An Exemplar Model of Evidence-Based Practice Collaboration: Linking the Classroom to Practice

Vol.2  No.2

Year: 2012

Issue: May-Jul

Title: An Exemplar Model of Evidence-Based Practice Collaboration: Linking the Classroom to Practice 

Author Name: Emma Kientz, Cindy M. Lyons 

Synopsis: 

Throughout the world of healthcare, the impetus to engage in best practices using the latest evidence is paramount. With Institute of Medicine reports such as “To Err is Human” (2000) and “Crossing the Quality Chasm” (2001), the need for a health care system that is “safe, effective, patient centered, timely, efficient, and equitable” is vital (IOM, 2001, p. 5-6). To achieve optimal patient outcomes, and ultimately obtain reimbursement for care, strategies to implement evidenced based practices (EBP) in health care settings are occurring at rapid speed. While the interdisciplinary team model is important in management of patient care today, the role of the nurse is pivotal to achieve these aims. Educating the nurse while still in their nursing program, and throughout the curriculum, is an approach to make the use of EBP a routine practice, not a periodic occurrence.

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A Cardiac Patient with Ventricular Assist Device: A review of Qualitative and Quantitative Studies

Vol.2  No.2

Year: 2012

Issue: May-Jul

Title: A Cardiac Patient with Ventricular Assist Device: A review of Qualitative and Quantitative Studies 

Author Name: Sunmi Yoo 

Synopsis: 

There is a long history of the development of the artificial organ for heart failure patients.  In 1966, DeBakey performed the first successful clinical implantation of a ventricular assist device (a pneumatically-driven paracorporeal diaphragm pump) in a 37-year-old woman from Huston, Texas.  Scientists have developed sophisticate devices to help heart failure patients.  In 1994, the FDA approved the pneumatically-driven HeartMate LVAD (Thermo Cardiosystem, Inc.) for a bridge to transplantation. This is the first pump with textured blood-contacting surfaces.  The FDA approved the HeartMate VE LVAD for permanent use (Thoratec Corp) in 2002.  Heart transplantation is a choice for end-stage heart failure patients; however, there is a shortage of organ donation.  Development and use of VAD is utilized for recovery and destination therapy. 

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Life-Long Implications Of Mrsa: A Case Study

Vol.2  No.2

Year: 2012

Issue: May-Jul

Title: Life-Long Implications Of Mrsa: A Case Study 

Author Name: Carol Caico 

Synopsis: 

To describe the devastating complications of MRSA based on a case study of a woman who at 53 was diagnosed with an aggressive arthritis in the right hip and underwent a hip replacement. She developed MRSA and has had numerous complications and now will be in a wheel chair the rest of her life. MRSA can cause death and she was near death twice. This case study should be an exemplar that meticulous infection control methods are needed and that it is necessary to intervene when infection control methods are not being followed.

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Effects of Life-skills Training Program on Iranian Third Grade middle school students

Vol.2  No.2

Year: 2012

Issue: May-Jul

Title: Effects of Life-skills Training Program on Iranian Third Grade middle school students 

Author Nam: Flora Rahimaghaee, Ali Khalkhali , Massumeh Rahimzade 

Synopsis: 

This study was carried out to determine the effects of life skills training program on third-grade middle school students in northeast Iran.  In recent years life skills training program have become increasingly prominent in Iran educational area.  Through this causal-comparative research, 310 thirteen to fourteen years old students (both sexes) have been chosen and divided into two groups of control and experimental.  The instrument used for collecting the data was a questionnaire made by the researchers themselves, whose validity and reliability had been confirmed (a= 88.48%).  Using t-tests and Chi tests, study results revealed that programmed used for life skills do not affect students’ life skills.  However, there was a significant difference between the male and female students. In contrast to what had been expected, this study showed life skill program has not succeeded in improving levels of northeast Iranian secondary school students’ life skill.  Therefore, more to material developers’ concern, more revision and reconsidering is needed in this field, since successful run of this program can lead to students’ development in every aspect of their lives, including educational, mental, and social development.

Hidden voices of hermaphrodites

Vol.2  No.2

Year: 2012

Issue: May-Jul

Title: Hidden voices of hermaphrodites 

Author Name: Zohra Asif Jetha, Nasreen Sulaiman Lalani 

Synopsis: 

Gender is a psychological component which is given by the society to a person, while sex is a biological component which is awarded by the God. However, there are certain conditions in which the biological aspects are put to challenge with the social and psychological aspects of gender. Hermaphrodites are a third gender role, who is neither male or female man nor woman but contains the element of both. One may question that if they are neither male nor female then who they are and whether they are equally treated in our society. Looking at the challenges faced by hermaphrodites, one need to question what choices these hermaphrodites have in our society. We being a responsible citizen of the society, how can we make their lives less miserable and make them respectable or functional members of our society. This paper raises several questions to us: do these neglected and deprived community has means of education or employment; what possible choices can be offered to them other than begging, prostitution or dancing at weddings or baby showers. It is our responsibility as a society to treat them as humans and provide them social and legal rights so that they can also become an acceptable member of the society and can benefit the society with more sense of security and less burden. 

Managing Work-Role Transition: From Nurse Clinician to Nurse Educator

Vol.2  No.2

Year: 2012

Issue: May-Jul

Title: Managing Work-Role Transition: From Nurse Clinician to Nurse Educator 

Author Name: Shirin Rahim, munira Prasla 

Synopsis: 

Change in any aspect of human life is often challenging and requires significant efforts for readjustment from the individual and could result in improving or worsening existing situation. Change in work-role is also significant event in person’s life. Present study attempts to analyse management of work-role transition from clinical nurse to nurse educator.

Intrinsic values: Nurses’ inspiration

Vol.2  No.2

Year: 2012

Issue: May-Jul

Title: Intrinsic values: Nurses’ inspiration 

Author Name: Salima Sulaiman, Sharifa Bashir Lalani , kiran Shaikh 

Synopsis: 

Values play an important role in an individual’s life. On the basis of individual values, person cultivates himself/herself and act accordingly in the environment. Nurses’ value system is therefore important to recognize because they are the one who serve patients and give a focused care to them.  Nurses need to be self-aware of their own values in order to keep balance between personal values and professional values. Through an internalization of these values nurses can develop self-sacrifice and self-transcendence and divert their care towards patient need. A case study is therefore presented and analyzed according to the value system which could create positive nurse patient relationship. 

STI/HIV In India And Its Factors: Emerging Public Health Issue

Vol.2  No.2

Year: 2012

Issue: May-Jul

Title: STI/HIV In India And Its Factors: Emerging Public Health Issue 

Author Name: Noureen N Karamali 

Synopsis: 

Sexually Transmissible Infections (STIs) and Human Immunodeficiency Virus (HIV) is an emerging issue in both developed and developing countries. The rate of spread of HIV has been dramatically increased recently in many developing countries including India. This spread is determined by various biological, behavioural and socio cultural factors. In addition, many factors like poverty, illiteracy and poor health is deteriorating the problem of HIV in this country, where there is a vast need for its prevention and control. This review will examine the extent to which comprehensive generalized epidemic of STIs/ HIV exist in the population of India and provide a brief impression of how economic, gender and religious variables can affect both in terms of incentives and obstacles for the prevention, control and management of STI/HIV status in India

Die before exist

Vol. 2 No. 1

Year: 2012

Issue: Feb-Apr

Title: Die before exist

Author Name: shaneela khowaja, Shamshad Begum , Mehr-Un-Nisa Mustafa 

Synopsis: 

Abortion is a complex, obsessive and sensitive argument that are interconnection with culture, religion, legal and moral grounds. Being a health care provider, the concept of life and death are the central to it and the issue of mother's and fetus's responsibility is come under the saving the life of a human being. Religion, medical science, and ethical principles have given the grounds to argue as well as counter argue the issue. At a final conclusion of such a sensitive and vital issue of abortion, this paper has argued against abortion as abortion is not just save the life of the fetus but it also prevents the life of the mother from danger. Moreover, various practical strategies have been proposed to go against abortion. Being nurses, addressing such an important dilemma has made us to think and realize that what are the possible issues and how to resolve them. There is no right or wrong answer but to resolve the dilemma in greatest good of all such as patients or the family members.

 

 

Effectiveness Of Honey Versus Betadine On Episiotomy Wound Healing

Vol. 2 No. 1

Year: 2012

Issue: Feb-Apr

Title: Effectiveness Of Honey Versus Betadine On Episiotomy Wound Healing 

Author Name: P.Manjula, Anitha , Ranjani Palanisamy 

Synopsis: 

An experimental study was conducted to compare the effect of honey versus betadine on episiotomy wound healing among 60 postnatal women (30 - honey group, 30 - betadine group) in Government Taluk Hospital, Kundapura between rd rd 23 October 2011 and 23 November 2011. Data was collected using episiotomy wound assessment scale. Findings revealed that in the honey group on day 1 the episiotomy wound assessment score mean is 8.03, on day 5 mean score reduced to 0.27. In betadine group day 1 mean is 8.23 and on day 5 mean score reduced to 1.4. There was a mean difference of 7.8 in the honey group and 6.83 in the betadine group. The obtained 't' value on day 2 (3.818), day 3 (2.967), day 4 (4.2), day 5 (4.02) found to be significant (p< 0.05) at 0.01 and 0.05 level of significance. This reveals that as the day progresses episiotomy wound healing was good in both the groups but it was faster in honey group than in betadine group. Study results denoted that application of honey has significant influence on episiotomy wound healing.

 

A Perimenopause/Menopause Support Research Program: A Pilot Study

Vol. 2 No. 1

Year: 2012

Issue: Feb-Apr

Title: A Perimenopause/Menopause Support Research Program: A Pilot Study 

Author Name: Carol Caico 

Synopsis: 

The purpose of this paper is to determine if symptomatic Perimenopause and Menopause women who attend a 10 week educational and support program will better cope with symptoms and gain knowledge to empower them to make informed decisions. IRB approval was obtained and participants signed consents. Symptomatic perimenopause and menopause aged women were recruited by posters place in many locations. 8 participants agreed to attend atleast 7 weekly sessions. 2 questionnaires were completed pre-group and participants assigned numbers so anonymity was maintained. The weekly group was started with an educational component utilizing powerpoints from the North American Menopause Society and presented by the PI who is a Board Certified NP, Menopause Clinician and Certified as an Adult Psychiatric and Mental Health Specialist. The group led the discussion. At the last session the same 2 questionnaires were completed to be analyzed for changes from start of program to end. Also comment forms were completed. Qualitative method was used by information from sessions and comment forms and qualitative was used to evaluate the 2 pre and post questionnaires. The results shows that statistically the 2 questionnaires did not show significance from the pre and post results. The themes, discussion and comment form clearly proved that the support program provided education, empowered the women with knowledge to help them make informed choices regarding their health and symptoms and the support make them feel they were not alone in their feelings. The conclusion indicates that support groups should be widespread and nurses who are educated in the physical and emotional changes of this period in women's lives are the best to educated and support these women through this chapter in their lives.

  

 

Screening for High-Risk Alcohol Use on Campus—A Translational Research Project

Vol. 2 No. 1

Year: 2012

Issue: Feb-Apr

Title: Screening for High-Risk Alcohol Use on Campus—A Translational Research Project 

Author Name: janette neuman 

Synopsis: 

High-risk alcohol use occurs on college campuses across the United States.  A 2008 Core Alcohol and Drug Survey performed on the campus of Indiana University-Purdue University Fort Wayne (IPFW) in northeast Indiana, found an annual prevalence rate of alcohol consumption by students of 82.3%.  A commitment to reduce high-risk alcohol use by IPFW students is supported by IPFW leadership in congruence with Healthy Campus objectives.  A translational research project using the Alcohol Use Disorders Identification Test (AUDIT) was implemented at IPFW’s nurse-managed health and wellness clinic in order to increase student awareness of high-risk drinking behaviors, administer risk-reducing interventions, and to reduce negative consequences associated with high-risk drinking.  This project met recommendations suggested by the United States Preventive Services Task Force (USPSTF) of screening for alcohol use in adult populations in primary care settings.

  

 

Pediatric Mental health: The Most Neglected Aspect of our Society

Title	: Title: Pediatric Mental health: The Most Neglected Aspect of our Society
Author Name	: Sharifa Bashir Lalani, Salima Sulaiman
Synopsis	:
Pediatric mental health remains the neglected aspect of our society. In Pakistan, the prevalence of mental health problems among school going children is higher than in most developed and developing countries. The number of determinates that affects the mental health of the children areenvironmental, natural, social and biological. The determinants that are addressed in present paper are interdependent and interrelated to each other. A conceptual model of “Optimizing Mental Health for Alberta’s Children and Youth” has been utilized in this paper. The mental health modelwas used to understand the determinants that effect mental health of children. Optimal mental health can be achieved by positive health determinant, accomplishing the basic needs of children, safety and security opportunities for learning, work and play.By utilizing the conceptual model of mental health continuum we can do the capacity building and reduce the risk towards optimal mental health.

Title	: Title: Pediatric Mental health: The Most Neglected Aspect of our Society
Author Name	: Sharifa Bashir Lalani, Salima Sulaiman
Synopsis	:
Pediatric mental health remains the neglected aspect of our society. In Pakistan, the prevalence of mental health problems among school going children is higher than in most developed and developing countries. The number of determinates that affects the mental health of the children areenvironmental, natural, social and biological. The determinants that are addressed in present paper are interdependent and interrelated to each other. A conceptual model of “Optimizing Mental Health for Alberta’s Children and Youth” has been utilized in this paper. The mental health modelwas used to understand the determinants that effect mental health of children. Optimal mental health can be achieved by positive health determinant, accomplishing the basic needs of children, safety and security opportunities for learning, work and play.By utilizing the conceptual model of mental health continuum we can do the capacity building and reduce the risk towards optimal mental health.

Title	: Title: Pediatric Mental health: The Most Neglected Aspect of our Society
Author Name	: Sharifa Bashir Lalani, Salima Sulaiman
Synopsis	:
Pediatric mental health remains the neglected aspect of our society. In Pakistan, the prevalence of mental health problems among school going children is higher than in most developed and developing countries. The number of determinates that affects the mental health of the children areenvironmental, natural, social and biological. The determinants that are addressed in present paper are interdependent and interrelated to each other. A conceptual model of “Optimizing Mental Health for Alberta’s Children and Youth” has been utilized in this paper. The mental health modelwas used to understand the determinants that effect mental health of children. Optimal mental health can be achieved by positive health determinant, accomplishing the basic needs of children, safety and security opportunities for learning, work and play.By utilizing the conceptual model of mental health continuum we can do the capacity building and reduce the risk towards optimal mental health.

Vol. 2 No. 1

Year: 2012

Issue: Feb-Apr

Title: Pediatric Mental health: The Most Neglected Aspect of our Society 

Author Name: Sharifa Bashir Lalani, Salima Sulaiman 

Synopsis: 

Pediatric mental health remains the neglected aspect of our society. In Pakistan, the prevalence of mental health problems among school going children is higher than in most developed and developing countries. The number of determinates that affects the mental health of the children areenvironmental, natural, social and biological. The determinants that are addressed in present paper are interdependent and interrelated to each other. A conceptual model of “Optimizing Mental Health for Alberta’s Children and Youth” has been utilized in this paper. The mental health modelwas used to understand the determinants that effect mental health of children. Optimal mental health can be achieved by positive health determinant, accomplishing the basic needs of children, safety and security opportunities for learning, work and play.By utilizing the conceptual model of mental health continuum we can do the capacity building and reduce the risk towards optimal mental health.

  

 

Spirit Possession or A phenomenon of Crying Identity!

Vol. 2 No. 1

Year: 2012

Issue: Feb-Apr

Title: Spirit Possession or A phenomenon of Crying Identity! 

Author Name: Gulnar Ali 

Synopsis: 

Human nature is very complex and it is constantly influenced by external socio-cultural processes, which not only affect patient’s explanations about somatization but also affect person’s recovery and rehabilitation on an ongoing basis. Hence, by integrating multiple aspects of human life, health care professionals can promote personal wellbeing for their patients as a whole. Such integrated approach will enable patients, to renew their identity, and reconstruct their status in society by participating in the shared and symbolic communal ideologies. Hence, this paper is an attempt to sensitize  nurses with a transcultural psychiatric perspective in order to recognize the ontological and epistemological aspect of human life and suffering. By analyzing varieties of cultural fabrications, medical explanations and underlying socio-political ethos behind the phenomenology of spirit possession in Muslim women, this paper identifies gender disparities and its socio — cultural manifestations, justifying the need of a meaning based and client centered caring discourse.

  

 

Ways of Teaching: Striving to Enhance Student’s Understanding in Classroom Setting

Vol. 2 No. 1

Year: 2012

Issue: Feb-Apr

Title: Ways of Teaching: Striving to Enhance Student’s Understanding in Classroom Setting 

Author Name: Zohra Asif Jetha, shaneela khowaja, Shamshad Begum 

Synopsis: 

Learning is enhanced when instruction is being designed in-relation to students’ learning styles. Attention to learning styles and learner’s diversity has shown an increase students’ motivation towards learning. Effective teaching is defined as maximizing learner educational achievement, and teacher and student subject contentment. The key attributes of effective teaching are teacher’s preparation; knowledge on the subject; attitude; enthusiasm; and content clarity. Moreover, applying various theories of learning such as behaviorism, cognitivism and humanism are the effective ways to enhance students’ learning journey. Therefore, these effective teaching strategies should be promoted and encouraged in the real world of teaching. 

Antenatal Stress and Depression: A Neglected Area

Vol. 2 No. 1

Year: 2012

Issue: Feb-Apr

Title: Antenatal Stress and Depression: A Neglected Area 

Author Name: Kiran Shaikh,, Salima Sulaiman 

Synopsis: 

A high rate of antenatal depression (18 % -39.4%) was identified among women in Pakistan (Kazi et al., 2006; Karmaliani et al., 2009).  Pakistan is a developing country and a male dominated society where women’s rights, health needs, and educational opportunities are not given priority. Therefore, the health of women, especially women who are pregnant has never received due importance. Women’s stressors are unique and lead to adverse pregnancy outcome. Early identification of stress and depression will permit the medical and nursing clinicians to implement measures to reduce stress and depression caused by psychological factors.