“Effectiveness of Planned Demonstration on Aseptic Medical Wound Dressing in Terms of Practice among Staff Nurses in Selected Hospitals of Gwalior”

Abstract

Background: Wound dressing procedures are very common and if wound contamination is limited, then there is a less chance of infection. The investigator felt a strong need to conduct a planned demonstration on aseptic wound dressing technique which would help the staff nurses to develop proper practice and skill in aseptic wound dressing. The aim of the study was to determine the practice on aseptic medical wound dressing technique among staff nurses before planned demonstration as measured by an observation checklist and evaluate the effectiveness of planned demonstration in terms of practice of aseptic medical wound dressing technique among staff nurses.Materials and Method: A quasi experimental, time series design was adapted for the study. The conceptual framework of the present study was developed by the investigator based on the Weidenbach’s Prescriptive Theory. Purposive sampling technique was used to select the XI samples consisted of 30 staff nurses based on their inclusion criteria. A structured observational checklist consisted of 51 items was used to evaluate the effectiveness of planned demonstration on aseptic medical wound dressing technique.Results: In pre- test majority (66.7%) of the staff nurses have an average practice on aseptic medical wound dressing where as in post test 1, majority (96.7%) of the staff nurses have good practice and in post test 2 (100%) and post test 3 all (100%) the staff nurses have good practice on aseptic medical wound dressing. The mean post-test 1 (44.5±4.2), post test 2 (48.7±0.93) and post test 3 (48.7±0.93) practice scores are higher than pre-test practice score (21.5±5.5). The calculated t value (33.3) is greater than table value (t 29=2.262) at 0.05 level of significance. There is a significant association of source of knowledge of staff nurses with pre-test practice scores and there is no significant association found between age, sex, education, years of experience and present area of working with pre- test practice scores. Also there is no significant association found between age, sex, education, years of experience, present area of working and source of knowledge with post- test practice scores.Conclusion: The findings of the study proved that the planned demonstration on aseptic medical wound dressing is an effective measure to improve the staff nurses level of practice. The nurses can learn about the aseptic measures maintained during dressing preparation phase, dressing execution phase and post procedure phase.