Effectiveness of Educational Program on Nurse's Knowledge Concerning Management of Cardiogenic Shock at AL-Mosul Teaching Hospitals

Abstract

Background: Cardiogenic shock resulting from an inadequate circulation of blood due to primary failure of the ventricles of the heart to function effectively. As this is a type of circulatory shock, there is insufficient perfusion of tissue to meet the demands for oxygen and nutrients. Cardiogenic shock is a largely irreversible condition and as such is more often fatal than not. The condition involves increasingly more pervasive cell death from oxygen starvation (hypoxia) and nutrient starvation (e.g. low blood sugar). Because of this, it may lead to cardiac arrest (or circulatory arrest), Nurses, physicians and others health team need to work together to develop a rapid and well-organized treatment approach to this devastating condition.Objective: The present study aimed to assess the effectiveness of an educational program on nurse's knowledge concerning management of cardiogenic shock.Methodology: A quasi-experimental design study was carried out at AL-Mosul teaching hospitals from March 9th 2015 to July 1st of 2015. The program and instruments constructed and developed by the researcher to measure the purpose of the study. Random sample comprised of (50) nurse was divided into two groups, study group consisted (25) nurse exposed to the nursing educational program and control group consisted (25) nurse were not exposed to the program.The measurement of the effectiveness of nursing educational program on nurses' knowledge the researcher use knowledge test includes (44) items concerning with assessment knowledge for nurses related to management of patients with cardiogenic shock. Reliability of instrument tools was determined through the use of test and retest and the instrument validity was determined through a panel of experts. The analysis of data was performed through the application of description statistic (Frequencies, Percentages, and cumulative percents, Mean of Score, Standard Deviation, Relative Sufficiency) and Inferential statistical (Chi-Square test, Fisher Exact Probability test to present the differences between the study and control groups).Results: The results of the study showed that there is good improvement with highly significant differences in study group between pre and post tests in overall main domains. for the nurses' knowledge.Conclusion: The study Concluded that that inadequate nurses' knowledge in the medical department (coronary care unit, medical ward and emergency department) toward management of patient with Cardiogenic shock.Recommendation: The study recommended that an educational program can be designed and constructed for nurses through the program ,an emphasis can be directed and oriented in management of patient with Cardiogenic shock should be included continuous training for all nursing staff who work in medical department(coronary care unit, medical ward and emergency department).