A Study to assess the effectiveness of Structured Teaching Programme on knowledge regarding Zika virus disease and its management among Nursing students in selected College at Mysuru

Mrs. Lissa J¹, Sheela Willimas²

¹Asst Professors, JSS College of Nursing, Mysuru

²Prof., Principal, JSS College of Nursing, Mysuru

*Corresponding Author E-mail: lissamysore@gmail.com

ABSTRACT:

The aim of the study is to determine the effectiveness of structured teaching programme on knowledge regarding zika virus disease and its management among nursing students in selected college at Mysuru. OBJECTIVES: To assess the knowledge regarding zika virus disease and its management among Nursing students. 1. To access the effectiveness of structured teaching programme on knowledge regarding zika virus disease and its management among Nursing students. 2. To find out association between pre-test knowledge level regarding zika virus disease and its management among Nursing students with thier selected variables. METHODS: In this study, one group is pre- test and post test, pre- experimental design was used and simple random sampling technique was adopted to select nursing students in APOLLO BGS Nursing college Mysuru. Pilot study was conducted, the tool and study design were found to be feasible. Data were collected using structured teaching programme were given to Nursing students. The data were collected and analyse using descriptive and inferential statistics. RESULT: The result of the study reveal that the significance of difference between the mean pre-test and mean post-test scores which was statistically tested using paired 't' test. The mean difference between the mean pre-test and mean post -test knowledge scores was 8.7 with standard deviation difference 0.67. The paired 't' test (59) 19.54 which was found to be highly significant at 0.05 level of significance. The result also shows that the knowledge score of Nursing students had no significant association with thier selected personnel variables expect previous knowledge regarding zika virus and its management. CONCLUSION: There for, the study concluded that the administration of structured teaching programme was an effective method of improve the knowledge of Nursing students regarding zika virus and its management.

KEYWORDS: Nursing students, zika virus.

INTRODUCTION:

“To get rich, never risk your health. Ill health of body or of mind, is defeat. Health alone is victory and like all men if they can manage it, contrive to be healthy”

Thomas Carly

Zika virus has emerged as health issue of public importance which has leads to increase in the incidence of congenital anomalies, Gillian barre syndrome, and other neurological and auto immune syndrome among fetus/newborns. The Pan American health organization- World health organization has made recommendation for health care facilities related to strengthening the capacity and specialized care. Effective strategies was taken to prevent and control the virus, such as mosquito vector control and education of the public are encouraged.¹

Zika virus, an emerging arthropod borne virus, was first isolated incidentally from the serum of a sentimel febrile rhesus monkey which was held captive on wooden platforms in the canopy of forested areas in April 1947, in a study originally planned to recover yellow fever virus in the zika forest of Entebbe area in Uganda. It is named after zika virus. Subsequently in January 1948, the virus was isolated from a batch of Aedes Africans mosquito in the transmission of zika virus.²

Zika virus can be passed from a pregnant woman to her fetus. Infection during pregnancy can cause a birth defect called microcephaly and other severe fetal brain defects.³ Zika primarily spread through infected mosquitoes. It can also transmitted through sex without a condom with someone infected by zika.³

By acquiring knowledge regarding Zika virus, its causes, preventive measures and management in nursing students will able to improve the effectiveness of care.

STATEMENT OF THE PROBLEM:

A study to assess the effectiveness of structured teaching programme on knowledge regarding Zika virus diseases and it’s management among Nursing students in selected College at Mysuru.

OBJECTIVES:

1. To assess the knowledge regarding Zika virus disease and it’s management among Nursing students.

2. To access the effectiveness of structured teaching programme on knowledge regarding Zika virus disease and it’s management among Nursing students.

3. To find out association between pre-test knowledge level regarding Zika virus disease and it’s management among Nursing students with their selected personal variables.

NEED FOR THE STUDY:

Health care service providers are work to augment efforts to protect the public from the impact of epidemic events. While constituting the major health care task force, nurses are frequently tasked with fronting the response to an infectious disease outbreak. Given the crucial role of nurses in the management of prevailing epidemic the constituents of their preparedness in epidemic events should be identified. Thus the nursing students should have good body of knowledge regarding Zika virus disease and its management in order to provide effective and comprehensive care to the patients.⁴

The zika virus is a mosquito transmitted infection. It is now known that Zika virus infection, during pregnancy can cause birth defect in new born called microcephaly condition defined by small head and brain damage, Along with other defects like blindness, deafness, seizures and other congenital defects.⁵

As per the census done by WHO on 22 June 2016, 61 countries and territories report continuing mosquito bone transmission of which; 47 countries are experience first outbreak of zika virus since 2015, with no previous evidence of circulation and with ongoing transmission by mosquitoes. 14 countries reported evidence of Zika virus transmission between 2007 and 2014 with ongoing transmission. 10 countries are reported evidence of person to person transmission of Zika virus probably be a sexual route. As of the 22 June 2016 microcephaly and other central nervous system malformations potentially associated with Zika virus infection suggestive of congenital infection have been reported by 12 countries or territories. In the contest of Zika virus circulation 13 countries and territories worldwide have reported and increased incidence of Guillain barre syndrome. Based on the research to date there is scientific consensus that Zika virus is a cause of microcephaly and Guillain barre syndrome. An estimation of 13000 infection has been reported in world widely, 42 cases were of Guillain barre syndrome, with 12 leading respiratory assistance, 16 patients admitted to intensive care and the median duration of hospital stay was 51 days. Only 24 patients (57%) are able to walk without assistance. Considering the currently confirmed cases of microcephaly and related death associated with zika virus in Brazil, the estimated fatality rate is 8.3% (95%).⁶

HYPOTHESES:

H ₁: There will be a significant difference between the mean pre- test and post- test knowledge score regarding Zika virus disease and it’s management among Nursing students.

H ₂: There will be a significant association between level of pre- test knowledge score regarding Zika virus disease and it’s management among Nursing students

METHADOLOGY:

Research methodology implies method for collecting, processing and analysis of research data.

RESEARCH APPROCH:

Research approach implies a set of methods and technique for designing a study or collecting analysing a data (quantitative data). The evaluative approach is used in this study. The main objective of the study is to assess the effectiveness of administering structured teaching programme among Nursing students.

RESEARCH DESIGN:

Research design selected for the study is pre experimental, one group pre test and post test design.

VARIABLES OF THE STUDY:

Independent Variable: structured teaching programme Dependant variable: knowledge of Nursing students regarding Zika virus disease.

SETTING OF THE STUDY:

In this study the setting is BGS Apollo College of Nursing, Mysuru

POPULATION:

Population is the entire aggregation of cases in which the researcher is increases. In the present study population comprises of Nursing students studying in BGS Apollo College of Nursing, Mysuru.

SAMPLE AND SAMPLING:

Sample of subset population selected to participate in research study. The sample for the present consist of 60 students studying in BGS Apollo College of Nursing, Mysuru.

SAMPLING TECHNIQUE:

Non probability simple random sampling technique was used in present study.

RESULTS:

SECTION 1

Table 1: FREQUENCY AND PERCENTAGE DISTRIBUTION OF NURSING STUDENTS ACCORDING TO THEIR SELECTED DEMOGRAPHIC VARIABLES n = 60

SL No

DEMOGRAPHIC VARIABLES

FREQUENCY (f)

PERCENTAGE (%)

Age in years

1.1) 18

1.2) Above 18

48.3

51.7

Gender

2.1) Male

2.2) Female

11.7

88.3

Religion

3.1) Christian

3.2) Hindu

66.7

33.3

Type of family

4.1) Nuclear

4.2) Joint

81.7

18.3

Income of family per month in Rupees

5.1) Rs 6000 & Below

5.2) Above Rs 6000

31.7

68.3

Hygienic condition of house

6.1) Hygienic

6.2) Unhygienic

100

Presence of Mosquito breeding places

7.1) Present

7.2) Absent

33.3

66.7

Place of residence

8.1) Urban

8.2) Rural

Previous knowledge regarding zika virus

9.1) Yes

9.2) No

21.7

78.3

Table 3 shows that in pre test majority 76.7% of them have poor knowledge, 23.3% were have average knowledge and none of them have good knowledge were as in the post test both good knowledge and average knowledge level was 50%.

Table 3: Mean, median, range, standard deviation of pre test and post test knowledge scores of Nursing students regarding Zika virus disease. n= 60

Test	Mean	Median	Range	SD
Pre test	10.25	10	4-17	±2.56
Post test	19.03	19	13-26	±3.23

Data presented in table 2 shows that the pre test knowledge scores ranged from 4-17. The mean pre test knowledge score is 10.25 with a standard deviation of ±2.56. The median score is 10. The post test knowledge score is 19.03, the standard deviation of ±3.23 and the median of 19.

Table 4: Mean, mean difference, paired ‘t’ test and pre test and post test knowledge scores of Nursing students regarding Zika virus disease and it’s management. n-60

Knowledge score

Mean

Mean difference

SD difference

Paired ‘t’ test value

Pre test

10.25

8.78

±0.67

19.54*

Post test

19.03

t ₅₉= 2.0010; p < 0.5 * significant

The data presented in table 4 shows that the mean difference between pre test and post test knowledge score is 8.78. This indicates an increase in knowledge score after under going structured teaching programme. To find the significance of gain in knowledge paired ‘t’ test was computed and the obtained value of ‘t’₍₅₉₎: 19.54 was found to be significant at 0.05 level of significance. So the researcher inferred that research hypothesis is accepted and null hypothesis rejected.

Findings related to association of level of knowledge of nursing students with their personal variables:

The computed chi square value for association between pre test level of knowledge of nursing students was found to be statistically significant at 0.05 level for previous knowledge regarding zika virus disease. But other personal variables like age, gender, religion, type of family, monthly income, hygienic condition, mosquito breeding places and place of residence were no found to be statistically significant at 0.05 level of significance. So the researcher partially accepted the research hypothesis and partially rejected the null hypothesis.

RECOMMENDATIONS:

1. Large scale study can be conducted to generalize the findings

2. A similar study can be conducted by adopting

3. A comparative study can be conducted on knowledge regarding zika virus disease and its management among pregnant women.

4. A similar survey may be replicated on a large sample for better generalization of result

CONCLUSION:

The result of the study reveal that the significance of difference between the mean pre-test and mean post-test scores which was statistically tested using paired 't' test. The mean difference between the mean pre-test and mean post -test knowledge scores was 8.7 with standard deviation difference 0.67. The paired 't' test (59) 19.54 which was found to be highly significant at 0.05 level of significance.

Therefore, the study concluded that the administration of structured teaching programme was an effective method of improve the knowledge of Nursing students regarding zika virus and its management.

ACKNOWLEDGEMENT:

This a project conducted by IV year BSc (N) students of JSS College of Nursing by Ms. Fadumo Ms. Giby mol Chacko, Ms. Gopika Gopalakrishnan, Ms. Helana Mathai, Ms. Jilsha James, Ms. Jisa M Thomas, Ms. Jismi Jose.

REFERENCES:

1. The online journal of issues in nursing; Annie wilson, PHD; Zika virus epidemic public health role of nurses. Vol 22. 2017

2. http://www.en.m.wikepedia.org>wiki>Zika

3. http://www.cdco .gov>zika>pregnancy

4. www.bccdc.ca>health-info>zika virus

5. www.WHO.int>zika-virus>app

6. Centers for disease control and prevention. <ministry of health> “ population- based surveillance of birth defect potentially related to zika infection” January 26, 2018> morbidity and mortality weekly report.

Received on 13.06.2019 Modified on 26.06.2019

Int. J. of Advances in Nur. Management. 2019; 7(3):197-200.

DOI: 10.5958/2454-2652.2019.00046.5

Knowledge score	Pre test		Post test
Knowledge score	Frequency(f)	Percentage (%)	Frequency (f)	Percentage (%)
Poor	46	76.7	0	0
Average	14	23.3	30	50
Good	0	0	30	50