International Journal of Science and Research (IJSR) ISSN (Online): 2319-7064 Impact Factor (2012): 3.358 Volume 3 Issue 12, December 2014 www.ijsr.net Licensed Under Creative Commons Attribution CC BY Efficacy of Planned Teaching Regarding Care of Patients with Chest Tube Drainage among Nurses Vaishali Sukhdeorao Soge 1 , Ancy Ramesh 2 , Vidya Sahare 3 1 Final Year M.Sc Nursing Student, Kasturba Nursing College, Sevagram 2 Professor Cum Vice Principal, Kasturba Nursing College, Sevagram 3 Associate professor Kasturba Nursing College Sevagram Abstract: Chest drains are a widespread intervention for patients admitted to acute respiratory or cardiothoracic care areas. These are either inserted intraoperatively or as part of the conservative management of a respiratory illness or thoracic injury. Anecdotally there appears to be a lack of consensus among nurses on the major principles of chest drain management. Many decisions tend to be based on personal factors rather than sound clinical evidence. This inconsistency of treatment regimes, together with the lack of evidence- based nursing care, creates a general uncertainty regarding the care of patients with chest drains. Thus the present study was conducted to assess the efficacy of planned teaching regarding care of patients with chest tube drainage among staff nurses working in selected hospitals in Maharashtra. Methods: The researcher conducted the study using an evaluatory research approach.50 samples were selected through non probability convenient sampling from selected hospitals. The tool used for data collection was a self administered structured knowledge questionnaire. Results: Overall Mean percentage of pre test knowledge score was 51.94% and post test knowledge score was 80.68%. The mean percentage gain from pre and post test was 28.74%. The tabulated value for ‘z’ was 1.96. The calculated ‘Z’ value is much higher than the tabulated value which is statistically acceptable level of significance. Conclusion: The investigator concludes that the knowledge of the staff nurses was significantly improved after receiving the information in the form of planned teaching regarding care of patient with chest tube drainage. Keywords: Efficacy, planned teaching, Chest tube drainage, Nurses, care 1. Introduction Lungs are the vital organs for respiration. The lungs are covered by a double-layered serous membrane called pleura. They are the visceral and parietal pleurae. The space between the pleura contains pleural fluid which helps in lubrication and prevents friction between the lungs and chest wall [1]. A chest drain is a tube inserted through the chest wall between the ribs into the pleural cavity to allow drainage of air (pneumothorax), blood (haemothorax), fluid (pleural effusion) or pus (emphysema) out of the chest. The effective drainage of air, blood or fluid from the pleural space requires an adequately positioned drain and an airtight, one-way drainage system to maintain subatmospheric intrapleural pressure. This allows drainage of the pleural contents and re- expansion of the lung. Chest tube management includes the actions to keep the tube functioning properly, which is the prime role of nurses while caring for patients with chest tube drainage [2]. While caring a patient with a chest tube drainage the nurse requires problem solving skill and critical thinking ability. After the chest tube has been inserted, it is the nurse's responsibility to maintain a patent (clear) and intact pleural drainage system. Several complications can occur when managing a patient with a chest tube due to the carelessness of the health care professionals. It is important that nurses receive appropriate training in the management of chest drains and ensure that patients are cared for safely and competently [3]. Caring for a patient with a chest tube requires problem solving and knowledge application. Nursing care is mainly directed at maintaining patency and proper functioning of chest tube drainage system. Therefore nurses must have a comprehensive understanding about the operations of chest tube drainage system and requiring special attention to reduce the complications arising from chest tube drainage[4][5]. Learning is the addition of new knowledge and experience Interpreted in the light of past knowledge and experience. Teaching and learning is an integral part of nursing. Nurses have the responsibility to educate patients related to various aspects and keep themselves updated. Various teaching strategies are used to increase knowledge, such as lecturing, demonstration, discussion and self- education. These methods of self-education has an advantage over the others as the learner can educate himself at his own pace and it also stresses on rereading [6] 2. Review of Literature The purpose of review of literature is to generate research question to identify what is known and not known about a topic to identify a conceptual of theoretical tradition with in the bodies of literature and to describe method of inquiry used in earlier work including their success and short comings[7]. 3. Studies Related to Chest Tube Drainage and its Management Magner C, Houghton C, Craig M, Cowman S. (2013) Conducted a survey study to explore knowledge regarding Paper ID: SUB14327 1299