The Key to Confidence is Simulation-Based Learning
Knowledge of Workplace Violence against Nurses in the Emergency Department of Public Sector Tertiary Care Hospitals in Peshawar, Pakistan
Initiation of Nursing Education Services (NES) at Khalifa Gul Nawaz Teaching Hospital MTI Bannu, Khyber Pakhtunkhwa
Unleashing the Power of Transformational Leadership: Revolutionizing the Nursing Profession in Pakistan
Addressing the Issue of Nurses Leaving Bedside Jobs with Reasons
Cognitive Stacking: A Concept Analysis
Nightingale’s Theory and its Application to Pediatric Nursing Care
Academic Strategies that Facilitate Learning in Millennial Nursing Students
Transformational Leadership: A Strategy towards Staff Motivation
Awareness of Good And Bad Touch Among Children
Suicide Among Youth: A Preventable Public Health Concern
The Impact of Culture on Faculty Retention in Nursing Education
Emotional Intelligence as a Predictor of Nursing Student Success
Psychological and Cognitive Determinants of the Health Literacy on Soon-To-Be-Aged and Older Adults: a Systematic Review
It Takes a Village to Assure Nurse Professionalism
Lessons Learned: Employing Focus Groups as a Research Methodology
Grounded theory is a methodological approach that aims to generate a theory that is grounded in systematically gathered data and its analysis through an inductive process. Annells (1997) defined grounded theory methodology as a qualitative approach to an inquiry that is embedded in relativist ontology and subjectivist epistemology. The purpose of grounded theory is to generate a theory that is rooted in the participant's perspective involved in the study. This paper aims to explicate the ontological and epistemological points of view of the constructivist paradigm. The constructivist paradigm has a relativist ontology and a subjective epistemology (Guba & Lincoln, 1994). A critique of grounded theory methodology is discussed inconsideration of diverse factors such as health and power-related inequalities, environment, social context, culture, gender, and social status. In nursing research, grounded theory is increasingly used by researchers. This paper will highlight the importance of grounded theory research for nursing practice and the generation of theories that are rooted in real clinical practices (Lazenbatt & Elliott, 2005).
Nurses are front line workers in the healthcare services. A heavy workload as a career can leave them overworked and stressed which gives high risk of developing negative mental states like depression. For individuals with depression, the severity of depressive symptoms increases and their ability to function is affected as well. A high standard of nursing care is only possible if nurses can maintain sound physical and mental health. In the United Arab Emirates, there are no published data regarding the prevalence of depression among nurses. Hence, this study sought to identify the prevalence of depression among nurses working in the Ministry of Health (MOH) hospitals in Ras Al Khaimah, United Arab Emirates, and to assess the association of demographic variables with the prevalence of depression. The selected MOH hospitals were Saqr Hospital, Ibrahim Bin Hamad Obaidullah Hospital, and Obaidullah Geriatric Hospital. A crosssectional descriptive study design was used and the data was collected from 136 nurses through a self-administered Beck Depression Inventory-II (BDI-II). The overall prevalence of depression, according to the BDI-II, was 17.6% in the present study, mild depression was 6.6%, moderate depression was 8.8%, and severe depression was 2.2%. Overall results showed that the prevalence of depression among nurses working in the MOHAP hospitals of Ras Al Khaimah were low. A significant association (p<0.05) with nationality, work experience, marital status, and financial dependence of family members of the nurses were found with depression. In order to conclude the prevalence of depression among nurses working in MOHAP hospitals of Ras Al Khaimah, the findings provided useful baseline data for policymakers regarding decisions that can positively affect the health of nurses and patients. Encouraging nurses' mental wellbeing will help optimize patient health outcomes too.
Muscle cramp is one of the most frequent problems experienced by patients during hemodialysis who have low functional capacity, decreased muscle strength, and fatigue and are associated with poor health-related quality of life. Providing exercises reduce muscle cramps by improving muscle strength and flexibility. Workouts also increase blood flow and open capillary surface areas, thereby increasing waste removal. To evaluate the effectiveness of intradialytic exercises to reduce the frequency and intensity of muscle cramps among patients undergoing hemodialysis, a preexperiment, one group pre-test, and a post-test study were conducted on 60 patients who confirmed the inclusion and exclusion criteria recruited consecutively. A structured interview schedule, self-developed muscle cramps assessment proforma, and visual analogue scale were used after getting approved by the ethical committee and taking permission from hospital authorities. Intradialytic active and passive leg exercises were performed as per the developed protocol. A post-test was conducted after a follow-up period of 6 weeks. Data analysis was done using descriptive and inferential statistics. The result shows a significant decrease in the frequency and pain intensity of muscle cramps after exercise. There was no significant association of muscle cramps with the selected socio-demographic and clinical variables, except in post-intervention with sedentary lifestyles. The muscle cramps were more among patients with sedentary lifestyles than non-sedentary. Intradialytic stretching leg exercises were highly effective in reducing muscle cramps' frequency and pain intensity. Nurses must include this program as a part of routine care for all patients after assessing risks subjected to hemodialysis.
Nurses suffer from moderate to high levels of moral distress in different clinical settings that affect nurses' quality of care and the organization's reputation. Moral distress causes nurses' dissatisfaction, burnout and eventually change or quit their position. The aim of this study is to describe the moral distress intensity, frequency, association with demographic variables and specialty of care. The impact of moral distress on the staff nurses is also described. A descriptive study is used to achieve the objectives of this study. Twenty one (21) items of the Moral Distress Scale-Revised (MDS-R) were used to measure moral distress intensity and frequency. The mean moral distress score was 77.43, SD 45.58 (0-336). Staff nurses from the coronary care unit and intensive care unit had significantly higher and lower moral distress respectively (f = 3.47, p = 0.004) and no significant relation was found among sociodemographic variables such as sex, nationality, marital status etc., except for age, which had a significant relationship with moral distress (f = 3.17, p = 0.017). Approximately one third (33.98%) of the staff nurses wanted to leave their current position because of moral distress. Strategies to overcome moral distress of staff nurses and future research at other setting and larger sample size are recommended.
Cancer, being a life-limiting illness affects many domains of health including sexual health. The negative outcomes related to sexual health living with cancer and after getting cancer treatment pose serious physical and emotional suffering amongst the survivors. Some of the most common outcomes are having less pleasure, decreased libido, inability to achieve orgasm and loss of sensation in the genital area. The younger generation, which includes adolescents and young adults, is the most vulnerable. Cancer affects the sexuality of both men and women based on the type of cancer. For example, a woman with breast cancer might not feel attracted and sexually withdrawn from her partner. Similarly, a man with lung cancer might not have the ability to have successful intercourse because of getting fatigued easily. To address the sexual health concerns and problems amongst cancer patients, their concerns must be deeply evaluated including those related to their sexual life.
Diabetic neuropathy is the most common complication of diabetes, likely to affect every segment of the central nervous system. Studies have shown that 30 - 40% of diabetics show symptoms of diabetic peripheral neuropathy. About 70% of patients who suffer from diabetes show some degree of neuropathy. Appropriate interventions to reduce diabetic peripheral neuropathy complaints are important in type II diabetic mellitus patients. The purpose of this systematic review is to identify the interventions to reduce diabetic peripheral neuropathy complaints in type II diabetes mellitus patients. The literature search was confined to the English language from 2001 - 2021. Several databases were searched to find relevant studies, including PubMed, Embase, Science direct, Medline and Web of Science for systematic reviews. All quantitative studies whose aim was to reduce diabetic peripheral neuropathy complaints by using non pharmacological interventions were included. Interventional studies with at least one outcome related to pain or sensory perception due to diabetic peripheral neuropathy were included in the review. The search identified 225 articles. After removing duplicate articles, 190 articles were picked out from the search. Each of the articles was screened out for titles and abstracts of 190 studies. Among these, 140 articles were excluded for various reasons. Hence, the “full text” of the 50 articles was evaluated for eligibility. Most of the articles, i.e., 42 articles were excluded due to absence of resonance with the subject matter and were not relevant to the topic. The remaining 8 articles were finally included in the review. Interventions to minimise diabetic peripheral neuropathy symptoms in type 2 diabetes mellitus patients were proposed in this review. The majority of the interventions focused on foot massage for neuropathic pain, and the typical intervention lasted 2 - 8 weeks, with a significant reduction in pain perception in individuals with type 2 diabetic peripheral neuropathy.
