Pub Date : 2023-11-10DOI: 10.1177/0974150x231204172
Anita Fafa Dartey, Gladys Dzansi, Lillian Akorfa Ohene, Solomon Mohammed Salia, Ellen Sarpong, Mary Armah-Kessey
Background Nurses provide comprehensive, person-centred care to patients of all ages with any condition to save and protect lives. Caring for children under 5 years with burns involves high-level skills, agility and stable emotions. This study sought to explore nurses’ experience when managing children under five years with burns at the burns unit of a teaching hospital in Ghana. Methods An exploratory, descriptive qualitative approach was used with a purposive sampling method to recruit 15 participants at saturation from the Burns Unit. The interviews were conducted using a semi-structured interview guide. With participants’ consent, their voices were audio-recorded. Data were transcribed verbatim after the researchers listened to the audios several times. Data were analysed using thematic content analysis. Results Narratives of the nurses were represented as emotional experiences, challenges and coping strategies associated with caring for children with burn injury. Mental representation of care task, grief and sadness, helplessness and impatience were identified as the emotional experiences. Increased workload, lack of adequate motivation and shortage of hospital supplies were the main challenges. Teamwork, good working relations, effective work-life balance and emotional detachment were the coping strategies the nurses adopted. Conclusion This study highlighted the experiences of nurses caring for children under five years with burns. The work environment of nurses created stress and increased the burden of care. Nurses need support to recognise and manage their physical, emotional and social responses to their work. In addition, periodic staff training must be promoted to boost staff confidence and enhance their efficiency on the job.
{"title":"Experiences of Nurses Caring for Children Under Five Years with Burns at a Teaching Hospital in Ghana","authors":"Anita Fafa Dartey, Gladys Dzansi, Lillian Akorfa Ohene, Solomon Mohammed Salia, Ellen Sarpong, Mary Armah-Kessey","doi":"10.1177/0974150x231204172","DOIUrl":"https://doi.org/10.1177/0974150x231204172","url":null,"abstract":"Background Nurses provide comprehensive, person-centred care to patients of all ages with any condition to save and protect lives. Caring for children under 5 years with burns involves high-level skills, agility and stable emotions. This study sought to explore nurses’ experience when managing children under five years with burns at the burns unit of a teaching hospital in Ghana. Methods An exploratory, descriptive qualitative approach was used with a purposive sampling method to recruit 15 participants at saturation from the Burns Unit. The interviews were conducted using a semi-structured interview guide. With participants’ consent, their voices were audio-recorded. Data were transcribed verbatim after the researchers listened to the audios several times. Data were analysed using thematic content analysis. Results Narratives of the nurses were represented as emotional experiences, challenges and coping strategies associated with caring for children with burn injury. Mental representation of care task, grief and sadness, helplessness and impatience were identified as the emotional experiences. Increased workload, lack of adequate motivation and shortage of hospital supplies were the main challenges. Teamwork, good working relations, effective work-life balance and emotional detachment were the coping strategies the nurses adopted. Conclusion This study highlighted the experiences of nurses caring for children under five years with burns. The work environment of nurses created stress and increased the burden of care. Nurses need support to recognise and manage their physical, emotional and social responses to their work. In addition, periodic staff training must be promoted to boost staff confidence and enhance their efficiency on the job.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"108 12","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135138137","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction Preterm neonates require Non-invasive Respiratory Support (NiRS) because of underdeveloped lungs to administer pressurized oxygen for a long duration. The interface used to deliver NiRS can cause pressure injury at the nasal surface, septum, and bridge. Preterm neonates are more vulnerable to such injuries due to immature skin and septum. It is the responsibility of Health Care Professionals (HCPs) to prevent nasal injury through the implementation of evidence-based practices and innovative techniques to secure nasal interfaces. Objectives (1) To find out the barriers and facilitators related to nasal injury among preterm neonates in selected neonatal units of a Tertiary Care Centre, in North India. (2) To seek the remedial measures suggested by HCPs to prevent nasal injury. Methodology After obtaining permission from the head of the department of neonatology, covert participatory observations related to existing practices were made using an observation checklist. Focused Group Discussions (FGDs) were conducted with HCPs (Nursing Officers-43 and Physicians-10) and audio-recorded. Out of the total of eight FGDs, three were conducted with physicians in a group of 2–4 members and the remaining five with nursing officers in a group of 8–9 members, each of 15–20 min duration. FGD guide was used as a tool to guide the discussion. The qualitative data were analyzed by using Van Manen’s approach. Result The barriers identified were related to supplies, staff, and administration. Supplies include limited hospital supply of RAM cannula, reuse of hard ethylene oxide sterilized RAM cannula, lack of adequate size head caps; staff includes lack of awareness regarding the implications and effect of nasal injury among healthcare professionals, variable documentation of nasal injury; administration: no standard guidelines and lack of regular audits to prevent nasal injury. The facilitator suggested were motivated healthcare professionals. Suggested remedial measures were the availability of appropriate size RAM cannula, stockinette head caps, self-motivation, frequent inspection and early identification of nasal injury, staff education, and standard protocol of measures for nasal injury prevention. Conclusion There are concrete barriers and limited facilitators. There is a need to incorporate the suggested remedial measures to address barriers to preventing nasal injury among preterm neonates.
{"title":"Barriers and Facilitators Related to Nasal Injury Among Preterm Neonates in Selected Neonatal Units of a Tertiary Care Centre, North India","authors":"Monica Sandhu, Rupinder Kaur, Geetanjli Kalyan, Praveen Kumar","doi":"10.1177/0974150x231185646","DOIUrl":"https://doi.org/10.1177/0974150x231185646","url":null,"abstract":"Introduction Preterm neonates require Non-invasive Respiratory Support (NiRS) because of underdeveloped lungs to administer pressurized oxygen for a long duration. The interface used to deliver NiRS can cause pressure injury at the nasal surface, septum, and bridge. Preterm neonates are more vulnerable to such injuries due to immature skin and septum. It is the responsibility of Health Care Professionals (HCPs) to prevent nasal injury through the implementation of evidence-based practices and innovative techniques to secure nasal interfaces. Objectives (1) To find out the barriers and facilitators related to nasal injury among preterm neonates in selected neonatal units of a Tertiary Care Centre, in North India. (2) To seek the remedial measures suggested by HCPs to prevent nasal injury. Methodology After obtaining permission from the head of the department of neonatology, covert participatory observations related to existing practices were made using an observation checklist. Focused Group Discussions (FGDs) were conducted with HCPs (Nursing Officers-43 and Physicians-10) and audio-recorded. Out of the total of eight FGDs, three were conducted with physicians in a group of 2–4 members and the remaining five with nursing officers in a group of 8–9 members, each of 15–20 min duration. FGD guide was used as a tool to guide the discussion. The qualitative data were analyzed by using Van Manen’s approach. Result The barriers identified were related to supplies, staff, and administration. Supplies include limited hospital supply of RAM cannula, reuse of hard ethylene oxide sterilized RAM cannula, lack of adequate size head caps; staff includes lack of awareness regarding the implications and effect of nasal injury among healthcare professionals, variable documentation of nasal injury; administration: no standard guidelines and lack of regular audits to prevent nasal injury. The facilitator suggested were motivated healthcare professionals. Suggested remedial measures were the availability of appropriate size RAM cannula, stockinette head caps, self-motivation, frequent inspection and early identification of nasal injury, staff education, and standard protocol of measures for nasal injury prevention. Conclusion There are concrete barriers and limited facilitators. There is a need to incorporate the suggested remedial measures to address barriers to preventing nasal injury among preterm neonates.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135806857","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1177/0974150x231195666
P. Vijayalakshmi, S. Sai Nikhil Reddy, A. Sadanandareddy, B. V. Kathyayani, Narayana Manjunatha, C. Naveen Kumar C, Suresh Bada Math
Background The resilience of nursing students has a positive impact on their wellbeing and completion of courses, especially during pandemics like Covid-19. However, research on resilience factors among nursing students is limited to India. Aim This qualitative study aimed to explore senior nursing students’ perceptions of resilience factors in recovery from Covid-19 infection. Methods The virtual focus group discussions (FGDs) were conducted among final year undergraduate nursing students at a tertiary care center. We used an interview guide with semi-structured questions to collect the data. Results A narrative content analysis revealed four dominant themes: experiences and concerns while caring for patients with Covid-19 infection (subtheme: lack of adequate knowledge and skills, support by clinical preceptors, inadequate supply of personal protective equipment (PPE) kits, fear of acquiring and spreading of Covid-19 infection to friends and other patients), reactions to Covid-19 infection (subtheme: anxiety, fear of rejection, academic worries, and uncertainty of illness), resilience (subtheme: support by seniors, teachers, friends, family support, positive self-concept, relaxation techniques, and organization support), and willingness to serve patients with Covid-19 infection (subtheme: professional responsibility, personal experiences, role models, and supportive working environment). Conclusions The findings suggest that it is crucial to prepare nursing students for adversity through resilience training. Further, studies that develop and evaluate effective strategies to promote resilience among nursing students are urgently needed.
{"title":"Impact of Resilience Factors on Recovery from Covid-19 Among Senior Nursing Students: A Qualitative Study","authors":"P. Vijayalakshmi, S. Sai Nikhil Reddy, A. Sadanandareddy, B. V. Kathyayani, Narayana Manjunatha, C. Naveen Kumar C, Suresh Bada Math","doi":"10.1177/0974150x231195666","DOIUrl":"https://doi.org/10.1177/0974150x231195666","url":null,"abstract":"Background The resilience of nursing students has a positive impact on their wellbeing and completion of courses, especially during pandemics like Covid-19. However, research on resilience factors among nursing students is limited to India. Aim This qualitative study aimed to explore senior nursing students’ perceptions of resilience factors in recovery from Covid-19 infection. Methods The virtual focus group discussions (FGDs) were conducted among final year undergraduate nursing students at a tertiary care center. We used an interview guide with semi-structured questions to collect the data. Results A narrative content analysis revealed four dominant themes: experiences and concerns while caring for patients with Covid-19 infection (subtheme: lack of adequate knowledge and skills, support by clinical preceptors, inadequate supply of personal protective equipment (PPE) kits, fear of acquiring and spreading of Covid-19 infection to friends and other patients), reactions to Covid-19 infection (subtheme: anxiety, fear of rejection, academic worries, and uncertainty of illness), resilience (subtheme: support by seniors, teachers, friends, family support, positive self-concept, relaxation techniques, and organization support), and willingness to serve patients with Covid-19 infection (subtheme: professional responsibility, personal experiences, role models, and supportive working environment). Conclusions The findings suggest that it is crucial to prepare nursing students for adversity through resilience training. Further, studies that develop and evaluate effective strategies to promote resilience among nursing students are urgently needed.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"5 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135857139","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction The position of the woman during labour is an essential part of maternal care, but some care providers often neglect it. There are also some recommended birthing positions, but there is a lack of data on how midwives translate the findings into practice. Objective This study aimed to compare upright and supine births concerning the birth process and outcomes among women who have given birth in primary health care settings. Material and Methods This is a quantitative comparative study among parturient in primary health care setting. An observational checklist was used as a data collection tool. A total of 40 parturient (20 each for upright and recumbent position groups) were selected as the study participants. Data were analysed using an independent t-test and chi-square test. Results Findings indicated that although the uterus contracts more frequent in an upright position, there was no substantial difference between the groups concerning the progress of labour ( p > .05). However, findings suggested that the upright position is associated with a shorter duration in the third stage of labour compared to the recumbent position ( p < .05). Blood lost was <500 mils for 75% of the upright position and 55% of the recumbent position group ( p = .054). Conclusion Upright position may shorten the duration of the third stage of labour (compared to recumbent position) among parturients. Hence, midwives can utilise the upright/vertical protocol during their practice to ensure better outcome of the labour and minimise blood loss for the parturient.
{"title":"Effect of Upright Positioning on the Process and Outcome of Labour Among Parturient in Primary Health Care Setting","authors":"Auwalu Muhammed, Hannatu Sarki Habibu, Abdullahi Haruna Ibrahim, Idris Abdulrashid","doi":"10.1177/0974150x231195178","DOIUrl":"https://doi.org/10.1177/0974150x231195178","url":null,"abstract":"Introduction The position of the woman during labour is an essential part of maternal care, but some care providers often neglect it. There are also some recommended birthing positions, but there is a lack of data on how midwives translate the findings into practice. Objective This study aimed to compare upright and supine births concerning the birth process and outcomes among women who have given birth in primary health care settings. Material and Methods This is a quantitative comparative study among parturient in primary health care setting. An observational checklist was used as a data collection tool. A total of 40 parturient (20 each for upright and recumbent position groups) were selected as the study participants. Data were analysed using an independent t-test and chi-square test. Results Findings indicated that although the uterus contracts more frequent in an upright position, there was no substantial difference between the groups concerning the progress of labour ( p > .05). However, findings suggested that the upright position is associated with a shorter duration in the third stage of labour compared to the recumbent position ( p < .05). Blood lost was <500 mils for 75% of the upright position and 55% of the recumbent position group ( p = .054). Conclusion Upright position may shorten the duration of the third stage of labour (compared to recumbent position) among parturients. Hence, midwives can utilise the upright/vertical protocol during their practice to ensure better outcome of the labour and minimise blood loss for the parturient.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"43 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135805381","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-07-01DOI: 10.1177/0974150x231180061
S. Kaur, M. Dhandapani, S. Kaur, N. Dhaliwal, J. Kaur, M. Singh, Jyoti Kathwal
Background Non-communicable diseases (NCDs) have a high prevalence among nurses. Among healthcare professionals, disturbed circadian and long working hours lead to physical and mental exertion resulting in health issues such as hypertension, diabetes mellitus, cancer, cerebrovascular diseases, and other NCDs. It is important to assess awareness, preventive measures, and screening strategies related to NCDs among nurses. Objectives To assess the lifestyle risk factors and biophysical/biochemical parameters related to NCD prevention among nurses working in various units of selected government hospitals of Chandigarh, India. Methods Using a simple random sampling technique, a multicentered cross-sectional study was conducted among 137 nursing officers who consented and worked in various units of three government hospitals of Chandigarh, India. Ethical clearance obtained from IEC of enrolled institutes. Data collection methods included self-report, biophysiological assessment, and previous records. A knowledge questionnaire was used to assess the knowledge, Kompan dietary scale for diet, perceived stress scale for stress, Jenkins sleep questionnaire for sleep, and global physical activity questionnaire (GPAQ) were used for physical activity. Weighing/height scale for BMI and measuring tape for waist–hip ratio, Vernier caliper for triceps skinfold thickness, and sphygmomanometer for BP, and appropriate calibrated tools for biochemical parameters were used. Results Almost half of the participants had average and poor knowledge (41.60% and 43.79%) but few had good knowledge (14.59%). The majority of participants had a good attitude towards NCDs (71.53%). Most of the participants were having low pro-healthy diet index (75.9%) and the majority were having non-healthy diet index (94.1%); this indicates that participants had less intake of non-healthy food but the intake of pro-healthy food was also low. The majority had little sleep disturbances (91.97%) as per Jenkins sleep questionnaire and almost everyone had a moderate stress level (97.08%) as per the perceived stress scale. Maximum nurses were in the pre-obese category according to BMI. Almost half (40%) were on the moderate risk of NCDs as per waist–hip ratio. More than 80% having high triceps skinfold thickness. Maximum nurses were having normal blood pressure measurements. The majority were having borderline biochemical parameters but normal blood sugar levels. Conclusion The majority of participants had average knowledge and a good attitude regarding NCDs. The prevalent risk factors of NCD identified among nurses were less intake of healthy food, lack of sleep, moderate stress level, pre-obese, increased waist–hip ratio, and increased triceps skinfold thickness. Hence, nurses need to take adequate measures to control their risk factors aiming for long-term prevention of NCD.
{"title":"Distribution of Lifestyle Risk Factors and Biophysical/Biochemical Parameters Related to NCD Prevention Among Nurses in Selected Government Hospitals of Chandigarh, India (2020–2022): A Multicentered Cross-sectional Study","authors":"S. Kaur, M. Dhandapani, S. Kaur, N. Dhaliwal, J. Kaur, M. Singh, Jyoti Kathwal","doi":"10.1177/0974150x231180061","DOIUrl":"https://doi.org/10.1177/0974150x231180061","url":null,"abstract":"Background Non-communicable diseases (NCDs) have a high prevalence among nurses. Among healthcare professionals, disturbed circadian and long working hours lead to physical and mental exertion resulting in health issues such as hypertension, diabetes mellitus, cancer, cerebrovascular diseases, and other NCDs. It is important to assess awareness, preventive measures, and screening strategies related to NCDs among nurses. Objectives To assess the lifestyle risk factors and biophysical/biochemical parameters related to NCD prevention among nurses working in various units of selected government hospitals of Chandigarh, India. Methods Using a simple random sampling technique, a multicentered cross-sectional study was conducted among 137 nursing officers who consented and worked in various units of three government hospitals of Chandigarh, India. Ethical clearance obtained from IEC of enrolled institutes. Data collection methods included self-report, biophysiological assessment, and previous records. A knowledge questionnaire was used to assess the knowledge, Kompan dietary scale for diet, perceived stress scale for stress, Jenkins sleep questionnaire for sleep, and global physical activity questionnaire (GPAQ) were used for physical activity. Weighing/height scale for BMI and measuring tape for waist–hip ratio, Vernier caliper for triceps skinfold thickness, and sphygmomanometer for BP, and appropriate calibrated tools for biochemical parameters were used. Results Almost half of the participants had average and poor knowledge (41.60% and 43.79%) but few had good knowledge (14.59%). The majority of participants had a good attitude towards NCDs (71.53%). Most of the participants were having low pro-healthy diet index (75.9%) and the majority were having non-healthy diet index (94.1%); this indicates that participants had less intake of non-healthy food but the intake of pro-healthy food was also low. The majority had little sleep disturbances (91.97%) as per Jenkins sleep questionnaire and almost everyone had a moderate stress level (97.08%) as per the perceived stress scale. Maximum nurses were in the pre-obese category according to BMI. Almost half (40%) were on the moderate risk of NCDs as per waist–hip ratio. More than 80% having high triceps skinfold thickness. Maximum nurses were having normal blood pressure measurements. The majority were having borderline biochemical parameters but normal blood sugar levels. Conclusion The majority of participants had average knowledge and a good attitude regarding NCDs. The prevalent risk factors of NCD identified among nurses were less intake of healthy food, lack of sleep, moderate stress level, pre-obese, increased waist–hip ratio, and increased triceps skinfold thickness. Hence, nurses need to take adequate measures to control their risk factors aiming for long-term prevention of NCD.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"26 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135805370","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction Most patients are quickly transferred to the hospitals by ambulances worldwide. Hence, it is imperative that ambulance should be well equipped with all emergency equipment and well-trained staff to provide cardiopulmonary resuscitation (CPR) or basic life support (BLS) to victim in pre-hospital environment, if required. Purpose To assess knowledge regarding CPR of ambulance staff, equipped status of ambulances, and their utilization during CPR or first aid. Methods Total 400 ambulance staff were purposively recruited after obtaining informed written consent. They were interviewed as per validated interview schedule regarding CPR knowledge and utilization of equipment during CPR or first aid. Using an observation checklist for assessment of available equipment for CPR and first aid in the ambulance was checked. Results Mean age of participants was 35.57 ± 7.63 years. All were males. Among them 63.75% were posted in private ambulance, and 73.50% ambulances had solo staff. Most (98.25%) ambulances were equipped with oxygen cylinder and only 3.5% had portable ventilator. Majority (75%) lacked the essential equipment as per AHA/national guidelines. Mean knowledge score of participants was 2.85 ± 4.10 and 62.25% and they had poor knowledge regarding CPR and only 12.25% had good/very good knowledge. Conclusion There is a lack of knowledge regarding CPR among ambulance staff and there is lack of equipped status of ambulances. They were not fully aware regarding the use of equipment, which were available in the ambulance in emergency. So, there is a need to train them about CPR as well utilization of ambulance equipment.
{"title":"A Study to Assess the Knowledge Regarding Cardiopulmonary Resuscitation Among Staff of Ambulance, Equipped Status of Ambulances, and their Utilization","authors":"Ashok Kumar, Meenakshi Agnihotri, Subhash Verma, Gayatri Rathore, Kheta Ram, Sandeepna Saini, Dr Karthik VM, Pramod Kumar, Manisha Nagi, Maninder Deep Kaur, Pramod Kumar Nagar, Achala Aggarwal, Jitender Gairolla","doi":"10.1177/0974150x231195176","DOIUrl":"https://doi.org/10.1177/0974150x231195176","url":null,"abstract":"Introduction Most patients are quickly transferred to the hospitals by ambulances worldwide. Hence, it is imperative that ambulance should be well equipped with all emergency equipment and well-trained staff to provide cardiopulmonary resuscitation (CPR) or basic life support (BLS) to victim in pre-hospital environment, if required. Purpose To assess knowledge regarding CPR of ambulance staff, equipped status of ambulances, and their utilization during CPR or first aid. Methods Total 400 ambulance staff were purposively recruited after obtaining informed written consent. They were interviewed as per validated interview schedule regarding CPR knowledge and utilization of equipment during CPR or first aid. Using an observation checklist for assessment of available equipment for CPR and first aid in the ambulance was checked. Results Mean age of participants was 35.57 ± 7.63 years. All were males. Among them 63.75% were posted in private ambulance, and 73.50% ambulances had solo staff. Most (98.25%) ambulances were equipped with oxygen cylinder and only 3.5% had portable ventilator. Majority (75%) lacked the essential equipment as per AHA/national guidelines. Mean knowledge score of participants was 2.85 ± 4.10 and 62.25% and they had poor knowledge regarding CPR and only 12.25% had good/very good knowledge. Conclusion There is a lack of knowledge regarding CPR among ambulance staff and there is lack of equipped status of ambulances. They were not fully aware regarding the use of equipment, which were available in the ambulance in emergency. So, there is a need to train them about CPR as well utilization of ambulance equipment.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135807064","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1177/0974150X231158472
Swagata Karjee, Prites Chandra Biswas
Introduction India is moving towards menstrual hygienic practices. However, using unhygienic menstrual absorbents is still a reproductive health concern among women in India. Objective This study investigates the prevalence of menstrual hygiene practices by geographical location and socio-economic factors among women in India. Materials and Methods National Family Health Survey-5 (NFHS-5) (2019–2021) data were utilized to fulfill the study objectives. The study participant included 241,180 young women aged 15–24 years. A bivariate chi-square test was applied to present the percentage distribution of menstrual hygienic practices. Multivariate logistic regression analyses were used to examine the predictors linked with hygienic practices related to menstruation. Results About 77% of the women used hygienic absorbents to protect menstrual bloodstains in India. The menstrual hygienic practices are significantly lower in the improvised states of central and eastern India. Multivariable analysis reveals that higher educated women (adjusted odds ratio (AOR): 5.36; 95% confidence interval (CI): 4.18–6.87) residing in the richest quintile households (AOR: 6.17; 95% CI: 4.61–8.26) have a higher probability of hygienic practices related to menstruation. Besides, higher autonomy and mass media exposure are positively associated with hygiene practices. Conclusion The study findings recommend opportunities for reproductive education among women, offering financial incentives, and improving women’s empowerment may increase menstrual hygienic practices. Additionally, interventions should focus on socioeconomically poor women to increase the use of sanitary napkin. Interventions should also focus on marginalized women to increase the use of sanitary napkin.
{"title":"Menstrual Hygiene Practices and its Predictors Among Young Women in India: Findings from the National Family Health Survey-5 (2019–2021)","authors":"Swagata Karjee, Prites Chandra Biswas","doi":"10.1177/0974150X231158472","DOIUrl":"https://doi.org/10.1177/0974150X231158472","url":null,"abstract":"Introduction India is moving towards menstrual hygienic practices. However, using unhygienic menstrual absorbents is still a reproductive health concern among women in India. Objective This study investigates the prevalence of menstrual hygiene practices by geographical location and socio-economic factors among women in India. Materials and Methods National Family Health Survey-5 (NFHS-5) (2019–2021) data were utilized to fulfill the study objectives. The study participant included 241,180 young women aged 15–24 years. A bivariate chi-square test was applied to present the percentage distribution of menstrual hygienic practices. Multivariate logistic regression analyses were used to examine the predictors linked with hygienic practices related to menstruation. Results About 77% of the women used hygienic absorbents to protect menstrual bloodstains in India. The menstrual hygienic practices are significantly lower in the improvised states of central and eastern India. Multivariable analysis reveals that higher educated women (adjusted odds ratio (AOR): 5.36; 95% confidence interval (CI): 4.18–6.87) residing in the richest quintile households (AOR: 6.17; 95% CI: 4.61–8.26) have a higher probability of hygienic practices related to menstruation. Besides, higher autonomy and mass media exposure are positively associated with hygiene practices. Conclusion The study findings recommend opportunities for reproductive education among women, offering financial incentives, and improving women’s empowerment may increase menstrual hygienic practices. Additionally, interventions should focus on socioeconomically poor women to increase the use of sanitary napkin. Interventions should also focus on marginalized women to increase the use of sanitary napkin.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126290558","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1177/0974150X231164227
S. Praveen, Sunita Sharma, N. Peters
Background Hospitalization is stressful for children. Hospitalized children suffer from stress due to the negative change in their life. Children facing medical procedures often experience pain and anxiety. Physical, psychological, social, cultural, and environmental factors all influence child behavior, which is especially challenging for children as compared to adults. Both pharmacological and non-pharmacological approaches can be used to manage distress among children. There are several ways to reduce stress, anxiety, and pain among hospitalized children. Puzzles, books, comics, crossword, video games, televisions, toys, phone, and so on. all are effective ways through which child can be engaged. Aim To assess the level of stress, anxiety, and pain among hospitalized children admitted in the Pediatric Surgery Unit, APC, PGIMER, Chandigarh, India. Methods A descriptive study was conducted on 60 hospitalized children. Purposive sampling was used to recruit the sample. The data were collected through interview schedule consisting of socio-demographic profile, clinical profile, and questionnaire on stress, anxiety and pain. Results The findings of the study revealed that all the children were having moderate stress, whereas majority of the children (91.7%) were having moderate anxiety, and only 8.3% of the children were having severe anxiety. During the assessment it was also found that almost 55% were having pain score 4, that is, Hurts little bit as assessed by Wong baker face pain scale. Conclusion Children who were being hospitalized were having varied degrees of stress, anxiety, and pain. Therefore, some diversional therapy should be planned to reduce their distress.
{"title":"A Descriptive Study to Assess Level of Stress, Anxiety, and Pain Among Hospitalized Children Admitted in the Pediatric Surgery Unit of APC, PGIMER, Chandigarh 2020−2022","authors":"S. Praveen, Sunita Sharma, N. Peters","doi":"10.1177/0974150X231164227","DOIUrl":"https://doi.org/10.1177/0974150X231164227","url":null,"abstract":"Background Hospitalization is stressful for children. Hospitalized children suffer from stress due to the negative change in their life. Children facing medical procedures often experience pain and anxiety. Physical, psychological, social, cultural, and environmental factors all influence child behavior, which is especially challenging for children as compared to adults. Both pharmacological and non-pharmacological approaches can be used to manage distress among children. There are several ways to reduce stress, anxiety, and pain among hospitalized children. Puzzles, books, comics, crossword, video games, televisions, toys, phone, and so on. all are effective ways through which child can be engaged. Aim To assess the level of stress, anxiety, and pain among hospitalized children admitted in the Pediatric Surgery Unit, APC, PGIMER, Chandigarh, India. Methods A descriptive study was conducted on 60 hospitalized children. Purposive sampling was used to recruit the sample. The data were collected through interview schedule consisting of socio-demographic profile, clinical profile, and questionnaire on stress, anxiety and pain. Results The findings of the study revealed that all the children were having moderate stress, whereas majority of the children (91.7%) were having moderate anxiety, and only 8.3% of the children were having severe anxiety. During the assessment it was also found that almost 55% were having pain score 4, that is, Hurts little bit as assessed by Wong baker face pain scale. Conclusion Children who were being hospitalized were having varied degrees of stress, anxiety, and pain. Therefore, some diversional therapy should be planned to reduce their distress.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"111 2 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133753050","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1177/0974150X231172578
N. Gujjar, G. Kalyan, Jogender Kumar, Parveen Kumar
Background Preterm neonates are not able to breastfeed due to immature sucking swallow reflexes and are kept on an alternative method of feeding until they are able to do so. The time to reach full oral feeds and breastfeed, the duration of feeding, and spillage are important parameters that need to be observed so that a baseline value can be provided, which can help healthcare professionals see the progression and appropriateness of feeding preterm neonates. Objective To assess the duration of feeding, spillage, weight changes, days to reach full oral feeds, full breastfeed, and length of hospitalization among preterm neonates. Material and Methods A descriptive study was carried out on 106 preterm neonates in the step-down unit of the NICU, PGIMER, Chandigarh. The variables under study were duration of feeding, spillage, weight changes, days to reach full oral feeds, days to reach full breastfeed, and length of hospitalization. The tools for data collection used were a socio-demographic profile along with a clinical profile of neonates, a neonatal assessment, and an observation sheet to record spillage and duration of feeding. The methods of data collection used were observation and biophysiological methods. Weight was assessed by the infant weighing scale present in the unit (in grams) and to measure spillage, a bib was used, and its pre- and post-feeding weight was measured on a diaper weighing machine. The values are expressed in grams. The data were collected from July 2021 to November 2021. The data are analyzed using the SPSS version 23.0. Results The results showed that neonates took an average of mean ± SD (range) 15.0 ± 3.12 (10−26) min to complete one feeding session, and spillage was around 1.37± 0.3 (0.8−2.3) g. The transition time to full oral feeds was 8.01 ± 7.21 (1–44) days, and the average time to reach full breastfeed was 26.7 ± 12.1 (5−56) days. Conclusion The present study has provided valuable data on duration of feeding and spillage that serves as a guide for the amount of milk that can be added to the prescribed feed. The information is also helpful in educating the parents to be patient while feeding the baby and wait for at least 3 weeks to 2 months to reach full breastfeed. Gestational age at birth and birth weight affect (negative correlation) the time to reach full oral feeds, breastfeed, and length of hospital stays (p < .05).
{"title":"Assessment of Duration of Feeding, Spillage, Weight Changes, Days to Reach Full Oral Feeds, Full Breastfeed, and Length of Hospitalization Among Preterm Neonates","authors":"N. Gujjar, G. Kalyan, Jogender Kumar, Parveen Kumar","doi":"10.1177/0974150X231172578","DOIUrl":"https://doi.org/10.1177/0974150X231172578","url":null,"abstract":"Background Preterm neonates are not able to breastfeed due to immature sucking swallow reflexes and are kept on an alternative method of feeding until they are able to do so. The time to reach full oral feeds and breastfeed, the duration of feeding, and spillage are important parameters that need to be observed so that a baseline value can be provided, which can help healthcare professionals see the progression and appropriateness of feeding preterm neonates. Objective To assess the duration of feeding, spillage, weight changes, days to reach full oral feeds, full breastfeed, and length of hospitalization among preterm neonates. Material and Methods A descriptive study was carried out on 106 preterm neonates in the step-down unit of the NICU, PGIMER, Chandigarh. The variables under study were duration of feeding, spillage, weight changes, days to reach full oral feeds, days to reach full breastfeed, and length of hospitalization. The tools for data collection used were a socio-demographic profile along with a clinical profile of neonates, a neonatal assessment, and an observation sheet to record spillage and duration of feeding. The methods of data collection used were observation and biophysiological methods. Weight was assessed by the infant weighing scale present in the unit (in grams) and to measure spillage, a bib was used, and its pre- and post-feeding weight was measured on a diaper weighing machine. The values are expressed in grams. The data were collected from July 2021 to November 2021. The data are analyzed using the SPSS version 23.0. Results The results showed that neonates took an average of mean ± SD (range) 15.0 ± 3.12 (10−26) min to complete one feeding session, and spillage was around 1.37± 0.3 (0.8−2.3) g. The transition time to full oral feeds was 8.01 ± 7.21 (1–44) days, and the average time to reach full breastfeed was 26.7 ± 12.1 (5−56) days. Conclusion The present study has provided valuable data on duration of feeding and spillage that serves as a guide for the amount of milk that can be added to the prescribed feed. The information is also helpful in educating the parents to be patient while feeding the baby and wait for at least 3 weeks to 2 months to reach full breastfeed. Gestational age at birth and birth weight affect (negative correlation) the time to reach full oral feeds, breastfeed, and length of hospital stays (p < .05).","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"30 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"131606325","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2023-04-01DOI: 10.1177/0974150X231173472
Nisha, K. Das, Renu Sharma, Abhishek Ghosh
Introduction Alcohol use disorder (AUD) is also known as alcohol dependence or alcohol addiction. In India (2020), 160 million people are consuming alcohol; among them 57 million people are alcohol dependent (Eashwar et al., 2020, Journal of Family Medicine and Primary Care, Vol. 9, 1, p. 49). Currently, it is a major public concern. Because AUD not only affects the patients physically but also affects person’s other life aspects such as mental health, social status, financial status, spirituality, and occupation. Objective To assess the alcohol use pattern and problems due to alcohol use among patients with AUD registered in the Drug De-Addiction and Treatment Centre, PGIMER, Chandigarh. Methodology An exploratory study was conducted among 40 participants who were enrolled by purposive sampling technique. Participants were enrolled after written informed consent and interviewed as per the interview schedule comprised sociodemographic data, clinical data, and performa to assess the problems associated with alcohol use. Data coding and analysis were done with SPSS (version 26). Results More than half of the study participants (57.5%) were from the age group of 36 to 55 years with a mean age of 40.55 ± 8.941 years ranging from 24 to 58 years; all were men and 70% of participants were from upper class socioeconomic status. Nearly half (47.5%) of the participants started drinking before 20 years of age and 50% participants had been drinking alcohol for more than 15 years. Participants had many problems such as gastric disorder (80%), weight loss (55%), inefficiency at work (92.5%), increased alcohol-related expenses (88.5%), reduced sources and amount of earning (57.5%), impaired interpersonal relationship (IPR) with family (97.5%), with spouse (80%), and in society (85%). Conclusion Patients with alcohal use disorder (AUD) have many problems in various aspects of their lives, that is, health, education, occupation, finance, family, marital life, and social life.
{"title":"Pattern of Alcohol Use and Problems Associated with Alcohol Use Among Patients with Alcohol Use Disorder: An Exploratory Study","authors":"Nisha, K. Das, Renu Sharma, Abhishek Ghosh","doi":"10.1177/0974150X231173472","DOIUrl":"https://doi.org/10.1177/0974150X231173472","url":null,"abstract":"Introduction Alcohol use disorder (AUD) is also known as alcohol dependence or alcohol addiction. In India (2020), 160 million people are consuming alcohol; among them 57 million people are alcohol dependent (Eashwar et al., 2020, Journal of Family Medicine and Primary Care, Vol. 9, 1, p. 49). Currently, it is a major public concern. Because AUD not only affects the patients physically but also affects person’s other life aspects such as mental health, social status, financial status, spirituality, and occupation. Objective To assess the alcohol use pattern and problems due to alcohol use among patients with AUD registered in the Drug De-Addiction and Treatment Centre, PGIMER, Chandigarh. Methodology An exploratory study was conducted among 40 participants who were enrolled by purposive sampling technique. Participants were enrolled after written informed consent and interviewed as per the interview schedule comprised sociodemographic data, clinical data, and performa to assess the problems associated with alcohol use. Data coding and analysis were done with SPSS (version 26). Results More than half of the study participants (57.5%) were from the age group of 36 to 55 years with a mean age of 40.55 ± 8.941 years ranging from 24 to 58 years; all were men and 70% of participants were from upper class socioeconomic status. Nearly half (47.5%) of the participants started drinking before 20 years of age and 50% participants had been drinking alcohol for more than 15 years. Participants had many problems such as gastric disorder (80%), weight loss (55%), inefficiency at work (92.5%), increased alcohol-related expenses (88.5%), reduced sources and amount of earning (57.5%), impaired interpersonal relationship (IPR) with family (97.5%), with spouse (80%), and in society (85%). Conclusion Patients with alcohal use disorder (AUD) have many problems in various aspects of their lives, that is, health, education, occupation, finance, family, marital life, and social life.","PeriodicalId":272374,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"121 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116569251","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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