25^th World Congress on Nursing & Healthcare November 08-09 , 2018 Sydney, Australia

Biography:

Noppawan Piaseu is currently the Chair of Master Program in Community Nurse Practitioner, Ramathibodi School of Nursing.

Abstract:

Aim: This mixed method approach was aimed to develop the model for nutrition health promotion and education in communities in Thailand.

Method: Situational analysis was conducted in five catchment areas in Bangkok. The focus groups and public forum revealed a need for nutrition monitoring, capacity building and community engagement concerning non-communicable diseases in Thailand. Trained community volunteers conducted nutrition screening using anthropometric measurement in 466 community dwellers aged 20-82 years.

Results: It was revealed that 18.9% were overweight and 62.8% were obese. Campaign involving stakeholders was then launched aiming at promoting appropriate intake of low fat, low salt, less sweet diet and increased regular exercise. Mobilizing change was successful through community empowerment, participation, partnership, networking and continuing support from family, community and health team. At 6-month follow up, overweight and obesity decreased to 16.3% and 48.7%, respectively.

Conclusion: This driving process named RAMA model included four major strategies: Raising community awareness; Aiming at target outcome; Mobilizing change; and Assuring synergy and sustainability as key success. The results suggested that nutrition health promotion through community-based intervention and participation was successful. The RAMA model was applied and extended by many studies, achieving effectiveness with positive outcomes.

Biography:

Assistant Professor at Faculty of Nursing, Thammasat University

Abstract:

Objective: The Thai Impact and Burden Care Scale (TIBCS) was developed to assess the impact on caregivers of caring for patients with schizophrenia. The objective of this study was to develop a scoring algorithm for the TIBCS, and evaluate its measurement properties.

Methods: The TIBCS was administered to 297 caregivers of persons with schizophrenia. Three a priori models, the two-factor, three factor, and bi-factor models, were examined by maximum likelihood confirmatory factor analysis (ML-CFA) and Bayesian structural equation modeling (BSEM). BSEM specified approximate zero cross-loadings and residual correlations through the use of zero-mean, small-variance informative priors. The model comparison was based on the Bayesian information criterion (BIC).

Results: The using ML-CFA, none of the three models provided an adequate fit for either sample. The BSEM two-factor model with approximate zero cross-loadings and residual correlations fitted both samples well with the lowest BIC of the three models and displayed a simple and parsimonious factor-loading pattern.

Discussion: Overall, the scale demonstrated very good measurement properties supporting its relevance to comprehensively measure the impact and burden care of caregivers of persons with schizophrenia.

Biography:

Mohammad Bayoumi is a Neonatologist in Hamad Medical Corporation, Qatar. He has completed his Bachelor’s degree in 2001 from Al-Azhar Faculty of Medicine, Egypt and Master’s degree of Medicine in 2006, MD in 2010 and MRCPCH in 2012. He is a Member of Society for Simulation in Healthcare and a Member in the Board of Directors (BOD) of International Pediatric Simulation Society. He is the Director of Neonatal Simulation Program, Neonatal Central Line Insertion Workshop and Communication Skills Simulation Course. He is an NRP and Communication Skills Instructor.

Abstract:

Introduction & Aim: The use of simulation during the Neonatal Resuscitation Program (NRP) course allows clinicians to solidify their cognitive skills, practice their technical skills and improve their behavioral skills to optimize communication, teamwork and patient safety. Maintaining resuscitation skill requires continuous practice, supplemented by simulation maintenance training as needed. The aim of the study is to assess the inter-professional simulation outcome in the decision making, timing and skills of neonatal endotracheal intubation. The study compares the outcome in those with and without Neonatal Resuscitation Program (NRP) certification.

Method: The Mobile Pediatric Simulation (MPS) team conducted two inter-professional multiphasic hands on neonatal emergencies simulation workshops in Qatar and Egypt. We used the online survey tool to measure the effectiveness of the workshops, surveys were sent to the attendees immediately after the workshops. The survey defines the NRP certification but the identities of the responders were not disclosed.

Results: We received 22 questionnaire’s responses from different levels of the attendees. Half of them only are NRP certified. There was a highly positive correlation between the pre and post workshop neonatal intubation decision making, timing (R=0.83) and hand skills (R=0.82). Unexpectedly, there was no significant correlation between those who have a valid NRP certification and those who do not regarding the intubation hand skills, timing and decision making.

Conclusion: It is concluded that the inter-professional hands on neonatal emergencies simulation workshops were very effective and essential learning tools to improve the decision making, timing and skills of neonatal endotracheal intubation. It is an essential adjuvant tool for the NRP to promptly save lives and enhance the patient safety.

Biography:

Tayebeh Gharakhani Bahar has completed her Midwifery Bachelor's degree from Tabriz University of Medical Sciences, Iran. She is currently working as a Midwife and conducted research at Hamedan University of Medical Sciences.

Abstract:

The purpose of the present study was to compare the effects of mint tea bag, mint cream and breast milk on the healing of cracked nipple during lactation. This was a clinical trial with a control group and pre-test and post-test design. This study was conducted in Health Centers of Hamadan University of Medical Sciences in 2016-2017. Samples were divided into three groups (n=72 subjects in each group). Interventions were performed at least 4 times a day for 14 days after the start of treatment. Data was collected through the cracked nipple measuring checklist, the amount of wound and demographic questionnaire before the intervention and on days 4, 8 and 14 after the intervention. Data analysis was conducted using descriptive and inferential statistics via the SPSS v.21 software. There was a decreasing trend in the mean score of crack pain on days 0-14 in the groups of mint cream, mint tea and breast milk after the intervention. However, there was a statistically significant difference in the breast milk group (p<0.001). Additionally, in the comparison between the groups, there was a decreasing trend with a significant difference in the mean score of wound in three groups before the intervention (p<0.001) and on the fourth day after the intervention (p=0.003). The results of the present study indicated that breast milk was more effective than mint cream and mint tea in the treatment of cracked nipple.

Biography:

Bongkot Wiriya has completed her Master of Nursing Science (Community Health Nurse Practitioner) studies from Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University and Bachelor of Nursing Science from Faculty of Nursing, Mahidol University. She is a Registered Nurse at Siriraj Hospital, Faculty of Medicine, Siriraj Hospital, Mahidol University, Bangkok, Thailand.

Abstract:

This correlational research aimed to describe prevalence of sarcopenia and investigate relationship of personal factors and health and behavioral factors with components of sarcopenia in older adults with type-2 diabetes mellitus. Sample included 396 older adults from Bangkok and surrounding areas. Data were collected using structured interview, nutritional assessment, body composition analyzer, handgrip strength test and 6-meter walk test. Data were analyzed using descriptive statistics, Spearman Rank Order Correlation, Point Biserial Correlation and Biserial Correlation. The results revealed that the majority of the sample were female with mean age of 68.6±6.8 years and the prevalence of sarcopenia was 1.3 %. Also, the findings found that the components of sarcopenia comprising of low muscle mass, low handgrip strength and low gait speed were significantly correlated with personal factors of age (rs=0.307, p<.001), gender (rpb=-0.204, p<0.001) and co-morbidity (rs=0.124, p=0.013); moreover, they were significantly correlated with health and behavioral factors of depression (rs=0.237, p<0.001), level of physical activity (rs=-0.178, p<0.001), waist circumference (rs=-0.145, p=0.004), alcohol consumption (rb=-0.204, p<0.001) and cigarette smoking (rb=-0.147, p=0.003). However, two personal factors, diabetes duration and hemoglobin A1c and one of health and behavioral factors, body mass index, were not significantly correlated with the components of sarcopenia. The results suggest that nurses promote physical activity and adequate protein consumption, monitor depression and advise for reduction of alcohol consumption and cigarette smoking, particularly in female older adults with co-morbidity.