Effectiveness of Structured Teaching Programme on Knowledge Regarding Infection control Measures in Labour room among staff nurse.

 

Hiral Bagtharia¹, N. Baby Shobana¹, Mr. Jeenath Justin Doss. K²

¹Assistant Professor, Shri Anand Institute of Nursing, Rajkot, Gujarat

²Principal, Shri Anand Institute of Nursing, Rajkot, Gujarat

 

ABSTRACT:

Health care professionals are constantly exposed to microorganisms. Many of which can cause serious or even lethal infections. The research design adopted was pre-experimental one group pre-test post-test design. The conceptual framework for this study was based on Modified Ludwig Von Bertalanffys General System. The study has been conducted in selected hospital, Rajkot. Non-probability convenience sampling technique has been adopted to select the desired sample. The sample size was 40. As an intervention of 20 minutes of infection control was administered for group. The data was collected through structured knowledge questionnaire. The collected data were analyzed by using both descriptive and inferential statistical methods. ‘t’ test was used to evaluate the effectiveness of structured teaching programme on level of knowledge among the staff nurse. The obtained ‘t’ value was 30.4, which was significant at 0.001 level. The findings of the study revealed that structured teaching programmed helps in increasing the level of knowledge. Among all the demographic variables only Education was having significant association at 0.01 level.

 

 

INTRODUCTION:

Nurses in particular are often exposed to various infections during the course of carrying out their nursing activities. Most nosocomial infections are largely preventable by the combination of simple good hygienic practices and appropriate decontamination of instruments. Nosocomial infection such as endrometritis, pelvic infections, urinary tract infections, neonatal sepsis etc. are serious complications in normal vaginal delivery.

Women in labour rooms are exposed to invasive devices and procedures that can cause significant infection risk.

infection risk associated with care in labour rooms is probably quite high.

 

Although the period of contact is generally short, but the The study aimed to assess the level of knowledge of infection control among nurses in selected hospitals of Rajkot.¹

 

Health can be neither be demanded nor given, It can be neither be bought, nor sold; but the circumstances and services that are prerequisite to health can certainly be demanded and received as a right. A protective environment in the hospital unit is very essential as a prerequisite particularly, when considering the services provided in the labour room provision for a safe and protective environment is a priority need.²

 

NEED FOR THE STUDY:

WHO (2016), identified that about 830 women died due to complications of pregnancy and child birth. Almost all of these deaths occurred in low-resource settings, and most could have been prevented. The primary causes of death are haemorrhage, hypertension, infections, and indirect causes.³

 

Korniewicz M Denise, Maher El-Masri (2010), conducted a study Puerperal sepsis is the 2^nd leading cause for maternal mortality i.e. 19.2% of maternal death due to puerperal sepsis. Worldwide the puerperal sepsis rate is 15%. In our India the puerperal sepsis rate is 11%. In our India maternal mortality rate is 5.29 lakhs 1.36 lakhs due to puerperal sepsis. The main cause for this is PIH, hemorrhage, sepsis, anemia, abortion in this 50 to 71%  peoples were died in the post partum period.⁴

 

PROBLEM STATEMENT:

“A study to assess the effectiveness of structured teaching programme on knowledge regarding infection control measures in labour room among staff nurse in selected hospital, Rajkot.”

 

OBJECTIVES:

1.   To assess the pre test and post test level of knowledge regarding infection control measures among staff nurse in labour room.

2.   To evaluate the effectiveness of structured teaching programme on knowledge regarding infection control measures among staff nurses.

3.   To find out the association of selected demographic variables with post test level of knowledge regarding infection control measures among staff nurses.

 

 

 

 

Hypothesis:

H₁ There will be significant difference between pre test and post test knowledge level scores regarding infection control measures in labour room among staff nurses.             

H₂ There will be significant association between post test knowledge regarding infection control measures and selected demographic variables of the staff nurses.

 

MATERIALS AND METHODS:

Research Approach:

A Quantitative approach.

 

Research Design:

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

 

Variables:

Independent variables: Age, Education, Experience, Area of experience and inservice education.

Dependent variables: Level of knowledge of the staff nurses working in selected maternity hospital, Rajkot.

 

Sample:

A total of 40 samples

 

Sampling Techniques:

Non probability convenience sampling technique.

 

Tool:

It includes structured knowledge questionnaire to assess the effectiveness of structured teaching programme regarding infection control measures.

 

RESULTS AND DISCUSSION:

ASSESSMENT OF PRE TEST AND POST TEST LEVEL OF KNOWLEDGE AMONG STAFF NURSE N=40

Knowledge	Inadequate (1-8)		Moderately adequate (9-17)		Adequate (18-25)
	Frequency	Percentage	Frequency	Percentage	Frequency	Percentage
Pre-test	6	15	33	82.5	1	2.5
Post-test	0	0	9	22.5	31	77.5

 

EFFECTIVENESS OF STP ON COMPARISON OF PRE AND POST TEST SCORES OF KNOWLEDGE AMONG STAFF NURSE REGARDING INFECTION CONTROL. N=40

Variables	Mean	Mean Difference	S.D.	‘t’ Value
Pre-test	11.7	7.925	3.11489	30.4*** df= 39  P= 3.55 Significance
Post-test	19.62		2.42516

Significant at P<0.001

 

ASSOCIATION BETWEEN THE SELECTED DEMOGRAPHIC VARIABLES WITH THEIR MEAN DIFFERED SCORES OF KNOWLEDGE AMONG STAFF NURSE:.

The association of age with post test knowledge levels at df= 2, χ2= 1.030 and p=9.21, which is not significant at <0.01 levels. Associating of education with the post test knowledge levels at df=2, χ2= 11.517 and p=9.21, which is significant at <0.01 levels. Associating of experience with the post test knowledge level at df=2, χ2 = 1.152 and p=9.21, which is not significant at <0.01 levels. Associating of area of experience with the post test knowledge level at df=2, χ2 = 0.863 and p=9.21, which is not significant at <0.01 levels. Associating of in service education with post test knowledge level at df=1, χ2 =2.814 and p=6.63, which is not significant at <0.01 levels.

 

CONCLUSION:

The main conclusion from this present study is that most of the staff nurse who attend structured teaching programme on infection control intervention got benefited and it improved the knowledge of staff nurse.

 

REFERENCES:

1.        Wong and Perry. Maternal and child Nursing care library of congred. Cataloging in publication data; 2006.

2.        Maherbin Singh. Care of Newborn.6th edition. Sagar publication; 2004. P. 56-57.

3.         Health statistics and information systems. Maternal mortality ratio (per 100 000 live births) . World Health Organization; Retrieved June 17, 2016.

4.        Korniewicz M Denise, Maher El-Masri. Exploring the factors associated with hand hygiene compliance of nurse during routine clinical practice. Applied Nursing Research 23(2010); P. 86-90.

 

 

 

 

 

 

Received on 09.09.2017          Modified on 12.12.2017

Accepted on 21.01.2018       ©A&V Publications All right reserved