i-manager's Journal on Nursing (JNUR)


Volume 8 Issue 4 November - January 2019

Research Paper

Assessing the Implementation of Discharge Planning on Mothers’ Hope and Satisfaction of Preterm Newborns in NICU

Sakineh Sabzevari* , Batool Pouraboli **, Zahra Akhond Zade***, Monireh Nematollahi ****, Tania Dehesh*****
* Associate Professor, Department of Medical Surgical Nursing, Nursing and Midwifery School of Razi, Kerman University of Medical Sciences, Kerman, Iran.
** Assistant Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
*** MSc Student, Nursing and Midwifery Kerman School of Razi, University of Medical Sciences, Kerman, Iran.
**** Assistant Professor, Department of Medical Surgical in Nursing and Midwifery School of Razi, Kerman University of Medical Sciences, Kerman, Iran.
***** Assistant Professor, Department of Epidemiology and Biostatistics in School of Public Health, Kerman University of Medical Sciences, Kerman, Iran.
Sabzevari, S., Pouraboli, B., Zade, Z. A., Nematollahi, M., and Dehesh, T. (2019). Assessing the Implementation of Discharge Planning on Mothers' Hope and Satisfaction of Preterm Newborns in NICU. i-manager's Journal on Nursing, 8(4), 1-9. https://doi.org/10.26634/jnur.8.4.15671

Abstract

Preterm birth is considered as a stressful situation for parents. A training program for the preparation of the mothers is essential at the time of discharge due to more vulnerability of these infants compared to term infants. Mothers of these children are worried about caring for their child after discharge. In Iran, there is no follow-up regarding the status of preterm infants after discharge. This study aimed to assess the effect of implementation of discharge planning on hope and satisfaction of mothers with preterm newborns in Afzalipour Hospital in Kerman. In this clinical trial study, the population included 100 mothers of preterm newborns hospitalized in NICU in Afzalipour Hospital of Kerman in 2016. The mothers were randomly assigned to the control and intervention groups. Discharge planning was implemented for mothers that consisted of training programs about caring at home in the intervention group while the control group received routine training that consisted of receiving the booklet. Both groups completed hope and satisfaction questionnaires before and after the intervention. The questionnaire consisted of three parts: Demographic information, parental satisfaction, and Miller hope scale. The data were analyzed by Man Whitney U and Wilcoxon as well as SPSS 19. The results of this study showed that there was a significant difference in the mean scores of satisfaction between intervention (209±8.3) and the control (181.82±21.97) groups after the implementation of discharge planning (P<0.001). Also, according to Mann Whitney U test statistically, there was a significant difference in the mean scores of hope between intervention (277/02±10.28) and control groups (217.6±28.39) after the implementation of discharge planning (P<0.001). There was no statistically significant relationship among satisfaction, hope, and any demographic variables according to Spearman test (p>0.05).

Research Paper

The Effect of Early Skin to Skin Contact on Maternal Attachment Behaviors in Neonates After Cesarean Section

Batool Pouraboli* , Mahdieh Estabraghi **, Younes Jahani***
* Assistant Professor, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
** Msc in NICU, Nursing and Midwifery, Kerman University of Medical Sciences, Kerman, Iran.
*** Associate Professor, Biostatistics, Modeling in Health Research Center, Institute for Futures Studies in Health Kerman University of Medical Sciences, Kerman, Iran.
Pouraboli, B., Estabraghi, M., and Jahani, Y. (2019). The Effect of Early Skin to Skin Contact on Maternal Attachment Behaviors in Neonates After Cesarean Section. i-manager's Journal on Nursing, 8(4),10-18. https://doi.org/10.26634/jnur.8.4.15511

Abstract

The first hours after birth are a critical period to develop the mother-newborn attachment and to reduce the anxiety related to the baby. Cesarean section and subsequent separation of mother and baby can increase the disorders resulted from this separation. Thus, the present study aimed to investigate the effect of early skin to skin contact on maternal attachment behaviors in neonates after cesarean section in a hospital in South East of Iran. This is a randomized controlled trial study, which was done on 80 mothers and newborns after cesarean section with spinal anesthesia in a hospital in South East of Iran operating room. The research samples were assigned into two groups including; skin to skin contact group and the routine care group. In the intervention group immediately after the birth, the baby was placed in prone position on the mother's chest, and in the routine care group, the baby was placed under radiant warmer just immediately after the birth. Afterward, the data were gathered by using checklists of Avant mother attachment behaviors. Data analysis was done by SPSS version 22. The results showed that there is no difference between both groups in the demographic variables. A significant difference was found between both groups in the mean scores of emotional behaviors (p<0/0001) and caretaking behaviors (p<0/0001). However, no significant difference was found between the two groups in the close contact behaviors (p=0.22). According to the results of this study, mothers who had skin-to-skin contact with their baby showed more emotional and caring behaviors. Therefore, in cesarean sections, due to the problems with starting breastfeeding as well as long separation between mother and baby after surgery, skin-to-skin contact is recommended after birth as an inexpensive and easy method.

Research Paper

Effectiveness of Planned Teaching Program on Antenatal Exercises Among Antenatal Mothers

Rajitha S. R.* , Santhi Appavu**
* Assistant Professor, Department of Obstetrics ang Gynecology, Christian College of Nursing, Neyyoor, Tamilnadu, India.
** Principal, Christian College of Nursing, Neyyoor, Tamilnadu, India.
Rajitha, S. R. and Appavu, S. (2019). Effectiveness of Planned Teaching Program on Antenatal Exercises Among Antenatal Mothers, i-manager's Journal on Nursing, 8(4), 19-25. https://doi.org/10.26634/jnur.8.4.14912

Abstract

Regular exercises and relaxation are essential for feeling healthy in mind and body at any time. A gentle exercise helps to improve circulation as the amount of body fluid increases during pregnancy. The aims of antenatal exercises are prevention of low back pain and enhancement of physical and psychological preparation for delivery by stretching and strengthening of joints and muscles. The objectives of this study were to assess the knowledge level among antenatal mothers before and after planned teaching program on antenatal exercises, to determine the effectiveness of planned teaching program and to find out the association between knowledge level on antenatal exercises and selected demographic variables. This study was adopted with a quantitative research approach with pre-experimental; one group pretest-posttest design. The sample consisted of 60 mothers in selected CSI Medical Mission Hospitals at Kanyakumari District, which was selected by purposive sampling. The result reveals that the pre-test mean score of knowledge was 34.93±17.34 and post-test was 80.1±5.614. The mean difference was 45.17 and the 't' value was 19.197. Thus, it was statistically highly significant at P<0.0001 level. This study supports the necessity of education for antenatal mothers in improving their knowledge towards antenatal exercises and its benefits.

Research Paper

A Study to Assess the Relationship Between Precepting Behaviors of Senior Nurses and the Performance of Novice Nurses

Premalatha Jayachandra*
* Nursing Clinical Instructor, Nursing Internship Program, Department of Nursing Education, King Fahd Medical City, Riyadh, Saudi Arabia.
Jayachandra, P.,(2019). A Study to Assess the Relationship Between Precepting Behaviors of Senior Nurses and the Performance of Novice Nurses, i-manager's Journal on Nursing 8(4),26-32. https://doi.org/10.26634/jnur.8.4.15114

Abstract

Unpreparedness of novice nurses during the process of transition to their professional role has broad consequences for the nurse and health care system and leads to reduction of the quality of patient care. It is common for new nurses to feel insecure and unsure about their ability to be a registered nurse, and there is multitude of issues that may arise, which only serve to add these feelings of insecurity. Studies have not clearly specified the means through which such support could be most effectively provided; therefore, the present study was conducted to assess the "Relationship between Precepting behaviors of senior Nurses and the performance of Novice Nurses". This study utilized descriptive and correlational research design. Novice nurse claimed that if they were trained well their performance is better, they said that if their preceptors are visible and show willingness to teach and guide them, they are comfortable doing their tasks and eager to perform their responsibilities with better results. Based on the findings of the study, the Precepting behaviors of senior nurse's skills and experience within the nursing field were highly exhibited including those that reflect their roles as idea bouncer, model, challenger and feedback giver.

Research Paper

A Study to Assess the Effectiveness of Strelinikova Breathing Exercise on Reduction of Respiratory Signs Among Preschoolers with Lower Respiratory Tract Infection in Selected Hospital at Kanyakumari District

J. Pearlin* , F. Malchijah Ramesh**
* MSc (N), Department of Child Health Nursing, Christian College of Nursing, Neyyoor, Kanyakumari District, Tamil Nadu, India.
** Programme Head, Department of Child HealthNursing, Christian College of Nursing, Neyyoor, Kanyakumari District, Tamil Nadu, India.
Pearlin, J. and Malchijah, F. R. (2019). A Study to Assess the Effectiveness of Strelinikova Breathing Exercise on Reduction of Respiratory Signs Among Preschoolers with Lower Respiratory Tract Infection in Selected Hospital at Kanyakumari District. i-manager's Journal on Nursing, 8(4), 33-45. https://doi.org/10.26634/jnur.8.4.15364

Abstract

Lower respiratory tract infection is common among children. This will interrupt the children breathing pattern and cause breathing difficulty. This study was carried out to assess the effectiveness of Strelinikova breathing exercise on reduction of respiratory signs among preschooler with Lower respiratory tract infection. The study was based on Callista Roy's adaptation model of nursing theory. Quasi experimental pretest and posttest control group design has been adopted. The study was conducted in Agasthiya Muni Child Care Centre, Vellamadam. Purposive sampling technique was adopted. A sample of 30 was selected on the basis of inclusion criteria, from 15 experimental group, 15 control group preschooler with lower respiratory tract infection. The data collection tool included demographic variables and Modified severity of exacerbation grade scale and oxygen saturation. Strelinikova breathing exercise was demonstrated by investigator to the experimental group for 10 - 15 minutes. This was followed for five days and was given thrice a day. Posttest was conducted on 5th day in both experimental and control group. In part I in the experimental group the pretest mean respiratory sign score was 6.06 with SD 1.66 and in the control group, the mean score was 5.86 with SD 1.60. The mean difference was low and statistically not significant. That is both groups are equal in the pretest level of respiratory signs. In the experimental group, posttest means respiratory signs score was 3.66 with SD 0.72 and in the control group was 4.93 with SD 1.27. The mean difference was high and statistically significant. That is the Strelinikova breathing exercise was effective in part I respiratory signs. In part II in the experimental group, the pretest mean respiratory sign score was 2.60 with SD 0.51 and in the control group, the mean score was 2.46 with SD 0.52. The mean difference was low and statistically not significant. That is both groups are equal in the pretest level of respiratory signs. In the experimental group, posttest means respiratory signs score was 1.33 with SD 0.52 and in the control group was 1.83 with SD 0.45. The mean difference was high and statistically significant. That is the Strelinikova breathing exercise was effective in part II respiratory signs. The findings revealed that the administration of Strelinikova breathing exercise has a better effect in reducing lower respiratory tract infection.

Review Paper

Preterm Labor Management: A Narrative Review

Madhusmita Nayak*
* Assistant Professor, SUM Nursing College, Siksha 'O' Anusandhan University, Bhubaneshwar, Orissa, India.
Nayak, M. (2019). Preterm Labor Management: A Narrative Review. i-manager's Journal on Nursing, 8(4), 46-52. https://doi.org/10.26634/jnur.8.4.14910

Abstract

Giving birth is a beautiful experience and greatest achievement for a woman. And also everything is needed to be accomplished in appropriate time to avoid consequences. As like in preterm labor, where the labor occurs before the 37th completed weeks is associated with various maternal and neonatal complications. As per statistics, about 28% of the neonatal death occurs due to preterm birth and the prevalence of preterm labor worldwide is around 11.5%. There are a lot many causes to it including preterm rupture of membranes (30%), urinary tract infections during pregnancy (35.8%), history of abortion (19.9%), and unplanned pregnancy (18.1%). But fortunately there are preventive measures like daily uterine activity monitoring, adequate bed rest and hydration, use of polar bear position, and vitamin C supplementation. If those fails, pharmacological treatment measures (tocolytics, Prostaglandin Inhibitors and Calcium Channel Blockers, Antibiotic therapy) can be used. However, the treatment and preventive measures is still a topic of debate. Also, nurses has a pivotal role in handling mothers with consequences.