An Experimental Study to Assess the Effectiveness of Self-Instructional Module regarding Indwelling Catheter on the Knowledge of Staff Nurses working in Cancer Hospital and Research Institute, Gwalior, M.P

Bincy Benny

Nishad College of Nursing and Allied Scieneces, Satna 485001- M. P.

*Corresponding Author E-mail: bincybenny022@gmail.com

ABSTRACT:

Urinary Tract Infection and associated complications are acute life-threatening conditions that may arise in patients due to lack of proper care as well as due to inadequate knowledge of the staff nurses. Nurses being the primary health care provider should possess competent knowledge and skill to manage such emergencies diligently in the wards. An experimental study was conducted to see the effectiveness of self-instructional module on the knowledge level of the staff nurses about the indwelling catheter care in Cancer hospital & research Institute,Gwalior.Purposive techniques was used to allocate the subjects. The study was conducted on 50 nurses working in Cancer hospital & research Institute, Gwalior. With the help of review of literature Callista Roy’s conceptual framework was implicated in the study. Researcher used structured questionnaire to assess the knowledge level of staff nurses regarding indwelling catheter care , that was validated by 6 experts in nursing and medical field. Reliability of the tool was calculated by split half method was found r=0.83.Data has been analyzed by using both descriptive and inferential statistics.

Results:

· The mean score of the participants obtained for the level of knowledge in pre test was 24.64 and standard deviation was 5.71

· The improved mean score for level of knowledge in post test was 41.06 and standard deviation was 4.96

· The effectiveness of self instructional module is 15.36

· The coefficient of co relation came out to be 0.16 which indicates positive co-relation

· It is recommended that staff nurses should be provided in service education.

KEYWORDS: Emergencies, Management, Self Instructional Module.

INTRODUCTION:

Urinary Tract Infections (UTI) are the most common infections acquired in hospitals and long-term care facilities. A urinary tract infection (UTI) caused by an indwelling catheter is called a catheter-associated urinary tract infection (CAUTI). CAUTIs are common and can be treated with antibiotics.

Symptoms are:

· Pain or burning in the lower abdomen or groin

· Fever

· Burning while urinating

· Frequent or strong urges to urinate

· Cloudy or abnormal urine color

· Blood in the urine

· Strong or foul urine odor

· Pressure, pain, or spasms in the lower belly or back.

Risk factors are prolonged use of a urinary catheter and leaving a catheter in place continuously. Prevention includes clean insertion and removal techniques, Daily catheter care, removing catheters as soon as possible, and using intermittent catheterization instead of an indwelling catheter.^1,2

Treatment options includes Antibiotics for symptomatic patients, Replacement of the catheter when treatment begins and Culture and sensitivity testing to determine the most effective antibiotic.^3,4,5

PURPOSE OF THE STUDY:

· To evaluate how much staff nurses know about the care of indwelling catheter .

· To impart knowledge to staff nurses regarding the care of indwelling catheter.

· To reduce the occurrence of urinary tract infections arising due to improper care and management due to lack of knowledge.

· To promote the quality of indwelling catheter care rendered to the patients by the nurses.

· To enhance the level of well being of the indwelling catheter patients.^6,7,8^,⁹^,¹⁰

OBJECTIVE OF THE STUDY:

· To acknowledge the pre-test scores of nurses regarding knowledge of indwelling catheter care.

· To find out post test scores of nurses regarding the knowledge of indwelling catheter care.

· To assess the effectiveness of self instructional module on indwelling catheter care.

· To find out co-relation between pre-test and post test knowledge scores of staff nurses regarding indwelling catheter care.

The conceptual framework for the present study is based on the system model (Roy’s Adaptation Model) for evaluation of nurse’s knowledge regarding indwelling catheter care.^11,12,13

METHODS AND METHODOLOGIES:

The objective of the methodology section is to promulgate to readers what the researcher did, to solve the research problem or to answer the research question. This section deals with the major methodological decision and often offers rationales for those decisions.

RESEARCH APPROACH:

Keeping in view the need to see the effectiveness of program and the objective of the study “Evaluative

Research Approarch” was found to be most appropriate.

RESEARCH DESIGN:

In the present study single group pre test post test design was used.

Single Group of Subjects

Where-

1. Is the pre test to the subjects.

X- Is the experiment introduced by the researcher in the study.

2. Is the post test to the subjects after the introduction of the experiment

Sample and Sampling Method:

The investigator selected sample of 50 staff nurses. Purposive sampling is used.

The study is aimed to assess the effectiveness of Self-instructional module regarding the indwelling catheter care.

To accomplish the objectives of the study the following structured tools are used.

· Questionnaire on demographic data.

· Knowledge questionnaire to assess the knowledge of student nurses or productive.

The pre test knowledge and post test knowledge scores of staff nurses.^14,15,16

S. No

Knowledge test

Mean (series1)

Standard deviation

(Series 2)

Pre test

24.64

5.71

post test

41.06

4.96

Frequency and Percentage Distribution of Pre-Test and Post-Test

Categories	Pre-test		Post test
	Frequency	%	Frequency	%
Excellent	0	0%	29	58%
Good	7	14%	19	38%
Average Below average	33 10	66% 20%	2 0	4% 0%

Distribution of Pre-Test and Post Tests Cores in Percentage

The pre test and post test knowledge scores,

Co-relation between the pre test and post test is that it means the data is positive and it lies between 0 and +1.^17,18,19

Knowledge test

mean

Standard deviation

Coefficient co-relation

Pre test

Post test

24.64

41.06

5.71

4.96

0.16

The above table shows that there is a co-relation between the pre test and post test knowledge scores of staff nurses regarding indwelling catheter care.

CONCLUSION:

It was concluded that nurse’s knowledge about indwelling catheter care is vague or in determinant. This was found out from the pre test conducted by the researcher in which no participant could score predominantly. But after the administration of self instructional module on indwelling catheter carethe result shown by staff nurses in post test of the same items was outstanding .This expressed that there was increase in knowledge level of participants. In hospitals it is required that sufficient knowledge must be rendered to staff nurse for catering quality care to patients.

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14. www.pubmed.com

15. www.ncbi.com

16. www.medline.com

17. www.cancercare.com

18. www.cinhals.com

19. www.emergencycare.com.

Received on 30.01.2025 Revised on 11.03.2025

Accepted on 19.04.2025 Published on 17.05.2025

Available online from May 20, 2025

Int. J. Nursing Education and Research. 2025;13(2):88-90.

DOI: 10.52711/2454-2660.2025.00018

This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License. Creative Commons License.

Schematic Design of the Study