Neelavathi, D (2018) Effectiveness of capacity building program regarding care of patient with Intra Aortic Balloon Pump (IABP) upon the level of knowledge and practice among Nurses. Masters thesis, Apollo College of Nursing, Chennai.
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Abstract
A Pre Experimental Study to assess the Effectiveness of Capacity building programme regarding care of patient with Intra Aortic Balloon Pump (IABP) upon the level of Knowledge and Practice among Nurses at Selected Hospitals, Chennai. OBJECTIVES: 1. To assess the level of knowledge and practice regarding care of patient with IABP in pretest and post test. 2. To determine the effectiveness of capacity building program regarding care of patient with IABP by comparing the pre and post test level of knowledge and practice among nurses. 3. To determine the level of acceptability of nurses regarding capacity building program on care of patient with IABP among nurses. 4. To determine the correlation between the scores of knowledge and practice regarding care of patients with IABP among nurses. 5. To find out the association between the level of knowledge regarding care of patient with IABP and the selected demographic variables of the nurses, in pretest and posttest. 6. To find out the association between the level of Practice regarding care of patient with IABP and the selected demographic variables of the nurses, in pretest and posttest. The conceptual framework for the study was developed on the based on “J.W. Kenny’s open system model" (2002). A pre experimental one group pretest and posttest design was adopted for the study. The present study was conducted at Apollo Hospital, Chennai. Sixty nurses who fulfilled the inclusion criteria were selected by purposive sampling. The independent variables of the study was the capacity building programme regarding care of patient with IABP and dependent variables were knowledge and practice regarding care of patient with IABP. An extensive review of literature and guidance by experts laid the foundation of development of demographic variable Proforma, structured knowledge questionnaire, practice observational checklist on IABP care and satisfaction rating scale on capacity building programme on IABP care. The validity was obtained from various experts and reliability was established. Pilot study data was done from 1st December, 2017 to 22st December, 2017. The main study was done Apollo specialty data collection was done from 1st January, 2018 to 21st January, 2018. The investigator used the demographic variable proforma, structured knowledge questionnaire to assess the level of knowledge regarding care of patient with IABP and observation checklist to assess the level of practice regarding care of patient with IABP. The data collection tools were validated and reliability was established. The main data collection was done after determining the feasibility and practicability through a pilot study. After obtaining the institutional ethical clearance, setting permission and written consent from the study participants, the baseline data of demographic variables, pretest level of knowledge and practice regarding care of patient with IABP were collected. Then capacity building programme on care of patient with IABP was administered for the nurses working in cardiac units. It was conducted in 4 sessions (2 hours/session) for 2 days. The Capacity Building Programme regarding the care of patient with IABP was provided using power point presentation on concepts (introduction, definition, purposes, indications, contraindications, steps of IABP care before, during and after insertion of IABP) and demonstration regarding care of patient with IABP Then the posttest level of knowledge and practice was conducted after 7 days of the Capacity Building Programme care of patient with IABP. The collected data was tabulated and analyzed by using descriptive statistics such as mean and standard deviation and inferential statistics such as t test, chi square test and Karl Pearson’s coefficient correlation test. MAJOR FINDINGS OF THE STUDY: Majority of the nurses were aged between of 21 to 25 years (80%), females (73.3%) with an educational level of B.Sc. nursing (70%), And more than half of them had up to two years experience in ICU and (53.4%) and most of them had previous experience in the care of patients with IABP (76.7%). • Most of the nurses had moderately adequate knowledge (80%) and 20% of them had inadequate knowledge regarding IABP care in the pretest, while majority of staff nurses gained moderately adequate knowledge (73.33%) and 26.67 % of them had gained adequate knowledge in the posttest. • Majority of the Nurses had average level of practice (66.67%) and 23.33% of them had poor practice regarding IABP care in the pretest. In the posttest majority of the nurses had average level practice (78.33%), and 21.67% of them had good practice after the capacity building programme on IABP care. • There was a significant difference between the pretest practice scores (M = 17, SD = 3.99) and posttest practice scores (M =28.36, SD =3.8) regarding IABP care among nurses with a “t” value of 20.06, significant at p < 0.001. Hence the null hypothesis H01 stating that “There will be no significant difference between the pretest and posttest level of knowledge and practice regarding IABP care among Nurses” was rejected. • There was a significant difference between pretest knowledge score (M = 16.48, SD = 2.1) and posttest knowledge score (M =22.95, SD = 2.7) regarding IABP care among nurses with t-value of 13.6 which was significant at p < 0.001 level. Hence the null hypothesis H01 stating that, “There will be no significant difference between the pretest and posttest level of knowledge and practice regarding IABP care among Nurses” was rejected. • Majority of the Nurses found the capacity building programme highly acceptable with regard to the approach of the researcher (95%), Administration of capacity building programme (90%) and about its effectiveness of (90%). • There was a positive correlation between the posttest knowledge and practice of (r=0.41) nurses significant at p<0.001 level. Hence the null hypothesis H02 stating that, “There is no significant correlation between the posttest level of knowledge and practice of nurses regarding IABP”, was rejected. • There was a significant association between pretest level of knowledge regarding IABP care among nurses and gender (x2 = 3.94) at p < 0.05 level and there was no significant association between pretest and posttest level of knowledge and other demographic variables of Nurses such as age, educational level, ICU experience and previous experience of IABP patient care. • Hence the null hypothesis H03 stating that, “There will be no significant association between the selected demographic variables and the pretest and posttest level of knowledge of nurses regarding IABP care nurses” was retained with regard to age, educational level, ICU experience and previous experience of IABP patient care except with regard to gender. • There was no significant association between pretest and posttest level of practice regarding IABP care of nurses and their demographic variables namely age, gender, educational level, years of ICU experience and previous experience. Hence the null hypothesis H04 stating that, “There will be no significant association between the selected demographic variables of nurses and their level of practice regarding IABP care” was retained. RECOMMENDATIONS: The researcher recommends the following studies: 1. The same study may be conducted on larger samples for better generalization. 2. The similar study can be conducted for different samples. 3. Experimental studies to assess effectiveness of different teaching strategies on IABP may be conducted.
| Item Type: | Thesis (Masters) |
|---|---|
| Additional Information: | Reg.No.301610960 |
| Uncontrolled Keywords: | capacity building program, care of patient, Intra Aortic Balloon Pump (IABP),knowledge, practice, Nurses. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 06 Oct 2019 17:57 |
| Last Modified: | 06 Oct 2019 17:57 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/11711 |
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