i-manager's Journal on Nursing (JNUR)


Volume 12 Issue 4 January - March 2023

Article

Should Intensive Care Unit Patients Get Psychotherapy After Discharge for Post-Traumatic Stress Disorder (PTSD)?

Kashif Khan*
Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan.
Khan, K. (2023). Should Intensive Care Unit Patients Get Psychotherapy After Discharge for Post-Traumatic Stress Disorder (PTSD)? i-manager's Journal on Nursing, 12(4), 1-3. https://doi.org/10.26634/jnur.12.4.19284

Abstract

Intensive Care Unit (ICU) patients should get psychotherapy consultations because most of the patients suffer from Post- Traumatic Stress Disorder (PTSD) after discharge, which leads to life-threatening conditions like flashbacks of the events which ultimately results in mood swings and depression. An ICU diary can be used as a form of psychotherapy that can be written by family members and staff everyday. This diary can help the patient during recovery and is useful in their rehabilitation. However, according to a survey on neurotic patients, psychotherapy may not always be effective and can sometimes lead to other problems. People who survive Intensive Care Units have the chance to develop Post-Intensive Care Syndrome (PICS), of which PTSD is also a component.

Research Paper

Effectiveness of Sleep Hygiene Strategies on Sleep Quality and Level of Stress among Adolescents

Shital Pethkar-Padalkar* , Bijayalakshmi Devi L.**
*-** MKSSS Smt. Bakul Tambat Institute of Nursing Education, Pune, Maharashtra, India.
Pethkar-Padalkar, S., and Devi, L. B. (2023). Effectiveness of Sleep Hygiene Strategies on Sleep Quality and Level of Stress among Adolescents. i-manager's Journal on Nursing, 12(4), 4-12. https://doi.org/10.26634/jnur.12.4.19337

Abstract

Adolescents are developmentally vulnerable to sleep problems due to their transitional stage. According to the literature, recent lifestyle changes and poor sleep hygiene have increased the prevalence of sleep disorders. A quantitative approach with a pre-test and post-test control group design is used to assess the effectiveness of sleep hygiene strategies on sleep quality and the level of stress among adolescents. Sixty-four adolescents (51% male) in grade 9 are recruited using a probability-computerized simple random sampling technique and divided into experimental and control groups. The validity and reliability of the tool are established using Cronbach's alpha test. The experimental group received an online intervention on sleep hygiene strategies for 5 days, including Surya Namaskar and deep breathing exercises, while the control group received standard interventions per institute policy. The data is gathered using an online structured questionnaire that includes demographic variables, the sleep quality scale, and a stress scale at baseline (T0), immediately following the intervention (T1), and at the 1-week follow-up (T2). Both groups have kept an online sleep hygiene diary for the last 2 weeks. The findings showed that post-intervention sleep quality (T1 and T2) and stress levels (T2) are significantly (P < 0.05) higher than baseline (T0) levels in the experimental group. The result demonstrates that participants in the experimental group adhered to the recommendations made in the sleep hygiene diary. Hence, it was concluded that early detection of poor sleep hygiene and stress in adolescents is required for timely intervention. The implementation of sleep hygiene strategies is a novel approach to addressing a prevalent problem and can help motivate adolescents to adopt healthy sleeping habits.

Research Paper

Effect of Warm Humidified Oxygen on Thermoregulation of Post-Operative Patients with Abdominal Surgery in the Selected Hospitals of Pune

Jyoti Badade Karande* , Meena Ganapathy**
*-** MKSSS Smt. Bakul Tambat Institute of Nursing Education, Pune, Maharashtra, India.
Karande, J. B., and Ganapathy, M. (2023). Effect of Warm Humidified Oxygen on Thermoregulation of Post-Operative Patients with Abdominal Surgery in the Selected Hospitals of Pune. i-manager's Journal on Nursing, 12(4), 13-22. https://doi.org/10.26634/jnur.12.4.19304

Abstract

The majority of surgeries performed in hospitals are related to the abdomen. Many patients develop complications after surgery, and nurses are the primary caregivers for the patients after surgery. Studies have shown that the number of elderly patients with life-threatening abdominal diseases undergoing emergency surgeries is increasing. The common problems arising after surgery performed under general anesthesia are altered thermoregulation and circulatory complications. One of the strategies to reduce post-operative complications related to thermoregulation in abdominal surgery is warm, humidified oxygen intervention. The objectives are to assess the pre-intervention data on thermoregulation in the experimental and control groups, determine the effect of warm humidified oxygen on thermoregulation in the experimental group, assess the post-intervention data on thermoregulation in both groups, and associate the thermoregulation with selected background variables in both groups. The purposive sampling technique was adopted to select the participants. The study comprised 40 patients who fulfilled the inclusion criteria. The research tools included a demographic profile, a shivering score, physiological parameters, and other parameters. The data was analyzed quantitatively in terms of frequency and percentage, mean, standard deviation test, ANOVA test, and Fisher exact test. The findings of the study revealed that the warm humidified oxygen intervention is helpful in increasing temperature and reducing shivering in the experimental group, and the alternative hypothesis is accepted. The study results will be very useful in nursing practice because nurses can use this method to increase body temperature, reduce shivering, help with oxygen saturation, and reduce the incidence of dry mouth.

Research Paper

A Study to Assess Knowledge and Attitude towards Reopening of School during Covid-19 Pandemic among the Parents of School Going Children in Selected Urban Areas of the City

Deepali Shinde* , Shital Padalkar**
*-** MKSSS Smt. Bakul Tambat Institute of Nursing Education, Pune, Maharashtra, India.
Shinde, D., and Padalkar, S. (2023). A Study to Assess Knowledge and Attitude towards Reopening of School during Covid-19 Pandemic among the Parents of School Going Children in Selected Urban Areas of the City. i-manager's Journal on Nursing, 12(4), 23-31. https://doi.org/10.26634/jnur.12.4.19335

Abstract

The COVID-19 disease originated from a corona virus identified in China in December 2019 and subsequently developed into a pandemic in 2020. In India, approximately 250 million students were affected by school closures at the onset of the lockdown in March 2020 due to COVID-19. The pandemic created several challenges in both public and private schools, including a rise in dropouts and learning losses. It is necessary to get back on track to give parents their childhood back and provide equal opportunities for children to chase their dreams. Therefore, parents must act quickly to reopen schools. A cross-sectional survey was conducted for the study. A convenient sampling technique was used to select 100 parents of school-going children in selected urban areas of the city. The data was collected in January 2022 and analyzed using descriptive and inferential statistics. The findings showed that 44% of parents' ages were between 26 and 31 years old, 69% of them were female, and the majority of families' monthly income was Rs. 10,001–15,000. Nearly 42% of parents had a primary education, and 35% of children were 7-8 years old, with 51% being male and 49% being female. The majority (32%) of children were studying in the 2nd grade. Most (52%) parents had good knowledge, 18% had moderate knowledge, and 30% had poor knowledge about reopening schools during the COVID-19 pandemic. In terms of attitude toward reopening schools, the majority (54%) had a positive attitude, 23% had a moderate attitude, and 23% had a negative attitude.

Research Paper

A Study to Assess Knowledge, Attitude, and Practice towards Major Bloodborne Diseases and Needle-Stick Injury Protocols among Second-Year Nursing Students in Selected Nursing Colleges of Pune City

Jyoti Badade Karande*
MKSSS Smt. Bakul Tambat Institute of Nursing Education, Pune, Maharashtra, India.
Karande, J. B. (2023). A Study to Assess Knowledge, Attitude, and Practice towards Major Bloodborne Diseases and Needle-Stick Injury Protocols among Second-Year Nursing Students in Selected Nursing Colleges of Pune City. i-manager's Journal on Nursing, 12(4), 32-41. https://doi.org/10.26634/jnur.12.4.19336

Abstract

Bloodborne pathogens, including Hepatitis B (HBV), Hepatitis C (HCV), and the Human Immunodeficiency Virus (HIV), are infectious microorganisms in human blood that can cause disease in humans. Needle sticks and other sharp related injuries may expose workers to bloodborne pathogens. Workers in many occupations, including first responders, housekeeping personnel in some industries, nurses, and other healthcare personnel, may be at risk for exposure to bloodborne pathogens. The objective of this study is to assess the knowledge, attitude, and practice of second-year nursing students regarding major bloodborne diseases and needle stick injury protocols and to find the association between knowledge, attitude, and practice scores with demographic variables. The quantitative approach to be used is a non-experimental descriptive study, and the sampling method to be used is non-probability purposive sampling. Structured questionnaires, Likert scales, and checklists are used as tools, and statistical methods include Karl Pearson's test for correlation between variables and the chi-square test to test the association. The majority of students have an average level of knowledge, a neutral attitude, and very good practice methods in clinical areas. They also have an average level of knowledge, a neutral attitude, and very good practice skills in clinical areas regarding the prevention and precaution of major bloodborne diseases and needle stick injuries. The correlation between knowledge and attitude scores is found to be negative, while the correlation between knowledge and practice scores is positive and the correlation between attitude and practice scores is negative.

Review Paper

A Review to Assess Knowledge, Attitudes, and Practices among Nurses of Cardiac Medicine for Heart Failure Patients to Prevent Readmission in Hospitals

Anny Ashiq Ali* , Somia Sagheer**
* Aga Khan University Hospital, Pakistan.
** Shifa College of Nursing, Islamabad, Pakistan.
Ali, A. A., and Sagheer, S. (2023). A Review to Access Knowledge, Attitudes, and Practices among Nurses of Cardiac Medicine for Heart Failure Patients to Prevent Readmission in Hospitals. i-manager's Journal on Nursing, 12(4), 42-48. https://doi.org/10.26634/jnur.12.4.19298

Abstract

This research paper conducts an in-depth evaluation in order to improve nurses' comprehension of self-care management and patient discharge education for patients with Heart Failure (HF). It also discusses the reasons and obstacles to nurses for increasing their knowledge, attitude, and practice to support improved health outcomes and reduce readmission. In order to prevent readmission and re-hospitalization through discharge training, this study aims to raise awareness about the gaps in knowledge, practice, and attitude among nurses working with patients admitted with heart failure. The study evaluates the nurses' knowledge and aids in the education that heart failure patients must receive. By using effective medication management and post-discharge instructions, heart failure symptoms and disease progression can be controlled. Therefore, effective medication management following discharge is crucial for improving the quality of life, controlling symptoms, avoiding deterioration that triggers hospital readmission, and reducing death. Additionally, it is not always possible for healthcare team members to exchange enough accurate information with one another effectively. Numerous nations have emphasised the importance of the right health practices, optimistic attitudes, and suitable education among healthcare professionals to dispel misconceptions, increase confidence in providing support, and promote effective treatment.