A Comparative Study on the Efficacy of Two Teaching Strategies on the care of client with Hemodialysis in terms of Knowledge among the students of selected schools of Nursing, Belgaum District. Karnataka

 

Sadiq Ahmed Shaikh

Professor and HOD, Department of Medical Surgical Nursing, Al-Ameen Fathima College of Nursing,

Al-Ameen Medical College Campus, Athani Road, Vijayapur, Karnataka.

*Corresponding Author Email:

 

ABSTRACT:

A comparative study was conducted in selected schools of nursing among students on the care of client with hemodialysis with one group pre-test; post-test design.

The aims of the study were

1.     To assess the level of knowledge regarding the care of client with hemodialysis among students as measured by structured questionnaire.

2.     To prepare and administer the teaching strategies namely computer assisted learning and lecture method learning.

3.     To evaluate the efficacy of teaching strategies among students in terms of gain in knowledge.

4.     To compare the outcome of two teaching strategies in terms of knowledge.

The structured questionnaire was used to assess the level of knowledge regarding the care of client with hemodialysis among nursing students. Computer assisted learning and lecture method learning delivered after the pre-test to two different groups. Then post-test was conducted with the interval of seven days to assess the level of gain in knowledge score on the same group. In these two different groups of 30 subjects, there was significant increase in the post-test knowledge score in computer assisted learning and lecture method. The gain in knowledge score was statistically significant at p*>0.05 level and calculated unpaired ‘t’=4.38. Result findings, revealed that computer assisted learning was effective to enhance the knowledge of subjects on the care of client with hemodialysis.

 

KEYWORDS: Computer assisted learning, Effectiveness of computer assisted learning, Importance of computer assisted learning, Lecture method learning, Effective teaching strategies.

 

 

INTRODUCTION:

Learning is permanent change in behavior that occurs as a result of practice or experience. In nursing education, Optimum learning situation have to be provided. Inquiry and discovery are needed.

 

The learning situation should develop potentials in a student nurse and enable them to achieve the goals and influence, their behavior in positive direction.

 

According to Thesaurus dictionary, teaching is giving knowledge to someone or instructing someone to learn.

 

Institution of higher learning across the nation are responding to political, economic, social and technological pressures to be more to students needs and more concerned about how well students are prepared to assume future roles.

 

A variety of approaches has been taken to the study of physiological substrates of learning. Computer assisted learning (CAL) covers a range of computer-based package, which aim to provide interactive instruction usually in a specific subjects area1.

 

Computer assisted learning (CAL) is to convey a vast amount of information in very short period of time. It is powerful method of reinforcing concepts and topics first introduced to students through discussion in classroom. This learning enables students in a powerful way to comprehend complex concept.

 

The lecture method is still the most frequency used method of instruction. The lecture method was the most widely used instructional strategy in college class rooms. Nearly 80% of all us college using lecture method learning as reported by Cashin, 19902.

In the K.L.E.S Prabhakar Kore Hospital 600 patients receives hemodialysis each month and II year General nursing and Midwifery students curriculum includes hemodialysis and these teaching strategies will enable them to give Holistic nursing care to client with hemodialysis.

 

MATERIALS AND METHODS:

In each group 30 subjects were taken by purposive sampling. Two teaching strategies were administered to the two different groups. Computer assisted learning to 30 subjects of K.L.E.S. Institute of nursing sciences, Belgaum. And Lecture method learning to J.G. Co-operative school of nursing, Ghataprabha. Structured questionnaire were administered to identify gain in knowledge among two groups.

 

Figure-1: Conceptual Framework based on Ludwig von Bertalanffy open System Theory (1969)

 

RESULTS:

1.     Pretest conducted among 30 subjects 13.34%had poor knowledge, While 20.00% had good knowledge whereas 66.66% had average knowledge score and in post-test 100% had good knowledge score through computer assisted learning.

2.     Pre-test conducted among 30 subjects 13.33% had good knowledge while 53.34% had average knowledge and 33.33% had poor knowledge score and in post-test 83.34% had good knowledge, 16.66% had average knowledge and none had poor knowledge score through lecture method learning.

3.     Among two different groups of subjects, there was significant increase in the post test knowledge score through computer assisted learning than post-test knowledge score through lecture method learning was statistically significant at p*>0.05 level and calculated unpaired ‘t’=4.38.

Therefore computer assisted learning on the care of client with hemodialysis was more effective than lecture method learning to improve the knowledge of the subjects.

 

DISCUSSION:

The finding of the study represents minimum score in the area of care during hemodialysis while in the post-test maximum score was obtained in the same area. The reason could be due to enhancement of effective learning through computer. The results were supported with study done by cooper.v. Which revealed that streamed video has potential to provide students with greater access to real life situation.

 

Fig 2 : Bar Diagram Showing Distribution of knowledge scores of subjects on the care of client with hemodialysis through computer assisted learning

 

Fig 3: Bar diagram showing distribution of Knowledge scores of subjects on the care of client with hemodialysis through lecture method learning

 

Figure- 2 Depicts that in the pre-test only 20.00% had good knowledge while in the post-test there was enhancement of 100% knowledge score. This could be attributed to the cause that, much attention was paid by the subjects through visualization of computer assisted teaching. These findings were supported with findings of Anderson spickard which revealed that, on time computer learning is feasible and effective method to teach students.  

 

Figure- 3 shows that in the pretest 13.33% had good knowledge which was enhanced 83.34% through lecture method learning. This could be attributed to the cause that lecture method learning is planned expository address on some particular topic by which student can learn effectively.

 

 

Table - 1 reveals that there was significant increase in post-test knowledge scores through computer assisted learning. The gain in knowledge score was statistically significant at p*>0.05 level and calculated paired ‘t’ =61.39. Findings reveals that computer assisted learning on the care of client with hemodialysis was effective to improve the knowledge of subjects under study.

 

There was increase in the post test knowledge scores. The gain in knowledge score was statistically significant at p*>0.05 level and calculated paired‘t’=24.05 hence lecture method learning on the care of client with hemodialysis was effective to improve the knowledge of subjects under study.

 

Table-1 also reveals that there was significant increase in the post-test knowledge score in computer assisted learning than post

Therefore it was reasonably concluded that computer assisted learning is an effective method in learning process.

 

Table-1: Mean difference (d), Standard error of difference (SEd),Hypothesis, paired ‘t’ and unpaired ‘t’ values of knowledge score on the care of client with hemodialysis.

Mean difference (d)

Standard error difference (SEd)

Paired ‘t’ values

Hypothesis

Calculated

Tabulated

11

0.179

61.39

1.960

H1

07

0.290

24.08

1.960

H2

 

 

Unpaired ‘t’

Value

 

04

0.111

4.38

1.960

H0

 p*>0.05                  df for paired ‘t’ test is 29                 df for unpaired ‘t’ test is 58

 

CONCLUSION:

From the present study following conclusion can be made.

1.     The investigator concluded that computer assisted learning on the care of client with hemodialysis was good method of teaching comparing to lecture method learning.

2.     Computer assisted learning is logical solution of the clients with hemodialysis.

3.     Computer assisted learning will enable students to provide holistic nursing care to hemodialysis client.

 

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Received on 12.01.2021             Modified on 20.08.2021

Accepted on 18.01.2022        ©A&V Publications All right reserved

Asian J. Nursing Education and Research. 2022; 12(2):187-190.

DOI: 10.52711/2349-2996.2022.00037