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Home > Towards Conducting Effective Clinical Conferences in a Diploma Nursing Programme in Pakistan

Towards Conducting Effective Clinical Conferences in a Diploma Nursing Programme in Pakistan

Thesis Info

Author

Castellino, Ann

Department

Institute for Educational Development, Karachi

Program

MEd

Institute

Aga Khan University

Institute Type

Private

City

Karachi

Province

Sindh

Country

Pakistan

Thesis Completing Year

1998

Thesis Completion Status

Completed

Subject

Education

Language

English

Added

2021-02-17 19:49:13

Modified

2024-03-24 20:25:49

ARI ID

1676728006215

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The focus of this study was to explore how to conduct effective clinical conferences with Diploma nursing students at The Aga Khan University School of Nursing (AKUSON) a private nursing school in Pakistan. To accomplish this goal I worked with two nursing faculty of year two and year three along with their clinical group consisting of eleven students each. In this situation I worked as a catalyst being a resource person and facilitator, using action research in my attempt to make clinical conferences more effective. Even though students course work comprises of both theory and practice my project focused on the improvement of the process of clinical conferences as it is related to the clinical component of students' learning. Since all existing research on clinical conferences is based in western countries, I have used Wink (1995) and Matheney (1969) as a framework to guide this study and look at their applicability to the Pakistani context. Teachers mostly used students presentation as a strategy to conduct clinical conferences, in the pre-intervention stage of the study. Four out of five teachers asked students to present, although 64% of students admitted that they did not like presentations as a strategy for learning (N=22). During these conferences one or two students presented to the clinical group of 10-12 students. Initially less time was given to discuss nursing, whereas, in the intervention stage the conferences were entirely nursing based. In the intervention stage post-conferences were held using teaching strategies such as guided imagery, role-play, case-studies, debate, nursing rounds, and cooperative learning. Presentation style of conducting post-conferences was modified, whereby students participated, shared experiences, learnt from and between each other. These prototype conferences were rated as highly effective' both by students and teachers. In the post-intervention stage 73% of students (N=22) rated the conferences as ‘good' and ‘excellent'. The students' perception of an effective clinical conference at the post-intervention stage was that it should consists of two way communication involving many strategies to build on clinical practice where everyone participates. During the intervention stage students worked in small groups, the teacher as part of the group, sharing ideas, information and experiences with each other. Time was utilized effectively and the conferences were enjoyable. In this way the teacher helped and encouraged the students in the learning process.
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مولانا مودودی ؒ کیلئےقیدوبند کی صعوبتیں

مولانا مودودی ؒ کو اپنے رفقاء سمیت اکتوبر ۱۹۴۸ء میں گرفتارکیا گیا۔آپ کونہ صرف گرفتار کیا گیا بلکہ آپ کی جماعت کے اخبارات " کوثر" ،" جہاں نو" اورروزنامہ " تسنیم " بھی بند کردیےگئے۔ اس وقت حکمران طبقہ پر استعماری غلبہ تھا ۔جبکہ مولانا مودودیؒ کاکہنا تھاکہ پاکستان کے قیام کااصل مقصد اسلامی نظام کاقیام ہے ۔ آپ پرجہادکشمیر کے مخالف ہونے کاالزام لگایا گیا ۔اپنی پہلی قید وبند کی صعوبت کاذکر مولانا نے اس طرح کیاہے :

"میں نے اپنی پہلی نظربندی میں لکھنے پڑھنے کا خاصا کام کیا ۔مسئلہ ملکیت زمین مرتب کی ۔ تفہیم کا مقدمہ لکھا۔حدیث کی کتاب ابوداؤد کاانڈکس تیارکیا۔کتاب" سود" اور"اسلام اورجدید معاشی نظریات" بھی وہیں مکمل کیں ۔ خداکاشکر ہے کہ میراوہاں ایک دن بھی ضائع نہیں ہوا " ۔[[1]]

مولانا مودودی ؒ کی سزا پر پوری دنیا سراپا احتجاج تھی۔لیکن مولانا مودودی ؒ فوجی عدالت کے فیصلے سے بالکل بھی نہ گھبرائے۔ مولانا ؒ نے اپنے ساتھیوں کو سزا کے خلاف رحم کی اپیل نہ کرنے دی۔مولانا نے فرمایا:

" نہیں ہرگز نہیں ! میں نہیں چاہتا کہ میری طرف سے یامیرے خاندان کے کسی فرد کی طرف سے یاخود جماعت کی طرف سے کوئی رحم کی درخواست پیش کی جائے" [[1]]

مولانا نے اپنے بیٹے عمر فاروق کو تسلی دی اور گھبرانے سے منع فرمایا۔ مولانا نے سزا کے خلاف کوئی اپیل دائر نہیں کی مولاناؒ کا کہنا تھا کہ اگر میں ظالم حکمرانوں کے سامنے دب گیا تو پھر ملک سے انصاف ختم ہوجائے گا ۔

آخر کار حکومت نے خود ہی سزائے موت کو ۱۴ سال کی قید میں تبدیل کردیا۔ جیل سے رہائی کے بعد مولانا مودودی ؒ نے دین کے کام کو آگے بڑھایا ۔

MIND THE GAP DISCRIMINATION AND MANAGEMENT CHALLENGES AMONG FEMALE PHYSICAL THERAPISTS

Gender matters and has an impact, and it is intended to encourage readers to think about this important issue in clinical practice, education, research, and a wider context of public health1. Due to the dearth of gender theoretical knowledge that has been discovered within the field of physiotherapy, there are still many difficulties that women must overcome in today's world of gender equality and feminism for women's rights2. Historically, women are predominated in the physiotherapy profession, although this has gradually changed throughout the years3. According to Chartered Society of Physiotherapists (CSP) data for both practicing and non-practicing physiotherapists, the gender split changed from 76% female to 24% male to 74% female to 26% male between 2017 and 2020. Although women make up more than 50% of the physiotherapy workforce globally, they make up fewer than 50% of executive positions in national physiotherapy associations3.

Synthesis of Polymer Silica Hybrid Xerogels and Nanofibers Through Sol Gel Processing and Electrospinning

Polymer silica hybrids are attracting a lot of attention owing to their ability to be used in a number of applications as they combine the properties of the organic phase (flexibility, processability, ductility) and those of the inorganic phase(thermal stability, rigidity). In recent years, polymer-silica hybrids with various tailored properties have attracted a lot of attention and have found applications in a variety of fields including catalysis, adsorption, pervepaoration, sensors, and enzyme encapsulation. The scope and utility of these polymer silica hybrids are further broadened by transforming them to nanosized materials i.e. nanoparticles and nanofibers. The work reported in this thesis covers various investigations carried out by modulating sol-gel process of silica and later on incorporating controlled sol-gel processing with electrospinning to generate particles and fibers with sizes in nanometers. It includes assimilation of two polymers Poly Acrylonitile (PAN) and Polyvinyl Alcohol (PVA) into the silica gel matrix to produce hybrid xerogels and/or nanofibers. Due to the variation in the techniques and nature of materials involved in the synthesis, this research work is divided into three parts. In the first part, we report on the synthesis of PVA-silica hybrid xerogels through acid catalyzed sol-gel processing of silica precursor Tetraethoxy Silane (TEOS) in a mixed solvent consisting of water and ethanol. We systematically investigate the effect of varying ratio of PVA and silica precursor on the surface structure, thermal properties, crystallinity and solubility of the resultant xerogels. All the xerogel samples are found to display mesoporous surface morphology and the pore size is found to increase with the increase in polymer content of the xerogel. Unlike highly water soluble nature of PVA, all the hybrid xerogels are found to display extremely reduced solubility in water. This anomalous behaviour of PVA hybrids can be attributed to stronger than expected interactions between PVA and silica. XRD and DSC analysis of the xerogels point towards the loss of crystallinity of the PVA in the hybrids. FTIR examination of the xerogels also provides evidence for a covalent bond between PVA and silica which results in crosslinking of PVA in the hybrids. Catalytic properties of the as- synthesized and calcined xerogels are analyzed by studying the sorption of a fluorescent active dye Rhodamine 6G on the xerogels. Entrapment of R6G in the xerogels structure is also studied by incorporating the dye in the hybrid xerogels during synthesis. The structure of the final hybrid is verified through SEM, FTIR and XRD studies while its optical properties are investigated through UV-visible spectroscopy. Of the various approaches used to synthesize polymer silica hybrid nanofibers, the one-step electrospinning process has received a lot of attention due to its simplicity, cost effectiveness and speed. Electrospinning is a decades-old technique which draws very fine fibers from a viscous liquid (usually a polymer or polymer solution) under the force of an electrostatic field. In the second part of research, Using electrospinning and sol-gel methodologies, we report a method to prepare silica-PVA nanofibers with reduced water solubility. Silica-PVA hybrid fibers are obtained by electrospinning a mixture of the silica precursor solution and aqueous PVA. We systematically investigate how the amount of TEOS, the silica-PVA ratio, the aging time of the precursor solution and the solution rheology influence morphology of the fibers. Just like the hybrid xerogels, PVA-silica nanofiber hybrids were water insoluble when soaked overnight in water. We believe that mixing of the silica precursor and PVA in solution in the presence of acid catalyst initiates the participation of the PVA polymer in the silica precursor crosslinking so that its –OH group becomes unavailable for H-bonding with water. Third part of the research involves application of a controlled sol-gel synthesis incorporated with electrospinning to produce polyacrylonitrile-silica (PAN-silica) nanofibers. Hybrid fibers are obtained with varying amounts of PAN, silica, acid catalyst and silica precursor aging time. Solution viscosity, conductivity and surface tension are found to relate strongly to the electrospinnability of PAN-silica solutions. Later, thermal stabilization of the hybrids at 280oC followed by carbonization at 800oC transformed fibers to carbon-silica hybrid nanofibers with diameter ranging from 400 to 700 nm. FTIR analysis of the fibers confirmed presence of carbon and silica content. Graphitic character of the carbon-silica fibers was confirmed through raman studies and fibers are found to contain almost even distribution of crystalline (graphitic) and amorphous (non-graphitic) characters.