Webinar on Healthcare and Nursing€¦ · Page 2 Webinar Time Zone (GMT) Speaker Time Zone 12:10 -...

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Nursing Virtual Summit 2020

Group

Webinar on Healthcare and Nursing

22 August, 2020 | 12:00 to 19:00 (GMT)

Webinar

Time Zone (GMT)

Speaker

Time Zone

12:10 - 12:50 14:10 - 14:50Title: Technological and digital innovations bring about change in nursing

professionalism while maintaining the human touchIris Meyenburg Altwarg, Com-p-tense Germany GmbH, Germany

12:50 - 13:30 08:50 - 09:30Title: Sexual Issues in Cancer PatientsPenny Daugherty, Northside Hospital Cancer Institute, USA

13:30 - 14:10 09:30 - 10:10Title: Giving a voice to female military veteran suicide and self-harm

Renee’ B. Bazzelle, US Navy Nurse Corps, USA

14:10 - 14:30 10:10 - 10:30

Title: Emerging paradigm of patient care in the age of wearable

technologyElvessa Narvasa, Canadian Council of Cardiovascular Nurses,

Canada

14:30 - 14:50 00:30 - 00:50Title: Nocturnal assisted practices for sleep in the intensive care unit (NAPS

in ICU)Julie-Ann Martin, St Vincent's Hospital Melbourne, Australia

14:50 - 15:10 16:50 - 17:10Title: Management of the Covid 19 in Paris and Ile de France region

Eric REVUE, Prehospital EMS (SMUR), France

15:10 - 15:30 08:10 - 08:30Title: The patient experience for new stroke patients with previous

psychiatric diagnosis: Identifying their psychosocial needs Lina Mayorga, Methodist Hospital of Southern California, USA

15:30 - 15:50 03:30 - 03:50Title: Mauri Ora Window

Hemaima Reihana-Tait, Mahitahi Hauora, New Zealand

15:50 - 16:10 18:50 - 19:10

Title: Intervention and Management of Covid-19 pandemic in a Tertiary

Hospital at King Faisal Specialist Hospital and Research Center in Riyadh,

Kingdom of Saudi Arabia

Maria Jessica Lourdes A. Catubig, King Faisal Specialist Hospital and

Research Center in Riyadh, Kingdom of Saudi Arabia

Lemon Bacalso, King Faisal Specialist Hospital and Research Center in

Riyadh, Kingdom of Saudi Arabia

16:10 - 16:30 21:40 -22:00Title: Integration of quality, safety and sustainability management for

hospital industries towards sustainable development

Vijayan Gurumurthy Iyer, India

16:30 - 16:50 18:30 - 18:50Title: Strategy for transition of adolescents with Intellectual Disabilities (IDs)

into adulthood

Rakgadi Grace Malapela, University of South Africa, South Africa

Poster Presentations

16:50 - 17:10 13:50 - 14:10

Title: Validation of the adult depression diagnosis protocol (ADDP) alpha

version®

Fagner Alfredo Ardisson Cirino Campos, Federal University of Rondonia,

Brazil

Fabio Biasotto Feitosa, Federal University of Rondonia, Brazil

Oral Presentations

Keynote Presentations

22-Aug-202012:00-12:10 | Introduction

22 August, 2020


Keynote Forum

https://irisscientificgroup.com/conferences/healthcare-nursing/webinar/


22 August, 2020Webinar on Healthcare and Nursing

Technological and digital innovations bring about change in nursing professionalism while maintaining the human touchIris Meyenburg-AltwargCom-p-tense Germany GmbH, Germany

The traditional nursing process involves assessment, diagnosis, planning, outcomes, implementation and evaluation. This routine process is dictated solely by prescribed procedures and by the accomplishment of nursing tasks. Addressing

improvement in nursing workflow is essential to improve nursing interventions and a key to success, is to find the right balance between Information Science and Nursing Science. Innovations in human-technology interaction can be used to support nursing professionals in inpatient and outpatient care, to improve the performance, patient stability, satisfaction, coping skills, and mental stability.

Technological and digital changes in innovation enhance the Nurse-Patient-Relationship, the art of human touch as well as the availability of adequate time by increasing quality and positive outcome to the client.

In order to implement this approach effectively, it is necessary to critically examine existing professional habits and to look at them from a new perspective. Currently, technologies are often chosen at random for use in hospitals to meet the pressing challenges of Healthcare. The use of various isolated technologies in this way unsettles staff and clients and negatively affects the already difficult circumstances. The deployment of technologies is essential, but requires consistent strategic planning and implementation geared to the needs of the enterprise.

This presentation will give you some Ideas and best practice examples by showing tools and strategies, paired with the mindset of the user, receiver.

Audience Take Away:

• How to deal with obstacles to innovation• How to create a background framework of changes • Ideas can be developed for your enterprise taking advantage of "best practice" examples

BiographyIris Meyenburg-AltwargDipl. Pflegewirtin, RN is Visiting Professor of Southern Medical University, Guangzhou, China

• EFQM Assessor• Consultant of Organization Development• President of European Nurse Directors Association• CEO of Com-p-tense Germany GmbH• 40 Years’ experience in various fields of healthcare• 25 Years’ experience as Managing Director of Nursing and Nursing education in big hospitals incl. University Hospitals• 15 Years’ experience Consulting in Germany and internationally with the focus on Technology, Risk Management,Organization

Development and Education



Giving a voice to female military veteran suicide and self-harmRenee’ B. BazzelleUS Navy Nurse Corps, USA

During their tour of duty, many female military veterans sustained various invisible and visible wounds from military sexual trauma (MST), post-traumatic stress disorder (PTSD), survivor’s guilt, depression, traumatic brain injury (TBI) and physical injuries as members who supported operations that encountered improvised explosive devices. Gender specific access to care for female military veterans after being discharged is a major issue. A gap in veteran mental health practice among female military veterans reintegrating back into civilian society caused by stigma and uncomfortable feelingsof inadequacies. These feelings can lead to isolation and ineffective coping ideations of self-harm. By characterizing attributes of similarities, veteran reintegration within the civilian population can be initiated. Reviewed conditions support women veteran reintegration and rehabilitation gender specific care.

Audience Take Away:

It is the goal of this presentation to bring a realistic perspective of what mental challenges can occur for female military veterans leading to suicide and self-harming behaviors. The presentation will provide health professionals the ability to understand numerous accounts with catastrophic traumatic events which can result in suicide and self-harm.

• Nurses, Nurse Practitioners, Doctors, Social Workers and Physician Assistants are one of the first individuals on a multi-disciplinary treatment team to received first accounts of information from veterans and first responders. Nurses can offer early interventions, referrals and education.

• Country conflicts, warfare and catastrophic traumatic events occur all over the world daily. Nurses in a clinical offices or inpatient emergent settings can enhance their practice with information provided.

• A review of evidence-based screening tools for well-being, self-harm, and depression will provide options for patient safety.

BiographyRenee B. Bazzelle served in the United States Air Force and Navy with 21 years of active duty service in the roles of medical laboratory specialist and an officer in Navy Nurse Corps. She provided specimen analysis at Torrejon, AB Spain, was a member of the Tsunami Relief Support Team, Okinawa, Japan, served as Head of Medical Operations, Marine Corp Air Station, Beaufort, South Carolina, which included (SAR) Search Air Rescue and was specially selected to the Joint Task Force as a psychiatric nurse for detainee operations- Guantanamo Bay, Cuba. She is a graduate of University of Detroit McCauley School of Nursing. She is currently pursing her Doctorate of Nursing Practice Degree with a Nurse Executive focus at Purdue University Global.

22 August, 2020


Oral Sessions




Emerging paradigm of patient care in the age of wearable technologyElvessa NarvasaCanadian Council of Cardiovascular Nurses, Canada

Advancement in technology changes the world in a warp speed. Wearable devices holds great potential in reshaping the health provision and has a positive impact on the wearer’s health. We areseeing growing numbers of users actively changing

their behavior for the better with the adoption of wearable devices. Integrating them in our lifestyle enhances the quality of life, improves healthcare delivery and medical education.

Wearable devices have evolved and there is an increasing interest in their application in medical settings. It can provide information on patient’s behavior like blood pressure, breathing patterns and blood glucose levels. It can also generate signals detecting activity. Wrist-worn accelerometers assist in the evaluation of sleep quality in healthy subjects as well as in in-patient and ICU settings where poor sleep has been linked with adverse outcomes. There are also wearable devices that can provide information on heart rhythm. Frequent heart rate tracking as a means of enhancing routine monitoring for early detection may enable the wearer to seek medical guidance, otherwise these conditions would likely go undetected for some time. This can also be a component of an early warning system to detect clinical deterioration for patients with chronic diseases. Furthermore, it could enable detailed and near-continuous characterization of recovery following critical illness. It is a means of recording useful information and incredible amount of data.

Advancement in the area of wearable systems will continue to transform and enhance the quality of our nursing care. Responsive patient care, challenges and opportunities, and future innovations will be explored in this presentation.

In the near future, NURSES, will inevitably care for patients with wearable technology

BiographyElvessa Narvasa has completed Master of Science in Nursing from Montreal University, Canada. PH.D ( c ). She is the Quebec Provincial Director of Canadian Council of Cardiovascular Nurses. Served as Co- President of Quality Assurance; Team Leader for Hospital Accreditation, Founder of ICU Intermediary care. She had been selected to write the exam for Cardiovascular Certification by the Canadian Nurses Association. Furthermore, she does both in-service as well as invited nurse educator of different hospitals ICU-CCU; PACU/OR and Consultant of College Nursing Faculty. Organizing committee executive of International Society of Pituitary Surgeons; Multidisciplinary Perioperative Medicine, Montreal University.Invited speaker of Quebec Intensive Care Association as well as 2018 -2019 Keynote speaker; Honourable Chief Guest of differentInternational and World Nursing Conferences; 2019 International RFCCN. SAARC, Critical Care Society.



Nocturnal assisted practices for sleep in the intensive care unit (NAPS in ICU)Julie-Ann MartinSt Vincent's Hospital Melbourne (SVHM), Australia

Introduction: Polysomnography studies suggest that one sleep cycle takes 90-100 minutes to complete. Contrary to this, the normal sleeping patterns of critically ill patients in intensive care (ICU) are frequently being disrupted by visual, auditory and tactile stimulation. Accumulative sleep disturbances can result in sleep inertia and impaired cognitive and sensory-motor function, increase patients' propensity for delirium, prolong recovery and extend hospital length of stay. Identifying potential sleep barriers in ICU, may improve patient outcomes.

Aims: To identify main sleep barriers for patients in ICU.

Methods: Five methods were used: (i) root cause analysis with ICU staff to identify potential sleep barriers for patients in ICU; (ii) benchmarking between SVHM ICU and other Metropolitan ICU's in Melbourne to ascertain if any units have sleep promotion policies or protocols; (iii) recording a consumer’s experience who had spent 32 days in ICU; (iv) qualitative survey of ICU staff members to identify their opinion regarding the primary and secondary factors for sleep barriers for patients in ICU; (v) observed, recorded and analyzed frequency of interruptions caused by auditory, visual, and tactile stimulation during the care of one ICU patient during one 10 hour night shift. A sound meter was also used to record sound levels.

Results: (i) Staff reported: ICU environment and culture, patient acuity, staff awareness regarding patients need to sleep. (ii) Benchmarking: n=3 ICU's. No policies or protocols. (iii) Consumer: ‘constant interruptions made it difficult to sleep’. (iv) Staff survey: n=81, medical 11, nurses 70. Primary factor for sleep barriers for patients in ICU: 64% auditory stimuli, 11% visual stimuli; secondary factors for sleep barriers for patients in ICU: 25% auditory stimuli, 21% visual stimuli. (v) Observations recorded n=500: Sound levels: median minimum sound level: 38 decibels (dB); median maximum sound level: 79dB. Median times per hour: when a sound inducing activity occurred 45.5 times per hour; lights turned on/off 2 times per hour; patient interruptions 14 times per hour.

Conclusion: According to the World Health Organisation sustained sound levels in excess of 55dB (the acoustic equivalence to a busy street), can cause significant physiological harm. Even though the frequency of sound inducing activities recorded overnight were excessive, for the majority of the night shift or 7.5/10hours the base sound levels recorded were <40dB (the acoustic equivalence to a whisper). The most significant determinant of noxious stimuli overnight was tactile interruptions.

Limitations: Although the data collected during the nocturnal observations in ICU, reflected only one patient and one night in intensive care, and therefore have limited generalizability, the findings assisted in identifying potential sleep barriers for ICU patients, and correlated with the consumers’ experiences.

Recommendations: Evaluations from the NAPS in ICU project indicate that a research study using a larger sample of consumers and nocturnal observations, or other ICUs is warranted.

Audience Take Away:

• An understanding of how sleep deprivation increases ICU patients’ propensity for delirium.• Enhance their knowledge on how sound, light and patient interruptions can impact upon the sleep cycles of patients

in intensive care.• Develop greater insight into the experiences and needs of intensive care patients.• The ability to examine what staff perceive are the primary and secondary barriers to sleep for patients in ICU.• The provocation to reflect upon their clinical environment and nocturnal practices, and how these impact upon

patients’ sleep experiences.

BiographyIn 2019 Julie-Ann was awarded a SVHM's Ann Cook Clinical Nursing Scholarship. The Scholarship enabled Julie-Ann to undertake an enquiry into potential sleep barriers for critically ill patients in ICU. Her enquiry was based upon the theory that poor sleep experiences can increase patents' propensity for delirium, a predacious and contemporary concern in healthcare.Julie-Ann has over 30 years of experience in healthcare including extensive experience as a clinician in emergency, intensive care and remote nursing; contributed to medical and nursing education during academic and hospital appointments, and professional organizations; governed nursing led research and quality improvement projects; and provided leadership and mentored colleagues. Julie-Ann has an aptitude for critical enquiry, is a keen collaborator and an ability to deliver and evaluate innovative solutions to enhance patient care.Julie-Ann also believes that arts-based initiatives can improve patient outcomes, healthcare experiences and health economics. Her extensive knowledge and experiences in this area are based upon extensive review of international arts and health practices, national and international studies in art and culture, and contemporary research. Her contributions to this field, have been widely recognized by academic, hospital and arts industries.



Management of the Covid 19 in Paris and Ile de France region Eric REVUEPrehospital SAMU, France

France was the 2nd country in Europe after Italy to face the Covid situation in March 2020. The first wave needed to activate all the resources of the French system including prehospital (SAMU, First Responders, firefighters) and in hospital

departments. For the first time in Paris’s history, the Group of APHP (AssisancePublique des Hopitaux de Paris) had to activate the crisis “white” plan for mass casualties’ events (terrorists attack, or “multiple victims” resource management plan) with all 40 public and private hospitals. The coordination of all the health French system resources including EMT, GP, volunteers and transfers by trains (TGV) managed by the SAMU (EMT) for patients in acute and severe conditions (intubate, ventilate, ECMO) was the key to prevent an overwhelmed ED or ICU in Paris. Daily crisis cell with communication to the media with the Ministry of health were performed to coordinate the management of patients with non-severe symptoms (managed at home by a web platform COVIDOM) or acute situations in the main ICU of the Paris hospitals. Thanks to this unique experience, the Covid 19 gave to the French ED and prehospital system a global testing of the capacity of the system to control an epidemy.

Audience Take Away:

• Give the tips and tricks of the management of the Covid in a busy city• What can we learn from the feedback experience of this situation? Are there alternative to control the airways? Are we

prepared to a second wave? Other alternative strategies? • Does the French System “stay and Play” is really efficient in this situation? A “scoop and run” strategy?• As 10-20 % of the ED personnel was finally positive to the Covid , how can we deal with this situation?• The worse (and not the least) feedback: the role of media for the treatment (hydroxychloroquine.): when doctors or

ministry gave too many contradictories information’s to the public and its consequences.

BiographyDr Revue is the head of the ED and prehospital EMS (SAMU) of one of the busiest Hospital in Paris with 250-300 visits/day. He is member of the scientific committee of SFMU and co-chair of the prehospital section of EUSEM and co-chair of the Clinical Practice Committee of IFEM.



The patient experience for new stroke patients with previous psychiatric diagnosis: identifying their psychosocial needs Lina MayorgaMethodist Hospital of Southern California, USA

Introduction: The patient experience for a newly diagnosed stroke patient can be psychologically devastating. Limited research exists on stroke patients with pre-existing psychiatric conditions, including implications on quality of life, outcomes, readmissions, compliance and utilization of resources. The majority of the research focuses on depression post stroke diagnosis or discharge. Stroke patients are known to be vulnerable to psychological issues after a stroke diagnosis. However, we are limited in understanding how the hospital experience is for new stroke patients with pre-existing psychiatric illness including: whether or not sufficient support is being provided during their hospital admission; is the underlying psychiatric illness preventing them from meeting functional milestones; and are they prepared for discharge?

Methods: The study design is a retrospective chart review of newly diagnosed stroke patients with a previous psychiatric diagnosis admitted between January to June 2018. Data on sociodemographic, disease, treatment, assessment and utilization of resources were collected in a retrospective chart tool. Psychiatric variables were collected from consultation and progress notes dictated by psychiatry, social work, care coordination and other care providers.

Results: We reviewed forty-six charts that met the eligibility criteria. Gender was 56.5% female/43.5% male; average age 72 (age range 41-100) and average length of stay 9 days. Of these patients 39.1% had two or more psychiatric diagnoses. Common psychiatric diagnoses were anxiety (50%), depression (39.1%), “Other” was schizophrenia, bipolar disorder and delirium. Higher rates of substance use, distress, current family conflict and no social support or caregiver concerns were found in this subset of stroke patients, including higher rates of readmissions.

Conclusion: Data from this study provides a glance at the psychosocial issues new stroke patients with previous psychiatric history experience. Areas for further research in the realm of education, psychosocial support and distress screening are needed. Results can be used as a foundation for developing and/or refining hospital assessments and may assist those in planning services and resources needed for stroke survivors.

Audience Take Away:

• Identifying early recognition of psychosocial issues in stroke patients• Understanding the psychosocial needs of stroke patients • Implementing validated tools to assess anxiety and or depression in stroke patients• Evaluation of the Hospital Anxiety and Depression Scale for stroke patients• Gaps in current literature in identifying anxiety and depression in stroke patients during the diagnosis process

BiographyLina Mayorga is the Clinical Researcher & Statistician for the stroke program and Cardiovascular Service line at Methodist Hospital of Southern California. Her educational background is in Epidemiology, Health Education and Biostatistics. She is also a Certified Health Education Specialist. She has over 10 years’ experience of conducting psychosocial and educational research focused on patient outcomes and quality of life. Her experience includes Psycho-Oncology research in Adolescents and Young Adults and spearheading psychosocial research of stroke patients at a Comprehensive Stroke Center. She's presented her findings and research at multiple national and international conferences as well as publications.



Mauri Ora WindowHemaima Reihana-Tait Mahitahi Hauora, New Zealand

This presentation responds to the importance of cultural competency in nursing to address the inequitable health outcomes for indigenous Maori of New Zealand (NZ), through the application of a simple tool to trigger routine best practice

engagement skills. ‘Health inequity is defined as differences in health outcomes that are unnecessary, avoidable, unfair and unjust.’ A key driver of health inequities is ‘differences in the quality of health care’ which begins at the point of engagement.

Studies in NZ highlight that clinicians, including nurses, treat Maori differently from non-Maori. Cultural competence and unconscious bias significantly influence the quality of health care for Maori who experience the worst health outcomes of the NZ population.

Each time a patient enters the therapeutic space seeking nursing care and attention, a powerful window of opportunity is being presented, embracing the moment to gain confidence in the therapeutic experience. The engagement tool is called the ‘Mauri Ora window’ providing the practitioner with a toolkit of triggers to routine best practice engagement, nurturing optimal therapeutic rapport in interactions with all patients, though is particularly relevant to use with patients who have a different cultural background to themselves.

‘Mauri Ora’ is a key concept in TeAo Maori (the Maori worldview) describing a state of flourishing, where one would experience the thrill and rapture of being alive. Such a state fortifies the foundation for engagement between a nurse and a patient, fostering trust, confidence and subsequent individual investment in wellbeing and self-management. It is aspirational to consider what optimism and growth can occur in an atmosphere where the ‘thrill of being alive’ is cultivated.

Culture matters. Culture provides the context of what is important to the patient. This presentation offers practical skills to utilize every physical, mental, emotional and spiritual element to satisfy cultural needs in order to release potential for well-being.

The goal is to ‘make every encounter a ‘Mauri Ora’ (flourishing) experience,’ by breathing life into the patient experience regardless of the ethnic difference of the nurse, so that inequitable differences are overcome and the patient with their surrounding support network can navigate their health journey toward well-being.

Audience Take Away: Nurses will have a toolkit of skills essential for developing an effective relationship to promote self-management needed for sustainable and equitable health care.

• Principles for responding to cultural differences• Increased awareness and easy application of principles to address equity in health care• Understanding of equity principles in practice• How to recognize unconscious bias and respond positively to overcoming and bias that might affect the patient

BiographyHemaimaReihana-Tait is a Nurse Director for Mahitahi Hauora a Primary Health Entity, in rural Northland New Zealand. Her contribution to nursing expands 38 years as a hospital based Clinical Nurse, Community Mental Health, manager, practitioner and educator- leading and implementing change for both primary community and secondary health services. Hemaima is Maori, descending from Ngati Hine, NgatiKere, NgatiPihere and Ngai Tahu tribes. She is also a descendant of Nicholas Sciascia (great grandfather) of Trani, Apulia- Italy. She is passionate about improving Maori health outcomes through education and cultural workshop programmes, nurturing cultural competency in clinical workforce. She has a love of family history, writing short stories and music.



Intervention and Management of Covid-19 pandemic in a Tertiary Hospital at King Faisal Specialist Hospital and Research Center in Riyadh, Kingdom of Saudi ArabiaMaria Jessica Lourdes A. Catubig and Lemon BacalsoKing Faisal Specialist Hospital & Research Centre, Riyadh Kingdom of Saudi Arabia

King Faisal Specialist Hospital and Research Center (KFSH&RC) is known to be a Magnet accredited tertiary hospital with 1,589 bed capacity, situated epicenter of Riyadh, Saudi Arabia. A world-leading organization in the Gulf region,

like among others, also faces the challenging period during the outbreak of Covid-19 pandemic. Presently, the organization provided and developed a strategic approach that will lead to unequivocal patient prognosis that composes of early detection and prevention within hospital transmission.

The Emergency Medical Services (EMS) had determined a distinct screening process for MERS-COV that supported to immediate screening of all Covid-19 suspected and exposed patients and staff. The EMS building has three distinct floors comprising with 110 rooms, 17 negative pressure rooms and 35 hepa-filters for precautionary measures. Upon the surge of patients showing manifestation of respiratory distress, a designated cohort station was established. As patients are being identified for possible admission, a Covid-19 test is compulsory; requiring the results to be released prior patients will be relocated to different assigned Covid-19 units. On that aspect, when patients’ swab results turn out to be positive, they will be further transferred to Covid-19 units by paramedics immediately. Sufficient ventilators and medical supplies are even provided to ensure exemplary patient outcomes. Moreover, designated highly skilled inpatient staff and competent ICU staff were prepared in these kinds of critical conditions.

A Covid-19 Command Center was established to utilize all required resources, including staff, supplies, and other logistics, to carry out their roles effectively. They are also responsible with the development of policies, procedures, and protocols relevant to the regulation of the Covid-19 pandemic within the hospital, for the safety and protection of staff and patients.

To help the staff fully equipped with knowledge about the infection, the hospital has launched the use of Microsoft teams; technical software was utilized to conduct daily webinars conducted by medical doctors and nursing staff. In addition to that, it also serves as a purpose to support as an aid for communication among hospital staff by the hospital`s higher management.

A telework was implemented where employees working in offices are instructed to work remotely. Apart from, is the closure of outpatient clinics, suspension of hospital transport for shopping and cancellation of business/annual leaves were drastically was put into action.

The timely and effective infection control measures, early recognition of suspected respiratory infections and prompt public health measures are few of the major keys to contain and prevent the spread of the virus. Education was provided across the hospital staff through delegated channel of KFSH&RC through social media and webpage.

Finally, through advance pathway in place, we are expecting our target of decrease in hospitalization and anticipatory accomplishment from all services that composes the organization of this Covid-19 pandemic.

Objectives:

• To have an outlook on how a tertiary Magnet hospital in the Middle East situated in Riyadh, Saudi Arabia responded to Covid-19 pandemic

• To have a thorough summary on how certain strategies came about to have this Covid-19 as a major turnover of patient flow

• This will provide additional information to other hospital in terms fight against Covid-19 especially it was designated in a Middle Eastern hospital

BiographyMaria Jessica Lourdes A. Catubig, BSN, RN, RM, MPH, is consistent Poster and Oral presenter from 2014 till 2019. Won 2nd place poster abstract presentation in American Academy of Ambulatory Care (AAACN) in 2014 among 72 posters internationally. First ever delegate to the Canadian Association of Ambulatory Care (CAAC) in 2015 for poster abstract from the Middle East and won 1st place among other international poster presenters. She had presented oral presentation in CAAC in 2015, first oral abstract presenter from the Middle East. Recently, participated last year 9th International Nursing Conference for poster presentation and won 3rd place among 54 poster presentation.Lemon A. Bacalso, BSN, RN, had 9 years of experience of Emergency Room and presently employed in King Faisal Specialist Hospital & Research Centre as a Staff Nurse. He is presently as a Unit Based Council Chairman and member of Nursing Ethics. He is the editor in chief of the Emergency Medical Services- Newsletter. He plays a major part of the Covid-19 team for contact tracing and coordinating with the multi-disciplinary team for patients for admissions and referral to quarantine housing provided by the hospital.



Integration of quality, safety and sustainability management for hospital industries towards sustainable developmentVijayan Gurumurthy IyerIndia

This research article realizes the importance of the integrated Quality, Safety and Sustainability (QSS) Management for hospital industries towards sustainable development. It is important to gain knowledge and skills for the nursing

professionals to achieve highest degree of excellence in quality and safety management system (QSMS). By understanding quality , safety and sustainability management principles as a formalized system that has documents, processes, procedures, and authorities, responsibilities and for achieving quality policies and objectives. It is important to understand sustainable nursing impact assessment(SNIA), environmental impacts assessment (EIA) and social impact assessment (SIA). As a quality and sustainability professional, nurses require competency and excellence in maintaining essential relationship between customers’ needs andexpectations in services. Nurses require tounderstand the fundamental framework for organizing and presenting key issues on performance excellence such as building quality infrastructure and organizational culture. QSMS standards guide to coordinate and direct a hospital or nursing home organization’s activities to meet customer and regulatory requirements and improve its effectiveness and efficiency on a continuous basis and to realize the importance of customer satisfaction and loyalty. Concepts like Total Quality Management (TQM) inclusive of Quality Assurance, Reliability impact assessment, Design for FMEA, sustainability design, tools for design verification, value, life cycle assessment for product costing, process costing and hybrid costing and Quality Control are important for nursing management and related to quality audits, cost of quality, dependence of quality of product or services on the quality of materials and components of product. As a professional nurse, you have to gain knowledge and skills in the management and control of quality services, the paper has been prepared with an introduction to quality management principles (2) that explores the role of total quality in nursing sector,(3) the management system, (4) understanding customer needs, and sustainable nursing practices to achieve customer satisfaction and (5)Total quality in leadership and strategic planning for sustainable development (6) Basic technical issues, tools, and techniques for QI, value and analysis, Life cycle cost assessment –Process, product and hybrid (7) Problems solving orientations with case study and check. The safety specific is the comprehensive scope of the paper. Professional practice of safety must be enhanced. Nursing safety management system (SMS) is a business-like approach to safety. It is a systematic, explicit and comprehensive process for managing safety risks. As with all management systems, a safety management system provides for goal setting, planning, and measuring performance. A quality, safety and sustainability management system is woven into the fabric of a hospital organization. It becomes part of the culture; the way people do their jobs. Methods of cost analysis for safety management are also the rationale. Nurses need to aware for preparation ofthe comprehensive safety manuals. Safety management to ensure that personal protection equipment and materials (PPEMs) are used by nursing individual and installation of safety devices in hospital industries for safety.The research rationale also to make awareness and enactment of worker’s compensation law and occupational disease law in hospital industries. As per the nursing research experience that show approximately 80% of all the hospital industrial disasters and accidents are preventable. The research concept discusses sustainable environmental coronavirus disease pandemic for sustainable development.Coronavirus Impact Assessment (CIA) process has been conducted.

In this Presentation, case study and check have been discussed on the integration of quality, safety and sustainability management in hospital industries for measurement, monitoring and control of infection criticality due to novel pandemics and epidemics disasters towards sustainable international development. Sustainable environmental health impacts and safety management in hospitals have been investigated that include pathogen exposure, working stress, psychological distress, fatigue, occupational burnout, stigma impact assessment, physical and psychological violence, lack of proper Personal protection types of equipment (PPEs), lack of training and awareness on quality and safety and sustainability. Strategic integratedassessment (SIA) process can be broadly defined as a study of the impacts of a proposed project, plan, project, policy or legislative action on the environment and sustainability. In this research, SIA process has been aimed to incorporate integrated health impacts and sustainability factors into project planning and decision-making processes in hospital industries.

BiographyIYER VijayanGurumurthy, b. 10 June 1964, Mayuram, India. Co-ordinator. m. Shanthi. Education: Diploma, Mechanical Engineering, 1982; Diploma, Production Management, Annamalai University, 1988; Post Diploma, Automobile Engineering, Victoria Jubilee Technical Institute, Mumbai, 1992; AMIE, Mechanical Engineering, Institution of Engineers, India, 1990; Master’s, 1997, PhD, 2003, Environmental Science and Engineering, Indian School of Mines University, Dhanbad; Post-doctoral Researcher, World Scientific and Engineering Academy and Society, Greece, 2006; Post-doctoral Elaborated , World Scientific and Engineering Academy and Society, Greece, 2011; Doctorate of Science and Engineering, 2010; Doctorate of Letters, 2017, Doctorate of Law , 2011, The Yorker International University, Italy, 2011, Honorary Doctorate of Literature, 2017; Master of Arts, 2014 , International Biographical Centre, Cambridge, Great Britain; Master Diploma with honour in Literature, 2012; The Letter of the Law, World Academy of Letters, ABI, 2010.



Strategy for transition of adolescents with intellectual disabilities (IDs) into adulthoodDr Rakgadi Grace Malapelaand Prof GB Thupayagale-TshweneagaeUniversity of South Africa, South Africa

Transition is the process of shifting or change form one stage to another stage. Although policies, regulations and guidelines have been put in place regarding care, treatment and rehabilitation from the South African and African perspectives, the

issue of transitioning for these population has not been met as yet. Previous studies recommend further research that focus on the transition care for adolescents with IDs into adulthood. Worldwide, there is a widespread need for transitioning of adolescents with IDs into adulthood. There is limited information on how adolescents with IDs will transit into adulthood. The purpose of this study is to develop a strategy for the transition of adolescents with IDs into adulthood. An exploratory sequential mixed method was undertaken. Thirteen (13) sites directly involved with care, treatment and rehabilitation for adolescents with IDs were used for data collection.Parents, teachers, health care workers, nurses, physiotherapists, occupational therapists, social workers, and psychiatrists participated in this study.Multiple data collection methods were used i.e. participant observation, field notes, individual interviews, written narratives, focus groups interviews and structured/survey questionnaires to develop transition strategy for adolescents with IDs into adulthood. Meleis Transition Theory was used to guide on the nature and approaches of transitions. Findings from both the qualitative and quantitative phase were merged to arrive at the major themes. Majority (74, 20%) reported on the need for transition possibilities. Transition possibilities to consider the provision and development of working skills as a priority. This skill is seen as a means and ways to bring about positive change amongst adolescents with IDs and their families. Strategies were suggested i.e. provision of a safe and supportive external environment, provision of information, building a skill, counselling, accessibility of health care services, transition possibility, different role players involvement, provision and development of working skills, caregivers’ knowledge and alterations. Partnership and collaborative effort is necessary for facilitation of transition strategy into adulthood. The development of strategy for the transition of adolescents with IDs into adulthood in the South African context was of great significance to this study, as similar strategies have not been found within the African and South African context. This study uniquely contributed to the transition strategy. The study draws strength from the mixed method that was rigorously undertaken to enable the development of the transition strategy. It fills the significant gap on knowledge by identifying the strategy for transition of adolescents with IDs into adulthood.

Audience Take Away

• It informs the audience about the proposed strategy that facilitates the transitioning of adolescents with IDs into adulthood, most specifically parents, policy makers, health and non-health professionals who are directly involved with the care, treatment and rehabilitation for adolescents with IDs.

• It will be more incremental to Individuals and communities who are at the forefront incaring foradolescents with IDs. A further research is needed in order to expand on the development and provision of working skills for adolescents with IDs.This provides a practical solution on how to assist adolescents with IDs transit into adulthood. Furthermore, this also make provision for adolescents with IDs to feel secured and accepted by the community. It improves the accuracy of a design and provide new information to assist in a design problem as little was known about the transitional strategy of adolescents with IDs into adulthood. It provides insights as to how mixed method was conducted to arrive at the development of a strategy for transition of adolescents with IDs into adulthood.

BiographyDr RG Malapela has completed her PhD from University of South Africa. She is a senior lecturer at SG Lourens Nursing Campus of South Africain Pretoria. She has intense knowledge and expertise about caring, treatment and rehabilitation of users with IDs. Her passion and high interest in the development of transition strategy for adolescents with IDs was stimulated due to daily encounter with adolescents living with IDs. She is an academic, researcher, scholar, author, reviewer, chairperson of the College Research Committee and member of the Tshwane District Research, Nursing Education Association (NEA), Psychiatric Nursing Association (PNA) and Demographic Nursing Organization of South Africa (DENOSA). At community and congregational level, she is involved in health desk committee to raise awareness about illnesses and to conduct outreach programmes to the needy.

22 August, 2020


Poster Presentation




Validation of the adult depression diagnosis protocol (ADDP) alpha version®Fagner Alfredo Ardisson Cirino Campos, Fabio BiasottoFeitosa, Tomás Daniel Menéndez RodríguezUniversity of Rondonia (UNIR), Brazil

Depression is an underdiagnosed disease in health services, and a challenge to professionalsin diagnosing it since there are different types oreven because depression is camouflaged by symptoms presented in other diseases. To facilitate this

diagnosis, the Adult Depression Diagnosis Protocol (ADDP) was created for a psychiatric nurse and a clinical psychologist, both showing expertise inthe searching of depression. The ADDP isan instrument that was developed as a set of rules and instructions derived from ICD-10 in order to facilitate the diagnosis of different types of depression in health services, particularly in the context of mental health. Therefore, this study aimed to present the validation scores of the ADDP’scontent judged by health professionals. Thus, it was a cross-sectional, descriptive study with a quantitative-qualitative approach to validate the content of the ADDP as an instrument for the diagnosis of depression. The survey was conducted in 2019 and had a sample of 23 evaluators. Regarding the characteristics of the evaluators, 56.6% were female, 43.5% were brown, all graduated in health, 43.5% were nurses and 43.5% worked in primary health care. In addition, considering the method of evaluation of the content (AgreementPercentage-AC and Content Validity Index-CVI), results showed thatthe PDDA presented 95.7% ≤ AC ≤ 1.00 and 0.98 ≤ CVI ≤ 1.00. Then, the validation scores presented in this research had showed that the PDDA is reliable, clear, coherent, operative, representative, adequate and applicable to mental health. It was concluded that the PDDA is valid to be used in mental health, as a reliable and effective instrument for the diagnosis of depression in adults. However, it is necessary emphasized a specific training for health professionals to be able to apply ADDPin patients treated in health services.

Audience Take Away

• Introduce the theoretical about clinical depression• How use ADDP in clinical practice• The validation of ADDP

BiographyFagner Alfredo ArdissonCirino Campos - Psychiatric Nurse. Master’s degree in Psychology at Federal University of Rondonia (UNIR).

Questions? ContactEmail: [email protected]

Phone: 1 214 736 3454

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