Levels And Predictors Of Self-Care Among Patients With Hypertension In Pakistan,
2021
Aga Khan University
Levels And Predictors Of Self-Care Among Patients With Hypertension In Pakistan, Khairulnissa Ajani, Ambreen Gowani, Raisa B. Gul, Pammla Petrucka
School of Nursing & Midwifery
Background: Globally, hypertension is the leading non-communicable disease and strongest predictor of cardiovascular diseases. To mitigate and prevent hypertension-related complications, self-care behavior adaptation has proven to be vital. In this study, we examined the six clinically prescribed levels of self-care as prescribed by the Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation and Treatment of High Blood Pressure and its predictors among a select sample of hypertensive individuals in Karachi, Pakistan.
Methods: This study reports the cross-sectional survey of a sequential mixed method study which assessed the levels of self-care of hypertensive individuals residing in an urban …
Evidence-Based Practice: Delaying Infant Bathing,
2021
Murray State University
Evidence-Based Practice: Delaying Infant Bathing, Gabrielle Wadle, Grace Frankland
Scholars Week
A hospital's policy regarding infant bathing is currently not congruent with best nursing practice. The hospital’s current policy is to bathe an infant once they are stable and their rectal temperature is at or above 98.6 °F. Although the infant may become stable within the first 24-hours of birth, the World Health Organization recommends that, “Bathing should be delayed until 24 hours after birth.” (2013, p. 4). Research has been completed to support delaying infant bathing until 24 hours post-delivery, suggesting potential modifications to current policy.
Phasing Out Diploma In Nursing: Merits And Implications On Nursing Education In Pakistan,
2021
Aga Khan University
Phasing Out Diploma In Nursing: Merits And Implications On Nursing Education In Pakistan, Hussain Maqbool Ahmed Khuwaja
School of Nursing & Midwifery
No abstract provided.
Gynaecological Morbidities Among Married Women And Husband's Behaviour: Evidence From A Community-Based Study,
2021
Aga Khan University
Gynaecological Morbidities Among Married Women And Husband's Behaviour: Evidence From A Community-Based Study, Tazeen Saeed Ali, Neelofar Sami, Adil Ali Saeed, Parveen Ali
School of Nursing & Midwifery
Aim: To determine the association between gynaecological morbidities and IPV among married women specifically, with attention to the attitudes of the husband and the degree of satisfaction in a marital relationship.
Design: Cross-sectional study design.
Methods: Data were collected using face-to-face interviews with married women aged 15-49 years, living in selected communities. Information was collected on demographic characteristics, gynaecological morbidities and IPV using a self-developed tool. Descriptive and inferential statistics were used to analyse the data.
Results: Logistic Regression showed a significant association between physical violence and burning micturition, increased urinary frequency, constant dribbling of urine, genital ulcers, lower abdominal …
Intimate Partner Violence Against Women: A Comprehensive Depiction Of Pakistani Literature,
2021
Aga Khan University
Intimate Partner Violence Against Women: A Comprehensive Depiction Of Pakistani Literature, Tazeen Saeed Ali, Rozina Karmaliani, Rida Farhan, Syeda Hussain, Fatima Jawad
School of Nursing & Midwifery
Background: Intimate partner violence against women is a significant problem in Pakistan associated with an alarming set of mental health issues.
Aims: To identify the prevalence of intimate partner violence in Pakistan and the causes, health effects and coping strategies used by women.
Methods: A comprehensive search based on the identified keywords was conducted using Google Scholar and PubMed. Relevant literature was also searched and included. Abstracts were then shortlisted using the Preferred Reporting Items for Systematic Reviews and Meta-analyses guidelines, and 25 studies were selected. Quantitative studies on intimate partner violence were included in the review. The review comprises …
Smoking Cessation Interventions In South Asian Countries: Protocol For Scoping Review,
2021
Aga Khan University
Smoking Cessation Interventions In South Asian Countries: Protocol For Scoping Review, Sajid Iqbal, Rubina Barolia, Laila Ladak, Pammla Petrucka
School of Nursing & Midwifery
Introduction: Unfortunately, like many other health risks, smoking rate has been on the rise in developing countries. Half of current smokers in the world reside in only three countries of Asia that include India. Many smoking cessation interventions that were developed and successfully implemented in the context of developed countries have not been equally successful in South Asia. Hence, there is a dire need of culturally relevant smoking cessation interventions. We propose a scoping review with objectives to explore the extent and nature of interventions for smoking cessation and its associated factors in South Asian Region by systematically reviewing the …
Health In Environment: Reduce Surgical Site Infections By Applying Florence Nightingale's Environmental Theory,
2021
Aga Khan University
Health In Environment: Reduce Surgical Site Infections By Applying Florence Nightingale's Environmental Theory, Anna Rana
School of Nursing & Midwifery
Surgical site infection is one of the most common causes of readmission in hospitals and it also leads to an overall increased burden. This can be decreased by applying basic concepts of Nightingale (1860) "Environmental Theory" while giving care to the patients. Keeping in view Nightingale's environmental theory, this paper aims to discuss the case of a patient suffering from a surgical site infection. It will help readers to understand the environmental factors which affect the patients' health and provide a way to promote healing and fast recovery by modifying their environment.
Factors Associated With The Compliance Of Standard Precaution; Review Article,
2021
Jinnah Medical College Hospital, Karachi, Pakistan
Factors Associated With The Compliance Of Standard Precaution; Review Article, Shah Zeb, Tazeen Saeed Ali
School of Nursing & Midwifery
Compliance with standard precautions is very important for healthcare workers because studies have shown that it helps in minimising the transmission of infectious diseases and healthcare-associated infections which is directly proportional to the patient cost and stay of the patient in hospitals. As healthcare associated infections increase, the cost and the stay of the patient will increase. Researchers suggest that all healthcare workers need to follow the standard precautions guideline and it can be possible with the help of health education, training, provision of equipment and supervision by the management. Barriers to the compliance identified are lack of education, heavy …
Risk Factors Of Breast Cancer Among Patients In A Tertiary Care Hospitals In Afghanistan: A Case Control Study,
2021
French Medical Institute for Mothers and Children, Kabul, Afghanistan
Risk Factors Of Breast Cancer Among Patients In A Tertiary Care Hospitals In Afghanistan: A Case Control Study, Zekrullah Baset, Jamshid Abdul Ghafar, Yasmin Parpio, Ahmed Maseh Haidary
School of Nursing & Midwifery
Background: Breast cancer is the second most common causes of women's death, worldwide. Data on risk factors associated with female breast cancer in the Afghan population is very limited. The aim of our study was to identifying risk factor associated with female breast cancer in Afghanistan.
Methods: A retrospective case-control study was conducted with inclusion of 201 cases and 201 controls. Patient information was collected by interviewing the patient through a structured questionnaire. Histopathological information was collected from the hospital integrated laboratory management system. The data was analyzed by using logistic regression with univariate and multivariable analyses to determine the …
Hydration And Nutrition During Labor,
2021
Bethel University
Hydration And Nutrition During Labor, Muna Abdi, Katie Cooper
All Electronic Theses and Dissertations
Background/Purpose: Historically women have birthed in their own homes. As birth moved to the hospital, concerns surrounding gastric aspiration following general anesthesia led to restrictive intake policies for laboring women. Current professional recommendations vary regarding nutritional intake in labor. The purpose of this paper is to determine whether there are differences in maternal outcomes when different forms of hydration and nutrition are used during labor. Theoretical Framework: Neuman’s Systems Model was the theoretical framework used to guide the research process. This model includes four systems (client-client, environment, health, and nursing) which work together to promote holistic wellness. Methods: A thorough …
Postplacental Intrauterine Device Insertion: Efficacy And Barriers,
2021
Bethel University
Postplacental Intrauterine Device Insertion: Efficacy And Barriers, Tommi Amanda Ladd Carrell
All Electronic Theses and Dissertations
As many as half of all women do not attend postpartum care and receive desired family planning care. Left with little to no resources for obtaining contraception, many go on to have subsequent unplanned pregnancies. The American College of Obstetricians and Gynecologists has stated that offering long-term, reversible contraception at the time of birth should be considered for these women, yet adoption of this procedure remains low. This literature review will evaluate the efficacy and advantages of postplacental intrauterine device placement and barriers to implementing the procedure.
Perineal Massage Or Warm Compress To Decrease Perineal Trauma In Second Stage Of Labor,
2021
Bethel University
Perineal Massage Or Warm Compress To Decrease Perineal Trauma In Second Stage Of Labor, Amanda Condon, Colleen Williams
All Electronic Theses and Dissertations
Background/Purpose: The purpose of this review of research is to determine if the use of perineal massage or warm compress in the second stage of labor decreases perineal trauma, including spontaneous lacerations or the need for an episiotomy. Theoretical Framework: Betty Neuman’s Systems Model asserts that each person will interact with the environment with their own set of variables. Neuman’s Systems Model focuses on maintaining health with the prevention of three categories of stressors: primary, secondary and tertiary. Nurse-midwives work to prevent perineal trauma by considering what interventions strengthen the defense of each women to the environment stressors of physiologic …
Maintaining Postpartum Bleeding: Effects Of Tranexamic Acid,
2021
Bethel University
Maintaining Postpartum Bleeding: Effects Of Tranexamic Acid, Shenider Dufort
All Electronic Theses and Dissertations
Background/Purpose: The purpose of this literature appraisal is to determine the effectiveness of tranexamic acid (TXA) and its ability to stabilize postpartum bleeding. TXA is an antifibrinolytic pharmacologic drug found to reduce blood loss associated with trauma and patients undergoing major surgeries. When administered in combination with other uterotonics, the World Health Organization predicts the prophylactic use of TXA could globally improve the morbidity and mortality rates associated with postpartum hemorrhaging. Theoretical Framework: Kurt Lewin’s change theory was used in the development of this literature review. The Lewin change theory emphasizes the importance of change and development within a medical …
The Resilient Midwife,
2021
Bethel University
The Resilient Midwife, Sarah M. Dorsey
All Electronic Theses and Dissertations
Midwives have been shown to significantly improve birth outcomes; the World Health Organization proposes that 83% of maternal deaths, newborn deaths, and stillbirths could be prevented through midwifery care. However, burnout level in this profession is high; a 2017 survey of U.S. certified nurse-midwives and certified midwives revealed that 40.6% of these professionals were suffering from burnout. The purpose of this paper is to identify strategies to facilitate resilience and decrease burnout in the midwifery professionMethods: 1427 articles were screened to yield twenty research studies relevant to improving resiliency and decreasing burnout the midwifery profession. The twenty articles were summarized …
Telehealth Use During The Prenatal Period: Strengths And Limitations,
2021
Bethel University
Telehealth Use During The Prenatal Period: Strengths And Limitations, Adrian M. Goblisch, Tessa L. Hand
All Electronic Theses and Dissertations
Background/Purpose: The purpose of this paper is to examine the risks and benefits of telehealth use during the prenatal period. With the increasing use of technology to provide healthcare, especially during the COVID-19 pandemic, it is critical to examine the implications this care modality has on individuals and the community. Theoretical Framework: Katharine Kolcaba’s Comfort Theory was applied to the topic of telehealth use in the prenatal period. This theory explains that there is an immediate experience of strengthening when relief, ease, and transcendence are met and that an individual is more likely to exhibit health-seeking behaviors when comfort in …
The Effectiveness Of Comprehensive Sexual Education For Teens: An Exploration Of The Advantages And Disadvantages,
2021
Bethel University
The Effectiveness Of Comprehensive Sexual Education For Teens: An Exploration Of The Advantages And Disadvantages, Crystal L. Iddings, Danielle J. Wadsworth
All Electronic Theses and Dissertations
Background/Purpose: The teen pregnancy rate in the United States was18.8 per 1000 in 2017. Although this is an all-time low for teen pregnancy in the United States, it is still the highest rate among developed countries. This literature review aimed to reveal the advantages and disadvantages of comprehensive sexual health education. Theoretical Framework: In 1947, Kurt Lewin identified three stages to the Change Theory which people go through while making change: unfreezing, change, freeze (or refreeze). These three major concepts are the force that pushes forward for change to occur. Methods: Twenty research articles were critically reviewed with the purpose …
Dance: The Movement Supporting Safe, Sovereign And Satisfying Birth Experiences,
2021
Bethel University
Dance: The Movement Supporting Safe, Sovereign And Satisfying Birth Experiences, Lisa Marie Morgan
All Electronic Theses and Dissertations
Labor dance utilizes upright positioning, hands and knees position, use of the rebozo and other alternative labor and birth positions as a traditional means of taking advantage of gravity and increasing the pelvic diameter in labor and birth. Despite recommendations by the American College of Nurse-Midwives (ACNM) and the American College of Obstetricians and Gynecologists (ACOG) supporting such positions, promotion and use of labor dance remain in the margins of labor and birth experiences for most women. This literature review finds that labor dance increases safety, sovereignty and satisfaction in the labor and birth experience for women. Further, this simple …
Evaluating The Impact Of Volunteer And Facility Provided Doula Support In The Intrapartum Period On Maternal, Neonatal, And Psychosocial Outcomes In The Hospital Setting,
2021
Bethel University
Evaluating The Impact Of Volunteer And Facility Provided Doula Support In The Intrapartum Period On Maternal, Neonatal, And Psychosocial Outcomes In The Hospital Setting, Kayla Puent, Keirsta Marie Ragels
All Electronic Theses and Dissertations
Background/Purpose: The unacceptably high maternal mortality rate in the United States has demanded a call to action for evaluation and implementation of efforts to improve both maternal and neonatal outcomes. Low-resource and low-socioeconomic populations are at a higher risk of experiencing adverse birth outcomes. Doulas have continuously been recognized as key tools in improving outcomes, but not all birthing persons have access to them. The positive impact of continuous labor support in improving outcomes is recognized by the American College of Obstetricians, American College of Nurse-Midwives, the Society for Maternal-Fetal Medicine, and the March of Dimes. The purpose of this …
Breastfeeding Education And Support For Marginalized Women To Increase Exclusive Breastfeeding Rates,
2021
Bethel University
Breastfeeding Education And Support For Marginalized Women To Increase Exclusive Breastfeeding Rates, Kelsea J. Rush, Leah Vogel
All Electronic Theses and Dissertations
Background/Purpose: Marginalized women have significantly lower rates of breastfeeding initiation and duration and also experience significant health disparities when compared to non-marginalized populations. Breastfeeding has positive health benefits to both mother and child and could help to reduce these disparities. The purpose of this critical appraisal of the literature was to determine the effects of additional breastfeeding education and support on breastfeeding among marginalized groups of women. Theoretical Framework: Ramona Mercer’s Maternal Role Attainment Theory was used as a framework for the literature review by following the four stages of attainment; anticipatory, formal, informal, and personal. Methods: Twenty relevant, scholarly …
Benefits And Risk Associated With Physical Exercise During The Antenatal Period,
2021
Bethel University
Benefits And Risk Associated With Physical Exercise During The Antenatal Period, Corrie Crump, Brittany Freeman
All Electronic Theses and Dissertations
Background/Purpose: There are many misconceptions, uncertainties, and false narratives pertaining to how much physical activity and what types of activities are safe in pregnancy. This purpose of this critical literature review was to provide more guidance on evidence-based recommendations for what activity and how much activity is considered safe, and shed light on the proven benefits being physically active provides. Additionally, the literature was reviewed to assess the benefits of exercise during pregnancy as it pertains to maternal morbidity. Theoretical Framework: Dorothea Orem’s Theory on Self-Care Deficit explains the importance of self-care, and focuses on the individual’s ability to perform …
