ORAL PRESENTATIONS

AESTHETIC & RECONSTRUCTIVE SURGERY

Name-First HayaName-Last alazmiAffiliation / Organization Prince Muhammad Bin Abdulaziz Hospital

City-City RiyadhCountry-Country Saudi ArabiaSpeciality plastic surgeryTopic Hand SurgeryPresentation Title Management of phalangeal neck fractures in children, case series,

review of literature and suggesting technique of management.Introduction / Purpose Digital fractures in children are challenging ; this is generally

attributed to the fragility of the bone, immaturity of soft tissues andthe difficulty of manual reduction of displaced fractures. In general,fractures through the distal metaphysis of digits are classified into 3types: I–stable non displaced transverse fracture.TypeII -transversefracture lines above the physis with unicondylar displacement. TypeIII-oblique fracture in epiphysis region with bicondylar Fracture.

Material and Methods We performed retrospective review of sixteen cases done over aboutfour years our institute, most of the cases were managed by singlesurgeon, we included all patients below 12 years old, both males orfemales and included all types of phalangeal neck fractures – followingQattan’s classification-. We excluded cases were there was more thanone fracture in the same digit, open fractures and fractures associatedwith either tendon or nerve injuries.

Results Among the sixteen cases of phalangeal neck fractures we reviewed, 6cases presented with type IIa fracture,,4 cases with type IId 2 caseswith type IIId for the types IIb, IIb & IIc we had only one patientpresented with each type. 12 out of the 16 patients had successfulclose reduction with utilization of our technique. one patient had openreduction without attempting closed reduction as a surgeonpreference, although was type IIb and 2 cases had open reduction dueto sever displacement

Conclusions Management of phalangeal neck fractures are challenging; onlylimited data are available in the literature. Surgical expertise is animportant determinant of the outcome. Sharing experiences amongthe surgeons performing significant volume of such procedure canhelp both in enriching the literature and improving the overall practice.

Name-First ReemaName-Last AlHammadAffiliation / Organization KING saud universityEmail alhammadreema@gmail.comPhone Number 558833066City-City riyadhCountry-Country Saudi ArabiaSpeciality medical internTopic Reconstructive SurgeryPresentation Title Prevalence of melanoma and non-melanoma skin cancer among

patients who attended king khalid university hospital from (2007 -2018)

Introduction / Purpose Skin cancer is one of the most malignant neoplasm to be encounteredworldwide, with increasing rates of morbidity and mortality. In thisstudy we aim to assess the prevalence of melanoma and non-melanoma skin cancer of patients attending King Khalid UniversityHospital in Riyadh, Saudi Arabia, also to assess the commonestcategory of skin cancer to be encountered among those patients.

Material and Methods This study is a retrospective study, which include all patients (Saudiand Non-Saudi) who attended King Khalid University Hospital (KKUH)at the period of (2007-2018). Data was collected from archives of thepathology department at (KKUH) and categorized into: Melanoma skincancer (MSC), Non-Melanoma skin cancer (NMSC), which included:Basal Cell Carcinoma (BCC) and Squamous Cell Carcinoma (SCC), pre-neoplastic lesions and non-neoplastic skin lesions.

Results 111 patients were reported to have skin cancer out of 9828 caseswhich had other skin pathology. Majority of cases were basal cellcarcinoma with a total number of 76 (68.5%) of all cases. In secondplace came melanoma skin cancer with t total number of 18 (16.2%) ofcases. Third was squamous cell carcinoma with total number of 17(15.3%).

Conclusions (NMSC) is the commonest type of skin cancer in comparison to (MSC)yet (MSC) is much more aggressive with therapy-resistant properties.Early identification of skin cancer can help with early treatment andreduction of mortality and morbidity rates, which in order will reducethe financial burden. further analysis is required.

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BREAST SURGERY

CRANIOFACIAL SURGERY

Anne Harding-Bell PhD, FRCSLT

A principled phonetic-phonological-psycholinguistic approach to changing a child's speech

Abstract: This presentation will be of particular interest to SLPs but it will also be relevant to all clinicians interested in normalising speech patterns in the cleft palate population. A visual model will be used to present insights into the relevance of understanding the precise way that particular sounds are produced in conversational speech with reference to phonetic and phonological principles. This knowledge and understanding should equip SLPs to take a principled approach to therapy planning both in their selection of sounds to target in therapy and in deciding which techniques to adopt.

Clinical and genetic characterization of craniosynostosis; A retrospective cohort study at

King Saud University Medical city

Taghreed Alhumsi 1 , Malak Alghamdi 2 , Ikhlass Altweijri 3 , Waleed H. Alkhamis 4 , Omar

Barasain 5

1 Department of plastic surgery, King Saud University Medical City,

2 Medical genetic division, Department of pediatrics, College of medicine , King Saud

University.

3 Department of neurosurgery, King Saud University,

4 Obstetrics and gynecology, King Saud University Medical City,

5 College of medicine, King Saud University, Riyadh, Saudi Arabia

Abstract

Introduction & Objectives: Craniosynostosis (CS) is defined as premature fusion of one or

more of the cranial sutures and is classified as either simple or complex. CS can present as a

part of a syndrome or as an isolated finding. The aim of this study was to evaluate the clinical

and genetic pattern of CS among Saudi population.

Material & Methods: A retrospective cohort study has been conducted from February 2015

till February 2019 at King Saud University Medical City among patients diagnosed with CS.

all patients were reviewed by the multidisciplinary craniofacial team members. Operative

decision was done based on skull shape, papilledema, and prognosis. Genetic testing was

done using FGFR2 sanger sequencing and exome sequencing.

Results: A total of 28 patients with CS has been identified in our centre, of which 24

patients were operated, of remaining four patients, two refused surgery and two were not

offered due to poor prognosis. 57% (16 cases) of patients were male and 43% (12 cases) were

female. Mean age at surgery among the 24 patients was 16 months. Simple CS was observed

in 18 cases and complex CS in 10 cases. In our population, the most common simple skull

suture fusion was metopic (trigonocephaly). Raised intracranial pressure was detected in 35

% of the patients especially among syndromic cases and the most common grade of

Papilledema were grade I and grade II preoperatively. The Most common procedure done

was cranial vault reconstruction with fronto-orbital advancement, followed by posterior vault

distraction osteogenesis and suturectomy with barrel staving. Genetics aetiology was

identified either by whole exome sequencing, single gene testing.( add a quick genetics

result) add how many novel variants and how many familial and AD and AR.. Parental

consanguinity presented in 28.5% of the patients.

Conclusion: Worldwide, Sagittal suture is the most commonly affected suture in simple

craniosynostosis, but in our population metopic suture fusion was observed to be affected the

most. In our population, due to higher rates of consanguinity, we identified (novel variants

and familial cases ((NUMBERS)) This is the first study conducted about this topic in Saudi

Arabia and further studies needed to investigate the characteristics of CS in our population.

Anne Harding-Bell PhD, FRCSLT

Differential diagnosis based on speech assessment findings in children with cleft palate or suspected VPI

Abstract: When Speech symptoms indicate a need for assessment of velopharyngeal function, investigations are usually undertaken collaboratively by surgeons and speech and language pathologists (SLPs). This presentation uses video extracts of speech assessments and instrumental investigations to illustrate the role of SLP’s in eliciting speech samples during instrumental investigations in order to distinguish between velopharyngeal insufficiency (VPI) and velopharyngeal mislearning (VPM). Clinicians will gain insights into the risk that VPM might be misdiagnosed as VPI, and children might undergo unnecessary secondary surgery.

J Craniofac Surg. 2019 Mar 28. doi: 10.1097/SCS.0000000000005401. [Epub ahead of print]

Low-Cost Desktop-Based Three-Dimensional-Printed Patient-

Specific Craniofacial Models in Surgical Counseling, Consent

Taking, and Education of Parent of Craniosynostosis

Patients: A Comparison With Conventional Visual

Explanation Modalities.

Alshomer F1, AlFaqeeh F1, Alariefy M2, Altweijri I3, Alhumsi T4. Author information 1

Plastic and Reconstructive Surgery Section, Surgery Department, King Khalid University Hospital,

King Saud University, Riyadh.

2

University of Jeddah, Jeddah.

3

Neurosurgery Section.

4

Craniofacial Surgery, Plastic and Reconstructive Surgery Section, Surgery Department, King Khalid

University Hospital, King Saud University, Riyadh, Saudi Arabia.

Abstract

BACKGROUND:

Craniosynostosis is a complex craniofacial deformity. Surgical decision, if needed, is

always hard on the parent and requires the use of multimodalities of explanation. To the

authors' knowledge, there have been no studies tackling family counseling about the

deformity and surgical decision-making process with the use of low-cost patient-specific

three-dimensional (3D)-printed models.

METHODS:

A cross-sectional study investigating the utility of patient-specific 3D-printed models

using a desktop-based 3D printer. Questionnaire was constructed and validated screening

the demographics, knowledge, expectation, and surgical decision-making process

supplied using Likert. Data were collected consecutively from each parent first after

explanation with conventional 3D computed tomography (CT) images, and then repeated

after the 3D-printed model has been presented.

RESULTS:

Fourteen parents were screened. Majority of parents considered the pathology to have a

potential effect of child's functional and aesthetic outcomes. After using the 3D-printed

models, the participants had a clear vision and needed not to read any more about the

condition (P = 0.05, P = 0.019, respectively). Agreement for surgical management was in

favor of the 3D-printed models compared with CT images (P = 0.028). Explanation with

CT images yielded higher mean score in knowledge about potential complications

compared with 3D models (P value = 0.007). For the 3D models, average printing time

was 26 hours, and a mean cost of 5.2$.

CONCLUSION:

The utility of desktop 3D printing is an affordable modality to provide adequate

information about craniosynostosis and can assist surgical decision-making. Knowledge

and adaptation of such cheap technology represents a great skill aiding clinical practice.

Anne Harding-Bell PhD, FRCSLT

The impact of conductive hearing loss on speech in children with cleft palate or non-cleft VPI

Abstract: Several of the speech characteristics associated with cleft palate such as hypernasal resonance, backed articulation, glottal/pharyngeal articulation, nasal fricatives and lateral /s/ have also been associated with hearing impairment. This presentation reviews the potential impact of conductive HL on speech quality in the cleft palate population. Videos of case examples include an unusual type of nasal resonance which when assessed perceptually and instrumentally, appears to be a consequence of auditory misperception rather than velopharyngeal insufficiency. These case examples illustrate the potential benefits of assessing and managing conductive hearing loss before proceeding with surgery for VPI.

The lip: a histologic and analytical approach of relevance to esthetic plastic surgery.

Al-Hoqail RA, et al. J Craniofac Surg. 2009.

Abstract

This is a study done for the first time to understand the histologic features of the lip deeply,

quantitatively, and analytically and identify the differences between the outer, intermediate, and

inner parts of the lips. Previous researchers did not tackle the histologic features of the lip from

this point of view. Half lip was obtained from different well-preserved cadavers where the upper

lip, lower lip, and lip angle were evaluated by coronal histologic sections. A total of 43 slides were

studied and photographed using light and digital microscopes (Nikon COOLSCOPE, Nikon

Corporation, Tokyo, Japan), respectively. The cadavers (26 men and 17 women) were in the age

group of 45 to 65 years old, and older than 65 years. Data were entered on a study pro forma and

statistically analyzed. Normal histologic features of the upper lip, intermediate, and the inner lip

sections were observed. Fibrous septations that sometimes had muscular components inserting

into them could be identified. In between these septations, there were loose areas (chambers).

The mean numbers of chambers identified in the upper and lower lips were higher in the red

areas, and more septations and chambers were identified in the lower lip. New histologic

observations were classified into types 1 to 7. Significant relations were identified between the

total number of septations and chambers in relation to age group and sex. Higher means of

septations and chambers were detected in the age group older than 65 years, and in women as a

whole. In conclusion, the findings detected in this work could explain the congenital lip pits that

are familial or syndromic and many post-lip augmentation complications.

PMID 19480032 [Indexed for MEDLINE]

Use of Acellular Dermal Matrix in Cleft Palate Surgery, King Saud University Medical City Experience

Alkattan A, Almarghoub M, , ahmed A, gelidan A, alhumsi T.

Introduction: Palatoplasty is a commonly performed procedure that requires maximum attention to all details. Different cleft palate repair techniques have been described to achieve efficient results and decrease complications rate. Postoperative fistulae are one of the most challenging complications after palate repair. In this clinical study, we reviewed the charts of patient who had underwent palatoplasty using acellular dermal matrix (ADM) as an adjunct to facilitate difficult cleft palate and palatal fistula closure.

Methods:A retrospective, comparative, single-center study, in which charts for cleft palate patients from 2015 to 2018 were reviewed. Patients who underwent cleft palate or palatal fistula

repair with and without ADM were included. Fischer’s exact test was used to compare the two groups (primary cleft palate repair with and without ADM) in relation to fistula rate postoperatively.

Results: A total of 31 patient charts were reviewed. ADM was used in 13 patients; 61.5% were primary repairs and 38.5% were fistula repairs. Eighteen patients were repaired without using ADM;88.9% of whom were primary cleft palate repair and 11.1% were fistula repairs. The statistical analysis showed no significant difference in fistula rate or recurrence in the both groups.

Conclusion: ADM is a simple, safe, and helpful tool for augmenting cleft palate repair, mainly in relatively wide and high-tension cleft palate repairs. We have noticed a trend of decreased

complications with ADM. Therefore we recommend a larger multi-centered study with larger sample to assess the siginificnane of ADM in cleft palate and palatal fistulae repair.

NURSING

Name-First Wafa'aName-Last Ta'anAffiliation / Organization Jordan University of Science and Technology

City-City IrbidCountry-Country JordanSpeciality NursingTopic NursingPresentation Title A Multidisciplinary Assessment of Social Support Relationship with

Occupational Stress, and Psychological Symptoms.Introduction / Purpose Aim: This study investigates the relationship of occupational stress and

social support with stress, anxiety, and depression amongmultidisciplinary healthcare professionals. Background: Professionalsfrom all disciplines suffer from occupational stress. By nature, someprofessions experience more stressful situations than others. Althoughit is extremely challenging to eliminate stress in professionals’ dailylives, providing social support can improve psychological well-being.

Material and Methods A cross-sectional descriptive design was utilized. Self-administeredquestionnaires were completed by a convenience sample of 211participants (physicians, nurses, and pharmacists) from agovernmental hospital in Jordan.

Results Depression is significantly negatively correlated with social support.Females had higher depression and anxiety than males. Pharmacistshad significantly higher mean scores of occupational stress than bothnurses and physicians.

Conclusions Occupational stress negatively influence healthcare professionals’mental health. Providing social support in the workplace is essential todecrease the level of occupational stress, anxiety, depression, andstress for nurses, physicians, and pharmacists.

Name Ibby YounisAffiliation / Organization London

City LondonCountry United KingdomSpeciality Plastic SurgeryTopic NursingPresentation Title Advanced Wound Care TechniquesIntroduction / Purpose I will demonstrate how we use Negative Pressure Wound Therapy

(NPWT) – incisional and/or with installation (NPWTi) as an adjunct toachieve very successful outcomes along with other innovativetherapies:

Material and Methods A novel treatment protocol in osteomyelitis that has resulted in over20 cases of no recurrence at follow up (range of 1 – 3 years).Complex wounds such as necrotising fasciitis & hidradenitis and howto optimise integration of dermal matrices and skin grafts.

Results A new technique which allow successful isolation of enterocutaneousfistula to optimise wound management.Protocol for 100% successfully salvage of over consecutive cases ofacutely infected implants in breast reconstruction.

Conclusions The presentation will demonstrate how NPWT and other innovationshas aided the salvage of many complex clinical scenarios – fromcomplex to simple.

Title

Barriers Affecting Collaborative Working between Nurses in a Multicultural Setting in Saudi Arabia

Authors

1. Dr. Rasha Alturki - king fahad hospital of the university

Background

This research examines the factors that impair effective collaborative working in a highly multi-cultural

healthcare setting - a large hospital in Riyadh in the Kingdom of Saudi Arabia (KSA).

Methods

A qualitative case study approach was used. Eighteen semi-structured interviews were conducted to

better understand how nurses and nurse managers perceive culture and how this impacts ineffective

collaborative working in a large hospital in Riyadh in the Kingdom of Saudi Arabia (KSA). A literature

review guided the development of an interview schedule, underpinned by the Purnell Competence

Model (Purnell, 2002). The results of all interview data were collected, transcribed, and analysed

inductively and deductively.

Results

Fourteen items in total from the in-depth semi-structured interview helped to identify the barriers of

multicultural nurses working together. The Purnell Model proved its efficiency to be used for

multicultural nurses’ collaboration in a Saudi hospital, but a further three themes emerged beyond the

Purnell Model of Cultural Competence to better describe the current case study

Conclusion/application to practice

In order for optimal healthcare to be provided by multicultural nurses, it is essential that they

collaborate effectively. This can be accomplished through appropriate practices, training, education, and

research, as well as professional and self-awareness through cultural competence; publicising ethical

guidelines and enacting regulation by the Ministry of Health in KSA.

Name-First NajlaName-Last BarnawiAffiliation / Organization King Saud Bin Abdulaziz University for Health Sciences KSAU-HS

City-City RiyadhCountry-Country Saudi ArabiaSpeciality Community NursingTopic NursingPresentation Title Concept Analysis of Nursing WisdomIntroduction / Purpose Wisdom is the heart of developing a personal philosophy that impulses

the individual to seek true knowledge. Exploring wisdom in nursingprofession is an essential element as it is construct the nursingidentity. Nursing as a discipline has needed to traverse varioushistorical and social controversies that blur the image of nursingidentity within the healthcare context. The aim of this concept analysisis to propose nursing wisdom as a new concept in nursing discipline.

Material and Methods Rodgers' evolutionary method (Rodgers 2000) is utilized to conductthe proposed concept analysis. This method is based on philosophicalpositions that view a concept as an abstracted phenomenon thatrequires further expression. The essential principles of the systematicreview methodology of the University of York report No. 4 was used forthe purpose of this manuscript.

Results The study findings demonstrate that there are four major dimensionsthat are included the concept of wisdom in the nursing profession.These dimensions are moral and ethical aspects, nursing managementand leadership, clinical nursing experiences and nursing education.

Conclusions In conclusion, understanding the concept of nursing wisdom improvesthe professional identity and autonomy by empowering accuratenursing knowledge and epistemic knowing process.

Name-First SalmaName-Last SalamiAffiliation / Organization Community Health Nursing Master Student at King Saud University

City-City RiyadhCountry-Country Saudi ArabiaSpeciality Community Health NursingTopic NursingPresentation Title Factors Influencing Nurses’ Intention of Reporting Child Abuse in Saudi

ArabiaIntroduction / Purpose This study was conducted to bridge key gaps in the existing literature

by 1) identifying the factors that influence nurses’ intention to reportchild abuse in Saudi Arabia, 2) examining the patterns of intention toreport child abuse based on the types of abuse and the significance ofthe harm, and 3) assessing whether there are differences in patternsof intention to report between nurses in different clinical practice areas(emergency, inpatient pediatric, and primary healthcare nurses).

Material and Methods A two-phase study design was used. In Phase one, a pilot study wasconducted to adapt and translate the Child Abuse Reporting IntentionScale (CARIS) and to assess its reliability using a sample of 60 nurses.In Phase two, a descriptive cross-sectional design was used.

Results the results of this study showed (91.1%) of nurses did not report anychild abuse cases. (16.9%) of nurses failed to report suspected casesof child abuse. Multiple regression results revealed that nurses’knowledge (β=0.210), subjective norms (β=0.218), and institutionalresources and support (β=0.138) significantly predicted (23%) ofnurses’ intention to report child abuse cases (F= 14,55, p =.000).

Conclusions Conclusions: The study revealed that under-reporting of child abuse bynurses is a huge issue, and there are high numbers of nurses withouteducation about this devastating health problem in Saudi Arabia.Nurses’ intention of reporting is predicted by nurses’ knowledge,subjective norms, and institutional resources and support. Thus,interventions that focus on enhancing nurses’ knowledge andproviding a supportive environment to promote a reporting abuse caseare highly required.

Name Zakaria EbdahAffiliation / Organization King faisl speciality hospital and research centre

City RiyadhCountry Saudi ArabiaSpeciality NICUTopic NursingPresentation Title Incidence of Infection Using Peripherally Inserted Central Catheters

(PICC) and Other Central Venous Catheters in Neonate: Single tertiarycenter experience

Introduction / Purpose A central line-associated bloodstream infection (CLABSI) is defined asa laboratory-confirmed bloodstream infection not related to aninfection at another site that develops within 48 hours of a central lineplacement.The purpose was to compare the rates of catheter-associatedbloodstream infection (CLABSI) in neonates who received aperipherally inserted central catheters (PICC) versus other centralvenous catheters over 3 years period

Material and Methods This retrospective cohort study examined data from infantsAdmitted between January 2016 and December 2018 to neonatalintensive care unit. The primary outcome was number of infants withCLABSI per 1000 catheter days, which was compared between the 2groups.

Results Out of 8879 catheter days over the period of the study, 4259 catheterdays were for (PICC) and 4620 catheter days were for other centralvenous catheters. There was a significant difference in infants withCLABSI/1000 catheter days between the 2 groups (0 vs 2.59/1000catheter days, respectively

Conclusions There was a significant difference in the incidence of CLABSI betweeninfants who had a PICC compared to other central lines. PICC linemight be better for the prevention of CLABSI in neonatal intensive careunits. A prospective randomized controlled trial is justified to furtherguide practice regarding venous access and reduction of infection.

Name-First MohammedName-Last DerwishAffiliation / Organization King Saud University Medical City- University Diabetes Center

City-City RiyadhCountry-Country Saudi ArabiaSpeciality Diabetic Foot Specialist RNTopic Burn & WoundPresentation Title Leading Diabetic Patient To a Life Free of Diabetic Foot UlcerIntroduction / Purpose The prevalence of diabetes among Saudi population is almost 24%,

and mainly type 2 due to life style changes and some geneticbackground. The worrying high rate of occurrence and recurrence ofdiabetic foot ulceration requires a new management approach. Themost common reason that patients are admitted to the hospital is for:"a hole, called an ulcer, in the foot. We should not only focus on fastulcer healing but also maximizing diabetic foot in remission andpreventing ulcer formation.

Material and Methods Mandatory foot exam in the pre-clinic setting will enhance lower limbsalvage. King Saud University diabetes center is a referral centerdealing with more than 15 000 diabetic patients yearly. We sought toimplement a mandatory foot exam policy referral in our pre-clinicsetting for foot screening and follow up to prevent lower limb burdens.

Results Between 2011-2016 out of 66 784 patients only 255 were found tohave an ulcer. The number of pedal ulceration event decreasedsignificantly from 84 to 19 screened ulcer (80%) while the number ofscreened patients was 94% coming from 62% after implementation ofthe mandatory foot exam referral.

Conclusions Ulcer, wound and amputation prevention in diabetics utilizing foottyping that best serves the diabetic is to look at the functional forefoottype and state the location of forefoot callus for each of the CommonFoot Types. Whether these calluses exist or not on a patientsbiomechanical timeline, these areas are accepting greater than normaltissue stress which will cascade to ulceration unimpeded in the face ofdiabetic neuropathy and must be decompensated biomechanically.

1

Nursing Leadership to Deliver Compassionate & Empathetic Care

Noura A. AlMadani, RN, BSN,CI, MSN and PhD

Assistant professor @ PNU

Abstract

In a compassionate health care system, patients and staff would feel listened to, supported, and

cared for. Staff would feel empowered to show attentive kindness, to be attuned to their own

needs and those of their patients, and to be free to take appropriate actions to relieve suffering.

This presentation will give an over view about the current compassionate care; what would

compassionate health care look like? Why do we need compassion in health care? how to create a

culture of compassion in the healthcare workplace? and How to improve compassionate care in light of

changing technologies?.

Compassion is an ethical obligation that reminds healthcare providers of their responsibility to

always act in the best interest of patients while caring for themselves as well. Healthcare

providers can deepen their individual capacity for compassion, but without systemic and

organizational support, compassionate care will be impossible to sustain & patients will

continue to suffer needlessly.

Name Manaf AlazzawiAffiliation / Organization King Abdulaziz Medical City - King Saud Bin Abdulaziz University

City RiyadhCountry Saudi ArabiaSpeciality Plastic SurgeryTopic Burn & WoundPresentation Title Pathophysiology of Wound HealingIntroduction / Purpose A brief presentation about the pathophysiology of wound healing going

through phases of the body natural response to wounding.Material and Methods NAResults NAConclusions NA

Name-First MousaName-Last asiriAffiliation / Organization Prince Sultan Military Medical City (PSMMC)

City-City RiyadhCountry-Country Saudi ArabiaSpeciality Wound CareTopic Burn & WoundPresentation Title Platelet rich plasma (PRP)Introduction / Purpose This review summarizes recently known facts about the physiological

role of specific PRP components and guidance. Also, this reviewdiscusses the different procedure for PRP generation and the potentialeffect of leukocytes on wound healing

Material and Methods this review discusses the different procedure for PRP generation andthe potential effect of leukocytes on wound healing

Results This review summarizes recently known facts about the time woundhealing

Conclusions This review summarizes recently known facts about the physiologicalrole of specific PRP components and guidance for wound healing

Name-First DianaName-Last JaradatAffiliation / Organization Jordan University of Science and Technology

City-City IrbidCountry-Country JordanSpeciality Health promotion and healingTopic NursingPresentation Title QUALITY OF LIFE AMONG WOMEN WHO HAVE EXPERIENCE INTIMATE

PARTNER VIOLENCE: the mediation effects of mastery and socialsupport.

Introduction / Purpose The purpose of this study was to test a theoretical model that explainshow women’s recent and ongoing experiences of Intimate PartnerViolence affect their Quality Of Life and whether social support andmastery mediate this process.

Material and Methods A secondary analysis of data from a sample of 250 women whoparticipated in Wave 5 of the Women’s Health Effects Study wasconducted to address the study purpose.

Results The proposed theoretical model was found to fit the data. Specifically,the severity of recent and ongoing IPV was found to affect women’sQOL directly and, indirectly, through mastery and social support,although the strength of the path coefficients differed.

Conclusions in conclusion, The findings underscore the significance of consideringrecent and ongoing IPV experiences and women’s resources includingsocial support and mastery as key factors shaping QOL afterseparation from an abusive partner.

Name Mohammad AloufiAffiliation / Organization Bisha University

City MadinahCountry Saudi ArabiaSpeciality Mental Health NursingTopic NursingPresentation Title Reducing stress, anxiety and depression in undergraduate nursing

students: systematic ReviewIntroduction / Purpose Aim/ Objective

Nursing students can experience high levels of stress, anxiety anddepression during their undergraduate education. Stress, anxiety anddepression levels and length of exposure to stressors can influenceacademic performance, wellbeing, coping mechanisms, patient careand the quality and safety of health services. The objective of thestudy was toidentify interventions that reduce stress, anxiety and depression inundergraduate nursing students during their academic life.

Material and Methods MethodsA quantitative systematic review, according to the Joanna BriggsInstitute methodology, was conducted. The review considered studiesthat included undergraduate nurses and which evaluated stress,anxiety and depression interventions. Study outcomes were reductionof stress, anxiety or depression levels among undergraduate nursingstudents. The review included experimental studies published inEnglish from 2008 to 2018.

Results A total of 1579 studies were identified following a systematic searchand 931 studies were screened by title and abstract. A total of 44studies were critically appraised resulting in 22 studies for inclusion inthe systematic review. Ten studies focused on stress, 14 studiesfocused on anxiety and seven studies on depression. Eighteen of the22 interventions were found to significantly reduce the student’sexperiences of stress, anxiety or depression.

Conclusions There were a wide range of interventions identified to assist nursingstudents to overcome their experiences of stress, anxiety ordepression and thus improve academic outcomes and provide qualitypatient care. Those interventions that sought to improve students’coping management skills, such as mindfulness-based interventions,were found to be most effective.

Name MANAL BANASERAffiliation / Organization MINISTRY OF HEALTH

City RiyadhCountry Saudi ArabiaSpeciality oncology nursingTopic NursingPresentation Title Supporting self-management in cancer care in Saudi Arabia: A

conceptual framework to inform nursing practiceIntroduction / Purpose Cancer patients are increasingly demanding a multidimensional

approach to care including physical, emotional, psychological andspiritual functions.The ascent of patient- centered care in recent yearshas been driven by the recognition that care can often be moreeffective when it is tailored to specific patients’ needs.The aim of thispaper was to develop a conceptual framework of self-managementsupport model in cancer care that fit patient needs and inform nursingpractice.

Material and Methods This framework developed by review of literature and concept analysisto identify antecedents , attributes and outcomes of nurses’ role inself-management support and suggest interventions that can betested to promote patient oriented approach and quality of life forcancer patients.

Results A current transition faced is to incorporate person-centered care asnew model of care in all healthcare services provided. Nurses play keyrole in care delivery for cancer patients. Nurses’ role and acquiredskills are equally important to enable self-management support incancer patients.

Conclusions This Conceptual framework of self-management support model incancer care fit patient needs and inform nursing practice. Nurses playkey role in care delivery for cancer patients. Nurses’ role and acquiredskills are equally important to enable self-management support incancer patients.

The impact of education session to

increase awareness among the

community member according to

Rogers’ (1983) “Diffusion of

Innovations model” .

Dr. Nojoud AlReshidi

Assistant professor

Hail University

Mother and child health care department .

ROGERS’ MODEL OF DIFFUSION OF

INNOVATIONS

Basics of the Model

Diffusion is the process by which an innovation is communicated through certain

channels over time among the members of a social system.

Innovation is any new idea, new behavior, new product, new message i.e., a new

thing that one brings to you for your adoption.

Elements within Diffusion of Innovations

Innovations

Communication

channel

Time

Social systems

1

2

3

4

1- Innovation

Innovation development occurs after a

problem has been defined thereby

creating a need for further research

and development.

Innovation is not limited by time, rather

the individual’s perception of the

originality of the innovation is central

instead of its actual age.

2- Communication channels

This communication must be composed

of an innovation, a participant who has intimate

knowledge of that innovation, an individual

who remains unaware of the innovation, and a

channel that permits discussion between the

two individuals

3- Time

4- Social systems

Social systems also determine

an innovation’s interpretation.

A social system contains a

series of interconnected pieces

that join to solve a problem or

reach an objective (Rogers,

1983).Structure must be

deduced before any innovation

can be implemented.

Adoption of innovation step process

Knowledge

Persuasion

Decision

Implementation

Confirmation

Person becomes aware of an innovation

and has some idea of how it functions

Person forms a favorable or unfavorable

attitude toward the innovation

Person engages in activities that lead to a

choice to adopt or reject the innovation

Person puts an innovation into use

Person evaluates the results of an

innovation-decision already made

The impact of the education session on

Knowledge, Attitude and behavior to

increased the awareness

Knowledgeintrapersonal Factors drove this change.

Women were hungry for knowledge and

continued to learn after the intervention. This

was a matter that was within their control

that they felt needed to be disseminated to

other women.

LOCUS OF IMPACT

Attitudes

Intrapersonal Factors and Extra-Personal Factors

were influential in this. Women almost needed

permission to admit to a change in attitude. They

started from the default position of wider cultural

and societal expectations but moved to a position of

questioning the essential need for these to remain

unchanged.

Behaviour

Wider Extra-personal Factors were the main sources of

barriers to initiation & maintenance of breastfeeding.

Society was not ready. Cultural expectations threatened

loss of self-esteem if women engaged in breastfeeding

outside the home. Sometimes these factors seemed to

be too overwhelming, though there were also suggestions

that things could change eventually.

A POSITIVE OUTLOOK

A societal change would be easier to

influence than a cultural change

Name-First AmaniName-Last BusiliAffiliation / Organization college of nursing-KSU

City-City RiyadhCountry-Country Saudi ArabiaSpeciality nursing community healthTopic NursingPresentation Title The knowledge of Primary Health Care Nurses Related to Diabetes-

Specific NutritionIntroduction / Purpose Saudi Arabia is ranked the top country in terms of diabetes prevalence

among Middle East and North Africa countries. The importantcomponent of diabetes self-management is nutrition.nurses have anopportunity to adopt three levels of prevention for diabetes andimprove diabetic patients’ self-management. The purposes of thisstudy were to assess primary health care nurses’ level of knowledgerelated to nutritional management of diabetes; other purpose see it inthe abstract file please

Material and Methods Cross-sectional study of 163 PHC nurses in Jazan, Saudi Arabia wasconducted. A convenience sampling was used. Diabetes nutritionalknowledge was assessed using a 20-item nutritional management ofdiabetes knowledge test. Data was collected from each nurse twotimes for test-retest to assess the scale reliability by using theintraclass correlation coefficient (ICC) for estimating the level ofconsistency between repeated assessments.

Results The result will be available before DecemberConclusions The study findings can help in understanding the need of PHC nurses

in terms of diabetes nutrition knowledge as well as designing andimplementing programs for them. Nurses’ knowledge is important toenhance the promote the health and well-being of diabetic patient.

Name-First dalyalName-Last alosaimiAffiliation / Organization KSU

City-City RyidahCountry-Country Saudi ArabiaSpeciality nursingTopic NursingPresentation Title the prevalence and incidence of pressure ulcers in people with long

term conditions resident in care homes or nursing homesIntroduction / Purpose Objective: To identify the prevalence and incidence of pressure ulcers

in people with long term conditions resident in care homes or nursinghomes

Material and Methods We originally intended to conduct a systematic review but were unableto obtain the resources needed for a full systematic review. Thisreview is informed by systematic review methodology but we onlyclaim to have conducted a narrative review, abeit a robust narrativereview. We used guidance and instructions suggested in the PRISMAstatement (Preferred Reporting Items for Systematic reviews andMeta-Analyses). (22) The standard for conducting systematic reviews

Results 815 references were retrieved after removal of duplicates. 50appeared to meet inclusion crtiteria following abstract screening ofwhich 33 were found to not meet them in the full text screening.Common reasons included data taken from medical records, surveysor interviews with no physical examination, no data on prevalence orincidence or no sample size given.This left 17 selected for the finalreview. one study reported incidence (28) of 25% in Hong-Kong carehomes but this was a small sample

Conclusions Pressure ulcers are a common problem in long term care. Howeverthere are substantial differences between countries and manycountries have no published data. Prevalence varied by a order ofmagnitude between countries with rates of 32.4% in the Netherlandsand 3.4% in the most recent German study. However the Netherlandsstudy is dated and prevalence may be lower now. Some countrieshave no data, for example the UK. Germany is unusual in havingannual prevalence studies

Name Huda Abu-Saad HuijerAffiliation / Organization American University of Beirut

City BeirutCountry LebanonSpeciality NursingTopic NursingPresentation Title Transforming Healthcare through Advanced Nursing EducationIntroduction / Purpose The new millennium has provided the health care field with major

challenges. The population has become older and sicker, with morepeople suffering from chronic illnesses than ever before. New medicaltechnologies and scientific advancements in curing disease and inprolonging life have contributed to this shift.

Material and Methods As a result, more emphasis in health care has been placed on thecontribution of nurses to the quality and safety of care. Shorterhospital stays and the provision of care in the home setting havebecome more the norm than the exception. The coordination andmanagement of care continue to receive as a result major emphasis.

Results These developments are apt to create new positions in health care,develop new roles, extend and change existing boundaries, andtransform health care delivery. Advanced Nurse Practitioners will beresponsible for adjusting the boundaries for the development of futurenursing practice.

Conclusions During this lecture, the importance & effectiveness of new roles will behighlighted. Emphasis will be placed on providing evidence on theeffectiveness of new expanded roles, on extending the boundaries ofnurse professionals, and on establishing multidisciplinary partnershipsin the care process to ensure the provision of safe and high qualitynursing care.

Name MANAL BANASERAffiliation / Organization MINISTRY OF HEALTH

City RiyadhCountry Saudi ArabiaSpeciality NursingTopic NursingPresentation Title Nurses Compliance with Pressure Ulcer Prevention Guidelines In

Ministry Of Health Facilities: A Cross Sectional StudyIntroduction / Purpose Since 2017, the Guideline for the Prevention of Pressure Ulcers was

approved and distributed in MOH sectors, but no information wasavailable on guideline adherence in care. The aim of this study is toevaluate guideline adherence of measures for the prevention ofpressure ulcers in public hospitals and long-term care facilities acrossMinistry of Health.

Material and Methods A cross‐sectional survey of pressure ulcer guideline adherence wasperformed in a sample of 43 public hospitals, 10 of is long-term carefacilities in Saudi Arabia. The Guideline (MOH –PU guideline 2017) forthe Prevention of Pressure Ulcers was the reference standard for theevaluation of the guideline adherence.

Results Of the 43 hospitals at risk, 33 (85 %) received preventive measures,which were in adherence to the MOH Guideline for Prevention ofPressure Ulcers (2017). 15 % of hospitals were administeredmeasures, which did not adhere to the Guideline for Prevention ofPressure Ulcers. For subjects with at least one pressure ulcer, theproportions were 75% adherence, 15% no adherence and 10% noprevention.

Conclusions The adherence of to the guideline for pressure ulcer prevention wasreasonable. Further studies needed to assess and compare changes toadherence in longitudinal basis.

Name Abdul-elah AlhaidaryAffiliation / Organization King abdulaziz university hospital

City RiiyadhCountry Saudi ArabiaSpeciality Critical careTopic NursingPresentation Title Director of NursingIntroduction / Purpose Introduction:

Many patient in the Intensive Care Unit (ICU) are unable to speakbecause of the artificial airways required to facilitate mechanicalventilation, because patient cannot protect his airway and cannotbreath by himself therefore he cannot as we mention before speak orcommunicate and as we know communication is a basic need for ahuman being so he can have his desire, needs and wishes.

Material and Methods Oral presentationResults Findings:

It is found that there no constant tool to communication with patientwho is with tracheostomies, and there are a strong need to have aconstant method of communication with patient with tracheostomies.

Conclusions Health care providers shows positive perspective towards using astandard tool of communication with tracheostomies patient in theICU.

Name-First WardaName-Last Al AmriAffiliation / Organization Oman College of Health Sciences

City-City MuscatCountry-Country OmanSpeciality NursingTopic NursingPresentation Title Vulnerability in Patients’ Care: A Nurse’s GuideIntroduction / Purpose The purpose of this presentation is to highlight issues related to

vulnerability in patients' care at both at patient level and nurses level.Also it will address measures that can be implemented to addressthese.

Material and Methods Literature reviewResults patients may experience positive-, negative- experiences and

outcomes of communication with healthcare providers that may affectthe vulnerability and integrity balance. In addition, there are otherconcepts around patients care that involves the healthcare providers’own vulnerability, ethical formation and suffering.

Conclusions Vulnerability is experiences by both patients an nurses. There is aneed for measures that takes into account both patients’ and nurses’expectations.

Name Azza AhmedAffiliation / Organization Kfsh and RC

City RiyadhCountry Saudi ArabiaSpeciality Wound specialistTopic NursingPresentation Title Wound assessmentIntroduction / Purpose HOlistic wound assessment will help in plan of care accelerate wound

healing. Team approach promote the out come and patient safetyMaterial and Methods Power pointResults Proper assessment

Tissue typePatient education

Conclusions Proper holistic , regular wound assessment and documentation willfacilitate wound healing

Name Omar KhammashAffiliation / Organization 3M+KCI company

City DubaiCountry United Arab EmiratesSpeciality Clinical educationTopic NursingPresentation Title Wounds clinical pathway�Acute to post-acuteIntroduction / Purpose Complex wounds present a challenge to both the surgeon and patient

in operative management, long-term care, cosmetic outcome, andeffects on lifestyle, self-image, and general health.Each patient with complex wounds usually manifests multiple riskfactors for their development.

Material and Methods Reflective analysis of current practices, highlighting woundsassessment, wound bed preparation, step down protocols, and role ofwound care nurse addressing all those.

Results More patients can be set for step down, considering all propermanagement protocols helping the patient to be compliant and readyfor wounds' closure.

Conclusions Please make the patient and patients' expectations the center of yourconcerns, as a wound care provider.