Perception About the Role of Anesthesia and Anesthesiologist Among the Paramedical Staffs: Perspective from a Medical College in Nepal

Bhattarai, Balkrishna; Kandel, S; Adhikari, Neill K. J.

doi:10.3126/kumj.v10i2.7344

Cited by 15 publications

(23 citation statements)

References 10 publications

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“…This study reveals that 80.6% of nurses had knowledge about complications and management of spinal anaesthesia which is similar to the study conducted at Dhulikhel hospital which reported 73.3% knew about the complications of regional anaesthesia 6 .…”

Section: Discussionsupporting

confidence: 84%

“…An Intervention Study to Enhance Postoperative Pain Management in the nurses of anesthesia, and surgery departments identified a lack of knowledge and skills among nurses in assessing and managing pain effectively because of the absence of nursing guidelines and pain treatment protocols 5 . Similar study conducted at Kathmandu University School of Medical Science, Dhulikhel Hospital among paramedical staff shows that 26.7% had no idea about the complications 6 . Likewise, study conducted at Nepalgunj Teaching Hospital Kohalpur on nurses to assess the knowledge regarding SA found to be unsatisfactory and indicate the need of essential training on management of spinal anesthesia 7 .…”

Section: Introductionmentioning

confidence: 51%

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Nurses Knowledge on Management of Patient Receiving Spinal Anaesthesia in a Government Hospital

Rijal

Silwal

Thapa

et al. 2019

J. Karnali Acad. Health Sci.

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Introduction: Spinal Anaesthesia (SA) is a form of regional anaesthesia involving injection of a local anaesthetic into the subarachnoid space. SA is directly related to nervous system, so its mismanagement may cause various complications hence, prevention and management of complication is a vital and complex aspect of critical nursing care. Therefore, the objective of this study was to assess the nurse’s knowledge on the management of patient receiving spinal anaesthesia. Methodology: A cross-sectional descriptive study was conducted among nurses of Koshi Zonal Hospital of Province no. 1, Biratnagar, Nepal from May to June 2017. Non-probability purposive sampling method was used where self-administered questionnaire was administered among 67 working nurses in the hospital. Results: The majority of the respondents (77.6%) belonged to 20-30 years of age group, nearly half (44.8%) of the respondents had completed PCL nursing. Only 67.2% explained the meaning of anaesthesia, and 58.2% had knowledge on physiological changes after SA. Regarding ambulation and cause of backache, 29.9% had knowledge whereas only 20.9% had knowledge about management of post spinal backache. Respondents facing problem to manage the complication after SA was 13.4%. This study also found that the overall knowledge regarding SA was adequate among 80.6% respondents. Conclusion: Nurses as the key personnel in management and prevention of complication, the obtained result was below the desired competence level among working nurses as it is the vital aspect of critical nursing care.

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Section: Discussionsupporting

confidence: 84%

Section: Introductionmentioning

confidence: 51%

Nurses Knowledge on Management of Patient Receiving Spinal Anaesthesia in a Government Hospital

Rijal

Silwal

Thapa

et al. 2019

J. Karnali Acad. Health Sci.

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show abstract

“…However, for the management of postoperative complications, respondents put confidence mostly to surgeons, somewhat to other physician (77%, and 18% of respondents) with no mention of anaesthesiologists. 29 In the present survey, only 10% of the patients knew about the roles of anaesthesiologist outside the OR. Out of these, around 6% knew about duty in CCU and 3% were aware of role in pain management.…”

Section: Discussionmentioning

confidence: 58%

“…The lack of recognition can simply affect the selfesteem of the anaesthesiologists and help budding job dissatisfaction. 29 This will hamper the performance and thereby the output by the anaesthesiologists in the long run.…”

Section: Discussionmentioning

confidence: 99%

Survey of Patients’ Attitude About Anaesthesia and Anaesthesiologist- A Preliminary Evaluation in a Rural Hospital of North Bengal

Sarkar¹,

Mandal²,

Chakrabarti³

et al. 2017

jemds

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BACKGROUNDImage of anaesthesia and anaesthesiologist in the eyes of patients is variedly reported in literature and mostly poor in developing countries. We often realised this underestimation of our risky task, inadequate appreciation and recognition of our effort from patients. Hence, we put an endeavour to explore the existing perception among our patients in this rural region regarding our specialty and anaesthesiologist. MATERIALS AND METHODSThis observational, paper-based questionnaire survey was carried out in the pre-anaesthetic checkup (PAC) clinic involving 101 patients scheduled to undergo elective surgery. The survey was carried out using structured interview based on the open-ended questionnaire consisting of 15 MCQ type questions. Data were mostly categorical data such as number of patients (percentage). Statistical comparison has been done between the favourable response (s) and all other responses taken together as unfavourable response (s). RESULTSAbout 44% of patients knew that anaesthesiologists are qualified doctors. Thirty percent had knowledge that anaesthesiologist has to be present after induction for continuation of the anaesthesia and for monitoring the vitals. About 10% patients are aware about the other roles of anaesthesiologists outside operating room. Regarding the risk related with anaesthesia and surgery, majority of patients (58%) were not informed at all. A considerable proportion of patients (90%) opined that pre-anaesthetic checkup is useful. Among the high literacy group, considerably higher proportions of patients have answered the favourable options. CONCLUSIONThe survey concludes that patients' perception about anaesthesia is poor. The patients also have insufficient knowledge about the exact role of an anaesthesiologist inside or outside the operating room. BACKGROUND Anaesthesiology is one of the rapidly evolving disciplines of medical science that has made immense development in the recent past. Advancement in surgery and anaesthesia are going absolutely parallel to each other. Anaesthesiologists are playing a decisive role in patient management. In the last two decades, the role of anaesthesiologist has extended not only inside but also outside traditional operating room (OR) settings. An anaesthesiologist plays a very crucial role in intensive critical care units, trauma centres, pain clinics and as a member of resuscitation team all over the world. 1 KEYWORDS

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“…A substantial amount of research has revealed poor awareness of anaesthesiology among doctors, interns, medical/dental students, and paramedics. 2,3,4 Studies have also revealed that medical students find anaesthesiology as uninteresting and less glamourous. 5 Thus, this study was conducted with the aim of finding out the awareness and knowledge of undergraduate medical students (Preclinical batches) regarding anaesthesiology as a speciality, as a career choice, different roles of Anaesthesiologists in operative rooms and hospital.…”

mentioning

confidence: 99%

Analysis of the Knowledge and Awareness Regarding Anaesthesiology Among Undergraduate Medical Students in a Government Medical College

Chugh¹,

Sehgal²,

Chawdhary³

2018

jemds

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BACKGROUND Anaesthesiologists play a crucial role in patient management, but their contribution remains unrecognized as they are always behind the scenes. This has led to a lack of awareness and knowledge of anaesthesia among public and medical students. This study was conducted to find out knowledge and awareness of anaesthesia speciality among undergraduate medical students. The study also aimed to highlight the need for increasing the clinical exposure of medical students in speciality of anaesthesiology. MATERIALS AND METHODS This was a questionnaire based cross sectional study where 86 medical students completed a questionnaire of 12 items. The questionnaire was divided into four parts-1. Demographic details and career choice. 2. Knowledge of students regarding role of anaesthesiologist. 3. Knowledge of students regarding role of anaesthesiologist in hospital activities. 4. Knowledge of students regarding clinical anaesthesia. Results were calculated in percentage format. RESULTS The study showed that undergraduate medical students (preclinical batches) lacked knowledge of anaesthesia, few were not aware that anaesthesiologist is a doctor and majority of students were not aware about types of anaesthesia and preoperative fasting. CONCLUSION It was concluded that students lacked knowledge of anaesthesia and effective measures need to be taken to increase the awareness and knowledge of anaesthesia among undergraduate students. This could be accomplished by designing an attractive clinical curriculum highlighting the glamourous aspect of this speciality (management of chronic pain and exposure to intensive care units) and considering the possibility of including anaesthesiology as a separate subject in undergraduate syllabus.

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Perception About the Role of Anesthesia and Anesthesiologist Among the Paramedical Staffs: Perspective from a Medical College in Nepal

Cited by 15 publications

References 10 publications

Nurses Knowledge on Management of Patient Receiving Spinal Anaesthesia in a Government Hospital

Nurses Knowledge on Management of Patient Receiving Spinal Anaesthesia in a Government Hospital

Survey of Patients’ Attitude About Anaesthesia and Anaesthesiologist- A Preliminary Evaluation in a Rural Hospital of North Bengal

Analysis of the Knowledge and Awareness Regarding Anaesthesiology Among Undergraduate Medical Students in a Government Medical College

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