Quality of life among nurses working in different health care setting in the state of Karnataka, India

Context: Nurses reactions on stressors can be physiological, psychological and behavioral leading to stress related to mental and physical diseases that decrease well-being, satisfaction and quality of life. Aim: To investigate the quality of life (QOL) among nurses working in different healthcare settings in hospitals of Karnataka State, India. Settings and Design: This is a cross-sectional study carried out in two regions of Karnataka State, India with a total sample size of 501. Subjects and Methods: WHO evaluation instrument on Quality of Life World Health Organization Quality of Life-Brief Version (WHOQOL-BREF) is the tool used for collecting and analysing data. It composed of four domains: Physical health, psychological health, social relationships and the environmental domain. Statistical Analysis Used: The mean score of items within each domain is used to calculate the domain score. Transformed scores were estimated using the tables for standardizing scores from 0-100. SPSS 16.0 Version is used for statistical analysis. Results: For overall physical health status of nurses was "ill" in both the hospitals (34%; 23%) with significance at 0.01 levels. The mean score for psychological domain was least (41.83). Overall perception of QOL result showed significance at 0.01 level for all domains except for psychological domain. Conclusions: Hospital authorities and health managers of any type of health care setting need to plan for enhancing better quality of life for nurses by planning for better working environment by providing facilities for coping mental demands, software systems and work-rest schedules to reduce the jobs physical demands. Thus, enhance QOL of nurses resulting in better healthcare services to the community

Implementation of International Classification of Diseases 10: Preparedness for E-medical records and health reporting

Context: International Statistical Classification of Diseases and Related Health Problems (ICD 10) define the universe of diseases that exist, and classify them according to specified criteria. World Health Organization (WHO) has mandated ICD 10 for health reporting by its member states. In India, few of the hospitals in the state are following the standard coding and reporting system. Ministry of Health and Family Welfare (MOHFW), India, have notified the electronic medical records standards to be followed by health care providers in August, 2013 and recommended ICD 10 as reporting standard for both mortality and morbidity. The current study was carried out to promote standard reporting practices and implementation of ICD 10 coding system as per WHO/MOHFW reporting norms in a 150 bedded mission hospital in Udupi District of Karnataka State and successfully implemented with VI phase project. The phases included awareness and knowledge interviews, orientation, training, implementation, and testing. Although the standards and notification have been put up in government MOHFW web pages, it is suggested that the authorized bodies to mandate standard reporting of disease by all types of healthcare providers and upgrading/training programs to be extended to private healthcare sectors as well