Background: Self-directed learning is a higher educational learning paradigm where learners take both learning initiatives and evaluate learning outcomes. Since students have control over their own learning, they can understand their own strengths, interests, limitations and style of receiving new information. The objective of this study was to assess the factors associated with self-directed learning readiness of the undergraduate nursing students from the nursing school of Purbanchal University. Methods: A descriptive, cross-sectional study was conducted from January 2019 - August 2020 among undergraduate nursing students from Purbanchal University School of Health Sciences where 253 students participated. Census sampling method was adopted. Ethical clearance was taken from Institutional Review Committee of Purbanchal University School of Health Sciences. Self-administered, valid and standard tool i.e. Williamson’s Self Rating Scale for Self-directed Learning (SRSSDL) was used. Data was collected using online google forms and analysis was done with SPSS 16.0 version using mean, median, standard deviation, range, chi-square test, and multivariate logistic regression analysis at p<0.05. Results: Overall Self-directed Learning score was 244.58±31.93. Majority of the respondents (79.1%) had high scores of SRSSDL (221-300) and 20.9% of the respondents had moderate scores of SRSSDL (141-220). On bivariate analysis, the marital status of the students (p= 0.025) and grade/division in the previous academic year (p= 0.013) exerted significant association on the overall level of SRSSDL. On multivariate analysis, the unmarried students had 4.298 times higher odds of having higher scores of SRSSDL (AOR: 4.298; CI: 1.28-14.18). Conclusions: Overall self-directed learning readiness among the nursing students was moderate to high. Only the marital status was the significant factor affecting the SRSSDL among the nursing students.
Introduction: Trends are changing to allow parents and families to be with their child during invasive procedures. Because of the intense workload, there is a tendency to overlook the parents’ feelings. Attitudes of physicians and nurses are the common obstacles for this. Objective: To determine health care professionals’ attitudes toward parental presence during invasive procedures. Methodology: A cross-sectional study was conducted among the health professionals in the department of Paediatrics and Adolescent Medicine of a tertiary care center in Eastern Nepal. Ethical clearance was obtained from the Institutional Review Committee of the institute. Total sample size was 112 (83 nursing staff and 29 physicians). Attitudes of physicians and nursing staff towards parental presence during various invasive procedures were recorded in the predesigned proforma. Data was entered in MS Excel and analysed using SPSS version 21.0. Frequency, percentage, mean, standard deviation, chi-square test, independent t-test and one-way ANNOVA were used for data analysis at p<0.05. Results: Simple procedures like intravenous blood sampling and the simple wound repair or suture majority of the health professionals (71.1% to 79.3%) agreed for parental presence. Other major procedures including resuscitations, majority (69.0 % to 85.5%) disagreed for the parental presence. The most important factors considered was the child’s request (62.1% to 80.7%) for parental presence. The major likely reason for declining was unjustly blaming the medical staff for common/ simple complications (69.9%). Only for the simple wound repair, statistically significant differences were noted between the physicians and the nursing staff (p= 0.033) on the basis of years of experiences where the physicians preferred for the parental presence. Conclusion: Both the physicians and the nursing staff preferred not to allow the parents in the major invasive procedures including resuscitations whereas when the level of invasiveness decreased, the rate of approval increased in both the groups.
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