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ORGANIZED LEARNING PROGRAMME ON KNOWLEDGE REGARDING RECENT

DEVELOPMENTS IN INFERTILITY MANAGEMENT AMONG STAFF NURSES
WORKING IN TERTIARY CARE HOSPITALKANPUR, UTTAR PRADESH

Article in Journal of Cardiovascular Disease Research · January 2023

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 Journal of Cardiovascular Disease Research
ISSN: 0975-3583, 0976-2833 VOL14, ISSUE 12, 2023

ORGANIZED LEARNING PROGRAMME ON KNOWLEDGE REGARDING RECENT

DEVELOPMENTS IN INFERTILITY MANAGEMENT AMONG STAFF NURSES
WORKING IN TERTIARY CARE HOSPITALKANPUR, UTTAR PRADESH.
Dr. Jasmi Johnson, Mrs. Agnes Chinta Singh, Ms. Kesani Vanaja Lakshmi Durga Bhavani,
Mrs. Priyanka Agrawal
Faculty of Nursing, Rama University, Kanpur

Email id: [email protected]

Abstract
Infertility is a challenging experience affecting individual and couples‘ adjustment. However, the
way the members of the couple support each other may affect the experience of infertility and
their adjustment.Fertility is highly valued in most cultures, and the wish for a child is one of the
most basic human motivations. This study would help the nursing practitioner to understand
Infertility Management. The study adopted a quasi-experimental one-group pre-test post-test
design, and 60 subjects were selected using a non-probability convenient sampling
technique.The setting of the study is Tertiary Care Hospital, Kanpur. The intervention was the
Organized Learning Programme.Sociodemographic variables of the study population; out of the
total study population, most of the samples, 24 (35%) are 25 -29 age, 47 (78%) are Female, 33
(55%) are Bsc graduates, 26 (43%) are10 – 14 years of experience, 36 (60%) are the rural area of
living. The pre-test and post-test knowledge scores on recent trends in infertility management; 51
(85%) have inadequate knowledge in the pre-test and 4 (7%) in the post-test. 0 (0%) Adequate
knowledge in the pre-test and 57 (95%) in the post-test. Associates the significance between the
post-test level of knowledge and demographic variables, regarding age chi-square 8.93,
regarding gender chi-square 6.25, regarding experience 22.54, p-value less than 0.05 level of
significant, significant and education and area of living are non-significant. The present study
concludes that the staff nurses’ knowledge increased significantly after the OLP administration.
Keywords:Organized Learning Programme, Knowledge, Infertility Management, Staff Nurses.
Introduction
Infertility is defined as the inability to conceive after one year or more of regular, unprotected
sexual intercourse. It is a condition affecting the male or female reproductive systems. The term
"infertile" should only be used once it has been confirmed that pregnancy is not achievable.
According to the World Health Organization (WHO), approximately 48 million couples and 186
million individuals worldwide experience infertility, with around 15% of couples in India
affected. Infertility can result from various factors in both men and women, and sometimes, the
exact cause cannot be identified. In men, issues like problems with semen release, low sperm
count, abnormal sperm shape, or poor sperm motility are common causes. In women, infertility
can be linked to disorders of the ovaries, uterus, fallopian tubes, or hormonal imbalances, among
other factors.

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The birth of the first "test tube baby" in July 1978 marked a significant milestone in medical
science, leading to remarkable advances in infertility treatment. Assisted Reproductive
Technologies (ART) have been at the forefront of these advancements. ART includes all fertility
treatments that involve handling both sperm and eggs. These methods typically involve
extracting eggs from a woman’s ovaries, fertilizing them in a laboratory, and either transferring
the embryos back into the woman’s body or using them for another individual. ART does not
include procedures where only sperm is handled, such as intrauterine or artificial insemination,
or treatments where a woman only receives medication to stimulate egg production without the
intention of egg retrieval.
Infertility is now recognized as a condition affecting both partners, and couples experiencing
infertility are provided with education and emotional support. Nurses, particularly female nurses,
are uniquely positioned to provide care in this area due to their expertise in offering
compassionate and sensitive support. As part of their training in obstetrics and gynecology, many
nurse practitioners now offer infertility care. By informing patients about the causes, diagnostic
tests, and treatment options for infertility, nurses can alleviate stress and provide much-needed
emotional support throughout the process.

The objective of the study

1. To assess the pre-test level of knowledge regarding Recent Developments in Infertility
Management Among Staff Nurses.
2. To associate the level of knowledge regarding Recent Developments in Infertility
Management Among Staff Nurses with their selected demographic variables.
Hypothesis
H0 - There is no significant association between knowledge regarding Recent Developments in
Infertility Management Among Staff Nurses with selected demographic variables.
H1 -There is a significant association between knowledge regarding Recent Developments in
Infertility Management Among Staff Nurses with selected demographic variables among nursing
students.

Methodology
Research Design; Quasi-experimental one-group pre-test - post-test design. The study was
conducted atTertiary care Hospitals, Kanpur, Uttar Pradesh. The sample size consists of 60 staff
nurses working in the hospital; 60 subjects were selected using a non-probability convenient
samplingtechnique.
Inclusion criteria: Staff nurses who are: Working in Working in Tertiary care Hospitals, Willing
to participate. Who knows to read, write and speak in English and Telugu languages.
Exclusion criteria: Staff nurses unwilling to participate in the study are on leave.

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The tool was organizedas follows. Part-1: Sociodemographic variables of the staff nurses.
Part2: Consists of the Questionnaire with 30 items based on the basic concept of infertility,
causes of infertility, factors of infertility, diagnosis for infertility and selected technique in
infertility management. Scoring interpretation: <50% Poor, 51- 75% Average, >75% Good.
Data collection procedure:The researcher decided to conduct the study atTertiary care
Hospitals. The investigator obtained written permission from the authority of the respective
hospital before data collection. The researcher conducted the study in three shifts of duty
scheduled by the respective hospital. A written informed consent was taken separately from each
sample. Appropriate orientation was given to all the samples about the aim of the study and the
nature of the tool; adequate care was taken to protect them from potential risk, including
maintaining confidentiality, security, identity etc.
Participants were asked to answer a structured knowledge questionnaire with demographic data.
After the pre-test, a structured teaching program was given to the staff nurses with the help of
charts. An interval of one-week post-test was conducted using the same tool to determine the
effectiveness of a structured teaching program.
Statistical design: Data were verified before computerized entry. The Statistical Package for
Social Sciences (SPSS version 20.0) was used. Descriptive statistics were applied (e.g., mean,
standard deviation, frequency and percentages). Test of significance (chi-square and paired t-
test) was applied to test the study hypothesis.
Data Analysis and Interpretation
Table 1: Frequency and percentage distribution of sociodemographic variables
Sl. No Sociodemographic variables Frequency (f) Percentage (%)
1. Age in years
20 – 24 9 15%
25 – 29 24 40%
30 – 34 21 35%
Above 35 6 10%
2. Gender
Male 13 22%
Female 47 78%
3 Education
ANM 7 12%
GNM 6 10%
BSc 33 55%
PB BSc 9 15%
MSc 5 8%
4 Experience
0–4 18 30%
5–9 16 27%
10 – 14 26 43%
5 Areas of living
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urban 24 40%
Rural 36 60%

Table 1 describes the description of demographic variables of the study population; out of the
total study population, most of the samples, 24 (35%) are 25 -29 age, 47 (78%) are Female, 33
(55%) are Bsc graduate, 26 (43%) are10 – 14 years of experience, 36 (60%) are the rural area of
living.
Table 2: Pre and post-test knowledge score on recent trends in infertility management
Level of knowledge Pre-test Posttest
Frequency Percentage Frequency Percentage
Inadequate knowledge 51 85% 4 7%
Moderately adequate knowledge 9 15% 3 5%
Adequate knowledge 0 0% 57 95%

Table 2 describes the pre-test and post-test knowledge scores on recent trends in infertility
management; 51 (85%) have inadequate knowledge in the pre-test and 4 (7%) in the post-test. 0
(0%) Adequate knowledge in the pre-test and 57 (95%) in the post-test.
Table 3: Determination of overall knowledge score before and after the structured teaching
program
Test Knowledge score
mean±SD
Pretest 14.28 ± 4.32
Posttest 27.66 ± 2.19*
Student paired t-test, *P – 0.05, significant

Table 3 associates the significance between the pre-test and post-test level of knowledge at 0.05
level of significance.
Associates the significance between the post-test level of knowledge and demographic variables,
regarding age chi-square 8.93, regarding gender chi-square 6.25, regarding experience 22.54, p-
value less than 0.05 level of significant, significant and education and area of living are non-
significant.
Discussion
In the present study, the pre-test level of knowledge regarding recent developments in infertility
management, 85% of them have inadequate knowledge, 15 % have moderately adequate
knowledge, 0% have Adequate knowledge, and 7%, 5%, and 95%, respectively inadequate,
moderately adequate, Adequate knowledge in the post-test. The pre-test knowledge score was
47%, and the post-test was 92%. 45 % was an increased score after the intervention, and the level
of knowledge at 0.05 was significant. Significance between the post-test level of knowledge and

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demographic variables regarding age and gender, the experience was significant at the level of
0.05, and education and area of living were non-significant.
The results of the present study supported by Robby Solanki9 (2019), which was carried out in
Karnataka, showed that 68% inadequate and 19% moderate knowledge regarding infertility
management. 16% and 83% inadequate and adequate knowledge in the post-test, respectively.
There was a significant increase of 39.3% in knowledge gain after the intervention. The pre-test
and post-test knowledge scores were highly significant at 0.001 level. The following conclusion
drawn from the study, an intervention was effective among staff nurses regarding infertility
management.
T. C. Suguna (2021)10 studied about Video Assisted Teaching Programme on Assisted
Reproductive Technology among Infertile Women; the study findings revealed that out of 40
infertile participants, 30% of the sample belonged to the 20-25 years of age group. 27.5% of the
women studied up to secondary education, 30% had primary education, and 32.5% of women
graduated. 50% of the women were not working, and 35% had information from health
personnel. The mean post-test score was higherthan the mean pre-test score. The ‘t’ value was
found statistically significant at p<0.05. So it is evident that post-testknowledge scores were
higher than the pre-test knowledge scores. There was a non-significant association between the
knowledge of infertile women with demographic variables. The following conclusion from the
study, the teaching program is very effective inimproving the knowledge of infertile women
regarding assisted reproductive technology.
Ravina Patel etal. (2020)11studied knowledge on infertility among college students and revealed
that after the teaching program administration, 68.33% had good knowledge, 23.33% had
average, and 8.34% had poor knowledge. While 18.33% of samples had a negative attitude and
81.67% had a positive attitude toward infertility among students. The finding indicates that the
structured teaching program was a suitable and effective method of instruction for updating and
enhancing the knowledge and attitude among college students.Bhoomika Patel et al.
(2021)12studied knowledge regarding the Management of Infertility among Infertile women in
selected urban areas in the Mehsana District with a view to developingan Information Booklet on
the Management of Infertility, reviled that 85% of the sample had inadequate knowledge about
management of infertility.
Conclusion
The present study is an effort to evaluate the OLP regarding recent trends in infertility
management on the knowledge of staff nurses. These findings showed that staff nurses’
knowledge increased significantly after the OLP administration. The mean knowledge in all
aspects of improvement. The study’s findings revealed a significant increase in the post-test
knowledge score after the administration of the OLP. The difference between pre and post-test
knowledge scores was highly significant.Recommendationsfor further study can be conducted
for a larger sample group and in different settings.

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