A Study to Evaluate the effectiveness of Structure Teaching Programe on Knowledge regarding Mental Health Care Act 2017 among 3rd year B.Sc. Nursing student in selected Nursing Institute at Rajkot, Gujarat

Vanita Kuchhadiya¹, Ivin Manoj², Jeenath Justin Doss. K³

¹II Year M.Sc. Nursing, MHN, Shri Anand Institute of Nursing, Opp. Ghanteshwar Park,

B/h Sainik society, Jamnagar Road, Rajkot - 360006.

²Guide, Shri Anand Institute of Nursing, Opp. Ghanteshwar Park, B/h Sainik society,

Jamnagar Road, Rajkot - 360006.

³Principal, Shri Anand Institute of Nursing, Opp. Ghanteshwar Park, B/h Sainik society,

Jamnagar Road, Rajkot – 360006.

*Corresponding Author E-mail: kuchhadiyavanita602@gmail.com

ABSTRACT:

Descriptive and inferential statics were utilized for the data analysis. After analyze the data major findings of the study were as follows: Regarding the samples shows that age samples Majority ( 83.33%) of the students belonged to the age group of 20-25 years, 13.33 % belonged to the age group of 15-20 years , 3.33% belonged to the age group above 25-30 years and .0% belonged to the age group 30-35 years. There are 11 (36.67 %) sample of Female group and 19 (63.33 %) sample are male group. There are 1 (36.67 %) sample of married group and 19 (63.33 %) sample are unmarried group. There are Majority24 (80 %) of students were Hindus, 6(20%) were Muslims,0% were Sheikh’s and 0 % Jain. There are Majority 12 (40%) Attend in service education or training regarding act were yes and 18(60%) were no. The distribution of the knowledge scores of 30 samples before and after the administration of the planed teaching program. It indicates that mean 11 obtained before the administration of planed teaching program and mean 20 obtained after the administration of planed teaching program. The difference in knowledge score suggests the knowledge gained by samples. So, knowledge among students was increased. Calculated ‘t’ value is 11.87 that are greater than tabulated ‘t’ value (2.05). (Calculated ‘T’ Value 11.87> Tabulated ‘t’ value 2.05) This indicate that the difference obtained in the mean pretest and posttest knowledge score was real difference and not by chance. Hence, the hypothesis was accepted. There for it is established than plan teaching program was effective in enhancing knowledge among students regarding mental health care act.

KEYWORDS: Mental Health Care, Nursing student.

INTRODUCTION:

“One of the great mistakes is to judge policies and programs by their intentions rather than their results.” - Milton Friedman India has more than 70 million mental health patient. Less than 4000 psychiatrists are there and they are concentrated in cities. There are 9.5 to 102 person affect in 1000 population. About 800000 people commit suicide world wide every year of these 17% are residents of India. So, there is a need for looking towards mental health.

The preamble of MHCA 2017 promises to provide mental healthcare and services for persons with mental illness (PMI) and to protect, promote, and fulfill the rights of such persons during delivery of mental healthcare and services. However, the act is progressive, patient centric, and rights based. The “Rights of the persons with mental illness” is the heart and soul of this legislation. However, the act mainly focuses on the rights of the PMI only for the period they are taking treatment in a hospital, and it is silent about the care of the PMI in the community.

NEED OF THE STUDY:

The MHA of 1987 had not been able to adequately protect the rights of the persons with mental illness. Although, back in the day, the act was able to achieve what it was intended to, as time passed and more focus was put on the rights of the mentally ill, The MHA 1987 simply did not have the answers to the questions being raised.

The Government of India ratified the United Nations Convention on the Rights of Persons with Disabilities (UNCRPD) in 2007. The convention requires the laws of the country to align with the convention. It mandates the signatories to provide the following rights to persons with disabilities: The right to accessibility, including the information technology; the rights to live independently and to be included in the community; the rights to personal mobility, and rehabilitation; and the rights to participate in political and public life and cultural life, recreation, and sports. The convention had eight governing principles to address these issues and be compliant with UNCRPD, The Government of India, as a participant in the UNCRPD, had two choices in front of it:

1. Either to amend the MHA 1987 to fully comply with the UNCRPD resolution,

2. Draft a new bill in its entirety to govern the way mental health care gets delivered in the country. Though the MHA 1987 addressed some of the above principles, it fell short of being fully compliant with the UNCRPD resolution. The human rights groups started questioning the constitutional validity of the MHA 1987, as some provisions were interpreted as a curtailment of the personal liberty of the mentally ill. There was no provision of a proper review by any judicial body to oversee and address the issues at the ground level. The MHA 1987 provided that the research on mentally ill can be carried out by the consent of the caregiver, which violated the human rights of the mentally ill. There was a stigma attached with mentally ill admitted in mental health establishments (MHEs), which the MHA 1987 was unable to address. Also, the MHA 1987 did not specify any defined role for the appropriate governments in mental health care delivery. To fulfill this obligation of the UNCRPD, the new mental health care bill was set. It’s known as Mental health care act 2017. It protects human rights during treatment.

OBJECTIVES:

· To assess the knowledge regarding mental health care act before and after implementation of structure teaching program among students.

· To find out correlation between of pretest knowledge score and posttest knowledge regarding mental health care act.

· To find out association between of pretest knowledge score regarding mental health care act among student with demographic variable.

· To improve knowledge among student regarding mental health care act.

· To increase the awareness regarding mental health care act.

HYPOTHESES:

· H1: There will be significant different between the pretest knowledge score and posttest knowledge score after administration of structure teaching Program on mental health care act.

· H2: There will be significant correlation between of pretest and posttest knowledge score regarding mental health care act.

· H3: There will be significant association between pre-test and posttest knowledge score regarding mental health care act among nursing student with demographic variables.

METHODS AND MATERIAL:

RESEARCH DESIGN: The research design is pre-experimental study one group pretest and post- test Design.

Setting of the Study: The study was conducted in Shree Anand Collage of Nursing.

Population:

Target population: 3^rd year Basic B.Sc. Nursing student in institute of Nursing at Rajkot. Accessible population:3^rd year basic BSC nursing student in Shree Anand college of Nursing at Rajkot.

Sample: A total of 30 samples were selected for the present study.

Sampling technique: Non probability convenience sampling technique.

Description of the Tool:

Part -I: Demographic variables

Part -II: knowledge questionnaire to assess the student knowledge on mental health care act.

Data analysis: Collected data analyzed by the descriptive statistics and inferential statistics.

RESULTS AND DISCUSSION:

Pretest 12 (40 %) participant were having Inadequate knowledge, 18 (6 %) were having moderate knowledge and were having adequate knowledge 0 (0 %). Post test result shows that majority of participant 17(56.67 %) were having moderate knowledge and 13 (43.33 %) were having adequate knowledge and 0 (0 %) were having Inadequate knowledge The distribution of the knowledge scores of 30 samples before and after the administration of the planed teaching program. It indicates that mean 11 obtained before the administration of planed teaching program and mean 20 obtained after the administration of planed teaching program. The difference in knowledge score suggests the knowledge gained by samples. So, knowledge among students was increased. Calculated ‘t’ value is 11.87 that are greater than tabulated ‘t’ value (2.05). (Calculated ‘T’ Value 11.87> Tabulated ‘t’ value 2.05) This indicate that the difference obtained in the mean pretest and posttest knowledge score was real difference and not by chance. Hence, the hypothesis was accepted. There for it is established than plan teaching program was effective in enhancing knowledge among students regarding mental health care act.

The summary of chi square analysis, which was used to bring out the relationship between the level of knowledge and demographic variables of the group. The analytical report of the table explains that the demographic variables such sex, education, religion has obtained x² value below the level of tabulated value at the level of 0.05. other demographic variables such as Age has obtained x² value above the level of tabulated value at the level of 0.05. Thus, hypothesis H2 is accepted. So, it is inferred that there is significant association between demographic variables and level of knowledge regarding mental health act among students.

FINDING OF THE STUDY:

· Descriptive and inferential statics were utilized for the data analysis. After analyze the data major findings of the study related to demographic variable of the study as follows:

· Regarding the samples shows that age samples Majority (83.33%) of the students belonged to the age group of 20-25 years,

· 13.33 % belonged to the age group of 15-20 years, 3.33% belonged to the age group above 25-30 years and.

· 0% belonged to the age group 30-35 years.

· There are majority 11 (36.67 %) sample of Female group and 19 (63.33 %) sample are male group.

· There are majority 19 (63.33 %) sample are unmarried group and 1 (36.67 %) sample of married

· There are Majority24 (80 %) of students were Hindus, 6(20%) were Muslims,0% were Sheikh’s and 0 % Jain.

· There are Majority 12 (40%) Attend in service education or training regarding act were yes and 18(60%) were no.

CONCUSION:

· The main conclusion of this present study is that most of the 3^rd year B.Sc. Nursing student in selected nursing college had inadequate and moderately adequate level of knowledge in pretest and they improve to moderately adequate and adequate knowledge in posttest.

· On the basis of finding of the study the following conclusion were drawn that the deficit in knowledge of the students regarding mental health care act among 3^rd year B.Sc. nursing student in selected institute of nursing the planned teaching program was found to be effective in increasing the knowledge of students regarding mental health care act

REFERENCES:

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2. Gelder Michael (2005). Oxford Textbook of Psychiatry, (5th ed) USA Oxford University Press, 651-656.

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