Missing Identity: To Whom Do I Belong?

Volume 9 Issue 2 May - July 2019

Case Study

Missing Identity: To Whom Do I Belong?

Mamoona Iram*, Saleema Khowaja**

*-** Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan.

Iram, M., Khowaja, S. (2019). Missing Identity: To Whom Do I Belong?,i-manager's Journal on Nursing, 9(2), 50-53. https://doi.org/10.26634/jnur.9.2.16350

Abstract

The trends of pregnancy by using third party sperms are being popular to deal with the challenges of infertility that raise different ethical questions. Keeping into consideration of ethical points, it is important to examine the psycho-social wellbeing and rights of the donor-conceived child. The aim of this study was to identify a scenario related to some ethical issue and analyze and comment on it. The scenario was analysed in light of ethics, social, legal and Muslim context. The analysis revealed that the sperm donor should ponder over the wellbeing of the unborn child before sperm donation and parents should respect the child's right before taking a decision. It is recommended that healthcare professionals should consider the entire dimensions of the patient's contexts before proposing such controversial treatment modalities.

Prevalence of Hepatitis C in Pregnant Women of Pakistan: A Systematic Review

Volume 9 Issue 2 May - July 2019

Review Paper

Prevalence of Hepatitis C in Pregnant Women of Pakistan: A Systematic Review

Shiyam Sunder Tikmani*, Sumera Aziz Ali**, Sayyeda Reza***, Prashant Tikmani****

*-*** Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.

**** Shaheed Zulfiqar Ali Bhutto Institute of Science and Technology, Karachi, Pakistan.

Tikmani, S. S., Ali, S. A., Reza, S., Tikmani, P.(2019). Prevalence of Hepatitis C in Pregnant Women of Pakistan: A Systematic Review, i-manager's Journal on Nursing, 9(2), 43-49.

Abstract

Hepatitis C is a major public health problem affecting 3% of the population around the world. However, worldwide prevalence of hepatitis C in pregnant women is variable. In Pakistan alone prevalence of hepatitis C in pregnant women varies from 0.7% to 36%. Unfortunately, a rising prevalence of HCV in pregnant women is making them vulnerable to complications. Therefore, the purpose of this analysis is to estimate a prevalence rate that represents the actual burden of hepatitis C in pregnant women; by pooling the prevalence of hepatitis C in pregnant women reported in 17 studies from Pakistan. Pakmedinet, PubMed through the National Center for Biotechnology Information (NCBI), MEDLINE and Google Scholar search engines were employed for literature search. Studies published in the English language from the year 2001 and onwards have been included in this review. Since there is a paucity of studies related to this topic, we did not exclude any published literature fulfilling inclusion criteria. The quality of each study was assessed using the Newcastle–Ottawa Scale. Paper review was done by two reviewers with data extracted and compiled in MS Excel. The registration number of the study is CRD42016042341. A total of 17 studies from Pakistan reported prevalence of hepatitis C in pregnant women; 3 each were conducted in Islamabad and Khyber Pakhtunkhwa respectively, 5 in Punjab and 6 studied were conducted in Sindh province. From 17 studies, we pooled 124635 pregnant women screened for hepatitis C and of them, 8342 women were found to be positive for Anti-HCV. The overall prevalence of hepatitis in pregnant women of Pakistan was 6.7% (95% CI: 6.5-6.8) while its range varied from 0.7% to 36%. In Pakistan, the overall prevalence of hepatitis C in pregnant women was 6.7%. Nonetheless these findings cannot be disregarded and should be used by Policymakers for considering the antenatal screening of hepatitis C in pregnant women.

Using an Acuity Tool that Interfaces with the Electronic Health Record to Balance Nursing Workload

Volume 9 Issue 2 May - July 2019

Review Paper

Using an Acuity Tool that Interfaces with the Electronic Health Record to Balance Nursing Workload

Mary Hawkins*, Kimberly Myers**, Amber Messier***, Ashley Nihsen****, Marla Kniewel*****

* Methodist Jennie Edmundson Hospital in Council Bluffs, Iowa.

**-***** Nebraska Methodist Hospital in Omaha, Nebraska.

Hawkins, M., Myers, K., Messier, A., Nihsen, A., Kniewel, M. (2019). Using an Acuity Tool that Interfaces with the Electronic Health Record to Balance Nursing Workload, i-manager's Journal on Nursing, 9(2), 36-42.

Abstract

Matching nursing resources with patient needs and acuity while maintaining patient safety and quality of care has become increasingly difficult due to the increase in nursing shortage. Nurses have growing concerns about equity and satisfaction regarding patient assignments. The purpose of this project was to discover the effects of utilizing an acuity tool that interfaces with the electronic health record (EHR) to accurately assess patient acuity and balance the nurse-patient workload. A search plan was developed to identify keywords within several article databases. Existing literature identified evidence on how an electronic acuity-based staffing tool balances nurse-to-patient workload and allows for consistent, high-quality patient care while managing healthcare costs. An acuity measurement tool interfaced with the EHR can be an excellent resource for optimizing nurse staffing and workload. Electronically predictinga patient’s acuity provides a powerful tool for healthcare managers to allocate resources. Such estimations and predictions on patient’s acuity can be produced from vast amounts of electronic healthcare data, information technology, and computational intelligence techniques. Using tactical decision-making and resource allocation with different mathematical optimization models will support acuity predictions and help to balance nurse workloads.

Effectiveness of Structured Teaching Programme on Behavioral Problems and Toilet Training Among the Mothers of Toddlers

Volume 9 Issue 2 May - July 2019

Research Paper

Effectiveness of Structured Teaching Programme on Behavioral Problems and Toilet Training Among the Mothers of Toddlers

Rashmi Negi*, Shweta Handa**

*-** Faculty of Nursing, SGT University, Gurugram, Haryana, India

Negi, R., Handa, S. (2019). Effectiveness of Structured Teaching Programme on Behavioral Problems and Toilet Training Among the Mothers of Toddlers,i-manager's Journal on Nursing, 9(2), 26-35.

Abstract

Behavioral problems among the toddlers are common and result from the child’s need for autonomy and exploration. Toddler might like to continue to excrete whenever tension in the bowel or bladder occurs. An important part of dealing with the issue of toilet training is to educate parents about the signs of readiness for their child to begin. A Pre experimental research approach and one group pre test post test design was adopted to find out the effectiveness of structured teaching programme on behavioral problems and toilet training. This study was conducted on mothers of toddlers admitted in pediatric wards at RMMCH Chidambaram. Data was collected through structured questionnaire. The total sample comprises of 50 mothers of toddlers who full fill the inclusion criteria. This study assessed the knowledge and attitude among mothers of toddlers regarding behavioral problems and toilet training, and found that the mothers had inadequate knowledge related to behavioral problems and toilet training. The study concluded that the structured teaching programme was effective in improving knowledge and attitude of mothers regarding behavioral problems and toilet training.

Experiences of Undergraduate Nursing Students about Reflective Journaling

Volume 9 Issue 2 May - July 2019

Research Paper

Experiences of Undergraduate Nursing Students about Reflective Journaling

Nafisa Iqbal *, Khalil Ahmed Jatt **, Muhammad Ishtiaq ***, Hawa Gul ****

*,***,**** Shifa college of Nursing, University of ShifaTameer-e MillatUniversity, Islamabad.

** Pakistan Institute of Medical Sciences, Islamabad.

Iqbal, N., Jatt, K. A., Ishtiaq, M., Gul, H.(2019). Experiences of Undergraduate Nursing Students about Reflective Journaling, i-manager's Journal on Nursing, 9(2), 20-25.

Abstract

To explore the experiences of undergraduate nursing students about reflective journaling. A qualitative descriptive study was carried out in a private nursing college. A Convenience sample consisted of all the PRN extended first year students was selected. In depth interviews was carried out in the month of November, 2018 by the trained data collector. The three major categories emerged from data “Benefits of writing reflective journaling”, challenges faced by the students in writing reflective journaling” and “Future implementation of the strategy”. Benefits that has been highlighted such as post-reading at the end of the session, remembrance of the content, improvement in writing skills etc. Challenges were reported as: time limitation and difficulty in writing the log. Application of this strategy in different subjects with providing feedback was recommended by the students. The reflective journaling was found to be more beneficial for undergraduate nursing students with few manageable challenges. The findings of the research will help the nursing educator to adopt reflective journaling as a teaching learning strategy in class room setting during teaching of different subjects.

Nurses’ Job Dissatisfaction and Associated Factors at Public Sector Tertiary Care Hospital in Pakistan: A Qualitative Study

Volume 9 Issue 2 May - July 2019

Research Paper

Nurses’ Job Dissatisfaction and Associated Factors at Public Sector Tertiary Care Hospital in Pakistan: A Qualitative Study

Shazia Bano *, Nousheen Akber Pradhan**, Narjis Rizvi***, Farid Midhet****

*-*** Community Health Sciences, Aga Khan University, Karachi, Pakistan.

**** Qassim University College of Medicine, Saudi Arabia.

Bano, S., Pradhan, N. A., Rizvi, N., Midhet, F.(2019). Nurses’ Job Dissatisfaction and Associated Factors at Public Sector Tertiary Care Hospital in Pakistan: A Qualitative Study, i-manager's Journal on Nursing, 9(2), 9-19.

Abstract

Nurses, the mainstay of the healthcare system, occupy a significant position at all tiers of health care. Inadequate number of nursing staff affects the quality of nursing care and also elevate the burden of workload on existing staff. This study aimed to assess factors influencing nurses’ job satisfaction and retention in a public sector tertiary care hospital in Pakistan. An exploratory qualitative study was used to explore nurses’ perception of job satisfaction at work. Study was carried out during July to September, 2016 at public sector tertiary care hospital of Pakistan using purposive sampling technique. Study participants were nurses, providing direct patient care and head nurses in 10 different units of hospital. Focus Group Discussions were conducted with staff nurses from eleven different clinical units; In-depth Interviews with head nurses and Human Resource/Administration personnel. Human Resource policy related documents were also reviewed. Lack of career growth prospects and in-service education and trainings, professional discrimination between physicians and nurses, high work load and shortage of staff were the important factors indicated by participants for job dissatisfaction. Nurses also expect recognition for their work and respect from their co-workers. Job satisfaction among nurses can potentially increase quality of nursing care. The study highlighted the need to implement fair and equitable policies for nursing workforce at hospital. Simple measures for better management practices could significantly improve the working conditions and hence retention of nurses in the longer run.

The Effect of Early Skin to Skin Contact in Term Neonates After C-Section on Breastfeeding Choice at the Time of Discharge

Volume 9 Issue 2 May - July 2019

Research Paper

The Effect of Early Skin to Skin Contact in Term Neonates After C-Section on Breastfeeding Choice at the Time of Discharge

Batool Pouraboli*, Mahdieh Estabraghi **, Younes Jahani ***

* Department of pediatric and neonatal nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

** NICU Nursing, Nursing and Midwifery Kerman School of Razi, University of Medical Sciences, Kerman, Iran.

*** Research Center for Social Determinant of Health, Institute of Futures Studies in Health University of Medical Sciences, Kerman, Iran.

Pouraboli, B., Estabraghi, M., Jahani, Y. (2019). The Effect of Early Skin to Skin Contact in Term Neonates After C-Section on Breastfeeding Choice at the Time of Discharge, i-manager's Journal on Nursing, 9(2), 1-8.

Abstract

The events happening in the early hours of life are very effective on the survival and development of the child, and the separation of the newborn from the mother after birth, even in the short term, can disrupt successful breastfeeding at this important time. The current study aimed to determine the effect of skin-to-skin contact of mother and newborn immediately after the cesarean section on breastfeeding choice at the time of discharge. This randomized controlled interventional study was performed on 80 mothers and newborns after the cesarean section with spinal anesthesia in two groups of skin-to-skin contact and routine care. The type of feeding selected by the mother was asked at the time of admission and discharge, and it was compared between the two groups. Data were analyzed using SPSS 22, logistic regression, Chi-square and Fisher tests. The results showed that the selection of breastfeeding at the time of discharge in the skin-to-skin contact group was slightly higher than that of the routine care group, but there was no statistically significant difference between the two groups regarding the significance level of the study (p-value >0.05),. 96.3% of the mothers of the skin contact group reported that the skin-to-skin contact was effective in choosing exclusive breastfeeding for their newborns. The results of this study show that although a high percentage of mothers tends to breastfeed their newborns, in practice almost half of them do not succeed in breastfeeding their newborns exclusively. According to the results of the study, and since the selection of breastfeeding in the skin contact group was at a higher level, skin-to-skin contact did not have a significant effect on the selection of breastfeeding. It seems that a study with a larger sample size will produce more positive results.

Involvement of Preoperative Nurse: A Strategy for Optimization of Risk Factors Before Hospitalization for Elective Orthopedic Surgeries at a Tertiary Care Hospital in Karachi, Pakistan

Volume 9 Issue 1 February - April 2019

Case Study

Involvement of Preoperative Nurse: A Strategy for Optimization of Risk Factors Before Hospitalization for Elective Orthopedic Surgeries at a Tertiary Care Hospital in Karachi, Pakistan

Rahila Khamiso*, Sunita Momin**, Nasreen Panjwani***

*-*** Aga Khan University Hospital, Karachi, Pakistan.

Khamiso, R., Momin, S., Panjwani, N. (2019). Involvement of Preoperative Nurse: A Strategy for Optimization of Risk Factors Before Hospitalization for Elective Orthopedic Surgeries at a Tertiary Care Hospital in Karachi, Pakistan, i-manager's Journal on Nursing 9(1),39-43. https://doi.org/10.26634/jnur.9.1.15392

Abstract

Preoperative assessment plays a vital role in all surgeries that are to be performed under general anesthesia. It helps in the preparation of the patient and optimization of risk factors before surgery, involvement of multidisciplinary teams to avoid complications, decrease length of stay, and reduce the delays in surgery. The aim of this quality research work was to improve preoperative anesthesia assessment compliances of patients undergoing elective orthopedic surgeries. A retrospective review of data was conducted for orthopedic services in a tertiary care hospital for a period from January to June 2017 of all patients planned for elective surgeries. The data analysis showed only 31% compliances. In order to enhance these compliances, a preoperative nurse was hired in the service and she functioned closely with the surgeons. After interventions, the preoperative compliances increased from 31 to 81% in the next three months from July to September 2017. The targeted benchmark to achieve maximum compliances is up to 95 to 100%. Preoperative optimization not only benefits in early recognition of risk factors, but it also contributes towards positive clinical outcomes of patients after surgery. Moreover, it promotes speedy recovery and decreases the length of hospital stay.

Resilience among Adolescents: A Concept, Construct, Process, Outcomes and Nurses’ Role

Volume 9 Issue 1 February - April 2019

Review Paper

Resilience among Adolescents: A Concept, Construct, Process, Outcomes and Nurses’ Role

Neelam Saleem Punjani*, Amynah S. Mevawala**

*-**University of Alberta, Canada.

Saleem, A., Mevawala, A.S. (2019). Resilience among Adolescents: A Concept, Construct, Process, Outcomes and Nurses’ Role, i-manager's Journal on Nursing 9(1),32-38. https://doi.org/10.26634/jnur.9.1.16078

Abstract

Resilience is a process of recovery, an individual's capability and a consequence of successfully adapting despite adverse circumstances or suffering to personal wellbeing and protection. The aim of this paper is to define resilience as a concept, construct, process, and outcome during adolescence. A review of the literature on adolescent resilience was conducted and analyzed using resilience as a concept, construct, process, and outcome during adolescence. Adolescence is considered as a phase of rapid development with consequences such as the adoption of risky behaviors. Promoting resilience in adolescents require protective processes at three different levels which include individual level, family level, and community level interventions. These factors promote individual's positive coping and fast recovery during adversities, which results in improved mental and physical health, such as enhanced self-esteem, hopefulness, problem-solving, and better confidence in facing challenges. Nurses must be mindful of the developmental stages, coping styles, level of stress, and risk behaviors in order to understand their level of resilience. Understanding resilience would assist nurses in practicing holistic nursing care to adolescents.

Hope of HIV Positive Patients in Relation to their Resilience

Volume 9 Issue 1 February - April 2019

Research Paper

Hope of HIV Positive Patients in Relation to their Resilience

G. Kumaravelu*

School of Education, Pondicherry University, Puducherry, India.

Kumaravelu, G. (2019). Hope of HIV Positive Patients in Relation to their Resilience, i-manager's Journal on Nursing, 9(1), 26-31. https://doi.org/10.26634/jnur.9.1.15194

Abstract

People with HIV positive are experiencing discrimination and stigmatization in their altitude of hope in spite of their treatments and many orientation programs. The aim and purpose of the present study was to examine the correlation linking the hope and resilience of HIV positive patients. Hence the present study was conducted with a purpose to promote the better mental health status of HIV positive patients, with an intention to discover out the relationship of hope and resilience, and suitable safety and health measures both for the individual and policymakers were listed out. The present research was conducted on a sample of 40 HIV positive patients. Purposive sampling technique was employed in collecting the data. Adult Hope Scale was used to amount hope and Resilience Scale was used in the present study to collect the data. Results clearly revealed that there exist significant and positive relationship between HIV positive patients and HIV Negative people with regard to Hope and Resilience. The present study paves way for significant anticipation and provisions for the affected and suggests necessary treatment has to be carried out in order to keep away from the disease.

Assess the Clinical Morbidities of Varicose Veins and its Risk Factors among Construction Workers in Bhubaneswar

Volume 9 Issue 1 February - April 2019

Research Paper

Assess the Clinical Morbidities of Varicose Veins and its Risk Factors among Construction Workers in Bhubaneswar

Neethu Maria Joseph*, Sukriti Khatua **, Mousumi Bhunia***, Alina Priyadarshinee ****, Puja Rani Patar *****, Abhilash Dalai ******, Kumari Adyasha Pradhan *******

*Department of Medical Surgical Nursing, SUM Nursing College, Siksha O' Anusandhan (Deemed to be University), Bhubaneswar, India.

**-*******SUM Nursing College, Siksha O' Anusandhan (Deemed to be University), Bhubaneswar, India

Joseph, N. M., Khatua, S., Bhunia, M., Priyadarshinee, A., Patar, P.R., Dalai, A., Pradhan, K.A. (2019). Assess the clinical Morbidities of Varicose Veins and its Risk Factors among Construction Workers in Bhubaneswar, i-manager's Journal on Nursing 9(1),20-25. https://doi.org/10.26634/jnur.9.1.16101

Abstract

Varicose veins are commonly found among people with occupations demanding a prolonged standing period and heavy work. This study was conducted to assess clinical morbidities and risk factors of varicose veins among construction workers. The cross-sectional study was conducted among 176 workers in the age group of 30 – 55 years. Presence of sign and symptoms were assessed using a self-structured checklist and presence of risk factors associated with varicose veins were assessed using self-structured risk factor checklist. Among the selected workers, 67.61% were males and 55.5% of the participants did activities related to standing after work. Bulging veins in legs were seen in 28.98% with swelling of the leg in 22.73%. Risk factors assessment showed consumption of alcohol in 86.36%, and heavy weight carrying in 97.73%. Awareness of the varicose veins and the causative risk factors among workers are important to reduce the morbidity.

Effect of Light Therapy on Quality of Sleep Among Elderly Women at Selected Old Age Home, Bhubaneswar, Odisha

Volume 9 Issue 1 February - April 2019

Research Paper

Effect of Light Therapy on Quality of Sleep Among Elderly Women at Selected Old Age Home, Bhubaneswar, Odisha

Sailabala Mohanty*, Rupanjali Patra**

*-** SUM Nursing College, Siksha O’ Anusandhan University, Bhubaneswar, Odisha, India.

Mohanty, S., Patra, R. (2019). Effect Of Light Therapy on Quality of Sleep Among Elderly Women at Selected Old Age Home, Bhubaneswar, Odisha, i-manager's Journal on Nursing, 9(1),11-19. https://doi.org/10.26634/jnur.9.1.15429

Abstract

Being an elderly woman presents itself with array of unique problems, then these problems are aggravated by the marked changes in the socioeconomic transformation, which leads to a number of changes in different aspects of living conditions. Sleeping problems are one of the many problems in our modern society with major psycho-physical implications. The major changes in elderly women's sleep formation are decrease in sleep quality, sleep disturbance, difficulty in starting and maintaining sleep. Elderly women take lot of medications for good sleep, but this will lead to complications, and the possibility for using technology for improving sleep is also majorly accounted for. This is a new way by which better sleep in elderly women could be sustained and the paper has underlined the important role of technology, that it could play. In the study, quasi experimental pre-test post-test only design was adopted to assess preexisting health conditions and effect of light therapy on quality of sleep among elderly women in selected old age home in Bhubaneswar, by taking 48 elderly women in experimental and control group through simple random sampling method. Total study was conducted in following four phases, i.e. pre intervention, intervention, post intervention, and follow up. Light therapy was given in morning for 30 minutes by cool white florescent LED in 10,000 LUX light to the experimental group. The result of pre-existing health conditions showed that sleep disorder is found maximum in control group (91.66%) and experimental group (87.5%). The result revealed that at the end of light therapy in intervention and during follow up period, highly significant increase in global score of quality of sleep was found compared with pre intervention score. The light therapy has also significant impact on sub components of sleep quality. It was concluded that light therapy has been shown to be effective non-pharmacological therapy for improving quality of sleep among elderly.

The Attitude and Educational Needs of the first-year Students about sex education in South East Iran

Volume 9 Issue 1 February - April 2019

Research Paper

The Attitude and Educational Needs of the first-year Students about sex education in South East Iran

Zahra Alidadi *, Sakineh Sabzevari**, Batool Pouraboli***, Mansooreh Azzizzadeh Forozy****

*Department of Pediatric Nursing, Nursing and Midwifery School of Razi, Kerman University of Medical Sciences, Kerman, Iran.

**,**** Department of Medical Surgical, Nursing and Midwifery School of Razi, Kerman University of Medical Sciences, Kerman, Iran.

***Department of Pediatric and Neonatal Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

Alidadi, Z., Sabzevari, S., Pouraboli, B., Forozy, M. A. (2019). The Attitude and Educational Needs of the First-Year Students About Sex Education in South East Iran, i-manager's Journal on Nursing, 9(1),1-10. https://doi.org/10.26634/jnur.9.1.15564

Abstract

One of the most important features of adolescence period is the emergence of sexual desire and the onset of sexual activity, which is expected to be taught as part of the curriculum. The current study aims to evaluate the needs of sex education of adolescents and to determine their attitude towards sex education. It is a descriptive-analytic study that was conducted in Kerman University of Medical Sciences in 2014. The data collection tool was a researcher-made questionnaire. The sample size in this study was 400 students. SPSS version 18 was used to analyze the data. The frequency distribution table, the mean and standard deviation of the scores were used to describe the data, and, parametric tests (T, ANOVA) and Pearson correlation coefficient were used for analysis. The results of this study showed that educational needs of about 80% of students in puberty period was about "skin health education”, “nutrition education”, “education of emotional changes", "teaching methods of transmission and prevention of HIV / AIDS and other sexually transmitted diseases” and “the training of normal and painful menstruation and its causes and how to control pain”. There was a positive and significant relationship between sex and time of providing information, between age and mean score of opinions and between attitudes and opinions about educational needs. Also, from the participants' point of view, the best time of education was during high school years, and the best method of sex education was at schools by a nurse or midwife, and most of them received their sexual information from friends and books. Students' attitude toward sex education to adolescents was fairly good. They should be trained in cases they do not have a good attitude towards them.

Preterm Labor Management: A Narrative Review

Volume 8 Issue 4 November - January 2019

Review Paper

Preterm Labor Management: A Narrative Review

Madhusmita Nayak*

*Assistant Professor, SUM Nursing College, Siksha 'O' Anusandhan University, Bhubaneshwar, Orissa, India.

Nayak, M.,(2019). Preterm Labor Management: A Narrative Review, i-manager's Journal on Nursing 8(4),46-52. https://doi.org/10.26634/jnur.8.4.14910

Abstract

Giving birth is a beautiful experience and greatest achievement for a woman. And also everything is needed to be accomplished in appropriate time to avoid consequences. As like in preterm labor, where the labor occurs before the 37 th completed weeks is associated with various maternal and neonatal complications. As per statistics, about 28% of the neonatal death occurs due to preterm birth and the prevalence of preterm labor worldwide is around 11.5%. There are a lot many causes to it including preterm rupture of membranes (30%), urinary tract infections during pregnancy (35.8%), history of abortion (19.9%), and unplanned pregnancy (18.1%). But fortunately there are preventive measures like daily uterine activity monitoring, adequate bed rest and hydration, use of polar bear position, and vitamin C supplementation. If those fails, pharmacological treatment measures (tocolytics, Prostaglandin Inhibitors and Calcium Channel Blockers, Antibiotic therapy) can be used. However, the treatment and preventive measures is still a topic of debate. Also, nurses has a pivotal role in handling mothers with consequences.

A Study to Assess the Effectiveness of Strelinikova Breathing Exercise on Reduction of Respiratory Signs Among Preschoolers with Lower Respiratory Tract Infection in Selected Hospital at Kanyakumari District

Volume 8 Issue 4 November - January 2019

Research Paper

A Study to Assess the Effectiveness of Strelinikova Breathing Exercise on Reduction of Respiratory Signs Among Preschoolers with Lower Respiratory Tract Infection in Selected Hospital at Kanyakumari District

J. Pearlin*, F. Malchijah Ramesh**

*MSc (N), Department of Child Health Nursing, Christian College of Nursing, Neyyoor, Kanyakumari District, Tamil Nadu, India.

**Programme Head, Department of Child HealthNursing, Christian College of Nursing, Neyyoor, Kanyakumari District, Tamil Nadu, India.

Pearlin, J.,Malchijah,F.R.,(2019). A Study to Assess the Effectiveness of Strelinikova Breathing Exercise on Reduction of Respiratory Signs Among Preschoolers with Lower Respiratory Tract Infection in Selected Hospital at Kanyakumari District, i-manager's Journal on Nursing 8(4),33-45. https://doi.org/10.26634/jnur.8.4.15364

Abstract

Lower respiratory tract infection is common among children. This will interrupt the children breathing pattern and cause breathing difficulty. This study was carried out to assess the effectiveness of Strelinikova breathing exercise on reduction of respiratory signs among preschooler with Lower respiratory tract infection. The study was based on Callista Roy's adaptation model of nursing theory. Quasi experimental pretest and posttest control group design has been adopted. The study was conducted in Agasthiya Muni Child Care Centre, Vellamadam. Purposive sampling technique was adopted. A sample of 30 was selected on the basis of inclusion criteria, from 15 experimental group, 15 control group preschooler with lower respiratory tract infection. The data collection tool included demographic variables and Modified severity of exacerbation grade scale and oxygen saturation. Strelinikova breathing exercise was demonstrated by investigator to the experimental group for 10 - 15 minutes. This was followed for five days and was given thrice a day. Posttest was conducted on 5th day in both experimental and control group. In part I in the experimental group the pretest mean respiratory sign score was 6.06 with SD 1.66 and in the control group, the mean score was 5.86 with SD 1.60. The mean difference was low and statistically not significant. That is both groups are equal in the pretest level of respiratory signs. In the experimental group, posttest means respiratory signs score was 3.66 with SD 0.72 and in the control group was 4.93 with SD 1.27. The mean difference was high and statistically significant. That is the Strelinikova breathing exercise was effective in part I respiratory signs. In part II in the experimental group, the pretest mean respiratory sign score was 2.60 with SD 0.51 and in the control group, the mean score was 2.46 with SD 0.52. The mean difference was low and statistically not significant. That is both groups are equal in the pretest level of respiratory signs. In the experimental group, posttest means respiratory signs score was 1.33 with SD 0.52 and in the control group was 1.83 with SD 0.45. The mean difference was high and statistically significant. That is the Strelinikova breathing exercise was effective in part II respiratory signs. The findings revealed that the administration of Strelinikova breathing exercise has a better effect in reducing lower respiratory tract infection.

A Study to Assess the Relationship Between Precepting Behaviors of Senior Nurses and the Performance of Novice Nurses

Volume 8 Issue 4 November - January 2019

Research Paper

A Study to Assess the Relationship Between Precepting Behaviors of Senior Nurses and the Performance of Novice Nurses

Premalatha Jayachandra*

* Nursing Clinical Instructor, Nursing Internship Program, Department of Nursing Education , King Fahd Medical City, Riyadh, Saudi Arabia.

Jayachandra, P.,(2019). A Study to Assess the Relationship Between Precepting Behaviors of Senior Nurses and the Performance of Novice Nurses, i-manager's Journal on Nursing 8(4),26-32. https://doi.org/10.26634/jnur.8.4.15114

Abstract

Unpreparedness of novice nurses during the process of transition to their professional role has broad consequences for the nurse and health care system and leads to reduction of the quality of patient care. It is common for new nurses to feel insecure and unsure about their ability to be a registered nurse, and there is multitude of issues that may arise, which only serve to add these feelings of insecurity. Studies have not clearly specified the means through which such support could be most effectively provided; therefore, the present study was conducted to assess the "Relationship between Precepting behaviors of senior Nurses and the performance of Novice Nurses". This study utilized descriptive and correlational research design. Novice nurse claimed that if they were trained well their performance is better, they said that if their preceptors are visible and show willingness to teach and guide them, they are comfortable doing their tasks and eager to perform their responsibilities with better results. Based on the findings of the study, the Precepting behaviors of senior nurse's skills and experience within the nursing field were highly exhibited including those that reflect their roles as idea bouncer, model, challenger and feedback giver.

Effectiveness of Planned Teaching Program on Antenatal Exercises Among Antenatal Mothers

Volume 8 Issue 4 November - January 2019

Research Paper

Effectiveness of Planned Teaching Program on Antenatal Exercises Among Antenatal Mothers

Rajitha S. R.*, Santhi Appavu**

*Assistant Professor, Department of Obstetrics ang Gynecology, Christian College of Nursing, Neyyoor, Tamilnadu, India.

**Principal, Christian College of Nursing, Neyyoor, Tamilnadu, India.

Rajitha, S.R., Appavu, S.,(2019). Effectiveness of Planned Teaching Program on Antenatal Exercises Among Antenatal Mothers,i-manager's Journal on Nursing 8(4),19-25. https://doi.org/10.26634/jnur.8.4.14912

Abstract

Regular exercises and relaxation are essential for feeling healthy in mind and body at any time. A gentle exercise helps to improve circulation as the amount of body fluid increases during pregnancy. The aims of antenatal exercises are prevention of low back pain and enhancement of physical and psychological preparation for delivery by stretching and strengthening of joints and muscles. The objectives of this study were to assess the knowledge level among antenatal mothers before and after planned teaching program on antenatal exercises, to determine the effectiveness of planned teaching program and to find out the association between knowledge level on antenatal exercises and selected demographic variables. This study was adopted with a quantitative research approach with pre-experimental; one group pretest-posttest design. The sample consisted of 60 mothers in selected CSI Medical Mission Hospitals at Kanyakumari District, which was selected by purposive sampling. The result reveals that the pre-test mean score of knowledge was 34.93±17.34 and post-test was 80.1±5.614. The mean difference was 45.17 and the 't' value was 19.197. Thus, it was statistically highly significant at P<0.0001 level. This study supports the necessity of education for antenatal mothers in improving their knowledge towards antenatal exercises and its benefits.

The Effect of Early Skin to Skin Contact on Maternal Attachment Behaviors in Neonates After Cesarean Section

Volume 8 Issue 4 November - January 2019

Research Paper

The Effect of Early Skin to Skin Contact on Maternal Attachment Behaviors in Neonates After Cesarean Section

Batool Pouraboli*, Mahdieh Estabraghi **, Younes Jahani***

*Assistant Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

**Msc in NICU, Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.

***Associate Professor, Biostatistics, Modeling in Health Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences, Kerman, Iran.

Pouraboli, B.,Estabraghi, M.,Jahani, Y.,(2019). The Effect of Early Skin to Skin Contact on Maternal Attachment Behaviors in Neonates After Cesarean Section,i-manager's Journal on Nursing 8(4),10-18. https://doi.org/10.26634/jnur.8.4.15511

Abstract

The first hours after birth are a critical period to develop the mother-newborn attachment and to reduce the anxiety related to the baby. Cesarean section and subsequent separation of mother and baby can increase the disorders resulted from this separation. Thus, the present study aimed to investigate the effect of early skin to skin contact on maternal attachment behaviors in neonates after cesarean section in a hospital in South East of Iran. This is a randomized controlled trial study, which was done on 80 mothers and newborns after cesarean section with spinal anesthesia in a hospital in South East of Iran operating room. The research samples were assigned into two groups including; skin to skin contact group and the routine care group. In the intervention group immediately after the birth, the baby was placed in prone position on the mother's chest, and in the routine care group, the baby was placed under radiant warmer just immediately after the birth. Afterward, the data were gathered by using checklists of Avant mother attachment behaviors. Data analysis was done by SPSS version 22. The results showed that there is no difference between both groups in the demographic variables. A significant difference was found between both groups in the mean scores of emotional behaviors (p<0/0001) and caretaking behaviors (p<0/0001). However, no significant difference was found between the two groups in the close contact behaviors (p=0.22). According to the results of this study, mothers who had skin-to-skin contact with their baby showed more emotional and caring behaviors. Therefore, in cesarean sections, due to the problems with starting breastfeeding as well as long separation between mother and baby after surgery, skin-to-skin contact is recommended after birth as an inexpensive and easy method.

Assessing the Implementation of Discharge Planning on Mothers’ Hope and Satisfaction of Preterm Newborns in NICU

Volume 8 Issue 4 November - January 2019

Research Paper

Assessing the Implementation of Discharge Planning on Mothers’ Hope and Satisfaction of Preterm Newborns in NICU

Sakineh Sabzevari*, Batool Pouraboli **, Zahra Akhond Zade***, Monireh Nematollahi ****, Tania Dehesh*****

*Associate Professor, Department of Medical Surgical Nursing, Nursing and Midwifery School of Razi, Kerman University of Medical Sciences, Kerman, Iran.

** Assistant Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.

*** MSc Student, Nursing and Midwifery Kerman School of Razi, University of Medical Sciences, Kerman, Iran.

**** Assistant Professor, Department of Medical Surgical in Nursing and Midwifery School of Razi, Kerman University of Medical Sciences, Kerman, Iran.

***** Assistant Professor, Department of Epidemiology and Biostatistics in School of Public Health, Kerman University of Medical Sciences, Kerman, Iran.

Sabzevari, S., Pouraboli, B.,Akhondzade , Z.,Nematollahi, M.,Dehesh, T.,(2019). Assessing the Implementation of Discharge Planning on Mothers' Hope and Satisfaction of Preterm Newborns in NICU,i-manager's Journal on Nursing 8(4),1-9. https://doi.org/10.26634/jnur.8.4.15671

Abstract

Preterm birth is considered as a stressful situation for parents. A training program for the preparation of the mothers is essential at the time of discharge due to more vulnerability of these infants compared to term infants. Mothers of these children are worried about caring for their child after discharge. In Iran, there is no follow-up regarding the status of preterm infants after discharge. This study aimed to assess the effect of implementation of discharge planning on hope and satisfaction of mothers with preterm newborns in Afzalipour Hospital in Kerman. In this clinical trial study, the population included 100 mothers of preterm newborns hospitalized in NICU in Afzalipour Hospital of Kerman in 2016. The mothers were randomly assigned to the control and intervention groups. Discharge planning was implemented for mothers that consisted of training programs about caring at home in the intervention group while the control group received routine training that consisted of receiving the booklet. Both groups completed hope and satisfaction questionnaires before and after the intervention. The questionnaire consisted of three parts: Demographic information, parental satisfaction, and Miller hope scale. The data were analyzed by Man Whitney U and Wilcoxon as well as SPSS 19. The results of this study showed that there was a significant difference in the mean scores of satisfaction between intervention (209±8.3) and the control (181.82±21.97) groups after the implementation of discharge planning (P<0.001). Also, according to Mann Whitney U test statistically, there was a significant difference in the mean scores of hope between intervention (277/02±10.28) and control groups (217.6±28.39) after the implementation of discharge planning (P<0.001). There was no statistically significant relationship among satisfaction, hope, and any demographic variables according to Spearman test (p>0.05).

Escaping from Life: Suicidal Behaviors

Volume 8 Issue 3 August - October 2018

Research Paper

Escaping from Life: Suicidal Behaviors

Nasreen Rafiq*, Neelam Rafiq **

*Registered Nurse, Intensive Care Unit, Aga Khan University Hospital, Pakistan.

**Registered Nurse, Emergency Department, Aga Khan University Hospital, Pakistan.

Rafiq, N., and Rafiq, N. (2018). Escaping from Life: Suicidal Behaviors i-manager’s Journal on Nursing, 8(3),39-42. https://doi.org/10.26634/jnur.8.3.15248

Abstract

An individual undergoes through various psychological changes during his life. These changes sometimes result in disparities hence, life loses its state of equilibrium. This gives rise to risk taking behaviors like suicide. The literature review has been conducted to identify and highlight the causes of suicide, and some strategies to reduce its rate in order to promote individuals' physical and mental health. Various databases and search engines, ranging from 1998 to 2013, have been used to conduct a detailed analysis of the problem. Epidemiological studies show that suicide has taken a heavy toll. In east, suicidal behaviors are misinterpreted as honorable martyrdoms (Vaknin, 2013). Moreover, teenage suicide is the third leading cause of death among adolescents (Shain, 2007). These findings suggest that an instant attention is required towards the issue. Various socioeconomic, psychiatric, and personality disorders and sometimes the mixture of these are responsible behind its existing trends. Therefore, the resolution of the problem requires a multidimensional approach. Suicide is considered as a failure of coping mechanism. Since, it negatively influences health, it becomes important to reduce its trends. A collaborative effort of health professionals, society, and governmental organizations is required to hamper its growth.

Effect of Structured Teaching Programme on Knowledge and Attitude of Cervical Cancer and HPV Vaccine Among the Women of 14 to 30 Years of Age Group in Urban Community of Maharashtra

Volume 8 Issue 3 August - October 2018

Research Paper

Effect of Structured Teaching Programme on Knowledge and Attitude of Cervical Cancer and HPV Vaccine Among the Women of 14 to 30 Years of Age Group in Urban Community of Maharashtra

Shailaja M. J. Mathews*

* Assistant Professor, MKSSS Smt Bakul Tambat Institute of Nursing Education, Karvenagar, Pune, Maharashtra, India.

Mathews, S. M. J .(2018). Effect of Structured Teaching Programme on Knowledge and Attitude of Cervical Cancer and HPV Vaccine Among The Women Of 14 To 30 Years of Age Group in Urban Community of Maharashtra i-manager’s Journal on Nursing, 8(3),34-38. https://doi.org/10.26634/jnur.8.3.14751

Abstract

The women of today face not only diseases of genetic origin, but more importantly, diseases that arise from the poor habits that society has developed. As former Prime Minister Jawaharlal Nehru said, “You can tell the condition of a nation by looking at the status of its women” (Chankapa et al., 2011). The study aimed to investigate knowledge and attitude about cervical cancer and HPV vaccines among the age group between 14 to 30 years in urban community of Maharashtra. The study adopted a quasi-experimental “one group” with 'pre-test' and 'post-test' approach with convenient sampling technique. A sample of 50 women of age group 14 to 30 years was selected. The effect of structured teaching programme consisting of cervical cancer and HPV vaccine are evaluated. Descriptive statistics used and pre-test, post-test analysis was done. Findings: The pre-test, post-test study revealed significant differences seen in knowledge and attitude between the pre-test and post-test. In the pre-test, 44% had good knowledge and 60% agreed in the attitude. Whereas post-test 62% had very good knowledge and strongly agreed in the attitude questions. The results show that there is a difference in knowledge and attitude by 18% and 2%, respectively, which also suggest that a structured teaching programme was effective. The study shows that pre-test scores were increased after giving structured health teaching regarding cervical cancer and HPV vaccine. This increase in post-test scores suggests that education may increase knowledge of cervical cancer and HPV vaccine.

Prevention and Management of Breast Engorgement Among Primi Postnatal Mothers - Effectiveness of Structured –Teaching Programme

Volume 8 Issue 3 August - October 2018

Research Paper

Prevention and Management of Breast Engorgement Among Primi Postnatal Mothers - Effectiveness of Structured –Teaching Programme

S. T. Jeba Nesa Mahiba*

*Associate Professor, Christian College of Nursing, Neyyoor, Tamil Nadu, India.

Mahiba, J. N..(2018). Prevention and Management of Breast Engorgement Among Primi Postnatal Mothers - Effectiveness of Structured –Teaching Programme. i-manager’s Journal on Nursing, 8(3),29-33. https://doi.org/10.26634/jnur.8.3.14911

Abstract

Breast engorgement is a physiological condition during the first two weeks of child birth in which there is lymphatic and vascular congestion and pressure of new milk. It is associated with hard, painful, throbbing, aching, and tender breasts, which may result in women needing analgesia, developing mastitis or temporarily or permanently stopping breastfeeding. The nurse should understand the effect of breast engorgement on the mother and recognize its influence on the baby. One group pre-test - post-test research design was adapted for the study. In view of the nature of the research problem and objectives, a structured questionnaire and structured teaching programme was developed in the initiation of breastfeeding within one hour of birth, composition of breast milk, advantages of breast feeding, techniques and problems of breast of breastfeeding and its management. Sixty primi postnatal mothers were selected by non-probability convenient sampling technique. Structured Knowledge questionnaire was used to collect needed data. After pre-test the structured teaching on prevention and management of breast engorgement was given for 45 minutes. Post-test was administered after five days. The data collected were tabulated and scrutinized by using descriptive and inferential statistics. Results show that 90% of the mothers had an overall inadequate knowledge, 10% of postnatal mothers had moderately adequate knowledge, and none of them had adequate knowledge in pre-test. In post-test 18% had moderately adequate knowledge and 82% of postnatal mothers had adequate knowledge and none of them had inadequate knowledge regarding prevention and management of breast engorgement. The study concludes that the planned teaching programme was effective in improving the knowledge of the postnatal mothers regarding prevention and management of breast engorgement.

The Awareness and the Use of Folic Acid During Pregnancy at Civil Hospital, Hyderabad

Volume 8 Issue 3 August - October 2018

Research Paper

The Awareness and the Use of Folic Acid During Pregnancy at Civil Hospital, Hyderabad

Victoria Samar*, Shireen Arif**, Rohama Samar***

* Senior Lecturer, People’s Nursing School, Liaqaut University Medical & Health Sciences, Jamshoro, Pakistan.

** Assistant Professor, Ziauddin University College of Nursing, Karachi, Pakistan.

*** Resident, Internal Medicine, Aga Khan University Hospital, Karachi, Pakistan.

Samar, V., Arif, S and Samar, R.(2018). The Awareness and The Use of Folic Acid During Pregnancy at Civil Hospital, Hyderabad. i-manager’s Journal on Nursing, 8(3),23-28. https://doi.org/10.26634/jnur.8.3.14393

Abstract

Taking folic acid daily, before and during early pregnancy, has been proven to reduce risk of neural tube defect. The objective of the study is to assess the knowledge, awareness, and use of folic acid among pregnant females admitted in the gynecology ward. Awareness sessions were conducted for females admitted in the gynecology ward of Civil Hospital in Hyderabad. The data was collected using self-administered structured questionnaire. Questionnaire included inquiry on their demographic data, knowledge and use of folic acid, and knowledge about neural tube defect. A total of 100 pregnant females participated in the study. 100% females do not know about the neural tube defect deficiency of folic acid can cause neural tube defect. The data of the study showed that before providing awareness to the women regarding folic acid showed that 53% females did not know about folic acid whereas, this percentage decreases to 13%. 67% females did not know about the importance of folic acid before session. The awareness sessions increase the use and level of knowledge regarding folic acid among females of Hyderabad. The study concluded that awareness of Folic acid among pregnant women is very low in Hyderabad. The level of knowledge and use of folic acid could be increased through conducting awareness sessions. Public educational strategies about folic acid may improve its intake among women.