Nursing Journal of India

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Assessment of the Knowledge and Reported Practice of CovidAppropriate Behaviour in a Selected Urban Community in Delhi
(Trained Nurses Association of India, 2022-04) Negi, Aastha
Life is getting back to 'ldquo;new normal'rdquo; with chaos giving rise to an order. Crowds are building up, public places are being thronged and festivals are relished as earlier. Kerala being the fi rst State to report zero cases amongst all other states suddenly witnessed a surge in Covid-19 cases and, and was later responsible for 64.2 percent cases of India. Such instances reinforce the need to follow and implement Covid-appropriate behaviour. So, this community-based study was conducted to assess the awareness and insight of general population regarding Covid-appropriate behaviour using descriptive design. Two hundred (200) samples of selected urban community in the age group 10 to 85 years were taken by convenient sampling technique to assess the knowledge and reported practice regarding Covid-appropriate behaviour. A questionnaire was prepared on knowledge and reported practice based on an Illustrative guide provided by Ministry of Health & Family Welfare. Structured interview technique was used and data was collected and analysed by using descriptive statistics. Results revealed that 92 percent of sample population had knowledge that hand hygiene prevents transmission of Covid-19 while only 51 percent of them washed hands frequently; 43 percent of respondents knew about mandatory social distancing while only 25.5 percent always maintained social distance; 97 percent of participants were aware of symptoms of Covid-19 while only 66.5 percent claimed that they will report or contact the healthcare centre or health care professional if they have any of the mentioned symptoms of Covid. There was difference between knowledge and reported practice regarding Covid-appropriate behaviour.
Assessment of Suicide Risk and Potential Protective Factors among Patients Admitted at a Tertiary Mental Health Care Institute in Assam
(Trained Nurses Association of India, 2023-02) Ahmed, Nurnahar
Suicide is a major public health concern having a number of risk factors. Psychopathology is found to be one of the many protective factors of suicide. The current study intended to appraise the risks of attempting suicide and the presence of preventive factors among the patients admitted to tertiary mental health care setting. A total of 53 patients with mental illness care hospital in- cluded in the study. The risk of suicide was assessed with modified SAD PERSONS and Nurses'#39; Global Assessment of Suicide Risk tools and protective factors were assessed with the Reasons for Living inventory. The result showed that 13.3 percent of the admitted patients with mental illness had high risk of suicide and 3.8 percent very high risk of suicide requiring hospitalisation for the same. The participants had scored considerably higher in protective factors as described by the reasons for living inventory.
Opinion of Nurses on SWOT and Areas of Investment in Nursing
(Trained Nurses Association of India, 2023-02) Sudha, R; Kezia, R Joy
Nursing is the largest group in the health sector accounting for approximately 59 percent of health care professionals. Nurses play a key role in rendering preventive, promotive and rehabilitative health care services. The work of nurses at all stages of their careers and at every level of prac- tice is essential in achieving Sustainable Development Goals (SDGs). Hence an opinion on SWOT in nursing and the priority areas of investment was undertaken among nurses. A quantitative research approach and a descriptive survey design were used. This study was conducted among nurses working in educational institutions and hospitals. A non-probability convenient sampling technique and snowball sampling were used. The tool consisted of items to elicit demographic data of nurses and an opinion scale to elicit the nurses'#39; opinion about SWOT in Nursing. A rating scale was used to rate the opinion about priority areas of investment in Nursing. A Google form was developed and circulated to the nurses. A total of 213 responses were received. Incomplete responses were deleted and finally, 195 responses were included for final analysis. Both de- scriptive and inferential statistics were used. Permission from IEC and informed consent were obtained. Confidentiality was maintained. The results revealed that the majority of the nurses had high opinion by having agreement with the factors of SWOT in nursing and had high priority in the areas of investment.
A Study to Assess the Awareness on Covid Appropriate Behaviour Among General Public Visiting a Selected Hospital in Bengaluru
(Trained Nurses Association of India, 2022-04) Sreedharan, Divya; Florance, Maria
The coronavirus disease 2019 (Covid-19) is a contagious disease caused by SARS-COV-2 that was fi rst identifi ed in Wuhan, China. The World Health Organisation (WHO) declared its outbreak as a public health emergency of international concern on 30 January 2020, and a pandemic on 11 March 2020. WHO announced Covid-19 as the new disease on 11 February 2020. According to World Health statistics as in November 2021, around 24.9 crore new cases, and 50.3 lakh deaths were reported. The global number of new cases reported seems to be plateauing after increasing for nearly two months since mid-June 2021.
Patient Satisfaction: Key Strategies for Better Health Care Outcomes
(Trained Nurses Association of India, 2022-02) Parashar, Anil; Rawat, Varsha; Peter, Pastin P
Patient satisfaction is the key indicator for evaluation of health care system and measuring quality of care. It affects the quality of care and health outcome. Patient satisfaction is an alternate but an effective indicator to measure the success of nurses and health setting. Patient satisfaction is affected by various factors such as communication skill, interpersonal relationship, quality of care and behaviour of staff. Strategies like effective communication, transparency of health care-related information, empathetic hospital environment and prioritising quality outcome can be used for improving patient satisfaction. Meanwhile, nursing care is major component of healthcare services because nurse spends more time with patient in health care organisation. Therefore, measuring patient satisfaction with nursing care could be effective in improving quality of nursing services.
Effect of Covid-19 Pandemic on Formal Education of Primary School Children (6-11 Years) Studying in Selected Municipal Corporation Primary Schools of East Delhi
(Trained Nurses Association of India, 2022-04) Subbiah, Nanthini; Aggarwal, Priya; Kathuria, Bhawna
The sudden closure of schools in the Covid-19 pandemic has affected formal and informal education of the students especially belonging to socially disadvantaged groups. To explore the impact of this pandemic on the formal education of primary school children an online Google Meet Parent Teacher Meeting Survey was conducted after 16 months of school closure to learning pattern, reading material, reading frequency of Hindi and English, daily study, and its association with socio economic background. This web-based school study used descriptive design. A sample of parents of 400 students age group 6 to 11 years from fi ve selected schools of East Delhi Municipal Corporation available on Google Meet was selected through stratifi ed random sampling. Data was collected through a Structured Interview Schedule with closed ended multiple choice questions designed into Google doc forms and fi lled by researchers simultaneously during survey. Data was analysed using SPSS (26) software descriptive statistics. This study showed an increase in the variety of reading material availability for students as well as increased reading frequency per week of basic languages i.e., 33.8 percent to 90.3 percent for Hindi and 23 percent to 40.3 percent for English along with total study time per day, 39.2 percent to 78.6 percent. Further, guardian education and guardian income have a direct effect on reading frequency of primary school children and total study time during periods of lockdown. Parents'#39; engagement and sensitisation is required for problems faced by the students in adaptation to online education to reduce learning gap and improve outcomes of teaching-learning process due to lockdown and sudden school closure. Reading material can be provided to students to sustain their interest and reading ability during Covid-19 pandemic
A Cross-Sectional Study to Assess the Knowledge Regarding Rights and Responsibilities of Nurses at a Selected Tertiary Care Hospital
(Trained Nurses Association of India, 2023-02) Hansaram; Venkateshan, Latha; Jose, Josmy; Jose, Juliya; Kiran; Baby, Libi N; Kumar, Mukesh; Samyal, Neha; Yadav, Nidhi
.Health care system could not function efficiently, if nurses were not present to perform their part. Nurses do their work responsibly and passionately to serve the mankind and the needy ones. Sense of responsibility makes a person more accountable to their duty, while the knowledge of the rights gives personal security and confidence. It is essential for the nurses to be well aware of their rights and responsibilities to provide comprehensive care to the patients. A cross-sectional survey was carried out at AIIMS, New Delhi, to assess nurses'#39; knowledge regarding rights and responsibilities. Convenient sampling was used to select 210 samples from ICU, ward, OPD, OT and emergency department. Structured knowledge questionnaire was used to collect the data. The study found that nurses had good knowledge regarding nurse'#39;s rights (mean score 27'plusmn;3.7). Similarly the nurses were well aware of their responsibilities with mean knowledge score of 15'plusmn;1.29. Knowledge regarding the rights of the nurses was significantly associated with age (p=0.034), educational qualification (p=0.018) and years of experience (p=0.003) whereas knowl- edge regarding the responsibility of the nurses was independent of socio-demographic variables; 65.7 percent of subjects had attended empowerment programmes. To conclude, nurses were well aware about their rights and responsibilities. Formal educational and empowerment programme are proved to be helpful in enhancing their knowledge. Therefore, the employers should plan an ongoing, appropriate empowerment programme for the nurses to keep them updated.
Clinical Supervision by Staff Nurses; A Controversial Issue in Nursing Education - Views of Students and Staff Nurses
(Trained Nurses Association of India, 2022-02) Moktan, Manikala
The staff nurses in India have been supervising the Diploma nursing students since its inception and, a similar trend exist in Bhutan since 1982, when the fi rst batch of Diploma in Nursing and Midwifery training commenced. The primary focus of staff nurses is on clinical work, supervision is always secondary. The In-charge of the ward is given some teaching allowance by Faculty of Nursing & Public Health (FNPH) to supervise the students. The FNPH train Diploma nurses, para-medicals, health workers and the nurse educators are involved in teaching theory to them. Therefore, they cannot supervise nurse students regularly in clinical areas in best manner.
Work Stress and General Well-Being among Faculty Members of Selected Nursing Colleges in Kozhikode during Covid-19 Pandemic
(Trained Nurses Association of India, 2022-12) Varghese, Jibby; Ravindran, Rejina; Nair, Lithu G; PK, Neena; George, Roy K
A study was conducted to assess the correlation between work stress and general well-being among faculty members of selected nursing colleges at Kozhikode (Kerala) during Covid-19 pandemic. Quantitative approach with descriptive survey research design was adopted for the study. One hundred samples were selected using non-probability convenience sampling. Tools used in the study were questionnaire to assess socio-personal data, the standardised HSE Management Standards Indicator Tool to assess work stress and the standardised General Well-Being Survey. Data collected were analysed using descriptive and inferential statistics.
Challenges Faced and Lessons Learnt by Nursing Professionals during Covid-19 Pandemic in India: A Qualitative Content Analysis
(Trained Nurses Association of India, 2022-12) T, Rohini; Balachandran, Rathi
Nurses on the front lines of the health care faced a lot of personal and professional challenges during the delivery of patient care with Covid-19. Nevertheless, they learnt many lessons to provide quality patient care. Qualitative research describing these phenomena is comparatively rare. This study aimed to explore the challenges faced and lessons learnt by the nursing service department during the crisis of Covid-19 pandemic in India. In this inductive manifest content analysis, data emerging from 21 presentations done by Nursing professionals as a part of Ministry of Health and Family Welfare (MOHFW) Nursing Echo initiative for 'Capacity Building of Nursing professionals for Caring the patients during Covid-19 Pandemic' was used. Video-recorded presentations were condensed until a code was labelled to the meanings.The study also brought out four categories (modifying infrastructure to set up Covid care facility, collaboration, training and protocols, and improving welfare) and seven sub-categories related to lessons learnt by Nursing professionals. Nursing personnel in India demonstrated immense professional dedication and played an important role in patient’s recovery. A multifaceted support to nursing professionals from the government, policy makers and administrative body should be provided to safeguard their wellbeing and have them in ready to manage crisis
Patient Safety Challenge: Medication without Harm
(Trained Nurses Association of India, 2022-10) Venkatesan, Latha
Assessing Knowledge and Attitude of Staff Nurses regarding Perceived Benefits and Barriers of Investing in Nursing, in Selected Hospitals of Hyderabad to Develop an Information Handout on Methods of Improving Nursing Workforce
(Trained Nurses Association of India, 2023-02) Kalabathula, Keerthi; Joseph, Dhanya
Nursing workforce accounts for about 59 percent of health care professionals. Various benefits and barriers associated accrue to the organisations and individuals by investing in nursing. The barriers in investing in nursing include lack of resources, non-cooperation from the management and other health care professionals and lack of quality education. The main objective of the study was to assess the knowledge and attitude of staff nurses regarding the perceived benefits and barriers regarding investing in nursing and correlating them followed by administration of information handout on techniques to improve the delivery by nursing workforce. A quantitative approach, with non-experimental correlational descriptive design was adopted. A sample of 100 staff nurses were selected in selected hospitals through convenient sampling method. The tool used was a structured questionnaire to assess the knowledge and a 4-point Likert scale to assess attitude and perceived barriers and the tool was found to be reliable. The study showed that majority of the staff nurses were 26-30 years old, and female. Most of them were graduates and were working in general and surgical wards with 1-6 years of experience and having re- ceived awards/appreciation at their work place. Majority of them had average knowledge (63%) and positive attitude (68%). The correlation was 0.3 which is weak positive correlation. The most perceived benefit was organisational benefit with a modified mean, and barrier was reluctance of organisation to solve the staff shortage issues by the management. The most perceived benefit was organisational benefit with a modified mean of 0.9. There was no significant association between attitude and demographic variables but there was significant association of knowledge with age and gender. Based on the above, an information handout was developed and adminis- tered which outlined few techniques to improve delivery of services by nursing workforce.
Curious Case of Alagille Syndrome: Case Report with NANDANIC-NOC Linkage in Care Plan
(Trained Nurses Association of India, 2022-12) George, Mini; Arora, Anjali
Alagille syndrome is a rare and complex multisystem disorder caused by an autosomal dominant genetic mutation of JAG1 (90% cases) and NOTCH2 (1-2% cases) genes located on the short arm of chromosome 20. This case is reported as per the CARE (for Case Reports, 2013) guidelines. A 14-year old male, known case of chronic cholestatic liver disease of neonatal onset, diagnosed with Alagille syndrome as evident from NOTCH 2 mutation in genetic analysis and paucity of intrahepatic bile ducts on biopsy presented with portal hypertension, growth failure and persistent hyperbilirubinemia.
Role of Nurse Leadership to Evaluate the Current Status of Nurses with a View to Invest in Nursing to Secure Global Health An Exploratory Approach
(Trained Nurses Association of India, 2023-02) Swapna, V; T, Meera; Nirmala, K
There is an opportunity for nurses to better explain what we do, to break the myths around nursing and to advocate for investment in the profession. This study endeavoured to explore the role of nurse leadership to invest in nursing to secure global health and to identify role of nurse leaders according to their demographic variables. An exploratory sequential mixed method re- search design was selected in this study. Through purposeful sampling, the researcher selected 60 nurse administrators. Data was collected from the nurse administrators in the form of an electronic survey and virtual face-to- face semi structured interview method after obtaining a formal permission. The data collected from them was utilised only for the purpose of the study and was kept confidential. The final analysis summarised the findings that emerged from both quantitative and qualitative data. In the present study there were 50 (83.3%) females and 10 males (16.7 %) and them had nurse administrators 52(86.6%) of experience. The results covered the issues like current status of nurses, ways and benefits to invest in nursing for global health and the role of nurse leaders in investing in nursing for global Health. Nurses are the head honchos and lifeline of health-care organisations but still lack recognition. Concern on this has been expressed by many, but till date no strong visible implementation of laws and policies are seen. Nurses need to take initiation and leadership at higher levels to bring change in the existing scenario and implement the recommendations regarding basic pay and maximum working hours per week..
Role of Yoga in Health and Disease: A Conceptual Review
(Trained Nurses Association of India, 2022-12) Garg, Ram Kumar; Bhatt, Deepti
The Sanskrit root of the term "yoga" is derived from "yuj," which means to, yoke, to unite, and to focus and direct one's attention. Yoga is a type of mind-body exercise that combines physical movement with a conscious emphasis on awareness of one's own breath, energy, and self. The second principle is that every individual is unique and every individual has different needs. Each person therefore has to have a practise that is adapted to their individual needs. The third principle involves the learner in the healing process by actively participating in their quest for health; healing occurs from within rather than from the outside. The individual's character and state of mind are crucial to healing, according to the fourth principle healing happens more quickly when someone is in a positive frame of mind whereas if someone is in a negative frame of mind, healing could take longer. To enhance quality of life, many people practise yoga as a supplemental therapy in addition to traditional medical therapies by holding a pose for a long period of time develops strength. Slow, deep breathing and movement warm up the muscles which will help to improve the health and wellness. Yoga has shown some encouraging outcomes as a complementary therapy for depression. Thus it has a number of potential advantages in all dimensions of health and disease
Perceived and Actual Risk Factors in Patients with Acute Stroke in South India
(Trained Nurses Association of India, 2022-12) S, Revathi; MS, Kavitha; V, Shankar
Risk perceptions are crucial in understanding people's thoughts about stroke risk and their preventive health behaviours. Management of risk factors plays a vital role in preventing stroke. This study aimed to identify the perceived and actual risk factors in patients with acute stroke. It was a cross-sectional descriptive study conducted in Sri Ramachandra University Hospital, India. A total of 210 in-patients of a stroke unit were included. Patients’ data were obtained by interviewing the patient and /or accompanying family member and by reviewing their medical records using a standard questionnaire. Data were analysed using descriptive and inferential statistics. The median self-perceived risk factor was three. The most commonly perceived risk factor was hypertension (53.8%), followed by stress, diabetes, hyperlipidaemia, alcohol intake, smoking and family history. The perception of risk was low when compared to actual risk (p < 0.016). The patients with coronary heart disease, family history of stroke and congestive heart failure have higher risk of having ischaemic stroke. There was a positive correlation between the actual risk and perceived risk.
Knowledge and Practices regarding Personal Hygiene in School Going Children of Uttarakhand
(Trained Nurses Association of India, 2022-12) Almiya, Rajni; James, Pratiti Haldar; Tripathi, Shashi
Personal hygiene refers to set of individual practices and conditions that help maintain health and prevent the spread of diseases. Maintaining personal hygiene is important for social health, physical health and psychosocial health. The present study aimed to assess the knowledge and reported practices of school going children regarding personal hygiene with a view to develop an information booklet. The study adopted cross sectional design to collect data from 410 school going children in rural villages of Haldwani block, Uttarakhand. The children were recruited via convenient sampling technique. It was found that majority (n=230, 56.09%) school going children had moderate knowledge of personal hygiene. The overall practices of children were found to be appropriate for 366 (89.51%) children. Regarding knowledge and hygienic practices, mother' s education plays vital role for school going children. Also, teachers with parents can play a pivotal role in providing health education regarding personal hygiene from early stage of childhood itself for longevity and to protect from illnesses.
Impact of Lamaze Breathing on Natural Childbirth: Comparison between Primigravid and Multigravid Women
(Trained Nurses Association of India, 2023-02) Karkada, Sushmitha
Lamaze technique supports, sustains and safeguards sound, and healthy pregnancy, and safe birthing. The objective of this study was to compare the impact of Lamaze technique on duration of labour and neonatal outcomes among primigravid and multigravida women. A parallel group prospective randomised controlled trial was adapted where eligible primigravid & multigravida women were randomised into intervention and standard care groups at an antenatal outpa- tient clinic of a secondary healthcare institution. Women in the intervention group were trained on Lamaze breathing techniques at 36 weeks of gestation and were advised to practice these twice daily. Instructions were given to continue during the active phase of the first stage of labour under the supervision of labour room nurses. Compliance was monitored with help of a daily log along with the daily foetal movement count (Sadovsky method, as advised by obstetrician). The mean duration of labour in the intervention group for primigravid women was 5.5127'plusmn; 1.998 hours and that for multigravid women 3.3704'plusmn;1.584 hours whereas in standard care group it was 7.238'plusmn;3.678 hours and 4.2899'plusmn;2.182 hours respectively. The mean duration of labour for women in the intervention group was less compared to standard care group F(1)= 133.800, p 'lt;0.001. Two- way ANOVA revealed significant difference in gestational age at birth [F(1)= 0.020, p=0.887] and mean birth weight [F(1)=0.854, p=0.411] between primigravid and multigravid women. The current research concludes that Lamaze techniques when taught during the antenatal period facilitates natural childbirth by shortening the duration of labour and escalates its progress.
Emotional and Spiritual Intelligence of the Middle Aged in Coping Midlife
(Trained Nurses Association of India, 2022-02) Thundiparampil, Smitha J
This study on the middle aged was carried out with a view to implement an empowerment programme for the middle-aged people to promote an active aging. The transition of middle age consists of important components like leaving the middle adulthood, crossing the line of retirement (for working people) and entering the late adulthood. The sample size was 500 middle aged parents of children who were studying in the residential colleges of Kannur district. Majority of the sample (54.8%) had an average and above emotional intelligence levels and only less than two percent of them had low emotional intelligence. Majority of the samples (65.4%) possessed an average level of spiritual intelligences and around 21.4 percent of the samples had low levels of spiritual intelligence. Out of the 500 samples, majority (65.2%) had less than medium resilient level of coping ability. Moderate degree positive correlations existed between emotional intelligence and coping ability (signifi cant at 0.01 level) and low degree negative correlation between the spiritual intelligence with the coping ability (signifi cant at 0.05 level. The present study also revealed that low level negative correlation existed between the spiritual intelligence and emotional intelligence in general among the middle-aged parents whose children were studying in residential institutes.
Compassion Fatigue and Compassion Satisfaction among Staff Nurses Working in Critical Care Units
(Trained Nurses Association of India, 2023-02) Brar, Jasleen Kaur
When compassion has been demonstrated for a long time, compassion fatigue could manifest as a negative outcome. Nurses who are affected by compassion fatigue have expressed feelings of depression, which may be related to the constant emotional trauma they experience by virtue of being employed in critical care areas. A cross-sectional descriptive study was conducted to assess compassion fatigue in terms of burnout and secondary traumatic stress and compassion satisfaction among nurses working in the critical care units of a tertiary care hospital in Punjab. A total of 100 staff nurses were selected by convenience sampling technique. Data was collected by socio-demographic profile, professional profile and Professional Quality of Life Scale (ProQOL) Version 5 (2009). The results revealed that 65 percent of the subjects had average level, 34 percent had low and only 1 percent had high level of burnout. It was found that 59 percent of the subjects had average level of secondary traumatic stress, 40 percent had low level and only 1 percent had high level of secondary traumatic stress. Majority (54%) had average level, 45 percent had high level and only 1 percent had low level of compassion satisfaction. Secondary traumatic stress was found to be significantly associated with socio-economic status, duration of work experience in critical care units and leave in past one week. Compassion satisfaction was significantly associated with age, habitat, professional qualification and extra duties performed. Majority of the subjects had average level of burnout and secondary traumatic stress. Secondary traumatic stress was higher in staff nurses who belonged to lower middle class (p=0.05) and who had not taken leave in the past one weak and among staff nurses who had 11-15 years of work experience in critical care units.

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