SLIIT International Conference on Advancements in Sciences and Humanities [SICASH] 2020

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    Attitudes and Practices of Nurses’ Regarding the First 24 Hours Post- operative Pain Management in Teaching Hospital, Rathnapura
    (Faculty of Humanities and Sciences - SLIIT, 2021-03-26) Amarasinghe, D.I.I.; Meegoda, M.K.D.L.
    Surgical patients experience a great intensity of pain during the first 24 hours of surgery due to various reasons including tissue damage during the surgery. Therefore, assessing nurses’ attitudes and practices on assessment and management of pain especially in post-operative units is essential because nurses are the professionals who play a key role in managing patients’ pain. A descriptive cross-sectional study was conducted among 135 government registered nurses in surgical units, Teaching Hospital, Rathnapura. Cluster sampling technique was performed and self-administered questionnaire was used. Ethical approval was obtained from the Ethical Clearance Committee, University of Colombo. The study participants were in the attitude that health workers should not encourage patients to tolerate pain (58.5%), believed non- pharmacological methods are not effective in managing post- operative pain (53.3%), ineffectively treated pain may not lead to chronic pain in future (58.5%), by using placebo injections health professionals can identify whether the pain is real (51.1%), health professionals’ religious background affects for the attitude towards patients pain and suffers (55.6%) and if the patient does not complain pain, continuation of analgesics within first 24 hours is not necessary (64.4%). Of them 79.3% believed that patients should be individually assessed to determine cultural influences in pain and 97% are revealing effective communication and therapeutic relationship are as essential components in post-operative pain management. Although the pain assessment scale indicates the most accurate judgment regarding intensity of patient’s pain (66.7%), only less than 50% of the participants were assessed the pain using a pain scale. Almost all the nurses follow up the post-operative patients’ pain after administration of analgesics (97.8% reassess, 97% observe, 98.5% consider safety measures). However, whether the doctor has prescribed fixed schedule of pain medication, many of them follow that according to their assessment (45.9%). It is recommended to improve nurses’ attitudes and practices regarding the first 24 hours post- operative pain assessment and pain management.
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    Exploring Parents' and Teachers' Attitudes and Expectations Regarding Inclusive Education in Colombo
    (Faculty of Humanities and Sciences - SLIIT, 2021-03-26) Peiris, A.N.; Pandithakoralage, S.C.
    The study aimed to explore teachers’ attitudes and parents’ expectations regarding inclusive education. In total 8 participants were interviewed regarding their attitudes and expectations of inclusive education. 4 participants were mainstreamed teachers that have a child or children with special educational needs present in the classroom and 4 participants were parents that have a child with a diagnosis that requires special educational needs, attends school and is in a mainstreamed classroom, while receiving extra help at school. The results were analyzed using Thematic Analysis. Data analysis highlighted four themes: Improved Communication, Adequate Resources and Support, Education and Awareness and Roles of Schools. It was evident that there are multiple gaps that need to be bridged as there is a significant discrepancy between how the education of students with special needs should be approached and how students are being approached. Parents expectations of teachers and schools are clearly stated, and teachers showed promising characteristics to change neutral or negative attitude toward inclusive education if their expectations are met. As inclusive education is a fairly new practice, the study aimed to determine common attitudes and expectations between parents and teachers in order to help the development of inclusive education in Colombo. Future implications of the study are discussed.