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.
Background: Timely detection and treatment of pathological hyperbilirubinemia in newbornscan prevent acute bilirubin encephalopathy and its consequences. We aimed to identifyitsoccurrence, presentationtime, phototherapyduration, need for exchange transfusion,and outcome. Methods: In this cross-sectional study, we enrolled all the babies admitted for pathological neonatal hyperbilirubinemia in the university hospital ofBPKIHSin a one-yearduration. Babies with life-threatening congenital malformations or conjugated bilirubin >20% of total serum bilirubin or >2 mg/dl were excluded. Obstetric profile of mothers, clinical and laboratory parameters of babies, onset time of pathological jaundice, duration of phototherapy, need for exchange transfusion or intravenous immunoglobulin were recorded. Neonatal outcome was classified as good and poor and its association with potential predictors analyzed. Results: One-hundred and fifty babiesdeveloped neonatal jaundice requiring treatment. The most common causes includedABO and Rh setting. No cause was found in 26 (18%) babies. One-hundred and eight babies (72%) were only managed withphototherapy whereas 42 (28%) required both phototherapy and double volume exchange therapy. The majority (84.5%) had good outcome without any residual neurological deficit at discharge.Babies with total serum bilirubin >20 mg/dl at presentation, duration of phototherapy >44.8 h, ABO setting, hemolysis, and out born statussignificantly developed poor outcome (p < 0.05). Conclusion: About 15% of the babies with hyperbilirubinemia had acute bilirubin encephalopathy at discharge suggestive of poor outcome. Babies with high bilirubin at presentation, longer duration of phototherapy, ABO settings, hemolysis, and out born statusdeveloped poor outcome.
Introduction: Empathy is an essential ingredient of the nurse-patient relationship. The current study’s goal is to investigate empathy levels and associated demographic variables among the nursing workforce in Kathmandu's selected health institutions. Materials and Methods: cross-sectional study and purposive sampling technique; a total of 89 nursing workforce attained in this study; and online through the Google form was used to collect primary information. TEQ is made up of 16 items that are scored on a 5-point Likert scale as well as sociodemographic data (such as age, qualification, experience, and training). There are a total of 64. A score of >45 shows that the person has a high level of empathy. The data was analyzed using descriptive and multiple regression techniques. Results: The descriptive analysis revealed that mostly 65.2% of the nursing workforce had below-average (<45) empathy scores. In the regression analysis model, beta age had a value of 0.357 and beta education had a value of 0.028. It was discovered that education level and age have a significant impact on empathy. Conclusion: The study found that most of the nursing workforce had below-average empathy scores. However, it is an essential attribute for developing nurse-patient relationships at work. It can be learned and acquired. Key words: Empathy, Nursing Workforce, Toronto Empathy Scale
INTRODUCTION: Vitamin D deficiency (VDD) is exceedingly predominant in children leading to dysregulation of the immune system and inflammation. Data on the prevalence of VDD in children with sepsis and its association with sepsis severity are limited from our part of the world. The primary aim of this study was to identify the burden of VDD in children with sepsis. MATERIAL AND METHODS: One hundred and five children (< 15 years) with sepsis were enrolled from April 15, 2017 to April 14, 2018 from a tertiary care center in Eastern Nepal. Demographic data including BMI, sequential organ failure assessment (SOFA) scores were recorded at the time of admission. Plasma 25-hydroxy vitamin D [25(OH)D] levels were measured by chemiluminescence immunoassay technique (CLIA) (MAGLUMI 25-OH Vitamin D; CLIA) within 24 hours of admission. Vitamin D concentrations of <20 ng/mL (50 nmol/L) were considered as deficient. RESULTS: Of the 105 children enrolled, the majority 74 (70.55%) had vitamin D deficiency. Vitamin D was deficient in 77, 65, and 66% of children in 1-5, 5-10, and 10-15 years of age group respectively. Vitamin D deficiency was maximum (80%) in underweight children. In the VDD group, 60% had severe sepsis, whereas only 32% had severe sepsis in vitamin D sufficient group with significant statistical association with sepsis severity and vitamin D deficiency. CONCLUSION: A high burden of VDD is present in children with sepsis which was found to be associated with greater severity of illness.
Background: Sepsis is one of the most common causes of morbidity and mortality in young children. Zinc supplementation has a preventive effect against diarrhoeal diseases and respiratory infections, but little is known about its effect on the treatment of sepsis. Objectives: To evaluate the benefit of oral Zinc supplementation along with standard antimicrobial therapy in childhood sepsis. Methods: A randomised, double-blind controlled trial was conducted on 164 septic children between 1-15 years of age from 15th April 2017 to 14th April 2018 in a eastern Nepal tertiary care centre. Block randomisation was done with four participants in each block. There were 21 and 20 blocks in the intervention and in the placebo group respectively. Each child received oral zinc (20 mg elemental zinc/day) or a placebo once a day for 14 days. Percentage was calculated for descriptive statistics and Chi-square for inferential statistics with 95% CI and p <0.05 for data analysis using SPSS v.16. Results: Of the participants, 84 (51.21%) received Zinc and 80 (48.79%) received a placebo in adjunct to the standard antimicrobial therapy. Most of the children 76 (46.34%) were under five years and were male 98 (59.75%), and 69 (42.07%) were underweight. Those receiving zinc and placebo had similar improvements at discharge; there was no reduction in the need for higher-order antibiotics or in the length of PICU/ hospital stay. Zinc supplementation in childhood sepsis had no benefit on decreasing mortality or decreasing severity (p >0.05). Conclusion: Zinc supplementation during childhood sepsis does not help in short-term clinical recovery.
scite is a Brooklyn-based organization that helps researchers better discover and understand research articles through Smart Citations–citations that display the context of the citation and describe whether the article provides supporting or contrasting evidence. scite is used by students and researchers from around the world and is funded in part by the National Science Foundation and the National Institute on Drug Abuse of the National Institutes of Health.
hi@scite.ai
10624 S. Eastern Ave., Ste. A-614
Henderson, NV 89052, USA
Copyright © 2024 scite LLC. All rights reserved.
Made with 💙 for researchers
Part of the Research Solutions Family.