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ARTICLES The Genesis ISSN 2395-2164 Volume: 6 Issue: 1 January - March2019 EVALUATING THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON EXPERTISE REGARDING PARTOGRAPH AMONG 4 th YEAR B. Sc. NURSING STUDENTS Mrs. Kalaiselvi T. *| Dr. Chandra Prakash Sharma ** * Ph. D. Scolar, Himalayan University, Itanagar, Arunachal Pradesh, India. ** Ph. D. Guide, Himalayan University, Itanagar, Arunachal Pradesh, India.. ABSTRACT The targets of the study are to assess the prevailing expertise concerning the use of partograph among the nursing students, evaluate the effectiveness of a structured teaching programme (STP) on developing expertise regarding partograph within the nursing college students and assess the pre-test knowledge rankings regarding partograph with the chosen demographic variables of the nursing students. A pre experimental one group pre-test post-test design was used. Statistics was accumulated with the aid of convenient sampling method from 48 (forty eight) 4 th year BSc Nursing students from a selected nursing college of Kanyakumari district of Tamilnadu. The tool included 5 demographic variables and 25 established know-how questionnaires regarding expertise on partograph. The pre- test was conducted using an established interview questionnaire. STP changed into performed and guide became given to every character following STP. After 7 days, post-test was performed using the same interview questionnaire. Facts changed into analyzed by means of the use of inferential and descriptive information. The study revealed that 35% of college students had mild knowledge and 65% had inadequate expertise in the pre-test and after STP 35% had desirable/ adequate knowledge and 65% had moderate knowledge. Computed ‘ t’ test value suggested that post-test knowledge score regarding partograph (17.52) was considerably higher than mean pre- test knowledge score (11.01) at p<0.05 level. The ‘t’ cost changed into giant (t= 14.23) at p<0.05 degree indicating the established teaching programme on information concerning partograph changed into effective. Key Words: Structured teaching programme, Partograph, Nursing students. About Authors: Author, Mrs. Kalaiselvi T. Is a Ph.D. Scholar at Himalayan University, Itanagar, Arunachal Pradesh, India. Author, Dr. Chandra Prakash Sharma is Ph.D. Guide at Himalayan University, Itanagar, Arunachal Pradesh, India.

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ARTICLES

The Genesis ISSN 2395-2164 Volume: 6 Issue: 1 January - March–2019

an2015

EVALUATING THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON EXPERTISE REGARDING PARTOGRAPH AMONG 4th YEAR B. Sc. NURSING

STUDENTS Mrs. Kalaiselvi T. *| Dr. Chandra Prakash Sharma **

* Ph. D. Scolar, Himalayan University, Itanagar, Arunachal Pradesh, India. ** Ph. D. Guide, Himalayan University, Itanagar, Arunachal Pradesh, India..

ABSTRACT

The targets of the study are to assess the prevailing expertise concerning the use of partograph among the nursing

students, evaluate the effectiveness of a structured teaching programme (STP) on developing expertise regarding

partograph within the nursing college students and assess the pre-test knowledge rankings regarding partograph

with the chosen demographic variables of the nursing students. A pre experimental one group pre-test post-test

design was used. Statistics was accumulated with the aid of convenient sampling method from 48 (forty eight) 4th

year BSc Nursing students from a selected nursing college of Kanyakumari district of Tamilnadu. The tool included 5

demographic variables and 25 established know-how questionnaires regarding expertise on partograph. The pre-

test was conducted using an established interview questionnaire. STP changed into performed and guide became

given to every character following STP. After 7 days, post-test was performed using the same interview

questionnaire. Facts changed into analyzed by means of the use of inferential and descriptive information. The

study revealed that 35% of college students had mild knowledge and 65% had inadequate expertise in the pre-test

and after STP 35% had desirable/ adequate knowledge and 65% had moderate knowledge. Computed ‘ t’ test value

suggested that post-test knowledge score regarding partograph (17.52) was considerably higher than mean pre-

test knowledge score (11.01) at p<0.05 level. The ‘t’ cost changed into giant (t= 14.23) at p<0.05 degree indicating

the established teaching programme on information concerning partograph changed into effective.

Key Words: Structured teaching programme, Partograph, Nursing students.

About Authors:

Author, Mrs. Kalaiselvi T. Is a Ph.D. Scholar at Himalayan University, Itanagar, Arunachal Pradesh, India.

Author, Dr. Chandra Prakash Sharma is Ph.D. Guide at Himalayan University, Itanagar, Arunachal Pradesh, India.

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INTRODUCTION

Labour is a manner, wherein females give birth to the kid. The most joyous moments in women’s existence come in

the course of labour, as most women and their families experience finest pleasure during labour. The anticipated

period of uncertainty, anxiety and worry, ends with the momentous birth of the infant. In reality, the assistance and

care they receive throughout this period is vital. As a result, the general intention of caring for mothers all through

labour right from start is to arouse tremendous joy for the woman and her family while maintaining her fitness,

stopping headaches and responding to emergencies.

Global figures show that more than 50 million pregnant women could be afflicted by critical pregnancy associated

illnesses or disabilities. Not less than 1.2 million new-born infants die because of insufficient and unskilled care that

they obtain throughout shipping and it's miles estimated that every 12 months extra than 585,000 girls die

worldwide from being pregnant and childbirth related complications.

Latest epidemiological evidence from a number of developing nations shows that skilled care all through delivery of

the baby can also help to save maternal deaths. As for which, the nursing education has passed through principal

transformation together with the exchange in idea of health and disorder.

Labour room and operation theatre nurses have very specific roles inside the childbirth. These nurses are

accountable for the care of the mom and foetus while guiding the woman at various points of the delivery process.

Numerous environmental elements impact the mother’s care in the course of labour which includes maternal

tracking, foetal monitoring and partograph. Partograph is largely a pictorial representation of the events of labour

plotted against time in hours. It includes 3 additives i.e. monitoring and coping of (a) Foetal condition (b) Maternal

condition (c) Progress of labour.

Consequently, an initiative is taken to improve the pleasant of to be had services through, higher control,

improvement of information and abilities amongst student nurses, nurses and other fitness care specialists.

OBJECTIVES

1. To assess the knowledge of 4th

year BSc Nursing students regarding Partograph before and after administering

structured teaching programme.

2. To find out association between knowledge and the selected demographic variables, such as Age, Gender,

Religion, Type of Family, Previous source of information.

CONCEPTUAL FRAMEWORK

The conceptual framework turned into primarily based on Kenny’s Open machine version. All the dwelling

structures are open, in that there's non-stop trade of be counted, energy and records. Open system has changing

diploma of interaction with the surroundings from which the device receives enter, and offers back output within

the form of be counted energy and records. The main concepts of open gadget version are input, throughput,

output and feedback.

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METHODOLOGY

Research approach

An experimental approach was used to evaluate the effectiveness of structured teaching programme on

Partograph.

Research design

The study utilised Pre- experimental one group pre-test and post-test design. Pre-test was done on selected

samples by using tool I and tool II and then structured teaching programme was conducted. After 7 days of using

tool II, expertise was reassessed. The schematic representation of the present study design is as follows:

O1 X O2

O1Information prior to administering structured teaching programme

XStructured teaching programme on Partograph

O2Expertise after structured teaching programme

Setting of the study

The study was undertaken in Salvation Army Catherine Booth College of Nursing, Nagercoil in Tamilnadu, India.

Population

Target population: Nursing Students

Accessible population: Fourth year BSc nursing students in Salvation Army Catherine Booth College of Nursing,

Nagercoil in Tamilnadu.

Sample

Sample size consisted of 48 numbers of Fourth year BSc nursing students in Salvation Army Catherine Booth

College of Nursing, Nagercoil

Sampling technique

Non-Probability, convenient sampling technique was used.

Inclusion Criteria:

Nursing students who were in fourth year

Nursing students who were willing to participate in the study.

FEED BACK

INPUT

Assess the

level of

knowledge

regarding

Partograph

among the

Fourth year

BSc nursing

students

THROUGH PUT

P

O

S

T

T

E

S

T

High level of

knowledge

about

Partograph

OUTPUT

P

R

E

T

E

S

T

Structured

teaching

programme

On Partograph

Changes which

will occur

within the

system through

thestructuredte

aching

programme

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Nursing students who were present at the time of information collection.

Exclusion criteria

Nursing college students who were unavailable or absent at the time of records series.

Nursing college students who were not willing to take part in the study.

Description of the tool

A closed ended questionnaire was prepared to gather the essential statistics from the samples. The tool consisted

of 2 components.

Component 1 - Evaluation of demographic variables.

Component 2 - Information concerning Partograph

The dependent questionnaire regarding partograph included multiple-choice questions underneath three

components which include which means and Definition, cause and standards, monitoring labour and Charting of

Partograph. Each query has 4 suggested responses with 1 correct solution. Rating '1' was given for every correct

answer to a single question and rating '0' was given for wrong answer.

Scoring key:

Good enough expertise – 76-100%

Moderate expertise – 51-75%

Insufficient expertise – below 50%

Method of data collection

Step 1: Acquiring permission

Step 2: Pre -test evaluation of expertise

Step 3: Structured teaching programme given

Step 4: Post-test evaluation of expertise

DATA ANALYSIS AND INTERPRETATION

Assessment of the level of knowledge using structured questionnaire regarding Partograph.

Distribution of Subjects Based on Level of Knowledge N = 48

Degree of Expertise Score Ranges Before STP After STP

Frequency Percentage Frequency Percentage

Insufficient Expertise 0-12 32 65% - -

Moderate Expertise 13-18 16 35% 32 65%

Good Enough Expertise 19-25 ― ― 16 35%

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Analysis of pre-test knowledge level of fourth year BSc Nursing students on Partograph

The above Figure reveals that as regards pre-test expertise ratings of nursing students on partograph, 32 (65 per

cent) students had insufficient expertise and 16 (35 per cent) students had moderately adequate expertise.

Analysis of post-test knowledge level of fourth year BSc Nursing students on Partograph

The above Figure reveals that as per post-test expertise ratings of nursing students on partograph, 32 (65 per cent)

students had moderate expertise and 16 (35 per cent) students had good enough expertise.

Difference in the Mean Level of Knowledge of Samples Before and After Structured Teaching Programme

N =48

Characteristics Before Structured Teaching Programme After Structured Teaching Programme

’t’ Value Mean SD Mean SD

Expertise rating 11.01 15.3 17.52 10.8 14.23*

*Significant at P < 0.05.

The above Table reveals that the mean post-test expertise rating (17.52) was higher than mean pre-test expertise

rating (11.01). The computed ‘t’ value 14.23, (P< 0.05) showed that there was a significant difference between the

pre-test and post-test mean expertise ratings. Hence hypothesis H1 was accepted. This suggests that the STP turned

out to be effective in enhancing the knowledge on partograph of 4th year BSc nursing students.

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CONCLUSION

On the premise of findings of the present study, following conclusions have been drawn:

1. The expertise of students regarding partograph became insufficient when utilized in pre- take a look at. While

the knowledge stage is improved at some stage in the post-check.

2. STP became effective in enhancing the knowledge of student nurses on partograph. There is significant

difference between the pre-test and post-test expertise. Those rankings were validated by way of the usage

of‘t’ test. The analysis of suggest, SD of the information rankings in pre-take a look at and post-test revealed

that the mean pre-test understanding rating was 11.01 whereas submit-take a look at mean score was 17.52

This suggests there is excessive suggest difference (6.53) inside the effectiveness of STP. Usual place wise

findings found out that the effectiveness of STP changed into more while in comparison to the pre-test

knowledge. The finding concluded that the intervention changed into very powerful in increasing their

expertise concerning the use of partograph.

REFERENCES

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2. Myles “text book for midwives” 14th edition Diane. M Fraser and Margaret A coopes , page no 449-551.

3. D C DUTTA “Text book of obstetrics” 6th edition page no 528-529.

4. Sudhakaran A. "A Study to Evaluate The Effectiveness of Structured Teaching Programme on Partograph in

Terms of Knowledge among The Staff Nurses Working in Selected Hospitals at Kolar." Rajiv Gandhi University

of Health Sciences Karnataka Bangalore.2012-563101.(Dissertation).

5. WHO, UNICEF, UNFPA and the World Bank: Trends in Maternal Mortality 1990 to 2010. Estimates Developed

by WHO, UNICEF, UNFPA and the World Bank. Geneva: World Health Organization; 2012.

6. Tayade S, Jadhao P. The Impact of Use of Modified WHO Partograph on Maternal and Perinatal Outcome;

Dept of Obstetrics and Gynecology, Mahatma Gandhi Institute of Medical Sciences, Sewagram, Wardha,

Maharashtra, India. International Journal of Biomedical and Advance Research. 2012;03(04): P256.

7. WHO partograph in management of labour. World Health Organization Maternal Health and Safe Motherhood

Programme. Lancet; 1994, 343:1399–404.

8. Lavender T, Alfirevic Z, Walkinshaw S. Effect of different partogram action lines on birth outcomes. Obstetrics

& Gynecology 2006; 108:295–302.

9. WONG PERRY , “Maternal child nursing care “ , Mosby publications, page number 407-409

10. MARIE ELIZABETH, “Midwifery for nurses “ CBS publications, page number 111

11. MUDALIAR and MENON’S “Clinical obstetrics” 10th edition page no 257.

12. Fahdhy M, Chongsuvivatwong V. Evaluation of WHO partograph implemented by midwives for maternity

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13. Oladapo OT, Daniel Olatunji AO. Knowledge and use of partograph among health care personnel at the

peripheral maternity centers Nigeria. J Obstet Gynaecol [online] 2 2006 Aug [2007 Nov 12]; 26(6):[538-41

14. Oriji EO, Adeyemi BA, et al. Impact of training on the use of partogarph on maternal and perinatal outcome in

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