This study aimed to identify job-related stress factors among nurses working in critical care areas at BPKIHS, Nepal. 57 nurses participated in the study. The major stress factors reported were shortage of nursing staff (reported by 57.7% of nurses), too high workload (59.6%), lack of promotion opportunities (48.9%), and poor nursing administration (40.4%). The study found that the majority of nurses experienced high stress due to staff shortages, which led to high workloads and increased responsibility for patient care. Addressing nursing staff shortages was identified as a key way to reduce stress among critical care nurses.
Mobile Stress Management for Cancer NursesRiva Giuseppe
Mobile Stress Management Protocolfor Nurses working with Cancer Patients: A Controlled Study
MMVR 2012 Presentation by Daniela VIllani and Giuseppe Riva
A STUDY ON STRESS MANAGEMENT AMONG NURSES IN SELECTED PRIVATE HOSPITALS IN CH...IAEME Publication
Nursing has been identified as an occupation that has high levels of stress. Job stress brought about hazardous impacts not only on nurses health but also on their abilities to cope with job demands. This study aimed at finding out the various factors causing stress, their coping strategies to overcome the stress. Data’s were collected from 185 respondents on the basis of convenient sampling technique. Analysis used was Percent Analysis, Chi-Square, Weighted Arithmetic Mean and ANOVA. A statistical significance association (P < 0.000) between Experience Categories and Low Nurse-Patient Ratio, (P < 0.000) between Designation Categories and Issue of making mistakes.
FACTORS CAUSING STRESS AMONG FEMALE DOCTORS (A COMPARATIVE STUDY BETWEEN SELE...Editor Jacotech
It is an important task of working women to handle two
important tasks. Balancing these two roles at home and
work is very challenging task and causes stress at different
levels. Different dimension of working women’s life
involves in evolving the stress in working women’s life.
These stresses cause the imbalance at the front of and
handling family responsibility. In the current scenario,
doctors face many stressors that are peculiar to the medical
profession and doctors are required to have more
competencies than before in diagnosis ongoing
management of medical conditions. This means increased
responsibilities which may contribute to stress. Stress
experienced at work can have adverse outcomes for the
well-being of individual employees and organization as
whole. My study is focusing on identifying the factors
causing stress among female doctors working for public
and private hospitals and their stress levels associations
with respect to sector. A sample of 300 female doctors
from urban area participated in this study. Out of this, 150
each are from public and private hospitals respectively. A
self-made standardized tool was administered based on five
point scale. Results indicates that the values were found to
be 0.000 in all the cases except, psychosomatic problems
(0.004) which is lesser than (0.05) p-value resulting into
rejection of null hypotheses , consequently revealing an
association between sector of female doctors and stress due
to workload, working condition, physical exertion,
emotional exhaustion, job security, organizational support,
work family conflict, family adjustment, task demands,
psychosomatic problems, patient’s expectation and working
hours.
Mobile Stress Management for Cancer NursesRiva Giuseppe
Mobile Stress Management Protocolfor Nurses working with Cancer Patients: A Controlled Study
MMVR 2012 Presentation by Daniela VIllani and Giuseppe Riva
A STUDY ON STRESS MANAGEMENT AMONG NURSES IN SELECTED PRIVATE HOSPITALS IN CH...IAEME Publication
Nursing has been identified as an occupation that has high levels of stress. Job stress brought about hazardous impacts not only on nurses health but also on their abilities to cope with job demands. This study aimed at finding out the various factors causing stress, their coping strategies to overcome the stress. Data’s were collected from 185 respondents on the basis of convenient sampling technique. Analysis used was Percent Analysis, Chi-Square, Weighted Arithmetic Mean and ANOVA. A statistical significance association (P < 0.000) between Experience Categories and Low Nurse-Patient Ratio, (P < 0.000) between Designation Categories and Issue of making mistakes.
FACTORS CAUSING STRESS AMONG FEMALE DOCTORS (A COMPARATIVE STUDY BETWEEN SELE...Editor Jacotech
It is an important task of working women to handle two
important tasks. Balancing these two roles at home and
work is very challenging task and causes stress at different
levels. Different dimension of working women’s life
involves in evolving the stress in working women’s life.
These stresses cause the imbalance at the front of and
handling family responsibility. In the current scenario,
doctors face many stressors that are peculiar to the medical
profession and doctors are required to have more
competencies than before in diagnosis ongoing
management of medical conditions. This means increased
responsibilities which may contribute to stress. Stress
experienced at work can have adverse outcomes for the
well-being of individual employees and organization as
whole. My study is focusing on identifying the factors
causing stress among female doctors working for public
and private hospitals and their stress levels associations
with respect to sector. A sample of 300 female doctors
from urban area participated in this study. Out of this, 150
each are from public and private hospitals respectively. A
self-made standardized tool was administered based on five
point scale. Results indicates that the values were found to
be 0.000 in all the cases except, psychosomatic problems
(0.004) which is lesser than (0.05) p-value resulting into
rejection of null hypotheses , consequently revealing an
association between sector of female doctors and stress due
to workload, working condition, physical exertion,
emotional exhaustion, job security, organizational support,
work family conflict, family adjustment, task demands,
psychosomatic problems, patient’s expectation and working
hours.
Physician Burnout Prevention - The Portal to Physician EngagementDike Drummond MD
Physician Burnout Prevention is the Portal to Physician Engagement
Presentation to the ACPE Annual Meeting 2013
The biggest risk in healthcare at the moment is not reform, changing reimbursements, EMR or the tidal wave of newly insured patients. The #1 danger to healthcare is the stress that ALL of this is placing on the front line workers - the physicians, nurses and staff.
In this presentation you will learn
1) The #1 Threat to Healthcare - Physician Burnout
2) Why addressing Physician Burnout Head On will give your group a competitive advantage in the years ahead
3) Physician Burnout New Information with a complete mini-training update
- Physician Burnout Vs. Stress
- Prevalence and Trends
- Symptoms & Gender Differences
- Effects & Complications
- Pathophysiology
- 4 Main Causes of Physician Burnout
- Over 117 Prevention Methods
4) Why it's time to stop the Physician Wellness Crusade
5) A Shortcut to Physician Engagement
6) Why Physician Executives are uniquely positioned to champion these changes for the benefit of
- The Physicians and their families
- The patients and staff
Get your copy of the MATRIX report with 117 ways physicians and organizations can work together to prevent burnout
http://www.tinyurl.com/bpmatrix
Dike
Dike Drummond MD
http://www.thehappymd.com
- The health and bottom line of the Organization
Stress and Coping among the under Graduate Nursing Students A Cross Sectional...ijtsrd
Introduction: Stress among nursing students is an area of growing concern. Nursing students during their professional life undergo stress which may result in psychological distress, physical complaints, behavior problem, and poor academic performance. This study was undertaken to assess the level of stress and coping among the nursing students. Material and Methods: A Descriptive Cross Sectional study was carried out in the year 2015 among 346 nursing students in a selected college at Chidambaram taluk, Tamil Nadu. Data were collected by using demographic profile and Modified Perceived Stress Scale (PSS) and Coping Questionnaire for Adolescents (CQA) to assess the stress and coping level of the participants. Descriptive and inferential statistics were used to analyze the data. Results: The findings revealed that the overall stress level among nursing students, were under mild stress(27%), moderate stress(65%) and high stress (8%) and also the coping level among nursing students, had poor coping (4%), mild coping (43%), moderate coping (45%) and good coping (8%). Conclusion: From this study, the researcher highlights that an effective intervention strategies have to be taught to the B.Sc. nursing students to relieve stress by developing good coping mechanism during their training period to promote stress free life. Mrs. S. Kalaivani | Dr. (Mrs) D. Karaline Karunagari"Stress and Coping among the under Graduate Nursing Students A Cross Sectional Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-2 | Issue-3 , April 2018, URL: http://www.ijtsrd.com/papers/ijtsrd11393.pdf http://www.ijtsrd.com/medicine/nursing/11393/stress-and-coping-among-the-under-graduate-nursing-students-a-cross-sectional-study/mrs-s-kalaivani
Common symptoms of depression:
Lost of interest in the things that were previously pleasurable
Depressed and Sadness
Hopelessness
Other may Include:
Anxiety
Increased feeling of guilt
Irritability
Impatience
Sleep disturbances
Tearfulness
Difficulty concentrating
Appetite changes (loss/gain)
Increased Isolation
Somatic Pain
Substance abuse
Stress and burnout syndrome among health team memberssilla elsa soji
Stress and burnout syndrome among health team members:
“Burnout is a syndrome made up of emotional exhaustion, depersonalization, and reduced personal accomplishment"
Discussion of factors leading to increased frustration among Intensive Care Staff. A well known entity "BURNOUT SYNDROME" lecture to help establish the causes and to find solutions.
From Burnout to Engagement: Strategies to Promote Physician Wellness and Work...Modern Healthcare
Slides from a Modern Healthcare presentation.
http://www.modernhealthcare.com/article/20150225/INFO/302259999/webinar-from-burnout-to-engagement-strategies-to-promote-physician
Faced with long hours, unrelenting administrative burdens and the pressure to treat patients quickly, a growing number of physicians are experiencing burnout, a condition characterized by loss of empathy, exhaustion, and a low sense of accomplishment. According to a Mayo Clinic survey from 2012, nearly one in two U.S physicians reported at least one symptom of burnout, up from 22% in 2001. For hospitals with stressed caregivers, the stakes are high. Burned out, dissatisfied physicians are far more likely to make medical errors and are less able to communicate effectively with patients and co-workers. They're also at a higher risk for substance abuse and are more likely to leave clinical practice altogether.
An Analysis of Work Stress among College Teachers in Selffinancing College, P...IOSR Journals
Stress at the workplace is the major cause of most of the health problems. The study focus on an
Analysis of Work Stress among College Teachers in Self-financing College, Perambalur District, Tamilnadu.
The data collected from 50 respondents with the objectives of To find opinion about teaching and handling
students, to find out the stress creators, to analysis of sharing stress problems, to find out techniques applied by
the College teachers for managing stress
Physician Burnout Prevention - The Portal to Physician EngagementDike Drummond MD
Physician Burnout Prevention is the Portal to Physician Engagement
Presentation to the ACPE Annual Meeting 2013
The biggest risk in healthcare at the moment is not reform, changing reimbursements, EMR or the tidal wave of newly insured patients. The #1 danger to healthcare is the stress that ALL of this is placing on the front line workers - the physicians, nurses and staff.
In this presentation you will learn
1) The #1 Threat to Healthcare - Physician Burnout
2) Why addressing Physician Burnout Head On will give your group a competitive advantage in the years ahead
3) Physician Burnout New Information with a complete mini-training update
- Physician Burnout Vs. Stress
- Prevalence and Trends
- Symptoms & Gender Differences
- Effects & Complications
- Pathophysiology
- 4 Main Causes of Physician Burnout
- Over 117 Prevention Methods
4) Why it's time to stop the Physician Wellness Crusade
5) A Shortcut to Physician Engagement
6) Why Physician Executives are uniquely positioned to champion these changes for the benefit of
- The Physicians and their families
- The patients and staff
Get your copy of the MATRIX report with 117 ways physicians and organizations can work together to prevent burnout
http://www.tinyurl.com/bpmatrix
Dike
Dike Drummond MD
http://www.thehappymd.com
- The health and bottom line of the Organization
Stress and Coping among the under Graduate Nursing Students A Cross Sectional...ijtsrd
Introduction: Stress among nursing students is an area of growing concern. Nursing students during their professional life undergo stress which may result in psychological distress, physical complaints, behavior problem, and poor academic performance. This study was undertaken to assess the level of stress and coping among the nursing students. Material and Methods: A Descriptive Cross Sectional study was carried out in the year 2015 among 346 nursing students in a selected college at Chidambaram taluk, Tamil Nadu. Data were collected by using demographic profile and Modified Perceived Stress Scale (PSS) and Coping Questionnaire for Adolescents (CQA) to assess the stress and coping level of the participants. Descriptive and inferential statistics were used to analyze the data. Results: The findings revealed that the overall stress level among nursing students, were under mild stress(27%), moderate stress(65%) and high stress (8%) and also the coping level among nursing students, had poor coping (4%), mild coping (43%), moderate coping (45%) and good coping (8%). Conclusion: From this study, the researcher highlights that an effective intervention strategies have to be taught to the B.Sc. nursing students to relieve stress by developing good coping mechanism during their training period to promote stress free life. Mrs. S. Kalaivani | Dr. (Mrs) D. Karaline Karunagari"Stress and Coping among the under Graduate Nursing Students A Cross Sectional Study" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-2 | Issue-3 , April 2018, URL: http://www.ijtsrd.com/papers/ijtsrd11393.pdf http://www.ijtsrd.com/medicine/nursing/11393/stress-and-coping-among-the-under-graduate-nursing-students-a-cross-sectional-study/mrs-s-kalaivani
Common symptoms of depression:
Lost of interest in the things that were previously pleasurable
Depressed and Sadness
Hopelessness
Other may Include:
Anxiety
Increased feeling of guilt
Irritability
Impatience
Sleep disturbances
Tearfulness
Difficulty concentrating
Appetite changes (loss/gain)
Increased Isolation
Somatic Pain
Substance abuse
Stress and burnout syndrome among health team memberssilla elsa soji
Stress and burnout syndrome among health team members:
“Burnout is a syndrome made up of emotional exhaustion, depersonalization, and reduced personal accomplishment"
Discussion of factors leading to increased frustration among Intensive Care Staff. A well known entity "BURNOUT SYNDROME" lecture to help establish the causes and to find solutions.
From Burnout to Engagement: Strategies to Promote Physician Wellness and Work...Modern Healthcare
Slides from a Modern Healthcare presentation.
http://www.modernhealthcare.com/article/20150225/INFO/302259999/webinar-from-burnout-to-engagement-strategies-to-promote-physician
Faced with long hours, unrelenting administrative burdens and the pressure to treat patients quickly, a growing number of physicians are experiencing burnout, a condition characterized by loss of empathy, exhaustion, and a low sense of accomplishment. According to a Mayo Clinic survey from 2012, nearly one in two U.S physicians reported at least one symptom of burnout, up from 22% in 2001. For hospitals with stressed caregivers, the stakes are high. Burned out, dissatisfied physicians are far more likely to make medical errors and are less able to communicate effectively with patients and co-workers. They're also at a higher risk for substance abuse and are more likely to leave clinical practice altogether.
An Analysis of Work Stress among College Teachers in Selffinancing College, P...IOSR Journals
Stress at the workplace is the major cause of most of the health problems. The study focus on an
Analysis of Work Stress among College Teachers in Self-financing College, Perambalur District, Tamilnadu.
The data collected from 50 respondents with the objectives of To find opinion about teaching and handling
students, to find out the stress creators, to analysis of sharing stress problems, to find out techniques applied by
the College teachers for managing stress
This is a presentation delivered to staff at City of Cape Town as part of Latitude Training & Grant Hamel's way to help heal the world. It was well received and people walked away enthralled, empowered and wanting more ...
Burnout is a serious threat to any professional and is particularly acute to those in the helping professions. Nurses, teachers, pastors, and social workers live in a constant mode of "being available to people." If one is not aware of the danger, this constant output of physical, mental, and spiritual energy will eventualy reach its limit and burnout will ensue. This presentation identifies the signs of this danger. The purpose is to help professionals see the danger before it becomes inevitable.
Know what is stress, what are the signs and symptoms of stress, also the causes and effects, what are stressors, how we have been reacting to stress, chronic stress and learn how to manage stress.
Stress Management PowerPoint Presentation Content slides include topics such as: understanding the dynamics of stress, quickly and effectively managing stress, symptoms of stress, identifying sources of stress, negative and positive effects of stress, the five step system to tackle stress, 6 strategies to minimize burn-out, from distress to eustress, specific problems and associated treatments, 15 ways to make work less stressful, how to's and much more.
Study on Coping Strategies and Factors Associated with Stress, Among Nurses W...ijtsrd
Nursing professionals working in Intensive Care Units are challenged with high level of stress evolving due to critical condition of patients as well as urgency in decision making at life threatening situations. This makes Intensive Care Units more stressful place for working. Stress affects the emotional status which results into negative feelings hindering the care provided to patients. Study aimed to assess Coping strategies and factors associated with stress among staff nurses. Results showed the major coping strategies were used by the nurses including positive reappraisal, accepting responsibility and escape avoidance. Confronting coping was least used by the nurses. Factors like positive support and healthy work environment made level of stress less among nurses working in intensive units. Sunil Kumar Sondhi | Tarika Sharma | Dr. Anjana Williams "Study on Coping Strategies and Factors Associated with Stress, Among Nurses Working in Intensive Care Unit, New Delhi, India" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-3 | Issue-2 , February 2019, URL: https://www.ijtsrd.com/papers/ijtsrd21551.pdf
Paper URL: https://www.ijtsrd.com/medicine/nursing/21551/study-on-coping-strategies-and-factors-associated-with-stress-among-nurses-working-in-intensive-care-unit-new-delhi-india/sunil-kumar-sondhi
NURSING STREE JHGJHS JBJHS JHBFJSH JHBHJ JHBFFHJ HJJHHBJHHDFJH JHFHJDS FGSDF GDFGDFG DFGDSFG DFGDFSG DFGDSFG DSFG DFG DFG DFG DFG DSG SDFG DFG D FGD SG DFG DG ETS GFDF GDSF G SDGFDF GD FG G SDG SD FGH DFG SD GDSF G DFS GDS G DFGTHYTR ERT ER Y ERT ER T EY ERT WERWE Y ERR Y ERR T ERY ET Y ETY ERT ETY RT Y TY TR RTY E RTER T E TE RT ETY R T ER T ER TR ER RT T TY YT RT Y TY EY YT T ERY T Y RTY ER Y ER
ASSESS THE LEVEL OF STRESS IN NURSES OFFICESS RELATED TO JOB STATISFACTION AT...SachinKumar945617
INTRODUCTION & REVIEW OF LITERATURE OF ASSESS THE LEVEL OF STRESS IN NURSES OFFICESS RELATED TO JOB STATISFACTION AT VARIOUS HOSPITAL
IF U WANT TO MAKE YOUR RESEACRH, PROJECT, PPT ETC CONTACT ME ON
EMAIL SACHINGONE220@GMAIL.COM
A Model of Independent Restorative Nursing Care on Ischemic Stroke Patientsiosrjce
:Stroke is the second cause of death and disability after heart disease. The long-term stroke can cause
functional disorder, such as: physical, psychological, social, and environmental disorder. The effort of stroke
patients is more properly done by Restoratif care approach. The current model of stroke patients’ care
emphasizes highly on medical and healing aspects from the disability condition. The care which improves the
patients’ and family’s self-ability has not been done completely. this research design is a model development
design which includes three phases, they are: assessment, model development, and model implementation. The
sample of this research was 65 respondents, and the sample of model implementation was 6 respondents. The
data analysis was done through t-test and SEM analysis.
From the research result, it showed that the need of self care on stroke patients was under the median value
(56.9%), the family supports in the form of informational support were above the average value (53.8%),
instrumental support was 80%, reward support was 58.5%, and emotional support was 66.2%. the nursing care
was mostly in the low self-efficacy level ( 61.5%), self management was high (55.4%), and self regulation was
high (63.1%). Self care ability was below the average value on the following aspect, such as: eating aspect was
67.7%, showering was 61.5%, making up was 66.2%, dressing up was 73.8%, doing fecal elimination reached
76.9%, toilet was 75.4%, and transferring was 66.2%. whilst, low indicator occurred on urine elimination
indicator, it reached 61.5 %. The model showed that the self care need significantly influenced self care = 1.05.
The self care need significantly influenced self care agency = 0.92, self care need significantly influenced
nursing care = 1.71. Self-care agency did not significant influence self care = -0.03. Nursing care didn’t
significantly influence self care agency = 0.01.
From the research, it can be concluded that Restoratif care model was more efficient and guaranteed the care
sustainability after the patients returned home to create the stroke patients independence as an effort to fulfill
their daily needs
Abstract—In India, communicable diseases account for nearly half of its disease burden. Nursing staff plays a major role in the health care delivery system; therefore their role in prevention of infectious diseases by taking care of universal precautions is very important. So this study was conducted aimed to know the status of universal precaution practices of nursing personnel of a tertiary care hospital of Rajasthan. 100 nursing professionals were interrogated and supervised for practice and as per a semi- structured schedule. It was concluded from this study that all nursing personals were washing hands after toilet and hands were washed properly but they were reluctant regarding every time washing hands before starting work, washing with antiseptic after contacting contaminated gauze, linen etc. Apron was weared by 89% but none was wearing mask while dealing with patients. And only 40% were wearing gloves while handling patient but none was changing gloves before handling new patient. It was also concluded that all the nursing personals were using sterile syringes and new syringe was taken every time for new patients which was destroyed after use but only 43% were wearing glove while taking out needle/syringes from its wrapper and only 29% nursing personals were recapping syringes after use. Proper disposal of syringes, soiled infected gauze, needles, I.V. Drip set and gloves was done by almost all nursing personals
A Career in Nursing Essay example
Advanced Practice Nursing Essay examples
What Is Nursing? Essay
The nursing process Essay
Essay on Nursing Care Plan
Nursing Exemplar
In India, Reproductive Tract Infection (RTI) including Sexually transmitted Diseases (STDs) produce a huge disease burden. Nursing staff plays a major role in prevention of STI/RTIs. So this study was conducted aimed to know the knowledge about STIs/RTIs of nursing personnel of a tertiary care hospital of Rajasthan. 100 nursing professionals were supervised for practice and interrogated for attitude and knowledge as per a semi- structured schedule. It was found that overall mean score of nurses was 56% and only 52% had scores passing marks (>50%). Although this knowledge about STI/RTI was not found to be associated religion, caste, type of family and socio-economic status but it was found to be associated with sex, marital status and education of nurses. It was also found in this study that gap of training decreases the knowledge and number of training increases the knowledge. It was found to be associated with department where the nurses were working. So all the nurses irrespective of place of posting should be given refresher trainings at regular intervals.
Knowledge and Perception on Noncommunicable diseases (NCDs) among Health Prof...MatiaAhmed
The rapid rise of Noncommunicable diseases represents one of the major
health challenges to global development in the 21st century. Among the 20 Grand
Challenges in Chronic NCDs the priority focuses of area is to explore the level of knowledge
and perception among health professionals and its determinants
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
New Drug Discovery and Development .....NEHA GUPTA
The "New Drug Discovery and Development" process involves the identification, design, testing, and manufacturing of novel pharmaceutical compounds with the aim of introducing new and improved treatments for various medical conditions. This comprehensive endeavor encompasses various stages, including target identification, preclinical studies, clinical trials, regulatory approval, and post-market surveillance. It involves multidisciplinary collaboration among scientists, researchers, clinicians, regulatory experts, and pharmaceutical companies to bring innovative therapies to market and address unmet medical needs.
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- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
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Muktapishti is a traditional Ayurvedic preparation made from Shoditha Mukta (Purified Pearl), is believed to help regulate thyroid function and reduce symptoms of hyperthyroidism due to its cooling and balancing properties. Clinical evidence on its efficacy remains limited, necessitating further research to validate its therapeutic benefits.
The Gram stain is a fundamental technique in microbiology used to classify bacteria based on their cell wall structure. It provides a quick and simple method to distinguish between Gram-positive and Gram-negative bacteria, which have different susceptibilities to antibiotics
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
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1. Job related stress among the nurses working in critical care areas at
BPKIHS, Nepal
R S Mehta, R N Chaudhary
Abstract: It is a hospital based descriptive exploratory study, carried out on 81 nurses working
in critical care areas of the B.P Koirala Institute of Health Sciences, Nepal to find out the job related
.
stress factors among them. Total 57 subjects were selected purposively. Structured questionnaire
was used to collect the data.
Majority of the subjects reported that shortage of nursing staff (57.7 %), too high workload
(59.6%), lack of recognition of ones effort (29.8 %), aggressive relatives (31.9 %), demanding patients
(12.6%), poor promotion opportunity (48.9 %), lack of support from supervisors (25.5 %), poor evaluation
system (44.7 %), poor nursing administration (40.4 %) and low pay scale (31.9 %) were the main
factors of stress among the nurses working in BPKIHS, Nepal.
Introduction
On the threshold of a new century,
nurses are well positioned to influence the
divers trends impacting on health care and
nursing. The changing demographics
influenced by an aging population, a shift to
Key Words:
diseases patterns and advances in medical
Nurses, stress,
and information technology, challenges nurses
critical care, job
to keep up with changing health care demands
through life long learning with foresight, regular
environmental scanning and sound health
policies. The major trends can be monitored
Correspondence at :
and their impact can be analyzed to help guide
Mr. Ram Sharan Mehta, future planning and action. In U.K. total of 342
Assistant Professor,
nurses committed suicide in the six years i.e.
Medical-Surgical Nursing Dept. College of Nursing,
B.P. Koirala Institute of Health Sciences, Dharan, 1992 to 1998, a rate of 11 per 100,000. Stress
Sunsari, Nepal
Nursing and Midwifery Research Journal, Vol-1, No. 2, April 2005 70
2. and depression are like a virus: you catch it activity, pleasure and euphoria, which can be
at work and take it constructive. On the other hand distress can
In this complex world vast majority of cause reduced attention, forgetting, poor work
people are in state of stress. It is inevitable. performance, all of which can be potentially
Stress has always been around in one from dangerous for critical care unit nurses.
another. We all are individual creature with Objective
unique requirements. Stresses are unique as The main objective of this study is to
well. It is impossible to avoid stress, stressors find out the job-related stress factors among
will be always being there because we live in the nurses working in critical care areas at
an imperfect and unpredictable world. BPKIHS.
Stress is a part of our life. Stress can Materials and methods
also create positive and negative influence in
our daily lives. As a positive influence stress It was hospital based descriptive
is a motivating force towards progress and it exploratory study conducted at BP Koirala
can create new awareness and exciting new Institute of Health Sciences (BPKIHS). It is one
perspective. As a negative influence it creates of the pioneers Health Sciences teaching
feeling of distress, rejection, depression, which institute in eastern region of Nepal. It was
leads to variety of physical and psychological established in 1993. Over the years it has been
problems. Many types of disease grown in every sphere and render the hospital
(psychosomatic illnesses) have been linked services in various specialties, such as
with stress including high blood pressure, medical, surgical, orthopedics, Eye, ENT,
hear t attack, heart disease, peptic ulcer, Dialysis, maternity, pediatrics, psychiatric
headache, pain in the neck, asthma, cancer, besides a number of super specialty (ICU,
depression etc. CCU, NICU, PICU, MICU and Dialysis)
services. At present the bed strength of
People might get sick sometime in their hospital is around 700 and about 400 nurses
life. Each patient has right to receive best working in this institution. The data was
nursing care while he/ she is in the hospital. gathered from critical care units comprised 10
Nursing care is directly provided by nurses in bedded ICU, 4 bedded CCU, 30 bedded
hospital. Competent nursing care makes emergency, 13 bedded NICU/ Nursery, 6
treatment more economics, promotes morale bedded PICU/MICU. Out of total 81 staff nurses
at work, shor tens the duration of in this area, total 57staff nurses are selected
hospitalization and increase the confidence of purposively as a study subjects.
the patient in the nursing care as they receive.
After explaining the purpose of the study,
Stress occurs when there are demands verbal consent was obtained from each
on the person which tax or exceed his adaptive subject. Subjects were assured about the
resources. Eustress causes increased mental confidentiality of the information given by
Nursing and Midwifery Research Journal, Vol-1, No. 2, April 2005 71
3. them. A structured questionnaire was given Table-2 : Unit / ward wise distribution of
to each study subject separately and asked study subjects
them to return it on completion to
investigators. The collected data was analyzed N= 57
using the software program of Excel and
SPSS- 4. Units / Wards n(%)
Results
Intensive Care Unit 15 ( 26.0 )
Study results shows that total 57 staff
nurses were participated in the study. Majority
Cardiac Care Unit 06 ( 10.5
of subjects i.e. 37 ( 64.91 % ) were less than
25 years of age, who had participated in the
Emergency 20 ( 35.0 )
study. Only 05 ( 08.77 %) study subjects were
older than 30 years of age (Table- 1).
NICU* / Nursery 08 ( 14.0 )
Table-1 : Age wise distribution of study
subjects PICU* / MICU* 08 ( 14.0 )
N= 57 NICU*- Neonatal ICU, PICU*- Pulmonary ICU,
MICU*- Medical ICU
Age in years n(%)
Table- 3 depicts that the majority of the
< 25 37 ( 64.91 )
subjects (81.1 %) had greater stress because
26—30 15 ( 26.31 )
of the shortage of staff followed by too high
> 30 05 ( 08.77 )
workload (80.9 %) and responsibility in patient
Table- 2 depicts that maximum number care (55.3 %). Total 40.4 % subjects
of subjects i.e. 20 (35 %) were from experienced moderate stress in relation of
emergency and rest 16 (26.0 %), 08 (14.0 trying to achieve minimum standard of care
%), 08 (14.0 %), 06 (10.5 %) were from but very much stress is experienced by only
Intensive Care Unit, NICU / Nursery, PICU / very few (14.9 %) subjects for this
MICU, Cardiac Care Unite respectively. Number
phenomenon. It highlights that lack of
of subjects ranged from 06 to 20 from every
Critical Care Unit / ward. Staff nurses from manpower causes high workload, which
Cardiac Care Unit, NICU / Nursery and PICU / ultimately leads to stress among staffs working
MICU are proportionally lesser in number as in critical care areas.
study subjects.
Nursing and Midwifery Research Journal, Vol-1, No. 2, April 2005 72
4. Table- 3 Factors of stress related to workload
N= 57
Responses ( % )
Stress factors Not at all Slightly Moderately Very much
(< 25%) (25-50%) (50- 80%) ( > 80%)
Responsibility on patient care 29.8 14.9 14.9 40.4
Shortage of staff 4.2 14.9 23.4 57.7
Lack of time to spend with patients 34.0 36.2 25.5 04.3
Inadequate time to complete task 23.3 34.0 29.8 12.8
Workload too high 6.3 12.8 21.3 59.6
Trying to achieve minimum standard 21.3 23.4 40.4 14.9
Table- 4 depicts that the lack of motivated staff (31.9 %). Where as very less
recognition for ones effort (53.1 %) was the number of (08.5 %) staff nurses has greater
major factors to produce stress followed by stress because of the lack of support from
high sickness among staff (46.8%), lack of colleagues.
friendly working condition (38.3 %), poorly
Table- 4 Factors of stress related to lack of support and involvement
N= 57
Responses ( % )
Stress factors Not at all Slightly Moderately Very much
(< 25%) (25-50%) (50- 80%) ( > 80%)
Lack of friendly working condition 25.5 36.1 21.3 17.0
Lack of support from colleagues 51.1 27.6 12.8 8.5
Poorly motivated staff 42.6 25.5 10.6 21.3
Lack of recognition for ones effort 21.2 25.5 23.3 29.8
High sickness among staff 19.2 34.0 27.7 19.1
Table- 5 depicts that the aggressive staff nurses but this factor has caused very
relatives (59.5 %) were the major factors to high stress in only very few subjects (06.4
produce stress, followed by demanding %). Pressure from other staff has been lower
patients (36.1 %). Impolite behavior of patients in cards to cause very much stress among
caused the moderately stress among 29.8 % the critical care nurses.
Nursing and Midwifery Research Journal, Vol-1, No. 2, April 2005 73
5. Table- 5 Factors of stress related to patients/relatives
N= 57
Responses ( % )
Stress factors Not at all Slightly Moderately Very much
(< 25%) (25-50%) (50- 80%) ( > 80%)
Demanding patients 36.1 27.7 23.5 12.6
Aggressive relatives 08.5 31.9 27.6 31.9
Impolite behavior of patient 42.6 21.3 29.8 06.4
Pressure from other staff 36.2 31.9 21.1 10.8
Table- 6 depicts that the poor promotion structure (46.8 %). Where as only 25.5 %
opportunity (74.4 %) was the major factors staff nurses experienced very much stress
to produce moderately to very much stress to because the lack of support from supervisor
the staffs nurses followed by organizational but majority (34.0 %) subject has not
and management problems (53.2 %), limited experienced any degree of stress because of
annual leave (51.0 %) and poor organizational this factor.
Table- 6 Factors of stress related to administrative problems
N= 57
Responses ( % )
Stress factors Not at all Slightly Moderately Very much
(< 25%) (25-50%) (50- 80%) ( > 80%)
Lack of support from supervisor 34.0 21.3 19.1 25.5
Poor promotion opportunity 10.6 14.9 25.5 48.9
Poor organizational structure 19.1 34.0 23.4 23.4
Limited annual leave 19.1 27.7 31.9 19.1
Organizational and management 21.2 25.5 27.7 25.5
problems
Table- 7 depicts that majority of (68.1 career. Most of the respondents (48.2 %) are
%) these critical care nurses are slightly to very much satisfied with nursing care provided
moderately overall satisfied with nursing to the patient followed by physical facilities
career. But very less number of (21.2 %) these available in the unit (29.8 %), guidance/
nurses are very much satisfied with nursing supervision from seniors (19.5 %), job securit
Nursing and Midwifery Research Journal, Vol-1, No. 2, April 2005 74
6. (19.1 %), and Security service (17.0 %). very much satisfied with pay scale (06.4 %),
Where as very less number of staff nurses are nursing administration (06.4 %) and evaluation
system (10.6 %) of the organization.
Table- 7 Level of job satisfaction
N= 57
Responses ( % )
Stress factors Not at all Slightly Moderately Very much
(< 25%) (25-50%) (50- 80%) ( > 80%)
Job security 25.5 21.3 34.0 19.1
Pay scale 31.9 29.8 31.9 6.4
Nursing administration 40.4 25.5 27.7 6.4
Evaluation system 44.7 23.4 21.3 10.6
Nursing care provided to the Patient 6.4 6.4 38.3 48.9
Security service/visitor control provision 27.6 21.3 34.0 17.0
Cooperation from helpers/health aids 12.8 40.4 31.9 14.9
Guidance/supervision service 12.8 42.6 25.1 19.5
Availability of supplies 10.6 38.3 38.3 12.7
Physical facilities available in the
unit i.e. light toilet, furniture, etc. 6.4 27.7 36.2 29.8
Overall satisfaction with nursing career. 10.7 31.9 36.2 21.2
Discussion Majority of the subjects (81.1 %) had
The present study was undertaken to greater stress because of the shortage of staff
evaluate job related stress factors among the followed by too high workload (80.9 %) and
nurses working in critical care areas at responsibility in patient care (55.3 %). About
BPKIHS, Nepal. Role conflict and workload forty percent subjects experienced moderate
were linked to poor motivation and stress in relation of trying to achieve minimum
performance and more absenteeism among standard of care but very much stress is
nurses. Job dissatisfaction resulting from lack experienced by only very few (14.9 %)
of independence and decision making power subjects for this phenomenon. Similar findings
has been associated with poor provision of were reported by Hall 3, Shaver 4, Makhija 2,
care and breakdown communication between and Bhattacharya1.
patient and staff.
Nursing and Midwifery Research Journal, Vol-1, No. 2, April 2005 75
7. Lack of recognition for ones effor t (06.4 %) and evaluation system (10.6 %) of
(53.1% ) was the major factors to produce the organization. Similar findings were
stress, rest high sickness among staff reported by Hall 3 and Shaver 4
(46.8%), lack of friendly working condition Keeping in mind these factors, required
(38.3 %), poorly motivated staff (31.9 %) nurses patient ratio, conducive working
factors has well contributed to stress among environment, recognition to good work,
nurses providing critical care. In other hand effective motivation, better promotional
very less number of critical care providing opportunity, attractive pay scale, enough
nurses (08.5 %) had greater stress because annual leaves, well managed nursing
of the lack of support from colleagues. As per administration and evaluation system is
patient / relative and administrative problems recommended in an organization to have
in critical care area are concerned, poor eustressed and well motivated nurses toward
promotion oppor tunity (74.4 %), the quality of nursing care which ultimately
organizational and management problems directs one towards excellent personal and
(53.2 %), limited annual leave (51.0 %) and professional development.
poor organizational structure (46.8 %),
aggressive relatives (59.5 %), and demanding References
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