i-manager's Journal on Nursing (JNUR)


Volume 14 Issue 3 October - December 2024

Research Article

Healthcare Should Be Public or Private?

Saima Rubab* , Saira Mehboob Ali Lalani**
* Shaukat Khanum Memorial Hospital, Lahore, Punjab, Pakistan.
** Aga Khan University, School of Nursing and Midwifery, Karachi, Pakistan.
Rubab, S., and Lalani, S. M. A. (2024). Healthcare Should Be Public or Private? i-manager’s Journal on Nursing, 14(3), 1-4.

Abstract

The dynamics of public and private healthcare systems are explored in this study, along with an analysis of their unique characteristics and underlying difficulties. Public healthcare, which is usually supported by the government, places a high priority on equity and universal access to medical care. On the other hand, a lack of resources may lead to longer wait times and less specialized care. However, due to competition and innovation, private healthcare, which uses a fee-for- service approach, provides quicker access and a wider range of services. Expensive charges could make accessibility more difficult. For a healthcare framework to be inclusive and comprehensive, these systems must be balanced harmoniously. By working together and implementing strategic policies, it is possible to capitalize on the advantages of both industries and provide accessible and reasonably priced healthcare for a wide range of people.

Research Article

Men's Transformative Role in Nursing Leadership and Healthcare Delivery Systems: Breaking the Gender Barriers

Farhana Shaheen*
Aga Khan University, Karachi, Pakistan.
Shaheen, F. (2024). Men's Transformative Role in Nursing Leadership and Healthcare Delivery Systems: Breaking the Gender Barriers. i-manager’s Journal on Nursing, 14(3), 5-7.

Abstract

Gender diversity in nursing leadership is increasingly recognized as crucial to enhancing healthcare systems. While nursing remains a female-dominated field, there is a growing push to encourage more men to join and take leadership roles. This study highlights the potential of men to transform nursing leadership and healthcare delivery, focusing on dismantling gender barriers. Men represent only about 10% of the nursing workforce in the U.S. and an even smaller percentage in leadership. Those who pursue nursing hold advanced degrees, demonstrating a strong commitment. Male leaders can help break traditional gender roles, advocate for men's health issues, and promote inclusive healthcare environments. However, barriers such as societal expectations and gender-based discrimination persist, hindering male participation in the field. To overcome these challenges, this study recommends increasing funding for nursing education, developing mentorship programs for male nurses, and implementing policies to address workplace discrimination. Promoting gender diversity in leadership can help reshape healthcare delivery to better meet the needs of diverse populations. By fostering a more equitable environment through collaborative efforts by the government and healthcare institutions, the nursing profession can become more inclusive, ultimately improving health outcomes.

Research Paper

Enhancing Engagement in Nursing Education: The Impact of Gamification on eLearning Modules

David Squires* , Elizabeth Guerra**
*-** Department of Curriculum, Instruction, and Learning Sciences, Texas A&M University, Corpus Christi, United States.
Squires, D., and Guerra, E. (2024). Enhancing Engagement in Nursing Education: The Impact of Gamification on eLearning Modules. i-manager’s Journal on Nursing, 14(3), 8-13.

Abstract

This study explores the integration of gamification within nursing eLearning modules at the College of Nursing and Health Sciences at a university in the southern United States. Recognizing engagement and retention challenges in online instruction, this study investigates gamification as a tool to enhance student engagement and practical skill development in remote learning environments. Using a mixed methods approach, this study examines the impact of gamified elements on student engagement, learning outcomes, and knowledge retention. Contrary to expectations, the findings show that although gamification can significantly enhance the eLearning experience, intrinsic or extrinsic motivation does not directly affect engagement or the overall effectiveness of gamified elements. This paper suggests a need for tailored gamification strategies to maximize its benefits across diverse student populations.

Research Paper

A Study to Assess the Effectiveness of Constraint-Induced Movement Therapy on Motor Function among Stroke Patients in Selected Hospitals in Erode

Sheeba L. S.* , Tepilah Rani D.**, Delightson Rufus D.***
* Bethlahem College of Nursing, Karungal, Kanyakumari, Tamil Nadu, India.
**-*** Government Medical College, Nagappatinam.
Sheeba, L. S., Rani, D. T., and Rufus, D. D. (2024). A Study to Assess the Effectiveness of Constraint-Induced Movement Therapy on Motor Function among Stroke Patients in Selected Hospitals in Erode. i-manager’s Journal on Nursing, 14(3), 14-23.

Abstract

The objective of this study was to evaluate the effectiveness of constraint-induced movement therapy on motor function among stroke patients in selected hospitals in Erode, Tamil Nadu, India. A quasi-experimental design with a pre-test and post-test control group was used. The study was based on a modified version of Wiedenbach's Helping Art of Clinical Nursing Theory. A purposive sampling technique selected 60 participants, 30 in the experimental group and 30 in the control group. A pre-test was conducted using the Fugl-Meyer Assessment Scale. In the experimental group, the researcher demonstrated and assisted participants with range-of-motion exercises for 30 minutes, and activities of daily living were performed. Data were analyzed using descriptive and inferential statistics. Regarding motor function, the mean post-test score in the experimental group was 77.13 (SD ± 9.85), compared to 45.3 (SD ± 8.53) in the control group. The independent t-value was 12.83, significant at p < 0.05. No significant association was found between posttest scores and demographic variables, except for family monthly income (χ2 = 12.59, p < 0.05). The findings revealed a significant improvement in motor function following constraint-induced movement therapy, enhancing motor function and promoting stroke patients' well-being.

Research Paper

Effectiveness of Guided Imagery on Stress among High Risk Pregnant Mothers

Blessy Angel S. G.* , Arzta Sophia**
*-** Department of Obstetrics and Gynecology, Christian College of Nursing, Neyyoor, Kanyakumari, Tamil Nadu, India.
Angel, S. G. B., and Sophia, A. (2024). Effectiveness of Guided Imagery on Stress among High Risk Pregnant Mothers. i-manager’s Journal on Nursing, 14(3), 24-29.

Abstract

Pregnancy is a sensitive period in a woman's life. During this time, pregnant mothers experience stress due to various factors, such as physiological, psychological, and social adaptations. This can lead to high levels of stress, especially among high-risk mothers. Guided imagery is an effective relaxation technique that can reduce stress, providing relaxation to both the mind and body. It alleviates stress and mitigates negative pregnancy outcomes. The aim of this study is to assess the effectiveness of guided imagery on stress among high-risk pregnant mothers in selected hospitals in Kanyakumari District, Tamil Nadu, India. A quantitative approach with a quasi-experimental pretest-posttest control group design was adopted. Sixty high-risk pregnant mothers, 30 in the experimental group and 30 in the control group, were selected using a non-probability purposive sampling technique. The Perceived Prenatal Maternal Stress Scale was used to assess the stress levels of high-risk mothers. In the experimental group, the pretest mean stress score was 31.63± 8.65, and the posttest mean stress score was 13.16 ± 1.23. The mean difference was 18.46, and the 't' value was 11.94, which was statistically significant at the 0.05 level. The study revealed that guided imagery was effective in reducing stress among high-risk pregnant mothers.

Research Paper

A Study to Evaluate the Effectiveness of a Structured Teaching Program on Knowledge Regarding Breast Complications and their Management among Primi Post Natal Mothers in a Selected Hospital in Bangalore

Jaspin Femila R.*
Bethlahem College of Nursing, Karungal, Kanyakumari, Tamil Nadu, India.
Femila, R. J. (2024). A Study to Evaluate the Effectiveness of a Structured Teaching Program on Knowledge Regarding Breast Complications and their Management among Primi Post Natal Mothers in a Selected Hospital in Bangalore. i-manager’s Journal on Nursing, 14(3), 30-34.

Abstract

Breastfeeding is the most natural experience. It is not only nature's way of providing nourishment but also an important first step in building a relationship between mother and child. However, there are circumstances under which breastfeeding can be problematic. Common problems that arise during the breastfeeding period include breast engorgement, plugged milk ducts, breast infection (mastitis), and sore or painful nipples. These problems can cause distress, mild discomfort, or significant pain, therefore, many women stop breastfeeding a few weeks after delivery. For this reason, this study is conducted to evaluate the effectiveness of a structured teaching program on knowledge regarding breast complications and their management among postnatal mothers in a selected maternity hospital in Bangalore, Karnataka, India.

Review Paper

Honey and Cancer: A Sustainable Parallel Relationship Especially for Developing Nations

Rehan Haider* , Geetha Kumari Das**, Zameer Ahmed Khanzada***, Sambreen Zameer Khanzada****
* Department of Pharmacy, University of Karachi, Pakistan.
** OPJS University, Churu, Rajasthan, India.
***-**** Department of Pathology, Dow University of Health Sciences, Karachi, Pakistan.
Haider, R., Das, G. K., Khanzada, Z. A., and Khanzada, S. Z. (2024). Honey and Cancer: A Sustainable Parallel Relationship Especially for Developing Nations. i-manager’s Journal on Nursing, 14(3), 35-50.

Abstract

Cancer is a global health problem, with developing countries facing substantial challenges in handling this disease due to restricted entry to advanced treatment plans and economic constraints. Honey, a natural product with diverse therapeutic properties, has proven promise in most cancer prevention and treatment. Its bioactive compounds, along with flavonoids, phenolic acids, and enzymes, own antioxidant, anti-inflammatory, and anti-tumorigenic homes, which could supplement conventional cancer treatments. This sustainable, value-powerful technique is especially superb for developing countries, where access to cutting-edge therapies remains limited. This study suggests that honey can modulate multiple molecular pathways concerned with most cancer development, including apoptosis, cell cycle law, and angiogenesis. It also has the potential to decrease the aspect consequences of chemotherapy and radiation, thereby improving affected person effects. Furthermore, honey's affordability and wide availability in many developing international locations make it a viable option to include in integrative oncology practices. This paper explores the connection between honey and most cancer treatments, highlighting its potential as an accessory therapy, especially in resource-confined settings. The usage of honey is a sustainable and handy technique, supporting global efforts to beautify cancer care fairness. Similarly, this study wants to standardize its utility, dosage, and effectiveness in diverse cancer kinds.

Review Paper

Nursing Perspective on Pain Management

Rehan Haider* , Asghar Mehdi**, Geetha Kumari Das***, Zameer Ahmed Khanzada****, Sambreen Zameer Khanzada*****
* Department of Pharmacy, University of Karachi, Karachi, Pakistan.
** Department of Pharmacology, Fazaia Ruth Pfau Medical College Air University, Karachi, Pakistan.
*** OPJS University, Sadulpur, Rajasthan, India.
****-***** Department of Pathology, Dow University of Health Sciences, Karachi, Pakistan.
Haider, R., Mehdi, A., Das, G. K., Khanzada, Z. A., and Khanzada, S. Z. (2024). Nursing Perspective on Pain Management. i-manager’s Journal on Nursing, 14(3), 51-58.

Abstract

Pain management is a critical aspect of nursing care, directly influencing patient outcomes and quality of life. This paper explores the nursing perspective on pain management, emphasizing holistic and patient-centered approaches that are essential for effective pain relief. Nurses play a pivotal role in pain assessment, utilizing various tools and techniques to evaluate pain intensity, location, and its impact on daily activities. The integration of pharmacological and nonpharmacological interventions is crucial in developing comprehensive pain management plans. Pharmacological approaches include the administration of analgesics, opioids, and adjuvant therapies, tailored to individual patient needs and clinical conditions. Non-pharmacological strategies, such as cognitive-behavioral therapy, relaxation techniques, and physical modalities, are also highlighted for their significant contributions to pain relief. This paper underscores the importance of continuous education and training for nurses to stay updated on evolving pain management practices and to ensure the safe and effective use of pain relief modalities. Additionally, it addresses the challenges nurses face, such as balancing the risks of opioid use, managing patient expectations, and overcoming barriers to accurate assessment in diverse populations. By adopting a collaborative approach that includes patients, families, and multidisciplinary teams, nurses can enhance the effectiveness of pain management and contribute to improved patient outcomes. Future research directions are suggested to address gaps in knowledge and practice, ensuring that pain management strategies continue to evolve and improve.