Browsing by Author "Samaraweera, N.Y."

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    The Quality of interaction between Public Health Nursing Sister and Public Health Midwife during supervision in maternal and child health care settings in Sri Lanka
    (Postgraduate Institute of Medicine, University of Colombo, 2014) Samaraweera, N.Y.; Abeysena, H.T.C.S.; Liyanage, T.; Taft, A. J.
    Objective To measure the quality of interaction between the Public Health Nursing Sister (PHNS) and the Public Health Midwife (PHM) during supervision. Methods This was a cross-sectional study, using triangulation of data obtained from structured observations and audio tape records of supervisor-supervisee interactions and written records of all supervision activities. Twenty four PHNS participated in the study. This study was undertaken in the district of Kalutara. Results Supervisors spent less time on supervising client care issues than on supervising facility level issues and interacting with clients. The weakest skills among the PHNS were ‘seeking client input’ and ‘discussing the next visit’ and the strongest skills were ‘giving feedback’, ‘discussing/interpreting data’ and ‘developing rapport’. Skills of supervision increased with the service duration of the PHNS but none were able to achieve the cut-off mark for satisfactory overall quality of interaction. Conclusions This study indicates that the overall quality of interaction between the PHNS and the PHM during supervision was poor. PHNS lacked skills in prioritisation of supervision activities and time management. They also lacked other necessary skills that ensure a higher quality of PHNS-PHM interaction. DOI: http://dx.doi.org/10.4038/jpgim.7607
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    Risk factors for spontaneous abortions.
    (College of the Community Physicians of Sri Lanka, 2007) Samaraweera, N.Y.; Abeysena, C.
    OBJECTIVE: TO determine risk factors for spontaneous abortions. METHODOLOGY: A hospital based case control study was carried out at the gynecological wards and antenatal Clinics of the De Soysa Maternity Hospital during the period between August to December 2004. Cases were selected from mothers who had partial or full expulsion of foetus up to 28 weeks period of amenorrhoea (POA), which had been diagnosed by a Consultant Obstetrician. Controls were selected from the antenatal Clinics who were having a viable foetus after completion of 28 weeks of POA. Two hundred and thirty-eight cases and 496 controls were selected. A pre-tested interviewer administered questionnaire and modified life events inventory were administered to gather data. Univariate and multivariate logistic regression was applied and the results were expressed as Odds ratios (OR) and 95% confidence intervals (95%Cl). RESULTS: After controlling for confounding by multivariate logistic regression it was revealed that sleeping <8 hours/day (OR:3.9, 95%CI:2.7-5.7, p<0.001), walking >5 hours/day (OR:2. 4, 95%Cl: 1.6- 3.3, p<0. 001), standing >4 hours/day (OR: 2.3, 95%Cl: 1.6- 3.3, p<0. 001), exposure to kitchen smoke (OR: 3.,1 95%Cl: 1 .6-6. 1, p< 0.01), BMI of >26kg/m2 (OR:2.1, 95%Cl:1.3 - 3.6, p<0.01), drugs taken other than routine antenatal vitamins and supplements (OR:2.9, 95%Cl:1.3-6.4, p<0.01) were risk factors and a maternal height <153 cm was a protective factor (OR: 0.5, 95%Cl:0.3-0.7, p<0.001) for spontaneous abortions. CONCLUSIONS: Exposure to kitchen smoke, drugs taken other than routine ante natal supplements, sleeping <8 hours/day, standing >4 hours/day and walking >5 hours/day and maternal BMI of >26 kg/m2 were risk factors for spontaneous abortions. Maternal height < 153cm was a protective factor for spontaneous abortions.