ON DEMAND 2024 APRN Midwest Conference: Rapid Sessions - Charting New Horizons : APN Role Development in Pakistan/ Effects of eliminating sugar- sweetened beverages (SSB) in diabetics on an in-patient behavioral health unit. A pilot study.
CE Information
1.0 contact hourCompletion Time
1 hourAvailable Until
December 31, 2025Navigate
Overview
Specialties
Psychiatric / Mental HealthClinical Topics
Diabetes and Mental HealthCharting New Horizons: APN Role Development in Pakistan - The presentation will share the journey of developing APN role in Pakistan. Abstract: The APN role was established in the 1960s in the United States (US). After five decades, approximately fifty countries have adopted the APN model (American Academy of Nurse Practitioners [AANP], 2021). The growth of the APN role has been attributed to multiple factors, including improvement in patient outcomes and patient safety, mitigation of the physician shortage in underserved areas, improved perception of the public image of nursing, bridging the gap created by physician shortage, and increasing health care access and cost of delivery. In 2012, 38 million people died from non-communicable diseases (NCDs), of which 28 million deaths occurred in low and middle-income countries. Pakistan’s crude death rate was reported at 62% (Roshan et al., 2018). In 2019, the physician-to-population ratio in Pakistan was 1:1000 (The World Bank, 2021). Additionally, the World Health Organization (WHO) reported a loss of 7 trillion US dollars in healthcare costs from 2011-2015 in low and middle-income countries (World Health Organization [WHO], 2017). Briefly, Pakistan falls under the category of a low-income country with a high mortality rate and a low physician-to-population ratio. Establishing the role of APNs could be a solution to addressing these major health issues the country is currently facing. The presentation will share the journey of developing an APN role at an academic institution in Karachi, Pakistan. This presentation will share the analysis of strengths, weaknesses, opportunities, and threats (SWOT) associated with this role implementation.
Effects of eliminating sugar-sweetened beverages (SSB) in diabetics on an in-patient behavioral health unit. A pilot study - Diabetes affected about 34 million (1 in 10) Americans in 2019(1) and contributed to an estimated $367 billion healthcare expenditures. Frequently consuming sugary-sweetened beverages (SSB) is associated with serious health conditions such as diabetes, obesity, cardiovascular disease, and metabolic issues. Health conditions due to diabetes are serious and include congestive heart failure, myocardial infarction, stroke, and amputations. CDC and national initiatives aim to eliminate SSB and increase access to healthier beverages in hospital settings. Reducing consumption of SSB is associated with less weight gain and metabolic improvement. Glycemic control reduces diabetes complications. Primary purpose of this pilot study was to test the effects of eliminating SSB on glycemic control in diabetics on an inpatient behavioral health unit. Secondary outcomes included symptoms of anxiety and depression, resource use, and costs. A retrospective control group that received usual care (3 months usual access to SSB) was compared to the intervention group (4 months restricted access SSB) in 2019-2020.
Learning Objectives
"Charting New Horizons: APN Role Development in Pakistan": Understand the factors driving the need for Advanced Practice Nurses (APNs) in Pakistan, including the potential of APNs to improve healthcare delivery and outcomes in response to the country's healthcare challenges and physician shortages.
"Effects of Eliminating Sugar-Sweetened Beverages (SSB) in Diabetics on an In-patient Behavioral Health Unit. A Pilot Study": Assess the impact of eliminating sugar-sweetened beverages (SSB) on glycemic control among diabetic patients in an inpatient behavioral health setting, and evaluate secondary outcomes related to mental health symptoms, resource utilization, and healthcare costs.
Learning Outcome Evaluation: Participants will state one thing they learned from the program and how they will implement it into their practice.
Speakers
Dr. Rozmeen Shivji is an assistant professor in the Adult-Gerontology Acute Care, Doctor of Nursing Practice Program at RUSH College of Nursing, Chicago, USA. She is also a board- certified Acute Care Nurse Practitioner (ACNP). She practices at the University of Chicago in the Lung Transplant Service. She has practiced as ACNP for over 15 years in various settings including the Medical Intensive Care Unit (MICU), Lung Transplant, Neuro-Interventional Radiology, and Leukemia. She has vast teaching experience; she has traveled internationally (in Africa and Asia) to teach critical care medicine and nursing. Her research interests are the growth and development of the Advance Practice Nurse (APN) role, global health, utilization of rapid response systems/teams, and application of high-fidelity simulation in teaching and learning. Additionally, she is the director of the Fundamentals of Critical Care Support (FCCS) program, the president of the Gamma Phi, a Sigma Chapter, and an Advanced Cardiovascular Life Support Instructor. Presently, she is working on developing an APN role in Pakistan. She and her team have also conducted a mixed-method study among Pakistani nurses to assess nurses’ perception and knowledge for developing APN roles in Pakistan and currently working on the manuscript for publication.
Rozina Virani obtained her diploma in 1991 and BSCN in 1996 from AKUSONAM, she further studied and got her MSN from North Park University School of Nursing and Health Sciences in Chicago IL. She is a board-certified Family Nurse Practitioner and works in the inpatient internal medicine department of AMITA Health, Saints Mary and Elizabeth Medical Center Chicago. Rozina’s area of research expertise is in diabetes HTN, and asthma, management. She enjoys teaching health assessment to MSN program at AKUSONAM as a visiting professor. She has been teaching both undergrad and MENP students at DePaul university as an adjunct faculty for past 6 years. She is an active member of the American Academy of Nurse Practitioner (AANP) and Illinois Society of Advanced Practice Nurse (ISAPN). She serves on membership committee as a board member and vice chair for the region North/Northeast. She has recently earned her full practice authority license in 2023 form the state of Illinois. Rozina has presented at an AANP conference and other professional and community-based conferences on topics related to women’s health, diabetes, HTN, Asthma, and COVID-19 management. Her recent achievement includes "Best Poster Award" at Invest in Nursing and Respect Rights to Secure Global Health, International Nurses & Midwives Day 2022, Aga Khan University Hospital and School of Nursing and Midwifery, Karachi, Pakistan, she has currently enrolled into Doctoral Program in Nursing Practice (DNP) at DePaul University in Chicago Illinois.
CE Information
This activity offers 1.0 contact hour to attendees.
Accredited by Illinois Nurses Foundation is approved as a provider of nursing continuing professional development by the Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.
The Illinois Nurses Foundation and the Illinois Society for Advanced Practice Nursing jointly provided this program.
Disclosures
To earn contact hours, learners must watch the entire webinar and submit an evaluation to receive the digital certificate after the session.
There are no relevant financial relationships with ineligible companies for those involved with the ability to control the content of this activity
Activity Content
Registration to this activity includes access to the following supporting materials.
- Session Handout (Size: 741 KB)
- Session Hanout (Size: 861 KB)
Duration: about 1 hour | Quality: HD
5 questions
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