29th International Conference on Pediatric Nursing & Healthcare August 16-17, 2018 Madrid, Spain

Biography:

Christiana Nicolaou joined the Department of Nursing, School of Health Sciences, Cyprus University of Technology in 2007 as Senior Lecturer. Currently, she is an Assistant Professor in Pediatric Nursing (since 2011), elected member of the CUT Senate and elected member of the Council of the Department of Nursing (CUT). She worked as Staff Nurse in Pediatric Unit and Neonatal Intensive Care Unit (Archbishop Makarios Hospital, Nicosia, 1987 - 1994) and in a Gynecological and Midwifery Clinic, Nicosia (1986-1987). She has received her Diploma in General Nursing from School of Nursing, Cyprus (1985), a BSc (Honors) in Professional Studies (Nurse Education) from Anglia Polytechnic University, UK (1997), a Certificate in Teaching and Learning Methodology (Pedagogical Institute of Cyprus, 2001) and her PhD in Epidemiology and Biostatistics from the Cyprus University of Technology (2015). Her area of clinical practice and research is pediatric nursing care and social epidemiology.

Abstract:

Background: Studies among parents of children with cancer have focused on anxiety, depression, or post-traumatic stress, and less so on overall measures, such as health-related quality of life (HRQoL).

Methods: Literature review in Scopus and CINAHL with terms: mothers or carers etc., and child* or adolesc* etc., and cancer or oncolog* etc., and quality of life or HRQoL etc., in 65 combinations. Selection criteria: mothers (or predominately in mixed samples), children aged<18 in active treatment (no palliative), quantitative, some measure of quality of life, comparative (e.g. population norms, or control group) or correlational, or baseline in interventions, English language, prior 2015.

Results: Of 237 studies reviewed in full-text among 2184, 10 fulfilled all criteria: 6 mothers only, 4 mixed with separate results for mothers, and additional 10 with sample of predominately mothers. With the exception of a series of studies from Canada (N>400), most studies had small sample sizes (N<150). European studies originated from limited number of settings. There were single-sample correlational studies (e.g. coping, anxiety, depression, sleep quality), internal comparisons (e.g. single- vs two-parent families, time since diagnosis, or same group longitudinal, etc.,) or external (i.e. mothers of healthy children, or other diagnosis, or population norms). SF-36 was commonly used. In studies with external comparison, quality of life was significantly reduced amongst mothers (or parents) of children with cancer. Despite cross-national heterogeneity, in studies that the SF-36 commonly effect sizes were in the range of 0.5-1 SD for mental health and ~0.5 SD for physical health dimension.

Conclusions: Physical health as well as mental health aspects of the quality of life appears affected in this vulnerable group, highlighting the need to monitor and incorporate QoL as an outcome measure in assessing the effectiveness of psychosocial intervention programs

Biography:

Abed N Azab has completed his Bachelor in Nursing degree and PhD in Pharmacology in Ben-Gurion University of the Negev (Israel). His PhD thesis was focused on the study of anti-inflammatory drugs. As a Post-Doctoral Fellow in Wayne State University (Michigan), he investigated the therapeutic mechanisms of mood-stabilizing drugs. Currently, he is an Assistant Professor in the Faculty of Health Sciences in Ben-Gurion University. The major research projects in his lab are: Studying the role of inflammation in the pathophysiology and treatment of mood disorders; searching for novel therapeutic strategies for mood disorders and; issues in pharmacology that are related to nursing practice.

Abstract:

Background: Tonsillectomy is a surgical procedure in which the tonsils are partially or totally removed. Hospital length of stay (HLOS) is an important predictor of resource utilization.

Objective: The present study examined the associations between parental anxiety, surgical technique and analgesic regiment - and HLOS among post-tonsillectomy children.

Materials & Methods: Parents of children planned for tonsillectomy who met the inclusion criteria and signed an informed consent to participate in the study were included. Before surgery, parents completed anonymous questionnaires for demographics and for assessing anxiety. After surgery, medical files were utilized to ascertain the surgical technique used and the analgesics type, quantity and timing of administration. HLOS data was obtained from hospital computerized records. Statistical analyses were performed to evaluate the effect of parental anxiety level, surgical technique, analgesics quantity and scheduling on HLOS.

Results: The study sample included 95 parents. The average age of children was 5.51 years, 65% males. The primary indication for tonsillectomy was obstructive sleep apnea. Partial removal of the tonsils was performed in 66% of cases (85% were done using mono- and bi-polar electrocautery method). Participating parents had low trait anxiety and moderate state anxiety levels. Analgesics were mostly managed according to the child's pain ("as needed" dosing) and not according to a scheduled regiment. Parental anxiety and surgical technique did not significantly affect HLOS. In contrast, analgesic regiment significantly influenced HLOS: children who received scheduled analgesics had a significantly longer HLOS.

Conclusions: Our results suggest that type of analgesic regiment but not parental anxiety or type of surgical technique significantly affected HLOS. Nevertheless, parents had low to moderate anxiety levels, underscoring the need for anxiety-relieving interventions for parents of tonsillectomy-operated children especially on the day of operation.

Biography:

Nancy A is a Neonatal Nurse Practitioner at the NorthShore University HealthSystem and a Senior Clinician Researcher at the Pritzker School of Medicine, University of Chicago. She received a BSN from Loyola University, an MS in Nursing Administration from Aurora University, an MSN in the Neonatal Nurse Practitioner specialty and also a PhD from Rush University, Chicago IL. Her dissertation introduced the concept of oropharyngeal administration of colostrum into the medical literature, and she is currently leading a multi-center RCT to investigate the immune effects and clinical outcomes of extremely premature infants who receive the OPT-MOM intervention.

Abstract:

Extremely premature infants are born before the last trimester of pregnancy and experience an abrupt cessation of amniotic fluid exposure. Their oropharynx is no longer bathed with protective biofactors, which stimulate the immune system and promote intestinal maturation. Many of these biofactors are highly concentrated in the milk (especially colostrum) expressed by women who deliver extremely premature infants; which suggest an important biological function for facilitating extra-uterine transition. Unfortunately, clinical instability precludes enteral feeding for extremely premature infants in the first days of life. The post-birth fasting leads to intestinal atrophy and abnormal intestinal microbiota which contribute to the pathogenesis of infection.  Once started, enteral feeds of mother’s milk are administered via a nasogastric tube, which bypasses the infant’s oropharynx. Oropharyngeal exposure to protective (milk) biofactors does not occur until the infant begins per oral feeds; typically at 32 weeks corrected gestational age. Thus, post-birth oropharyngeal exposure to protective biofactors is delayed for up to 10 weeks for the smallest extremely premature infants; born as early as 22/23 weeks gestation. This deficit has never been addressed in neonatology and may be contributing substantially to prematurity-associated infectious morbidities, including late-onset sepsis and necrotizing enterocolitis. Oropharyngeal therapy with mother’s own milk (OPT-MOM) can serve as an easy, inexpensive oral immune therapy to mimic the protective effects of amniotic fluid exposure for extremely premature infants until per oral feedings can be safely introduced. Current evidence will be presented. Clinical implications and future directions for multidisciplinary research will be discussed.

Biography:

Fatima Alzahra Abdul Rahman M has recently had her PhD in Pediatric and Child Health Nursing. Her expertise is in teaching and passion is in improving the health and wellbeing of children specially sicklers. She is a member in Sudan Sickle Cell Anemia center and has attended many training workshops on care and management of sickle cell anemia and integrating palliative care with SCA for nurses and community. She had teaching experience in education institutes and hospitals.

Abstract:

Statement of the Problem: Sickle cell anemia (SCA) is one of the commonest devastating neglected disorders in Sudan particularly in western region in North Darfur State. Most SCA patients are from IDP camps, nomadic tribes with low socioeconomic status and have no real background about the disease. No dedicated center for SCA to provide care for those patients who pose a real financial, physical, psychological burden for affected children and their families.

Purpose: The purpose of this study is to evaluate the effect of an innovative participatory health education program about SCA to augment knowledge, attitude, and practices of mothers of the affected children.

Methodology: A quasi experimental pretest-posttest design was conducted in El Fasher City and three (IDPs) camps. 127 mothers were consecutively selected from El Fasher Hospital general pediatric referral clinic over four months period. Fifteen mother and community outreach members from the same community were trained as peer educators to conduct the health education on SCA for the participants through home visits and community outreach group sessions using simple educational materials prepared for the study. Semi-structured questionnaire used before and after the intervention and six months following the program intervention to assess the knowledge, attitude, and care practices of participants. Data were analyzed by SPSS version 20.

Findings: A statistically significant improvement was found in knowledge, attitude and care practices of caregivers about the disease after the program intervention. Before the intervention, the mean hospitalization rate was 2.3 times in 6 months, where after 6 month from the intervention reduced to 1.8 times.

Recommendations: The use of peer educators from the local community could be an effective approach for increasing knowledge, improving attitudes and practice of care towards SCA.

Biography:

Ioanna Menikou is a PhD candidate at Cyprus University of Technology, School of Nursing. She has completed a two-year Postgraduate course on Thearpeutic Play Skills from The Academy of Play and Child Psychotherapy in collaboration with Leeds Beckett University and accredited by Play Therapy UK and Play Thearpy International.

Abstract:

NDPT is a psychotherapy approach used in children. It is based on the fact that play is the natural means that children use to explore and understand the world, express their thoughts and feelings, and learn self-mastery. NDPT has been developed by Virginia Axline, who was influenced by the person-centered, non-directive approach of Carl Rogers. In our knowledge, this is the first review in the field of NDPT on children with a medical condition.The aim of the review was to identify research evidence on NDPT as an intervention on children with any medical condition. The systematic literature search of databases such as CINAHL Plus, AMED, EMBASE, Ovid MEDLINE, ProQuest Central, PsycInfo, and SCOPUS revealded six studies meeting the eligibility criteria. Despite the fact that there is enough evidence on the effectiveness of NDPT on children with mental, behavioral, or academic problems, there is a paucity of evidence examining the effectiveness of NDPT on children in the medical context. However, a thematic analysis demonstrated a positive effect of NDPT on children with a medical condition on four aspects: overall adjustment, illness-related adjustment, anxiety levels, and play behaviors. The findings of the review can be used to inform programs, procedures, and clinical practice development in pediatric population in order to provide integrated and child-centered care with an age-appropriate intervention to children. Research implications are also discussed.

Biography:

Roghayeh Esmaeili has completed her PhD in Nursing Field from School of Nursing & Midwifery, Shahid Beheshti University of Medical Sciences, Tehran, Iran. She has published more than 30 papers in reputed journals and has been intresting in elderly people.

Abstract:

Purpose: Nurses need to have knowledge about the concept of the elderly’s dignity in order to be able to perform proper supportive interventions. The exact definition of dignity, its components, and its characteristics are not yet a unique understandable concept for nurses. The purpose of the present study was to analyze the concept of dignity in the Iranian elderly in order to achieve a correct definition and understanding of this concept.

Method: This qualitative study of concept development used the hybrid model in three phases: theoretical phase, fieldwork phase and incorporation.

Results: The elderly’s dignity is a complex and dynamic mental state which results in the enhancement of inner feelings. It is affected by personal, family, and social factors. This concept is formed in relationship with others and guarantees the person’s health. The practical definition of the elderly’s dignity is related to the domains of dignity in this population, i.e. relative dignity, which originate from the culture and are subject to change. The characteristics of the elderly’s dignity include respect, integrity, independence and authority, privacy, unique support and participation in the self-care. For this characteristics to emerge, the predisposing factors and antecedents depend on the the person, family, and society.

Conclusions: Developing a clear image of dignity in health care services leads to better understanding of the concept among the practitioners on one hand and also improves the role of moralities in provision of the services.

Biography:

Salam Hadid is R.N. that has completed her PhD from Haifa University serves as lecturers at Zefat academic college.

Abstract:

Background: Nursing staff are characterized by personal values systems, which influence their choices. Schwarz (1992) developed the idea of a universal value system which assists people in coping with the demands of everyday life. The degree to which personal values can be realized in the workplace can vary depending on environment and institutional policy.

Aim: Examining the personal values of nursing staff and the degree to which they implemented them in clinical practice in the workplace and the gap between them. Examining the factors influencing the extent of the gap.

Method: a quantitative descriptive study, based on data collected directly from respondents - nursing staff members - by means of a structured questionnaire: Shorter Schwartz's Value Survey (SSVS), questionnaire on the degree of implementation of personal values in clinical practice based on the SSVS and demographic information questionnaire.

Results: 425 respondents, 289 were women and 127 men, with mean age 39.2 years, from different faiths. Certain values are assigned a very high level of importance compared to others. The degree of value implementation in the clinical field is not uniform. The gap between the importance of a value and the extent to which it can be applied is not always in the same direction. Demographic factors influenced the level of importance, implementation of personal values in clinical practice and the gap between them.

Conclusions and Recommendations: Knowledge of the dominant personal values held by nursing staff may contribute to the organization's ability to cultivate and maintain the human resources within it. Institutions should be aware of possible gaps between the importance of values and the degree of their implementation and that there might be negative effects of the gaps, and should strive to reduce them. This can be achieved by studying the subject, implementing it, and developing a cultural-organizational climate that is adapted to the application of the value profile of nursing professionals, thereby improving the performance of teams, reducing negative effects and improving their professional functioning in general.

Biography:

Laura Ford has over 33 years’ experience as a Registered Nurse and completed her MN in 2007 from Athabasca University, Alberta, Canada. She served in the role of Nursing Resource Center Coordinator and was the inaugural Coordinator of the Interprofessional Simulation Center at Thompson Rivers University (TRU), Canada. Currently Laura is a Senior Lecturer with the School of Nursing and a Faculty member for the Return to Registered Nursing program in TRU’s Open Learning Department.

Abstract:

Health care needs have changed as have our practice of educating nurses. Nurses facing challenges of today’s complex practice areas need to be highly skilled, well-educated, critical thinkers ready to take on complex clinical situations. In order to meet these needs, educators are incorporating innovative strategies and technologies to enhance student learning. Students, especially in first year, often having minimal experience in health care are challenged to make linkages between theory, client conditions, assessments and performing skills appropriately in practice (Day, 2011). In 2015, I utilized an unfolding clinical case study in a first-year fundamentals class designed to depict a ‘family’.  As the semester, progressed students developed their family based on information provided and their understanding of assessment frameworks. This experience showed an enhanced student engagement, increased transferability to practice, knowledge synthesis and holistic care.  This year I intend to further develop the unfolding case study and have students integrate their concept of family into the weekly simulation experiences. Students will utilize knowledge of their Family in a simulated clinical setting, scaffolding knowledge of the family members’ condition, nursing process and skill acquisition.  Simulation provides a platform where students can be engaging in a realistic activity, moving knowledge from the theoretical to the practical. A balance between lecture and experiential activities will allow students to utilize knowledge in a realistic environment (Onda, 2012).  In this presentation, insights and feedback will illuminate a discussion supporting the use of this teaching strategy with health care students.

Biography:

Nagwa A Zein El Dein is a Professor of Pediatric Nursing at Menoufia University. She had been working since graduation in 1986 as an Instructor and upgrading until her proficiency. Also, she worked at Philadelphia University, Amman, Jordan as an Associate Professor and as a Quality Assurance Officer. She has many qualifications in teaching critical pediatric nursing, nursing theories, nursing research and many other subjects as pediatric neonatology and rehabilitation. Also, she is participating in conducting nursing thesis and as an evaluator in many. As well as joining in the national project as quality assurance in higher education and project sponsored by HEEPH to reconstruct nursing curriculum through critical thinking skills for accreditation  as well as developing learning modules for pediatric nursing course manual procedure of pediatric nursing.

Abstract:

Autism is the most common developmental disorder that causes profound delay in communication, language, cognitive and sensory motor development. The aim of this study was to evaluate the effect of a sensory integration program on the development of children with autism. A quasi experimental design (pre and posttest) was used. A convenient sample of 30 autistic children and their mothers were involved. The study was conducted at Nedaa center for auditory impaired children and Gamayet Kayan for mentally retarded children in Cairo. Seven data collection instruments were utilized (biosocial characteristics of children structured interview questionnaire, childhood autism rating scale (CARS), Wechsler intelligence scale for children, autism social skills profile, sensory profile questionnaire, test of visual –auditory perception and assessment of basic language and learning skills tools). The results of this study showed that after three and six months of sensory integration program majority of children had higher scores for social, sensory, communication, motor and perception development. The study concluded that children who received sensory integration program developed higher cognitive, motor, language, social, perception, attention, communication and sensory abilities on posttest. Therefore, this study recommended that sensory integration program should be integrated as a part of pediatric nursing rehabilitation for autistic children.

Biography:

Ahmed Mohammad Al-Smadi, PhD, RN, with sixteen years of experience as nurse and researcher. He earned his bachelor’s and master’s degree in nursing from Jordan University of Science and Technology and his PhD in Nursing from University of Ulster, United Kingdom. Currently he is assistant professor in nursing at American University of Madaba- department of medical laboratories. His main research interests are cardiac care, refugees’ health, and psychological health laboratories. His main research interests are cardiac care, refugees’ health, and psychological health

Abstract:

The aim of this study was to examine the predictors of fibromyalgia among female refugees in Jordan. A cross-sectional design was used, and 288 refugees were recruited from four different cities in Jordan. Fibromyalgia impact questionnaire, Hamilton Anxiety Rating Scale, post-traumatic stress disorder, insomnia severity index was used. Logistic regression was used to identify the predictors of fibromyalgia symptoms. The results of the current study showed that 73.62% (N=212) of refugees had moderate to severe fibromyalgia impact. The logistic model was statistically significant (P=0.001). The model explained 59.2% of the variance in fibromyalgia impact and correctly classified 86.2% of the cases. Refugees living in Irbid city were 6.12 times more likely to exhibit higher negative impact of fibromyalgia compared to refuges living in Zarqa city. Syrian refugees were 1.9 times more likely to exhibit higher negative impact of fibromyalgia compared to Iraqi refugees. Increased age was associated with an increased likelihood of exhibit higher negative impact of fibromyalgia with an odds ratio of 1.8. Increased post-traumatic stress disorder (odds ratio=1.13), and anxiety scores (odds ratio=1.15) were associated with higher negative of fibromyalgia symptoms. In conclusion, refugees living in Irbid city, those who were older, anxious, and stressed after displacement, had increased negative impact of fibromyalgia. The study recommends assessing fibromyalgia among all refugees in Jordan and considering the factors associated with fibromyalgia when assessing refugees. In addition, the study suggests that healthcare workers, including nurses, pharmacists and physicians, should implement non-pharmacological and pharmacological interventions to decrease the negative impact of fibromyalgia among refugees. These interventions should target mainly those refugees who are living in Irbid, older adults, anxious and have high stress.

Biography:

Miyuki Nishida had worked at the NICU unit, Juntendo University hospital for 11 years. Moreover, she worked for four years with the unit of the heart disease. She is interested in the patient education through her experience. Her major area is infant surgery nursing now. So, she is researching support and education for mothers. At the moment, she belongs to the division of fundamental department as a Research Associate. She has studied about nursing care for children with defecation disorders.

Ikuko Oikawa has completed master's degree at St. Luke’s International University graduate school and specialize in child health nursing. After working in a hospital, She worked as a nursing teacher at a St. Luke’s International University, and now She teach about child's health in a nursery teacher at Tokyo-Kasei University. She is doing research support for independence of children with chronic illness, home care of handicapped children, and continuous education of nurses working in nursery schools.

Kaori Nio worked at Pediatric units in National Cerebral and Cardiovascular Center for 5 years. Moreover, she worked for 6 years with the unit of the heart disease and cerebrovascular disease. After that, she worked at education and research at university. Her major research area is nursing for children with congenital heart disease. Currently, she is working on the theme "support for patients with congenital heart disease in adolescence". She have interviewed the parties and their friends and colleagues in order to clarify the perception and actual support of the parties and their important others.

Abstract:

Background: Owing to recent advances in pediatric healthcare, the life expectancy of children in Japan with chronic illness has improved remarkably. However, these children often face social and academic challenges due to long-term treatment and frequent hospitalization. Therefore, we developed a self-reliance check and support sheet (SRCS) to evaluate self-reliance in children and self-reliance support provided by parents. The sheet comprises five rows of developmental stages (from infancy to adolescence) and 77 checklist items. We investigated the feasibility of the SRCS in group sessions targeting clinical nurses, to maximize its utility.

Objective: To elucidate challenges associated with the practical use of the SRCS in children with chronic illness.

Methods: Consecutive group sessions targeting pediatric nurses and nursing instructors were held 4 times at the 2014–2017 Annual Conference of the Japanese Society of Child Health Nursing. In each session, the features of the SRCS were explained and its practicability was discussed.

Results: In total, 329 nurses and instructors participated during the 4-year study period. Most participants considered the SRCS as useful; pointing out that the sheet allows focused assessment of situations involving children and parents, allowing for appropriate intervention. They concluded that the sheet could serve as a common tool for specialists in public health, medical care, social welfare, and education. Challenges were to develop a user manual as well as separate tool for children and parents.

Discussion: To maximize the utility and practicability of the SRSS, it is necessary to develop a user manual and educate nurses further. Therefore, we plan to use the SRCS to clarify the characteristics of children with chronic illness for healthy upbringing starting in infancy, emphasizing the strengthening of a comprehensive support system promoting self-reliance and providing medical care that seamlessly transitions into adulthood.

Biography:

Etsuko Soeda, PhD, RN, is an Associate Professor at Keio University, School of Nursing and Medical Care Tokyo, Japan. In 1988 was a Staff Nurse, Pediatric Surgical Unit, Keio University Hospital. In 1992, she moved to Pittsburgh, USA, to study about organ transplant. In 1995, she did BSN from University of Pittsburgh, School of Nursing. In 1998, she completed her Master’s Degree from Duquesne University, School of Nursing. From 2010 till now she is an Associate Professor in Keio University, School of Nursing and Medical Care. She was the President of The Japan Transplant Coordinators Organization from 2008-2009. She is the Director of The Japan Academy of Transplantation and Regeneration Nursing from 2003 till now.

Abstract:

Objectives: Almost three decades has passed since the first living donor liver transplant (LDLTx) was performed in Japan in 1989. Nowadays, there are many reports about problems in their adherence with those transplant children who received LDLTx because there is no transition strategy for those children and parents/guardian. The objective of this study is to measure the effect of nature and outdoor activity to improve transplant children’s adherence.

Methods: Recruited participants age from 9 years who are coming out-patient liver transplant clinic with stable condition (no event such as rejection or infection within 6 months). Taking participants for snow camp and measured its effect by using IKR (Ikiru Chikara) tool which contain 28 items divided into three categories: psychosocial ability, moral fitness, and physical ability. They were tested for three times, before, after and 1 month after the camp.

Results: Seventeen patients participated to the snow camp and seven patients were eligible for the study. The average age was 14.9 with range 9-29 yr. and 13 males and 4 females. The IKR total score (value 28~168) before, after, and 1 month after were 131.7, 131.2 and 130.7 (average). There were positive feedbacks from patients and their parents and all patients have come to out-patients clinic regularly.

Conclusion: There was no significant change in those score for this short observation. Longer observation is needed to measure the effect use of nature and outdoor activities.

Biography:

Chizu Matsumoto worked as a Regular Nurse for 20 years from 1989. In 2007, she completed her Master’s degree in Nursing Science, Graduate School of Medicine, Kochi University. Since 2008 she has been involved in basic nursing education as an Assistant Professor of Pediatric Nursing at the university. She became a Lecture in 2010 and works as a Lecture at Sanyo Gakuen University, which is an incumbent post since 2014. In, 2017 she entered Doctoral School of Nursing Studies, Human Environment University.

Emiko Shinozaki has completed her PhD at 2009 from Nagoya University. She is chair of nursing department, a professor of fundamental nursing. She has published more than 30 papers in reputed journals and has been a director of Japanese society of nursing art and science. Her principle research interests lie in the field of nursing education, communication, physical assessment, simulation.

Abstract:

Aim: To clarify the minimum requirements for physical assessment of patients conducted by nurses newly assigned to neonatal intensive care units (NICUs).

Methods: A questionnaire survey was conducted with 333 certified neonatal intensive care nurses. The questionnaire inquired about the minimum that is considered to be (hopefully) required of nurses newly assigned to NICUs in order for them to care for pediatric patients by themselves. The items considered absolutely necessary were by 80% of the subjects or more were regarded as the minimum requirements for physical assessment in NICUs.

Results & Conclusion: A total of 85 subjects completed the questionnaire with effective answers (25.5%). From the initial 170 items (17, 129, 10, and 14 for basic information, visual examination, auscultation, and palpation, respectively), 18 were extracted (3, 9, and 6 for basic information, visual examination, auscultation, respectively). Of the 18 items, 10 concerned respiration. The results of our study suggest that respiratory management is important to care for high-risk newborns, and this is one of the minimum requirements for NICU nurses performing physical assessment.

Biography:

Espinoza S has the vocation to improve the care of children with cancer. Together with a great team at the Hospital Infantil Teletón de Oncología and the support of Children’s Hospital Boston, she started this project. She received intensive training with a group of nurses at the Dana Farber to replicate this in Mexico with the staff of HITO. She is an active member of the Steering Committee of EVAT in the multisite implementation of EVAT lead by St. Jude Children’s Research Hospital in Memphis, TN. She has trained staff at numerous centers in Honduras, Culiacan, Morelos, San Luis Potosí, Campeche, La Paz and Tijuana. Seeking to provide the best care for pediatric patients with cancer, she is continuing this project to share this score with many more hospital.

Abstract:

Introduction: Early warning scores use clinical parameters to generate scores that allows identifying patients at risk for clinical deterioration.

Objective: Evaluate the use of the PEWS (pediatric early warning score) score as a marker of early clinical deterioration in pediatric oncology patients that require evaluation by the intensive care team.

Methods: 128 events were reviewed, corresponding to 71 patients with a diagnosis of cancer that required evaluation by the pediatric intensive care unit (PICU) team between December 2013 and October 2015. A PEWS score was assigned in a retrospective manner to each one of the events up to 10 hours before the evaluation by the PICU team. A score of greater than 4 was classified as critical based on vital signs. The events were classified based on the intervention as: PICU consult, medical response team activation and code team activation.

Results: Before evaluation by the PICU team, 78% of the patients had critical PEWS. PICU evaluation ranged from 10 hours before the event to the moment of the event. Of the 182 events, 79 patients (85.9%) that were transferred to the PICU had critical PEWS before the event. Of the remaining 90 events that did not require transfer to the PICU, 65 patients (72.2%) require an intervention to improve their critical condition.

Conclusions: The use of an early warning score is useful to identify clinical deterioration early. The results suggest that the US early warning score would allow for the objective identification of patients at risk for deterioration.

Biography:

Kyunghee Lee has completed her Doctor of Nursing Science from Seoul National University in South Korea and Postdoctoral studies from University of Illinois at Chicago College of Nursing in USA. She is currently a Professor of Mental Health Nursing at College of Nursing, Keimyung University in South Korea (1993-now). She was also a Professor at Gongju National Nursing College (1983-1992). She served as the President of Yeongnam Branch of Korean Psychiatric Mental Health Nurse Practitioners’ Society (2004-2006). She also served as an Editor-in-Chief of Keimyung Journal of Nursing Science and a Director of Research Institute of Nursing Science, Keimyung University (2015-2017). Her nursing background includes mobile phone-based therapeutic lifestyle change, autonomic balance, obesity management and metabolic syndrome. She has received research grants from various institutions including Korea Research Foundation. Her representative paper is as follows: Heart rate variability and metabolic syndrome in hospitalized patients with schizophrenia (2011). She has published more than 100 papers.

Abstract:

Mobile technologies such as cellular phones and smartphones have been proven useful to serve as platforms for self-management of psychiatric illness as they are handy and accessible, ubiquitous, and have near constant connectivity and access to multimedia resources. One out of three adults in Korea is obese, and mentally disabled people account for 48.4% of the entire disabled population suffering from obesity, and the rate of increase is the highest. Schizophrenia patient’s account for 72.6% of the entire mentally disabled population in Korea, and such high prevalence rates of obesity and other physical diseases are related to sedentary lifestyles, unhealthy dietary habits, and effects of psychotropic medications, such as second generation antipsychotics. We aimed to construct and test the structural equation model that analyzed the utilization of smartphone technology for therapeutic lifestyle change (TLC) among people with schizophrenia. A survey using a structured self-questionnaire was conducted from 330 male and 225 female subjects. The data was analyzed by SPSS 23.0 and AMOS 21.0. The model fit for the modified hypothetical model was shown: Q(χ²/df)=4.259, GFI=0.946, NFI=0.922, RMSEA=0.077. In hypothetical model, the opinions about smartphone use affect the willingness to use smartphone applications. And the willingness to use smartphone applications had an effect on dietary habits and living styles. The opinions about smartphones did not have direct effects on dietary habits and living styles but willingness to use applications had a mediate effect on the dietary habits and living styles. Therefore it is necessary to adopt smartphone applications for therapeutic lifestyle change, which is available to prevent the metabolic syndrome among people with schizophrenia.

Biography:

Nancy A Rodriguez is a Neonatal Nurse Practitioner at the NorthShore University HealthSystem and a Senior Clinician Researcher at the Pritzker School of Medicine, University of Chicago. She received a BSN from Loyola University, an MS in Nursing Administration from Aurora University, an MSN in the Neonatal Nurse Practitioner specialty from Rush University, and later a PhD from Rush University, Chicago IL. She spear-headed the development of a web-based teaching module for SUPC prevention and has published three papers on the topic of SUPC prevention. In collaboration with several neonatologists, she will measure outcomes post-implementation of this training module. 

Abstract:

Sudden unexpected postnatal collapse (SUPC) is characterized by apnea, limpness, pallor, bradycardia, cyanosis, and cardiorespiratory failure in apparently healthy term newborns soon after birth, often during initial skin-to-skin contact, in the prone position, or with the first breastfeeding attempt. The etiology for this devastating clinical entity is not well understood, but maternal fatigue and/or distraction appear to play key roles. The objective of this poster presentation is to discuss a quality improvement project that was designed to educate clinicians and parents, in order to prevent SUPC cases. A task force implemented an educational program; using the words “pink and positioned” to teach staffs how to educate parents about proper distraction-free positioning of their infant. Education consisted of poster presentations and lectures on maternity units. A video depicting a (simulated) SUPC case and two other videos showing an obstetrician and post-partum nurse counseling a new mother about SUPC-prevention were created, circulated internally, and later added to a mandatory web-based training module and also publications. Practice changes included more frequent post-natal assessment of the newborn and documentation of ‘Pink and Positioned’ into our electronic medical record. Responses from 254 nurses and patient care technicians (PCTs) to a pre-and post- test questionnaire, suggest that after taking the module, they were more knowledgeable and reported feeling more comfortable teaching parents about SUPC prevention. We anticipate that, as a result of this comprehensive education, SUPC cases will be prevented.

Biography:

Taghreed K Omar is an Assistant Professor at Pediatric Nursing, Faculty of Nursing – Menoufia University. She completed her Bachelor’s degree in Nursing Science from Faculty of Nursing, Cairo University and Master’s and Doctoral degree in Pediatric Nursing, Faculty of Nursing, Cairo University. Currently, she teaches and trains nurses from different country in pediatrics and critical care nursing in New Pediatric University Hospital/Cairo. She is an Emeritus Prof. from August 2016 up till now. She has attended many training and workshops like Advanced Training and Research Program at Tenchi College, Advanced Training in Family Planning in Denver USA, 1992. She has advanced training in pediatric and critical nursing care in Japan, 1982 for seven month. She has attended international conferences in China, India, Dubai and Jordan.

Abstract:

Low birth weight infants are highly vulnerable as they have to make several adjustments to achieve equilibrium in metabolic processes, circulation and breathing. Therefore, the aim of this study was to examine the effect of kangaroo care on physiological measurements and weight in low birth weight infants. The study was conducted at the neonatal intensive care units in Menoufia University Hospital (Shebin El-Kom) and Mans heat Sultan village (Menoufia.) The study sample was composed of sixty low birth weight infants. A simple random sample was done to assign them into study and control groups (n=30). A quasi experimental design was used. The results of this study showed that low birth weight infants who attended kangaroo care sessions had better weight gain (2.06±0.21 vs. 1.90±0.26), fewer duration of hospitalization (11.33±1.81 vs. 15.57±2.81) and better physiological adjustments than low birth weight infants in the control group. Therefore, it was concluded that low birth weight infants who attended kangaroo care sessions had better physiological measurements, weight gain and shorter duration of hospitalization than low birth weight infants in the control group. It was recommended that kangaroo care sessions should be conducted at neonatal intensive care units.

Biography:

Haeryun Cho has completed her PhD from Ewha Womans University in 2015. Her major is Nursing Science. She is working as Assistant Professor of Wonkwang University since 2015. She has published more than 15 papers in reputed. Her ORCID ID is 0000-0001-7366-9774.  

Abstract:

This descriptive study aimed to investigate the quality of nursing care in pediatric units of South Korea. It included participants who were registered nurses in the pediatric units of general and university hospitals in South Korea. The QUOTE (QUality of care Through patients’ Eyes)-child developed for caregivers of hospitalized children was modified to be fit for nurses. The quality of pediatric nursing care, assessed through importance and performance of nursing care, was measured using the QUOTE-child, comprising four subcategories–respect, explanation, kindness, and skillfulness and was calculated by using assessed importance and performance score. Data were collected from self-reported questionnaires completed by 200 nurses and analyzed by descriptive statistics, independent t-test, one-way ANOVA, and importance-performance analysis (IPA). The mean importance score of nursing care was 3.44±0.39 (1~4 points), the mean performance score of nursing care was 3.20±0.33 (1~4 points), and the mean quality index was 8.07±0.81 (0~10 points). There were significant differences in the quality of nursing care according to age, marital status, parental status, education, total nursing experience, and pediatric experience. IPA results showed that the main content of explanations was for nurses to keep up the good work. The skillfulness subcategory was concentrated, and the subcategories of respect and kindness were possibly excessive. Therefore, to improve the quality of nursing care for hospitalized children, the pediatric nurses’ explanations should remain updated and nursing skills must be enhanced.

Biography:

So Yeon Yoo has completed her PhD from Ewha Womans University in 2012. Her major is Nursing Science. She is working as Assistant Professor of Kyungil University since 2013. Her ORCID ID is 0000-0001-8211-9870.

Abstract:

This study aimed to provide basic data for improving pediatric nursing care by comparing the quality of nursing care perceived by registered nurses and mothers of hospitalized children in South Korea. This was a descriptive study that recruited 70 mothers of hospitalized children and 70 nurses in pediatric units in university hospitals as participants. The quality of pediatric nursing care, assessed through importance and performance scores of nursing care, was measured using the QUOTE (QUality of care Through patients’ Eyes)-Child, comprising four subcategories–respect, explanation, kindness, and skillfulness and was calculated using assessed importance and performance score. Collected data were analyzed by descriptive statistics and independent t-test. The mothers’ mean importance score (3.61±0.33) was higher than that of the nurses (3.42±0.41) and had a significant difference (t = 2.22, p=0.004). There was no significant difference in the mean performance scores of nurses (3.22±0.35) and mothers (3.15±0.45, t=0.91, p=0.363). There was also no significant difference between nurses’ and mothers’ perceptions of quality of nursing care; however, there was a significant difference (t=2.78, p=0.006) among the quality of explanations. The quality of explanations by nurses (8.30±1.10) was higher than that of mothers (7.72±1.36). This study suggests that when developing strategies to improve the quality of nursing care in pediatric wards, the detail explanation by pediatric nurses should be considered for more effective quality of nursing care in pediatric units.

Biography:

Amal sayed Shehata Occupation: Professor at the Department of Medical surgical nursing and the Under Secretary for Community Service and Environmental Development. Assistant Professor, Department of Nursing & Nursing, Faculty of Nursing, Menoufia University, 2010, Professor, Department of  Medical  Surgery, College of Nursing, Menoufia  University, 28/9/2015 Acting as the Vice Dean for Community Services and Environmental Development from the academic year 2010 to 2015.Head of the Department of Nursing Health of Adults Faculty of Nursing University of Menoufia from 2011 until 2013, Vice Dean for Community Services and Environmental Development from 5/10/2015 until

Abstract:

Aim: The aim of the study was to determine the effect of perioperative warming measures for major abdominal surgery on postoperative hypothermia.

Setting: The current study was conducted in operating room at Emergency Hospital of Menoufia University, Menoufia Governorate.

Subjects: A purposive sample consists of 100 adult patients undergoing major abdominal surgery were randomly divided and assigned alternatively into two equal groups; 50 for each group.

Tools: Three tools were used for data collection. Structured interview questionnaire, knowledge assessment sheet, perioperative assessment sheet, and shivering scale.

Results: There was a highly significant difference between study and control groups regarding mean perioperative temperature at all times of interval of measurements p<0.001. Also there was a highly significant difference between study and control groups concerning postoperative shivering P<0.001.

Conclusions: Usage of perioperative warming measures for major abdominal surgery has a positive effect on the prevention of postoperative hypothermia and shivering.

Recommendations: All staff of surgical nurses should be encouraged to be familiar with perioperative warming measures and use these measures in order to maintain perioperative normothermia and prevent postoperative hypothermia.

Biography:

Camila Foresti Lemos is a Nurse, has worked for four years in the private area and for six years as a public servant. She loves to take care of children and has a profile for acting in an emergency unit. However, she faces in Brazil the difficulties of standardization of routines that promote the constant evaluation of patient safety in public hospitals. The difficulties for the system of nursing assistance instigate her to conduct research that seeks to contribute to nursing assistance in Brazil. She has worked for four years in an adult intensive care unit. She is a Postgraduate in Nephrology Nursing, and has a Master's degree from the University of Brasília. She acted in the last six years with children in a public hospital in Brazil; of these four years she was in the pediatric surgical clinic and also attended children with fecal incontinence and intestinal constipation. She is currently a Researcher, Nurse Controller of the hospital admission regulation service of the Federal District and Professor at the School of Health Sciences in Brasilia, DF, Brazil (ESCS).

Abstract:

Introduction: Anorectal malformations, Hirschsprung's disease and idiopathic constipation are diseases with changes in bowel function, with fecal incontinence and constipation, and can impair the quality of life.

Objective: To evaluate the perception and quality of life of the child with anorectal malformation, Hirschsprung's disease and idiopathic constipation accompanied by an outpatient clinic in a public hospital in Brazil.

Method: It is a cross-section of 08 children from aged 5 to 18 years, diagnosed with anorectal malformation and/or Hirschsprung's disease or idiopathic intestinal constipation that had a medical return between October/17 and March/18. The data collection was initiated after approval of the research ethics committee. The SPSS was used for statistical analysis and Wilcoxon (Mann-Whitney) was applied for independent variables. Qualitative analysis was performed according to Bardin.

Results: In the children interviewed the total quality of life had an average of 69 (±15). The school aspect was the most impaired (51±13); however, the physical aspect had a better score (83±13) and was better in children with a higher socioeconomic level. Children with lower socioeconomic status had worse (p=0.02) social aspect (72±35). The mean of the psychosocial aspect was 62 (±18). The majority of the children were male with a better emotional aspect (64.38±23) than the girls (p=0.05). Children diagnosed at birth had better bowel functioning (continent) (p=0.00). Fifteen categories were identified in the perception of the children, demonstrating: basic knowledge about the disease, unfamiliarity about the pathology and reason for monitoring. Some children felt good going to the hospital, others did not like it. There was a report of bullying.

Conclusion: The monitoring of the quality of life and perception of the child can guide the multi professional assistance mainly in the children with lower socio-economic level. Multicentric studies are needed.

Biography:

Camila Foresti Lemos is a Nurse, has worked for four years in the private area and for six years as a public servant. She loves to take care of children and has a profile for acting in an emergency unit. However, she faces in Brazil the difficulties of standardization of routines that promote the constant evaluation of patient safety in public hospitals. The difficulties for the system of nursing assistance instigate her to conduct research that seeks to contribute to nursing assistance in Brazil. She has worked for four years in an adult intensive care unit. She is a Postgraduate in Nephrology Nursing, and has a Master's degree from the University of Brasília. She acted in the last six years with children in a public hospital in Brazil; of these four years she was in the pediatric surgical clinic and also attended children with fecal incontinence and intestinal constipation. She is currently a Researcher, Nurse Controller of the hospital admission regulation service of the Federal District and Professor at the School of Health Sciences in Brasilia, DF, Brazil (ESCS).

Abstract:

Background: The availability of human resources, materials and the dimensioning of professionals according to the need for care directly interfere in the quality of health care.

Objective: The objective of this study is to identify the socioeconomic profile, the classification of nursing care and to evaluate the quantitative of professionals responsible for the child hospitalized in the pediatric emergency of a public hospital of Brazil.

Method: Cross section performed in the 22 days randomly and conventionally selected, between October/17 to March/18, obtained 318 children hospitalized in pediatric emergency and the staff quantitative over a 6-hour period. The data collection was initiated after approval of the research ethics committee. The SPSS was used for statistical analysis, and the Kolmogorov-Smirnov for all variables had p<0.05. Wilcoxon (Mann-Whitney) was used for the independent variables.

Results: A total of 318 children and the responsible team were evaluated. Most of the children had intermediate care, male gender, median of 27 months (minimum 0 and maximum 168 months), parents with economic classification B2 and C1 and incomplete high school and/or incomplete higher education. The median was of 08 nursing technicians present (minimum 05, maximum 13), 02 nurses (minimum 1, maximum 04), 05 doctors (minimum 03, maximum 06), 03 cleaning professionals (minimum 02, maximum 03), and of 17 hospitalized children in the period (minimum 08, maximum 23). There was a difference in the number of nursing technicians (p=0.00) and cleaning professionals (p=0.00) between weekdays and weekends, however, there was no difference in the total number of hospitalized children (p=0.67).

Conclusion: The classification of pediatric patients and the balance of staffing can help the management of the public institution studied, as well as promote the safety of patient care and support professionals involved in resource allocation and decision-making 24 hours a day and 7 days a week.

Biography:

Work as clinical instructor at the Higher Institute of Nursing - University of Menoufia in 1993 Appointed as Assistant Lecturer at the Higher Institute of Nursing - Menoufia University Appointed as a lecturer at the Faculty of Nursing - Menoufia University in 2006 Appointed as assistant professor at the Faculty of Nursing - Menoufia University in 2012 Appointed as assistant professor at the Faculty of Nursing - Menoufia University in 2012Vice Dean for Student Affairs in the academic year 2014-2015.Head of the Department of Internal Surgical Nursing Faculty of Nursing University of Menoufia during the academic year 2015/2016 - 2016/2017.Obtain a certificate of appreciation from the Medical  Surgical Nursing Department as a distinguished faculty member.Arbitrator in the International Journal of International Journal of Education and Practice

Abstract:

Studies have shown that low back pain is a common health problem among hospital nurses especially those working in Intensive Care Units. However, prevalence and the related risk factors in intensive care units needs to be widely investigated. The aims of this study were to identify prevalence of low back pain and determine its related risk factors among nurses working in Intensive Care Units. Subjects: A purposive sample of all nurses who worked in intensive care units and meet the inclusion criteria. Setting: The study was conducted at four intensive care units of Menoufia University hospital. Tools of the study: Two tools were utilized for data collection as follow; Tool I: Interviewing questionnaire and Tool II: Observational checklist. Results: The prevalence of low back pain among studied nurses was 85%. The most important and preventable risk factors for low back pain among studied nurses were higher body mass index, more average working hours/day, not enough working space, lower compliance of nurses with proper body mechanics and range of motion exercises during work. Conclusion: prevalence of low back pain among nurses working in intensive care units was high. There were multi interrlatrelatede risk factors for low back pain among studied nurses: work, patients and personnel related factors. Recommendations: Periodic and continuous in-services training for nurses working in intensive care units on preventing and coping strategies for low back pain should be implemented.

Biography:

Hsing Yu Yang was a supervisor in the Department of Nursing at Mackay Memorial Hospital, where she has devoted 90 percent of her personal experiences to nursing research, education and practice. She has extensive experience in clinical practice and teaching, program development and administration over twenty-seven years. After 25 years of clinical administration in that role, she recently entered Mackay Medical College as an Assistant Professor to teach academic education of nursing. She is a frequent consultant and speaker on topics such as clinical nursing spiritual education, adult and schoolchild obesity, and nursing organizational change.

Abstract:

Introduction: Childhood obesity is a major global public health issue. This study assessed the effect adapted by the USA National Aeronautics and Space Administration’s (NASA’s) mission X (MX) program on children’s knowledge, attitude, and practice of healthy eating and active living (HEAL) and weight status in rural elementary schools in Taiwan.

Methods: An 8-week cluster randomized control trial was conducted in 2016-2017 school year. Eight rural elementary schools were randomized into intervention and control groups. All 3rd and 4th graders were invited to join, N=92 in intervention, 109 in control group. The intervention group received the intervention (included four sessions aimed to train students with exercises like crab walk, bear crawl, squat, pushup, rope-jumping, and running across cones. Two other sessions aimed to improve students’ water drinking in school, and their knowledge of food groups and balanced diet. The two other sessions were circuit trainings.). Child weight, height, HEAL (spell out) knowledge, attitude, and practice related to xx were measured at baseline and post-intervention. Mixed-effect model was used in analysis.

Results: Compared to the control group, the intervention group had significantly more improvements in physical activity knowledge score (+0.91 vs. +0.25, p=0.002), diet knowledge score (+0.62 vs. +0.17, p=0.044), and score of interests in NASA and space exploration (+0.34 vs. -0.07, p<0.0001). BMI increased from 18.4 to 18.6 (p<0.05) for the control group but did not change for the intervention group. The changes in BMI between groups did not differ significantly.

Conclusion: The adapted NASA MX program was feasible and acceptable among rural students in Taiwan. The program improved children’s HEAL knowledge.

Biography:

Judith Cullinane completed her graduate degree from Graceland University, Independence, MO, USA and is currently a PhD candidate at Simmons College, Boston, MA, USA. She is the Executive Director of nursing research, innovation, professional development and quality at Tufts Medical Center and The Floating Hospital for Children. Her research includes studying bisphenol A in neonates, teaching baccalaureate nursing students root cause analysis and pain management in neonates. She also participated in the writing of the Nurse of the Future Core Competencies and the Nurse of the Future Competency Toolkit in collaboration with the MA Action Coalition.

Abstract:

Children with complex healthcare disorders are a vulnerable patient population and require highly organized care delivery. This patient population often experiences limited or inefficient care that results in high cost healthcare. Complex care programs offer the ability to organize patient care interventions, activities and necessities, helping to improve care delivery and patient outcomes throughout the continuum. The purpose of this presentation is to describe the implementation of a pediatric inpatient complex care team that led to the inception of a pediatric hospital base complex care program at an academic medical center in Boston, Massachusetts, USA. The quadruple aim framework and the chronic case model were used in conjunction to develop, implement and establish a pediatric interprofessional complex program using a six phase process over a one-year period of time. Overall impact of the program demonstrated that care coordination reduced the inpatient length of stay by 15% and prevented adverse drug events by early detection of medication reconciliation discrepancies in 73% of the patients. Social services were also consulted earlier in the hospital stay in 68% of the cases assisting in identifying and addressing psycho-socio economic constraints. The innovation led to the establishment of an interprofessional pediatric hospital complex care program using a hub concept inclusive of patients and families. Developing a comprehensive complex care program to better provide effective care coordination is essential to maximize the quality of care, provide the best experience for patients, families and providers, and improve the cost-efficiency of the health care system.