i-manager's Journal on Nursing (JNUR)


Volume 10 Issue 1 February - April 2020

Article

Elements of Teaching and Learning

Anna Rana*
Aga Khan School of Nursing and Midwifery Karachi, Pakistan.
Rana, A. (2020). Elements of Teaching and Learning. i-manager's Journal on Nursing, 10(1), 1-4. https://doi.org/10.26634/jnur.10.1.17015

Abstract

Teaching and learning is a continuous and lifelong process. It is not confined to the classroom, but it is beyond that level. The author believes, nurturing and caring is the essence and heart of teaching and learning. If the heart fails to perform his function then survival is impossible. Teachers should care and nurture their students in a way that promotes the urge to become an enthusiastic and lifelong learner. Teaching stimulates students thinking and learning, which brings a change in an individual that is lifelong and can be implemented in practice. Moreover, a positive and conducive learning environment gives an impetus toward learning. In this paper, the author has described the teaching-learning philosophy from a multidimensional perspective under the dimension of student, teacher, teaching process, and learning environment.

Research Paper

Factors Responsible for Delay in Transport to Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Karachi, Pakistan

Saleema Khowaja* , Sajid Ali**, Sarmad Muhammad Soomar***
*-*** Aga Khan University Hospital, Karachi, Pakistan.
Khowaja, S., Ali, S., and Soomar, S. M. (2020). Factors Responsible for Delay in Transport to Neonatal Intensive Care Unit (NICU) of a Tertiary Care Hospital in Karachi, Pakistan. i-manager's Journal on Nursing, 10(1), 5-10. https://doi.org/10.26634/jnur.10.1.16958

Abstract

The purpose of this research work was to quantify referrals and transport delays to the NICU of a private tertiary care hospital and to examine the factors responsible for the delay. A qualitative descriptive pattern, with a purposive sampling was used for the study. Out of 33 referrals made at a NICU of a tertiary care hospital in Karachi, Pakistan, 27 parents were interviewed. Semi-structured interviews were carried out using open ended questions along with a demographic questionnaire. The findings of the work revealed that factors causing delay in transport of sick neonate to NICU included delay in decision making, absence of male family member, financial expenditure, and unavailability of beds at tertiary care hospitals. A large number of referrals were made to tertiary care NICU however, only few got admitted. There is a need to introduce a structured sheet to track all these referrals and take measures to speed up the transport process, and strengthen health programs and policies of the country. The activity was a huge quality improvement initiative taken by the team.

Research Paper

Perceived Barriers to Research Utilization among Surgical Nurses: A Cross-Sectional Survey

Juliana Linnette D'Sa* , Rosily Varghese**
* Department of Maternal & Child Health Nursing, College of Nursing, King Saud University in Riyadh, Saudi Arabia.
** Chief Nursing Officer, Sagar Hospitals, Bangalore, Karnataka, India.
D'sa, J. L., and Varghese, R. (2020). Perceived Barriers to Research Utilization among Surgical Nurses: A Cross-Sectional Survey. i-manager's Journal on Nursing, 10(1), 11-21. https://doi.org/10.26634/jnur.10.1.16731

Abstract

In the current health situation, knowledge explosion and technological innovations necessitate the translation of research evidence into practice. Concerns about the limited use of research evidence in nursing practice continue to mount. Therefore, the study aimed at identifying surgical nurses' self-reported perceptions of barriers to research utilization and examining the association between perceived barriers and demographic characteristics. A descriptive cross-sectional study was conducted in a tertiary care government hospital in Saudi Arabia on a convenience sample of 175 surgical nurses. Data were collected using the 29-item BARRIER Scale, and a demographic questionnaire. The response rate was 95.63%. Participants rated one-fourth of the BARRIER scale items as moderate or great barriers. Organizational factor was the highest perceived barriers (M=2.65, SD=0.55), followed by communication (M=2.48, SD=0.60), innovator (M=2.47, SD=0.56), and adopter (M=2.36, SD=0.56), respectively. Five of the top ten perceived moderate or great barriers were organizational. 'Lack of time to read research' was the most frequently cited (64.6%), followed by 'insufficient authority to change patient care procedures' (62.3%), and 'insufficient time on the job to implement new ideas' (61.1%). Only 8.57% of nurses had presented a research paper at a conference, although almost half of the group (48.57%) had attended a research-related program on the unit. There was no difference in the perception of barriers when compared with age, gender, professional qualification and the research characteristics of the nurses. If research utilization should increase in hospitals, the organization needs to implement policies that enable nurses to use the time for research and enhance their capabilities to exercise authority in using evidence in practice.

Research Paper

Effectiveness of a Structured Teaching Program for Staff Nurses on Knowledge and Practice Regarding Blood Transfusion

Nisha Choudhary* , Parampal Kaur Cheema**, Jasdeep Kaur***, Loveleen****
*-**** Department of Medical Surgical Nursing, SPN, CON, Mukerian, Punjab, India.
Choudhary, N., Cheema, P. K., Kaur, J., and Loveleen. (2020). Effectiveness of a Structured Teaching Program for Staff Nurses on Knowledge and Practice Regarding Blood Transfusion. i-manager's Journal on Nursing, 10(1), 22-28. https://doi.org/10.26634/jnur.10.1.16843

Abstract

A lack of awareness among nurses regarding transfusion practice has been identified as a reason for poor healthcare. The present study was undertaken to assess the effectiveness of structured teaching program on knowledge and practice regarding blood transfusion among staff nurses in selected hospitals of district Hoshiarpur, Punjab. A one-group pretest-posttest design was used. A Consecutive sampling technique was used to select 60 staff nurses. Data were collected with a structured knowledge questionnaire and observation checklist. More than half (55%) of the staff nurses in pretest had average knowledge, 40% had poor knowledge and only 5% had good knowledge and 46.67% of staff nurses had poor practice skills, 53.33% had average practice skills. In the posttest, 46.67% of staff nurses had good knowledge, 53.33% had average knowledge and 6.67% of staff nurses had good practice skills, 93.33% had average practice skills.The difference between the mean pretest and posttest knowledge score (6.09) and practice score (4.57) was statistically significant at p<0.05 level. Thus, it is concluded that structured teaching program was an effective tool in improving knowledge and practice of staff nurses regarding blood transfusion.

Research Paper

Nurses on the Front Line in Improving Adolescent Sexual Health

Neelam Saleem* , Elizabeth Papathanassoglou**, Kathy Hegadoren ***
*-*** University of Alberta, Edmonton, Canada.
Punjani, N. S., Papathanassoglou, E., and Hegadoren, K. (2020). Nurses on the Front Line in Improving Adolescent Sexual Health. i-manager's Journal on Nursing, 10(1), 29-39. https://doi.org/10.26634/jnur.10.1.16888

Abstract

Adolescence is defined as the years between the onset of puberty and the beginning of adulthood, during this time young children grow physically, cognitively, and emotionally, changing from a child into an adult. Adjusting to their sexually changing bodies and emerging perceptions of human relationships, as well as learning new coping and decision-making skills, are amongst the foremost responsibilities of this development phase. Puberty is reached during adolescence, which is a major landmark in the development of sexuality. During this time, sexuality education for children and adolescents plays a fundamental role in shaping their sexual and reproductive health and overall wellbeing. This paper presents a brief account of the role of parents, families, and school health curricula in providing sexuality education. Also, the role of nurses in advancing sexuality education among adolescents. Finally, the barriers and facilitators to advancing sexuality education.

Review Paper

Aggression in Adolescence: Working Through Multi-Dimensional Lens

Anmol Minaz* , Kiran Karim Jivani**
* Department of Anesthesiology, OR and CSSD, Aga Khan University Hospital, Karachi, Pakistan.
** Department of Gastroenterology and General Surgery, Aga Khan University Hospital, Karachi, Pakistan.
Minaz, A., and Jivani, K. K. (2020). Aggression in Adolescence: Working Through Multi-Dimensional Lens. i-manager's Journal on Nursing, 10(1), 40-44. https://doi.org/10.26634/jnur.10.1.16988

Abstract

Aggression in adolescents is identified as a significant public health issue. While aggression exists from childhood to adulthood, its incidence is significantly higher among adolescents. Aggression can be physical, verbal or relational, and differences in aggressive behaviors exist among adolescent girls and boys. Aggressive behavior has been linked with a range of different adverse effects on individual's health ranging from negative psychological health outcomes to high homicide rates. This demands understanding aggression through multi-dimensional lens to view its roots. Aggressive behavior in adolescents can be explained by taking different factors in consideration like modeling and reinforcement, parenting style, psychological maltreatment, peer relationship, genetics, and role of media. Since aggression in adolescents is a complex behavior, healthcare professional particularly nurses can use three-pronged approach for the prevention and management of aggression. This issue also demands appropriate interventions through schools and community settings like school-based social skill training.

Case Study

Enhancing Patient's Surrounding: Application of Nightingale's Environmental Theory Into Nursing Practice

Armish Hussain* , Kausar Karim **
* Department Of Cardiology, North West Clinic, United Arab Emirates.
** Aga Khan University Hospital, Karachi, Pakistan.
Hussian, A., and Karim, K. (2020). Enhancing Patient's Surrounding: Application of Nightingale's Environmental Theory into Nursing Practice. i-manager's Journal on Nursing, 10(1), 45-49. https://doi.org/10.26634/jnur.10.1.16688

Abstract

The concept of caring for an individual, as a whole, was originated by a “Lady with the Lamp” Florence Nightingale. According to Florence Nightingale, the environment has a great role in providing safe care and prompt recovery. She discussed 13 canons and gave a detailed explanation of each tenet. Her theory is still significant today because this can offer a basis for holistic patient care and a platform to improve nursing practice. It aids in providing quality care by restoring their physical, social, and psychological wellbeing. And for the implementation, nurses can play an active role in promoting the patient's health outcomes by augmenting the environment as per individual unique needs. This paper will shed light on a case scenario, which is analyzed through a nightingale environmental theory and discuss the tactics and strategies to achieve an optimal level of recovery.