International Journal of Nursing Education

Elsa Sanatombi Devi ¹, Shreemathi S. Mayya ², K. L. Bairy , Manu Mohan , A. Anjali , M. Aswathy , J. Jophy , S. Luan , M. Manu , J. Neethu , M. V. Shalabha , N. M. Shiyad , N. Vikas

Affiliations
1 Manipal University, Manipal, Karnataka, IN
2 Deptt. of Statistics, Manipal University, Manipal, IN

Abstract

A nurse who graduates from the student period is the one who is going to turn out to be a clinical nurse specialist, working in any setup to handle emergencies. But how far does the curriculum focuses on the very basic critical care to handle emergencies. It is well known fact that sudden cardiac arrest is the leading cause of death in the world and most of them die before reaching the hospital or in the emergency room. During such situations where time plays a crucial role in the recovery, even a second delay can further decline the chances of recovery. Hence is imperative to note, whether the student nurses are really competent to handle cardiac emergencies? The current scenario shows that nurses constitute the largest single group of health care professionals in any health care organization. The very nature of their work brings them closest to the population they serve. Due to their person to person interaction, Nurses are expected to be mainly responsible for the efficient and effective management of patient care services. More importantly, it must be ensured that they are adequately trained in terms of cardiac emergency drug management which is a crucial step in a patient's survival in cardiac emergencies. The present study emphasized on the existing knowledge and application skills on cardiac emergency drugs, which clearly showed that the students require further input into their knowledge and practice. Hence, errors in medications are made whether minor or major and even to the extent of losing a person's life. Therefore students' lack of complete knowledge and practice can have adverse impact on the quality of care and also threat to patient's life.

Keywords

Cardiac Emergency Drugs, Knowledge, Clinical Practice and Nursing Students.

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Pragya Sharma ¹, Elsa Sanatombi Devi ¹, T. Latha ¹, Ratna Prakash ¹, Sreemathi Mayya ¹

Affiliations
1 Department of Medical Surgical Nursing, Manipal College of Nursing Manipal University, Manipal, Karnataka, IN

Abstract

Assertiveness is an important behaviour for today's professional nurse. As nurses move away from traditional subservient roles and perceived stereotypes it is increasingly being recognized that a nurse needs to behave in an assertive manner. Assertiveness is necessary for effective nurse/patient communication, and it is suggested that its development may also aid the confidence of the profession as it develops. Assertive behaviour may be encouraged through educational methods. It is preferable that nurses receive this educational preparation during undergraduate programmes. Nurse educators have an important role in the development and implementation of assertiveness training/education programmes for undergraduate nursing students. In spite of all the developments, helping nurses develop a correct attitude towards assertiveness is a knotty task. The present study revealed that interactive session on Assertiveness was found to be effective as the mean post-test Assertiveness score (27.64) was higher than mean pre-test Assertiveness scores (19.72). The mean differences between pre-test and post-test were found to be statistically significant at p< 0.01 level of significance. (Mean difference 7.920, standard error of difference 1.25, 95% confidence interval 6.95 to 8.88, t = 16.31, p< 0.01). Significant association was found only in the areas of self perception of one's participation in extracurricular activities and marks obtained in second year. Majority, 81.33% of the students strongly agreed that the session had a good mix of activities and strongly agreed that the role plays done provided a useful experience and 41.33% stated they had passive- aggressive type of response pattern and session was found to be positively sensitizing the students towards Assertiveness in clinical milieu.

Keywords

Assertiveness, Nursing Students, Interactive Session, Perception Of Students, Clinical Milieu, Role Playing.

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K. P. Nora ¹, Elsa Sanatombi Devi ¹, Daisy Lobo ¹

Affiliations
1 Manipal College of Nursing, Manipal University, Manipal, Karnataka, IN

Abstract

No abstract

Keywords

Depressive Feeling, Institutionalized Homes/ Old Age Home, Living with Family Members, Elderly.

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K. Manu Mohan ¹, Elsa Sanatombi Devi ², Aswini Kumar Mohapatra ³, Rahul Magazine ³, Chirag A. Bhandare ⁴, A. Yashoda ⁵, K. L. Bairy ⁶, Sreemathi S. Mayya ⁷

Affiliations
1 Department of Pulmonary Medicine, KMC, Manipal University, Manipal, IN
2 MCON, Manipal University, Manipal, IN
3 Pulmonary Medicine department, KMC, Manipal University, Manipal, IN
4 Pulmonary Medicine Department, KMC, Manipal University, Manipal, IN
5 KMC, Pulmonary Medicine Department Manipal University, Manipal, IN
6 Kasturba Hospital, Manipal University, Manipal, IN
7 Department of Pharmacology, KMC, Manipal University, Manipal, IN
8 Department of Statistics, Manipal University, Manipal, IN

Abstract

Out of the 115 health care professionals who were randomly selected, it was observed that most 95.7 % had been exposed directly or indirectly to fumigation. Majority 61 (53%) had been working in area for more than 5 years. Most 95.7% of these staff carried out fumigation as part of their responsibility in their respective unit. Majority, 60 (52.5%) had been exposed to fumigation more than 16 times and more. It was also noticed that majority, 60% of them had respiratory symptoms - cough was reported by 73.9 %, eye irritation 53%, nasal symptom 22.6%, wheezing 13.9%, Breathlessness 12.2 % and skin irritation 6.1%. Of these 60 % who had respiratory symptoms amazingly only 9.6% had reported to their physician for medical help. This clearly indicates that chemicals used for fumigation causes respiratory symptoms minor or major in nature. It is also noted that health problems are being neglected and not reported for early management or change.

Keywords

Nursing Personnel, Ot Technician, Fumigation, Respiratory Symptoms.

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Elsa Sanatombi Devi , Ravindra Prabhu ¹, P. P. Bhanumathi ², Leena Sequiera ³, Sreemathi S. Mayya ⁴, K. L. Bairy ⁵, K. Manu Mohan ⁶

Affiliations
1 Nephrology Department KMC,, IN
2 Nursing Consultant, Koyli college of Nursing Kannur, Kerala, IN
3 MCON, IN
4 Department of statistics, IN
5 Pharmacology department KMC, IN
6 KMC Manipal, IN

Abstract

Effective nursing care requires identification of the needs of the patient and planning nursing care according to patient's needs. In the Indian context it is very much necessary to study the nursing care needs of patients undergoing hemodialysis even though enough literatures on nursing care protocol based on the nursing care needs of patients are available in countries like U.S.A. Interview carried out among 50 patients on their health problems while undergoing Hemodialysis were ranked so that priority care can be provided. Following the priority problems, a nursing process approach was developed, which has been used by nurses working in the dialysis unit while taking care of the clients. The study found that the nursing process approach was very effective and proved rational care of patients undergoing Hemodialysis as it could prevent the complications.

Keywords

Hemodialysis, Physical And Psychological Problems, Nursing Personnel, And Nursing Process Approach.

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Tsering Paldon ¹, Elsa Sanatombi Devi ², Flavia Castelino ²

Affiliations
1 Medicity the Medanta, Gurgaon, Haryana, IN
2 Manipal College of Nursing, Manipal, IN

Abstract

An intensive care unit is a specialized unit for monitoring the critically ill patients. However this environment is unsettling and frightening for the patients. The purpose of this study was to assess the stressors of the ICU patients and the nurses' perception of these stressors. A descriptive survey was undertaken and data was collected using structured questionnaires from a sample of 75 ICU patients and 75 nurses working in ICUs of Kasturba Hospital, Manipal. The top five stressors identified were: not being able to sleep, financial worries, not able to fulfill family responsibilities, being in pain, frequently being pricked by needles. The patients ranked the Physical Stressors the most stressful, followed by Psychological Stressors and Environmental Stressors. The nurses were able to perceive 4 out of top 5 stressors and also the Physical Stressors as the most important stressor of ICU patients. This shows that the nurses are aware of the fact that ICU is stressful for the patient and the different stressors affecting the patients. However the nurses' rating of the ICU patients' stressors was higher than that of the patients' stressors (59.53 vs 41.84). This shows that the nurses overemphasize the stressors of the ICU patients. The findings from this study provide a set of baseline information to the health care providers, with which to provide better care for the patients in ICU.

Keywords

Stressors of Icu Patients, Nurses' Perception, Intensive Care Unit

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