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Video-Assisted Teaching on Breast Crawl among Nursing students PUBLICATION

Authors:
  • Nitte Usha Institute of Nursing Sciences, Mangalore

Abstract

Abstract Background:. UNICEF, WHO and WABA, along with the scientific community, strongly recommend initiating breastfeeding within a half-hour of birth. Evidence shows that early initiation can prevent 22% of all deaths among babies below one month in developing countries. Every newborn, when placed on her mother's abdomen, soon after birth, has the ability to find her mother's breast all on her own and to decide when to take the first breastfeed. This is called the 'Breast Crawl'. Materials and Methods: An experimental approach with one group pre-test post test design was used for the study. The sample comprises of 60 nursing students who meets inclusion criteria were selected using Random sampling technique.pre test was conducted with structured knowledge questionnaire ,followed by administered the video assisted teaching programme on breast crawl. Post test was conducted after 7 days of intervention by using same tool Result. The collected data were analyzed using descriptive & inferential statistics The findings of the data showed that the mean post test knowledge of subjects were significantly higher than their mean pre test knowledge scores after the administration of video assisted teaching. (‘t’ value 14.93, P> 0.05).No association was found Conclusion: A baby is born with many instinctive abilities which enable her to perform the Breast Crawl. Hence video assisted teaching is very essential and beneficial in nursing field to educate nursing students Key words: Effectiveness Breast Crawl, Video Assisted Teaching Programme, Nursing students
Effectiveness of Video-Assisted Teaching on Breast Crawl among Nursing
students of selected Nursing Institute at Mangalore.
Mrs. Soumya George &Mrs. Shynee Paul
“Senior Lecturer, College Of Nursing, ACME, Pariyarum, Kerala,
“Professor, Department Of Obstetrics &Gynaecological Nursing, Nitte Usha Institute of
Nursing Sciences, Nitte University, Mangalore, Karnataka,India.
Correspondence
Mrs.Shynee Paul
“Professor , Department Of Obstetrics &Gynaecological Nursing
Nitte Usha Institute Of Nursing Sciences, Nitte university, Mangalore, Karnataka.
Mobile: 9886804873 E-mail: shinypl@yahoo.com
Abstract
Background:. UNICEF, WHO and WABA, along with the scientific community, strongly
recommend initiating breastfeeding within a half-hour of birth. Evidence shows that early
initiation can prevent 22% of all deaths among babies below one month in developing
countries. Every newborn, when placed on her mother's abdomen, soon after birth, has the
ability to find her mother's breast all on her own and to decide when to take the first
breastfeed. This is called the 'Breast Crawl'.
Materials and Methods: An experimental approach with one group pre-test post test design
was used for the study. The sample comprises of 60 nursing students who meets inclusion
criteria were selected using Random sampling technique.pre test was conducted with
structured knowledge questionnaire ,followed by administered the video assisted teaching
programme on breast crawl. Post test was conducted after 7 days of intervention by using
same tool
Result. The collected data were analyzed using descriptive & inferential statistics The
findings of the data showed that the mean post test knowledge of subjects were significantly
higher than their mean pre test knowledge scores after the administration of video assisted
teaching. (‘t’ value 14.93, P> 0.05).No association was found
Conclusion: A baby is born with many instinctive abilities which enable her to perform the
Breast Crawl. Hence video assisted teaching is very essential and beneficial in nursing field
to educate nursing students
Key words: Effectiveness Breast Crawl, Video Assisted Teaching Programme, Nursing
students
Introduction
UNICEF and its partners are highlighting a natural occurrence called the ‘breast crawl’,
which can benefit mothers and newborns around the world. . A baby is born with many
instinctive abilities which enable her to perform the Breast Crawl. The breast crawl is the first
skin-to-skin contact the baby has with the mother right after the birth. All newborns, when
placed on the mother’s abdomen soon after birth, have the ability to crawl to their mother’s
breast and begin feeding on their own Evidence shows that early initiation can prevent 22%
of all deaths among babies below one month in the developing countries. The benefits of
using video in education includes providing a sensory experience that allows concepts and
ideas to actually become an experience and come to life as students are guided through
each adventure.
OBJECTIVES
To assess the existing knowledge on breast crawl among nursing students.
To determine the effectiveness of video assisted teaching programme on breast
crawl.
To determine the association between knowledge on breast crawl and selected
demographic variables
Materials &methods
Research Approach: Quantitative (Experimental).
Research Design: One group pre-test and post-test design (pre experimental).
Sample Size: 60 Nursing students who met the inclusion criteria were selected as
sample.
Sampling Technique: Random sampling.
Data collection instrument: Structured knowledge questionnaire, Video-Assisted
Teaching, Demographic Performa.
Result
Distribution of samples according to demographic characteristics:
n=60
Sample Characteristics Frequency Percentage (%)
1. Gender
Male
Female
5
55
8
92
2. Age in years
17-20
21-24
25-28
0
60
0
0
100
0
3. Education
B. Sc nursing
GNM
30
30
50
50
4. Exposure to educational
programme on breast crawl.
Yes
No
0
60
0
100
5. Clinical experience in months
0 - 1 month
1 - 2 months
2 - 3 months
0
30
30
0
50
50
SCORE
Score range Frequency Percentage (%)
Very good
( 25 - 32 )
0 0
Good
( 17 - 24 )
26 43
Average
( 9 - 16 )
33 55
Poor
( 0 - 8 )
1 2
Effectiveness of video assisted teaching on knowledge of Breast Crawl
In order to determine the effectiveness of video assisted teaching, the significance of
difference between the mean of pre-test and post-test knowledge scores of sample was
computed using a Paired ‘t’ test.
Mean, Mean Difference, Standard error of Difference, and‘t’ value of pre-test
and post-test knowledge scores of subjects.
Mean Mean Difference SED df t’ value L.O.S
Pre-test
15.68
8.22 0.047 59 14.93
P<0.05
H.S
Post-test 23.90
t’ (tab 59 =2.00) p < 0 .05 H.S - Highly significant
The mean post-test knowledge scores of subjects were significantly higher than their mean pre
test knowledge scores after the administration of video assisted teaching (‘t’ calculated value of
pre-test and post test knowledge scores = 14.93, p<0.05.). Hence the research hypothesis was
accepted indicating that the video assisted teaching had been the effective method in increasing
the knowledge of the subjects
There was no significant association between knowledge of Breast Crawl and selected
demographic variable i.e. education and clinical experience
Discussion
Being a new research study in the area of early initiation of breast feeding, the researcher lack
exact review of effectiveness of video assisted teaching on Breast Crawl. The findings are
Consistent with the experimental study conducted in Udupi district among 50 General Nursing
students to determine the effectiveness of video teaching as an educational package programme
on management of aggressive patients. The study findings revealed that there was a significant
Difference between knowledge and skill scores [t = 22.62, p<0.05] and also there was a
Significant difference between the mean pretest and post test skill scores [t = 63.76 p<0.05].
Conclusion
Many health personnel in maternity services are probably not aware of implementing the
recommendation to ‘Initiate breastfeeding within half an hour of birth’. Even in those places
where health professionals are well informed and keen to initiate breastfeeding within half an
hour of birth, awareness of Breast Crawl is lacking .The Phenomenon is proving to be a
breakthrough in overcoming commonly encountered problems in early breastfeeding.
Provide the information to parents and birth attendants so they can create the quiet, calm
Unobtrusive environment to allow this event of the ‘breast crawl’ to occur. There are many
benefits to using video in education as shown in several decades of research.
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