The Key to Confidence is Simulation-Based Learning
Knowledge of Workplace Violence against Nurses in the Emergency Department of Public Sector Tertiary Care Hospitals in Peshawar, Pakistan
Initiation of Nursing Education Services (NES) at Khalifa Gul Nawaz Teaching Hospital MTI Bannu, Khyber Pakhtunkhwa
Unleashing the Power of Transformational Leadership: Revolutionizing the Nursing Profession in Pakistan
Addressing the Issue of Nurses Leaving Bedside Jobs with Reasons
Cognitive Stacking: A Concept Analysis
Nightingale’s Theory and its Application to Pediatric Nursing Care
Academic Strategies that Facilitate Learning in Millennial Nursing Students
Transformational Leadership: A Strategy towards Staff Motivation
Awareness of Good And Bad Touch Among Children
Suicide Among Youth: A Preventable Public Health Concern
The Impact of Culture on Faculty Retention in Nursing Education
Emotional Intelligence as a Predictor of Nursing Student Success
Psychological and Cognitive Determinants of the Health Literacy on Soon-To-Be-Aged and Older Adults: a Systematic Review
It Takes a Village to Assure Nurse Professionalism
Lessons Learned: Employing Focus Groups as a Research Methodology
Liver transplantation is a very sophisticated and complex surgery requiring both human expertise as well as material resources. The burden of chronic liver diseases (CLD) is increasing due to poor compliance to preventive measures. The only options for patients with CLD are liver transplant, which is expensive and unavailable in public sector hospitals. Each and every medical procedure should follow the ethical principles to maximize its beneficence. In this paper, the author has discussed the violation of ethical principles of 'non-maleficence' in conducting liver transplant with limited resources in public sector hospitals. Author has analyzed the issue of liver transplant with limited resources from the perspectives of administration and the patient. Finally this article has concluded that initiation of such complex procedure with limited resources is against the principle of beneficence and is a violation of deontology theory.
Telehealth is used widely in both developed and developing countries addressing the barriers of poor access to health and quality of care. However, use of technology in extreme weather conditions and geographical terrains, and in resource-constrained settings still remains a challenge. This paper describes successful implementation of Telehealth initiative in Gilgit-Baltistan, located in the heart of Karakorum and Himalayan ranges in Northern Pakistan. Main objective of the project was to support healthcare providers in remote areas through online patient consultations and capacity building. Four primary care centres (staffed by lady health visitors and nurses, but no doctors) were connected with three secondary care centers (having a family physician) using mobile connectivity (GPRS and EDGE),while secondary care facilities were connected to a specialized medical care facility via DSL connection. Computers, cameras, and diagnostic equipment were provided to all centres. Health facilities used an open source, store-and-forward program called 'iPath' to send cases to next level facility for diagnosis and treatment. In the first eight months of its operation, over 300 cases were diagnosed and treated using eHealth. Capacity building programs for health providers were also initiated utilizing e Learning solutions, such as Moodle and Elluminate Live. The current project has shown evidence of success and aimed to be scaled up to other health facilities in Northern Pakistan.
Nurses face numerous challenges in providing pediatric EOL care. Their perceptions of existing barriers which are affected by their personal and professional experiences related to death and dying influence quality of care for children. The purpose of this paper is to assess the relationship between nursing staffs' demographic characteristics and their perception of barriers magnitude. Using a translated modified version of (NSCCNR-EOL) questionnaire, the relationship between 151 nurses' perception of barriers magnitude and their demographic characteristics was assessed. The item “families not accepting poor child prognosis” belonging to patient-family related category achieved the highest PBM score (5.04). The item “continuing to provide advanced treatments to dying children because of financial benefits to hospital” belonging to the organizational related category achieved the lowest PBM score (2.19) Participants' family and close friends' death experience positively correlated with perceived organization-related barriers magnitude. Also participants' nursing experience positively correlated with perceived health-care professional related barriers magnitude. This study provides nurses with some valuable insights about effect of nurses' experiences on their perceptions of EOL care barriers. Raising nurses' self-awareness of their perception, accompanied by interventions is required in providing educational programs. This may raise nurses' awareness of the barriers and learn how to manage them.
Occupational diseases arise out of, or in the course of employment. Beedi rolling is the major occupation of the women residing in the villages throughout the country. Beedi industry is one of the country's oldest industries and employs over 6.4 million workers in India. The objective of the study is to identify the occupational health problems among beedi workers. A descriptive study was conducted among 200 samples of those who had rolling beedi as an occupation, between the age group of 20 to 70 years and those who had more than one year of experience, in the villages of Udupi District. The study subjects were interviewed to collect the details with a clinical proforma. A total of 200 beedi workers were selected by non-probability convenient sampling technique. Data were entered in SPSS 16 version and analysed by using descriptive analysis. Out of 200 beedi workers, majority of the samples had back pain (90%), shoulder pain (62.5%), knee joint pain (52%), sneezing during beedi rolling (67.5%), early morning cough (24.5%), 26.0% of the workers had sinusitis, pain in the fingers (20.5%), nail discoloration(21.5%), vision problems (59.5%), and watering of the eyes (63.5%). Majority of the beedi workers had one or more health problems like musculoskeletal, respiratory, eye and skin problems. Finally this study concluded that beedi workers need to be educated regarding early identification of the health problems and prevention.
Poliomyelitis is a highly contagious and incurable disease, which mainly affects children under five years of age leading to irreversible paralysis and possibly death. For decades, both private and government organizations have been putting efforts through their partnership to eradicate polio completely from the different parts of the globe and as a result of those efforts there are left only three countries which are currently polio endemic. Since Pakistan is one of those three countries which still remain polio endemic along with Afghanistan and Nigeria, it is significant to address this issue and work on the preventive measures to control the incidence of such a lethal disease. In Pakistan, a program was introduced on immunization in 1978, known as Expanded Program on Immunization (EPI). The main purpose of EPI was to reduce the burden of diseases like polio and tetanus. Although the number of polio cases has fallen due to the classic efforts of government and other NGOs, polio is not eradicated from Pakistan. This situation is thought provoking. Even after the great global efforts; polio is not eradicated from Pakistan. Multiple factors might have prevented the eradication of this deadly disease from our society.
Disclosing truth to the patients is one of the most challenging ethical dilemmas faced by health care professionals around the globe. In many situations the truth can only be disclosed in brutal manner and ultimately it can have a negative impact on the patients' health. The aim of this paper is to discuss the application of four principles proposed by Beauchamp and Childress (2001); autonomy, maleficence, non-maleficence and justice to find a solution for health care professional especially for nurses to answer the patients questions. This case study is presented to compare and contrast the four principles of ethics which is pertaining to healthcare professional dilemmas.
