Browsing by Author "Gupta, Nidhi"
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Publication Job Satisfaction among Health Workforce in Medical Colleges of Nepal: A Mixed Method(Nepal Health Research Council, 2025) Dahal, Dipak Prasad; Gupta, NidhiBackground: The medical sector in the society and its significant role of job satisfaction will improve the health workforce performance. Presently staffs/workforce management in medical colleges became more challenges. The purpose of the study was to investigate the level of job satisfaction and associated factors in medical colleges of Nepal. Methods: The study employed descriptive, cross-sectional study with the relevant respondents’ such as doctors, nurses and administrative staffs working in different medical colleges of Nepal. The study was conducted within the affiliated college of Kathmandu University School of Medical Sciences (KUSMS). Simple random sampling method was used to select respondents. A total sample size of 108 for quantitative and 18 for qualitative was collected, using the formula from Charan and Biswas, 2013. For qualitative study, we used purposive convenience sampling strategy to enroll the health workers for key informant interview to gather data on job satisfaction, impression and experience about their job. Results: 34.3% of the respondents, we surveyed were not satisfied with their job while 65.7% were satisfied with their current job. It has also been discovered that the delivery of high-quality health care depends on the level of job satisfaction with the healthcare organization. Conclusions: There was a significant relationship between job satisfaction of health workforce and its’ associated factors in medical college of Nepal. A focus on improving work environment through increased financial motivation and career development opportunities as well as investing in health insurance for diseases with increased resources support is recommended to improve job satisfaction. Keywords: Associated factors; health workforce; job satisfaction; medical college.Publication Role of Cord Blood Albumin and Bilirubin for Prediction of Significant Neonatal Jaundice(Nepal Paediatric Society (JNPS), 2021) Gupta, Nidhi; Taran, Shachi Jain; Gupta, Surabhi; Arora, Kewal kishoreAbstract: Introduction: Nearly 60-80% of the term and preterm neonates are affected due to rise in bilirubin levels during early postnatal days, and causes readmission of the neonate sometimes with severe jaundice, which can be reduced if neonatal hyperbilirubinemia can be predicted early. The study was conducted to evaluate the predictive values of cord blood albumin and bilirubin for neonatal hyperbilirubinemia and to evaluate the better predictor between them. Method: In this hospital based observational study, 152 healthy term newborns with birth weight more than 2.5 kg were included. Assessment of cord blood haemoglobin, blood group, albumin and bilirubin levels was done. Follow-up for first consecutive five days after birth was done and assessed daily to look for evidence of jaundice, sepsis or any other illness. Serum bilirubin was evaluated at 72-96 hours of life in all neonates and was done early, if clinically indicated. Receiver’s Operating Characteristics curves were used for calculating the cut-off values of cord blood albumin and bilirubin in relation to hyperbilirubinemia. Result: The cut-off values obtained for albumin and bilirubin of cord blood was < 2.56 mg/dL and >2.33 mg/dL respectively at optimum sensitivity and specificity. Cord blood bilirubin was found to be highly sensitive for early recognition of significant neonatal hyperbilirubinemia as compared to cord blood albumin and can be used for screening purpose. Conclusion: Cord blood albumin and bilirubin can be used for negating the development of NNHB, but for screening purpose, cord blood bilirubin is more predictive of neonatal hyperbilirubinemia.