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Background: Lack of knowledge of pharmacovigilance and underreporting of adverse drug reaction (ADR) are worldwide problems of big concern. Gross underreporting of ADR in India led to increased hospital admissions, increase in length of hospital stay, and increase in healthcare cost burden. Aims and Objectives: This study was planned to assess knowledge, attitude, and practice on ADR and pharmacovigilance among nursing staff in Gandhi Medical College and Associated Hospitals, Bhopal Madhya Pradesh. Materials and Methods: A questionnaire-based, cross-sectional, and observational study was conducted among nursing staff in a tertiary care Centre. Data were collected in the form of a validated questionnaire comprised of 17 questions regarding knowledge, attitude, and practice of nursing staff toward ADR and Pharmacovigilance. Data were analysis by descriptive statistics and result was computed. Results: Around 33% of respondents were aware of Pharmacovigilance program of India and 99% of them had knowledge about main objective of pharmacovigilance. Out of total filled questionnaire received, only 12% nurses practiced reporting ADR. The major factor discouraging participants from reporting ADR was lack of time to report. The majority of nursing staff had a positive attitude toward awareness of pharmacovigilance and ADR reporting. Conclusion: Our study has shown that there is lack of correct knowledge regarding ADR reporting and pharmacovigilance among staff nurses. Although, the attitude toward ADR reporting was adequate, the actual practice of ADR reporting is unsatisfactory. Hence, it is essential to train staff nurses regarding pharmacovigilance and ADR reporting
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Background: Lamaze breathing is a breathing technique based on the idea that controlled breathing can enhance relaxation and decrease the perception of pain. Some of the important techniques for controlled breathing include slow, deep breathing. Pregnancy and childbirth are one of the greatest events in the life of a woman which she aspires and longs for with great expectation. Methods: The data were collected by using the structured close-ended knowledge questionnaire. From using the disproportional stratified random technique of 50 staff nurses. Attending HSK and Daddenavara hospital, Bagalkot in a pre-experimental survey. The data was analyzed by using descriptive and inferential statistics in terms of mean, frequency distribution, percentage, paired t-test and chi-square test. Results: In post-test reveals that out of 50 staff nurses, the highest post-test (40%) of staff nurses had good knowledge, (30%) had excellent knowledge followed percentage (30%) of staff nurses with average knowledge. The overall findings reveal that the posttest knowledge score (30.54�66), which was (72.88%) of the total score was more when compared to the pre-test knowledge score (13�61), which was (36.05%) total score. The effectiveness of VATP in this area was a mean knowledge score of 17 with SD�04, which was (36.83%) of the total score. The calculated 't' value (17.77) was much higher than the table valve (1.96) for the degree of freedom 49 and 0.05% level of significance. Conclusion: The study provides that a video-assisted teaching programme on knowledge regarding the use of Lamaze breathing exercises among staff nurses was a scientific, logical, and cost-effective strategy.
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Nursing workforce accounts for about 59 percent of health care professionals. Various benefits and barriers associated accrue to the organisations and individuals by investing in nursing. The barriers in investing in nursing include lack of resources, non-cooperation from the management and other health care professionals and lack of quality education. The main objective of the study was to assess the knowledge and attitude of staff nurses regarding the perceived benefits and barriers regarding investing in nursing and correlating them followed by administration of information handout on techniques to improve the delivery by nursing workforce. A quantitative approach, with non-experimental correlational descriptive design was adopted. A sample of 100 staff nurses were selected in selected hospitals through convenient sampling method. The tool used was a structured questionnaire to assess the knowledge and a 4-point Likert scale to assess attitude and perceived barriers and the tool was found to be reliable. The study showed that majority of the staff nurses were 26-30 years old, and female. Most of them were graduates and were working in general and surgical wards with 1-6 years of experience and having re- ceived awards/appreciation at their work place. Majority of them had average knowledge (63%) and positive attitude (68%). The correlation was 0.3 which is weak positive correlation. The most perceived benefit was organisational benefit with a modified mean, and barrier was reluctance of organisation to solve the staff shortage issues by the management. The most perceived benefit was organisational benefit with a modified mean of 0.9. There was no significant association between attitude and demographic variables but there was significant association of knowledge with age and gender. Based on the above, an information handout was developed and adminis- tered which outlined few techniques to improve delivery of services by nursing workforce.
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@#One of the greatest healthcare challenges for today's generation is the improvement of the nursing work environment. Despite the challenges brought by the unhealthy working environment and high workload demand, Filipino nurses stood up high in maintaining professionalism towards their work. The goal of this study is to determine the relationship between the work environment and the workload of staff nurses in level 2 hospitals in Cavite, Philippines. Quantitative non-experimental descriptive correlational design was used, and the standardized questionnaires namely: Practice Environment Scale of the Nursing Work Index (PES-NWI) and NASA Task Load Index (NASA-TLX) were used to gather data from 70 respondents. Results showed that majority were female, belonging to Millennial age (23-38 years old), had baccalaureate degree in Nursing, with a gross monthly salary of Php 15,000.00- 19,999.00, being in the institution for more than 6 months to 5 years, and have an average nurse to patient ratio of 11.30. Their level of work environment was favorable in all subscales with a composite score of 3.13 (SD= 0.570). Their perceived workload was high, with a mean score of 71.24 (SD= 12.78). Likewise, nurse to patient ratio had a significant relationship with nurse manager ability, leadership, and support of nurses (X2= 94.26, p= <.001) and staffing and resource adequacy (X2= 75.06, p= 0.002). Moreover, significant relationships among the variables of age and physical demand (p= .004), length of institutional experience and physical demand (p <0.001), educational attainment and performance (p= .018), educational attainment and effort (p= .005), and length of institutional experience and effort (p= .001). Last, there is no statistically significant correlation between the overall work environment and the overall workload of nurses (r= -.084, p= .491). These findings underscore the importance of measures aimed at enhancing the work environment and workload of staff nurses to prevent further challenges among them.
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Workload , United States National Aeronautics and Space Administration , WorkplaceABSTRACT
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.
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Background: When any microorganisms like virus, fungi, bacteria or parasite enter into human body that may cause infection. Sepsis is a life-threatening illness caused by the body overreacting to an infection. Any inflammation that affect the whole body due to any trauma, burns, pancreatitis, and infection that are called systemic inflammatory response syndrome (SIRS). Sepsis is restrained for SIRS when any infection is suspected or proven in human being. We can identify SIRS when patient body temperature is >38°C and heart rate >90 beats per minute and patient is suffering from tachypnea with >20 breaths per minute. Objective: The objective of this study was to find out the effectiveness of self-instructional module regarding SIRS of staff nurses in pediatric surgery ward. Materials and Methods: In this study, researcher adopt quantitative research approach with one group pre-test and post-test research design was selected to assess the effectiveness of SIM regarding SIRS among staff nurses. Forty staff nurses were selected by non-probability convenience sampling technique. After pre-test, SIM was implemented among staff nurses and post-test of staff nurses was taken after 15 days of intervention. Ethical permission and written consent were taken from higher authority and staff nurses. Results: Before implementation of SIM, nurses had shown poor knowledge (10.6 ± 4.3) regarding SIRS, whereas after giving self-instructional module, the knowledge had significantly improved with the difference of 17.8 ± 3.6, indicating the effectiveness of self-instructional module. Conclusion: Most of the staff nurses in pediatric surgery ward had poor knowledge regarding SIRS. Self-instructional module was highly effective to increase knowledge among staff nurses. Therefore, the knowledge of staff nurse can be future improve by providing ongoing teaching programs.
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Background: In most countries’ nurses are in short supply, but not as acute as in developing countries. An advanced world fulfils its role by attracting nurses from other countries, while developing countries cannot compete with higher wages. Aims & Objective: The current study was undertaken to analyse the reason for attrition and strategies for retention among staff nurses working at Saveetha Medical College and Hospital, Chennai. Material & Methods: The subjects from the hospital about 50 nurses were selected for this study by simple random sampling method. The research design was organized and analyzed in terms of both descriptive and inferential statistics. Results: The study findings showed that a vast majority of nurses i.e. 35 samples (70%) had high attrition rate and 15 samples (30%) had moderate attrition rate. The attrition rate may vary in association with demographic variables results of the research showed that recommended counselling and social assistance will help and improve the quality of life of nurses and allow them to retain in the same hospital. Conclusion: The nurse administrator should motivate the staff nurses by conducting programs for their good lifestyle. Many service education programs should be organized for nurses to update their knowledge.
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Background: Oral health awareness and oral care are crucial aspects of oncology nursing practice. However, very few studies concentrate on the oral care of cancer patients undergoing cancer treatment and nursing practice in the Indian subcontinent scenario/situation. Most of the published studies have been conducted in the Western and European countries. Aims: This study aimed to determine the nurses' practice and barriers regarding oral care in cancer patients undergoing chemotherapy and radiation therapy. Materials and Methods: A cross-sectional descriptive survey was conducted among 158 staff nurses working in oncology-related areas from four different hospitals of Dakshina Kannada district and Udupi district of Karnataka state, India. Statistical Analysis: Descriptive and inferential statistics was used by using SPSS 16 version. Results: More than half of respondents [54 (34.2%)] did not perform oral care as a part of routine duties. Maintenance of various records, lack of manpower, and lack of standard operating procedures were major barriers in providing oral care. Documentation audit revealed that nurses recorded oral care in the chart only when order was present in the care sheet, but oral problem assessment was not recorded at all. In all four hospitals surveyed, there was no protocol specifically designed for oral care of cancer patients. Conclusion: Nurses expressed that oral care in cancer patients was one of the most ignored aspect in oncology nursing. Our result highlights the need to develop evidence-based oral care intervention protocol and motivate staff nurses to attend continuing nursing educations regularly to keep themselves abreast of the latest trends in order to render comprehensive care to the patients.
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Background: A nosocomial infection is that which is acquired in a hospital or other health care agency upto 48 hours after hospital admission, upto 3 days after discharge, upto 30 days after an operation or was admitted to hospital for other reasons other than the infection. Nurses have the major role to prevent the hospital acquired infection. Appropriate knowledge and practice in preventing nosocomial infection is important in their in their day to day patient care. Objective: To assess the knowledge and practice to control nosocomial infection & also to find out the association between knowledge and practice to control nosocomial infection with the selected demographic variables. Material & Methods: The study was conducted in different wards of Hi-Tech Medical College & Hospital, BBSR. The sample size was 122 and the universal sampling technique was used. After obtaining written informed consent from the study participants, data was collected using two standardized tool. Knowledge was assessed by a scoring key and practice was assessed by likert scale. The association of knowledge and practice with demographic variables was analysed using chi square test. Results: 89.4% of staff nurses were females, 39.3% were in the age group of 31-40 years. and majority (51.6%) were GNM. There was no significant association (p<0.05) found, neither with knowledge nor with practice, with different demographic variables.
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INTRODUCTION Carcinomas arising in the male breast is a rare occurrence, with a known incidence of only 0.6% of all the reported cases of breast carcinomas. CASE HISTORY A36year old male presented with a hard retro-areolar mass in the left breast since 6 months. FNAC smears were cellular and showed atypical cells lying singly as well as in dyscohesive clusters with abundant mucinous material in the background. Cytological diagnosis of Mucinous Carcinoma of breast was suggested and were confirmed onhistopathology. DISCUSSION Male breast cancers are rare aggressive lesions reported mainly in the older age groups. It is important to recognize these lesions for focusedtreatment strategies and an overall improved survival. CONCLUSION This case is being presented due to uncommon nature of tumour presenting at an early age. FNAC is a useful tool for diagnosis with high sensitivity but histopathology remains gold standard.
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Background: Cancer patients receiving chemotherapy have a high risk of malnutrition secondary to the disease and treatment, and majority of cancer patients suffer from different degrees of malnutrition, depending on tumour subtype, location, staging and treatment strategy. Early nutritional assessment can identify problems to help patients increase or maintain weight, improve their response to treatment, and reduce complications. This study aimed to determine the nutritional status of patients receiving chemotherapy. Methods: A prospective study was conducted among 447 subjects diagnosed with cancer of various sites and scheduled for three cycles of induction or adjuvant chemotherapy. Nutritional status of each subject was assessed based on nutritional parameters i.e. Anthropometric [BMI, MAMC, TSF, and MAC] and Biochemical [(Haemoglobin, Serum electrolytes and Albumin)] measurements before the initiation of chemotherapy, and follow-up assessment was performed on the completion of third cycle of chemotherapy. Results: In this study it has been found that 95% of subjects suffered from weight loss post chemotherapy. The't' test showed a significant decrease in TSF [t=4.8(p<0.01)], MAC [t=5.94 (p<0.01)] and MAMC, t=5.34(p<0.01) before and after 3 cycles of chemotherapy. Conclusion:The nutritional status assessment must be carried out on each patient at the beginning and during the treatment. The cancer patients are at high risk of malnutrition and associated comorbidities. K
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The present study investigated the effectiveness of nursing care protocol on knowledge and practice regarding management of patients undergoing coronary angioplasty among staff nurses working at Govt. Medical College Hospital, Kottayam. A quasi experimental one group pre test post test design was used. The objective of the study was to determine the effect of nursing care protocol on knowledge and practice of staff nurses regarding the management of patients undergoing coronary angioplasty. Thirty staff nurses working in the cardiology department were selected using simple random sampling. The data collection instruments included socio personal data sheet, structured questionnaire to assess knowledge and observation checklist to assess practice. The data was analysed using descriptive and inferential statistics. The results showed that the protocol was effective in improving knowledge (p<0.001) and practice (p<0.001).
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@#<p style="text-align: justify;"><strong>PURPOSE OF THE STUDY: </strong>The study assessed the EBP beliefs and implementation of staff nurses in the Ilocos Region.</p><p style="text-align: justify;"><strong>METHODS:</strong> A sample size of 384 nurses was surveyed in this cross-sectional, descriptive-correlational study approved by the Saint Louis University - Research Ethics Committee. They were selected through simple random sampling in seven (7) different government and private training hospitals in the Ilocos Region. The EBP Beliefs Scale (EBP-B) and EBP Implementation Scale (EBP-I) were used to collect the data on the respondents' EBP Beliefs and Implementation respectively. Data collected were analyzed using descriptive statistics such as frequency, percentage, mean and standard deviation; and inferential statistics such as Spearman rank correlation.</p><p style="text-align: justify;"><strong>FINDINGS: </strong>The mean total score of 58.57 indicated that the respondents have no full commitment or belief to EBP but the possibility exists. The overall mean rating of 3.63 signified that they "Agree" on the statements in the EBPB scale in general. On the EBP implementation, a mean summative score of 28.06 specified that the respondents implemented EBPbetween 1 to 3 times but less than 4 times in the past eight weeks. The overall mean rating was calculated at 1.56 suggestive that EBPis "Rarely implemented". Moreover, this study established a weak positive correlation between the respondents' EBPBeliefs and EBPImplementation [r (384) = 0.252, p < 0.001].</p><p style="text-align: justify;"><strong>CONCLUSION:</strong> This study has shown that nurses in the Ilocos region are positive about their knowledge of, confidence in and belief about EBP but are not fully committal to it. However, in spite of having positive EBP belief, their implementation of EBP was rare or low. The study was able to elicit that EBPimplementation is significantly associated by the held beliefs on EBP by the respondents.</p>
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Humans , Evidence-Based PracticeABSTRACT
@#Studies demonstrate that there is a dearth of literature published in the local context regarding competencies in nursing informatics in Saudi Arabia. This study employs mixed method design (specifically, a sequential explanatory approach) in documenting the nursing informatics competencies of nurses. A total population was used for the quantitative aspect and purposive sampling was used for the qualitative. There were 295 nurses as respondents. This study commenced with the approval of the Ethics Review Board of the University of Hail. The study was conducted from October 2016 to March 2017 at King Khalid Hospital, Kingdom of SaudiArabia. The results show that nurses are competent in computer literacy (3.38), informatics management (3.49), and informatics literacy (3.27). Nationality and area of assignment proved to be significant in relation to nurses’ competencies. Three themes and six subthemes emerged which included: (a) uncertainty, with the subthemes of diffident and reticent; (b) uncovering the meaning of technology, with the subthemes of value for patients and technology for nurses; and, (c) streamlining Continuing Nursing Education, with the subthemes of competency perspective and the missing link. Nurses acknowledged the significance of nursing informatics in promoting safety and quality care to the patient. However, there can be improvement in the impact of the results of this study by focusing on what the nurses consider as contributory factor in the full achievement of competence in nursing informatics.
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Computer Literacy , Nursing InformaticsABSTRACT
<b>Objective</b> : The present study was conducted to examine the efforts of the managers of magnet home-visit nursing station to improve their organizations and prevent the turnover of nurses, focusing on their ideas and approaches.<br><b>Methods</b> : A total of 6 magnet home-visit nursing station managers were interviewed and the obtained data were subjected to qualitative and inductive analyses.<br><b>Results</b> : The managers exerted efforts to [provide advice on the missions of home-visit nursing], which were classified into the following three categories : “sharing experience and knowledge obtained from nursing practice to increase the level of home-visit nursing care services”, “meet the expectation of patients and their families”, and “working in collaboration with a variety of health care professionals”. The managers also improved their work environments to train staff members while valuing their personalities, and the efforts were classified into the following three categories : “enhancing the strengths of nursing staff”, “encouraging the independence of nursing staff”, and “helping staff members maintain their work-life balance”.<br><b>Conclusion</b> : The managers of home-visit nursing stations attempted to reduce the staff turnover rate by improving home-visit nursing care services and work environments.