48^th Global Nursing & Healthcare Conference March 04-06, 2019 Barcelona, Spain

Biography:

Linda Charlotte Hallengreen is a teacher, adjunct at the Nursing Academy in Region Zealand, Nykøbing F. She has a background as a nurse, and specialized as ICU nurse and completed her Master of Health Science degree from University of Copenhagen. She holds a particular interest in the nursing profession and the diversity between the clinical and the theoretical parts of the nursing field and education.

Abstract:

This project presents a unique and innovative way of present interventions in research in clinical nursing practice. As a part of a multicenter study at the Danish National Hospital regarding thirst among Intensive care patients, which is a well-known area, that bothers intensive care patients, the Department of Neuroanesthesia made, in cooperation with the Nursing Academy a particular custom made movie. It contained an introduction for the project and demonstration of the interventions, water, soda, ice-cream etc., as the primary information source. The movie lasted 8:05 minutes and were distributed by a closed YouTube Channel and personal email. The setting for the movie was an empty unused room comparable to the other patients’ wards, so the movie was taken in a natural setting. The movie consisted of both professional and teaching considerations to promote a result oriented and a flexible implementation. This project showed that this way of presenting information resulted in a wide support from the nurses, which directly expressed in the highest inclusion rate in this multicenter study. The right amount of knowledge at the right time – is a keystone in running am effectively heath department today. With today’s technology it is possible to make movies on different devices, even those with less technical skills, and upholds new opportunities for the nursing profession and science in clinical practice.

Biography:

Fatima Hirzallah has recently completed her PhD in Nursing Science from University of Porto, Instituto de Ciências Biomédicas Abel Salazar (ICBAS), Porto-Portugal. She is currently Lecturer of Critical Care nursing course in the Faculty of Nursing and Midwifery at An-Najah National University, Nablus- Palestine. She has published two papers in reputed journals. She is the coordinator of the ACLS and TNCC courses at An-Najah National University.

Abstract:

Objective: To determine if the weaning protocol led exclusively by critical care nurse reducing the duration of mechanical ventilation (MV), weaning time, intensive care unit (ICU) and hospital length of stay (LOS), and reintubation rate, and hospital mortality in critically ill adult patients who received invasive ventilation at the time of study enrolment compared to usual care (UC) of weaning among intensive care units of Palestinian hospitals.

Methods: A quantitative, prospective, quasi-experimental study design. Sixty eight adult patients (≥18 years) who were mechanically ventilated via endotracheal tube for ≥24 hours, in multicenter ICU's in Palestinian hospitals were distributed in experimental group and control group. The nurse-led weaning protocol for the experimental group was matched with historical controls (1:1 matching) of retrospective data of UC weaning for the control group, assigned into two groups (n=34 each).

Results: There were no significant differences in the two groups at baseline. Median durations of mechanical ventilation (MV) in the NLWP and UC groups were 24 hours (IQR=30hrs), (min-max=24-110) and 48hrs (IQR=48hrs), (min-max =24-216), respectively (P=0.034). Median of weaning time in the NLWP and UC groups were 2 hours (IQR=2hrs), (min-max = 1-4) and 4 hours (IQR=3hrs), (min-max =2-13), respectively (P=0.001). Median durations of ICU length of stay (LOS) in the NLWP and UC groups were 5 days (IQR=5 days) (min-max=2-17) and 7 days (IQR=6days), (min-max=2-26), respectively (P=0.03). There was statistical significant differences in reintubation rate (%) in the NLWP and UC groups was 3/34 (8.8%) and 11/34 (32.4%), respectively (P= 0.016). There was no difference in hospital LOS, and hospital mortality between the two groups.

Conclusion: Our results clearly indicate that nurses-led weaning protocol was associated with shorter in duration of MV, shorter weaning time, shorter ICU LOS and less of Reintubation rate.

Biography:

Hala Mohamed Bayoumy BSc, MSc, DSc is an Assistant Professor in King Saud bin Abdulaziz University for Health Sciences. She is an author of many research articles (18) published in reputed journals. She has presented papers in numerous international conferences. She is in the Editorial Board of International Journal of Nursing & Clinical Practices. She was Editor- for the special issue: Self Care Skills and Quality of Life of Patients - which was published under that Journal. She is also Reviewer for multiple journals and member of many academic bodies. Her reseach interest centers around advances in nursing education as well as exploring impact of different illness conditions, treatment modalities and nursing interventions

Abstract:

Background: Placebo interventions have been shown to be effective in alleviating symptoms of illnesses and therefore are commonly used in medical practice. Despite that, placebo is considered a pseudo-medication and therefore its use is debatable ethically, professionally and legally. There is also a lack of understanding of placebo among health profession students as a matter of lack education about placebos. Further, no previous studies have been conducted to investigate whether future nurses and physicians differ in their knowledge, attitudes or beliefs regarding placebo.

Methods: A comparative cross sectional study was carried out for exploring knowledge, attitude and beliefs about placebo interventions among a convenient sample of 191 medical and nursing students at King Saud bin Abdulaziz University for Health Sciences, Jeddah. Two instruments were utilized for data collection, including sociodemographic data sheet and a 32-item placebo knowledge, beliefs and attitude scale which was developed from the evidence-based literature. Validity and reliability was ensured through utilizing a nursing panel of experts and internal consistency analysis.

Results: Overall mean knowledge score was 7.68 ±2.07. Nursing students showed significantly higher knowledge than medical students (p=0.028). More nursing than medical students believed in the effectiveness of placebo (pË‚0.001). Medical students had a stronger belief that placebo effect is mental while nursing students believed it is both mental and physiologic (pË‚0.006). They also agreed that placebo intervention involves deception. Concerning placebo attitude, medical students significantly pointed that it should be prohibited but also significantly permitted if research supports its use (pË‚0.001).

Conclusion: Current study findings offered a unique opportunity first to better study the misunderstanding of placebos which might open the gate for misuse and might place the patient at risk of deception. Second exploring knowledge, attitudes and beliefs of future health care providers was imperative as relevant evidence based recommendation for nursing and medical educators could be achieved.

Keywords: Placebo Interventions, Clinical Practice, Knowledge, Attitude, Beliefs, Nurses, Physician, Students.

Biography:

Owen Doody is a Senior Lecturer in the Department of Nursing and Midwifery at the University of Limerick, Ireland. He is Course Director of post graduate education in his department and competed his PhD in 2012 on clinical nurse specialism in intellectual disability in Ireland. He has widely published in the area of nursing and intellectual disability has a focus on supporting practice evidence and publications. He is currently working with research teams on developing a national transfer letter for older people into acute care and a leadership for managers in intellectual disability services.

Abstract:

Nursing process quality care metrics and indicators are quantifiable measures of nursing care that describe nurses care activities. Intellectual disability nursing is often on the fringes as it only a seperate entity in Ireland and in UK. This study aimed to identify intellectual disability nursing quality care process metrics and associated indicators. A two-stage design consisting of a systematic literature review and 4 rounds of a Delphi survey and a consensus meeting was undertaken. From the databases, grey literature and hand searching publications from both academic and practice evidence were gathered. This resulted in 20 existing and 16 new intellectual disability metrics been identified for the Delphi process. 401 intellectual disability nurses were recruited with the overall response rate of over 50% achieved for all rounds. The 4 Delphi survey rounds resulted in 12 metrics and 84 associated indicators achieveing over a 70% consensus. An additional consensus meeting was held with key stakeholders and all 12 metrics and 79 indicators reached the agreed 70% threshold for inclusion in the final suite of metrics developed for implemented into and evaluation in practice.

Biography:

Abstract:

Introduction: A rapidly aging population is a serious concern in Japan. In particular people aged 65 and over constituted 28.1% of the population in 2018 and the number of households of older adults living alone were 6 million in 2015 and increasing. This figure has led to several social problems such as social isolation (SI) particularly in urban areas. And there are other social problems such as growing rate of single people in middle age and declining rate of birth in young age, Japan.

Purpose: The purpose of this study is to clarify prevalence of SI and differences of factors related to SI between middle-aged and old-aged citizens resided in an urban area with a super-aging rate of Kyoto City, Japan.

Methods: Questionnaire survey was conducted in Awata elementary school district in January, 2018. This area (Rate of aging is 34.6% in 2018) is located in ward Higashiyama, where rate of aging is 33.5% and the highest in Kyoto city. The response rate is 21.1% of families (427 families/2,015 families). We used Lubben Social Network Scale (LSNS) to measure SI (LSNS<12). Univariate analysis was performed to examine factors related to SI in both middle and old age irrespectively.

Results: Prevalence of SI was 30.0% in middle age and 36.3% in old age. In middle age men had a higher proportion of SI than women, and unmarried people had a higher proportion of SI than married people. SI people had worse lifestyle, such as excessive drinking, higher rate of depression, IS from friends than non-SI people. (Table 1) In old age men had a higher proportion of SI than women and SI people had worse lifestyle, such as leanness, no regular exercise and lower life satisfaction, higher rate of depression or loneliness and lower sense of community than non-SI people.

Discussion: This study showed high prevalence of both middle and old aged residents in an urban district. Preventive activities for health promotion in middle aged people, are to promote good health practices and mental health, but in old aged people are recommended to promote not only good health practices and mental health but also sense of community.

Biography:

Abstract:

Purpose: The author has organized “The Awata Kenko Machizukuri Kai” (the Awata Health and Community Development Association) with a neighborhood self-governing association, which is a local resident organization of A school district, the Community Senior’s Association, “Josei-Kai” (the Community Women’s Association), local elderly care management center, which is the organization entrusted by the public administration, and preventive care promotion center, and conducted a program to breed the social capital. In this study, the author aimed to verify the effects of social capital in the super-aging society.

Methods: A school district is located in ward B, where proportion of elderly is highest in Kyoto city. The number of elderly who are 65 years old or older is 1,139 (31.4%). An inventory survey was conducted for 2,015 residents who were 40 years old or older of A school district in January 2018.

Results: There were 173 people (59.9%) who knew the activities of The Awata Kenko Machizukuri Kai and 116 people who did not know (40.1%). People who know this activity are more satisfied with life satisfaction (LSIK), subjective sense of health self-rated health, health behavior (Breslow 7 items), spread of neighborhood companions, neighborhood socializing the depth was significantly higher.

Discussion: Kyoto city is a local community where a number of festivals have been inherited. However, acceleration of aging may influence well-being of the residents while it makes execution of the events difficult, which weakens the association of the local residents, the author presume. The practice of “The Awata Kenko Machizukuri Kai” suggests a model as a concrete practice example of regional comprehensive care system by residents’.

Biography:

Abstract:

Introduction: Haiku is the world’s shortest form of fixed verse.  Haiku uniquely developed in Japanese culture and consists of 3 lines of 5, 7, and 5 syllables.  Many Japanese routinely compose haiku poems that highlight causal events in life.  The current study examined the mental health of people who like haiku. 

Subjects: Subjects were 20 male and female Japanese who routinely enjoyed haiku. 

Methods: Subjects’ quality of life (QOL) was assessed, and changes in the digital pulse wave were compared before and after a poetry gathering (where people present their own poems and assess those of others). 

Results: People who like haiku had a significantly better QOL than that of typical Japanese.  Autonomic nervous function and fluctuations in the digital pulse wave were close to ideal after the poetry gathering in comparison to before. 

Conclusion: Haiku has a positive effect on mental health.

Biography:

Inna Yoffe Vaisman has completed her MHA from Tel Aviv University. She is the Clinical Nurse Manager at Pediatric Surgery Department in Sheba Medical Center at Tel Hashomer, Israel.

Abstract:

Patient-centered care (PCC) is one of the main components of the IOM (2001) Quality Therapy, which addresses quality treatment according to the IOM Report (2001). Quality treatment respects the patient and addresses the patient's preferences, needs, and values, ensuring that patient values guide clinical decision-making. Preparing children for surgery reduces their anxiety level before and after surgery compared with unprepared children. The positive experience of the patient from the procedure is critical and influences the child's continued perception of his or her stay in the hospital. Therefore, it was decided to improve the pre-surgery procedure performed towards children's surgery in order to reduce the level of anxiety among children and their parents, to increase their sense of control and thereby to achieve cooperation between the child and his family. An intervention program was introduced that included age-appropriate structured instruction and a developmental stage of the young patient. Raising awareness of the existing staff and preparing a training program for new nursing staff. Assessment of patient and family satisfaction before and after the intervention program. The intervention program contributed in a variety of ways to the general feeling of satisfaction with the preoperative process, and specifically to understanding the way in which the procedure was conducted and how the information about the planned operation was offered. The implications of the intervention program are very significant, as comprehensive adjusted training, patient empowerment, and empathic intervention have been shown to contribute to the sense of satisfaction and to generally improve the experience of hospitalization.