Background: An assessment of the clinical competency of nurses at the time of their graduation is essential to get a fair estimate of their level of competence. It helps to lessen the burden on the healthcare system. A “Comprehensive Nursing Competence Assessment Questionnaire (CNCAQ)” has been constructed to fulfil this purpose. Aim: This study aims to develop and validate a CNCAQ to determine the perceived clinical competence of final-year nursing graduates who are about to graduate within three months from selected private and government nursing colleges in India. Methods: A mixed methodology was used and completed in two phases. In phase 1, along with an extensive literature review, focus group discussions, expert evaluation, and pretesting were done, in which 10 nursing experts participated. In phase 2, data were collected from 649 nursing graduates to establish the validity of the construct. The study period was from August to October 2022. Results: The developed CNCAQ has 36 items, comprising four sections: (a) conceptual knowledge and skill in routine nursing care; (b) skill in basic nursing procedures; (c) skill in advanced nursing procedures; and (d) assessment of infusion/transfusion-related nursing procedures. The overall reliability of the tool was 0.963, indicating its high reliability. Overall, there was no difference in clinical competency skills between female and male upcoming nursing graduates. However, statistically significant differences in basic nursing skills and advanced and analytical nursing skills were observed. Conclusions: Assessing nursing students’ competencies is crucial to ensure that they possess the necessary knowledge, skills, and attitudes to provide safe and effective patient care. The development and validation of a valid and reliable instrument for assessing nursing competencies are essential to evaluate nursing students’ clinical performance accurately. In the present research, a tool with a total of 36 items was used. It demonstrates high reliability; however, it needs to be applied to a larger population of nursing graduates with diverse backgrounds. Nurse educators and administrators can use it to assess the level of competence and, accordingly, a tailor-made induction program based on identified weak areas in theoretical and practical knowledge or skill can be developed. No patient’s were involved in the study. It involved developing a CNCAQ and validating it on a selected group of upcoming nursing graduates.
{"title":"Development and Validation of a Comprehensive Nursing Competence Assessment Questionnaire (CNCAQ) to Determine the Perceived Clinical Competence of Nursing Graduates","authors":"Sunita Srivastava, Hariprasath Pandurangan, Anil Kumar","doi":"10.1177/0974150x241247986","DOIUrl":"https://doi.org/10.1177/0974150x241247986","url":null,"abstract":"Background: An assessment of the clinical competency of nurses at the time of their graduation is essential to get a fair estimate of their level of competence. It helps to lessen the burden on the healthcare system. A “Comprehensive Nursing Competence Assessment Questionnaire (CNCAQ)” has been constructed to fulfil this purpose. Aim: This study aims to develop and validate a CNCAQ to determine the perceived clinical competence of final-year nursing graduates who are about to graduate within three months from selected private and government nursing colleges in India. Methods: A mixed methodology was used and completed in two phases. In phase 1, along with an extensive literature review, focus group discussions, expert evaluation, and pretesting were done, in which 10 nursing experts participated. In phase 2, data were collected from 649 nursing graduates to establish the validity of the construct. The study period was from August to October 2022. Results: The developed CNCAQ has 36 items, comprising four sections: (a) conceptual knowledge and skill in routine nursing care; (b) skill in basic nursing procedures; (c) skill in advanced nursing procedures; and (d) assessment of infusion/transfusion-related nursing procedures. The overall reliability of the tool was 0.963, indicating its high reliability. Overall, there was no difference in clinical competency skills between female and male upcoming nursing graduates. However, statistically significant differences in basic nursing skills and advanced and analytical nursing skills were observed. Conclusions: Assessing nursing students’ competencies is crucial to ensure that they possess the necessary knowledge, skills, and attitudes to provide safe and effective patient care. The development and validation of a valid and reliable instrument for assessing nursing competencies are essential to evaluate nursing students’ clinical performance accurately. In the present research, a tool with a total of 36 items was used. It demonstrates high reliability; however, it needs to be applied to a larger population of nursing graduates with diverse backgrounds. Nurse educators and administrators can use it to assess the level of competence and, accordingly, a tailor-made induction program based on identified weak areas in theoretical and practical knowledge or skill can be developed. No patient’s were involved in the study. It involved developing a CNCAQ and validating it on a selected group of upcoming nursing graduates.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"100 14","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140978395","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}
Background: Hospitalized elderly people suffer from psychological distress due to negative changes in their lives. Hospitalization is stressful for elderly people, as they undergo various surgical and medical procedures. Mental illnesses such as depression and anxiety can be seen as major risk factors among the hospitalized geriatric population. Hence, the need was felt to undertake a study to determine anxiety and depression among hospitalized elderly. Objective: To determine anxiety and depression among hospitalized elderly undergoing abdominal surgery at the Nehru Hospital, PGIMER, Chandigarh. Material and Methods: A descriptive study was conducted on 60 hospitalized elderly patients. The sample was determined using the purposive sampling technique. The data was collected by interviewing patients as per the interview schedule comprising socio-demographic variables, clinical profile, Geriatric Depression Scale, and Geriatric Anxiety Scale. Results: The study found that 31.7% of participants had mild anxiety, 46.7% had moderate anxiety, and 21.7% had severe anxiety. All study participants had mild depression. The present study found a significant relationship between anxiety and depression ( r = 0.348, p = .01). Conclusion: There is a high prevalence of depressive and anxiety symptoms among hospitalized elderly undergoing abdominal surgery. The presence of psychiatric distress can worsen physical illness and lead to slow recovery. So appropriate mental health interventions must be planned for their management.
{"title":"A Descriptive Study to Determine Anxiety and Depression Among Hospitalized Elderly Undergoing Abdominal Surgery Admitted in Nehru Hospital, PGIMER, Chandigarh","authors":"Ritika Tandon, Sunita Sharma, Mukta Thakur, Rajesh Gupta","doi":"10.1177/0974150x241239458","DOIUrl":"https://doi.org/10.1177/0974150x241239458","url":null,"abstract":"Background: Hospitalized elderly people suffer from psychological distress due to negative changes in their lives. Hospitalization is stressful for elderly people, as they undergo various surgical and medical procedures. Mental illnesses such as depression and anxiety can be seen as major risk factors among the hospitalized geriatric population. Hence, the need was felt to undertake a study to determine anxiety and depression among hospitalized elderly. Objective: To determine anxiety and depression among hospitalized elderly undergoing abdominal surgery at the Nehru Hospital, PGIMER, Chandigarh. Material and Methods: A descriptive study was conducted on 60 hospitalized elderly patients. The sample was determined using the purposive sampling technique. The data was collected by interviewing patients as per the interview schedule comprising socio-demographic variables, clinical profile, Geriatric Depression Scale, and Geriatric Anxiety Scale. Results: The study found that 31.7% of participants had mild anxiety, 46.7% had moderate anxiety, and 21.7% had severe anxiety. All study participants had mild depression. The present study found a significant relationship between anxiety and depression ( r = 0.348, p = .01). Conclusion: There is a high prevalence of depressive and anxiety symptoms among hospitalized elderly undergoing abdominal surgery. The presence of psychiatric distress can worsen physical illness and lead to slow recovery. So appropriate mental health interventions must be planned for their management.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"29 29","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140980147","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 : 2024-05-03DOI: 10.1177/0974150x241239438
Mamta Yadav, V. Venkadalakshmi, Karobi Das, Rimpi Singla
Introduction: Contraceptive methods or devices are used to prevent pregnancy. Contraception enables women to realize their human rights and to choose whether or not to have children, as well as helps people achieve their desired family size. Currently, short-term family planning methods are available at levels of the health sector, but long-term methods are available at all levels. Objectives: To assess the knowledge regarding contraception and previous practices of contraception among antenatal women at term pregnancy attending gynaecology OPD. Methodology: An exploratory cross-sectional study was conducted. The total enumeration sampling technique was used, and 120 study participants were enrolled for the study. Data was collected by interviewing participants as per an interview schedule. Results: The study findings showed that a majority (76.6%) of the antenatal women had poor knowledge regarding contraception and 23.3% antenatal women had average knowledge. A majority (81.07%) of participants had previously practiced contraception. The most commonly used contraceptives were condoms and the calendar method. Conclusion: In the present study, more than half of the participants (antenatal women) had poor knowledge regarding contraception. It indicates the need for awareness regarding contraception and the appropriate use of contraceptive methods when required.
{"title":"Knowledge Regarding Contraception \u2028and Previous Practices of Contraception Among \u2028Antenatal Women","authors":"Mamta Yadav, V. Venkadalakshmi, Karobi Das, Rimpi Singla","doi":"10.1177/0974150x241239438","DOIUrl":"https://doi.org/10.1177/0974150x241239438","url":null,"abstract":"Introduction: Contraceptive methods or devices are used to prevent pregnancy. Contraception enables women to realize their human rights and to choose whether or not to have children, as well as helps people achieve their desired family size. Currently, short-term family planning methods are available at levels of the health sector, but long-term methods are available at all levels. Objectives: To assess the knowledge regarding contraception and previous practices of contraception among antenatal women at term pregnancy attending gynaecology OPD. Methodology: An exploratory cross-sectional study was conducted. The total enumeration sampling technique was used, and 120 study participants were enrolled for the study. Data was collected by interviewing participants as per an interview schedule. Results: The study findings showed that a majority (76.6%) of the antenatal women had poor knowledge regarding contraception and 23.3% antenatal women had average knowledge. A majority (81.07%) of participants had previously practiced contraception. The most commonly used contraceptives were condoms and the calendar method. Conclusion: In the present study, more than half of the participants (antenatal women) had poor knowledge regarding contraception. It indicates the need for awareness regarding contraception and the appropriate use of contraceptive methods when required.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"118 16","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141017339","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 : 2024-03-29DOI: 10.1177/0974150x241235480
Basirat Moboluwaduro Bada, L. Ojewale, O. Akingbade
Introduction: The International Diabetes Federation has identified the emergence of gestational diabetes mellitus (DM) (GDM) as an underappreciated threat to maternal and child health. Adequate knowledge, a positive attitude towards prevention, and a positive perception of its danger could motivate pregnant women to take preventive measures. However, there is a dearth of literature on these among women attending antenatal clinics at UCH. This study, therefore aimed to assess pregnant women’s knowledge about GDM, report their attitudes and determine their perception towards GDM. Methods: A cross-sectional study assessed the knowledge, attitude and perception towards GDM. A total of 300 pregnant women registered with and attending the antenatal clinic in University College Hospital (UCH), were selected using a random sampling technique. A self-structured questionnaire using a GDM Knowledge Questionnaire and previous research questions on Perception and Attitude was used to collect data from participants. Data were analysed using Statistical Package for Social Sciences 20.0 and hypotheses were tested using chi-square at 0.05 level of significance. Results: The mean age of the pregnant women was 30.60 ± 5.88 years. A little over one-fifth of the participants were knowledgeable about GDM. Three-quarters of the participants demonstrated a positive attitude while just a little over half had a positive perception of GDM. A significant association exists between participants’ knowledge about GDM and belief about screening for diabetes during pregnancy ( p = .006). There was a significant association between participants’ attitude and their perception of GDM ( p = .000). A direct significant association was also found between participants’ knowledge and their perceived risk of developing GDM ( p = .000). Discussion: While most of the pregnant women had poor knowledge about GDM, more than half of the pregnant women had positive attitudes towards GDM. A little over average possesses a positive perception towards GDM. Healthcare providers should intensify efforts in formulating appropriate methods to increase awareness with emphasis on the risks associated with GDM.
{"title":"Knowledge, Attitude and P erception Towards Gestational Diabetes \u2028Mellitus Among Pregnant Women Attending Antenatal Clinic in \u2028University College Hospital, Ibadan","authors":"Basirat Moboluwaduro Bada, L. Ojewale, O. Akingbade","doi":"10.1177/0974150x241235480","DOIUrl":"https://doi.org/10.1177/0974150x241235480","url":null,"abstract":"Introduction: The International Diabetes Federation has identified the emergence of gestational diabetes mellitus (DM) (GDM) as an underappreciated threat to maternal and child health. Adequate knowledge, a positive attitude towards prevention, and a positive perception of its danger could motivate pregnant women to take preventive measures. However, there is a dearth of literature on these among women attending antenatal clinics at UCH. This study, therefore aimed to assess pregnant women’s knowledge about GDM, report their attitudes and determine their perception towards GDM. Methods: A cross-sectional study assessed the knowledge, attitude and perception towards GDM. A total of 300 pregnant women registered with and attending the antenatal clinic in University College Hospital (UCH), were selected using a random sampling technique. A self-structured questionnaire using a GDM Knowledge Questionnaire and previous research questions on Perception and Attitude was used to collect data from participants. Data were analysed using Statistical Package for Social Sciences 20.0 and hypotheses were tested using chi-square at 0.05 level of significance. Results: The mean age of the pregnant women was 30.60 ± 5.88 years. A little over one-fifth of the participants were knowledgeable about GDM. Three-quarters of the participants demonstrated a positive attitude while just a little over half had a positive perception of GDM. A significant association exists between participants’ knowledge about GDM and belief about screening for diabetes during pregnancy ( p = .006). There was a significant association between participants’ attitude and their perception of GDM ( p = .000). A direct significant association was also found between participants’ knowledge and their perceived risk of developing GDM ( p = .000). Discussion: While most of the pregnant women had poor knowledge about GDM, more than half of the pregnant women had positive attitudes towards GDM. A little over average possesses a positive perception towards GDM. Healthcare providers should intensify efforts in formulating appropriate methods to increase awareness with emphasis on the risks associated with GDM.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"35 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140366179","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 : 2024-03-22DOI: 10.1177/0974150x241230746
Kavita Narang, J. S. Thakur, Karobi Das, Aarti Garg, T. Narang
Background: The nationwide lockdown imposed due to the COVID-19 pandemic disrupted daily routines, especially for children. Being at home and attending virtual classes unintentionally precipitated an increase in both academic and nonacademic screen time and probably led to decreased physical activity in children. However, there is lack of evidence related to the physical activity and screen time of school-age children during the COVID-19 pandemic. So this study aimed to investigate the effect of the COVID-19 pandemic and lockdown on physical activity and screen time of children. Methods: An online survey was used to recruit parents of school-age children through convenience sampling. Parents were asked to compare their child’s physical activity and screen time in the previous week with those in the pre-lockdown and lockdown periods. The global physical activity questionnaire was used to assess physical activity, and a screen time questionnaire was developed and validated. Data collection was done from September 2020 to December 2020. Results: Data of 104 children were collected from parents’ reports. The average age of parents was 39.1 + 4.8 years for mothers and 40.8 + 6.9 years for fathers. Results revealed a decrease in physical activity from 564.95 min/week before the lockdown to 146.05 min/week during the lockdown, with the absolute decrease of 448.9 min/week. Total screen time increased from 2.42 h/day before the lockdown to 7.41 h/day during the lockdown. Conclusion: Necessary steps to mitigate the effect of COVID-19 pandemic unintentionally affected children in terms of decreased physical activity and increased screen time.
{"title":"Effect of COVID-19 Pandemic on Physical Activity and Screen Time of School Children: A Cross-sectional Study from Chandigarh","authors":"Kavita Narang, J. S. Thakur, Karobi Das, Aarti Garg, T. Narang","doi":"10.1177/0974150x241230746","DOIUrl":"https://doi.org/10.1177/0974150x241230746","url":null,"abstract":"Background: The nationwide lockdown imposed due to the COVID-19 pandemic disrupted daily routines, especially for children. Being at home and attending virtual classes unintentionally precipitated an increase in both academic and nonacademic screen time and probably led to decreased physical activity in children. However, there is lack of evidence related to the physical activity and screen time of school-age children during the COVID-19 pandemic. So this study aimed to investigate the effect of the COVID-19 pandemic and lockdown on physical activity and screen time of children. Methods: An online survey was used to recruit parents of school-age children through convenience sampling. Parents were asked to compare their child’s physical activity and screen time in the previous week with those in the pre-lockdown and lockdown periods. The global physical activity questionnaire was used to assess physical activity, and a screen time questionnaire was developed and validated. Data collection was done from September 2020 to December 2020. Results: Data of 104 children were collected from parents’ reports. The average age of parents was 39.1 + 4.8 years for mothers and 40.8 + 6.9 years for fathers. Results revealed a decrease in physical activity from 564.95 min/week before the lockdown to 146.05 min/week during the lockdown, with the absolute decrease of 448.9 min/week. Total screen time increased from 2.42 h/day before the lockdown to 7.41 h/day during the lockdown. Conclusion: Necessary steps to mitigate the effect of COVID-19 pandemic unintentionally affected children in terms of decreased physical activity and increased screen time.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":" 21","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140220335","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 : 2024-03-22DOI: 10.1177/0974150x241236654
Srividhya Samakya V, Sanghamitra Pati, S. Acharya
This study aims to document the cultural significance of vertical birthing positions and knowledge of easing complicated deliveries among the Porja hilly tribal group, Visakhapatnam district, Andhra Pradesh, India. With the purposive sampling method, 31 postpartum mothers were selected on the inclusion criteria of having been given childbirth in the last six months. The socio-demographic profile of the respondents was presented to understand the socio-cultural living conditions. The qualitative data collection involved 31 face-to-face in-depth interviews with postpartum women and two focus group discussions involving six to eight traditional birth attendants (TBAs) on the cultural efficacy of upright positions. Handwritten transcripts of the interviews and conversations were transcribed and coded into themes and categories. Qualitative themes reveal that the pregnant women with anaemia and morbidity conditions had been exposed to maternal distress and foetal distress (breathing problems and loss of consciousness) but had managed by adopting immediate alternative vertical birthing positions with the suggestion of TBAs. The findings suggest that vertical birth positions are age-old childbirth customs which have been adopted as as a priority option by labouring women, especially in socio-economically disadvantaged societies where medical facilities are unavailable.
{"title":"The Vertical Birthing Positions and Their Perinatal Outcomes in Hilly Tribal Home Birth Settings: A Qualitative Observational Study","authors":"Srividhya Samakya V, Sanghamitra Pati, S. Acharya","doi":"10.1177/0974150x241236654","DOIUrl":"https://doi.org/10.1177/0974150x241236654","url":null,"abstract":"This study aims to document the cultural significance of vertical birthing positions and knowledge of easing complicated deliveries among the Porja hilly tribal group, Visakhapatnam district, Andhra Pradesh, India. With the purposive sampling method, 31 postpartum mothers were selected on the inclusion criteria of having been given childbirth in the last six months. The socio-demographic profile of the respondents was presented to understand the socio-cultural living conditions. The qualitative data collection involved 31 face-to-face in-depth interviews with postpartum women and two focus group discussions involving six to eight traditional birth attendants (TBAs) on the cultural efficacy of upright positions. Handwritten transcripts of the interviews and conversations were transcribed and coded into themes and categories. Qualitative themes reveal that the pregnant women with anaemia and morbidity conditions had been exposed to maternal distress and foetal distress (breathing problems and loss of consciousness) but had managed by adopting immediate alternative vertical birthing positions with the suggestion of TBAs. The findings suggest that vertical birth positions are age-old childbirth customs which have been adopted as as a priority option by labouring women, especially in socio-economically disadvantaged societies where medical facilities are unavailable.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":" 27","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140216452","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 : 2024-03-22DOI: 10.1177/0974150x241236312
Ramandeep Kaur, Dimple Madaan, D. Pandher
Background: Decision conflict usually occurs from poor patient involvement in decision making which may cause regrets about the options that were chosen. Health professionals should impart antenatal education to enhance a mother’s belief about her birthing. Objective: To assess the effect of supportive educational intervention on decision conflict among primipara mothers with a fear of childbirth (FOC). Methods: An randomized controlled trial (RCT) was conducted on 205 primipara mothers with an FOC attending Gynae OPD. At 24–28 weeks of pregnancy, mothers were screened for FOC WDEQ-A and then randomly allocated to the experimental (103) and control group (102) and assessed for decision conflict by using a decisional conflict scale. The experimental group was given Supportive educational intervention. At 37–38 weeks of pregnancy, both groups were again assessed for decision conflict. Three participants from the experimental and two from the control group were lost to follow up and the final post-test was completed by 200 participants. Data analysis was done by calculating frequency, mean, standard deviation, Fisher Exact test, chi-square, t-test and F-test using SPSS version 18. Results: There was a significantly lower post-intervention decision conflict score in the experimental group as compared to the control group ( p < .001). No difference was observed in the pre-test score in both groups. Conclusion: Supportive educational intervention was effective in primipara mothers for reducing decision conflict. Improving antenatal emotional well-being will lead to a positive childbirth experience with better perinatal outcomes.
{"title":"Efficacy of Educational Intervention on Decision Conflict","authors":"Ramandeep Kaur, Dimple Madaan, D. Pandher","doi":"10.1177/0974150x241236312","DOIUrl":"https://doi.org/10.1177/0974150x241236312","url":null,"abstract":"Background: Decision conflict usually occurs from poor patient involvement in decision making which may cause regrets about the options that were chosen. Health professionals should impart antenatal education to enhance a mother’s belief about her birthing. Objective: To assess the effect of supportive educational intervention on decision conflict among primipara mothers with a fear of childbirth (FOC). Methods: An randomized controlled trial (RCT) was conducted on 205 primipara mothers with an FOC attending Gynae OPD. At 24–28 weeks of pregnancy, mothers were screened for FOC WDEQ-A and then randomly allocated to the experimental (103) and control group (102) and assessed for decision conflict by using a decisional conflict scale. The experimental group was given Supportive educational intervention. At 37–38 weeks of pregnancy, both groups were again assessed for decision conflict. Three participants from the experimental and two from the control group were lost to follow up and the final post-test was completed by 200 participants. Data analysis was done by calculating frequency, mean, standard deviation, Fisher Exact test, chi-square, t-test and F-test using SPSS version 18. Results: There was a significantly lower post-intervention decision conflict score in the experimental group as compared to the control group ( p < .001). No difference was observed in the pre-test score in both groups. Conclusion: Supportive educational intervention was effective in primipara mothers for reducing decision conflict. Improving antenatal emotional well-being will lead to a positive childbirth experience with better perinatal outcomes.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":" 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140212093","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 : 2024-03-05DOI: 10.1177/0974150x241231367
Mandeep Kaur, Sukhpal Kaur, Aman Sharma, R. K. Sachdeva
HIV is a major health issue globally. Though highly effective antiretroviral therapy has improved the life expectancy, people living with HIV (PLHIV) suffer from many physical and psychological issues. The present study assessed perceived health status, quality of life (QOL) and treatment-seeking behaviour among PLHIV. The study was carried out among 75 PLHIV attending ART clinic of a tertiary care centre of North India. Convenience sampling technique was used. Ethical approval for the study was obtained from the Institute Ethics Committee. Participants were asked to rate their current state of health as perceived by them on a five-point scale ranging from poor to excellent. QOL was assessed by using WHOQOL-BREF (Hindi version). Treatment-seeking behaviour was assessed by a structured questionnaire developed by researchers. A total of 45.3% ( n = 34) rated it as fair, 22.7% ( n = 17) rated it as good 13.3% ( n = 10) rated it as poor, 10.7% ( n = 8) rated it as excellent and 8% ( n = 6) rated it as very good. QOL score was highest in physical health domain with a mean ± S.D. of 12.3 ± 4.1 (median 13) and lowest in the social relationships domain with a mean of 8.6 ± 2.9 (median = 8) ( p = .001). Most common reason of going for HIV testing was being symptomatic ( n = 21) followed by spouse testing positive for HIV ( n = 19). HIV impacts QOL of the PLHIV and treatment-seeking behaviour varies among the patients. There is a need to develop a multilevel approach involving all the stakeholders including patient, family and society.
{"title":"Perceived Health Status, Quality of \u2028Life and Treatment-Seeking \u2028Behaviour Among People Living with HIV/AIDS (PLHIV) Attending Antiretroviral Therapy Clinic at a Tertiary Care Centre of North India","authors":"Mandeep Kaur, Sukhpal Kaur, Aman Sharma, R. K. Sachdeva","doi":"10.1177/0974150x241231367","DOIUrl":"https://doi.org/10.1177/0974150x241231367","url":null,"abstract":"HIV is a major health issue globally. Though highly effective antiretroviral therapy has improved the life expectancy, people living with HIV (PLHIV) suffer from many physical and psychological issues. The present study assessed perceived health status, quality of life (QOL) and treatment-seeking behaviour among PLHIV. The study was carried out among 75 PLHIV attending ART clinic of a tertiary care centre of North India. Convenience sampling technique was used. Ethical approval for the study was obtained from the Institute Ethics Committee. Participants were asked to rate their current state of health as perceived by them on a five-point scale ranging from poor to excellent. QOL was assessed by using WHOQOL-BREF (Hindi version). Treatment-seeking behaviour was assessed by a structured questionnaire developed by researchers. A total of 45.3% ( n = 34) rated it as fair, 22.7% ( n = 17) rated it as good 13.3% ( n = 10) rated it as poor, 10.7% ( n = 8) rated it as excellent and 8% ( n = 6) rated it as very good. QOL score was highest in physical health domain with a mean ± S.D. of 12.3 ± 4.1 (median 13) and lowest in the social relationships domain with a mean of 8.6 ± 2.9 (median = 8) ( p = .001). Most common reason of going for HIV testing was being symptomatic ( n = 21) followed by spouse testing positive for HIV ( n = 19). HIV impacts QOL of the PLHIV and treatment-seeking behaviour varies among the patients. There is a need to develop a multilevel approach involving all the stakeholders including patient, family and society.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"109 19","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140079341","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 : 2024-02-08DOI: 10.1177/0974150x231225839
N. Rathina, Sunita Srivastava, Sarita Rawat
Background: Childbirth is a transformative process. Modern healthcare offers pharmacological and non-pharmacological interventions for safe and improved childbirth experience. Studies have found that maternal mobility during the first stage of labour has a significant effect on maternal and child outcomes. A pilot study was done to find the effect of mobility during the first stage of labour on maternal satisfaction and foetal outcome. Method: An experimental study was done with 60 primigravida women with uncomplicated antenatal history reporting to the labour room of a tertiary care government hospital in Delhi chosen as study participants. Validated and reliable tools were used to measure labour, maternal and neonatal outcomes within 24 h post-delivery. Results: The results showed that there was an impact on mobility intervention during the first stage of labour on parturition ( p = .03) and significant maternal satisfaction ( p = .001). However, the neonatal outcome of both groups was not significant. Conclusion: Mobility was an effective non-pharmacological intervention for enhancing parturition and maternal satisfaction. Mobility during the first stage of labour can be recommended for practice guidelines for all midwives in the labour room as a protocol.
{"title":"Mobility as an Effective Nonpharmacological Method for Parturition: A Pilot Study","authors":"N. Rathina, Sunita Srivastava, Sarita Rawat","doi":"10.1177/0974150x231225839","DOIUrl":"https://doi.org/10.1177/0974150x231225839","url":null,"abstract":"Background: Childbirth is a transformative process. Modern healthcare offers pharmacological and non-pharmacological interventions for safe and improved childbirth experience. Studies have found that maternal mobility during the first stage of labour has a significant effect on maternal and child outcomes. A pilot study was done to find the effect of mobility during the first stage of labour on maternal satisfaction and foetal outcome. Method: An experimental study was done with 60 primigravida women with uncomplicated antenatal history reporting to the labour room of a tertiary care government hospital in Delhi chosen as study participants. Validated and reliable tools were used to measure labour, maternal and neonatal outcomes within 24 h post-delivery. Results: The results showed that there was an impact on mobility intervention during the first stage of labour on parturition ( p = .03) and significant maternal satisfaction ( p = .001). However, the neonatal outcome of both groups was not significant. Conclusion: Mobility was an effective non-pharmacological intervention for enhancing parturition and maternal satisfaction. Mobility during the first stage of labour can be recommended for practice guidelines for all midwives in the labour room as a protocol.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"65 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139895596","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 : 2024-01-10DOI: 10.1177/0974150x231219072
Ankita, Sukhpal Kaur, N. Singh, Ashutosh Aggarwal
Bronchial asthma is a non-communicable disease demanding long-term adherence to medical treatment and self-management. The effectiveness of a Nurse-Led Clinic for the management of long-term illness is well established. In our setup, we intend to establish a Nurse-Led Clinic. Before establishing one, it is essential to explore stakeholders’ perspectives on the feasibility of a Nurse-Led Clinic for the self-management of bronchial asthma. The study was done to explore stakeholders’ opinions on the Nurse-Led Clinic’s feasibility for the self-management of bronchial asthma. Five doctors, six nurses, and 11 patients were taken as stakeholders using the purposive sampling technique. A pre-validated semi-structured opinionnaire having a Content Validity Index (CVI) of 0.82 was used. Face-to-face individual interviews were conducted. The data triangulation and dependability were ensured. After the thematic analysis, themes were categorized into two sections based on the common and different questions for all the stakeholders. The major themes of both sections were as follows: Nurse-Led Clinic-A perceived helpful initiative, strengthening the Nurse-Led Clinic, current obstacles/restorative measures in the management of bronchial asthma, a glance at the current scenario, patient satisfaction with doctors’ consultation, and challenges Nurse-Led Clinic may face and related remedial measures. All stakeholders favored the idea of a Nurse-Led Clinic for the self-management of bronchial asthma.
{"title":"Opinion of Stakeholder on the Feasibility of a Nurse-Led Clinic for Self-management of Bronchial Asthma in a Tertiary Care Center: North Zone Study (India)","authors":"Ankita, Sukhpal Kaur, N. Singh, Ashutosh Aggarwal","doi":"10.1177/0974150x231219072","DOIUrl":"https://doi.org/10.1177/0974150x231219072","url":null,"abstract":"Bronchial asthma is a non-communicable disease demanding long-term adherence to medical treatment and self-management. The effectiveness of a Nurse-Led Clinic for the management of long-term illness is well established. In our setup, we intend to establish a Nurse-Led Clinic. Before establishing one, it is essential to explore stakeholders’ perspectives on the feasibility of a Nurse-Led Clinic for the self-management of bronchial asthma. The study was done to explore stakeholders’ opinions on the Nurse-Led Clinic’s feasibility for the self-management of bronchial asthma. Five doctors, six nurses, and 11 patients were taken as stakeholders using the purposive sampling technique. A pre-validated semi-structured opinionnaire having a Content Validity Index (CVI) of 0.82 was used. Face-to-face individual interviews were conducted. The data triangulation and dependability were ensured. After the thematic analysis, themes were categorized into two sections based on the common and different questions for all the stakeholders. The major themes of both sections were as follows: Nurse-Led Clinic-A perceived helpful initiative, strengthening the Nurse-Led Clinic, current obstacles/restorative measures in the management of bronchial asthma, a glance at the current scenario, patient satisfaction with doctors’ consultation, and challenges Nurse-Led Clinic may face and related remedial measures. All stakeholders favored the idea of a Nurse-Led Clinic for the self-management of bronchial asthma.","PeriodicalId":516964,"journal":{"name":"Nursing & Midwifery Research Journal","volume":"11 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140511023","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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