Journal of Nursing Science Practice, Research and Advancements

Effect of Self-Instructional Module on Knowledge About Telemedicine Among Selected Staff Nurses Working at District Hospital Satna, M.P.

2026-02-17T12:06:23+00:00

Background: Telehealth involves delivering clinical healthcare services remotely through electronic communication technologies. Staff nurses require knowledge of telehealth for roles like virtual assessments and triaging, but studies show knowledge gaps often exist, necessitating training programs to improve proficiency. Effective training, such as computer-assisted teaching or seminars, significantly increases a nurse's knowledge and confidence in using telehealth technologies, protecting cases privacy, and understanding legal requirements. Proper knowledge allows nurses to use telehealth effectively, enhancing case care and improving workflow efficiency. Reasons for a knowledge gap in staff nurses include a mismatch between academic curriculum and clinical needs, lack of time and training opportunities, heavy workloads, and insufficient institutional support. Other factors are the limited use of new research in practice, poor communication between educators and clinical staff, and a lack of resources or support for evidence-based practice.

Methods: A self-learning module was conducted to assess the knowledge of staff nurses regarding telehealth at District Hospital, Satna (M.P.). The study involved 40 nursing officers from the hospital.

Results: The objectives were accomplished based on the results, which showed that demographic factors were significantly related to pre-test scores: Poor 4(10%), Average 31 (77.5%), good 05 (12.5%), Excellent 0 (0%) post-test knowledge score: poor 0 (0%) Average1(2.5%), Good04(10%), Excellent35(87.5%) regarding telehealth among staff nurses (Nursing Officer) working in District Hospital Satna (M.P.) The knowledge score obtains pre-test knowledge score means 22.475 and standard Deviation 6.25 & post-test knowledge score mean is 54.25 and standard deviation 5.978, which shows an increase in knowledge by SIM.

Conclusion: It was concluded from the study findings that socio-demographic factors have a significant impact on the knowledge of staff nurses (nursing officers) regarding telehealth.

A Study to Assess the Effectiveness of a Structured Teaching Programme on Knowledge Regarding Prevention of Worm Infestation Among Mothers of Under Five Children Selected in the Rural Community of Mangalore

2026-03-11T11:43:02+00:00

Worm infestation remains a major public health problem among under-five children in rural communities. Inadequate knowledge among mothers contributes to recurrent infections and associated complications such as Anaemia, malnutrition, and impaired growth.

The present study aimed to assess the effectiveness of a structured teaching programme on knowledge regarding prevention of worm infestation among mothers of under-five children in a selected rural community of Mangalore. A pre-experimental one- group pre-test post-test design was adopted. Thirty mothers were selected using non-probability convenient sampling technique. A structured knowledge questionnaire was used to assess knowledge before and after administration of the teaching programme. Content validity was established by experts and reliability was conformed using split half method (r = 0.90). The pre-test mean knowledge score was 10.16 (33.88%), whereas the post-test mean score increased to 15(50%). The mean difference was 4.84. Paired t-test analysis revealed statistically significant improvement in knowledge at p < 0.05 level. The findings indicate that structured teaching programmes are effective in improving maternal knowledge regarding the prevention of worm infestation. Educational interventions can play a vital role in reducing infection rates among under-five children in rural communities. Structured educational interventions significantly enhance maternal knowledge regarding the prevention of worm infestation. Incorporating such programs into primary health services can contribute to improved child health outcomes in rural communities.

Potential Determinants of Post-Traumatic Stress Disorders among Soldiers in 82 Division Headquarters of the Nigerian Army, Enugu

2026-04-07T08:21:54+00:00

Background: Military personnel are at heightened risk for Post-Traumatic Stress Disorder (PTSD) due to exposure to combat and traumatic events during operations. Despite the Nigerian Army's active engagement in counter-insurgency and peacekeeping missions, limited localized research exists on PTSD determinants among its soldiers.

Objective: This study investigated the potential determinants of Post-Traumatic Stress Disorder among soldiers at Headquarters 82 Division Nigerian Army Enugu.

Methods: A cross-sectional design was employed with a sample of 244 soldiers (200 males, 44 females) selected through multi-stage sampling techniques. Data were collected using the Post-traumatic Stress Disorder Checklist-Military Version (PCL-M) and Combat Exposure Scale (CES). Mean scores and standard deviations answered research questions, while simple regression analysis tested hypotheses at a 0.05 significance level.

Results: Findings revealed multiple determinants of PTSD among soldiers, with the highest mean scores for torture (x̄=3.84, SD=0.81674), knowing someone seriously injured or killed (x̄=3.75, SD=0.16517), being shot at or receiving small arms fire (x̄=3.41, SD=0.16517), and being attacked or ambushed (x̄=2.98, SD=0.77745). The overall average mean score across determinants was 2.79 (SD=0.46496), indicating moderate to high exposure levels. Regression analysis showed a significant positive relationship between PTSD development and duration of combat exposure (R²=0.720, β=0.324, t=6.338, p<0.05), with combat exposure explaining 72% of variance in PTSD. Additionally, early rehabilitation services significantly impacted PTSD development and management (R²=0.423, F=40.176, p<0.05), accounting for 42% of variance.

Conclusion: PTSD among soldiers at Headquarters 82 Division Nigerian Army Enugu is determined by multiple combat-related factors, with torture, loss of comrades, and direct combat exposure being the most significant predictors. The duration of combat exposure substantially increases PTSD risk, while early rehabilitation services play a crucial protective role. The study recommends establishing trauma centers, employing mental health professionals, and implementing structured early intervention programs within military healthcare systems.

Designing an eOSCE for Competency-based Assessment of Nursing Procedures and Skilful Nursing Practice

2026-04-07T08:59:51+00:00

Introduction: The Objective Structured Clinical Examination (OSCE) is a widely used method for assessing clinical competence in health-care education, originally introduced by Ronald Harden to address issues of subjectivity and inconsistency in traditional clinical examinations. It provides a standardised and objective framework in which all learners are evaluated on predefined skills under uniform conditions. Despite these advantages, the implementation of conventional OSCEs is resource-intensive, requiring substantial time, infrastructure, and financial investment.

Aim: The study aims to design, develop, and evaluate a web-based electronic Objective Structured Clinical Examination system (Sway eOSCE) for competency-based nursing assessment, and to examine its usability, feasibility, and potential for scalable integration into routine nursing education. It further assesses whether the platform can effectively replicate the traditional OSCE structure while reducing resource and infrastructure demands, and determines user acceptance as measured by the System Usability Scale (SUS).

Materials and Methods: This study describes the design and development of sway eOSCE, a web-based electronic OSCE system developed to support competency-based assessment of nursing procedures and clinical skills. A prototype software (Sway eOSCE) was developed and evaluated by 59 B.Sc. Nursing 5^th-semester students, and also by 9 clinical instructors, to assess usability and functional coherence through a planned workshop on eOSCE.

Results: The sway eOSCE system achieved a mean System Usability Scale (SUS) score of 83.5, indicating a high level of usability and user acceptance. These findings suggest that sway eOSCE represents a promising approach for enhancing competency-based assessment in nursing education.

Conclusion: The sway eOSCE system offers potential advantages in terms of scalability, standardisation, and efficiency in clinical skills evaluation.

Effectiveness of Tripod Position on Dyspnea among Acute Exacerbation of COPD (AECOPD) Patients

2026-04-16T11:41:04+00:00

Background: Acute exacerbation of chronic obstructive pulmonary disease (AECOPD) is a progressive respiratory condition characterised by airflow limitation and persistent breathlessness. Dyspnea significantly impairs functional capacity and quality of life. Non-pharmacological interventions such as positioning may provide symptomatic relief.

Objectives: To evaluate the effectiveness of the tripod position on dyspnea, compare outcomes between experimental and control groups, and assess associations with selected demographic variables.

Methodology: A quantitative time-series research design was adopted. A total of 63 patients were selected using purposive sampling and allocated into experimental (n=32) and control (n=31) groups. The intervention was administered three times daily for three consecutive days. Dyspnea was assessed using the Borg CR10 scale.

Results: A statistically significant reduction in dyspnea scores was observed in the experimental group compared to the control group (p < 0.001).

Conclusion: The tripod position is a simple, effective, and non-invasive intervention for reducing dyspnea and improving patient comfort.