Promoting motivation towards community health care: A qualitative study from nurses in Pakistan

Based on the extensive health care needs of Pakistani population, the idea of Community Health Nursing was introduced in 1985. The educational nursing institutes adopted nursing curriculum in order to produce competent nurses to meet the rising demands of society. However, very few numbers of nurses choose community health nursing as their career pathway in Pakistan. Based on the current observation, enhancing motivation among graduate nurses has always been viewed as a great challenge for the academic nursing institutions. This study was intended to explore motivating and de motivating factors in nurses towards community Health Nursing. By utilizing self concept based model of motivation, semi structured interviews were conducted with newly graduated nurses, nurse educators and nursing students. The findings revealed that certain traits, values and competencies are required to motivate nurses as well as to build their capacity towards working effectively in the community setting. Moreover, through this study several realistic recommendations by the participants are highlighted that could foster motivation among future nurses towards this field

Peer violence perpetration and victimization: prevalence, associated factors and pathways among 1752 sixth grade boys and girls in schools in Pakistan.

BACKGROUND: Child peer violence is a global problem and seriously impacts health and education. There are few research studies available in Pakistan, or South Asia. We describe the prevalence of peer violence, associations, and pathways between socio-economic status, school performance, gender attitudes and violence at home. METHODS: 1752 children were recruited into a cluster randomized controlled trial conducted on 40 fairly homogeneous public schools (20 for girls and 20 for boys), in Hyderabad, Pakistan. This was ranging from 20-65 children per school. All children were interviewed with questionnaires at baseline. RESULTS: Few children had no experience of peer violence in the previous 4 weeks (21.7% of girls vs.7% of boys). Some were victims (28.6%, of girls vs. 17.9% of boys), some only perpetrated (3.3% of girls vs. 2.5%) but mostly they perpetrated and were victims (46.4%.of girls vs 72.6%. of boys). The girls\u27 multivariable models showed that missing the last school day due to work, witnessing her father fight a man in the last month and having more patriarchal gender attitudes were associated with both experiencing violence and perpetration, while, hunger was associated with perpetration only. For boys, missing two or more days of school in the last month, poorer school performance and more patriarchal attitudes were associated with both victimization and perpetration. Witnessing father fight, was associated with peer violence perpetration for boys. These findings are additionally confirmed with structural models. DISCUSSION: Peer violence in Pakistan is rooted in poverty and socialization of children, especially at home. A critical question is whether a school-based intervention can empower children to reduce their violence engagement in the context of poverty and social norms supportive of violence. In the political context of Pakistan, reducing all violence is essential and understanding the potential of schools as a platform for intervention is key

40-Hz ASSR fusion classification system for observing sleep patterns

Abstract This paper presents a fusion-based neural network (NN) classification algorithm for 40-Hz auditory steady state response (ASSR) ensemble averaged signals which were recorded from eight human subjects for observing sleep patterns (wakefulness W 0 and deep sleep N 3 or slow wave sleep SWS). In SWS, sensitivity to pain is the lowest relative to other sleep stages and arousal needs stronger stimuli. 40-Hz ASSR signals were extracted by averaging over 900 sweeps on a 30-s window. Signals generated during N 3 deep sleep state show similarities to those produced when general anesthesia is given to patients during clinical surgery. Our experimental results show that the automatic classification system used identifies sleep states with an accuracy rate of 100% when the training and test signals come from the same subjects while its accuracy is reduced to 97.6%, on average, when signals are used from different training and test subjects. Our results may lead to future classification of consciousness and wakefulness of patients with 40-Hz ASSR for observing the depth and effects of general anesthesia (DGA)

Role of self efficacy in promoting healthy behavior: Smoking cessation as an example

Self-efficacy is defined as an individual’s perceived capability to perform a behavior for accomplishment of a desirable goal. Enhanced personal self-efficacy is associated with a positive self-concept and self-appraisal of personal control which develops through experiences of mastery and the anticipation of competent performance. This paper aims to analyze the role of self-efficacy in promoting healthy behavior. A case scenario has been discussed to support the concept of self-efficacy in promoting healthy behavior taking smoking cessation as a case