“A STUDY TO ASSESS THE EFFECTIVENESS OF COMMUNICATION BOARD ON THE LEVEL OF SATISFACTION OF COMMUNICATION PATTERN AMONG PATIENTS ON MECHANICAL VENTILATOR IN BOMBAY HOSPITAL AT INDORE IN THE YEAR 2014-2015”

Objectives of the study:- • To assess the post-test level of satisfaction of the communication pattern among the patient on mechanical ventilator in both experimental and control group. • To compare the post-test level of satisfaction of communication pattern among the patients on mechanical ventilator between experimental and control group. Hypothesis:- • There will be significant difference in mean posttest level of satisfaction in communication pattern among the patients on mechanical ventilator between experimental and control group. Assumptions:- Patient with mechanical ventilator experiences communication problem So, • Communication board is effective for ventilator patient. • It increases patient participation and patient satisfaction with health care. • It improves the staffing efficacy. Limitations:- • This study is limited to patient on mechanical ventilator. • This study is limited to conscious patient under mechanical ventilator. Delimitations:- • Unconscious patients are not involved in this study. • Those patients who are not willing to participate. Methodology:-Quasi-experimental research approach was used for the study. Non-probability convenience sampling was used as sampling technique and 20 patients on mechanical ventilator in Bombay Hospital, Indore were selected. Data collection was done with the help of demographic performa and structured questionnaires. Conclusion of the study shows that there is significant level of satisfaction of Communication pattern of patient in mechanical ventilator using a communication board in experimental group, while there is little or no satisfaction in control group. Findings:-This study is to assess the effectiveness of communication board on level of satisfaction of communication pattern among patients on mechanical ventilator. It was formulated that the mean posttest in experimental group is significantly higher than mean posttest in control group. The study assumed that communication board is effective in mechanically ventilator patient. The present study is based on the concept of communication board to the conscious patients on mechanical ventilator. The investigator adopted the Widenbach’s helping art of clinical art theory (1964), which describes the desired situation and way to attain. It directs action towards the explicit goals. This study made use of a quantitative study with experimental and control group post-test research design. The mechanically ventilator patient in Bombay hospital, Indore. Non-probability sampling technique was used to select 10 patients in mechanical ventilator in experimental and control group from ICU based on certain determined criteria. The investigators prepared a structured knowledge questionnaire consisting of 17 questions to assess the level of satisfaction of communication board on mechanically ventilated patients in ICU in experimental group with communication board and control group without communication board. The actual study was conducted on 20 patients on mechanical ventilator in Bombay Hospital, Indore. Following the post-test planned teaching on communication board on mechanical ventilator patient had given. The data obtained were analysed in terms of objectives and hypotheses using descriptive and inferential statistics. Findings of the study proved that the communication board on level of satisfaction on mechanical ventilator patient. The mean post-test score in experimental 8 group was 46.4 and the mean post-test score of control group was 32.9. The post-test score proved that the communication board on level of satisfaction on mechanical ventilator to improve the communication pattern in experimental group than control group without communication board. The effectiveness of communication pattern in mechanical ventilator patient was tested in terms of level of satisfaction in communication and finding showed that it was significant at 7.00* Level [t(18) = 2.18 On the whole, carrying out the study was really an exciting experience to the investigator. It also helped a great deal to explore and improve the level of satisfaction in communication pattern of mechanically ventilated patients and the researcher. Implication:- The findings of the study have implications for nursing practice, nursing education, nursing administration and nursing research. • Nursing practice:- Continuous in-service education is an important tool for health care agency. The findings of the study indicated that there is a need for the continuous in-service education regarding communication board to improve the level of satisfaction of communication in mechanically ventilated patient and to find out the problems of patient and to improve the quality care. • Nursing education:- o Awareness can be given to the nursing staff and family members so as to improve the communication pattern with mechanically ventilated patient. o It can be used as an informational aid to student nurse to acquire the knowledge and skills in enabling effective communication with mechanically ventilated patient. o The nursing curriculum has to focus on enabling the nursing students to develop communication skills using communication board in mechanically ventilated patient. o Nursing personnel working in various health care setting should be given in-service education to update knowledge and planning appropriate interventions to improve communication pattern in mechanical ventilated patient. • Nursing administration:- The present study is proposed to help the hospital administrator to strategically plan? and meet the health needs of mechanically ventilated patient who are unable to communicate their problems and basic needs effectively with the use of communication board. • Nursing research:- There is a need for extended and intensive nursing research in the areas of Intensive Care Unit. Especially in India only few studies were reported regarding effectiveness of communication board in level of satisfaction of communication in mechanically ventilator patient. It is important to know the level of satisfaction of communication pattern in mechanically ventilated patient. Recommendations:- On the basis of findings of the study, it is recommended that: • A similar study can be conducted by taking a large sample to generalize the findings. • A comparative study may be conducted to find out the effectiveness of communication board on level of satisfaction in mechanically ventilator patient regarding the same topic. • A study can be conducted to identify level of satisfaction of communication board in mechanically ventilator patient.