23^rd World Nursing Education Conference September 13-14, 2021 Tokyo, Japan

Biography:

Mrs. Rudina Pirushi is a Lecturer in Nursing, since 2004 at the University of Medicine, Tirana. In 2016 she won her Doctorate in Nursing Sciences, Tirana, Albania. She has published various articles in the field of nursing care.

Abstract:

This is a prospective study with the purpose of presenting strategies to reduce the risk of Nosocomial infections in pediatric intensive care at Universitary Hospital Center "Mother Teresa", Tirana,  during the period October 2019 - March 2020.

 The study included 280 patients ( 0-14 years old ) hospitalized in Pediatric Intensive Care, and were monitored every day from the moment of admission to the exit.     

During the period October 2019 - March 2020, 10 (3%) patients out of 280 (97%) children admitted to the Pediatric Intensive Care, resulted with nosocomial respiratory tract infection. Pseudomonas aeruginosa in 40% of cases is the most common cause of nosocomial infections in Intensive Care Pediatrics. The average hospital stay for patients without nosocomial respiratory tract infection was 3.6 days, while those with nosocomial respiratory tract infection was 18.8 days ( p < 0.01 ), regarding to nosocomial urinary tract infections, 13 (4.6%)  patients out of 280 (95.4%) patients resulted positive. Escherichia Coli in 38% of cases is the most common cause of nosocomial infections in Intensive Care Pediatrics. Comparison of average of urinary catheters duration in patients with urinary tract infection 3.1 days and them without urinary tract infection 1.5 days ( p < 0.01 ).

Biography:

Mrs.  Denisa Veseli(BEGO) Is a Lecturer in Nursing, since 2004 at the University of Medicine, Tirana. In 2016 she won her Doctorate in Nursing Sciences, Tirana, Albania. She has published various articles in the field of nursing care.

Abstract:

One of the main focuses of this strategy is that on children, as the most vulnerable group to environmental pollution, while the strategy relies on five key elements. For this reason, four priorities of health effects on children have been specified

Our study included only 100 children, out of 500 cases hospitalized in the pediatric ward , Octobre 2019_ February 2020. Environmental pollution in the capital is the cause that 57% of children living in Tirana suffer from respiratory infections. According to the study, 26% of children suffer from upper and lower respiratory tract infections, while about 11% of children have difficulty breathing, and about 20% of them are affected by these allergies. The data obtained were: age of the child, hospitalization diagnosis, oxygen saturation SatO2, the need for mechanical ventilation, days spent in mechanical ventilation, etc.

Biography:

Mrs.  Denisa Veseli(BEGO) Is a Lecturer in Nursing, since 2004 at the University of Medicine, Tirana. In 2016 she won her Doctorate in Nursing Sciences, Tirana, Albania. She has published various articles in the field of nursing care.

Abstract:

One of the main focuses of this strategy is that on children, as the most vulnerable group to environmental pollution, while the strategy relies on five key elements. For this reason, four priorities of health effects on children have been specified

Our study included only 100 children, out of 500 cases hospitalized in the pediatric ward , Octobre 2019_ February 2020. Environmental pollution in the capital is the cause that 57% of children living in Tirana suffer from respiratory infections. According to the study, 26% of children suffer from upper and lower respiratory tract infections, while about 11% of children have difficulty breathing, and about 20% of them are affected by these allergies. The data obtained were: age of the child, hospitalization diagnosis, oxygen saturation SatO2, the need for mechanical ventilation, days spent in mechanical ventilation, etc.

Biography:

Mrs. Zamira Imeraj has completed her doctorate at the Medical University of Tirana,Albania with the topic "Pain management for cancer patients and the role of nursing staff". Lecturer at the Faculty of Nursing at the University of Medicine subject Nursing in Oncology, Surgery and Nursing in Geriatrics. Author in cycles of nursing lectures. She has published papers in various medical and nursing journals.

Abstract:

Postoperative pain management is an ongoing challenge in oncology care and nursing staff play a key role in this process. Postoperative pain is a complex phenomenon involving physical, psychological, social, cultural and environmental factors that interrelate and affect that how pain is perceived, managed and evaluated. The purpose of this study is to recognize the pain experience in oncology patients undergoing surgery and to evaluate the role that nursing staff has in relieving and managing postoperative pain for these patients.

The method used during this study was realized through questionnaires completed anonymously by cancer patients in the postoperative period at the oncology hospital. The questionnaire contains data of patients who underwent oncology surgeries including gender, age, surgery performed and pain management results provided by the nursing staff. The study included data from 141 patients with various cancers who underwent surgery at the oncology hospital. 95 patients were female and 46 male.

The results showed that nurses 'assessments of pain management were modest, but significantly correlated with their patients' pain. We also lack in preparing patients for pain explanation in this period. These results suggest that health care in oncology and nursing staff should include measurable and applicable quality indicators. It should be planned and evaluated to maintain professional nursing services to achieve postoperative pain management and relieve pain

Biography:

I have completed my MSc in pediatrics and child health nursing  from Mekelle University. I am a researcher  and lecturer in pediatrics nursing department in Debre Berhan university in Ethiopia. I have published more than 30 papers in  peer reviewed and  highly reputed journals.I have served as reearch expert in Debre Berhan university & I have experience as researcher reviewer for international journal like BMC journals,Hindawi journals, ploseone journal, dove medical journals and et.c.

Abstract:

Introduction: Poisoning is a major health problem worldwide, and it causes significant morbidity and mortality. It is estimated that 350,000 people died worldwide from unintentional poisoning. The purpose of this study is to assess nurses’ knowledge and practice on the initial management of acute poisoning among nurses in Dessie referral hospital, Amhara region, Ethiopia.

 Methods: Hospital based cross sectional study was conducted from January 2018 to June 2018. Simple Random sampling technique was used to select the samples. Data was collected by using self-administered structured questioners. Data were cleansed, checked for completeness and entered into SPSS version 20 for analyses. Statistical measures of Central tendency, T-test and ANOVA were used in determining the association between independent and dependent variables.

 Results: Based on the given 13 items to assess the general knowledge of nurses on poisoning, the score ranges from 2 to 9 with the range of 7 with the mean score of 7.48(SD-0. 0.839) for the entire respondents that was 57.5% for the given items that was less than 75% which was unsatisfactory level of knowledge. The mean score of general knowledge on poisoning was high among nurses who had training on initial management of poisoning than those nurses who had not the training. Conclusion and recommendation: All Dessie referral nurses that participated in this study had unsatisfactory general knowledge on poisoning, knowledge on initial management of acute poisoning and self-reported practice. The major implication of these study findings on the health system is the importance of ensuring support to nurses’ health care services for early detection and management of poisoning.

Biography:

Mrs. Rudina Pirushi is a Lecturer in Nursing, since 2004 at the University of Medicine, Tirana. In 2016 she won her Doctorate in Nursing Sciences, Tirana, Albania. She has published various articles in the field of nursing care.

Abstract:

PURPOSE: This is a prospective study with the purpose of presenting strategies to reduce the risk of Nosocomial infections in pediatric intensive care at Universitary Hospital Center "Mother Teresa", Tirana,  during the period October 2019 - March 2020.

METHOD: The study included 280 patients ( 0-14 years old ) hospitalized in Pediatric Intensive Care, and were monitored every day from the moment of admission to the exit.     

RESULTS: During the period October 2019 - March 2020, 10 (3%) patients out of 280 (97%) children admitted to the Pediatric Intensive Care, resulted with nosocomial respiratory tract infection. Pseudomonas aeruginosa in 40% of cases is the most common cause of nosocomial infections in Intensive Care Pediatrics. The average hospital stay for patients without nosocomial respiratory tract infection was 3.6 days, while those with nosocomial respiratory tract infection was 18.8 days ( p < 0.01 ), regarding to nosocomial urinary tract infections, 13 (4.6%)  patients out of 280 (95.4%) patients resulted positive. Escherichia Coli in 38% of cases is the most common cause of nosocomial infections in Intensive Care Pediatrics. Comparison of average of urinary catheters duration in patients with urinary tract infection 3.1 days and them without urinary tract infection 1.5 days ( p < 0.01 ).

CONCLUSIONS: Nursing staff play an important role in the dynamic tracking of hospitalized children in intensive pediatric care. Washing hands with bactericidal solutions, using aseptic techniques during patient manipulation, continuous bacteriological control of the environment, etc., are the nurse's strategies for preventing infections in pediatric intensive care units.

Biography:

Mrs. Zamira Imeraj has completed her doctorate at the Medical University of Tirana,Albania with the topic "Pain management for cancer patients and the role of nursing staff". Lecturer at the Faculty of Nursing at the University of Medicine subject Nursing in Oncology, Surgery and Nursing in Geriatrics. Author in cycles of nursing lectures. She has published papers in various medical and nursing journals.

Abstract:

Purpose: Postoperative pain management is an ongoing challenge in oncology care and nursing staff play a key role in this process. Postoperative pain is a complex phenomenon involving physical, psychological, social, cultural and environmental factors that interrelate and affect that how pain is perceived, managed and evaluated. The purpose of this study is to recognize the pain experience in oncology patients undergoing surgery and to evaluate the role that nursing staff has in relieving and managing postoperative pain for these patients.

Method: The method used during this study was realized through questionnaires completed anonymously by cancer patients in the postoperative period at the oncology hospital. The questionnaire contains data of patients who underwent oncology surgeries including gender, age, surgery performed and pain management results provided by the nursing staff. The study included data from 141 patients with various cancers who underwent surgery at the oncology hospital. 95 patients were female and 46 male.

Results:The results showed that nurses 'assessments of pain management were modest, but significantly correlated with their patients' pain. We also lack in preparing patients for pain explanation in this period. These results suggest that health care in oncology and nursing staff should include measurable and applicable quality indicators. It should be planned and evaluated to maintain professional nursing services to achieve postoperative pain management and relieve pain.

Conclusions:Nurses spend more time with patients than any other member of the health care team they play a critical, active and very important role in controlling the pain of cancer patients and relieving suffering. The role of nursing staff includes patient trust, pain assessment, problem root identification, care planning, medication administration, effectiveness assessment, ensuring good pain control, and individual treatment. Provide ongoing professional education for nursing staff including postoperative pain management with important specifics of assessment, treatment and documentation. Prepare guidelines and protocols for pain care for postoperative patients including pre-operative patient information.

Biography:

Mrs.  Denisa Veseli(BEGO) Is a Lecturer in Nursing, since 2004 at the University of Medicine, Tirana. In 2016 she won her Doctorate in Nursing Sciences, Tirana, Albania. She has published various articles in the field of nursing care.

Abstract:

Purpose .One of the main focuses of this strategy is that on children, as the most vulnerable group to environmental pollution, while the strategy relies on five key elements. For this reason, four priorities of health effects on children have been specified

Methods.

Our study included only 100 children, out of 500 cases hospitalized in the pediatric ward , Octobre 2019_ February 2020. Environmental pollution in the capital is the cause that 57% of children living in Tirana suffer from respiratory infections. According to the study, 26% of children suffer from upper and lower respiratory tract infections, while about 11% of children have difficulty breathing, and about 20% of them are affected by these allergies. The data obtained were: age of the child, hospitalization diagnosis, oxygen saturation SatO2, the need for mechanical ventilation, days spent in mechanical ventilation, etc.

Results ..

We divided the children into age groups to see if there was a connection between the diagnosis and the other components. Birthplace and place of residence of children separated in town / village. Environmental pollution in the capital is the cause that 57% of children living in Tirana suffer from respiratory infections. The impact of humidity on the recommended norms, increases the possibility of developing respiratory diseases.

Conclusions .

So we will come to such conclusions, as to live in a clean environment and not overcrowded, with high hygiene and without humidity, it is also important..

Biography:

Deborah L. Threats has complete a MDIV in 1998 from Howard Universiy and BSN in 1981from Catholic University of America.  She is currently a clincial nurse at Georgetown University. She has had 4 poster presentation and oral presentation. She had several poster presentation and twice nationally at the ASPAN conference.  She has done domestic and international nursing. She was a Major in the US Army retired now. She has over 40 years of nursing from being Hospital administator, manager, ICU nursing to med-surg mursing. She has  written  an article on How a unit manage disruptive behavoir. This is her passion to see nursing/people work in harmony with each other.

Abstract:

Disruptive behavior has and will continue to be and issue in nursing until it is it is made aware of and the staff  is educated on the behavavior. Disruptive behavior has plague the nursing area for years to the point that nursing students are learning about a healthy work place enviorment.  Nursing has had several article on the subject but the issue continue to be prevaent within the work enviroment. The Unit that I currently work on has tactle the issue with surveys and frank conversation on the matter.  The issue continues because nurses continue to have fear of retaliation and no management surpport.  To have a decrease and/or irraticate this issue it  has to address.  This was handle with the use of sacred word, sacred person, when all else failed the mediation took place.  The units disruptive behavior has deminish and management has less to no consuling on behavior.  I have develop a guideline for the unit for assuring that this will be a way of decreasing and elemenating disruptive behavoir. 

Biography:

Iwona Bodys-Cupak, PhD RN, Jagiellonian University Medial College, Faculty of Health Sciences, Institute of Nursing and Midwifery.

Abstract:

Clinical education is a crucial in medical professions. The general purpose of education is to ensure that students acquire the knowledge and professional skills for their future career.

The purpose of this study was: verification of stressors during clinical classes, defining the factors that determine the reasons for not coping with difficult situations during clinical classes.

The study involved the nursing students of the first, second, and third year of the first-degree programme at the Faculty of Health Sciences of the Jagiellonian University Medical College. The research was conducted in the 2018/2019 academic year among 307 students.

The research tools used during the study were as follows: the Generalized Self-Efficiency Scale and the original questionnaire developed by the author.

Among the difficulties faced by the students during clinical classes named were the ones:

- related to contact with the patient and their family,

- related to the performance of care treatments,

- related to the performance of diagnostic and therapeutic procedures.

The most common reason for not being able to cope with difficult situations was (N = 167, i.e.

54.4%) the lack of experience. Every third student (N = 103, i.e. 33.6%) indicated insufficiently

trained procedure skills, and every fifth (N = 66, i.e. 21.5%) mentioned insufficient knowledge.

More than half of the students (N = 179, i.e. 58.3%) had a high sense of self-efficacy.

The higher the year  of studies, the more often the mentioned reasons for not coping were insufficient knowledge (p = 0.0020) and excessive workload during classes (p = 0.0461), and less frequently mentioned was lack of experience (p = 0.0001). Lack of patience in contact with the patient was a less frequent reason for not coping for people with higher self-efficacy.

Further research should focus on developing culturally adapted intervention programs that could improve the self-efficacy of nursing students. 

Biography:

Ayele Semachew Kasa is an Assistant Professor conducting teaching, research and community services at Bahir Dar University, Ethiopia. He holds M.Sc. degree in Adult Health Nursing from Jimma University in 2014. Currently, he is attending his PhD in nursing at the University of Wollongong, Australia. He has more than 8 years of work experience both in clinical and higher education. He believes that working at a higher learning institutions will have its own paramount importance in drafting young, motivated and visionary change makers that would lead our future. He is participating in different leadership positions at healthcare facilities and at higher education institution. To date, he provided more than fifteen community/voluntary services and published different original research articles in a reputable international journals. He received grants from higher education institution to carry out a research work. He also received different international professional and leadership trainings.

Abstract:

Background: Nurses in Africa are arguably the most important frontline healthcare workers available in most healthcare facilities, performing a broad range of tasks. This situation is considerably important in the causation of workload. Nursing is listed among the highly risky professions for developing low back pain. The nursing profession is ranked within the top ten professions which have a great risk of low back pain.

Objective: The aim was to ascertain whether low back pain is a significant concern for nurses in African healthcare facilities.

Methods: A comprehensive literature search of different databases with no date limit was conducted from September to November 2018 using the PRISMA guideline. The quality of the included studies was assessed using a 12-item rating system.  Subgroup and sensitivity analyses were performed. Cochran's Q and the I² test were used to assess heterogeneity. The presence of publication bias was evaluated by using Egger's test and visual inspection of the symmetry in funnel plots.

Result: During the period 2000–2018, nineteen studies with a total sample size of 6110 from eleven African countries were included. Among these, the lowest and the highest prevalence were found to be 44.1% and 82.7% respectively. The estimation of the prevalence rate of low back pain among nurses using the random-effects model was found to be 64.07% (95% CI: 58.68–69.46; P-value < 0.0001). Heterogeneity of the reviewed studies was I² = 94.2% and heterogeneity Chi-squared = 310.06 (d.f = 18), P-value < 0.0001. The subgroup analyses showed that the highest prevalence of LBP among nurses was from West African region with prevalence rates of 68.46% (95% CI: 54.94– 81.97; P-value <0.0001) and followed by North Africa region with prevalence rate of 67.95% (95% CI: 55.96–79.94; P-value <0.0001).

Conclusion: Even though the overall prevalence of the present study is lower when compared to the Western and Asian studies, it indicated that the prevalence of low back pain among nurses is substantial.

Biography:

Hulya Kocyigit is currently working as Research Assistant at the Universty of Sivas Cumhuriyet, Turkey. She graduated from the Department of Nursing, Faculty of Health Sciences at the Universty of Sivas Cumhuriyet in 2015. She graduated a Master’s degree in from the Department of Fundamentals of Nursing at the Universty of Sivas Cumhuriyet in 2018. She has currently been a PhD student in the Department of Nursing at the Universty of Sivas Cumhuriyet since 2019.

Abstract:

PDCA (plan-do-see-check-act) management is a quality management model that originated in the 1920s. Walter A. Shewhart proposed the concept of “plan-do-see” (PDS). then W. Edwards Deming, an American quality management expert further developed the “plan-do-see-check-act”(PDCA) cycle. The PDCA cycle, also known as the Daiming cycle and “quality loop”, is a repetitive four-stage model for continuous improvement in quality management. In this management process: plan, do, check, action, and the cycle goes on and on. The “plan-do-see-check-act”(PDCA) cycle, is an effective way to solve problems and implement solutions. The sequence is set out as (I) Plan stages: find, describe, and dissect problems; (II) Do stages: study and discuss effective countermeasures; (III) Check stages: test the specific implementation effect of protocols and analyze whether there are methods and measures for improvement; The third step “check” is the key element for successful teaching in this method.(IV) Act stages: specifically apply the scheme to clinical practice.

Traditional routine care has been unable to meet the needs of current diagnosis and treatment service management and the PDCA cycle management method has been used widely as an important approach to improve the quality of care in clinical practice. When the students are practising, they learn from their own mistakes by self-verification and through assistance. After implementation of PDCA management mode, it can make the nursing care procedure more standardized, effectively avoid nursing care risks, beneficial to reduce the risk of nosocomial infection, enhance the awareness of infection control, change the patients’ bad behaviors, reduce postoperative infection, accelerate the patients’ recovery, and improve the patient’s activities of daily life. Therefore, PDCA management mode has a high clinical promotion value. Also applying the PDCA cycle management method as a nursing model improves patients’ perceptions of the quality of nursing services. In recent years, some studies have proposed applying the Plan-Do-Check-Act (PDCA) cycle management in nursing education and various types nursing practice. Ä°n conclusion, it should be adopt the PDCA cycle to identify the problems, propose reasonable and effective suggestions, and implement continuous improvement, so as to improve nursing education and ensure the quality and effectiveness of the nursing care.

Biography:

Balbinder Singh has completed his PhD from Guru Nanak Dev University. He had been working as Clinical Psychologist for almost five years in Bhatia Neuropsychiatric Hospital and Deaddiction Centre. Further, he has experience of teaching Clinical Psychology, Rehabilitation Psychology and Research Methodology in Psychology, in Banasthali Vidyapith, for more than six years. At present he is working as an Assistant Professor in the Department of Psychology, Guru Nanak Dev University, Amritsar, India. He has published two Psychological tests and has authored one book titled as “Rehabilitation Psychology”. Further, he has published five research papers in national as well as international journals.

Abstract:

Arjuna reports to the Lord Krishna about the weakness of his limbs, dryness of mouth, shivering of the body, goose flesh, Gandivam (Bow, weapon) slipping from the hand, a burning sensation in the skin, trembling lower limbs -unable to stand, dizziness and a confused state of Mind, and even talks about dying. The whole discourse of Bhagavat Gita is counselling process (to my consideration). It is stated that during the commentary of Bhagavat Gita the time stopped, and because the event took place in the battle field where thousands of people were there, but no one could hear the conversation between Lord Krishana and Arjuna. This is (as per me) correlated with contemporary concept of confidentiality and privacy in counselling. Another concept of contemporary counselling involved is surrender and trust where in Arjuna says to Lord Krishana that I have become your disciple and surrender to you for help and guidance. This concept is an insight from the Great Epic – Mahabharta where in Arjuna, the great warrior, faces the situational crises and asks Lord Krishna, great master, philosopher, highly respected person with lot of skills.