Journal of Nurses and Midwives Pakistan

The effect of Critical Concept Map (CCM) in teaching tropical and communicable disease among undergraduate nursing students

shireen arif — 2024-12-31

Background

Critical decision making is the key component of all the nursing courses which are taught in nursing education. CCM is a teaching method to develop to connect the different concepts, study their relationship and integrate in clinical practice. It is been used clinically to enhance students’ learning in patient’s status and plan nursing with diagrammatic presentation.

Objective

The aim of the study is to analyse the effectivity of critical concept mapping in teaching tropical and communicable disease among undergraduate nursing students.

Methodology

This quasi-experimental study conducted on 54 students in four steps. Participants were recruited through simple random sampling from two private nursing colleges, in Karachi, Pakistan. The data was collected through “SECMNE” a structured questionnaire developed by Tarım, Boy and Şanlıtürk in 2022.

Result

Data was analyze using SPSS version 24. To compares the means of pre-test and post-test the inferential statistics that was applied on the data received was Wilcoxon Signed Rank Test as a nonparametric test. At 95 % confidence level, and alpha = 0.05, the following results were obtained. That proves CCM is as effective classroom strategy in teaching TCD among undergraduate students.

Conclusion

The study concluded that the Cronbach alpha is excellent therefore, it could be utilized in other studies as well. Moreover, study concluded that CCM is an effective classroom strategy in classroom. Therefore, the current study recommends that CCM could be utilized as classroom strategy where clinicals are not the part of the course.

A COMPARATIVE STUDY OF FAMILY SUPPORT TO WOMEN ATTENDING ANTENATAL CLINICS AT PUBLIC AND PRIVATE SECTOR HOSPITALS IN KARACHI, PAKISTAN.

Iqra Qureshi — 2024-12-31

Background & Objectives:

Family support, husbands in particular are key to good maternal and child health indicators. The study aim is to assess the extent and contributing aspects of husband’s support to women during pregnancy attending antenatal clinics (ANC) of public or private sector hospitals. The main goal is to understand the social-demographic determinants of husband presence at ANC visit and compare family support dynamics between public and private hospitals.

Method:

The study was a descriptive cross-sectional conducted over four months, and included 400 pregnant women,15 to 49 years of age from Civil hospital (public) and Saifee hospital (private), Karachi. The research participants were identified using Purposive sampling techniques. A pre- tested structured questionnaire was used to collect the data on socio-demographics, types of family support and husband involvement in ANC visits. Statistical analysis was done by SPSS version 24 using chi-square tests to check the associations between variables.

Results:

Many socio-demographic characteristics such as the women’s age, education level, husband’s income and gravida were significantly associated with association of husband’s presence during ANC visits. In general, husbands with higher educational levels and incomes were more likely to accompany wives. Husband Involvement women having ANC visits in private health center were reported higher involvement compared to those attending public hospitals. Higher support was also reported among younger women and those with higher educational attainment. Results suggest that a greater husband involvement is associated with improved maternal and child-health outcomes, higher compliance to medical advice, and in frequent ANC visits.

Conclusion:

For improvement in maternal and child health, support of husband is very much needed. This study underscores the importance of raising awareness campaigns aimed at husbands emphasizing their contribution to ANC. It also recommends further research across other healthcare settings to generalize the findings. The study highlights the need for an integrated model of maternal health care that combines family level support can lead out to better chances not only from health perspective but also in terms of infant mortality.

Keywords: Family support, maternal health, husband involvement, antenatal care, public and private hospitals and Karachi.

EFFECT OF CAFFEINE CONSUMPTION ON THE SLEEP QUALITY AMONG UNDERGRADUATE STUDENTS – CROSS SECTIONAL STUDY

Aiman Siddiqui — 2024-12-31

Caffeine is a common component in the modern diet, and its popularity is fueled by both its reputation as a stimulant and its flavor. The study conducted on undergraduate students to assess the patterns of sleep quality and investigate the degree to which poor sleep quality is connected with consumption of caffeine and other stimulants by any mean.

Methods. This cross-sectional study was carried out on 550 undergraduate students from various institutes in Karachi, Pakistan. After elimination, a total of 416 participants participated in the research with a slightly higher percentage of men (272) than women (144) in it. The average PSQI global score (SD) for the male participants was 6.32 (3.170), and 68.6% of them scored >5, indicating poor sleep. There are 84 undergraduate students who had not consumed caffeine by which 46 participants have poor sleep while 38 have good sleep quality (45.2%) It shows significant association between caffeine consumption on sleep quality (p-value 0.05) whereas for female students, there is no correlation (P-value > 0.05).

Conclusion. This study shows that the majority most undergraduate students have bad sleep quality, which has been correlated with consuming too many beverages high in caffeine. The results are in line with earlier studies that show college students who drink caffeinated beverages have a higher prevalence of sleep disruption.

Magnitude of depression, Anxiety, Stress factors among Undergraduate Nursing Students

Sajid Ali — 2024-12-31

Background: Profession of nursing is always recognized as an increasingly stimulating profession than other professions. Stress, anxiety, and depression are being shown to have a detrimental effect on both personal and academic outcomes in nursing students. This study aimed to measure the magnitude of depression, anxiety and stress amongst nursing students.

Methodology: A descriptive cross-sectional research was carried out at a private nursing college in Karachi. The time of the study was three months from January to March 2024. Students of both genders who actually were enrolled in BS nursing programs were requested to join the research. 223 was the designed sample size. A non-probability convenient sampling method was developed to access research applicants. Validated and structured questionnaire “DASS-21” was developed for showing depression, anxiety, and stress.

Results: A total of 223 participants, almost half 110 (49.32%) of them were male and mean age of the study participants were 23.2±4.2 years. Most of the participants 130 (58.30%) were not married. In this research, the frequency of depression 22 (9.86%), anxiety 32 (14.34%), and stress 43 (19.28) was stated.

Conclusion: It is concluded that nursing students during their study were fronting major degrees of depression, anxiety, and stress. The stress level was greater level in participants and followed by anxiety and depression.

Neuroticism as leading component of perceived stress and dysfunctional coping mechanism among nurses.

Asma naheed — 2024-12-31

Abstract

Objective: The goal of this study was to determine how personality trait affect coping strategies among critical care units nursing staff in critical care units and how they predict perceived stress using a five-factor model of personality traits.

Background:

Physical risks affect not only those who have been injured, but also those who have witnessed these events and who act as intervention in these circumstances, such as nursing staff. After an incident, nursing staffs are in charge of providing medical care, and life preservation. Nursing staff and other rescue personnel are frequently exposed to potentially traumatic circumstances (also referred to as "critical incidents"), such as armed confrontations, car accidents, and violent deaths. Rescue workers are at risk of developing posttraumatic stress disorder because of this constant exposure (PTSD). Personality traits, for example, play a role in how stress is perceived and how people cope. Positive relationships exist between extraversion and conscientiousness and coping mechanisms, which are linked to psychological stress (Carver and J. Connor-smith, 2010). One's coping mechanisms are essential in such situations for managing stress.

Hypothesis: (1) Neuroticism would predict psychological stress among nursing staff 2) Neuroticism will lead to dysfunctional coping strategies,

Sample:

100 nursing staff participated in this study through purposive and snow ball sampling with age rage range from 20-45 their mean age was (Mean= 3.01, SD=6.02) and their minimum qualification was graduation. The gathered data was collected from tertiary care hospitals. Mentioned variables were measured through these scales. (1) BFI-big five personality inventory (John, O. P., & Srivastava, S. 1999) (2) Brief Cope Scale (Carver C.S. 1997) (3) Perceived Stress Scale (Cohen S, Janicki- Deverts D, Miller GE. 2007).

Methodology:

Purposive and snowball sampling techniques were used to approach participants. They were contacted by means of the departments and organizations in question. They were informed that participation in the study was completely voluntary and that they had the right to discontinue at any time. Participants were also given the assurance that the information gathered for this study would only be used for research purposes and would be kept in strict confidence.

Result and Analysis: Demographic characteristics of the data were examined using descriptive statistics. In order to determine how personality traits and coping mechanisms would affect perceived stress, regression analysis was used. Results indicates that Neuroticism has influencing role in perception of stress and then adaptation of coping strategies in response to stress among rescue providers. Finding of this study are consistent with literature- that reflects that nursing staff rate high on trait of neuroticism tends to adopt coping strategies which are maladaptive and leads to neurotic symptoms.

Personality traits, coping strategies, psychological stress, nursing staff.

Knowledge and attitude regarding postpartum depression in women

Ayesha Tariq — 2024-12-31

Background: Postpartum depression (PPD) is a serious mental health condition that affects many women after giving birth. It is a significant concern affecting women globally, with various risk factors contributing to its prevalence that can have negative impacts on the mother, child, and family if left untreated. Knowledge and attitudes about PPD among women and their families is an important step in reducing the burden of this disorder.Objective of study: To assess the Knowledge and attitude regarding Postpartum Depression of Women. Material &Methods: A descriptive cross sectional research study conducted to assess the knowledge and attitude of postpartum depression among women. The study was descriptive in nature so, descriptive statistics were applied. Data reliability and validity were ensured frequency distribution was assessed bar graph were formed. Results: Total 150 females participated in the study and with age group of 26-30 were 48(32.0%) were prevalent .54% of females were living in single families while those in joint family were 69(46.0%). positive history of postpartum depression was reported by 36.7% females.55% of females had 1-2 children , 40.0% females had 3-4 children .43% of the females had moderate level of knowledge regarding the PPD , 57% females did not know exactly what are the symptoms of depression and what can be the causative factors in postpartum depression. Majority of women were working and having no support from their families and spouse and also having unplanned pregnancies. Similarly, the attitude of the general population was negative towards their symptoms and overall health as they had little and no knowledge towards the changes and the possible issue of postpartum period.Conclusion: It is concluded that postpartum mother’s knowledge is imperative in early identification of symptoms and professional help seeking behavior. Women with good knowledge can get help in normalize their symptoms of depression. Women with poor knowledge may have difficulty to cope with their symptoms of depression. Evaluation of the mental health and knowledge regarding postpartum depression is critical to understand how they can cope and manage with their symptoms. Key words: Knowledge, Attitude, Postpartum depression

The MINDFULNESS-BASED INTERVENTIONS FOR PSYCHIATRIC PATIENTS: THE ROLE OF NURSE IN IMPLEMENTATION, EFFICACY AND CLINICAL APPLICATIONS.

Anum Nooruddin Anum — 2024-12-31

Nurses play a crucial role in the implementation and efficacy of mindfulness practices, adapting interventions to meet the needs of diverse patient populations. This study aims to identify the role of a nurse by providing them mindfulness based intervention. Nurses teach patients mindfulness practices, provide emotional support, and track the success of these interventions in socio-cultural context. Research has shown that mindfulness interventions can reduce cognitive deficits, such as poor attention and cognitive rigidity, that may contribute to psychiatric disorders. The inclusion criteria are all the patients who are taking psychiatric treatment. Mindfulness practices involve cultivating a state of consciousness through techniques such as meditation and stress reduction interventions. By addressing challenges, providing support, and promoting a sense of community, nurses can enhance the effectiveness of mindfulness-based interventions in psychiatric care. Mindfulness, defined as the direct attention to the present moment in a non-judgmental manner, has shown promise in reducing symptoms of anxiety and depression in psychiatric patients. Nurses act as advocates for incorporating mindfulness practices into patient care, providing psychological support and encouragement throughout the process. Despite the challenges faced in implementing mindfulness-based interventions, numerous studies and meta-analyzes have highlighted the positive impact of these practices on mental health. Nurses navigate these challenges with compassion, effective communication, and ongoing support from friends and family to overcome resistance to mindfulness interventions. In psychiatric settings, nurses face challenges when dealing with patients with schizoaffective disorder, who may have mixed symptoms of psychosis and mood disorders.

Nursing Faculty Perspective on Simulation-Based Education: A Literature Review

Saira Lalani — 2024-12-31

Background

Simulation-based education (SBE) provides novice and experienced student nurses a platform to learn and practice skills in a simulated environment to be safe and competent nurses. It has become an increasingly popular teaching-learning pedagogy in nursing education, due to its ability to provide controlled environment. In this nursing faculty plays a vital role.

Research Aim

The aim of this review was to find out the perspectives of nursing faculty members regarding SBE and the barriers and facilitators of SBE.

Research Methods

Literature review of data was carried out from Google Scholar, PubMed, CINAHL, ProQuest, Nursing Journal and science direct, in English

Results

After analyzing different resources, it reported that simulation is used as a teaching learning pedagogy in which students can learn in save environment. They stated some barriers like SBE is expensive, faculty development opportunities were lacking, faculty lack interest in SBE, and inadequate equipment’s were available. The facilitators of SBE were students completing pre-simulation activities and collaboration with other institutions.

Conclusion

The study explored faculty barriers and facilitators of SBE. The inclusion and promotion of facilitators as well as easing of barriers will help to support and assist faculty in teaching SBE and enhancing students’ learning.