12th World Congress on
Nursing Practice and Research
Scientific Program
Keynote Session:
Title: Effects of a mobile supportive care program on depression in oral cancer patients underwent surgery
Biography:
Yu-Hua Lin has completed her PhD degree from the school of nursing, Kaohsiung Medical University, Taiwan. She had 35 years working experience in the field of nursing. Now, she is a professor in the school of nursing, I-Shou University in Taiwan R.O.C. She has published more than 50 papers in reputed journals and has been serving as an editorial board member of the Journal of Nursing in Taiwan Nurses Association.
Abstract:
The purpose of this study was to examine the effects of a mobile supportive care program (MSCP) on depressive symptoms in patient with oral cancer underwent oral surgery. A quasi-experimental design with simple randomize sampling, and the Center for Epidemiologic Studies Depression Scale (CES-D) was used to collect participants’ data. Participants were distributed into with a MSCP before discharge (experimental group, n=55) or without used MSCP (control group, n=55). The MSCP was loading in a Line app in experimental group mobile after education. The outcome was followed at the 7 days (first time clinic visited, T1), one month (T2), and three month (T3) after discharge. The CESD scores showed that all the two groups’ participants experienced depressive symptoms decreased at the one and three months after received MSCP (all p<.001). The generalized estimating equation analysis showed that after controlled age, both group and time were significantly different, indicated both group patients experienced depressive symptoms improvement, however, the MSCP group depressive symptoms was improved better than non-MSCP group. An interaction existed between the groups and test times in CESD from Time 1 to Time 3. These results indicate that the MSCP effects were influenced by time. These results showed that the CESD score of the experimental group was significantly lower than that of the control group by 6.51 points at one-month, and 5.60 points at three-month. This results recommend for the healthcare staff embed this MSCP into discharge plan in care of oral cancer patient underwent oral surgery.
Title: Five years retrospective descriptive study of TB and HIV patients
Biography:
Mir Anwar graduated Medicine from Bangladesh in 1975. He did his post-graduation in Pediatrics from Ireland in 1982. Further he did his Public Health Post graduation- MPH (concentration Maternity and Child Health) from University of Massachusetts, USA in 2003. Then he joins in UN/ WHO and worked as a Pediatric Consultant & Public Health Specialist, around the world including Asia, Middle East, Africa, Pacific Island, Ireland and USA. Since 2007 he has been working in South Africa in different provinces of South Africa with the Department of Health. Presently he is working as a Clinical Medical Manager in Richmond Chest Hospital, KZN. South Africa. In his long carrier in Pediatric and Public Health he had attended several International Congress, Conferences, and Seminars and presented his original work. Some of them were published in International Journal Including American Child Neurology Journal, Japan Pediatric Neurology Journal, Pakistan Pediatric Journal, Bangladesh Child Medical Journal, Nigerian Journal of Obstratics and Gynecology Etc.
For his work he is honored by American Academy of Pediatrics, Royal College of Health, UK, and International College of Pediatrics. Etc. His Biography was published in Who’s Who in Medicine Cambridge, UK in 1985. He is an active member of different International and National Pediatric Organization, Association etc. Presently is one of the honorary Member of Editorial Board- Journal of Pediatrics & Neonatal Biology, Published from Texas, USA.
Abstract:
Background- South Africa (SA) has the highest HIV and TB burden in the world. Co –infection of TB and HIV are the worst in respect of morbidity and mortality in this part of the world.
Objective- To know the outcome of TB & HIV patients while treating in Hospital setup. To explore the risk of Co-infection amongst TB & HIV patients we compare both isolated TB patients and TB & HIV patients.
Methods – TB and HIV infection in retrospective descriptive study was in our mind. Total 3544 patients were admitted in Richmond Chest (TB) Hospital, KZN province of South Africa from 2009 to 2013. Total admission in 2009 was 993, death was 288, and death rate was 29%. While in 2013 admission was 318 deaths were 72.Death rate in 2013 was 23%, Age range of the patients was 15 to 65 years. Crude proportionate was observed Male- 48% Female – 45% Children - 7%
Results - The incidence of death amongst the all patients of exclusive TB, and TB & HIV co-infection shows different variation in different age group. Out of total death, more than 50% were in the age group of 30 to 60 years of old. It also shows Death rate were higher in the category of patients having co- infection TB and HIV together. Out of total death, 40% had low CD4 count, below 100.which is a significant to observe. Death rate in 2009 was 29%, and in 2013 was 23% .The male and female ratio does not show any major difference neither in disease pattern nor in outcome. But in South Africa as a whole country wise study shows Female are more infected in AIDS than male.
Conclusion - Decrease of death rate was not due to improvement of care and management, it was noted admission policy had been dramatically changed in Richmond Hospital which leads to decline input of patients in the hospital that reflect declining death rate in later year. Early diagnosis and early initiation of treatment and re-treatment will definitely give better outcome in years to come. The new era of fixed dose, once a day treatment both in TB and HIV shows better compliance amongst the poor set up patient’s society.
Oral Session 1:
- Public Health Nursing | Emergency Nursing
Title: Effects of laparoscopic bariatric surgery on physiological indicators, depression and health-related quality of life: A systematic review
Biography:
Shu-Fen Wu has completed her master’s degree at I-Shou University and studied for her doctorate at the College of Nursing, Kaohsiung Medical University, Taiwan. She is a nursing supervisor at Yuan’s general hospital, a regional teaching hospital. She has published more than 5 papers in SCI/SSCI journals and has been involved in clinical care research.
Abstract:
Obesity has become the focus of global attention and is an emerging pandemic phenomenon in the 21st century. However, data regarding the weight loss, long-term reduction of BMI, physiological indicators, functional cardiovascular disease risk factors and depression and quality of life following laparoscopic bariatric surgery is lacking.
Purpose: To evaluate the effects of laparoscopic bariatric surgery on physiological indicators, depression and health-related quality of life among morbidly obese adults.
Methods: A systematic search of the articles published before June 2017 was conducted. Searches were conducted in databases including National Library of Medicine PubMed/MEDLINE, Embase, Cochrane Library, CEPS and Airiti Library. The quality of eligible studies was evaluated STROBE statement and Oxford classification. The primary outcome was HRQOL. Additional analyses comprised BMI, HbA1c, triglyceride, cholesterol, hypertension, depression, and adverse events.
Results: Seven studies were included in systematic review. The results showed that weight-reducing laparoscopic bariatric surgery significantly reduced body weight, HbA1c, triglyceride, cholesterol, hypertension, depression, and health-related quality of life (P < .05 ~.001). The length of postoperative period was not significantly related to depression and anxiety. The higher the degree of self-awareness after surgery, the higher the scores in all aspects of life quality (P= .000 ~.021).
Implications for Practice: QOL improvements were more likely to occur within the first two years following surgery, with greater improvements in physical than psychological QOL. Laparoscopic bariatric surgery can improve the quality of life products. Future research should also focus on physical and psychological predictors of weight loss after laparoscopic bariatric surgery.
Title: An investigation of the relevant factors of turnover intention versus work stress and burnout of nursing staffs in a regional teaching hospital in South Taiwan
Biography:
Ching-Yun Ching has completed her BSN at Fuying University and Studies for her master at the department of Nursing I-Shou University, Taiwan. She is the nursing head nurse at Yuan’s General Hospital, a regional teaching hospital. She has been involved in clinical nursing research.
Abstract:
Purposes: The aim of this study were 1) to understand the current status of turnover intention, work stress and job burnout; and 2) to assess which factors are capable of predicting the turnover intention of nursing staffs.
Method: This was a cross-sectional study, which investigating a sample of 334 nursing staffs from a regional teaching hospital in South Taiwan. We used the instruments including OS-2, MBI-Chinese, and an individual information questionnaire. Data were analyzed by using SPSS 22.0 software.
Result: The mean total score of nurses' work stress was 150.99 (31.66), the burn out status of nurse included a high level of emotional exhaustion 29.44 (12.32), a moderate level of depersonalization 9.77 (7.68), and decreased extent of personal accomplishment 28.82 (8.61). The above data indicated that all three factors (emotional exhaustion, depersonalization, personal accomplishment) were in the high risk grading status. Thus, the results of present study demonstrated that nursing staffs have a high risk for burnout; All the variables showed that the total variation of the staff turnover intension was 12.3%, and the variances of the Interpretation of work shifts, work stress, and burnout (depersonalization) were 5%, 2.3%, and 5, respectively.
Conclusion: This study found that work stress can lead to job burnout of nursing staff. Work shifts, work stress and burnout had important association with turnover intention. In view of the impact on burnout, there is value in considering how to understanding and management the work shifts, work stress and burnout are crucial for preventing turnover intention.
Title: Color doppler in fetal hypoxia: An aid in diagnosing, managing and timely termination
Biography:
Kuldeep Singh has been practicing ultrasound for over 18 years in South Delhi, India. He is known for his ultrasound skills in Anomaly Scanning, Color Doppler Scanning and High risk pregnancy evaluation. He has more than 150 lectures in various national and international conferences. He has more than 100 articles and chapters to his credit and has authored 16 books on Ultrasound in Obstetrics, Gynecology and Infertility. His books have been translated into Spanish, Chinese and Portugese. The IMAGING SCIENCE AWARD was honored to him at the AICOG 2008. He has been appointed as associate director of Ian-Donald Inter University School of Medical ultrasound.
Abstract:
The uteroplacental and fetoplacental circulations can be assessed by color Doppler a non-invasive method for understanding and studying fetal circulations. The uterine artery flow tells us the status of the uteroplacental circuit. The umbilical artery, middle cerebral artery, descending aorta, ductus venosus and umbilical vein study tells us the fetal adaptation to any hypoxic insult. With impaired placentation causing changes in the uterine artery one needs to be carefully surveying the fetal circulation for any adaptive changes. With hypoxic insult the blood flows preferentially to vital organs like the brain, heart and adrenals with compensatory shunting from the non-vital organs the abdominal viscera and lower limbs. The three ratio Systolic/Diastolic ratio, Pulsatility Index and Resistive Index are markers of resistance and thus are reflecting impedance values which are inversely proportional to the amount of blood flow in the respective vessel or organ. So brain sparing causes a high PI and brain edema would finally cause a rise in the Middle cerebral artery PI.
This tool finally helps us to fine tune the administration of steroids in a premature fetus and timely termination of pregnancy to reduce the stay of the neonate in the ICU and reduce neonatal morbidity and mortality.
Title: Transition experiences of nursing students clinical initial practice
Biography:
Apa Wangsukpisan is an assistant professor of nursing in Burapha University, Chonburi, Thailand.
Abstract:
This research objective was to describe the core essence of transition experiences of nursing students’ clinical initial practice in hospitals. Transcendental phenomenology was used in this study. Research informants were 14 students studying the first nursing practicum subject for more than 5 days or 40 hours. Data were collected by in-depth interview and purposive sampling was used in this study. Colaizzi procedural steps were guided for analysis.
The results showed that lived experiences of nursing students during their initial professional practices in hospitals including:
1) Before practicing professional experiences
2) Endeavour to live a smooth live during practice
3) Learning from practice experiences on the ward and
4) Opening the door to the world of nursing.
Suggestions from this study for clinical teacher, including promoting student engagement by teaching systematically and holistically for prepare themselves before practicum, promoting higher-order thinking with the link to the knowledge gained from the class while practicing in clinic, and increasing process- and application-driven.
Oral Session 2:
- Surgical Nursing | Men in Nursing
