Asian Journal of Nursing Education and Research

Isha M. Aboobacker ¹

Affiliations
1 Assistant Professor, Department of Medical Surgical Nursing, MOSC College of Nursing, Kolenchery, IN

Abstract

Aim: A descriptive study was conducted to assess the level of stress and coping among family caregivers of patients with myocardial infarction in selected hospitals. Background: Self-care management of myocardial infarction is complex and demanding. Therefore, many patients with heart diseases rely on family members to provide care, such as medication administration, symptom monitoring and management, meal preparation, bathing, and transportation. Family caregivers experience various levels of stress and may seek different strategies to cope with the stress. Influence of stress on the level of coping experienced by the caregivers would help to evaluate and plan effective programmes that address their needs and teach them adaptive mechanism of coping. Methods: A descriptive correlational research design with purposive sampling technique was used to collect data from family caregivers. The study was conducted among100 family caregivers of patients with myocardial infarction for a period of one month. Data was collected by using standardized tools, Appraisal of caregiving scale and Ways of coping scales. Data was analyzed using descriptive and inferential statistics. Results: Two third of the subjects (62) had severe stress and minority (38) had moderate stress on “threat subscale”. Majority of the subjects (90) experienced severe stress on “benign subscale”. More than half of subjects (59) had moderate stress on “benefit subscale”. The coping scores showed that majority of subjects had poor coping in “distancing”(76), “self controlling”(81), “accept responsibility”(98) and “escape Avoidance” (77) subscales, whereas least number of subjects had good coping on “distancing” (7), “seek social support” (7) and “planful problem solving” (10) subscales. A negative correlation exist between the subscales of stress and coping. The “threat subscale” of stress was significantly and negatively correlated with “distancing”(r =-0.335), “self controlling” (r = -0.352), “seek social support” (r =-0.415), “accept responsibility” (r= -0.254), “escape avoidance” (r = -0.298), “planful problem solving” (r =-0.348), and “positive reappraisal” (r =-0.393) subscales of coping. The “benign subscale” of stress was significantly and low negatively correlated with “distancing” (r = -0.234), “self controlling” ( r = 0.245), “seek social support” (r =-0.272), “accept responsibility” (r = -0.272), “escape avoidance” (r = -0.342), “planful problem solving” (r = -0.221) and “positive reappraisal” (r = -0.331) subscales of coping. The “benefit subscale” of stress was Correlated with “distancing” (r = -0.335), “self controlling” (r= -0.323), and “accept responsibility” (r = -0.253) subscales of coping. Conclusion: Findings of the study showed that, family caregivers of patients with myocardial infarction had severe to moderate stress on subscale of stress. Caregiver uses various copying strategies in order to cope up with the stresses of caregiving. A significant negative correlation exists between level of stress and coping among family caregivers of patients with myocardial infarction.

Keywords

Stress, Coping, Family Caregivers, Myocardial Infarction.

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Namitha Subrahmanyam ¹, Isha M. Aboobacker ², Susan Mathai ³

Affiliations
1 Professor, Department of Obstetrics and Gynaecological Nursing, MOSC College of Nursing, Kolenchery, IN
2 Assistant Professor, Department of Medical Surgical Nursing, MOSC College of Nursing, Kolenchery, IN
3 Associate Professor, Department of Medical Surgical Nursing, MOSC College of Nursing, Kolenchery, IN

Abstract

Introduction: The provision of safer and higher quality care is emphasized for nursing professionals. The purpose of this study was to identify the attitude towards patient safety policies among nursing students, to find the association of patient safety competence score with selected variables of students and to compare the patient safety competence of nursing students in classroom and clinical setting. Methods: A descriptive study was conducted among two self financing colleges of Kerala. 332 nursing students aged between 16 to 22 years were selected by convenient sampling technique. Health Professional Education in Patient Safety Survey (H-PEPSS) was used to collect data on patient safety competence. Attitude towards patient safety policy was measured using structured attitude scale on patient safety policies. Results: Student nurses’ theoretical competence patient safety was significantly higher 22(18,25) (p<0.001) than clinical competence 21(17,24). Hospital incident report was considered as the final step for correction of error by 78.61% of the respondents and only (29.52%) agreed with the statements expressing a view that non-punitive response to error is crucial to overall patient safety. Theoretical competence on patient safety was associated with course of study (p=0.007) and year of study (p=0.007) whereas year of study (p=0.041) and clinical experience provided in the course (p=0.004) were the significant factors associated with clinical competence on patient safety among student nurses. Conclusion: The findings showed that significant lacunae exist between clinical and theory competence with regard to patient safety among nursing students. The perception on safety communication and reporting also varied among different dimensions. This findings suggest a need to sensitize students regarding patient safety policies.

Keywords

Patient Safety Competence, Attitude, Patient Safety Policies, Nursing Students.

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