A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING
PROGRAMME ON KNOWLEDGE OF STAFF NURSES REGARDING CARE OF
PATIENTS WITH CARDIAC PACEMAKER IN SELECTED HOSPITAL, BANGALORE

Mrs. Nancy Thomas
Page No. 18-24

Background of the study: Cardiac conduction disease claims 50% of mortality in each year. In
these conditions, implantation of an artificial pacemaker is mandatory. Currently around 8000
pacemakers are being implanted annually in India. Competent management of patients with an
invasive pacemaker is an important skill for nurses who provide care for critically ill patients with
cardiac disease. Knowledge on pacing physiology, components of pacing system, indications for
pacing, post pacemaker implantation care, trouble shooting of pacemaker problems, patient and
family teaching and long term follow up are required for providing safe and effective nursing care.
Statement of the problem:A study to assess the effectiveness of structured teaching programme on
knowledge of staff nurses regarding care of patients with cardiac pacemaker in selected hospital,
Bangalore.Objectives of the study :To assess the pre-test knowledge scores of staff nurses regarding
care of patients with cardiac pacemaker. To determine the effectiveness of structured teaching
programme on care of patients with cardiac pacemaker by comparing pre and post-test knowledge
scores. To find out the association between pre and post-test knowledge scores with the selected
demographic variables.Methods An evaluative approach was adopted and a pre-experimental
design was used for the study. 50 Staff nurses working in areas like Cardiothoracic ICU,
Emergency, Operation Theatre, Recovery Room, Cath Lab and Post-Operative Ward of Sagar
Hospital, Bangalore were the samples. The samples were selected by purposive sampling technique.
Structured knowledge questionnaire was used to collect the data from staff nurses. Results Findings
of the study revealed that the post-test mean score was 27.44 with the standard deviation of 2.29
and the respondents’ knowledge were significantly higher than, the mean pre-test knowledge scores
17.28 with a standard deviation of 3.51 and the computed paired ‘t’ value 36.04 is higher than table
value 1.68 at p<0.05 level. Hence the structured teaching programme on care of patients with
cardiac pacemaker was effective and statistically significant. The study reveals that there is a
significant association between age, area of working and total years of experience with the pretest
knowledge scores of staff nurses at p< 0.05 level and there is no association between selected
demographic variables like gender, education and previous exposure to the topic in relation with the
pre-test knowledge scores of staff nurses.The present study also reveals that there is a significant
association between the variable total years of experience with post-test knowledge scores at
p<0.05, and no significant association has been found between other demographic variables like
age, gender, education, area of working and previous exposure to the topic in relation with post-test
knowledge scores of staff nurses. Interpretation and Conclusion Findings of the study revealed that
there was significant improvement in the knowledge of staff nurses after the structured teaching programme on care of patients with cardiac pacemaker. Hence it can be concluded that structured
teaching programme is an effective method to improve the knowledge of staff nurses working in
hospital.
Keywords : Structured Teaching Programme; Cardiac Pacemaker; Staff Nurses; Knowledge