Day 1 :
Semmelweis University, Hungary
Health professionals chronically exposed to anesthetic gases in the operating rooms are at higher risk of lung diseases, hematological, immunological and reproductive alterations. Anesthetic gas exposure often exceeds the safety limits, especially in the case of pediatric anesthetists, or when no proper ventilation has been installed in operating theaters. In the present study we assessed the health risk among anesthetics exposed nurses and measured genotoxicological and immune parameters in the presence or absence of confounding factors such as smoking. The investigations were carried out in 127 subjects exposed to anesthetic gases from health services. The data was compared to healthy, non-exposed controls. The measured biomarkers were: clinical laboratory routine tests, completed with genotoxicological (chromosome aberrations and sister-chromatid exchange), and immunotoxicological monitoring (ratio of lymphocyte subpopulations and activation of lymphocytes). In the group of health personnel exposed to anesthetic gases, we did not find significant changes in the frequency of chromosome aberrations or sister-chromatid exchanges. However, there was a statistically significant increase in the ratio of CD25+/CD8+ cells - activated cytotoxic T cells - compared to the control. In workplaces where protective measures were strictly adhered to (with quality assurance) the activation of lymphocytes was at control level. However, where there was no quality assurance, activation of lymphocytes increased significantly compared to the control. In the anesthetic gas exposed smokers, there was a statistically significant shift in the T cell subpopulations: the percentage of helper T cells increased, while the percentage of cytotoxic T cell decreased, leading to an elevated Th/Tc ratio compared to the nonsmokers. The frequency of sister-chromatid exchanges also increased significantly compared to nonsmokers. We also found that anaemia, elevated serum glucose levels, thyroid dysfunction and benign tumours were more frequent in the exposed group than in controls. Our results suggest that our biomarkers can be useful in tracking occupational/environmental immunotoxic effects. We can confirm that quality assurance and protective measures can prevent exposures to harmful substances, and have shown that smoking as a confounding factor has to be taken into account when assessing occupational exposures.
University of San Francisco, USA
Time : 9:50 - 10:35
Dr. Candace (Candy) Campbell is a resarcher who helps corporate and individual clients distinguish themselves through enhanced teambuilding and communication. Her nursing background includes over 30 years in clinical, educational, and administrative posts. She is also an award-winning actress, filmmaker, and author. Dr. Campbell has appeared on many media networks speaking on healthcare and leadership topics, and her articles have appeared in online and peer-reviewed publications. So far, her books include, Channeling Florence Nightingale: Integrity, Insight, Innovation; I Was A Preemie; and Mine Your Mind:A System for Creative Problem Solving in Healthcare. She teaches at the University of San Francisco.
According to the WHO, statistics from 2015 show that approximately 15 million babies are born prematurely (before 37 completed weeks) each year (nearly 1 in 10 births). Complications from premature birth are the leading cause of death among children < 5 years of age, worldwide. Across 184 countries, the premature birth rate varies from 5-18% and appears to be rising. The variation of preemie survival rate is surpassed only by the sequelae of medical and developmental problems that persist in one segment of the premature population, the micropremature infant (born 24-28 weeks).
This qualitative study asked the question: How does the birth of an extremely low birth weight (ELBW) baby impact the family unit? It began with 30 families of micropremature babies and lasted five years. Six of the families originally interviewed agreed to share their thoughts on camera and were re-interviewed after three years.
Dr. Campbell unfolds her story of the challenges of qualitative research and shares the answer to the question that most NICU nurses want to know: What happens when these babies go home? Furthermore, the research begs the question: What are we doing to help families of micropremature babies cope?
South University, USA
Keynote: Pathways to Certification in Nursing Education: The Work of Making the CNE a Global Certification
Time : 10:35 - 11:20
Larry E Simmons completed his PhD in Nursing 18 years ago from the University of Missouri-Kansas City in the US. He has worked in testing arenas and has become an expert in nursing testing development. He currently is Director of the CNE Program at the National League for Nursing and assistant professor in the nursing doctoral program at South University in Tampa, Florida, USA, He is a nationally known speaker on testing and curriculum in nursing education.
Certification as an academic nurse educator promotes leadership in nursing education. The National League for Nursing identified competencies and task statements of the nurse educator’s role in 2005. This seminal work led to the creation of a certification program for nurse educators. Qualified applicants can, if successful on the certification examination, obtain the credential of Certified Nurse Educator (CNE®). There are currently 6,000 CNEs who have obtained the certification. The core competencies of the certification include areas of experience including facilitating learning, use of assessment and evaluation strategies, and participating in curriculum design and learning outcomes. Currently in process is a new certification that is focused on the skills and competencies of the clinical nurse educator, those nurses working actively with nursing students in clinical experiences. Originally, the eligibility criteria required the educator to hold a nursing license in the United States. After a review of nurse educator practice internationally, it was determine that the role and competencies that formed the framework of the certification program were global and universal in nature. This led to a change of eligibility requirements resulting in the opening of the program to international applicants. This session will be informational on the history of CNE and the path to becoming a certified nurse educator.
Perioperative (Surgical) Nursing | Types of Surgical Nurses | Recent Advances in Surgical Nursing | Pediatric Surgical and Trauma Nursing | Gynecological Surgery | Vitreo Retinal Surgery | Oral and Maxillofacial Surgery
EIA University School of Engineering of Antioquia, Colombia
Andres Molina has nine years’ experience as Intercultural Patient Assistance trainer and over 20 years as Multicultural Customer Service Professor and Advisor. He specializes in dealing with illness, pain and death in multicultural environments, by training nurses, doctors and patients to overcome intercultural clashes regarding acceptance of negative and unavoidable experiences. Former Services Director of Hopsital San Vicente de Paul. Seven years Professor of Intercultural Relations and Internationalization Strategy at Universidad EIA’s MBA program, Founder and CEO of Global Manager Consulting, has an MBA in Communication Management and Cross-Cultural Relationship Building, is an international speaker.
85% of failure in international relationships is due to intercultural clashes. Healthcare practitioners are faced with unexpected pain expressions and care requirements more often, due to the proliferation of international patients, both as migrants and as medical tourists. This speech opens discussion on what should institutions and practitioners explore and include to build better International Patient’s experience. With anthropological and psychological perspectives and an encouraging speech style, Andres demonstrates cross-cultural skills are not intuitive and shows how easily they can be acquired.
Although not a breakthrough technique by itself, bringing cross-cultural skills into the healthcare world would help practitioners address the needs of particular cases. The more culturally coherent for involved parties a given treatment or procedure, the smoother the interaction with patients and caregiving relatives.
Mahidol University, Thailand
Anutsara had completed her MSc. 10 years ago from Mahidol University. She is the staff Surgical Nurse at Siriraj Hospital, Thailand.
Purpose: The purpose of this study was to investigate the effect of an educative program on knowledge and self-care ability in patients undergoing Coronary Artery Bypass Graft (CABG) surgery.
Design: A quasi-experimental design.
Methods: The sample was composed of 100 patients who underwent CABG surgery for the first time. The first 49 patients were assigned into the control group, followed by 51 patients into the experimental group. The experimental group received the education program at the day appointed for a surgery, the day of admission, and the 5th post operative day. The education content was the comprehensive pre- and post-operative information enhancing recovery during hospitalization and at home delivered by giving verbal information with video. Data were collected by using the pre-operative and pre-discharge knowledge questionnaires and the self-care ability questionnaire, at the 5th day and the first month post operation. Data were analyzed by using mean, standard deviation and independent t-test for test of difference between groups.
Main findings: The study revealed that the pre-operative and pre-discharge knowledge mean scores, and the mean self-care ability scores at post-operative day 5th and at 1 month of the experimental group were significantly higher than those of the control group (p < .001).
Pamukkale University, Turkey
Ayla Yavuz Karamanoğlu as a teaching assistant at Pamukkale University Faculty of Health Sciences, Surgical Nursing Department. She worked as a nurse at Dokuz Eylül University Faculty of Medicine between the years 1988-1998. She worked in the urology clinic. She has completed her PhD at Ege University Health Science Institutes on surgical nursing. Her doctoral dissertation: “Urinary incontinence experiences of patients after radical prostatectomy”.Using quantitative and qualitative data to identify the difficulties patients experience due to urinary incontinence
Radical prostatectomy is the most preferred method for the surgical treatment of localized prostate cancer. Some postoperative complications affect the patients’ quality of life.
Health professionals have not enough knowledge about these problems and the levels of being affected. The aim of this study was to determine the problems patients experience after radical prostatectomy.
This study examined 7857 qualitative studies articles. "Pubmed", "Cochrane Library", "Science Direct", "Web of Science", "Scopus", and "Google Academic" databases were studied / scanned using the keywords "radical prostatectomy patient experience qualitative" from January to February 2016. 19 articles were examined from the obtained studies. These articles were given in chronological order, with authors, year, title, purpose, sample, method, findings, discussion and results.
According to the findings; Most of the patients stated that patients experienced postoperative urinary incontinence and erectile dysfunction problems. Patients were informed about their illness by doctors and via the internet. They stated that they were not sufficiently informed about the problems that may develop at the home. It is stated that patients use pads and diapers due to urinary incontinence, feel uncomfortable, embarrassed and inadequate. They used kegel exercises to recover continence. In articles, patients expressed that support was important and they were mostly supported by their partners and their social activities were limited due to urinary incontinence. Patients stated that they experienced reduced masculinity and quality of life due to erectile dysfunction and they experienced chaged body image.
More qualitative studies are needed to demonstrate the physical, psychological and sociocultural effects of radical prostatectomy on patients.
Alexandria University, Egypt
There is a gap in understanding how work environment contributes to hospitals' readiness for quality improvement (QI) in developing countries; thus, diagnosing work environment problems in health care organizations is the initial step in designing strategies for QI in organizations. This study examines the relationship between nurses' and physicians' perspectives of the work environments and hospitals' climate for QI. The study used a cross-sectional research design. Three health care organizations in Alexandria, Egypt, were selected. The studied units within these hospitals were classified into 64 general care units. The study participants comprised of 257 of nurses and 245 of physicians in the 3 hospitals. The Work Environment Scale (WES)-Form and the Continuous Quality Improvement Climate Survey were used to assess participants' perspectives of the general organizational work environment and hospitals' readiness for QI respectively. SPSS was used in data entry. Mixed linear model was used as the multivariate analysis technique to identify factors predicting hospitals' readiness for QI. Descriptive statistics in the form of frequencies and percentages were used to describe categorical data variables, whereas scale data were expressed by the mean and standard deviation. Study results indicate that work environment is positively associated with hospitals' readiness for QI. Therefore, any health care organization needs to adopt QI philosophy into its performance that relates to direct and indirect health care services.
Aga Khan University Hospital, Pakistan
Ms. Munira Amin is the only nurse working in Operating Room having versatile experience in Operating Room practices. She has worked in multiple domains of OR initiating from registered nurse working as scrub and circulating nurse, Nurse Instructor, Operating Room Scheduler, Head Nurse and recently Operating Room Manager.
Before 2014, Operating Room was run by managers who were having no experience of Operating Room and hence there was no insight of on the ground functions. Due to this Operating Room services were going low in volumes, had mismanaged scheduling, unsatisfied staff, unorganized OR functions and reduced efficiency in OR system. For overcoming this chaos, a team was comprised with the objective of “improving OR Efficiency” and the team decided that the issues can only be overcome with the appointment of an innovative and dynamic leader and they identified “Munira” as the star.
She has received multiple scholarships for participating and presenting in AORN (Association of Perioperative Nurses) Conference, and she was rewarded for that too. She has been one the best emerging leaders who have changed OR domain from a war zone to a spring field where all staff are working with happy faces, consultants are appreciating the developments and above all she has won hearts of all the patients with her dynamic management skill set. She is the upcoming star in AKUH’s Leaders and she has all the competencies of becoming Director OR.
In the competitive market of health care industry, all healthcare leaders are required to adopt transformation of the work considering the parameters of high quality and Cost effective care to patients. In a tertiary care hospital in a developing country with the change in leadership a new concept of “service line” as a business model was introduced. The aim of this business model was not only to streamline the existing functions but was also to share ownership of work amongst the consultants and their team.
In planning phase of this service line concept a “Pilot” was designed for baseline evaluation of General surgery related Operating Room parameters, which would then contribute in creating “service Level Agreement” between OR/Anesthesia and General Surgery service lines. The findings of this service line pilot revealed that operating room parameters i.e. start time, turnaround times, Anesthesia Release Time, Surgical Preparation Time and Surgical Time could remarkably be improved, if better planning and monitoring is taken into consideration.
Obafemi Awolowo University, Nigeria
Olufemi Oyebanji OYEDIRAN has just enrolled for PhD in nursing at Department of Nursing Science, Obafemi Awolowo University, Ile-Ife, Nigeria. He is presently a Lecturer at the Department of Nursing Science, Obafemi Awolowo University, Ile-Ife, Nigeria. He is an upcoming researcher who had published few papers in reputable journals.
Surgery plays an increasingly prominent role in healthcare around the world and growing attention is being focused on the safety and quality of such care. Half of all surgery related iatrogenic complications are avoidable and breakdown in communication and non- adherence of surgical team nurses inclusive to standard practice regarding sterilization, aseptic technique and prevention of wrong patient and site are all contributing factors. The study assessed perioperative nurses’ knowledge about safety practices in operating theatre, determines their attitude towards teamwork and safety practices and also evaluated various safety measures employed by the nurses to ensure patients safety in operating theatre.
Descriptive cross sectional design was adopted and the setting were eight selected tertiary health institutions in south western Nigeria. Multistage sampling technique was used to select 211 respondents from the setting. Yamane’s formulae was used to determine the sample size. Twenty point scale was used for knowledge with yes/no option and the score was categorized into poor (10-11), fair (12-13) and good (14-20). Questionnaire and observation were used to collect data between January and April 2015. Descriptive and inferential statistics were used to analyze the data with the aid of Statistical Product and Service Solution (SPSS) version 20. The P values was considered significant at >0.05
The results showed that (80.0%) of the respondents in both state and federal institutions had good knowledge about safety practices. Findings from questionnaire revealed that identification of patient at the red line as a measure to ensure patient safety in theatre had the highest mean (2.45 ± 1.42). Result from the observation revealed that use of operation schedule to send for patient from the ward had the highest means 6.91 ± 0.28 while only 57% of the respondents were using WHO surgical safety checklist. Findings also showed that socio-demographic and professional characteristics are predictors of good safety practices (F4,196 = 5.047, p< .001) .
This study concluded that Perioperative nurses have good knowledge about safety practices, perioperative nurses in federal and state government owned institutions had positive and negative attitude to teamwork and safety practices respectively while they engaged in near standard safety practices in the operating theatres but WHO surgical safety have not been fully adopted in the selected theatres.
Fayoum University, Egypt
Dr. Rania Abd El Hak Eid Farrag is university academic staff member. She is a lecturer of Maternity and Neonatal Health Nursing at Faculty of Nursing, Fayoum University. She is also a lecturer at Faculty of Nursing, Modern University for technology and information by mandate. She is the manager of International cooperation office and also, Information technology center, Faculty of Nursing, and member in the international relations office at Fayoum University.
Background: One of the duties of the educational system is to train nursing students to possess critical and creative thinking and have the ability of problem solving, those who do not accumulate information and knowledge regarding the maternity field that will be quickly outdated. As well, these criteria need to be provided in maternity nursing, to be able to achieve the mother and neonate safety. Concept map is one of the teaching strategies that can overcome this challenge. Aim of the study: To evaluate the effect of concept mapping strategy for improving maternity nursing students’ achievement. Methods: Design: A quasi-experimental study design was used to conduct the study. Setting: The study was conducted at the Maternity and Neonatal Health Nursing Department (third year students), in the Faculty of Nursing, Fayoum University. Subjects and Methods: A total of 125 students, all the students enrolled in the academic years 2014/2015. The students in the first term were the control group (65) and subjected to traditional method of teaching; and students in second term were the study group (60) subjected to concept map strategy. Tools used to collect the data were: 1) Socio-demographic characteristic: A structured interviewing questionnaire, 2) Pre/posttest to assess student’s (study group) knowledge regarding concept mapping, 3) Student’s achievement test (midterm & final exam), 4) Rubric for assessing concept maps, and 5) Likert scale to assess the attitude of students toward the teaching strategy.
Results: There was a statistically significant difference regarding concept map knowledge pre and after awareness sessions among the study group. As well, there was a significant difference between both groups regarding the students’ achievement (midterm & final exam). In addition the students in the study group exhibit positive attitude regarding the teaching strategy (concept map) more than the students in the control group (traditional method).Conclusions: Concept mapping significantly enhanced the students’ achievement in the maternity nursing during the pregnancy course.
Rush Medical College and Rush College of Nursing, USA
Sean O’Mahony is an academic palliative medicine physician and act as the Director for the Section of Palliative and Supportive Medicine at Rush University Medical Center in Chicago. His clinical interests include end-of-life care, chronic pain management and the palliation of the sequelae of chronic illnesses. His principal clinical and research goal is to reduce health care disparities for underserved communities. He has directed multidisciplinary palliative medicine teams in academic medical centers that include social workers, chaplains, advanced practice nurses and physicians for 15 years. His fellowship at Memorial Sloan Kettering Cancer Center included one year devoted to clinical research He investigated the association between cancer pain and desire for hastened death. His research and teaching interests include pain management, end-of-life and palliative care, quality-of-life at the end-of-life and clinical outcomes and effectiveness of palliative care programs, and how to meet the needs of the underserved and minority communities at the end of life. He has implemented multidisciplinary research demonstration projects in palliative medicine in the Emergency Department, Intensive Care Unit, and Video-conference projects between long-term care and acute care settings and am co-demonstrating a three year multi-center multidisciplinary Chicago land educational demonstration program to expand access to palliative care in community settings across the metropolitan area. His current research activities include evaluation of the effectiveness of multi-institutional inter professional education programs, use of medical informatics to promote patient safety in relationship to use of opioid medications and integration of palliative medicine into the care of patients in the intensive care unit. He serves on the Diversity and Inclusion Taskforce for the American Academy of Hospice and Palliative Medicine (AAHPM).He is the current co-chair of the Diversity and Inclusion Committee for AAHPM
Context. The rapid increase in demand for palliative care (PC) services has led to concerns regarding workforce shortages and threats to the resiliency of PC teams.
Objectives. To describe the development, implementation, and evaluation of a regional interdisciplinary training program in PC.
Methods. Thirty nurse and physician “fellows” representing 22 health systems across the Chicago region participated in a two-year PC training program. The curriculum was delivered through multiple conferences, self-directed e-learning, and individualized mentoring by expert local faculty (“mentors”). Fellows shadowed mentors’ clinical practices and received guidance on designing, implementing and evaluating a practice improvement project (PIP) to address gaps in PC at their institutions.
Results. Enduring, interdisciplinary relationships were built at all levels across health care organizations. Fellows made significant increases in knowledge and self-reported confidence in adult and pediatric PC and program development skills, and frequency performing these skills.
Fellows and mentors reported high satisfaction with the educational program.
Conclusion. This interdisciplinary PC training model addressed local workforce issues by increasing the number of clinicians capable of providing palliative care. Unique features include individualized longitudinal mentoring, interdisciplinary education, on-site project implementation, and local network-building. Future research will address the impact of the addition of social work and chaplain trainees to the program.
Menoufia University, Egypt
Dr Wafaa had been working as an academic staff since 1985. She got her Master and PhD degrees in medical Surgical Nursing between 1990 and 1996. Dr Wafaa had Post-Doctoral mission as a first Arabian visiting professor to School of Nursing in Minnesota University United States of America from Feb. 2005 to May 2005. She had been affiliated to Kingdom of Saudi Arabia in 2006 for 10 years teaching under and post graduâtes in king Abdulaziz university Jeddah KSA. Additionally she had been as a judge within scientific promotion comittee for academic staff and an external examiner for bechlor nursing programme for fakeeh applied medical sciences college in jeddah KSA. Also she participated in so many national and international conferences « medical and nursing ». Finally she has 8 international published research papers in medical surgical nursing field. Also another research papers still under publishing process.
Background: Fatigue is a distressing symptom in patients with advanced cancer. The use of pharmacologic and non-pharmacologic strategies has resulted in advances of managing cancer-related fatigue.
Aim: To investigate the relationship between self-management and level of self-efficacy among hemodialysis versus oncology related fatigue.
Design: Descriptive analytical research design was utilized.
Setting: Hemodialysis unit of the outpatient and medical in patient ward at king Abdulaziz university hospital, Jeddah, Kingdom of Saudi Arabia.
Subjects: A convenience sample which consists of 111 adult patients divided into 37 oncology hospitalized patients and 74 Hemodialysis patients.
Tools: 1. Participant characteristics questionnaire was developed to assess demographical data. 2. Fatigue scale had been adapted to quantify the magnitude of fatigue. 3. Self-efficacy scale had been adapted to assess optimistic self-beliefs of coping in order to face difficulties of illness demands in life.
Results: Patients ability to keep calm during difficulties and relied on ability to cope were found to be moderately true among 52.7% of hemodialysis compared to 75.5% oncology patients with statistical significant difference of less than 0.05. As regard to fatigue level, 45.1% of hemodialysis patients agreed that “easy I feel tired” compared to 78.4% oncology patients with statistical difference of less than 0.05.
Conclusions: There is an evident of negative correlation between fatigue and self-efficacy as fatigue increases, self-efficacy decreases. The proper fatigue management resulted in increase in self-efficacy.
Recommendations: Nurses need to assess fatigue levels among patients who are either receiving chemotherapy or hemodialysis. Also nurses need to exert efforts and spend quality time with chronic fatigue patients and find means to raise self-efficacy to modify and better manage it.