title: Student assessment of teaching effectiveness of "bundle of changes"-A paired, controlled trial.
abstract: BACKGROUND
  Inching toward optimum patient safety by training personnel is the prime aim of the ongoing medical education.
  
  
  OBJECTIVE
  To assess whether lectures targeted to improve quality care in ICU could improve ICU practitioners' knowledge levels and to evaluate the effectiveness of teaching.
  
  
  METHODS
  In this paired controlled trial, 50 ICU practitioners, i.e., anesthesia and medicine residents and nursing staff of our hospital attended a series of four lectures.
  
  
  METHODS
  Participants enrolled in the study attended lectures on bundles of changes in ICU, namely, introduction, ventilator bundle, central line bundle, and catheter-related blood stream infections and severe sepsis bundle. They were given a questionnaire of 15 multiple choice questions prior to and after the lectures. We evaluated their immediate knowledge acquisition and retention recall. Subsequently, they evaluated the effectiveness of the teaching programme by a questionnaire of 10 multiple choice questions.
  
  
  METHODS
  Data for statistical analysis were tabulated and analyzed using SPSS-Pc 11.5 version software.
  
  
  RESULTS
  Fifty study participants completed all three questionnaires. There was an increase in the overall mean score in the post-lecture test (4.58 + 1.51 SD) (P < 0.001). Overall mean score increased significantly from 8.30 + 1.34 SD in THE pre-lecture test - to 12.02 + 1.61 SD in the postlecture re-test (3.72 + 1.39 SD) (P < 0.001). In the evaluation of teaching effectiveness 88% respondents agreed to most of the questions, signifying the effectiveness of the lectures. However, there were 10% who disagreed to the questions and only 2% strongly disagreed to all the questions.
  
  
  CONCLUSIONS
  Teaching programmes such as the "bundle of changes" are effective in improving immediate knowledge acquisition and retention recall of the participants if designed keeping the target audience in mind.
authors.affiliation: Department of Anesthesiology and Critical Care, IGESI Hospital, Jhilmil, Delhi, UCMS and GTB Hospital, Delhi, India.
authors.forename: Seema
authors.initials: S
authors.lastname: Kalra
authors.forename: Y
authors.initials: Y
authors.lastname: Nelson
authors.forename: Pratima
authors.initials: P
authors.lastname: Dave
authors.forename: Rachna
authors.initials: R
authors.lastname: Wadhwa
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