Papers by Tumla S Shrestha
Journal of Health Promotion, Dec 30, 2023
Journal of Health and Allied Sciences, Apr 22, 2024
Journal of Health and Allied Sciences, Nov 8, 2022
Introduction: Hospitalization of the preterm infant (PTI) in the neonatal intensive care unit (NI... more Introduction: Hospitalization of the preterm infant (PTI) in the neonatal intensive care unit (NICU) is a stressful situation for mothers requiring nurses' care and support for adjustment and coping. Understanding mothers' experience is valuable for enhancing care and support for them. Therefore, this study was conducted to explore mothers' experience regarding hospitalization of PTIs in NICUs. Methods: The qualitative pilot study was conducted among purposively selected 5 mothers of NICU admitted PTIs in a public academic hospital of Bagmati province from May to July 2019. After obtaining ethical approval, in-depth interviews were conducted using interview guideline. The data were analyzed using the content analysis method. Results: Exploration of mothers' experience has identified 4 themes: worry and uncertainty regarding the condition and outcome of the PTIs; altered attachment and maternal roles; attachment, and care enabling with care involvement; mixed experience of care, and support. Conclusion: Hospitalization of PTIs in NICUs was distressing to mothers related to inadequate and altered attachment, and maternal roles. They experienced mother-infant attachment, contentment, and care enabling with involvement in PTI care. They valued nurses' PTI care and care guidance and expected more guidance, communication, and emotional support. Considering study findings might be worthwhile for enhancing care status in NICUs.
Journal of Nepal Medical Association, 2019
Introduction: Adolescent girls often lack knowledge regarding reproductive health includingmenstr... more Introduction: Adolescent girls often lack knowledge regarding reproductive health includingmenstruation which can be due to socio-cultural barriers in which they grow up. It is importantto educate adolescents about issues related to menstruation so that they can safeguard themselvesand hold implications for professionals involved in improvement of reproductive health. The mainobjective of the study was to find out awareness regarding menstrual hygiene among girl studentsof a school in Chitwan. Methods: A descriptive cross-sectional study was conducted in a school in Chitwan among girlstudents of school from grade 8, 9 and 10 from 2019 July to August 2019 after ethical approval. All thegirl students from grade 8, 9 and 10 were included into the study. Data were entered and calculationswere using Statistical Package for the Social Sciences version 20. Results: Among 184 adolescent girls, 156 (84.8%) were aware about the menstrual hygiene andmost of them 176 (95.7%) knew about the crit...
Journal of Nepal Paediatric Society
Introduction: Parental satisfaction is one of the indicators of quality care. An understanding of... more Introduction: Parental satisfaction is one of the indicators of quality care. An understanding of the satisfying areas would help to identify and prioritize care and support areas for infants and parents. Therefore, this study was conducted to find out the parental satisfaction with care and support in neonatal care units (NCUs). Methods: Cross-sectional descriptive study was conducted in NCUs of five selected public hospitals. The study was conducted among 305 parents of preterm infants (PTIs). After obtaining ethical approval, in-person interviews were conducted with parents using a satisfaction questionnaire. Both descriptive and inferential statistics were used for data analysis. Results: Parents were moderately satisfied with care and support with a median score and interquartile range of 3.4 (3.1- 3.8). They were highly satisfied with the infant care and least satisfied with the attachment and care guidance support with median scores of 4.0 (3.5 - 4.0) and 3.1 (2.6 - 3.8) resp...
Journal of Health Promotion , 2023
Preterm infants (PTIs) require special care in neonatal care units (NCUs) for their survival, gro... more Preterm infants (PTIs) require special care in neonatal care units (NCUs) for their survival, growth, and development. Nurses are in a pivotal position to provide quality care to those infants in NCUs. Available literature indicates that care practice needs to be improved in developing countries. This study aimed to explore the nursing care practice for PTIs in NCUs. An exploratory qualitative study was conducted in NCUs of three public tertiary care hospitals in Kathmandu, Nepal, from November 2019 to February 2020. Data were collected through six focus group discussions among 40 nurses working in NCUs. The thematic analysis of qualitative data revealed standardized and inadequate care practices for PTIs in NCUs. Standard practices regarding thermal care, oxygen administration, nutritional care, and infection prevention were found. Inadequate care was identified regarding sleep protection, proper positioning, supportive sensory environment, and pain management. The study reported the standard care practice areas and areas for improvement to enhance nursing care in NCUs, such as pain management, sleep promotion, breastfeeding support, kangaroo mother care, and a supportive sensory environment. The findings have important implications for enhancing care practices for PTIs in NCUs, which is important for promoting the short-and long-term outcomes among PTIs.
Journal of Nepal Medical Association, 2013
Introduction: Many reproductive aged women needlessly die due to unsafe abortion even when they s... more Introduction: Many reproductive aged women needlessly die due to unsafe abortion even when they seek help to terminate their unwanted pregnancy. These deaths could have been prevented had they been aware that safe abortion service was available to them. The study aimed at finding out the effectiveness of the education intervention in improving knowledge among reproductive age group women regarding the safe abortion. Methods: An experimental intervention was carried out on safe abortion education among the reproductive age group women. The impact of pre- and post- intervention was evaluated by using a set of structured questionnaire in local language. The obtained data was analyzed by using the Excel and Statistical Package for the Social Sciences, version 12.0 for windows and result was interpreted. Results: The post intervention finding revealed a significantly higher (p= 0.001) mean on knowledge among participants about safe abortion compared to pre-observational test. The mean di...
Journal of Nepal Medical Association, 2013
Introduction: Neonatal mortality has continued to increase as a percentage (>60%) of overall i... more Introduction: Neonatal mortality has continued to increase as a percentage (>60%) of overall infant mortality. Any further reduction in infant mortality is dependent on saving more newborn lives. It is possible if their mothers are knowledgeable and provide proper newborn care. Therefore, the objective of the study was to find out knowledge and practice of the postnatal mothers about newborn care.Methods: A descriptive study was done among 100 purposively selected post natal mothers admitted in Teaching Hospital. Newborn care practice was observed among 20 mothers and comparison was done between knowledge and practice. Semi-structured interview questionnaire and observation checklist was used to collect the data. The descriptive statistics was used.Results: Respondents’ mean knowledge was on keeping newborn warm 44.2, on newborn care 47.2, on immunization 67.33, on danger signs 35.63. All (100%) respondents had have knowledge and practice to feed colostrums and exclusive breast f...
Introduction: Neonatal mortality has continued to increase as a percentage (>60%) of overall i... more Introduction: Neonatal mortality has continued to increase as a percentage (>60%) of overall infant mortality. Any further reduction in infant mortality is dependent on saving more newborn lives. It is possible if their mothers are knowledgeable and provide proper newborn care. Therefore, the objective of the study was to find out knowledge and practice of the postnatal mothers about newborn care.
Background: Nursing requires high self-esteem and effective coping strategies for the quality of ... more Background: Nursing requires high self-esteem and effective coping strategies for the quality of health services that they deliver. Self -esteem and stress coping mechanism developed during education period is foundation for professional practice. So, this study was conducted to identify self-esteem, coping activities, and their relationship. Methods: Descriptive cross sectional study was conducted among 287 PCL nursing students currently studying in different level in nursing campuses of the Institute of Medicine during June and July 2013. Self administered semi structured questionnaire and rating scales were used for the data collection. Results: Findings showed that 21 (7.31%), 194 (67.5%), and 67 (23.34%), students had have very high, high and moderate, self-esteem and only five (1.74%) have low self-esteem. The difference in self-esteem level was insignificant with the level of the students. Students most frequently used problem focused (3.36±0.54) followed by emotion focused (...
Background: Preterm births are vulnerable to morbidities and require hospitalization in the neona... more Background: Preterm births are vulnerable to morbidities and require hospitalization in the neonatal care unit (NCU). The situation is stressful for mothers influencing their attachment and care to the newborns. Therefore, this study was conducted to explore the experience of mothers having preterm newborns in NCU. Methods: The qualitative study was conducted among purposively selected 13 mothers of NCU admitted preterm infants at Tribhuvan University, Teaching Hospital. Data was collected using in-depth interview. Colaizzi content analysis method was used for data analysis. Results: Among 13 mothers, 8 were primipara, 25-30 years, homemakers; 6 had Bachelor or above education; 11 had ANC visit > 4 times. Ten infants were very preterm (< 32 weeks gestational age), 11 have very low birth weight (< 1500 gram), 9 born by caesarian section and stayed NICU for 7-14 days. Study identified 5 themes and 18 subthemes: loss of control (fear and anxiety, distress towards pain and suff...
Journal of Nepal Medical Association
Introduction: Many reproductive aged women needlessly die due to unsafe abortion even when they s... more Introduction: Many reproductive aged women needlessly die due to unsafe abortion even when they seek help to terminate their unwanted pregnancy. These deaths could have been prevented had they been aware that safe abortion service was available to them. The study aimed at finding out the effectiveness of the education intervention in improving knowledge among reproductive age group women regarding the safe abortion. Methods: An experimental intervention was carried out on safe abortion education among the reproductive age group women. The impact of pre- and post- intervention was evaluated by using a set of structured questionnaire in local language. The obtained data was analyzed by using the Excel and Statistical Package for the Social Sciences, version 12.0 for windows and result was interpreted. Results: The post intervention finding revealed a significantly higher (p= 0.001) mean on knowledge among participants about safe abortion compared to pre-observational test. The mean di...
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Papers by Tumla S Shrestha