menuka bhandari - Academia.edu (original) (raw)

Papers by menuka bhandari

The Journal of Knowledge of Innovation, Dec 31, 2023

Deleted Journal, Dec 31, 2023

Background: Appropriate young children (from birth to two years of life) feeding practice is very... more Background: Appropriate young children (from birth to two years of life) feeding practice is very crucial to boost up children's survival and optimum growth and development. Early initiation of breastfeeding (within an hour of childbirth), exclusive breastfeeding for six months and providing nutritionally adequate and appropriate complementary feeding for six months and continued breastfeeding up to two years of age or beyond are the major components of infant and young child feeding (IYCF) practices. The objective of the study was to find out the IYCF practices of mothers. Methods: Descriptive cross-sectional research was used and all 180 mothers attending government hospital of Biratnagar were the sample. Interview-based data collection was used by a self-developed, structured and semi-structured questionnaire. Data were analyzed using descriptive statistics using SPSS version 25.0. Result: Less than half (40%) mothers started breastfeeding within an hour after delivery, 90.6% fed colostrum, 73.3% practiced exclusive breast feeding and 89.4% continued to feed breastmilk along with complementary feed to under two years children. Among mothers, 68.3% started feeding complementary food at appropriate age, 70.6% of the mothers fed minimum numbers of time or more according to their child age, 80% mothers used to provide diverse food and 66.1% children were receiving minimum acceptable diet. Conclusion: The prevalence of timely initiation of complementary feeding at 6 months, minimum dietary diversity, minimum feeding frequency and minimum acceptable diet were satisfactory as almost two third and more children have met minimum acceptable diet. However, practice of early initiation of breast feeding is still low.

World Health Organization declared COVID-19 as a global pandemic on 11 th March 2020 due to rapid... more World Health Organization declared COVID-19 as a global pandemic on 11 th March 2020 due to rapid transmission and severity of illness of this fatal virus from the country of origin. This study was conducted to assess the health care workers' knowledge, attitude and practice on COVID-19 in a government hospital at Biratnagar. A descriptive, cross-sectional research design was used. Census method was adopted for sampling, structured questionnaire was used to collect data among 115 healthcare workers over a period of two months. More than three fourth (78.3%) scored good knowledge, almost all possessed a positive attitude and more than half (62.6%) had good infection prevention practice on COVID-19. However, 52.2% reported that COVID-19 is contagious and only 13.9% identified as a zoonotic disease. Also, it revealed that only 35.7% practiced correct steps of donning PPE, only 27.8% reported proper sequence of doffing PPE and 40.0% followed standard duration for hand washing as per the WHO, CDC guideline. The study highlighted the gap in some specific aspects of knowledge and practice of the healthcare workers that need immediate concern. Adequate provision of periodically updated educational training programmes on COVID-19 and infection prevention practices focusing on PPE might help bridging the gap.

Bibechana, Nov 22, 2018

Introduction:The migration of health worker is a complex and multifaceted phenomena. Emigration o... more Introduction:The migration of health worker is a complex and multifaceted phenomena. Emigration of highly skilled and competent nurses to other countries seems to have negative impact on the delivery of excellent health care services. Objective:The objective of this study was to assess factors intend to brain drain among nurses working at private hospitals of Biratnagar. Methodology: A cross sectional study was conducted on staff nurses of selected hospitals of Biratnagar, Nepal from 2017 February to 2018 February; non-probability purposive sampling technique was used. Required information was collected using self-administered semi structured questionnaire related to demographic and factors intending to brain drain from 99 nurses. Results: Majority (78.8%) of nurses were below 25 years of age. Most (81.8%) of them had completed PCL nursing, more than half (55.6%) wanted to migrate abroad to pursue further work and study. Australia (56.4%) and USA (25.5%) emerged as the top destination of choice, while only (5.5%) of them wanted to migrate United Kingdom. Lack of career opportunities, low salary and poor working condition were main pull factors and push factors intending to brain drain among nurses. This study also found that majority (96%) of nurses were not satisfied with their salary. Conclusion:More than half of nurses working in private hospitals would like to migrate abroad. The major push factors for migration was lack of career development and low salary.

दृष्टिकोण, Dec 31, 2020

Nepal is also witnessing the expansion of life span and hence an enhancement in the population of... more Nepal is also witnessing the expansion of life span and hence an enhancement in the population of the elderly. In Nepal, individuals over 60 years of age are considered elderly. According to the 2011 census of Nepal, there were 2.1 million elderly inhabitants, which constitute 8.1 percent of the total population in the country. Pashupati Bridrashram the only one shelter for elderly people run by the government which was established in 1976 as the first residential facility for elders. This study was conducted to assess the health and social needs of elderly residing at Birateshwor Briddhashram and Mahila Jagriti Briddhashram Biratnagar. Descriptive cross sectional research design has been used to describe characteristics of a population. There are four registered old age home in Biratnagar Metropolitan City, among them only two were selected purposively. Non random sampling technique has been used in which Purposive Sampling method has been adopted. Both health and social needs were assessed using semi-structured interview schedule which consisted of multiple response questionnaire. There were fifty-seven elders, only forty were selected purposively who can give their information, twenty-four females and sixteen males were selected for interview. Most of the elders came to old age home because of lack of own shelter, sixty percent elders have no any children, mostly they were widow or widower. Majority of them had vision (60 %), walking (46%), hearing problems (33 %) and minority (10 %) have inability problems in moving extremities, difficulty in talking. Only a few elders came there because of maltreatment by their family members. The study has suggested for establishment of health post or health care center, provision of ambulance to meet their health needs and importance of care taker to make their life easier, provision of television, kitchen garden, temple to meet their social and spiritual needs.

Journal of Nepal Medical Association, Feb 15, 2022

Introduction: Addressing adequately the mental health during and after COVID-19, as well as prepa... more Introduction: Addressing adequately the mental health during and after COVID-19, as well as preparation for possible future outbreaks, requires an understanding of the nature and extent of mental health impacts, factors related to negative mental health outcomes and symptoms of mental illness. The aim of this study was to find the prevalence of depression, anxiety and stress among nurses providing care to the COVID-19 patients. Methods: A descriptive cross-sectional study was conducted from 10 th April 2021 to 30 th June 2021 among 301 nurses from three COVID-19 dedicated hospitals using self-administered questionnaires. Whole sampling technique was used. Ethical approval was obtained from the Ethical Review Board of Nepal Health Research Council (Registration number: 106/2021P). The data was analyzed using the Statistical Package for the Social Sciences version 16. Descriptive statistics like frequency, percentage, mean and standard deviation were calculated. Results: Out of 301 nurses, the prevalence of depression, anxiety and stress was 258 (85.72%), 189 (62.80%) and 151 (49.84%) respectively. Conclusions: The study has shown a higher prevalence of depression, anxiety and stress among nurses in comparison to other studies in the similar settings. A quick assessment of the mental health status and mental health requirements of nurses would be helpful in responding to and reducing psychological distress in the crisis situation. The mental health status of nurses should thus be closely monitored by the employing health institutions including managing their workload, providing emotional support and responding to their personal needs.

DOAJ (DOAJ: Directory of Open Access Journals), Nov 2, 2022

Bibechana, Nov 28, 2016

This study was conducted to assess the association of depression and anxiety with selected variab... more This study was conducted to assess the association of depression and anxiety with selected variables; low academic performance and poor parent adolescent relationship among the adolescent students at Arniko Higher Secondary school at Biratnagar. Beck Depression Inventory (BDI) and Beck Anxiety Inventory (BAI) tools were used for data collection. Spearman's Rank Correlation Coefficient and Chi Square test were applied to assess the significant variables. The findings of the study revealed that there was significant correlation between total depression and total anxiety score i.e. Spearman's rank correlation coefficient value was 0.554 (p = 0.000). The study also found that the depression and anxiety were significantly associated with type of family (p =0.005 & p = 0.015). The depression was significantly associated with academic performance of adolescent students (p = 0.030) and major accident in the family (p =0.009). Similarly, the anxiety was significantly associated with parental fight (p = 0.007), conflict with father (p = 0.019), and death of family member (p = 0.016). It can be concluded that adolescent anxiety and depression are significant mental health problems so further studies are needed to validate the findings.

Journal of Nepal Health Research Council, Nov 2, 2022

Research Square (Research Square), Nov 30, 2022

Background Reduced physical activity is one of the major factors affecting health and has been a ... more Background Reduced physical activity is one of the major factors affecting health and has been a serious global problem during COVID-19. Prolonged homestays can lead to increased sedentary behavior and reduced physical activity for nursing students. The objective of this study was to assess the level of physical activity among nursing students. Methodology A cross-sectional study was carried out on nursing campuses of Tribhuvan University in 2020 among undergraduate nursing students using a selfadministered structured International Physical Activity questionnaire. Samples of 255 students using proportionate systematic random sampling were included. Data were analyzed in SPSS version 17. The total score of physical activity over the recent last seven days period was calculated by adding the total of duration and the frequency of all the activities which was expressed in terms of MET (Multiples of Resting Metabolic Rate)-minutes /week. The level of physical activity was categorized as low, moderate, and high. Ordinal logistic regression was used to nd the association between the level of physical activity and selected demographic variables. Results The study showed that 38.4% of respondents were from the age group 22-24 years and engagement in vigorous physical activity was lower but the median time spent on moderate MET-Minutes/Week was 630 (1620-180). Likewise, 29.4% have low and 49% have a moderate level of Physical Activity. Furthermore, there is an association between the level of physical activity with the place of residence. Conclusions The study concludes that more than one-third of respondents have a low level of physical activity and nearly half have a moderate level. Furthermore, there is an association between the level of physical activity and place of residence. This re ects the need to sensitize nursing students to adopt physical activity in everyday life to improve general health and well-being during the COVID-19 pandemic.

Journal of Nepal Medical Association, 2022

Nursing & Care Open Access Journal, 2017

Background and objective: Nursing is a caring profession. Caring encompasses empathy for and conn... more Background and objective: Nursing is a caring profession. Caring encompasses empathy for and connection with people. Teaching and role-modeling caring is a nursing curriculum challenge. Caring is best demonstrated by a nurse's ability to embody the five essential to education core values of professional nursing include human dignity, integrity, autonomy, altruism, and social justice. The caring professional nurse integrates these values in clinical practice. Strategies for integrating and teaching core values are outlined and outcomes of value-based nursing education which described to ensure that the legacy of caring behavior by nurses is strengthened for the future nursing workforce Methods: This study aimed to evaluate nurse's values regarding nursing discipline. A cross-sectional study design from 27 th of December 2016 to 22 nd of January 2017 in Emergency Management Center for Cardiac Surgery and Rizgary Teaching Hospital in Erbil City of Kurdistan Region of Iraq. It consisted of 54 nurses who graduated from the College of Nursing. A non-probability, purposive sample selection was used. Data were collected through the using of a questionnaire by self-report method which consisted of two main parts. First is a sociodemographic characteristic of the nurses and second consisted of 21 items regarding values of nurses about nursing discipline. The data was analyzed through software of SPSS for Windows V.23. It includes descriptive statistical analysis and inferential statistical analysis. Results: With regards to the age, the highest percentage of the sample (57.4%) was between 31-36 years old, 61.1% were female, and single (66.7%), with 70.4% had less than 5 years of experience. The items of values of nurses about nursing consisted of 21 items distributed on 9 value domains. Regarding the Human dignity, Social justice, Autonomy, Precision and accuracy in caring, Responsibility, Human relationship, Individual and professional competency, Sympathy, and Trust making domains the means were 80.6%,

Dristikon: A Multidisciplinary Journal

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