i-manager's Journal on Nursing (JNUR)


Volume 9 Issue 4 November - January 2020

Research Paper

Evaluation of an Online Course on E-Health in Developing Countries: A Mixed-Methods Study

Afroz Sajwani* , Sehrish Sajjad**, Anam Feroz***, Adeel Khoja****, Naureen Akber *****, Saleem Sayani******
* Department of Public Health, City of Toronto, Canada.
**,***** Department of School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.
***,****** Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan.
**** Department of Medicine, Aga Khan University, Karachi, Pakistan.
Sajwani, A., Sajjad, S., Feroz, A., Khoja, A., Akber, N., and Sayani, S. (2020). Evaluation of an Online Course on E-Health in Developing Countries: A Mixed-Methods Study. i-manager's Journal on Nursing, 9(4), 1-11. https://doi.org/10.26634/jnur.9.4.16617

Abstract

The Aga Khan Development Network Digital Health Resource Center has designed a year-long online course on e-Health, which aims to provide basic understanding of e-Health and its implementation in developing countries. The study aimed to (a) determine change in level of knowledge from pre-to-post-test in all modules of the course, (b) determine students' satisfaction level with the course, and (c) explore experiences of students and facilitators regarding the course. A mixed methods design was used. Two-tailed paired student's t-tests was applied to compare knowledge scores in the pre-and-post-test for each module. Proportions were presented for categorical variables. Thematic analysis of qualitative data was done using steps defined by Cresswell. Out of the 11 modules, eight modules showed significant difference; one module showed marginal difference and two modules showed insignificant differences in the mean knowledge scores. Overall, 42% of the respondents agreed and 58% of the respondents strongly agreed that the course was satisfactory with respect to facilitation, administration, content, methodologies, and technology. Following seven major themes emerged from the study: appropriate course layout and design, effective teaching learning strategies and assessments, interaction and engagement, effective course implementation, effectiveness of the content, e-Learning as a modality, and use of technology. The study showed significant change in the level of participants' knowledge and revealed an overall positive evaluation by the participants. Participants expressed that the course provided an excellent opportunity to gain better understanding about e-Health applications, its management, and implementation.

Research Paper

Association of the Factors with Job Satisfaction of Nurse Educators in Pakistan: An Analytical, Cross-Sectional Study

Shahla Pardhan* , Sadaf Nooruddin Zindani**, Tazeen Saeed Ali***
*,** Aga Khan University, Karachi, Pakistan.
*** Department of School of Nursing and Midwifery, Aga Khan University, Karachi, Pakistan.
Pardhan, S., Zindani, S. N., and Ali, T. S. (2020). Association of the Factors with Job Satisfaction of Nurse Educators in Pakistan: An Analytical, Cross-Sectional Study. i-manager's Journal on Nursing, 9(4), 12-23. https://doi.org/10.26634/jnur.9.4.16703

Abstract

The purpose of this study is to assess the factors associated with the job satisfaction of nurse educators in Pakistan. For this purpose, an analytical, cross-sectional study design was used to conduct this study. Six private and six public nursing schools in Karachi, Pakistan were randomly selected to conduct this study. A total of 225 nursing educators were recruited in the study. Job satisfaction of the study participants were assessed by the 'Job Satisfaction Scale'. The data was analyzed by using descriptive and inferential statistics in statistical software SPSS version-21. The Logistic Regression statistical test was run for establishing the association between dependent and independent variables. P-value of < 0.05 was considered as 'significant'. The results revealed that the factors having strong association to the job satisfaction of nurse educators were; feeling competent in student's counseling, nature of supervision, teaching methods, authority, satisfaction with current posting, satisfaction as a teacher, physical environment, salary package, and organizational structure. However, other factors that have little or no association to the job satisfaction level of the nurse educators are in reality have confirmed cultural, societal, and psychological association with the job satisfaction level of the employees. Therefore, it is recommended that the study should be replicated by satisfying all assumptions of the Logistic Regression statistical test method.

Research Paper

Assessment of the Knowledge and Practice on Menstrual Hygiene among Adolescent Girls in Selected High School at Sadaipali, Balangir

Ipsita Sahu*
Department of Nursing, Siksha 'O' Anusandhan (Deemed to be) University, Bhubaneswar, Odisha.
Sahu, I. (2020). Assessment of the Knowledge and Practice on Menstrual Hygiene among Adolescent Girls in Selected High School at Sadaipali, Balangir. i-manager's Journal on Nursing, 9(4), 24-33. https://doi.org/10.26634/jnur.9.4.16646

Abstract

Adolescence is an important stage of life when a child matures into an adult. The onset of menstruation is one of the major physiological changes that occur in this stage during the adolescence of life. So, good menstrual hygiene is important for the better health and dignity of the adolescent girls. The study was conducted in Balangir, Odisha to assess the knowledge and practice of menstrual hygiene among adolescent girls. The quantitative research approach with descriptive (non experimental) research design was adopted with a sample size of 40 adolescent girls aged 13- 15 years th th th studying in 8th , 9th and 10th standards, who were purposively selected. The data was collected by using a self-structured knowledge and practice questionnaire on menstrual hygiene. Findings revealed that mean knowledge score of adolescent girls on menstrual hygiene was 10.32±1.66. According to knowledge and practice, 32(80%) were fair and 8(20%) had good knowledge whereas, 60% were satisfactory and 40% had unsatisfactory level of practice regarding menstrual hygiene. The study concludes that there is a need to increase knowledge on menstrual hygiene and also aware them about the good practice menstrual hygiene to ensure a better reproductive life.

 

Review Paper

Meaning and Use of the Transitions Concept in Healthcare

Nancy Capponi*
Tanner Health System School of Nursing, University of West Georgia, Carrollton, Georgia.
Capponi, N. (2020). Meaning and Use of the Transitions Concept in Healthcare. i-manager's Journal on Nursing, 9(4), 34-44. https://doi.org/10.26634/jnur.9.4.16682

Abstract

This analysis paper explores the meaning of the concept of transition, focusing on the variety of meanings and uses in healthcare. There are numerous similarities in meaning applied to this concept in healthcare, education, and the sciences. The concept of transition has emerged in healthcare as an approach to the understanding of change and development throughout life processes, particularly regarding an individual’s status within the health illness continuum. The transition theory is based upon nurse-patient interactions that occur during a transition caused by a life change. The use of the transition concept has been used in many nursing practice settings, across cultures, and throughout the human life span. The concept of transition is examined based on the method developed in 2005 by Walker and Avant that identifies antecedents and consequences of transitions established by literature review findings. Exemplars of the concept are presented in model, contrary, related, and borderline cases.

Review Paper

Nursing Theories: Foundation of Nursing Profession

Shireen Arif * , Asma Ali **, Noureen Hussain ***
*-*** Al-Tibri College of Nursing, Isra University, Karachi Campus, Pakistan.
Arif, S., Ali, A., and Hussain, N. (2020). Nursing Theories: Foundation of Nursing Profession. i-manager's Journal on Nursing, 9(4), 45-50. https://doi.org/10.26634/jnur.9.4.16643

Abstract

Theories are the foundation for all professions. It provides set of concepts that make basic knowledge of the specific discipline. Similarly nursing theories are the set of concepts and principles that define the scientific basis of nursing profession. These theories help to differentiate between nursing practice and medical practice. Nursing theories provide a medium to rationalize the care provided by nurses. Moreover, it provides an identity to nurses that differentiate nursing practice from the medical practice. Nursing theories are considered as indicators of evidence- based nursing practices; however, researchers claim that their application is missing from the practice area. Nurses are on the verge of implementing nursing theories. They are facing many challenges and barriers in terms of understanding concepts, clarification of defined concepts for the implication, and also from the research point of view. Current literature is limited in terms of highlighting issues a nurse faces while implementing at the clinical area. More research is required to identify the challenges and barriers especially in the Pakistani context.

Review Paper

A Platform for Change: Knowledge, Attitudes, and Practices among Healthcare Personnel Releated to Safe Abortion

Armish Hussain* , Kausar Karim **
* Cardiology Department, North West Clinic, United Arab Emirates.
** Aga Khan University Hospital, Karachi, Pakistan.
Hussain, A., and Karim, K. (2020). A Platform for Change: Knowledge, Attitudes, and Practices among Healthcare Personnel Releated to Safe Abortion. i-manager's Journal on Nursing, 9(4), 51-56. https://doi.org/10.26634/jnur.9.4.16687

Abstract

Despite advances in healthcare, there are 22 million unsafe abortions reported each year across the globe. With the changing and expanding healthcare systems, health professionals are considered as an integral part of enhancing patient's well-being. Healthcare providers with sound theoretical and clinical based knowledge, positive attitudes, and safe practices regarding abortion can provide evidence based expert care. This results in an overall impact on patients' healthcare and decreases the global burden of unsafe abortions and related mortality. In this paper, various studies have shown the positive and negative impacts of knowledge providers and attitudes on women seeking abortion services world wide. Such researches can be done to explore attitudes and provide a base and opportunity for professionals to update their existing knowledge, skills and practices. It could be helpful to design appropriate interventions to improve maternal and child health in the country.