A study to compare the effectiveness of video assisted ...



RAJIV GANDHI UNIVERSITY OF HEALT SCIENCES

KARNATAKA, BANGALORE.

PROFORMA FOR REGISTRATION OF SUBJECTS FOR

DISSERTATION.

MRS. ARUNA.V

I YEAR MSC NURSING

MEDICAL SURGICAL NURSING

(2008-2010 BATCH)

VARALAKSHMI COLLEGE OF NURSING

NO.19, KIADB ROAD, CHOKKASANDRA,

T.DASARAHALLI, BANGALORE-560057.

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES

KARNATAKA, BANGALORE.

PROFORMA FOR REGISTRSTION OF SUBJECTS FOR

DISSERTATION.

| | |ARUNA.V, |

| | |I YEAR M.Sc NURSING, |

| |NAME OF THE CANDIDATE AND ADDRESS |VARALAKSHMI COLLEGE OF NURSING, |

|1. | |NO.19, KIADB ROAD, CHOKKASANDRA, |

| | |T.DASARAHALLI, |

| | |BANGALORE 560057. |

| | |VARALAKSHMI COLLEGE OF NURSING, |

|2. |NAME OF THE INSTITUTION |NO.19, KIADB ROAD, CHOKKASANDRA, |

| | |T.DASARAHALLI, |

| | |BANGALORE 560057. |

|3. |COURSE OF THE STUDY AND SUBJECT |MASTER DEGREE IN NURSING MEDICAL SURGICAL NURSING |

|4. |DATE OF ADMISSION | 30-06-2008 |

| | |“THE EFECTIVENESS OF VIDEO ASSISTED TEACHING VERSUS LECTURE TEACHING REGARDING THE KNOWLEDGE OF |

|5. |TITLE OF THE TOPIC |CARDIO PULMONARY RESUSCITATION”. |

BRIEF RESUME OF THE INTENDED WORK

6. INTRODUCTION:

“Excellence is never an accident;

It’s always the result of high intention,

Sincere effort, intelligent direction and skillful execution”

- Willa.A.Foster.

About 30 % of deaths due to acute myocardial infarction occur with in the first hour of the onset and about two-thirds of deaths occur before the victim reaches the hospital (American Heart Association) 1. It was also stated that most of early deaths are due to ventricular fibrillation which is treatable.

Other causes of sudden death include drowning, suffocation, electrocution, drug overdose and accidental injuries. Many of these deaths can be prevented if the victims get prompt and proper help. Survival of cardiac arrest depends on a series of critical interventions and this sequence is sometimes described as chain of survival. If one of these critical interventions is delayed, the chance of survival would be reduced.

In determining the higher chance of survival of the victims, everybody including by standers, first responders, emergency service personnel, paramedics and doctors must be able to play their roles effective when dealing with emergency situations2. The initial goals in emergency first aid are to ensure safety or save life, to prevent an injury or illness from deteriorating or go into complications and promote speedier recovery.

Similarly, in trauma cases, apart from definitive and intensive care phase, a comprehensive care must also include pre-hospital as well as emergency and resuscitation phases. These phases must be linked from the injury incident to Pre-hospital care, Emergency Department Services, the Definitive Care and Rehabilitation and Reintegration phases (Abu Hassan Assari et al., 1997).

The personnel involved in the management of patients must be trained to ensure a trauma management is standardized and familiar to all Health Personnel.

People’s heart stops beating every day. For many people this cessation of pulse is premature their “hearts are too good to die”.

Cardio Pulmonary Resuscitation efforts can restore these hearts to spontaneous activity before the brain has been permanently damaged. As a nurse in many of the cardiac arrest situation he or she will act as a first responder and it all the more important to know how to resuscitate and be familiar with resuscitation equipment, drugs, and procedures3.

6.1 NEED FOR STUDY:

Cardiopulmonary resuscitation (CPR) has been used in hospitals for about 30 years. Early studies of Cardio Pulmonary Resuscitation in highly selected populations demonstrated its effectiveness and Cardio Pulmonary Resuscitation soon became routine for any patient who died in hospital. However, as experience accumulated it became apparent that many patients, particularly those with chronic diseases, did not benefit from Cardio Pulmonary Resuscitation4.

Hospitals responded by developing procedures for withholding Cardio Pulmonary Resuscitation through the documentation of "do-not-resuscitate" orders. Decisions to initiate or withhold Cardio Pulmonary Resuscitation were originally taken by doctors, but changing attitudes towards the doctor-patient relationship and the rise of medical consumerism have challenged this form of unilateral decision making5, 6. Indeed, respect for patient autonomy suggests that patients should have the right to contribute to such decisions.

No Australian studies reported to date have examined patient preferences regarding Cardio Pulmonary Resuscitation decision-making. International studies suggest that most patients do not consider discussions about Cardio Pulmonary Resuscitation preferences to be cruel or insensitive, and most wishes to participate in decisions regarding Cardio Pulmonary Resuscitation and other life-sustaining therapies. However, many patients are unable to participate during the final stages of life-threatening illnesses.

The use of advance directives has been proposed as a means by which competent patients may ensure that their wishes will be carried out. Advance directives are written or verbal statements in which patients set out their preferences regarding life-sustaining treatment in case they later become incompetent. Advance directives have received considerable attention in the United States, where they have widespread legal recognition, but have received less publicity in Australia6.

In the absence of advance directives, Cardio Pulmonary Resuscitation decisions are generally made by healthcare professionals in consultation with patients' families. The aim of this study was to compare the opinions of patients and healthcare professionals about several aspects of Cardio Pulmonary Resuscitation: who should be involved in making the decision, what issues are considered important, and how these decisions should be communicated.

The ability of health staff to identify life threatening situations and quickly response to it appropriately is very important in determining the survival of the victims. In dealing with these situations, certain measures such as Cardio Pulmonary Resuscitation have to take place immediately. It is important to remember that when indicated, a good Cardio Pulmonary Resuscitation is better that bad Cardio Pulmonary Resuscitation, but even bad Cardio Pulmonary Resuscitation is a thousand times better than no Cardio Pulmonary Resuscitation at all.

Cardio Pulmonary Resuscitation has been divided in to basic cardiac life support and advanced cardiac life support because most of the cardio pulmonary arrests occur outside the hospitals and the people who initiate the resuscitation measures in these

scenarios are not paramedical or medical personnel. Basic cardiac life support (BCLS), which is usually taught to general population who are the first responders who initiate the resuscitation, measures.

So the researcher felt that to know the ability of students to give first aid and Cardio Pulmonary Resuscitation, to assess the coverage of first aid and Cardio Pulmonary Resuscitation training among students in all occupational categories.

6.2 REVIEW OF RELATED LITERATURE:

Losert H et al conducted a observational study on quality of cardiopulmonary resuscitation among 95 highly trained staff nurses in an emergency department of the tertiary care hospital, Austria. The findings of this study was highly trained professionals in an emergency department can achieve appropriate chest compression rates during CPR with a low hands-off ratio. Increased attention must be paid in all situations to the avoidance of hyperventilation7.

Benjamin S. Abella et al conducted a study on quality of cardiopulmonary resuscitation during in hospital cardiac arrest. The main objective of this study is to measure multiple parameters of in-hospital CPR quality and to determine compliance with published American Heart Association and international guidelines. The sample consisted of 67 patients who were experienced in-hospital cardiac arrest at the University of Chicago Hospitals, Chicago. The result of this study indicates that the importance of high-quality CPR suggests the need for rescuer feedback and monitoring of CPR quality during resuscitation efforts8.

Lan H Kerridge et al conducted a study on decision making in CPR: attitudes of hospital patients and healthcare professional. The purpose of this study was to examine the opinions of patients and healthcare professionals regarding the process of making decisions about cardiopulmonary resuscitation. The samples consist of 511 health care professionals and 152 patients at the John Hunter Hospital, Newcastle, New South Wales. 80% of patients and 99% of healthcare professionals thought patients' views should be taken into account when making CPR decisions. More patients than healthcare professionals indicated that doctors should be the main decision makers. Most patients and healthcare professionals wanted their views in their medical records. Results indicated that the 80% patients, 99% of health care professionals want to be involved in CPR decision making and many want some form of advance directives9

B.E. Brenner, has conducted a study on Determinants of reluctance to perform CPR among 280 categorical emergency nurses and internal nurses and respective program applicants at a 655 bed Brooklyn, New York. A direct relationship was observed between training level and reluctance to perform mouth-to-mouth respiration. This study showed that 74% of experienced staff nurses, 95.5% junior-level nurses were willing to perform mouth-to-mouth respiration10.

Thoren Ann-Britt et al has conducted a study on Possibilities for, and obstacles to, CPR training among 401cardiac care patients and 311co-habitants. The aim of the study was to investigate the level of cardiopulmonary resuscitation (CPR) training among cardiac patients and their co-habitants. According to the answers given by the patients, 46% of the patients and 33% of the co-habitants had attended a CPR course at some time. Younger persons were more often willing to undergo training than older persons. Of those patients who had previously attended a course or who were willing to undergo training, 72% were prepared to do so together with their co-habitant. The main outcome was the two-thirds of the patients did not believe that their co-habitant had taken part in CPR training. More than half of these would like their co-habitant to attend such a course. Seventy-two percent were willing to participate in CPR instruction together with their co-habitant. Major obstacles to CPR training were doubts concerning the co-habitant's willingness or physical ability and their own medical status11

STATEMENT OF THE PROBLEM:

“A Study To Compare the Effectiveness Of Video Assisted Teaching Versus Lecture Teaching Regarding The Knowledge Of Cardio Pulmonary Resuscitation Among Pre University Degree Students In Selected P.U Colleges, Bangalore”.

6.3 OBJECTIVES OF THE STUDY:

6.3.1. To assess the knowledge regarding cardio pulmonary resuscitation among

both groups in pre test score.

6.3.2. To develop and give teaching regarding cardio pulmonary resuscitation for

both the groups.

6.3.3. To assess the knowledge regarding cardio pulmonary resuscitation among

both groups in post test score.

4. To compare the knowledge regarding cardio pulmonary resuscitation between video assisted teaching group and lecture teaching group in the posttest score.

5. To find out the association between knowledge regarding cardio pulmonary resuscitation in both groups with selected demographic variables.

6.4 HYPOTHESIS:

H1. There is a significant different between Video Assisted group and lecture teaching group knowledge.

H2. There is a significant difference between knowledge such as demographic variables.

6.5 Operational definition:

Knowledge: -

It refers to information regarding cardio pulmonary resuscitation, which is assessed by response to the questionnaire, and it is measured in terms of knowledge score.

Compare: -

It refers to examine the similarities and difference between two groups.

Effectiveness: -

It refers to the successfulness in producing a derived or intended result. In this study refers to improvement knowledge regarding cardio pulmonary resuscitation. It is measured by the questionnaire in terms of gain in knowledge score.

Video assisted teaching: -

It refers to the instructional programme should be so organized and administer that the video assisted method as an integral part of the educational programme.

Lecture teaching: -

The lecture is a teaching procedure consisting of clarification or the explanation of facts, principles or relationships, which the teacher wishes

the class to understand.

Cardio pulmonary resuscitation: -

Cardiopulmonary resuscitation (CPR) is a procedure used when a patient's heart stops beating and breathing stops. It can involve compressions of the chest or electrical shocks along with rescue breathing.

6.6 ASSUMPTION:

❖ The students may have inadequate knowledge about Cardio Pulmonary Resuscitation.

❖ Knowledge of students regarding Cardio Pulmonary Resuscitation may vary with demographic variables.

6.7 DELIMITATION:

❖ This study is limited to the students who are studying in the Pre University Colleges.

❖ This study is limited to the students those who are understand and speak in English.

7. MATERIALS AND METHODS:

7.1 SOURCE OF DATE:

Data will be collected from selected Pre University Degree Students, Bangalore, South Karnataka.

7.2 METHODS OF DATA COLLECTION:

Structured Knowledge Questionnaire.

7.2.1 RESEARCH DESIGN:

Quasi experimental research design

7.2.2 RESEARCH APPROACH:

An evaluative research approach

7.2.3 SETTINGS OF THE STUDY:

Study will be selected in Pre University Colleges, Bangalore.

7.2.4 POPPULATION:

The population of present study comprises of all the students studying in Pre University Colleges, Bangalore.

7.2.5 SAMPLE SIZE:

The sample size will be 50 Video assisted group and 50 Lecture teaching group from selected pre University Colleges, Bangalore.

7.2.6 SAMPLING TECHNIQUE:

Non-probability purposive sampling technique

7.2.7 SAMPLING CRITERIA:

Inclusion criteria:

Students:

1. Who are studying Pre University College.

2. Who are willing to participate.

3. Who are speak and understand in English.

Exclusion criteria:

Students:

1. Who are not willing to participate.

7.2.8 DATA COLLECTION TOOL:

It consists of Part I and Part II.

Part I: Demographic variables such as age, gender, qualification, source of

Information, religion, management or government seat,

Part II: Knowledge regarding Cardio Pulmonary Resuscitation.

7.2.9 DATA ANALYSIS METHOD:

The data collected from students will be grouped analyzed by statistical measures in terms of objective. The plan of data analysis is as follows.

1. Descriptive statistics:

• Frequency, Mean, Mean percentage and deviation of descriptive

demographic variables.

2. Inferential statistics:

• Paired‘t’ test to compare pre and post test knowledge scores.

• Non parametric Chi-square x2 test will be used to find out the relationship between demographic variables and knowledge scores.

7.3 Does the study require any investigation or intervention to be conducted on

Patients or other human beings or animals?

-YES -

7.4 Has ethical clearance been obtained from institution?

The Permission will be obtained from

- The research committee of Varalakshmi College of nursing

- Authorities of selected Pre University Degree Colleges, Bangalore.

8. LIST OF REFERENCES:

1. Roshan Ramly, Fadhli Yusoff, Zainal A Omar, Survey on First Aid and Cardio pulmonary Resuscitation Among Health personnel. American Heart Association, Heart Saver Manual. 2005; volume 4: 187-191.

2. Timmenans S, cardiopulmonary Resuscitation how for have come? Dimensions of critical care nursing Journal. 2007, Feb; volume 26(1); 1-6.

3. Krupesh. N, Advanced Cardiac Life Support, Prisms Nursing Practice. 2006 Vol 1 (3) 98-103.

4. Vrtis M, cost/ benefit analysis of CPR- part 1. Journal of nursing management. 1992; 25(4): 50-54.

5. Dingwall R, shuttlewoth A, cardio pulmonary resuscitation: is it cruel or is it kind?. Nursing Times.2002; 98(25): 36-39.

6. Tucker K, Saith M, CPR historical perspective, physiology and future directions. Archives International Medicine.1994; Volume 154: 2141-2156.

7. Sauve M, Long-term physical functioning and psychosocial adjustment in survivors of sudden cardiac arrest. Heart Lung. 1995; Volume 24(2): 133-144.

8. Losert H, Quality of cardiopulmonary resuscitation among highly trained staff in an emergency department. Archives International Medicine. 2006 Nov 27; 166(21): 2375-80.

9. Lan H Kerridge, Sallie-Anne Pearson, Isobel E Rolfe and Michael Lowe, Decision making in CPR: attitudes of hospital patients and healthcare professional. The Medical Journal of Australia. 1998; 169: 128-131.

10. Benjamin S. Abella, he, Quality of cardiopulmonary resuscitation during in hospital cardiac arrest. The journal of American medical association. 2005 Jan 19; Vol.3: 293-98.

11. B.E. Brenner, Determinants of reluctance to perform CPR among nurses and applicants. February 2006; available from

12. Thoren Ann-Britt , Axelsson Asa B, Herlitz Johan , Possibilities for, and obstacles to, CPR training among cardiac care patients and their co-habitants. Division of Cardiology. 2005; Volume 65. 337-343

9. SIGNATURE OF THE CANDIDATE :

10. REMARKS OF THE GUIDE : The topic selected by the research is

appropriate to improve the knowledge

of Pre University Course students

regarding Cardio Pulmonary

Resuscitation.

11. NAME & DESIGNATION OF :

11.1 GUIDE : Mrs. Santhi Appavu.

Professor.

Varalakshmi College of Nursing,

T.Dasarahalli,Bangalore –57.

11.2. SIGNATURE OF THE GUIDE :

11.3. HEAD OF THE DEPARTMENT : Mrs. Santhi Appavu.

Professor.

Varalakshmi College of Nursing,

T.Dasarahalli,Bangalore –57.

11.4. SIGNATURE :

12. REMARKS OF THE PRINCIPAL : The investigator is selected relevant

topic to empower the Pre University

Course students regarding CPR

12.1. SIGNATURE :

14. SIGNATURE OF THE PRINCIPAL :

................
................

In order to avoid copyright disputes, this page is only a partial summary.

Google Online Preview   Download