Undergraduate Nursing Students’ Knowledge and Attitude: Care of Patients Of Mechanical Ventilators

R Jamuna Rani; Pushpamala Ramaiah; Akila Muthukrishnan; Badria A Elfaki; Ibtesam Nomani; Lathamangeswari Chinnasamy; Hamdia Mohammed Khamis; Hayam I Asfour; E Esraa Ahmed; M Grace Lindsay; E Hassanat Mustafa

doi:10.17485/IJST/v16i11.599

Article

Undergraduate Nursing Students’ Knowledge and Attitude: Care of Patients Of Mechanical Ventilators

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Indian Journal of Science and Technology

DOI: 10.17485/IJST/v16i11.599

Year: 2023, Volume: 16, Issue: 11, Pages: 795-802

Original Article

Undergraduate Nursing Students’ Knowledge and Attitude: Care of Patients Of Mechanical Ventilators

R Jamuna Rani¹, Pushpamala Ramaiah^2*, Akila Muthukrishnan³, Badria A Elfaki^2,4, Ibtesam Nomani², Lathamangeswari Chinnasamy⁵, Hamdia Mohammed Khamis², Hayam I Asfour², E Esraa Ahmed²,M Grace Lindsay², E Hassanat Mustafa^2,4

¹Principal & Faculty of Nursing, Sree Sakthimayeil Institute of Nursing and Research, Komarapalayam, Tamil Nadu, India|
²Faculty of Nursing, Umm Al-Qura University, Makkah, Saudi Arabia
³School of Nursing, College of Pharmacy and Nursing, University of Nizwa, Sultanate of Oman, Oman
⁴Faculty of Nursing, Al Neelain University, Khartoum, Sudan
⁵Riyadh ELM University, Riyadh, Saudi Arabia

*Corresponding Author
Email: [email protected]

Received Date:15 March 2022, Accepted Date:09 March 2023, Published Date:15 March 2023

This work is licensed under a Creative Commons Attribution 4.0 International License.

Abstract

Objective: To determine the knowledge and attitude of student nurses about mechanical ventilators (MV) and analyze the impact of a one-week educational program. Methods: Fifty student nurses were included in a one-week training program about MV’s fundamental favorable knowledge and attitude in January 2021 at MG nursing Institute, Tamil Nadu, India. Student nurses in critical nursing courses were assessed before an education program. A pre-validated survey questionnaire comprised of knowledge and attitude items was adopted to collect data before and after the training program (post-course assessment). The program adopted a lesson plan and simulation procedures for learning, and it took seven days to complete. Findings: According to the study’s findings, 35 (70%) participants (student nurses) were females, and 15 (30%) were males. The pre-test knowledge and attitude were inadequate 74% and 12.64 (25%), respectively. In the post-test, it increased to adequate with 44% and 64%. The mean knowledge score pre-test MV assessment was 8.58 (17%), and the posttest was 19.18 (38%). While their attitude on the pre-test was 12.64 (25%), their post-test score was 32.38 (64%). There was a statistically significant difference between pre and post MV knowledge and attitude among student nurses. Novelty: Students’ mean post-knowledge and attitude scores were higher than the pre-test at p<0.05. The findings indicate that the computer-assisted teaching program with simulation was significantly effective in improving the knowledge and attitude of student nurses on the care of mechanical ventilator patients. The study recommended using simulation techniques in the care of mechanical ventilator patients to enhance the knowledge and attitude of nurses and nursing students.

Keywords: Attitude; ComputerAssisted Teaching Program; Simulation; Knowledge; Mechanical Ventilator; Patient Care; Student Nurses

References

Zhu Y, Zhang J, Wang G, Yao R, Ren C, Chen G, et al. Machine Learning Prediction Models for Mechanically Ventilated Patients: Analyses of the MIMIC-III Database. 2021. Available from: https://doi.org/10.3389/fmed.2021.662340
Kara G, Temiz G. Evaluation of nursing care requirements in mechanically ventilated patients. Journal of Clinical Medicine of Kazakhstan. 2022;19(1). Available from: https://doi.org/10.23950/jcmk/11736
Wei W, Niu Y, Ge X. Core competencies for nurses in Chinese intensive care units: a cross‐sectional study. Nursing in Critical Care. 2019;24(5):276–282. Available from: https://doi.org/10.1111/nicc.12398
Cvach MM, Stokes JE, Manzoor SH, Brooks PO, Burger TS, Gottschalk A, et al. Ventilator Alarms in Intensive Care Units: Frequency, Duration, Priority, and Relationship to Ventilator Parameters. Anesthesia and Analgesia. 2020;130(1):9–13.
Rafiei H, Rahimi S, Shafaei M, Ommatmohammadi M. Emergency nurses' knowledge about ventilator-associated pneumonia. 2020. Available from: https://doi.org/10.1016/j.ienj.2019.06.006
Jeong YG, Jihyun K, Kh S. Development and Effects of a Mechanical Ventilation Education Program with Blended Learning for Nursing Students. Journal Korean Academy of Fundamentals of Nursing. 2021;28(3):361–371. Available from: https://doi.org/10.7739/jkafn.2021.28.3.361
Al-Sayaghi, M K. Critical care nurses' compliance and barriers toward ventilator-associated pneumonia prevention guidelines: cross-sectional survey. Journal of Taibah University Medical Sciences. 2020;16(2):274–282. Available from: https://doi.org/10.1016/j.jtumed.2020.12.001 8
Madhuvu A, Endacott R, Plummer V, Morphet J. Nurses’ knowledge, experience and self-reported adherence to evidence-based guidelines for prevention of ventilator-associated events: A national online survey. Intensive and Critical Care Nursing. 2020;59:102827. Available from: https://doi.org/10.1016/j.iccn.2020.102827
Aloush SM, Al‐rawajfa OM. Prevention of ventilator‐associated pneumonia in intensive care units: Barriers and compliance. International Journal of Nursing Practice. 2020;26(5). Available from: https://doi.org/10.1111/ijn.12838
Schroedl CJ, Frogameni A, Barsuk JH, Cohen ER, Sivarajan L, Wayne DB. Impact of Simulation-based Mastery Learning on Resident Skill Managing Mechanical Ventilators. ATS Scholar. 2021;2(1):34–48. Available from: https://doi.org/10.34197/ats-scholar.2020-0023OC
Reper P, Brempt IVD, Haelterman M. The national Australian survey about nurses’ knowledge of evidence based guidelines for ventilated patients: and the Belgian national bundle campaign? Intensive and Critical Care Nursing. 2020;61:102914. Available from: https://doi.org/10.1016/j.iccn.2020.102914
Winning L, Lundy FT, Blackwood B, Mcauley DF, Karim IE. Oral health care for the critically ill: a narrative review. Critical Care. 2021;25(1). Available from: https://doi.org/10.1186/s13054-021-03765-5
Simin 3, Jahani T, Poursangbor. Survey of knowledge, attitude and performance of Intensive Care Unit nurses regarding oral care of patients under mechanical ventilation in educational hospitals of Ahvaz. Journal of Advanced Pharmacology Education and Research. 2017;9(S2):130–135. Available from: https://japer.in/storage/models/article/Od4TNdylEPzULpyDffyYNovnrBSqK8YoEABAvC1bypgE9hBAiD6pi33YzJ5N/survey-of-knowledge-attitude-and-performance-of-intensive-care-unit-nurses-regarding-oral-care-of-.pdf
Jhou HJJ, Chen PHH, Ou-Yang LJJ, Lin C, Tang SEE, Lee CHH. Methods of Weaning From Mechanical Ventilation in Adult: A Network Meta-Analysis. Frontiers in Medicine. 2021;8. Available from: https://doi.org/10.3389/fmed.2021.752984
Yuan X, Lu X, Chao Y, Beck J, Sinderby C, Xie J, et al. Neurally adjusted ventilatory assist as a weaning mode for adults with invasive mechanical ventilation: a systematic review and meta-analysis. Critical Care. 2021;25(1):222. Available from: https://doi.org/10.1186/s13054-021-03644-z
Haro CD, Ochagavia A, López-Aguilar J, Fernandez-Gonzalo S, Navarra-Ventura G, Magrans R, et al. Patient-ventilator asynchronies during mechanical ventilation: current knowledge and research priorities. Intensive Care Medicine Experimental. 2019;7(S1):43. Available from: https://doi.org/10.1186/s40635-019-0234-5
Williams LM, Sharma S, Ventilator, Safety. Ventilator Safety. In: StatPearls. Stat Pearls Publishing. 2021.
Shahrzad Y, Marzieh M, Soroor P, Noushin M. Intensive care unit nurses’s perception of the barriers to effective in-service education: A qualitative study. 2020. Available from: https://doi.org/10.4103/JNMS.JNMS_27_20
Al-Busaidi IS, Suleimani SZA, Dupo JU, Sulaimi NKA, Nair VG. Nurses’ Knowledge, Attitudes, and Implementation of Evidence-based Practice in Oman: A Multi-institutional, Cross-sectional Study. Oman Medical Journal. 2019;34(6):521–527. Available from: https://doi.org/ 10.5001/omj.2019.95
Bankanie V, Outwater AH, Wan L, Yinglan L. Assessment of knowledge and compliance to evidence-based guidelines for VAP prevention among ICU nurses in Tanzania. BMC Nursing. 2021;20(1):209. Available from: https://doi.org/10.1186/s12912-021-00735-8
Selamat N, Aung KT, Soe MK. Critical Care Nurses’ Knowledge and Practices on Ventilator-Associated Pneumonia. 2021. Available from: https://doi.org/10.23937/2469-5823/1510163
Keller JM, Claar D, Ferreira JC, Chu DC, Hossain T, Carlos WG, et al. Mechanical Ventilation Training During Graduate Medical Education: Perspectives and Review of the Literature. Journal of Graduate Medical Education. 2019;11(4):389–401. Available from: https://doi.org/ 10.4300/JGME-D-18-00828.1

Copyright

© 2023 Rani et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited. Published By Indian Society for Education and Environment (iSee)