18^th World Congress on Clinical Nursing and Practice September 21-22, 2018 Prague, Czech Republic | Panorama Hotel Prague Milevska 7, 140 63 Praha 4 Czech Republic

Biography:

Janet H Davis holds a BSN degree from Georgetown University, MSN degree in Maternal Child Nursing from Boston University, an MBA from the University of Illinois at Chicago and the PhD degree in Education from Loyola University, Chicago. She has accumulated numerous accomplishments during her career in higher education and has held the roles of Faculty and Dean. Her research includes approximately $200,000 of funding in training grants and studies on nursing education. She is the Author and Co-author of published research abstracts, 32 articles, a book and chapters in two additional books

Abstract:

The PICO (population, intervention, comparison and outcome) model is widely accepted for framing evidence-based practice questions. The results of a database search to answer the PICO question are analyzed using a critical appraisal skill set for evidence-based practice. The PICO model offers an applied context for synthesizing nursing knowledge with the best available evidence to make decision for practice. However, in reality the clinical interventions based on this evidence may not be available in practice settings around the globe and furthermore may not be the best fit culturally with the patient population. Individual values, beliefs and behaviors about health and well-being are shaped by factors such as ethnicity, gender, language, nationality, occupation, physical and mental ability, race, sexual orientation and socioeconomic status. Cultural competence is defined as the ability of healthcare providers to integrate these factors into interventions. The goal of culturally competent healthcare services, just like evidence-based practice, is to provide the highest quality of care to every patient. Strategies including culturally congruent practice standards reflecting cultural background, language proficiency and literacy in the critical appraisal comparison of nursing interventions for best practice are suggested.

Biography:

Karin Enskar is a Pediatric Nurse with a PhD degree, working as a Professor of Nursing at the School of Health and Welfare at Jonkoping University, Sweden. Her research is focused on nursing care of children and adolescents with cancer and their families, as well on children with other long-term diseases, including pain and pain management. She has published more than 90 papers in reputed journals and has been serving as an expert on several boards of repute.

Abstract:

Having childhood cancer involves repeated hospitalizations, a change in the child’s and family’s everyday life and routines. Concrete how the nurse can act when caring for children with cancer in various phases is sparsely highlighted in the literature. Therefore, this study aims to describe nurse’s main challenges in caring for young children with cancer and their parents during the diagnosis, on-treatment, off-treatment and follow-up phase. Thirteen (13) children with newly diagnosed cancer aged 1 to 6 years and their parents connected to a pediatric oncology unit in Southern Sweden, participated in this study through semi-structured interviews. Child and parent data were analyzed with a deductive content analysis using the Swanson caring theory. The result of this study shows that nurse’s main challenges in caring for young children with cancer and their parents are to some extent but mainly different between the phases. The nurse’s main challenges in caring for young children with cancer and their parents during the cancer trajectory are to help children and families in the transition to a new normality, create hope by a trustful relationship, support coping by giving knowledge and information, decrease distress, anxiety and pain, display interests in the child’s and parent’s life outside the hospital and to have a plan for follow-up. From these results, it would be recommended for nurses to develop a standardized and structured nursing care plan or clinical guidelines with detailed information on how to carry out the clinical nursing care in the different phases.

Biography:

April Pike is an Associate Professor at Memorial University School of Nursing, St. John’s, Newfoundland (NL).  She holds an Undergraduate and Master’s degree in Nursing and a PhD in Medicine: Community Health and Humanities.  Her research expertise is in the field of genetics, cadiovascular disease and qualitative research methods.

Abstract:

Genetic knowledge has shifted rapidly from the traditional lab of the bench scientist into the mainstream lives of individuals through media and private industry.  This presentation examines how people at risk for a genetic linked condition make the decision to participate in or forgo genetic testing. Drawing on research done in the area of Arrhythmogenic Right Ventricular Cardiomyopathy two approaches to decision making are discussed: the decision to be tested either (a) develops gradually over time or (b) happens so quickly that it is felt as a “fait accompli.”  Six key factors that influenced the particular approach taken by the participants were identified: (1) scientific process -- available and relevant predictive genetic test; (2) numerous losses or deaths within the family; (3) physical signs and symptoms of disease; (4) gender; (5) sense of relational responsibility or moral obligation to other family members; and (6) family support.  This study found that at risk individuals juxtapose scientific knowledge against their experiential knowledge and the six identified factors in order to make the decision to participate in genetic testing.  Nurses play a significant role in helping individuals decipher genetic knowledge and making the decision to have genetic testing. Recommendations include the creation of a relational space within which to provide psychological counselling and assessment for the six identified factors that shape the decision to engage in predictive genetic testing.

Biography:

Sengul Uzen Cura has completed her graduation degree in Nursing from Gulhane Military Medical Academy, in 2006. She has completed her Master’s degree on Fundamental Nursing from Institute of Health Sciences at Marmara University and completed her PhD in the same field of study from Nursing Faculty of Istanbul University, in 2017. She worked as a Clinic Nurse at a Military Hospital for nine years, five of which were in ICU. She has been working as an Academician at Canakkale Onsekiz Mart University since 2015, and has given lectures on graduate level since then.

Abstract:

Aim: The aim of this study was to examine the effect of applying cold band treatment to migraineurs on the duration and severity of migraine headaches, and on migraine-specific quality of life.

Background: Cold application is recommended as a nonpharmacological method for the treatment of migraineurs. It is believed that the use of cold bands, which can be easily applied to the forehead at any time and in any place, may contribute not only to pain relief but also to an improved quality of life for these individuals.

Method: Patients referred to the neurology clinic and diagnosed with migraine by a neurologist were examined prospectively. A self-controlled research design was applied in order to minimize individual differences. The sample group participating in the study was monitored over the course of four migraine attacks: two before and two during the application period.

Result: Comparison of the mean values of pain duration for the pre-application and application periods revealed no statistically significant difference. (p>0.05). However, there was found to be a significant difference between the mean pain intensity total scores (p<0.05). At the 30^th and 60^th- minute points, it was noted that the mean value of the total pain scores for the application period decreased significantly (p<0.05). Also, it was recognized that the 24-hours migraine quality of life scale showed a statistically significant increase in the total score and in the subscale scores when compared to the pre-application period (p=0.0001).

Conclusion: For migraine sufferers, the application of a cold band to the forehead was found to have a positive effect in reducing pain severity and also improving quality of life.

Biography:

Selda Mert BoÄŸa is an Instructor at Kocaeli University. She has interest in issues like surgical diseases nursing, nursing care, evidence-based nursing practices, patient or employee health and safety. She received her PhD in the Department of Surgical Nursing at Istanbul University in 2016. She is a member of Turkish Society of Surgical and Operating Room Nurses. Her research is focused on surgical diseases nursing, nursing care, evidence-based nursing practices. She has published more than 10 papers in important journals. She has been working as an educator for 11 years.

Abstract:

Aim: Using the nursing model based on living activities (NMBLA), this study aims to detect problems encountered by families who provide care for persons with intellectual disabilities (PIDs), and to plan, apply, and evaluate the nursing initiatives aimed at resolving those problems.

Method: This descriptive, interventional study is a regional field study that included 100 PID families, who agreed to home visits from September 2008 to December 2008. Data collection took place in three stages. In the first stage (October–December 2008), home visits to the participating families were carried out. Questionnaire forms were used that had been developed in accordance with the relevant literature to determine the sociodemographic characteristics of the PIDs and their families, the knowledge level and treatments concerned with disability, care needs, and anxiety levels of the relatives of the disabled individuals. In the second stage (January–March 2009), the suitable nursing initiatives for the problems of the PIDs and their families were planned, and the relatives of disabled individuals were referred to the relevant institution and organizations. The third stage (April–June 2009), evaluated whether the problems of the families to whom the care needs-oriented nursing initiatives were applied had been resolved. In data analysis, the Wilcoxon signed-rank test was used to compare the scores.

Results: Among the PIDs, 56% were male; 40% were in the 21–30 age group; 45.5% had an intelligence quotient in the range 26–50; 73% were living with their mothers and fathers; 67% did not receive any formal or special education; 66% had other accompanying disabilities; and 70% had chronic diseases accompanying their intellectual disability. Among the relatives of the disabled individuals, 68% were mothers; 73% were homemakers; and 60% were primary school graduates. There was a statistically significant difference between the initial mean total care needs score received from the NMBLA prior to the nursing initiatives (1.69±0.21) and the mean total care need score received after the nursing initiatives (1.50±0.24) (p<0.05). Thus, the nursing initiatives within the activities of daily life of the PIDs and their families were effective: the mean trait anxiety scores of the relatives of the disabled individuals prior to the nursing initiatives were 52.00±8.24, whereas it was 49±7.69 after the nursing initiatives; the difference between the two scores was statistically significant (p<0.05). Of note, the anxiety levels of the relatives of the disabled individuals decreased after the nursing initiatives (p<0.05).

Conclusion: In line with the NMBLA to meet the care needs of PIDs and their families, collaborations with the families and the relevant institutions had a positive effect on the problem resolution. It is recommended that the number of the social projects for the needs of the PIDs and their families be increased, and that nurses participate in and have active roles in the projects.

Biography:

Gülfer DoÄŸan Pekince is an Instructor at Adnan Menderes University with experience of 12 years. She is a PhD student in Women's Health and Disease Nursing at Ege University, since 2013. Her interested issues include: nursing of women's health and diseases, gynecological oncology nursing, nursing education, nursing care, evidence-based nursing practices, contraception methods, polycystic ovary syndrome, and gender equality.

Abstract:

Polycystic ovary syndrome (pkos) is the most common endocrine disorder in women of reproductive age. Prevalence of the syndrome is reported as about 6-8 %. Pkos is usually beginning from the peripubertal menstrual irregularities (oligo-amenorrhea, dysfunctional uterine bleeding), hyperandrogenism findings (hirsutism, acne, skin lubrication, androgenic alopecia) and infertility is encountered. Long-term health risks include diabetes, dyslipidemia, cardiovascular disease, and endometrial carcinoma. The incidence of obesity in the pkos is reported as 40-60 %

Women with pkus are not only threatened with clinical aspects of the disease and long-term medical complications, but also women are also injured. The shame, the lack of competence, the embarrassment of physical drive, and the embarrassment of a possible deviation from true femininity make them feel abnormal about giving birth to them. In women with PCOS, changes in physical and aesthetic standards(hirsutism, obesity, acne, baldness) and imbalance of sexual hormones often affect their sexual life negatively by affecting their self-confidence and their feminine identity. The purpose of the pkos is to provide a holistic care service that covers the physical, psychological, social, emotional, spiritual and sexual needs of nurses and health professionals.

In order to provide this service, nurses should have knowledge about the clinical features of women with Pcos and the health problems caused by the disease, to improve the quality of life of women, to control the risk factors, to perform counseling, trainer and case Manager roles in maintaining health.

In fulfilling these roles of nurses, having knowledge about the feelings of women with PCOS, the problems they face in their daily lives and how the problems affect their lives will help them manage the case better and provide a more comprehensive counselling service.The aim of this study is to describe evidence-based guidelines for the management of the disease in women with polycystic ovarian syndrome.

Biography:

Gulcan Bakan has completed her PhD from Ege University and postdoctoral studies from Boston Collage. She is an assistant professor at internal medicine nursing department. She studies about chronic diseases, nursing theories and palliative care.

Abstract:

Simulation-based training improves the linkage between theory and clinic, the development of psychomotor skills, the use of decision making, critical thinking, self-confidence and therapeutic communication in nursing education. In this study, it was aimed to test the design of Standards of Best Practice: Simulation Standard IX and to evaluate the success of the students who have taken the lesson of internal medicine nursing  by using simulation-based training of DM. The study was completed with 169 students. Student's opinions and achievement scores were used to evaluate the research results. 30.2% of the participants were male and 69.8% were females. DM simulation points average was found to be 2,7929 ± 1,05715 with a 5 point Likert valuation, the application grade average was 79,3195 ± 7,31386 and the end grade grade average was 65,2959 ± 8,60482. As the DM simulation scores of the students increased, the application note and the end-of-semester grade rose, and the students with low simulation scores were found to have a low end-of-term grade. The students expressed their opinions about simulation training with 'I was worried before the internship', 'I learned to interpret the disease', 'Very enjoyable and instructive' expressions. In conclusion, the use of the simulation-based training in nursing education increases the students' clinical practice achievements. Students may be able to evaluate properly the medical situation and clinical problems and plan nursing care.

Biography:

Hatice BaÅŸkale is a associate professor at pediatric nursing department, Faculty of Health Sciences, Denizli, Türkiye. She has completed her PhD at the Dokuz Eylul University, on 2010. She has articles about child nutrition, health, child sleep and qualitative research.

Abstract:

Epileptic children can be affected positively when family members have a higher life satisfaction and better cope with problems. Determining the life satisfaction and coping behaviors of the families’ may contribute to developing comprehensive strategies and creating a holistic perspective. The aim of this descriptive study was to determine the life satisfaction and coping behaviors of the mothers of children with epilepsy. 60 mothers with epileptic children were taken for the study. Sociodemographic Information Form, COPE and The Satisfaction with Life Scale (SWLS) were used for data collection. Descriptive statistics, t-test and Pearson’s correlation analysis were done. While the average age of the children was 8.44 ± 5.26, 53.3% of them were male. It have been determined that 60% of the surveyed mothers received 5 years of education and 71.7% did not work. The vast majority of the mothers defined the economic condition of the family as medium. Mothers whose economic status was moderate had higher "Life Satisfaction Scale" scores and they used "Dysfunctional Coping". Parental emotional coping behavior and the use of harmonious coping strategies are an ineffective form of coping as they increase parental stress. Families of children with epilepsy and other chronic diseases need psychosocial support. Adaptation of child to the illness leads mother's positive coping. By recognizing the coping strategies used by the family and the risk indicators of poor coping, health professionals can find suitable ways to support family adaptation.

Biography:

Fadime Hatice Inci is an assistant professor  at community health nursing department, Faculty of Health Sciences, Denizli, Türkiye. She has completed her PhD from the Ege University (2014). She has articles about caregiver, school health, elderly health.

Abstract:

Aim: The aim is to adapt the cancer information overload scale to Turkish and to establish its validity and reliability.

Material & Methods: The study is a methodological one. The sample consists of 144 women aged between 18 and 49 years registered to a family health center between March and July, 2015. The center is affiliated to the Denizli Provincial Health Center. The data were collected using the sociodemographic characteristics questionnaire, breast cancer health belief model, cancer information overload scale. Language equivalence and content validity of the scale were established.

Results: In the reliability analysis, the internal consistency coefficient was α=0.77, which suggested that the scale was quite reliable, the item-total correlations of the scale varied between 0.38 and 0.52. In the exploratory factor analysis, the factor loadings were between 0.51 and 0.67 and the explained variance (38.35%) was considered sufficient. In the confirmatory factor analysis, the ratio of the post-modification of the chi-squared test to the degrees of freedom was 2.04. Other compliance indices (RMSEA 0.085, GFI 0.94, AGFI 0.88, CFI 0.95, NFI 0.91, NNFI 0.92) were found to be at the desired level.

Conclusion: It was determined that the validity and reliability of the cancer information overload scale was established and it could be used in the Turkish society.

Biography:

Canan Birimoglu Okuyan has obtained her BSc in Department of Nursing from Kafkas University. She subsequently obtained her MSc in Department of Public Health Nursing from Gaziantep University in 2012. She received her PhD in the Department of Public Health Nursing, Gazi University. During PhD, she has studied in the Turku University of Applied Science in Turku/Finland. She worked as a visitor Researcher at the Manchester Metropolitan University in Manchester/UK. She is currently an Assistant Professor in the Department of Public Health Nursing at Mustafa Kemal University. Her research interests include public health, public health nursing, geriatric and gerontology.

Abstract:

Constipation is a common problem in elderly individuals that affecting their quality of life. Constipation is a preventable and manageable problem and pharmacological and nonpharmacological methods are used to solve this problem. This study is a randomized controlled trial with pre-test and post-test, to determine the effect of abdominal massage on constipation management and quality of life in elderly people. In the study conducted in a nursing home in Ankara, 220 elderly individuals were firstly identified with constipation problem using the Rome II constipation diagnosis criteria. Thirty-five elderly individuals with constipation problems, who met the inclusion criteria, were randomly assigned to 17 experiments and 18 control groups. Preliminary test data were collected by applying both descriptive characteristics information form and constipation quality of life scale (CQL). It was massaged to the elderly individuals in the experimental group with gentle movements and light pressure by the investigator 15 minutes a day, and five days a week for eight weeks. No attempt was made to the control group, the daily routines continued. After abdominal massage application, post-test data were collected by applying CQL scale to both groups again. Our results showed that abdominal massage was effective in constipation management (p<0.05). Besides, the difference between the experimental and control groups was statistically significant (p<0.01) in terms of constipation life quality scale post-test scores. The constipation life quality scale subscales of the experiment and control group; the difference between the post-test scores of physical disability (p<0.01), psychosocial discomfort (p<0.01), anxiety (p<0.01) and satisfaction (p<0.01) was found statistically significant. As a conclusion, abdominal massage, as one of the independent nursing initiatives, may be suggested to be used in constipation management.

Biography:

Gulsah Korpe obtained her BSc in Department of Nursing from Hacettepe University. She subsequently obtained her MSc in Department of Nursing from Gazi University in 2017. She is a PhD student in the Field of Mental Health and Psychiatric Nursing in Istanbul University in Turkey. She worked more than three years as a Nurse in Emergency Department. She is working for 2 years in Istanbul Medipol University as a Research Assistant. Her research interests include creativity, problem solving, sprituality, breath therapy and women mental health.

Abstract:

Almost all universities implement an exam that is OSCE (Objective Structured Clinical Exam) to assess the skills that the student learned in the nursing skills laboratory during the educational period. This study has been carried out to determine the effect of breathing technique in reducing of state anxiety on before OSCE. This study was a randomized controlled study in 60 nursing students who study in an university in Ä°stanbul. The data were collected before the OSCE held on May 31, 2017. Structured information form and the state anxiety subscale of the State-Trait Anxiety Inventory were used in this study. Before starting to study, ethical approval was obtained from the Non-Interventional Ethics Committee of Istanbul Medipol University. It was conducted on 60 expecting students separated into groups by randomization, of which 30 were treated with breathing technique and remaining 30 constituted the control group. Breathing technique was applied for 20 minutes. At the end of this technique, each student was taken to OSCE without waiting. In this study, the average age of the students is 19.3 and 85% of the students are women. According to the results of the study, it was found that the breathing technique applied in nursing students before the OSCE exam reduces the state anxiety point average (Z= -3.124, p<0,005) but it was found to have no effect on vital signs. It has been shown that this breathing technique, which is easy and safe, can reduce the exam anxiety.

Biography:

Ozlem DoÄŸu has completed his PhD at the age of 35 years from Istanbul University. She has worked nearly 10 years coronary intensive care nursing. She has been working as an assistant professor for 1 year at Sakarya University. She has published more than 20 papers in reputed journals.

Abstract:

Psychiatric comorbidities are common in people with chronic diseases and negatively influence their life quality. Our study was conducted to evaluate the emotional status of patients receiving inpatient treatment for chronic heart, kidney and respiratory tract diseases and to identify the factors associated with anxiety and depression. 301 patients with psychiatric diseases, hospitalized in the chest, cardiology and nephrology clinics between 2014-16, were included. Data were collected face to face interview. Socio-demographic characteristics were recorded. Emotional status was determined by the "Hospital Anxiety and Depression Scale (HAD)" consisting of 14 questions answered by the patient. The anxiety rate was 52.2% and the depression rate was 81.7%. There was anxiety in 66% of patients with respiratory disease, in 46.6% of patients with heart disease and in 44.3% of patients with renal disease. The difference between groups was statistically significant (= 0.027). Depression was found to be 89.7% in cardiac, 86.6% in respiratory and 65.9% in renal patients, and there was no statistically significant difference between the groups (p <0.001). The relationship between emotional status and sociodemographic characteristics was examined, and no difference was found in terms of gender, marital, working status and education level. There was a significant positive correlation between age and depression scores (r = 0.173, p = 0.003).

Psychiatric comorbidities such as depression, anxiety, respiratory, heart and kidney diseases can negatively affect the treatment process of patients and may alleviate somatic diseases. Thus, it may be useful to provide psychosocial support besides treatment of such chronic diseases.

Keywords: Chronic Diseases, anxiety, depression, emotional status.

Biography:

Zuleyha Simsek Yaban is an assistant professor at Kocaeli University Faculty of Health Sciences (She is the director of Surgical Nursing program). She received her master's degree (2006) and PhD (2015) in the Department of Surgical Nursing at Kocaeli University, TURKEY.  She has been working as an educator for 13 years. Her research interests include complementary/alternative/integrative medicine, oncology, breast cancer, postoperative urinary retention, orthopedia, nursing care, nursing diagnosis and wound  care

Abstract:

At the postoperative period, postoperative pain one of the most important patient complains is an acute pain starting with surgical trauma, lessening gradually and ending by the tissue recovery. The essential aim in nursing care of postoperative pain is to do patient assessment with nursing approachess. Furthermore pharmacologic and non-pharmacologic nursing interventions that included individual plan are to implementation and evaluation. The purpose of this literature review which non-pharmacological methods can be used by nurses to cope with post-operative pain in Turkey. In postoperative pain control, nonpharmacologic pain control methods can be used to increase the effect of analgesics, in case of insufficient effect of analgesics, or when analgesics cannot be used. Among nonpharmacologic postoperative pain control methods, transcutaneous nerve stimulation, application of hot and/or cold compresses, relaxation exercises, music therapy, massage, reflexology, aromatherapy rarely used in postoperative pain control but hypnosis, reiki, yoga and acupuncture can not be implemented by nurses in Turkey. Nonpharmacologic methods can be done by doctors and dentists with application certificate and nurses can only help them within” The Regulation of Traditional and Complementary Medical Applications” on October 10, 2014. On the other hand nurses can perform only hot and/or cold compresses, massage, therapy with music, play and art, acupressure, theropatic touch, imagery, draw attention away and relaxation techniques independently as stated in the “Nursing Regulation” published on April 19, 2011. It may be said that the concept of pain is one of the most important nursing research interests in recent years and the use of complementary and alternative methods to reduce pain has attracted nurses in our country to conduct postgraduate research thereby giving importance to complementary and alternative therapies. It is seen that majority of the studies conducted on nonpharmacologic methods in Turkey were masters or doctoral theses. These methods can not be performed by nurses working at the hospitals in Turkey. The reasons non-pharmacological methods were practiced less frequently by nurses were insufficient number of nurses, patients’ reluctance about pain control, lack of time, and lack of information about pain control. In accordance with these results it is recommended to give more space for teaching the non-pharmacological methods that can be applied for pain management and legal regulations can be improved.

Biography:

Hülya KIZIL TOÄžAÇ graduated from the department of nursing at the MuÄŸla Sıtkı Koçman University in 2011. She worked as an operating room nurse at Uludag University for two years. Then worked for two years as research assistant at Kocaeli University. She graduated from Manisa Celal Bayar University as master degree.

Abstract:

This was a randomized controlled study. It was conducted in the general surgery clinic of a government hospital in the west of Turkey with 124 patients (intervention=62, control=62) undergoing laparoscopic cholecystectomy. With patients in the intervention group, their education needs were assessed, and individualized education was given accordingly using computer presentations accompanied by visual materials, and a patient education booklet. Data was collected using a personal information form, the Spielberg State-Trait Anxiety Scale (STAI), The Patient Learning Needs Scale (PLNS), and the Visual Analog Scale (VAS). Before the education, the VAS-pain and VAS-nausea values of the groups were similar, but the VAS-pain levels and the VAS-nausea (except for 24 hours) levels of the intervention groups at all hours after the operation postoperatively were lower than those of the control group (p<0,05). Preoperative (42,79±4,29) and  postoperative (39,08±3,49) STAI-I levels of the patients in the intervention group were found to be lower than those of the control group (50,98±5.45 and 44,41±4,77 respectively). It was found that postoperative vital sign measurements were positively affected in the patients in the intervention group compared with those in the control group (p<0,05). It was found as a result of the study that giving education to patients preoperatively according to need by means of visual and audial material (computer presentation) and a booklet increased patients’ comfort levels, lowered their anxiety levels, and positively affected their vital findings.

Biography:

Magdelin Enich completed her MS at DePaul University. She is the Nursing Chairperson at Triton College and has been at Triton for 20 years.                                                                                                                                                                                    

Abstract:

Challenging Process of Creating a Health Careers Lab: Creation of a new nursing lab environment was a challenging process.  Especially, for a lab that was not only to be used by nursing students, but by other health careers.  Finding a common group was an exigent process.  From the initial conception of which architect to hire and what was needed in the lab, until the first day of class when the lab was opened; it involved collaboration and compromise among all health careers.  This collaborative process is the focus of our presentation.

Biography:

Angela Satala completed her MSN at the University of Phoenix. Prior to that, she received her BSN at Lewis University and her AS at Triton College. She is the coordinator of Triton College’s Health Learning Resource Center and has been at Triton for 20 years.

Abstract:

Challenging Process of Creating a Health Careers Lab: Creation of a new nursing lab environment was a challenging process.  Especially, for a lab that was not only to be used by nursing students, but by other health careers.  Finding a common group was an exigent process.  From the initial conception of which architect to hire and what was needed in the lab, until the first day of class when the lab was opened; it involved collaboration and compromise among all health careers.  This collaborative process is the focus of our presentation.

Biography:

Belguzar Kara is a Professor of Internal Medicine Nursing in the Faculty of Health Sciences at Yüksek Ä°htisas University in Ankara, Turkey. She has a focus on chronic disease management, nursing education and behavior change. As an experienced researcher and author, her research interests include self-care, adherence, coping, social support, sleep quality, health beliefs and health-related quality of life in patients with a variety of chronic illnesses, complementary and alternative medicine, and geriatrics and gerontology.

Abstract:

End-stage renal disease is a major public health problem in worldwide. Hemodialysis is the most widely used renal replacement therapy in patients with end-stage renal disease. It is important to note that deaths in this patient group have frequently resulted from cardiovascular diseases. Therefore, dietary restriction of salt and fluid intake is a beneficial practice in terms of fluid management in patients on hemodialysis. However, nonadherence to salt and fluid restrictions is common in patients on hemodialysis. Studies have reported that the prevalence of nonadherence with diet ranges from 58.1% to 81.4%, while the prevalence of nonadherence with fluid restriction ranges from 68.1% to 87.9%. Nonadherence is more common in males, younger, married patients, smokers, those with longer hemodialysis duration and patients with lower social support. Previous studies have indicated that strategies such as avoiding salty foods, limiting salt on food, spacing liquids over the entire day, staying out of the hot sun, taking medication with meal time fluid, chewing gum/sucking hard candy and drinking ice water/eating ice chips are used more often by patients on hemodialysis to reduce fluid intake and relieve thirst. Nurses should provide counseling and education on the effects of nonadherence to diet and fluid restrictions to patients on hemodialysis. The interdialytic weight gain should be regularly controlled and patients should be advised about the fluid management strategies. In this review, the scientific data regarding the fluid management in patients on hemodialysis were discussed.

Biography:

Huda Anshasi has completed her PhD at the age of 29 years from The University of Jordan from School of Nursing. Her specialty is palliative care and pain management among patients with cancer.  She has published many papers in reputed journals. 

Abstract:

Purpose: The purpose of this study is to summarize and evaluate the methodological quality of systematic reviews and meta-analyses papers on the acupuncture and related therapies for management of cancer-related pain.

Methods: A comprehensive search on multiple databases was performed using Assessing the Methodological Quality of Systematic Reviews (AMSTAR).

Results: Fourteen systematic reviews published between 2005 and 2017 were eligible for inclusion. The consensus across the included reviews was that acupuncture and related therapies alone did not have superior pain-relieving effects as compared with analgesic administration using various validated pain scales. However, as compared with analgesic administration alone, acupuncture and related therapies plus analgesics resulted in reduced cancer related-pain.

Conclusion: The study findings emphasized that acupuncture and related therapies alone did not have clinically significant effects at cancer-related pain reduction as compared with analgesic administration alone. Clinicians may consider acupuncture and related therapies as adjunctive therapies for cancer-related pain management, in particular, when pain control is unsatisfactory under analgesics alone. Furthermore, the researchers should conduct the SRs and meta-analyses according to the AMSTAR and PRISMA. (Up to 250 words)

Keywords: Cancer-related pain, Patients with cancer, A systematic literature review, Meta-analyses.

Biography:

Senan Mutlu has graduate from the department of nursing at the Yeditepe University in 2013. She graduated from manisa celal bayar university as master degree and she continoues to doctorate degree now.

Abstract:

This was a randomized controlled type study. It was conducted with 105 patients undergoing soft tissue injury. The patient was treated cold at three different times [(10, 20 and 30 minutes (min)]. Before the study was conducted, approval was obtained from the ethics committee. Data was collected by face to face interview using a personal information form, Visual Analog Scale (VAS) and Newcastle Nursing Satisfaction Scale (NNSS). Pain, edema and range of motion were evaluated before application, immediately after application, 10 and 20 minutes after application. Newcastle Nursing Satisfaction Scale was applied to all patients before discharge. Descriptive and analytical statistics were used in the analysis of the data. In the study, it was determined that the patients who had 20 minutes of cold application fell more VAS-pain scores immediately after application than the other groups. It was found that complaints affecting patient comfort such as tingling, itching, numbness, numbness, redness and burning were more frequent in the group of 30 minutes cold application (p<0,05) While there was no significant difference between the groups in all measurements at all measurement times in the affected area (p>0,05), there was a significant difference in goniometer measurements at all other measurement times except the pre-application period (p<0,05). There was a statistically significant difference between the groups in terms of NNSS (p<0,05).

Biography:

Jaroslav Pekara is an assistant professor at the Medical College in Prague (he is a director of paramedics´ study program). He holds Doctoral degree in Specialization in public health from the Faculty of Health and Social Sciences (topic: Violence in Nursing in the Czech Republic). He also holds a Master degree in Intensive Care and Management from Charles University in Prague. He worked more than twelve years as a nurse in Emergency department and Intensive care unit. Actually he works as a paramedic in Emergency Medical Service of the Capital Prague and he closely collaborates with Emergency Medical Service of the Central Bohemian Region.     

Abstract:

Based on the reported results we can conclude that violence in health care concerns general nurses in particular. The consequences fall on health care workers irrespective of gender, mostly in the form of physical violence. The highest incidence was found for general nurses with high school education compared with university educated nurses. Besides education, another significant protective factor is communication. We have shown that it is possible to educate health care providers by a short seminar with significant results – nurses could by themselves after a year from participating in the seminar, practice their communication skills at work. The behaviour of the professionals remains a significant factor despite the learned preventive methods that can unnecessarily foment violence. Regarding corrective and preventive measures, we recommend examples of good practice. Much has been written on violence in healthcare. However, CR is still only touching the surface of the subject. With the knowledge now gained, we are standing before a new challenge. It is time to stop dealing with the problem as such and start instead to look for ways to solve individual problems by taking constructive measures – to try to find individuals capable of deescalating even very unruly, violent individuals and thus work towards a positive trend and show a good example. Prevention and an illustrative example are always better than finding consequential solutions. The results of qualitative and quantitative research have also shown a lack of reporting of violent situations and poor support from the management of health care facilities.

Biography:

A practicing physician in the field of healthcare in the state of Kerala in India for the last 29 years and very much interested in basic research. My interest is spread across the fever , inflammation and  back pain,. I am a writer. I already printed and published nine books in these subjects. I wrote hundreds of articles in various magazines.

After scientific studies we have developed 8000 affirmative cross checking questions. It  can explain all queries related with fever

Abstract:

When the disease becomes threat to life or organs blood circulation decreases, Temperature of fever will emerges to increase prevailing blood circulation. And it acts as a protective covering of the body to sustain life. When blood flow decrease to brain, the patient becomes fainted-delirious .If we try to decreases temperature of fever, the blood circulation will further reduced. Blood circulation never increases without temperature increase. Delirious can never be cured without increase in blood circulation. The temperature of fever is not a surplus temperature or it is not to be eliminated from the body. During fever, our body temperature increases like a brooding hen`s increased body temperature.

The actual treatment to fever is to increase blood circulation.                               

Two ways to increase blood circulation.        

1. Never allow body temperature to lose                   

2. Apply heat from outside to the body.

When the temperature produced by body due to fever and heat which we applied on the body combines together, the blood circulation increases. Then body will stop to produce heat to increase blood circulation. And body will get extra heat from outside without any usage of energy.

How can we prove that the temperature of fever is to increase blood circulation?

If we ask any type of question related to fever by assuming that the temperature of fever is to increase blood circulation  we will get a clear answer. If avoid or evade from this definition we will never get proper answer to even a single question. If we do any type of treatment by assuming that the temperature of fever is to increase blood circulation, the body will accept, at the same time body will resist whatever treatment to decrease blood circulation. No further evidence is required to prove the temperature of fever is to increase blood circulation. 

Biography:

MSc Oncology nursing from AIIMS, New Delhi, Working as oncology nurse in IRCH, AIIMS,New Delhi. 1 paper presented in international conference, India. 

Abstract:

Introduction: Cancer is a leading cause of death in both developed and underdeveloped countries  in the world.  The Indian subcontinent accounts for one-third of the world burden of head and neck cancer.Surgery is the standard treatment of choice for head and neck cancers. It is imperative to give supportive care to improve the quality of life.

Aim: To assess the quality of life of post operative patients with oral cancer in  B.R.A I.R.C.H, AIIMS, New Delhi”

Methodology: The study was conducted at B.R.A.I.R.C.H, AIIMS, New Delhi. The data was collected by convenience sampling from 50 adults who underwent surgery for oral during June 2017 to December 2017.  Standardized self-structured EORTC QOL(H&N) was used to assess the perceived level of the quality of life of post operative patients with oral cancer during hospital stay and at one month follow up. Ethical clearance was obtained from institutional ethics committee.

Results: 80% patients were male. Common surgery was mandibulectomy(66%) and modified neck dissection(60%) regional flap reconstruction(56%). The major symptoms perceived during hospital stay were pain(98%), speech problem (84%),problem in opening mouth(82%),felt ill(80%), weight loss(74%), etc. and at one month follow up were problem in opening mouth(90.6%), pain(90.5%), speech problem(83.6%), weight loss(82%), among many others. There was a significant decrease in the perceived pain (11.2+/-2.99) at one month follow up(9.12+/-3.42).

Conclusions: Most of the patients experience pain, problem in opening mouth, sticky saliva, speech problem,  trouble in social contact, weight loss, etc.

Key words: Quality of life, Head and neck , post operative

Biography:

Yun-Fang Tsai has her expertise in geriatric and mental health care. She is the Chair of School of Nursing, Chang Chung University. This school was ranked in the Top 10 out of 26,000+ degree-granting institutions of higher education worldwide in Nursing by the Center for World University Rankings (CWUR) in 2017. She has published over 150 papers in reputed journals.

Abstract:

Osteoarthritis (OA) is one of the most common joint disorders in elderly.  For those with OA who experience joint symptoms that substantially impact their quality of life and are refractory to non-surgical treatment, joint-replacement surgery is often considered.  The role of family and spouses in supporting patients with OA is crucial but no studies are available to assess the caregiving needs before their older relative receives the surgery.  The purposes of this study were to develop an instrument for assessing the caregiving needs of family members before their older relative’s knee joint-replacement surgery and determine its psychometrics.  A cross-sectional survey was conducted.  Participants (N=150) were recruited from three hospitals in northern Taiwan.  The 32-item Family Members’ Caring Needs Inventory (FMCNI) developed from previous qualitative interviews of 138 family members, intensive literature review, and authors’ clinical experiences was used.  The content validity, construct validity, internal consistency reliability, and test-retest reliability were examined.  Results revealed that the FMCNI had excellent content validity.  Factor analysis of FMCNI yielded a six-factor solution, accounting for 82.9% of the variance.  The FMCNI had Cronbach’s α and intraclass correlation coefficient of 0.94 and 0.93, respectively, indicating very high internal consistency reliability and test-retest reliability. The tested FMCNI can be completed in 5-7 minutes. It, is perceived as easy to complete, and yielded highly acceptable level of validity and reliability.

Biography:

Züleyha ÅžimÅŸek Yaban is an assistant professor at Kocaeli University Faculty of Health Sciences (She is the director of Surgical Nursing program). She received her master's degree (2006) and PhD (2015) in the Department of Surgical Nursing at Kocaeli University, TURKEY.  She has been working as an educator for 13 years. Her research interests include complementary/alternative/integrative medicine, oncology, breast cancer, postoperative urinary retention, orthopedia, nursing care, nursing diagnosis and wound  care.

Abstract:

Although the surgical intervention became more trustable depending on the developments in the anesthesia and surgical techniques, various complications such as urinary retention might be developed in the postoperative period that affects many systems. Postoperative Urinary  Retention (PUR) might cause to atony on the bladder walls, urinary system infections, chronicle nephropathy and sepsis development, besides the general complications such as pain, discomfort, zonesthesia, disturbance in the heart rhythm, increase/decrease in blood pressure and weariness.

The continuation of the patients excretion function is one of the important responsibilities of the nurses. Nurses might be effective in preventing and management of PUR by taking initiatives. These responsibilities might be expressed as; determining risky groups, preventing postoperative urinary retention development, early realization and when developed, managing the urinary retention by using appropriate nursing interventions. It is expected from the nurses to do these responsibilities with a systematic approach and providing a care in cooperation with the doctor. This kind of approach is very important in shortening the time the patient spent in the hospital, increasing the comfort/satisfaction of the patients, preventing complications, avoiding unnecessary usage of analgesics and increasing the quality of life.

A nurse should encourage patient, provide the appropriate environment, establish a reassuring relation and apply nursing initiatives for a normal urination. If no urination takes place within 8-10 hours after the operation despite all of nurses initiatives, catheterization should be applied as a final resort. Unitary catheterization is frequently used in the diagnosis and treatment of urinary retention. However, this initiative too increases the risk of urinary system infection.  The urinary system infections are believed to be responsible for about 40% of the nosocomial infections. While using a catheter for the first time in a patient, the bacteruria probability changes 1 to 10% per day, after the first week bacteruria is observed to be developed in 10 to 40% of the patients. Preventing the development of PUR, early detection and treatment of PUR holds great significance. Nurses can prevent PUR with nursing interventions which they will apply from admission of the patients  to the clinic .

Biography:

Vita Aveniņa received a Professional Bachelor's degree in health care and a nurse's qualification at Riga Stradins University in 2009. 2013 received Masters Degree in Health Care in Health Sciences. In 2017 continues studies at the Division of Medical Doctoral Studies. Since 2005 she has been practicing mental health care nursing speciality. Parallel to the profession of nurse, she is engaged in pedagogical work - lecturing and conducting practical classes at Riga Medical Colleges and Riga Stradins University.

Abstract:

The number of health professionals is a problem that ranks among the main weaknesses of Latvian health care sector. The work environment of nurses is a significant factor that affects their work results, as well as the quality of patient care and patient safety. A correlation between the work environment, organisational factors and burnout of nurses exists. Support by the organisation and the management, as well as positive, adequate work environment attracts and retains nurses in their profession, which serves as a long term basis for the provision of high quality patient care.

The policy of internal work procedure of any institution (work environment) to a large extent depends on the administrative skills of the manager. The overload of the nurses can also be promoted by internal policies of the institution that fail to provide employee support and acknowledgement mechanisms, or provide unjust application of such mechanisms. The following hypothesis was proved in a study on the effect of work environment on the burnout of nurses conducted in the US in 2010: the better is work environment, the lower are burnout indicators of nursing personnel Work skills of the head of organisation, limited opportunities of nurses to participate in the resolution of organisational issues of the hospital, inadequate principles of the quality of care, as well as negative nurse - physician communication were mentioned as the main organisational factors that cause overload. Furthermore, it was proved during the study that the aforementioned organisational factors are also linked to emotional depletion and depersonalisation of the nursing personnel. In addition, the study has shown that reducing the exposure to these factors not only reduces the emotional, spiritual and physical depletion of nurses, but also enables to reduce cynical and negligent attitude of nurses towards their patients. Consequently - better policies of the organisation promote the decline in the degree of burnout among nursing personnel and the improvement in patient satisfaction.

Biography:

Alaa is a PhD student at the College of Human and Health Sciences in Swansea University, UK. She is working as a lecturer in the department of Medical Surgical Nursing in Princess Nourah University in Saudi Arabia.

Abstract:

Introduction: Breast cancer is the most commonly diagnosed cancer in Saudi women. The cancer and treatment can produce many different psychosocial issues and physical symptoms. Different studies reported a low overall quality of life among Saudi women with breast cancer. There is evidence that self-management support (SMS) interventions delivered by nurses have the potential to help reduce these symptoms and enhance the quality of life. In Saudi Arabia, the provision of SMS is unknown and therefore, this study aims to develop and test the feasibility of an intervention to support Saudi women with breast cancer.

Methodology: This study is guided by Medical Research Council (MRC) framework for developing and evaluating complex interventions which involve a systematic multistage process. Stage one involved an evidence synthesis by conducting a systematic literature review and qualitative in-depth interviews using a purposive sampling with 23 Saudi women newly diagnosed with breast cancer in three hospitals to understand their needs and concerns. Ethical approval and consents were taken and the theoretical saturation of data were achieved. The digitally-recorded data and field notes were transcribed, organized using MAXQDA software and analysed using a thematic analysis. Stage two included developing a self-management programme by applying a theory and evidence to identify effective components to support patients alongside consultations with health care professionals and patients. Stage three will include a training workshop for nurses to ensure fidelity who will implement intervention on patients using a pre- and post-intervention study to evaluate its feasibility, acceptability, and potential impact using mixed method.

Result: The literature and qualitative study showed that those women have physical, psychosocial, practical, and informational needs. The theory of social learning and self-confidence developed by Bandura has been applied and the literature shows that components such as: group-based intervention, education, goal setting, action plans, and navigating health system and resources are effective to support patients successfully. The rest of stages will be conducted soon.

Conclusion: Saudi women with breast cancer experience challenges to manage disease and treatment-related symptoms. It is anticipated that delivering self-management intervention will help to enhance quality of life.

Biography:

Alaa is a PhD student at the College of Human and Health Sciences in Swansea University, UK. She is working as a lecturer in the department of Medical Surgical Nursing in Princess Nourah University in Saudi Arabia.

Abstract:

Introduction: Breast cancer is the most commonly diagnosed cancer in Saudi women. The cancer and treatment can produce many different psychosocial issues and physical symptoms. Different studies reported a low overall quality of life among Saudi women with breast cancer. There is evidence that self-management support (SMS) interventions delivered by nurses have the potential to help reduce these symptoms and enhance the quality of life. In Saudi Arabia, the provision of SMS is unknown and therefore, this study aims to develop and test the feasibility of an intervention to support Saudi women with breast cancer.

Methodology: This study is guided by Medical Research Council (MRC) framework for developing and evaluating complex interventions which involve a systematic multistage process. Stage one involved an evidence synthesis by conducting a systematic literature review and qualitative in-depth interviews using a purposive sampling with 23 Saudi women newly diagnosed with breast cancer in three hospitals to understand their needs and concerns. Ethical approval and consents were taken and the theoretical saturation of data were achieved. The digitally-recorded data and field notes were transcribed, organized using MAXQDA software and analysed using a thematic analysis. Stage two included developing a self-management programme by applying a theory and evidence to identify effective components to support patients alongside consultations with health care professionals and patients. Stage three will include a training workshop for nurses to ensure fidelity who will implement intervention on patients using a pre- and post-intervention study to evaluate its feasibility, acceptability, and potential impact using mixed method.

Result: The literature and qualitative study showed that those women have physical, psychosocial, practical, and informational needs. The theory of social learning and self-confidence developed by Bandura has been applied and the literature shows that components such as: group-based intervention, education, goal setting, action plans, and navigating health system and resources are effective to support patients successfully. The rest of stages will be conducted soon.

Conclusion: Saudi women with breast cancer experience challenges to manage disease and treatment-related symptoms. It is anticipated that delivering self-management intervention will help to enhance quality of life.

Biography:

A practicing physician in the field of healthcare in the state of Kerala in India for the last 29 years and very much interested in basic research. My interest is spread across the fever , inflammation and  back pain,. I am a writer. I already printed and published nine books in these subjects. I wrote hundreds of articles in various magazines.

After scientific studies we have developed 8000 affirmative cross checking questions. It  can explain all queries related with fever

Abstract:

According to the facts of physics, if temperature increases, thermal expansion of an object is positive it will expand and with decrease of temperature it will shrink. Pressure will increase due to increase of temperature.

On the contrary, during fever we can see blood vessels and skin are shrunk, pressure decreases, body shivers,   sleep increases, motion decreases, inflammation increases,   body pain increases, blood circulation decreases, dislike cold substances etc...

In fever, the firing rate of Warm sensitive neurons decreases, and the firing rate of

Cold sensitive neurons increases.

At the same time if we apply hotness from outside by thermal bag or if we drink hot water, our body acts according to the Facts of Physics- increase of temperature  pressure will also increase,  expands blood vessels and skin, body sweats, motion will increase ,  inflammation will decrease , body pain will decrease, blood circulation will increase,  like cold substances etc..

During fever, why our body acts against Facts of Physics? when disease increases, pressure and temperature will decrease. Blood circulation will decrease due to decrease of pressure. If the essential temperature of the  body is going out, essential temperature and  pressure will further decrease. This will further endanger the life or action of organ.

when  disease  increase, it is the sensible and discreet action of brain  that tends to act against facts of physics  to sustain life or protect organ .There is no  way other than this for a sensible and discreet  brain to protect the  life or organ.                           

We will get a clear answer if we find out the purpose of fever,  sensible and discreet action of brain . No medical books clarify this¹

During fever, if the temperature of fever is not a surplus temperature or if it is not suppose to be eliminated from the body, the shrinking of skin and blood vessels, shivering of body, dislike towards cold substances etc are a protective covering of the body to increase blood circulation to important organs of the body it is against the facts of physics.

Biography:

Ozlem Simsek had completed her Master’s Degree at the field of Psychological Services in Education in Sakarya University. She has been working at the department of Foreign Languages for 20 years and been teaching Medical English at the School of Health for 12 years. She has completed courses in coaching and NLP. She has translated books on neuroscience and coaching practices.

Abstract:

Psychiatric comorbidities are common in people with chronic diseases and negatively influence their life quality. Our study was conducted to evaluate the emotional status of patients receiving inpatient treatment for chronic heart, kidney and respiratory tract diseases and to identify the factors associated with anxiety and depression. 301 patients with psychiatric diseases, hospitalized in the chest, cardiology and nephrology clinics between 2014-16, were included. Data were collected face to face interview. Socio-demographic characteristics were recorded. Emotional status was determined by the "Hospital Anxiety and Depression Scale (HAD)" consisting of 14 questions answered by the patient. The anxiety rate was 52.2% and the depression rate was 81.7%. There was anxiety in 66% of patients with respiratory disease, in 46.6% of patients with heart disease and in 44.3% of patients with renal disease. The difference between groups was statistically significant (= 0.027). Depression was found to be 89.7% in cardiac, 86.6% in respiratory and 65.9% in renal patients, and there was no statistically significant difference between the groups (p <0.001). The relationship between emotional status and sociodemographic characteristics was examined, and no difference was found in terms of gender, marital, working status and education level. There was a significant positive correlation between age and depression scores (r = 0.173, p = 0.003).

Psychiatric comorbidities such as depression, anxiety, respiratory, heart and kidney diseases can negatively affect the treatment process of patients and may alleviate somatic diseases. Thus, it may be useful to provide psychosocial support besides treatment of such chronic diseases.

Keywords: Chronic Diseases, anxiety, depression, emotional status.

Biography:

Yue Feng and Yanmeng Yang  are studying on their master degree in Sichuan University.They work hard and actively participate in the activities at school.Junying LI is their graduate tutor,she is working at the Department of Cancer Center,West China Hospital,Rujun Zheng also working at the Department of Cancer Center,he is the contributor of MCGP.

Abstract:

Purpose

The aim of this study was to assess the efficacy of meaning-centered group psychotherapy(MCGP) in improving social support,using better coping strategies,enhancing the doctor-patient relationship and decreasing the caregivers burden in patients with lung cancer.

Methods

A total of 212 lung cancer patients were randomly assigned to either MCGP or care as usual in a 2:1 ratio.Patients were assessed before and after completing the 8-times intervention.Outcome assessment included social support,coping strategies,caregivers burden and doctor-patient relationship.

Results

MCGP resulted in significantly greater improvement in social support(t=5.149,P<0.001) and doctor-patient relationship(t=,P<0.001).MCGP utilized active coping strategies more frequently(t=4.639,P<0.001) while negative coping strategies less frequently(t=-6.006,P<0.001).Patients’ caregivers burden had been decreased compared to the control group(t=-5.149,P<0.001)..

Conclusion

This randomized controlled study provides evidence that meaning-centered group psychotherapy is an effective intervention to improve social support,utilize better coping strategies,enhance doctor-patient relationship and decrease the caregivers burden for lung cancer patients.

Biography:

Senay Karadag Arli has completed her PhD from Marmara University Surgical Diseases Nursing in 2013. Now she is working Agri Ibrahim Cecen University as an Assist Prof. Dr. She has clinical experiences that related to emergency nursing, Neuro-oncology nursing and surgical nursing.

Abstract:

Objectives: This study was performed to evaluate nursing interventions for pain management in the perioperative care.

Methods: The study was conducted between October 2016 and May 2017 with the participation of 160 patients in General Surgery, ENT, Urology and Orthopedics clinics. The data were collected with a form that included the socio-demographic characteristics of the patients and nursing interventions related to pain management in perioperative care prepared by the researcher.

Results: The average age of the patients participating in the study is 40.58 ± 20.4. It was determined that 80.6% of the patients experienced pain after surgical intervention, 34.4% had moderate to severe pain after surgery and 97.5% had pain at the operation site after surgical intervention. In addition, 59.4% of the nurses did not use a scale to assess pain severity, 71.3% did not examine it by touching the painful area, 65.6% did not use hot or cold to reduce pain, 86.9% did not massage to reduce pain, To reduce the pain of the arm, leg, walking and so on. 88.8% did not play music to reduce pain, and 69.4% did not use imagination to reduce pain.

Conclusion: As a result of evaluation of nursing interventions for pain management, effective participation of the patients in pain management, increase of pain education and satisfaction is ensured.

Key words: Pain, pain management, nursing initiatives

Biography:

Abstract:

The electrocardiogram (ECG) is a diagnostic tool that measures and records the electrical activity of the heart in detail. Being able to interpret these details allows diagnosis of a wide range of heart problems. Nurses at critical care unit should be able to diagnose problems on an ECG, so is not a matter, just she/he looking at the strip and identify the problem or it is normal or not, she/he can safe patients' life.  Defiantly, frequent interruptions within the ICU may lead to errors that negatively impact patient care, furthermore deeper insight into the unique role of nurses in Critical care unit will promote understanding of what type of knowledge, skills, and attitudes are required to provide the services that will contribute to improved quality of care for critical patients. Today’s nurse is expected to make independent decisions in the day-to-day health care activities.  This decision-making ability comes from having relevant knowledge, appropriate attitude and expert skills about health care measures, which together may be referred to as health care competency. Finally, Nurses play a critical role in the process of obtaining, interpreting, and communicating ECG findings.

Biography:

Mysoon Khalil Abu-El-Noor Started to work for the College of Nursing at the Islamic University of Gaza as a teaching assistant in 1997. Then got my Master degree in nursing management and became a teacher in 2006. In 2012, I got my PhD and promoted to the position of assistant professor. During my employment history at the college of nursing, I served in the following positions and committees: Chair of planning committee, Member of Quality Improvement committee, Chair of Midwifery Department, Debuty of chair of clinical practice. Currently working as Associate Professor.

Abstract:

Background: Some nursing students may encounter the experience of taking care of a dying patient while others do not. Therefore, their attitude toward death and caring for dying patients may vary.

Aim: To assess Palestinian student nurses’ attitudes toward death and caring for dying patients and their families.

Methods: In a cross-sectional, descriptive study, 141 senior nursing students completed the Frommelt Attitude Toward Care of the Dying Scale form B (FATCOD-B.

Results: Results revealed that Palestinian nursing students demonstrated a relatively low attitude toward caring for dying patients and their families. Gender and caring for dying patients did impact students' attitude.

Conclusions: The results suggest that theoretical nursing education should include more emphasis on palliative care to improve the quality of care at the end of life.

Key words: nursing students; attitude; death; dying; Palestine; palliative care.

Biography:

Hatice Baskale is a associate professor at pediatric nursing department, Faculty of Health Sciences, Denizli, Türkiye. She has completed her PhD at the Dokuz Eylul University, on 2010. She has articles about child nutrition, health, child sleep and qualitative research.

Abstract:

The play is the most natural means of learning realized with or without a certain aim, with or without rules, with all the developmental areas of the child, involving the child voluntarily and enjoyably, with or without tools. Florence Erikson; is one of the first nurses planning a play initiative for hospitalized children. She identified that children who play with medical supplies can express their feelings more easily. Therapeutic play is a game technique that is used to develop positive coping strategies before, during, and after stressful events that reduce the trauma of illness or hospitalization, assess the child's feelings and misunderstandings about treatment or procedures. Therapeutic play is intended to make the child feel good emotionally. Therapeutic play reduces stress and trauma to hospitalization. Provide information about health care, expressing anxiety, gaining control emotion and coping with fear and self-control. Determines the child's knowledge about the illness. Determine emotions and misconceptions about treatment and procedures. Allows the child to make choices and keep control. Helps the child and his family to learn the procedures and prepare them for the procedures. It is useful for redirecting attention. Defeating fear of hospital and treatment. Supports healing. It reduces the anxiety of the parents as much as the children before the operation. It strengthens family bond. In-patient child's play with their siblings during the visiting hours is a prerequisite for maintaining family-centered care. The use of play in nursing care for a child is an indispensable part of a successful delivery of atraumatic care.

Biography:

Chen Xinrong (1995~), female, nurse, postgraduate student of West China School of Nursing, Sichuan University, Chengdu, Sichuan , China,mainly engaged in clinical nursing research.       

Abstract:

Enhanced Recovery Surgery (ERAS) is a multi-modal approach to improving medical and nursing outcomes to optimize patient perioperative processes . Gastrointestinal resection of gastric cancer will bring physical and psychological stress to the patient, leading to metabolic disorders. The traditional preoperative fasting increased the degree of this reaction, the core is the occurrence of postoperative insulin resistance, a direct impact on the development of complications and clinical outcomes. Preoperative oral carbohydrate updates the preoperative treatment measures, which can effectively regulate the metabolic response of patients with gastric cancer, improve the occurrence of postoperative insulin resistance, support the ultimate goal of ERAS program to promote the rapid recovery of the body, shorten the hospital stay.However, this reform of traditional clinical practice has not yet been broadened and standardized.We  review the current status of preoperative oral carbohydrates in patients with gastric cancer under the concept of Enhanced Recovery Surgery, including: the relationship between preoperative fasting and insulin resistance; the relationship between oral carbohydrate and insulin resistance before surgery and possible mechanisms; safety of oral carbohydrate before surgery , program and application effects (healing effects, immunity and inflammation, nutrition and body temperature); nursing interventions, in order to provide guidance for the implementation of preoperative oral carbohydrates in patients with gastric cancer in clinical gastric cancer.

Biography:

Ozlem DoÄŸu has completed his PhD at the age of 35 years from Istanbul University. She has worked nearly 10 years coronary intensive care nursing. She has been working as an assistant professor for 1 year at Sakarya University. She has published more than 20 papers in reputed journals.

Abstract:

This pretest-posttest with experimental design study was designed with the aim of determining the compliance of the web based remote training and counseling, which is required by the individuals suffering MI, treatment and its effects on functionality and well-being, of the some parameters determined by means of using virtual platforms and information technologies. While a healthy lifestyle modification helps to protect from myocardial infraction (MI), it prevents the recurrence of MI and the development of complications. The population of the study consists of individuals being treated due to acute MI in the Clinics of the Hospital, and the sample consists of 120 individuals randomized to receive intervention and control group. The data have been collected via Patient Information Form, The Myocardial Infarction Dimensional Assessment Scale (MIDAS) and Patient Follow-up Form. It has been determined that the test and control groups’ demographic data are homogenously distributed, and the blood values of both groups determined 3 months after the discharge are lower. It was determined at the discharge that MIDAS total score average was 30,00 for the control group and 26,43 for the test group; and these values were determined as 28,57 for the control group and 13,57 for the test group 3 months after which proves a statistical significance (p<0.001). It is clear that the web based remote training and counseling prepared for the individuals after   myocardial infarction to the treatment and their well-being in a positive way.

Keywords: Counseling, patient training, well-being, myocardial infarction, web based remote training, compliance to treatment.

Biography:

Gulcan Bakan has completed her PhD from Ege University and postdoctoral studies from Boston Collage. She is an assistant professor at internal medicine nursing department. She studies about chronic diseases, nursing theories and palliative care.

Abstract:

Percutaneous coronary intervention is a revascularisation strategy for coronary heart disease. These procedures are performed in emergent, planned or rescue situations. Over recent decades, technological advances, adjuvant therapies and new indications for stenting have increased the uptake of percutaneous coronary interventions. Basis of evidences for percutaneous coronary interventions are randomized controlled trials and meta-analysis. Evidence-based practices make scientized and professionalized the diagnosis, treatment and care processes, by strengthening the link between decision making and information. The evidence-based nursing practices enable the development of nursing science and the use of new policies and procedures. Before, during and after percutaneous coronary interventions; evidence based care recommendations should be applied, stated in the guidelines of European Society of Cardiology (ESC), Australian College of Critical Care Nurses (ACCCN), randomized controlled trials and meta-analyzes.

Biography:

Canan Birimoglu Okuyan is curently an assistant professor at department of public health nursing, Mustafa Kemal University. She is interested in gerontological and geriatric nursing, public health nursing, health promotion, school health and nursing research.

Abstract:

Nursing education in Turkey is an important part of most of the country’s major universities. Nursing education in Turkey is developing speedily in accordance within the trend towards globalization. Higher education of nursing in Turkey, is given for 4 years after a total 12 years of primary, secondary and high school education. Nursing programmes include 4600 hours of theoretical and practical education. (2300 theory and 2300 practical training). Nursing departments in Health Sciences faculty; fundamentals of nursing, medical nursing, surgical nursing, obstetric gynecology nursing, pediatric nursing, mental health nursing, community health nursing, nursing management. Bachelor nursing - practical training; courses lecturers manage both theoretical and clinical practice in general, 10-15 nursing students study in the clinic area with 1 teacher, students can study with experienced nurses working in the clinics.

Nurses work with a shift system after they graduate and their shift times vary in health care institutions. Each institution sets shift periods and the shifts can be 8 hours / 12 hours / 16 hours. A nurse working in a public organization has to work at least 40 hours a week. In private hospitals this is 60 hours a week. In a shift, the number of patients a nurse cares for varies according to the units. The purpose of this paper is to provide an overview of nursing education and nursing in Turkey.

Biography:

I am an instructor at Kocaeli University. I completed my PhD in Surgical Diseases Nursing Department in 2016. I’m interested in issues; surgical diseases nursing, nursing care, evidence-based nursing practices, patient or employee health and safety. There are scientific studies in the subjects of cardiovascular diseases nursing, nursing students, nursing profession, nursing care development, evidence-based nursing practices in surgical diseases nursing, nursing care in the elderly who are undergoing surgical intervention, basic and advanced life support, individuals and their families with mental retardation and nursing cooperation.

Abstract:

Cardiovascular diseases (CVDs) are the number one cause of death globally: more people die annually from CVDs than from any other cause. An estimated 17.7 million people died from CVDs every year, representing 31% of all global deaths. Over three quarters of CVDs deaths take place in low- and middle-income countries. Each year approximately one million patients worldwide undergo cardiac surgery such as CABG, valve repair or replacement, aneurysm repairs, and arrhythmia surgery. Patients awaiting cardiac surgery may experience high levels of anxiety and significant symptoms of depression due to fears, worries and uncertainties about surgery. These can exacerbate symptoms of existing cardiovascular disease, adversely affect physiological parameters before and during anesthesia, and can result in prolonged recovery. The major nursing activity to ensure that the client is prepared for surgery is preoperative education. Preoperative education has been used to improve patients’ experiences by providing health care relevant information, coping skills, and psychosocial support before surgery. It has proven beneficial in decreasing postoperative complications and length of stay as well as positively influencing recovery. Patients who are well prepared with detailed preoperative instruction deal more effectively with their surgery and are better prepared to manage their pain and engage in appropriate self-care activities. It is important to minimize postoperative complications, increase patient compliance, and decrease patient anxiety. Many research studies have investigated whether preoperative education interventions were successful in improving postoperative outcomes and increasing physical and psychological recovery after cardiac surgery. There is a growing attention in knowing the significance of preoperative education after cardiac surgery. The objective of this review was to assess the effect of preoperative education on postoperative outcomes among patients undergoing cardiac surgery.