Patients’ attitude towards nursing students of bpkihs

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Patients’ attitude towards nursing students of bpkihs

  1. 1. Patients’ Attitude Towards Nursing Students of BPKIHS Ram Sharan Mehta Medical-Surgical Nursing Department College of Nursing B. P. Koirala Institute of Health Sciences Dharan, Nepal
  2. 2. Introduction: • Health care is a social role relationship between a helping agent and a person needing help. • The Social role Relationship is considered psychologically and socially as half cure treatment procedure. • The Super-specialists are demanded by the hospitals. • The higher education and increase awareness contributed the public to approach the hospitals.
  3. 3. • The nature of relationship between nurse and patient has some degree of significant impact on the overall quality of healthcare, the patient’s compliance and satisfaction is greatly influenced by the appearance, behavior and the communication skill of the nurses as nurses stay 24 hours with the clients4. • With the emerging nursing colleges in the country and the out flowing number of nursing students in many hospitals, this complex relationship has more importance and responsibility than even before. • Hence, the evaluation of “ Patient’s attitude towards Nursing students of BPKIHS” is essential.
  4. 4. Objectives of the Study: • TO ASSESS THE ATTITUDE OF THE PATIENTS REGARDING THE PRESENCE AND INVOLVEMENT OF THE NURSING STUDENTS IN THEIR CLINICAL CARE IN MEDICAL– SURGICAL UNITS OF BPKIHS.
  5. 5. RESEARCH DESIGN AND METHODOLOGY: • • Research Design: It was hospital based cross sectional study design. Population: The clients admitted in Medical-Surgical units in the day of data collection constitute the population of the study
  6. 6. • Sampling technique and size: The stratified simple random sampling method was used to select the sample and 75subjects were selected from all the wards of Medical-Surgical units of BPKIHS, where only 60 tools were returned back.
  7. 7. • • Tool of the study: Semi structured questionnaire was used to collect the data. Methods of data collection: Using pretested semi-structured Questionnaire the data was collected by trained nurses in the ordinary dress, to reduce the professional fear and bias. The collected data was coded and entered in SPSS-4 package and analyzed.
  8. 8. Results: Age wise distribution of the subjects 4% 19% 25% 52% <20 yrs 20-40 yrs 40-60 yrs .60 yrs
  9. 9. Duration of Hospitalization of Clients Duration of Hospitalization of clients 35 33 31 30 Percentage 25 20 15 10 13.8 13.8 8.6 5 0 < 3 days 3-5 days 5-7 days 7-15 days Duration of Hospitalization >15 days
  10. 10. Table: - I Attitude of Student Nurses Mentioned by Subjects (MR) N=60 S.N. Attitude Percentage (%) 1 Friendly/Social 66.7 2 Kind 45.0 3 Clever 41.7 4 Helpful 55.0 5 Gentle 47.6 6 Clean and Tidy 55.0 7 Empathetic 60.0 8 Soft spoken 60.0 9 Respectable 33.3 Unbiased 58.3 10
  11. 11. Table: - II Suggestions to Improve Attitude of Nursing Students (MR) N=60 S.N. Responses/Suggestions: 1 No Response / No Suggestions: 2 Suggestions Given: Percentage (%) 32.5 67.5 a. Develop helping attitude b. Perform equal behaviour to all 29.6 c. Encourage clients 22.2 d. Counseling Clients and Relatives 18.5 e. Perform the duty without hesitancy 14.8 f. Use Soft tone voice 14.8 g. Be polite and avoid anger 11.1 h. Provide information about hospital services 11.1 I. Pay attention and Listen to clients problem 7.4 j. Others: show maturity, provide prompt services, learn language of clients etc. 37 25.9
  12. 12. Table:-III Association Between Opposite Statements of Same Contents N=60 S.N. Statement True (%) False (%) Chi-Squire Value (Pearson/ Fisher’s Exact test) Significant Difference with opposite statement 1 I am glad that there are student nurses in the hospital 96.7 3.3 0.037 S (with S10) 2 Because of the student nurses being around, you feel more in touch what is going on about your disease. 76.7 23.3 0.200 S (with S20) 3 Student nurses donot know anything about your disease. 96.6 3.4 0.707 NS (with S23) 4 Student nurses have good behaviour and temperament. 68.5 31.5 0.273 S (with S12) 5 Student nurses are busy and always in hurry 37.9 62.1 0.104 S (with S18) 6 You can ask Student nurses the most trivial questions. 93.2 6.8 0.264 S (with S17) 7 I would have preferred there to be no student Nurses in the hospital 89.6 10.4 0.370 S (with S3) 8 Student nurses behave badly to the patients. 62.1 37.9 0.602 NS (with S7) 9 You also get to learn something while the senior nurses are teaching students nurses in your presence 95 5 0.521 NS (with S22) 19.6 80.4 0.027 S (with S21) 10 You did not really benefit from Student nurses on your treatment process. Note: S= Significant at 5% level of confidence (P < 0.005), NS= Not Significant at 5% level of confidence (P<0.005)
  13. 13. Table:-III (Continue) Association Between Opposite Statements of Same Contents N=60 S.N. Statement Significant True (%) False (%) Chi-Squire Value (Pearson/ Fisher’s Exact test) 90 10 0.118 S (with S24) Difference with opposite statement 11 You like Student nurses asking your every detail and personal questions concerning your disease. 12 You donot like Student nurses examining you repeatedly taking along time. 25.4 74.6 0.203 S (with S19) 13 Student nurses have more time to give 96.7 3.3 0.104 S (with S8) 14 There is no point asking questions to students Nurses since they donot know anything. 16.9 83.1 0.264 S (with S9) 15 You like Student nurses examine you because they do it in detail 93.3 6.7 0.284 S (with S16) 16 Although student Nurses being around, you did not get much to know about your treatment process 57.9 42.1 0.249 S (with S4) 17 Student nurses helped very much in your treatment process 51.7 48.3 0.027 S (with S14) 18 When Student nurses are being taught in your presence, you rather feel left out or bored. 59.3 4.7 0.521 NS (with S13) 19 Student nurses also know about your disease. 54.2 45.8 0.707 NS (with S5) 20 You donot like student nurses asking you personal questions regarding your disease. 47.5 52.5 0.118 S (with S15) Note: S= Significant at 5% level of confidence (P < 0.005), NS= Not Significant at 5% level of confidence (P<0.005)
  14. 14. Conclusion: • On the basis of findings, we can conclude that there is not adequate knowledge about HIV/AIDS and its pathogenesis. • Only few nurses were aware about the HIV/AIDS services available at BPKIHS like: VCT, PMTCT, ART, HIV testing, CD-4 count, Counseling and other services. • Regarding the transmission and prevention of HIV/AIDS they have not sufficient knowledge. • There is negative attitude among few nurses regarding HIV/AIDS may be due to inadequate knowledge related to HIV/AIDS. • Hence, continuous in-service education on HIV/AIDS management and care for nurses working in BPKIHS is very urgency.
  15. 15. Limitations of the study: • The study was conducted only in the medical-Surgical Nursing Units of BPKIHS. • The findings were based upon the opinion of the subjects. • The attitude of patients varies from individual to individual and it was difficult to grade also.
  16. 16. Recommendations: • SIMILAR STUDY CAN BE CONDUCTED TAKING THE SAMPLES OF ALL UNITS. • CME CAN BE ARRANGED FOR NURSING STUDENTS AND NURSES TO IMPROVE THEIR ATTITUDE.
  17. 17. References: 1. 2. 3. 4. 5. 6. 7. Rai. D, Suwal R. Patient’s attitude towards student doctors of IOM. Nepal health Research council. 2001. Richardson PH, Curzen P, Fonagy P. Patient’s attitude to student doctors. Medical-Education. 1986; 20(4). Murray M, Chambers M. Effect of contact on nursing student ‘s attitude to patients. Nurse Educ Today. 1991, 11(5): 363-7. Dunn SV, Hansford B. Undergraduate nursing student’s perception of their clinical learning environment. Journal of Advanced nursing. 1997;25 (6):1299-1306. Gates MF, Kaul M, Speece MW, Brent SB. The attitudes of beginning nursing and medical students towards care of dying patients: a preliminary study. Hospital Journal. 1982;8(4): 17-32. Courtney M, Tongs S, Walsh S. Acute-care nurse’s attitude towards older patients: A literature review. International Journal of nursing Practice. 2000.6(2): 62-69. Majumadar B. Medical and Nursing students’ knowledge and attitudes towards violence against women in India. Educ. Health. 2004; 17(3):35464.
  18. 18. Thank You

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