Qualification: 
MSc Nursing
ktmoly@aims.amrita.edu

Prof. K. T. Moly currently serves as Principal at the College of Nursing, Health Sciences Campus, Kochi. 

EDUCATIONAL BACKGROUND

  1. M.Sc. Nursing (1985) in Cardiothoracic Nursing with FIRST CLASS and SECOND RANK from L.T. College of Nursing, SNDT Women’s University, Bombay.
  2. B.Sc Nursing (1980) with FIRST CLASS and FIRST RANK from Govt. College of Nursing, Thiruvananthapuram, Kerala University.

EXPERIENCE

Total experience in Nursing  : 32 ½ years in professional nursing – GNM, B.Sc Nursing & M.Sc Nursing students.

  1. Worked in the various  Colleges of Nursing, Govt. Sector Kerala in different posts for about 16 years
  2. Worked as a teacher in nursing abroad for about three years
  3. Experience in Amrita College of Nursing more than 12 years

MAJOR ACHIEVEMENTS

  1. Chairperson, NAAC Coordination Committee (2003-2008)
  2. Chairperson, IQAC, Amrita College of Nursing from 2009
  3. Guide for more than 25 dissertations of M. Sc Nursing students
  4. Chief Organizer / Coordinator of more than 25 National / State Workshops / Conferences
  5. Chief Editor,  for the Indian edition of the Lippincott Nursing Journal  Nursing Management.
  6. Inspector, Kerala Nurses and Midwives Council
  7. Adhoc Inspector, Indian Nursing Council
  8. Set up the new College of Nursing at AIMS in 2002
  9. Guest Speaker/ Resource Person for various seminars, workshops and symposiums
  10. External Expert  in  Staff Selection Committee for the  the Selection of Nursing Officer in SCTIMST
  11. Chairperson, Internship Task Force, Amrita College of Nursing (2006-2010)

Publications

Publication Type: Journal Article

Year of Publication Title

2020

Prof. Moly K. T., “Bariatric Surgery: A pathway to fertility in obese – A case study”, International Journal of Psychosocial Rehabilitation, vol. 24, no. 10, pp. 4466-4472, 2020.[Abstract]


There is an increasing popularity of bariatric surgery in reproductive-age women. This is a description of a morbidly obese woman with polycystic ovary syndrome (PCOS) and hypothyroidism seeking treatment to become pregnant underwent Laparoscopic Sleeve Gastrectomy (LSG). The patient feels she could not achieve her wishes because of her obesity in childhood. The article explains the positive and negative experiences the woman had to undergo striving for control and normality post surgically, throughout the pregnancy and postnatal period. Immediately after the surgery her weight was 56 kg which means she has lost approximately 37 kg weight. But her present weight is 65 kg. Over a period of three years there is a gain of 9kg in the weight. The overall score of SF – 36 was 87% with the MCS higher (92% ) than PCS (83.3%). Coping with the food especially during the initial years, concerns about pregnancy and the growth of the baby often due to food intolerances were expressed. Finally the enjoyment that has come as a result of improvement in self esteem, independence in the patient, in her work and family was evident as she thinks she has taken the right decision at the right time. The present concern for her is the weight regain and struggle to maintain the new weight. The case study highlights the improvement in quality of life, at the same time reinforces the need for interventions and support groups to alleviate the concerns related to weight regain and maintenance.

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2019

Prof. Moly K. T., “Excessive Weight Loss and Quality of Life after Laparoscopic Sleeve Gastrectomy—A Correlational Study”, Indian Journal of Public Health Research & Development, vol. 10, no. 6, pp. 296-301, 2019.[Abstract]


Background

Laparoscopic Sleeve Gastrectomy (LSG) is the latest method of bariatric surgery used to treat clinically severe obesity. Percentage of excess weight loss (EWL) is commonly used as a marker of success or failure of LSG affecting the quality of life (QoL) of obese.

Objective

To find out the relationship between EWL and the QoL of patients after LSG.

Materials and Method

A descriptive cross sectional study of 100 patients who have completed at least six months after LSG were selected using convenience sampling technique. 50% of the sample was obtained from the GI Surgery OPD in a tertiary care hospital, Kerala and 50% through telephonic interview. Data on QoL was collected using SF-36 questionnaire

Results

The mean weight of the subjects before surgery was 115.99Kg +/-22.97, while the mean weight after surgery was 84.02Kg +/-17.75. The mean percentage of EWL was 63.31Kg+/-26.20. The mean bMI before surgery 42.46 Kg/m2 +/-6.02 came down to 30.76 Kg/m2 +/-5.04 after surgery. A positive correlation was found between QoL and EWL (p =0.768)

Conclusion

There is agreement that weight loss leads to better QoL. However, the need for longitudinal studies with multiple check points on the determinants of QoL including weight loss cannot be neglected

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2019

Prof. Moly K. T. and Krishna, D., “Integrated Clinical Experience on Clinical Skills and Self-Esteem”, Indian Journal of Public Health Research & Development, vol. 10, no. 8, pp. 389-394, 2019.[Abstract]


Background

The need for new clinical teaching models to provide quality experiences for student nurses to bridge the theory practice gap has been realized long back. Newer preceptorship models like integrated clinical experience (ICE) can develop competence and confidence. The process of learning clinical decision making must be practiced during nursing education programs.

Objective

To evaluate the perceived effect of ICE on clinical skills and self-esteem among undergraduate nursing students.

Method

Quantitative, One group pre test post-test design. Data was collected from 139 final year undergraduate nursing students using total enumerative sampling. The students were given clinical experience continuously for a month in one clinical area in two shifts under a professional registered nurse. The students’ perceptions on clinical skills were assessed usinga self developed Questionnaire and self esteem using Rosenberg self-esteem scale before and after ICE.

Results

The perceived effect of ICE on all the twenty clinical skills and self esteem were found to be statistically significant (p value <0.001). The pre and post percentages of the sample on three levels of self esteem were-low self esteem 8.6/2.2, normal 90.7/84.9 andhigh 0.7/12.9.

Conclusion

ICE can smoothen the role transition from student to professional nurse as it affects the clinical skills and self esteem which are central to clinical decision making. However the preceptor's attributes, competency and training on preceptorship are influencing factors to be ensured for better outcomes.

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2018

A. KS, Prof. Moly K. T., and FE, J., “Risk Behaviours and Knowledge on Oral Cancer among Adolescents”, Indian Journal of Public Health Research & Development, vol. 9, no. 5, pp. 6-11, 2018.[Abstract]


Background: India is considered as the oral cancer capital of the world. Extensive studies on risk behaviours and public awareness seem to be obligatory. Objectives: The objectives of the study were to identify the risk behaviours of oral cancer among adolescents and to assess their knowledge on oral cancer. Method: A descriptive survey design with convenience sampling technique was used. Sample comprised of 160 students from a selected Government Higher Secondary School, Kottayam, Kerala, India. A three point rating scale to identify the risk behaviours of oral cancer &amp; a structured questionnaire to assess the knowledge on oral cancer were used to collect the data. Results: Of the ten risk behaviors of oral cancer assessed, risk behaviours most frequently found include, intake of smoked foods 117(73.1%), lack of performance of self-oral examination 73(45.6%) and intake of hot or spicy foods 54(33.7%). Majority of the subjects 113(71%) had average knowledge regarding oral cancer. It was also noted that of the various components assessed, the highest knowledge was found on prevention of oral cancer (59%) and the lowest was on clinical manifestations of oral cancer (27%). Conclusion: The data on risk behaviours show the trend in dietary intake like smoked foods among adolescents. The study findings throw light on the need to conduct large studies on risk behaviours &amp; create awareness on oral cancer among them.

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2018

A. Varghese and Prof. Moly K. T., “Effectiveness of magnesium sulfate with glycerine versus cold compress on patients with peripheral intravenous cannula induced phlebitis”, Asian Journal of Pharmaceutical and Clinical Research, vol. 11, no. 10, p. 275, 2018.[Abstract]


Objective: The objective of the study was to determine the effectiveness of magnesium sulfate with glycerine versus cold compress on patients with a peripheral intravenous cannula (PIVC) induced phlebitis.

Methods: A quasi-experimental pre-test post-test study on 60 subjects, 30 in each group, with interventions magnesium sulfate with glycerine application to one group and cold compress to another group of patients with PIVC induced phlebitis was done in a tertiary care hospital, Kerala. Purposive sampling with random allocation of subjects to each group was done. A standardized visual infusion phlebitis (VIP) scale was used to assess the severity of PIVC induced phlebitis.

Results: Both magnesium sulfate with glycerine (MD=2.1, t29=16.16, p<0.001) and cold compress (MD=1.6, t29=17.59, p<0.001) were found to be effective in reducing the PIVC induced phlebitis. The difference in post-interventional VIP scores between application of magnesium sulfate with glycerine and cold compress was found to be statistically significant (F(1,57)=5.362*, p<0.05). The mean post-interventional VIP scores of magnesium sulfate with glycerine application (0.059) was less than the cold compress (0.274). The study concluded that magnesium sulfate with glycerine application was more effective than cold compress for treating PIVC induced phlebitis.

Conclusion: The study highlights the significance of exploring the foremost effective intervention out of the many good practices currently in use in the prevention and management of phlebitis.

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2017

S. Ann Jhony, Prof. Moly K. T., and Prof. Sreedevi P. A., “Effectiveness of nursing process based clinical practice guidelines on quality of nursing care among CABG patients”, International journal of Nursing Education, vol. 9, no. 2, pp. 120-126, 2017.[Abstract]


Background
Coronary artery bypass grafting is one of the high risk and high cost surgeries performed all over the world. Post operative complications prolong the length of hospitalization. Clinical Practice Guidelines (CPGs) are relatively new quality improvement tools which are developed for maintaining quality, minimizing costs and improving out comes.

Methods
A quasi experimental pretest post test design was used to compare the quality of nursing care of the conventional care group with those of the experimental group. The sample comprised of 60 post CABG patients admitted to the cardiothoracic ward and 30 staff nurses caring them. The non probability, total enumeration sampling technique was used. The quality of nursing care and patients’ satisfaction with nursing care was assessed before and after the implementation of the Nursing Process Based Clinical Practice Guideline.

Results
The study findings showed that the quality of nursing care of the experimental group was significantly higher than that of the conventional group (249.90±23.58 Vs 145.17±22.70, p= 0.001). Further the level of satisfaction of the experimental group was significantly higher than that of the conventional care group (187.7±25.0 Vs 148.1± 36.9, p= 0.001).

Conclusion
Nursing Process Based Clinical Practice Guideline was effective in improving the quality of nursing care of post-CABG patients, which in turn improved the patients’ satisfaction.

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2017

Prof. Moly K. T. and Dharan, D. R., “Factors influencing compliance to therapeutic regimen among patients with hypertension”, Asian Journal of Pharmaceutical and Clinical Research, vol. 10, no. 12, pp. 286-289, 2017.[Abstract]


Objectives: The objectives of the study were to identify the level of compliance to therapeutic regimen, assess the factors promoting and interfering compliance, and to find the association between level of compliance and factors influencing it in patients with hypertension in a Tertiary Care Hospital, Kochi, with a view to develop an information booklet.

Methods: Nonprobability convenience sampling technique was used to collect data from 150 individuals attending outpatient departments. Data on compliance were assessed through interview using standardized Hill And Bone High Blood Pressure Compliance. Scale and factors promoting and interfering compliance were assessed using self-developed semi-structured questionnaire.

Results: Only 55 (36.7%) had good compliance, while 52 (34.7%) had average and 43 (28.7%) had poor compliance to anti-hypertensive therapeutic regimen. The major factors promoting compliance were found as patient-prescriber relationship 146 (97.3%), family support 133 (88.7%), motivation 125 (83.3%), communication with healthcare providers 122 (81.3%), health literacy 104 (69.3%), and patient satisfaction 75 (50%). The factors interfering with compliance were lack of self-esteem 136 (90.7%), long-term adherence 129 (86%), misconceptions and erroneous beliefs 122 (81.3%), cost of therapy and income 100 (80%), forgetfulness 107 (71.3%), difficulty in adjustment to dietary change 82 (54.7%), and fear of side effects 70 (50%). A significant association between the level of compliance and factors promoting and interfering with compliance to therapeutic regimen (p<0.01) was noted. Level of compliance with therapeutic regimen was found to be lower in patients with associated comorbidities such as diabetes mellitus (c2=9.52, p<0.01) and coronary artery disease (c2=6.737, p<0.05).

Conclusion: The study concludes the significance of developing systems to tack and ensure compliance to therapy among hypertensives with a focus on factors promoting compliance not only from the patient perspective but also from the perspective of family and society.

Keywords : Hypertension, Compliance, Therapeutic regimen, factors influencing

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2016

M. A. M. Antony, Prof. Moly K. T., and Dharan, M. Dhanya R., “Assessment of Knowledge and salf reported Clinical Practice on prevention of Deep Vein Thrombosis (DVT) among staff Nurses”, IOSR Journal of Nursing and Health Science, vol. 5, no. 1, pp. 18-24, 2016.[Abstract]


Abstract: A descriptive study to assess the knowledge and self reported clinical practice on prevention of Deep Vein Thrombosis (DVT) among staff nurses working in selected units in a tertiary care hospital, Kochi. Objectives of the study are to: (1) assess the knowledge of staff nurses on the prevention of Deep vein thrombosis (DVT). (2) find out the self reported clinical practice of staff nurses on prevention of Deep vein thrombosis (DVT). (3) find out the association between the knowledge and self reported clinical practice of staff nurses on prevention of Deep Vein Thrombosis (DVT). (4) prepare an informational booklet on the prevention of Deep vein thrombosis (DVT).

Methodology: The study was conducted among 100 subjects who met the eligibility criteria using non probability convenience sampling technique.

Results: Eventhough, majority of the subjects, 50(50%) had adequate experience and exposure in the respective unit as a registered nurse, knowledge on DVT seems to be average (58%) to poor (42%). As the data was collected using self reported practice checklist, it was expected to have some inflation in the scoring. But the result was striking as majority had average (14%) and poor practice (86%) on prevention of DVT. There was no significant association between knowledge and practice of staff nurses on prevention of DVT among hospitalized patients. The study throws light on the fact that staff nurses with average knowledge are also not practicing it in clinics.
Conclusion: The study findings revealed the fact that no staff nurses were having a good knowledge and a good practice, inspite of the fact that 60% of them were graduates. DVT is often negligible, even though, life threatening conditions are associated with it such as PE. The assessment of mere knowledge may not give an accurate result of their practice. It also shows that rather than memorizing, practice is always hands on training. Moreover, it throws light on the fact that degrees have no meaning, if it is not practiced well in clinics.
Key Words: knowledge, self reported clinical practice, prevention of Deep Vein Thrombosis.

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2016

S. T. Varghese and Prof. Moly K. T., “Exploratory study on the knowledge and skill of critical care nurses on endotracheal suctioning”, The Jounal of National Accreditation Board for Hospitals and Healthcare, vol. 3, no. 1, pp. 13-19, 2016.[Abstract]


Background and Objectives: A descriptive exploratory study to assess the knowledge and skill of critical care nurses on endotracheal (ET) suctioning was conducted in the eight Intensive Care Units of AIMS, Kochi. The objectives of the study were (1) to assess the knowledge of critical care nurses on ET suctioning, (2) to assess the clinical skill of critical care nurses in performing ET suctioning, and (3) to find out the correlation between knowledge and clinical skill of critical care nurses on ET suctioning.
Materials and Methods: The sampling technique used was nonprobability convenience (n = 50).
Results: Majority of the participants (70%) had an acceptable level of knowledge. Most of the participants (64%) had least acceptable level of knowledge on the actual suction event and 54% on postsuctioning practice. The nurses who had an acceptable level of skill in performing ET suctioning were 56% whereas skill in practices before suctioning was least acceptable in 86% of the nurses. A significant difference (P < 0.001) was obtained between the current practice observed and the best recommended practice on ET suctioning. The elements of ET suctioning which were not followed by majority of the nurses include auscultation of chest (2%), postsuctioning assessment (2%), wearing apron (6%), maintaining suction pressure (10%), reassuring the patient before (30%) and after suctioning (18%), hand washing before (42%) and after suctioning (28%), time of suction applied (36%), and maintaining the suction catheter's sterility (46%).
Interpretation and Conclusion: Even though nurses had an acceptable level of knowledge and skill, inadequacies exist in the practice of various phases of ET suctioning. Hence, training on ET suctioning could be focused specifically to those phases.

Keywords: Critical care nurses, endotracheal suctioning, knowledge, skill

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2016

Prof. Moly K. T., Kanmani J, and Joy, M. F. Elezebeth, “Perception of clinical learning enviornment by nursing students:Actual versus preferred”, Kerala Nursing Forum, vol. 11, no. 2, pp. 5-16, 2016.

2015

S. N. R and Prof. Moly K. T., “Assess the needs of patients with hematological cancer with a view to prepare a care guide in a tertiary care hospital, Kochi. ”, Journal of Science , vol. 5, no. 11, pp. 1051-1054, 2015.

2015

T. Daniel Simon, Prof. Moly K. T., and Laly K George, “Long term health problems and awareness regarding its management among patients after valve replacement surgery. ”, Kerala Nursing Forum, vol. 10, no. 3, 2015.[Abstract]


A descriptive study to assess the long term health problems and awareness regarding its management among 110 patients after valve replacement surgery was conducted in Amrita Institute of Medical Sciences, Kochi. The Objectives of the study were to (1) find out the long term health problems of patients after valve replacement surgeries; (2) determine the level of awareness on management of long term health problems among patients after valve replacement surgeries; Results: The major long term health problems identified were physical problems 87 (79%), valve related problems 72 (65%) and psychological problems 67 (61%). Awareness regarding management of long term health problems was average among majority of the subjects 72 (65%). Association was found between type of prosthetic valve and certain valve related problems like hearing unusual sounds from the valve (χ2 = 12.303, p<0.001), disturbance due to the noise from the valve (χ2 = 5.065, p<0.05) and thromboembolic problems (χ2 = 4.611, p<0.05) - common among patients with mechanical valve. There was a significant association between PT-INR value and bleeding problems (χ2 = 6.164, p<0.05), i.e., patients with an elevated PT-INR value experienced more bleeding problems. Patients' level of awareness regarding management of long term health problems had significant association with valve related problems (χ2 = 5.877,
p<0.05), dental problems (χ2 = 4.982, p<0.05) and compliance problems (χ2 = 4.195, p<0.05). Conclusion: Need for ongoing follow up and patient teaching on management of long term health problems after valve replacement surgery

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2015

S. Francis and Prof. Moly K. T., “Assess the symptom related distress among patients with lung cancer in selected outpatient departments in a Tertiary care Hospital, Kochi”, Journal of Science, vol. 5, no. 11, pp. 1059-1063., 2015.[Abstract]


A descriptive study was conducted to assess the symptom related distress among patients with lung cancer in selected outpatient departments in a tertiary care hospital, Kochi. The study was conducted among 80 subjects who met the eligibility criteria using purposive sampling technique. The demographic and clinical data were collected using selfdeveloped structured interview schedule, data regarding symptom related distress were assessed using Sheffield Profile for assessment and referral to care developed by SamH Ahmedzai. Results: Symptom related distress was assessed under various domains physical symptoms, psychological issues, religious and spiritual issues, independence and activity, family and social issues, treatment issues. Collected data was categorized under no distress, mild distress, moderate distress, severe distress. Majority of the subjects 46 (57.5%) experienced severe distress from independence and activity issues followed by family and social issues 20 (25%) and was negligible in other domains. Most of the subjects experienced moderate distress from physical symptoms 59 (73.8%), family and social issues 57 (71.3%), religious and spiritual issues 51 (63.8%), psychological issues 42 (52.5%). Of the physical symptoms most reported symptoms were tiredness 79 (98.75%), shortness of breath 70 (87.5%). Most reported psychological issues were change in appearance 76(95%), restless and agitated 75 (93.75%), anxiety 74 (92.5%). Significant associations were found between symptom related distress from physical symptoms with current treatment. (P<0.05), symptom related distress from psychological issues with level of education (P<0.05) and current treatment (P<0.05), symptom related distress from religious and spiritual issues with level of education (P<0.05), symptom related distress from independence and activity with monthly income (P<0.05), symptom related distress from treatment issues with age (P<0.05).

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2014

N. V, Prof. Moly K. T., and K.M, S., “Correlational study on quality of life and learning needsamong patients with Permanent pacemaker. ”, Nightingale Nursing Times, vol. 10, no. 9, 2014.

2014

J. M. Babu, Prof. Moly K. T., and , “Risk factor for patients with Chronic Obstructive Pulmonary Disease.”, Nightingale Nursing Times , vol. 10, no. 6, 2014.

2006

Prof. Moly K. T., Joseph, V., Khora, L., and Beevi, A., “A study to Identify the Extent -Causes- Effect and Probable Measures to Overcome Political Apathy among Nurses”, The Journal of Nursing Research, vol. 1, no. 1, 2006.

Publication Type: Conference Proceedings

Year of Publication Title

2015

Rajeesh R Nair and Prof. Moly K. T., “Patients Psychology in the post organ transplant period: An overview”, National conference on Organ transplant: “together , towards, tomorrow”, Amrita College of Nursing, Health Sciences campus, Amrita vishwa vidyapeetham, Kochi. 2015.

Publication Type: Book

Year of Publication Title

2015

Prof. Moly K. T., Professional Nursing– Questions Authentically Answered. CBS Publishers & Distributors Pvt. Ltd., 2015.

MAJOR ACADEMIC AND PROFESSIONAL AWARDS

  1. Award for excellent performance and dedication as Senior Clinical Teacher in the year 1997 from Ministry of Health,  Sultanate of Oman.
  2. First Rank Holder  :  B.Sc Nursing Degree, Kerala University, 1980
  3. Second Rank Holder  :  M.Sc Nursing Degree, SNDT Women’s University, Bombay
  4. First Prize Winner  :  Paper presentation at State Trained Nurses Association of Indian Conference in 2000
  5. Winner of Quiz Competitions :  State Trained Nurses Association of India in 1992, 1993 & 2000.

MEMBERSHIP IN PROFESSIONAL ORGANIZATION

  1. Trained Nurses Association of India
  2. Nursing Research Society of India
  3. Critical Care Nursing Society of India

RESOURCE PERSON

1. Prof K T Moly has been a resource person for workshop conducted on Qualitative data & Analysis Methods organized by Dept of Biostatistics, AIMS Kochi on August 21 to 23, 2014. The topic was Qualitative data in Nursing Research.

2. Prof K T Moly has been a resource person for the Third National Conference on ‘Criticare Nursing-2015’ organized by Critical care Nurses on November 6 and 7, 2015. The topic was Communication issues in Critical care Nurses.