Madridge Journal of Nursing

ISSN: 2638-1605

International Nursing Conference

December 5-7, 2016, Dubai, UAE
Poster Session Abstracts
DOI: 10.18689/2638-1605.a1.004

Determinants of workplace stress in affecting stress of conscience among nurses working in acute settings

Muder Alkrisat

Chamberlain College of Nursing, USA

Background: Workload stress has a great impact on workforce, which suggests that intensity and frequency of stress contributes to the cumulative effects of workplace stressors. Nurses in acute healthcare systems are predisposed to work-related stress based on moral factors. Stress results when nurses are exposed to ambiguous moral situations, they experience distress when they face a situation with contradictory demands or are hindered to take actions that they experience as ethically demanding. Nurses who have high moral sensitivity will experience ethical demands that may give them a bad conscience when they do not act in accordance with these demands. Such experiences have been described as stress of conscience because they give rise to a troubled conscience.

Purpose: To assess the level of stress of conscience of nurses in acute settings, identify situations that result in high levels of moral distress, explore implications of moral distress, and evaluate associations among moral distress and the characteristics of nurses.

Method: A correlational, cross-sectional design was used in this study to examine the predictive relationship between levels of stress of conscience and workplace stressors among nurses working in acute hospitals.

Results: Data were analyzed from 199 nurses licensed. Correlations among the variables demonstrated a moderate positive and significant relationship among Workplace stress factors and stress of conscience intensity (r = 0.46, p < .01), however, a lower significant relation was between Workplace stress variables and Stress of Conscience frequency (r = 0.19, P < 0.1). Regression analysis resulted in a model that explained approximately 53% of the total variation in Stress of Conscience intensity (R= 0.53, Adjusted R2= 0.24, P < 0.01).

Conclusion: Workplace stress was perceived as a constraint in the workplace environment, prohibiting nurses from acting in what they believed was the ethically correct manner, impacting their actions in relation to patient care, and provoking emotions associated with Stress of Conscience. Furthermore, there is a need for support from the managers and a supportive organization for reducing nursesʼ work-related stress, which in turn can create a positive caring climate where the nurses are able to provide high quality care.

Biography:
Muder Alkrisat is an Associate Professor of Chamberlain College of Nursing. He completed his doctoral degree in Nursing from Azusa Pacific University. His focus are work place conditions and patient safety, he completed his dissertation on impact of workplace stress in acute settings. He received his Bachelor of Science in nursing and Master in nursing from Jordan University. In 2000, he received two years of training with Natal University in South Africa with research proposals on the “Role of the Facilitator in Case Based and Experiential Learning”. In 2012 he also received extensive training Quality Matter. In 2014-2016 he received extensive training in competency based training to participate actively in curriculum development for BSN-MSN.
His extensive clinical experience spans multiple health care settings, including acute care facilities, specialty and long term facilities, and communitybased clinics. He has held a variety of practice and leadership roles in these settings and has been actively involved in local and regional health initiatives. His extensive background in quality, Risk management compliance and regulatory arena helped him to serve for many years as corporate director for Clinical processes (quality, Infection control, Education and Risk Management). He is certified in Six Sigma Black Belt and lean thinking (CSSBB), Certified Performance Improvement Advisor (PIA), Certified Specialist in Healthcare Accreditation (CSHA) and Certified Healthcare Specialist Accreditation (HACP).
Dr. Alkrisat is a Subject Matter Expert in the MSN and teaches health policy, healthcare economics and healthcare policy and leadership courses in the MSN program. His current research and policy interests include examining the relationships between structures, processes, and outcomes of acute settings, with an emphasis on work place conditions and parent-provider interaction and patient safety, andthe impact of legislative and regulatory change on the delivery of health services.

Quality of life when facing a life challenge: Using parseʼs research method

Mary Hossley

The University of Southern Mississippi, USA

There is an inadequate understanding of what the experience of quality of life is like for persons living life challenges. The purpose of this study, guided by Parseʼs theory, was to investigate the universal health experience of quality of life. Four middleage African-American women diagnosed with Diabetes Mellitus Type II within the past five years and who were either insulindependent or taking oral hypoglycemics accepted the invitation to participate in the study. Access to participants was gained through a local acquaintance network in a semi-urban community in a southern state. The study was approved by the IRB of two universities. Data consisted of tape recordings and transcripts from dialogical engagements. The process of extraction-synthesis was used to uncover the meaning of the phenomenon. Three core concepts, cherished engagements, burdens, and nurture emerged in each participantʼs story.

There are many implications for further research from the findings of this study. The core concepts lend themselves to further inquiry using Parseʼs method. Further light may be shed on the study of lived experience and quality of life with people who are living challenging life situations including people of a particular culture group or age range. Further research in this area can increase knowledge about universal lived experiences, contributing new understanding of quality of life and lived experiences in the face of a life challenge, and expanding the knowledge base of the nursing discipline in general.

Biography:
Dr. Mary Hossley is an Instructor at the University of Southern Mississippi in the department of the College of Nursing. She received her Doctor of Divinity from Lift Bible Crusade College and Seminary, Incorporated, Ocean Springs, Mississippi. Dr. Hossley received her BSN from the University of Southern Mississippi, Hattiesburg, Mississippi. She received her MSN from Alcorn State University, Natchez, Mississippi and her Post-Masters in GNP from the University of Southern Mississippi. She currently attends Walden University where she is completing DNP degree.

Prediction of coronary artery disease with the assessment tool of gender, ageand type of chest-pain

Pachanat Tantikosoom

Chulalongkorn University, Thailand

This predictive study aims to determine the correlationbetween factors such as gender, age, type of chest-pain and Coronary Artery Disease (CAD), and to examine the predictability of CAD using the Diamond-Forrester model. The samples were 113 patients who were diagnosed with conditions at risk cardiovascular disease and required a Coronary Angiogram (CAG) treatmentin the tertiary hospital.

The instruments were: 1) the assessment of personal data, 2) Thai short-version of the Rose Angina questionnaire (content validity 0.91and reliability were 0.80), 3) Diamond-Forrester model and 4) the result of Coronary Angiogram (CAG). Data were analyzed using statistical Point biserial and Pearson correlation between gender, age, type of chest pain and coronary artery disease. Logistic model for case was used to determine the sensitivity and specificity from the Diamond-Forrester model.

The 113 patients with Coronary Artery Disease consisted of 66males(58.34%) and 47 females(41.6%), with mean age group of 64.25 ±10.61(65-75 years). Thai short -version of the Rose angina questionnaire found that age and type of chest pain had a statistically significantly effects on CAD(p <.05), but gender did not. The sensitivity and specificity of the Diamond-Forrester model were 95.23% (60 out of 63 patients), and 2.00% (1 out of 50 patients) respectively. Positive predictive value (PPV) was 55.05%, Negative predictive value (NPV) was 25.00%, and Accuracy=55.98%.

In conclusion, the assessment tool showed very high sensitivity (95.23%) and the prediction of coronary artery disease and low specificity (2.00%) in the non-coronary artery disease. The accuracy of CAD prediction was essential for healthcare providers to accurately diagnose CAD, identify the severity of condition, and promptly treat CAD patients.

Keywords : Coronary Artery Disease/ Prediction / Chest Pain/Short version Rose angina questionnaire

Biography:
Pachanat Tantikosoomis a lecturer at the Faculty of Nursing, Chulalongkorn University, Thailand. She obtained a doctoral degree(Ph.D) in nursing sciences in 2012. She was a visiting scholar in the school of nursing, University of Minnesota, USA in 2009, and she hadserved as Adjunct Faculty, in the school of nursing, University of Minnesota, USA from 2009 to 2012. She had to present her study at Soul, Korea in 2011. Currently, she lectures in the field of adult nursing. Her expertise and researchinterests involve patients with coronary artery disease (CAD), patients with orthopedic and Complementary care.

Development of a self-care questionnaire for clinical assessment among patients with inflammatory bowel disease

Ulrica LovénWickman1, Pia Yngman-Uhlin1, Henrik Hjortswang1, Marika Wenemark1, Henrik Stjernman1 and Gunilla Hollman Frisman1

1Linköping University, Sweden

Background: Patients with IBD live with symptoms that are both physical and psychological burdening. Patients need self-care to manage daily life. There is a lack of measures to assess self-care in patients with IBD with the intention to support and strengthen individual efforts to improve their self-care. To offer appropriate care for patients with IBD, individualized self-care advice may aim to maintain health.

Objectives: The aim was to develop and evaluate the IBD Self-Care questionnaire for assessment of self-care among patients with IBD.

Methods: This is a validation study applying both qualitative and quantitative methods based on recommendations for questionnaire development. An interview study on self-care in patients with IBD (n=20) was performed and opinions about items of self-care was obtained from an expert panel (n=6) and patients (n=100). Data was collected between November 2014 to April 2016 in three phases: (1) item generation based on an interview study on self-care in patients with IBD (n=20), (2) early evaluation including Content validity Index (CVI) was measuredby an expert panel and patients were ranking the items to consider selection of items, also cognitive interviewing was used in a pre-test to determine the usability of the questionnaireand (3) final evaluation with a pilot study (n=30) and test-retest (n=50). Test-retest stability was established after three weeks. Validity was considered through two follow-up questions. Quantitative and qualitative analyses resulted in a reduction of the items from 51 items into 9 questions and 16 quotations.

Results: A total of 180 patients with IBD participated in this study, of who86 with Crohnʼs disease and 94with ulcerative colitis. The IBD Self-Care questionnaire consists of 9 questions and 16 quotations and the first version is developed in the Swedish language. Evidence of initial validity could be demonstrated with the involvement of an expert panel and patients with IBD. Reliability in test-retest statistics of responses on each item showed between measure 1 and 2, 78-98% conformity, except for one item (38%).

Conclusion: This study contributes to an individual disease-specific assessment of self-care through the development of a new IBD Self-Care questionnaire for assessment of self-care among patients with IBD in Sweden. Further studies, prospectively are needed to test the IBD Self-Care questionnaire in a sample of English speaking participants.

Biography:
Registered Nurse, MScN Ulrica LovénWickman is a PhD student at Linköping University in Sweden. She is working in the field of Primary Health Care in southeast Sweden. Her research is aboutself-care among patients with inflammatory bowel disease (IBD). Her doctoral dissertation is focused on development and validation of a self-care questionnaire for patients with IBD for clinical use.

Staff training interventions to reduce the behavioral and psychological symptoms of dementia

Heeok Park and Minsuk Gang

Keimyung University, South Korea

Aim: Behavioral and psychological symptoms of dementia (BPSD) are most frequent and problematic in care settings. Staff training program to understand and manage BPSD is important to increase quality of life of people of dementia and care staff. Thus, This review of the literature examines the effectiveness of staff training programs to reduce BPSD in long-term care facilities.

Method: For the data collection, the electronic database(Pubmed, CINHAL, Riss, Kiss, DBpia, Google scholar) was used for searching with the key words including ‘dementia’, ‘Alzheimer disease’, ‘aggression’, ‘agitation’, ‘Behavioral Psychological Symptoms of Dementia’, ‘staff’, ‘education’ and ‘program’. Finally, a total of 19 studies were included for the analysis based on the inclusion criteria. Result: The most commonly used research design was the cluster randomized controlled trial and the most commonly used type of providing program was ‘lecture’, ‘supervision’ and ‘feedback’. More than 8 week and 11 hour in the training program were shown significant effect on BPSD. In the contents of the educational programs, the concept of dementia and BPSD, factors of BPSD, general strategy and skill to manage BPSD, nonpharmacological intervention, communication skill and changing environment were commonly included. The significant effects were shown on BPSD and staffʼs management behavior with program.

Conclusion: Based on the results of the review study, the future studies needed to be provided more than 10 hour, 8week and included the contents about dementia and BPSD(concept, factor, etc.), BPSD management and skill training.

Biography:
Minsuk Gang is an assistant professor in Yeungjin college of nursing, South Korea. She received Ph.D from Keimyung University, South Korea. Her interesting research area is non-pharmacological interventions to control agitation in patients with dementia.
Heeok Park is an assistant professor in Keimyung University College of Nursing, South Korea. She received her PhD degree from the University of Iowa. Her interesting research area is non-pharmacological interventions to control agitation in patients with dementia

Rational medicine usage for mothers with children of age 0-12

Şenay Çetinkaya1 and Esra Durhasan1

1Çukurova University, Turkey

Aim: This study was conducted to determine the medical behavior of mothers with children of age 0-12, rational medicine usage and the causes affecting medicine usage.

Method: The study was conducted at University of Cukurova Medical Faculty Balcalı Hospital, Adana, Turkeypediatry policlinics between December 2012 and March 2013 by face to face interviews. Result: 30.4% of mothers stated they used medicine prior to admissiont to the hospital. In case of sickness 40.3% of mothers prefer visiting state hospitals first. 32% of mothers do not stop administering antibiotics until suggested dose is completed. 65.4% of them always read the prospectus, 77.3% always check the expiry date and 48.8% always get informed about the dosage of medicine in suspension form. Among mothers who stated that they have knowledge about preparing medicine in suspension form, only 46% correctly described the preparation process. 6.4% of mothers keep the medicine according to the specified temperature and 42.9% dispose the medicine they do not use. While administering the medicine 74.3% of mothers are always mindful of the intervals. Thereʼs a direct correlation found between mothersʼ level of education and, knowledge of preparing medicine in suspension form and likelihood of inquiring about the dosage, how they keep the medicine, reading the prospectus and checking the expiry date (p<0.05).

Conclusions: Increase the peopleʼs overall level of knowledge about rational medicine usage through videos and by distributing brochures, keeping the knowledge of medical personel up to date and fresh by regular training sessions and having them inform the masses, rewriting the prospectuses more clearly and in a comprehensible manner, and creating legal procedure for disposing unused and expired medicine properly are crucial steps that should be taken.

Keywords: Mother, rational medicine usage, child, nursing.

Biography:
Şenay (Ok) Çetinkaya, born in 1967, has completed her bachelor of nursing, masterʼs degree, and PhD in Ege University.
In 1988 she was employed as nurse in ICU at the cardiovascular surgery clinic in Ege University, at the medical faculty hospital. In the mean time she has completed her postgraduate (1991) and PhD (1999) on pediatric nursing.
Following her move to Malatya due to a spouse-related transfer (1996), she was employed at the Health Colleges of Inönü (1996-2000), Selçuk (2000-2004), and Ege (2004-2007) Universities. Currently she is working at the Faculty of Health Sciences of Çukurova University, Head of the Department of Pediatric Nursing.
Besides being instructor and vice-principal at the college, she has coordinated and performed in-service training programs to healthcare personnels, carried out symposium vice-presidency, assistant journal editorship and reviewing, and chair in nursing department. She has international articles (8), international boks chapters (6), translation on a vocational book (thesaurus of skills), national chapters of book (2), has led postgraduate thesis (10), research profects (3), and posted many scientific papers (30) in periodicals.

Prevalence of interpersonal sexual abuse among married female healthcare providerskarachi, pakistan

Azmat Jehan Khan1, TazeenSaeed Ali1, Rozina Karmaliani1 and Nargis Asad1

1Aga Khan University Hospital, Pakistan

Objective To estimate the prevalence of sexual abuse among married female healthcare (nurses and doctors) providers in tertiary care hospitals in Karachi, Pakistan perpetrated by family members.

Design A descriptive cross-sectional study wasdone by using a random sample technique.

Setting One public and two private tertiary healthcare hospitals from Karachi, Pakistan Population 350 married female nurses and doctorswere recruited. Methods Descriptive and unvaried statistical methods used to analyzedata.

Main Outcome Measures Participantʼs and husbandʼs socio-demographic variables, types of domestic violence (DV), sexual abuse by husband and in-laws, response to sexual abuse, most frequent perpetrator, and reason of last violence.

Results The study revealed that of the total sample of 350 married female nurses and doctors, 97.7%(n= 342) were reported one or more types of DV at some point in their life. Whereby, 59.6% (n= 204) reported sexual abuse by their family members at some point in their married life. Out of which mainly the husband94.6% (n=193) created sexual abuse, followed by brother in- law17.6% (n=36). Participants living in extended families [72.2% (n=26)], those who were undergraduate [50% (n=18)] and nurses [61.1% (n=22)] experienced sexual abuse by in-laws.

Conclusions In conclusion, nurses and doctors are victims of sexual abuse, because of socio-demographic factorssuch as extended family, educated and professional. The study participants were confronting to sexual abuse as the same level as those who were uneducated and poor. DV (Prevention and Protection) Act 2012has been passed but needs strategies and commitment for enforcement.

Keywords: Domestic violence, sexual abuse, nurses and doctors, sexual abuse by family in-laws

Biography:
I have done RM, RN, Post-RN, MScN, currently working as an Assistant Professor in Aga Khan University School of Nursing and Midwifery Karachi, for twelve years. Prior to this, I was the Head Nurse in Obs/Gyne of the Aga Khan University Hospital and also worked for ten years in the Emergency Department at the same institute. Altogether I have more than 22 years of working experience in different felids of clinical nursing, nursing education and research. My research interests are emergency nursing, women and child health issues, domestic violence and women empowerment. I have done MScN thesis on Prevalence of Domestic Violence among Married Female Healthcare Providers in Tertiary Care Hospitals in Karachi, Pakistan. For which received awardThe Farida Allana Research Award from Rho Delta Chapter, Sigma Theta Tau international.

The analyzes of the knowledge level of the nurses and midwives who have neonatal resuscitatıon education

Emra Doğan1, Şenay Çetinkay1, BurcuÖz Türkoğlu1 and Mustafa Kara1

1Cukurova University, Turkey

Aim: To determine the level of knowledge of nurse-midwives about neonatal resuscitation in the province, Adana-Turkey, and the education they receive is carried out to investigate the effect of their knowledge level.

Materials and Methods: The research has been applied toy he nurses and midwives who work inCukurova University Balcalı Hospital, Adana Numune Training and Research Hospital, Adana Maternity and intensive care of the newborn in the Children Hospital, gynecology and maternity wards and have receive training Neonatal Resuscitation Program (NRP) since January 2016. Before the sampling in the study, all of the universe has been included in the study. Data were collected using a questionnaire consisting of 40 questions. training related to the NRP (visual presentations, hands-on training on educational books and model) is organized 12 times in the province of Adana, it is given a place in-service training plans to this issue for arranging by The Ministry of Health for each year and in 81 province.

Findings: 97.1% of the 105 people participating in the study are women. Regarding the education level, %7.6 is a graduate of Vocational School of Health, %22.9 of pre-degree, % 62.9 undergraduate, %1.9 is a graduate of the Master. It is determined that %59 of participants (62) works in the neonatal intensive care unit, %14(15) works in clinical obstetrics and gynecology, % 26.7 of (28) works in the maternity ward. % 13.3 of nurses and midwives 0-6 months, %21 in 6 months to 1 year, %30.5 1-3 years, %35.2 4-5 years have joined the NRP training program. Nurses and midwives, the most important and effective action in neonatal resuscitation is the ventilated the babyʼs lung (%98.1), needs to be done to prevent heat loss (%98.1) and questions related to the use of oxygen (%98.1) were correctly answered. The question “Ventilation ratio in chest compressions applications to 2 seconds should be 1 compression 3 ventilation” is answered wrongly by %62.9(66). The question “Identifying risk factors during pregnancy and postpartum allows the identification of all infants need to revive” is answered correctly by only %14.3(15) and the question “ While aspiring the babyʼs nose and mouth as a rule firstly the mouth then the nose is aspired” is answered correctly by %88.6.

Result: Nurse midwives, knowledge and skills of the NRP should be developed with in-service training programs, information should be kept up to date in-service training is repeated periodically after training.

Keywords: Knowledge level, midwife, training, nurses, resuscitation.

Biography:
Researcher who was born in Mersin Turkey, 1987; primary school Adanalıoglu Elementary School andhigh school education at Tevfik Sırrı Gur Foreign Language Weighted graduated. Shewon Karadeniz Technical Universitythe Trabzon Health School of Nursing Department in 2005. She graduated from Karadeniz Technical University, Trabzon Health School Nursing Department in 2009. She has been working as a nurse in Mersin Physiotherapy Physical Therapy Center in 2009 and Ankara Anatolian Hematology and Oncology Hospital in Ankara between 2010-2012. Then She has working in Health Sciences University Adana Numune Training and Research Hospital since in 2012. Currently, she is a graduate student in C.U. Health Sciences Institute Nursing Department.

Investigation of kangroo care that aplly to early newborns who applıed invasive initiatives in delivery room with comfort neo behavior scale

Tuğba Todil1 and Şenay Çetinkaya1

1Çukurova University, Adana, Turkey

Comfort can be defined as a state that the absence of pain and distress, far from anxiety, a little fun and relaxed (peaceful). Child health and disease nurse should bring the solution to physiological problems of the babies, increase the comfort level of the babies to reduce the stres level and ensure the improvement of the environment which the babies are in. This research is planned experimentally for the purpose of investigation of the effect of the kangroo care with the COMFORTneo Behavior Scale applied in very early newborn kangaroo care to the newborn who born with health in invasive interventions in Adana Maternity and Child Health Hospital maternity units.

The research will be made by selecting the babies who has born healthy, full-term and vaginally with random sampling method. Invasive interventions will be applied during the early kangroo care to the infants in the experimental group (n=40) and COMFORTneo Behavior Scale (CBS) will be implemented. Thedatascollected by applying CBS applied without early kangroo care to the infants in the control group (n = 40) in invasive interventions. Invasive procedures performed by a nurse working in the unit and the researchers collecteddatas by observing the transactions. Datas collected with “Baby Information Form”, “Family Information Form” and “COMFORTneo Behavior Scale”.

Any studies about this issue in Turkey wasnʼt found in the scanning of international literatüre. It is seen that this research will contribute to the field of child health and diseasenursing based on the need to fill this gap in literatüre.

Keywords: Birth, Invasive Operations, KangarooCare, Comfort, Newborn

Biography:
Researcher who was born in Adana-Feke Turkey, 1989; primary school Gürümze Elementary School and high school education at Kozan 50th Year High School (YDA) graduated. She won Cukurova University the Adana Health School Nursing Department in 2008. 6th semester of education; in 2011 he received her Erasmusexchange program at the University of Nicolaus Copernicus in Poland. She graduated from Cukurova University Adana Health School Nursing Department in 2012. Sheworked as a nurse at General Surgery Intensive Care Unit of the Cukurova University Health Practice and Research Center Balcalı Hospital between January 2013 and March 2013. Then sheworked as a nurse at the Gastroenterology Unit of Erciyes University Health Practice and Research Center between in March 2013 and August 2014. Currently she is a graduate student in C.U. Health Sciences Institute Nursing Department.

A comprehensive web-based application program (CWAP) to control patientsʼ BPSD for the family caregivers of home-dwelling patients with dementia

Heeok Park1, Minsuk Gang2 and Meera Park3

Keimyung University, South Korea

Aim: The purpose of this study was to develop a comprehensive web-based application program(CWAP) for family caregivers of home-dwelling patients with dementia.

Method: To develop the CWAP, first, the research related to BPSD in patients with dementia were searched and analyzed through domestic and foreign search engines(Pubmed, Ovid, Riss etc.). In addition, seven family caregivers of patients with dementia who show BPSD were interviewedfor a focus group study. Based on the findings of the research review and the focus group study, the contents of CWAP consisted of the definition and symptoms of dementia, causes of dementia, medications of dementia, nonpharmacological interventions, environmental management, communication skills and cope skills to BPSD depending on the different type of BPSD. The CWAP program is on the process adjusted to the application type with the application company based on the comments of professionals related to the application.

Conclusion: The CWAP was developed based on the findings of research review and a focus group. The program was different in terms of that the communication skills and cope skills to BPSD depending on the different type of BPSD. The program needs to be developed to the application form and test the effect of CWAP on BPSD in patients with dementia and family caregiversʼ burden.

Biography:
Heeok Park is an assistant professor in Keimyung University College of Nursing, South Korea. She received her PhD degree from the University of Iowa. Her interesting research area is non-pharmacological interventions to control agitation in patients with dementia.
Minsuk Gang is an assistant professor in Yeungjincollege of nursing, South Korea. She received Ph.D from Keimyung University, South Korea. Her interesting research area is non-pharmacological interventions to control agitation in patients with dementia.
Meera Park was an assistant professor in Hosan University of nursing, South Korea. She received her PhD degree from Keimyung University, South Korea. Her interesting research area is education and intervention for women in pregnancy, child birth and the puerperium.

Effect of white noise record on alleviating the pain of new-born during invasive procedures

Senay Cetinkaya1, MelikeYavas Celik1 and Serap Ozdemir2

1Çukurova University, Adana, Turkey
2Aralık University, School of Health, Academic

Objectives: In painful operations like invasive procedures, it is aimed to analyse the effect ofmakingthe babies listen to white noise CD by using NIPS pain scale.

Methods: This is an experimental type of research made on 60 new-borns, ranging from 0-28 days-old, 28 weeks-old and over, and coming to intensive care unit in Gaziantep CengizGökcek Maternity and Children Hospital in Turkey.

Application of the study has commenced on the date of 1 November 2015 and has been completed on the date of 31 May 2016. Two groups, one is experimental and the other is control group, selected by simple random sampling have. A thirties group selected with simple random sampling which are on condition that an experimental group (being exposed to white noise) and an control group (not being exposed to any action) has composed sample of population.

Babies in experimental group on invasive procedure were exposed to white noise CD. Babies were recorded while they werelistening to white noise during invasive procedure. Then, NIPS pain scale on the questionnaire form and efficiency of white noise have been evaluated by comparing the babiesʼ duration of crying.

Results and Conclusion: Comparison of Chi-square has been made in terms of defining characteristics of the babies in control and experimental group such as gender (p:0.10), kilo (p:0.19), circumstanceof being premature and born mature (p:0.59), races (p:0.60), and type of invasive procedure (p:0.12), and a statistically significant result has not been acquired. As it is also understood from this result, both of the groups are homogeneous and between them there is not a meaningful difference which will influence reliability of study.

Whether gender of babies have an impact on duration of crying has been compared, a statistically significant resulthas not been acquired (p>0.05). Apgar score believed to influence babyʼs duration of crying has also been compared with variables such as head, length, kilo, birth week, delivery method of baby but statistically significant result has not been acquired (p<0.05). New-bornsʼ duration of crying has been found statistically significant in Independent Samples T test (p<0.05) which was performed between two independent groups with a 95% confidence interval. Duration of crying in the group being exposed towhite noise (18.20 sec) has been determined lower than that of control group (44.96 sec). In the end, usage of white noise CD on new-born during invasive procedure has been determined to be applicable.

Keywords: Crying baby, Infant, Pediatric Nursing, NIPS Pain Scale. White Noise.

Biography:
Senay (Ok) Cetinkaya, born in 1967, has completed her bachelor of nursing, masterʼs degree, and PhD in Ege University.
In 1988 she was employed as nurse in ICU at the cardiovascular surgery clinic in Ege University, at the medical faculty hospital. In the mean time she has completed her postgraduate (1991) and PhD (1999) on pediatric nursing. Following her move to Malatya due to a spouse-related transfer (1996), she was employed at the Health Colleges of Inönü (1996-2000), Selçuk (2000-2004), and Ege (2004-2007) Universities. Currently she is working at the Faculty of Health Sciences of Çukurova University, Head of the Department of Pediatric Nursing.
Besides being instructor and vice-principal at the college, she has coordinated and performed in-service training programs to healthcare personnels, carried out symposium vice-presidency, assistant journal editorship and reviewing, and chair in nursing department. She has international articles (8), international boks chapters (6), translation on a vocational book (thesaurus of skills), national chapters of book (2), has led postgraduate thesis (10), research profects (3), and posted many scientific papers (30) in periodicals.

Domestic violence among female healthcare providers: A meta-analysis

Azmat J Khan1 and Tazeen Saeed Ali2

1Aga Khan University, Pakistan

Objective: To estimate the prevalence of domestic violence among married female healthcare providers within the Pakistani context.

Design: A systematic review has been done. Place and duration: From January 1992 to December 2011 the international and national published literature on domestic violence analyzed and scrutinized.

Methodology: Used different electronic databases search engines (CINAHL, Medline, Pub Med, PsycInfo, and Global health), Ancestral, hand searching, and citation tracking. The searched result based on 250 published quantitative articles in English language published in scientific journals; finally 54 articles were selected to review.

Results: Of the total 54 researched articles revealed that worldwide domestic violence prevalence is ranged of 10% - 69% however, in Pakistan it is 30% to 79%. Verbal violence is the most common type which further leads to other form of domestic violence such as emotional, physical, and sexual violence. Internationally, very limited literatures were available on domestic violence among female healthcare providers but, no literature was found in the Pakistani context.

Conclusion: Our literature review reveals that globally female are significantly experiencing in a large proportion with domestic violence and verbal violence in more common. Further research is also need in this regard especially on the ground of domestic violence among healthcare providers.

Keywords: Domestic Violence, Female, Intimate Partner Violence, Married Female, Healthcare Providers

Biography:
I have done RM, RN, Post-RN, MScN, currently working as an Assistant Professor in Aga Khan University School of Nursing and Midwifery Karachi, for twelve years. Prior to this, I was the Head Nurse in Obs/Gyne of the Aga Khan University Hospital and also worked for ten years in the Emergency Department at the same institute. Altogether I have more than 22 years of working experience in different felids of clinical nursing, nursing education and research. My research interests are emergency nursing, women and child health issues, domestic violence and women empowerment. I have done MScN thesis on Prevalence of Domestic Violence among Married Female Healthcare Providers in Tertiary Care Hospitals in Karachi, Pakistan. For which received award The Farida Allana Research Award from Rho Delta Chapter, Sigma Theta Tau international.