i-manager's Journal on Nursing (JNUR)


Volume 8 Issue 1 February - April 2018

Article

Academic Strategies that Facilitate Learning in Millennial Nursing Students

Leslee H. Battle* , Teresa Tyson**
* Assistant Dean for Curriculum and Instruction, Division of Nursing, Winston Salem State University, North Carolina, United States.
** Program Chair, Undergraduate Division of Nursing, Winston-Salem State University, North Carolina, United States.
Battle, L.H., and Tyson, T. (2018). Academic Strategies That Facilitate Learning in Millennial Nursing Students. i-manager’s Journal on Nursing, 8(1), 1-10. https://doi.org/10.26634/JNUR.8.1.14234

Abstract

Higher education is in the midst of a paradigm shift. No longer is teacher-centered instruction an effective educational strategy. The best practices for education in the 21st century has shifted to student-centered instruction and learning. This student-centered shift is even more prevalent with the emergence of the millennial-aged students' move into higher education. The millennials, also known as generation ‘Y’ers, were born into a world of advanced technology that has resulted in shortened attention span and the desire for instant gratification. Consequently, nurse educators have to rethink best educational practices that will meet the needs of all learners with a particular focus on the millennial student. This paper will discuss motivators for learning, generational differences, successful teaching and learning strategies, and propose best practices that promote success for the millennial learner.

Research Paper

Overcoming a Barrier to Rural Nursing Education through Simulation

Mary E. Radford*
Department Chair and Associate Professor, The University of Tennessee, Martin, USA.
Radford, M.E. (2018). Overcoming a Barrier To Rural Nursing Education Through Simulation. i-manager’s Journal on Nursing, 8(1), 11-14. https://doi.org/10.26634/JNUR.8.1.14235

Abstract

The shortage of clinical sites can be a particular problem for rural nursing programs. One remedy to the shortage of clinical sites is to incorporate simulation into nursing curricula. The purpose of this study was to offer high-fidelity simulation opportunities to students in a rural baccalaureate nursing education program. Students' satisfaction with the simulation experiences and self-confidence levels were measured using the Student Satisfaction and Self-Confidence in Learning tool (NLN, 2018). Scores indicated a high level of satisfaction with the simulations and a high level of self confidence post-simulation. The outcomes support the formal integration of a simulation program into the curriculum of the rural nursing program. Simulation can help overcome barriers to clinical access found in rural nursing programs.

Research Paper

The Effect of Skin-to-Skin Contact of Mother and Neonate Immediately after Caesarean on Newborn Behavioral State

Batool Pouraboli* , Masoud Rayyani**, Mahdieh Estabraghi***, Younes Jahani****
* Assistant Professor, Department of Pediatric and Neonatal Nursing, Tehran University of Medical Sciences, Tehran, Iran.
** Assistant Professor, Department of Community Health, Kerman University of Medical Sciences, Kerman, Iran.
*** MSC in NICU, Nursing and Midwifery, University of Medical Sciences, Kerman, Iran.
**** Assistant Professor, Research Center for Social Determinant of Health, University of Medical Sciences, Kerman, Iran.
Pouraboli, B., Rayyani, M., Estabraghi, M., and Jahani, Y.T. (2018). The Effect of Skin-To-Skin Contact of Mother and Neonate Immediately After Caesarean on Newborn Behavioral State. i-manager’s Journal on Nursing, 8(1), 15-21. https://doi.org/10.26634/JNUR.8.1.14238

Abstract

The transition from intrauterine life to the real-world life is one of the most dynamic and most dangerous stages of human life. Separating the baby from the mother after birth, even in the short time can lead to adverse physical and psychological effects on the baby. The aim of this study was to determine the effect of skin-to-skin contact of mother and neonate immediately after cesarean section on neonatal behavioral state. This is a randomized controlled interventional study conducted on 80 pairs of mothers and newborns after cesarean in intervention and control groups. Neonatal behavioral state was recorded before and after skin contact using Anderson Behavioral State Scoring (ABSS) checklist and analyzed using SPSS version 22 and ANCOVA, Chi square, and Fisher tests. The results showed that there is a significant difference between the behavioral state scores of neonates after the intervention between the two groups (P = 0.001). The demographic variables of the newborn also had no significant effect on the behavioral state score (p value >0.05). Improving the behavioral state of the infant, which leads to reducing the anxiety of the baby, making better communication between the baby and the parents, and providing proper opportunities for nursing processes is one of the valuable and effective results of skin-to-skin contact of mother and child. Therefore, it is suggested that this contact be made for all babies as soon as possible after birth.

Research Paper

A Pre-experimental study to evaluate the effectiveness of guidelines on care of client on ventilator among the staff nurses of selected hospital, Amritsar

Ravi Kulal* , Rashmi Negi**, Shweta Handa***
* Associate Professor, Maharaja Agrasen College of Nursing, Haryana, India.
**-*** Assistant Professor, Shree Guru Gobind Singh Tricentenary University, Haryana, India.
Kulal, R., Negi, R., and Handa, S. (2018). A Pre-Experimental Study to Evaluate the Effectiveness of Guidelines on Care of Client on Ventilator Among the Staff Nurses of Selected Hospitals in Amritsar. i-manager’s Journal on Nursing, 8(1), 22-30. https://doi.org/10.26634/JNUR.8.1.14239

Abstract

Mechanical ventilation is required when the spontaneous ventilation of a patient is inadequate to maintain and sustain signs of life. It can be used on a short term measure during a surgical operation or critical illness. It may also be used in home care settings or in a nursing or rehabilitation institution if patients have chronic illnesses that require long-term ventilator assistance. As mechanical ventilation is now a standard intervention for respiratory failure in intensive care units and a very less studies have been done regarding the various aspects of care of patients receiving mechanical ventilation. This study is planned to develop specific guidelines, after the identification of learning need areas of the staff nurses working in intensive care units as well as emergency regarding nursing care of clients on a ventilator. Well structured, validated guidelines regarding the nursing care of the client on a ventilator will act as a guide for staff nurses to meet the optimum health care needs of the clients on a ventilator. A descriptive survey with Pre experimental “one group of pretest and post-test design” was used for the study. The study sample comprises of 50 staff nurses working in ICU/ Emergency selected by non-probability purposive sampling technique. The Structured interview schedule was used to collect needed data. Result shows that majority of subjects 44 (88%) was in the age group 21-30 years. All subjects 50 (100%) were female. As regards their education, majority 44 (88%) were GNM. Data regarding total experience shows that more than half, ie, 38 (76%) were having 1-5 years of clinical experience and majority 32 (64%) were having 1-2 years total clinical experience in ICU/ Emergency. A total of 39 (78 %) were unmarried and remaining 11 (22%) were married. Most of subjects 38 (64%) had not undergone in-service training regarding nursing care of patients on a ventilator. Majority of subjects, 37 (74%) were having moderate learning needs, whereas only 13 (25%) were having higher learning needs regarding nursing care of the client on a ventilator.

Research Paper

Effectiveness of Back Strengthening Exercises Among School Teachers With Low Back Pain

Rajitha S. R.* , Santhi Appavu**
* Ph.D Scholar, Christian College of Nursing, Neyyoor, Tamil Nadu, India.
** Principal, Christian College of Nursing, Neyyoor, Tamil Nadu, India.
Rajitha, S.R., and Appavu,S.(2018). Effectiveness of Back Strengthening Exercises Among School Teachers With Low Back Pain. i-manager’s Journal on Nursing, 8(1), 31-35. https://doi.org/10.26634/JNUR.8.1.14241

Abstract

Back pain is common, with about nine out of ten adults experiencing it at some point in their life, and five out of ten working adults having it every year. The occurrence of low back pain in India is also alarming with nearly 60% of the people in India have suffered from low back pain at some point of time during their lifespan. It is the most common cause of chronic pain, and is a major contributor of missed work and disability. Low back pain can interfere with daily activities, but Back Strengthening Exercises may reduce low back pain and increase in physical activities. The objective of this study was to determine the effectiveness of back strengthening exercises on low back pain among school teachers in Kanyakumari District, Tamil Nadu. A quantitative approach with quasi experimental; one group of pretestposttest design was used. Thirty school teachers were selected by using purposive sampling technique. Pre-test was conducted and then taught about Back Strengthening Exercises with the help of pamphlet. Post-test assessment was done in one month after intervention. The findings showed that the pre-test mean pain score of Back Strengthening Exercises was 3±0.8 and after post-test was 1.4±0.5. The mean reduction of pain was 1.6±0.8. It was statistically highly significant at P<0.001 level. The present study also supports the necessity for doing exercises regularly that helps to reduce low back pain among school teachers.

Research Paper

Effectiveness of Information Booklet on Knowledge of ANM Students Regarding Management of Selected Obstetric Emergencies In Selected ANMTC, Berhampur, Ganjam, Odisha

Lopamudra Rout*
Tutor, School of Nursing, S.C.B. Medical College Hospital, Cuttack, Odisha, India.
Rout,L. (2018). Effectiveness of Information Booklet on Knowledge of ANM Students Regarding Management of Selected Obstetric Emergencies in Selected ANMTC, Berhampur, Ganjam, Odisha. i-manager’s Journal on Nursing, 8(1), 36-41. https://doi.org/10.26634/JNUR.8.1.14240

Abstract

Obstetric emergencies are the leading causes of maternal mortality worldwide and particularly in developing countries. The Auxiliary Nurse Midwife (ANM) is the key field level functionary who interacts directly with the community and has a great role in assessing and preventing obstetric emergencies. Keeping in view, a pre-experimental research study was carried out in Auxiliary Nurse Midwife Training Centre (ANMTC), Berhampur, Ganjam, Odisha with the objectives to assess the effectiveness of an information booklet regarding selected obstetric emergencies and their management among ANM students and to find out the association between pre-test knowledge score of ANM students with their selected demographic variables. Data were collected from 60 ANM students by simple random sampling technique using a structured questionnaire. The overall mean knowledge score in the pre-test was (13.83 ± 2.24), which is 34.57% revealing poor knowledge, whereas in the post-test it was (30.08 ± 3.95), which is 75.2%, revealing good knowledge and effectiveness was 40.63%. Highly significant (P < 0.01) difference was found between pre and post-tests knowledge scores and no significant association was found between post-test Knowledge scores with all their selected demographic variables.

Case Study

A Reason To Kill: Case Study On Mariticide

Mary Grace C. Lacanaria* , Juan Jose T. David**
* Dean, College of Nursing, Saint Louis University, Baguio City, Philippines.
** Nurse Instructor, Delmark Global Academy, School of Practical Nursing, Baguio City, Philippines.
Lacanaria, M,G,C., and David, J.J.T. (2018). A Reason to Kill: Case Study on Mariticide. i-manager’s Journal on Nursing, 8(1), 42-56. https://doi.org/10.26634/JNUR.8.1.14236

Abstract

The paucity of research concerning mariticide creates a gap in the knowledge of homicide. In this light, the study primarily aimed to understand the experiences of the wife before, during and after mariticide. The woman in this study described in detail not only the day she prevented herself from getting killed, but also the series of events that occurred before and the aftermath that resulted from committing mariticide. The entire experience of mariticide entails a multifactorial ground. The case of Jenny depicted that her husband being an alcoholic is the main reason why she suffered battery. In addition, poverty was also imminent as Jenny was the only one who worked to provide the needs of their children when her husband suddenly stopped working and spent most of his time getting drunk. The involvement of their children in the experience of abuse prompted Jenny to report her husband to the proper authority. Her husband kept coming back to her life and as a result, she easily forgives hoping that a change would come. On the other hand, Jenny was not aware that there are certain agencies that she can visit to ask for help. As a result, she went into drinking to suppress the effects of abuse. In this exploration, Jenny's children were the major driving force behind the choice to remain in the abusive relationship. Jenny did not deny that violence exists, rationalized abuse as a result of husband's drunkenness and jealousy and did hope that her husband will change so that abuse will stop on its own. Furthermore, Jenny also accepted the outcomes of what she did as shown by her willingness to start a new life, acknowledgement of the losses and hardships life brings and dedication on work to be able to provide the needs of her family.

Case Study

A Concept Analysis on Masculinity in Nursing

Juan Jose T. David*
Nurse Instructor, Delmark Global Academy, School of Practical Nursing, Baguio City, Philippines.
David, J.J.T. (2018). A Concept Analysis on Masculinity In Nursing. i-manager’s Journal on Nursing, 8(1), 57-61. https://doi.org/10.26634/JNUR.8.1.14237

Abstract

This paper critically probes the notion that only female nurses have the capability to render motherly care to patients in the clinical setting. Nursing is largely an invisible profession because of the stereotypical view that nursing is feminine. Despite research works to yield desired outcomes in the clinical setting, there are still few studies exploring male nurses' capability of rendering the same nursing care as compared to female nurses. This is what makes masculinity in nursing a crucial site for exploration. In light of this, a concept analysis clarifies the defining attributes, antecedents, and consequences of the concept. Additionally, a concept analysis will contribute to the delineation of masculinity in terms of its contemporary conceptualizations. The concept analysis employed the model of Walker and Avant to explore the attributes or characteristics of the concept. The concept of masculinity in nursing as presented in this paper is related to presence of masculinity traits of male nurses. Moreover, it is reflected in the concept analysis that the possession of masculinity traits does not hinder the delivery of nursing care to patients. In addition, what is unique in the model case is that the traits are expressed in situations, involving different ways in providing nursing care without preservation. Given the societal view of nursing as “women's work” because of its association with caring and empathic tasks, we should treat these attributes as human attributes rather than as stereotypically feminine. In another facet, we can as well state that there is no such thing as sex stereotyping in nursing because the profession entails both sexes.