28^th Surgical Nursing & Nurse Education Conference August 08-09, 2018 Osaka, Japan

Biography:

Ishraga M A Elbashier has obtained her MSc (2007) and PhD (2017) in Medical Surgical Nursing from the University of Khartoum, Sudan. She is currently an Assistant Professor in AAU, Faculty of MTS Nursing Department. She is also the Head of Quality Assurance Department teaching pre and post-graduate student’s medical surgical nursing module, critical care nursing, nursing theory, nursing management and research methodology.

Abstract:

Background & Aim: The presence of anxiety and depression before cardiac surgery leads to poor surgical outcomes. This study conducted to assess the effectiveness of psycho-educational program on anxiety and depression among patients undergoing cardiac surgery in cardiac centers Khartoum state.

Methods: Nonrandomized control trial, conducted in the three cardiac hospitals in Khartoum state. 57 eligible and consented patients were included. 30 patients are allocated to intervention group in one hospital and 27 in other two hospitals as control group. Psychological support and teaching through a 15-20 minutes counseling and education sessions was given to the intervention group before surgery using information in a booklet focused on managing patients undergoing cardiac surgery. Anxiety and depression pre- and post-intervention was measured using hospital anxiety and depression scale to assess level of anxiety and depression pre and post intervention for both interventional and control groups. The follow-up assessment takes place at seventh day after operation. For the comparison of mean scores between the groups, the data were analyzed using chi-square, independent t-test and paired t-test.

Results: The mean scores obtained in both anxiety and depression dimensions were significantly different between the intervention and control groups.

Conclusion: Psycho-educational program provided for patients undergoing cardiac surgery decreases the level of their anxiety and depression after cardiac surgery. 

Biography:

Abstract:

Introduction & Aim: Healthcare providers’ empathetic attitude towards patient care significantly plays a role in the success of patient-centered outcome. However, across the empathy literature, there have been numerous studies which indicate that there had been a significant change in the level of empathy among nursing students in line with the length of their clinical exposure. Considering these studies, little is known on the factors affecting empathy. Hence, this study has purported to explore the factors influencing nursing students’ level of empathy.

Methods: A descriptive-correlational research design was utilized. This study employed factor analysis to explore the factors which influence student nurses’ level of empathy. Data was analyzed through SPSS version 21. Inclusion criteria include regular nursing students with at least 18 years of age and above, on their 15^th week of Related Learning Experience and are currently enrolled in the academic year 2017-2018. A total of 255 nursing students were purposively selected from a tertiary institution in Manila.

Results: Nine factor dimensions identified namely: Engaging, efficiency, emic and estranging, encumbering, enduing, emotive, embracing and enervating factors. Out of the nine variables that were identified, only four variables have been identified to have a direct effect on empathy: Engaging, efficiency, estranging and encumbering factors. Moreover, engaging and efficiency factors positively affect empathy while estranging and encumbering factors negatively affect empathy. Notably, engaging factors had the most impact among the student nurses’ level of empathy.

Conclusion: Several factors affecting the nursing students’ empathy are combination of personal, patient and environmental. Since it was revealed that some factors can cause decrease in empathy among the nursing students, selection of educators who will serve as positive role models should be considered. Likewise, empathy training may be conducted such as self-awareness and reflective listening among the nursing students before they face their patients.

Biography:

Pin Pin Choi is an Associate Professor of the School of Nursing and Health Studies of the Open University of Hong Kong. Her areas of expertise are on nursing education, management and research. She has experiences in conducting both quantitative and qualitative research, mixed methods research and has published a number of papers related to nursing work environment, nursing shortage and student learning.

Abstract:

Background: Increasing attention has been paid to the role of first-line nurse managers in determining organizational effectiveness. Their roles in directly affecting staff and patient outcomes have been widely recognized. However, little is known about the attributes of first-line nurse managers crucial for managerial and leadership success in healthcare. The purpose of this review was to integrate findings of previous literature that examine competency frameworks for nurse managers, so as to shed light on the issue.

Methodology: A literature search was conducted in July 2017 using CINAHL, MEDLINE, ERIC, Cochrane Library and Web of Science.

Findings: Previous literature on nursing management and leadership competencies varies in its intensity and scope. The majority of previous works were based on commentaries and expert opinions and only some were informed by empirical research. Most studies were confined to a single type of competencies, while other studies were conducted without differentiating among the different levels of nurse managers. Nowadays nurse managers take on expanding roles and responsibilities; the competencies required for effective management and leadership are likely to be complex and hence no one set of generic competencies would apply to all levels of nurse managers. Some critics further commented that most competency frameworks developed have failed to translate into practical guidelines that aid in competency development in real contexts. Research related to the attributes of first-line nurse managers and their competencies is, in particular, scant when compared to that on nurse executives and clinical specialists.

Conclusion: Concerted scholarly efforts are needed to fill the evidence gap. Future studies should focus not only on the essential attributes of different levels of nurse managers, but by how the competencies required for effective management and leadership can be attained.

Biography:

Dr.Mohammad Abdul Quayyum was born in 1959 and passed MBBS in 1983 and FCPS ( Gynae) from Bangladesh College of Physicians and Surgeon in January 1994. Awarded as “Young Gynaelogist” at Asian and Oceanic Federation of Obstetrics and Gynaecology in 1998 Malaysia.

Abstract:

Learning lapa­roscopic surgical techniques was a haphazard affair for many surgeons. In the early days of laparoscopy, every­body was convinced of the value of this technique, but as it was actually becoming implemented, there were problems in a couple of regards: (1) A huge group of sur­geons required training, as did residents, in an environ­ment where not a lot of teachers were available and (2) surgeons were being trained through industry-funded courses that were highly variable in terms of their for­mat. Operative laparoscopy is an evolving field. Surgeons are new to this field and are still in the process of acquiring and polishing their surgical skills. Anything new poses challenging problems and only time and experience can help one overcome them. With the improved laparoscopic instruments and energy devices, laparoscopy has become increasingly popular among surgeons. The advent of the laparoscopic revolution and the wider applicability of laparoscopic procedures have caused surgeons to re-think the dynamics of intraoperative problem. The problems of operation room set up is the important and the reviews the ergonomic difficulties experienced by laparoscopic surgeons and presents practical solutions.

Biography:

Chen Yu-Chieh is a Nurse Practitioner in the Department of Nursing at Kaohsiung Municipal Ta-Tung Hospital. She has her expertise in Critical Care in Surgical Intensive Care Unit.

Abstract:

The purpose of this report was to present the nursing experience and case of an unexpected cerebellar hemorrhagic stroke with acute hydrocephalus patient after lumbar spine surgery. The patient had been suffering from an emergent external ventricular drainage and stayed in the Surgical Intensive Care Unit from July 8, 2016 to July 22, 2016. During the period of case, the data were collected for attendance, evaluation, observation, interview, searching medical records, etc. An integral evaluation about the patient’s physiological, psychological, social and spiritual states was also noted. The author noticed the following major nursing problems including ineffective tissue cerebral perfusion, physical activity dysfunction and family resource preparation inability. The author provided nursing care to maintain normal intracranial pressure, along with a well-therapeutic relationship and applied interdisciplinary medical/nursing team to draft an individualized and appropriate nursing plan for them to face the psychosocial impact of the patient disabilities. We also actively participated in the rehabilitation treatments to improve self-control and self-confidence. This was deemed necessary in order to empower them to a more positive attitude in the future.

Biography:

Abstract:

The Acquired Immune Deficiency Syndrome (AIDS) has reached pandemic proportions. Anesthesiologists should be aware of the implications of dealing with increasing numbers of both diagnosed and undiagnosed, symptomatic and asymptomatic, human immunodeficiency virus-infected patients in the fields of intensive therapy, operating theatre general and regional anesthesia and obstetrics and pain management. With recent advances, important insights were gained into the pathogenesis of human immunodeficiency virus. Molecular techniques allow quantification of viral burden and together with CD4 T-lymphocyte count, prognosis and response to therapy can be evaluated. New drugs and therapeutic regimens have improved prognosis for those who are infected with the virus and vertical transmission of infection from mother to infant can be minimized. If an accidental occupational exposure to the virus occurs, a prophylactic regimen of antiretroviral drugs can be administered in an attempt to prevent subsequent human immunodeficiency virus infection.

Biography:

Hsiu, Chuan Hsueh ,Nurse Practitioner ,Kaohsiung Municipal Ta-Tung Hospital

Abstract:

Biography:

Abstract:

The acquired immune deficiency syndrome has reached pandemic proportions.

Anaesthesiologists should be aware of the implications of dealing with increasing numbers of both diagnosed and undiagnosed, symptomatic and asymptomatic, human immunodeficiency virus-infected patients in the fields of intensive therapy, operating theatre general and regional anaesthesia, obstetrics and pain management.

With recent advances, important insights have been gained into the pathogenesis of human immunodeficiency virus.

Molecular techniques allow quantification of viral burden, and together with CD4 T-lymphocyte count, prognosis and response to therapy can be evaluated.

New drugs and therapeutic regimens have improved prognosis for those who are infected with the virus and vertical transmission of infection from mother to infant can be minimised.

Should accidental occupational exposure to the virus occur, a prophylactic regimen of antiretroviral drugs can be administered in an attempt to prevent subsequent human immunodeficiency virus infection.

Biography:

Abstract:

Purpose and Background 

A systematic literature review of the existing published research related to collaborative testing used in nursing education was conducted to examine the extent and effectiveness of collaborative testing implementation and its impact on various learning outcomes. The purpose for which is to provide evidence to support or refute the strategy of collaborative testing in nursing education in order to decide on ways to implement it and ultimately recommend for further scientific research.

A primary goal of nursing education is to prepare nurses to work collaboratively as members of inter-professional health care teams to provide competent patient safe care. Collaborative testing is one assessment and learning strategy that could be used to achieve this goal. Where the strategy has been widely used in various educational levels and fields, the extent to which this strategy has been studied and used in nursing education is yet to be explored.

Method 

Searches were made of the following data- bases: CINAHL, ERIC, MEDLINE, and PsycINFO. Twelve separate searches were conducted generating 68 articles. Papers were critically reviewed and relevant data were extracted and synthesized using the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA).  Twelve articles were finally reviewed based on relevance for this systematic literature review.

Results and Discussion 

A table is presented of the twelve sources generated by the systematic search. Three themes were identified from the empirical evidence base: ‘Quality Strength and Limitation; Framework; and Impact on Learning Outcomes’. Evidence to support collaborative testing in nursing education is thin, lacks rigor, transferability and generalizability.

Biography:

Ishraga M A Elbashier has obtained her MSc (2007) and PhD (2017) in Medical Surgical Nursing from the University of Khartoum, Sudan. She is currently an Assistant Professor in AAU, Faculty of MTS Nursing Department. She is also the Head of Quality Assurance Department teaching pre and post-graduate student’s medical surgical nursing module, critical care nursing, nursing theory, nursing management and research methodology.

Abstract:

Background & Aim: Psycho-educational interventions may be delivered to strengthen the holistic care for cardiovascular surgical nursing, this type of intervention generally includes providing patients with information about treatments, symptoms, resources and services; training to provide care and respond to disease-related problems and problem-solving strategies to understand and be better able to deal with the presented illness in order to improve patients health outcomes. This study aim to explore patients’ experiences and thoughts during preoperative psycho-educational sessions to capture their perspective of care delivered.

Methods: Semi-structured interviews were conducted at the day of discharge with five cardiac surgery patients participated in psycho-educational sessions held in Ahmed Gassim Cardiac Center pre cardiac surgery. Family members and friends were also invited to contribute to the interviews. The interviews lasted between 15 and 20 minutes. An open question was developed to guide the conversation. Questions asked during the interview were focused on their perception of the provision of information and effect in their immediate recovery from surgery, their thoughts and opinions about information provided. Audio-visual recorder was used during each interview with the participant’s acceptance. The interviews were repeatedly listened in order to check and confirm accuracy. The transcribed data were then coded and thematically analyzed.

Result: There were three themes emerged during data analysis and interpretation, patient experience, motivation to participate and Strength from knowledge.

Conclusion: The participants assured that they have got a complete benefit from their participation in the preoperative psycho-educational sessions by increase their feelings of strength, confidence and control over the situation. Psycho-educational sessions are satisfactory for cardiac surgery patients.

Biography:

Forazy Anisur Rahman has completed his Graduation from University of Dhaka, Bangladesh under Faculty of Medicine (BSN Program). He has passed National Leadership Program for the nurses under the fellowship of world health organization and has successfully completed his MSN from the University of Adelaide, Australia. He has been awarded PhD from University of New Castle, Portland, Oregon, USA. He has been working to build up nurse’s career in inland and abroad. He has a significant number of research work publications in national international journals. He has also participated in a significant number of conferences as a Speaker, Presenter and Moderator. He has been delivering media speech in TV channels and has been writing in daily national and international newspaper. He is now working as a Principal of International Nursing College, Bangladesh. He is a renowned Orator.

Abstract:

Bangladesh is a densely populated country in south Asian region. The population density is 1252 /Sq.km. Health sector of Bangladesh have been reforming and advancing day by day. In light of presenting current situation of nurses in Bangladesh, a review article is compiled with various research papers, from the speeches of dignitaries and from the reports of social media’s. In Bangladesh, nurses and the nursing profession are both largely neglected. We must find out the root of every problem and solve the problem at the very root. The nurses in Bangladesh are facing a lot of problems including their status, dignity, work benefits, working environment, service guaranty and social stigma. Risk of nursing service is high and nurses have no defined work policies. Within these constraints a significant number of nursing institutions has been buildup under the regulations of Bangladesh nursing and midwifery council. Now a day’s Bangladesh is producing more than 12000 qualified nurses and midwives per year. As there is tremendous shortage of qualified nurses in global arena, in that prospects of Bangladeshi nurses can largely contribute to meet its own demand. But there is also lot of constraints in terms of immigration and recruitment of qualified nurses in Bangladesh. As the health care sector is expanding worldwide day-by-day, but the shortages of nurses are increasing in comparison to increasing number of patient and population. It is one of the major problems to establish quality patient care due to lack of qualified nurses. Hospital staying, patients’ sufferings and nurses’ workload has been contributing nurses burnout. As a result study showed its negative impact on health care. A new dimension is to be opened for the nurses in both public and private sector to uphold the position of nurses.

Biography:

Snezana Medakovic has 29 years of experience of working in the operating theatre. She has published and presented over 40 publications at various congresses. She is accredited as a Lecturer of the Belgrade Association of Health Workers of Belgrade since 2012. From 2012 she was the Lecturer of Practical Training for the Scrub Nurses of the Medical College of Professional Studies in Belgrade.

Abstract:

During 2016, two pregnant women in the last weeks of gestation were admitted to the Institute for the Cardiovascular Disease Dedinje. Both patients were admitted urgently because they were diagnosed with acute dissection ascendant aorta. One was sent from the Novi Pazar Health Center and the other from the Clinical Center of Kragujevac (two regional hospital centers). Coordinating health professionals at all levels contributed to good, rapid and effective preparation for the reception of these patients. Three teams were organized: Gynecologic-obstetric, neonatological and cardiac surgery. With such an extensive and large team, communication and cooperation are of the utmost importance. Mutual cooperation between health professionals with in such big teams is extremely important for successful surgical procedures. The assessment of team leaders was that, it was necessary to begin with the imperial cut-release pressure on the abdominal aorta in order to reduce the pressure on the ascendant aorta as well as to free the child from reduced oxygenation and then immediately perform cardiac surgery. The gynecological-obstetric team was on standby, and the neonatal team prepared transport incubator. With the last surgical suture in the abdomen, the patients were admitted to the cardiac surgery team. Successful collaboration of the multidisciplinary team has led to complete success because the mothers and the babies survived this extremely difficult state of health. The satisfaction of all three teams is enormous, because the mothers and the babies, post-operative over the period continued their normal life.