INTRODUCTION:

A home is a dwelling-place used as a permanent or semi-permanent residence for an individual, family, household or several families in a tribe. A home is generally a place that is close to the heart of the owner and can become a prized possession¹. It has been argued that psychologically" The strongest sense of home commonly coincides geographically with a dwelling. Usually the sense of home attenuates as one move away from that point, but it does not do so in a fixed or regular way². Home care is a supportive care provided in the home. Care may be provided by licensed healthcare professionals who provide medical care needs or by professional caregivers who provide daily care to help to ensure the activities of daily living (ADL's) are met³. Home visiting has been considered as a promising strategy for addressing the multiple needs of families⁴. For at least 100 years ago, nurse used home visiting as a service delivery strategy to improve the health and well-being of families⁴

The ‘cone of experience’ i.e. a pictorial device developed by Edgar Dale describes about the effectiveness of various teaching learning aids and experiences also substantiates the effectiveness of multimedia packages in learning. The tip of the cone consists of methods like verbal and visual symbols usually utilized in lecture cum demonstration method which are considered as least effective. The base of the cone consists of direct or contrived experiences and video demonstrations which are relatively more effective and are utilized in the computer assisted teaching⁵.

According to Dale, the least effective method at the top, involves learning from information presented through verbal symbols, i.e., listening to spoken words. The most effective methods at the bottom, involves direct, purposeful learning experiences, such as hands-on or field experience. Direct purposeful experiences represent reality or the close things to real, everyday life. The cone charts the average retention rate for various methods of teaching. The further you progress down the cone, the greater the learning and the more information is likely to be retained. It also suggests that when choosing an instructional method it is important to remember that involving students in the process strengthens knowledge retention⁵.

It reveals that “action-learning” techniques result in up to 90% retention. People learn best when they use perceptual learning styles. Perceptual learning styles are sensory based. The more sensory channels possible in interacting with a resource the better chance that many students can learn from it. According to Dale, instructors should design instructional activities that build upon more real-life experiences.⁵

STATEMENT OF THE PROBLEM:

A study to evaluate the effectiveness of computer assisted teaching on knowledge and practice regarding home visit among student nurses at selected colleges of nursing in Malappuram district.

OBJECTIVES OF THE STUDY:

1. Assess the knowledge and practice regarding home visit before and after computer assisted teaching among student Nurses

2. Evaluate the effectiveness of computer assisted teaching on knowledge and practice regarding home visit among student Nurses.

^3.Find out the association of knowledge and practice scores of student nurses regarding home visit with selected demographic variables.

HYPOTHESES:

H1. There will be a significant difference between mean pretest knowledge and mean posttest knowledge scores of student nurses regarding home visit.

H2. There will be a significant difference between mean pretest practice and mean posttest practice scores of student nurses regarding home visit.

H3. There will be a significant association between knowledge of student nurses regarding home visit with selected demographic variables

H4. There will be a significant association between practice of student nurses regarding home visit with selected demographic variables.

METHODOLOGY:

A Quantitative approach, pre experimental one group pre - test and post - test design was chosen for this study. The study was conducted in selected nursing colleges namely Al shifa College of Nursing and MES College of Nursing in Perinthalmanna of Malappuram district, Kerala, India. 60 II^nd year BSc nursing students were selected using non probability purposive sampling technique. A structured knowledge questionnaire and observation checklist was used to assess the knowledge and practice and after the pretest computer assisted teaching regarding home visit was administered. On the seventh day post test was conducted with the same questionnaire.

RESULTS AND DISCUSSIONS:

Table 1: Frequency and percentage distribution of sample based on age, gender, Nursing background in the family, Place of Residence Awareness of Community Health Services, Interest towards Community Health Nursing (n=60)

Demographic Variables	Frequency	Percentage
Age in Years
18-20	54	90
21-23	6	10
Gender
Male	5	8.33
Female	55	91.67
Nursing background in the family
Parents	6	10
Siblings	9	15
Other relatives	30	50
No relatives	15	25
Place of Residence
Urban	32	53.33
Rural	28	47.67
Awareness of Community Health Services
Aware	42	70
Not Aware	18	30
Interest towards Community Health Nursing
Yes	50	83.33
No	10	16.64

Figure 1 shows the pretest and posttest knowledge scores on home visit among student nurses. On pretest 9 (15%) samples had poor knowledge and 51 (85%) had satisfactory knowledge. On posttest 60 (100%) samples had good knowledge.

Fig. 1: Percentage distribution of samples based on pretest and posttest knowledge score

Figure 2: Percentage distributin of samples based on pretest and posttest practice score

Figure 2 shows that mean pretest and post test practice scores on home visit among student nurses. On the pretest 24 (40%) of the samples had inappropriate practice score and 36 (60%) of the samples had appropriate practice. On post test 60 (100%) of the samples had most appropriate practice.

In order to evaluate the effectiveness of computer assisted teaching on knowledge and practice regarding home visit, the data was analyzed using paired t test and the findings were presented in the table.

Table 2 Significance of difference in mean pretest and mean post test knowledge scores of samples regarding home visit n=60

Variables	Test	Mean	S.D	Paired t value	p value	95% CI
Knowledge regarding home visit	Pre	10.67	1.96	-28.95	0.0001*	10.17-11.17
Knowledge regarding home visit	Post	19.12	1.12			18.83-19.40

Table 3 Significance of difference in mean pretest and mean post test practice scores of samples regarding home visit n=60

Variables	Test	Mean	S.D	Paired t value	p value	95% CI
Practice regarding home visit	pre	5.57	0.86	-30.16	0.0001*	5.35-5.79
Practice regarding home visit	post	12.1	0.70			11.92-12.28

Table 4: Association between knowledge score of samples regarding home visit with nursing background in the family, the place of residence of the samples, Awareness of community health services in their residential area and Interest towards community health nursing (n=60)

Variables	Knowledge on home visit
	Knowledge scores		Chi square	d.f	p value
	Satisfactory	Poor
Age in Years
18-20	48	6	6.41	1	0.01*
21-23	3	3
Gender
Male	3	2	2.67	1	0.1
Female	48	7
Nursing background in the family
Parents	5	1	0.48	3	0.99
Siblings	7	2
Other relatives	26	4
No relatives	13	2
Place of residence
Rural	23	5	0.34	1	0.85
Urban	28	4
Awareness of community health services in their residential area
Aware	39	3	6.78	1	0.009*
Not aware	12	6
Interest towards community health nursing
Yes	46	4	11.53	1	0.006*
No	5	5

Table 5: Association between pretest practice scores of samples regarding home visit with their age, gender, background in the family, the place of residence of the samples, Awareness of community health services in their residential area and Interest towards community health nursing (n=60)

Variables	Practice on home visit
	Practice scores		Chi Square	d.f	p value
	Appropriate	In-appropriate
Age in Years
18-20	32	22	0.12	1	0.72
21-23	4	2
Gender
Male	2	3	0.91	1	0.34
Female	34	21
Nursing background in the family
Parents	4	2	3.33	3	0.34
siblings	6	3
Other relatives	20	10
No relatives	6	9
Place of residence
Rural	12	16	6.43	1	0.01
Urban	24	8
Awareness of community health services in their residential area
Aware	30	12	7.62	1	0.005*
Not aware	6	12
Interest towards community health nursing
Yes	34	16	8	1	0.004*
No	2	8

Table 2 depicts that the mean post test knowledge score (19.12±1.12) was significantly higher than the mean pretest score (10.67±1.96) and calculated paired t value (-28.95) was statistically highly significant at 0.05 level with a p value 0.0001 (t₍₅₉₎ = 2.001, p< 0.05, C.I-10.17-11.17, 18.83-19.40). Hence it revealed that samples gained knowledge regarding home visit after the administration of computer assisted teaching.

Table 3 depicts the mean post test practice score (12.1±0.70) regarding home visit was higher than the mean pretest practice score (5.57±0.86) and calculated paired t value (-30.16) was statistically highly significant at 0.05 level with a p value 0.0001. (t (59) = 2.001, p<0.05, C.I-5.35 5.79, 11.92-12.28). Hence it was evident that computer assisted teaching is effective in improving the practice regarding home visit.

Table 4 depicts that there is a statistically significant association between knowledge regarding home visit and selected demographic variables like age, awareness of community health services in their residential area and the interest towards community health nursing. There is no statistically significant association between remaining selected demographic variable.

Table 5 depicts that there is a statistically significant association between practice regarding home visit and selected demographic variables like place of residence, awareness of community health services in their residential area and the interest towards community health nursing. There is no statistically significant association between remaining selected demographic variable.

CONCLUSION:

Based on this study, it is concluded that the innovative methods of teaching like the one used in this study can have a positive impact on nursing education context. The finding proves that the knowledge and practice needed for home visit are better acquired through computer assisted teaching method. In case of knowledge aspect, the retaining of knowledge imparted to the students is good in case of computer assisted teaching as the post test results reveals the same. Duration of acquiring knowledge and practice through this method is good as it took 30 minutes for a student to learn the content.

In present study the researcher investigated the effectiveness of computer assisted teaching on knowledge and practice regarding home visit among student nurses in relation to demographic variables. The researcher found that there was a significant increase in the level of knowledge and practice after the computer assisted teaching and some of the demographic variables have association with the pretest level knowledge and practice of student nurses.

REFERENCES:

1. Wikipedia. Home [Internet] Wikipedia: free encyclopedia; [Cited 2013 May 7] Available from: http://en.wikipedia.org/wiki/home

2. Terkenli TS. Home as a Region. Geographical Review 85 (3); 1995 P. 324–334

3. Wikipedia. Hospital to Homecare. [Internet] Wikipedia: free encyclopedia; [Cited 2012 March 10]. Available from: http://en.wikipedia.org/wiki/Home care

4. Peralta N, Cludia. Impact of home visit in students Perception of teaching: The teacher Education Quarterly; 2003. p. 1-2

5. Holt, Rinehart, Winston. Dale Edgar’s Audio-Visual Methods in Teaching. 3rd ed. New York: 1969. p.108

Received on 27.03.2019 Modified on 21.05.2019

Int. J. of Advances in Nur. Management. 2019; 7(3):189-193.

DOI: 10.5958/2454-2652.2019.00044.1