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Annu Patel ¹, Manjulata Kanwar ¹, Premarani Rana ¹, Sapna Thakur ², Smita Jha ²

Affiliations
1 Government College of Nursing, Jagdalpur, Bastar, C.G., IN
2 Government College of Nursing, Jagdalpur, Bastar, C.G, IN

Abstract

BACK GROUND OF STUDY: Hand Hygiene is the single most effective way to prevent nosocomial infections with correct timing and technique. The centers for Disease Control and Prevention (CDC) has stated: "It is well documented that one of the most important measures for preventing the spread of pathogens is effective hand washing. Dirty hands can lead to a sick patient even if the doctor of nurse touches only a bed rail or a chair in the room, said Rosalie Weak land, director of quality improvement for the association. Effective timing of hand washing with soap and water are depends upon institution protocol. The goal of the study is to analysis the effective timing of hand washing with soap and water among following timing, According to NACO Guideline effective timings is 20 sec, In 20 central Ohio hospital council, is 15 sec, and In Trained nurses association of India; fundamental of nursing a procedure Manual suggested 10 seconds of vigorous.

METHODOLOGY: Evaluative research approach and quasi experimental research design. Conveniently 75 Samples of Government Hospital, Jagdalpur, were divided into three Experimental groups I, II and III. Observed hand washing for Group I- 10 seconds, Group II - 15 seconds and Group III- 20 Seconds. Each group was consisting of 25 student's sample. Samples were trained, by the researcher, for six steps of hand washing. After proper training of hand washing, students were instructed to do the bed making of patients. Culture swabs were taken with strict sterile technique in different areas of hands especially between fingers just after bed making. Growths of micro-organisms were analyzed by using Descriptive and inferential statistics.

RESULT: frequency, percentage t test and f test were calculated. The mean of experimental group I is 8.64, experimental group II is 7.52, and experimental group III is 8.2 calculated, t value were t₂₄=12, t₂₄=9.4 and t24=10.6 for group E1, E2 and E3 respectively which is higher than the Table value at the df 24 and 0.05 level is 1.711. Hence null hypothesis is rejected. It means that all timing of hand washing is significantly effective in reducing the growth of germs. at the df 24 and 0.05 level is 1.711, and f test shows there is no significant difference in timing of hand washing with soap and water in reduction of germs.

CONCLUSION: All timing of hand washing with soap and water that is 10 seconds, 15 seconds and 20 seconds are equally effective in reduction of germs. It is recommended that as per the time feasibility of health workers, anyone effective timing of hand washing, can be performed before and after each procedure.

Keywords

Effect of Time For Hand Washing, Nursing Students, Soap and Water, Six Step of Hand Washing.

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Smita Jha ¹, Vidhya Ansh ¹, Renuka ¹, Reena Roy ¹, C. Shalu ¹, Vijaya Laxmi ¹

Affiliations
1 Govt. College of Nursing, Jagdalpur (C.G.), IN

Abstract

Introduction: Substitution feeding is artificial feeding no one should have rights of it. Before 1992 year substitution feeding was abundantly used without any crime. TNAI circulated notice regarding inhibition of promotion of substitution feeding by professional nurse in year 2015. Practice against the IMS act 2003 by nurses will affect the professional substandard. Breast feeding is best feeding for infant. Each year breast feeding saved 2, 50,000 no. of lives. Contraindication of breast feeding is breast abscess mother is undertaking psychiatric drugs. The stand for IMS act is infant milk substitutes, feeding bottles and infant foods regulation of production supply and distribution act. According to act any person who is advertising promotion the substitution feeding will be punishable. Objectives: 1. To assess the knowledge on promotion of inhibition of substitution feeding as per IMS act 2003 among staff nurse. 2. To find out the relationship between knowledge of staff nurses on promotion of Inhibition substitution feeding as per IMS act 2003 with selected variables as age, sex, Education level, year of work experience, exposure, source of information. 3. To develop pamphlet on promotion of inhibition of substitution feeding as per IMS act 2003 based on the outcome of the study. Design: Non experimental Descriptive design. Setting: the study was conducted in Shri L. B. R. K. Memorial Hospital, Jagdalpur, C.G. Participants: 60 staff nurses. Measurement and tool: The knowledge on, inhibition of promotion of, substitution feeding as per IMS act 2003, assessed by structured multiple choice questionnaire and checklist. Descriptive and inferential statistics were used to analyze the data. Findings: The data revealed that 50% patients had below average knowledge score regarding, inhibition of promotion of, substitution feeding as per IMS Act 2003, followed by 45% good score and 5% obtained poor score. Further major findings also showed that according to variables the knowledge on, inhibition of promotion of, substitution feeding as per IMS act 2003, were all non significant at p<0.05 level except the variable of years of work experience in hospital . Conclusion: The study reveals that there is significant increase in the knowledge on inhibition of promotion of substitution feeding as per IMS act 2003 by years of work experience in the hospital among all staff nurses.

Keywords

Inhibition of Promotion of Substitution Feeding as per IMS Act 2003, Pamphlet, All Staff Nurses.

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Smita Jha ¹, Anju Bodalkar ¹, Eashwari Thakur ¹, Harsh Priya ¹, Indu ¹, Divya Sahu ¹, Shashikala ¹

Affiliations
1 Govt. College of Nursing, Jagdalpur, Bastar, C.G., IN

Abstract

Background of study: - 75% Nursing Students are Anemic in Govt. College of Nursing, Jagdalpur, C.G. Anemia is route cause of poor reproductive health of women. Objectives of the study are 1. Assess the hb% among nursing students of experimental and control group before and after the intervention. 2. To assess the effectiveness of poshan modakam laddu. Methodology: Research Approach: Quantitative evaluator research approach, Research Design:-true experimental design- pretest -posttest only, Population: b.sc. Nursing students, Setting- govt. college of nursing, jagdalpur Sample: -anemic students HB% less than 11 %gm), Sampling Technique: probability purposive simple random sampling, Sample Size: 80 anemic students of G.C.O.N., Jagdalpur. Tool: in vitro bio physiological method (evaluation of HB% through the in vitro bio physiological method, Variables: dependent variables-HB% level, independent variables: - modakam laddu, (each laddu 45 gm , 1 bd, 30 days, ingrediance are-kala til, gegurry, soyabean, wheat, ground nut, flex, coconut oil, vidhari kand, and dry ginger) Data Analysis: descriptive and inferential statistics were calculated (percentage, frequency, "t" test and chi square). Result: the maximum level ranged age 20 to 22 years (46.25%), weight 46 to 50 kg (35%), dietary pattern non vegetarian (73.7%), and education b.sc. Nursing second year (32.5%) and regular menstrual cycle (77.7%). In experimental group, pre test and post test mean of hb% are 9.49 gm % and 13.58 gm%. In control group, pre test and post test mean of HB % are 10.31 and 10.02. Experimental group levels of anemia before intervention are normal 15% mild anemia 50%, moderate anemia 35% and severe anemia is 0%. After the intervention level of anemia normal is 65% mild anemia 30%, moderate anemia 5% and severe anemia is 0%. Control group level of anemia normal HB% is 15% mild anemia 50%, moderate anemia 35% and severe anemia is 0%. After one month without intervention level of anemia normal is 65% mild anemia 30%, moderate anemia 5% and severe anemia is 0%. At 0.05 level with DF (79) calculated "t" value is 19.8 and tabled value is 2.00, it is highly significant. Hence research hypothesis is accepted and null hypothesis is rejected. Conclusion: - administration of modokam laddu is highly effective to increase HB% and management of anemia.

Keywords

Effectiveness, Modakam Laddu, Anemia, Nursing Students, HB%.

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