Day 2 :
- Oncology Nursing & Care
Session Introduction
Feras Hawari
King Hussein Center, Jordan
Title: Critical Care Oncology: designs, predictors and outcomes
Biography:
Abstract:
The prevalence of cancer is expected to rise in our region and worldwide. As living conditions continue to improve including nutrition and advanced medical care life expectancy is will to improve. This in return will be associated with higher numbers of new cancer cases. Significant numbers of cancer patients will require the care of intensive care services throughout the course of their disease and treatment. Chemotherapy, radiotherapy as well as disease complication and progression increase the probabilities of patients visiting the ICU. Critical care beds in any hospital are limited and care is expensive. A significant portion of any hospital budget is dedicated for this continuously advanced and costly care. Designing the ICU to provide optimum and feasible care is of paramount importance. In addition characterizing patients admitted to the ICU and knowing their predictors of admission and short as well as long-term outcomes would help better direct the care of these patients and how best to preempt their admission to the ICU, a factor that adversely affect their survival.
- Critical Care Nursing Interventions
Session Introduction
Samah Shalaby
Alexandria university, Egypt
Title: Full Outline of Un-Responsiveness Scale Versus Modified Glasgow Coma Scale in Predicting Discharge Outcomes in Disturbed Consciousness Patients
Biography:
Abstract:
Background: Disturbed consciousness level is common in critically ill patients. Neurological assessment, evaluation of disturbed consciousness patients and their outcomes prediction are usually challenging for critical care nurses. Scoring systems have been developed to obtain a fast and comprehensive assessment, to facilitate communication among examiners, to triage and monitor changes for therapeutic decisions, and to provide prognostic information about the patients.
Aim: compare between the Full Outline of Un-Responsiveness Scale and the Modified Glasgow Coma Scale in predicting discharge outcomes in disturbed consciousness patients.
Materials and Methods: A descriptive design was followed in this study. The study was conducted at the Trauma Intensive Care Unit, Neurological Intensive Care Unit and Neurosurgery Intensive Care Unit in Assuit University Hospital. Three tools were utilized to collect the data namely; Tool I “Patients Profile Data Form”, Tool II “Level of Consciousness Assessment” and Tool III ”Discharge Data Assessment record”.
Results: The patients' outcomes on discharge were found to be: three patients regained their consciousness and discharged to home; more than one third regained their consciousness and transferred to ward; some of them experienced co-morbidities and transferred to ward; and nearly half of them were died. The majority of the deaths had exposed to secondary brain injury. More than one third of the total patients who were alive on discharge from the ICU had physical disabilities and co-morbidities.
Conclusion/ Recommendations: The components of the FOUR score, and the MGCS had different predictive abilities. The FOUR score have higher accuracy prediction of in-hospital outcomes and the prognostic power of the FOURs was the best prognostic power than the MGCS in the first three assessment days. Therefore, this study’s results would be bolstered by other studies that enrolled a larger number of patients across the entire acuity spectrum, and within more hospitals.
Biography:
Loai Tawalbeh did PhD in Nursing adult health Nursing department, He has more than than 12 years of professional experience in critical care nursing and academia. He earned his bachelor’s and master’s degree in nursing (critical care nursing) from Jordan University of Science and Technology and his PhD from the University of Jordan. Tawalbeh have more than 16 publications in different international and prestigious research journal. His research interest is in adherence to healthy lifestyle among patients with CAD, simulation and nursing education.
Abstract:
Simulation is an important teaching strategy that may help enhance students knowledge and skills. However, no studies were conducted to examine the effect of the simulation experience on student's knowledge in the provision of ACLS and confidence in carrying out advanced cardiac life support skills.
This study examined the effect of simulation on nursing students’ knowledge of advanced cardiac life support (ACLS) and confidence in applying ACLS skills.
An experimental, randomized controlled (pretest–posttest) design was used. The experimental group (n = 40) attended an ACLS simulation scenario, a 4-hour PowerPoint presentation, and demonstration on a static manikin, whereas the control group (n = 42) attended the PowerPoint presentation and a demonstration only.
A paired t test indicated that posttest mean knowledge of ACLS and confidence was higher in both groups. The experimental group showed higher knowledge of ACLS and higher confidence in applying ACLS, compared with the control group.
Traditional training involving PowerPoint presentation and demonstration on a static manikin is an effective teaching strategy; however, simulation is significantly more effective than traditional training in helping to improve nursing students’ knowledge acquisition, knowledge retention, and confidence about ACLS.