“A study to assess the effectiveness of crash course on knowledge and skill regarding Electrocardiogram monitoring among nursing students studying at selected nursing college of Jagdalpur, Chhattisgarh”
ADESHWAR NURSING INSTITUTE JAGDALPUR, BASTAR, CHHATTISGARH ADVISOR & GUIDE: Dr. JIBI GEORGE Principal cum professor Pd.D. (N) Medical Surgical Nursing Adeshwar Nursing Institute Jagdalpur CO-GUIDE: Mrs. LITTIN SUNNY Associate Professor cum HOD M.Sc. Nursing in Medical Surgical Nursing Adeshwar Nursing Institute Jagdalpur RESEARCHER: M s. Bhumika Joshi Medical Surgical Nursing M.Sc. Nursing 1st Year Student Adeshwar Nursing Institute Jagdalpur
BACKGROUND OF STUDY Since Introducing the first Electrocardiography (ECG) Machine to india in 1967 ,BPL has provided innovative cardilology over the years resulting in more effective health care delivery .Electrocardiography (ECG) is the graphical display of electrical potential differences of an electric field originating in the heart. Interpretation of ECG is a core clinical skill in the department of emergency medicine. Electrocardiography, which is widely popular as ECG, is a medical process of recording the heart’s electrical activity, over a span of time with the help of electrodes positioned on the skin, and assessing the muscular and electrical functions of the heart. And, nurses play a crucial role in helping ECG done appropriately. Qualified nurses assess the patient by noting his pulse rate, breathing difficulties if any, the chest pain if any, and many other factors and determine whether the heart rhythm is stable or unstable.
Nurses determine heart rate, note heart rhythm, and figure out whether client has heart blocks or not. They play a vital role in identifying the lethal heart rhythms by studying ECG. Besides this, nurses listen to client’s complaints and discomfort, learn what medications client is taking, and co-relate all these factors with ECG. The researcher during her work experience observed that many nursing students especially the under graduates have minimal knowledge and skill about ECG monitoring. Therefore, in the light of the above facts & experience of the researcher, she felt that if we strengthen the knowledge and skill base of nursing student nurses regarding knowledge and skill on ECG monitoring during student life, we can create more efficient nurses for the society. This prompted the researcher to take the study.
NEED FOR THE STUDY The present study aimed to investigate nursing students watch for the readings for every component of heart rhythm and interpret which areas of the heart are normal and which areas suffer damage. They use a systematic approach to determine whether heart’s rhythm is regular or irregular and fast or slow. Electrocardiogram (ECG) is a diagnostic tool that is routinely used non-invasively to assess the electrical and muscular functions of the heart. All nursing students should be able to recognize basic ECG rhythms. Electrocardiography is the most commonly used diagnostic testing cardiology. If properly interpreted, it contributes significantly to the diagnosis and management of patients with cardiac disorders. Importantly, it is essential to the diagnosis of cardiac arrhythmias and the acute myocardial ischemic syndromes. Basic knowledge and skill of the ECG monitoring is usually the most difficult to assimilate, as it implies learning the basis of interpretation.
OBJECTIVES To assess the pre-test and post-test level of knowledge and skill regarding Electrocardiogram monitoring among nursing students. To assess the effectiveness of crash course on knowledge and skill regarding Electrocardiogram monitoring among nursing students. To find out the association between pre-test levels of knowledge and skill regarding Electrocardiogram monitoring among nursing students with their selected socio demographic variables.
HYPOTHESIS H 1 : There will be significant difference between before and after administration of crash course on knowledge and skill regarding Electrocardiogram monitoring among nursing students by <0.05 level. H 2 : There will be significant association between pre-test levels of knowledge and skill regarding Electrocardiogram monitoring among nursing students with their socio demographic variables as measured by <0.05 level.
OPERATIONAL DEFINITION ASSESS: In this study it refers to evaluation of desired or intended outcome of the study or measurement of knowledge and skill regarding Electrocardiogram monitoring among nursing students. EFFECTIVENESS: In this study it refers to a significant increase in the level of knowledge and skill regarding Electrocardiogram monitoring among nursing students, which is measured by before and after administration of crash course. CRASH COURSE: In this study it refers to a short period of instruction in which much is learned about on knowledge and skill regarding Electrocardiogram monitoring among nursing students. ECG MONITORING: In this study it refers to the Electrocardiogram monitoring is the process of recording the electrical signals in the heart. An ambulatory Electrocardiogram monitor is a portable continuous electrocardiograph recorder that typically monitors two channels for 24 hours.
KNOWLEDGE: In this study it refers to a form of awareness or familiarity. It is often understood as knowledge and skill regarding Electrocardiogram monitoring among nursing students. SKILL: In this study it refers to the ability to do Electrocardiogram monitoring, recording and reporting the electrical signals in the heart rate and rhythm. NURSING STUDENTS: In this study it refers to the individuals enrolled in a school of nursing or a formal educational program leading to a degree in nursing. In this study nursing students was studying in selected nursing college of Jagdalpur , Chhattisgarh was selecting.
LIMITATIONS The nursing students are studying at selected nursing college of Jagdalpur, Chhattisgarh. Nursing students who are willing to participate in this study. Nursing students present during data collection.
CONCEPTUALFRAMEWORK Framework Based on General System Theory by Ludwig Von Bertalanffy INPUT: In present study, input refers to the selected socio demographic variables like Age, Gender, Education, Religion, Residence Area, Family Occupation, Family Monthly Income, Type of Family, Duration of Clinical Posting, Duration of Clinical Experience, Previous Knowledge and Sources of Previous Knowledge. THROUGHPUT: The process includes the effectiveness of crash course on knowledge and skill regarding ECG monitoring among nursing students also prepare the tool for the data collection. After that assess the pre-test level of knowledge and skill regarding ECG monitoring among nursing students. Then crash course regarding ECG monitoring was administered. Later on post–test will be conducted to analyse the results of effectiveness of crash course regarding ECG monitoring.
OUTPUT: In this study output refers to increase the level of knowledge and skill regarding ECG monitoring among nursing students according to criteria. FEEDBACK: Feedback refers to information, environment response used by the system which may be positive or natural. In this study feedback is not included.
REVIEW OF LITERATURE Section-I: Review of literature related to ECG monitoring on knowledge and skill among nursing students. Section-II: Review of literature related to effectiveness of crash course regarding ECG monitoring on knowledge and skill among nursing students.
METHODOLOGY
RESEARCH APPROACH: In this study quantitative research approach was used for assess the effectiveness of crash course on knowledge and skill regarding ECG monitoring among nursing students. RESEARCH DESIGN: In this study pre- experimental one group pre test and posttest research design was used. O 1 : It is the pre-test level of knowledge and skill regarding ECG monitoring among nursing students before administrating crash course. X: It is administration of crash course regarding ECG monitoring. O 2 : It is the post-test level of knowledge and skill regarding ECG monitoring among nursing students after administrating crash course. Sample Pre- Test Treatment Post –Test Nursing students O 1 Day 1 st X (Crash course on knowledge and skill regarding ECG monitoring) O 2 Day 7 th
POPULATION: In this study population was nursing students. TARGET POPULATION: In this study target population was nursing students from Jagdalpur , Chhattisgarh. ACCESSIBLE POPULATION: In this study accessible population was nursing students from selected nursing college of Jagdalpur , Chhattisgarh. SAMPLE: In this study sample was nursing students. SAMPLING TECHNIQUE: Non probability purposive sampling technique was used for selecting nursing students in this study. SAMPLE SIZE: In this study 60 nursing students was sample size. SETTING OF THE STUDY: In the present study was conducted at selected nursing college of Jagdalpur , Chhattisgarh.
SAMPLING CRITERIA INCLUSION CRITERIA: A subject who are only nursing students. A nursing students who are studying in selected nursing college of Jagdalpur , Chhattisgarh. A nursing student who can read and understand English or Hindi. A nursing student who are present during time of data collection. A nursing student who are willing to participate in the study. EXCLUSION CRITERIA A nursing student who are not willing to participate in this study. A nursing student who are not present during the time of data collection. A nursing student who is not studying in selected nursing college of Jagdalpur , Chhattisgarh.
VARIABLES DEPENDENT VARIABLES : In this study the dependent variable was knowledge and skill regarding ECG monitoring. INDEPENDENT VARIABLES : In this study crash course was independent variables. SOCIO DEMOGRAPHIC VARIABLES: In this study socio demographic variable was Age, Gender, Education, Religion, Residence Area, Family Occupation, Family Monthly Income, Type of Family, Duration of Clinical Posting, Duration of Clinical Experience, Previous Knowledge and Sources of Previous Knowledge etc.
DESCRIPTION OF THE TOOL SECTION-I: The first section of the tool comprises of 13 items on socio demographic profile i.e -, Age, Gender, Education, Religion, Residence Area, Family Occupation, Family Monthly Income, Type of Family, Duration of Clinical Posting, Duration of Clinical Experience, Previous Knowledge and Sources of Previous Knowledge etc. SECTION-II: Assessment of knowledge and skill regarding ECG monitoring among nursing students. 30 self-structured knowledge questionnaire regarding ECG monitoring was prepared for study.
CRIETRION MEASURES Sl. No. Level of knowledge Score Percentage a Average knowledge 0-10 0-33.33 b Good knowledge 11-20 36.66-66.66 c Excellent knowledge 21-30 70-100 Total 30 100
PLAN FOR DATA ANALYSIS SECTION-I: Distribution of subjects according to socio demographic variables by using frequency & percentage. SECTION-II: Objective-1: To assess the pre test and post test level of knowledge and skill regarding ECG monitoring among nursing students. SECTION-II: (A): Analysis of pre test and post test knowledge and skill regarding ECG monitoring among nursing students as per criterion measures by using frequency and percentage. SECTION-II (B): Analysis of pre test and post test knowledge and skill regarding ECG monitoring among nursing students as per criterion measures by using Mean, Mean% and Standard Deviation.
SECTION-III: Objective-2: To asses effectiveness of crash course regarding ECG monitoring on knowledge and skill among nursing students. SECTION-III (A): t-test assess of the effectiveness of crash course regarding ECG monitoring on knowledge and skill among nursing students. SECTION-IV: Objective-3: To find out the association between pre test level of knowledge and skill regarding ECG monitoring among nursing students with their socio demographic variables. SECTION-IV (A): Chi square analysis to find out the association between pre- test levels of knowledge and skill regarding ECG monitoring among nursing students with their selected socio demographic variables.