Day 2 :
Ross University School of Medicine, USA
Time : 10:00 AM
Dr. Amer Alata is currently working as the Medical Director at Via Medica International Healthcare. Dr. Alata received his MD from Ross University School of Medicine. Dr. Alata completed his Bachelor degree from the University of Michigan – Dearborn, in the USA with a major in Psychology and a minor in Philosophy. He then managed a chain of Urgent Care clinics in different cities in Michigan, USA. He dedicated over 4 years to education working at Detroit Business Institute in Downriver, Michigan as both an instructor and the Medical Programs Director. Dr. Alata moved to the UAE early 2015 and is now working as the Medical Director for Via Medica International Healthcare, managing different sectors of healthcare, providing patient education, and ensuring high quality delivery of healthcare. He is a member of the American Heart Association and American Stroke Association, as well as the Council on Cardiopulmonary, Critical Care, Perioperative and Resuscitation.
Nurses are the medium through which we carry out healthcare services. Their education is a continuous process, not simply because of the regulations of the health authorities, but for better patient outcomes. As such, it is imperative for nursing educators and managers to have customized in-service programs for their nursing staff.
A sample, generic, in-service program must include the latest in the field of nursing education and procedures. Furthermore, it is proposed that each in-service program include the following educational material:
- Assisting patients with heart disease
- Basic nutrition – particularly for obese and diabetic patients
- Behavior management
- Skin Care – for patients who are bed-bound
- Depression and anxiety
- Diabetes – as the UAE has the highest rates of DM-2, per the World Health Organization.
- Dementia care
- Elder abuse and neglect
- End of life care
- Infection control
- Lifting and transferring
- ü Mental illness
- Proper Oxygen therapy
- Psychosocial care
- Understanding pain
- Cultural diversity
Those proposed in-service programs are applicable to the nursing field. They ought to be conducted on annual basis and Certificates of Completion must be issued. These programs can be done as an adjunct to the required CME for maintaining the license, or they maybe CME certified in-service courses.
- Paeditric Nursing
University of Santo Tomas, Philippines
Clarisse Jamiel Geronimo has completed her Bachelors Degree in Nursing at the age of 20 years from University of Santo Tomas. She is currently preparing for the upcoming Philippine Nursing Licensure Exam this November 2016. This is the first research paper she conducted for her bachelors research study together with her co-researchers from the same university. She is known for one of the pioneers of establishing a new political party inside the College of Nursing. She serves as the chairperson of Lakas ng Diwang Tomasino – Nursing Unit. She is also a member of Tomasian Cable and Television, a university wide organization and she serves as a talent, a senior jock in the UST Tiger Radio.
AIMS: Today’s society standardizes how an adolescent should look like. One of the traits of an ideal adolescent should be maintaining a normal body weight. Adolescents strive to be in line with the standards of the society. The aim of this study is to know and understand the lived experiences of the various adolescents who fall under the category of being overweight. It intends to find out on how their weight affects different aspects of their personal and social relationships.
METHODS: Participants were selected through the use of purposive sampling method. A semi-structured interview questions were formulated by the researchers with the grand question, “What is life like for an overweight adolescent?”The set of questions formulated were validated by the qualitative expert and translated by a language expert. With the six Filipino overweight female adolescents living in Metro Manila that have a BMI from the 85th to 95th percentile or a BMI of 25-29.9 was interviewed by the researchers. The participants are aged from fourteen to sixteen years old and an informed consent and assent was secured to the participants and to their respective guardian. The Colaizzi’s method was used to analyze and interpret the gathered data from the participants.
RESULTS: The following themes emerged from the study: Awareness and Acceptance. Awareness is defined as how the female overweight adolescent have or shows realization, perception or knowledge about something such as situation, condition or problem that exists in their life. Acceptance is defined as to how female overweight adolescents embrace their condition and experiences. An eidetic insight was presented as the representation of the Weightism Phenomenon.
CONCLUSION: Through the collective analysis of the verbalizations of the participants’, the female overweight adolescents are aware of their condition and how it affects them. The different experiences they underwent made them aware of how others perceived them.
- Clinical Nursing
University of Pedagogy in Health Sciences, Kosovo
Nurse Anesthetist at University Clinical Center of Prishtina,Kosovo, University of pedagogy in health sciences ,professional in the field of nursing, Master deegre at Management of health Prishtina,Kosovo Teaching assistant for Anesthesia and nursing care
Chitwan Medical College, Nepal
The quality of life (QOL) needs to be regularly assessed in hemodialysis patients. Hemodialysis patients suffer from average quality of life and survival. A descriptive research design was used, 96 respondents who had received haemodialysis treatment after completion of 1 month duration of hemodialysis in two different teaching hospital at Bharatpur Chitwan. Data was collected by using standard tool Short Form-36 version2 through face to face structure interview schedule. The objective of study is to find out the quality of life (QoL) of haemodialysis patients. Various test such as one sample t-test, ANOVA test, independent t-test, Kruskal-Wallis test and Mann-Whittney U test, Pearson's correlation was applied.
The findings showed that higher proportion of respondents were from 40-59 years (41.0%) and male (62.2%). The mean±SD was 57.45±16.25, 55.72±22.41 and 60.04±11.50 in overall QoL, physical and mental component summary respectively which was slightly above the average. All dimention and sub scale was satistically significant. Younger respondents had statistically significant with overall QoL (p<0.001) and physical component summary (p<0.001). Non diabetics had better in overall QoL (p=0.040) and physical component summary (p=0.033). Level of educational had also positive impact in overall QoL(p=0.010), physical (p=0.006) and mental component summary (p<0.001). Employment status (p=0.020) and sex (p=0.037) was also statistically significant with mental component summary. There was correlation between physical and mental component summary with overall QoL 0.970(p<0.001) and 0.698(p<0.001), and between the physical and mental component summary was 0.502(p<0.001). Below average score were seen in the general health (32.86±25.74) and vitality (41.53±13.98) sub scale. In order to improve quality of life family, physician, nurses and policy makers can use this finding.
- Critical care and Emergency Nursing
American University of Beirut Medical Center, Lebanon
Houry is a hospitalist nurse practitioner who graduated and has been practicing since May of 2015, and has been both admitting and rounding on patients whose group census averages 150 patients daily. Prior to graduation, she worked in the Emergency Room as an Emergency Room technician starting in 2001, and as a Registered Nurse beginning in 2004. She attained both associates and baccalaureate degrees in nursing from the University of Arkansas – Fort Smith in 2004 and 2010, respectively.
Laboratory tests are essential to diagnosis and treatment in the emergency department, but they can result in prolonged waiting times for patients, multiple needle pricks, and complaints about pain and discomfort. The goal of this project is to assess if a change in the blood collection process will lead to any improvement and benefit in care delivered with regard to time, patient comfort, and cost.
A feasibility study was conducted to evaluate the change in practice from cost, time, and applicability perspectives. Using an observational approach, data were collected about the management of a possible change in practice in the emergency department at American University of Beirut Medical Center. Trials of 2 proposed changes to practice were conducted and compared with the current practice. The nurses were trained in the proper use of blood withdrawal using a Vacutainer Luer adaptor.
It was shown that intravenous line insertion and blood collection processes using the Vacutainer Luer adaptor were conducted in 46.2 seconds, which is less time spent than the current process but requires a small investment.
Implications for Practice:
Allowing registered nurses to withdraw blood with the start of a peripheral intravenous line will significantly reduce length of stay and costs and enhance patient experience in the emergency department at American University of Beirut Medical Center.
University of Colorado, USA
Julie McLaughlin and the authors make a great team from the University of Colorado Hospital. Top medical professionals, superior medicine and progressive change make University of Colorado Hospital in metro Denver one of the leading hospitals in the US. We are constantly looking for ways to make the treatment of patients more innovative, efficient, safer, and associated with cost-savings. The author team has many examples of making positive changes to our workflow after years of experience, forward thinking, and the need for innovation.
Delays in administration of appropriate antibiotics to patients with septic shock are associated with increased mortality. To improve the care of patients with sepsis within our 73 bed Emergency Department (ED), a “first-dose” intravenous push (IVP) cephalosporin antibiotic protocol was initiated. This project was aimed at improving the time from physician/NP order of antibiotic to administration which follows the Sepsis Core Measure of timely antibiotic administration.
This was a single center, retrospective analysis of a practice improvement study. Time from physician/NP order of an IV cephalosporin antibiotic to administration was compared between post-protocol dates of March - May 2016 (n=1146) and pre-protocol dates of November 2015 - January 2016 (n=1110). Prior to implementation of the IVP protocol, ED nursing staff completed a survey of administration preferences then received on-on-one instruction of the protocol from the Clinical Nurse Specialist and Clinical Nurse Educator, a tip sheet was developed, and IVP kits complete with all needed supplies were made available in the automated medication dispensing system. Supply cost was compared.
Median time from IV cephalosporin antibiotic order to administration significantly decreased by 8, 12, 14 and 13 minutes for ceftriaxone, ceftazidime, cefepime and cefazolin, respectively (p<0.007 for all). This was true for all indications of antibiotic use. Nursing staff favored IVP administration to traditional IV infusion (87%). Supply cost to administer IVP antibiotics was $0.83 compared to $9.53 for traditional IV infusion.