i-manager's Journal on Nursing (JNUR)


Volume 7 Issue 3 August - October 2017

Article

Positive Aging, Work Retirement, and End of Life: Role of Gerotranscendence Theory and Nursing Implications

Nasreen Lalani*
Faculty of Nursing, University of Alberta, Edmonton, Canada.
Lalani ,N (2017). Positive Aging, Work Retirement, and End of Life: Role of Gerotranscendence Theory and Nursing Implications. i-manager’s Journal on Nursing, 7(3), 1-7. https://doi.org/10.26634/jnur.7.3.13779

Abstract

Nurses working in the geriatric setting must be aware of the aging theories and its implications in the nursing practice. This paper provides a critical review of the gerotranscendence theory, its significance, and relevance towards positive aging, work, retirement and volunteerism, and end of life among older adults in the light of current literature evidences. Gerotranscendence theory embraces the psychological, spiritual, and philosophical dimensions of aging and has been successfully used both in western and eastern contexts. The paper also provides the implications of gerotranscendence theory to help nurses formulate effective interventions for providing quality care to the older adults in geriatric settings.

Research Paper

Exploring Wellness and Quality of Life Among the Elderly as Basis for a Nursing Care Plan and Psychosocial Intervention

Sonia Janice Pilao* , Angelina Villanueva**, Gemma Rose Gornez***, Jean Marie Villanueva****, 0*****
* Assistant Professor, Department of Psychology, Centro Escolar University, Manila Campus, Philippines.
** Programme Head, Department of Psychology, Centro Escolar University, Makati, Philippines.
*** Community Outreach Head, Centro Escolar University, Makati, Philippines.
**** Assistant Professor, Department of Psychology, Centro Escolar University, Makati Campus, Philippines.
***** Founder, Psychreg, London, United Kingdom.
Pilao,S.J., Villanueva,A., Gornez,G.R., Villanueva,J.M., Relojo,D. (2017). Exploring Wellness and Quality of Life among the Elderly as Basis for a Nursing Care Plan and Psychosocial Intervention. i-manager’s Journal on Nursing, 7(3), 8-15. https://doi.org/10.26634/jnur.7.3.13787

Abstract

By identifying the levels of agony of 35 elderly people in a local community, the present study unpacked a range of physical, emotional, and cognitive experience of the elderly. Findings demonstrated how health deterioration, isolation, and mental agony are intimately intertwined with the ageing process. Social isolation, specifically the feeling of being alone needs to be addressed since it is linked with all other emotional agony, such as irritation, feeling of unworthiness, and being unhappy. Moreover, frequent worrying and overthinking can contribute to the elderly being unhappy. Almost all of the respondents were at an early stage of solitary life due to death of their partners. Some elderly were separated from their immediate family and are unemployed. Findings from this study is beneficial for social workers, policymakers and involved personnel and agencies in elderly care for it provides a better understanding about the elderly, their family structure, relationships, problem-solving approaches and acceptance to changes and adjustment. The present work aims to develop a guide for potential nursing intervention for the elderly.

Research Paper

Anxiety and its Relationship with Maternal - Fetal Attachment in Pregnant Womenin Southeast of Iran

Farokh Abazari* , Batool Pouraboli**, Pooneh Tavakoli***, Mohammadreza Aflatoonian****, Mehri Kohan*****
* Assistant Professor, Department of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
** Assistant Professor, Department of Pediatric and Neonatal, Tehran University of Medical Sciences, Iran.
*** MSC in NICU Nursing, Nursing and Midwifery,Kerman, Iran.
**** Assistant Professor, Research Center for Tropical and Infectious Disease, Kerman, Iran.
***** Lecturer, Department of Nursing and Midwifery, Kerman, Iran.
Abazari,F., Pouraboli, B., Tavakoli,P., Aflatoonian ,M., Kohan,M. (2017). Anxiety and its Relationship with Maternal-Fetal Attachment in Pregnant Women in Southeast of Iran. i-manager’s Journal on Nursing, 7(3), 16-27. https://doi.org/10.26634/jnur.7.3.13788

Abstract

Pregnancy is an important spiritual experience that causes many psychological changes in pregnant women. Attachment is a stable emotional relationship between the mother and her fetus. In other words, anxious disorders are common in pregnancy and they may lead to side effects on mother and the fetus. The present research aims to study the relationship between anxiety and maternal-fetal attachment. This descriptive- analytic study was conducted in Kerman in 2014. The subjects were 360 pregnant women and they were chosen by simple sampling. Data has been analyzed using anxiety questionnaire of Spielberger, Cranley's maternal-fetal attachment questionnaire and SPSS version 20 (SPSS-Statistical Package for Social Science). The mean score of overt and covert anxiety in pregnant women was average and the mean score of attachment was high. There was a direct and significant relationship between maternal-fetal attachment and anxiety (p < 0.05, r= 0.283). Results showed that there is a direct relationship between anxiety and maternal-fetal attachment such that concern of fetal abnormality and abortion is followed by increase of attachment in addition to increasing amount of anxiety. It seems that psychological advices are required to keep the balance between anxiety and attachment particularly in pregnancy.

Research Paper

Factors Contributing to Medication Errors in a Tertiary Care Private Hospital, Karachi

Sehrish Sajjad* , Ambreen Gowani**, Anyla Kazmi***, Shireen Mansoor****
* Instructor, Aga Khan University School of Nursing and Midwifery, Pakistan.
** Senior Instructor, Aga Khan University School of Nursing and Midwifery, Pakistan.
*** Manager, Quality Assurance, Dr. Ziauddin University Hospital, Pakistan.
**** Medical Superintendent, Dr. Ziauddin University Hospital, Pakistan.
Sajjad,S., Gowani,A., Kazmi,A., and Mansoor,S. (2017). Factors Contributing to Medication Errors in a Tertiary Care Private Hospital, Karachi. i-manager’s Journal on Nursing, 7(3), 28-35. https://doi.org/10.26634/jnur.7.3.13789

Abstract

Medication management requires multidisciplinary collaboration among nurses, physicians, pharmacists, and others. Nurses play an important role in the final step of the process and can elicit a critical role in its prevention. In an effort to prevent medication errors committed by nurses at a hospital, the authors conducted a study to identify frequency, types, and perceived factors of medication errors. A descriptive cross-sectional study design was employed in a private tertiary care hospital in Karachi, Pakistan. A sample of 119 nurses were recruited from different units of the hospital. Perceived facilitating factors for medication safety and contributing factors for medication errors were identified using researcherdeveloped self-reported questionnaire. The prevalence of medication errors was found to be 21%. More than half of the reported errors by nurses (52%) occurred within six months of their clinical practice and during their night shifts (56%). The most prevalent type of error was administering wrong dose to a patient (48%). Factors that were perceived to contribute to medication errors were: documentation by nurses prior to medication administration (54.6%), shortage of nursing staff (32.8%), and environmental interruptions during medication preparation (26.3%). Factors which were perceived to enhance medication safety included: appropriately labeled medications by pharmacists (55.5%), delivery of precalculated doses from pharmacy (63.9%), and preparation of medications solely by the assigned nurse (51.3%) Providing electronic medication administration system is a key in limiting and preventing medication errors committed at any phase of the medication management process.

Research Paper

Determination of Leadership Practices of Nursing Managers from Perspectives of Nurses and Physicians in Southeast of Iran

Batool Pouraboli* , Farokh Abazari**, Ali Johari***, Mansour Arab****, Aliakbar Haghdoust*****
* Assistant Professor, Department of Pediatric and Neonatal, Tehran University of Medical Sciences, Tehran, Iran.
** Assistant Professor, Department of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
*** MSc Student, Nursing and Midwifery School, Kerman University of Medical Sciences, Kerman, Iran.
**** Lecturer, Department of Intensive Care Nursing, Kerman University of Medical Sciences, Kerman, Iran.
***** Professor, Research Center for Modeling in Health, Kerman University of Medical Sciences, Kerman, Iran.
Pouraboli,B., Abazari,F., Arab,M., Haghdoust,A., and Johari,A. (2017). Determination of Leadership Practices of Nursing Managers From Perspectives of Nurses and Physicians in Southeast of Iran. i-manager’s Journal on Nursing, 7(3), 36-43. https://doi.org/10.26634/jnur.7.3.13790

Abstract

Nowadays, the importance and role of managers as the designers and directors of the organizations is obvious. Nurse Managers also can use leadership skills for improving clinical competence to enhance the quality of care and produce positive outcomes for the organization. By identification the employee's perspective of appropriate management practices can reinforce these behaviors. However, the aim of this study was Determination of leadership practices of Kerman University of Medical sciences nursing managers from perspectives of nurses and physicians.This was a descriptive cross sectional study that carried out in 2012 in Kerman University of Medical Sciences. The study population consisted of doctors and nurses. Quota sampling was conducted and 315 questionnaires were completed. The research tool was consisted of two parts, they are Demographic data and Leadership Practice Inventory. The data was analyzed by SPSS 22 (SPSS-Statistical Package for Social Science) and ANOVA (ANOVA-Analysis of Variance) and Kruskal-Wallis test. Results showed Encouraging the heart domain received the most score. After that enabling to act, Modeling the way, inspiring a shared view and challenging the process gain the most scores. Among leadership practices “Treats other with dignity and respect”, “Praises people for a job well done” and “Actively listen to diverse points of view” gained the highest scores. In conclusion there were a consensus between nurses, managers, and physicians about leadership practices.