i-manager's Journal on Nursing (JNUR)


Volume 14 Issue 1 April - June 2024

Research Paper

A Study to Assess the Effectiveness of Video Assisted Programme on Knowledge and Attitude Regarding Health Hazards of Junk Foods among Adolescents in Selected Schools at Kanyakumari District

Jaya Prabha M. J.* , Malchijah F.**
* Bethlahem College of Nursing, Karungal, Tamilnadu, India.
** Christian College of Nursing, Neyyoor, Tamilnadu, India.
Prabha, M. J. J., and Malchijah, F. (2024). A Study to Assess the Effectiveness of Video Assisted Programme on Knowledge and Attitude Regarding Health Hazards of Junk Foods among Adolescents in Selected Schools at Kanyakumari District. i-manager’s Journal on Nursing, 14(1), 1-7. https://doi.org/10.26634/jnur.14.1.20581

Abstract

Food is a nutritious substance that people eat or drink in order to maintain the life growth. Food is any substance consumed to provide nutritional support for an organism. Adolescence is a significant period for both physical growth and sexual growth. Nutrition being an important determinant of physical growth of adolescents is a crucial area that needs much attention. This study aims to find the effectiveness of video assisted programme on knowledge and attitude regarding health hazards of junk food among adolescents and to find the relationship between knowledge and attitude regarding health hazards of junk food among adolescents. The study was conducted in LMS Higher Secondary School, Neyyoor. Simple random sampling technique was adopted. Samples were selected on the basis of inclusion criteria. Samples used were 60 students who were studying in the LMS Higher Secondary School, Neyyoor. The data collection tools developed for generating the data, were structured knowledge questionnaire to assess the knowledge of adolescence regarding health hazards of junk food. Four point Likert attitude scale was used to assess the attitude of adolescents about health hazards of junk food. The study was based on Kenny's open system model. The research design adapted for this study was one group pretest posttest design. In the post test the mean knowledge score was 16.50 with SD 1.79 and the attitude score was 36.53 with SD 3.50. The relation between these two variables was analyzed by using Karl Pearson correlation coefficient. There is high degree positive correlation in these variables. There is no association between pretest level of knowledge and attitude among adolescence regarding junk food and their selected demographic variables. This study reveals that the video assisted programme is effective in improving the knowledge and attitude of adolescence on health hazards of junk food. Though the knowledge and attitude of the adolescence were significantly improved with highest improvement in mean value, it is important to create awareness about junk food among adolescents. So teaching about effects of junk food to all the schools will improve the health status and eating pattern of the students. So we strongly recommend the awareness video assisted programme about health hazards of junk food to all the school children.

Research Paper

A Study to Assess Level of Stress and Identify Factors Provoking Stress among Nursing Students

Subhalaxmi Panda* , Bijayalaskhmi Dash**
* Kalinga Institute of Medical Sciences (KIMS), Bhubaneswar, Odisha, India.
** College of Nursing, Berhampur, Odisha, India.
Panda, S., and Dash, B. (2024). A Study to Assess Level of Stress and Identify Factors Provoking Stress among Nursing Students. i-manager’s Journal on Nursing, 14(1), 8-14. https://doi.org/10.26634/jnur.14.1.20858

Abstract

Stress is mostly prevalent among nursing students because of the transitional nature of their academic and clinical life balance. Therefore, an exploratory research study with quantitative approach was undertaken, to assess the stress level of Nursing students and identify the factors provoking stress by convenience sampling technique at SCB College of Nursing, Cuttack, Odisha. Sample size for this study was 298 Nursing students. Data were collected in two phases. The stress level of students had been assessed through K10 stress scale in First phase and factors causing stress were identified through structured checklist in second phase among the nursing students having stress. The findings of the study showed that highest 27 percentage of nursing students were in mild stress, the factor contributing the most to the level of stress was clinical factor. Chi square analysis indicated that there was a significant relation between stress level of nursing students with their working area at p value less than 0.05, which depicts that working area in clinical set up is a major cause that provokes stress level.

Research Paper

Effectiveness of Visual Package on Cervical Cancer Screening among Menopausal Women

Arzta Sophia* , Jeba Nesa Mahiba**
*-** Christian College of Nursing, Neyyoor, Kanyakumari, Tamil Nadu, India.
Sophia, A., and Mahiba, J. N. (2024). Effectiveness of Visual Package on Cervical Cancer Screening among Menopausal Women. i-manager’s Journal on Nursing, 14(1), 15-19. https://doi.org/10.26634/jnur.14.1.20865

Abstract

Carcinoma of the cervix is the second most common disease in women worldwide, while it is the commonest cancer among Indian women. Awareness regarding cervical cancer and its prevention is quite low among Indian women. The aim of the study was to assess the effectiveness of visual package ( Video) on cervical cancer screening among women in selected hospitals at Kanyakumari district. The study was conducted by adopting a pre-experimental one group pre- test, post-test design. 60 menopausal women who fulfilled the inclusion criteria were selected by non probability purposive sampling technique. A structured Knowledge questionnaire was used to assess the pre-test level of knowledge regarding cervical cancer screening among menopausal women, then followed by teaching using visual package regarding cervical cancer and screening for cervical cancer. A post-test was conducted to assess the level of knowledge with the same questionnaire provided in the pre-test. In the pretest majority of the samples had inadequate knowledge regarding cervical cancer screening ,in the post test majority of the samples had an adequate knowledge on cervical cancer and cervical cancer screening. Analysis revealed that ,the pretest mean score was 8.12 with SD 2.22 and the post test mean score were 17.80 with SD 1.46. The paired t test value on knowledge was 27.40 which was highly significant at 0.05 level. This study reveals that the visual package was effective in improving the knowledge of menopausal women regarding cervical cancer screening.

Opinion Paper

The Role of Nursing Leadership in Shaping a Uniform National Health Policy in Pakistan

Anny Ashiqali* , Waheed Ullah**
* Department of Nursing and Midwifery, Ziauddin University, Karachi, Pakistan.
**The Quaid-e-Azam Institute of Nursing and Health Sciences, Swabi, Khyber Pakhtunkhwa, Pakistan.
Ashiqali, A., and Ullah, W. (2024). The Role of Nursing Leadership in Shaping a Uniform National Health Policy in Pakistan. i-manager’s Journal on Nursing, 14(1), 20-25. https://doi.org/10.26634/jnur.14.1.20571

Abstract

This opinion paper emphasizes the pivotal role of nursing leadership in shaping a unified national health policy for Pakistan, considering the prevailing challenges within the healthcare system. Pakistan faces various hurdles, including healthcare disparities, limited access to quality services, and inadequate infrastructure. Despite the existing national health policy, inconsistencies and fragmentation hinder its effectiveness. The paper argues for the development of a comprehensive national health policy that integrates multiple aspects of healthcare, with a specific focus on nurse leadership. Nurses possess unique expertise in policy development and advocacy, making their involvement crucial for addressing the specific needs and challenges faced by Pakistan's communities and healthcare professionals. The abstract outlines the background of health policy in Pakistan, highlights the gaps in the current policy framework, and underscores the significance of nursing leadership in policy formulation, implementation, and evaluation. Recommendations are provided to engage nursing leadership, prioritize health equity and access, support research and evidence-based practices, and enhance collaboration with international nursing organizations. Ultimately, the paper advocates for the empowerment of nursing leadership to create a healthier and more equitable future for Pakistan's healthcare system.

Position Paper

Managing Limited Resources in Emergency Care: Striking a Balance between Ethics, Triage, and Fairness

Shafiq UR Rahman* , Uzma Akhtar**
*-** Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan.
Rahman, S. U., and Akhtar, U. (2024). Managing Limited Resources in Emergency Care: Striking a Balance between Ethics, Triage, and Fairness. i-manager’s Journal on Nursing, 14(1), 26-30. https://doi.org/10.26634/jnur.14.1.20794

Abstract

Scenario

"During my previous job, when I was working at a tertiary care hospital in Bannu, Khyber Pakhtunkhwa, once, I found myself working in the Emergency Department of a hospital that served as the only tertiary care facility for three neighboring districts. It is the only tertiary care hospital in the vicinity, especially during the current military operations against terrorists in North Waziristan. We consistently faced a high patient turnover and struggled with a severe staffing shortage due to the lack of resources and opportunities. On one occasion, we received a group of patients who had suffered multiple fractures in a road traffic accident. While I was already attending to one of these patients, the attendant of another patient approached me, insisting that their loved one's condition was equally critical due to severe pain and multiple fractures. It placed me in a challenging dilemma as both patients were in urgent need of care. I took a moment to assess the situation and continued providing care to the patient I was already attending to. My decision was based on the utilitarian principle of justice. That is a benefit for the greater maximum, in our case, I continued providing care to the same patient as that patient has a greater prognosis and needs immediate attention."

Comparative Case Study

Optimizing Care by Integrating Virginia Henderson Needs Theory & Kolcaba's Theory of Comfort in a Case Study

Shafiq UR Rahman* , Uzma Akhtar**
*-** Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan.
Rahman, S. U., and Akhtar, U. (2024). Optimizing Care by Integrating Virginia Henderson Needs Theory & Kolcaba's Theory of Comfort in a Case Study. i-manager’s Journal on Nursing, 14(1), 31-37. https://doi.org/10.26634/jnur.14.1.20795

Abstract

This paper provides a comparative analysis of Virginia Henderson's Needs Theory and Kolcaba's Theory of Comfort in the context of nursing practice. Virginia Henderson's Needs Theory acts as a structure for nurses to evaluate, strategize, and deliver care that focuses on the patient, aiming to assist them in becoming self-sufficient in addressing their needs and ultimately reaching peak health. Henderson's theory continues to have a significant impact on nursing practice, education, and research by assisting nurses in providing compassionate and thorough care to a wide range of populations in different healthcare environments. Conversely, Kolcaba's theory recognizes comfort as a comprehensive concept that includes physical, psycho-spiritual, and environmental aspects. Kolcaba categorized comfort into three different forms: relief, ease, and transcendence. Relief means dealing with physical or emotional pain, ease is about staying happy and satisfied, and transcendence is about discovering meaning and purpose despite discomfort. Kolcaba stated that nursing interventions should focus on these dimensions to enhance comfort and enhance patient results. Understanding these theories' distinct perspectives can empower nurses to tailor interventions effectively, promoting better patient outcomes across diverse healthcare settings. In the case of Mr Sufian experiencing pain and discomfort affecting his daily life and mental health, nurses can utilize Kolcaba's theory to assess his comfort needs comprehensively. By creating a comfortable environment, providing pain relief, and emotional support, and employing relaxation techniques, nurses can effectively improve the comfort and well-being of patients.

Case Study

Breast Cancer: A Case Study

S. Kavitha*
Bethlahem College of Nursing, Karungal, Kanyakumari District, Tamilnadu, India.
Kavitha, S. (2024). Breast Cancer: A Case Study. i-manager’s Journal on Nursing, 14(1), 38-43. https://doi.org/10.26634/jnur.14.1.20842

Abstract

Breast cancer is the most common cancer in women in developed countries and 12% of breast cancer occurs in women 20-34 years. Survival from breast cancer has significantly improved and the impact on quality of life have become increasingly important.