Himalayan Institute of Medical Sciences
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Item Building Palliative Care Capacity in North India: A Multicenter Approach(Elsevier, 2026-02-02) Kashyap, Komal; Ratre, Brajesh Kumar et al.In low-resource settings like Northern India, palliative care providers often lack adequate training, institutional support, and interdisciplinary collaboration that are indispensable for effective implementation. Objectives This article highlights strategies to build palliative care capacity through education, interdisciplinary collaboration, and system-level interventions in Northern India. The article describes a palliative care capacity-building project executed from 2023 through 2025. It presents scalable approaches to overcome barriers to palliative care, enhance palliative care competencies, and expand palliative care infrastructure. Material and Method The project proceeded in three phases and began with the selection and development of nine centers of excellence (Phase I), followed by associating each center with ten district hospitals to embed palliative care within the region (Phase II). Phase III focused on palliative care training for providers in 90 district hospitals. The project assessed capacity and quality improvements at the centers and evaluated providers' palliative care knowledge post-training in the district hospitals. Results The centers of excellence reported substantial capacity and continued improvements in palliative care delivery throughout the project. Physicians and nurses affiliated with the district hospital showed significant and lasting knowledge gains after palliative care training. Conclusion These results demonstrate significant progress in palliative care capacity with the region, but they, also, underscore the need for ongoing efforts in training, research, and systematic record-keeping. The project’s success in its three phased approach illustrates the potential for education, collaboration, and system-level support to strengthen palliative care capacity.Item Evaluating the influence of a psychiatry training program on nursing students’ attitudes towards mentally ill(PUBMED, 2025-07-04) Praveen Rikhari; Vishal Sinha; Gyanendra Kumar; Ayushi Bisht; Aayush Kapoor; Pragya RikhariBACKGROUND: Mental disorders are a global concern, affecting millions worldwide. Despite effective therapies, societal stigma toward mental illness persists, hindering access to healthcare and perpetuating negative stereotypes. These prejudiced attitudes are also present in nursing professionals and impact the quality of care provided by them. This study aimed to explore the impact of a month‑long residential psychiatry training program on the attitudes of nursing undergraduate students toward mental illness. MATERIALS AND METHODS: This was a longitudinal study with pre‑post design conducted at a government mental health hospital and training institute in north India using convenient sampling. The Community Attitude Towards Mental Illness (CAMI) Scale, which has subscales of Authoritarianism, Benevolence, Social Restrictiveness, and Community Mental Health Ideology was used to measure the attitudes towards the mentally ill in nursing students before and after the training program. Descriptive statistics were used to present the data while paired t‑tests and McNemar test were used for analysis. RESULTS: A total of 970 students were included. A significant improvement in Social Restrictiveness, Community Mental Health Ideology, and the total CAMI score was noted post‑training (P < 0.001 for each) while changes in Authoritarianism (P = 0.87) and Benevolence (P = 0.1) were nonsignificant but positive. Furthermore, increased willingness to work in psychiatry wards post‑training was found, indicating a positive influence on career choices (P < 0.001). CONCLUSIONS: The results emphasize the effectiveness of combining theoretical knowledge with real‑life exposure in mental health nursing. Despite limitations, like a single‑center study and no control group, the study’s pre‑post design and large sample size contribute valuable insights.