i-manager's Journal on Nursing (JNUR)


Volume 6 Issue 2 May - July 2016

Article

Depression Among Afghan Women: A Public Health Concern

Wais Mohammad Qarani*
*Assistant Manager, Surgical Care Co-ordinator, French Medical Institute for Children (FMIC), Kabul, Afghanistan
Qarani, W.M. (2016). Depression Among Afghan Women: A Public Health Concern. i-manager’s Journal on Nursing, 6(2), 1-6. https://doi.org/10.26634/jnur.6.2.6040

Abstract

Depression is one of the main public health concerns, globally which affects both men and women. However, it is found higher in women as compared to men, particularly in countries such as Afghanistan, where cultural and traditional practices, poverty, conflicts, social inequality, and quality of life are the main concerns and contributing factors towards depression. In the Afghan context, women are the front line victims suffering from depression; and it is reported to be almost twice prevalent in Afghan women as compared to the women of its neighbored countries. Depressive disorders have a negative impact on an individual and may lead to functional impairment and contribute towards discrimination and stigma within the community. Therefore, stakeholders have the responsibility to design strategies to address the physical and psychological aspects concerning the wellbeing of the Afghan women.

Article

Brain Drain of Nurses from Pakistan

Shahida Abbasi* , Muhammad Younas**
* Nursing Instructor, Post Graduate College of Nursing Peshawar, Khyber Pakhtunkhwa, Pakistan.
** Principal, Royal College of Nursing Swat, Khyber Pakhtunkhwa, Pakistan.
Abbasi, S., and Younas, M. (2016). Brain Drain of Nurses from Pakistan. i-manager’s Journal on Nursing, 6(2), 7-11 https://doi.org/10.26634/jnur.6.2.6041

Abstract

The term “brain drain” has captured the attention of many economists and political scientists since the 1960s. The flow of nurses, as a result of active recruitment by developed countries, is a red signal for their country (Pakistan). The policy makers in the country should take initiatives in identifying and addressing the factors contributing to brain drain of nurses. To resolve the underlying problem, efforts should be made to uplift the status of nurses through modification service structure, health services planning which would result in better management of the nursing workforce.

Article

Handling Challenging Emotions in Nursing Care

Komal Jiwani*
*Registered Nurse, Coronary Care Unit, Aga Khan University Hospital, Karachi, Pakistan.
Jiwani, K. (2016). Handling Challenging Emotions in Nursing Care. i-manager’s Journal on Nursing, 6(2), 12-16. https://doi.org/10.26634/jnur.6.2.6042

Abstract

The aim of this study is to highlight the importance of emotions with respect to the patient's condition, circumstances during which patients exhibit these emotions and the strategies to provide holistic good quality nursing care accordingly. To analyze the issue, comprehensive literature review was carried. Research articles were reviewed from 2007 to 2015 and data was extracted from Science Direct, SAGE, and Google scholar search engine. Literature review showed that most patients fear diseases and their outcomes. Therefore, they exhibit negative emotions (anxiety, anger and depression). Patients undergoing invasive procedures exhibit more anxiety than patient with chronic diseases who experience depression. While perceived inadequate care due to staff shortage, late diagnosis, long waiting in an emergency, uncontrolled pain and terminal illness evoke anger in patients. Anger, anxiety and depression are interlinked with each other and can also be observed in one situation. If anger is not directly expressed by a patient, it turns back into self and leads to depression. If anxiety is ignored, it can also lead to depression. To deal with patients' anxiety, health education, informed consent, proper orientation of hospital, proper communication and music or relaxation therapy are found significant. Counseling and teaching of coping strategies for patients are core to alleviate or reduce depressive feelings of patients; while patients' anger can be dealt through maintaining patience, calm attitude and empathetic communication of nurses. Emotions are normal and natural part of our daily life. Increase in the emotion beyond their usefulness or control is harmful for health. Anger, anxiety and depression are generally observed emotions in hospital settings. This requires proper treatment modality and nursing intervention to convert them into healthy emotion. Maladaptive practices for emotion regulation can further deteriorate emotional, psychological, and health aspect. Therefore, to function better in life, one needs to understand their reactions.

Research Paper

Development of a Tool to Measure Clinical Performance of Nursing Students

Maxie Martis*
*Associate Professor, St. Ignatius Institute of Health Sciences, Honnavar, Karnataka, India.
Martis, M. (2016). Development of a Tool to Measure Clinical Performance of Nursing Students. i-manager’s Journal on Nursing, 6(2), 17-23. https://doi.org/10.26634/jnur.6.2.6043

Abstract

Excellence in clinical performance is the hallmark of good healthcare and reflects aptitude, cognition, affect and skills. Over the years, attempts have been made to measure clinical performance of nursing staff and students in the patient care units. The preliminary tools developed for such purpose measured traits and tools developed after 1962, measured knowledge base, the amount of guidance required, time spent in teaching, dexterity and coordination. However, recent tools rate performance against patient care behaviors. Development of a valid tool to measure the clinical performance of nursing student in subsequent years of study in a graduate nursing programme had been the interest of the researcher. It was observed that though the curriculum was uniform throughout India, the assessment pattern varied between universities and institutions. This paper highlights the process as well as the challenges encountered in the process of development of the tool. These challenges might seem as opportunities for policy makers to reform the system of nursing education in India.

Research Paper

Global Health Competencies of Nurse Students in Philippines

Hamzeh Y. Abunab* , Wireen Leila T. Dator**, Jose Reinhard C. Laoingco***
* Research Scholar, School of Nursing, Saint Louis University, Baguio City, Philippines.
** Assistant Professor and Director, Scientific Research Unit, College of Nursing, Princess Nourah Bint Abdulrahman University, Riyadh City, KSA.
*** Associate Dean, School of Nursing, Saint Louis University, Baguio City, Philippines.
Abunab, H.Y., Dator, W.L.T., and Laoingco, J.R.C. (2016). Global Health Competencies of Nurse Students in Philippines. i-manager’s Journal on Nursing, 6(2), 24-31. https://doi.org/10.26634/jnur.6.2.6044

Abstract

This study sought to assess the Global Health Competencies (GHC) of the fourth year nursing students in a selected School of Nursing (SON) and to determine integration of the GHC in the BSN curriculum. Descriptive cross-sectional design was followed in this study using self-rated assessment tool. GHC of students and integration of GHC in the BSN curriculum were assessed. Results revealed that (1) the students are moderately competent in the global burden of disease category with Weighted Mean Score (WMS) of 2.6; (2) competent in four categories of GHCs specifically, health implications of travel and displacements, globalization of health and healthcare; healthcare in low resource and healthcare as human right and development resource with WMSs of 2.88, 2.85, 3.04 and 3.28 respectively; (3) highly competent in social and environmental determinants of health with WMS of 3.46; the overall result implies that the student are competent in general with WMS of 3.02. Majority of the students claimed the GHCs are integrated into their BSN curriculum. Findings revealed that the SON is responsive to the students' training to develop competencies in meeting the challenges of global health.

Review Paper

Importance of Storing Medicines on Required Temperature in Pharmacies and Role of Community Pharmacies in Rural Areas: Literature Review

Sumera Aziz Ali* , Savera Aziz Ali**, Nadir Suhail***
* Senior Instructor, Department of Community Health Sciences, Aga Khan University of Medical Sciences, Karachi, Pakistan.
** Intern Nurse, School of Nursing and Midwifery, Aga Khan University Hospital, Karachi, Pakistan.
*** Research Associate, Department of Paediatrics and Child Health, Aga Khan University Hospital, Karachi, Pakistan.
Ali, S.A., Ali, S.A., and Suhail, N. (2016). Importance of Storing Medicines on Required Temperature in Pharmacies and Role of Community Pharmacies in Rural Areas: Literature Review. i-manager’s Journal on Nursing, 6(2), 32-42. https://doi.org/10.26634/jnur.6.2.6045

Abstract

Medicines are the crucial tools to control and prevent various diseases. Ineffective medicines can cause wastage of resources. The efficacy of medicines gets affected due to improper storage conditions particularly the improper temperature. The objective of this review was to synthesize the findings regarding the storage of medicines on required temperature in Pharmacies and the role of community pharmacies, particularly in rural areas. An extensive literature review was carried by retrieving articles from various databases like Pub med, Google scholar and Science Direct and by using terms like 'temperature', 'pharmacy ', 'medicines' and 'storage'. Types of studies were descriptive studies, systematic reviews, and various WHO reports. Normal storage conditions mean storage in dry, well-ventilated place at temperatures of 15–25 °C or, depending on climatic conditions and properties of the drug; it might go up to 30oC. Furthermore, uninterrupted cold chain maintenance is required from the manufacturer till the dispensing of the medicines. Temperature monitoring devices must be used, in order to ensure the appropriate temperature of the medicines during transportation from one to another place. Medicinal products require appropriate storage conditions in order to ensure the quality and efficacy of medicines. Improper storage can increase the unnecessary burden on the economy of general population due to their poor efficacy. Strong monitoring of storage conditions is required to ensure storage practices in community pharmacies. Furthermore, ongoing training should be arranged for pharmacy owners to teach them about standard storage practices, particularly in rural areas.