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.