conferenceseries.com 1024th Conference
Cardiologists & Nurses Meeting 2017
36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Symposium Day 1
Page 25 Guillermo R Valdes et al., J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Guillermo R Valdes and Juli F Daniels Miami Dade College, USA and Saint Xavier University, USA
Early defibrillation without CPR interruption when effectively treating ventricular fibrillation: A historical clinical update Background: The American Heart Association (AHA) has developed very concise steps when treating ventricular fibrillation; however health care professionals continue to have difficulties in following the AHA Advanced Cardiac Life Support (ACLS) guidelines when consistently following the V-Fib algorithm, specifically when preparing to defibrillate and not performing continuous cardio pulmonary resuscitation. Methods: A comprehensive search of electronic databases, journal references and citation searching was done, reviewing articles derived from PubMed, Cinahl, AHA, and Cochran databases. Articles were reviewed from 2010-2016. Purpose: This literature clinical review will address the importance of early defibrillation without CPR interruption when initially and effectively treating Ventricular Fibrillation in order to support maintaining coronary artery perfusion pressure according to the 2015 AHA update, ACLS guidelines V-Fib Algorithm, Link et al (2015). Discussion: In the majority of time, health care professionals inappropriately may interrupt CPR to prepare for defibrillation or delay CPR after defibrillation when unsuccessfully breaking the V-Fib. Going back to 2010, AHA clearly stated the significance of not interrupting CPR for long periods of time. According to several observational studies, the average time without compressions during resuscitation varied from 25% to 50%. CPR is seen as the first line of approach in resuscitation along with early defibrillation when ventricular fibrillation is present. Implications: There has been sufficient research done on the dangers of delaying or interrupting CPR in V Fib. Therefore, more inquiring should be done regarding the causes of why healthcare professionals may interrupt CPR while preparing to defibrillate. Conclusion: Best practices in ACLS are not discipline specific but rather competency driven. Resuscitative strategies in ACLS as clinical updates, promotes best inter-professional situational awareness and are essential when promoting effective management of challenging patient scenarios within the emergent healthcare team and setting, specifically when consistently building an inter-professional culture of safety towards quality care and positive patient outcomes reliably.
Biography Guillermo R Valdes has been a Nurse Professional for 30 years in Miami Dade County, Florida. He is an American Heart Association, Basic Life Support and Advanced Cardiac Life Support Instructor in 2011. He was awarded March of Dimes Nurse of The Year for clinical and academic education. In 2012, he received the Florida Nurses Association (FNA), South Region Award for Most Outstanding Evidence Based Project. In addition, in 2013 he was awarded Great 100 Florida Nurses for academic education and received the Nurse Educator Award for the state by FNA in 2014. In 2016 he was recognized by FNA for consistently promoting an environment of nursing excellence and by the Florida Center for Nursing as a Nurse Leader. In 2017, he continues to be recognized by his peers at FNA addressing translational evidence-based nursing when focusing on patient oriented evidence that matters. From 2014 to 2016, he has presented at FNA, QSEN, HANA, AACN, AONE, and Sigma Theta Tau International Nursing Honor Society. This year again, he will be presenting an collaborate academic EBP project at the Sigma Theta Tau Conference in Indianapolis, Indiana.
For over 30 years, Dr. Daniels has been an executive coach, mentor, and advocate for nurses across the United States, who are in the pursuit of clinical and administrative excellence. She began her nursing career as a critical care nurse and continues to practice on an as needed basis. She maintains certification in Critical Care Nursing and has been an item writer for the national Critical Care Registered Nurse exam (CCRN)and is a Certified Nurse Educator (CNE). Her career path led her to promote the nursing profession and advance nurses in their careers as she became a Nursing Director for Critical Care, Cardiovascular, and Respiratory Services and eventually Assistant Vice President for Patient Care Services.
J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 26 conferenceseries.com 1024th Conference
Cardiologists & Nurses Meeting 2017
36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Scientific Tracks & Abstracts Day 1
Page 27 Susan George, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Reduction of postoperative infections through routine preoperative decolonization of advanced heart failure patients with chlorhexidine and mupirocin prior to left ventricular assist device implantation: A quality improvement project Susan George Integris Baptist Medical Center, USA
Background: Left ventricular assist devices (LVAD) are increasingly being used in patients with advanced heart failure as bridge to transplant or as destination therapy. Infections are a major complication associated with LVADs. Staphylococcus aureus is one of the common causative organisms associated with LVAD infections. Methicillin-resistant staphylococcus aureus (MRSA) colonized patients are at increased risk for developing MRSA associated infections. Various studies have demonstrated decolonization of skin with topical chlorhexidine and nares with 2% intranasal ointment is effective in reducing MRSA associated infections. Objective: The main objective of this quality improvement (QI) project was to examine the impact of a universal decolonization with topical chlorhexidine and intranasal mupirocin ointment for five days prior to LVAD implantation on postoperative infections, length of stay, and infection related rehospitalization. Methods: A preoperative universal decolonization with 4% chlorhexidine daily whole body bath and 2% intranasal ointment twice daily for five days was implemented for patients undergoing elective LVAD implantation. This project was conducted using pretest- posttest non-experimental design. We included a total of 20 subjects, 10 in the standard protocol group, and 10 in the revised protocol group. Results: In the standard protocol group there were two SSIs within 30 days (χ²=2.22, p=0.068) and one SSI within 90 days (χ²=0.640, p=0.212). In the decolonization group one SSI within 60 days (χ² =1.173, p=0.139). Even though there was absolute reduction in the number SSIs in the intervention group, it was not statistically significant due to very small sample size. Rehospitalization rate differences between the groups were not statistically significant (χ²=0.392, p=0.265). Conclusion: A preoperative universal decolonization might be effective in reducing postoperative infections in LVAD patients.
Biography Susan George has been working as a Heart Failure Nurse Practitioner since 2007. She is passionate about improving health and wellbeing of heart failure patients. Many of the end stage heart failure patients require advanced heart failure therapy such as left ventricular assist device (LVAD) implantation.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 29 Christy Cotner, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Improving self-efficacy through a nurse practitioner-led heart failure program to improve patient outcomes and reduce preventable hospitalization Christy Cotner California Baptist University, USA
n 2016, I established a heart failure program in a large primary care clinic. The fundamental goals of this clinic were to decrease Ihospital readmissions and improve patient outcomes. In the United States, three trillion dollars a year is spent on health care. Additional, 50% of the total expenditures are concentrated among just 5% of the population. This highly concentrated spending is centered on patients >65 years of age with at least one chronic disease, heart disease being the most common. Heart failure readmissions are a significant burden on the nation’s healthcare system. The 30 day readmission rate for the diagnosis of heart failure across the nation is 25%, climbing to 50% at the six-month mark. The astonishing factor is that 75% of these readmissions have been deemed preventable. So, the question remains, why can’t we as health care professionals prevent them? I began the heart failure program in hopes of closing the gap from hospital to home, however, in the midst of gathering data something amazing happened. I began to see the patients, not from the provider’s side, but the patients. I began to ask the right questions and found that many of the patients that were unsuccessful had one common theme. They scored low on their self-efficacy questionnaire that was given on their first visit to the heart failure clinic. Self-efficacy is the belief in one's capability to succeed. Various studies have shown that despite the severity of a patient’s disease, those with high self-efficacy showed improved quality of life and fewer hospitalizations. I believe if we can improve our patient’s self-efficacy through education and empowerment we can improve our patients quality of life and by doing so decrease the overwhelming burden of frequent hospitalization on the healthcare system.
Biography Christy Cotner has received her RN license 18 years ago and completed her MSN FNP at California State University Dominguez Hills, and is nationally certified through AANP. She is currently completing her DNP in the study of heart failure and self- efficacy. She is the Director of the family nurse practitioner program at California Baptist University where she has advanced education through the work of standardized patient simulation. Additionally, she works in internal medicine at Riverside Medical Clinic with a specialty in heart failure. She has Spear-Headed the development of various programs throughout her career which include an emergency room case management program, gastric bypass program, acute care cardiac nurse practitioner program, and the medical home model. She is an active Member of NONPF involved in a program director sig group. She is also an active Member of CANP and looks forward to advancing the profession of the nurse practitioner.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 30 Jen-Chen Tsai, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Physical activity levels and associated factors in women with systemic lupus erythematosus Jen-Chen Tsai National Yang-Ming University, Taiwan
Statement of the Problem: Cardiovascular disease remains a leading cause of mortality and morbidity in women with systemic lupus erythematosus (SLE). In addition, physical inactiveness is common in this population and increases the risk of developing cardiovascular diseases. This study aimed to explore physical activity levels and associated factors in SLE women. Methodology: A cross-sectional study was conducted between August 2015 and July 2016. Women with SLE, age 20 years or older were recruited from immunology outpatient clinics of a medical center in Taiwan. Data on demographic characteristics, disease status, medications, perception of symptoms, exercise environment factors, and health related quality of life were collected. Each participant wore a pedometer at least 10 hours per day for seven consecutive days. Levels of physical activity were calculated by daily step counts. Multiple regression analyses were performed to identify predicting variables of physical activity. Findings: The subject consisted of 124 SLE women, with a mean age of 43.5±11 years and an average disease duration 11.2±7.7 years. The mean daily step counts were 6077±2493 (range from 1320 to 13725). Mean time spent in moderate/vigorous physical activity (MVPA) was 17.4±13.0 min/day. Age, BMI, employment status, educational levels, disease duration and severity, fatigue, and sleep quality were not associated with both daily step counts and time spent in MVPA. The mean daily step counts were correlated with prednisolone usage (r=-0.26, p<0.001), accessibility of exercise environment (r=0.20, p=0.02), and reported physical functioning scores (r=0.22, p=0.02). Collectively these three variables accounted for 13.6% of the variance in daily step counts. Conclusion & Significance: Result of our study showed the SLE women remain sedentary lifestyle. It is important for advanced practice nurses to consider medication responses and exercise environment issues when providing health education of physical activity for SLE patients.
Biography Jen-Chen Tsai is a Professor of National Yang-Ming University, School of Nursing, in Taiwan. Her clinical and professional specialty includes nursing care of adults with medical and surgical health problems, cardiovascular nursing, cardiac rehabilitation nursing, and physical activity interventions for patients with chronic illness.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 31 Cristina Florescu, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Cardiac toxicity risk of long-term use of trastuzumab in metastatic breast cancer-The importance of a cardio-oncology team Cristina Florescu Craiova University of Medicine and Pharmacy, Romania
he prognosis of patients with cancer was substantially improved by early detection and modern treatments, one of these being Tsignalling inhibitors, alone or combined with conventional chemotherapy. Patients receiving cancer therapies may have their quality of life and survival affected by cardiotoxicity, because higher survival rates brings more patients presenting with cardiac adverse effects. Signalling inhibitors like trastuzumab have a risk of cardiovascular adverse effects including cardiac dysfunction and development of heart failure, myocardial ischemia, arrhytmia, QT prolongation, and arterial hypertension. Iatrogenic side effects of these drugs could be irreversible lesions or reversible dysfunction, but exist also the possibility of being overlapped, for example, trastuzumab may produce irreversible cardiac damage in patients with preexisting cardiac dysfunction or augment anthracyclines type I cardiotoxicity. Cardiovascular treatment may delay expression of cardiac dysfunction in these patients. Monitoring the cardiac health of patients before, during and after cancer treatment is very important. It is possible that patients eligibility for cancer therapies may be affected, and also their life expectancy. In some cases, cancer treatments may be stopped without prompt access to cardio-oncology expertise. Also, patients are not eligible for the aggressive treatments needed, remaining a potential risk of being undertreated, having treatment delays or having dose decreased. Trastuzumab, a monoclonal antibody targeted against HER 2 / erb B2 and VEGF (vascular endothelial growth factor) signalling pathways, in combination with chemotherapy improved prognosis of women with HER 2 overexpressed breast cancer. The main concern of long-term therapy with trastuzumab remains its association with potential cardiotoxicity. Although real, cardiac side effects of trastuzumab are probably overemphasized. I report the case of a woman with metastatic breast cancer, who is currently in complete remission, and who was treated with trastuzumab for more than 9 years without significant cardiac toxicity.
Biography Cristina Florescu is lecturer at Craiova University of Medicine and Pharmacy, senior doctor in cardiology and internal medicine, has a Master degree in Health Services and is Doctor of Medicine. Her domains of interest are heart failure, echocardiography, prevention medicine and cardio-oncology.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 32 Rose P Bagh, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Cardioversion: Keys to a safe and successful cardioversion Rose P Bagh William P Clements Jr. University Hospital, USA
he objectives of the study is to understand cardioversion and difference between cardioversion and defibrillation, pre and post Tprocedure safety checks, AHA guidelines for anticoagulation therapy, keys to safe and successful cardioversion and precautions to be considered for patients with devices. Cardioversion is a frequently performed procedure to terminate atrial arrhythmias commonly atrial fibrillation and atrial flutter, to relieve symptoms and improve cardiac performance. In simple terms, an electrical shock is delivered to patient’s chest wall during cardioversion to restore the heart back to normal sinus rhythm. It involves the delivery of high energy shock through the chest wall muscles to the heart to interrupt abnormal electrical currents to restore it to normal sinus rhythm. Prior to performing this procedure, there are several safety checks undertaken in terms of anticoagulation. There is a 48 hours safety window for cardioversion without appropriate anticoagulation and the need for continuation of appropriate anticoagulation for 4-6 weeks after cardioversion. The AHA guidelines for a safe and successful cardioversion will be discussed in this presentation.
Biography Rose P Bagh has been a Nurse and a Nurse Practitioner combined for over 25 years. She has lived and worked in three different countries for extended periods of time in her life. She currently work as an NP in the Cardiology Electrophysiology unit at the UT Southwestern Medical Center and Clements University Hospital in Dallas. She also work on a PRN basis in the ER department at Parkland Hospital in Dallas. Concurrently, she is a part-time student in the Doctor of Nursing Practice program at Texas Woman’s University, Dallas
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 33 conferenceseries.com 1024th Conference
Cardiologists & Nurses Meeting 2017
36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Scientific Tracks & Abstracts Day 2
Page 39 Damien Byas, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Examining risk factors associated with worldwide sudden cardiac death rates in children and adults Damien Byas Center for Healthcare and Organizational Research, USA
Statement of the Problem: Physical inactivity, diabetes, diets high in fats and cholesterol, and obesity are all considered poor health conditions which serve as significant gateway factors which may lead to heart disease and possibly cardiac death reporting more than 17.3 million cardiac related deaths in 2012 worldwide (World Health Federation, 2016). Cardiovascular diseases were the main cause of death in almost all Organization for Economic Co-operation and Development (OECD) countries, and accounted for 35% of all deaths in 2009 (OECD, 2011). This study examined specific identifiable risk factors which may be associated with sudden cardiac death rates in children and adult populations using the Kids’ Inpatient Database (KID), Healthcare Cost and Utilization Project (HCUP), and the Agency for Healthcare Research and Quality (AHRQ, 2016). Orientation: A large randomly drawn sample (N=422,599) of boys (n=198,960) and girls (n=223,639) ages 4 to 12, was examined in this research study to test for the association between risk factors which may be associated with heart disease prevalence. The Pearson Chi Square test was applied to measure for significant variable relationships in this research study. Methodology & Theoretical Orientation:The Pearson Chi Square test was applied to measure for significant variable relationships in this research study. Findings: The results of this study found that there was a statistically significant association between cardiovascular disease prevalence and identifiable risk factors in children and adult groups (p<0.05). Other significant associations were also found as a result of the Chi square analysis. Conclusion & Significance: Recommendations are made for to implement more effective strategies for health promotion and disease prevention, health education, cultural competence training for healthcare professionals, improve healthcare quality, and economic development. Biography Damien Byas is currently serving as an Associate Faculty Member in a Master of Public Health (MPH) Program. He is the president of the North American Scientific Committee on Cardiovascular Health, a part-time Public Health Researcher, Senior Research Fellow, and an adjunct Professor for an MPH program.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 41 Madeline Gervase, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Innovative education strategies and the improvement of patient care outcomes in patients with heart disease Madeline Gervase Rowan University, USA
ardiac disease which includes chronic heart failure (CHF) is a familiar diagnosis in long term care (LTC) and facilities that Care considered skilled nursing facilities (SNF) in the United States. According to the American Heart Association (2017), cardiovascular disease consists of cardiac and neuro ischemia, heart failure, and cardiac valve malfunction. With over 1.5 million residents >65 years of age living in skilled nursing facilities (SNF) in the United States, cardiovascular disease is the most common diagnosis with heart failure prevalent and ranging from 20% -37.4. Heckman et al. (2013) identifies that heart failure is significant and reaches 20% of long term care residents with a one year mortality of 40%. When compared to other diagnoses, heart failure 50% more prevalent than residents without this diagnoses. According to Jungens et al. (2015), hospital readmission rates for residents with heart failure range from 27% - 43% in SNF’s, as the incidence of heart failure increases with age. The Agency for Healthcare Research and Quality (AHRQ, 2015) has identified that rates for hospitalization of patients with cardiac disease have decreased by 30% nationally, but readmission rates have not reduced. A significant number of care services are available before and after discharge compared to twenty years ago, patients are being discharged earlier and followed up as outpatients or in the community. The high rate of readmission identifies a need for appropriate transition of care tools in acute care institutions. Resources to reduce readmission rates and support the American Heart Association’s (AHA, 2017) standard of care, have been implemented by some organizations to assist with this process. The purpose of this project is to integrate an education program and tools into the acute care institution, to reduce future hospital readmissions and improve overall quality of care. Biography Madeline Gervase is currently a Critical Care Clinical Education Specialist at Carepoint Health, and affiliated with Rowan University as a professional development educator of excellence in New Jersey. Over the years, she has garnered a wealth of experience as a nurse practitioner for over twenty years in areas that include; cardiology, surgery, and critical care. She has also held positions as assistant professor of Nursing at Rutgers University, Seton Hall University, and Union County College, and as a clinical nurse specialist/advanced practice nurse at Somerset Medical Center in the Emergency and Cardiology departments. She served as a clinical nurse specialist at Maimonides Medical Center, Brooklyn, NY, a nurse practitioner at Saint Vincent Catholic Medical Center of New York. She has also held senior critical care/open heart nursing positions at both Robert Wood Johnson University Hospital in New Brunswick, and at Saint Vincent Catholic Medical Center in Staten Island. Gervase holds a B.S. in Nursing from The College of Staten Island and an M.S. in Nursing/ Family Nurse Practitioner from Wagner College. She has completed coursework for a Ph.D. in Instructional Leadership and Curriculum Design, and is presently in pursuit of her Doctor of Nursing Practice degree. She is also a member of several professional associations, community boards and health care collaborative organizations, and continues to identify new paths to education to promote safe and effective practice and improved patient care.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 42 Haitham Kan’an, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Enhance patients’ education in coronary care unit (CCU): Using patient education record Haitham Kan’an Ryerson University, Canada
Background: Patients with heart diseases become a burden on the health care system especially in the era during which the population is aging and has much comorbidity. Health professional organizations and political leaders have identified Patient Education (PE) as a fundamental solution to address this situation. Patient education reported to enhance patient self-care management skills and decrease health care costs. The Coronary Care Unit (CCU) Nurses in my practicum do not have a systematic approach to the provision and documentation of PE. This resulted in lack of consistency and continuity of implementation of PE. Aim: The purpose of this presentation is to identify if using PE tool will enhance provision of PE by CCU nurses. Method: Roger’s theory ‘diffusion of innovation’ (2003) was used as a framework to guide this presentation. Rogers’s theory has five phases: Awareness, interest, evaluation, trial, and adoption. Literature reviews were conducted to identify the factors that influence the PE process and suggested strategies to enhance the provision of effective PE process. Findings: Creating a PE record tool identified as an important strategy to enhance systematic PE process, and to ensure the continuity and consistency of the PE process. Conclusion: PE is an important factor to improve the patient health outcomes. Creating PE record identified as an important strategy to enhance the PE process. Biography Haitham Kan’an granted his MN degree in 2015 from School of Nursing- Ryerson University, Canada. In 1996, he received a Bachelor’s degree in Nursing from Jordan University. He has more than 20 years of clinical experience, mainly in cardiology speciality. He assumed many nursing roles during his nursing career such as Charge Nurse, Manager’s Assistant, and Clinical Educator for cardiology nurses. He used his expertise in Cardiology and appraisal skills in reviewing and synthesising the literature to identify the determinants that enhance the provision of education to Coronary Care Unit (CCU) patients by CCU nurses.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 43 Maria Christina Bernardo, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Chest pain in the emergency departments TIMI vs heart score Maria Christina Bernardo Rutgers School of Nursing, USA
hest pain presentation has grown into a public health concern as patients crowd emergency departments for urgent evaluation. CThis has led not only to hospital congestion and increased length of emergency room stays, but also the utilization of costly resources such as subsequent hospital admissions and objective cardiac testing. Risk stratification is an important component of chest pain assessment, as it can determine subgroups that necessitate inpatient intervention while identifying those safe for early discharge. The TIMI tool has persisted as the standard for risk evaluation, but the HEART score has recently emerged as a potential superior method. A retrospective chart review of patients who presented to the emergency department with chest pain retrieved components of existing documentation to risk stratify patients according to each scoring method and compare their accuracy in predicting major adverse cardiac events (MACE). After accounting for inclusion and exclusion criteria, a total of 381 patient charts were reviewed for risk score calculation and evaluated for reaching an endpoint, or MACE. The HEART scoring method demonstrated stronger diagnostic accuracy than the TIMI, as well as increased sensitivity, specificity, positive predictive value, and negative predictive value. The routine use of a precise risk stratification tool incorporated into a policy or clinical practice guideline has the potential increase clinician confidence in facilitating discharge of low risk patients, while directing those with increased risk for more thorough workups. This, in turn, allows for hospital decongestion and fiscal savings without compromising patient safety and quality care. Biography Maria Christina Bernardo has worked in the emergency department setting for seven years , with focus on the last three years as an observation nurse practitioner evaluating the chest pain population. Working closely with emergency department practitioners and cardiologists, she has worked diligently on assessing the effects of chest pain work ups to improve patient safety and efficiency of care at her current institution.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 44 Ahmed Al-Smadi, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Do cardiovascular risk factors are associated with anxiety and insomnia Ahmed Al-Smadi American University of Madaba, Jordan
Background: Previous studies showed a negative impact of anxiety on progression of coronary artery disease (CAD). However, few studies examined the association of modifiable CAD risk factors among individuals not previously diagnosed with CAD and each anxiety and insomnia. Aim of the Study: The study aimed to examine prevalence of anxiety and insomnia in Jordanian individuals with one or more modifiable CAD risk factors; and to examine the association among CAD modifiable risk factors, anxiety and insomnia. Methods: A cross-sectional descriptive design was used utilizing a simple random sampling technique. Participants inclusion criteria were; Jordanian with 18 years or more, had one or more of CAD modifiable risk factors, agreed to participate and mentally competent. Exclusion criteria were participants diagnosed with coronary artery diseases or any other diseases. In addition to demographical and clinical details, the Insomnia Severity Index and Hamilton Anxiety Rating Scale (HAM-A) was used. Linear regression was used to examine as possible predictors for each anxiety and insomnia. Results: One thousand and eleven participants had met the inclusion criteria and willing to participate in the study. The results indicated that 30.2% had higher anxiety, and 29.7% had higher insomnia level. Linear regression indicated that individuals diagnosed with diabetes mellitus, hypertension, or dislipidemia predicted high insomnia. Moreover, individuals with higher insomnia were associated with high anxiety. Conclusion: The study concluded that both anxiety and insomnia are relatively high among individuals with one or more CAD risk factors. Individuals diagnosed with diabetes mellitus, hypertension, or dislipidemia had higher insomnia. As these risk factors impacted negatively on insomnia with the presence of high anxiety; this may accelerate the development of CAD. The current study recommends nurses and health care professionals to assess and develop interventions aiming to decrease anxiety and insomnia among this population. Furthermore, the current study recommends further longitudinal research examining this association. Biography Ahmed Al-Smadi, PhD, RN, has 16 years of experience as Nurse and Researcher. He earned his Bachelor’s and Master’s degrees in Nursing from Jordan University of Science and Technology and his PhD in Nursing from University of Ulster, United Kingdom. Currently, he is working as Assistant Professor in Nursing at American University of Madaba. His main research interests are cardiac care nursing, refugee’s health and psychological health.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 45 Ram Sharan Mehta, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Cardiovascular health risk behavior among the faculties of B P Koirala Institute of Health Sciences Nepal Ram Sharan Mehta B P Koirala Institute of Health Sciences, Nepal
Background & Objectives: Cardiovascular disease is a class of disease that involves heart, the blood vessels or both. The most important behavioral risk factors of heart disease and stroke are unhealthy diet, physical inactivity, tobacco use and harmful use of alcohol. The objectives of the study were to assess the cardiovascular health risk behavior among the faculties of BPKIHS Nepal and to find out the association between the cardiovascular health risks behaviors with selected demographic variables. Materials & Methods: A descriptive cross-sectional study design was conducted to find out the cardiovascular health risk behavior among the faculties of B P Koirala Institute of Health Sciences. A total of 99 samples meeting the eligibility criteria were included by purposive sampling method. Data was collected by using self-administered questionnaire method. SPSS-11.5 software was used for data analysis. Result: Majority of the respondents (77.8%) were of age group <40 years, maximum of the respondents (70.7%) were male. Among 99 respondents, 13.1% were light smoker, 54.5% consumed alcohol sometimes, 73.3% consumed high fat food sometime, 48.5 % consumed extra salt in their diet and 86.9% felt stress sometimes. The study showed that there is significant association between cardiovascular health risk behaviors with cardiovascular disease in family of the respondents. Conclusion: Based on the study result it concludes that alcohol consumption, high fat food consumption and stress felt usually are the cardiovascular health risk behavior commonly found among the respondents but there is no significant association between cardiovascular health risk behavior with discipline, highest educational degree, designation, socio-demographic variables, health problems in the respondents, problems faced by the respondents within last 3 months and BMI of the respondents. Biography Ram Sharan Mehta is Head of Medical-Surgical Nursing Department in College of Nursing, B P Koirala Institute of Health Sciences Nepal. He is involved in teaching medical-surgical nursing for more than 20 years. He is involved in teaching the nursing education to the undergraduate and post graduate nursing students. He is the Research Committee Member of this institute and actively involved in guiding the undergraduate and post graduate nursing students.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
Page 46 conferenceseries.com 1024th Conference
Cardiologists & Nurses Meeting 2017
36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
Young Research Forum
Page 47 Hilario Noveno, J Clin Exp Cardiolog 2017, 8:7 (Suppl) conferenceseries.com DOI: 10.4172/2155-9880-C1-074 36th Cardiovascular Nursing & Nurse Practitioners Meeting July 10-11, 2017 Chicago, USA
The international caring behaviour index for nurses as deduced from different voices Hilario Noveno St. Paul University Manila, Philippines
istorically, nurses have been known as persons who provide direct nursing care to individuals who are afflicted with any health Hcondition. The passing of time and the development of new caring approaches have made a great impact on caring in the nursing profession. At present, nurses not only care for those who are afflicted with a certain health conditions, but also for people who actually need nursing care. However, caring behaviours of nurses continue to evolve with the changing of times. This research utilized an exploratory qualitative design and focused on the personal accounts of each participant on how they view caring behaviours of nurses. Participants included nurses themselves from different areas of nursing practice, patients with different stable medical conditions, relatives of patients, and other health care providers such as medical technologist and doctors. Data gathering procedures included individual interviews and focus group discussions. Data analysis utilized data reduction, data display, and conclusion drawing/verification. This research identified six (6) caring behaviour indexes categorized into social and personal caring behaviours. Social caring behaviours include perform patient-centric care, express affinitive demeanor, and exhibit reverence to individualities. Personal caring behaviours include caring behaviours for patients and for self that include practice excellent work principles, exude wisdom-built presence, and demonstrate professional influence.
Biography Hilario Noveno has completed his PhD in Nursing Education Major in Leadership and Management from St. Paul University Manila Graduate School, Philippines. He is currently pursuing a Family Nurse Practice degree. He was instrumental in the establishment of the BLS Training Center, creation of the new BSN curriculum, formulation of several clinical and laboratory manuals in the University of Tabuk, KSA. Prior to this, he served as a Dean for a College of Nursing in the Philippines where he achieved high board exam performance in the national licensure exams and school accreditation during his leadership.
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J Clin Exp Cardiolog, an open access journal Cardiologists & Nurses Meeting 2017 Volume 8, Issue 7 (Suppl) ISSN:2155-9880 July 10-11, 2017
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