Indian Journal of Surgical Nursing

 As the complexity of knowledge and skills required for quality patient care continue to progress and number of individuals involved in the management of a single patient accordingly increases, effective team functioning becomes consecutively more important. Interprofessional education (IPE) and practice deliver team based care that fortifies health systems and improves health care outcomes. There is consensus that health care professionals must have the competency to work in teams to provide safer, quality care to multiple populations in varied health care settings. Interprofessional education and collaborative (IPEC) has published four competencies to exercise into practice. They are values and ethics; roles and responsibility; interprofessional communication and; team and team work. The framework for action on IPE is discussed as i) IPE, ii) collaborative practice and iii) health education and system. IPE is shaped by the mechanism of a) educator and b) curriculum. Collaborative practice level mechanisms are a) institutional support, b) working culture and c) environment. Health and education system deals with the ways services are provided in a) health care delivery and b) patient safety. This paper further encompasses benefits of IPE, and factors affecting the implementation of IPE. It also augments the results of research evidences in highlighting numerous activities that ultimately improves health outcomes.

Keywords: Interprofessional Education; Collaborative Practice; Team Work; Health Outcomes.

 Nurses as advocates for adults, are committed to minimize the emotional and physical impacts of painful procedures. Providing pain relief is considered a most basic human right and it is the obligation of the nurse to utilize best way to deal with various pain control measures such as applying pressure, taping the skin, applying heat and cold. This study was done to assess the effectiveness of ice cube application for prior to intra muscular injection on pain. The study findings shows post test level of pain intensity in experimental group revealed that 19 (63.33%) subjects had mild pain and 11 (36.67%) subjects had moderate pain level and post test level of pain intensity in control group revealed that 13 (43.33%) subjects had moderate pain and 17 (56.67%) subjects had severe pain level. The calculated unpaired 't' value of t=8.76 was found to be statistically significant at p<0.001 level.Keywords: Pain; Ice Cube Application and Intramuscular Injection.

Keywords: Pain; Ice Cube Application and Intramuscular Injection.

 Introduction: Self care management of renal failure is a positive effort to oversee and participate in their health care to optimize health, prevent complications, control symptoms, control medical symptoms and minimize the intrusion of the disease in to their preferred life. Self management comprised of 2 domain self management of health care and self management of everyday life; the nurse should provide ongoing education and reinforcement while monitoring the patient progress and compliance with treatment regimen. Methods: An Evaluatory approach with one group pre test post test pre experimental design was used for this study. The sample consist 60 haemodialysis patients who belong to 35-45 years of age attending nephrology ward at NRI general hospital. They were employed by a non probability purposive sampling technique. The study was conducted at NRI general hospital chinakakani. The data was collected prior to and after the Nurse led education by administration a structured interview schedule. Results: The data was analyzed by descriptive and inferential statistics. There was significant difference in the Mean scores of pre-test and post test of haemodialysis patients on self care management of renal failure after Nurse Led education. The educated haemodialysis patient’s scores after intervention showed association. Conclusion: The Nurse led education was found to be an effective strategy for providing information and for improving the knowledge of haemodialysis patients on self care management of renal failure.

Keywords: chronic kidney disease; haemodialysis; Nurse led education; Renal failure; self care management.

 Caring for a patient on Mechanical Ventilation requires team work, knowledge of care, goals and interventions based on best practices, patient needs and response to therapy. The health care providers and patients face many challenges, where new treatment modalities and technology interfere with the continuing effort to strive for quality care expected outcomes. The present study was conducted to assess the level of knowledge regarding care of patients on ventilator among intensive care unit nurses working in government general hospital in Puducherry. The researchers selected Indira Gandhi Government General Hospital and Post Graduate Institute (IGGGH & PGI), Indira Gandhi Medical College and Research Institute (IGMC & RI) and Rajiv Gandhi Government Women and Child Hospital (RGGW & CH) as their study area. The findings showed that out of 75 nursing officers the majority 44 (33%) of them had good knowledge, 14 (10.5%) of them had very good knowledge, 13 (9.75%) of them had average knowledge 4 (3%) of them had poor knowledge on care of patient on ventilator.

Keywords: knowledge; ICU nursing officers; ventilator; nursing intervention protocol.

 Context: Nurses handle heavy workloads and often sustain injuries, like wrist sprains. So, management of this requires a good understanding of the pathophysiology, which can be approached from many sides. It may be relevant to study the role of free radicals or their derivatives like malondialdehyde (MDA). Aims: Aim of the present study was to estimate the levels of MDA in healthy nurses and in nurses who sprained their wrists. Settings and Design: Sixty nurses from orthopedics ward were enlisted as subjects following predetermined inclusion and exclusion criteria and divided into two groups. Group I consisted of thirty subjects who had healthy wrists and they served as controls. Group II had thirty age and sex-matched nurses who had recent wrist sprains and they served as cases. Methods and Materials: Estimation of serum MDA levels were done in both groups. Statistical analysis used: The MDA levels of the two groups were compared. Results: In group II (cases with wrist sprains) levels of MDA were highly significantly increased in comparison to MDA levels in group I (control subjects). Conclusion: Oxidative stress in wrist sprains leads to decreased MDA levels.The findings of this research might be relevant in strengthening the association between oxidative stress (caused by free radicals and leading to lipid peroxidation) and sprains; further, the above mentioned data may be important for workers in this area of study.

Keywords: Serum; Malondialdehyde; Nurses; Wrist; Sprain.