iosr-JNHS   Volume-2 ~ Issue-6

Abstract: Pregnancy and labour impose lots of physical, physiological and emotional strain on mother's life. It becomes difficult to balance life in such transaction period. Family members, husband and relatives need to know her expectation and meet them to ensure safe deliver & a healthy baby. Nurses being one of the front line health care provider should feel her helplessness and realise her need during labour and come forward to satisfy those. Through this study the needs of a labouring woman as verbalised by herself and realised by nursing personnel is inquired through a structured opineir. The study was conducted upon 20mothers at their 1st stage of labour and 20 midwives working in labour room. The opinions of both the groups were recorded and differences were seen through percentage. 75% women required complete privacy, 40% need husband near to her, 80% liked to change position frequently, 80% -70% want calm and quite environment, 70% liked cool liquid, 50% like back massage, 35% like slow breathing 75% liked to express feeling to near one, 50% liked to relieve anxiety by diverting mind, 90% want to know the progress, 60% wants to get information from doctors, whereas 50% alteration in opinion found in case of staff of labour room. Age & parity was not associated with support & relieving anxiety.

Key words: Comforting in Labour, labour needs, labour support

[1]. Klaus MH, Kennell JH. The doula: an essential ingredient of childbirth rediscovered. Act a prediat 1997; 86:1034-6
[2]. Kathryn D.S, Gale B, Marshall K. A comparison of intermittent and continuous support during labour: a meta analysis. Amr J obstet Gynaecol 1999; 180:1054-9
[3]. Penny P, Simkin; MA. Non pharmacological relief of pain during labour: systematic review of five methods. Amr J Obstet Gynecol 2002; 186(supp):131-59
[4]. Cogan R, Spinnato J. Social support during premature labour: effect on labour and the newborn, J Psychosom obstet Gynaecol 1988(8):209-16
[5]. Hudnett ED, Osborn RW. A randomized trial of the effect of monitrice support during labour: mother's views two to four weeks postpartum, Birth 1989;16:177-83
[6]. Hemminki E, Virta AL, Koponen P, Malin M, Kojo Austin H, Tirumala R. A trial on continuous human support during labour: feasibility, interventions and mothers' satisfaction. J psychosom obstet gynecol 1990;11:239-50
[7]. Breat G, Mlika-cabane N, Kuminski M, Alexander S, Herrozo Nalda, Mandrussato P, Evaluation of different policies for the management of labour-Early human dev 1992;29(1-3):309-12
[8]. Ellen DH. Pain and women's satisfaction with the experience of child birth: a systematic review. Amr J obstet Gynecol 2002;186(w):160-72.
[9]. Million Feshome, Ahmed Abdella, Solomon Kumbi, parturients' need of continuous labour support in labour ward; Ethiop J Health dev. 2007;21(1);35-39.
[10]. D Zomekhu, M.V,Maternal satisfaction with care during labour: a case study: International journal of nursing and midwifery 2011, Vol-3(3), PP 30-34.

Abstract: Childhood is a unique phase of human development. Children are the important feature of every society and also a future of a nation.Though epilepsy is a symptom primarily of a neurological disorder it has a great extent psychiatric and psychological involvement. Epilepsy may cause personality disturbance, depression, poor academic ability, poor self confidence, learning difficulties. The aim of the study was to assess the knowledge regarding epilepsy in children among school teachers before and after the Structured Teaching Programme (STP). The data were generated by using structured questionnaire, Simple random sampling technique was adopted to select 50 subjects based on the sample frame and every 2nd sample was selected for the study. STP was developed in regard to knowledge on epilepsy in children. The data obtained from the study subjects were analyzed and interpreted in term of the objectives and hypothesis of the study. Descriptive and inferential statistics were used for data analysis; the level was set at 0.05 levels. The mean post test score 36.10 was higher than the mean pre test score 25.38. The computed"t‟ value 23.321, indicated that there was a significant difference between pre test and post test knowledge score. The findings identified that there was no significant association between pre test knowledge score of teachers and the selected personal variables, which shows the knowledge of school teachers was independent of selected personal variables. This study revealed that the knowledge of teachers regarding epilepsy in children was inadequate and was increased after the administration of STP. Thus the research hypothesis was accepted.

Key Words: Structured teaching program (STP); Knowledge; Epilepsy in children; School teacher

[1]. Singhal BS, Devika Nag. Epilepsy in India. Mumbai: Indian Epilepsy Association; 2002.
[2]. WHO. Epilepsy: historical overview. Fact sheets [serial online] 2001 Feb [cited 2008 Oct 10];168:[4screens].Availablefrom:URL:http://www.who.int/mediacenter/factsheets/fs168/en/print.html
[3]. Ministry of health and family welfare. Report on epilepsy in South India. New Delhi: Stationary office; 2001.
[4]. Sadock BJ, Sadock VA. Kaplan and Sadock‟s synopsis of psychiatric: Behavioral science/ Clinical psychiatry. 10thed. New York: Lippincott Williams &Wikins; 2007.
[5]. WHO. Global compaign against epilepsy. Fact sheets [serial online] 2007 [cited 2008 Oct 10];16:[2 screens]. Available from:URL:http://www.who.int /epi
[6]. WHO. Atles: Epilepsy care in world. Geneva: WHO library cataloguing-in-publication data; 2005.
[7]. Shridharna R. Epidemiology of epilepsy. Current science 2002; 82:664-70.
[8]. Kankirawatana P. Epilepsy awareness among school teachers in Thailand. Epilepsia 1999 Apr;40(4):497-501.
[9]. Tiamko S, Aaaevitchayapat N, Arunpongpaisal S, Chaiyakum A, Jitpimolmard S, Phuttharak W, et al. Knowledge of epilepsy among teachers in KhonKaen province, Thailand. J Med Assoc Thai [serial online] 2005 Dec [cited 2008 Oct 10];88(12):[6 screens]. Available from:URL:http://www.pub med.com/16518977.html.

Abstract: A quasi experimental study with one group pretest and posttest without control group design was undertaken in Vinayaka Missions Hospital, Salem to assess the effectiveness of self instructional module regarding emergency management of patient with myocardial infarction on knowledge among staff nurses Data was collected from 98 staff nurses selected by convenient sampling technique using closed ended questionnaire from 19.09.2009 to 02.10.2009. Data was analyzed by using descriptive and inferential statistics. Demographic characteristic reveals that the highest percentage (69%) of the staff nurses were in the age group of 21-25 years, were females (74%) were having B.Sc. nursing degree (80%). Highest percentage were having 3-4 yrs years of experience (69%), were working emergency unit (3%), ICU (20%), and general ward(29%) and other wards (48%) and did not attend in-service program (93%). The overall pretest mean score 22.06+1.92 which is 48% whereas in the post test the mean score (30.04+2.82) which is 65% of the total score with an overall difference of 17% of pretest score reveals good knowledge. Highly significant difference found between the pretest and posttest KS (P<0.01) but no significant association was found between the posttest KS when compared with the demographic variables of staff nurses (P<0.05).

Key Words: Effectiveness, self instructional Module, myocardial Infarction, staff Nurses

[1]. Agarwal .K (2007)., "An aspirin a day can keep a heart attack away in high risk patients" ; Asian journal of clinical cardiology, Vol.10, No.7, Pp:5 – 8.
[2]. American Heart Association. (2007). "When Every Second Counts: Cardiac Arrest and the Need for Early Defibrillation". Dallas
[3]. American Heart Association. (2005). "Management of myocardial infarction, including primary angioplasty" Circulation; 112(24_suppl): IV-35 - IV- 46.
[4]. Bartorelli A.L (2003)., Hypoxemic perfusion for treatment of reperfusion microvascular ischemia in patients with M.I, American Journal of Cardiovascular procedures; 3 (4):Pp: 253 – 263.
[5]. Bahrmann P and Rach J(2004).,Incidence and distribution of occluded culprit arteries and impact of coronary collaterals on outcome in patient with non ST segment elevation M.I and early invasive treatment strategies; Dec.14,51 (6):371 – 76.
[6]. Drew B.J (2002)., Bedside ECG monitoring, AACN clinical issues and Critical care nursing, February 4 (1), Pp: 25- 33.
[7]. Elaine K (2004).,Initial clinical results using intra cardiac electrogram monitoring to detect and alert patients during coronary plaque rupture and ischemia., Journal.Am Coll Cardiol., Sep.28: 56 (14):1089 – 98.
[8]. Henderson R.(2000)., "Comparison of two methods of teaching advanced arrhythmias to nurses; Journal of continuing nursing education, Sept – Oct; 24 (5),Pp:221 – 226.
[9]. MahajanR. and Guptha R.(2003)., Prevalence and mortality among patients with myocardial infarction, Journal of American Medical Asso.283:3223 – 3224
[10]. Zinkstok S.M, Stam .J (2009).,A randomized controlled trial of antiplatelet therapy in combination with Rt-PA thrombolysis in ischemic stroke; Trial; May 12:115 – 18.

Abstract: Burnout is a familiar term for today's health care professionals with emotional, psychological, physical, and social consequences for those who experience it. It leads to job dissatisfaction, low organizational commitment, absenteeism, as well as inter personal conflict in teams and patient care. The commitment of nurses is a worldwide concern which is necessary to describe their commitment and what keep them committed in nursing and hospitals. it is an undeniable fact that organizations need workers with high commitment and low burnout levels more than ever before.

Keywods: Burnout , Nurses, Organizational commitment,

[1]. White, R A. Perceived Stressors, Coping Strategies, and Burnout Pertaining to Psychiatric Nurses Working on Locked Psychiatric Units. MASTER Thesis OF SCIENCE in Nursing, College of Health and Human Services, Eastern Michigan University, October 21, 2006;
[2]. Carolina DS. Correlates of job-related burnout in nurse managers working in hospitals. Doctor of Philosophy .Graduate Program in Nursing. New Jersey. 2010;
[3]. Fazelzadeh A., Mehdizadeh A. & Sahraeeian A. Burnout in hospital nurses: a comparison of internal, surgery, psychiatry and burns wards. International Nursing Review ,2008;55, 62–67.
[4]. Hall E. Nurse Burnout in a high stress Health care Environment: prognosis better Than expected?2006; 19) 8.
[5]. Aleandri A, Sansoni J, (2006), nurses and burnout : a survey in emergency department in the lazio Region. Prof Inferm. 59(3): 165-70
[6]. Jennings B M.. Work Stress and Burnout Among Nurses: Role of the Work Environment and Working Conditions Agency for Healthcare Research and Quality, Chapter 26,2008.
[7]. Gemlike N, Sisman F A & Sigri U. The relationship between burnout and organizational commitment among health sector staff in Turkey. Journal of Global Strategic Management | 08 | 2010, December
[8]. Malik M I, Zaheer , Khan M. A& Ahmed M. Developing and Testing a Model of Burnout at Work and Turnover Intensions among Doctors in Pakistan. International Journal of Business and Management Vol. 5, No. 10; October 2010, 1833-8119 www.ccsenet.org/ijbm
[9]. Matin H Z, Kalali NS, Reza M & khavan Anvari A. Do demographic variables moderate the relationship between job burnout and its consequences? Iranian Journal of Management Studies (IJMS) Vol.5, No.1, January 2012 PP: 47-62
[10]. SalahianA, Oreizi H R, Abedi M R & SoltaniI. Burnout and relevant factors in organization . Interdisciplinary Journal of Contemporary Research in business VOL 3, NO 12 2012