A descriptive study to assess the Knowledge and Practice of staff nurses Regarding Nursing Care for Myocardial Infarction Patients in the first 24 hours in selected hospital in Indore city”
A. Objective
To assess the knowledge of staff nurses regarding nursing care for myocardial infarction patient in first 24 hours.
To assess the practice of staff nurses regarding nursing care for myocardial infraction patient in first 24 hours.
To find out association between knowledge and practices with selected demographical variable.
B. Hypothesis
H1 -There will be significant association between the knowledge and practice of staff nurses regarding nursing care for myocardial infraction patient in the first 24 hours with selected socio-demographic variables.
C. Conceptual Framework
Interrelated concepts or abstractions that are assembled together in some rational scheme by virtue of their relevance to a common theme are referred to as conceptual framework.
(Polit, D.F. and Hungler, B.P. (1999).
The present study aimed at evaluating the knowledge of ICU staff nurse first 24 hours care of patient with myocardial infraction admitted in selected hospital in Indore.”The conceptual framework taken for the present study is based on General System Theory given by Ludwig Von Bertalanffy in 1968. According to this theory, a system is a group of elements that interact with one another in order to achieve the goal. An individual is an open system because he receives input from the environment. This input when processed provides an output.
All living systems are open. There is a continuous exchange of matter, energy and information. The system is cyclical in nature and continues to be so, as long as the four parts input, process, output and feedback keep interacting with each other. If there are the changes in any of the parts, there will be alteration in all other parts. Feedback from within the system or from the environment provides information, which helps the system to determine its effectiveness.
II. METHODS
This is a descriptive hospital-based study conducted in 2 hospitals inIndore at cardiac care unit and emergency department and it included 200 nurses. The assessment was performed by using a questionnaire for knowledge and check list for practice assessment.
III. RESULTS
Out of 200 participants, females were 71%, most nurses hadexperience of 5-10 years and they were represented by 60.5%. Mean of total knowledge was found very good, when compared to mean of practice which was moderate. They showed high knowledge about risk factors of MI and less knowledge about medications.
The practice was very good in regard to connecting monitor (86%) and checking vital signs (85.5%), but poor in the aspect of oxygen administration (43%) and Inserting urinary catheters (24.5%). Experience found significantly associated with oxygen administration (0.05), giving pain killers and thrombolysis (0.041).
Conclusion
The study showed good knowledge, but moderate practice suggesting increasing the practice to be compatible with nurses’ knowledge
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