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Papers by Joshy Abraham

Research paper thumbnail of Daytime sleepiness among Omani Nursing Students: Estimate of its determinants and impact on perceived stress

Clinical Epidemiology and Global Health, Sep 1, 2020

Research paper thumbnail of Empirical directives in defeating adolescent depression in Oman: a systematic review

Journal of Psychology & Clinical Psychiatry, Dec 12, 2018

Research paper thumbnail of Test anxiety: Perceptions of Omani nursing students – A descriptive qualitative study

Nurse education in practice, Mar 1, 2024

Research paper thumbnail of The effectiveness of mindfulness-based intervention on stress management during COVID-19 among caregivers and health professionals

Nursing & care open access journal, Jun 28, 2022

Background: The stress that the present global pandemic of COVID-19 has generated in every aspect... more Background: The stress that the present global pandemic of COVID-19 has generated in every aspect of human life can be managed by activities such as meditation and mindfulness, especially among healthcare practitioners, patients, and caregivers, as well as the common man during times of crisis. Objective: To discuss the psychological impact of COVID-19 and the role of mindfulness in reducing stress and improving psychological health among caregivers and healthcare professionals. Method: We collected around 68 reviewed articles from electronic databases such as PubMed, EBSCO, CNAHIL, and Google scholar using the search terms COVID-19, stress, mindfulness, school teachers, parents and health care professionals burnout, and sleeplessness. Thirty-seven articles were included after carefully reviewing mindfulnessbased stress reduction. The mindfulness-based stress reduction and remaining articles were excluded as the report focuses on caregivers and health care professionals. Results: Mindfulness appears to be an effective intervention to improve mental health, and stress reduction enhances the professional performance of medical health professionals and caregivers. There is a significant reduction in stress among caregivers, parents and health care professionals. Conclusion: Mindfulness is a safe, practical, integrative approach to reducing stress. Caregivers and healthcare providers experiencing stress or stress-related symptoms benefit from mindfulness-based programs.

Research paper thumbnail of Emotional intelligence: The context for successful nursing leadership: a literature review Volume 2 Issue 6 -2017

Emotional intelligence is a dynamic virtue with requires proactive, self-reflective practices and... more Emotional intelligence is a dynamic virtue with requires proactive, self-reflective practices and empathizes on behaviours based on experiential knowledge. It serves as a remediation for contemporary health care issues. Nurse leaders equipped with emotional intelligence are strategically placed to manage changes, resolve conflicts and maintain clinical competence standards.

Research paper thumbnail of Empirical directives in defeating adolescent depression in Oman: a systematic review Volume 9 Issue 6 -2018

Empirical directives in defeating adolescent depression in Oman: a systematic review Volume 9 Issue 6 -2018, 2018

Background Depression is one of the major problems that affect the mental health of adolescents. ... more Background Depression is one of the major problems that affect the mental health of adolescents. Approximately 2-5% of adolescents meet the diagnostic criteria for major depression at a given point of time, with around 10% experiencing a depressive disorder by age 16. 1 In the Sultanate of Oman, adolescents account for 18.69% of the population. 2 Available studies show that the prevalence of anxiety and depressive disorders among adolescents in secondary schools was high in Oman, comparable to rates reported among cross-national adults. In Oman, the findings about major depressive disorders were equally divided between serious and moderate severity and that 57% of the bipolar categories found were serious. 3 These findings are considered to be alarming for Oman. A school based survey among Omani adolescents and youth estimated the prevalence of depressive symptoms at 17%, the lifetime prevalence of Major Depressive Disorder (MDD) at 3%, and Bipolar Mood Disorder (BMD) at 1%. 4 Al-Busaidi et al. 5 reported that 27.7% of University students had depression. 5 In Oman, the risk factors for depression among adolescents included a history of mental illness, high score in negative health locus of control, low score in positive health locus of control, not taking breakfast, poor relationship with family members, friends and teachers and physical abuse during adolescence. 6 Female gender was ascertained as a strong predictor of major depressive disorder. 4 Untreated depression among adolescents leads to behavioral problems such as irritability or moodiness, fighting, defiance, skipping school, running away, and sexual experimentation, 7 and a range of mental health disorders, particularly anxiety disorders, substance abuse disorders, and bipolar disorders. 8 Suicide is a common consequence of depression in ©2018 Abraham et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and build upon your work non-commercially.

Research paper thumbnail of The effectiveness of mindfulness-based intervention on stress management during COVID-19 among caregivers and health professionals Volume 8 Issue 1 -2022

The effectiveness of mindfulness-based intervention on stress management during COVID-19 among caregivers and health professionals, 2022

Background: The stress that the present global pandemic of COVID-19 has generated in every aspect... more Background: The stress that the present global pandemic of COVID-19 has generated in every aspect of human life can be managed by activities such as meditation and mindfulness, especially among healthcare practitioners, patients, and caregivers, as well as the common man during times of crisis. Objective: To discuss the psychological impact of COVID-19 and the role of mindfulness in reducing stress and improving psychological health among caregivers and healthcare professionals. Method: We collected around 68 reviewed articles from electronic databases such as PubMed, EBSCO, CNAHIL, and Google scholar using the search terms COVID-19, stress, mindfulness, school teachers, parents and health care professionals burnout, and sleeplessness. Thirty-seven articles were included after carefully reviewing mindfulnessbased stress reduction. The mindfulness-based stress reduction and remaining articles were excluded as the report focuses on caregivers and health care professionals. Results: Mindfulness appears to be an effective intervention to improve mental health, and stress reduction enhances the professional performance of medical health professionals and caregivers. There is a significant reduction in stress among caregivers, parents and health care professionals. Conclusion: Mindfulness is a safe, practical, integrative approach to reducing stress. Caregivers and healthcare providers experiencing stress or stress-related symptoms benefit from mindfulness-based programs.

Research paper thumbnail of Daytime sleepiness among Omani Nursing Students: Estimate of its Determinants and Impact on Perceived Stress

Clinical Epidemiology and Global Health, 2020

This study aimed to estimate the prevalence of daytime sleepiness among Omani Nursing Students; d... more This study aimed to estimate the prevalence of daytime sleepiness among Omani Nursing Students; determine statistical linking between the personal, academic and sleep related variables of the Omani Nursing Students and their daytime sleepiness scores; and appraise the correlation between the Omani Nursing Students' daytime sleepiness scores and perceived stress scores. Methods: A cross-sectional research design was employed. The Bachelor of Science nursing students, with an active registration status from a renowned university in Oman were included in the study. The Epworth Sleepiness Scale (ESS) and Perceived Stress Scale (PSS) were used to assess daytime sleepiness and stress index, respectively. Descriptive statistics, the independent 't' test, and ANOVA were used to summarize the data. Results: The prevalence of daytime sleepiness was 57.4% (ESS > 10). Severe excessive daytime sleepiness (ESS > 16) was estimated at 12%. The nursing students' ESS scores were significantly associated with use of stimulants, program study track, cohort, previous semester GPA, and sleep hours on the day before examination. A weak positive correlation was found between ESS scores and PSS scores. Conclusion: There is a high prevalence of daytime sleepiness among Omani nursing students. There is a need for awareness programs to address daytime sleepiness. Activation of universal preventive programs on sleep hygiene, and healthy sleeping habits among nursing students is to be initiated.

Research paper thumbnail of The Prevent-Predict-Prescribe Model: Defeating Depression Among Asian Nursing Students

IOSR Journal of Nursing and Health Science, 2016

Background: Depression is exceeding prevalent worldwide and its impact on the personal, professio... more Background: Depression is exceeding prevalent worldwide and its impact on the personal, professional and social life of an individual is well documented in literature. Adolescents are more prone to depression owing to their hormonal turbulences and their need to establish their role identity. Nursing students are at greater risk for depression owing to the vast majority of them being adolescents and also due to the enormous lifestyle change demanded by the profession. This review was undertaken to ascertain from existing empiral evidences, the prevailing standards of depression; its associated factors and strategies implicated by researchers to prevent the permeation of depression among Asian nursing students. Methods: A systematic review of literature based on depression among nursing students in Asian countries, published between 2010 and 2014 from selected databases was done. A total of 6 articles were included in the review. Results: Three significant themes emerged from the findings of the reviewed studies. The key to curbing depression among student nurses is with nursing educators, self-preparedness of the nursing students and the evolution of a holistic system to help nursing students adapt to the profession are the essential components to put an end to the escalating pace of depression among nursing students in Asia. Conclusion: A model conceptualizing these themes has also been generated to explicitly envision the benefits of implementing these themes as improved competence, commitment and collaboration as professional nurses.

Research paper thumbnail of Effectiveness of Protocol For The Staff Nurses on Discharge Program of Mentally Ill Patients Admitted In A Selected Hospital

IOSR Journal of Nursing and Health Science, 2013

The main aim of the study was to assess the practice of discharge procedure among the staff nurse... more The main aim of the study was to assess the practice of discharge procedure among the staff nurses and to prepare a discharge protocol to improve the nursing practice in psychiatric wards. Guidelines of practice with rationale were given through the protocol which included step wise procedure during the discharge of mentally ill patient. Objectives : To identify the practices followed by the nurses during the discharge procedure of mentally ill patient by an observation check list & To determine the effectiveness of protocol in terms of gain in practice score. Setting: Study has done in Father Muller Medical College Psychiatric ward in India. Method: An evaluatory approach with one group pre-test and post test design was adopted for the study. The data was collected by administering a structured observation check list by the investigator before and after implementation of protocol. Result: The result of the study showed there is significant difference in the mean pre-test score with mean of (5.2) and post-test (25.5). Conclusion: The result suggested that the protocol was effective in improving the practice of the staff nurses regarding the discharge procedure. Majority of staff nurses were not aware of the proper discharge procedure and the findings of the study support the need for protocols and educational programmes to improve the practice in staff nurses. Educating the staff nurses with new information can help them to educate the patient and the relatives to prevent complications and readmissions.

Research paper thumbnail of Daytime sleepiness among Omani Nursing Students: Estimate of its determinants and impact on perceived stress

Clinical Epidemiology and Global Health, Sep 1, 2020

Research paper thumbnail of Empirical directives in defeating adolescent depression in Oman: a systematic review

Journal of Psychology & Clinical Psychiatry, Dec 12, 2018

Research paper thumbnail of Test anxiety: Perceptions of Omani nursing students – A descriptive qualitative study

Nurse education in practice, Mar 1, 2024

Research paper thumbnail of The effectiveness of mindfulness-based intervention on stress management during COVID-19 among caregivers and health professionals

Nursing & care open access journal, Jun 28, 2022

Background: The stress that the present global pandemic of COVID-19 has generated in every aspect... more Background: The stress that the present global pandemic of COVID-19 has generated in every aspect of human life can be managed by activities such as meditation and mindfulness, especially among healthcare practitioners, patients, and caregivers, as well as the common man during times of crisis. Objective: To discuss the psychological impact of COVID-19 and the role of mindfulness in reducing stress and improving psychological health among caregivers and healthcare professionals. Method: We collected around 68 reviewed articles from electronic databases such as PubMed, EBSCO, CNAHIL, and Google scholar using the search terms COVID-19, stress, mindfulness, school teachers, parents and health care professionals burnout, and sleeplessness. Thirty-seven articles were included after carefully reviewing mindfulnessbased stress reduction. The mindfulness-based stress reduction and remaining articles were excluded as the report focuses on caregivers and health care professionals. Results: Mindfulness appears to be an effective intervention to improve mental health, and stress reduction enhances the professional performance of medical health professionals and caregivers. There is a significant reduction in stress among caregivers, parents and health care professionals. Conclusion: Mindfulness is a safe, practical, integrative approach to reducing stress. Caregivers and healthcare providers experiencing stress or stress-related symptoms benefit from mindfulness-based programs.

Research paper thumbnail of Emotional intelligence: The context for successful nursing leadership: a literature review Volume 2 Issue 6 -2017

Emotional intelligence is a dynamic virtue with requires proactive, self-reflective practices and... more Emotional intelligence is a dynamic virtue with requires proactive, self-reflective practices and empathizes on behaviours based on experiential knowledge. It serves as a remediation for contemporary health care issues. Nurse leaders equipped with emotional intelligence are strategically placed to manage changes, resolve conflicts and maintain clinical competence standards.

Research paper thumbnail of Empirical directives in defeating adolescent depression in Oman: a systematic review Volume 9 Issue 6 -2018

Empirical directives in defeating adolescent depression in Oman: a systematic review Volume 9 Issue 6 -2018, 2018

Background Depression is one of the major problems that affect the mental health of adolescents. ... more Background Depression is one of the major problems that affect the mental health of adolescents. Approximately 2-5% of adolescents meet the diagnostic criteria for major depression at a given point of time, with around 10% experiencing a depressive disorder by age 16. 1 In the Sultanate of Oman, adolescents account for 18.69% of the population. 2 Available studies show that the prevalence of anxiety and depressive disorders among adolescents in secondary schools was high in Oman, comparable to rates reported among cross-national adults. In Oman, the findings about major depressive disorders were equally divided between serious and moderate severity and that 57% of the bipolar categories found were serious. 3 These findings are considered to be alarming for Oman. A school based survey among Omani adolescents and youth estimated the prevalence of depressive symptoms at 17%, the lifetime prevalence of Major Depressive Disorder (MDD) at 3%, and Bipolar Mood Disorder (BMD) at 1%. 4 Al-Busaidi et al. 5 reported that 27.7% of University students had depression. 5 In Oman, the risk factors for depression among adolescents included a history of mental illness, high score in negative health locus of control, low score in positive health locus of control, not taking breakfast, poor relationship with family members, friends and teachers and physical abuse during adolescence. 6 Female gender was ascertained as a strong predictor of major depressive disorder. 4 Untreated depression among adolescents leads to behavioral problems such as irritability or moodiness, fighting, defiance, skipping school, running away, and sexual experimentation, 7 and a range of mental health disorders, particularly anxiety disorders, substance abuse disorders, and bipolar disorders. 8 Suicide is a common consequence of depression in ©2018 Abraham et al. This is an open access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and build upon your work non-commercially.

Research paper thumbnail of The effectiveness of mindfulness-based intervention on stress management during COVID-19 among caregivers and health professionals Volume 8 Issue 1 -2022

The effectiveness of mindfulness-based intervention on stress management during COVID-19 among caregivers and health professionals, 2022

Background: The stress that the present global pandemic of COVID-19 has generated in every aspect... more Background: The stress that the present global pandemic of COVID-19 has generated in every aspect of human life can be managed by activities such as meditation and mindfulness, especially among healthcare practitioners, patients, and caregivers, as well as the common man during times of crisis. Objective: To discuss the psychological impact of COVID-19 and the role of mindfulness in reducing stress and improving psychological health among caregivers and healthcare professionals. Method: We collected around 68 reviewed articles from electronic databases such as PubMed, EBSCO, CNAHIL, and Google scholar using the search terms COVID-19, stress, mindfulness, school teachers, parents and health care professionals burnout, and sleeplessness. Thirty-seven articles were included after carefully reviewing mindfulnessbased stress reduction. The mindfulness-based stress reduction and remaining articles were excluded as the report focuses on caregivers and health care professionals. Results: Mindfulness appears to be an effective intervention to improve mental health, and stress reduction enhances the professional performance of medical health professionals and caregivers. There is a significant reduction in stress among caregivers, parents and health care professionals. Conclusion: Mindfulness is a safe, practical, integrative approach to reducing stress. Caregivers and healthcare providers experiencing stress or stress-related symptoms benefit from mindfulness-based programs.

Research paper thumbnail of Daytime sleepiness among Omani Nursing Students: Estimate of its Determinants and Impact on Perceived Stress

Clinical Epidemiology and Global Health, 2020

This study aimed to estimate the prevalence of daytime sleepiness among Omani Nursing Students; d... more This study aimed to estimate the prevalence of daytime sleepiness among Omani Nursing Students; determine statistical linking between the personal, academic and sleep related variables of the Omani Nursing Students and their daytime sleepiness scores; and appraise the correlation between the Omani Nursing Students' daytime sleepiness scores and perceived stress scores. Methods: A cross-sectional research design was employed. The Bachelor of Science nursing students, with an active registration status from a renowned university in Oman were included in the study. The Epworth Sleepiness Scale (ESS) and Perceived Stress Scale (PSS) were used to assess daytime sleepiness and stress index, respectively. Descriptive statistics, the independent 't' test, and ANOVA were used to summarize the data. Results: The prevalence of daytime sleepiness was 57.4% (ESS > 10). Severe excessive daytime sleepiness (ESS > 16) was estimated at 12%. The nursing students' ESS scores were significantly associated with use of stimulants, program study track, cohort, previous semester GPA, and sleep hours on the day before examination. A weak positive correlation was found between ESS scores and PSS scores. Conclusion: There is a high prevalence of daytime sleepiness among Omani nursing students. There is a need for awareness programs to address daytime sleepiness. Activation of universal preventive programs on sleep hygiene, and healthy sleeping habits among nursing students is to be initiated.

Research paper thumbnail of The Prevent-Predict-Prescribe Model: Defeating Depression Among Asian Nursing Students

IOSR Journal of Nursing and Health Science, 2016

Background: Depression is exceeding prevalent worldwide and its impact on the personal, professio... more Background: Depression is exceeding prevalent worldwide and its impact on the personal, professional and social life of an individual is well documented in literature. Adolescents are more prone to depression owing to their hormonal turbulences and their need to establish their role identity. Nursing students are at greater risk for depression owing to the vast majority of them being adolescents and also due to the enormous lifestyle change demanded by the profession. This review was undertaken to ascertain from existing empiral evidences, the prevailing standards of depression; its associated factors and strategies implicated by researchers to prevent the permeation of depression among Asian nursing students. Methods: A systematic review of literature based on depression among nursing students in Asian countries, published between 2010 and 2014 from selected databases was done. A total of 6 articles were included in the review. Results: Three significant themes emerged from the findings of the reviewed studies. The key to curbing depression among student nurses is with nursing educators, self-preparedness of the nursing students and the evolution of a holistic system to help nursing students adapt to the profession are the essential components to put an end to the escalating pace of depression among nursing students in Asia. Conclusion: A model conceptualizing these themes has also been generated to explicitly envision the benefits of implementing these themes as improved competence, commitment and collaboration as professional nurses.

Research paper thumbnail of Effectiveness of Protocol For The Staff Nurses on Discharge Program of Mentally Ill Patients Admitted In A Selected Hospital

IOSR Journal of Nursing and Health Science, 2013

The main aim of the study was to assess the practice of discharge procedure among the staff nurse... more The main aim of the study was to assess the practice of discharge procedure among the staff nurses and to prepare a discharge protocol to improve the nursing practice in psychiatric wards. Guidelines of practice with rationale were given through the protocol which included step wise procedure during the discharge of mentally ill patient. Objectives : To identify the practices followed by the nurses during the discharge procedure of mentally ill patient by an observation check list & To determine the effectiveness of protocol in terms of gain in practice score. Setting: Study has done in Father Muller Medical College Psychiatric ward in India. Method: An evaluatory approach with one group pre-test and post test design was adopted for the study. The data was collected by administering a structured observation check list by the investigator before and after implementation of protocol. Result: The result of the study showed there is significant difference in the mean pre-test score with mean of (5.2) and post-test (25.5). Conclusion: The result suggested that the protocol was effective in improving the practice of the staff nurses regarding the discharge procedure. Majority of staff nurses were not aware of the proper discharge procedure and the findings of the study support the need for protocols and educational programmes to improve the practice in staff nurses. Educating the staff nurses with new information can help them to educate the patient and the relatives to prevent complications and readmissions.