Download (a) EFFECTIVENESS: Refers to significant gain in knowledge and

RAJIV GANDHI UNIVERSITY OF HEALTH SCIENCES,
KARNATAKA, BENGALURU
PROFORMA FOR REGISTRATION OF
SUBJECT FOR DISSERTATION
1.
NAME OF THE
:
Ms. JOYLENE LOLITA SOARES
CANDIDATE AND
I YEAR M.Sc. NURSING
ADDRESS
GOVERNMENT COLLEGE OF
NURSING, FORT, BENGALURU-02
2.
3.
NAME OF THE
:
GOVERNMENT COLLEGE OF
INSTITUTION
NURSING, FORT, BENGALURU-02
COURSE OF STUDY & :
M.Sc. NURSING
SUBJECT
COMMUNITY HEALTH
NURSING
4.
DATE OF ADMISSION :
22/07/2011
5.
TITLE OF THE TOPIC :
“EFFECTIVENESS OF VIDEO
ASSISTED TEACHING ON
KNOWLEDGE AND ATTITUDE
REGARDING INFECTION
CONTROL AND USE OF
PERSONAL PROTECTIVE
EQUIPMENT AMONG HEALTH
ASSISTANTS AT SELECTED PHC’S,
BENGALURU. ”
6.
BRIEF RESUME OF THE INTENDED WORK
INTRODUCTION:
‘CLEAN CARE IS BETTER THAN CURE’
-WHO
Infection control is the discipline concerned with preventing nosocomial or
healthcare-associated infection. Practices or technique that control or prevent risk of
infection help to protect health care workers from disease. By practicing infection
control techniques, the nurse can avoid spreading micro organisms and can protect
herself.1 Infection control addresses factors related to the spread of infections within
the health-care setting
including prevention (via hand hygiene/hand washing,
cleaning/disinfection/sterilization, using personal protective equipment, vaccination,
surveillance), monitoring/investigation of demonstrated or suspected spread of
infection within a particular health-care setting.2
Universal Precautions and more recently Standard Precautions have been
widely promoted in high-income countries to protect health care workers from
occupational exposure to blood and the consequent risk of infection with bloodborne
pathogens. In low-income countries, the situation is very different: Universal
Precautions are often practiced partially, if at all, thereby exposing the HCWs to
unnecessary risk of infection25
The Centers for Disease Control and Prevention has stated that “It is well
documented that the most important measure for preventing the spread of pathogens
is effective hand washing.” , hand washing is mandatory in
health care settings.
Hand hygiene is a term used to cover both hand washing using soap and water, and
cleaning hands with waterless or alcohol-based hand sanitizers. Improved Hand
Hygiene Prevents Health Care-Associated Infections. 2
The effective use of disinfection and sterilization and procedures is
important in preventing healthcare associated infections. Sterilization is the process
where all the living microorganisms, including bacterial spores are killed.
Disinfection is the process of elimination of most pathogenic microorganisms
(excluding bacterial spores) on inanimate objects . Environmental surfaces can act as
a source of pathogens which can give rise to nosocomial [hospital-acquired]
infections”.3 There two major categories of pathogenic organisms, they are blood
borne pathogens and air borne pathogens. Examples of blood borne pathogens are
hepatitis B, malaria, human immune deficiency virus.
Examples of air borne
pathogens are small pox, tuberculosis and influenza etc.1
The very important measure to prevent hospital acquired infection among
health care workers are proper usage of personal protective equipment. is specialized
clothing or equipment worn by a worker for protection against a hazard. The hazard
in a health care setting is exposure to blood, saliva, or other bodily fluids or aerosols
that may carry infectious materials such as Hepatitis C, HIV etc . PPE prevents
contact with a potentially infectious material by creating a physical barrier between
the potential infectious material and the healthcare worker. Components of PPE
include
masks,
gloves, gowns, bonnets, shoe covers, face shields, CPR masks, surgical
goggles
and respirators .If personal protective equipments are utilized
accordingly then health care workers can be protected from any type of infectious
hazards.4
Needlestick injuries are wounds caused by needles that accidentally puncture
the skin. Needlestick injuries are a hazard for people who work with hypodermic
syringes and other needle equipment. These injuries can occur at any time when
people use, disassemble, or dispose of needles. When not disposed of properly,
needles can become concealed in linen or garbage and injure other workers who
encounter them unexpectedly. Needlestick injuries transmit infectious diseases,
especially blood-borne viruses.
Safe recapping procedures, effective disposal
systems, surveillance programs, improved equipment design can prevent the risk of
needle stick injuries and there by hospital acquired infections.5
Disposal of biomedical waste is another reason for infections. Biomedical
waste management is sorting of medical wastes in hospital at the site where it is
generated. Biomedical waste is placed in specially-labelled bags and containers for
removal by biomedical waste transporters. Contaminated and infectious wastes such
as
substances which are contaminated by blood , needles, sharps, organ parts,
contaminated linen etc should be disposed cautiously. But in many hospitals colour
bag containers for disposal of different types of wastes is not followed. Thus chances
of hospital acquired infection is more in such hospitals.6
Health care workers may be exposed to certain infections in the course of
their work. Vaccines are available to provide some protection to workers in a
healthcare setting. Depending on regulation, recommendation, the specific work
function, or personal preference, healthcare workers or first responders may receive
vaccinations for hepatitis B; influenza; measles, mumps and rubella; Tetanus,
diphtheria, pertussis; N. meningitidis; and varicella. In general, vaccines do not
guarantee complete protection from disease. In some cases where vaccines do not
exist. Post Exposure prophylaxis is another method of protecting the health care
worker exposed to a life threatening infectious disease. For example, the viral
particles for HIV-AIDS can be precipitated out of the blood through the use of an
antibody injection if given within 4 hours of a significant exposure.2
Health care workers can come from several different educational streams.
Many begin as nurses, some as medical technologists , physicians, health visitors and
others. Specialized training in infection control should be offered which can reduce
the incidence of hospital acquired infections to great extent 2
6.1 NEED FOR STUDY
Communicable diseases are great threat to health workers because they are
constantly exposed to pathogens and biological hazards. Even workers never touch
a client still he will be exposed to infections by contact with body fluids and infected
wastes on equipment/surface.
Infectious disease can occur in even the cleanest
workplace. Inappropriate practice of sterilization and disinfection and inappropriate
management of biomedical waste creates the necessity of educating health workers.
Even though they have little knowledge they are not practicing proper techniques.
Many of the nurses are not immunized with preventive vaccines like Hepatitis B. Also
most of the times health care workers exposed to accidents like needle stick injuries.
So it is very necessary to educate health care workers regarding infection control and
personal protective equipment. 7
Two million people each year become ill as a result of a hospital-acquired
infection.
Proper utilization of personal protective equipments , hand hygiene is
critical to the prevention of these infections - which contribute to the death of nearly
90,000. In the United States, the Centers for Disease Control and Prevention estimate
that roughly 1.7 million hospital-associated infections, from all types of
microorganisms, including bacteria, combined, cause or contribute to 99,000 deaths
each year. In India hospital Infection rate among health care workers and patients is
at over 25%. 1/3rd of all such infections are preventable. 8
A study was conducted to assess perceptions and knowledge of
care professionals 'towards
Health
infection control practices in a community hospital,
Virginia. As hospital-acquired infections increase, it is essential that infection control
practitioners should have an understanding of infection control practices. Study
describes the use of the Health Belief Model, a theory-based model used to predict
health-related behaviors, in assessing hospital clinical professionals' perceptions and
knowledge of infection control practices and summarizes findings from an
exploratory study conducted in a community hospital. A total of 130 providers within
a hospital setting completed a 51-item survey instrument. The scores shows that
Knowledge on hand hygiene practices was limited. Providers did not identify any
perceived barriers or possible cues to action to increase the likelihood of engaging in
proper infection control practices. It shows the need for improvement by determining
appropriate cues for this workforce and addressing susceptibility of workers. These
findings can be used by administrators and infection control practitioners to develop
and disseminate educational and other interventions to increase compliance with
infection control protocols.9
A study was designed to assess the knowledge, attitude, and practice among
Nepalese health care workers regarding infection control. The study comprised a
questionnaire survey of 324 staff from acute care hospitals in Kathmandu, Nepal. A
total of 158 doctors and 166 nurses participated, 27% of whom had received infection
control training. Only 16%, 14%, and 0.3% of the respondents achieved maximum
scores for knowledge, attitude, and practice items, respectively. Staff had good
knowledge and positive attitude toward most aspects of infection control. Logistic
regression revealed that profession, age, and having studied abroad significantly
predicted markers of infection control knowledge, attitudes, and practice. This is the
first survey of infection control practice among Nepalese HCWs and provides useful
baseline data by professional group. There is ample opportunity for improvement in
current practice, which should be recognized by hospital managers and Nepalese
health authorities.10
A Study was conducted to evaluate the knowledge and attitudes of the
healthcare workers of a Portuguese central university hospital towards
standard
precautions for infection control. Study was conducted by application of a
questionnaire to identify the gaps of each professional group and clinical departments,
in order to better define the needs to planning future education. Of the total of 172
questionnaires, 7% did not know about the standard precautions, the majority from
medical staff. Importantly 21% affirm recapping needles. Globally, a low level
knowledge about the ways HIV, HBV and HCV is transmitted was verified, mostly
regarding the possibility of transmission from dishes and other material necessary to
give food to the patients. About 95% considered it important to wash the hands in
several different situations but 21% are unaware of alternative alcoholic solutions.
Study concluded as There is a precarious knowledge of these measures, enhancing the
risk of nosocomial infection and pointing to the need of specific education for all
different health professionals.11
A study was done to Assess the knowledge, attitude and practice of
infection control among health care workers in Saudi Arabia. A self-administered
structured questionnaire was used to collect the data. A total of 392 HCWs was
studied, of whom 215 were nurses and 177 were doctors. 315 HCWs worked in
hospitals, whereas 77 worked in primary healthcare centres. Of the 392 HCWs, 164
were from Makkah, and the remaining 228 were recruited from other regions in Saudi
Arabia. A good proportion of HCWs correctly answered at least 5 of the 11
knowledge statements. However, obvious deficiency of knowledge appeared
concerning other important hospital infection control measures. A smaller proportion
of HCWs achieved a score of at least 4 out of 7 for attitude statements with
unacceptable attitude for the remaining 3 areas. Response to questions concerning
practice showed that nurses tended to be better than doctors (p-value=0.204), but both
groups reported variable compliance to hospital infection control practices in terms of
strict or near-strict adherence. In conclusion, training of HCWs is needed to improve
KAP in infection control12
According to WHO 1,300,000 deaths occur annually due to illness aroused
from needle stick injury. annual HIV/AIDS cases due to needle stick injury are
260,000 . According to CDC 80% of occupationally acquired diseases are transmitted
through needle stick injuries. every 24 seconds a person dies from having an injection
from infected syringe. According to CDC every year 260,000 HIV/AIDS cases are
reported and which are hospital acquired. Incidence of reported annual hepatitis
cases are counted to be 23,000,0008.
A cross-sectional survey was undertaken, involving 266 HCWs ,in 7 rural
north Indian health care settings. Information was gathered regarding compliance with
UPs and a range of other relevant variables that potentially influence compliance like,
demographic information, perception of risk, knowledge of blood borne pathogen
transmission, perception of safety climate, and barriers to safe practice. The study
result shows that
Knowledge and understanding of Universal precautions were
partial, and Univesral precautions compliance was suboptimal, only 32% wore eye
protection when indicated, and 40% recapped needles at least sometimes. After
controlling for confounding, compliance with UPs was associated with being in the
job for a longer period, knowledge of blood borne pathogen transmission, perceiving
fewer barriers to safe practice and a strong commitment to workplace safety climate.
The study concluded as Interventions to improve Universal Precautions compliance
among health care workers in rural north India need to address not only their
knowledge and understanding but also the safety climate created by the organizations
that employ them.25
Studies noted
that many
hospitals don’t
have
proper
policies and
procedures to control hospital acquired infection and where they are present , most of
health workers are not aware of those policies and procedures. Investigator during
her working experience noticed that even though health care workers
have
knowledge regarding infection control they ignore to take the precautions . In many
of the hospitals there is inadequate supply of personal protective equipments . So
the investigator found that training of health care staffs regarding infection control
is required and can bring a lot of difference in annual incidence of hospital acquired
infections.
6.2 REVIEW OF LITERATURE
A study was conducted to assess the Knowledge and practice of
occupational infection control among healthcare workers in Jamaica. They Employed
a cross-sectional study design, medical personnel physicians and nurses by utilizing a
structured questionnaire. The result found was Participants considered the following
fluids, not blood stained, high risk for HIV transmission: breast milk, saliva, urine,
pleural fluid, CSF, synovial fluid, faeces, peritoneal fluid and vomitus. The
respondents estimated the risk of transmission of infection after a needlestick injury
from a patient with: HIV,HB, and HCV. Needles for drawing blood were identified as
having the highest risk for transmission of infections. The following precautions were
adhered to all the time: wearing gloves, not re-sheathing needles,not passing needles
directly to others, properly disposing of sharps and regarding patients' blood and other
high risk fluid as potentially infected. The study concluded as Healthcare workers are
aware of the risk of transmission of infection, however compliance with universal
precautions was inadequate. An improvement in knowledge and practice with clear
guidelines are needed and a comprehensive programme to educate HCWs regarding
compliance with universal precautions is urgently required.13
A study was done to analyse KAP among staff and student nurses about
infection control in Theodor Bilharz Hospital. 41 students and to all staff nurses
working in the hospital(39 nurses. Scoring system is used A questionnaire is designed
and distributed to all student nurses in the school for data analysis. The overall
scoring of KAP for the three items studied are below 80%, which means that they
really need health education about these items. Thus, it is very important to create
public awareness in the hospital community, and among nurses about the concept of
infection control. This will be done through formal and informal instructions, by
organizing regular courses and posters. It is very essential to provide safe disposal of
syringe needles in special containers, have facilities for hand washing during work
and apply HB vaccine for nurses working in the hospital. Meanwhile, a highly
motivated behavior should be enabled and reinforced through realization of the
regulatory and organizational factors for better implementation arrangement, which
all supplement the educational intervention directed to change rather than just
planning.14
A descriptive study to Evaluate knowledge and practice of infection control
was done amongst nursing staff in a tertiary care hospital in India. A structured
questionnaire was used to collect the data. The mean knowledge of staff nurses
regarding infection control measures was 75.5% and the mean reported infection
control practice was 57.5%. After conducting exhaustive lectures on infection control
related topics, a significant decline in the hospital-acquired infection (HAIs) rates was
seen in the high-risk areas. The study revealed that Training of nursing staff is needed
to improve knowledge and practice in infection control is necessary.15
A Study was conducted to assess the knowledge regarding Provision and use
of personal protective equipment and safety devices among para medical workers.
They conducted a mail survey among a nationally representative sample of certified
paramedics. The final sample included 2588 paramedics. Paramedics in California
were provided safety devices more often than paramedics in the United States as a
whole. For each type of device, there was at least a 40% increase in use when the
device was always provided compared with when it was not always provided. Eightyfour percent of paramedics thought that safety needles significantly reduce blood
exposure, but substantial percentages thought that safety needles, eye protection, and
masks interfere with some medical procedures. Approximately one fifth said that they
need more training in the use of safety devices and Personal Protective Equipments.
The study concludes that Lack of access to safety devices is the major barrier to their
use and the higher rates of provision and use in California may be the result of the
state's early safety needle legislation. Increased provision, training, and improvement
of safety equipment are needed to better protect paramedics from blood exposure.16
A descriptive study on knowledge and attitude of rural nurses regarding
use of personal protective equipment was conducted in ,Pennsylvania, USA. This
study examined the relationship between profiles of rural registered nurses' levels of
compliance with the use of personal protective equipment and HIV-related attitudes.
Survey data were collected from 395 practicing registered nurses. Seven profiles were
identified from the resulting 13 clusters. Profiles were named according to the
characteristics of the protective equipment usage that were most evident in each
profile. Usage levels included minimal users, appropriate users, anticipatory users,
glove users, discriminate users, maximal users, and optimal users. Of these, three
were classified as compliant, one as Under compliant, and three as over compliant.
Selective compliance was characteristic of five profiles. Knowledge that patients were
HIV-positive accounted for over compliance and selective compliance and was
related to nurses' HIV attitudes. Under compliance was related to care of patients who
were HIV-negative or unknown. Rural nurses' use of personal protective equipment is
not homogenous but discrete and idiosyncratic. This analysis expands current
knowledge and redefines nursing practice of standard precautions.17
A study was conducted to assess the knowledge, attitudes and behaviour of
Italian operating theatre staff regarding infection control in hospitals. This study
examined the disinfection and sterilization practices used by hospital operating
theatres and evaluated the knowledge, attitude and behaviour of nursing staff with
regard to infection control. Of the 216 nurses responding, knowledge concerning such
practices was not consistent. Almost all were aware that improper practices increased
the risk of nosocomial infections in patients. Nurses in orthopaedic surgery had a
significantly lower level of knowledge compared with others. The great majority of
nurses agreed that guidelines for disinfection and sterilization practice should be
maintained and applied. With regard to the use of surgical instruments, the majority
used steam or dry heat sterilizers for the appropriate time and temperature. Only 38%
routinely used all barrier techniques like gloves, masks, and protective eye-wear. Data
support the need for finding and implementing interventions related to the prevention
of hospital infection activities, in order to motivate nurses to use the correct
procedures as a routine.18
Anonymous questionnaire survey on the knowledge and practices of
hospital staff regarding infection control was conducted in Queen Charlotte's hospital,
London . All 25 full-time medical staff below the grade of consultant and 70 of 163
permanent nursing staff caring for inpatients at one day shift were sampled. Nineteen
medical and 56 nursing staff returned their copies. Nurses were significantly more
familiar with all written policies and procedures than medical staff. They were also
more likely to seek advice in situations where there were no written guidelines. Many
hospital staff were uncertain about the practical details of policies and procedures for
infection control. Ways to educate and motivate staff to comply with infection control
measures are urgently required; some degree of national standardization of policies
and procedures in infection control is desirable.19
A survey study was conducted to determine knowledge of nurses regarding
infection control. in medical and surgical units. This study set out to discover whether
nurses with an understanding of the theoretical principles of microbiology know more
about the clinical aspects of infection control than those without. Two vignettes were
developed depicting typical situations. They were presented to 130 nurses in intensive
care, surgical or medical units in two similar hospitals, one with updated guidance and
one without. Results showed that most subjects would not perform optimally in the
everyday situations depicted, nor would they have sufficient knowledge of
microbiology to understand the theoretical principles underpinning infection control.20
A study was done to assess knowledge of Rural Indonesian health care
workers' regarding infection prevention and control. Multiple qualitative methods of
direct observations, individual and group focus discussions, and document analysis
were used to examine health care workers' knowledge of infection prevention and
control practices. Study results showed that Awareness of health care-associated
infections was low. Protocols were in the main based on verbal instructions handed
down through the ranks of health care workers. This phenomenon remained
undetected by accreditation systems and clinical educators. The conclusion of the
study was Rural Indonesian health care workers would benefit from a formal
introduction to evidence-based practice that would deconstruct individual protocols
that include non scientific knowledge. To achieve levels of acceptable patient safety,
protocols would have to be taught to them.21
A study was conducted to evaluate Knowledge and practice of standard
precautions and infection control among health care workers in the Federal Medical
Centre, Asaba. The descriptive, cross sectional study was carried out. A total
population of all the doctors and laboratory workers was used while the nurses were
selected using a stratified sampling method. A semi-structured, self-administered
questionnaire was the tool for data collection. A total of 167 respondents participated
in this study. One hundred and thirty seven (82.0%) respondents had heard about
standard precautions. Only 63 (37.7%) of them had correct knowledge of it. There
was fair practice and adherence to the standard precautions by those who knew of it.
Findings from this study emphasised the need for intensive enlightenment programme
to educate health care workers on various aspects of standard precautions and
infection control programmes and policies.22
STATEMENT OF THE PROBLEM
“EFFECTIVENESS
OF
VIDEO
ASSISTED
TEACHING
ON
KNOWLEDGE AND ATTITUDE REGARDING INFECTION CONTROL
AND USE OF PERSONAL PROTECTIVE EQUIPMENT AMONG HEALTH
ASSISTANTS AT SELECTED PHC’S, BENGALURU.”
6.3
OBJECTIVES OF THE STUDY
1. To assess the knowledge and attitude regarding infection control and use of
personal protective equipment among health assistants at selected PHC’s,
Bengaluru.
2. To evaluate the effectiveness of video assisted teaching on knowledge and
attitude regarding infection control and use of personal protective equipment
among health assistants through post test .
3. To find an association of post test knowledge and attitude scores regarding
infection control and use of personal protective equipment among health
assistants with selected demographic variables .
4. To determine the correlation between knowledge and attitude scores of health
assistants regarding infection control and use of personal protective equipment
and selected demographic variables.
6.3.1
HYPOTHESIS
H1
There will be significant difference between the mean pre-test and post-test
knowledge and attitude scores regarding infection control and use of personal
protective equipment among health assistants.
H2
There will be significant association between the post test knowledge and
attitude scores with selected demographic variables of health assistants
regarding infection control and use of personal protective equipment.
6.3.2 RESEARCH VARIABLES
1.
Independent variable: video assisted teaching on infection control and use
of personal protective equipment.
2. Dependent variable : Post test knowledge and attitude scores of health
assistants on infection control and use of personal protective equipment.
3. Attribute variable : includes age, gender, education, occupation and
previous knowledge.
6.3.3
OPERATIONAL DEFINITIONS
(a) EFFECTIVENESS: Refers to significant gain in knowledge and attitude level
after attending the video assisted teaching on infection control and use of personal
protective equipment among health assistants as it will be measured by post test.
(b) VIDEO ASSISTED TEACHING: It refers to a systematically organized,
standardized teaching material with the help of video regarding infection control and
use of personal protective equipment for health assistants.
(c) KNOWLEDGE: Refers to the correct answers given by health care workers
regarding infection control and use of personal protective equipment measured by
structured knowledge questionnaire.
(d) ATTITUDE: Refers to personal opinions or views of health care workers
regarding infection control and use of personal protective equipment.
(e) INFECTION CONTROL: Refers to prevention of health care associated
diseases or conditions.
(f) PERSONAL PROTECTIVE EQUIPMENT: It refers to the articles worn by
health assistants such as gloves, gown, mask, goggles, cap and shoes for protection
against infections.
(g) HEALTH ASSISTANTS: Refers to health team members who provides health
care services in PHC’s, includes male health assistants and female health assistants.
7.
MATERIALS AND METHODS
7.1
Source of Data
: Data will be collected from health
assistants at selected PHC’s Bengaluru.
7.2
Method of Collection of Data :
7.2.1
Definition of the Study
subject
: Health assistants includes male health
assistants and female health assistants.
7.2.2
Inclusion and Exclusion Criteria
(a)
Inclusion Criteria
: (i) Health assistants who are working in
selected PHC’s includes male health
assistants and female health assistants
: (ii) Who are available at the time of
data collection.
: (iii) Who are willing to participate in
the study.
(b)
Exclusion Criteria
:(i) Health assistants who are sick
Or ill.
7.2.3
Research Approach
: Experimental approach
7.2.4
Research Design
: Pre experimental one group
Pretest and post test design
7.2.5
Setting
: Selected PHC’s, Bengaluru
7.2.6
Sampling Technique
: Purposive sampling
7.2.7
(a) Sample Size
: 30
(b) Duration of the Study
: 30 days
Tools of Research
:
7.2.8
The investigator will develop the
structured knowledge questionnaire to
assess the knowledge, and five point
Likert’s attitude scale for collecting data
on attitude, regarding infection control
and
use
of
personal
protective
equipment.
7.2.9
Collection of Data
: (i)
After obtaining the official permission
from the concerned authority and from
the subjects the investigator collects the
pre-test data on knowledge by using
structured knowledge questionnaire and
pre-test data on attitude by using five
point Likert’s attitude scale regarding
infection control and use of personal
protective equipment.
Followed by this video assisted teaching
will be conducted on the same day.
(ii) Post test data will be conducted by using
same
structured
questionnaire
and
attitude scale, after one week of video
assisted teaching.
7.2.10 Method of Data Analysis
and Presentation
:
Descriptive statistics:
mean, median, percentage,
standard
deviation and Frequency will be used to
analyse the socio demographic variables
and level of knowledge and attitude of
health assistants.
Inferential statistics:
The investigator will use inferential
statistical measures like Chi -square test
to find out the association between pretest and post test knowledge and attitude
with demographic variables, and paired t
–test will be used to determine the
effectiveness of video assisted teaching
programme.
The analyzed data will be presented in
form of tables, graphs and diagrams.
7.3
Does the study require any investigation to be conducted on patients or
other human or animals? If so please describe briefly.
Yes, the study will be conducted on health assistants at Selected PHC’s
Bengaluru.
7.4
Has ethical clearance has been obtained from your institution in case of
7.3?

Yes, Permission will be obtained from the concerned authority of the
institution, and study subjects before the study.

Privacy, confidentiality and anonymity will be guarded.

Scientific objectivity of the study will be maintained with honesty and
impartiality.
8.
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9.
SIGNATURE OF CANDIDATE :
10.
REMARKS OF THE GUIDE
: Infection control and use of
Standard precautions are much needed
Publicity among health care workers.
The study is highly significant.
11.
NAME & DESIGNATION OF
Mr. Prasanna Kumar .O, M.Sc. (N)
ASST. PROFESSOR,
COMMUNITY HEALTH NURSING
GOVERNMENT COLLEGE OF
NURSING, FORT, BANGALORE-2.
11.1
GUIDE
:
11.2
SIGNATURE
:
11.3
CO-GUIDE (IF ANY)
: Mrs. R. Kamalamma, M.Sc. (N)
LECTURER,. R.K. MUNISWAMY, M.Sc.
(N)
LLLLLLJJJJ
COMMUNITY HEALTH NURSING
GOVERNMENT COLLEGE OF
NURSING, FORT, BANGALORE-2.
RLECTURER
DEPARTMENT OF
12.
11.4
SIGNATURE
:
11.5
HEAD OF THE
DEPARTMENT
:
11.6
SIGNATURE
:
12.1
REMARKS OF THE
: The problem statement is good and
PRINCIPAL
Mr. H.B. Prakash, M.Sc. (N)
LECTURER AND HOD
COMMUNITY HEALTH NURSING
GOVERNMENT COLLEGE OF
NURSING, FORT, BANGALORE-2.
appropriate for the nursing study in
Current Scenario.
12.2
SIGNATURE
:
ETHICAL COMMITTEE CLEARANCE
1
TITLE OF DISSERTATION
: “EFFECTIVENESS OF VIDEO ASSISTED
TEACHING ON KNOWLEDGE AND
ATTITUDE REGARDING INFECTION
CONTROL AND USE OF PERSONAL
PROTECTIVE EQUIPMENT AMONG
HEALTH ASSISTANTS AT SELECTED
PHC’S, BENGALURU. ”
2
NAME OF THE CANDIDATE AND
ADDRESS
: Ms.JOYLENE LOLITA SOARES
M.Sc . (N) 1st Year
Government College of Nursing,
Fort, Bengaluru -02
3
SUBJECT
: COMMUNITY HEALTH NURSING
4
NAME OF THE GUIDE
: Mr. Prasanna Kumar. O., M.Sc(N)
Asst. Professor, Community Health Nursing
Government College of Nursing, Fort,
Bengaluru -02
5
APPROVED / NOT APPROVED
(If not approved, suggestion)
:
Prof. H.H. DASEGOWDA
Head of the Department of Psychiatric
Nursing,
Government College of Nursing, Fort,
Bengaluru -02
Dr. SUWARNA B TALAWAR
Head of the Department of Obstetrics and
Gynecological Nursing,
Government College of Nursing, Fort,
Bengaluru -02
Mr. H.B. PRAKASH
Head of the Department of
Community Health Nursing,
Government College of Nursing, Fort,
Bengaluru -02
Smt. RENUKA .N
Head of the Department of
Pediatric Nursing,
Government College of Nursing, Fort,
Bengaluru -02
Mr. BASVARAJU.G
Head of the Department of Medical
Surgical Nursing,
Government College of Nursing, Fort,
Bengaluru -02
Mrs. HEMAVATHY.S
Principal,
Government College of Nursing,
Fort, Bengaluru -02
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