i-manager's Journal on Nursing (JNUR)


Volume 10 Issue 2 May - July 2020

Research Paper

A Glimpse/Case Study of Elderly People at a Senior Citizen Home in Pakistan

Parveen Chagani* , Sobia Idrees**, Misbah Zafar ***
* Aga Khan University, Karachi, Pakistan.
** Federal General Hospital, Islamabad, Pakistan.
*** Saida Waheed FMH College of Nursing Lahore, Pakistan.
Chagani, P., Idrees, S., and Zafar, M. (2020). A Glimpse/Case Study of Elderly People at a Senior Citizen Home in Pakistan. i-manager's Journal on Nursing, 10(2), 1-6. https://doi.org/10.26634/jnur.10.2.16755

Abstract

The elderly population is considered a vulnerable group as they become dependent on others for their routine activities and care. The majority of the elderly population has been neglected in many of the developed and developing countries. However, providing them with a shelter home does not always facilitate quality of life. They need holistic care to live a healthier and peaceful life with dignity. A Case study design was utilized to determine the need assessment of the elderly people living in senior citizen homes. The study was conducted in a senior citizen home situated in one of the metropolitan cities of Pakistan. Elderly people aged 60 years and above living in this home were included in the study. A total of 380 people, 200 males and 180 females were registered with this home. In order to collect the data, a naturalistic observation method was used in the study. As per the findings of the study, the majority of the participants were unaware of the health practices particularly, diet, exercise, regular health checkup etc. The management and staff were not trained in elderly care in the home. Policy makers need to realize the significance of awareness sessions for elderly people. The and management of senior citizen homes should be trained for taking care the elderly people. Higher authorities must be kept in loop for conducting appropriate training sessions and regular health screening of the elderly people.

Research Paper

Potential Ethical Challenges to Adolescents' Participation in Sexual Health Research

Neelam Saleem* , Elizabeth Papathanassoglou **, Kathy Hegadoren ***
*-*** University of Alberta, Edmonton, Canada.
Punjani, N. S., Papathanassoglou, E., and Hegadoren, K. (2020). Potential Ethical Challenges to Adolescents' Participation in Sexual Health Research. i-manager's Journal on Nursing, 10(2), 7-13. https://doi.org/10.26634/jnur.10.2.16889

Abstract

There is a growing interest in addressing the ethical dilemma related to the engagement of adolescents in health research – particularly with regard to sexual and reproductive health. This points to the need to design and implement research that addresses the needs of adolescents and is culturally appropriate. Decisions on when an individual has adequate capacity to take part in research, most commonly use age as a proxy rather than directly assessing the capacity to understand the issues and make an informed decision on whether to participate in research or not. Unfortunately, there is an assumption that adolescents participation in research is more likely to be coerced and may not fully comprehend the issues related to the risk they may be taking when engaged in research. This paper examines the various potential ethical issues that may arise in conducting qualitative research to explore adolescents' experiences of sexual health issues. The paper will discuss the potential challenges of adolescent participation in sexual health research such as privacy and confidentiality, parental consent, emotional distress, power relations and power differential. While it is believed that it is possible to generalise relevant information from adult research, studies on the ethical aspects of adolescent participation in research are still needed, particularly in the field of sexual and reproductive health where there are often differences in knowledge, attitudes and practices of adults when compared with that of adolescents.

Research Paper

Organizational Culture and Citizenship Behavior in Saudi Arabia: The Hospital Nurses' Perspectives

Kamila A. Alammar* , Fatma M. Baddar**, Olfat A. Salem ***
* Nursing Education Administration, King Fahad Medical City, Riyadh, Kingdom of Saudi Arabia.
** Nursing Administration Department, College of Nursing, King Saudi University, Riyadh, Kingdom of Saudi Arabia and Alexandria University, Egypt.
*** Nursing Administration and Education Department, College of Nursing, Riyadh, King Saud University, Kingdom of Saudi Arabia and Menofiya University, Egypt.
Alammar, K. A., Baddar, F. M., and Salem, O. A. (2020). Organizational Culture and Citizenship Behavior in Saudi Arabia: The Hospital Nurses' Perspectives. i-manager's Journal on Nursing, 10(2), 14-25. https://doi.org/10.26634/jnur.10.2.16933

Abstract

Organizations have their own Organizational Culture (OC), and the Organization's cultural fit enhances organizational Citizenship Behavior (OCB) and the overall performance of its employees. This study determined the influence of (OC) on (OCB) as perceived by hospital nurses in Saudi Arabia. In this descriptive cross-sectional study, responses were collected using The Organizational Culture Profile and Organizational Citizenship Behavior Scale. Using convenience sampling in a tertiary care hospital, data obtained from 269 respondent nurses were analyzed using descriptive and multivariate statistical analysis. Majority of the respondents were 20–30 years old (45.7%), females (95.2%), non-Muslims 236 (87.7%), non-Saudi's 261 (97%), married (61.7%), and had completed nursing degree (73%). Almost half of them had 5–10 years of experience, working as bedside nurses (51.3%). “Competitiveness” (3.82±0.82) and “supportiveness” (3.79±0.78) were the predominant cultural factors, whereas “altruism” (6.13±0.83) and “conscientiousness” (6.02±0.88) were the main OCB dimensions. Most nurses positively perceived both the cultural profile (3.68±0.85) and OCB (5.78±1.43). Both OC and OCB scores showed significant associations with each other as well as with all subdimensions except “sportsmanship” behavior. In conclusion, OC and OCB were positively perceived by the staff nurses, and OC was found to shape OCB. It is essential for the organization to consider the cultural factors during recruitment and development of nursing staff. The management should understand its OC, identify the positive aspects, and help develop OCB to reach organizational effectiveness.

Research Paper

Stigma against Mental Illness: Discrimination, Stereotyping and Prejudice

Sara Hussain Ali Mistry* , Safura Hussain Ali Mistry **, Momina Munir Widhani ***
* Department of Neurology and Neurosurgery, The Aga Khan Hospital and Medical College Foundation, Pakistan.
** The Aga Khan University, Pakistan.
*** Department of Community Health Sciences, The Aga Khan Hospital and Medical College Foundation, Pakistan.
Mistry, S. H. A., Mistry, S. H. A., and Widhani, M. M. (2020). Stigma against Mental Illness: Discrimination, Stereotyping and Prejudice. i-manager's Journal on Nursing, 10(2), 26-29. https://doi.org/10.26634/jnur.10.2.16483

Abstract

Mental illnesses have become a common issue in today's society, but some members who belong to the same culture consider mental illness as a disgrace, and label them as “mad”. Stigmatization is not only by the society but also by their family. This can decrease the patient's confidence and make it difficult to get treatment for such illnesses as anxiety, schizophrenia, depression and bipolar illness. The aim of this paper is to discuss on stigmatization against mental illness, its impact on the individual, cultural beliefs, and strategies to overcome the issue. Stigma can be attached to many people with a particular circumstance but it usually associates people with mental illness. In Eastern cultures like Pakistani culture, people have complex faith systems. There are some strategies to overcome this issue at individual, community, and governmental levels. Mentally ill people should be considered equal in the society and they should get equal rights and treatment. The significance of the stigma on Mental health issues is increasing day by day and is considered contributing to around 12% of global illness. This article reflects the consequences of stigmatization and recommends some strategies to overcome this issue at the individual, community and governmental levels.

Research Paper

Contribution of Microbiology in Nursing Theory and Practice

Shagufta Iqbal* , Shehla Khan**
*-** Aga Khan University School of Nursing and Midwifery, Pakistan.
Iqbal, S., and Khan, S. (2020). Contribution of Microbiology to Nursing Theory and Practice. i-manager's Journal on Nursing, 10(2), 30-35. https://doi.org/10.26634/jnur.10.2.16508

Abstract

The accomplishment of a basic microbiology course is a solid indicator of how students will perform in further nursing courses and clinical areas. The students should give special attention to a microbiology course in the nursing school. A good nurse must have a sound knowledge of basic microbiology to integrate her knowledge in clinical practice. Nurses who are working in the hospital settings mostly use their knowledge for infection control, hospital-acquired infection, disease transmission and control of microorganisms. Those who are working mostly in community settings utilize their microbiology knowledge in the collection and handling of specimens, understanding the medically important microorganisms, and combating infection in the immune-compromised host. In the case of clinical setting, nursing students lack the knowledge about the infection control which may make them exposed to infectious organisms. Therefore, there should be some educational strategies to enrich their ability to utilize this exposure effectively.

Research Paper

Palliative Care Needs of Adult Cancer Patients from the Perspective of Patients and their Family Members: A Qualitative Approach

Sadaf Nooruddin Zindani* , Rubina Barolia**, Raisa Gul***
* School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.
** School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.
*** Faculty of Nursing and Midwifery, Shifa Tameer-e-Millat University, Islamabad, Pakistan.
Zindani, S. N., Barolia, R., and Gul, R. (2020). Palliative Care Needs of Adult Cancer Patients from the Perspective of Patients and their Family Members: A Qualitative Approach. i-manager's Journal on Nursing, 10(2), 36-47. https://doi.org/10.26634/jnur.10.2.16704

Abstract

The aim of this study is to identify the palliative care needs of adult cancer patients from the perspective of patients and their family members. A qualitative and descriptive study design was used for this study. The snowball sampling technique was used to recruit the study participants. In all, 24 participants participated in this study. Four major categories emerged from the content analysis of the interviews with the participants: (1) physical needs; (2) psycho-social needs; (3) religious needs; and (4) financial needs. This study established the need of providing context-based palliative care services to the cancer patients.

Research Paper

HIV in Pakistan: Healthcare Providers, Intended Harm and Ethics

Shakir Rahman *
Masters of Sciences in Nursing (MScN), Aga Khan University, Karachi, Pakistan.
Rahman, S. (2020). HIV in Pakistan: Health Care Providers and Ethics. i-manager's Journal on Nursing, 10(2), 48-51. https://doi.org/10.26634/jnur.10.2.16924

Abstract

Human Immune Deficiency Virus (HIV) is a type of virus which attacks the human immune cells (White blood cells) and silently destroys the cells, making the affected person vulnerable to different diseases. Global HIV & AIDS statistics showed 37.9 million people living with HIV globally, in which 1.7 million people were newly diagnosed with the virus, and around 1.1 million people have died with AIDS and related illnesses globally. The principal of equal liberty states that “ morality of an action should be based on whether that action itself is right or wrong under a series of rules, rather than based on the consequences of the action. The outbreak of the HIV virus in the area is an eye opener for the local healthcare authorities to examine the policies regarding infectious diseases and to do amendments in order to protect the society from the lethal disease. The Health Department must provide immediate anti-viral treatment to the affected patients. The health department should communicate with the stakeholders to develop effective infectious disease control policies on a national scale. The Health Care Commission should identify wrong practices and take firm action against local which violate the health norms and regulations.

Research Paper

Nurses’ Knowledge Regarding Catheter Associated Urinary Tract Infections in Public Tertiary Care Hospitals Peshawar, Pakistan

Muhammad Ali* , Muslim Shah**, Muhammad Ayaz ***, Arifullah****
*,**** Shifa International Hospital, Islamabad, Pakistan.
** Rehman College of Nursing, Peshawar, KP, Pakistan.
*** Hayatabad Medical Complex, Peshawar, KP, Pakistan.
Ali, M., Shah, M., Ayaz, M., and Arifullah. (2020). Nurses’ Knowledge Regarding Catheter Associated Urinary Tract Infections in Public Tertiary Care Hospitals Peshawar, Pakistan. i-manager's Journal on Nursing, 10(2), 52-57. https://doi.org/10.26634/jnur.10.2.17434

Abstract

Urinary catheterization, a procedure in which a tube is placed into the urinary bladder through urethra for draining out urine is the major cause of catheter associated infections that causes 70% to 80% of catheter associated infections globally, along with 17.5% infections in European hospitals, 23.6% in US hospitals and 52% in the hospitals of Pakistan. Objectives of the study were, to asses nurse's knowledge regarding urethral catheter related infections. This study was channelized in public tertiary care hospitals of Peshawar, Pakistan. A descriptive cross-sectional design was used for this study, and conveniently ninety nurses were selected for the study. The entire period of study was from September 2017 to December 2017. A self-developed questionnaire was used to assess knowledge. Out of 90 participants, GNM were 65 (72.2%) & BSc(N) 25 (27.8%). 61.1% of the participants had low level of average knowledge and 38.9% of them had high level of average knowledge. Nurses' knowledge was low, therefore the administration & Human Resource Department of the hospitals provide periodic in-service education, up-to-date guidelines to nurses which are evidence-based for catheter use, insertion, maintenance and extraction.