i-manager's Journal on Nursing (JNUR)


Volume 3 Issue 1 February - April 2013

Article

Comparison and contrast of Orem’s Self Care theory and Roy’s Adaptation model

Neelam Saleem*
*The Aga Khan University, School of Nursing and Midwifery, Pakistan
Punjani, N.S. (2013). Comparison and contrast of Orem’s Self Care theory and Roy’s Adaptation model. i-manager’s Journal on Nursing, 3(1), 1-5. https://doi.org/10.26634/jnur.3.1.2222

Abstract

This article elucidates nursing practice through two unique theories: Orem’s self care theory (1971) and Callista Roys’s adaptation model (1970). The key similarities and differences between Orem’s theory and Roy’s Model are identified. Nursing is an evolving and unique profession for which theory can be utilize as a guide for practice. This article demonstrates two of these nursing theories through the four concepts of the nursing meta-paradigms which consist of person, health, environment, and nursing. Moreover, these two theories are compared through its application from the perspective of clinical practice.

Article

Are we pushing the graduate nurses too fast in critical care areas?

Shaista Rajani Meghani* , Salma Sajwani**
* Student, The Aga Khan University, School of Nursing and Midwifery.
** Instructor, The Aga Khan University, School of Nursing and Midwifery, Pakistan.
Meghani, S.R., and Sajwani, S. (2013). Are we pushing the graduate nurses too fast in critical care areas?. i-manager’s Journal on Nursing, 3(1), 6-12. https://doi.org/10.26634/jnur.3.1.2223

Abstract

The objective of the literature review is to focus on the journey of transition for new graduate entering in critical care areas that often remains challenging, frustrating and stressful. A systemic search of the literature is performed for the period of 1979 to 2012. A total 20 research articles were reviewed. The results of the literature review indicated that the new graduates generally have limited practical nursing experience, lack social and developmental maturity and struggle with basic clinical work management skills along with balancing time with responsibilities and assigned task. Critical care areas are high tech specialized areas that require nurses’ vigilance, competencies, and expertise to deal with immediate life threatening situations. New graduates feel lack of confidence while working independently in the hospital environment during transition phase. If this is a case for novice nurses working in wards, then critical care areas are even more complex and high tech skilled specialty to accommodate amateurs. This paper will highlight the transition of new graduates in critical care areas, characteristics, and requirements for critical care nursing, stages of transition theory in critical care, and recommendations to offer new graduates to the less critical workplace to make them expert, to ensure in order to deliver safe patient care when transferred to the high-tech skilled specialty areas.

Article

Welcoming Future Nurses: Preparing undergraduate nursing students for role transition

Sahreen Malik Bhanji*
*MScN Student, Aga Khan University, School of Nursing and Midwifery.
Bhanji, S.M. (2013). Welcoming Future Nurses: Preparing undergraduate nursing students for role transition. i-manager’s Journal on Nursing, 3(1), 13-17. https://doi.org/10.26634/jnur.3.1.2224

Abstract

The preceptor, preceptee and the faculty plays an important part in student’s learning and contribute towards role transition. Therefore, it is essential that all three of them work in collaboration, extend their support and have well developed understanding to make the experience meaningful. In my paper to follow, I will discuss the background and significance of preceptorship and its application in clinical practice. Integrate the Synergy model of preceptorship for learning and care. Later in the paper, I will discuss the roles and functions of the preceptor, challenges, training needs, and the benefits of preceptorship model at the organization level.

Article

Nurses’ Motivation: an emphasis on Managers’ role

Shahina Pirani*
*The Aga Khan University, School of Nursing and Midwifery, Pakistan.
Pirani, S. (2013). Nurses’ Motivation: an emphasis on Managers’ role. i-manager’s Journal on Nursing, 3(1), 18-26. https://doi.org/10.26634/jnur.3.1.2225

Abstract

Motivation is the willingness or desire to work well and perform effectively on the job. There are two types of motivation; intrinsic and extrinsic motivation. Intrinsic motivation is the internal desire to accomplish the task in a productive way and it deals with personal value or strong work ethics which give them passion to do the best. On the other hand, extrinsic motivation refers to the motivation which comes from outside an individual which include promotions, appreciation, bonuses and days off. There are various factors which cause lack of motivation among nurses. Some of them include; manager’s management style, strict policy, lack of appreciation, workload, salary, promotion and so on. Frederick Herzberg was behavioral scientist who proposed a motivation-hygiene theory. This theory has been applied in this paper to emphasis the role of managers to enhance nurses’ motivation specifically in terms of nurses’ recognition and their growth and development. It requires nurses to be ambitious, responsible, to be proud of being a nurse and the employing institution need to take initiative to bring change and demonstrate individual abilities.

Article

Interpretation and Management of Arrhythmia

Havinder Kaur* , C. Ramesh**, L. Gopichandran***
* Tutor, Govt College of Nursing, Patiala, Punjab, India.
** Lecturer, Noor College of Nursing, Bangalore, India.
*** Professor & Head, Noor College of Nursing, Bangalore, India.
Kaur, H., Ramesh, C., and Gopichandran, L. (2013). Interpretation and Management of Arrhythmia. i-manager’s Journal on Nursing, 3(1), 27-32. https://doi.org/10.26634/jnur.3.1.2226

Abstract

Cardiovascular diseases are the major circulation disorders around the world amongst human beings. This study explains conduction system of heart, review of ECG. Arrhythmia can produce a broad range of symptoms, from barely perceptible to cardiovascular collapse. It is focused on Arrhythmia, different types, interpretation and complications which will be of great help for health care nurses.

Article

Role of Basic Science and its Impact in Nursing Education/Curriculum

Shehla Khan*
*Assistant Professor, Aga khan university, School of Nursing & Midwifery Karachi, Pakistan.
Khan, S. (2013). Role of Basic Science and its Impact in Nursing Education/Curriculum. i-manager’s Journal on Nursing, 3(1), 33-36. https://doi.org/10.26634/jnur.3.1.2227

Abstract

The purpose of the paper is to explore the role of Basic sciences in the development of nurses. Since the profession has moved into higher education, diversity has developed in the amount, depth and methods of science teaching in nursing and midwifery courses. It has been observed that nurse educators themselves are concerned about the difficulty of linking the study of basic sciences directly to nursing theory and practice. In this paper it is discussed that one needs to see closely the contributions of the basic sciences to nursing education.

Research Paper

Clinical Presentation to Nursing Offices in Elementary and Middle School Children

Catherine Cummins* , Mohan Kumaratne**, Franck Vigneron***, Jennifer Encinas****, Natalie Kumaratne*****
* Assistant Professor, California State University, Long Beach, California, USA.
** Pediatrician, CHOC Children's Hospital, and Huntington Beach California.
*** Professor, California State University, Northridge, USA
**** Clinical Researcher, University of Southern California, California, USA.
***** PG Student, Media and Public relations, University of Southern California, California, USA
Cummins, C., Kumaratne, M., Vigneron, F., Encinas, J., and Kumaratne, N. (2013). Clinical Presentation to Nursing Offices in Elementary and Middle School Children. i-manager’s Journal on Nursing, 3(1), 37-42. https://doi.org/10.26634/jnur.3.1.2228

Abstract

The parents and the school district have been concerned about why children present to school nursing offices in elementary and middle schools. There is a limited amount of research that study these reasons. A retrospective survey study was conducted using the school nurses’ visit logs from 7606 children. Minor trauma and abdominal pain were the most common reasons. A majority of students were returned to class, however a significant minority of 15.29% were excluded from schoolKnowledge of the common reasons for presentation to school nursing offices is useful in preventing avoidable injuries and decreasing absence from school.

Case Study

Clinical Application of Nightingale’s Environmental Theory

Shirin Rahim*
*Aga Khan University School of Nursing, Karachi, Pakistan.
Rahim, S. (2013). Clinical Application of Nightingale’s Environmental Theory. i-manager’s Journal on Nursing, 3(1), 43-46. https://doi.org/10.26634/jnur.3.1.2229

Abstract

Florence Nightingale (1820-1910) the first nursing theorist and the first one to lay the foundation of modern nursing has based her philosophy on spiritualism. Selanders (2010) quotes (Cook, 1913, Vol. 1, p. 15) in saying, that “She records in her diary an interaction with God at age 16 when He “called her to His service” (p.82). Her devotion towards God and her belief of spirituality was the foundation of almost all that Nightingale did as a nurse and for nursing profession. (Allighood and Tommy 2010). Nightingale has taken the same premise for her environmental theory. In this theory Nightingale (1860) has emphasized that nature has some laws which if applied correctly on humans, help those who are ill to restore health and those who are healthy to remain prevented from illness and promote health. The 13 sub concepts of environment which are called canons by Nightingale (1860) are actually the conditions which if adequately present in the environment help in healing. This paper will analyze a clinical scenario in light of Nightingale’s environmental theory and its three canons (ventilation, bed and bedding and personal cleanliness), and propose hypothesis which can be used to test a nursing intervention based on Nightingale’s theory to change the unpleased outcome of this and more like scenarios.