Click here to load reader
Upload
phungdat
View
212
Download
0
Embed Size (px)
Citation preview
RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES
BANGALORE, KARNATAKA.
SYNOPSIS PROFORMA FOR REGISTRATION OF SUBJECTS FOR DISSERTATION
1 NAME OF THE CANDIDATE
AND ADDRESS
MISS. MURPHY KURIAKOSE
1ST YEAR M.Sc. NURSING STUDENT,
RATHNA COLLEGE OF NURSING
K R PURAM, HASSAN,KARNATAKA.
2 NAME OF THE INSTITUTION RATHNA COLLEGE OF NURSING
K R PURAM ,HASSAN,KARNATAKA.
3 COURSE OF STUDY AND
SUBJECT
MASTER OF SCIENCE IN NURSING
CHILD HEALTH NURSING
4 DATE OF ADMISSION TO
THE COURSE
31-05-2010
5 TITLE OF THE TOPIC EFFECTIVENESS OF VIDEO ASSISTED
TEACHING ON ROAD SAFETY
MEASURES AMONG SCHOOL AGE
CHILDREN.
5.1 STATEMENT OF THE PROBLEM
“A STUDY TO ASSESS THE EFFECTIVENESS
OF VIDEO ASSISTED TEACHING ON
ROAD SAFETY MEASURES AMONG
SCHOOL AGE CHILDREN
IN SELECTED PRIMARY SCHOOLS AT
HASSAN”.
6) BRIEF RESUME OF THE INTENDED STUDY
INTRODUCTION
“Who can hope to be safe?
Who sufficiently cautious?
Guard himself as he may,
Every moment’s ambush”
Horace………..
Safety begins at home. Right from the birth, human beings develop a
sense of safety to protect themselves from the environment. Safety is not only necessary
for the individual but also for the society on the whole1. Road traffic safety means to
safety drive on road to ensure that there is no harm or the driver of vehicle do not cause
any harm to any other vehicle moving near by it. In other words we can say that road
traffic safety means to reduce accident causes on road for proper driving.2
Road accidents are usually not caused intentionally. Rather, accidents are
outcome of lack of interaction among the condition inherent in the three characteristics
like the roads, road users and transport.3 According to WHO, an accident is an event,
independent of human will, caused by an outside force acting rapidly and resulting in
physical or mental injury.4 Road accident involving children has become a major cause
for concern around the world. Within, there has been a dramatic increase in the number
of road accident involving children. Road safety is there for of key importance in terms of
keeping children safe in traffic. If there for means that the strategies will have to be
implemented to enhance road safety for children.5
A report published by the world health organization in 2004 estimated that
some 1.2m people were killed and some injured on the roads around the world each year
and was the leading cause of death among children 10-19 years of age .The report also
2
noted that the problem was most severe in developing countries and that simple
prevention measures could halve the number of death.6 Among children ages 14 and
under more than 80% of bicycles related fatalities are associated with the bicyclist’s
behavior. The most common crashes including riding into a street without stopping;
turning left or severing into traffic that is coming from behind, running a stop sign, an
riding against the flow of traffic. More than 40% of all head injury –related deaths and
approximately three growths of head injuries occurs among children ages 14 and under.
Younger children suffer a higher proportion of head injuries than older children.7
The sense of grief and distress of this huge group of people is all the greater
because many of the victims are young, because many of the crashes could and should
have been prevented and because response to road death and injury and to road crash
victims is often experienced as inadequate, cruelly unsympathetic, and inappropriate to a
loss of life or quality of life.8
6.1. NEED FOR THE STUDY
The school age aged child has constantly developing and improving capabilities.
School children over confidence9.The most of young people killed in traffic accidents are
vulnerable road users –pedestrians,cyclists.10
Globally, road crashes are worsening humanitarian disaster, destroying lives and
livelihoods. Teaching children about road safety and equipping them with some first aid
skills can prevent accidents and save lives11.The WHO mortality data base states that over
90% of all fatal road accidents happens in low or middle income countries where road
planning often doesn’t give enough though to pedestrians and cyclists10. Bangalore is one
of the most accident prone cities in India.Bangalore contributes nearly 18% of total
accidents in Karnataka. School children constitute approximately 8-10%of total accident
fatalities.12
Road safety signals which will help in reducing existing high accident rate
prevalent in developing countries in India13. Bicycle were being driven mostly 62%of
school children respectively. Some of children started driving under the age of 10 year
and females out number males at this age. Driving at such a young age, hence putting
3
their lives and also others life in danger is of course the result of laxity on the part of
parents.14
Chinese article published 2008 regarding “ risk factors on road traffic accidents in
school age students; a matched case control study”.116 students were served as controls
who were from the same class of the cases and matched by age and sex.information on
personal behavior, family condition,knowledge,attitude and practice on road traffic of
these children were collected and compared. The result showed more negative attitude
and risk taking behaviors especially in riding bycycles.In addition, distance from home to
school that longer than 1000m.seemed the main influence factors for road traffic
accidents among school age students.15
A study on “children and road safety increasing knowledge does not improve
behavior”. a total of 12 school children are participated in this study. In the first study the
effects of three different road safety interventions were tested and second to transfer the
knowledge to children’s behavior in a real life traffic environment was tested. From the
result the study shown all the intervention were effective in increasing children’s
knowledge.16
Death of any school in a road traffic accident while driving a vehicle is a serious issue.
But this is certainly preventable. Parents should not let their children drive at an early
age. Students should refrain themselves from traffic rule violation. School teachers
should inculcate traffic safety among students and enforce traffic rules within school
premices.Almost the two third of child accident victims are boys. As the child gets older
the risk of road accidents increased13. Therefore the study aims at improving the level of
knowledge about road safety among primary school children with the purpose of assisting
them to follow healthy practices of road safety which could result in reduction of accident
and protection of their life. As prevention is better than cure; the investigator feels that
there is a need for the study
.
6.2 REVIEW OF LITERATURE
4
Review of literature is a key step in research process. Review of literature is the
reading and organizing of previously written materials relevant to the specific problems
to be investigated: framework and methods appropriate to perform the study.
Part 1. Studies related to incidences and prevalence of road traffic accidents.
Part 2. Studies related to knowledge of school age children regarding road safety
measures.
Part 3. Studies related to educational programmes on road traffic accidents among school
age children.
Part 1. Studies related to incidences and prevalence of road traffic accidents.
A study on Road traffic injuries among middle school students in a rural area of
china. The study conducted for road traffic injuries among school age students in a rural
area of china. The survey was conducted at two school ages with the co operation of
teachers and school officials. They surveyed 1551 students in human province using a
hard copy survey questions. The result shows there were 56 road traffic injuries reported
by the 3 month period.17
A study on “Are we there yet?”Canada’s progress towards achieving road safety
vision 2010 for children traveling in vehicle The study examines safety seat among
Canadian children and evaluates child safety seat use; using probability sample roadside
observation of car safety seat use were collected from May to October of 2006 for 13,500
children. Observation revealed that of Canadian children were restrained in the some type
89.9% restrained 60.5%.children were restrained in the correct safety seat. The results
were not significantly different in provinces with booster seat legislation and those
without legislation18.
A study on “Pedestrian traffic injuries among school children in
kawempe ,uganda. A cohort was assembled at 35 primary school and followed for 3
terms. Ten of the school had participated in previous injury programs, other were
systematically selected .injuries were recorded by teachers using a questionnaire .From
5
the result 40% of the incidents involved commercial motor cycle,41% bicycles,9% cars,8
% taxis,2 % trucks. Over 3 terms of the year the cumulative incidence was 0.5+/-0.02.
There is no gender difference19.
A study on The road to safety in Irish children over the past five years .Motor
vehicles crashes account for 1 in 5 of all childhood deaths . In the year 2000, the WHO
ranked RTA as the 9th leading cause of mortality rates for road accident in children (0-14
years) in Ireland are 3.61/100000 as compared to 2.31/100000 in Sweden & thus much
needs to be done to reduce this unacceptably high road in Ireland20.
Part 2. Studies related to knowledge of school age children regarding road safety
measures.
A study in Australia on teaching young children to cross road safety. The practical
training programmer using stimulated road environment has been developed and
evaluated amongst primary school children using a randomized controlled trial.
Significant reductions in proportion of critically incorrect road- crossing responses were
found in immediately after training (56%) and one month post training (47%). The
beneficial effects were greater for younger children, female and those with little traffic
expenses.21
A study on Road-safety education; spatial disinterring and subjective a objective
picture processing. 60 children up to 9, 10,11years were given an objective or subjective
version of a story about a risky situation involving road crossing & were asked to
reconstruct it by putting 6pictures in chronological order. From the result the youngest
children, objective representation are essential to analyzing pictures showing risk,
whereas the oldest children will profit more subjective view. Subjective representation
which give a more realistic view, provide an excellent tool for testing children abilities.22
A study in Germany on Road injuries in school age children: relation to
environmental factors amenable to interventions. The impact potentionally modifiable
6
environmental factors on the risk of pedestrian and cyclist injuries among school
children. A population of school children at the age of 6-14yrs in Düsseldorf, in
Germany. A case control a design was used, with controls matched by age and sex. A
random sample of 174 cases was selected. The result shows complete information was
available for cases 170 and 168 controls. There were more pedestrians crossings with
traffic lights on streets with a speed limit of 50kph or above around the homes of
controls23.
Part 3. Studies related to educational programmes on road traffic accidents among
children.
Chinese article published a study in 2009 on Evaluation on the effect of
education regarding road safety among school age students china. The study was
conducted in school age children and they grouped as 2 and one is intervention group and
other is control group. From the result the intervention group improved specifically
during the follow up period and the control group did not change much more .although
the traffic ruled the violation seemed to have improved. The researcher concluded that the
road safety education significantly improved the relative knowledge for school age
student and it excited positive effect in some extent.24
A study on The roles of age, gender , inhibitory control and parental supervision
in children’s pedestrian safety .A sample of 85 children & 26 adults crossed a pretend
cross walk set adjacent to a real road , safety of crossing the pretend road was determined
based on actual traffic on the real road . On the pretend road, younger children, boys &
children with less behavioral control engaged in riskier pedestrian behaviors.25
A study on Road safety education for school children. The study conducted for
children at 7-12yrs in Singapore. The traffic police conduct the sessions among 500
students daily. Lessons involve basic instruction in safety principles and a test of
knowledge followed by a traffic game. The use of role plays of pedestrians, motorists,
cyclists to test skills, to help children to identify traffic hazards and to teach practical
7
promotion safety measures. Secondary school students are trained as marshals for the
road safety park.26
STATEMENT OF THE PROBLEM
“A STUDY TO ASSESS THE EFFECTIVENESS OF VIDEO ASSISTED
TEACHING ON ROAD SAFETY MEASURES AMONG SCHOOL AGE
CHILDREN IN SELECTED PRIMARY SCHOOLS AT HASSAN.”
6.3 OBJECTIVES OF THE STUDY
To assess the knowledge on road safety measures among school age children
before and after video assisted teaching.
To evaluate effectiveness of video assisted teaching on road safety measures
among school age children.
To find out the association between the knowledge and the selected demographic
variables.
6. 3.1 HYPOTHESIS
H1: There will be significant difference in the pre &post test knowledge among school
age children
H2: There will be significant association between the knowledge score and selected socio
demographic variables.
6.3.2 ASSUMPTIONS
The study assumes that
The school age children have some knowledge regarding road safety measures.
8
Video assisted teaching will enhance the knowledge of school age children
regarding road safety measures.
6. 3.3 OPERATIONAL DEFINITIONS
Assess: An activity to estimate the outcome of video assisted teaching on road
safety measures among school age children.
Effectiveness: It refers to a significant increase in the level of knowledge of
school age children regarding road safety measures, after video assisted
teaching.
Video assisted teaching: It refers to the systemic, planned teaching with the
help of video on road safety measurs among school age children.
Knowledge: It refers as the correct response as measured through structured
interview schedule and quantified knowledge score about road safety
measures.
Road safety measures: Refers to avoidance of accidents by following the
traffic rules
School age children: It refers to children who are in the age group of 10years,
are studying in the class five.
Primary school: primary school is formal teaching institution where one to
five classes students attending education.
6.3.4 CONCEPTUAL FRAME WORK
This study is based on “Ludwig Von Bertalanffy’s General system theory”.
6.3.5 DELIMITATION OF THE STUDY
The study is delimited to the fifth standard students.
9
The study period is limited to 4-6 weeks.
Sample size is delimited to 60 fifth standard students .
7. MATERIALS AND METHODS OF STUDY
7.1 SOURCE OF DATA COLLECTION
Data will be collected from the school age children at selected primary schools at Hassan.
7.1.1 SIGNIFICANCE OF STUDY
Study implies the effectiveness of video assisted teaching regarding road safety
measures among school age children.
7.1.2 RESEARCH DESIGN
The research design is Quasi-experimental one group pretest posttest design. It includes
Manipulation and randomization without control group.
R
Key word
R: Randomization.
01: Assessment of school age children regarding road safety measures before the
administration of video assisted teaching.
X: Video assisted teaching on road safety measures.
02: Assessment of knowledge among school age children regarding road safety
measures, after the administration of video assisted teaching.
7.2 METHOD OF COLLECTING DATA
Data collection is planned through using a structured interview schedule
knowledge regarding road safety.
10
O1 X O2
Part a: Socio demographic variables of school age children.
Part b: Video assisted teaching on road safety measures.
7.2.1 SAMPLING PROCESS
CRITERIA FOR SELECTION OF SAMPLE
Inclusion criteria
Students who are studying in fifth standard.
Fifth standard students who can understand and speak Kannada (local
language).
Exclusion criteria
Fifth standard students who are not willing to participate in the study.
Fifth standard students who are not present at the time of study
7.2.2 SAMPLING PROCEDURE
7.2.2.1 POPULATION
School age children in selected primary schools at Hassan.
7.2.2.2 SAMPLE
Fifth standard children those who fulfill the inclusion criteria.
7.2.2.3 SAMPLE SIZE
Sample size comprised of 60 fifth standard students.
7.2.2.4 SAMPLING TECHNIQUE
Probability Simple Random sampling technique (lottery method) will be used.
7.2.2.5 SETTING
11
The study is planned to conduct in selected primary schools at Hassan.
7.2.2.6 PILOT STUDY
The pilot study will be conducted on10% of samples, in selected primary schools, that
will be excluded from the main study.
7.2.2.7 VARIABLES
Independent variables:
Video assisted teaching on road safety measures.
Dependent variables:
Knowledge towards road safety measures.
Extraneous variable:
Such as age, sex, class, family income, influence of the mass media,
education of father, education of mother, occupation of father, occupation of
mother, habitant.
7.2.2.8 PLAN FOR DATA ANALYSIS
Descriptive and inferential statistics will be used.
Descriptive statistics:
In descriptive statistics frequency, percentage, mean & standard deviation will
be used to describe the knowledge and demographic variable.
Inferential statistics:
Chi square test will be used to calculate and analyse the association between
knowledge scores with selected demographic variables. The paired t’test will be
used to find out the significant difference between pretest and posttest scores.
7.3 DOES THE STUDY REQUIRE ANY INTERVENTIONS TO BE
CONDUCTED ON PATIENTS OR OTHER HUMANS ?
12
Yes, video assisted teaching on road safety measures is used as an intervention among
school children.
7.4 HAS ETHICAL CLEARANCE BEING OBTAINED FROM YOUR
INSTITUTION?
Yes, permission has been obtained from the research committee of Rathna college of
Nursing and authorities of selected primary schools in Hassan. Informed consent will be
obtained from the subjects who are selected for the study.
8. LIST OF REFERENCES
1. Road safety [Online]. [cited 2010 Sep 10]; Available from: URL:
www.exampleessays.com/viewpaper/51234.html
2. Road traffic safety [Online].2009 Mar [ cited 2010 Sep 09]; Available from:
URL: en.wikipedia.org/wiki/road_traffic_safety
3. Road accidents are usually not caused intentionally [Online]. [cited2010 Sep 23];
Available from: URL: Docs.google.com
4. Parul Dutta. Pediatric nursing.2nd ed. New Delhi: Jaypee brothers medical
publishers;2007. p.13.
5. Road safety [Online]. [ cited 2010 Aug 11]; Available from: URL:
www.oppapers.com/essays/r
6. Report By WHO road safety [Online]. [cited 2010 Aug 11] ; Available from:
URL: en.wikipedia.org
7. How many children die each year from bicycle accidents [Online]. [cited 2010
Nov 22]; Available from: URL: wiki.answers.com
8. Road safety in India, NGO on road safety [Online]. [cited 2010 Aug 11] ;
Available from: URL: http://www.arrivesafe.org/activites.php
9. Nilamber Jha, SrinivasaDK. Epidemiological study of road traffic accident cases.
Indian journal of community medicine 2004 Jan-Mar; xxix(1):p.20
13
10.Road accidents: The biggest killer of teens. [Online].[ cited 2010 Oct 22 ];
Available from: URL: Knowledge.allianz.com
11.Teacher Briefing: Road safety. [Online].[cited 2010 Oct 11]; Available from:
URL: www.redcross.org.uk
12.Sudhir, Sameera. Bangalore silicon city or black city [Online]. [cited 2010 Oct
16]; Available from: URL: google.docs Bangalore-silicon capital.
13.Road safety awareness practice among school children at Chandigarh.Indian
journal of community medicine. 2006 Jul-Sep; 31 (3) :p.199-200
14.HM Swami, S Puri. Road safety awareness practice among school children at
Chandigarh.Indian journal of community medicine.2006-2009; 31(3)
15.Zhonghua Liu Xing Bing Xue Za Zhi. Risk factors on road traffic accident in
school age students: a matched case-control study.Chinese article [online] 2008
October [cited 2010 Oct 22]; 29(10):999-1002;Available from:URL:
http://www.ncbi.nlm.nih.gov.pubmed :19173881
16.Zeedyk MS, Wallace L, Carcary B, Jones K, Larter K. Children and road
safety :increasing knowledge doe behavior. Br J Edu Psychol [serial online] 2001
Dec [cited 2010 Oct 24]; 573-594. Available from: URL:
http://www.ncbi.nlm.nih.gov.pubmed:11802818
17.Janug MS, YuSs, Stallones L, Xing H. Road traffic injuries among school age
students in a rural area of China. Traffic injury prevention [serial online] 2009
June [cited on 2010 Oct 25]; 10(3): 243-51. Available from: URL:
http://www.ncbi.nlm.nih.gov.pubmed:19452366
18.Snowdon AW, Hussein A, Bruce B, KolgaC, Boase C, Howard A. Are we there
yet? Canada’s progress towards achieving road safety vision 2010 for children
travelling in vehicles.Int J Inj Contr Saf Promot [serial omline] 2009 Dec [cited
2010 Oct 27]; 16 (4): 231 – 7. Available from: URL:
http://www.ncbi.nlm.nih.gov.pubmed:20183702
19.Nakitto MT, Mutto M, Howard. Lett R. pedestrian traffic injuries among school
children in Kawmpe,Uganda. Afr Health Sci [serial online]2008 sep[cited 2010
14
Oct 29];8(3):156-9. Available from: URL:
http://www.ncbi.nlm.nih.gov.pubmed:19357742
20.Waters A, Trace F, Nicholson AJ. The “road & safety” in Irish children over the
past five years. Ir Med J [serial online] 2006 Jan[cited 2010 Nov 4];99(1) p – 19-
21. Available from: URL: http://www.ncbi.nlm.nih.gov.pubmed:16506686
21.Oxley J, Congiu M, Whelan, D’Elio A, Charlton J. Teaching young to cross roads
safely. Ann Adv Automot Med [serial online] 2008 Oct [cited 2010 Nov 7]; 52;P-
215-223.Available from:URL:http://www.ncbi.nlm.nih.gov.pubmed:19026238
22.Gucecrin F. road education: spatial decentering and subjective or objective safety
picture processing.Ergnomics[serial online] 2007 Oct [cited 2010 Nov
10] ;50(10); p: 1702 –12. .Available
from:URL:http://www.ncbi.nlm.nih.gov.pubmed:17917909
23.Kohne C, von Kries R, Kohne C, Bohm O,Von Voss H. Road injuries in school
age children: relation to environmental factors amenable to interventions. Inj
Prev.[serial online] 1998 Jun [cited 2010 Nov 13]; 4(2); p-103-5.Available
from:URL:http://www.ncbi.nlm.nih.gov.pubmed:9666362
24.Zhonghua Liu, Xing Bing Xue Za Zhi. evaluation on the effect of education
regarding road safety among school age students. Article in Chinese [online]
2009 Aug [cited 2010 Nov 13];30(8); p:797 – 807. Available
from:URL:http://www.ncbi.nlm.nih.gov.pubmed:20193201
25.Barton BK, Schwebel DC. the role of age, gender inhibitory control and parental
supervision in children’s pedestrian safety. Pediatric Psychol[serial online] 2007
June [cited 2010 Nov 14];32(5); p. 517 – 26. Available
from:URL:http://www.ncbi.nlm.nih.gov.pubmed:17442691
26.Thein MM, Lee J. Road safety education for school children. World Health
Forum[serial online];1993[cited 2010 Nov 15]; p.407-9. . Available
from:URL:http://www.ncbi.nlm.nih.gov.pubmed:8185797
15
16