Authors:Priya Baby Pages: 3 - 6 Abstract: Priya Baby Indian Journal of Continuing Nursing Education 2023 24(1):3-6 Globally, nursing is a highly female-dominated profession. Even though the number of men in nursing has increased in the past few decades, societal and organisational factors prevent the easy admittance and retention of men in the nursing profession. The COVID-19 pandemic has magnified the global nursing shortage and there is an urgent need to mitigate nursing staff shortages. One crucial strategy would be degendering the nursing profession, especially in the context of India, through diversifying recruitment strategies. This article discusses the historical background of how nursing became a gendered profession. While critically examining the ethical concerns about gendering practices in the nursing profession, this article argues for the need to break the gendered stereotypes in nursing. In addition, this article elicits an urgent call for action utilising feminist pedagogy in the nursing curriculum to transform nursing education. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):3-6 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_16_22 Issue No:Vol. 24, No. 1 (2023)
Authors:Oluwaseyi Abiodun Akpor, Timothy Oluwaodojutimi Akingbade, Olaolorunpo Olorunfemi Pages: 7 - 10 Abstract: Oluwaseyi Abiodun Akpor, Timothy Oluwaodojutimi Akingbade, Olaolorunpo Olorunfemi Indian Journal of Continuing Nursing Education 2023 24(1):7-10 The health sector is crucial to the growth and development of a nation. Despite sound policies and interventions to develop the Nigerian health sector, there are challenges that continue to reduce the progress and achievement of universal access to healthcare. The major factors that affect the overall performance of the health system include inadequate health facilities/structure, poor human resources and management, poor remuneration and motivation, lack of fair and sustainable healthcare financing, unequal economic and political relations. Other factors inlucde neo-liberal economic policies of the Nigerian state, corruption, illiteracy, very low government spending on health, high out-of-pocket expenditure in health, and the absence of an integrated system for disease prevention, surveillance and treatment, inadequate mechanisms for families to access healthcare, and the most persistent problem, the shortage of basic and essential equipment in most public health facilities in Nigeria. The agony which patients and nurses are passing through due to the non-availability of equipment needed to render the required services causes inefficient service delivery and increases job stress. This review paper describes the enormity of the problems and recommends options vital to addressing the problem to attain equilibrium in demand, quality and efficiency in healthcare delivery. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):7-10 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_96_21 Issue No:Vol. 24, No. 1 (2023)
Authors:Nongozonuo Khape Pages: 11 - 15 Abstract: Nongozonuo Khape Indian Journal of Continuing Nursing Education 2023 24(1):11-15 Pseudomyxoma peritonei (PMP) is a rare malignant growth characterised by the progressive accumulation of mucus-secreting (mucinous) tumour cells within the abdomen and pelvis. The common manifestations in patients are abdominal distension and appendicitis-like symptoms. Computed tomography scan with contrast of the chest, abdomen and pelvis is currently the imaging modality of choice for the diagnosis of PMP. As per the current guideline, the curative treatment for PMP is complete cytoreductive surgery (CRS) with hyperthermic intraperitoneal chemotherapy. The purpose of this article is to highlight the rarity of the disease and the typical presenting symptoms, the trends in diagnosis and treatment, the role of nurses and the challenges faced in taking care of patients with rare malignancies receiving treatment. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):11-15 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_107_22 Issue No:Vol. 24, No. 1 (2023)
Authors:Sudipta Debnath Pages: 16 - 24 Abstract: Sudipta Debnath Indian Journal of Continuing Nursing Education 2023 24(1):16-24 The period of childhood and adolescence plays a very crucial part in the overall development of one's personality and leaves a mark on their lives. Many a times, we see children and adolescents behaving differently or adopting maladaptive behaviours. These antisocial, maladaptive behaviours are the basis of conduct disorder (CD), which results from interaction of multiple biopsychosocial factors. Identifying these maladaptive behaviours, diagnosis and addressing them at the earliest is very essential. Failure to do so may result in development of an antisocial personality disorder during their adulthood. Nurses play an essential role in the care and treatment process of these children with CD. In this article, we will be discussing the various aspects of nursing management of a child with CD. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):16-24 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_56_22 Issue No:Vol. 24, No. 1 (2023)
Authors:L Manoj Kumar, Rinu J George, Jibin Kunjavara, PS Anisha Pages: 25 - 28 Abstract: L Manoj Kumar, Rinu J George, Jibin Kunjavara, PS Anisha Indian Journal of Continuing Nursing Education 2023 24(1):25-28 Scientific research uses objective facts to build evidence. Due to restrictions in collecting objective data from study subjects and study aims, researchers may need to acquire subjective data. In such cases, qualitative and mixed-method designs are essential in medicine and allied fields. Medical and nursing research increasingly uses qualitative and mixed-method techniques. Mixed methods assess study participants' perspectives, opinions and outlooks on specific occurrences. Subjective data collection is like searching in the sea; potential data may be overlooked. Q-technique collects and analyses subjective data from study participants on a given topic. Q-methodology, Q-sort and Q-techniques are commonly used interchangeably, but they have different meanings. Q might be a data-gathering method or a study approach. This article discusses the basic process of using Q-methodology as a research design for novice researchers. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):25-28 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_74_22 Issue No:Vol. 24, No. 1 (2023)
Authors:Priyadarsini John Pages: 29 - 39 Abstract: Priyadarsini John Indian Journal of Continuing Nursing Education 2023 24(1):29-39 While death claim lives and creates vacuum and sadness in people's lives, organ donation provides hope for those who are the recipients and also for the donor family. On an average, 20 people die each day while waiting for a transplant. Organ donation involves harvesting a potentially viable organ from a donor and transplanting it to a matching recipient. Nurses need the necessary knowledge and skills to navigate the ethical, cultural, religious and social issues surrounding the donation of organs and be able to cooperatively with members of the healthcare team in order to facilitate patient and family preparation of the donor as well as the recipient and the smooth retrieval, transport and transplant of organs. The definitions, procedures, resources and the roles and responsibilities of nurses in organ donation are explained in this article. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):29-39 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_25_23 Issue No:Vol. 24, No. 1 (2023)
Authors:Deepa Premala, Rajee Reghunath Pages: 40 - 47 Abstract: Deepa Premala, Rajee Reghunath Indian Journal of Continuing Nursing Education 2023 24(1):40-47 Background: Cardiovascular diseases (CVDs) are the number one cause of death globally. Several risk factors are associated with CVDs evident in childhood through adolescence. The major metabolic risk factors include high blood pressure (BP), increased body mass index (BMI), raised blood glucose, raised blood lipids and increased waist circumference (WC). Physical activity, diet, BP, WC, obesity and cardiovascular fitness are the risk factors that can be measured non invasively among adolescents. The identification of these risk factors in adolescents can enable healthcare providers to initiate interventions to reduce the risk and help adolescents to move forward to healthier adulthood in the future. Objectives: The objectives of the present study were to assess the cardiovascular risk of adolescents and to evaluate the effect of a school based interventional package on the cardiovascular risk for adolescents with high cardiovascular risk. Methods: The study was conducted in two phases. Phase I adopted a descriptive design and Phase II adopted a quasi experimental non equivalent control group before and after design. It was conducted in four schools among 401 adolescents aged 10–14 years and their mothers who have given signed consent. The sociodemographic data sheet and the 24 h recall of the adolescents were completed by the mothers. The adolescents completed a physical activity questionnaire child The Physical activity questionnaire for older children and the tobacco, alcohol and drug questionnaire in their classroom. The height, weight, BP and WC were measured as per standard procedures. The 20 m shuttle run was conducted to assess their cardiovascular fitness and levels and shuttles obtained by the adolescents were recorded and graded. The BMI was calculated. The adolescents (n = 31) with the highest risk scores in the experimental schools underwent a school based interventional package. The control group (n = 30) did not have any intervention. The post tests were conducted on the last day of the 8th and 16th weeks using the cardiovascular risk scale. Results: The mean score for cardiovascular risk was 14.35 with a standard deviation of 3.23. There was a statistically significant difference in the cardiovascular risk scores of the adolescents between the control and experimental group in post test 1 (t = 5.69; P = 0.001) at the 8th week and post test 2 (t = 11.61; P = 0.001) at the 16th week. Hence, it can be concluded that a school lbased interventional package elicited a reduction in cardiovascular risk among adolescents. Conclusion: Nurses, particularly school health nurses, can play a pivotal role in encouraging cardiovascular risk surveillance programmes among adolescents in school and to conduct multi component interventional programmes including education, physical activity and diet. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):40-47 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_109_21 Issue No:Vol. 24, No. 1 (2023)
Authors:SK Mohanasundari, VA Raghu Pages: 48 - 54 Abstract: SK Mohanasundari, VA Raghu Indian Journal of Continuing Nursing Education 2023 24(1):48-54 Introduction: The performance of nurses has a substantial impact on patient outcomes and professional development. The perspective towards the job and the nursing profession has a direct impact on professional commitment. The aim of this study was to explore the perspectives of nurses towards their preferred profession. Methods: A total of 572 nursing officers from all four of India's regions – the East, West, North and South–were included in a cross-sectional descriptive study. The samples were contacted by WhatsApp, e-mail and telegram by sharing the SurveyMonkey app-created survey link. The questionnaire includes a 5-point Likert scale to assess the nursing officers' perspectives on a total of 20 statements regarding their perception. The subjects were asked to fill out the informed consent before the study started. Results: The majority of the nursing officers (69.1%) had favourable perspectives and only 1/3rd of the subjects (30.9%) had unfavourable perspectives towards their preferred profession. The years of experience had a significant association with levels of perspective (P = 0.016) tested by Chi-square. Multiple logistic regression showed geographic region had a significant influence on the level of perspective (P = 0.027; 95% confidence interval: 1.059–2.622). Conclusion: The nursing officers had favourable perspectives towards the chosen profession and geographic region is the influencing factor on levels of perspective. To increase personal and professional development, efforts must be taken to reduce the influencing factor and barriers that affect the nursing officer's perspectives. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):48-54 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_99_22 Issue No:Vol. 24, No. 1 (2023)
Authors:Yuvraj Singh Adha, Chris Thomas Pages: 55 - 62 Abstract: Yuvraj Singh Adha, Chris Thomas Indian Journal of Continuing Nursing Education 2023 24(1):55-62 Background: Nurses are the integral part of the health-care team who focus on the well-being of the patient and quality patient care. With wide range of roles and responsibility, nurses should have proper knowledge of the subject along with the necessary competent skills to perform their duties. The gap between education and the clinical practice has always been challenge for educational experts in the field. Objectives: The objectives were to explore the factors causing the theory-practice gap in nursing education in India and to identify the strategies for bridging the theory-practice gap in nursing education. Methods: The research design was descriptive qualitative design. The data were collected from 30 participants including 10 clinical nurses, 10 nursing teachers and 10 nursing students from selected hospitals and nursing colleges of Northern India. Non-probability purposive sampling technique was used to collect the data. Semi-structured telephonic interview with self-administered questionnaire was used to collect the data. The collected data were analysed by using Coloizzi's method and the data were organised and transcribed. Results: The five emergent themes were clinical practice and clinical nurse-related factors, curriculum-related factors, student-related factors, nurse faculty-related factors and administration-related factors. Findings for the strategies to bridge the theory practice gap were organised into 12 subcluster themes, 7 cluster themes and 5 emergent themes which are collaborative health care approach, reforms in teaching styles and evaluation system, system change and integrative approach of nursing curriculum. Conclusion: Nursing practice is closely associated with the theory taught in the class. Hence, the theory should be wisely applied in the clinical areas to deliver the quality nursing care to the patients. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):55-62 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_32_22 Issue No:Vol. 24, No. 1 (2023)
Authors:Ishrat Amin, Eke Lama Tamang, Mikki Khan Pages: 63 - 67 Abstract: Ishrat Amin, Eke Lama Tamang, Mikki Khan Indian Journal of Continuing Nursing Education 2023 24(1):63-67 Introduction: The rapid advancement in medical technology and science demands nursing education to become hybrid, combining traditional teaching methods with modern methodologies. Problem-based learning (PBL) is one of the new methods, which facilitates student's learning. Objective: The study aimed to assess and compare the nursing students' knowledge regarding myocardial infarction taught by PBL and traditional lecture method. Methods: A quantitative research approach with post-test-only research design was used. All 50 B.Sc. 2nd-year nursing students were included in the study. A structured knowledge questionnaire was used to assess the knowledge. Results: The findings revealed that the mean knowledge score of nursing students in the PBL group was 24.28 and in the traditional lecture group was 19.36. The obtained mean difference between PBL group and traditional lecture group was found to be statistically significant as evident from 't' = 2.71 at 0.05 level of significance. The study findings also revealed that in the PBL group, 16% of nursing students had acquired poor knowledge, 68% had acquired average knowledge and 16% had acquired good knowledge, whereas in the traditional lecture group, 40% of students had acquired poor knowledge, 52% had acquired average knowledge and 8% had acquired good knowledge. Conclusion: The study revealed that the mean knowledge score after post-test of nursing students in the PBL group was higher than mean knowledge score after post-test of nursing students in the traditional lecture group; hence, PBL method was more effective than traditional lecture method. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):63-67 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_73_22 Issue No:Vol. 24, No. 1 (2023)
Authors:Priyadarsini John Pages: 68 - 73 Abstract: Priyadarsini John Indian Journal of Continuing Nursing Education 2023 24(1):68-73 Background: Organ donation (OD) is a boon for patients suffering from end stage organ failure. Globally, there is an acute shortage of organs for transplantation and this is further accentuated in India. Nursing professionals can play a crucial role in identification, education, and motivation of potential donors, thereby enhancing the rate of OD. There is a dearth of studies on knowledge and attitude with regard to OD among nurses in India. Objectives: The aim of this study is to assess the knowledge and attitude of nurses on OD. A cross-sectional descriptive study was carried out among 509 nurses working in reputed hospitals of a metropolitan city. A self-reported copyrighted questionnaire on knowledge and attitude was administered. Results: Majority of the participants were women. The mean age of the participants was 28.14 ± 7.73. A substantive number (49.7%) were found to have inadequate knowledge and 43% had moderately adequate knowledge. Mean knowledge score was 18.19 and standard deviation 5.11797. of the population studied, 89.4% had a favourable attitude and 10.6% had a highly favourable attitude towards OD. Nurses scored an average of 15 (minimum 9.44 and maximum 23.66) against a total possible score of 24. Statistically significant correlation r = 0.510 (P < 0.01) was evident between knowledge and attitude of the nurses toward OD. Conclusion: Conscious effort to augment nurses through regular in-service education to enhance their knowledge and attitude and include these in the nursing curriculum is imperative so that the emerging nurses are well equipped to address the issues around organ transplantation. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):68-73 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_106_22 Issue No:Vol. 24, No. 1 (2023)
Authors:Rinki Ghosh, Baruah Arunjyoti Pages: 74 - 79 Abstract: Rinki Ghosh, Baruah Arunjyoti Indian Journal of Continuing Nursing Education 2023 24(1):74-79 Background: Epilepsy is a devastating global health concern and can develop at any time in one's life. Inadequate knowledge and awareness about the disease and its causation, discrimination, social stigma are the most prevalent factors which often dissuade persons with epilepsy from seeking treatment. Methods: The study used descriptive qualitative research design and semi-structured interview to explore the educational needs of persons with epilepsy. Non-probability purposive sampling technique was used for selection of study sample based on study eligibility criteria. Data saturation was achieved after interviewing 8 samples. Thematic analysis was performed for analysis of the data. Statements were coded and different codes were collated into categories and subsequently into themes. Rigor and quality of the data was ensured using measures of credibility, transferability, dependability and conformability. Results: Three major themes namely exiguous knowledge, Deviant epilepsy management and Pragmatic challenges emerged from the analysis. The study finding revealed poor knowledge and awareness and inadequate skill in epilepsy self-management amidst many challenges among majority of the study participants. Conclusion: Therefore, there is a need to educate people with epilepsy about the disease and its self-management to manage their epilepsy well and enhance their quality of life. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):74-79 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_118_21 Issue No:Vol. 24, No. 1 (2023)
Authors:Seema Shankarsingh Chavan, Theresa L Mendonca, Renilda S Lobo, Jensi Amali Pages: 80 - 86 Abstract: Seema Shankarsingh Chavan, Theresa L Mendonca, Renilda S Lobo, Jensi Amali Indian Journal of Continuing Nursing Education 2023 24(1):80-86 Background: Parents experience emotional stress as a result of a diagnosis of cancer in their child. This has a severe influence on their quality of life (QoL). Anxiety and psychological stress also have a negative impact on parent's health. Parents, particularly mothers, have been proven to suffer post-traumatic distress levels that are significantly higher than their child who survives cancer. As a result, family-centered care is crucial from the diagnosis to long-term survivorship or mourning. This protocol aims to conduct a full-scale systematic review and meta-analysis on the effects of psychosocial interventions on psychological distress and QoL of mothers of children with cancer. Methods: We will search for eligible published studies through PUBMED, Science Direct, COCHRANE library and Clinical Trials Registry – India. Reports from the conference or dissertations from SHODHGANGA, MEDLINE and PsychINFO will be used for extracting relevant data using a standardised data collection form. The pooled estimates of relative ratios with 95% confidence intervals will be combined using the random-effects model of meta-analysis. A funnel plot will be used to evaluate publication bias and Egger's regression will be used to check the funnel plot's symmetry. Results: Symmetrical funnel plots will suggest low risk of publication bias. This review will present the most recent data on the effectiveness of various psychosocial interventions in reducing psychological distress and improving the QoL for mothers of cancer patients. Conclusion: Future research will be guided by this to treat mothers holistically, which will help to better care for the children. The International Prospective Register of Systematic Reviews assigned our systematic review procedure the registration number CRD42022345747 when it was registered in accordance with the requirements. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):80-86 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_111_22 Issue No:Vol. 24, No. 1 (2023)
Authors:Rameshbabu Tamarana, Esha Jain, Snigdha Sinha, Surabhi Manjunatha, Awurakua Amaki Amissah, Bhavna Balaji Pages: 87 - 91 Abstract: Rameshbabu Tamarana, Esha Jain, Snigdha Sinha, Surabhi Manjunatha, Awurakua Amaki Amissah, Bhavna Balaji Indian Journal of Continuing Nursing Education 2023 24(1):87-91 Background: Individuals in service-oriented professions, such as caregivers, often face burnout. Informal caregivers, in particular, are individuals who care for another individual/s for no monetary benefit and do not necessarily require professional training for the same. Objectives: The study aimed to quantify informal caregiver burnout in the form of a scale, for which the domains of three main variables concerning the tridimensional characterization of the burnout syndrome included emotional exhaustion, cynicism and professional efficacy. In addition, the scale focused mainly in primary appraisal (how the caregiver evaluates their condition) rather than secondary appraisal (coping with stressful situations). The current study evaluated the psychometric properties of the informal caregiver burnout scale (ICBS) to assess burnout levels amongst informal caregivers. Results: Results from exploratory factor analysis provide preliminary psychometric support for dimensionality and reliability and suggest further revisions to future versions of the scale. Importantly, dimensionality findings from the current study found two dimensions. Conclusion: Further, replications using a more targeted sample of participants should improve dimensionality findings. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):87-91 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_83_22 Issue No:Vol. 24, No. 1 (2023)
Authors:Rogina J S. Savarimuthu, V Ajay, VS Sheena, J Nancy, S Harish Pages: 95 - 98 Abstract: Rogina J S. Savarimuthu, V Ajay, VS Sheena, J Nancy, S Harish Indian Journal of Continuing Nursing Education 2023 24(1):95-98 Background: COVID-19 pandemic has resulted in a shift from the traditional classroom setup to online method of teaching and learning. Objectives: The aim of this study was to assess the prevalence of online gaming addiction among college students, during online pedagogy, COVID-19 pandemic lockdown, Tamil Nadu, India. Methods: A non-experimental descriptive research design was used. The study was conducted among individuals pursuing online collegiate pedagogy due to COVID-19 pandemic lockdown who had access to android mobile phones and who responded to the e-survey. Web-based link was created on Google forms and shared through WhatsApp application. A demographic profile sheet and Internet Gaming Disorder Scale were used to collect the data. Results: More than half of the respondents were non-disordered gamers (51.9%) and a minimum of them were disordered gamers (3.7%). Gender (P = 0.006), life time of first internet use (P = 0.023) and the purpose of Internet use (P = 0.021) were found to be significantly associated with online gaming addiction. Conclusion: The tools utilised to attain online pedagogy were often used to engage in online gaming. Synchronously individuals need to be educated of the risk of harmful use of the same technology in the event of losing control over it, the technology taking control over the individual, resulting in addiction. Citation: Indian Journal of Continuing Nursing Education 2023 24(1):95-98 PubDate: Tue,13 Jun 2023 DOI: 10.4103/ijcn.ijcn_79_21 Issue No:Vol. 24, No. 1 (2023)