Showing papers by "Dhulikhel Hospital published in 2010"

Job satisfaction among nurses in a hospital.

Abstract: Background Nursing is one of the stressful jobs in health sector. The level of job satisfaction in the profession remains a matter of concern. This study means to explore the job satisfaction among the nurses of Dhulikhel Hospital. Methods A Descriptive cross sectional study design was conducted in Dhulikhel Hospital; a community based Hospital of Nepal Health Research Council from January to December 2009. All the nursing staffs that consented to the study filled up a standard questionnaire. Results A total of 85 nurses completed the study. The mean age of the respondents' was 23. 80.6% of the nursing staffs were satisfied. "Being considered a resource of health" provided highest sense of satisfaction, while "Lack of opportunities for further education and training" provided lowest sense of satisfaction. Conclusions Majority of the nurses were satisfied with their present condition of work. Since job satisfaction is a dynamic process, the result may not be static or consistence. Working environment and employees expectations should receive attention.

Caudal Bupivacaine vs Bupivacaine plus Tramadol in post-operative Analgesia in Children

Abstract: Background Caudal analgesia with bupivacaine is used commonly for pain relief in children and extradural administration of tramadol seemed to be a safe method of analgesia. The aim of the study is to compare the analgesic efficacy of caudal bupivacaine and bupivacaine and tramadol mixture for postoperative analgesia and to observe for side effects. Methods Forty children, aged between 1- 6 years undergoing infra umbilical surgeries were selected for this randomized, control trial. They were randomly divided into two groups. Group A (n = 20) received 0.5 ml/kg of 0.25 % bupivacaine and Group B (n = 20) received 0.5 ml/kg of 0.25 % bupivacaine with 1 mg/kg of tramadol as a single shot caudal block. In the postoperative period heart rate, respiratory rate, pain score, recovery to first analgesic time, total number of analgesics required in 24 hours and side effects were noted and analyzed. Results It was observed that the mean duration of pain relief was significantly longer in Group B (8.8 hrs Vs 7 hrs). Nausea and vomiting was observed in 25% of the patients in group B and 20 % of the patients in group A. None of the patients in both the groups had complication like motor weakness, urinary retention in the postoperative period. Conclusions The addition of tramadol to bupivacaine in the caudal analgesic technique provides longer analgesia and lesser need for rescue analgesic in the postoperative period compared to bupivacaine.