A Study to assess the effectiveness of Health Awareness Programme on Knowledge and Knowledge on Practice Regarding Revised Protocol of Delivering Cardiopulmonary Resuscitation among staff Nurses in Selected Hospitals at Navsari District

 

Ms. Savita Chaudhari¹, Mr. Jeenath Justin Doss. K², Mr. Suneesh P. M³.

¹II Year M.Sc. (N) (MSN), Shri Anand College of Nursing, Rajkot, Gujarat

²Guide, M.Sc. (N) (MSN) ,Shri Anand College of Nursing, Rajkot, Gujarat

³Co.Guide, MSc. (N) (MSN), Shri Anand College of Nursing, Rajkot, Gujarat

 

ABSTRACT:

Cardiac arrest is a medical emergency that, in certain situations, is potentially reversible if treated early. Unexpected cardiac arrest sometimes leads to death almost immediately; this is called sudden cardiac death. The treatment for cardiac arrest is CPR to provide circulatory support, followed by defibrillation if a shockable rhythm is present. The research designed adopted was pre experimental one group pre-test post-test design.  A total of 50 staff nurses were selected by non convenient sampling method. A structured knowledge Questionnaire and Observational checklist were prepared to assess the knowledge and knowledge on practice of the samples. The tools were developed by reviewing the extensive literature on revised protocol on CPR. Reliability of Structured knowledge Questionnaire and Observational checklist were ascertained by using test retest method. Descriptive and inferential statistics was used to analyse the data. ‘t’ test was used to evaluate the effectiveness of health awareness programme on Revised Protocol on CPR among staff nurses. The obtained ‘t’ value for  knowledge was 27.50 and knowledge on practice was 23.19, which was significant at 0.05. The findings of the study shows that effectiveness of health awareness programme is effective in improvement of knowledge and knowledge on practice.

 

 

INTRODUCTION:

Cardiac arrest is a medical emergency that, in certain situations, is potentially reversible if treated early. Unexpected cardiac arrest sometimes leads to death almost immediately; this is called sudden cardiac death. The treatment for cardiac arrest is CPR to provide circulatory support, followed by defibrillation if a shockable rhythm is present.¹

 

CPR is an emergency procedure, performed in an effort to manually preserve intact brain function until further measures are taken to restore spontaneous blood circulation and breathing in a person in cardiac arrest. It is indicated in those who are unresponsive with no breathing or abnormal breathing, for example, agonal respirations. Performing effective CPR immediately after sudden cardiac arrest doubles a victim’s chance of survival.²

 

CPR is a critical component of basic life support and the established firstline of response to a cardiac arrest in the interim before defibrillation and advanced life support are performed.CPR has the potential to save lives in life threatening emergencies CPR is associated with survival and can prevent impending death.³

 

NEED FOR THE STUDY:

WHO (2010) reported that, Cardiovascular Disease is an important cause of global mortality and in five of the six WHO regions it is the leading causes of mortality. Of the estimated 16.6 million deaths attributed to worldwide, 80% is in developing countries. By 2010, Cardiovascular Disease was estimated to be the leading cause of death in developing countries. By 2030, almost 23.6 million people will die from Cardiovascular Diseases. Cardiovascular diseases now more prevalent in India and China than all economically developing countries in the world combined. Cardiovascular disease in India quadrupled in the last 40 years. WHO estimates that by 2020 close to 60% of cardiac patients worldwide will be Indian.⁴

 

V.P Chandrasekaran (2012) A study conducted on the awareness of Basic Life Support among students, doctors and nurses of medical, dental, homeopathy and nursing colleges. Out of 1,054 responders 319 were nursing students, 25 were nursing faculty. No one among them had complete knowledge of BLS. A majority of them, that is, 894 (84.82%) had secured less than 50% marks. Awareness of BLS among students, doctors and nurses of medical, dental, homeopathy and nursing colleges is very poor.⁵

 

OBJECTIVES:

1     To assess the existing level of knowledge regarding revised protocol on CPR among the staff nurses.

2     To assess the knowledge on practice regarding revised protocol on CPR among the staff nurses.

3     To assess the effectiveness of Health awareness programme on knowledge and knowledge on practice regarding revised protocol on CPR among staff nurses.

4     To find out the association between pre test level of knowledge with their selected demographic variables.

5     To find out correlation between post test score of knowledge and knowledge on practice regarding revised protocol of delivering CPR.

 

HYPOTHESIS:

H1: The mean post test scores of Staff nurses will be significantly higher than the mean pre test scores on knowledge regarding CPR.

 

H2: The mean post test scores of Staff nurses will be significantly higher than the mean pre test scores on knowledge on practice regarding CPR.

 

 

H3: There will be significant association between the pretest level of knowledgewith their selected demographic variables.

 

H4: There will be a significant correlation between thepost test score of knowledge and knowledge on practice.

 

MATERIAL AND METHODOLOGY:

Research design:

Pre- experimental research design – one group pre test post test.

 

Setting:

The study was conducted at selected hospitals of Navsari district.

 

Population:

The population for the present study consist all staff nurses working in the selected hospital.

 

Sample:

50 staff nurses.

 

Sampling Technique:

The samples were selected for this study by “ Non-probability Convenient” sampling technique.

 

Data analysis:

The data were analysed by using both descriptive and inferential statistical methods.

 

FINDINGS:

·      The majority of 45 (90%) sample’s age is between 21-25 years

·      The majority of 36 (72%) sample’s are female.

·      The majority of 46 (92%) sample’s have 0-2 years of experience.

·      The majority of 24 (48%) sample’shave experience of emergency/ intensive care unit.

·      The majority of 25 (50%) sample’s acquired information through nursing syllabus.

·      There is majority of 26 (52%) sample’s have taken training on CPR.

·      The majority of 47 (94%) sample’shave not taken traing on revised protocol of CPR.

 

When comparing the pre test and post test level of knowledge was t=27.05 and knowledge on practice t =23.19 which was significant at p<0.05 level. The findings revealed that there was statistically significant difference in the level of knowledge and knowledge on practice regarding revised protocol on CPR among staff nurses.

 

 

With regard to association between post test level of knowledge and post test level of knowledge on practice with their selected demographic variable such as age, gender, experience, total years of experience and department of previous experience and programme attended on CPRwere not significant. Previous information on CPR and how many programme attended on CPR was significant at 0.001 level.

 

CONCLUSION:

The main conclusion from this present study is that most of the staff nurses had very poor and poor level of knowledge in pre test and they improved to average and good level of knowledge in post test on knowledge and knowledge on practice. This shows the imperative need to understand the purpose of the health awareness programme regarding improving the knowledge and knowledge on practice about revised protocol on CPR in improving CPR technique among staff nurses and it will improve the knowledge and practice of revised protocol on CPR.

 

BIBLIOGRAPHY:

1.       Athens,: Cardio pulmonary resuscitation (online). Available from: www.safeoutcome.com. (Accessed on 7^th June 2011)

2.       Hazinski, M. F.; Emergency procedure of CPR (online). Available from: http://heartnet.bjmu.edu.cn.htm (Accessed on 12^th May 2013)

3.       Abella, B.S; Quality of cardiopulmonary resuscitation during in hospital cardiac arrest,(online). Available from:http://www.worldinvisible.com/apologet/humbody/heart.html, (assessed on 2005)

4.       S Kumar: Cardio vascular disease, (online). Available from: http://www.ncbi.nmi.nih.gov.nature.com. (Accessed on 13rd March 2011)

5.       V.P. Chandrasekaran : Defibrilaation belief of rural nurses, The international amd electronic journal of Rural and remote health research, duration,practice and policy,2005; 5(322):155

 

 

Received on 17.09.2017           Modified on 15.11.2017

Accepted on 02.01.2018     © A&V Publications all right reserved