Tuesday 7 October 2014

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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