Date of Award

11-30-2020

Degree Type

Thesis

Degree Name

MSc in Nursing

First Advisor

Ms. Khairulnissa Ajani

Second Advisor

Dr. Laila Ladak

Third Advisor

Ms. Fauzia Basaria Hasnani

Department

School of Nursing and Midwifery, Pakistan

Abstract

Background
/="/">Patients at the Intensive Care Unit (ICU) who are Mechanically Ventilated (MV) develop complications due to bed rest. Early Mobilization (EM) is an evidence-based practice that reduces patients’ hospital length of stay, decreases ventilator time, enhances weaning, and reduces ICU-Acquired Weakness and ICU-Acquired Delirium. Although EM of MV is practised in many high-income countries, it has not yet been introduced as a standard care approach in the ICUs of Pakistan. Healthcare professionals' awareness and readiness are key in establishing EM for practice.
/="/">PurposeThe purpose of this study was to assess the knowledge and attitude of health care professionals regarding EM of MV patients, through the Electronic Learning (E-Learning) strategy, at the ICU of a tertiary care hospital in Karachi, Pakistan.
/="/">Methodology
/="/">A quantitative pre-test and post-test design was used, on a sample of 57 healthcare professionals (doctors, nurses, physiotherapists, and respiratory therapists), using total population sampling. The study questionnaire was adapted from Qutub, Matani, and Farooqi (2018) and Jolley, Regan-Baggs, Dickson, and Hough's (2014) studies for knowledge and attitude assessment. The tool was contextually modified, after an expert review and pilot testing. A self-developed E-Learning module was utilized as an intervention. The participants participated in a pre-test, reviewed the educational module, and participated in the post-test. All responses were scored and the results were analysed through a paired T-test.
/="/">Findings
/="/">Findings The results revealed that change in overall knowledge was statistically significant (p-value=< 0.01); however, change in overall attitude was statistically insignificant (p-v value=0.096) with E-Learning. Moreover, the descriptive analysis reported the majority of the correct responses, in both the pre-test and post-test, in the knowledge scale.
ConclusionThis study reflected an increase in knowledge amongst healthcare professionals about EM in MV patients. E-Learning was seen to be useful in acquiring knowledge. However, it is recommended that Simulation-Based Education should be used to assess attitude change for practice initiation. As the implementation of EM in MV patients improves patient outcomes, the formation of policies and protocol is recommended, to initiate EM interventions as part of ICU routine care. Moreover, the study could be expanded to other tertiary care hospitals of Pakistan to attain results on a large-scale.

First Page

1

Last Page

103

Download

Share

COinS