Browsing by Author "Gautam, Roshani"
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Publication Need of Specialized Courses in Advance Nursing Education in Nepal(Institute of Medicine, 2023) Rai, Lalita; KC, Takma; Adhikari, Raj D; Acharya, Devaka; Sharma, Muna; Gautam, Roshani; KC, Tulaza; Das, Indra K; Shrestha, ShristyABSTRACT Introduction: Nursing specialization and certification of skill contribute nursing professionalism that improve nursing practice in an identified specific area within the entire field of professional nursing. Methods: A descriptive cross sectional survey was used for assessing the need of specialized courses in advanced nursing. Data was collected from January to March 2022 through an online survey among 354 nurses working in Nepal. Collected data was entered into SPSS version 16 and expressed by using descriptive statistics. Results: The findings showed that more than half (54.5%) of the participants were age group of 20-29, 99.4% were females, 50.3% had bachelor’s degree, 60.7% worked in government and 70.3% had working experience less than 10 years. Almost all (98.8%) felt importance of specialized courses in higher education and the needs of advanced courses (72.9%) and especially in critical care (53.1%) Almost all respondents (95.2 to 90.7%) perceived these courses increase self-esteem and morale, promote quality patient care, increase confidentiality and creditability, ensure competency, validate nurses’ knowledge and expertise, advancement of professional career ladder and clinical expert and increase professional accountability. Majority of them perceived (77.4%-57.6%) that specialty courses increase access to job-related power, obtain noticeable financial benefits and perform excellence services. Almost all (91.0%) of them perceived that it is beneficial to maintain professionalism. Conclusion: This study concluded that almost all graduate nurses felt specialty courses in masters degree for personal and professional development. Thus it is strongly recommended to initiate different specialized courses at the postgraduate level. Keywords: Advance nursing education; need; specialized coursesPublication Use of Complementary and Alternatives Medicine among Cancer Patients(Institute of Medicine, 2024) Neupane, Suchita; Gautam, Roshani; Sharma, Sujan; Shrestha, LavaABSTRACT Introduction: Complementary and alternative medicine (CAM) use is common among cancer patients with the hope to manage symptoms arising from the cancer related treatment or to improve the quality of life. In this study, we aimed to describe various CAM practices among cancer patients. Methods: A descriptive cross-sectional study was conducted in Bhaktapur Cancer Hospital. Convenient sampling technique was used to select the participants. Data was collected from cancer patients attending in out-patient department of Bhaktapur Cancer Hospital with a structured questionnaire. The collected data and analyzed using Statistical Package for the Social Sciences (SPSS) version 16. Results: The use of CAM was found in 40.7% (37/91) of the studied cancer patients. Among them, Ayurveda 18 (56.2%) was the most common type of CAM used. Among CAM users, the most common reason for using CAM was to reduce side effects of cancer related treatment (22, 59.4%). The majority of the respondents 33 (89.1%) were satisfied with CAM use. Only 14 (37.8%) of respondents consulted with their doctor about the initiation of CAM use. Gynecological cancer 38 (41.7%) was the most common site of cancer seen among the respondents followed by respiratory 18 (19.7%) and gastro-intestinal 17 (18.6%) respectively. Twenty eight (30.8%) of the respondents were in the third stage of cancer. Conclusion: Less than half of the cancer patients were using CAM, Ayurvedic medicine being the most common form. Majority of the users were satisfied with CAM use. Further studies on potential risk and benefits associated with CAM therapy is needed as its use has been increasing. Keywords: Cancer patient, complementary medicine, alternative medicine