journal of nursing science & practice (vol4, issue2)

STM JOURNALSScientific Technical Medical

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ISSN : 2348 - 957XMay-August 2014

(JoNSP)

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I take the privilege to present the hard copy compilation for the [Volume 4 Issue (2)] of Journal of

Nursing Science & Practice. The intension of JoNSP is to create an atmosphere that stimulates

creativeness, research and growth in the area of Nursing Science & Practice.

The development and growth of the mankind is the consequence of brilliant Research done by

eminent Scientists and Engineers in every field. JoNSP provides an outlet for Research findings and

reviews in areas of Nursing Science & Practice found to be relevant for National and International

recent developments & research initiative.

The aim and scope of the Journal is to provide an academic medium and an important reference for

the advancement and dissemination of Research results that support high level learning, teaching and

research in the domain of Nursing Science & Practice.

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Research/Reviews findings for our customers base.

I hope you will enjoy reading this issue and we welcome your feedback on any aspect of the Journal.

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STM JOURNALS

1. A Study of Changes in RBC Indices and Electrolytes after Blood Donation to Overcome Misconceptions Regarding Blood Donation Rasale P. L., Raut S. Y., Tambade A. B. 1

2. A Study to Assess the Teaching and Learning Difficulties in Clinical Teaching Learning Process as Perceived by the Faculty and the Students in Selected Colleges of Nursing, under Manipal University Jaicy Annie Abraham, Sequira Leena, Sulochana B. 5

3. A Study to Develop and Test the Effectiveness of an Informational Booklet on Home Management of Patients with Bipolar Affective Disorder for the Family Members of Bipolar Affective Disorder Patients Receiving Treatment in Selected Hospitals of Delhi Poonam Sharma, RaminderKalra, Shailja Singh 9

4. Anthropometric Characteristics and Nutritional Status based on Body Mass Index of Adults in Rural Orissa, India – A Cross-sectional SurveyBiswal M, Stephen S, Vijay VR 19

5. Assessment of Knowledge of Nursing Personnel Regarding Neonatal ResuscitationRajbir Kaur, Sukhpal Kaur, Sukhjeet Kaur 23

6. Assessment of Knowledge of Parents Regarding Prevention of Home Accidents Among Under Five ChildrenKuldeep Kaur, Simaranjit Kaur, Herbaksh Kaur 28

7. Assessment of Perception and Preparedness Regarding Use of Electronic Health Records Among Health Care ProfessionalsParminder Kaur, S K Sharma 32

8. Breast Cancer: Risk Factors: A Mini Review of LiteratureArkierupaia Shadap 37

9. Effectiveness of Warm Water Foot-Bath Therapy on Physiological Parameters of Children with Fever at a Selected Hospital, Kolkata, West BengalIshita Mandal, Sumita Datta, Nargis Ahamed, Piyali De 43

10.Moyamoya Disease: A Cerebral Disorder of ChildrenVishali Galhotra, Gaurav Kohli, Manu Kohli 58

11. The Effectiveness of Planned Teaching Programme (PTP) on Knowledge Regarding Antioxidant Diet among Staff NursesBasavant Dhudum, Nirmala Londhe 64

12. Effectiveness of Puppet Show Regarding Oral Health in Terms of Knowledge and Oral Health Status of Primary School Children at Selected Primary School of AmbalaParampreet Kaur, Vinay Kumari, Vijay Kumar Gauttam 67

ContentsJournal of Nursing Science & Practice

JoNSP (2014) © STM Journals 2014. All Rights Reserved

Journal of Nursing Science & Practice ISSN: 2249-4758 (online), ISSN: 2348-957X (print)

Volume 4, Issue 2

www.stmjournals.com

A Study of Changes in RBC Indices and Electrolytes after

Blood Donation to Overcome Misconceptions

Regarding Blood Donation

Rasale P. L.*, Raut S. Y., Tambade A. B. Department of Shalyatantra, Govt. Ayurved College Nagpur, Maharashtra, India

Abstract To rule out the various misconception about blood donation, a study was undertaken by

evaluating the effect of blood donation on the RBC indices, Hb% and Sr. electrolytes. In

this study 300 ml blood of healthy individual was taken out and RBC indices assessed on

Day 1st, 7

th, 14

th, 21

st & 30

th. It was found that there is no effect of B.D. on RBC indices,

i.e., RBC Count MCV, MCH, MCHC, Hb% and electrolytes in all follow-up. It means

physiological parameters mentioned above remain at normal level thus blood donation

doesn’t harms or produce any adverse effects over body.

Keywords: RBC indices, MCV, MCH, MCHC, Blood donation

JoNSP (2014)© STM Journals 2014. All Rights Reserved


Volume 4, Issue 2

www.stmjournals.com

A Study to Assess the Teaching and Learning Difficulties

in Clinical Teaching Learning Process as Perceived by the

Faculty and the Students in Selected Colleges of Nursing,

under Manipal University

Jaicy Annie Abraham, Sequira Leena*, Sulochana B. Department of Medical Surgical Nursing, Fundamentals of Nursing,

Manipal College of Nursing Manipal, Manipal University, Manipal, Karnataka, India

Abstract The objectives of the study are to assess the perceived learning difficulties in clinical teaching learning process by nursing students and to determine the perceived teaching

difficulties in clinical teaching learning process by nursing faculty. This was a descriptive

survey conducted in selected nursing colleges under Manipal University. The study participants included 170 nursing students and 50 nursing faculty. The perceived

learning difficulties in clinical teaching learning process by nursing student and the

perceived teaching difficulties in clinical teaching learning process by nursing faculty was assessed by a rating scale which was developed by the researcher. The research

findings showed that the majority of the nursing students have moderate learning difficulty (75.9%) and the majority of the nursing faculty has mild teaching difficulty

(78%) in clinical teaching learning process. The study brought out the perceived teaching

and learning difficulties in clinical teaching learning process by nursing students and nursing faculty.

Keywords: Perceived learning difficulties, clinical teaching learning, nursing

faculty, nursing students



Volume 4, Issue 2

www.stmjournals.com

A Study to Develop and Test the Effectiveness of an

Informational Booklet on Home Management of Patients

with Bipolar Affective Disorder for the Family Members

of Bipolar Affective Disorder Patients Receiving

Treatment in Selected Hospitals of Delhi

Poonam Sharma1*, RaminderKalra

2, Shailja Singh

3

1Nightingale Institute of Nursing, Mullana, Ambala, Haryana, India

2Holy Family College of Nursing, New Delhi, India

3Psychology (IHBAS)

Abstract Mental health is still a neglected area in our society. The resentment, fear, shame, guilt are the common reactions faced by mentally ill people. Family has an important role

when it comes to treating, rehabilitating, assisting an individual during illness. The aim of

the study was to develop and test the effectiveness of an informational booklet on home management of patients with bipolar affective disorder for the family members of bipolar

affective disorder patients receiving treatment in selected hospitals of Delhi. The research approach used for this study was Evaluative; sampling technique (purposive), Structured

knowledge questionnaire was used to assess the knowledge of Family members of Bipolar

affective disorder patients and structured opinionnaire was used to determine the opinion of Family members, Doctors, Nurses and Social workers. Data were analyzed using both

descriptive and inferential Statistics. It was found that majority of the family members

were parents and staying with the bipolar affective disorder patients. Most of the patients were male (26–35 years age group) and did not require hospitalization. Findings

revealed that the informational booklet was effective in increasing knowledge of family members as mean posttest knowledge score was significantly higher than mean pretest

knowledge score. Informational booklet was found usable by the family members and

professionals. There was no significant relationship between the posttest knowledge score with selected variables. There is a need for research in the area of home management of

bipolar affective disorder patients to develop better methods of educating and better practice in nursing care.

Keywords: Informational Booklet, Home management, Knowledge, Opinionnaire,

Family members of bipolar affective disorder patients, bipolar affective disorder

patients



Volume 4, Issue 2

www.stmjournals.com

Anthropometric Characteristics and Nutritional Status

based on Body Mass Index of Adults in Rural Orissa,

India – A Cross-sectional Survey

Biswal M1, Stephen S

2, Vijay VR

3* 1Jhpiego India, Orissa, India

2ESI Hospital Paripally, Kerala, India

3College of Nursing, UP RIMS & R, Saifai, Etawah, UP., India

Abstract The authors sought to examine anthropometric characteristics and nutritional status based on body mass index (BMI) of adults in Rural Orissa, India. A total of 250 subjects

who met inclusion criteria were enrolled in the study. Anthropometric characteristics

such as height, weight, mid upper arm circumference were measured and body mass index (BMI) was calculated by the standard equation. Chronic energy deficiency (CED)

was evaluated to find out the severity of malnutrition. The mean (SD) age of the subjects was 38.95 (15.12) years. The mean (SD) height, weight and BMI were 161.02 (8.69) cm,

52.5 (8.42) kg and 20.24 (2.84) kg/m2, respectively. The prevalence of CED (BMI < 18.5)

was 25.6%. This prevalence of under nutrition (25.6%) was high (20% to 39%) indicating a serious situation. Hence, immediate nutritional intervention programs are needed for

the rural population of Orissa.

Keywords: Anthropometric characteristics, Nutritional status, Body mass index,

Chronic energy deficiency



Volume 4, Issue 2

www.stmjournals.com

Assessment of Knowledge of Nursing Personnel

Regarding Neonatal Resuscitation

Rajbir Kaur, Sukhpal Kaur*, Sukhjeet Kaur National Institute of Nursing Education, PGIMER, Chandigarh, India

Abstract Neonatal resuscitation (NR) skills are essential for all health care providers who are

involved in the care of newborns. A difficult delivery can result in perinatal asphyxia if

appropriate resuscitation is not available. Knowledge regarding neonatal resuscitation is therefore crucial for the reduction of early neonatal deaths and infant mortality rate. A

descriptive study was conducted to assess the knowledge about neonatal resuscitation

among nursing staff working at a tertiary care hospital. Fifty nurses from four units, i.e., Neonatal Intensive Care Unit, Neonatal Nursery, Clean Labor Room and Septic Labor

Room were purposely selected. A self-administered questionnaire was used to collect the data. The maximum attainable knowledge score of 22 was further categorized as poor,

average, good, very good and excellent grades on the basis of the scores obtained by the

subjects. Majority of the nurses (98%) were female. Sixty eight percent were diploma holders. It was found that only 6% of the subjects were having poor whereas 26% were

possessing average knowledge about neonatal resuscitation. Around one fourth (28%) of the subjects were having very good knowledge. Equal number (20%) of the subjects was

having good and excellent knowledge about neonatal resuscitation. It was concluded that

there is a need to organize in-service education programs to sensitize the nurses regarding neonatal resuscitation.

Keywords: Nursing personnel, Knowledge, Resuscitation



Volume 4, Issue 2

www.stmjournals.com

Assessment of Knowledge of Parents Regarding

Prevention of Home Accidents Among Under

Five Children

Ms. Kuldeep Kaur*, Ms. Simaranjit Kaur, Ms. Herbaksh Kaur M. M. College of Nursing, Mullana Ambala, Haryana, India

Abstract Every child in the world matters. Children have the right to grow up in an environment

that provides them “special care and assistance” that children require. The present study

aimed to assess the knowledge of parents regarding prevention of home accidents among

under five children and to determine the association of the knowledge with selected sample characteristics. The research approach was non-experimental with Descriptive

Survey Design in selected rural area of Ambala, Haryana. The final data were collected

after getting formal permission from Sarpanch of Budhiyo Ambala Haryana. Convenience sampling was used for schools and Purposive Sampling Technique was used

for parents of under five children. The data were collected from 60 parents of under five

children by structured knowledge questionnaire. There were 30 knowledge items. Major findings of the Study revealed that Most of the parents (41.7%) were in the age group of

23–27 years. Majority of the subjects (80%) were females and (38.3%) had done senior secondary. Majority of the subjects (66.7%) were home maker. Majority of subjects

(65%) were belonged to the joint family. 07 Sample (11.7%) were having very good

knowledge, 35 subjects (58.3%) were having good knowledge and 18 subjects (30%) were having average level of knowledge regarding prevention of home accidents. Parents had

the highest knowledge in the area of ‘Introduction and concept of home accidents’ (75%) followed by ‘play and play material’ (70%), First aid management of home accidents’

(62.5%). The lowest knowledge deficit area was ‘Prevention of home accidents’

(62%). Computed chi square values of level of knowledge with sample characteristics were found to be statistically non significant as 0.05 level of significance, so there is no

significant association of the level of knowledge of parents with sample characteristics.

Keywords: Knowledge, parents, home accidents



Volume 4, Issue 2

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Assessment of Perception and Preparedness Regarding

Use of Electronic Health Records Among Health

Care Professionals

Parminder Kaur1*, S K Sharma

2

1AIIMS, New Delhi, India

2College of Nursing, AIIMS Rishikesh, Dehradun, Uttarakhand, India

Abstract This study was conducted with objectives to assess perception about need and use of

electronic health records and preparedness to adopt electronic heath records. A

descriptive study was conducted in Jan, 2013 at ICU’s of DMC and Hospital, Ludhiana. A total of 200 health care professionals consisting of, 150 nurses, 30 technicians and 20

resident doctors were selected by stratified random sampling technique. Structured questionnaire consists of 20 items to assess preparedness (computer literacy) and 5 point

likert scale consists of 22 items was used to collect data. Data were collected by self

report method. Result of the present study showed that resident doctors had better perception score about need and utility of EHR (78.15+7.35) as compared to technicians

and nurses perception score, i.e., (77.46+6.19) and (77.13+6.83), respectively (p>0.05).

It was found that there was weak positive correlation between the computer literacy (preparedness) and perception. Major findings of the study found that technicians, i.e.,

21 (70%), nurses, i.e., 102 (68%) and resident doctors, i.e., 10 (50%) had adequate computer literacy (preparedness) to adopt EHR. It was also revealed that perception was

not associated with any of socio-demographic characteristics but there was a statistically

significant association between preparedness and socio-demographic characteristics (p<0.05). It was concluded that health care professionals were more prepare to adopt

EHR. Computer education and training of health care professionals plays pivotal role in success of EHR implementation, so it should be provided to health care professionals as

per requirement.

Keywords: Electronic health records, Perception, Preparedness, Computer literacy,

Health care professionals.



Volume 4, Issue 2

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Breast Cancer: Risk Factors: A Mini Review of Literature

Arkierupaia Shadap* Sikkim Manipal College of Nursing, Sikkim Manipal University, Gangotk, Sikkim, India

Abstract Breast cancer was considered to be one amongst the most commonly cancer disease in

the world. Now it is considered to be the second cancer disease among women in India, with most of the affected population is in the urban areas. Breast cancer is seen mostly

after the age of 40 years. According to the Cancer fact 2012, breast cancer is now seen to be among women aged from 35 years above. Many studies in the past have reported that

due to lack of knowledge regarding breast cancer and its risk factors, women are

diagnosed at the later stage of the disease and ultimately lead to increase morbidity and mortality. This review was conducted to identify the risk factors among women with

breast cancer. Nine studies with a total of 12,076 participated in the study with 4,212

diagnosed with breast cancer were included in the review. The maximum and the minimum reported diagnosed for breast cancer among women are 67 and 18.73%

respectively. The risk factors for breast cancer that are commonly seen among diagnosed women are increasing age 40 years and above, unmarried, age of menarche < 12 years,

age at first delivery >30 years, did not give breast feeding and late menopause. The

outcomes of these suggest; risk factors for breast cancer.

Keywords: Cancer, Risk factors, Morbidity, mortality



Volume 4, Issue 2

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Effectiveness of Warm Water Foot-Bath Therapy on

Physiological Parameters of Children with Fever at a

Selected Hospital, Kolkata, West Bengal

Ishita Mandal1, Sumita Datta

2, Nargis Ahamed

3, Piyali De

4

1Jeevan Jyothi School of Nursing, Telco colony Jamshedpur, Jharkhand, India

2College of Nursing, Asia Heart Foundation, Kolkata

3Sikkim Manipal College of Nursing, Sikkim

4College of Nursing, Asia Heart Foundation, Kolkata

Abstract A quasi-experimental study with non equivalent control group time series design was

conducted on warm water foot-bath therapy on 30 children with fever in the pediatric unit

at Calcutta National Medical College and Hospital, Kolkata, by adopting non probability

purposive sampling technique. The objectives of the study were to determine the

effectiveness of warm water foot-bath therapy in terms of differences in physiological parameters of children with fever between experimental and control group. Physiological

parameters were assessed before giving therapy, 15 and 25 min after therapy. Result showed an average reduction of physiological parameters, (i.e., axillary temperature,

pulse rate, respiration rate, blood pressure) after giving warm water foot bath therapy in

experimental group but in control group physiological parameters are significantly increased. Independent ‘t’ value among the mean physiological parameters between

experimental and control group at 2nd observation, (i.e., 6.2, 2.13, 2.21, 0.39, 0.43

p<0.05) and at 3rd observation the computed ‘t’ values (16.5,7.8,5.84,2.21,2.15 p<0.05) were significant after warm water foot- bath therapy. The researcher recommended

further studies with large sample, also with other age group of children, wide range of axillary temperature, more number of observations, comparative study between warm

water foot bath therapy and other types of hydrotherapy, comparative study between

warm water foot bath therapy and use of antipyretics, effect of warm water foot bath therapy on other physiological parameter like oxygen saturation etc.

Keywords: warm water foot bath therapy, physiological parameters



Volume 4, Issue 2

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Moyamoya Disease: A Cerebral Disorder of Children

Vishali Galhotra1*, Gaurav Kohli

2, Manu Kohli

3

1Dept. of Medical Surgical Nursing, L.L.R. Institute of Nursing, Moga (Pb.), India

2Dept. of Community Health Nursing, M.M. Institute of Nursing, M.M. University Mullana,

Ambala (Haryana), India 3Dept. of Mental Health Nursing, Mai Bhago College of Nursing, Tarantaran (Punjab), India

Abstract Moyamoya disease is an increasingly recognized arteriopathy associated with cerebral

ischemia and has been associated with approximately 6% of childhood strokes. It is characterized by chronic progressive stenosis at the apices of the intracranial internal

carotid arteries (ICA), including the proximal anterior cerebral arteries and middle

cerebral arteries. Occurring in tandem with reduction in flow in the major vessels of the anterior circulation of the brain, there is compensatory development of collateral

vasculature by small vessels near the carotid apices, on the cortical surface,

leptomeninges, and branches of the external carotid artery supplying the dura and skull base. Moyamoya is an increasingly recognized entity associated with cerebral ischemia.

Diagnosis is made from clinical and radiographic findings. Surgical revascularization is recommended for definitive treatment of children with moyamoya syndrome. Moyamoya

is an increasingly recognized cause of stroke in both children and adults. Patients with

certain conditions such as Down’s syndrome19 and sickle cell disease may be particularly at risk for moyamoya. Characteristic radiographic findings confirm the

diagnosis, and recognition of the disease early in its course, with prompt institution of therapy, is critical in order to achieve the best outcome in patients. Revascularization

surgery appears to be effective in preventing stroke in patients with moyamoya.

Keywords: Cerebral, ischemia, stroke, collateral vasculature



Volume 4, Issue 2

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The Effectiveness of Planned Teaching Programme (PTP)

on Knowledge Regarding Antioxidant Diet among

Staff Nurses

Basavant Dhudum*, Nirmala Londhe Bharati Vidyapeeth Deemed University College of Nursing, Wanlesswadi, Sangli, Maharashtra, India

Abstract People can identify at least one or two antioxidant vitamins and or minerals due to media

and advertisement, but misconceptions exit about the role of antioxidants in the diet and in human disease. Therefore, properly training future nurses, doctors, nutrition

educators, dieticians, researchers and other medical professionals about the biochemical functions of antioxidant nutrients should be a point of emphasis. The purpose of the

present study was to assess nurses learning, address nurses misconceptions and to give

nurses an opportunity to develop higher order knowledge on biochemical functions of the antioxidant nutrients. In order to assess nurses learning, teaching plan was designed to

engage nurses learning regarding antioxidant diet.

Keywords: Nutrition, T-test, antioxidants, disease prevention



Volume 4, Issue 2

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Effectiveness of Puppet Show Regarding Oral Health in

Terms of Knowledge and Oral Health Status of Primary

School Children at Selected Primary School of Ambala

Parampreet Kaur, Vinay Kumari*, Vijay Kumar Gauttam MM College of Nursing, MMU, Mullana, Ambala, Haryana, India

Abstract Oral health is an integral part of general health and is essential for well being. The

60–90% of school children worldwide has dental cavities. The oral health diseases are

preventable by dental health education and behavioral modifications towards

maintenance of oral health. The study was aimed to assess and evaluate the knowledge and oral health status of primary school children before and after the administration of

puppet show regarding oral health and to determine the association of level of knowledge

and oral health status of primary school children with selected personal variables. A pre experimental research study with ‘one group pre test –post test’ design was conducted in

selected primary school of Mullana, Ambala. The structured knowledge questionnaire and observational checklist was used for assessment of knowledge and oral health status

of primary school children once before and after the administration of the puppet show

regarding the oral health. A total of 100 participants were included in the study. The findings were the mean post test knowledge score (14.48) was higher than the mean pre

test knowledge score (7.67) with the mean difference 6.81 and the ‘t’ value 46.5 was

statistically significant (P<0.05). The mean post test oral health status score (6.54) was higher than the mean pre test oral health status score (5.21) with mean difference 1.33

and computed ‘t’ value 13.26 was significant statistically (P<0.05). There was no significant association of knowledge and oral health status score with selected personal

variables (except one variable, i.e., mother’s occupation with post test knowledge

scores). The results revealed that the puppet show regarding oral health was effective in enhancing the knowledge and improving oral health status of primary school children.

Keywords: Puppet show, Knowledge, Oral health status, Primary school children.

*Author for Correspondence E-mail: [email protected]

mailto:[email protected]

journal of nursing science & practice (vol4, issue2)

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