Importance Of Cervical Screening In Women

Vol.4  No.3

Year : 2014

Issue : Aug-Oct

Title : Importance Of Cervical Screening In Women

Author Name : Muhammad Anwar, amir abdullah

Synopsis :

The purpose of this paper is to identify the importance of cervical screening. Likewise, it also gives an idea that how a developed country like United Kingdom adjusted and shaped their policies, in order to deal with this particular issue. Furthermore, it also classifies factors which could influence one's behavior toward certain health policy in light of different Models. In addition, this paper also discusses the barriers and opportunities associated with cervical screening interventions. This paper will let for further individual consideration to be given to this issue and may even able to adopt the idea of dealing with cervical screening in their own settings.

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Autocratic Leadership In Nursing

Vol.4  No.3

Year : 2014

Issue : Aug-Oct

Title : Autocratic Leadership In Nursing

Author Name : shams Huda

Synopsis :

Nursing profession in Pakistan is in a transitional phase; Pakistan Nursing Council (PNC) directed the nursing institutes in the country that till 2020 a diploma will be phased out, and the degree will be the minimum required for practice in the nursing profession. The role of leaders is very crucial to attract youngster across the country; however, the leaders' attitude and behavior result in increased turnover of nurses, decreased morale of nurses, and demotivation among faculty and staff. Majority leaders in nursing profession lack the leadership attributes, and practice traditional autocratic style of leadership. This paper discusses about the issues in nursing institutes due to incompetent leadership. The issue is thoroughly analyzed in light of current literature, and recommendations are given to solve the leadership issues in nursing education. Autocratic leadership is not suitable for the growth and development of the nursing profession. The best way to tackle the current issue in nursing leadership is to adopt a transformational leadership style.

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Unmet Health Care Needs Of Disabled Children In Pakistan

Vol.4  No.3

Year : 2014

Issue : Aug-Oct

Title : Unmet Health Care Needs Of Disabled Children In Pakistan

Author Name : Nazish Pachani, Shaista Rajani Meghani

Synopsis :

Disabled children have an unmet health care need than healthy children in Pakistan. This is due to three leading factors; Social barrier, financial barrier, and lack of access to health care services and providers. These barriers are not only affecting child health care needs, but also violating their rights. Access to healthcare services and quality of life require the active collaboration of all relevant organizations at federal, provincial, local and NGO level, along with the participation of family, professionals and communities at large. There is a dire need to address this critical issue to achieve 4thMillennium Development Goals (MDGs) which is still far behind to reduce child mortality rates

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Effect Of Exercise On Psychological Well Being

Vol.4  No.3

Year : 2014

Issue : Aug-Oct

Title : Effect Of Exercise On Psychological Well Being

Author Name : kiran zulfiqar ali

Synopsis :

Effect of exercise on psychology has progressively come under the high spot over recent years. This Article defines what exercise and psychological well-being is and further explores the relationship between the two. The main findings were that exercise on a regular basis brings significant improvements in mood, stress, depression and self-esteem. Moreover people engross in exercises discern themselves more autonomous. Nevertheless exercise helps to improve the physiological functions of the body which generate a better sense of self-esteem and eventually give rise to the psychological well being. The article also reports some ways to practice exercise like Tai Chi and yoga and the effects of these exercises on the body's physiology and how these changes affects the psychology. It reports the prevalence of mental illnesses in Pakistan as well and reports the difference in the activity level of males versus females. It also recommends that intensity and some other aspects of exercise need to be looked upon so that this vast topic could be well understood and it becomes easy to adapt the practice of exercise to enhance psychological well-being.

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Patients Safety and Discharge Teaching Particularly In Pediatrics

Vol.4  No.3

Year : 2014

Issue : Aug-Oct

Title : Patients Safety and Discharge Teaching Particularly In Pediatrics

Author Name : Laila Muhammad

Synopsis :

Every human experience some sort of illness in his or her life however, some need hospitalization and others don't. Being in hospital is not a pleasant experience for most of the people, since they are there at the mercy of doctors and nurses. Health care professionals are trained to provide safe care to the patients. But ensuring the provision of safe care round the clock is a bit challenging. Hospitals establish several benchmarks to ensure the safety of their clients. There are certain organizations which facilitate hospitals to establish and meet those criteria and JCIA is one of them. Patient safety is one of the vital goals of it. Institute of Medicine (IOM) has defined patient safety in a very simple way, as “the prevention of harm to patients. Emphasis is placed on the system of care delivery that (1) prevents errors; (2) learns from the errors that do occur; and (3) is built on a culture of safety that involves health care professionals, organizations, and patients.” (Patient Safety and Quality: An Evidence-Based Handbook for Nurses, 2008, p.2). Patient safety has a wide scope of practices within it; therefore it has been further classified in clinical and administrative domains. Several clinical indicators are established to analyze the effectiveness of care being provided to the patients. The care does not only include inpatient services but also care to be provided at the time of discharge. Discharge teaching is an essential component of care and safety particularly in pediatric population, as it is high risk population and at a greater risk of chances of errors because they are not the direct recipient of teaching. As teaching is given to their parents or care givers which could create an understanding gap regarding the care to be given at home, medication administration, and when the child would need immediate professional assistance. This paper will focus on the importance of discharge teaching, team involved in the teaching process, components of discharge teaching, an interventional methodology to make the teaching more effective, strategies and recommendations to improve discharge teaching.

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Potential Contribution Of Advance Practice Nursing In Managing Exclusions In Elementary And Middle Schools

Vol.4  No.3

Year : 2014

Issue : Aug-Oct

Title : Potential Contribution Of Advance Practice Nursing In Managing Exclusions In Elementary And Middle Schools

Author Name : Catherine Cummins, Mohan Kumaratne , Erlyana Erlyana, Loucine Huckabay, Franck Vigneron

Synopsis :

School attendance is essential to optimize children's education. Most minor illnesses and injuries do not warrant school exclusion, and children need to be excluded from school only for compelling medical reasons. Standardized School Health Offices (SHO) visit logs, from September to November 2010, were examined from 11 elementary and 4 middle schools in the Ocean View School District, Huntington Beach, California to determine incidence of school exclusion. Of 7,606 visits, 1,198 (15.75%) children were sent home from school due to medical reasons. The top 5 medical reasons include: (1) abdominal pain 22.62%, (2) nausea & vomiting 21.04%, (3) upper respiratory infections 14.02%, (4) headache 11.69%, and (5) injuries 7.85%. The number of exclusions in the elementary schools was significantly higher in October than in September or December. The pattern was not repeated in the middle schools. Gastrointestinal causes, conditions associated with significant pain, and contagious diseases were the top three most common reasons for exclusion from school, accounted for 89% of all exclusions. School health office personnel need to be educated on the appropriate evaluation and management of the above conditions. Over the counter pain medications should be allowed to be dispensed when indicated.

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Does Communication Really A Matter Of Concern In Unconscious Patients?

Vol.4  No.3

Year : 2014

Issue : Aug-Oct

Title : Does Communication Really A Matter Of Concern In Unconscious Patients?

Author Name : Shaista Rajani Meghani, Neelam Saleem punjani

Synopsis :

Effective communication is a keystone of the nurse patient relationship. It takes many forms and it is more than just talking and listening. Communication is a process which can enable the nurse to establish a human to human relationship and thereby fulfill the purpose of nursing. Communicating with unconscious patients or comatose patients is always challenging for healthcare professionals. However, communication considers as an integral part of health care practice. Although communicating with unconscious patients is a big challenge for all healthcare professions. But on the ethical ground, it is a right of a patient to be informed, timely regarding any procedure and treatment. Especially, in critical care area nurses and physicians are dealing with a lot of patients receiving life saving treatments, and they intend to forget to communicate with their patients who needs respect and care because they are unconscious (Casbolts, 2002). Therefore, it is the responsibility of healthcare professionals as the first line in communicating with their patients who has a lack of good communication and on ventilators. This paper will focus on the significance and factors contributing in communicating with unconscious patients.

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A study to assess the knowledge among postnatal mothers regarding postnatal depression in selected maternity hospitals of Moga, Punjab

Vol.4  No.2

Year : 2014

Issue : May-Jul

Title : A study to assess the knowledge among postnatal mothers regarding postnatal depression in selected maternity hospitals of Moga, Punjab

Author Name : Manu kohli, Gaurav kohli

Synopsis :

To assess the knowledge of postnatal mothers regarding postnatal depression and to find the relationship between the knowledge regarding postnatal depression with selected demographic variables such as age of mother, number of children, educational status of mother, educational status of husband, occupation of mother, occupation of husband, religion, type of family, family income per month and previous history of postnatal depression. To develop an information booklet regarding the prevention of postnatal depression. A descriptive Study was conducted among postnatal mothers regarding postnatal depression in hospitals of Moga (Punjab). A non probability convenient sampling technique was used to select 200 postnatal mothers of 19-35 years of age group. Demographic variables of study were such as age of mother, number of children, educational status of mother, educational status of the husband, occupation of mother, occupation of husband, religion, type of family, family income per month and previous history of postnatal depression. A self structured questionnaire containing 30 items was utilized to assess the knowledge regarding postnatal depression. The conceptual frame work of study was based upon Orem's Self Care Theory (1959). An educational booklet on postnatal depression among postnatal mothers was developed after analysis. The data were analyzed by descriptive (mean, median & mode) and inferential (ANOVA & correlation) statistics. Results of the study revealed that 28.5% of postnatal mothers were metric passed, 37.5% of their husbands were higher secondary passed, 76.5% of postnatal mothers were house maker, and 51.5% of their husbands were in their own business, 50% of postnatal mothers were Hindu and 50% were Sikh. Whereas 52.5% postnatal mothers live in a joint family, 69% of them had family incomes ≤ Rs.5000 and 100% of postnatal mothers had no previous history of postnatal depression. 53% of the postnatal mothers were in the age group of 23-26 years, 47% of postnatal mothers were having one child followed by 66% of postnatal mothers had below average knowledge and 32.5% of them had average knowledge. Only 1.5% of postnatal mothers had good knowledge regarding postnatal depression. In the present study, age of mother, number of children, educational status of mother, educational status of husband, occupation of mother, occupation of husband, religion, family income per month had significant impact on the knowledge of postnatal mothers regarding postnatal depression but type of family had no impact on the knowledge of postnatal mothers regarding postnatal depression.

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Knowledge of sanitary workers regarding Bio medical waste management

Vol.4  No.2

Year : 2014

Issue : May-Jul

Title : Knowledge of sanitary workers regarding Bio medical waste management

Author Name : Akoijam Sangita Devi, malar kodi

Synopsis :

The waste produced in the course of healthcare activities carries a higher potential for infection and injury than any other type of waste. Inadequate and inappropriate knowledge of the handling of healthcare waste may have serious health consequences and a significant impact on the environment as well. This study aims to see whether PTP (Planned Teaching Programme) has significant impact on the level of knowledge and expressed practices of sanitary workers regarding bio-medical waste management, relationship between the level of knowledge and expressed practices and to seek the association between knowledge scores with selected demographic variables. The experimental approach one, group pretest post design and non-Probability purposive sampling technique was applied and data was collected by using the self report interview technique. The collected data were analyzed at it shows that there was a marked gain in the mean knowledge score (73.31%) and expressed practice (72.10%) after PTP. There was a positive relationship seen between the level of knowledge and expressed practice at 0.05 levels (t=0.273). There was no significant association found between selected demographic variables (age, gender, and work experience, the present area of work, monthly income and source of information) with the knowledge score of nurses regarding Bio Medical Waste Management.

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Breast Cancer in Pakistani Females

Vol.4  No.2

Year : 2014

Issue : May-Jul

Title : Breast Cancer in Pakistani Females

Author Name : Zahira Amirali Khalfan, Karishma Edgar, Azim Zahir Ali, Seema Sadruddin

Synopsis :

Breast cancer is the second most common reason for death among Pakistani females. Although the exact cause is unknown, it is highly associated with family history and increasing age. Mammography is the most common screening process and chemotherapy, radiations and mastectomy are the common medical-surgical interventions performed. Lifestyle modification, proper nutrition and exercises can help to prevent this issue. Lack of medical facilities, limited number of female oncologists and unawareness amongst people in rural areas of Pakistan are the major issues that need to be addressed to resolve the problem on a timely basis. Therefore, the nurse plays an important role in educating females about early diagnosis and treatment for breast cancer.

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Osteoporosis In Post-Menopausal Women

Vol.4  No.2

Year : 2014

Issue : May-Jul

Title : Osteoporosis In Post-Menopausal Women

Author Name : Afsheen Hirani, Arifa Fehmi, Muniza Sultan Ali, Neelam Nasruddin , Sania Rupani, Umer Haideri, Zoya Khowaja

Synopsis :

Post-menopausal women face many physical, physiological and psychological alterations due to hormonal changes. Osteoporosis is one of the major bone health issues faced by them and it is the main cause of fracture incidences and disabilities. This paper defines the issue in detail along with its major causes. It explores the prevalence and incidence of post-menopausal osteoporosis worldwide and specifically in Pakistan. Furthermore, it discusses about the wide variety of treatments which include pharmacological and non-pharmacological ways i.e. diet and exercises. Moreover, it provides the preventive measures and recommendations and also explores the future research needs. By working on them, women can fight with osteoporosis and other bone health issues which can reduce the morbidity and mortality rates among women.

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Building Collaborative Partnerships between Academia and Hospitals to Enhance Preceptorship Experiences

Vol.4  No.2

Year : 2014

Issue : May-Jul

Title : Building Collaborative Partnerships between Academia and Hospitals to Enhance Preceptorship Experiences

Author Name : Leslee Shepard, Grace Allen

Synopsis :

Adequate preparation of preceptors is essential to achieving optimal student learning outcomes. While several noteworthy programs are described in the literature, few if any afforded participants ongoing support. This article describes an alliance formed between faculty in a baccalaureate program and clinical nurse educators of an acute care facility. The purpose of the partnership was to facilitate preceptor success using funds received from an internal grant. The preceptor development program was an innovative approach that consisted of three phases: face-to-face, online supplemental education, and on-site clinical support. Each phase was developed based on an applicable theory of learning. Positive feedback was received from participants and faculty. Research on the effectiveness of this three-tiered approach is recommended.

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Ethics Governing Antenatal Screening and its Implications

Vol.4  No.2

Year : 2014

Issue : May-Jul

Title : Ethics Governing Antenatal Screening and its Implications

Author Name : Sahreen Malik Bhanji, Neelam Saleem punjani

Synopsis :

Recently, antenatal screening has become one of the routine investigations during pregnancy-follow up and also the subject of debate in bioethics. The issue of screening for fetal anomalies involves several ethical and legal considerations. The obligation to protect and promote the health-related interests of the patient is the basic starting point for ethics in clinical practice. Whether the decision is abortion or continuing the pregnancy, clinicians need to support the patient and provide them enough knowledge while respecting their autonomy. It is the primary responsibility of the physician to break a bad news lies. Therefore, it is equally important that the physician provides emotional and psychological support while giving full information to their patients. However, the issue invites a conflict between, a number of ethical principles which need to be balanced in order to justify the correct decision made.

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A National Study by The Advisory Board Surveyed hospitals about the preparedness of new Registered Nurse graduates

Vol.4  No.2

Year : 2014

Issue : May-Jul

Title : A National Study by The Advisory Board Surveyed hospitals about the preparedness of new Registered Nurse graduates

Author Name : Margaret Bagnardi

Synopsis :

A National study by The Advisory Board surveyed hospitals about the preparedness of new Registered Nurse graduates. The results of this study indicated that new graduate nurses joining the workforce were not practising at the level required to meet the needs of patients in several leadership areas including delegation, ability to anticipate risks, prioritization, and conflict resolution (Nurse Executive Center, 2008). Addressing these areas prior to graduation may better prepare students for the rigor of nursing practice.

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Knowledge Of Commonly Used OTC Drugs Among Mothers Of Children In Udupi District, Karnataka

Vol. 4 No. 1

Year: 2014

Issue: Feb-Apr

Title : Knowledge Of Commonly Used OTC Drugs Among Mothers Of Children In Udupi District, Karnataka

Author Name : daisy philip, Dr. Baby Sathish Nayak, yasoda

Synopsis :

The use of OTC medications has become common. Not only do we, as adults, frequently medicate ourselves with OTC preparations, but we give them to our children also. The health professionals and the community at large, often assume that, because these drugs are not regulated by prescription, they are safe, even in overdose. However, the truth may be somewhat more sinister. While some are harmless placebos, others may be causing much more harm than good. Even the ubiquitous paracetamol may slow down the body’s response to viral infections and, in overdose; it can result in liver 4 failure . The present study attempted to determine the level of knowledge of mothers regarding the commonly used over the counter drugs. A survey was conducted among 236 mothers of children between 0-12 years of age residing in Map area, Udupi district, Karnataka. A valid, pretested and reliable structured knowledge questionnaire was administered to the mothers to assess their knowledge regarding the over the counter drugs which were commonly used. The results show that the majority of mothers have average knowledge level regarding the commonly used OTC drugs. The study concluded that, OTC drugs are being commonly used by the mothers for minor illnesses in their children without having the complete knowledge about it. Measures should be taken so that effective health messages could be targeted at mothers and caregivers.

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Non Compliance With Standard Precautions: Application Of Behavioral Ecological Model

Vol. 4 No. 1

Year: 2014

Issue: Feb-Apr

Title : Non Compliance With Standard Precautions: Application Of Behavioral Ecological Model

Author Name : Sehrish Pirani

Synopsis :

Each year approximately two million health care workers, including nurses, acquire Needle Stick Injury (NSI) that results in hepatitis B, C, and Human Immunodeficiency Virus infection (Wilburn &Eijkemans, 2004). NSI or injury from sharps is one important indicator of non-compliant behavior of standard precautions. This paper aims to address the issue of noncomplaint behavior of nurses resulting in sharps' injury in the light of a clinical scenario. A Behavioral Ecological Model (BEM) is applied to the scenario to identify the factors of non-compliance and strategies to eliminate these factors. Based on the factors identified, recommendations are suggested.

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Harassment: A Challenge At Workplace

Vol. 4 No. 1

Year: 2014

Issue: Feb-Apr

Title : Harassment: A Challenge At Workplace

Author Name : muhammad younas, salma rattani

Synopsis :

Health care professionals are deeply involved in caring for the human life and during this process, they come in a close contact with the care recipients. This, at times, positions the health care professionals in a vulnerable situation including workplace harassment which is an offensive verbal or physical act and comprises of an unwanted behavior or advancement or demand for sexual and other favors. This conduct creates an intimidating, unfriendly, and offensive work environment (Sigal, 2006). Consequently, it impacts on care providers' performance, quality care and their retention in the system. Hence, it is important that the health care personnel should be provided with a safe and secured environment and their respect, dignity and honor should be maintained. Additionally, in-case of any mishaps, the perpetrator should be dealt accordingly.

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Clinical Application Of Nursing Theory Into Practice

Vol. 4 No. 1

Year: 2014

Issue: Feb-Apr

Title : Clinical Application Of Nursing Theory Into Practice

Author Name : Sobia Idrees

Synopsis :

Nurses are facing many challenges in this competitive era in health care settings and the one biggest challenge among the others is the application of theoretical concepts into practice. Moreover, the knowledge about nursing theory and its application into clinical practice is the hallmark of evidence-based practice, which is the focus of today's health care environment. The purpose of writing this paper is to show explicitly, the close relationship of nursing theory into clinical practice in order to prove evidence-based practice. Florence Nightingale is regarded as a pioneer in the nursing profession. Nightingale has given her notes on nursing in the form of theory of environment which is very useful for nurses to apply those concepts into clinical practice in order to improve the health care standards. All the major concepts of Nightingale's theory have been incorporated into the clinical scenario.

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The Impact Of E-Health On Cardiac Health Education Among African Americans

Vol. 4 No. 1

Year: 2014

Issue: Feb-Apr

Title : The Impact Of E-Health On Cardiac Health Education Among African Americans

Author Name : Hamdy Radwan, Wanda Lawrence

Synopsis :

Cardiovascular disease accounts for more than one third of the differences in life expectancy among blacks and whites. Diseases of the heart continue to be the leading cause of death in the United States (Kochanek, Xu, Murphy, 2011). Disparities in cardiovascular health care are documented in the literature as one of the most serious public health problems in the United States (Savitz, 2012). African Americans face the highest risk of death from heart disease than any other ethnic group in America. Understanding the risk factors and interventions to reduce the same is a major step in preventing heart attack. It is important that people are educated as to the risk factors of heart attack. Finding an effective method to educate African Americans regarding the cardiac disease and its risk factors is critical. This paper reports the results of using e-health to educate a group of African Americans in one county in the eastern part of the country.

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The Effectiveness Of A Differentiated Orientation For Nurses In An Acute Care Facility

Vol. 4 No. 1

Year: 2014

Issue: Feb-Apr

Title : The Effectiveness Of A Differentiated Orientation For Nurses In An Acute Care Facility

Author Name : Leslee Shepard

Synopsis :

Effective orientation models can result in many positive outcomes for new nurses and the facility alike. Clinical nursing practice continues to shift toward differentiated practice models. Consequently, it makes sense that education and training follow the same path. This study examined the effectiveness of a differentiated orientation for nurses. Specifically, the study looked at how the design of an orientation pathway influences employee satisfaction, nurses' perceptions of enhancing clinical competency, and examined the relationship between the design of the orientation and retention. The results suggested that the orientation model did have a positive impact on job satisfaction, skill level, and longevity on a unit.

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Parental Presence During Pediatric Invasive Procedures

Vol. 4 No. 1

Year: 2014

Issue: Feb-Apr

Title : Parental Presence During Pediatric Invasive Procedures

Author Name : Neelam Saleem punjani

Synopsis :

Parental presence during paediatric invasive procedures is getting very common, but it remains to be a controversial issue in order to provide the family-centered care. Having a child in the pediatric intensive care unit produces major apprehension and fear for parents. The rationale of this anxiety is both the fear of the child's death or morbidity and the strange nature of the intensive care unit's environment. This anxiety can be further doubled by the prohibition of parents from the bedside during an invasive procedure. Parental presence during invasive procedures gives psychological support to children, fulfills the right of parents being informed about their children's treatment and facilitates health care professionals in the successful completion of the procedure. This article will discusses parental presence with three perspectives viz., patient's perspective, family perspective and health care professionals' perspective.

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Ethical Issues Faced By Health Care Professionals: Finding A Solution

Vol. 3 No. 4

Year: 2014

Issue: Nov-Jan

Title : Ethical Issues Faced By Health Care Professionals: Finding A Solution

Author Name : Laila Muhammad

Synopsis :

In the process of providing care to patients, health care professionals face ethical dilemmas such as the decision to inform or not to inform the patient about a fatal illness. It is very crucial that these issues are addressed appropriately without causing any harm – physical or emotional – to the patient. Although it may not be possible for healthcare professionals to respond to some of the ethical issues, they must ensure that they ease the discomfort of the patient and their family as much as possible while staying true to the ethics professionalism. In this regard, this paper reviews the four ethical principles: autonomy, beneficence, non-maleficence and justice, as proposed by Beauchamp and Childress (2001) and explores its application and usefulness in guiding health care professionals, especially nurses, to address the ethical issues they face.

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Patriarchy And Structural Determinants Of Domestic Violence: Gender Roles And The Normalization Of Violence In The Pakistani Family

Vol. 3 No. 4

Year: 2014

Issue: Nov-Jan

Title : Patriarchy And Structural Determinants Of Domestic Violence: Gender Roles And The Normalization Of Violence In The Pakistani Family

Author Name : Adham AlArbeed, Diala Alhakim

Synopsis :

Domestic violence is a persistent public health issue worldwide; it is especially prevalent in Pakistan. Although women's roles are changing in the contemporary era, patriarchal ideologies dominate the social and family structures. Patriarchal notions continue to perpetuate traditional gender roles. The purpose of this study was to explore how the influence of the patriarchal attitudes has played a prominent role in perpetuating domestic violence in the Pakistani family. This study focused closely on two particular social determinants that contribute to domestic violence. These two determinants were rigid gender roles and the social norms that are conducive to or permissive of violence in the home. In addition, this study shortly discussed the rest of the determinants of domestic violence in the Pakistani context according to the WHO domestic violence determinant list.

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Lessons Learned: Employing Focus Groups As A Research Methodology

Vol. 3 No. 4

Year: 2014

Issue: Nov-Jan

Title : Lessons Learned: Employing Focus Groups As A Research Methodology

Author Name : Wanda Lawrence

Synopsis :

Focus groups were chosen as the method for data collection in a study to determine factors that influence registered nurses' decisions to teach in academia. This research design was chosen because the author wanted to obtain rich indepth information from the participants. The literature reveals that the faculty shortage is one of the contributing factors of the nursing shortage throughout the country (NLN, 2010). In response to this, the researcher sought to determine reasons of registered nurses who meet education requirements but do not choose to teach in academia. Although focus groups where appropriate for this type of study, the author experienced some challenges to this chosen data collection method. There is limited recent literature regarding the use of focus groups and its challenges. The purpose of this article is to discuss challenges experienced by the author while employing focus groups as a research methodology and to address lessons learned.

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It Takes A Village To Assure Nurse Professionalism

Vol. 3 No. 4

Year: 2014

Issue: Nov-Jan

Title : It Takes A Village To Assure Nurse Professionalism

Author Name : Leslee Shepard

Synopsis :

Good quality professional behaviors are essential to the success of new graduate nurses. In contrast, documented incidents of unprofessional behaviors such as bullying are on the rise. This article examines the worldviews on causes for the decline of professionalism within the field of nursing. Implications for a sustained collaboration between staff development educators and nursing faculty are discussed including suggested strategies that enhance the professional behaviors conducive to a successful transition to practice.

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Role Of Therapeutic Communication In Dealing With Aggressive Patients

Vol. 3 No. 4

Year: 2014

Issue: Nov-Jan

Title : Role Of Therapeutic Communication In Dealing With Aggressive Patients

Author Name : Neelam Saleem punjani, Sahreen Malik Bhanji

Synopsis :

Patients who get admitted in psychiatric units are often in immense crises or distress and may demonstrate maladaptive coping responses. These responses may end up into aggression or violence. Nurses spend most of their time with patients and are likely at risk for being the victims therefore, it is a crucial matter for nurses who are working in psychiatric units to be able to assess those patients who are at risk for aggression and intervene effectively. Mental health nurses are required to learn good interpersonal skills in order to make nursing happen. These crucial skills are the building blocks or, as Stevenson (2008, p.109) expresses them, “the nuts and bolts – the basic techniques and principles in which everyone engaging in clinical practice in mental health needs to be fluent”. With the purpose to communicate efficiently mental health nurses should make efforts towards being proficient in using the communication tools. Moreover, As Stevenson (2008, p.109) points out, “one size does not fit all” similarly mental health nurses should use communication skills differently with different patients in a mental health setting.

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A Study On Occupational Stress And Job Satisfaction Among Nurses

Vol. 3 No. 4

Year: 2014

Issue: Nov-Jan

Title : A Study On Occupational Stress And Job Satisfaction Among Nurses

Author Name : V. Jurist Lionial Kumar

Synopsis :

Nursing entails the nurse meeting the patient's needs whatever the situation. Moral goal is to help the patient replace negative with positive feelings it at all possible. The unhealthy environment of the working place ie; low salary, lack of promotion facilities, lack of coordination of the colleagues, managerial attitudes, personal problems are causing occupational stress and job dissatisfaction among nurses. The sample of the study consisted of 80 nurses working in both Government and Private Hospitals in Kanyakumari District, Tamil Nadu. The tools used for the study were Occupational Stress Index by A.K.Srivastava and A.P.Singh 1984, Job Satisfaction Scale by Amarsingh and T.R. Sharma 1986. The statistical techniques used for the analyses were 't' – test and Pearson – r. The major findings of the study were (i) There is a significant difference between nurses who were degree holders in nursing and diploma holders in nursing in their job satisfaction. (ii) There is a significant difference between Government and Private nurses in their Job satisfaction. (iii) With regard to the place of residence, there is no significant difference between Urbanites and Ruralites on Occupational Stress and Job Satisfaction. (iv) In the case of Occupational Stress, qualification, place of residence and nature of institution ie; whether government or private, did not have any influence.

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Advance Directives: A Policy required in the Asian Countries

Vol. 3 No. 3

Year: 2013

Issue: Aug-Oct

Title : Advance Directives: A Policy required in the Asian Countries

Author Name : Nasreen Panjwani

Synopsis :

Advancements in health care have resulted in elaborate treatments all over the world and contributed to problems at times for the terminally ill who need palliative care. Futile treatments have demonstrated to defuse the symptoms of the disease without curing. In such scenarios physicians only prolong life of patients, keeping them away from dying peacefully and depriving them from quality of life. In this context, families exhaust their financial and material resources for the treatment of their loved ones without any substantial results. Health care systems are passionate about prolonging life and are ignoring the component of caring by disregarding the patient's rights. There are no existing policies about Advance Directives (ADs) in Pakistan and many other Asian countries, which result in ethical dilemmas among nurses and physicians. Thus, the decisions to limit the treatments such as ADs are needed in this age of modern medical technology. In this paper the author walks the audience through a scenario where she felt a dire necessity for a policy of ADs in an Asian country like Pakistan. This position paper reveals the ethical dilemma that is encountered, the position taken, supported by the ethical principles, the arguments, counter arguments and the justification for having the policy of ADs. Lastly, the final position has been stated and recommendations to implement the policy have been elaborated.

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Perceptions of Leprosy and Its Attributes Among Health Care Workers in Karachi, Pakistan

Vol. 3 No. 3

Year: 2013

Issue: Aug-Oct

Title : Perceptions of Leprosy and Its Attributes Among Health Care Workers in Karachi, Pakistan

Author Name : Saleema, Jacoline Sommer, Muhammad Shahid, Yasmin Parpio, Noureen N Karamali

Synopsis :

Leprosy is one of the socially stigmatized diseases known today which affects the social status of an individual as much as the physical, eventually impacting one's status in society. Nerve destruction leads to weakness in the hand and feet resulting in deformity. According to World Health Organization (WHO, 2013) official reports depicted that the global registered prevalence of leprosy at the beginning of 2012 stood at 181,941 cases from 105 countries. A quantitative, analytical cross-sectional design was considered to compare the knowledge and perceptions about Leprosy among Health Care Providers (HCPs) who were directly and indirectly involved in taking care of Leprosy patients. Stratified random sampling was employed to recruit 65 HCPs from NGOs, government and private hospitals. The Result has shown significant difference between two groups directly and indirectly involved in Leprosy care patients. The HCPs directly involved in providing care and possess sound knowledge about Leprosy were 98% and hence involved in providing holistic care including psychological aspects. Whereas, 40% health care providers who were not involved in direct care were not equipped with updated information and thus having fear about contracting disease resulting in ineffective care provision. It is concluded from the findings of the study that there is a strong association between knowledge about Leprosy and its perception. The in-depth knowledge and positive perception about Leprosy will help patients to receive quality care from HCPs and this will eventually reduce the stigmatization effect in society.

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A Comparative Study to Assess Job Satisfaction among Married Staff Nurses and Nursing Faculty in selected Institutions of Udupi and Mangalore Taluks

Vol. 3 No. 3

Year: 2013

Issue: Aug-Oct

Title : A Comparative Study to Assess Job Satisfaction among Married Staff Nurses and Nursing Faculty in selected Institutions of Udupi and Mangalore Taluks

Author Name : Aradhana Viswam, Blessy Valsaraj, Tessy Treesa

Synopsis :

Married working women face many challenges in their life as career women and as a responsible family member. Inability to maintain a balance in this dual role makes them frustrated in various aspects which adversely affect their performance and quality of life. Work demands, night duties and poor wages made the staff nurses to shift from clinical side to the education field. Academic field is also facing the same burdens but for other reasons such as class preparation, assignment corrections, class coordination, student counselling and many more. Moreover recent strikes by nurses all over India also throw light to the difficult job adjustment situations (“Nurses go on”, 2013) All these show the importance of investigating more to throw light to this area. These entirely made to analyse job satisfaction among married staff nurses and nursing faculty. A descriptive survey was carried out. Simple random sampling was done for the selection of hospitals and purposive sampling for married staff nurses and nursing faculty. The criteria for sample selection include married staff nurses and nursing faculty whose age ranges from 22 to 55 years with 6 months or more of marriage life and work experience Data was collected using a standardized questionnaire. Data was analysed and interpreted using descriptive and inferential statistics. Findings revealed that majority 50% married staff nurses have average job satisfaction where as majority of married nursing faculty has high job satisfaction. It was also found that there was significant difference (t=4.25, p= 0.01) between the job satisfaction between married nursing faculty and staff nurses; hence it can be interpreted that job satisfaction is more among nursing faculty than staff nurses. The study suggest that there is a need to take necessary steps to improve job satisfaction among married staff nurses in order to promote wellbeing and to prevent mental illness for them as well as to enable them to deliver high quality care to the patients. It also suggests that it is high time to reframe the policies and to encourage coping enhancing programmes to improve quality of working life. The findings of present study pointed out the need of outcome driven research for examining the effectiveness, efficacy, and cost-benefit of specific strategies aimed at improving the nurses quality of working life and organizational productivity.

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