Scientific Program

Day 1

KEYNOTE SPEAKERS
  • Addressing mental health problems of readymade garment workers

    SNV Netherlands Development Organisation
    Bangladesh
    Biography

    Farhtheeba Rahat Khan is a development professional with experience backed-up by private sector interventions and development sector working realities and challenges. As the lead of ‘private sector health project’, Ms.Khan undertook studies and worked on the policy front with Ministry of Health its directorates for formulation of policy framework, guidelines and accreditation systems in the health training, and emphasized on avenues for women employment in the health sector. Currently, Ms.Khan is the Team leader for the ‘Working with Women-2’ project implemented by SNV where she is facilitating interventions in garment factories, to ensure health and well-being in a sustainable manner.

    Abstract

    Bangladesh garment sector is predominated by women comprising 85% of 4 million workforce. Mental distress affects their work life, productivity leading to a poor work-life. The normal day of women worker starts at 4am, cook’s food in the common kitchen available for 4-5 families, goes to work at 7am, and has a longer work day till 7pm, then is back to take care of her family and goes to bed between 10-11pm. She has no time of her own, a victim of violence and abuse both in the factory and work, no one to share her pain. Factory management do not realize the fact when psychosocial challenges and issues go unaddressed, it impacts workers’ effectiveness in the work place. The pilot intervention by SNV with 600 workers evidenced how introducing psychosocial counsellors at workplace affected the situation in factories. Welfare officers, who are the first contact point for workers in factory, were trained by certified psychologists and counsellors, and these trained para-counsellors were institutionalized inside factory. In words of the counsellor “within 2 months of introduction and program awareness, 3 women came with anxiety and one of them had 4 sessions with the counsellor for mental relief, 3 women reported work stress and took 3 separate counselling sessions, others include conflict with supervisor, family conflict, financial crisis, relationship issue and the resulted anxiety”. On success of this intervention, SNV is now moving towards Workers Wellbeing Management Course for developing counsellors for the ready-made garment sector to address worker psychological issues.

  • The Evidence of successful implementation of TQM in healthcare organizations

    Texas A&M University
    USA
    Biography

    Dr. Uche Nwabueze received his Ph.D from Sheffield Hallam University in the United Kingdom in 1995. For 24 years, Dr. Nwabueze has dedicated himself to the advancement of the theory and practice of quality management through research, consulting work, and teaching across four continents (North America, Europe, Asia and Africa). His students and hospital executives describe their classroom and consulting experience with Dr. Uche as he is fondly called; as a scholarly adventure in critical thinking, problem-solving and reflective analysis. Dr. Nwabueze has over 50 academic publications, most notably in the International Journal of Business Performance Management, Total Quality and Business Excellence Journal, Journal of Product and Brand Management, Journal of Public Sector Management, and the TQM Journal. Dr. Nwabueze serves on the editorial board of the African Business Journal and the Journal of Applied Quality Management. He is a member of the British Institute of Management, and American society for Quality. His research interest is focused on healthcare quality management and process redesign.

    Abstract

    TQM is being implemented in a vacuum, for example in a piecemeal fashion due to the fact that managerially, many hospital systems lack the time required for detailed planning and execution, thus quality management is seen as a political game rather than an integrated approach to improving the quality of patient care. Evidence from a structured interview of twenty quality managers suggests the lack of managerial understanding of the holistic nature of TQM. There seems to be broad confusion as to what constitutes the key requirements of TQM. Many hospitals focus on the quality assurance requirements of standard setting and monitoring and then think that by so doing they are implementing TQM. However, what these hospitals are actually doing is installing methods to inspect and correct medical performance rather than embarking upon an organization-wide drive to improve quality of care and caring for patients. The paper presents a model for the time constrained manager; a model that offers an understanding of the essential requirements for the success of TQM in healthcare organizations.

  • The effect of short duration skin to skin contact on premature infants’ physiological and behavioural outcomes: A quasi-experimental study

    Jordan University of Science and Technology
    Jordan
    Biography

    Khulood Kayed Shattnawi is an assistant professor in paediatric and neonatal nursing in the faculty of nursing at Jordan University of Science and Technology (JUST). She received a BS in nursing from JUST, a MS in neonatal nursing from University of Windsor/ Canada in 2001 and a PhD degree from Anglia Ruskin University, UK in 2014. Dr Shattnawi has been teaching various subjects of nursing for more than 20 years. She has held a variety of positions, including staff nurse, clinical educator, and chairperson for the maternal and child health department at the faculty of nursing/ JUST. Dr Shattnawi’ research interests are neonatal nursing with a focus on kangaroo care approach, breastfeeding preterm infants, and issues related to paediatric and adolescent health.

    Abstract

    This study aimed at assessing the effect of short duration skin to skin contact (SSC) (5 days) on preterm infants’ physiological and behavioural outcomes. A quasi-experimental control group design was utilized. 89 stable preterm infants were allocated to either an interventional or control group. Results showed that in comparison to the control group, newborns in the SSC group demonstrated higher weight gain (g/day) from day 3-5 of practicing SSC (53.7g Vs. 32.6 g; p<.05), experienced significantly fewer numbers of apneas (48% Vs. 33.3%; p=.001), and were less likely to use formula feeding (60% Vs. 90%) and more likely to use mixed feeding (formula and breastfeeding) at discharge (33.3% Vs. 10%). Significant differences were also found in the crying, and sleeping patterns of the infants; infants of mothers who practiced SSC were less likely to cry in a continuous pattern and more likely to experience good sleep than infants in the control group. The study highlights the importance of the early and short duration of SSC for preterm infants.

Paediatric Nursing | Cardiac Nursing | Paediatric Health Care | Global Health Care | Critical Care Nursing & Emergency Nursing | Health Care and Management | Nursing Informatics | Risk Factors | Community Medicine
Chair
Co-Chair
Speaker
  • Speaker 1
    ORGANIZATION OF NURSING CARE IN PATIENTS WITH CHRONIC DISEASES IN PRIMARY HEALTH CARE
    Time: 12:05
    Speaker
    Bikova Pepa
    Medical University of Sofia, Bulgaria
    Bulgaria
    Biography

    Bikova Pepa in 2014 successfully defended a thesis on “Socially significant aspects of healthcare for chronically ill at home”, gained a degree doctorate in higher education at the department of health care of faculty of public health in Medical University, Sofia and she became associate professor in the specialty “nurse” in the department of health care of the faculty of public health at the Medical University, Sofia. She is author and co-author in over 100 publications in scientific journals and collections, two textbooks and a monograph, that have been cited over 60 times. She has participated in scientific papers and posters of academic and scientific forums, scientific and technological sections, academic exchanges of experience and seminars. She is a member of the Bulgarian Association of Healthcare Professionals; Interdisciplinary Civil Academy – INGA; Society of Medical Education.

    Abstract

    In medical practice, there are different patterns of chronic care for chronically ill. The organization of nursing involves skillfully conducting the various treatment procedures to restore the patient’s health and create a hygienic environment around him. Without health care, it is inconceivable to achieve quality treatment in modern medical practice. Quality care must be timely, expedient, scientifically based, fulfilled with a sense of responsibility. The family doctor and the nurse have a fundamental place in primary care. The key role of the nurse stems from its competences developed on the basis of the needs of patients from outpatient care. The primary functions of nurses in primary care are: health promotion and prophylaxis; curative-diagnostic; medical-social; drug delivery; organizational-coordination. Primary care is the primary and primary level of patient care, ensuring complete and uninterrupted care throughout the patient’s life. Medical care is in sync and team action with the social ones in order to increase the patient’s autonomy, alleviate their suffering and facilitate reintegration. Theactivity of nurses working in out-patient care includes health promotion, health education, disease prevention, health care, health maintenance and rehabilitation, physical rehabilitation and social work.

  • Speaker 2
    ASSENT AND CONSENT IN PEDIATRIC AND ADOLESCENT RESEARCH: SCHOOL CHILDREN’S PERSPECTIVES
    Time: 12:30
    Speaker
    Nihaya Adnan Al Sheyab
    JUST( Jordan University of Science and Technology)
    Jordan
    Biography

    Nihaya A Al-sheyab had graduated from the faculty of health at the University of Technology, Sydney, Australia, in 2009 majoring in adolescent health behaviour modification. His main research interest is examining the effect of peer-led education on school students’ lifestyle behaviours including tobacco smoking. She is currently the principal investigator for several funded research projects mainly focusing on healthy lifestyle adoption by adolescents in Jordan and Australia focusing on adolescent tobacco smoking. She is currently the principal investigator for several funded research projects mainly focusing on healthy lifestyle adoption by adolescents in Jordan and Australia focusing on adolescent tobacco smoking. Additionally, Nihaya was appointed as a Vice Dean from 2015-2016 in the faculty of nursing at JUST which helped her to prioritize the health needs of the local communities, and thus organize and manage relevant activities effectively. Prior to this position, Nihaya was the chairman of the department of community and mental health nursing at JUST, through which she had conducted several community-based activities and open medical days to improve health and well-being of youth and women in particular in rural and urban suburbs in Jordan.

    Abstract

    School students’ views and perceptions of informed parental consent and child assent about child participating in research in the Middle East are not known. Focus group interviews were conducted to understand high-school students’ perspectives toward child and adolescent assents and consents in research including the importance of, and depth of information needed in consent and assent, and perception toward written versus verbal consent and assent. The majority of students agreed that it is necessary to take parental approval and they would not participate in research if their parents refuse. Furthermore, the majority of male students agreed that if the research requires only questionnaires to be completed, then child’s approval is sufficient whereas measures, such as blood sugar screening required approval from both the parent and child. Females believed it is enough to provide parental consent to participate in research unless information provided is adequate, then child approval is enough. All students stressed on the importance of including detailed information, however, parental consent needs to have a more detailed information than child assent. In conclusion, parts of the students’ perceptions were congruent, whereas other views were not congruent with proper conduct of paediatric research. Such a situation warrants further research and actions.

  • Speaker 3
    RECOVERY IN CHRONIC DEPRESSION IN PRIMARY HEATLH HEALTHCARE
    Time: 13:55
    Speaker
    Petra Eichelsheim
    University of Applied Sciences in Utrecht
    Netherlands
    Biography

    Petra Eichelsheim is working as a Nurse Practitioner of Mental Health, University of Applied Sciences in Utrecht, Netherlands. She completed her studies in Master of science in Nursing. And started working in Social Psychiatric Nurse in Dijk and Duin BV on 1987 and then at Brijder Addiction Treatment as a Team Manager from 1997 to 2009, later joined as Social Psychiatric Nurse at PsyQ and continuing as a Nursing specialist GGZ at Indigo and ADHDcentral.

    Abstract

    Summary: What is the best way to support patients with chronic depression in finding their needs for recovery? A problem analysis learned there is need for a method that defines the needs of patients for their recovery and an instrument that deepens the conversation so that needs are found. Methods: To find answers in search of the best method for finding the needs in recovery the researcher used interviewing, a search in several scientific databases, internet and scientific, describing literature. There was a focus on the strengths and weaknesses of the methods and the overall experience. The criteria for a method were inventoried. It is important that the patient is in charge of the process and the pace. The method is easy to use and clear. Innovation: I Hope is a method of a toolkit including a routine outcome monitor (I Roc). I Roc consists of twelve questions. The questions refer to the four forms of recovery and all life areas. At the end of the questionnaire an overview arises in which the areas of development show up. The method is attractive due to the use of colors and pictures. Implementation: At first there was a start with a pilot with two therapists so that some experience was gained. The next step is implementation of the method in the electronic patient record. The outcomes will be part of a large validation research for I Roc. The first experiences with I Roc are positive. Research of recovery is still quite young. Therefore the results of this investigation can not be generalized to other practices because this research is the first in primary mental health care. Much more research is required to find the working elements of recovery.

  • Speaker 4
    STRENGTHENING OF NUTRITIONAL STATUS MONITORING AND SURVEILLANCE SYSTEM IN GEORGIA
    Time: 14:20
    Speaker
    Robizon Tsiklauri
    National Center of Disease Control and Public Health
    Georgia
    Biography

    Robizon Tsiklauri has good experience in nutritiology and clinical epidemiology, has made training programs for doctors, has published more than 20 papers in reputed journals. He is managing of postdoctoral educational program of qualification at the Tbilisi State Medical University. He used to be a temporary advisor of WHO (Europe regional office of Europe) in food and nutrition field (2005-2007).

    Abstract

    Until 2015, there was not any effective surveillance system in Georgia, which could provide with reliable data for developing national strategy of micronutrient deficiency elimination and improving the nutritional status of population. With the support of US CDC, in 2015, National Centre for Disease Control and Public Health of Georgia launched collaborative project - “Strengthening surveillance of micronutrient deficiency in Georgia”. Georgia Nutrition Monitoring and Surveillance System was implemented in 2015. Sentinel surveillance approach was used by selecting 8 sentinel sites from 4 regions, 2 sites in each region (1 pediatric and another antenatal clinic). Iron and folate deficiency was studied in pregnant women (1st trimester) and iron deficiency in children (12-23 months old). Iron deficiency was defined as plasma concentration of ferritin with cut-off points of <12 ?g/l and <15 ?g/l for children and pregnant women (venous blood test), respectively. Cut-off point below 3.0 ng/ml was considered as a folate deficiency for pregnant women. Hemoglobin was tested using hemoque and multi-analyzer techniques at the sentinel sites.

  • Speaker 5
    ACCREDITATION IN HEALTHCARE SETTINGS: A TOOL FOR ORGANIZATIONAL LEARNING
    Time: 14:45
    Speaker
    Mohammad S Alyahya
    Jordan University of Science and Technology
    Jordan
    Biography

    Mohammad Alyahya is an associate professor at the Health Management and Policy Department / Faculty of Medicine / Jordan University of Science and Technology (JUST). He has a PhD in health services management from The University of York, England. His research interests include Health behaviour, Change management, and Strategy management in Healthcare sector. Dr. Alyahya has recently published several articles on how to integrate the principles of Evidence Based Medicine and Evidence Based Public Health, Isomorphism change, clinical decision support systems (CDSS), and using negative reinforcement theory to change individual’s behaviour.

    Abstract

    Background: Accreditation programs provide healthcare organizations an opportunity to recognize and analyse their strengths and weaknesses, and this in turn helps in developing future plans for organizational change. Accreditation process provides the opportunity for transforming primary healthcare centres from traditional healthcare settings into organizations that embrace continuous improvements through organizational learning and innovation. Aim: The aim of this study was to generate new insights about the accreditation process as a learning mechanism in healthcare settings. Methods: In-depth exploratory interviews were conducted with 56 healthcare clinicians and administrative staff from 7 primary healthcare centres in Jordan. Results: Our findings revealed that the accreditation process has contributed to organizational learning at different levels. At the individual level, new policies and documentation required by the accreditation agencies were perceived by healthcare professionals as a way to improve their skills, knowledge, and abilities. The participants also emphasized that accreditation process enhanced formal and non-formal “learning by doing” and “on-site-learning” approaches. Working together in the accreditation committees and teams helped staff across different departments to learn about practices taking place at other departments and units, and transfer ideas throughout the centres. For group learning, the accreditation promoted knowledge and skills sharing, multi-disciplinary teams, positive relationships between clinicians and administrative staff. At the system level, the accreditation encouraged organization’s openness to new ideas, and helped healthcare centres to better respond to the departmental needs and to find best practices of working collectively. Conclusions: The current study highlights that is the most important gains for healthcare centres is how the accreditation process helps healthcare setting to become a learning organization. Healthcare staff perceived accreditation process as a tool of learning new ideas and as a vehicle to acquiring new skills and knowledge.

  • Speaker 6
    COMPETENCIES AND AUTONOMOUS FUNCTIONS OF NURSES IN PRIMARY CARES
    Time: 15:10
    Speaker
    Galina Tchaneva
    Medical University of Sofia, Bulgaria
    Bulgaria
    Biography

    Galina Tchaneva teaches students more than 20 years at the Medical University of Sofia - “nursing” and specialty “management of health care”. Main areas of scientific interest are: Theoretical and philosophical statements and concepts of nursing and health care; theoretical rationale and practice applied models of special nursing care; management and pedagogical problems of health care.

    Abstract

    Reforms of the healthcare system in Bulgaria have led to structural changes and changes in nursing functions. The main activities of nurses in primary care are directed at the care of healthy children of all ages. The professional realization of the nurses has in the medical centers and practices of general practitioners. The aim of this study is to establish competencies and autonomous functions of nurses from different primary care structures. The study was conducted during a postgraduate training course for 65 nurses in 2017. According to the results obtained, it is necessary to create conditions and organization for increasing the professional qualification of nurses from primary care. Significantly greater autonomy is given by nurses who care for children from kindergartens and schools. Significantly more limited are the functions of nurses, which work together with general practitioners. The activities of the nurse in the practice of general practitioners are primarily related to administrative functions and documentation.

  • Speaker 7
    ANTIBIOGRAM PROFILE OF SOME MYCOLOGICAL PATHOGENS ISOLATED FROM LOCALLY BRED PET DOGS IN ELEME LOCAL GOVERNMENT AREA OF RIVERS STATE, NIGERIA
    Time: 16:05
    Speaker
    Azuonwu Obioma
    Rivers State University
    Nigeria
    Biography

    Azuonwu Obioma works in the department of medical laboratory science and is a faculty of science at Rivers State University of Science and Technology located at Nkpolu, Port Harcourt, Nigeria. His research interests are in the healthcare and its allied regions.

    Abstract

    Pet dogs are companion animals that bring major physiological and social wellbeing to the owners and society at large. However, due to increasing trends of interaction of these household pets such as dogs with man in the environment, they have been strongly implicated as major source of various forms of human infections, especially of zoonotic perspective and interest. The aim of this study was to investigate fungal pathogens that are associated with pet dogs which are of zoonotic importance, and also to evaluate their antibiogram profile, especially in an era of increasing public health challenges of antimicrobial resistance issues in our local communities, thus these could probably be linked to incessant drug abuse and poor health education among the citizens in our rural communities. One hundred (100) swab samples were collected from different sites in the communities at random, hence (fifty (50) from the buccal cavity and fifty (50) from the nasal cavity). The samples were analyzed in the University of Port Harcourt teaching hospital microbiology laboratory, using microbiological technique and data obtained from the laboratory analysis were analyzed using Statistical Package for Social Science (SPSS), version 21. However, Two (2) species of fungal pathogens which are Candida species with a prevalence of 30 (30%) and Aspergillus Sp. with prevalence of 31(31%) were isolated from both the nasal and buccal cavity of the dogs. Nevertheless, the mean value of the total heterotrophic count for buccal swab was 84.441±33.4494 and 91.630±38.9508 for nasal swab with an associated p-value of 0.33. Furthermore, the results for sensitivity testing of the antifungal drug show that all the isolates were resistant to Nystatin, but were susceptible to fluconazole, clotrimazole and ketoconazole. However, the recovery of fungal isolates from dogs strongly suggests that, animals to human transmission of pathogens may be common which is of public health importance. Hence adequate care should be taken to reduce the increasing trend of animal to man contacts, so as to reduce the occurrence of zoonotic infections, as well as minimize the antimicrobial resistance health challenges in our communities.

  • Speaker 8
    EXPLORING THE VIEWS OF PARENTS OF CHILDREN AGED TWO YEARS AND UNDER FOLLOWING TELEPHONE ADVICE FROM NURSES WORKING IN A GENERAL PRACTITIONER OUT-OF-HOURS SERVICE IN IRELAND
    Time: 16:30
    Speaker
    Abdellah Kasem
    JUST( Jordan University of Science and Technology)
    Jordan
    Biography

    Abedallah Kasem is an assistant professor and head of maternal child health nursing at Jordan University of Science and Technology. He completed his bachelor’s degree in general nursing, 1994 in Jordan University. He participated in activities related to nursing accreditation process. He involved in different academic work and presentations such as, health education and health teaching program for patients with dehydration, pain therapy, bereavement and its implication on nursing practice, making things better ideas for change, principles of quality initiatives and its impact on nursing practice. head injury and impact on patients, families and nursing.

    Abstract

    This paper focuses on parents’ use and experiences of general practitioner (GP) out-of-hours (OOHs) services in Ireland. The progress in the establishment of GP OOHs services is considered by the Health Service Executive (HSE) to be a highly significant quality initiative for patient care, and the health service as a whole. Outside of normal GP surgery hours, parents of children can call a dedicated telephone number, to have their urgent health concerns assessed and to be advised about the appropriate level of care. Experienced nurses, who are often based in a GP OOHs centre, assess the call over the telephone and provide advice to the callers. The overall aim of the study is to explore and understand the views of parents of children, aged two years and under, following telephone advice received from nurses in the context of a GP out-of-hours service. A qualitative, exploratory, descriptive design was used to examine the views and experiences of parents of children aged two years and under, who used a GP out-of-hours service provider in Ireland. Nine parents who had received phone advice from a nurse were purposively sampled to take part in the study. Data were collected using semi-structured interviews by telephone. Data were transcribed and analysed thematically. Themes included parents’ perceptions of illness in children with the need to be heard, parents’ views about accessibility to GP OOHs, parents’ expectations that the service would offer guidance and reassurance, parents’ satisfaction with the nurse’s advice, and parents’ experiences of hospital emergency departments (EDs). The study revealed that parents are satisfied with the GP OOHs service and the parental decision-making model has the potential to provide an opportunity to continue the progress of the establishment of GP OOHs services in Ireland.

Day 2

Psychiatric and Mental Health Nursing | Clinical Nursing and Practice | Health Care and Patient Safety
Chair
Speaker
  • Speaker 1
    DIGITAL HEALTHCARE 2025
    Time: 09:30
    Speaker
    David John Wortley
    International Society of Digital Medicine
    China
    Biography

    David John Wortley is a vice president of the International Society of Digital Medicine (ISDM) and the founding president of the European chapter of ISDM. He is a recognised global authority on the practical application of emerging and enabling technologies in areas such as health, environment, business development and education.

    Abstract

    Disruptive digital technologies are already having a significant impact on healthcare policies and practices. This keynote presentation examines the impact of technologies such as Internet of things, artificial intelligence, wearable devices, robotics and mobile communications on global health and the opportunities and challenges these technologies will be creating for the medical profession in 2025. The presentation will also take a look of what this means for both patients and healthcare providers. What jobs will be changed by these technologies and what will the opportunities and challenges of a career in healthcare.

  • Speaker 2
    INFLUENZA VACCINE COVERAGE AND EFFICACY AMONG KING SALMAN ARMED FORCES HOSPITAL 2017-2018
    Time: 09:55
    Speaker
    Rofayda Mansour Ahmed
    King Salman Military Hospital
    Saudi Arabia
    Biography

    Rofayda Mansour Ahmed completed his master’s in health profession education University of Gezira, Sudan. Currently he is the supervisor of training and research unit of Saudi board preventive medicine program. He works in preventive medicine department of King Salman North Western Armed Forced Hospital, Saudi Arabia.

    Abstract

    Background despite recommendations for annual influenza vaccination of health care workers (HCWs) still vaccination coverage is low, studies suggested that misconceptions about safety or efficacy discourage HCWs from up taking the vaccine. Methods: This is a case control study to measure coverage and efficacy of seasonal influenza vaccination among HCW at King Salman Armed Forces Hospital- Saudi Arabia. Case group were vaccinated (324) and control group were not (324). Results: Total number of employees is 4118. Influenza vaccination coverage among employee, non-medical and medical are 45.11%, 34.76% and 61.73% respectively. The results showed higher acceptance rate among female than male, higher among non-Arabic nationality next, non-Saudi Arabic then Saudi nationality but did not show relationship with age or smoking. Comparison of the two groups for vaccine efficacy failed to report any association between vaccination status and incidence of influenza like illness, pneumonia, severe acute respiratory infection, hospital admission, seeking medical care or even decreasing duration of sick leaves. Willingness to uptake the coming vaccine found to be associated with up taking the current one and no association with being infected during this season. Conclusion: This study revealed vaccination acceptance rate increases with being male, non-medical staff Non- Arabic and Non-Saudi Arabic nationality rather than Saudi one, no relationship with age group and smoking. However, failed to show association between up taking the vaccine and lowering incidence of influenza like illness, pneumonia, sever acute respiratory infection, hospital admission, seeking medical care or even decreasing duration of sick leaves. We suggested that vaccine-targeted viruses are not compatible with the circulating viruses at Tabuk area, so studies are needed to identify these viruses.

  • Speaker 3
    THE PERFORMANCE MEASUREMENT OF THE QUALITY HEALTH CARE IN THE PRIMARY HEALTH CARE ESTABLISHMENTS IN MOROCCO
    Time: 10:20
    Speaker
    Zaadoud Brahim
    IBN Tofail University
    Morocco
    Biography

    Zaadoud Brahim, 27 experiences years in primary health care, responsible for epidemiological surveillance. He is the formator for doctors and nurses on quality management, professor of epidemiology and statistics module, ISPITS, Fes. former director of a hospital, trainer, facilitator and auditor in quality management. The subject of his research is health care quality and the performance measurement in primary health care. He published four articles about quality healthcare, performance measure, and quality improvement.

    Abstract

    The subject of our research concerns the performance measurement in primary health care establishments, evaluate the impact of quality approaches on the level of performance in these establishments. Method: The data collection was made through a questionnaire for the staff who exercises in the ESSP. This questionnaire contains three parts adapted according to the model of Donabedian (Structure, processes and results), understanding seven domains. The first part concerns the structure dedicated to the quality planning, the leadership and the human resources management. The second part concerns the processes dedicated to the process management, the monitoring and the analysis. The third part handles the results of the quality and the user’s satisfaction. Result: We note significant differences in the perception of the quality of the care of the health workers general. The steps of ACQ remain a good tool to improve the quality of the care. The satisfaction of the population remains high with a performance of (74 %), the steps of ACQ are effective tools of the organizational change, the impact on the change of professional practices for our case (68 %) have this image, which varies, enters average and low on the CQ. Continuity and integration of the care are assured only in 34 % of the cases. Conclusion: Even if the links are not established within the framework of a scientific research, quality approaches are generally recognized as an essential tool to help establishments to improve the quality and the safety of the patients. The necessity of having measurement tools for performance which puts in coherence the piloting of the operational level with the strategy, to integrate the organizational objectives into the measures of operational performances and make estimate its structures towards a real management by the quality.

  • Speaker 4
    BEHAVIORAL PATTERNS FOR CARIES RISK MANAGEMENT IN CHILDREN WITH PYELONEPHRITIS
    Time: 10:45
    Speaker
    Dr Sirma Todorova Angelova
    Medical University of Varna
    Bulgaria
    Biography

    In the year 2005 Dr Sirma Angelova graduated her higher education at the University of Economics in Varna, Bulgaria and gained a Master degree of International Financial Affairs. In the year 2011 Dr Angelova graduated her higher education and gained a Master Degree of Dental Medicine at the Medical University-Varna, Varna, Bulgaria. Since 2011 Sirma Angelova has been working as an Assistant-Professor. Dr Angelova gained a Certificate of Specialization of Pediatric Dentistry in December 2015. In 2017 Sirma Angelova gained a postgraduate degree, PhD, after accomplishment of an independent research on the topic of “Caries Risk Assessment and Prevention in Children Suffering from Some Renal Disorders”. In the year 2018 Dr Sirma Angelova gained an academic degree of Chief-Assistant at the Medical University-Varna. Her scientific interests are oriented to investigations in the scope of oral-dental status and systemic health relations in childhood.

    Abstract

    Now a days the conversance of nurses’ teams with oral-dental status of patients suffering from different diseases and nurses’ awareness of the clinical traits of disorders affecting hard teeth structures and soft tissues into oral cavity, as well as the interrelations with common health conditions is not adequately corresponding to the necessity of individualized therapeutic approach. The process of optimization of quality and duration of life of children suffering from pyelonephritis, characterized as one of the most widely distributed infectious diseases in childhood, outlines one of the most explicit contemporary tendencies of collaboration between medicine and dental medicine doctors and nurses. The precise control of the common health disorder parallel to the thorough evaluation and adequate management of the oral-dental status of the individual determine the specific principles of prophylactic cares and therapy in the context of personalized medicine. The aim of this study is to investigate behavioral patterns for caries risk management in children with pyelonephritis. The subject of the study is a total number of 92 patients in different periods of childhood with established excretory system disorder of pyelonephritis and 41 healthy children. A combination of clinical, statistical and sociological methods has been applied into the research. Only 15.22% of the representatives with established kidney disorder take part in prophylactic dental examinations twice per year in comparison to 65.85% of the healthy controls. The dominating ratios of 70.65% of the parents of children with pyelonephritis seek for dental healthcare services only in emergency, compared to 24.39% of the parents of healthy participants. Proper oral-dental status of brothers or sisters has been registered only among 16.30 % of children with pyelonephritis. Parallel to them, more than 1/3 of healthy participants, namely 34.15% are characterized with proper oral-dental status of their brothers or sisters. More than 2/3 of the parents of healthy children are with higher education and in the group of patients with pyelonephritis there are illiterate parents and parents with low level of education. About 1/3 of the families of patients with pyelonephritis are ranked in low social-economic status. The obtained data serve as a source of essential information for composition, organization and performance of educational programs conceptually related to the significance of proper oral-dental status, without foci of persisting infections, for adequate control and precise management of common health disorders.

  • Speaker 5
    EFFECTS OF NURSING INTERVENTION BASED ON BASIC BUDDHIST PRINCIPLES AMONG PATIENTS WITH TERMINAL CANCER
    Time: 11:30
    Speaker
    Sureeporna Thanasilp
    Chulalongkorn University
    Thailand
    Biography

    Sureeporn Thanasilp is working as the faculty of nursing in Chulalangkorn university, Thailand. She has completed her bachelors in nursing and midwifery at Prince of Songkla University, Thailand in the year 1983. She did her masters in nursing at Medicine Mahidol University, Thailand. Her areas of expertise are symptom management & quality of life, palliative care and end of life care.

    Abstract

    Patients with terminal cancer can suffer from various symptoms, affecting their quality of lives as well as their caregivers’ lives. As caregivers, they often spend a lot of time to take care the patients especially in terminal illness, it is essential for them to have ability to deal with their emotion and manage those common symptoms. The previous study found that caring behavior of caregiver related to quality of patient’s life.

  • Speaker 6
    USING PATIENT SATISFACTION SURVEY DATA TO IMPROVE AND MONITOR THE PATIENT CARE
    Time: 11:55
    Speaker
    Jailan M. Gabr
    Kuwait Cancer Control Center
    Kuwait
    Biography

    Jailan Gabr is a knowledgeable and committed person. has worked at Kuwait control cancer center as a cytology specialist, also quality and safety officer at cytology lab. Her evaluation based on lab quality indicators and statistical data for improving lab performance. She has participated as a speaker in Turkey and London in addition poster presentation at Institute Of Healthcare Improvement in Boston & Amsterdam . Her experience in quality is 6 years. Participating in hospital committees, Quality Indicator Team, Emergency Team, Quality Improvement Team…etc. Furthermore, was one of the lab accreditation team at Kuwait control cancer center.

    Abstract

    Fine Needle Aspiration (FNA) had become a well-established diagnostic component in pathology. The need for FNA in a 200 bed and the only tertiary care center for cancer is even more. Having realized that, the laboratories department decided to reduce the TAT of FNA in order to shorten the time to treatment of a patient. Four improvement interventions were introduced consecutively, a new program for patient’s appointment, a new second FNA clinic for FNA blind cases, implementation of co-path system (Pathology Information System), and providing information and instruction about FNA procedure to patients in a clear informative and understandable manner. These interventions were selected based on the annual patient satisfaction survey programmer’s recommendations, as required by the National Accreditation Standards. The standardized questionnaires have been distributed annually to 300 patients on average, for three months: from April to June 2014- 2016. In 2017 Standardized questionnaires have been distributed monthly to 35 patients on average. The analysis used a quantitative method for measuring and evaluating patient satisfaction. Based on patient surveys and comments, the clinical laboratories department was able to improve patient care. Improvements were to keep waiting to a minimum, so waiting time was minimized. All patients were called within 30 minutes of their appointment time. The waiting area was less crowded, thus alleviating stress. Co-path system helped to avoid long waits for lab results to be released. Analysis of patient satisfaction survey for years 2014, 2015,2016 and 2017 revealed increase from 65%, to 71%, 84%, 90% in 2015, 2016 and 2017 respectively. Patient satisfaction is a good source for selection of improvement projects. In addition, it is a good outcome measure of care quality, provided that it was designed in a way to ensure validity and reliability. Feedback from patients is an integral part of the hospital’s quality improvement process.

  • Speaker 7
    NOVELTIES IN ADDITIVE MANUFACTURING AND BIO-PRINTING
    Time: 12:20
    Speaker
    Kai-Wei Katherine Wang
    Mackay Medical College
    Taiwan
    Biography

    Kai-Wei Katherine Wang has completed her PhD at the age of 26 years from Queensland University of Technology, Australia. She is the associate director of the Department of Nursing and the associate professor of Mackay Medical College, Taiwan. Her recent publications focuses on the care of children with critical illness and their family, particularly related to respiratory diseases in young children and enhancing care of families with oxygen-dependent children at home. She has an online support forum established to support this group of families in Taiwan.

    Abstract

    To explore and identify risk factors associated with stress and uncertainty among Taiwanese parents of children with tracheobronchial malacia (TBM) and trachea bronchostenosis (TBS) in a pediatric intensive care unit. An increasing number of children are undergoing flexible bronchoscopy due to tracheobronchial malacia and stenosis but there is little research related to their parents’ stress and uncertainty. A cross-sectional study design was implemented using two psychometric scales; Parenting Stress Index and Parents’ Perception of Uncertainty Scale. Parents of Taiwanese children (0–18y/o) with a diagnosis of TBM or/and TBS who underwent bronchoscopy in a pediatric intensive care unit (PICU) were recruited. Analysis used descriptive statistics and multivariable linear regression (GEE).

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