50th International Conference on Advanced Nursing Research September 10-11, 2019 Panorama Hotel Prague Milevská 7, 140 63 Praha 4, Czechia

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:

Background: 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 four 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:

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 on 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 nursing undergraduates’ attitudes toward death, and analysis of their experience of patient death in-depth. To provide reference for promoting death education and hospice care in medical colleges.

Methods: A total of 1000 nursing undergraduates who were from four medical colleges in Shanxi were investigated by Death Attitude Profile-Revised (DAP-R-C), and a qualitative phenomenological methodology was used. Fifteen nursing students who had experienced the death of patients were interviewed. The Colaizzi’s methodology was used to analyze the data.

Results: The average score of students’ attitudes toward death was 2.82±0.40. Four dimensions were extracted: complex psychological and emotional reactions, lack of professional knowledge and skills, coping style, the impact of death experience on nursing students.

Conclusions: Though nursing undergraduates had a negative attitude towards death, the demand of death education is high. Required or elective courses of death education with varied teaching methods may be a good choice for nursing undergraduates. Meanwhile, emotional support should be given to nursing students who have experienced a patient’s death.

Biography:

Song Wang is a PhD candidate at West China School of Nursing in Sichuan University. Before his PhD candidate, he was a Nursing Teacher at Bengbu Medical College, Anhui Province, PR China. His research focuses on Chronic Disease Nursing and Cancer Care. He has published more than 10 papers in reputed Chinese journals.

Abstract:

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 11 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.

Biography:

Mauceri Filippo has graduated in Nursing in 2018 with a grade of 103 out of 110. He worked for four months in Medicine and now works in a Nursing Home. On 4 April 2019 he presented his study on Sepsis at the National Congress of Riccione and this study was awarded as the first research of all congress.

Abstract:

Sepsis is a very frequent and serious disease, although still poorly understood. It affects 20-30

Million people worldwide about 250,000 in Italy alone, of which one in four does not survive; the purpose of my research is to understand how sepsis is managed in the emergency room, what is still to be improved and what can be improved. The study population includes patients admitted to the emergency unit of Siena from 01/09/2017 to 02/28/2018, who respond positively to inclusion in the study. At the end of the data collection the sample includes 102 patients. Many variables have been studied that help to understand nursing management of septic patients. The variables: sex; age; methods of arrival at the emergency room; admission codes used; discharge codes used; patients who received the qSOFA score; values qSOFA; patients who were given the antibiotic within the first hour; patients who have been treated with procalcitonin; patients who underwent blood gas analysis; average PCR, procalcitonin and lactate values; patients whose blood cultures were performed; results of blood cultures performed; patients who were treated with other cultures; etiology of bacteria resulting from blood cultures; etiology microorganisms resulting from other cultures; patient hospitalization time; frequency of septic patients at the emergency room in the various months; follow up. These variables collected if analyzed in multiple hospitals could make a difference in the management of sepsis with the possibility of saving more lives.

Biography:

Vinkal Kumar is a graduate of D.A.V University of Jalandhar where he also attended his undergraduate studies. He trained at D.A.V University Medical Centre in Jalandhar. He focused on the patient treatment and reevaluated several method of therapy management dependent on cardiac type tailored to a patient’s individual patient history and efficiency of previous treatment. He has been practicing in the Department of Cardiologist. Currently, he holds certificate from the Punjab Board of Internal Medicine for Internal Medicine, Cardiology.

Abstract:

Resuscitation includes all measures that are applied to revive patients who have stopped breathing suddenly and unexpectedly due to either respiratory or cardiac failure. Cardiac arrest is one of the common causes of cardio respiratory failure. Cardiac arrest refers to a sudden state of apnoea and circulatory failure. Cardiac arrest is synonymous with the term sudden death it means that the victim’s heartbeat, circulation of blood and respiration has suddenly and unexpectedly stooped. Prompt action is vitally important for the success of cardio pulmonary resuscitation. When a person stops breathing spontaneously, his heart also stops beating. Clinical death has occurred within four to six minutes, the cells of the brain, which are sensitive to the paucity of oxygen, begin to deteriorate. If the oxygen supply is not restored, the patient suffers irreversible brain damage and biological death occurs. Only the victim of sudden death are generally resuscitated e.g.; a young healthy electrician, who suddenly receives a powerful jolt of electric current while working on a machine will undoubtedly suffer both cardiac and respiratory arrest. This person is a candidate for immediate resuscitation measures. On the other hand, an elderly person who dies from cancer does not experience a cardiac arrest. When this patient’s heart ceases beating, death comes as a natural event for which the patient and the family are prepared. Therefore this patient is not a candidate for cardio pulmonary resuscitation measures.

Biography:

Matseliso Elizabeth Yako is a Nursing Professor; she has teaching, research experience at Nursing University, supervision and administrative experience in the field of Nursing Education. She is working in King Saud Bin Abdul-Aziz University for Health Sciences (KSAU-HS), King Abdulaziz Hospital, Ministry of National Guard Health Affairs; Kingdom of Saudi Arabia. She has so many publications in nursing field.

Abstract:

Context: The study was carried out in Buffalo City Metropolitan Municipality (BCMM), Eastern Cape; one of the nine Provinces in South Africa.

Aim: The purpose of this study was to determine factors influencing folic acid/ferrous sulphate nutritional intake among pregnant teenagers in BCMM. Materials & Methods: This was a cross-sectional, descriptive study using a sample of 300 purposively selected pregnant teenagers aged between 13-19 years, attending antennal clinic in BCMM. A questionnaire was used for data collection.

Results: The results indicated that most (97.0%) participants obtained their supplements from the government clinic; took other medications (87.2%); regularly used nutritional supplements, (71.7%); agreed that folic acid and ferrous sulphate were important for pregnancy outcomes (96%); should be taken before pregnancy and after birth (68.2%) and nurses had explained the possible pregnancy complications, (71.7%). About 84.1% agreed that the medication containers were clearly labeled; and nurses had explained the side effects of folic acid/ferrous folate (60.7%) and the likely action in case of side effects occurred (56%). The majority of the participants also agreed that folic acid and ferrous sulphate are good (88%) and harmless to the unborn baby (75.3%). The majority (49.2%) did not consume dark leafy vegetables, cabbage (35.0%), liver (47.1%), beef/lamb (42.0%), fish (43.3%) and beans/legumes (36.4%). Nausea, vomiting, stomach pains, forgetting to take the supplements due to busy schedules, non-availability of the supplements in the in health facilities were the major reasons influencing the intake of folic acid and ferrous sulphate. Also, there was low consumption of iron and folate rich foods by pregnant teenagers.

Conclusion: Some pregnant teenagers did not take the supplements as recommended, while others had a diet poor in folic acid and ferrous sulphate. It is recommended that midwives and other stakeholders should emphasize the importance of taking nutritional supplements and consuming diet that rich in folic acid and ferrous sulphate during pregnancy.

Biography:

Libuseng Moureen Rathobei has completed her primary education at Iketsetseng Private School and moved to Sefika High School. She was later admitted at National Health Training College where she obtained a Diploma in General nursing in 2006. She then joined the University of Free State where she obtained a Degree in Nursing with the following specialization; Nursing Education, Psychiatric Nursing Science, Child Psychiatric Nursing Science, Community Health Nursing and Nursing Management. In 2010, she joined Paray School of Nursing, where she worked as a Nurse Educator facilitating in both Programs of; Certificate in Nursing Assistants and Diploma in General Nursing.

Abstract:

There is global awareness of investment in higher education to ensure quality learning. Provision of quality feedback is perceived as key benchmark of effective learning and vital requirement in meeting students` expectations. Nevertheless, increased students` demands and expectations about quality feedback are in competition with increased pressure on academic resources which may results in dissatisfaction on students. Despite high priority placed on quality feedback by higher education institutions (HEI`s), insufficient research studies have been conducted on student nurses` perceptions of quality feedback. The purpose of study was to describe nursing students` perceptions on feedback received from educators in selected HEI`s. Non-experimental, exploratory, descriptive research design was used to guide research process. Non-probability, convenience sampling method was used with 75 nursing students as respondents. Data was collected by means of questionnaire and analysed using SPSS version 24. Descriptive statistics procedure was used to present findings of study. Most respondents (82.7%) opined they received understandable, timely, personalized, criteria-referenced, positive and clear feedback after assessment. Conversely, (17.3%) of respondents indicated that they received delayed, non-understandable feedback with limited opportunities for clarity and negatively written feedback. This suggests that quality feedback mechanisms in selected HEI were utilized to make effective learning and meet nursing students` requirements and expectations. The findings of research indicate that nursing students receive quality feedback after assessment. In addition, students acknowledge that quality feedback positively aided feedback process. However, there is need to provide feedback that improved performance of students and meet their needs.

Biography:

Samira Alirezaei has completed her PhD in Health Services Management, School of Health Management and Information Sciences, Health Management and Economics Research Center, Ministry of Health and Medical Education, Iran University of Medical Sciences, Tehran, Iran.

Abstract:

Background: Nurses are the biggest professional workforce at a hospital and they have become a key factor in improving productivity and competitiveness of hospitals. In healthcare industry, the attrition rate of nurses has been the highest among all employee categories. Aim of this study was to gain a deeper understanding of factors that affect nursing outflows and intention to leave in Iran. Method: We conducted a systematic search in web of science, PubMed, OVID, SID, Magiran and Google Scholar in 2016. The selected time period for searching articles was since 2000 to 2016. Result: The results indicated that tendency of Iranian nurses to leave services was correlated with justice, commitment, individual factors (type of health sector, level of income, job satisfaction, work and family conflict), organizational factors (organizational atmosphere, work issues, job stress, work exhaustion, working life quality, and ethical leadership) and cultural, economic and social factors. Conclusions: Targeting interventions to enhance participation in hospital affairs, adequacy of staffing and resources and enabling and supporting behaviors and creating opportunities for growth and professional development could be beneficial for a stable nursing workforce. The challenge for nurse leaders is to use the evidence generated from this study and previous studies to develop professional practice environments that facilitate the cultural changes needed to build and sustain a quality nursing workforce. It seems essential that hospital managers consider these factors in their planning and decision makings.