RAJIVGANDHIUNIVERSITY OF HELATH SCIENCES
BANGALORE – KARNATAKA
Proforma synopsis for registration of subject for dissertation
Submitted by,
INDIRA GANDHI P
M.Sc Nursing 1st Year
Medical Surgical Nursing
Sneha College of Nursing
Bangalore - 560043
RAJIVGANDHIUNIVERSITY OF HELATH SCIENCES
BANGALORE – KARNATAKA
PROFORMA FOR REGINSTRATION OF SUBJECT FOR DISSERTATION
1. / Name of the Candidate & Address / INDIRA GANDHI P1st YEAR M.Sc (Nursing),
SNEHA COLLEGE OF NURSING
NO.97, 5th Main, I Stage, I Block, HBR Layout,BANGALORE– 43
2. / Name of Institution / SNEHA COLLEGE OF NURSING
3. / Course of study and subject / M.Sc NURSING, 1stYEAR,
MEDICAL SUGICAL NURSING
4. / Date of admission to course / 30/07/2008
5. / Title of the Topic / “A STUDY TO EVALUATE THE EFECTIVENESS OF STRUCTURED TEACHING PROGRAMME ON
MANAGEMENT OF EPILEPSY TO THE STAFF NURSES IN SELECTED HOSPITALS IN BANGALORE”.
BRIEF RESUME OF THE INTENDED WORK:-
INTRODUCTION
Epilepsy is one of the oldest disease know to humans. It was described in detail by Hippocrates. Epilepsy derived from the Greek word epilepsia, means to take hold of or to seize. A single seizure does not mean a client has epilepsy. It is not a single disorder. There are many types of recurrent seizures.
Epilepsy often called idiopathic epilepsy is a disease of unknown cause. The basic problem is thought to be an electrical disturbance in the nerve cells in one section of the brain, causing them to emit abnormal recurring, uncontrolled electrical discharges. The characteristic epileptic seizure is a manifestation of this excessive neuronal discharge. There may be associated loss of consciousness, excess movement or loss of muscle tone or movement and disturbances of behaviours, mood, sensation and perception. Epilepsy is a chronic condition requiring careful long term management.
6.1 NEED FOR STUDY
Epilepsy is a group of syndromes characterized by recurring seizures. Idiopathic epilepsy most begins before age of 20 years and rarely after age 30 years. An estimated 2 to 4 million people in the United States have epilepsy (1 in 200 adults affected) and onset occurs before the age of 20 years in greater than 75% of patients.
In every year, some 1,00,000 new patients diagnosed each year. Epilepsy is the most common serious neurological disorder affecting as estimated 50 million people world wide. The lifetime likelihood of experience at least one seizure is about 9% and being diagnosed as having epilepsy is almost 3%.
In India were higher & reached 60 per 1, 00,000 person – year affected by epilepsy and incidence rate of epilepsy in developing countries that is as high as 190% 1,00,000 person – year. In 2005, epilepsy surveillance among adults this study shows that 16% reported not currently taking their epilepsy medication and 65% reported having had more than one seizure in the past month.
Rahila Ali (Sep 2006), She conducted a study on epilepsy: A family Physician Perspective. In that study shows that the life time likelihood of experiencing at least one seizure is about 9% & being diagnosed as having epilepsy is almost 3% among 50 million people.
T.Grisar (March 2005), He conducted a study on Prophylaxis of the epileptics & this study shows that antileptic drugs be used for prevention of epilepsy.
Connolly Mary (2006), Conducted a study on management of epilepsy with emphasis on surgical aspects and she concluded antileptic drugs are the first line management for epilepsy but the Ketogenic diet & corpus callostomy & Vagus nerve stimulation are other therapeutic options.
This study was very important for nurses in the aspect of providing care to the patient. Management education which helps the nurses to become experts in management of epilepsy. This study helps nurse to manage the patients with epilepsy and to meet the needs of each patient and also prevent seizure.
6.2.REVIEW OF LITERATURE
Shaw EJ (2007), conducted a study on self management education for adults with epilepsy. He found that self management education may improved knowledge about epilepsy and it improved seizure control. This self management education shown to improve the quality of life.
Rose Marie Kobau (2005), conducted a study on epilepsy surveillance among adults – 19 states. She conducted that and found that 1.65% of non institutionalized adults form 19 states reported that that they had ever been told by a doctor that they has epilepsy or seizure disorder, 0.84% reported having active epilepsy (history of epilepsy and currently taking medication or reporting one or more seizures during the past 3 months), 0.75% were classified as having inactive epilepsy (history of epilepsy or seizure disorder but currently not taking medicine to control epilepsy). Prevalence estimates for active & inactive epilepsy revealed no significant differences by sex or race.
Jose F (2003), conducted a study on long term seizure outcomes following epilepsy surgery. The study shows that among studies of reactive surgery, 40 (51%) reported outcomes after temporal lobe surgery, 25(32%) grouped patients with temporal and extra temporal procedures, two (3%) on hemispherectomy &one (1%) each on Parietal and occipital lobe surgery.
Susan D.Ross (2001), She was conducted a study on management of newly diagnosed patients with epilepsy. The study designs comprised to interventional and 50 observational studies & this project was carried out in two phase. The first Phase involved a stakeholder meeting at which a matrix framework of specific populations. In the second phase all interventions (diagnostic, monitoring) for a single population of interest. The study shows that diagnosis of epilepsy prevent delayed or missed diagnosis and a predict remission outcomes are a complete history & Physical examination, other diagnostic interventions (e.g. CT or MRI) are important to rule out secondary cause of seizure or to resolve uncertain diagnosis.
Jacqueline (1994), conducted a study on evaluation & long term management of epilepsy & concluded she understand the risk and benefits of various pharmacologic and therapeutic options & if she maintain open lines of communication with the patient.
6.3 OBJECTIVES OF THE STUDY
The objective of the studies are:
1.To assess the knowledge of staff nurses regarding management of epilepsy.
2. To prepare a structured teaching programme on management of epilepsy for staff nurses.
3. To evaluate the effectiveness of structured teaching programme on management of epilepsy.
4. To determine an association between the mean pretest knowledge scores staff nurses regarding management of epilepsy and selected demographic valuables.
6.4 HYPOTHESIS
H1 – The mean post test knowledge scores of staff nurse regarding management of epilepsy is significantly higher than their mean pretest knowledge scores.
H2 – There is significant association between the mean pretest knowledge scores of staff nurses regarding management of epilepsy and selected demographic variables.
6.5. OPERATIONAL DEFENITION OF TERMS :-
EVALUATE:
It refers to the findings of values of the structured teaching programme on knowledge of staff nurses working in medical ward regarding management of epilepsy.
EFFECTIVENESS:
Refers to determining the extent to which the structured teaching programme has achieved desired effect as measured in term of significant gain in the post test knowledge of the staff nurses and graded as adequate knowledge, moderately adequate knowledge and inadequate knowledge.
STRUCTURED TEACHING PROGRAMME:-
Structured teaching programme refers a written material prepared by the researcher and content validated by exports. It is designed to provide information regarding management of epilepsy.
MANAGEMENT OF EPILEPSY:-
In this study refers to a process of caring the patient when there is a group of syndrome characterized by recurring seizure.
STAFF NURSES:-
In this study refers to registered nurse who are working in medical wards in selected hospitals.
SELECTED DEMOGRAPHIC VARIABLES
In this study refers to age, sex, educational stats, years of experience of staff nurses.
6.6. ASSUMPTIONS
The study is based on the following assumptions.
- The staff nurses are having inadequate knowledge regarding management of epilepsy.
- Appropriate knowledge will prevent complications and it will reduce the morbidity rate.
6.7 DELIMITATIONS:-
The study is delimited to :
-Staff nurses who are working in selected hospitals in Bangalore.
-Staff nurses who are working in medical wards.
7. MATERIALS & METHOD
7.1. SOURCE OF DATA:
Staff nurses working in medical ward in selected hospitals, Bangalore.
7.2. METHODS OF DATA COLLECTIONS:
Research method-Pre experimental method.
Research design-Pretest – Post test design.
Sample Technique-Simple random sampling.
Sample size-50 staff nurses in selected hospitals in Bangalore.
Setting of the study-The proposed setting study will be at
general hospital, Jayanagar and KC General hospital Malleswaram.
7. 2 . 1. CRITERIA FOR SELECTIONOF SAMPLES
INCLUSIONCRITERIA
The study includes staff nurses:
-Working in medical ward.
-Those who are working in General hospital. Jayanagar and KC General hospital, Malleshwaram.
-Those who are willing to participate in the study.
EXCLUSION CRITERIA
The study exclude staff nurses:-
-Those who are not willing to participate.
-Those who are not working in Medical ward.
-Those who are not working in General hospital. Jayanagar and KC General hospital, Malleshwaram.
-Who have attended any workshop or seminar about epilepsy.
7.2 . 2 DATA COLLECTION
A structured questionnaire will also be prepared to assess the knowledge of staff nurses in medical ward regarding management of epilepsy. A structured teaching programme will also be prepared regarding various aspects of management of epilepsy. Validity of the tool will be ascertained in consultation with the guide and expertsin the field of nursing. Reliability of the tool will be established by pretest / post test method. A written consent will be obtained from the participants regarding their willingness to participate in the study. A formal administrative permission will be obtained from the concerned authority of the proposed settings. The tentative period of data collection will be in August 2009.
7.2. 3. DATA ANALYSIS METHOD.
Data will be analyzed by using descriptive and inferential statistics. Frequency and percentage distribution will be used to describe the demographic variables. The demographic variables will also be described descriptively by using diagrams (Column, bar, line, pie diagrams)/ Mean and standard deviation will be done to assess the mean knowledge of staff nurses in medical ward regarding management of epilepsy. A ‘t’test wile be done to compare the mean pretest and post test knowledge scores. A chi – square test will be used to find out the association between the mean pretest knowledge scores of staff nurses regarding management of epilepsy and selected demographic variables.
7.3DOES THE STUDY REQUIRE ANY INVESTIGATIONS OR INTERVENTIONS TO BE CONDUCTED ON PATIENTS OR OTHER HUMAN OR ANIMALS.
YES,
Structured teaching programme with a questionnaire regarding management of epilepsy will be used to assess the knowledge of staff nurses. No other invasive physical or laboratory procedures will be conducted on the samples.
8. LIST OF REFERENCES
- SHAW E.J. ‘Self management education for adult with epilepsy’ (2007)
- ROSS MARIE KOBAU ‘Epilepsy surveillance among adults – 19 states’ (2005)
- JOSE F ‘Long term seizure outcomes following epilepsy surgery’ (2003)
- SUSAN .D. ROSS ‘Management of newly diagnosed patients with epilepsy’ (2001)
- JACQUELINE ‘The long term management of epilepsy’ (1994)
- T GRISAR ‘Prophylaxis of the epilepsies should anti – epileptic drugs be used for prevention’ (2005)
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