Publications by authors named "Jaya Dhungana"

Article Synopsis
  • The study aimed to assess the knowledge and performance of nurses administering intravenous (IV) medications in pediatric centers in Nepal.
  • It involved 115 nurses and found that only 12.2% had adequate knowledge and 17.4% had fair performance in IV medication administration, with a weak negative correlation between knowledge and practice scores.
  • Results indicated that nurses on 8-hour shifts performed better than those on 6-hour shifts, but staffing ratios were inadequate in 80% of shifts, emphasizing the need for better training and staffing to enhance patient care quality.
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During health emergencies such as the COVID-19 pandemic, healthcare workers face numerous ethical challenges while catering to the needs of patients in healthcare settings. Although the data recapitulating high-income countries ethics frameworks are available, the challenges faced by clinicians in resource-limited settings of low- and middle-income countries are not discussed widely due to a lack of baseline data or evidence. The Nepali healthcare system, which is chronically understaffed and underequipped, was severely affected by the COVID-19 pandemic in its capacity to manage health services and resources for needy patients, leading to ethical dilemmas and challenges during clinical practice.

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Introduction: Cardiac disease in pregnancy is a major cause of maternal mortality and morbidity in women, particularly in resource limited countries like Nepal. Rheumatic Heart Disease is the commonest cardiac disease complicating pregnancy. There is very limited data and evidence from Nepal regarding rheumatic heart disease complicating the pregnancy.

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