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Emergency & Trauma Nursing
International Journal of
IJETN JAN - JUNE 2016
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International Journal of Emergency & Trauma Nursing intends to publish research, review and short
articles related to Emergency care and Management. The scope of the journal covers clinical ethics of
emergency care, physiology for emergency care, organ and tissue donation apart from emergency
management. The Journal intends to aim in an area that is one of the most challenging areas of medicine and
invites researches, review, short articles, and case studies focusing on:
Focus and Scope of the Journal! Emergency and Trauma care! Emergency Medicine! Emergency Surgery! Emergency Nursing and practice care! Pediatric emergencies! Clinical Ethics of Emergency care! Major Injury Management and Care! Physiology for Emergency care! Cardiovascular emergencies! Pandemics and Environmental Emergencies! Respiratory Emergencies! Organ and tissue Donation! Trauma and Shock
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INTERNAL MEMBERS
Associate Manager
ChairmanMr. Puneet Mehrotra
Managing Director,JournalsPub,
New Delhi
Hidam Renubala
Ankita Singh
Akanksha Marwah
Deepika Bhadauria
Commissioning Editors
Priyanka Garg
Chhavi Goel
Shrawani Verma
EDITORIAL BOARD MEMBERS
Dr. Sukhpal KaurNational Institute of Nursing Education,
PGIMER, Chandigarh, India.
Dr. Pratibha Swamy College of Nursing, NIMHANS,
Bangalore
Dr. Aman Moda P.M.N.M. Dental College & Hospital, Bagalkot,
India
Kawaljit KaurMedical surgical Nursing, Mai Bhago College
of Nursing, Tarn Taran (Punjab), India.
A. Arvin Babu Sree Abirami Hospital and College of Nursing,
Coimbatore, India.
Dhanpal H. N. Smt.Nagarathnamma college of Nursing,
Bangalore, India.
Mr. Rathish Nair College of Nursing, AIIMS, Bihar,
India.
Dr. H. Juliet Sylvia Sacred Heart Nursing College, MADURAI,
India.
Siva Jeya Anand. T Chitra College of Nursing,Kerala,
India.
Mr. Anil Sharma Manikaka Topawala Institute of Nursing,
CHARUSAT- Changa & Charotar University
of Science and technology, Gujarat, India.
Ms. Poonam JoshiAmity College of Nursing, Gurgaon, Haryana,
India.
Seema SachdevaCollege of Nursing, AIIMS, Delhi,
India.
Mr. Sembian.N.Government Nursing College, U.P. Rural Institute of Medical Sciences & Research,
Saifai, Etawah
From the Editor's Desk
Dear Readers,
We would like to present, with great pleasure, the Second Volume of a new scholarly
journal, International Journal of Emergency & Trauma Nursing. This journal is part of
the Applied Sciences, and is devoted to the scope of present nursing issues, from
theoretical aspects to application-dependent studies and the validation of emerging
technologies.
This new journal was planned and established to represent the growing needs of Emergency & Trauma
Nursing as an emerging and increasingly vital field, now widely recognized as an integral part of scientific
and technical investigations. Its mission is to become a voice of the Nursing Science community, addressing
researchers and practitioners in this area.
The core vision of International journal of Emergency & Trauma Nursing in JournalsPub is to propagate
novel awareness and know-how for the profit of mankind ranging from the academic and professional
research societies to industry practitioners in a range of topics in Plant Nursing in general. JournalsPub
acts as a pathfinder for the scientific community to published their papers at excellently, well-time &
successfully.
International Journal of Emergency & Trauma Nursing focuses on original high-quality research in the
realm of Emergency and Trauma care, Emergency Medicine, Emergency Surgery, Emergency Nursing and
practice care, Pediatric emergencies, Clinical Ethics of Emergency care, Major Injury Management and
Care, Physiology for Emergency care, Cardiovascular emergencies, Pandemics and Environmental
Emergencies, Respiratory Emergencies, Organ and tissue Donation, Trauma and Shock.
The Journal is intended as a forum for practitioners and researchers to share the techniques of Nursing and
solutions in the area.
Many scientists and researchers have contributed to the creation and the success of the Nursing community.
We are very thankful to everybody within that community who supported the idea of creating an innovative
platform. We are certain that this issue will be followed by many others, reporting new developments in the
field of Nursing.
This issue would not have been possible without the great support of the Editorial Board members, and we
would like to express our sincere thanks to all of them. We would also like to express our gratitude to the
editorial staff of JournalsPub, who supported us at every stage of the project.
It is our hope that this fine collection of articles will be a valuable resource for Nursing readers and will
stimulate further research into the vibrant area of Nursing.
Puneet Mehrotra
Managing Director
1. Effectiveness of Electronic Media for Nurses on Aerosol Therapy in Children with Acute Respiratory Tract Infection in Selected Hospital, Amritsar, Punjab Rajneet Kaur, Ramesh Kumari 1
2. An Exploratory Study to Assess the Knowledge and Practices Regarding Self-Care Measures for the Management of Dysmenorrhea among Adolescent Girls at Selected Rural Areas of Jalandhar, Punjab Kamalpreet Kaur, Bimla Rani, Ashu Kesar 15
3. A Descriptive Study to Assess Knowledge of Primigravida Mothers Regarding Minor Ailments of Pregnancy in Selected Hospitals of Amritsar, Punjab in a View to Develop Health Education PamphletRajwant Kaur, Bimla Rani, Ramesh Kumari 24
4. A Descriptive Study to Assess the Knowledge Regarding Menopause Among Premenopausal Women in Selected Village of Tarn-Taran, Punjab, in a View to Develop Health Education PamphletHarpreet Kaur, Bimla Rani, Ramesh Kumari 32
5. A Study to Assess the Effectiveness of Helfer Skin Tap Technique on Pain Level among Patients Receiving I/M Injection at Selected Hospitals of Amritsar, PunjabGagandeep Kaur, Manpreet Kaur Garcha, Jicy Shahji 40
Contents
IJETN (2016) 1–14 © JournalsPub 2016. All Rights Reserved Page 1
International Journal of Emergency & Trauma Nursing Vol. 2: Issue 1
www.journalspub.com
Effectiveness of Electronic Media for Nurses on Aerosol Therapy
in Children with Acute Respiratory Tract Infection in Selected
Hospital, Amritsar, Punjab
Rajneet Kaur, Ramesh Kumari* Mai Bhago College of Nursing, Tarn Taran, Punjab, India
Abstract
Background and Objectives: It has been estimated that in United States, up to 13% of
inpatient deaths in pediatric wards are due to acute respiratory tract infection. In India, 22%
of children suffer from acute respiratory infection which has been reported to be the major
cause of morbidity and mortality in young children world-wide. They account for nearly 3.9
million deaths every year globally. This study was conducted to study the effectiveness of
electronic media for nurses on aerosol therapy in children with acute respiratory tract
infection in selected hospital, Amritsar, Punjab. The objectives of the study were: to assess
the knowledge scores and skills of nurses regarding aerosol therapy before administering
validated electronic media; to assess the knowledge scores and skills of nurses regarding
aerosol therapy after administering validated electronic media; to evaluate the effectiveness
of electronic media regarding aerosol therapy in terms of gain in knowledge scores among
nurses; and to assess the relationship between knowledge scores and skills of nurses
regarding aerosol therapy. The research approach adapted for this study was quasi
experimental, one group pre–post-test design. The setting is at Guru Nanak Dev hospital,
Amritsar, Punjab. The sample size was 100 nurses. The tool consists of section. Demographic
performa consisting 07 items self-administered structured knowledge questionnaire
consisting of 26 items. Check list consisting 20 items. The reliability of the tool was
established by using split half technique and the value found for knowledge was 0.91 and for
check list was 0.93. Interpretation and Conclusion: It can be inferred that mean post-test
knowledge score (65.38%) and practice score (70%) of the subjects was higher than the
mean pre-test knowledge score (41.96%) and practice score (40%) and noticed with
statistical significant established by paired t-test (p < 0.05).
Keywords: acute respiratory tract infection, aerosol therapy, children
INTRODUCTION The increasing global concern for survival
and protection of the child stems from the
fundamental realization that “The child of
today is the citizen of tomorrow.”
(Humphrey and James Harry).
Our hopes and dreams for the future are
dependent on our children, who are the
most susceptible group in the society. The
most recurrent ailment of acute illness in
infants and children is the acute respiratory
tract infections and the complications
associated with it. It has become one of the
major causes of death in children in India.
It is also one of the key reasons for
bringing children to hospitals and health
facilities. This ailment is the cause of
almost 13% of in-patient deaths in
IJETN (2016) 15-23 © JournalsPub 2016. All Rights Reserved Page 15
International Journal of Emergency and Trauma Nursing Vol. 2: Issue 1
www.journalspub.com
An Exploratory Study to Assess the Knowledge and Practices
Regarding Self-Care Measures for the Management of
Dysmenorrhea among Adolescent Girls at Selected Rural Areas
of Jalandhar, Punjab
Kamalpreet Kaur, Bimla Rani*, Ashu Kesar Bharat College of Nursing, Baba Farid University of Health Sciences, Punjab, India
Abstract
The present study was done to assess the knowledge and practices regarding self-care
measures for management of dysmenorrhea among adolescent girls at selected rural areas of
Jalandhar, Punjab. The objective of the study include assessment of the knowledge regarding
self-care measure for management of dysmenorrhea among adolescent girls, to assess the
practices regarding self-care measure for management of dysmenorrhea among adolescent
girls, to find out the association between knowledge and practices regarding the self-care
measure for management of dysmenorrhea among adolescent girls, to find out the
association between knowledge and practices regarding the self-care measures for
management of dysmenorrhea among adolescent girls with selected variables. The
delimitation of the study was the adolescent girls in rural areas of Jalandhar (Punjab), with
13-16 of age.
Keywords: adolescent girls, dysmenorrhea, knowledge, management, self-care measure
INTRODUCTION
“Don't be scared...Women can handle the
worst kind of pain. You'll find out one
day.” Gayle Forman.
Physical and psychological changes are
what marks the adolescent period for a girl
that prepares them for a safe motherhood.
The health of the future population also
gets influenced by the health and wellness
of adolescent girls. Nearly a quarter of
India’s population includes girls below 20
years of age. Menarche is a phase that
marks as one of the chief physiological
changes that occurs in the life of an
adolescent girl. Menstruation refers to the
process of bleeding, also called a period
that occurs monthly in every woman.
During menstruation, the inner lining of
the uterus (womb) is shed. Menstrual
blood flows from the uterus through the
small opening in the cervix, and passes out
of the body through the vagina. Normally,
the duration of menstrual periods is from
three to five days. Painful menstruation
has become one of the most common
problems for women. In most women,
dysmenorrhea occurs during adolescence,
mostly within four to five years of their
first menstrual period. As a woman ages,
painful periods start getting less
common.[1]
Dysmenorrhea refers to the
pain and discomfort that a women
experiences during menstruation. Though
this condition is not considered a critical
medical problem, however, it usually is
severe enough to stall her day to day
working for a day or two every month. The
pain that one experiences is caused to the
IJETN (2016) 24-31 © JournalsPub 2016. All Rights Reserved Page 24
International Journal of Emergency and Trauma Nursing Vol. 2: Issue 1
www.journalspub.com
A Descriptive Study to Assess Knowledge of Primigravida
Mothers Regarding Minor Ailments of Pregnancy in Selected
Hospitals of Amritsar, Punjab in a View to Develop Health
Education Pamphlet
Rajwant Kaur, Bimla Rani*, Ramesh Kumari
Mai Bhago College of Nursing, Tarn Taran, Punjab, India
Abstract
The study adopted a descriptive survey approach to assess the knowledge of primigravida
mothers regarding minor ailments of pregnancy in selected hospitals of Amritsar, Punjab in a
view to develop health education pamphlet. The sample size is 100 primigravida mothers. The
tool is divided into 2 sections, section 1 consists of a self-structured demographic
questionnaire and section 2 consists of a self-structured knowledge questionnaire. Reliability
of the tool was established by Karl’s Pearson Prophecy formulae and the values found for the
knowledge questionnaire is 0.92. The study was conducted at Guru Nanak Dev Hospital and
Sukhbir Hospital, Amritsar, Punjab. Out of 100 samples, the majority of samples (57%) had
inadequate knowledge and minority of samples (16%) had adequate knowledge regarding
minor ailments of pregnancy. The study findings shows that there is significant association
with demographic variables such as age, education, type of family occupation, exercise
pattern and source of information, at 0.05 level of significance.
Keywords: knowledge, minor ailments and health education pamphlet, primigravida mothers
INTRODUCTION
Pregnancy is another phase in a woman’s
life. It is a condition of balance and beauty
and is one of the best facets that a woman
can encounter in her life. Each pregnancy
is an exceptional ordeal for a woman and
every pregnancy that a woman experiences
will be new and novel distinctive. In any
event, half of the world populace
comprises of females and soon or later
every one of them experience the
primigravida period of life.[1]
Pregnancy is connected with changes
regarding physiological shift from
pregnancy to motherhood that in turn
accelerates massive changes in every
female. These progressions include
physical and physiological changes as well
as consolidate psychological, emotional
and spiritual characteristics of progress.
These anatomical and physiological
changes are not only limited to the genital
organs but also associated with all the
systems of her body as this is chiefly an
experience of maternal adjustment to the
growing needs of the developing fetus, to
sustain the embryo, prepare body for labor,
develop her breast and place down stores
of fat to provide calories for production of
breast milk.[2]
Pregnancy is the period of great anabolic
activity as soon as pregnancy commences
IJETN (2016) 32–39 © JournalsPub 2016. All Rights Reserved Page 32
International Journal of Emergency and Trauma Nursing Vol. 2: Issue 1
www.journalspub.com
A Descriptive Study to Assess the Knowledge Regarding
Menopause Among Premenopausal Women in Selected Village of
Tarn-Taran, Punjab, in a View to Develop Health Education
Pamphlet
Harpreet Kaur, Bimla Rani*, Ramesh Kumari Mai Bhago College of Nursing, Tarn Taran, Punjab, India
Abstract
Menopause is a one of a kind phase of female reproductive cycle. It is described as the end of
the reproductive phase of a woman. The average age of menopause is 47years in Indian
females. Therefore Indian women are likely to spend almost 23.5 years that is one third of
their total lives, in menopause. Some women experience menopausal symptoms that can be
severe enough to affect their normal daily activities. Various studies showed that women have
inadequate knowledge regarding menopause. Assessing the level of knowledge regarding
menopause is an important measure used for the premenopausal women. So, self-structured
knowledge questionnaire was used to assess the level of knowledge regarding menopause
among pre-menopausal women. The study was descriptive in nature. The sample size for the
study was 100 pre-menopausal women of age group above 40 years in selected village of
Tarn Taran, Punjab. The self-structured knowledge questionnaire was selected for the
collection of data. The obtained data was analyzed in terms of the objectives of the study
using descriptive and inferential statistics.
The study results showed that out of 100 samples that majority (53 %) of sample had
inadequate knowledge, (33%) had moderately adequate knowledge and only (14%) had
adequate knowledge. There is significant association of knowledge and selected demographic
variables such as qualification(x2=22.622), occupation (x
2=22.178) and family income
(x2=16.385) on the knowledge score of premenopausal women regarding menopause in
selected village as the calculated value is more than tabulated value at 0.05 level of
significance. The impact of age (x2=12.148), religion(x
2=0.354), type of family (x
2=4.532),
source of information (x2=3.133) and dietary pattern (x
2=0.300) on knowledge score of
premenopausal women regarding menopause in selected village found to be nonsignificant as
the calculated value is less than tabulated value at 0.05 level of significance. After the data
collection health education pamphlet was distributed to each sample.
Keywords: health education pamphlet, knowledge, menopause, premenopausal women,
village
INTRODUCTION
“It’s a sign of the times when your roots
are grey and your memory’s shorter;
It’s a sign of the times when your
hourglass shape becomes a glass of
water.”
-Jeanie Linders
IJETN (2016) 40–46 © JournalsPub 2016. All Rights Reserved Page 40
International Journal of Emergency and Trauma Nursing Vol. 2: Issue 1
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A Study to Assess the Effectiveness of Helfer Skin Tap Technique
on Pain Level among Patients Receiving I/M Injection at Selected
Hospitals of Amritsar, Punjab
Gagandeep Kaur, Manpreet Kaur Garcha*, Jicy Shahji Mai Bhago College of Nursing, Punjab, India
Abstract
Intramuscular injection is a painful experience which is different from person to person.
Helfer Skin Tap technique was proposed by Joanne Helfer. Skin tapping (Helfer Skin Tap
technique) is one of the methods which keeps the muscles relaxed and while administration
the intramuscular injection. In the present study a Quasi experimental design was used with
Purposive Sampling technique to assess the effectiveness of interventional tapping technique
that is Helfer Skin Tap technique to reduce the level of pain during administration of the
intramuscular injection. The study was carried out in Guru Nanak Dev Hospital, C.K Life
care hospital. The sample consisted 100 from medical and surgical wards. A numerical pain
scale is use to assess the effectiveness of Helfer Skin Tap Technique. Analysis was done using
both descriptive and inferential statistics. Finding of the study showed that, there was
significant difference between in the mean post score of (Helfer Skin Tap technique) is less
than the control group. The numeric pain scale that is 1.60(SD±1.143) and 4.98(SD±1.755)
respectively and “t” test value is 11.410 which is significant at 0.05 level. The result revealed
that the comparison between the experimental control groups show that pain is reduce with
the help of skin tapping technique after the intramuscular injection.
Keywords: Helfer Skin Tap technique, Intramuscular injection, pain scale, effectiveness
INTRODUCTION Intra muscular injection is common and
complex technique used to deliver the
medication deep into the large muscles of
the body. Intra muscular injection route
provides faster drug action and absorption
than the subcutaneous route because in the
muscles have greater vascularity.
There are different categories which
influences person experiences of pain
during Intra muscular injection for
example anxiety, culture, age, gender, and
expectation of pain relief. These factors
increase or decrease the experience of pain
during Intra muscular injection.[1–3]
The International Association for the
Study of pain (IASP, 1979) defined pain as
“An unpleasant, subjective, sensory and
emotional experience associated with
actual or potential tissue damage or
described in terms of such damage”. The
pain producing stimulus sends an impulse
across a peripheral nerve fiber. Then the
pain fiber entering into the spinal cord and
after that travels into several routes and
ending point within the gray matter of the
spinal cord. There the pain give message
and interacts with inhibitory nerve cells
and preventing the pain stimulus from
reaching the brain towards cerebral cortex.
After that a pain stimulus reaches towards
the cerebral cortex the brain interprets the
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« International Journal of Radio Frequency Design« International Journal of VLSI Design and Technology« International Journal of Embedded Systems and Emerging
Technologies« International Journal of Digital Electronics« International Journal of Digital Communication and Analog
Signals
« International Journal of Housing and Human SettlementPlanning
« International Journal of Architecture and InfrastructurePlanning
« International Journal of Rural and Regional PlanningDevelopment
« International Journal of Town Planning and Management
Applied Mechanics
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Computer Science and Engineering « International Journal of Wireless Network Security« International Journal of Algorithms Design and Analysis« International Journal of Mobile Computing Devices« International Journal of Software Computing and Testing« International Journal of Data Structures and Algorithms
Nanotechnology« International Journal of Applied Nanotechnology« International Journal of Nanomaterials and Nanostructures« International Journals of Nanobiotechnology
« International Journal of Solid State Materials« International Journal of Optical Sciences
Physics
« International Journal of Renewable Energy and itsCommercialization
« International Journal of Environmental Chemistry« International Journal of Agrochemistry« International Journal of Prevention and Control of Industrial
Pollution
Civil Engineering« International Journal of Water Resources Engineering« International Journal of Concrete Technology« International Journal of Structural Engineering and Analysis« International Journal of Construction Engineering and
Planning
Electrical Engineering« International Journal of Analog Integrated Circuits« International Journal of Automatic Control System« International Journal of Electrical Machines & Drives« International Journal of Electrical Communication
Engineering« International Journal of Integrated Electronics Systems and
Circuits
Material Sciences and Engineering « International Journal of Energetic Materials« International Journal of Bionics and Bio-Materials« International Journal of Ceramics and Ceramic Technology« International Journal of Bio-Materials and Biomedical
Engineering
Chemistry « International Journal of Photochemistry« International Journal of Analytical and Applied Chemistry« International Journal of Green Chemistry« International Journal of Chemical and Molecular
Engineering
« International Journal of Electro Mechanics andMechanical Behaviour
« International Journal of Machine Design andManufacturing
« International Journal of Mechanical Dynamicsand Analysis
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« International Journal of Structural Mechanicsand Finite Elements
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Biomaterials« International Journal of Plant Biotechnology« International Journal of Molecular Biotechnology« International Journal of Biochemistry and Biomolecules« International Journal of Animal Biotechnology and
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Emergency & Trauma Nursing
International Journal of
IJETN JAN - JUNE 2016