Mugumya Cleophus*, Tumwebaze Mathias, Atukunda Gershom, Otiam Emmanuel Otala, Ninyikiriza Jackline and Kafuko Joshua
Background: Unplanned and unwanted pregnancies carry a higher risk of morbidity and mortality, often due to unsafe abortion. Many of these unplanned pregnancies can be avoided using emergency contraception. Literature reveals that there is existence of knowledge, attitude and practice gaps on emergency contraception in the world including Uganda. Therefore the objective of this study was to assess knowledge, attitude and practices of women seeking post abortion care on use of emergency contraception.
Method: A cross sectional study was conducted among 235 women seeking post abortion care in 6 health units in Mbarara district. Women seeking post abortion care were purposively selected participants. Questionnaires were used to collect the data. Data processing and analysing was done using Statistical Package for Social Sciences (SPSS) version 20.
Results: Less the half of the respondents 94 (40%) were knowledgeable of emergency contraception and age and marital status were significantly influencing knowledge (or 1.43 C.I 0.589 3.491) and (1.10; C.I 0.365 3.322) respectively. The majority 174 (74.0%) had positive attitude toward emergency contraceptives knowledgeable of emergency contraception significantly influenced this [OR=2.48, 95% CI (1.340, 4.570)]. Only 20 (8.5%) had ever used ECs. It was found out that knowledgeable women were 3.1 times more likely to use emergency contraceptives than their counterparts with low knowledge about emergency contraception.
Conclusion: The study indicated low level of knowledge; very low level of practice and majority showed positive attitude towards emergency contraceptives.
Hjh Nurul Abdullah*
A few strategies have been utilized for improving the nature of maternity and infant care. Practically these techniques have their cause in proof based practice to apply the best proof in clinical consideration. Proof based practice is basically the combination of the best accessible exploration based proof, clinical ability, and patient needs, qualities and inclinations to build up an arrangement of value care. Quality upgrades accordingly require proficient agreement about execution of exploration based clinical proof, and consideration regarding quiet needs, qualities and inclinations. In spite of the fact that proof based practice has been perceived as important for quality consideration in created nations, it has frequently been conceptualized as far as exploration based clinical proof and less consideration has been paid to tolerant necessities and inclinations. Tolerant fulfillment has undoubtedly been perceived as a significant result measure for the nature of human services. Moreover distinguishing understanding needs and necessities has been made a decision about fundamental for both estimating and improving nature of care.
Aouant Nasim*, Dafogianni Chrysoula
Background: The disease may arise complex emotional, psychological, and spiritual issues, both for patients and for nurses, in which the multifaceted therapeutic
approach is part of the nurse/therapist care as it is the essential pillar of nursing science.
Aim: The purpose of this study was to investigate the nurses' and patients' perceptions of nursing care provided and received in a Hospital.
Methodology: The sample of this study consists of two hundred and ten (210) patients and one hundred and ninety-six (196) nurses. Two questionnaires were
used to collect the data. The nurses were given a questionnaire tailored to what they developed in their survey Cossette et al. (2006); the patients were given the
corresponding questionnaire with the same questions, adjusted in their perspective. The Questionnaire includes questions about the demographic characteristics
of each sample and statements concerning the care, service, and tasks of the Nurses for patients. The statistical analysis was conducted with the program SPSS
20.0.
Results: As evidenced by the replies given and the obtained results, nurses consider the care they provide is at a very satisfactory level. However, patients appear
to be moderate in their views with the overall of nursing care satisfaction.
Discussion: The analysis results appear differences between the nurse's perception of the care provided and the perceived patient satisfaction with this care.
Patients appear moderately satisfied, considering that nurses meet the specifications to a large extent in the therapeutic process and the technical procedures
of medical machines. Considering nurses need improvement in interaction, as shown by the answered of the satisfaction questions about the nurses and the
services provided.
These results are consistent with the relevant bibliography; researchers in the field have identified the need to improve personal contact, interaction, and
communication between nurses and patients, as well as their contribution to perceived care.
Conclusions: As the overall experience of care provided by nurses to the patient is a multifactorial process, it is imperative to consider all factors influencing
patient satisfaction with the care provided.
Proposals: More prominence needs to be presented on issues as nurses/patients communicate and enough information given to the patient and family as well as
the updating educational and personal development of nurses.
Yengkhom Sue*
Autonomy, an unpredictable, multidimensional wonder, is gotten from the Greek words 'autos' and 'nomos', which means self, and to control or hold sway. Autonomy steady with the extent of expert nursing practice will amplify the viability of the medical caretaker. Autonomy isn't a flat out, yet happens in degrees.
Peerasak Skulphan*
Background: Assess the information and attitude about team based learning among nursing students, assess quality assurance in clinical practice among nursing understudies, find the association about team based learning on quality assurance in clinical practice among nursing students with chose factors.
Strategy: Quantitative examination approach and descriptive plan was utilized for directing the investigation. Non likelihood helpful sampling technique was received for this examination. 43 samples were nursing students in chose nursing colleges. Segment Data, Multiple decision inquiries on information on team based learning for quality assurance in clinical practice, five point likert scale for disposition of team based learning for quality assurance in clinical practice was utilized for information assortment.
Results: Among the 43 nursing students comparable to information and disposition about team based learning for quality assurance in clinical practice 19 (44.18%) were respectably acknowledged, 16 (37.20%) were exceptionally acknowledged and just 8 (18.60%) were somewhat acknowledged that the team based learning is fundamental for quality assurance in clinical practice. The mean and SD is 13.88 and 4.86 individually. A critical affiliation was discovered information and disposition with chose variable age, gender mechanism of guidance has factual huge at p<0.01.
Conclusion: The discoveries give knowledge for nursing students team based learning has gotten progressively acknowledged as a positive program in educational institutions to improve quality confirmation in clinical practice.
Khadije Jahangasht, Abbas Shamsalinia and Fatemeh Ghaffari
COVID-19 is an emerging disease that has challenged global health systems. Despite many efforts to manage the crisis, the number of new cases is still high. In Corona Crisis Management, both internationally and in terms of healthcare systems, the focus was on planning during crisis, and due to the lack of pre-crisis planning, healthcare providers systems enter to crisis situation suddenly and unprepared. The lack of biologic crisis maneuvers associated with emerging diseases such as SARS, Ebola, and COVID-19 by related organizations, and the lack of scenarios for how to deal with it, shocked health workers. In the early weeks of the COVID-19 outbreak, the operationalization of the planned actions fails, and the COVID-19 epidemic led to an influx of people with the disease into care units such as Such as emergency departments and outpatient clinics and hospital beds were filled. The increase of positive disease cases and comprehensive care needs, especially in intensive care units in the first weeks of the disease epidemic, led to extreme fatigue of health care providers, lack of personal protective equipment, shortage of manpower and infection of many health care workers to COVID-19. Sudden exposure to critical situations may cause some dimensions of standard care, including standard precautions when caring for patients and compliance with ethical standards by health care providers, especially at the front line was neglected.
Introduction: Diabetes represents a real public health problem due to its increasing frequency, morbidity, mortality and economic cost. The process of teaching individuals to manage their diabetes was considered an important part of clinical management. The objective of this study is to evaluate the effects of a therapeutic education program for type 2 diabetic patients on their sense of self-efficacy and on their self-care behaviors and on their glycemic control (HbA1c).
Methods: This quasi-experimental study was conducted on 120 patients with type 2 diabetes who were randomly divided into two groups, experimental group and control group. The study was carried out at the outpatient endocrinology department of La Rabta University Hospital in Tunis. Data were assessed by three tools, a questionnaire for sociodemographic data, DMSES for self-efficacy and DSCAS for self-care behaviors. The therapeutic education program was set up for the experimental group, then after the intervention, the results were analyzed by the Spss-22 software.
Results: Compared to the control group, participants in the experimental group showed an improvement in self-efficacy, self-care behaviors, and HbA1c levels.
Conclusion: The results showed an improvement in the experimental group in terms of self-care behaviors, feelings of self-efficacy and HbA1c levels. There is great interest in developing therapeutic education programs aimed at supporting patients in the management of their diabetes. These programs must be specific to each topic of diabetes, over a large hourly volume. It is desirable to evaluate the contribution of these programs in the short and long term.
Sadaf Anjum Makundar* and Laishram Dabashini Devi
DOI: 10.37421/2573-0347.2023.8.337
The lactational amenorrhea method is a new introductory family planning method that simultaneously promotes child spacing and breastfeeding, with its optimal nutrition and disease preventive benefits for the infant. LAM, as it is called, is based on the utilization of lactational infertility for protection from pregnancy and indicates the time for the introduction of a complementary family planning method. LAM is recommended for up to six months postpartum for women who are fully or nearly fully breastfeeding and amenorrheic, and relies on the maintenance of appropriate breastfeeding practices to prolong lactational infertility, with the concomitant delay in menses return. The aim of the study was to determine the effectiveness of structured teaching programme on knowledge regarding importance of lactational amenorrhoea. An evaluative approach was adopted and a pre experimental design was used for the study. Primigravidae mother from konankunte community, Bangalore were the samples and the sample size was 50. The primigravidae mother were selected by purposive sampling technique. Findings of the study revealed that the overall post test mean score was 30.52 (87.20%) with standard deviation 10.33 and the respondents knowledge were significantly higher than, the overall mean pre-test knowledge scores 3.80 (10.85%) with standard deviation 10.46 and computed paired ’t’ value 28.52 is higher than table value 3.312 at P<0.001 level. Hence the structured teaching programme on importance of lactational amenorrhoea was effective and statistically significant. The study reveals that there is no significant association between selected demographic variables like age, education, religion, duration of married life, type family, occupation, monthly income, previous knowledge and source of knowledge in relation with pre-test knowledge scores of primigravidae mother at P>0.05. Data was analysed using descriptive and inferential statistics.
DOI: 10.37421/2573-0347.2024.9.385
Arthur Luca
The integration of technology into healthcare has revolutionized the practice of nursing, particularly within advanced nursing roles. As the healthcare landscape becomes increasingly complex, Advanced Practice Nurses (APNs) including Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), Nurse Midwives and Nurse Anesthetists must adapt to these changes to provide high-quality care and improve patient outcomes. Technology is no longer just an adjunct to nursing practice; it has become a fundamental component of delivering care, managing information and enhancing communication among healthcare providers and patients. In recent years, significant advancements in technology have paved the way for innovative practices in nursing. Tools such as Electronic Health Records (EHRs), telehealth services, mobile health applications and Artificial Intelligence (AI) have transformed how nurses interact with patients, manage data and collaborate with other healthcare professionals. Each of these technological innovations presents unique opportunities to enhance patient care, streamline workflows and improve the overall healthcare experience.
Mia Henry
Evidence-Based Practice (EBP) represents a fundamental approach to healthcare that integrates the best available research evidence, clinical expertise and patient values to enhance patient outcomes. In advanced nursing, the significance of EBP cannot be overstated, as nurses increasingly assume complex roles in patient care that require a strong foundation in current evidence. The relationship between research and clinical application is pivotal, as EBP serves to bridge the gap between theoretical findings and practical implementation. This paper aims to elucidate the importance of EBP in advanced nursing, outlining its components, processes and the challenges faced by practitioners. By fostering a culture of inquiry and critical thinking, advanced practice nurses can utilize EBP to address multifaceted clinical challenges and optimize patient care. The origins of EBP can be traced to the evidence-based medicine movement in the late 20th century, which sought to standardize clinical practices based on scientific research. This shift represented a departure from anecdotal and experience-based decisionmaking, emphasizing the need for systematic reviews of evidence to inform clinical choices. Within the nursing field, EBP not only incorporates the latest research findings but also recognizes the essential role of the nurse's clinical expertise and the unique preferences of patients. As we delve into the historical context of EBP, we will explore its key components and the steps involved in its implementation, along with the barriers that hinder its adoption in clinical practice. Ultimately, this paper aims to highlight the practical applications of EBP through illustrative case studies, underscoring its vital role in advancing nursing practice.
Sienna Freddie
Advanced Practice Nursing (APN) encompasses a variety of roles and specialties, including Nurse Practitioners (NPs), Clinical Nurse Specialists (CNSs), Nurse Anesthetists (CRNAs) and Nurse Midwives (CNMs). As the healthcare landscape continues to evolve, the role of APNs has become increasingly vital in addressing the complex needs of patients and healthcare systems. This introduction highlights the importance of understanding the future of advanced practice nursing, focusing on the trends shaping the profession, the challenges faced by APNs and the opportunities that lie ahead. The demand for healthcare services is rising, driven by an aging population, increasing prevalence of chronic diseases and heightened expectations for accessible, patient-centered care. As healthcare systems grapple with these challenges, the role of APNs is expanding. They are well-positioned to fill gaps in care delivery, particularly in primary care and specialty areas, thanks to their advanced education and clinical training. APNs are uniquely qualified to provide comprehensive care, lead health initiatives and advocate for patients, making them essential contributors to improving healthcare outcomes.
George Noah
Leadership in Advanced Practice Nursing (APN) is a critical component in shaping the future of healthcare delivery. As the healthcare landscape evolves, the demand for skilled leaders who can navigate complex systems, advocate for patients and implement evidence-based practices has never been greater. Advanced practice nurses, including nurse practitioners, clinical nurse specialists, nurse anesthetists and nurse midwives, are uniquely positioned to assume leadership roles due to their advanced education, clinical expertise and holistic understanding of patient care. This paper explores the significance of leadership within APN, highlighting the essential skills required for effective leadership, the challenges faced in the current healthcare environment and the strategies for cultivating these skills to ensure that future leaders in nursing are well-prepared to meet the needs of patients and communities. As healthcare continues to become more intricate, the role of advanced practice nurses is expanding beyond clinical responsibilities to include leadership in organizational settings, policy development and interprofessional collaboration. Effective leadership in APN not only enhances patient outcomes but also drives innovation, fosters team cohesion and promotes a culture of safety and quality in healthcare environments. This introduction sets the stage for a comprehensive examination of the leadership skills necessary for advanced practice nurses, the evolving roles they play and the implications for nursing education and professional development.
Florence Beatrice
Telehealth has emerged as a transformative force in the landscape of healthcare delivery, particularly in the context of advanced practice nursing. As technology evolves and healthcare needs become increasingly complex, telehealth offers innovative solutions that bridge gaps in access to care, enhance patient outcomes and support healthcare providers in delivering high-quality services. This introduction explores the significance of telehealth in advanced practice nursing, examining how it expands access to care and addresses the challenges of traditional healthcare delivery models. The concept of telehealth encompasses a wide range of technologies and practices that facilitate remote healthcare services, including video consultations, remote monitoring and mobile health applications. By leveraging these technologies, Advanced Practice Nurses (APNs) can connect with patients regardless of geographic barriers, ensuring that those in rural or underserved areas receive the care they need. As the demand for healthcare continues to rise particularly in the wake of the COVID-19 pandemic telehealth has proven to be a crucial component of the healthcare system.
Eden Harriet
In an era where mental health issues are becoming increasingly recognized as critical components of overall health, the role of Advanced Practice Nursing (APN) in mental health care is more vital than ever. Advanced Practice Nurses, including Nurse Practitioners (NPs) and Clinical Nurse Specialists (CNSs), are uniquely positioned to address the complex needs of patients through their advanced training, clinical skills and holistic approach to care. The integration of holistic practices into mental health nursing emphasizes the importance of treating the whole person, recognizing that mental health is not merely the absence of mental illness, but rather a multifaceted interplay of biological, psychological, social and spiritual factors. Holistic nursing, as a philosophy, advocates for comprehensive care that transcends traditional biomedical models. It acknowledges the significance of a patient’s environment, lifestyle, emotional well-being and social support systems. This approach is particularly relevant in mental health care, where patients often present with a range of interrelated issues. For instance, a patient struggling with depression may also be facing stressors such as financial difficulties, relationship problems, or physical health concerns. By employing holistic assessment and intervention strategies, APNs can create individualized care plans that address these diverse aspects of a patient's life, thereby enhancing treatment outcomes.
Felipe Juan
Chronic diseases have become a significant public health challenge worldwide, affecting millions of individuals and placing a substantial burden on healthcare systems. Conditions such as diabetes, hypertension, heart disease and chronic respiratory diseases require ongoing management and comprehensive care strategies. Nurse practitioners (NPs) have emerged as vital healthcare providers in the management of chronic diseases, bridging gaps in care and enhancing patient outcomes through their unique skill set and holistic approach to health. NPs are advanced practice registered nurses (APRNs) who have completed graduate-level education and possess the authority to diagnose and treat medical conditions. They provide a wide range of healthcare services, including health promotion, disease prevention and chronic disease management. NPs often work in primary care settings, where they play a crucial role in coordinating patient care, educating patients and families and managing complex health issues over the long term.
N. Chinna Chadayan and D. Melba Sahaya Sweety
Introduction: Smartphones have become integral to daily life, providing extensive connectivity and convenience. However, concerns about smartphone addiction have grown, especially among student populations, due to its potential impacts on mental health and academic performance.
Objective: This research intends to evaluate the prevalence of smartphone addiction and examine its related health consequences among General Nursing and Midwifery (GNM) students at a nursing college in Murshidabad District, India.
Methods and materials: Using a cross-sectional survey design, data were collected from 50 GNM students via self-structured questionnaires. The survey covered demographic details, smartphone usage patterns, self-assessment of addiction levels and reported health impacts. Sampling was conducted through total enumeration to ensure comprehensive representation.
Results: The study found a significant prevalence of smartphone addiction among GNM students, with 57.43% exhibiting moderate addiction levels. They commonly reported usage included social networking (100%) and entertainment (81.08%), with daily usage averaging 3 to 6 hours. Health impacts such as inadequate sleep, poor concentration, headaches and mental fatigue were prevalent, with a mean health impact score of 28.05 (± 4.67).
Conclusion: These findings underscore the importance of implementing strategies to encourage responsible smartphone usage and reduce health impacts among nursing students. Taking action on these matters could improve student welfare and academic achievements significantly.
Journal of Advanced Practices in Nursing received 410 citations as per Google Scholar report
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