A Study of structured teaching programme on active management of third stage of labour among staff nurses working in DR. Tandon Nursing college and Test tube IVF center at Agra (U.P)
Abstract
The third stage of labour is the period of time from the birth of the baby until the placenta is delivered. During this stage, the uterus contracts & placenta begins to separate from the uterine wall. This stage lasts between 5 and 15 minutes. After 30 minutes, it is considered prolonged indicating potential problem. If the uterus is atonic and does not contract normally, several bleeding occurs then to anaemia which affects breast feeding and may leads to septicemia and death. A series of procedures conducted during this stage are collectively called as “Active Management of Third stage of Labour” (AMTSL) which consists of interventions designed to speed the delivery of placenta by increasing the uterine contractions and postpartum harmorrhage by adverting uterine atony.
Maternal mortality is perhaps the most important cause of loss of healthy life years and cause that could be readily reduced through improved quality of care. One of the reason for maternal mortality is the poor performance health care personnels in the management of labour and childbirth.
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Introduction
Data analysis is a dynamic process that involves interaction between the researcher and his experience of the data, whether the data is communicated orally or in writing. During this process, the researcher explores personal feelings and experiences that may influence the study and integrates this understanding into the study.
This chapter represents the analysis and interpretation of data collected from 60 staff nurses working in maternity wards of Dr.kamlesh Tandon hospital IVF Center and research institute to assess the effectiveness of structured teaching programme on knowledge regarding Active management of third Stage of labour (AMTSL). The main objective of the analysis is to reduce the data to a manageable and interpretable form, so that the research problem can be studied and tested. The investigator administered structured knowledge questionnaire for staff nurses working in maternity wards of dr.kamlesh tendon hospital to collect the data.
The data collected were analyzed according to the plan for data analysis which included both descriptive and inferential statistics. The data findings have been tabulated according to the plan for data analysis and interpreted under the following study objectives.
The following are the study objectives:
1) To assess the knowledge of staff nurses regarding the active management of III rd stage of labour by pre-test.
Conclusion
The present study assessed the knowledge of staff nurses regarding the knowledge on AMTSL and found that only (13) had good knowledge and (23) had average knowledge and (24) had poor knowledge in the pre-test. The overall mean percentage in the pre-test was (17.3) with the standard deviation (3.1) and in the post- test it was (30.3) with the standard deviation (1.4) with a positive difference of (12.8) and (2.6) respectively. This showed that there was a significant improvement in knowledge of staff nurses in the active management of third stage of labour. Thus providing that the structured teaching programme was effective method for improving the knowledge of staff nurses.
The conceptual framework used for study was based on Modified Ernestine Weidenbachs helpings art of clinical nursing theory. A quasi- experimental approach was adopted for this study.
A total of 60 staff nurses were selected by convenient sampling method. The study was adopted one group pre-test post test design. Data were collected by using structured questionnaire method. Impact knowledge to staff nurses by using structured teaching programme.
The study revealed that staff nurses gained knowledge after the structured teaching programme. Analysis data shows that the post-test knowledge score has significantly higher than the pre-test knowledge score at P<0.05 level of significance.
The present study assessed the knowledge of staff nurses regarding knowledge on active management of third stage of labour and found that only 13(22%) had good knowledge 23(38%) had average knowledge and 24 (40%). had poor knowledge in the pre-test. The overall mean percentage in the pre-test was 17.3(49%) with standard deviation of 3.1 and in the post-test it was 30.3 (86%) with the standard deviation (1.4) with a positive difference of (12.8) and (2.6) respectively. This showed that there was a significant improvement in knowledge of staff nurses in the active management of third stage of labour.
Then the investigator concluded that the structured teaching prorgramme was a good method of conveying information to staff nurses and it is very effective in order to gain knowledge.