Page 95 - Hospital Authority Convention 2018

Masterclasses

M3.1 Contemporary Nursing 13:15 Room 221

Advanced Nursing Practice and the Journey to Advanced Practice Nursing
Dudley Brown S
Johns Hopkins School of Nursing, USA
Advanced Nursing Practice and Advanced Practice Nursing (APN) are equally important in today’s healthcare marketplace. In HOSPITAL AUTHORITY CONVENTION 2018
the United States (US), Advanced Practice Nursing is a role, for the Nurse Practitioner, the Clinical Nurse Specialist, the Nurse
Midwife, and the Nurse Anesthetist. These 4 roles for Advanced Practice Nurses, are unified under this umbrella, which has
helped to provide consistency in their educational requirements, licensure, and credentialing. This LACE model of integration
has helped shape the practice both in primary, acute and specialty care. This presentation will describe the highlights of
both Advanced Nursing Practice and the APN roles in the US and will include one person’s journey into the role of the Nurse
Practitioner and subsequent specialty practice.

M3.2 Contemporary Nursing 13:15 Room 221 Monday, 7 May 2018

Skin-to-skin Contact for All Newborns: More than for Breastfeeding Initiation
Lam CCO
Department of Obstetrics and Gynaecology, Queen Elizabeth Hospital, Hong Kong

The initiation of breastfeeding starts from giving the baby to mother with skin-to-skin contact (SSC) immediate after birth.
Current evidence indicates that this SSC between mother and infant increases the likelihood of exclusive breastfeeding for
one to four months of life as well as the overall duration of breastfeeding. Besides successful breastfeeding, studies show
that SSC also brings lots of benefits both in short term and later life health outcomes: calms and relaxes both mother and
baby; regulates the baby’s heart rate, breathing and temperature; helps babies to better adapt to life outside the womb;
stimulates digestion and an interest in feeding; enables colonisation of baby with mother’s friendly bacteria, for protection
against infection and develop healthy gut microbiota. The release of oxytocin during the contact support motherhood and
newborns behaviour. This soothing and comforting physical human contact also improves neuro-developmental outcomes.
For preterm babies, the extended SSC (also known as Kangaroo Mother Care) brings many benefits to the preterm and sick
babies that reduce hospital stay and improve their cognitive development. SSC is not just for breastfed babies, it should be
for all babies both healthy and sick.

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