Biography:

Harrieth Gabone-Mwalupindi has completed her PhD in Nursing Education in September 2016 from Capella University. Currently, she is working at High Risk Women’s Health Department at University of Cincinnati Medical Center as a Clinical Program Developer (Clinical Nurse Educator) from more than four years and has been an Obsteric Nurse for 17 years. She has enjoyed working in Women’s Health clinical practices and engaging in research to provide current evidence base practices to nurses, nursing students, and medical residents at the UCMC.

Abstract:

Nurse preceptors are a vital part in facilitating knowledge application and acquiring of clinical nursing skills. Nurse preceptors come from various background of training for the role and may encounter challenges with orienting nursing students and novice nurses. Nurse preceptors’ orientation challenges may interfere nursing students’ and new nurses’ learning opportunities, which may lead to less than optimum learning environment. Understanding nurse preceptors’ self-reported role preparation may shed light to the preceptor-orientee learning process. The purpose of the study was to compare self-reported feedback of nurse preceptors who received formal training and that of nurse preceptors without formal training. A descriptive-comparative design following a non-randomized, convenient sampling strategy was employed on level I trauma and academic center nurses (n=350). The two theoretical frameworks were Benner’s theory from Novice to expert and Kolb’s (1984) theory Experiential learning were incorporated into this study. Instrumentation for the quantitative study included the Nursing Clinical Teacher Effectiveness Inventory tool. Results included a significant difference with p-value of less than 0.05 between nurse preceptors who received formal training from those without training on the interpersonal relationship of teaching construct category. The findings may be used to guide nurse educators and managers on developing and supporting training for nurse preceptor role, and may add to the body of nursing knowledge regarding the nurse preceptors’ self-reported.

Biography:

Thiwawan Thepha is currently perusing her PhD from the University of Aberdeen. She is a Lecturer at Khon Kaen University in Thailand, where she has been trained as a Midwife and has more than 10 years of experience

Abstract:

Improving the rate of six months exclusive breastfeeding (EBF) is an international challenge. Despite various interventions and initiatives aiming to improve this rate in Thailand, the six months EBF rate dropped from 27% in 2009 to 14% in 2013 in Northeast Thailand. The aim of this study was to develop a feasible six months EBF intervention model for Northeast Thailand utilizing concept mapping. A convenience sample of 22 participants including healthcare professionals and volunteers and community leaders were involved in the six concept mapping steps. Stakeholders were informed of the outcome of previous research identifying the facilitators and barriers to six months EBF, which led to the generation of possible interventions. Participants were asked to rate the feasibility of the interventions and to group them, allowing multi-dimensional scaling and hierarchical cluster analysis to be conducted. The outputs of the analysis were point rating, cluster and cluster rating maps which were shared with the stakeholders to reach consensus on a three-year intervention model. The proposed intervention model includes 15 feasible interventions clustered into three clusters namely health care services, education packages and community services. The healthcare services cluster was selected as the priority to be implemented within the first year, but aspects of the education packages namely those for families and parents were also proposed to be implemented in the first year. Most interventions in the community services and broader community education aspects were selected for implementation in the second year and health promotion opportunities were proposed for the third year breast feeding.

Biography:

Linda McDaniel is a Certified Nurse Midwife practicing in the Atlanta area and Course Faculty at Frontier Nursing University. She earned her DNP and MSN degrees from Frontier Nursing University. She is a Volunteer for Shared Hope International. She is currently conducting research on this topic of human trafficking and the impact it has on her community. She is passionate about this topic and utilizes opportunities to inform communities about this growing problem.

Abstract:

Human and sex trafficking has been a problem most individuals believe is only associated with events occurring outside of the United States. Unfortunately, this is a common misconception and this problem is prevalent and uprising in the United States. The exact number of cases in the United States is unknown but there are reported cases in every state. The youth of America are at an exponential risk of being exploited and becoming victims of human sex trafficking. Although youth and vulnerable populations are typical targets for sex trafficking, anyone is at risk of being a target. A victim of sex trafficking is defined by US federal law as an individual under the age of 18 who performs commercial sex through force, fraud or coercion, or is induced into commercial sex. Sex traffickers utilize different methods of manipulation to entrap and coerce their victims to perform sex acts they are unwilling to perform. This leads to some form of child or adult prostitution. Labor traffickers may embellish potential employment, education, or travel opportunities to recruit individuals to work in subservient roles resulting in hostile work conditions and inability to regain their freedom for various reasons. These acts translate into a form of modern day slavery. These victims are at risk for physical and psychological trauma that may be longstanding. With the increasing rise of these victims in our communities, most healthcare providers have not received the proper training to identify potential victims and resources to report and assist these individuals

Biography:

Manisha Bhandankar is Professor of Pediatrics with special interest in Neonatology at KLES University, Belgavi, and Karnataka, India. She is actively involved in training health care workers from resource limited settings to provide essential newborn care in India. Her research work in “Transitional adaptation in newborn delivered in tertiary care hospital and in primary health center in India” has contributed to understand the issues involved in care of newborns in various level of health set ups in India. Her recent work involved study of “Determinants of antenatal and postnatal maternal and newborn care service utilization and contributing factors”. She is also involved in various Perinatal Health Education Programs in India

Abstract:

Statement of the Problem: Immediately after birth it is crucial for the newborns to maintain normal body temperature for successful transitional adaptation. Postnatal thermal adaptation of newborns requires essential newborn care to be provided by health care professionals and close family members of the baby. The number of institutional deliveries has increased in India in the last decade but has not much altered the neonatal mortality rate. Provision of essential newborn care through education and training is of paramount importance to this effect. This study shows how the postnatal thermal adaptation differs for newborns delivered in tertiary care hospital and primary health centers in India.

Methodology: We continuously recorded and plotted changes in both abdominal and sole skin temperature from birth to 12 hours of life in term newborns delivered vaginally.

Findings: Neonates are under significant cold stress when delivered in primary health centres due to limited resources and lack of awareness among health professionals.

Biography:

Yu-Feng Wang has completed his PhD from Fukui Medical University and Post-doctoral studies from Yale University School of Medicine and University of California-Riverside. He is the Director of Laboratory of Neuroendocrine Studies in Harbin Medical University. He has published more than 35 papers in reputed journals and has been serving as an Editorial Board Member of the Frontiers in Cellular Neuroscience.

Abstract:

Milk shortage and aberrant maternal behaviors in women with cesarean section (CS) have become an increasing concern for the health of mothers and the babies recently; however, the underlying mechanisms and optimal therapeutic approaches remain to be explored. In this study, we found that CS significantly reduced’ retrieving, anogenital licking and suckling behaviors of rat dams while increasing the rate of self-grooming. Moreover, early dam-pup contact evoked more self-grooming while delayed maternal contacts resulted in severe hypogalactia. Intranasal application of oxytocin (OXT), a hypothalamic neuropeptide largely restored normal pattern of maternal behaviors in the CS dams. In whole-cell patch-clamp recordings putative OXT neurons in the supra optic nucleus (SON) in brain slices from the CS dams had lower firing rate and more depolarized resting membrane potential. Western blot and immunohistochemical analyses revealed that CS increased the expression of phosphorylated extracellular signal regulated protein kinase (pERK) 1/2, particularly at non-OXT neuronal components and glial fibrillary acidic protein (GFAP) of astrocytes in the somatic section of the SON. In the CS dams, intranasal application of OXT increased c-Fos protein in the area rich in OXT neurons but reduced GFAP in the somatic section of the SON while decreasing pERK 1/2 expression. These results indicate that CS can lead to postpartum depression and anxiety in association with the time of postpartum mother-baby contact, which is largely due to the suppression of hypothalamic OXT-secreting system; intranasal OXT can partially reverse these aberrant behaviors, thereby highlighting a novel therapeutic target.

Biography:

Ping Wang has completed her MD in 1983 from Harbin Medical University and Post-doctoral studies from Yale University School of Medicine, University of California-Riverside and LSUHSC-Shreveport. She is now a distinguished Research Fellow in the Department of Medical Genetics in Harbin Medical University. She has published many papers in reputed journals.

Abstract:

Effort to breastfeed the babies for more than 6 months is the recommendation of WHO and the wish of most of the mothers. However, many factors can cause maternal separation from the babies, leading to the failure of breastfeeding and postpartum mental disorders. To alleviate this condition, many measures have been applied, such as using milk pumps for regular hour workers, reducing heavy duty of service on mothers and applying milk-producing drugs which has limited effects; however, that is far from the expectations of mothers and high standards of modern Medicare. Thus, fully understanding the mechanisms underlying postpartum depression and hypogalactia evoked by mother-baby separation is essential for identification of the potential targets of medical mediation and for designation of more efficient therapies. Here, we report that intermittent separation of mothers from their babies in lactating rats resulted in significant reduction of dams’ interests toward their offspring as shown in an elongation of the retrieval latency of pups and decreases in the frequency of anogenital licking. Moreover, the separation also reduced litters’ body weight gains over 1 h suckling. These findings indicate the occurrence of postpartum depression and hypogalactia. Next, we explored potential mechanisms responsible for these effects of maternal separation in association with the activity of the hypothalamic oxytocin-secreting system, a major machinery of mental health and lactation. In the supraoptic nucleus, maternal separation significantly reduced the excitability of oxytocin neurons that also failed to show burst firing in response to burst-evoking drugs in patch-clamp recordings. Maternal separation also disrupted signaling cascade downstream to oxytocin receptors as shown in increased oxytocin receptors but reduced molecular association between this receptor with its downstream signals including the alpha subunit of G_q/11-type G protein and phosphorylated extracellular signal regulated protein kinase 1/2 in Western blots. These changes are accompanied with increased expression of glial fibrillary acidic protein around oxytocin neurons, an indicator of expansion of astrocytic processes and increased inhibition of oxytocin neuronal activity. Consistently, serum oxytocin levels during suckling stimulation, particularly that accompanying with milk ejections, reduced significantly. These findings highlight that maternal separation can reduce the excitability of oxytocin neurons and decrease the ability of pulsatile secretion of oxytocin which lead to postpartum depression and lactation failure.

Biography:

Abstract:

The prevalence of high maternal and infant mortality rate in developing countries continues to be listed among the major global health challenges. The most vulnerable groups are adolescents, women in childbearing age, newborn babies and infants in the remote areas. It takes more creativity to find sustainable solutions to a difficult problem. This workshop will highlight the inequities in access to maternity care and present innovative strategies developed to improve maternal, newborn and infant health in low resource countries, and the role of telemedicine in overcoming this global health challenge. The workshop will discuss lessons learned through designing, implementation, financing, collaboration and partnership. The interactive part of this workshop will: Guide participants through the experience; provide a forum for participants to explore the educational model used and; exchange ideas and discuss new concepts. Participants working for the common cause will be spurred to examine the transferability of this model, in order to fit it into their own context.