Effectiveness of Self Instructional Module on Knowledge of Artificial Cardiac Pacemaker among Staff Nurses

Objective: Heart diseases are a huge burden and cause of concern for everybody from doctors to policy makers. Heart disease leading to heart failure is a further cause for worry. In fact, approximately 60% of all cardiac deaths occur due to arrhythmias leading to Sudden Cardiac Arrest (SCA). Annual incidence of SCA in India is 0.55 per 1,000 populations. Today, pacemakers are used to manage symptomatic bradycardia but rising cost of technology that saves life has been out of reach for many poor patients in India leading to confinement, morbidity and death. Each year 1-2 million individuals worldwide die due to a lack of access to pacemakers. In India, about 1, 00,000 patients suffer from bradycardia every year. However, only 15,000 patients resort to pacemakers in India annually. Hence, the study was aimed to determine the effectiveness of the self instructional module on knowledge of Artificial cardiac pacemaker among staff nurses. Materials and methods: Pre - experimental study was performed on 60 staff nurses working in medical, surgical, and intensive care units of selected hospital of Kolhapur. The effectiveness of a Self instructional module on artificial cardiac pacemaker was evaluated through a structured knowledge questionnaire using one group pre-test post-test design. Improvement in knowledge score was determined through the quantitative evaluative survey approach. Results: The calculated paired? value (tcal = 17.16) was greater than tabulated value (ttab = 2.00). This indicates that the gain in knowledge score was statistically significant at Pless than0.05 level. Therefore the findings revealed that the SIM on Artificial cardiac pacemaker was effective in increasing the knowledge regarding artificial cardiac pacemaker among staff nurses. In present study there was significant association between pre test knowledge score & selected socio demographic variable such as Age in years[X2 cal= 127.9, X2 tab= 7.82], Educational qualification [X2 cal= 11.93, X2 tab= 5.99] & Total clinical experience in years [X2 cal= 7.84, X2 tab= 7.82]. This indicates that there is significant association between pre test knowledge scores and selected socio-demographic variables at 0.05 level of significance. Conclusion: The self instructional module was effective in improving knowledge of artificial cardiac pacemaker in staff nurses and can be used as an effective method to train nurses in Kolhapur.