i-manager's Journal on Nursing (JNUR)


Volume 4 Issue 2 May - July 2014

Article

Building Collaborative Partnerships between Academia and Hospitals to Enhance Preceptorship Experiences

Leslee H. Shepard* , Grace Allen**
* Associate Professor, Winston Salem State University & Affiliate Adjunct Faculty, Indiana Wesleyan University.
** Clinical Nurse Educator, Novant Health: Medical Park Hospital.
Shepard, L.H., and Allen, G. (2014). Building Collaborative Partnerships between Academia and Hospitals to Enhance Preceptorship Experiences. i-manager’s Journal on Nursing, 4(2), 1-6. https://doi.org/10.26634/jnur.4.2.2769

Abstract

Adequate preparation of preceptors is essential to achieving optimal student learning outcomes. While several noteworthy programs are described in the literature, few if any afforded participants ongoing support. This article describes an alliance formed between faculty in a baccalaureate program and clinical nurse educators of an acute care facility. The purpose of the partnership was to facilitate preceptor success using funds received from an internal grant. The preceptor development program was an innovative approach that consisted of three phases: face-to-face, online supplemental education, and on-site clinical support. Each phase was developed based on an applicable theory of learning. Positive feedback was received from participants and faculty. Research on the effectiveness of this three-tiered approach is recommended.

Article

Osteoporosis in Post-Menopausal Women

Afsheen Amir Ali Hirani* , Arifa Fehmi**, Muniza Momin***, Neelum Nasiruddin****, Sania Rupani*****, Umer Haidri******, Zoya Khowaja*******
*-******* Students, Aga Khan University School of Nursing and Midwifery, Karachi.
Hirani, A., Fehmi, A., Momin, M., Nasiruddin, N., Rupani, S., Haidri, U., and Khowaja, Z. (2014). Osteoporosis In Post-Menopausal Women. i-manager’s Journal on Nursing, 4(2), 7-10. https://doi.org/10.26634/jnur.4.2.2770

Abstract

Post-menopausal women face many physical, physiological and psychological alterations due to hormonal changes. Osteoporosis is one of the major bone health issues faced by them and it is the main cause of fracture incidences and disabilities. This paper defines the issue in detail along with its major causes. It explores the prevalence and incidence of post-menopausal osteoporosis worldwide and specifically in Pakistan. Furthermore, it discusses about the wide variety of treatments which include pharmacological and non-pharmacological ways i.e. diet and exercises. Moreover, it provides the preventive measures and recommendations and also explores the future research needs. By working on them, women can fight with osteoporosis and other bone health issues which can reduce the morbidity and mortality rates among women.

Article

Breast Cancer in Pakistani Females

Zahira Amir Ali Khalfan* , Karishma Edgar**, Azim Zahir Ali***, Seema Sadruddin Samnani****
*-**-***-**** Students, Aga Khan University School of Nursing and Midwifery, Karachi
Khalfan, Z.A., Edgar, K., Ali, A.A., and Samnani, S.S. (2014). Breast Cancer in Pakistani Females. i-manager’s Journal on Nursing, 4(2), 11-15. https://doi.org/10.26634/jnur.4.2.2771

Abstract

Breast cancer is the second most common reason for death among Pakistani females. Although the exact cause is unknown, it is highly associated with family history and increasing age. Mammography is the most common screening process and chemotherapy, radiations and mastectomy are the common medical-surgical interventions performed. Lifestyle modification, proper nutrition and exercises can help to prevent this issue. Lack of medical facilities, limited number of female oncologists and unawareness amongst people in rural areas of Pakistan are the major issues that need to be addressed to resolve the problem on a timely basis. Therefore, the nurse plays an important role in educating females about early diagnosis and treatment for breast cancer.

Research Paper

A National Study by the Advisory Board Surveyed hospitals about the preparedness of new Registered Nurse graduates

Margaret Bagnardi*
*Assistant Professor, Nursing James Madison University, Harrionsburg, Virginia.
Bagnardi, M. (2014). A National Study by the Advisory Board Surveyed hospitals about the preparedness of new Registered Nurse graduates. i-manager’s Journal on Nursing, 4(2), 16-20. https://doi.org/10.26634/jnur.4.2.2772

Abstract

A National study by The Advisory Board surveyed hospitals about the preparedness of new Registered Nurse graduates. The results of this study indicated that new graduate nurses joining the workforce were not practising at the level required to meet the needs of patients in several leadership areas including delegation, ability to anticipate risks, prioritization, and conflict resolution (Nurse Executive Center, 2008). Addressing these areas prior to graduation may better prepare students for the rigor of nursing practice.

Research Paper

Knowledge of sanitary workers regarding Bio medical waste management

Akoijam Mamata Devi* , Malar Kodi Aathi**
* Assistant Professor, Department of Medical Surgical Nursing, M.M Institute of Nursing, M.M University Mullana, Ambala, Haryana.
**Assistant Professor, Department of Child Health Nursing, M.M Institute of Nursing, M.M University Mullana, Ambala, Haryana.
Devi, A.S., and Aathi, M.K. (2014). Knowledge of sanitary workers regarding Bio medical waste management. i-manager’s Journal on Nursing, 4(2), 21-28. https://doi.org/10.26634/jnur.4.2.2773

Abstract

The waste produced in the course of healthcare activities carries a higher potential for infection and injury than any other type of waste. Inadequate and inappropriate knowledge of the handling of healthcare waste may have serious health consequences and a significant impact on the environment as well. This study aims to see whether PTP (Planned Teaching Programme) has significant impact on the level of knowledge and expressed practices of sanitary workers regarding bio-medical waste management, relationship between the level of knowledge and expressed practices and to seek the association between knowledge scores with selected demographic variables. The experimental approach one, group pretest post design and non-Probability purposive sampling technique was applied and data was collected by using the self report interview technique. The collected data were analyzed at it shows that there was a marked gain in the mean knowledge score (73.31%) and expressed practice (72.10%) after PTP. There was a positive relationship seen between the level of knowledge and expressed practice at 0.05 levels (t=0.273). There was no significant association found between selected demographic variables (age, gender, and work experience, the present area of work, monthly income and source of information) with the knowledge score of nurses regarding Bio Medical Waste Management.

Article

A study to assess the knowledge among postnatal mothers regarding postnatal depression in selected maternity hospitals of Moga, Punjab

Manu* , Gaurav Kohli**
* Assistant Professor, Department of Mental Health Nursing, Mai Bhago College of Nursing, Tarn Taran (Punjab).
**Assistant Professor, Department of Community Health Nursing, M.M. Institute of Nursing, M.M. University, Mullana (Ambala).
Manu and Kohli, G. (2014). A study to assess the knowledge among postnatal mothers regarding postnatal depression in selected maternity hospitals of Moga, Punjab. i-manager’s Journal on Nursing, 4(2), 29-35. https://doi.org/10.26634/jnur.4.2.2774

Abstract

To assess the knowledge of postnatal mothers regarding postnatal depression and to find the relationship between the knowledge regarding postnatal depression with selected demographic variables such as age of mother, number of children, educational status of mother, educational status of husband, occupation of mother, occupation of husband, religion, type of family, family income per month and previous history of postnatal depression. To develop an information booklet regarding the prevention of postnatal depression. A descriptive Study was conducted among postnatal mothers regarding postnatal depression in hospitals of Moga (Punjab). A non probability convenient sampling technique was used to select 200 postnatal mothers of 19-35 years of age group. Demographic variables of study were such as age of mother, number of children, educational status of mother, educational status of the husband, occupation of mother, occupation of husband, religion, type of family, family income per month and previous history of postnatal depression. A self structured questionnaire containing 30 items was utilized to assess the knowledge regarding postnatal depression. The conceptual frame work of study was based upon Orem's Self Care Theory (1959). An educational booklet on postnatal depression among postnatal mothers was developed after analysis. The data were analyzed by descriptive (mean, median & mode) and inferential (ANOVA & correlation) statistics. Results of the study revealed that 28.5% of postnatal mothers were metric passed, 37.5% of their husbands were higher secondary passed, 76.5% of postnatal mothers were house maker, and 51.5% of their husbands were in their own business, 50% of postnatal mothers were Hindu and 50% were Sikh. Whereas 52.5% postnatal mothers live in a joint family, 69% of them had family incomes ≤ Rs.5000 and 100% of postnatal mothers had no previous history of postnatal depression. 53% of the postnatal mothers were in the age group of 23-26 years, 47% of postnatal mothers were having one child followed by 66% of postnatal mothers had below average knowledge and 32.5% of them had average knowledge. Only 1.5% of postnatal mothers had good knowledge regarding postnatal depression. In the present study, age of mother, number of children, educational status of mother, educational status of husband, occupation of mother, occupation of husband, religion, family income per month had significant impact on the knowledge of postnatal mothers regarding postnatal depression but type of family had no impact on the knowledge of postnatal mothers regarding postnatal depression.

Case Study

Ethics Governing Antenatal Screening and its Implications

Sahreen Malik Bhanji* , Neelam Saleem**
*-**Student, Aga Khan University School of Nursing and Midwifery, Pakistan.
Bhanji, S.M., and Punjani, N.S. (2014). Ethics Governing Antenatal Screening and its Implications. i-manager’s Journal on Nursing, 4(2), 36-39. https://doi.org/10.26634/jnur.4.2.2775

Abstract

Recently, antenatal screening has become one of the routine investigations during pregnancy-follow up and also the subject of debate in bioethics. The issue of screening for fetal anomalies involves several ethical and legal considerations. The obligation to protect and promote the health-related interests of the patient is the basic starting point for ethics in clinical practice. Whether the decision is abortion or continuing the pregnancy, clinicians need to support the patient and provide them enough knowledge while respecting their autonomy. It is the primary responsibility of the physician to break a bad news lies. Therefore, it is equally important that the physician provides emotional and psychological support while giving full information to their patients. However, the issue invites a conflict between, a number of ethical principles which need to be balanced in order to justify the correct decision made.