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Editorial
Empowerment of Nurses and Self Learning (Punitha Ezhilarasu)
Concepts and Issues
Nursing Education – Current Scenario and Future Goals (Leah Macaden, Gnancy Starlet, Benzy Alex, Deepa, L, Titty Thomas and Asha Mathew)
Men in Nursing (Rajee Reghunath and Sreedevi C.R.)
Evidence – Based Practice: A Model for Implementation (Diane S. Jedlicka)
Clinical Articles
Home Oxygen Therapy – Nurses’ Role (Ramesh, V)
Dynamic Community Based Practice Oriented Nursing Education Focussed on Child Bearing and Child Rearing Families (Rachel Zachariah)
Research Article
Promoting Self Care among Women with Carcinoma Cervix (Premila Lee, Mary S. Immanuel, Sakunthala Rajan and Faith Viswanathan)
Psychosocial Problems of Adolescents: An Exploratory Study (Lalitha Krishnasamy)
Continuing Education Series
Traumatic Brain Injury (TBI) – Pathophysiology – Part I (Jayarani Premkumar and Punitha Ezhilarasu)
Research in Brief
Baby Friendly Hospital Initiative (Shanthi Vasantha Malar)
Abstracts
NURSING EDUCATION: CURRENT SCENARIO AND FUTURE GOALS
* Leah Macaden, R.N., R.M., M.Sc (N)
** Gnancy Starlet, R.N., R.M.
*** Benzy Alex
**** Deepa, L.
***** Titty Thomas
****** Asha Mathew
ABSTRACT
Nursing has a tremendous capacity to change people. The demands associated with nursing practice require a broad knowledge base and critical thinking abilities along with competent skills. The focus of nursing is shifting towards viewing patients as collaborative beneficiaries rather than passive recipients of care. The nursing students need to be made to feel important as growing partners of the health team. Nursing leaders have also emphasized the need for a transforming power relationship, between students and teachers as co-learners. This article gives a glimpse of the vision for the future of nursing.
MEN IN NURSING
* Rajee Reghunath, R.N., R.M., M.Sc (N)
** Sreedevi, C.R., R.N., R.M.
ABSTRACT
Men in Nursing continue to be a neglected minority in a few areas of professional education and practice. A detailed counselling during the selection of men is needed to reduce the attrition rate. Equity in training which leads to registration as Registered Midwife is a necessity. There are many arguments that support and defend men practicing midwifery. Even though the number of men in nursing is less in many countries, majority of them occupy administrative / teaching posts. People in the society are not much aware about the men in nursing. The contribution of men to the profession is significant.
EVIDENCE-BASED PRACTICE: A MODEL FOR IMPLEMENTATION
* Diane Jedlicka, R.N., M.S.N., C.N.S., Ph.D
ABSTRACT
Nurses must be able to evaluate and use multiple sources of evidence in solving clinical problems and practice issues. Evidence-based practice provides one mechanism for integrating multiple sources of credible and reliable data into a framework for nursing practice. These sources of evidence may include best available research, consensus of clinical experts, clinical expertise, and patient/family values and expectations. The rationale underlying evidence-based practice represents an evolution in nursing from a tradition and ritual-based model to a more scientific foundation for practice. Evidence-based practice can be implemented at all levels of nursing in a variety of settings and cultures. The benefits include an improvement in the quality of care delivered and optimal patient outcomes.
HOME OXYGEN THERAPY – NURSES’ ROLE
* Ramesh V, R.N., M.Sc (N)
ABSTRACT
Home oxygen therapy is an emerging field of therapy for patients with chronic respiratory problems. These days more and more patients are prescribed Home oxygen therapy in order to improve their quality of life. This article highlights the indications, contraindications and modes of delivery of oxygen at home. Role of a nurse in domiciliary oxygen therapy is discussed using the nursing process approach.
DYNAMIC COMMUNITY-BASED, PRACTICE-ORIENTED NURSING EDUCATION FOCUSSED ON CHILD BEARING AND
CHILD REARING FAMILIES
* Rachel Zachariah, R.N., DNSc
(Empowering nursing students and maternal child health nurses through an integration of classroom and workplace experiences)
ABSTRACT
The author presents selected aspects of a community-based, practice-oriented undergraduate nursing curriculum focussing on child bearing and child rearing families. Nursing students at all levels need to be educated to meet the health care needs of the community through the development of innovative community partnerships. The faculty of the NortheasternUniversityBouveCollege of Health Sciences School of Nursing has developed and implemented a community-based, practice-oriented education model that includes innovative partnerships with urban neighborhoods in the community. The primary purposes of the partnership are to create academic health centers in the community for primary care and to redirect health professionals’ education into the primary care sector. The goal of the selected course on nursing care of child bearing and child rearing families, was to prepare nursing students who will competently participate to ensure that women and children and their families living in neighborhoods and communities receive adequate health promotion and disease prevention services. The course syllabus, objectives, learning activities, assignments, and student outcome evaluations are presented and discussed.
PROMOTING SELF CARE AMONG WOMEN WITH CARCINOMA CERVIX
* Premila Lee, R.N., R.M., M.Sc (N)
** Mary Sulakshini Immanuel, R.N., R.M., M.Sc (N), Ph.D
*** Sakunthala Rajan, R.N., R.M., M.Sc (N)
**** Faith D.V. Rangad, M.B.B.S., D.M.R.T., M.D
ABSTRACT
An experimental study with cross over design was carried out in the radiation therapy department of Christian Medical College & Hospital, Vellore to determine the adequacy and patient’s comfort of self-vaginal douche versus douche administered by the nursing personnel in women with carcinoma of the cervix. A sample of 20 women was chosen and per vaginal examination was done as pre assessment. Structured teaching on self-vaginal douche was given using a simple device. At the end of one week they were allotted into both experimental and non-experimental group by random allocation. Allotted groups were exchanged into the other group after a week. Prior to exchange, the medical personnel assessed the adequacy of the procedure after performing vaginal examination. Medical personnel were not informed of the group to which the patient belonged. After the procedure every day, comfort was assessed by means of a questionnaire. While comparing the adequacy and comfort of the patients following self-administered and nurse administered procedure, no significant difference was found between the two groups. It shows that the vaginal douche taken by the patient is as good as when nursing personnel perform it.
PSYCHOSOCIAL PROBLEMS OF ADOLESCENTS AN EXPLORATORY STUDY
* Lalitha Krishnasamy, R.N., R.M., M.Sc (N), Ph.D
ABSTRACT
This study was conducted to explore the psychosocial problems of adolescents. The sample was selected by using simple random numbers. A structured self reporting questionnaire with 72 items was administered to 100 students studying I year B.A., B.Sc., and B.Com. There was a significant difference between boys and girls in the psychological domain and between those from rural and urban domicile in sexual and social aspects.
CONTINUING EDUCATION SERIES TRAUMATIC BRAIN INJURY (TBI) – PATHOPHYSIOLOGY – PART I
* Jayarani Premkumar, R.N., R.M., M.Sc (N)
** Punitha Ezhilarasu, R.N., M.Sc (N), Ph.D
(This Continuing Education (CE) articles has two parts. Part I includes Traumatic rain Injury and Pathophysiology. Part II will focus on the Assessment and Management of Traumatic Brain Injury in the next publication January – June 2002.)
ABSTRACT
Trauma is the leading cause of death and a large number of these deaths are associated with Traumatic Brain Injury (TBI) / Head injury. The major challenges in caring for the injured patients are to help them achieve the highest quality of life to the fullest possible.