TABLE OF CONTENTS
Title page
Approval page
Certification Page
Dedication
Acknowledgement
Table of Contents
List of Tables
List of Appendices
Abstract
CHAPTER ONE: INTRODUCTION
Background to the Study
Statement of the Problem
Purpose of Study
Specific Objectives of the Study
Research Questions
Significance of the Study
Scope of the Study
Operational Definition of Terms used in this Study
CHAPTER TWO: LITERATURE REVIEW
Conceptual Review
Theoretical Framework
Empirical Review
Summary of the Literature Review
CHAPTER THREE: RESEARCH METHOD
Research Design
Area of Study
Population of the Study
The Sample size for the Study
Sampling Procedure
Method of Data Collection
Validity of the Instrument
Reliability of the Instrument
Ethical Consideration
Procedure for Data Collection
Method of Data Analysis
CHAPTER FOUR: PRESENTATION OF RESULTS
CHAPTER FIVE: DISCUSSION, CONCLUSION AND RECOMMENDATION
Discussion of the Findings
Implication of Findings to Nursing
Limitation of the Study
Summary
Conclusion
Recommendations
Suggestion for further studies
References
Appendices
Questionnaire
ABSTRACT
With the global trend towards an increasing aging
population, there is a corresponding increase in the health problems associated
with elderly population especially in developing Countries including Nigeria.
With this increase in the growth of the aging population, the number of people
that will need health care will undoubtedly increase, which motivated this study.
The study was aimed to assess the level of knowledge, attitude and practice of
care of the elderly patients among health workers in University of Calabar
Teaching Hospital, Calabar, Cross River State. The specific objective were to
(i) determine the level of knowledge of the physical, emotional and social care
of the elderly in the University of Calabar Teaching Hospital, Calabar (ii)
determine the attitude of health workers in the care of the elderly, (iii)
determine the health workers practices in the provision of care of the elderly,
(iv) identify factors that influence the health workers attitude towards the
elderly in University of Calabar Teaching Hospital, Calabar. The hypothesis for
the study tested the association between years of experience of health workers
and their attitude towards care of the elderly in UCTH. Calabar. The study
adopted a cross sectional descriptive design. The population of the study was
1023 health workers, which was made up of 402 Doctors, 600 Nurses, 10 Dentists
and 11 Physiotherapists that provided direct clinical care of elderly patients.
The sample was calculated using Taro-Yamane (1967) simplified formula for
finite population giving a sample of 461 health workers. The instrument for
data collection was questionnaires, the reliability of the instrument was done
using test retest method and a reliability co-efficient of 0.91 was obtained.
The questionnaires had five sections, section A covered socio demographic data,
section B, C, D consisted of items which explored level of knowledge. Attitude,
practice and section E elicited information on factors influencing the care of
the elderly. The completed questionnaire was coded and analyzed using E.P.I
info-7. Descriptive statistics of percentage, mean, standard deviation were
used for data analysis. The criterion mean of 2.5 was also used and results of
the study revealed that 95% of the health workers had good knowledge of care of
the elderly. Majority of the health workers had positive attitude above rating
scale of 2.5. The health workers moderately practiced care of the elderly. The
factors that positively influenced health workers attitude to the care of the
elderly were years of experience, age and mental state of the elderly. There
was significant association (P<0.05) between attitude of Health Workers and
mean years of experience. Workers with less years of experience had negative
attitude, while those with more years of experience had positive attitude,
towards the care of the elderly. In conclusion, health care professionals need
to have the right skills to manage a more demanding role in the future. In
order to offer effective services for the elderly, a skilled workforce of
health professionals is therefore very necessary. The study recommended that
Geriatric Nursing content in the curriculum be strengthened and also geriatric
wards be established in all general hospitals.
CHAPTER ONE
INTRODUCTION
Background to the Study
Ageing is the accumulation of changes in a person over time (Bowen and Atwood 2004). It involves a multidimensional process of physical, psychological and social change. Some dimensions of aging grow and expand over time, while others decline. Research shows that even in late life, potentials exist for physical, mental and social growth and development (Papalia, Sterns, Feldman, and Camp, 2002). It is not a disease; but phase of life where there is retrograde biological process in growth and development which leads to decreased powers for survival and adjustment. Aging is an important part of all human societies reflecting the biological changes that occur and also reflecting cultural and societal convention.
An estimated 100,000 people worldwide die each day of age related causes (Aubrey de Grey, 2007). According to National Population Commission (NPC, 2006), persons who are old enough to receive pension who are between ages of 60-65 years are regarded as the elderly. The elderly are classified by age into young old for those aged 60-74years, middle old for those aged 75-84years, old for those aged 85-94 years and oldest old for those 95years and above. (Barman, Snyder, Kozier & Erb , 2008).
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