i-manager's Journal on Nursing (JNUR)


Volume 4 Issue 1 February - April 2014

Article

Parental Presence during Pediatric Invasive Procedures

Neelam Saleem*
*Student, Aga Khan University School of Nursing and Midwifery, Pakistan.
Punjani, N.S. (2014). Parental Presence during Pediatric Invasive Procedures. i-manager’s Journal on Nursing, 4(1), 1-3. https://doi.org/10.26634/jnur.4.1.2624

Abstract

Parental presence during paediatric invasive procedures is getting very common, but it remains to be a controversial issue in order to provide the family-centered care. Having a child in the pediatric intensive care unit produces major apprehension and fear for parents. The rationale of this anxiety is both the fear of the child's death or morbidity and the strange nature of the intensive care unit's environment. This anxiety can be further doubled by the prohibition of parents from the bedside during an invasive procedure. Parental presence during invasive procedures gives psychological support to children, fulfills the right of parents being informed about their children's treatment and facilitates health care professionals in the successful completion of the procedure. This article will discusses parental presence with three perspectives viz., patient's perspective, family perspective and health care professionals' perspective.

Research Paper

The Impact of e-Health on Cardiac Health Education among African Americans

Hamdy Radwan* , Wanda Lawrence**
* Professor, Winston Salem State University
** Associate Professor, Winston Salem State University.
Radwan, H., and Lawrence, W. (2014). The Impact of e-Health on Cardiac Health Education among African Americans. i-manager’s Journal on Nursing, 4(1), 4-8. https://doi.org/10.26634/jnur.4.1.2625

Abstract

Cardiovascular disease accounts for more than one third of the differences in life expectancy among blacks and whites. Diseases of the heart continue to be the leading cause of death in the United States (Kochanek, Xu, Murphy, 2011). Disparities in cardiovascular health care are documented in the literature as one of the most serious public health problems in the United States (Savitz, 2012). African Americans face the highest risk of death from heart disease than any other ethnic group in America. Understanding the risk factors and interventions to reduce the same is a major step in preventing heart attack. It is important that people are educated as to the risk factors of heart attack. Finding an effective method to educate African Americans regarding the cardiac disease and its risk factors is critical. This paper reports the results of using e-health to educate a group of African Americans in one county in the eastern part of the country.

Research Paper

The Effectiveness of a Differentiated Orientation for Nurses in an Acute Care Facility

Leslee H. Shepard*
*Associate Professor, Winston Salem State University & Affiliate Adjunct Faculty, Indiana Wesleyan University.
Shepard, L.H. (2014). The Effectiveness of a Differentiated Orientation for Nurses in an Acute Care Facility. i-manager’s Journal on Nursing, 4(1), 9-17. https://doi.org/10.26634/jnur.4.1.2626

Abstract

Effective orientation models can result in many positive outcomes for new nurses and the facility alike. Clinical nursing practice continues to shift toward differentiated practice models. Consequently, it makes sense that education and training follow the same path. This study examined the effectiveness of a differentiated orientation for nurses. Specifically, the study looked at how the design of an orientation pathway influences employee satisfaction, nurses' perceptions of enhancing clinical competency, and examined the relationship between the design of the orientation and retention. The results suggested that the orientation model did have a positive impact on job satisfaction, skill level, and longevity on a unit.

Research Paper

Knowledge of Commonly used OTC Drugs among Mothers of Children in Udupi District, Karnataka

Daisy T. Philip* , Baby S. Nayak**, Yashoda S***
* Nurse Educator, Fortis Memorial Research Institute.
** Professor & HOD, Manipal College of Nursing, Manipal University, Manipal Udupi District, Karnataka, India.
*** Assistant Professor, Manipal College of Nursing, Manipal University, Manipal Udupi District, Karnataka, India.
Philip, D.T., Nayak, B.S., and Yashoda, S. (2014). Knowledge of Commonly used OTC Drugs among Mothers of Children in Udupi District, Karnataka. i-manager’s Journal on Nursing, 4(1), 18-22. https://doi.org/10.26634/jnur.4.1.2627

Abstract

The use of OTC medications has become common. Not only do we, as adults, frequently medicate ourselves with OTC preparations, but we give them to our children also. The health professionals and the community at large, often assume that, because these drugs are not regulated by prescription, they are safe, even in overdose. However, the truth may be somewhat more sinister. While some are harmless placebos, others may be causing much more harm than good. Even the ubiquitous paracetamol may slow down the body’s response to viral infections and, in overdose; it can result in liver 4 failure . The present study attempted to determine the level of knowledge of mothers regarding the commonly used over the counter drugs. A survey was conducted among 236 mothers of children between 0-12 years of age residing in Map area, Udupi district, Karnataka. A valid, pretested and reliable structured knowledge questionnaire was administered to the mothers to assess their knowledge regarding the over the counter drugs which were commonly used. The results show that the majority of mothers have average knowledge level regarding the commonly used OTC drugs. The study concluded that, OTC drugs are being commonly used by the mothers for minor illnesses in their children without having the complete knowledge about it. Measures should be taken so that effective health messages could be targeted at mothers and caregivers.

Case Study

Clinical Application of Nursing Theory into Practice

Sobia Idrees*
*Nursing Instructor, College of Nursing, Pakistan Institute of Medical Sciences, Islamabad.
Idrees, S. (2014). Clinical Application of Nursing Theory into Practice. i-manager’s Journal on Nursing, 4(1), 23-27. https://doi.org/10.26634/jnur.4.1.2628

Abstract

Nurses are facing many challenges in this competitive era in health care settings and the one biggest challenge among the others is the application of theoretical concepts into practice. Moreover, the knowledge about nursing theory and its application into clinical practice is the hallmark of evidence-based practice, which is the focus of today's health care environment. The purpose of writing this paper is to show explicitly, the close relationship of nursing theory into clinical practice in order to prove evidence-based practice. Florence Nightingale is regarded as a pioneer in the nursing profession. Nightingale has given her notes on nursing in the form of theory of environment which is very useful for nurses to apply those concepts into clinical practice in order to improve the health care standards. All the major concepts of Nightingale's theory have been incorporated into the clinical scenario.

Case Study

Non Compliance with Standard Precautions: Application of Behavioral Ecological Model

Sehrish Sajjad*
*HOD, Ziauddin Hospital, Karachi, Pakistan.
Pirani, S. (2014). Non Compliance with Standard Precautions: Application of Behavioral Ecological Model. i-manager’s Journal on Nursing. 4(1), 28-34. https://doi.org/10.26634/jnur.4.1.2629

Abstract

Each year approximately two million health care workers, including nurses, acquire Needle Stick Injury (NSI) that results in hepatitis B, C, and Human Immunodeficiency Virus infection (Wilburn &Eijkemans, 2004). NSI or injury from sharps is one important indicator of non-compliant behavior of standard precautions. This paper aims to address the issue of noncomplaint behavior of nurses resulting in sharps' injury in the light of a clinical scenario. A Behavioral Ecological Model (BEM) is applied to the scenario to identify the factors of non-compliance and strategies to eliminate these factors. Based on the factors identified, recommendations are suggested.

Case Study

Harassment: A Challenge at Workplace

Muhammad Younas* , Salma Rattani**
* MScN student, Aga Khan University Karachi, Pakistan.
** Assistant Professor, Aga Khan University School of Nursing and Midwifery, Pakistan
Younas, M., and Rattani, S. (2014). Harassment: A Challenge at Workplace. i-manager’s Journal on Nursing, 4(1), 35-39. https://doi.org/10.26634/jnur.4.1.2630

Abstract

Health care professionals are deeply involved in caring for the human life and during this process, they come in a close contact with the care recipients. This, at times, positions the health care professionals in a vulnerable situation including workplace harassment which is an offensive verbal or physical act and comprises of an unwanted behavior or advancement or demand for sexual and other favors. This conduct creates an intimidating, unfriendly, and offensive work environment (Sigal, 2006). Consequently, it impacts on care providers' performance, quality care and their retention in the system. Hence, it is important that the health care personnel should be provided with a safe and secured environment and their respect, dignity and honor should be maintained. Additionally, in-case of any mishaps, the perpetrator should be dealt accordingly.