Day 1 :
Fakeeh College for Medical Sciences, Jeddah 23323, KSA
Dena has completed her PhD from the University of Southampton, UK. She is the Head of Nursing School and Assistant Professor at Fakeeh College for Medical Sciences. Dena has been an oncology nurse specialist since October 2002. She is a nurse with clinical and research interests.
Working in the ambulatory chemotherapy setting, inspired her research interests in the impact of the nursing workforce on both patient and staff outcomes.
The central themes underpinning Dena’s research interests include: understanding the experiences of patients undergoing chemotherapy and developing nurse interventions that would respond to the issues and problems that patient and their family have to face as part of their day-to-day lives; and development of patient-reported outcome and experience measures. Also, the assessment of the quality of nursing care for patients with cancer.
Background: The quality of patient care is a universal concern among healthcare managers, policymakers and consumers. In order to benchmark and improve patient outcomes and demonstrate the impact of high-quality care provided by ambulatory chemotherapy services (ACSs), it is important to develop patient-reported nurse-sensitive indicators, specific to chemotherapy-related symptoms and experiences of supportive care. This study builds on previous work by Armes et al. (2014) who developed the Patient-Reported Chemotherapy Indicators of Symptoms and Experience (PR-CISE).
Aims: This study aims to explore a range of methodological and feasibility issues that relate to the development and implementation of Nurse-Sensitive Outcome indicators (NSOIs) and associated tools in the Kingdom of Saudi Arabia (KSA). It also aims to establish whether variability exists in Nurse-sensitive Outcomes (NSOs) amongst ambulatory chemotherapy units in the KSA.
Methods: A feasibility study employed a descriptive, cross-sectional survey with two preparation stages. In Stage I, instrument items were developed. In Stage II, the feasibility of delivering the protocol was evaluated and the questionnaire piloted.
Results: The pilot testing of the recruitment, research tools, and data collection process was useful in providing the groundwork. The cross-sectional survey confirmed that survey processes were efficient. Significant differences were observed in the distribution of the severity of symptoms between ACSs in six out of seven studied symptoms.
Conclusions: The Arabic PR-SICE questionnaire was acceptable and may be used to generate evidence about NSOs in ACSs in the KSA and inform future policy and practice.
NCI, Cairo University, Egypt
Assistant professor of Nursing( adult Health) , Specialty: Oncology Nursing Education Coordinator of Oncology nursing specialty Diploma. NCI, Cairo University. ELNEC, USA. Certificate, EPIC- O. ASCO. BREAST CANCER – TOTs Program, ISNCC. Early detection & prevention of Cancer ,teaching Breast Self Examination, M.D Anderson . Post basic certificate in Cancer Nursing. Royal Marsden Hospital, UK. Cancer Patients & Families teaching Class. Coordinator of nursing collaboration project, Palliative care program, NCI Cairo & KHCC, Amman ( 2008-2010). Member, Advisory Planning Committee for development of TOTs Workshop focused on fundamentals of breast cancer care for Middle East and North Africa nurses led by the ONS, the U.S. – Middle East Partnership for Breast Cancer Awareness and Research 2009. Organizer of first UICC Cancer Nursing Course . Cairo. Member of the steering committee for palliative care, MECC ( Egypt Representative (2005-2009). Member of Nursing committee “ preparation of radiotherapy nurses training syllabus, IAEA, Vienna,2005.
The concept of quality of life (QOL) refers to the ability to enjoy normal life activities; it is a complex combination of satisfactory functioning in essential four core domains : physical, psychological/emotional, social and spiritual.
Quality of life is an important aspect of care in the clinical setting;nurses can improve patients' quality of life by ensuring they are competent in daily practice, and by giving patients a high quality holistic care based on safe,effective
Methods: A convenient sample of adult cancer patientsrecruited from a university hospital, Cairo, Egypt. Data were collected through self-administered questionnaire or patient structured interview.
Tools used: EORTC QLQ-C30 (Version 3) and QLQ-INFO25. Data analysis includes descriptive statistics of relationships between key variables; physical, emotional, social wellbeing, type of information given and quality of life.
Results: Results revealed significant correlation between Lack of information and low quality of life. Patients expressed their needs for more clarification about treatment side effects and how to copein thefuture.
Conclusion: Quality of life should be assessed frequently by nurses throughout treatment phases to identify patients at risk.Nurses also should emphasize on proper patients teaching and counseling to promote physical psychosocial balance and improve quality of life
Research Assistant, Ondokuz Mayıs University, Faculty of Health Sciences, Samsun, Turkey
Cansev Bal graduated from the Health Sciences Faculty of Ondokuz Mayis University as a nurse in 2009. She worked as a clinical nursing between 2009-2011 and as an intensive care nurse between 2011-2019. In 2015, she completed the masters program in “Fundamentals of Nursing” at the Florence Nightingale School of Nursing. Currently, she works as a research assistant and continues her doctorate studies on “Nursing Department” in Health Sciences Faculty of Ondokuz Mayis University
The study was conducted in a descriptive and cross-sectional manner to determine the factors that influence the sleep quality in oncology patients between December 31, 2016 and December 31, 2017. The participation of 238 patients that were hospitalized in a public hospital in Turkey. The case group consisted of 119 in patients who were diagnosed with cancer and hospitalized in the surgery department. The control group consisted of 119 inpatients who were diagnosed with any acute or chronic condition other than cancer and hospitalized in other clinics. The control group was chosen to match the case group in sociodemographic properties. The properties of the patients were determined using a 29-question survey and the Pittsburgh Sleep Quality Index. Percentage analysis, Kruskal-Wallis test, and Mann-Whitney U test were used for evaluating the data. In the case group patients, 33.6% were diagnosed with stomach cancer, 54.6% were in Stage II of cancer, 98.3% underwent surgical treatment and 28% underwent chemotherapy, 89.7% had treatment-related pain, 52.9% had a chronic disease together with cancer, 63% had their sleep quality partially influenced by environmental factors. The median Pittsburgh Sleep Quality Index score was 5 for the study group and 4 for the control group. It was observed that some of sociodemographic and clinical properties influenced the Pittsburgh Sleep Quality Index scores. This study has found that both the case and control groups had good sleep quality. It is recommended that nursing interventions should be planned in order to improve the sleep quality of the patients.
Hanoi Medical University, Hanoi, Vietnam
Linh Thuy Duong will graduate her Master Degree from National Taipei University of Nursing and Health Sciences, Taiwan, in June 2019. Linh has been working as a nurse lecturer in the Faculty of Nursing and Midwifery at Hanoi Medical University since 2016. She also works as a clinical tutor in hospitals, and has experience and skills in various nursing fields, including obstetrics and gynecology, and medical-surgical nursing. She has published three papers in journals and has much experiences in collaborating with international organizations such as the University of Sydney, Australia, focusing on community health literacy in Vietnam
The purpose of this study was to determine factors associated with mammography screening behavior and its predictors among rural Vietnamese women. This predictive correlational study was conducted with 120 women ages 40 and above in the suburbs of Hanoi, Vietnam in July 2018, using the Breast Cancer Awareness Measurement and the Champion’s Health Beliefs Model Scale. Mammography screening behavior was measured by asking the participants about their previous mammography experience. Results showed that women were more likely to get a mammogram if they had higher education levels, higher monthly family income, a family member or friend with breast cancer, and physician’s recommendation. Mean scores on perceived susceptibility to breast cancer and perceived barriers to screening differed significantly between women who had and had not had a mammogram (t = -4.31, p < .001; t = 5.05, p < .001, respectively). Perceived benefits and breast cancer awareness were not significantly associated with screening uptake (t = -1.62, p = .109; ꭓ² = 5.54, p = .072, respectively). When perceived susceptibility and perceived barriers were considered together, they significantly increased the predictive power of the hierarchical logistic model (critical value = 6.16, [df = 2], p = .046). Perceived barriers were the most significant predictor of mammography screening (OR = .84, 95% CI .71 – .99, p = .039). In summary, adherence to screening is high among women who perceived lower barriers to mammography. Efforts are needed to promote breast cancer screening in Vietnam.
Assistant Professor, College of Nursing, Al Ahsa (CON-A) King Saud bin Abdul-Aziz University for Health Sciences Kingdom of Saudi Arabia; Al Ahsa, 31982
Dr Ganapathy Thilagavathy is a nursing professor; she has more than 28 years of teaching, research experience at nursing university, supervision and administrative experience in the field of nursing education. She is working in King Saud Bin Abdul-Aziz University for Health Sciences(KSAU-HS),King Abdul-Aziz Hospital, Ministry of National Guard Health Affairs, Kingdom of Saudi Arabia .She has so many publication in nursing field like, Maternal Birthing Experiences in Upright Versus Horizontal Birthing Position; A Plea for Humanized Childbirth Nightingale Nursing Times; Asymmetry in Right Vs Left Arm BP measurements among Normotensive Primigravidae.
Background: Cervical cancer is one of the most common types of cancer in developing countries. Cervical cancer is becoming one of the emerging health burdens for women hood.Quality of life (QOL) is one of the health outcomes that enable healthcare providers to better address the ongoing concerns of women with cervicalcancer .
Objective: This exploratory study aimed to assess the Quality of Life among women with cervical cancer .
Methods:A cross‑sectional descriptive study using purposive sampling recruited n=120 women diagnosed with cervical cancer .Using the European Organization for Research and Treatment of Cancer (EORTC) Quality of Life Questionnaire–core 30 (QLQ–C30) their Quality of Life was assessed.
Results: The mean age was 50.59 +4.19 years. Majority92.2% were multiparous.A vast majority of them had poor QOL in all domains.Physical functions were affected in (96.9%) role functions in (95.7%), cognitive in (94.5%), emotional in (93.8%), and financial in (92.2%). Sexual domain was affected in (91.1%) of the patients.A significant difference observed between the sociodemographic variables and the health quality of life scores in all domains at (p<0.05).
Conclusion:Severe disruptions in QOL domains occur in patients with a cervical cancer. A special care should be provided by the health care providers to improve the QOL.
Cape Breton University, Sydney, Nova Scotia, Canada
Claudette Taylor completed her PhD from the University of Alberta, Edmonton, Alberta, Canada. Following completion of her doctorate, she obtained a Nurse Practitioner Diploma from the University of Toronto. She is an Associate Professor of Nursing at Cape Breton University and an Adjunct Professor at Dalhousie University, Halifax Nova Scotia
Early integration of palliative care into standard oncology care is quality cancer care. Evidence suggests palliative care improves the quality of life of advanced cancer patients and their families when introduced early in the disease trajectory. The provision of palliative care services within an oncology care center supports themes of early integration. The incorporation of an ambulatory palliative care clinic in an oncology care center is an example of an integrative service model. Yet, integration must represent much more than a physical presence and include comprehensive and holistic care, collaboration, communication and availability of service. Palliative Care Nurse Practitioners have the required knowledge and skills to fully support integration in an oncology care setting. In January 2018, a palliative care clinic, managed by a nurse practitioner, was established in a regional oncology care center. Patients were referred to the clinic by their oncologist or primary care provider. Reasons for referral were primarily pain and symptom management. Over a six-month period, greater than 100 patients were followed by the nurse practitioner. Pain and symptom management, advance care planning, collaborating with other health care professionals, advocacy, arranging diagnostic testing, and policy development represented the work of the Nurse Practitioner. Using evidence-based assessment tools patients reported improved pain and symptom management and overall better quality of life. Moreover, patients reported increased satisfaction with their health care because of the accessibility of the clinic’s services. This presentation will outline: how incorporating a palliative care clinic in an oncology care center supports themes of early integration and leads to improved patient outcomes; and the leadership roles Nurse Practitioners assume in supporting early integration.
West China School of Nursing, Sichuan University, Chengdu 610041, China
Song Wang is a PhD candidate at West China School of Nursing in Sichuan University. Before his PhD candidate, he was a nusing teacher at Bengbu Medical College, Anhui Province, China. His research focuses on chronic disease nursing and cancer care. He has published more than ten papers in reputed Chinese journals.
Background: Exercise has been broadly applied to many cancer patients to improve cancer-related fatigue in recent years. However, its effect remains mixed to date.
Objective: The purpose of this systematic review was to explore the effect of exercise on cancer-related fatigue in patients with prostate cancer, and to provide a theoretical basis for the symptom management of cancer-related fatigue.
Methods: We searched the literature about RCTs and/or CCTs of evaluating the effect of exercise on cancer-related fatigue in patients with prostate cancer from the following databases as of October 31, 2019: Medline, Embase, CINAHL, Cochrane Library, CNKI, and CBM. We also manually searched the reference lists of the retrieved papers to identify potentially relevant studies. Two researchers independently extracted and assessed the relative data from eligible studies. Meta-analysis was performed using RevMan 5.3.5 version software. The scores of cancer-related fatigue were synthesized using the mean difference (MD) and 95% confidence interval (CI). The statistical heterogeneity of the included studies was analyzed by calculating the I2 statistic and applying a χ2 test.
Results: A total of nine RCTs were included in our systematic review. All the included studies had a moderate possibility of risk-of-bias because of low methodological quality. Meta-analysis result showed that compared with the control group, the exercise group had lower average scores of cancer-related fatigue (MD=-3.11, 95%CI [−5.15, −1.07], P=0.003).
Conclusion: Exercise is more effective at reducing the scores of cancer-related fatigue in patients with prostate cancer, which is worth popularizing and applying in hospital and community. Considering the limitations of the included studies, more robust RCTs are needed to further confirm our conclusion