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A Study to Assess the Effectiveness of Planned Teaching Programme on Knowledge Regarding Assisted Reproductive Technology among Gnm 3rd Year Students of Selected Schools of Nursing, Kanpur

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Stochastic Modeling & Applications
Vol. 26 No. 3 (January - June, Special Issue 2022 Part - 4)
236
Special Issue on Recent Research on Management, Applied Sciences and Technology
ISSN: 0972-3641
UGC CARE APPROVED JOURNAL
Received: 5th January 2022 Revised: 19th January 2022 Accepted: 10th February 2022
A STUDY TO ASSESS THE EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON
KNOWLEDGE REGARDING ASSISTED REPRODUCTIVE TECHNOLOGY AMONG GNM 3RD
YEAR STUDENTS OF SELECTED SCHOOLS OF NURSING, KANPUR, UTTAR PRADESH
MRS. JASMI MANU, MISS OSHEEN AND MISS NEETI GOYAL
ABSTRACT
ART bear to prolificacy therapeutics& plan of action that helps with perplexity or an inefficacy to coinlittle one.
ART techniques presuppose the control of ova, sperm and embryo to expansion the plausibility of a
flourishinggravid.Investigator found that nursing students have lack of knowledge regarding ART and related
procedures at the first level as they are abandoned the lifestyle changes. Accordingly, the analyzer is
implicatedto inculcate the nursing students concerning assisted reproductive technology related procedures and
their indications through planned teaching programe. The disquisition was supervised to appraise the potency
of organize illuminating programe on assisted reproductive technology out of GNM 3rd year student.to
determine the pretest knowledge regarding assisted reproductive technology among GNM 3rd year students, to
compare the knowledge score of the GNM 3rd year students in selected demographic data and to descry out the
consortium ally pretest knowledge score with vis elected demographic variable. 70 illustrative were collected by
utilizing non probability purposive sampling methodology through structured knowledge questionnaire the data
collected and analyzed based on descriptive and probable statistics. The quotient of the disquisition showed the
mean knowledge sum total mean pretest & posttest knowledgeamount on ART. Post-tests mean count (21.41)
was high when pretest mean (10.48) sum total of knowledge. The acquire t-value (35.63)>table merit at 0.05
degree of acceptation, which manifest i.e there is convincingvariance between pretest&posttest echelon of
knowledge in consequence the contrived research hypothesis H 1 was acquired. The test babbledi.e there was
no convincing association of realization at selected population tally variables like Age, type of food, religion,
type of family and place of stay. The observeinfered that designed assisted teaching programe was effectual
and improves the realization regarding assisted reproductive technology among GNM 3rd year students.
Keywords: Assisted reproductive technology planned teaching programme, nursing students.
INTRODUCTION
A child is a dream of every couple as it brings this means that to their lifestyles and huge satisfaction of having
blessed phase parenthood. Parenthood is a rudimentary human need. Every individual has a choice to grow to be
a figure and look after his or her children. The stress of the non-fulfillment of a need for an offspring has been
associated with emotional squeal which include anger, depression, anxiety, marital issues and feelings of
worthlessness. Partners also can moreover end up more stressful to conceive, sarcastically developing sexual
disease and social isolation and lots of various intellectual issues.1 Infertility is often defined as a failure that is
not assumed within a year, and is not regularly protected pillow. The steps in 20 months are optional, and some
couples can be imagined through a one-year threshold. Infertility is defined as a failure that is not assumed
within a year. The stone is not protected. Most infertility couples handle the progress of infertility control to not
process recent knowledge.2 Replication technology supports 4 million babies worldwide. Especially, it is the
most advanced infertile treatment form to support reproductive technology (art), which supports the test pipe
and supporting intracellular sperm injection. They include many consultants, health care, surgery and laboratory
procedures. In each other stage, even an expert with the most experienced artist and complications may cause
problems. Also, the patient with complex medical diseases can be her, which needs art and presenting the
problem of subsequent reproduction. This technology is him who stimulates thinking about the accident expert
accident when faced with these challenges.3 Other management options explain the evidence that allows you to
choose the most suitable solution for her needs of each patient. Over the years IVF remedy has visible many
modifications, and different alternatives were brought. Prepared sperm can be delivered into the uterus with the
aid of using intra-uterine insemination (IUI) on the time of ovulation, likely following ovarian stimulation. 1984
noticed the primary gamete intra-fallopian transfer (GIFT), wherein oocytes are accumulated then added into
the fallopian tubes collectively with organized sperm at laparoscopy. In 1986 zygote intra-fallopian transfer
(ZIFT) turned into brought; oocytes are amassed and fertilized withinside the laboratory, then transferred into
the fallopian tubes at laparoscopy. As the provision and effectiveness of IVF has increased, different remedies
together with GIFT and ZIFT have decreased, however IUI continues, even though with a few controversy
concerning its real price effectiveness.
Stochastic Modeling & Applications
Vol. 26 No. 3 (January - June, Special Issue 2022 Part - 4)
237
Special Issue on Recent Research on Management, Applied Sciences and Technology
ISSN: 0972-3641
UGC CARE APPROVED JOURNAL
OBJECTIVES
To assess efficacness of planned teaching programme on ARTamong GNM 3rd year students of selected
schools of nursing at Kanpur.
To determine pretest knowledge regarding assisted reproductive technology among GNM 3rd year students.
To compare knowledge score of the GNM 3rd year students in selected demographic data.
To find out association between pretest knowledge score with their selected demographic variable.
HYPOTHESIS
Null Hypothesis-
H01- There is no convincing association between selected demographic variable and knowledge before and
after education intervention of assisted reproductive technology among 3rd year GNM students
H02- There is a convincing association between pre-test knowledge score of 3rd year GNM students and
stipulatepopulation tally variables.
POSITIVE HYPOTHESIS-
H1 There is a significance difference between pretest & posttest knowledge score among 3rd year GNM
students in selected schools of nursing.
H2-There's significant alliance between pretest knowledge outcome of 3rd year GNM students and selected
demographic variables.
METHODOLOGY
Research approach- A
Quantitative approach
Research design-
A
Quasi experimental (one group pretest and posttest) research design
Setting of the Study- The research was done at selected schools of nursing Kanpur
St. Catharine's School of Nursing and SPM College of Nursing
Target population All GNM 3rdstudents, who are studying in Schools of Nursing Kanpur, Uttar Pradesh
Accessible population- All nursing students who are pursuing GNM 3rd year School of Nursing Kanpur, Uttar
Pradesh
Sample- Nursing students pursuing GNM 3rd year in School of Nursing Kanpur, Uttar Pradesh
Sample size- The sample bulk is 70.
Sampling technique- The non-probabilitypurposive sampling method was wield to select the sample.
Criteria for selection of the Sampling
INCLUSION CRITERIA
[1]
Nursing students who are willing to participate
[2] Nursing students who were studying in selected schools of nursing
[3] Nursing students who were obtainable at the schedule of data gathering
Exclusion criteria-
Nursing students who was not pursuing 3rd year
Description of tool- A SKQ was wield to assess the knowledge apropos assisted reproductive technique among
GNM 3rd year students
Section A- Socio Demographic variables
Section B- SKQ was wield to obtain the knowledge apropos assisted reproductive technique among GNM 3rd
year students
RESULTS
Table 1 Frequency & percentage distribution of nursing students according to pretest level n =70
Pretest knowledge
Frequency
Percentage
Inadequate
35
50.00%
Stochastic Modeling & Applications
Vol. 26 No. 3 (January - June, Special Issue 2022 Part - 4)
238
Special Issue on Recent Research on Management, Applied Sciences and Technology
ISSN: 0972-3641
UGC CARE APPROVED JOURNAL
Moderate adequate
35
50.00%
Adequate
00
00%
Total
70
100%
Figure (1): Pie diagram showing pre-test knowledge of GNM 3rd year students.
Pie diagram shows that out of 70 GNM 3rd year students, 35 (50.00%) had inadequate knowledge, 35 (50.00%)
had moderate adequate knowledge. No1 had adequate knowledge in pretest.
Table 2 Frequency & percentage distribution of nursing students according to their post-test level n =70
Post- test knowledge
Frequency
Percentage
Inadequate
00
00%
Moderate adequate
24
34.28%
Adequate
46
65.72%
Total
70
100%
Figure (2): Doughnut diagram showing post-test knowledge of GNM 3rd year
STUDENTS.
Doughnut diagram shows that out of 70 GNM 3rd year students, most of them 46 (65.72%) had adequate
knowledge, 24 (34.28%) had moderate adequate knowledge; no one had inadequate knowledge in post-test.
Table 3 Comparison of pre-test&post-test level of knowledge regarding assisted reproductive technology
among GNM 3rd year students
S. No.
Knowledge score
Standard deviation
1.
Pre- test
3.51
2.
Post-test
2.98
Stochastic Modeling & Applications
Vol. 26 No. 3 (January - June, Special Issue 2022 Part - 4)
239
Special Issue on Recent Research on Management, Applied Sciences and Technology
ISSN: 0972-3641
UGC CARE APPROVED JOURNAL
Figure (3): Pie diagram shows comparison of pretest & posttest degree of knowledge apropos assisted
reproductive technology among GNM 3rd year
STUDENTS
The over table shows comparison of pretest&posttest level of knowledge regarding assisted reproductive
technology. The posttest mean fount (21.41) weremore when compared with the pretest mean (10.48) fount of
knowledge.
Major Findings of the study
1. In pre test out of 70 samples 35 have inadequate, 35 have moderate adequate, 00 have adequate knowledge
on assisted reproductive technique.
2. In post test out of 70 sample 00 have inadequate, 24 have moderate adequate, 46 have adequate knowledge
on assisted reproductive technique
3. There was no significant association with knowledge&the demography variables of samples like age, type of
family, type of food, religion, and place to stay.
NURSING IMPLICATIONS:
The sloging of research have several intimation which are discussed in these areas-Nursing practices, nursing
education, nursing administration, nursing research.
NURSING RESEARCH:
1. It has been provided the first hand experience to the researcher who will be able to conduct and participate in
future research project.
2. It has generated a piece of nursing literature for reference for future researcher.
3. Detection of this studies will act catalyst to perform extra considerable research on the most important
samples in exceptional settings.
NURSING EDUCATION
Nursing curriculum offer medical revel in concerning conduction of planned teaching programme
approximately assisted reproductive era in diverse settings.
Present study emphasises that the health education regarding assisted reproductive technology is the key to
prevent complications of assisted reproductive technology. In order to train the patients, it is crucial that
nurses ought to be equipped and must have sound information to enhance the extent of information on
assisted reproductive technology & improved Extent of understanding canreflecte to public by education.
Provision should extent made for development of appropriate posters, pamphlets, booklets for education of
patients in local education
Nursing administration
Caregiver haddabble multifaceted bit part& their expertise toincorporatedexclusive knowledge regarding
assisted reproductive technology.
Nurseswill partake in people cognizance programme, information media & ministration should have
resourcefulness to organise education schemes for wealth distinctive regarding assisted reproductive
technology. Workshops, seminar, conference, puppet show can be arranged for patients.
Stochastic Modeling & Applications
Vol. 26 No. 3 (January - June, Special Issue 2022 Part - 4)
240
Special Issue on Recent Research on Management, Applied Sciences and Technology
ISSN: 0972-3641
UGC CARE APPROVED JOURNAL
District education departments shall take active steps to impart knowledge to nursing students by arranging
workshops and in-service on assisted reproductive technology.
NURSING SERVICES:
Nurses dabble important function promotive, restorative and precautionary aspects of sap heed system. The
nurses should deliver planned teaching programme regarding assisted reproductive technology at hospital &
community.
Health provider sloging in health care center should oneself deliver wealth education to clientele, they ought
to do planned teaching programe.
The discovery of the disquisition can be promulgate to motivate nurses to plan for planned teaching
programme regarding assisted reproductive technology.
CONFLICT OF INTEREST
The authors declare that they have no conflict of interest.
REFERENCES
1. Hazarika Dreamly, Baruah Jini Knowledge regarding assisted reproductive technology among infertile
couples. IJHRMLP, Vol: 04 No: 01 January, 2018.44-46
2. Adamson, G. D. et al. International committee for monitoring assisted reproductive technology: world
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3. Khaldoun Sharif, Arri Coomarasamy. Assisted Reproduction Techniques: Challenges and Management
Options, 2nd Edition. August 2021. 816
4. Sofia Amjad, Rehana Rehman. Assisted reproductive technologies (ART). Department of Physiology,
Ziauddin University, Karachi, Pakistan. Department of Biological & Biomedical Sciences, Aga Khan
University, Karachi, Pakistan.Available online 30 October 2020.
5. O.O. Ogunbode, G.O. Obajimi Assisted Conception Unit, Department of Obstetrics and Gynaecology,
University of Ibadan/ University College Hospital, Ibadan, Nigeria. Medical Journal of Zambia, Vol. 47,
(1): 8 - 15
6. Cooke JD. Randomised studies in intrauterine insemination. Fertil Steril 2004; 82: 27- 29
7. Sohrabvand F, Jafarabadi M. Knowledge and attitude of infertile couples about assisted reproductive
technology. Iranian journal of Reproductive Medicine 2005;3(2):90-94
8. Dr.sonia malik. The assisted reproductive technology-the india story. Jul14, 2016, 08-55.
9. De Kretzer D, Dennis P, Hudson B, Leeton J, Lopata A, Outch K, et al. Transfer of a human zygote.
Lancet. 1973;2(7831):7289.
10. Sullivan EA, Wang YA, Chambers G. Assisted reproductive technology in Australia and New Zealand
2008. Cat. no. PER 49. Canberra: AIHW, 2010.
AUTHOR DETAILS:
1MRS. JASMI MANU, 2MISS OSHEEN AND 3MISS NEETI GOYAL
1Principal and HOD of Obstetrics and Gynecological Nursing
2, 3M.Sc Nursing, Obstetrics and Gynecological Nursing, Faculty of Nursing, Rama University
ResearchGate has not been able to resolve any citations for this publication.
Article
Full-text available
There are different funding arrangements for fertility treatments between New Zealand (NZ) and Australia. In NZ, there are two options for patients accessing treatment: either meeting specified criteria for age, no smoking and BMI for publicly funding or funding their own treatment. This differs from Australia, which has no explicit eligibility criteria restricting access to fertility treatment. An analysis of assisted reproductive technology (ART) in Australia and NZ was undertaken to consider the impact of these different funding approaches. Data were extracted from the Australian and New Zealand Assisted Reproduction Database between 2004 and 2007. A total of 116 111 autologous fresh cycles were included. In Australia, more cycles were in women aged 40 years or older compared with those in NZ (23.5 versus 16.0%, P < 0.01). Single embryo transfer was more common in NZ than that in Australia, in women < 35 years of age (75.1 versus 59.6%, P < 0.01). In women <35 years, the crude rates of clinical pregnancy (37.5 versus 31.2%, P < 0.01) and live delivery (31.6 versus 26%, P < 0.01) following fresh ART cycles were significantly higher in NZ than that in Australia. These differences in outcomes persisted in older age groups. The purpose of the criteria used in NZ to access public funding for fertility treatments is to optimize pregnancy outcomes. This approach has resulted in a healthier population of women undergoing treatment and may explain the improved pregnancy outcomes seen in NZ couples who undergo fertility treatments.
Article
Objective To report the utilization, effectiveness, and safety of practices in assisted reproductive technology (ART) globally in 2011 and assess global trends over time. Design Retrospective, cross-sectional survey on the utilization, effectiveness, and safety of ART procedures performed globally during 2011. Setting Sixty-five countries and 2,560 ART clinics. Patient(s) Women and men undergoing ART procedures. Intervention(s) All ART. Main Outcome Measure(s) The ART cycles and outcomes on country-by-country, regional, and global levels. Aggregate country data were processed and analyzed based on methods developed by the International Committee for Monitoring Assisted Reproductive Technology (ICMART). Result(s) A total of 1,115,272 ART cycles were reported for the treatment year 2011. Imputing data for nonreporting clinics, 1,643,912 cycles resulted in >394,662 babies, excluding People's Republic of China. The best estimate of global utilization including People's Republic of China is approximately 2.0 million cycles and 0.5 million babies. From 2010 to 2011, the number of reported aspiration and frozen ET cycles increased 13.1% and 13.8%, respectively. The proportion of women aged ≥40 years undergoing nondonor ART increased from 23.2% in 2010 to 24.0% in 2011. As a percentage of nondonor aspiration cycles, intracytoplasmic sperm injection (ICSI) decreased slightly from 67.4% in 2010 to 66.5% in 2011. The IVF/ICSI combined delivery rates per fresh aspiration and frozen ET cycles were 19.8% and 21.4%, respectively. In fresh nondonor cycles, single ET increased from 30.0% in 2010 to 31.4% in 2011, whereas the average number of transferred embryos decreased from 1.95 in 2010 to 1.91 in 2011—again with wide country variation. The rates of twin deliveries after fresh nondonor transfers decreased from 20.4% in 2010 to 19.6% in 2011; the triplet rate decreased from 1.1%–0.9%. In frozen ET cycles performed in 2011, single ET was 51.6%, with an average of 1.59 embryos transferred and twin and triplet rates were 11.1% and 0.4%, respectively. The cumulative delivery rate per aspiration increased from 27.1% in 2010 to 28.0% in 2011. Fresh IVF/ICSI carried a perinatal mortality rate per 1,000 births of 21.0 in 2010 and 16.3 in 2011. This compared with a perinatal mortality rate after frozen ET of 14.6 per 1,000 births in 2010 and 8.6 in 2011. The data presented depend on the quality and completeness of data submitted by individual countries. This report covers approximately two-thirds of'world ART activity. Conclusion(s) Global ART utilization, effectiveness, and safety increased between 2010 and 2011.
Book
Assisted reproduction techniques have led to the birth of 4 million babies worldwide Assisted reproduction techniques (ART), in particular in-vitro fertilization and intra-cytoplasmic sperm injection, are the most advanced forms of infertility treatment. They involve numerous counseling, medical, surgical and laboratory-based steps. At each step various problems and complications could be encountered that challenge even the most experienced ART practitioners. Moreover, patients with complex medical disorders may require ART, presenting further challenges. Assisted Reproduction Techniques will stimulate resourceful thinking in the ART practitioner when faced with these challenges. It outlines various management options, the reasoning behind them, and the evidence on which they are based to enable the practitioner to choose the most suitable solution for the needs of each patient. Written by 122 internationally renowned experts, Assisted Reproduction Techniques follows the patient's journey throughout the whole ART process, with chapters on: Counseling and preparation Ovarian stimulation Oocyte retrieval Embryo transfer The luteal phase The ART laboratory The male patient The ART pregnancy Each of the 100 concise chapters includes clinical cases, background, evidence-based practical management options, preventive measures and key-point summaries of the important details.
Article
Background: Knowledge of infertile couples about assisted reproductive technology is a fundamental parameter to optimize the infertility treatment and conduct it cooperatively. Objective: To evaluate knowledge and attitude of infertile couples about assisted reproductive technology we designed a descriptive cross-sectional study. Materials and Methods: 400 infertile patients were investigated by a self-administered structured questionnaire about demographic data, infertility history, and several relevant variables in an out patient infertility clinic of a university hospital. The main outcome measurements included scoring the answers in the questionnaire regarding knowledge, and grouping the answers regarding attitude. Resulted data were analyzed in relation to patient's gender and treatment history, and educational, ethnic and religious groups. Results: Of 400 cases (251 women and 149 men) 167 patients (41.7%) were scaled to have good knowledge and 223 patients (55.7%) had a poor knowledge about ART. 74.6% of patients with advanced education and 30.3% of patients without advanced education were scaled to be good in knowledge. 45.6% of men, 43.4% of women and 64.8% of patients with a history of passing previous ART cycles had a good knowledge. The source of information was mentioned to be the ART centers in 73% of cases. 95% of patients disagreed to have sperm or ovum donation or to undergo surrogacy. 22% of all patients (27.5% of women versus 12.1% of men) agreed with embryo reduction. 94.5% of patients mentioned the ART expenses not to be affordable readily. Conclusions: Less than half of patients presented to be knowledgeable about ART. Not a great portion of the patients agreed with sperm donation. ART expense is mentioned to be burdensome by nearly all of the patients.
Assisted reproductive technologies (ART)
  • Sofia Amjad
  • Rehana Rehman
Sofia Amjad, Rehana Rehman. Assisted reproductive technologies (ART). Department of Physiology, Ziauddin University, Karachi, Pakistan. Department of Biological & Biomedical Sciences, Aga Khan University, Karachi, Pakistan.Available online 30 October 2020.
Obajimi Assisted Conception Unit, Department of Obstetrics and Gynaecology
  • O O Ogunbode
O.O. Ogunbode, G.O. Obajimi Assisted Conception Unit, Department of Obstetrics and Gynaecology, University of Ibadan/ University College Hospital, Ibadan, Nigeria. Medical Journal of Zambia, Vol. 47, (1): 8 -15
Randomised studies in intrauterine insemination
  • J D Cooke
Cooke JD. Randomised studies in intrauterine insemination. Fertil Steril 2004; 82: 27-29
The assisted reproductive technology-the india story
  • Dr
  • Malik
Dr.sonia malik. The assisted reproductive technology-the india story. Jul14, 2016, 08-55.
2 MISS OSHEEN AND 3 MISS NEETI GOYAL 1 Principal and HOD of Obstetrics and Gynecological Nursing 2, 3 M.Sc Nursing, Obstetrics and Gynecological Nursing
  • Mrs Manu
MRS. JASMI MANU, 2 MISS OSHEEN AND 3 MISS NEETI GOYAL 1 Principal and HOD of Obstetrics and Gynecological Nursing 2, 3 M.Sc Nursing, Obstetrics and Gynecological Nursing, Faculty of Nursing, Rama University