Journal of Integrative Nursing

Level of stress among nurses and their adopted coping strategies

Alijungla JAMIR, Angouziia Lily PIKU, Boli Vihoyi ZHIMOMI, Christie KOYU, Diana CHOREI, Deimaia Emi LYNGDOH, Bendangmenla AO

2023, 5(3): 161-166. doi: 10.4103/jin.jin_59_23

Abstract ( 11 )

PDF (713KB) ( 5 )

Related Articles | Metrics

Objectives:

This study was aimed at identifying the nurse’s level of stress and the coping mechanism adopted by them.

Materials and Methods:

A descriptive study was done to assess the level of stress and the coping strategies adopted by the nurses in a secondary hospital in North East India, Nagaland. A total enumerative sampling technique was used to select 94 samples for the study. The Nursing stress scale (NSS) by Gray-Toft and Anderson 1981 was used to assess stress, and the Ways of Coping Questionnaire was used.

Results:

Of 94 samples, 68 (72.34%) had a mild level of stress, 25 (26.59%) had a moderate level of stress, and only 1 (0.06%) had a severe level of stress. Thirty-one (32.97%) used minimal coping strategies, and 63 (67.02%) used moderate coping strategies. There was no significant association between the stress level and selected demographic variables such as age, marital status, and years of experience (all P > 0.05). A significant association was found between the stresses of nurses and qualification of nurses (χ² = 4.10, P = 0.04).

Conclusion:

The study reveals that most nurses had mild levels of stress. Most nurses use moderate coping strategies to relieve their stressors at work. Thus, there is a need to emphasize the importance of using effective coping strategies for nurses to alleviate their stresses and anxiety in their workplace and even in their personal lives.

Effectiveness of lukewarm water compress on reduction of breast pain and breast engorgement among post-cesarean section mothers

Soni CHAUHAN, Kumari NUTAN, Monica AGRAWAL, Surya Kant TIWARI

2023, 5(3): 167-172. doi:10.4103/jin.jin_25_23

Abstract ( 31 )

PDF (570KB) ( 1 )

Related Articles | Metrics

Objective:

The study aimed to assess the effectiveness of lukewarm water compress on breast pain and breast engorgement among post-cesarean primiparous mothers.

Materials and Methods:

This quasi-experimental posttest-only design was conducted with 60 post-cesarean section primiparous mothers between October 2018 and January 2019. A simple random sampling technique was used to allocate 30 participants to both experimental and control groups. The experimental group received lukewarm water compress using a sponge cloth for 20 min twice a day on the second, third, and fourth postnatal days. The control group received routine hospital care. Breast pain and engorgement were assessed using the Visual Analog Pain Scale and Breast Engorgement Assessment Scale on the third, fourth, and fifth postnatal days.

Results:

Significant differences were observed between the experimental and control groups on day 1 and day 3 in terms of breast pain and engorgement scores among post-cesarean section mothers (P < 0.001). In addition, no statistically significant differences were found between sociodemographic and breastfeeding parameters and breast pain and engorgement (P > 0.05).

Conclusion:

Lukewarm water compress is effective in reducing breast pain and engorgement in post-cesarean primiparous mothers. Future research can include randomized controlled trials to evaluate the effectiveness of different therapies in treating breast pain and engorgement.

Validation of short version of evidence-based practice instruments among nurses in clinical practice: Evidence-based practice beliefs, implementation, and organizational culture

Easter Chukwudi OSUCHUKWU, Chinwe Florence EZERUIGBO

2023, 5(3): 173-178. doi:10.4103/jin.jin_67_23

Abstract ( 26 )

PDF (564KB) ( 1 )

Related Articles | Metrics

Objective:

The objective of the study is to validate the short version of evidence-based practice (EBP) instruments among nurses in clinical practice.

Methods:

An institutional-based cross-sectional research design was used and a stratified sampling technique to select 285 nurse clinicians. The study utilized a structured questionnaire comprising of demographic data from the participants and three validated scales: the shortened versions of the EBP Beliefs Scale, the EBP Implementation Scale, and the Organizational Culture and Readiness for System-Wide Integration of Evidence-Based Practice (OCRSIEP) survey. With the use of descriptive statistics, the data were analyzed and presented in frequencies and percentages, while inter-item correlation coefficient (ICC) and the Kaiser-Meyer–Olkin measure of sampling adequacy were used to confirm the validity of using factor analysis.

Results:

Findings revealed the mean scores of the EBP Beliefs Scale ranged from 1.50 to 1.61, EBP Implementation Scale ranged from 1.84 to 1.94, and the OCRSIEP Scale ranged from 1.93 to 2.19. All the three shortened scales accordingly had good internal reliability, 29.30 ± 9.93 out of 80 for the EBP Beliefs Scale, 19.56 ± 7.37 out of 72 for the EBP Implementation Scale, and 66.32 ± 20.35 out of 125 for the OCRSIEP Scale.

Conclusion:

This study has generated a valid Short Version of EBP reliable instrument that is psychometrically robust that can be used by nurses and clinicians to evaluate EBP in clinical settings since the results presented as a whole confirmed the high reliability and factorial validity.

Alvin Duke R. SY, Ma. Krisstella D. GONZALES, Rachel Camille C. RODRIGUEZ

2023, 5(3): 179-187. doi:10.4103/jin.jin_7_23

Abstract ( 21 )

PDF (563KB) ( 4 )

Related Articles | Metrics

Objective:

The objective of the study is to describe the work-related quality of life (WRQOL) among nurses and explore its association with performance evaluation ratings.

Methods:

A cross-sectional design was utilized measuring the WRQOL scale and the previous performance appraisal rating. Multistage sampling approach was utilized with nurses stratified based on their position and then systematically random sampled based on their unit assignment.

Results:

One hundred and eighty-two nurses were included. About half reported a high quality of work life (101; 55.5%). Low scores were noted on the subscale working conditions (100; 54.9%), low to average responses for home-work interface (109; 59.9%), control at work (100; 54.9%), and stress at work (90; 49.5%). A higher proportion of nurses reported positive responses toward the areas of general well-being (113; 62.1%) and job-career satisfaction (112; 61.5%), than in the other subscales. There were notable differences between WRQOL ratings: (1) Head nurses had the highest perceived quality of work life, followed by nurse supervisors and charge nurses (F = 6.1, P < 0.01) and (2) Nurses in the pay-patient services reported lower quality of working life, while those in office and outpatient services had more positive scores (F = 4.6, P < 0.01).

Conclusion:

Only more than half of the nurses reported a high quality of work life, some of its dimensions, particularly job and career satisfaction and working conditions, appeared to vary in the perceived degree across years in service, work hours, and position. The assessment of the quality of work life may serve as an important tool to address staff burnout, absenteeism and other issues that affect job performance among health-care professionals.

Telehealth utilization among Egyptian population and health institutional readiness: An exploratory study

Basma Mohamed OSMAN, Maaly Zayed MOAMED, Shaimaa Ali Mohamed ISMAIL, Lamiaa Saad Abd ALLAH, Marwa Mamdouh SHABAN

2023, 5(3): 188-196. doi:10.4103/jin.jin_37_23

Abstract ( 20 )

PDF (609KB) ( 2 )

Related Articles | Metrics

Objective:

This study aimed to assess the public’s perspectives and the health institutions’ readiness for telehealth utilization in Egypt.

Methods:

A cross-sectional study design was employed, and data were collected from a convenient sample of 800 Egyptian citizens and 26 nursing administrators and information technology personnel from 16 governmental hospitals and 10 private hospitals between January and March 2022. The Egyptian community utilization of telehealth questionnaire and the telemedicine hospital readiness assessment were used to collect the data.

Results:

The results revealed that 35.1% of the general Egyptian population used telehealth services and 43% expressed willingness to use them in future. As perceived by the general Egyptian population, the most prevalent barriers to telehealth utilization were communication barriers (97.6%), lack of confidence in health professionals (77.6%), technological limitations (72.5%), the need for physical examination (25%), and privacy concerns (10%). Regarding hospital readiness, 42% of governmental hospitals were not taking any initiative to implement telehealth services, and 15.4% were at the beginner level, meaning that some steps had been taken. However, the hospital was still far from being able to implement telehealth services. In contrast, private hospitals were either at the beginner or advanced level.

Conclusion:

Although the use of telehealth services in Egypt has increased, there is a need to address the barriers to public utilization and improve hospitals’ readiness to implement telehealth services to enhance public usage.

Latent tuberculosis infection in health‑care workers in the government sector in Brunei Darussalam: A cross‑sectional study

Nurin Jazmina Muhammad SYAFIQ, Ashishkumar Akshaykumar TRIVEDI, Alice LAI, Maria Pureza Aurelio FONTELERA, Mei Ann LIM

2023, 5(3): 197-202. doi:10.4103/jin.jin_18_23

Abstract ( 13 )

PDF (539KB) ( 1 )

Related Articles | Metrics

Objective:

Health-care workers (HCWs) are known to be at high risk for occupational biological hazards, and this includes exposure to mycobacterium tuberculosis (TB) which can result in either active or latent TB infection (LTBI). This study aims to provide an overview of the incidence of LTBI among HCWs in Brunei Darussalam, to examine associated risk factors, and to evaluate LTBI treatment compliance.

Materials and Methods:

This is a retrospective cross-sectional study which was conducted using data from January 2018 to December 2021, on notified cases of LTBI in HCWs which identified 115 cases. Demographic data, underlying medical conditions, and compliance to treatment were assessed through reviews of their electronic health records.

Results:

The incidence of LBTI was 14.6/year/1000 HCWs. The incidence rate reached a high of 24.6/1000 in 2020, and majority of cases were in the older age groups. There was good treatment acceptance and compliance (82.6%), and this was observed to be significantly higher in females than males (P = 0.02).

Conclusion:

This study showed an average incidence of LTBI of 14.6/1000 HCWs over 4 years and high LTBI treatment acceptance (82.6%) and compliance. Emphasis on infection prevention and control measures in health-care settings and actions to increase awareness of LTBI are crucial interventions toward reducing the burden of LTBI.

Postoperative pain assessment and management among nurses in selected hospitals in Benin City, Edo State, Nigeria

Timothy Aghogho EHWARIEME, Uzezi JOSIAH, Oluwaseun Oluwafunmilayo ABIODUN

2023, 5(3): 203-209. doi:10.4103/jin.jin_54_23

Abstract ( 16 )

PDF (661KB) ( 1 )

Related Articles | Metrics

Objective:

This study was designed to determine the nurse assessment of postoperative pain and its management in selected hospitals, Benin City, Edo State, Nigeria.

Materials and Methods:

A descriptive cross-sectional survey was adopted. The target population consist of 222 purposely nurses who are in the cadre of nursing officer II to chief nursing officer who works in the various surgical wards/units of the selected health facilities. The data were collected from the participants using the pretested structured questionnaire developed by the researcher.

Results:

Results showed that 66.2% of nurses had a poor level of knowledge on postoperative pain assessment. The McGill Pain Questionnaire was the most used pain assessment tool with a mean score of 2.84 whereas the Dallas Pain Questionnaire was the least used with a mean score of 1.90. “Providing clean, calm, and well-ventilated ward environment” (3.69 ± 0.61) was the most used nonpharmacological method for postoperative pain management, followed by “distraction, relaxation, and guided imagery” (3.52 ± 0.50), “dressing, bandage, splint, and reinforce wound sites postoperatively” (3.39 ± 0.54), and “early ambulation/exercise” (3.20 ± 0.62). The most used pharmacological interventions were “acetaminophen” (3.63 ± 0.55), “topical anesthetic” (2.92 ± 0.62), “nonselective nonsteroidal anti-inflammatory drugs” (2.87 ± 0.43), and “mixed opioid agonist–antagonist” (2.56 ± 0.56).

Conclusion:

There is a poor level of knowledge on postoperative pain assessment among nurses in this study setting. It is, therefore, pertinent for hospitals to organize continuous in-service training for postoperative pain assessment and management, especially on nonpharmacological approaches among nurses.

Assessment of nurses’ knowledge of the prevention of hospital‑associated venous thromboembolism in a tertiary health institution in Nigeria

Patricia Obiajulu ONIANWA, Folashade Omobisi Mary AKANBI, Mary Oyenike AYORINDE, Oluwatosin Esther JOHN, Olufunke Olabisi ARE, Ogonna Eze OJERINDE, Sariyat Yetunde ALAKA

2023, 5(3): 210-215. doi:10.4103/jin.jin_10_23

Abstract ( 15 )

PDF (544KB) ( 2 )

Related Articles | Metrics

Objective:

This study assessed the level of nurses’ knowledge of the prevention of venous thromboembolism (VTE) in a tertiary health institution.

Materials and Methods:

This descriptive cross-sectional study was conducted with 328 eligible respondents, selected using a random sampling method in a teaching hospital in Nigeria. A self-administered structured questionnaire was used to collect data on the basic knowledge, risk factors, and preventive measures of VTE.

Results:

Findings from the study revealed that 51.2% scored above the mean score of 28.6 ± 3.1. The educational status of the respondents had a significant influence on their knowledge of risk factors of VTE (F = 4.696, P = 0.031).

Conclusion:

The overall knowledge of nurses is satisfactory, although the majority could not answer correctly questions on the administration of prefilled anticoagulants and identification of some key risk factors of VTE.

Herbs and management of hypertension: Claims, criticism, and challenges

Oluwakemi Elizabeth ADEOLA, Oluwaseyi Abiodun AKPOR, Oghenerobor Benjamin AKPOR, Modupe Motunrayo ADAMOLEKUN, Olusola Bolaji ADEWALE

2023, 5(3): 216-222. doi:10.4103/jin.jin_86_22

Abstract ( 12 )

PDF (520KB) ( 2 )

Related Articles | Metrics

Hypertension (HTN) is one of the most common chronic diseases affecting over 30% of the adult population globally, with a growing incidence rate. This article aims to identify the commonly used herbs for HTN treatment and examine their claims, criticisms, and challenges. It further aims to provide useful recommendations regarding the use of herbs for HTN treatment. HTN complications, such as coronary heart disease, stroke, peripheral vascular disease, vision impairment, and renal failure can result in morbidity and mortality. The high cost of conventional medications, which sometimes may not even be available or easily accessible with their unfavorable side effects as well as taking more than one pill per day, has led hypertensive patients, particularly those in rural areas, to explore alternative treatments such as herbal therapies. It is crucial to determine the different modes of action, doses, safety, and efficacy of herbal remedies used in combination with conventional medications to improve treatment adherence and enhance patient outcomes.

Technical operation specification for pricking–cupping therapy

Jiaji LI, Jingjin XU, Jing ZHANG, Ling TANG, Hong CHEN, Ye LI

2023, 5(3): 223-227. doi:10.4103/jin.jin_79_23

Abstract ( 17 )

PDF (464KB) ( 1 )

Related Articles | Metrics

Pricking–cupping therapy is a Traditional Chinese Medicine (TCM) nursing technology that can adjust the viscera of the human body, make the meridians smooth, and Yin and Yang balanced mainly by means of relieving heat and detoxification, harmonizing Qi and blood, promoting blood circulation and removing blood stasis, dredging meridians and activating collaterals, reducing swelling and pain, purging heat and calming shock, clearing heat, and opening orifices. Pricking–cupping therapy has a long history and wide application. After thousands of years of development, it has made great progress. They are widely used to treat lumbar disc herniation, herpes zoster, acute arthritis, migraine, and other diseases in China. Through the clinical practice and theoretical exploration of physicians of past dynasties, the therapeutic mechanism and application scope of pricking–cupping therapy have been greatly enriched. Modern TCM practitioners have conducted in-depth researches on the operation norms of the therapy on the basis of the ancients, hoping to grasp the essence of the disease more accurately and make the rational use of the operation technology of the therapy.

Operating procedures of moxibustion technology

Yali WANG, Ling TANG, E. HAIYAN, Yongchun WEI, Jing JIANG, Yuxia DONG

2023, 5(3): 228-233. doi:10.4103/jin.jin_57_23

Abstract ( 19 )

PDF (512KB) ( 4 )

Related Articles | Metrics

Moxibustion therapy is a treatment and health-care method that originated from China. It is a kind of therapy for preventing and treating diseases by stimulating meridians and acupoints using heat to regulate the viscera and enhance immunity. This article introduces the definition and mechanism of moxibustion technology, clinical operation technics, and precautions of moxibustion in practice, and demonstrates plenty of iconic cases of application of moxibustion in the treatment of insomnia, dysmenorrhea, urinary retention, knee arthritis, chronic eczema, etc., so as to provide a reference for the wide application of moxibustion technology.