Nursing Midwifery Commons^™

Adoption Practices Among Couples With Secondary Infertility In Karachi: A Triangulation Study Design, Tazeen S. Ali, Neelofar Sami

Tazeen Ali

Objective: To explore the perceptions and experiences of couples with secondary infertility regarding adoption practices; to estimate the prevalence of adoption among couples with secondary infertility, and to study the adopted child preference pattern.
Methods: To fulfill the objectives of the study both qualitative and quantitative study designs were utilized. In qualitative explorative study design, three Focus Group discussions were conducted with married fertile women to explore their perceptions for adoption practices. Moreover, eight in-depth interviews were conducted with women with secondary infertility to explore their experiences. For quantitative methodology, a case series of 400 secondary infertile couples was conducted. …

Assessment Of Knowledge, Skill And Attitude Of Oncology Nurses In Chemotherapy Administration In Tertiary Hospital Pakistan., Najma Khan, Khurshid Zulfiqar Ali Khowaja, Tazeen Saeed Ali

Tazeen Ali

Objective:

To measure the levels of nurse’s knowledge and attitude after the conduct of education session regarding chemotherapy administration and management.

Methodology:

This research study was conducted at two oncology units of tertiary Hospital Rawalpindi. A prepost test intervention study design was used on 35 nurses by using Verity’s tools.

Results:

The mean scores of knowledge were calculated by Cochran’s Q test showed that knowledge scores have significantly increased with ‘educational training’ (p value < 0.001). The difference in the attitude of the nurses was not found to be statistically significant in repeated measure of ANOVA.

Conclusion:

The results show that knowledge is the weakest component and attitude is strongest component of oncology nurses ‘competencies in chemotherapy administration.

Women Experiences Of Using External Breast Prosthesis After Mastectomy., Zohra Asif Jetha, Raisa B. Gul, Sharifa Bashir Lalani

School of Nursing & Midwifery

Objective:

The aim of this study was to identify the experiences of breast cancer patients using external breast prostheses (EBP) in the context of the Pakistani society.

Methods:

A qualitative descriptive exploratory design was used in the study. In-depth individual interviews were conducted with 15 postmastectomy women using EBP. A semi-structured interview guide with open-ended questions was used for the interviews. The analysis of the data was organized into four categories according to the study questions including reasons for using EBP, feeling about EBP, challenges for using EBP, and coping with lost breast. Each category was further divided into subcategories. …

Who Teaches Science To Nurses?, Naghma Rizvi

School of Nursing & Midwifery

OBJECTIVE:

To explore the demographics of individuals teaching basic science courses in private nursing schools.

METHODS:

The study was conducted in Karachi, and comprised teachers teaching basic science courses in 16 registered private nursing schools. A demographic questionnaire was used to collect data. The study was conducted in the year 2013.

RESULTS:

Teachers holding academic/professional degrees in different science disciplines were involved in teaching science to nurses. In most of the schools, all the basic science courses were taught by one subject specialist science teacher. These subject specialist science teachers held degrees in different disciplines, which included Doctor of Philosophy, …

Knowledge, Attitude, And Practices Of Mid-Level Providers Regarding Post Abortion Care In Sindh, Pakistan, Marina Baig, Rafat Jan, Arusa Lakhani, Sadia Abbas Ali, Kiran Mubeen, Shahnaz Shahid Ali, Farzana Adnan

Journal of Asian Midwives (JAM)

Background: In Pakistan, half of all pregnancies are unintended (4.2 million per year); out of which 2.2 million end in induced abortions. Almost 700,000 women seek medical treatment for post abortion complications every year. This necessitates access to quality Post-Abortion Care (PAC) services from skilled providers in Pakistan.
Purpose: This study aimed to assess the knowledge, attitude and practices of Mid-Level Providers (MLPs) regarding PAC services in Sindh, Pakistan.
Method: The study utilized a cross-sectional design. Convenience sampling was used to recruit 116 MLPs, including Nurse Midwives (NM), Lady Health Visitors (LHVs), and Community Midwives (CMWs) from different parts …

News & Events

Journal of Asian Midwives (JAM)

No abstract provided.

Exciting Times In South-Asian Midwifery, Rafat Jan, Edwin Van Teijlingen

Journal of Asian Midwives (JAM)

No abstract provided.

Evaluating A Community Maternal Health Programme: Lessons Learnt, Sheetal Sharma, Padam Simkhada, Vanora Hundley, Edwin Van Teijlingen, Jane Stephens, Ram Chandra Silwal, Catherine Angell

Journal of Asian Midwives (JAM)

Using the example of a community-based health promotion intervention, this paper explores the important triangle between health promotion theory, intervention design, and evaluation research. This paper first outlines the intervention and then the mixed-method evaluation.

In 2007, a non-governmental organisation (NGO) designed and implemented an intervention to improve the uptake of maternal health provision in rural Nepal. A community-based needs assessment preceded this novel health-promotion intervention that empowered women with information on the benefits of seeking care. The intervention had a flexible design and, at several points, the intervention’s progress was assessed and, where necessary, changes were made. The intervention …

Birth Experiences Of Primiparous Turkish Women: Public And Private Hospitals, Filiz Okumus

Journal of Asian Midwives (JAM)

Introduction: We wished to better understand primiparous women’s childbirth experiences in private and public hospitals. Within the context of high caesarean section rates, in both private and public hospitals in Turkey, the experiences of women who delivered vaginally needs to be considered if we aim to decrease the number of caesarean births. We, therefore, conducted a descriptive study of women’s vaginal birth experiences in two hospitals in Istanbul.
Methods: Two hundred and forty primiparous women, from two hospitals (one public, one private), who had vaginal births, were included in this descriptive study. Information was obtained from medical records and through …

Development Of Mentorship Module And Its Feasibility For Community Midwives In Sindh, Pakistan: A Pilot Study, Amber Hussain Sayani, Rafat Jan, Susan Lennox, Yasmeen Jan Mohammad

Journal of Asian Midwives (JAM)

Numerous articles describe the concept of mentorship for providing professional support in midwifery settings in different countries; however, in Pakistan the concept is under developed. Before implementing the concept in the Pakistani context, it was important to first develop a mentorship module and pilot test the idea. Therefore, the aim of the present study was to develop and test a mentorship module to determine its feasibility for educating community midwives about providing mentoring, so that a formal mentorship program could be established in the future. The training aimed to provide skill focused mentorship training to experienced midwives, so that they …

The Historical Development Of The Midwifery Profession In Bangladesh, Malin Bogren, Farida Begum, Kerstin Erlandsson

Journal of Asian Midwives (JAM)

Sexual and reproductive health and rights have been identified as the core areas of practice, theory and research for the midwifery profession. The midwifery profession, as defined by the International Confederation of Midwives Global Standards, is new in Bangladesh. This paper aims to give an overview of the historical process that has taken place in the past decades to develop the midwifery profession in Bangladesh. The professional development of midwives is the result of many years of collaboration and relationship building among stakeholders such as the government, non-government organizations, academia, professional associations, United Nations agencies, and donors. All are working …

I’M A Big Kid Now: Enhancing Transition Rn Residents’ Confidence During Pediatric Patient Care, Emily W. Lam

Master's Projects and Capstones

The title of the clinical nurse leader project is “I’m a Big Kid Now: Enhancing Transition RN Residents’ Confidence During Pediatric Patient Care”. The project aims to improve the support components for Transition RN residents during their Transition RN Residency at Children’s Hospital Los Angeles. The clinical leadership theme that correlates to this project is communication. The clinical nurse leader’s role is to act as an educator and a facilitator throughout this project. In examining the clinical nurse leader competencies, competencies “use performance measures to assess and improve the delivery of evidence-based practices and promote outcomes that demonstrate delivery of …

Implementing An Evidence-Based Education Program For Labor And Delivery Nurses In A Community Hospital Setting, Sara E. Humphrey

Graduate Theses, Dissertations, and Capstones

Many factors contribute to the success of an organization. The nursing workforce is the guiding strength behind the delivery of safe patient care resulting in quality outcomes. Preparing the nursing staff to deliver safe care begins with the introduction of evidence based practice as a viable partner to clinical expertise and knowledge. Implementing an evidence based education program is a critical step in the process of integrating evidence into clinical practice. This paper focuses on the implementation of an evidence based education program or Labor and Delivery nurses in a community hospital setting. Evidence based education can promote competency development, …

Being "With Women, For A Lifetime": The Current State Of Nurse-Midwifery Practice In The United States, Michal Koren

Undergraduate Research

The purpose of this research project is to explore the evolution of midwifery care from its earliest beginnings steeped within societal structures and birthing customs to its contemporary practices filled with professional regulations and competing technologies. Focused interest will be given to: 1) identifying the core values and basic principles of midwifery that have endured over time, and 2) ascertaining the significant changes in educational regulations and clinical competencies that influence midwifery practice in contemporary times.

The Effects Of Continuous Insulin Pump Therapy On Glycemic Control In Pregnant Type 1 Diabetics, Kimberly Kelsey

Scholarly and Creative Works Conference (2015 - 2021)

Type 1 Diabetes Mellitus accounts for approximately 5% of the diabetic population (CDC, 2015). Numerous complications must be avoided when a diabetic is insulin dependent. Women who are diabetic who are planning to conceive a family have special considerations. Little research has been focused into how to best manage Type 1 diabetics during pregnancy. Since Type 1 diabetes is predominantly diagnosed between birth and 30 years of age, many Type 1 diabetics have potential to become pregnant without knowing how to best manage their diabetes. Poor glycemic control in diabetics has been related to miscarriages, stillbirths, malformations, and macrosomia (Lapolla, …

The Relationship Between Promoting Self-Efficacy And Informed Decision-Making In Pregnant Nulliparous Women And Method Of Delivery, Crystal Hunter

Scholarly and Creative Works Conference (2015 - 2021)

This presentation will cover the relationship between the concepts of decreased self-efficacy in pregnant women’s abilities to deliver their babies vaginally, fear of the pain and duration of labor process, and the acceptance of medical intervention without sufficient intrapartum education surrounding delivery methods. These interrelated variables impede the concept of informed choice. The current state of the problem surrounds women with low self-efficacy who are predicted to have negative childbirth experiences such as, consenting to an astronomically high rate of cesarean sections. The focus for nursing is that low-risk, healthy women who elect cesarean sections without the knowledge that permanent …

Quality Of Life And Its Determinants In Adult Cancer Patients Undergoing Chemotherapy Treatment In Pakistan., Parveen Chagani, Yasmin Parpio, Raisa B. Gul, Adnan Jabbar

School of Nursing & Midwifery

Objective:

Cancer is a leading cause of death worldwide. Likewise, in Pakistan, it is a major health problem, with an approximate increase each year. Cancer treatment, particularly chemotherapy, produces a detrimental effect on individuals' well-being. Since the past few years, quality of life (QOL) is considered as the primary goal of cancer treatment in patients' survival. This study aimed to assess the QOL and its determinants in adult cancer patients undergoing chemotherapy treatment.

Methods:

An analytical cross-sectional design was employed to achieve the study objectives, utilizing consecutive sampling technique. A total of 150 adult (>19 years) cancer patients were …

Practices Of Faculty Members Regarding Teaching And Learning Strategies In Nursing Education, Shams Ul Huda, Tazeen Saeed Ali, Kashmira Nanji, Shanaz Hussein Cassum

School of Nursing & Midwifery

Objective: To determine the different teaching learning strategies utilized, percentage of faculty members utilizing these teaching strategies and faculty perceptions regarding effectiveness of these in undergraduate nursing degree programs in Khyber Pakhtunkhwa (KPK), Pakistan.
Methodology: Cross sectional descriptive design was used to conduct this study. The sample size was 42. The faculty members were recruited from different nursing institutes offering degree programs in KPK, Pakistan. Statistical analysis was done using SPSS & STAT.
Results:Discussion, lecture, group discussion, and PPT were used by 78.6%, 73.8%, 73.8%, and 69% of the faculty members, respectively. However, other learning strategies like debate, PBL, …

Palliative Care: An Alien Concept In Pakistan, Nadia Pyarali Mulji, Sumaira Sachwani

School of Nursing & Midwifery

Every living being has to die. Respecting a dying individual’s personal values and preferences is a challenge. We live in a culture where family decisions are given priority over individual’s wish. To address this challenge, a concept of palliative or comfort care is newly introduced in Pakistan. Palliative care is a multidisciplinary specialty that emphases on prevention and relieving suffering as well as supporting the optimal quality of life of patients and their families (Bailey, Harman, Bruera, Arnold, & Savarese,2014). In Pakistan, the concept of palliative care is like a newborn baby who needs a lot of ethical attention in …

The Benefits Of Breastfeeding, Annagrace E. Anderson

Senior Honors Theses

Breast milk is the gold standard for infant nutrition. In the past, infant formula was promoted as equal or superior to breast milk. However, research has shown that breastfeeding is the superior form of infant nutrition except in rare circumstances. Breast milk provides for all of a newborn’s caloric needs and has the correct balance of nutrients to promote proper development. In addition, breast milk provides protection against illnesses, supports an infant’s immune system, and promotes life-long health for the newborn. Mothers also experience personal benefits by breastfeeding such as decreased cancer risks, bonding with their babies, and faster postpartum …