Browsing by Author "Sapkota, Sochana"
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Publication Factors Associated with Exclusive Breastfeeding among Working Mothers Attending Maternal and Child Health Clinic(Nepal Paediatric Society (JNPS), 2023) Sigdel, Narayani Devi; Sapkota, Sochana; Acharya, SharadaAbstract: Introduction: Breast milk is a natural and perfect food that protects against illness and death by acting as the baby’s first immunization. The employment of the mother is considered to be one of the most important barriers to exclusive breastfeeding (EBF). Methods: A hospital-based descriptive cross-sectional study was done to find out the associated factors with EBF among working mothers. A total of 150 working mothers having children six to 24 months were selected. Self-developed semi-structured interview schedule was used. Pre-testing was done on 15 (10%) of the total sample and necessary modifications were done. Data were analyzed by using descriptive (Frequency, percentage) and inferential statistics (Chi-square and odds ratio). Results: A total of 52 (34.66%) working mothers reported to have practice of EBF for six months. Majority (80%) of the working mothers fed colostrum. Majority (92.85%) of the working mothers gave powdered milk due to inadequate milk secretion. Regarding Expressed Breast Milk (EBM) storage, more than 50% had no idea about EBM and 47 (31.33%) of the mothers had a breastfeeding room at their workplace. 80 (53.33%) mothers had allowed children in their workplace while 47 (88.0%) had family support. EBF was associated with mode of delivery (OR = 0.440, 95% CI: 0.214 - 0.903), child hospitalization in the past (OR = 0.139, 95% CI: 0.031 - 0.618), facility of express breastmilk (OR = 4.087, 95% CI: 0.978 - 17.079) and flexible working environment (OR = 4.2, 95% CI: 1.789 - 9.863). Conclusions: About only one-third of working mothers had given EBF to their child. Vaginal delivery, child hospitalization in the past, a facility of EBM at home, and a flexible working environment were associated factors with EBF among working mothers.Publication Knowledge and Perception on Medication Administration Error and Its Reporting among Nurses Working in a Children Hospital(Perinatal Society of Nepal (PESON), 2025) Joshi, Alina; Tuitui, Roshani Laxmi; Sapkota, SochanaAbstract: Introduction: Medication administration error (MAE) is a global concern related to patient safety and the problem of under reporting further increases the risk of morbidity and mortality. This study aimed to identify the knowledge and perception on medication administration error and its reporting among nurses working in a children hospital Methods: A cross sectional design with simple random sampling technique was used to select 121 nurses from children’s hospital. Self-administered semi-structured questionnaire was used to collect the data on knowledge on MAEs and perception towards MAEs reporting. Chi-square test was used to find out the association of selected socio-demographic variables with knowledge on MAEs and perception towards MAE reporting. Pearson’s correlation was used to assess correlation between knowledge and perception on MAE and its reporting. Results: The study revealed that majority (75.2%) of respondents had good knowledge on MAE and most (91.7%) of them had positive perception regarding MAE reporting. The most common perceived causes were overload of work due to inadequate staffing, lack of training and in-service education on MAEs and poor communication. Majority (62.8%) of the respondents have seen or heard of MAEs during their clinical experience. Fear from consequences, disciplinary action and negative image by patient party were the common reason for non-reporting of MAEs. Conclusion: The policy makers should emphasize in maintaining nurse-patient ratio as per the standard and blame free culture in the workplace should be promoted to enhance error reporting and mitigation with implementation of patient safety action plan.