https://ir.kdu.ac.lk/handle/345/9099 Fri, 26 Jun 2026 21:24:52 GMT 2026-06-26T21:24:52Z https://ir.kdu.ac.lk/handle/345/9106 The Role of English Language Proficiency in Nursing Research Literacy Among Sri Lankan Nursing Undergraduates: A Narrative Review Sudusinghe, WS; Gamage, CKW; Rajapakse, RMNP; Etfita, Fauzul; Wahyuni, Sri Wed, 01 Jan 2025 00:00:00 GMT https://ir.kdu.ac.lk/handle/345/9106 2025-01-01T00:00:00Z https://ir.kdu.ac.lk/handle/345/9105 The Effectiveness of Vestibular Physiotherapy for Benign Paroxysmal Positional Vertigo Patients with Residual Dizziness After Successful Canalith Repositioning Maneuver Sachinthanee, KBS; Pitawala, RRAWMKSK; Hasani, KK Background: Benign Paroxysmal Positional Vertigo (BPPV) is considered a common cause of vertigo. Some patients experience residual dizziness (RD) even after canalith repositioning maneuver (CRM). Vestibular Physiotherapy (VP) is often used to manage these symptoms. This study aimed to investigate the effectiveness of VP combined with vestibular sedatives (VS) compared with VS alone in patients with BPPV and RD after successful CRM. Methods: A quasi-experimental study was conducted in 48 patients with BPPV and RD following successful CRM. In the alternative (non-blind) sampling, consecutive participants were assigned to Group A and Group B, respectively, until the sample size was reached. Group A received only VS, while Group B received both VS and VP. Demographic data were collected using a biodata sheet. Dizziness Handicap Inventory (DHI) and a 10-point Likert scale were used as measuring tools. Results: The study included 30 females and 18 males, aged 18-75. No significant baseline difference was observed between groups [DHI (p=0.63, t = -0.48); Likert scores (p= 0.26)]. After 4 weeks, Group B showed a significant improvement in the Likert score and the DHI physical subscale (p<0.05). A statistically significant association was observed (p< 0.05) between Age and DHI scores at baseline and after 4 weeks. Both groups showed significant improvements in total DHI score independently (p< 0.05). Conclusion: It is more effective to use VP with VS than VS alone for managing RD in patients with BPPV. Wed, 01 Jan 2025 00:00:00 GMT https://ir.kdu.ac.lk/handle/345/9105 2025-01-01T00:00:00Z https://ir.kdu.ac.lk/handle/345/9104 Supervision-Based Support Systems for Nursing Undergraduates at General Sir John Kotelawala Defence University, Sri Lanka in the Clinical Learning Environment: A Cross-Sectional Study Subhashini, DY; Gimhara, ADK; Herath, HMPN; Jayasinghe, JAHC; Madusanka, AHHC; Sandharenu, KLKTD; Kanchana, UDH Introduction: The clinical learning environment (CLE) plays a role in bridging the theory-practice gap through the supervision of qualified professionals, helping students develop clinical competencies, confidence, and professional growth. Effective supervision-based support systems (SBSS) improve learning and ease the challenges students face in clinical practice. This study assessed the SBSS for BSc nursing students in the second, third, and fourth academic years at General Sir John Kotelawala Defence University in the CLE. Methods: A descriptive cross-sectional study was conducted with 211 participants recruited through simple random sampling. Data were collected using the Clinical Learning Environment, Supervision and Nurse Teacher (CLES+T) scale, demographic questions, and questions related to challenges. Data were analyzed using SPSS 25, employing descriptive and inferential statistics. Results: Most students were female (68.7%) and aged 21-25 years (93.3%). The overall mean score of CLES+T was 2.45 (SD±0.55). Frequency of supervision during clinical placements was significantly associated with better perceptions of the pedagogical atmosphere, supervisory relationships, and the role of the nurse teacher (p<.05). The number of weeks per allocation and the adequacy of the clinical period were significantly associated with supervisory relationships. The most common student-reported challenges were communication gaps with the clinical staff and stress within the CLE despite the presence of competent instructors. Conclusion: This study concludes that while nursing undergraduates held a moderately positive view of their SBSS in CLE, they had concerns about the adequacy of clinical supervision. The findings highlight that consistent clinical supervision improves students’ overall experience. Wed, 01 Jan 2025 00:00:00 GMT https://ir.kdu.ac.lk/handle/345/9104 2025-01-01T00:00:00Z https://ir.kdu.ac.lk/handle/345/9103 Osmotic Demyelination Syndrome Secondary to Colonic PseudoObstruction and Resistant Hypokalaemia: A Case Report Lamabadusuriya, DA; Perera, TPS; Vishmintha, WVV; Jayasekera, MMPT1; Gooneratne, IK Osmotic demyelination syndrome (ODS) commonly occurs following overly rapid correction of chronic hyponatremia; however, other precipitants are described. A 63-year-old female was admitted with abdominal distension and found to have severe hyponatraemia and hypokalaemia. Hypertonic saline was initially administered to correct sodium levels within recommended limits. She subsequently developed colonic pseudo-obstruction and an unexpected rise of serum sodium by 16 mmol/L occurred on day four in the absence of any further hypertonic saline therapy. A few days later she became drowsy and magnetic resonance imaging showed changes consistent with ODS. This case highlights how severe hypokalaemia precipitating colonic pseudoobstruction, followed by rapid change in sodium from the intestinal third spacing of fluid and repeated phosphate enemas contributed to ODS. Early recognition of compound electrolyte disturbances and strict monitoring of fluid balance are essential to avoid such complications. Wed, 01 Jan 2025 00:00:00 GMT https://ir.kdu.ac.lk/handle/345/9103 2025-01-01T00:00:00Z