i-manager's Journal on Nursing (JNUR)


Volume 2 Issue 4 November - January 2013

Article

Sexual health of Geriatric patients: Are we addressing it?

Sharifa Bashir Lalani*
*MScN, BScN, RM, RN Senior Instructor, The Aga Khan University School of Nursing and Midwifery, Stadium Road, Karachi, Pakistan.
Lalani, S.B. (2013). Sexual health of Geriatric patients: Are we addressing it? i-manager’s Journal on Nursing, 2(4), 1-3. https://doi.org/10.26634/jnur.2.4.2099

Abstract

Sexuality is a fundamental aspect of human self-concept in both illness and health. Yet, open discussions on sexual issues are still sometimes taboo in this day and age. PLISSIT model can be used for older adults as well to assess sexual health and guide the interventions. The longevity of life is increasing day by day; we nurses have to care about the sexual health of the geriatric patients in order to improve the quality of life of older patients.

Article

Nurse Scientist and Emotional Support for Breast Cancer Stress

Sampoornam W*
*Lecturer and PhD Scholar, Mental Health Nursing Department, Dhanvantri College of Nursing, Namakkal.
Sampoornam, W. (2013). Nurse Scientist and Emotional Support for Breast Cancer Stress. i-manager’s Journal on Nursing, 2(4), 4-7. https://doi.org/10.26634/jnur.2.4.2100

Abstract

Breast cancer is a significant health problem worldwide and a complex and overwhelming disease both physically and psychologically.  Stress is caused by an existing stress-causing factor or stressor. Dealing with breast cancer can cause a great deal of stress. Emotional support to breast cancer patients can essentially give cancer treatment a power boost as experts believe there is a link between emotional support, education and health outcomes. Nurse scientist should support in conducting research on breast cancer stress and emotional support. Clinical protocol should be modified based on evidence based practice research. The role of breast care nurses needs clarification and should include a focus on psychosocial assessment and emotional support for women. The value of the breast care nurse researcher role as part of the multidisciplinary team in providing quality care for women has been increasingly recognised nationally and internationally as part of evidence based best practice for breast care.

Research Paper

Effectiveness of Preoperative Nursing Teaching Module Versus Patient to Patient Teaching on anxiety Among Patients Subjected to Coronary Artery Bypass Graft (CABG)

Parampal Kaur* , Santosh Sharma**
* Swami Premanand College of Nursing, Mukerian, Punjab.
** Principal, Sant Baba Bhag Singh Singh College of Nursing, Village: Khiala, Jalandhar, Punjab.
Kaur, P., and Sharma, S. (2013). Effectiveness of Preoperative Nursing Teaching Module Versus Patient to Patient Teaching on anxiety Among Patients Subjected to Coronary Artery Bypass Graft (CABG), i-manager’s Journal on Nursing, 2(4), 8-11. https://doi.org/10.26634/jnur.2.4.2101

Abstract

It is well documented that hospitalisation for surgery is associated with increased anxiety (Dodds 1993). This study investigates the effectiveness of preoperative Nursing teaching module versus patient to patient teaching on anxiety among patients subjected to coronary artery bypass graft (CABG). Using non probability convenience sampling method a total of 100 surgical patients subjected to CABG were selected for the study from selected hospitals of Punjab. The study utilized quasi experimental design which consisted of Group1: 50 patients who received Preoperative Nursing Teaching Module and Group 2: 50 patients who had interacted with post operative CABG patients pertaining coronary artery disease and perioperaive care of CABG. Anxiety was assessed at two time points, preoperatively and postoperatively using State Trait Anxiety Inventory (STAI). A pretest was conducted to assess the baseline level of anxiety scores of both the groups (Group 1 and Group 2) of the patients using the State Trait Anxiety Inventory (STAI) followed by Preoperative Nursing Teaching Module for Group 1 and Patient to Patient teaching Method for Group 2. The posttest was carried out approximately after 3 days after the administration of Preoperative Nursing Teaching Module and Patient to Patient teaching Method. In pretest, the Group1, 5(10%) patients were having mild anxiety, 45 (90%) were having moderate level of anxiety; out of the 50 patients in Group 2, 8(16%) patients were having mild anxiety and 42(84%) were having moderate level of anxiety. Whereas during posttest, among 50 patients of Group1, 36(72%) patients were having mild level of anxiety followed by 14(28%) were having moderate level of anxiety. In group 2 out of 50 patients 9(18%) were having mild level of anxiety and 41(82%) were having moderate level of anxiety. The mean post test anxiety scores of the Group 1 patients were significantly lower (p<0.001) compared to their pretest anxiety scores, after administration of the Preoperative Nursing Teaching Module. On the contrary, the Group2 posttest mean anxiety scores were not significantly reduced compared to their pretest scores. Hence the Preoperative Nursing Teaching module is more effective in reducing the levels of anxiety among the patients subjected to CABG as compared to the Patient to patient teaching method. Association between the post test Level of anxiety of the patients and their demographic variables was found to be statistically insignificant.

Research Paper

Stress and coping among mothers of cerebral palsy clients with a view to prepare a management protocol

Ramesh Kumari* , Supriya Palwinder Singh**
* Professor cum Principal, Mai Bhago College of Nursing, Tarn Taran, Punjab, India.
** MBBS Student.
Kumari, R., and Singh, S.P. (2013). Stress and coping among mothers of cerebral palsy clients with a view to prepare a management protocol. i-manager’s Journal on Nursing, 2(4), 12-19. https://doi.org/10.26634/jnur.2.4.2102

Abstract

The purpose of the study to assess the stress and coping among the mothers of children with cerebral palsy. Children with cerebral palsy display prominent motor dysfunction associated with other developmental disorders. Parenting a child with cerebral palsy presents a number of challenges and stress. The children with CP, parents are heavily involved in self care activities which may add an additional challenges and stress to the parents. The incidence of cerebral palsy is about 2 per 1000 live births. The study was conducted in selected rehabilitation institutes in Amritsar. The study sample comprising 150 mothers of cerebral palsy children. Subjects were selected with the snowball sampling method. The research design used was descriptive design. Each subject was evaluated using Berry parental stress scale for stress and 5 point Likert’s scale for coping. The majority of mothers 80% were with moderate level of stress, 20% were with severe stress and no mothers were with mild level of stress, the majority of mothers 34.6% were with moderate level of coping, 33.3% were with low level of coping and only 32.1% were with high level of stress. The highest level of coping with the mean percentage around 80 % was in the aspect of sleep. A negative correlation was found between stress and coping among mothers. There is significant association between Age of the child (χ2 = 8.52), Gender of the child (χ2 = 8.52), Occupation (χ2 = 3.91), Type of family (χ2 = 10.55), Number of children (χ2 = 39.7) and level of stress. There is significant association between Income of the parent (χ2 = 18.8), No of the children (χ2 = 11.5) and level of coping. Mother who had higher level of stress in caring their children with cerebral palsy were not following adequate coping strategy so, the investigator concluded that there is a need to develop management protocol, in that management protocol encourage the mothers to find ways for the child to interact with the environment to promote development and early interventions can helps the mothers to learn and meet their Childs special needs such as physical, occupational, speech therapy and educational needs. The nurse can helps the mothers to meet these needs of the child with cerebral palsy in preschool, offices, clinics and other setting and nurse can refer to them to appropriate support group to an organization private as well as government in India for the cerebral palsy children.

Research Paper

Learning needs and nursing care needs of postnatal women: Perception of women and the nurses

Lydia David* , Sonia R B D'Souza**, Anasuya Prabhu***, Leslie Lewis****
* MSc (N) Student, Department of Obstetrics and Gynaecological Nursing, Manipal College of Nursing, Manipal University, Karnataka, India.
**-*** Associate Professor, Department of Obstetrics and Gynaecological Nursing, Manipal College of Nursing, Manipal University, Karnataka, India.
**** Professor, Department of Pediatrics, Kasturba Medical College, Manipal University, Manipal.
David, L., D'Souza, S.R.B., Prabhu, A., and Lewis, L. (2013). Learning needs and nursing care needs of postnatal women: Perception of women and the nurses. i-manager’s Journal on Nursing, 2(4), 20-24. https://doi.org/10.26634/jnur.2.4.2103

Abstract

To assess the learning needs and nursing care needs perceived by the postnatal women and their nurses and find association with the selected variables. A descriptive survey was conducted in eight selected hospitals of Udupi District, Karnataka. Three hundred postnatal women, 1-7 days postpartum and one hundred and thirty nurses working in the maternity areas were surveyed using the demographic proforma, rating scales for the assessment of learning needs and nursing care needs, which were developed separately for the postnatal women and the nurses. Perineal care or surgical wound care’, ‘Management of minor ailments after delivery’ and ‘Infant care needs’ were the areas of highest priority for  postnatal women  whereas the nurses expressed ‘Management of minor ailments after delivery’ as the least priority area. The nurses gave high priority to areas of ‘Perineal care or surgical wound care’,‘Psychological changes’ and ‘Infant care needs’. There was a significant difference (p<0.01) between the responses given by the two groups for the learning needs of postnatal women and a significant association between learning needs and age of the postnatal women (p=0.029).The postnatal care should be provided by the nurses based on the needs of the clients.

Research Paper

Self-development: The Process of Professional development in Iranian Nurses

Flora Rahimaghaee* , Shahram Salavati**, Nahid Dehghan Nayeri***, Eesa Mohammadi****, Melanie Birks*****
* Assistant Professor & Faculty Member of Islamic Azad University, Tonekabo Branch.
** Faculty Member, Islamic Azad University, Tonekabon Branch & PhD Candidate of UTM Malaysia.
*** Associate Professor & Faculty Member, Tehran University of Medical Science.
**** Associate Professor & Faculty Member, Tarbiat Modares University.
***** Deputy Dean, Assistant Dean Learning and Teaching in CQ University School of Nursing and Midwifery.
Rahimaghaee, F., Salavati, S., Nayeri, N.D., Mohammadi, E., and Birks, M. (2013). Self-development: The Process of Professional development in Iranian Nurses. i-manager’s Journal on Nursing, 2(4), 25-34. https://doi.org/10.26634/jnur.2.4.2104

Abstract

Nowadays, change is inevitable, especially in the health care organizations, so Commitment to professional development is vital to most professions, including nursing. In Iran, nurses constitute a sizable amount of the people in the health care organizations, but no sufficient attention is paid to them and their development by the organization and the staff development programs available is assessed as inefficient by nurses.  Therefore, it seems that understanding the concept and the process of development as viewed by nurses could assist the organizations and management and the nurses to achieve the same. The purpose of this study was to explore Iranian clinical nurses’ professional development process. Grounded theory was chosen as the method for conducting this inquiry that was carried out at Tehran medical university hospitals. A total of 21 clinical nurses and nursing managers participated through a purposeful and theoretical sampling frame. The participants had nursing experience ranging from 3 to 28 years and worked in various clinical areas.  Data were mainly collected through open-ended interviews to engage participants in dialogical interview relationships. No additional participants were sought when analysis indicated that data saturation had been reached.  Data was analyzed using Corbin and Strauss’ (2008) grounded theory approach to analysis. After analyzing the data, we identified four categories that included participants’ experiences regarding processing of Self-Authorized Professional Development.  The stages of this process are Self-awareness, Engagement to work, Self-acceptance, and Experimental self-proceeding. This research contributes to nursing knowledge by identifying a process through which nurses developed professionally. This understanding can be useful in nursing education to help prepare nurses for workplace realities and to help managers adopt an active role in developing their employees.

Practice Paper

Love and Belonging: Strategies to help Mentally ill Patients

Shirin Rahim*
*M.Sc N, Aga Khan University, School of Nursing and Midwifery, Karachi.
Rahim, S. (2013). Love and Belonging: Strategies to help Mentally ill Patients. i-manager’s Journal on Nursing, 2(4), 34-37. https://doi.org/10.26634/jnur.2.4.2105

Abstract

Love and belonging is a concept, used by Abraham Maslow (a humanistic psychologist) in his motivation theory. Love and belonging is one of the human needs in Maslow’s hierarchy and required to be fulfilled in order to achieve self actualization. According to Lisbeth (2003) “Because of the social nature of humans and the long developmental period from birth to adulthood, the need for love and belonging is closely linked to the need for survival” (p.128). If a child is left with unmet need of love and belonging he may feel difficulties in forming lasting relations in future also and may get deprived of love and belongingness for all of his life. This deprivation can lead to unhealthy personality development and affect person’s mental health adversely. This concept is very well explained in choice theory given by William Glasser (1998).The choice theory states that “we are driven by our genes to satisfy five basic needs: survival, love and belonging, power, freedom and fun. In practice, the most important need is love and belonging, as it is a requisite for satisfying all of the needs.” Glasser (1998) further says that “Choice theory, replaces Seven Caring Habits, with the Seven Deadly Habits.” This paper will attempt to integrate the choice theory, with one of the patient’s scenario and suggest evidenced based implementation strategies to help such patients.