International Journal of Midwifery and Nursing Practice最新文献

{"title":"Intrapartum care experience and assessment of the factors associated with it as voiced by women","authors":"JW Kabo, A. Wakoli","doi":"10.33545/26630427.2020.v3.i1a.48","DOIUrl":"https://doi.org/10.33545/26630427.2020.v3.i1a.48","url":null,"abstract":"Childbirth experience plays a crucial role in how mothers foster positive feelings towards their newborn, good self-esteem, adaptation to the roles of motherhood, and future delivery. It is therefore important to identify factors that positively or negatively influence the birth experience. The study objective was to determine the social-demographic variables associated with intrapartum care experience at a tertiary Hospital in Kenya. This cross-sectional descriptive design employed systematic sampling to recruit 109 mothers. An established research instrument with local cultural adaptations was used. Independent variables were; parity, marital status, occupation, monthly income and education level. Dependent variables were effective communication; respect, care and dignity and emotional support. Almost half of the mothers were aged between 20-24 years, over two thirds (71.6%) were married, with almost half (48.6) attaining primary education and over a third (37.6%), secondary. Nearly half (45%) were self-employed, (52%) earned US$ 50-99.9 per month. Marital status (rs=- 0.192, p=0.046) was significantly associated with midwives explanations, perceived to be in understandable terms. An inverse significant rs=-0.192, p=0.045 correlation, was found between being employed and explanation of procedures being performed. There was an inverse significant (rs=-0.216, p=0.024) correlation between being employed and genuine interest displayed by midwives. An inverse significant (rs=-0.202, p=0.036) correlation, was found between marital status and mothers being asked for consent before procedures. Majority reported being treated with respect, were accorded privacy, and had consent requested before procedures. Many reported they were left alone (88.1%), and almost all mothers were \"scolded\" by their midwives during child birth (97.2%). The study revea led that various sociodemographic factors influence mothers’ experience of care during the intrapartum period. Midwives need to be cognizant of this in order to improve quality of maternal care in Kenya.","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130592521","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}

{"title":"Perception regarding restricted episiotomy: A qualitative study","authors":"Sindhumol Pk, A. Elif Posos Devrani, Lissamma Pv","doi":"10.33545/26630427.2020.v3.i1a.51","DOIUrl":"https://doi.org/10.33545/26630427.2020.v3.i1a.51","url":null,"abstract":"Background/Aim: Episiotomy is a planned surgical incision in the perineum and posterior vaginal wall in the second stage of labour to enlarge vaginal opening during delivery. It is one of the most commonly preferred obstetric operation during delivery since 1920 and practised routinely in most of the developing countries till today. Restricted practice refers to episiotomy reserved for situations where there is clear indication to perform the procedure. World Health Organisation (2018) recommends restricted practice of episiotomy. Voluminous literature highlights extensive disagreement about the necessity and benefits of the procedure. Even though the pendulum has swung back the practice of liberal episiotomy is still higher than the expected rate. Role of decision ends up in the midwives/ obstetrician’s hands who conduct the delivery. Limited researchers have examined the motive behind practicing liberal episiotomy. In this context a qualitative study was conducted to address the issues from midwives/obstetrician’s own perception regarding restricted practice of episiotomy. Materials and methods: This is a phenomenological approach qualitative study using the thematic analysis. The participants included 15 midwives and 8 obstetricians with minimum experience of one year selected by purposive sampling and attended semi structured interview. Results: The themes emerged after data analysis are Negative impact on self and maternal morbidity and Inadequate readiness. Conclusion: The subjective opinion of midwives/obstetricians could identify reasons behind the reluctance to give up the age old practice and threw light in to the gap that exists in practice and scientific evidence. Conscious effort may be taken by the midwives /obstetricians to adopt the best evidence based protocol and deliver quality care.","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"66 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"133826383","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}

{"title":"A pre-experimental study to find out an impact of constructive teaching program on knowledge regarding reproductive health among rural adolescent girls","authors":"Asha H. Bhatakhande, Dr. Sanjay M Peerapur","doi":"10.33545/26630427.2020.v3.i1a.54","DOIUrl":"https://doi.org/10.33545/26630427.2020.v3.i1a.54","url":null,"abstract":"Background: Good reproductive health is a state of complete physical, mental and social well-being in all matters relating to the reproductive system. Human beings are beings, it means human beings are capable to reproduce and able to maintain reproductive health. Objective-1): To assess the existing knowledge regarding reproductive health among rural adolescent girls by giving pre-test. 2) To implement the constructive teaching program (CTP).3) To evaluate the effectiveness of constructive teaching program regarding reproductive health by giving posttest. 4) To find out an association between pre-test knowledge scores of rural adolescent girls regarding reproductive health with their selected demographic variables. Material and Methods: A study was conducted to assess the effectiveness of constructive teaching program on knowledge regarding reproductive health among 30 adolescent girls of selected rural PU colleges of Dharwad district. The research design used for the study was pre-experimental, one group, pre-test, post-test design. The demographic Performa were collected from the rural adolescent girls by using structured knowledge questionnaire. Data obtained in these areas were analyzed using descriptive and inferential statistics. Results: The study revealed that, in pre-test the knowledge scores of rural girls were 23.34% had good knowledge, 50% of them had an average knowledge and 26.6% of them had poor knowledge. Where as in post test, 100% of them had an excellent awareness and none of them belonged to the category of neither an average nor poor. The paired ‘t’ value was 27.5* which was more than that of value of tabulated. Hence the formed hypothesis was accepted. Conclusion: So the study proved and concluded that the constructive teaching program was an excellent tool in improving the knowledge of rural adolescent girls","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"27 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114747938","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}

{"title":"Barriers in seeking fistula repair services among women with obstetric fistula in Zambia: The case of Muchinga, Luapula Eastern and Southern Provinces","authors":"Nchimunya Nambala Tembo, A. Maluwa, Jon Odland, P. Mukwato, C. Kwaleyela, J. Zulu, M. Maimbolwa","doi":"10.33545/26630427.2020.v3.i1a.49","DOIUrl":"https://doi.org/10.33545/26630427.2020.v3.i1a.49","url":null,"abstract":"Background & Aim : Obstetric fistula is a condition in which a hole develops in the birth canal as a result of childbirth resulting in leakage of urine and/or stool through the vagina. Once obstetric fistula occurs, it requires reconstructive surgery as fistulas usually cannot heal by themselves. However, most afflicted women do not seek fistula repair services. Objective : To explore barriers in seeking fistula repair services among women with obstetric fistula. Methods : This was a qualitative study. The study was conducted between October, 2017 and September, 2018. The study setting was Muchinga, Luapula, Eastern and Southern provinces of Zambia. A purposive sample of 16 participants was recruited and interviewed in their homes. In-depth interviews were conducted. Data was analyzed manually using thematic content analysis. Results : The age of the participants ranged from 19 - 87 years. Four thematic areas were identified that included individual, household, community and health systems barriers. Conclusion : Women either delayed in seeking fistula repair services or did not seek the service at all. Strategies such as addressing barriers at individual, family, community and health facility levels must be implemented in order to improve access to fistula surgical repair services.","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126704242","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}

{"title":"An experimental study to assess the effectiveness of demonstration on practice regarding new born resuscitation among nurses working in selected hospital at Udaipur city, Rajasthan","authors":"Dolly Saraswat, Dr. Vijayamma Ajmera","doi":"10.33545/26630427.2020.v3.i1a.50","DOIUrl":"https://doi.org/10.33545/26630427.2020.v3.i1a.50","url":null,"abstract":"Practice related to demonstration on new born resuscitation are posing a great threat globally in new born mortality and morbidity, it is an increasing trend globally and India is not an exemption. The nurses have poor Practice related to new born resuscitation. Present study was aimed to assess the effectiveness of demonstration on practice regarding newborn resuscitation among nurses working in selected hospital at Udaipur city, Rajasthan. 60 samples were selected using simple random method. The findings revealed that in Control group none of the participants had good level of practice in pre and post-test. Average level of practice (56.67%) was found in pre-test whereas 70% was found in post-test. Poor level of practice 43.33%was found in pre-test whereas 30% was found in post-test in control group. In experimental group none of the participants had good level of practice in pre-test whereas 100% had good level of practice in post-test. Average level of practice 60%was found in pre-test whereas none of the participants had average level of practice in post-test. Poor level of practice 40%was found in pre-test whereas none of the participants had poor level of practice in post-test in experimental group. The study concluded that there was a significant improvement in the level of practice of nurses regarding newborn resuscitation which indicated that the demonstration was effective. The study also revealed that there was a significant association between pre-test practice scores with selected socio demographic variables in both groups. Hence this kind of education programmes should be conducted from time to time for health personnel so that their practice can be improved which will be helpful in reducing the new born mortality and morbidity.","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"6 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2020-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127255692","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}

{"title":"Effectiveness of lecture method and video assisted teaching on knowledge regarding polycystic ovarian disease (PCOD) and its management among adolescent girls of selected PU colleges at Hubballi","authors":"S. Kadam, Asha H Bhathakhande","doi":"10.33545/26630427.2019.v2.i2a.42","DOIUrl":"https://doi.org/10.33545/26630427.2019.v2.i2a.42","url":null,"abstract":"A study was conducted to assess the effectiveness of lecture method and video assisted teaching on knowledge regarding Polycystic Ovarian Disease (PCOD) and its management among 60 adolescent girls of selected PU colleges of Hubballi, who were divided into two groups (Group I with lecture method & group II with video assisted teaching). The research design used for the study was quasi-experimental; two group concurrent pre-test, post-test design. The demographic Proforma were collected from the adolescent girls by using structured knowledge questionnaire. Data obtained in these areas were analysed using descriptive and inferential statistics. The results showed that, In Group I Majority of subjects 21(70%) had average knowledge, 7 (23%) had poor knowledge and 2 (7%) had good knowledge in the pre-test, where as in post test 30 (100%) of them had good knowledge. In Group II Majority of subjects 18(60%) had average knowledge, 7(23%) had good knowledge and 5(17%) had poor knowledge score in the pre-test, where as in post test 30(100%) of them had good knowledge score. One way analysis of variance revealed that the ‘F cal ’ value (73.12*) was greater than the F tab value (4.03). This indicated that the mean gain in knowledge scores of adolescent girls in Group II who were exposed to Video Assisted Teaching was higher than those in the Group I who were exposed to lecture method regarding Polycystic Ovarian Disease and its management. Therefore, the study concluded that video assisted teaching method was more effective than the lecture method for adolescent girls to increase and update their knowledge regarding PCOD and its management.","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"136 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124265320","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}

{"title":"A study to evaluate the effectiveness of structured teaching programme (STP) on knowledge regarding breast self-examination (BSE) among bed students of selected colleges in Hubballi","authors":"Pratima K Gudlanur, Asha H. Bhatakhande","doi":"10.33545/26630427.2019.v2.i2a.41","DOIUrl":"https://doi.org/10.33545/26630427.2019.v2.i2a.41","url":null,"abstract":"A pre-experimental one group pre-test post test design was used. The sample size of 60 were selected by using Probability; simple random sampling technique. Data was collected from B.Ed students studying in KLE’s College of Education, Vidyanagar, Hubballi by means of Structured knowledge questionnaire. The reliability of tool was r=0.941 and analysis is done using descriptive and inferential statistics. The overall pretest knowledge scores of 60 B.Ed students, Majority of the subjects 38(63%) had average knowledge, 12(22%) had good knowledge and 9(15%) had poor knowledge, where as in post test all the subjects 60(100%) had good knowledge scores. The calculated paired ‘t’ value (t cal =7.66)* was greater than tabulated ‘t’ value (t tab =2.662). Hence H 1 was accepted. This indicates that gain in knowledge scores was statically significant at 0.05 levels. The study concludes that the STP on knowledge regarding BSE was effective to improve and update the knowledge of B.Ed students.","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121192310","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}

{"title":"Management of asymptomatic hyperuricemia at primary care","authors":"Dr. Ayesha Rashid, Dileep Kumar","doi":"10.33545/26630427.2019.v2.i2a.38","DOIUrl":"https://doi.org/10.33545/26630427.2019.v2.i2a.38","url":null,"abstract":"Asymptomatic Hyperuricemia (AHU) is a condition with abnormal serum uric acid levels, without clinical signs or symptoms. AHU is a risk factor of various clinical conditions as hypertension, renal diseases, metabolic syndrome, stroke etc. It is controversial that AHU should be treated with Uric acid lowering therapy (ULT), and most of the latest guidelines do not suggest the use of ULT. However, non-pharmaceutical measures can help in management of this condition","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"15 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"115098778","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}

{"title":"Assessment of quality of life and spirituality in lung cancer patients","authors":"Paraskevi Theophilou, Evridiki Savva, V. Alikari, F. Tzavella, S. Zyga, M. Tsironi, E. Fradelos","doi":"10.33545/26630427.2019.v2.i2a.46","DOIUrl":"https://doi.org/10.33545/26630427.2019.v2.i2a.46","url":null,"abstract":"Aim of the study was to assess Quality of life and Spirituality in Lung Cancer Patients and their possible relation. Material and Methods: A cross-sectional study was employed in this study and a cohort of 32 lung cancer patients was recruited. Data were collected with a three-part self-reported questionnaire consisted by Missoula Vita QoL index, Daily spiritual experience and a sheet contain sociodemographic data. Statistical analysis performed with the Statistical Package for the Social Sciences (SPSS 21.0 for Windows) and included Pearson and Spearman correlation coefficient and linear regression analysis. Results: The total sample includes all patients, consisting of 21 men (65.6%) and 11 women (34.4%). Participants were, on average, 55 years old. MVQOLI Total, Interpersonal, Wellbeing and Transcendent presented negative correlation with DSES total score. showing that patients with greater religious believes have lower MVQOLI Total, Interpersonal, Wellbeing and Transcendent scores. Conclusions: Religion and spirituality are two essential aspects of human existence that can impact various health outcomes such as QoL and distress.","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"36 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"122337535","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}

{"title":"The influence of patient safety culture on incident reporting among health care professionals working in public hospitals in Addis Ababa, Central Ethiopia","authors":"Hailemariam Shewangizaw, Agegnehu Wubetu, G. Amare, Sanjay Shinde","doi":"10.33545/26630427.2019.v2.i2a.40","DOIUrl":"https://doi.org/10.33545/26630427.2019.v2.i2a.40","url":null,"abstract":"Background: Patient safety is crucial to the quality of patient care and remains challenging for countries at all levels of development. There is a popular acknowledgement of the importance of establishing patient safety culture in healthcare organizations. Hospitals with a positive patient safety culture are transparent and fair with staff when incidents occur, learn from mistakes, and rather than blaming individuals, look at what went wrong in the system. Health care providers are willing to report the errors but, due to poor reporting system and culture of blame and shame, there exists struggle of disclosure of adverse events. Objective: To investigate the influence of patient safety culture on incident reporting behavior among health care professionals in public hospitals in Addis Ababa, central Ethiopia. Methods: Institution based cross-sectional study was conducted from March 15-20, 2017 at public hospitals in Addis Ababa. A total of 697health professionals were selected by simple random sampling method. Self-administered questionnaire was distributed to collect the data. A multivariate linear regression model was fitted. Then the effect of the socio-demographic variables and patient safety culture dimensions on the dependent variable “incident reporting behavior” was assessed using multiple linear regression analysis. Results: Among the participants, 20.4% never reported an incident, 13.1% reported rarely, 19.9% reported sometimes. Only 30.4 % reported incidents al ways. Feedback about error (β=0.136, p=0.008), management support for safety (β=0.28, p< 0.001), Non-punitive response to error, Supervisor/manager expectation and actions promoting patient safety (β=0.356, p< 0.001) and communication openness (β=0.170, p< 0.001) were the most predictive dimensions of patient safety culture for the incident reporting. Conclusions: Incident reporting behavior among health care professionals was very low. To increase the incident reporting behavior, placing priority on improving event reporting feedback mechanisms, communication regarding systems and process, giving priority by top-level hospital leadership and non-punitive response to errors.","PeriodicalId":111627,"journal":{"name":"International Journal of Midwifery and Nursing Practice","volume":"223 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2019-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127182467","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}