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Effectiveness of Planned Teaching Programme On Knowledge of Emergency Drugs Among Staff Nurses

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Effectiveness of Planned Teaching Programme On Knowledge of Emergency Drugs Among Staff Nurses

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© © All Rights Reserved
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Sinhgad e Journal of Nursing, Vol. IV, Issue I, June 2014.

Effectiveness of planned teaching programme on


knowledge of emergency drugs among staff nurses
Mr. Rajendra D. Lamkhede
Lecturer, PIMS (DU),
College of Nursing, Loni

rajendralamkhede@yahoo.com
Abstract to cause changes and applying that
In the present study, one group pre-test knowledge in the clinical setting are
post-test research design was used to important aspects of nursing practice, for
assess effectiveness of planned teaching many reasons, for instance, patients today
programme on knowledge of emergency often follow complicated drug regimen and
drugs among staff nurses working in review. Potentially toxic drugs, many also
critical care units in selected hospital . 30 manage their own care at home. The nurse
staff nurses were selected by convenient is in a unique position regarding drugs
sampling method. Structured knowledge therapy.
questionnaire were used to assess the Emergency department, the heart of
effectiveness of planned teaching on the hospital demands unique expertise to
emergency drugs among the staff nurses. deal with patiently requiring prompt
Descriptive & inferential statistics were emergency care. The nurses in the
used for data analysis. Finding of the study emergency department are vital in the
showed that the knowledge of staff nurses health team and must possess high degree
after pre-test was not satisfactory; the of knowledge, skill and experience. The
planned teaching programme helped them critical care nursing continues to be a
to learn about emergency drugs. The post- unique and challenging specialty. The
test knowledge scores showed significant death forces are always batting in the
increase in knowledge. The research was critical care environment where nurses
conducted with the planned teaching defend the patient.
improved knowledge of the staff nurses on Administration of Medication is a
emergency drugs. basic activity in nursing practice. As a
Introduction result of the transition from hospitals and
institutions to community-based services,
The human body an increasing number of nurses are
works through practicing in a variety of settings. Nurses
complicated services therefore must be knowledgeable about
of chemical reactions the actual drugs and their administration,
and process. Drugs client response, drug interactions, client
are chemical that are allergies, and related resources. Hence, the
introduced into the researcher felt that, there is a need to
body to cause some sort of change. When conduct teaching programme on
drugs are administered; the body begins a emergency drugs to
sequence of processes designed to handle improve and update
the new chemicals. This process which nurse’s knowledge, in
involves, breaking down and eliminating order to minimize or
the drugs, in turn affect the body complex, prevent occurrences of
series of chemical reactions. medication errors and
Understanding how drugs act on the body increase patient safety.
38
©2014. Sinhgad College of Nursing, Pune. All rights reserved.
Sinhgad e Journal of Nursing, Vol. IV, Issue I, June 2014.

Problem Statement Results


‘A study to assess the effectiveness of Percentage description of demographic
planned teaching programme (PTP) on variables of staff nurses
knowledge of emergency drugs among  Percentage distribution of staff nurses
staff nurses working in critical care units in according to their age in completed
selected hospitals at Mangalore.’ years shows that, the highest 80% of
the respondents were in the age group,
Objectives of the study
21-25 years & lowest 3.33% of
1. To assess the existing knowledge on respondents were between age group
emergency drugs among the staff of 31-35 years and none of respondents
nurses by using structured knowledge from 36 years and above.
questionnaire.  Distribution of staff nurses with respect
2. To administer Planned Teaching to their gender shows, 70% of the
Programme on emergency drugs. respondents were females and 30% of
3. To find the effectiveness of Planned the respondents were males.
Teaching Programme by using same  Percentage distribution of staff nurses
structured knowledge questionnaire. according to their experience in
completed years shows that, the
4. To find out the association between the
highest percentage 33.33% of the
pre-test knowledge Scores and selected
respondents were in the experience
demographic variables such as age,
between ≥6 months to 1 year and also
gender, etc
experience of 10% of respondents were
The Review of literature is organized under more than 5 years.
the following headings-  Percentage distribution of staff nurses
1. Literature related to nurses knowledge reveals that, 46.67% of respondents
on emergency drugs and medication were undergone in service education
administration and 53.33% of respondents were not
2. Literature related to Medication errors undergone in service education.
3. Literature related to planned teaching  Percentage distribution of staff nurses
programme reveals that, 30% of respondents were
Material & Method undergone critical care training and
70% of respondents were not
An evaluative approach with one group
undergone critical care training.
pre-test post-test design was used for the
study. The sample consisted of 30 staff Assessment of the level of knowledge on
nurses, selected by convenient sampling emergency drugs among staff nurses
method. Data was collected by working in CCU
administering structured knowledge Finding reveals that, majority of
questionnaire on emergency drugs. After respondents 70% had only average
collecting base line data and pre-test, knowledge whose percentage of score
Planned teaching programme was given to ranged between (35-70). Only 10% of
the respondents and on the 7th day post- the respondents had good knowledge
test was conducted using the same (70-100) and 20% of the respondents
questionnaire . The collected data was had poor knowledge (0-35) regarding
analyzed by using descriptive and emergency drugs.
inferential statistics.

39
©2014. Sinhgad College of Nursing, Pune. All rights reserved.
Sinhgad e Journal of Nursing, Vol. IV, Issue I, June 2014.

Table 12.1: Pre-test and post-test score on the quartiles of pre-test and post-test
emergency drugs among staff nurses score. It reveals that, there is a
significant increase in the knowledge of
Area Max. Respondents Paired
Knowledge ‘t’ staff nurses after administration of PTP.
Score
Test Hence, a finding shows the
Mean Mean SD
(%) effectiveness of PTP
Pre-test 50 26.0 52 6,93 Association between pre-test knowledge
16.38 scores and demographic variables
Post-test 50 43.87 87.73 4.13
Effectiveness 50 17.87 35.73 2.80
Chi-square test was done to analyze the
association between pre-test
The knowledge score of staff nurses on knowledge scores and selected
emergency drugs in pre-test and post-test demographic variables. The study
which reveals that, post-test mean findings shows that, there is association
knowledge score found higher between pre-test knowledge score with
87.73%(43.67) and SD of 4.13, when demographic in-service variable
compared with pre-test mean knowledge (p<0.05), but there is no association
score value which was 52%(26) with SD of between pre-test knowledge score with
6.98. The mean effectiveness score was demographic variables like age, gender,
35.73% with SD of 2.80 professional qualification, professional
Area wise analysis of pre-test knowledge experience and critical care training
scores of staff nurses on emergency (p>0.05). Hence, the significant
drugs association will be, by enhance, thus
Area-wise highest mean percentage of the null hypothesis was rejected
knowledge scores in pre-test was Figure 12.1 Less than Ogives of pre-test and
64.17% in the area of ‘morphine post-test scores of staff nurses on
sulfate’ with mean and SD 2.57 ± 0.97. emergency drugs
The least mean percentage of
knowledge score in pre-test was 35
44.66% in the area of ‘general’ with 30
mean and SD 0.93 ± 0.74. Area-wise 30 30 30
highest mean percentage of knowledge
scores in post-test was 93.33% in the 25
area of ‘general’ with mean and SD 1.87
± 0.35. The least mean percentage of
20 20
knowledge score in post- test was 85%
CF

in the area of ‘dopamine hydrochloride’


with mean and SD 3.4 ± 0.56. 15
Quartile distribution of the pre-test and
10
post-test scores of staff nurses on
8
emergency drugs
5
The data presented in the form of Ogive
shows significant difference between
pre-test and post-test knowledge 0 0 0 0 PRE
scores. The pre-test median score is 26; 20 30 40 50
where as post-test median score is 43.
The plotted ogives shows that, the first
quartile score of the post-test is higher M=
than the third quartile score of the pre-
M=
43
POST
26
test and there is a large gap between all
40
©2014. Sinhgad College of Nursing, Pune. All rights reserved.
Sinhgad e Journal of Nursing, Vol. IV, Issue I, June 2014.

Interpretation and conclusion department. The nursing journal of


Finding of the study showed that the India Volume-XCV, No- 4; 75-6.
knowledge of staff nurses after pre-test 4. Tatro SD. Borgsdrt. L.R Lopez. J.R Pase
and before planned teaching programme MN. 2003; A-Z drug fact 4th ed.
was not satisfactory; the planned teaching Maryland.
programme helped them to learn about 
emergency drugs. The post-test knowledge 
scores showed significant increase in 
knowledge. Hence, planned teaching
programme is an effective strategy for From the desk of
providing information and improving the

Editorial Board Member


knowledge of respondents.
Recommendation
On the basis of finding of the study
the following recommendations has been
made for the study. Constitution Day in
1) The study can be repeated on a larger
sample with a control group.
India
celebrated every year on 26th of
2) A comparative study may be conducted to
November as the constitution of India was
find out the effectiveness between PTP
adopted by the Constituent Assembly on
and SIM regarding same topic.
26th of November in the year 1949 and
3) Based on the result of the study, In-service came into force on 26th of January in 1950.
Education programme on emergency Dr. Ambedkar is the Father of Constitution
drugs can be conducted in the each and of India. He was the chief architect of the
every ward or department of the hospital; Indian constitution.
frequently to update nurse’s knowledge
Mr. Hanauman Bishnoi,
about emergency drugs.
Lecturer,
4) An exploratory study may be conducted to
identify the knowledge and varies Sinhgad College of Nursing,
practices of staff nurses on emergency Pune.
drugs. 
5) A similar study can be conducted in other 
hospital settings. 
Bibliography 
1. Schelbred Anne-Berit & Nord R. 2007; 
Nurses' experiences of drug 
administration errors. Journal of 
Advanced Nursing. 60(3):317–324. 
2. Mrayyan MT, Shishani K, Al-Faouri I. 
2007; Rate, causes and reporting of 
medication errors in Jordan: nurses' 
perspectives. The Hashemite 
University, Zarqa, Jordan. Journal of 
Nursing Management; 15(6):659-70. 
3. Sr. Lucy Rodrigues, 2004. The nursing 
activities required to meet the needs of 
the patients visiting the emergency 

41
©2014. Sinhgad College of Nursing, Pune. All rights reserved.

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