https://www.i-scholar.in/index.php/Ijanm/issue/feed International Journal of Advances in Nursing Management 2023-02-26T14:01:38+00:00 Dr. Mrs. Monika S. Daharwal avpublications@gmail.com Open Journal Systems <div id="i-scholerabout">International Journal of Advances in Nursing Management (IJANM) is an international, peer-reviewed journal devoted to nursing sciences. IJANM's aim is to promote excellence in nursing and health care through the publication of clinical information and original research. IJANM publishes Original Research Articles, Short Communications, Review Articles, Institutional News in all areas of nursing sciences.</div> https://www.i-scholar.in/index.php/Ijanm/article/view/218837 The Clinical Journey: Beginning nursing student perceptions of clinical experiences 2023-02-26T14:01:38+00:00 Shauna Keil slkeil@fhsu.edu <div>Clinical education is an important part of nursing education. A good relationship between the nurse, student, and faculty is essential for the most positive clinical experience. The purpose of this study is to evaluate student perception of nurse mentoring behaviors and nurse interaction in the medical/surgical clinical setting. Interactions can be positive but can also be uncivil. Second semester students in completed a survey regarding their perceptions of medical-surgical clinical experiences. By evaluating what nursing students are experiencing, interventions can be determined to improve the experience for nursing students and nurses.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218838 A Comparative Study to assess the knowledge on behavioral pattern of single child and a child with siblings between the age group of 6-12 years children of selected areas in Mehsana city 2023-02-26T14:01:38+00:00 Kajal Chaudhari chaudharikajal78028@gmail.com Janki Patel <div><strong>Introduction:</strong> A child is a human being between the stages of birth and puberty. Children Behaviour refers to how one conducts themselves. It is their actions, reactions and functioning in response to everyday environments and situations. The term behaviour include Cognitive activity (mental skill (knowledge)), Affective activity (growth in feeling or emotional areas (attitude)), psychomotor activity (manual or physical skill (skills). <strong>Design: </strong>Comparative descriptive research design, <strong>Participinats:</strong> Total 100 sample (50- single child and 50 – child with siblings) were selected using non probability convenient sampling technique. <strong>Tool:</strong> Likert scale <strong>Results: </strong>Reveals that in single child mean was 50.92 and sibling child mean was 100.86. The single child standard deviation was 27.61 and the sibling child standard deviation was 28.19. The standard error was 5.58 and the obtained t-value was 0.103 which are significant at 0.005 levels. So the researcher concluded that there was a significant difference in behavior pattern between single child and child with sibling. Knowledge level on behaviour pattern was classified as good, average, and poor. In sibling child, 27(54%) had good behavioral pattern, 21(42%) had average behavioral pattern, 02(4%) had poor behavioral pattern. In child with sibling, 08(16%) had good behavioral pattern, 6(12%) had average behavioral pattern, 36(72%) had poor behavioral pattern.<strong> Conclusion:</strong> Childhood period is important in the life. Many of single child have poor knowledge on behaviour pattern. Parents must realize there problem and mingle with them.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218841 Knowledge of mothers regarding developmental milestones of infants: A Descriptive Cross-sectional study 2023-02-26T14:01:38+00:00 Manpreet Kaur Manpreet Kaur Manpreet Kaur Manpreet Kaur Narinder Kaur Natasha Navjot Kaur Navjot Kaur Navneet Kaur Navpreet Kaur Simarjit Kaur Navjot Kaur mann.navjot87@gmail.com <div>Developmental milestones in children or infants are a certain set of skills or age-specific tasks. Missed or delayed milestones in infancy can be symptoms of serious medical conditions. If parents understand their children’s development, they can tailor their expectations and provide stimulation. This study was conducted to assess the level of knowledge regarding the development milestones of infants among mothers. A descriptive study was conducted on 100 mothers of neonates visiting pediatric OPD and gynecological unit (Postnatal Ward).A convenience sampling technique was used to collect data. More than half of mother’s i.e. 60% had an average level of knowledge, 22% of mothers had a poor level of knowledge and 18% of mothers had a good level of knowledge. Mothers had the highest (75.25%) mean knowledge percentage in general information followed by 53.33%, in developmental delay and least (37.50%) mean knowledge percentage in language</div><div>development. The overall mean knowledge score is 10.240±2.40 and there is no association (p&gt;0.05) between the knowledge level of mothers with selected demographic variables. It is concluded that the majority of the mothers of neonates had average knowledge regarding developmental milestones.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218844 A Study to Assess the Impact of COVID-19 Pandemic on Physical, Psychological, Economical and Social status among general population in selected areas of Kachery, Thrissur 2023-02-26T14:01:38+00:00 Jeril Joji jeril.g46@gmail.com Jinumol Jose Josna Augustine Mariya Johny Sandra Joseph Seeja Jacob Angela Gnanadurai <div><strong>Title of study:</strong> A study to assess the impact of COVID-19 pandemic on physical, psychological, economical and social status among general population in selected areas of kachery, Thrissur. <strong>Introduction:</strong> COVID-19 has caused serious impact on every society globally. The COVID-19 caused physical, psychological, economical and social impact on general population.<strong> Objectives:</strong> To assess impact of COVID-19 pandemic on physical, psychological, economical and social status among general population in selected areas of Kachery, Thrissur. To associate the impact of COVID-19 pandemic on physical, psychological, economical and social status with selected socio demographic variables. <strong>Methodology:</strong> The study was conducted among 100 samples from selected areas of Kachery, Thrissur. The research design of the study is descriptive design and sample was collected by convenient sampling method. <strong>Tool:</strong> The tool consists of 2 sections. Section A: Socio-demographic and clinical data profile. Section B: Self developed checklist to assess the impact of covid-19 on physical, psychological, economical and social status.<strong> Results:</strong> The findings shows that, in socio-demographic and clinical data profile, 54(54%) are below 50 years of age while 46(46%) are above 50 years of age. Most of the samples 60(60%) are females and 40(40%) are males. Among 100 samples, about 31(31%) have hypertension, 49(49%) have diabetes mellitus and 20(20%) are suffering from other type of diseases. About 68(68%) of the samples belong to APL and 32(32%) belong BPL. Overall 22(22%) sample is having moderate impact on COVID-19 pandemic, 78(78%) sample is having low impact on COVID-19 pandemic and no sample is having high impact on COVID-19 pandemic. 1(1%) of sample have high psychological impact. 3(3%) of sample have moderate physical impact, 25(25%) have moderate psychological impact and 29(29%) sample have moderate economic impact and 30(30%) sample have moderate social impact. 97(97%) of sample is having low physical impact, 74(74%) of sample is having low psychological impact, 71(71%) of sample have low economic impact and 70(70%) sample have low social impact. There is significant association of co-morbid conditions of sample with impact of COVID-19. <strong>Discussion:</strong> At the end of the study investigator found that there is significant association of comorbid conditions of sample with impact of COVID-19 pandemic at p&lt;0.05. Comorbid condition increases the impact of COVID-19 pandemic. There is no significant association of age, gender, occupation,residential place during the pandemic with impact of COVID-19 pandemic.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218845 Sickness absenteeism among staff nurses engaging in long nursing shift at smvmch at puducherry 2023-02-26T14:01:38+00:00 V. Tamilpulavendran pulavan82@gmail.com R. Danasu <div>The present study was conducted to assess the Sickness Absenteeism among Staff Nurses Engaging in Long Nursing Shift at Puducherry. The study was Descriptive research design, Quantitative research approach. A total of 60 Nurses who met the inclusion criteria were selected from the SMVMCH (Sri Manakula Vinayagar Nursing College and Hospital) at Puducherry by using purposive sample technique. The mean value assessment of the sickness absenteeism among staff nurse engaging in long nursing shift at SMVMCH is 2.667 and standard deviation is .4753. at p&lt; 0.0001 (p &lt; 0.05) level. Need for the study in state level State-wise absenteeism rate amongst the directly employed regular workers during the year 2016 is presented. It is observed that the rate of absenteeism in Sample Sector at all India level during the year 2016 has increased to 9.15 percent as against of 8.64 percent during the year 2013. During 2016, among States, the highest rate of absenteeism was witnessed in Delhi (13.37 percent) followed by Chandigarh (13.13 percent) and Kerala (12.87 percent). On the other hand, the lowest rate of absenteeism during the year was observed in Chhattisgarh (4.23 percent) followed by Pondicherry (5.19 percent) and Assam (6.13 percent). Out of 26 States, 13 States reported higher absenteeism rates than that at all India level during the year 2016. A total of 9 states recorded absenteeism rates of more than 10 percent. As compared to 2001, an increase in the rate of absenteeism was recorded in 10 States during the year 2016.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218846 A Study to Assess The effectiveness of Almond Oil Massage on promotion of Breast Milk Secretion among LSCS Mothers in selected hospital Bhilai (C.G.) 2023-02-26T14:01:38+00:00 Priti Bhatt bhattpriti61@gmail.com <div>This study was conducted with the objective to. assess the breast milk secretion before application of almond oil massage among LSCS mothers. to administer the almond oil on breast among LSCS mothers to assess the breast milk secretion after the administration of the almond oil massage among LSCS mothers to determine the effectiveness of almond oil massage on promotion of breast milk secretion among LSCS mothers. to find out the association between effectiveness of almond oil massage on promotion of breast milk secretion with selected socio demographic variables. The study design was an pre-experimental, one group pre-test post-test research design. 40 samples of LSCS mothes who fulfil the inclusive criteria were selected based on non-probability purposive sampling, after getting informed consent from the study participant, the almond oil massage was administered to LSCS mothers at Shri shankaracharya Medical College and Research centre, Bhilai C.G. The study findings revels that the pre-test score regarding breast milk secretion is 12(30%) sample were in inadequate, 24(60%) were moderate and 4(10%) adequate. In post-test score majority 33(82.5%) were in adequate, 7(17.5%) sample were in moderate and 0 (0%) were in inadequate. The ‘t’ value 13.35 (df.39) was greater than table value (2.02) at 0.05 level of significance.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218850 A Study to assess the effect of Structured Teaching Programme on the level of knowledge and practice on administration of Insulin among Diabetic patients and their caregivers admitted in Jubilee Mission Medical College and Research Institute, Thrissur 2023-02-26T14:01:38+00:00 Jeril Joji jeril.g46@gmail.com Jolitta Joy Mariya Johny Mary Hamlet Rini P. S Siya Saji Sukanya V Titty Scaria Sona Anto Anila James Sr. Philo Resmi Angela Gnanadurai <div>A study to assess the effect of structured teaching program on the level of knowledge and practice on administration of insulin among diabetic patients and their care givers in selected wards of JMMC&amp;RI, Thrissur.<strong> Objectives:</strong> to assess the level of knowledge and practice on administration of insulin among diabetic patients and their care givers before and after intervention, to compare the level of knowledge and practice on administration of insulin among diabetic patients and their caregivers before and after intervention and to associate the pre-test level of knowledge and practice in administration of insulin among diabetes patients and</div><div>their care givers with selected socio demographic and clinical data variables. <strong>Methodology:</strong> The study was conducted among 30 diabetes patients on insulin therapy using pre-experimental one group pre-test post-test design. Samples were selected by purposive sampling technique. The tool used for the study had 3 sections: Section A - Socio demographic and clinical data variables where the items include age, gender, marital status, educational status, occupation, monthly income, family history of diabetes mellitus, duration of illness, duration of insulin treatment, person administering insulin, any prior teachings on insulin administration and its source;</div><div>Section B - Structured knowledge questionnaire; Section C - Structured practice checklist. <strong>Result:</strong> On data analysis it reveals that 14(46.7%) belongs to the age group of 61-80 years, 19(63.3%) are male, 29(96.7%) are married, 11(36.7%) have high school education, 18(60%) were unemployed‚ 14(46.7%) samples have family history of diabetes mellitus, 13(43.3%) have diabetes for less than 5 years and 4(13.3%) have duration of 11-15 years, 13(43.3%) take insulin for less than 1 year, 14(46.7%) administered insulin by themselves, 23(76.7%) had prior knowledge on insulin administration. The mean post-test knowledge score (19.46) of diabetic patients was higher than the mean pre-test knowledge score (10.2). The computed ‘t’ value (-19.631 ) showed a significant difference between the pre- test and posttest knowledge scores. The mean post-test practice score (19.60) of 30 diabetic patients was found to be significantly higher than their pre-test practice scores. There was a statistically significant relationship between the knowledge and practice level after structured teaching program (P&lt;0.001). There was no significant association between knowledge and practice with selected socio demographic and clinical data variables. The teaching program was accepted by all subjects and showed their interest to learn the</div><div>administration of insulin.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218851 Time allocated on different tasks among nurses in Bangladesh: An observational time–motion study 2023-02-26T14:01:38+00:00 Mizue Hiura mizue.hiura@jicastrings.com, mizuehwu@hotmail.com Salma Afroz Lily Shampa Sengupta Yoko Yamamoto Khandoker Sayeda Khatun <div>It is important to identify the time allocated by nurses for different tasks to improve the quality of nursing care and patient outcome. Hence, this time–motion study aimed to determine the time spent on specific activities and the factors contributing to the time allocated by nurses at public and private hospitals in Bangladesh. The data was collected from March to May 2021, and the nursing activities of 52 nurses at surgical wards were identified by observing them through day shifts (8:00am – 2:00pm) on weekdays. The proportions of time in 10 categories were calculated, and relationships of nurses' characteristics were examined. Nurses commonly spent their time on direct care (17.0%), followed by medication administration (15.3%), indirect care (14.2%), personal activities (12.3%), and documentation (11.1%). There was no significant relationship between the duration of providing direct and indirect care and medication administration as well as the characteristics of nurses (such as age, sex, and duration of working experience, educational background, and patient-to-nurse ratio).However, public and private hospitals significantly differed in terms of the proportion of time spent by nurses on documentation, administrative tasks, in transit work, supervision/education, and social activities. Compared with some studies conducted in 2007, the time allocated on direct care has increased particularly in public hospitals; however, nurses also spend significant time on personal and social activities. There is a need to assess the time spent on nursing tasks and to facilitate a closer supervision to achieve efficient time management.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218852 A Study to Analyze knowledge regarding respectful maternity care among OBG nurses at Sri Ramakrishna Hospital Coimbatore 2023-02-26T14:01:38+00:00 P. A. Rejini rejini1978@gmail.com <div><strong>Objectives:</strong> 1. To identify if any form of disrespect or abuse prevailing during childbirth in Sri RamakrishnaHospital by nursing staff. 2. To improve our quality of care to promote dignified  maternal health services. 3. To achieve Safe motherhood. <strong>Methodology</strong>: The design was observational design. Target Population was parturient women admitted for delivery. The sample size was 75. Convenient Sampling Technique was used. Observation was evaluated by using analyzing questioners (WHO) National Standards. Quantitative analyses were used in order to interpret the data. The data in turn is interpreted in a bar diagram using scoring system.<strong> Result:</strong> The study results are Dignity and respect 95%, Communication and autonomy 92%, Supportive care 93%, Privacy and Confidentiality 96% and Facility and environment 95%.<strong> Conclusion:</strong> Based on the results of this study, direct relationship was observed between respectful maternity care and positive childbirth experience.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218853 A Quasi Experimental Study to Evaluate the Effectiveness of Audio-Visual Education on Anxiety among patients undergoing Coronary Angiography at selected hospital, Coimbatore 2023-02-26T14:01:38+00:00 Chitra. G K. Kanchana kanchanakumar9@gmail.com T. Nirmala <div>Coronary angiography is the most widely used interventional and diagnostic procedure for coronary artery disease. The patient experiences the pre-procedural anxiety prior to coronary angiography. The main aim of the study was to identify the effectiveness of audio-visual education on anxiety among patients undergoing coronary angiography. Quasi experimental posttest only control group design was adopted in the study. By using Non probability purposive sampling technique 60 participants were selected and 30 were assigned to the experimental and control group respectively. The demographic variables, clinical variables were collected from the patients undergoing coronary angiography. Audio- Visual Education was provided to the patients in the experimental group for 15 minutes. Routine nursing care was provided to patients in the control group. After audio-visual education, Post-test was conducted by using the State anxiety inventory scale for both experimental and control group. It was identified that the calculated mean level of anxiety in the experimental and control group was 34.3 and 61.2 respectively with the mean difference of 26.9. Likewise the standard deviation of the experimental and control group was 10.9 and 7.9 respectively. The calculated ‘t’ value 10.79 was greater than the table value of 1.96 at 0.001 level of significance. Hence, it was concluded that Audio-visual education is an effective method in reducing the anxiety among patients undergoing coronary angiography.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218858 A Study to assess the effect of Structured Teaching Program on Level of Knowledge regarding selected aspects of Home Care Management among patients undergoing Hemodialysis in Jubilee Mission Medical College and Research Institute, Thrissur 2023-02-26T14:01:38+00:00 Anagha P S Anagha Sudheesh Anjali P J Femy Paul Haritha T V Helna Jose Jomol K J Libitha Thomas Anila James anilajamesk@gmail.com Sr. Philo Reshmi Angela Gnanadurai <div>A study to assess the effect of structured teaching progamme on level of knowledge on selected aspects of home care management of patients undergoing hemodialysis in selected wards of Jubilee Mission Medical College and Research Institute. <strong>The Objectives:</strong> Of the study were to assess the level of knowledge of patients undergoing hemodialysis, to compare the level of knowledge on selected aspects of home care management among patients undergoing hemodialysis before and after structured teaching program and to find the association between the level of knowledge on selected aspects of home care management with selected socio demographic clinical data variables. <strong>Research Methodology:</strong> The study was conducted among 30 patients undergoing hemodialysis. The research design was pre-experimental one group pretest posttest design and sample was selected by purposive sampling techniques. The tool used for the study had 2 section: Section A-Socio demographic and clinical data variables; Section B-Structured knowledge questionnaire on selected aspects of home care management of patients undergoing haemodialysis. Data analysis was done using differential and inferential statistics. <strong>Results:</strong> On data analysis it reveals that 11(36.7%) belongs to the age group of 61-70 years. 23(76.6%) samples are males, 29(96.66%) samples are married, 16(53.3%) sample have only primary education, 7(23.3%) subjects have secondary education, 19(63.3%) are self employed, 7(23.3%) of subjects go for daily wage, 22(73.3%) of subjects have income less than 5000,18(60%) subjects have central venous catheter, 12(40%) subjects have AV fistula for dialysis. Most of the subjects 19(63.3%) are under treatment since 1 year ago and 22(73.3%) subjects have illness since 3 year ago. 26(86.67%) subjects does not have family history of renal disease and 16(53.3%) subjects have self knowledge about disease. In pretest about 15(50%) of samples have inadequate knowledge, 11(36.6%) have moderate knowledge and 4(13.33%) have adequate knowledge. In posttest 27(90%) of samples have adequate knowledge and 3(30%) have moderate knowledge. On comparison of pretest and post test</div><div>knowledge it reveals that mean post test knowledge score 8(28.13%) was higher than mean pretest knowledge score 4(14.23%). Effectiveness of the health education was tested by t test, which revealed that it was effective at p&lt;0.01. There was no significant association between pretest level of knowledge and selected socio demographic and clinical data variables.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218859 A Study to assess the effectiveness of Structured Teaching Programme on knowledge of internship student nurses regarding hypertensive crisis and its management in selected hospital of Raichur 2023-02-26T14:01:38+00:00 Mohd. Aejez Nawaz santosh4u555@gmail.com <div>A Pre-experimental study was conducted to assess the effectiveness of structured teaching programme on knowledge regarding Hypertensive crisis and its management among internship students. Data was collected regarding knowledge of Hypertensive crisis and its management by structured knowledge questionnaire. The study was conducted at Selected hospitals of Raichur, a total of 40 internship students who were selected by using non probability convenience sampling technique. The study results revealed that structured teaching programme was successful in enhancing the knowledge regarding Hypertensive crisis and its management among internship students.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218860 Effectiveness of Structured Teaching Program on Knowledge and Practice of staff nurses regarding care of unconscious patients in a selected hospital, Alappuzha District, Kerala 2023-02-26T14:01:38+00:00 Nisha S Nair nishasnair9021984@gmail.com Nahomi Clement Jayalakshmi. S Jisha Shaji Sajani Ani Geevarghese Tinza Samuel <div><strong>Introduction:</strong> The primary goal of caring for an unconscious client is to maintain a patent airway and to promote recovery and prevent complications. It is considered as one the most important aspects of critical care nurses. <strong>Purpose:</strong> The purpose of the study was to assess the knowledge and practice of staff nurse regarding care of unconscious clients in a selected hospital in Alappuzha district. <strong>Methods:</strong> The research approach used for this study was quantitative research approach and the design used was Quasi experimental research design. Convenient sampling technique was used for the study. The study sample consisted of 40 staff nurses. The tool consisted of a structured knowledge questionnaire and a self-reported practice checklist to assess the practice of staff nurses. <strong>Results:</strong> The data obtained were organized and analyzed using both descriptive and inferential statistics according to objectives and hypothesis of the study. The findings of the study revealed that 40% of the nurses had good knowledge and 15% had poor knowledge in pre test whereas 65% of the nurses attained good knowledge and 7.5% only have poor knowledge in post test. In practice scores, 37.5% of nurses doing adequate practice and 7.5% had poor practice when doing pre test whereas in post-test, 77.5% doing adequate practice and none of them were with poor practice. And also showed that there was no association between the selected demographic variables with the knowledge and practice score.<strong> Conclusion:</strong> The study findings conclude that despite the increase in number of nurses, the quality was deteriorating. Hence the development of skills and improving knowledge of nurses through structured teaching program is justified by this study to improve the quality of care to unconscious clients.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218861 A Comparative Study to Assess the Level of Mobile Phone Addiction among Adolescents of selected Rural and Urban area of District Chamba Himachal Pradesh 2023-02-26T14:01:38+00:00 Anju Thakur shakuntlanursingcollege@gmail.com <div><strong>Background:</strong> - Mobile phones have become a main stream product in today world and have a huge impact. It helps to socialize, create a sense of belonging to peer groups and easy access to media and environment. A part from its regular use mobile phone express individual identities. The aim of the study was to compare the level of mobile phone addiction among adolescent of selected rural and urban area. A quantitative research approach was adopted and comparative descriptive research design was used in the study. Sample of 100 adolescents from rural (50) and urban (50) area were selected by purposive sampling technique. Tools were consisting of Socio demographic variables and Structured likert scale was used to assess the level of mobile phone addiction. The data was analyzed by using descriptive and inferential statistics. Result reveled that in rural areas 17% of adolescent had mild level, 20% had moderate level, 30% had severe level and 0% had very severe level of mobile phone addiction. In Urban areas 2% had mild level, 12% had moderate, 24% had severe level, 12% has very severe level of mobile phone addiction. It was concluded that mobile phone addiction among adolescents is one of the biggest emerging issue in Today ‘s world. It is very important to engage adolescent in outdoor and extracurricular activities and aware those about limited use mobile phone.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218862 An Experimental study to assess the effectiveness of Flax Seed Supplement for reducing PCOD symptoms among female of reproductive age group in Namkum, Ranchi, Jharkhand 2023-02-26T14:01:38+00:00 Abha Kispotta Lija Prince Saumya Thomas somiatsaumya@gmail.com <div>This study was conducted with the objective to assess the effectiveness of flax seed in symptoms of PCOD among females of reproductive age group, to assess the pre and post assessment symptoms of PCOD among females of reproductive age group, to compare the pre and post assessment score of symptoms of PCOD among females in reproductive age group and to find out the association between the pre test symptoms of PCOD among female with their selected socio demographic variables.The study design was an pre-experimental, one group pre-test post-test research design. 60 samples of Female with PCOD who fulfil the inclusive criteria were selected based on non probability purposive sampling technique, after getting informed consent from the study participant, the flax seed was administered at rural area of Ranchi (Jharkhand) The study findings revealed that in pre test assessment score 63% female of reproductive score have severe symptoms and 31% have moderate symptoms. In post test assessment score 70% females shows mild symptoms and 30% have moderate symptoms. The Pre-test and Post-test PCOD symptom score was 616 and 1235 respectively out of 1800.Pre-test mean score was 20.58(68.61%) and SD is 4.93 and, in the post-test, mean score was 10.26(34.22%) and SD was 4.43. The t value 22.10, which is significant at &gt; 0.05, proves the effectiveness of flax seed supplement on PCOD symptoms</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218863 Neighborhood Fast-food availability and Fast-food consumption among Households 2023-02-26T14:01:38+00:00 Karpagavalli. R Dr. Nanthini. T nandhinilecturer@gmail.com <div><strong>Background:</strong> Obesity is currently a major public health issue in all over the world. Food is important for survival. Consumption of fast foods has become almost a global phenomenon. India’s fast-food industry is expanding at the rate of 40% every year. India ranks 10th in the fast-food per capita spending with 2.1% of expenditure in annual total spending1. <strong>Aim:</strong> The aim of the study was to identify the level of knowledge, attitude and practice regarding Neighborhood fast food availability and fast-food consumption among households in selected urban area, in Puducherry”, to find out the correlation between knowledge and attitude regarding neighbourhood fast food availability and fast-food consumption among households and to find association of level of knowledge and attitude regarding neighbourhood fast food availability and fast-food consumption among households with selected demographic variables. <strong>Subjects and Methods:</strong> A descriptive cross sectional research was conducted among</div><div>50households in Lawspet area Puducherry, by convenience sampling technique, quantitative approach. Data was collected by using self-structured questionnaire developed by the investigator. Interview method was used to collect socio demographic data and to assess the level of knowledge, attitude and practice regarding Neighborhood fast food availability and fast-food consumption.<strong> Results:</strong> The study result shows that 50 households out of 34(68%) had moderate knowledge, 35(70%) had positive attitude, 21(42%) of them prefer favourite fast-food place is road side shop/restaurants, 2(40%) used to spend on fast food daily a average amount of above Rs.80 and 31(62%) were aware about fast foods through advertisement, social media and by the newspaper. <strong>Conclusion:</strong> The study concluded that households in urban area prefer fast food that there was a moderate knowledge, had positive attitude, eat fast food few times a month, favourite fast-food place prefer at road side shop/restaurants, Everyone spend Rs. 80/- on fast food daily aware about fast foods consumptions and In effect but prefer more fast food leads obesity. Community health nurse play effective role in teaching public about the effect of fast-food consumption and avoidance of fast foods. Researcher created</div><div>awareness to to avoid fast foods and fast-food consumption to all households by distributing pamphlets.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218865 A Comparative study on the Impact of Online and Offline Classes among the nursing students in selected colleges of nursing at Distt. Mandi (H.P). 2023-02-26T14:01:38+00:00 Shalini Pathania shalinipathania27@gmail.com Nisha Kumari Ankita Deeepankshi Diksha Divya Urvashi <div>Education is a process of receiving or giving systematic instruction especially at schools or university. It is the process of facilitating learning or the acquisition of knowledge, skills, value moral belief and personal development. Researcher conducted “A comparative study on the impact of online and offline classes among nursing students in selected college of nursing at district Mandi [H.P]. A quantitative research approach and comparative design was used to assess the impact of online and offline class among the nursing students. Total samples of study were 200 nursing students and convenience sampling technique was used to select the sample. A self-structured questionnaire was prepared to assess the impact of online and offline classes among nursing</div><div>students. The result of the study shows that 85% nursing students has average impact on online classes and 66% nursing student has good impact on offline classes. There was significant association between the score level and socio -demographic variables with type of previous medium. There is no significance association between the level of score and other demographic variables with any type of psychological health issue. The study concluded that online classes are better than offline classes.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218867 Assess the effectiveness of Planned Health Teaching Programme on Knowledge regarding Dengue fever and its Prevention 2023-02-26T14:01:38+00:00 Veena Rajput 1203veena@gmail.com <div><strong>Background of the study:</strong> The aim of the present study is to assess the effectiveness of planned health teaching programme (PHTP) on knowledge regarding dengue fever and its prevention”. Dengue is the most extensively spread mosquito-borne disease, that causes Haemorrhagic fever, a potentially lethal complication, was recognized during the 1950s and is today a leading cause of childhood mortality in several Asian countries. Dengue viruses are transmitted to humans through the bites of infective female Aedes mosquitoes.7 <strong>Objectives:</strong> ● To assess the pretested post-test knowledge regarding dengue fever and its prevention among the higher secondary student in selected govt. School at durg. ● To assess the effectiveness of planned teaching programme on knowledge regarding dengue fever and its prevention. <strong>Methods:</strong> Quasi experimental one group pre-test post-test design was adopted. A total of 60 samples were selected probability -simple random sampling technique after 7 th day of intervention post-test had conducted and the collected data was analyzed using descriptive and inferential statistics.<strong> Result:</strong> Evaluation of the effectiveness of planned teaching health</div><div>programme on knowledge regarding dengue fever and its prevention shows that The mean post-test knowledge score obtained was (16.78), mean % (55.93) were higher than the mean pre-test knowledge score (8.35), mean % (27.83), The calculated t- value 4.9, DF (59) is greater then table value 2.02 at the 0.05 level of significance.<strong> Interpretation and conclusion:</strong> Findings of the study showed that the knowledge score of the higher secondary students regarding dengue fever and its prevention was less before the introduction of PHTP. The PHTP</div><div>facilitated them to gain more knowledge regarding dengue fever and its prevention which was evident in posttest knowledge scores. Hence H1 is accepted which proves the effectiveness of planned health teaching programme regarding dengue fever and its prevention.<strong> Conclusion:</strong> The data were analyzed by applying descriptive and inferential statistics. The result of the study indicated that Higher secondary students 81.66% had poor knowledge before the intervention and after intervention there was 100% improvement in the knowledge and they gain good knowledge about dengue and its prevention. The findings of the present study showed that,</div><div>the posttest knowledge score was higher than the pre-test Knowledge score range. The hypothesis are proved and accepted.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218868 A Study to assess the menopausal problems among postmenopausal women residing in selected rural and urban areas of Jagadhri, Yamuna Nagar, Haryana 2023-02-26T14:01:38+00:00 Neelam Kumari neelamsheoran29@gmail.com Taruna Taruna <div>Menopause is one of the most crucial phase of women’s life and can be influenced by various socio demographical factors including age, educational status, age at menarche, smoking status etc. It is the permanent cessation of menstruation for at least 12 consecutive months. Women face lots of menopausal problems (physical, psychological, urogenital etc.) during postmenopausal phase. Thus, the present study mainly focuses on menopausal problems among postmenopausal women in selected rural and urban areas of Jagadhri, Yamuna</div><div>Nagar, Haryana. <strong>Objectives:</strong> To assess the menopausal problems among postmenopausal women and to find out the association between menopausal problems and demographic variables.<strong> Materials and Methods:</strong> A descriptive study design was adopted for the current study. The study was conducted at selected rural and urban areas at Jagadhri, Yamuna Nagar, Haryana. The non-probability convenient sampling technique was used. 100 menopausal women residing in selected rural and urban areas were recruited for the study. The study included</div><div>women who have attained menopause, who understand Hindi, English and designated language, who are residents of rural and urban areas of Jagadhri, Yamuna Nagar and the study excluded women who are not willing to participate and having any major medical disorder. Self-structured rating scale was used to assess the menopausal problems. Data was analyzed by using SPSS version 16. <strong>Results:</strong> The study findings show that, majority (59%) of respondents had mild menopausal problems, 41% had moderate menopausal problems and none of woman had severe menopausal problems. It is found that there is significant association between menopause attained and menopausal problems of respondents at 0.05 levels with chi square values (13.394) and p-value (0.000).<strong> Conclusion:</strong> It is concluded that most of the women were having mild menopausal problems. There is need to provide nursing education, health education programme and awareness to handle the menopausal problems and to ease the sufferings of women.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218869 Needle Sticks Injuries (NSIs) and Hepatitis B Vaccination status among Health Care Workers (HCWs) at Asia’s Largest Trauma Care Centre in Bengaluru 2023-02-26T14:01:38+00:00 Sachina B T sachinbanur@gmail.com Asima Banu S. Balaji Pai Shahid S Chidambara V N <div><div><strong>Background:</strong> Needle stick injuries (NSIs) are the most common workplace-related health hazards responsible for the transmission of blood-borne pathogens among the HCWs where safety measures have not already been established. Injuries mostly occur during needle recapping, operative procedures, blood sample collection, intravenous line administration and poor waste disposal practices. Following NSIs, more than 20 blood-borne pathogens can be transmitted through body fluids. However, the most common diseases that can be potentially</div></div><div>transmitted through body fluids are HIV, HBV, and HCV. Moreover, among the three important pathogens transmitted through NSIs, only HBV has an effective vaccine. The HBV vaccination coverage among HCWs has also been generally less, putting them at greater risk for HBV infections. This study aims to analyze the swing of voluntary reporting of NSIs among HCWs and also the HBV vaccination status among those HCWs reporting NSIs in our tertiary health-care center. <strong>Materials and Methods:</strong> A retrospective study was conducted between January 2018 and March 2020 at Asia’s Largest Trauma Care Centre in Bangalore. A standard proforma was filled by all HCWs reporting NSIs and a record of the same was maintained. Testing for HIV, hepatitis B virus surface antigen (HBsAg) and HCV was provided to the HCWs and also to the sources. HIV testing, HBsAg testing, and HCV testing were done by using rapid standard kits. All the tests were performed and interpreted according to the manufacturer's instructions. The testing for HIV 1 and 2 was done according to the National AIDS Control Organization Guidelines. The HCWs were tracked up to 6 weeks, 3 months, and 6 months for HIV and at 3 months and 6 months for HBV and HCV, consecutively after guidance, counseling and appropriate interventions. <strong>Results:</strong> A total of 34 incidents of NSIs were reported between January 2018 and March 2020 in that 11 were reported in 2018, 17 and 06 in 2019 and 2020 respectively. Majority of the HCWs 50 % had complete course of HBV vaccination, 41.17% had incomplete (1 or 2 doses) and 8.82% had not taken any course of HBV vaccination. <strong>Conclusion:</strong> The study disclosed that the collective prevalence of NSI among HCWs was high. The inadequate training of HCWs among the health care facilities might make HCWs more susceptible to injury. Therefore, the current study recommends the following measures to reduce NSIs - adequate training, simulation training to mimic everyday situations of junior staff, compulsory HBV vaccination for all the HCWs, System in place for reporting, adequate first aid facility and provision of safe working environment.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218924 A Study to assess the effectiveness of Video Assisted Teaching regarding the knowledge of Cardio Pulmonary Resuscitation among B.Sc. 2nd year students, Ambikapur, Chhattisgarh 2023-02-26T14:01:38+00:00 Pragya Singh singhpragya02031991@gmail.com <div><strong>Introduction</strong> Sudden death occur when heartbeat and breathing stop suddenly or unexpectedly. The major role pf CPR is to provide oxygen to heart, brain and the other vital organ until medical treatment (advance cardiac life support-ACLS) can restore normal heart action. <strong>Angela Morrow</strong> RN cardiopulmonary resuscitation (CPR) is a procedure used when a patient’s heart stops compressions of the chest or electrical shocks along with rescue breathing. <strong>Mosby Medical Dictionary</strong> CPR is basic emergency procedure for life support consisting of artificial and manual external cardiac massage. There were some techniques to keep people alive developed in the 18th century, both in Japan and in Europe, but it was well into the 20th century before Elam and Safar discovered and published the truly effective method known as CPR. Safar conducted research on existing basic life support procedure including controlling a person's breathing airway by tilting back his or her head with an open mouth; and using mouth to mouth breathing. He combined these with a procedure known as closed-chest cardiac massage to become and basic life support method of CPR. Safar also created the first guidelines for community- wide emergency medical Services, or EMS; he founded the International Resuscitation Research Centre at the University of Pittsburgh, which he directed until 1994; and he was nominated three times for a Nobel Prize. <strong>Method According to Polit and Hungler</strong> - purposive sampling is a type of non probability sampling method in which the Researcher select the subjects for the study on the basis of personal judgement about which one will be most representative or productive. Sampling is the process of selecting a portion of the population to represent the entire population. In which study the purposive sampling technique was used to collect the data from the available samples falling under inclusive criteria. <strong>Result and conclusion</strong> Pretest knowledge score among B.Sc. nursing 2nd year students of experimental group are 7(14%) having inadequate knowledge. 43 (86℅) having moderate knowledge and none of them are 0(0%) having adequate knowledge. With mean 9.64. mean percentage 15.68% and standard deviation 5.346 respectively. Post test knowledge score among B.Sc. nursing 2nd year student are having inadequate knowledge 2(4%) and B.Sc. nursing 2near student are having moderate knowledge 13(26%) and none of them are having adequate knowledge 35(70%).The B.Sc. nursing 2nd year student score mean of 17.06 mean percentage 44.12% and standard deviation 9.5628 in the level of knowledge assessment.Age of B.Sc. nursing 2nd year students 44% (22) are belongs to 18-19 year of age group 44% (22) B.Sc.2nd year student belongs to 20-21 years of age groups. Religion of B.Sc. nursing 2"year student reveals that 70% (35) B.Sc. nursing are belongs to Hindu religion and 28% (14) B.Sc. nursing 2nd year student belongs to Christian religion, and 2%(1) B.Sc. nursing 2nd year student belong to Muslim. A source of information reveals that 6% (3) B.Sc. nursing 2nd year students gain knowledge through magazine. 2% (1) B.Sc. nursing 2nd year students gain knowledge through newspaper, 18% (9) gain knowledge through T.V.,74% (35) gain knowledge through others. Shows the responses of B.Sc. nursing 2nd year students on structured knowledge questionnaire which is consist of 20 items and under four areas. This area comes under pre test knowledge. First areas mean  score is 3.1, mean percentage is 2.6, SD 1.3153. second areas mean score 1.22, mean percentage 2.44, SD 0.3450. third areas mean score1.64, mean 3.28. SD 0.0028. fourth areas mean score 3.68, mean 7.36, SD 3.6430, Overall pretest result are mean (9.64), mean (15.68), SD(5.3461). This area comes under post test knowledge. first areas mean score is 4.88, mean percentage is 9.76, SD 2.0705. second areas mean score 3.7, mean percentage 7.4, SD 1.0465. third areas mean score 1.98, mean 13.96, SD 0.0098. Fourth areas mean score 6.5. mean 13, SD 6436, Overall posttest result are mean (17.06), mean o. (44.I2), SD (9.5628). Difference mean % of the pre test and post test knowledge score are: - first areas mean %7 second areas mean % 4.96, third areas mean 10.68. Fourth areas 5.64 and overall difference mean % 28.28. Reveals that the mean pretest knowledge score was only 9.64 and the post test knowledge score was 17.06. SD 4.21, -paired t value 1.508 and table value 3.365. The paired 't' test was used to find out the effectiveness of between pretest and post test it's shows structured teaching programme on CPR was highly effective at the significance level P (t-1.508).</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218925 Effectiveness of Structured Teaching Program on Knowledge regarding Management of Hypoglycemia among people with Diabetes mellitus in selected rural areas 2023-02-26T14:01:38+00:00 Toijam Monika Devi monikatoijam347new@gmail.com <div><strong>Background:</strong> Diabetes Mellitus is a major health problem in the world. It is one of the most prevalent metabolic diseases which can lead to enormous medical as well as socioeconomic consequences. The main objective of the study is to assess the effectiveness of structured teaching programme regarding management of hypoglycaemia among people with diabetes mellitus.<strong> Materials and methods:</strong> pre experimental, one group pre- test and post test research design was used in this study. Study was conducted in selected rural areas. 60 peoples with diabetes mellitus were selected by using simple random sampling technique. Self structured questionnaire was developed to collect socio demographic data and knowledge on management of hypoglycaemia. <strong>Results:</strong> The finding of the study shown that in pre test majority 32(54%) had inadequate knowledge, 26(43%) had moderate knowledge and 2(3%) had adequate knowledge. Post test reveals that majority 36(60%) had adequate knowledge, 20(33%) had moderate knowledge and 4(7%) had inadequate knowledge. The mean score of pre test was (11±4.01) and post test mean score was (20±4.8), obtained ‘t’ value was 28.7. Chi square shown that there was no significant relationship between the post test levels of knowledge with their Age, Gender, Religion, Marital status, Educational status, Occupation, family income, Treatment of diabetes mellitus and any history of hypoglycemic attack.<strong>Conclusion:</strong> The study concluded that the level of knowledge was improved after administration of structured teaching programmed. Thus structured teaching programmed is an effective strategy which can help in improving the level of knowledge among people with diabetes mellitus.</div> 2022-12-01T00:00:00+00:00 https://www.i-scholar.in/index.php/Ijanm/article/view/218926 Impact of COVID-19 Pandemic Crisis on Education and Health System in India 2023-02-26T14:01:38+00:00 Priyanka A. Masih Gaurav Pratap Singh Manoj Kumar Sharma sharmamanoj3oct@gmail.com <div>Coronavirus has totally determined individuals lives of India just as rest of the world, absolutely in an alternate way. Consequently like different nations, India is likewise gravely upsetting now in a colossal manner like schooling thus called best wellbeing foundations absolutely influence the financial condition towards descending bearing of the present time and the future in a savage way. There is no closure till now to stop this pandemic and the entire world is confronting other COVID-19 repercussions for example pandemic emergency. Financially, India was at that point in an awful condition before beginning of this pandemic and now this emergency has caused increasingly more unfortunate circumstance for individuals. All individuals lives of both metropolitan and country territories are dangerous influenced by this pandemic emergency. Social separating and other security safety measure are not completely followed by individuals. Then again, this pandemic emergency has expanded the joblessness rate with nervousness and discouragement. In that circumstance, both government and general medical services area are fallen because of substantial COVID-19 patients. The previous actual homeroom framework is completely changed into online study hall framework and students (fundamentally in country areas) fell some trouble to receive this. This emergency creates another framework for work, called telecommute. In this section, we examine about some significant purposes of emergency in this pandemic circumstance in India.</div> 2022-12-01T00:00:00+00:00