i-manager's Journal on Nursing (JNUR)


Volume 12 Issue 2 May - July 2022

Research Paper

I'm not Throwing Away My Shot: Increasing Covid-19 Vaccine Confidence and Decreasing Disinformation within Campus Communities through Student Advocacy

Victoria Foster * , Avindhya Koralagamage**
*-** Clayton State University, Morrow, Georgia, United States.
Foster, V., and Koralagamage, A. (2022). I'm not Throwing Away My Shot: Increasing Covid-19 Vaccine Confidence and Decreasing Disinformation within Campus Communities through Student Advocacy. i-manager’s Journal on Nursing, 12(2), 1-7. https://doi.org/10.26634/jnur.12.2.18634

Abstract

For the past two years, COVID-19 has held the world's attention. It's been challenging to get the world's citizens to reach herd immunity due to a lack of vaccine confidence. Although vaccines have been a very successful part of public health in recent and past decades, there has been much debate about the COVID-19 vaccine. Strategies must be implemented to address vaccine confidence and decrease disinformation as this can be extremely helpful in preventing infections and reducing the likelihood of transmission. Student advocacy may be helpful in restoring trust within the campus community. The study used a cross-sectional, descriptive design. The non-random sample included 85 students, faculty, and staff on the campus of a university in a southeastern state. Participants were recruited via flyers, at COVID-19 campus events, and by word of mouth. The Center for Control and Disease Prevention (CDC) Vaccine Confidence Survey Question Bank was used to measure vaccine confidence at baseline. The intervention consisted of exposing the campus community to factual COVID-19 through educational flyers, town hall meetings, TikTok® and other social media platforms. Upon completion of the study, the grant team created a video of their experiences with the vaccine, which was streamed to the campus community. Data were analyzed using descriptive statistics, frequencies and independent t-tests. Participants' ages ranged from 20-55 (M = 30; SD = 12.1), were mostly female (64.7%), and white (52.9%). More than three-fourths of the samples (76.4%) were students. Only 17.4% of the sample had a previous diagnosis of COVID-19. Nurses and local health officials were the most trusted sources of vaccine information. Due to being a state institution, we were not at liberty to discuss the vaccination status of the participants. However, many felt that people at their work or school (58.9%) or family or friends (64.7%) would not get the vaccine. The findings of this study support the need for innovative strategies to deliver factual COVID-19 vaccine information to the campus community. Most of the participants did practice social distancing and other preventative behaviors, but more than half felt that they had received inaccurate information about the vaccine or were not sure where to receive accurate information from. There is no single intervention to restore campus community confidence, but student advocacy was helpful in starting a discussion about COVID-19 vaccines and collecting necessary data to determine support for effective strategies.

Research Paper

Feeding Practices among Mothers of under Five Children at Selected Area, Guntur (Dt), Andhra Pradesh

Gomathi S.* , G. Lakshmi Tirumala**
*-** Department of Child Health Nursing, NRI College of Nursing, Chinakakani, Guntur, Andhra Pradesh, India.
Gomathi, S., and Tirumala, G. L. (2022). Feeding Practices among Mothers of under Five Children at Selected Area, Guntur (Dt), Andhra Pradesh. i-manager’s Journal on Nursing, 12(2), 8-14. https://doi.org/10.26634/jnur.12.2.18790

Abstract

Child-feeding practices in early life play an important role in the growth and development of life, in protecting against infectious diseases and preventing lifestyle disorders in later life. The present study aimed to explore the feeding practices of young children. A cross-sectional design was adopted for the study. Convenient sampling techniques were used to select 60 mothers of fewer than five children residing in Yerrabalem, Guntur district, Andhra Pradesh. Data was analyzed using descriptive and inferential statistics. The findings showed that 28% of them were 1 to 2 years old children. Half (51.6%) of them were female children, majority 63.3% of the families' income per month was Rs. 10000 to 20000. Nearly 26.6% of mothers were educated from middle school to intermediate education. Majority of them revealed that 25% were skilled agricultural and fishery workers and all of them sought information from family members. Regard to feeding practices, only 46.6% fed the baby with direct breast feeding, 30% of them had bottle fed, only 31.6% received vitamin drops or other medicines in 24 hrs recall. All the children were reported to be on breastfeeding, 48.3% breast fed immediately after birth. Adequate practices were reported a mean and standard deviation of 76.2% and 23.8% about infant and young child feeding practices. Overall, results showed good practices, but there are lacunae in a few practices that need to be improved on dietary diversity and iron fortification of food.

Review Paper

Discomfort: A Concept Analysis

Rebecca A. Morgan*
Clayton State University, Georgia, United States.
Morgan, R. A. (2022). Discomfort: A Concept Analysis. i-manager’s Journal on Nursing, 12(2), 15-21. https://doi.org/10.26634/jnur.12.2.18638

Abstract

The concept of discomfort is frequently used in healthcare practice. The definition of the concept of discomfort has changed over time. Definitions vary across disciplines and contexts in which the concept of discomfort is used, and it is often not explicitly defined within the context. The purpose of this paper is to analyze the concept of discomfort and to create a definition to better understand and clarify the meaning of the concept. After a literature review, the defining attributes chosen in this analysis created a definition for the concept of discomfort by incorporating the many definitions of the concept into one complete definition. The defining attributes of discomfort identified in the literature are lack of comfort, uneasiness or anxiety, which may be physical or emotional, and the presence of slight pain or irritation. Discomfort may affect the mind and the body. Looking at the defining attributes of discomfort could assist in recognizing that discomfort is similar to pain, but it is different from pain. This information can be useful for nursing research, nursing practice, and standardizing the use of the concept.

Review Paper

Breast Cancer Diagnostic Delays in Pakistan: A Looming Epidemic Threat

Mashal Shoukat*
Faculty of Nursing, University of Alberta, Pakistan.
Shoukat, M. (2022). Breast Cancer Diagnostic Delays in Pakistan: A Looming Epidemic Threat. i-manager’s Journal on Nursing, 12(2), 22-27. https://doi.org/10.26634/jnur.12.2.18061

Abstract

Breast cancer is a major contributing factor to the mortality and morbidity burden among the female population in Asia. In 2020, a total of 1.2 million newly diagnosed breast cancer cases and an estimated 3.5 million deaths due to breast cancer were reported in Asia (International Agency for Research on Cancer, 2020a). In particular, Pakistan notably reported the highest proportion of breast cancer cases in Asia. Research estimates that one out of nine women in Pakistan is at a high risk of suffering from breast cancer in their lifetime. The constant growth in breast cancer rates in Pakistan indicates that breast cancer is rapidly reaching epidemic proportions and poses an urgent challenge to Pakistan's public health system. Due to system-level and patient-level delay factors, Pakistani women often seek medical care for breast carcinoma at an advanced stage of the disease, whereby survival chances are minimal. The key to mitigating the breast cancer burden in Pakistan is to foster early detection programs among Pakistani women. This review aims to examine the root causes of delayed detection of breast cancer in Pakistani women, emphasize the pivotal role of early detection in individuals' and populations' health promotion, and highlight nursing implications in promoting breast cancer early detection programs. A comprehensive literature search was conducted in databases including CINAHL, Google Scholar, and Scopus. The review consists of articles from 2005 to 2020 published in the English language only. Furthermore, the study also highlights the need for context-specific and culturally sensitive early breast cancer detection programs to potentially reduce barriers in the uptake of screening services among Pakistani women.

Review Paper

Women and Widow's Health

Meena Ganapathy*
Maharshi Karve Stree Shikshan Samsthas, Smt. Bakul Tambat Institute of Nursing Education, Karvenagar, Pune, Maharashtra, India.
Ganapathy, M. (2022). Women and Widow's Health. i-manager’s Journal on Nursing, 12(2), 28-33. https://doi.org/10.26634/jnur.12.2.18863

Abstract

"Health is Wealth" is a famous saying, and every adult human being knows this. In spite of this common knowledge, women generally neglect their physical, psychological, social, financial, and spiritual health, and this is a fact. Women biologically take on the career role, and this role is additionally reinforced by society for its smooth continuation. However, due to this one-sided role which is not supported by their families, it becomes a burden when women generally lack time for self-care. More so, they become vulnerable when they become widows because their social identity and family support are reduced. It is essential for every woman to understand this lopsided issue and make adequate time for self-care. This paper delves into the health of women and widows.

Case Study

Comparison of Two Nursing Theories Orem's Theory of Self-Care Deficit & Kolcaba's Comfort Theory

Anny Ashiq Ali*
Aga Khan University, School of Nursing and Midwifery, Sindh, Pakistan.
Ali, A. A. (2022). Comparison of Two Nursing Theories Orem's Theory of Self-Care Deficit & Kolcaba's Comfort Theory. i-manager’s Journal on Nursing, 12(2), 34-40. https://doi.org/10.26634/jnur.12.2.18958

Abstract

This article is focused on the major features of Orem's self-care theory, grand theory, and Katharine Kolcaba's comfort theory, a middle-range theory Kolcaba developed in the 1990s. It is a middle-range nursing theory designed for nursing practice, research, and education. According to her theory, patient comfort exists in three forms, relief, ease, and transcendence. These comforts can occur in four contexts: physical, psycho-spiritual, environmental, and sociocultural. Dorothea Orem established the Self-Care Nursing Theory, often known as the Orem Model of Nursing, between 1959 and 2001. Orem's theory comprises three theories, the theory of self-care, the theory of self-care deficit, and the theory of the nursing process. The article is based on a real-life scenario. The aim of this paper is to compare the mentioned theorists, their impacts on the outcomes, and their relationships with the clinical scenario in their own approaches.