American Research Journal of Nursing

Maria Maniou 

In this present article we study a woman’s perceptions and experiences who suffered sexual violence from the opposite sex and its effects on health due to non-treatment of chronic mental disease and reproductive health problems. A qualitative study was conducted composed of an interview of a low-income Bulgarian economic migrant woman in α rural area. The results show that in the present case there is abusive relationship. Sexual coercion and nonconsensual sex are common. There was disagreement between a couple for negotiating safe life sex resulted in unwanted pregnancies and abortions. There was no access to health services treatment of chronic depression and first aid services after violence during pregnancy. Access to and use of health care services from a female immigrant was limited due to financial difficulties arising from the abusive relationship from a man.

Cindy Runkle DNP, FNP-BC1, Maureen Courtney PhD, FNP-BC2

Introduction: Obesity is a momentous national health concern (CDC, 2020; Cawley et al., 2021). Healthcare providers are required to assist and support their patients to address obesity. However, research is needed to determine how healthcare provider weight may affect patient trust in receiving and acting on weight loss advice. The purpose of this study was to determine patient willingness to discuss weight loss with their primary care provider (PCP), and patient opinions about diet change, exercise, or weight loss advice from their providers. A related purpose was to determine if PCPs were discussing their personal health practices with their patients (known to promote patient health) and PCP response to a review of the results of the patient sample data and its expected impact on their practice. Methods: the study was a descriptive survey design and used Qualtrics to distribute a patient/community member instrument with questions related to patient trust in and receiving weight loss advice from PCPs. A related survey of PCPs in a selected health system determined PCP practices in working with overweight and obese (OW/O) patients. In addition, PCPs were asked to review the community member survey results and comment on possible impact on their practice with overweight and obese patients. Results: Using X2 analyses, the patient participants were significantly more likely to recommend to others a normal weight provider as opposed to an OW/O provider. They believed that a normal weight provider could more effectively plan a weight loss program and would better understand the difficulty in losing weight. Finally, patient participants were significantly more likely to be emabarrassed in discussing weight loss with an OW/O provider. Physician participants who reviewed patient data were more likely to increase their counseling regarding weight loss topics. Conclusions: The current study identified significant patient concerns about accepting diet, exercise, and weight loss advice from an OW/O provider compared to a normal weight provider. Physician participants who reviewed patient data were more likely to increase their counseling regarding weight loss topics. This study identifies the significant problem of OW/O providers in their role to provide weight loss advice. Patients are embarrassed to ask them about weight loss and obese providers do not often raise the topic. There are no easy answers to this dilemma. Realistically, it may be helpful in the short term to develop and investigate new approaches for providers with a weight problem to interact more effectively with their patients regarding weight loss.

Maniou Maria1*, Kleisiaris Christos2, Vliamos Spyros3, Prezerakos Panagiotis4, Flora Katerina5, Togas Konstantinos6, Tzoukas Vangelis7, Zyga Sofia

Background: It is widely accepted that harassment in the workplace may have negative effects on the mental and physical health of nurses. We hypothesized therefore that short schema psychotherapy may reduce chronic anxiety symptoms thus improve nurses quality of life. Purpose: This study is sought to identify the effectiveness of anonymous group psychotherapy via teleconference on victims of workplace harassment in nursing personnel working on NHS of Greece. Method: A case-control study enrolled 14 nurses victims of workplace harassment were randomly allocated in parallel and anonymous psychotherapy groups during August 2017 and January 2018. A qualified psychologist delivered a schema method to reduce chronic anxiety in the intervention group. Validated screening tools were used to assess anxiety State-Trait Anxiety Inventory (STAI) and the Hamilton Hamilton Anxiety Rating Scale (HAM-A) to assess the intensity of the anxiety. Individuals characteristics were also assessed. P-values >0.50 were considered statistically significant. Results: Significant chronic anxiety reduction were presented in the psychotherapy group compared to the control group (p-value = 0.038). In particular, individuals before the intervention (week 0, t = 0), presented with a higher level of chronic anxiety (STAI= mean 81.42) in comparison to (mean 67.28 - week 14, t = 1) after the intervention, suggesting that the psychotherapy schema was efficient. Similarly, decreased anxiety symptoms were also found after the intervention (mean 9.71 to 4.85) using the Hamilton Anxiety Scale. No other significant differences were found even though most of the participants were females. Conclusions: Our data suggest that anonymous group psychotherapy via teleconference is a safe and effective method to reduce chronic anxiety in victims of workplace harassment. 

T erence J. Barlow, DNP, APRN, FNP-C Maureen Courtney,PhD, APRN, FNP-BC& Richard E. GilderMS, RN-C

Background:Antibiotics are overused. Resistance rates continue to increase, unnecessary money is spent, and often unwanted side effects follow. Reducing antibiotic resistance rates is a call to action for healthcare providers (HCP), pharmaceutical companies, patients, patient family members, and agricultural breeders.The purpose of this QI project wasto use an algorithm as a clinical support tool to assist providers practicing in an urgent care setting to reduce the number of antibiotics prescribed for common acute respiratory infections (ARIs) such as pharyngitis, sinusitis, and bronchitis. Methods: The project setting was one urgent care system between two locations within the Dallas Metroplex with an annual volume of 16,000 patients. As a QI project, six providers were educated on and asked to review an algorithm tool prior to prescribing antibiotics for ARIs related complaints based on designate diagnoses (acute pharyngitis, acute sinusitis, and acute bronchitis). Using data obtained from EHR, the project compared the number of antibiotics prescribed for ARI related complaints in the intervention period compared to baseline period from same timeframe of previous year’s prescribing rates. Conclusion:A clinical decision support tool such as an algorithm along with patient and provider education can reduce antibiotic overuse burden. Unnecessary antibiotic prescribing for the treatment of acute respiratory illnesses has continued risks to patients and the community. Results:Project findings confirmed the project aim for this quality improvement project that using a clinical decision support algorithm tool leads to significant decreased antibiotic prescribing rates for the acute respiratory illnesses of acute pharyngitisX2 (1, N = 95) = 23.69, p = 0.000, acute sinusitisX2 (1, N = 94) = 9.94, p = 0.003, and acute bronchitisX2 (1, N = 95) = 23.69, p = 0.000.

 Israth Jahan Tama, Tanjina Nasrin Sabrina, Afrin Jahan Dola                                        

 Menstrual Hygiene Practice among the Girls Residing in Under Privileged Area in Dhaka City 1 2 3 Israth Jahan Tama, Tanjina Nasrin Sabrina, Afrin Jahan Dola 3. Nursing Instructor, Nutrition & Dietetics, Orthopedic Nursing, Grameen Caledonian College of Nursing, Mirpur, Dhaka, Bangladesh The cross-sectional study was carried out to find theproportion of menstrual hygiene practice among the girls residing in a privileged area in Dhaka city with a sample size of 115. It is found from the study that age distribution was 15-19 years old. The study revealed that 27.0% did not go to school. Most of the respondents’ mother (42.6%) had no formal education & nearly half of the respondents (44.3%) mothers were maidservant and more than half respondents (52.2%) father had primary education. The study presented that 40.9% of respondents’ fathers were jobless & monthly family income was BDT 10000-15000. The highest number of the respondents (36.7%) menstruation started at the age of 11. The current study found that 59.1% of respondents' menstruation occurred in every cycle, and 40.9% of respondents' menstrual cycle was irregular. More than half, 67.8% of respondents, faced problems during menstruation. The present study found that 73.0% of the respondents knew about premenstrual syndrome. Out of them, 42.9% suffered from premenstrual syndrome regularly. The main source of menstrual bleeding is the ovary was mentioned by only 14.3%. Most (65.2%) of the respondents used homemade cloth, and 23.5% used sanitary napkins. A majority (80%) of the respondents used the same cloth for a longer time &the highest (53.3%) number of the respondents dry their cloth under sunlight. More than half of the respondents (59.1%) washed their genitalia after using the toilet, and 40.9% of them did not wash & nearly (65.2%) took a bath regularly during menstruation, and (34.8%) of them did not do so.The present study was found a significant association between age & bathing patterns among the selected respondents. (p-value = 0.005).

Most Morsheda Parvin and Esrat Jahan Sathi

This paper would like to focus on Knowledge of Newborn Care among Primi Mothers. It aims to look at the child health of Bangladesh. The study's objectives are to assess the newborn care knowledge of primi mother in a selected hospital, Thana health complex, Savar. To determine the knowledge about/regarding newborn care among primi mothers in Thana health complex, Savar has been discussed in this study. explore the attitude of mothers towards newborn care. This paper aims to assess the relationship between socio-demographic data and the knowledge of mothers regarding newborn care. It wants to assess the knowledge regarding thermoregulation; explore umbilical cord care; to assess skincare; to assess the knowledge about kangaroo care, and to assess the knowledge regarding feeding, etc. For this purpose, the study was conducted in Savar Thana Health Complex. It was a capacity of 140 beds hospital. After meeting all inclusion and exclusion criteria, the researchers conducted the study by going to the Savar Thana Health Complex of the selected participant. This setting has been chosen by random sampling because many primi mothers come to take any knowledge to take care of their newborn.

Maria Maniou Kleisiaris Christos2 , Sofia Zyga3 , Spyros Vliamos 4, Panagiotis Prezerakos5 , Katerina Flora6 , Konstantinos Togas7

Background: Professional self-esteem for nursing profession refers to the extent to which a person experiences its work as important while appreciating its performance as important. There is evidence that self-esteem is important for health. The majority of the victims of occupational harassment of nursing staff have a middle self – esteem. Purpose: This study tests the effectiveness of adding a fourteen weeks schema-focused Anonymous group psychotherapy via teleconference in victims of workplace harassment in nursing personnel in the island of Crete, Greece. Method: An investigation was carried out in the area of Crete between August 2017 and January 2018 in fourteen Health Centers, two Primary National Health Networks, four Emergency Department, eleven Intensive Care Units. The total sample of the present study was 213 nurses. This case–control study was carried out by α qualified psychologist. The participants were 14 nurses victims of workplace harassment assigned randomly to psychotherapy group and a control group to enhance of their self-esteem. Results: Statistically significant difference are presented in the psychotherapy group during a 14-week period for the scale of General Self esteem (p-value = 0.002) measured with the Culture Free Self-Esteem Inventories. Conclusions: Anonymous group psychotherapy via teleconference is a safe and effective method for treating self - esteem in victims of workplace harassment.