NURSEARCHER (Journal of Nursing & Midwifery Sciences)

Prevalence of Perceived Stress among Nurse Interns in Teaching Hospitals of Khyber Pakhtunkhwa

Sun, 31 Mar 2024 00:00:00 +0000

The concept of perceived stress refers to an individual's response to a perceived danger in their environment, which is believed to provide a challenge to their capabilities and overall well-being. Internships play a crucial role in the nursing profession by providing valuable introductory experiences. Objective: To reveal level of stress among intern nurses. Methods: In this study, nurse intern stress level was measured by using descriptive cross-sectional design. The sample size was 105 and data were collected via Google form in teaching hospitals of district Peshawar and Mardan, Khyber Pakhtunkhwa. Results: In this study, majority of the participants were male n=93 (88.6%) followed by female n=12 (11.4%). Almost nine-tenth (87.6%) n=92 of the study participants was placed in age group less than 25 years. None of the participants were placed in higher stress level although, more than four score (81.9%) of the participants fell in moderate stress level. However, 18% of them perceived low stress. Conclusions: The moderate level of stress was found to be significantly affecting the performance in early career of nurses. The goal should be to provide nursing students with improved strategies for handling stress.

Correlation of Academic Stress with Age and Academic Year Among Nursing Students at Private Nursing Institute, Karachi, Pakistan

Sun, 31 Mar 2024 00:00:00 +0000

Stress is a complex process when people interpret demands, restrictions, or possibilities as challenging their ability to cope effectively. Objective: To explore the correlation of academic stress with age and academic year among nursing students at the private nursing institute in Karachi, Pakistan. Methods: This cross-sectional analytical study was conducted from February to July 2023. A convenience sampling technique was utilized to approach study participants. A total of 206 nursing students were part of this study. Moreover, a reliable questionnaire was used for the data collection, consisting of demographic data, stress levels, contributing factors, and coping mechanisms. Results: This study revealed that 80.6% of nursing students had moderate and 14.1% had high academic stress. The study also identifies a significant association between academic year and age and academic stress (p-0.006) and (p-0.033). Conclusions: Educational institutions should develop specialized support programs because 80.6% of nursing students experience moderate academic stress and 14.1% experience high stress. Implement stress-management classes, counseling, and academic resources to assist students in handling the challenging tasks of their coursework. Students can be given valuable tools to handle academic stresses by including stress management techniques in the curriculum. These abilities include time management, study strategies, mindfulness, and relaxation techniques.

Insomnia Among Nursing Students: A Cross-Sectional Investigation in Peshawar, Pakistan

Afsha Bibi, Fazal Khaliq, Muhammad Younus, Irfan Ullah, Muhammad Abbas Khan — Sun, 31 Mar 2024 00:00:00 +0000

Sleep health is integral to the overall well-being of nursing students, yet it is prevalent. Objective: The primary objective of this study was to determine the insomnia among nursing students. Methods: A total of 100 nursing students, both male and female, from different academic years participated in the study. A structured questionnaire was utilized to collect demographic information, including gender, age, and academic year. The Athens Insomnia Scale (AIS) was employed to assess the prevalence of insomnia among participants. Results: The study findings revealed that most participants, constituting 70%, identified as male, while the remaining 30% identified as female. The analysis of insomnia status revealed that 37% reported no insomnia and 63% experienced insomnia. Conclusions: The findings highlight a diverse landscape of insomnia prevalence among nursing students, necessitating targeted interventions to promote sleep health.

Moral Distress and Job Satisfaction among Nurses Working in Tertiary Care Hospitals, Karachi, Pakistan

Sun, 31 Mar 2024 00:00:00 +0000

Moral distress is a painful feeling and a mental disturbance that occurs when a morally correct course of action is known but cannot be performed. Objective: To determine the moral distress and job satisfaction level, their correlation and their association with demographics among nurses working in public sector tertiary care hospitals in Karachi, Pakistan. Methods: This study was conducted in public sector tertiary care hospitals in Karachi through an analytical cross-sectional study design among 300 nurses. Results: This study shows that 52.7% of the participants had low, 38% have moderate, while 9.3% have high/very high levels of moral distress. Most of the nurses, 94%, were satisfied with their job. Moral distress was negatively correlated with job satisfaction (r=-0.180, p=0.002). Moreover, moral distress was associated with age (p=0.03) and ward (p= <0.001). In contrast, job satisfaction was associated only with gender (p=0.008). Conclusions: The study findings illustrated that most nurses had low moral distress and were satisfied. Moral distress was negatively correlated with job satisfaction.

Examining Barriers and Perceptions in Reporting Medication Administration Errors among Nurses at the Tertiary Care Hospitals in Peshawar Pakistan

Sun, 31 Mar 2024 00:00:00 +0000

Medication administration is vital for patient safety, yet medication errors can lead to life-threatening situations and increased mortality rates. Nurses, being essential members of the healthcare team, are constantly present with patients and regularly tasked with drug administration, facing a significant burden of medication errors compared to other healthcare providers. Objectives: To explore the barriers and perceptions of nurses' regarding medication errors reporting in public sector tertiary care hospitals. Methods: A convenient sample of 209 staff nurses participated in this cross-sectional survey from June to October 2022. A three-part questionnaire was used to gather information on the general characteristics of nurses, the causes of medication errors, and the justifications for not reporting them. Results: The Pharmacy supplies inappropriate doses to this unit with a mean of (2.53 ± 1.28) and an insufficient number of staff nurses in each working shift (4.23 ± 0.76) were the two least and most significant contributing factors to medication errors. Additionally, the two most and least significant factors for not reporting medication errors were that nurses may be held accountable if the patient suffered harm (3.94 ± 1.16) and that nurses did not agree with the hospital's definition of a medication error (2.33 ± 1.26) on average. Conclusions: The main causes of drug mistakes and failure to reveal them were nursing and management issues. Moreover, attempt to establish a blame-free culture to motivate reporting errors.

Investigating the Level of Attitude and Satisfaction among Nursing Instructors Regarding OSCE/OSPE at the Institutes of KPK

Fazal Haq, Shahzad Bashir, Santosh Kumar — Sun, 31 Mar 2024 00:00:00 +0000

The Objective Structured Clinical Examination (OSCE) is a commonly utilized tool for evaluating clinical performance among students pursuing medical and health professions. The study was conducted with the aim of determining the level of attitude and satisfaction among nursing educators in Khyber Pakhtunkhwa, Pakistan. Methods: A cross sectional analytical study design was used to evaluate the level of attitude and satisfaction from nursing educators of Khyber Pakhtunkhwa from 181 participants using convenient sampling technique. The study was conducted from March to December 2023. A valid and reliable adopted questionnaire was used for collection. The study was approved by the ethical review board while informed consent from each participant was taken before data collection. Independent t-test, ANNOVA and chi-square test was applied through SPSS version 22.0 for data analysis. Results: In the present study, the number of males was higher (65%), age 25 to 35 was 89 (49.4%), and education post-RN BSN was 101 (56.1%) in majority. The maximum number of the participants, 132 (73.3%), attitude level was moderate, having a mean score of 46.79 ± 7.01, while the level of satisfaction of the higher number of participants, 141 (78.3%), was also moderate, with a mean score of 79.77 ± 10.53. There was significant difference in mean score of attitudes within the groups of qualification, and experience, while the satisfaction there were significant difference within the groups of age, qualification and experience. Conclusions: The study concluded that attitude is associated with age, qualification, and experience, while satisfaction was associated with qualification, the tool should be improved for acceptance and understanding.

Knowledge Regarding Hepatitis B Virus Infection and its Prevention among Nursing Students in Karachi

Sun, 31 Mar 2024 00:00:00 +0000

Hepatitis B Virus (HBV) infection is a significant global health concern. All healthcare professionals especially nurses are always at a greater risk of getting the HBV. Objective: To assess knowledge regarding Hepatitis B Virus infection and its prevention among nursing students in Karachi. Methods: A descriptive cross-sectional study design was used to assess the knowledge of student nurses regarding Hepatitis B infection at ten nursing institutes in Karachi for six months; the calculated sample size was 529 by Open Epi version 3.0 by using convenient sampling technique. The data were collected by well-structured questionnaire and involved the questions about knowledge of Hepatitis B Virus infection and its prevention. All the students of Diploma in Nursing above the age 16 years were included while all the students of other nursing discipline were excluded. Results: The overall level of knowledge of the respondents on HBV infection was very good in this study, 93.2%, in response to the question concerning about the causes of Hepatitis B Virus infection (76.7%) responded positive. Knowledge regarding the incubation period of Hepatitis-B was very less (31.4%). 59.0 % consider that they are at risk to get Hepatitis B at their job, while 96.7% knew that it can be transmitted by unsterilized syringes, needles and surgical instruments which is similar to our study. Conclusions: All healthcare professionals especially student nurses are always at a greater risk of getting the HBV. Therefore, comparable research with a larger population and sample size has to be carried out.

Exploring the Health Care Services Satisfaction of the Patients Regarding Hospitalizations at Different Hospitals of District Layyah in Punjab Pakistan

Qurat ul Ain, Yousra Fatima, Aisha Zareen, Asfa Manzoor — Sun, 31 Mar 2024 00:00:00 +0000

Patient satisfaction is an essential measure in providing care and effectiveness of the healthcare system. Quality care and quality facilities are the prior indicators of the health care system, which ultimately raises the level of patient satisfaction during hospitalization. Objective: To assess and explore the factors affecting the level of satisfaction of the adult patient regarding nursing care during hospitalization. Methods: Mixed methodology was used i.e., cross sectional and descriptive exploratory methods. Questionnaire was distributed to the participants through email and face to face interview were conducted after the confirmation of their consent for the interview. Quantitative data were analyzed using the SPSS Software and qualitative results were written using computer assisted software NVIVO-12. Results: Quantitative study results were 5.61% satisfactions regarding nursing care. Qualitative exploration about factors which were influencing the level of satisfaction of the adult patient were lacking attention, limited knowledge, unhealthy environment, overcrowding and noise and apathy. Conclusions: Participants’ suggestive words were to develop satisfaction levels by overcoming these obstacles. This study underscores the need for interventions to address these factors and enhance patient satisfaction with nursing care in tertiary care hospitals in South Punjab, Pakistan.

Role of Emotional Intelligence in Life Satisfaction among Hospital Nurses in Pakistan

. Aisha, Riaz Ahmad, Uzma Ali — Sun, 31 Mar 2024 00:00:00 +0000

Emotional intelligence is a skill involving understanding, perceiving, managing, and utilizing information. Nurses with high emotional intelligence may have high life satisfaction which can enhance their productivity in the workplace by effectively managing emotions. Objective: To explore the role of emotional intelligence in life satisfaction among hospital nurses in Pakistan. Methods: A correlational study was conducted involving purposive sampling of 511 registered female nurses, aged 20 to 45 in Karachi and Hyderabad, Pakistan. Life satisfaction was assessed using a subset of the ICP-Subjective Wellbeing Scale while for Emotional Intelligence, Trait Emotional Intelligence Questionnaire-Short Form (TEIQue-SF) was used. Ethical considerations were stringently adhered to throughout the study, maintaining participant confidentiality and ensuring adherence to research norms. Results: The results revealed a significant predictive relationship between EI and life satisfaction in female hospital nurses [r = .199; R2=.040, F (510) = 20.994, p<.000]. Conclusions: Globally, Nurses are considered vital to healthcare system, including in Pakistan where mental health issues among them are notable. The study concluded that emotional intelligence predicts higher life satisfaction among hospital nurses.

Evaluation of Practices about Pediatrics Cardiac Catheterization among Nurses at District Head Quarter Hospital

Sajida Parveen, Mehwish Bashir, Shamim Akhtar, Shagufta Perveen, Saif Ullah — Sun, 31 Mar 2024 00:00:00 +0000

Pediatric cardiac catheterization is a critical procedure that plays a vital role in diagnosing and treating congenital heart defects and other cardiac conditions in children. This procedure involves inserting a catheter into the heart chambers or vessels through a vein or artery. Nurses play multifaceted roles throughout the continuum of cardiac catheterization. Objective: To evaluate the practices of nurses about pediatrics cardiac catheterization. Methods: This study employed cross-sectional descriptive design at pediatric department of a District Head Quarter (DHQ) Hospital. Target population was registered nurses of age above 20 years and who had at least 6 months of practical experience with cardiac pediatric patients. Data were collected conveniently through observational checklist and analysis was done through SPSS Version 24.0. Results: Majority nurses were not encouraging bed rest to the pediatric patients nor keep affected extremity bend for 2-4 hours (80%) after catheterization. Moreover, they did not regularly check the vitals of the children and unable to monitor in every 15 minutes /hour or 30 minutes for next hour (81%). Nurses were unable to educate the pediatric parents for the removal of pressure dressing and nor assess the dressing site appropriately (92%). Conclusions: The present study findings suggested that majority nurses have poor practices before and after cardiac catheterization procedure while some have an average level of practices during the procedure. So, training programs should be arranged to enhance the practices of nurses about cardiac catheterization in pediatric population.

Healing the Healers: Prioritizing the Mental Support for Nurses

Kousar Perveen — Sun, 31 Mar 2024 00:00:00 +0000

The demand of qualified nurses is growing worldwide which has made nursing a highly sought-after profession. This profession is revered for its unwavering dedication to healing and support, and stands as a beacon of compassion and care. Yet, there are various challenges that often go unnoticed behind the scenes of this noble vocation, the most disregarded is the mental health struggles faced by nurses. Despite this profession being auspicious, its burden can take a toll on the mental well-being of nurses. However, it is seen as stigma that the people who heal others also need healing.

Nurses navigate the complexities of patient care and are the embodiment of resilience and selflessness. On the daily basis, they witness pain, triumph and loss, and shoulder the emotional weight of the patients as well. Moreover, it is often required from them to work irregular hours and rotating shifts, which may include nights, weekends and holidays, which not only disrupts sleep patterns but also makes it challenging for them to maintain work life balance straining personal relationships. These negative aspects can cumulatively result in professional burnout and dissatisfaction in nurses. It may worsen the mental health of nursing leading them to leave the profession altogether.

Unfortunately, this issue is not appropriately addressed making it a pervasive stigma in the profession. Nurses are often seen as strong and resilient but it creates a perception that nurses should be able to handle any mental or emotional stress themselves. If the nurses admit vulnerability and seek help, it is viewed as sign of weakness. In addition, nurses fear judgement and the negative opinions of the colleagues who perceive them as incompetent, unreliable, or unfit for duty. Moreover, unfavorable health care settings, such as understaffing, high workload, and limited resources may contribute to the mental health support being viewed as a luxury and inconvenience rather than a legitimate need. These notions hinder the open dialogue and impede access to much needed support.

It is imperative that the stakeholders within the healthcare system exert efforts to address the challenges faced by nurses regarding mental. We need to acknowledge and recognize that the arduousness of the nursing profession and how it affects the mental well-being of nurses. The organizations should prioritize mental health of their practitioners by offering them resources such as counseling services and peer support networks. The stigma surrounding mental health needs to be shattered so that an environment can be fostered where nurses feel safe and are supported in their time of vulnerability. Only then can we ensure that auspicious nature of nursing shines brighter than ever before and illuminate a path of healing for healers as well.

Challenges and Support Mechanisms for Nurse Educators during Transition from Clinical Nursing to Nurse Educator: A Commentary on Role Transformation

Tahira Yasmin, Taleem Kausar — Sun, 31 Mar 2024 00:00:00 +0000

Nursing is an intricate profession and qualified nurse educators who possess sound theoretical, clinical and evidence-based knowledge is important for ultimately delivering the knowledge and skills to the students and producing the competent nurses. By providing effective nursing care the best patient care outcome can be achieved [1]. Undoubtedly, the role played by nursing instructors is considered significant to bridge the theory practice gap and to impart the new learning into the future nurses. Moreover, the shortage of nursing faculty is a risk to the quality of education, bearing implications for health sector. This issue hinders the smooth transition of clinical nurses to nurse educators as they need to adopt continuously fresh knowledge, revisit curriculum, student-cantered learning approaches [2]. Their ability to understand and address these challenges is important, and a complete understanding of these issues which they face during the transition phase may be supportive in boosting their classroom teaching abilities [3]. Failure in meeting with the requisite capabilities that is essential in imparting compassionate, evidence-based care lead to sense of disorientation and have the impact on overall satisfaction level of their duties [4].