27^th Surgical Nursing & Nurse Education Conference October 16-17, 2017 Dubai, UAE

Biography:

Ingrid Gustafsson has been a registered nurse since 1991and worked at maternity ward, medicine and surgical wards, emergency department and with prehospital care. In 2008 she got her diploma as Nurse Anesthetist and has worked in the operating department in Vaxjo, Sweden. After a few years she left the hospital and is now working at Linnaeus University with the education to Nurse Anesthetist and is a doctoral student in caring sciences.

Abstract:

Background: When the body temperature falls below 36ËšC during the perioperative period, mild hypothermia can develop. Between 46-77% of patients are affected. Patients with mild hypothermia have an increased risk of developing complication such as postoperative wound infection, pressure ulcers, shivering or requiring a blood transfusion. In order to prevent complications research has shown that the best practice is to maintain the patients´ temperature by using passive and active warming and also as early as possible in the perioperative period. The research also led to guidelines and algorithms to prevent mild hypothermia in some countries. However there is a lack about adherence to the recommended passive and active warming and if the nurse anesthetists´ have knowledge and access to them. The aim of this study is to investigate these areas. Methodology: Two questionnaires were used and data was analyzed with descriptive statistics. Findings: The nurse anesthetists’ have a high access to the recommended warming but their adherence was between 5-67 %. The most common reason why the patients did not get the recommended warming was due to short surgery. Approximately 60% of the nurse anesthetists have knowledge about the recommendations. More than half of the patients were in an operating room with a temperature below the lowest recommendation.   Conclusion: The access to the recommended warming was high and the adherence to them was mostly low. To reach higher adherence, the organization in the operating department have an important role when new recommendations should be implemented. By offering frequent education and ensuring their own guidelines will be readjusted by the new recommendations. It is also important that a key person is used as an advocate to implement the guidelines. It is imperative that the person with this role gets the appropriate time and resources to support them in this position.

Biography:

Aida Abd El-Razek is currently working as a Nurse Professor in Philadelphia University, Jordan

Abstract:

Content Outlines: The abstract includes the following content outlines: Future vision, mission of maternity and neonatal health nursing; Over all aims involving the future vision; Factors contributes to maternity nursing issues; Maternity care problems; Facing maternity problems; Advances and trends in Maternity nursing, medicine, and surgery; Education and research problems;
Threats and Challenges for Nursing Education; Threats and Challenges for Nursing Research; Facing education and research problems.

Introduction: Developments in maternity nursing are taking place in the context of growing demands for accessible and affordable high-quality care, and the need for improved access to care and universal coverage (WHO 2011).

The overall aim for future plan is to:
• Provision of high quality maternity services that pregnancy is a powerful motivator for change.
• Promotes pregnancy and childbirth as an event of social and emotional significance where women and their families are
managed with dignity and respect.
• Produce teaching, research and updated services for scientific, technological and academic development through application
of critical thinking and advances clinical excellence, as the standard of care for women.

Biography:

Ayla Yavuz KaramanoÄŸlu 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

Abstract:

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.

Biography:

Anutsara had completed her MSc. 10 years ago from Mahidol University. She is the staff Surgical Nurse at Siriraj Hospital, Thailand.

Abstract:

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 5^th 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 5^th 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 5^th and at 1 month of the experimental group were significantly higher than those of the control group (p < .001).

Biography:

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.

Abstract:

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.

Biography:

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.

Abstract:

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.

Biography:

Abstract:

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.

Biography:

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.

Abstract:

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 (F_4,196 = 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.

Biography:

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.

Abstract:

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.

Biography:

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

Abstract:

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.

Biography:

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.

Abstract:

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.

Biography:

Rajesh Kumar Sharma is currently working as an Associate Professor at Himalayan College of Nursing. He also works as an Advisor for Student Nurses Association since 2010, Chairperson for Continuing Nursing Education Department since 2014, Member, Academic Council of Swami Rama Himalayan University, Member of Admission Committee of Swami Rama Himalayan University and Member in various committees like Curriculum Committee, Research Committee, etc. He is interested in nursing education, cardiology nursing, critical care nursing and research. Currently he is working to improve clinical learning and teaching for nursing students in clinical setting.

Abstract:

Introduction: Majority of patients with Chronic Renal Failure (CRF), Chronic Kidney Disease (CKD) and End Stage Renal Disease (ESRD) depends on their family and friends to manage their chronic illness throughout the course of illness. Appropriate home care of CKD can help to prevent or delay the progression of illness.

Aim & Methods: A pre-experimental study with quantitative approach was undertaken on 45 caregivers of CKD patients with the objective to study the improvement in competency regarding home care through administration of an instructional program and information booklet. The program and the booklet consisted information on nutritional management, rest and exercises, psychological support and communication, fistula care, maintaining skin integrity and maintaining fluid and electrolyte balances in CKD patients. Subsequently knowledge and skills of care givers regarding care at home was assessed.

Results: The mean difference of knowledge score was statistically significant (t=19.156) at 0.05 level of significance. The mean difference in practice score was statistically significant at 0.05 level of significance. The results suggested that instructional program regarding home care was effective in terms of enhancing knowledge and practice score among caregivers of CRF patients.

Conclusion: Educating the caregivers of CKD patients about importance of specialized care will help in providing optimum care in patients of CKD.

Biography:

Ayla Yavuz KaramanoÄŸlu 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.

Abstract:

This mixed type study in which qualitative and quantitative methods were used together was performed to determine urinary incontinence experiences of patients after radical prostatectomy. The data of the research were collected by interviewing 44 patients with 6 focus groups. Data were collected by using a questionnaire form containing identifying information of patients, semi-structured focus group questionnaire form, incontinence quality of life scale, and short-form of consultation on international urinary incontinence and incontinence impact questionnaire form.

It was determined as a result of the statistical analysis performed that patients' urinary incontinence quality of life was moderate. The difference between patients' age groups, post-operation durations, status of taking measure, using equipment and underpads and the mean scores of quality of life was found statistically significant (p<0.05). A total of six focus-groups interviews, being early, middle and late phases, were performed considering post-operation time period. A total of four (4) themes, namely, half-human, an unpleasant job, surviving as great prize and social isolation, was identified as a result of the study. It was observed that most of the patients felt themselves physically inadequate due to urinary incontinence and erectile dysfunction developed postoperatively and they were informed about these matters by their physicians. It was found out that patients took advantage of Kegel exercises in recovering continence and pads and similar materials in coping with urinary incontinence. It was observed that they experienced social isolation due to urinary incontinence in early postoperative period. It was determined that patients experienced physical, psychological and social difficulties due to urinary incontinence in the early postoperative period and that their lives were affected adversely. It was discovered that incontinences of patients in the late postoperative phase decreased, but their sexual life-related problems continued.

Biography:

Aida Abd El-Razek is currently working as a Nurse Professor in Philadelphia University, Jordan

Abstract:

Aim: This study aimed to propose a protocol for management of risk factors in women with Premature Rupture of Membrane (PROM).
Subjects & Methods: A descriptive design was utilized in this study that was conducted in Menoufia University Hospital and Shebin El-Kom Teaching Hospital in the obstetric units. A purposive sample composed of 120 women with different age, education and BMI were recruited from the above mentioned settings. The study tools were: (1) Self-administered questionnaire sheet to assess risk factors of women with PROM (demographic, obstetric, physical, psychological and social) and women’s knowledge about PROM, (2) Hamilton anxiety scale to evaluate studied nurses’ anxiety level.

Results: More than half of studied women had the age of 20-40 years and there were many risk factors (demographic, obstetric, physical, psychological and social) in women with premature rupture of membrane. In addition, many solutions were suggested by them for the management of risk factors.

Conclusion: There were statistically insignificant differences between both studied hospitals as regards the risk factors among women with PROM, added to their levels of satisfactory knowledge and anxiety. Furthermore, score of Menoufia University Hospital was slightly higher than Shebin El-Kom teaching hospital.

Recommendations: Further research study should be done to implement and investigate the effect of the proposed protocol for risk factors management on decreasing the incidence of PROM.

Biography:

Caroline Zulu conceptualised the research proposal, designed the research proposal in terms of stating the problem, designing the methodology, collecting and analysing data, wrote the report by presenting and discussing the findings. She refining the proposal, logically arranging the research report on research findings and wrote the report and discussion of findings has her expertise in education of public health nursing and passion in improving the health and wellbeing of communities through improving nursing education. She has had many years of experience in research, evaluation, teaching and administration both in nursing education and public health institutions. She is a lecturer at the University of Zambia, School of Nursing and wishes to make a difference to the nursing profession by increasing the body of scientific evidence based information on matters that affect nursing education and the profession as a whole. She has the zeal to improve the profession.

Abstract:

The image of both nurses and nursing as a profession are vital in the successful recruitment and retention of staff in the healthcare industry (Abdel EL-Halem, 2013). This exploratory descriptive study was conducted to establish the perception of the image of the nursing profession by nursing students at the University of Zambia. A total of 76 conveniently sampled students participated in the study. Data was collected using a self-administered questionnaire that comprised of three main parts to determine if students had either a positive or negative image of nursing profession, what could have influenced students’ perception  and students’ social ranking of the nursing profession. Data was analysed using SPSS version 20.

In Zambia, the shortage of Nursing is critical, for instance, the nurse patient ratio is 1 to 40 patients (Huffstutler, S., Y., et al. 1998). The findings showed that most (70%) of the students had a positive perception of the Nursing profession and 30% had negative perceptions of the image of nursing.

Biography:

Abstract:

BACKGROUND: Benner’s Theory of Novice to Expert has yet to be used in application to Virtual Reality Clinical Education. Little evidence is available that discusses the benefits of Virtual Clinical Education to undergraduate students. This presentation will describe the benefits of Virtual Clinical Education through the application of Benner’s Novice to Expert theory in relating how theoretically such a learning activity may enhance the clinical performance and level of skill acquisition of undergraduate nursing students.

METHODS: After scrupulously examining Benner’s theory of Novice to Expert, research must be conducted in how virtual clinical simulation enhance the performance of undergraduate students. Therefore, the research questions based on this theory are as follows: In undergraduate nursing students enrolled in the domain of medical surgical nursing courses, how does participation in virtual clinical education affect such students’ perception of their ability to recognize aspects and attributes of a clinical situation, as well as, maxims and salient parts of such situations? Does participation in virtual clinical education develop perceived of competency and experience? Does student engagement in virtual clinical excursions as a learning activity allow them to perceive themselves as having reached the advanced beginner, competent, or proficient level of medical surgical nursing performance? This study will aim to describe the medical surgical student nurse’s conscious experience of virtual clinical education by exploring the aforementioned research questions. The meaning, structure, and essence of the lived experience of taking on the role of a nurse avatar during a virtual clinical excursion will be explored. The goal of the researcher is to gain access to the student nurse’s life or inner world and subjective experience. Data was collected by survey.

RESULTS: Most students perceived themselves to be an advanced beginner as a result of the VCS experiences. The highest levels of medical surgical nursing performance perceived were competent and proficient in two separate students. Students found the virtual environmental features of patient charts, patient avatars, medication administration records, and electronic health records to assist them in learning how to implement nursing care. It is said to supplement lectures in a dynamic case study format that is “more interesting than just reading information”. Students perceived it prepared them better for clinical experiences. Students are enabled to study the patient thoroughly and in a non-intimidating environment. An unexpected finding was that students reported they felt they would be better able to navigate patient charts and electronic health records as a result of the VCE experiences.

Students explained that the virtual clinical education experience would be useful if provided to students from the beginning of the semester so that they can integrate their experiences into true clinical practice. Virtual clinical education also is perceived to cause more effective transfer of knowledge in relation to critical thinking. Students perceive the simulated virtual clinical environment to induce less anxiety so they were provided “more time to think” so as to identify salient points of patient conditions. Students find the environment to be realistic possessing “all the aspects of the clinical experience minus the live bodies and interactions with patient, families, and the clinical team”.

CONCLUSIONS: Virtual clinical reality simulation is perceived by students to be a useful tool to facilitate their transfer of theoretical knowledge to practical knowledge. Nurse educators can attempt to cultivate the awareness of nursing students by presenting them with complex ill-defined, authentic tasks during virtual simulation scenarios. As a result, there is a shift that occurs so that students are able to retrieve relevant information and clinical reasoning occurs. This enables students to perform skills in the context of real world situations. Educators must strike a balance between teaching the cognitive base and enabling students with opportunities to put such knowledge to use, as situated learning theory encourages. As a result, clinical reasoning skills will be able to evolve. When virtual clinical simulation is used within nursing clinical education, a shift of nursing education’s paradigm from teaching to learning will truly occur.

Biography:

Abstract:

Increasing the number of people with stoma (ostomate) in Indonesia due to the high incidence of colorectal cancer. Stoma causing problems of physical comfort, psychospiritual, social and environmental. This study aimed to see whether or not the relationship characteristics ostomate with physical comfort and psychospiritual. The method use cross sectional study conducted in 55 ostomate simple random sampling with a modified questionnaire Comfort Scale Kolcaba adaptation stoma. The results of this study are high comfort both physically psychospiritual 89.1% and 80.0%. Their relationship ostomate characteristics: complications with the physical comfort (p: 0.004)
and psychospiritual (p: 0.0018) and their relationship ostomate characteristics: location
stoma comfort psychospiritual (p:0045). Research shows that people living with a stoma
will affect comfort. Education and pre-operative stoma site at very important to
determine ostomate comfort in life after surgery.

Biography:

Dr. Gawad Alwabr has obtained his PhD degree in Environmental Sciences in 2014. He is Assistant Professor of Public Health & Environmental Safety in Sana'a Community College, Yemen. He has worked in different projects in the field of Public Health and Environmental Safety. He has an interest in health education and increase society awareness about the public health and environmental safety. He also has a lot of interest in research work activity field.

Abstract:

Background: A needle stick injury is an accidental skin-penetrating stab wound from a hollow-bore needle containing another person's blood or body fluid. and can lead to the transmission of blood-borne pathogens, including hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV). The purpose of this study is to assess the level of knowledge and practice of needle stick injury preventive measures, and to estimate the incidence of exposure to needle stick injury among nurses working in the governmental hospitals in Sana'a city, Yemen. Methodology: A cross-sectional study among a random sample of nurses (n = 259) was conducted. A pre-tested structured self-administered questionnaire was used for data collection. Data was analyzed using SPSS version 20 and the associations were tested with chi-square, with p-value of < 0.05. Results: One hundred and fourteen (44 %) respondents had poor knowledge of needle stick injury preventive measures, 75 (29%) had fair knowledge, and 70 (27%) had good knowledge. The knowledge was significantly associated with hospital's name (P < 0.017). One hundred and ninety-eight (76.5%) respondents had a poor practice of needle stick injury preventive measures, 23 (8.9%) had fair practice, and 38 (14.7%) good practice. There was a statistically significant association (p<0.001) between the knowledge and practice. Occupational exposure to needle-stick injury in the preceding 6 months was reported by 37.5% of the respondents, and 36.1% of them had needle-stick injury more than tow time. Only 1.4% of the affected individuals reported the occurrence to concerned hospital authorities. Although 48.6% of the respondents were vaccinated against hepatitis B. Conclusion: The practices and knowledge of needle stick injury preventive measures were low and occupational exposure to needle-stick injury was a common occurrence in the study sample. That's need for intensive programmes to educate nurses on various aspects of needle stick injury preventive measures.

Biography:

Neelima Shakya has completed her M.Sc. in Medical-Surgical Nursing at the age of 29 years from B.P. Koirala Institute of Health Sciences, Dharan, Nepal. She is an Assistant Professor at Janamaitri Foundation of Health Sciences/ Little Angels’ College of Higher Studies. She has worked in general surgical ward and Intensive Care unit in Manmohan Cardiothoracic Transplant and Vascular Center for about three years. In the field of research, she has done data collection and analysis, attended and presented in journal clubs, published an article as a co-author, presented in scientific session and has been serving as an assistant professor.

Abstract:

Background and objectives: Surgery is a stressful situation hence patients should be provided with detailed information regarding their disease and management to ensure active participation. The objective of this study was to assess the information  received  by postoperative patients admitted in surgical units of BPKIHS and to find its association with selected variables.

Materials and Methods: A descriptive cross sectional study design was used to conduct the study. One hundred and twenty five patients were taken  using purposive sampling technique. Data was collected through interview questionnaire and analyzed using SPSS version 20.0 at confidence level 0.05.

Results: The mean age of the respondents was 39.98 ± 16.68 years with almost equal male and female. Thirty six percent had secondary level education. The total mean percentage information score was 63.41±10.77 with highest score on wound care (78.84± 10.78) and least on pain management (32.96± 21.21). Fifty eight percent perceived that information received was adequate. Association was found between history of past surgery and adequacy of information on illness (p value= 0.025), surgery (p value= 0.016) and operating room details (p value=0.002). Information on ADL was associated with age (p value= 0.048), gender (p value= 0.05), history of past hospitalization (p value= 0.002), past surgery (p value= 0.008) and source of information (p value= 0.021). The overall information had association with length of hospital stay (p value= 0.001) and history of past surgery (p value= 0.007).

Conclusion: More than half of the respondents perceived that information received was adequate. Age, gender, history of past hospitalization, past surgery, length of hospital stay and source of information had effect on information received by the patients. Thus individual need based patient information is essential.

Key words: Adequacy of Information, Postoperative patients, Surgical Units

Biography:

Abstract:

Background
The current challenges facing healthcare systems in relation to the shortages of health professionals necessitate that mangers and leaders learn from the different leadership styles and staff empowerment strategies to create a work environment that encourages nursing staff commitment to their work and organization. The purpose of this study is to measure the effects of nurses’ perception of their manager’s leadership style and psychological empowerment on their organizational commitment in acute care units in National Guard Health Affairs, Riyadh City, Saudi Arabia.
Methods
Using validated survey instruments, we obtained data from staff nurses employed by the King bin Abulaziz Medical Center (KAMC), NGHA Hard copy questionnaires were distributed to 350 randomly selected nurses, of which 332 were completed resulting in a response rate of 95%. The three instruments used to obtain the data were (1) the 1997 Multifactor Leadership Questionnaire (MLQ), formulated by Bass and Avolio, (2) the 1995 Psychological Empowerment Scale developed by Spreitzer, and (3) the 1997 three-Component Model of employee commitment developed by Meyer and Allen. Our research design was based on a theoretical model that conceptually links leadership, empowerment, and organizational commitment. The SPSS program version 19 was employed to perform the descriptive and inferential statistics including correlation and stepwise multiple regression analysis.
Results
The overall results showed that most nurses perceived their immediate nursing managers as not displaying the ideal level of transformational leadership (TFL) behaviors. The nurses’ commitment appears to be negatively correlated with TFL style and perceived psychological empowerment whereas commitment is positively correlated with Transactional Leadership (TAL) style. Stepwise regression analysis showed that nurses’ commitment is significantly correlated with their nationalities by Region: North American (p-value = 0.001) and Middle Eastern (p-value = 0.027). The other important predictors of nurses’ commitment were: TAL (p-value = 0.027), Laissez-faire Leadership (LFL) (p-value = 0.012), and autonomy (p-value = 0.016). The linear combination of these predictors explains 20% of the variability of the nurses’ commitment.
Conclusion
The study findings suggest that leadership styles and employee empowerment play an instrumental role in promoting organizational commitment of nurses working in acute health care settings, at least in the Saudi Arabian context.
Keywords: Transformational leadership, Transactional leadership, Organizational commitment, Psychological empowerment.