22^ndInternational Conference on Primary Healthcare and Nursing July 16-18, 2018 Amsterdam, Netherlands

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Lily Yarney is a Senior Lecturer in the Department of Public Administration and Health Services Management at the University of Ghana Business School, with a specialty in Social Science and Public Health. Before joining academia in 2013, Lily had worked with three international non-governmental organizations as the focal person for HIV/AIDS programming and research. She has published quite a number of research articles in recognized peer-reviewed journals and continues to conduct research in public health and health services management

Abstract:

Balancing Academia with Clinical Proficiency in the Training of Nurses at University Degree Level: The Case of Ghana

Countries worldwide are encouraging the transition of nursing education from hospital-based training in colleges to a University degree level. At the University level, the preparation of student nurses involves an acquisition of theoretical knowledge and clinical practice, which is well done can serve as a double-edged sword for blending theory and practice. We explored the ability, role and experiences of nurse academics in balancing theory and practice in training nurses. Using an exploratory research with methodical triangulation design, data were collected from nursing lecturers and student nurses using individual interviews with questionnaires and focus group discussions with FGD guide. Findings show that clinical practice is recognized by both lecturers and students as an important measure for enhancing theoretical preparation of nursing students to make them fully qualified and proficient in the delivery of nursing care. The majority of nursing lecturers had short duration of clinical exposure of two to three years before joining academia. Although nursing lecturers recognize the importance of clinical proficiency in training nurses at the degree level, the university academic calendar does not favor the inclusion of clinical practice in their academic programs, making balancing academic work with clinical practice difficult. Some findings were congruent with other studies elsewhere while dissimilarities were also established among Ghanaian nurse educators on their unwillingness to endeavor to blend theory with practice. Although nurse educators in academia are obligated to blend theory and practice in training nurses, challenges are encountered that militate against the attainment of this objective. University curricula for nursing education should be designed to place priority on clinical practice. Ghanaian universities must therefore give autonomy to the schools of nursing in designing the academic calendar. The Nursing and Midwifery Council of Ghana should put monitoring mechanisms in place to ensure clinical practice competencies of university nursing lecturers.

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Estape T completed her degree in Psychology in 1988, at the Autonomous University of Barcelona.  In 1988, she attended the first APT (Adjuvant Psychological Therapy) for cancer patients in the Royal Marsden Hospital, directed by Dr. Maggie Watson, chief of Psychological Medicine Department. She worked as a Clinical Observer from September-October 1988 in the Royal Marsden Hospital. She is Postgrad in Statistical Methods in Health Sciences, in 1989, Autonomous University of Barcelona. She is specialized in Clinical Psychology in 1991, in the Psychiatry Department, Clinic Hospital, Barcelona University. From 1992 to 1999 granted in the Oncology Department of the Hospital Clinic. She is the psycho-oncology director in FEFOC Foundation, Barcelona, Spain, from 1992 to present. She is an associate professor in the Open University of Catalonia. Manresa University and co-director of the Barcelona University Master on Psychooncology

testape@fefoc.org

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World population is experiencing an aging process. Life expectancy has increased dramatically in recent years. This means challenging social, economic and health. Cancer is much more common in the elderly. The rapid decline in mortality from circulatory problems (2335 per 100,000) causes tumors either the second leading cause of death (2261 per 100,000) and close to the first. The figures that we have about the attitude of this group talk us about more pessimism and less information about cancer, while less knowledge and a passive coping. The fatalism and paternalistic model makes it a group harder to get messages about health issues and monitoring on the attitude of early detection and/or prevention is not considered. We see that a person is 65-70 years ahead enough in how to talk about cancer prevention and valuable to analyze effective strategies for early diagnosis. Given these assumptions we consider the growing problem of elderly is not only quantitative but also qualitative characteristics for meeting the humanitarian big social problem in general and especially when referring to the rising incidence of cancer within this group, their lack of information towards prevention and early diagnosis and poor prognosis observed among the oldest. We interviewed 814 old people, using a semi-structured questionnaire created by us for this purpose. Our work focuses knowledge and attitudes to cancer in the elderly in five main areas cancer related: misbelieves and attitudes, prevention and early detection, treatment, research and psychological needs. Our preliminary results points at low knowledge, especially low awareness as a sample more prone to get cancer (only 28% is aware of this), 5% still believe in a punishment causation, only 6% knows the European code against cancer but some statements of this code are well-known (for instance 94% smoking); 84% points at mammography as a tool to early detection but only 44% to PSA; 37% reported that they preferred not to receive treatment if they had cancer because they felt it was not worth for them and 70% would prefer to be fully informed of their diagnosis and prognosis. This is a summary of the work that is presented. The conclusions are that old people, have lack of information and passive attitude towards chances of prevention and have a resignation towards cancer. However, the most streaking figure is the low percentage that feels as a risk population. Much of them think that cancer is not very likely at their age. Further research is done now in two lines: Comparing with other countries to ascertain how cultural aspects may be a bias on these results before attributing them completely to age; A clinical trial to find out which is the best tool to improve these results.

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Hajara Bashari began her career as a non-commissioned officer in 1986. She rose to become the first Hausa Muslim woman from a core Northern state to reach the rank of Wing Commander, equivalent to Lieutenant Colonel in the Army.

hajabash@yahoo.com

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Disaster is adverse condition that can lead to loss of lives and properties. Management is the organization of resources and responsibilities for dealing with all humanitarian aspect of emergencies. In short are the preparedness, response and recovery to lessen the impact of disaster. Natural disasters are disasters that occur naturally for example; heavy rains, fire out breaks, earthquake, land/snow slides, floods and famine. Manmade disasters are disasters caused by man such as accidents, air crashes, nuclear installations, nuclear reactions, careless handling of chemicals and weapons, conventional military warfare and road traffic accidents. Other disasters are also caused by civil wars, communal conflicts, terrorist attacks by group armed men/ campaign. Types of terrorist attack are hostage taking, sporadic firing, Hijacking, Suicide bombing, Assassination. Roles of the military nurse includes: the nurse must be well trained professionally and militarily to enable her/he to assume the following roles especially when dealing with the terrorist group or the insurgents, she must act as a medical personnel by treating all the wounded or the sick taken as hostages, act as an intelligent personnel by ensuring she/he is alert and observe what is going on around her/he with caution, act as a mediator between the authorities and the terrorists. She/he must be neutral to enable her/him succeed in releasing the hostages or transferring the injured or sick to the hospital, must be able to communicate with the authorities without giving any positive sign to the terrorists, the nurse must be able to identify the terrorists with any sign or mark on the terrorist, the nurse must be able to identify the types of weapons used by these armed groups such as rifles, pistons or any other harmful weapons. Methods of evacuating the casualties are: all trained disaster nurses must be able to evacuate the casualties from the scene of the attack or disaster for onward movement to the hospital via the ambulance or aircraft.

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Louise Kenney RN, BSN, MSM currently the Chief Clinical Officer at El Centro Regional Medical Center in El Centro California. She has been a registered nurse for over forty years.   Ms. Kenney has community-based served in many leadership and consulting roles for academic government and for profit and not for profit hospital settings.

louise.kenney@ecrmc.org

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Statement of the Problem: Care coordination in the primary care practice involves deliberately organizing patient care activities and sharing information among all of the participants concerned with a patient's care to achieve safer and more effective care. Although the need for care coordination is clear, there are obstacles within the American health care system that must be overcome to provide this type of care. El Centro Regional Medical Center (ECRMC) is located in El Centro, California and stands as the principal city of the County of Imperial. ECRMC patients face many healthcare disparities, including our rural geographic location, an ethnic community makeup, low socio-economic status and literacy rates, limited access to public transportation and high levels of air pollution. Access to care has long proven to be a major challenge for the community and its citizens. In 2012-13, there was one primary-care physician for every 4,170 Imperial County residents, compared to one for every 1,341 residents statewide. The Imperial Valley’s geographic location and high summer temperatures (120 °F) make it difficult to recruit and retain qualified providers for both primary and specialty care.

Method: The overarching goal is to improve access to care for our patients by providing culturally competent, evidence-based and person-centered care. We are moving towards a population health management model across the continuum of care. Three initiatives were deployed: (1) Ambulatory Care Redesign: Primary care, obesity prevention & healthier; (2) Foods initiative; (3) Resource Stewardship: High-cost imaging. Metrics were established to determine effectiveness of interventions and coordinating care.

Findings: The initial findings are short of meeting the targets. It was found providers were not consistently utilizing standardized criteria in treating low back pain to manage resource stewardship. Physician documentation was missing from the patient progress notes because the service was not rendered or the documentation is not inputted as structured data, so it is not being picked up by coding or our mapped reports. Due to a lack of interconnectivity between the current EMR systems throughout the hospital, this initially posed a challenge for applying a standardized algorithm to capture the target population nearly impossible.

Conclusion & Recommendation: It was vital to enhance patient engagement and various types of touches (outreach and in-reach), to include new campaigns and non-traditional services (such as telemedicine and phone visits). Also equally as important was to collaborate on improving coordination of strategies with the hospital internal resources such as quality, risk staff and enhancing the external partnerships to improve performance and patient care. External partners included insurance providers, disease support groups and the hospital resources to ensure mutual attainment of goals. Created standardized templates such as for the tobacco cessation and screening, BMI-Nutrition counseling for primary care to ensure consistency and easy to document structure. In addition establish the screening criteria to assist providers to utilize the “Red Flags,” criteria in prompting ED physicians to document the reasoning for ordering an imaging study for uncomplicated low back pain. Lastly, induce accountability by including the PRIME/HEDIS metrics to the physicians OPPE, it will provide a sense of accountability to provide quality care.

Biography:

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Biography:

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Biography

Hajara Bashari began her career as a non-commissioned officer in 1986. She rose to become the first Hausa Muslim woman from a core Northern state to reach the rank of Wing Commander, equivalent to Lieutenant Colonel in the Army.

hajabash@yahoo.com

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Introduction: As one grows older one is faced with some health-related challenges by taking a look back to your younger years, then to adulthood and old age.  As one is growing the body and mind is changing that’s when one’s primary care provider will be one’s partner for life through health education and counseling.

What is Primary Care: Primary care is the day to day health care given by a health care provider being the first contact for the continuous care of any patient/ client within the system. The care provider also coordinates further care as the need arises for other specialists and specialized clinics. The care is based on practical, scientifically sound and is socially acceptable and easily accessible to individuals and families.

What is Fitness: Fitness is the condition of being physically fit and healthy or has the quality of being suitable to fulfill a particular role or task. Fitness can also be the state of health and well being and the ability to perform aspects of one’s daily activities, sports, and occupation without any hindrance. The components of fitness comprise cardio respiratory endurance, muscular endurance, muscular strength, muscular power, flexibility, balance, speed, body composition.

What is Wellness: Wellness is a dynamic process of change and growth. Wellness is a state of complete physical, mental and social well being and not merely the absence of disease or infirmity.

Benefits of Fitness and Wellness: Primary care fitness and wellness is all about preventing illness which includes exercises, good diet/ nutrition and knowledge about potential health issues.  Most people have one or more health issues that are not normal and may feel frustrated to give up on finding a solution thus getting a care provider becomes very necessary. This is aimed at improving health, fitness, and quality of life through daily physical activity and creating life balance.

1.           Physical activities are an important part of living a healthy lifestyle. Exercises improve a lot of things in the human body such as improving the brain performance; sharpen the memory as well as burns out the calories.

2.           It helps in the prevention of cardiovascular diseases by improving the efficiency of the cardiovascular system.

3.           It helps in better management of stress and tension.

4.           It delays the aging process and helps in harmonious growth and development.

5.           Quick recovery after illness or injury and faster recovery of fatigue.

6.           Maintains good shape, size, and control weight.

7.           Improves the motor ability that is the strength, flexibility, endurance, and coordination of the body system. 

Conclusion

 Primary care fitness and wellness is very important to enable one to prevent health-related challenges as one is growing and also keep up with the day to day activities.  The healthcare provider becomes an important part of the individual by ensuring the client is counseled and educated on how to prevent illness.  Fitness and wellness play an important role in the lives of people by exercising regularly and maintaining a good diet/ nutrition. It’s important for one to be happy and by remaining healthy as health is wealth.