Scientific Program

Day 1 :

Keynote Forum

Emily McWhirter

Director of Nursing Royal Hospital for Neuro-disability UK

Keynote: Nursing patients with a profound brain injury: Managing complex ethical issues with compassion at the end of life

Time :


Dr Emily McWhirter is the Director of Nursing at the Royal Hospital for Neuro-disability in London, UK. The hospital specialises in caring for patients with profound disability following acquired brain injury, as a result of major trauma or severe medical illness. Emily has been a nurse for over 30 years. She has a PhD in nursing management, with research interests in major trauma, patients experience, and nursing leadership and education.


Caring for patients at the end of their lives is a challenging but essential part of the role of a nurse.  Providing an environment where patients can feel pain free, calm and at peace is an important part of this care, and supporting relatives and friends to come to terms with the death of a loved one takes skill, compassion and empathy. Experience and insight help nurses to manage these processes well but critical to providing high quality care at the end of life lies in high quality education and training.


The Royal Hospital for Neuro-disability (RHN) provides care for patients who have an acquired brain injury. A number of these patients have a diagnosis of a prolonged disorders of consciousness (PDOC), including vegetative (VS) and minimally conscious states (MCS). They may remain in the hospital for the rest of their lives. For some, this may be for many years, even decades.


Caring for patients in VS or MCS is complex. Over time, nursing and healthcare staff come to know these patients and their family and friends very well.


The laws around withdrawal of clinically assisted food and hydration in the UK are clear. Decisions   around treatment plans and resuscitation status are made in the best interests of each patient and yet the ethical issues that evolve as a result challenge every individual who plays a role in the provision of care. Cultural, religious and personal views are important to all staff and cannot be ignored.


Establishing a bespoke training programme for staff from multiple cultures, faiths and perspectives who are involved in end of life care has enabled staff groups to address the issues around ethics, the law, best interests and conflict in a way that has united the workforce to deliver a high-quality service in a complex speciality, at the end of life.


  • Health Care

Dedy Arisjulyanto is one of the postgraduate students of Public Health Universitas Gadjah Mada, he has expertise in overcoming non communicable diseases with complementary therapy, this research was conducted directly in the community and analyzed it by quantitative way and various theoretical references, this research became a very good recommendation in overcoming hypertension problem in world



Purpose: Hypertension is one of the leading causes of mortality in Indonesia, there is a significantly increasing trend in annual hypertension prevalence in Indonesia. Hypertension is one of the most common diseases in NTB, the prevalence of hypertension measured based on blood pressure in NTB is 1,523,574 (32.4%), it is higher than the national rate (1,255,537 (26.7%) of 4,702,389 people). The highest prevalence of hypertension in Mataram City is in Cakranegara Primary Care, there are 724 people with hypertension in this primary care working area. The purpose of this study is to determine the average number of patient’s hypertension rate at Cakranegara Primary Care before and after given muscle relaxation techniques.

Method: This study uses "Quasi Experiment Design" with control group as comparison. The population in this study are 724 hypertension patients and 27 patients as sample based on inclusion and exclusion criteria.

Results: The results of this study indicates that the T-test calculation using Quasi Experiment Design shows the difference of average of hypertension rate before and after given progressive muscle relaxation technique. It is 10,306 mmHg in intervention group and 1,425 mmHg in control group. The p-value in the intervention group is 0.000 that is smaller than α = 0.05 and the p-value of control group is 0.431 that is greater than α = 0.05.

Conclusion: From this study, we can conclude that there is a difference of hypertension rate between intervention and control group. We hope this progressive muscle relaxation technique can be used as an appropriate alternative or complementing treatment to control Hypertension rate.


  • Public Health Nursing

Session Introduction

Norman B. Juruena

Otorhinolaryngology-Head Neck Surgery Unit,Southern Philippines Medical Center, Philippines

Title: Predictors of health outcome among patients with type II diabetes mellitus

Dr. Norman B. Juruena is currently working as Nurse II at Southern Philippines Medical Center as well as Assistant Professor I (Part-time) at Davao Medical School Foundation, Inc. He received his PhD in Nursing Practice in 2017. He completed his Master of Arts in Nursing major in Medical-Surgical Nursing in 2015. He is currently undertaking his second professional doctorate degree, Doctor of Healthcare Management. He also works as one of the Editorial Board Members and Peer Reviewers in Nursing and Palliative Care International Journal at Ology Press in Budapest, Hungary. He has authored two research studies, one for Master’s thesis and the other is Doctorate dissertation. His works reflect his research interests in healthcare management and clinical nursing. He is serving as a member of Philippine Nurses Association and National League of Philippine Government Nurses.


Diabetes Mellitus is a common chronic condition almost worldwide. The management of this disease is a lifelong care with complex course of therapy which requires thorough understanding of the disease and adherence to treatment regimen. However, Diabetes Mellitus remains to be a major public health challenge worldwide. The study examined the factors that predict the health outcomes among patients with Type II Diabetes Mellitus utilizing a descriptive-analytical design. The study was composed of 128 patients who were 18 years old and above, diagnosed at least a year with Type II Diabetes Mellitus, no previous surgeries or hospitalization, independent and with little assistance in self-care activities, able to read, understand and sign informed consent, lives in a home setting, and currently on an outpatient status. Most of the patients were 60 years and above and were females with vocational education, married, retired, with more than 16 years of diagnosis, with perceived good health status, mostly weighing below 50 kilograms, and were within the 1.54 to 1.69 meters of height range. In terms of treatments as perceived barriers to action, 60 patients (46.88%) agreed that there are too many treatments to manage. Most patients considered situational influences a moderate problem. The adherence level to health-promoting behaviors of the patients was rated good. The health outcomes of the patients in terms of body mass index, lipid profile, fasting blood sugar, and glycosylated hemoglobin A1c had normal results. Sex and weight were predictors of health outcomes for body mass index. Weight was a predictor of health outcomes for lipid profile. Dietary behavior, civil status and weight predicted the health outcomes for glycosylated hemoglobin A1c.


  • Continuing Nursing Education Updates

Session Introduction

Yacob Mathai

Marma Health Centre, Kochi ,India

Title: The Purpose of Temperature of Fever

A practicing physician in the field of healthcare in the state of Kerala in India for the last 29 years and very much interested in basic research. My interest is spread across the fever , inflammation and  back pain,. I am a writer. I already printed and published nine books in these subjects. I wrote hundreds of articles in various magazines.

After scientific studies for a long time, we have developed a theory, Which proves the temperature of fever is to increase blood circulation. we have developed 8000 affirmative cross checking questions. It  can explain all queries related with fever and  it considers the messages of the  body and the facts of physics



When the disease becomes threat to life or organs blood circulation decreases, Temperature of fever will emerges to increase prevailing blood circulation. And it acts as a protective covering of the body to sustain life.

When blood flow decrease to brain, the patient becomes fainted-delirious .If we try to decreases temperature of fever, the blood circulation will further reduced. Blood circulation never increases without temperature increase. Delirious can never be cured without increase in blood circulation.

The temperature of fever is not a surplus temperature or it is not to be eliminated from the body. During fever, our body temperature increases like a brooding hen`s increased body temperature.

The actual treatment to fever is to increase blood circulation.                                                                  Two ways to increase blood circulation.                                             1. Never allow body temperature to lose                         2. Apply heat from outside to the body. When the temperature produced by body due to fever and heat which we applied on the body combines together, the blood circulation increases.

Then body will stop to produce heat to increase blood circulation. And body will get extra heat from outside without any usage of energy.

How can we prove that the temperature of fever is to increase blood circulation?

If we ask any type of question related to fever by assuming that the temperature of fever is to increase blood circulation  we will get a clear answer. If avoid or evade from this definition we will never get proper answer to even a single question

If we do any type of treatment  by assuming  that the temperature of fever is to increase blood circulation , the body will accept, at the same time body will resist whatever treatment to decrease blood circulation.

No further evidence is required to prove the temperature of fever is to increase blood  circulation. 



Leda L Danao. Currently, graduate student, pursuing master programs in nursing administration and maternal and child nursing, Graduate School, Centro Escolar University, Manila, Philippines. Previously, experienced faculty member and college administrator, College of Nursing, University of the Philippines; and more recently, researcher and project director with extensive clinic and community participatory research experience including subject and community partner recruitment, data analysis and management, research tools development and administration, and project management of randomized controlled trials and translational research projects.



Statement of the problem: Nurse managers (NMs) play strategic roles in delivering quality healthcare and meeting client expectations at reasonable costs. There is little information about NMs’ competencies to do so. This research study addressed the competencies of NMs to manage standards-based nursing practice and the impact of a Nurse Manager Competencies (NMC) educational intervention on these competencies Theoretical orientation and methodology: Competencies were adapted from the AONE (2015) Competency Model. The RE-AIM framework (Gaglio,,2013; Glasgow, 1999) guided the impact assessment. A randomized controlled trial was conducted. 103 NMs from four public hospitals in Central Philippines were randomly assigned to the intervention (n=63) and control (n=40) arms and attended a 60-minute small group educational session about NMC or Women’s Health, respectively. The NMC session focused on NM competencies, managerial processes and standards of nursing practice.  Data were collected through self-administered questionnaires. Findings: Baseline competencies of nurse managers were higher in the domains of Communication and relationships management, Knowledge of the healthcare environment and Professionalism; and lower in the Leadership and Business skills and principles domains. Examples of higher competencies include Dedication to patient safety, Decision making, Clinical practice knowledge, Clinical skills and Ethics; lower competencies examples include Marketing, Cost benefit analysis, Information management and technology, Research process and Succession planning. Knowledge competencies were higher than Skill competencies. NMs who received the NMC intervention had significantly higher competencies to manage standards-based nursing practice (Effective), and were more likely to Adopt and Implement these competencies than NMs who did not. Conclusion: NMs have both high and low competencies. Receipt of an NMC intervention appeared to significantly increase NM competencies, as well as the adoption and implementation of these competencies. Recommendation: NM competencies in the Leadership, and Business skills and principles domains are priority areas for capacity-boosting activities such as NMC educational sessions.

Thank-God Okosun

Department of Peace and Conflict Studies, Nasarawa State University, Nigeria

Title: Collegiate nursing education and practice in Nigeria- Challenges and Successes

Thank-God Okosun (RN, RPHN, B.N.Sc, MPH, M.Sc (Peace & Conflicts), Ph.D (Peace & Conflicts-In View). He is currently working in the department of Peace and Conflict Studies, Nasarawa State University, Keffi, Nigeria


The paper explores the current situation and future development of collegiate nursing education and practice in Nigeria and their influence on health care. As the role of the nurses continues to expand, Nigerian nurses must be skillful in effectively using evidence-based and clinically relevant information to facilitate the best possible nursing care. Major issues and challenges in this regard are discussed with some recommendations on the way forward.

  • Occupational Health Nursing

Session Introduction

Nigussie Tadesse sharew

Dean of college of Health science, Debre Berhan University, Ethiopia

Title: Occupational exposures to sharp injury among Health care providers in Ethiopia regional hospitals

Nigussie Tadesse sharew is an expert nurse practitioner (MSc Adult health Nursing holder) who is currently working as a lecturer at Debre Berhan University. Nigussie is currently serving as a dean of college of Health science, Debre Berhan University. Nigussie has received various certifications on many aspects of nursing care. He is providing a free community service on live broadcasts about numerous nursing issues. Moreover, he has been pursuing various research projects which could possibly improve the quality of nursing care in Ethiopia. Some of the articles which are being considered for publication includes, A systematic review and meta-analysis of Infant and young child feeding practice in Ethiopia, A systematic review and meta-analysis of predictors of cervical cancer screening in sub Saharan Africa and adherence to dietary and physical activity recommendation among diabetic patients in Ethiopia. Nigussie is highly motivated to take a part at any international stage which could improve his research experience and expertise.



Background: According to World Health Organization pooled estimate, the annual incidence of sharps injury in Africa was ranged from 2.10 to 4.68 per person per year, but research data in Ethiopia is limited. The aim of the study was to investigate sharps injury prevalence and associated risk factors


Methods: Institution based cross-sectional study was conducted with 200 healthcare providers (HCP) in Northeast Ethiopia. Proportionate stratified sampling was used to select HCP. Sharps injury during the last 12 months was an outcome variable. Data was collected adapting the World Health Organization best practices for injections and related procedures toolkit. Bivariate and multivariate logistic regression analysis was carried out to identify sharps injury associated risk factors


Results: In total, 195 HCP participated with a response rate of 97.5%. The prevalence of sharps injury was 32.8%. Following adjustment for covariates health care workers who had no in-service job training (p < 0.001, OR = 4.7, 95% CI = 2. 05–10.56) and HCP who had previous exposure to sharps injury (p-value = 0.002, OR = 3.7, 95% CI = 1.62–8.27) were more likely to experience sharp injuries.


Conclusions: This study revealed 32.8% or at least three out of ten HCP exposed to sharps injury. This was found statistically significant among HCP who had no in-service job training and who had previous exposure to sharps injury. Thus, training HCP perhaps increases their skill and curiosity to reduce exposure to sharps injury.