A Study to Evaluate the Effectiveness of In-Service Educational Program on Nurse's Competencies Related to Cardiovascular Assessment in Critical Care Units at Selected Hospital of Greater Noida, Uttar Pradesh

One of the leading causes of death worldwide is cardiac diseases. Cardiovascular examination is a part of the physical examination including evaluation of the cardiovascular system. Through the competencies nurses can readily identify and prioritize patients' needs and provide rapid recovery from the critical condition of the patient which hence decreases mortality and morbidity. So, Critical care nurse should have good vigilant and prompt decision making while caring the critically ill patient poetizing their needs for steady recover. The aim of the study was to evaluate the effectiveness of in-service educational program on nurses competencies related to cardiovascular assessment in Critical Care units at selected Hospital of Greater Noida, Uttar Pradesh. Objectives of the study: 1) To assess the level of nurses competencies regarding cardiovascular assessment among the nurses working in Critical care units. 2) To evaluate the effectiveness of in-service education program on nurses competencies regarding Cardiovascular Assessment among nurses working in critical care units. 3) To find out the association of nurses competencies regarding Cardiovascular Assessment with their selected demographic variables i.e. age, gender, educational qualification, working experience and source of information. Hypothesis: Hypothesis will be tested at 0.05 level of significant. H1: There will be significant difference in nurses Competencies regarding cardiovascular assessment before and after the implementation of the in-service education program. Methodology: A Quantitative research approach was used and the research design adopted for the present study was quasi-experimental pre-test, post-test control group design. The target population for the study was critical care nurses in selected hospital of Greater Noida, UP. This present study was conducted with the sample of 48 where equal subject are divided into 24 participants in experimental and 24 in control group. Structured questionnaire was used to assess knowledge level and skill level was assessed by using rating scale. The feasibility of the study and the tools were assessed through a pilot study. The data collection for the main study was done the month of July 2021. The study was conducted in Sharda Hospital. Probability simple random sampling technique was used for selection of subjects. Those nurses who were willing and who were available during the data collection was inclusion criteria of this study. Pretest and posttest was done in both experimental group for knowledge assessment and post-test was done for skill in experimental group only. Pre-test knowledge level was assessed and then in-service education on cardiovascular assessment along with demonstration followed by re demonstration was given as intervention to experimental group only. After 7 days of intervention, post-test on Cardiovascular assessment was done. The obtained data was analyzed based on objective and hypothesis by using descriptive and inferential statistics and hypothesis was tested at 0.05 level of significance. There was a statistically significant difference noted in the mean scores of knowledge at pless than0.001 between pre-test and post-test among sample in experimental group. It shows that intervention was effective in improving the knowledge. Hence researcher accepted research hypothesis (H1). This study concluded that in service educational program on cardiovascular assess was effective to improve nurse?s competencies in terms of knowledge and skill on cardiovascular assessment among nurses working in critical care units.