Papers by Ponchitra Ramanathan
Education is a powerful medium of bringing about changes in the world. Education may produce posi... more Education is a powerful medium of bringing about changes in the world. Education may produce positive and negative impact depending upon the value it generates through its learners. Values are set of principles channelizing the thoughts and actions of an individual. Value-based education is essentially "man making" and "character molding".
Background: Learning in the clinical environment is an indispensible component of nursing curricu... more Background: Learning in the clinical environment is an indispensible component of nursing curricula as it provides with real life experiences involving actual patients. The quality of clinical learning considerably depends on the extent of faculty engagement in clinical teaching which predominantly rests on the clinical teaching behaviors of teaching faculty. Objective: to understand the actual and expected clinical teaching behavior of the faculty from the student's perceptions and correlate the influence of actual teaching behavior on clinical learning of students. Design: A non-experimental survey, correlational design was used. Setting: Nursing colleges of Maharashtra. Participants:257 B.Sc Nursing students studying in second to final year course participated in the study. Method: Nursing Clinical Teacher Effectiveness Inventory (NCTEI) was the tool for data collection. Results: Majority of the participants were females (97.04 %) in the age group of 18-27 years. The analysis of five subscales indicated evaluation as highest ranked clinical teaching behavior of teaching faculty which influenced clinical learning among students. Interpersonal relationships and nursing competency were rated lowest. The expected behavior identified were competency and personality of teacher as an important component of effective clinical learning by senior students while all other students expressed teaching ability as equally important. Conclusion: The nursing teacher's role necessitates the maintenance of a climate of mutual trust and respect to support student learning and growth.
The quality of education is determined by the quality of teachers. Teachers are the main stay of ... more The quality of education is determined by the quality of teachers. Teachers are the main stay of the education system. Student's ratings are a necessary source of evidence of teaching effectiveness for both formative and summative decisions. Aim: The purpose of this study is to assess the teaching effectiveness, different dimensions of teaching effectiveness of Novice Nursing Teachers as perceived by nursing students and to Rank order the teaching dimensions as perceived by nursing students. Methods: A sample of 100 nursing students who were taught by Novice Nursing Teachers was selected as samples by convenient sampling technique. A descriptive survey design was used to collect the data by using Modified Mahfooz Ansari and Mustafa Achouchi Ansari Teaching Feedback survey scale (2000) which consists of 30 items in a likert scale. Result: The result shows that 69% of nursing students has perceived the teaching effectiveness of Novice Nursing teachers as moderately effective and 17% as highly effective. Among the teaching Dimensions 16% has perceived the delivery of information as highly effective, 17% has perceived that the information was highly meaningful, 22% has perceived that Novice Nursing Teachers gave Feedback and Fair treatment in a highly effective manner. Encouraging students to ask questions, using clear and understandable language, finishing classes on time, encouraging student participation and clear presentation has been ranked in the top 5 ranks by the Nursing students. Conclusion: Teaching effectiveness is a very important aspect of education because effective help student learning as well as enhances student's academic performance.
Objectives: To develop and to validate the content and construct of postoperative nursing handove... more Objectives: To develop and to validate the content and construct of postoperative nursing handover checklist for patients undergone general surgery. Methods: Descriptive evaluative approach with quantitative research design-by using Delphi technique. Data collection was done in three rounds. In round, one open-ended questionnaire and in round two and three analysis checklist was prepared Result: Analysis of opinion for significant difference in inclusion by using Wilcoxon signed rank test showed there was no significant difference in the opinion of experts in round two and three. Agreement for ranking of items was done by Kendall's tau-b (τ b) correlation coefficient, indicates high correlation among experts for ranking of items between rounds two and three. The tool was validated by using content validity index, the content validity of tool is 0.909 which depicted, that the overall tool is highly valid. Content validity was measured by calculating item content validity of all items. Only 16.3% I-CVI was less than 0.78 and it was removed from the checklist. The final draft of the postoperative nursing handover checklist was pilot tested and the reliability was estimated by inter-rater reliability approach and the reliability of the tool was 0.9917, which showed that the tool is highly reliable. Major conclusion: Surgical complications are a major cause of morbidity and mortality, but these complications are avoidable by the implementation of valid and reliable postoperative nursing handover in clinical settings which would enhance the surgical outcome and patient safety.
In the growing population and increase in diseases the health sector is expanding and nurses bein... more In the growing population and increase in diseases the health sector is expanding and nurses being a major work force in the health sector are consistently in demand. To train nurses who are vital part of the health team the nursing teachers have to be well prepared, current and competent .Objectives: The objective of the study is to assess the perception of overall challenges faced by Novice nursing teachers and to assess the perception of different dimensions of challenges faced by novice nursing teachers. Methods: A quantitative Descriptive Exploratory survey was conducted among 389 novice nursing teachers who are selected by non probability convenient sampling technique and data was collected through a five point Likert scale on Challenges faced by Novice Nursing teachers on four dimensions. Results: Among the samples 70.69 % were facing moderate challenges and 13.88% were facing more challenges. Among the dimensions of challenges, the novice nursing teachers has faced more challenges with Roles (Mean 3.56, SD 0.43), Responsibilities (Mean 3.60 , SD 0.41), Knowledge (Mean, SD), Relationship (Mean 3.66 ,SD 0.42).
Background: A thorough clinical assessment is the initial step to be done by the the nurses in or... more Background: A thorough clinical assessment is the initial step to be done by the the nurses in order to provide quality care. The more precise the assessment, the more accurate the interventions are going to be. Objectives: The aim of this study was to assess the effect of a structured training program on comprehensive neuro system assessment among registered nurses. Materials and methods: This pre-test post-test research design was carried out among a convenient sample of 83 registered nurses. Data was collected before and after the training program, using a semi structured questionnaire prepared by the researcher assessing knowledge on various aspects of neuro assessment like consciousness, orientation, memory, cognition, mental status, motor, sensory, and reflex assessment. The training program was developed and validated by the researcher before it was implemented. Date was analyzed using descriptive and inferential statistics. Results: The study has shown that structured training program has improved the graduate nurse's knowledge. The entire pre-test knowledge mean score out of 20 was 12.7 with a standard deviation of 2.56. The post-test knowledge mean score was 17.41 with a standard deviation of 1.97.Conclusion: The study has shown that structured training program was effective in improving the knowledge of graduate nurses. There should be provision of in-service education for nursing personnel to update their knowledge, so that they can enhance their assessment skills for quality care.
The present study was undertaken… To assess the incidence of minor injuries among the secondary... more The present study was undertaken… To assess the incidence of minor injuries among the secondary school children. To assess the knowledge on First Aid management of minor injuries before and after video assisted teaching programme. To assess the attitude on First Aid management of minor injuries before and after video assisted teaching programme. Materials and methods: A quasi-experimental one group pre-test post-test design was adopted. Secondary school children were selected by nonprobability convenient sampling method and data was collected using a semi-structured questionnaire for knowledge on minor injury of First Aid management and Likert scale for attitude on minor injury of First Aid management pre and post educational intervention. Result: Knowledge score during pre-test out of 150, (8%) school children belong to the category of very good (18.66%), good (40.66%), average and (32.66%) poor category, where as in post-test (17.33%) very good, (28.66%) good, (46%) average and (8%) poor category and attitude score pre-test favourable score (87.33%), which increased to post-test (98%), pre-test unfavourable score (12.66%) that decreased to (2%) post-test. Conclusion: The study concluded that video assisted learning was effective in improving knowledge and attitude regarding first aid management of minor injuries.
Clinical education is a fundamental part of nursing education and more than half part of the nurs... more Clinical education is a fundamental part of nursing education and more than half part of the nursing curriculum. Clinical practicum is a core component of nursing education. During clinical practicum, the nursing students are exposed to different clinical settings which enhance their learning abilities and practical skills. Hence it is essential to identify the perceptions of the nursing students towards their clinical learning environment. A descriptive research study was performed to assess the nursing student's perceptions on actual and expected clinical learning environment. The study identifies that 77% of the nursing students expect a favourable clinical learning environment, whereas 53% of the nursing students are favourable with their actual clinical learning environment. It also highlights that the nursing students expect positive changes (p < 0.005) at all parameters of clinical learning such as pedagogical atmosphere, leadership style of ward incharge and nursing care in the ward when compared with actual clinical learning environment.
Mobilization and physical therapies are beneficial to post-surgical patients The present study wa... more Mobilization and physical therapies are beneficial to post-surgical patients The present study was undertaken with the objectives to assess retrospectively the length of ICU stay of patients from records for past 6 months, to assess the physiological parameters among postoperative cardiac patients after mobilization, to assess the length of stay among postoperative cardiac patients after mobilization and to assess the incidence of complications among postoperative cardiac patients after mobilization This study applied the quasi experimental one group post-test only design with non-probability convenient sampling and the samples were 30 retrospective and 30 prospective post-operative cardiac surgery patients. The tools were found reliable. All post-operative patients who met criteria were included and mobilized as per the developed protocol and the parameters of patients were monitored and recorded. It was observed that among samples in retrospective data 33.3% had 4 days of ICU stay and minority 3.3% had 1 day of ICU stay where in prospective data 56.7% has 2 days of ICU stay and no patient has more than 3 days of ICU stay. It was reported that among all sample the mean ICU stay in retrospective data was 3.36 days and in prospective data was 2.23 days. The study revealed that comparison of Physiological parameters of the sample before initiation of mobilization Shows that there was significant difference at (P<0.05) in pao2, fio2 ratio, pco2, pH, fio2, PEEP, SBP and RR on Day 1, Day 2 and Day 3.It was reported that on day 1 majority 66.7% percent patient had poor appetite. No patient reported abdominal bloating, 56.7 % patient reported pain. On day 2, majority 26.7% patient reported thumping sensation, no patient had low ejection fraction. On day 3, majority 23.3%reported thumping sensation and no patient reported as low ejection fraction. The Study concluded that mobilisation protocol for cardio thoracic surgery patient is useful in decreasing ICU stay and post-operative complication.
The MCH card is increasingly recognized as an essential tool for maintaining maternal and child h... more The MCH card is increasingly recognized as an essential tool for maintaining maternal and child health within the expanded coverage of ICDS (Integrated Child Development System) and NRHM (Rural Health Mission). Nation).The POSHAN ABHIYAAN program also advocates for the widespread use of MCH cards and services. The study aims to assess the level of awareness about POSHAN ABHIYAAN and MCH (Maternal Child Health) card among the pregnant and post partum mothers. Method: The study was conducted from 22 February 2021 to 12 April 2021 among 80 pregnant and post partum mothers at the anganwadi centers of Maharashtra state selected by multistage sampling technique. Socio-demographic data along with components of POSHAN ABHIYAAN and MCH card were assessed. Data were collected, entered in MS Excel spreadsheet, and analyzed using SPSS software (version 20.0) Results: 85% were aware about the MCH card. Among them 73.8% carried the MCH card during the regular checkup. 78.8% were aware about 2 T.T. injection doses but only 66.3% were aware about the blood pressure monitored at regular checkup. 83.75% and 5% had average and good level of POSHAN ABHIYAAN awareness. POSHAN ABHIYAAN awareness need to be strengthened with involvement of family members. Efficient use of existing health services, health education sessions with precise message along with implication of community groups will help to increase MCH card and POSHAN ABHIYAAN service awareness.
Background: Women and children are the most essential assets on earth. To achieve complete develo... more Background: Women and children are the most essential assets on earth. To achieve complete development of human resource, it is essential to improve the health and well-being of women and child. POSHAN ABHIYAAN launched in 2018 as governments National Nutrition Mission aims to bring forth a convergence system for the country's response to malnutrition. The study objective was to assess the level of POSHAN ABHIYAAN utilisation and dietary pattern of pregnant and postpartum mothers registered in the Anganwadi centers, Raigad district , Maharashtra. Mother and child together form the majority of the population in developing countries. Method: A community based study employed a multistage sampling technique to select 80 participants from anganwadi centers, Raigad district, between February 2021 and April 2021. Socio-demographic profile, components of POSHAN ABHIYAAN utilisation, dietary intake and nutrient adequacy ratio were assessed. Results: The study participants were between 20 and 44 years of age group. The utilisation of POSHAN ABHIYAAN services was average (10-18) among 52 (65%) and poor (0-9) among 28 (35%) pregnant and post-partum mothers. Mothers living in a joint family and mainly non-vegetarian dietary pattern had good dietary intake with statistically significant association. Conclusion Deficient nutritional status of pregnant mothers can be enhanced by reinforcing nutritional guidance in each trimester of pregnancy with active community based health workers to escalate utilisation of services
in future. This study also provides nurses a self assessment and is able to make them realize the... more in future. This study also provides nurses a self assessment and is able to make them realize their area of improvement.
Nursing teachers are in the fore front of preparing proficient registered nurses and it is vital ... more Nursing teachers are in the fore front of preparing proficient registered nurses and it is vital to examine the challenges novice nursing teachers face, so that necessary interventions can be made to help the growth and success of novice nursing teachers. Aims: The main objective of the study is to identify the challenges faced by the novice nursing teachers and the strategies they adapt to overcome during their initial years of teaching. Study Design: The study employed a mixed method approach with greater weightage for quantitative data, a descriptive exploratory design. Methodology: The study included a sample size of 375 novice nursing teachers. The quantitative data on challenges and coping strategies was collected through likert scale and the qualitative data was collected through in-depth interviews. Results: The study results revealed that majority (71.2%) of the novice nursing teachers has moderate challenges with mean score (274 ±14.32) , followed by (14.13 %) revealing more challenges with a mean score (229 ± 16.75) and interprets that more than (50%) of the novice teachers had positive coping on instruction management, clinical supervision, student management, classroom management and time management and less coping strategies in administrative management .There was significant positive co relation between all subcategories of challenges and coping strategies. Conclusion: The study recommends there is a need for preceptorship during initial years of teaching, team teaching practice, reflective teaching, induction programmes, faculty mentoring, periodical objective structured teacher evaluation and establishment of nursing education unit to support the novice teachers teaching efficiency.
The patients admitted in hospital encounter various problems which interrupts the sleep. Deprived... more The patients admitted in hospital encounter various problems which interrupts the sleep. Deprived sleep is prevalent during hospitalization. As good sleep helps to rejuvenate the body mechanism for a person, so it is important for a patient who is psychologically and physiological deprived. A good quality of sleep is important to maintain our physiological functions such as heart rate, respiration, and blood pressure. Any deviation in this parameter can worse the patient's condition and lengthen the hospital stay. [1] Sleep disturbances for a short period alters the blood pressure, inflammation, hormones which rise the possibility of cardiovascular disease, especially plaque formation in the vessels. [2] A clinical review on effect of deprived sleep inthe intensive care unit (ICU) reveals that the disturbances in sleep triggers sympathetic nervous system due to which the catecholamine adrenaline and noradrenaline is being released. It increases the heart rate as well as blood pressure. This clinical review
Introduction: Sleep is crucial for the survival of a human being as food. It helps to increase ph... more Introduction: Sleep is crucial for the survival of a human being as food. It helps to increase physiological and cognitive functions. Sleep is defined as transformable condition, where there is a withdrawal from the extrinsic environment. Sleep permits to rejuvenate the physical and physiological function. Disrupted sleep also leads to brain dysfunction and hemodynamic alterations. Materials and Methods: A quasi-experimental study was considered to attain the objectives of the study. On probability, convenient sampling was done. The pre-interventional data were collected on day 0. Eye mask and ear plug were given as intervention from day 1 to day 3.and data were collected on each day. Results: The study was conducted on 60 samples. The study reveals that majority of patients were between 40 and 59 years and out of 60 patients, majority of the patients were female It was found that the patients average sleeping hours at home were 6-9 h and patients had no difficulty in initiating sleep in normal routine sleep. Patients had deprived sleep due to continuous light and sound. The sleep status is improved from day 1 to day 3. There was significant relationship between the heart rate, blood pressure, respiration, and sleep quality; there was no significant relationship between cognitive function and sleep. Conclusion: The present study reveals that the sleep quality was enhanced by the application of eye mask and ear plug which led to changes in the physiological parameters such as blood pressure and heart rate. The blood pressure came down to normal limit with sleep quality.
Background Creche facility is a boon to working mothers to pursue their professional life at ease... more Background Creche facility is a boon to working mothers to pursue their professional life at ease. The child who is at day care need to be taken care always under safe environment. Care givers, teachers and administrators are involved in taking care of child at creche. The basic care is provided by the care givers at day care under the supervision and guidance of administrators who are running the centres. The wise perception of administrators helps to recruit care givers who will be able deliver care to the child, which will contribute to provide best services at day care. Materials and Methods Qualitative phenomenology research approach was adopted for the study. The variable under study was perception on care givers competency. Creches of Navi Mumbai are the setting. Administrators of selected creches of Navi Mumbai were the population for the study. Estimated sample size was 25. The data saturation attained at 10 th sample. Non probability convenient sampling. The tool consists of socio-demographic profile and open ended questions. The data collected by in depth face to face interview technique and the response of the participants. Results The data was analysed using differential and inferential analysis. In the demographic profile of administrators, majority that is 60 % belongs to the age group of 30 to 40 years and 100 % participants are females. 70 % having graduation as educational qualification and majority are having working experience of more than a year in day care setting for children.Qualitative aspects of data was analysed using colaizzi phenomenological method. After collecting the data the transcription of data performed by listening to recording and validated by experts. The subthemes and codes were emerged based on the predetermined themes. The major themes was eligibility criteria, personal qualities, competency, is training required and suggestions to improve training of care givers working in creches. Conclusion The effective administration will help to run an organization professional with utmost quality in services. In terms of providing services to children in-terms of basic care, it's very vital to choose best resource for that. The perception of administrators at creches have to critical in recruiting their staff, who will be able provide adequate and quality care to children. Their personal traits will also influence the behaviour of child.
Globally, there has been a decline in the Maternal Mortality Ratio (MMR) by 34 percentfrom 342 de... more Globally, there has been a decline in the Maternal Mortality Ratio (MMR) by 34 percentfrom 342 death to 223 deaths per 100,000 live births from 2000-2020 1. This translates into an average annual rate of reduction of 2.1 percent. While substantive, this is about one third of the 6.4 percent annual rate needed to achieve the Sustainable Development Goal (SDG) of 70 maternal deaths per 100,000 live births by 2030 1 .The Maternal Mortality Ratio (MMR) is defined as the number of maternal deaths during a given time period per 100,000 live births. The Maternal Mortality Ratio (MMR) of India has improved
Introduction: Students' academic achievement is greatly influenced by their study habits. Academi... more Introduction: Students' academic achievement is greatly influenced by their study habits. Academic Success and Study Habits are tied to and dependent upon one another. There are pupils with various degrees of academic achievement who come from various environments, communities, etc. The academic performance of students has been one of the main indicators used to evaluate the quality of education in schools, colleges, universities, and Institutions. It is a complex process that is influenced by several factors, such as study habits. The study aims to study the study habits and Academic performance of undergraduate Nursing students. Materials and Methods: A self-structured questionnaire schedule tool has been prepared to assess the effect of study habits and Academic performance. The tool was given to 100 students of all the 3 rd year and 4 th year B.Sc. Nursing students in a Google form. Result: In terms analysis of study habits and academic performance and the Association between Study habits and academic performance, undergraduate Nursing students had above-average study habits, with a median and SD of 66 ± 9.82 and 8 ± 1.69 respectively. The test was done using a chi-square test. There is a statistically significant association between Study habits and academic performance. The p-value=0.000 Conclusion: The study habits of nursing students have a significant impact on their academic performance. The findings underscore the need for educational institutions to provide resources and guidance on developing strong study habits.
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Papers by Ponchitra Ramanathan