The University of Dodoma University of Dodoma Institutional Repository http://repository.udom.ac.tz Health Sciences Master Dissertations 2020 Effectiveness of pediatric first aid training programme on managing pediatric injuries among pre-school teachers in Pemba Island. Salim, Mohamed Ali The University of Dodoma Salim, M. A. (2020). Effectiveness of pediatric first aid training programme on managing pediatric injuries among pre-school teachers in Pemba Island (Master dissertation). The University of Dodoma, Dodoma. http://hdl.handle.net/20.500.12661/2799 Downloaded from UDOM Institutional Repository at The University of Dodoma, an open access institutional repository. EFFECTIVENESS OF PEDIATRIC FIRST AID TRAINING PROGRAMME ON MANAGING PEDIATRIC INJURIES AMONG PRE-SCHOOL TEACHERSIN PEMBA ISLAND MOHAMED ALI SALIM MASTER OF SCIENCE IN NURSING EDUCATION THE UNIVERSITY OF DODOMA NOVEMBER, 2020 EFFECTIVENESS OF PEDIATRIC FIRST AID TRAININGPROGRAMME ON MANAGING PEDIATRIC INJURIES AMONG PRE-SCHOOL TEACHERS IN PEMBA ISLAND BY MOHAMED ALI SALIM A DISSERTATION SUBMITTED IN PARTIAL FULFILMENT OF THE REQUIREMENTS FOR THE DEGREE OF MASTER OF SCIENCE IN NURSING EDUCATION THE UNIVERSITY OF DODOMA NOVEMBER, 2020 DECLARATIONANDCOPYRIGHT I, Mohamed Ali Salim, declare that this dissertation is my own original work and that it has not been presented and will not be presented to any other University for a similar or any other degree award. No part of this dissertation may be reproduced, stored in any retrieval system, or transmitted in any form or by any means without prior written permission of the author or the University of Dodoma. If transformed for publication in any other format, it shall be acknowledged that, this work has been submitted for degree award at the University of Dodoma. i CERTIFICATION The undersigned certifies that he has read and hereby recommends for acceptance by the University of Dodoma, a dissertation entitled “Effectiveness of Pediatric First Aid Training Programme on Managing Pediatric Injuries among Pre-school Teachers in Pemba Island” in partial fulfillment of the requirements for the award of the Degree of Master of Science in Nursing Education of the University of Dodoma. ii ACKNOWLEDGMENTS First and foremost, I would like to thank the Almighty God for giving me health and courage to do all that was required throughout my period of study. This work would have not been possible without the support and guidance of many people who gave their contributions in one way or another. It is my pleasure to thank them all. However, a few of them deserve special attention. My sincere thanks go to my supervisor, Dr. Prosper Gabrieli, for his constructive criticism, advice, and comments from the time of planning to the development and accomplishment of this dissertation. His expertise in developmental studies made it possible for me to complete this study. I am very grateful to my lovely wife, Subira Adam Ali, who endured my absence in all the time during my study leave. I appreciate his love, support, understanding and tolerance. I am very much indebted to my sons: Ali, Mansour, and Salum and my daughters: Firdausi and Salma who missed fatherly love when I was away from them striving to accomplish this study at hand. Moreover, my sincerely appreciation goes to my lovely father, Ali Salim Ali and my mother Salma Rubeya Mohamed, for their moral support. Also, I will feel guilty if forget to thank Dr. Angel Joho, for her tireless support in the whole journey of this dissertation. Lastly, but not least for its importance, I am so grateful to Directors of Mitiulaya Teachers’ Centre and Wingwi Teachers’ Centre who allowed me to access the pre- school teachers to participate in the study at hand. iii DEDICATION I dedicate this dissertation to my lovely wife Subira Adam Ali, as an appreciation for her tolerance and prayers to stay with our children, namely, Ali, Mansour, Salum and my daughters: Firdausi and Salma during my study leave. iv ABSTRACT Pre-school teachers are not well informed on managing pediatric injuries. Thekey objective of this study was to assess the effectiveness of pediatric first aid training programme on improving knowledge, attitudes, and intention to practices of managing pediatric injuries among pre-school teachers in Pemba Island. The study adopted a quasi-experimental study with one group pre-test and post-test with quantitative approach to meet the study objectives. A multistage selection of participants was employed to achieve a sample size of 120 pre-school teachers. The pre-test was conducted followed by the administration of pediatric first aid training programme for 30 minutes each session using lecture discussion and demonstration after which post-test was conducted immediately after pediatric first aid training programme. Data were analyzed by using SPSS version 20 to compute both descriptive statistics such as percentage, frequencies and chi-square and inferential statistics such as sample t-test, odd ratio and adjusted odd ratio. The findings of the current study revealed that in the pre-test, the level of knowledge was 65 (54.2%) of pre-school teachers had inadequate knowledge. In the pre-test level of attitude, among 87(72.5%) of pre-school teachers had positive attitude. Concerning intention to practices, among 74 (61.7%) had poor intention to practices at pre-test. This shows that the pre-school teachers had an inadequate knowledge, poor intention to practices but positive attitudes before intervention of pediatric first aid training programme. The findings also revealed that in the post-test level of knowledge on managing pediatric injuries, 96 (80.0%) of pre-school teachers had adequate knowledge while only 24 (20.0%) had inadequate knowledge. In the post-test level of attitude on managing pediatric injuries, 89 (74.2%) of pre-school teachers had positive attitude while 31(25.8%) had negative attitude. Also, in the post-test level of practices 102 (85.0%) of pre-school teachers had good practices while 18(15.0%) had poor intention to practices. This reveals that, the pre-school teachers had adequate knowledge, positive attitude and good practices in the post-test after intervention of pediatric first aid training programme. Hence, null hypothesis was rejected and the alternative hypothesis was accepted, because the pediatric first aid training programme was effective to improve the level of knowledge, attitudes and intention to practices on managing pediatric injuries among pre-school teachers. v TABLE OF CONTENTS DECLARATION AND COPYRIGHT .......................................................................i CERTIFICATION ................................................................................................... ii ACKNOWLEDGMENTS ....................................................................................... iii DEDICATION......................................................................................................... iv ABSTRACT ............................................................................................................. v TABLE OF CONTENTS ......................................................................................... vi LIST OF TABLES .................................................................................................... x LIST OF FIGURES ................................................................................................xii LIST OF ABBREVIATIONS ................................................................................ xiv OPERATIONAL DEFINITIONS OF KEY TERMS ............................................... xv CHAPTER ONE ..................................................................................................... 1 1.0 INTRODUCTION ............................................................................................. 1 1.1 Chapter Overview ............................................................................................... 1 1.2 Background of the study...................................................................................... 1 1.3 Statement of the Problem .................................................................................... 5 1.4 Objectives of the Study ....................................................................................... 6 1.4 1 Broad Objectives .............................................................................................. 6 1.4.2 Specific Objectives........................................................................................... 6 1.5 Research Hypothesis ........................................................................................... 6 1.5.1 Null Hypothesis ............................................................................................... 7 1.5.2 Alternative Hypothesis ..................................................................................... 7 1.6 The Significance of the Study.............................................................................. 7 CHAPTER TWO .................................................................................................... 8 2.0 LITERATURE REVIEW ................................................................................. 8 2.1 Chapter Overview ............................................................................................... 8 2.2 Theoretical Framework ....................................................................................... 8 2.2.2 The Kirkpatrick Evaluation Model ................................................................