Postpartum depression (PPD) is a mood disorder that can affect women after childbirth. The ill ef... more Postpartum depression (PPD) is a mood disorder that can affect women after childbirth. The ill effects of PPD include maladaptive mother-infant interactions, negative effect on cognitive and behavioural development of infants. There are wide variations in reported prevalence of PPD ranging from 0.5 percent to 60 percent among various countries as estimated by the Edinburgh Postnatal Depression Scale (EPDS). PPD screening is not a routine part of postpartum care in India and postpartum women suffering from PPD may remain largely unrecognized and untreated. The study aimed to assess the prevalence of depression and its risk factors in postpartum women attending well-baby clinic at 6 weeks postpartum at a tertiary hospital in India. A total of 284 women who came for immunisation of their babies in well baby clinic at 6 to 8 weeks postpartum were assessed for PPD using the EPDS, after taking consent. Ethical approval was taken from the ethics committee of the organisation. Demographic p...
Incontinence is a common problem among hospitalised patients and has been associated with multipl... more Incontinence is a common problem among hospitalised patients and has been associated with multiple health complications, including incontinence-associated dermatitis (IAD) and hospitalacquired pressure ulcers (HAPUs). IAD is one of the clinical manifestations of moisture- associated skin damage (MASD). IAD is a common problem in aged patients with faecal and/or urinary incontinence. In this study it was sought to reduce the incidence of IAD among critically ill patients admitted in ICU from 5.94 rate to <2.00 by implementing Nursing Interventions of IAD protocol. A one group pre-test post-test design was selected using consecutive sampling technique. The data was obtained by using an audit checklist prior and post-interventions. Results showed that the compliance to IAD protocol increased from 37.94 percent to 77.33 percent. Incidence of IAD reduced from 5.94 to 2.02 in the last 3 months. Healing status of IAD was 100 percent in June & July 2017. Thus nursing interventions are ef...
Journal of Complementary and Alternative Medical Research, 2021
Hospitalization of COVID- 19 patients may lead to the development of varied levels of anxiety, de... more Hospitalization of COVID- 19 patients may lead to the development of varied levels of anxiety, depression, and sleep disturbances. The present study was conceptualized to investigate the effect of guided meditation on anxiety, depression, and sleep quality among the hospitalized Covid-19 patients in a tertiary care facility. Materials and Methods: A total of 60 COVID-19 patients were conveniently enrolled and randomized to experimental (30) and control arms (30) using a computer-generated random table and opaque sealed envelope technique in a selected COVID unit of a tertiary care facility. The subjects were enrolled in accordance to the inclusion criteria. Intervention: The guided meditation was an audio recording of Sri Sri Ravi Shankar of 20 minutes duration. The intervention was provided twice a day to the experimental group for consecutive 5 days. A close watch was kept on the vital signs of the subjects during the intervention using a pulse oximeter. At the same time, the cont...
This study was conducted to assess the knowledge about the disease and awareness regarding the my... more This study was conducted to assess the knowledge about the disease and awareness regarding the myths and facts about Coronavirus disease or Covid-19, an infectious disease caused by a newly discovered (novel) coronavirus (SARS, Cov-2) among general public in India. Total of 324 participants had participated in a monkey survey by a convenience sampling technique. Demographic prole and self-developed structured knowledge and awareness questionnaire based on World Health Organisation (WHO) and Ministry of Health & Family Welfare (MOHFW) guidelines were used for data collection. Data was analysed in terms of frequency, percentage, mean and standard deviation. Correlation was computed between the knowledge and awareness of general public about Covid-19. Majority of participants had average or good knowledge (95%) with the mean knowledge score of 5.62'plusmn; 1.15, while poor to average awareness about Covid-19 (92.6%) with the mean awareness score of 11.79'plusmn; 2.02. No statis...
An evaluative survey was conducted to investigate the influence of parents in the HRQOL of childr... more An evaluative survey was conducted to investigate the influence of parents in the HRQOL of children with epilepsy. Sixty children with epilepsy from pediatric neurology clinic (OPD) and 60 normal children and their parents were enrolled for the study. The HRQOL of epilepsy children as assessed by the children themselves and their parents was compared with normal children and their parents using a standardized Peds QL 4.0 tool. Both, children with epilepsy and their parents, despite having chronic illness like epilepsy, rated better quality of life than the comparison group. Parents had made significant influence in the quality of life of children with epilepsy.
A descriptive cross-sectional survey was undertaken on a sample of 55 children with ESRD on maint... more A descriptive cross-sectional survey was undertaken on a sample of 55 children with ESRD on maintenance dialysis (MD) and kidney transplantation (KTP) attending indoor and outdoor units of pediatrics department between June 2012- June 2013. The objectives of the study were to assess the quality of life of children with end stage renal disease on MD and following KTP & to compare the health related quality of life (HRQOL) assessed by child self report and parent's proxy report. Data was collected using Peds QL 3.0 ESRD module, Hindi version. Health related quality of life of children was assessed by child self report and parent proxy report. The data was analyzed using descriptive and inferential statistics. Children with ESRD in KTP group had better health related quality of life rated by both children and parents in comparison to MD group. There were no differences between the HRQOL scores of the children and their parents.
With widespread use of antibiotics, the occurrence of brain abscess and lateral sinus thrombosis ... more With widespread use of antibiotics, the occurrence of brain abscess and lateral sinus thrombosis together is rare these days, especially with enterococcus as the causative organism. We here present a case of pediatric case of brain abscess and lateral sinus thrombosis which developed an additional complication of postoperative cerebrospinal fluid leakage. The case was successfully treated by excision of the abscess, canal wall down mastoidectomy with partial obliteration of cavity, and Type III tympanoplasty with umbrella graft.
Background: This retrospective study was carried out to know the characteristics of patients suff... more Background: This retrospective study was carried out to know the characteristics of patients suffering from unilateral sensorineural hearing loss (USNHL) (type and degree). Aims and Objectives: (1) To know the incidence of pure USNHL (other ear being normal) in patients complaining of HL. (2) To establish the type and degree of USNHL in patients. Materials and Methods: This study was conducted over a period of more than 1 year to find out the pattern of pure USNHL (other ear being normal) in the patients attending ear, nose, and throat outpatient department (OPD) with a complaint of HL. Pure tone audiometry data of 1800 cases between August 2014 and December 2015 with HL were analyzed for this study. Demographic characteristics were compared with types and degrees of unilateral sensorineural hearing impairment. Results: A total of 1800 OPD patients who had a complaint of HL and had undergone pure tone audigram (PTA) in a period of more than 1 year in the Department of Otorhinolaryngology and Head and Neck Surgery were studied. SNHL type was the highest with 802 cases (44.55%). Out of 802 cases of SNHL, 257 (32.05%) were USNHL - out of which, only 155 patients (60.31%) had pure USNHL with other ear being normal; this constituted the study group, i.e., 155 patients (8.6%) out of 1800. Age of patients ranged from 9 years to 76 years (mean age - 41.5 years). Male:female ratio was 1.31:1. Both ears were almost equally involved. The highest numbers of USNHL patients were seen in the age group of 31-40 years (23.87%). Most cases presented with mild (34.2%), followed by profound (31.6%) USNHL. Conclusion: Our study concluded that SNHL type is the most common type (44.55%) of hearing impairment among patients complaining of HL. The incidence of pure USNHL (i.e. other ear being normal) was 60.31% (155/257) cases of USNHL, 19.32% (155/802) cases of SNHL, and 8.6% (155/1800) cases of PTA performed on patients complaining of HL. Limited work has been published on incidence, characteristics, and causes of pure USNHL. Further studies and researches are required in the field of USNHL to know the incidence, functional and psychological impact, and treatment options.
An evaluative survey was conducted to investigate the influence of parents in the HRQOL of childr... more An evaluative survey was conducted to investigate the influence of parents in the HRQOL of children with epilepsy. Sixty children with epilepsy from pediatric neurology clinic (OPD) and 60 normal children and their parents were enrolled for the study. The HRQOL of epilepsy children as assessed by the children themselves and their parents was compared with normal children and their parents using a standardized Peds QL 4.0 tool. Both, children with epilepsy and their parents, despite having chronic illness like epilepsy, rated better quality of life than the comparison group. Parents had made significant influence in the quality of life of children with epilepsy.
Indian journal of physiology and pharmacology, Jan 25, 2021
Objectives: Nurses are an integral team member in intensive care units (ICU) and can play importa... more Objectives: Nurses are an integral team member in intensive care units (ICU) and can play important role in facilitating the organ donation process. Hence, the sensitisation of these nurses is important. The aim of the study was to assess the effectiveness of a computer based self-instruction module (CBSIM) in terms of improving the knowledge and acceptability of nurses in relation to organ donation. Materials and Methods: In this prospective study, 56 nurses working in an ICU were enrolled using the total enumeration technique. After filling up of the demographic profile, nurses attempted online pre-test, containing 20 randomly selected multiple-choice questions (MCQs) from a validated and pre-tested question bank containing 150 MCQs. The intervention consisted of self-paced CBSIM containing nine modules on different aspects of organ donation. The intervention was completed in 25 ± 5 days, followed by an online post-intervention test. Acceptability of the CBSIM by nurses about organ donation was assessed as a secondary outcome on a 5-point Likert scale. Results: A significant gain in knowledge scores was observed after the CBSIM (4.9 ± 1.14 vs. 7.35 ± 1.34, P &lt; 0.001) with high acceptability of CBSIM by most of the nurses (59.2%). Conclusion: CBSIM was effective in improving the knowledge of nurses related to organ donation and highly acceptable to most of the nurses working in ICU. Hence, CBSIM can be used as a method of learning for nurses.
Objectives: Cancer patients seeking palliative care faces distressing symptoms which affect their... more Objectives: Cancer patients seeking palliative care faces distressing symptoms which affect their quality of life adversely. Patients’ lack of adherence to analgesics is one of the major factors contributing to the undertreatment of cancer pain. The objective of this paper is to outline the development of a mobile application-based system to develop a physician-patient relationship and to improve adherence to medications prescribed for cancer pain management. Material and Methods: The mobile application-based system is developed using alarm and cloud based data sysncronisation for improving medication adherence and self-recording symptoms among cancer patients receiving palliative therapy at a palliative care clinic. Results: Ten palliative medicine physicians tested the project website and the mobile application thoroughly instead of patients. The physician recoded the prescription and other details on the project website. The data transferred from website to mobile application. Th...
This quality improvement initiative was undertaken in a tertiary care neonatal intensive care uni... more This quality improvement initiative was undertaken in a tertiary care neonatal intensive care unit (NICU) of All India Institute of Medical Sciences (AIIMS), New Delhi to improve the quality of discharge counselling covering all post-natal mothers and reducing the unnecessary follow-up visits of the neonates admitted between June 2016 to December 2016 in the Follow-up clinic. A team was formulated to evaluate the reasons for poor or no discharge counselling and unnecessary neonatal follow-up visits and to plan further strategies for improving the quality of discharge counselling. Multiple PDSA cycles were implemented. The results of the all PDSA cycles were discussed amongst the team members. At the end of the study, all mothers started receiving standardised discharge counselling in 3 months time. Less number of mothers reported with minor neonatal problems. However, no reduction in the number of unnecessary follow-up visits of neonates was observed, but a change was observed in th...
Indian Journal of Physiology and Pharmacology, 2021
Objectives: Nurses are an integral team member in intensive care units (ICU) and can play importa... more Objectives: Nurses are an integral team member in intensive care units (ICU) and can play important role in facilitating the organ donation process. Hence, the sensitisation of these nurses is important. The aim of the study was to assess the effectiveness of a computer based self-instruction module (CBSIM) in terms of improving the knowledge and acceptability of nurses in relation to organ donation. Materials and Methods: In this prospective study, 56 nurses working in an ICU were enrolled using the total enumeration technique. After filling up of the demographic profile, nurses attempted online pre-test, containing 20 randomly selected multiple-choice questions (MCQs) from a validated and pre-tested question bank containing 150 MCQs. The intervention consisted of self-paced CBSIM containing nine modules on different aspects of organ donation. The intervention was completed in 25 ± 5 days, followed by an online post-intervention test. Acceptability of the CBSIM by nurses about orga...
Objectives: The present study was undertaken (i) to evaluate the role of short message service (S... more Objectives: The present study was undertaken (i) to evaluate the role of short message service (SMS) in improving the knowledge scores of nurses in the key areas of newborn care (NBC) and (ii) to explore the perception of nurses regarding the delivery of SMS on NBC. Methods: This pre-experimental (one group pre-test post-test) study was conducted on 30 nurses working in a tertiary level neonatal intensive care unit (NICU). The effectiveness of SMS delivery in reducing the gaps in the knowledge of nurses related to NBC was measured in terms of gain in knowledge scores using a structured knowledge questionnaire. The perception of nurses toward the delivery of information on NBC using SMS was also assessed on 5 point likert scale. Results: The knowledge scores of nurses improved significantly after the SMS delivery on NBC (pre and post, 9.6±2.2, 17.13±1.2; p<0.005). The nurses’ overall perception about SMS delivery on NBC was good. Conclusion: SMS delivery on NBC has a potential rol...
COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2), has clai... more COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2), has claimed many lives world over. Managing COVID-19 pandemic has become very challenging for the health care workers (HCW) due to the absence of definitive treatment for the disease. Around 5–6% of cases of COVID-19 become critically ill and require intensive monitoring, advanced life support, respiratory support and treatment modalities like ECMO and Plasma therapy, etc. Older people with comorbidities like cardiac disease, renal disorder, diabetes mellitus, hepatic impairment, respiratory pathologies or immune-compromised state are more vulnerable and carry a very high mortality from COVID-19. As HCW, we are already trained in providing cardio-pulmonary resuscitation to cardiac arrested patients. Those learned guidelines need to be modified before using for COVID-19 patients due to various concerns such as virulence of the virus, differing etiology of cardiac arrest (respiratory), high risk o...
Objective: To investigate the feasibility and acceptance of nurse-led neonatal follow-up clinic (... more Objective: To investigate the feasibility and acceptance of nurse-led neonatal follow-up clinic (NLNFC) in a tertiary care facility. Materials and Methods: In a prospective observational study, total 105 stable mother-neonate dyads were independently followed up in both nurse led and neonatologist run follow-up clinics. The outcome was measured in terms of agreement between the nurse and neonatologist in the domains of neonatal assessment, counselling mothers on essential newborn care (ENC) and giving advice ( P < 0.05) and mothers’ acceptability for NLNFC. Results: Agreement between the trained neonatal nurse and neonatologist varied between 87 and 100%. The most unanimity was observed in neonatal assessment and counselling on ENC (93.3%-100%) followed by prescribing treatment (87%). The mean acceptability scores of the mothers for NLNFC was 33.13 ± 2.6 (25-35, maximum possible score 35). Conclusion: Establishing NLNFCs in developing countries is feasible. Nurses can be entruste...
Postpartum depression (PPD) is a mood disorder that can affect women after childbirth. The ill ef... more Postpartum depression (PPD) is a mood disorder that can affect women after childbirth. The ill effects of PPD include maladaptive mother-infant interactions, negative effect on cognitive and behavioural development of infants. There are wide variations in reported prevalence of PPD ranging from 0.5 percent to 60 percent among various countries as estimated by the Edinburgh Postnatal Depression Scale (EPDS). PPD screening is not a routine part of postpartum care in India and postpartum women suffering from PPD may remain largely unrecognized and untreated. The study aimed to assess the prevalence of depression and its risk factors in postpartum women attending well-baby clinic at 6 weeks postpartum at a tertiary hospital in India. A total of 284 women who came for immunisation of their babies in well baby clinic at 6 to 8 weeks postpartum were assessed for PPD using the EPDS, after taking consent. Ethical approval was taken from the ethics committee of the organisation. Demographic p...
Incontinence is a common problem among hospitalised patients and has been associated with multipl... more Incontinence is a common problem among hospitalised patients and has been associated with multiple health complications, including incontinence-associated dermatitis (IAD) and hospitalacquired pressure ulcers (HAPUs). IAD is one of the clinical manifestations of moisture- associated skin damage (MASD). IAD is a common problem in aged patients with faecal and/or urinary incontinence. In this study it was sought to reduce the incidence of IAD among critically ill patients admitted in ICU from 5.94 rate to <2.00 by implementing Nursing Interventions of IAD protocol. A one group pre-test post-test design was selected using consecutive sampling technique. The data was obtained by using an audit checklist prior and post-interventions. Results showed that the compliance to IAD protocol increased from 37.94 percent to 77.33 percent. Incidence of IAD reduced from 5.94 to 2.02 in the last 3 months. Healing status of IAD was 100 percent in June & July 2017. Thus nursing interventions are ef...
Journal of Complementary and Alternative Medical Research, 2021
Hospitalization of COVID- 19 patients may lead to the development of varied levels of anxiety, de... more Hospitalization of COVID- 19 patients may lead to the development of varied levels of anxiety, depression, and sleep disturbances. The present study was conceptualized to investigate the effect of guided meditation on anxiety, depression, and sleep quality among the hospitalized Covid-19 patients in a tertiary care facility. Materials and Methods: A total of 60 COVID-19 patients were conveniently enrolled and randomized to experimental (30) and control arms (30) using a computer-generated random table and opaque sealed envelope technique in a selected COVID unit of a tertiary care facility. The subjects were enrolled in accordance to the inclusion criteria. Intervention: The guided meditation was an audio recording of Sri Sri Ravi Shankar of 20 minutes duration. The intervention was provided twice a day to the experimental group for consecutive 5 days. A close watch was kept on the vital signs of the subjects during the intervention using a pulse oximeter. At the same time, the cont...
This study was conducted to assess the knowledge about the disease and awareness regarding the my... more This study was conducted to assess the knowledge about the disease and awareness regarding the myths and facts about Coronavirus disease or Covid-19, an infectious disease caused by a newly discovered (novel) coronavirus (SARS, Cov-2) among general public in India. Total of 324 participants had participated in a monkey survey by a convenience sampling technique. Demographic prole and self-developed structured knowledge and awareness questionnaire based on World Health Organisation (WHO) and Ministry of Health & Family Welfare (MOHFW) guidelines were used for data collection. Data was analysed in terms of frequency, percentage, mean and standard deviation. Correlation was computed between the knowledge and awareness of general public about Covid-19. Majority of participants had average or good knowledge (95%) with the mean knowledge score of 5.62'plusmn; 1.15, while poor to average awareness about Covid-19 (92.6%) with the mean awareness score of 11.79'plusmn; 2.02. No statis...
An evaluative survey was conducted to investigate the influence of parents in the HRQOL of childr... more An evaluative survey was conducted to investigate the influence of parents in the HRQOL of children with epilepsy. Sixty children with epilepsy from pediatric neurology clinic (OPD) and 60 normal children and their parents were enrolled for the study. The HRQOL of epilepsy children as assessed by the children themselves and their parents was compared with normal children and their parents using a standardized Peds QL 4.0 tool. Both, children with epilepsy and their parents, despite having chronic illness like epilepsy, rated better quality of life than the comparison group. Parents had made significant influence in the quality of life of children with epilepsy.
A descriptive cross-sectional survey was undertaken on a sample of 55 children with ESRD on maint... more A descriptive cross-sectional survey was undertaken on a sample of 55 children with ESRD on maintenance dialysis (MD) and kidney transplantation (KTP) attending indoor and outdoor units of pediatrics department between June 2012- June 2013. The objectives of the study were to assess the quality of life of children with end stage renal disease on MD and following KTP & to compare the health related quality of life (HRQOL) assessed by child self report and parent's proxy report. Data was collected using Peds QL 3.0 ESRD module, Hindi version. Health related quality of life of children was assessed by child self report and parent proxy report. The data was analyzed using descriptive and inferential statistics. Children with ESRD in KTP group had better health related quality of life rated by both children and parents in comparison to MD group. There were no differences between the HRQOL scores of the children and their parents.
With widespread use of antibiotics, the occurrence of brain abscess and lateral sinus thrombosis ... more With widespread use of antibiotics, the occurrence of brain abscess and lateral sinus thrombosis together is rare these days, especially with enterococcus as the causative organism. We here present a case of pediatric case of brain abscess and lateral sinus thrombosis which developed an additional complication of postoperative cerebrospinal fluid leakage. The case was successfully treated by excision of the abscess, canal wall down mastoidectomy with partial obliteration of cavity, and Type III tympanoplasty with umbrella graft.
Background: This retrospective study was carried out to know the characteristics of patients suff... more Background: This retrospective study was carried out to know the characteristics of patients suffering from unilateral sensorineural hearing loss (USNHL) (type and degree). Aims and Objectives: (1) To know the incidence of pure USNHL (other ear being normal) in patients complaining of HL. (2) To establish the type and degree of USNHL in patients. Materials and Methods: This study was conducted over a period of more than 1 year to find out the pattern of pure USNHL (other ear being normal) in the patients attending ear, nose, and throat outpatient department (OPD) with a complaint of HL. Pure tone audiometry data of 1800 cases between August 2014 and December 2015 with HL were analyzed for this study. Demographic characteristics were compared with types and degrees of unilateral sensorineural hearing impairment. Results: A total of 1800 OPD patients who had a complaint of HL and had undergone pure tone audigram (PTA) in a period of more than 1 year in the Department of Otorhinolaryngology and Head and Neck Surgery were studied. SNHL type was the highest with 802 cases (44.55%). Out of 802 cases of SNHL, 257 (32.05%) were USNHL - out of which, only 155 patients (60.31%) had pure USNHL with other ear being normal; this constituted the study group, i.e., 155 patients (8.6%) out of 1800. Age of patients ranged from 9 years to 76 years (mean age - 41.5 years). Male:female ratio was 1.31:1. Both ears were almost equally involved. The highest numbers of USNHL patients were seen in the age group of 31-40 years (23.87%). Most cases presented with mild (34.2%), followed by profound (31.6%) USNHL. Conclusion: Our study concluded that SNHL type is the most common type (44.55%) of hearing impairment among patients complaining of HL. The incidence of pure USNHL (i.e. other ear being normal) was 60.31% (155/257) cases of USNHL, 19.32% (155/802) cases of SNHL, and 8.6% (155/1800) cases of PTA performed on patients complaining of HL. Limited work has been published on incidence, characteristics, and causes of pure USNHL. Further studies and researches are required in the field of USNHL to know the incidence, functional and psychological impact, and treatment options.
An evaluative survey was conducted to investigate the influence of parents in the HRQOL of childr... more An evaluative survey was conducted to investigate the influence of parents in the HRQOL of children with epilepsy. Sixty children with epilepsy from pediatric neurology clinic (OPD) and 60 normal children and their parents were enrolled for the study. The HRQOL of epilepsy children as assessed by the children themselves and their parents was compared with normal children and their parents using a standardized Peds QL 4.0 tool. Both, children with epilepsy and their parents, despite having chronic illness like epilepsy, rated better quality of life than the comparison group. Parents had made significant influence in the quality of life of children with epilepsy.
Indian journal of physiology and pharmacology, Jan 25, 2021
Objectives: Nurses are an integral team member in intensive care units (ICU) and can play importa... more Objectives: Nurses are an integral team member in intensive care units (ICU) and can play important role in facilitating the organ donation process. Hence, the sensitisation of these nurses is important. The aim of the study was to assess the effectiveness of a computer based self-instruction module (CBSIM) in terms of improving the knowledge and acceptability of nurses in relation to organ donation. Materials and Methods: In this prospective study, 56 nurses working in an ICU were enrolled using the total enumeration technique. After filling up of the demographic profile, nurses attempted online pre-test, containing 20 randomly selected multiple-choice questions (MCQs) from a validated and pre-tested question bank containing 150 MCQs. The intervention consisted of self-paced CBSIM containing nine modules on different aspects of organ donation. The intervention was completed in 25 ± 5 days, followed by an online post-intervention test. Acceptability of the CBSIM by nurses about organ donation was assessed as a secondary outcome on a 5-point Likert scale. Results: A significant gain in knowledge scores was observed after the CBSIM (4.9 ± 1.14 vs. 7.35 ± 1.34, P &lt; 0.001) with high acceptability of CBSIM by most of the nurses (59.2%). Conclusion: CBSIM was effective in improving the knowledge of nurses related to organ donation and highly acceptable to most of the nurses working in ICU. Hence, CBSIM can be used as a method of learning for nurses.
Objectives: Cancer patients seeking palliative care faces distressing symptoms which affect their... more Objectives: Cancer patients seeking palliative care faces distressing symptoms which affect their quality of life adversely. Patients’ lack of adherence to analgesics is one of the major factors contributing to the undertreatment of cancer pain. The objective of this paper is to outline the development of a mobile application-based system to develop a physician-patient relationship and to improve adherence to medications prescribed for cancer pain management. Material and Methods: The mobile application-based system is developed using alarm and cloud based data sysncronisation for improving medication adherence and self-recording symptoms among cancer patients receiving palliative therapy at a palliative care clinic. Results: Ten palliative medicine physicians tested the project website and the mobile application thoroughly instead of patients. The physician recoded the prescription and other details on the project website. The data transferred from website to mobile application. Th...
This quality improvement initiative was undertaken in a tertiary care neonatal intensive care uni... more This quality improvement initiative was undertaken in a tertiary care neonatal intensive care unit (NICU) of All India Institute of Medical Sciences (AIIMS), New Delhi to improve the quality of discharge counselling covering all post-natal mothers and reducing the unnecessary follow-up visits of the neonates admitted between June 2016 to December 2016 in the Follow-up clinic. A team was formulated to evaluate the reasons for poor or no discharge counselling and unnecessary neonatal follow-up visits and to plan further strategies for improving the quality of discharge counselling. Multiple PDSA cycles were implemented. The results of the all PDSA cycles were discussed amongst the team members. At the end of the study, all mothers started receiving standardised discharge counselling in 3 months time. Less number of mothers reported with minor neonatal problems. However, no reduction in the number of unnecessary follow-up visits of neonates was observed, but a change was observed in th...
Indian Journal of Physiology and Pharmacology, 2021
Objectives: Nurses are an integral team member in intensive care units (ICU) and can play importa... more Objectives: Nurses are an integral team member in intensive care units (ICU) and can play important role in facilitating the organ donation process. Hence, the sensitisation of these nurses is important. The aim of the study was to assess the effectiveness of a computer based self-instruction module (CBSIM) in terms of improving the knowledge and acceptability of nurses in relation to organ donation. Materials and Methods: In this prospective study, 56 nurses working in an ICU were enrolled using the total enumeration technique. After filling up of the demographic profile, nurses attempted online pre-test, containing 20 randomly selected multiple-choice questions (MCQs) from a validated and pre-tested question bank containing 150 MCQs. The intervention consisted of self-paced CBSIM containing nine modules on different aspects of organ donation. The intervention was completed in 25 ± 5 days, followed by an online post-intervention test. Acceptability of the CBSIM by nurses about orga...
Objectives: The present study was undertaken (i) to evaluate the role of short message service (S... more Objectives: The present study was undertaken (i) to evaluate the role of short message service (SMS) in improving the knowledge scores of nurses in the key areas of newborn care (NBC) and (ii) to explore the perception of nurses regarding the delivery of SMS on NBC. Methods: This pre-experimental (one group pre-test post-test) study was conducted on 30 nurses working in a tertiary level neonatal intensive care unit (NICU). The effectiveness of SMS delivery in reducing the gaps in the knowledge of nurses related to NBC was measured in terms of gain in knowledge scores using a structured knowledge questionnaire. The perception of nurses toward the delivery of information on NBC using SMS was also assessed on 5 point likert scale. Results: The knowledge scores of nurses improved significantly after the SMS delivery on NBC (pre and post, 9.6±2.2, 17.13±1.2; p<0.005). The nurses’ overall perception about SMS delivery on NBC was good. Conclusion: SMS delivery on NBC has a potential rol...
COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2), has clai... more COVID-19 pandemic caused by severe acute respiratory syndrome coronavirus 2(SARS-CoV-2), has claimed many lives world over. Managing COVID-19 pandemic has become very challenging for the health care workers (HCW) due to the absence of definitive treatment for the disease. Around 5–6% of cases of COVID-19 become critically ill and require intensive monitoring, advanced life support, respiratory support and treatment modalities like ECMO and Plasma therapy, etc. Older people with comorbidities like cardiac disease, renal disorder, diabetes mellitus, hepatic impairment, respiratory pathologies or immune-compromised state are more vulnerable and carry a very high mortality from COVID-19. As HCW, we are already trained in providing cardio-pulmonary resuscitation to cardiac arrested patients. Those learned guidelines need to be modified before using for COVID-19 patients due to various concerns such as virulence of the virus, differing etiology of cardiac arrest (respiratory), high risk o...
Objective: To investigate the feasibility and acceptance of nurse-led neonatal follow-up clinic (... more Objective: To investigate the feasibility and acceptance of nurse-led neonatal follow-up clinic (NLNFC) in a tertiary care facility. Materials and Methods: In a prospective observational study, total 105 stable mother-neonate dyads were independently followed up in both nurse led and neonatologist run follow-up clinics. The outcome was measured in terms of agreement between the nurse and neonatologist in the domains of neonatal assessment, counselling mothers on essential newborn care (ENC) and giving advice ( P < 0.05) and mothers’ acceptability for NLNFC. Results: Agreement between the trained neonatal nurse and neonatologist varied between 87 and 100%. The most unanimity was observed in neonatal assessment and counselling on ENC (93.3%-100%) followed by prescribing treatment (87%). The mean acceptability scores of the mothers for NLNFC was 33.13 ± 2.6 (25-35, maximum possible score 35). Conclusion: Establishing NLNFCs in developing countries is feasible. Nurses can be entruste...
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