19^th Annual World Congress on Neonatology September 20-21, 2020 Vancouver, Canada

Biography:

Jea Joel Mendoza-Dungca is a full time PhD student from Holy Angel University, Pampanga, Philippines. She completed her masters degree from the same university with a degree of Master of Science in Nursing Major in Adult Health Nursing. She was able to present her research both in Poster and Oral in various international research conference locally and international. She is also a co-author of research about Menopausal Women. She is highly interested in feministic, maternal and pediatric research.

 

Abstract:

Congenital anomaly is a condition affecting 1 in 33 infants every year. Having a baby born with anomaly does not only affect the patient himself but more so the people surrounding the patient which is his family. The aim of the study is to explore the experiences of the families that act as a primary caregiver to children with any type of congenital anomaly in order to enhance the quality of care provided by the health care system to the patient affected by the condition and also to give much holistic attention to the families who give care to the patient. A phenomenological-heuristic type of research design was used in the study. Six informants willingly participated in the study under an informal, semi-structured interview with the main question “What is it like to care for a child with congenital anomaly?” The study revealed 7 main themes: Dealing with Tough Life, Sustaining your Child’s Needs, United in Times of Crisis, Slaves of Our Emotions, God Challenging Your Conviction, Side Effects of having a Family Member with Congenital Anomaly and Dealing with their Child’s Special Need

Biography:

Dr. Jan Gill received her BSN from the University of Saskatchewan, Canada, her MSN/Neonatal Nurse Practitioner (NNP) credentials from Vanderbilt University, and her Doctor of Nursing Practice degree from the University of South Alabama. Jan initially practiced as a NICU nurse in western Canada where she gained extensive experience in neonatal transport specializing in flight. She was also a Maternal-Child nursing professor in Alberta, Canada in addition to serving as an assistant professor for the Marquette University NNP program, Milwaukee, Wisconsin.

Jan is an NNP with 25 years experience and is currently practicing in NICUs in Wisconsin, USA.  She is the Transport team coordinator for ProHealth Care in addition to counselling pregnant women with respect to Neonatal Abstinence Syndrome.  Jan has several publications and has also given numerous podium presentations.

 

Abstract:

Objective:

     The goal was to increase neonatal transport acceptance rates from internal and referring hospitals and prevent deferring transports to non-affiliated transport teams.

Design:

     Retrospective transport data was reviewed from 2016-2017.  Metrics included transports requested, performed, and deferred.  Prospective data from 2017-2018 was then analyzed using the same metrics to determine post-intervention outcomes. 

Setting:

     This setting was a mid-western hospital with a 24 bed level three neonatal intensive care unit (NICU) with a unit-staffed neonatal ground transport team.  Team configuration included a respiratory therapist, a NICU transport registered nurse, a neonatal nurse practitioner as warranted, and a unit-based neonatologist for medical control. 

Sample:   

     The sample included the 38 medically indicated transport requests performed and deferred over a two year span.  

Methods:

     Quality improvement measures were implemented using the plan, do, study, act model.

Implementation Strategies:

     Stakeholders were involved in implementing measures to improve transport request acceptance rates.  Interventions included securing neonatology NICU coverage during transports, ensuring committed ambulance service, and increasing the number of transport registered nurses.

Results:   

     Transport acceptance rates increased by 7.3% with deferral rates reduced by 33%.

Conclusion:

     Quality improvement measures were successful to increase transport acceptance rates and decrease transport deferral rates.  Ongoing monitoring is key to ensure sustainability.  

 

Biography:

Dr. Daniel Bruzzini earned his medical degree from the Uniformed Services University of the Health Sciences in 1994 and completed a transitional internship before serving as a physician for United States Air Force fighter pilots.  Afterwards, he returned to academia and completed his pediatric residency at Wright State University in Ohio and Neonatal-Perinatal Fellowship at Washington University in Saint Louis, Missouri.  After which, he practiced medicine in Germany, Japan, and led humanitarian missions to Haiti, Indonesia, Oman, and Afghanistan.  Since retiring from the Air Force, he has served as a medical director for a multi-state private practice neonatology group, earned an MBA, and became a Certified Physician Executive. He currently serves as the medical director for a Fortune 100 managed care organization responsible for the care of 200,000+ members throughout the state of Missouri.  

 

Abstract:

Statement of the Problem: Healthcare as a human right or human need depends, as do many things these days, on one’s perspective.  While most of the people of the world receive government financed healthcare, only 40% do so in the United States of America.  The United States has three systems of healthcare payment – government, private insurance, and self-pay.  To understand this complexity in order to make informed decisions today for a better tomorrow requires a visit to yesterday.  We explore the development of  healthcare in the United States and contrast that with its development in Europe.  The cultural element of American and Euroopean Healthcare systems will be discussed because it is in this context healthcare operates on both individuals and societies.  The audience will develop the evaluation tools to apply to government versus private free-enterprise based systems.  Critical questions will be asked of both government and free-enterprise based systems.  The role of private and government insurance in managing healthcare will be debated and examined critically.  The responsibilities of government, businesses, and the individual regarding their health maintenance, health insurance, and healthcare needs is at the heart of whether healthcare is a human right or human need.

 

Biography:

Dr. Lisa Dailey graduated from Bellin School of Nursing in 1986 with her diploma.  After working 17 years in a Level 3 NICU as bedside and transport nurse, she took a leadership role in the NICU, but the bedside beckoned her back.  In 2007, Lisa graduated with her BSN from the University of Wisconsin-Green Bay and immediately enrolled at the University of South Alabama in the neonatal nurse practitioner program, graduating in 2008.  In 2012, she achieved her lifetime goal of a doctorate degree, graduating from the University of South Alabama, also adding a degree as an Acute Care Pediatric Nurse Practitioner.  Today, in additional to her clinical roles as a Neonatal Nurse Practitioner, Lisa is the Track Coordinator at the University of South Alabama Acute Care Pediatric Nurse Practitioner Program. 

 

Abstract:

Statement of the Problem: A relatively new clinical phenomenon has been identified in the healthy term infant, Sudden Unexpected Postnatal Collapse (SUPC). Sudden Unexpected Postnatal Collapse is characterized by apnea, bradycardia, cyanosis and cardiorespiratory collapse in the healthy term newborn shortly after birth, often during initial skin-to-skin care (SSC) or during the first breastfeeding attempt.  Unfortunately, the cause is not completely understood, but accidental suffocation of the infant related to poor positioning.  Skin-to-Skin care has become a common practice in the newborn period.  It is part of the World Health Organization’s “Ten Steps to Successful Breastfeeding” and is embraced as a part of the Baby-Friendly Hospital Initiative.  Despite the positive effects of SSC, this practice may pose a safety risk and result in SUPC in the neonatal period.

 

A majority of the SUPC occur in the first two hours of life, related to common findings in maternal, perinatal, neonatal and situational factors.  While the etiology of SUPC is not completely understood, but there are commonalities of maternal fatigue and distraction appear to play a key role.  It is critical to be able to identify at risk situations that may lead to SUPC, preventing fatal or near-fatal related to sleep, suffocation, and falls.

 

A lack of standardization in approach, discontinuous monitoring of the mother-infant dyad with times lapses greater than 10-15 minutes during the first few hours of life, lack of education and skills among the staff supporting the dyad, and staff unfamiliarity with the potential risks of unsafe positioning and approaches of assessment that may avert problems.

 

Conclusion: Early breastfeeding and SSC are beneficial to the healthy transition and bonding of the mother infant dyad.  Recognition of risk factors, maternal education and a heightened surveillance of the dyad can prevent catastrophic and can be prevented.

 

Biography:

Saleheh Tajalli is currently pursuing PhD student in Nursing, School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran. She has published more than 15 papers in neonatal and pediatric care filed at reputed journals.

 

Abstract:

Hospitalization behind the Neonatal Intensive Care Unit (NICU) closed doors separates neonates from their parents and causes anxiety in the parent’s minds. Nurses can provide a great volume of information in a short period by telenursing.

We aimed to evaluate the effects of telenursing throughout phone calls on the anxiety levels in parents with neonates, hospitalized in the neonatal intensive care unit.

This before-after Quasi-experimental study, with a control group, was conducted among premature neonates’ parents. They were selected through the convenience sampling method. Then they were enrolled into intervention and control groups, randomly. In the intervention group, fifteen telephonic conversations between parents and nurses were done totally for 15 days. During these phone contacts, the researcher provided information to one of the parents about the neonate's respiration, recent vital signs, consciousness level, sleeping rhythm, feeding. The data was collected by using the self-report Beck Anxiety Inventory, and socio-demographics questionnaires. The Beck Anxiety Inventory was filled out once before the intervention and then after phone calls on the first day and fifth, tenth and fifteenth days of admission in the intervention groups. Also, this filled out in control groups then they were compared.

The findings indicated that there was a significant difference in terms of anxiety in the intervention group before (51.80 ± 11.2) and after (25.1 ± 3.4). There was a significant statistical difference between the intervention group and the control group in the fifth, tenth and fifteen days of hospitalization (p ≤ 0.001). The anxiety level in the control group before (52.45 ± 11.9) and after (50.43 ± 10.18) showed no significant difference.

According to the results, considering telenursing in the educational and care context of neonatal parents is recommended