Knowledge and Practice among Nurses of Traction in Patients: In a Tertiary Care Center

2020 ◽  
Vol 2 (1) ◽  
pp. 47-51
Author(s):  
Sapana Gautam ◽  
Dinesh Kumar Thapa
Keyword(s):  
Nursing Care ◽  
Work Experience ◽  
Care Center ◽  
Tertiary Care ◽  
College Teaching ◽  
Sampling Technique ◽  
Chi Square ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Knowledge And Practice

Background and purpose: The role of nursing care among the traction patients is vital and they should be competent, experienced and educated well about the traction devices used and care to minimize the traction associated complications and infections. This study was designed to access the knowledge and practice regarding care and management of the patients with traction in orthopedic trauma by Nurses. Material and method: A cross sectional descriptive study was conducted on 100 eligible nursing staffs from Kathmandu Medical College Teaching Hospital. Non-probability purposive sampling technique and a self administered structured questionnaire were used to collect data. The statistical analysis was done by using the SPSS version 16. The association between the demographic factors was analyzed by using chi square test.  Result: The working area and traction training has significant relation to knowledge and other, such as age, education, work experience, worked in orthopedic ward has no significance. There is adequate knowledge as the percentage value is 88 and practice regarding care of the patient on traction is 98%. Conclusion: The knowledge regarding traction care seems sufficient in this study and every orthopedic nursing should be master in traction knowledge, application and nursing care to acquire early patient recovery without significant deformity and complications.

scholarly journals Knowledge of Pressure Ulcer Management among Nurses

2017 ◽  
Vol 9 (2) ◽  
pp. 47-51 ◽  
Author(s):  
Nisha Shrestha ◽  
P Shrestha
Keyword(s):  
Pressure Ulcer ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Current Evidence ◽  
Chi Square ◽  
Cross Sectional ◽  
Medical College ◽  
Adequate Knowledge ◽  
Chi Square Test ◽  
Experience Education

Background: Pressure ulcer (PU) development remains a significant complication among at-risk patients. It is considered “never events” because they are preventable and should “never” happen. It has been associated with increased morbidity, mortality, hospital cost and length of stay in the hospital. Prevention of pressure ulcers is considered a nurse-sensitive indicator hence nurses should have adequate knowledge about current evidence-based prevention and management of pressure ulcer. However, non adherence to these guidelines is frequent and lack of knowledge may act as barriers to using guidelines in clinical practice.Objectives: The objectives of the study were to 1. assess the knowledge of pressure ulcer management among nurses 2. determine the level of knowledge of pressure ulcer management among nurses 3. assess the association of knowledge of nurses and baseline variables.Methods: A descriptive cross sectional study was conducted, using pretested self administered questionnaire to assess the knowledge on pressure ulcer management among purposively selected 100 nurses working in Gandaki Medical College Teaching Hospital in 2015. Descriptive statistics as frequency and percentage were used and inferential statistics (Chi-square test) was done to find out association between knowledge and selected baseline variables.Results: The study revealed that 59% of the respondents had adequate knowledge where as 41% of nurse’s knowledge was found to be inadequate. Significant association was not found between age, working ward, experience, education, training, duration and knowledge of pressure ulcer management among Nurses.Conclusion: This result indicates that more than half of the nurses had the adequate knowledge but there is still need of education and training related pressure ulcer management.Journal of Gandaki Medical CollegeVolume, 09, Number 2, July December  2016, Page: 47-51

scholarly journals Seroprevalence of human immunodeficiency virus infection among tuberculosis patients at tertiary care combined hospital

2015 ◽  
Vol 3 (3) ◽  
pp. 130-135
Author(s):  
Rakesh Basavareddy ◽  
Asha Basavareddy ◽  
Shimoga Laxman Ravi ◽  
Bilagumba Ramu Kiran ◽  
Gadwalkar R. Srikant
Keyword(s):  
Human Immunodeficiency Virus ◽  
Hiv Infection ◽  
Clinical Features ◽  
Oral Candidiasis ◽  
Tertiary Care ◽  
Chi Square ◽  
Cross Sectional ◽  
Hiv Seroprevalence ◽  
Adequate Knowledge ◽  
Immunodeficiency Virus

Abstract Background and Objectives: Tuberculosis (TB) and the human immunodeficiency virus (HIV) infection have reached epidemic proportions in our country. This study was undertaken to know the seroprevalence of HIV infection among TB patients and to evaluate the various clinical features of TB in seropositive and seronegative patients. This study was undertaken in Vijayanagara Institute of Medical Sciences, Bellary. It was cross-sectional comparative observational study conducted from December 2010 to May 2012. Materials and Methods: A total of 100 consecutive patients diagnosed with TB satisfying inclusion criteria were selected for the study. All patients went through a detailed evaluation along with testing for HIV seroprevalence. Chi-square and Student’s t-tests used to find the significance between two groups. Results: The overall HIV seroprevalence among TB patients was 8%. Seroprevalence was highest in the age group between 31 and 40 years at 29.41% (odds ratio [OR] = 11.11, P = 0.003). It was found that seropositive TB patients were more likely to present with significant weight loss (OR = 19.25, P= 0.000), and have lymphadenopathy OR = 13.24, P = 0.002) and oral candidiasis (OR = 49.44, P = 0.000) on examination. Bilateral chest radiographic involvement (OR = 57.40, P = 0.000) and the disseminated variety of the disease (OR = 29.67, P = 0.001) are also more probable. Conclusions: Human immunodeficiency virus seroprevalence is quite high among TB patients in Bellary. During the evaluation of TB patients, the possibility of HIV co-infection should be kept in mind, and thus adequate knowledge of the likely clinical features is absolutely necessary.

scholarly journals Maternal Attitude and Knowledge towards Modes of Delivery

2018 ◽  
Vol 16 (2) ◽  
pp. 209-214
Author(s):  
Anshumala Joshi ◽  
Meeta Thapa ◽  
Om Biju Panta
Keyword(s):  
Pregnant Women ◽  
Vaginal Delivery ◽  
Caesarean Delivery ◽  
Care Center ◽  
Tertiary Care ◽  
Mode Of Delivery ◽  
College Teaching ◽  
Cross Sectional ◽  
Medical College ◽  
Acceptable Method

Background: Whether a mother should be allowed to choose between the modes of delivery is a matter of concern among practicing obstetricians. This study aims to explore the knowledge of the Nepalese women attending a tertiary care center about the benefits and complications of vaginal and caesarean delivery and their attitude and preference for the method of delivery.Methods: The study was a hospital based cross sectional questionnaire survey conducted in Nepal Medical College teaching Hospital, Jorpati from 1stShrawan 2074 to 31st Ashoj 2074. All pregnant women who were 36 weeks or more in gestation attending the clinic during the study period were included in the study. A questionnaire was made of 10 questions for knowledge assessment regarding mode of delivery consisting of the indications, the possible complications and advantages of vaginal and caesarean delivery. Results: A total of 256 pregnant women participated in the study. The knowledge of the mode of delivery, their benefit and complications was medium to good in approximately 90% of the mothers attending the antenatal OPD. Overall attitude for vaginal delivery was positive in 93% of women and negative or neutral in 6.6%.Overall attitude for caesarean delivery was positive in 24% and negative or neutral in 75.8%.Conclusions: Women in our setup agree that vaginal delivery is a natural and acceptable method of delivery and would prefer to have a vaginal delivery. Keywords: Attitude; knowledge; modes of delivery; women.

scholarly journals Knowledge and Acceptance of Labour Analgesia in Pregnant Women

2018 ◽  
Vol 16 (3) ◽  
pp. 302-306 ◽  
Author(s):  
Mona Sharma ◽  
Saurya Dhungel ◽  
Sujata Niroula ◽  
Manan Karki
Keyword(s):  
Pregnant Women ◽  
Low Income ◽  
Care Center ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Acceptance Rate ◽  
Labour Analgesia ◽  
Low Income Countries ◽  
Cross Sectional

Background: Labour analgesia, though practiced worldwide, is not very popular in low-income countries. The aim of the study was to assess the awareness, attitude, acceptance, and reasons for hindrance of labour analgesia among patients visiting a tertiary care center in the capital cityMethods: It was a cross sectional study conducted in Obstetrics and Gynecology outpatient department of Kathmandu Medical College Teaching Hospital in the month of August 2017. All pregnant patients presenting for antenatal checkup was included. Data was collected based on a questionnaire after informed consent. Statistical analysis was done in SPSS version 20 and results were expressed in frequencies and percentage.Results: Total of 270 pregnant women participated in the study. Out of these forty-four (16.3%) patients were aware about labour analgesia. The acceptance rate was high (72.2%). Majority (84.6%) had no problem with expenditure associated with labour analgesia.Conclusions: Despite low awareness about painless delivery among the antenatal women, the acceptance rate is high.

scholarly journals KNOWLEDGE OF DENTAL PROFESSIONALS REGARDING TOOTH RESTORABILITY AT A PUBLIC SECTOR TERTIARY CARE HOSPITAL OF KARACHI, PAKISTAN

2019 ◽  
Vol 9 (2) ◽  
pp. 69-72
Author(s):  
Zulfiqar Ali Shaikh ◽  
Afifa Yaseen ◽  
Amna Yaseen ◽  
Subhana Akber
Keyword(s):  
Tertiary Care ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
P Value ◽  
Care Hospital ◽  
Cross Sectional ◽  
Adequate Knowledge ◽  
Inadequate Knowledge ◽  
Pain Symptoms ◽  
Dental Professionals

Background: Panoptic knowledge of dental professionals is required to provide care for patients with any dental problem which ranges from screening, emergency care or referral to alleviation of pain symptoms. Ideally to provide dental care, dental practice should be based on current clinical concepts originating from evidence-based dentistry which clearly demarcates a level between a tooth that is able to be restored so that intervention is done on it for esthetic and functional stability, or ready for extraction. Dental professionals' knowledge regarding tooth restorability is very crucial in restorative and preventive dentistry. The aim of this study was to assess the knowledge of dental professionals regarding tooth restorability. Methods: Knowledge regarding tooth restorability of dental professionals of Dow University of Health Sciences was assessed through a multi centered cross sectional study. A sample size of 140 participants was calculated using through open Epi version 3, and a convenient non-probability sampling technique was used. The study was conducted in May-June, 2018. An informed consent prior to the study was taken. The dental professionals were evaluated through a self- administered, structured questionnaire in English. The SPSS-23 was used to obtain results. The knowledge of the students was graded as adequate if >12 and inadequate if<12. Results: Out of 140 study participants, 113 (81%) dental professionals had significantly adequate knowledge (p-value <0.05); while 27 (19%) had inadequate knowledge. Among the respondents, 56% said that the traumatic dental injury must be treated by dentist whereas the others considered it to be treated by private doctor or by nearest hospital casualty. Conclusion: The knowledge of dental professionals working at teaching institutes is adequate; and as per their knowledge they might be taking right decisions regarding tooth restorability.

scholarly journals HUBUNGAN KEPEMIMPINAN EFEKTIF KEPALA RUANGAN DENGAN KINERJA PERAWAT DALAM MELAKUKAN ASUHAN KEPERAWATAN DI RSU SARI MUTIARA LUBUK PAKAM

2019 ◽  
Vol 2 (1) ◽  
pp. 138-146
Author(s):  
Eva Kartika Hasibuan ◽  
Masri Saragih
Keyword(s):  
Nursing Care ◽  
Effective Leadership ◽  
Sampling Technique ◽  
Bivariate Analysis ◽  
P Value ◽  
Chi Square ◽  
Cross Sectional ◽  
Quality Health ◽  
Chi Square Test ◽  
Data Collection Technique

Effective leadership is required by the head of the room to create a good performance on nurses to achieve the purpose of the room is provide good and quality health serviceThis study aims to determine the effective leadership of head room with the performance of nurses in nursing care at RSU. Sari Mutiara Lubuk Pakam. Researchers used descriptive research method correlation with cross-sectional approach. The population in this study nurse who was on duty in the inpatient unit RSU. Sari Mutiara Lubuk Pakam totaling 55 people. The sample in this study used a total sampling technique with 55 respondents. The data collection technique using a questionnaire given to respondents. The results of this study are analyzed in univariate effective leadership of head room (81.8%) with sufficient performance of nurses (50.9%). After bivariate analysis with chi-square test showed that there is a relationship effective leadership of head room with the performance of nurses (p-value = 0.003). This study recommends that the head of the room more attention to implementation of the tasks of nursing care by nurses, as well as providing support in working order, the better the performance of nurses.   Kepemimpinan efektif diperlukan oleh kepala ruangan dalam menciptakan kinerja yang baik pada perawat pelaksana untuk mencapai tujuan ruangan yaitu memberikan pelayanan kesehatan yang baik dan berkualitas. Penelitian ini bertujuan untuk mengetahui kepemimpinan efektif kepala ruangan dengan kinerja perawat dalam melakukan asuhan keperawatan di RSU. Sari Mutiara Lubuk Pakam. Peneliti menggunakan metode penelitian deskriptif korelasi dengan pendekatan cross-sectional. Populasi dalam penelitian ini seluruh perawat pelaksana yang sedang bertugas RSU Sari Mutiara Lubuk Pakam berjumlah 55  responden. Sampel dalam penelitian ini menggunakan teknik total sampling dengan jumlah responden sebanyak 55. Teknik pengumpulan data menggunakan kuisioner yang  diberikan kepada responden. Uji statistik yang digunakan dalam penelitian ini adalah uji chi-square. Hasil penelitian ini dianalisis secara univariat yaitu kepemimpinan kepala ruangan efektif (81,8%) dengan kinerja perawat cukup (50,9%). Setelah dilakukan analisis bivariat dengan uji chi-square didapatkan hasil yaitu ada hubungan kepemimpinan efektif kepala ruangan dengan kinerja perawat (p-value=0,003). Penelitian ini merekomendasikan agar kepala ruangan lebih memperhatikan pelaksanaan tugas asuhan keperawatan oleh perawat, serta memberikan dukungan dalam bekerja agar kinerja perawat semakin baik.

scholarly journals Awareness, attitude and practice of breast feeding among mothers at tertiary care center, Puducherry, India

2019 ◽  
Vol 6 (5) ◽  
pp. 2108
Author(s):  
A. Dharmalingam ◽  
Chandru Bhaskar ◽  
N. S. Raghupathy
Keyword(s):  
Exclusive Breastfeeding ◽  
Nutritive Value ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Care Hospital ◽  
Obese Women ◽  
Cross Sectional ◽  
Breastfeeding Knowledge ◽  
Knowledge And Practice

Background: The knowledge and practice of exclusive breastfeeding has been prejudiced by demographic, social, cultural, biophysical, and psychosocial factors. About two-thirds of under-five deaths in India are associated with inappropriate infant feeding practices. Objective of this study was to assess the awareness, knowledge and practice of breastfeeding among the mothers attending to the tertiary care institute at Puducherry, India.Methods: This hospital-based, cross-sectional study was carried out among 150 postnatal mothers who attended immunization clinics, post-natal and paediatric wards at the tertiary care hospital at Puducherry collecting data about breastfeeding knowledge and practices using a structured interview.Results: The breastfeeding practices were significantly poorer in terms of initiation, feeding colostrums, timing and frequency of feeding and inclusion of pre-lacteal feeds among obese women compared to the normal weighted mothers. The breastfeeding knowledge and attitude was healthy among the mothers as depicted by the awareness of nutritive value of breast milk by majority (84%) of mothers.Conclusions: The mothers had poor knowledge regarding initiation of breastfeeding and administration of colostrum. There was a positive attitude about exclusive breastfeeding, frequency of feeding and social aspects of breastfeeding.

scholarly journals Hubungan Peran Ketua Tim dengan Kinerja Perawat dalam Dokumentasi Asuhan Keperawatan di Rumah Sakit Jiwa Provinsi Jambi

2021 ◽  
Vol 10 (1) ◽  
pp. 196
Author(s):  
Fithriyani Fithriyani ◽  
Miko Eka Putri
Keyword(s):  
Nursing Care ◽  
Significant Relationship ◽  
Sampling Technique ◽  
Team Leader ◽  
P Value ◽  
Cross Sectional Survey ◽  
Chi Square ◽  
Cross Sectional ◽  
Team Members

The quality of service can be determined from the performance of the nurse in providing nursing care. The success of the team method in carrying out the nursing process is determined by the ability of the team leader to assign tasks to team members and direct work to the team. This study aims  to knowing  the relationship between the role of the team leader and the performance of nurses in documenting nursing care at the Jambi Provincial Psychiatric Hospital. A quantitative method with a cross-sectional survey using self-administered questionnaires The sampling technique was total sampling so that the sample size was 106 nurseswith analysis using the chi square test. The data were analyzed using statistical software. This study investigates the role of team leaders and nurses' performance in documenting nursing care. the role of the team leader in documenting nursing care was 54.1% good. the performance of nurses in documenting nursing care was 53.2% good. The statistical test results showed that the p value (0,000) <0.05, which means that there is a significant relationship between the role of the team leader and the performance of nurses in nursing care documentation.This significant relationship explains that the role of the team leader will have a good influence on the documentation of nursing care carried out by the nurse in charge

Critical Care Nurses' Views on Handover in Chitwan, Nepal

2019 ◽  
Vol 13 (1) ◽  
pp. 36-45
Author(s):  
Sarmila Koirala ◽  
Raj Kumar Mehta ◽  
Santosh Acharya ◽  
Pooja Gauro
Keyword(s):  
Critical Care ◽  
Nursing Care ◽  
Work Performance ◽  
Sampling Technique ◽  
Relevant Information ◽  
Critical Care Nurses ◽  
Teaching Hospitals ◽  
Chi Square ◽  
Cross Sectional ◽  
Tertiary Teaching

Background and ObjectivesThe nurses shift handover is an integral component of nursing care and a highly complex process of communication aimed at improving patients' outcomes. Despite its significance, there is no universal approach to handover protocols. Our aim was to explore critical care nurses views on handover and to explore the association between views of handover and selected socio demographic variables.Method and MaterialsDescriptive cross-sectional research design with 108 nurses working in adult critical care units at two tertiary teaching hospitals of the Chitwan district, Nepal, by using a nonprobability, enumerative sampling technique. Data were collected through a Likert-5 scale questionnaire exploring views on the quality and effectiveness of handover among nurses. Median was used to reflect nurses' views and a cutoff value of median (99) was used to discriminate between positive and negative views. Chi square was used to test the association between views and selected sociodemographic variables.ResultsThe study findings revealed that only 50.9% of the nurses had positive views regarding handover. The significant associated variables were working hospital, working unit, level of work performance and duration of handover (p = 0.002, p = 0.002, p = 0.029, p = 0.004 respectively).ConclusionThe findings of the present study point out the need for nurses to adhere to a handover protocol, as well as the need to develop a practical and comprehensive standardized protocol to transmit crucial and relevant information related to patient care, in order to enhance the safety of nursing practice in the area of basic nursing care and communication about patients' condition.

scholarly journals Study of Delirium on Psychiatric Referrals at Helping Hands Community Hospital, Kathmandu, Nepal

2018 ◽  
Vol 5 (2) ◽  
pp. 19-26
Author(s):  
Praveen Bhattarai ◽  
Devavrat Joshi
Keyword(s):  
Risk Factors ◽  
Alcohol Intoxication ◽  
Care Center ◽  
Tertiary Care ◽  
Cross Sectional Study ◽  
Liaison Psychiatry ◽  
Chi Square ◽  
Cross Sectional ◽  
Significant Difference ◽  
Associated Risk Factors

Background and Objectives: Delirium is one of the most important neuro-psychiatric disorders in Consultation liaison psychiatry. There is a dearth of studies in this subject in Nepalese context. The objective of this study was to find out the demographic profile, source of referral, reason for referral and possible risk factors for delirium and association between risk factors and subtypes of delirium.Material and Methods: This is a descriptive cross-sectional study carried out in a tertiary care center over a period of six months. Delirium was diagnosed by psychiatrist based on International Classification of Disease, 10th revision, Diagnostic Criteria for Research (ICD-10 DCR) and was classified into subtypes using the Liptzin and Levkoff criteria. Data analysis was done using SPSS version 16 and chi- square test was applied to find the association between risk factors and subtypes of delirium.Results: A total of 52 cases of delirium were included in the study. Majority of cases were aged 65 years and above with male preponderance. The most common cause for referral was disturbed behavior and disorientation. Hyperactive delirium was the most common subtype of delirium. Most of the referred cases of delirium were from Medical ward and Intensive Care Unit/Critical Care Unit (ICU/CCU). Infection / Inflammation, Drug/alcohol intoxication or withdrawal and those with multiple etiologies were the most common possible causes of delirium. There was no significant difference in terms of associated risk factors between the clinical subtype (p = 0.8023).Conclusion: The presence of delirium warrants prompt intervention to identify and treat the underlying causes and consultation liaison psychiatric services should be enhanced to achieve this goal.Janaki Medical College Journal of Medical Sciences (2017) Vol. 5(2): 19-26

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