Journal of Farkhanda Institute of Nursing And Public Health (JFINPH)

Assesment of Family Satisfaction Regarding Quality of Nursing Care in Tertiary Care Public Sector Hospitals of Peshawar

2022-10-01T05:24:47+00:00

OBJECTIVE

The aim of this study was to assess the level of family members’ satisfaction regarding nursing care in three major public sector tertiary care hospitals of Peshawar.

METHODOLOGY

A descriptive cross sectional survey was carried out at the in-patients’ departments of three tertiary care hospitals of Peshawar. Convenient method of sampling was used to include 400 family members of IPD patients. An adopted, modified, pilot tested and interviewer-administered questionnaire (comprising of 34 questions) was used to assess the satisfaction level of study participants regarding quality of nursing care. Approval for conducting this study was obtained from Ethics Review Board of Khyber Medical University. SPSS version 22 was used for analyzing the data.

RESULTS

The study findings indicate that most of the study participants (83%) were somehow satisfied regarding quality nursing care provided to their patients, 11% were barely satisfied and only 06% were not satisfied at all. Most of the family members were satisfied from nurses’ knowledge, clinical skills, professional behavior, communication and information given by them.

CONCLUSION

Though a very low number of participants were completely satisfied with nursing care, majority of the family members were somehow satisfied from the quality of nursing care provided to their patients in the three public sector hospitals of Peshawar.

Personal Protective Equipment Use among nurses in Critical Care Unite Nurses. A Comparative Study in Private and Public Sector Tertiary Care Hospital

2022-11-08T03:56:01+00:00

ABSTRACT:

Objectives:

Communicable respiratory illness is an important cause of morbidity among nurses. One of the key reasons for occupational transmission of this illness is the failure to implement appropriate barrier precautions, particularly facial protection and other personnel protective equipment. This study is to see the magnitude, implications and significance of assessment, comparison of knowledge, attitude and practice regarding the use of personal protective equipment of critical care unite among nurses and to assess their learning need.

Methodology:

Quantitative descriptive cross sectional study design was used in this study. Total of 123 critical care unite nurses participated in this study. Likert scale was used to assess the knowledge attitude and practice of critical care unite nurse. The questionnaire consists of 27 items regarding the use of personal protective equipment (PPE). There are 3 subscales namely, Knowledge, Attitude and Practice.

Results:

The findings showed that almost 93.5% nurses have good knowledge about PPE while 6.5% have poor, whereas 95% of participants show positive response regarding the use of PPE at work place while 5% have showed negative attitude toward the use of PPE. Finally regarding practices total of 40% have good practice, 50% have average and remaining 10% percent have poor practice of using PPE.

Conclusion:

The use of personal protective equipment reduces the hospital acquire infection and it reduce overall mortality rate as well as it reduce hospital stay of patients. In this study we have found that critical care unite nurse have positive attitude towards the usage of personal protective equipment and nurses have showed satisfactory level attitude regarding the use of personal protective equipment.

Keywords: personal protective equipment, Nurse, knowledge, attitude and practice.

Fear and Anxiety of Covid-19 among Nursing Students of Khyber Pakhtunkhwa

2022-11-07T12:15:04+00:00

OBJECTIVE

To evaluate the level of fear and anxiety among nursing students of Khyber Pakhtunkhwa.

METHODOLOGY:

A cross sectional study was designed to collect data from student nurses in Khyber Pakhtunkhwa. Data was collected through online survey from 164 student nurses from July 1^st to July 12^th 2020. A non-probability convenient sampling technique was used. An adopted and validated questionnaire was used for data collection having two main parts; demographic data and a five point’s likert scale for assessing of fear and anxiety.

RESULTS

Result shows that moderate to severe type of fear and anxiety is found in nursing students. Mostly (90%) participants replied that fear and anxiety was present during Corona Pandemic.

CONCLUSION:

It is concluded that COVID-19 affected every part of life as well as educational institute. Educational sector was severely disturbed and students’ nurses were found in great fear and anxiety during COVID-19.

Knowledge, Attitude and Practices of Basic Life Support among Nurses: A Cross-Sectional Study in Malakand Division, Khyber Pakhtunkhwa

2023-02-26T10:03:50+00:00

OBJECTIVES

To assess the knowledge, attitude and practice regarding basic life support among nurses of three selected District Headquarter Hospitals of Malakand Division Khyber Pakhtunkhwa.

METHODOLOGY

A cross-sectional study was conducted using 210 nursing staff working in these three hospitals. Data were collected using questionnaire, adopted from American Heart Association guidelines 2015. Permission granted by the concerned university and hospital. Consent was taken from the study participants before collecting the data. Data was analyzed using SPSS version 24 for descriptive and inferential statistics.

RESULTS

More than half (52.9%) of the participants had moderately adequate knowledge regarding basic life support (BLS). Majority (60%) of the participants were not performing BLS voluntarily, 30% participants performed BLS but not voluntarily. Majority (82.4%) nursing staff had poor practices regarding basic life support. No significant association was found between the level of knowledge regarding basic life support, socio-demographic variables and participant’s practices regarding basic life support.

CONCLUSION

Overall, nurses had moderately adequate knowledge and poor practices regarding basic life support. Very less number of nursing staff performed basic life support throughout their working career. Majority of the nursing staff were not basic life support certified. Majority of the nursing staff were not able to handle any emergency situation due to their lack of knowledge related to proper skills of basic life support. Nurses’ needs to be properly trained and certified BLS.

Quality of Life in Co-Infection of Tuberculosis (Tb) and Human Immune Deficiency Virus/ Acquired Immune Deficie ncy Syndrome HIV/AIDS Positive Patients

2022-09-21T05:12:53+00:00

OBJECTIVES

The objective of our study was to compare the quality of life of HIV/AIDS and TB co-infected patients visiting Family Care Center HMC, Peshawar.

METHODOLOGY

It was a descriptive cross-sectional study, carried out from 1^st october to december 2021 at the Family Care Center department of Hayatabad Medical Complex (HMC), Peshawar.The study sample comprised of 46 participants who were selected by Non probability convenient sampling technique.Out of the total 46 participants 23 were HIV positive with TB co-infected and 23 were HIV positive patients only. Data were collected using World Health Organization Quality of Life WHOQOL-BREF validated structured questionnaires were filled from both male & female participants.

RESULT

31 study participants were males participants (67.4%) and 15were females (32.6%). Which included on HIV/AIDS group 13 males (56.5%) and 10 females participants (43.5%) and HIV/AIDS with TB co-infected patients 18 males (78.3%) and 5 females (21.7%).The quality of life was poor in TB Co-infection HIV/AIDS positive patients than in only HIV/AIDS positive patients. The overall quality of life was < 60 % in which 8.6 % find out in HIV/AIDS +ve and 13.1 % in co-infection of Tb with HIV/AID.

CONCLUSIONS

The difference in the quality of life among the two groups was not significant. Although there was some difference in psychological, social and physical domains in HIV/AIDS with TB co-infection patients as compared to HIV /AIDS. We identified that stigmatization, lack of awareness, and early screening plus treatment were prominent issues.

Knowledge, Attitudes and Perceptions of Nurses Regarding Occupational Health Hazards in Tertiary Care Hospitals of Pakistan

2022-09-29T13:02:06+00:00

OBJECTIVE

To assess the knowledge attitude and perception of Nurses about Occupational hazards.

METHODOLOGY

A descriptive cross-sectional study design using a sample of 250 registered nurses was selected at Jinnah and Mayo Hospital Lahore. A Non-Probability convenient sampling was used. Data was analyzed with the help of SPSS software (version 21). The data was presented in a form of descriptive statistics (Frequencies and percentages), tables and graphs were used. The association of Demographic factors with the Knowledge, attitude, and perceptions of nurses regarding occupational hazards was tested through Chi square.

RESULTS

Majority of the respondents were having good knowledge about occupational hazards (60.8%), while 39.2% had poor knowledge about occupational hazards. The positive attitude towards the occupational hazards and safety measure was among 58%, whereas 32% were found to have negative attitude. The awareness and attitude of nurses regarding occupational hazards was significantly associated with their working experience, education level and marital status (P. Value<0.05).

CONCLUSION

The level of knowledge, attitude and perception towards occupational hazards was varying with education and experience. There is need to introduce some educational sessions for the nurses about the safety measures and management against occupational hazards.

Knowledge regarding Oxygen-Therapy among Nurses and Technicians in Emergency and Intensive Care Units of Tertiary Care Hospitals, Karachi

2022-09-06T18:30:44+00:00

OBJECTIVES

To determine knowledge regarding Oxygen Therapy (OT) among nurses and technicians working in ICUs & Emergency units in two tertiary care hospital, Karachi Pakistan.

METHODOLOGY

Cross sectional analytical study was conducted during September 2019 to February 2020. Questionnaire was used to assess knowledge regarding oxygen therapy which comprised of five sections. 96 participants (79 nurses and 17 technicians) working in emergency department and intensive care units of tertiary care hospitals, Karachi were included through universal sampling technique. The data was analyzed through SPSS 21.0

RESULTS

Knowledge of oxygen therapy was assessed on each part of the knowledge tool. The results of study showed that overall knowledge of oxygen therapy were; 11.5% of respondents had good knowledge, 61.4% moderate knowledge and 27.1% participants had poor knowledge of oxygen therapy.

CONCLUSION

The study concluded that the knowledge of nurses and technicians regarding use of oxygen therapy was not up to the standards.

Seroprevalence of Hepatitis B Virus Infection among Nursing Students in Karachi

2022-11-03T05:23:35+00:00

OBJECTIVE

To determine the prevalence of hepatitis B virus infection among nursing students.

METHODOLOGY

We conducted a cross-sectional study in eight nursing schools (Four private and Four public) in Karachi and selected randomly 25 diploma nursing students from each school of nursing. Venous blood was obtained from nursing students and was serologically tested using the ICT (Immunochromatographic Technique) method. A questionnaire form was used to obtain data related to the socio-demographic characteristics of the participants. Data was analyzed using SPSS version 21.

RESULTS

A total of 200 student nurses participated in this research study. Out of 200 student nurses in the study, 113 (56.5 %) were male, and 87(43.5 %) were female, 82 (41 %) . 1 % of the nursing students were serologically positive for HBV.

CONCLUSION

Health care workers are at high risk of getting viral hepatitis. A program for education about occupational risk factors and regular blood screening must be implemented in all healthcare setups of Karachi to reduce the burden of HBV infection.

Perceptions of Newly Enrolled Nursing Students Regarding Clinical Practice

2022-11-14T06:10:39+00:00

Objectives: To explore the perception of newly enrolled nurses regarding their clinical practice.

Methodology: Qualitative escriptive exploratory study design was used for this study. Data were collected from eight students recruited through purposive sampling techniques. Individual indepth interviews were conducted. Data was transcribed verbatim and analyzed through thematic analysis.

Results: The data were classified into three main themes including the student perception of the nursing profession, their perceptions about the role of a nurse, and the availability of resources for clinical learning. Further subthemes were also developed.

Conclusion:

Different factors affect the students’ clinical learning. Lack of the required resources and guidance from faculty negatively affects student motivation and competency in skills. Therefore, it’s important to provide all the required resources and timely guidance to the students to improve their clinical learning and skills.

Quality Assessment of Drinking Water From Various Sources of Abbottabad

2022-09-06T18:24:13+00:00

OBJECTIVE

To explore the perception of newly enrolled nurses regarding their clinical practice.

METHODOLOGY

Qualitative escriptive exploratory study design was used for this study. Data were collected from eight students recruited through purposive sampling techniques. Individual indepth interviews were conducted. Data was transcribed verbatim and analyzed through thematic analysis.

RESULTS

The data were classified into three main themes including the student perception of the nursing profession, their perceptions about the role of a nurse, and the availability of resources for clinical learning. Further subthemes were also developed.

CONCLUSION

Different factors affect the student’s clinical learning. Lack of the required resources and guidance from faculty negatively affects student motivation and competency in skills. Therefore, it’s important to provide all the required resources and timely guidance to the students to improve their clinical learning and skills.

Mental Health Issues of Adolescents In Pakistan: A Cry For Help

2022-12-03T07:00:03+00:00

Globally, Anxiety and Depression are leading contributors affecting adolescents’ mental health. 1 in 4 adolescent goes through mental health issues that require immediate attention. ¹ It is also well documented that many mental health disorders emerge in late childhood and early adolescence and they exacerbate to the burden of these disorders in youth and later in life. ²

In severe cases of anxiety and depression sufferer may commit suicide, it is reported that every 40 seconds one person dies of suicide.³ Globally, suicide is the fourth leading cause of mortality among youth between the ages of 15 to 29 after road traffic accidents. Among teens between 15-19 years, suicide is the second leading cause of death among girls (after maternal and reproductive issues) and the third leading cause of death in boys (after road traffic accidents and interpersonal violence). ⁴

Pakistan is a developing country with an estimated population of 220 million, of which 50% of the population is between 12- 25 years. A recent study conducted in Pakistan, on 400 high school going adolescents (15-18 years), identified the prevalence of anxiety and depression around 53% among the adolescents enrolled in high school going in Pakistan. ⁵ The rates of anxiety and depression among adolescent population are alarming in the context of Pakistan; where the mental health human resources are scare. There are only few child and adolescents’ psychiatrists, and hardly any specialized mental health nurses and formalized mental health services for children and adolescents in Pakistan that can be considered at par with the developed world. However, the encouraging news is that if an early preventive intervention in the forms of cognitive behavior therapy are done, it can help and empower children and adolescents to identify their triggers and manage anxiety and depression effectively. ⁶

Non-specialist preventive mental health strategies may work as alternate options for reducing anxiety and depression, in resource constrained settings like Pakistan. The effectiveness of Cognitive Behaviour Therapy based intervention are already established by non-specialists (Community Health Workers) to reduce postpartum depression among women. ⁷ These evidences are encouraging and can be replicated to reduce Anxiety and Depression among children and adolescents at schools. Schools are vital pillar to promote children’ cognitive, social, emotional, behavioral and intellectual attainment. Academic institutions are well positioned to implement preventive mental health strategies. Thus, school-based mental health prevention programme can be cost effective well positioned interventions for a LMIC country like Pakistan. ⁸

Mental health issues of young people require immediate attention. Many of these issues are easily manageable. However, it is challenging to access and provide them mental health services at their convenience. Therefore, it is important to engage main stream academic institutions, to access children and youth to include them for early interventions to address their mental health issues such as anxiety and depression. There is also a need to establish evidence-based interventions to promote mental health and prevent anxiety, depression, and suicidal ideation among youth.