Central venous catheters are often used as mandatory devices when caring critically ill patients.... more Central venous catheters are often used as mandatory devices when caring critically ill patients. Catheter-related blood stream infections are associated with significantly increased morbidity, mortality, and expenditures. Despite technological advances, an estimated 250,000 catheter related blood stream infections occur annually. Advanced practice nurses possess the power to influence catheter-related line infections in their critical care units. Understanding current recommendations for catheter material selection, site selection, site preparation, and site care can affect rates of catheter-related bloodstream infections 3. Central venous catheterization can be lifesaving but is associated with complication rates of approximately 15%. 10 A study done at Escort Heart Centre, New Delhi shows that mortality due to central venous catheter related blood stream infection was 22.9% as compared with 0.2% in non central venous catheter related blood stream infection 11. Many Studies shows that education of nurses and proper care of central venous catheters can reduces infection rates by 41 to 66% in adult ICUs. Hence, this study was aimed to determine effectiveness of self instructional module on central venous catheter care. The aim of the study was to impart the current recommendation regarding nursing care of patient with central venous catheter among staff nurses working in ICU. An Evaluative approach was used for the present study. Using purposive sampling technique 50 samples were selected from Chettinad Hospital and Research institute, Tamil Nadu, India. The tool used was self administered questionnaire. The collected data was analyzed using descriptive and inferential statistics. The findings of the study revealed a significantly increase in the staff nurses knowledge score after administration of self instructional module. The mean pre test score was 9.80 % and the mean post test score was 16.58 % and the difference between pre test and post test knowledge score was 6.78%.Based on the objectives of the study the findings of the level of knowledge score on staff nurses shows that they were able to gain adequate knowledge. The study shows that the staff nurses in post test were having average of moderately 30 % knowledge and adequate 70 % of knowledge regarding nursing care of patients with central venous catheter. Self instructional module is effective in increasing the knowledge regarding nursing care of patients with Central venous catheter among staff nurses.
International Journal of Psychiatric Nursing, 2021
Background: Substance abuse has become a major problem in any growing society, the pattern of con... more Background: Substance abuse has become a major problem in any growing society, the pattern of consumption of medical and non-medical use of drugs, especially by pre adolescents, adolescents and young adults, is both complex and changing. In 1992, WHO declared June 26 as the International Day against substance abuse and illicit trafficking 1. Methods: It was a two-phase study, during phase-I of the study 485 adolescents were assessed for substance use behavior. During phase-II 100 adolescents were given structured teaching programme, pre-test and posttest knowledge and attitude were assessed. Results: The study results revealed that out of 485 adolescents only 3.2% (16) of the adolescents had tried or experimented with substances and 11.1% (54) of the adolescents reported that their friends use the substance in the school. The calculated Z score value was found to be 11.316 which was greater than the table value (1.98) indicates the effectiveness of structured teaching programme.There was a moderate positive correlation (0.568) between the post-test knowledge scores and post-test attitude scores of adolescents. Conclusion: The incidence of drug abuse among children and adolescents is higher than the general population. Therefore, keeping in focus, the investigator felt the need to conduct a research study to assess the knowledge and attitude regarding the ill effects of substance abuse and its prevention among adolescents, and the study was found to be effective in increasing the knowledge and attitude among adolescents.
Zenodo (CERN European Organization for Nuclear Research), 2014
Mental health is still a neglected area in our society. The resentment, fear, shame, guilt are th... more Mental health is still a neglected area in our society. The resentment, fear, shame, guilt are the common reactions faced by mentally ill people. Family has an important role when it comes to treating, rehabilitating, assisting an individual during illness. The aim of the study was to develop and test the effectiveness of an informational booklet on home management of patients with bipolar affective disorder for the family members of bipolar affective disorder patients receiving treatment in selected hospitals of Delhi. The research approach used for this study was Evaluative; sampling technique (purposive), Structured knowledge questionnaire was used to assess the knowledge of Family members of Bipolar affective disorder patients and structured opinionnaire was used to determine the opinion of Family members, Doctors, Nurses and Social workers. Data were analyzed using both descriptive and inferential Statistics. It was found that majority of the family members were parents and staying with the bipolar affective disorder patients. Most of the patients were male (26-35 years age group) and did not require hospitalization. Findings revealed that the informational booklet was effective in increasing knowledge of family members as mean posttest knowledge score was significantly higher than mean pretest knowledge score. Informational booklet was found usable by the family members and professionals. There was no significant relationship between the posttest knowledge score with selected variables. There is a need for research in the area of home management of bipolar affective disorder patients to develop better methods of educating and better practice in nursing care.
Indian Journal of Youth and Adolescent Health, May 18, 2019
Adolescents are the vulnerable group likely to have multiple interacting factors affecting their ... more Adolescents are the vulnerable group likely to have multiple interacting factors affecting their quality of life especially in Indian setting which has a large population of HIV positive children. Therefore, in order to understand the lived experiences and challenges faced by adolescents a Qualitative study was conducted to assess the QOL (Quality of Life) of Adolescents living with HIV/AIDS (ALWHA) under 3 domains: Psychological, Social & Spiritual. The research questions assessed were: What are the psychological experiences of ALWHA, What are the social experiences of ALWHA? How has the diagnosis of the illness affected the day to day life of ALWHA? What challenges do the adolescents face in their day to day life as a person living with HIV/AIDS? Methods: A Qualitative approach with phenomenological design was implemented. Participants were selected through purposive sampling technique and data was collected using semi-structured interview schedule. Result & Conclusion: Data was analyzed using thematic analysis and subsequent themes, sub-themes and categories emerged, which were: Reluctance to disclosure of HIV status, Experiences with Disclosure, Social Support, Spiritual well being, Difference in living with the disease before and after disclosure, Positive Living and Sexuality and Shame. The participants in this study had several resources at hand, including the treatment facilities and social support, which contributed to the acceptance of the disease condition and a positive living. Thus, it showed that ALWHA had an overall good QOL.
A nonexperimental correlational study was conducted to examine the relationship between emotional... more A nonexperimental correlational study was conducted to examine the relationship between emotional intelligence and job performance satisfaction among the nursing personnel, level of emotional intelligence of the nursing personnel, level of job performance satisfaction of the nursing personnel, association between the emotional intelligence and job performance satisfaction with the selected demographic variables. The study was conducted in Holy Family Hospital, Delhi in 20172018. The conceptual framework for the study was based on Ludwig Von Bertalanffy General system theory, 1968. Total enumeration technique was used to select 300 registered nurses posted in different areas of the hospital. A standardized tool Schutte selfReport Emotional Intelligence Scale was used to assess the emotional intelligence of the Nursing Personnel and Job Satisfaction Questionnaire was developed to assess the job performance satisfaction of the Nursing Personnel. The findings of the study showed that nu...
International Journal of Psychiatric Nursing, 2021
Background: Substance abuse has become a major problem in any growing society, the pattern of con... more Background: Substance abuse has become a major problem in any growing society, the pattern of consumption of medical and non-medical use of drugs, especially by pre adolescents, adolescents and young adults, is both complex and changing. In 1992, WHO declared June 26 as the International Day against substance abuse and illicit trafficking 1. Methods: It was a two-phase study, during phase-I of the study 485 adolescents were assessed for substance use behavior. During phase-II 100 adolescents were given structured teaching programme, pre-test and posttest knowledge and attitude were assessed. Results: The study results revealed that out of 485 adolescents only 3.2% (16) of the adolescents had tried or experimented with substances and 11.1% (54) of the adolescents reported that their friends use the substance in the school. The calculated Z score value was found to be 11.316 which was greater than the table value (1.98) indicates the effectiveness of structured teaching programme.There was a moderate positive correlation (0.568) between the post-test knowledge scores and post-test attitude scores of adolescents. Conclusion: The incidence of drug abuse among children and adolescents is higher than the general population. Therefore, keeping in focus, the investigator felt the need to conduct a research study to assess the knowledge and attitude regarding the ill effects of substance abuse and its prevention among adolescents, and the study was found to be effective in increasing the knowledge and attitude among adolescents.
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2020
A pre-experimental two phase study was conducted to identify the incidence of depression among ca... more A pre-experimental two phase study was conducted to identify the incidence of depression among cancer patients and assess the effectiveness of self-affirmation technique in reducing depression among cancer patients in selected hospital of Delhi. The objective of the study were (a) To assess the incidence of depression among cancer patients (b) To assess the effectiveness of self-affirmation technique in reducing the depression as measured by HDRS among cancer patients (c) To find the association of depression among cancer patients with selected demographic variables, (d) To find the association of mean difference in depression score before and after administration of self-affirmation technique among cancer patients with selected demographic variables. The conceptual framework for the study was based on modified King Imogine Goal Attainment Theory. Quantitative Research Approach was selected. It was a two phase study. In phase 1 of the study Descriptive Survey Design was used to asse...
Background and objectives: A substance dependent person in the family affects almost all aspects ... more Background and objectives: A substance dependent person in the family affects almost all aspects of family life. This leads to problems, difficulties or adverse events which impact the lives of family members and affects the quality of life (QOL) of whole family. The present study was aimed to evaluate QOL of people living with substance users in urban and rural regions of Delhi as well as to determine some factors associated with it. Method: A cross sectional study was conducted on 500 people staying in urban and rural areas of Delhi state of India. Samples were selected by using simple random method. WHOQOL-Bref instrument was used to assess the QOL. Analysis and results: Analysis was done by using descriptive and inferential statistics. The level of significance was set at p < 0.05. Data was analyzed using SPSS software version 20. The results of the study showed that the majority of sample was female, in the age group of 26-35 years. 45.2% of the family member had one or more substance user in the family. The people staying with user group had poor quality of life as compared with people with no substance user in the family. As compared to urban area, people in rural area had poor quality of life. Education, marital status, monthly income of the family significantly affected the quality of life. The lowest score was obtained in the psychological and environmental domain of QOL, which was the evidence that people with substance user in the family are suffering psychologically and their environmental condition is not good. Interpretation and conclusion: This study concluded that the family members living with substance use disorders tended to have a poor quality of life. Caregiver quality of life needs special attention, so that burden of mental health problems can be reduced. There is a need of special clinics along with the treatment of substance use to deal with the caregiver's problems and to improve their overall quality of life.
Background and Objectives: In India, domestic spousal violence against women has far-reaching men... more Background and Objectives: In India, domestic spousal violence against women has far-reaching mental health implications. This study was conducted on women staying in the urban and rural community of New Delhi to determine the prevalence of domestic violence and mental health and to determine the factors associated with it. Materials and Methods: This was a descriptive cross-sectional survey conducted in the urban and rural community of New Delhi, India. Simple random sampling was used to select the sample. Sociodemographic profile was collected using the self-structured questionnaire. Screening for domestic violence was done with the help of WAST (women abuse screening tool) and the self-reporting questionnaire (SRQ-20) was used to assess the mental health status. Analysis and Results: Analysis was performed using descriptive and inferential statistics. The level of significance was set at P < 0.05. Data were analyzed using the SPSS software version 20.Of 920 women surveyed, half of the sample was from the rural community and half was from the urban community. Nearly half (47.2%) of the women reported one or the other types of violence, i.e., WAST ≥4. More than half (62.4%) of the women reported poor mental health, i.e., SRQ ≥8. A statistically significant association (P < 0.05) was found between domestic violence and mental health. Mental health was not found to be significantly associated with age, duration of marriage, number of children, and income. There is no significant difference in the mental health of the people staying in urban and rural areas people staying in urban and rural areas are similarly affected by domestic violence. Education was found to be significantly associated with mental health (0.012,P < 0.05). Conclusions: Findings indicated a strong association between domestic spousal violence and poor mental health and underscore the need for appropriate interventions.
Indian Journal of Youth & Adolescent Health, 2019
Adolescents are the vulnerable group likely to have multiple interacting factors affecting their ... more Adolescents are the vulnerable group likely to have multiple interacting factors affecting their quality of life especially in Indian setting which has a large population of HIV positive children. Therefore, in order to understand the lived experiences and challenges faced by adolescents a Qualitative study was conducted to assess the QOL (Quality of Life) of Adolescents living with HIV/AIDS (ALWHA) under 3 domains: Psychological, Social & Spiritual. The research questions assessed were: What are the psychological experiences of ALWHA, What are the social experiences of ALWHA? How has the diagnosis of the illness affected the day to day life of ALWHA? What challenges do the adolescents face in their day to day life as a person living with HIV/AIDS? Methods: A Qualitative approach with phenomenological design was implemented. Participants were selected through purposive sampling technique and data was collected using semi-structured interview schedule. Result & Conclusion: Data was analyzed using thematic analysis and subsequent themes, sub-themes and categories emerged, which were: Reluctance to disclosure of HIV status, Experiences with Disclosure, Social Support, Spiritual well being, Difference in living with the disease before and after disclosure, Positive Living and Sexuality and Shame. The participants in this study had several resources at hand, including the treatment facilities and social support, which contributed to the acceptance of the disease condition and a positive living. Thus, it showed that ALWHA had an overall good QOL.
Introduction: With a growing awareness of rights in a democratic setup like India, the nurses wor... more Introduction: With a growing awareness of rights in a democratic setup like India, the nurses working in a mental health institution should know the basic legal and ethical aspects of psychiatry. Aim: The present study was undertaken with the aim to develop and evaluate the guidelines on legal and ethical responsibilities for nurses. Method: The study was conducted in two phases in which learning needs of staff nurses regarding legal and ethical responsibilities were identified and guidelines were developed and evaluated. A total of 30 nurses were selected conveniently and assessed using a structured knowledge questionnaire. Based on the findings, guidelines were developed and evaluated on another sample of 30 staff nurses working in psychiatric nursing unit to enhance their knowledge about legal and ethical responsibilities. Results: Most (90%) nurses' possess moderate level of knowledge regarding legal and ethical responsibilities in the field of psychiatry. Major areas of deficit include law terminologies, various mental health Acts, nurses' responsibilities during drug administration in psychiatric ward, civil & criminal responsibilities of nurse, communication skills and application of ethical principles while handling over-medicated and alcoholic patients. The introduction of guidelines on legal and ethical responsibilities to staff nurses significantly increased the knowledge score of the participants. Conclusion: The developed guidelines were effective in enhancing the knowledge on legal and ethical responsibilities for staff nurses and hold high acceptability and utility among staff nurses working in psychiatric unit.
Mental health is still a neglected area in our society. The resentment, fear, shame, guilt are th... more Mental health is still a neglected area in our society. The resentment, fear, shame, guilt are the common reactions faced by mentally ill people. Family has an important role when it comes to treating, rehabilitating, assisting an individual during illness. The aim of the study was to develop and test the effectiveness of an informational booklet on home management of patients with bipolar affective disorder for the family members of bipolar affective disorder patients receiving treatment in selected hospitals of Delhi. The research approach used for this study was Evaluative; sampling technique (purposive), Structured knowledge questionnaire was used to assess the knowledge of Family members of Bipolar affective disorder patients and structured opinionnaire was used to determine the opinion of Family members, Doctors, Nurses and Social workers. Data were analyzed using both descriptive and inferential Statistics. It was found that majority of the family members were parents and sta...
Central venous catheters are often used as mandatory devices when caring critically ill patients.... more Central venous catheters are often used as mandatory devices when caring critically ill patients. Catheter-related blood stream infections are associated with significantly increased morbidity, mortality, and expenditures. Despite technological advances, an estimated 250,000 catheter related blood stream infections occur annually. Advanced practice nurses possess the power to influence catheter-related line infections in their critical care units. Understanding current recommendations for catheter material selection, site selection, site preparation, and site care can affect rates of catheter-related bloodstream infections 3. Central venous catheterization can be lifesaving but is associated with complication rates of approximately 15%. 10 A study done at Escort Heart Centre, New Delhi shows that mortality due to central venous catheter related blood stream infection was 22.9% as compared with 0.2% in non central venous catheter related blood stream infection 11. Many Studies shows that education of nurses and proper care of central venous catheters can reduces infection rates by 41 to 66% in adult ICUs. Hence, this study was aimed to determine effectiveness of self instructional module on central venous catheter care. The aim of the study was to impart the current recommendation regarding nursing care of patient with central venous catheter among staff nurses working in ICU. An Evaluative approach was used for the present study. Using purposive sampling technique 50 samples were selected from Chettinad Hospital and Research institute, Tamil Nadu, India. The tool used was self administered questionnaire. The collected data was analyzed using descriptive and inferential statistics. The findings of the study revealed a significantly increase in the staff nurses knowledge score after administration of self instructional module. The mean pre test score was 9.80 % and the mean post test score was 16.58 % and the difference between pre test and post test knowledge score was 6.78%.Based on the objectives of the study the findings of the level of knowledge score on staff nurses shows that they were able to gain adequate knowledge. The study shows that the staff nurses in post test were having average of moderately 30 % knowledge and adequate 70 % of knowledge regarding nursing care of patients with central venous catheter. Self instructional module is effective in increasing the knowledge regarding nursing care of patients with Central venous catheter among staff nurses.
International Journal of Psychiatric Nursing, 2021
Background: Substance abuse has become a major problem in any growing society, the pattern of con... more Background: Substance abuse has become a major problem in any growing society, the pattern of consumption of medical and non-medical use of drugs, especially by pre adolescents, adolescents and young adults, is both complex and changing. In 1992, WHO declared June 26 as the International Day against substance abuse and illicit trafficking 1. Methods: It was a two-phase study, during phase-I of the study 485 adolescents were assessed for substance use behavior. During phase-II 100 adolescents were given structured teaching programme, pre-test and posttest knowledge and attitude were assessed. Results: The study results revealed that out of 485 adolescents only 3.2% (16) of the adolescents had tried or experimented with substances and 11.1% (54) of the adolescents reported that their friends use the substance in the school. The calculated Z score value was found to be 11.316 which was greater than the table value (1.98) indicates the effectiveness of structured teaching programme.There was a moderate positive correlation (0.568) between the post-test knowledge scores and post-test attitude scores of adolescents. Conclusion: The incidence of drug abuse among children and adolescents is higher than the general population. Therefore, keeping in focus, the investigator felt the need to conduct a research study to assess the knowledge and attitude regarding the ill effects of substance abuse and its prevention among adolescents, and the study was found to be effective in increasing the knowledge and attitude among adolescents.
Zenodo (CERN European Organization for Nuclear Research), 2014
Mental health is still a neglected area in our society. The resentment, fear, shame, guilt are th... more Mental health is still a neglected area in our society. The resentment, fear, shame, guilt are the common reactions faced by mentally ill people. Family has an important role when it comes to treating, rehabilitating, assisting an individual during illness. The aim of the study was to develop and test the effectiveness of an informational booklet on home management of patients with bipolar affective disorder for the family members of bipolar affective disorder patients receiving treatment in selected hospitals of Delhi. The research approach used for this study was Evaluative; sampling technique (purposive), Structured knowledge questionnaire was used to assess the knowledge of Family members of Bipolar affective disorder patients and structured opinionnaire was used to determine the opinion of Family members, Doctors, Nurses and Social workers. Data were analyzed using both descriptive and inferential Statistics. It was found that majority of the family members were parents and staying with the bipolar affective disorder patients. Most of the patients were male (26-35 years age group) and did not require hospitalization. Findings revealed that the informational booklet was effective in increasing knowledge of family members as mean posttest knowledge score was significantly higher than mean pretest knowledge score. Informational booklet was found usable by the family members and professionals. There was no significant relationship between the posttest knowledge score with selected variables. There is a need for research in the area of home management of bipolar affective disorder patients to develop better methods of educating and better practice in nursing care.
Indian Journal of Youth and Adolescent Health, May 18, 2019
Adolescents are the vulnerable group likely to have multiple interacting factors affecting their ... more Adolescents are the vulnerable group likely to have multiple interacting factors affecting their quality of life especially in Indian setting which has a large population of HIV positive children. Therefore, in order to understand the lived experiences and challenges faced by adolescents a Qualitative study was conducted to assess the QOL (Quality of Life) of Adolescents living with HIV/AIDS (ALWHA) under 3 domains: Psychological, Social & Spiritual. The research questions assessed were: What are the psychological experiences of ALWHA, What are the social experiences of ALWHA? How has the diagnosis of the illness affected the day to day life of ALWHA? What challenges do the adolescents face in their day to day life as a person living with HIV/AIDS? Methods: A Qualitative approach with phenomenological design was implemented. Participants were selected through purposive sampling technique and data was collected using semi-structured interview schedule. Result & Conclusion: Data was analyzed using thematic analysis and subsequent themes, sub-themes and categories emerged, which were: Reluctance to disclosure of HIV status, Experiences with Disclosure, Social Support, Spiritual well being, Difference in living with the disease before and after disclosure, Positive Living and Sexuality and Shame. The participants in this study had several resources at hand, including the treatment facilities and social support, which contributed to the acceptance of the disease condition and a positive living. Thus, it showed that ALWHA had an overall good QOL.
A nonexperimental correlational study was conducted to examine the relationship between emotional... more A nonexperimental correlational study was conducted to examine the relationship between emotional intelligence and job performance satisfaction among the nursing personnel, level of emotional intelligence of the nursing personnel, level of job performance satisfaction of the nursing personnel, association between the emotional intelligence and job performance satisfaction with the selected demographic variables. The study was conducted in Holy Family Hospital, Delhi in 20172018. The conceptual framework for the study was based on Ludwig Von Bertalanffy General system theory, 1968. Total enumeration technique was used to select 300 registered nurses posted in different areas of the hospital. A standardized tool Schutte selfReport Emotional Intelligence Scale was used to assess the emotional intelligence of the Nursing Personnel and Job Satisfaction Questionnaire was developed to assess the job performance satisfaction of the Nursing Personnel. The findings of the study showed that nu...
International Journal of Psychiatric Nursing, 2021
Background: Substance abuse has become a major problem in any growing society, the pattern of con... more Background: Substance abuse has become a major problem in any growing society, the pattern of consumption of medical and non-medical use of drugs, especially by pre adolescents, adolescents and young adults, is both complex and changing. In 1992, WHO declared June 26 as the International Day against substance abuse and illicit trafficking 1. Methods: It was a two-phase study, during phase-I of the study 485 adolescents were assessed for substance use behavior. During phase-II 100 adolescents were given structured teaching programme, pre-test and posttest knowledge and attitude were assessed. Results: The study results revealed that out of 485 adolescents only 3.2% (16) of the adolescents had tried or experimented with substances and 11.1% (54) of the adolescents reported that their friends use the substance in the school. The calculated Z score value was found to be 11.316 which was greater than the table value (1.98) indicates the effectiveness of structured teaching programme.There was a moderate positive correlation (0.568) between the post-test knowledge scores and post-test attitude scores of adolescents. Conclusion: The incidence of drug abuse among children and adolescents is higher than the general population. Therefore, keeping in focus, the investigator felt the need to conduct a research study to assess the knowledge and attitude regarding the ill effects of substance abuse and its prevention among adolescents, and the study was found to be effective in increasing the knowledge and attitude among adolescents.
INTERNATIONAL JOURNAL OF SCIENTIFIC RESEARCH, 2020
A pre-experimental two phase study was conducted to identify the incidence of depression among ca... more A pre-experimental two phase study was conducted to identify the incidence of depression among cancer patients and assess the effectiveness of self-affirmation technique in reducing depression among cancer patients in selected hospital of Delhi. The objective of the study were (a) To assess the incidence of depression among cancer patients (b) To assess the effectiveness of self-affirmation technique in reducing the depression as measured by HDRS among cancer patients (c) To find the association of depression among cancer patients with selected demographic variables, (d) To find the association of mean difference in depression score before and after administration of self-affirmation technique among cancer patients with selected demographic variables. The conceptual framework for the study was based on modified King Imogine Goal Attainment Theory. Quantitative Research Approach was selected. It was a two phase study. In phase 1 of the study Descriptive Survey Design was used to asse...
Background and objectives: A substance dependent person in the family affects almost all aspects ... more Background and objectives: A substance dependent person in the family affects almost all aspects of family life. This leads to problems, difficulties or adverse events which impact the lives of family members and affects the quality of life (QOL) of whole family. The present study was aimed to evaluate QOL of people living with substance users in urban and rural regions of Delhi as well as to determine some factors associated with it. Method: A cross sectional study was conducted on 500 people staying in urban and rural areas of Delhi state of India. Samples were selected by using simple random method. WHOQOL-Bref instrument was used to assess the QOL. Analysis and results: Analysis was done by using descriptive and inferential statistics. The level of significance was set at p < 0.05. Data was analyzed using SPSS software version 20. The results of the study showed that the majority of sample was female, in the age group of 26-35 years. 45.2% of the family member had one or more substance user in the family. The people staying with user group had poor quality of life as compared with people with no substance user in the family. As compared to urban area, people in rural area had poor quality of life. Education, marital status, monthly income of the family significantly affected the quality of life. The lowest score was obtained in the psychological and environmental domain of QOL, which was the evidence that people with substance user in the family are suffering psychologically and their environmental condition is not good. Interpretation and conclusion: This study concluded that the family members living with substance use disorders tended to have a poor quality of life. Caregiver quality of life needs special attention, so that burden of mental health problems can be reduced. There is a need of special clinics along with the treatment of substance use to deal with the caregiver's problems and to improve their overall quality of life.
Background and Objectives: In India, domestic spousal violence against women has far-reaching men... more Background and Objectives: In India, domestic spousal violence against women has far-reaching mental health implications. This study was conducted on women staying in the urban and rural community of New Delhi to determine the prevalence of domestic violence and mental health and to determine the factors associated with it. Materials and Methods: This was a descriptive cross-sectional survey conducted in the urban and rural community of New Delhi, India. Simple random sampling was used to select the sample. Sociodemographic profile was collected using the self-structured questionnaire. Screening for domestic violence was done with the help of WAST (women abuse screening tool) and the self-reporting questionnaire (SRQ-20) was used to assess the mental health status. Analysis and Results: Analysis was performed using descriptive and inferential statistics. The level of significance was set at P < 0.05. Data were analyzed using the SPSS software version 20.Of 920 women surveyed, half of the sample was from the rural community and half was from the urban community. Nearly half (47.2%) of the women reported one or the other types of violence, i.e., WAST ≥4. More than half (62.4%) of the women reported poor mental health, i.e., SRQ ≥8. A statistically significant association (P < 0.05) was found between domestic violence and mental health. Mental health was not found to be significantly associated with age, duration of marriage, number of children, and income. There is no significant difference in the mental health of the people staying in urban and rural areas people staying in urban and rural areas are similarly affected by domestic violence. Education was found to be significantly associated with mental health (0.012,P < 0.05). Conclusions: Findings indicated a strong association between domestic spousal violence and poor mental health and underscore the need for appropriate interventions.
Indian Journal of Youth & Adolescent Health, 2019
Adolescents are the vulnerable group likely to have multiple interacting factors affecting their ... more Adolescents are the vulnerable group likely to have multiple interacting factors affecting their quality of life especially in Indian setting which has a large population of HIV positive children. Therefore, in order to understand the lived experiences and challenges faced by adolescents a Qualitative study was conducted to assess the QOL (Quality of Life) of Adolescents living with HIV/AIDS (ALWHA) under 3 domains: Psychological, Social & Spiritual. The research questions assessed were: What are the psychological experiences of ALWHA, What are the social experiences of ALWHA? How has the diagnosis of the illness affected the day to day life of ALWHA? What challenges do the adolescents face in their day to day life as a person living with HIV/AIDS? Methods: A Qualitative approach with phenomenological design was implemented. Participants were selected through purposive sampling technique and data was collected using semi-structured interview schedule. Result & Conclusion: Data was analyzed using thematic analysis and subsequent themes, sub-themes and categories emerged, which were: Reluctance to disclosure of HIV status, Experiences with Disclosure, Social Support, Spiritual well being, Difference in living with the disease before and after disclosure, Positive Living and Sexuality and Shame. The participants in this study had several resources at hand, including the treatment facilities and social support, which contributed to the acceptance of the disease condition and a positive living. Thus, it showed that ALWHA had an overall good QOL.
Introduction: With a growing awareness of rights in a democratic setup like India, the nurses wor... more Introduction: With a growing awareness of rights in a democratic setup like India, the nurses working in a mental health institution should know the basic legal and ethical aspects of psychiatry. Aim: The present study was undertaken with the aim to develop and evaluate the guidelines on legal and ethical responsibilities for nurses. Method: The study was conducted in two phases in which learning needs of staff nurses regarding legal and ethical responsibilities were identified and guidelines were developed and evaluated. A total of 30 nurses were selected conveniently and assessed using a structured knowledge questionnaire. Based on the findings, guidelines were developed and evaluated on another sample of 30 staff nurses working in psychiatric nursing unit to enhance their knowledge about legal and ethical responsibilities. Results: Most (90%) nurses' possess moderate level of knowledge regarding legal and ethical responsibilities in the field of psychiatry. Major areas of deficit include law terminologies, various mental health Acts, nurses' responsibilities during drug administration in psychiatric ward, civil & criminal responsibilities of nurse, communication skills and application of ethical principles while handling over-medicated and alcoholic patients. The introduction of guidelines on legal and ethical responsibilities to staff nurses significantly increased the knowledge score of the participants. Conclusion: The developed guidelines were effective in enhancing the knowledge on legal and ethical responsibilities for staff nurses and hold high acceptability and utility among staff nurses working in psychiatric unit.
Mental health is still a neglected area in our society. The resentment, fear, shame, guilt are th... more Mental health is still a neglected area in our society. The resentment, fear, shame, guilt are the common reactions faced by mentally ill people. Family has an important role when it comes to treating, rehabilitating, assisting an individual during illness. The aim of the study was to develop and test the effectiveness of an informational booklet on home management of patients with bipolar affective disorder for the family members of bipolar affective disorder patients receiving treatment in selected hospitals of Delhi. The research approach used for this study was Evaluative; sampling technique (purposive), Structured knowledge questionnaire was used to assess the knowledge of Family members of Bipolar affective disorder patients and structured opinionnaire was used to determine the opinion of Family members, Doctors, Nurses and Social workers. Data were analyzed using both descriptive and inferential Statistics. It was found that majority of the family members were parents and sta...
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Papers by Raminder Kalra