A Study to assess the effectiveness of Structured Teaching Programme on knowledge regarding the First aid management of Convulsion in children among primary school teachers of selected schools at Kollam
1Third Year BSc Nursing Students, Bishop Benziger College of Nursing, Kollam.
2Assistant Professor, Department of Child Health Nursing, Kollam.
*Corresponding Author Email:
A study to assess the effectiveness of structured teaching programme on knowledge regarding the first aid management of convulsions in selected schools at Kollam. The objectives of the study were to:a) To assess the knowledge regarding the first aid management of convulsion in children among primary school teachers of selected schools at Kollam.b) To assess the effectiveness of structured teaching programme on knowledge regarding first aid management of convulsion in children among primary school teachers in selected schools at Kollam.c) To find the association between knowledge of primary school teachers regarding first aid management of convulsion in children with their selected demographic variables. A quantitative approach was used with one group pretestposttest only design. Convenient sampling was used. Sample size was 60. The investigator assessed primary school teachers knowledge using structured questionnaire regarding first aid management of convulsion. After conducting the pretest, structured teaching programme was introduced to the primary school teachers. Posttest was conducted on fifth day using the same research tool. It is found that the calculated t value is greater than table value. There is significant difference between pretest and posttest scores of knowledge of primary school teachers. There is no association between pretest knowledge and selected demographic variables. The finding of the study suggests that structured teaching program is effective in increasing the knowledge of primary school teachers regarding first aid management of convulsion.
KEYWORDS: Children, Assess, Effectiveness, Structured teaching program, Knowledge, First aid management, Convulsion, Primary School Teachers.
Childhood is a unique phase of human development. Children are the important feature of every society and also the future of a nation. Convulsion is a major health problem frequently seen among school children. It can lead to impaired growth and development.
Teachers, in general, do not receive any formal instruction on childhood illness during their training. It is important to consider the knowledge of teachers regarding childhood convulsion. So teachers do have an important part to play in the management and surveillance of children with convulsion1.
Effectiveness of structured teaching program on knowledge regarding the first aid management of convulsion in children among primary school teachers of selected schools at Kollam.
Convulsion is a common childhood disorder. The incidence is highest in a school age children. Schools system, teachers, health professionals are striving to assist the students to reach their full potential. In India little attention has been paid about knowledge of convulsion to the public. Currently there are lot of myths, prejudices, bias, and social stigma about convulsion among teachers. Children with convulsion find themselves confronted with social barriers that prevent them from academic achievements. Thus there is a need to assess knowledge of teachers to improve the quality of children’s health6. It was found that about 4- 6% of children have fits some time or other during the life and 90% of convulsive disorders have their onset in early life. One in 15 or 20 children admitted in hospital give a history of convulsion 90% of the convulsions occur or have their origin before the age of 2 to 4 years. One out of every 15 children is said to have a convulsion. The frequency of convulsion is highest between 6 months to 7 years of age2.
1. To assess the knowledge regarding first aid management of convulsion in children among primary school teachers of selected schools at Kollam.
2. To assess the effectiveness of structured teaching program on knowledge regarding first aid management of convulsion in children among primary school teachers in selected schools at Kollam.
3. To find the association between knowledge of primary school teachers regarding first aid management of convulsion in children with their selected demographic variables.
H1: There will be significant difference between pretest and posttest scores of knowledge regarding first aid management of convulsion in children among school teachers in selected schools at Kollam. H2: There will be significant association between knowledge among school teachers on first aid management of convulsion in children with selected demographic variables like age, sex, education and, previous knowledge of teachers regarding first aid management of convulsion.
A study was conducted to evaluate the prevalence of convulsion in school going children (6-18years) in Kashmir valley of North West India. convulsion is a common neurological disorder which predominantly affects pediatric and young adolescent population. 49 cases of convulsion were detected after screening 15218 school going children. It included 55.1% (prevalence of 3.74/1000) males and 44.9% (prevalence of 3.13/1000) females. Rural-urban specification revealed a prevalence of 3.49/1000 and 2.96/1000 respectively. Age specific prevalence was found to be 3.82/1000 (6-10 years), 3.44/1000 (11-14 years) and 2.33/1000 (15 -18 years). Highest prevalence of convulsion was found in upper lower class (prevalence of 3.89/1000) and lowest in lower middle class (prevalence of 2.78 per 1000). Again, higher prevalence (3.78/1000) was observed in children from government run educational institution. Generalized tonic clonic seizures (73.5%) was the commonest type of seizure observed3.
A cross sectional descriptive study was conducted among male teachers on knowledge and practice of school teachers towards students with epilepsy in khakis Mushate, southern Saudi Arabia; 315 teachers filled a well - designed and pretested self-administered questionnaire. Approximately three quarters (72.7%) of the school teachers had witnessed convulsive fits. Forty - six percent believed that convulsion was caused by electrical discharges. Most of the school teachers (79.7%) disagreed with the idea of teaching children with convulsion separately, or preventing them from sports activities (50.5%). In addition, 94.9% disagreed with the idea that convulsion was shameful. unfortunately, 64.1% of the teachers who were exposed to cases of convulsions were not able to provide first aid to students having convulsive fits (p=0.03). The school teachers were generally knowledgeable about convulsion4.
A study was conducted to assess the effectiveness of 3- day training workshop on "teaching-learning methodology and evaluation" held in four different medical colleges of Nepal. The workshop was targeted at middle and entry level teachers who had not been previously exposed to any teacher's training program. A team of resources persons were involved in all the four medical institutions. The collection data had two categories of responses: (1) a questionnaire survey of participants at the beginning and end of the workshop to determine their gain in knowledge and (2) a semi- structured questionnaire survey of participants at the end of workshop to evaluate their perception on usefulness of the workshop. The later category had items with three - point Likert scale (very useful, useful, and not useful) and responses to open -ended questions/statements to document participants views. The response was entered into a spreadsheet and analyzed using SPSS. The result showed that all (n=92) improved their scores after attending the workshop. The workshop was perceived as an acceptable way of acquiring teaching - learning skills5.
A quantitative research approach was used with one group pretestposttest design.
The setting for the study was Infant Jesus Anglo Indian Higher Secondary School kollam
The sample selected for this study was 60 primary school teachers who are teaching at Infant Jesus School Kollam. Convenient sampling technique was used.
Tool 1: Demographic profoma
Tool 2: Self structured questionnaire regarding first aid management of convulsion in children.
After getting approval from the Bishop Benziger College of Nursing, researcher selected the setting for study. Institutional consent was obtained from the principal of Infant Jesus Anglo Indian Higher Secondary School Kollam. Then the researcher selected the samples, 60 primary school teachers according to the sampling criteria using convenient sampling. Then the researcher explained the study to them and consent was obtained. On the first day itself pretest was done using self- structured questionnaires. Then teaching was given regarding the first aid management of convulsion in children. On the 6th day post-test was done.
The collected data were organised, tabulated and organised. The data analysis was done according to the objectives of the study. The researcher used descriptive and inferential statistics for data analysis.
1. Frequency and percentage wise distribution of pretest score on knowledge regarding first aid management of convulsion N=60
|
Score |
Knowledge |
Frequency |
Percentage |
|
16-20 |
Good |
0 |
0% |
|
11-15 |
Moderate |
19 |
32% |
|
0-10 |
Poor |
41 |
68% |
2. Frequency and percentage distribution of posttest score on knowledge regarding first aid management of convulsion. N=60
|
Score |
Knowledge |
Frequency |
Percentage |
|
16-20 |
Good |
23 |
38% |
|
11-15 |
Moderate |
30 |
50% |
|
0-10 |
Poor |
7 |
12% |
3. Comparison of pretest and posttest score of knowledge among primary school teachers.
|
Test |
N |
Mean |
SD |
‘t’ |
Level of significance |
|
Pretest score |
60 |
9.2 |
2.15 |
10.83 |
S |
|
Posttest score |
60 |
14.4 |
3.08 |
|
|
There was no association between knowledge regarding first aid management of convulsion in children among primary school teachers and demographic variables such as age in years, sex, education, year of experience, previous knowledge.
Out of 60 sample, mean posttest score (14.4) is greater than the mean pretest score (9.2) on knowledge regarding first aid management of convulsion in children among primary school teachers in selected schools at Kollam. The ‘t’ value (10.83) is greater than the table value. Therefore the planned teaching program was effective. Hence the research hypothesis was accepted. It shows that planned teaching program was effective to increase the knowledge of teachers regarding first aid management of convulsion in children among primary school teachers in selected schools at Kollam.
Based on the results of the present study, the following recommend are offered
· A smaller kind of study can be conducted for a large group
· A quasi experimental study can be conducted to assess the knowledge regarding first aid management of convulsion in children among primary school teachers.
It was analyzed that there is significant improvement in posttest knowledge scores of primary school teachers. So the structured teaching program was effective. On computing the association between knowledge and selected demographic variables like age, sex, education, years of experience and previous knowledge, it was found that there is no significant association between knowledge and demographic variables like age, sex, education, years of experience and previous knowledge
1. Steven C. Schachter. Greogory L.et al. “Behaviour Aspects of Epilepsy: Principles and Practice”. Demos Medical Publishing. LLC.2007:366-369.
2. Porter R.J. Epilepsy. “100 Elementary Principles”. Philadelphia. W.B. Saunders Company. 1984.PP no.46-58
3. De Boer HM, Mula M, Sander JW. The global burden and stigma of epilepsy. Epilepsy Behav. 2008 May;12(4):540-6. Epub 2008 Feb 14
4. “Epilepsy in Children of Age 6-12 years”. www.who.int/en/
5. Sillanpää M, Helen Cross J. EpilepsyBehav. 2009 Jun; 15 Suppl 1: S5-10. Epub 2009 May 1. The psychosocial impact of epilepsy in childhood.
Received on 29.03.2021 Modified on 28.04.2021
Accepted on 17.05.2021 ©A&V Publications All right reserved
Asian J. Nursing Education and Research. 2021; 11(4):515-517.
DOI: 10.52711/2349-2996.2021.00122