5^th World Nursing and Nursing Care Congress

Biography:

Marci Bradley is a Clinical Nursing Director at UPMC Hamot. She has been with UPMC Hamot for 36 years in a variety of roles and is the key driver and mentor for a successful Nurse Leader Residency Program. Marci is a published author and has presented in a number of venues. Marci is responsible for achieving quality patient outcomes in ten large Med-Surg units and has led numerous successful quality initiatives. She received her BSN at Edinboro University, her MSN at Gannon University and is Nurse Executive Board Certified since 2013.

Abstract:

The need for proper succession planning has never been more urgent. Data suggests that over 75% of current nurse leaders will leave the workforce within the next 5 years generating more than 67,000 leadership vacancies. This energizing session outlines a mature 3-month nurse leader residency (NLR) which demonstrates many of the best efforts described in the nursing literature, but the overall success is attributed to constructs associated with the discipline of Sociology.

The program was designed for staff nurses with leadership aspirations who could apply for two NLR positions on a biannual basis. The bedside nurses joined the nursing executive team full-time to participate in all organizational leadership activities, partnering with the CNO, nurse executives, and nursing directors. The program structure was also holistic in nature providing a dedicated mentor, didactic content, shadowing, journaling and completion of a project.

Social learning theory states that people learn by watching what others do and imitating behaviors, attitudes, and emotional reactions. Immersion into varying roles and responsibilities provides opportunity for social learning, networking, and role observation. In the setting of nursing leadership succession planning, there is significant value in establishing relationships between emerging leaders and seasoned leaders to support observation and imitation. Sociologists identify that those relationships culminate in bonds that are identified as social capital.

There are now numerous applicants for the residency and multiple candidates for any leadership vacancies. The program has become a powerful tool for succession planning in this organization.

Biography:

Ajayi Olufunke Abiodum is a nurse - Chief Nursing Officer (Preventive Health) at the Obafemi Awolowo University, Medical and Health Services, Health Centre, Ile-Ife, Osun State Nigeria. She is also a Barrister and Solicitor. She manages patients and clients both at the hospital and in the community especially in the field of public and community health, and also applies her knowledge of law. She has Masters in Public Administration, B. Sc. Nursing Administration, LLB in Law, BL in Law; Registered Nurse (RN), Registered Mid-wife (RM); Registered Public Health Nurse (RPHN).

Abstract:

Acquired Immuned Deficiency Syndrome (AIDS) caused by Human Immuno Deficiency Virus (HIV) has continued to pose serious challenges worldwide. According to Anjali Singh and Shikha Jain (2009), nearly half of the new HIV infections are occurring in young people.  The statistics is even more alarming when we consider its prevalence among students. For instance, according to UNAIDS (1998), about 5% of all new infections around the world occur among students whose ages range between 15 and 24, the age range within which most students begin their sexual lives.

It is against this background that this study sets out critically to examine the level of awareness and perception of University students of HIV/AIDS using Obafemi Awolowo University, Ile-Ife, Nigeria as a case study. To achieve the objectives of the study questionnaire was designed and administered on 1400 randomly selected students of the University drawn from the different faculties. Eventually 450 could be retrieved out of which 260 proved usable and could be analysed. The data were analysed using descriptive statistics and cross tabulations were made to aid further discussion of the data.

The results of the survey revealed that the greater number of respondents believed that Human immunodeficiency Virus can be contracted from being raped (94%), while 93.5% believed it is through blood transfusion, but 90.8% has the opinion of through sex; moreover respondents have varied views on causes of HIV and the one that occurred most frequently was needle (91.2%), closely followed by tattoo, body piercing and visiting the barbers which accounts for 89.2%.

When both sexes opinion were asked for, a lesser percentage from both viewed it as an ordinary infection, while 64.1% of male and 63.3% of female see it as a deadly disease and not withstanding 30% female as against 24.8% male have the opinion that HIV is an incurable disease.

The study concluded that since there is no cure for HIV/AIDS and life prolonging drugs are expensive and largely unavailable in less developed countries, and in this survey, most of the students do not have awareness of the major cause of HIV/AIDs, thus prevention will remain the backbone of programmes to curb the HIV/AIDS epidemic for the foreseeable future, which will be in form of comprehensive programme i.e. prevention, care, treatment and support interventions.      

Biography:

Lorrie Blitch has an impressive and diverse career in nursing and as a business owner. She is owner of Magellan Christian Academies for the past 18 years in Phoenix, Arizona and Jacksonville, Florida. Her schools have won numerous awards including Declaration of Magellan Day by the Mayor of Jacksonville, Florida in 2010. Ms. Blitch was awarded the prestigious title of Top Women in Business in Jacksonville, Florida by Jacksonville Magazine and recognized in Arbus Magazine as a Female Entrepreneur." She is a published author of children's books achieving number one on Amazon. Her experience in nursing is impressive that encompasses critical care, trauma, cardiovascular intensive care, toxicology, administration and management, nursing professor, medical-legal nursing and field hospital nursing. She is a nurse educator for the Banner Health System in Phoenix, Arizona responsible for the education of multiple service lines. Ms. Blitch frequently lectures internationally on nursing topics. She served her country honorably as a Naval Officer for 20 years. Ms. Blitch holds a bachelor's degree in nursing and a master's degree in nursing education and is pursuing a doctorate degree in nurse anesthesia. She sits on the Board of Directors for the Banyon School, New Delhi, India. She lectures on the dangers of academia's "Indoctrination Establishments and the importance of returning to traditional academic learning.

Abstract:

According to a medical report by CDC, millions of patients are usually admitted to ICU annually in which a third of this population require a ventilator for breathing purposes. They are critically ill and after leaving the ICU, most of them develop health complications related to their injury, illness, ventilator and other treatments. In most cases, such issues are hardly treated and continue after a patient leaves the health sector. Notably, sepsis, delirium, and respiratory distress syndrome may increase the chances of a person experiencing these health issues (Scruth, 2014). There has been an advancement of healthcare with a motive of improving outcomes for these patients as well as their recovery.

Post-Intensive Care Syndrome (PICS) refer to the disability likely to be encountered by survivors of critical illness. It includes psychological health, physical function, and impairment in cognition. Consequently, the health of the family members may deteriorate as well. According to Rawal et al., (2017), this health problem is usually regarded as PICS-Family (PICS-F). PICS-F refers to chronic psychological effects encountered by family members and its symptoms comprise of complicated grief, stress, depression, and anxiety. In other words, PICS may be defined as new cognitive, physical or mental health that arises from a critical illness previously subjected to an intensive care unit. According to statistic, 30 percent of family members experience PICS-F. Cognitive impairment is the dominant one and occurs in an aggregate of 25 percent of survivors. This problem is associated with complications such as hypotension, glucose dysregulation, acute brain dysfunction, severe sepsis, and hypoxia. On the other hand, chances of acquiring psychological disability range between 1-62 percent.

Management and prevention is a critical medical strategy that should be emphasized. Each and every patient to be admitted in ICU should first undergo a psychological evaluation. The evaluation comprises of medication history, preadmission history, environmental factors as well as their strength to tolerate stress. An ICU syndrome can be treated through the elimination of causative factors, proper administration of sedatives, reduction of environmental stress and family communication. The other interventions likely to mitigate PICS comprise of ICU diaries, avoiding hypoxemia & hypoglycemia, good nutrition status, follow up counseling and more so an adequate sleep. PTSD, depression, and anxiety tend to be treated by combining non-pharmacological and pharmacological, behavioral, and psychological therapies.

Care “bundles” refer to a set of evidence-based practices that are usually implemented to improve patient outcomes and more so their reliability on delivery. The functions of care bundles are to reduce unauthorized antibiotic prescribing, infection prevention, and developing antibiotic resistance. There are multiple benefits realized from care bundles. In most cases, they enhance compliance to the quality of the evidence-based procedure. Also, they have been approved to create consistent and reliable care systems in a healthcare setting. This is perpetrated by their clear, simple and concise nature. Most importantly, performance measures and implementation stands out as very crucial. Care bundles are implemented through education, training, will-building, and feedback.

In relation to the PIC, ABCDE bundle has been considered as most effective. It is an effort usually coordinated by various disciplines in the management of patients at ICU. Its primary aim is to mitigate immobility, development of delirium, and over-sedation (Balas et al., 2013). The bundle entails A (awakening trials), B (spontaneous trials for breathing), C (Effort coordination), D (delirium assessment that is standardized), and E (early mobilization of patients). Seemingly, the bundles should also be utilized in the prevention or treatment of PIC-F.