55^th World Advanced Nursing and Nursing Practice Congress March 13-15, 2018 Singapore City, singapore

Biography:

Lee-Keng Ng has five University Degrees (bachelor’s, master’s and doctorate) in subject areas such as Philosophy, Management Research and Business Administration from National University of Singapore, Nanyang Technological University as well as University of Western Australia. She has received a total of six teaching excellence awards at two educational intuitions. Prior to joining the academia, she was a Director at Singapore’s Institute of Technical Education. She has more than 20 years of work experience in diverse service roles and management positions, across sectors such as healthcare, hotel and education.

Abstract:

Nursing education has transformed over time. This is particularly evident in the integration of technology in pedagogy. However, it is not evident whether the training of soft (service) skills has also evolved effectively. On one hand, such people skills are much less tangible than technology. On the other hand, they are so perennially relevant and important for nursing care that is essentially people-oriented. Based on research outcome, patients and family members rated these people skills to be the most important for nurses: Being reliable, willing/prompt to help and able to communicate in easy, clear language. The conclusion was that besides knowledge acquisition and technical competency, nursing curriculum can explicitly incorporate more soft (service) skills to enhance the nursing care standard.

Biography:

Ricard Vila is working as a Male Nurse in Palliative Care in a Hospice in the southern part of Germany since 2004. He has completed his Master’s degree in Philosophy and Literature from the University of Stuttgart and a course as Building Biologist (Baubiologe) from the Insitute of Baubiologie in Neubeuern (IBN).

Abstract:

The method of validation according to Nicole Richard and Naomi Feil is a patient-centred approach aimed at the constructive use of the actual possibilities of a person. It puts the relationship between the patient and the nurse at the centre of the caring process such that the nurse, conscious of her own identity and her own limits, opens herself to the experience and mental possibilities of the patient accepting it in an unconditional manner. Especially in the challenging work and communication with demented patients this approach can be very helpful. Instead of taking an authoritarian position towards the patient, establishing a relational climate becomes essential.

In this lecture some hints and tips will be given on how to use this method in practice to better join the mental landscape of the demented patient and thereby facilitate a better communication between nurse and patient. The lecture is divided into two parts. The first part will put the focus on how to join the mental realm of patients suffering from dementia or Alzheimer. The second part will provide insight into the special situation of patients in palliative care, where there can be an underlying metaphorical level in seemingly absurd expressions.

Biography:

Andrea Smorti has a first degree in Philosophy (Uni. of Florence) and a specialization diploma in Psychology (Uni. of Siena) He is University Professor of Developmental Psychology and director of . He has published more than 100 papers in reputed journals. His main area of interest is to investigate how narrating can change memory of experience especially in illness context. To this aim he founded the Laboratory of methods and techniques for the analysis of illness experiences (MeTA-Es) that collects professionals and researcher from different areas of expertise ( medical, psychological, philosophical).

Abstract:

Statement of the problem. The present work aims a highlighting two possible strategies to enhance nurse caring through narrative methods. The use of narrative as a tool to improve patients’ elaboration of the illness is the base of the psychological support in many medical fields as Narrative Medicine has recently demonstrated. Because diagnosis of illness and illness in itself determine a biographic disruption in the patient, narrative constitutes an useful tool in nursing care because the patients and their relatives can better understand their experiences, and this can reduce possible negative effects coming from painful events. Methodology & Theoretical Orientation. The Authors present two main strategies that have been employed in their studies. The first strategy, used in paediatric field, consists in the repetition of narratives. Patients and their relatives are encouraged to narrate their experience with illness different times in different days. The second strategy, used in oncologic field, consists in autobiographic interview with nurses and clinicians and then in requesting them to reflect on it. Findings. Narratives become more coherent and cohesive and patients and relatives can give a sense to their experience. If narrative occurs in a empathic listening relationship the memory of the event changes and the narrators finds in their experience positive and acceptable aspects. Conclusion & Significance. Overall these two strategies confirm the efficacy of narrative as an instrument the staff can use for a better comprehension of the patient and for helping the patient to develop a better self comprehension

Biography:

Karen Eisler has been a RN for over 40 years. She has worked as a  RN for 20 years in Intensive Care Unit and Emergency in an acute care hospital in Regina and for 20 years in Admistrative positions. Currently, Associate Dean, Student Affairs, at the Faculty of Nursing, UofR.  Karen’s master thesis and doctoral research was in nursing leadership. The results indicated that managers’ use of transformational leadership practices can affect the staff nurses’ perception of the quality of patient care on a unit. Her research interest is in nursing leadership related to patient and staff outcomes, quality workplaces and provincial and national nursing regulation.

Abstract:

In Canada Registered Nurses are responsible and accountable for meeting their professional standards and competencies. In Saskatchewan it is mandatory each year for RNs to review the standards and competencies and reflect on how they will meet the competencies. One of the competencies is about professional leadership.

 RNs must demonstrate professional leadership by: 

1. Building relationships and trust;
2. Creating an empowering environment
3. Supporting knowledge development and integration within the health care team
4. Leading and sustaining change; and
5. Balancing competing values and priorities.

The Registered Nurses Association of Ontario (RNAO) has developed many Clinical Best Practices Guidelines and Health Work Environment (HWE) Best Practice Guidelines (BPG).  One of the RNAO HWE BPGs is called Developing and Sustaining Nursing Leadership (2013). This BPG addresses each of the Saskatchewan RN leadership competencies and gives individual examples of how nurses can meet these competencies. The BPGs are based on evidence and give recommendations for individuals, educational programs, organizations and governments, but this presentation will focus on the individual and team strategies that are recommended based on the evidence. 

This presentation will give an overview of the guideline and the recommendations for implementation. Participants will leave with some concrete examples of how they can demonstrate professional leadership and enhance their own practice.

Biography:

Karen Eisler has been a RN for over 40 years. She has worked as a  RN for 20 years in Intensive Care Unit and Emergency in an acute care hospital in Regina and for 20 years in Admistrative positions. Currently, Associate Dean, Student Affairs, at the Faculty of Nursing, UofR.  Karen’s master thesis and doctoral research was in nursing leadership. The results indicated that managers’ use of transformational leadership practices can affect the staff nurses’ perception of the quality of patient care on a unit. Her research interest is in nursing leadership related to patient and staff outcomes, quality workplaces and provincial and national nursing regulation.

Abstract:

Research has demonstrated that quality of care, patient and nurse outcomes are important in healthcare. The goal of the two research projects was to describe staff nurses' perception of the quality of care, patient and nurse outcomes and examine the relationship of the variables with the nurses’ perception of their nurse managers’ leadership practices. The first project was conducted in two acute care surgical units and the second project was a year later in a long term care facility

Methodology in both projects: Two surveys were distributed to all RNs, LPNs and RPNs working full time or part time. One survey was asking for their perception of their nurse managers’ leadership practices using Kouzes and Posners Leadership Practice Inventory (LPI) (2013). The second survey captured their perception of quality of care on the unit, staff intent to leave, medication safety and overall patient safety.

The data was analyzed in each project and then comparison was done between acute care and long term care results.

This session will report on the findings of the research projects.

Biography:

Dr Wang Hong has her expertise in evaluating the effects of natural products on radiation protection. She has investigated the function of celastrol, ursolic acid, Des-Aspartate-Angiotensin I, et al. in animal models and in vitro against gamma radiation induced damage.

Abstract:

The present study was aimed to explore the possible radioprotective effects of celastrol and relevant molecular mechanisms in an in vitro cell and an in vivo mouse model exposed to gamma radiation. Human keratinocyte HaCaT and BJ skin fibroblast cells were exposed to gamma radiation of 20Gy, followed by treatment with celastrol for 24h. Cell viability, reactive oxygen species (ROS), nitric oxide (NO), and glutathione (GSH) production, lipid peroxidation, DNA damage, inflammatory cytokine levels, and NF-κB pathway activation were examined. The survival rate, levels of interleukin-6 (IL-6) and tumor necrosis factor alpha (TNF-α) in blood, and p65 and phospho-p65 expression were also evaluated in mice after exposure to gamma radiation and celastrol treatment. The gamma irradiation of HaCaT cells induced decreased cell viability, but treatment with celastrol significantly blocked this cytotoxicty. Gamma irradiation also increased free radical production, e.g. ROS and NO, decreased
the level of GSH, and enhanced oxidative DNA damage and lipid peroxidation in cells, which were effectively reversed by celastrol treatment. Moreover, inflammatory responses induced by gamma irradiation, as demonstrated by increased levels of IL-6, TNF-α, and IL-1β, were also blocked by celastrol. The increased activity of NF-κB DNA binding following gamma radiation was significantly attenuated after celastrol treatment. In the irradiated mice, treatment with celastrol significantly improved overall survival rate, reduced the excessive inflammatory responses, and decreased NF-κB activity. As an NF-κB pathway blocker and antioxidant, celastrol may represent a promising pharmacological agent with protective effects against gamma irradiation-induced injury.

Biography:

Will be updated Soon 

Abstract:

Methods

Every other year from 1991-2017, CDC’s Youth Risk Behavior Survey has been administered to nationally representative students in grades 9th to 12th. We created charts that showed YRBS data in suicide ideation. The charts were created to examine the similarities and differences in suicide ideation among high school students and were stratified by gender, 3 major races/ethnicities, and grade level.

Results

Females constantly have a distinct, higher suicide ideation proportion than males. However, the recent years' result showed that males have an increasing suicide ideation proportion in the 12th-grade White population. Similarity, in the recent 2 years, 12th grade African American females also had prominent alarming increases in suicide ideation. Contrast, both 9th-grade females, and males had a distinctly proportion of decreasing the rate of suicidal ideation. Males’ proportions were more stable compared to female’s. African Americans generally had the lowest proportions of suicide ideation.

Conclusion

The research showed that understanding the demographic characteristics of adolescents who have suicide ideation may help improve prevention and treatment of future and committed suicide attempts. To prevent injuries incurred from suicide ideation, the first-line providers should aware of the sign of suicide on adolescents and give them properly suicide prevention education program to decrease suicidal occurrence. Providers are suggested to utilize effective assessment tools to identify high-risk populations.

Biography:

Oruk Emmanuel is a young researcher who pursued a bachelor’s Degree in social work and Community development. I have expertise in real life challenging situations ranging from community, social problems, health challenges and poverty. My expertise is based on influential and inclusive mechanisms and strategies aimed at improving quality of life of people in the world and enhance psychosocial support to respective categories of persons in need of such services. Through my carrier, guidance and counseling are part of my comprehensive approaches to problem solving to influence a quality of life in clients to adopt and as well device strategies for self improvement, skills development that complies with minimum standards of community development. My research has provided tangible results which have led to awards received in appreciation of results offered through my research henceforth leading to development.

Abstract:

Globally , Neonatal nursing remains a subspecialty of nursing that works with newborn infants born with a variety of problems ranging from prematurity, birth defects, infection, cardiac malformations, and surgical problems. However, Neonatal Nursing faces a huge challenge in a developing countries for instance Uganda and developed countries for instance United States of America to a minimal extent. According to (UNICEF), Every year, 2.6 million babies die before turning one month old. One million of them take their first and last breaths on the day they are born. Another 2.6 million are stillborn. Approximately 40,000 low-birth-weight infants are born annually in the United States. Because of significant medical advances and the efforts of physicians and neonatal nurses who provide for very vulnerable babies quality care, survival rates are 10 times better now than they were 15 years ago. In regards to methodology, a systematic review of literature in the following databases which included United Nations Children’s Fund (UNICEF), World Health Organization (WHO), Global Health Observatory data (GHO) provided in depth substantial and comprehensive literature beneficial to this paper. Research findings further indicated remarkable innovation advancement to aid neonatal nurse  practitioners in diagnosing and treating conditions that are commonly present among premature children for instance Phototherapy,  Artificial Womb, The Heart Rate Observation System (HeRO), Artificial Surfactant and Pea Pod innovations in quality care for neonates.

The Purpose of this paper is to critically examine the evidence to determine advancement and innovations in neonatal nursing.  This paper therefore seeks: (1) to explore the innovative/sustainable strategies necessary to increase awareness on neonatal nursing, (2) to highlight technological advancements in neonatal nursing, (3) to identify necessary medical policy framework integration in filling the gaps created by existing policies to enhance neonatal nursing capacity globally.

Biography:

Yanmeng Yang is studying on her master's degree of nursing in Sichuan University. She had participated in many academic conferences at home and abroad.

Abstract:

Objective：To explore the status and influencing factors of nurses' subjective well-being, and analyze its correlation with job burnout.

Methods：A cross-sectional study was used to investigate nurses by using the general data questionnaire, the Campbell well-being index scale and the Maslach Burnout Inventory—Human Service Survey.

Result: A total of 336 questionnaires were collected, and the score of Campbell well-being index scale was 10.11 (3.65), of which the total emotional index score was 5.09(2.07) and the life satisfaction score was 5(2). 4.8% were low degree of happiness, 43.2% were moderately happy, 52.15% were high degree of happiness. 25% had mild job burnout, 16.7% had moderate job burnout, and 6.5% had severe job burnout. Age, education and wage satisfaction had an effect on subjective well-being (P=0.018, 0.024, <0.001). Spearman correlation analysis showed that the subjective well-being was negatively correlated with emotional exhaustion and depersonalization (r=-0.610, -0.423; P < 0.001, P < 0.001), and was positively correlated with the sense of achievement (r=0.308, P < 0.001).

Conclusions：Job burnout affects the subjective well-being of nurses. It is necessary to pay attention to the job burnout of nurses and improve the sense of achievement of nurses in order to improve the subjective well-being.

Biography:

Yue Feng is working on her MD at Sichuan University in China. She had participated in many academic conference at home and abroad, and has published several papers in reputed journals

Abstract:

Objective The association of PAI-1 promoter 4G/5G gene polymorphism with peripherally inserted central catheter related upper extremity venous thrombosis(PICC-UEVT) is still not well defined. We explore the relationship between PAI-1 promoter 4G/5G gene polymorphism and PICC-UEVT in Chinese lung cancer patients. The clinical factors associated with PICC-UEVT is also analyzed.

Methods A total of 237 lung cancer patients were included. Blood samples were collected to detect the PAI-1 genotype, Caprini risk model was  used after the catheterization of a PICC. Color Doppler ultrasound were performed after 48 hours to inspect whether catheter related venous thrombosis was formed, and then patients received ultrasound again on the 7^th, 14^th, 21^st days.

Results The incidence of PICC-UEVT was 13.50% and the median occurrence time was 5.00 (3.00-7.25) days. There were 3 genotypes of PAI-1 promoter, and the distribution frequencies of 3 genotypes in thrombosis group and non-thrombus group were:4G/4G type (28.12%:34.17%), 4G/5G type (59.38%:49.27%), 5G/5G type (12.50%:17.56%), and the genotype distribution frequency had no significant difference (P＞0.05). The median Caprini risk scores of thrombosis group was 6.16±1.32 while the non-thrombus group was 5.66±0.87, the difference was statistically significant (P=0.049). The logistic regressive analysis showed that patients with higher Caprini risk scores and FIB are risks for the PICC-UEVT. And the risk of PICC-UEVT increases with the Paclitaxel Cisplatin (TP) (OR=18.332, 95%CI: 2.890-116.278) and Gemcitabine Cisplatin (GP) (OR=6.617, 95%CI: 1.210-36.180) regimen compared to those with Pemetrexed Cisplatin (AP) regimen.

Conclusion Medical stuff should attach great importance to the occurrence of venous thrombosis within one week after PICC catheterization as well as patients at high risk according to Caprini risk scores, FIB and take preventive measures actively.

Biography:

Henok Mulugeta completed Lecturer of Nursing, Department of Nursing, College of Health Science University of Gondar Address: P.O. Box 196, Gondar, Ethiopia

Abstract:

Aim: The study aims to explore the effect of Quality Control Circle (QCC) activities on improving pain relief rate in cancer patients.

Method: 342 patients with cancer pain were randomly selected in July 2015 before the implementation of QCC. The causes of low pain relief rate in cancer patients and the shortcomings in clinical nursing were analyzed. The improvement measures were formulated and implemented. 346 patients with cancer pain were randomly selected in November 2015 after the implementation of QCC, pain relief rate, quality of life and risk of suicide among patients with cancer before and after the implement of QCC.

Result: The pain relief rate of cancer patients increased from 70.2% to 92.5%, quality of life increased from 31.4% to 54.7% and suicide risk from decreased 59.4% to 38.7% after QCC activities. The difference was statistically significant (P<0.05).

Conclusion: QCC can effectively improve pain relief rate of cancer patients, relieve physical and mental pain, improve the quality of life, reflect social and humanistic care and improve the overall level of hospital medical care and nursing quality.

Biography:

Will be updated soon 

Abstract:

The project was carried out by professional staff from the unit- doctors, had nurse and social worker. During the last 6 mounts the project was based on evaluation and diagnostics on the needs of the elderly patients. The evaluation included medical information, nursing evaluation and social status of each patient. Special attention was given to elderly patients with poor physical and emotional condition and to those who didn't have family or community support.             

                                                                             Results:

Main issues that came up during the intervention were about fears and anxieties of the medical situation, anxiety how they can handle themselves at home, especially for those who have no family and need support and monitoring of  the                  therapeutic factors in the community                                                    

                                                                   Conclusion:

The project has raised awareness about the special needs of the elderly patients. More concern should be taken about those needs. We found out that the patients that took part in the project were more satisfied during the hospitalization, the anxieties and the concerns of hospitalization decreased and they released to their home with more confidence and knowledge that they can handle themselves at home and get help if they need.       

Biography:

Will be Updated Soon 

Abstract:

The project was carried out by professional staff from the unit- doctors, had nurse and social worker. During the last 6 mounts the project was based on evaluation and diagnostics on the needs of the elderly patients. The evaluation included medical information, nursing evaluation and social status of each patient. Special attention was given to elderly patients with poor physical and emotional condition and to those who didn't have family or community suppor       

Main issues that came up during the intervention were about fears and    anxieties of the medical situation, anxiety how they can handle themselves at home, especially for those who have no family and need support and monitoring of  the                  therapeutic factors in the community                                                    

                                                                   Conclusion:

The project has raised awareness about the special needs of the elderly patients. More concern should be taken about those needs. We found out that the patients that took part in the project were more satisfied during the hospitalization the anxieties and the concerns of hospitalization decreased and they released to their home with more confidence and knowledge that they can handle themselves at home and get help if they need.                                                             

Biography:

Amr I.M. Hawal has his expertise in evaluation and passion in improving the health and wellbeing. His open and contextual evaluation model based on responsive constructivists creates new pathways for improving health care specially in Neonatology field. He has built this model after years of experience in research, evaluation, teaching and administration both in hospital and education institutions. Our case presentation was done in one of the biggest & modern of art & advanced NICU based on tertiary generation level in the region (Latifa Hospital, DHA, Dubai, UAE). 

Abstract:

Statement of the Problem: 

   It’s a clinical case presentation of a male Preterm infant Newborn (+31 wks) who was delivered in our hospital & transferred to our NICU because of Prematurity, VLBW & need to respiratory support. Baby shortly undergo Necrotizing Enterocolitis (NEC) on 5^th day of life shortly after start of expressed milk feeding …! Which was early detected by use of Near Infrared Abdominal spectroscopy (NIRS). Baby was deteriorated clinically in a couple of hours & undergo intestinal perforation with peritonitis , So, Abdominal exploration surgery with intestinal resection & end – to end anastomosis was done urgently.

 Baby improved gradually & early feedings was started & gradually