Rajiv Gandhi University of Health Sciences, Karnataka, Bangalore s30
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES, KARNATAKA, BANGALORE
ANNEXURE – II
PERFORMA FOR REGISTRATION OF SUBJECT FOR DISSERTATION
1. / Name of the candidate and address (in block letter) / MANJU THOMAS1ST YEAR M.SC. NURSING
MASOOD COLLEGE OF NURSING BIKARNAKATTE
MANGALORE
2. / Name of the Institution / MASOOD COLLEGE OF NURSING, MANGALORE
3. / Course of study and subject / M.Sc. NURSING MEDICAL SURGICAL NURSING
4. / Date of admission to the course / 28-10-2009
5. / Title of the topic:
“A STUDY TO EVALUATE THE EFFECTIVENESS OF PLANNED TEACHING PROGRAMME ON KNOWLEDGE REGARDING DISASTER PREPAREDNESS ON STAFF NURSES WORKING IN SELECTED HOSPITAL, MANGALORE.”
6.
7. / Brief Resume of the Intended Work
6.1 Need for the study
A disaster can be defined as any occurrence that causes damage, ecological disruption, loss of human life or deterioration of health and health services on a scale sufficient to warrant an extraordinary response from outside that affected community or area1. Large scale disasters around the world demonstrate that no one and no country are immune from the threat of natural or other calamities. It is estimated that three million people have died in natural disaster in the last 11 years with many more affected. The scope, magnitude and impact of disaster require cooperation between health and social agencies and between countries2. Disaster is a defined as a sudden ecological phenomenon of sufficient magnitude to require external assistance3.
Disaster is any event that causes destruction and resulting in demands that exceed the response capacity of the affected. According world disaster report each year from 1995-2005, an average of 211 million people were killed or affected by natural disaster4. The United States had experienced unprecedented disaster which includes major earthquakes, tropical storms, floods, landslides, volcanic eruptions etc. As a result of these catastrophic events, more than 500 people have lost their lives another 4500 people die every year in fire5.
Around 1,58,720 lives were estimated to be lost by conservative estimates due to tsunami in Asia. The areas affected by this tragedy are Indonesia, Malaysia, Srilanka, India and Maldives6 .India has been traditionally vulnerable to natural disasters on account of its unique geo-climatic conditions. Floods, droughts, cyclones, earthquakes and landslides have been recurrent phenomena. India is highly disaster prone country in Asian pacific region with an average of eight major natural calamities a year7.
We are living amongst hazards everyday. Nurses have all the potentials that of compassion care and attitude and can contribute significantly in educating and increasing awareness to public and among themselves on disaster preparedness8. A descriptive study conducted among nurses in Tamilnadu. The reports revealed that nurses had poor knowledge on disaster preparedness and there is a need for nurses in continuing education and staff development to develop implement and evaluate innovative disaster preparedness9.
Nursing personnel are the key person to provide effective and prompt health care in a disaster situation. Nursing is a practice discipline which requires specialized knowledge in the various area of nursing. During the clinical experience in emergency ward, the investigator also found that nurses are lacking knowledge in treating emergency disaster patients. Hence the researcher felt the need of planned teaching programme regarding disaster preparedness and teaching will improve their knowledge in providing care.
6.2 Review of literature
A survey conducted on the world trade center disaster (WTC) health workers reported that 442 respondents 69% reported worsened respiratory symptoms while performing WTC work, 59% of the workers developed respiratory symptoms while assessment and respondents had exposure related respiratory symptoms that persisted up to 2.5 years after attack10.
Prospective study conducted on risk factors for psychological and physical health problems after manmade disaster among survivors of a disaster and reported that 63% developed respiratory problems and 89% of them experienced psychological health problems. It is concluded that to prevent long term health consequences after disaster need early attention to survive with pre existing psychological problems11.
A descriptive study conducted on biological, chemical and nuclear terrorism readiness, major concerns and preparedness of future nurses as care given for victim of terrorism among 95 nursing students. About 39% of them had knowledge regarding biological, chemical and nuclear terrorism readiness and 61% had inadequate knowledge regarding biological, chemical and nuclear terrorism readiness. The reports revealed that students did not demonstrate an accurate understanding of pathogenic nature of many agents12.
Qualitative study conducted on role of public health nurses in disaster preparedness in Texas among 120 public health nurses and found that nurses working at local level were extremely dedicated to serving their communities, 50% had informal communication channels to obtain critical surveillance information and 63% experienced multiple barriers in conducting disease surveillance13.
A survey conducted among 50 nurses on disaster management in USA revealed that 70% of them had inadequate knowledge regarding disaster management. It is concluded that continuing education concerning emergency management is needed for nurses. Although 30% of nurses had natural disaster training, most have not had training to respond to disaster events14.
6.3 Statement of the problem
A study to evaluate the effectiveness of planned teaching programme on knowledge regarding disaster preparedness on staff nurses working in selected hospital, Mangalore.
6.4 Objectives of the study
1. To determine the level of knowledge among staff nurses regarding disaster preparedness.
2. To find the effectiveness of planned teaching programme on knowledge about disaster preparedness among Staff Nurse.
3. To find the association between pre-test knowledge score and selected demographic variables.
6.5 Operational Definitions
1. Effectiveness: Effectiveness refers to determining the extent to which a planned teaching programme has achieved the desired effect as expressed by gain in post test knowledge score.
2. Planned teaching programme: A systematically organized teaching unit that includes one or more learning objectives, appropriate learning materials and methods, and associated criterion-reference measures. It is a package which explains about disaster preparedness.
3. Knowledge: Knowledge refers to correct responses to a structured questionnaire on disaster preparedness.
4. Disaster preparedness: It is an ongoing activity in developing disaster preparedness nursing skills in recognizing and meeting the physical, psychological, emotional and nursing needs that result from a disaster situation.
5. Staff nurses: A person who has successfully completed any one of the basic nursing programme and working as a staff nurse in selected hospital.
6.6 Assumptions
The study assume that,
1. Staff Nurses may have some knowledge regarding disaster preparedness.
2. Planned teaching programme will enhance the knowledge on disaster preparedness.
6.7 Delimitations
The study will be limited to the staff nurses:
1. In the selected hospitals of Mangalore.
6.8 Hypotheses
H1: There will be significant difference between pre-test and post-test knowledge score of staff nurses regarding disaster preparedness.
H2: There will be significant association between the pre-test level knowledge
score and selected demographic variables.
Material and Methods
7.1 Source of data
The data will be collected from the staff nurses who fulfil the inclusion
criteria.
7.1.1 Research design
The research design selected for this study is one group pre-test – post-test, pre experimental design.
Pre-test / Intervention / Post-test
O1 / X / O2
O1: Administration of structured knowledge questionnaire for assessing the
knowledge of staff nurses on disaster preparedness.
X: Planned teaching programme on disaste prepardness.
O2: Administration of structured knowledge questionnaire on 8th day of
providing planned teaching programme .
7.1.2 Setting
The study will be undertaken in a selected hospital of Mangalore.
7.1.3 Population
The population consist of staff nurses in a selected hospital of Mangalore.
7.2 METHODS OF DATA COLLECTION
7.2.1 Sampling Procedure
Convenience sampling technique will be used to select staff nurse.
7.2.2 Sample Size
Sample would consist of 60 staff nurses from the selected hospital
7.2.3 Inclusion Criteria
1. Staff nurses working in selected hospital.
2. Staff nurses who are willing to participate.
3. Staff nurses available during the period of data collection.
4. Completed any one of the formal basic education in nursing.
7.2.4 Exclusion Criteria
1. Staff nurses who are not willing to participate.
2. Staff nurses who have already underwent such training.
7.2.5 Instrument Used
Section A: Planned teaching programme.
Section B: Structured knowledge questionnaire.
7.2.6 Data collection method
Administrative permission will be obtained from the concerned authority prior to the study and data will be collected for a period of one month. Convenience sampling technique will be used to select the sample. Pre-test will be conducted using a structured knowledge questionnaire. A planned teaching programme will be given to the staff nurses on the same day after pre-test. Post-test will be conducted after 7 days by administering the same structured knowledge questionnaire.
7.2.7 Data analysis plan
1. Data will be analysed by using descriptive and inferential statistics.
2. Paired ‘t’ test and chi-square test will be used.
7.3 Does the study require any investigation to be conducted on patients or other humans or animals? If so please describe briefly
Yes, the investigator will give a planned teaching programme on disaster preparedness to staff nurses.
7.4 Has ethical clearance been obtained from your institution
Yes, ethical clearance will be obtained from the concerned authority on
11.5.2010
8. / References:
1. Park. K.Text book of preventive and social medicine.19th
ed., Banarsidas Bhanot publishers, Jabhalpur, (2007).
2. ICN conference report (2006),”The role of nurse in disaster preparedness”
3. WHO report, 2000 retrived from google .com.
4. World disaster report. Available from:http\\www.google .com.
5. Federal Emergency Management Agency states report on disaster preparedness (2002).
6. Nembiakkin R.(2005), “the giant waves in Asia “ Social Welfare Vol.51(2) Pp. 37-38.
7. Emergency health action programme (2004) report on disaster preparedness.
8. Shish FJ et.al. Taiwainese nurses as rescuer. Journal of Social Science Medicine Taiwan,2002;55(4):659-72.
9. Suresh S. Disaster preparedness management. The Nursing journal of India, Apr 2002;111:75-76.
10. Herbert R et al.The world trade center disaster and the health of workers Environment health perspectives. 2007;114(12):1853 -58.
11. American Association of Occupation Health Nursing.55 (5).
12. Wetter. D et.al., Hospital preparedness for victims of chemical or biological terriorism. American Journal of Public Health. 2001;91:710-716.
13. Raltis.A Bet.al. Role of public health nurse in disaster preparedness. Journal of Disaster Management 2005 June;54(5):623-632.
14. Fehlgren T L Drenkard K N.Health care system disaster preparedness nursing executive role in leadership.Journal of Nurses Administration. 2002; 32 (10):531-537.
9. / Signature of the candidate
10. / Remarks of the guide
11. / Name and designation of (in block letters)
11.1 Guide / MRS. LAVINA JULIA PEREIRA
PROFESSOR
MASOOD COLLEGE OF NURSING
MANGALORE
11.2 Signature
11.3 Co-guide (if any) / MRS. WILMA D’SOUZA
ASSOCIATE PROFESSOR
MASOOD COLLEGE OF NURSING, MANGALORE
Signature
12. / 12.1 Head of the department / MRS. LAVINA JULIA PEREIRA
12.2 Signature
13. / 13.1 Remarks of the Chairman and Principal
13.2 Signature
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