Indian Journal of Surgical Nursing

Monitoring of patient satisfaction is routinely done in almost all health care settings as a measure of monitoring quality in delivery of health services. Perioperative patient satisfaction aids in postoperative recovery reduce the need of pain medication and augment patient-health provider relationship. Present study aimed at assessing level
of satisfaction in patients towards operation theatre in a tertiary care hospital. Methods: Data was collected from 200 subjects who attended the operation theatres of ESIC Medical College Hospital, Kerala. Samples were selected conveniently. Data collection was done using structured questionnaire. Analysis was done employing descriptive
and inferential statistics. p < 0.05 was considered as statistically significant. Results: Among the study subjects, 56% subjects were highly satisfied with operation theatre services. Significant association was revealed between level of satisfaction and educational status (p < 0.05). Conclusion: More than half (56%) of the subjects were satisfied with operation theatre services. A high level of satisfaction was found with the operation theatre staff behavior.
Keywords: Patient satisfaction; Operation theatre services; Tertiary care hospital.

Background: As the concept of nursing is changing fast, nursing is not only caring for the sick but takes care for prevention of illness, promotion and maintenance of health. The nurses multiple roles in cardiac rehabilitation have a “spider in the web like” character and depending on the phase of the patients recovery he/she acts as a
counsellor, a coach an educator. The study conducted with the aim and objectives of observing the effect of exercise based cardiac rehabilitation on selected cardiac parameters respectively. (1) Heart rate (2) Respiratory rate (3) Blood pressure (4) Saturation of peripheral oxygen (5) Mean arterial pressure (6) Rate pressure product. Material and Method: A pre-experimental one group-pre-test post-test design study was selected for the study 40 samples were selected by non probability purposive sampling technique, among hospital admitted patient those who full filled the inclusion criteriasuch as postoperated CABG patient who has completed 48 hours after surgery, admitted in selected cardiac unit, with stable regimen, both male and female patients was included. Exclusion criteria were patient with severe critical condition, strict bed rest advised and unconscious patient. Exercise based cardiac rehabilitation activity such as warm up exercise, diaphragmatic breathing exercise, active exercise of extremities,
positioning, coughing, huffing, incentive spirometry and ambulation were administered to the patient as per the scheduled duration. Modified observational checklist was used to assess the selected cardiac parameters during pre & post-test. Baseline data was collected from patient records. Validity done and reliability of checklist is 0.98.
Result: Showed that t-value of effectiveness of exercise based cardiac rehabilitation on selected cardiac parameters (t = 3.46 with df19) were found more than table value 2.09 at 0.05 level significant. Inference: Hence the exercise based cardiac rehabilitation was found to be effective in terms of cardiac parameters for post CABG Patient.
Conclusion: Hence the study finding revealed that the exercise based cardiac rehabilitation found to be effective and helpful in improving the cardiac functioning and parameter among postoperated CABG patient. Prolong or continuous performance of selected exercises will help the patient to maintain the cardiac health.
Keywords: Postoperated CABG; Exercise based cardiac rehabilitation; Cardiac parameters; Saturation of
peripheral oxygen; Mean arterial pressure and Rate pressure product.

Introduction: In today’s world, technology plays an important role in every industry as well as in our personal lives. Out of all the industries that technology plays crucial role in, health care is definitely one of the most important. In the health care industry the dependence on medical technology cannot be overstated, and as a result of the development of these brilliant innovations, healthcare practitioners can continue to find ways to improve their practice – from better diagnosis, surgical procedures, and improved patient care. Material and Methods: The research approach used for this study was quantitative approach and the design selected was descriptive study design. By using convenient sampling technique 33 males nursing officers and 67 female nursing officers were selected for this research. Researcher assessed the level of knowledge among nursing officers using a structured questionnaire
tool. Results: The study results shows that among 100 samples, 27% samples had adequate knowledge 60% samples had moderate knowledge and 13% samples had inadequate knowledge on use of technological devices. Conclusion: The study outcome shows the need for qualitative awareness and education programme about use of various technological devices to improve knowledge and competency, in acheiving better health care.
Keywords: Knowledge; Technology; Technological devices; Nursing officers.

Background of the Problem: The literature reported that patients are exposed to and react to stimuli that are unique to Intensive Care Unit settings. Egerton and Kay, 1964; Hale, Koss, Keistan, Camp Barash, 1977; Kornfeld, 1971 reviewed that 25–40% of ICU patients experience identifiable psychological upsets in response to stimuli from the critical acre environment. Methods: A pre- experimental approach with one group, pre-test – intervention – post-test design was used in
this study. The study was conducted in four major hospitals in Thrissur District, namely Westfort Hospital, Mother Hospital, Aswini Hospital and Daya Hospital. The investigator collected data regarding level of sensory deprivation from 20 patients selected using simple random technique (Group I), admitted in ICU, using check list prepared by
the investigator. The investigator selected 50 samples fulfilling the inclusion criteria and exclusion criteria, by using simple random technique. The intervention was in the form of VALP (Video Assisted Learning Package). The tools used were: Structured questionnaire to assess demographic variables. Check list to assess the level of sensory deprivation. Structured questionnaire to assess the level of knowledge of staff nurses regarding sensory deprivation in patients admitted in ICUs. Scale to assess the attitude of staff nurses regarding sensory deprivation in patients admitted in ICUs. Observation check list to assess nurse’s practice focusing sensory deprivation in caring patients admitted in ICUs. Video Assisted Learning Package was administered to study subjects starting from the second day of the pre–test administration. After 7 days of intervention, post–test was administered. Two days after completing post–test, the investigator went to study settings and level of sensory deprivation of 20 patients admitted in ICUs (Group II), selected by simple random sampling technique were observed using the check list. Results: The findings ofthe study revealed that the knowledge, attitude and practice of staff nurses working in ICUs had improved significantly by VALP at 0.001 level of significance. Sensory status of the patients admitted in
ICUs has significantly improved after the intervention given to the staff nurses. There was significant association of the Number of years of experience in ICUwith the attitude level of the staff nurses and the previous exposure to Continuing Nursing Education on sensory deprivationwith the practice level of the staff nurses working in
intensive care units. Conclusion: The study concluded that interventions like Video Assisted Learning Package regarding sensory deprivation helps to improve knowledge, attitude and practice of the staff nurses. This significantly contributed to improvement in sensory status of the patients, especially those who were admitted into intensive care units.
Keywords: Sensory deprivation; Video assisted learning package; ICU staff nurses.
 

Background: Hemiplegia is one of the most common and undesirable consequences of stroke. The disability in daily life is of longer duration for paralysis of the upper extremity than the lower extremity. This study was conducted to assess the effectiveness of mirror therapy on upper extremity functions among hemiplegic patients. Methods: Quantitative pre-test post-test control group design was used. Hundred patients visiting outpatient department of Dr. R.M.L. Hospital, New Delhi were randomly assigned to either of two groups: experimental group and control group. Subjects in experimental group received mirror therapy along with physiotherapy and subjects in control group received physiotherapy only. Demographic related data was collected and upper extremity functions of hemiplegic patients were assessed by using the Manual Function Test (M.F.T.) tool. Data analysis was done by using STATA 11.1 with level of the significance < 0.05. Results: The mean upper extremity function score was significantly (p < 0.001) higher among subjects of experimental group (20.35 ± 4.90) after intervention
of mirror therapy with physiotherapy in comparison to subjects of control group (10.65 ± 4.56) who received only physiotherapy. Significant improvement in upper extremity function was found among subjects with brain injury and subjects with higher education level. Conclusion: It is concluded that mirror therapy is relatively cheap intervention with notable improvement in upper extremity functions among hemiplegic patients. An improved upper extremity function ultimately creates a positive effect on early recovery of hemiplegic patients’ without any
complications associated with hemiplegia.
Keywords: Mirror therapy; Hemplegia; Upper extremity function; Stroke.

Medication errors may occur at any stage of prescribing, demonstrating, dispensing, preparation and administration. Medication errors can contribute to morbidity, mortality and increased health care cost. The
aims of this study was to find the causes of medication errors, perceptions of staff nurses towards medication errors and identify the difference between I.C.Us and ward nurses with regard to perception of medication error in the selected units of Dr. R.M.L hospital. Quantitative Cross-sectional survey approach was selected. All the registered nurses who were working in the medical, surgical, paediatric ward and I.C.Us of
Dr. R.M.L hospital and fulfilling the inclusion criteria were enrolled for this study. Non probability convenient sampling was done and 100 staff nurses were enrolled for study. Study results found that participants from the selected units of Dr R.M.L. Hospital are aware about the causes of medication errors and majority of them have a common view about reporting medication errors i.e. it has to be reported to the nurse manager but there was no incidental report or any other written document exists with the Nurse Manager indicating occurrence of medication errors.
Keywords: Medication errors; Morbidity; Mortality.