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1. INSTITUTE OF NURSING SCIENCE SYNOPSIS PRESENTATION PRESENTED BY SMITA DATTA M.SC NURSING 2 ND SEMESTER STUDENT DEPT. OF MEDICAL SURGICAL NURSING GUIDED BY MRS. MANISHA DEB ASST. PROFESSOR OF INS DEPT. OF MEDICAL SURGICAL NURSING

2. TITLE “A STUDY TO ASSESS THE EFFECTIVENESS OF VIDEO ASSISTED TEACHING PROGRAM ON KNOWLEDGE REGARDING BASIC LIFE SUPPORT AMONG THE COLLEGE STUDENTS OF SELECTED COLLEGE, AGARTALA, TRIPURA .”

3. INTRODUCTION “Lives Lost In Race against Time” -Michael O’Shea Birth and death are the two phenomena that all of us have to accept. When a child is born we are happy because a new person is added to our company. Whereas when a person dies we are sad because he goes away from us and never return to us. This death occurs at anytime due to any cause. But some deaths can be prevented by our careful interference. For example death due to cardiac arrest can be prevented by giving cardio pulmonary resuscitation (CPR) in time.

4. CPR can consist of many different things, but the initial, vital part is Basic Life Support (BLS).Cardio means “of the heart” and pulmonary means “of the lungs”. Resuscitation is a medical word that means “to revive” or bring back to life. Sometimes cardio pulmonary resuscitation (CPR) can help a person who has stopped breathing, and whose heart may have stopped beating, to stay alive. Basic Life Support is a level of medical care which is used for victims of life threatening illness or injuries until they be given full medical care at a hospital. It can be provided by trained medical personnel, including emergency medical technicians, paramedics and by qualified bystanders.

5. The American Heart Association establishes the standards for CPR and is actively involved in teaching BCLS and ACLS to health professionals . As the 2010 AHA guidelines for cardiopulmonary Resuscitation has made a new development in the basic life support sequence of steps from “A – B – C “(Airways, Breathing, Chest compressions) to “C – A – B” (Chest compression, Airway, Breathing) for adults and pediatric patients. Early cardiopulmonary resuscitation within the first 3 – 5 minutes after collapse, plus early advanced care can result in high (greater than 50 percent

6. Need of the study: “ IMMEDIATE CPR CAN BE THE DIFFERENCE BETWEEN LIFE AND DEATH, DOUBLLING OR EVEN TRIPLING A PERSON’S CHANCE OF SURVIVAL.” -Steven Nissen Cardiopulmonary resuscitation (CPR) is an emergency lifesaving procedure performed on victims of cardiac arrest (the medical term for when a person's heart has stopped) or, in some circumstances, respiratory arrest. Cardiac arrest is characterized by an abrupt halt of cardiac mechanical activity or blood supply to important organs, which is proven by the absence of signs of circulation.

7. Around the world, cardiac arrest is the cause of 4 to 5 million deaths each year. With 17.3 million fatalities per year caused by cardiovascular disease, it is the leading cause of mortality worldwide . In the UK, more than 30,000 cardiac arrests take place outside of hospitals each year, despite efforts by the emergency medical services to revive the patient . As per WHO census statistics mortality due to cardiac arrest approximately 4280 out of every one lakh people die every year from Sudden Cardiac Arrest in India alone. Chances of survival, reduce by 7-10 percent with every passing minute.

8. About 85% people suffer out-of-hospital cardiac arrest in the India each year. Only 6% of people who experience cardiac arrest outside of a hospital survive each year's estimated 395,000 cases. However, according to data from the American Health Association, when patients receive CPR from a bystander, about 45% of out-of-hospital cardiac arrest victims survive . Various studies suggest that in out-of-home cardiac arrest, bystanders, lay persons or family members attempt CPR in between 14% and 45% of the time. However , the effectiveness of this CPR is variable, and the studies suggest only around half of bystander CPR is performed correctly.

9. Aims of the study: To assess the effectiveness of video assisted program on knowledge regarding Basic Life Support among the college students .

10. OBJECTIVES: To assess the existing level of knowledge regarding BASIC LIFE SUPPORT among college students. To evaluate the effectiveness of video assisted program on knowledge regarding Basic Life Support among college students. To evaluate the effectiveness of video assisted program on knowledge regarding Basic Life Support by comparing post test knowledge score between the experimental group and control group. To find the association between pre test knowledge score of BLS among college students with their selected demographic variables.

11. OPERATIONAL DEFINITIONS : Assess: In this study, it refers to the process of detecting the knowledge about BLS among college students. Effectiveness: In this study , it refers to the useful of video teaching program in improving knowledge regarding BLS among college students. Video Assisted Teaching Program: It refers to the video assisted education to teach about Basic Life Support among college students

12. Knowledge: It refers to the level of understanding of college students regarding BLS as expressed by their responses to the items of knowledge questionnaire Basic Life Support: In this study it refers to a level of medical care which is used for person with life threatening illness until full medical care not provide by advance life support providers. College students: It refers to both males and females studying in 1 st year various college in Tripura.

13. ASSUMPTION: 1. College students may have some knowledge regarding BLS. 2 . Video teaching programme may help in increasing the knowledge level of students.

14. HYPOTHESIS: H 1 : There will be significant difference between the mean post-test knowledge score and mean pre test knowledge score regarding BLS of among experimental group at 0.05 level of significance. H 01 : There will be no significant difference between mean post test knowledge score and mean pre-test knowledge score regarding BLS among control group at 0.05 level of significance.

15. H 2 : The mean post test knowledge score of experimental group is significantly higher than the mean post test knowledge score of control group regarding BLS at 0.05 level of significance. H 3 : There will be significant association between knowledge score of college students & their selected demographic variable at 0.05 level of significance.

16. DELIMITATION: 1. The study is delimited to college students studying in 1 st year. 2. The study is delimited to the students who are available during the period of the study.

17. CONCEPTUAL FRAMEWORK : Conceptual framework for this study was derived from system theory 1968. It serves as a model for viewing people as interacting with environment. System can be opened or closed. Open system have varying degree of interaction with environment from which the system receives. Input and output in the form of matter, energy or information. The feedback may be positive, negative or neutral. This study aims at determining the effectiveness of video assisted teaching programme regarding the Basic Life Support/ CPR. Present study is based on ‘system model’. The components of system are input, through put, output and feedback.

18. REVIEW OF LITERATURE The review of literature plays a key role in the research process. The review describes "A brief summary of previous research findings and writings of recognize experts provides evidence that the researcher is familiar with what is already known and with what is still unknown and interested”. In this study, the review of literature is presented by under the following headings: Literature related to knowledge and practice of BLS/ CPR. Literature related to the effectiveness of various teaching program on BLS/CPR.

19. 1. Akoijam B S et. al (2015): conducted a cross sectional study to determine the knowledge and skills about cardiopulmonary resuscitation among interns at RIMS and JNIMS, Imphal . 80 interns posted at the Community Medicine Department were included in the study. A self-administered questionnaire and assessment of skills were used for data collection. Data were analyzed using descriptive statistics such as frequencies and percentages. The findings shown that more than 50% knew when to start. Nearly three fourth of them didn’t know when they were suppose to stop CPR. Majority of them didn’t know the correct site for chest compression. None of the participants knew how to give rescue breaths. Hence, most of the interns were found to have inadequate knowledge and skills regarding CPR . Training programmes will be needed to maximize knowledge/skills so as to save more lives with this valuable maneuver.

20. 2 . Das J (2022): conducted a cross sectional study to assess the knowledge regarding Basic Life Support (BLS) among staff nurses in selected hospitals of Shahjahanpur (U.P.) and to develop information booklet regarding Basic Life Support (BLS). Purposive sampling technique was used for data collection and sample size was 60. Tools used for data collection were self structured knowledge questionnaire. Data was analyzed by using descriptive and inferential statistics and SPSS version- 20. The result of the study showed that 38% of the staff nurses having average knowledge and 62 % of the staff nurses were having good knowledge regarding Basic life support (BLS).

21. 3 . Biswas B. De S. (2012) : conducted a quasi experimental study to assess the effectiveness of planned teaching programme on Basic Life Support in terms of knowledge and skill among school teachers in selected schools at North 24 Parganas , West Bengal. Data were collected with valid and reliable structured knowledge questionnaire and modified observation checklist from 40 school teachers (Experimental group -20, control group- 20), selected by convenient sampling technique. The study result showed that mean difference between posttest knowledge score of experimental group and control group was significant. The study results also revealed that mean difference between posttest skill score of experimental group and control group was significant. The finding of the study revealed knowledge “t”38 =19.07,p,0.05 and skill “t”38=36,p<0.05 of school teachers.

22. 4 . Singh B P. D’Souza F (2018): conducted a evaluative study to assess effectiveness of planned teaching program on knowledge regarding Basic Life Support among PU college students. This study samples were selected 40 PU students of Ghokhale centenary college, Ankola . A structured knowledge questionnaire in English version is found to be appropriate instrument to elicit responses from the selected participants. Data were analyzed by using descriptive and inferential statistics. The assessment of pre-test knowledge students regarding Basic Life Support reveals that 2.5% of students had good knowledge, 77.5% had an average knowledge where as remaining 20% has poor knowledge. Whereas the assessment of post-test knowledge students regarding Basic Life Support reveals that 55% of students had good knowledge, 45% had an average knowledge where as no poor knowledge.

23. METHODOLIGY Research approach: Quantitative Research Approach will be use for this study . Research design: For this study research design will be non- randomize control group design under quasi experimental.

24. Research setting : Pilot study will be conducted at: 1. Ramthakur College (Experimental group) 2. BBMC College (Control group ) Main study will be conducted at: 1. Swami Vivekananda College (experimental group) 2. Woman’s College (Control group)

25. Variables: Independent variable: In the present study the independent variable is the video teaching program on BLS. Dependent variable: In the present study, the dependent variable is the knowledge of college students. Target population: College dents studying in various colleges, Tripura

26. Sample: College students saying in B.A 1 st year in selected colleges, Tripura Sample size: In this study the sample size will be 120 students. Sampling technique: In this study non probability purposive sampling method will be used to select the sample.

27. Inclusion criteria: College students who were Willing to participate in the study. Those students who are studying in BA 1 st year at selected colleges both male and female. Exclusion criteria: College students who were Those are not willing to participate in the study. Sick and absent at the time of data collection.

28. Selection and Development of Tools: The following tools will be developed and utilize for data collection. Section-1 Demographic Performa will be prepared on selected item such as age, gender, educational status, attending of CPR training programme , knowledge about CPR source of knowledge got from, and witnessing of CPR procedure. Section-2 Structure Knowledge Questionnaire will be prepared to find out the knowledge regarding BLS.

29. Validity of tool: The tool will be validated by consulting with various experts from related departments. Reliability of tools: The reliability will be tested by using Kari Pearson correlation co-efficient formula. Data collection method: For data collection method I will use structure knowledge question as tools and paper-pencil technique will be used for collection data.

30. Ethical consideration: 1. Ethical permission will be obtained from Institutional ethical committee. 2. Ethical permission will be obtained from the Principal of the Institution. 3. Formal permission will be taken from the Principals of respective colleges. 4. Departmental permission will be taken from Head of the department. 5. Informed consent will be taken from each participant before collecting the data.

31. Plan of data analysis: The data obtained will be plan to analyse based on the objectives and hypothesis of the study by using descriptive and inferential statistics. Demographic data will be analysed by using frequency and percentage. Knowledge score will be analyzed by wing frequency percentage, mean percentage and standard deviation. The pretest and post test score will be compared by applying paired T test to find effectiveness of educational intervention. Chi-square test will be used to find out the association between pretest knowledge score with the socio demographic variables.

32. BUDGET Budget in rupees(project period –one year)   PARTICULARS 1 YEAR AMOUNT (RS/-) Stationary approx 18000/- Printing approx 25000/- Convenient approx 20000/- Others 12000/- Total 75000/-

33. REFERENCES Sagan C. Comos . New York: Random House 1990. Ranimol P V.A pre-experimental study to assess the effectiveness of a competency teaching program regarding knowledge and practices of CPR. International Journal of Trend in Scientific Research and Development. 2021; 6.(1):104. Available from:www.ijtsrd.com e-ISSN:2456-6470. Basic life support. Online. 2011 [24 June 2011]; [4 pages]. Available from: https :// www.gogle.co.in/ur/sa=t& source= webfrct = j&url

34. Gupta L.C and Gupta A. Manual of First Aid. New Delhi: Jaypee Brothers; 2000 American Heart Association. Guidelines for CPR & Emergency Cardiovascular care circulation 2015; 112:1V1-203 Lewis’s. Medical Surgical Nursing: Resuscitation. 4 th South Asia Edition. Vol 1. ELSEVIER; 2011. P.105 . Ansari J. Kaur D. AText Book of Medical Surgical Nursing. Cardiopulmonary Resuscitation. Vol 1. Jalandhar City: Pee Vee ; 2016; p2034.

35. Kaur R. A Pre-Experimental Study to Assess the Effectiveness of Structured Teaching Programme on Knowledge Regarding Cardiopulmonary Resuscitation (CPR). International Journal of Trend in Scientific Research and Development (IJTSRD).2021; 5(6). Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470. Sharma P. George G. Assess the Effectiveness Of Planned Teaching Programme On Knowledge Regarding Basic Life Support of Nursing Student. International Journal in Management and Social Science( Impact Factor-5.276). 2016; 4(6). Available from: https:// www.academia.edu/38820054 .

36. Akoijam BS. Assessment of knowledge and skills of CPR among interns of Two medical colleges in North-East India. Journal of Dental and Medical Sciences.2017;16(01):26-30. Mishra A. knowledge, attitude and practice of basic life support among junior doctors and studentsin a tertiary care medical institute. International Journal of Research in Medical Sciences.2015;3(12):3644-3650 Sachdeva S. A study to assess knowledge and practice of basic life support among nurses working in tertiary care hospital, New Delhi, India. Nurse Care Open Acces J. 2020;7(2):48-52.