i-manager's Journal on Nursing (JNUR)


Volume 13 Issue 2 July - September 2023

Article

The Role of Transformational Leadership in Polio Eradication in Pakistan

Muhammad Nasir* , Neelam Nasruddin**
*-** The Aga Khan University, Karachi, Pakistan.
Nasir, M., and Nasruddin, N. (2023). The Role of Transformational Leadership in Polio Eradication in Pakistan. i-manager’s Journal on Nursing, 13(2), 1-6. https://doi.org/10.26634/jnur.13.2.19869

Abstract

Polio is still endemic, along with the COVID-19 pandemic, which presents severe threats to public health. Polio is a serious disease caused by the polio virus and can lead to disability and paralysis in certain parts of the body. The need for strong and visionary leadership in addressing the challenges associated with polio and achieving effective eradication is being examined, particularly the role of transformational leadership in Pakistan. The goal is to demonstrate how transformational leadership can mobilize resources, engage communities, and lead coordinated efforts toward the objective of making Pakistan polio-free, through the study of the impact of this leadership style. Transformational leadership focuses on building trustworthy relationships and instigating change based on core values. It aims to inspire and motivate subordinates and followers, transforming their beliefs, attitudes, and behaviors to accomplish both planning and goals. Only two countries are left in the world where polio cases are reported: Pakistan and Afghanistan. Leadership incompetency is the primary reason for the persistence of the polio virus in these nations. Transformative nursing leadership plays a crucial role in effectively eradicating polio in Pakistan. The challenges include limited resources, cultural and societal barriers, safety and security concerns, and vaccine hesitancy among the population. Transformational leaders in both countries have the potential to motivate stakeholders to unite in the fight against polio, ultimately eradicating this menace from our nations collectively.

Article

Utilizing Transactional Leadership in Nursing World: Fostering Accountability, Efficiency, and Innovation

Anny* , Kashif Khan**
*-** Aga Khan University Hospital, School of Nursing and Midwifery, Karachi, Pakistan.
Ali, A. A., and Khan, K. (2023). Utilizing Transactional Leadership in Nursing World: Fostering Accountability, Efficiency, and Innovation. i-manager’s Journal on Nursing, 13(2), 7-12. https://doi.org/10.26634/jnur.13.2.19960

Abstract

This paper explores the application of the transactional leadership style within the context of the Nursing profession, emphasizing its potential to cultivate accountability, enhance efficiency, and stimulate innovation. Leadership qualities have long been recognized as a combination of innate traits and acquired skills. While natural leadership tendencies can exist, effective nursing leadership is an evolving process that necessitates training, experience, and a commitment to organizational goals and crisis management. Transactional leadership, characterized by its clear command structure, performance-oriented focus, and reciprocal relationships between leaders and followers, is being examined as a valuable leadership approach for nursing professionals. In transactional leadership, leaders provide rewards, often in the form of incentives, to followers in exchange for meeting predetermined performance standards. This approach aligns with the healthcare industry's demands for precision, adherence to protocols, and patient-centric care.

Research Paper

A Study to Assess the Level of Pain and Procedural Anxiety among Intravenous Cannulation Patients Admitted in Emergency Department of Sree Mookambika Medical College Hospital

E. Sheeba* , C. Ajitha Retnam**
*-** Sree Mookambika College of Nursing, Kanyakumari, Tamil Nadu, India.
Sheeba, E., and Retnam, C. A. (2023). A Study to Assess the Level of Pain and Procedural Anxiety among Intravenous Cannulation Patients Admitted in Emergency Department of Sree Mookambika Medical College Hospital. i-manager’s Journal on Nursing, 13(2), 13-19. https://doi.org/10.26634/jnur.13.2.19754

Abstract

Vein puncture is one of the most commonly experienced procedures among hospitalized patients. Most hospitalized patients require a peripheral intravenous cannula to administer drugs, fluids, and parental nutrition. Pain and anxiety are major complaints among patients during procedures. The main aim of the study was to assess the levels of pain and procedural anxiety during intravenous cannulation among patients. Additionally, the study aimed to investigate the association between pain level and procedural anxiety, and explore selected demographic variables like age, sex, education, occupation, and previous experience of intravenous cannulation. The study had a non-experimental descriptive research design with a quantitative research approach. It was conducted at the Sree Mookambika Institute of Medical Science in Kanyakumari, Tamil Nadu, India. Thirty samples were selected using the convenience sampling technique. The tools used for data collection were demographic variables, clinical variables, a visual analog scale, and a procedural anxiety scale. The data were analyzed and interpreted using objective, descriptive, and inferential statistics. The study findings showed that 33.33% of the samples had mild pain, 60% had moderate pain, and 6.66% had severe pain. In terms of anxiety levels, 63.33% of patients had a mild level of anxiety, 30% had a moderate level of anxiety, and 6.66% of patients had a severe level of anxiety. There was no significant association between anxiety and selected demographic or clinical variables. However, a significant association was found between the level of pain and demographic variables such as gender.

Research Paper

A Study to Assess the Communication and Level of Anxiety among Mechanically Ventilated Conscious Patients in Intensive Care Units of Sree Mookambika Medical College Hospital at Kanyakumari District

A. Ahisha Derlin* , C. Ajitha Retnam**
*-** Sree Mookambika College of Nursing, Kanyakumari, Tamil Nadu, India.
Derlin, A. A., and Retnam, C. A. (2023). A Study to Assess the Communication and Level of Anxiety among Mechanically Ventilated Conscious Patients in Intensive Care Units of Sree Mookambika Medical College Hospital at Kanyakumari District. i-manager’s Journal on Nursing, 13(2), 20-27. https://doi.org/10.26634/jnur.13.2.19752

Abstract

Mechanical Ventilation is widely used to treat patients who are in critical condition. The aim of using mechanical ventilation is to protect the patient's lungs by providing ventilation until the underlying causes are eliminated. Although the use of assisted ventilation devices has unique benefits for patients, it also causes stress, sleep disturbance, isolation, and prevents them from communicating verbally. The primary objective of the study was to assess the communication and level of anxiety among patients on mechanical ventilators admitted to the ICUs. The secondary objective of the study was to determine the association between communication and level of anxiety with the selected demographic variables. A non-experimental descriptive research design was used in this study. The study was conducted at Sree Mookambika Medical College Hospital, Kulasekharam, Tamil Nadu, India. 30 samples were selected using the convenience sampling technique. The tools used for the data collection were demographic variables, clinical variables, communication scales, and hospital anxiety and depression scales. Findings of the study show that 10% of the sample has medium-level communication difficulties, and 90% of the sample has low-level communication difficulties. 10% of the sample has moderate-level anxiety, and 90% of the sample has severe anxiety. There is a significant association between the level of communication, demographic variables such as source of finance, and clinical variables such as history of previous hospitalization. There is a significant association between the level of anxiety, demographic variables such as gender, and clinical variables, such as duration of ventilator support.

Review Paper

Should the Family be Permitted to Accompany the Patient during Resuscitation?

Madrika Mirza Kanjiani*
Aga Khan University, Karachi, Pakistan.
Kanjiani, M. M. (2023). Should the Family be Permitted to Accompany the Patient during Resuscitation? i-manager’s Journal on Nursing, 13(2), 28-41. https://doi.org/10.26634/jnur.13.2.19321

Abstract

Family is considered to be an essential part of support, especially during difficult times. Similarly, during life-threatening situations, the presence of family is considered a controversial issue in healthcare settings. It has been observed that family members are often requested to wait outside the patient's room throughout the resuscitation process. On the one hand, their presence can assist in making decisions and accepting reality, which therefore eases their grieving process, while on the other hand, watching the resuscitation process can also make them emotionally unstable and may also lead to post-traumatic stress disorder in the future. The purpose of this literature review is to identify and analyze the various barriers and facilitators associated with the presence of family members during resuscitation procedures. A review of studies published between 2013 and 2022 was taken using databases such as CINAHL, PubMed, Google Scholar Search Engine, and Science Direct. "Family support", "family presence during resuscitation," and "family presence during CPR" were the keywords used during the search. In this review, a total of 22 studies were included based on their relevant titles, abstracts, and backgrounds.

Case Study

Comparison of the Peaceful End of Life Theory with Theory of Human Caring in Clinical Problem

Shenila Shamsuddin*
School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.
Shamsuddin, S. (2023). Comparison of the Peaceful End of Life Theory with Theory of Human Caring in Clinical Problem. i-manager’s Journal on Nursing, 13(2), 42-47. https://doi.org/10.26634/jnur.13.2.19446

Abstract

This paper discusses two nursing theories, the "Peaceful End of Life Theory" and the "Theory of Human Caring," and their application in clinical practice. The "Peaceful End of Life Theory" focuses on improving the quality of life for terminally ill patients and achieving a peaceful end of life. Its major concepts include pain management, comfort, dignity, respect, being at peace, and closeness to significant others. The "Theory of Human Caring," emphasizes the importance of caring for both the patient and the nurse. It aims to improve nursing practice, education, management, and research. The theories are applied in clinical practice through interventions such as pain management, involving the family in decision-making, and ensuring a peaceful environment for the patient's final hours.

Case Study

Optimizing Quality of Care by Integrating Orem's Self-Care Deficit Theory with Orlando's Nursing Process Theory

Nabila Salim Ali*
School of Nursing & Midwifery, Aga Khan University, Karachi, Pakistan.
Ali, N. S. (2023). Optimizing Quality of Care by Integrating Orem's Self-Care Deficit Theory with Orlando's Nursing Process Theory. i-manager’s Journal on Nursing, 13(2), 48-51. https://doi.org/10.26634/jnur.13.2.19853

Abstract

This study proposes the integration of Dorothea Orem's Self-Care Deficit Theory with Ida Jean Orlando's Nursing Process Theory to enhance the quality of patient care. Orem's theory emphasizes the importance of self-care for maintaining health and well-being, suggesting that individuals actively participate in their care to address self-care deficits. Orlando's theory focuses on the nurse-patient interaction and the nurse's role in identifying and meeting patient needs through deliberate action. Orem's theory provides a structured approach for assessing patients' self-care abilities and identifying deficits, empowering patients to participate in their care. Orlando's theory complements this by emphasizing the nurse's observational skills and their capacity to perceive and address unmet patient needs. By combining these theories, nurses can systematically assess self-care deficits, engage patients in their care, and respond to patients' immediate concerns, leading to a more holistic and patient-centered approach. By optimizing the quality of care through the integration of these two influential theories, nurses can better understand patients' self-care requirements and provide tailored interventions that not only address deficits but also enhance the overall well-being of patients. This approach holds the potential to improve patient outcomes, enhance patient satisfaction, and contribute to the advancement of nursing theory and practice. Further research and practical application of this integrated framework are warranted to fully explore its impact on the quality of patient care.