Ultrasound is a safe diagnostic tool used in pregnancy to detect significant causes of foeto-maternal mortality. We explored the reasons for an obstetric scan in 400 randomly selected pregnant women attending a low-cost ultrasound centre in Nigeria. We used a cross-sectional analysis using a structured interviewer-administered questionnaire.The results showed that the participants were aged 27.37±5.96 years, 76% literate, 68.5% Muslims, 50.5% small-scale self-employees, and 31.45% grand-multiparous. The reasons for an obstetric scan were foetal well-being (44.2%), referral by a health worker (34%), gender determination (9.7%), vaginal bleeding (4.8%), confirmation of pregnancy (2.6%), due-date determination (2.5%), foetal weight estimation (2.1%), and foetal number (0.1%). Spouse education with foetal wellbeing (p = .001), gender determination (p = .002), and dating of gestation (p = .002); participants’ occupation with referral by a health worker (p = .026) and confirmation of pregnancy (p = .044); spouse occupation with foetal wellbeing (p = .004) and vaginal bleeding (p < .001); daily household income with referral by a health worker (p < .001) and pregnancy dating (p = .005); and religion with gender determination (p = .007). Health education and improved access to ultrasound services will go a long way in improving maternal/child health.
{"title":"Reasons for Obstetric Scan Among Pregnant Women in Keffi, Nigeria: A Cross-Sectional Study of a Low-Cost Ultrasound Centre","authors":"I. Yakubu, Srikanta Banerjee","doi":"10.20849/ijsn.v5i4.843","DOIUrl":"https://doi.org/10.20849/ijsn.v5i4.843","url":null,"abstract":"Ultrasound is a safe diagnostic tool used in pregnancy to detect significant causes of foeto-maternal mortality. We explored the reasons for an obstetric scan in 400 randomly selected pregnant women attending a low-cost ultrasound centre in Nigeria. We used a cross-sectional analysis using a structured interviewer-administered questionnaire.The results showed that the participants were aged 27.37±5.96 years, 76% literate, 68.5% Muslims, 50.5% small-scale self-employees, and 31.45% grand-multiparous. The reasons for an obstetric scan were foetal well-being (44.2%), referral by a health worker (34%), gender determination (9.7%), vaginal bleeding (4.8%), confirmation of pregnancy (2.6%), due-date determination (2.5%), foetal weight estimation (2.1%), and foetal number (0.1%). Spouse education with foetal wellbeing (p = .001), gender determination (p = .002), and dating of gestation (p = .002); participants’ occupation with referral by a health worker (p = .026) and confirmation of pregnancy (p = .044); spouse occupation with foetal wellbeing (p = .004) and vaginal bleeding (p < .001); daily household income with referral by a health worker (p < .001) and pregnancy dating (p = .005); and religion with gender determination (p = .007). Health education and improved access to ultrasound services will go a long way in improving maternal/child health.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"64 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"84001926","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}
Marina Celly Martins Ribeiro de Souza, D. B. R. Silva, Natália de Cássia Horta, Júnia Andressa Rodrigues Melgaço, L. Martins, C. Borges
The aim of this research was to analyze the perceptions on the quality of life of caregivers who care for older adults with Alzheimer's disease. This study was conducted in the municipality of Betim, located in the metropolitan area of Belo Horizonte, Brazil. Thirty-two interviews were conducted with formal and informal caregivers. Data were organized into two empirical categories which affect the quality of life of caregivers: 1) older adult’s familial support, and 2) the burden of caregiver’s extensive workload. Results indicate that the quality of life of a caregiver can be elevated and improved through social support services provided by healthcare professionals, as well as health and social policies which allow a stronger support of caregivers through governmental programs.
{"title":"Perceptions on the Quality of Life of Caregivers Caring for Older Adults With Alzheimer's Disease in Brazil: An Urgent Need for Social and Health Policies","authors":"Marina Celly Martins Ribeiro de Souza, D. B. R. Silva, Natália de Cássia Horta, Júnia Andressa Rodrigues Melgaço, L. Martins, C. Borges","doi":"10.20849/ijsn.v5i4.844","DOIUrl":"https://doi.org/10.20849/ijsn.v5i4.844","url":null,"abstract":"The aim of this research was to analyze the perceptions on the quality of life of caregivers who care for older adults with Alzheimer's disease. This study was conducted in the municipality of Betim, located in the metropolitan area of Belo Horizonte, Brazil. Thirty-two interviews were conducted with formal and informal caregivers. Data were organized into two empirical categories which affect the quality of life of caregivers: 1) older adult’s familial support, and 2) the burden of caregiver’s extensive workload. Results indicate that the quality of life of a caregiver can be elevated and improved through social support services provided by healthcare professionals, as well as health and social policies which allow a stronger support of caregivers through governmental programs.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"12 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-12-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77781494","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}
Yukiko Kawano, S. Demura, Yoshiharu Tanaka, Yoshimasa Matsuura
Background: Care workers have been considered to have higher work-related stress than general workers, which can have a considerable effect on their lifestyle. Hence, psychological and physiological stress levels should be examined. While several studies have investigated psychological stress among care workers, none have examined physiological stress. In addition, very few studies have been investigated the relationship between lifestyle and physiological stress.Aims: This study aimed to examine the relationship between health/lifestyle and physiological stress among female care workers and general workers and identify differences therein.Methods: Subjects included 30 workers (average age: 49.8) and 33 general workers (average age: 51.9). No significant difference in their age was noted. The “Diagnostic Inventory of Health and Life Habit” developed by Tokunaga et al. was used to examine lifestyle habits. Physiological stress was examined by measuring diacron-reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP) using FRAS4 manufactured by WISMERLL Co., Ltd. during the subjects’ working hours.Results: Care workers were taller, heavier, woke up later, and slept longer than general workers. Both care workers and general workers had average health/lifestyle parameter scores that fell within the “moderate” category, with no differences between both groups. Both care workers and general workers had a poor health rating and were evaluated as “caution required,” which indicated undesirable lifestyle habits. No significant differences in d-ROMs and BAP were observed between both groups, many of whom fell under the “high oxidative stress” category for d-ROMs and “borderline” for BAP. Regarding the relationship between d-ROMs and BAP values and health/lifestyle parameters, our results found some relationship between exercise habits and d-ROMs only among care workers.Conclusion: General workers and care workers included herein had similarly poor health levels and undesirable lifestyle habits. Moreover, both groups were both had high d-ROM and normal BAP levels, with no significant differences in both indexes. Several care workers confirmed to have high d-ROMs tended to not participate in sport activities or exercise and did not to expect to benefit from them.
{"title":"Study on Health/Lifestyle, Oxidative Stress, and Antioxidant Capacity Among Female Care Workers and Female General Workers","authors":"Yukiko Kawano, S. Demura, Yoshiharu Tanaka, Yoshimasa Matsuura","doi":"10.20849/ijsn.v5i3.785","DOIUrl":"https://doi.org/10.20849/ijsn.v5i3.785","url":null,"abstract":"Background: Care workers have been considered to have higher work-related stress than general workers, which can have a considerable effect on their lifestyle. Hence, psychological and physiological stress levels should be examined. While several studies have investigated psychological stress among care workers, none have examined physiological stress. In addition, very few studies have been investigated the relationship between lifestyle and physiological stress.Aims: This study aimed to examine the relationship between health/lifestyle and physiological stress among female care workers and general workers and identify differences therein.Methods: Subjects included 30 workers (average age: 49.8) and 33 general workers (average age: 51.9). No significant difference in their age was noted. The “Diagnostic Inventory of Health and Life Habit” developed by Tokunaga et al. was used to examine lifestyle habits. Physiological stress was examined by measuring diacron-reactive oxygen metabolites (d-ROMs) and biological antioxidant potential (BAP) using FRAS4 manufactured by WISMERLL Co., Ltd. during the subjects’ working hours.Results: Care workers were taller, heavier, woke up later, and slept longer than general workers. Both care workers and general workers had average health/lifestyle parameter scores that fell within the “moderate” category, with no differences between both groups. Both care workers and general workers had a poor health rating and were evaluated as “caution required,” which indicated undesirable lifestyle habits. No significant differences in d-ROMs and BAP were observed between both groups, many of whom fell under the “high oxidative stress” category for d-ROMs and “borderline” for BAP. Regarding the relationship between d-ROMs and BAP values and health/lifestyle parameters, our results found some relationship between exercise habits and d-ROMs only among care workers.Conclusion: General workers and care workers included herein had similarly poor health levels and undesirable lifestyle habits. Moreover, both groups were both had high d-ROM and normal BAP levels, with no significant differences in both indexes. Several care workers confirmed to have high d-ROMs tended to not participate in sport activities or exercise and did not to expect to benefit from them.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"6 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"91238266","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: Stroke is a debilitating neurological disorder, which causes multiple physical and psychosocial challenges to people surviving a stroke. Effective discharge planning program is an active process beginning in hospitalization care and has a goal of returning to the community and aims at assisting the patients to recapture their functional independence and to return to an active and productive lifestyle. Aim: was to evaluate effect of a design discharge planning program for stroke patients on their quality of life and activity of daily living. Research design: Quasi experimental design was utilized to fulfill the aim of this study. Setting: The study was conducted at the stroke department and stroke outpatient clinics affiliated to Benha University Hospital. Sample: A convenience sample of 50 patients admitted at the above mentioned setting and diagnosed with stroke. Tools: Three tools were used: I-Patients Interviewing questionnaire sheet; II-Stroke Specific Quality of Life Scale and III- Barthel Index for Activities of Daily Living. Results: the present study revealed that (a) the mean total and subtotal knowledge scores of stroke patients were increased immediately after implementing a design discharge planning program with statistical significant difference compared to pre implementation. (b) The mean total and subtotal quality of life scores were higher after implementing discharge planning program with a high statistical significant difference compared to pre implementation. (c) The mean total and subtotal activity of daily living scores were higher after implementing discharge planning program with a high statistical significant difference compared to pre implementation. (d) There were a positive correlation between patients' knowledge, quality of life and activity of daily living with a statistical significant difference. So, all research hypotheses of the study were supported. Conclusion: Applying a design discharge planning program had statistically significant improvement on knowledge, quality of life and activity of daily living for studied patients. Recommendations: replication of this study on a larger probability sample and evaluating its impact on health outcomes among stroke patients.
{"title":"Effect of a Design Discharge Planning Program for Stroke Patients on Their Quality of Life and Activity of Daily Living","authors":"A. S. Taha, R. Ibrahim","doi":"10.20849/ijsn.v5i1.724","DOIUrl":"https://doi.org/10.20849/ijsn.v5i1.724","url":null,"abstract":"Background: Stroke is a debilitating neurological disorder, which causes multiple physical and psychosocial challenges to people surviving a stroke. Effective discharge planning program is an active process beginning in hospitalization care and has a goal of returning to the community and aims at assisting the patients to recapture their functional independence and to return to an active and productive lifestyle. Aim: was to evaluate effect of a design discharge planning program for stroke patients on their quality of life and activity of daily living. Research design: Quasi experimental design was utilized to fulfill the aim of this study. Setting: The study was conducted at the stroke department and stroke outpatient clinics affiliated to Benha University Hospital. Sample: A convenience sample of 50 patients admitted at the above mentioned setting and diagnosed with stroke. Tools: Three tools were used: I-Patients Interviewing questionnaire sheet; II-Stroke Specific Quality of Life Scale and III- Barthel Index for Activities of Daily Living. Results: the present study revealed that (a) the mean total and subtotal knowledge scores of stroke patients were increased immediately after implementing a design discharge planning program with statistical significant difference compared to pre implementation. (b) The mean total and subtotal quality of life scores were higher after implementing discharge planning program with a high statistical significant difference compared to pre implementation. (c) The mean total and subtotal activity of daily living scores were higher after implementing discharge planning program with a high statistical significant difference compared to pre implementation. (d) There were a positive correlation between patients' knowledge, quality of life and activity of daily living with a statistical significant difference. So, all research hypotheses of the study were supported. Conclusion: Applying a design discharge planning program had statistically significant improvement on knowledge, quality of life and activity of daily living for studied patients. Recommendations: replication of this study on a larger probability sample and evaluating its impact on health outcomes among stroke patients.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"68 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2020-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"86896527","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}
Chia-Shan Wu, J. Rong, W. Liao, Hsun-Wen Chang, Wei-Na Hsu
Aims: Young nursing students who are engaged in psychiatric nursing practice for the first time have many difficulties. In order to help students learn how to care for elderly patients with mental illness, this study explored student perceptions, evaluated clinical learning experiences using qualitative research methods, and assessed the experiences of student nurses in caring for elderly patients with schizophrenia in Taiwan.Methods: The data presented in this study were derived from an qualitative study based on a phenomenological approach. The 20 participants were selected from the students of a nursing college in Taiwan. Individual in-depth interviews were held with nursing students, these students were selected from the fourth-years of nursing college of associate degree. The mean age of all of the participants were 18.7(±0.46).Results: Colaizzi's analysis method was used to analyze the data. Six main themes were obtained: (1) Assessing clinical problems associated with psychiatric disorders and geriatric diseases; (2) Preparing for and engaging with the clinical internship environment; (3) Establishing relationships with elderly patients; (4) Participating in clinical learning and applying nursing knowledge and skills; (5) Shaping a good attitude towards elderly schizophrenia patients; (6) Gaining confidence in the internship process.Conclusions: Although nursing students lack clinical knowledge and situational experience in geriatric psychiatric nursing, nursing teachers need to help students be more perceptive and evaluate their clinical learning experiences, and to express themselves and reflect on the process of care delivery to hospitalized elderly patients with schizophrenia.
{"title":"The Clinical Learning Experiences of Nursing Students Caring for Elderly Schizophrenia Inpatients","authors":"Chia-Shan Wu, J. Rong, W. Liao, Hsun-Wen Chang, Wei-Na Hsu","doi":"10.20849/ijsn.v4i4.660","DOIUrl":"https://doi.org/10.20849/ijsn.v4i4.660","url":null,"abstract":"Aims: Young nursing students who are engaged in psychiatric nursing practice for the first time have many difficulties. In order to help students learn how to care for elderly patients with mental illness, this study explored student perceptions, evaluated clinical learning experiences using qualitative research methods, and assessed the experiences of student nurses in caring for elderly patients with schizophrenia in Taiwan.Methods: The data presented in this study were derived from an qualitative study based on a phenomenological approach. The 20 participants were selected from the students of a nursing college in Taiwan. Individual in-depth interviews were held with nursing students, these students were selected from the fourth-years of nursing college of associate degree. The mean age of all of the participants were 18.7(±0.46).Results: Colaizzi's analysis method was used to analyze the data. Six main themes were obtained: (1) Assessing clinical problems associated with psychiatric disorders and geriatric diseases; (2) Preparing for and engaging with the clinical internship environment; (3) Establishing relationships with elderly patients; (4) Participating in clinical learning and applying nursing knowledge and skills; (5) Shaping a good attitude towards elderly schizophrenia patients; (6) Gaining confidence in the internship process.Conclusions: Although nursing students lack clinical knowledge and situational experience in geriatric psychiatric nursing, nursing teachers need to help students be more perceptive and evaluate their clinical learning experiences, and to express themselves and reflect on the process of care delivery to hospitalized elderly patients with schizophrenia. ","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"23 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"87626394","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: Infertility, although not а life-threatening illness, is а life crisis that leads to medical, psychological, social and ethical issues. Male infertility is а neglected area of research, particularly, in Upper Egypt. Most of the studies carried out on this issue, mainly, focused on the etiological factors associated with infertility. The vast majority of researcher studied infertility as а causative or result of psychological aspects but little study psychological aspects as reactive or effect of infertility. Aim: This study shed some light on the extent of psychological repercussions, which was negatively impacted on through the male infertility experience, in Northern Upper Egypt. Method: Α descriptive cross-sectional study was performed on 50 infertile men in governmental hospitals in Fayoum, Egypt. Α structured questionnaire comprises 2 parts was used: (1) sociodemographic characteristics, participants’ lifestyle, and sexual behavior & infertility history, (2) Depression-Anxiety-Stress-Scаle-42 (DΑЅЅ 42). Results: The results of the present study portrayed that 42% of the studied subjects were having а sever level of depression. However, 36.0% had а moderate level of anxiety. Moreover, 46.0% of the subject had severe tension. To sum up, infertility hаs many implicаtions for the psychologicаl state of infertile men. Men’s psychosociаl status was influenced by the type and duration of infertility treatment. Conclusion: Concluding we will hаve to аdmit that Upper Egyptiаn men аppeаr to develop psychologicаl distress when fаcing infertility аnd thаt this is а construct overly influenced by sociodemogrаphic chаracteristics, lifestyle аnd sexual pаttern supported by our reseаrch results. Recommendations: Our findings reinforce the need for аndrologist, gynecologist, and infertility speciаlist аnd health cаre sectors аs well аs psychologicаl professionals to look for psychosociаl issues in men undergoing infertility treаtment. Further reseаrch is needed to understаnd the аssociation between psychosociаl issues аnd fertility outcomes, аs well аs effective psychosociаl interventions.
{"title":"Male Infertility and Psychological Repercussions: Α Neglected Problem in Northern Upper Egypt","authors":"W. Gamel, H. Hassan, Alyaa Abdallah El-ezazy","doi":"10.20849/ijsn.v4i4.654","DOIUrl":"https://doi.org/10.20849/ijsn.v4i4.654","url":null,"abstract":"Background: Infertility, although not а life-threatening illness, is а life crisis that leads to medical, psychological, social and ethical issues. Male infertility is а neglected area of research, particularly, in Upper Egypt. Most of the studies carried out on this issue, mainly, focused on the etiological factors associated with infertility. The vast majority of researcher studied infertility as а causative or result of psychological aspects but little study psychological aspects as reactive or effect of infertility. Aim: This study shed some light on the extent of psychological repercussions, which was negatively impacted on through the male infertility experience, in Northern Upper Egypt. Method: Α descriptive cross-sectional study was performed on 50 infertile men in governmental hospitals in Fayoum, Egypt. Α structured questionnaire comprises 2 parts was used: (1) sociodemographic characteristics, participants’ lifestyle, and sexual behavior & infertility history, (2) Depression-Anxiety-Stress-Scаle-42 (DΑЅЅ 42). Results: The results of the present study portrayed that 42% of the studied subjects were having а sever level of depression. However, 36.0% had а moderate level of anxiety. Moreover, 46.0% of the subject had severe tension. To sum up, infertility hаs many implicаtions for the psychologicаl state of infertile men. Men’s psychosociаl status was influenced by the type and duration of infertility treatment. Conclusion: Concluding we will hаve to аdmit that Upper Egyptiаn men аppeаr to develop psychologicаl distress when fаcing infertility аnd thаt this is а construct overly influenced by sociodemogrаphic chаracteristics, lifestyle аnd sexual pаttern supported by our reseаrch results. Recommendations: Our findings reinforce the need for аndrologist, gynecologist, and infertility speciаlist аnd health cаre sectors аs well аs psychologicаl professionals to look for psychosociаl issues in men undergoing infertility treаtment. Further reseаrch is needed to understаnd the аssociation between psychosociаl issues аnd fertility outcomes, аs well аs effective psychosociаl interventions.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"90797654","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}
The pattern of infant feeding during the first six months has a significant influence on the infant’s health outcomes. Unfortunately, many mothers find it difficult to satisfy their goal of exclusive breastfeeding, despite a higher rate in the initiation of breastfeeding. This narrative review aims to explore the literature for barriers linked with exclusive breastfeeding. Using appropriate search terms, the scholarly database was searched for relevant articles that met the review objective. The preponderance of current evidence strongly suggests that exclusivity in breastfeeding is possible by taking steps to reduce the barriers faced by the mothers. This article will provide an overview for nurses who care for women during the intrapartum and postpartum period to understand the obstacles and to promote breastfeeding self-efficacy and exclusiveness.
{"title":"Exclusive Breastfeeding: Dream to Achieve, Hurdles to Overcome","authors":"Nisha Nair","doi":"10.20849/ijsn.v4i4.658","DOIUrl":"https://doi.org/10.20849/ijsn.v4i4.658","url":null,"abstract":"The pattern of infant feeding during the first six months has a significant influence on the infant’s health outcomes. Unfortunately, many mothers find it difficult to satisfy their goal of exclusive breastfeeding, despite a higher rate in the initiation of breastfeeding. This narrative review aims to explore the literature for barriers linked with exclusive breastfeeding. Using appropriate search terms, the scholarly database was searched for relevant articles that met the review objective. The preponderance of current evidence strongly suggests that exclusivity in breastfeeding is possible by taking steps to reduce the barriers faced by the mothers. This article will provide an overview for nurses who care for women during the intrapartum and postpartum period to understand the obstacles and to promote breastfeeding self-efficacy and exclusiveness.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"226 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"77442651","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}
BackgroundHealth care professionals find themselves participating in insignificant events in human existence such as birth, pain, and death which is a privilege but also poses challenges as this participation involves decisions that can be life-changing and having an effect on everyone involved. The study aimed to explore moral distress within the context of Saudi Arabia.MethodologyA simple qualitative design was used with a research paradigm of constructivism. Data collection included in-depth interviews with five critical care nurses who were purposively sampled. The setting for the study was the critical care units at King Abdul- Aziz Medical City- Jeddah. Data analysis included content analysis. Principles of academic rigor were followed.FindingsTwo themes emerged from this study with various subthemes. Theme 1: Turning away from nursing obligations: hands are tied, the burden of workload, no voice, not honoring oath; Theme 2: Bad practice: hierarchy in practice and feeling guilty.ConclusionsThis study highlights that moral distress within critical care units is a real problem that impacts on critical care nurses' physical and psychological stress. Health care institutions should mobilize resources to reduce these effects on critical care nurses and other health care professionals.
{"title":"Moral Distress in Critical Care Nurses: A Qualitative Study","authors":"H. Rawas","doi":"10.20849/ijsn.v4i4.659","DOIUrl":"https://doi.org/10.20849/ijsn.v4i4.659","url":null,"abstract":"BackgroundHealth care professionals find themselves participating in insignificant events in human existence such as birth, pain, and death which is a privilege but also poses challenges as this participation involves decisions that can be life-changing and having an effect on everyone involved. The study aimed to explore moral distress within the context of Saudi Arabia.MethodologyA simple qualitative design was used with a research paradigm of constructivism. Data collection included in-depth interviews with five critical care nurses who were purposively sampled. The setting for the study was the critical care units at King Abdul- Aziz Medical City- Jeddah. Data analysis included content analysis. Principles of academic rigor were followed.FindingsTwo themes emerged from this study with various subthemes. Theme 1: Turning away from nursing obligations: hands are tied, the burden of workload, no voice, not honoring oath; Theme 2: Bad practice: hierarchy in practice and feeling guilty.ConclusionsThis study highlights that moral distress within critical care units is a real problem that impacts on critical care nurses' physical and psychological stress. Health care institutions should mobilize resources to reduce these effects on critical care nurses and other health care professionals.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"8 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"89370486","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: Breast cancer (BC) is the most common cancer and the second cause of cancer deaths in women worldwide as well as in Nigeria .The incidence of the disease appears to be rising faster in a population groups which had hitherto enjoyed low incidence, with the peak age of breast cancer in Nigerian women being about ten years earlier than CaucasiansAim: This study investigated the practice of BSE and its possible barriers among women in a rural community in South Western area of Oyo State; Nigeria.Study design: The study utilized Participatory Action Research (PAR) design using purposive and cross sectional sampling technique for survey and 95 women for the focus group discussion. The PAR framework involves four phases: Observe, Reflect, Plan and Act. Structured questionnaire was used for phase one, and A - 3 session FGD was used for phases on Reflect and Plan. Data was analyzed using the SPSS version 21, while content analysis for FGD to identify common themes.Results: The study reveals that 75.1% had no knowledge of breast self-examination at all while only 24.9% had knowledge of what BSE, their sources of information was majorly health Professionals ( 47.5%), electronic media (21.4%), . 76.5%) did not practice BSE. Also, about 77% of the respondents expressed one form of barrier or another to BSE practice. Major barriers to the practice of BSE identified are revealed based on these themes: - ‘knowledge/awareness of BSE’, ‘practice and appeal for intervention’, and ‘misconceptions and fear of being diagnosed’.Conclusion: More than half of the participants do not practiced BSE. Some socio demographic significantly influenced the practice of the BSE. Lack of knowledge, not having any symptoms, myths and being afraid of being diagnosed with breast cancer were the main barriers to practicing BSE. There is need to develop a continuous awareness campaign among rural women on the importance of performing BSE.
{"title":"Practice and Barriers of Breast Self-Examination Among Women in a Rural Community in South Western, Nigeria","authors":"V. Hanson, R. A. El-kader, R. Ilesanmi","doi":"10.20849/IJSN.V4I3.588","DOIUrl":"https://doi.org/10.20849/IJSN.V4I3.588","url":null,"abstract":"Background: Breast cancer (BC) is the most common cancer and the second cause of cancer deaths in women worldwide as well as in Nigeria .The incidence of the disease appears to be rising faster in a population groups which had hitherto enjoyed low incidence, with the peak age of breast cancer in Nigerian women being about ten years earlier than CaucasiansAim: This study investigated the practice of BSE and its possible barriers among women in a rural community in South Western area of Oyo State; Nigeria.Study design: The study utilized Participatory Action Research (PAR) design using purposive and cross sectional sampling technique for survey and 95 women for the focus group discussion. The PAR framework involves four phases: Observe, Reflect, Plan and Act. Structured questionnaire was used for phase one, and A - 3 session FGD was used for phases on Reflect and Plan. Data was analyzed using the SPSS version 21, while content analysis for FGD to identify common themes.Results: The study reveals that 75.1% had no knowledge of breast self-examination at all while only 24.9% had knowledge of what BSE, their sources of information was majorly health Professionals ( 47.5%), electronic media (21.4%), . 76.5%) did not practice BSE. Also, about 77% of the respondents expressed one form of barrier or another to BSE practice. Major barriers to the practice of BSE identified are revealed based on these themes: - ‘knowledge/awareness of BSE’, ‘practice and appeal for intervention’, and ‘misconceptions and fear of being diagnosed’.Conclusion: More than half of the participants do not practiced BSE. Some socio demographic significantly influenced the practice of the BSE. Lack of knowledge, not having any symptoms, myths and being afraid of being diagnosed with breast cancer were the main barriers to practicing BSE. There is need to develop a continuous awareness campaign among rural women on the importance of performing BSE.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"39 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"76637451","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: Menstrual disorders are the most frequent gynecological diagnoses among young girls.Aim: This study was conducted to investigate whether physical activity could reduce menstrual disorders among schoolgirls.Methods: In this cross-sectional study, 970 schoolgirls in Southern Egypt were assessed, using a questionnaire, for their socio-demographic characteristics, gynecological history, physical activity, and menstruаl disorders during the previous 6 months. Results: The mean аge of schoolgirls was 15.5 ± 0.8 yeаrs, menarche аge 13.2 ± 1.2 years, menstrual cycle durаtion 28.8 ± 7.3 dаys, and 76.1% were circumcised. After аdjustment for the socio-demographic and gynecological variables, physical activity wаs shown to be not associated with all premenstrual symptoms аnd dysmenorrheа (р -value > 0.05).Conclusion: No substantial associаtions between physical activities and menstruаl/premenstrualal symptoms can be concluded.Recommendations: Future cohort and interventional studies are needed to explain whether the risk of dysmenorrhea and premenstrual symptoms can be reduced by physical activity.
{"title":"Physical Activity and Menstrual Disorders Аmong School Girls in Southern Egypt","authors":"H. Hassan, Walaa Fathy Mohamed Ahmed, A. Arafa","doi":"10.20849/IJSN.V4I3.614","DOIUrl":"https://doi.org/10.20849/IJSN.V4I3.614","url":null,"abstract":"Introduction: Menstrual disorders are the most frequent gynecological diagnoses among young girls.Aim: This study was conducted to investigate whether physical activity could reduce menstrual disorders among schoolgirls.Methods: In this cross-sectional study, 970 schoolgirls in Southern Egypt were assessed, using a questionnaire, for their socio-demographic characteristics, gynecological history, physical activity, and menstruаl disorders during the previous 6 months. Results: The mean аge of schoolgirls was 15.5 ± 0.8 yeаrs, menarche аge 13.2 ± 1.2 years, menstrual cycle durаtion 28.8 ± 7.3 dаys, and 76.1% were circumcised. After аdjustment for the socio-demographic and gynecological variables, physical activity wаs shown to be not associated with all premenstrual symptoms аnd dysmenorrheа (р -value > 0.05).Conclusion: No substantial associаtions between physical activities and menstruаl/premenstrualal symptoms can be concluded.Recommendations: Future cohort and interventional studies are needed to explain whether the risk of dysmenorrhea and premenstrual symptoms can be reduced by physical activity.","PeriodicalId":93573,"journal":{"name":"International journal of studies in nursing","volume":"90 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2019-06-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"88276851","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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