CPR PPT

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Good morning!:

Good morning!

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Group II

GUIDE : Rev. Sr.Anne Ponnattil:

GUIDE : Rev. Sr.Anne Ponnattil GROUP MEMBERS Anu Jose, D.Mamatha Navya Abraham, N.C Poojitha Sumi Augustine

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CHAPTER-I INTRODUCTION

STATEMENT OF THE PROBLEM:

STATEMENT OF THE PROBLEM A STUDY TO ASSESS THE EFFECTIVENESS OF VIDEO ASSISTED TEACHING PROGRAMME ON CPR AMONG INTERMEDIATE STUDENTS BETWEEN 16 – 20 YEARS OF AGE STUDYING AT KASTHURBA GANDHI JUNIOR COLLEGE, SECUNDERABAD

OBJECTIVES OF THE STUDY:

OBJECTIVES OF THE STUDY To determine the existing level of knowledge of intermediate students regarding cardiopulmonary resuscitation through pretest. To assess the level of knowledge of intermediate students regarding cardiopulmonary resuscitation after administration of video teaching programme through post test.

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To analyze the effectiveness of video assisted teaching programme on CPR by comparing scores of pretest and post test. To analyze the association between knowledge scores and selected demographic variables .

HYPOTHESIS:

HYPOTHESIS There will be a significant increase in knowledge regarding CPR among intermediate students after administration of video assisted teaching programme .

ASSUMPTIONS:

ASSUMPTIONS Intermediate students will participate in the study willingly. Intermediate students will have limited knowledge on CPR. Tool will be adequate to assess the knowledge regarding CPR. Students will respond honestly to the questionnaire prepared by the investigator. Video assisted teaching on CPR will improve the knowledge of the students.

DELIMITATIONS:

DELIMITATIONS Intermediate students studying at Kasthurba Gandhi junior college at secunderabad. Students who are present at the time of study. Students who are willing to participate in the study. Students who can read, write, speak and understand English. Study is limited to 40 students.

OPERATIONAL DEFINITIONS:

OPERATIONAL DEFINITIONS EFFECTIVENESS : Improvement of post test scores over pretest scores after video assisted teaching programme for students regarding CPR. VIDEO ASSISTED TEACHING: A structured teaching programme with a video clip and content regarding CPR. CARDIO PULMONARY RESUSCITATION : It is a combination of oral resuscitation which supplies oxygen to the lungs and external cardiac massage to reestablish cardiac function.

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KNOWLEDGE : Responses given by the students regarding CPR on a structured questionnaire prepared by the investigator. INTERMEDIATE STUDENTS : Students studying in higher secondary school at Kasthurba Gandhi junior college, secunderabad.

CHAPTER-II:

CHAPTER-II REVIEW OF LITERATURE

SECTION-I:

SECTION-I STUDIES RELATED TO GENERAL INFORMATION AND PROCEDURE OF CPR.

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SL.NO AUTHOR AND YEAR NAME OF THE STUDY METHOD RESULTS 1. Yeung,J Meeks et.al(2008) A systematic review on the use of CPR feedback/ prompt devices during training and CPR performance. Retrospective study Sample size-250 There is good evidence supporting the use of CPR training to improve CPR skills aqusition and retention.

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2. Swor,R Khan et.al(2003) A study to determine factors associated with CPR provision and performance by CPR trained bystanders. Prospective,observational study. Common reasons that CPR trained bystanders cited for not responding CPR were 37.5%were panicked,9.1%were not able to do correctly and 1.1% thought they would hurt the patient.

SECTION-II:

SECTION-II STUDIES RELATED TO KNOWLEDGE AND SKILLS ON CPR

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SL.NO AUTHOR AND YEAR NAME OF THE STUDY METHOD RESULT 3. Theresa M.O, et.al (2006) A study to evaluate the quality of CPR performed by a physician manned ambulance. Retrospective, observational study. The study was significant.

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4 . Bonnie L,Eric LE.etal (2005) A study to assess the effectiveness of CPR self instruction programme for lay responders. Controlled randomized study. Sample size-285 Sampling technique- convinient sampling. Percentage of subjects who assessed unresponsiveness called emergency telephone no.911,provided adequate ventilation,proper hand placement .

SECTION-III:

SECTION-III STUDIES RELATED TO USE OF MULTIMEDIA IN TEACHING CPR

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SL.NO AUTHOR AND YEAR NAME OF THE STUDY METHOD RESULTS 5. Yang C.W, Wang H.C,et,al A study to assess the effcet of adding interactive video communication to dispatch instruction on quality of bystander chest compressions. Randomized controlled study. Sample size-53 Sampling technique-random sampling Chest compressions among the video group were faster,deeper and more appropriate depth.

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6. Bolle S.R,Gilbert et.al A study to assess the quality of stimulated dispatcher assissted CPR when guidance was delivered to rescurers by video/ audio calls from mobile. A comparitive study Sample-180 Sampling technique-random sampling The median time to first ventilation was insignificantly shorter in the video call group.This also had a significantly proper training of dispatchers and when using dispatch protocols for audio-only calls.

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METHODOLOGY CHAPTER-III

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RESEARCH APPROACH Evaluative approach RESEARCH DESIGN One- group- pretest - post test design

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VARIABLE Independent variable :- Video programme on CPR Dependent variable :- Knowledge of higher secondary school children regarding CPR. Extraneous variable :- Age, education, education of the parent and previous knowledge regarding CPR.

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SETTINGS Kasthurba Gandhi junior college, secunderabad POPULATION Higher secondary school children from Kasthurba Gandhi junior college , Secunderabad. SAMPLE AND SAMPLE SIZE 40 higher secondary school children . SAMPLING TECHNIQUE Simple random sampling.

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SAMPLING CRITERIA Inclusion criteria:- Children who are willing to participate. Children who are studying in 11 th and 12 th standards. Children present on the day of data collection. Children who understand English.

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Exclusive criteria: Children who are not willing to participate in the study. Children who do not understand English language . DESCRIPTION OF THE TOOL Section-I : It consists of demographic data on higher secondary school children like age, education, education of the parents and previous knowledge regarding CPR.

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Section-II : It consists of questions regarding anatomy and physiology . Section-III : It consists of questions regarding indications of CPR. Section-IV : It consists of questions regarding general information on CPR. CONTENT VALIDITY 7 Experts- 2 Cardiologist, 2 Anesthetists and 3 experts from nursing field.

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RELIABILITY – 0.80 PILOT STUDY :- conducted at St.Mary’s Higher Secondary school, Secunderabad on 5 samples. METHOD OF DATA COLLECTION Structured questionnaire PLAN FOR DATA ANALYSIS Part-I : Frequency and percentage distribution of demographic variable of higher secondary school children.

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Part-II : Formulating frequency of higher secondary school children according to percentage of knowledge scores in pretest and post test on CPR. Part-III : Analysis of video assisted teaching by comparing the knowledge scores in pretest and post test. Part-IV : Association between knowledge with selected variables.

CHAPTER-IV:

CHAPTER-IV DATA ANALYSIS AND INTERPRETATION

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ORGANISATION OF THE DATA:- Section-I:- Description of the sample in demographic variables. Section-II:- Description of the sample in terms of pretest and post test knowledge scores on CPR. This section also indicates the effectiveness of video assisted teaching programme to higher secondary school children on CPR in terms of knowledge scores.

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Section-III:- Description of relationship between sample knowledge with selected variables like age, education of the students and education of their parents.

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FIGURE 3: DISTRIBUTION OF SAMPLES ACCORDING TO AGE It is evident that majority of the subjects 33(82.5%) belongs to 16-17 years of age, 5(12.5%) subjects belongs to the age 17-18 years and 2 subjects belonged to the age 18-19 years.

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FIGURE 4: DISTRIBUTION OF SAMPLE ACCORDING TO EDUCATION As the figure shows, with regard to the level of education of the students 21(52.5%) are studying in 11 th standard and 19(47.5%) are studying in 12 th standard.

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FIGURE 5: DISTRIBUTION OF SAMPLE ACCORDING TO EDUCATION OF PARENTS As the figure shows, with regard to the education of the parents 33(82.5%) are literate 7(17.5%) are illiterate.

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FIGURE 6: DISTRIBUTION OF SAMPLE’S KNOWLEDGE LEVEL ON CPR From the figure it is clear that in pretest 4 (10%) obtained below average scores and 36(90%) obtained average knowledge scores regarding CPR. In post test 1 (2.5%) obtained average knowledge scores and 39(97.5%) obtained above average knowledge .

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FIGURE 7: DISTRIBUTION OF PRETEST AND POST-TEST MEAN KNOWLEDGE SCORES It shows that mean score of knowledge in the pretest was 17.72 and it is increased to29.6 in post test.

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FIGURE 8: DISTRIBUTION OF PRETEST AND POST-TEST STANDARD DEVIATION It shows that standard deviation in the pretest was 13.7 and in the post test was 4.05.

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Figure-IX: Relationship of samples knowledge on CPR according to age The above figure shows that in the age group 16 – 17 years 4 (10%) are below average, 29 ( 72.5 %) are average. Similarly in the age group of 17 –18 Years 1(2.5 %) is below average, 4 (10 %) are average and in the age group of 18 –19 years 1 (2.5 % ) is below average and 1 (2.5 % ) is average.

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Figure - X : Relationship of samples knowledge on CPR according to their education The above figure shows that 2 (5%) studying in 11 th standard are below average and 19(47.5%) are having average knowledge level. Similarly 4 (10%) studying in 12 th standard are below average and 15(37.5%) are having average knowledge level.

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Figure-XI : Relationship of samples knowledge on CPR according to their parent’s education The above figure shows that 5(12.5%) sample’s parents who are literate are below average and 28(70%) samples are having average knowledge level. Similarly 1sample (2.5%) whose parents are illiterate are below average and 6(15%) samples are having average knowledge level regarding CPR.

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Demographic variables Pretest Degree of freedom Chi-square Level of significance Age Education of the sample Education of the parents 3 1 1 2.232 1.038 0.00328 NS NS NS TABLE -X Complete picture of association of sample’s knowledge regarding CPR with selected demographic variables. NS :- Non significant

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SUMMARY,CONCLUSION, RECOMMENDATIONS AND SUGGESTIONS CHAPTER-V

RESULTS OF THE STUDY:

RESULTS OF THE STUDY SECTION-I : Demonstrates that 16-17yrs:- 82.5% 17-18yrs:- 12.5% 18-19yrs:- 5%

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Education shows that:- 11 th standard- 52.5% 12 th standard-47.5% Education of the parents:- Literate- 82.5% Illiterate - 17.5%

SECTION-II:

SECTION-II Demonstrates that, PRETEST - Below Average Knowledge:10% Average Knowledge: 90% POST TEST- Average Knowledge: 2.5% Above Average Knowledge: 97.5% The findings revealed that there is a significant difference in the pretest and post test knowledge scores. The results have shown that the obtained ‘t’ value=20.05(p<0.05) for the knowledge is significant .

SECTION-III:

SECTION-III There is no significant association between the knowledge scores and demographic variable in pretest. The chi-square was computed to test the association between the knowledge scores and demographic variables.

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CONCLUSIONS:- There was an increase in the knowledge of school children when compared with the pretest and post test values. The video programme on CPR was an effective in improving knowledge among higher secondary school children. Higher secondary school children were interested to learn CPR.

LIMITATIONS OF THE STUDY:

LIMITATIONS OF THE STUDY Higher secondary school children studying at Kasthurba Gandhi junior college at Secunderabad. Students who are present at the time of the study. Students who are willing to participate in the study. Students who can read,write,speak and understand English. Study is limited to 40 students.

SUGGESTIONS AND RECOMMENDATIONS:

SUGGESTIONS AND RECOMMENDATIONS The study can be replicated on a large sample. A comparative study may be undertaken between the schools. A study can be conducted to assess the knowledge and skills on CPR on a large sample. Different multimedia teaching aids can be used for teaching CPR.

IMPLICATIONS:

IMPLICATIONS The findings of the study have implication in the area of nursing are: Nursing practice Nursing education Nursing administration Nursing research

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Thanks a million!

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Thanks you very much all of you for your help and support!