scholarly journals RESPIRATORY CARE OF INTUBATED PATIENTS

2021 ◽  
Vol 9 (06) ◽  
pp. 332-337
Author(s):  
Shailendra Verma ◽  
◽  
Lavanya Nandan ◽  
Sibi Samuel ◽  
◽  
...  

A pre experimental study to assess the effectiveness of planned teaching program regarding respiratory care of intubated patients in terms of knowledge and practice among the ICU staff nurses working in selected hospital at Delhi, NCR, The objective of the study was to assess the effectiveness of Plan Teaching Programme (PTP) on knowledge and practice regarding the respiratory care of intubated patient among ICU staff nurses. This study was conducted on 30 staff nurses of Lady Harding medical college and hospital Delhi NCR. Pre- experimental research design was adopted and purposive sampling technique was used to select the sample. A structured knowledge questionnaire of 25 questions and practice checklist of 30 items were prepared to assess the knowledge and practice of the staff nurses. Data obtained were analyzed and interpreted by using both descriptive and inferential statistics in terms of frequency, percentages, Mean, S.D and Co-relation. Findings showed that In Pre-test Majority of Staff Nurses i.e. 19 (63%) were having V. good knowledge respectively. Whereas in Post Test 17 (57%) were having excellent knowledge regarding care of intubated patient in ICU which indicates an increase in knowledge score. In Pre-test Majority of Staff Nurses i.e. 19 (63%) were having V. good knowledge respectively. Whereas in Post Test 17 (57%) were having excellent knowledge regarding care of intubated patient in ICU which indicates an increase in knowledge score. The mean Post test practice check list score of Staff Nurses is (21.63) which is higher than the mean Pre test practice check list (14.23), with the mean difference of 7.4. The obtained mean difference was found to be statistically significant. The calculated t value is 23.81 which is greater than the table value at 0.05 level of significance at df (29).The findings revealed that the coefficient of correlation between post test knowledge score and post test practice score regarding respiratory care of intubated patient in ICU among staff nurses is 0.94 which is statistically significant.

Author(s):  
Patricia Reddy ◽  
Ancy Ramesh

Background: The skill of intravenous cannulation must be practiced regularly to maintain a high level of competency. This is important to gain quick and efficient intravenous access in populations when required. The insertion of intravenous catheters into peripheral veins is probably the most commonly performed invasive medical procedure in hospitals. This procedure could be difficult sometimes requiring several attempts and causing distress to patients. The high success rates of nurses in intravenous cannulation have been due to the frequent performance of intravenous cannulation Objectives: 1. To assess the existing knowledge regarding intravenous cannulation among staff nurses working in selected hospital. 2. To observe the existing practice regarding intravenous cannulation among nurses. 3. To assess the effectiveness of lecture cum demonstration regarding Intravenous cannulation among staff nurses. 4. To observe the practice of staff nurses regarding intravenous cannulation after lecture cum demonstration. 5. To correlate the knowledge and practice of staff nurses regarding intravenous cannulation .Methodology: Pre experimental one group pre test post test design. Material: Structured knowledge questionnaire and Observational checklist adopted as per WHO guidelines.Sample size: 60. Result: Among the 60 samples, according to age, 39(65%)of subjects were of 21-30 years of age, 14(23.33%) were of 31-40 years, 7(11.67%) were of 41-50 years and no subjects were above 50 yearsAccording to the educational qualification, 38(58.33%) of the subjects were with the qualification of general nurse midwives, 12(20%) were B.sc nursing, 13(21.67%) were PB.B.sc Nursing.Majority of the subjects 45% have work experience of less than 2 years, 23.33% have 3-5 years, 20% have 6-8 years and 11.67% of them have work experience of more than 8 years In relation to area of work, 26.67% of the subjects each were from the Medicine ward and surgical ward, 21.66%were from Intensive care unit and 25% of them were from Casualty/Emergency ward. post test majority of the subjects gained Knowledge regarding intravenous cannulation. 34 (56.67%) subjects had good level of Knowledge score and 23(43.33%) subjects had average level of Knowledge. None of the samples have poor level of Knowledge. the post test the findings shows that 57(95%) subjects had satisfactory level of practice whereas only 3(5%) of subjects had unsatisfactory level of practice. The mean pretest knowledge score was 15.28 and post test knowledge score was 26.58. The mean practice score 7.61 and posttest practice score was 13.76. Student’s paired ‘t’ test is applied at 5% level of significance and The calculated‘t’ value for overall knowledge score of subjects was 35.51 and the calculated ‘t’ value for overall practice score of subjects was 23.44 that statistically interpreted that the lecture cum demonstration regarding intravenous cannulation was effective in increasing the Knowledge and practice of subject. There was significant association between selected demographic variable of year of experience with their pretest knowledge, whereas other demographic variables are not significantly associated.The correlation coefficient of post test knowledge and post test practice score was ‘r’ 0.21, which is indicates a positive correlation. Conclusion: The knowledge of the target population was significantly increased, and there was significant improvement in the level of practice after receiving lecture cum demonstration regarding intravenous cannulation. The improvement in knowledge and practice was found in all subjects irrespective of their demographic variable


Author(s):  
Anandhan Divya ◽  
Palani Vijayasamundeeswari ◽  
Dhandapani Geetha

Introduction: Peripheral intravenous therapy is one of the most frequently used therapeutic interventions in the acute care setting. Paediatric intravenous cannulation is a fundamental part of medication and practised in almost every health care setting. Intravenous therapy is used to treat a wide variety of paediatric conditions. Although most hospitalised children receive intravenous (i.v.) therapy daily, treatment extends beyond this population to Out Patient (OP) settings, long term care and home care for the infusion of fluids, blood products, and medications. Aim: To assess the effectiveness of planned teaching program on knowledge and practice regarding intravenous therapy among paediatric nurses. Materials and Methods: The present pre-experimental, quantitative, non randomised, one group pre and post test design study was conducted in Paediatric Ward, Paediatric Intensive Care Unit (PICU) and Neonatal Intensive Care Unit (NICU) of ‘G’ block, Sri Ramachandra Hospital (SRH), Porur, Chennai, Tamil Nadu, India from 11th July 2016 to 20th August 2016. Self administered questionnaire and observational checklist was used to collect data about knowledge and practice respectively. Non probability purposive sampling technique was used to select the 30 staff nurses working in the paediatric department with less than one year of experience. Results: The difference between the mean post-test knowledge score (M=16.20, SD=2.041) and pretest knowledge score (M=7.43, SD=2.254) of paediatric staff nurses was highly significant (p-value <0.001) and the computed t-value was t=26.7. The difference between the mean post-test practice score (M=15.13, SD=2.063) and pretest mean practice score (M=10.70, SD=2.380) was also highly significant (p-value <0.001) and the computed t-value was t=8.215. Conclusion: The present study shows that there was a significant difference in the mean scores of knowledge and practice between pretest and post-test after the planned teaching program intervention at the level of paediatric nurses (p<0.001). So planned teaching program was effective on knowledge and practice regarding intravenous therapy among paediatric staff nurses.


Author(s):  
Daxaben Patel ◽  
Khushbu Patel

Introduction: Tuberculosis is one of the most prominent mycobacterium diseases known to humankind. Increasing cases world-wide led to the World Health Organization (WHO) declaring a global Emergency in April 1993. Despite the availability of „tools‟ for controlling TB, programs have been unable to sustain high cure rate. As a consequence of this, and the increasing problems of drug resistance, the International community, through the WHO, has developed and launched the Directly Observed Treatment Short Course (DOTS) strategy. Directly Observed Treatment, Short course chemotherapy is a strategy to ensure cure by providing the most effective medicine and confirming that it is taken. It is the only strategy which has been documented to be effective Worldwide on a program basis. Design: A quantitative approach using pre-experimental pre-test post-test design with one group. Participants: 50 Staff Nurses were selected using Non-Probability purposive sampling technique in Mehsana District. Interventions: Structured teaching was given to the Staff Nurses. Tool: Self Structured Questionnaire was used to assess the level of Knowledge regarding tuberculosis and dots therapy among staff nurses. Results: The research study shows that in pre test (20%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in 46% of the sample and (34%) of sample having good (20-41) knowledge score. And in the post test (0%) of sample had a poor knowledge (score 1-10) regarding knowledge about tuberculosis and dots therapy, while average knowledge (score 11-20) was observed in (18%) of the sample and (82%) of sample having good (20-41) knowledge score. And the comparison between pre test and post test observation score regarding knowledge of tuberculosis and dots therapy. The mean pre test observation score was 16.4 and the mean post test score was the 23, and the Standard Deviation was 5.64 in pre test and 7.67 in post test score, also the calculated “t”value was 4.20 was greater than the table value at 0.05 level of significance. The structured teaching was effective in increasing the Knowledge regarding tuberculosis and dots therapy among staff nurses. Chi-square test to associate the level of knowledge and selected demographic variable. Conclusion: The findings of the study indicate that structured teaching programme is effective in increase knowledge regarding tuberculosis and dots therapy among staff nurses.


Author(s):  
Harish K. Kumawat ◽  
Ashok Kumar ◽  
Dev Narayan ◽  
Dinesh K. Sharma ◽  
Sanjay Nagda ◽  
...  

Background: The vision of the Indian dental association is to improve oral health and achieving optimal national oral health for all. So, the present study was aimed to improve the knowledge and practice regarding oral hygiene using STP (structured teaching programme) among selected middle school children at Udaipur.Methods: Evaluative research approach and pre-experimental, one-group pre-test, post-test designs were adopted for this study. Using a non-probability, convenient sampling technique, sixty children were recruited from the sixth and seventh standards of selected middle schools at Udaipur city. Tools included demographic data, a self-structured knowledge questionnaire and an observational checklist. Data were analyzed using descriptive and inferential values by IBM statistical package for social sciences (SPSS version 23) software.Results: Data revealed that there was a lack of knowledge and practice (tooth brushing technique) on oral hygiene among middle school children which can be increased by administering STP on oral hygiene. The mean and standard deviation of post-test knowledge score and practice score 15.73±1.19 and 8.41±1.66 was higher than the mean and standard deviation of pre-test knowledge score and practice score 5.11±1.14 and 4.27±179 respectively.Conclusions: Greater attention to STP on oral hygiene is needed to improve knowledge and practice (tooth brushing technique) regarding oral hygiene among middle school children.


2021 ◽  
Vol 4 (2) ◽  
pp. 48-53
Author(s):  
Madhumita Sarkar

A quasi experimental study on “effect of learning package on knowledge and practice regarding self-care and child care among women undergoing caesarean section at Bankura Sammilani Medical College and Hospital, Bankura, West Bengal” was conducted to find out the knowledge and practice and its association with selected factors among subjects and also the effect of learning package. Conceptual framework was developed based on Ludwig Von Bertalanffy’s system model. A quasi experimental study design was adopted. Convenience sampling technique was used to select 64 antenatal women. Structured interview schedule and structured knowledge questionnaire were used to collect data. Significant findings on statistical analysis of data were revealed that the mean post-test knowledge score (18.68) and practice score (26.06) of experimental group are higher than the mean post-test knowledge score (7.93) and mean post-test practice score (17.71) of control group with true mean difference in both the cases (“t” values 16.79, 15.18, p=0.05) which concludes that the learning package is effective to improve the knowledge and enhance the practice among the subjects. Educational level was found significant in relation to knowledge and practice scores among experimental group.


2021 ◽  
Vol 10 (01) ◽  
pp. 7-13
Author(s):  
Uzma Iqbal ◽  

Background: Blood transfusion is the transfusing of a compatible donor’s whole blood or any of its components to the recipient to correct/ treat any related clinical condition. The transfusion of blood products is essential for restoring the body’s oxygen transport capacity, or replenishing lost or depleted blood components in various medical conditions. Objectives: To assess knowledge and practice score regarding blood transfusion among staff nurses and to identify the association of knowledge score and practice score with selected demographic variables. Methodology: A descriptive research design that involved convenience sampling technique to collect data from the 60 staff nurses working at Sher-i-Kashmir Institute of Medical Sciences, Kashmir, using a “self-structured knowledge questionnaire and practice checklist”. Results: The study revealed that most of the staff nurses, i.e. 53.3%, had fair knowledge, 41.7% had poor knowledge, and only 5% of staff nurses had good knowledge regarding blood transfusion. The mean ± SD knowledge score of the staff nurses was 23.516 ± 4.59. Most of the staff nurses, i.e. 66.7%, had satisfactory practice, and 33.3% had unsatisfactory practice. The mean ± SD practice score of staff nurses regarding blood transfusion was 49.26 ± 6.40. A statistically significant association was found between nurses’ knowledge and demographic variables viz., age, professional qualification, clinical experience, the approximate number of blood transfusions performed in past 6 months, and in-service training programme attended regarding blood transfusion, and practice with demographic variables, viz., gender and clinical experience at p ≤ 0.05. Conclusion: The study concluded that deficiency of knowledge among nurses regarding blood transfusion threatens patients’ safety, and may also put patients in life-threatening conditions.


Author(s):  
P. Jegin ◽  
S. Subbulakshmi ◽  
M. Dinesh Kumar ◽  
J. Dayana ◽  
E. Elakiya

Back ground: An experimental study was conducted to assess the effects of instructional teaching programme (ITP) on knowledge and practices of mothers regarding prevention of pneumonia in children, Pooncherry, Chengalpattu District, Tamil Nadu, India.Objectives of the study were to assess the effectiveness of ITP on prevention of pneumonia on level of knowledge and practices among mothers of under five children. Materials and Methods: Non probability purposive technique was adopted for this study. Samples who met inclusion criteria were participated in the study. Self-structured interview schedule for knowledge  and structured rating scale for practices were used to collect the data. Results: The study results shows that in the pre test 15.13 % of the mothers had adequate knowledge, 24.34 % of the mothers were had moderately adequate knowledge and 60.53 % of the mothers had inadequate knowledge and  and in post test 63.17% of mothers were had adequate knowledge, 28.94% of the mothers had moderately adequate knowledge and very few (8.55% ) mothers had inadequate knowledge. Pre test practices score shows that 63.82 % of the mothers had less desirable practice, 22.37% of the mothers had moderate desirable practices and 13.81% were had highly desirable practices whereas in the post test 63.82% of them had highly desirable practice, 23.03% of them had moderate desirable practices and 13.16% of them had less desirable practices. The mean pretest knowledge score was 5.45 ± 1.47 and the mean posttest knowledge score was 8.49 ± 0.71 and the t value was 15.17, it shows that statistically there was an improvement in the post test knowledge score. The mean pretest practice score was 22.38 ± 2.76, the mean posttest practice score was 43.64 ±1.97 and the t value was 13.35, it shows that statistically there was a significant improvement in the post test practice score. The instructional teaching programme on prevention of pneumonia was statistically effective in promoting the knowledge and desirable practices among mothers.


Author(s):  
Ester Eveline Sihite ◽  
Debora Chaterin Simanjuntak

This study aims to enhance students’ writing skills through Daily Journal writing. This research was divided into three steps: giving pre-test, giving treatment (writing daily journal), and giving posttest. The result showed significant difference between control and experimental group. Experimental participants was improved through the writing of daily journal, and the score gained by participants showed that there was a significant effect on students’ writing skills. The achievements showed that the mean difference of post-test scores between the two groups was -.45433 and for the standard error mean was .03840 with pValue .050 (see Table 3), means that Ha is accepted and Ho is not accepted. It means, writing daily journal is strong enough to improve the students’ writing skills. Keywords: Journal Writing, Writing Skills, Daily Journal Variations


Author(s):  
Sunitha P. ◽  
Sucy George

Hypertension (HTN) is an enormous health problem and is one of the biggest health challenges in the 21st century. Effective management in hypertension requires a multi-sectorial approach. Dietary management plays a vital role in managing blood pressure especially beetroot juice which contains nitrates helps in vasodilation thus reducing hypertension. The aim of this study was to assess the effectiveness of information booklet on knowledge regarding hypertension and supplementation of beetroot juice among hypertensive patients and To find the association between mean pre-test knowledge score about hypertension and supplementation of beet root juice with the selected demographic variables. A pre-experimental one group, pre-test post-test design was used for the study. Purposive sampling technique was used to select 30 hypertensive patients. The investigator assessed the knowledge regarding HTN and supplementation of beetroot juice in managing hypertension using structured knowledge questionnaire and then the information booklet was administered to the subjects. The collected data was analysed by using descriptive and inferential statistics. The mean post-test knowledge score (x2=23.87) was higher than the mean pre-test knowledge score (x1=17.40). The mean difference between post-test and pre-test knowledge score was highly significant. The obtained ‘t’ value (11.75) is higher than the table value (t29=1.70 at p<0.05 level significance). There was no significant association between knowledge score and selected demographic variables like age, gender, religion, education, occupation, income, and duration of illness. (2=2.143, 2=0.536, 2=0.000, 2=0.536, 2=2.143, 2=0.133, 2=0.536). Hence it can be concluded that information booklet is an effective strategy for providing information and improving the knowledge of adult hypertensive patients.


Author(s):  
Zaitul Akmal AZ ◽  
Salmah N ◽  
ND Ismail ◽  
Muhammad Akmal MN ◽  
Khairatul Nainey K

Introduction: In Malaysia, the rate of adolescents involved in sexual activities has increased and starts at an earlier age. Data from NHMS 2017 showed that 7.3% among surveyed 13 to 17 years-old adolescents have already had sex. The rate of teenage pregnancies is also increasing at 3.7-3.9% between the years 2009 until 2011. Therefore, an effective SRH Programme should be conducted in schools to equip them with adequate knowledge regarding this subject.Methods: A cross-sectional questionnaire survey was conducted among 145 randomly selected secondary school students aged 13 to 15 years old, attending the SRH Programme in a secondary school in Cheras, Selangor, Malaysia. The objective of this programme is to deliver knowledge and promote awareness among adolescents regarding SRH. The programme consists of intervention using adolescent-friendly module and games. A pre- and post-test were given to the participants to evaluate the effectiveness of the programme using the validated SRH questionnaire (Malay version). The questionnaire consists of fourteen and six items for knowledge and attitude, respectively.Results: The result showed an increase in the mean knowledge score (±SD) after the SRH Programme at the school from 7.25 ± 2.44 for pre-test to 9.70 ± 3.17 for post-test. The mean difference in pre- and post-test was 2.45 (95% CI: 2.02, 2.87) and was statistically significant (p<0.001). In terms of attitudes, the majority of the students felt that they have enough knowledge to make a gooddecision regarding sexual reproductive health issues after the SRH programme. However, there was only a small increment with regards to their attitudes on assertiveness.Conclusion: This study demonstrated an increase in the level of knowledge among adolescents in Cheras after the SRH programme using the adolescent-friendly module and games. However, there is no significant change in attitude among adolescents regarding SRH.Future SRH programmes need to be done regularly to instil positive attitudes among adolescents in dealing withsexual reproductive dilemmas.International Journal of Human and Health Sciences Supplementary Issue: 2021 Page: S20


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