JOURNAL CLUB PRESENTATION

Journal club presentation

1. JOURNAL CLUB PRESENTATION Presented by Anvin Thomas 1 yr M.Sc (N)

2. TITLE OF THE PAPER: Effect Of Structured Nursing Care Strategies Regarding Home Based Care Of Patients With Parkinson's Disease

3. INTRODUCTION Parkinson’s disease is the second most common neurodegenerative disorder It is a chronic slow progressive disorder caused by loss of dompaminergic neurons in the substantia nigra .

4. Continue... Patients with Parkinson's disease are confronting with many physical, psychological and psychosocial issues that impact quality of life .

5. OBJECTIVES To assess baseline knowledge, attitude and practice regarding home based care of patients with Parkinson's disease. To evaluate the effect of structured nursing care strategies regarding home based care on knowledge attitude and practice of patients with Parkinson's disease.

6. Continue… 3. To find out the association between knowledge regarding home based care among patients with Parkinson's disease and selected socio demographic variables.

7. HYPOTHESIS H1:There is significant difference in pretest and post test scores of knowledge regarding home based care in patients with Parkinson's disease. H2:There is significant difference in pretest and posttest scores of attitude regarding home based care in patients with Parkinson's disease

8. CONTINUE… H3:There is significant difference in pretest and post test scores of practice regarding home based care in patients with Parkinson's disease H4 :There is significant association between knowledge regarding home based care of patients with Parkinson's disease and selected demographic variables.

9. MATERIALS AND METHODS Research Approach Quantitative Approach Research design Quasi experimental design - One group pre test post test design. Setting Neurology OPD in KIMS hospital Trivandrum

10. MATERIALS AND METHODS Population Patients diagnosed as Parkinson's disease Sampling technique Non- probability sampling (Purposive Sampling) Sampling Size 40 Parkinson’s patients

11. MATERIALS AND METHODS Inclusion criteria Patients diagnosed as Parkinson's disease who were able to read and write Malayalam or English

12. EXCLUSION CRITERIA Patients who were not able to read and write Malayalam or English Health care professionals

13. MATERIALS AND METHODS Instruments used Structured questionnaire To assess socio demographic data and clinical variables Knowledge questionnaire To assess knowledge towards home care of Parkinson's disease self reported practise questionnaire and attitude scale To access practice and attitude towards home care of Parkinson's disease

14. MATERIALS AND METHODS Data collection Method A brief introduction about researcher himself and the study were given to study subjects and obtained informed consent for participation. Pre-test was conducted among 40 samples and assessed their knowledge, attitude and practice. On the same day the investigator administered structured nursing care strategies individually to each samples for 45 mints and an instructional module on home based care regarding Parkinson's disease was given to the samples for reference

15. CONTINUE.... Four weeks after the intervention, post test was conducted on the samples using the same tool Data obtained was analysed using descriptive and inferential statics

16. RESULTS

17. SOCIO DEMOGRAPHIC DATA: Majority of patients with Parkinson's disease 37.5% belonged to the age group 60-69yrs. Males were the predominant category 70% among the sample Most of the patients 60 % had high school education.

18. Continue.. Majority 40% of patients with Parkinson's disease were retired employees. Majority 50% of patients had monthly income of rs 500-15000. Most 72.5% of patients belongs to nuclear family.

19. KNOWLEDGE BEFORE AND AFTER INTERVENTION Pretest 70% had poor knowledge 30% had satisfactory knowledge Post test 52.5% of patients had good knowledge 47.5% had satisfactory knowledge

20. ATTITUDE BEFORE AND AFTER INTERVENTION Pretest 92.5%of patients had negative attitude 7.5%had positive attitude regarding home based care of patients with Parkinson's disease Post test 90.% had positive attitude regarding home based care of patients with Parkinson's disease

21. PRACTICE BEFORE AND AFTER INTERVENTION Pretest 67.5% were following poor practice 27.5% were following satisfactory practice regarding home based care Post test 92.5% had good practice 7.5%had satisfactory practice regarding home based care of Parkinson's disease

22. DISCUSSION A study was done to estimate the prevalence of Parkinson's disease in Egypt. The study concluded that prevalence of parkinsonism was found to increase steadily with age and majority of them were above 60 years

23. CONCLUSION Parkinson’s disease is increasing globally and patients with Parkinson's disease are facing many debilitating symptoms which have a significant impact on their quality of life.

24. CRITIQUE

25. PARTICULARS OF THE JOURNAL Title of the Paper: Effect of structured nursing care strategies regarding home based care of patients with Parkinson's disease

26. Name of the Journal Kerala nursing forum Volume 11 Issue 45 Page No 28-33 Year 2016

27. PARTICULARS OBSERVATIONS Type of Journal Academic Journal Publisher Professional organization Under what section of journal the article is Published Original research ISSN 12248-907X

28. Mesh Representation Not mentioned DOI Not mentioned Peer reviewed No Impact Factor Not mentioned Eigen factor Not Mentioned

29. ABOUT THE AUTHORS: Sl. NO ITEMS RESPONSE 1. Designation / Institutional attachments Aswathy Asokan A.N Second year MSC nursing student at the time of submitting the article Graceamma Joseph Vice principal, KIMS college of nursing Thiruvananthapuram

30. ABOUT THE AUTHORS: Sl. NO ITEMS RESPONSE 2a. 2b. Work / Publications in same area H-index Department of medicine Not mentioned

31. TITLE OF THE ARTICLE: Sl. NO ITEMS RESPONSE 3a Indicates topic and focus of the study Effect of structured nursing care strategies regarding home based care of patients with Parkinson's disease 3b Indicates the research question Effect of structured nursing care strategies 3c Title meaningful and complete yes

32. TITLE OF THE ARTICLE: Sl. NO ITEMS RESPONSE 3d Includes important Variables to be measured Dependent : Home based care of patients Independent: structured nursing care strategies 3e Looks catchy yes 3f Short or over long medium 3g Need for alternative title Yes. Can be modify

33. ABSTRACT: Sl. NO ITEMS RESPONSE 4a Structured Yes It is structured under following headings; With proper introduction, purpose of study, objectives and hypothesis are stated well 4b Informative Yes. Structured nursing care strategy was effective , post test scores on knowledge, attitude and practice is higher than pre-test score.

34. ABSTRACT: Sl. NO ITEMS RESPONSE 4c Indicative Yes, Methodology and the results were clearly mentioned. 4d Reflects contents Yes 4e Provides entire gist of entire study Yes

35. KEY WORDS: Sl. NO ITEMS RESPONSE 5a Present Yes Structured nursing care strategies, home based care, Parkinson's disease, knowledge, attitude, practice 5b Appropriate Yes

36. INTRODUCTION: Sl. NO ITEMS RESPONSE 6a Stock opening Alarmist approach 6b Meaningful and concise Yes 6c Built on existing literature Yes 6d Logically presented Yes

37. continue. Sl. NO ITEMS RESPONSE 6e Omission of some important studies Yes 6f Citation relevant and pertinent Yes 6g Presented the Need for the study Yes 6h Stated research objective Yes

38. METHODOLOGY: Sl. NO ITEMS RESPONSE 7a Study design One group pre-test post test design 7b Study setting Neurology OPD clinics in KIMS hospital Trivandrum 7c Study Population 40 Patients diagnosed as parkinsonism disease. Confusing . Not mentioned whether they are able to understand the researcher. 7d Variables Independent- structured nursing care strategies Dependent – Home based care of patients

39. Continue… Sl. NO ITEMS RESPONSE 7e Bias Present 7f Study/ Sample size 40 7g Sampling Purposive 7h Ethical Review Board consent Not mentioned 7i Informed Consent Yes

40. STATISTICAL METHODS: Sl. NO ITEMS RESPONSE 8a Describes all statistical methods Yes 8b Describes other analyses? no

41. RESULTS: Sl. NO ITEMS RESPONSE 9a Based on aims and objectives Yes 9b Descriptive data Yes 9c Outcome data Yes 9d Table/ graph and text format Table

42. DISCUSSION: Sl. NO ITEMS RESPONSE 10a Explain Key results Yes 10b Compared with existing Literature Yes 10c Limitation No 10d Remedy for Limitation No 10e Generalizability No

43. CONCLUSION: Sl. NO ITEMS RESPONSE 11a Based on discussion and results yes 11b Suitable recommendations No 11c Open vistas for other research YES.IT IS OPEN FOR ONE FURTHER RESEARCH THAT IS A STUDY CAN BE CARRIED OUT WITH HELP OF VIDEO ASSISTED LEARNING FOR CAREGIVERS OF IMMOBILIZED PATIENTS

44. OTHERS: Sl. NO ITEMS RESPONSE 12a Trial registered N/A 12b Funding Not mentioned

45. REFERENCES: Sl. NO ITEMS RESPONSE 13a Able to identify the style? NO 13b Recent and Pertinent Limited to 8.Only one Indian study. There are reference from 1999,2001,2008.

46. CRITICAL REFLECTION: Sl. NO ITEMS RESPONSE 14a Internal Validity Yes 14b Generalizability No 14c Clinical Practice significance Applied to routine practice 14d Public Health significance Health education 14e Cost effective Yes