1Student, Department of Child Health (Pediatric) Nursing, S.G.L. Nursing College, Semi, Jalandhar, Punjab
2Principal, Department of Maternal and Child Health Nursing, S.G.L. Nursing College, Semi, Jalandhar, Punjab
3Professor, Department of Medical- Surgical Nursing, S.G.L. Nursing College, Semi, Jalandhar, Punjab
Breathing is important aspect of life. For good breathing airway patency is necessary. Pneumothorax, Meconium aspiration syndrome, hypoxia, asphyxia, respiratory distress syndrome, chronic obstructive pulmonary disease are the common respiratory problems which effects the airway of the neonates and leads to the airway obstruction. It is usually a life-threatening emergency requiring immediate medical attention. If help is delayed, death or brain damage can result from the lack of vital oxygen. Therapeutic methods to maintain patency of both the upper and lower airway may include: Mechanical ventilation, pediatric advanced life support therapy, oxygenation, intubation, tracheotomy, along medication therapy as prescribed by Physician etc are used to promote airway of the patient. Endotracheal suctioning is the most common procedure used in airway management for patients requiring mechanical ventilation and intubation who are admitted in the neonatal intensive care unit. This procedure may be required in an emergency situation or as a part of patient's planned care to carry out various operation procedures. The purpose of endotracheal suctioning is to remove pulmonary secretions effectively to prevent atelectasis secondary to blockage of smaller airways and to ensure that adequate gas exchange occurs. Endotracheal suctioning is a necessary procedure for patients with artificial airway. Most contraindications are relative to the patient's risk of developing adverse reactions or worsening clinical condition as result of the procedure. So, all nurses who perform suction must have received approved training and demonstrated competence under supervision. They should ensure that their knowledge and skills are maintained.
To assess the pre test knowledge score and skills score regarding the endotracheal suctioning among the staff nurses in experimental and control groups.
To develop and implement the self instructional module regarding the endotracheal suctioning among the staff nurses in experimental group.
To assess the post test knowledge score and skills score regarding the endotracheal suctioning among the staff nurses in experimental and control groups.
To compare the pre test and post test knowledge score and skills score regarding the endotracheal suctioning among the staff nurses in experimental and control groups.
To find association between the post test knowledge score and skills scores with selected sociodemographic variables.
Non-equivalent Pre test Post test control group research design
Selected Hospitals, district Jalandhar, Punjab.
Staff nurses working in neonatal intensive care unit of selected hospitals, Jalandhar, Punjab.
50 staff nurses (25 in experimental group and 25 in control group)
Purposive sampling technique.
The findings of the study revealed that the Pre test mean knowledge score of experimental group & control group were 16.92±3.47 &15.56± 3.13 respectively. The post test mean knowledge score in experimental & control group were 20.52±3.29 &16.16±2.83. The Pre test mean skills score of experimental & control group were 20.21±2.51 & 19.16±2.32. The post test mean skills score of experimental and control group were 22.92±2.64 &19.96±2.42. It is indicated that there was significant difference in Pre and post test interventional knowledge score and skills score among staff nurses working in neonatal intensive care at 0.05% level of significance. Hence the research hypothesis (H1) is accepted and null hypothesis (H0) is rejected. The study was found that duration of posting in NICU was found associated with knowledge of staff nurses and age (in years), professional experience and in-service education are significantly associated with skills. So, the study concluded that self instructional module had significant effect on knowledge and skills regarding endotracheal suctioning among staff nurses working in neonatal intensive care unit.
Knowledge, Skills, Endotracheal Suctioning, Staff Nurses, Selected Hospitals
