Indian Journal of Holistic Nursing最新文献

{"title":"ASHA - World’s Largest All-female Frontline Community Health Worker: Features and Challenges","authors":"C. Babu","doi":"10.24321/2348.2133.202111","DOIUrl":"https://doi.org/10.24321/2348.2133.202111","url":null,"abstract":"India accounts for the second-highest number of maternal deaths all over the world. India has shown a remarkable decline in MMR (Maternal Mortality Ratio) during the last two decades. According to the SRS (Sample Registration System), MMR dropped from more than 556 per 100,000 in 1990 to 113 in 2018 and the proportion of deliveries attended by skilled health personnel has increased from 58% in the 1990s to 81% in 2019. In the year 2005, the Government of India launched the National Rural Health Mission (NRHM) with the purpose of improving the existing health facilities provided to the community with a special focus on the poor and vulnerable states and societies. NRHM identified ASHA (Accredited Social Health Activist), a voluntary community health worker, to provide services to the community on incentives. ASHA workers are the female health workers who have hailed from the same community where they serve. An ASHA worker acts as a link person between the health system and the community. At present, ASHA services are utilised in a number of programmes including maternal and child health, Various studies have extensively documented about ASHAs dissatisfaction with their pay and workload. ASHA services are widely accepted by societies, especially the poor, but issues like sexual harassment, violence, unsafe working conditions, and cast discrimination were also reported.ASHA programme plays a critical role in implementing Government health programmes, especially on MCH. Therefore keeping the ASHA updated and motivated is very important for performing her duties efficiently and effectively.","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"17 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114866660","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 Structured Teaching Programme on Knowledge regarding Anxiety among GNM Students of Selected Institute of Pulwama","authors":"Perkash Kour","doi":"10.24321/2348.2133.202110","DOIUrl":"https://doi.org/10.24321/2348.2133.202110","url":null,"abstract":"Background: The mental health of an individual is affected by a number of factors, including anxiety. Anxiety is a normal human emotion that is experienced in varying degrees as a state of emotional or physical uneasiness. Excessive anxiety occurs as a response to an actual or anticipated situation or as a pathological state.Aim: The study aimed to find the efficacy of teaching programme on knowledge regarding anxiety among GNM students by assessing their knowledge before and after intervention through pre and post-test.Materials and Methods: Pre-experimental approach was adopted for the study with one group pre-test post-test design. 30 GNM students studying in Dolphin Institute of Medical Sciences and Technology, District Pulwama were selected by using non-probability purposive sampling technique. Data were collected by using a self-structured questionnaire. The collected data were organised and analysed according to the objectives of the study using descriptive and inferential statistics.Results: The mean post-test knowledge score was higher than the mean pre-test knowledge score. This indicates the effectiveness of the planned teaching programme in increasing the level of knowledge of GNM students regarding anxiety. There was no statistically significant association between pre-test knowledge score of the subjects with the selected demographic variables such as age, gender, residence, type of family, occupation of parents at 0.05 level of significance.Conclusion: The findings of the study conclude that GNM students were not possessing adequate knowledge regarding anxiety. The planned teaching programme was found to be effective in increasing their knowledge level of study subjects.","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"123717636","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 Knowledge and Practice of ICU Nurses regarding Prevention of Ventilator-associated Pneumonia (VAP) at a Tertiary Care Hospital, Jammu and Kashmir","authors":"Sumera Hassan","doi":"10.24321/2348.2133.202109","DOIUrl":"https://doi.org/10.24321/2348.2133.202109","url":null,"abstract":"Background: Ventilator-associated pneumonia (VAP) is defined as pneumonia in a patient receiving mechanical ventilation that was not present at the time of admission to hospital or that occurs 48 hours after intubation and mechanical ventilation.Objectives: The objectives of the study were to assess the knowledge and practice scores of ICU nurses, find the association of their knowledge and practice scores with selected demographic variables, and the correlation between their knowledge and practice scores. Methodology: A quantitative research approach with descriptive correlational design was used. 60 staff nurses working in ICUs of SKIMS were selected by non-probability purposive sampling. Assessment of knowledge and practice was done by using a ‘self-structured knowledge questionnaire’ and ‘observation checklist’ respectively.Results: The study showed that maximum staff nurses had moderate knowledge regarding prevention of VAP and majority had unsatisfactory practice. A statistically significant association was found between the knowledge score of nurses and their demographic variables (except gender), and between their practice score and demographic variables (except gender and in-service teaching programme attended regarding prevention of VAP). There was no significant correlation between knowledge and practice scores of study subjects regarding prevention of VAP.Conclusion: The study concluded that the staff nurses working in ICUs lack adequate knowledge and satisfactory practice regarding prevention of VAP. There is a need to conduct in-service education and skill training programmes to improve their knowledge and practice to provide mechanically ventilated patients with the best standard of care possible.","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"18 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"121022862","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 HIV Intervention Package (HIP) on HIV Infected Adolescents: Pilot Study Report","authors":"R. Sakthivel","doi":"10.24321/2348.2133.202105","DOIUrl":"https://doi.org/10.24321/2348.2133.202105","url":null,"abstract":"Background: Adolescents are the fulcrum of the population. HIV affects this precious population, which faces many barriers in achieving optimal adherence to Anti Retroviral Therapy (ART) as compared to the children and adults living with HIV. The aim of the study is to evaluate the effectiveness of HIV Intervention Package (HIP) on HIV infected adolescents.Methods: Randomised controlled trial was conducted in the ART Centre, Institute of Child Health and Hospital for Children, Egmore. By simple random technique, 40 (10% from total sample size) samples were selected and divided equally into experimental and control groups. Relevant structured questionnaires were used to collect the data through face-to-face interview methods. The experimental group received HIP including asana demonstration along with routine care and the control group received only the routine care as conventional management. Results: At the end of the 6thmonth after the intervention, data were interpreted in the improvement of HIP components in the experimental and control groups and the results were recorded as follows: adherence rate: 6.4% in the experimental group and 2.2% in the control group, and Quality of life (QOL) 7.2% in the experimental group and 0.4% in the control group; it was significant at 95% Confidence Interval (CI). The other component of nutritional gain score increased by 4.5% in the experimental group and by 0.8% in the control group.Conclusion: Our study report revealed that HIP is more effective in achieving the targets of optimal adherence, increasing nutritional status, and enhancing QOL among HIV infected adolescents.","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"6764 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"116602836","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":"Effect of Computer-Assisted Instructions on Staff Nurses about Renal Dialysis for Chronic Renal Failure Patients","authors":"Abha Oriel","doi":"10.24321/2348.2133.202104","DOIUrl":"https://doi.org/10.24321/2348.2133.202104","url":null,"abstract":"Background: The present study was conducted to assess the effect of computer-assisted instructions on the knowledge gain of the staff nurses on renal dialysis for chronic renal failure patients. Methods: An experimental design was chosen with pre-test and post-test of the experimental and control group. The sample comprised 60 registered staff nurses divided into two groups - 30 in experimental group and 30 in control group. The tools used for conducting the study included demographic variables, and self-structured questionnaire to assess knowledge of experimental and control group. The experimental group was given computer-assisted instructions as an intervention and the control group was used only for comparison. The data was analysed with the help of descriptive and inferential statistics. Result: The study clearly shows that there was a significant gain in the knowledge of staff nurses in experimental group with computer-assisted instructions regarding renal dialysis for chronic renal failure patients.Conclusion: The staff nurses can be benefited by computer-assisted instructions to improve their knowledge and practice on renal dialysis for chronic renal failure patients and they can practice these interventions in clinical area in the future.","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"19 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"127806275","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 Assess the Knowledge of Primigravida Mothers regarding Prevention of Neonatal Infections in selected Hospitals of Hoshangabad","authors":"Sheelamma Ma","doi":"10.24321/2348.2133.202106","DOIUrl":"https://doi.org/10.24321/2348.2133.202106","url":null,"abstract":"Introduction: Healthy population is a key to a nation’s prosperity.Healthy children today, make a healthier nation tomorrow. The role of the mother in creating a healthy population is beyond explanation. The mother plays a key role in the prevention of infection in the neonatal period. Neonatal period is the most vulnerable period in an infant’s life. Among all the age groups, neonates are the most susceptible to morbidity and mortality. It is important to support the mother by providing adequate knowledge regarding the prevention and early identification of neonatal infections.Objectives: 1.) To assess the knowledge of primigravida mothers regarding the prevention of neonatal infections. 2.) To determine the association of the level of knowledge of primigravida mothers regarding the prevention of neonatal infections with their selected demographic variables. Material & Methods: An exploratory survey approach was selected for the study. Non-probability convenience sampling was used in the present study, and the knowledge of primigravida mothers regarding the prevention of neonatal infections was assessed by a structured knowledge questionnaire.Results: The mean knowledge score of primigravida mothers was 16.5 and standard deviation was 3.713. The knowledge scores of primigravida mothers regarding the prevention of neonatal infections showed that only 2 (05.00%) primigravida mothers had good knowledge. Majority of the primigravida mothers (28 (70.00%)) had average knowledge, and 10 (25.00%) had poor knowledge.Conclusion: The finding of the study revealed that the knowledge of primigravida mothers regarding the prevention of neonatal infections was inadequate.","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"9 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-06-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"126560900","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 22 Year Old Female Case Scenario: Veno-venous Extracorporeal Membrane Oxygenation","authors":"C. .","doi":"10.24321/2348.2133.202103","DOIUrl":"https://doi.org/10.24321/2348.2133.202103","url":null,"abstract":"ECMO (Extracorporeal membrane oxygenation) is one of the epic innovations of medical science to support the life of a human, in various conditions of lung failure, where it is difficult to maintain oxygenation of the body. ECMO was considered a very good option for conventional cardiopulmonary bypass technique and evolved into treatment of severe acute respiratory distress syndrome (ARDS) during the 1970s. Many kinds of research have been done on a similar topic. The initial reports on the utilisation of ECMO in ARDS patients were very exciting, and afterwards, ECMO proved to be certainly advantageous in infants having acute respiratory failure with a survival rate of almost 80%. There were two large randomised controlled trials, done during the period of 1979-1994 in adults with ARDS, that showed the failure of ECMO, with the survival rate range between 10% to 33%in the ECMO groups. Since then, ECMO treatment for ARDS patients has undergone further advancements by combining with lung-protective ventilation strategies and further by applying heparin-coated equipment, membranes, and tubings. Many healthcare facilities have used this advanced ECMO technology and achieved survival rates of more than 50%. However, whether improved ECMO can really challenge the advanced conventional treatment of adult ARDS is still a matter of debate and needs further studies.It was seen that acute respiratory failure requires intensive care. In few cases where ventilator support doesn’t prove effective, only the option of V-V ECMO remains. The present article describes the case of a 22-year-old female patient who was admitted with severe acute respiratory distress syndrome with associated multiple organ failure. The patient was admitted to the emergency of the Fortis Hospital with suspected acute kidney injury of unknown aetiology. After the initial 4 days of diagnostics at the ward, the patient required a further 24 days of hospital treatment and spent 16 days at the Intensive Care Unit. There, she underwent ECMO V-V therapy, lasting 14 days, which resulted initially in the improvement of his arterial blood gas parameters and clinical condition but later on, she developed pneumothorax and her condition worsened day by day gradually becoming critical.","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"41 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"124715042","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 Comparative Study to Assess Adjustment Problems among Adolescents on thebasis of Gender","authors":"Nazira Shaban","doi":"10.24321/2348.2133.202101","DOIUrl":"https://doi.org/10.24321/2348.2133.202101","url":null,"abstract":"Background: Adjustment is an important concern during the adolescent stage. It is a behavioural process for maintaining the equilibrium of one’s needs and obstacles offered by the environment. The rapid changes in the contemporary society contribute to adjustment problems among adolescents. Adjusting to constant changes in their internal as well as external environment becomes a major challenge during this stage. This study was conducted to assess the adjustment problems faced by adolescent boys in comparison to adolescent girls in the home, health, social, and emotional areas.Methodology: Quantitative research approach with a comparative descriptive research design was used to assess and compare the adjustment problems among adolescent boys and girls. Convenience sampling technique was used to collect the data from the 100 adolescent students (50 boys and 50 girls) using Bell’s adjustment inventory by RK Ojha. Results & Conclusion: Data analysis revealed that there is a significant difference in the adjustment problems among adolescent boys and girls (p = 0.019). On comparison, adolescent girls have been found to be suffering from more adjustment problems (mean ± SD = 66.84 ± 16.853) than boys (mean ± SD = 58.60 ± 17.682). No significant association could be found between the adjustment problems of boys with residence, type of family, education of parents, occupation of parents, and religion, while a significant association could be found between adjustment problems among girls and type of family (p = 0.02).","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"8 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"130321850","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":"Effect of Foot Massage in reducing Blood Pressure among Hypertensive Patients in selected Hospitals of Bhopal","authors":"N. Dubey","doi":"10.24321/2348.2133.202107","DOIUrl":"https://doi.org/10.24321/2348.2133.202107","url":null,"abstract":"Background: The present study was conducted to assess the effect of foot massage in reducing blood pressure among hypertensive patients. Methods: A quasi-experimental,time series research design was chosen. The sample size was 30 hypertensive patients. A self structured questionnaire was used to assess the knowledge of the respondents. The data were analysed with the help of descriptive and inferential statistics. Result: There was a significant decline in the blood pressure of the participants after foot massage. The difference in their blood pressure before and after foot massage clearly shows that foot massage is helpful in reducing blood pressure among hypertensive patients.Conclusion: The study has shown that foot massage is very effective for hypertensive patients and they can practice such a massage at home too.","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"96 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"114335021","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":"Familial Swyer Syndrome","authors":"Alka Tajne","doi":"10.24321/2348.2133.202108","DOIUrl":"https://doi.org/10.24321/2348.2133.202108","url":null,"abstract":"<jats:p>.</jats:p>","PeriodicalId":408166,"journal":{"name":"Indian Journal of Holistic Nursing","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2021-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"134076543","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}