Volume 10, Issue 1 (Winter 2024)                   JCCNC 2024, 10(1): 55-64 | Back to browse issues page

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Shashi P, Madhavi V, Shasthry S M. The Effect of a Teaching Program on Knowledge, Practice, and Response Time of Nurses Regarding the Management of Upper Gastrointestinal Bleeding. JCCNC 2024; 10 (1) :55-64
URL: http://jccnc.iums.ac.ir/article-1-512-en.html
1- Department of Medical-Surgical Nursing, Govt College of Nursing, S. N. Medical College, Agra, India. , prakashshashipr@gmail.com
2- Department of Medical-Surgical Nursing, College of Nursing, Institute of Liver and Biliary Sciences, New Delhi, India.
3- Department of Hepatology, Institute of Liver and Biliary Sciences, New Delhi, India.
Abstract:   (1521 Views)
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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● Upper gastrointestinal bleeding (UGIB) is a common medical emergency and includes self-limiting bleeding to life-threatening hemorrhagic emergencies. 
● Emergency management of UGIB requires nurses’ knowledge and their effective and fast performance.
● Nurses’ response time regarding the management of UGIB reduced after the intervention.
● Nurses’ knowledge and practice regarding the management of UGIB improved after the intervention. 
● Teaching programs about the management of UGIB improved nurses’ practice.
Plain Language Summary 
Nurses play an essential role in accurate assessment and performing appropriate and quick interventions in dealing with the immediate risk of upper gastrointestinal emergency bleeding. Therefore, they must have proper knowledge and performance levels in this field. The results of this study showed that the implementation of training by face-to-face lecture method improves nurses’ knowledge and performance and shortens their response time in managing upper gastrointestinal emergency bleeding. Regular evaluation of the knowledge and performance of emergency nurses in this field and the implementation of an appropriate training program to improve their response time is suggested. 

Type of Study: Research | Subject: Special
Received: 2023/07/23 | Accepted: 2023/09/9 | Published: 2024/01/10

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