An Experimental Study To Assess The Effectiveness Of Video .

Interna tional Jo urna l o f Applied Research 2018 ; 4 (6 ): 123 -12 7ISSN Print: 2394-7500ISSN Online: 2394-5869Impact Factor: 5.2IJAR 2018; 4(6): 123-127www.allresearchjournal.comReceived: 25-04-2018Accepted: 26-05-2018Salomi ShindeBharati Vidyapeeth, (Deemedto be University), BharatiVidyapeeth College of NursingPune, Obstetrics andGynaecology Nursing, Pune,Maharashtra, IndiaPravina MahadalkarProfessor, HOD Obstetrics andGynaecology DepartmentBharati Vidyapeeth (Deemedto be University) College ofNursing, Pune, Maharashtra,IndiaAn experimental study to assess the effectiveness ofvideo assisted teaching on knowledge regardingcollection, storage and use of human breast milkamong the staff nurses working in selected hospitals ofPune citySalomi Shinde and Pravina MahadalkarAbstractPurpose: To assess the effectiveness of video assisted teaching on knowledge regarding collection,storage and use of human breast milk.Material and methods: The research approach adopted for the study is quantitative approach and theresearch design is pre experimental design. Using non probability purposive sampling technique 100staff nurses were enrolled in the study. Data was collected using Self structured questionnaire. Pre-testfollowed by video assisted teaching was given and then after 7 days post-test was taken using samequestionnaire. Data was analysed using mean, median, standard deviation, chi-square and fisher’s exacttest.Results: The results showed that in pre-test 78% of staff nurses had poor knowledge scores whichfollowed by the intervention was 50% had good knowledge score, 14% had excellent knowledge while0% had poor knowledge in post-test. Age is associated with the pre-test knowledge scores (P 0.003).Conclusion: The study findings reveal that video assisted teaching is effective to increase theknowledge of staff nurses regarding collection, storage and use of human breast milk.Keywords: Effectiveness, video assisted teaching, knowledge, collection, storage, use, human breastmilk, staff nursesCorrespondenceSalomi ShindeBharati Vidyapeeth, (Deemedto be University), BharatiVidyapeeth College of NursingPune, Obstetrics andGynaecology Nursing, Pune,Maharashtra, IndiaIntroductionAfter meeting the fundamental needs for establishing breathing and maintenance of bodytemperature, the subsequent efforts in the care of the new born babies should be directedtowards the provision of adequate nutrition and prevention of infections. Breast milk is anopaque white liquid produced by the mammary glands of the female. It provides the primarysources of nutrition for new-born before they are able to digest other types of food. The earlylactation milk is colostrum’s, and carries the mother’s antibodies to the baby. It can reducethe risk of many diseases in the baby [1].Mothers often refer to breast milk as ‘liquid gold,’ therefore for mothers who express breastmilk; storage is of a key concern -- regardless of their environment (home or hospital). Thereare many barriers to increased breastfeeding duration in the US, however, separation of themother from her baby, for whatever reason, stands out as one of the more significantobstacles to overcome. At times of separation, expressed breast milk is the preferred feedingoption for babies. Indeed, the act of expressing breast milk provides distinct benefits for bothmother and baby. With regard to the mother, the regular and adequate removal of milk fromthe breast (in the absence of the infant) supports the ‘supply and demand’ relationshipbetween milk synthesis and removal allowing for the continuation of lactation so thatbreastfeeding may last as long as the mother and baby mutually wish [2].Expressing breast milk can maintain a mother’s milk supply when she and her child are apartand the baby is unable or unwilling to latch on to the breast. Expression of breast milk isgetting milk from the breast without your baby sucking on it.1 Breast milk can be expressedusing hands. This is called ‘hand expression’ or ‘manual expression’. Breast pump can alsobe used to express milk from the breasts [3]. 123

International Journal of Applied ResearchMalays J conducted a study on to assess the knowledge oncollection and storage of breast milk among mothers ofinfants. 100 mothers were selected by random samplingmethod. The results revealed that 66% mothers hadinadequate knowledge, 30% had moderately adequateknowledge and 14% had adequate knowledge regarding thecollection and storage of breast milk [4].The World Health Organization (WHO), AmericanAcademy of Pediatrics (AAP) and United NationsChildren’s Fund recommend that the best alternative to amothers’ own breast milk is milk from a healthy wet nurseor donor human milk (DHM) from a human milk bank(HMB). Many developed and developing countries aroundthe world now have established HMBs or are consideringthe establishment of such institutions, and the number ofHMBs are increasing worldwide [5].2. Objectives1. To assess the knowledge of staff nurses regardingcollection, storage and use of human breast milk beforeadministration of video assisted teaching.2. To assess the knowledge of staff nurses regardingcollection, storage and use of human breast milk aftervideo assisted teaching.3. To assess the effectiveness of video assisted teachingon knowledge of staff nurses regarding collection,storage and use of human breast milk.4. To associate the pre findings with selected demographicvariables.3. Conceptual frameworkFig 1: Conceptual Framework Based On General System Theory Of “Ludwig Von Bertalanffy”4. Materials and methodHypothesisHypothesis for effectivenessH0: There is no difference in the level of knowledge after theadministration of video assisted teaching regardingcollection, storage and use of human breast milk amongstaff nurses at 0.05 level of significance.Hypothesis for association:H0: There is no association between the pre-test knowledgeand the selected demographic variables among the staffnurses at 0.05 level of significance.MethodologyIn order to achieve the desired objectives of the studyquantitative research approach with pre experimental onegroup pre-test post-test design was adopted for the presentstudy. Using non-probability purposive sampling 100 staffnurses working in selected hospitals of pune city wereenrolled for the study. After obtaining administrativeapproval and written consent from the participants, tool wasadministered for data collection. Data collection wasaccomplished by using tool comprised of, Section I: Demographic variables such as age, gender,educational status, area of work, experience andexperience in Obstetrics and gynaecology department. Section II: Structured knowledge questionnaire itcomprised of twenty five (25) knowledge itemsregarding collection, storage, use of human breast milkand also a few regarding human milk banking.A pretest observation of knowledge is done before theimplementation of the video assisted teaching, interventionis administered and then after 7 days post test was 124

International Journal of Applied Researchconducted to assess the effect of intervention on the samplesusing the same questionnaire.5. ResultsSection IDemographic characteristics of the samplesTable 1 a): Description of samples (staff nurses) based on theirdemographic characteristics in terms of frequency and percentagesn 100Demographic variables20 years – 25 years26 years – 30 yearsAge31 years -35 years36 years and aboveMaleGenderFemaleANMGNMEducationPBBSC & Basic BSc NursingMSc NursingMedical-surgical wardsIntensive care unitWorkingPediatric wardDepartmentObstetrics and gynecology wardOthers1month to 12 months1 year to 3 yearsExperience3 – 5 yearsMore than 5 yearsLess than 1 year1 year – 5 yearExperience In ObgAreaMore than 5 yearsNo 631Fig 2: Frequency and percentage distribution of pretest knowledgelevel of staff nurses before intervention, n 100Figure 2 depicts that before intervention 78% of nurses hadpoor knowledge of collection, storage and use of humanbreast milk, 21% had average knowledge and only 1% hadexcellent knowledge of collection, storage and use of humanbreast milk.Section II (B)Post interventional assessment of knowledgeTable 3: Mean, median and standard division of post-testknowledge scores after intervention. n 100VariablePost knowledge scoreAnalysis of demographic profile revealed that 34% of thesamples belongs to age class 20-25yrs, 28% belongs to ageclass 26-30yrs, 27% belongs to age class 31-35yrs and 11%belongs to age class 36yrs, and above. Distribution ofsamples according to their gender shows that the 9% weremale and 91% were female. Distribution of samplesaccording to their education shows that 25% studied ANM,53% studied GNM Nursing and 22% basic PBBSC & BScNursing. Distribution according to working departmentshows that 32% were working in Medical-surgical wards,18% working in intensive care ward, 23% in pediatric ward,19% in Obstetrics and gynecology ward and 8% working inother than these wards. According to their experience 19%nurses had less than 1 month to 12 months of experience,32% had 1-3 years, 29% had 3-5yrs. and 20% had more than5yrs. of experience. Their experience in OBG area showsthat 37% nurses had less than 1year of experience, 26% had1-5 years, 6% had more than 5yrs. of experience in OBGarea while 31% had no experience in OBG area.Mean17.25Median18.0SD3.176Table 3 depicts that mean score of post knowledge score is17.25, median is 18.0 and SD is 3.176Fig 3: Frequency and percentage distribution of post-testknowledge score after interventionFigure 3 depicts that after intervention no one had poorknowledge of collection, storage and use of human breastmilk, 36% had average knowledge, 50% had goodknowledge and 14% had excellent knowledge of collection,storage and use of human breast milk.Section II (A)Pre interventional assessment of knowledge scoresTable 2: Mean, median and standard division of pretest knowledgescores of staff nurses before intervention n 100VariableMeanMedianSDPre knowledge score7.9208.03.067Table 2 depicts that pre test knowledge score before interventionmean is 7.920, median is 8.0 and SD is 3.076Section IIIEffectiveness of video assisted teaching on knowledge ofstaff nurses regarding collection, storage and use ofhuman breast milk. 125