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Posts tagged ‘Solina Richter’

Breastfeeding in Disaster Relief Camps


Our current featured article addresses a health challenge that has become far too common in our era of climate change. The article is titled Breastfeeding in Disaster Relief Camps: An Integrative Review of Literature by Shela Akbar Ali Hirani, BScN, MScN, IBCLC, RN; Solina Richter, RN, DCur; Bukola Oladunni Salami, MN, PhD, RN; and Helen Vallianatos, PhD.  We invite you to download this article at no charge while it is featured, and return here to share your thoughts for discussion.  Shela Hirani prepared this information about her work for ANS blog readers:

Shela Hirani

Protecting breastfeeding practices of women is essential to reduce the number of child deaths and illnesses during emergency response. Disaster relief camps are one of the most vulnerable settings for mothers and young children where women are exposed to the risk of discontinuing their breastfeeding practices. In low middle-income countries like Pakistan where infant and child mortality is high, disasters and internal displacements result in a further increase in infant mortality and morbidity rates caused by suboptimal breastfeeding practices and subsequent rise of childhood malnutrition. To examine the factors that affect breastfeeding practices of displaced mothers in disaster relief camps, an integrative review of the literature was undertaken.

The review suggests that the breastfeeding experiences, behaviors, and practices of displaced mothers are shaped by a combination of gender-based, sociocultural, economic, and geopolitical factors. The literature review revealed gaps in knowledge on facilitators and barriers that shape the breastfeeding practices of displaced mothers residing in disaster relief in Pakistan. In view of the vulnerability of displaced mothers and rising child mortality rates in disaster relief camps in Pakistan, this review suggests a pressing need to explore a wide range of factors affecting breastfeeding practices of internally displaced mothers in the disaster relief camps in Pakistan. Research in this area is essential to design and execute context-specific and need-based programs, policies, and practices to protect, promote, and support breastfeeding practices of internally displaced mothers in disaster relief camps in Pakistan.

A thorough understanding of wide range of factors affecting breastfeeding practices of displaced mothers will develop nursing knowledge, guide future research by nurses involve in care of mothers and young children in disaster relief camps, and facilitate key stakeholders (health care professionals, policy makers and relief agencies) to develop context-specific supportive interventions, improve breastfeeding practices in relief camps, and potentially decrease deaths of young children.

In the year 2018, I travelled to the Northern region in Pakistan (Chitral) where thousands of families affected by natural disasters are residing in a variety of temporary settlements (disaster relief camps), mainly tents, transitional shelter and huts built out of mud and brick. I undertook a critical ethnographic study to examine the facilitators and barriers to breastfeeding practices of internally displaced mothers residing in disaster relief camps in Pakistan.

 

 

Philosophy, Nursing Knowledge, and Nursing Practice


In the current featured ANS article, the authors explain how two philosophic lines of thought — realism and relativism — are useful in helping nurses improve the health of patients and society at large. The article is titled “Realism and Relativism in the Development of Nursing as a Discipline” by Shela Akbar Ali Hirani, MScN, RN, BScN, IBCLC; Solina Richter, PhD, RN, DCur and Bukola Oladunni Salami, PhD, RN, MN. The article is available to download at no cost while it is featured; we welcome your comments and feedback. Ms. Hirani sent this description of the experience that drew her to explore these philosophic ideas and relationship to nursing practice and nursing knowledge development:

On entering into my doctoral studies, during my nursing philosophy class, I came across the terms realism and relativism. Upon learning about theses philosophical schools of thoughts and listening to my colleagues who often used to find these philosophical schools of thought a bit

Shela Hirani

confusing and challenging, I had a feeling that we as nurses often apply these schools of thoughts in a variety of our practice settings without being aware of them. To give tribute to the work of nurses that is often based on the philosophical schools of thought of realism and relativism, under the mentorship of my professors, I decided to write this article entitled “Realism and relativism in the development of nursing as a discipline”. This paper presents the role of realism and relativism in the development of the discipline of nursing, as well as underscores the contribution of these two schools of thought to the work of nurse clinicians, nurse researchers, nurse educators and nurse theorists. As the target audience of the journal “Advances in Nursing Science” include nurses from different specialty areas who have varying levels of understanding about philosophy, while touching upon the basics, this paper intends to discuss the role of realism and relativism in nursing education, nursing research, evidence-based nursing practice, and nursing theory. Specific examples of nursing activities have been discussed in the paper to facilitate the readers to understand how realism and relativism shape the amazing work of nurses and contribute to the development of nursing as a discipline.

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