Effectiveness of Self Instructional Module on Nursing Management of Patients with Chest Tube Drainage for Staff Nurses Working in a Selected Hospital of Odisha

The management of critically ill patients has become increasingly important in the modern medical and nursing system. At the same time the number of intensive care beds in hospitals has grown. The complexity of medical and nursing problems and the severity of illness in critically ill patients have also increased. Critically ill population now occupying intensive care units, demand appropriate diagnosis as well as management skills. The management of a critically ill patient therefore represents a continual balancing act in which the risks and benefits of diagnostic procedures and interventions must be carefully weighed6.Using chest tubes and chest drainage is a complex and critical nursing function. Upto date knowledge and skill of the staff nurses in this field will be helpful to protect the patient and help them to recover from a serious pulmonary problem. Evaluative approach with one group pre-test post-test design (O1 x O2) was used for the study. Data were collected from 30 staff nurses by using purposive sampling technique at M.K.C.G. Medical Hospital through structured questionnaire. Data were analysed by descriptive and inferential statistics. Assessment of the level of knowledge of the staff nurses reveals that majority of respondents (83.33%) had only average knowledge whose percentage of score ranged between 35–70%. The overall pre-test mean score was 18.73 4.05(53.51%) whereas in post test it was 27.16 4(77.6%)revealing 24.09% enhancement of knowledge score. Area wise assessment shows during post test highest mean percentage was 80.86% for "anatomy & physiology, sign, symptoms and indication of chest tube drainage", where as the difference in mean percentage was highest (26.66%)in the area mechanism & principles involved in chest tube drainage. Extremely statistical significant difference was found between the total knowledge score of pre and post test(P=0.0001) revealing effectiveness of SIM. No significant association was found between pre test knowledge score of nurses when compared to demographic variables. The mean of acceptability of SIM " To great extend was" 25.5% and "to some extend was" 4.5%.