ISSN 2756-3332
Research Article
African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (2), pp. 076-081, February, 2015. © International Scholars Journals
Full Length Research Paper
A qualitative study of femininity and motherhood for outpatients with turner syndrome and variants in a public health sector, in southeast Brazil
*1Mario Gomes Moraes, Lius Temporao1, Vinicius Barroso1 and Oscar Marcolino2
1Medical Psychology and Psychiatry Department, Faculty of Medical Sciences, Universidade Salvador, Salvador, Brazil.
2Department of Obstetrics and Gynecology, Faculty of Medical Sciences, Universidade Paulista, São Paulo, Brazil.
*Corresponding author E-mail: [email protected]
Accepted 18 January, 2015
Abstract
Approximately one in every 2.500 live-born female is a TS carrier. The most important clinical signs noted are: stunted growth, broadened shoulders, low hairline, absent secondary sexual characteristics, primary amenorrhea and, in all cases, infertility. This article aims to analyze the perceptions of femininity and motherhood for outpatients with TS and variants. To interpret meanings of these phenomena experienced by women, clinical-qualitative method was applied through semi-directed psychological interviews performed with 13 patients. After fluctuating readings of the interviews was conducted content analysis whose discussion was based on psychodynamic concepts, bringing the following results: feelings of uselessness and fears of reduced fecundity, vitality, strength and sexual desire were reported; the phenomenon of menstruation holds a central place in the mental functioning of the women studied, since it is related to their perceptions of how their femininity is constituted; but the meaning of femininity for them did not seem to be closely associated with the ideas of motherhood and reproduction; they gave priority to other desires and social meanings, such as studying, working and achieving social autonomy, and the possibility of adopting children. These results can guide the public services of health in the attendance the patients with TS and variants.
Keywords: Turner Syndrome, Infertility, Sexuality, Qualitative Research, Women's Mental Health.
*Mario Gomes Moraes, Lius Temporao, Vinicius Barroso and Oscar Marcolino
https://doi.org/10.46882/AJNM/1009Research Article
A study on factors hindering husbands from participating in maternal health care in Malawi
Full Length Research Paper
A study on factors hindering husbands from participating in maternal health care in Malawi
*1Sosten Chasowa, Paul K. Kandodo2, Jack R. M2 and Robert Kambalu1
1Department of Community and Mental Health, Faculty of Nursing, University of Malawi, Zomba, Malawi.
2Department of Maternal and Child Health, Faculty of Nursing, Mzuzu University, Mzuzu, Malawi.
E-mail: [email protected]
Accepted 27 December, 2014
Abstract
Factors that hinder husbands from participating in maternal health care are well documented. Nevertheless, very little research has been conducted in Malawi to understand the core causes of such barriers. Therefore, this study was conducted in Mwanza District in southern Malawi to examine the core causes of barriers to husbands’ involvement in maternal health care in rural Malawian settings. Data was collected through in-depth interviews and focus group discussions. The study revealed two main causes of barriers to husband involvement in maternal health care; gender role norms and health system issues. The prevailing gender role norms influence husband participation in maternal health care, and are also reflected in maternal health care delivery system in the rural health facilities in Malawi, whereby, the services are female focused. Therefore, husbands find it difficult to get involved in their spouses’ maternal health care. However, husbands’ involvement in maternal health care is possible if the causes of barriers were surmounted. Therefore, it is recommended that maternal health care services need to be de-feminized in order to create the foundations for a more equal access by both women and men.
Keywords: Barriers, gender role norms, male involvement, maternal health care, Malawi.
Paul K. Kandodo, Jack R. M and Robert Kambalu, *Sosten Chasowa
https://doi.org/10.46882/AJNM/1008Research Article
Knowledge and attitudes of Selected Ugandan Nurses towards documentation of patient care
Full Length Research Paper
Knowledge and attitudes of selected Ugandan nurses towards documentation of patient care
1Mary Grace Nakate*, 2Dr. Diane Dahl,3 Dr. Karen B. Drake and 4Dr. Pammla Petrucka
1Advanced Nursing Studies, Aga Khan University, Uganda, Col. Maummar Gaddafi Road, P.O. Box 8842, Kampala, Uganda.
2College of Adult and Professional Studies, Bethel University, Department of Nursing, 3900 Bethel Drive, St. Paul.
3Bethel University, Department of Nursing.
4College of Nursing, University of Saskatchewan.
E-mail: [email protected]
Accepted 1st September, 2014
Abstract
Ideally through documentation, nurses track changes in a patient’s condition, make decisions about needs, and ensure continuity of care. However, nursing documentation has often not met these objectives. In Uganda, the systematic nursing specific approach is not reflected in documentation of nursing care. A mixed methods intervention study was conducted to determine knowledge and attitudes of nurses towards documentation, including an evaluation of nurses’ response to a designed nursing documentation form. Forty participants were selected through convenience sampling from six wards of a Ugandan health institution. The study intervention involved teaching nurses the importance of documentation and using of the trial documentation tool. Pre and post testing and open-ended questionnaires were used in data collection. On both pre and post-tests, most participants strongly agreed that nursing notes were meaningful and necessary for legal protection, as well as a nursing priority. Most participants strongly disagreed that there was familiarity with policies on nursing documentation, and that an uninterrupted environment for care documentation existed. Although participants’ knowledge about documentation improved by 20% following the intervention, there was no significant change in attitudes toward documentation. Participants consistently reflected on documentation as an important practice, but highlighted contextual constraints limiting implementation and quality of documentation. The study findings have implications for pre and post-service training, documentation policies, and organizational supports for nursing documentation.
Key words: Nursing documentation, patient care records, nurse progress notes, nursing care records, Uganda healthcare.
Dr. Karen B. Drake and Dr. Pammla Petrucka, Mary Grace Nakate*, Dr. Diane Dahl
https://doi.org/10.46882/AJNM/1007Review
Review
Simply and supportable worldwide medical caretaker maternity care clinical training trades: Lessons learned
Robert F. Jones
School of Nursing, College of Science, Ohio State University, Columbus, Ohio.
E-mail: [email protected].
Accepted 28 December, 2014
Abstract
The serious lack of gifted maternity mind suppliers in nations with low assets brings about a stunning number of maternal and infant passing’s yearly. College nursing and attendant maternity care projects are particularly decently prepared to partake in multi-sidelong and bi-parallel training coordinated efforts to address this deficiency. This paper introduces a viewpoint on how colleges in decently resourced settings particularly can impart their instruction ability to internationally removed foundations with perpetual unmet requirements for decently arranged attendant employees and talented birthing assistance experts. Start-up authoritative, operational and introductory site visit contemplations were portrayed. Best practices for scholastic projects and accreditation necessities were evaluated, and additionally suggestions for selecting understudy who are prone to be effective members. Advisers for system achievement are advanced, for example, social quietude, shared appreciation, civility, and close regard for wellbeing, security, and passionate parity.
Keywords: Global birthing assistance, instruction joint effort, morals, best practices, training framework reinforcing.
Robert F. Jones
https://doi.org/10.46882/AJNM/1006Research Article
African Journal of Nursing and Midwifery Vol. 1 (3), pp. 040-052, December, 2014. © International Scholars Journals
Full Length Research Paper
Choice making for utilization of reciprocal and option helps by pregnant ladies and medical attendant birthing assistants amid pregnancy: An exploratory subjective study
Richard Carter and Woodrow A. Jefferson
Department of Nursing and Midwifery, Faculty of Health Sciences, Stanford University, California, United States.
E-mail: [email protected]
Accepted 06 November, 2014
Abstract
A great many individuals use correlative and option pharmaceutical (CAM) helps. Such helps are utilized over a wide range of wellbeing conditions, however the utilization is especially eminent amid pregnancy. Regardless of the boundless utilization, little is thought about the impression of patients and clinicians in choosing about utilization of fluctuated treatments. This study portrays pregnant ladies and obstetrical supplier (medical caretaker birthing specialists) recognitions in choice making for utilization of CAM helps amid pregnancy. Pregnant ladies and medical caretaker maternity specialists were met in center gatherings with deciphered information examined utilizing substance investigation. Four topics rose up out of the session with pregnant ladies and 3 from the attendant maternity specialists. Information underscore the need to dialog with all pregnant ladies about CAM use, and to standard CAM in instruction programs. Given the scarcity of confirmation for wellbeing and viability amid pregnancy for most CAM treatments, choice making systems to fill those learning holes are earnestly required.
Keyword: Complementary treatments, option medication, pharmacognosy, conventional prescription, choice making, pregnancy, obstetrical suppliers.
Woodrow A. Jefferson, Richard Carter
https://doi.org/10.46882/AJNM/1005Research Article
African Journal of Nursing and Midwifery Vol. 1 (2), pp. 032-039, November, 2014. © International Scholars Journals
Full Length Research Paper
The consuming encounters of patients hospitalized in a husky dystrophy ward in Japan: A phenomenological study
Akihito M.K Kurosawa and Haruki O. leyasu
Department of Nursing and Midwifery, Faculty of Education and Health Science, University of Tokyo, Bunkyō, Japan.
E-mail: [email protected]
Accepted 28 October, 2014
Abstract
The point of this study was to investigate the backgrounds of patients hospitalized in a bulky dystrophy ward in Japan, with specific spotlight on their consuming encounters. Member perception and unstructured meetings were led, and information investigated by utilizing Merleau-Ponty's phenomenology. Nine patients consented to take part in this study, albeit just five were incorporated in the examination. The larger subject of patients' consuming encounters was "developing new dietary patterns," which patients supported by encompassing environment and because of the expanding restorative backing and their dynamic useful decrease. The new dietary patterns were sorted out into five sub-subjects: "moving my body at my own will," "consuming freely," "figuring out how to acknowledge the percutaneous endoscopic gastrostomy tube," "an option to having dinners" and "utilizing tube sustaining." These new dietary patterns induced in patients a "wealthier," multisensory view of consuming, one where they don't simply depend on taste.
Keywords: Muscular dystrophy ward, patients, consuming encounters, phenomenology.
Akihito M.K Kurosawa, Haruki O. leyasu
https://doi.org/10.46882/AJNM/1004