Sumathi, G (2011) Effectiveness of Planned Teaching Programme on Warning Signs during Pregnancy among Primigravida Mothers attending Out Patient Department in Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research. Masters thesis, Adhiparasakthi College of Nursing, Melmaruvathur.
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Abstract
The present study was conducted to find out the effectiveness of planned teaching programme on warning signs during pregnancy among primigravida mothers. The study was conducted in Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research. A primigravida mother is getting high mortality rate other than multi gravidas In order to control the high mortality rate among primigravida mothers, I selected this topic regarding warning signs during pregnancy as a planned teaching programme. The investigator first introduced herself, after assessment of samples, planned teaching programme was implemented among primigravida mothers. The demographic variables and level of information gained by primigravida mothers was assessed. Extensive review of literature, professional experience and experts guidance from the field of obstetrical and gynaecological nursing lead the researcher to design the methodology and develop the tool for data collection. A modified conceptual framework was formulated on Modified version of Kenny’s J.W. open system model (1999). The researcher conducted the pre test at the out patient department in MAPIMS. The researcher developed a planned teaching programme on warning signs during pregnancy among primigravida mothers attending out patient department. Simple random sampling technique was used to select sixty primigravida mothers. The researcher developed a planned interview schedule to assess the knowledge regarding warning signs during pregnancy among primigravida mothers. After obtaining the content validity from experts, the pilot study was conducted along with this reliability of the tool also was tested by test – retest method. The findings from the pilot study established the practicability and feasibility. The ethical aspect of the research was maintained throughout the period by getting formal permission from the authorities and consent from primigravida mothers to participate in the study. The information collected from the participants was kept confidential and it was only used for research purpose. The findings from the pilot study established practicability and feasibility; hence the investigator proceeded with the data collection for the main study. The pre-test was conducted among samples on first week of data collection and all the primigravida mothers were attending the planned teaching programme on knowledge regarding warning signs during pregnancy conducted by the researcher. After seven days of planned teaching programme, the post test data was collected. The data collected were analysed by descriptive and inferential statistics, interpreted and discussed based on the objectives of the study, theoretical framework and relevant studies from the literature reviewed. The main findings of the study revealed that; (a) In the pre-test level of knowledge regarding warning signs 73 Percentage of them had inadequate level of knowledge and 27 Percentage of them had moderately adequate level of knowledge. (b) In the post-test level of knowledge regarding warning signs during pregnancy 87 Percentage of them had adequate level of knowledge and 13 Percentage of them had moderately adequate level of knowledge. (c) There is statistically significant difference in the pre-test and post-test level of knowledge regarding warning signs during pregnancy among primigravida mothers. (d) There is statistically no significant association of the post test level of knowledge regarding warning signs during pregnancy with selected demographic variables among primigravida mothers. In introduction mentioned about Hypothesis. That is H0 – there is no difference between pretest and posttest regarding warning signs during pregnancy among primigravida mothers. H1 there is difference between pretest and posttest regarding warning signs during pregnancy among primigravida mothers. The study result revealed H1 Hypothesis was accepted. In level of adequate knowledge the pretest score was zero percentage. The post test score was 86.67 percentage. The study was conducted in Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research. The researcher concluded that there is significant improvement in the level of knowledge regarding warning signs during pregnancy among primigravida mothers attending out patient department. It shows that the planned teaching programme on warning signs during pregnancy was statistically significant effective among primigravida mothers. NURSING IMPLICATIONS: The investigator recommended the following implications drawn from the study which are of vital concern for nursing practice, nursing administration, nursing education and nursing research. NURSING PRACTICE: ❖ Play a vital role in prevention and promotion of health among antenatal mothers ❖ Make education as an integral part of nursing profession. ❖ To detect high risk cases as earlier. ❖ The midwife practitioners should make an attempt in screening the all the antenatal mothers for warning signs during pregnancy in community. ❖ The midwife should make an attempt in educating the family members regarding warning signs. ❖ The midwife should be also be educated to family members in providing emotional support for over all health status of the mothers. NURSING ADMINISTRATION: ❖ The nurse administrator services should be extended from institutional based service to the community services. ❖ Play a vital role in early detection and prevention of causative factor. ❖ The nurse administrator can arrange for various health camps and health education campaigns to out patient department patients and at community setup and can involve the community health professionals in outreach educational and health programmes. This helps the health care administrators to render services which are promotive, preventive, curative and rehabilitative in nature. NURSING EDUCATION: ❖ Modify the curriculum with information related to high risk among antenatal mothers to prevent the maternal mortality rate. ❖ Prepare student to utilize in teach according to the fact needs of the community. ❖ Motivate public participation in planned teaching programme. ❖ This study would emphasize among learner to develop observational skills and knowledge about the warning signs during pregnancy ❖ The student nurses to be educated and allowed to participate in outreach health care services in related to obstetrical care among antenatal mothers. NURSING RESEARCH; ❖ This study can be further replicated. The findings of the study can be disseminated and implemented. Based on these findings nursing theories can be evolved, which will strengthen the field of nursing research. ❖ Help to utilize the finding and disseminated the knowledge in the field of work. ❖ Nursing needs to be developed in specific areas of problems encountered by warning signs during pregnancy. RECOMMENDATIONS: 1. The study can be replicated on a larger sample of mothers. 2. A comparative study can be conducted among urban and rural women. 3. Studies related to care and management and prevention of warning signs during pregnancy can be conducted and duplicated or replicated in different settings by the nurse researchers. 4. Effective health education and self instructional packages which addresses the needs and problems of women should be prepared after systematically planned field testing studies.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Effectiveness, Planned Teaching Programme, Warning Signs, Pregnancy, Primigravida Mothers, Out Patient Department, Melmaruvathur Adhiparasakthi Institute of Medical Sciences and Research. |
| Subjects: | NURSING > Obstetrics and Gynaecology Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 22 Aug 2020 17:23 |
| Last Modified: | 28 Aug 2020 15:49 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/12939 |
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