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The Prevalence Of Stress And Stressors Among Pediatric Oncology Nurses Working In Pediatric Oncology Units In Pakistan - An Analytical Cross-Sectional Study, Shenila Anwarali
The Prevalence Of Stress And Stressors Among Pediatric Oncology Nurses Working In Pediatric Oncology Units In Pakistan - An Analytical Cross-Sectional Study, Shenila Anwarali
Theses & Dissertations
Introduction: Pediatric oncology nurses in Pakistan are at the forefront of caring for young cancer patients. In Pakistan, thousands of children are diagnosed with cancer every year, however the country's healthcare system lacks a comprehensive National cancer registry. Pediatric oncology nurses face high stress levels due to the demanding nature of their work, lack of specialized training, and communication challenges with patients and families. This study aims to explore the prevalence of stress and its predictors among these nurses in Pakistan, addressing a significant research gap.
Purpose: The purpose for the study was to measure stress and identify its predictors …
Effect Of Customer Incivility And Emotional Exhaustion On Job Satisfaction And Turnover Intentions In Nurses At A Tertiary Care Cancer Hospital In Pakistan, Saima Rubab
Theses & Dissertations
Background: Workplace incivility significantly impacts nurses' job satisfaction and turnover intentions. However, the incivility of the patients and their family emotionally drain health care providers. Subsequently, the lack of support from one’s organisation and job dissatisfaction contribute to healthcare employee turnover.
Aim of the Study: The study explores the associations between customer incivility and emotional exhaustion and determines whether they contribute to or affect the nurses’ job satisfaction and turnover intentions.
Methodology: The study used a cross-Sectional analytical study design to explore the study questions. A well-defined questionnaire was used to collect the data from the target population of staff …
Evaluating The Symptoms And Treatment-Related Knowledge Of Cancer Patients Receiving Chemotherapy In A Tertiary Care Hospital, Kiran Nawaz Ali
Evaluating The Symptoms And Treatment-Related Knowledge Of Cancer Patients Receiving Chemotherapy In A Tertiary Care Hospital, Kiran Nawaz Ali
Theses & Dissertations
Background: Cancer has become the leading source of mortality and morbidity worldwide. Its prevalence is rising and high-risk behaviours are being adopted by the people in society. Knowledge about cancer and its management helps in adjusting the resource allocations and in terms of public health policy. Moreover, patient education about symptoms, treatment, and side effects is crucial and must be addressed.
Knowledge about cancer, its side effects, and the possible treatment outcomes is essential, as it helps in deciding about adherence to the treatment. It is observed that many oncology patients have information gaps related to cancer and chemotherapy. However, …
Assessing Medication Compliance And The Usage Of Complementary Therapies Effecting Hba1c Among Patients With Type 2 Diabetes Mellitus In A Tertiary Care Hospital In Karachi, Pakistan, Neelam Nasruddin
Theses & Dissertations
Background: Diabetes Mellitus is a chronic illness. It remains to be a major public health matter and a financial burden on the medical system worldwide. This condition can be managed and better treatment strategies and compliance can reduce the risk of complications. In 2022, there will be around 33,000,000 new cases of diabetes worldwide, with 26.7% of the adults in Pakistan being affected, predicts the (International Diabetes Federation, 2022). However, it is observed that most individuals turn to complementary and alternative methods (CAM)/Traditional medicine because of the rising cost of therapy, adverse effects of anti-diabetic medications, and accessibility concerns.
Purpose: …
Using Simulation To Assess Knowledge And Attitude Amongst Healthcare Provider Regarding Cardiopulmonary Resuscitation At A Tertiary Care Hospital In Karachi, Pakistan- A Pre And Post Test Qausi Experimental Study, Nausheen Barkat Ali Noorani
Using Simulation To Assess Knowledge And Attitude Amongst Healthcare Provider Regarding Cardiopulmonary Resuscitation At A Tertiary Care Hospital In Karachi, Pakistan- A Pre And Post Test Qausi Experimental Study, Nausheen Barkat Ali Noorani
Theses & Dissertations
No abstract provided.
Prevalence Of Type A And Type B Personality Among Undergraduate Nursing Students At Private School Of Nursing Karachi Pakistan: A Cross-Sectional Analytical Study, Farhana Shaheen
Theses & Dissertations
Background: Academic institutions strive for exceptional graduates. However, personality and learning psychology affect student performance. Type A personality students may develop heart palpitations due to impatience and stress. They are less sociable than Type B personalities but more idealistic, competitive, and deadline oriented. These disparities among personalities may impair their academic and job success, especially in healthcare, where interpersonal skills are vital.
Aims: The primary aim of the study was to find out the prevalence of Type A and Type B personality among undergraduate nursing students and to find the association between personality Types and academic years.
Methodology: In this …
Exploring The Final Year Nursing Students’ Anticipatory Expectations Related To The Transition To Nursing Interns And Challenges Faced By Nursing Interns During Transition, Madrika Mirza Kanjiani
Exploring The Final Year Nursing Students’ Anticipatory Expectations Related To The Transition To Nursing Interns And Challenges Faced By Nursing Interns During Transition, Madrika Mirza Kanjiani
Theses & Dissertations
Background: The transition period of new graduate nurses necessitates major adjustments as they transition from an organized learning environment to a more independent and challenging work environment. Most of the transitional challenges and concerns remain unaddressed resulting in a difficult transition. This study can aid in identifying the problems and the anticipated expectations of final-year nursing students to bridge the gap between academic training and professional practice, resulting in a smoother transition for new graduate nurses.
Purpose: The current study aimed to identify the perceptions of final-year baccalaureate nursing students regarding their anticipated expectations related to the transition from being …
Association Between Self-Esteem And Perceived Social Support In Patients With Facial Burn Scars At Burn And Plastic Surgery Centre Peshawar, Pakistan, Rafiullah Shafiullah
Association Between Self-Esteem And Perceived Social Support In Patients With Facial Burn Scars At Burn And Plastic Surgery Centre Peshawar, Pakistan, Rafiullah Shafiullah
Theses & Dissertations
Background: Burn injuries, a significant global public health challenge, cause significant morbidity and psychological problems, particularly in low to middle-income countries. These injuries can lead to social isolation, fear, and despair, thus adding to victims' psychological burden. However, the perception of social assistance helps burn sufferers cope better post-trauma and improve their self-esteem.
Purpose: The purpose of the study was to investigate the association between self-esteem and perceived social support in patients with facial burn scars, and thus contribute to a better understanding of the psychological well-being of people with facial burn scars.
Methodology: A quantitative cross-sectional study was conducted …
The Perception Of Nurses And Doctors On Interprofessional Collaboration (Ipc) In The Cicu And Ccu Setting Of A Tertiary Care, Private Hospital, Karachi, Pakistan, Rakhshanda Zareen
The Perception Of Nurses And Doctors On Interprofessional Collaboration (Ipc) In The Cicu And Ccu Setting Of A Tertiary Care, Private Hospital, Karachi, Pakistan, Rakhshanda Zareen
Theses & Dissertations
Background: In critical care units, collaboration among professionals is essential to achieving the best possible patient outcomes, high-quality care, and efficient use of resources. Thus, this study explored the perceptions of nurses and doctors regarding interprofessional collaboration in critical care units (CCU) and cardiac intensive care units (CICU).
Purpose: The study aimed to understand the perception of nurses and doctors regarding IPC. The study also aimed to gather information regarding the factors associated with nurse-physician collaboration in CICU and CCU.
Methodology: A qualitative descriptive approach was used. In-depth interviews with a total of eight doctors and nurses in the CICU …
The Knowledge And Attitude Regarding Pubertal Changes Among Adolescent Males In Urban Karachi, Pakistan, Sabah Muhammad Nazim
The Knowledge And Attitude Regarding Pubertal Changes Among Adolescent Males In Urban Karachi, Pakistan, Sabah Muhammad Nazim
Theses & Dissertations
Background: Adolescence (the period between childhood and adulthood) is characterised by significant changes in bodily functions, along with psychological and cognitive growth. The unanticipated changes in that phase (especially related to sexuality) can cause adolescents embarrassment and distress, thus impacting their well-being and development.
Purpose: The study aimed to evaluate the level of knowledge and attitudes among male adolescents residing in urban Karachi, Pakistan, specifically concerning pubertal changes and health. The primary focus was to gather information about how well these adolescents understand the physical and emotional transformations associated with puberty and their overall awareness and attitude towards pubertal health …
Exploring Midwives’ Challenges And Strategies To Provide Care In Maternity Settings During The Harsh Winter Weather In The Northern Areas Of Pakistan: A Qualitative Study, Sana Sultan
Theses & Dissertations
Background: Midwives play a vital role in enhancing the quality of care and achieving substantial reductions in maternal and newborn mortality rates. However, in Gilgit Baltistan, the harsh winter weather and frequent heavy snowfall present distinct challenges for midwives providing essential maternal care. These challenges can lead to an increased risk of maternal infections and newborn hypothermia. Consequently, the limited accessibility to healthcare facilities due to frequent harsh winter weather and the resulting scarcity of resources like heating, electricity, and water exacerbate the situation.
Objective: The study aims to explore the challenges and barriers midwives face in maternity settings and …
Predictors Of Presenteeism Among Nurses Working At A Tertiary Care Hospital In Karachi, Pakistan: A Cross-Sectional Analytical Study, Farhan Shahzad
Predictors Of Presenteeism Among Nurses Working At A Tertiary Care Hospital In Karachi, Pakistan: A Cross-Sectional Analytical Study, Farhan Shahzad
Theses & Dissertations
Background: Nurses are considered the backbone of hospitals who provide care for their patients despite being ill. This phenomenon of working while ill or suffering from a health condition is called presenteeism. Presenteeism is becoming a more prominent problem among healthcare providers, especially nurses. It has a variety of negative effects, including stress and burnout, decline in productivity and performance, and ultimately results in decreased quality of care.
Objective: The objective of this study was to compute the presenteeism score and predict its associated factors among nurses working at a tertiary care hospital in Karachi, Pakistan.
Methodology: A cross-sectional analytical …
Nurses’ Compliance With Handover Practices In Adult Medical Surgical Units At A Tertiary Care Hospital In Karachi, Pakistan, Amber Qasim Ali
Nurses’ Compliance With Handover Practices In Adult Medical Surgical Units At A Tertiary Care Hospital In Karachi, Pakistan, Amber Qasim Ali
Theses & Dissertations
Background: The exchange of the shift changeover report of patient, from nurse to nurse at the patient's bedside is known as "bedside handover." Although this method is becoming more and more popular in the nursing sector, not many people genuinely practice it.
Purpose: To determine the different factors impacting nurses' compliance and to evaluate the compliance rate of nurses to comply with bedside handover guidelines.
Methods: A cross-sectional observational study was conducted in the medical surgical ward at the Aga Khan University Hospital, Karachi. During the study, the structured bedside handover technique known as "kardex," which adheres to SBAR (Situation, …
Parents’ Emotional And Psychological Perspective Of Caring Children With Oncological Disorders: A Descriptive Qualitative Study, Ambreen Navroz Ali Salyani
Parents’ Emotional And Psychological Perspective Of Caring Children With Oncological Disorders: A Descriptive Qualitative Study, Ambreen Navroz Ali Salyani
Theses & Dissertations
Background: Childhood cancer has a profound effect on the emotional and psychological well-being of parents, yet often their own psychological health is overlooked as the primary focus while treating the child. These parents silently suffer from psychological distress while caring for their children. They use their own coping strategies to overcome the situation. However, limited studies have been carried out in low- and middle-income countries (LMIC) regarding parents’ emotional and psychological perspectives of caring their children with oncological disorder.
Purpose: The objective of this study was to explore the psychological perspectives that parents of children with cancer diagnosis, treatment, social …
Family Needs Of Patients Admitted To Intensive Care Units At A Tertiary Care Hospital, Karachi, Pakistan An Analytical Cross-Sectional Study, Tariq Ali
Theses & Dissertations
Background: The admission of patients to the ICU is a distressing emergency. Family members of ICU patients suffer from anxiety and depression compounded by disrupted routines and role conflicts. Nurses often prioritise patient care over family support, while the family goes ignored. The family members staying in hospital have different physical and psychological needs. Family members frequently bear the responsibility of making critical decisions for the patients. The unmet important family needs add to their stress and anxiety.
Purpose: This study aimed to assess the self-perceived importance of family needs in the ICU using the CCFNI Scale and identifying socio-demographic …
Perceptions Of Intensive Care Nurses And Physicians Regarding Interprofessional Collaboration In Intensive Care Unit Of A Tertiary Care Hospital In Karachi: An Exploratory Qualitative Study, Waheed Ullah
Theses & Dissertations
Background: Interprofessional Collaboration (IPC) is crucial in healthcare, particularly in intensive care units (ICUs). Effective Interprofessional Collaboration between physicians and nurses in patient care can reduce hospital stays, improve the quality of care, and enhance the health outcomes of patients. It has been determined that Interprofessional Collaboration (IPC) is a key policy method foming healthcare personnel and patient safety challenges and improving the healthcare organization.
Purpose: This study aims to explore the perceptions of ICU nurses and physicians regarding IPC in a tertiary care hospital in Karachi, Pakistan. It also investigates the factors that facilitate and limit IPC, thereby impacting …
Association Between Patient Safety Culture And Missed Nursing Care Among Nurses At A Tertiary Care Teaching Hospital In Karachi, Pakistan, Zaifullah Khan
Association Between Patient Safety Culture And Missed Nursing Care Among Nurses At A Tertiary Care Teaching Hospital In Karachi, Pakistan, Zaifullah Khan
Theses & Dissertations
Background: This study seeks to investigate the relationship between Patient Safety Culture (PSC) and Missed Nursing Care (MNC) in a tertiary care teaching hospital in Karachi, Pakistan. It stands out for its focus on healthcare setting in a developing country, addressing a significant gap in existing literature.
Purpose: The aim is to assess PSC, determine the prevalence of MNC among nurses, investigate their correlation, and examine the impact of demographic factors, including identifying the most frequent missed nursing care and their underlying reasons, providing valuable insights for healthcare systems in developing countries.
Methods: A cross-sectional analytical approach was adopted, involving …
Qualitative Research Exploring Perceptions About Umbilical Cord Care Practices Among Mothers/Caregivers Of Neonates Admitted At A Children Hospital Managed Through A Public-Private Partnership, Ruqia Yasmeen
Theses & Dissertations
Background: Newborns in LMICs face high mortality rates. Multiple factors contribute to these moralities. Among these are unhygienic conditions, and infection of the umbilical cord stump. Unhealthy cultural practices, lack of awareness, myths, and socioeconomic status are key barriers to newborn care. In Pakistan, nearly 300,000 newborns die annually, highlighting the need for improved newborn care.
Objectives: This study is aimed to explore the perceptions and knowledge of mothers/caregivers about umbilical cord care.
Methodology: The qualitative descriptive exploratory design was employed to explore mothers' and caregivers' understanding of cord care through in-depth interviews. Fifteen interviews were conducted at a children's …
Assessment Of Preoperative Anxiety, Its Contributing Factors, And Impact On Immediate Postoperative Outcomes Among Cardiac Surgery Patients - A Cross-Sectional Study, Naveen Nizar Ali
Theses & Dissertations
Background: Preoperative anxiety is characterized by an intense sensation of fear, apprehension, and nervousness. In the domain of cardiac surgery, the assessment and management of preoperative anxiety is of paramount importance, as it plays a pivotal role in shaping the patient's surgical experience and immediate postoperative outcomes. While the etiology of preoperative anxiety is multifaceted, the influence of sociodemographic factors in this context is of paramount importance. However, limited studies have been conducted in developing countries regarding this phenomenon.
Purpose: The study aimed to identify the frequency of preoperative anxiety, its contributing factors, and its impact on immediate postoperative outcomes …
Exploring The Patients’ And Family Members’ Perspectives On Home-Based Palliative Care, Nadia Sultan Ali
Exploring The Patients’ And Family Members’ Perspectives On Home-Based Palliative Care, Nadia Sultan Ali
Theses & Dissertations
Background: Home health care is considered as a partial substitute for institutional long-term care, because patients and families with known poor prognoses prefer to stay home with their loved ones and people mostly cannot bear the cost of care at the hospital. Therefore, the importance of home-based palliative care is raised via a shared and coordinated model for saving lives through care.
Purpose: To explore patients' and family members' perspectives and experiences of receiving home-based palliative care services.
Method: This was a qualitative exploratory study conducted in Karachi, targeting patients and family members receiving home-based palliative care services. The data …
Prevalence Of Depression In Patients With Cardiovascular Diseases, Faryal Ghafoor
Prevalence Of Depression In Patients With Cardiovascular Diseases, Faryal Ghafoor
Theses & Dissertations
Background: Approximately 17.3 million individuals across the globe lose their lives to cardiovascular diseases (CVD), with a majority of these cases occurring in low-to-middle-income countries. The incidence of cardiovascular disease in Pakistan is 918 cases per 100,000 individuals. Depression frequently impacts the health, expenses, and prognosis of patients with cardiovascular disease.
Purpose: This study aimed to determine the prevalence of depression among CVD patients at Aga Khan University Hospital, Karachi, and explore the influence of co-morbidities, marital status, age, and educational background on one's status, regarding depression.
Method: A quantitative descriptive cross-sectional study was conducted at the Aga Khan University …
Comparison Of Physical Activity Levels Among School-Age Adolescents In The Rural And Urban Areas Of District Swat Kpk, Pakistan- An Analytical Cross-Sectional Study, Imran Uddin
Theses & Dissertations
Background: Obesity and overweight represent significant global public health concerns. Young adolescents are in particular increasingly experiencing obesity and overweight due to their sedentary lifestyles, excessive electronic media use, and lack of physical activity (PA). This trend is linked to the development of non-communicable diseases in later life. Moreover, data regarding the lack of PA is available in Pakistan, but a gap exists in the comparative analysis of physical activity levels between rural and urban adolescents. Rural and urban areas exhibit distinctions in both geographical settings and technological advancements, potentially influencing the PA levels of their respective inhabitants.
Purpose: The …
Factors Hindering The Care Of Geriatric Patients Admitted In A Tertiary Care Hospital In Karachi, Pakistan, Muhammad Shoaib
Factors Hindering The Care Of Geriatric Patients Admitted In A Tertiary Care Hospital In Karachi, Pakistan, Muhammad Shoaib
Theses & Dissertations
Background: Older adult’s patient care presents multiple challenges to nurses due to their growing numbers worldwide. According to WHO in 2020 the number of older adults aged 60 and above is one billion and by 2050 this population will be doubled. The current geriatric population of Pakistan is above eight million and is estimated to reach twenty-seven million by 2050. This increasing trend of the geriatric population poses a greater challenge to the compromised healthcare systems in Pakistan, healthcare workers especially nurses struggle hard due to limited resources, lack of knowledge regarding geriatric, and the frailty of older patients, to …
Experiences Of Indigenous Women With Maternal Nutrition In Climate Change (Cold Weather) In Rural Bajaur, Khyber Pakhtunkhwa, Pakistan: Implications For Maternal-Infant Health, Ihsan Ullah
Theses & Dissertations
Background: Pakistan is one of the countries that is most susceptible to the effects of climate change. The country’s Northern regions have experienced several extreme cold weather events, including floods, heavy snowfall, and heavy rains, in recent years, significantly impacting maternal and infant health. Indigenous child-bearing age women in the northern rural areas are the most vulnerable populations experiencing food insecurity, disruptive food systems, increasing food prices, and disrupting food production due to climate change exacerbation.
Aim of the study: The study aimed to explore the experiences of indigenous women with maternal nutrition in harsh winter caused by climate change …
Nursing Faculty Perspective On Simulation Based Education: A Qualitative Exploratory Study At Public And Private Nursing Schools In Karachi, Pakistan, Saira Mehboob Ali Lalani
Nursing Faculty Perspective On Simulation Based Education: A Qualitative Exploratory Study At Public And Private Nursing Schools In Karachi, Pakistan, Saira Mehboob Ali Lalani
Theses & Dissertations
Background: Simulation-based education (SBE) provide novice and proficient student nurses a platform to learn and practice skills in a simulated environment, to become safe and competent nurses. This pedagogy is especially beneficial for those studying healthcare-related domains, as it permits students to gain hands-on expertise that is much more real and facilitating than the traditional methods of teaching. The role of nursing faculty is crucial in this process. Purpose The purpose of this study was to investigate the perceptions of nursing faculty members regarding SBE, as well as the facilitators and barriers of SBE.
Research Methods: An exploratory qualitative research …
Stress And Its Associated Factors In Mothers With Preterm Infants In A Private Tertiary Care Hospital Of Karachi, Pakistan, Salima Akbar
Stress And Its Associated Factors In Mothers With Preterm Infants In A Private Tertiary Care Hospital Of Karachi, Pakistan, Salima Akbar
Theses & Dissertations
Background: Preterm births are the leading cause of death worldwide. Preterm births not only have devastating effects on the new born, but they also have psychological effects on the mothers. Identifying stress related to preterm births, and the factors associated with the stress among mothers with preterm infants is of great importance, for providing sound care to the newborns and their mothers. This study aimed to assess the level of stress and the factors associated with increased level of stress among mothers with preterm infants, in a tertiary care hospital in Karachi, Pakistan.
Purpose: The study aimed to answer the …
Experiences Of Sexual And Reproductive Health Among Women Undergoing Haemodialysis In Pakistan: A Descriptive Phenomenological Study, Misbah Zafar
Theses & Dissertations
Background: Sexual and reproductive health is an essential component of a woman’s life that includes respectful and satisfying sexual relationships without coercion and violence, as well as couples' decisions about whether and when to have children. Reproductive-age women undergoing haemodialysis experience numerous sexual and reproductive health challenges as a consequence of their physical and psychological health conditions, negatively impacting their overall well-being. However, they are reluctant to seek assistance from healthcare professionals despite having many sexual and reproductive health issues. Concerning this, it was necessary to explore in-depth, the phenomenon of lived experiences of sexual and reproductive health among reproductive-age …
The Knowledge, Experiences, And Barriers Associated With Male Involvement In Family Planning At Lal Qila, District Dir (Lower), Kpk, Pakistan: A Descriptive Exploratory Study, Jalal Khan
Theses & Dissertations
Background: Pakistan is one of the world’s most populous countries with a high growth rate. The overgrowth in population negatively affects the country’s socioeconomic progress in many aspects, like education, housing, employment, and health. Family Planning (FP) is the best way to reduce the fertility rate and control population overgrowth through contraception. FP positively impacts the mother's health and the productive results of every pregnancy.
Purpose: This study aims to explore the knowledge, experiences, and barriers associated with male involvement in family planning.
Method: A qualitative exploratory design was used with a purposive sampling technique to explore the perceptions of …
Concept Of Health-Related Quality Of Life Among People With Heart Failure In Karachi, Pakistan, Anny Ashiq Ali
Concept Of Health-Related Quality Of Life Among People With Heart Failure In Karachi, Pakistan, Anny Ashiq Ali
Theses & Dissertations
Background: Non-communicable diseases (NCDs), including cardiovascular diseases, are a leading cause of global mortality. The mortality rate for cardiovascular diseases is on the rise, with 80 % to 86 % of fatalities, particularly in low- and middle-income countries, including Pakistan. Among NCDs, heart failure (HF) is a condition for which there is no cure, and patients rely on supportive treatments to maintain their quality of life. HF not only affects physical well-being but also has far-reaching consequences on the emotional, social, and cognitive aspects of life. In the context of Pakistan, where unique healthcare, sociocultural, and economic factors prevail, the …
Exploring The Lived Experience Of Significant Other Caregivers Providing Care To Partners Surviving A Spinal Cord Injury, Lisa Ann Lumley
Exploring The Lived Experience Of Significant Other Caregivers Providing Care To Partners Surviving A Spinal Cord Injury, Lisa Ann Lumley
Theses & Dissertations
According to the World Health Organization, 250,000 to 500,000 people worldwide have suffered a spinal cord injury. Significant others may become caregivers responsible for meeting the needs of the dependent partner. The focus of this study is on significant other caregivers’ experiences providing care for partners after a spinal cord injury. The effects of stress from providing care may be detrimental to caregivers' psychological and physical well-being. Psychological distress, such as anxiety and depression in caregivers, is a significant public health issue that affects the quality of life for millions of individuals. There is a lack of studies focusing on …