Day 2 :
Keynote Forum
Dr K. Gupta,
Worcestershire Oncology Centre, England
Keynote: Breast Oncology: A Perspective
Biography:
In 1999, Dr Gupta qualified in medicine and surgery and was awarded the MBBS Gold Medal. After a meritorious selection, he completed the MD programme in Oncology. He went on to obtain the Diplomate of National Boards in Clinical Oncology and was admitted as a Member of National Academy of Medical Sciences. He then obtained MRCP and proceeded to complete higher specialist training in Clinical Oncology at the Christie Hospital in Manchester and obtained FRCR. Dr Gupta was awarded the Royal College of Radiologists' Award and he completed the Proton Therapy Fellowship at the MD Anderson Cancer Centre in Texas.
Dr Gupta works at the Worcestershire Oncology Centre and has a special interest in Urological (Prostate, bladder, kidney, ureter). Lower GI (Rectum, Colon, Anus) and Breast cancers. He also maintains a research portfolio via involvement in multiple clinical trials in Principal & Co-Investigator roles, and he has been the Worcestershire Oncology Clinical Audit Lead, as well. Dr Gupta is ASCO’s UK representative for the ASCO Learning Cohort and Educational Committee and has spoken at various National and International Conferences and Meetings.
Abstract:
The incidence and prevalence of cancer is ever increasing. Broadly, oncology can be divided into diagnostic and therapeutic oncology. Furthermore, there are numerous subcategories under these two broad subdivisions. The modern oncology scene now includes a wide range of treatment modalities for cancer patients, including surgery, chemotherapy, radiotherapy, immunotherapy and others. These have matured as highly complex subspecialties, requiring high level of medical and nursing expertise. Once of the pivotal roles in the oncology arena is played by the by a specialist nurse in a high input oncology subspecialty such as Breast Oncology, and this will be discussed in detail during the talk.
The role of the Oncology nurses can be complex and varied, involving interventions and communication with multiple health care professionals across primary and secondary care and other private and charitable organisations. Their contribution improves the quality and experience of care for patients, reinforces patient safety, demonstrates leadership and can increase productivity and efficiency. Oncology nurses treat and manage the health concerns of patients and work to promote health and wellbeing in the patients they care for. They integrate knowledge of cancer and medical treatments into assessment, diagnosis, and treatment of patients' problems and concerns. These will be elaborated during the presentation and more discussion with audience interactive participation would be most welcome
Keynote Forum
Al-Yami,
Clinical director for nursing quality, Saudi Arabia
Keynote: Using the Theory of Planned Behaviour to Explore the Multicultural Nursing Workforces' Behavioural Intentions to Comply with Nursing Policies and Procedures in Saudi Hospital.
Biography:
Abstract:
The nursing shortage in the Kingdom of Saudi Arabia (KSA) causes administrative difficulties and increases worries about the quality of healthcare, as well as contributing to a highly multicultural nursing workforce. The further complexities occur when work environments have a multicultural nursing workforce where nurses of different cultures interact with each other, which can lead to influencing on their compliance with nursing policies and procedures in Saudi healthcare organizations. However, it has been shown that positive attitudes, behavioural norms and the beliefs are all significantly associated with nurses' compliance with nursing policies and procedures. Evidence indicates that although nurses are increasingly compliant with nursing policies and procedures to ensure a higher quality of nursing care, there is still a wide variance in their compliance. The utility of the Theory of Planned Behaviour (TPB) has not been previously used in explaining this variance in the multicultural nursing workforce.
- Emergency Nursing | Refugical Emergency Nursing | Surgical Oncology Nursing | Clinical Trials Emergency Nursing | Cancer Pain Management | Prostate Cancer Nursing
Chair
Lucus Christoffersen
Idaho State University, USA
Co-Chair
Chukwurah Ndidi Juliet Ifeoma
Nnamdi Azikiwe university Teaching hospital, Nigeria
Session Introduction
Ahmet Butun
Queen's University Belfast, UK
Title: A mixed method systematic review of the reasons parents attend emergency department with their children for non-urgent conditions
Biography:
Ahmet Butun completed his Master’s degree from University of Nottingham, and his master’s dissertation focused on why parents choose to use the emergency department for children presenting with minor illness. His dissertation has been published in International Emergency Nursing. He is currently a PhD student at Queen’s University Belfast and his research project seeks to identify parental reasons for visiting ED, rather than their primary healthcare providers, in the context of developing countries.
Abstract:
Background & Aim: Non-urgent visits to emergency department (ED) services are on the increase, and the pressure on EDs is a significant global concern. The use of EDs by parents of children with non-urgent condition is an important and still unresolved problem, which is associated with overcrowding, higher costs, lower quality of care and longer waiting times. The aim of this review is to identify parental reasons for visiting ED for children presenting with non-urgent conditions.Method: Seven databases were systematically searched in August 2016. The study selection process and quality assessment were undertaken independently by two authors. Data were analysed by means of narrative synthesis.Results: 22 studies met with pre-specified inclusion criteria. Ten studies used quantitative methods, ten studies used qualitative methods, and a further two studies used mixed methods. All included studies were conducted in high-income countries and reported in English. Identified themes included perceived urgency by parents, perception regarding better care and staff expertise in the ED, proximity, out of hours availability, difficulties with obtaining a GP appointment, GP referral, lack of facilities in primary healthcare services, financial issues, need for reassurance, convenience and access issues.Conclusion: This review brings both qualitative and quantitative data together. This review may inform researchers, healthcare staff and healthcare policy makers in better understanding parental reasons for using the ED. Identifying parental reasons may help with the development of targeted interventions that seek to reduce non-urgent ED visits, which would save overstretched healthcare resources.
Biography:
Abstract:
Blood pressure of 140/90 mmHg or more or an increase of 30 mmHg in systolic and/or 15 mmHg in diastolic blood pressure over the pre- or early pregnancy level. Predisposing factors:Primigravidae more than multigravidae,Pre-existing hypertension,Previous pre-eclampsia,Family history of pre-eclampsia.,Hyperplacentosis i.e. excessive chorionic tissue as in hydatidiform mole, multiple pregnancy, uncontrolled diabetes mellitus and fetal hemolytic diseases. Directed toward decreasing the maternal BP using inpatient hospitalization or conservative management and antihypertensive medications along with increase in dietary protein and an increase in calories, if indicated. Delivery is appropriate therapy; however, delivery may endanger the fetus due to fetal lung immaturity. Expectant management (wait and watch) can be considered if the following maternal and fetal factors are present: Controlled hypertension, Urinary protein of any amount, Oliguria (< 0.5 mL/kg/hour) that resolves with routine fluid/food intake, AST or ALT greater than 2 times upper limit of normal without epigastric pain or right upper quadrant (RUQ) tenderness. Signs of MgSO4 toxicity include loss of deep tendon reflexes, including knee-jerk reflex, respiratory depression, oliguria, respiratory arrest, and cardiac arrest
Qiuping Li
Jiangnan University, China
Title: Depression, anxiety, dyadic relationships, and mutual impact between Chinese cancer patients and family care givers
Biography:
Qiuping Li, PhD and MD, Professor, Supervisor in the master’s degree. Her research interests comprise nursing education, digestive system diseases and cancer care. The major research contents mainly focus on the development and evaluation of supportive psychological intervention model for cancer patients and their family caregivers. She has accomplished 11 research projects. More than 90 articles were published by the first author or corresponding author, among which 25 were included in SCI journals. She has edited 16 textbooks and 5 monographs, and secured research funding from the National Natural Science Foundation of China (NSFC) as Principal Investigator.
Abstract:
Background: Cancer and its treatment can result in psychological distress in both cancer patients (CPs) and their family caregivers (FCs). This psychological distress acts as a significant adverse factor in both CPs and FCs. The study purposes included: (i) to assess the anxiety and depression of CPs and their FCs, and examine the dyadic relationships of anxiety and depression between CPs and their FCs; (ii) to investigate factors that may modify these relationships. Methods: Participants consisted of 641 dyads of CPs and FCs. Three types of variables were collected as potential modifying factors, including CP-related variables, FC-related variables, and family-related variables. Descriptive statistics, T-test, Pearson correlations, sub-group analysis were applied to conduct the data analysis. Results: Nearly one-third of participants experienced anxiety and depression (the Chinese version of the Hospital Anxiety and Depression Scale, C-HADS). CPs and FCs experienced a similar degree of C-HADS. Correlations (r) of C-HADS between CPs and FCs ranged from 0.25 to 0.32. Various factors influencing the anxiety and depression of dyads between CPs and their FCs were identified, including CP-related variables, FC-related variables, and family-related variables. Conclusions: Study findings call attention to the anxiety and depression, as well as the related factors in dyads of CPs and FCs. The underlined essential components and focus of intervention, which will be developed to decrease psychological distress and improve quality of life in dyads of CPs and FCs, included such areas as individual characteristics of CPs and FCs, family relationship.
Amany Mohamed Shebl
Mansoura University ,Egypt
Title: Impact of oral care protocol on the incidence and severity of stomatitis induced by radiotherapy.
Biography:
Amany Mohamed Shebl has occupied several positions as Dean of the Faculty of Nursing, Mansoura University, Egypt. Minister of Health Assistant for Human Resources all over Egypt. She was a published author of several research papers, articles, and books on nursing. She is a Reviewer in Advanced Nursing journal and Cancer Nursing journal and a Reviewer in National Authority of Quality Assurance and Accreditations. She has developed many national and international protocols (Nigerian government and United Arab of Emirates). She is one of the Developers in Nursing Education in Egypt. She has published more than 70 papers in reputed journals.
Abstract:
Oral stomatitis is a common debilitating complication of cancer radiotherapy. It results from local effects of radiation on the oral mucosa. The impact of oral stomatitis is far-reaching for patients, caregivers and the medical system. Objective: the aim of the study was to assess impact of oral care protocol to radiotherapy-induced stomatitis in cancer patients. Methods: Quasi-experimental research design was conducted in the Clinical Oncology and Nuclear Medicine Department at Main Mansoura University Hospital. The data were collected from two hundred adult patients of both sex randomized selected who corresponded to inclusion criteria and divided into two groups. Results: the result indicates increased total knowledge score for patients at immediate post more than post tests 1 and post test 2. Also it was found decreased incidence and severity of stomatitis after oral care protocol. There were a positive relation between severity and incidence of stomatitis of studied patients in relation to their knowledge. Conclusion: The implementation of oral care protocol had a positive effect on the studied patients' total knowledge scores and decrease incidence and severity of stomatitis in the study group. It was recommended that, Cancer patients should be given a written instruction plan for their radiotherapy steps and self- management measures to radiotherapy
- Poster Presentation