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INDIAN JOURNAL OF NURSING STUDIES
Choithram College of Nursing
Manik Bagh Road, Indore (M.P.) - India
Ph. +91-731- 2764009, 4939909 Email: [email protected] Website: www.cconursing.com
Editorial
- Dr. Usha Ukande
Research Studies:
Personality Traits, Stressful Life Events & Physical Health of Substance Abusers- A pilot survey
- Rajesh Kumar
Effect of bladder retraining therapy on urinary incontinence among female senior citizens
- Simi Mariam Thomas
Burnout Among Nursing Staffs of Tertiary Care Teaching Hospitals.
- Aruna Doley
Lived experiences of women with domestic violence and its effect on their physical and mental health
- Anupama Chaurasia
Effectiveness of video assisted teaching programme on worm infestation among mothers of Under Five
Children.
- Suja Baby
Effect of selected yogasanas on quality of life of women undergoing infertility treatment
- Chinchu P. Thomas
Level of depression among the mothers of children with Leukemia admitted in Gauhati Medical College and
Hospital, Guwahati, Assam
- Dhanjita Deka
Effect of foot reflexology on vital parameters among hypertensive patients
- Vinaya Anjaly Thomas
Practice and perceived barriers of nurses in adopting post insertion care bundle in prevention of central line
associated blood stream infection
- Jeethu Merin Jose
Medication error rate and barriers in reporting
- Suby Varghese
A Study To Assess Relationship Between Emotional Intelligence And Parental Involvement Among Nursing
Students.
- Yashpreet, Kaur
Beyond Nursing: “Gravity and Grace”
- Dr. Usha Ukande
Indian Journal of Nursing Studies Vol. 07, No.02, July - Dec. 2016
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Indexed with: International Institute of Organized Research (I2OR)
International Society for Research Activity (ISRA)
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Statement of Ownership & Other Particulars
1. Publisher’s Name Dr. Usha Ukande
Nationality Indian
Address Choithram College of Nursing
Manik Bagh Road, Indore (M.P.)
2. Place of Publication Choithram College of Nursing
Manik Bagh Road, Indore (M.P.)
3. Printer’s Name Yugandhar Printers
370, Usha Nagar Ext., Indore (M.P.)
Ph.: 9893699948
Email: [email protected]
4. Editor’s Name Dr. Usha Ukande
Principal
Choithram College of Nursing
Manik Bagh Road, Indore
Ph. 0731-2764009, Mob: 9425438183, 9893782199
Email: [email protected]
5. Editor’s Nationality Indian
6. Periodicity of Publication Twice in a Year
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Editorial Office and Address of Correspondence Editor- in- Chief
Indian Journal of Nursing Studies
Choithram College of NursingManik Bagh Road, Indore (M.P.)- 452014 (India)
Tel: 0731- 2764009 Fax: +91-731-2470068
Email: [email protected]@yahoo.co.in
Website: www.cconursing.com
Registered Under, Newspaper Act Vide No. MPENG/2010/36219ISSN 2229 - 3280
Indian Journal of Nursing Studies Vol.07, No.02, July - Dec. 2016
* Assistant Professor.College of Nursing.AIIMS Rishikesh .Uttarakhand -249203.Mob. 7055911523 E-Mail: [email protected]
**Assistant Professor, College of Nursing, AIIMS Bhubaneswar, Odisha
*Rajesh Kumar, ** Nanda Kumar P
Personality Traits, Stressful Life Events &
Psychological well being among
Substance Abusers - A Pilot Survey
Abstract
It is evidenced that frequent exposure to stressful life events and certain typical personality traits make a person more
vulnerable to substance abuse. Evidence on the mechanism by which these factors contribute to substance abuse is
incomplete. This study aims to assess psychological well being of substance abusers and impact of specific
personality traits on stressful life events in substance abusers. A descriptive correlational survey was carried out. A
sample of 45 substance abusers filled Eysenk personality questionnaire (EPQ) and Presumptive Stressful Life Events
(PSLES) along with General Health Questionnaire (GHQ). Appropriate descriptive and inferential statistics were
applied to generate results. Study findings revealed that majority (88.9%) subjects were in severe psychological
distress and had psychoticism (93%) personality traits. Relationship between variables showed that dominant
psychoticism and neuroticism traits had statistically significant negative impact on psychological well being (p<.05) in
substance abusers. Legal and courtship-co-habitation stressful events had statistically significant negative impacts
(p<.05) on psychological well being of substance abusers. Results indicate that personality dimensions and stressful
life events contribute to substance abuse. The contribution of personality and stressful life events may have important
implications for the design of promotional programs aimed to curb substance abuse among Indian population.
Key Words: Personality traits, stress events, Psychological well being, substance abusers
long term stressful life events may be harmful and have Backgroundlong lasting impacts on different systems and on a
Drug addiction is biggest social intimidation in human as whole.
adolescents in present scenario. It is a state in which an
Chronic nature of stress may have direct and indirect individual consume drug habitually, for reasons other
impact on human body. Literature reported that long than medical in any amount, strength, frequency of
standing nature of stress leads to many health problems determinants and variables of drug addiction. There are
and predisposes to move for opting negative coping number of determinants and factors for drug addiction
strategies i.e. drinking alcohol, cigarette smoking, road and stress, and type of personality are few of them.
rage events, consumption of many harmful substances Stress has been recited most common and frequent 1including opium, marijuana and sometimes suicide as a precipitating factor for most of the physical and ,lethal outcome to overcome from the stress . psychological disorders. A bunch of literature traced the
Need of the Study & Literature Review: relationship between stress and different types of
disorders. Stressful life events enable the individual Personality also predicts occurrence of stressful life
being to mould and adjust in varied types of events. In the recent five years a five personality traits
environments. A normal level of stress is good for (aggressiveness, impulsivity, emotional stability,
survival and change. On the other hand continues and openness and extraversion) came up as predicators of
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 20163
* MSc (N), Choithram College of Nursing, Indore,Mob. 09158115125 Email:[email protected] ** H.O.D. Medical Surgical Nursing, Choithram College of Nursing, Indore Mob.: 09407412944, Email: [email protected]
*** Asst Professor, Choithram College of Nursing, Indore **** Senior Consultant, Urologist, Choithram Hospital & Research Centre, Indore
*Simi Mariam Thomas, ** Manju Joshi, *** Shweta Pattnaik, **** Dr. C.S. Thatte
Effect of Bladder Retraining Therapy on Urinary
Incontinence among Female Senior Citizens
Abstract
Urinary incontinence is a social problem and may affect women at any age, associated with serious social implications,
causing discomfort, loss of self-confidence and negative interference in quality of life (QoL) of several females. The
present study was conducted to find out the effect of bladder retraining therapy on urinary incontinence among
incontinent female senior citizens in selected old age homes in Indore. Women were screened using the International
consultation on Incontinence, (ICIQ-FLUTS) standardised questionnaire. Consent was taken and confidentiality was
maintained throughout the study. Pre test was done using the ICIQ-FLUTS standardised tool, a structured socio
demographic questionnaire and a two day bladder diary was filled by the participants prior to the intervention. Average
of the two day bladder diary UI frequency was taken to assess the frequency of urinary incontinence. Total of 36
samples that fulfilled the inclusion criteria were conveniently assigned to experimental and control group using non
probability sampling technique. Participants in the experimental group were taught and made to do Kegel exercises for
a period of three weeks. Data collected revealed that there was a significant reduction in severity and frequency of
urinary incontinence among the experimental group at t17= 13.54 and t17= 9.46 respectively at the level of p<0.001.
Comparison of the post test mean scores in experimental and control group showed that there is a significant difference
in severity of UI at t38 = 5.25and that of frequency of incontinence at t38 = 4.77 at the level of p< 0.001. Findings
indicate that bladder retraining therapy is effective in reducing urinary incontinence among female senior citizens. It
also highlights the need and importance of early recognition and reporting of incontinence symptoms to physicians for
prevention or early treatment.
Keywords: Urinary incontinence(UI), Bladder retraining therapy, Kegel exercises, ICIQ-FLUTS questionnaire,
Bladder diary.
persons and provide positive reinforcement for progress. Background Surgery is effective in treating stress urinary
Urinary incontinence (UI) is defined by the International incontinence, but it is not without risks; medications such
Continence Society as the involuntary loss of urine, as anticholinergics and antispasmodic have adverse
which is a social or hygienic problem and may affect effects: however, behavioral interventions such as pelvic
1women at any age.floor muscle exercises and bladder training have
potential benefits with few risks and no side effects. Urinary incontinence often causes loss of self esteem,
Pelvic muscle exercises, initiated by Kegel in 1948, social isolation and restriction of normal activity. Older
strengthen the tone and contraction of periurethral and people and their families find it difficult to manage the
pelvic floor muscles. Pelvic muscle exercises (Kegel urinary incontinence at home, and urinary incontinence
exercises) have been found to be efficacious for stress has been reported to play a major role in the decision to 3 42 incontinence , and also for urge incontinence.place older people in a nursing home.
Many studies over the years have supported the success Behavioral interventions involve educating incontinent
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 20169
*Lecturer, B.Sc Nursing College, Dibrugarh, Assam, Mob: 9085218798, Email: [email protected]
**Associate Professor, Regional College of Nursing, Guwahati, Mob: 9854722406, Email: [email protected]
*Aruna Doley **Dr. (Mrs.) Gitumoni Konwar
Burnout among the Nursing Staffs of a
Tertiary Care Teaching Hospital
Abstract
Burnout which arises out of continuous exposure to stressful work environment has been recognized as a key problem
among nurses. The aim of the study was to find out the burnout level and correlation among the separate components
in terms of exhaustion, depersonalization and personal achievements among the nursing staffs of a tertiary care
teaching hospital, Dibrugarh, Assam, India. The sample comprised of 30 staff nurses working in different in-patient
departments of Assam Medical College and Hospital (AMCH). Descriptive survey design was adopted for the study.
Sample was obtained through random sampling method and data were collected by using Burnout Self-Test Maslach
Burnout Inventory (MBI). The data obtained were analysed in terms of frequencies and percentages and t- test was
computed to find out the associations between variables. The results showed that 14 (46.6%) staff nurses experienced
low level burnout. Majority of them experienced moderate level of depersonalization 16 (53.3%) and 14 (46.6%) of
them experienced high level of depersonalization. Also 18 (60%) of them experienced low personal achievement.
Burnout remains significant concerns in nursing, affecting both individuals and organizations.
Keywords: Burnout, emotional exhaustion, depersonalization, personal achievement, Maslach Burnout Inventory
(MBI)
nursing is a stressful occupation; there is direct exposure Background to various kinds of working environments and conditions
Healthcare providers and especially nurses are generally 4 which lead to anxiety and depression. Although nurses
considered a high risk group regarding work stress and who experience burnout may show less ability or
burnout and this syndrome has been a major concern in willingness to deliver high quality care, it is also possible 1 the field of occupational health. Understanding nurses' that working in environments where quality of care is low
burnout level and its relationship with occupational may lead to emotional distress and disengagement.
stressors is of importance to reduce the health risks Burnout and nurses' perceptions of poor quality of care 2 among nurses and increase the quality of health services.might also be correlated with each other because both
Job-related burnout as described by Maslach is a variables reflect nurses' negative assessments of or
syndrome of emotional exhaustion, depersonalization, 5 dissatisfaction with their work situations.
and reduced personal accomplishment. Emotional
The nursing professional, finds it exposed to different exhaustion is described as a feeling of being
psychosocial risk factors that can generate work stress, overextended and exhausted by one's work.
this is reflected in the position he/she takes with Depersonalization is an unfeeling or impersonal response
himself/herself and in his work and family. In response to toward recipients of one's service, care, treatment, or
this chronic work stress, the nursing professionals instruction. Reduced personal accomplishment describes
develop negative attitudes and feelings towards people feelings of incompetence and unsuccessful achievement 3 with whom they work and onto her/his professional role, of one's work with people. Owing to the nature of work,
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201618
* Staff Nurse, Trauma Centre, IMS, BHU, Varansi, U.P., Mob: 09838374679, Email: [email protected]
*Anupama Chaurasia, **Dr. Usha Ukande, *** Blessy Antony, ***Uma Mageswari
Lived Experiences of Women with Domestic
Violence and its Effect on their
Physical and Mental Health
Abstract
Domestic violence is a "pattern of coercive and assaultive behavior that include physical, sexual, verbal, and
psychological attacks and economic coercion that adults or adolescents use against their intimate partner”. Domestic
violence is a major contributor to the physical and mental ill- health of women. Violence against women is present all
over the world cutting across boundaries of culture, class, education, income, ethnicity and age. The present study was
conducted to gain deeper understanding of the lived experiences of women with domestic violence in selected
communities of Indore. Phenomenological Qualitative design was used and 8 women were selected using purposive
sampling technique as per the pre determined inclusion criteria. Semi structured interview schedule was used for data
collection. Voice recording of the conversation was done; the transcript was then thematically analyzed using Open
Code 4.02 software. Coding and categorization of the transcript was done using the software, based on the 6 major
themes that had emerged. The themes like Bitter memories unfolded, staying on in abusive relationship, disrupted
familial environment, scars from abuse, support- family/ neighbors/ authority and coping with brutality. It was
concluded that domestic violence is a significant social issue that requires both political and professional attention.
Keywords: Domestic violence, lived experiences, women
hard work whether at home or at working places. Behind Backgroundclosed doors of homes all across our country, women are
Domestic violence is not typically a singular event and is being tortured, beaten and killed. It is happening in rural
not limited to only physical aggression. Rather, it is the areas, town, and cities and in metropolitans as well. It is
pervasive and methodical use of threats, intimidation, crossing all social classes, genders, racial lines and age
manipulation, and physical violence by someone who groups. It is becoming a legacy being passed on from one
seeks power and control over their intimate partner. generation to another. But offences against women which
Abusers use a specific tactic or a combination of tactics to reflect the pathetic reality that women are not just safe and
instill fear in and dominance over their partners. The 2secure anywhere. Dhawesh Pahuja (2011) .strategies used by abusers are intended to establish a
3Sudha Chaudhary (2013) reported that violence against pattern of desired behaviors from their victims. Bragg, H. 1 women and girls has spread into a global epidemic. This Lien (2003) .
has debilitating effect over the performance of the women. In India where almost half of the population is women, they
They are harassed physically, psychologically, sexually are mostly being ill-treated and deprived of their right to life
and economically. It is one of the most pervasive of human and personal liberty as provided under the constitution.
rights violations, denying women and girls, equality, Women are always considered as physically and
security, dignity, self-worth, and their right to enjoy emotionally weaker than the males, whereas at present
fundamental freedom. women have proved themselves in almost every field of
Depression is a complex health issue with many life affirming that they are no less than men through their
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201624
* PhD Scholar /Professor, CSI College of Nursing, Dr. SMCSI Medical College, Karakonam.
** Guide, Director of Nursing Education and Research, WestFort College of Nursing, West Fort Academy for Higher Education (WAHE),
Trissur, Kerala.Mob: 9447656629, E-Mail:- [email protected]
* Suja Baby, ** Dr.(Mrs) A V Raman
Effectiveness of Video Assisted Teaching
Programme on Worm Infestation among
Mothers of Under Five Children
Abstract
Worm infestation is common in children all over the world. Worms may be of many shapes and sizes, from microscopic
“pinworms” to tape-worms” that are several feet long. Most of these worms live in the intestinal tract. The prevalence of
intestinal worm infestation in India varies from 5% to 76%, which is similar to that in other developing countries. The
objectives of the study were to assess the knowledge regarding worm infestation among the mothers of under- five
children before and after video assisted teaching programme, to determine the association between knowledge of
mothers regarding worm infestation of children with selected socio demographic and clinical data. A quasi
experimental study was conducted to evaluate effectiveness of video assisted teaching programme on worm
infestation among the mothers of under -five children in selected wards of Pozhiyoor. The findings revealed that there
was a statistically significant difference in the level of knowledge, and there was no significant association with any of
the demographic variables. The study concluded that video assisted teaching programme is effective in improving the
knowledge level of worm infestation among the mothers of under five children.
Key words: Worm infestation; under five children.
Worm infestation is major problem among children in Backgrounddeveloping countries due to bad hygienic condition.
Babies are most often affected by intestinal worms and Worms are parasites that live in our body. These are
parasites. It is more often found in tropical and sub dangerous because they can multiply rapidly. Worms get
tropical areas and children are more prone to worm into human body by ingestion, skin penetration or when
1 infection rather than adults Sitagita(2010) . Worm 3injected by insects. Boja (2011)infestation is one of the common health problems
Need of the Study & Literature Reviewworldwide especially in children. WHO estimated that
about 1400 million people worldwide are infested with Helminthic infestations contribute significantly to global at least one type of intestinal worm. The common burden of diseases in children, especially in the tropical helminthes found in India are round worm, hookworm, and subtropical regions. Intestinal worm infestation can pinworm and tapeworm, commonly acquired orally or result in impaired nutrition and development. Handling percutaneously or both routes. According to a study food and drinks with unclean hand and dirty fingers is one
2done by Krishnan in (2007) , the prevalence of of the causes how the thread worms enter into the body. intestinal worms in India varies from 5-76% in different Roundworms enter the body through contaminated food places. In Dakshina Kannada district ascariasis and drinking water, the tape worm on the other hand superseded all other helminthes with an incidence of through raw or uncooked meat and also through the fecal
448.33% worm infestation is the most common problem matter. Sikha (2012)in children due to its close association with health
Soil-transmitted helminthiasis (STH) is a scourge to the practices and sanitary conditionshealth and well-being of infants and pre-school children
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201634
* Nuse Educator & Quality Assurance Hcg Cancer Centre, Vadodara(Guj.) Mob: 8511698958, Email: [email protected]
*Chinchu P.Thomas, ** Blessy Antony, ***Dr. Hemant Sharma, **** S Uma Mageswari
Effectiveness of Selected Yogaasnas on
Quality of Life of Women Undergoing Infertility
Abstract
Infertility remains an important problem worldwide which affects men and women equally.It is a bio-psycho-social
phenomenon; involving psychological, physiological, environmental, and interpersonal relation aspects. Yoga is
considered as an acceptable method for improving and maintaining physical, mental and emotional health. Therefore a
pre-experimental study was done to assess the effectiveness of selected yogaasnas on quality of life of women
undergoing infertility treatment in selected infertility clinics of Indore. One group pre-test post-test design was adopted,
20women were selected using purposive sampling technique. A standardized tool i.e. FertiQol was administered to
collect the data before and after the selected yogaasnas. Statistical analysis revealed that 55% scored 40-70 in pre-
test whereas, in post-test 100% women scored above 80 and showed improvement in different domains of Quality of
Life also. The paired't' test value between pre-interventional and post-interventional scores of quality of life (t=8.31)
was significant at the level p<0.001which revealed the effectiveness of selected yogaasnas on quality of life of women
undergoing infertility treatment. The study concluded that the quality of life of women undergoing infertility treatment
can be improved with yogaasnas and can be included in the treatment plan.
Keywords: Quality of life, women undergoing infertility treatment, infertility clinics, FertiQoL, Selected Yogaasnas
3 Seibel M et.al, 1990 reported that there are scheduled Backgrounddrugs and systematic treatments to cure infertility. It
Infertility is a critical component of reproductive health, should also be noted that these expensive treatments
and has often been neglected in these efforts. The have tremendous and harmful side-effects.
inability to have children affects men and women across Nevertheless, there are holistic infertility cures that give
the globe. Infertility is a global health issue, affecting only benefits and no side-effects. Fertility yoga classes
4approximately 8-10% of couples worldwide. A WHO are one of the newest trends (Iyengar, 2002) . Yoga is
evaluation of Demographic and Health Surveys (DHS) used by a lot of women to relax and improve flexibility and
data (2004) estimated that more than 186 million ever-it may be helpful in promoting fertility. (Esch R et.al,
5married women of reproductive age in developing 2003)
countries were maintain a “child wish”, translating into Need of the Study& Literature Review:one in every four couples in developing countries had
been found to be affected by infertility. (Mascarenhas M With loss of fertility, one can experience the loss of health, 1N et.al, 2012) physiological and emotional stability, social position,
fame, and confidence; one can also experience negative Infertility is a bio-psycho-social phenomenon, meaning emotions such as anxiety and shame; these worsen as that it involves psychological, physiological,
6the infertility lasts for a long time (D Kumar, 2007)environmental, and interpersonal relation aspects.
Consequently, infertility is not considered an organ The recognition of the distressing character of infertility function disorder and its other dimensions demand diagnosis and treatment has led to the development of
2precise attention. (Lukse MP, 1999) several psychosocial interventions for infertile couples.
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201638
* Vice Principal, CPMS School of Nursing, Guwahati, Assam. Mobile No. 08822233140. Email id: [email protected]
* Dhanjita Deka
Level of Depression among the Mothers of Children
with Leukaemia Admitted in Gauhati
Medical College and Hospital, Guwahati, Assam
Abstract
A diagnosis of childhood cancer represents challenges for patients and family members. Mothers of children with
cancer represent a group prone to high levels of emotional distress, and the period following their child's diagnosis and
the initiation of treatment may be predominantly stressful and disturbing leading them to depression. The present study
was carried out to assess the level of depression among the mothers of children with leukaemia admitted in Gauhati
Medical College and Hospital, Guwahati, Assam. In this descriptive research study, 50 mothers of children with
leukaemia were selected using convenient sampling technique and they were asked to take part in a structured
interview schedule and their depression's score was measured using the Beck Depression Inventory (BDI-II). In the
present study data were analysed using both descriptive and inferential statistics. The result of this study showed that
majority 36% mothers of children with leukaemia have severe depression. There is no significant association between
the level of depression and the demographic variables.
Key words: depression, leukaemia
biologically very different from cancer in adults (Magrath Background5 thI, 2013) .In India, cancer is the 9 common cause of
Currently depression is the leading cause of disability in deaths among children between 5 to 14 years of age
the world and is predicted to become the second largest (Summary- Report on Causes of Death, 2013).The
1killer after heart disease by the year 2020 (WHO, 2012) . proportion of childhood cancers reported by Indian
80% of individual with depression report functional Cancer Registries varied from 0.8% to 5.8% in boys and
impairment while 27% report serious difficulties at work 6from 0.5% to 3.4% in girls (PBCR, 2013)2and home life (CDC, NCHS, 2012) . According to a study,
It has been long recognized that in the early months after conducted in 2011, India has the highest rate of
diagnosis, the parents of children with cancer often suffer depression (36%) and in low income countries with
a variety of psychosocial symptoms. As a primary care women being affected twice more than men (Bromet E et 3 provider mother's responsibility increases substantially al. 2011) .
starting a vicious cycle of anxiety and socio-economic Any chronic illness might cause a heavy impact on family
uncertainty leading her to depression much more than the members. Several studies have shown that depressive
father.disorders are more common among the parents of
In a similar study conducted in Turkey reported that chi ldren wi th chronic d isease than normal 88%mothers were depressed. Mild depression was population.(Raymond K M et al 1999; Rona RJ et al.
4 reported in 22.7 % and major depression in 61.5% (Erkan 1998).7S, 2009)
Need of the study and Literature Review8Ghufran et al (2014) in a study in Pakistan reported that
Cancer in children and adolescents is rare and
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201644
*MSN Staff Nurse, Holy family Hospital Okhla Road New Delhi 110025, Mob.08959682617 Email: [email protected]
**Asst. Prof. Choithram College of Nursing, Manik Bagh Indore, Mob: 09407403708 Email: [email protected]
* Vinaya Anjaly Thomas, ** Shweta Pattnaik
Effect of Foot Reflexology on Vital Parameters
of Hypertensive Patients
Abstract
Reflexology is a natural healing therapy which is highly effective in treating many health complaints. Foot reflexology
promotes equilibrium and well-being in hypertensive patients with long lasting impact. A quasi experimental study was
adopted to assess the effect of foot reflexology on vital parameters among hypertensive patients in the selected
hospitals of Indore. 60 hypertensive patients (30 in experimental group and 30 in control group) were selected by
purposive sampling from medical surgical wards of Choithram hospital and research centre, Indore. Data were
collected through questionnaire for socio- demographic variables and clinical variables. For checking blood pressure
mercury sphygmomanometer was used and pulse rate and respiratory rate was checked by observational method
.Vital parameters recorded in recording sheet and categorized according to vital parameters assessment sheet. The
data were analyzed in terms of objectives and hypotheses using descriptive and inferential statistics. Findings of the
study revealed that there was significant difference between pretest scores values of vital parameters and post test
scores values of vital parameters the at the level of p< 0.001. The mean difference in pulse rate among pretest score
and post test score was 22.6. This test result showed that it was highly significant at the level p<0.001. In the case of
respiratory rate the calculated mean difference was 5.6 and it was found to be significant at p<0.005. The mean
difference in blood pressure scores was 1.68 and this was also found to be highly significant at the level of p<0.001. On
comparison of post test scores of vital parameters among experimental and control group after foot reflexology it
revealed that there was significant difference between two groups at the level p<0.001.This study results showed that
the application of foot reflexology techniques reduces the increased vital parameters and help to keep the normal
levels especially that of the blood pressure. Foot reflexology is an adoptable intervention to holistic nursing.
Key words: Foot reflexology, vital parameters, Hypertensive patients.
Hypertension is a global public health issue. It contributes Backgroundto the burden of heart disease, stroke, kidney failure and
Hypertension, also known as high or raised blood premature mortality and disability. Hypertension rarely
pressure, is a condition in which the blood vessels have causes symptoms in the early stages and many people
persistently raised pressure. Blood pressure is created by go undiagnosed. Those who are diagnosed may not have
the force of blood pushing against the walls of blood access to treatment and may not be able to successfully
vessels (arteries) as it is pumped by the heart. Normal control their illness over the long term. Hypertension is a
adult blood pressure is defined as a blood pressure of 120 silent, invisible killer. Researchers have estimated that
mm Hg, when the heart beats (systolic) and a blood raised blood pressure currently kills nine million people
pressure of 80 mm Hg when the heart relaxes (diastolic). 2globally, every year.When systolic blood pressure is equal to or above 140
Hypertension places stress on several organs (target mm Hg and/or a diastolic blood pressure equal to or
organs), including the kidneys, eyes, and heart, causing above 90 mm Hg the blood pressure is considered to be 1 them to deteriorate over time. High blood pressure raised or high.
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201648
*M.Sc(N), Staff nurse, Mob.: 08547328455 Email: [email protected]
**Asst. Prof. Choithram College of Nursing, Manik Bagh Road, Indore, Mob.09407403708 Email: [email protected]
* Jeethu Merin Jose ** Shweta Pattnaik
Assess the Practice and Perceived Barriers of
Staff Nurses in Adopting Protocol on Post Insertion
Care Bundle in Prevention of Central Line
Associated Blood Stream Infection
Abstract
Bloodstream infections are considered to be associated with a central line if the line was in use during the 48-hour
period before the development of the bloodstream infection. Care bundles, in general, are groupings of best practices
with respect to a disease process that individually improve care, but when applied together, result in substantially
greater improvement. The present study was conducted to assess the practice and perceived barriers by staff nurses
working in ICU and CCU in adopting protocol on post insertion care bundle in prevention of Central Line Associated
Blood Stream Infection (CLABSI) in selected hospitals of Indore. The study used descriptive research design.
Purposive sampling technique was used to select 50 staff nurses working in ICU and CCU as per the predetermined
inclusion criteria. Selected samples were given the knowledge and barrier questionnaire regarding post insertion care
bundle which was filled by them, an observational checklist was also used to assess the practices of the sample. At the
end samples were taught about CLABSI and its prevention and thereafter post insertion care bundle protocol was
given to unit in-charge of ICU and CCU. The study finding revealed that only 4% scored excellent in the knowledge
questionnaire and majority of 82% of staff nurse's practices were found to moderately satisfactory. So the study
concluded that there is a great need for the staff nurses to update their knowledge and improve their practices
regarding post insertion care bundle for preventing CLABSI and providing post insertion care bundle while caring
patients with central line catheter to prevent fatal complication in ill patients.
Keywords: Central line associated blood stream infection, Post insertion care bundle, Staff nurses, Practice, Barrier to
practice.
An estimated 250,000 to 500,000 CLABSI occur in US Backgroundhospitals each year. CLABSI are an important cause of
Catheter-related bloodstream infections (CR-BSIs) are morbidity and excess cost of care for hospitalized
defined as bacteremia and/or fungemia in a patient with patients. Studies of CLABSI that control for the underlying
an intravascular catheter with at least one positive blood severity of illness suggest that the attributable mortality
culture obtained from a peripheral vein, clinical rate is 4% to 20%. An estimated 500 to 4000 patients die
manifestations of infection (i.e., fever, chills, and/or annually from CLABSI in the United States, and the
hypotension), and no apparent source for the reported range for patient care cost attributed to CLABSI
bloodstream infection except the catheter. Bloodstream 2is $3700 to $29,000 per episode.
infections are considered to be associated with a central
An article on Prevention of central venous catheter-line if the line was in use during the 48-hour period before
related infection in the intensive care unit states that, the development of the bloodstream infection. If the time
prevention of catheter-related infection involves several interval between the onset of infection and device use is
measures which should be used in combination, like use greater than 48 hours, there should be compelling 1 of a checklist to guide catheter insertion and evidence that the infection is related to the central line.
maintenance; adequate training of the nursing staff
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201659
* Msc Nursing, Hemato - oncology Nurse, BLK Super Speciality Hospital, New Delhi,
* Suby Varghese, ** Shreeja Vijayan, *** Dr Kamna Jain, **** Rakhi Phandse
Medication Error Rate and Barriers in its Reporting
Abstract
Medication errors occur in all health care settings. Large numbers of hospitalised paediatric patients are harmed or
injured or experience adverse drug events as a result of medication errors, each year. Therefore, an exploratory study
was conducted to identify the medication error rate and barriers in reporting, with a view to develop medication error
reporting form for nurses working in paediatric units at selected hospitals of Indore. The main objective of the study was
to assess the medication error rate and factors contributing to medication error and barriers in its reporting. An
exploratory study design was adopted and 100 nurses were selected from the population working in pediatric units.
Non participant observational method was used to identify the medication errors. Medication administration
assessment form was used to identify the medication error rate, and assessment scale was used to identify the factors
causing medication error and barriers to medication error reporting. Results revealed that 170 errors were found out in
300 observations and total medication error rate was found to be 56.66%. The most common type of error prevailing
was found to be the wrong time i.e. 95(31.66%). Predominant factors leading to medication error were frequent change
in paediatrician's order 60%, low nurse patient ratio 58% and 54% due to illegible paediatrician's order. Regarding
barrier in reporting medication error 85% responded contacting paediatrician was time consuming, 55% reported face
saving and 49.3% reported administrative response as a barrier.
Key words: Medication errors, Types of medication errors, Barriers in reporting medication errors.
communication, peer relationships, knowledge, and work Backgroundexperience. These factors not only influence risks of
Patient's age is the most important risk factor for medication error occurrence, but also medication error
Medication Administration Errors (MAEs). As recent 1reporting.evidence from United States indicated, potentially
Need of the Study & Literature Reviewharmful MAEs may be three times more common in the
paediatric population than among adults; this suggests Medication administration is an activity that is prone to
that the epidemiologic characteristics of the errors may errors because of the proliferation of new devices and
be different between adults and children. new drug products. Medication is administered through a
variety of routes, dosage forms and dosing regimens. The causes of medication errors are more complicated
Moreover, medication orders are changed frequently as since they involve a wide variety of organizational and
pharmacists and medical specialists provide input into human factors. In general, organizational factors linked to
patient care based on changes in patient clinical status risks of medication errors include: working conditions
and the results of diagnostic tests. The administration of such as working hours, physical environment, staffing,
medication by nurses is the final step in a process that working processes, and organizational culture .Human
involves multiple steps carried out by a number of health factors also contribute to medication errors such as:
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201665
* Asst. Professor, Masters in Mental Health and Psychiatric Nursing, Khalsa College of Nursing, Amritsar, Punjab
Mob.: 09914711108 E-mail: [email protected]
* Yashpreet Kaur
Assess Relationship between Emotional
Intelligence and Parental Involvement
among Nursing Students
Abstract
Emotional intelligence refers to the ability to perceive, control and evaluate emotions. Researchers suggest that it can
be learned and strengthened and Parents are the prime educators until the child attends his early years of school.
However, parents remain a major influence on their children's learning throughout school, college and beyond.
Keeping this in mind a study was conducted to assess the relationship between emotional intelligence and Parental
Involvement among 100 B.Sc. nursing Ist year students from selected colleges of Amritsar, Punjab. Stratified
proportionate randomized sampling technique was followed to select sample. Emotional intelligence scale developed
by Schutte's et al (1998) was used to assess levels of emotional intelligence of students and to assess Parental
Involvement a checklist was prepared. The data were analyzed with descriptive and inferential statistics. The
coefficient correlation was computed and results (r = 0.615, p <0.05) showed significant positive relationship between
emotional intelligence and Parental Involvement among students studying in senior secondary schools. This positive
relationship revealed to foster awareness among both parents and students about emotional intelligence to handle
their own emotions and understand others' rightly.
Key words: Emotional intelligence; Parental Involvement; Students studying in secondary schools.
knowing the difference in people's ability in the area Background
of emotions. This term rose to prominence with The word emotion is derived from a Latin word
Daniel Goleman's 1995 book called 'Emotional 'Emovere' that means a stir- up state or excitement.
Intelligence'. According to him EM is an ability to The emotional knowledge, skills, and intelligence
understand one's own emotion and apply the talent hold a major key in improving education as well as
to make effective decisions in life. The emotional professional growth. It also helps students and
intelligence combines feelings and thinking in four faculty to attain higher degrees of achievement,
related but different abilities of perceiving, using, career success, leadership and personal well-being.
understanding and managing emotions. Therefore, To exhibit emotions is very easy but doing it at right
the emotionally intelligent person can harness time, at the right place with the right person and at
emotions, even negative ones and manage them to the right degree is difficult. The management of
2achieve intended goals.
emotion has given rise to the most talked about term 1 There are 25 competencies under five dimensions “Emotional Intelligence”(EM).
such as self-awareness, emotional self-awareness, Two American University professors John Mayer
accurate self-assessment and self-confidence and Peter Salovey introduced this term in 1990 in
under the first dimension, self-regulation, self-their attempt to develop a scientific measure for
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201671
We all know the meanings of these two words gravity and grace. Dictionary meaning of gravity is pulling
force of the earth, weightfulness, heaviness, the state or condition of being grave!! And the word 'Grace'
means elegance, balance, grace of God, free and undeserved favour of god, assistance given by God to
humans for their regeneration or sanctification. Grace also many other meanings; such as a short prayer as
'say grace before dinner'; 'she looks graceful'.
But what are these words doing here in this column of beyond nursing?
Yes, this time I thought that all of us, the readers of IJNS should contemplate on these two words, because
“gravity ties us down and the grace lifts us up”.
Gravity is our need; we need to stand firmly on the ground. We can do all worldly functions well when we
have a strong balanced position on a strong ground. But there should be a limit to it. Many people spend
their entire lives looking for gaining weight (power) to show to the world, because they must have some
weight to throw around. In the process they get firmly bound or tied down to their physical material world that
grace of the God doesn't touch them. Even the gravity (pull) of the relationships also tie people down so
strongly that God's grace may not reach them, they may not be receptive to it.
However, God's grace finds you and is bestowed on you when you are ready to receive it. When you are
light, not weighed down by the pull of power, material world and relationships God's grace will find you, you
need not even ask for it.
Everybody in this universe wants to be happy and blissful & grace takes you into this permanent state of
blissfulness. We can have both gravity as well as grace of God, if we first understand and create the limits of
gravity (bindings), try to free ourselves from unnecessary attachments. By doing so we feel lighter and
God's grace starts flowing into our lives.
Why not start today, take the first step towards attracting God's Grace…….
Beyond Nursing:
- Dr. Usha Ukande
Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201679
Of Gravity and Grace ...
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Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201680
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Indian Journal of Nursing Studies Vol.07, No.02, July. - Dec. 201682