Title page

Title of the article: “A study to assess the effectiveness of structured teaching programme on

knowledge regarding intra hospital transport protocol for critically ill adult patients among

staff nurses in HSK hospital and research centre Bagalkot”.

Information regarding Authors:

Mr.Gururaj M Sajjan*, Dr.Sridhar G Pujari**, Dr.Deelip S Natekar***

* M.Sc. Nursing final Year, Shri B.V.V.S Sajjalashree Institute of Nursing Sciences,

Bagalkot, Karnataka. Email: ggururaj091@gmail.com , Mob No: 9591399864.

** Corresponding Author; Associate professor,Department of Medical Surgical Nursing,

Shri B.V.V.S Sajjalashree Institute of Nursing Sciences Navanagar Bagalkot Karnataka.

Email: shridhar291181@gmail.com, Mobile-9538363774

***Principal, (Ph.D. in Nursing), Shri B.V.V.S Sajjalashree Institute of Nursing

Sciences, Bagalkot, Karnataka. Email: deelipsn@gmail.com, Mob No: 9844802937.

Type of Article:Research article.

Conflict of interest:None

Word count

Total page: 09

Abstract: 432

Main Content: 1435

Total: 2000

Total number of tables: 03

structured teaching programme on intra hospital transport protocol for critically ill adult

patients among staff nurses in HSK hospital and research Centre at Bagalkot. (2) To find out

the effectiveness of structure teaching programme on knowledge regarding intra hospital

transport protocol for critically ill adult patients among staff nurses. (3) To find out the

association between posttest knowledge scores of intra hospital transport protocol for

critically ill adult patients among staff nurses with their selected socio demographic variables.

Materials and Methods: Study approach- This was an evaluative study and follow the

examination plan as pre-exploratory, for example one gathering pre-test and post-test without

control group. The population associated with this investigation was staff medical caretakers

working at HSK Hospital and Research Center at Bagalkot. Tests are staff nurses working at

HSK Hospital and Research center at Bagalkot. Test size is 50 (Total) staff nurses were

remembered for the investigation. Further information were gathered by organized shut

finished information poll.

Results: The overall finding reveals that the post-test mean knowledge score was 26.94 with

SD±1.76 which is 84.18% of total score was more when compared to the pre-test mean

knowledge score 15.8 with SD ±3.07 which is 49.37% of total score. The overall

effectiveness of STP on intra hospital transport protocol for critically ill adult patients, mean

score was 11.14 with SD ±1.31 which is 34.81% of total score Hence it indicates that the STP

was effective in enhancing the knowledge of the staff nurses regarding intra hospital transport

protocol for critically ill adult patients.As the calculated value was much higher than table

value (1.96) hence the hypothesis H1 stated is accepted. Findings reveal that the difference

between mean pre-test (15.8 ±3.07) and post-test (26.94 ±1.76) knowledge scores of staff

nurses found to be statistically significant at 0.05 level of significance [t= 35.01, p<0.05].

There is no significant association was found between post-test knowledge scores of staff

nurses with working area (X2=67.4, P<0.05), where as there is no association was found
between post test knowledge scores of intra hospital transport protocol for critically ill adult

patients among the staff nurses and their socio demographic variable like age, gender,

religion, education, monthly income, and year of work experience of intra hospital transport

protocol for critically ill adult patients.

Conclusion: A significant difference was found between the pre-test and post-test

knowledge scores of the staff nurses. The study proved that STP was effective in improving

the knowledge of staff nurses onintra hospital transport protocol for critically ill adult

patients.

Key words: Effectiveness, Structured teaching program, Knowledge, Intra hospital

transport protocol, Socio-demographic variables, Staffnurses.

INTRODUCTION:

Intra hospital transport is called the transfer of patients in the hospital for diagnostic

or therapeutic purposes or their transfer to specialized units of the hospital. This usually

involves moving the patient from an area of the hospital such as the intensive care unit (ICU),

the emergency department (ED), the operating theatre department to areas that patients may

not receive the same intensive care. The reduction or change of care and the movement itself

can become, for the critically ill patients, the cause for serious complications and put their

health at risk1.

It is known that any transport of critically patients puts them at increased risk of

significant morbidity and mortality. Adverse events have been cited at anywhere from 30-

70%, and the physiologic changes can be life threatening particularly in ventilator-dependent

patients2.

Successful intra hospital transportation directly depends on the planning and work

organization of the multidisciplinary team, as well as the use of appropriate equipment (6-7).

In this context, an important aspect in the transportation of patients is the prior

receiving the patient so that the safety and continuity of health care is reinforced5.

NEED FOR STUDY: Intra hospital transports are performed daily in hospitals they pose

various risks to patients, which could lead to life threatening complications. Nursing care,

significantly, contribute to achieve the above, although the role of the nurse has never been

studied, separately. The aim of this study was to analyse the risk factors for complications

that usually occur during intra hospital transports and describe the role of nursing in intra

hospital transport policies2.

Aims:

The aims of the study are as follows:

1. To assess the knowledge regarding structured teaching programme on intra hospital

transport protocol for critically ill adult patients among staff nurses in HSK hospital and

research Centre at Bagalkot.

2. To find out the effectiveness of structure teaching programme on knowledge regarding

intra hospital transport protocol for critically ill adult patients among staff nurses.

3. To find out the association between posttest knowledge scores of intra hospital transport

protocol for critically ill adult patients among staff nurses with their selected socio

demographic variables.

Materials and Methods:

The present study was conducted on a evaluative research approach and pre-

experimental one group pre-test without control group design. The target population is the

staff nurses working at various hospitals of Bagalkot. Accessible population is staff nurses

working at HSK hospital and research centre Bagalkot was selected by a convenient sampling

technique and 50 staff nurses were selected. The data were collected by structured closed

ended knowledge questionnaire. Data analysis and interpretation were performed using
descriptive such as frequency distribution. Mean, median, percentage, and inferential

statistics such as Chi-square.

RESULTS:

Part I: Description of socio-demographic characteristics of sample.

Percentage wise distribution of staff nurses according to their age in years shows that

majority (44%) of the staff nurses were in age group of 22-28 years old, 30 percent of them

were in the age group of 29-35 years old, and 14 percent of staff nurses aged between 41-50

years. Least of staff nurses were in the age group of 51-60 years old 12 percent.

Percentage wise distribution of staff nurses according to their gender reveals that

majority of (64%) of staff nurses were males and 36 percent of staff nurses are females.

Percentage wise distribution of staff nurses according to their religion shows that the

majorities (52%) of staff nurses were Hindu, 26 percent of staff nurses were Muslim, &18

percent of staff nurses are Christian and 4 percent of staff nurses were other religion.

Percentage wise distribution of staff nurses according to their educational status

shows that majority (54%) of the staff nurses had completed GNM, 22 percent of the staff

nurses had completed Basic B.Sc. Nursing, 20 percent of the staff nurses had completed

PB.BSc nursing and there only 4 percent staff nurses had completed M.Sc. Nursing.

Percentage wise distribution of staff nurses according to their monthly income shows

that the majority (56%) of staff nurses monthly income was between 10000-15000,8 percent

of staff nurses monthly income was between 5000-10000, 28 percent 0f staff nurses monthly

income was between 15000-20000, and only 8 percent of staff nurses monthly income was

between 20000 and above.

Percentage wise distribution of staff nurses according to their working area shows that

the majority (34%) of staff nurses were working in ICU, 32 percent of staff nurses were
working Emergency ward, 22 percent of staff nurses were working in casualty, less

percentage (12%) of staff nurses were working in Operation Theater.

Percentage wise distribution of staff nurses according to their years of work

experience deficit that, the majority (46%) of staff nurses had below 5 years of work

experience, 42% of staff nurses had 6 to 10 years of work experience, 12 percent of staff

nurses had 11 to 15 years of working experience.

Percentage wise distribution of staff nurses according to their attended in any

educational program related to intra hospital transport protocol for critically ill adult patients

shows that the majority of staff nurses (100%) had not attended the educational program

related to intra hospital transport protocol for critically ill adult patients.

Percentage wise distribution of staff nurses according to their immunization against

any infectious diseases shows that, the majority of staff nurses (100%) have been immunized

against infectious diseases.

Part II: Assessment of the pre-test knowledge of staff nurses regarding intra hospital
transport protocol.
Assessment of the level of knowledge of the staff nurses and findings reveals that, majority

(76%) of the staff nurses had average knowledge, 08 percent of them had good knowledge,

and 16 percent of them had poor knowledge. There were no staff nurses who had very poor

knowledge and very good knowledge regarding intra hospital transport protocol for critically

ill adult patients.

Part III: Evaluation of the effectiveness of the STP on knowledge regarding intra

hospital transport protocol for critically ill adult patients.

After STP (post-test) majority (66%) of the staff nurses had very good knowledge, 34 percent

of them had good knowledge.

intra hospital transport of critically ill adult patients and selected socio-demographic

variables.

Findings reveal that there is no significant association was found between post-test knowledge

scores of staff nurses with working area ( X2=67.4,P<0.05), where as there is no association

was found between post test knowledge scores of intra hospital transport protocol for

critically ill adult patients among the staff nurses and their socio demographic variable like

age, gender, religion, education, monthly income, and year of work experience of intra

hospital transport protocol for critically ill adult patients. Thus H2 stated is accepted only in

working area, where it is rejected for other variables.

Table 1:Level of pre-test knowledge of the staff nurses regarding Intra hospital
transport protocol for critically ill adult patients. N=50

Level of Range of Number of Percentage

knowledge scores respondents (%)

Very poor 00-05 00 00%

Poor 06-12 08 16%

Average 13-19 38 76%

Good 20-26 04 08%

Very good 27-32 00 00%

Total 50 100%
Table 2: Comparison of level of knowledge of staff nurses in pre-test and post-test.

N=50

Pre-test Post-test

No. of No. of
Level of
Percentage Percentage
respondens respondens
knowledge
Very poor 00 00% 00 00%
Poor 08 16% 00 00%
Average 38 76% 00 00%
Good 04 08% 17 34%
Very good 00 00% 33 66%
Total 50 100% 50 100%

Table 3: Association between the post-test knowledge scores of the staff nurses

regarding intra hospital transport protocol for critically ill adult patientsand

selected socio - demographic variables.

N=50
Sl. Chi-square value/ Fisher value
Socio-demographic variables Df
No

1. Age 1 0.4992
Gender
2. 1 0.0056
Religion
3. 1 2.6528
Education
4. 1 0.2412

5. Monthly income 1 3.2085

*= <0.05(significant)

CONCLUSION:
A significant difference was found between the pre-test and post-test knowledge scores of

the staff nurses. The study proved that STP was effective in improving the knowledge of

staff nurses onintra hospital transport protocol for critically ill adult patients.

RECOMMENDATIONS:

Based on the findings, the following recommendations are proposed for future research.

 A similar study can be replicated on large scale for the purpose ofgeneralization.

 A similar study can be conducted in national level to bring new programs to uplift the

staffnurses.

 An experimental study can be conducted on the effectiveness of teaching programme

on knowledge regarding intra hospital transport protocol for critically ill adult patients

among the staff nurses who are working in hospital.

REFERANCES:

1. Despoina G. Alamanou, MonisPetrakiStr, Athens, Greece,intra hospital transport

policies: the contribution of the nurse, health science journal,( 2014) vol(8)

issue1:p166-178,Tel: 00306937509784, e-mail:despina alamanou@hotmail.com

2. Indian J Anaesth ,Indian journal of anaesthesia,Inter-hospital and intra-hospital

patient transfer; Recent concepts, 2016 Jul; vol(60) issue7,pg451–457.

3. Actapaul. enferm. Intra hospital transport of critically ill adult patients:complications

related to staff equipments and physiological factors, Actapaulista de

deenfermagem ,2012 vol(25) issue3.