i-manager's Journal on Nursing (JNUR)


Volume 4 Issue 3 August - October 2014

Article

Effect of Exercise on Psychological Well Being

Kiran Zulfiqar Ali*
*Student, Aga Khan University School of Nursing and Midwifery, Karachi.
Ali , K.Z. (2014). Effect of Exercise on Psychological Well Being. i-manager’s Journal on Nursing, 4(3), 1-4. https://doi.org/10.26634/jnur.4.3.2877

Abstract

Effect of exercise on psychology has progressively come under the high spot over recent years. This Article defines what exercise and psychological well-being is and further explores the relationship between the two. The main findings were that exercise on a regular basis brings significant improvements in mood, stress, depression and self-esteem. Moreover people engross in exercises discern themselves more autonomous. Nevertheless exercise helps to improve the physiological functions of the body which generate a better sense of self-esteem and eventually give rise to the psychological well being. The article also reports some ways to practice exercise like Tai Chi and yoga and the effects of these exercises on the body's physiology and how these changes affects the psychology. It reports the prevalence of mental illnesses in Pakistan as well and reports the difference in the activity level of males versus females. It also recommends that intensity and some other aspects of exercise need to be looked upon so that this vast topic could be well understood and it becomes easy to adapt the practice of exercise to enhance psychological well-being.

Article

Importance of Cervical Screening in Women

Muhammad Anwar* , Amir Abdullah**
* Student, University of Central Lancashire, School of Public Health and Clinical Sciences.
** Student, Aga Khan University School of Nursing and Midwifery, Karachi.
Anwar, M., and Abdullah, A. (2014). Importance of Cervical Screening in Women. i-manager’s Journal on Nursing, 4(3), 5-12. https://doi.org/10.26634/jnur.4.3.2878

Abstract

The purpose of this paper is to identify the importance of cervical screening. Likewise, it also gives an idea that how a developed country like United Kingdom adjusted and shaped their policies, in order to deal with this particular issue. Furthermore, it also classifies factors which could influence one's behavior toward certain health policy in light of different Models. In addition, this paper also discusses the barriers and opportunities associated with cervical screening interventions. This paper will let for further individual consideration to be given to this issue and may even able to adopt the idea of dealing with cervical screening in their own settings.

Article

Unmet Health Care Needs of Disabled Children in Pakistan

Nazish Hussain Ali Pachani* , Shaista Rajani Meghani**
*-** Students, Aga Khan University School of Nursing and Midwifery, Karachi.
Pachani, N.H.A., and Meghani, S.T. (2014). Unmet Health Care Needs of Disabled Children in Pakistan. i-manager’s Journal on Nursing, 4(3), 13-15. https://doi.org/10.26634/jnur.4.3.2879

Abstract

Disabled children have an unmet health care need than healthy children in Pakistan. This is due to three leading factors; Social barrier, financial barrier, and lack of access to health care services and providers. These barriers are not only affecting child health care needs, but also violating their rights. Access to healthcare services and quality of life require the active collaboration of all relevant organizations at federal, provincial, local and NGO level, along with the participation of family, professionals and communities at large. There is a dire need to address this critical issue to achieve 4thMillennium Development Goals (MDGs) which is still far behind to reduce child mortality rates

Article

Does Communication Really a Matter of Concern in Unconscious Patients?

Shaista Rajani Meghani* , Neelam Saleem**
*-** Students, Aga Khan University School of Nursing and Midwifery, Karachi.
Meghani, S.T., and Punjani, N.S. (2014). Does Communication Really a Matter of Concern in Unconscious Patients?. i-manager’s Journal on Nursing, 4(3), 16-19. https://doi.org/10.26634/jnur.4.3.2880

Abstract

Effective communication is a keystone of the nurse patient relationship. It takes many forms and it is more than just talking and listening. Communication is a process which can enable the nurse to establish a human to human relationship and thereby fulfill the purpose of nursing. Communicating with unconscious patients or comatose patients is always challenging for healthcare professionals. However, communication considers as an integral part of health care practice. Although communicating with unconscious patients is a big challenge for all healthcare professions. But on the ethical ground, it is a right of a patient to be informed, timely regarding any procedure and treatment. Especially, in critical care area nurses and physicians are dealing with a lot of patients receiving life saving treatments, and they intend to forget to communicate with their patients who needs respect and care because they are unconscious (Casbolts, 2002). Therefore, it is the responsibility of healthcare professionals as the first line in communicating with their patients who has a lack of good communication and on ventilators. This paper will focus on the significance and factors contributing in communicating with unconscious patients.

Article

Patients Safety and Discharge Teaching Particularly in Pediatrics

Laila Muhammad Aslam*
*Student, Aga Khan University School of Nursing and Midwifery, Karachi.
Aslam, L.M. (2014). Patients Safety and Discharge Teaching Particularly in Pediatrics. i-manager’s Journal on Nursing, 4(3), 20-24. https://doi.org/10.26634/jnur.4.3.2881

Abstract

Every human experience some sort of illness in his or her life however, some need hospitalization and others don't. Being in hospital is not a pleasant experience for most of the people, since they are there at the mercy of doctors and nurses. Health care professionals are trained to provide safe care to the patients. But ensuring the provision of safe care round the clock is a bit challenging. Hospitals establish several benchmarks to ensure the safety of their clients. There are certain organizations which facilitate hospitals to establish and meet those criteria and JCIA is one of them. Patient safety is one of the vital goals of it. Institute of Medicine (IOM) has defined patient safety in a very simple way, as “the prevention of harm to patients. Emphasis is placed on the system of care delivery that (1) prevents errors; (2) learns from the errors that do occur; and (3) is built on a culture of safety that involves health care professionals, organizations, and patients.” (Patient Safety and Quality: An Evidence-Based Handbook for Nurses, 2008, p.2). Patient safety has a wide scope of practices within it; therefore it has been further classified in clinical and administrative domains. Several clinical indicators are established to analyze the effectiveness of care being provided to the patients. The care does not only include inpatient services but also care to be provided at the time of discharge. Discharge teaching is an essential component of care and safety particularly in pediatric population, as it is high risk population and at a greater risk of chances of errors because they are not the direct recipient of teaching. As teaching is given to their parents or care givers which could create an understanding gap regarding the care to be given at home, medication administration, and when the child would need immediate professional assistance. This paper will focus on the importance of discharge teaching, team involved in the teaching process, components of discharge teaching, an interventional methodology to make the teaching more effective, strategies and recommendations to improve discharge teaching.

Case Study

Autocratic Leadership in Nursing

Shams Ul Huda*
*Student, The Aga Khan University School of Nursing and Midwifery, Pakistan.
Huda, S.U. (2014). Autocratic Leadership In Nursing. i-manager’s Journal on Nursing, 4(3), 25-29. https://doi.org/10.26634/jnur.4.3.2882

Abstract

Nursing profession in Pakistan is in a transitional phase; Pakistan Nursing Council (PNC) directed the nursing institutes in the country that till 2020 a diploma will be phased out, and the degree will be the minimum required for practice in the nursing profession. The role of leaders is very crucial to attract youngster across the country; however, the leaders' attitude and behavior result in increased turnover of nurses, decreased morale of nurses, and demotivation among faculty and staff. Majority leaders in nursing profession lack the leadership attributes, and practice traditional autocratic style of leadership. This paper discusses about the issues in nursing institutes due to incompetent leadership. The issue is thoroughly analyzed in light of current literature, and recommendations are given to solve the leadership issues in nursing education. Autocratic leadership is not suitable for the growth and development of the nursing profession. The best way to tackle the current issue in nursing leadership is to adopt a transformational leadership style.

Research Paper

Potential Contribution of Advance Practice Nursing in Managing Exclusions in Elementary and Middle Schools

Catherine Cummins* , Mohan Kumaratne**, Erlyana***, Loucine Huckabay****, Franck Vigneron*****
* Assistant Professor, California State University, Long Beach School of Nursing.
** Pediatrician, Fountain Valley Regional Medical Center
*** Assistant Professor, Department of Health Care Administration
**** Chair of the School of Nursing, California State University
***** Professor, California State University, Northridge.
Cummins, C., Kumaratne, M., Erlyana, E., Huckabay, L., and Vigneron, F. (2014). Potential Contribution of Advance Practice Nursing in Managing Exclusions in Elementary and Middle Schools. i-manager’s Journal on Nursing, 4(3), 30-35. https://doi.org/10.26634/jnur.4.3.2883

Abstract

School attendance is essential to optimize children's education. Most minor illnesses and injuries do not warrant school exclusion, and children need to be excluded from school only for compelling medical reasons. Standardized School Health Offices (SHO) visit logs, from September to November 2010, were examined from 11 elementary and 4 middle schools in the Ocean View School District, Huntington Beach, California to determine incidence of school exclusion. Of 7,606 visits, 1,198 (15.75%) children were sent home from school due to medical reasons. The top 5 medical reasons include: (1) abdominal pain 22.62%, (2) nausea & vomiting 21.04%, (3) upper respiratory infections 14.02%, (4) headache 11.69%, and (5) injuries 7.85%. The number of exclusions in the elementary schools was significantly higher in October than in September or December. The pattern was not repeated in the middle schools. Gastrointestinal causes, conditions associated with significant pain, and contagious diseases were the top three most common reasons for exclusion from school, accounted for 89% of all exclusions. School health office personnel need to be educated on the appropriate evaluation and management of the above conditions. Over the counter pain medications should be allowed to be dispensed when indicated.