Day 1 :
Keynote Forum
Satyaprakash TIWARI
Jamyah Nursing Home, Singapore
Keynote: Community healthcare for Persons with Dementia and Frail elderly for their continued wellness in Singapore – The urgent need for increased public education and ramping up of appropriate services
Biography:
Mr Tiwari has spearheaded and operationalised four Voluntary Welfare Organisations (VWOs), piloted the first Home Help Service and Dementia Day Care Centre, and developed numerous community-based programmes and initiatives in Singapore. Having been a Senior-Level Executive in VWOs for over 30 years, Mr Tiwari has earned a formidable reputation in relation to his expertise in initiating and institutionalising significant programmes with highly capable management skills, and ability to develop longstanding commercial, inter-agency and client relationships. His proven track record in the eldercare market (and the wider VWO sector) coupled with his stellar management skills have enabled him to catalyse significant organisational growth, implement cost-effective strategies, and remain at the forefront of the industry He has piloted and operationalised more than 50 programme for the elderly.
Abstract:
Singapore’s approach to the demographic challenges was laid in the 1980s, some two decades after independence in 1965. A number of high-level committees were formed to look at issues related to ageing. These included: the Committee on the Problems of the Aged (1982), the Advisory Council on the Aged (1988–1989), the National Advisory of Council on the Family and the Aged (1989–1998), and the Inter-Ministerial Committee (IMC) on Health and Care for the Elderly (1997–1999).
The beneifts on continued living in the community, for persons with dementia, has been proven in numerous studies in an exhaustive manner. Singapore has adopted various principles of ‘Ageing-in-place’ and developed a range of services to allow seniors to continue to live in the community. The firm belief is that ‘Ageing is not just the concern of a specific segment of society but a whole-of-society issue.’
Jamiyah Singapore started in 2002 a residential facility for seniors requiring some nursing care and assistance with their activities of daily living. However, capacity was limited and with the growing number of seniors needing care, options of community care were considered. With encouragement from the government, Jamiyah Singapore opened its Senior Day Care Centre in Feb 2016 and also started its Integrated Home and Day Care service. These services were designed not only to care for seniors needing a lower level of care and monitoring of them medical, physical and mental well-being but to also provide an opportunity for seniors, especially those with dementia) to socialise and interact with others in a safe environment. The only other option for these seniors with dementia would have been to stay home alone or with hired caregivers, with the likelihood of early onset of depression and loss of muscle strength in their limbs due to reduced movement. The benefits of interaction and socialisation were seen almost immediately. Seniors who were initially reluctant to attend the centre and felt that their family would ‘abandon’ them there, started to slowly interact with other seniors, join exercise and ‘movement to music’ sessions, found buddies with similar interests and showed enthusiasm in doing activities initiated by the staff.
Jamiyah Singapore also expanded to provide courses for active seniors, thus developing a group of senior volunteers. Activities and talks /workshops to educate and support caregivers were also arranged on legal and other caregiving aspects. In 2019, it was also registered as a Centre providing formalised education to caregivers in various aspects of caregiving, thus empowering them with knowledge and skills.
Keynote Forum
Katarina Patriksson
University West, Sweden
Keynote: Immigrant parents’ experiences of communicating with healthcare professionals at the neonatal unit
Biography:
Katarina Patriksson has completed her PhD from University of Gothenburg, Health care sciences in June 2019. She is a senior lecture at University West and teach in paediatric and neonatal nursing. She also works as a paediatric nurse at the neonatal unit in Trollhättan. Her research is about language barriers between parents and healthcare professionals and parent’s ability to participate in their child’s care.
Abstract:
Background: When newborn children of immigrants require care in a neonatal unit, parents frequently encounter not only a new language, but also a new healthcare organisation. However, a parent’s ability to actively participate in their child’s care is dependent on the healthcare professional’s ability to communicate with and support them in caring activities
Aim: To examine parents’ experiences of communication with healthcare professionals in a neonatal unit when language barriers are present.
Method: Twenty interviews were conducted with families who spoke Arabic and had a child who had been cared for at one of five neonatal care units, level II-III in western Sweden. The same interpreter was used in all interviews, regardless of hospital site.
The interviews were analysed using a phenomenological hermeneutic approach.
Results: The main theme, having the opportunity to exercise one’s parental role, included four themes encountering emotional warmth, parents reported experiencing emotional warmth from the healthcare professional. Feeling accepted, parents expressed a desire to make themselves understood and communicated with the healthcare professional through an interpreter. Encountering a lack of understanding, when communication between parents and a healthcare professional could only occur through an interpreter, there was a risk of misunderstanding. Compensating for inadequate language skills, when language barriers existed, parents had to find alternative ways to communicate with the healthcare professional to obtain information about their child’s care and treatment.
Conclusion: It is not only language barriers that affect communication between parents and healthcare professionals; different expectations and pre-understandings are also of importance.
Keynote Forum
Helena Wigert
Gothenburg University, Sweden
Keynote: Familycentered neonatal care- the neonatal nurse´s responsibility for the child and parents’ existential issues in neonatal intensive care
Biography:
Helena Wigert is Senior Lecturer, Institute of Health and Care Sciences, The Sahlgrenska Academy, University of Gothenburg, Sweden. She is also a clinical Senior Lecturer at neonatal Intensive Care Unit (NICU), the Queen Silvia Children`s Hospital, Sahlgrenska University Hospital, Gothenburg, Sweden.
Helena has Registration as Nurse, Bachelor of Science in Pediatric Nursing, a Master degree in Nursing Care, and a PhD in Nursing Care Science. In 2008, she defended her thesis “Parents participation in the care of their child in neonatal intensive care”, The Sahlgrenska Academy, University of Gothenburg, Sweden.
Abstract:
Staff at Neonatal Intensive Care Unit (NICU) are often confronted with existential questions brought up by the parents to sick newborns and this study explores how staff approach parents' existential issues. Thirty-two interviews with physicians, nurses, counsellors, psychologists and priests at four NICUs were analysed of a qualitative content analysis. Physicians and nurses found it difficult to deal with the existential issues of parents. Some considered that it was not their job and referred parents to a counsellor or psychologist. However, counsellors and psychologists noted that many parents would rather speak to a physician or a nurse whom they were already familiar with. Several of the priests felt that their job included providing support for the staff as much as for the parents. To adequately encounter parents´ existential issues, physicians and nurses need training and guidelines concerning cooperation between the different professions.
Keynote Forum
Jose Arnold Tariga
Salma Rehabilitation Hospital, United Arab Emirates
Keynote: Pediatric Adaptation via Learning Modules (PALM) Initiative
Biography:
Jose Arnold Tariga completed his Doctor of Philosophy in Development Education from Central Luzon State University, Philippines in 2019, Professional Diploma in Healthcare Administration from the American University of Ras Al Khaimah, UAE in 2015, Master of Science in Nursing (Major in Medical-Surgical Nursing) degree from Cebu Normal University, Philippines in 2012, and Bachelor of Science in Nursing in 2008. He is a Certified Professional in Healthcare Quality and is also certified American Heart Association Basic Life Support Instructor. He is currently working as a Clinical Resource Nurse in Salma Rehabilitation Hospital based in United Arab Emirates where is leading the Education and Training Department of the entire facility. He is actively involved in education planning, development and delivery of continuing education sessions and clinical research to achieve evidence-based practice. He has published his researches in peer-reviewed journals such as the Philippine Journal of Nursing, Malaysian Journal of Nursing and Recoletos Multidisciplinary Journal. He has also presented in various international conferences in UAE and was recently the chairman of the scientific committee and member of the organizing committee in the recently conducted Pediatric Multispecialty Conference in Abu Dhabi UAE. He also delivers CME lectures and workshops free of charge to all healthcare professionals and is an active volunteer lecturer for the Special Licensure Examination Review for Nurses organized by the Philippines Nurses Association – UAE Chapter. With his valuable contribution in the healthcare community in the United Arab Emirates, he was recognized as the Healthcare Professional of the Year 2019 by the The Filipino Awards in UAE.
Abstract:
Nursing shortage is now becoming a global phenomenon (Walker, 2010), with a projected need of 1.09 million nurses by 2024 in the US and a current shortage of 42,000 nurses in UK (Campbell, 2017). According to DoH (2017), UAE will require 16,158 nurses by 2025. With the aim of developing a more sustainable solution for nursing shortage, the researcher developed a pediatric learning module to upskill adult-trained nurses and conducted this study to determine its effectiveness. The researcher utilized Solomon 4-Group Design to determine who will be assigned to receive the pretest, module and posttest. Data was collected using a test questionnaire and competency assessment checklists. Results were subjected to descriptive statistics and factorial analysis of covariance to assess if the demographic variables affect their level of knowledge and competency. Results revealed that the module was successfully developed using the five stages of ADDIE Model namely: Analysis, Design, Development, Implementation and Evaluation. Majority of the respondents are married Asian females in their early adulthood, holding bachelor’s degree in nursing, with less than 5 years of experience. Factorial analysis revealed that demographic variables did not influence their level of knowledge and competency (p>0.5). The study also showed that the mean knowledge and competency levels of adult-trained nurses who received the module are significantly higher compared to those who did not undergo the module. Furthermore, the study revealed that there is a significant difference on the knowledge and competency levels between adult-trained nurses who used and did not use the pediatric module.
Keynote Forum
Dalhatu Adamu
Bayero University Kano, Nigeria
Keynote: Effect of tobacco addiction on youth development in Nigeria: A fact or farce
Time : 5:65
Biography:
Dalhatu, Department of Nursing Sciences, Bayero University Kano.
Abstract:
Background: The burden of tobacco addiction on youth development in Nigeria continues to grow with significant impact on health and major social, human rights and economic consequences in all countries of the world, with Nigeria being the third leading country among low income settings. Globally, tobacco addiction has been estimated to be much higher in men within their reproductive ages as oppose to their relative cohort. Aim: Evidently, there is paucity of information on major health indices in Nigeria on the effect of tobacco addiction on youth development . This created a social mishaps on whether tobacco addiction has significant effect on youth development as a promising evidence to bringing it to a halt. Therefore, this paper aimed at evaluating the effect of tobacco addiction in Nigeria particularly among youth in their reproductive ages. The paper reviewed scientific literature related to the effect of tobacco addiction on youth development in Nigeria and from around the world that were published both locally and internationally. Methods: Various studies employed nonrandomized clinical trials on evaluating the effect of tobacco smoking on youth development and DMS-IV&V scale were employed for specification of associated effect. For pragmatic reasons, the research team conducted a nonrandomized, pretest-posttest, controlled group study in most of the reviewed papers. The forensic therapists participated in the activities and closely observed changes in behaviors of the experimental youth cohort and the results were compared with the control group. Results : The results of various reviewed papers found that tobacco addiction on youth development were found significantly associated with impulsive behaviors, mental disorder and 3×times higher risk of premature death than their non addicted cohort r=0.612,P<0.01,r=0.544,P=0.000<0.001, respectively. On discharge, the patients were evaluated for effect size (ES) up to 0.61) within both groups.
Conclusion: It was concluded that the effect of tobacco on youth development is a fact and not farce. Therefore, the integration of adjuvant pharmacotherapy among youth with tobacco addiction in our local settings is recommended .
Keynote Forum
Saraswati Acharya
Kathmandu University, Nepal
Keynote: The effects of sex and menstrual cycle phases on human temperature distribution
Time : 15:40-16:10
Biography:
Dalhatu, Department of Nursing Sciences, Bayero University Kano.
Abstract:
- Advanced Practice Nursing | Womens Health and Midwifery Nursing | Nursing Education
Location: Conference Hall
Chair
Alejandro De la Parra-Solomon
The World Academy of Medical Sciences, Mexico
Co-Chair
Satyaprakash Tiwari
Jamiyah Nursing Home, Singapore
Session Introduction
Kumi Oya
Licensed Occupational Therapist, USA
Title: Cultural humility in healthcare: Finding cultural humility in ourselves
Biography:
Kumi is a licensed occupational therapist, a creative arts therapist and a consultant. She has worked in hospitals and dementia care facilities both in Japan and the United States for many years. She has provided socio-emotional support and rehabilitation to those living with mental/cognitive challenges due to dementia, stroke, traumatic brain injury, and so on, through therapeutic and creative modalities. As a consultant, Kumi has also supported family members of people living with dementia and organizations in implementing and integrating cultural humility and creative arts into their systems and standard of care practices.
Abstract:
As we globally continue to face diversity in race, ethnicity, culture, and religion, as healthcare professionals, we also continue to be challenged by our own unchecked biases and stereotypes when working with diverse populations of clients and colleagues. It is critical for healthcare professionals to understand and practice ‘cultural humility’ in order to better serve our ever-growing diverse populations of clients and also our professional peers. In this workshop, the concept of ‘cultural humility’ is introduced in comparison to and in contrast with ‘cultural competence’. Participants will also be invited to practice and embody this humility by utilizing interactive exercises. These exercises are designed to provide both a tool and practice ground for participants to connect theory with behavior and ideas with action-oriented processes. This workshop will be both movement-based and highly informative.
Satyaprakash TIWARI
Jamyah Nursing Home, Singapore
Title: Are trained hired caregivers for seniors necessary in Singapore?
Biography:
Mr Tiwari has spearheaded and operationalised four Voluntary Welfare Organisations (VWOs), piloted the first Home Help Service and Dementia Day Care Centre, and developed numerous community-based programmes and initiatives in Singapore. Having been a Senior-Level Executive in VWOs for over 30 years, Mr Tiwari has earned a formidable reputation in relation to his expertise in initiating and institutionalising significant programmes with highly capable management skills, and ability to develop longstanding commercial, inter-agency and client relationships. His proven track record in the eldercare market (and the wider VWO sector) coupled with his stellar management skills have enabled him to catalyse significant organisational growth, implement cost-effective strategies, and remain at the forefront of the industry He has piloted and operationalised more than 50 programme for the elderly.
Abstract:
Madam Siti Hamidah, 61, who has a background in psychology, is trained in social work and is a senior counsellor. But she found herself "really overwhelmed" and "lost" when she became the primary caregiver for her 89-year-old bedridden mother who suffered a stroke two years ago.
She said: "Up till then my mother was a very strong woman, so being bedridden was hard for her. It was hard for me as well to see her like that. I guess what would have been helpful then would have been having someone there, a shoulder to cry on and to be able to know what to do at that critical stage.
Most people, like Mdm Sit Hamidah, may be unprepared for caregiving. Living in a busy metropolis and juggling work and family responsibility may be a recipe for burnout. A hired caregiver can assist to care of the senior in the family and give a helping hand to the family caregiver.
A trained caregiver from CARE would have the knowledge, skills and aptitude needed to care for a senior including knowing about the process of ageing and tasks of caring for a senior person. IN addition to managing activities of daily living, hygiene, nutrition, ambulation and cognitive stimulation, the trained caregiver will also be aware of the care process in looking after persons with Dementia, Cancer, Stroke, Parkinson’s Disease and other ailments that are common in the senior population.
Through initial trainings and regular updates, CARE will also ensure that the trained caregiver has upsated knowledge and is confident in her role.These trainings will also assuage any doubts the family member has about the skills of the hired caregiver in caring for the senior at home.
Sharmila Dahal Paudel
Tribhuvan University Institute of Medicine, Nepal
Title: Associated factors of elederly mistreatment
Biography:
Sharmila completed the master in population, gender and development studies and M.Sc. nursing in community health nursing from Nepal. Now I am appointed as a full time instructor in Tribhuvan university institute of medicine, Pokhara. Before joining this institute, I have worked for three and half year in college of nursing as a nursing faculty co-ordinator and I have also experienced working in INGO named International Nepal Fellowship (INF) as a community care nurse for three and half years in the field of HIV/AIDS. These all the dimensions of working platform has provided me lots of opportunities to improve myself as a devoted nurse in the field of public health.
Abstract:
Aging has been a global phenomenon. With increasing age, the vulnerability of aged population increases and due to lack of time and proper care regarding elderly, there might be elderly mistreatment in the society which directly and indirectly affects the quality of life. A descriptive cross sectional study was conducted entitled “Associated factors of Elderly Mistreatment (A study of Dharan Sub Metro-politian city, Eastern Nepal)” to examine the factors among 127 elderly residing in Dharan. Multi stage sampling was used to approach the respondents. Semi-structured questionnaire was used for measuring socio-demographic variables and associated factors for elderly mistreatment. Focused group discussion was used to collect qualitative data regarding care and management with male and female caregivers of elderly. Descriptive and inferential statistics (chi-square test) were used for data analysis at 5 % level of significance. P-value less than 0.05 were taken as statistically significant. Among all socio-demographic variables ethnicity, type of family, family size, source of income, monthly income, land ownership, dependency of elder with their family was found to be significant with physical mistreatment. Elderly who have small family size had experienced more physical mistreatment than large family size (10.2%) and this association was highly significant with p-value <0.001. Among all socio-demographic variables sex, education, family size, source of income, land ownership, dependency of elder with their family was found to be significant with psychological mistreatment. All socio-demographic variables Type of family, family size, land ownership, dependency of elder with their family was found to be significant with financial mistreatment. Socio-demographic variables age, education, type of family, family size, source of income, monthly income, land ownership, dependency of elder with their family was found to be significant with caregiver neglect. Based on the findings of the study it was concluded that elderly mistreatment is higher in the domain of care giver neglect (36.0%) followed by (28.0%) psychological mistreatment and the least prevalence as (15.0%) in both the physical and financial mistreatment .This study can guide family members, caretakers as well as the social service agencies to modify the behavior and practice regarding elderly mistreatment
Joan Jenkins
Louis Stokes Cleveland VA Medical Center, USA
Title: The importance of self care to nurses overall well being & nursing practice
Biography:
Joan earned her BA in Psychology, and BS in Nursing from Kent State University in Kent, Ohio. She is currently completing her Master’s degree in Nursing in order to become a Family Nurse Practitioner. She has started a Self Care/Holistic Nursing Business, Healing From Within LLC, which will incorporate traditional skilled nursing services, as well as alterantive therapies,such as mindfulnesstraining,agriculturaltherapy,yoga,andeducation on eating for optimal health. Joan has created, implemented, and had articles published on several of her public health projects including: “Bidding Adieu to the Flu”, Health Literacy Book Club, and “Bullseye: Targeting Chronic Care Conditons”.
Abstract:
Self-care is essential for nursing practice because these health habits help to protect, and promote the well-being, and mental health of nurses while sustaining their ability to manage the occupational stressors of providing care to individuals experiencing acute, and/or chronic illnesses. Self-care practices such as eating balanced meals, engaging in adequate physical activity, yoga, and meditation improve the health of clinicians. They also help to promote the healing that needs to occur after nurses have dealt with traumatizing events (i.e.. pain, suffering) associated with providing care. When nurses do not practice adequate self-care activities research has shown that these clinicians can develop self-care deficits which reduce their ability to successfully manage the occupational stressors associated with providing care. This predisposes them to the development of stress related conditions (i.e. compassion fatigue, burnout), poor physical & mental health outcomes which decrease their job satisfaction, and productivity (Crane and Ward, 2016). Their compromised health reduces the quality of the care that they provide and negatively affects the health outcomes of patients.
Dalhatu .A
Bayero University Kano, Nigeria
Title: Effect of tobacco addiction on youth development in Nigeria: A fact or farce
Biography:
Department of Nursing Sciences, Bayero University Kano.
Abstract:
Background: The burden of tobacco addiction on youth development in Nigeria continues to grow with significant impact on health and major social, human rights and economic consequences in all countries of the world, with Nigeria being the third leading country among low income settings. Globally, tobacco addiction has been estimated to be much higher in men within their reproductive ages as oppose to their relative cohort. Aim: Evidently, there is paucity of information on major health indices in Nigeria on the effect of tobacco addiction on youth development . This created a social mishaps on whether tobacco addiction has significant effect on youth development as a promising evidence to bringing it to a halt. Therefore, this paper aimed at evaluating the effect of tobacco addiction in Nigeria particularly among youth in their reproductive ages. The paper reviewed scientific literature related to the effect of tobacco addiction on youth development in Nigeria and from around the world that were published both locally and internationally.
Methods: Various studies employed nonrandomized clinical trials on evaluating the effect of tobacco smoking on youth development and DMS-IV&V scale were employed for specification of associated effect. For pragmatic reasons, the research team conducted a nonrandomized, pretest-posttest, controlled group study in most of the reviewed papers. The forensic therapists participated in the activities and closely observed changes in behaviors of the experimental youth cohort and the results were compared with the control group.
Results : The results of various reviewed papers found that tobacco addiction on youth development were found significantly associated with impulsive behaviors, mental disorder and 3×times higher risk of premature death than their non addicted cohort r=0.612,P<0.01,r=0.544,P=0.000<0.001, respectively. On discharge, the patients were evaluated for effect size (ES) up to 0.61) within both groups.
Conclusion: It was concluded that the effect of tobacco on youth development is a fact and not farce. Therefore, the integration of adjuvant pharmacotherapy among youth with tobacco addiction in our local settings is recommended
Saraswati Acharya
Kathmandu University, Nepal
Title: The effects of sex and menstrual cycle phases on human temperature distribution
Biography:
Saraswati Acharya currently works at the Department of Mathematics, Kathmandu University. Saraswati does research in Applied Mathematics.
Abstract:
- Clinical Nursing | Clinical Nursing | Oncology Nursing
Location: Conference Hall
Chair
Alejandro De la Parra-Solomon
The World Academy of Medical Sciences, Mexico
Co-Chair
Satyaprakash Tiwari
Jamiyah Nursing Home, Singapore
Biography:
Abstract:
Inderjeet Kaur
Govt Senior Secondary Smart School, India
Title: Exploring latest advancement in nursing education and communication
Biography:
Abstract:
Mfuh Anita Yafeh
Ahmadu Bello University, Nigeria
Title: Prevalence and risk factors of neonatal jaundice in special care baby unit of Ahmadu Bello University Teaching Hospital Zaria , Nigeria
Biography:
Anita completed her PhD from Ahmadu Bello University, Zaria, Nigeria. She is a Fellow of West African College of Nursing and the Chairperson of Faculty of Community Health Nursing. She is a specialist in maternal and Child Health Nursing. The National Secretary of Nigerian Association of University Nursing Programmes in Nigeria. She has published more than 40 papers in reputed journals and has been serving as an editorial board member in some Nigerian Journals, Asian Journals of Medicine and Health, Asian Research Journal of Arts and Social Sciences among others.
Abstract:
Neonatal jaundice is a very common condition worldwide occurring in up to 60% of term and 80% of preterm newborns in the first week of life. It`s incidence varies with geography. It is a leading cause of hospitalization in the first week of life worldwide. If inappropriately managed, it may result in significant bilirubin-induced mortality and disability. The study seek to determine the prevalence and risk factors of neonatal jaundice in Special Care Baby Unit of Ahmadu Bello University Teaching Hospital Zaria , Nigeria. The study aimed at determining the number of neonates diagnosed with jaundice, the sex distribution, type of jaundice diagnosed, risk factors and treatment modalities. An ex-post facto survey design with in-depth interviews were used to collct data. Secondary data was obtained from the medical record department of the hospital and nurses in the Special Care Baby Unit responded to the interviews.. Data obtained showed that 480 neonates were diagnosed with jaundice out of 1470 neonates admitted with the highest prevalence in 2017. Male neonates (64%) sufferd jaundice more than females. Physiological jandice was the most prevalent type of jaundice. The major treatment rendered was drugs/phototherpay (65%). Some factors responsible for the increase were ; poor breastfeeding practice by mothers, sepsis, ABO incompatability among others. It was recommended that mothers be educated on the causes of neonatal jaundice, early breastfeeding practice, early recognision of signs of jaundice and present to the hospital on time since most of the women in the area of study deliver at home and usually present with the babies late to the hospital. There is also need for a bigger and well established, organized and functional unit (SCBU) in the hospital that can cater for the increased number of neonates suffering from jaundice. More qualified health personnels should be employed in the unit to cater for the large number of neonates diagnosed with jaundice.
Jocelyn B. Hipona
Far Eastern University, Philippines
Title: The formulation of nesting theory among primary caregivers towards schoolers with technology-induced juvenile obesity
Biography:
Dr. Jocelyn Baluyot Hipona has been involved in Nursing Education for 9 years. She holds a Bachelor of Science in Nursing; she later pursued further studies then earned her Masters Degree in Nursing Administration and Doctor of Philosophy Major in Educational Management from the Philippines. She is one of the faculty in the Graduate School Program in one of the prestigious university in her home country. Behind her determination to do more in life, especially in the field of nursing and academe, is a great man who constantly encouraged her and pushed her to expand her horizon. She believes that with hard work and perseverance we can touch each learner in a special way, because oftentimes students do not care how much we know, until they know how much we care.
Abstract:
This study aims to recognize the different support of primary caregivers of school age children with technology-induced juvenile obesity. It is imperative to find out and analyze the major factors that contribute to child obesity as early as now to avoid developing the risk at an early age. A qualitative research, which is phenomenological approach, was utilized in this study to ascertain the support of primary care giver of school age with technology-induced juvenile obesity ranges from six to twelve years old that determine their knowledge to the disease, perceived risk factors and health beliefs. There are five (5) key informants that were involved in this study and the result was qualitatively analyzed through cool and warm analysis. Seven (7) interesting classifications were transpired, recognizing the different kinds of support given by primary caregiver towards their technology-induced juvenile obese children classified as: protecting, pampering, projecting, percepting, precepting, pretending and persevering. The study formulated a theory of seven (7) Ps of support (nest support) among primary caregivers towards schoolers with technology-induced juvenile obesity.
Wafa Abu jaber
European Gaza Hospital, Palestine
Title: The quality of postpartum care at governmental hospitals in the Gaza strip: Challenges and implications
Biography:
Wafa Abu jaber, European Gaza Hospital in Gaza,Palestine
Abstract:
Health services provided to mothers after delivery constitute an essential component of the maternal and child health services in any population. According to Palestinian Ministry of Health (MOH) maternal mortality rate (MMR) in the Gaza-Strip was 30/100,000 live births in 2014, and 25 in 2015 ,which differed from that in the West Bank with 20/100, 000 in 2014 (Bottcher et al., 2018).
The aim of the study was to assess the quality of postpartum care provided at governmental hospitals in Gaza Strip and to assess mothers’ satisfaction with postpartum care. The study took place from May 2018 to March 2019, and the researcher used descriptive, analytical, cross sectional design. The sample of the study consisted of 115 nurses and midwives who are working in postpartum departments (Normal vaginal Delivery NVD units and Cesarean Section CS units) at governmental hospitals (Al Shifa hospital, Nasser hospital, Shohada Al Aqsa hospital, and Al Emaratey hospital), and 428 postpartum mothers from the same hospitals, the researcher chose this sample according the mean number of 2016 and 2017 cases. For data collection, the researcher developed three instruments: Quality of postpartum care (A nursing perspective), mothers' satisfaction from by/about postpartum care, and observational checklist for nursing care. trained nurses helped us the researchers in collecting data. Reliability of the questionnaire was tested and Cronbache alpha coefficient was 0.965 for satisfaction scale, and 0.852 for quality of postpartum care. For data analysis, SPSS (version 22) was used, and statistical analysis included frequencies, percentage, means, standard deviation, (t) test, and One way ANOVA.
The results showed that the mean age of mothers was 26.32±5.86 years, 93.2% were housewives, 6.8% were working mothers, 30.1% primiparous, in addition, mean age of nurses was 30.96±6.007 years, (60.9%) had Bachelor degree,41.7% had 6-10years of experience. The results showed that 18.9% of mothers were highly satisfied and 53% were satisfied, and the mothers expressed above moderate satisfaction with mean score 3.78 and weighted percentage (75.6%). There were no statistically significant differences in mothers’ satisfaction related to age, work-status and number of deliveries. In addition, the results indicated high quality postpartum care (Nurses and midwives perspective) 90% in governmental hospitals in Gaza Strip. There were statistically significant differences in the perception of the quality of postpartum care based upon years of experience, where nurses and midwives with 1 - 5 years of experience have had the lowest mean score in providing quality of care, but there were no significant differences in quality of postpartum care related to nurses’ age and qualification. Furthermore, in observational checklists results, the highest score was in communication with mean score 2.56 and weighted percentage 85.3%, and the lowest score was in efficient care of the baby with mean score 1.95 and weighted percentage 65%. The overall score of observed performance was above moderate with mean score 2.02 and weighted percentage 67.3 %. Also the researcher presented the challenges to improve mothers' satisfaction with Postpartum care (PPC) and the implications to improve the quality of PPC . In conclusion, according to the weakest points of postpartum care (A nursing perspective) the study raised the need to apply Palestinian unified, written protocols and guidelines that specify and describes nurses’ interventions during the postpartum period for the mother and her baby.
Biography:
Abstract:
Cardiac catheterization is a valuable diagnostic procedure which does a Comprehensive examination of how the heart and its blood vessels function. One or more catheters are inserted through a peripheral blood vessel in the antecubital artery or vein and or femoral artery or vein with x-ray guidance. The present study aimed to assess the Attitude of cardiac catheterization procedures among cardiac patients in cardiology unit of Tanta Educational Hospital, Egypt. Fifty patients undergoing the procedure of cardiac catheterization were selected to participate in this study for two months. Single tools were used for collection of data that was necessary for this study as follows: Cardiac Patient’s Attitude Regarding Cardiac Catheterization Questionnaire. More than half of the study samples were female, illiterate, within the age range of 51years and above. 46% of the samples were married. 52% had previous history of cardiac catheterization and 56% got sources of knowledge and information about cardiac catheterization from health worker. 80% of the patient had positive attitude as regards to cardiac catheterization procedure hence, awareness of this procedure is the reason while cardiac patients had good positive attitude towards the catheterization procedure.