Background: COVID-19 pandemic has inevitably changed our needs to be dependent on technology to stay connected to people, education, health care and all spectra of daily life. E-learning has unique advantages, overcoming barriers of introversion and physical distance, creating new ways to communicate and shaping professional identity during crisis situation. Objectives: The integrated review summarizes the impact of E-learning among nursing education and explores the possible opportunities to continue the standards in nursing education. Methods: A comprehensive literature search was done to identify the impact of e-learning in nursing education. Seventeen primary articles meeting inclusive criteria, published from the onset of COVID-19 until 5^th October 2021 were included in this integrated review. Results: The review literature explores that E-learning is affected by internet issues, technical gadgets, lack of computer literacy and problem with electricity. The students were lack in clinical demonstration, negative attitude towards e-learning, Fatigue and stress due to online classes. At the same way, it is found that e-learning deliver the alternative method of education in nursing curriculum however the practical training remains indispensable. Conclusion: The effective E-learning intervention can support the development of nursing student’s skills, knowledge, and attitude during COVID remarkable situation.

Mankind allocates a huge amount as medical expense concerning lot about their health. In the books of Bible, clearly highlighted various fundamental principles to counsel our personal choices in ways that can prevent diseases and optimize our health. God revealed fundamental truths in the Bible that medical science has taken thousands of years to confirms we examine a number of biblical health principles which is highlighted below in this article, we will discover how simple, yet up-to-date, this information is even though it was recorded thousands of years ago.

This present study was done to evaluate the effectiveness of structured teaching programme on adverse effects of on line game addiction among school children in selected school. One group pre-test, post test design was adopted. A total of 30 students belong to the age group of 10-16 years were selected by using purposive sampling technique. Pre-test knowledge level was assessed by the knowledge questionnaire, structured teaching programme was given on the adverse effects of online game addiction and post test was done after one week. Knowledge level was scaled as inadequate level knowledge (0-10), moderate level knowledge (11-20), inadequate level knowledge (21-30). The research findings revealed that, in pre test maximum number of samples 21(70%) had inadequate knowledge, 6(20%) had moderate level knowledge and only 3(10%) samples had adequate level knowledge, but in post test most of the samples 25(83%) samples 0had adequate level knowledge, 5(17%) samples had moderately adequate knowledge and none of them had inadequate knowledge. The mean score of post test knowledge was 23.4 [SD 3.46] is higher than the pre-test mean score 13.8 [SD 3.43] the obtained ‘t’ value is 12.28, which is significant at P<0.05 level. The result also revealed that there is a significant association between post test level of knowledge and religion.

This paper examines the emotional intelligence and decision-making of nurses. A correlational descriptive design of 88 nurses in a tertiary hospital participated in the study using a convenience sampling. Pearson Chi square, Independent T test was applied in the study. Majority of nurses ranges from 20-25 years old, female, single, and ranked as nurse II in the nursing hierarchy. Majority of nurses have permanent employment status, assigned in the surgical wards and reported 6 to 10 average number of patient workload per day. Nurses' level of emotional intelligence is generally high (M=2.90±0.15) and level of decision-making skills is fairly low (M=2.43±0.60). The profile on highest educational attainment (p=0.042) and employment status (p=0.042) of nurses is significantly associated to decision-making skills. There is a negligible correlation between emotional intelligence and decision-making of nurses (r=0.034, p=0.755). A significant difference exists between levels of decision-making skills (F-value=6.209, p=0.003) and rank status of nurses.

Child bearing is typically seen as one of life's most basic accomplishments. Feelings of failure, melancholy, solitude, guilt, and rage accompany the desire for a child in those who are unable to conceive. Infertility is a challenging experience, affecting individual and couples’ adjustment.Infertility may causes stress denfinitely when comparing to infertility men, infertility women report high level of stress and anxiety. Stress lowers sexual and marital adjustment and isolation compared to men. The couple's search for a solution and acceptance of the testing and therapy procedures is aided by acknowledging these deep feelings.The investigator used pre experimental design with one group pre-test and post-test 60 women who fulfilled the criteria were selected by using Purposive sampling technique and knowledge questionnaries and data was gathered before and after a systematic instruction programme. The overall calculated ‘t’ value was *13.17 when compared to the table value (2) was found to be high and it is significant at 0.05 level.

Statement of the Problem: A study to assess the effectiveness of foot zone therapy on level of post-operative pain, sleep and bowel pattern among patients with selected abdominal surgery at Ashwin hospital, Coimbatore. Objectives: To evaluate the effectiveness of zone therapy on post operative pain among patients with selected abdominal surgery in experimental and control group.To evaluate the effectiveness of zone therapy on post operative sleep among patients with selected abdominal surgery in experimental and control group. To evaluate the effectiveness of zone therapy on post operative bowel pattern among patients with selected abdominal surgery in experimental group.To determine the correlation between the post operative pain, sleep and bowel pattern among patients with selected abdominal surgery before and after zone therapy in experimental group.To determine the association between the post operative pain, sleep and bowel pattern among patients with selected abdominal surgery with their demographic variables in experimental group. Methodology: Pre-test post-test Control Group design and post test only control group design as subtypes of Quasi Experimental Research design was adopted for assessing the effectiveness of zone therapy on the level of post operative pain, sleep and bowel pattern among patients with abdominal surgery. The selected sample size was 40, out of which 20 belong to experimental group and 20 belong to control group, selected by non probability convenient sampling technique. Results: Descriptive and inferential statistics were used to analyze the values. The obtained ‘t’ value for the level of post operative pain, sleep and bowel pattern after performing zone therapy were 31.57, 60.05 and 13.94. Conclusion: The zone therapy has significant effect in level of post operative pain, sleep and bowel pattern among selected abdominal surgery patients.

The present study is to assess the leadership qualities and skills of nurses working at selected hospital, Coimbatore .The Qualitative descriptive design was adopted for this study. The total sample of 20 nurses working in private tertiary Hospital was selected by the Non probability convenient sampling technique. The data collection was done by self administered questionnaire to assess the nurses leadership skills and qualities. The distribution of respondents according to leadership qualities and skills. The Mean of the leadership quality was 65.7. Out of 20, 14(70%) had average and above average leadership qualities and 6(30%) had below average quality of leadership. The mean of leadership skill was 32.7. Out of 20, 17(85%) had average and above average leadership skills and 3(15%) had below average leadership skills. The Leadership qualities are necessary for a nurse working in hospital, this skills help the nurses to provide the nursing care to the patient in effective manner and it’s needed to supervise the subordinates.

This study aimed to determine the perception of E-learning during COVID-19 pandemic among the parents of school children. To achieve the study objectives, the researchers used the descriptive survey method to collect and analyze data and interpret the results. After developing the questionnaire and ensuring its validity and reliability, it was circulated through Google form to a selected sample, consisting of 60 parents, by convenience sampling method. The study result shows that most of the parents were 42(70%) satisfied and 18(30%) were dissatisfied with the E-learning process implemented during COVID-19 pandemic. And 45(75%) of the parents perceived that E-learning cause low impact on students, 15(25%) of the parents felt it produced high impact on students. E-learning was considered to be less stressful for more parents 43(72%), however 17(28%) of the parents perceived that it could cause more stress. It is concluded that most of the parents 48(80%) had positive perception towards E-learning and 12(20%) of the parents had negative perception towards E-learning. The study findings reveal that the demographic variables like education of mother, education of father have significant association with perception of E-learning.

The present study evaluates with cardiovascular diseases. The problem of cardiovascular illnesses is growing worldwide. In 201717.9 million people died per year due to cardio vascular diseases in.India becoming the capital of cardiovascular diseases. Cardiac surgical operation is on the rise, congenital deficiencies or generalized degradation of cardiological characteristic, over time cardiovascular illnesses are growing dramatically, substantiating the need for continued growth of cardiovascular surgical operation. Pain at some point of chest tube removal is been poorly managed and has been described as one of the worst intensive care experience for the patients. Control of pain is a excessive precedence for nursing care and the usage of simple interventions like icepack application during chest tube removal can reduce the intensity of the ache and make the painful method much less distressing for the patients. Objective: to assess the effectiveness of cold application on pain at some point of chest tube removal among patients following CABG. Design: a qualitative approach using quasi experimental pre-test post-test control group design was used. Participants: 60 patients receiving cold application during chest tube removal. Samples were selected using non-probability convenient sampling in Sree Abirami Hospital at Coimbatore. Intervention: cold application for 15-20 minutes to reduce levels of pain throughout chest tube removal. Tools: Standardized Visual analogue pain rating scale was used to assess the levels of pain throughout chest tube removal. Results: Descriptive and inferential statistical techniques were to analyze collected data. Using paired’t’ effect of cold application on pain throughout chest tube removal was assessed.(t= 10.5 respectively<0.05). Conclusion: Cold application was effective in reducing the stages of pain between patients following CABG during chest tube removal.

Ethical values and standards are central to nursing profession, and they are considered as the basis of caring relationship between nurses and clients. Continuous exposure to ethical dilemmas had detrimental impact on nurse clinicians and might contribute to nurse-client conflict. This study aimed to explore the relationship between the Jordanian nurses’ perceptions of ethical issues and exposure to the workplace violence from clients and/or relatives. A cross-sectional descriptive design was used in this study. Data were collected through electronic survey questionnaires from 181 nurse clinicians from eight Jordanian hospitals. Arabic version of Ethical Issues Scale (EIS) was used to collect data related to perceptions of ethical issues among study participants. The results showed that about 80.7% of participants were exposed to workplace violence. Nurses who were exposed to workplace violence scored significantly higher on EIS than nurses who were not. Exposure to workplace violence has been found to be associated with moral distress and indulgence in ethical situations and dilemmas.