A Pre-Experimental Study to Evaluate the Effectiveness of Structured Teaching Programme on Knowledge and Attitude Regarding Robotic Cardiac Surgery among the Nursing Officers Working In Selected Hospitals Kolhapur, Maharashtra, India

Abstract

Background: The robotic cardiac surgery is one of the advanced types of technique, which is used in case of medical surgery in which the cardiac system is operated by very small openings in the wall of the thoracic. This method of advanced technology is very effective than open heart surgery, the reason of advantages behind this technique is the small devices and some advanced robot mechanism of controlling devices.  In this advanced technology of robotic cardiac surgery, the generally the da Vinci type of surgery is regularly applied for all type of cardiac surgery.

Aim: To evaluate the knowledge and attitude regarding the robotic cardiac surgery aimed at the Nursing officers, before & after administration of the STRUCTURED teaching program.

Methods: one group pretest-posttest, the pre-experimental design was used intended for the training. The non-probability sampling / Purposive sampling method was used for 60 nursing officers of selected hospitals, Kolhapur, Maharashtra, INDIA.

Results: The majority of the 60 nursing officers (80 percent) were between the ages of 21 and 30. The majority of the participants (49.7%) were female Nursing officers. The majority of nursing officers (58.3%) were qualified as general nurse-midwives. The majority of subjects (25%) had more than four years of work experience, and the majority of nursing officers (38%) knew English. Sixty percent of the Nursing officers (60%) worked in the private sector. The majority of the respondents (48 percent) had prior experience with in-service education.

The majority of the Nursing officers (48.3%) learned about robotic cardiac surgery during a symposium. In the pre-test, the majority of 45 (75%) Nursing officers had an average score for robotic cardiac surgery, and the majority of 35 (58.3%) Nursing officers had a negative attitude. Following the administration of the STP, the majority of the Nursing officers (43.7%, to be exact) had an adequate understanding of robotic heart surgery. The majority of nursing officers, 47 (78.3%) have a positive attitude toward robotic heart surgery.

The difference in knowledge and attitude scores between pre-and post-test is larger than the tabulated value (t tab=2.000). As a result, H₀₁ and H₀₂ are both rejected. At the 0.05 level, this shows that the growth in knowledge and attitude is statistically substantially higher than the pre-test knowledge and attitude scores. As a result, the structured teaching program (STP) on robotic heart surgery is successful in improving participants' knowledge and attitudes. Job experience is related to the pre-test knowledge score in the socio-demographic factors, thus H₀₃ is rejected. The pre-test knowledge score H₀₃ has a residual connection with socio-demographic variables, which is acknowledged. H₀₄ is rejected because Gender is linked to the pre-test attitude score. It is believed that there is still a link between socio-demographic variables and pre-test attitude score H₀₄. The study looked at the relationship between knowledge and attitude. The average knowledge scores were 8.7, and the average attitude scores were 53.90; the estimated r value is 0.23, which is lower than the table value (R tab=0.25). As a result, H₀₅ is approved. This implies that the knowledge and attitude scores on robotic heart surgery are unrelated.

Conclusion: The study revealed that the structured teaching program on robotic heart surgery was an effective method in improving the knowledge and attitude of nursing officers.