A study to assess the effectiveness of structured teaching programme on knowledge of abg analysis among staff nurses of icu in selected private hospitals of guwahati, assam

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A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON

KNOWLEDGE OF ABG ANALYSIS AMONG STAFF NURSES OF ICU IN SELECTED

HOSPITALS OF GUWAHATI, ASSAM

Reshma Begum

Asian Institute of Nur

A R T I C L E I N F O

INTRODUCTION

Health is considered as one of the most important values in life and health as well as longevity should be protected and enhanced as much as possible. Early detection and treatment is one of the measures to prevent illness and also to reduce complications and death. ABG studies are concerned with respiration, the exchange of gases between the lungs and blood and between blood and tissues.

International Journal of Current Advanced Research

ISSN: O: 2319-6475, ISSN: P: 2319-6505,

Available Online at www.journalijcar.org

Volume 8; Issue 07 (C); July 2019; Page No.

DOI: http://dx.doi.org/10.24327/ijcar.2019

Copyright©2019 Reshma Begum et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

Key words:

Teaching Programme on Knowledge

*Corresponding author: Reshma Begum

Asian Institute of Nursing Education, Guwahati, Assam

Article History:

Received 4th April, 2019

Received in revised form 25th May, 2019 Accepted 23rd_{June, 2019}

Published online 28th July, 2019

A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON

KNOWLEDGE OF ABG ANALYSIS AMONG STAFF NURSES OF ICU IN SELECTED

HOSPITALS OF GUWAHATI, ASSAM

Reshma Begum., Ranju Rani Das and Unmona Borgohain Saikia

A B S T R A C T

Arterial blood gas analysis is an essential part of diagnosing and managing patient's oxygenation status and acid-base balance. Arterial blood gas analysis and its interpretation gives a view about a patient’s oxygenation, acid base balance, pulmonary function and metabolic status and with the help of such parameters nurses will be able to assess and monitor critically ill patients especially in ICU, evaluate the efficiencies of therapies, monitor patient’s clinical status as well as to determine treatment the patients. To meet this challenge, nurses must understand the mechanisms underlying acid balance and the common causes of acid-base imbalance. Objectives of the study were to assess the knowledge regarding ABG analysis among staff nurses before and after administration of structured teaching programme, to determine the effectiveness of structured teaching programme on knowledge regarding ABG analysis among staff nurses and to find out association of knowledge with selected demographic variables regarding ABG analysis among staff nurses of ICU in selected private hospitals of Guwahati, Assam. A Pre experimental one group pre- test post

accomplish the objectives of the study. The samples were selected using non pr

sampling technique. The study was conducted among 68 staff nurses of ICU of selected private hospitals of Guwahati, Assam. Respondents were selected on the basis of inclusion criteria. Pre structured questionnaire was used for assessing knowledge regarding Arterial Blood Gas Analysis and after that Structured Teaching Programme regarding ABG analysis was administered on the same day after completion of the pre-test. Post-test was conducted to the same group by using the same structured questionnaire on seventh day. Out of 68 respondents majority 60 (82.24%) of the respondents were in the age groups of 21-31 years, 64(94.12%) of the respondents were female, 32(47.06%) of the respondents were having in Diploma nursing, 32 (47.06%)

in Basic B. Sc nursing, 41(60.29%) of the respondents were from Neuro ICU, 37(54.41%) of the respondents were having 1-5 years experience, 30(44.12%) of the respondents were having (3months year) ICU experience, 36(52.94%) of the respondents attended in

pre-test majority of the respondents 38(55.88%) had inadequate knowledge and 30(44.12%) had moderately adequate knowledge but after administration of STP, majority of the respondents 35(51.47%) had moderately adequate knowledge and 33(48.53%) have adequate knowledge.

of pre-test knowledge was 12.87. After intervention the mean of post effectiveness of structured teaching programme was calculated by Z test and

0.01 level of significance. The association of pre-test knowledge was statistically tested by Chi square test and the result showed that there was significant association of pre

professional qualification, total working experience, in-service education on ABG analysis.

Conclusion: In pre-test majority of the respondents 38 (55.88%) had inadequate knowledge and 30 (44.12%) had moderately adequate knowledge but after administration of STP, majority of the respondents 35 (51.47%) had moderately adequate knowledge and 33(48.53%) have ad knowledge. Study indicated that the Structured Teaching Programme was effective in increasing the knowledge level of Staff nurses on ABG analysis.

Health is considered as one of the most important values in life and health as well as longevity should be protected and enhanced as much as possible. Early detection and treatment is one of the measures to prevent illness and also to reduce and death. ABG studies are concerned with respiration, the exchange of gases between the lungs and blood

Arterial blood gas analysis is an essential part of diagnosing and managing a patient's oxygenation status and acid balance. Disorders of acid

complications in many disease states, and occasionally the abnormality may be so severe so as to become a life threatening risk factor. Arterial blood gas analysis and its interpretation gives a view about a patient’s oxygenation, acid base balance, pulmonary function and metabolic status and with the help of such parameters nurses will b

and monitor critically ill patients especially in ICU, evaluate the efficiencies of therapies, monitor patient’s clinical status as

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This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON

KNOWLEDGE OF ABG ANALYSIS AMONG STAFF NURSES OF ICU IN SELECTED PRIVATE

and Unmona Borgohain Saikia

Arterial blood gas analysis is an essential part of diagnosing and managing patient's oxygenation status Arterial blood gas analysis and its interpretation gives a view about a patient’s tion and metabolic status and with the help of such parameters nurses will be able to assess and monitor critically ill patients especially in ICU, evaluate the efficiencies of therapies, monitor patient’s clinical status as well as to determine treatment needs of To meet this challenge, nurses must understand the mechanisms underlying acid-base . Objectives of the study were to assess the efore and after administration of structured teaching programme, to determine the effectiveness of structured teaching programme on knowledge regarding ABG analysis among staff nurses and to find out association of knowledge with selected bles regarding ABG analysis among staff nurses of ICU in selected private hospitals test post-test design study was used to accomplish the objectives of the study. The samples were selected using non probability convenience sampling technique. The study was conducted among 68 staff nurses of ICU of selected private hospitals of Guwahati, Assam. Respondents were selected on the basis of inclusion criteria. Pre - test assessing knowledge regarding Arterial Blood Gas Analysis and after that Structured Teaching Programme regarding ABG analysis was administered on the same day test was conducted to the same group by using the same ructured questionnaire on seventh day. Out of 68 respondents majority 60 (82.24%) of the 31 years, 64(94.12%) of the respondents were female, 32(47.06%) of the respondents were having in Diploma nursing, 32 (47.06%) of the respondents were in Basic B. Sc nursing, 41(60.29%) of the respondents were from Neuro ICU, 37(54.41%) of the 5 years experience, 30(44.12%) of the respondents were having (3months-1 respondents attended in-service class on ABG Analysis. In 55.88%) had inadequate knowledge and 30(44.12%) had moderately adequate knowledge but after administration of STP, majority of the respondents ad moderately adequate knowledge and 33(48.53%) have adequate knowledge. The mean test knowledge was 12.87. After intervention the mean of post-test knowledge was 21.76. The effectiveness of structured teaching programme was calculated by Z test and value of “Z” was 15.87 at test knowledge was statistically tested by Chi square test and the result showed that there was significant association of pre-test knowledge score with

service education on ABG analysis.

test majority of the respondents 38 (55.88%) had inadequate knowledge and 30 (44.12%) had moderately adequate knowledge but after administration of STP, majority of the respondents 35 (51.47%) had moderately adequate knowledge and 33(48.53%) have adequate Study indicated that the Structured Teaching Programme was effective in increasing the

Arterial blood gas analysis is an essential part of diagnosing and managing a patient's oxygenation status and acid-base balance. Disorders of acid-base balance can create complications in many disease states, and occasionally the ere so as to become a life-Arterial blood gas analysis and its interpretation gives a view about a patient’s oxygenation, acid base balance, pulmonary function and metabolic status and with the help of such parameters nurses will be able to assess and monitor critically ill patients especially in ICU, evaluate the efficiencies of therapies, monitor patient’s clinical status as

Research Article

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well as to determine treatment needs of the patients. Based on the ABG results, titration of oxygen therapy

level of ventilator support and decision about fluid and electrolyte therapy can be taken. With increasing use of ABG analysis in various wards to aid in medical diagnosis and management, nurses if they can interpret results are often a to initiate interventions and understand the reasons for medical interventions. As Nurses are often the first members of the health care team to see ABG results and an accurate assessment of the relationship between abnormal blood gas findings and a patient’s overall clinical condition is a common challenge for critical care nurses. Knowledge about ABG interpretation is essential for the nurses, so that they can analyze each component to avoid overlooking a change that could result in an inaccurate interpretation leading to inappropriate treatment.

Objectives of the Study

1. To assess the knowledge regarding ABG analysis among staff nurses before and after administration of structured teaching programme.

2. To determine the effectiveness of structured teach programme on knowledge regarding ABG analysis among staff nurses.

3. To find out association of knowledge with selected demographic variables like age, gender, educational qualification, type of ICU, years of experience, exposure to any in-service educati

analysis.

REVIEW OF LITERATURE

Indira S, et al. (2017) conducted a descriptive study to assess the knowledge regarding ABG analysis and interpretation of ABG results among staff nurse in NMCH, Nellore. The study was conducted on 30 samples and the result shows that 4 (13.3%) had “A” grade, 7(23.3%) had “B+” grade, 12(40%) had “B” grade, 5(16.7%) had “C” grade and 2(6.7%) had “D” grade knowledge and mean value was 19.0 and SD was 3.5 in staff nurses, which conclude that majority of staff nurses h D grade knowledge

Anil GD et al.( 2015) conducted a prospective observational study on severe metabolic acidosis among 100 critically ill patients of JSS Hospital, Mysore and its impact on the outcome. It was found that out of 86 patients who had lac acidosis, 69 patients expired. Out of 69 patients who had high anion gap acidosis, 47 patients had adverse outcome and a high base deficit is associated with high mortality 79.4 per cent. Out of 55 patients who were on mechanical ventilation 45 of them expired, 37 required vasopressor support and 34 had lactic acidosis. Study reveals that critically ill patients with metabolic acidosis had higher mortality rate.

RESEARCH METHODOLOGY

Research approach: Quantitative research approach.

Design: Pre experimental one group pre- test post

Dependent variable: Knowledge of staff nurses regarding

ABG analysis.

Independent variable: Structured Teaching Programme

regarding ABG analysis.

Demographic variable: Age, gender, professional

qualification, type of ICU, year of experience (ICU experience well as to determine treatment needs of the patients. Based on the ABG results, titration of oxygen therapy like adjusting the level of ventilator support and decision about fluid and electrolyte therapy can be taken. With increasing use of ABG analysis in various wards to aid in medical diagnosis and management, nurses if they can interpret results are often able to initiate interventions and understand the reasons for medical Nurses are often the first members of the health care team to see ABG results and an accurate assessment of the relationship between abnormal blood gas tient’s overall clinical condition is a common Knowledge about ABG interpretation is essential for the nurses, so that they can analyze each component to avoid overlooking a change that rpretation leading to

To assess the knowledge regarding ABG analysis among staff nurses before and after administration of

To determine the effectiveness of structured teaching programme on knowledge regarding ABG analysis

To find out association of knowledge with selected demographic variables like age, gender, educational qualification, type of ICU, years of experience, service education on ABG

Indira S, et al. (2017) conducted a descriptive study to assess the knowledge regarding ABG analysis and interpretation of ABG results among staff nurse in NMCH, Nellore. The study the result shows that 4 (13.3%) had “A” grade, 7(23.3%) had “B+” grade, 12(40%) had “B” grade, 5(16.7%) had “C” grade and 2(6.7%) had “D” grade knowledge and mean value was 19.0 and SD was 3.5 in staff nurses, which conclude that majority of staff nurses had

Anil GD et al.( 2015) conducted a prospective observational study on severe metabolic acidosis among 100 critically ill patients of JSS Hospital, Mysore and its impact on the outcome. It was found that out of 86 patients who had lactic acidosis, 69 patients expired. Out of 69 patients who had high anion gap acidosis, 47 patients had adverse outcome and a high base deficit is associated with high mortality 79.4 per cent. Out of 55 patients who were on mechanical ventilation expired, 37 required vasopressor support and 34 had lactic acidosis. Study reveals that critically ill patients with

Quantitative research approach.

test post-test design. Knowledge of staff nurses regarding

Structured Teaching Programme

Age, gender, professional ification, type of ICU, year of experience (ICU experience

and total experience), exposure to any in ABG Analysis.

Setting of the study: Study was conducted at two private

Hospitals of Guwahati, Assam

Population: Staff nurses.

Target population:Staff nurses of ICU of private hospitals of

Guwahati, Assam.

Accessible population: Staff nurses of ICU of selected private

hospitals of Guwahati, Assam.

Sample: Staff nurses working in ICU who fulfills the inclusion

criteria and present on the day of data collection.

Sample size: 68 staff nurses.

Sampling technique: Samples were selected using non

probability convenience sampling technique.

Tools and techniques:The tool used for the study consisted of

two sections: Demographic profile and Structured Knowledge questionnaire. Technique used was Self report.

Validity of the tool: Tool was validated by five experts from

the field of critical care and five nursing experts from the field of Medical surgical nursing.

Reliability of the tool:The reliability of the tool was done by

using split half method where, the reliability (r) of the knowledge questionnaire was 0.82, so the tool was found to be reliable.

Pilot study:Pilot study was conducted

Main Study: 4th -31st July, 2017.

RESULTS

Table I Frequency and percentage distribution of the respondentsaccording to their age group

Age( in years) Frequency

21-31 60

31-41 8

Above 41 0

TOTAL 68

Table-I depicts that, out of 68 samples majority 60(82.24%) of the respondents were in the age groups of 21

respondents were in age group of 31

respondents were in the age group of above 41 years. The results are shown in bar diagram in figure 1.

Figure 1 Percentage distribution of the respondents according to their age

group

Table II Frequency and percentage distribution of according to gender

0%

10% 20% 30% 40% 50% 60% 70% 80% 90%

21-30 31-40

88.24%

11.76%

P

ERC

ENT

AGE

AGE(IN YEARS)

and total experience), exposure to any in-service education on

Study was conducted at two private

Staff nurses of ICU of private hospitals of

Staff nurses of ICU of selected private

Staff nurses working in ICU who fulfills the inclusion nt on the day of data collection.

Samples were selected using non probability convenience sampling technique.

The tool used for the study consisted of ofile and Structured Knowledge questionnaire. Technique used was Self report.

Tool was validated by five experts from the field of critical care and five nursing experts from the field

The reliability of the tool was done by using split half method where, the reliability (r) of the knowledge questionnaire was 0.82, so the tool was found to be

Pilot study was conductedon 7 samples. July, 2017.

Frequency and percentage distribution of the according to their age group

n=68

Frequency Percentage

82.24% 11.76% 0% 100%

I depicts that, out of 68 samples majority 60(82.24%) of the respondents were in the age groups of 21-31years, 8(11.76%) of the respondents were in age group of 31- 41 years, and none (0%) of the age group of above 41 years. The results are

n = 68

Percentage distribution of the respondents according to their age roup

Frequency and percentage distribution of respondents according to gender

n = 68 ≥41

0%

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ICU In Selected Private Hospitals of Guwahati, Assam

Gender Frequency Precentage

Male 4 5.88%

Female 64 94.12%

TOTAL 68 100%

Table II depict that, out of 68 samples, 4(5.88%) of the staff nurses were male and 64(94.12%) were female. The results are shown in the Pie diagram in figure 2.

Figure 2 Percentage distribution of the respondents according to gender.

Table III Frequency and percentage distribution of the respondents according to their professional qualification

Professional

Qualification Frequency

Diploma in Nursing 32 Post Basic B. Sc. Nursing 4

Basic B.sc Nursing 32 M. Sc. Nursing 0

TOTAL 68

Table-III depicts that, out of 68 samples 32(47.06%) of the respondents were Diploma nurses, 32 (47.06%) of the respondents were Basic B.Sc. nurses, four (5.88%) were Post Basic B.Sc. Nurses and none (0%) of them were M. Sc. nursing. The data is presented in a form of bar diagram in figure 3.

Figure 3 Percentage distribution of the respondents according to their

professional qualification

Table IV Frequency and percentage distribution of the respondents according to type of ICU they are working

5.88%

94.12%

0.00% 10.00% 20.00% 30.00% 40.00% 50.00%

Diploma in nursing

Post Basic B.Sc Nursing

Basic B.sc Nursing

47.06%

5.88%

47.06%

P

ER

CEN

TAGE

PROFESSIONAL QUALIFICATION

Precentage

Table II depict that, out of 68 samples, 4(5.88%) of the ICU were male and 64(94.12%) were female. The results are shown in the Pie diagram in figure 2.

n=68

Percentage distribution of the respondents according to gender.

Frequency and percentage distribution of the respondents according to their professional qualification

n=68

Percentage

47.06% 5.88%

47.06 0% 100%

III depicts that, out of 68 samples 32(47.06%) of the respondents were Diploma nurses, 32 (47.06%) of the were Basic B.Sc. nurses, four (5.88%) were Post Basic B.Sc. Nurses and none (0%) of them were M. Sc. nursing. The data is presented in a form of bar diagram in

n=68

Percentage distribution of the respondents according to their

Frequency and percentage distribution of the respondents according to type of ICU they are working

Type of

ICU Frequency

Neuro ICU 41 Cardiac

ICU 18

Others 9 Total 68

Table-IV depicts that, out of 68 samples majority 41(60.29%) of the respondents were from Neuro ICU, 18(26.47%) of the respondents were from Cardiac ICU, nine (13.24%) were from other ICU’s. The data is presented

in figure 4.

Figure 4Percentage distribution of the respondents according to type of ICU

they are working.

Table V Frequency and percentage distribution of the respondents according to years of experience

Years of experience

3 months -1year 1 year -5 years 5years-10years ≥10 years

TOTAL

Table-V depicts that, out of 68 samples majority 37(54.41%) of the respondents were having 1

20(29.41%) of the respondents were having 3months experience, eight (11.77%) of respondents were having 5 years, and three (4.41%) of respondent were having

experience. The results are shown in bar diagram in figure 5.

Figure 5 Percentage distribution of the respondents according to total years of

working experience Male

Female

M.Sc Nursing

0%

PROFESSIONAL QUALIFICATION

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00% 70.00%

Neuro ICU Cardiac ICU

60.29%

26.47%

P

ERC

ENT

AGE

TYPE OF ICU

29.41%

54.41%

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%

3 Months-1 Year

1-5 Years

P

ERC

ENT

AGE

TOTAL EXPERIENCE OF ICU STAFF NURSES

n = 68

41 60.29%

18 26.47%

9 13.24%

68 100%

IV depicts that, out of 68 samples majority 41(60.29%) of the respondents were from Neuro ICU, 18(26.47%) of the respondents were from Cardiac ICU, nine (13.24%) were from other ICU’s. The data is presented in the form of bar diagram

n=68

Percentage distribution of the respondents according to type of ICU they are working.

Frequency and percentage distribution of the respondents according to years of experience

n=68

20 29.41% 37 54.41% 8 11.77%

3 4.41%

68 100%

V depicts that, out of 68 samples majority 37(54.41%) of the respondents were having 1-5 years of experience, 20(29.41%) of the respondents were having 3months-1 year of experience, eight (11.77%) of respondents were having 5-10 1%) of respondent were having >10 years of experience. The results are shown in bar diagram in figure 5.

n=68

Percentage distribution of the respondents according to total years of experience

Cardiac ICU Others

26.47%

13.24%

TYPE OF ICU

54.41%

11.77%

4.41%

5 Years 5-10 Years >10 Years

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Table VI Frequency and percentage distribution of respondents according to working experience

ICU Experience Frequency Percentage

3 months -1year 30 44.12% 1 year -5 years 28 41.18% 5years-10years 9 13.23%

≥10 years 1 1.47%

TOTAL 68 100%

Table-VI depicts that, out of 68 samples majority 30(44.12%) of the respondents were having 3months-1 year experience, 28(41.18%) of the respondents were having 1

experience, nine(13.23%) of respondents were having 5 years of experience, and one (1.47%) of respondent was having >10 years of experience. The results are shown in bar diagram in figure 6.

Figure 6 Percentage distribution of the respondents according to total years of

working experience in ICU

Table VII Frequency and percentage distribution of respondents according to in-service education on arterial blood

gas analysis

In-service education on ABG Analysis

Yes 36 52.94%

No 32 47.06%

TOTAL 68 100%

Table-VII depicts that, out of 68 samples, majority 36(52.94%) of the respondents have attended in- service class on ABG Analysis and rest 32(47.06%) of the respondents have not attended any in-service class. The results are shown in pie diagram in figure 7.

Figure 7 Percentage distribution of respondents according to exposure to in

service education on arterial blood gas analysis

44.12%

41.18%

13.23%

0.00% 5.00% 10.00% 15.00% 20.00% 25.00% 30.00% 35.00% 40.00% 45.00% 50.00%

3 Months-1 Year 1-5 Years 5-10 Years

P

ERC

ENT

AGE

TOTAL ICU EXPERIENCE OF STAFF NURSES

52.94% 47.06%

EXPOSURE TO IN-SERVICE EDUCATION ON ABG Frequency and percentage distribution of respondents according to working experience (only in ICU)

n=68

Percentage

44.12% 41.18% 13.23% 1.47%

100%

VI depicts that, out of 68 samples majority 30(44.12%) 1 year experience, 28(41.18%) of the respondents were having 1-5 years of experience, nine(13.23%) of respondents were having 5-10 one (1.47%) of respondent was 10 years of experience. The results are shown in bar

n=68

Percentage distribution of the respondents according to total years of

percentage distribution of service education on arterial blood

n=68

Percentage

52.94% 47.06% 100%

samples, majority 36(52.94%) service class on ABG Analysis and rest 32(47.06%) of the respondents have not service class. The results are shown in pie

n=68

tage distribution of respondents according to exposure to in-service education on arterial blood gas analysis

Table VIII Frequency and percentage distribution of respondents according to number of session of in

education on arterial blood gas

Number of sessions of In-service education on ABG Analysis

1 session 2 sessions >2 sessions

TOTAL

Table-VIII depicts that out of 36 samples, majority 32(88.88%) of the respondents have attended one session of in-service class on ABG Analysis, 22 (5.56%) attended two sessions and rest two (5.56%)

sessions. The result is shown in

Figure 8 Percentage distribution of respondents according to number of

sessions of in-service education on arterial blood gas analysis

Table IX Frequency and percentage distribution of staff nurses according to their level of knowledge regarding arterial blood

gas analysis before and after administration of structured teaching programme

Variable Inadequate Moderately Adequate Frequency Percentage Frequency

Pre-test

knowledge 38 55.88% 30

Post-test

knowledge 0 0% 35

Figure 9 Percentage distribution of staff nurses according to level of

knowledge regarding arterial blood gas analysis.

The data presented in Table-IX depicts that, out of 68 samples, in pre-test majority 38(55.88%) of respondents had Inadequate

13.23%

1.47%

10 Years >10 Years

TOTAL ICU EXPERIENCE OF STAFF NURSES

SERVICE EDUCATION ON ABG

YES NO

5.6% 5.6%

NO OF SESSIONS OF IN

ABG ANALYSIS

0.00% 10.00% 20.00% 30.00% 40.00% 50.00% 60.00%

Inadequate knowledge

Moderately adequate knowledge 55.88%

44.12%

0%

51.47%

P

ERC

ENT

AGE

PRE TEST AND POST TEST KNOWLEDGE SCORE Frequency and percentage distribution of respondents according to number of session of in-service

education on arterial blood gas analysis

n=36

service

education on ABG Analysis Frequency Percentage

32 88.88% 22 5.56%

2 5.56%

36 100%

VIII depicts that out of 36 samples, majority 32(88.88%) of the respondents have attended one session of service class on ABG Analysis, 22 (5.56%) attended two (5.56%) attended more than two The result is shown in pie diagram in figure 8.

n=36

Percentage distribution of respondents according to number of service education on arterial blood gas analysis

Frequency and percentage distribution of staff nurses level of knowledge regarding arterial blood gas analysis before and after administration of structured

teaching programme

n=68

Moderately Adequate Adequate Frequency Percentage Frequency Percentage

30 44.12% 0 0%

35 51.47% 33 48.53%

n=68

Percentage distribution of staff nurses according to level of knowledge regarding arterial blood gas analysis.

IX depicts that, out of 68 samples, test majority 38(55.88%) of respondents had Inadequate

88.8%

NO OF SESSIONS OF IN-SERVICE EDUCATION ON ABG ANALYSIS

1session

2session

Moderately adequate knowledge

Adequate knowledge

0% 48.53%

PRE TEST AND POST TEST KNOWLEDGE SCORE

Pre test

Post test

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knowledge and remaining 30(44.12%) had moderately adequate knowledge. After administration of STP, in post majority 35(51.47%) had moderately adequate knowledge, remaining 33 (48.53%) had adequate knowledge and none had inadequate knowledge regarding ABG analysis. Data are presented in bar diagram in figure 9.

Table X Evaluation of effectiveness of structure teaching programme on knowledge regarding Arterial blood gas

analysis among the staff nurses

The following hypothesis was formulated to test the effectiveness of structured teaching programme regarding Arterial blood gas analysis among the staff nurses.

H01: There is no significant difference between the mean

pre-test knowledge score and mean post

score regarding arterial blood gas analysis of staff nurses.

H1: The mean post-test knowledge score of staff nu

significantly higher than the mean pre score regarding arterial blood gas analysis.

Knowledge Mean SD

P-Value

Calculated

Z-Pre-test 12.87 3.71

0.01 15.87 Post-test 21.76 2.74

The Table-X depicts that, the mean knowledge score in pre test is 12.87 with standard deviation 3.71. In post

mean knowledge score is 21.76 with standard deviation 2.74. The improvement is statistically tested by Z test. The calculated value of “Z” 15.87 is higher than the tabulated value 2.33 at 0.01% of level of significant. Therefore, H

which indicates that the mean post test knowledge is significantly higher than the mean pretest knowledge. Hence, STP on Arterial blood Gas analysis is effective.

Table XI Association of pre-test knowledge with selected demographic variables

Chi square test was used to assess the association of pre knowledge with selected demographic variables

H02 -There is no significant association between pre

knowledge score and selected demographic variables.

1.Age in years Below mean

Above

mean Total Cal

21-31 27 33 60

1.15

31-41 2 6 8

>41 0 0 0

TOTAL 29 39 68

2. Gender Below

mean Above

mean Total Cal

Male 1 3 4

0.54

Female 28 36 64

TOTAL 29 39 68

3. Professional qualification

Below mean

Above

Diploma in Nursing 20 12 32

9.47

Basic B.Sc Nursing 8 32 32

Post Basic B.Sc and

M.Sc Nursing 1 3 4

TOTAL 29 39 68

4. Type of ICU Below mean

Above

Neuro ICU 17 24 41

2.79

Cardiac ICU 6 12 18

Others 6 3 9

TOTAL 29 39 68

knowledge and remaining 30(44.12%) had moderately inistration of STP, in post-test majority 35(51.47%) had moderately adequate knowledge, remaining 33 (48.53%) had adequate knowledge and none had inadequate knowledge regarding ABG analysis. Data are

structure teaching knowledge regarding Arterial blood gas analysis among the staff nurses

The following hypothesis was formulated to test the effectiveness of structured teaching programme regarding

analysis among the staff nurses.

There is no significant difference between the mean test knowledge score and mean post-test knowledge score regarding arterial blood gas analysis of staff

test knowledge score of staff nurses is significantly higher than the mean pre-test knowledge score regarding arterial blood gas analysis.

n=68

Calculated - value

Table Z – value

15.87 2.33

depicts that, the mean knowledge score in pre-test is 12.87 with standard deviation 3.71. In post-pre-test, the mean knowledge score is 21.76 with standard deviation 2.74. The improvement is statistically tested by Z test. The higher than the tabulated value 2.33 at 0.01% of level of significant. Therefore, H1 is accepted

which indicates that the mean post test knowledge is significantly higher than the mean pretest knowledge. Hence,

ve.

test knowledge with selected

Chi square test was used to assess the association of pre-test knowledge with selected demographic variables.

There is no significant association between pre-test owledge score and selected demographic variables.

n=68

Tab df Remark

5.99 2 NS

3.84 1 NS

5.99 2 S

5.99 2 NS

5. Total working experience

Below mean

Above mean

3 months-1 year 13 7

1 year-5 years 13 24

>5 years 3 8

TOTAL 29 39

6.Total working experience in ICU

Below mean

Above mean

3 months-1 year 17 13

1 year-5 years 10 18

>5years 2 8

TOTAL 29 39

7. In-service education

Below mean

Above mean

Yes 9 27

No 20 12

TOTAL 29 39

For calculation purpose, clubbing of the scores was done and chi square formula was used.

NS=Not Significant, S=Significant, Cal

value of chi square, Tab= Table value of chi square, df= degree of freedom.

CONCLUSION

In pre-test majority of the respondents 55.88% had inadequate knowledge and 44.12% had moderately adequate knowledge but after administration of STP, majority of the respondents 51.47% had moderately adequate knowledge and 48.53% have adequate knowledge. The mean of pre

12.87. After intervention the mean of post

21.76. The calculated value of “Z” of knowledge was 15.87 which showed structured teaching programme was effective. There was significant association between pr

with the selected demographic variables like professional qualification, total years of experience and exposure to in service education.

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20

6.04 5.99 2 S

36 11 68

Above

30

5.05 5.99 2 NS

28 10

68

Above

36

9.72 3.84 1 S

32 68

For calculation purpose, clubbing of the scores was done and

S=Significant, Cal-value= calculated value of chi square, Tab= Table value of chi square, df=

test majority of the respondents 55.88% had inadequate knowledge and 44.12% had moderately adequate knowledge but after administration of STP, majority of the respondents 51.47% had moderately adequate knowledge and 48.53% have he mean of pre-test knowledge was 12.87. After intervention the mean of post-test knowledge was 21.76. The calculated value of “Z” of knowledge was 15.87 which showed structured teaching programme was effective. There was significant association between pre-test knowledge with the selected demographic variables like professional qualification, total years of experience and exposure to

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How to cite this article:

Reshma Begum et al (2019) 'A Study To Assess The Effectiveness of Structured Teaching Programme on Knowledge of ABG Analysis Among Staff Nurses of ICU In Selected Private Hospitals of Guwahati, Assam', International Journal of Current Advanced Research, 08(07), pp.19508-19513. DOI: http://dx.doi.org/10.24327/ijcar.2019.19513.3768