Browsing by Author "Shrestha, Romina"
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Publication Assertiveness of Nursing Professionals Working in a University Hospital of Nepal(Institute of Medicine, 2023) Shrestha, Romina; Mishra, Tulashi Adhikari; Banstola, Ratna S; Joshi, SaralaABSTRACT Introduction: To provide patients with appropriate treatment and foster therapeutic interactions, nurses must possess assertiveness. The study objective was to find out the assertiveness of nurses. Methods: In this cross-sectional study, 272 nurses were recruited using a proportionate stratified random sampling at Tribhuvan University Teaching Hospital (TUTH), Nepal. Assertiveness was measured with a self-administered questionnaire, 30-item Simple Rathus Assertiveness Schedule. Data analysis was done in SPSS version 16. Independent Sample t-test, Pearson Chi-square test, Fisher’s Exact test, and odds ratio were used to examine the association. Results: Among nurses, 192 (70.6%) were assertive with a mean assertiveness score of 18.1±14.7. There was a significant association of nurses’ assertiveness with their marital status (p = 0.02), nursing degree (p=0.03), professional designation (p=0.04), employment type (p= 0.03), and additional training (p=0.004). Nurses with bachelor-level nursing degrees were 1.8 times more assertive (95% CI = 1.05-3.07) than those nurses with certificate-level nursing degrees. Nursing officers were 2.1 times more assertive (95% CI = 1.02 – 4.2) than staff nurses. Further, permanently employed nurses were 2.63 times more assertive (95% CI = 1.35-5.12), and nurses who received additional training were 2.2 times more assertive (95% CI = 1.29-3.83). Conclusion: More than two-thirds of nurses working in the university hospital were assertive. Nurses with bachelor-level nursing degrees, with professional designation as “nursing officers”, with permanent employment, and those who received additional training were more assertive. These things should be taken into consideration by the hospital administration to increase assertiveness among nurses. Keywords: Assertiveness, nurses, university hospitalPublication Physical Status and Psychosocial Wellbeing of Child Domestic Workers in Selected Wards of Pokhara(Institute of Medicine, 2025) Banstola, Ratna Shila; Paudel, Usha Kiran; Shrestha, RominaABSTRACT Introduction: Child domestic workers (CDWs) face unique physical and psychosocial challenges; however, research on these issues is limited. This study assesses the nutritional status, physical health, and psychosocial problems among CDWs in selected wards of Pokhara. Methods: A cross-sectional study was conducted among 125 CDWs using a snowball sampling. Data were collected via semi-structured interviews and physiological measurements. Descriptive statistics (frequency, percentage, mean, and standard deviation) and inferential statistics (Chi-square test) at a 5% significance level were used. Odds ratios were calculated at a 95% confidence interval. Data analysis was performed using SPSS version 16. Results: Among the CDWs, 50.9% reported inadequate fulfilment of basic needs; 50.4% exhibited stunted stature, 35.2% had low weight for age, and 16.8% were underweight based on BMI. Male CDWs (p = 0.001, OR = 4.929) and those obtaining less than seven hours of sleep per night (p = 0.003, OR = 5.77) demonstrated significantly greater odds of being underweight. Health problems were reported by 47.2%, while 50.9% had sustained work-related injuries. Older CDWs (p = 0.011, OR = 2.679) were significantly more likely to report health problems. Psychosocial problems were observed in 25.6% of the CDWs and were significantly associated with working over eight hours daily (p = 0.036, OR = 2.450), inadequate fulfilment of basic needs (p = 0.002, OR = 3.868), and dissatisfaction with work (p = 0.003, OR = 3.471). Conclusion: Poor nutrition among child domestic workers was associated with inadequate sleep and male sex; health and psychosocial problems correlated with older age, long hours, unmet needs, and dissatisfaction, warranting further longitudinal research. Keywords: BMI; child domestic workers; child labor; nutritional status; psychosocial problemsPublication Psychological Burden Faced by Parents having Children with Thalassemia in a Teaching Hospital of Birgunj, Madhesh province(Institute of Medicine, Tribhuvan University, 2024) Shrestha, Romina; Shah, Rubi; Bhandari, Keshav; Banstola, Ratna ShilaAbstract: Introduction Caring for a child suffering from thalassemia is very stressful for parents. The study was aimed to identify the psychological burden of parents having children with thalassemia. Methods Cross-sectional analytical study was done. The parents having children diagnosed with thalassemia and receiving service from Pediatric OPD, National Medical College were the study participants. Non-probability convenience sampling technique was used and sample size was 88. Data was collected through face-to-face interviews using a structured interview schedule. Data analysis was done in SPSS version 16. Chi-square test, fisher’s exact test and odds ratio were used to examine the association. Results Mean psychological burden score was 47.47 ± 10.9, and 71.6% of parents had moderate level of psychological burden. Level of psychological burden was associated with parents’ sex (p=0.03), education level (p=0.03), and income (p=0.01). Odds ratio determined that psychological burden was 2.9 times higher (95% CI = 1.1-7.6) among mothers, 3.7 times higher (95% CI = 1.4-9.9) for the parents whose income was insufficient to get their needs met. Non-literate parents were 3.6 times and parents with primary to secondary level education were 1.6 times more likely to have psychological burden. In contrast, those with higher secondary or above levels of education were less likely to perceive psychological burden (OR = 0.3, 95% CI = 0.4-1.0). Conclusion More than two-thirds of the parents having children with thalassemia tend to have moderate levels of psychological burden. The measures to reduce psychological burden of parents should focus more towards mothers, those parents with low education level and with less income.