i-manager's Journal on Nursing (JNUR)


Volume 10 Issue 4 November - January 2021

Article

Deliberate Self-Harm

Zehra Allauddin Abdullah*
School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.
Abdullah, Z. A. (2021). Deliberate Self-Harm. i-manager's Journal on Nursing, 10(4), 1-3. https://doi.org/10.26634/jnur.10.4.16995

Abstract

Deliberate Self-Harm (DSH) is interpreted as an action of self-injury without an aim to die. The worldwide statistics reveals that DSH is a prevalent issue; however, the masses have not recognized it as an alarming sign yet. To be specific, Pakistan is one of those middle-income countries where DSH is common. The article aims to give a deeper understanding about deliberate self-harm using 'Experiential Avoidance Model' by Chapman, Gratz and Brown (2006). In addition, it provides recommendations and management at the government and individual level to get control over this silent killer.

Article

The Struggle for Fighting Polio Virus in Pakistan: A Review

Komal Abdul Rahim*
Aga Khan University Hospital, Karachi, Pakistan.
Rahim, K. A. (2021). The Struggle for Fighting Polio Virus in Pakistan: A Review. i-manager's Journal on Nursing, 10(4), 4-7. https://doi.org/10.26634/jnur.10.4.17413

Abstract

Poliomyelitis is an infectious disease which is caused by the polio virus. It belongs to the family picornaviridae. This virus is mainly responsible for causing paralysis (person unable to move his parts of the body) if it gets severe. Poliomyelitis is so contagious that it can be transmitted from an infected person to an uninfected person through direct contact. Polio virus is often found in person's throat and intestines; therefore, it can also be transmitted via fecal-oral route i.e., polio virus is present in the faeces of an infected person, which gives the virus an opportunity to enter into water supply or food. When the uninfected person ingests the infected food or water, he gets infected; therefore, polio virus is mostly found in poor sanitation areas. As soon as the virus enters the body, if it invades the brain and spinal cord, it can lead to paralysis. The incubation time period for polio virus is approximately 5-35 days and shows three different patterns i.e., subclinical, abortive, non-paralytic and paralytic symptoms. To confirm the diagnosis for poliomyelitis; stool, cerebrospinal fluid (CSF) and throat secretion samples are drawn for polio virus. According to the 1988 statistics, poliomyelitis was very much prevalent in the world, but it is now mostly under control. Sadly, Pakistan is still counted in the countries which are not free from the polio virus, thus cases of polio are still being reported. There is no cure for polio once the polio virus invades your body. However, early prevention i.e., vaccination can protect you from getting polio virus. Moreover, the children under the age of 5 are more vulnerable to get infected by polio virus.

Article

Psychological Impact of Covid-19 on the Public

Abdul Karim* , Muhammad Ilyas**, Shakir Rahman ***, Innayatullah Khan ****
*-**** Aga Khan University, Karachi, Pakistan.
Karim, A., Ilyas, M., Rahman, S., and Khan, I. (2021). Psychological Impact of Covid-19 on the Public. i-manager's Journal on Nursing, 10(4), 8-12. https://doi.org/10.26634/jnur.10.4.17433
World Health Organization : COVID-19 - Global literature on coronavirus disease
https://pesquisa.bvsalud.org/global-literature-on-novel-coronavirus-2019-ncov/resource/en/covidwho-1633857
ProQuest Central | ID: covidwho-1633857

Abstract

The novel Coronavirus Disease 2019 (COVID-19) originated from China in the last week of December, 2019. It spread very rapidly across the globe and was declared as a global emergency and a pandemic by the World Health Organization (WHO). Millions of people were affected by this current pandemic globally, and as compared to the physical effects of this catastrophic pandemic it has also critical psychological effects on human life. Various societal stigmas related to COVID- 19, lack of anticipatory planning of governments, and failure of global health care leaders and agencies to quickly respond to this crisis has made the current pandemic more devastating for mental health. Numerous adverse effects of the current pandemic on the mental health of the patients and the public such as anxiety, depression, insomnia, increased substance abuse, domestic violence, behavior changes and suicide tendency have severely compromised the resilience of patients and families. The aim of the article was to create an insight in world health care agencies, local health care leaders and the government regarding the psychological impact of COVID-19 on the affected families and public in Pakistan. Moreover, in the light of international research and WHO guidelines, this paper has provided suggestions and recommendations to local government and public regarding management of COVID-19's adverse effects on mental health.

Article

Selling Your Organ to Save Your Life: An Ethical Issue in Pakistani Perspective

Muhammad Ilyas * , Rozina Karmiliani **, Sajid Iqbal ***
*-*** Aga Khan School of Nursing and Midwifery, Aga Khan University, Pakistan.
Ilyas, M., Karmiliani, R., and Iqbal, S. (2021). Selling Your Organ to Save Your Life: An Ethical Issue in Pakistani Perspective. i-manager's Journal on Nursing, 10(4), 13-16. https://doi.org/10.26634/jnur.10.4.17483

Abstract

Scenario: “Two suspicious men entered the ward where I was the Charge-Nurse, I asked them what were they looking for. They replied that if any patient needed a kidney, they would sell their kidney to the patient and charge some amount. I called the security personnel and handed-over the two persons. It was investigated that one of the men was bankrupt and taken to the hospital by force to sell his kidney in order to repay the loan”. Assumption and underlying ethical values: Selling of human organs is becoming a global issue. Selling of human organs, trade of human flesh or human organ trafficking is a worldwide ethical issue in recent days and a concern for all health care providers. In 2007, World Health Organization (WHO) gave a report of kidney trafficking which consisted of 5-10% (all organs trafficking) of all the world human organ trade. There are various factors that compel an individual to sell an organ. The theory of justice, ethics of care, right based theory, and the theory of deontology were utilized to assess the underlying ethical issue. My position in such an ethical issue is that the Health Care Provider (HCP) must perform his/her duty within the responsibilities of the professional code of ethical conduct. Conclusion: Health care professionals and the policy maker have the obligation to deny the selling and buying of human organs or tissue for financial benefits. Selling human organs is not an ethical approach to exchange the suffering from an affected person to the person exploited into organ selling. Recommendations: In the light of the ethical theories and principles the following recommendations are given to deal with such type of ethical issues. Health authority (HOTA) needs to improve the check and balance system to control and prevent such kinds of crimes in health care. It is recommended that HOTA needs to formulate policies and guidelines for organ buying and selling.

Research Paper

Knowledge and Practice Regarding Prevention of Diabetic-Keto-Acidosis at Selected Hospitals in Puducherry

V. Uma * , Preethi S. V. **, Swati Gangwar***, Punita Selvi C. ****, Pushparaj T. *****
*-***** Mother Theresa Post Graduate and Research Institute of Health Sciences (Govt. of Puducherry), Pondicherry.
Uma, V., Preethi, S. V., Priyanka, D., Selvi, C. P., and Pushparaj, T. (2021). Knowledge and Practice Regarding Prevention of Diabetic-Keto-Acidosis at Selected Hospitals in Puducherry. i-manager's Journal on Nursing, 10(4), 17-22. https://doi.org/10.26634/jnur.10.4.17209

Abstract

A quantitative approach, with descriptive research design was carried out to assess the knowledge and practice regarding prevention of diabetic Keto-acidosis among 100 diabetes patients at selected hospitals in Puducherry. The objectives of the study were, to assess the existing knowledge and practice level and correlate the knowledge level with practice regarding prevention of DKA among DM patients. The results showed that the majority of patients had moderate level of knowledge (63%) and unsatisfactory practice level (72%) regarding prevention of DKA among DM patients. There was a positive correlation between knowledge and practice, which suggests that as the level of knowledge increases the practice of prevention of DKA also increases. The study concluded that educational interventions can be administered by nurses in their day to day caring of the DM patients which could have a positive influence in the prevention of DKA.

Research Paper

Assess the Knowledge, Practice and Perceived Barriers of Screening Among Non-Professional Working Women on Prevention of Cervical Cancer in a Tertiary Hospital

Reena Vincent * , Justy Joy **, Rasna Simon ***
*-*** Jubilee Mission College of Nursing, Thrissur.
Vincent, R., Joy, J., and Simon, R. (2021). Assess the Knowledge, Practice and Perceived Barriers of Screening Among Non-Professional Working Women on Prevention of Cervical Cancer in a Tertiary Hospital. i-manager's Journal on Nursing, 10(4), 23-31. https://doi.org/10.26634/jnur.10.4.17411

Abstract

Background: More women in India die from cervical cancer than in any other country. Cervical cancer is a preventable disease which can be detected by regular screening tests and follow up. The aim of the study was to assess the knowledge, practice and perceived barriers of screening among non-professional working women on the prevention of cervical cancer. Methodology: A descriptive study was conducted among 60 non-professional working women. A convenience sampling technique was used to select the samples. A structured questionnaire was used to assess knowledge, practice and perceived barriers for screening cervical cancer. The data was analyzed by using descriptive and inferential statistics. Results and interpretation: The findings of socio-demographic and clinical data variables showed that 22 (36.7%) of the women were in the age group of 51 to 55 years, more than half 32 (53.3%) had high school education, the majority of the women 38 (63.3%) had family Income below Rs. 16000, the majority of women 42 (70%) were residents of an urban area, most of them 44 (73.3%) were married and the majority of the sample 44 (73.4%) had more than 15yrs of duration of marriage. Most of the samples 47 (78.3%) had inadequate level of knowledge, 11 (18.3%) had moderate level of knowledge and only 2 (3.3%) had adequate level of knowledge on the prevention of cervical cancer. Twenty three (38.3%) of the samples had an adequate level of practice, nearly half of the samples 29 (48.3%) had moderate level of practice and only 8 (13.3%) had inadequate level of practice on the prevention of cervical cancer. More than half 33 (55%) had responded the absence of symptoms which were considered perceived cognitive barriers, more than half of the women 35 (58%) had responded to the fear of finding cancer (the perceived emotional barriers) and the majority 46 (77%), had responded having financial problem (the perceived practical barrier) for screening of cervical cancer raised by the nonprofessional working women. There is no significant association between the level of knowledge and practice on prevention of cervical cancer with selected socio-demographic and clinical data variables. Conclusion: The study concludes that non-professional working women have lack of knowledge and practice regarding the prevention of cervical cancer. Perceived barriers (cognitive, emotional and practical) were the reason for lowering the screening rates of cervical cancer. This indicates that extensive education is needed to improve the knowledge and screening practice among non-professional women for early identification and prevention of cervical cancer.

Case Study

Schizophrenia and Career: What are the Outlooks?

Rozina Tajddin*
The Aga Khan University Hospital, Pakistan.
Tajddin, R. (2021). Schizophrenia and Career: What are the Outlooks? i-manager's Journal on Nursing, 10(4), 32-38. https://doi.org/10.26634/jnur.10.4.17497

Abstract

The importance of a career and an employment does not and should not discriminate between a mentally ill and a mentally healthy person. Employment and education are not only vital for livelihood but also they play a significant role in the personality development, satisfaction, confidence and happiness. Therefore, the patients diagnosed with schizophrenia who work and earn can help themselves to gain a more prosperous life. However the societal stigma has created many barriers for them to seek employment and education. The employment rate is therefore very low among people who suffer from schizophrenia. The forces and causes behind this problem are societal stigma, individual barriers and the symptoms of schizophrenia that are positive, negative and cognitive. This paper will discuss the case scenario of a young patient with schizophrenia and his educational career. Furthermore, the above mentioned symptoms and their relation to the end of vocation and employment are discussed and each symptom category is discussed with further specific division. The recommendations to encounter this rising situation are also discussed. As a society it should be taken into consideration that people with such mental ailments are given opportunities to live a dignified and resilient life.