Comparison of Teaching Methods on the Use of Incentive Spirometry in Pediatric Trauma Patients
Dr. Paulette Chaponniere, Hope College
Incentive spirometry is a common nursing intervention taught to patients. However, little information exists regarding incentive spirometry or best methods to provide this teaching to pediatric patients. The purpose of this study is to compare the usual method (one-on-one verbal) for teaching hospitalized pediatric trauma patients how to use their incentive spirometers to one-on-one verbal teaching supplemented by the use of a videotape/CD-ROM (alternate method). Betty Neuman’s Systems Theory focuses nursing care on helping the client stay stable through use of prevention measures. This experimental, randomized, controlled study seeks to promote incentive spirometry to prevent respiratory complications by comparing patient education techniques. Dependent variables are compliance with incentive spirometry use and inspiratory capacity. Randomization is done with a computer generated random number sequence. The sample will consist of 78 pediatric trauma patients between the ages of 5 and 17 in a large, Midwestern children’s hospital. Data will be entered into an Excel spreadsheet and uploaded into PASW-17. Statistical tests will include descriptive statistics, t-test comparison and Bonferoni correction for multiple t-tests. Results are pending. Current limitations are that not all participants completed the full 48 hours due to early discharge and researchers did not reassess client performance as stated in the protocol. Conclusions are pending. Specific implications for nursing depend on results. The results will hopefully provide nurses with evidence on education strategies that maximize pediatric patient learning in regards to incentive spirometry.
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