Day 2 :
Keynote Forum
Rania Tomerak
Cairo University, Egypt
Keynote: Breastfeeding the preterm; A right must be done right
Time : 7;00
Biography:
I am professor of pediatrics and neonatology in Cairo University. I was graduated in 1994, had my Master degree in pediatrics in 1998 and doctorate degree in pediatrics in 2001. I am an international board certified lactation consultant since 2004 (got the highest score in Egypt). I am a board member of Lactation education accreditation and approval committee in USA, which provides approval and accreditation to all
Abstract:
Breast milk is the white blood containing almost all the factors essential for the physical, physiological and psychological maturity of the preterm infant. Its function represents a continuum of the placental function. Preterm infants are inevitably deprived of the placenta in late pregnancy so the human factor should fight to provide the baby with this white blood; the breast milk. This needs a tight strategy to be mastered by the authorized personnel in the NICU. The policy should include the guidelines of milk expression, storage, transfer and providence to the baby. Promotion of the kangaroo mother care is an important adjuvant. Proper counselling of the mother is also of utmost importance together with the post discharge support of the mothers to continue breastfeeding.
- Transcultural Nursing
Chair
Rania Hosny Tomerak
Cairo University, Egypt
Co-Chair
Eunice Nwonu,
University of Nigeria, Nigeria
Session Introduction
Moipone Tlapu
Sefako Makgatho Health Science University, South Africa
Title: Emperical Data: Analysis Of Challenges Experienced By Home Based Care Givers In A Commmunity: North West Province
Biography:
I have 14 years’ experience in nursing education institutions in management echelon as wel as international expert. I previously worked as a manager (Vice principal and later Principal of Mmabatho college of Nursing) in academic institution as well a leader of a union at National and Provincial level. I also worked in Lesotho- SADC to strengthen management capacity on Human resource and training issues as well as Nursing education programme and curriculum development. I worked with international NGO such as HSS-Project Finland and MCA (USA) and SHT (South Africa) Other NGO supported are PEPFAR; USAID; NEPI; IRISH AID and Japhiego. I worked in Lesotho as an expert and consultant in education and training; focusing in areas such as curriculum development in collaboration with CHE and Lesotho Nursing Council. I have coached and mentored more than 200 professionals and executive managers. I have Masters in Business Administration (MBA) at North West University specialising in Human Resource management; labour and industrial relation; strategic HR; performance and design; management of transformation. In 2013 I completed an ADVANCED MANAGEMENT PROGRAMME –distinction with YALE UNIVERSITY/ FPD which covered; Health services in RSA; action research; project management; organisation; development; monitoring and evaluation; information management; donor and human mobilisation; proposal; writing; leadership and management marketing strategy. I am an expert teaching, coordinating Advanced Psychiatric science, including community psychiatric nursing, Advanced Health services Management, research methodology, Nursing dynamics at Sefako Makgatho Health Sciences University.
Abstract:
Background: Home based care is the services rendered to the community by home based care givers in all provinces. They are based under most non-governmental organisations (South Africa, 2005:6). The Informal caregivers assist with the care to be rendered by health care professionals in different health institutions. Furthermore they conduct door to door campaigns in a variety of houses to detect defaulters and submit the report to the health centres for continuation of treatment (Motswasele & Peu, 2008). Research problem: Most of the home care givers are from a disadvantaged background. In their endeavour to assist the needy patients, they are also experiencing some challenges such as transport, financial, negative family behaviour and patients’ problems. However in a study by (Kathryne, Higuchi, Hallberg, Kristenssen and Terprista, 2012:225) reflected that there should be a supportive programme for volunteers including a stipend in order to assist them. Aims and objectives: The aim of this study is to explore and describe the experiences of informal caregivers in home-based care, in in the North West Province Research question(s) and hypotheses: What are the experiences of home based care givers in home-based care, in in the North West Province Research design: Qualitative, exploratory and descriptive designs were used. Analysis of challenges experienced by home based care givers were explored and described. Population(s), sampling and sample size(s): The population in this study consisted of caregivers who visited patients in their homes in North West Province. The inclusion criteria for this population were informal caregivers conducting home visits, and consenting to participate in this study. Research design: Qualitative, descriptive, explorative and contextual. Data gathering: Through qualitative interviews, mutual trust relationships were achieved .The interviews were audiotaped and transcribed. Cross checking of each transcript for quality assurance was conducted. Transcripts were translated into English before data analysis. Data analysis: Tesch’s Qualitative method of data analysis was used to analyse the data. The experiences of home based caregivers were related to antagonism and stigma were also emphasised. Main findings: The Participants raised the issue of the necessity of the support of the family, community and clinic during home-based care. It was recommended that this support group should assist families in dealing with stigma and discrimination. Unique contribution: Government should provide services for developing and empowering informal caregivers in home-based CARE including better salaries. The other support programme cited was extensive training skills and knowledge for volunteers as well as nurses by acquiring points after being motivated by health workers.
Tessa Gukelberger
Durban University of Technology, South Africa
Title: The aim of this study was to determine the demographic, clinical, radiographic and management profile of patients with scoliosis presenting to King Dinuzulu Hospital’s Spinal Unit from 2008-2012
Biography:
Dr Tessa Gukelberger trained and qualified with a Masters degree in chiropractic at the Durban University of Technology. She completed her Masters dissertation on the presentation and causes of scoliosis in the public health setting of King Dinuzulu hospital. During her time as a student, her passion for the profession and for travel motivated her to join the University’s Chapter of the World Congress of Chiropractic Students (WCCS), which she later became the president of. This afforded her the opportunity to travel to several WCCS AGMs around the world and to experience the great diversity this wonderful profession has to offer. She now hopes to use chiropractic to serve people from all walks of life.
Abstract:
Scoliosis is defined as a lateral deformity of the spinal column that can be caused by a multitude of conditions. Currently, little is known about the radiographic and clinical profile and sex preponderance of scoliosis (other than the idiopathic form) in a public health setting in South Africa. Aim: The aim of this study was to determine the demographic, clinical, radiographic and management profile of patients with scoliosis presenting to King Dinuzulu Hospital’s Spinal Unit from 2008-2012. Method: Patient records from the Spinal Unit at King Dinuzulu Hospital were retrospectively analysed from the period 2008-2012 for demographic, clinical, radiographic and management data. The Pearson chi-square and Fisher’s exact tests were used to determine the associations among the demographic, clinical, radiographic and management data.
: Beverley Laura Beute
South African Military Health Service, South Africa
Title: A practical demonstration of an occupational medical surveillance program process as performed in a military setting
Biography:
Beverley holds diploma’s in General Nursing, Midwifery, Post Graduate Diploma in Psychiatry. Beverley was a practicing midwife at 2 Military Hospital for 7 years whereafter she branched out into Occupational Health Nursing in 1998. In 1999 she completed her certificate in Occupational Health Nursing at Stellenbosch University, followed by a certificate in screening audiometry in 2000. In 2003 completed a B Tech degree in Management, Research and advanced Occupational Health Nursing. In September 2002, Beverley then civilian, presented two papers at an International Military Conference held at Sun City, of which one of the papers was published in an International Forces journal, December 2004. Beverley joined the Military as a civilian nurse in 1988 and in June 2003 militarized and on completion of the required military courses became the SO1 Occupational Health Nursing manager in March 2012 having acted in this capacity since 2006.
Abstract:
The Occupational Health and Safety Act No130 of 1993 was legislated in South Africa in 1993. The South African Military Health Service established five Regional Occupational Health & Safety Centres covering the South African Military Community to comply with the implementation of this legislation. The Western Cape Regional Occupational Health & Safety Centre was established in October 1993. The staffing comprises of Occupational Medicine, Occupational Hygiene and Occupational Health Nursing. Sound policy was established and forms the basis of occupational health monitoring activites performed. The responsibility is for the employer to indicate by means of an annual risk assessment, workers risk to exposure albeit physical, chemical, biological, ergonomical, psycho-social. from which an occupational medical surveillance program is designed indicating to the employer risk to exposure and risk to adverse health effects of workers in the workplace. The success of a small grouping of health care professionals providing a service is a matrix model of applied activities totally integrated in an Occupational Medical Surveillance program. The outcome of such a program is to demonstrate to the employer fitness to work, safety compromise, work and non work related health effects impacting on the employer, occupational disease notification procedures and ill health incapacity management. With limited resources HCP’s are able to perform health care activities, which reflects on a health care infomatics system which is used to measure performance based on an annual activity plan. This information is ultimately indicated in the medium term strategic framework and medium term expenditure framework for the allocation of resources.
- Community Health Rural Nursing
Session Introduction
Helen Uche Okoye
University of Nigeria, Nigeria
Title: Maternal Health Seeking Behaviour and Pregnancy Outcome in Rural Communities in Enugu State, Southeast Nigeria
Biography:
Helen Okoye is a lecturer at Department of Nursing Sciences, University of Nigeria, Enugu Campus. She obtained her Registered Nurse (RN) and Registered Midwife (RM) certificates in 1991 and 1995 respectively. She holds a Bachelor of Science Degree in Nursing Education and Master of Science Degree in Community Health Nursing from University of Nigeria. She is currently a Ph.D student (Community Health Nursing) at Department of Nursing Sciences, University of Nigeria, Enugu Campus. She was the best graduating student and best in nursing education in Department of Nursing Sciences, University of Nigera, Enugu Campus, and best in Faculty of Health Sciences and Technology in 2002/2003 academic session. She is an experienced nurse practitioner and educator. She has enhanced the advancement of nursing practice and education having practiced the profession for many years and taught in many basic nursing schools before moving to the university. She is a fellow of the West African College of Nursing and has been involved in outreach programmes of the college in southeast, Nigeria. Her research interests are in areas of maternal and child health, adolescent health and care of the elderly. She is also involved in the coordination of the community health unit of the Department of Nursing Sciences, University of Nigeria, Enugu Campus.. She has presented conference papers and attended a number of conferences locally and internationally and was an exchange visitor to University of Maryland, School of Nursing Office of Global Health, United States of America in 2013. She enjoys reading, gospel songs and travelling.
Abstract:
Ante natal clinic attendance by pregnant women and having births attended to by skilled health care providers are still issues of major concern in developing countries including Nigeria. The 2013 Nigeria Demographic and Health Survey noted that only 18% of pregnant women had the first antenatal visit in the first trimester of pregnancy while 34% did not receive any antenatal care. The survey also reported a disparity between urban and rural dwellers in ante natal clinic visit in the first trimester of pregnancy (23% versus 15%). Maternal health seeking behavior during pregnancy has been seen as the way mothers take care of their health and that of the unborn child so that both remain healthy throughout pregnancy. The choice of place of antenatal care and delivery to a large extent influences pregnancy outcomes for both mother and child. Maternal health care services utilization and skilled attendance at delivery are essential for the reduction of the high morbidity and mortality rates associated with pregnancy in developing countries.
Jamal Qaddumi
An-Najah National University, Palestine
Title: The University Third Mission as a Model to Enhance the Integration of Adult Health Theory Courses with the Clinical Settings
Biography:
• Jamal A.S. Qaddumi has completed his Ph.D at the age of 42 years from University of Jordan/ Jordan. He has published more than 5 papers in reputed journals and serving as a reviewer member of BMC journal, and an IRB member at An-Najah National University. He worked in University of Jordan, Amman-Jordan, Arab American University/Jenin, Abu Dhabi University (ADU), Abu Dhabi, UAE, , and An-Najah National University. He has Professional Membership. He supervised master theses and undergraduate projects
Abstract:
Integration of theory in the clinical setting is an important part in clinical learning process and need a positive complementary relationship. But, unfortunately, lots of studies revealed a gap between the theory and practice that create obstacles to the learning process at clinical settings. Theory-clinical gap can be considered as a big issue in nursing education and can affect the nursing outcomes. We utilize a model inspired from the university third mission as a means to enhance the integration of adult health nursing courses with clinical setting Phase one: A descriptive cross-sectional design was used to explore the factors that affect theory-practice integration. A questionnaire with 41 agree or disagree response items filled by participants. The sample size is 369 nursing students and 12 clinical instructor. Open ended questions used to explore the perceived barriers and facilitators that can affect theory clinical integration. Phase two: includes the utilization of the university third mission model as a means to enhance the integration. Phase three: evaluate the effectiveness of applying the model inspired from university third mission. Assessment will be based on the main three dimensions of the university third mission (continuing education, technology and innovation, and social engagement).
Biography:
Anne completed her Diplomas in General Nursing and Midwifery at Frere Hospital East London in 1982, Diploma in Community Nursing Science at Cape Technikon in 1987, Certificate in Occupational Health Nursing at University of Stellenbosch in 2000 and her B Tech in Occupational Health Nursing at Cape Technikon in 2003. She has been a practicing Occupational Health Nursing Practitioner at the Department of Defence (DOD) Regional Occupational Health and Safety Centre, Simon’s Town Cape Town since 2003 providing Occupational Medical Surveillance services to the personnel of the DOD in the Western Cape region.
Abstract:
Occupational Medical Surveillance (OccMedSurv) programs are an integral component in the management of occupational health and safety in the workplace. The purpose of such programs is to protect and maintain the health of workers, prevent the development of occupational disease, ensure personnel are fit to perform the job for which they are employed and to provide expert advice on accommodating an ill or injured worker in the workplace without risk to adverse health effects or further compromising existing health conditions. OccMedSurv special health investigations are varied, dependant on an individual workers occupational and medical history, quantified exposures to workplace stressors and the risk of the worker developing resultant adverse health effects from the identified exposures,or posing a resultant risk to others. In order to make medical assessments and conclusions about individual workers health status and fitness to work at a given job in a given environment, it is essential to ensure that all special health investigations for workers included in the OccMedSurv program are performed in line with accepted standards and best practices in order to provide valid and acceptable results for utilization in final decision making which ultimately may have a positive or negative impact on a workers career path. Careful consideration is therefore required with respect to the selection criteria for special occupational health investigations, the performance thereof and the scope of practice of the involved occupational health practitioner, towards making accurate medical conclusions in the best interests of the worker, co-workers and employers.
Theresa Margaret Bosman
Cape Peninsula University of Technology, South Africa
Title: Factors influencing the functions and professional development of the occupational Health Nurses within selected organizations in the Western Cape
Biography:
Theresa holds diploma’s in General Nursing, Midwifery, Community Health Nursing, and Primary Health Care. She completed her B Curr at Unisa in 2001 and her Masters at CPUt in 2015. She has worked in Occupational Health for the past 28 yrs. Theresa has presented a poster presentation at ICOH in 2009 and her Masters at ICOH in Seoul in 2015.
Abstract:
Occupational Health Nursing (OHN) is a specialised field of nursing that deals with exposure risks, prevention of disease and disability in the workplace. These nurses work in isolation and are dependent upon regulations to ensure compliance. Although there is very good legislation, there are no quality-control systems in place to ensure that standards of care have been met, or that companies are compliant. They also report to managers who do not have any medical background. This raises a concern, as managers, due to their lack of field-specific knowledge, will not be able to ensure quality of work rendered or adherence to compliance. The lack of insight into the functions and responsibilities of the OHNP poses frustrations when requests for training and attending meetings are made by the Occupational Health Nurses. The purpose of this study is to investigate factors that influence the functions and professional development of Occupational Health Nurses. A mixed-method, descriptive design was used. The target population was an entire group of OHNPs, working in the Western Cape only. Four managers from the private and public sector were also selected to participate in this study. Two data-collection tools were utilised. One was a questionnaire that was distributed to the Occupational Health Nurses and subsequent, telephonic interviews were scheduled with the nurses’ direct line managers. The process was initiated after ethical approval was obtained from the Ethics Committee at Cape Peninsula University of Technology. The quantitative data was analysed using The Statistical Package for the Social Sciences (SPSS) (V 23). The qualitative data was transcribed by an independent transcriber and descriptive coding was done, after which thematic content analysis was applied. Managers’ responses confirmed the view of 50% of the Occupational Health Nursing Practitioners (OHNPs) that they did not understand the functions of the OHNPs. Although the majority of OHNPs work alone, they do not have a locum or an administrator to assist with administrative duties. The majority of OHNPs attend regular development programmes. The respondents indicated that a Continuous Professional Development (CPD) System should be implemented by the South African Nursing Council (SANC).
- Community Nursing Development
Chair
Colleen A. Kraft
University of Cincinnati, USA
Co-Chair
Sonett van Wyk
University of Pretoria, South Africa
Session Introduction
F. Kajee
, Cape Peninsula University of Technology. South Africa
Title: Accessing Contraceptive Services in Outjo District of Namibia: A negative trend for young adults?
Biography:
Ms Kajee, Co-supervisor for Imelda Katjau Master’s Thesis Coordinator to the BTECH Primary Health Care program. Novice researcher, involved with co-supervision and supervision of Masters Students for the past five years. Currently she is supervising seven students to complete their Master’s degree at the CPUT. PhD candidate at the University of Stellenbosch. Serves on the CPUT Research Ethics Committee in the Faculty of Health and Wellness Sciences
Abstract:
In developing countries, socio-cultural prohibitions tended to negatively influence young adults’ contraceptive use. Sex education and uptake of contraceptives among young adults in Outjo district of Namibia had been a challenge for nurses working in family planning services. The primary focus of this study is to explore both personal issues and external factors that influence young-adults’ decisions to use contraceptives in Outjo district in Northern Namibia. The study population included young-adults aged between 18 to 24 years old attending Outjo high school and youth health centres during the period of data collection. Findings revealed young adults from three distinct ethnic groups appeared to be more sexually active then young adults from other ethnic groups in the Outjo district. Contraceptive use was found to be higher among young adults with formal education; however sex education in schools had minimal influence on contraceptive usage among young adults. The majority of young adults who were sexually active were not aware of the benefits of contraceptive usage. The main reasons for not using contraceptives were; a lack of education about the advantages of contraceptive use, peer pressures, shortage of contraceptives at health clinics, and negative attitude of nursing staff. Health centres and contraceptive services had been situated far from areas of residence making it difficult for young adult to access varieties of contraceptives. Health care professionals, especially nurses need to change their attitudes regarding their manner towards providing contraceptives to young adults. In conclusion young adults who participated in the study preferred different sources for contraceptive information apart from their peers.
- Occupational Healh Nursing
Session Introduction
Nicolene de Jager
University of Johannesburg, South Africa
Title: Strategies to facilitate professional development of the occupational health nurse in the occupational health setting
Biography:
Nicolene de Jager has completed her D Cur at the age of 55 years from the Nursing Science Department of the University of Johannesburg. Her nursing career began, after completing her Baccalaureus Atrium et Scientiae in 1983 at North West University. She also did a Diploma in Advance Nursing, in 1987, through University of South Africa (UNISA), a Baccalaureus Technologiae in Occupational Health Nursing in 2006, and a Magister Curationis (cum laude) in Occupational Health in 2012, at the University of Johannesburg (UJ). The findings from this study were presented at an international conference and an article was accepted and published.
Abstract:
The excessive workload of the Occupational Health Nurse (OHN) often cause that they cannot attend any training to keep up to date with the latest trends in occupational health. They feel unsure about their role, as they are under developed in their field and thus experience the need for further training and development. The purpose of the research undertaken was to determine the needs of the OHN in relation to professional development and to develop strategies in order to facilitate such development. A qualitative research design was used to determine the needs of OHNs in an occupational health setting in the Gauteng Central region. The results of this study revealed four major categories, namely constraints hindering the OHN in developing professionally, positive aspects identified by the OHNs regarding the need for professional development, the development needs of the OHN and suggestions of how to meet the these development needs. A conceptual framework was developed, from which the strategies for professional development were developed and validated. These validated strategies were unique in the context of Occupational Health Nursing as no such strategies were developed previously.