1. Patients’ Attitude Towards
Nursing Students of BPKIHS
Ram Sharan Mehta
Medical-Surgical Nursing Department
College of Nursing
B. P. Koirala Institute of Health Sciences
Dharan, Nepal

2. Introduction:
• Health care is a social role relationship
between a helping agent and a person
needing help.
• The Social role Relationship is considered
psychologically and socially as half cure
treatment procedure.
• The Super-specialists are demanded by the
hospitals.
• The higher education and increase
awareness contributed the public to
approach the hospitals.

3. • The nature of relationship between nurse and patient
has some degree of significant impact on the overall
quality of healthcare, the patient’s compliance and
satisfaction is greatly influenced by the appearance,
behavior and the communication skill of the nurses
as nurses stay 24 hours with the clients4.
• With the emerging nursing colleges in the country
and the out flowing number of nursing students in
many hospitals, this complex relationship has more
importance and responsibility than even before.
• Hence, the evaluation of “ Patient’s attitude towards
Nursing students of BPKIHS” is essential.

4. Objectives of the Study:
• TO ASSESS THE ATTITUDE OF THE
PATIENTS REGARDING THE
PRESENCE AND INVOLVEMENT OF
THE NURSING STUDENTS IN THEIR
CLINICAL CARE IN MEDICAL–
SURGICAL UNITS OF BPKIHS.

5. RESEARCH DESIGN AND METHODOLOGY:
•
•
Research Design: It was hospital
based cross sectional study design.
Population: The clients admitted in
Medical-Surgical units in the day of
data collection constitute the
population of the study

6. •
Sampling technique and size: The
stratified simple random sampling
method was used to select the sample
and 75subjects were selected from all
the wards of Medical-Surgical units of
BPKIHS, where only 60 tools were
returned back.

7. •
•
Tool of the study: Semi structured
questionnaire was used to collect the data.
Methods of data collection: Using pretested semi-structured Questionnaire the
data was collected by trained nurses in the
ordinary dress, to reduce the professional
fear and bias. The collected data was coded
and entered in SPSS-4 package and
analyzed.

8. Results:
Age wise distribution of the subjects
4%
19%
25%
52%
<20 yrs
20-40 yrs
40-60 yrs
.60 yrs

9. Duration of Hospitalization of Clients
Duration of Hospitalization of clients
35
33
31
30
Percentage
25
20
15
10
13.8
13.8
8.6
5
0
< 3 days
3-5 days
5-7 days
7-15 days
Duration of Hospitalization
>15 days

10. Table: - I
Attitude of Student Nurses Mentioned by Subjects (MR)
N=60
S.N.
Attitude
Percentage (%)
1
Friendly/Social
66.7
2
Kind
45.0
3
Clever
41.7
4
Helpful
55.0
5
Gentle
47.6
6
Clean and Tidy
55.0
7
Empathetic
60.0
8
Soft spoken
60.0
9
Respectable
33.3
Unbiased
58.3
10

11. Table: - II
Suggestions to Improve Attitude of Nursing Students (MR)
N=60
S.N.
Responses/Suggestions:
1
No Response / No Suggestions:
2
Suggestions Given:
Percentage (%)
32.5
67.5
a.
Develop helping attitude
b.
Perform equal behaviour to all
29.6
c.
Encourage clients
22.2
d.
Counseling Clients and Relatives
18.5
e.
Perform the duty without hesitancy
14.8
f.
Use Soft tone voice
14.8
g.
Be polite and avoid anger
11.1
h.
Provide information about hospital services
11.1
I.
Pay attention and Listen to clients problem
7.4
j.
Others: show maturity, provide prompt services, learn language of
clients etc.
37
25.9

12. Table:-III
Association Between Opposite Statements of Same Contents
N=60
S.N.
Statement
True (%)
False (%)
Chi-Squire
Value
(Pearson/
Fisher’s
Exact test)
Significant
Difference
with opposite
statement
1
I am glad that there are student nurses in the
hospital
96.7
3.3
0.037
S (with S10)
2
Because of the student nurses being around, you
feel more in touch what is going on about your
disease.
76.7
23.3
0.200
S (with S20)
3
Student nurses donot know anything about your
disease.
96.6
3.4
0.707
NS (with S23)
4
Student nurses have good behaviour and
temperament.
68.5
31.5
0.273
S (with S12)
5
Student nurses are busy and always in hurry
37.9
62.1
0.104
S (with S18)
6
You can ask Student nurses the most trivial
questions.
93.2
6.8
0.264
S (with S17)
7
I would have preferred there to be no student
Nurses in the hospital
89.6
10.4
0.370
S (with S3)
8
Student nurses behave badly to the patients.
62.1
37.9
0.602
NS (with S7)
9
You also get to learn something while the senior
nurses are teaching students nurses in your
presence
95
5
0.521
NS (with S22)
19.6
80.4
0.027
S (with S21)
10
You did not really benefit from Student nurses on
your treatment process.
Note: S= Significant at 5% level of confidence (P < 0.005), NS= Not Significant at 5% level of confidence (P<0.005)

13. Table:-III (Continue)
Association Between Opposite Statements of Same Contents
N=60
S.N.
Statement
Significant
True (%)
False (%)
Chi-Squire
Value
(Pearson/
Fisher’s
Exact test)
90
10
0.118
S (with S24)
Difference
with opposite
statement
11
You like Student nurses asking your every detail
and personal questions concerning your disease.
12
You donot like Student nurses examining you
repeatedly taking along time.
25.4
74.6
0.203
S (with S19)
13
Student nurses have more time to give
96.7
3.3
0.104
S (with S8)
14
There is no point asking questions to students
Nurses since they donot know anything.
16.9
83.1
0.264
S (with S9)
15
You like Student nurses examine you because they
do it in detail
93.3
6.7
0.284
S (with S16)
16
Although student Nurses being around, you did not
get much to know about your treatment process
57.9
42.1
0.249
S (with S4)
17
Student nurses helped very much in your
treatment process
51.7
48.3
0.027
S (with S14)
18
When Student nurses are being taught in your
presence, you rather feel left out or bored.
59.3
4.7
0.521
NS (with S13)
19
Student nurses also know about your disease.
54.2
45.8
0.707
NS (with S5)
20
You donot like student nurses asking you personal
questions regarding your disease.
47.5
52.5
0.118
S (with S15)
Note: S= Significant at 5% level of confidence (P < 0.005), NS= Not Significant at 5% level of confidence (P<0.005)

14. Conclusion:
• On the basis of findings, we can conclude that there is not
adequate knowledge about HIV/AIDS and its pathogenesis.
• Only few nurses were aware about the HIV/AIDS services
available at BPKIHS like: VCT, PMTCT, ART, HIV testing, CD-4
count, Counseling and other services.
• Regarding the transmission and prevention of HIV/AIDS they
have not sufficient knowledge.
• There is negative attitude among few nurses regarding
HIV/AIDS may be due to inadequate knowledge related to
HIV/AIDS.
• Hence, continuous in-service education on HIV/AIDS
management and care for nurses working in BPKIHS is very
urgency.

15. Limitations of the study:
• The study was conducted only in the
medical-Surgical Nursing Units of
BPKIHS.
• The findings were based upon the
opinion of the subjects.
• The attitude of patients varies from
individual to individual and it was
difficult to grade also.

16. Recommendations:
• SIMILAR STUDY CAN BE CONDUCTED
TAKING THE SAMPLES OF ALL UNITS.
• CME CAN BE ARRANGED FOR
NURSING STUDENTS AND NURSES TO
IMPROVE THEIR ATTITUDE.

17. References:
1.
2.
3.
4.
5.
6.
7.
Rai. D, Suwal R. Patient’s attitude towards student doctors of IOM. Nepal
health Research council. 2001.
Richardson PH, Curzen P, Fonagy P. Patient’s attitude to student
doctors. Medical-Education. 1986; 20(4).
Murray M, Chambers M. Effect of contact on nursing student ‘s attitude to
patients. Nurse Educ Today. 1991, 11(5): 363-7.
Dunn SV, Hansford B. Undergraduate nursing student’s perception of
their clinical learning environment. Journal of Advanced nursing. 1997;25
(6):1299-1306.
Gates MF, Kaul M, Speece MW, Brent SB. The attitudes of beginning
nursing and medical students towards care of dying patients: a
preliminary study. Hospital Journal. 1982;8(4): 17-32.
Courtney M, Tongs S, Walsh S. Acute-care nurse’s attitude towards older
patients: A literature review. International Journal of nursing Practice.
2000.6(2): 62-69.
Majumadar B. Medical and Nursing students’ knowledge and attitudes
towards violence against women in India. Educ. Health. 2004; 17(3):35464.

18. Thank You