Researcher Collab
Innovation in Nursing; Nurse Practitioner in Midwifery(NPM)-The Future of Indian Nursing

Nursing innovation is a fundamental source of progress for health care systems around the world. According to a report by ICN (2009), innovation in nursing applications is extremely important for improving health, preventing diseases, describing and avoiding risk factors, developing healthy life standard attitudes because innovation helps updated knowledge, method and services be invented and discovered by the institutions. Innovation starts with a good idea, but it is much more than that. It also refers to the process of turning that good idea into something that can be used, something that is implementable and achievable, and hopefully, will bring about better health promotion, disease prevention and better patient care [4]. Considering the necessity for trained human resources to give quality care to 30 million pregnancies each year in India and at a similar time recognizing the challenges earlier, Government of India has proposed an alternate model of service provision for strengthening reproductive, maternal and neonatal health services by nurse practitioners in midwifery through Midwife Led Care Units (MLCUs). The ‘Guidelines on Midwifery Services in India’ set transformative change must be at the center of midwifery education. The ‘Midwifery Services Initiative’ aims to create a new cadre of midwives titled “Nurse Practitioner in Midwifery” (NPM) who are skilled in accordance with ICM competencies, knowledgeable and capable of providing compassionate women centered, reproductive, maternal and new-born health services (RMNCH) and to develop an enabling environment for integration of this cadre into the general public health system so as to achieve the SDGs for maternal and new-born health (MoHFW, 2018). The Nurse Practitioner in Midwifery (NPM) will be responsible for promotion of health of women throughout their life cycle, with special focus on women during their childbearing years and their new-born's. She will be responsible for providing respectful maternity care during preconception, pregnancy, childbirth, and post-natal period including the care of new born. Introduction of NPM will help to strengthen our health work force, and will go a long way in addressing the country’s core need of strengthening human resources for health, and it will empower the nurse practitioner in midwifery as leaders, in tandem with the global movement of role expansion and empowerment of nurse midwives.

Authors: M Justin Jaspher, K Kavichelvi, Kavichelvi K
Publish Year: 2021
A Comparative Study to Assess the Nutritional Status of Urban and Rural Pre-school Children

Background of the Study: Stunting, wasting, and underweight are the important nutritional status indicators for children. “While stunting is caused by long-term insufficient nutrient intake and repeated infections, wasting is a result of acute food shortage and illness. Wasting, on the other hand, is a strong predictor of mortality and requires urgent response. Underweight combines information about linear growth obstruction and weight for length/height” [7]. Understanding differences in the determinants of childhood malnutrition between urban and rural areas is important to design appropriate, relevant program and policy implementation. Aims & Objectives: The aim of the study is to assess and compare the prevalence of underweight, stunting and wasting among pre-school children in rural and urban area. Methodology: Convenient random sampling technique was used to gather data in 100 samples, 50 each from rural and urban population. Data was collected by using structured interview and anthropometric assessment. The questionnaire consisted of two parts, i.e., demographic data and questions regarding anthropometric assessment, age, height, weight etc. The three nutritional status indicators, HAZ - z-score for height-for-age, (Stunting), WAZ - z-score for weight for age (Underweight), WHZ- z – score weight for height (Wasting) were calculated using WHO Anthro survey application. Results: This study revealed that Prevalence of acute malnutrition (stunting) among rural pre-school children is 28% which was higher than the prevalence of acute malnutrition in urban pre-school children which was only 18 %. Prevalence of Underweight among rural pre-school children is 36% which was higher than the prevalence of underweight in urban pre-school children which was only 34 %. Prevalence of chronic malnutrition (wasting) among rural pre-school children is 32% which was lower than the prevalence of chronic malnutrition in urban pre-school children in which it was 46%. There is no significant association between the nutritional status of the rural and urban pre-school children with the selected demographic variables. This indicates even though there was a significant difference between the rural and urban pre-school children, both group of children are at the risk of one or other malnutrition related problems. Conclusion: This study suggests that even though there was a significant difference between the rural and urban pre-school children, both group of children are at the risk of one or other malnutrition problem.

Authors: M Justin Jaspher, M Justin Jaspher
Publish Year: 2021
A Study to Assess the Level of Happiness Among Nursing Faculties

Background of the study: Nursing education is considered one of the academic disciplines with higher levels of job stress. Nursing faculty are seldom viewed as a vulnerable population, yet those who teach nursing are susceptible to physical, psychological, and emotional harm from students, peers, and administrators.[13] In the nursing faculty role, individuals face multiple stressors that, if not handled in a proactive manner, may result in serious stress reactions characterized by negative behavioural, psychological, and physiological outcomes. Burnout, in particular, is a negative consequence of stress. Faculty with higher happiness levels could treat student nurses better. It will have a direct impact nurse's level of happiness and is often displayed how they act in the clinical setting and treat their patients. This study was conducted to assess the level of happiness among nursing faculties working in various colleges of Uttar Pradesh, India. Materials & Methods: Descriptive research design was used in study. The study was conducted among nursing faculties employed in Government and Private nursing colleges of Uttar Pradesh. Through Snow ball sampling method data was gathered among 79 nursing faculties from different nursing colleges. Structured self-administered questionnaire was used to obtain data from the samples. Structured self-administered questionnaire consists of two parts. Part A consists of questions related to demographic data such as Age in Years, Gender, Education, Nature of Job, Annual Income, Marital status and Employment of Spouse. Part B of the tool consists of Oxford Happiness Questionnaire. Results: The mean score of Oxford Happiness Questionnaire of this study is 4.3. Lowest score is 1 and highest score is 5.9. 56.96% of the participants score was between 4 –5. It indicates the majority of the participants of this study was rather happy or pretty happy. 17.72% of the participants score was in between 5 – 6, which indicates they are very happy. 20.25% OF participants score was in between 3 – 4, and it was interpreted as neutral (not really happy/ unhappy). Oxford Happiness Questionnaire score of 2.53 samples was in between 2 – 3 (somewhat happy). 1.27 % of the samples score was 1, which indicates that they are not happy. Conclusion: Results of our study revealed that majority of nursing faculties working in nursing colleges were found pretty happy. Interestingly level of happiness of nursing faculties participated in this study had no association with the demographic variables such as age, gender, education, nature of Job, annual Income, marital status and employment of spouse etc.

Authors: K Kavichelvi, M Justin Jaspher, Professor, St. Mary's College of Nursing, Lucknow, M Justin Jaspher
Publish Year: 2021
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