i-manager's Journal on Nursing (JNUR)


Volume 6 Issue 3 August - October 2016

Article

“Let's Work: Involving Nursing Students in the Care of Elderly People at Nursing Home”

Mehtab Qutbuddin Jaffer* , Shanaz Cassum**
* Instructor, Aga Khan University School of Nursing and Midwifery.
** Assistant Professor, Aga Khan University School of Nursing and Midwifery.
Jaffer, M.Q., and Cassum, S. (2016). “Let's Work: Involving Nursing Students in the Care of Elderly People at Nursing Home”. i-manager’s Journal on Nursing, 6(3), 1-4. https://doi.org/10.26634/jnur.6.3.8256

Abstract

Working in nursing homes is the most challenging task for a nursing staff, but at the same time it can be a spirit jarring experience for young nursing students. From the perspective of nursing students, often students find it difficult to deal with elderly people living in the nursing home. They feel stressed, depressed, and insecure when asked to communicate with elderly people. At the Aga Khan University School of Nursing and Midwifery (AKU-SONAM), baccalaureate nursing students chose an elective course on care of elderly clients, where theory is offered in a blended form and clinical experience is provided by visiting senior old aged home. In this article, the students have two weeks to work with elderly clients, where they plan some interventions based on their assessment, to improve communication with the elderly, to increase their involvement and to advance their health behaviors.

Research Paper

Postpartum Depression (PPD) Among Working and NonworkingMothers/Women in Karachi, Pakistan

Rozina Ramji* , Muhammad Yahya Noori**, Asima Faisal***
* Manager, Quality and Patient Safety Department, Aga Khan University Hospital, Karachi, Pakistan.
** Assistant Professor, Department of Pathology, Dow International Medical College, Dow University of Health Sciences, Karachi.
*** Head of the Department, MBA Health and Hospital Management Program, Institute of Business Management, Karachi, Pakistan.
Ramji, R.S., Noori, M.Y., and Faisal, A. (2016). Postpartum Depression (PPD) Among Working and Nonworking Mothers/Women in Karachi, Pakistan. i-manager’s Journal on Nursing, 6(3), 5-16. https://doi.org/10.26634/jnur.6.3.8257

Abstract

Parenthood is a transition period, characterized by significant change in a new parent's life, which is called post-partum period. It's a time in which woman undergoes the transition of motherhood to parenthood. It is extremely important to manage the postpartum period very effective if not, then mother may go through postpartum depression stage. The Cross Sectional Study design was used to determine whether there is a difference in the rate of PPD between working and non-working mothers as well to determine whether there is a relationship of associated factors of postpartum depression among working and non-working women. The data were collected using the validated EPDS & PNRQ Tool and a General Questionnaire. A Chi square test was used to determine the difference in the rate of PPD between both working and non-working mothers during the postpartum phase. According to Edinburgh postnatal depression scale, no depression was found in 202 participants of non-working women (80.8%) whereas in working women only 89 participants reported no depression (35.6%) and this difference was found to be statistically significant at P<0.001. The study findings revealed that there is increase in postpartum depression in working mothers than non-working mothers; therefore, early intervention could be planned in the form of group teaching sessions which will help new mothers to develop a friendship network to support with the challenges of caring for her preterm infant.

Research Paper

Perceptions of Pharmacy Owners and Drug Inspectors about the Storage of Medicines on Required Temperature Inside the Pharmacy Outlets in Rural Areas of Sindh, Pakistan

Nadir Suhail* , Sumera Aziz Ali**, Savera Aziz Ali***, Saleem Iqbal****, Yousaf Memon*****, Mohammad Masood Kadir******
* Research Associate, Department of Pediatrics, Aga Khan University, Karachi, Pakistan.
**-***** Senior Instructor, Aga Khan University, Karachi, Pakistan.
*** Registered Nurse, Aga Khan University, Karachi, Pakistan.
**** Physician and Epidemiologist, Aga Khan University, Hospital, Karachi, Pakistan.
****** Professor and Public Health Specialist, Department of Community Health sciences, Aga Khan University, Karachi, Pakistan.
Suhali, N., Ali, S., Ali, S.A., Iqbal, S., Memon, Y., and Kadir, M.M. (2016). Perceptions of Pharmacy Owners and Drug Inspectors about the Storage of Medicines on Required Temperature Inside the Pharmacy Outlets in Rural Areas of Sindh, Pakistan. i-manager’s Journal on Nursing, 6(3), 17-26. https://doi.org/10.26634/jnur.6.3.8258

Abstract

Effectiveness of medicines can be ensured by appropriate storage and management at different places in the pharmacies or hospitals. Knowledge about proper storage of medicines at required temperature in community pharmacies is not enough, particularly of the stakeholders dealing with medicines. Thus, it is important to know the perceptions of the stakeholders dealing with medicines about the proper storage of medicines on the required temperature. This research gives an in-depth understanding of storage practices of community pharmacy owners from retailer perspective as well as from regulatory authority perspective. Thus the objective of this study was to explore perceptions of pharmacy owners and drug inspectors about the storage of medicines on required temperature (< 25 °C) inside the pharmacy outlets in rural areas of Sindh, Pakistan. Exploratory cross sectional study design was used to conduct this study from August 2013 to August 2014. The pharmacy owners of two talukas and drug inspectors of Sindh province were selected consecutively and by snowball technique respectively for in-depth interviews. We conducted 16 in-depth interviews with community pharmacy owners working in two talukas of district Thatta . We also conducted 7 indepth interviews with the drug inspectors working in Sindh Province. Analysis of qualitative data was done after reading the transcribed data several times. All the data was analyzed manually and using inductive approach; thematic analysis was done after summarizing data and coding for past five years or more. The average age of participants ranged from 35- 59 years. Four themes emerged out of the analysis of the qualitative study. These themes included the change of properties and state of medicine, modifications in the architecture of the buildings, defining the locations to construct the pharmacy buildings and barriers in improving the storage conditions. Furthermore, regulation of proper storage practice and importance of security was also narrated by the drug inspectors with more emphasis on budget re allocation to improve the storage practices of community pharmacies. We concluded that most of the stakeholders had knowledge about the storage practices and they were also aware of the barriers and problems faced at the community pharmacy level but unfortunately they were not empowered to do anything at their end. Multiple barriers including financial barriers, problems related to regulation and load shedding as narrated by stakeholders. Furthermore, stakeholders also suggested that there is a need to enforce existing legislation with ongoing training programs directed towards pharmacy owners and drug sellers.

Research Paper

Effectiveness of Self-Instructional Module (SIM) on Knowledge Regarding Emergency Drugs Among Health Workers in Selected PHC's of Udupi District

Janet D'souza* , Renilda D'souza**, Pinky D'silva***, Deepak Moily****, Anil Raj. A*****, Julie John******
*-**** PB, BSc Nursing Students, Manipal College of Nursing, Manipal.
***** Administrative Officer, ICMR-DHR Funded Geriatric Project, Manipal College of Nursing, Manipal.
****** Lecturer, Manipal College of Nursing, Manipal University, Manipal
D'souza, J., D'souza, R., D'silva, P., Moily, D., Raj, A.A., and John, J. (2016). Effectiveness of Self-Instructional Module (SIM) on Knowledge Regarding Emergency Drugs Among Health Workers in Selected PHC's of Udupi District. i-manager’s Journal on Nursing, 6(3), 27-31. https://doi.org/10.26634/jnur.6.3.8259

Abstract

Mistakes are an indispensable portion of human life. Implementation of medical orders is an imperative part of the the rapeutic process and patient care. It is also the key element of nursing act and has a significant role in patient wellbeing particularly in emergency situation. Errors while administering medications can considerably affect patient safety and treatment expenditures and result in threats for patients and their families. The objective of the study was to determine the effectiveness of Self-Instructional Module (SIM) on knowledge regarding emergency drugs among health workers in selected PHC's of Udupi district. A quantitative evaluation approach with a pre-experimental; one group pre-test – posttest design was used. Sixty subjects were drawn by using purposive sampling technique. Pre-test knowledge was checked by using a structured knowledge questionnaire on Emergency drugs. Post-test knowledge assessment was done ten days after the intervention. The mean pre-test knowledge score was 10.3 ±2.69 and the mean post- test knowledge score was 22.85 ±2.48. Paired t-test was done to find the effectiveness of Self-Instructional Module (SIM) on emergency drugs and it was found there was a significant enhancement of knowledge (t=19.74, P<0.05). The present study results showed that self-instructional module on emergency drugs was effective in terms of improving the knowledge among health workers of primary health centres. The present study also supports the necessity for additional pharmacology training for health workers in clinical settings, concentrating on common medications they commonly administer, about the indications, route of administration, side effects, etc.

Research Paper

Are you Prepared to Care your Loved Ones: A Cross Sectional Study to Assess the Level of Preparedness Among Caregivers of Chronically Ill Patients in a Tertiary Care Hospital, at Karachi, Pakistan

Shireen Arif *
*Senior Instructor, Ziauddin College of Nursing,
Arif, S. (2016). Are you Prepared to Care your Loved Ones: A Cross Sectional Study to Assess the Level of Preparedness Among Caregivers of Chronically Ill Patients in a Tertiary Care Hospital, at Karachi, Pakistan. i-manager’s Journal on Nursing, 6(3), 32-35. https://doi.org/10.26634/jnur.6.3.8260

Abstract

Caregivers are the members of the Patient's family that provide care to the patient. They are often known as informal caregivers. According to National alliance for care giving the informal caregivers are the one who has to respond the daily need of the patient at home. The care provided by them includes all levels of care voluntarily to their loved ones. There is a need to care these caregivers otherwise they could end up into adverse physical and psychological consequences of care giving. The aim of the study was to assess the level of preparedness of caregivers to provide their loved ones and to identify that who they perceived that will help them to increase their level of preparedness. The selfadministered instrument regarding the preparedness for care giving scale by Archbold, et al. (1990) has been utilized to collect data of the study. The data were collected from 50 caregivers after signing of consent forms, from which 23 were male and 22 were female. The result of the study reveals that 100% of the participants felt that they are not too prepared for providing care to their loved ones and they perceived that nurses are the ones who should provide them information to increase their level of preparedness.

Case Study

Physical and Psychosocial Well-Being of Preschoolers Suffering from Fatal Illnesses

Alizah Alaman* , Munira Minaz Ali**
*-** Nursing Interns, Aga Khan University Hospital, Karachi, Pakistan.
Alaman, A., and Ali, M.M. (2016). Physical and Psychosocial Well-Being of Preschoolers Suffering from Fatal Illnesses. i-manager’s Journal on Nursing, 6(3), 36-42. https://doi.org/10.26634/jnur.6.3.8261

Abstract

Every human is born to die, but some people are caught in the pain of severe life threatening illnesses that has no cure. In this regard, palliative care is the core component to pull them from intense distress. This care intends neither to hasten nor to prolong death, but ultimately focuses on improving the quality of life at the end stage. Dealing with pediatric clients in this regard becomes more challenging and exigent. The illness distorts their physical, psychological and social aspect very immensely, leaving huge distortions in their daily living along with increasing dependency on their caregiver. Palliative care on the other hand could help to alleviate the suffering of children as well as his family by reducing the painful symptoms. This paper intends to give a deep insight about the physical and psycho-social distortions experienced by a child with cancer. Moreover, it will aid novice nurses to implement interventions that aim to improve the quality of life of their clients by alleviating their suffering.