i-manager's Journal on Nursing (JNUR)


Volume 12 Issue 1 February - April 2022

Research Paper

Personality, Cognitive Flexibility, and Motivation among Medical Professionals during Covid-19 Pandemic: A Correlational Study

Rahul G. Sankruthyayana* , Soumonetra Chaudhury**, Bishal Patangia***, Aishani Ghosh****, Ananya R. Kashyap*****, Janis Maria Antony******
*-****** CHRIST (Deemed to be University), Bangalore, Karnataka, India.
Sankruthyayana, R. G., Chaudhury, S., Patangia, B., Ghosh, A., Kashyap, A. R., and Antony, J. M. (2022). Personality, Cognitive Flexibility, and Motivation among Medical Professionals during Covid-19 Pandemic: A Correlational Study. i-manager’s Journal on Nursing, 12(1), 1-12. https://doi.org/10.26634/jnur.12.1.18435

Abstract

The recent COVID-19 pandemic has posed unprecedented challenges to healthcare professionals worldwide, by bringing changes in both their personal and professional lives. Motivation has become a driving factor along with cognitive flexibility during such demanding situations. Little importance has been given to the personality dimension while assessing these aspects, especially in the Indian context. The principal aim of this paper is to understand the relationship between personality, cognitive flexibility, and motivation among medical professionals during the COVID-19 Pandemic. A correlational research design was used to conduct the research, and a snowball sampling technique was used to collect the data from a sample size of 204 medical professionals, consisting of 101 nurses and 103 doctors, working as frontline workers. The variables were assessed using the Neo Five-Factor Inventory, the Cognitive Flexibility Inventory, the Work Extrinsic and Intrinsic Motivation Questionnaire. A nonparametric test of correlation was used. The research findings revealed that among medical professionals, certain personality factors, cognitive flexibility, and motivation share a significant relationship. Cognitive flexibility and motivation were found to be significantly correlated. There was no significant difference in cognitive flexibility and motivation among doctors and nurses. There was a significant difference in neuroticism between the groups. The findings will help in gaining a clearer insight into the needs of medical professionals in India, by facilitating the development of appropriate training interventions for medical professionals to be better equipped for similar crisis situations in the future.

Research Paper

Effectiveness of Intervention Package on Stress and Coping among Mothers of Children with Developmental Delay

Shini Alexander* , Mercy Jacob**
*-** Government College of Nursing, Kottayam, Kerala, India.
Alexander, S., and Jacob, M. (2022). Effectiveness of Intervention Package on Stress and Coping among Mothers of Children with Developmental Delay. i-manager’s Journal on Nursing, 12(1), 13-19. https://doi.org/10.26634/jnur.12.1.18484

Abstract

Children with developmental delays often display a greater number of problems than typically developing children. This has been linked to elevated stress in their parents. Coping strategies can potentially strengthen or maintain resources that serve to protect them from the demands of stressful encounters. To measure the degree of stress and coping experienced by the mothers of children with developmental delays and to assess the impact of an intervention package on stress and coping, respectively. A quantitative research approach with a quasi-experimental pre-test and post-test control group design was used for the study. The framework, Betty Neuman's system model, theoretically supported the study. The study was conducted among sixty mothers of children with developmental delay attending the Regional Early Intervention Centre, and the mothers were selected by nonprobability purposive sampling. The tools used for the data collection were socio personal and clinical data sheets, a stress rating scale for assessing stress, and a maternal coping scale for assessing coping among mothers of children with developmental delay. The data collected was analyzed using descriptive and inferential statistics. Data analysis revealed that the intervention package significantly reduced stress and improved coping among mothers of children with developmental delays. The current study revealed that, the intervention package was effective in reducing stress and enhancing coping among mothers of children with developmental delay.

Review Paper

Literature Review on Contraceptive use among Adolescent Students in Kibera Informal Settlements in Nairobi Country

David Sande Ouma *
Sociology Graduate, Moi University, Eldoret-Kenya.
Ouma, D. S. (2022). Literature Review on Contraceptive use among Adolescent Students in Kibera Informal Settlements in Nairobi Country. i-manager’s Journal on Nursing, 12(1), 20-44. https://doi.org/10.26634/jnur.12.1.18637

Abstract

The question revolving around birth control or contraceptive use has sufficed the lips and minds of social demography think tanks, guided by the desired vision of having equitable and sufficient resources for the people. However, the issue of contraceptive use among adolescents, who are school going children in informal settlements, still remains a challenge, attracting a discourse for those for or against contraceptive use. This literature review attempts to answer some questions. What is the status of contraceptive use among adolescents in Kibera informal settlements? What are the discourses for or against contraceptive use among adolescents in Kibera informal settlements? How have government and nongovernmental organizations contributed to the proper usage of contraceptives among adolescents in Kibera informal settlements? What are the existing policy framework and programs on contraceptive use and have they been effective? This topic on contraceptives has undergone numerous research studies in different parts of the world, thus a desk review is employed. These research findings are of the view that, contraceptives are easily accessed at the pharmacies over the counter by adolescents though its frequency is not properly regulated due to their business nature, contraceptive use is viewed in terms of reducing unplanned pregnancies that is deemed to bring additional economic burden to a girl, the government and non-governmental organizations have been at the forefront of providing advocacy and community sensitization to sex education and contraceptive use among the youth, though poverty levels of the locals has derailed the process and despite having policies on contraceptive use on the ground, there still exists loopholes that need to be filled. It is thus the submission of this paper that the issue of early sexual debut among adolescents is a growing menace, and all the efforts geared towards championing proper contraceptive usage among adolescents should be supported.

Review Paper

A Review of Sexual and Reproductive Health Outcomes of Female Genital Mutilation and with the Context of Covid-19 Pandemic

Salman Muhammad Soomar* , Sarmad Muhammad Soomar**
* Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
** Clinical Preceptor School of Nursing and Midwifery (SONAM), Aga Khan University, Karachi, Pakistan.
Soomar, S. M., and Soomar, S. M. (2022). A Review of Sexual and Reproductive Health Outcomes of Female Genital Mutilation and with the Context of Covid-19 Pandemic. i-manager’s Journal on Nursing, 12(1), 45-49. https://doi.org/10.26634/jnur.12.1.17949

Abstract

Female Genital Mutilation (FGM) is commonly known as female genital cutting or female circumcision. This traditional practice is harmful and practiced in many countries without any fear of worse health outcomes. FGM is linked with worse sexual and reproductive health outcomes and complications through which young girls and women have to go through earlier in the incidence and later in life. These complications include sexual dysfunction, menstrual issues, difficulties with labor and delivery, infections, and infertility. The role of healthcare providers, community stakeholders, and young people is very significant in fighting FGM.

Review Paper

A Systematic Review on the Effectiveness of Objective Structured Clinical Examination (OSCE) in Comparison with the Traditional Method of Practical Examination

Bijayalaskhmi Dash*
SCB Government College of Nursing Cuttack, Odisha, India.
Dash, B. (2022). A Systematic Review on the Effectiveness of Objective Structured Clinical Examination (OSCE) in Comparison with the Traditional Method of Practical Examination. i-manager’s Journal on Nursing, 12(1), 50-56. https://doi.org/10.26634/jnur.12.1.18420

Abstract

Clinical skills and practice play the main roles in the training of professional courses like nursing. Since its inception, the OSCE has been widely and increasingly used. Studies have shown that it is an effective evaluation tool to assess practical skills for professional courses like nursing. In many occurrences, the OSCE process has been used to test trainees from different disciplines in healthcare settings. The application of OSCE has numerous benefits for both medical and nursing students. It can help to assess the knowledge and performance of clinical skills easily, which is important for nursing practices. An extensive review of Objective Structured Clinical Examination (OSCE) was conducted in comparison with the traditional method of practical examination to find out its effectiveness and identify some barriers and issues related to it. Data were collected from electronic databases including MEDLINE, Pub Med, ISI Web of Science, and CINHAL in four stages, Identification, Screening, Selection, and Inclusion. In this process, 19 studies have been selected and 52 studies have been rejected due to non-meeting of inclusion criteria. In each and every study, the scores for OSCE, along with student satisfaction scores, are high, as some of the studies identify some key issues in carrying out OSCE. The key issues are identified by the teachers who are on the check list, which should be valid, the requirement for expensive models to carry out OSCE, the requirement for more examiners and the space and care that must be taken in organising the stations.

Review Paper

End of Life Decision-Making on Ethical and Professional Grounds - A Critical Analysis

Sumaira Feroz*
The Aga Khan University, Karachi, Pakistan.
Feroz, S. (2022). End of Life Decision-Making on Ethical and Professional Grounds - A Critical Analysis. i-manager’s Journal on Nursing, 12(1), 57-61. https://doi.org/10.26634/jnur.12.1.18418

Abstract

The decision-making process is a part of everyone's daily practice. One must make decisions and take positions based on the circumstances. It requires critical analysis of the situation and needs a lot of deliberation before reaching a certain conclusion, especially related to life and death issues. An autonomous decision is the capability of an individual to take their own decision. End-of-life decisions necessitate agreement among the patient, family, and health care team. It is very crucial for patients with chronic kidney disease because as the disease progress the chance of prognosis gets difficult. In developing countries, end of life decision making practice is underused or not in use, leaving many vulnerable to that edge where their personal preferences are not compatible with end of life care. Healthcare providers can play an important role by ensuring personal wishes by several means (Tremethick et al., 2011). In this paper, the author discusses the ethical dilemma faced by health care providers while on a clinical placement. This paper critically analyses the ethical dilemma related to autonomous decision-making on ethical and professional grounds.