Scientific Program

Day 1 :

Keynote Forum

Rabiee Al Rashdi

Oman Academic Accreditation Authority, Oman

Keynote: Understanding and implementing EBP to foster and maintain safe and competent care

Time :

Biography:

Dr. Rabiee Al Rashdi graduated as a general nurse from the UK in 1987 before joining the Sultan Qaboos Military Academy from which he graduated as an Officer and then returned to UK to specialize in Accident and Emergency, Flight Nursing, as well as Intensive Care. Worked as a Nursing Officer in various military hospitals and climbed up the professional career ladder to finally become the Chief Nursing Officer (CNO) of the Armed Forces Medical Services, Oman. He served in this demanding post for over 12 years, then he was appointed as the Commandant (Dean) of AFMS School. Dr Rabiee left the military healthcare services at the beginning of 2015 and is currently working as Planning and DevSelopment Expert in the Oman Academic Accreditation Authority where he is involved in strategic and Operational Planning; Development of Policies; Quality training and Audits; and Risk management. Dr. Rabiee has a Masters Degree in Nursing and a Doctorate of Philosophy (PhD) from Napier University, Edinburgh (Scotland), with a focus on healthcare Human Resources Development and Management. He also holds a post doctorate diploma in strategic management and leadership from Oxford Business College, UK, as well as various leadership and management courses. To enhance his knowledge and expertise, Dr. Rabiee teaches and presents in various nursing and healthcare subjects; evidence based practice; quality and patients’ safety issues; human resources development; and Business Studies. Dr. Rabiee is a member of various professional bodies such as the United Kingdom Nursing & Midwifery Council; the Canadian Healthcare Accreditation Body (as a surveyor); the Oman Nursing Association; and the Omani Higher Education Quality Network (OQNHE) in which he was for 2 years a member of the executive committee. Dr. Rabiee has a great interest in Higher Education and Healthcare Quality; Strategic Planning; Organizational Excellence; Human Resources Planning and Development; Patients Safety & Quality Care; Research & Evidence Based Practice; Healthcare Law & Ethics; and Professionalism.

Abstract:

Several definitions exist for the ‘Evidence Based Practice’ (EBP) concept, but the most commonly cited definition, according to Boyce et al (2018), comes from Dr. David Sackett in his 1996 letter in BMJ on what evidence-based medicine is and is not. In the letter, he described EBP as “the conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients (Sackett, et al, 1996).

According to Mackey and Bassendowski (2017) Evidence Based Practice evolved from Florence Nightingale in the 1800s to medical physicians in the 1970s, and the nursing profession in the late 1990s. It began as an idea to provide better outcomes for patients who experienced deplorable, unsanitary, conditions and developed from this foundation to a widely communicated and critically needed practice for fostering and maintaining safe and competent care.

The critical need of Evidence Based Practice stems from the fact that, despite its development and wide interest to adapt it in nursing and other healthcare professions, there is still a wide variation in healthcare practices that ultimately lead to un-necessary wastage of resources, wasted care delivery time and efforts, as well as poor treatments and nursing care outcome (Youngblut and Brooten, 2001).

In response to the aforementioned status quo of Evidence Based Practice, commissioners and providers of healthcare were encouraged to implement it in order to utilize resources, improve the outcome of treatment and care delivery and meet public demands for cost effective and high standards of care. In this keynote presentation, the author aims to answer the following key questions: what is Evidence Based Practice and what is it not?; why is Evidence Based Practice needed in healthcare?; what is the best way of implementing Evidence Based Practice?; what are the hindering factors in implementation of Evidence Based Practice?; and how to overcome the hindering factors and enhance the implementation of Evidence Based Practice?.

Keynote Forum

Madhavi Rane Chikhale

Asian Heart Institute and Research Center, India

Keynote: Nurse, physical ill health : Self care given second priority being a Nurse

Time :

Biography:

Mrs.Madhavi has her expertise in training and evaluation. She has proposed, planned and commissioned Simulation lab for 8 hospitals in Maharashtra, India. She has 20+ years experience in healthcare, which is from corporate, state run hospitals and NGOs like Lilavati Hospital & Research Centre,Sir.HN Reliance foundation Hospital, Sir J J Group of hospitals ,Sahyadri Hospitals , Operation Smile and Asian Heart Institute. She has done her Post Graduate Nursing Management studies from London, also is certified for insertion of cvad from Tata institute and completed her MBA I Healthcare from ITM, Mumbai. She has worked as a bedside nurse since 1999-2006.And went on to upgrade her role as a nurse from being a Team leader to Director of Nurssing and also a Group HEAD for largest chain of hospitals in Maharashtra. Mrs.Madhavi is an ultra runner too, she has done several ultra runs ,and longest being 160km Mumbai to Pune Run in Nov 2017.She was the 1st Nurse in India to have attempted such a feat. She is an ambassador for Pinkathon and inspires thousands of women to care for their health. Motivates them by conducting/Facilitating free trainings every Saturday in Mumbai, Pune and London Above all she is a proud mother of 2 kids; her son is doing his NDA preparation.

Abstract:

A study done on nurses in service since 1999 till 2005 revealed that the backbone of any hospital wears off in 6th year of bed side nursing. Major reason for the same being not keeping self as priority, shift duties, being terminal care givers and absence of coping mechanism.

Visible dark circles under eyes, obesity, fake emotions, varicose veins, aching backbone and social disconnect are few of the effects experienced by the nurses all over the globe.

This study concludes that dealing with stress and ventilation mechanism along with self care with physical activities like running, exercise, yoga etc should be made mandate in the nursing training curriculum to enhance the health and keep the backbone of the healthcare system strong.

In India, nursing education is offered either through government-run hospitals or through privately-run clinics. Indian Nursing family advancing slowly towards making their mark in the globally by investing in quality improvement and self sufficiency

The nursing education curriculum includes all the vital and advanced processes of patient and family care.

Any individual undergoing this study is bound to make their career in healthcare.

But sadly, it doesn’t include the self care process for a nurse as she advances into the health care field.

There is no study which the nurse can refer to and learn the coping mechanism in case of the untoward experiences during their practice.

In long term it leads to many negligence towards oneself and pretence of being well.

 

Biography:

Maysoon Khalil Youssef's Career starts from 1999 with Al Istiklal Hospital as a Practical nurse at Jordan. With 10 years of journey she grow together with them to reach nursing supervisor. Meanwhile, work with university as a clinical instructor from 2007- 2009. Started work with Dr. Suleiman Hospital (KSA) as a Surgical Orthopedic unit charge nurse from 2009. Since 2011 they promoted as a Surgical Orthopedic unit Head nurse. She worked with them until 2014 same post. From 2014 promoted as a Head Nurse. Since 2016 Al Zahra Hospital (Dubai) working as a Director of Nursing. She earned Master degree in Health Care management from Dubai.

Abstract:

Introduction: In today’s digital age, several types of software and other time-saving solutions are on the market to help people achieve results in half the time. In the healthcare industry, that is no different. With the implementation of eMAR (Electronic Medication Administration Records), those in the healthcare industry can help patients in a fraction of the time and with less errors.

Objectives: A Medication Administration Record or MAR is the report that serves as a legal record of the drugs administered to a patient at a facility by a health care professional. eMAR (eMAR for electronic versions) an innovative and integrated solution to medication administration. This application provides staff with secure and convenient access to patient medication records, allowing for real-time recording, collection and reporting of data. Electronic medication administration records (eMar) enlist bar coding technology to submit and fill prescriptions with hand-held scanners that read bar codes and transmit them to the terminal/workstation using Bluetooth wireless technology. The eMAR relays drug dosage data to the pharmacy, which is then connected to nursing stations.

The following prescription data is included in eMars: Medication dosages, number of refills Medication types Medication classifications Patient refill history Real-time prescription status tracking capabilities

Criteria: Reducing adverse drug events is vital to all healthcare organizations, Implementing the Electronic Medication Administration Record (eMAR) helps ensure the Five Rights of Medication Safety: that the right patient receives the right drug at the right dose, at the right time, with the right method of administration.

According to CMS, Centers for Medicare and Medicaid Services, eMAR(s) should enable the user to electronically verify the following before administering medication(s):

•(A) Right patient. The patient to whom the medication is to be administered matches the medication to be administered.

•(B) Right medication. The medication to be administered matches the medication ordered for the patient.

•(C) Right dose. The dose of the medication to be administered matches the dose of the medication ordered for the patient.

•(D) Right route. The route of medication delivery matches the route specified in the medication order.

•(E) Right time. The time that the medication was ordered to be administered compared to the current time.

 

  • Nursing Education
Speaker
Biography:

Fatma Slem has her expertise in management and staff supervision. Strong desire to focus on supervision care and health education. skillful in ICU work utilizing my skills and experience to advance my career. Strong desire to learn more and have an effective role.

Abstract:

Ventilator-associated pneumonia (VAP) is defined as pneumonia that occurs 48-72 hours or thereafter following endotracheal intubation, characterized by the presence of a new or progressive infiltrate, signs of systemic infection (fever, altered white blood cell count), changes in sputum characteristics, and detection of a causative agent. VAP contributes to approximately half of all cases of hospital-acquired pneumonia. VAP is estimated to occur in 9-27 % of all mechanically ventilated patients, with the highest risk being early in the course of hospitalization. It is the second most common nosocomial infection in the intensive care unit (ICU) and the most common in mechanically ventilated patients. VAP rates range from 1.2 to 8.5 per 1,000 ventilator days and are reliant on the definition used for diagnosis. Risk for VAP is greatest during the first 5 days of mechanical ventilation (3 %) with the mean duration between intubation and development of VAP being 3.3 days. This risk declines to 2 %/day between days 5 to 10 of ventilation, and 1 %/day thereafter. Earlier studies placed the attributable mortality for VAP at between 33-50 %, but this rate is variable and relies heavily on the underlying medical illness. Over the years, the attributable risk of death has decreased and is more recently estimated at 9-13 % largely because of implementation of preventive strategies. Approximately 50 % of all antibiotics administered in ICUs are for treatment of VAP. Early onset VAP is defined as pneumonia that occurs within 4 days and this is usually attributed to antibiotic sensitive pathogens whereas late onset VAP is more likely caused by multidrug resistant (MDR) bacteria and emerges after 4 days of intubation. Thus, VAP poses grave implications in endotracheally intubated adult patients in ICUs worldwide and leads to increased adverse outcomes and healthcare costs.

Speaker
Biography:

Louie Pinuela Hijalda, Ph.D., RN, is currently a clinical instructor at the University of San Agustin, College of Health and Allied Medical Profession. A member of the Department of Science and Technology – Western Visayas Human Resource Development Committee (DOST–WVHRDC) and University of San Agustin – Research Ethics Review Committee.

Abstract:

Background. Higher Educational Institutions in the Philippines faced low program demand and pressure on competitive advantage because of the full implementation of K-12 and advent of Outcomes-Based Education; downsizing as one of the most popular strategies being used in an effort to compete in the current educational system scenario.

Methodology. The study employed a descriptive-correlational design utilizing a survey method. Qualitative data were obtained to enrich survey results. Ninety-one (91) nurse educators in various College of Nursing in Western Visayas were chosen as actual participants using a stratified random sampling. Data collected were analyzed using appropriate descriptive, inferential statistics and qualitative analysis.

Results. The results showed that majority of participants were 41 years old and above (65%), female (88%), married (88%), with master’s degree (81%), with a monthly salary of Php21, 000.00 and above (51%), having more than 10 years of service (78%) and assigned in both classroom and related learning experience (69%). The overall interpretation indicates a moderate level of job satisfaction (grand mean of 3.81) and organizational commitment (grand mean of 4.20) among nurse educators in Western Visayas; there is no significant relationship between organizational commitment versus profile variables except for area of assignment (χ2 = 16.217, p = 0.013). There is a significant relationship between job satisfaction versus organizational commitment (χ2 = 100.2, p = 0.000).

Conclusions. The study concluded that nurse educators’ perception of organizational downsizing has little effect on their job satisfaction and organizational commitment and that organizational downsizing has no significant relationship to job satisfaction and organizational commitment among nurse educators in Western Visayas.

Speaker
Biography:

Dr. Baloyi is a faculty member in the School of Nursing, College of Health Sciences at the University of Kwa-Zulu Natal, Durban, South Africa. Her research focusses on midwifery with specific interest midwifery education. In her Ph.D., she developed a model to guide the development of clinical reasoning skills within undergraduate midwifery students. She also has a passion for qualitative and grounded theory research. Dr. Baloyi is the author of 4 peer-reviewed articles all published in International Journals. As an emerging academic, Dr. Baloyi is supervising two (2) Ph.D. students and four (4) Masters.  

Abstract:

Clinical reasoning (CR) remains central in midwifery care in the light of uncontrollable high maternal mortality rates and errors in midwifery practice. However, there is no consensus, locally and internationally, on how clinical reasoning skills can be developed in undergraduate students particularly within midwifery context. Aim: This study analysed the processes used to develop clinical reasoning skills within undergraduate midwifery students with the aim of generating a middle-range theory for the production of competent midwifery graduates for optimum patient outcomes. Qualitative and grounded theory approach, underpinned by Social Constructivism Paradigm, was used. Data were collected over twelve months, using multiple methods of observations, interviews and document analysis. The participants comprised of midwifery nursing students, the 2016 and 2017 cohorts as well as midwifery educators. A total of 16 focus group discussions and 12 individual in depth interviews were conducted. Methods and analysis: Data collection and initial data analysis occurred simultaneously using coding process, which comprised of three distinct phases (open coding, axial coding and selective coding), with constant comparative analysis at each phase. Ethical clearance was obtained from the University Ethics Committee, with the Protocol reference number HSS/1288/016D. Findings: Developing clinical reasoning skills emerged as the main concept in the middle-range theory that was generated in this study. This main concept was supported by major concepts, which included context, nature of the curriculum, clinical reasoning process, pillars including individual and system related outcomes. Discussion and Conclusion: Quality midwifery care is what is founded on the clinical reasoning abilities of the midwives. The process of developing clinical reasoning skills is a hypothesis-oriented inquiry, hinged by process-product, relevant and responsive curriculum.

  • Nursing Care
Speaker
Biography:

Anthony A Thompson was born on October 30th 1978, at Abia State Nigeria, obtained his Primary and Secondary Education between 1985 and 1997. He started my sales job with the Home and Family Health Education Service as an Independent Distributor. Currently a Registered Nurse with BNSc in view. A talented Public Speaker with Passion.

Abstract:

Statement of the Problem: Patients who are in pain due to illness or injury are being neglected by the less concerned attitude of the Nurses and other health care team. Often such patient are traumatized and regarded as regarded the painful experience as stressful. This issue has not been thoroughly examined by Nurses, personal and cultural bias and communication gap between patients and health care team have contributed to the book log in patients’ pain management.

The purpose of this study is to determine the extent of the level of education, work experience and ward of practice on the Utilization Pattern of Pain Assessment Tools Among Nurses.

Methodology & Theoretical Orientation: A descriptive design methods was adopted for this study and a convenient Sampling technique was used to select a total of 100 Nurses caring for patients in a State Hospital in Nigeria. And theory of planned behavior / reason actions was used to analyzed behavioural intention (BI), attitude and subjective norms (BI=A+ SN).

Results: Data obtained reveal that there is no significant different (P=0.05) between level of education and utilization of pattern of pain assessment tools among Nurses. Also there is no significant difference (P=0.05) between year of experience and utilization pattern of pain assessment tool among Nurses. However, a significant difference (p=0.000) was recorded between ward of ward of practice and utilization pattern of pain assessment tools among Nurses.

Conclusion: Level of education and years of experience of Nurses does affect the utilization pattern of pain assessment tools among Nurses. However, ward of practice could be potential factor affecting the utilization pattern of pain assessment tool among Nurses.    

 

Speaker
Biography:

Louie Pinuela Hijalda, Ph.D., RN, is currently a clinical instructor at the University of San Agustin, College of Health and Allied Medical Profession. A member of the Department of Science and Technology – Western Visayas Human Resource Development Committee (DOST–WVHRDC) and University of San Agustin – Research Ethics Review Committee.

Abstract:

Background: Globally, the Lupus Foundation in America estimates that 1.5 million Americans and at least 5 million people worldwide suffer from SLE. In the Philippines, there is an estimated 443,891 among the population and the increasing number identified is getting more serious and is difficult to deal with.

Methodology: A descriptive phenomenology, qualitative research, with six participants involved. The guide questions were divided into four aspects: physical, psychological, social and spiritual lived experiences and health related quality of life. The rigor and validity of the study was achieved through engagement with the data, verification with feedback, use of extracts from verbatim account and peer debriefing. The data analysis involved the use of Colaizzi methodological approach.

Results: Main themes surfaced as similar among participants in their journey towards independence, acceptance, family support and faith and trust to God. At first, they really had a hard time accepting their disease condition but later on, they come to adapt to its changes and keep moving forward and learned lessons from it. They spend their time thinking about how to live their life normally. Medications and therapies were essential parts and the prolonged compliance to medications entailed side effects which the client cope up.

Conclusion: Participants made strategies on how to control, ease or relieve the suffering brought about by their physical, psychological, social and spiritual distress. Their faith, hope and trust in God even strengthened after knowing the disease.