Original Research Article
Year: 2021 | Month: July-September | Volume: 6 | Issue: 3 | Pages: 452-459
DOI: https://doi.org/10.52403/ijshr.20210773
Effectiveness of Teaching Program on Knowledge of Clinical Nurses Regarding Risk of Unplanned Extubation of Patients with Mechanical Ventilation at a Selected Hospital, Bangalore
Gulafshan1, Umadevi A K2
1Lecturer Dept of Medical Surgical Nursing, Ambedkar Institute of Nursing, Rajiv Gandhi University of Health Sciences, Karnataka.
2Prof and HOD Dept of Medical Surgical Nursing, Kempegowda College of Nursing, Rajiv Gandhi University of Health Sciences, Karnataka.
Corresponding Author: Umadevi A K
ABSTRACT
Background: Mechanical ventilation (MV) is one of the therapeutic pillars of intensive care medicine. Technique and practice in emergency airway management varies between ICUs and in different countries and as a result, complication rates may also differ. Unplanned extubation is a frequent event after endotracheal intubation for respiratory support in critically ill patients and is associated with increased morbidity and mortality. The incidence of unplanned extubation among intubated patients is reported to vary from 0.3% to 1.4%. Unplanned extubation account for approximately 10% of reintubations. An Unplanned Extubation is also associated with prolonged duration of mechanical ventilation, ICU stay and hospital stay.
Objective: to assess the knowledge of clinical nurses regarding risk of unplanned extubation of patients with mechanical ventilation at Kempegowda institute of medical science and research Hospital, Bangalore, Karnataka.
Materials and Methods: Quantitative research approach and a pre-experimental one group pre-test post-test research design were used to accomplish the stated objectives. The investigator selected a sample of 50 nurses who were working in KIMS hospital. The data were collected by using a self administered structured knowledge questionnaire. Planned teaching was given with appropriate A-V aid followed by pretest.
Result: Inferential and descriptive statistical analysis was performed by using SPSS-IBM 20. Results were calculated by using p value < 0.05. The results revealed that, in pretest 80% of the nurses had inadequate knowledge where as in posttest 82% of the nurses had gained moderately adequate knowledge and the improvement was statistically significant at P<0.05.
Conclusion: The study result shows that after intervention knowledge regarding risk of unplanned extubation among nurses were improved significantly.
Keywords: Effectiveness planned teaching, risk of unplanned extubation, knowledge of staff nurses and mechanical ventilation protocol.