Scientific Program

Conference Series Ltd invites all the participants across the globe to attend 36th World Congress on Pediatric & Neonatal Nursing Tokyo, Japan.

Day 1 :

  • Pediatric Nursing Research

Session Introduction

Arezoo Yousefi

Isfahan University, Iran

Title: Preparation of the Human Milk Bank Clinical Guideline
Biography:

Arezoo has completed his MSC of pediatric nursing from Isfahan (Khorasgan) Branch, Islamic Azad University, Faculty of Nursing and Midwifery. She is a head nurse of NICU at Isfahan University Department of Medical Science, with 14 years work experience in NICU and 5 years experience as a Secretary of the Committee for the Promotion of Exclusive Breastfeeding in hospitals. She has a participation in one of Action research with a ISI article.

Abstract:

Clinical guidelines are recommendations produced by systematic methods assisting health care providers in making the right decisions. Mothers’ Milk Banks (MMBs) plays an important role in increasing the exclusive breastfeeding in low birth-weight infants. More than one million infants under one year of age die annually because they are not breastfed. This study as a multistage integrated study was done to develop clinical guideline for MMB. It was conducted in three steps according to the NICE model. Firstly, its components were determined through multiple data center search and resource integration. A draft was subsequently prepared in two sections; namely, necessary measures before using MMB development and necessary measures while using MMB development. Secondly, each component was reviewed by forming an expert group and considering their corrective comments. The clinical guideline was thereafter developed. Thirdly, AGREE questionnaire was used by 10 experts to measure its utility, quality, and national feasibility. Quantitative data was then analyzed in SPSS20 using descriptive statistics. The survey results showed that 90% of the respondents strongly recommended the guideline use. This clinical guideline, provided by the order of Neonatal Health Bureau based on the culture and religion of the Iranian community, could be an effective step to improve the care and treatment process of preterm infants. Moreover, with the proper use of it, the treatment team staff can support the premature infants and their parents by promoting breastfeeding and reducing the side effects of using formula and the mortality of these infants.

Biography:

Ms.Nisha Laila has completed her BSN and MSN in pediatric Nursing. She secured her research degree, M.Phil (Master of Philosophy) from Manipal University, India in the year 2018  .She  had  more than 10 years of experience in academic and clinical areas especially in  the field of general pediatrics, Pediatric cardiology and pediatric and Neonatal cardiac surgery and cardiac transplant areas. Ms. Nisha is Currently working as Nursing Officer, Heart Failure &Heart Transplant unit, Department of pediatric  cardiology at All India Institute of Medical Sciences, New Delhi, India. Published research papers as part of student projects. 

Abstract:

Introduction: Bronchial asthma has a significant impact on children, their families, and the health care system resulting in reduced quality of life and increased health care costs. There has been an increase in the prevalence of childhood asthma from all over the world and similar trend is observed in India. In India 15-20 million patients are there, out of which 1015% are children (WHO, 2004). Childhood asthma is a chronic health condition that affects more than 1 million school-aged children and their families. Nonpharmacological therapy includes yoga breathing techniques such as alternative nostril breathing technique, a form of pranayama (Pranayama - the basic vitality necessary to life is termed as prana and regulation of prana is pranayama ) reduces the stress and improves better asthma control in children with bronchial asthma. Objectives: The study was undertaken with the objective of assessing the effect of breathing exercise (Alternate Nostril Breathing Exercise with deep breathing and controlled relaxation, “pranayama” a form of yoga breathing technique) on the pulmonary function parameter as well as symptom control of children with moderate persistent bronchial asthma. Methods: Quasi-Experimental, two group pretest- post-test design were adopted. 60 children attending asthma clinic of tertiary care hospital  were selected for the study. Simple random sampling by lottery method was used for selection of the sample. Structured interview was the technique used by the investigator for the collection of the data and the tools used were structured interview schedule, &Asthma Control Score checklist (ACS checklist) and the instrument used was Peak Flow Meter. Results: Breathing exercise significantly changed  the Peak Expiratory Flow Rate as evidenced by the significant change in the mean percentage of PEFR value from the predicted value in the experimental group. Comparison of mean percentage PEFR value from age wise predicted value in the experimental group showed that 69.5%/ 82.4%  , t= 8.275, p= o.ooo(p< 0.05) and in the control group was  66.0%/ 66.2%  , t= 1.326 , p = 0.195 ( p> 0.05). Breathing exercise significantly controlled the symptoms in the experimental group. There was statistically significant change in asthma control parameters in the experimental group after breathing exercise. No such change was noted in the control group. Breathing exercise significantly improved the level of symptom control in the experimental group. No such significant improvement in symptom control was noted in the control group. (McNamer 0.000/ 0.063) , (p< 0.05).Conclusion: Based on the above findings ,the present study concluded that breathing exercise, pranayama has an effect on improving the pulmonary functions and symptom control of children with bronchial asthma. 

Biography:

Monawatr Luamnarin, RN, MBA has completed her Bachelor of Science in nursing degree from Mahidol University and her Master degree of MBA from Mahanakorn University of Technology. She is the director of nursing a Samitivej Children’s Hospital. She has 30 years of nursing experience and 15 years leadership experience in nursing professional development and nursing organization management. She has a subcommittee of pediatric nursing association of thailand. She has published papers in reputed journals, Hospital Acreditation National Forum and European Academy of Paediatric Societies 2018. 

Abstract:

Background and aims 
Insufficient nursing manpower, high nursing turnover rate, and an increase in influx of new graduate nurses with little experiences at the hospital affect lack of confidence in caring for pediatric patients and their parents’ expectation. The Project increases awareness to develop a nursing practice to promote a high quality, effective nursing care and to emphasize on knowledge and effective nursing skills in order to increase the confidence in professional caring for the patients in accordance with the hospital’s vision to become the Center of Excellence in Pediatric Care 
Methods 
Create model of the professional role in each level of nurses for development of professional nursing practice responsibilities. Nurses will be encouraged to develop critical thinking through 3 effective questions and use of simulations training in the workplace. Promoting patients’ satisfaction and ability of nurse to inspire trust and confidence can be measured by randomly asking the patients and parents on a monthly basis. Furthermore, an annual questionnaire to evaluate staff’s confidence in their nursing care capacity will also be completed reflected through staff engagement score and the turnover rate.
Results 
The percentage of patients and parents’ satisfaction, trust and confidence in nursing care, staff engagement and the turnover rate of the nurses as be shown results in the table.
Conclusions 
According to the patient's feedback, the care and treatment provided was met with great satisfaction. The nurses are confident in working professionally. Simulations scenario with multidisciplinary team and effective questions can encourage critical thinking to optimize benefits for patients and families.
 

Biography:

Lalida Therakomen has completed MA in Special and Inclusive Education at the age of 25 years old from Roehampton University, UK. She is developmental psychologist at Samitivej Children’s Hospital

 

Abstract:

The stimulation development program for a group of special needs child as a “Therapeutic Day Care Program” is previously performed in a form of holistic group planning activity.  However, there is a difference in each special child depending on the various levels of pathology in the body that can affect their development and ability in different areas. Based on these reasons, it encourages the researcher to realize the importance of developing individual treatment plan form which is called “Therapeutic Day Care Development Scale (TDDS)”. The form will be used to initially assess the child development and will be used as a tool to stimulate the individual implementation plan (IIP). The purposive sampling of 41 special children whose age are between 2 - 10 years old is selected by all that attended the Therapeutic Day care Program. The result of this study revealed that TDDS has Cronbach’s Alpha Coefficient at .984. The opinions from 6 specialists were made and can be concluded that the content validity is reliable and the interrater reliability rate is over 90%. The development for individual implementation plan is performed in which the result revealed that the percentage of special needs children can achieve target in four quarters in 2017 as 68.75, 80.56, 77.78 and 61.11 respectively. TDDS is an accurate and reliable form which can be used for developing plans, initially assess the child’s development and design IIP according to the desired target.