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

Biography:

Aidah Alkaissi is currently a Dean of Nursing College at An-Najah National University, Palestine. She is also coordinator of the Master programs of Nurse Anesthetists and Critical Care Nursing. She graduated BSN, MSN, PhD in Anesthesiology from Linköping University, Sweden. She also has Bachelor of Law degree from Arabic University of Beirut, Lebanon. She has published more than 17 papers in reputed journals and has been serving as a Vice Chairman of IRB at An-Najah National University.

 

Abstract:

The purpose of this study is to compare the analgesic effect of intra-peritoneal instillation of bupivacaine plus morphine hydrochloride versus bupivacaine plus magnesium sulfate in patients undergoing laparoscopic cholecystectomy under general anesthesia. Hundred patients were randomized to one of the following groups: (Mo group) (n=50) receiving intra-peritoneal instillation of 30 ml 0.25% bupivacaine and 3 mg morphine, (Mg group) (n=50) receiving intra-peritoneal instillation of 0.25% bupivacaine plus 50 mg/kg magnesium sulfate to a total volume of 30 ml. Postoperative pain was evaluated using visual analog scale (0-10). There are significant differences between Mo and Mg groups in the total VAS score (P value <0.05). In the Mo group, the mean of total VAS (2.09) was significantly lower than the mean of total VAS in the Mg group (2.71); which means that patients in the Mo group had significantly less intensity of pain than patients in the Mg group (p=0.006). There is a significant difference between n(%) of patients complaining of moderate to severe postoperative pain in Mo group 15/50 (30%) compared to Mg group 25/50 (50%) (p=0.0423). When estimating the size of the treatment effect of morphine hydrochloride plus bupivacaine, found that the relative risk reduction of moderate to severe pain postoperatively is 0.40. As a conclusion, intra-peritoneal instillation of combination of bupivacaine with morphine hydrochloride is superior to bupivacaine plus magnesium sulfate to reduce the intensity and incidence of postoperative pain in patients undergoing laparoscopic cholecystectomy surgery without significant increase of side effects. This peripheral effect of opioid provides a new approach to pain relief that can have major clinical benefits.

Biography:

Rokaia M Al-Shualah has completed her MSN degree from University of Dammam with a first-class honor. She is leading Nursing Education & Training at Royal Commission Hospital in Saudi Arabia. She has published in many national and international journals, lately in the show edition of Arab Health Magazine & Journal of Nursing and Healthcare. She has participated in many national and international conferences. She is a member in Saudi Heart Association, The Saudi Critical Care Society and European Society of Cardiology.

 

Abstract:

Post cardiac catheterization puncture site care is usually done with a tight pressure dressing in many institutions and cardiac centers due to the belief that it should prevent the bleeding. This practice is uncomfortable to the patients. Nurses have also described difficulty in assessing the sheath insertion site in the groin when a pressure dressing is in place. A new way of dressing using transparent film dressing (TFD) has approved and rated better with regard to: comfort, less pain, decrease hematoma formation and facilitates nurses’ assessment of puncture wound site after femoral sheath removal. The aim of this study was to determine the efficacy of using a small transparent non-pressure dressing compared with the traditional controlled pressure dressing applied to the femoral artery puncture wound to maintain haemostasis with respect to 3 outcomes: patient satisfaction, bleeding or hematoma formation, and ease of nursing assessment of the groin puncture site after the procedure. 80 post cardiac catheterization patients were randomized to have their groins dressed either with pressure dressing or TFD. 100% in TFD group vs. 55% in pressure dressing group reported feeling very comfortable (p value of 0.003). Hematoma formation was equal in the two dressing groups with no incidence of bleeding complications. Nurses rated the ease of assessing the groin significantly higher for TFD than for pressure dressings (p value of 0.000). Dressing of the puncture site after cardiac catheterization with TFD was more comfortable than the conventional pressure dressing without any difference in hematoma or bleeding complications.

 

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.