A Pre-experimental study to evaluate the effectiveness of guidelines on care of client on ventilator among the staff nurses of selected hospital, Amritsar

Ravi Kulal*, Rashmi Negi**, Shweta Handa***
* Associate Professor, Maharaja Agrasen College of Nursing, Haryana, India.
**-*** Assistant Professor, Shree Guru Gobind Singh Tricentenary University, Haryana, India.
Periodicity:February - April'2018
DOI : https://doi.org/10.26634/JNUR.8.1.14239

Abstract

Mechanical ventilation is required when the spontaneous ventilation of a patient is inadequate to maintain and sustain signs of life. It can be used on a short term measure during a surgical operation or critical illness. It may also be used in home care settings or in a nursing or rehabilitation institution if patients have chronic illnesses that require long-term ventilator assistance. As mechanical ventilation is now a standard intervention for respiratory failure in intensive care units and a very less studies have been done regarding the various aspects of care of patients receiving mechanical ventilation. This study is planned to develop specific guidelines, after the identification of learning need areas of the staff nurses working in intensive care units as well as emergency regarding nursing care of clients on a ventilator. Well structured, validated guidelines regarding the nursing care of the client on a ventilator will act as a guide for staff nurses to meet the optimum health care needs of the clients on a ventilator. A descriptive survey with Pre experimental “one group of pretest and post-test design” was used for the study. The study sample comprises of 50 staff nurses working in ICU/ Emergency selected by non-probability purposive sampling technique. The Structured interview schedule was used to collect needed data. Result shows that majority of subjects 44 (88%) was in the age group 21-30 years. All subjects 50 (100%) were female. As regards their education, majority 44 (88%) were GNM. Data regarding total experience shows that more than half, ie, 38 (76%) were having 1-5 years of clinical experience and majority 32 (64%) were having 1-2 years total clinical experience in ICU/ Emergency. A total of 39 (78 %) were unmarried and remaining 11 (22%) were married. Most of subjects 38 (64%) had not undergone in-service training regarding nursing care of patients on a ventilator. Majority of subjects, 37 (74%) were having moderate learning needs, whereas only 13 (25%) were having higher learning needs regarding nursing care of the client on a ventilator.

Keywords

Learning Needs, Staff Nurses, Nursing Care, Ventilator Care.

How to Cite this Article?

Kulal,R., Negi,R., and Handa, S. (2018). A Pre-Experimental Study to Evaluate the Effectiveness of Guidelines on Care of Client on Ventilator Among the Staff Nurses of Selected Hospitals in Amritsar. i-manager’s Journal on Nursing, 8(1), 22-30. https://doi.org/10.26634/JNUR.8.1.14239

References

[1]. American Thoracic Society. (2005). Mechanical ventilation Patient information series. American Journal of Respiratory and Critical Care Medicine. 172(1).
[2]. Ashurst, S. (1997). Nursing care of the mechanically ventilated patient in ITU: 2. British Journal of Nursing, 6(9), 475-485.
[3]. Coyer, F. M., Wheeler, M. K., Wetzig, S. M., & Couchman, B. A. (2007). Nursing care of the mechanically ventilated patient: What does the evidence say?: Part two. Intensive and Critical Care Nursing, 23(2), 71-80.
[4]. Habich, M., Wilson, D., Thielk, D., Melles, G. L., Crumlett, H. S., Masterton, J., & McGuire, J. (2012). Evaluating the effectiveness of pediatric pain management guidelines. Journal of Pediatric Nursing: Nursing Care of Children and Families, 27(4), 336-345.
[5]. Lewis, S. M. (2007). Medical-surgical Nursing: th Assessment and Management of Clinical Problems (7 Ed). Mosby Elsevier.
[6]. Neerja KP. (2007). Textbook of Nursing Education, 5 Ed. Noida: Jaypee Brothers.
[7]. Pharmacy Times. (2006). Optimal care for ventilator patients. Retrieved from http://www.pharmacytimes.com/ publications/issue/2006-07
[8]. Potter A. P., Griffin, P. A. (2006). Fundamentals of th Nursing. 6 Ed. New Delhi: St Louis: Mosby, an Imprint of Elsevier.
[9]. Reddi, R. (2011). Critical care unit: caring and critical thinking in holistic approach. Nightingale Nursing Times, 7(5), 48-51.
[10]. Rungta, N., Govil, D., Nainan, S., Munjal, M., Divatia, J., & Jani, K. C. (2010). Intensive care unit planning and designing in India. India: Indian Society of Critical Care Medicine (ISCCM). Retrieved from http://www.isccm.org/ PDFfiles/Section1.pdf
[11]. World Health Organization. (2009). Natural ventilation for infection control in health-care settings. Retrieved from http://www.who.int/water_sanitation_health/publications/n atural_ventilation/en/
If you have access to this article please login to view the article or kindly login to purchase the article

Purchase Instant Access

Single Article

North Americas,UK,
Middle East,Europe
India Rest of world
USD EUR INR USD-ROW
Pdf 35 35 200 20
Online 35 35 200 15
Pdf & Online 35 35 400 25

Options for accessing this content:
  • If you would like institutional access to this content, please recommend the title to your librarian.
    Library Recommendation Form
  • If you already have i-manager's user account: Login above and proceed to purchase the article.
  • New Users: Please register, then proceed to purchase the article.