Asian Journal of Research in Nursing and Health

Grounding Quality Patient Care from the Experiences of Hansenites

Vicente T. Baylon III — Wed, 24 Jan 2024 00:00:00 +0000

Grounding Quality Patient Care from The Experiences of Hansenites, this study explored the experiences of Hansen’s patients at one of the leprosariums in the Philippines. This task is entailed the identification of “Lived Experiences” of patients in terms of treatment, nursing care, and interpersonal relationship (patients and medical staff).

Aims: The study aimed to analyse with the Lived-Experiences of Hansenite patients with the view to develop essential recommendations for Hansenites patients, staff nurses, doctors, hospital administrators, Department of Health, National Government officials and nurse educators.

Scope and Limitation of the Study: The study focused on lived experiences of ten (10) selected Hansen patients admitted to the leprosarium and ten (10) selected Hansen’s patient living outside the hospital and comparison of the differences in their lives, experiences and their relationships with others.

Research Design: This observational analytic case control uses the grounded-phenomenological method of research.

Results: The result of the this Grounded study brought out several new aspects related to the quality of patient care that has a bearing on whether patient will submit to hospitalization or not, the determinants in providing quality patient health care, and components that boost patients recovery with the help of expected government programs in order to eliminate self- image problems due to their diagnosis.

Conclusion: The health team should maintain their “oath” to provide safe and quality health care services to Hansen’s patients. They must also endeavour to update their knowledge, skills necessary for their chosen profession and never neglect the compassionate and caring attitude as the basic foundation in giving of quality nuring care.

Factors and the Effects of Domestic Violence on Reproductive Healthcare Delivery among Pregnant Women in Kwata Rural Community of Jos South, Plateau State, Nigeria

Tue, 06 Feb 2024 00:00:00 +0000

Domestic violence is a common global healthcare problem relatively hidden or an ignored form of violence against pregnant women accounting for over 736 million women subjected to physical or sexual intimate partner violence, non-partner sexual violence, or both at least once in their lifetime. In pregnant women, the magnitude of domestic violence is higher in resource limited settings as compared with the developed countries which affects the physical and mental health of the mothers and their offspring. This study aimed to evaluate the factors and effects of domestic violence on women reproductive healthcare in Kwata community of Jos south, Plateau state. 200 women were conveniently sampled at random, structured questionnaires administered with 100% retrieval rate and data analyzed using descriptive statistical measures. Majority (97.5%) of the respondents indicated that alcoholism, drug abuse and gambling are major factors of domestic violence and 90% of it affects their behaviour towards their wives and children. 75% said that domestic violence can lead to health problems resulting to emotional hurt, 80% physically hurt while 55% reported that their partners insist on having sex as a result 45% said that they have ever been forced to engage in sexual activity against their will and 60% affirmed that sex could resort to violence whenever one resisted. Violence between intimate partners during pregnancy leading to the death of both the mother and child is indicated high with average mean value of 4.24. High tendencies of domestic sexual violence were associated with psychiatric problems, vagina damage (or obstetric fistula), transmitted infections and female genital mutilation with average mean values of 4.35, 4.13 and 3.7 respectively. Growing evidence of domestic violence against women are strong links of significant physical and mental health impairments, and risky health behaviour are increasing more severely thereby affecting women reproductive health and accessing healthcare will be obstructed resulting in attendant effects. Thus, addressing these factors and the attendant effects will go a long way to curb the menace thereof through cultural reorientation, enforcement of government policies, women, and girl’s empowerment, reaching out to men and coordinating institutional and individual responses.

Maternal Perception of Factors Contributing to under Nutrition among under-Five Children in Selected Primary Healthcare Facilities in Abeokuta South LGA

Fri, 16 Feb 2024 00:00:00 +0000

Undernutrition is the imbalance between the intake of nutrients, energy and the bodily requirements to live, grow, and carry out specific functions, especially before reaching the age of five. This study is aimed at assessing maternal perception of factors contributing to undernutrition among under-five children in selected primary healthcare facilities in Abeokuta South Local Government Area, Ogun State, Nigeria. Factors contributing to undernutrition such as low parental education, income, family size, challenging employment, poor living conditions, and inadequate dietary intake, were identified as significant determinants.

Study Design: The study was descriptive design.

Place and Duration of Study: Sample: Department of Medicine (Medical Unit IV) and Department of Radiology, Services Institute of Medical Sciences (SIMS), Services Hospital Lahore, between September 2019 and February 2020.

Methodology: 80 questionnaires were distributed to the respondents. Data was analyzed using SPSS version 22 and was presented using frequency, percentage and distribution.

Results: The knowledge of undernutrition among respondents showed that 86.3% of respondents believed that an imbalanced diet is the cause of undernutrition and 37.5% of the population demonstrated a low level of knowledge and 62.5% of the population had a high level of knowledge of undernutrition in children. Respondents’ perception of factors responsible for undernutrition in children revealed that 91.3% of respondents claimed that cultural beliefs and traditional practices have a great influence on nutritional practices. Also, 31.2% of the population had a poor perception while 68.8% of the population had a good perception of the factors associated with undernutrition in children.

Conclusion: The findings demonstrate a high prevalence of undernutrition, specifically stunting, Factors found to be significantly associated with poor nutrition outcomes in children under five are unsafe drinking water and sanitation, maternal height, birth order and age of the child.

Patient Satisfaction and Communication Skills of Healthcare Professionals: Cross Sectional Study at Benghazi Medical Center

Thu, 14 Mar 2024 00:00:00 +0000

Background: communication skills play an important role in a healthcare professional’s relationship with patients, which can influence their satisfaction.

This study aimed to determine whether patients attending the outpatient clinics of Benghazi Medical Center were satisfied with the communication skills they received from healthcare professionals as well as the association between communication skills and personal data.

Methodology: A cross sectional, descriptive study was conducted, using convenience samples of non- random sampling technique. A total of 344 outpatients participated in the study.

Data was collected by anonymous self-administrated questionnaire which consisted of 2 sections; the first section consisted of personal demographic information such as (patient’s age, gender, employment, and educational level) and the second section consisted of 4 dimensions of communication skills which included: verbal communication, nonverbal communication, listening and persuasion skills. Patients reported their level of satisfaction toward communication on a 5-point Likert scale. Data analyzed by SPSS windows version 21.0.

Results: The study indicated that the overall mean score of satisfaction on communication skills was moderate, score (3.3849). Regards communication skills dimensions, the highest mean (3.459) for persuasion skills, followed by non-verbal communication, verbal communication and listening skills (3.390, 3.387 and 3.302 respectively).

From the result findings, there was a significantly difference between communication skills and gender and employment, (P= .023 and P=.000 respectively). Age and education levels had no significant relationships (association) with communication skills.

Conclusion and Recommendation: overall satisfaction rates were moderate and persuasion had the highest mean in communication skills dimensions from patient perspective. This study recommended that training health professionals on communication skills when dealing with patients and further studies to investigate the impact of communication skills on quality of care.

An Experimental Study to Assess the Effectiveness of Normal Saline Flush Versus Heparin Flush in Maintaning the Patency of Peripheral Intravenous Cannula in the Patient Receiving Intermittent Intravenous Medication

Wed, 20 Mar 2024 00:00:00 +0000

Aim: The present study indicates an experimental study to assess the effectiveness of normal saline flush versus heparin flush in maintaining the patency of peripheral intravenous cannula in the patients receiving intermittent intravenous medication.

Study Design: The conceptual framework which was adopted for this study was based on Ernestine Wiedenbach’s helping art of clinical nursing theory (1964) known as prescriptive theory in a modified form.

The present study was conducted at medical unit of Sanjeevan Hospital Dariyaganj New Delhi.

Purpose: The main Objective of the study were to access the patency of intravenous cannula with intermittent saline flush and Heparin flush in patients having intravenous cannula receiving intermittent medication and compare their effectiveness.

Methodology: The research approach adopted was a true experimental approach and the research design was multiple treatment, pre-test, post-test control group design.The independent variable for the study were normal saline flush and heparin flush & the dependent variables were patency of peripheral IV cannula.

Data Analysis and Results: The data was analysed using descriptive and inferential statistics in terms of frequency, percentage and chi square.

Saline flushing and heparin flush are equally effective in maintaining the patency of peripheral IV cannula. Normal saline flusheh not only reduces the patient’s discomfort but also reduces the health care cost of patients.

A similar study can be done on patient receiving chemotherapy to see effect of saline flushing versus heparin flush on the severity of occurrence of chemotherapy induced phlebitis. onclusion:On the basis of the study findings the recommendations made for future research. A cannulaand duration of IV therapy.

Perceived Impact of COVID-19 Pandemic on Social Health of Single Mothers in Rivers State, Nigeria

Fri, 22 Mar 2024 00:00:00 +0000

Globally, COVID-19 had serious social, economic and health impacts on the lives of individuals, especially single mothers; the situation was worse in developing countries like Nigeria. The study aimed to ascertain the perceived impact of COVID-19 on the social health of single mothers in River State Nigeria. A cross-sectional research design was employed in the study. Taro Yamane's technique was used to determine a sample size of 285 out of the 1000 single mothers that made up the study's population. A multi-stage sampling strategy was employed. A questionnaire was the instrument for data collection and was self-developed, validated, and pretested. Descriptive statistics of frequency and percentage were employed, and the hypotheses were tested using the Chi-square test statistic. It was found that Covid -19 pandemic had a high perceived impact on the social health of single mothers in Rivers State, Nigeria (63.7%). Single mothers less than 25 years had average perceived impact (47.4%); 25 to 44 years had an average perceived impact (50.7%); those above 44 years had a high perceived impact (64.6%). Based on the level of education, the perceived impacts are as follows: no formal education (33.3%), primary education (38.7%), secondary education (38.2%) and tertiary education (43.5%). Furthermore, occupation as a variable showed the perceived impacts as found below: unemployed (44.3%), self-employed (40.6%) and employed (42.5%). More so, the perceived impacts across the demographic variables were significant (p< 0.05). In conclusion, therefore, there was a high perceived impact of covid-19 pandemic on the social health of single mothers in Rivers State; the impact was more on single mothers who were beyond 44 years old. Based on the level of education and occupation, the impact was more on those with tertiary education and employed respectively. It was recommended that social health support services should be considered globally by policymakers when making certain legislation and policies. Mental health services and financial aid necessary to address the effects of COVID-19 on the social health of single mothers should be provided.

Caring for Unconscious Patient: Ethical Perspective

Abdus Sattar, Salma Rattani, Rozina Karmaliani — Fri, 23 Feb 2024 00:00:00 +0000

Unconscious patients are completely dependent on their care providers. Thus, they are considered vulnerable and prone to harm [1]. Care providers who are not skillful and knowledgeable will impact on patients’ quality of care and health outcomes [2]. Strong psycho-motor and intuitive skills are imperative to handle these patients as they cannot verbalize their needs. Healthcare providers must be mindful of these patients and protect them from harm, disgrace, abuse, or violence [3]. Not to harm an individual is non-maleficence a prima facie principle, while to benefit an individual or protect someone from harm is the principle of beneficence. The care providers should deal with the unconscious patient compassionately as they cannot verbalize their needs and feelings. Respecting these individuals and maintaining their dignity is the ethical and moral responsibility of the care providers. This paper presents a case scenario and its analysis through an ethical theory of deontology.

Parenting for Today’s Adolescents

Sijimol Mathew, Namitha Subrahmanyam , Sheela Shenai NA — Thu, 14 Mar 2024 00:00:00 +0000

This article explores parenting of adolescents in modern times, as the adolescent period is marked by physical, psychosocial and emotional changes such as identity formation, mood swings and peer pressure. The work of raising adolescents by parents in the modern era is difficult because it necessitates finding a balance between traditional values and the rigorous demands of modern life. Parents may find it challenging to find the time and energy necessary to establish a genuine connection with their adolescent children due to the fast-paced nature of modern living. The growing distance in the proximity and communication between parents and adolescents makes them more vulnerable to unsafe behaviors. Better parenting practices such as honest communication, nonjudgmental attitudes, and emotion regulation can enhance teenage self-confidence, independent decision-making, and communication.