Objectives: This study aims to examine Nepalese undergraduate nursing students' knowledge of aging,attitudes towards older adults and perceptions of working with older adults,and to assess differences in these out...Objectives: This study aims to examine Nepalese undergraduate nursing students' knowledge of aging,attitudes towards older adults and perceptions of working with older adults,and to assess differences in these outcomes by socio-demographic characteristics as well as type of nursing program.Methods: A cross-sectional study was conducted among 385 undergraduate nursing students in six nursing colleges located in the Kathmandu Valley,Knowledge of aging,attitudes toward older adults and perceptions of working with older adults were assessed using standardized tools,the Palmore Facts on Aging Quiz,Kogan's Attitudes towards Older People Scale,and Nolan's Intent to Work with Older People Questionnaire,respectively.Results: The mean knowledge scores on older adults and aging were relatively low;participants scored an average of 26.9 out of 50.Scores assessing attitudes towards and perceptions of working with older adults were more favorable.Compared to students pursuing a Bachelor of Science in Nursing (BSN),students pursuing a Bachelor of Nursing (BN) had a significantly higher score on the knowledge,attitudes and perception of aging scales.Linear regression analyses showed that the students' knowledge of aging (β =0.55;95% CI =0.25-0.86) and perceptions of working with older adults (β =0.22;95% Cl =0.05 -0.38) had a significant positive association with their attitudes toward older adults.Conclusions: Undergraduate nursing students in the Kathmandu Valley of Nepal displayed a relatively low level of knowledge,but a positive attitude towards older adults,and a positive perception of working with older adults.Observed differences in knowledge,attitude,and perception scores between students in BSN and BN programs needs further investigation;closing this gap may be important for bolstering undergraduate gerontological preparation in Nepal.展开更多
Childbirth experience is one of the most intense pain that majority of women will endure during their lifetime. Concerns about pain in labor remain a hot topic, and its popularity gets more common day by day as more w...Childbirth experience is one of the most intense pain that majority of women will endure during their lifetime. Concerns about pain in labor remain a hot topic, and its popularity gets more common day by day as more women become aware of their rights to achieve a better quality of care during labor. There are various non-pharmacologic (transcutaneous electrical nerve stimulation, hydrotherapy, intradermal water injections and acupuncture) and pharmacologic treatments (nitrous oxide, opioids and regional analgesia techniques: spinal, epidural and combined epidural analgesia) available today. Among these, epidural analgesia offers the most effective form of pain relief and is considered to be the gold standard of labor analgesia. Despite having labor analgesic services, most women still go through painful labor due to lack of knowledge regarding it, particularly in developing countries. The main source of information regarding pain reliefs is from friends and relatives, revealing the lack of information from caregiver’s side. So this study reflects that there is a wide gap in the communication between pregnant women and obstetricians. It supports the fact that obstetricians through the practice of routinely offering labor analgesia can significantly improve the maternal and perinatal outcomes of pregnancy. Provision of standardized epidural analgesia information at an appropriate time in their pregnancy may benefit them by the practice of mutual decision-making. Thus, it may prevent women from making a difficult choice of cesarean section to avoid the fear of painful labor.展开更多
文摘Objectives: This study aims to examine Nepalese undergraduate nursing students' knowledge of aging,attitudes towards older adults and perceptions of working with older adults,and to assess differences in these outcomes by socio-demographic characteristics as well as type of nursing program.Methods: A cross-sectional study was conducted among 385 undergraduate nursing students in six nursing colleges located in the Kathmandu Valley,Knowledge of aging,attitudes toward older adults and perceptions of working with older adults were assessed using standardized tools,the Palmore Facts on Aging Quiz,Kogan's Attitudes towards Older People Scale,and Nolan's Intent to Work with Older People Questionnaire,respectively.Results: The mean knowledge scores on older adults and aging were relatively low;participants scored an average of 26.9 out of 50.Scores assessing attitudes towards and perceptions of working with older adults were more favorable.Compared to students pursuing a Bachelor of Science in Nursing (BSN),students pursuing a Bachelor of Nursing (BN) had a significantly higher score on the knowledge,attitudes and perception of aging scales.Linear regression analyses showed that the students' knowledge of aging (β =0.55;95% CI =0.25-0.86) and perceptions of working with older adults (β =0.22;95% Cl =0.05 -0.38) had a significant positive association with their attitudes toward older adults.Conclusions: Undergraduate nursing students in the Kathmandu Valley of Nepal displayed a relatively low level of knowledge,but a positive attitude towards older adults,and a positive perception of working with older adults.Observed differences in knowledge,attitude,and perception scores between students in BSN and BN programs needs further investigation;closing this gap may be important for bolstering undergraduate gerontological preparation in Nepal.
文摘Childbirth experience is one of the most intense pain that majority of women will endure during their lifetime. Concerns about pain in labor remain a hot topic, and its popularity gets more common day by day as more women become aware of their rights to achieve a better quality of care during labor. There are various non-pharmacologic (transcutaneous electrical nerve stimulation, hydrotherapy, intradermal water injections and acupuncture) and pharmacologic treatments (nitrous oxide, opioids and regional analgesia techniques: spinal, epidural and combined epidural analgesia) available today. Among these, epidural analgesia offers the most effective form of pain relief and is considered to be the gold standard of labor analgesia. Despite having labor analgesic services, most women still go through painful labor due to lack of knowledge regarding it, particularly in developing countries. The main source of information regarding pain reliefs is from friends and relatives, revealing the lack of information from caregiver’s side. So this study reflects that there is a wide gap in the communication between pregnant women and obstetricians. It supports the fact that obstetricians through the practice of routinely offering labor analgesia can significantly improve the maternal and perinatal outcomes of pregnancy. Provision of standardized epidural analgesia information at an appropriate time in their pregnancy may benefit them by the practice of mutual decision-making. Thus, it may prevent women from making a difficult choice of cesarean section to avoid the fear of painful labor.
