Nurse-Led Educational Program on Practice of Asthma Management Using Global Initiative for Asthma Guideline

Chukwu Chinenye Chituru Chichi, Ojewole Foluso
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Abstract

The pivotal and nodal role of nurses in the healthcare industry is very vital for the proper management of asthma. To effectively intervene, nurses must be skillful in techniques used in asthma management which must be evidenced-based. The study objective is to use educational program to enhance nurses’ asthma management practice. This study adopted Quasi-experimental one group pre-post research design. Two government teaching hospitals in Rivers State were used in this study. A total number of 52 nurses were purposively selected in collaboration with nurse-leaders in each study setting. Checklist developed by the researcher and experts in the field of medical surgical nursing using modified Delphi method was used to collect data based on GINA guidelines pre- and post-educational program. Reliability test for the checklist using Cronbach’s alpha co-efficient yielded .89. Educational program was administered for six days respectively at the two study settings. Data collected were analysed using descriptive and inferential statistics (paired t-test) at level of 0.05 level of significance. Participants with good asthma management practice at pre-educational program were 36.5% while at post-educational was 80.8%. Paired-simple t-test analysis on the difference in asthma management practice before and after nurse led educational program using GINA guideline indicates that tcal = 51.23, df = 51, and ttab = 1.96 Since tcal>ttab at P<0.05, Hence, the null hypotheses was rejected. The study concluded that nurse-led educational program using adopted GINA guidelines enhanced practice of asthma management among nurses.
护士主导的哮喘管理实践教育项目,使用全球哮喘指导方针
护士在医疗保健行业中的关键和节点作用对于哮喘的适当管理非常重要。为了有效地干预,护士必须熟练掌握哮喘管理中使用的技术,这些技术必须以证据为基础。本研究的目的是利用教育计划来提高护士的哮喘管理实践。本研究采用准实验一组前后研究设计。本研究使用了河流州的两所政府教学医院。在每个研究环境中,共有52名护士与护士领导合作。研究人员与内科外科护理领域专家采用改进的德尔菲法编制的核对表,根据GINA指南的教育前后计划进行数据收集。采用Cronbach’s α协效法对检查表进行信度检验,结果为0.89。在两种研究环境中分别进行为期六天的教育计划。收集的资料采用描述性和推断性统计(配对t检验)进行分析,显著性水平为0.05。在教育前有良好哮喘管理实践的参与者占36.5%,教育后有良好哮喘管理实践的参与者占80.8%。采用GINA指南对护士主导教育项目前后哮喘管理实践的差异进行配对简单t检验分析,结果显示,tcal = 51.23, df = 51, ttab = 1.96,因为tcal>ttab = P<0.05,因此拒绝原假设。该研究得出结论,护士主导的教育项目采用GINA指南,提高了护士哮喘管理的实践。
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