The Key to Confidence is Simulation-Based Learning
Knowledge of Workplace Violence against Nurses in the Emergency Department of Public Sector Tertiary Care Hospitals in Peshawar, Pakistan
Initiation of Nursing Education Services (NES) at Khalifa Gul Nawaz Teaching Hospital MTI Bannu, Khyber Pakhtunkhwa
Unleashing the Power of Transformational Leadership: Revolutionizing the Nursing Profession in Pakistan
Addressing the Issue of Nurses Leaving Bedside Jobs with Reasons
Cognitive Stacking: A Concept Analysis
Nightingale’s Theory and its Application to Pediatric Nursing Care
Academic Strategies that Facilitate Learning in Millennial Nursing Students
Transformational Leadership: A Strategy towards Staff Motivation
Awareness of Good And Bad Touch Among Children
Suicide Among Youth: A Preventable Public Health Concern
The Impact of Culture on Faculty Retention in Nursing Education
Emotional Intelligence as a Predictor of Nursing Student Success
Psychological and Cognitive Determinants of the Health Literacy on Soon-To-Be-Aged and Older Adults: a Systematic Review
It Takes a Village to Assure Nurse Professionalism
Lessons Learned: Employing Focus Groups as a Research Methodology
Depression is a broad spectrum disorder, with multitude of concerns, varying from biological, psychological, social, and even from spiritual perspective. Depressive disorders create a disabling condition for an individual which negatively impacts the social, occupational, and interpersonal functioning. The compounding effects of numerous disabling factors reduce the quality of life of a depressive patient. Various measuring instruments have been identified for better understanding of the level of quality of life, and even ego resilience of a depressive patient. A person with higher levels of resilience will have lesser chances of suffering from depressive symptomatology. The complexity and diversity in understanding these both concepts has led to neglect and failure in appropriate interventions. Nurses have a major responsibility in assessment as well as recognition of such deficiencies in depressive clients, with a view to intervene efficiently. The article is attempting to organise the impact, existing measures, shortcomings, and strategies to overcome the shortcomings, with regard to resilience and quality of life among people with depression.
Pakistan is one of the two countries where polio is still endemic, other is Afghanistan. Several innovative and successful strategies have been applied in different countries around the world to eliminate polio recently. Several reports in the literature have highlighted possible barriers for eliminating polio from Pakistan. It has been identified that weak health system is one of the major challenges in Pakistan. Hence, this paper has highlighted gaps in the system and suggested strategies to eradicate polio from Pakistan. The major barriers are lack of political commitment and governance which can be overcome using a yellow card system and contracting out service delivery, which shows success in local settings and improvement in the primary health care system. Maintenance of cold chain issues could be managed through regular and effective monitoring of vaccine in the field. Safety and security as well as a delay in incentives are some of the barriers that can be overcome by providing the staff security and incentivized through pay for performance mechanism. Moreover, myths and misconceptions can be overcome with support from religious leaders and scholars. Investment in these strategies would reap benefits for Pakistan and global initiative for polio eradication.
Lot Quality Assurance Sampling (LQAS) is a special form of cross-sectional study which classifies exposure or outcome into binary categories such as adequate or inadequate. LQAS can be used at a local level with the modest amount of supervision to empower local supervisors and to identify successes and challenges in their supervision areas. Through LQAS, a small sample size of 35 subjects per supervision area will provide enough evidence for the local supervisors to ensure coverage and quality data. The study aims to assess the coverage of maternal and newborn health birth registry and data quality in Thatta district of Pakistan using LQAS methodology. The study will employ LQAS methodology which is a special form of cross-sectional study design. The study will be conducted in Thatta District of Karachi, Pakistan about a representative sample of married women of reproductive age (15-45 years) in order to evaluate data quality and coverage of maternal and newborn health birth registry, and to investigate reasons for non-coverage and poor data quality. The study will determine coverage and quality of maternal and newborn health birth registry in Thatta District of Karachi. The study will inform areas such as identification of supervision area with low coverage, find out the reason for low coverage and help worker to cover the area. For example, provide transport and training to ensure maximum coverage and data quality of MNH registry. The study will help to assess broad range of local health problems concerning MNH registry and will help to determine the performance of individual subunits in a given area to ensure quality management of health services.
Taking folic acid daily, before and during early pregnancy, has been proven to reduce risk of neural tube defect. The objective of the study is to assess the knowledge, awareness, and use of folic acid among pregnant females admitted in the gynecology ward. Awareness sessions were conducted for females admitted in the gynecology ward of Civil Hospital in Hyderabad. The data was collected using self-administered structured questionnaire. Questionnaire included inquiry on their demographic data, knowledge and use of folic acid, and knowledge about neural tube defect. A total of 100 pregnant females participated in the study. 100% females do not know about the neural tube defect deficiency of folic acid can cause neural tube defect. The data of the study showed that before providing awareness to the women regarding folic acid showed that 53% females did not know about folic acid whereas, this percentage decreases to 13%. 67% females did not know about the importance of folic acid before session. The awareness sessions increase the use and level of knowledge regarding folic acid among females of Hyderabad. The study concluded that awareness of Folic acid among pregnant women is very low in Hyderabad. The level of knowledge and use of folic acid could be increased through conducting awareness sessions. Public educational strategies about folic acid may improve its intake among women.
Breast engorgement is a physiological condition during the first two weeks of child birth in which there is lymphatic and vascular congestion and pressure of new milk. It is associated with hard, painful, throbbing, aching, and tender breasts, which may result in women needing analgesia, developing mastitis or temporarily or permanently stopping breastfeeding. The nurse should understand the effect of breast engorgement on the mother and recognize its influence on the baby. One group pre-test - post-test research design was adapted for the study. In view of the nature of the research problem and objectives, a structured questionnaire and structured teaching programme was developed in the initiation of breastfeeding within one hour of birth, composition of breast milk, advantages of breast feeding, techniques and problems of breast of breastfeeding and its management. Sixty primi postnatal mothers were selected by non-probability convenient sampling technique. Structured Knowledge questionnaire was used to collect needed data. After pre-test the structured teaching on prevention and management of breast engorgement was given for 45 minutes. Post-test was administered after five days. The data collected were tabulated and scrutinized by using descriptive and inferential statistics. Results show that 90% of the mothers had an overall inadequate knowledge, 10% of postnatal mothers had moderately adequate knowledge, and none of them had adequate knowledge in pre-test. In post-test 18% had moderately adequate knowledge and 82% of postnatal mothers had adequate knowledge and none of them had inadequate knowledge regarding prevention and management of breast engorgement. The study concludes that the planned teaching programme was effective in improving the knowledge of the postnatal mothers regarding prevention and management of breast engorgement.
The women of today face not only diseases of genetic origin, but more importantly, diseases that arise from the poor habits that society has developed. As former Prime Minister Jawaharlal Nehru said, “You can tell the condition of a nation by looking at the status of its women” (Chankapa et al., 2011). The study aimed to investigate knowledge and attitude about cervical cancer and HPV vaccines among the age group between 14 to 30 years in urban community of Maharashtra. The study adopted a quasi-experimental “one group” with 'pre-test' and 'post-test' approach with convenient sampling technique. A sample of 50 women of age group 14 to 30 years was selected. The effect of structured teaching programme consisting of cervical cancer and HPV vaccine are evaluated. Descriptive statistics used and pre-test, post-test analysis was done. Findings: The pre-test, post-test study revealed significant differences seen in knowledge and attitude between the pre-test and post-test. In the pre-test, 44% had good knowledge and 60% agreed in the attitude. Whereas post-test 62% had very good knowledge and strongly agreed in the attitude questions. The results show that there is a difference in knowledge and attitude by 18% and 2%, respectively, which also suggest that a structured teaching programme was effective. The study shows that pre-test scores were increased after giving structured health teaching regarding cervical cancer and HPV vaccine. This increase in post-test scores suggests that education may increase knowledge of cervical cancer and HPV vaccine.
An individual undergoes through various psychological changes during his life. These changes sometimes result in disparities hence, life loses its state of equilibrium. This gives rise to risk taking behaviors like suicide. The literature review has been conducted to identify and highlight the causes of suicide, and some strategies to reduce its rate in order to promote individuals' physical and mental health. Various databases and search engines, ranging from 1998 to 2013, have been used to conduct a detailed analysis of the problem. Epidemiological studies show that suicide has taken a heavy toll. In east, suicidal behaviors are misinterpreted as honorable martyrdoms (Vaknin, 2013). Moreover, teenage suicide is the third leading cause of death among adolescents (Shain, 2007). These findings suggest that an instant attention is required towards the issue. Various socioeconomic, psychiatric, and personality disorders and sometimes the mixture of these are responsible behind its existing trends. Therefore, the resolution of the problem requires a multidimensional approach. Suicide is considered as a failure of coping mechanism. Since, it negatively influences health, it becomes important to reduce its trends. A collaborative effort of health professionals, society, and governmental organizations is required to hamper its growth.
