scholarly journals Awareness and screening practices of cervical cancer among nursing staff working in tertiary care hospital

Author(s):  
Swati M. Mahajan ◽  
Vijaykumar S. Jadhav ◽  
Anwaya R. Magare ◽  
Sangita A. Adchitre ◽  
Sobha B. Salve

Background: In India there are an estimated of 1,32,000 new cases and 74,000 deaths each year of cervical cancer. Out of all the female genital tract cancers, it is the only pre­ventable cancer if detected at its early stages. More than one fifth of all new cases are diagnosed in India due to a lack of screening that allows detection of precancerous and early stage cervical cancer. Staff nurses if trained properly, can make aware and screen all the women coming to detect suspicious cases. The present study was carried to assess knowledge regarding cervical cancer, screening procedures and attitude and practices regarding prevention and screening of cervical cancer among nursing staff.Methods: A cross-sectional study was carried out among the nursing staff between March to June 2016. A total of 215 nursing staff was enrolled in the study.Results: Majority 75 (34.88%) of the participants were from 41-50 years of age and 147 (67.90%) were married. The majority of the participants received information about cervical cancer and screening from hospital 135 (71.05%) and 40 (21.05%) from the newspaper. Majority of females 68 (35.78%) said HPV infection as major risk factor for cervical cancer. Majority of the females 125 (65.78%) mentioned that discharge p/v is the main symptom. Majority of the participants 66 (38.82%) replied that married Women and sexually active 54 (31.76%) women must be screened.Conclusions: It can be concluded that presently the knowledge and understanding of cervical cancer, as well as its screening process, is satisfactory, but there is a vast scope for improvement. 

Author(s):  
Roshina Sunny ◽  
Sitanshu Sekhar Kar ◽  
Dasari Papa ◽  
Sujiv Akkilagunta ◽  
Jeby Jose Olickal

Background: The high mortality among cervical cancer patients in India can be attributed to presentation at advanced stages. The varied and lengthy pathway taken up to diagnosis could be a major reason for advanced stage at presentation. Hence, we aimed to describe the care pathways and diagnostic delay among cervical cancer patients.Methods: A hospital-based cross-sectional study was conducted among 101 cervical cancer patients attending a cancer clinic at a Regional Cancer Center. The histo-pathologically confirmed cases of cervical cancer, who registered in July to October 2018 were approached. Data were collected through personal interviews using a semi-structured questionnaire. Descriptive statistics were used to describe the number of providers visited and diagnostic delay.Results: The median (range) number of providers visited by the patients up to diagnosis was 2 (1-5). As the first point of care, 14% of participants approached sub-center or primary care facilities, 27% approached secondary care facilities, 49% participants approached tertiary care facilities and 11% came directly to a regional cancer center. Diagnosis was made only in 24% of participants at secondary and tertiary care levels. The median (IQR) number of days to get diagnosed was 66 (30-130) days and three fourth of the patients had a diagnostic delay.Conclusions: The diagnostic delay was higher among patients who consulted multiple providers. Implementing a protocol to be followed at all three levels of health care delivery system may enhance the early diagnosis. 


2020 ◽  
Vol 11 (02) ◽  
pp. 237-244
Author(s):  
Sandeep Grover ◽  
Neha Sharma ◽  
Aseem Mehra

Abstract Objective This study aimed to evaluate the prevalence of stigma for mental disorders among nursing staff in a tertiary care hospital, and the secondary objective of the study was to assess the correlation of stigma with the socio-demographic profile and previous experience with mentally ill patients. Methods This cross-sectional study was performed among the 210 nurses working in a tertiary care multispecialty teaching public sector hospital in north India. They were evaluated on community attitudes toward the mentally ill (CAMI) scale. Results About two-thirds of the participants (67.1%) were females and had done graduation (64.2%) in nursing. Nearly 50% of the study participants had an experience of working with mentally ill patients. Female had a more significant positive attitude on the domain of social restrictiveness. Authoritarianism had a significant positive correlation with benevolence and social restrictiveness domains. The benevolence domain had a significant correlation with all other domains. Social restrictiveness domain also had a significant correlation with other domains. Conclusion Nurses have a positive attitude toward mentally ill patients.


2013 ◽  
Vol 5 (1) ◽  
pp. 58-62 ◽  
Author(s):  
Archana Angrup ◽  
Thakur Kamlesh ◽  
Jaryal Subhash Chand ◽  
Sood Anuradha ◽  
Chandel Lata

Objectives: The present study addresses this important issue of NSI and aims at determining their occurrence among the nursing staff in Dr Rajendra Prasad Government Medical College (RPGMC) and hospital, Kangra at Tanda (H.P). Methods: A cross sectional study undertaken amongst the nursing staff of Dr RPGMC and hospital, Kangra at Tanda. Results: Out of the 164 respondents, 35(21.3%) reported to having one or more NSIs in their career and the maximum of these were amongst the nurses whose work experience was less than five years (13.4%). Conclusions: The results of this study confirm the importance of the need for an increased awareness of the risk of needlestick injury, the need to provide for the training and education of health-care workers DOI: http://dx.doi.org/10.3126/ajms.v5i1.4971 Asian Journal of Medical Science Vol.5(1) 2014 pp.58-62


2014 ◽  
Vol 04 (04) ◽  
pp. 073-075
Author(s):  
Rashmi Kundapur ◽  
Tanmay Bhat ◽  
Sanjeev Badiger ◽  
Rajesh Ballal

Abstract Introduction:In country like India, where there is big and complex health care system, mixed economy, private and Government hospitals working together; while providing services generate waste. It is estimated that the quantity of waste generated from hospitals in our country ranges between 0.5 and 2.0 kg/bed/day and annually about 0.33 million tons of waste are generated in India Aim and objectives:To study the awareness of nursing staff about the biomedical waste segregation in a tertiary care center Material and methods:A cross-sectional study was conducted among the nurses of Justice K.S.Hegde Hospital, Derlakatte. Total of 123 nurses who were present at the time were the study subjects. The pre-tested semi-structured questionnaire which was validated by face validation method was distributed. Results:The total of 96.66% of nurses knew the segregation of biomedical waste was the need of the hour. 90% of them felt they have adequate knowledge about segregation. 96% knew the color coding of sharps and human anatomical waste. But 99% knew the colour coding of blood, blood products and microbiological waste. 67% knew the colour coding of pharmacological waste and double glove disposal. Only 89.3% were confident that they followed the correct methods of segregation.


Author(s):  
Snigdha Kumari ◽  
Mansi Dhingra ◽  
Syed Nawaz Ahmed

Background: India is the second most populous country in the world next to China. Increasing the contraceptive awareness and practice and proper implementation of family planning services are the major tool for improving the health of the population along with stabilizing it. Knowledge and contraceptive practice in the Nursing personnel can positively or negatively influence the population coming in contact with them. Objective of this study was to investigate the knowledge and practice of contraceptive methods among the nursing staff at a tertiary care set up.Methods: Tertiary care set up, cross sectional study. This was a cross sectional study conducted over a period of three months. Fifty staff nurses under the age of 49 years were interviewed through a pre-designed questionnaire regarding knowledge and use of contraceptive methods.Results: Contraception was practiced in 88 percent of the staff nurses. Barrier method of contraception was the most commonly used form of contraception. Permanent method of contraception was opted in 14 percent of cases. Fifty-seven percent of the females were aware of emergency contraception. Twenty-eight percent of females had used emergency contraception in the past.Conclusions: A high percentage of nursing staff was practicing some form of contraception; however, the use of permanent methods and hormonal methods remains low. Only half of study population was aware of post coital methods of contraception with only 28 percent having used it in the past.


Author(s):  
Madhuri N. Bagde ◽  
Nilajkumar D. Bagde ◽  
Pugazhentan Thangaraju ◽  
Sanjay Negi ◽  
Pooja Deshmukh

Background: The aim of the study was to determine the prevalence and genotypes of human papillomavirus (HPV) infection in the cervical samples of young married women at a tertiary care hospital in Chhattisgarh. A prospective cross-sectional observational study was performed in married women, aged 18 to 30 years.Methods: Relevant history was noted and cervical samples were collected and tested for HPV deoxyribonucleic acid (DNA) by polymerase chain reaction (PCR). Data was compiled to calculate the prevalence of HPV and the genotypic distribution.Results: The overall prevalence of HPV in this study was 22.73% and that of type 16 and 18 either alone or in combination with other subtypes was 17.26%. They were the commonest subtypes. HPV positivity was inversely related to education levels (Chi square, p=0.05). There was a significant difference in parity of women testing positive for HPV versus those negative for HPV (one tailed Pr (t<t)=0.03, 95% CI=1.445 to 1,865 at 108 degrees of freedom). No difference was observed between education and socio economic levels of positive versus negative women. Type 16 and 18 accounted for 76% of all HPV subtypes detected.Conclusions: The prevalence of HPV infection is high in Indian women. The high risk oncogenic types are the commonest subtypes. There is an urgent need to screen for the presence of high risk HPV infections in younger women so that they may be followed up more closely to prevent cervical cancers.


Author(s):  
D. Manoharan ◽  
Ojas Dipak Kulkarni ◽  
Geo Danny C. ◽  
K. Manoharan

Background: The paramedical staff has an important part in the management of leprosy patients. They have a role in counselling, wound management, performing investigations etc. This study aimed at assessing the knowledge, attitude and behaviour of paramedical workers in a tertiary care hospital in Chennai.Methods: This cross-sectional study comprised of 100 paramedical workers of which 41 were males and 59 were females. Following classes of workers were included: nursing staff, auxiliary nursing midwives, ASHA workers, laboratory technicians, pharmacists and allied medical workers. Of these, the nursing staff comprised of the highest proportion (44%). The paramedical workers were given a questionnaire consisting of their demographic profile and further 32 questions to assess knowledge, attitude and behaviour towards leprosy. The data hence obtained over a period of 1 month was later systematically analysed.Results: The knowledge of paramedical workers was considered sufficient in the nursing staff, ANM and ASHA workers. It was consistently found that those workers who had some experience in the field of leprosy (39%) showed good level of knowledge, while others had a scope for improvement. The paramedical workers’ attitudes and behaviour were deemed to be overall appropriate, while there is a clear need to improve outreach initiatives in order to properly train them.Conclusions: The training of paramedical workers in leprosy should be prioritised. They are the initial point of contact for patients. There should be a greater emphasis on raising awareness and providing accurate information about the disease.


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