i-manager's Journal on Nursing (JNUR)


Volume 4 Issue 4 November - January 2015

Article

Dengue more Prevalent than Previously Thought: An Epidemiology Approach

Samin Sulaiman* , Shamsa Hadi**, Kehkashan Karim***, Saniya Iqbal****, Asma Amir Ali*****, Faiza Rafiq******
*-****** Student, Aga Khan University School Of Nursing And Midwifery, Karachi.
Sulaiman, S., Hadi, S., Karim, K., Iqbal, S., Ali, A.A., and Rafiq, F. (2015). Dengue more Prevalent than Previously Thought: An Epidemiology Approach. i-manager’s Journal on Nursing, 4(4), 1-5. https://doi.org/10.26634/jnur.4.4.3071

Abstract

Dengue fever is nowadays the most common health concern of the world. It is a rapidly growing vector-borne disease and is extending from prevalent countries to other parts of the world. It is estimated that 390 million people suffer from dengue per year worldwide. The dengue fever has become endemic in Pakistan recently.21,204 cases were reported in Pakistan in 2010. Each year the cases for dengue fever and mortality rates are increasing. Dengue exerts a huge burden on population, Health systems and economics as well. It is important to review the literature available and work on the preventive measures to control the spread of dengue. The method used is literature review in which we found that dengue cases are rising globally thus, creating an increasing threat to human kind. Since there is no dengue-specific treatment and vaccine, the limited ways out to this disease are disease prevention and symptomatic case management. Preventions at individual and national level can reduce the risk of dengue and early detection can prevent complications of the disease. There is a growing research demand for the development of dengue vaccine. An investigation need for management of the disease also exists. A critical issue was found that platelet transfusion, which is used during the course of dengue treatment, is of no worth because it neither prevents bleeding nor shortens the cessation time of bleeding and causes significant complications. This is still a dilemma and further research is needed on this topic.

Article

Depression in Adolescence

Munira Panjwani* , Khadija Dossa**, Qammerulnisa Qasim Ali***, Dilshad Didar Jummani****, Ahsun Jiwani*****
*-***** Student, Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan.
Panjwani, M., Dossa, K., Ali, Q.Q., Jummani, D.D., and Jiwani, A. (2015). Depression in Adolescence. i-manager’s Journal on Nursing, 4(4), 6-11. https://doi.org/10.26634/jnur.4.4.3072

Abstract

Presently, morbidity rates due to mental illness are increasing hastily. Among these mental illnesses, anxiety and depression are most common. The rate of depression, specifically among adolescence, has shown an alarming increase worldwide including Pakistan. Inability to cope with series of substantial physiological, social and psychological changes during adolescent period can increase the risk of depression. Wide varieties of treatment modalities are available for depression which includes physical treatments, psychological treatment, self-help and alternative therapies. Despite the number of treatment modalities available, prevention and early diagnosis are the fundamental interventional strategies needed to control depression. In Pakistan particularly, rate of depression can be decreased by combined efforts of governmental and non-governmental organization.

Article

Deliberate Self-Harm among Young Adults

Muniza Momin* , Mehreen Nizar Ali**, Saniya Iqbal***, Sonia Sultan Ali****
*-**** Students, Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan.
Ali, M.S., Ali, M.N., Iqbal, S., and Ali, S.S. (2015). Deliberate Self-Harm among Young Adults. i-manager’s Journal on Nursing, 4(4), 12-15. https://doi.org/10.26634/jnur.4.4.3073

Abstract

People participate in Deliberate Self-Harm (DSH), defined as direct and intended physical harm in absence of anticipated suicide. It is a major concern among young adults. Recent studies and experimental efforts on DSH have meaningfully increased the understanding of this negative behavior that influences an individual to do such an act. Health care workers with lack of basic knowledge regarding the identification and assessment of DSH create hindrance in their treatment and early prevention. Moreover, recent incidence and prevalence of DSH in Pakistan is lacking. This article presents ways which are used for DSH by young adults in Pakistan and the intervention which can be done to deal clients with DSH for overcoming this behavior in people. It also focuses on methods which can be adapted by the client, family and society to overcome this attitude of an individual and also emphasis on further research is required at national level to look around this matter to minimize DSH in young people.

Article

Rising Trend of Hepatitis C: A Pakistani Perspective

Sobia Idrees* , Abdul-Sattar**
* Nursing Instructor, College of Nursing, Pakistan Institute of Medical Sciences, Islamabad.
** Student, (MPH) at University of Hazara, Pakistan.
Idrees, S., and Abdul-Sattar (2015). Rising Trend of Hepatitis C: A Pakistani Perspective. i-manager’s Journal on Nursing, 4(4), 16-21. https://doi.org/10.26634/jnur.4.4.3074

Abstract

Hepatitis C Virus (HCV) infection has become a global public health concern and demanding high priority efforts for primary prevention, treatment, and awareness campaigns among the public. The determinants of HCV are common in developed and developing countries; the major source of HCV infection is unprotected sexual contact, infected blood transfusion, sharing of infected needles among the drug users, and perinatal transmission. Majority of the population is not aware about their health status whether they are infected with this virus or not. So, they unknowingly transmit this infection to others as well. Unfortunately, HCV infection vaccine has not been found in the world; extensive measures have been required to control this problem at national level for its prevention because its treatment is very expensive and it contributes a huge burden on the country's economy. Community stakeholders and health care providers can play an important role in awareness campaigns and early screening and detection of the diseases especially among the high-risk population.

Article

Knowledge and Practice in Care of Eclampsia among Staff Nurses with a View to Develop Protocol in Punjab

Bimla Rani*
*Professor cum Vice-Principal, Mai Bhago College of Nursing, Punjab.
Rani, B. (2015). Knowledge and Practice in Care of Eclampsia among Staff Nurses with a View to Develop Protocol in Punjab. i-manager’s Journal on Nursing, 4(4), 22-26. https://doi.org/10.26634/jnur.4.4.3075

Abstract

Hypertensive disorders are the second most common cause of maternal deaths worldwide. There are several major categories of hypertensive disorders in pregnancy ranging from mild to moderate rise in blood pressure with proteinuria, severe pre-eclampsia and eclampsia. Maternal hypertension, even of the mild to moderate category can lead to adverse perinatal outcomes like low birth weight, prematurity, stillbirth and intra uterine growth retardation. In Punjab, MMR is 300/100000 live births. The midwife is in a unique position to educate and empower woman throughout the phases of childbirth in order for them to achieve a healthy pregnancy with the optimum outcome of a healthy baby. The objective of the study to assess the knowledge and practice of staff nurses in care of eclampsia patients. Descriptive research design was adopted for the present study. The study was conducted at selected government hospitals of Punjab on a sample of 500 staff nurses using simple random sampling technique. The structured self-administered schedule was used to collect the data. The study results showed that out of 500 staff nurses, 27.8% (139) had below average knowledge, whereas majority 60.6% (303) of staff nurses had average knowledge, nearly 11.4% (57) staff nurses had good knowledge and only one staff nurse scored very good knowledge in care of eclampsia. In regard of practice, few staff nurses 6%(30) had below average practice, 52.2%(261) subjects had average practice, nearly 39% (195) had good practice and only 2.8% (14) subjects scored very good practice score in care of pregnant women with eclampsia. According to the results it was concluded that, most of the staff nurses had average knowledge and practice in care of eclampsia. There was relationship between staff nurses knowledge and practice. Protocol developed by the researcher will increase the knowledge and level of practice of staff nurses in care of eclampsia.

Research Paper

A Correlative Study to Assess the Self-Esteem and Perceived Stigma among Adult Children of Mentally Ill Parents in Kasturba Hospital, Manipal of Udupi District

Jayakrishna* , Shalini**, Savitha***
* Lecturer, SUM Nursing College, Siksha O Anusandhan University, Bhubaneswar, Odisha, India.
** Assistant Professor, Manipal College of Nursing, Manipal University, Manipal, Karnataka.
*** Assistant Professor, Manipal College of Nursing, Manipal University, Manipal, Karnataka.
Jayakrishna, Shalini and Savitha (2015). A Correlative Study to Assess the Self-Esteem and Perceived Stigma among Adult Children of Mentally Ill Parents in Kasturba Hospital, Manipal of Udupi District. i-manager’s Journal on Nursing, 4(4), 27-31. https://doi.org/10.26634/jnur.4.4.3076

Abstract

The research study titled “A correlative study to assess the self esteem and perceived stigma among adult children of mentally ill parents in Kasturba hospital, Manipal of Udupi district”, the objectives were to (a) assess the level of self esteem of adult children of their mentally ill parents as measured by Rosenberg's self esteem scale. (b) assess the perceived stigma by the adult children of mentally ill parents (c) find the relationship between self esteem and perceived stigma of adult children of mentally ill parents. A survey approach using a descriptive correlational study design was used for the study. A total of 63 samples were adult children of parents who had been diagnosed as having schizophrenia, mood disorder or organic mental disorder for more than 6 months, attending the psychiatric OPD and ward of Kasturba Hospital in Manipal. The findings of the study support that, there is no significant relationship between self esteem and perceived stigma among the adult children of mentally ill parents.

Case Study

Nursing Care in the Lance of Florence Nightingale

Zohra Asif Jetha*
*Student, Aga Khan University School of Nursing and Midwifery, Karachi, Pakistan.
Jetha, Z.A. (2015). Nursing Care in the Lance of Florence Nightingale. i-manager’s Journal on Nursing, 4(4), 32-36. https://doi.org/10.26634/jnur.4.4.3077

Abstract

The word ‘care’ is very much associated with nursing profession, because Nurses are not only responsible to facilitate in curative care. However, they are also responsible to provide holistic care and healthy environment to promote patient recovery. This paper is discussed in the light of Florence Nightingale's theory on environment in the relation of concepts in nursing practices. Her theory has more of a focus on health promotion than a curative focus. She has focused in her theory four main assumptions, for example, Nursing, Person, Health and environment and their association with each other. A small effort by a nurse can help to improve the patient's health and decrease the burden of disease.