Empowering Caregivers in Hemiplegia Care: A Quasi-Experimental Study for Enhancing Care-Competency Through Structured Educational Development Approach | ||||
| International Egyptian Journal of Nursing Sciences and Research | ||||
| Volume 5, Issue 2, September 2024, Page 41-59 PDF (505.89 K) | ||||
| Document Type: Original Article | ||||
| DOI: 10.21608/ejnsr.2024.307604.1386 | ||||
 View on SCiNiTO | ||||
| Authors | ||||
Mohamed Gamal Noaman Malek1; Amal Hashem Mohammed1; Fatma Mostafa Mahrous2; Heba Abdel-Azem Mostafa  3; Sherif Nesnawy 4; Mohammed Ibrahim Touni Ibrahim5
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| 1Community Health Nursing Department, Faculty of Nursing, Minia University, Egypt. | ||||
| 2Medical-Surgical Nursing Department, Faculty of Nursing, Ain shams University, Egypt | ||||
| 3Medical Surgical Nursing ,faculty of nursing ,Al-Azhar University ,Egypt | ||||
| 4Medical-Surgical Nursing Department, Faculty of Nursing, Minia University, Egypt. | ||||
| 5Community Health Nursing Department, Faculty of Nursing, Badr University in Assiut, Egypt. | ||||
| Abstract | ||||
| Background: Caregiver competency for hemiplegic patients would be enhanced and sustained with structured educational approach with step-by-step competence confirmation and telehealth communication for follow-up. Aim: Evaluate the effectiveness of a structured educational development approach in enhancing the care competency among caregivers for patients with hemiplegia. Research Design: Quasi-experimental (one group pretest-posttest). Sample & Setting: 70 caregivers, purposively sampled, at neuropsychiatric and neurosurgery inpatient and outpatient units in Minia University Hospital, Egypt. Study Tools: 1) Structured interview questionnaire 2) Knowledge and practice competency tools (≥ 80% is cutoff competency score). Method: Pretest data was collected. Three educational sessions administered, each requiring competency before proceeding. A fourth session tested the third one, followed by two months of telehealth support, then a post-test. Results: Caregivers were mostly aged 30-39, female, married, housewives, with basic education, and reside in rural areas. Post-intervention, caregiver competency improved significantly: overall care competency rose from 11.4% to 75.7%; knowledge from 18.5% to 72.9%; practice from 21.4% to 81.4%. Knowledge scores increased from 13.5 ± 5.48 to 20.6 ± 2.75, practice scores from 37.4 ± 9.30 to 66.8 ± 4.5, and total care competency from 50.9 ± 14.78 to 86.4 ± 7.25. Effectiveness was 36.5% ± 16.46, with significant t-test values (p <0.001). Conclusion: The structured educational approach significantly increased the caregiver care competency for hemiplegic patients. Recommendations: Implement structured educational programs with telehealth follow-up for sustainable caregiver competency in inpatient discharge plans and outpatient services. | ||||
| Keywords | ||||
| Caregiver; Care competency; Hemiplegia; Quasi-experimental; Structured educational development approach | ||||
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