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ABSTRACT
An experimental study was carried out to assess the effectiveness
of Structured Teaching Programme regarding nature and prevention of
accidents among mothers of toddlers in a selected area of Raichur
(Zaheerabad area) by Mrs. G. Vijaya Kumari, II year, M.Sc (N) from
Navodaya College of Nursing, Raichur. The study was conducted in
partial fulfillment of the requirement for the degree of Master of Science
in Nursing of Rajiv Gandhi University of Health Sciences, Bangalore.
Objectiveness of the study were:
To assess the knowledge of mothers of toddlers regarding nature
and prevention of accidents among toddlers.
To assess the effectiveness of structured teaching programme
regarding nature and prevention of accidents among toddlers.
To analyze the relationship between the knowledge of mothers
regarding nature and prevention of accidents among toddlers with
selected socio-demographic variables.
Methodology:
The study was based on modified form of Bertanlonffys model.
Evaluative research approach was used. Pre-experimental design was
adopted for this study. Simple random sampling by lottery method
technique was used to select the sample. Totally 40 mothers of toddlers
were selected by simple random sampling technique. Structured interview
schedule was used to collect the data. Descriptive and inferential statistics
was used to analyze the data.
126
Major findings of the study were:
More than half of the sample were belonging to the age group of
20-30 years (60%).
More than one third of mothers were illiterates (35%).
Half of the mothers were coolies (50%),
Half of the mothers had an income of Rs.1001-2000 (50%).
Nearly three fourth of mothers had one toddler in the family (70%).
More than half of the mothers were belonging to nuclear family
(60%)
More than one third of mothers were residing at semipakka house
(35%)
In pretest, majority of the mothers had low knowledge (85%). In
post test, majority of mothers had average knowledge (87.5%)
followed by high knowledge (12.5%). Structured teaching
programme had enhanced the knowledge level of the mothers on
different sections of nature and prevention of accidents among
toddlers.
The Significant association was found between knowledge of
mothers of toddlers with selected socio-demographic variables in
the post test, and type of house like education status, occupation,
number of toddlers in the family.
In significant association between the knowledge of mothers with
selected socio-demographic variables in the post test, like age,
religion, monthly income and type of family.
127
Conclusion
Majority of mothers in pre test had low knowledge on nature and
prevention of accidents among toddlers followed by average knowledge
(15%) where as in post test significant difference was observed i.e. major
percentage of mothers had average knowledge (87.5%) followed by high
knowledge (12.5%) signifies the need of conduction of awareness
campaigns in enhancing the knowledge of primary caregivers in the study
area.
128
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Annexure I
Letter seeking permission to conduct study in Zaheerabad Area
From
Dr. R. Vasundhara
Principal
Navodaya College of Nursing
Raichur.
To
The Counselor
Ward No. 13, Zaheerabad
Raichur.
Sir,
Sub : Permission for conducting study.
This is to introduce Mrs. G. Vijaya Kumari, II year M.Sc. (N)
student of Navodaya College of Nursing, Raichur who is conducting a
Research project in partial fulfillment of M.Sc. (N) programme. She has
choosen the topic
A study to assess the effectiveness of structured teaching
programme regarding nature and prevention of accidents among mothers
of toddlers in a selected area of Raichur.
Kindly give her permission to conduct research project in your
area.
Thanking you,
Yours sincerely
Sd/-
Principal
134
Annexure II
Letter granting permission to conduct study in Zaheerabad Area
From
The Counselor
Word. No. 13, Zaheerabad
Raichur.
To
Dr. R. Vasundhara
Principal
Navodaya College of Nursing,
Raichur.
Madam,
Sub : Permission to conduct research project
Ref : Your letter dated : 1-8-05
Mrs. G. VijayaKumari, M.Sc. (N) student of Navodaya College of
Nursing, Raichur is permitted to conduct her research project in
Zaheerabad area, Raichur.
Sd/-
135
Annexure III
Letter to Experts for Content Validity
From
Mrs. Vijaya Kumari. G.
II Year M.Sc. Nursing
Navodaya College of Nursing
Raichur.
To
Through proper channel
Respected Sir / Madam,
Sub: Opinion and suggestions of experts on content validity
of research tool-request-regarding.
I Mrs.Vijaya Kumari.G. studying II year M.Sc. (N) course at
Navodaya College of Nursing, Raichur, as a part of my course
requirement I have taken up a research project on A study to Assess the
Effectiveness of Structured Teaching Programme Regarding Nature
and Prevention of Accidents Among Mothers of Toddlers in a
Selected Area of Raichur.
I am requesting you to kindly go through the tool and give your
valuable suggestions on content validity. I am herewith enclosing the study
objectives, tool and certificate of validation along with stamped envelope.
Thanking you,
Signature of the Principal Yours sincerely
Signature of the Guide (Vijaya Kumari.G.)
136
Annexure IV
CONTENT VALIDITY CERTIFICATE
This is to certify that Mrs.G.Vijaya Kumari II year M.Sc Nursing
student in Navodaya College of Nursing, Raichur who has selected the
topic on A study to Assess the Effectiveness of Structured Teaching
Programme Regarding Nature and Prevention of Accidents Among
Mothers of Toddlers in a Selected Area of Raichur. The tool was
validated by me. The suggestions / advices are herewith enclosed.
Sd/-
Experts Name
With Designation and Address
137
Annexure V
List of experts consulted for the content validity
Dr. Manjunath Professor & HOD of Paediatrics
N.M.C.H. & R.C.
Raichur.
Dr. Sanjay Shetty Asst. Professor
N.M.C.H. & R.C.
Raichur.
Mrs. K. Draksayani Devi Principal
NIMS College of Nursing
Hyderabad.
Ms. S. Arun Sree Associate Professor
Department of Child Health Nursing
Govt. College of Nursing
Somajiguda, Hyderabad.
Mrs. Shakunthala Lecturer
Department of Child Health Nursing
NIMS College of Nursing
Hyderabad
138
Mrs. T. Vasundhara Tulasi Lecturer
Department of Child Health Nursing
NIMS College of Nursing
Hyderabad
Mrs. Heera Lecturer
Department of Child Health Nursing
Govt. College of Nursing
Medical College Campus
Kurnool.
Mrs. Sujatha Lecturer
Department of Child Health Nursing
Govt. College of Nursing
Medical College Campus
Kurnool.
Mrs. Swarnalatha Lecturer
Department of Child Health Nursing
Govt. College of Nursing
Medical College Campus
Kurnool.
139
Annexure VI
Section A
Demographic Data
1. Code No:
2. Age of the mother ( )
a) Below 20 years
b) 21-25 years
c) 26-30 years
d) Above 30 years
3. Education of the mother ( )
a) Illiterates
b) Primary School
c) Secondary School
d) High School
e) Collegiate education
4. Occupation of the mother ( )
a) Coolie
b) House wife
c) Petty business
d) Any other, specify
5. Religion ( )
a) Hindu
b) Muslim
c) Christian
140
6. Monthly family income ( )
a) Below Rs.1000/- per month
b) Rs.1001-2000/- per month
c) Rs.2001-3000/- per month
d) Rs.3001 and above per month
7. Number of toddlers in the family ( )
a) One
b) Two
c) Three
d) Four and above
8. Family type ( )
a) Nuclear
b) J oint
c) Extended
d) Single parent
9. Type of the house ( )
a) Pakka
b) Kucha
c) Semi Pakka
141
Section B
I. Assessment of Mothers Knowledge in General Areas of
Home Accidents
Total Score : 30 M
1 M
1. What is meant by an accident? ( )
a) Sudden, unexpected harmful event
b) Slow, expected event
c) Normal, expected event
d) Normal, unexpected event
1 M
2. Which age group of children are more prone for accidents? ( )
a) Birth to one year
b) 1-3 years
c) 5-8 years
d) 9-12 years
1 M
3. Why the children will be affected more with accidents? ( )
a) Clean and safe environment
b) Lack of supervision
c) Not interested in surroundings
d) Aggressiveness
1 M
4. Which type of toys causes injuries to a toddler? ( )
a) Sharp edged and small parts of the toys
b) Stuffed toys
c) Bright toys
d) Dim toys
142
II. ASSESSMENT OF MOTHERS KNOWLEDGE ON FALLS
1 M
5. What are the causes for falls at home? ( )
a) Slippery flooring, open stairs
b) Hard flooring
c) Keeping doors locked
d) Locked stairs
1 M
6. What will happen, when the child falls? ( )
a) Fractures
b) Fever and cough
c) Pain abdomen
d) Ear pain
1 M
7. How will you prevent falls among children? ( )
a) Unprotective play grounds
b) Not allowing the child to lean on the higher ends
c) Apply slip-mat-in bathroom
d) Keep stair door unlocked
1 M
8. What is the first-aid management for falls? ( )
a) Call neighbour
b) Immobile the part and shift to hospital
c) Allow to cry
d) Do not handle the child
143
III. Assessment of Mothers Knowledge
About Poisoning
1 M
9. What is meant by poisoning? ( )
a) Ingestion of half cooked food
b) Ingestion of poisonous agents
c) Ingestion of more milk
d) Ingestion of more water
1 M
10. What are the most common poisons at home? ( )
a) Cleansing agents and pesticides
b) Toys and vessels
c) Flies and mosquitoes
d) Coal and Khajal
1 M
11. Why the children of 1-3 years are more prone for poisoning? ( )
a) Intention to vomit
b) Intention to dance
c) Intention of tasting and touching
d) Intention to talk
1 M
12. How will you protect the child from poisoning? ( )
a) Store household cleaners away from mother
b) Store medicines and household cleaners in out of
reach of children
c) Allow the child to talk slowly about medicine
d) Store chemicals in food containers
144
1 M
13. How will you manage the child from consumed poisoning? ( )
a) Tell out to everybody
b) Call police
c) Shift hospital immediately
d) Give to neighbour
IV. Assessment of Mothers Knowledge on Drowning
1 M
14. What is meant by drowning? ( )
a) Death from submersion in water
b) Death from inhalation of noxious gas
c) Death from ingestion of poisonous food
d) Death from mosquito bite
1 M
15. What are the sources of drowning? ( )
a) Open small tanks or open wells
b) Closed wells, dry lakes
c) Empty buckets
d) While raining
1 M
16. What are the effects of drowning ( )
a) Fever
b) Death due to asphyxia
c) Vomiting
d) Head ache
145
1 M
17. How can you prevent drowning among toddlers? ( )
a) Never leave the child alone to play in water
b) Keep open all water containers in the home premises
c) Leave child alone in water
d) Allow the child to play near irrigation ditches
1 M
18. How will you manage the child when drowning occurs? ( )
a) Suck the water
b) Lift the child and keep up side down, press over abdomen
c) Do not give care
d) Give to mother
V. Assessment of Mothers Knowledge on Burns
1 M
19. What is meant by burns? ( )
a) Injury by sand
b) Injury by dry heat
c) Injury by toys
d) Injury by stones
1 M
20. What is the common source of burns among children? ( )
a) Hot liquids
b) Cake
c) Biscuits
d) Air
146
1 M
21. How will you prevent burns among toddler? ( )
a) Keep hot items out of reach to the child
b) Turn pot hands towards front of stove
c) Keeping chimney at lower level
d) Allow child to play while cooking
1 M
22. How the burns will occur with electrical appliances? ( )
a) Outlet without faceplates
b) Using used sockets
c) Keeping electrical wiring boxes locked
d) Standing outside during thunder storm
1 M
23. How will you manage scald burns? ( )
a) Immerse burned part in cold water for 10 minutes
b) Do not seek medical advice
c) Wrapping the child
d) Careful observation of the child
VI. Assessment of Mothers Knowledge on Aspiration / Suffocation
1 M
24. What is meant by aspiration? ( )
a) Ingestion of drugs
b) Ingestion of foreign objects
c) Ingestion of water
d) Ingestion of milk
147
1 M
25. What is suffocation? ( )
a) Unable to breath due to obstruction
b) Unable to see
c) Unable to talk
d) Unable to Listen
1 M
26. What are the common sources for suffocation? ( )
a) Swallowing coins/beads/nuts/small parts of toys
b) Pencils, Pens
c) Chalks, Sticks
d) Bread and milk
1 M
27. How will you prevent aspiration in toddlers? ( )
a) Discourage running of the child with food in mouth
b) Eating with lying position
c) Playing with sibling
d) Giving food while dancing
1 M
28. How will you manage when the child had an aspiration? ( )
a) Keep head low and give firm slap over the back
b) Keep head raise and firm slap over the back
c) Keep head straight and firm slap over the back
d) Keep head lateral and slap over the back.
148
VII. Assessment of Mothers Knowledge About
Road Traffic Accidents
1 M
29. How will you prevent road accidents among toddlers? ( )
a) Supervise when the children are outside
b) No supervision of tricycle riding
c) Allow to play outside
d) Teach to hear horns
1 M
30. How will you manage when child get motor-vehicle accident? ( )
a) Inform to police
b) Call neighbour
c) Seek medical advice immediately
d) Become panic without action
149
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157
Annexure VII
Scoring Key
Assessment of mothers knowledge regarding nature and prevention
of accidents among toddlers
SL. NO. Key Score
1 a 1
2 b 1
3 b 1
4 a 1
5 a 1
6 a 1
7 b 1
8 b 1
9 b 1
10 a 1
11 c 1
12 b 1
13 c 1
14 a 1
15 a 1
16 b 1
17 a 1
18 b 1
19 b 1
20 a 1
158
21 a 1
22 a 1
23 a 1
24 b 1
25 a 1
26 a 1
27 a 1
28 a 1
29 a 1
30 c 1
159
Annexure VIII
Association between knowledge of mothers of toddlers with their age
O = Observed
E = Expected values
O-E = Observed value expected value
E = Row total x column total
Group total
D.F = Degree of freedom =3
2
= E (O-E)
2
E
O E O-E
(O-E)
2
E
3 2.63 0.37 0.054
0 0.37 0.37 0.37
7 6.13 0.87 0.1234
0 0.87 0.87 0.87
24 2.1 3 0.429
0 3 3 3.0
1 0.8 0.2 0.05
5 5.2 0.2 0.008
4.9024
Calculated
2
value = 4.9024
Tabulated
2
value = 7.815
At 5% level (3 d.f.)
This shows that the calculated value was lower than the table value,
there was no significant relationship between knowledge of mothers of
toddlers with their age.
160
Association between knowledge of mothers of toddlers
with their education status
O = Observed
E = Expected values
O-E = Observed value expected value
E = Row total x column total
Group total
D.F = Degree of freedom =4
2
= E (O-E)
2
E
O E O-E
(O-E)
2
E
14 12.25 1.75 0.25
0 1.75 1.75 1.75
13 11.37 1.63 0.2337
0 1.63 1.63 1.63
8 8.75 0.75 0.064
2 1.25 0.75 0.75
0 2.63 2.63 2.63
3 0.37 2.63 18.69
25.9979
Calculated
2
value = 25.998
Tabulated
2
value = 9.488
At 5% level (4 d.f)
It shows that the calculated value was higher than the table value,
there was significant relationship between knowledge of mothers of
toddlers with their education status.
161
Association between knowledge of mothers of toddlers
with their occupation
O = Observed
E = Expected values
O-E = Observed value expected value
E = Row total x column total
Group total
D.F = Degree of freedom =3
2
= E (O-E)
2
E
O E O-E
(O-E)
2
E
20 17.5 2.5 0.357
0 2.5 2.5 2.5
11 14 3 0.643
5 2 3 4.5
4 3.5 0.5 0.0714
0 0.5 0.5 0.5
8.5714
Calculated
2
value = 8.5714
Tabulated
2
value = 7.815
At 5% level (3. d.f)
This shows that the calculated value was higher than the table
value, there was significant relationship between knowledge of mothers
of toddlers with their occupation.
162
Association between knowledge of mothers of toddlers
with their religion
O = Observed
E = Expected values
O-E = Observed value expected value
E = Row total x column total
Group total
D.F = Degree of freedom =2
2
= E (O-E)
2
E
O E O-E
(O-E)
2
E
8 7.88 0.12 0.0018
1 1.12 0.12 0.0129
26 25.38 0.62 0.0151
3 3.62 0.62 0.1062
1 1.75 0.75 0.3214
1 0.25 0.75 2.25
2.7074
Calculated
2
value = 2.707
Tabulated
2
value = 5.991
At 5% level (2 d.f).
This shows that, the calculated value was lower than the table
value, there was no significant relationship between knowledge of
mothers of toddlers with their religion.
163
Association between knowledge of mothers of toddlers
with their monthly family income
O = Observed
E = Expected values
O-E = Observed value expected value
E = Row total x column total
Group total
D.F = Degree of freedom =2
2
= E (O-E)
2
E
O E O-E
(O-E)
2
E
15 13.12 1.88 0.2694
0 1.88 1.88 1.88
20 17.5 2.5 0.3571
0 2.5 2.5 2.5
5 4.38 0.62 0.0878
0 0.62 0.62 0.62
5.7143
Calculated
2
value = 5.7143
Tabulated
2
value = 7.815
At 5% level (3 d.f)
This shows that, the calculated value was lower than the table
value, there was significant relationship between knowledge of mothers
of toddlers with their monthly family income.
164
Association between knowledge of mothers of toddlers with their
number of toddlers in the family
O = Observed
E = Expected values
O-E = Observed value expected value
E = Row total x column total
Group total
D.F = Degree of freedom =3
2
= E (O-E)
2
E
O E O-E
(O-E)
2
E
28 24.5 3.5 0.5
0 3.5 3.5 3.5
7 1.5 3.5 1.167
5 1.5 3.5 8.167
13.334
Calculated
2
value = 13.334
Tabulated
2
value = 7.815
At 5 % level ( 3 d.f).
This shows that, the calculated value was higher than the table
value, there was significant relationship between knowledge of mothers
of toddlers with their number of toddlers in the family.
165
Association between knowledge of mothers of toddlers
with their type of family
O = Observed
E = Expected values
O-E = Observed value expected value
E = Row total x column total
Group total
D.F = Degree of freedom =3
2
= E (O-E)
2
E
O E O-E
(O-E)
2
E
19 21 2 0.1905
5 3 2 1.3333
12 10.5 1.5 0.2143
0 1.5 1.5 1.5
4 3.5 0.5 0.0714
0 0.5 0.5 0.5
3.8092
Calculated
2
value = 3.8092
Tabulated
2
value = 7.815
At 5% level ( 3 d.f)
This shows that, the calculated value was lower than the table
value, there was no significant relationship between knowledge of
mothers of toddlers with their type of family.
166
Association between knowledge of mothers of toddlers
with their type of house
O = Observed
E = Expected values
O-E = Observed value expected value
E = Row total x column total
Group total
D.F = Degree of freedom =3
2
= E (O-E)
2
E
O E O-E
(O-E)
2
E
8 11.38 3.38 1.0039
5 1.62 3.38 7.0520
13 11.38 1.62 0.2306
0 1.62 1.62 1.62
14 12.25 1.75 0.25
0 1.75 1.75 1.75
11.9065
Calculated
2
value = 11.9065
Tabulated
2
value = 5.991
At 5% level (2 d.f)
This shows that, the calculated value was higher than the table
value, there was significant relationship between knowledge of mothers
of toddlers with their type of house.
167
Chapt er -I
Chapt er -I I
Chapt er -I I I
Chapt er -I V
Chapt er -V
Chapt er -VI
Chapt er -VI I
Chapt er -VI I I
Chapt er -I X
Developing
structured
teaching
programme
on nature and
prevention of
accidents
among
toddlers
Implementation
of structured
teaching
programme on
nature and
prevention of
accidents
among toddlers
Post test
assessment
of knowledge
of mothers of
toddlers
Low
Knowledge
Average
Knowledge
High
Knowledge
Mothers
of
toddlers
Experimental
group
Pretest for
assessment of
knowledge of
mothers of
toddlers
High
Knowledge
Average
Knowledge
Low
Knowledge
Fig. 1: Modified conceptual freamework Bertanloffys General
System Theory
Not under study
Under study
Feed Back
System Input Through put Output
Modified Strategies
20