Paediatric Nursing Skills Made Easy

In our attempt to compile a book on essential procedures related to paediatric nursing, our goal is to provide a text that would be useful as a reference and guidelines with nursing students or even practicing paediatric nurses in mind. While there are other text books related to step-by-step nursing procedures, this particular publication addresses variations specifically on the care of hospitalized child common within the local context. This text with its focus on care provision to meet the unique needs of the hospitalized child would complement the other recommended nursing textbooks. At the beginning of each nursing procedure, we emphasize on importance of identification for the correct child, hand hygiene, consent and giving of clear information to the child as developmentally appropriate. The practice of family-centered care is integrated to encourage parental participation in meeting the needs of their hospitalized child. The introductory Chapter One outlines important General Principles related to correct patient identification, consent, hand hygiene, privacy and documentation which should be considered and applied when carrying out any nursing procedures on hospitalized children. Chapters Two to Twelve are procedural chapters. Each chapter contains of procedures with details on step-by-step procedural implementations as well as the explanations to rationalize each step. The requirements listed for each procedure summarizes the equipment and materials that should be gathered in readiness before starting the procedures. Key points of procedures to be alerted are also included. We are certain that information which is written in simple English as contained in this book would help to students’ understanding and learning. Thus, we have great hope it would contribute towards improving nursing students’ confidence in their delivery of care

Effect of Hanging White Bedsheet Around Phototherapy Unit on TSB Level in Neonatal Jaundice: A Comparative Study

Introduction: Phototherapy is the primary treatment for neonatal jaundice and is evaluated via total serum bilirubin (TSB) level. Hanging white material around phototherapy unit can multiply energy delivery by many folds. This study is to evaluate the effect of hanging white bedsheet around phototherapy unit on the reduction of TSB level. Methods: Comparative interventional study was conducted in two public hospitals. 200 eligible neonates with hyperbilirubinemia were recruited and assigned to intervention (n=100) and control group (n=100). Neonates assigned into intervention group were nursed under phototherapy with the addition of white bedsheet hanging around the unit while the control group were nursed under phototherapy with non-white curtains. Results: Mothers’ blood group (x = 3.75, p = .29), neonates’ blood group (x = 2.87, p = .41), birth weight (t = 1.41, p = .16), baseline total serum bilirubin (TSB) level (p = .08), baseline irradiance of phototherapy prior to the hanging of curtains (p = .13) and hours of phototherapy (p = .53). The mean for TSB level in intervention and control group at 24 hours was 235.82µmol/L and 208.67µmol/L respectively. The mean difference in TSB level between intervention and control group was statistically significant at 24 hours (x = 27.15, t = 4.56, p < .001) and 48 hours (x = 19.27, t = 2.32, p = .02) after initiation of phototherapy. Conclusion: The baseline and demographic characteristics of the neonates and mothers were comparable between the intervention and control group. The TSB level at 24 hours and 48 hours were significantly lower in control group if compared to the intervention group. Therefore, hanging white bedsheet did not significantly hasten the reduction of TSB level when compared to ordinary non-white curtains

Effect of hanging white bedsheet around phototherapy unit on TSB level in neonatal jaundice: a comparative study

Introduction: Vaping is a use of electronic devices which do not produce smoke or steam, rather an aerosol consisting of fine particles, containing varying amounts of propylene glycol, glycerine, flavourings and other chemicals. It is battery-powered devices that mimic the action of smoking. In Malaysia, vaping has become a major trend. Videos are going viral on social media showing school students in uniform proudly puffing away. The aim of this study was to find out the acceptance of vaping among medical and nursing students. Methods: A descriptive cross-sectional study with multiple stage of sampling technique on population of 624 medical and nursing students. Total samples were 389, by Krejci Morgan (1970) sampling technique. Structured questionnaires by A. Gorukanti (2018) with 15 items consisted of knowledge, attitude and acceptance and attitude and believe as data collection tools. Results: Re¬sults showed 9% to 10% of respondents are still smoking, they believed e- cigarette is safe and would not affect one’s health, as it is a water-based product trademarked. They also regard e-cigarette a way of quitting or cutting down smoking. Conclusion: 10% of respondents consistently believed e-cigarettes is harmless. Although the percentage may look small but the impact on the public is huge. However, 90% strongly agreed e-cigarettes ‘vapour is dan¬gerous to babies and kids. What concerns us is the consistent group of the 10%, are students who will become our healthcare providers in the future. Their strong-belief in vaping will influence the future of the public understanding, “If doctors and nurses said vaping is safe ... it is safe… right? why not. which is harmful. However, this study has impelled us not only to look at the strength and the significance outcomes of study and neglecting the trifle ones that may prime to serious healthcare consequences of the future society

Experience of mothers learning and doing infant massage

Experience of mothers learning and doing infant massage The practice of infant massage has been reported to give relaxation and enjoyment to mothers and babies. Objective: this study aimed to explore mothers’ experience with learning and doing infant massage. Methodology: Mothers of babies four to six weeks old were taught the adapted baby massage program over four sessions by a certified infant massage instructor in selected health centres. They were asked to do infant massage for 15 minutes twice a day. As part of a main study, nine of the mothers were recruited as study participants at the end of the teaching sessions using a purposive sampling procedure. In-depth interviews were conducted to explore their experience with learning and doing baby massage. Findings: Mothers’ experience with baby’s relaxation and sleep, baby-mother bonding, new learning in term of a helpful baby-care skill, responding to baby cues, establishing new care routine, gaining spousal and other mothers’ supports apparently contributed to their positive experience related to learning and doing massage with their babies. Findings supplement the evidence base which could influence practice change related to service provision to include infant massage as part of the maternal an

A case control study on Infant Massage And Breastfeeding Outcome Among Mothers

Aims / Background: The practice of infant massage has been reported to provide benefits of improved mother-infant interaction and breastfeeding outcome. This study aims to examine the influence of infant massage on breastfeeding outcome. Methodology: using a case control study design, 310 mothers whose babies were 4 weeks old and still breastfeeding were recruited from the selected MCH clinics within Kuching District for the intervention and control groups, after prior ethnics approval. Study group mothers (mean age 29.2 years) were taught the adapted infant massage program by a certified infant massage instructor in a small group of 4-5 mothers each. A bottle of (60 mls) cold-pressed olive oil and a hand-out of the massage strokes were given to mothers who were asked to have baby massage session twice a day for 10-15 minutes each. Questionnaire on breastfeeding-related outcome (frequency, duration, supplementary food; exclusiveness) were administered to both groups of mothers on recruitment and on baby’s age 12 weeks. A dropout of 10 study group participants was noted due to loss to contact. Results: 84.8% (n=123) of the study group (N=145) reported still breastfeeding versus 77.4% (n=120) in the control group (N=155). However, almost half of the both groups had started on complementary feeding with formula milk of at least 1-2 times per day. Higher percentage of the study group then control group breastfed their babies at least 3-4 times per day. Apparently more of the study group reported at least 6-10 minutes for each breastfeeding session. Among the reasons indicated from mothers of both groups for not breastfeeding include milk insufficiency and the needs to resume work. Conclusion: Infant massage could be one of the factors which influence positively on breastfeeding outcome in the local context

Influence of Infant Massage Practice on Breastfeeding Among Mothers In Sarawak

Introduction: Practice of infant massage by mothers has been reported previously to provide benefits such as nurturing touch, warmth and relaxation to infants and a more positive breastfeeding practice due to its stimulant for oxytocin release. This study aimed to determine the influence of infant massage by mothers on their breastfeeding practice in the local context. Methods: A quasi-experimental study was conducted among 310 mother-infant pairs who were recruited from five selected health centres within First Division of Sarawak. Intervention group participants (n=155) were taught to do infant-massage during the clinic session and instructed to practice 15 minutes twice daily throughout the two-months intervention period, while the control group (n=155) were not. Breastfeeding practice data were obtained using questionnaire from both groups pre-intervention at infants’ age one-month and post-intervention at age three-months. Results: Multinomial regression analysis showed that those in the intervention group were two times more likely than the control group for exclusive breastfeeding when compared to mothers who stopped breastfeeding (RR=2.022, 95% CI=1.007, 4.071; p-value=0.048). Similarly, mothers from the intervention group were two and half times more likely than control group for mixed feeding (RR=2.560, 95% CI=1.280, 5.121; p-value=0.008). Those who were housewives were nearly three times more likely than the private workers for exclusive breastfeeding (RR=2.734, 95% CI=1.246, 5.997; p-value=0.012). Conclusion: Infant massage influenced breastfeeding practice positively at infants’ age three-months, in particular, among mothers who were housewives. Healthcare providers should encourage infant massage practice by mothers as part of the maternal and child healthcare service