scholarly journals Attitude towards collaborative care among nurses and physicians at a teaching hospital, Chitwan

2018 ◽  
Vol 8 (4) ◽  
pp. 47-53 ◽  
Author(s):  
Alisha Karki ◽  
Sara Thapa ◽  
Bedantakala Thulung
Keyword(s):  
Teaching Hospital ◽  
Collaborative Care ◽  
Interprofessional Collaboration ◽  
College Teaching ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Medical College ◽  
Or Groups ◽  
Nurses And Physicians

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.

Personal Disposition of Bachelor Nursing Students Regarding the Care of Advance Age People in Nobel Medical College Teaching Hospital

2020 ◽  
Vol 9 (2) ◽  
pp. 50-54
Author(s):  
Nilam Kumari Jha ◽  
Komal Kant Jha
Keyword(s):  
Nursing Students ◽  
Older People ◽  
Teaching Hospital ◽  
Nursing Student ◽  
College Teaching ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Family Type ◽  
Cross Sectional ◽  
Medical College

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.

Knowledge, Attitude and Practices of Pharmacovigilance among Doctors at a Tertiary Care Teaching Hospital Birgunj, Nepal

Med Phoenix ◽  
2021 ◽  
Vol 6 (1) ◽  
pp. 14-18
Author(s):  
Smita Singh ◽  
Deependra Prasad Sarraf ◽  
Prabin Singh ◽  
Pragati Poudyel
Keyword(s):  
Teaching Hospital ◽  
Health Care Professionals ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Cross Sectional ◽  
Tertiary Care Teaching Hospital ◽  
Care Teaching ◽  
Medical College ◽  
National Medical

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.

scholarly journals Awareness, Knowledge and Willingness Regarding Eye Donation among Dental Students of Kist Medical College and Teaching Hospital, Lalitpur, Nepal

2019 ◽  
Vol 9 (2) ◽  
pp. 47-53
Author(s):  
Anjila Basnet ◽  
Pragya Singh Basnet ◽  
Ram Sudhan Lamichhane ◽  
Prabhat Shrestha
Keyword(s):  
Teaching Hospital ◽  
Corneal Transplantation ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Dental Students ◽  
Visual Rehabilitation ◽  
Cross Sectional ◽  
Medical College ◽  
Corneal Blindness ◽  
Eye Donation

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.

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
Keyword(s):  
Teaching Hospital ◽  
Positive Reinforcement ◽  
Intramuscular Injection ◽  
College Teaching ◽  
Sampling Technique ◽  
Cross Sectional Study ◽  
Staff Nurse ◽  
Standard Protocol ◽  
Cross Sectional ◽  
General Wards

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.

scholarly journals Prevalence of Perinatal Asphyxia in Neonates at a Tertiary Care Hospital: A Descriptive Cross-sectional Study

2019 ◽  
Vol 57 (219) ◽  
Author(s):  
Sunil Raja Manandhar ◽  
Rydam Basnet
Keyword(s):  
Risk Factors ◽  
Confidence Interval ◽  
Teaching Hospital ◽  
Perinatal Asphyxia ◽  
Tertiary Care ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Sectional Study ◽  
Cross Sectional ◽  
Medical College

  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.

scholarly journals Factors Associated for Caesarean Section among Mothers Attending in Teaching Hospital, Chitwan

2020 ◽  
Vol 6 (1) ◽  
pp. 39-49
Author(s):  
Indira Adhikari Poudel ◽  
B Bhattarai ◽  
P Dhakal
Keyword(s):  
Caesarean Section ◽  
Cesarean Section ◽  
Teaching Hospital ◽  
College Teaching ◽  
Sampling Technique ◽  
Fetal Distress ◽  
Cross Sectional ◽  
Medical College ◽  
Health Experts ◽  
Previous Cesarean

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%).

scholarly journals Clinical Profile of Patients with Seizure in Kathmandu Medical College Teaching Hospital.

2019 ◽  
Vol 8 (2) ◽  
pp. 53-56
Author(s):  
Krishna Dhungana ◽  
Dipesh Shakya ◽  
Rabindra Shrestha ◽  
Sabnam Bhatta ◽  
Sabbu Maharjan
Keyword(s):  
Teaching Hospital ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Clinical Profile ◽  
Cross Sectional ◽  
Radiographic Findings ◽  
Medical College ◽  
Number Of Patients ◽  
East Asia Region ◽  
Age And Sex

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.

scholarly journals Knowledge, Attitude and Practice of Ear care among Pre clinical Medical students at Birat Medical College Teaching Hospital.

2020 ◽  
Vol 5 (3) ◽  
pp. 1236-1240
Author(s):  
Bipin Koirala ◽  
Sriti Manandhar ◽  
Rajeev Kumar Shah
Keyword(s):  
Medical Students ◽  
Teaching Hospital ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Care Practice ◽  
Cross Sectional ◽  
Medical College ◽  
Attitude And Practice ◽  
Knowledge And Attitude ◽  
Knowledge Attitude And Practice

Introduction: Ear care is a part of social cleanliness. It may not demand much care but proper and adequate care is essential to protect the optimal functions. The knowledge and awareness of ear care practice however is still lacking. Non –hygienic individual behaviors and habits like penetrating foreign objects, exposure to loud noise may affect the human ear. Lack of proper ear care may lead to many diseases and its complications.. Objectives : To assess the knowledge attitude and practice of ear care of pre clinical medical students attending Birat Medical College. To correlate the knowledge, attitude and practice of ear care of pre clinical medical students. Methodology: A descriptive cross sectional study was done in 151 students of pre clinical sciences of Birat Medical College for a period of two months from 15th Sept 2020 to 15 November, 2020. After the ethical clearance a specifically designed semi structured questionnaire containing yes and no questions was prepared in goggle form and distributed among all the pre clinical medical students of Birat Medical College Teaching Hospital students and then their response was evaluated.  Result: Students of pre clinical sciences had good knowledge, attitude and practice of ear care. Significant correlation was seen between knowledge and practice and also between knowledge and attitude. However there was no significant correlation between attitude and practice. Conclusion: Overall knowledge, attitude and practice of preclinical medical students of Birat Medical College was good. Surprisingly students showed poor knowledge, attitude and practice in few individual questionnaires which was hoped that the medical students know more than lay individual in the society

scholarly journals Laparoscopic Management of Ovarian Dermoid Cysts in Birat Medical College, Teaching Hospital

2018 ◽  
Vol 2 (3) ◽  
pp. 273-276
Author(s):  
Bhanubhakta Neupane ◽  
Gyanendra Man Singh Karki ◽  
Prerana Dahal ◽  
Sambhu Bahadur Karki
Keyword(s):  
Dermoid Cyst ◽  
Teaching Hospital ◽  
Peritoneal Cavity ◽  
College Teaching ◽  
Cross Sectional Study ◽  
Physiological Solution ◽  
Cross Sectional ◽  
Medical College ◽  
Laparoscopic Cystectomy ◽  
Chemical Peritonitis

Introduction: Spillage of contents of the dermoid cyst during surgery may cause chemical peritonitis and spillage is more likely to occur during laparoscopic surgery for the removal of the ovarian dermoid cyst. Thorough washing of peritoneal cavity with physiological solution greatly reduces the incidence of chemical peritonitis.Objective: To study the outcome of laparoscopic treatment of ovarian dermoid cysts.Methodology: This is a hospital based cross-sectional study conducted at Birat Medical College and Teaching Hospital from 2012 April to 2016 April. All patients being operated by laparoscopy for ovarian dermoid cysts were enrolled in the study. Occurrence of spillage of dermoid contents during surgery and development of symptoms and signs of chemical peritonitis in postoperative period were main outcome measures. The collected data was entered in Microsoft Excel and analyzed by SPSS software version17.Results: Eighty nine ovarian dermoid cysts from 82 patients were managed by laparoscopy. Among 89 cysts, 54(60.76%) cysts were removed by laparoscopic cystectomy, 21(23.59%) cysts were removed by laparoscopic salpingo-ophorectomy and 14(15.73%) cysts were removed by salpingo-ophorectomy with hysterectomy. Spillage of dermoid content occurred in 50 (56.17%) cysts removal. There was no conversion to laparotomy and no case of chemical peritonitis.Conclusion: The risk of chemical peritonitis is negligible with spillage of dermoid content during laparoscopic procedure when peritoneal cavity is washed thoroughly. Birat Journal of Health SciencesVol.2/No.3/Issue 4/Sep- Dec 2017, Page: 273-276 

scholarly journals “Depression, Anxiety and Stress among Nurses during Corona Lockdown in a Selected Teaching Hospital, Kaski, Nepal"

2020 ◽  
Vol 10 (2) ◽  
pp. 82-87 ◽  
Author(s):  
Muna Silwal ◽  
Dipti Koirala ◽  
Sabita Koirala ◽  
Anju Lamichhane
Keyword(s):  
Mental Health ◽  
Teaching Hospital ◽  
Mental Health Problems ◽  
College Teaching ◽  
Well Being ◽  
Cross Sectional Study ◽  
Research Centre ◽  
Cross Sectional ◽  
Sample Mean ◽  
Medical College

Introduction: Mental health is as important as physical health to respond to COVID-19 pandemic. This pandemic has increased social isolation and fear regarding health and well-being as well as a dilemma which can lead to mental health problems among general people and health workers.Thus the main objective of this study was to assess the prevalence and factors associated with depression, anxiety and stress among nurses working in a hospital of Nepal during the period of Corona lockdown. Methods: A cross-sectional study was carried out among 152 nurses working at Gandaki Medical College Teaching Hospital and Research Centre of Kaski district of Nepal. Data were collected using a structured self-administered questionnaire consisting of socio-demographic items and Depression, Anxiety and Stress Scale (DASS-42) scale from 11 April to 18 April, 2020. Data was analyzed using Statistical Package for Social Sciences (SPSS) version 22 applying descriptive statistics and inferential statistical method. Results: Respondent's mean age and SD was 24.09 + 3.19 years. The sample mean score of DASS-42 was 29.46 (SD 25.37). Depression, anxiety and stress were prevalent among 39.5%, 50% and 25.7% of the respondents respectively. There was significant association of depression with education level (χ2 =6.597; p=0.01) and working unit (χ2 =8.187; p=0.004). Anxiety was significantly associated with working unit (χ2 =6.973; p=0.008) and children status (χ2 =4.199; p=0.040). Stress was significantly associated with age (χ2 =4.906; p=0.027), working unit (χ2 =4.984; p=0.026) and children status (χ2 =5.653; p=0.017). Conclusion: Based on findings, it can be concluded that some degree of depression, anxiety and stress were prevalent among nurses during COVID-19 pandemic. Further assessment should be made to confirm the respective diagnoses. Stress and anxiety relieving sessions and psychological support programs may help for the nurses with higher than cut-offs.

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