2^nd International Conference on Healthcare & Hospital Management November 6-7, 2017 Vienna, Austria

Biography:

Linda Paradiso was a Dominion University DNP student. She has more than thirty years of experience as a nurse, the last twenty at the director of service level. She is board certified as a Nurse Executive, Advanced by the American Nurses Credentialing Center. In January, 2015, she completed The Just Culture Certification Course for Healthcare. She has an intimate understanding of the importance of designing reliable systems and the critical need to support good behavioral choices made by staff. She has successfully utilized the Just Culture algorithm to analyze many critical incidents. She is currently an Assistant Professor of Nursing

Abstract:

Medical errors are the third leading cause of death in the United States, and nurses can have a significant impact in reducing those deaths. Hospitals are imperfect systems where nurses have competing demands, and are forced to improvise, and develop work-around. This autonomy creates illusions that systems are effective. Errors rarely occur in a vacuum, but are a sequence of events with multiple opportunities to correct the error. Nurses possess the unique ability to identify errors due to their proximity to the patient. The primary barrier to reporting errors is the negative response and risk of discipline. In an environment of trust a safe haven can be developed that supports speaking out. Just Culture is an environment where organizations are accountable for the systems they design, fostering analysis of the incident, not the individual. Organizations must strive to understand the nature and scope of errors actively redesign faulty systems, and value voluntary error reporting. Organizations often determine response to an error by its severity. In a Just Culture all errors hold equal importance. Nurses must receive fair treatment when reporting safety near misses and incidents. If nurses perceive their treatment is not just, they may drive valuable safety-related information underground. The adoption of Just Culture principles is most effective when embraced by all members of the organization. An anonymous survey was conducted in a large, urban teaching hospital to determine the relationship of trust and Just Culture. The findings offer practical implications to developing a trusting and Just Culture, and a balanced approach to incident investigation. When behaviors and attitudes are aligned, then the approach to performance improvement becomes the standard work of all staff. Leaders need to be aware of the perception of trust in the organization to foster Just Culture principles and move to becoming a reliable organization.

Biography:

Livia Montes Santos has a background in Social Work. She completed her Post Graduate in Social Work at Universidade de São Paulo and also completed the executive course in innovation in healthcare at INSEAD (France). She has also completed an MBA in Healthcare Management in 2014. Currently, she is concluding an MSc in Innovation in Healthcare. Her activities includes: strategic planning, leadership, management in healthcare and project management

Abstract:

Statement of the Problem: In the 1980´s, with the reduction of investments in public health in Brazil, and the bad conditions of health services, there was a migration of sectors to private plans. In this context, Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo (HCFMUSP), through the support of two Foundations, began to provide supplementary care for patients with healthcare insurance. In 2013, an Administrative Coordination was created to work in a multidisciplinary and multisectoral way, to establish and align guidelines and projects for health care providers and patients. To define the scope of the services, some strategies were developed following these aspects: standardize, in an integrated way, the management practice of the Units (7 Units), to measure the outcomes, optimize the processes, and offer quality for the patient.

Methodology & Theoretical Orientation: Quantitative analysis of all data collected from the financial and assistance information system.

Findings: In this project, which covered the review of all patients guiding processes, we found many gaps related to the financial area, care assistance, marketing and administrative perspectives.

Conclusion & Significance: Even with the political and economical crises in Brazil, since 2015, the Hospital made a positive improvement in the operational efficiency, increasing 26% (US$12,8millions) in the financial outcomes. With the implementation of some projects to solve these problems, and an evaluation and measurement of outcomes, it was possible to achieve the goals and guarantee a better financial performance

Biography:

Sujata Malik is a seasoned Hospital Management professional with extensive first-hand experience of managing operations of large hospitals in India. She is heading a Healthcare Management Consulting Company. She is a Member of the American College of Healthcare Executives (ACHE). Healthcare Quality, is another area of specialisation. She is a Principal Assessor with National Accreditation Board for Hospitals and Healthcare Providers (NABH), which is the healthcare accreditation agency in India. Her study is based on implementation of extensive restructuring of pharmacy processes, in a 350 bedded multi-speciality hospital in Pune in Western India. Her evaluation of the problem, implementation of corrective strategies and monitoring of impact, reflects her in depth understanding of the subject. It is felt that the study will be of relevance to healthcare management professionals in other parts of the world as well. Currently, she is the CEO and Managing Director at Sunburst Healthcare Pvt Ltd., India

Abstract:

Statement of the problem: Pharmacy services are an important contributor to the business of any multi-speciality, tertiary care hospital. Their mandate is to meet complex and diverse requirements, such as pharmaceutical products, implantable devices, prostheses and medical consumables. It is important therefore to align business objectives to essential quality requirements. The aim is to ensure an uninterrupted supply chain at all times, while complying with quality and regulatory requirements. The basic principles of vendor selection, inventory control, Just-in-time delivery, are a major contributor to service excellence and profitability.  This case study presents the impact that a complete re-working of processes, had on the functioning of a pharmacy providing OPD and in-patient services to a 350 bedded multi-speciality hospital in India.

Methodology and Theoretical Orientation: The impact of a series of interventions, like institution of a Pharmaco-Therapeutic Committee, adoption of a formulary, limitation of brands, a well-defined vendor selection process, was studied. Questionnaires were used to obtain feed-back from vendors and users of the service, including doctors and nurses. Quality metrics were measured and compared to the previous year. Inventory held, credits obtained due to back-loading of stock before expiry, and financial performance, were measured.

Findings: Well planned, multi-pronged interventions w.r.t pharmacy services, led to significant improvement in service quality, customer satisfaction and profitability of the business.

Conclusion and Significance: Process re-engineering of pharmacy services can significantly impact the financial well-being of a hospital. Improvement in quality of service and customer and vendor satisfaction are other benefits. Recommendations are made for hospital pharmacies to initiate and sustain process restructuring for improvement in quality and financial performance of hospital pharmacy services.

Biography:

Sylwia Nieszporska has been PhD in economics since 2006. She was an expert and member of a group preparing the report “Health Care Financing in Poland”for Ministry of Health. Now, she holds the position as the member of Statistics and Econometrics Department. Currently, she is employed at the Czestochowa University of Technology as a Faculty of Management.

Abstract:

The political and economic past of the Middle-East Europe in the last few decades has taken toll on many sectors of Polish economy including the health system. It has been the subject of many transformations but it is still far from ideal. This opinion has been confirmed by statistical researches and opinions of many experts, which implies problems in managing and organizing the system. Therefore, the search for new methods of management and new structural solutions seems to be a priority. There are a few concepts how to heal the Polish health care system. Among them, there is quite a new idea of creating cooperatives, which unite patients, and medical staff, that was introduced in many countries in the world. This proposition decentralizes health care system and makes management easier and more efficient. This paper aims to describe the conception of cooperatives and to present its possible benefits for the Polish health care system. The substantiation of the introduction of cooperatives to the health care system is on one hand the theory of common pool resources, and on the other hand their effective functioning in contemporary world and satisfying health needs of a society

Biography:

Bum Ju Lee has his expertise in evaluation in association between anthropometric indices and metabolic abnormalities. He studied the relationship between anthropometric indices related to obesity and hypertension, hypotension, type 2 diabetes, hypertriglyceridemia, and serum high- and low-density lipoproteins, and has published many articles with these contents. He is currently a Senior Researcher in the Korea Institute of Oriental Medicine, Daejeon, Korea. His research interests include data mining and database, bioinformatics, public health, epidemiology, and oriental medicine.

Abstract:

Statement of the Problem: Peptic ulcer disease is a common disease worldwide and has been a significant effect on morbidity and mortality over the past two centuries. Peptic ulcer disease was categorized into duodenal ulcer, gastric and stomach ulcer, and unspecified peptic ulcer. Until now, several studies have reported that the intake of nutritional components is associated with peptic ulcer disease. However, the association of peptic ulcer disease with nutrition components remains to be fully understood.

Purpose: The purpose of this study is to examine the association of nutritional components with peptic ulcer disease in Korean population.

Methodology & Theoretical Orientation: A total of 6,323 subjects (2,808 men and 3,515 women) were participated in this study. We obtained the data from the First Korea National Health and Nutrition Examination Survey (KNHANES I). In the crude analysis and the analyses adjusted for gender and age, binary logistic regression was performed to identify association between the peptic ulcer patients and the normal subjects.

Findings: In nutritional components, fiber was significantly associated with peptic ulcer disease (p = 0.0003, OR = 1.19 [1.082-1.31]), and this association remained significant after adjusting for age and gender (adjusted p = 0.033, adjusted OR = 1.108 [1.008-1.218]). In both crude and adjusted analyses, peptic ulcer disease was related to calcium (adjusted p = 0.039, adjusted OR = 1.117 [1.006-1.240]) and sodium (adjusted p = 0.013, adjusted OR = 1.134 [1.027-1.253]). Although vitamins (A, B2, and C), carotene, and niacin were associated with peptic ulcer disease, these associations disappeared after adjusting for gender and age.

Conclusion & Significance: Fiber, calcium, and sodium were significantly associated with peptic ulcer disease in Korea, regardless of gender and age.

Biography:

Ji Ho So has his expertise in evaluation and passion in improving the Medical Engineering and software Engineering. His open and contextual evaluation model based on responsive constructivists creates new pathways for improving healthcare. He has built this model after years of experience in research, evaluation and administration both in research and laboratory

Abstract:

In Korean medicine Sasang constitutional medicine categorizes people into four types according to individual characteristics: Tae-Yang (TY), Tae-Eum (TE), So-Yang (SY), and So-Eum (SE) types. The reason for categorizing the constitution is that each constitution has a different approach to treating diseases. Drugs and treatments are applied differently depending on the constitution, even if they have the same disease. For this reason, it is very important to objectively diagnose Sasang constitution. SCAT (Sasang Constitutional Analysis Tool) is a system that provides the information necessary for an expert to diagnose Sasang Constitution objectively. Four kinds of information are needed to diagnose Sasang constitution using SCAT. First, you need a picture of the faces of the front and left sides. Second, you need an audio file with a specific sentence recorded. Third, the circumference length of eight important parts of the body is required. Finally, a questionnaire for each type of personality, diet, digestion, and metabolism is needed. Four types of information such as face, voice, body type, and questionnaire are uploaded to the SCAT system through the website to diagnose the Sasang constitution. Using the SCAT, you can obtain objective analysis of facial, voice, body, and questionnaires. The oriental doctor can diagnose more accurately and objectively by using the analyzed results. SCAT provides an environment that facilitates easy access to the diagnosis of Sasang constitution to experts and general users. SCAT is being used as a good learning and practical tool for students who are learning initially by providing objective information needed for the diagnosis of Sasang constitution. SCAT has a user-friendly UI / UX for user's ease of use. And it is made up of web service that is convenient to use regardless of place. Through the development of the SCAT system in the future, the convenience of use and the accuracy of information will be improved as a tool for diagnosing Sasang constitution.

Biography:

Stenvert L S Drop is an Emeritus Professor Pediatric Endocrinology, Sophia Children’s Hospital, Rotterdam, the Netherlands. He has a longstanding experience as academic clinician with interest in Clinical Research. He is former Chief Editor of the ESPE-elearning.org program and has a longstanding interest in education and training.

Abstract:

We have developed a freely and globally accessible e-learning module within an e-learning website of the European Society for Paediatric Endocrinology (ESPE) (www.espe-elearning.org) providing teaching and instruction material intended for first line health care workers in resource limited countries (RLC). The project grew following receiving feedback from a survey conducted by the Global Paediatric Endocrinology and Diabetes Organisation (GPED) among various stakeholders within and outside RLC and reviewing literature stating that e-learning is effective taking policy-related issues on implementation, storage solutions, bandwidth, understanding of practicality and cost effectiveness into account. Thus, information provided should be in line with the clinical expertise and laboratory facilities generally available in the three levels of medical health care: primary (basic or rural); secondary (district and regional hospitals); tertiary (zonal or main/national referral hospitals). Importantly, the information should be easily accessible and provided in a locally spoken language. We have created an e-learning module based on this knowledge. Content, written in English, undergoes a review process by an international editorial board under the umbrella of the International Consortium of Pediatric Endocrinology (ICPE). The chapters (20-50 slides/chapter) cover the spectrum of paediatric endocrinology. Concise basic information on pathophysiology and guidelines for management are provided at the three health care levels, including criteria for referral to subsequent levels of care. Moreover, colleagues with RLC expertise are invited to contribute interactive vignettes illustrating challenging clinical cases (10-12 slides) complementing each chapter. Subsequently, all text is translated into Spanish, French, Swahili and Chinese by native speaking junior/senior colleagues. The translation is facilitated by translation tools with a translation memory database and a terminology approval management tool promoting consistency, accuracy and quality. The RLC module is applicable for self-study but additionally facilitates direct interaction between medical/nursing students and tutors in classroom teaching or in regional and (inter-) national e-learning courses

Biography:

Deepak Doshi has immense interest in management and leadership. He has extensively published in peer-reviewed journals and presented at several international conferences including Africa, Europe, Asia and Australasia. He has worked as a leader in rural and urban areas. Rural and remote area leadership in rapidly growing rural areas is scantily studied. In this original research, he has discovered new traits and characteristics of rural and remote area leaders in Australia

Abstract:

Statement of the Problem: Leadership has been considered as a necessity among people, institutions, among other scholars and academicians in various multidisciplinary areas. Leadership has played a vital role in growth and development of the rural areas. Recruitment and retention of rural leaders have been major challenges identified in Australia. Leaders should have exceptional leadership traits. The study is focused on understanding the traits and characteristics of rural and remote area leaders in Australia. Moreover, several leadership traits were compared among rural and urban leaders as well as identifying new leadership traits.

Methodology & Theoretical Orientation: Grounded Theory methodology was used contributing to qualitative research design. Convenience sampling was used to obtain a sample of 14 healthcare workers in South West Queensland rural and remote health facilities. Grounded theory process and thematic analysis were used for analysis of the data.

Findings: Results show that more than two thirds had experience in both rural and urban settings. Leadership traits identified were; self-confidence, openness, agreeable and consciousness. New traits were identified as resilience, emotional intelligence and adaptation. Leaders were considered to be role models in rural areas unlike urban areas.

Conclusion & Significance: Study concluded that leadership traits and characteristics are vital in rural settings. Rural and remote area leaders require learning newer traits and characteristics and modifying some existing skills to be successful in rural areas. This is the first study in the world about rural area leadership to the best of author’s knowledge. Further studies are recommended.

Biography:

Amr Mohamed EL Said Kamel graduated from the School of Medicine, Ain Shams University in December 1984. He received Master Degree in Anesthesia & Intensive Care in November 1988 and Medical Doctorate Degree in Anesthesia & Intensive Care in April 1995. He is a Professor of Anesthesia & Intensive Care in Ain Shams University from 29th of August 2005. He is a Medical Director of the Intensive Care Unit of EL-Nozha International Hospital and Ain Shams University Specialized Hospital. He is Member of the Examination Boards for Master & Medical Doctorate Degrees in Anesthesiology & General Intensive Care in Ain Shams University

Abstract:

Sepsis is one of the oldest and most elusive syndromes in medicine. In 2001, an international consensus panel defined sepsis as a systemic inflammatory response to infection. Instead, the panel proposed the term “severe sepsis” to describe instances in which sepsis is complicated by acute organ dysfunction, and they codified “septic shock” as sepsis complicated by either hypotension that is refractory to fluid resuscitation or by hyperlactatemia. In the United States, severe sepsis is recorded in 2% of patients admitted to the hospital. Of these patients, half are treated in the intensive care unit (ICU), representing 10% of all ICU admissions. My presentation will be an interactive discussion for a case of septic shock admitted to our ICU and in this presentation, we will review:
1. Initial approach to the patient in septic shock
2. New therapies
3. Fluid resuscitation
4. Monitoring strategies
5. Sedation for delirium in the ICU
6. Nutrition in the acute phase of critical illness

Biography:

Dorit Segal Engelchin is an Associate Professor. She is the Head of the Spitzer Department of Social Work and Co-director of the Center for Women’s Health Studies and Promotion, Ben- Gurion University of the Negev. Her research interests include diverse aspects of women's health and well-being, stress and coping, and evaluation of art-based interventions designed to reduce stress among people exposed to disasters

Orly Sarid completed her Bachelor of social work from Tel Aviv University and also done her Masters of social work from Tel Aviv University. Later she completed her Ph.D from Ben-Gurion University of the Negev. Currently, she is an Assistant Professor at Ben-Gurion University of the Negev and belongs to the Department of Social work as a faculty of Humanities & Social Sciences

Abstract:

Statement of the Problem: Earthquakes can lead to short and long-term psychological consequences, which negatively affect survivors' quality of life. To date, the clear majority of earthquake trauma related studies focus on people directly exposed to the event. The current study focused on an indirectly-exposed group.

Aim: The aim of this study was to examine the effectiveness of a single-session art-based intervention to reduce stress among Nepalese students, who were enrolled in a special program in Israel during the April 2015 Nepal earthquake.

Methodology: The intervention included drawing pictures that were later shared in small groups related to three topics: (1) emotions and thoughts related to the earthquake; (2) personal and collective resources that may help them cope with the earthquake outcomes upon their return to Nepal; and, (3) integration of the stressful image and the resource picture. To examine the intervention effect, the Subjective Units of Distress (SUDs) values of 116 Nepalese students were measured using a pre-post design.

Findings: The study results indicate that students' initial high distress levels significantly decreased on completion of the intervention.

Conclusion & Significance: The study results show the efficacy of an easily implemented art-based tool for stress reduction among individuals indirectly exposed to disaster conditions. Implications for future studies and for interventions designed for indirect victims of additional disasters will be discussed

Biography:

Emad Nosair has built his 30-year expertise in education in both traditional and PBL programs. He has MSc in Leadership in Health Professionals Education, RCSI. His main interest was to provide medical students in SDL programs with comfortable educational environment for attaining the best quality of learning. Therefore, based on the outcomes of the current research, it was followed by another study for measuring student workload in such complex PBL settings to provide students with adequate time for deep learning and to avoid their overload which has negative impact on their academic progress as well as on their feedback to faculty and to the institution

Abstract:

Statement of the Problem: Students’ perception of their educational environment has a significant impact on their behavior and academic progress. Therefore, the worldwide usage of innovative problem-based learning (PBL) medical programs requires major changes in their educational environments. Therefore, measuring students’ perceptions of the complex PBL environment has become a critical necessity as a determinant of students’ academic success and as a part of attaining the quality standards of education.

Aim: The aim of this study was to evaluate students’ perceptions in the preclinical phase of the PBL educational environment in the new Sharjah Medical College, UAE; and to recommend remedial procedures.

Methodology: The English version of the Dundee Ready Education Environment Measure (DREEM) inventory was submitted to 250 students in years 1, 2, and 3. The data were analyzed using the SPSS 20 software, and significance was taken at P<0.05. The survey was performed in a mid-semester week.

Findings: 215 students responded to the questionnaire (100% response rate). The overall DREEM score was 113.4/ 200 (56.7%). First-year students expressed higher overall significant level of perception (119.4/ 200) than second-year (107.4/ 200) and third-year (112.7/ 200) students. In addition, first-year students perceived their learning, teaching, and academic climates as more significant than the other two batches. The scores obtained in the five domains were as follows; 28/48 in perception of learning, 26/44 in perception of teaching, 18/32 in academic self-perceptions, 27/48 in perceptions of atmosphere, and 15/28 in social self-perceptions. First-year students achieved the highest score (18.7/32) in the academic self-perception. The total score was significantly higher in female than in male students (115.9 vs. 108.1).

Conclusion: The PBL environment is generally perceived positively by our medical students. Nevertheless, areas such as curriculum overload and inadequate student support still require further fine-tuning and remedial measures

Biography:

Emad Nosair has built his 30-year expertise in education in both traditional and PBL programs. He has MSc in Leadership in Health Professionals Education, RCSI. His main interest was to provide medical students in SDL programs with comfortable educational environment for attaining the best quality of learning. Therefore, based on the outcomes of the current research, it was followed by another study for measuring student workload in such complex PBL settings to provide students with adequate time for deep learning and to avoid their overload which has negative impact on their academic progress as well as on their feedback to faculty and to the institution

Abstract:

Statement of the Problem: Students’ perception of their educational environment has a significant impact on their behavior and academic progress. Therefore, the worldwide usage of innovative problem-based learning (PBL) medical programs requires major changes in their educational environments. Therefore, measuring students’ perceptions of the complex PBL environment has become a critical necessity as a determinant of students’ academic success and as a part of attaining the quality standards of education.

Aim: The aim of this study was to evaluate students’ perceptions in the preclinical phase of the PBL educational environment in the new Sharjah Medical College, UAE; and to recommend remedial procedures.

Methodology: The English version of the Dundee Ready Education Environment Measure (DREEM) inventory was submitted to 250 students in years 1, 2, and 3. The data were analyzed using the SPSS 20 software, and significance was taken at P<0.05. The survey was performed in a mid-semester week.

Findings: 215 students responded to the questionnaire (100% response rate). The overall DREEM score was 113.4/ 200 (56.7%). First-year students expressed higher overall significant level of perception (119.4/ 200) than second-year (107.4/ 200) and third-year (112.7/ 200) students. In addition, first-year students perceived their learning, teaching, and academic climates as more significant than the other two batches. The scores obtained in the five domains were as follows; 28/48 in perception of learning, 26/44 in perception of teaching, 18/32 in academic self-perceptions, 27/48 in perceptions of atmosphere, and 15/28 in social self-perceptions. First-year students achieved the highest score (18.7/32) in the academic self-perception. The total score was significantly higher in female than in male students (115.9 vs. 108.1).

Conclusion: The PBL environment is generally perceived positively by our medical students. Nevertheless, areas such as curriculum overload and inadequate student support still require further fine-tuning and remedial measures

Biography:

Emad Nosair has built his 30-year expertise in education in both traditional and PBL programs. He has MSc in Leadership in Health Professionals Education, RCSI. His main interest was to provide medical students in SDL programs with comfortable educational environment for attaining the best quality of learning. Therefore, based on the outcomes of the current research, it was followed by another study for measuring student workload in such complex PBL settings to provide students with adequate time for deep learning and to avoid their overload which has negative impact on their academic progress as well as on their feedback to faculty and to the institution

Abstract:

Statement of the Problem: Students’ perception of their educational environment has a significant impact on their behavior and academic progress. Therefore, the worldwide usage of innovative problem-based learning (PBL) medical programs requires major changes in their educational environments. Therefore, measuring students’ perceptions of the complex PBL environment has become a critical necessity as a determinant of students’ academic success and as a part of attaining the quality standards of education.

Aim: The aim of this study was to evaluate students’ perceptions in the preclinical phase of the PBL educational environment in the new Sharjah Medical College, UAE; and to recommend remedial procedures.

Methodology: The English version of the Dundee Ready Education Environment Measure (DREEM) inventory was submitted to 250 students in years 1, 2, and 3. The data were analyzed using the SPSS 20 software, and significance was taken at P<0.05. The survey was performed in a mid-semester week.

Findings: 215 students responded to the questionnaire (100% response rate). The overall DREEM score was 113.4/ 200 (56.7%). First-year students expressed higher overall significant level of perception (119.4/ 200) than second-year (107.4/ 200) and third-year (112.7/ 200) students. In addition, first-year students perceived their learning, teaching, and academic climates as more significant than the other two batches. The scores obtained in the five domains were as follows; 28/48 in perception of learning, 26/44 in perception of teaching, 18/32 in academic self-perceptions, 27/48 in perceptions of atmosphere, and 15/28 in social self-perceptions. First-year students achieved the highest score (18.7/32) in the academic self-perception. The total score was significantly higher in female than in male students (115.9 vs. 108.1).

Conclusion: The PBL environment is generally perceived positively by our medical students. Nevertheless, areas such as curriculum overload and inadequate student support still require further fine-tuning and remedial measures

Biography:

Laura J C Kranenburg combines a background as Industrial Design Engineer with an interest in medical education in her current PhD programme. She focusses on the improvement of communication skills for medical specialists in training with the use of E-learning. After completing her study at the Technical University in Delft, the Netherlands, she got her medical degree at the Erasmus University in Rotterdam. Currently she is pursuing specialization in Rheumatology and has published several studies on the use of E-learning in an international setting. Her work illustrates the power of direct feedback between tutor and student using E-learning. Especially the education of communication skills and shared decision making is of interest in her work.

Abstract:

Information-sharing in chronic conditions such as Disorders/Differences of Sex Development (DSD) is essential for a comprehensive understanding by parents and patients. Information sharing in DSD conditions is particularly challenging as the management of individuals with DSD is continually evolving and is also taking place within the context of changing perceptions of sex and gender. Communicating DSD information requires navigating difficult subjects such anticipated stigma, potential future sexual activity or fertility, and awareness of one’s own tendencies to perpetuate own cultural norms that might negatively affect the developing identity of an individual with DSD. We report on a qualitative analysis of communication skills of fellows undergoing training in paediatric endocrinology. Fellows worldwide were invited to study two interactive online cases and to describe communication with the parents of a newborn with CAH and a young woman with 46XY gonadal dysgenesis. The replies were analyzed on completeness, quality and evidence of empathy. Guidelines for structured assessment of responses were developed and evaluation guidelines were created. Fellows’ replies showed considerable variation in completeness, quality of wording and empathy. Many aspects of competent clinical communication were not mentioned such as long-term implications and reassurance. In 15-17% (case 1:2) the overall assessment of the replies was considered poor/insufficient by the experts. Interestingly we noted considerable diversity in the application of the guidelines to assess communication skills among the senior experts. The guidelines were adjusted to a three-level assessment to better reflect the qualitative differences in the replies and for simplicity of use. E-learning can play an important role not only when preparing for face-to-face experiences but also in assessing communication skills of trainees and physician educators. Moreover, a practical tool is provided to assess information sharing with patients with DSD and their families, and should be refined by interdisciplinary health professionals and patient representatives

Biography:

Evangelos Dimopoulos is a PhD Candidate in the Department of Business Administration at the University of Macedonia. He has an M.Sc in Health Services Management and an M.Sc in Services Management. His research interests involve Internal Market Orientation, patient and healthcare professionals’ job satisfaction and psychometric testing of related questionnaires.

Abstract:

Statement of the Problem: Most of the instruments measuring patient satisfaction are based on the Likert Scale. An alternative measurement tool, which is winning acceptance among academics and practitioners, is the expectations scale which allows the organization to measure satisfaction as the difference between expectations and actual experience. The aim of this study was to develop multi-item scales and examine the psychometric properties of an instrument measuring the satisfaction of patients hospitalized in a public hospital in Greece.

Methodology & Theoretical Orientation: Structured questionnaire with responses expressed on a five-point expectations scale was derived from an earlier Likert-type instrument. After pre-testing it, 42 items emerged. The survey was administered to a sample of 353 patients through telephone interviews. Initially, Kolmogorov Smirnov tests and missing values were examined, followed by an exploratory factor analysis with principal axis factoring estimation and promax rotation. Internal consistency and test-retest reliability, construct validity and ceiling and floor effects were then assessed.

Findings: Exploratory factor analysis yielded six scales, which had high levels of internal consistency and test-retest reliability. Moreover, multi-trait analysis indicated satisfactory construct validity. The overall satisfaction levels for the multi-item scales were high with notable ceiling effects.

Conclusion & Significance: The expectations scale seems, in general, to have good psychometric properties but exhibits moderate to high ceiling effects. Further research is required to further explore its usefulness for measuring patient satisfaction

Biography:

Prachak Bouphan has his expertise in Public Health Administration and passion in quality management of the health personnel in health organization. He completed PhD in Development Science, his Master’s degree in Development Administration and Bachelor of Science in Public Health. He is currently an Associate Professor and also acts as a Chairman of Master’s program in Public Health Administration

Abstract:

The main aim of this research was to study the consumer protection performance and its association with motivations and organizational supports of health personnel in sub-district health promoting hospitals, Khon Kaen province, Thailand. Consumer protection performance is a key burden of sub-district health promoting hospitals in Thailand. It is undertaken to enhance the immunity that is affected from deceived products and unsuitable services. A cross-sectional research design quantitative method using questionnaire as an instrument was utilized in this study. A total of 162 health personnel were selected as respondents using simple random sampling technique. The data collection period was from January to February 2014. Data was analyzed using descriptive and inferential statistics. The result of the study revealed that all the study variables including motivation, organizational support and consumer protection performance were at high level. In addition, Pearson correlation coefficients indicated that motivation and organizational support have significant, positive, and moderate correlation value with consumer protection performance at the significant level of 0.01. The estimated regression equation implying that there are six variables namely material support, motivation factor of work achievement, man support, motivation factor of recognition, maintenance factor of salary and motivation factor of work advancement have an impact on consumer protection performance; thereby qualifying these to be the predictors for the latter. All these factors could predict the consumer protection performance to be 62.5 percent. The obstacles were mostly from the capacity development on consumer protection performance with 71.1 percent.

Biography:

Abstract:

Statement of the Problem: Sub-district health promoting hospital (SDHPH) in Thailand has primary role in providing integrated primary care services to individual, family, and community. Normally its staff consists of a director, a nurse practitioner, a public health officer, a public health technician, a dental health technician and a Thai traditional medicine giving health service to averagely 5,000 populations. The personnel have different background in terms of family, education and work responsibility that possibly lead to conflict at work. The implementation of the director may probably encounter the conflict anywhere and could affect the organizational productivity and image. Conflict management is, therefore, a vital role and challenge for a leader to manage by using the strong leadership, knowledge, capability, learning experience, life skill, flexibility, information skills and conflict management skill.  Leaders must have both task skills and leadership soft skills in order to achieve organizational goals. Therefore, leadership soft skills are necessary for conflict management and work success. The purpose of this study is to determine the influence of leadership soft skills to the conflict management of the SDHPH director in Khon Kaen province.

Methodology & Theoretical Orientation: The samples of 180 directors were interviewed by self-administered questionnaire and focus group discussion. Descriptive statistics and inferential statistics i.e. Pearson’s product moment correlation and stepwise multiple regressions were used. Findings: Leadership soft skills and conflict management were found at high level. The overall leadership soft skills had moderate positive relationship with conflict management significantly (r=0.681, p-value <0.001). Leadership soft skills in presentation and coaching could jointly predict conflict management for 46.4 percent. The lack of proper participation from the subordinates and problem of skills in teamwork management and coaching were also found.

Conclusion & Significance: Leadership soft skills had positive relationship with conflict management significantly, especially presentation and coaching skills.  Recommendations are made for developing presentation and coaching skills, as well as the teamwork management of the director.

Biography:

Paricha Nippanon is an associate professor from department of health education and is also the faculty of Public Health, Khon Kaen University, Thailand.

Abstract:

Background: Benign Prostatic Hyperplasia is a chronic disease in older men whose flow of urine through the urethra is impeded by a non-malignant enlargement of the prostate. The problem can affect their health and work as well as their routine activities. One potentially useful method of decreasing the symptoms of this disease is to use a behavior modification approach.

Objective: The main objective of this study was to investigate the effectiveness of a new health behavior modification programme to achieve this objective.

Methods: In this quasi-experimental research study, the participants were 72 patients suffering from benign prostatic hyperplasia in the Non Sung Tambon Sub-district of Mueang Udon Thani in Northeastern Thailand. The participants were non-randomly assigned to experimental and control groups with each containing 36 subjects. The conceptual framework for the behavioural intervention in the experimental group was based on the health belief model, the Appreciation, Influence and Control (AIC) process, and the application of SWOT analyses and other group processes. The data were collected by questionnaires and were summarized by the use of descriptive statistics (frequencies, percentages, means, and standard deviations). Paired and independent t-tests were used to analyze differences within and between the two groups. Statistical significance was set at p≤0.05.

Results: The results showed that, compared with the controls, the experimental group at the end of the study achieved significantly higher scores in knowledge about and attitudes towards benign prostatic hyperplasia and in perceived susceptibility to the condition (p<0.001). They also obtained higher scores in perceived severity of the problem (p<0.003) and were more aware of the possible benefits of and barriers to the practicing of beneficial health behavior (p<0.001).

Biography:

Chulaporn Sota has her expertise in Health Education and Health Promotion. She has a Bachelor’s degree in Nursing Science, a Master’s degree in Public Health, and Doctoral degree in Development Science

Abstract:

This participatory action research aimed to study the development of sub-district administration organization (SDAO) to be health promoting sub-district administration organization by using social marketing in Kao Suan Kuang sub-district, Kao Suan Kuang district, Khon Kaen Province, Thailand. The samples were 56 leaderships were recruited. There were five steps of the processes for health Promotion sub-district Administration Organization as follows: 1) Problem analysis and need assessment of SDAO and community by using AIC technique, 2) Study senior context on health promotion, 3) Potential development for health promotion of leaders SDAO 4) Health promotion support for senior people, 5) Evaluation. The data were collected by questionnaires both pretest and posttest, then data were analyzed by SPSS program. The statistics were analyzed descriptive data such as percentage, distribution, arithmetic mean and standard deviation and comparative internal group were used paired Sample t-test. In addition, content analysis for qualitative data. The result showed that: 1. After implementation, the subjects had mean score of predisposing, enabling, reinforcing factor of leaders higher than before implementation significantly at p<0.001. No significance of practice and role of health promotion support but both are in the high level. 2. Health problems were related to socio economic, cultural and environment, problem-solving guideline should concern about these context. On the other hand, they received welfare, health service, participation in communities and local authority’s concern. 3. After implementation there were various health promotion activity were appear and fiscal year plan and policy formulation were focus of SDAO. The authority’s concern is very important to convince senior people to join the activities and social supporting arrangement by focus on price place product and promotion                                                    

Biography:

Chanya Apipalakul is expertise in Community Health and Conflict Management. She has a Bachelor and Master Degree curriculum on Public Health Administration and Conflict management in University She open and contextual conflict model base on Sustainable Peace

Abstract:

This study aimed to investigate the relationship and effect of community participation and conflict management on gold mining resources in Khaochetluk sub-district, Tapkhlo district, Phichit province, Thailand. There were 224 participants derived from a total population of 1,712 who had   participated in this study. Researchers employed cross-sectional descriptive research design utilizing questionnaire as an instrument to collect data. This instrument has been piloted and found to be validated after checking by three experts and reliable with high value of Cronbach’s alpha coefficient. The obtained data was analyzed not only using descriptive statistics such as percentage, mean score, standard deviation but also inferential statistics such as Pearson product moment creation, stepwise multiple linear regression. Findings of the study indicated that both variables namely community participation as well as conflict management were at moderate level. Additionally, Pearson correlation coefficients revealed that community participation had significant, positive, and moderate relationship     with conflict management (r = 0.456) at the significant level of 0.01. Consequently, result of this study revealed that there were two significant predictors toward conflict management. These two significant predictors were ‘involvement’ and ‘empowerment’ components of community involvement which have successfully contributed 20.1 percent variance of conflict management at 0.01 significant levels. Qualitative findings indicated that an establishment of platform to provide opportunities for community participation. An appointed committee needs for monitoring purposes. This study is able to promote the importance of community participation in conflict management

Biography:

Irit Chudner is the Research Coordinator of a research project addressing the future of family medicine. The study aims to examine the desirable directions, training and practice-related needs for family-medicine physicians, in accordance with the changing e-Health environment, the needs of the Israeli healthcare system, the patients and those of primary- care physicians. She is a Lecturer and a Facilitator in frontal and tele-trainings in Medical Coaching Certification Courses and workshops for clinicians who wishes to support their patients, to meet their health-goals, and to improve clinical outcomes. She advises Managers and Clinicians in Israeli Health Organizations on developing programs to increase adherence, reduce medical utilization, and boost productivity. She is a Doctoral Candidate at the Faculty of Medicine, Technion, Israel Institute of Technology. Her doctoral dissertation examines the preferences in implementation of Video-Consultation Technology by Discrete Choice Experiment Research Methodology

Abstract:

Statement of the Problem: Video-consultations (VC) provide increased accessibility of primary-care to the geographic and cultural periphery, improved treatment for chronic patients, and higher satisfaction with medical services among young patients. Despite being highly beneficial, VCs’ integration into health systems is complex and slow. Understanding Patients’ attitudes and preferences can help design more effective training programs, leading to better implementation. This qualitative study’s purpose was to better understand primary care patients' preferences for VCs versus in-clinic consultations (I-CCs).

Methods: The study sample comprised of 42 patients. Data were gathered through 5 focus groups’ interviews, which were audio-recorded, transcribed verbatim and content-analyzed.

Findings: Patients perceived VC as beneficial for reducing waiting times (until the appointment and in line with the consultation itself), and for reducing costs associated with reaching the clinic. They preferred conducting VCs with their own family doctor, neither any Primary-Care-Practitioner (PCP).   Patients believed that it would be easier to gain their doctor’s attention during VC, unlike in the clinic, where there are distractions. Patients expressed concern about the loss of personal close contact with a PCP, and perceived good interpersonal communication with PCPs at VCs as even more important than in I-CCs. The main communication elements were listening, empathy; talking at the "same level", acquaintance with the patient and his needs. According to the patients, VCs can only partially replace I-CCs.

Conclusion & Significance: It seems that the optimal experience for patients when using VCs will be created by the unity of opposites: on the one hand, the availability and convenience to be connected from far away; and on the other hand, to keep close communication and conduct VC with their own PCP. Findings suggest that training programs should specifically address patients' needs and preferences to plan and implement successfully VC projects in primary care settings.

Biography:

Asif Ali is a Medical Doctor (MBBS) and has completed his PGD in Medical Education and PhD in Pathology from the University of Glasgow, United Kingdom. He is an Assistant Professor of Pathology at the Khyber Medical University, Pakistan and Honorary Clinical Lecturer at the University of Glasgow, United Kingdom. He is currently the secretary of Graduate Study Committee of Khyber Medical University and is working with other colleagues on curricular committees of Khyber Medical University

Abstract:

Objective: To evaluate the satisfaction of participants and the effectiveness of an enhanced and relatively formal type of peer assisted learning (PAL) in postgraduate (PG) setting.

Study Design: The following research work is an observational study.

Methodology: Participants were six medical officers and two consultants. Resources and sessions were defined and the curriculum agreed through consensus between all peers. Thirty clinically relevant topics on diseases, techniques and practical were selected for PAL sessions. A 26-item questionnaire was used to evaluate PAL on Likert-scale. It also included a free text question about one strength and one weakness of PAL. The participants consented to all aspects of multi-resource PAL and they completed a questionnaire, from which data was gathered and analysed to reveal the impact of course.

Results: As a peer group they were satisfied with the teamwork experience. Seven out of eight peers reported to have increased their motivation level. In addition, as a peer tutor all peers accepted that the course equipped them with teaching skills and that teaching skills should be learnt. Similarly, as a peer tutee, they believe that peer assistance in a multi-resource format had a positive impact on their learning and their difficult issues were unravelled. Finally, facilitated small group teaching, discussion and summing-up helped the peers to comprehend a given clinical topic.

Conclusion: A pilot multi-resource PAL was evaluated and the participants appraised the course favourably and recommended it to their colleagues. The interest and zeal shown by the participants suggests that further investigation through a larger, prospective study is warranted.

Biography:

Erum Gonsalves is Manager, Business Process Reengineering at Aga Khan University, a leading tertiary care 660 bedded hospital in a large metropolis, where demand for high quality healthcare is on the rise. During her time in BPR, she has been actively involved with major projects in the University hospital aimed at improving efficiency, eliminating bottlenecks and improving service quality to maximize value for patients. Streamlining the Inpatient Discharge Process was a major project she successfully implemented, facilitating annual bed hour savings of over 100,000 through reduction in discharge process time. This project was also awarded a gold award in innovation in hospital management category at the Hospital Management Asia August, 2017. Currently she is working with the hospital’s Emergency Department to increase patient throughput and Outpatient Clinics to minimise turnaround times. Besides her BPR centric work at the hospital, she has also been involved in various projects with the University

Abstract:

Statement of Problem: The Business Process Reengineering Team conducted a redesign of the Inpatient Discharge Process at a 660-bedded hospital in the largest metropolis of Pakistan. The study aimed to optimize bed utilization by ensuring 85% discharges before 2pm. Analysis revealed that, discharging patients was not a priority for medical teams and significant delays in discharging patients was result of an inefficient process. Additionally, there was weak communication between medical and administrative teams, delays in doctor rounds, bill finalization, lab and radiology workups, pharmacy preparation and patient logistics. The discharge process took up to 8 hours, of which 70% time was spent in non-value adding activities. The hospital was losing 240,000 bed hours annually.

Methodology & Theoretical Orientation: The project was completed in three phases, analysis, redesign and implementation. The analysis and redesign was completed over a period of 8 weeks each both phases involved extensive primary and secondary research, detailed interviews from more than 60 medical and administrative teams selected randomly, on ground observations for detailed process mapping of patient journey from admission to discharge was done using sticky notes and MS Visio. Data were extracted using HIS system and manually collected using time and motion study, which was then analyzed using MS Excel. BPR Team identified the need to automate pre-discharge communication to facilitate an efficient and seamless discharge process. Over the course of 1 year the BPR team worked in collaboration with hospital and administrative team to facilitate implementation of proposed changes.

Findings: The percentage of patients discharged by 2 PM increased substantially from 9% to 33% during the pilot and went up to 86% after the final 2 PM checkout time was implemented in February 2017.

Conclusion & Significance: Minimizing inefficiencies in the discharge process resulted in reduction in the discharge process time by 2.16 hours per patient. This translated into savings of over 100,000 bed hours annually, thus allowing the hospital to efficiently allocate its resources and create capacity to serve more patients.

Biography:

Tania Licona is a pediatrician, researcher at the University School of Health Sciences (EUCS) of the National Autonomous University of Honduras, Valle de Sula (UNAH-VS). With more than 10 years of experience in Editorial Board of scientific journals, currently director of the Scientific Journal of the University School of Health Sciences and deputy director of the Honduran Pediatric Act. Also, coordinator of research in Postgraduate Medicine of the EUCS.

Abstract:

Early Onset Neonatal Sepsis (EONS) is a clinical situation resulting from the invasion and proliferation of bacteria, fungi or viruses in the newborn (NB) bloodstream, which occurs within the first 72 hours of life. The diagnosis of sepsis and the assessment of its severity are complicated by the highly variable sepsis, and the controls were 40 infants who were admitted as potentially septic, but the blood culture result was negative. Sensitivity, specificity, positive predictive value         (PPV) and platelets, initial C-reactive protein (CRP) and control were calculated. Data were analysed with SPSS version 19. Results: It was found that 17(28.3%) NB were women and 43 (71.7%) were men. The VPP of the initial PCR was 5%, increasing to 85% in the control study. The isolated microorganism was enterobacter in 6 (30%) of the RNs. Of the 23 (38.3%) neonates who presented complications; 11 (48%) had positive blood culture and 12 (52%) had negative blood   cultures. The discharge condition was medical discharge in 5 (92%) and referred to a more complex hospital 5 (8%) of the neonates. Conclusions: The laboratory alternatives for the diagnosis of EONS in the Santa Barbara Integrated Hospital are few; the fundamental pillar for its diagnosis is the search for risk factors and clinical status of the patient. Initial    C-reactive protein is of little use, however the results of this research show that positive predictive value    and sensitivity  increase significantly at 48 hours, which proves that it, is a late marker of infection

Biography:

Wannapa Chararat is a medical technologist at Sunpasitthiprasong hospital. She worked in blood bank and transfusion medicine for 7 years. She is also an expertise in blood donation, blood product, antibody identification, blood cross-matching and nucleic acid testing

Abstract:

This research aimed to investigate the factors that affect blood of donation at blood bank and mobile blood donation unit of Sunpasitthiprasong hospital. Information was compiled by questionnaire interview from 396 samples of blood donor identify by random sampling method from people donating their blood to blood bank unit and mobile blood donation unit of Sunpasitthiprasong hospital. Analysis was performed upon the results of descriptive statistics including frequency, percentage, mean and standard deviation and inferential statistics including the chi-square. The study found that the predominant features of the sample blood donors to be female 18-28 years of age (37.1%), high school graduate (34.9%), seller and farmer (37.6%). Most of them participants get the news blood donation in wire broadcasting of hospital and village, the event of special activity for blood giving as the most important reason of blood donation (39.6%). Most of the participants had moderate level of knowledge (47.5%). From this research found that the factor associated with giving blood are age and attitude towards blood donation (p≤0.05). This research revealed that an increase in age would decrease the intention in donating blood. The constructing program to promote blood donation should provide the knowledge and good attitude on blood donor

Biography:

Rana Moustafa is a Clinical Pharmacist at Hamad General Hospital, an entity of Hamad Medical Corporation. She received her Bachelor’s degree in Pharmacy in 2007 from Egypt. In 2012, she completed her Master’s degree in Clinical Pharmacy from Queen’s University of Belfast (UK). She joined the corporation in 2008 as a Pharmacist and in 2012. She joined the Clinical Pharmacy team, to provide service in medical wards, and is engaged in many researches in the clinical field and provides continuous education to patients, patient’s family and medical staff

Abstract:

Dapagliflozin is the second FDA approved agent in a new class of oral antihyperglycemic drugs, the sodium-glucose cotransporter 2 (SGLT2) inhibitors with innovative mechanisms of action. Managing diabetes mellitus (DM) with effective and tolerable oral agents will eventually decrease the devastating complications associated with the uncontrolled DM and ultimately improve the quality of life. This study aimed to assess the effectiveness of new oral antihyperglycemic drug Dapagliflozin in the treatment of type 2 DM as monotherapy or combination with other hypoglycemic agents in term of reduction in HbA1c and fasting blood glucose at 6, 9 and 12 months. In this retrospective study, all patients treated with Dapagliflozin in Hamad Medical Corporation (HMC) since its introduction as non-formulary medication on 1 April 2013 until 30th of April 2015 were included. Data regarding prescribed drugs were obtained from the computerized pharmacy system. Demographic information and laboratory results of patients have been achieved from the patient's electronic system (CERNER). Eighty-one patients were identified to receive Dapagliflozin during the study period, 71 % of them were males, and 100 % were Qataris with mean age 57 ± 9 years and mean A1C baseline 9 ± 1.4 %. Of note, all patients were receiving Dapagliflozin as add on therapy in combination with the standard therapy. Administration of Dapagliflozin as add-on therapy was found to decrease A1C significantly after 6 months by 0.8 (P=0.006), and after 12 months by 1.5 (P=0.062). Moreover, found to reduce the fasting blood significantly at 6 months and 9 months (P= 0.001, P=0.03 respectively). However, the coadministered antidiabetic medication did not influence the reduction in A1C or FBG. Dapagliflozin significantly reduced HbA1c level and the fasting blood glucose of type 2 diabetic patients in combination of other OHA or insulin within 6 to 12 months of treatment.

Biography:

Jung Kyu Choi has expertise in evaluating the policy regarding health insurance. He completed his bachelor and masters degree from Yonsei University, South Korea. Later on, he completed his PhD in public health from Yonsei University, South Korea. Currently, he is working at National Health Insurance ILSAN Hospital, South Korea

Abstract:

Statement of the Problem: Korea set up new Diagnosis Related Group (DRG) as demonstration project in 2009. While there is a 'bundling part' having a per diem score by diagnosis, the 'non-bundled (fee-for-service) items' also exist. DRG consists of about 550 diseases group. DRG is running only in 40 hospitals due to a lack of consensus. Main purpose of study is to identify the change of accuracy of payment by DRG partition as compared with cost.

Methodology & Theoretical Orientation:  This study collected inpatient data from a hospital which contains medical information and cost from 2013 July to 2016 June. The accuracy of payment was classified the accuracy of total, bundled, unbundled and non-benefit payment. The accuracy of payment was calculated as payment divided by cost.

Findings: About 24,000 patients were hospitalized annually. The accuracy of total, bundled and unbundled payment increased 7.2%, 14.6%, and 3.8%. However, the accuracy of non-benefit payment decreased 27.3%. The accuracy of bundled payment showed the largest increase.

Conclusion & Significance: The results of study imply that the accuracy of payment was enhanced. The government needs to monitor side effects such as increase of non-covered services. Also, leads to a considerable improvement in the value of cost unit accounting as a strategic play a role in development of DRG

Biography:

Julia Riesch has done BSc in Health Promotion and MSc in Public Health from Fulda University of Applied Sciences. Since 2015, she works as a research assistant at Flensburg University of Applied Sciences. Her research focuses on eHealth in the Baltic Sea Region as well as dementia and innovative technologies in nursing homes. Within the project Demantec she conducted qualitative empirical research by carrying out interviews and observations with care staff working in nursing homes, residents of nursing homes suffering from dementia as well as their relatives

Abstract:

Statement of the Problem: The difficulties people with dementia face regarding the usage of new technologies like smartphones, smartwatches or tablets are well-known. However, these new technologies are appropriate for the usage in nursing homes, when the usability is flawless and user-friendly. In this context, it is important to have verified methods to test the usability of mobile devices. Surveying the usability of mobile devices, it is important to figure out how to improve the acceptance of those systems for people with dementia. Regarding the usability of assistive technologies for people with dementia there is a need of high quality research.

Methodology & Theoretical Orientation: An exploratory mixed method research approach to gain knowledge on the use and handling of a communication platform (via smartphones, tablets) as well as a smart watch by people in need of care (n=10) and people suffering from dementia (n=10) living in two German nursing homes was used. Therefore, a combination of qualitative interviews/conversations, qualitative observation as well as the quantitative System Usability Scale questionnaire was conducted.

Findings: The majority of people suffering from dementia has no or few experiences with technologies. Many residents swiped correctly from the very beginning or had minor difficulties. Overall, residents had no or minor problems seeing pictures/videos and hearing when having phone calls/video calls. Residents were strongly interested in the album module, video phoning as well as phone calls via a smartwatch. On average, the score of residents living at Pflegezentrum Techau is 6791 the score of residents living at Gotthard-und-Anna-Hansen-Stift is 4562.

Conclusion & Significance: Further research should take into account to use tablets rather that smartphones due to the benefits of a larger screen. Moreover, good instructions especially at the beginning of introducing new technologies are very important. Further usability tests are needed to get representative results.

Biography:

Sarah K Amer is a Pharmacist, graduated from Faculty of Pharmacy, Alexandria University, Egypt. She has a Master’s degree in Biomedical Informatics and Medical Statistics from Medical Research Institute, Alexandria University, Egypt. She got a Microbiology diploma from the High Institute of Public Health, Alexandria University, Egypt. She is expertise in antibiotic resistance research field and passion in improving the quality of diagnosis and treatment provided in Healthcare settings. She has participated in Dubai International Pharmaceuticals & Technologies Conference & Exhibition as Professional Poster Presenter representing the Microbiology Department, Faculty of Pharmacy, Arab Academy for Science, Technology and Maritime Transport, Alexandria, Egypt. She has a five-year experience in teaching of different fields; Microbiology, Pharmacology and Biochemistry. Currently she is working as a Lecturer Associate in Microbiology Department, Faculty of Pharmacy, Arab Academy for Science, Technology and Maritime Transport, Alexandria, Egypt

Abstract:

Antibiotic resistance, as a major public health problem, has its roots in the irrational use of antibiotics, consequently causing treatment failure. It is commonly seen in treating acute upper respiratory tract infections. AURTI include sinusitis, pharyngitis and bronchitis. Adherence to guidelines is not completely afforded due to poor knowledge of physicians in management of AURTI. They fail to perform a definite differentiation between the viral and the bacterial type of the infection. Also, patients affect physicians’ prescribing habits; as patients feel satisfied being prescribed antibiotics. This study aims to increase physicians’ adherence to current clinical guidelines for AURTI regarding the use of antibiotics. A predesigned questionnaire was used for the assessment of the physicians' adherence to the guidelines before and after the intervention. Active and passive interventions to improve physicians’ adherence to guidelines as short – session for physicians of didactic teaching and antibiotic guideline posters in respiratory unit clinics. Throat swab using Rapid Strep A Test strip (RADT). Using active and passive interventions can change prescribing habits. Physicians’ adherence to guidelines will be perceptible, resulting in improvement of appropriate antibiotic use for AURTI, reduction of unnecessary healthcare costs and advance in quality of care provided by outpatient clinics. Physicians’ qualifications and the use of RADT in Pharyngeal Infection play a significant role affecting the adherence to guidelines and prescribing of the proper antibiotic

Biography:

Feray Ozdesa is a young yet keen, proactive medical student currently she is studying at Norwich Medical School. During her time there, she has actively expressed an interest in medical education which is reflected in her undertaking of numerous independent research projects on the subject. She also keeps interest in geriatric medicine in which she plans to take a year out from medical school to intercalate

Abstract:

Background: Empathy is the capacity to know emotionally what another is experiencing from within the frame of referenceof that other person. Empathy is a crucial attribute in all medical professionals, yet it is known to decline through the years ofmedical education.
Aim: This study aims to explore current evidence which may guide medical schools towards the most successful method of incorporating empathy into the medical curriculum.
Method: An electronic search was undertaken on the Medline (Ovid) database of papers published between 2006 and 2016. Keywords included Empathy, Medical Education, Curriculum, Undergraduate, Student, Medical school and University. The search retrieved 347 results, 17 of which were relevant, and 3 of which were selected.
Results: The interventions used in the selected studies were a mind-body course, a video-based workshop, and a drama-based workshop. The Jefferson Score of Physician Empathy (JSPE) was measured before and after these interventions. All 3 showed an improvement in empathy, however, the improvement was only significant for the latter 2 interventions, the workshops. The latter two studies also showed that without reinforcement of the teachings, the improvement in empathy did not last.
Conclusion: Workshops in which students must watch or physically enact situations involving patients are shown to significantly increase medical student empathy, as measured by JSPE. Improvements in empathy are shown to decline after the intervention, unless reinforced later in a student’s education.
Recommendations: More research into the efficacy of other methods of teaching empathy is needed, such as reflective essays, patient interviews, and communication skills.