Medical and Nursing Education July 17-17, 2020 Vienna, Austria

Biography:

Dr. Yifan Zhu graduated from Henan Medical University and worked as a surgeon from 1991, 2007 got doctoral degree in Heidelberg University,Germany, finished post doctoral trainining in Hongkong University in 2010. Now work as a chef surgeon and director of clinical research laboratory. Based on his many years clinical experience and research work, in 2018 Dr. Zhu proposed his original clinical thinking theory, published one book in China named as "Basement and method of clinical thinking".

Abstract:

Clinical thinking is the way of clinicians to judge, evaluate and make decisions for patient disease. One fact that all clinicians in different clinical departments received the same or similar medical education in medical universities suggests medical knowledge is necessary in clinical thinking and routine work.

At present, in medical universities the connection of each basic medical courses and their binding with clinical knowledge are not clearly proposed, at least in China. Thus makes students can not set up a knowledge frame composed of basic and clinical knowledge based on their intrisic connection, thus results in non-organized medical knowledge on which clinical thinking is hardly constructed.

A well- organized medical knowledge frame is the basement of correct clinical thinning.

Biography:

Dario Furnari is a PhD in Neuroscience, Research Psicology,Traumatology & Orthopedic, Project Manager , Strength and Conditioning specialist Physical Therapy,Skynesiology and Spinology, Exercise Physiology,Spa Therapist Physiology,Support Health Worker, aesthetic medical, sports masseur, expert in postural gymnastics, psychology and psychomotion for the elderly and special children or with learning disabilities. Coach and athletic trainer of various sports (football, swimming, volleyball, basketball, hockey, tennis, swimming). Spa&Clinical Manager,Lecture in neuro rehabilitation kynesiology, specialist in aesthetic gymnastics, weight-loss and pre and post natal, Osteopathy, Psicomotricist, aesthetic and lymphatic drainage. The lines of research on which I worked at the Department of Biotechnology and Biomedical Sciences, section of applied physiology and kinesiology and motion control, have been in the field of neuroscience, in particular in the role of beta-amyloid and glycoprotein F3 in the synaptic plasticity of hippocampal memory of mice and then in Alzheimer's disease; I dealt with behavior and various behavioral tests in mice; of electrophysiology of in vitro slices of hippocampus, stereotaxy and cannulation implantation, administration of drugs and animal welfare. In addition, I have helped other laboratories in the analysis of human movement, in nueropharmacology, in motor learning and control, in the performance of elite athletes in training programming, in rehabilitation, in the measurement of lactate in the physiology physical exercise.

Abstract:

The pen is one of the many channels for transforming thoughts into written words. Handwriting acts as a "memory propeller". For example, when you are at the supermarket, the simple act of writing keeps the products you really need in your mind; or when someone at school was a shrewd knows that very often there was no need to use the sheets prepared before a class assignment to copy because they remembered everything that was written. This memory would have failed if the ticket to copy had been written or better typed on the keyboard. The latter characterizes the work of many people and yet, even today, children make their first experiences of writing with a pen or pencil. But is it really out of fashion? Today we have the opportunity to write our thoughts in other ways, "keyboard, tablet, touch screen", and even the signature, once the test par excellence of our identity, is faced with the competition of our " Fingerprints". Indeed, in some American schools the writing, replaced by the PC, is no longer included in the didactic plans; according to some scientists and promoters of this event, this method would facilitate children's learning and improve creativity.

So, what can we do? Fortunately, we come to the real "scientific research" based on real scientific protocols for the progress of science and not for some advertising promotion.

A team of researchers coordinated by the Psychologist Sandra Sulzenbruck of the Leibniz Institute in Dortmund hypothesizes that handwriting facilitates and stimulates "fine motor skills". The research consists of a comparison with some right-handed people who write a lot with the keyboard and other right-handed people who instead make much use of paper and pen. Both groups were asked to carry out a battery of skill tests, changing the use of the hand.

Research has shown that "technology" takes longer to do the exercises but only when they use the right; it is evident that these individuals are not used to a precise coordination of movements.

The most serious effect, however, concerns above all the cognitive sphere. According to the French neuro-scientist Marieke Longcam, both children and adults find it easier to learn new signs of writing, or a new language, when they reproduce them "by hand" instead of the PC.

During the experiment some participants practiced writing the letters by hand, the others with a special keyboard. After the trial, after several weeks, the researchers verified the successes of learning; result: those who had written freehand were much better, as they were able to distinguish with greater precision the graphic gestures, learned in the previous lesson, from other similar but reversed characters.

In our alphabet the reversed letters are the "b - d - p - q"; and it is precisely on these letters that children encounter their own difficulties especially if they are dyslexic. Also write these letters to one

keyboard does not change anything from the motor point of view; since every graphic sign, for example take the "s", has a particular movement of the body, different from the act of typing on a keyboard.

From the neurophysiological point of view, using fMRI (functional magnetic resonance imaging) it is possible to visualize the graphs of brain activity.

Still in the experiment, each participant who had tried to write graphic signs by hand, had memorized certain movements associated with each graph-motor sign. When they tried to remember, the tomograph showed an increase in neuronal activity in the left Broca area, in the anterior intraparietal area and in the left premotor dorsal cortex; all areas dedicated to the mental development of an action. Thus, increased motor involvement implies better "synaptic plasticity" on learning, a more stable connection in memory and a better repetition of information. Now, when was the last time you used the pen? Would Manzoni or Dante have written their works anyway if they had had a personal computer available?

Biography:

Ganapathy Thilagavathy is a Nursing Professor; she has more than 28 years of Teaching, Research experience at Nursing University, Supervision and Administrative experience in the Field of Nursing Education. She is working in King Saud Bin Abdul-Aziz University for Health Sciences (KSAUHS), King Abdul-Aziz Hospital, Ministry of National Guard Health Affairs, KSA. She has so many publications in Nursing field like, Maternal Birthing Experiences in Upright versus Horizontal Birthing Position; A Plea for Humanized Childbirth Nightingale Nursing Times; Asymmetry in Right vs Left Arm BP measurements among Normotensive Primigravidae. She does research in Educational Management, Clinical Practice, Women and Men Health. 

Abstract:

Biography:

Heba Shafik has completed her PhD from Alexandria University. She is the Director of Student Counselling Center in the Faculty of Nursing at Damanhour University. Now she is the Chairperson of Faculty Enhancement Unit of the Nursing Department of King Saud bin Abdulaziz University for Health Sciences Al Ahsa, Saudi Arabia. She has published many papers and she is interested in Psychiatric and Gerontological Nursing fields

Abstract:

Nursing education is acknowledged as one of the stressful and emotionally demanding profession. Stress among nursing students is an inevitable issue that might lead to poor psychological wellbeing. Having a good emotional competence helps university nursing students to decrease their stress and enhance their psychological well-being. This study was aimed to determine the relationship between the perceived stress, psychological wellbeing and emotional competence among baccalaureate nursing students. A descriptive correlational research design was used in this study. Baccalaureate nursing students who were enrolled at psychiatric nursing and mental health course and accept to participate in the study were the study subjects. Their number amounted 135 students, four tools were used namely; bio-socio demographic data structured interview schedule, Ryff’s psychological wellbeing (RPWB) scale, the emotional skills/ competence questionnaire and perceived stress scale (PSS). The results of this study revealed that there is a positive significant relation between the students’ psychological well-being and their emotional competence also, a negative significant relation between them and students’ perceived stress. It can be concluded that more than half of the studied nursing students had very high level of perceived stress and demonstrated a moderate degree of emotional skills/competence In addition; the purpose in life, positive relations, and personal growth of psychological well-being obtained the highest mean score. Implementation of emotional hygiene program, to teach the nursing students to care for their own emotions and didn’t leave them injured or untreated is recommended. 

Biography:

Juliana Thompson is currently working as a Senior Lecturer in Adult Nursing at Northumbria University, UK. She is a Scholar of the Florence Nightingale Foundation. Her academic and research activities focus on the development of a workforce skilled in the health and social care of older people, integrated health and social care, advanced clinical practice development in primary care and the involvement of older people in nurse education.

Abstract:

Health and social services are challenged to meet the care needs of increasing numbers of older people who are highly dependent and have complex multi-morbidities. Providing quality care for older people requires a highly competent workforce. Researchers have reported that currently, the workforce is not adequately proficient. A multi-disciplinary, multisector Pathways of Care team was set up to identify competencies required for a skilled workforce. The team commissioned this study to develop understanding of required competencies of the workforce caring for older people, develop a workforce competency framework for Enhanced Care for Older people with Complex Needs (EnCOP) and develop understanding of priority areas for development by mapping staff against the EnCOP framework. A mixed methods study was undertaken. Thematic analysis of focus groups with staff working in health, social and voluntary sector services informed understanding of the required competencies. This, together with analyses of existing workforce competency research literature and discussions with the Pathways of Care team informed development of the EnCOP framework. Statistical analysis of surveys and practice observations and qualitative thematic analysis of stakeholder focus groups and workshops informed a competency gap analysis. A standardized, integrated competency framework working across sectors and professions is required. Gap analyses found competency development is required in teaching, learning and support across organizational and sector boundaries, if competency in clinical care is to be successfully developed. Agreement and support across all sectors, organizations and professions for adoption of an integrated competency framework is required. 

Biography:

Jantra Keawpugdee has completed her PhD in Public Health Nursing from Mahidol University. She is working as a Nursing Lecturer of Ramathibodi School of Nursing, Faculty of Medicine, Ramathibodi Hospital, Mahidol University. She has published two papers in reputed journals and has been traning at the School of Nursing, University of Massachusetts Lowell, USA

Abstract:

Background & Aim: Hospital readmissions are defined as multiple inpatient stays within a specified time period by the same patient (Agency for Healthcare Research and Quality, 2013). Screening is the first step in identifying patients at risk for hospital readmissions and predicting readmission to the hospital. The study aims to identify, summarize and evaluate readmission screening tools for older adults.

Method: A systematic review of articles written in English and identified via CINAHL, MEDLINE/PubMed, Ovid UML and Cochrane Library was conducted. Additional studies were identified by through reference lists of the identified articles and by Google search. Search items included keywords for readmission, risk assessment, tools and the terms hospital settings and older adults. Reliability, validity and predictors of readmission tools were extracted independently by two authors and categorized by the authors classification tool. 

Result: 14 studies using five screening tools were identified. Based on the author developed scale screening tools, ISAR, TRST and hospital score showed low to moderate validity and moderate to good reliability. The RRAT validity and reliability scores were low to moderate, and the LACE index validity score was low to moderate, but the reliability of the tool was not reported. Independent variables that were most often identified as predictors of hospital readmission were history of hospital admission, polypharmacy, cognitive and memory problems, the need for help as well as difficulties in walking, the length of stay and comorbid conditions.

Conclusion: No single older adult readmission tool stands out as the best hospital readmissions risk screening tool. Tools can be chosen based on ease of use, predictors and hospital needs. Future studies comparing tools with patients with different diagnosis should be conducted. 

Biography:

Ruth Ann Cangialosi, DNP, MSN, RN-BC has her expertise and passion in psychiatric mental health nursing. Her servant leadership demonstrates her passion for the professional role of psychiatric nursing and her compassion for the mental health community. Her mission and philosophy of psychiatric nursing were built on years of caring for those with mental illness, her experience as an educator, and her clinical leadership in psychiatric hospitals from Arizona to Detroit. She bases her professional career on Barkers Tidal Model of Recovery. Her values of collective accountability advocacy, research, and leadership are welcomed in transformational leadership, higher reliability organizations, improving workflows and procedures while building partnerships with executives, physicians, nurses, unlicensed staff, external customers, stakeholders, and most importantly, the patients. 

Abstract:

Biography:

Abstract:

Biography:

Dr. Kelly Holben Weber, DNP, APRN, FNP-BC. Dr. Holben Weber is board certified by the American Academy Nurse Credentialing Center and the State of Illinois. Dr. Holben Weber has been a practicing Nurse Practitioner since 2014.  Dr. Holben Weber has been a nurse for 30 years. Her background is as a Nurse Practitioner is in Family Medicine with an interest in integrative and behavioral health; preventative and wellness in the family; chronic and episodic care of the family; and aesthetics. As an RN her background is Emergency Nursing, both pediatrics and adult; Operating Room; Pediatric Intensive Care Unit; and Supervisory Positions. Dr. Holben Weber presented her DNP project at the National School Nurses’ Association conference and at Chamberlain College of Nursing in 2017 and is working on a manuscript of the project. Dr. Holben Weber is currently enrolled at Regis College for her PMHNP certification course with the anticipated graduation date of 12/2019. Dr. Holben Weber’s strong academic and work foundation provides for the type of holistic approach to patients that she feels is critical for optimal patient care. Dr. Holben Weber believes that holistic care considers not only the physical aspects of a patient’s illness but includes the emotional and the spiritual aspects as well. She believes that healing occurs when the matters of body, mind, and spirit are incorporated into the treatment plan. 

Abstract:

Background and Purpose: This DNP scholarly project examined the relationship between bullying and depression scales in the adolescent 12-18 years of age. The literature review revealed that bullying is a leading risk factor in adolescent suicide. The tool selected was the Forms of Bullying Scale for victims and perpetrators (FBS- V/P) adapted to the primary care setting. Screening for bullying in the primary care setting will assist in identifying those with depression/suicidality.

PICOT: For nurses and practitioners in the clinical setting, how will the implementation of an evidence-based screening tool for bullying/cyberbullying during clinical visits; impact the identification of adolescents who have been bullied and the relationship with depression within an eight week period?

Project Description: The setting was two rural immediate care clinics. Adolescents who presented to the clinical setting, fitting the inclusion criteria were asked to participate. The questions consist of made to feel afraid (v) or deliberately made someone feel afraid or threatened (p); hurt by someone or ganged up on (v) or deliberately hurt or ganged up on someone (p); thing were damaged, destroyed, or stolen (v/p); lies or false rumors were told about me (v) or deliberately told lies or false rumors about someone (p).

Methods: The forms were given to the adolescent to fill out, then scored by the provider and if indicated the adolescent was given the PHQ-9A to complete. The other providers were given educational training on the FBS-V/P and refresher on the PHQ-9A and filled out pre and post-training evaluations. This is a quantitative correlative design. Two non-parametric Spearman’s correlation, Wilcoxon signed-rank test, and frequency distribution were utilized statistically. Chamberlain College of Nursing IRB reviewed the project and found exempt.

Evaluation: The sample size (n=27) was one of convenience. All 27 took the FBS-V/P and of those nine took the PHQ-9A. The average age of participant was 14.78 years, the average grade was eighth and more males were screened than females. The most common reason for the visit to the clinic was a repetitive illness. Statistical significance was not found between the FBS-V/P and the PHQ-9A; however, there was a moderately positive relationship shown between the FBS-P and the PHQ-9A and a strong relationship between the FBS-V and the PHQ-9A.

Conclusion: As one of the preventable risk factor, there is a need for consistent routine screening for bullying. There is a need for a reliable self-reporting tool that will work within the constraints of the clinical setting. The relationship between the FBS-V/P and the PHQ-9A has been shown to be a positive one.

Implications: The FBS-V/P is a self-reporting tool that can be adapted to any setting. Being able to identify those at risk of suicidality from being bullied and starting treatment is one way to reduce the suicide rate.

Dissemination: Plans for dissemination presentation of a poster at the National Association for School Nurses and a scholarly presentation in an academic setting. 

Biography:

Dr. Tetsuya Umebayashi is the Assistant Dean of Nursing at Tarrant County College (TCC) in Texas. He has a rich history as a healthcare professional holding a Doctorate in Nursing Practice from Walden University. His primary research project was to adapt the TeamSTEPPS approach to the institutional context in order to produce highly effective medical teams that achieve the safest patient care.  Dr. Umebayashi has a great diversity of skills, expertise and experience. His most recent honor was the NISOD Excellence Award. He established the Vocational Nursing Program and the Bilingual Nursing Program at TCC. He currently serves as a scientific committee member for the Nursing World Conference.

Abstract: