I am Pediatric Nurse working at College of Nursing, B. P. Koirala Institute of Health science, Dharan Nepal as Additional Professor and Head of the Department
Introduction: The modality and quality of care received during hospitalization affects a child’s ... more Introduction: The modality and quality of care received during hospitalization affects a child’s response to their illness. Thus, any intervention delivered by healthcare providers including nurses must be based on principles of atraumatic care. This study aims to assess the knowledge and attitude of nurses in the implementation of atraumatic care among hospitalized children in a tertiary care center in Eastern Nepal. Methods: A descriptive cross-sectional study was conducted among 106 nurses in a tertiary hospital from 4th January to 1st February 2020. Ethical approval was received from the Institutional Review Committee. Sampling was done by total population enumeration method. Data was collected using a self-administered three-part questionnaire and analyzed using Statistical Package for the Social Sciences version 11.5 by utilizing descriptive statistics. Results: The mean knowledge and attitude of nurses towards implementation of atraumatic care among hospitalized children was ...
Introduction: Primary dysmenorrhea (PD) leads to college absenteeism, interference with daily liv... more Introduction: Primary dysmenorrhea (PD) leads to college absenteeism, interference with daily living activities and higher intake of medications without consulting a physician and/or without a valid prescription. Objectives: To estimate the prevalence of PD, to know the pattern of self-medication in dysmenorrhea and to know the impact of dysmenorrhea on academic performance among undergraduate nursing students. Methods: A cross-sectional study was conducted among undergraduate nursing students at a nursing college in Eastern Nepal using a semi-structured questionnaire consisting of demographic characteristics, the impact of dysmenorrhea on academic performance and self-medication practices. A visual analogue scale was used to assess the severity of dysmenorrhea. Descriptive statistics were used to present the findings. Results: A total of 125 students participated in the study out of which 64 (51.20%) were 21-24 years old. Eighty-four (67.20%) students had PD that had affected acade...
Introduction: World Health Organization recommends first 6 months of exclusive breastfeeding afte... more Introduction: World Health Organization recommends first 6 months of exclusive breastfeeding after birth. It helps in proper growth and development of child. At the same time, it reduces infant mortality by preventing common childhood illnesses and helps for a quicker recovery during illness. So, the study aimed to identify the perceived hindering factors of exclusive breastfeeding among lactating mothers. Methods: A community-based, descriptive cross-sectional study was conducted in Itahari Sub-Metropolitan City. Convenience sampling technique was used to select a total of 123 lactating mothers having infants 0-6 months. A pretested questionnaire was used to interview mothers. Collected data were analyzed using descriptive and inferential statistics. Results: Although nearly all mothers (97.6%) had knowledge about exclusive breastfeeding and 93.5% of them had correct knowledge of recommended duration of EBF, the prevalence of exclusive breastfeeding was only 17.6%. Breastfeeding wa...
Background: Incorrect drug dose calculations by nursing students can cause drug errors and harm p... more Background: Incorrect drug dose calculations by nursing students can cause drug errors and harm patients. Their ability to calculate the correct dosage of drugs consistently need to be evaluated regularly. The objective of the study was to evaluate the drug dose calculation ability of nursing students.Methods: A pre-post interventional study was conducted among 99 undergraduate nursing students studying in 2nd, 3rd and 4th year. Pre-test was conducted using a 20-item self-administered questionnaire on drug dose calculation test followed by a 30 minute lecture on the methods of drug dose calculation. Post-test was conducted using the same questionnaire after a washout period of six weeks. Mean score, standard deviation, frequency and percentage were calculated. Student t test, one way ANOVA and McNemar Test were used for statistical analysis using SPSS version 11.5 at P-value of 0.05.Results: Pre-test and post-test mean score were 10.59 ± 3.00 and 15.36 ± 2.46 respectively. There was...
Background & Objective: Communication is challenging in pediatric setting. Parent’s need for comm... more Background & Objective: Communication is challenging in pediatric setting. Parent’s need for communication may not always be met by the nursing staff. So, this study aimed to describe the influencing factors, strength and weakness of nurse-parent communication. Materials & Methods: A descriptive cross-sectional study with 150 parents of hospitalized children was carried out at Pediatric Unit I & II of BPKIHS, Dharan. Consecutive sampling technique using pre-tested self-prepared semi structured interview questionnaire was used for the data collection. Parents’ perspective about their communication with the nurses was interviewed. Collected data were analyzed using descriptive and inferential statistics. Results: The mean age of the parents was 30 years. Parents rated communication with the nursing staff positively and about 68% of the parents felt that it was easy to communicate with the nurses. About 61% described strength and about 39% described weakness of nurse-parent communicati...
Introduction: The COVID-19 pandemic significantly affected medical education and has forced educa... more Introduction: The COVID-19 pandemic significantly affected medical education and has forced educators to switch to online teaching-learning activities worldwide. Online teaching-learning activities has ensured the safe delivery of the lectures to the students. Objective: To assess the perception of students towards online lectures and to analyze the perceived barriers to online learning in our context during the COVID-19 lockdown period. Methodology: A cross-sectional online descriptive study was conducted among undergraduate students at a tertiary teaching college in Eastern Nepal during September-November 2020. The link of the Google form consisting of the semi-structured questionnaire was sent to the students through email. Descriptive statistics frequency and percentage were calculated using Microsoft Excel 2010. The study was approved by the Institutional Review Committee (IRC/2069/20). Results: A total of 211 students participated in the study. Mean age of the students was 20....
Background: Early recognition of oral cancer is essential for higher cure rate and better progno... more Background: Early recognition of oral cancer is essential for higher cure rate and better prognosis. Nurses can play a significant role in the early diagnosis of cancers. The study aimed to assess the awareness of oral cancer among nursing students. Methods: A cross-sectional survey was conducted among Bachelor of Nursing Students at College of Nursing, B.P. Koirala Institute of Health Sciences. A semi-structured questionnaire was used to collect the sociodemographic data and awareness of cancer. Descriptive statistics were calculated using Statistical Package for Social Sciences version 22.0. Results: Out of 116, 89 (76.7%) students were of age 21-25 years. One hundred and twelve students (96.6%) were aware that various form of tobacco increases risk of oral cancer; however, only 55 (47.4%) students knew alcohol drinking as a risk factor. Only 29 (25.0%) students were aware of loose-fitting denture as a risk factor for oral cancer. Ninety-six (82.8%) students knew white or red pa...
Background: Hospitalization of children, separation from parents and illness itself may contribut... more Background: Hospitalization of children, separation from parents and illness itself may contribute to stress. Play Therapy is one of the most important aspects of a child's life and the most effective tools for managing stress. Objective: To assess the effectiveness of play therapy in reducing stress among school age children admitted in Pediatric wards of B.P. Koirala Institute of Health Sciences. Methods: Pre-experimental (one group pretest posttest design) research design was adopted for this study. A total of 46 children were selected by using total population enumeration sampling technique. Level of stress was assessed using self-developed, semi structured observation checklist and questionnaire pretested research tool. Results: This study showed that during Pretest, 19.50% of the children had mild stress, 58.6% had moderate stress and 21.7% had severe stress. After play therapy, there was noteworthy reduction in percentage of children with stress; severe stress reduced by 8.7% and moderate by 39.1%. The total mean Score before and after play therapy was significantly different (30.17 ± 3.46 Vs. 26.30 ± 5.04, P= <0.001). Conclusion: Play Therapy was an effective method in reducing stress level among hospitalized school aged children.
Introduction: The modality and quality of care received during hospitalization affects a child’s ... more Introduction: The modality and quality of care received during hospitalization affects a child’s response to their illness. Thus, any intervention delivered by healthcare providers including nurses must be based on principles of atraumatic care. This study aims to assess the knowledge and attitude of nurses in the implementation of atraumatic care among hospitalized children in a tertiary care center in Eastern Nepal. Methods: A descriptive cross-sectional study was conducted among 106 nurses in a tertiary hospital from 4th January to 1st February 2020. Ethical approval was received from the Institutional Review Committee. Sampling was done by total population enumeration method. Data was collected using a self-administered three-part questionnaire and analyzed using Statistical Package for the Social Sciences version 11.5 by utilizing descriptive statistics. Results: The mean knowledge and attitude of nurses towards implementation of atraumatic care among hospitalized children was ...
Introduction: Primary dysmenorrhea (PD) leads to college absenteeism, interference with daily liv... more Introduction: Primary dysmenorrhea (PD) leads to college absenteeism, interference with daily living activities and higher intake of medications without consulting a physician and/or without a valid prescription. Objectives: To estimate the prevalence of PD, to know the pattern of self-medication in dysmenorrhea and to know the impact of dysmenorrhea on academic performance among undergraduate nursing students. Methods: A cross-sectional study was conducted among undergraduate nursing students at a nursing college in Eastern Nepal using a semi-structured questionnaire consisting of demographic characteristics, the impact of dysmenorrhea on academic performance and self-medication practices. A visual analogue scale was used to assess the severity of dysmenorrhea. Descriptive statistics were used to present the findings. Results: A total of 125 students participated in the study out of which 64 (51.20%) were 21-24 years old. Eighty-four (67.20%) students had PD that had affected acade...
Introduction: World Health Organization recommends first 6 months of exclusive breastfeeding afte... more Introduction: World Health Organization recommends first 6 months of exclusive breastfeeding after birth. It helps in proper growth and development of child. At the same time, it reduces infant mortality by preventing common childhood illnesses and helps for a quicker recovery during illness. So, the study aimed to identify the perceived hindering factors of exclusive breastfeeding among lactating mothers. Methods: A community-based, descriptive cross-sectional study was conducted in Itahari Sub-Metropolitan City. Convenience sampling technique was used to select a total of 123 lactating mothers having infants 0-6 months. A pretested questionnaire was used to interview mothers. Collected data were analyzed using descriptive and inferential statistics. Results: Although nearly all mothers (97.6%) had knowledge about exclusive breastfeeding and 93.5% of them had correct knowledge of recommended duration of EBF, the prevalence of exclusive breastfeeding was only 17.6%. Breastfeeding wa...
Background: Incorrect drug dose calculations by nursing students can cause drug errors and harm p... more Background: Incorrect drug dose calculations by nursing students can cause drug errors and harm patients. Their ability to calculate the correct dosage of drugs consistently need to be evaluated regularly. The objective of the study was to evaluate the drug dose calculation ability of nursing students.Methods: A pre-post interventional study was conducted among 99 undergraduate nursing students studying in 2nd, 3rd and 4th year. Pre-test was conducted using a 20-item self-administered questionnaire on drug dose calculation test followed by a 30 minute lecture on the methods of drug dose calculation. Post-test was conducted using the same questionnaire after a washout period of six weeks. Mean score, standard deviation, frequency and percentage were calculated. Student t test, one way ANOVA and McNemar Test were used for statistical analysis using SPSS version 11.5 at P-value of 0.05.Results: Pre-test and post-test mean score were 10.59 ± 3.00 and 15.36 ± 2.46 respectively. There was...
Background & Objective: Communication is challenging in pediatric setting. Parent’s need for comm... more Background & Objective: Communication is challenging in pediatric setting. Parent’s need for communication may not always be met by the nursing staff. So, this study aimed to describe the influencing factors, strength and weakness of nurse-parent communication. Materials & Methods: A descriptive cross-sectional study with 150 parents of hospitalized children was carried out at Pediatric Unit I & II of BPKIHS, Dharan. Consecutive sampling technique using pre-tested self-prepared semi structured interview questionnaire was used for the data collection. Parents’ perspective about their communication with the nurses was interviewed. Collected data were analyzed using descriptive and inferential statistics. Results: The mean age of the parents was 30 years. Parents rated communication with the nursing staff positively and about 68% of the parents felt that it was easy to communicate with the nurses. About 61% described strength and about 39% described weakness of nurse-parent communicati...
Introduction: The COVID-19 pandemic significantly affected medical education and has forced educa... more Introduction: The COVID-19 pandemic significantly affected medical education and has forced educators to switch to online teaching-learning activities worldwide. Online teaching-learning activities has ensured the safe delivery of the lectures to the students. Objective: To assess the perception of students towards online lectures and to analyze the perceived barriers to online learning in our context during the COVID-19 lockdown period. Methodology: A cross-sectional online descriptive study was conducted among undergraduate students at a tertiary teaching college in Eastern Nepal during September-November 2020. The link of the Google form consisting of the semi-structured questionnaire was sent to the students through email. Descriptive statistics frequency and percentage were calculated using Microsoft Excel 2010. The study was approved by the Institutional Review Committee (IRC/2069/20). Results: A total of 211 students participated in the study. Mean age of the students was 20....
Background: Early recognition of oral cancer is essential for higher cure rate and better progno... more Background: Early recognition of oral cancer is essential for higher cure rate and better prognosis. Nurses can play a significant role in the early diagnosis of cancers. The study aimed to assess the awareness of oral cancer among nursing students. Methods: A cross-sectional survey was conducted among Bachelor of Nursing Students at College of Nursing, B.P. Koirala Institute of Health Sciences. A semi-structured questionnaire was used to collect the sociodemographic data and awareness of cancer. Descriptive statistics were calculated using Statistical Package for Social Sciences version 22.0. Results: Out of 116, 89 (76.7%) students were of age 21-25 years. One hundred and twelve students (96.6%) were aware that various form of tobacco increases risk of oral cancer; however, only 55 (47.4%) students knew alcohol drinking as a risk factor. Only 29 (25.0%) students were aware of loose-fitting denture as a risk factor for oral cancer. Ninety-six (82.8%) students knew white or red pa...
Background: Hospitalization of children, separation from parents and illness itself may contribut... more Background: Hospitalization of children, separation from parents and illness itself may contribute to stress. Play Therapy is one of the most important aspects of a child's life and the most effective tools for managing stress. Objective: To assess the effectiveness of play therapy in reducing stress among school age children admitted in Pediatric wards of B.P. Koirala Institute of Health Sciences. Methods: Pre-experimental (one group pretest posttest design) research design was adopted for this study. A total of 46 children were selected by using total population enumeration sampling technique. Level of stress was assessed using self-developed, semi structured observation checklist and questionnaire pretested research tool. Results: This study showed that during Pretest, 19.50% of the children had mild stress, 58.6% had moderate stress and 21.7% had severe stress. After play therapy, there was noteworthy reduction in percentage of children with stress; severe stress reduced by 8.7% and moderate by 39.1%. The total mean Score before and after play therapy was significantly different (30.17 ± 3.46 Vs. 26.30 ± 5.04, P= <0.001). Conclusion: Play Therapy was an effective method in reducing stress level among hospitalized school aged children.
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