The History Of Nursing Administration Nursing Essay

This chapter presents the summary, conclusion, implications, recommendations and limitations of the study based on the objectives selected.

SUMMARY

In India, approximately 45,000 children are diagnosed with cancer every year and it ranks 2nd leading cause of death. survival rate of cancer has increased significantly compared to previous years with all the advanced treatment modalities. hence, home care management of cancer children plays an important role to sustain the effects of therapy. so investigator identified the need to educate caregivers of children with cancer about home care management.

The home care management also help health professionals to monitor and guide care that is given at home. The home care management in this multimedia package deals with diet therapy, physical activity, side effects of various therapy and infection control measures. the professionals knows that caregivers are following the procedures recommended at home. Care giving can have important benefits preventing complications, ensuring growth and development and enhance the quality of life. Caring for someone can give you a sense of satisfaction and confidence. Families who give care often feel closer to each other and to the young children who is ill.

The purpose of the study was to assess the effectiveness of multimedia package on knowledge and attitude regarding homecare management among caregivers of children with cancer

The objectives of the study were

To assess the pre test level of knowledge and attitude regarding homecare management among caregiver of children with cancer.

To evaluate the effectiveness of homecare management on level of knowledge and attitude among caregiver of children with cancer.

To correlate the mean difference knowledge score with attitude score regarding homecare management among caregiver of children with cancer.

To associate the mean difference level of knowledge and attitude score with selected demographic variables.

The study was based on the assumptions that

Caregiver of children with cancer may have some knowledge regarding home care management.

Multimedia package may enhance adequate knowledge and attitude regarding homecare management among caregiver of children with cancer.

The null hypotheses formulated were

NH1 There is no significant difference in pre and post intervention level of knowledge and attitude regarding homecare management among caregiver of children with cancer at p<0.001.

NH2 There is no relationship between mean difference knowledge score and attitude score at p< 0.05.

NH3 There is no significant association of mean difference level of knowledge and attitude with selected demographic variables at p<0.05

The review of literature was derived from primary and secondary sources, along with professional experience and expert’s guidance from the field of child health nursing provided a strong foundation for the selection of problem. It also strengthened the ideas for conceptual framework, aided to design the methodology and develop the tool for data collection.

In view of explaining and relating various aspects of the study, the investigator had adopted J.W Kenny's open system model to conceptualize the research.

The researcher adopted pre-experimental one group pre test and post design to assess the effectiveness of multimedia package on knowledge and attitude regarding homecare management among 40 caregivers of children with cancer. The study was conducted in the pediatric oncology ward comprises 35 beds and has an in patients of 50-60 per month at Kanchi Kamakoti Child Trust Hospital, who fulfilled the inclusive criteria of the study and were assigned by non probability purposive sampling.

The tool for data collection had 3 sections. Section A: Demographic data to collect information on Educational status, occupational status ,food pattern, family history of cancer, family income, type of cancer, duration of illness, treatment modalities, source of information about cancer. Section B: Knowledge questionnaire regarding homecare management which includes diet therapy, physical activity, side effects of various therapies, infection control measures to assess the effectiveness of multimedia package on knowledge level among caregiver of children with cancer. Section C: Attitude scale regarding home care management to assess the effectiveness of multimedia package on attitude level among caregiver of children with cancer which consists of diet therapy, physical activity, side effects of various therapies, infection control measures.

The Medical and Nursing experts validated the tool. The pilot study was conducted at Kanchi Kamakoti Child Trust Hospital, Nungambakam, Chennai and it was found practicable and feasible to proceed with the main study. The reliability of the tool was established by split half method, ‘r’ = 0.9 by using Karl Pearson correlation coefficient method. The findings showed that the tool was found to be highly reliable to proceed with the main study.

The ethical aspect of research was maintained throughout the study by obtaining ethical clearance certificate from the International Centre for Collaborative Research (ICCR), formal permission from the respective authorities and consent from the participant’s parents and concerned staff nurse. Privacy and confidentiality was maintained throughout the data collection period and collected data was used only for the research purpose.

The main study was conducted for a period of 4 weeks. the collected was analyzed using SPSS version 13.

Main findings of the study were

The data collected was analyzed using descriptive and inferential statistics. Interpretation and discussion was done based on the objectives of the study, null hypotheses, conceptual framework and research studies from literature review.

The analysis revealed that in the pretest, majority 25(62.5%) had moderately adequate knowledge and in the post test, majority 37(92.5%) had adequate knowledge regarding home care management among caregivers of children with cancer.

The analysis also revealed that in the pretest, majority 38(95%) had moderately favorable attitude and in the post test, majority 37(92.5%) had favorable attitude regarding home care management among caregivers of children with cancer.

The analysis revealed that in the pretest the mean score of knowledge was 21.75 with S.D 5.12 and the post test mean score was 31.72 with S.D 2.01. The calculated ‘t’ value of t = 11.340 was found to be statistically highly significant at p<0.001 level.

The analysis revealed that in the pretest the mean score of attitude was 24.22 with S.D 2.68 and the post test mean score was 35.97 with S.D 2.56. The calculated ‘t’ value of t = 23.104 was found to be statistically highly significant at p<0.001 level.

The results of the correlation revealed that the mean differed knowledge score was 9.97 with mean differed S.D 5.56 and the mean differed attitude score was 11.75 with mean differed S.D 3.22. The calculated ‘r’ value of r = 0.338 statistically significant at p<0.05 level which showed that there is a moderate positive correlation if knowledge with a attitude.

The findings thus proved that the multimedia package had a effectiveness on improving knowledge and attitude regarding homecare management for cancer among caregivers of children with cancer.

CONCLUSION

The present study assessed the effectiveness of homecare management for cancer on knowledge and attitude among caregivers of children with cancer. the findings proved that multimedia package was very effective and had a significant effect on knowledge and attitude regarding homecare management on care for caregivers of children with cancer. Therefore the intervention tool can be utilize by the health care professional in their practice at the pediatric oncology ward.

IMPLICATIONS

The investigator has drawn the following implications from the study which was vital concern for nursing practice, nursing education, nursing administration and nursing research.

Nursing Practice

It helps to boost the image of the nurses as an indispensable member of the health care team with their own scientific body of knowledge and scope of practice.

In this evidence based environment, localized research can be expanded to solve the immediate problems arises during nursing practice.

Root cause analysis for children with cancer can be performed to improve nursing practice

Nurses can participate in the management of daily living and the psychological care to the caregivers of children with cancer.

The nurses in the clinical area can make use of the media and AV aids to provide teaching to the caregivers of children with cancer regarding homecare management.

Nursing Education

Evidence based guidelines should be integrated into nursing practice to render effective and quality care of children with cancer

In-service education, refresher course and training programs on home care management of children with cancer should be systematically planned and regularly conducted for caregivers.

Periodic seminars and group discussion can be arranged on new strategies regarding care of children with cancer.

Nursing Administration

Nurse administrators should remain updated about the home care management by attending various workshops, continuing education ,in-service education program including seminars, symposium and conferences to introduce the needed changes coming up through ongoing scientific research regard to the care of children with cancer.

Nurse administrators should facilitate and encourage caregivers to update their knowledge and attitude on other aspects of home care management by organizing education program.

Nurse managers can strengthen interdisciplinary and multidisciplinary collaboration with researchers .

Nursing Research

The findings of the present study serves as basis for other professionals and the student nurses to conduct further studies and to find out the effectiveness of various methods of providing education.

Training caregivers in skills, essential for day to day management of children with cancer is likely to have a role in reducing the burden of care and more studies can be conducted in this area in order to strengthen the expanded role of nurses.

Expanded dissemination of the research findings to nurse practitioners and student nurses through internet, journals, literature helps to promote evidence informed practice (EIP).

Develop stronger evidence base for nursing practice by conducting multisite studies.

RECOMMENDATIONS

The investigator recommends the Omayal Achi affiliated institutions to use this multimedia package to provide health education to caregiver of children with cancer.

The student nurses from Omayal Achi College of Nursing practicing in the various institutions can use this package for health education .

Based on the study findings the recommendations are,

The findings of the present study serves as basis for other professionals and the student nurses to conduct further studies and to find out the effectiveness of various methods of providing education.

Training caregivers in skills, essential for day to day management of children with cancer is likely to have a role in reducing the burden of care and more studies can be conducted in this area in order to strengthen the expanded role of nurses.

Expanded dissemination of the research findings to nurse practitioners and student nurses through internet, journals, literature helps to promote evidence informed practice (EIP).

Develop stronger evidence base for nursing practice by conducting multisite studies.

LIMITATIONS

The researcher found it very difficult to get permission from hospital, to conduct the study.

It was difficult to get the consent from the caregivers , since they were emotionally upset due to their child illness.