Student Dissertation

Agency : Training, CTVS; CCU; Operation Theatre; ANM/GNM; NEO; MICU/SICU

Objective : The purpose of this study is to assess the current training system available for the nurses joined in the hospital. The specific objectives were: To assess the existing training system (after joining the job) for the nursing staff in a hospital. To identify the gap in the prevalent practices of the training system at the hospital. To recommend ways to strengthen the training.

Background : Nursing personnel comprises of the largest proportion of patient care givers in a hospital. Training of the hospital nurses after their joining could be one of the important methods of increasing their efficiency and effectiveness. Maximizing the efficiency and effectiveness of nurses is an essential for the integrity of hospital functions and the promotion of safe patient care. Therefore, studying training system in a hospital has significance. The study findings will help provide the knowledge regarding current training system for the nursing staff, and scope for improvement.

Methodology : The cross-sectional descriptive study was conducted during February - April 2016 from Paras Hospital HMRI, Patna. Each sub-department like critical care unit, cardiac thoracic vascular surgery, ward, operation theatre was considered as a cluster for sampling purposes. From each cluster 30 nurses were covered to meet the sample size of 180. It is also important to note that the nursing staff works on shift basis. A sample of 60 was taken from each shift, therefore, 60 x 3 shifts; a total of 180 nurses will be interviewed. Keeping in view some non-response, 10-15 percent sample is also added. Hence, a total of 200 (rounded off) nurses is presented.HR Department (Manager and Training coordinator) were contacted initially and briefed about the dissertation topic. A process was discussed, and a formal permission was sought. From each shift, a list was prepared keeping in view the hierarchy in consultation of the HR and the representatives from Nursing (CNO, Clinical Instructors). Primary data was collected from Training in charge and Nursing staff using questionnaire. Secondary data was taken from Training Cell which included Training policies, Circulars, Training calendar and guidelines for planning of training. The primary data was compiled and analysed by using MS Excel package.

Findings : The key findings include that the hospital has training policy for both types of staff: old and new. Three methods were used for training: on-the-job; hands-on; and classroom training. The results revealed that except emergency, other training did not include classroom teaching method. ANM Training was conducted only for ANMs who work for OPD department. Other ANMs did not get such opportunity. GNMs who work for emergency MICU/SICU and OPD department, were trained.

Recommendations : To conclude, the training system, as a whole in PARAS HMRI was found satisfactory. However, the scope of improvement never ends and if the process of evolution continues, the training team would have a lot to offer in the coming days and the Nursing team as an end result would excel in their job marking PARAS HMRI the brightest one on the horizon.