https://hdl.handle.net/20.500.14356/2685 2026-04-02T19:34:23Z 2026-04-02T19:34:23Z Bhandari, Menuka https://hdl.handle.net/20.500.14356/2687 2025-04-28T08:56:28Z 2024-01-01T00:00:00Z

Title: Assessment of School Health Services and Perception of School Nurses and Principals towards the Nurses' Role in School of Province 1, Nepal Authors: Bhandari, Menuka Abstract: ABSTRACT Introduction: The health-care delivery system that operates within a school or college is referred to as school health services. The primary responsibilities of School Health Nurses are prevention, promotion, health evaluation and first aid, referral, planning for health action, coordinating, recording, and reporting. Methods: A Mixed Method study was done to assess the status of school health services and the perception of nurses and principals towards the role of school health nurses of province 1. The data was collected using a self-administered questionnaire and in-depth interview using interview guide with nurses and principals. The observation checklist was used to assess the current status of School Health Services. Descriptive analysis and inferential analysis including t-test was used at 95% confidence interval to find the mean difference between the perception of nurses and principals toward nurses’ roles. Results: The findings showed that nearly half (47.1 %) of the nurses and two-thirds (66.7 %) of principals strongly agreed that the role of nurses was to assess the health status of the students, nearly half (43.1 %) of nurses and principals agreed that the role of nurses is to perform surveillance programs and screening programs, 43.8% nurses and nearly half (50.7%) principals agreed to evaluate the school environment for health and safety. When comparing the scores of school nurses and the principal, an independent t-test found significant differences in perceptions of some roles of school health nurses in both groups including assessing the health status of the students, providing direct medical care to the students, referring students to health problems. Conclusion: The findings reflected that the nurses and principals agreed that the school nurses’ role is most important for the students to assess their health status, getting immediate first aid treatment and to improve the personnel hygiene and nutritional status. The school principals reported that the school nurse program is highly effective especially for the girls' students because they can express their personal problems openly with the school nurse. Both the school principals and nurses reported that students' dropout rate is reducing, students used to leave the school because of minor abdominal pain, headache, and other causes previously. The students who are far from basic health care services are more benefited from school health nurses programs as it is cost effective and easily available, school nurses can improve the bad habits and behaviors of students because students believe more in nurses'care and their counseling services. The principals emphasized that School Nurse Program must be sustainable and permanent program of country. Description: Research Grant.

2024-01-01T00:00:00Z Bhandari, Menuka Rai, Munawatee Gartaula, Puja https://hdl.handle.net/20.500.14356/2686 2025-04-28T08:45:11Z 2023-01-01T00:00:00Z

Title: Effectiveness of video-assisted distraction therapy on children’s Pain perceptions during peripheral venous cannulation Authors: Bhandari, Menuka; Rai, Munawatee; Gartaula, Puja Abstract: ABSTRACT Relief of pain is a basic need and right of all children; effective pain management requires health professionals to be able to apply a number of interventions to achieve optimal results. The current study was aimed to discover Effectiveness of Video-assisted Distraction Therapy on Children‟s Pain Perceptions during Peripheral Venous Cannulation at Pediatric Wards of Biratnagar. A quasi-experimental study was conducted at Pediatric Wards of different hospitals of Biratnagar. Data collection was done from Feb 27, 2023 to April 28, 2023. Non probability purposive sampling technique was adopted in selecting the desired sample size. Data was collected through an interview questionnaire format for socio-demographic information and a standard observational checklist of Assessments of the face, legs, activity, crying, and the consoleability (FLACC) pain rating scale was used to assess the pain perception of children. An animated cartoon video including short story, movie as per children's age group and language preference was used by the researcher. Experimental group received the video assisted distraction therapy as an intervention, while the control group received routine intravenous care by the nurses. Statistical analysis such as frequency, percentage, mean, range, SD, independent t-test, Fisher exact test were used. The study findings has shown that there is significant difference between the pain perception score in experimental and control group during peripheral venous cannulation which suggest that the pain perception in experimental group is lower than the control group (p= <0.001) during and after two minutes of cannulation. Similarly the level of pain was also difference in both group, 42.5% children in experimental group has perceived moderate pain, 37.5% perceived mild pain and 20% reported severe pain whereas 92.5% respondents perceived severe pain and only 7.5% has perceived moderate pain during peripheral venous cannulation. The study has strongly recommended that the distraction therapy is the effective method to relief pain during painful procedure. Keywords: Peripheral Venous Cannulation, Distraction Therapy, Pain Perceptions Description: Research Report.

2023-01-01T00:00:00Z