Journal of nursing science & practice (vol4, issue2) by STM Journals Publication

ISSN : 2348 - 957X

May-August 2014

Journal of Nursing Science & Practice (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. Finally, I express my sincere gratitude and thanks to our Editorial/ Reviewer board and Authors for their continued support and invaluable contributions and suggestions in the form of authoring writeups/ reviewing and providing constructive comments for the advancement of the journals. With regards to their due continuous support and co-operation, we have been able to publish quality 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.

Dr. Archana Mehrotra Director STM Journals

Journal of Nursing Science & Practice

Contents

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.

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.

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

4. Anthropometric Characteristics and Nutritional Status based on Body Mass Index of Adults in Rural Orissa, India â&#x20AC;&#x201C; A Cross-sectional Survey Biswal M, Stephen S, Vijay VR 19 5. Assessment of Knowledge of Nursing Personnel Regarding Neonatal Resuscitation Rajbir Kaur, Sukhpal Kaur, Sukhjeet Kaur

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

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

8. Breast Cancer: Risk Factors: A Mini Review of Literature Arkierupaia Shadap

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

10.Moyamoya Disease: A Cerebral Disorder of Children Vishali Galhotra, Gaurav Kohli, Manu Kohli

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

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 Ambala Parampreet Kaur, Vinay Kumari, Vijay Kumar Gauttam

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, 7th, 14th, 21st & 30th. 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 doesnâ&#x20AC;&#x2122;t harms or produce any adverse effects over body.

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

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

Journal of Nursing Science & Practice ISSN: 2249-4758 (online), ISSN: 2348-957X (print) 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*, RaminderKalra2, Shailja Singh3 1

Nightingale Institute of Nursing, Mullana, Ambala, Haryana, India 2 Holy Family College of Nursing, New Delhi, India 3 Psychology (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 (26â&#x20AC;&#x201C;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

Journal of Nursing Science & Practice ISSN: 2249-4758 (online), ISSN: 2348-957X (print) Volume 4, Issue 2 www.stmjournals.com

Anthropometric Characteristics and Nutritional Status based on Body Mass Index of Adults in Rural Orissa, India â&#x20AC;&#x201C; A Cross-sectional Survey Biswal M1, Stephen S2, Vijay VR3* 1

Jhpiego India, Orissa, India ESI Hospital Paripally, Kerala, India 3 College of Nursing, UP RIMS & R, Saifai, Etawah, UP., India 2

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

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

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

Journal of Nursing Science & Practice ISSN: 2249-4758 (online), ISSN: 2348-957X (print) Volume 4, Issue 2 www.stmjournals.com

Assessment of Perception and Preparedness Regarding Use of Electronic Health Records Among Health Care Professionals Parminder Kaur1*, S K Sharma2 1

AIIMS, New Delhi, India College 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 ICUâ&#x20AC;&#x2122;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.

Journal of Nursing Science & Practice ISSN: 2249-4758 (online), ISSN: 2348-957X (print) Volume 4, Issue 2 www.stmjournals.com

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

Journal of Nursing Science & Practice ISSN: 2249-4758 (online), ISSN: 2348-957X (print) Volume 4, Issue 2 www.stmjournals.com

Effectiveness of Warm Water Foot-Bath Therapy on Physiological Parameters of Children with Fever at a Selected Hospital, Kolkata, West Bengal Ishita Mandal1, Sumita Datta2, Nargis Ahamed3, Piyali De4 1

Jeevan Jyothi School of Nursing, Telco colony Jamshedpur, Jharkhand, India 2 College of Nursing, Asia Heart Foundation, Kolkata 3 Sikkim Manipal College of Nursing, Sikkim 4 College 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

Journal of Nursing Science & Practice ISSN: 2249-4758 (online), ISSN: 2348-957X (print) Volume 4, Issue 2 www.stmjournals.com

Moyamoya Disease: A Cerebral Disorder of Children Vishali Galhotra1*, Gaurav Kohli2, Manu Kohli3 1

Dept. of Medical Surgical Nursing, L.L.R. Institute of Nursing, Moga (Pb.), India Dept. of Community Health Nursing, M.M. Institute of Nursing, M.M. University Mullana, Ambala (Haryana), India 3 Dept. of Mental Health Nursing, Mai Bhago College of Nursing, Tarantaran (Punjab), India 2

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 Downâ&#x20AC;&#x2122;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

Journal of Nursing Science & Practice ISSN: 2249-4758 (online), ISSN: 2348-957X (print) Volume 4, Issue 2 www.stmjournals.com

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

Journal of Nursing Science & Practice ISSN: 2249-4758 (online), ISSN: 2348-957X (print) Volume 4, Issue 2 www.stmjournals.com

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: sisters_vinay@yahoo.co.in