Day 2 :
Keynote Forum
Yavuz Selim Silay
Istanbul Consulting Group, Turkey
Keynote: The critical importance of new generation government engagement navigating government healthcare reforms and their impact in USA, Europe, Turkey & emerging markets
Time : 10:00-11:00
Biography:
Pharmaceutical, biotech and medical device companies are constantly evaluating how decisions at the US, Europe, Turkey and emerging markets are taken at the federal and state level and how it will impact provider and patient access and coverage to their therapies. To gain these critical insights, government affairs and medical affairs teams require speaking with those on the frontlines of healthcare delivery-physicians, allied healthcare professionals, payers and patients. New generation government engagement and commercial diplomacy approach developed by ICG ( Istanbul Consulting Group) will be provided with unique cases. Dr. Yavuz Selim SILAY a global leader and seasoned expert in Government engagement, Commercial Diplomacy, Corporate Communications, Government affairs & Medical Affairs will discuss how companies utilizing Government Affairs and Medical affairs teams should engage decision makers, payers, physicians and acquire these insights in a convenient, cost-effective and compliant manner in this current changing global regulatory landscape.
Abstract:
Pharmaceutical, biotech and medical device companies are constantly evaluating how decisions at the US, Europe, Turkey and emerging markets are taken at the federal and state level and how it will impact provider and patient access and coverage to their therapies. To gain these critical insights, government affairs and medical affairs teams require speaking with those on the frontlines of healthcare delivery-physicians, allied healthcare professionals, payers and patients. New generation government engagement and commercial diplomacy approach developed by ICG ( Istanbul Consulting Group) will be provided with unique cases. Dr. Yavuz Selim SILAY a global leader and seasoned expert in Government engagement, Commercial Diplomacy, Corporate Communications, Government affairs & Medical Affairs will discuss how companies utilizing Government Affairs and Medical affairs teams should engage decision makers, payers, physicians and acquire these insights in a convenient, cost-effective and compliant manner in this current changing global regulatory landscape.
Keynote Forum
Svetlana Nela
Brighton and Sussex University Hospitals NHS Trust, United Kingdom
Keynote: Pre-shift emergency briefing improves nursing efficiency in unexpected medical emergencies
Time : 11:30-12:30
Biography:
Svetlana Nela has been inolved in Emergency nursing, Resusciation and Simlations for 18 years. She has been a regular speaker on international conferences including INCA congreass Tirana 2017 and 2018 (Member of scintific commitee for IMCA 2019), MAK in Ukraine 2018, ERC congress 2018, BUS 2016 and 2017 in Kiev. Her reseach interest includes innovation, patients safety, simulation and AI in healthcare.
Abstract:
Introduction & Aim: It has been widely accepted that non-technical or ‘human’ factors play a key role in safety-related outcomes in high-risk industries, for example commercial aviation. Lessons learnt by this industry have been adopted into healthcare in order to improve patient safety and emergency outcomes. There has been a concerted effort to acknowledge and act on the requirement for quality-assured processes and systems to improve leadership, teamwork and communication amongst healthcare professionals e.g. Medical-Emergency Teams, within which there is a skill and grade-mix, with pre-allocated roles for each team member, and protected time for briefing at the start of each shift. Given the significance of every minute’s delay during emergencies, it seems that one key staff group has been overlooked in the application of human factors-based training and procedures in acute/general medical and surgical settings. Nurses are, in the majority of cases, the first healthcare professionals to reach deteriorating patients and it is their job to recognise and escalate this as well as initiate emergency care; however there are no established non-technical processes to ensure good teamwork and communication in the nurse-led phase of emergencies. This project aimed to establish nursing perceptions of non-technical factors during emergencies prior to MET/CA-team arrival and to trial the implementation of a briefing and role allocation system for nurses in order to improve non-technical factors during emergencies.
Method: 1. Selection of a trial ward to study nurses’ perceptions of emergencies and trial a human-factors based intervention – a Neurosurgery/ENT ward was chosen, Initial questionnaire for nursing staff addressing their experience of emergencies, Development of materials for a new briefing and role allocation procedure based on highlighted issues (poster and role badges shown below), Simulation-based resuscitation training for full nursing cohort to refresh BLS and introduce the process of briefing and role allocation Senior nurses provided with briefing guide to facilitate briefings and role allocation, Trial of daily pre-shift briefing and allocation process for 1-year period with unscheduled visits for monitoring compliance and gathering feedback, 2nd questionnaire to assess the effect of the new procedure.
Results & Analysis: Initial questionnaire:
30 responses, including 16 nurses of Band 6 and above, and 14 nurses of Band 5 and below, The results highlighted significant issues with perceptions of non-technical factors in emergencies, There was some dispariy seen between the responses of senior and junior nurses, Additionally, >70% of respondents felt that role allocation would improve their confidence in emergencies
- Nursing Education and Nursing Management | Clinical Nursing Research | Nurse Anaesthetist | Nursing Practice | Psychiatric Nurse Practitioner | Gynaecology/Obstetrics Nurse | Surgical Nursing | Women Health and Midwifery | Cancer and Tumour Nurse
Location: Conference Hall
Session Introduction
Katrina Anica Cachuela-Acido
Philippine Women’s University, Philippines
Title: Emerging podiatry nurses in the Middle East
Time : 14:30-15:00
Biography:
Katrina Anica Cachuela-Acido has completed her Masters in Nursing from Philippine Women’s University. She is a Nurse Educator for 7 years is currently in Ambulatory Care Center Podiatry Service, Hamad Medical Corporation.
Abstract:
An advanced nursing profession is considered as a specialized skill and treatment in Nursing Foot Care. The Podiatry Nurse provides treatment to high-risk clients including the geriatric population, those with arthritis, autoimmune disease and diabetes. Many advanced foot care nurses fill the gap where a podiatrist may not be able to, the foot care nurse role is holistic in her assessment and treatment while utilizing best practice in foot care, infection control and assessment in the provision of safe care. The foot care nurse understands the importance of assessing the high-risk client diagnosed with diabetes and is practice using best practice in diabetic foot care assessment. Diabetes is not just a problem of Qatar it is a global epidemic impacting globally and currently over 415 million people around the world suffer from diabetes and unfortunately this number will be increasing, and it is predicted that in 2040 this number will be 642 million. In particular, the Middle East and North Africa is impacted very heavily with 35 million and is predicted that it will be doubled by 2040. Amputation is the 3rd most important complications associated with diabetes superior than kidney failure and after heart attack and stroke. One of the key features of podiatry nurses is to provide diabetic foot screen assessment, identify client at high risk for amputations as a result of diabetes. Also, they recognize that adequate timely foot care can help reduce the serious complications that often arise in clients with diabetes and how the high-risk client mobility can be enhanced through treatment of overgrown and ingrown nails that cause debilitating pain over time. And in Qatar, we are the only service provider of this kind, thus nationalities from other gulf regions are coming over to seek treatment with us. The role of nurses in the delivery of healthcare services is essential as they are involved throughout all the stages of our patients care and spend more time with patients other than any other member of the healthcare team.
Shefaly Shorey
National University of Singapore, Singapore
Title: Effectiveness of a technology-based supportive educational parenting program on parental outcomes in Singapore: A randomized controlled trial
Time : 15:00-15:30
Biography:
Shefaly Shorey is an Assistant Professor at Alice Lee Centre for Nursing Studies, NUS. Her research areas focuses on family and women health. She has designed Psychosocial and Educational Interventions for varied group of populations. She has conducted both quantitative (e.g. Randomized controlled trials, descriptive quantitative studies) and qualitative (e.g. descriptive qualitative) studies. Her research studies involve national and international collaborations. She has received various awards for her academic and research excellence. She has many publications in high impact factor journals.
Abstract:
Shefaly Shorey is an Assistant Professor at Alice Lee Centre for Nursing Studies, NUS. Her research areas focuses on family and women health. She has designed Psychosocial and Educational Interventions for varied group of populations. She has conducted both quantitative (e.g. Randomized controlled trials, descriptive quantitative studies) and qualitative (e.g. descriptive qualitative) studies. Her research studies involve national and international collaborations. She has received various awards for her academic and research excellence. She has many publications in high impact factor journals.
Eva Kajti
Cardiovascular Intensive Care Unit, Turkey
Title: Evaluation of patient transport’s safety inside the operating theatre and healthcare worker’s experiences
Time : 15:45-16:15
Biography:
Eva Kajti is currently pursuing her PhD at Istanbul University Cerrahpasa, Istanbul. She is the Head Nurse at CVICU at Acibadem Private Hospital.
Abstract:
Aim: The aim of this study is to evaluate the safety of patient’s transportation inside the operating theatre and nurse’s role during transportation and according to healthcare workers experiences bring forward proposals.
Method: This is a cross-sectional descriptive research. The research was performed at Cakmak Erdem Private Hospital between 01/04/2016-30/04/2016. During research time all patients being operated at this operating theatre were chosen as population without sampling. In the operating theatre there are 3 operating rooms, the researcher collected the data observing the transportation process according to established forms. Statistical analyses were performed with IBM SPSS 20.0 (SPSS Inc. Chicago, IL, USA).
Result: Patients age varies between 0-89 years. The median is 41±25 years. 46 different operations were performed. Almost all safety standards were performed, excluding introducing itself (0.0-4.6%) and patient handover (5.9-34.9%). Patients were left alone at a rate of 17.2-35.5%. Healthcare workers complain of personnel shortage (24.0%) and are worried about patients’ transportation (60.0%).
Conclusion: Evaluating transportation of patients according to adverse events and application of safety standards rates is performed in a safety way but nurses don’t play an active role in it.
Hamiyet Kizil
Beykent University, Turkey
Title: Evaluation of the social perception for the use of artificial intelligence applications in the field of health: A qualitative study
Time : 16:15-16:45
Biography:
Hamiyet KIZIL, MSc, RN, is teaching assistant at the Nursing Department, Beykent University School of Health Sciences, Beykent University Beylikdüzü Campus, Büyükcekmece, Istanbul, Turkey. She obtained her bachelor's degree in nursing in 2009 and master's degree in fundamental of nursing in 2015 from Istanbul University Florence Nightingale Nursing Faculty and Doctor of Philosophy degree in fundamental of Nursing in 2017 from the University of Health Sciences Nursing Faculty. Research topics that are of interest to her are fundamental of Nursing, Intensive Care Nursing, Evidence-Based Nursing, and Health Information Systems.
Abstract:
Aim: The aim of this study is to evaluate the social perception for the use of artificial intelligence applications in the field of health.
Method: In this study, which focuses on the social perception for the use of artificial intelligence applications in the field of health, qualitative semi-structured interview design was used. The study was conducted between January and February 2019 with few individuals, who were living in cities in different regions of Turkey, applied for a health institution to get service and volunteered to participate in the study. As the data collection tool, a semi-structured interview form consisting of some questions was used. The data were collected by face-to-face interviews and recorded. Audio recordings received during the interview were transcribed into text. The audio recording outputs that were transcribed were analyzed by using the content analysis which is one of the qualitative data analysis methods.
Result: When the answers to what is known about artificial intelligence in the analyzed research data are examined, it was found that the theme of transferring human intelligence to robots was highly prominent and that using machines with artificial intelligence in health services was mostly seen as advantageous. As the advantages of artificial intelligence, the themes such as decrease in the margin of error, performing robotic surgeries, increase in the processing speed and decrease in the work load were determined. It was found that more than half of the participants showed positive attitudes towards including artificial intelligence applications in health services. When the views towards the idea of accepting getting health care services from an artificial intelligence as a physician or nurse were examined, it was seen that some views became prominent. According to these views, nursing services can be provided with artificial intelligence technology under the control of a nurse, but medical applications requiring a physician cannot be performed and artificial intelligence cannot replace a human since it cannot develop empathy.
Conclusion: The study findings showed that the participants mostly exhibited positive attitudes towards the use of artificial intelligence in the field of health, but they were worried that artificial intelligence was a replacement for a physician or nurse.
Svetlana Nela
Brighton and Sussex University Hospitals NHS Trust, United Kingdom
Title: Simulation based resuscitation training as an alternative to 4 stage approach; Combining skills and human factor in one session
Time : 16:45-17:15
Biography:
Svetlana Nela has been inolved in Emergency nursing, Resusciation and Simlations for 18 years. She has been a regular speaker on international conferences including INCA congreass Tirana 2017 and 2018 (Member of scintific commitee for IMCA 2019), MAK in Ukraine 2018, ERC congress 2018, BUS 2016 and 2017 in Kiev. Her reseach interest includes innovation, patients safety, simulation and AI in healthcare
Abstract:
Aim: The four stage approach has been the traditional method used to train healthcare staff in resuscitation skills and has been implemented worldwide, as a standard model. However, some evidence suggests this teaching method does not demonstrate better improvements when compared with other methods. The exiting Crew Recourses Management (CRM) training in contrast does not focus on failure or correction to perform clinical skills and only focus on team dynamics and behavior. The author felt there is a need to develop an alternative teaching structure where participants have an opportunity to master both-technical and non-technical skills based on participates exiting knowledge and skills in CPR in context of changing environment in resuscitation event.
Method: A new curriculum was developed- SimCAD (Simulated CPR and Defibrillation) course. Duration 3 hrs. Ratio intructor to candidate 1:6.
The structure:
1.Baseline simulation-2 min sim where the team manages a collapsed patient without instructor comments.
2.In depth de-brief discussing key arrayed issues and skills gap correction encouraging students to teach each other with instructor guidance.
3.Series of simulation scenarios with de-brief, using clear role allocation and leadership to build up individual resuscitation skills and improve team dynamics.
4.Final simulation with de-brief and reflection on improvement technical and none technical skills.
5.Post course, we recocmend a daily emergency briefing and role allocation to enable efficient skill distribution so the individual and team can adapt to daily variables.
Trial: The initial trial was carried out in Acute Trust with 5000 clinical staff and 986 acute beds. 134 clinical staff were given post courses questioners.
Result: Evaluation demonstrates that 100% of the candidate agreed or strongly agreed that this structure improves candidate confidence and helped to reflect on common issues which may arise during resuscitation.
- Workshop
Location: Conference Hall
Session Introduction
Derya Suluhan
Gulhane Faculty of Nursing, Turkey
Title: Effect of gastrostomy tube feeding on caregivers and children
Time : 13:30-14:30
Biography:
Derya Suluhan has completed her PhD from University of Health Sciences, Gulhane Faculty of Nursing.
Abstract:
Delivery of nutrition directly into stomach by using Gastrostomy tube (G-tube) is an easy, safe and physiologically better way of nutrition intake since this method enables pediatric patients to benefit from anti-infectious effects of the stomach acid and peristaltic movements and mixing function of stomach. Gastrostomy tube feeding has various effects on daily lives of pediatric patients and their caregivers. Existing studies described diverse outcomes before and after gastrostomy with positive and negative impacts on caregivers and children. Parents of pediatric patients may not be sufficiently informed so that they may find it difficult to reach to a final decision regarding gastrostomy procedure. After the gastrostomy procedure, some of the caregivers expressed positive physical impacts of the procedure on their children, including, increase in weight, improved respiratory status and better quality of life.
- Paediatric Nursing | Cardiovascular Nursing | Public Health and Community Health Nursing | Dental Nursing| Advance Nursing Practice | Disaster Nursing | Gerontology Nurse and Telemedicine | e-health
Location: Conference Hall
Session Introduction
Melihat Aggul
Ataturk Education and Research Hospital Community Mental Health Service, Turkey
Title: The sound o lost souls: Short film illustration
Time : 14:30-15:00
Biography:
Melihat AÄŸgül was born in 1966 at Izmir. She studied primary school at Kiraz, and health college in Izmir. She had two-years degree at Anatolian University. She took office at 1985. She have been working at Atatürk Education and Research Hospital Community Mental Health Service for 3 years. She had Psychiatric Nursing Certificate of Ministry of Health in 2018. She had 5 different short-films which she created the scenario and production:You are Not Alone (About Community Mental Health Studies), You are not Alone Farewell (About Community Mental Health Studies;), Mark of Teos (Teos Short Film Factory), Simulakr (Artlen Fotograph Facory), The Sound of Lost Souls (The topic is about schizophrenia).
Abstract:
Sound of the lost souls was made by volunteer young friends outside the health area with three clients. The name of the film was designated by clients. Stigma was also important in term of work. The end of the film they were affected who are the relatives of the family. They stated that the first time they were considered important themselves by another people. In the film they mentioned about what they did when the day was starting. It was a three different life. Their cultural characteristic and gender were different from each other. They were live in the metropolis. They shared to what they lived within community. They were in communication with community mental health center. Their hobbies were different. Mostly they had a mother. The mother of the family members who cared for chronic diseases. Frequently, the clients complained about couldn’t find a job and also couldn’t work in any job. Even if they find a job, they complain about failing to achieve success. In public they try to say we don’t have any problems, meanwhile some clients don’t want to show their faces. This situation indicate that how intense the stigma is in the society. They mentioned about they have difficulty at transportation. They spoke of what they do in the their home, how they sped time. they spoke of coupled with their future plan and the general attitude of society. Mentioned about the loss of the disease on their lives. The names of our families and clients were not written because they had their own demands. They shared their own house, private life with us. For this reason big thanks to them. While we were showing the short film to them their reactions were like hole different short films and this is so imagional. If our labours could make awareness it is such a honor for us. We are believe in that this labours can be useful only in case of we shared this subject in public. We are thinking that we will reach more people’s awareness with your supports.
Considering the therapeutical and improving power on clients, psychosocial therapies are of important and there are so many quite significant outputs on the results.