management strategies which had been previously developed during an era when the census of the elderly was comparatively low are now seen by many as woefully inadequate to meet present-day challenges. Presented with this challenge we must now cease the opportunity to develop innovative interventions designed specifi cally to address the enormous unmet health quality and economic needs of the elderly. Innovation in geriatric trauma will require thought leaders who are not only prepared to lead but must champion the cause of the elderly and function as catalysts to transform the New Trauma Culture. Th is presentation will describe services we developed in response to intervention gaps we identifi ed in geriatric trauma care through research. Several of these projects include: Geriatric G-60 service, falls and deaths, rib plating, femoral iliaca nerve blocks for hip fractures. We have tested-driven a number of these strategies to see how well they perform and we plan to share these fi ndings with you including lessons learned. Finally we suggest research needs to advance the fi eld of geriatric trauma. We believe these plans may improve outcomes for the ever increasing number of geriatric patients.

Biography:

Nancy McNamara is currently pursuing her PhD from Central Queensland University in Australia. She is a Senior Nursing Lecturer working in the Postgraduate Nursing Program in the Centre for Health and Social Practice at Wintec in New Zealand. She has an interest in simulation in nursing education and has published several papers in reputed journals.

Abstract:

For many undergraduate students in the health industry, limited numbers of quality clinical placements and variable placement experiences limit learning opportunities. In order to introduce students to the collaborative care and develop communication skills, social work, occupational therapy and nursing students in undergraduate health programs at Wintec in New Zealand took part in a simulated Inter-professional meeting which was part of a simulated nursing practice program. Selfselecting participants completed a questionnaire answering fi ve open ended questions and responded to an opportunity to take part in a focus group. Research fi ndings were analyzed through a process of thematic analysis whereby each sentence of data was analyzed in the fi rst instance and categorized. Categories were then analyzed and merged where appropriate to form the overall themes. Kolb’s (1984) Experiential Learning Th eory provided a theoretical framework to guide this study. Of the 72 participants, (54 nursing students, 8 occupational therapy students and 10 social work students) (n=48) responded to the questionnaire. Nine of these students also took part in the focus group. Th emes identifi ed from overall participant responses were: Professional role clarifi cation and awareness, preparedness, safety and realism. Results in this study suggest that the simulated collaborative meeting overall provided a valuable learning experience for students. Th e study also highlighted the need to ensure that all students involved, receive the same information and are well prepared for the simulated meeting. Further research is required within the professional group to establish the value of including this type of experiential learning into undergraduate health and social practice programs.

Biography:

Shirley Strachan-Jackman is a Nurse Practitioner at the Toronto Western Hospital, University Health Network in the Department of Emergency Medicine. She has obtained her Master of Nursing and Nurse Practitioner degree from the University of Toronto and she also holds a certifi cation in Emergency Nursing. She has cross appointment with the University of Toronto and she is very active with precepting nurse practitioner students from the University as well as York University and Ryerson University. Her interests lies in education, conference planning and she is just getting her feet wet in research activity.

Timothy Stewart has been working in the Health Care Industry for almost 20 years as a Registered Nurse, Nurse Educator and Nurse Practitioner, in the areas of Primary Care, Emergency and Stroke. He has a strong interest in clinical practice, systems and research, specializing in the analysis of the quality of patient care and safety. He is currently a Nurse Practitioner with the Krembil Neuroscience Centre stroke program at the University Health Network in Toronto.

Abstract:

Family presence during resuscitation (FPDR) is an area that has gained increased attention over the past few decades. For years the question that is under debate is, “Should health care providers recommend family presence during resuscitation or should they recommend against it”. In North America, traditional paternalistic views have prevented the practice of the more family-centered approach of FPDR, where as in the UK 79% of emergency departments (EDs) allowed FPDR. Although FPDR has been accepted as best practice by the Emergency Nurses’ Association and the American Heart Association, fears concerning increased liability for the institution and practitioner fears such as disruption of clinical activities and lack of space for the family and staff have prevented many institutions from off ering the option to family members. Although incorporating family practice into resuscitation events can be challenging, our philosophy at Toronto Western Emergency is that families should be given the opportunity to be in the room in what may be the last minutes of their loved one’s life. Our belief is that FPDR will allow for a fi nal goodbye by a spouse, sibling, adult child or parent who cannot fathom being separated at the moment of death. Th us our service provides a dedicated nurse to provide guidance, explanation and support to the family members who decide to remain in the room during a resuscitation event. As a new practice, we were interested in better understanding members’ experiences. Th is presentation will discuss the fi ndings of our phenomenological study that was undertaken to describe” lived experiences of families when given the choice to be present during cardiopulmonary resuscitation (CPR)” in the emergency department setting. Six relatives or signifi cant others elected to stay with their family member during the resuscitation and participated in a semi-structured personal interview within 3 months of the event. Findings will be discussed in light of practice, education and future research needs.

Biography:

Letourneau Dominique is a Chairman of the Foundation of the Future (applied medical research recognized of public utility foundation). He is an Associate Professor in Creteil University School of Medicine. He is also the Head of Master Management of health care organizations since 2008 and previously the Director of the Institute engineering of health (1996-2007). He has about thirty articles published in the professional press health and social and more than forty communications in conferences on health and training issues, two books and various reports. He is also a member of several committees and ministerial working groups in the fi eld of health and training as a qualifi ed person.

Abstract:

For 10 years the France is engaged in an in-depth study on the evolution of its health system. Th e issue of collaboration between doctors and nurses is redesigned on the mode of practice advanced care. Th e ageing of the population, medical demography and technological development accelerate this change. Once the principles lay down, the actors struggle to agree to their implementation as professional hierarchies are debates. But most importantly, this has remained a debate between specialists. We drove the fi rst survey to query the French population on this development concerned fi rst. Th e results are very interesting because they show the lack of information and overall expressed objections. Surprisingly, it is those who would be most recipients (elderly, isolated people in rural areas) which are more reluctant. With the issue of advanced care practices, it is the entire process of the transfer of nursing education to the University which is at stake with the prospect of clinical masters and then PhD in care as exists in many countries. Th e development of clinical training at the University will feed nursing research and contribute to the knowledge on the evolution of the practices of care for the benefi t of users.

Biography:

Letourneau Dominique is a Chairman of the Foundation of the Future (applied medical research recognized of public utility foundation). He is an Associate Professor in Creteil University School of Medicine. He is also the Head of Master Management of health care organizations since 2008 and previously the Director of the Institute engineering of health (1996-2007). He has about thirty articles published in the professional press health and social and more than forty communications in conferences on health and training issues, two books and various reports. He is also a member of several committees and ministerial working groups in the fi eld of health and training as a qualifi ed person.

Abstract:

For 10 years the France is engaged in an in-depth study on the evolution of its health system. Th e issue of collaboration between doctors and nurses is redesigned on the mode of practice advanced care. Th e ageing of the population, medical demography and technological development accelerate this change. Once the principles lay down, the actors struggle to agree to their implementation as professional hierarchies are debates. But most importantly, this has remained a debate between specialists. We drove the fi rst survey to query the French population on this development concerned fi rst. Th e results are very interesting because they show the lack of information and overall expressed objections. Surprisingly, it is those who would be most recipients (elderly, isolated people in rural areas) which are more reluctant. With the issue of advanced care practices, it is the entire process of the transfer of nursing education to the University which is at stake with the prospect of clinical masters and then PhD in care as exists in many countries. Th e development of clinical training at the University will feed nursing research and contribute to the knowledge on the evolution of the practices of care for the benefi t of users.

Biography:

Ellemes Phuma-Ngaiyaye has completed MSc in Parent and Child Health from University of Botswana and currently pursuing her PhD at the University of the Western Cape, South Africa. She works with Mzuzu Univeristy, Malawi, as a Lecture in Pediatric and Neonatal Nursing and Nursing Ethics and Professionalism. She has also worked as a School Coordinator for the ICAP-NEPI Malawi project at her University. As a young and upcoming scholar, she has great interest and motivation in maternal and neonatal health, education and research to contribute to quality health services in the country.

Abstract:

Background: Illness and hospitalization of a newborn baby may interrupt the natural maternal-infant bonding and attachment process. Th is may in turn aff ect the maternal-newborn relationships because of stress. It is not documented what strategies were used in the neonatal intensive care units in Malawi to support maternal-newborn bonding.

Aim: Th is paper explored the strategies used by healthcare providers to support maternal-newborn bonding and attachment for mothers with neonates admitted in a neonatal intensive care unit.
Methodology: Th e study was qualitative in nature and used in-depth interviews and observations. Five nurse/midwives working in and 10 mothers with infants admitted in the neonatal intensive care unit at one of the tertiary hospitals in Malawi participated in the study.

Results: Th e results showed that as the nurse/midwives strive to provide special nursing care to the sick infants, several measures were also carried out to support maternal-infant bonding. Th ese measures focused on maternal-infant interaction through breastfeeding, kangaroo mother care and maternal participation in the child’s care and nurse/midwife-mother interaction through communication and psychosocial support. Th ese strategies helped the mothers to feel close to their children and develop positive and trustful relationships.

Conclusion: Nurses and midwives working in neonatal intensive care units should strive to promote these strategies to support maternal-newborn attachment. Th is will minimize maternal-infant separation thereby alleviating anxiety and enhancing maternal confi dence when interacting with the newborn baby.

Biography:

Amal Mohamed Ahmad has completed her PhD and Postdoctoral studies from Assiut University; Faculty of Nursing. She is an Assistant Professor and Dean in Faculty of Nursing, Aswan University, Egypt. She has published more than 15 papers in reputed journals. She is an Academician in the fi eld of Medical-Surgical Nursing teaching both theory and clinical courses and actively participating in professional activities of Aswan University.

Abstract:

Aim: Th is study aimed to evaluate the eff ect of designed protocol for patients with peptic ulcers disease.
Design: A quasi-experimental research design was utilized.
Sample & Setting: Convenience samples of 60 patients with peptic ulcer at Assiut University Hospitals were selected. Th ey are divided into two equal groups matched for age, sex, educational status and co-morbidity.

Method: Tools for data collection were through a structured interview questionnaire and lifestyle assessment. Th e designed protocol was applied to improve the patient's lifestyle and decrease the rate of complications. Th e tools were used for pretest before conduction of the designed, protocol, immediate posttest and follow-up at 6 weeks.

Results: Th e mean knowledge scores and mean practice scores among the study group increased immediately post the program implementation and continued to be high at the follow-up phases. No such improvements could be noticed among the control group throughout the study phases. Statistical signifi cant improvements in study group, fewer complications and some improvement in their life style.

Conclusion: Nursing intervention protocol provided for patient with peptic are necessary to reduce complications and to improve their life style status.
Recommendation: Application of the designed intervention is recommended in similar settings.

Biography:

Leesa McBroom has completed her PhD from University of Missouri in Columbia, Missouri. She has completed her Masters in Nursing with emphasis in Family Nurse from University of Missouri, Kansas City. She has received her Undergraduate from Dominica University in California. She is the Chair of the Department of Nursing at William Jewell College, a premier liberal arts college. She maintains a practice as an Advanced Practice Family Nurse Practitioner seeing patients of all ages. Her research interests are family-centered care, family dynamics and nursing education

Abstract:

In the United States, approximately 1.5 million children are aff ected by divorce annually. Maintaining separate households and inter-parental confl icts related to divorce likely result in diff erent experiences for divorced families. Divorced family dynamics have not been well studied in relation to chronic illness and nursing care. Th is presentation will describe the diffi culties related to divorced co-parenting dynamics identifi ed by divorced mothers in managing Type-1 Diabetes (T1D) for their children. Open-ended interviews were conducted with mothers who had children diagnosed with diabetes. Co-parenting divorce dynamics were identifi ed for divorced mothers who manage T1D for their children. Interventions for family-centered nursing care will be discussed.

Biography:

Jayne Skehan is the Director of Pediatric Cardiology Services at New York Presbyterian Hospital in New York City as well as a Per Diem Nursing Administrator at Mount Sinai Hospital in NYC. She has published in peer review nursing journals and she is pursuing her Doctoral degree in Nursing Practice (DNP) at Saint Peter’s University, USA.

Abstract:

Workplace bullying has become increasingly prevalent in healthcare and there is signifi cant data to support bullying befalls and carries destruction. Th e zone of silence that surrounds and insulates this surreptitious behavior is real. In an environment in which bullying is not addressed, it oft en spreads. Many ramifi cations of workplace bullying aff ect employees as well as patients and can lead to decreased reimbursement, unsafe conditions and increases in errors in addition to an overall negative reputation for an organization. Recently, studies have suggested there is a direct correlation between professional nursing educational programs and decreased incivility in the workplace. Research studies support that when bullies in the workplace are held accountable, staff are more empowered to come forward and report these events. Th rough education, prevention and awareness, nursing educational programs can be instrumental in eradicating this behavior both in the academic world and hospital based settings. Undergraduate nursing students in the academic arena could benefi t from evidence-based education on ramifi cations of buying and how to address it in their practice. Hospital based nursing education programs outlining policies and acceptable behaviors are another forum that could help to prevent workplace violence. Researchers agree additional studies are needed in order to examine the eff ectiveness of nursing educational programs on eliminating covert bullying.

Biography:

Raymond J Shamberger has completed his PhD from the University of Miami, USA. He is an Emeritus Laboratory Director of King James Medical Laboratory at Westlake, USA. He is a member of several scientifi c organizations and he has published 215 papers, abstracts, books and patents. His latest work is related to nutritional epidemiology and childhood diseases which include SIDS, ADHD, autism and multiple sclerosis.

Abstract:

In November 2009, during an ice storm in Cleveland an autistic mother brought her two autistic daughters to our Clinic for help. I decided to investigate further on how to help her. Th e consensus among autism researchers was that genetic and environmental factors were the main causes. Vaccines containing thimersol with mercury were also suspected because parents noticed symptoms around the time of vaccination. With thimersol removal the autism rate increased. Reliable statistics were not available. Th e CDC set up stations in 14 states to monitor incidence and found an 18% yearly increase. Use of the statistic of 8 year olds was found to be more reliable because by that time the diagnosis of autism has been established. However, dietary intake could not be established and a process called nutritional epidemiology was used. Results showed that the greater the percentage of breast feeding the higher the number of autism cases in the states and the counties of 4 of these states. Th e amounts of milk that babies drank were determined from the USDA and the amounts of B-vitamins consumed were calculated. Results showed that the minimal daily requirements were not met. Sugar was signifi cantly related directly to the autism rate of eight year olds. In conclusion, it appears that autism may be related to inadequate intake of B-vitamins.

Biography:

Hekmat Ibrahim Abed El Kerim has completed her PhD and Postdoctoral studies from Assiut University; Faculty of Nursing. She is an Assistant Professor in the Faculty of Nursing, Assiut University; teaching Pediatric Nursing.

Abstract:

Aim: Th e aim of this study is to assess the eff ect of nutritive versus non nutritive feeding methods on pain relive for premature infants in prone position following invasive procedures.

Research Design: Quasi Experimental research design was utilized.
Setting: Th is study was conducted in neonatal Intensive care unit (NICU) at Assuit University Pediatric Hospital.

Subjects: Th e subjects who participated in this study included a convenient sample of 90 premature infants who were selected randomly from the previous setting. Th ey were divided into three groups of premature infants (30 neonates for each group). Two fi ft hs of the premature infants of both the control and study group-2 (46.6% for both) and more than half (56.7) of group-3 had birth weight from 1500 to less than 2500 kg. More than half of the control group (53.3%) had 28-31 weeks of gestational age while 53.3% and 50.0% respectively of study group-2 and 3 respectively had 32-35 weeks of gestational age. Th e majority of the subjects had history of respiratory distress [control group (93.3%), study group-2 (86.6%) and study group-3 (76.6%)]. Th e majority of premature infants in the control group (60%) was active or awake and had eye open, facial movement of behavioral state.

Results & Conclusion: Th e highest percentage of premature infants' in the control group had an increase in heart rate by 25 beats per min or more (46.7%) and a decrease in oxygen saturation (50.0%) by 7.5% or more. Th e highest percentage of the control group (60%) was taking a maximum of 70% of time or more to express the facial action. It was concluded that sucrose solution and non-nutritive sucking were eff ective in reducing premature infants' pain during invasive procedures in prone position as signifi cant diff erences were found between the control group and study groups. In addition, it could be said that sucrose solution is slightly better than non-nutritive sucking (pacifi er) in pain relief for premature infants during invasive procedure. Although no signifi cant diff erence was found, the percentage of premature infants who suff ered from mild pain & received sucrose solution was higher than those who suff ered from mild pain & received non-nutritive sucking.
Recommendation: Based on the fi ndings, the study recommends that encourage nurses to use of feeding methods such as sucrose solution and non-nutritive sucking (pacifi er) before painful invasive procedures in premature infants on prone position is a simple, non invasive and eff ective method in pain management. Th e use of sucrose solution is slightly better than non-nutritive sucking (pacifi er) in reliving premature infants’ pain.

Biography:

Minoo Pakgohar has completed her PhD from University Putra Malaysia. She is the Faculty Member of School of Nursing and Midwifery, Tehran University of Medical Sciences.

Abstract:

Background & Aim: Osteoporosis is a chronic disease and the most common metabolic bone disease. Complications of osteoporosis aff ect the quality of life especially in older adults. It has been estimated that between 20 to 50 percent of bone density is infl uenced by lifestyle. Th e present study aimed to determine the lifestyle and related factors in older adults with osteoporosis.

Methods: In this cross-sectional study, 300 osteoporotic elderly who referred to the bone densitometry centers of Tehran University of Medical Sciences, Tehran, Iran were recruited. Data was collected by demographic form as well as lifestyle elderly questionnaire with acceptable validity and reliability. Data was analyzed by descriptive and inferential statistics including ANOVA, Chi-Square tests, t-test and Pearson correlation coeffi cient with using SPSS-PC (v-21) and P<0/05.

Results: Th e study fi ndings showed that lifestyle of the most osteoporotic elderly (71.3%) was moderate. 10.7% of them had adequate lifestyle. Th ere was a statistically signifi cant relationship between lifestyle and marital status (p<0.001), educational level (p<0.027) and comorbidity (p<0.009). Th ere was not relationship between age, gender and lifestyle.

Conclusion: Th e researchers concluded that health policy makers have to pay more attention to screening and prevention program for osteoporosis through lifestyle modifi cation.

Biography:

Dr. Mangram is Medical Director of Trauma and Acute Care Surgery, as well as Medical Director of Surgical Intensive Care Unit at John C Lincoln Health Network, Phoenix Arizona. Dr. Mangram recently was appointed Program Director for the John C. Lincoln Health Network AOA General Surgery Residency. She was trained at the University of Texas Health Sciences Center where she excelled as a surgeon and assistant program director for many years. As trauma surgeon team lead, Dr. Mangram distributes her practice time between trauma clinical care delivery, general surgery, surgical intensive care, administrative work and research. She serves on the American College of Surgeons General Surgery Advisory Board. Dr. Mangram has published many scientific and medical articles in peer-reviewed journals. She is highly recognized nationally for her G60 program service innovation for the elderly.

Abstract:

The recent dramatic explosion in the US geriatric population is associated with increased complications, cost and trauma death rates. Geriatric trauma management strategies which had been previously developed during an era when the census of the elderly was comparatively low are now seen by many as woefully inadequate to meet present-day challenges. Presented with this challenge we must now cease the opportunity to develop innovative interventions designed specifically to address the enormous unmet health quality and economic needs of the elderly. Innovation in geriatric trauma will require thought leaders who are not only prepared to lead but must champion the cause of the elderly and function as catalysts to transform the New Trauma Culture. This presentation will describe services we developed in response to intervention gaps we identified in geriatric trauma care through research. Several of these projects include: Geriatric G-60 service, falls and deaths, rib plating, femoral illiaca nerve blocks for hip fractures. We have tested-driven a number of these strategies to see how well they perform and we plan to share these findings with you including lessons learned. Finally we suggest research needs to advance the field of geriatric trauma. We believe these plans may improve outcomes for the ever increasing number of geriatric patients.

Biography:

Yasser Moullan has a PhD in Economics from the University of Paris 1 Panthéon Sorbonne. He has specialized in the linkages between migration and health. His main research concerns the determinants, the consequences and the policy implications of medical brain drain for origin developing countries. As an Associate Researcher at IRDES, he has analyzed the socio-economic determinants of health immigrants in Europe. He is a Research Officer at the International Migration Institute at the University of Oxford where he has been awarded from the John Fell Foundation for a new research project in 2015-2016 about “The international migration of medical doctors: Trends, drivers and policies”.

Abstract:

Today, several OECD countries face shortages of physicians in remote areas. Policymakers try to tackle this issue by creating a suffi cient number of physicians through training system into medical schools and by recruiting internationally. Th is paper investigates which strategies OECD governments adopt and when these policies are really eff ective to address the medical shortages. We argue that due to the duration of training in medicine, the eff ectiveness of the medical school policy should be longer compared to the recruitment of foreign physicians. We built a dataset that comprises information about medical shortage, the number of medical graduates and the number of foreign trained physicians by using the A. Bhargava et al. (2011) dataset for 17 OECD countries between 1991 and 2004. Our empirical results confi rm our theoretical assumption. We found that OECD governments aft er a period of medical shortages create a higher number of medical graduates and in the same time hire much more from abroad. In terms of policy time delay, medical education policy takes at least fi ve years whereas the recruitment from abroad only takes one year to address the shortage issue. Finally, we found that foreign physicians over-respond to the shortage of physicians in OECD countries.

Biography:

Stephen Hartley is the Senior Director of Analytics for the Population Health Management products at Optum. He has more than 20 years of experience in the health care industry. Currently, he and his team of research and data analysts are responsible for development and execution of an analytic agenda to assist in product research, design, execution and evaluation for Optum Population Health Management products. Prior to joining Optum, he has worked in Reporting, Analytics and Data Management for SHPS, Principal Financial Group and J F Molloy & Associates. He holds a BS in Mathematics & Actuarial Science from Butler University.

Abstract:

Telephone nurse lines help callers select the most appropriate site/level of care for acute conditions. Th e study objective was to determine whether compliance with nurse recommendations were associated with lower average health care expenditures and to identify employer characteristics associated with achieving higher than average savings. Telephone calls placed between 1/1/2012 to 12/31/2012 by commercial health plan members who worked for large employers were identifi ed. Callers’ preintent and nurse recommendation regarding site/level of care were captured and compliance was determined using medical claims during a 30 day post-call observation period and was based on adherence to nurse recommendations. Aft er regressionbased adjustment, average medical expenditures were compared between compliers and non-compliers. A logistic regression analysis identifi ed employer characteristics positively associated with achieving higher than average savings. 132,509 calls were identifi ed for study inclusion. Nurse recommendations were that 31.0% of the callers seek a higher level of care than mentioned at the start of the call, 24.9% use a lower level of care and 44.1% pursue their originally intended level of care. Overall, 56.8% of callers were compliant with nurse recommendations. On average expenditures was $328 lower among compliant callers. Employer characteristics associated with greater savings included having a low employee to dependent ratio, a headquarters in the Western region of the US, a low prospective health risk score and participation by the employer in a targeted communication campaign. Compliance with Nurse Line triage recommendations results in lower average health care expenditures and several characteristics were positively associated with achieving higher savings.

Biography:

Henny Suzana Mediani has completed her PhD from School of Nursing and Midwifery Faculty of Health Science Curtin University, Australia in 2014. She is a Senior Lecturer of Pediatric Nursing at the Faculty of Nursing Universitas Padjadjaran Bandung Indonesia. She has been working in Faculty of Nursing Universitas Padjadjaran since 1994. She is working as a Lecturer to undergraduate and postgraduate students in the Faculty of Nursing Universitas Padjadjaran. She is also as Clinical Nursing Consultant at few hospitals in West Java Province Indonesia. She has published some papers in Indonesian journals and has been serving as a Reviewer in Royal College of Nursing Publishing Company, United Kingdom since 2014 and some Indonesian Journals.

Abstract:

Background: Every day an unknown number of hospitalized Indonesian children endure pain from surgery, illness, nursing interventions and other medical procedures during hospitalization. However, little attention has been given to Indonesian children’s pain management and care. Th ere is a dearth of research in Indonesia regarding pain management in children. Th e aim of the study was to explore Indonesian nurses’ perceptions of and experiences with pain management of hospitalized children with a view to discovering factors that infl uence nurses’ ability to provide pain management practice in clinical setting.

Design & Methods: Th e study used Glaserian grounded theory methodology. Th is approach has allowed for inductive exploration and analysis of how Indonesian nurses’ pain management practice used to manage pediatric patients in pain and to develop a substantive theory that explains how Indonesian nurses attempt to resolve the main concerns experienced by them when caring for hospitalized children in pain. Data were collected from a sample of 37 nurses through semi structured, indepth interviews and was guided by theoretical sampling. Data were managed by using manual thematic analytic procedures to identify themes, patterns and essential elements contained within the text, while constant comparative analysis using open, theoretical and selective coding was performed.

Results: Findings from this study indicated that nurses working in Indonesian pediatric wards felt that they were not able to provide eff ective pain care to hospitalized children and as a result they experienced professional role tensions. Th ey found themselves internally confl icted because, although they had desire to provide eff ective pain care, they were unable to achieve this goal. Nurses identifi ed several organizational structure and cultural factors that were thought to hinder their provision of eff ective pain care to pediatric patients. Th ese factors are embedded in nurses’ clinical practice. Results of study provided a portrait of the clinical reality for pediatric nurses in managing hospitalized children’s pain. Th e study fi ndings can assist to inform relevant initiatives and strategies to improve clinical nurses’ performances and competency in providing pain care to pediatric patients.

Biography:

Madu, Laurette Philomena Nkem, a State Registered Nurse and Midwife, majored also in the following specialty areas: Nursing Education (1st degree); M.Sc. (Nursing); M.Ed. & Ph. D (Educational Administration & Supervision); as well as a certified MBTI Practitioner. She headed the renowned School of Nursing Ihiala for 15 years after many years of Clinical Nursing, and some years of classroom teaching. Madu, Laurette served in Our Lady of Lourdes Governing Board for 15yrs, and made outstanding contributions. Served as a member-Standards and accreditation Committee, Nursing and Midwifery Council of Nigeria. She is highly interested in research work.

Abstract:

Background: Breast cancer has been popularly defined as a malignant tumor of the brain cells. This paper assessed the factors militating against the practice breast cancer among nuns in Anambra State, Nigeria.

Methods: To guide the study, five research questions were raised which includes social demographic data. Adopted for the study was Health belief model. Cross-sectional descriptive survey was the design used. Power Analysis was used to draw a sample of 324 nuns from an estimated population of 794 of them living in communities located in Anambra State, Nigeria through stratified, proportionate, and convenient sampling techniques. Data were collected by administration of a set of seventeenitem self-developed questionnaire on knowledge of preventive measures towards breast cancer. Personal contact and direct instrument administration to the respondents with the assistance of three trained preceptors was used for data collection was, during the respondents’ general regional meetings. Analysis of the data obtained were done descriptively using frequencies and percentages. Unpaired t-test was used to compare the responses of the two groups.

Results: The reasons for the respondents’ inability to engage themselves with breast cancer early detection practices abound and vary. As many as 148 (45.7%) nuns were not aware of where to obtain the services. Of these number, 31 (64.6%) were the contemplatives while 117 (42.4%) were from the active nuns. Seventy-three (22.5%) avoided the detective practices because they were afraid that lump may be detected, and as such preferred to live in ignorance, while 65 (20.1%) were due to financial handicaps which affect more of the contemplatives (27.1%) than the actives (18.8%). There was no significant difference between the two groups of respondents (P >0.05).

Conclusion: The result of the study revealed that the nuns in Anambra State, have a number of militating factors against their practice of breast cancer early detection behaviors. Ignorance was a major factor as the respondents claimed being unaware of where to obtain the services. Fear of lump detection, forgetfulness, time, finance, culture and so on were the factors militating against the respondents’ early detection practices. It appears that a higher percentage of the contemplatives are victims of the above militating factors. The reason could be attributed to the respondents’ high and extreme degree of decency/humility.
Recommendation: In order that the problems of the militating factors be properly addressed, and as a matter of urgency, there should be evidence based policies backed by appropriate legislation mandating sisters to be committed to breast cancer education programs, with adequate funding. There should be policy guidelines which should contain plans for training and retraining of all health workers with the aim of disseminating knowledge and skills for the best practice. This suggests that all identified militating factors should be addressed objectively, and this topic co-opted into the course on breast cancer/women health, so as to allay any fear and bias that bewitch some nuns. Similar study should be conducted using a larger sample which should include all age brackets. Anambra State government should be actively involve.

Biography:

Abstract:

Aims: This study assessed the practices, proportion of sharp injuries and associated risk factors among medical practitioners practicing in slum areas of Karachi, Pakistan.

Methods: A cross sectional study was conducted in slum area of Landhi Town Karachi. All medical practitioners running the private clinics in the given area were asked to participate in the study. Data was collected on self-administered pre-tested structured questionnaires. Proportion with percentage and 95% confidence interval was calculated for at least one sharp injury (SI) in the last one year. Predictors of sharp injuries were assessed using multiple logistic regressions.

Results: 327/397 (80%) private medical practitioners consented to participate. 277/317(87%) were males, and 40/317(13%) were female. Mean age was 38 (SD 11) years and mean work experience was 12 (SD 9) years. Proportion of at least one sharp injury in the last one year was 86/317(27%, 95% CI: 22.2-32). Almost 40/86(47%) of SI were caused by needle recapping. Less work experience, less than 14 years of schooling, more than 20 patients per day, administering more than 30 injections per day, reuse of syringe, and needle recapping after use were significantly associated with sharp injuries.

Conclusion: Injection practices are very poor among private medical practitioners in slum area of Karachi, and proportion of SIs is high. There is a risk of occupational transmission of blood borne infections among medical practitioners warranting an urgent need for launching awareness and training on standard precautions for private medical practitioners in slum area of Karachi.