Open Access Systematic Review Article

Self-Care Practices among Children and Adolescents with Diabetes: An Integrative Review

Ruth Nimota Nukpezah, Waliu Jawula Salisu, Abdul Razak Doat

Asian Journal of Research in Nursing and Health, Page 37-54

Background: Self-care is vital in the management of diabetes since it helps to prevent complications. A systematic review on Self-care Practices among children and adolescents with Diabetes at the nation-wide level has not been investigated.

Aim: This study aims to synthesise studies related to the practices of diabetes self-care among young children and adolescents.

Methods: PubMed/MEDLINE, Google Scholar databases and Science Direct Journal lists were searched and yielded a total of 19 articles that were used in this integrative literature review. The Medical Subject Headings (MeSH), such as Diabetes, Self-care, Young Children, Adolescents, and Parents were used to identify studies conducted among children and adolescents and published in the English language from 2017 through to 2021. The checklist for Preferred Reporting Items for Systematic Reviews and Meta‐Analysis (PRISMA) was followed to present the findings.

Results: Some review study participants struggled with self-care due to emotional disturbances in the diabetic child, these experiences included the child feeling different, the child experiencing distraction in everyday activities and the school staff's lack of education and inattention.

In the same vein, there was the transformative process of improvement of information in the social surroundings as the child/adolescents and their families tried to figure out how to cope with the complex environment. We identified two major categories of diabetes self-care practice based on self-care reported practices: "hurdles to diabetes self-Care practices" and "enablers to diabetes self-Care practices".

Conclusions: To improve adherence to recommended self-care practice in children and adolescents with type 1 diabetes (T1D), health care practitioners can help enhance the enablers to diabetic self-care habits by arguing to policymakers on the necessity for the development of effective solutions for the challenges that this unique group faces.

Open Access Original Research Article

Nurses’ Assessment of Family Presence during Resuscitation of Patients: A Study at Komfo Anokye Teaching Hospital, Ghana

Thomas. A. Asafo Adjei, Albert Opoku, Gladys Dzansi

Asian Journal of Research in Nursing and Health, Page 1-17

Introduction: Family presence during resuscitation (FPDR) is supported by multiple professional organizations as a means of implementing family-centered care during life-threatening situations. Patient- and Family-centered care is central to professional nursing practice.

Objective: This study sought to assess nurses’ attitude, practice and the factors that influence family presence during resuscitation (FPDR) of patient in emergency care in Komfo Anokye Teaching Hospital (KATH).  And recommend protocol for its implementation in order to suit this current era of ensuring family centered and holistic care.

Methodology: The study was a descriptive with quantitative approach conducted between May to September, 2018. Convenient sampling method was used to select a sample 103 nurses who works at the emergency and accident department of KATH. Data was analyzed with the use of SPSS version 16 statistical package.

Result and Findings: From the study a few number of the respondents 23 (22%) has never had resuscitation in the presence of family during Cardiopulmonary Resuscitation (CPR). About, 70% of respondents would want to be present during resuscitation of a close family member, and 65% of the respondents will want family member to be present if they were being resuscitated.

Among factors influencing FPDR were found to include; FPDR pose threat to the confidentiality of patients’ information (54%), make healthcare workers more liable to malpractice suits during invasive procedures (55%) and resuscitations (52%). Again, nurses believe family presence will neither disrupt the organization of the resuscitation nor create emotionally difficult during resuscitation except in invasive procedures were nurses believe that it will make family members anxious. The practice of FPDR is high among nurse as majority of respondents (78%) have practiced family presence during resuscitation before.

Conclusion: It was concluded that the behavior of nurses toward FPDR is very encouraging. Besides invasive procedures where nurse believe could be traumatic to patient’s relative, nurses are willing to practice FPDR. Factors revealed in the study to influence the practice of FPDR is perceived stress to family members, invasive procedure resuscitation and possible malpractice suits.

Open Access Original Research Article

Impact of Structured Training Programme on Attention Deficit Hyperactivity Disorder among Nursing Officers from Selected Hospitals of Rajasthan, India

Rahul Sharma

Asian Journal of Research in Nursing and Health, Page 55-63

Introduction: It is a most common disorder in childhood and adulthood were characterized through deficit in attention, concentration and impulse control that is found children is having problems but not identify the disease due to lack of knowledge regarding attention deficit hyperactivity disorder. Excessive psychomotor activity that is influence children brain development and intellectual functioning. This activity may be purposeful or aimless with through physical movement and verbal utterances or auditory communications that are usually more rapid or normal and children are having speaking, or language problem. Inattention, impulsivity and distractibility problem are found more common accompanied by hyperactive behaviour.

Research Objectives: The purpose of this study is to impart and evaluate the knowledge amongst the nursing officers regarding the attention deficit hyperactivity disorder in the hospitals of Rajasthan. The aim of this study was to identify the knowledge level, administer the structure teaching programme and to evaluate the effectiveness of STP amongst the nursing officers regarding the attention deficit hyperactivity disorder in the clinical practice.

Materials and Methods: A qualitative and quantitative approach was used for the study. One group (True experimental study) pre-test post-test design was used for the study. The sample consisted of 300 nursing officers selected by non-randomized purposive sampling technique. Main study was conducted in the selected Hospital of Rajasthan, according to inclusive and exclusive criteria.  We obtain the consent form through the hospital to conduct the study in the selected hospitals, where we are obtain prior sign consent form for this study. Research scholar collect the data according to the hospital administration and recognize the samples and given the questionnaire to the nursing officers for assessing the knowledge regarding attention deficit hyperactivity disorder. We are given the structured teaching program for the nursing officers after that knowledge, we taken the post-test after the seven days of where given the knowledge. Where is research scholar are analyzed the data and using descriptive and inferential statistics (Paired’ test, chi-square test, Karl Pearson’s correlation).

Results and Discussion: The result finding of this study that after the post-test we assess the knowledge of nursing officers regarding attention deficit hyperactivity disorder and finding that some nursing officers have increase the knowledge significantly according to the explore of structured teaching program show that this study was effective for the nursing officers.

The pre test average score was 13.34 with standard deviation of 3.3. The post test average score was 18.83 with standard deviation of 3.57. The test statistics value of the paired t test was 31.68 with p value 0.000. Show that there was significant difference in the average knowledge score, at 5% level ofsignificance.For this study, result inference that structured teaching program was effective and improves the knowledge for the nursing officers regarding attention deficit hyperactivity disorder at selected hospitals of Rajasthan. These studies is providing the benefit for the nursing officers and improve the nursing care services and maintain the higher standard of nursing and quality that will be beneficial for the nursing officers as well as for the patient.

Conclusion: We improve the knowledge of nursing officers from the training program that was effective to improve the knowledge and maintain the nursing service accuracy and all aspect regarding the disease. This is beneficial for the in-service education program for the nursing officers.

Open Access Original Research Article

Assessment of Knowledge on Health Care Waste Management among Health Care Professionals

Premalatha Paulsamy, Shadia Hamoud Alshahrani, Krishnaraju Venkatesan, Pranave Sethuraj, Absar Ahmed Qureshi

Asian Journal of Research in Nursing and Health, Page 64-67

Medical waste is contagious and potentially dangerous. It causes substantial health risks to the environment and requires special treatment and care before being disposed of. With an ever-increasing number of hospitals, clinics, and diagnostic laboratories, the problem is getting worse. The goal of this study was to see how well health workers in a tertiary care hospital knew about health care waste management (HWM). Sixty health care professionals (HCPs), including nurses, pharmacists, lab technicians, and non-medical health workers, were chosen using a purposive sampling technique. The researchers created a self-administered questionnaire based on the WHO guide on the health care waste management protocol. Nurses had the most expertise of biomedical waste management (64.58%), followed by lab technicians (46.41%), and non-medical health workers had the least (38.73%). Colour coding awareness was the greatest with the features among the survey participants. At p =0.05, the amount of understanding of health-care waste management was highly associated to profession, level of education, and receiving health-care waste management training. The study suggests that healthcare professionals, particularly nursing personnel, require ongoing training, which should be made mandatory.

Open Access Review Article

Strategies for Stress Management among Paediatric Nurses in Oncology/Haematology Settings: A Systematic Review

Nahid Dehghan Nayeri, Ruth Nukpezah Nimota, Frank Kiwanuka

Asian Journal of Research in Nursing and Health, Page 18-36

Background: Paediatric oncology nurses are at risk of workplace stress. Previous systematic reviews have assessed interventions to manage general nurses stress levels, but no systematic review has been conducted on strategies for stress management among paediatric oncology nurses.

Aim: This study aims to Systematically review the methods used for stress management among pediatric oncology nurses.

Methods: A search was conducted in two academic health sciences databases (PubMed and Google scholar) and also Science-direct Journal article List. Methodological features were described using the PRISMA Statement checklists. The Joanna Briggs Institute’s (JBI) critical appraisal tools were used for quality evaluation. And Inductive content analysis for synthesizing data.

Results: Eighteen studies met the inclusion criteria and were analyzed for scientific rigour. The commonest research design was the quasi-experimental design. The contents and methods of the stress management approach varied across studies. It included: On-the-job mindfulness-based interventions, self-care retreat, Pediatric narrative oncology interprofessional training to: promote empathy, build teams, and prevent burnout; Wellness Program to support spiritual well-being. Others included: Peer-supported storytelling and moral distress control which was provided by an ethics consultation team. These stress reduction strategies identified were categorised into: (i) Personnel Support interventions (11 studies) and (ii) team support interventions (7 studies). Issues identified include scarcity of randomized controlled trials and scarcity of investigations to reduce oncology nurses’ stress.

Conclusions: The evidence showed a relevant reduction in stress levels from the Personnel Support interventions and team support interventions. Large-scale, well-designed randomized controlled trials on stress interventions among oncology nurses are strongly advised. This finding could also result in more proactive stress management policies in oncology health care settings.