Date of Award

12-10-2022

Degree Type

Thesis

Degree Name

Master of Health Professions Education

First Advisor

Dr. Tabassum Zehra

Second Advisor

Dr. Aliya Ahmed

Third Advisor

Dr. Sara Shakil

Department

Educational Development

Abstract

Background: Regular on-job training and educational courses may improve nurses’ knowledge and practice regarding pain assessment and treatment.
Objectives: The primary objective of the study was to assess the effectiveness of a newly developed educational course in terms of improvement in pre and post MCQ scores for knowledge regarding pain assessment and initial treatment and to assess the effectiveness of a newly developed educational course in terms of improvement in pre and post scores in clinical skills using PCIA and epidural checklists among nursing staff working in adult surgical and medical wards of The Aga Khan University Hospital. The secondary objective was to determine the impact of the course by assessing the retention of knowledge and perceived change in clinical practices among nurses working in adult surgical and medical wards at The Aga Khan University Hospital, three months after the educational course.
Methods: After getting approval from the Institutional review committee an education course was developed and then implemented. A total of 86 participants attended both online and physical components. Teaching methodologies include online lectures, small group tutorials, and hands-on workshops using demonstrations on locally developed videos. Pre-test and post-test were conducted to assess the knowledge and clinical skill at the start of the workshop and at the end of session using PCIA and Epidural Likert scale on simulated patients.
Results: Out of 86 participants, 52 (60.5%) were female and 34 (39.5%) were male. The mean difference between the pre-test and post-test scores of participants was 4.72 (39.66%), which was statistically significant (p=< 0.001). >< 0.001). In the clinical skill assessment of patients using PCIA, the mean difference in PCIA step-bystep assessment scores of participants before and after the workshop was 13.88 (90.79%), which was statistically significant (p=< 0.001). In the epidural skills assessment, the mean difference the in score of participants before and after the workshop was 15.09 (79.47%), which was statistically significant (p=>< 0.001). The mean post-test MCQs score of participants was 16.70 ± 3.56 and the mean post-test MCQs score of participants after three months period was 15.60 ± 4.09 with a mean difference of 1.10 (6.59%), which was statistically significant (p=< 0.009). >< 0.009).
Conclusion: The hybrid educational course had a significant learning impact on the knowledge of participants and statistically significant improvement in their clinical skills.

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