A Study to assess the Knowledge of Respiratory Care of Intubated Patient among Staff Nurses working in Selected Hospital of Mehsana

 

Mr. Jitendra Patidar

Lecturer, Joitiba College of Nursing, Bhandu, Tal- Visnagar, Dist- Mehsana (Gujarat)

 

ABSTRACT:

INTRODUCTION: Respiratory care provides relief to millions of people, who have difficulty breathing or cannot breath on their own due to impaired or non-functioning lungs. Respiratory care is an important part because it helps to exchange oxygen and carbon dioxide. Oxygen is inspired for use by the tissues, and carbon dioxide (CO2) is exhaled as a waste product. OBJECTIVE: To identify the knowledge regarding respiratory care of intubated patient among the staff nurses working in Hospital. To co-relate the knowledge regarding respiratory care with selected demographic variables. DESIGN: Descriptive survey. PARTICIPATION: 100 staff nurses were selected using Non – probability convenient sampling techniques in selected hospital of mehsana. TOOL: Questionnaire was used to assess the level of knowledge among the staff nurses. X RESULTS: In this study level of knowledge of staff nurses is 1% showing poor, 54% showing average, 45% showing goood.

 

 

INTRODUCTION:

BACKGROUND OF THE STUDY:

Respiratory care provides relief to millions of people, who have difficulty breathing or cannot breath on their own due to impaired or non-functioning lungs. Respiratory care is an important part because it helps to exchange oxygen and carbon dioxide. Oxygen is inspired for use by the tissues, and carbon dioxide (CO2) is exhaled as a waste product. Airway disorders are acute, severe and life-threatening and may require permanent alterations in breathing and speaking. Thus, the nurse must have good assessment skills, an understanding of the wide variety of disorders that may affect the airway, and an awareness of the impact of these alterations on patients. (Suzanne.C. Smelter, 2007) in respiratory care, the first management is airway management.

 

 

It is actively maintaining an open airway during management of trauma and intensive care. They may intubate patients or administer anaesthesia for surgery or conscious sedation. Respiratory care often is in charge of initiating and managing life support, especially mechanical ventilation, for people in intensive care units and emergency departments. Respiratory care includes: administer inhaled aerosolized drugs such as asthma and COPD medication and administer medical gases such as oxygen, helioxs and nitric oxide. (Tablan.O, 2004).

 

After the intubation, caring is important. The nursing care is a major role in improving the condition of the patient. Nurses are the caregivers who, for the most part, help patients of all ages perform the most basic day-to-day tasks. They have extensive daily contact with each patient; they play a key role in keeping the nurse up-to-date on vital information about the patient’s conditions. Nurses work closely with patients and provide assistance with such tasks like bathing, dressing, feeding, turning bedridden patients regularly and reporting all changes to the doctors, safety awareness and documentation.

The nurses should have thorough knowledge of the modes of ventilation, assessment and care of the patients requiring mechanical ventilation. Nursing today is faced with the challenge of providing high quality, cost-effective, evidence-based holistic care in a financially restricted climate. Protocols are an effective way of introducing evidence based practice into the ICUs, and have been shown to reduce morbidity and mortality and decrease the cost of critical illness. Knowledge breeds knowledge and the clinical skills and knowledge needed to care for patients continue to change dramatically. Nursing knowledge has become more complex and specialized and is constantly evolving. Nursing knowledge comes from a variety of sources including both theoretical and practice perspectives - clinical decisions should be based on what is evidence rather than just opinion or belief. The aim of the profession should be to improve practice by questioning findings from all sources. Knowledge is often gained through personal experience.

 

RESEARCH METHODOLOGY:

RESEARCH DESIGN:

Non-experimental Survey Research Design

 

SAMPLING TECHNIQUE:

A Non-Probability Purposive Sampling Technique

 

DATA COLLECTION TECHNIQUE AND TOOL:

Section- A consists of demographic variables.

Section–B is prepared questionnaire which is used to assess the knowledge of staff nurses regarding   respiratory care of intubated patient.

Section–C is the checklist where the researcher observes the practices of staff nurses regarding the respiratory care.

 

ANALYSIS AND INTERPRETATION OF DATA :

Majority (66%) of the staff were from age group 21 - 30 years, 23% in age group of 31-40 years, 8% of 41-50, 3% in age group 51-60 years, 91% of them were females and 9% of them were males, 52% of them were G.N.M. nursing, 29% of them were ANM, 17% of them were B.Sc.nursing, 2% M.Sc. nursing, Majority (72%) of them had less than 3 years of experience in ICU, 22% of 4-6 years, 4% of 7-10 years, 2% of more than 11 years,68% of them had less than 5 years of total experience, 22% of them had 6-10 years of experience, 9% of them had 11-15 years of total experience and 1% of them had more than 16 years of experience.

 

Above figure reveals, that among staff nurses, showing 1% showing poor, 54% showing Average and 45% showing Good. Chi-square values were calculated to find out association between knowledge regarding respiratory care of intubated patient and sociodemographic variables of the staff nurses. Finding revealed that there was no significant association was found between the knowledge regarding respiratory care of intubated patient and the demographic variables like Age, Professional qualification, How long working in I.C.U, Previously any sessions attended on respiratory care, and Department. However significant association was found between the knowledge regarding respiratory care of intubated patient and their demographic variable like Gender and Total year of experience.

 

CONCLUSION:

Nurse’s average knowledge on the respiratory care of intubated patient and in order to the respiratory care on intubated patient it is necessary to be aware of such measures. Without this knowledge patient care are not of high standards. Nurses also need knowledge on the topic so as to question measures that are being used in their units and their usefulness in respiratory care on intubated patient.

 

From the present study it can be concluded that staff nurses working in h three hospitals included in the study have adequate knowledge in the respiratory care of intubated patients. The correlation between experience and knowledge levels was clinically not significant and therefore this indicates that working for longer periods in hospital does not necessarily mean that one gains knowledge. None of the demographic variable was found to have significant association with knowledge regarding respiratory care of incubated patients. This chapter provided a summary of the study, a presentation of the main findings, limitations of the study as well as recommendations for nursing practice, education and research. This study was successful in achieving its aims and objectives as well as in using the research process appropriately.

 

REFERENCES:

1.        Taylor, Society of Critical care medicine mechanical Ventilation, American Association of Critical – Care Nurses; Vol-41, 2004, Pp; 30-35.

2.        Sumitra. P. S: Study to assess the knowledge of nursing personal on respitatory care of patient on ventilator; Intensive care journal; September 2004; Pp;1-2.

3.        Rodrigues JL, knowledge about the prevention of pneumonia associated to mechanical ventilation at Intensive care Unit”; June 2006, Pp; 1061-1072.

4.        Presneill. JJ – etal; Decisions made by critical care nurses during mechanical ventilation and weaning in an Australian intensive care unit, “American Journal of critical care”;Vol. 16(5), 2007 Pp; 433 – 434.

 

Received on 19.09.2018          Modified on 31.10.2018

Accepted on 21.11.2018     © A&V Publications all right reserved