Saturday, March 24, 2012

ABSTRACT ON CARE OF VENTILATED CHILDREN


ABSTRACT

AUTHOR: R.SANGEETHA

KEY WORDS: Structured teaching programme

 One group pre test –post test design was conducted to evaluate the effectiveness of structured teaching programme on care of ventilated children among nursing students in Rani Meyyammai College of nursing.  

The objectives of the study were:

1.   To assess the pre test knowledge of III year B.Sc (N) students on ventilator care of children

2.   To assess the effectiveness of Structured teaching programme on ventilator care among III year B.Sc (N) students.

3.   To associate the selected demographic variable with the pre test knowledge of the III year B.SC nursing students such as clinical exposure and previous knowledge of care of ventilated children.

RESEARCH DESIGN AND METHOD:

 Ninety students were selected from III year B.SC nursing students by convenient sampling. A pre test was conducted using a structured questionnaire containing closed ended questions after which a structured teaching programme was given with LCD.A post test was conducted after 4 days and the outcome was evaluated using descriptive and inferential statistics.

RESULT:

 The pre test revealed that 63 (70%) students had inadequate knowledge and 24 (27%) students had moderately adequate and 3(3%) students had adequate knowledge on care of ventilated children.

Whereas in post test, 11(12%) nursing students had moderately adequate knowledge, while 79(88%) of nursing students had adequate knowledge.

 This reveals that the structured teaching programme was very effective and improved the knowledge level of the students.  

CONCLUSION:

                                                                                                                 The study demonstrated the knowledge of the students was inadequate before structured teaching programme and after the structured teaching programme the knowledge gain of the nursing students on care of ventilated children

 

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6.        Hockenberry, J.m. (2007).Wong’s Essentials of Pediatric nursing. New Delhi: Elsevier.
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JOURNAL REFFERENCE:
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15.     Akbar Malik. (2000).Prevalence of mechanical ventilation. Indian journal of nursing, 10(2), 135-137.
16.     Besel, &Jamie Marie Morrow, B. (2007). The Effects of Music Therapy on Comfort in the Mechanically Ventilated Patient in the Intensive Care Unit. American Journal of Critical Care, 16(5), 552-562.
17.     Boroughs, Deborah Dougherty, Joan, A. (2009).  Care of Technology-Dependent Children in the Home. The Journal for the Home Care and Hospice Professional: journal of pediatric nursing, 29(1), 1-28.
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19.     Britt Sætre Hansen, (2008). Weaning from ventilation in pediatric intensive care: an intervention study. Intensive and Critical Care Nursing, 22(4), 658–666.

20.     Brill, S., Gurman, G.M., Brill, G. (2005). Evaluation of the VersaMed portable ventilator: clinical trials. American Journal of Respiratory Critical Care Medicine, 161(5), 1450-8. 

21.     Carbery, Catherine, & Marraro, M.D. (2008). Basic concepts in mechanical ventilation. Journal of Perioperative Practice, 18(2), 20–25.               
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33.     Hemsley, Bronwyn, Sigafoos, Jeff, Balandin, Susan, et al. (2001). Nursing the patient with severe communication impairment. Journal of Advanced Nursing, 35(6), 827-835.



ABSTRACT ON MANAGEMENT OF PAIN


ABSTRACT

AUTHOR           :

KEY WORDS      : Toothache, Earache, headache, Home remedy, Management

STATEMENT OF THE PROBLEM

        A descriptive study was conducted to evaluate the knowledge and practice of women on management of different kinds of pain among adults in South Pichavaram, Chidambaram Taluk.

OBJECTIVES

  1. To assess the existing knowledge and practice of women on various aspects of management on toothache, earache and headache among adults.
  2. To study the relationship between knowledge and practice of women on management of toothache, earache and headache.
  3. To find out the association between knowledge and practice of demographic variables such as age, education, occupation of people in management of toothache, earache and headache.

RESEARCH DESIGN & METHODOLOGY

  A total of hundred subjects were selected by using non probability convenience sampling technique. Structured Interview Questionnaire was used to assess knowledge and practice.

RESULTS    
The study revealed that out of 100 subjects 83 (83%) had moderately adequate knowledge regarding management of toothache.


1.   Annmrriener, T. (2002). Nursing Theory Utilization and Application. Toronyo: Mosby.

2.   Barnum, S. B. (1998). Nursing Theory Analysis, Application, Evaluation. NY: Logmann.

3.   Black, M. J. (1999). Medical Surgical Nursing. India: W B Saunders.

4.   Brunner & Sudarth. (2004). Medical and Surgical Nursing. Philadelphia: Lippincott.

5.   Daniels, R., & Nosek, L. (2007). Contemporary Medical-Surgical Nursing. Thomson.

6.   Davidson, V. (2006). Principles & Practice of Medicine. Philadelphia: Churchill Livingstone.

7.   Polit, F. D., & Cheryl, T. B. (2008). Nursing Research: Generating and Assessing Evidence for Nursing Practice. Philadelphia: Lippincott Williams & Wilkins.

8.   Dewit, C. S. (2005). Medical-Surgical Concepts & Practice. Saunders Elsevier.

9.   Fawcett & Jacquetive. (1993). Analysis & Evaluation of Nursing Theories. Philadelphia: Davis Company.

10.  Helvie, O. C. (1998). Advanced Practices Nursing in Community. England: Sage.

11.  Joyce, M. B., & Jane, H. H. (2007). Medical Surgical Nursing. Missouri: Elsevier.

DISSERTATION TOPIC IN OBG NURSING


Problem statement on obstetric nursing

  1. A study to assess the effectiveness of structured-teaching programme (LCD) on knowledge regarding post natal exercise among prime mother 
2. A descriptive study to assess the existing knowledge regarding breast feeing among prime mother 
3. A descriptive study to assess the stress experienced during the menstrual cycle among adolescent girls 
4. A study to assess the stress experienced during the menstrual cycle among adolescent girls
5. A comparative study to assess the level of pain experienced between primi mothers and multi para during the 1st stage of labor in labor room 
6. A excremental study to assess the effectiveness of musical therapy during the 1st stage of labor in reducing the pain level of mothers in labor room 
7. A study to assess the lived experiences of primi mothers regarding breast feeding 
8. A descriptive study to assess the existing knowledge regarding care of new born among mothers aged between “20 to 30” 
9. A descriptive study to assess the existing knowledge regarding post partum psychosis  among 3rd  year B.Sc (N) students 
10. A descriptive study to assess the existing knowledge regarding post partum psychosis  among 3ed  year B.Sc (N) students 
11. A study to assess effectiveness of STP  on care during 3rd stage labor among  4th   year B.Sc (N) students 
12. A experimental study to assess the effectiveness of allowing family member to stay with the women during the stages of labor in reducing the duration of labor period 
13. A experimental study to assess the effectiveness of allowing any one family member to stay with the women during the stages of labor in reducing the labor pain 
14. A experimental study to assess the effectiveness of allowing any one family member to stay with the women during the stages of labor in reducing the duration of labor period
14. A experimental study to assess the effectiveness of applying Betadiene over the episiotomy wound in reducing the duration of healing among the postnatal mothers 
15. A experimental study to assess the effectiveness sits bath  in reducing the episiotomy pain among the postnatal mothers 
16. A descriptive study to assess the existing knowledge regarding antenatal diets  among pregnant womens. 

ABSTRACT ON STRESS MANAGEMENT


A STUDY TO ASSESS THE EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON STRESS REDUCTION TECHNIQUES AMONG ADOLESCENT GIRLS AGED 15 - 18 YEARS STAYING IN A SELECTED HOSTEL AT CHIDAMBARAM.




Mohana sundari.S.K*, Dr. Jeyagowri subash**, Mrs. Raja***

ABSTRACT

Key words:  stress, structured-teaching programme, stress-reduction techniques, and hostel.

STATEMENT OF THE PROBLEM

         “A study to assess the effectiveness of structured-teaching programme on stress-reduction techniques among adolescent girls aged 15-18 years staying in a selected hostel at Chidambaram”

OBJECTIVES:

v  To assess the pre-test knowledge regarding stress-reduction techniques among adolescent girls aged 15-18 years staying in a selected hostel at Chidambaram.

v  To evaluate the effectiveness of structured-teaching programme regarding stress-reduction techniques among adolescent girls aged 15-18 years staying in a selected hostel at Chidambaram.

v  To associate the selected demographic variables such as age, religion, educational status, occupation of the parents, educational status of the parents  and number of siblings with the knowledge regarding stress-reduction techniques.

INTRODUCTION

“Today’s children are tomorrow’s citizens” they need healthy environment for all round development”

"Nothing gives one person so much advantage over another as to remain always cool and   unruffled under all circumstances”
                                                                  -Thomas Jefferson (1988)

Thomas (1988) stated that stress and anxiety in children and teenagers are just as prevalent as in adults.  Stressed out and negligent parents,  high expectations in academic or other performances,  abused or deprived childhood,  growing up tensions and demand for domestic responsibility are the main causes of childhood and teen stress.  Parents, who are not emotionally available for their children or lack of positive coping mechanisms themselves often, spur stress in their offspring.  Stressed children show signs of emotional disabilities, aggressive behavior, shyness, social phobia and often lack interest in otherwise enjoyable activities. Research tells us that children, who are forced to live on prematurely adult levels, sometimes become oppositional to follow the parent’s rules (or those of society). Such children tend to respond to stressors with aggression and indignation. Many teenagers tend to become nonconformists and fall prey to teenage depression in response to a variety of growing up anxieties. However, stress- induced fears and anxiety in children adversely affect the children’s performances at various levels.



RESEARCH DESIGN AND METHODOLOGY:

The one group pre-test and post-test design was adopted to assess the effectiveness of structured-teaching programme on stress reduction techniques among adolescent girls aged 15 - 18 years. The General System Theory was adopted for conceptual frame work.

A total of 60 adolescent girls staying in the Nandhanar girl’s hostel were selected by using simple random sampling techniques.

The instrument used for the study was a structured-questionnaire which consists of two sections. The first section consists of the demographic variables of the adolescent girls and the second section consists of 50 closed-ended questions to assess the knowledge regarding stress-reduction techniques.

The structured-teaching programme on stress-reduction techniques was provided through Lap top for a period of 30 minutes. A post-test was given after 7 days. The data were analyzed using the descriptive and   inferential statistics.

MAJOR FINDINGS OF THE STUDY WERE AS FOLLOWS:          

The descriptive and inferential statistics were used to compute the data. The statistics showed the following results:

          In pre-test more than half of the adolescent girls (60%) had inadequate knowledge, 35% had moderately adequate knowledge and only 5% had adequate knowledge on stress-reduction techniques.

Post-test revealed that after attending the LCD teaching programme 18.33% had moderately adequate knowledge and 81.67% had adequate knowledge and none had inadequate knowledge on stress-reduction techniques.

The effectiveness of the LCD teaching programme was statistically tested by paired ‘t’ test value (24.44) and the result was found to be significant at P < 0.001 level. It shows that there was an improvement in the level of knowledge in post-test when compared to pre-test score.

 Result revealed that 30 (50%) of adolescent girls had inadequate knowledge, 25 (41.6%) of them had moderately adequate knowledge, and only 5 (8.4%) had adequate knowledge on introduction, definition, anatomy and physiology in pre-test. In post-test 5 (8.4%) of them had moderately adequate knowledge, 55 (91.6%) had adequate knowledge and none of them had inadequate knowledge.

Result revealed that 39 (65%) of adolescent girls had inadequate knowledge on sources of stress and clinical features of stress in pre-test. In post-test 18 (30%) of them had moderately adequate knowledge, 41 (68.3%) had adequate knowledge.

Result revealed that 45 (75%) of adolescent girls had inadequate knowledge on stress management in pre-test. In post-test 14 (23.3%) of them had moderately adequate knowledge, 45 (75%) had adequate knowledge and only 1 (1.7%) had inadequate knowledge.

Result revealed that 37 (61.7%) of adolescent girls had inadequate knowledge on complication and prevention of stress in pre-test. In post-test 8 (13.3%) of them had moderately adequate knowledge, 49 (81.7%) had adequate knowledge and only 3 (5%) had inadequate knowledge.

Thus the difference in the level of knowledge in various aspects of stress-reduction techniques was confirmed by Paired ‘t’ test value (23.09, 11.59, 8.89 and 16.68), which was significant at p< 0.001 level. It shows that the LCD teaching programme was very effective in improving the knowledge level of the adolescent girls in all aspects of stress- reduction techniques. 

Association between the selected demographic variables and dependent variables was analyzed by paired “t” test and kruskal wallis test. There was no significant association between the demographic variables (Age, religion, educational status, occupation of the parents, educational status of the parents and number of siblings) and level of knowledge on stress-reduction techniques.

The structured-teaching Programme significantly increased the knowledge among adolescent girls regarding stress-reduction techniques. The results demonstrated that a structured-teaching with appropriate audio-visual aids (LCD) will enhance the knowledge of adolescent girls regarding stress-reduction techniques.

RTESULT:

The knowledge score of the adolescent girls was inadequate before STP. After the LCD teaching programme 18.33% had moderately adequate knowledge and 81.67% had adequate knowledge.

The effectiveness of LCD teaching programme was statistically tested by paired ‘t’ value and the result found to be significant at p<0.001 level.

There was no significant relationship between demographic variables and pre-test knowledge of subjects on stress-reduction techniques.

NURSING IMPLICATIONS:

 The nursing implication included the specific suggestion for nursing practice, nursing education, nursing administration and nursing research.

NURSING PRACTICE:

1.   Stress management program can be extended to all the children who are admitted in the pediatric ward.

2.   Early recognition of depression and anxiety disorder can reduce the high risk behavior of stressful person like suicidal ideation.

3.   Education program can be conducted to the parents of stressful children to help them to cope with stress.

4.   The nurses can create an opportunity for the adolescent to express their feelings and can provide opportunity to relax.

NURSING EDUCATION:

1.   Nurse-educator needs to prepare nursing students to obtain the skill in observing stressful behavior of the children.

2.   Student nurses must be motivated to provide counseling to stressful children to cope with stressful situation.

3.   The curriculum should explain the mental problems faced by the children who are staying in the hostel and their management.

4.   Stress management program can be conducted to school children like yoga, deep breathing exercises etc.

5.   Community students must organize health education program on stress management for adolescent girls at schools and hostels.

6.   Organize educational program to teacher to create awareness about mental problems faced by students in the school and hostel.

NURSING ADMINISTRATION:

1.   Hostel administration should take proper step to reduce the stress-level of the students who are staying in the hostel.

2.   School administration should give special consideration to the students who are staying in the hostel.

3.   Nursing administration should conduct educational program on stress reduction techniques in the school and hostel.

NURSING RESEARCH:

1.   Generalization of the study result can be made by further replication of large samples.

2.   Future research should focus on interventions that decrease the level of stress of the children’s.

3.   Future research should focus on factors that influence the mental health of the children who are staying in the hostel.

4.   Comparative study can be done on the efficacy of individual education and education by mass media on stress management.

5.   A qualitative study can be carried out to assess personal factors which lead children to practice stress management.

RECOMMENDATIONS:

1.   A similar study can be conducted in a large number of samples at different hostel to validate and generalize the findings.

2.   A similar study can be conducted among male population who is staying in hostel.

3.   A similar study may be done as an experimental study between control and experimental group.

4.   A study can be conducted to assess the attitude of school children about hostel life.

5.   A study can be conducted to assess the practice of stress reduction techniques in the hostel.

6.   A study can be conducted to assess the factors which influence a subject’s likelihood of attending teaching programme on yoga and meditation.

7.   A comparative study can be conducted to assess the stress level between school children staying in government hostel and private hostel.

8.   A study can be conducted to assess the stress and its health effect on school children.

9.   A study can be conducted to assess the stress and coping of physically handicapped children who staying in the physical rehabilitation center.



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4. Angela, M., &., Jenifer, S. (2009). What Stress Is, Health's Disease and Condition. retrieved from http.www.medicinet.BackContinueHelping Your Child CopeWhen kids can't or won't discuss these issues, try talking about your own concerns. This shows that you're willing to tackle tough topics and are available to talk with when they're ready. If a child shows symptoms that concern you and is unwilling to talk, consult a counselor or other mental health specialist.Books can help young kids identify with characters in stressful situations and learn how they cope. Check out Alexander and the Terrible, Horrible, No Good, Very Bad Day by Judith Viorst; Tear Soup by Pat Schweibert, Chuck DeKlyen, and Taylor Bills; and Dinosaurs Divorce by Marc Brown and Laurene Krasny Brown.

5. Barbara, P. (2007). Starting School Creates Stress New Research Shows Signs of Stress Up to 6 Months in Advance. American journal of health promotion, 17 (3), 638.


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