DUBAI

Mrs. Prabhjot Saini

Professor & Head, Medical Surgical Nursing dept.

DMCH College of Nursing

Dayanand Medical College& Hospital

Ludhiana, India

Abstract Title: IMPLEMENTATION OF COMMUNICATION CHART IN ICU’S: KNOWING THE NEEDS OF YOUR PATIENT

Communication is a significant concern for such patients who are not able to speak due to intubation. Nurs-es are in an ideal position to facilitate non-vocal patient’s abilities to communicate. Interpersonal relations between the patient and nurse are effected when reciprocal communication is not effectively utilized. So to bridge the communication gap, a study was taken up with an objective to develop a ‘Communication Chart’ for conscious patients on mechanical ventilator/ tracheosotomy in intensive care units. A methodological study was conducted in ICU’s of a tertiary care Hospital involving Delphi technique in 5 phases. In the first phase, ‘preliminary communication chart ‘was generated by extensive literature review and a survey in the intensive care units of a tertiary care hospital. 10 experts from the field of critical care were selected for val-idation of tool in the second phase. Final tool was formulated in the third phase. Pilot study was conducted on 10 patients who were on mechanical ventilator/ tracheosotomy in intensive care units and interrater reliability was checked. In fifth phase usability of communication chart was tested. I-CVI (Item-content validity index) was calculated as 0.96 and S-CVI/UA (Scale- content validity index/Universal agreement) as 0.99 after 2 rounds of Delphi. Cohen’s kappa value for the general internal consistency was calculated as 1 for entire scale. Therefore, the communication chart was found to be reliable and valid and it was found to be beneficial for both patients and care givers.

Biography

Mrs. Prabhjot Saini is currently serving as a head of Medical-Surgical Nursing dept, Dayanand Medical College& Hospital, Ludhiana India. She is a Gold medalist in Masters in Nursing programme and PhD Research Scholar under Baba Farid University of Health Sciences, Faridkot. She has 26 full-text papers published in national and international journals and 24 papers presented in various national and international conferences. She has been awarded Young Scientist Award in 2015.  Mrs. Saini is also a member of NAC (Nursing Advisory Committee) of Dayanand Medical College & Hospital, Ludhiana, Punjab and the Chairperson of Educational Committee in Trained Nurses Association of India, Punjab State

Dr. Muhammad Alqudah

Lecturer

The University of Newcastle (UON)

Australia

Abstract Title: Developing a low health literacy program for parents and carers on fever management in children.

Biography:

Dr. Gina Diaz

Associate Professor

The College of St Scholastica

USA

Abstract Title: Cultural Humility: A shared discovery in prelicensure international immersion and experiential learning (Philippines Experience)

Complex pre-licensure nursing curricula rarely offer pre-licensure students the opportunity to engage in actual patient care that occurs in different health systems, which may delay students’ experiences with recognizing their own positionality and understanding the positionality of others. When students are immersed in the healthcare systems different from their own, they witness how nursing leaders model the shared values of the profession, and demonstrate intercultural and collaborative skills of respect and humility. Furthermore, the ability of understanding and reflecting one’s own assumptions, biases, and values, enables one to see care delivery through different lenses and expand their perspectives on what constitutes cultural awareness. This program involves a collaboration between a small Midwestern private college and a private nursing school, which operates in a highly underserved community in Manila, Philippines. Students from both colleges aim to identify their shared professional values while practicing cultural humility during the educational experiences. Critical reflection is one of the guidelines for culturally competent nursing care. Reframing care delivery is the main theme gleaned from the students’ reflections of the intercultural immersion experience, which refers to application of therapeutic communication with cultural context, enhancing care through high human contact (touch), providing quality care despite low use or no technology used, and acute awareness of social justice within healthcare delivery systems. Collaboration among nursing leaders resulted in stronger curricula that enables students to discover shared professional values that transcend international borders and develop a stronger nursing voice to practice culturally sensitive care.

Biography

Dr. Gina Diaz is an Associate Professor in the School of Nursing at the College of St Scholastica, Duluth, Minnesota. She earned her Bachelor of Science in Nursing from Philippine Christian University-Mary Johnston College of Nursing Manila, Philippines, Master in Nursing Adult Nurse Practitioner Track and Gerontology Nurse Practitioner Certificate, and Doctor of Nursing Practice from The College of St Scholastica. Her active involvement with Mary Johnston College of Nursing Alumni Association opened the opportunity in the development of intercultural clinical immersion experience. Dr. Diaz is a recipient of the Max Lavine Award for Teaching Excellence 2017 from St. Scholastica.

Dr. Renee Murray-Bachmann

Nurse Education/CDE/Northwell Health System Nursing Research Council

Northwell Health /Lenox Hill Hospital

USA

Abstract Title: Safe Implementation of a Hyperglycemic Crises Protocol by Utilizing a Conversion Table

Diabetic ketoacidosis (DKA) and Hyperosmolar hyperglycemic state (HHS) are medical emergencies associated with increased morbidity, mortality and healthcare costs. Prompt identification and proper management of these emergencies are imperative to improve patient outcomes and prevent death. Intravenous (IV) insulin is adopted for treatment of hyperglycemia in the critical care setting. Its use is renowned for positive clinical outcomes, however the risk of hypoglycemia and its accompanying negative sequelae are inherent. IV insulin drips necessitate enhanced critical thinking skills, vigilant monitoring of lab values, titration of fluid, electrolytes and insulin. Preliminary hyperglycemic crises protocol drafts, piloted on critical care units, required nursing estimation for insulin titration thus impacting accuracy and patient safety. This latter practice could have had the potential to cause nurses to erroneously administer IV insulin drips. The Chief Nursing Officer strongly advocated for clarification regarding scope of practice in IV insulin titration, by registered nurses, in the ICU setting. Regulating bodies indicated that these tasks are definitely within critical care nurses scope of practice when accompanied by the facility to decrease medication errors. A conversion table was developed in order to assure accuracy of insulin drip calculation while fostering an environment of safety for both staff and patients alike. Resulting evidence included decreased length of stay and decreased incidence of hypoglycemia in DKA or HHS patients admitted to the

ICU. Ongoing nursing education and competency evaluation is maintained annually via skills fairs, briefs and huddles.

Biography

Renee Murray-Bachmann Ed.D, MSN, RN, CDN, CDE, CPT is a member of Nursing Education and Professional Development for Lenox Hill Hospital – North Shore LIJ System and is involved in the training and continuing education of Nursing Staff, Nurse Practitioner and Physician Assistants. Her background is varied as she is research prepared and published, has developed/ implemented and administered patient/community/staff health education programs, participates in international health education projects as well as clinical. Renee earned her doctorate in health education/health behaviors from Teachers College- Columbia University in 2010 and is pursuing a second doctorate in public health epidemiology.

Dr. Deirdre O’Flaherty

Senior Administrative Director of Patient Care Services

Lenox Hill Hospital

New York, USA

Abstract Title: Cultivating Resilience

Background/Problem:

Recent traumatic events associated with natural disasters and terrorism have showcased nurses’ critical role in the frontline. Nurses take care of victims of violence and tragedy while dealing with their own personal vulnerability.

Literature Review:

Nursing has been a focus for studies and interventions that foster resilience in the workplace. A review of literature on resilience studies have shown its relevance in clinical settings correlating the level of professional competence (Gillespie, et al 2007) and work engagement (Othman, et al, 2013; Jackson et al., 2007). The benefit of resilience training programs to reduce burn-out and PTSD are much needed in a highly stressful work environment (Mealer, Jones & Moss, 2012).

Purpose/Methodology:

A survey of professional nursing participants in 2016 was conducted to determine resilience using The Resilience Scale (14-item tool with reliability ranging from 0.84-0.94 alpha coefficients) and demographic questionnaire were used to collect data at national conferences in the US. Based on the inclusion/exclusion criteria a total of 150 surveys were eligible. The purpose of the study: is there a relationship between sociodemographic variables such as age, race, gender, educational background and area of practice in relationship to nurses’ resilience score and their perception of resilience? What are the variables, traits and characteristics that can aid in the development of interventions to fortify resilience, increase engagement, job satisfaction and workplace retention?

Result:

Responses determined resilience score based on frequency distribution showed a mean score of 83.20 (SD=16.14). Initial factor analysis indicates that “acceptance of self and life” and “personal competence” reflects the theoretical definition of resilience (Wagnild and Young, 1993). The scale’s construct validity positively correlates with optimism, morale, self-efficacy, self-reported health, health promoting behaviours, forgiveness, self-esteem, sense of coherence, effective coping, and life-satisfaction. Inversely, the construct is related with depression, stress and anxiety, hopelessness, loneliness somatization, and healthcare visits.

Recommendation:

Nurse leaders and managers can use resilience as a theoretical framework in creating and planning staff development programs addressing nurses’ satisfaction, dynamic workplace environments, challenges with recruitment and retention and developing a resilient workforce.

Conclusion:

Resilience building encompasses seasoned and novice nurses. Both can address the real and perceived difficulties, offer mutual support to cope with daily challenges of known and unknown risks encountered at work. Resilience offers hope to nurses in their daily lives as they

continuously increase protective factors, adjust to daily adversities and find success and meaning in their personal and professional journey.

Ms. Harvinder Kaur

Abstract Title: Challenges In Improving The Quality Of Nursing Care 

“Quality Improvement is a Process, not an Event”

Healthcare quality continues to be a subject of intense criticism and debate. Although quality nursing care is vital to patient outcomes and safety, meaningful improvements have been disturbingly slow. Analysis of quality care literature reveals that practicing nurses are rarely involved in developing or defining improvement programs for quality nursing care. Therefore, quality nursing care must be meaningful and relevant to nurses and that uncovering their meaning of quality nursing care could facilitate more effective improvement approaches in nursing care.

Need To Improve Quality in Nursing Care

Nurses are directly involved in almost all aspects of hospital quality, including patient care, bedside and medication management, assistance with surgeries and other major operations, data collection/reporting, and more.

ASPECTS IN QUALITY IMPROVEMENT IN NURSING

1. NON NURSING ASPECTS

1. Accessibility.

2. Information.

3. Administration

4. Communication.

5. Waiting.

6. Ancillary Services

7. Equipment.

8. Use of Proper Instruments

9. Use of Appropriate Medications

10. Use of Newer Technologies

2. NURSING ASPECTS

1. Evidence based nursing practice

2. Holistic approach towards quality patient care

3. Advanced Nursing education

4. Continuing nursing education

Challenges in Improving Quality of Nursing Care

1. Resource barriers

2. Motivation of nursing personals

3. Training of the nurses

4. Innovative techniques

5. Barrier Of Sustainability

Model to Improve Quality In Nursing

Plan-Do-Study-Act (PDSA)

Conclusion

It is important to pay attention to quality in every aspect of patient care, both nursing and non-nursing aspects. Nurse educators should develop strategies that support nurses better in identifying and delivering quality nursing care reflective of responsibility, caring, intentionality, empathy, respect and advocacy

Biography

 Dr. Kim Knight

 Founder and CEO of KimKnightHealth.com

 New Zealand

Abstract Title: Treating the Patient, not the Illness

In a system where wards and departments are divided up into units (spinal, cardiology, gastroenterology, gynecology, neurology etc) it can be easy to forget that we treat patients, not illness. We can also get side-tracked by trying to deal with the end result (symptoms) rather than identify and clear the root cause (a whole person’s life and all this entails, including socioenvironmental factors, lifestyle, beliefs, traumas, culture and more). In this session we will look at the 6 core facets of a person’s life which must be taken into account if we wish to effect truly holistic healing. We will also explore how the seeds for many chronic health conditions are unconsciously planted by the age of 7 years, lying dormant until teens or adulthood. Once we understand this, we are then able to understand why ‘we treat people, not illness, and why ‘we heal a whole person’s life, not a health condition’.

Biography

Dr. Mehmooda Regu

Professor

Principal, Madre Meherban Institute of Nursing Science & Research

SKIMS Medical College

Biography

Authored more than sixty articles in national and international journals. Organized more than fifty education programmes. She won National Florence Nightingale Award in 2008. Formulated nursing registration bill for registration council.

Dr. Christina Stevenson

Faculty, Frontier Nursing University

CEO of Extension Training of NC, LLC

FNP,  Department of Public Safety, USA

Abstract Title: A Patient-Centered Approach: Implementation of Depression Screening Protocol using the PHQ-9 in Home Health Patients

Background

Depression costs the United States (US) over $210 billion dollars per year according the newest available data, which is significant (WHO, 2017). Major depression is common among adults receiving home healthcare and is characterized by greater medical illness, functional impairment, and pain; therefore, making the need for mental health care in these patients unique to the home healthcare setting. (Pickett, Raue & Bruce, 2012). Prior to project implementation, Shamar Services did not address or identify psychological issues in their home health patients.

Aim

To identify and increase appropriate care through screening related to depression for home health patients that screen positively on the Patient Health Questionnaire- 9 (PHQ-9) with Screening, Brief Intervention, Referral and Treatment (SBIRT) to 80% within 8-weeks.

Biography

Dr. Christina Stevenson, DNP is a native of North Carolina. She holds a Bachelor’s Degree in Psychology from Tuskegee University, a Bachelors of Science in Nursing from the University of Mobile, and both a Master’s of Science in Nursing and a Post-Master’s Degree from South University, as well as a Doctorate of Nursing Practice from Frontier Nursing University.

Dr. Stevenson is licensed as both an Adult and Family Nurse Practitioner in North and South Carolina and has myriad of practice experience with in-patient, outpatient and correctional psychiatry, addiction medicine, primary care, home health, hospice, case management and legal nurse consulting. Her clinical interests include Psychiatry and Addiction Medicine. She enjoys reading and traveling as hobbies.

Dr. Cameo Aleece Green

Vice President, National Council of Negro Women(State of South Carolina)

Contributing Writer, Heart to Heart Concepts Magazine.

Founder and CEO, Rural Urban Communities Matter, USA

Biography

Dr. Cameo Aleece Green is a native of Columbia, South Carolina.  Dr. Green’s collegiate journey began at the age of 17 years old at the University of South Carolina in Columbia.  She later transferred to the University of South Carolina-Upstate and obtained her Bachelor of Science in Nursing in 2007. Dr. Green was later accepted into the Medical University of South Carolina where she received her first Master of Science in Nursing.  During this time, Dr. Green was recognized as a First Honor Graduate (Valedictorian) for the College of Nursing.  She continued her education and received her second Master of Science in Nursing degree and a Doctor of Nursing Practice degree from the Medical University of South Carolina in Charleston, SC.  Dr. Green’s Doctoral work focused on ensuring that Patients with Heart Failure in the Rural areas received the care recommended by the Centers for Medicare and Medicaid Services.  While attending the Medical University of South Carolina, she served as a Presidential Scholar and later a Fellow. Dr. Green completed the Affordable Care Act Leadership training sponsored by Harvard University.

Dr. David Woodruff

Faculty Development Specialist Chamberlain University

Book Editor, Wolters Kluwer

CE Review Panel, AACN, USA

Sai Bala Madathil

Director of Nursing

Amrita Institute of Medical Sciences, India

Ahmad Hawsawi

Director of Nursing Administration for Quality, Informatics, Project and Collaboration

King Fahad Medical City, Saudi Arabia

Abstract Title: Healing Environment and Compassionate Care

There is a collective agreement that a healing environment that fosters excellent patient and family experience is desirable for patients and for healthcare providers. However, what constitutes a healing environment and how to achieve the balance between meeting patient needs and staff needs remains to be highly debatable and varies depending on individual perspectives.

Samueli Institute defines Optimal Healing Environment as a healthcare system that is designed to stimulate and support inherent healing capacity of patients, their families and their care providers. Further, the institute proposes that to achieve this, the system has to have people in their working relationships, their health creating behaviors and the surrounding physical environment.

Healthcare providers, before they became professionals, started with an ideology revolving around their earnest desire to help and heal patients to relieve suffering and to provide compassionate holistic care. This idealistic hopes however are somehow tainted by the increasing demand in the modern day healthcare.

With the fast paced evolution of the healthcare industry, healthcare professionals often encounter barriers to compassionate care. These barriers include, but not limited to, work intensity, overwhelming demand and limited resources that, when left unchecked, combine to create a disorganized, pressured, reactive pattern of patient care that focuses on the technical, clinical tasks that in turn sidetracks the very essence of compassionate caring. In the process, while the healthcare provider struggles to strike balance between meeting all the needs of the organization where they belong, the quality and compassion in the care they provide may be compromised. This in turn yields a domino effect to the experience of their patients leaving them dissatisfied and unhappy.

It is then a necessity for organizations to focus not only in ensuring that the needs of their patients and their families receive compassionate, respectful, quality care but as well as ensuring that the healthcare providers are and remain motivated through promoting and sustaining a healthy work environment.

Biography

A Senior Executive Leadership Program of HBS and Master’s degree holder of both Nursing and Bioethics, Ahmad O. Hawsawi holds a reputable career track who has harnessed outstanding knowledge and skills in healthcare and professional development qualifying him as an expert resource person in the said field. He is an accomplished administrator, leader, teacher and a coach with a wide range of experience from authoring various competency programs to commissioning a number of services in some respectable organizations across the Kingdom. At present, he is the Director of Nursing Projects, Quality, Informatics and Collaboration in KFMC where he champions concepts in change management, high-reliability organization, excellence in customer service and promoting a healthy work environment.

Dr. Tiffany Kelley

Founder and CEO of Nightingale Apps LLC & iCare Nursing Solutions. LLC

Chair for ANA of Massachusetts Technology Committee, USA

Abstract Title: The Future of Nursing Care Delivery will be Dependent upon Mobility and Interoperability

Nurses are dependent upon data and information in their delivery of daily care to patients. Yet many do not realize that data and information are essential to the nursing process (e.g., assessing, diagnosing, planning, intervening and evaluating). In recent years, our health care environments have continued to introduce new clinical information systems that digitalize the data and information needed for patient care. With such systems, new challenges have presented themselves to nurses and health care professionals. One of these challenges is the ability to access, enter, store, retrieve, exchange and evaluate data while on the go. Nurses currently rely on pieces of paper to temporarily store the data and information they need for care each day. The pieces of paper are not part of the patient’s medical record and are variable dependent upon the nurse. With advancements in technology, we now have smart phone devices that are small enough to be portable in a nurse’s pocket. With such devices, software applications can be designed to address the data and information needs of nurses delivering care. Such applications will require interoperability with other clinical information systems to maintain a source of truth with the patient’s health record. Interoperability is a word used to describe the ability to exchange data between two or more systems. The term is often discussed in more technically oriented environments. Yet, the impact of such technical improvements will be essential for nurses in clinical care environments to strive toward continued improvements in the delivery of direct patient care.

Biography

Dr. Tiffany Kelley identified the need to start Nightingale Apps^™ and create the initial product “Know My Patient^®” while conducting her own research aimed at understanding how nurses use the information to care for patients. She saw the current limitations within hospital settings to provide nurses with information at any location, especially while on-the-go. Kelley saw the potential for synergy between mobile devices and software applications to support nurses in knowing their patients within the context of their naturally occurring workflows.

Dr. Kelley has 14 years of nursing experience. She spent the last 9 years working in the field of nursing informatics. Her entry into informatics began while working on a team to implement an electronic health record at Boston Children’s Hospital. She received her PhD from Duke University where she studied the meaning of knowing the patient and the information needed for care. She also holds an MS in Nursing Administration and MBA from Northeastern University and a BS in Nursing from Georgetown University.