Effectiveness of Preoperative Nursing Teaching Module Versus Patient To Patient Teaching On Anxiety Among Patients Subjected To Coronary Artery Bypass Graft (CABG)

Vol.2  No.4

Year: 2013

Issue: Nov-Jan

Title : Effectiveness of Preoperative Nursing Teaching Module Versus Patient To Patient Teaching On Anxiety Among Patients Subjected To Coronary Artery Bypass Graft (CABG)

Author Name : Parampal Kaur Cheema, Santosh Sharma

Synopsis :

It is well documented that hospitalisation for surgery is associated with increased anxiety (Dodds 1993). This study investigates the effectiveness of preoperative Nursing teaching module versus patient to patient teaching on anxiety among patients subjected to coronary artery bypass graft (CABG). Using non probability convenience sampling method a total of 100 surgical patients subjected to CABG were selected for the study from selected hospitals of Punjab. The study utilized quasi experimental design which consisted of Group1: 50 patients who received Preoperative Nursing Teaching Module and Group 2: 50 patients who had interacted with post operative CABG patients pertaining coronary artery disease and perioperaive care of CABG. Anxiety was assessed at two time points, preoperatively and postoperatively using State Trait Anxiety Inventory (STAI). A pretest was conducted to assess the baseline level of anxiety scores of both the groups (Group 1 and Group 2) of the patients using the State Trait Anxiety Inventory (STAI) followed by Preoperative Nursing Teaching Module for Group 1 and Patient to Patient teaching Method for Group 2. The posttest was carried out approximately after 3 days after the administration of Preoperative Nursing Teaching Module and Patient to Patient teaching Method. In pretest, the Group1, 5(10%) patients were having mild anxiety, 45 (90%) were having moderate level of anxiety; out of the 50 patients in Group 2, 8(16%) patients were having mild anxiety and 42(84%) were having moderate level of anxiety. Whereas during posttest, among 50 patients of Group1, 36(72%) patients were having mild level of anxiety followed by 14(28%) were having moderate level of anxiety. In group 2 out of 50 patients 9(18%) were having mild level of anxiety and 41(82%) were having moderate level of anxiety. The mean post test anxiety scores of the Group 1 patients were significantly lower (p<0.001) compared to their pretest anxiety scores, after administration of the Preoperative Nursing Teaching Module. On the contrary, the Group2 posttest mean anxiety scores were not significantly reduced compared to their pretest scores. Hence the Preoperative Nursing Teaching module is more effective in reducing the levels of anxiety among the patients subjected to CABG as compared to the Patient to patient teaching method. Association between the post test Level of anxiety of the patients and their demographic variables was found to be statistically insignificant.

Sexual health of Geriatric patients: Are we addressing it?

Vol.2  No.4

Year: 2013

Issue: Nov-Jan

Title : Sexual health of Geriatric patients: Are we addressing it?

Author Name : Sharifa Bashir Lalani

Synopsis :

Sexuality is a fundamental aspect of human self-concept in both illness and health. Yet, open discussions on sexual issues are still sometimes taboo in this day and age. PLISSIT model can be used for older adults as well to assess sexual health and guide the interventions. The longevity of life is increasing day by day; we nurses have to care about the sexual health of the geriatric patients in order to improve the quality of life of older patients.

Self-development: The Process of Professional development in Iranian Nurses

Vol.2  No.4

Year: 2013

 
Issue: Nov-Jan

Title : Self-development: The Process of Professional development in Iranian Nurses

Author Name : Flora Rahimaghaee, Nahid Dehghan Nayeri , Eesa Mohammadi , Shahram Salavati , Melanie Birks

Synopsis :

Nowadays, change is inevitable, especially in the health care organizations, so Commitment to professional development is vital to most professions, including nursing. In Iran, nurses constitute a sizable amount of the people in the health care organizations, but no sufficient attention is paid to them and their development by the organization and the staff development programs available is assessed as inefficient by nurses.  Therefore, it seems that understanding the concept and the process of development as viewed by nurses could assist the organizations and management and the nurses to achieve the same. The purpose of this study was to explore Iranian clinical nurses’ professional development process. Grounded theory was chosen as the method for conducting this inquiry that was carried out at Tehran medical university hospitals. A total of 21 clinical nurses and nursing managers participated through a purposeful and theoretical sampling frame. The participants had nursing experience ranging from 3 to 28 years and worked in various clinical areas.  Data were mainly collected through open-ended interviews to engage participants in dialogical interview relationships. No additional participants were sought when analysis indicated that data saturation had been reached.  Data was analyzed using Corbin and Strauss’ (2008) grounded theory approach to analysis. After analyzing the data, we identified four categories that included participants’ experiences regarding processing of Self-Authorized Professional Development.  The stages of this process are Self-awareness, Engagement to work, Self-acceptance, and Experimental self-proceeding. This research contributes to nursing knowledge by identifying a process through which nurses developed professionally. This understanding can be useful in nursing education to help prepare nurses for workplace realities and to help managers adopt an active role in developing their employees.

Factors leading to obesity among female adolescents in Karachi, Pakistan

Vol.2  No.3

Year: 2012

Issue: Aug-Oct

Title : Factors leading to obesity among female adolescents in Karachi, Pakistan

Author Name : Fatima Ali Jawad, Nasreen Sulaiman Lalani

Synopsis :

Adolescence is a fundamental period of development because it represents the transition between life as a child, and life as an adult. Obesity is now considered a disease of epidemic proportions with increasing prevalence worldwide. The World Health Organization (2006) defines obesity as a ‘global epidemic’ existing in both developed and developing countries. The incidence of overweight and obesity are continually rising among females who are between the age group of 11—16 years. Behavior modification programs, positive reinforcement, counseling sessions for enhancing physical activity and balanced nutrition is recommended.

Peaceful end of life theory for older patients in nursing practice

Vol.2  No.3

Year: 2012

Issue: Aug-Oct

Title : Peaceful end of life theory for older patients in nursing practice 

Author Name : Mehtab Qutbuddin Jaffer

Synopsis : 

 

Providing appropriate end-of-life care has become a primary concern of nurses. In today’s world, it is important for nurses to strengthen their knowledge regarding end-of-life especially for elder people. The purpose of this article is to study the theoretical underpinning, concepts, metaparadigms and definitions of the peaceful end-of-life framework proposed by Cornelia Ruland & Shirley Moore in 1998.Proposed theory was reviewed in depth to identify the concepts emerging from end-of-life care. Ruland & Moore have defined five major outcome standards that contribute to a peaceful EOL for terminally ill patients. (1). being free from pain, (2) experiencing comfort (3), experiencing dignity and respect, (4) being at peace and (5) experiencing a closeness to significant others or other caring person. This theory contributes the rich body of knowledge for nurses the need to provide end-of-life care. It provides insights and can contribute to increase knowledge about nursing interventions that provides peaceful end.