Day 1 :
Jamyah Nursing Home, Singapore
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.
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.
University West, Sweden
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.
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.
Gothenburg University, Sweden
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.
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.
Salma Rehabilitation Hospital, United Arab Emirates
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.
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.