Naseema Shafqat Assistant Professor, Nursing College, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh 462020, India
Naseema Saman M.Sc. Nursing Student, College of Nursing, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh 462020, India
Patidar B Anurag Associate Professor, College of Nursing, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh 462020, India
Address for correspondence: Naseema Shafqat, Assistant Professor, Nursing College, All India Institute of Medical Sciences, Bhopal, Madhya Pradesh 462020, India E-mail: sapnaaa2018@gmail.com
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reusers to distribute, remix, adapt, and build upon the material in any medium
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How to cite this article: Naseema Saman, Patidar B Anurag, Naseema Shafqat. Impact of Nurse-Led Interventions on Nursing Officers’ Knowledge Regarding Intra-Aortic Balloon Pump Care: A True Experimental Study. Int J Practical Nurs. 2024;
12(3):93-101.
Timeline
Received : November 21, 2024
Accepted : December 21, 2024
Published : December 30, 2024
Abstract
Introduction: The intra-aortic balloon pump (IABP) is a vital circulatory support device used for critically ill patients with heart disease. Due to its extensive application, it is essential for nurses to have a thorough understanding of IABP management and patient care. This study aims to assess the impact of nurse-led interventions on improving nursing officers’ knowledge and skills in the care of patients with IABPs in a tertiary care hospital setting. Materials and Methods: A randomized controlled trial involving 64 participants was conducted employing a true experi-mental design with a Pre-test-post-test control group. Participants were randomly assigned to either the Experimental or Control group using a coin-flipping method. In the Experimental group, partici-pants received a 60-minutePowerPoint-based lecture cum discussion session specifically focused on IABP care. Preand post-intervention knowledge data were collected using a self-structured ques-tionnaire from both groups. Data analysis involved paired and unpaired t-tests to compare knowledge scores within and between groups. Results: The findings reveal that out of 64 participants, 16(26.6%) had very low knowledge,
26(43.3%) had low knowledge, 18(30%) had average knowledge and none 0(0%) had high knowledge in pre-test. Post intervention, the mean knowledge score increased from 52.67 (pre-test) to 87.33 (post-test) in the Experimental group whereas the mean knowledgescore was slightly increased from 46.53 (pre-test) to 49.20 (post-test) in the Control group Conclusion: This study provides direct evidence supporting the effectiveness of nurseled interventions in enhancing nursing officers’ knowledge regarding the care of patients with Intra-Aortic Balloon Pumps.
References
1. Den Uil CA, Dos Reis Miranda D, Van Mieghem NM, Jewbali LS. A niche indication for intraaortic balloon pump counterpulsation. JACC: Cardiovascular Interventions Internet. 2017 Jul cited 2024 Nov 1;10(14):e133–4. Available from: https://linkinghub.elsevier.com/retrieve/pii/ S1936879817307756
3. Gillespie LE, Lane BH, Shaw CR, Gorder K, Grisoli A, Lavallee M, Gobble O, Vidosh J, Deimling D, Ahmad S, Hinckley WR, Brent CM, Lauria MJ, Gottula AL. The Intra-aortic Balloon Pump: A Focused Review of Physiology, Transport Logistics, Mechanics, and Complications. J Soc Cardiovasc Angiogr Interv. 2024 Feb 18;3(5):101337. doi: 10.1016/j.jscai.2024.101337
4. Parissis h, graham v, lampridis s, lau m, hooks g, mhandu pc. iabp: history-evolutionpathophysiology-indications: what we need to know. j cardiothorac surg. 2016 aug 4;11(1):122. doi: 10.1186/s13019-016-0513-0. pmid: 27487772; pmcid: pmc4972967.
5. Meharwal ZS, Trehan N. Vascular complications of intra-aortic balloon insertion in patients undergoing coronary reavscularization: analysis of 911 cases. Eur J Cardiothorac Surg Internet. 2002;21(4):741–7. Available from: http://dx.doi.org/10.1016/s1010- 7940(02)00034-9
6. de Jong MM, Lorusso R, Al Awami F, Matteuci F, Parise O, Lozekoot P, Bonacchi M, Maessen JG, Johnson DM, Gelsomino S. Vascular complications following intra-aortic balloon pump implantation: an updated review. Perfusion. 2018 Mar;33(2):96- 104. doi: 10.1177/0267659117727825. Epub 2017 Aug 17. PMID: 28816093; PMCID: PMC5844455.
7. Zemaitis MR, Boll JM, Dreyer MA. Peripheral Arterial Disease. Updated 2023 May 23. In: StatPearls Internet. Treasure Island (FL): StatPearls Publishing; 2024 Jan-. Available from: https:// www.ncbi.nlm.nih.gov/books/NBK430745/
8. Hart T, Milner R. Ischemic leg following IABP insertion: Timing of diagnosis and treatment. In: Difficult Decisions in Surgery: An EvidenceBased Approach. Cham: Springer International Publishing; 2019. p. 693–702. https://doi.org/10.1007/978-3-030-04146-5_45
9. Arafa OE, Pedersen TH, Svennevig JL, Fosse E, Geiran OR. Vascular complications of the intraaortic balloon pump in patients undergoing open heart operations: 15-year experience. The Annals of Thoracic Surgery Internet. 1999 Mar cited 2024 Sep 24;67(3):645–51. Available from: https://linkinghub.elsevier.com/retrieve/pii/ S0003497598012727
10. Watkins T, Whisman L, Booker P. Nursing assessment of continuous vital sign surveillance to improve patient safety on the medical/surgical unit. J Clin Nurs. 2016 Jan;25(1-2):278-81. doi: 10.1111/jocn.13102. Epub 2015 Nov 4. PMID: 26531215; PMCID: PMC4738424.
11. Unverzagt S, Buerke M, de Waha A, Haerting J, Pietzner D, Seyfarth M, Thiele H, Werdan K, Zeymer U, Prondzinsky R. Intra-aortic balloon pump counterpulsation (IABP) for myocardial infarction complicated by cardiogenic shock. Cochrane Database Syst Rev. 2015 Mar 27;2015(3):CD007398. doi: 10.1002/14651858.CD007398.pub3. PMID: 25812932; PMCID: PMC8454261.
12. Institute of Medicine (US) Committee to Design a Strategy for Quality Review and Assurance in Medicare. Medicare: A Strategy for Quality Assurance: Volume 1. Lohr KN, editor. Washington (DC): National Academies Press (US); 1990. PMID: 25144047.
13. Farokhzadian J, Jouparinejad S, Fatehi F, FalahatiMarvast F. Improving nurses’ readiness for evidence-based practice in critical care units: results of an information literacy training program. BMC Nurs. 2021 May 18;20(1):79. doi: 10.1186/ s12912-021-00599-y. PMID: 34001116; PMCID: PMC8130418.
15. IBM Corporation. (2013). IBM SPSS Statistics (Version 22) Computer software. IBM Corporation
16. Kolmogorov–Smirnov test. In: Wikipedia Internet. 2024 cited 2024 Nov 1. Available from: https:// en.wikipedia.org/w/index.php?title=Kolmogorov %E2%80%93Smirnov_test&oldid=1245231697
17. Ghafoor Y, Bilal A. Validity of standardized guidelines of intra-aortic balloon pump care among nurses on hospital stay of cardiac patients: standardized guidelines of intra-aortic balloon pump care. NURSEARCHER (Journal of Nursing & Midwifery Sciences) Internet. 2022 Dec 31 cited 2024 Sep 29;21–5. Available from: https://www. nursearcher.com/index.php/nrs/article/view/16
18. National Academies of Sciences, Engineering, and Medicine; National Academy of Medicine; Committee on the Future of Nursing 2020–2030; Flaubert JL, Le Menestrel S, Williams DR, et al., editors. The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity. Washington (DC): National Academies Press (US); 2021 May 11. 7, Educating Nurses for the Future. Available from: https://www.ncbi.nlm.nih.gov/books/ NBK573912/
19. Kulju E, Jarva E, Oikarinen A, Hammarén M, Kanste O, Mikkonen K. Educational interventions and their effects on healthcare professionals’ digital competence development: A systematic review. International Journal of Medical Informatics Internet. 2024 May cited 2024 Nov 1;185:105396. Available from: https://linkinghub.elsevier.com/ retrieve/pii/S1386505624000595
20. Chaker R, Hajj-Hassan M, Ozanne S. The Effects of Online Continuing Education for Healthcare Professionals: A Systematic Scoping Review. Open Education Studies. 2024;6(1): 20220226. https:// doi.org/10.1515/edu-2022-0226
21. Xue Y, Jia Y, Guo Y, Li X, Zhu Y, Sun X, et al. Impact of a targeted training program on nurses’ knowledge and practice of cardiovascular assistive devices. *J Cardiovasc Nurs*. 2018;33(3):245-51.
22. Neelavathi , Gnaarani J. Jaslina , Venkatesan Latha. Effectiveness of a capacity building programme regarding care of patient with intra-aortic balloon pump (iabp) among nurses. Apollo College of Nursing, chennai: TNNMC Journal of Medical & Surgical Nursing; 2020.
23. Abd El-Rahman Salah Mohamed, Amal Said Taha, Rasha Fathy Mohamed. To assess the Effect of Educational Guidelines on Nurses’ Performance regarding Caring of Patients with An IntraAortic Balloon Pump. journal of nursing science benha university Internet. 2022;4(2):912–25. Available from: https://jnsbu.journals.ekb.eg/ article_310633.html
24. Ghafoor Y, Sarwar H, Afzal M, Yaqoob A, Khan S, Ghafoor S. The effect of teaching programme on knowledge and caring practice of intra-aortic balloon pump patient among icu staff nurses. PJMHS Internet. 2022 Apr 26 cited 2024 Nov 1;16(4):273–5. Available from: https://pjmhsonline. com/index.php/pjmhs/article/view/812
25. Gillespie LE, Lane BH, Shaw CR, Gorder K, Grisoli A, Lavallee M, Gobble O, Vidosh J, Deimling D, Ahmad S, Hinckley WR, Brent CM, Lauria MJ, Gottula AL. The Intra-aortic Balloon Pump: A Focused Review of Physiology, Transport Logistics, Mechanics, and Complications. J Soc Cardiovasc Angiogr Interv. 2024 Feb 18;3(5):101337. doi: 10.1016/j.jscai.2024.101337.
26. Vaismoradi M, Tella S, A Logan P, Khakurel J, Vizcaya-Moreno F. Nurses’ Adherence to Patient Safety Principles: A Systematic Review. Int J Environ Res Public Health. 2020 Mar 19;17(6):2028. doi: 10.3390/ijerph17062028. PMID: 32204403; PMCID: PMC7142993.
27. Deghan Manshadi S, Eisenberg N, Montbriand J, Luk A, Roche-Nagle G. Vascular Complications With Intra-aortic Balloon Pump (IABP): Experience From a Large Canadian Metropolitan Centre. CJC Open. 2022 Aug 19;4(11):989-993. doi: 10.1016/j. cjco.2022.08.008. PMID: 36444371; PMCID: PMC9700212.
28. Ali JM, Abu-Omar Y. Complications associated with mechanical circulatory support. Ann Transl Med Internet. 2020 Jul cited 2024 Sep 25;8(13):835– 835. Available from: http://atm.amegroups.com/ article/view/39874/html
29. Mackenzie DJ, Wagner WH, Kulber DA, Treiman RL, Cossman DV, Foran RF, et al. Vascular complications of the intra-aortic balloon pump. The American Journal of Surgery Internet. 1992 Nov 1 cited 2024 Nov 7;164(5):517–21. Available from: https://www.sciencedirect.com/science/article/ pii/S0002961005811924
30. Siriwardena M, Pilbrow A, Frampton C, MacDonald SM, Wilkins GT, Richards AM. Complications of intra-aortic balloon pump use: does the final position of the IABP tip matter? Anaesth Intensive Care. 2015 Jan;43(1):66-73. doi: 10.1177/0310057X1504300110. PMID: 25579291.
Data Sharing Statement
There are no additional data available. All raw data and code are available upon request.
Funding
This research received no funding.
Author Contributions
All authors contributed significantly to the work and approve its publication.
Ethics Declaration
This article does not involve any human or animal subjects, and therefore does not require ethics approval.
Acknowledgements
We would like to express our gratitude to the patients, their families, and all those who have contributed to this study.
Conflicts of Interest
No conflicts of interest in this work.
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Cite this article
How to cite this article: Naseema Saman, Patidar B Anurag, Naseema Shafqat. Impact of Nurse-Led Interventions on Nursing Officers’ Knowledge Regarding Intra-Aortic Balloon Pump Care: A True Experimental Study. Int J Practical Nurs. 2024;
12(3):93-101.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.
This license enables
reusers to distribute, remix, adapt, and build upon the material in any medium
or format for noncommercial purposes only, and only so long as attribution is
given to the creator.