Journal of Advanced Practices in Nursing

ISSN: 2573-0347

Open Access

Articles in press and Articles in process

    Research Article Pages: 1 - 11

    Assessment of Knowledge, Attitude and Practices on Use of Emergency Contraception among Women Seeking Post Abortion Care in Mbarara District

    Mugumya Cleophus*, Tumwebaze Mathias, Atukunda Gershom, Otiam Emmanuel Otala, Ninyikiriza Jackline and Kafuko Joshua

    Background: Unplanned and unwanted pregnancies carry a higher risk of morbidity and mortality, often due to unsafe abortion. Many of these unplanned pregnancies can be avoided using emergency contraception. Literature reveals that there is existence of knowledge, attitude and practice gaps on emergency contraception in the world including Uganda. Therefore the objective of this study was to assess knowledge, attitude and practices of women seeking post abortion care on use of emergency contraception.

    Method: A cross sectional study was conducted among 235 women seeking post abortion care in 6 health units in Mbarara district. Women seeking post abortion care were purposively selected participants. Questionnaires were used to collect the data. Data processing and analysing was done using Statistical Package for Social Sciences (SPSS) version 20.

    Results: Less the half of the respondents 94 (40%) were knowledgeable of emergency contraception and age and marital status were significantly influencing knowledge (or 1.43 C.I 0.589 3.491) and (1.10; C.I 0.365 3.322) respectively. The majority 174 (74.0%) had positive attitude toward emergency contraceptives knowledgeable of emergency contraception significantly influenced this [OR=2.48, 95% CI (1.340, 4.570)]. Only 20 (8.5%) had ever used ECs. It was found out that knowledgeable women were 3.1 times more likely to use emergency contraceptives than their counterparts with low knowledge about emergency contraception.

    Conclusion: The study indicated low level of knowledge; very low level of practice and majority showed positive attitude towards emergency contraceptives.

    Research Article Pages: 1 - 7

    Investigating the Perceptions of Patients and Nurses for the Nursing Care Provided and Received in a Hospital Setting

    Aouant Nasim*, Dafogianni Chrysoula

    Background: The disease may arise complex emotional, psychological, and spiritual issues, both for patients and for nurses, in which the multifaceted therapeutic
    approach is part of the nurse/therapist care as it is the essential pillar of nursing science.
    Aim: The purpose of this study was to investigate the nurses' and patients' perceptions of nursing care provided and received in a Hospital.
    Methodology: The sample of this study consists of two hundred and ten (210) patients and one hundred and ninety-six (196) nurses. Two questionnaires were
    used to collect the data. The nurses were given a questionnaire tailored to what they developed in their survey Cossette et al. (2006); the patients were given the
    corresponding questionnaire with the same questions, adjusted in their perspective. The Questionnaire includes questions about the demographic characteristics
    of each sample and statements concerning the care, service, and tasks of the Nurses for patients. The statistical analysis was conducted with the program SPSS
    Results: As evidenced by the replies given and the obtained results, nurses consider the care they provide is at a very satisfactory level. However, patients appear
    to be moderate in their views with the overall of nursing care satisfaction.
    Discussion: The analysis results appear differences between the nurse's perception of the care provided and the perceived patient satisfaction with this care.
    Patients appear moderately satisfied, considering that nurses meet the specifications to a large extent in the therapeutic process and the technical procedures
    of medical machines. Considering nurses need improvement in interaction, as shown by the answered of the satisfaction questions about the nurses and the
    services provided.
    These results are consistent with the relevant bibliography; researchers in the field have identified the need to improve personal contact, interaction, and
    communication between nurses and patients, as well as their contribution to perceived care.
    Conclusions: As the overall experience of care provided by nurses to the patient is a multifactorial process, it is imperative to consider all factors influencing
    patient satisfaction with the care provided.
    Proposals: More prominence needs to be presented on issues as nurses/patients communicate and enough information given to the patient and family as well as
    the updating educational and personal development of nurses.

    Review Article Pages: 1 - 3

    The Role of Nurses in Evidence Based Maternity Care

    Hjh Nurul Abdullah*

    A few strategies have been utilized for improving the nature of maternity and infant care. Practically these techniques have their cause in proof based practice to apply the best proof in clinical consideration. Proof based practice is basically the combination of the best accessible exploration based proof, clinical ability, and patient needs, qualities and inclinations to build up an arrangement of value care. Quality upgrades accordingly require proficient agreement about execution of exploration based clinical proof, and consideration regarding quiet needs, qualities and inclinations. In spite of the fact that proof based practice has been perceived as important for quality consideration in created nations, it has frequently been conceptualized as far as exploration based clinical proof and less consideration has been paid to tolerant necessities and inclinations. Tolerant fulfillment has undoubtedly been perceived as a significant result measure for the nature of human services. Moreover distinguishing understanding needs and necessities has been made a decision about fundamental for both estimating and improving nature of care.

    Mini Review Pages: 1 - 3

    Professional Autonomy in Nursing Role

    Yengkhom Sue*

    Autonomy, an unpredictable, multidimensional wonder, is gotten from the Greek words 'autos' and 'nomos', which means self, and to control or hold sway. Autonomy steady with the extent of expert nursing practice will amplify the viability of the medical caretaker. Autonomy isn't a flat out, yet happens in degrees.

    Case Report Pages: 1 - 3

    Adequacy of Team based Learning on Quality Affirmation in Clinical Practice among Nursing Students

    Peerasak Skulphan*

    Background: Assess the information and attitude about team based learning among nursing students, assess quality assurance in clinical practice among nursing understudies, find the association about team based learning on quality assurance in clinical practice among nursing students with chose factors.

    Strategy: Quantitative examination approach and descriptive plan was utilized for directing the investigation. Non likelihood helpful sampling technique was received for this examination. 43 samples were nursing students in chose nursing colleges. Segment Data, Multiple decision inquiries on information on team based learning for quality assurance in clinical practice, five point likert scale for disposition of team based learning for quality assurance in clinical practice was utilized for information assortment.

    Results: Among the 43 nursing students comparable to information and disposition about team based learning for quality assurance in clinical practice 19 (44.18%) were respectably acknowledged, 16 (37.20%) were exceptionally acknowledged and just 8 (18.60%) were somewhat acknowledged that the team based learning is fundamental for quality assurance in clinical practice. The mean and SD is 13.88 and 4.86 individually. A critical affiliation was discovered information and disposition with chose variable age, gender mechanism of guidance has factual huge at p<0.01.

    Conclusion: The discoveries give knowledge for nursing students team based learning has gotten progressively acknowledged as a positive program in educational institutions to improve quality confirmation in clinical practice.

    Review Pages: 1 - 3

    Care and Ethical Standards Compromised by COVID-19 Outbreaks

    Khadije Jahangasht, Abbas Shamsalinia and Fatemeh Ghaffari

    COVID-19 is an emerging disease that has challenged global health systems. Despite many efforts to manage the crisis, the number of new cases is still high. In Corona Crisis Management, both internationally and in terms of healthcare systems, the focus was on planning during crisis, and due to the lack of pre-crisis planning, healthcare providers systems enter to crisis situation suddenly and unprepared. The lack of biologic crisis maneuvers associated with emerging diseases such as SARS, Ebola, and COVID-19 by related organizations, and the lack of scenarios for how to deal with it, shocked health workers. In the early weeks of the COVID-19 outbreak, the operationalization of the planned actions fails, and the COVID-19 epidemic led to an influx of people with the disease into care units such as Such as emergency departments and outpatient clinics and hospital beds were filled. The increase of positive disease cases and comprehensive care needs, especially in intensive care units in the first weeks of the disease epidemic, led to extreme fatigue of health care providers, lack of personal protective equipment, shortage of manpower and infection of many health care workers to COVID-19. Sudden exposure to critical situations may cause some dimensions of standard care, including standard precautions when caring for patients and compliance with ethical standards by health care providers, especially at the front line was neglected.

      Research Article Pages: 1 - 5

      The Effect of a Therapeutic Education Program on the Feeling of Self-Efficacy, Self-Care Behaviors and Glycemic Control (HbA1c) in Type 2 Diabetic Patients in Tunisia

      Amira Abbassi*

      Introduction: Diabetes represents a real public health problem due to its increasing frequency, morbidity, mortality and economic cost. The process of teaching individuals to manage their diabetes was considered an important part of clinical management. The objective of this study is to evaluate the effects of a therapeutic education program for type 2 diabetic patients on their sense of self-efficacy and on their self-care behaviors and on their glycemic control (HbA1c).

      Methods: This quasi-experimental study was conducted on 120 patients with type 2 diabetes who were randomly divided into two groups, experimental group and control group. The study was carried out at the outpatient endocrinology department of La Rabta University Hospital in Tunis. Data were assessed by three tools, a questionnaire for sociodemographic data, DMSES for self-efficacy and DSCAS for self-care behaviors. The therapeutic education program was set up for the experimental group, then after the intervention, the results were analyzed by the Spss-22 software.

      Results: Compared to the control group, participants in the experimental group showed an improvement in self-efficacy, self-care behaviors, and HbA1c levels.

      Conclusion: The results showed an improvement in the experimental group in terms of self-care behaviors, feelings of self-efficacy and HbA1c levels. There is great interest in developing therapeutic education programs aimed at supporting patients in the management of their diabetes. These programs must be specific to each topic of diabetes, over a large hourly volume. It is desirable to evaluate the contribution of these programs in the short and long term.

        Research Article Pages: 1 - 7

        A Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding the Importance of Lactational Amenorrhoea among Primigravidae Mother in Selected Community, Bangalore

        Sadaf Anjum Makundar* and Laishram Dabashini Devi

        DOI: 10.37421/2573-0347.2023.8.337

        The lactational amenorrhea method is a new introductory family planning method that simultaneously promotes child spacing and breastfeeding, with its optimal nutrition and disease preventive benefits for the infant. LAM, as it is called, is based on the utilization of lactational infertility for protection from pregnancy and indicates the time for the introduction of a complementary family planning method. LAM is recommended for up to six months postpartum for women who are fully or nearly fully breastfeeding and amenorrheic, and relies on the maintenance of appropriate breastfeeding practices to prolong lactational infertility, with the concomitant delay in menses return. The aim of the study was to determine the effectiveness of structured teaching programme on knowledge regarding importance of lactational amenorrhoea. An evaluative approach was adopted and a pre experimental design was used for the study. Primigravidae mother from konankunte community, Bangalore were the samples and the sample size was 50. The primigravidae mother were selected by purposive sampling technique. Findings of the study revealed that the overall post test mean score was 30.52 (87.20%) with standard deviation 10.33 and the respondents knowledge were significantly higher than, the overall mean pre-test knowledge scores 3.80 (10.85%) with standard deviation 10.46 and computed paired ’t’ value 28.52 is higher than table value 3.312 at P<0.001 level. Hence the structured teaching programme on importance of lactational amenorrhoea was effective and statistically significant. The study reveals that there is no significant association between selected demographic variables like age, education, religion, duration of married life, type family, occupation, monthly income, previous knowledge and source of knowledge in relation with pre-test knowledge scores of primigravidae mother at P>0.05. Data was analysed using descriptive and inferential statistics.

      Relevant Topics

arrow_upward arrow_upward