Introduction: Online learning is a virtual learning system that integrates internet connection with teaching and learning process. This system has become a solution for the continuity of teaching and learning process in Nepal during Covid-19 pandemic. Thus the main objective of this study was to assess the perception of nursing students towards online classes during Covid-19 pandemic. Methods: A cross-sectional study was carried out among 133 nursing students studying at Gandaki Medical College of Nepal. Data were collected through online survey using a semi-structured questionnaire from 15 to 21, September, 2020 and were analyzed using Statistical Package for Social Science (SPSS) version 16 employing descriptive and inferential statistical method. Results: The result showed that mobile was the most commonly (51.9%) used gadget for attending online class. One third of the students (35.3%) had no access to static internet and 4.5% of them did not have internet at their home. Majority of the students (91.7%) felt that online classes should be continued during this pandemic. Nearly two third of the respondents (63.2%) were satisfied from the online classes. Overall, 54.1% had negative perception towards online classes. There is statistically significant association of perception with residence (p = 0.033), type of nursing programme (p = 0.027), family income (p = 0.022), education level of father (p = 0.029) and mother (p = 0.004). Conclusion: Online learning method is a solution taken by higher education in Nepal during the Covid-19 outbreak. Based on the survey result, almost half of the respondents had negative perception towards online learning. However, majority felt that online classes should be continued during this pandemic. Therefore, it is recommended to foster face to face interaction between students and teachers and to promote learning environment at home for online learning.
Patient satisfaction is one of the most desired outcomes of health care and it is directly related with effective utilization of health service. The objective of the study was to find out the outpatients’ satisfaction with health care services provided in the hospital. The cross sectional study was conducted on April 2013. Through stratified systematic random sampling technique, 776 patients were selected and interviewed at exit point using semi structure interview schedule. Out of the total patients, 63.9% were female and 36.1% were male. Majorities (45.5%) of them were of age group 20 to 39 years, 79.3% were married, and 15.2% were illiterate. Overall satisfaction level was 75.9% with mean score was 24.19 ± 2.92. Level of satisfaction was high: 764(98.5%) with access to care, 710(91.5%) with quality of care and 437(56.3%) with physical facility but low in 476(61.3%) with cost of healthcare and 394(50.8%) with courtesy of healthcare provider. Satisfaction level was significantly associated with availability of drugs and services in the hospital. It also had significant association with waiting time for showing report to doctor. Time taken for registration, consultation and investigations were not significantly associated with age, educational level, and socioeconomic status of the patients. Similarly sex, occupation and income of the patients had insignificant effect on the satisfaction. Thus, to make the service more responsive to the patient, the hospital management needs to improve the staff behavior, adequate supply of drugs and focus on reducing the waiting time. DOI: http://dx.doi.org/10.3126/jcmc.v4i1.10841 Journal of Chitwan Medical College 2014; 4(1): 11-18
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.
Introduction: Endotracheal suctioning (ETS) is an essential procedure that involves removal of accumulated lung secretions from tracheobronchial tree through an artificial airway. It is crucial that this procedure is performed with professional competence based on updated scientific evidence and guidelines that guarantee efficiency and safety of the patient to prevent the common infection like ventilator associated pneumonia (VAP). Objectives: To identify the level of knowledge regarding ETS among nurses and to measure the association between knowledge level and selected demographic variables. Methods: Descriptive cross-sectional research design was adopted for this study which was conducted in Gandaki Medical College Teaching Hospital and Research Centre of Kaski, Nepal. The study population were all the nurses working in in-patient department of the hospital. Sample size was calculated through standard formula and probability simple random sampling technique was used to select 92 nurses. Semi- structured self-administered questionnaire was used to collect data. Collected data was entered, coded and edited into Statistical Package for Social Science (SPSS) version 16. Data was analyzed by employing both descriptive and inferential statistical methods. Result: Only 4.3% of the total respondents had good knowledge on ETS whereas 52.2% had fair knowledge and 43.5% had poor knowledge. There was significant association between respondent’s level of knowledge on ETS and ethnicity (p=0.049) and professional qualification (p=0.028). Conclusion: Nearly half of the nurses had poor knowledge on ETS. Therefore, it is necessary to upgrade nurse’s knowledge on ETS through inservice education programs.
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