Shiny, S T (2017) Assessment of the Knowledge and Practice on Use of Oxytocin among Nurses Working in Selected Hospitals in Chennai. Masters thesis, M.A.Chidambaram College of Nursing, Chennai.
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Abstract
INTRODUCTION: Oxytocics are the drugs that have the power to excite contractions of the uterine muscles. Among a large number of drugs belonging to this group, oxytocin is the important one and is extensively used in clinical practice. The midwife is recognized as a responsible and accountable professional who works in partnership with pregnant women to give the necessary support, care and advice during pregnancy, labor and the postpartum period. The goal of labor induction is to stimulate uterine contractions before the spontaneous onset of labour, resulting in vaginal delivery. Inappropriate administration of oxytocin may result in hyper-stimulation of the uterus, which can lead to uterine rupture, foetal asphyxia, and/or foetal demise. Intramuscular (IM) oxytocin injection during the first and second stages of labor can be dangerous because dosing cannot be adjusted in response to the strength of uterine contractions, increasing risks of uterine rupture and harm to the foetus. Midwife being an active member of the care team plays a vital role in identifying the changes that occur while the mother is on oxytocin. Since knowledge is a contributing factor for practice, the investigator wanted to do a study to assess the relationship between knowledge and practice on use of oxytocin among nurses working in selected maternity hospitals in Chennai. STATEMENT OF THE PROBLEM: A study to assess the knowledge and practice on use of oxytocin among nurses working in selected hospitals in Chennai. OBJECTIVES OF THE STUDY: •To assess the knowledge and practice on use of oxytocin. •To correlate the knowledge and practice on use of oxytocin. •To associate the knowledge and practice on use of oxytocin with the demographic variables like age, qualification, total years of experience & inservice education on oxytocin drug. HYPOTHESIS: •H1: There is a significant relationship between knowledge and practice on use of oxytocin among nurses at selected hospitals. •H2: There is a significant association between knowledge and practice on use of oxytocin among nurses with the demographic variables age, qualification, total years of experience, inservice education on oxytocin drug. METHODOLOGY: The research approach was evaluative in nature. Descriptive design was used. The study was conducted among 120 staff nurses‟ who fulfilled the inclusion criteria. The samples for the study were selected from CSI Kalyani Hospital and Dr.Kamatchi Memorial Hospital in Chennai. Non probability convenient sampling technique was used to select samples from each setting. Structured questionnaire and Rating scale was used to collect the data. RESULTS: There was a statistically significant high positive correlation (r=0.984; p< 0.001) found between knowledge and practice on use of oxytocin among the staff nurses‟. The assessment of the overall knowledge showed that majority (46.7%) of the staff nurses had below average level of knowledge on use of oxytocin. The assessment of the overall practice showed that majority (45.00%) of the nurses‟ had poor practice on use of oxytocin. There was a statistically significant association between the knowledge and practice with the demographic variables such as age, religion and income, total years of working experience and inservice education at p < 0.001. There was a statistically significant association between the knowledge and practice with the demographic variables such as total years of working experience in maternity unit, at p < 0.05. CONCLUSION: Majority of the staff nurses had below average level of knowledge and poor level of practice on use of oxytocin. There was a statistically significant high positive correlation between knowledge and practice among the staff nurses. It is mandatory that nurses should possess adequate knowledge & practice on use of oxytocin. Hence the nurses need inservice education on use of oxytocin.
| Item Type: | Thesis (Masters) |
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| Uncontrolled Keywords: | Oxytocin ; Knowledge ; Practice ; Nurses Working ; Selected Hospitals ; Chennai. |
| Subjects: | NURSING > Medical Surgical Nursing |
| Depositing User: | Subramani R |
| Date Deposited: | 05 Apr 2018 17:03 |
| Last Modified: | 05 Apr 2018 17:03 |
| URI: | http://repository-tnmgrmu.ac.in/id/eprint/6834 |
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