i-manager's Journal on Nursing (JNUR)


Volume 6 Issue 1 February - April 2016

Article

Comparison Between Two Nursing Theories: Rogers and Leddy

Layla Rahim*
*Nurse Manager, Department of Critical Care, Tabba Heart Institute, Karachi Pakistan
Rahim, L. (2016). Comparison Between Two Nursing Theories: Rogers and Leddy. i-manager’s Journal on Nursing, 6(1), 1-5. https://doi.org/10.26634/jnur.6.1.5914

Abstract

This article is focused on the major features of the Martha Rogers grand theory and Susan Leddy's Human Energy Model, a middle range theory. Roger's theory talks about Human being and the environment as energy fields, while Leddy's Human Energy Model explains the three aspects of universal essence: matter, information and energy. The article is based on a real case scenario. The aim of this paper is to compare the above mentioned theorists, impact on the outcomes and their relationship with the clinical scenario in their own approaches.

Research Paper

Correlational Study on Nurses' Performance in Secondary Private and GovernmentHospitals in Albay, Philippines

Joven T. Loyola*
*Assistant Science Junior Tutor, Oman Nursing Institute, Sultanate of Oman.
Loyola, J.T. (2016). Correlational Study on Nurses' Performance in Secondary Private and Government Hospitals in Albay, Philippines. i-manager’s Journal on Nursing, 6(1), 6-23. https://doi.org/10.26634/jnur.6.1.5915

Abstract

This study was conceptualized in order to determine the factors that affect the performance of nurses in secondary private hospitals in Albay, Philippines and to find out the level performance of nurses in the said hospitals as perceived by nurses and patients alike. It further made a comparison with the findings of a similar study made among government hospitals. Twenty-six nurses and 146 patients from seven secondary private and government hospitals served as respondents of this investigation. Specifically, it sought to present: 1) the demographic profile of the nurse-respondents in terms of (a) age, (b) sex, (c) religion, (d) civil status, (e) salary, and (f) the number of years in service; 2) the demographic profile of the patient-respondents in terms of (a) age, (b) sex, (c) civil status, (d) highest educational attainment, and (e) diagnosis; 3) the factors that affect the performance of nurses in terms of (a) nurse-related factors; (b) patient-related factors; and (c) environmental factors; 4) the level of performance of nurses in providing nursing care to patients as perceived by the respondents; 5) whether there is a significant difference between the level of performance of nurses in secondary private and government hospitals in Albay; and 6) the measures that may be proposed to enhance the performance of nurses in rendering quality nursing care to patients. According to the results of the T-test used to correlate data from the current study and data from Veloso's study, there is a significant difference between the level of performance of nurses in private secondary hospitals and that of nurses in government secondary hospitals.

Research Paper

Effect of Low Fowler's Position on Back Pain and Vascular Complicationsfollowing Trans-Femoral Cardiac Catheterization: A Randomized Controlled Trial

Jogindra Vati* , Tintu K. Mathew**, Yash Paul Sharma***
* Professor and Principal, SGHSCON, Mohali, Punjab, India.
** Clinical Nurse, AIIMS Hospital, New Delhi, India.
*** Head & Department of Cardiology, PGIMER, Chandigarh, India.
Vati, J., Mathew, T.K., and Sharma, Y.P. (2016). Effect of Low Fowler's Position on Back Pain and Vascular Complications following Trans-Femoral Cardiac Catheterization: A Randomized Controlled Trial. i-manager’s Journal on Nursing, 6(1), 24-31. https://doi.org/10.26634/jnur.6.1.5916

Abstract

Cardiac catheterization remains the gold standard diagnostic test and evaluation for coronary heart diseases. The aim ° of this study was to investigate the effect of low fowler's position (30 ) on the severity of back pain and local vascular complications following transfemoral cardiac catheterization. A Randomized Controlled Trial (RCT) is the design principle used here. The study was conducted in the Advanced Cardiac Centre of Post Graduate Institute of Medical Education and Research, Chandigarh, India. A total 60 patients scheduled for elective transfemoral diagnostic cardiac catheterization were included in the study. Patients were randomly assigned to the control group (n=30) and the experimental group (n=30). Data were collected through the self developed 'Interview schedule, 'Numerical pain intensity scale', and 'Vascular complications assessment' tools after checking its validity and reliability. Low fowler's position protocol and the protocol for assessing vascular complications were also developed. Both groups were restricted to bed rest for first 2 hours following the procedure in supine position with the affected leg straight and immobilized. After 2 hours, patients in the control group (n=30) were receiving conventional care in supine position and patients of the experimental group (n=30) were restricted to bed rest in low fowler's position with the head of the bed elevated to 30 degree. Severity of back pain was assessed at regular time intervals of 2, 4, 6 hours of post cardiac catheterization. Local vascular complications (hematoma, ecchymosis, and bleeding) were assessed at the time of removal of dressing at 12 hours after catheterization. The experimental group patients significantly had less back pain than the control group (p<0.01) at 4 hours and 6 hours after cardiac catheterization. The control group patients (on supine position) significantly developed ecchymosis as compared to the experimental group (on low fowler position) (p<0.02) at the time of removal of dressing from the puncture site. None of the patient developed hematoma in both groups. There was no major bleeding in any of the groups. Nursing patients in low fowler's position at 30 degree during the early hours after cardiac catheterization can minimize the severity of back pain and ecchymosis.

Research Paper

Randomized Controlled Intervention for Reduction of Tobacco Use Among Security Guards

Pinki Das* , Jayakrishna**
* Lecturer, Tripura Nursing Council, Agartala, Tripura, India.
** Lecturer, SUM Nursing College, Siksha ‘O’ Anusandhan University, Ghatikia, Bhubaneswar, Odisha, India.
Das, P., and Jayakrishnan, K. (2016). Randomized Controlled Intervention for Reduction of Tobacco Use Among Security Guards. i-manager’s Journal on Nursing, 6(1), 32-37. https://doi.org/10.26634/jnur.6.1.5917

Abstract

Tobacco addiction is a global epidemic that is increasingly ravaging countries and regions that can least afford its toll of disability, disease, lost productivity and death. The present study was conducted i) to assess the level of tobacco use among the security staffs ii) to check the effectiveness of brief intervention module in the reduction of tobacco use among security staffs in the experimental group. The present study was a true experimental study and the Randomized Control Trial pre-test post-test only design was used in the 60 samples at IMS & SUM Hospital among two different groups i.e. the experimental group and the control group. WHO ASSIST V3.0 questionnaire was used for data collection along with 1 month follow-up. A module was prepared on 5A's strategy of brief intervention by using the principles of Motivational Enhancement Therapy (MET) and Relapse Prevention Therapy (RPT) to reduce the tobacco use. Finally, the result concluded the paired 't' test between the pre-test and post-test experimental group regarding the level of tobacco use, which shows significant difference at p<0.05 indicates the level of tobacco use among the security staffs was significantly reduced after giving a brief intervention. The application of brief intervention module shows a significant difference in the level of tobacco use in the experimental group.

Research Paper

Faulty Eating Pattern Among Adolescents of Junior College, S'o'a University

Sailabala Mohanty* , Epsita Biswal**
* Assistant Professor, SUM Nursing College, SOA University, Bhubaneswar, Odisha, India.
** PG Scholar, SUM Nursing College, SOA University, Bhubaneswar, Odisha, India.
Mohanty, S., and Biswal, E. (2016). Faulty Eating Pattern Among Adolescents of Junior College, S'o'a University. i-manager’s Journal on Nursing, 6(1), 38-41. https://doi.org/10.26634/jnur.6.1.5918

Abstract

Today adolescent and youth account to 1.8 billion of the total world’s population and the future economic development of the country rests on future adults who are healthy enough. Nutritious food is required to maintain an optimum health during the adolescence. But peer pressure is very high during this period. They need to be in step with the trends but they belong to the peer group taking in non-nutritious foods like pizzas, burgers, coffees, aerated drinks, chocolates and also other roadside junk foods. They may also start skipping meals or possibly under-eat or over-eat developing poor eating habits. A descriptive approach was undertaken in this study. 100 samples are selected using a non-probability convenient sampling technique. Data were collected through questionnaires and rating scales. Data were analysed by descriptive and inferential statistics. The study reveals that, 23% samples have poor eating habits, 74% have fair, and only 3% belong to the excellent eating habits group. The study also find out that, there is a negative co-relation between the eating habits and the eating disorders as the r value is (-0.061) and also a highly significant difference was found between the eating habits with age, sex and Body Mass Index (p<0.05).

Review Paper

Cardiac Arrest: A Need to Understand the Determinants of Basic Life Support- A Nursing Perspective

Hina Nizar Karim*
*Senior Clinical Nurse Instructor, Tabba Heart Institute, Karachi, Pakistan.
Karim, H.N. (2016). Cardiac Arrest: A Need to Understand the Determinants of Basic Life Support- A Nursing Perspective. i-manager’s Journal on Nursing, 6(1), 42-47. https://doi.org/10.26634/jnur.6.1.5919

Abstract

Cardiac arrest is the most serious scenario, both in-hospital and out of hospital. Studies have shown that arrest victim requires an immediate cardiopulmonary resuscitation (CPR) for better health outcome. Since in-hospital nurses are the front line staff who first witness the cardiac arrest patient, it is very important for nurses to perform effective and immediate CPR. Literature has reported that nurses and medical staff possess poor retention of BLS skills and theory after a few months of training sessions. Since BLS is mandatory for nursing staff as they witness the arrest first; different teaching methods should be adopted for better retention. However, it's been found that, content and training of BLS lack standardization among different organizations.