Browsing by Author "Neupane, Sharmila"
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Publication Impact of COVID-19 Pandemic on Pregnant Mothers(Institute of Medicine, 2022) Kapali, Gayetri Darshandhari; Koirala, Manisa; Katuwal, Neeta; Thapa, Sangita; Adhikari, Anuradha; Gachhadar, Rashmi; Neupane, Sharmila; Panta, GangaABSTRACT Introduction: The COVID pandemic has detrimental impact on physical and psychological wellbeing of expectant mothers. Fear and worry during pregnancy amplifies risks and can have negative physical and psychological consequences for mother and newborn outcomes. So this study intended to assess the impact of COVID-19 pandemic on pregnant mothers during pregnancy. Methods: Descriptive cross-sectional study design was applied among 123 pregnant mothers who visited antenatal OPD of Tribhuvan University Teaching Hospital. Data were collected through non-probability purposive sampling technique by using interview schedule. Descriptive statistic and inferential statistics were used to analyze the collected data. Results: Pregnant mothers faced difficulties to maintain physical wellbeing, 84 (68.3%) did not perform any physical exercise, 96 (78%) were physically inactive, 107(87%) stated absence of sound sleep during pregnancy. Majority i.e. 111 (90.2%) of pregnant mothers perceived fear on outcome of newborn. Likewise, 11(8.9%) had severe impact on their psychological wellbeing during COVID-19 pandemic. Place of residence, number of children and trimester of pregnancy were found to be the strong predictors of psychological impact among pregnant women. Conclusion: The impact was seen on exercise, sleep, physical wellbeing whereas pregnant mothers seemed more attentive on healthy diet. They expressed more fear on obstetric or newborn outcome and uncertainty on mode of delivery with this panic situation. Keywords: COVID-19, impact, mothers, pandemic, pregnancyPublication Perception of Nursing Students toward Academic Learning Environment in a College of Kathmandu(Institute of Medicine, 2019) Koirala, Manisa; Koirala, Surya; Neupane, SharmilaABSTRACT Introduction A supportive and systematic design of academic learning environment has been important for transfer of learning in clinical context, can lead to positive outcomes for graduates and best prepares for professional life. The objective of this study was to find out the perception of nursing students toward academic learning environment. Methods The descriptive, cross sectional study design was used among 172 proficiency certificate level (PCL) nursing students at Maharajgunj Nursing Campus, Kathmandu Nepal. The data were collected by using Dundee Ready Education Environment Measure (DREEM) Inventories with complete enumeration technique which was developed by Roff et al (1997). Data were analyzed using descriptive and inferential statistics. Results Overall mean score of academic learning environment was found 142.78 out of 200 for 50 items which was in the ranged for ‘positive’ learning environments. The total mean score for perception of learning was 34.4 out of 48; for perception of teacher 30.7 out of 44; for academic self-perception 25 out of 32; for perception of atmosphere 33.3 out of 48; for social self-perceptions 19.3 out of 28. Mean scores indicated that students’ rated all five dimensions of the educational environment in this institution as an average. The significant differences were found between overall mean score; mean score of teachers, academic self-perception & social self perception of students and different academic year. Conclusion The overall mean DREEM scores indicate a more positive academic learning environment. Although the overall learning environments score of this institution observe as an average, none of the items represents ‘excellent’ score or real positive academic learning environment. Keywords: Academic learning environment, nursing students, perceptions