19^th World Congress on Clinical Nursing and Practice October 10-11, 2019 Paris, France

Biography:

Shaher Hamaideh received his Bachelor’s degree in Nursing from Jordan University of Science and Technology (JUST) in 1992. Received his Master’s degree in General Nursing Education from University of Jordan (UJ) in 1996. He received his PhD in nursing  from University of Cincinnati, Oh, USA. He is working at the Hashemite university as a professor of mental health nursing and Dean of the college.

Abstract:

Biography:

Mrs Rezarta Lalo is a Lecturer since 1999 and member of Department of  Health Care, Faculty of Public Health, University of Vlore “Ismail Qemali”, Albania. In 2016 she has earned  PhD in Nursing Science. She is the honorable member of many prestigious associations, committees and had published different articles in the field of nursing care and midwifery. Her research interest is Women & Child Health, Public Health, Gynecological & Obstetric Community, Nursing Education.

Abstract:

Pregnancy induced hypertension (PHI), also known as toxemia or preeclampsia, is a form of high blood pressure in pregnancy and one of the major causes of mortality and morbidity in pregnant women. Self-care knowledge of pregnancy induced hypertension encompasses the knowledge of skills that pregnant women with PIH have on how to control blood pressure. This study aims to asses self-care knowledges and pregnancy induced hypertension controls among pregnant mothers in the District of Vlore in order to prevent complications and to provide adequate health education. This is a descriptive cross-sectional study, where a quantitative method was used for data collection resulting from a survey structured in the form of a self-administered questionnaire entitled PIH Self Care Knowledge Questionnaire used in a similar study. The self-care model by Dorothea Orem was used to guide this study. The study was conducted at the Central Polyclinic of the District of Vlore in the Department of Prenatal Women's Care and includes the period from April 2018 to September 2018. The results showed that 70% of participants do not know that lack of physical exercise and drinking alcohol worsens HTA, as well as 60% do not know the impact of high salt diet and stressful situations. Lack of sufficient knowledge about these important risk factors can be translated as a low level of self-care and PHI control. Most participants are interested in taking drugs to lower TA (80%) but they do not know how to monitor fetal mouvements (90%). The findings of our study showed that knowledge influenced the control of HTA and that it is necessary to strengthen them in nursing practice as the main task of qualified midwives especially in antenatal clinics. A behavior change in the PIH women will be instilled in order to influence change in behaviours of PIH pregnant women.

Key Words: pregnancy induced hypertension, self-care, preeclampsy, risk factors, knowledges, maternity of Vlore.

Biography:

Lilian Itotayuwa Oyemwinmina is a midwife and social care worker (carer) who has completed her RM at the St Philomena School of Midwifery in Nigeria and Bridgwater College where she was awarded a Diploma in Health and Social Care (adults) for England (generic pathway) 501/1194/2 City & Guilds; UK. She has a certifi cate of participation in Life-Saving Skills (LSS) under MDG-DRG funded Midwives Service Scheme Bauchi State, Nigeria. She served in the Re-basic Mandatory Community Midwifery Service and worked with the National Primary Health Care Development Agency South-South zone, Nigeria and work as a Carer in the Rosary Nursing Home (adult care) Somerset Care United Kingdom. 

Abstract:

Background: Health service providers play a key role in addressing women’s need for pregnancy prevention during the postpartum period. In Africa, little is known about their views on providing postpartum family planning (PPFP) services and postpartum contraceptive methods such as immediate postpartum intrauterine devices (PPIUD). This paper explores the perspectives of different types of providers on PPFP including PPIUD, their confi dence in providing PPFP services, and willingness to share their knowledge and skills with colleagues after receiving PPFP and PPIUD training.

Methods: In-depth interviews were conducted with 14 obstetricians/ gynecologists and nurses from six tertiary level public hospitals in Africa after they received PPFP and PPIUD training as part of integrating PPFP counseling. The interviews were audio recorded, transcribed and analyzed using a thematic approach.

Results: Providers identifi ed several advantages of PPFP and were willing to transfer their newly acquired skills to colleagues in other facilities who had not received PPFP and PPIUD training. However, many providers identifi ed several supply-side and training-related barriers to providing high quality PPFP services, such as; lack of adequate human resources; lack of IUDs; lack of support from hospital management.

Conclusions: Providers appeared to be motivated to deliver quality PPFP services and transfer their knowledge to colleagues. Efforts to improve provision of quality PPFP services should be address.

Biography:

Yi- Ling Chiang has graduated from Chang Gung Nursing Technology College. Since graduating, she has been an ER Nurse at Lotong Poh-Ai Hospital, for 10 years.

Abstract:

Train derailment accidents can be serious and devastating. In addition to the physical injuries they may cause, repetitive mental images of the disaster can lead to post-traumatic stress disorder and other long-lasting traumatic mental health conditions. Physical and/or mental trauma may affect the patient's previous lifestyle, including the inability to work, either temporarily or permanently, and role adjustments. This article describes the nursing experience of a 44-year-old woman who was involved in the Puyuma train derailment accident of 2018. She was separated from her family due to the chaos and arrived in the hospital alone. In addition to the bodily injuries infl icted, the fear and anxiety that arose from the train accident were reviewed. The author used Gordon’s 11-item functional health assessment as a tool between 19:10 pm and 23:54 pm on October 23, 2018 to assess the patient. Through physical examinations, observations, interviews and direct nursing care evaluations, the patient's physical pain, fear and potential posttraumatic stress disorder were identifi ed. Explanations of the procedures and treatment were given to the patient during the initial stage of care to provide a sense of environment security. Wound treatment was explained in a simple step by step process. Medication and attention diversion were used to relieve acute pain and ameliorate the patient's anxiety. All discussions of her injuries and feelings about the derailment were met with a positive attitude and empathy. Integrated teamwork and multimedia resources were utilized to provide wound management and pain relief techniques. Familycentered psychological care was incorporated in an effort to restore balance of the mind, body and soul. Making use of this train derailment experience may assist nursing care in the smooth management of physical injuries and stabilize the fl uctuating moods during the emergency period.

Biography:

Dr. Lazare has been a nurse for 32 years. She has completed her PhD in nursing in 2016 from Barry University. She was inducted into the Sigma Theta Tau International Honor Society from two different Universities. Her doctoral research article is published in a peer-reviewed journal and the Virginia Henderson Repository. She is an experienced nurse leader and educator with background as dean of nursing, associate dean of nursing, nursing program director, clinical coordinator, and hospital nurse educator. As a leader in nursing academia, Dr. lazare strives to serve with compassion and excellence.

Abstract:

Competence in dosage calculation represents a challenge that seems to be almost insurmountable for nurses as well as nursing students.  The lived experiences of nursing students in the context of learning drug dosage calculation have not been explored for description and interpretation.The purpose of this study was to gain more insight about undergraduate nursing students’ lived experiences in learning drug dosage calculation. A purposive sample was selected to investigate the following question: What are the lived experiences of undergraduate nursing students studying medication dosage calculation? Data were collected through face-to-face semi-structured interviews, which the researcher transcribed verbatim, and the participants reviewed for validation. The combined interpretive and descriptive method of van Manen guided the characteristics of the thematic data analysis conducted to determine the findings. The related themes of signifying, repeating, analyzing, verifying, maintaining consistency are tied to the overarching theme of assuring safety, which emerged as the essence of the participants’ lived world of learning drug dosage calculation. This study contributed, to some extent, to filling the empirical gap identified in the literature review. These participants gave rich, in-depth accounts of how they embodied drug dosage calculation to attain competence that they need to administer correct dosage of medications to their patients. The researcher identified implications for nursing practice, nursing education, and nursing research.

Biography:

Yingying Li is studying for a master's degree in nursing education at West China School of Nursing in Sichuan University. Participate in the construction of the “Smart ward APP”in the innovation and entrepreneurship program in 2016, Assist patients and help to predict diseases through the big data and achieved Liaoning Province Bronze Award. Participate in the topic “Quality research that nurses actively experience in clinical work”, as the first group member, lead everyone to interview and timely transcribe interview information to obtain effective information and finally was rated as “a national project” in 2017. And I'm interested in obstetrics and gynecology, Chinese medicine, and continuing care.

Abstract:

In recent years, there has been a trend to use herbal medicine to treat many diseases associated with menstruation because it has fewer side effects and is more convenient compared to medical treatments. Fennel is a known popular method for women especially in management of menstruation-related symptoms. The purpose of this review paper was to evaluates the effects of foeniculum vulgare extracts in common menstruation-related symptoms.In the present paper, four international databases (PubMed, Google Scholar, Web of Science and Science Direct) were searched by keywords Foeniculum vulgare or fennel , Menstruation and women. References for each study were manually reviewed to ensure that relevant works were included. Efficacy of fennel in management of menstruation-related symptoms were demonstrated according to the results of these clinical studies. The symptoms include premenstrual syndrome (PMS)、menorrhagia、dysmenorrhea、menopause、amenorrhea and  polycystic ovary syndrome (PCOS). There are therapeutic effects in use of fennel oil during treatment of premenstrual syndrome (PMS) and dysmenorrhea. However, efficacy of fennel oil on menorrhagia is complicated. In general, the efficacy of fennel oil on menstruation-related symptoms should be the subject of more and larger clinical trials.

Keywords: Fennel; Foeniculum vulgare; Women; Menstruation

Biography:

Jingying Xie is a postgraduate student major in nursing in West China Medical School of Sichuan University, China. Her main research direction is surgical nursing and wound care.

Abstract:

Objective To investigate the hospital discharge readiness and transition outcomes in total hip/knee arthroplasty patients, and to analyze the relationship between the two.

Methods Use the convenience sampling method to select patients with total hip arthroplasty (THA) or total knee arthroplasty (TKA) from January 2018 to July 2018 in a tertiary hospital in Sichuan Province. Use general information of patients, discharge preparation scale (RHDS) and Care Transition Measure (CTM-15) to investigate patients' hospital discharge readiness (2-4 hours before discharge) and transition outcomes (30 days after discharge).

Results A total of 352 patients were enrolled in this investigation, with an average age of (59.56±12.69) years old. The average RHDS score was (177.08±19.41), which was at a moderate level. The average quality of transition outcomes was (37.37±7.50), which was at a medium level. The RHDS score was positively correlated with the transition outcomes, and the RHDS score could explain 51.3% of the variation of transition outcomes.

Conclusion The patient's hospital discharge readiness is closely related to the transition outcomes and has a predictive effect on the transition outcome. It suggests that clinical medical staff should pay attention to the patient's hospital discharge readiness and improve the transition quality of patients after discharge so as to promote the improvement of patients' quality of life after discharge.

Key words: arthroplasty, discharge readiness, transition outcomes

Biography:

Fatimah  Mana Aldhafeeri has completed her Master Degree from King Saud University in Riyadh. She is a nurse spicalist in ministry of health, Saudi Arabia. She has been working in the health care system for 17 years and held several position

Abstract:

Background: High Fidelity Simulation as a Teaching-Learning Methodology is usuallyimplemented by the teaching institutions in the world.  Several studies were conducted proving the significance of this method on improving the students’ learning. With the several factors that hinder the students’ clinical learning experiences, it is necessary to determine the students’ viewpoint regarding the use of HFS in increasing their confidence and satisfaction.

Research Aim: The aim of this study is to assess the student perceptions regarding. Satisfaction and self-confidence toward High Fidelity Simulation as a learning.

Research Methodology:   A cross-sectional correlation descriptive design was used in this study which was conducted at King Saud University (KSU) and Princess Nourah University (PUN) in Riyadh.  A quota stratified was used to recruit the participant female Saudi and non-Saudi BSN student with HFS experience.

Results: This study found out that the Fidelity (Realism) is the most important factor in learning related to HFS. The students were satisfied and confident in utilizing HFS. Significant correlations between the profile of the participants’ age and student academic Level and the key of the simulation features were shown.  It was also found out that there were significant correlations between age and marital status with self-confidence in learning through HFS. 

Conclusion: Simulation as teaching method is as effective tool as a real-life without life threatening of the patient and promoting students' performance. Future studies are needed to examine other learning outcomes such as clinical competence, motivation among student using HFS as a learning strategy

Biography:

Jade Louise L. Vibieda came from Modesto, California and graduated college from the premier state university of University of the Philippines College of Nursing in Manila, Philippines. She is in multiple non-profit and volunteer organizations throughout college and participated in various healthcare conferences. She is currently studying for the National Council Licensure Exam and Philippine Nursing Licensure Exam.

Abstract:

In the Philippines, exclusive breastfeeding (EBF) remains stagnant with only half of all the neonates being exclusively breastfed (Philippine Statistics Authority, 2013). This research aims to: (1) describe current breastfeeding practices of mothers with young infants; (2) determine knowledge of mothers on breastfeeding; (3) determine the level of social support that mothers receive; (4) determine factors affecting current practice in terms of breastfeeding knowledge and social support; (5) determine factors affecting intention to continue breastfeeding in terms of current practice and social support.

Women 18-50 years with infants 1-6 months as well as other adult family members were given self-administered questionnaires to answer. The study was done at 5 selected health centers in District V, Manila. Results of the study showed that EBF rates (32%) are still low and not at par with WHO target of increasing exclusive breastfeeding among infants younger than 6 months to 50% by the year 2025. Knowledge of mothers on breastfeeding was found to be suboptimal. Social support was found to be high for all mothers, with highest reported support from the health care providers. However, among the three sources of support, only with the husbands was there enough evidence to suggest a relationship between current breastfeeding practices and social support. Despite the high social support provided by the husbands, there were more mothers who who did not practice exclusive breastfeeding, which may be attributed to negative support. Social support was also found to influence maternal intention to breastfeed exclusively for six months and continue breastfeeding up to 2 years. Since support has been shown to have a relationship with breastfeeding practice and intention, active involvement of husbands and other family members in the breastfeeding interventions during the antenatal and postnatal period should be encouraged

Biography:

Yuan-yuan Song is a nursing phD candidate who is on her first year in West China School of Nursing in Sichuan University in China. She focuses her research on chronic disease management, especially symptom management of hemodialysis patients.

Abstract:

Backgroud. Hemodialysis patients have been demonstrated to suffer from a heavy burden of symptoms. Factors influencing the symptom burden of hemodialysis patients are limited to demographic and clinical characteristics, little is known about other potential factors that can be predictable and intervened, such as self-management, sense of coherence and social support.

Methods. In a cross-sectional  observational study conducted during February 2017 to October 2017, a total of 382 hemodialysis patients from 4 hospitals completed questionnaires that provided information on demographic and clinical characteristics, self-management, sense of coherence, social support and total symptom burden. The data were analyzed using SPSS, and regression analysis was used to evaluate for factors associated with symptom burden of hemodialysis patients.

Results. The total scores of symptom burden among participants ranged from 21 to 139, with a mean score of 74.12. Multiple regression model showed that 48.6% of the variance in symptom burden was explained by meaningfulness, emotion management, daily urine output, subjective support, gender, and manageability.

Conclusions. Self-management, sense of coherence, and social support are found to influence their symptom burden, suggesting that health care providers should perform symptom management from multi-faceted perspectives. Continued studies are needed to further explore other potential factors that can be predictable and intervened with regard to effective symptom management for hemodialysis patients.

Biography:

Telephone follow-up has been widely used to improve anticoagulant treatment compliance of patients with heart valve replacement in recent years, however, its effect remains unclear. The purpose of this study was to objectively evaluate the effect of telephone follow-up, in order to provide a theoretical reference for the extended care of discharged patients with heart valve replacement.

We searched the literature about randomized controlled trials(RCTs) and/or clinical controlled trials of evaluating the effect of telephone follow-up on anticoagulant treatment compliance in patients with heart valve replacement from PubMed, OVID, EBSCO, EMBASE, CINAHL, Cochrane Library, CNKI, and SinoMed. Two researchers independently extracted and assessed the relative data. Meta-analysis was performed using RevMan5.3 software.

A total of eleven articles were included. Our results showed that, compared with the control group, the intervention group had higher average scores in the aspects of medication adherence, regular review adherence, reasonable diet adherence, and self-monitoring adherence(P<0.05); and higher proportions of patients with good medication adherence, higher ratios of patients with regular review, higher percentages of patients with reasonable diet, and higher proportions of patients doing self-monitoring(P<0.05); and lower incidence of bleeding and embolism(P<0.05). 

Telephone follow-up may significantly enhance anticoagulant treatment compliance in patients with heart valve replacement and reduce the incidence of complications such as bleeding and embolism. Furthermore, telephone follow-up is convenient, economical and can result in good effects rapidly, therefore, it is worth popularizing and applying. However, as the available relevant researches are limited, more rigorously designed RCTs with large samples are required. 

Abstract:

Song Wang is a PhD candidate at West China School of Nursing in Sichuan University. Before his PhD candidate, he was a nusing teacher at Bengbu Medical College, Anhui Province, PR China. His research focuses on chronic disease nursing and cancer care. He has published more than ten papers in reputed Chinese journals.

Corresponding author: Xiao-lian Jiang, Professor, Doctoral supervisor, West China School of Nursing, Sichuan University.

Biography:

Hong-rui Shi is a nursing phD candidate who is on her first year in West China School of Nursing in Sichuan University in China. She focuses her research on geriatric nursing and nursing education.

Abstract:

BACKGROUND: A majority of nurses struggled with a negative emotion of anger, doubt, fear or anxiety, uncomfortable in the face of death and dying. However, little is known about nursing students in China. Our study was to investigate the attitudes toward death and demands of death education of nursing undergraduates, and to provide reference for promoting death education in medical colleges.

METHODS: A total of 1000 nursing undergraduates who were from four medical colleges in Shanxi were selected by stratified random sampling method from May to November 2017. Death Attitude Profile-Revised(DAP-R-C) was used to assess the attitudes toward death. A self-developed questionnaire was used to investigate the demands of death education.

RESULTS: The average score of students’ attitudes toward death was 2.82±0.40. The average score of students’ demands of death education was 4.20±0.55. Of the 1000 nursing students, 902 (90.2%) students considered there should be courses on death education. A total of 865(95.9%) students believed courses should be provided in school period, of which 374(43.2%) students assumed the course should be elective course. 345 (39.9%) students thought that death education should be taught in their sophomore year, the duration was about 18 to 27 class hours. Their favorite teaching methods included classroom teaching, video demonstration, experience teaching, scenario simulation, and case analysis.

CONCLUSIONS: Nursing undergraduates had a negative attitude towards death. The demands of death education is high. Required or elective courses of death education with varied teaching methods may be a good choice for nursing undergraduates.

Biography:

Abstract:

Background: At present, AIDS is a global social problem and a public health problem. By the end of 2018, China has reported more than 840,000 cases of living HIV/AIDS patients, and the number of reported cases is increasing year by year. AIDS is still incurable infectious disease, which can only be controlled by antiviral treatment. AIDS brings huge pressure and economic burden to caregivers, and has a significant impact on the whole family. Liangshan prefecture is located in the southwest of Sichuan province, adjacent to Yunnan province. It is the largest Yi community in China and currently one of the regions with the most serious AIDS epidemic in China.

Objective: This study took Zhaojue county, Liangshan prefecture, Sichuan province as the research site to explore the care burden of caregivers in different care roles for HIV/AIDS patients, and to provide help for reducing the care burden of caregivers.

Methods: Caregivers of 222 HIV/AIDS patients were investigated by general information questionnaire, Chinese version of Zarit caregiver burden scale (ZBI).

Results: The caregiver burden score of caregivers for HIV-infected/AIDS patients was (40.61±14.47), which was at the medium level. The caregiver burden score of parents with the care role was the highest, which was significantly higher than that of non-parents (F=4.87, P<0.01).

Conclusion: The caregiver burden of caregivers for HIV/AIDS patients in Liangshan prefecture is at a medium level, and there are significant differences among different care-taking roles.

Biography:

Abstract:

Objective:  To investigate the patients after orthopedic surgery about the current status of pain assessment in nurses using the Numeric Rating Scales (NRS) and to analyze the related influence factors.

Methods: Questionnaire survey was conducted to investigate the patients who underwent orthopedic surgery in a top three hospital in Chengdu ,when they left the hospital from 2017.12 to 2018.4. The survey included general patient information and a questionnaire on the status of pain assessment with nurses using NRS.

Results: In the survey, the scores of these two items ,whether the nurses rehearsed the pain and whether the scores were interpreted, were the lowest.they were 1.38±1.199 and 1.61±1.176 respectively. The results of whether the patients concealed their pain level and whether they expressed their pain in time were higher, 2.63 ± 0.643, 2.49±0.876  respectively. Univariate analysis found that the interval between pain assessments was the main influencing factor of patients with acute pain (P<0.05).

Conclusion: Nurses should correctly grasp the interval between pain assessments, correctly use NRS assessment method, and strengthen pain management for postoperative patients to promote the recovery of patients as soon as possible.

Key words: Pain assessment; Pain management satisfaction; Numeric Rating Scales（NRS）Influencing factors