^{26th Global Nursing and Health Care Conference} May 06-07, 2019 Rotterdam, Netherlands

Biography:

Carine Prinsloo is a lecturer in nursing management. She received her B Cur Ed et. Admin with critical care  and Masters degree (cum laude) at the University of Johannesburg South Africa. She is currently busy with her PhD in nursing management at the University of the Western Cape. She was working in a private hospital from 1993 in Pretoria as a Critical Care Outreach nurse expert until January 2018. She joined the University of South Africa as a lecturer in nursing management in February 2018. 

Abstract:

The increased acuity and complexity of patient needs within general wards create challenges for nursing staff. These challenges resulted in the development of Critical Care Outreach Service (CCOS). CCOS recognise early signs of deterioration in ward patients conditions. These approaches are based on the premise that early recognition of physiological abnormalities, coupled with the rapid intervention of proactive nurses, may result in an improvement in functional outcomes or mortality rate of patients. Nurses should take the lead in recognising the deterioration in patient and utilise behaviour and cognitive strategies in managing deteriorating patients. The ability to respond and initiate health interventions confirms the role of self-leadership in CCOS. In this study the nurses experiences on their self-leadership in CCOS were explored to obtain insight into their self-leadership in CCOS. It became evident that self-leadership aimed to develop personal effectiveness through the three categories of individual-level approaches; namely (i) behavioural focussed actions, (ii) natural reward (motivational) actions and (iii) constructive thought (cognitive) patterns (Van Wart, 2015:90). These approaches came to the fore in all the themes analysed from the data in this study. Insight into the nurses role as self-leaders led to the development of a conceptual framework on self-leadership and self-leadership strategies in a CCOS at a private hospital.

Biography:

I'm an instructor at Aydın Adnan Menderes University. I graduated from Ege University Women's Health and Diseases Nursing program. I am the deputy director of Aydın Adnan Menderes University Söke Health Services Vocational School.

Nursing of women's health and diseases, gynocological oncology nursing, nursing education, nursing care, evidence-based nursing practices, contraception methods, polycystic ovary syndrome, gender equality, sexual health and reproductive health.There are scientific studies in the subjects of contraception methods, polycystic ovary syndrome, gender equality, evidence-based nursing practices in nursing of women's health and diseases, nursing students, nursing profession, nursing care development, sexual health and reproductive health, stress.

Abstract:

Objectives: To determine what kind of problems do women with Polycystic ovary syndrome encounter and how their lifes get affected by this situation.

Methods: This study is a qualitative study that is carried out by using phenomenological research design. Experimental group consists of, Söke health school of Aydın Adnan Menderes University, Söke Vocational Health High School, single women (26 person) with the PCOS diagnosis, who study in Söke Vocational School and meet the study criteria and have accepted to interview, married women (12 person) who have applied to Gynecology and Obstetrics Clinic of Söke State Hospital of Fehime Faik Kocagöz, diagnosed with PCOS and meet the study criteria and have accepted to interview. Interviews lasting minimum 7 minutes 53seconds and maximum 83 minutes have been made with the women by using face to face interview method, in the guidence of interview form consisting of 6 open ended questions and introductory information form. Qualitative content analysis of the obtained data has been carried out. Maxqda 2018 program has been used in the processing of interview data.

Findings: It has been concluded that PCOS affects social, emotional, cognitive, physical and role functions of women at various levels and directs them to different coping behaviors.

Result: PCOS is a health problem that affects every aspect of life of women and it is a disorder requiring social support. It is recommended to provide health education and counseling with a cultural-based approach to those who receive this diagnosis. Thus, both symptomatic relief and improvement of life quality can be ensured.

Keywords: Polycystic ovary syndrome, experience, qualitative research

Biography:

Michelle Black is a Consultant, Educator and EAP Practitioner.   An advocate for leveraging the evidence to solve industry problems, Michelle developed Australia’s first evidence based program to combat compassion fatigue among care professionals and has more than 20 years’ experience leading organisational development in the commercial, government and not for profit sectors.

Michelle is a registerd Counsellor and a Fellow of the Australian Institute of Training and Development.  Michelle has a Master of Counselling, and a Graduate Certificate in Corporate Management. As an advocate for people thriving in the workplace, Michelle has presented research on Compassion Fatigue at a number of national and international conferences and published peer reviewed articles in the Counselling Australia Journal and the Australian New Zealand 17^th International Mental Health Conference papers.

As a PhD student at the University of Queensland, Michelle continues to advance the research on interventions for Compassion Fatigue.

Abstract:

The phenomenon of Compassion Fatigue (CF) also known as Secondary Traumatic Stress (STS), is presented from the empirical research relating to CF among Care Professionals. The research uncovered, the symptoms, prevalence, risk factors and best practice interventions identified to alleviate individual experiences and symptoms of CF. Populations explored include; nursing, counselling, social work, hospice care, residential care, mental health  and military health care professionals. The research and best practice interventions, informed the development of a combined intervention program to risk manage and alleviate experiences of CF among care professional’s.  An inderpendent pilot study of the program facilitated using the Eagala Model found through an analysis of the variance between the pre and post tests, found ProQOL scores for Compassion Fatigue and Burnout decreased whilst Compassion Satisfaction scores increased in addition to statistically significant improvement in overall emotional intelligence (p>0.05) and statistically significant improvements (p>0.05) in the emotional intelligence factors of emotion self-management, emotional expression, emotion self-control and emotion awareness of others.  Understanding the increasing demands, high staff turnover and limited capacity to release care professionals from their workplace for professional development, the program is presented in a new interactive, mobile, on-line learning program with support resources. The program in the new mobile on-line mode increases opportunities for care professionals and their organisations to risk manage and combat compassion fatigue.

Biography:

Madeleine Kerkhof, former RN, Clinical Aromatherapist; global expert, speaker and educator on integrative and complementary therapies in clinical nursing; author of Complementary Nursing in End of Life Care (2015) and CO2 extracts in Clinical Aromatherapy (2018); Director of Kicozo, Knowledge Institute for Integrative & Complementary (Nursing) Care; The Netherlands.

Abstract:

The International Association for the Study of Pain (IASP) defines pain as: “An unpleasant sensory and emotional experience associated with actual or potential tissue damage, or described in terms of such damage”. Neuropathic pains significantly decrease quality of life at all levels.

In 20% of people with diabetes mellitus we see peripheral neuropathic pains. We also often see peripheral neuropathic pains in patients undergoing neurotoxic chemotherapy, but sometimes the cause of neuropathy is unknown. Neuropathic pains are a consequence of nerve damage, and are often accompanied by changes in thermo sensation and touch. Also, patients can experience a higher sensitivity to pain stimuli. Pain perception can be increased (hyperalgesia) or occur during touch of the skin (hyperesthesia). We also find that some patients experience pain to a stimulus that is normally not painful. Peripheral neuropathic pain is notoriously difficult to treat, even with modern pharmaceuticals.

Carbonated baths appear to have a positive effect however on peripheral neuropathic pain.  The mechanism of action, promoting blood flow to the periphery and increasing oxygenation offers additional or even complete relief of pain and sensitivity. The author presents several cases of success in the treatment with carbonated baths in patients with neuropathy due to diabetes – and even improved wound healing of diabetic ulcers - and chemotherapy.

Biography:

I'm an instructor at Aydın Adnan Menderes University. I graduated from Ege University Women's Health and Diseases Nursing program. I am the deputy director of Aydın Adnan Menderes University Söke Health Services Vocational School. I have book chapter writing and also national and international reports and articles.

I'm interested in issues: Nursing of women's health and diseases, gynocological oncology nursing, nursing education, nursing care, evidence-based nursing practices, contraception methods, polycystic ovary syndrome, gender equality, sexual health and reproductive health.

There are scientific studies in the subjects of contraception methods, polycystic ovary syndrome, gender equality, evidence-based nursing practices in nursing of women's health and diseases, nursing students, nursing profession, nursing care development, sexual health and reproductive health, stress.

Abstract:

Objective: This systematic analysis has been laid out to view the works studying the risk of type 2 diabetes in women with polycystic ovaries syndrome.

Research Question: What is the rate of incidence of type 2 diabetes in women with polycystic ovaries syndrome?

Databases: Google Academic,  Pubmed.

Method: On the dates of 13-21/01/2014, 6982 results published between the years of 1999-2013 were analyzed through electronic search conducted on Google Academic. In the search held in the database of Pubmed, from 4730 results, the summaries of 235 results that are free of charge and whose full texts can be gained in English were analyzed. From the articles in question, 1 article that the rate of type 2 diabetes in women with polycystic ovaries syndrome was given was taken into the scope of study. 

Findings: In the study taken into the scope of analysis, it has been seen that the rate of type 2 diabetes in women with polycystic ovaries syndrome is 16.9%. The average of body mass index of the women with polycystic ovaries syndrome (n=42) that have type 2 diabetes is 35.7.

Result: There is the risk of type 2 diabetes in women with polycystic ovaries syndrome.

Keywords: Women's health, polycystic ovary  syndrome, diabetes

Biography:

Evaline Maziku is a clinical instructor has completed her Diploma in Clinical Medicine, Bachelor of Science in Nursing from St John University of Tanzania and Masters of Science in Pediatric Nursing from  University of  Dodoma. She is the head Dept of Pediatric at a government Hospital. Current affiliation with University of Dodoma as a clinical instructor and also a chairperson of Clinical Practices faculty of ECSACON ( East, Central and Southern African College of Nursing).

Abstract:

Background: Effective management of neonatal sepsis is essential in reducing mortality and  complications due to septicaemia, for which an accurate diagnosis remains challenging in developing countries, due to lack of well-equipped laboratories.

Methods: A cross–sectional study was carried out on 194 neonates admitted with clinical sepsis at DRRH, from March to June, 2017. A total of 194 blood samples for culture and sensitivity were taken according to standard aseptic procedures. Clinical and other laboratory data were analysed. Logistic regressions model was used to identify possible clinical features associated with positive blood culture.

 Results: Among the 194 study new-borns with clinical neonatal sepsis, 55 (28.40%) had blood culture positive, the most isolates were Coagulase negative Staphylococci n (45.50%). Most isolates were resistant to Ampicillin, whereas most of the isolates had highest sensitivity to Amikacin and Clindamycin. After adjusting for potential confounders, abdominal distension (AOR 0.263, 95% CI [0.088- 0.787], p <0.001), signs of skin infections (AOR 0.179, 95% CI [0.029-1.124], p < 0.01), umbilical pus discharges (AOR 5.745, 95% CI [1. were independently associated with positive blood culture.

Conclusions: Usage of WHO clinical criteria only for the diagnosis of neonatal sepsis may overestimate the prevalence of neonatal sepsis leading unwarranted use of antibiotics.  The study has shown majority of the bacteria isolates in new-born with sepsis are resistant to first line antibiotic. Frequently research will guide the empiric treatment for neonatal sepsis.

Biography:

Diana Zelman has been a registered nurse since 2016 and began working as a registered nurse for Toronto Western Hospital shortly after completing her Bachelors of Nursing Science from Ryerson University.

Abstract:

A sharp injury can be a stressful event for any team member in the operating room. A Krembil quality improvement project was conducted in 2018 to identify gaps in knowledge related to management of sharps in the operating room and create a culture of safety among operating room nurses. Data collected using incident reports between 2015-2017 among four UHN sites including Toronto Western Hospital revealed a high number of sharp injuries among members of the OR team – a trend which does not appear to be declining. Utilizing the latest standards from ORNAC and AORN, as well as input from Toronto Western Operating room nurses, a new Sharp Safety Standard of Practice was created. Practices in accordance with safe sharp management guidelines are expected to result in reduced percutaneous sharp injuries and enhanced patient and staff safety in the OR. This poster aims to share of the knowledge gained and lessons learned developing a standard of practice as well as educate nurses on changes in practice regarding sharp safety in the operating room. The outcomes of implementing a safe sharp management SOP will also be outlined.

Biography:

Nezar Ahmed Salim is the In-Service Educator and Nurse Researcher in Dubai Hospital, Dubai United Arab Emirates. He obtained his Bachelor’s Degree in Nursing from Hashemite University in 2012 and proceeded to Master’s Degree, Major in Oncology in 2014 with an exemplary GPA of 3.39 in the same university. He started as a staff nurse in the Medical-Surgical Oncology Unit, King Hussain Cancer Center in Amman, Jordan from 2012-2015. With commitment for excellence and career growth, he established the Journal Club at King Hussein Cancer Center and was awarded as a “Champion Nurse” of Research in the Magnet Program. From 2015-2018, He worked as an Oncology Nurse in Dubai Hospital. Through hard work and tenacity, he was eventually promoted to Nurse Researcher and Educator. Throughout his career, Mr. Salim has published 20 researches and articles in different international nursing journals. The Al-Jalila Foundation approved his study entitled “Knowledge and Attitude of Oncology Nurses’ towards Cancer Pain Management in United Arab Emirates, 2017” a study grant to support the cause of the research. He is also a distinguished speaker and organizer of Nursing Conferences. In 2017, he is awarded by the Government of Dubai for “You’re our Pride”, Research Category. The Dubai Health Authority acknowledge him as a “Recognized Staff” for his dedication and initiative in the practice of Nursing. Currently, he is a Board Editorial member of 2 Medical Journals, The Medical Science Journal and Dubai Medical Journal. As a nurse researcher, he has a Good clinical Practice Certificate (GCP) which upholds the scientific quality standards of clinical trials.

Abstract:

Background and Objectives: Effective cancer pain management mandates precise attitude, assessment, skills, and knowledge. Health professionals’ knowledge and attitudes concerning cancer pain management have often been referred to as insufficient. This study explored pain knowledge and attitudes of nurses working in oncology settings. Population: 115 oncology nurses working at 2 hospitals in the United Arab Emirates. Methods: A descriptive, correlational, cross-sectional design was used to examine nurse knowledge and attitudes about pain using the Nurses’ Attitude and Knowledge Survey Regarding Pain (NKASRP) survey. NKASRP score differences were examined among nurses with varying demographics, levels of pain education and experience. Results: The mean KASRP was 45%, significantly below the passing score of 80%. Pain management education was not found to have a significant impact on KASRP thus suggesting the need for more effective educational approaches to developing appropriate knowledge and attitudes towards pain among the nurses. No significant differences between sex, educational level, nursing and oncology experience, and nationality or religion were found. Interpretation and Conclusions: The study highlights the need for new initiatives targeting nurses working with cancer patients who are likely to experience significant pain. An ongoing need exists for more effective evidence-based educational programs in cancer pain management. Interactive teaching strategies such as on the job training, improves, and case studies should be tested for their influence on pain knowledge and attitudes and patient outcomes.

Biography:

Hongwei Wan has completed her PhD from ChiangMai University, School of Nursing. She is the director of Department of nursing, shanghai proton and heavy ion center, as well as a professor of Fudan University, China. She has published more than 60 papers in reputed journals. 

Abstract:

This study aims to evaluate the effect of nutritional risk screening tool (NRS2002) on identifying malnutrition in cancer patients undergoing radiotherapy based on Patient-Generated Subjective Global Assessment (PG-SGA). The nutritional status of cancer patients before radiotherapy in two tertiary hospitals in Shanghai and Zhejiang province were screened and evaluated by NRS2002 and PG-SGA. The Sensitivity, Specificity, Yoden index, Kappa value and area under ROC curve of NRS2002 were calculated using PG-SGA as a gold standard. A total of 368 cancer patients were enrolled in this study. Among them, 27.1% of the cancer patients had NRS2002 ≥3 points at admission and 35.9% had PG-SGA ≥ 4 points. The Sensitivity, Specificity, Accuracy and Yoden index of NRS2002 for screening malnutrition (PG-SGA ≥ 4) were 37.87%, 87.28%, 69.56% and 25.16%, respectively. The Sensitivity, Specificity, Accuracy and Yoden index of NRS2002 for screening severe malnutrition (PG-SGA ≥ 9) were 62.06%, 96.18%, 80.16% and 58.35%. Results shows that NRS2002 has a low sensitivity but a high specificity for malnutrition screening. Therefore, it is still necessary to carry out nutritional assessment for low nutrition risk cancer patients with radiotherapy, and further nutritional support should be given to those who are in nutrition risk.

Biography:

Samira Alirezaei has completed her PhD at the age of 31 years from Iran University, Tehran. she is the employee in Ministry of Health and Medical Education in Iran. She has over 10 publications.

Abstract:

Nurses are the biggest professional workforce at a hospital and they have become a key factor in improving productivity and competitiveness of hospitals. In healthcare industry, the attrition rate of nurses has been the highest among all employee categories. Aim of this study was to estimate the rate of nurses' loss in Iran and to provide a model for representing the types of nursing outflows and the probability of occurrence of each of these currents in nurses according to the desired conditions and characteristics.

Data mining was used for research purposes. In order to assess the status of nurses in Iran, the Nursing graduates were used by the Ministry of Health for the last five years. Sampling from this bank was done using Cochran's formula of 500 students randomly. It should be noted that at this stage, the research sample was examined for persistence in nursing or abandoned work. Also, from the sample, The amount of inclination to quit was questioned. Finally, using Clementine software analysis and modeling was done.

The findings of this study showed that most of the nurses were female (63.6%), married (63.1%), undergraduate education (56.6%) .Of the 500 nurses, 352 nurses left their job and 148 nurses were engaged in their work. Immigration of nurses (33.1%) had the highest outflow rate among Iranian nurses and after that, the change of field with the frequency of 15% was the highest nurses' abandonment rate.

Interventions to enhance participation in hospital affairs, adequacy of staffing and resources and enabling and supporting behaviors and creating opportunities for growth and professional development could be beneficial for a stable nursing workforce. It is essential at to promote nurses' motivation for work, such as the law on productivity promotion and the law on tariffs for nursing services.

Biography:

Weiyun Wang has completed her Bachelor's degree at the age of 22 years from Dalian Medical University and graduate studies from Nanjing Medical University of Nursing.  

Abstract:

Chronic heart failure (CHF) is a syndrome rather than a specific disease. However current classifications rely on subjective measures of NYHA(â… -â…£), LVEF(preserved or reduced), or stages(A to D), whereas the increasing recognition that these criteria may not adequately represent disease heterogeneity. We construct an observational and prospective study. A cluster analysis was performed using a patient’s clinical features, including age, sex, body surface area, blood pressure, heart rates, smoking and drinking, NYHA, HF etiology, comorbidities, symptoms, biomarker levels, eGFR, echocardiography scores, complete blood count, and blood chemistries. Kaplan-Meier survival analysis was performed to determine hospitalization and mortality risks corresponding to each cluster. Data were available on 249 patients which were categorized into 3 clusters. The labels for the 3 clusters were: aggravated clinical signs (cluster 1) and worsening cardiac function (cluster 2) and renal function impairment (cluster 3). Kaplan-Meier survival analysis and log-rank testing were utilized to compare clinical outcomes between three clusters. The 6-months readmission and mortality were 38.5% (cluster 1), 27.6% (cluster 2), 66.7% (cluster 3). The clusters showed statistically significant differences in terms of 6-months hospitalization and mortality rates (log-rank c²=17.336, p＜0.05). Finally, Cluster analysis identified 3 clusters in CHF and each cluster corresponded to a different clinical outcomes. Our analysis suggests that comprehensive assessment of signs and symptom, cardiac and renal function, may yield clinical outcomes more consistent groups.

Biography:

Makoro BipBari Precious has completed his Bachelors Degree in Nursing Science at the age 33 years from Niger Delta University Wilberforce Island Bayelsa State Nigeria West Africa. He is a Nursing Officer.

Abstract:

The consequences of failing to provide maternal and neonatal care are clearly seen in the disturbing statistics of maternal and neonatal morbidity and mortality of developing nations. This study was aimed to determine the acceptance and practice of focused antenatal among health care workers in Niger Delta University Okolobiri, Bayelsa State Nigeria. A descriptive survey design involving distribution of questionnaires was employed. Data obtained were analyzed with the Statistical Package for Scientific Solutions (SPSS) windows version 20. Result showed that majority of the respondents have not accepted focused antenatal care and do not practice focused antenatal care. At P<0.05, Chi-square (X²) = 33.724, df =2 and p-value = 0.000, there was a statistical significant relationship between acceptance and practice of focused antenatal care. The need to encouraged acceptance and practice of focused antenatal care as a suitable tool of quality care for pregnant women in order to reduce obstetric related morbidity and mortality .

Biography:

Tang Yifan has been a postgraduate student in Nanjing Medical University until July 2019, majoring in nursing. Her research topic is about constrcution of the International Classification of Functioning, Disability and Health core set for patients with chronic heart failure. She has published 3 papers in reputed journals.

Abstract:

To determine the initial concept of functional evaluation for patients with chronic heart failure (CHF) in the views of International Classification of Functioning, Disability and Health (ICF). Clinical researches on patients with chronic heart failure nearly five years were recalled from Cochrane Library、PubMed、Embase、CNKI、WanFang、CBM databases. Two researchers extract and link the concept with ICF through standard link rules independently. Finally 116 researches were recalled, including 177 function assessment index nonredundantly. The concepts linked with ICF in 116 second categories. Of these, 66 categories were considered most relevant to CHF( identified in at least 5% of the studies), of which 25 were related to Body Functions, 2 were related to Body Structure, 31 were related to Activities and Participation, 8 were related with Environmental Factors. The six most frequently identified categories were heart function (n=90), cardiovascular system structure (n=49), blood vessel function (n=43), respiratory function (n=41), motor tolerance function (n=40) and walking (n=40). In conclusion, the broad variety of ICF categories identified in this study reflects the heterogeneity of functional differences found in CHF and underlines the potential value of the ICF as a framework to capture an individual’s functioning. The current results in combination with further clinical researches and Delphi survey will provide the scientific basis for defining the CHF-ICF core sets. It is conducive to the follow-up development of individualized, detailed and dynamic treatment and nursing interventions for patients with CHF based on comprehensive evaluation.

Biography:

Yi-Chuan Chang has completed her PhD in National Taipei University of Nursing and Health Sciences, Taiwan. She published the papers Translation and validation of the Nurses Self-Concept Instrument for college-level nursing students in Taiwan. Area of research is Nursing Education, Critical thinking, Professional self-concept, Simulation-based Teaching, Postoperative care.

Abstract:

Critical thinking is indispensable for evidence-based practice. Integrating evidence-based practice concepts and methods into the curriculum can increase students' understanding of the course content and enhance the students' self-confidence in the nursing care. The purpose of this study is to introduce the traditional or mixed teaching style into the evidence-based nursing courses to improve the effect of critical thinking and professional self-concept for nursing students. A total of 9 classes, 3 classes were selected by simple random sampling from the two-year college programs at a technological university in southern Taiwan. And 5 master's students participated in research. The mixed teaching type was used for Class 1, the other two classes used traditional teaching style. The achievement evaluation was based on the analysis of the difference between the pre-test and post-test scores of the critical thinking dispositions and the professional self-concept. The groups of both the mixed and traditional teaching type intervention had got lower average scores for critical thinking dispositions in post-test than the pre-test, the mixed group did not reach significant difference (p=.37), the traditional group showed significant decreased (p<.05), but the average scores of neither groups reached significant differences (p=.62). The professional self-concept, the post-test average scores were significantly increased (p< .001), but neither of two groups reached statistically significant difference (p=.61). For the post-course evaluation, most of students' qualitative feedback was that mixed teaching type was very helpful for the study of evidence-based courses and it was a learning experience that had not been used before, which enabled full discussion and sharing in the group. Introducing the traditional or mixed teaching style into evidence-based nursing curriculum can enhance students' confidence in the clinical nursing care.

Biography:

Öztürk Birge has completed his PhD at the age of 30 years from Cumhuriyet University Health Sciences Institute. Between 2006-2014 she worked as a nurse in otolaryngology and plastic reconstructive surgery services. She is a lecturer in the Ankara University Faculty of Nursing in Turkey. Her professional interests include intensive care, palliative care and neurology nursing.

Abstract:

The study is a descriptive preliminary study. It was aimed to determine the opinions of doctors and nurses about palliative care in the Emergency Department (ED). The data of the study were collected with the participation of 13 doctors from 14 nurses working in the ED of a university hospital between the dates of 1-30 November 2018.

The mean age of the participants was 31.77+ 7.94. All of the participants stated that the patients who had palliative care need were followed up in the ED and the patients who had the most frequent cancer, end stage respiratory failure and advanced stage dementia diagnoses applied to the ED. Reasons for referring patients to the ED; the most frequent pain (48.1%), general condition disorder (25.9%) and nutritional problem (22.2%). 96.3% of the doctors and nurses stated that palliative care should not be given in ED and 70.4% did not provide effective palliative care. The most common difficulty encountered by nurses in providing palliative care was communication (85.7%), feeding difficulty (57.1%), pain (35.7%); the doctors stated that they had feeding difficulty (92.3%), communication (53.8%), delirium (38.8%) management. Factors that prevent the provision of palliative care in the ED according to doctors and nurses; the excess of the workload of health workers (92.6%), inadequate ED environment (88.9%), lack of 7/24 hours of consultation for palliative care (55.6%), and inability to provide psychosocial support (51.9 %).

Preliminary findings of study are recommended to generalize to the population after being applied to the larger sample group.

Biography:

My goal is to promote the science of laser medicine for the health of the people of the world. I am  Ehsan Kamani was born in 1994 in Iran. I am a graduate of the field of optics and laser engineering. I  started studyingand Research the use of lasers in medicine since 2014. I am mighty in the field of laser medicine research and treatment. I am eager to learn and study further . I have an intense internal drive and passion, and the willingness to take a chance, to fail if necessary, and to start the process all over again. I have a passion for research to be able to make life better for people affected by diseases and it is far more important than anything to me. Working in a place nearby cancer department of  Shohada University and watching patients affected by  cancer complications made me think how I can help these people. When I face new issues,I  look at it and  think, ‘that seems interesting, that could be an area I could make a contribution in,maybe I can make a difference’  then I invest myself in it,” “I take my  time and life to do it, I encounter challenges and make my way through it.I choose University due to the chance that has given to me with its superb reseach expertise.Reasearch is my passion. But, unfortunately, I am not supported in my country and I am looking for an active scholarship and group to advance the goals. 

Abstract:

In the name of Creator of Light. Laser is a technology used in various medical fields. After the revolution, Penny Celine has been in the medicine of this laser, which has revolutionized medicine. I have studied and studied laser applications in medical sciences, and I have been able to get the right information in this area.

Application of laser in drug delivery of cancer tissue: Using a laser and a method for making drugs with nanoparticles, we can use the laser wavelength and appropriate selection of drugs and nanoparticles to target tissues that are used in drug delivery. People with cancer have an important role in minimizing the side effects of chemotherapy. Application of Lasers to Improve Endocrine Activity: By using appropriate wavelength lasers and energy, we can influence the process of recovery of the activity of the glands, which is used to improve the thyroid gland, pancreas and saliva. Application of laser in lowering blood pressure: Using low-level lasers can be treated intraarticular and topically in the process of reducing blood pressure. Laser application in blood cell proliferation: We can play an important role in laboratory culture using laser light and proper wavelength in the process of white blood cell proliferation, red blood cells, and platelets. This process is important in patients with over-the-counter It will play an important role. Laser application in the treatment of depression: This method will be performed using appropriate light and energy

Application of Lasers in Acupuncture: Using a low-power laser and appropriate acupuncture points, we can treat the following illnesses.

1 - Obesity 2 - Depression 3 - Impotence - Muscle pain 5 - Paralysis

Application of laser in preventing ulcers in chemotherapy patients. Application of laser in wound healing of diabetic people. Laser application in the treatment of fungus nails with specific color and appropriate laser length. Making laser machine for diagnosis as soon as possible. All of these projects will be an important contribution to the recovery of patients and will promote the development of laser medical science. I now need research opportunities and scholarships.

Biography:

Michelle Regan is a former radiologic technologist who returned to school to advance her ability to care for patients. She obtained her BSN at The University of Tennessee Health Science Center. Then began her work in emergency medicine, which she continues. She recently completed her Master of Science, FNP track at MCPHS. She accepted a role as a staff family nurse practitioner at a local community center. She hopes to continue to work with the underserved throughout her career while focusing on women’s health. Additionally, she will seek out leadership opportunities with the goal of improving service delivery and patient care outcomes.

Abstract:

In the United States, one in five children are obese, therefore it is a major public health concern.  Extra weight increases a child’s risk of developing numerous health ailments including depression, anxiety, cardiovascular disease, and diabetes.  Many research studies have focused on determining the most effective method to prevent this epidemic.  Common recommendations include a healthy maternal diet and regular exercise, but the percentage of overweight children continues to climb.  Breastfeeding has also been suggested as an approach to impede weight gain in children.  This literature review aims to determine if exclusive breastfeeding for six months compared to formula feeding will reduce obesity in children aged 2 to 18.  Current, peer-reviewed research studies published between 2013-2018 were analyzed to establish the relationship between these variables.  The majority of the research found that breastfeeding compared to formula feeding promotes a healthy weight in children.  Additionally, the evidence supports delaying solid food introduction until at least six months to encourage children to develop internal satiety cues.  The research is limited by inadequate subject diversity and difficulties managing confounders that may also impact a child’s weight.  This review adds to the ever growing body of nursing knowledge and hopes to inspire further research into the impact of exclusive breastfeeding and delayed solid food introduction on childhood obesity.

Biography:

Mahesh Borhade MC, CHCQM-PHYADV is an American Board of Internal Medicine certified and certfiied by American Board of Qaulity Assuarance & Utilization Review Physicians in Healthcare Quality & Management. Dr. Borhade serves as a Medical Director at Person Memorial Hospital, Medical Director at Extended Care Unit a Nursing Home and as a Director for Utilization Review for Person Memorial Hospital, Roxboro NC, USA. He has extensive experience in acute inpatient and outpatient medical care for geriatric population with chronic medical comorbidities. He has been actively working in academics and research activities.  He serves as a scientific reviewer , editorial member, expert panel for population studies projects. He has worked as an Organizing Committee for international conferences before. His areas of interests are Endocrinology, Hypertension, Dibetes, Cardiovascular Disease, Public Health and Healthcare Quality and Management.

Abstract:

Diabetes mellitus leads to macrovascular and microvascular complications, resulting in life-threatening conditions. Exercise is considered an important therapeutic regimen for diabetes mellitus. Exercise in diabetic patients promotes cardiovascular benefits by reducing cardiovascular risk and mortality, assists with weight management, and it improves glycemic control. The increased tissue sensitivity to insulin produces a beneficial effect on glycemic control. Maintenance of the exercise program in patients with type 2 diabetes is an important goal because it is associated with long-term cardiovascular benefits and reduced mortality.  Interprofessional team approach is crucial for Long term compliance of patients for exercise regimen. Primary care physicians and nursing professional, diabetes educators caring for patients play an important role in educating these patients of the importance of exercise regimen as a therapeutic option for the disease management. There have been studies which suggested simple behavioral counseling by clinicians and nurse educators during routine clinic visits gave encouraging results for increasing compliance, although long-term follow-up is needed. Exercise regimens are difficult to maintain for more than 3 months due to intense nature of the programs requiring extra visits for special classes. In a 10-year study of 255 patients with diabetes enrolled in a diabetes education program emphasizing exercise, the rate of compliance fell from 80% for 6 weeks to less than 50% for 3 months. The compliance rate further dropped to less than 20% at 1 year. A coordinated interprofessional approach with educators working with clinicians will help to maximize compliance.

Biography:

Melissa Kimble completed her B.S. in Nursing in 1994 at Houston Baptist University in Houston, Texas, USA. She is the Director of Program Development for a large Home Health agency in the United States.  She holds several specialty certifications related to community and public health. She has over two decades working with many organizations including Fortune 100 companies. Mrs. Kimble is a member of the Texas Nurse Association, the American Nurse’s Association and Sigma Theta Tau. 

Abstract:

Diabetes is ranked second behind congestive heart failure as the primary diagnosis at entry into home care. This group of patients has a large potential to be susceptible to foot orders so in theory, Home Health team could positively impact that outcome.

For patients with diabetes, Signature Health Services Home Health Nurses created a goal to prevent new diabetic foot ulcers in >95% of all home health patients (928) over a 3 year time period. Outcomes exceeded 97% during that time period. In addition, a threshold of 99% was met when measured on how often the home health team got doctor's orders specific to care of the diabetic patient, how often the team provided comprehensive foot care, and how often team taught patients about foot care.

There are 11 components to the model of care that were applied to the diabetic patients who were admitted without diabetic foot wounds.  The components include:

1)Comprehensive assessment

2)Standardized collection of OASIS (The Outcome and  and Assessment Information Set)

3)Complete access to diabetic educator

4)Engagement with teaching tools (in native language)

5) Provision of glucometer in each patient home-provided

6) HGA1C labs

7)Implementation of templates/clinical pathways

8)Support through RN case management model

9) Provision of telehealth nursing

10) Referral in home podiatrist´s service

11) Referral to visiting physician

Through quantitative study designed to improve Clinical Care, a multidisciplinary team significantly impacted care. Data was reviewed by Quality Team and Professional Advisory group as well as Board of Directors which showed the above noted thresholds.

Biography:

Suzana Shabani completed her high school education at the Secundary School of Medicine, Pance Karagjozov, after which she worked as a nurse in the Outpatient Treatment Centre “Kisela Voda”.In 2014, she earned her Bachelor of Nursing, at the University of Tetova, after which she gained the position of Head Nurse, at the Public Health Institution Psychiatric Hospital “Skopje”.She is the author of Handbook for Nurses and Medical Technicians: Basic Knowledge about Drug Addictions. LAP Lambert Academic Publishing; Germany, 2016.

Abstract:

The use of drugs is very global, serious and most complicated problem which affects negatively in society in general and in normal functional of human live. In individual, professional, family and social plan, causing big human losses and sufferings. The reasons why young people begun to use drugs are multiple and various such as: curiosity, time, lack of organization, rebellion, pressure from society, dissatisfaction from the world etc.

Most known method to verify use of drug is urine screening.Its needed to verify the use of drugs, to be monitored during the treatment, to verify the reusing drugs.Time and presence of drug in body could be determined depending on the types of drugs and the intensity of using it.
The most used drug in Republic of North Macedonia is cannabis with 55.01 %, according to Ministry of Interior Affair. The city of Skopje is the in the first place with number of drug users.
Modern living brings new challenges and new signs. When we talk about youth and their life its unavoidable to mention that they are exposed to lots of challenges in thistime in which they live.
Treatment of addiction must be various and to include a lotof institutions or various groups of experts that will lead in systematic change in regards to the problem of addiction. It’s not enough only to go through with the detoxification of organism, its needed to maintain abstinence, to prevent reuse of psychoactive substances and to socialize back into society, while maintaining one’s sobriety.

Biography:

Murad has completed his PhD in nursing studies in September 2017 from Hull University. His PhD study employed a qualitative approach to understand the factors that influencing compliance with standard precautions among paediatric nurses. Dr. Sawalha is currently works as assistant professor at Hashemite University in Jordan.  Dr. Sawalha is a registered nurse in Jordan since 2002. He holds a Bachelor of nursing science and master of clinical nursing from the University of Jordan. He worked in different clinical and academic settings (Four years in paediatric intensive care unit, one year in clinical research, and five years in academic lecturing). 

Abstract:

Compliance with Standard Precautions Guidelines (SPGs) is effective in preventing the transmission of Healthcare Associated Infections (HCAI), paediatric nurses do not always compliant. Most studies into this problem used quantitative methods, but have failed to explain noncompliant behaviour or address the issues that are specific to paediatric clinical areas. AIM To investigate how the experience of nursing children, affected nurses' decision-making regarding SPGs compliance.  METHODS Qualitative study with an adapted form of constructivist grounded theory. It was conducted in five Jordanian Hospitals with a sample of 31 qualified paediatric nurses.  RESULTS This study identified causes of enduring failure by nurses to comply fully with SPGs. Four themes emerged (Children are different; Nurses are human first; Limited professional status; The challenges of the working environment). Paediatric nursing practice was seen as different to adult practice and nurses construed the need for SPGs differently. DISCUSSION Paediatric nurses were reluctant to be proactive and initiate change to improve practice. Problems with SPGs were understood but not acted on. Nurse’s prioritised compliance with the nursing culture in their clinical area, over more general SPGs principles. Nurses did appreciate that compliance with SPGs was suboptimal and criticised this. However, most nurses had a value system, which militated against, and diminished the influence of SPGs compliance. IMPLICATION Unless nurses become empowered to challenge practices and organisational barriers, infection prevention and control is unlikely to improve. Nursing, in this area of the world, needs to professioanlise so nurses take responsibility for their actions.

Biography:

Dr Anne-Marie Mahoney is an Early Career Researcher in the La Trobe Rural Health School. Dr Mahoney was awarded her Professional Doctorate in 2012 from the University of Melbourne. Her thesis, entitled All of us getting older: time for reflection. Nurses’ attitudes to working with older people in acute care, drew from a qualitative, interview based study with 15 participants. Dr Mahoney currently maintains a lecturer/practitioner role by holding dual academic and clinical roles. She has an extensive employment history in the field of education having held an executive position at Austin Health for a number of years prior to joining La Trobe University. She has represented health services on a number of committees and working parties at State Government Level and was instrumental in the implementation of the Assistant in Nursing role at Austin Health in 2009.

Abstract:

Transition to residential aged care has been identified as one of the most significant events for older people. This review has focused on factors influencing transition into residential aged care facilities for rural older adullts.  The review has focused on factors that protect against admision and factors that hinder or prevent admission as well as those that facilitate or encourage admission into residential aged care.  It also examined factors associated with both positive and negative transitions. This review utilised Whittmore and Knafl (2005)’s integrated review framework to guide data extraction.  Two researchers screend records using the 3-stage PRISMA flowchart process.  The final data has neen entered into a qualitative data analysis program (NVIVO) and analysed thematically by means of an inductive approach, where key themes across the four key outcome measures have been extracted and explored.  Differences between countries and different rural context (large/small) have been highlighted within the analysis.

Biography:

Fatima Akkawi is a Senior Charge Nurse/ Nurse Educator/ Leadership and Education from University of Sharjah & Royal College of Surgeons in Ireland. She is proficient in administering policies and procedures related to the patient safety in processing requests under government access to information and privacy legislation, managing activities associated with new procedures and competencies. She is a Recipient of multiple senior management appreciations for consistently rendering superior quality service across professional career. She is a Senior Healthcare professional with over 20 years of experience in Nursing roles Like: Registered Nurse, Nursing Supervisor, Clinical Instructor, Nurse Educator, BLS & HSFA Instructor, Research /Project Guide, Nursing School lecturer, Committee member.

Abstract:

Background:

Nursing education in healthcare is one of the significant aspects that have been gained huge attention among practitioners and educational faculties, where Learning method holds paramount importance in reaching the desired objective. Lecture-based learning has been implemented in nearly all institutions including nurses’ colleges, According to many new types of research, this system of learning is not suitable due to its inflexibility and the fact that it is instructor centered. On the other hand, problem-based learning is more flexible and goal oriented.

Methods

This research has used Health Service model, the change is introduced in nursing education activities, considering problem-based training. Furthermore, Kirkpatrick model has been implemented as a design strategy. The survey questionnaire was distributed among maternity unit nurses, pre-test and post-test, and critical thinking case study introduced. A total number of 24 mixed skill level nurses participated.

Results

The findings show the effectiveness of using the problem-based learning as an instructional approach, increase knowledge level, improves problem-solving and improve the critical thinking skills, and the self-directed learning.

Conclusion

The project is integrated with pain management team that give strength to the program. The results open another concept, the difference between employee learner and the academic learner. Furthermore, it saves the turnover cost of the nurses as well as the cost of patient's services along with reduction in working hours as well as cost efficiency.

Keywords: Problem-based learning; Nursing Education; Health Service model; Implementation project; Problem-solving.

Biography:

Paul is a Executive Director of Nursing completed his nurse training at Queens University Belfast (QUB) in 1999. Initially working in Theatres, Recovery and High Dependency he later specialized in Anaesthetic Nursing, completing a Post Reg qualification at Manchester University. On his return to Belfast Paul completed a BSc (Hons) in Health Studies Management at QUB and worked as a Charge Nurse at the Mater Hospital Belfast.

Abstract:

Nurses have developed clinical specialist roles, particularly in the areas of long-term conditions management for example diabetes and respiratory issues, and increasingly in the management of acute conditions such as urology, dermatology and cancer care and treatment. The contribution of these roles has been described in numerous publications including the National Cancer Action Team and MacMillan Support (2010) and by Young (2012). They conclude that clinical nurse specialists (CNSs) reduce inefficiency, drive innovation and improve the quality of care and the patient’s experience.

The aim of the study is to evaluate if the introduction of a regional job planning methodology has enabled CNSs in one Health and Social Care Trust (HSC) in Northern Ireland, to meet the requirements of their job through the identification of clinical activity and supporting professional activity sessions in line with the regionally agreed job plans. Ethics approval was not required.

The study was carried out using a mixed methodology approach. The results indicated that embedding of the toolkit methodology within the HSC Trust had not been widespread with a variance between hospital based CNSs and those based in hospital/community and community settings. While the use of the job plan to identify the core activities of the role was welcomed as a positive thing, nervousness still remained around the support it had at a senior level within the HSC Trust.

It was concluded that the job planning toolkit required to be revised to include for example travel time and that clinical coding for activity carried out by CNSs needed to be more robust.

Biography:

Petcharat Kerdonfag  is Assistant Professor of Nursing at Community Health Nursing, Faculty of Medicine Ramathidodi Hospital, Mahidol University, Bangkok, Thailand. She has completed her MNS (Community Health Nursing) from Mahidol university. She has published many papers related to community health nursing in peer-reviewed journals.

Abstract:

School health services through regular screening of school students’ health status have been the main responsibility for community or school health nurses. The purposes of these retrospective study were to assess and compare health problems between government and private primary school students in the central region of Thailand. The data were collected from the school health records in October at the end of the first semester in academic year 2018. Two thousand and fifty primary school health records from government and private primary schools were gathered to assess health problems regarding anthropometric measurements, physical examination/ personal hygiene, and clinical findings for this study.  Descriptive statistics and Chi-square were used to be analyzed. The results revealed that health problems of all the school students remained high magnitude. The five top rank for prevalence rate of health problems were dental caries (36.6%), visual acuity problem (27.7%), over-nutrition (16.8%), head lice (12.8%), and under-nutrition (6.8%), respectively. However, when compared between government and private schools among five health problems; dental caries (55.0% vs 19.9%), visual acuity problem (23.1% vs 31.9%), over-nutrition (20.2% vs 13.8%), head lice (26.5% vs 0.3%), and under-nutrition (10.6% vs 3.4%) with Chi-square analysis, there were significantly different (P< .001).  The problem of visual acuity seems to be more serious in private schools while the other health problems tend to be more critical in government schools.  The findings have suggested that parents who have children in the private primary schools should pay more attention to visual health defects whereas parents with children in the government school should pay more vigilance regards to hygiene and health behavior problems.  

Biography:

Jen-Chun Lin currently serves as a head-nursing in the National Cheng Kung University Hospital. He completed a master's degree from the National Taipei University of Nursing and Health Sciences in 2011. He has published one paper in the journal and participated in five academic posters.

Abstract:

Introduction:

This study is to investigate whether the nursing station desktop computer and the e-action nursing work vehicle has a screen protection program and time to check the importance of the personnel in the hospital for personal data protection.

Method:

Investigate the setting of the desktop computer and the e-care nursing workbench screen protection program in the general ward and the intensive care unit nursing station. After recording in paper format, it will be converted into an Excel report before analysis (before the screen saver locks the software) After the policy intervention (after the screen saver locks the software), compare the effectiveness of the screen saver to lock the software import.

Result:

The results of the study found that after the policy intervention, the setting ratio of the screen protection program for e-action nursing work vehicles increased from 87.8% to 98.8%, an increase of 11%; the proportion of desktop computer screen protection programs for nursing stations increased from 68.3% to 92.4. %, up to 24.1%.

The situation of setting the screen saver in the general ward is obviously improved after the policy intervention, and it is suggested that the popularity of the screen saver setting can be improved. The privacy of the attributes of the space can be divided into three categories: open space (e-action care work vehicle), semi-open space (general ward care station) and closed space (intensive care unit), and found to be semi-open Sexual space (general ward nursing station) has been significantly improved after policy intervention, and the closed space (intensive care unit) has the highest proportion of screen protection programs before policy intervention.

Biography:

Sureeporn Thanasilp completed her D.N.S. (Nursing)  from Mahidol University, Thailand. Her Ongoing research is death acceptance between Thai and Vietnamese persons with  cancer.

Abstract:

Introduction: Patients with terminal cancer can suffer from various symptoms, affecting their quality of lives as well as their caregivers' lives. As caregivers, they often spend a lot of time to take care the patients especially in terminal illness, it is essential for them to have ability to deal with their emotion and manage those common symptoms. The previous study found that caring behavior of caregiver related to quality of patient’s life.

Purpose: To evaluate the effect of symptom management program combined with an intervention based on basic Buddhist principles on quality of life of patients with terminal cancer.

Methods: This quasi-experimental research study had pre- and post-test control groups. The participants were patients who diagnosed with terminal cancer and their family caregivers. Family caregivers in the experimental group received conventional care and symptom management program combined with an intervention based on basic Buddhist principles for three consecutive days from the researchers. Family caregivers in the control group received conventional care alone. After receiving the intervention either the experimental or control group, the family caregivers took care the patients for one week. The patients in both group were asked to complete the FACT-G questionnaire on Day 1 (pre-test).  Then the patients were asked to complete the FACT-G questionnaire again on Day 10 (post-test).

Finding: The result is still in process.

Conclusion: This program can provide effective stress relief to caregivers and help them gain good skill for manage common symptoms to terminal cancer patients. Then the patients will perceive better quality of life. That is the symptom management program combined with an intervention based on basic Buddhist principles will improve the quality of life of patients with terminal cancer. This result supports the beneficial effects of implementing this type of intervention for patients with terminal cancer and their family caregivers.

Biography:

Clinical Professor at the University of Maryland School of Medicine, and is the Director of the University of Maryland International EM Program. He is also a Visiting Professor at Stellenbosch University in Cape Town, South Africa, a Visiting Professor at Hunan Provincial People’s Hospital, Changsha, China, and a Visiting Professor at Apollo GlenEagles Hospital in Kolkata, India.  He has completed a Masters in Public Health and work towards a Masters in Health Policy, Economics and Law, and has completed 4 subspecialty Fellowships in International Emergency Medicine, in Health Policy, in EM Administration and Management, and in Sports and Exercise Medicine. From 2006-2010, Dr. Mulligan was living and working in The Netherlands directing two emergency departments and EM residencies, two of the first EM programs in that country.

Abstract:

Health care systems all around the world are currently overwhelmed with emergency and acute care cases: in hospital emergency rooms, in ICU’s and surgical wards, in medical wards and in outpatient settings.  Emergency Medicine and emergency nursing are among the youngest new medical and nursing specialties in the world.  Emergency care systems are fully developed in only a handful of countries around the world, and many countries are only recently beginning to recognize and develop their own emergency care and acute care systems.  Emergency Care systems consist of focused training, specialization, recognition and licensing of the related areas of emergency medicine, emergency nursing, pre-hospital and ambulance systems, hospital-related emergency / acute care / trauma / critical care services, and more.  Further, comprehensive emergency care systems development involves focusing on clinical care, education, administration / management, finance / economics, legislative, health policy and public health aspects of emergency care and acute care systems development.

Emergency nursing is one of the most crucial aspects of the emergency care system, and health care systems all around the world are recognizing the growing need of focused training, development, official recognition and support for emergency nurses. 

At the end of this session, the learner will have a greater understanding of:

• The state of emergency care and acute care systems development all around the world
• The past, present and future directions of emergency care and acute care systems globally
• The crucial role of emergency nurses in both the development and in the functioning of emergency care and acute care systems
• How to get more involved in global emergency care systems development country by country, all around the world

Biography:

Madeleine Kerkhof, former RN, Clinical Aromatherapist; global expert, speaker and educator on integrative and complementary therapies in clinical nursing; author of Complementary Nursing in End of Life Care (2015) and CO2 extracts in Clinical Aromatherapy (2018); Director of Kicozo, Knowledge Institute for Integrative & Complementary (Nursing) Care; The Netherlands. Please find a BIO in the attachment.

Abstract:

In a variety of clinical settings, many patients and especially the very ill suffer from mouth problems. More often than not, various problems occur simultaneously. This can vary from dryness of the mouth, pain and an unpleasant odour from the mouth to extensive candidiasis or other infection. Mouth problems can greatly reduce the quality of life, both in a physical and psychological sense as well as in a social sense. The effects are still underestimated and so far there are little answers in standard nursing care. The overall condition may deteriorate and mouth problems can even be the cause of death. In social life, eating and drinking is an important part of our social interaction, which is hampered by mouth problems. There are also psychological consequences such as despondency and feelings of shame and inadequacy.

Causes can include not eating or drinking, breathing with open mouth, dehydration, infection and psychological factors such as anxiety or depression. These are not necessarily connected to any primary disease, but there can be. Think of local tumour growth, graft-versus-host disease, renal failure, underactive thyroid (hypothyroidism) or diabetes, AIDS, Sjögren’s syndrome, and neurological diseases such as occur in dementia and after a CVA. In case of cancer, mouth problems are usually associated with treatment, such as medication, radiotherapy and/or surgical procedures in the area. Sometimes, a combination of factors is involved.

In this session expert on integrative nursing Madeleine Kerkhof discusses several cases in which (often well founded) essential oils and CO2 extracts have shown extremely beneficial, and offer often better results than standard care, for mouth problems in clinical settings.