Day 1 :
Keynote Forum
Reem Magadmi
MSN, RN, FISQua
Keynote: Human Factor future of patient safety culture
Time : 11:00-11:30
Biography:
Director of Nursing Services since 2015 up to present and has more than 14 years of experience with Saudi MOH from 2001 till 2015.Established as a bedside nurse and developed her career to be director of nursing service of Dammam Medical Complex with bed capacity 525 and 1400 nurses 2006-2015. Serve as team member National Accreditation body on Saudi Arabia. Graduated from Royal Collage for Surgeon Ireland RCSI with MS in Healthcare Management 2012. She is a Certified CBAHI Nursing Surveyor and Pioneer National surveyor in Saudi Arabia 2007-present. Attended Postgraduate program leadership for change”, this program sponsored by both Saudi MOH and International Council of Nursing ICN. She serves as speaker and regional organizer for this program from 2008 up to 2011. She was certified by Canadian
Abstract:
Understanding the science of safety and the core principles of high reliability are first steps in creating a true culture of safety wherein human factor can contribute in the improvement in healthcare delivery. In the world of healthcare, very little training in human factors is provided to staff, unlike the other safety-critical industries. Human factors research examines the environmental, organizational and job factor of human interacting with the system as well as physiological and psychological characteristics that influence behavior at work. Principle of safety science is a commitment to zero harm. Understanding and implementing the best practices can build high reliability organizations a roadmap to achieve exemplary clinical outcome. Topics highlighting several key safety principles including Just Culture, Professional bodies in healthcare organization, a range of human factors such as managerial, team and individual characteristics that influence the behavior of healthcare staff in relation to safe patient care and framework to demonstrate the role of human factors in patient safety and are known to reduce patient harm and improve the safety and quality of patient care. Best practices performed consistently over time have demonstrated superlative outcomes. Developing a model which demonstrated consistent application of leader rounding; hourly purposeful rounding and bedside shift report can influence how patient safety can be possibly achieved. A commitment to zero harm and application of best clinical and safety practices are critical steps in developing a culture of safety in healthcare organizations contributed significantly in reduction of patient harm a compelling reason for nurses in all healthcare settings to embrace safety science and the principles of high reliability.
- Advance Practice Registered Nurse (APRN)
Location: Toronto, Canada
Session Introduction
Pan Shucheng
B.Sc, Nanchang University. China.
Title: Research on model of risk prediction about venous thromboembolism (VTE) after surgery
Time : 11:30-12:00
Biography:
Pan Shucheng has completed her bachelor of science in nursing at the age of 23 years from Nanchang University and now is continuing direct-PhD study in Zhejiang University School of Medicine since 2018. She has already completed the required credits with high scores. She often takes part in different academic lectures varying from medicine to arts. Her recent research interests focus on risk prediction model about VTE after surgery. She registered this conference for communication and inspiration.
Abstract:
Venous thromboembolism (VTE), encompassing deep venous thrombosis (DVT) and pulmonary embolism (PE), is recognized as one of the most serious complications of surgery, and also an important factor in medical disputes in China. Risk prediction on VTE in surgical patients is a complex process that should be individualized to each patient and involves consideration of both patient- and procedure-related factors. A system that is commonly used and has been externally validated is the Caprini model. The author, Caprini, compiled a list of most known risk factors for VTE (risk factors including age, different surgical procedures and time, amount of blood transfusions, impairment of venous flow, personal or familial history of VTE and hormonal pretreatment and so on) and then assigned a weighted score to each factor, as an estimation of probability for that factor's being associated with the formation of VTE. Recently, many practical and exquisite diagnostic methods have been developed, such as ultrasound technology, computerized axial tomography (CT) scans, MRI, computer-aided diagnosis (CAD), radiomics, and medical image analysis. My research focuses on establishing a risk prediction model about VTE after surgery combining clinical evaluation with modern diagnostic tests. The established models will provide a research tool for clinical prediction of VTE in high-risk groups, and provide reference research results for later large-scale targeted interventions.
ZHANG xing-xia
postgraduate student of West China School of Nursing, Sichuan University
Title: Research review of preoperative nutritional support in elective surgery patients with gastrointestinal cancer
Time : 12:00-12:30
Biography:
ZHANG xing-xia (1996~), female, nurse, postgraduate student of West China School of Nursing, Sichuan University, Chengdu, Sichuan , China,mainly engaged in clinical nursing research.
Abstract:
The incidence of malnutrition in patients with gastrointestinal (GI) cancer is high, preoperative nutritional support can effectively improve the clinical outcomes. However, due to various factors, preoperative nutritional support has not been widely used in clinic. So we systematically searched the evidences of preoperative nutritional support in GI cancer and reviewed the evaluation of malnutrition in patients with GI tumors, indications, approaches, duration, types and dosage of nutritional supplements for preoperative nutritional support, and there are some doubts were identified.As for nutrition evaluation, there are many tools used in the clinical, however, no one can systematically evaluate the patient′s nutrition status. A new tool which combined laboratory with anthropometric and subjective evaluations is necessary to be created and the body composition must be emphasized. And there are just a few surgeons can implemented nutrition screen routinely. As for well-nourished patients, there was just a few paper investigate it and the effects of nutritional support were inconsistent, so, weather the well-nourished patients would be given preoperative nutritional support need further study. As for the ways of nutritional support, the consensus has been reached that the enteral nutrition (EN) is superior to praenteral nutrition (PN) for surgery patient, however, the effects of EN combined with PN for gastrointestinal cancer patient in unclear. Another key confusion is how to chose the volume and type of nutritional formula, there are limited numbers of prospective, randomized trials supporting the concept that formula choice yields a significant benefit and many studies did not reported the information about the volume and type of nutritional formula. All of these questions render the popularization of preoperative nutritional support in GI cancer patient. So, a guideline for GI cancer patient to direct the use of preoperative nutritional support is needed.
Nirmala M. Emmanuel
MSc Nursing, Christian Medical College (CMC), Vellore affiliated to Tamilnadu.
Title: Sleep Quality, Physical, and Psychological Outcomes in Nurses With Low Back Pain from a Tertiary Hospital, South India
Time : 12:30-1:00
Biography:
Nirmala M. Emmanuel has completed her MSc Nursing at the age of 30 years from Christian Medical College (CMC), Vellore affiliated to Tamilnadu Dr. MGR Medical University. She is working as a Nurse Manager in the Surgical Nursing department of CMC, which is a multispeciality hospital with nearly 2500 beds. She also serves as a Professor at the College of Nursing, CMC, Vellore as Nursing is an integrated system of education and practice in the institution. She has published more than 10 papers in reputed journals and has National and International presentations for her credit.
Abstract:
Low back pain (LBP) affects 80% of the population globally. In India, prevalence of LBP among nurses is reported to be 66%. A descriptive cross-sectional study design was adopted to assess the sleep quality of nurses with low back pain in a tertiary care setting, South India and to determine the relationship of sleep quality with the physical and psychological parameters such as pain intensity, functional disability, anxiety, and depression. All the nurses willing to participate in the study, and available during the data collection period were screened for LBP. Among the nurses with LBP, 193 subjects were selected using systematic random sampling technique. Study was approved by the Institutional Review Board and informed written consent was obtained from the subjects. Subjects were asked to complete the following questionnaires: Pittsburgh Sleep Quality Index (PSQI), Short-form McGill Pain Questionnaire (SFMP), Oswestry Low Back Pain Disability Questionnaire (ODI), Zung Self-rating Anxiety (ZSA) and Depression (ZSD) scales. Among 1284 nurses screened, 686 (53.4%) had LBP. Of the 193 nurses included in the study 68.4% of the nurses had good quality of sleep. Majority of the subjects had minimal disability (68.4%), moderate pain (81.3%), and normal anxiety (56.3%) and depression (91.7%) levels. There was a significant positive correlation between sleep quality and pain intensity (r=.355, p<.01), disability (r=.376, p<.01), anxiety (r=.297, p<.01), and depression (r=.233, p<.001). Improving sleep quality will decrease the physical and psychological manifestations of patients with low back pain and hence improve the quality of life of nurses with LBP.
Heather R. Raley
BSN, RN, DNP-S, University of Louisville School of Nursing, KY 40202, USA
Title: Optimizing Healthy Gestational Weight Gain in Prenatal Patients
Time : 1:00-1:30
Biography:
Heather R. Raley, BSN, RN, DNP-S has completed her BSN at Murray State University and is currently in her final year of her DNP studies at the Unifersity of Louisville. She is a Registered Nurse at Norton CHildren’s Hospital, Kentucky’s only full-service, free-standing pediatric care facility dedicated exclusively to caring for children. She also serves as a leadership council member for the AACN Graduate Nursing Student Academy, with additional roles as a liaison coordinator for the organization, and policy advocacy leader for the nursing profession.
Abstract:
The aim of this review is to assess current quantitative and qualitative research concerning provider knowledge and communication of the 2009 IOM guidelines, as well as the use of patient educational and lifestyle interventions to support optimal gestational weight gain (GWG) management. Quantitative and qualitative studies published between January 2005 and September 2017 were searched from the electronic databases of MEDLINE (EBSCO), CINAHL, TRIP, PubMed, and the National Guideline Clearinghouse. An extensive collection of search keywords and a detailed search strategy were utilized. The phenomena of interest were then identified, categorized, and synthesized from the included studies and clinical practice guidelines. From a combined total of 454 of potentially relevant published articles, 52 full-text articles were assessed for eligibility. Ultimately, 14 studies, one expert opinion, and one clinical practice guideline met the inclusion criteria. Twelve quantitative and two qualitative studies were included in the review. Findings included an identified need for practice change to increase education delivered by clinicians regarding gestational weight gain (GWG) to promote appropriate management in prenatal patients. Prenatal healthcare clinicians are recommended to provide accurate, timely, and complete patient education regarding physical activity options and nutritional advice in an effort to achieve optimal GWG according to the 2009 IOM guidelines among patients in the prenatal setting. Healthcare clinicians should focus on traditional approaches such as clinician counseling to address emotional, cognitive, and situational barriers in prenatal women who are not meeting acceptable GWG increments or trimester-specific cutoffs. The use of evidence-based tools guided by the IOM recommendations can assist clinicians in the assessment of pregnant women and streamline counseling provided to optimize healthy GWG.