Asian Journal of Nursing Education and Research

Merly ¹, Angela Gnanadurai ²

Affiliations
1 St. James College of Nursing, Chalakudy, Thrissur, Kerala, IN
2 Jubilee College of Nursing, Thrissur, Kerala, IN

Abstract

The present study was aimed to assess the effectiveness of structured training program regarding prevention of female feticide on knowledge and attitude of nursing personnel and Accredited Social Health Activists (ASHAs). The conceptual framework of the study was based on Imogene M. King's theory of goal attainment (1981). The research approach included both quantitative and qualitative. One group pretest-posttest design was used to assess the effectiveness of training program and phenomenological approach is used to analyze the experience of nurses and ASHA workers regarding female foeticide. The sample consisted of 39 subjects in interventional group and 40 in control group. The instruments of data collection include a self developed self administered knowledge questionnaire to assess the knowledge regarding female foeticide, a 5 point likert scale to assess the attitude of sample towards female foeticide and a short film on prevention of female foeticide to sensitize the nurses and ASHA workers. An in-depth interview was used to assess the experience of nursing personnel and ASHA workers regarding female foeticide. After pretesting of knowledge and attitude of interventional and control group, training program was administered to the intervention group, which include teaching program regarding selected aspects of female foeticide and administration of short film- 'JEEVANNIDHI', which was prepared by the investigator. An in-depth interview was conducted for every 10th sample in the interventional and control group in order to analyze the experience of nursing personnel and ASHA workers regarding female foeticide. Post interventional assessment was done at one week and one month both in the interventional and control group. Among the total 79 sample, there were 56 ASHA workers, 20 ANMs and 3 LHVs. During the second post assessment, all the nurses and ASHA workers in the interventional group had excellent knowledge where as none of them had excellent knowledge in the control group. The mean post test attitude (156.65) of nurses and ASHA workers is higher than their mean pre test attitude (136.53). The results show significant difference in the knowledge and attitude score between the interventional and control group at 0.01 level of significance. The findings reveal that the training program is effective in sensitizing the nurses and ASHA workers regarding prevention of female foeticide. The findings of qualitative analysis reveal that the nurses and ASHA workers are sensitized about the issue and they want to take immediate steps to eliminate female foeticide from our country. The results substantiate that the nurses and ASHA workers can become channels in the prevention of female foeticide.

Keywords

Female Foeticide, Training Program, Ashas, Knowledge, Attitude.

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C. J. Jeenamol ¹, Angela Gnanadurai ¹, Reena Vincent ¹, Rose Xavier ²

Affiliations
1 Jubilee Mission College of Nursing, Thrissur - 5, IN
2 Jubilee Mission Medical College and Research Institute, Thrissur, IN

Abstract

A woman's confidence in her ability to breastfeed is crucial to her success in breast feeding preterm babies. Breastfeeding is instinctive on the part of the baby but is a learned skill for the mother. Breastfeeding is extraimportant if the baby is born preterm. Giving birth to a preterm baby can be a frightening and traumatic time for parent. Breast milk has important health benefits for premature babies as it prevent damage to baby's immature digestive system, provide immunological, nutritional and cognitive benefits and allow for optimum growth and development. Aims and objectives: The present study aimed at assessing the effect of skill orientation on practice of breast feeding technique among mothers of preterm babies. Methodology: Pre experimental one group pre test post test design was used. Thirty samples were selected using nonprobability purposive sampling technique from a tertiary hospital, Thrissur. Pre test was done using structured observation checklist on day 1, followed by demonstration of breast feeding technique to each mother of preterm babies for 2 days as 2 times per day. On 3rd day, post test was done using same observation checklist. The data obtained were analysed using descriptive and inferential statistics using Statistical Package for Social Services 17 (SPSS 17). Results: Results showed that majority of mothers (80%) of preterm babies were in the age group of 21 to 30 years. Most of the mothers of preterm babies (63.30%) had caesarean type of delivery. 50% of mothers of preterm babies belonged to joint family and 90% of them had family support from both husband's side and mother's side. 76.70% of mothers of preterm babies had excellent level of practice of breast feeding technique after the skill orientation. There was significant association between pre test level of practice of breast feeding technique with sociodemographic and clinical data variables like parity (p=0.03), family support (p=0.003) and baby's body weight (p=0.006). This reveals that mothers who are multiparous and who have more family support have significantly higher level of practice of breast feeding. The level of breast feeding technique significantly improved with the increase in body weight of preterm babies. Study concluded that skill orientation on practice of breast feeding technique was effective among mothers of preterm babies in NICU.

Keywords

Skill Orientation, Breast Feeding Technique, Mothers of Preterm Babies.

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E. Devakirubai ¹, Angela Gnanadurai ²

Affiliations
1 Sacred Heart Nursing College, Madurai, IN
2 CSI College of Nursing, Karakonam, IN

Abstract

Globally and in India the number of terminally ill patients has increased sharply due to increase in the incidence of Non Communicable Diseases. Quality palliative care is an important concern for the health care professionals. There are many ethical issues revolving End-of-life care. One such controversial issue is euthanasia and Physician Assisted Suicide (PAS). Views on euthanasia differ from religion to religion. There are many arguments for and against euthanasia. Very few countries in the world have legalized euthanasia, PAS or both. India has become a step closer in legalizing passive euthanasia through the recent honorable Supreme Court judgment in the Aruna Shaunbag Case. The role of a physician in euthanasia or PAS is already a well-known fact. Even though nurses role in this is still unclear, few nurse clinicians / researchers have already stressed the important role nurse's play in assessing and assisting with euthanasia and PAS.

Keywords

Terminally Ill Patients, Euthanasia, PAS, India, Nurse’s Role.

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E. Devakirubai ¹, Angela Gnanadurai ²

Affiliations
1 Sacred Heart Nursing College, Madurai, IN
2 CSI College of Nursing, Karakonam, IN

Abstract

Providing excellent care for a dying patient is something all patients deserve. Institute of Medicine Committee defined good death as one that is in accord with patient's and family's wishes. End-Of-Life care preferences of the terminally ill patients vary with culture which is reported by various researchers around the globe.

AIM: To explore the end-of-life care preferences among the terminally ill patients from a selected setting of Tamil Nadu, India.

MATERIALS AND METHODS: Descriptive exploratory design was adopted. For this pilot study, 10 terminally ill patients were interviewed using a structured questionnaire on End-of-Life Care Preferences in a selected hospice.

RESULTS: EOL being a naïve concept in India, interestingly 30% had communicated their EOL wishes to family members. Terminally ill patients valued sense of dignity more than controlling pain through medications if it muddled them. Nearly 60% of patients did not prefer life prolonging treatment if they did not have hope of recovery. An overwhelming majority of patients preferred home for EOL care and death. All the patients preferred that their spiritual beliefs be considered for EOL care. Majority wanted to remain autonomous in their decision making when they are capable and 60% preferred health care professionals to make the decisions when they are incapacitated. Majority preferred to fill a living will or an advanced directive. 9 out of 10 patients agreed for euthanasia or physician assisted suicide to be legally available.

CONCLUSION: Designing EOL care pathways based on EOL care preference which differs from culture to culture will ensure quality EOL care. Continuous and sustained effort to improve EOL research will definitely be a stepping stone for quality EOL care in India.

Keywords

Good Death, End-of Life Care Preferences, Terminally Ill Patients, Culture.

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Ansa Sunil ¹, Angela Gnanadurai ², Tresa Anto ²

Affiliations
1 Department of Nursing Foundation, Jubilee Mission College of Nursing, Thrissur, Kerala, IN
2 Jubilee Mission College of Nursing, Thrissur, Kerala, IN

Abstract

The present study was aimed at determining the effect of video teaching on knowledge of mothers in prevention and management of selected mosquito borne fever. Objectives: Objectives were to assess the pre-test and posttest level of knowledge of mothers' in prevention and management of selected mosquito borne fever, determine the effect of video teaching on mothers' knowledge in prevention and management of selected mosquito borne fever and find the association between mothers' socio-demographic and clinical data variables and pre-test level of knowledge in prevention and management of selected mosquito borne fever. Methodology: Quasi experimental, one group pre-test post-test design was used in the study. Forty mothers of children with fever admitted in paediatric medicine ward of JMMC&RI, Thrissur who met the inclusion criteria, were recruited by simple random sampling. Data were collected using structured knowledge questionnaire. The conceptual frame work was based on Health Belief Model. Results:The present study revealed that among the 40 mothers, 32.5% were in the age group of 26-30 years, 27.5% were having plus two level education and another 27.5% had graduate and above educational qualification. Majority(55%) of the mothers were housewives and only 5% were labourers. Majority (45%) were Christians. More than half of the mothers (52.5%) were having nuclear family, 65% were having concrete house, 57.5% of the mothers were living in urban area and 47.5% were having a monthly family income of Rs. 15,754 - Rs. 31,506. More than half (62.5%) of children were directly admitted to the hospital and 37.5% were referred cases. Among the mothers, 77.5% had previous exposure to information on dengue fever; of which mass media (35%) was the main source of information. The results showed that the mean post- test knowledge score (29.32±2.86) was significantly higher than the mean pre-test knowledge score (17.50±4.56) with p value 0.001. Significant association was found between socio-demographic and clinical data variables such as occupation (p=0.011), area of living (p=0.019), type of family (p=0.049), monthly family income (p=0.001), type of admission to the hospital (p=0.028) and previous exposure to information on dengue fever (p=0.008) and pre-test level of knowledge in prevention and management of selected mosquito borne fever. Conclusion: Video teaching is an effective method for educating mothers on selected mosquito borne fever.

Keywords

Effect, Video Teaching, Knowledge, Selected Mosquito Borne Fever, Mothers, Children.

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