Browsing by Author "Parajuli, Bimala"
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Publication Contributing Factors on Utilization of Postnatal Care Services among the Mothers of a Rural Municipality(Institute of Medicine, 2022) Parajuli, Bimala; Singh, Shreejana; Bharati, Mamata; Tandukar, Bimala; Maharjan, Reena; Bhandari, SushilaABSTRACT Introduction: The postnatal period is a period of adjustment for both the mother and her new family member. This is a critical stage because a large proportion of maternal and neonatal deaths occur during the postnatal period. This study aimed to identify the factors that influence mothers' use of postnatal care services. Methods: Descriptive cross-sectional study was conducted among 163 mothers with children aged eight days to less than one year. The data was collected through face-to-face interviews using a semi-structured interview schedule using a non-probability purposive sampling technique. SPSS version 20 was used to analyze the data, which was then described using descriptive and inferential statistics. Results: Only 10.4% had received full postnatal care services within seven days following last childbirth. There was a significant association with respondents' education level (p-value = 0.03), history of abortion (p-value = 0.005), importance of PNC at the ANC checkup (p-value = 0.001), place of delivery (p-value = 0.004), duration of hospital stay (p-value <0.001), and health complications during recent childbirth (p value= <0.001). In binary logistic regression analysis, it showed that respondents' education more than secondary 4.6 times than up to secondary and duration of hospital stay more than 24 hours 85.5 times more than less than 24 hours were more likely to fully utilize the postnatal care services. Conclusion: Despite the accessibility and availability of postnatal care services, the level of utilization is low. Respondents fully utilize the first postnatal service but do not use the full package as recommended by protocol. Keywords: Postnatal care, postnatal period, postnatal service usePublication Knowledge and Attitude on Ethical Conduct of Clinical Research Among Nurses Working in the University Hospital of Nepal(Nepal Health Research Council, 2026) Singh, Shreejana; Joshi, Deepak Raj; Maharjan, Ajanta; Khatri, Pratima; Shahi, Bhibhooti; Chapagai, Manisha; Parajuli, Bimala; Sharma, Mohan RajAbstract: Background: Nurses are pivotal in primary healthcare and often serve as the first point of patient contact. Delivering evidence-based care is essential for ensuring high-quality services. Clinical research in hospital settings provides the evidence base that supports such care. This study aimed to assess nurses’ knowledge of clinical research ethics and their attitudes toward conducting research at a university hospital. Methods: A pretested semi-structured questionnaire, developed from literature and expert input, was used to collect data on demographics, research knowledge, and attitudes toward ethical conduct of clinical research among 279 nurses at the University Hospital. Ethical approval was obtained from the Institutional Review Committee, and data were analyzed using descriptive and inferential statistics (t-test and ANOVA) in SPSS version 26. Results: Most respondents were aged 26–30 years, held bachelor’s degrees, and lacked formal research training, though over half had prior research experience. Knowledge of clinical research, particularly ethics and trial procedures, was high, and attitudes were largely positive. Misconceptions persisted regarding vulnerable populations, the use of placebos, and blinding. Knowledge and attitude scores were significantly associated with education and research experience, while nearly all nurses acknowledged the necessity of clinical trials (98.9%) and ethical guidelines (93.5%). Conclusions: Nurses demonstrated strong knowledge of research ethics and positive attitudes toward clinical research, though gaps in specific ethical concepts highlight the need for enhanced formal training to strengthen their confidence and readiness for ethical research engagement. Keywords: Attitude; clinical research; ethics; knowledge; Nepal; nurses. Author Biography Manisha Chapagai , Maharajgunj Medical Campus, Institute of Medicine, Tribhuvan University, Kathmandu, Nepal