Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 7th World congress on Nursing Leadership & Management Berlin, Germany.

Day :

  • Public Health Nursing|Nutrition and Health|Midwifery Nursing
Location: Germany

Session Introduction

Vandana Bhagat

University of Tasmania, Australia

Title: Incorporating oral health into nursing curriculums - A systematic review
Speaker
Biography:

Vandana Bhagat is a dentist from India and completed her Masters degree in advanced Health Services Mangement from Griffith University, Australia. She is currently a PhD candidate in the Centre of Rural Health at University of Tasmania, Australia.

 

Abstract:

Statement of problem: The oral health of older people in residential aged care has been widely identified as poor.  The growing number of age care residents, especially those who have retained their teeth, has raised concerns for policy makers when addressing service gaps in the provision of effective and timely oral care.  Nurses play an important role in providing oral health care to older people, but currently, it is a low priority. This study synthesized the evidence on incorporating oral health education into the nursing curriculum and evidence on the current attitude and knowledge of nursing students towards oral health.

Methodology & Theoretical Orientation: Three databases PubMed, CINHAL & Scopus were searched using  keywords: oral care, oral health, oral hygiene, nursing students, nurse educators, curriculum, knowledge and attitudes. Inclusion criteria were (1) published between 2008-2018, (2) studies written in English, (3) participants being nursing students or nursing educators , (4) based in  Organisation of Economic Co-operation and Development (OECD) countries. Selected articles were assessed using the Mixed Methods Appraisal Tool and data extracted were thematically analysed.  

Findings: Few nursing schools incorporated an oral health module in their curriculum or adopted the interprofessional education (IPE) model.This model focusses on teaching nursing students about oral-systematic health connections, with the nursing students working with, learning from, and contributing to the knowledge of dental and allied health professionals. There was poor oral health knowledge and an inconsistent attitude towards oral health practice among nursing students.

Significance: The incorporation of oral health knowledge and effective care into regular nursing education and practice, and adoption of IPE model may contribute to improvement in the attitude of nursing students towards maintaining the oral  health of older people in residential aged care.

Biography:

Dr Li is currently an associate professor of the Department of Computing at The Hong Kong Polytechnic University, and the program leader of Double Degree in Computing and Management. She received the B.Sc. and M.Sc. degrees from Tianjin University, China, and the Ph.D. degree from the Department of Systems Engineering and Engineering Management at the Chinese University of Hong Kong, Hong Kong, all in system engineering. Before joined the Hong Kong Polytechnic University in 2001, she was a postdoctoral researcher in the Department of Systems Engineering and Engineering Management at the Chinese University of Hong Kong.

Abstract:

In nursing education, evaluating students’ learning outcome on the ability to perform nursing skills is an essential but a challenging process, and is associated with the subjectivity of judgement. The nursing skills examination via videotape has been implemented as an alternative approach for a fairer and objective judgement of nursing students’ performance. Following this, this study explores the use of videos for practical exam and its relevant interrater reliability, with the aim that it is as reliable as and more flexible and efficient than the real-time practical exam. The respondents were 29 final year nursing students from School of Health Sciences (Nursing), Ngee Ann Polytechnic Singapore. Their performance was first assessed by direct observation or real-time assessment. Six months later, two raters assessed these students’ performance via videos captured during the real-time assessment. An independent t-test was employed to compare the scores awarded between real-time and videotaped assessments. The results showed no significant difference between the 1) two raters via videotaped assessment; 2) real-time and videotaped assessments. The Intraclass Correlation Coefficient for all three assessors was 0.867, demonstrating high interrater reliability. This study showed that the videotaped practical exam is as effective and reliability as the practical exam. It is also more flexible as raters can assess at any time they want to or at any place. The videotaped practical exam can be employed as an alternative way for assessing nursing students’ performance, especially in large cohort for its objectivity and efficiency. 

Biography:

Tam B acted as an ex-nurse consultant in Renal Nursing in Hong Kong. She was appointed as senior lecturer at the Tung Wah College.  Likewise, she serves as the Adjunct Assistant Professor of the Chinese University, Hong Kong, Honorable consultant of Lingnan Hospital, Sun Yat-sen University, China, and the Professional Consultant of Lock Tao Nursing Home-Renal Centre. Being one of the founder of the Hong Kong Renal Nurses Association,  She is very much concern the continuous nursing education and quality patient services. Her research interests are renal nursing, palliative care and patient education.

Abstract:

Background: Palliative care was increasing adopted for irreversible chronic disease in the recent decade. A nurse-led transitional palliative care model was adopted in the process of care.

Objectives: This randomized clinical trial examines the difference of intervention effect between the intervention and control groups.

Method: Purposeful criterion sampling was adopted. There were 76 ESRF patients (intervention : 38 and control : 38) recruited from a general regional hospital in Hong Kong. Demographic data such as gender, age, education level, accommodation, cohabitants, occupation, and comorbidity illness were collected. 

Primary outcome variables include non-scheduled readmission rate, length of stay in the hospital and utilization of Accident and Emergency Department.

Secondary outcomes variables including health-related quality of life with subscale of symptoms problem list, effects of kidney disease, burden of kidney disease , physical and mental  composite score, physical symptom manifestation; palliative performance Scale; Hospital Anxiety and Depression;  Satisfaction with care and Zarit carer burden. Data collection was carried out from August 2014 to October 2017 at the baseline, 1, 3, 6 and 12 months after recruitment.  Repeated measures of analysis of variance were adopted for comparing the group difference over five time-points of two independent random samples.

Results The mean age of the participants was 80.8 + 10.8 years old with comparable demographic characteristic in both groups. There were significant between group differences with intervention group presented better in both primary and secondary outcomes.

Discussion The findings evidenced the positive effects of the nurse-led transitional palliative care model on patient with irreversible chronic renal disease. In addition, caregivers of the intervention group presented less burden in caring the patient that echoed the implications of appropriate and timely supports to the patient and their caregivers.  

Biography:

I am a highly qualified and awarded Registered Nurse, with a specialty in Health Science (Public Health).I am also studying for an Honours Degree in Psychology and Criminology I have extensive experience working some of the most demanding and challenging emergency departments within the country, especially within very remote areas. I have managed to retain my own unique and individualistic approach to nursing, which is a constant hunger for knowledge and an ability to quickly create rapport with not only my patients but my colleagues, has been one of the main reasons for my many successes. I am also an entrepreneur and operate my own IT business, specialising in complex data recovery procedures for corporate clients. Coming from a Public Health background, I have worked on several health promotion projects. My most successful being those that translate research evidence into "real-world" interventions, especially within the mental heath field.

Abstract:

A recent systematic review and meta-analysis by Kaplan (2013) that compared benzodiazepines with antidepressants for anxiety disorders, has triggered, in my first-line treatments for common mental health conditions, such as generalized anxiety disorder, PTSD, social anxiety disorder and panic disorder, and their efficacy in remission rates, both short and long-term. While there has been a shift in recent years toward using such newer antidepressants as SSRIs and SNRIs as first-line treatments for anxiety disorders instead of benzodiazepines, we question whether the shift is warranted. The change in the prescribing patterns that favor newer antidepressants over benzodiazepines in the treatment of anxiety disorders “has occurred without supporting evidence.” There is no evidence to suggest that antidepressant drugs are more effective than benzodiazepines in anxiety disorders. Certainly, benzodiazepines have fewer side effects. Trials that compared benzodiazepines with the newer antidepressants, resulted in comparable or greater improvements and fewer adverse events in patients suffering from GAD or panic disorder. Venlafaxine extended-release, used in 540 patients with GAD showed no significant differences. “The shift from benzodiazepines to antidepressants is one of the most spectacular achievements of propaganda in psychiatry. The use of antipsychotics for anxiety disorders follows the same lines.” I argue that Benzodiazepines should be considered first-line pharmacological treatment for all anxiety disorders, in combination with a healthy diet, CBT and daily physical activity. However, whereas CBT is very good for anxiety because it strengthens the individual, improves your coping ability, and lets you become more resilient to stress, benzodiazepines may do the exact opposite. It has not been extensively investigated, but it is probably true that benzodiazepines may sometimes interfere with CBT programs. CBT requires some anxiety that individuals need to experience upon exposure to desensitize themselves over time. But if they take a potent anti-anxiety drug, they just won’t be anxious.

Speaker
Biography:

Mrs Simranjit Kaur, has completed her Bachelor’s degree in Nursing from College of Nursing, Christian Medical College and Hospital, Ludhiana, Punjab, INDIA and did Master’s Degree in Paediatric Nursing from University college of Nursing, Baba Farid University of health sciences Faridkot, Punjab, INDIA. Presently she is also pursuing Post-doctoral studies in Paediatric Nursing from Baba Farid University of health sciences Faridkot, Punjab, INDIA. She has published more than 15 papers in reputed journals.

Abstract:

A cross-sectional study was undertaken to assess the co-relation of BMI with the prevalence and severity of asthma in 23 school children aged 07-12 years and the BMI of 16.27 3.11. Automated spirometer was used to assess the lung function tests of the children. I used mainly PEFR ((Peak Expiratory Flow Rate) as a guideline to make the diagnosis of asthmatic or non-asthmatic based on the Spiro metric results. Reversibility of airway obstruction was done by repeating spirometery after two puffs of salbutamol inhaler. The results indicate that BMI, which is a measure of body fat, has a strong co-relation with the lung function tests. A significant decrease was observed in the values of Pre-PEFR and FEV1 ((Forced Expiratory Volume in 1 second)  with an increasing BMI indicating that body fat has a bearing on the severity of asthma (p=0.001). No significant relationship was identified between % FEV1 and BMI. Per-PEFR showed a trend towards becoming significant (p=0.187). This study supports the view that there is a definite trend co-relating severity of asthma symptoms and body weight.