9th World Congress on
Nursing Research and Evidence-Based Practice

Biography:

Dr Piotr Karniej, Ph.D., MBA is an economist, assist. professor of public health and health management with an experience of management of hospitals and private clinics. He is a Head of the Public Health Department and V-ce Dean of the Faculty of Health Sciences of the Wroclaw Medical University (Poland). Co-operates on the scientific level with the Catholic University of Valencia (Spain), Sapienza University in Rome (Italy) and others. He is an expert for evaluation of the projects financed by the European Union on a field of health. Member of the European Public Health Association (EUPHA), the European Society of Cardiology - Association of Cardiovascular Nursing & Allied Professions (ACNAP). V-ce President of the Polish Association of Health Care Managers (STOMOZ), member of the board of the Polish Association of Public Health (institutional member of EUPHA)

Abstract:

Nurses are the largest group of professionals within the global health care system, with a total of 19.3 million nursing and midwifery personnel in the world. The current and growing shortage of registered nurses (RNs) in health care systems is thus a global concern. In a fact, the European Commission has estimated that there will be a shortage of 590,000 nurses by the year 2020. In the United States, employment of RNs is expected to grow faster than the expected average for all occupations. Most countries within the Organization for Economic Cooperation and Development (OECD) have reported a nursing shortage, which is predicted to get worse because the current nursing population is aging. This shortage of RNs influences the delivery of health care and negatively affects patient outcomes; an insufficient nurse staffing level is associated with negative patient outcomes and decreased nurse job satisfaction. At the same time of this global nursing shortage, many nurses are considering leaving their job, profession or are out of the nursing workforce. 

Understanding of health exclusion also in the context of access to professional nursing care allows us to express concern whether in the era of increasing awareness of patients, changing needs of elderly people, changes in the paradigm of fighting infectious and non-infectious chronic diseases, we have an adequate number of nurses? Research and practice prove that despite the steady increase in the number of nurses starting their careers, the number of nurses who are leaving to other professions increases at the same time. There is a need to define a new role of nursing in the context of contemporary public health challenges and expectations of employees in the health care sector

Biography:

Michele Roccella is a Professor and Director of the School of Specialization in Child Neuropsychiatry at the University of Palermo, Italy. He graduated in Medicine and Surgery and Specialization in Child Psychiatry at the University of Palermo. He was the National Secretary of the Italian Society of Pediatrics (SINPI) from 1996 to 1998. Michele Roccella has published more than 450 articles in national and international journals.

Abstract:

Objective: Duchenne Muscular Dystrophy (DMD) is a progressive neuromuscular condition that has a high rate of cognitive and learning disabilities as well as neurobehavioral disorders, some of which have been associated with disruption of dystrophin isoforms. Recent studies have pointed to an increased risk for intellectual disability and autism among affected males. The aim of the present study was to describe a case series of children with DMD that have also the presence of autism spectrum disorders (ASDs). they have been assessed by means of standardized autism scales and the most appropriate psychoeducational treatment is herein discussed.

Methods and Results: In order to evaluate and identify the presence and intensity of autistic symptoms have been used the childhood autism rating Scale and autism diagnostic Observation Schedule tools. Moreover, in order to assess the intelligence of subjects and their lower limb function, Wisch-r intelligence scale and Vignos function scale were used, respectively. A typical behavior included a preference for being alone, and selective interest in privileged objects used in a stereotyped manner, motor fretting, and attention instability were present in all children. By the administration of these scales was confirmed the presence of ADSs in all subjects.

Conclusion: It is important for clinical practice to consider this association increased.