THE NURSING CONTRIBUTION

Transcription

1 King Saud University Medical City (KSUMC) In collaboration with College of Nursing 2015 NURSING MAY Conference and Seminars Creating a Culture of Excellence in Care THE NURSING CONTRIBUTION Riyadh, Marriott Hotel (Makarim Halls) Scientific Programme Booklet Diamond Sponsor: Bronze Sponsors: 1

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3 Table of Contents Scientific Chairperson s Message Organising Chairperson s Message Introduction Objectives Themes...6 Target Audience CME Hours Venue... 7 Scientific Committee Organising Committee Support Staff Speakers (International) Speakers (National and Local) Scientific Programme Information For Seminar Selections...23 Seminar Presentations Poster Presentations Social Programme Badge Codes

4 Scientific Chairperson s Message I would like to personally welcome you to the first Nursing Conference for King Saud University Medical City in collaboration with the College of Nursing Creating a Culture of Excellence in Care: The Nursing Contribution. High quality care places quality at the heart of healthcare delivery, with nurses playing a significant role. Nurses are in a powerful position to improve the quality of care, the experience and health outcomes across health services for our patients. This conference aims to bring experts and nurses together to demonstrate and share the contribution nurses make in the delivery of patient care, focusing on building a transcultural relationship to deliver quality improvements, explore the advances in nursing practice and education, and the opportunity to enhance professional and clinical practice. The Scientific Programme has been planned to enable international, national and local speakers to share their experience of the contribution nurses make to excellence in care. The first day of the conference provides an opportunity to debate the challenges for the professional nurse in Saudi Arabia and to hear from some of the many international speakers. The morning of the second day continues with the conference theme and widens the opportunity for delegates to hear from other international, national and local speakers. The afternoon session invites delegates to participate in a range of concurrent seminars delivered by the international, national and local speakers. I would like to make a special mention, and to give my personal thanks, to all members of the Scientific Committee and Organising Committee without whom this Nursing Conference would not be possible. Finally a special thanks goes to Dr. Ahmad Aboshaiqah and Ergie Pepito Inocian for their guidance. On behalf of the Scientific Committee, we wish you an enjoyable conference. Ms. Lorraine Elizabeth Bell Chairperson, Scientific Committee Acting Director of Nursing Executive Nursing Services King Saud University Medical City 4

5 Organising Chairperson s Message On behalf of the Organising Committee, it is my great honor to welcome you to the Nursing Conference and Seminars on Creating a Culture of Excellence in Care: The Nursing Contribution. This Conference is held in collaboration with the College of Nursing, with full support and wise leadership of H.E. Prof. Badran Al Omar, the Rector of King Saud University and Dr. Abdulrahman Al Muammar, Chief Executive Officer, KSUMC, which we believe without their support this event will not be fruitful. Under the theme of Leadership, Education, Evidenced-Based Practice & Research, Patient Centered Care, Quality Improvement and Information Management and Technology, the Organising Committee is preparing for the event in order to successfully provide delegates the opportunities for not only learning practical and relevant knowledge and skills, but also deepening mutual understanding between colleagues working under diverse medico- social conditions so that everyone can establish excellence in care together. The conference will offer various seminars where delegates can experience small interactive discussion sessions. Invited International, National and Local speakers from all over the world will ensure that the Conference filled with rich and insightful sessions. They will share their knowledge and medical experiences from renowned professionals. Conference of such nature provide a great opportunity to Health Care society, not only to update knowledge and keep learning with the latest developmental scenario in the respective medical field, but also an occasion for the resource persons, delegates, observers to exchange ideas and interact with each other. There is always room for improvement in academic world; no stage of attainment is the final stage. The Committee will put its utmost effort to provide the high- quality experience of large scale exhibition and enjoyable social event where you can establish a culture of excellence in care. We sincerely hope that you find new perspectives of patients care and the scientific programs presented at the conference interesting and valuable. I look forward to your distinguished presence at the 1st Nursing Conference and Seminars on Creating a Culture of Excellence in Care: The Nursing Contribution and your enjoyment of the educational experience. Ms. Rola M. Al Ghussein Chairperson, Organising Committee Director, Event Management Academic Affairs Department King Saud University Medical City 5

6 Introduction King Saud University Medical City presents their 1st Nursing Conference on Creating a Culture of Excellence in Care: The Nursing Contribution organised in partnership with King Saud University, College of Nursing. Objectives Focus on building the right cultures and relationships to deliver quality improvements in patient care effectively and consistently Explore advances in nursing practice management and education in relation to clinical excellence in the delivery of healthcare Examine the role of the Nurse in the changing healthcare delivery system Promote the nursing contribution in care delivery and improved patient outcomes Enhance professional and clinical practice knowledge and skills Identify the challenges of the nursing profession in Saudi Arabia Themes Leadership Education Evidence-based Practice and Research Patient Centered Care Quality Improvement Information Management and Technology 6

7 Target Audience Nurses/ Managers/Educators Instructors/Professors Lecturers Nursing Students Nursing Interns Accredited: 16 CME Hours by Saudi Commission for Health Specialties Venue: Marriott Hotel (Makarim Halls ), Riyadh, Kingdom of Saudi Arabia 7

8 Scientific Committee Chairperson, Scientific Committee Ms. Lorraine Elizabeth Bell Acting Director of Nursing Executive Nursing Services King Saud University Medical City Co-Chairperson, Scientific Committee Dr. Ahmad Aboshaiqah Chairman of Saudi Nursing Scientific Board Dean, College of Nursing King Saud University 8

9 Members Dr. Nazik Zakari Vice Dean College of Nursing King Saud University Dr. Mahaman Moussa Associate Professor College of Nursing King Saud University Dr. Omar G. Baker, Ph.D., MSN, BSN, RN (BC) Associate Professor Head, Unit of e-learning & Information Technology College of Nursing King Saud University Ms. Clara Altavano Assistant Director of Nursing King Abdulaziz University Hospital King Saud University Medical City 9

10 Samah Sayed El Zakazeky Clinical Instructor King Abdulaziz University Hospital King Saud University Medical City Ergie P. Inocian, RN, MSN Nurse Educator King Khalid University Hospital, KSUMC King Saud University Medical City Kathy Dayao Secretary, Scientific Committee King Saud University Medical City Maan Ciocson, RN, MN Nurse Educator King Khalid University Hospital King Saud University Medical City 10

11 Organising Committee Chairperson, Organising Committee Ms. Rola M. Al Ghussein Director, Event Management Academic Affairs Department King Saud University Medical City Members: Ms. Anna Beth A. Basco Researcher Event Management Academic Affairs Department King Saud University Ms. Wafa Al Bogami Medical Records Technician Event Management Academic Affairs Department King Saud University Medical City Ms. Rasha Al Mubarak Administrative Assistant Event Management Academic Affairs Department King Saud University Medical City Mr. Bader Al Nwijm Secretary Event Management Academic Affairs Department King Saud University Medical City Mr.Mishal Al Musallam Administrative Coordinator Event Management Academic Affairs Department King Saud University Medical City Ms. Sahar Al Nuwaiser Administrative Coordinator Event Management Academic Affairs Department King Saud University Medical City Ms. Mashael Al Mandeel Administrative Assistant Event Management Academic Affairs, KSUMC Ms. Nena B. Gamueda Medical Administrative Coordinator III Event Management Academic Affairs Department King Saud University Medical City 11

12 Support Staff Public Relation and Communication of Medical City Finance Department of Medical City Support Services Department Logistics & Contracts Management Government Affairs Human Resources Safety & Security Department Volunteers 12

13 Speakers: International: Prof. Dennis Ray Sherrod Professor and the inaugural Forsyth Medical Center Endowed Chair of Recruitment & Retention in the Division of Nursing at Winston-Salem State University United State of America Prof. Anahid Kulwicki Dean & Professor at College of Nursing and Health Sciences University of Massachusetts Boston United State of America Prof. Basanti Majumdar Professor Faculty of Health Science, School of Nursing McMaster University Canada Prof. Ayman M. Hamdan-Mansour Professor Faculty of Nursing The University of Jordan Jordan 13

14 Ms. Melaine Coward Director of Health Sciences Education School of Health Sciences, Faculty of Health and Medical Sciences University of Surrey United Kingdom Ms. Joanne Welch Senior Lecturer School of Health and Social Work University of Hertfordshire United Kingdom 14

15 National: Dr. Thurayya Eid Director of Clinical Practice and Nursing Research Unit Department of Nursing King Abdulaziz University Jeddah, Kingdom of Saudi Arabia Dr. Wael Al-Zayyer Executive Consultant CEO Office King Fahad Specialist Hospital Dammam, Kingdom of Saudi Arabia Dr. Tagwa Yousif Omer Dean, College of Nursing King Saud Bin Abdul Aziz University For Health Sciences National Guard Health Affairs Jeddah, Kingdom of Saudi Arabia 15

16 Local: Dr. Joel Gonzales Patalagsa Assistant Professor, Community Health Nursing College of Nursing King Saud University Riyadh, Kingdom of Saudi Arabia Mr. Osama Nazek Zamel Nurse Educator King Khalid University Hospital King Saud University Medical City Riyadh, Kingdom of Saudi Arabia Dr. Juliana D Sa FAIMER Fellow Professor, Maternal & Child Health Nursing Department College of Nursing, King Saud University Ms. Maryam Omar Alshanqiti Consultant Assistant Deputy for Assistant Medical Services Ministry of Health Riyadh, Kingdom of Saudi Arabia 16

17 Mohammad Abdulrahman Al Derwish Diabetic Foot Specialist / Foot Care Department Head University Diabetes Center King Abdulaziz University Riyadh, Kingdom of Saudi Arabia Naif Hamdi Alanazi Intern Student King Saud University, College of Nursing King Faisal Specialist Hospital and Research Center Riyadh, Kingdom of Saudi Arabia Dr. Ramon Perley Mercado Pandaan Lecturer Shaqra University Shaqra Ar Riyadh, Kingdom of Saudi Arabia Mr. John Mark Montoya Gutierrez Lecturer Nursing Department Shaqra University Shaqra Ar Riyadh, Kingdom of Saudi Arabia 17

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20 Scientific Programme Day 1: (Wednesday 6th May 2015) Time 07:00 08:00 Topics Speaker Registration Welcome & Introduction 08:00 08:30 Ms. Lorraine Bell, Acting Director of Nursing Executive Nursing Services King Saud University Medical City Session 1, 2 & 3 Makarim Hall Moderator: Dr. Mahaman Moussa College of Nursing KSU Education through Innovation Session 1 Jo Welch, Senior Lecturer & Research Lead School of Health and Social Work Makarim Hall The Centre for Learning Disability Studies University of Hertfordshire, UK Session Makarim Hall Has evidenced based practice shadowed humanistic approach of nursing? Professor Basanti Majumdar, Professor McMaster Univeristy, Canada Preceptorship models in Clinical Training Session 3 Dr. Tagwa Omer Dean, College of Nursing King Saud Bin Abdul Aziz University For Health Sciences National Guard Health Affairs Makarim Hall Question Time Coffee break Opening Ceremony Dr. Ahmad Aboshaiqah, Dean, College Of Nursing, KSU Makarim Hall Dr. Abdulrahman Al-Muammar, CEO, KSUMC Professor Badran Alomar, Rector KSU 20

21 Session 4, 5 & 6 Opening of the Nursing Poster Exhibition Professor Badran Alomar, Rector KSU Nursing Poster Exhibition open to Participants Moderator: Dr. Nazik M.A. Zakari, Associate Professor KSU College of Nursing Session 4 Identify the Challenges of the Nursing Profession in KSA Moderator: Dr. Abdulrahman Al-Muammar, CEO, KSUMC Prayer & Lunch Session 5 Developing Healthy Workplaces Professor Dennis Sherrod Forsyth Medical Centre, USA Session Engineering the Operating Room to Improve the Quality of Patient Care: An Evidence Based Approach Dr. Wael Alzayyer, King Fahad Specialist Hospital, Dammam Question Time Coffee break Session 7 & 8 Moderator: Dr. Omar Baker, Associate Professor College of Nursing KSU Session Evidence-based Practice and Research Dr Thurayya Abdulwahid Eid, Faculty of Medicine King Abdulaziz University Hospital, Jeddah Public Can Lead Health Issues Ms. Maryam O. AlShanqiti, MSN-RN Consultant, Assistant Medical Deputy for Medical Assistant Services Senior-Specialist Community Health Nursing Senior Regional Nursing Director Question Time End of Day 1 Session 8 21

22 Day 2: (Thursday 7th May 2015), (18/7/1436) Time Session 9 & 10 Session Topics Speaker Moderator: Clara Altavano, Acting Assistant Director of Nursing King Abdulaziz University Hospital Managing Stress in the Workplace Professor Ayman Hamdan Mansour, Professor, Mental Health Nursing Faculty of Nursing, University of Jordan Education being linked to Quality Improvement Session 10 Jo Welch, Senior Lecturer & Research Lead School of Health and Social Work The Centre for Learning Disability Studies University of Hertfordshire, UK Question Time Coffee break Session 11, 12 & 13 Moderator: Dr. Omar Baker, Associate Professor College of Nursing Session 11 Professional Knowledge Acquisition through Reflection for Student Nurses Ms. Melaine Coward Director of Health Sciences Education King Saud University School of Health Sciences University of Surrey, UK Session Inter-Professional Education and Practice Professor Anahid Kulwicki, Dean & Professor at College of Nursing and Health Sciences University of Massachusetts, USA Session 13 Biopsychosocial Characteristics and Functional status among the Elderly in Riyadh Naif Hamdi Alanazi Intern Student College of Nursing, KSU Question Time Prayer & Lunch Nursing Poster Exhibition

23 Information for Seminar Selections Seminar(s) 1 3 Seminar 1 Nursing Care Plan: Evidence Based Framework Makarim Hall 1 Dr. Joel Gonzales Patalagsa, Assistant Professor King Saud University Moderator: Samah Elzakazeky, Nursing Clinical Instructor, KAUH Seminar 2 Global Perspectives in Nursing Education, Research and Practice Makarim Hall 2 Professor Anahid Kulwicki, Dean & Professor at College of Nursing and Health Sciences University of Massachusetts, USA Moderator: Maan Rasonabe Ciocson, Nursing Clinical Educator, KKUH Seminar 3 The role of the Nurse in Diabetic Limb Salvage Makarim Hall 3 Mr. Mohammad Abdulrahman Al Derwish, Registered Nurse/Diabetic Educator Moderator: Joel Granido, Nursing Clinical Instructor, KAUH Seminar(s) 4 6 Seminar 4 Assessment Of HIV/AIDS Educational Intervention On Stigma Reduction Among Nurses: A Quasi-Experimental Study Makarim Hall 1 John Mark M. Gutierrez Nursing Department, College of Applied Medical Sciences, Shaqra Male Campus, Shaqra University Moderator: Samah Elzakazeky, Nursing Clinical Instructor, KAUH Seminar 5 Midwives: for a Better Tomorrow Makarim Hall 2 Dr. Juliana D Sa FAIMER Fellow Maternal & Child Health Nursing Department College of Nursing, KSU Moderator: Maan Rasonabe Ciocson, Nursing Clinical Educator, KKUH Seminar 6 Makarim Hall The role of the Mentor in Supporting Learners and Newly Qualified Practitioners to attain Excellence in Practice Ms. Melaine Coward Director of Health Sciences Education School of Health Sciences University of Surrey, UK Moderator: Joel Granido, Nursing Clinical Instructor, KAUH Coffee break 23

24 Seminar(s) 7 9 Seminar 7 Makarim Hall Seminar 8 Makarim Hall 2 Management Styles and Organizational Challenges of Nurse Supervisors Dr. Ramon Perley Mercado Pandaan Nursing Department, College of Applied Medical Sciences, Shaqra Male Campus, Shaqra University Moderator: Samah Elzakazeky, Nursing Clinical Instructor, KAUH Nurse Retention: Strategy for Improving Patient Care Professor Dennis Sherrod, USA Moderator: Maan Rasonabe Ciocson, Nursing Clinical Educator, KKUH Seminar 9 Adaptation Of Evidenced-Based Clinical Practice Guideline On Chemotherapy Extravasation: Prevention, Assessment and Management Makarim Hall Mr. Osama N. Zamel, Nurse Educator Oncology/Hematology Moderator: Joel Granido, Nursing Clinical Instructor, KAUH Conference Closes

25 Seminar Presentations 25

26 Seminar Series A Thursday A1 Nursing Care Plan: Evidence-Based Framework Dr. Joel Gonzales Patalagsa Assistant Professor, Community Health Nursing College of Nursing King Saud University Riyadh, Kingdom of Saudi Arabia Nurses Are Expected To Provide Safe, High Quality And Compassionate Care Be It Promotive, Preventive, Curative, Or Rehabilitative. Health Care Clients Are Human Beings Endowed By Biological, Psychological, Social, And Spiritual Characteristics. Therefore A Holistic Approach In Providing Care Is Needed. An Enhanced Nursing Intervention Model Is Presented To Guide Nurses Students And Practitioners Alike In Making Sure That Safe, High Quality Holistic Care Is Provided At All Times. The Amethodist Model Is An Enhancement On What Nurses Should Think And Do When Providing Care To Their Clients. A2 Global Perspectives in Nursing Education, Research and Practice Professor Anahid Kulwicki Dean & Professor At College Of Nursing And Health Sciences University Of Massachusetts, USA More Countries Are Now Adopting And Implementing Similar Nursing Curricula Which Promotes An Increase In Standardized Testing In The Nursing World On A Global Level. There Is Currently A Global Shortage Of Nursing Faculty With Numerous Factors Involved In Creating The Shortage. In Developed And Industrialized Countries There Are Numerous Resources Available To Nurses That Are Focused On Graduate Education, Advanced Practice Nurses And Research. However, In Low Resource Countries, Funding For Nursing Higher Education, Advanced Practice And Research Is Limited. It Is Important For Nurses To Gain Global Perspectives On Nursing Education, Research And Practice That Will Advance The Role Of Nurses And Nursing Care For Their Respective Populations. It Is Imperative That Nurses From High Resource Countries Collaborate With Nurses From Low Resource Countries In The Areas Of Higher Education, Advance Nursing Practice And Research That Meets The Needs Of Their Respective Populations. Advancement In Technology And The Ease Of Worldwide Travel Has Been Instrumental In Connecting The Nursing World Into A Global Community Rich With Opportunities For Advancement And Cost Effectiveness. Establishing Local, Regional And Global Partnerships Through Advanced Technology Can Assist Nurses From Any Country To Benefit From The Opportunities Made Available To Them From The Global Nursing Community. 26

27 Learning Objectives: The Learner Will Identify Challenges Facing Nurses In Their Own Countries In Advancing Nursing Education, Practice And Research. The Learner Will Examine Opportunities In Collaboration With Nurses From The Global Community. The Learner Will Establish Strategies In Collaborating With Nurses In The Global Nursing Community With Similar Needs And Challenges In Advancing Nursing Education, Research And Practice. A3 The Role Of The Nurse In Diabetic Limb Salvage Mr. Mohammad Al Derwish Diabetic Foot Specialist / Foot Care Department Head University Diabetes Center King Abdulaziz University Riyadh, Kingdom of Saudi Arabia The Prevalence Of Diabetes Among Saudi Population Is Almost 24%, And Mainly Type 2 Due To Life Style Changes And Some Genetic Background. It Is Generally Assumed That Regular Foot Exam May Reduce The Burden Of Diabetic Foot Ulceration. So, Appropriate Patient Foot Exam In The Pre-Clinic Setting Will Enhance Lower Limb Salvage. King Saud University Diabetes Centre Is A Referral Centre Dealing With More Than 15, 000 Diabetic Patients Yearly. Aim: We Sought To Implement A Mandatory Foot Exam Policy Referral In Our Pre-Clinic Setting For Foot Screening And Follow Up. Seminar Series B Thursday B1 Assessment Of HIV/AIDS Educational Intervention On Stigma Reduction Among Nurses: A Quasi-Experimental Study Mr. John Mark Montoya Gutierrez Lecturer,Nursing Department Shaqra University Shaqra Ar Riyadh, Kingdom of Saudi Arabia In A Setting Where HIV/AIDS Is A Pressing Concern, Nurses May Respond To Patients With Increase Fear Of Being At Risk Of Acquiring Hiv Infection, Decrease Willingness To Care, Or Both. This Presentation Aimed To Increase Nurses Knowledge On HIV/AIDS And Reduce HIV/AIDS-Related Stigma And 27

28 Discrimination In Healthcare Through HIV/AIDS Educational Intervention. A Quasi-Experimental Design Was Carried Out In A Secondary-Level Hospital In Riyadh From February To April Nurses (N = 58), Meeting The Eligibility Criteria, Were Included In The Sample And Were Assigned In One-Group Pre-Test And Post-Test. The Results Of The PreAnd Post-Intervention Phases Were Compared Using Paired-Sample T-Test. Significant Increase In Nurses Knowledge Was Demonstrated Following HIV/AIDS Educational Intervention (P = 0.000). HIV/AIDS Educational Intervention Was Significantly Associated With Less Stigmatization For Attitudes Towards Imposed Measures (P = 0.002). In PreIntervention Phase, The Greatest Stigmatizing Attitude Was Observed In Statement Concerning The Need For Screening All Inpatients For HIV/AIDS. The Assessment At Pre- And Post-Intervention For Comfortableness Dealing With HIV/ AIDS Patients Did Not Differ Significantly, Indicating Least Stigmatizing Attitude. However, A Statistical Significant Difference (P = 0.044) On Nurses Overall Attitude Towards Patients With Hiv/Aids Was Detected Between Pre- And Post-Intervention Assessment. Pooled Mean Revealed No Observed Discriminatory Act Among Nurses At Pre- And PostIntervention Assessment. The Utilization Of HIV/AIDS Educational Intervention Improved Nurses Knowledge About HIV/AIDS. The Effectiveness Of Hiv/Aids Educational Intervention In Reducing HIV/AIDS-Related Discrimination As Well As Its Impact On Nurses Attitudes Towards Patients With HIV/AIDS Warrants Further Investigation. B2 Midwives: For A Better Tomorrow Dr. Juliana D Sa FAIMER Fellow Professor, Maternal & Child Health Nursing Department College of Nursing, King Saud University Aim: The Health Professionals Will Appreciate The Significant Role Played By The Midwives In Contributing To Quality Reproductive, Maternal And Newborn Health, Thereby Contributing To A Better Future. Objective By The End Of The Session, The Participants Will Be Able To: Understand The Crucial Role Of Midwives In Reducing Maternal And Neonatal Mortality. Appreciate The Contributions Of Midwives In Creating A Better Tomorrow Through Effective Midwifery Care. B3 The Role Of The Mentor In Supporting Learners And Newly Qualified Practitioners To Attain Excellence In Practice Ms. Melaine Coward Director of Health Sciences Education School of Health Sciences, Faculty of Health and Medical Sciences University of Surrey United Kingdom 28

29 This Presentation Will Address Historical And Current Theories Regarding Reflection In Nursing. Uk Policy Such As The Francis Inquiry (2013) Will Be Highlighted To Illuminate The Importance Of Reflection In Professional Practice In Developing Awareness, Use Of The Evidence-Base And Contemporaneousness. Consideration Of The Role Of The Nurse Educator And Practice Mentor Will Be Addressed In Terms Of Developing The Future Practitioners Who Will Direct And Lead Quality Patient Care. Learning Objectives To Discuss The Global Differences In Supporting Students In The Clinical Setting To Review Excellence In Theory And Practice Support For Students In Health Care Settings To Review The Role Of Educators And Clinicians In Supporting Learning Discussion Regarding The Provision For Mechanisms To Support Newly Qualified Nurses To Enter The Workforce To Develop An Action Plan Drawing Upon Shared Good Practices To Take Away And Implement On Your Home Site. Seminar Series C Thursday C1 Management Styles And Organizational Challenges Of Nurse Supervisors Dr. Ramon Perley Mercado Pandaan Lecturer Shaqra University Shaqra Ar Riyadh, Kingdom of Saudi Arabia Content And Scope This Is A Descriptive Correlational Study Utilizing A Quantitative-Qualitative Approach To Determine The Management Styles Of Nurse Leaders. Findings Majority Of The Nurse Leaders (35%) Are Ages 52 To 57 Years Old. The Males Predominates The Population Of Nurse Leaders In This Study. Most Of The Respondents Are Bsn Degree Holders With Masters Units. In Terms Of Length Of Service, 9 (45%) Out Of 20 Have Been Employed For 26 To 30 Years. With Reference To The Number Of Trainings, Majority (85%) Have Participated/Attended Trainings For 20 Hours And Below. The Management Style Of The Nurse Leaders As Perceived By The Staff Nurses Are High (3.05). Finally, There Is No Significant Relationship In The Correlates Of Age, Gender, Civil Status, Highest Educational Attainment, Length Of Service And Number In Hours Of Trainings And The Management Styles Of The Nurse Leaders. 29

30 Recommendations The Nursing Administration Should Emphasize On The Significant Importance Of Applying An Effective Management Style Especially In Decision Making. Nurse Leaders Should Evaluate And Identify Areas Potential For Improvement In The Aspect Of Leadership. A Similar Study Be Conducted But To A Different Pool Of Respondent And A Larger Group. C2 Nurse Retention A Strategy For Improving Patient Care Professor Dennis Ray Sherrod Professor and the inaugural Forsyth Medical Center Endowed Chair of Recruitment & Retention in the Division of Nursing at Winston-Salem State University United State of America Nurse Retention Decreases Costs, Increases Morale, And Improves Patient Care Outcomes. This Session Will Identify Reasons For Nurses Leave An Organization And Will Discuss Generational Issues That Can Influence Job Satisfaction. Specific Retention Strategies Will Be Identified For New Graduates, Nurse Managers, And Mature Nurses. Learning Outcome: To Enhance Nurses Skills In Retaining Colleagues In The Workplace. C3 Adaptation Of Evidence Based Clinical Practice Guideline On Chemotherapy Extravasation: Prevention, Assessment And Management Mr. Osama Zamel Nurse Educator King Khalid University Hospital King Saud University Medical City Extravasation Is A Serious Condition That Warrants Significant Intervention From Healthcare Professionals Involved In Administering Intravenous Medications. The Aim Of This Study Was To Adapt Existing Evidence-Based Clinical Practice Guidelines On Chemotherapy Extravasation Developed By International Experts. Implication To Nursing Practice Evidence-Based Clinical Practice Guideline Is An Important Tool To Unify Practice And Improve Patient s Outcomes. It Provides An Outline Of The Pivotal Role That Nurse s Play In The Management Process For Patient s Experiencing Chemotherapy Extravasation. 30

31 POSTER PRESENTATION ABSTRACTS 31

32 1 Prevalence of Depression among Saudi Pregnant Women Essmat M. Gemaey*, Salma A. Moawed **, Hessa A. Al-Mutairi*** *Community Psychiatric Department, King Saud University, College Of Nursing ** Maternity Department, King Saud University, College Of Nursing *** Health educator, Ministry Of Health, KSA Depression affects about 20% of women during their lifetime, with pregnancy being a period of high susceptibility. Prevalence of depression during pregnancy ranges from 4% to 20%. Depression during pregnancy is not only the sturdiest risk factor for post-natal depression but also precursor to adverse obstetric outcomes. Aim: To identify the prevalence of depression among Saudi pregnant women & correlate between sociodemographic, medical and psychological history and depression. Methods: the study was conducted at two primary health care units at two hospitals (Al-Yammama & King Saud Medical Complex) at Riyadh city. A convenient subjects of 316 pregnant women from the 2nd month of pregnancy till 9th. A structured interview questionnaire was developed. It consisted of questions related to socio-demographic aspects & a validated Beck s Depression inventory was used to screen for antenatal depressive symptoms. (December 2013 March 2014) were screened and approached individually by the researcher. Result: The current study reveal that the prevalence rates of antenatal depression were mild to severe and extreme depression were 18.6%, 11.7% and 6.6% respectively. Spearman s rho test showed a significant correlation between depression and marital status of mother, status of the pregnancy, health complications of previous pregnancies, number of previous abortions, number of dead newborn, and number of children with low birth weight (less than 2.5 kg). Recommendation: Early detection of depression during pregnancy is awful because depression can unfavorably affect birth outcomes and neonatal health and, if left untreated, can persist after the birth can impair mother-infant attachments and have cognitive, emotional, and behavioral impact for children. 2 Perception of Primary Schools Saudi Female Teachers Regarding Child Abuse Author: Mastoura Fahad AlOtaibi Thesis supervisor: Dr. Faten Ez El-Din Helmy Associated Prof. Community Health Nursing Background: Child abuse and neglect is endemic throughout the world with serious life-long consequences impairing the health and welfare of children and adolescents. Aim: This study was done to assess governmental primary school female teachers perception regarding child abuse, their recognition of maltreatment, and their varying responses toward reporting concerns about suspected abuse and examining the relationship between teachers perception and their socio demographics variables. 32

33 Design: A Quantitative descriptive with a cross sectional design was adopted in this study. Method: The study was conducted in 32 representative governmental primary schools for females in Riyadh city after dividing it into 5 sectors; each sector has school guidance offices which is responsible for particular schools distributed geographically. The total numbers of the studied subjects were around 300 teachers who participate in a self-administered questionnaire by using cluster sampling technique. Result: the majority of the teachers perception were satisfactory toward child abuse but the majority of them with (63%) felt that they are not prepared and not qualified by training to deal professionally with all cases of child abuse as (90.3%) of the studied sample, didn t receive any training courses regarding child abuse in their career. A statistically significant association was found between teachers perception and their sociodemographic variables. Conclusion: School health nurses and teachers are expected to play a key role by leading and facilitating the process of comprehensive strategy for the prevention and interventions of child maltreatment. 3 Central Vascular Access Device: An Adapted Evidence-Based Clinical Practice Guideline Maria Ana Flor R. Ciocson, MN, RN Maranda G. Hernandez, MN, RN, RM Mohammad Atallah, PhD, MSN Yasser S. Amer, MBBCh, MSc Ped, MSc King Saud University Medical City, Riyadh, Saudi Arabia Background Our aim was to adapt recommendations from high-quality, evidence-based clinical practice guidelines (CPGs) for central vascular access device (CVAD) insertion, management, and removal in King Saud University Medical City. Currently, the hospital has a policy and procedure for CVAD insertion; however, the methodology of creating the policy document was not evidence-based, and the clinical content was not up to date. A new CPG will guide the revision of CVAD policies and procedures and eliminate variation in clinician practices. Methods The King Saud University Medical City CPG Committee introduced the modified ADAPTE process methodology for adaptation and implementation of CPGs originally developed by the ADAPTE Collaboration. Results The final decision of the panel after full assessment of 2 selected source CPGs was to adopt all Centers for Disease Control and Prevention CPG recommendations and some essential sections from the Infusion Nurses Society CPG recommendations. In addition, the team developed new implementation tools. Conclusions The ADAPTE process is an excellent scientific and rigorous process for CPG adaptation and clinical performance improvement. It can be further adapted according to the local context and resources to promote a sense of ownership of the adapted CPG. Furthermore, new CPGs will have a positive effect on hospital-wide accreditation processes and local benchmarking of health care quality outcomes. 33

34 4 Saudi Nurses Perception of Their Occupational Nursing Stress and Their Coping Strategies in Abha Public Hospitals Reham Hamad Falah AlSaqrah Jazan University Demostrate in College of Nursing and Allied Health Science The study seeks to evaluate the Saudi nurse s perception of their occupational nursing stress and their coping strategies in Abha hospital, a descriptive design was employed. The sample included 260 female and male nurse working in medical, surgical, ICU and emergency department at Aseer and Abha general hospitals.three instruments were used for data collection. A designed questionnaire by the researcher to assess sociodemographic data, perceived nurses stress scale and Coping strategies scales for nurses. Results of the study revealed that most nurses were never felt confident about their abilities to handle the work problem and to control their irritating situations, and cope with their work stress in the form of Escape-avoidance the problem. So, the study recommended that In-service training, workshops and seminars should be organized for nurses to update their knowledge and skills for coping with their occupational stress. And an educational program should be designed to enhance the nurses human behavior, resource management, interpersonal relation, stress management, crisis interventions and coping strategies to help them to be less aggressive or hostile to the patients or their families and to accept the work responsibilities. 5 Developing Research Capability Building Program For The Faculty Of Applied Medical Sciences-Department Of Nursing, University Of Tabuk Vanessa Varona, MAN; Luis Claro Belocura, Hamza Abunab, MAN The increasing demand for highly competent and qualified nursing faculty is one of the many challenges that higher educational institutions (HEI s) face. The tripartite responsibilities of higher educational institution are instruction, community extension, and research. Nurse educators are expected to carry excellence in delivering the teaching-learning process, hence, these educators play a significant role in preparing and strengthening the nursing workforce with the ultimate goal of providing quality nursing care to patients. Furthermore, as members of the academic arena, it is a pivotal role to produce quality researches guided by systematic inquiry which will further contribute to existing body of knowledge. The study aimed to determine the training needs of the faculty staff of University of Tabuk Department of Nursing as a basis for developing research capability program for the department. This specifically sought to answer the research capability of the respondents in terms of research process and research management and as correlated with their gender and educational attainment. This study utilized a descriptive - correlational research. The target population of the study is the Faculty Staff of Applied Medical Sciences - Department of Nursing both in male and female sections in University of Tabuk. This study utilized universal sampling, with retrieval rate of 78.57% specifically with total of 33 respondents, 15 female staff and 18 male staff. Results have shown that there is almost equal distribution of male and female faculty staff while there 34

35 is higher percentage of faculty staff with masters degree. Qualitative research ranked as number one as the respondents preferred topic for future seminars. Findings have also shown that there is significant difference in terms of research process when grouped according to gender, while there is no significant difference in terms of research management when grouped according to gender. On the other hand, there is no significant difference in terms of research process and research management when grouped according to educational attainment. Further, this study also shows that there is significant relationship between gender and research process while there is no significant relationship between educational attainment and research process and research management. The researchers recommend that there should be a continuous research capability-building program for the faculty staff, to keep them abreast of the latest trends in research. 6 Feto-Maternal Outcomes Of Hospitalized Hypertensive0 Gravida In Shaqra General Hospital: A Retrospective Study Rosanta O. Ellasus Nursing Department, College of Applied Medical Sciences, Shaqra Female Campus, Shaqra University Elevation of blood pressure during pregnancy can adversely affect both fetal and maternal outcomes. Other maternal and fetal complications may also arise which may result to maternal and fetal mortality. This study aimed to determine the fetal and maternal outcomes of hospitalized pregnant clients with hypertension.a 6-year retrospective research design was carried out in Shaqra General Hospital between January 2008 and November Following approval by the hospital research ethics committee and hospital administrators, hospital records were reviewed and examined using guide checklist. Universal sampling was applied totaling to 56 evaluable cases of pregnant women with hypertension. Of 56 cases studied, year 2008 to 2013 had the most frequency of hypertensive mothers. Most women are in middle adulthood stage with age 25 years old and above, had more than one pregnancy (multigravida) and more than one viable pregnancy (multipara). Fetal outcome resulted to high number of babies who were term, appropriate for gestational age, with good Apgar score, no birth defect but high frequency of neonatal intensive care unit (NICU) admissions. Maternal outcome recorded no maternal deaths; however, 4% maternal complications (i.e., post-partum hemorrhage and HELLP syndrome) and more caesarean section deliveries were observed. Good Apgar score and absence of birth defects is associated with higher frequency of roomed-in babies and less NICU admissions. There were lesser complications to mothers who had more than one pregnancy. There were more NICU admissions from caesarean section deliveries. 35

36 7 Effects Of Blood Glucose Level On Cognitive Performance Of Male Nursing Student: Randomized, Single-Blinded, Placebo-Controlled Pilot Trial Allan L. Dueño Nursing Department, College of Applied Medical Sciences, Shaqra Male Campus, Shaqra University Targeted activities that enhance nursing students cognitive performance are vital component of nursing education. This study utilized a randomized, single-blinded, placebo-controlled pilot trial design to determine the transient effects of blood glucose level on cognitive performance of male nursing students enrolled in a Saudi university. The research protocol was reviewed and approved by university research ethics committee. A total of 22 participants, who met the inclusion criteria, were included for analysis. Using systematic random sampling technique, 10 eligible participants were assigned in experimental group while the remaining 12 were assigned in control group. In pre-intervention phase, baseline blood glucose levels and test scores were obtained. Both groups watched a 5-minute video presentation regarding effects of cigarette smoking. Twenty-item multiple-choice questions were administered following video presentation. In intervention phase, the experimental group received glucose-prepared solution while the control group received placebo solution. The post-intervention phase was similarly to pre-intervention phase. Results revealed that the blood sugar levels (p = 0.045) and test scores (p = 0.025) for experimental group improved significantly; no change in blood glucose levels (p = 0.732) and test scores (p = 0.987) was observed in the control group. Blood glucose levels have significant transient effect on cognitive functioning, primarily on memory tasks. The experimental group, with improved blood glucose levels, demonstrated improved cognitive performance compared to control group. Results show that nursing students cognitive performance can be enhanced by targeted activities. Further investigation is recommended with a larger sample size. 8 The Delivery of Nursing Care To Pneumonia Patients Jerry Acosta Abriam, MAN College of Applied Medical Sciences, Nursing Department, Shaqra University This study determined the delivery of nursing care to pneumonia patients among (5) selected hospitals of La Union, Philippines. This study utilized the qualitative method with questionnaire accompanied by interview. A sample size of staff nurses (N=61) were chosen through a purposive sampling, and patients (N=118) who were confined at the period on which the researcher conducted the research were also included as respondents. Tools utilized to analyze and interpret data study gathered were frequency, percentages and ranking. Findings of the study revealed that the there is low prevalence and incidence of pneumonia in the five selected hospitals of La Union. The delivery of nursing care as to Independent Nursing Care, Dependent Nursing Care ad Collaborative nursing Care was highly implemented. The most common problems encountered by staff nurses in the delivery of nursing care are the availability of equipment, too much workload, lack competence and lack of policy. Pneumonia patient encountered problems in receiving care from the nurses. This study will enable the nurses to focus on the most common management and delivery of best possible care rendered by nurses to pneumonia patients. Revealing our strengths and weaknesses in management of pneumonia will improve our services to our patients. Moreover, inclusion of patients in their disease management will improve the patients outcome for early recovery and hospital discharge. Therefore, measures were proposed to enhance the delivery if nursing care along Independent, dependent and collaborative nursing interventions to improve the patients outcome. 36

37 9 Efficacy Of Counseling For Cervical Cancer Screening And Protective Procedures On Saudi Women s Health Beliefs And Practice *Soliman, Aziza;1 ** Amany S. Badawy;1,2 ***Fouad, Abeer1 *Professor of Obstetrics & Gynecological Nursing, ** Assistant Professor of Obstetrics & Gynecological Nursing, *** Lecturer of Community and Mental Health Nursing, 1-College of Nursing, King Saud University, Riyadh, Saudi Arabia- 2College of Nursing, Zagazig University, Zagazig, Egypt Background: Cervical cancer is the second most common cancer of women in the world, and it becomes a major cause of cancer mortality in low-income countries due to inadequate use of the screening services. Currently, little is known regarding cervical cancer incidence in Arab countries. In the Kingdom of Saudi Arabia, cervical cancer occurs in 4.1/100,000 females in the population. It accounts for 7% of all newly diagnosed cancers in females, and is the eighth leading cause of cancer death in Saudi females. An intensive screening program for cervical cancer is not well established, and despite the availability of the Pap smear test among different health sectors, it was noted that the number of cases of cervical cancer has been increasing over the past 2 decades. Objective: To evaluate efficacy of counseling about cervical cancer in Changing Saudi Women s beliefs and Practices toward Screening and Protective procedures. Methods: A Quiz- experimental study carried on100 Saudi women were counseled after being administered a structured interview questionnaire with the Health Belief Model Scale for Cervical Cancer and Pap Smear Test. The study was performed in two Holy Quran teaching centers in Riyadh City between September 2014 and December Data were collected by means of an form Results: Lack of subjective symptoms was the main reason for women to refrain from gynecological examinations. Women were found to have poor knowledge, inadequate health behavior and false beliefs regarding cervical cancer symptoms and screening. There was relation between health beliefs and characteristics of women and particularly education (F = 10.80, p = 0.01). Conclusions: Primarily beliefs and practices of women in the target group should be evaluated to increase their participation in cervical cancer screening and to prepare effective education strategies. There is a need to educate the general community about the disease and its prevention. 10 Infertility Related Stressors in Saudi Women Initiating In Vitro Fertilization (IVF) Essmat M. Gemeay*, Salma Moawed**, Essmat A.Mansour***, Mona El Nady* *Community Psychiatric Department, King Saud University, College Of Nursing ** Maternity Department, King Saud University, College Of Nursing *** Medical surgical Department, King Saud University, College Of Nursing Infertility is a stressful experience, yet little is known about the specific issues confronting infertile women. 37

38 In the present study, therefore, the objective of this study is to identify prevalence of anxiety, stress and depression of women going to infertility clinic in Riyadh. descriptive cross-section design was used, Methods.A convenient subject 150 women, the study conducted at king Fahd Medical City(KFMC) - Riyadh, in vitro fertilization clinic(ivf), Tools clients were interviewed individually using interview questionnaire sheet which formed by the researchers & composed of 2 parts ; The first one : is about the sociodemographic data as (age, Living Area, Accommodation, Job, Education, Family income,..etc.). In the second part, DASS scale is a 42-item self-report instrument designed to measure the three related negative emotional states of depression, anxiety and tension/stress. Results The findings of the present study revealed that infertile women have a little pit association between the anxiety, stress and depression among women and infertility. The researchers recommended that Psychological support should be a part of the medical treatment process, to improve mental health and quality of life among IVF women. 11 Cultural Competency Among Expatriate Nurses in Saudi Arabia Mohammad Atallah1, Ergie P. Inocian1*, Mohammed Moufleh1, Maha Faden1, and Sami Eid1 Department of Nursing, King Khalid University Hospital, Riyadh, Saudi Arabia Background: The culture of Saudi Arabia is dominated by the values and virtues of Islam. Methods: This descriptive study served as a baseline assessment survey to determine the level of competence among expatriate nurses in providing culturally competent nursing care. The Individual Assessment of Cultural Competence, with approval from the Institution Review Board (IRB), was administered to 584 expatriate nurses of a University Hospital in Kingdom of Saudi Arabia. Results: The findings of the study showed that majority of the respondents were Indians and Filipinos, with a frequency percentage of 53% and 39%, respectively. The respondents were culturally competent in providing nursing care however there were significant differences in their cultural competency when grouped according to their age, gender, educational status, nationality and length of service. Nursing Implications: The university hospital recognizes the importance of cultural competence in the caring professions with the presence of diverse workforce. Hence, professional development programs are necessary to continually provide the nursing staff with the needed information primarily about Saudi culture. 38

39 12 Post-Anesthesia Recovery Score For Ambulatory Patients (PARSAP): Addressing Millennium Nursing Care Ratnasree Chindada, Teocele O. Ebarat, Mohammed Atallah, Mohammed Moufleh, And Veronika Jones Department Of Nursing, King Khalid University Hospital Background: The use of discharge criteria in the ambulatory surgery setting has been the topic of many research studies and reviews because this will affect the total recovery time of same day surgery clients. This evidence based practice provides a discussion of a research utilization project regarding the use of an Expanded Postanesthesia Recovery Score for Ambulatory Patients or PARSAP. Methods: This is a Pilot Study, a sort of test-running to adopt the Aldrete s Expanded Post-Anesthesia Recovery Score for Ambulatory Patients (PARSAP) scale. For this purpose, the OB-GYNE Unit was selected as a convenient sample population to implement the PARSAP discharge criteria for their post-operative clients for five- month period starting October 2103 up to February Mainly, PARSAP scoring scale was tested on one major claim: Is there any decrease in the length of stay in phase II recovery of post-anesthesia patients? Results: The implementation of the PARSAP discharge scoring scale was accomplished with minimum difficulty primarily because of the unit staff nurses commitment to work for the project and the excellent relationship with the anesthetists. In the IVF Unit, staff nurses catered 139 post-anesthesia patients and they were able to fast track the discharge time to an average length of stay for 45.9 minutes as compared to the 1 hour traditional practice. The quality of care rendered was evaluated on the basis of reported complications after 2 weeks of discharge including pain, nausea and vomiting. Results revealed 2 call backs (0.014%) of the total population served. In the Antenatal, Post-Natal and Gyne Units, the use of PARSAP scoring scale has reduced the monitoring time of the staff nurses by an average of 30 minutes. The average length of stay in the unit has also decreased to 15% of the time as compared to the previous practice. In the Labor and Delivery Unit, the PARSAP scoring system was found to have comprehensive and consistent criteria which is more applicable during the Phase I close monitoring period. Of the 10-item scale, items 9 & 10 scoring was modified accordingly because at this Phase I, patient is still on NPO and has Foley s catheter. Overall observation revealed that the length of stay has been reduced by an average of minutes, decreased the monitoring workload of the staff nurses and fast-tracking the transfer of patients to the post-natal unit. Conclusion and Recommendation: The Post-Anesthesia Recovery Score for Ambulatory Patients (PARSAP) is an Expanded Aldrete s scoring system which can be used as an effective tool for assessing discharge readiness both in Phase I and Phase II post-anesthesia patients. Its implementation is the easiest way of streamlining the recovery of patients, have been able to meet the standards of care without adversely affecting the quality of care utilizing the esihi of the Cerner s system. The timely discharge of patients using PARSAP is one method of reducing healthcare cost for both the institution and the patient s family. Hence, a proposed Protocol for its usage and implementation was forwarded to the top management for review and approval. 39

40 13 Progressive Mobility Protocol: Reducing Icu-Adult Complications and Injury-Free For Carers Ruhaina Ladja, Mohammed Atallah, Zakaria Al Masri, Mohammed Moufleh Department of Nursing, King Khalid University Hospital INTRODUCTION: A review of the literature reveals recent studies that discuss the benefits of early mobility in intensive care patients. Early progressive mobility programs use a systematic progression of activity to prevent deconditioning and its complications in critically ill patients. The expected patient outcomes of the innovative progressive mobility protocol can also improve the workload condition of the nurses. METHODS: Assessment of the ICU nurses theoretical understanding on the effects of immobility was conducted, as well as the statistical data on the patient handling related injuries of nurses were collected. FINDINGS: Results of the staff nurses manual handling survey and knowledge on the effects of immobility indicated that staff nurses have inadequate knowledge on the effects of immobility. Having low back pain was the most common problem experienced by the staff related to manual handling. There is no available guidelines on manual handling. Mostly, they do not receive annual training on manual handling and back care and only upon orientation during arrival. CONCLUSION: With the emphasis on frontline caregiver empowerment to drive mobility using an evidence-based guide, the team will be able to integrate safe mobilization practices. A recommendation to formulate a project design in Integrating a Multidisciplinary Progressive Mobility Programme into Intensive Care Practice is necessary. 14 Self-Efficacy among Staff Nurses on Patient-Controlled Analgesia Administration Wilfreda Moran1, Mohammad Atallah1, Ergie P. Inocian1, And Mohammed Moufleh1, Department Of Nursing, King Khalid University Hospital, Riyadh, Saudi Arabia Background: Patient-Controlled Analgesia (PCA) has become a common method to manage postoperative pain. This study aims to determine the self-efficacy of staff nurses in using PCA. Methods: A survey questionnaire was administered to 143 staff nurses in the perioperative setting of a university hospital. Self-efficacy regarding the use of PCA is measured based on the perceived clinical skills of PCA administration. 40

41 Results: The study found out that majority of the respondents are confident in terms of programming the PCA pump, providing patient education, patient monitoring, independent double check, documentation and the overall use of PCA. Implication to Nursing: Perceived Self-efficacy is central to the understanding of individuals transactions with their environments and a core construct that mediates between knowledge and behavior. Assessing the self-efficacy of the staff nurses will contribute significantly in the formulation of educational programme aimed at improving the knowledge and skills of the staff nurses with PCA administration. 15 Ensuring Patient Safety Through Effective Implementation Of Surgical Safety Checklist Trinidad J. Salcedo, Associate Director Nursing-Operating Room Mohammed Atallah, Associate Director Of Nursing-Education Ergie P. Inocian, Nurse Educator Wisam Almomani, Nurse Educator Mohammed Moufleh, Director Nursing King Khalid University Hospital Background Patient safety as a fundamental principle of health care emphasizes the reporting, analysis, and prevention of medical error that leads to adverse healthcare events. The implementation of evidence-based practice in perioperative nursing holds promise of improving quality of care and client outcomes. Methods The study utilized a descriptive research design to determine the compliance rate on surgical safety checklist in the operating room of a university hospital in Riyadh, Saudi Arabia. The study used the Surgical Safety Checklist implemented in the Operating Room. This form is patterned from the WHO surgical safety Checklist. Findings It was noted since the time of surgical safety checklist implementation that there was a fluctuating increase and decrease level of compliance to the surgical safety checklist during the three phases of the surgical procedure. This indicates a need to consistently monitor the implementation of the checklist to achieve full 100% compliance. Implication to Nursing Practice In many respects, checklists are instruments which facilitate communication amongst members of the clinical team and to help avoid error. Instituting a surgical safety checklist is a very important step toward improving surgical safety and team collaboration. The utilization of surgical safety checklist can also have a positive impact on patient outcomes. 41

42 16 Impact Of Initial Glycemic Control On The Healing Rate Of The Diabetic Foot Lesions Mohammad Derwish, RN Background: The prevalence of diabetes among Saudi population is almost 24%, and mainly type 2, due to life style changes and some genetic background. It is generally assumed that poor glycemic control may delay wound healing. So, the impact of glycemic control on healing of diabetic foot ulcers remains to be explored. Aim: To identify the impact of glycemic control on diabetic foot ulcer healing outcome. Methods: Medical podiatric records of 335 diabetic patients with diabetic foot wounds from the Foot Unit at University Diabetes center between September November 2013 were collected. Diabetes control was based on the HbA1c values, podiatric exam includes sensory testing performed by using a VPT, and vascular status evaluation was based on pedal pulses palpation and/or ankle brachial pressure index (ABPI). Wound care was done up on the standard of the IWGDF (debridement, infection control, vascular control, and offloading). Wound assessment was done up on PEDIS classification and Healed wound was defined as complete closure without discharge. Results: Mean age, diabetes duration, and HbA1c were 58±0.6 years, 17±0.4years, and 9.4 ±0.1% respectively. Diabetic peripheral neuropathy and peripheral vascular disease was 94.92% and 35% respectively % of the total ulcers were infected and 70% were located at the plantar aspect of the foot, the mean wound size was 5,25cm² and the wound severity type was grade III classification (9.8%). Foot Deformity and Charcot foot was 65% and 15.22% respectively. History of ulceration and amputation was 33.5% while all wounds healed within a mean of weeks. Conclusion: Better Diabetic foot ulcers outcome rely on well-organized diabetic foot team rather than better glycemic control. 17 Nurse s Perception Toward Medication Errors In Pediatric Emergency Departments At Riyadh Hospitals Prof. Dr. Salma Moawed & Haifa Fahad Human error is an innate behavior, process experts tell us that if a person performs a process enough times, a mistake will eventually be made by that person performing that process and error rates increase as the number of steps in a process increase. There is no consistent policy or procedure in place in health care to help nurses deal with their reactions generated upon the realization that a medication error has been made. The purpose of this study was to explore the relationship between nurse characteristics and medication errors in pediatric emergency department on Riyadh. A study questionnaire was sent to convenience subjects of 200 registered nurses (RN) from across the Riyadh area who was working in pediatric emergency departments. The primary causes of medication errors identified were interruptions during medication pass, short RN staffing, nurses caring for high acuity patients, nurses 42

43 working more than 12 hours in one shift, and nurses knowledge of medications dispensed. Rank ordering identified three major barriers to reporting medication errors; fear of consequences that may result if a medication error is reported, fear of blame if something happens to the patient due to a medication error, and fear of reprimand if they reported a medication error had been made. Nurses perceived that medication administration technologies would decrease medication errors in their hospitals. Results of this study have serious implications for individual staff nurses, nurse administrators, as well as hospital administration and hospital systems in terms of error reduction and patient safety. 18 Clinical Learning Environment As Perceived By Bachelor Degree Nursing Students Latifah Alenazi Supervised By: Dr.Fatmah Baddar, Dr. Hanan Alkorashy Background and Aim: The clinical learning environment is the interactive network of forces within the clinical setting that influence the students clinical learning outcomes. The identification of factors that characterize clinical learning environment could lead to strategies that foster the factors most predictive of desirable student learning outcomes and ameliorate those which may have a negative impact on student outcomes.the aim of this study focused on Assessment of the clinical learning environment from the bachelor degree nursing students perception at College of Nursing, King Saud University and find out whether there is a difference between the actual and the preferred clinical learning environment. Materials and Methods: A cross-sectional descriptive comparative design was used in this study. The selected setting was is the oldest programs for education of baccalaureate and master degrees in nursing at Kingdom of Saudi Arabia, accessible population included all undergraduate bachelor of nursing students (males & females) from level 4 up to 8. Total No. of male students were (144), total No. of female students were (147). In this study a self-administered questionnaire was used. The questionnaire developed by chan (2002) used in the currently study consisted of two main parts as well as a demographic data sheet. The parts were namely: clinical learning environment inventory Actual (CLEI-A) and clinical learning environment inventory Preferred (CLEI-P). Results: The study results revealed that, the majority of the nursing students at King Saud University had high perception than preferred clinical learning environment. In comparing between male and female sections, the results showed the mean scores of actually perception to clinical learning environment lower in female comparing to male nursing students referred to culture. Recommendations: The current study highlights the need for a supportive clinical learning environment which is of importance in obtain the required teaching and learning process for students on clinical practice. 43

44 19 Surgical Site Infection Prevention: Bundle Of Care Mohammed Atallah1, Ergie Inocian1, Tariq Al Tokhais2, Yasser Amer3 1 Department Of Nursing, King Khalid University Hospital 2 Surgery Department, King Khalid University Hospital 3 Quality Management Department, King Khalid University Hospital INTRODUCTION The issue of Surgical Site Infection Prevention (SSI) is one of the high priority health topics for Clinical Practice Guideline production in the hospital due to the following reasons: Prevalence of the condition in KKUH; The burden associated with SSI (e.g. an economic, financial, or patient burden); Concerns about practice variation; The likelihood that the CPG will be effective in influencing practice; The potential for improving quality of care and/or patient outcomes (e.g. pain, disability, quality of life, etc.); and The existence of relevant good-quality evidence-based CPGs in the international context. Since, a rigorous development process of clinical practice guidelines is costly and time consuming, the hospital has prompted to rely on adaptation of guidelines developed internationally by experts. METHODS The description of the methodology for the production Clinical Practice Guideline (CPG) in the hospital utilized the sequential process for trans-contextual adaptation of CPGs proposed by the ADAPTE Working group of the Guidelines International Network (G-I-N). The researchers utilized the five items PIPOH model (Population Intervention Professionals Outcome Healthcare settings) to cover relevant aspects. RESULT The panel retrieved 27 source CPGs; 24 CPGs were excluded based on the identified PIPOH and selection criteria and 3 were considered for further assessment. The National Guidelines Clearinghouse (NGC) Compare Guidelines tool was used to compare the 3 selected CPGs. The Appraisal of Guidelines Research & Evaluation II (AGREE II) Instrument was used to assess the quality of the CPG. The Overall Assessment and decision of the panel was to adapt the Clinical Practice Guideline from The National Collaborating Centre for Women s and Children s Health Surgical site infection: prevention and treatment of surgical site infection. London (UK): National Institute for Health and Clinical Excellence (NICE); (2008 Oct. reaffirmed 2011). IIMPLICATION TO NURSING PRACTICE The ADAPTE process for CPG adaptation (version 1.0 and 2.0) is an excellent scientific and rigorous process for clinical performance improvement and is a valid and scientific alternative to de novo CPG development. Implementation of the adopted CPG on SSI prevention is recommended to decrease the incidence rate of SSI. 44

45 20 Cognitive Impairment Among Community-Dwelling Elderly Joel Gonzales Patalagsa1 And Ergie Pepito Inocian2 1 King Saud University, College Of Nursing 2 King Khalid University Hospital, Nursing Department Aim: We determined the cognitive function and modeled the odds of having mild, moderate, or severe cognitive impairment among 65 years and older persons in Cebu City, Philippines. Methods: The mini mental state examination was used in assessing the cognitive function of 120 communitydwelling 65 years and older persons. Pearson χ2-monte Carlo Method with CI 99% and multinomial logistic regression were used to analyze data. Results: Collectively, the participants have mild cognitive impairment (M=22.53; SD=5.08). Significant differences in cognitive function were observed when grouped according to sex, age, and education level (p<.05, CI ; p<.001, CI ; and p<.001, CI respectively). Increase in age increased the odds of having mild, moderate, or severe cognitive impairment (p<.05, OR 1.11, CI ; p<.001, OR 1.40, CI 1.20, 1.63; and p<.01, OR 1.56, CI respectively). Being male had decreased odds of having mild cognitive impairment (p<.05, OR.104, CI ). Having elementary education only increased the odds of having mild or moderate cognitive impairment (p<.01, OR 23.49, CI ; p<.05, OR 19.23, CI respectively). Nursing Implications: The results support the growing global concern on the increasing threats to health caused by cognitive decline and/or cognitive impairment to the quality of life of older persons. Advancing age was the strongest predictor for having mild, moderate, or severe cognitive impairment among older persons. Implementation of primary health care-based cost-effective early detection and interventions are needed to prevent possible debilitating effects of cognitive impairment among older persons. 21 Effectiveness Of Organizational Stressors And Leadership Behavior On Level Of Emotional Exhaustion Mona Talat El-Nady College of Nursing, King Saud University The aim of this study was to investigate the effect of organizational stressors and leadership behavior on level of emotional exhaustion among nurses. Descriptive correlation design was utilized in this study. The present study was conducted in selected departments affiliated to El-Kser El-Aini general hospital. A convenient sample of seventy staff nurses was included in this study. Data was collected through utilizing the following tools: a) Demographic data sheet; b) The Supervisory behavior questionnaire; work stressors were measured through utilizing two instruments: nursing stress scale and role conflict and role ambiguity scale; emotional 45

46 exhaustion was measured using scale of Maslach Burnout Inventory. Results of the present study concluded that stresses from physical and social environment and role conflict were significantly correlated with increased level of emotional exhaustion among staff nurses. Results also revealed that there was a relationship between leadership behavior of head nurses and subordinate level of emotional exhaustion. It was recommended that there is a need for training for head nurses and supervisors in order to develop consideration oriented leadership style emphasizing mutual respect open communication rather than controlling behavior to decrease level of emotional exhaustion among nurses. 22 Sources Of Stress As Perceived By Nursing Students At King Saud University Mofida Younis Al Barrak DNSc, Elham Abdelkader DNSc and Mona Talat El-Nady DNSc The Department of Psychiatric Mental Health Nursing, College of Nursing, King Saud University Nursing students suffer higher levels of stress during their college years than college students in other disciplines. Nursing students and persons employed in the nursing profession have been identified as a population with an elevated stress level. Stressors for student nurses included adjusting to a rigorous program of theory, long hours of study and pressures of student clinical practice requiring emotional and personal maturity. So the aim of the present study was to identify sources of stress as perceived by undergraduate nursing students at King Saud University. A descriptive, correlation design was utilized in this study. The study was conducted at Female College of Nursing, King Saud University at Al-Riyadh City. The total proposed subjects included in this study were 300 students covering all levels of the nursing college, using convenience data. The tools included two parts: Part 1 included socio-demographic data for students such as age, marital status, and health related data, part 2 was the Student Stress Survey Sheet (SSSS) which used to study the major sources of stressors among college students; it included items addressed academic, intrapersonal, interpersonal, and environmental sources of stress. The present study results concluded that there were a variety of stressors placed on the studied subjects. The major sources of stress as perceived by King Saud University College of Nursing students were the academic followed by intrapersonal, then environmental and the last was interpersonal. The results of the current study recommended that it is important for the university to maintain well balanced academic environment conducive for better learning, with the focus on the students personal needs. The university should be affording adequate resources such as books, computers to do assignments; also nursing college should do an effort to narrow the gap between students expectations, goals, and values to be integrated with that of the university. 46

47 23 Perception Of Saudi Elderly People Toward Alzheimer s Disease Assessment And Care Ahlam Rashid Khalf Al-Enazi Generally, there is an urgent need to assess AD knowledge and perception among Saudi elderly population. Studying elderly group of the Saudi population is meaningful because this population has diversity in socioeconomic status, health status, as well as diverse exposure to AD and other neurologic diseases. This will have a great impact on extending the literature of AD in this country and Arab countries as well and in finding the proper means of managing AD. The aim of this study was to examine Saudi elderly s perception of Alzheimer s disease (AD). Additionally, this study examined both the unique and collective variance of socio-demographic variables among Saudi elderly people in regards to their knowledge of Alzheimer s disease. A descriptive research design was utilized. A convenience sample was utilized with a size of 300 Saudi elderly people aging 60 years and more. Setting was in Prince Salman social center in Riyadh city. Data collection was executed by using the structured self- administered questionnaire sheet, it covered three measures: a) Socio-demographic data questionnaire, b) Saudi elderly people s knowledge of Alzheimer s disease concerning «its early identification», and c) Saudi elderly people s perception of Alzheimer s disease. This study revealed that generally perception of saudi elderly people toward care of Alzheimer s disease was good and ranked as first one. The second rank in the perception was assessment of Alzheimer s disease as it slightly less than the care. The last rank was perception about the disease in general related to symptoms and stigma then causes and risk factors. In conclusion, knowledge of saudi elderly people was good toward Alzheimer s disease, however most of them stigmatized the disease. Developing nursing research and increasing networking of nurse researchers within Saudi Arabia to overcome the lack of nursing literature about AD could be achieved. By adding to the earlier requirement of nurses in promoting nursing research the needs of groups most at risk were to be considered, evaluating programs there is a need to support maximum participation in health care planning; to teach people about self-care emphasize the uniqueness of nursing to integrate knowledge, experience and the ability to reflect on and research. Recommendations include: (1) development and execution of educational programs should be executed to expand knowledge and decrease undesired perceptions. (2) Professional workers in the community should be approached and educated to assume more responsibility in increasing knowledge of AD and in altering adverse perceptions and underlining desired ones. 47

48 24 A Cross-Sectional Study Of Postoperative Pain And Perceived Pain Care Quality Among Surgical Patients *Regie Buenafe Tumala and Gerlynn Cabulong-Tumala *Assistant Professor, College of Nursing, King Saud University, Riyadh, Kingdom of Saudi Arabia Background Postoperatively, hospitalized patients experience significant pain from surgery, treatments and their side effects, and procedures. In this situation, nurses play a vital role in the assessment and relief of pain of surgical patients. Pain is a common and distressing problem for hospitalized patients in the setting of the current study. In a survey, twenty-eight percent (28%) of patients were reported having severe pain postoperatively. The aim of this study was to determine the relationship between the postoperative pain experienced by the surgical patients and their perception of the pain care quality they received from their nurses. Methods This cross-sectional study was participated by 125 adult surgical patients. All of the participants were interviewed using a questionnaire that tested the relationship of their postoperative pain and the perceived pain care quality they received from their nurses. Results Majority of the participants were between years old, males, married, and college graduates. Nearly two-thirds from them were confined in the hospital for days. In addition, many among them had general type of surgery. Majority of the participants had severe pain eight (8) hours after surgery and reported moderate pain twenty four (24) hours after surgery. Furthermore, their perceived pain care quality was very satisfactory. Lastly, a significant association between the postoperative pain score and perceived pain care quality of surgical patients was established. Conclusion Appropriate assessment of the severity of pain experienced by surgical patients postoperatively translated into a very satisfactory perception of the pain care quality they received from their nurses. However, during each shift, the nurse caring for a patient may have different knowledge and skill in pain management, ultimately providing a different level of care. Gaining in depth knowledge about postoperative pain score of patients using the Numeric Rating Scale of Pain (NRS) by the American Pain Society (2010) can help decrease or alleviate it through nurses pain care quality management. 48

49 25 Groin Dressing Post Cardiac Catheterization: Traditional Pressure Vs. Transparent Film Rokaia Al Shualah, RN, MSN Coordinator Of Nursing Education Royal Commission Hospital, Jubail Introduction: Post cardiac catheterization puncture site care is usually done with a tight pressure dressing in many institutions due to the belief that it should prevent the bleeding. This practice is uncomfortable to the patients. Nurses have also described difficulty in assessing the sheath insertion site in the groin when pressure dressing is in place. A new way of dressing using transparent film dressing (TFD) has approved and rated better with regard to: comfort, less pain, decrease hematoma formation and facilitates nurse s assessment of puncture wound site after femoral sheath removal. Purpose of the study: To determine the efficacy of using a small transparent non pressure dressing compared with the traditional controlled pressure dressing applied to the femoral artery puncture wound site to maintain hemostasis following cardiac catheterization procedures. Methods: Design: An experimental design randomized Controlled clinical trial. Setting: King Fahd University Hospital in Khober, Saudi Arabia. Patients: 80 post cardiac catheterization patients were randomized to have their groins dressed either with pressure dressing (N = 40) or Transparent Film Dressing (N = 40). Patients ambulated 8 hours after the procedures. Outcome variables were hematoma formation or bleeding, patient discomfort, and nurse-reported ease of observation of the groin puncture site after the procedure. Five instruments were used for data collection: 1) Demographic and medical data sheet, 2) Hematoma Formation and Bleeding Scale, 3)Skin Integrity Scale, 4)Patient Discomfort and Pain Scale & 5)Nurses Ease of Assessment Scale. Results: Results of the study showed that 100% in TFD group vs. 55% in pressure dressing group reported feeling very comfortable (p value of 0.003). Hematoma formation was equal in the two dressing groups with no incidence of bleeding complications. Nurses rated the ease of assessing the groin significantly higher for TFD than for pressure dressings (p value of 0.000). Conclusion: Dressing of the puncture site after cardiac catheterization with TFD was more comfortable than the conventional pressure dressing without any difference in hematoma or bleeding complications. So TFD can be used safely and comfortably after achieving hemostasis. 49

50 26 Exploring The Factors, Challenges And Obstacles Impacting Saudi Female Students In Australian Universities: Implications For International Students Of Nursing And Midwifery Hanan Alzharani Specialist At Nursing College, KSU Introduction The educational nursing segment in Saudi Arabia has been experiencing fast and significant change. Several students are opting to go abroad and study in foreign universities to get higher education fit for putting resources into and changing the nation. The current research work focused on the Saudi female students in the nursing profession, which is also one of the main motivations for this study as well as identifying learning experience of these students in foreign universities. From the study, several factors have been identified that behave as obstacles for the Saudi students while studying outside their home country Objective To investigate the factors that impact on Saudi female nursing and midwifery students and to describe their education experiences in Australia. It is evident that the challenges of international students still exists in particular in nursing field of females. The encouragement from the Saudi government for nursing, the view of nursing among Saudi society is not highly as a profession for Saudi woman because of the preference for the genders separation as well as family demands. Method This study utilized a qualitative research methodology utilizing semi-structured, one-to-one interviews and thematic analysis. The researcher selected a sample a group of Saudi females of nursing/midwifery students in a major university in Melbourne, Australia. Results & findings The findings have clarified that the participants had several challenges faced by the students, in relation to their adjustments in foreign country including language difficulties, lack of identity of Saudi female students, lack of communication with the medical staff and patients during clinical practices, loneliness, as well as the lack of critical thinking skills. Conclusion & implication Saudi females are encouraged to undertake study at an Australian nursing university in order to learn new methods and practices to improve health nursing care in Saudi Arabia. Future research should investigate specific interview questions that focus on the experiences of a more homogenous Saudi Muslim student sample, the host institution s ethnic and racial composition and country of origin. The findings indicate the need to create whole-systems and an infrastructure approach for scaffolding the international students learning with the nursing programs suggesting additional guidance from the wider nursing college was needed. It is essential that the host institutions should develop the needs in nursing programs aiming to equally benefit the lecturers, international students. 50

51 Social Day Programme King Abdulaziz Historical Center, Riyadh, Kingdom of Saudi Arabia Old Souq «Al Zall «, Riyadh, Kingdom of Saudi Arabia Al Musmak, Riyadh, Kingdom of Saudi Arabia 51

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