Effectiveness of SIM on Care of Patient with Craniotomy among Staff Nurses Working in Neurological Units

Abstract

Craniotomy is the most common surgical treatment for various neurological disorders. It involves the greater morbidity related to a wide variety of complications. The major survivors return back with various physical, psychological, emotional, social and spiritual disabilities after a period of hospitalization and rehabilitation. According to American Association of Neuroscience Nurses, the expected outcomes of 400 supratentorial and infratentorial craniotomies were: major complications rate is 13%, operative mortality rate is 1.7%, overall morbidity is 32% and major neurologic morbidity is 8.5%. A study conducted to evaluate the effectiveness of self-instructional module (SIM) on knowledge regarding care of patient with craniotomy among staff nurses working in neurological units at selected hospital, Bangalore. An evaluative approach and a pre experimental one group pre-test post-test design was adopted, Imogen King’s model was used as a conceptual framework for the study. A total of 50 staff nurses working in neurological units were selected by using non probability convenience sampling technique. Structured knowledge questionnaire was used to assess the knowledge in pre-test which was followed by implementation of self-instructional module. The post-test was conducted after 7 days using the same structured questionnaire to find out the effectiveness of self-instructional module. The results were described by using descriptive and inferential statistics. The overall findings of the study revealed that the SIM enable and empower staff nurses with adequate knowledge regarding care of patient with craniotomy. Thus the study concluded that SIM was significantly effective in improving the knowledge of staff nurses regarding care of patient with craniotomy, which in turn contribute to improve the patient’s outcome and total quality of patient’s life and well-being.