The Effect of a Teaching Program on Knowledge, Practice, and Response Time of Nurses Regarding the Management of Upper Gastrointestinal Bleeding

Background: Gastrointestinal bleeding is one of the emergencies that all therapeutic measures should be performed effectively and efficiently in a short time. This study aims to determine the effectiveness of an educational program on the improvement of nurses' knowledge, performance, and respo...

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Main Authors: Prakash Shashi, Verma Madhavi, S M Shasthry
Format: Article
Language:English
Published: Iran University of Medical Sciences 2024-01-01
Series:Journal of Client-centered Nursing Care
Subjects:
Online Access:http://jccnc.iums.ac.ir/article-1-512-en.pdf
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author Prakash Shashi
Verma Madhavi
S M Shasthry
author_facet Prakash Shashi
Verma Madhavi
S M Shasthry
author_sort Prakash Shashi
collection DOAJ
description Background: Gastrointestinal bleeding is one of the emergencies that all therapeutic measures should be performed effectively and efficiently in a short time. This study aims to determine the effectiveness of an educational program on the improvement of nurses' knowledge, performance, and response time in the care of patients with upper gastrointestinal bleeding in the Emergency Department.  Methods: This quasi-experimental study employed a single group pre-test and post-test design and was conducted at the Emergency Room of the Institute of Liver and Biliary Sciences (ILBS), New Delhi, India. A total of 20 nurses working in the Emergency Room were recruited through enumeration. Also, 35 events before and 35 events after the intervention were observed. The educational program was implemented through face-to-face lecture-cum discussion in six 30-minute sessions and groups of 3 to 4 nurses over three days. A researcher-made questionnaire was used to measure nurses’ knowledge regarding upper gastrointestinal bleeding, and their performance and response time were observed and calculated through a checklist. The data were described and analyzed using descriptive statistics, the paired t-test, the Kruskal-Wallis H test, and the Mann-Whitney U test in SPSS software, version 20. The significance level was set at P≤0.05.  Results: A noticeable improvement in the scores of knowledge and performance and a significant decrease in the nurses’ response time were observed (P<0.001). Also, there was a significant relationship between the knowledge score and the work experience of nurses in the Emergency Department (P=0.018). Conclusion: Periodic evaluation of nurses’ performance in the care and treatment of upper gastrointestinal bleeding emergencies through observation and checklist is recommended. In-service training courses regarding managing upper gastrointestinal bleeding seem to be necessary.
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spelling doaj.art-a97e176fd00144958debafa054645eaf2024-02-21T08:14:23ZengIran University of Medical SciencesJournal of Client-centered Nursing Care2476-41242476-41322024-01-011015564The Effect of a Teaching Program on Knowledge, Practice, and Response Time of Nurses Regarding the Management of Upper Gastrointestinal BleedingPrakash Shashi0Verma Madhavi1S M Shasthry2 Department of Medical-Surgical Nursing, Govt College of Nursing, S. N. Medical College, Agra, India. Department of Medical-Surgical Nursing, College of Nursing, Institute of Liver and Biliary Sciences, New Delhi, India. Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India. Background: Gastrointestinal bleeding is one of the emergencies that all therapeutic measures should be performed effectively and efficiently in a short time. This study aims to determine the effectiveness of an educational program on the improvement of nurses' knowledge, performance, and response time in the care of patients with upper gastrointestinal bleeding in the Emergency Department.  Methods: This quasi-experimental study employed a single group pre-test and post-test design and was conducted at the Emergency Room of the Institute of Liver and Biliary Sciences (ILBS), New Delhi, India. A total of 20 nurses working in the Emergency Room were recruited through enumeration. Also, 35 events before and 35 events after the intervention were observed. The educational program was implemented through face-to-face lecture-cum discussion in six 30-minute sessions and groups of 3 to 4 nurses over three days. A researcher-made questionnaire was used to measure nurses’ knowledge regarding upper gastrointestinal bleeding, and their performance and response time were observed and calculated through a checklist. The data were described and analyzed using descriptive statistics, the paired t-test, the Kruskal-Wallis H test, and the Mann-Whitney U test in SPSS software, version 20. The significance level was set at P≤0.05.  Results: A noticeable improvement in the scores of knowledge and performance and a significant decrease in the nurses’ response time were observed (P<0.001). Also, there was a significant relationship between the knowledge score and the work experience of nurses in the Emergency Department (P=0.018). Conclusion: Periodic evaluation of nurses’ performance in the care and treatment of upper gastrointestinal bleeding emergencies through observation and checklist is recommended. In-service training courses regarding managing upper gastrointestinal bleeding seem to be necessary.http://jccnc.iums.ac.ir/article-1-512-en.pdfgastrointestinal diseasesbleedingemergency carenurses performance evaluationmedical education
spellingShingle Prakash Shashi
Verma Madhavi
S M Shasthry
The Effect of a Teaching Program on Knowledge, Practice, and Response Time of Nurses Regarding the Management of Upper Gastrointestinal Bleeding
Journal of Client-centered Nursing Care
gastrointestinal diseases
bleeding
emergency care
nurses performance evaluation
medical education
title The Effect of a Teaching Program on Knowledge, Practice, and Response Time of Nurses Regarding the Management of Upper Gastrointestinal Bleeding
title_full The Effect of a Teaching Program on Knowledge, Practice, and Response Time of Nurses Regarding the Management of Upper Gastrointestinal Bleeding
title_fullStr The Effect of a Teaching Program on Knowledge, Practice, and Response Time of Nurses Regarding the Management of Upper Gastrointestinal Bleeding
title_full_unstemmed The Effect of a Teaching Program on Knowledge, Practice, and Response Time of Nurses Regarding the Management of Upper Gastrointestinal Bleeding
title_short The Effect of a Teaching Program on Knowledge, Practice, and Response Time of Nurses Regarding the Management of Upper Gastrointestinal Bleeding
title_sort effect of a teaching program on knowledge practice and response time of nurses regarding the management of upper gastrointestinal bleeding
topic gastrointestinal diseases
bleeding
emergency care
nurses performance evaluation
medical education
url http://jccnc.iums.ac.ir/article-1-512-en.pdf
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