scholarly journals Knowledge of intramuscular injection among the nurses of a teaching hospital

2020 ◽  
Vol 10 (1) ◽  
pp. 40-43
Author(s):  
Soni Rani Sah ◽  
Sreeja Maskey

Background: Intramuscular injection (IM) is one of the most frequently use practices in nurs­ing. Lack of knowledge can make the procedure ineffective resulting in lot of complications. The objective of the study was to find out the knowledge of IM injection among the nurses of Chitwan Medical College Teaching Hospital (CMCTH), Bharatpur, Chitwan. Methods: A descriptive, cross-sectional study design was used among 220 nurses of CMCTH who were selected by using non- probability purposive sampling technique. Self-adminis­tered questionnaires were used to collect the data. The data was analyzed using IBM SPSS version 20.0 and descriptive, inferential test was applied. Results: The age study findings revealed that 60% of respondents belonged to group 21 to 25 years and the mean age was 22.20±2.57 years, 72.3% respondents had completed Proficiency Certificate Level (PCL) Nursing, 90% of respondents were working as staff nurse, 57.3% of respondents were working in general wards, 48.2% of the respondents had hos­pital experience less than 12 months. Majority of the respondents (71.8%) had inadequate knowledge regarding IM injection. There was statistical significant association between re­spondents’ knowledge regarding IM injection and their age (p <0.001), professional designa­tion (p <0.001), hospital experience (p=0.023), current ward experience (p= 0.026), positive reinforcement (p=0.031), standard protocol (p=0.045), and in-service education (p<0.001) . Conclusions: It is concluded that standard protocol and frequent in-service education should be provided to increase the level of knowledge regarding IM injection among nurses which will result in better practice and hence better patient satisfaction with no complications.

2020 ◽  
Vol 9 (2) ◽  
pp. 50-54
Author(s):  
Nilam Kumari Jha ◽  
Komal Kant Jha

Background: Older people have complex requirements arising from future conditions. Nursing services regarding the care of advance age population is really important in to the readiness of nursing student. Materials and Methods: A cross-sectional study was conducted in Nobel Medical College Teaching Hospital, Biratnagar, Nepal from February to July 2020. A total of 118 Bachelor nursing students were selected by using a non- probability consecutive sampling technique. Data was collected by using Personal disposition regarding care of advance age people were evaluated by using standardized tool, Nolan’s Intent to work with older people questionnaire. All calculations and statistical analysis are processed by the SPSS 22.0. Results: It showed that personal disposition of regarding care of advance age people were negative perception about 51.7%. Among variable, age and study year were significantly associated with personal disposition (p=< 0 .001). However, there was no significant result showed between the family type, nursing programme and prior experience with advance age. Conclusion: The study concluded that the Bachelor nursing students had relatively negative personal disposition regarding care of advance age people. More study is important to higher understand students’ experiences and insight. These must certainly be augment to strengthen an result that is improved is clinical the look after the older grownups.


2018 ◽  
Vol 8 (4) ◽  
pp. 47-53 ◽  
Author(s):  
Alisha Karki ◽  
Sara Thapa ◽  
Bedantakala Thulung

Interprofessional collaboration is recognized as a means of improving patient outcomes and the cost effective­ness of care in a variety of settings from primary health care to acute care to rehabilitation. Hence, health profes­sionals must be able to work collaboratively in interprofessional teams or groups in order to ensure consistent, continuous, and reliable care. This study was conducted to identify attitude towards collaborative care among nurses and physicians. A descriptive cross sectional study design was adopted and a total 131 respondents were selected from different units of Chitwan Medical College Teaching Hospital by using probability stratified pro­portionate random sampling technique. A standardized tool (Jefferson Scale of attitude towards collaborative care among Nurses and Physician) was used to collect the data. Descriptive and inferential statistics was used to analyze data. Nearly half of the physicians (47.7%) and one quarter of the nurses (25.3%) had good attitude towards collaborative care. There is significant association between the level of attitude of physician and pro­fessional qualification (p=0.016) and designation of physicians (p=0.013). The hospital administration needs to focus establishing environment for health professionals’ to develop positive attitude toward collaborative care.


Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel

Introduction: Pharmacovigilance helps in the detection and prevention of adverse effects of drugs. For the effectiveness of this program, health care professionals should report adverse drug reactions (ADRs) considering it as their moral and professional obligation. The objective of the study was to assess the knowledge, attitude, and practices (KAP) of the doctors towards ADRs and pharmacovigilance in  National Medical College Teaching Hospital (NMCTH), a tertiary care teaching hospital situated in the Narayani zone. Materials and Methods: A cross-sectional study was carried out using a self-administered questionnaire consisting of four parts; first part included a demographic profile of participants, the second part consisted of ten questions for the assessment of the knowledge about pharmacovigilance, third part comprised of six questions on attitude and fourth part consisted of five questions on practice. The results were depicted in the form of percentages for each KAPs questionnaire.   Results: The response rate of participants was 85.16%. Pharmacovigilance was correctly defined by 52%. Department of drug administration was responsible for monitoring ADRs in Nepal was correctly given by 80%. Only 8% had reported ADRs, although 62% had encountered an ADR in their clinical practice. Conclusion: The doctors at NMCTH had a poor KAP towards pharmacovigilance and educational intervention is needed for the proper functioning of this program.


2019 ◽  
Vol 9 (2) ◽  
pp. 47-53
Author(s):  
Anjila Basnet ◽  
Pragya Singh Basnet ◽  
Ram Sudhan Lamichhane ◽  
Prabhat Shrestha

Background: Corneal disease constitutes a significant cause for visual im­pairment and blindness in the developing world. Visual rehabilitation by corneal transplantation for which increased awareness regarding an eye donation is essential, remains the only treatment option for restoring sight in those who suffer from corneal blindness. Hence, the present study con­ducted to assess the awareness, knowledge and willingness about eye do­nation among dental students of KIST medical college & teaching hospital, Nepal Methods: A cross-sectional study was carried out in KIST medical college and teaching hospital in Nepal during the period of 21st to 30th April 2019. A total of 185 dental students were selected as study group by con­venience sampling technique. A Semi-structured questionnaire was used for data collection and analyzed by using SPSS 16. Descriptive statistics and Chi square/ Fischer exact tests were used for data analysis. Results: Out of total 185 dental students who participated in this study, 176 (95.1%) were aware about eye donation, 133 (71.9%) knew that the cornea is used for eye donation and 70 (37.8%) knew that ideal time for eye donation is within six hours of death. Awareness regarding eye dona­tion in male and female students was found to be statistically significant (p =0.013). Conclusions: The present study revealed that most of the dental students were aware regarding eye donation and most of them were willing to do­nate their eyes. Awareness regarding eye donation will form the prime base for the elimination of avoidable corneal blindness in Nepal.


2020 ◽  
Vol 2 ◽  
pp. 29-36
Author(s):  
JC Daboer ◽  
M Zaman ◽  
NN Birdling ◽  
NY Maigamo ◽  
EE Orya ◽  
...  

Background: The use of genetically modified foods and organisms has continued to gain popularity globally, especially in the areas of improved food security and medical research. However, the global acceptance and consumption of these foods are marred by skepticism and controversy due to concerns about their long term health and environmental effects. This study was undertaken to assess the knowledge and perception of genetically modified foods among medical doctors of the Jos University Teaching Hospital in Nigeria.Methods: A cross-sectional study was conducted in May 2018 among 230 medical doctors who were selected using a stratified sampling technique. Data were collected using a semi-structured self-administered questionnaire and analyzed using the Statistical Package for Social Sciences version 23. Results: Only 19.5% of the 230 respondents were found to have good knowledge of genetically modified foods, while 87% expressed concerns related to possible health risks from the consumption of these foods. A low proportion (31.7%) of the respondents indicated willingness to consume genetically modified foods.Conclusion: There was a low level of knowledge of genetically modified foods, heightened concerns about possible adverse health risks associated with their consumption and a low willingness to consume such foods among medical doctors in the Jos University Teaching Hospital. Therefore, there is the need to further educate doctors on the benefits and safety of genetically modified foods.


2018 ◽  
Vol 09 (01) ◽  
pp. 34-37
Author(s):  
Aisha Wali ◽  
Syed Abrar Ali ◽  
Talha M Siddiqui ◽  
Mahnoor Farzand ◽  
Laraib Malik

Objective: The objective of the present study was to assess the anxiety levels in patients visiting Dental teaching Hospital by using Corah Dental anxiety scale. (DAS) Methodology: A cross-sectional study was conducted on patients attending Out Patient Department of Oral Diagnosis Baqai Dental College between June 2017 - Jan 2018. A simple random sampling technique was used for the study purpose. The sample population included patients attending OPD of Oral Diagnosis Department for routine dental checkups, scaling, filling, root canal treatment and extraction. Descriptive statistics were obtained and the mean standard deviation was calculated. Chi-square test was done to compare association of dental anxiety among male and female patients visiting Baqai Dental College. Data was analyzed using SPSS software (Statistical Package for the Social Sciences, Version22). Results: Based on severity of dental anxiety, 46.4% , 34.8% and 15.2% males were found to be moderately, highly and extremely anxious respectively whereas 53.6% , 65.2% and 84.8% females were found to be moderately , highly and extremely anxious. Conclusion: The present study concluded that female patients were found to be more anxious than males. Therefore dental surgeons should take adequate measures to manage level of dental anxiety amongst patients visiting dental teaching hospitals of Karachi


2019 ◽  
Vol 57 (219) ◽  
Author(s):  
Sunil Raja Manandhar ◽  
Rydam Basnet

  Introduction: Perinatal asphyxia is one of the major causes of perinatal and early neonatal mortality in developing countries. The main objective of this study was to observe the prevalence of perinatal asphyxia in babies born at Kathmandu Medical College Teaching Hospital. Methods: This was a descriptive cross-sectional study conducted at Kathmandu Medical College Teaching Hospital over six month period (January to June 2019). All preterm, term and post term babies delivered at Kathmandu Medical College Teaching Hospital were included. Ethical clearance was received from Institutional Review Committee of Kathmandu Medical College (Ref.:2812201808). Convenient sampling method was applied. Data analysis was done in Statistical Package for Social Sciences (SPSS 18), point estimate at 95% Confidence Interval was calculated along with frequency and proportion for binary data. Results: A total of 1284 babies delivered over six months period were enrolled in this study and 47 (3.66 %) babies were asphyxiated, at 95% Confidence Interval (2.64%-4.68%). The mean birth weight of asphyxiated babies was 2759.75±65 grams and gestational age was 37.57±2 weeks. Among asphyxiated babies, 15 (32%) babies were normal, 15 (32%) babies were in Hypoxic Ischemic Encephalopathy stage I, 14 (30%) were in stage II and 3 (6%) were in stage III. Twenty Three (49%) asphyxiated babies had antenatal risk factors and all 47 babies had intrapartum risk factors leading to asphyxia. Conclusions: Prevalence of perinatal asphyxia was lower compared to that of other similar tertiary care hospitals. Perinatal asphyxia remains a major cause of neonatal morbidity and mortality.


2020 ◽  
Vol 6 (1) ◽  
pp. 39-49
Author(s):  
Indira Adhikari Poudel ◽  
B Bhattarai ◽  
P Dhakal

Correction: The page numbers were changed from 57-67 to 39-49 on 31/08/2020. Background: Cesarean section (CS) rate has increased rapidly over the past two decades in world. It is serious concern for public health experts globally. Various medical and non-medical factors, such as maternal socio-demographics, are found to be responsible for this upsurge. Like in other countries, the rate of caesarean sections has increased in Nepal as well. Therefore, there is a need to investigate the factors behind this increase. Objectives: To identify the factors associate for caesarean section among mothers attending at teaching hospital, Chitwan Methods: A cross sectional analytical study was conducted using total enumerative sampling technique in the maternity ward of Chitwan Medical College Teaching Hospital. Interview was done with closed ended Questionnaire for data collection, a total number of 139 mothers after 24 hours cesarean section (CS). Results: The study shows that, nearly three- quarters (71.2%) of CS were performed as an emergency. There are mainly fetal, maternal and placental indication for cesarean section. The most frequent indications were: previous cesarean section (22.3%), thick Meconium stained liquor (12.2%), fetal distress (10.6%) and oligohydramnios (7.2%).


2019 ◽  
Vol 48 (Supplement_4) ◽  
pp. iv34-iv39
Author(s):  
Karthikayini Krishnasamy ◽  
Afzawahiza Hashim ◽  
Palanisamy Sivanandy

Abstract Introduction Patient safety issues have become a major concern in healthcare organizations that lead to undesired events and reduce patients’ quality of life (QoL). Around 10% of patients affected by serious medical errors during treatment, among these 14% result in death and 70% in disability. Nurse-led services are paramount in the treatment and have vital role in minimizing patient safety issues. Hence, a study was aimed to analyse the nurses’ attitude and perception on patient safety and, to determine the potential predictors for patient safety outcome dimensions. Method A quantitative descriptive cross-sectional study was conducted at a 900 bed teaching hospital. Random sampling technique was adopted to select nurses with more than 6 months of working experience in the hospital. Hospital Survey On Patient Safety (HSOPS) tool was used in this study, it had 42 items with 12 dimensions. Results Out of 390 questionnaires distributed, 360 were returned with complete details and the response rate was 92%. Among the safety culture dimensions, only two items scored more than 75% of positive response rate (PRR) which were ‘Organizational learning-continuous improvement’ (PRR 84%) and ‘Teamwork within unit’ (PRR 80%). The ‘Communication openness’ and ‘Hospital handoffs and transition’ scored a very low PRR which were 43% and 37% respectively, as most of the nurses felt that sharing information or issues with colleagues may be held against them. Reporting of errors were very low in the current set-up as most of the nurses reported 1-2 adverse events in a year which was noted as highest among all specialties. Conclusion The current level of patient safety in this teaching hospital need an immediate attention as most of the patient safety domains scored a very low PRR. Safety measures need to be taken before the issues reaches worst situation and adverse impact on patients’ health related QoL.


2019 ◽  
Vol 8 (2) ◽  
pp. 53-56
Author(s):  
Krishna Dhungana ◽  
Dipesh Shakya ◽  
Rabindra Shrestha ◽  
Sabnam Bhatta ◽  
Sabbu Maharjan

Background: Seizure is a common clinical condition. It represents a majority of patients visiting neurology OPD as well as inpatient department in Kathmandu Medical College Teaching Hospital. While the number of patients with seizure is increasing in Nepal, data on the clinical profile of patients with seizure is scarce. Thus, this study aims to find out the relative frequency of seizure in different age and sex groups. It also aims to find out the common causes of seizure in our Nepalese population. Materials and Methods: A descriptive cross sectional study was carried out in patients attending outpatient and inpatient of Neurology department of Kathmandu Medical College Teaching Hospital between periods of July 2018 to December 2018. Demographic characteristics, radiographic findings, EEG findings and drugs taken by patients were recorded according to the proforma. Results: Data from one hundred patients were collected and analyzed. Most of the patients were less than 41 years of age. Most of the patients were male. The prime cause of seizure was found to be neurocysticercosis (25%). Majority of the patients were on monotherapy. Conclusion: Our data regarding the frequency of seizure in different age and sex groups is comparable to data in South East Asia region whilst, different from the western data. In our population, neurocysticercosiswas the most common cause of seizures. Also, most seizures were controlled with monotherapy.


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