Post-test Practice Score Research Articles

Effectiveness of Lecture cum demonstration on Knowledge and practice regarding Intravenous cannulation among staff nurses working in selected hospital

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

Effectiveness of Lecture Cum Demonstration on First Aid Management of Common Ailments in Terms of Knowledge among Accredited Social Health Activist (Asha) Workers

Death can occur at any time in which first aid is the initial step of giving care to a person in the emergency. Everyone has the capability to save lives during the emergency situation to reduce the further complications. The present study aimed to assess the effectiveness of lecture cum demonstration on first aid management of common ailments in terms of knowledge and practice among accredited social health activist (ASHA) workers. Study was Quasi experimental one group pre-test post-test design. Total 52 ASHA workers were selected by using Total enumeration sampling technique. Data was collected by using structured knowledge questionnaire and observational checklist through paper pencil technique. The mean post-test knowledge score (25.21±2.77) was higher than the mean pre-test knowledge score (11.25±4.24) and mean post-test practice score(64.54± 3.10) was higher than the mean pre-test practice score (9.71± 3.42). There was no significant association of post-test knowledge score with selected variables except marital status and there was no significant association of mean post-test practice score with selected variables. The study concludes that lecture cum demonstration was effective in improving the knowledge and practice of ASHA workers on first aid management of common ailments.

Effectiveness of a Mobile App CANScreen on Selected Common Cancer Screening Procedures and Preventive Measures in terms of Knowledge and Practice among Undergraduate Students

Introduction: Cancer affects all walks of life. To reduce cancer mortality, it is of extreme importance that people should be made aware, and the required prevention methods and treatment should be provided at the proper time. This study was conducted to assess the effectiveness of CANScreen app on selected common cancer screening procedures and preventive measures in terms of knowledge and practice among undergraduate students.Method: The research approach was a quasi-experimental approach.One group pre-test post-test design was used. 126 samples were recruited through stratified random sampling. Seven tools were used for data collection. Ethical approval was taken from the institutional ethics committee and administrative approval was taken from the college authority. Results: The mobile app CANScreen was effective in improving both knowledge and practice of undergraduate students regarding selected common cancer screening procedures and preventive measures. The mean post-test knowledge score was 22.91 and the mean post-test practice score was 45.94. There was a positive correlation (0.21) between knowledge and practice after the administration of CANScreen. There was a significant association between post-test knowledge scores and selected variables such as stream of study, year of study, and presence of healthcare professionals in the family. There was also a significant association between post-test practice scores and selected variables such as gender. 72% of the users accepted the mobile app CANScreen to a great extent.Conclusion: Educating the young generation with similar new technology will motivate them to lead a life with the awareness of cancer screening and prevention methods

A Study to Evaluate the Effectiveness of Planned Teaching Programme on Knowledge and Practices Regarding the Importance of Play Activities among the Mothers of Under Five Children During attending OPD in the Selected Hospital, Bardoli, Gujarat

Background: Play constitutes an essential parameter of the normal psychosomatic development of children,as well as their statutory right. Play is the most important activity of a child’s life.METHOD: in this researchstudy a quantitative approach with Pre-experimental one group pre-test post-test design was adopted. 50mothers of under five children were selected by using non-probability convenient sampling technique.Structured interview schedule and inventory checklist both were used to collect data from the subjects.Planned teaching programme was organized to educate the mothers regarding importance of play activitiesfollowed by posttest. data was analysed by using descriptive and interferential statistics such as standarddeviation, chi- test, and paired ‘t’ test. RESULT: The pre-test knowledge scores showed that majority ofrespondents 37 (74%) had average knowledge, 13 (26%) had good knowledge and posttest knowledgescores showed that 46(92%) had good knowledge, 4 (8%) had average knowledge. The pretest practicescores showed that majority of respondents 38 (76%) had average practice, 12 (24%) had good practiceand posttest practice scores showed that 48 (96%) had good practice, 2 (4%) had average practice. paired tvalue of knowledge and practice was 13.72 and 18.54 was greater than tabulated value 1.991 at 0.05 level ofsignificance.The study results depicts that, there was significant association between the post-test knowledgescore and type of family and birth order of child. And there was also significant association between post-testpractice score and education.

EFFECTIVENESS OF A STRUCTURED TEACHING PROGRAMME ON ABG ANALYSIS AND INTERPRETATION IN TERMS OF KNOWLEDGE AND PRACTICE OF NURSING PERSONNEL

Introduction: Even though Nursing Personnel take active participation in ABG analysis and interpretation on regular basis, there is a scope for improvement to minimize errors and initiate prompt and appropriate interventions. The main aim of the study was to evaluate the effectiveness of Structured Teaching Programme on ABG analysis and interpretation in terms of knowledge and practice of Nursing Personnel. Methods: Quantitative research approach and pre-test post-test control group design was used. Total enumeration sampling was used to select Nursing personnel working in Transplant ICU (Experimental group =22) and High Dependency Unit (control group = 25) of ILBS, New Delhi. Structured knowledge questionnaire and observation practice checklist was used to collect data. Results: Total 22.7 % of experimental group and 44 % of control group never attended any in-service education programme. Ahighly signicant difference was found between post-test knowledge scores of both groups (t = 6.79; p < 0.001) and post-test practice scores of both groups (t = 12.79; p < 0.001). Conclusion: STPwas effective in enhancing the knowledge and improving the practice of Nursing Personnel on ABG analysis and interpretation.

Effectiveness of a training program on knowledge and practice regarding basic life support

Basic life support is one of the most fundamental components of emergency medical interventions. Human being had experienced health problem and immediately need of the health assistance to recover from condition especially in emergency condition, health assistance are used basic life support practices to save the life of an individual. The objectives of the study were to assess the knowledge and practice of high school students regarding BLS and assess the effectiveness of BLS training program on knowledge and practice of high school students. A quantitative approach with Pre-experimental pretest-posttest design was used for this study. The sample consisted of 100 students by convenient sampling technique. The mean percentage difference between pre-test and post-test knowledge and practice score of high school students showed 3% of enhancement with the t value 15.99 at p=0.00 and 12.7% of enhancement with the t value 32.76 at p=0.00 level. Training program was effective to improve knowledge and practice high school students.

Effectiveness of Planned Teaching Program on Knowledge and Practice Regarding Intravenous Therapy among Paediatric Nurses

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.

Assessment and Evaluation of the Impact of Concept Mapping and Clinical Teaching Method (Demonstration) on Wound Dressing in Terms of Knowledge and Practice

Concept mapping is a teaching strategy that is used to encourage students to learn. It is a set of valuable tools for critical thinking and problem-solving. It is an educational tool used to describe relationships among concepts. Sought to assess and evaluate the impact of concept mapping and clinical teaching method (demonstration) on wound dressing in terms of knowledge and practice, this study adopted a non-randomised control group (quasi- experimental) design. The total size of sample 106. Total enumeration sampling technique was used. In experimental group mean post-test knowledge score (16.39±2.45) was higher than that of the pre-test (9.37±2.8) and the mean post-test practice score (15.55±2.13) was higher than that of the pre-test (6.89±1.48). In control group the mean post-test knowledge score (10.78±2.51) was higher than that of the pre-test (8.1±2.24) and the mean post-test practice score (13.4±2.30) was higher than that of the pre-test (7.38±1.70). The present study revealed that concept mapping method is an asset for the nursing students for improving cognitive and student’s active learning. Better outcome can be achieved using concept mapping method

Effectiveness of Nurse led structured teaching programme on knowledge and practice of postnatal mothers on low birth weight care

BackgroundLow birth weight (LBW) in infants is a critical issue worldwide. If the issue is not recognized early, it can lead to high mortality and morbidity rates. Mothers and caregivers of LBW newborns holds a great responsibility and need appropriate information and expertise in caring for the LBW newborns. This study aimed to evaluate the effectiveness of a Nurse led structured teaching program (NLSTP) on the knowledge and practice of mothers of LBW infants. MethodsA quantitative pre-experimental one group pre-test post-test research study was conducted. A sample of 30 postnatal mothers of LBW babies meeting the inclusion criteria were selected. The knowledge and practices of postnatal mothers on the care of LBW babies was tested using a structured interview schedule and a checklist before the administration of NLSTP. Thereafter, the NLSTP was conducted using an educational booklet. After the NLSTP, the knowledge and practice were assessed on the 7th day. ResultsThe findings of the study reflected poor knowledge and practice scores before the intervention in the pre-test. However, the mothers gained a good level of knowledge showing marked improvement in their practices after the NLSTP was implemented. The mean post-test knowledge score (17.6) was significantly higher than the mean pre-test knowledge score (10.8) with a SD of +1.33. Likewise, the mean post-test practice score (15.6) was significantly higher than the mean pre-test practice score (8.23) with a SD of +7.5. The paired ‘t’ test computed between pre-test and post-test knowledge scores (t = 67.6) and practice scores (t = 5.28) were highly significant at p ≤ 0.05 level. A significant association was found between the pre-test knowledge scores and monthly family income (p < 0.05 level). ConclusionThis study highlights that post-natal mothers have a lack of expertise in caring for their LBW babies. The NLSTP targeted at improving the knowledge and practices of post-natal mothers regarding the care of their LBW babies can help reduce the morbidity and mortality rates of LBW babies.

A Study to Assess the Effectiveness of Video Assisted Teaching (VAT) on Nasogastric Tube Feeding Regarding Knowledge and Practice of Staff Nurses Working in Selected Hospitals, Hassan, Karnataka

Background and Objectives: Nutrition is the science of food and its relationship to health. It is concerned primarily with the part played by nutrients in body growth, development and maintains. When the person was unable to take oral feeding. Nasogastric tube feeding is a common method of maintaining or improving nutritional status in patients who are unable to take sufficient nutrition orally. Nasogastric tube feeding is a basic nursing care in caring the patients. Nurses play a vital role in care of the patients with nasogastric tube feeding. Nurses are responsible to take care of nasogastric tube and she must feed the patient properly. And also they must have adequate knowledge and better practice in order to bring positive outcome of the patient. The objectives of the study To assess the level of knowledge and practice regarding NGTF among experimental and control group in terms of pretest score. To develop and implement VAT on NGTF to the experimental group. To assess the posttest knowledge and practice scores between experimental and control group, to evaluate the effectiveness of video assisted teaching. To find out the association between the knowledge and practice scores with their selected demographic variables. Method: A study was an evaluative approach with pretest-posttest control group design.60 staff nurses were selected for the study using purposive sampling technique and distributed equally to the experimental and control group. The data was collected by using structured questionnaire and observational checklist on NGTF. The study was conducted in two hospitals of Hassan. Results: The findings of the study indicated that over all mean pretest knowledge and practice score was 40.20% and 46.38% in experimental group and 38.50% and 46.0% in control group respectively. The mean posttest knowledge and practice in experimental group was 87.60% and 90.36%, where as in control group was 40% and 40.80% and the independent ‘t’ value was 15.7 in knowledge aspect and 15.3 in practice aspect when p<0.001. There was significantly increase in the level of knowledge and practice in experimental group after the VAT. Hence the finding signifies that the VAT was effective in enhancing the knowledge and practice of staff nurses. Interpretation and conclusion: Both descriptive and inferential statistics was employed to analyze the data. The data analysis was carried out on the basis of objectives and hypothesis of the study and has been presented on the sample characteristics with knowledge and practice level. Overall mean pretest knowledge and practice score was 40.20% and 46.38% in experimental group and 38.50% and 46% in control group. The mean posttest knowledge and practice score in experimental group was 87.60% and 90.36% and in control group 40% and 40.80% respectively. Knowledge and practice of staff nurses regarding NGTF was less than 50% before the administration of VAT in both the groups. And it was more than 50% in experimental group after the administration of VAT. There was no association between knowledge and practice level with selected demographic variables. The independent‘t’ value (15.7 in knowledge and 15.3 in practice) was greater than the table value when p<0.001 level of significance. This indicated that VAT was significantly effective in increasing the knowledge and practice level of staff nurses.

Randomized Controlled Trial: The effects of Short Message Service on mothers' oral health knowledge and practice.

Mobile health has provided an effective means to educate, empower, and provide access to health services for individuals and groups. This study aimed to compare the effects of gain-frame and loss-frame SMS on the knowledge and practice of mothers with children under the age of six years regarding pediatric oral health. This randomized controlled trial was conducted in kindergartens and preschool centers of Shiraz, Iran in 2016. There were 71 mothers in the gain-frame group, 66 in the loss-frame group and 74 in the control group. The data were collected before and three-four weeks after the intervention. Data analysis used descriptive statistics, independent t-test, ANOVA, Pearson correlation test, ANCOVA, and post-hoc LSD test (Least Significant Difference). There was a significant difference between the control (8.83±2.03) and gain-frame (11.8±2.17, p⟨0.001) and loss-frame (12.09±1.94, p⟨0.001) groups for post-test knowledge scores. A difference was also observed between the control group (56.27±11.53) and gain-frame (60.8±7.77, p⟨0.001) and loss-frame (60.25±8.96, p⟨0.001) groups for post-test practice scores. No difference was found between the gain-frame and loss-frame groups for the post-test scores (p=0.69). Gain-frame and loss-frame SMS had similar impacts on the mothers' knowledge and practices about their children's oral health. However, both improved the mothers' knowledge and practice. Therefore, regardless of the style of text message framing, this method may be useful for educating mothers.

Prevalence of Dental Caries and the Effectiveness of Demonstration on Dental Hygiene among Primary School Students in Selected Schools of Rural Community, Assam

Introduction: Oral health promotion through schools is recommended by WHO for improving knowledge, attitude and behaviour related to oral health and for prevention of dental diseases among school children. In India, 70 -72% of population live in the rural areas of which more than 40% are children. These children tend to be more vulnerable to oral health problems. Aim and objective : To assess prevalence of dental caries and the effectiveness of demonstration on dental hygiene among primary school students. Material and method: The study was a cross‑sectional study conducted at selected schools of Rani rural community of Kamrup District, Assam. 118 primary school students of class IV and V were selected using consecutive sampling technique. The subjects were assessed for the presence of dental caries using dmft scoring and observed for their practice of brushing with Fones method of brushing. Later demonstration for the Fones method was given to the participants and post test was done to evaluate the effectiveness of demonstration. The collected data was analyzed using SPSS version 20 software. Results: The study showed that more than half i.e., 92 (78%) of the students have dental caries. It was found that in pre-test, 79 (61%) of the participants have good practice of dental hygiene which was increase to 93 (78.8%) in post test. Again, in pre-test 46 (39%) of the participants have poor practice of dental hygiene, which was reduced to 25 (21.2%) in post test. The mean post test practice score (7.03) is higher than the mean pre test practice score (4.70) of dental hygiene. The median post test practice score (7) is also higher than the median post test practice score (5) of dental hygiene and the post test SD (0.67) seems to be less disperse than the pre test SD (0.73) of dental hygiene. It also shows that the “t” value (-28.482) and p -value 0.00 is highly significant at 0.05 level of significance. So it is evident that the demonstration on Fones method of brushing is effective in increasing the dental hygiene practice among the students. Conclusion: Regulating good practice of dental hygiene is important during the early school period. As health personnel, community nurse can take active role in imparting information on dental hygiene practice among students by conducting school health programme and demonstrating on brushing technique. And also recommending inclusion of dental hygiene in the curriculum of the school.

Prevalence of Dental Caries and the Effectiveness of Demonstration on Dental Hygiene among Primary School Students in Selected Schools of Rural Community, Assam

Introduction: Oral health promotion through schools is recommended by WHO for improving knowledge,attitude and behaviour related to oral health and for prevention of dental diseases among school children.In India, 70 -72% of population live in the rural areas of which more than 40% are children. These childrentend to be more vulnerable to oral health problems.Aim and Objective: To assess prevalence of dental caries and the effectiveness of demonstration on dentalhygiene among primary school students.Material and Method: The study was a cross?sectional study conducted at selected schools of Rani ruralcommunity of Kamrup District, Assam. 118 primary school students of class IV and V were selected usingconsecutive sampling technique. The subjects were assessed for the presence of dental caries using dmftscoring and observed for their practice of brushing with Fones method of brushing. Later demonstrationfor the Fones method was given to the participants and post test was done to evaluate the effectiveness ofdemonstration. The collected data was analyzed using SPSS version 20 software.Results: The study showed that more than half i.e., 92 (78%) of the students have dental caries. It was foundthat in pre-test, 79 (61%) of the participants have good practice of dental hygiene which was increase to 93(78.8%) in post test. Again, in pre-test 46 (39%) of the participants have poor practice of dental hygiene,which was reduced to 25 (21.2%) in post test. The mean post test practice score (7.03) is higher than themean pre test practice score (4.70) of dental hygiene. The median post test practice score (7) is also higherthan the median post test practice score (5) of dental hygiene and the post test SD (0.67) seems to be lessdisperse than the pre test SD (0.73) of dental hygiene. It also shows that the “t” value (-28.482) and p -value0.00 is highly significant at 0.05 level of significance. So it is evident that the demonstration on Fonesmethod of brushing is effective in increasing the dental hygiene practice among the students.Conclusion: Regulating good practice of dental hygiene is important during the early school period. Ashealth personnel, community nurse can take active role in imparting information on dental hygiene practiceamong students by conducting school health programme and demonstrating on brushing technique. And alsorecommending inclusion of dental hygiene in the curriculum of the school.

Effectiveness of Planned Demonstration on Wound Dressing in Terms of Practice among Staff Nurses in IKDRC-ITS, Ahmedabad

In wound dressing procedures, if wound contamination is limited, there is a less chance of infection. A recent survey in India estimated the prevalence rate of chronic wounds at 4.5 per 1000 population. In this study the practice of wound dressing technique among staff nurses before and after planned demonstration was evaluated and the association of the practice scores of wound dressing with selected demographic variables was found. A quasi experimental one group pre-test post-test design was adapted. The population comprised of staff nurses working in the medical and surgical wards in IKDRC-ITS hospitals in Ahmedabad. Convenient sampling technique was used to select 60 staff nurses. A structured observational checklist consisting of 20 items evaluated the effectiveness of planned demonstration on dressing technique. The data collected was analysed by using descriptive and inferential statistics. Study revealed that in pre-test majority (81%) of the staff nurses had a poor practice and in post-test, all (100%) had good practice on wound dressing. The mean post-test (15.6), practice scores were higher than pre-test practice score (9.9); the calculated t value (19.56) was greater than table value (t=2.00) at 0.05 level of signi cance. There was a signi cant association of experience with pre-test practice scores while no signi cant association was found between age, gender and education with pre-test practice scores. Also there was no signi cant association between selected demographic variable in post-test practice scores. The study proved that the planned demonstration on wound dressing was an effective measure to improve the practice level of staff nurses.

Effectiveness of a “home care model” for oral cancer patients on the home care competency of their caregivers

Background: Cancer can occur to everyone regardless of sex, age, culture, socioeconomic status, and geographical area. Various forms of cancer strike at different age, ethnic, gender groups with severity, and varying frequency. Objective: The study objectives were as follows: (1) To develop and implement a home care model on home care competency of caregivers and (2) to evaluate the effectiveness of home care model on home care competency of caregivers. Materials and Methods: For this study, a quantitative research approach was used to develop and implement a home care model on home care competency (knowledge and practice) of caregivers. A quasi-experimental one-group pre-test and post-test design was used in the study. The study was conducted in a selected hospital, Dehradun, Uttarakhand. Consecutive sampling technique was used to select the study subject. Data were collected from 40 caregivers of oral cancer patients using a structured knowledge questionnaire, structured self-report nutritional practice checklist, and structured observational wound care checklist. Results: The mean post-test practice scores and knowledge scores (18.75, 12.82, and 7.55) were higher than mean pre-test practice scores and knowledge scores (11.95, 8.85, and 4.23) which were found statistically significant at P < 0.05. The mean percentage area-wise distribution of knowledge regarding nutritional management at pre-test was 51% and wound care management was 55%, which was improved for both (81%) at post-test. No significant association was found between knowledge and practice except occupation. Minor correlation was found between post-test knowledge and post-test practice scores. Conclusion: It is concluded that home care competency program was found effective to improve the knowledge and practice of caregivers of oral cancer patients.

Effectiveness of Module Based Learning regarding Facility Based Newborn Care in terms of knowledge and practices among nursing students

ABSTRACTBackground: Mobile Applications are being developed at a rapid speed and are intensively used by students. It can help to achieve better performance in organizing, managing, and monitoring classroom activities.Aims and objectives: Present study aimedto assess and compare the knowledge and practice regarding FBNC among nursing students in MBL group and MABL group before and after the administration of MBL and MABL. The conceptual framework of the study was based on CIPP model by Stufflebeam.Methods: A Quantitative research approach with quasi-experimental and non-equivalent controlgroup pre–test post–test design. The study was conducted at two nursing colleges of Ambala, Haryana. A total of 70 B.Sc. Nursing 3rd Year students, randomly allocated to 2 groups i.e. 35 in MBL and 35 in MABL. The tool used for the study consisted of structured knowledge questionnaire and observational check list was used to assess knowledge and practices by OSCE method of nursing students regarding FBNC. Data collection was done in January, 2017. The obtained data was analyzed and interpreted in terms of objectives and researchResults: Findingsof the study indicate that revealed that mean post- test knowledge and practices score in MBL group (21.4 ±0.89) and in MABL group (22.4 ± 0.54) was significantly higher than pre-test knowledge score in MBL group (14.6±15.0) and in MABL group (16.2±17.0). Also, the mean post-test practice score in MBL group (38.1±1.91) and in MABL group (38.9± 1.20) was significantly higher than pre-test practicescore in MBL (20.4 ± 3.70) as well as in MABL group (20.5 ± 4.26). Mild positive significant relationship (r=0.03) was found between post test score of knowledge and practicesConclusion: MABL was more effective in developing the practices of nursing students regarding FBNC than MBL.

A Study to Assess the Effectiveness of Self-Instructional Module on Knowledge and Practices of Needle Stick Injury among the Nurses Working in Selected Hospitals of Pune City

Introduction Needle stick injuries present single greatest occupational hazards and contributing to the overall burden of the health care worker. Since most of the time, it is a matter of sheer negligence due to which the need for in depth study arises. Design-Quasi Experimental Study Setting Results-The random sampling technique used to collect information from 40 participants working in emergency departments as well as General ward. Majority of nurses i.e. 57.5% never undergone any In-service Education about needle stick Injury. 20% participants sustained needle stick injury and out of this, only 12.5% reported needle stick injury. Pretest score of Knowledge revealed that 52.5% samples possess good knowledge whereas 45% samples had average knowledge about needle stick injury. Mean pretest knowledge score was 13.6 and practice score was 7.57. Posttest findings revealed that 85% of participants had good knowledge and 15% had average knowledge. Mean posttest knowledge and practice score was 16.07 and 8.9 respectively. Test of correlation revealed moderate positive correlation between knowledge and practice score. Conclusion-The findings indicate the need for formulating SOP regarding needle stick injury, conduction of training programme and refresher training on regular basis to create awareness regarding preventive measures and post exposure prophylaxis.

A Study to Evaluate Effectiveness of Triaging the Triage: Reducing Waiting Time to Triage in the Command Post to Emergency Department in Selected Hospitals

Background: Ample evidence supporting the effectiveness of emergency triage to improve patient flow (efficiency), crowding, and outcomes has been generated in developed countries. Low-resource settings, however, face distinctive challenges that may significantly influence the choice of an appropriate triage scale and the success of its implementation1. Triage is putting the patient in the right place at the right time to receive the right level of care, the allocation of appropriate resources to meet the patient’s medical needs. It also allows for the allocation of the patient to the most appropriate assessment and treatment area. The triage system varies from one health institution to the other based on available medical services, community need and load of emergency departments2. Method: A pre- experimental with one group pre-test and post-test design and quantitative approach was selected to carry out the study. The study population comprised of all staff nurses working selected hospitals at Tripura. The sample size for the study was 50 staff nurses. Non-probability, purposive sampling technique was used for selecting sample of the study. The tools used for the study were (1) structure questionnaire to assess the knowledge and practice regarding training of triage.section1 was socio demographic variables; section 11 was structured knowledge questionnaire regarding knowledge questionnaire regarding training of triage. Section 111 was structured knowledge questionnaire regarding knowledge based practice questionnaire regarding training of triage.(11) Planned training programme regarding training of triage. Results: The overall pre-test knowledge scores of the nurses revealed that a majority of nurses 35(70%) had average knowledge,06(12%) had good knowledge and 9(18%) had poor knowledge. Whereas in the post test, all of them 50(100%) had good knowledge. The overall pre-test practice scores of the nurses revealed that a majority of nurses 35(70%) had average practice,07(14%) had good practice and 8(16%) had poor practice. Whereas in the post test, all of them 50(100%) had good practice.There was positive correlation between knowledge and practice r= 0.91 respectively based on Pearson’s correlation computed value between knowledge and practice. This indicates the existence of positive correlation. Conclusion: The study findings concluded that the planned training programme on Triage was effective in improving and acquainting to the current knowledge of staff nurses as evidenced by gain in post-test knowledge and practice scores of staff nurses regarding triage in command post to emergency department.

Effectiveness of Structured Teaching Programme Regarding Cardiac Rehabilitation in terms of Knowledge, attitude and Practice among Patients with Myocardial Infarction at KMC Hospital, Trichy.

The study was done to assess the effectiveness of structured teaching programme on knowledge, attitude and practice regarding cardiac rehabilitation among patients with myocardial infarction in KMC hospital at Trichy. The research deign used for the study was pre experimental deign. The research approach used for the study was evaluative approach which was conducted in KMC Hospital in Trichy. The conceptual frame work based on the Wiedenbach’s helping art of clinical nursing theory (1969). A sample of patients with myocardial infarction who met the inclusion criteria. The samples were selected for the study using purposive sampling technique. The instruments used for data collection were structured interview schedule, five point Likert attitude scale and observational check list. The investigator gave brief introduction and obtained oral consent from each participant prior to the study. After third day of admission the pretest was conducted by using the structured interview schedule, five point likert scale and observational check list for 30 minutes and the same day structured teaching programme given regarding cardiac rehabilitation for 45-50 minutes using laptop with compact disc. Posttest was conducted by using the same tool. Effectiveness of structured teaching programme was assessed by paired ‘t’ test. Karl Pearson test was used to find out the correlation between knowledge and practice among type patients with myocardial infarction. Chi–square test was used to find out the association the demographic variables with knowledge and practice regarding cardiac rehabilitation among patients with myocardial infarction. There was an improvement in knowledge, attitude and practice regarding cardiac rehabilitation among patients with myocardial infarction. Validity was done with suggestion of experts. Data analysis was done by using descriptive and inferential statistics. MAJOR FINDINGS OF THE STUDY: • Majority of patients 25 (41%) belong to the age of 50-60 years. • Majority of patients 32 (53%) were males. • Majority of patients 45 (75%) were married. • Majority of patients 21 (35%) studied up to primary education. • Majority of patients 20(33%) were self employed. • Majority of patients 36 (60%) were belongs to Hindu religion. • Majority of patients 37 (61%) had income less than Rs. 2000. • Majority of patients 38 (63%) were from rural area. • Prior to implementation of structured teaching programme 26(43%) had inadequate knowledge, 28(47%) had moderately adequate knowledge and 6(10%) had adequate knowledge where as after implementation of structured teaching programme 31(52%) had adequate knowledge, 29(52%) patients had moderately adequate knowledge regarding cardiac rehabilitation among patients with myocardial infarction. • Prior to implementation of structured teaching programme 33(55%) unfavorable attitude, 24(40%) patients had moderately favorable attitude and 3(5%) patients had favorable attitude where as after implementation of structured teaching programme 45(75%) had moderately favourable attitude knowledge, 15(25%) patients had favorable attitude and non of them had unfavorable attitude regarding cardiac rehabilitation among patients with myocardial infarction. • Prior to implementation of structured teaching programme 24(40%) had inadequate practice 31(52%) had moderately adequate practice and 5(8%) had adequate practice where as after implementation of structured teaching programme 32(53%) had moderately adequate practice, 28(47%) patients had adequate practice regarding cardiac rehabilitation among patients with myocardial infarction. • High degree of positive correlation was found between posttest knowledge and posttest practice scores. • There is significance association was found the posttest knowledge and practice regarding cardiac rehabilitation among patients with myocardial infarction with their selected demographic variables. Finding showed that the structured teaching programme was effective in increasing the knowledge, attitude and practice regarding cardiac rehabilitation among patients with myocardial infarction. Thus structured teaching programme played an important role in improving the knowledge, attitude and practice regarding cardiac rehabilitation among patients with myocardial infarction. CONCLUSION : Based on the findings of the study the following conclusion was drawn. The existing knowledge regarding cardiac rehabilitation among patients with myocardial infarction was inadequate and moderately adequate. The existing attitude regarding cardiac rehabilitation among patients with myocardial infarction was unfavourable and moderately favourable attitude. The existing practice regarding cardiac rehabilitation among patients with myocardial infarction was inadequate practice and moderately adequate practice. The structured teaching programme significantly increased the knowledge (‘t’ value is 12.074), attitude (‘t’ value is 10.836) and practice (‘t’ value is 11.45) regarding cardiac rehabilitation among patients with myocardial infarction. The study findings revealed that there was a significant improvement in the knowledge regarding cardiac rehabilitation among patients with myocardial infarction followed by structure teaching programme. Based on the statistical findings it is evident that provision of such kind of structure teaching programme will motivate the myocardial infarction patients and help them to acquire knowledge, develop positive attitude and correct practice regarding cardiac rehabilitation among patients with myocardial infarction.

Effectiveness of Structured Teaching Program on Knowledge and Practice of Adult Basic Life Support Among Staff Nurses

According to sudden cardiac arrest associations, It has been estimated that SCD claims more than 7,000,000 lives per year worldwide [1]. It is proved that Effective basic life support giving soon after cardiac arrest doubles the chance of survival [2]. Basic life support by nurses who are usually first on the scene provides the best opportunity to minimize the time to initiate cardio pulmonary resuscitation. Hence the main objective of the study was to find out the knowledge and practice of adult basic life support among staff nurses and to evaluate the effectiveness of structured teaching program on knowledge and practice regarding adult basic life support. 30 staff nurses from Upasana hospital, kollam were selected as the samples by using non probability convenient sampling technique. Pre experimental one group pretest posttest study design was employed to collect the data from staff nurses before and after the implementation of structured teaching program. The study was statistically significant at.001 level. The total mean post- test knowledge score (26.80) was significantly higher than the mean pretest score (12.36). The total mean posttest practice score (26.80) of adult basic life support was significantly higher than the mean pretest practice score regarding adult basic life support. Therefore, the study proved that the structured teaching program was an effective technique in imparting knowledge and practice regarding adult basic life support among staff nurses.