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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 5 Issue 3, March-April 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD40062 | Volume – 5 | Issue – 3 | March-April 2021 Page 1015
Effective of a Structured Teaching Module Regarding Care of
Children in the Cardio-Thoracic Intensive Care Unit on the
Knowledge and Practice of the Nurses
Mrs. Lata Kabdal1, Mr. Yogendra Garg2
1MSC Nursing, 2Assistant Professor, 1,2Department of Medical Surgical Nursing,
1,2Amogha Institute of Professional and Technical Educational, Ghaziabad, Uttar Pradesh, India
ABSTRACT
A quasi experimental study, with pre test and post test without control group
research design, the study was conducted on 100nursesworkinginthecardio
thoracic intensive care unit.
purposive of sampling was used in selecting the sample for the study. The
purpose of the study was to assess the effectiveness of a structured teaching
module (STM) on the knowledge and practice of the nurses regarding
management of patients in the cardio thoracic intensive care unit.
The nurse taken for the study belonged mainly to the age group of 21-25
years( 56%) and were single (66%)majority of the nurses were with diploma
nursing qualification 72% .majority 65% had 1-3 years of experience and had
worked in the cardiac surgery area. The finding of the study revealed that
during pretest, the nurses had above average knowledge and practice before
the structured teaching .with the implementation of the STM, these was an
improvement in both the knowledge and practice of the STM, these was
important in both the knowledge and practice of nurses .
KEYWORDS: Structured teaching module knowledge and practice of the nurses
cardio thoracic intensive care unit
How to cite this paper: Mrs. Lata Kabdal |
Mr. Yogendra Garg "Effective of a
Structured Teaching Module Regarding
Care of Children in the Cardio-Thoracic
Intensive Care Unit on the Knowledgeand
Practice of the
Nurses" Published in
International Journal
of Trend in Scientific
Research and
Development(ijtsrd),
ISSN: 2456-6470,
Volume-5 | Issue-3,
April 2021, pp.1015-1016, URL:
www.ijtsrd.com/papers/ijtsrd40062.pdf
Copyright © 2021 by author (s) and
International Journal ofTrendinScientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
CommonsAttribution
License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
Nursing is a scientifically rigorous discipline which requires
updated information on a regular basis to ensure that best
possible care is provided to the patients. The technical
advancement has made the job of a nurse to evolve
continuously. it is the responsibilityofevery nursetoremain
updated with the ongoing changes as they will affectthatthe
patient.
The nurse’s knowledge of each patient’s case effect the
nursing practice has for a patient’s care and recovery
Worldwide health care system is attempting to respond to
the needs. critical care nurses must not only be able to carry
out the best research based practice but also identify the
patient’s physiological response,makeclinical judgmentand
take appropriate and adequate action while ensuring the
support system applied are functioning effectively .to be a
successful critical care nurse, one must be caring.
NEED FOR THE STUDY
Congenital cardiovascular malformations in the newborn
occur in approximately 40,000 live births each year. About
8% to 3% are serial septal defects 6% to 11% are ductus
arteriosus, and 20% to 25% are ventricular septal defects.
incidence rates have been studiedinlargepopulationgroups
and have varied from 3.7 to 8per 1,000 these rates typically
underestimate the true incidence
OBJECTIVES
1. To assess the knowledge and practice of staff nurses
regarding care of children in the cardio-thoracis
intensive care unit (ICU) before implementation of the
structured teaching module.
2. To assess the post test knowledge and practicescoresof
nurses regarding care of children in the cardio -thoracic
ICU after implementation of the structured teaching
module.
3. To find out the association betweenthepreandposttest
knowledge and practice of staff nurses regardingcareof
children in the cardio-thoracic ICU.
4. To find out the association between the post test
knowledge and practice of staff nurses demographic
variables, regarding care of children in the cardio-
thoracic ICU.
METHODOLOGY
Methodology for the present includesthe researchapproach
and design setting of the study population sampling
technique development of tools data collection procedure
and method of analysis based on the statement of problem
and objectives of the study.
IJTSRD40062
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD40062 | Volume – 5 | Issue – 3 | March-April 2021 Page 1016
RESEARCH DEGINE AND APPROACH
A quasi experimental research with pre and post test
without control group designwasusedforthepresentstudy.
SETTING OF THE STUDY
The study was conducted at central hospital and trauma &
heart care center Halwani.
POPULATION
Population for this study was registered nurses, working in
the cardiothoracic ICU in the hospital.
SAMPLING
Sample size
The sample size for this study was 100nursesworkingin the
cardio-thoracic intensive care unit of the hospital.
SAMPLE TECHNIQUE
Purposive sampling technique was used to conduct this
study.
CRITERIA FOR SELECTION OF SAMPLE
1. Staff nurses
2. Who were willing to participate in the study .
3. Who had successfully completed any one of the basic
nursing programmers and registered.
4. Who were present during the data collection period.
5. Who had work experience foe at least one year in the
cardio thorasis ICU.
HYPOTHESIS
1. These is no significant difference between the pre and
post test knowledge of the staff nurses on the care of
children in cardio-thoracic ICU
Table no 4.6.1. difference between the pretest and post test
knowledge scores of nurses regarding care of childreninthe
cardio thoracic ICU.
S.
NO
AREA
‘t’
value
P value
1
General information on
ICU
12.47 P =<0.0001
2 Pediatric cardiac surgery 12.32 P =<0.0001
3 Neurological assessment 12.51 P =<0.0001
4 Hygiene& infection control 14.98 P =<0.0001
5 Monitor cardiac output 14.65 P =<0.0001
6 Monitoring the arterial
line &cardiac rhythm
25.92 P =<0.0001
7 Central line catheter care 10.87 P =<0.0001
8
Care of patient on
ventilator
12.15 P =<0.0001
9
Care of patient
intracoastal drainage
system
20.9 P =<0.0001
Df = 99 P=, 0.0001(Significant)
SUMMARY
This chapter includes the analysis of data done on the
collected data and the findings in percentages, mean, SD
mean% and item wise percentage of correct responses for
knowledge, and correct practices of nurses of correct
responses for knowledge, and correct practices of nurses
regarding care of children in the cardiovascular ICU it is
presented of nurses regarding care of children in the
cardiothoracic ICU .it is presented in table ‘t’ values and chi-
square values and correlation coefficient calculation were
done and presented to state the significant statistical
associations of pre and post testandwiththeknowledgeand
practice of the staff nurses to that of the structured teaching
module has been established and the demographicvariables
did not except for the changes .
DISCUSSION AND CONCLUSION
Children admitted to the cardiac ICU are predominantly
those with congenital heart disease. thus, the hospital which
served as the setting for this reputed for cardiac surgeries
approximately 12-14surgeries performed per day) where
children with congenital heart disease are oftenopratedand
post-operative care is given in ICU. Taking care of these
children, when they undergo corrective surgeries is a big
challenge and nurses have a vital role to play in their
recovery. This involves optimum knowledge and practice of
the nurses which could be improved with a structured
teaching module.
REFERENCES
[1] Abidia, R. F(2007) oral care in the intensive care unit
journal of contemporarily dental practice, 8(1),76-82
[2] Richard. (2007). Outcomes in special populations
undergoing cardiac surgery advances in cardiac
surgery, 1, 9, 4.
[3] Ziauddin A. K &, etal (2008) incidenceofcomplication
after cardiac surgery, Pakistan heart journal, 41-48.
[4] Gopinath (2005) cardiothoracic &vascular surgeryin
India-achievement &future goal 51 annual
conference, cochin, feb
[5] Green A. (1995) are you at risk of disciplinary action?
American journal of nursing, 95(7), 35-41.

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Effective of a Structured Teaching Module Regarding Care of Children in the Cardio Thoracic Intensive Care Unit on the Knowledge and Practice of the Nurses

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 5 Issue 3, March-April 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD40062 | Volume – 5 | Issue – 3 | March-April 2021 Page 1015 Effective of a Structured Teaching Module Regarding Care of Children in the Cardio-Thoracic Intensive Care Unit on the Knowledge and Practice of the Nurses Mrs. Lata Kabdal1, Mr. Yogendra Garg2 1MSC Nursing, 2Assistant Professor, 1,2Department of Medical Surgical Nursing, 1,2Amogha Institute of Professional and Technical Educational, Ghaziabad, Uttar Pradesh, India ABSTRACT A quasi experimental study, with pre test and post test without control group research design, the study was conducted on 100nursesworkinginthecardio thoracic intensive care unit. purposive of sampling was used in selecting the sample for the study. The purpose of the study was to assess the effectiveness of a structured teaching module (STM) on the knowledge and practice of the nurses regarding management of patients in the cardio thoracic intensive care unit. The nurse taken for the study belonged mainly to the age group of 21-25 years( 56%) and were single (66%)majority of the nurses were with diploma nursing qualification 72% .majority 65% had 1-3 years of experience and had worked in the cardiac surgery area. The finding of the study revealed that during pretest, the nurses had above average knowledge and practice before the structured teaching .with the implementation of the STM, these was an improvement in both the knowledge and practice of the STM, these was important in both the knowledge and practice of nurses . KEYWORDS: Structured teaching module knowledge and practice of the nurses cardio thoracic intensive care unit How to cite this paper: Mrs. Lata Kabdal | Mr. Yogendra Garg "Effective of a Structured Teaching Module Regarding Care of Children in the Cardio-Thoracic Intensive Care Unit on the Knowledgeand Practice of the Nurses" Published in International Journal of Trend in Scientific Research and Development(ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-3, April 2021, pp.1015-1016, URL: www.ijtsrd.com/papers/ijtsrd40062.pdf Copyright © 2021 by author (s) and International Journal ofTrendinScientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative CommonsAttribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION Nursing is a scientifically rigorous discipline which requires updated information on a regular basis to ensure that best possible care is provided to the patients. The technical advancement has made the job of a nurse to evolve continuously. it is the responsibilityofevery nursetoremain updated with the ongoing changes as they will affectthatthe patient. The nurse’s knowledge of each patient’s case effect the nursing practice has for a patient’s care and recovery Worldwide health care system is attempting to respond to the needs. critical care nurses must not only be able to carry out the best research based practice but also identify the patient’s physiological response,makeclinical judgmentand take appropriate and adequate action while ensuring the support system applied are functioning effectively .to be a successful critical care nurse, one must be caring. NEED FOR THE STUDY Congenital cardiovascular malformations in the newborn occur in approximately 40,000 live births each year. About 8% to 3% are serial septal defects 6% to 11% are ductus arteriosus, and 20% to 25% are ventricular septal defects. incidence rates have been studiedinlargepopulationgroups and have varied from 3.7 to 8per 1,000 these rates typically underestimate the true incidence OBJECTIVES 1. To assess the knowledge and practice of staff nurses regarding care of children in the cardio-thoracis intensive care unit (ICU) before implementation of the structured teaching module. 2. To assess the post test knowledge and practicescoresof nurses regarding care of children in the cardio -thoracic ICU after implementation of the structured teaching module. 3. To find out the association betweenthepreandposttest knowledge and practice of staff nurses regardingcareof children in the cardio-thoracic ICU. 4. To find out the association between the post test knowledge and practice of staff nurses demographic variables, regarding care of children in the cardio- thoracic ICU. METHODOLOGY Methodology for the present includesthe researchapproach and design setting of the study population sampling technique development of tools data collection procedure and method of analysis based on the statement of problem and objectives of the study. IJTSRD40062
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD40062 | Volume – 5 | Issue – 3 | March-April 2021 Page 1016 RESEARCH DEGINE AND APPROACH A quasi experimental research with pre and post test without control group designwasusedforthepresentstudy. SETTING OF THE STUDY The study was conducted at central hospital and trauma & heart care center Halwani. POPULATION Population for this study was registered nurses, working in the cardiothoracic ICU in the hospital. SAMPLING Sample size The sample size for this study was 100nursesworkingin the cardio-thoracic intensive care unit of the hospital. SAMPLE TECHNIQUE Purposive sampling technique was used to conduct this study. CRITERIA FOR SELECTION OF SAMPLE 1. Staff nurses 2. Who were willing to participate in the study . 3. Who had successfully completed any one of the basic nursing programmers and registered. 4. Who were present during the data collection period. 5. Who had work experience foe at least one year in the cardio thorasis ICU. HYPOTHESIS 1. These is no significant difference between the pre and post test knowledge of the staff nurses on the care of children in cardio-thoracic ICU Table no 4.6.1. difference between the pretest and post test knowledge scores of nurses regarding care of childreninthe cardio thoracic ICU. S. NO AREA ‘t’ value P value 1 General information on ICU 12.47 P =<0.0001 2 Pediatric cardiac surgery 12.32 P =<0.0001 3 Neurological assessment 12.51 P =<0.0001 4 Hygiene& infection control 14.98 P =<0.0001 5 Monitor cardiac output 14.65 P =<0.0001 6 Monitoring the arterial line &cardiac rhythm 25.92 P =<0.0001 7 Central line catheter care 10.87 P =<0.0001 8 Care of patient on ventilator 12.15 P =<0.0001 9 Care of patient intracoastal drainage system 20.9 P =<0.0001 Df = 99 P=, 0.0001(Significant) SUMMARY This chapter includes the analysis of data done on the collected data and the findings in percentages, mean, SD mean% and item wise percentage of correct responses for knowledge, and correct practices of nurses of correct responses for knowledge, and correct practices of nurses regarding care of children in the cardiovascular ICU it is presented of nurses regarding care of children in the cardiothoracic ICU .it is presented in table ‘t’ values and chi- square values and correlation coefficient calculation were done and presented to state the significant statistical associations of pre and post testandwiththeknowledgeand practice of the staff nurses to that of the structured teaching module has been established and the demographicvariables did not except for the changes . DISCUSSION AND CONCLUSION Children admitted to the cardiac ICU are predominantly those with congenital heart disease. thus, the hospital which served as the setting for this reputed for cardiac surgeries approximately 12-14surgeries performed per day) where children with congenital heart disease are oftenopratedand post-operative care is given in ICU. Taking care of these children, when they undergo corrective surgeries is a big challenge and nurses have a vital role to play in their recovery. This involves optimum knowledge and practice of the nurses which could be improved with a structured teaching module. REFERENCES [1] Abidia, R. F(2007) oral care in the intensive care unit journal of contemporarily dental practice, 8(1),76-82 [2] Richard. (2007). Outcomes in special populations undergoing cardiac surgery advances in cardiac surgery, 1, 9, 4. [3] Ziauddin A. K &, etal (2008) incidenceofcomplication after cardiac surgery, Pakistan heart journal, 41-48. [4] Gopinath (2005) cardiothoracic &vascular surgeryin India-achievement &future goal 51 annual conference, cochin, feb [5] Green A. (1995) are you at risk of disciplinary action? American journal of nursing, 95(7), 35-41.