International Journal of Nursing Education and Research

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A Study to Assess the Effectiveness of Structured Teaching Programme Regarding Arterial Blood Gas Analysis and Interpretation in Terms of Knowledge among Nurses Working in ICU in Selected Hospitals of Indore (M.P.)


Affiliations
1 Medical Surgical Nursing, P.G. College of Nursing, Bhilai (C.G), India
2 P.G. College of Nursing, Bhilai (C.G), India
     

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In this study, to assess the effectiveness of structured teaching programme regarding arterial blood gas analysis and interpretation in terms of knowledge, 60 ICU staff nurses were selected with 30 each in experimental and control groups, using purposive sampling technique. Pretest was conducted using a self-structured questionnaire in both the groups. Computer assisted structured teaching programme was given only to experimental group. Seven days later post-test was conducted using the same self-structured questionnaire, in both groups. In control group, both pretest and posttest knowledge was good(43.3%). However, in experimental group, most of the ICU staff nurses had good knowledge (76.6%) in pre-test and after STP, in posttest, (86.6%) had excellent knowledge. Unpaired 't' was applied to compare the post-test knowledge of experimental group and control group. Knowledge of ICU staff nurses on ABG analysis and interpretation was statistically significant (p<0.05).There was a significant association found with selected socio demographic variables like age in experimental group. While, in control group there was no significant association found with selected socio demographic variables. This revealed that the structured teaching programme was quite helpful in enhancing the knowledge of ICU staff nurses regarding ABG analysis and interpretation. Arterial blood gas (ABG) measurements are one of the most frequently requested laboratory examinations in critically ill patients. ABG include measurements of pH, Pa CO2, PaO2, and oxyhemoglobin saturation. None of the individual parameters is helpful in assessing or monitoring tissue perfusion; however, these parameters in combination impact directly or indirectly on oxygen delivery and assessment of tissue perfusion. These measurements allow assessment of the nature, progression, and severity of metabolic and respiratory disturbances. Accurate assessment of the relationship between abnormal blood gas findings and a patient's overall clinical condition is a common challenge for critical care nurses. To meet this challenge, nurses must understand the mechanism underlying acid-base balance and the common cause of acid-base imbalance.
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  • A Study to Assess the Effectiveness of Structured Teaching Programme Regarding Arterial Blood Gas Analysis and Interpretation in Terms of Knowledge among Nurses Working in ICU in Selected Hospitals of Indore (M.P.)

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Authors

Reema Mathew
Medical Surgical Nursing, P.G. College of Nursing, Bhilai (C.G), India
G. Hemavati
Medical Surgical Nursing, P.G. College of Nursing, Bhilai (C.G), India
Sreemini Pillai
P.G. College of Nursing, Bhilai (C.G), India
Abhilekha Biswal
P.G. College of Nursing, Bhilai (C.G), India

Abstract


In this study, to assess the effectiveness of structured teaching programme regarding arterial blood gas analysis and interpretation in terms of knowledge, 60 ICU staff nurses were selected with 30 each in experimental and control groups, using purposive sampling technique. Pretest was conducted using a self-structured questionnaire in both the groups. Computer assisted structured teaching programme was given only to experimental group. Seven days later post-test was conducted using the same self-structured questionnaire, in both groups. In control group, both pretest and posttest knowledge was good(43.3%). However, in experimental group, most of the ICU staff nurses had good knowledge (76.6%) in pre-test and after STP, in posttest, (86.6%) had excellent knowledge. Unpaired 't' was applied to compare the post-test knowledge of experimental group and control group. Knowledge of ICU staff nurses on ABG analysis and interpretation was statistically significant (p<0.05).There was a significant association found with selected socio demographic variables like age in experimental group. While, in control group there was no significant association found with selected socio demographic variables. This revealed that the structured teaching programme was quite helpful in enhancing the knowledge of ICU staff nurses regarding ABG analysis and interpretation. Arterial blood gas (ABG) measurements are one of the most frequently requested laboratory examinations in critically ill patients. ABG include measurements of pH, Pa CO2, PaO2, and oxyhemoglobin saturation. None of the individual parameters is helpful in assessing or monitoring tissue perfusion; however, these parameters in combination impact directly or indirectly on oxygen delivery and assessment of tissue perfusion. These measurements allow assessment of the nature, progression, and severity of metabolic and respiratory disturbances. Accurate assessment of the relationship between abnormal blood gas findings and a patient's overall clinical condition is a common challenge for critical care nurses. To meet this challenge, nurses must understand the mechanism underlying acid-base balance and the common cause of acid-base imbalance.