Consistent mindful self-care practices mitigate professional burnout and improve resilience to enable nurses provide safe and effective patient care. This study determined the levels and the influencing factors of mindful self-care of nurses in acute care settings. Data were collected from a convenience sample of 258 nurses from seven acute care hospitals using the 36-item Mindful Self-Care Scale. Data were analyzed using descriptive and correlation analyses. Nurses’ mindful self-care scores were low, and female nurses had higher levels of mindful self-care than male nurses. Statistically significant negative correlations were found between nurses’ mindful self-care levels and their age and clinical experience. Nurses’ engagement in mindful self-care is low which may negatively affect their interactions with and care of patients and their families. Therefore, a need exists to develop and evaluate more clinical-based personal and organizational strategies to enhance the mindful self-care practices of nurses.

Shift working is an important part of novel culture and is applied worldwide. About 22% of males and 11% of . females were involved in regular day shift work¹. Some professions like security forces health care providers and fire fighters are also involved in shift working.² Shift work can be rightly defined as working hours that occur outside of the typical 0700 to 1800 working hours.³ Since nurses are the vital pillar of the health care system and their fundamental tasks are to deliver services around the clock, therefore shift work is significant aspect of their job description. Nurses are doing their duties in shift and are highly prone to the risk of shift work.⁴ Irregular shift rotation may create physical and psychological conditions, decreasing productivity and capability ultimately causing negligence and hands-on mistakes.⁵ Literature revealed three major causes of stress linked

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OBJECTIVES The overarching aim of this study was to identify the vaccination status of children under five years of age and parents’ perceptions regarding vaccination in district Hangu, Khyber Pakhtunkhwa, Pakistan. METHODOLOGY A cross-sectional survey was carried out between April 1, 2017, to May 31, 2017, in Union Council Ganjano Kaley of district Hangu, Khyber Pakhtunkhwa. Ethics approval was obtained from the IRB of District Headquarter hospital, Hangu, Khyber Pakhtunkhwa. Data were collected from the parents of these 100 children through an adapted questionnaire. Descriptive statistics were calculated for the variables using SPSS version 20.  RESULTS Out of 100 children, 43% were males and 57% were females.  Among these, 18% were living in nuclear families while 82% were living in combined families. 77% of participants had immunization cards with them, while 23% had no immunization cards.  Regarding immunization status, 80% of children were fully immunized, 19% were partially immunized and 1% were not immunized. CONCLUSION The overall immunization coverage rate was satisfactory. Parents showed confidence in the public sector vaccination services. In view of population expansion, more vaccinators need to be employed to achieve effective and sustainable vaccination coverage.

OBJECTIVES Kidney transplantation is a surgical procedure and the best treatment choice for end-stage renal disease. This study aims to assess nurses’ level of knowledge regarding post-operative care of patients with kidney transplantation. METHODOLOGY This descriptive cross-sectional was carried out in Hayatabad Medical Complex (HMC) and Rehman Medical Institute (RMI) Peshawar from February 2019 to May 2019. These are tertiary care hospitals; the former is a public sector hospital while the latter is a private sector hospital. A convenient sampling technique was followed and included 109 participants. Data were collected using a structured questionnaire of 25 items related to the care of post-renal transplantation on a Likert Scale. Frequencies and percentages were calculated for demographic variables. The Mean and standard deviation were calculated for knowledge among nurses. A Chi-square test was applied to find an association between demographic variables and level of knowledge. Data were analyzed with SPSS 20. RESULTS Of the total number of participants 109, 23 (26.6%) were females, and 77 (73.3%) were male. The mean score of knowledge was 11.59±3.391 out of 25. Of the participants, 62(56.9%) fell into the poor score, and the average score was awarded by 44 (40.4%), while 3 participants (2.8%) scored good knowledge. CONCLUSION The nurses demonstrate poor knowledge regarding post-operative care of patients with kidney transplantation. Education and experience play an essential role in enhancing the education of nursing staff working in kidney transplantation units. Formal training needs to be imparted to provide quality care to renal transplantation patients.

Background: This research aimed to assess the current care management processes for COVID-19 and determine patient outcomes. Methods: An analytical cross-sectional study was conducted at Saidu group of teaching hospital, a tertiary care hospital with more than a thousand-bed capacity. The target population was all patients admitted to the corona isolation ward and the hospital's critical unit. All the patients admitted through the emergency and inpatient department with Positive PCR, and respiratory symptoms were included in the study. Results: In total, data of 151 patients were collected. Of these, 90 (59.6%) were male and 61 (40.4%) were female with a mean age of 59.17±13.79. The most common presenting symptoms were difficulty in breathing (n=147, 97.4%) and dry cough (n=104, 68.9%), followed by aches and pain (n=71, 47%) and fever (n=60, 39.7%). Most of the patients had an underlying health condition (n=96, 63.6%). The most common underlying conditions were hypertension (n=65, 43%) and diabetes (n=56, 37.1%). The mean time for the hospital stay was 11.68±15.31. About 64% of the patients recovered with the treatment and care protocols (n=97, 64.2%), while the remaining (n=54, 35.8%) died. Conclusion: This study provides an overview of the clinical presentation and treatment protocol for COVID-19. Most of the patients received supportive treatment comprising of antivirals, steroids, and oxygen therapy. However, the mortality rate was low compared to other hospitals across the country.