This present research study was done on Excavating problems and Instituting-collaborative care of patient with Myocardial infarction first 48 hours of admission at Coronary care unit of Selected Hospital in Coimbatore. It helps to develop the nursing protocol on collaborative care of patients with myocardial infection. The evaluative approach, descriptive design was adapted for this study. The total sample of 10 patients with Myocardial infarction. The sample was selected by the non-probability convenience sampling technique. The Data was collected once in half an hour for first 8 hours and once in every 2 hours for next 40 hours by assessment chart and investigator dairy .By this, identified problems and care was given related to the problem and evaluated the effectiveness of given care. Care given by the health care personnel’s also included. Among 10(100%) samples, 15% developed Pre Mature Ventricular Contraction at initial 36 hours of hospitalization and 40% developed Ventricular Tachyarrhythmia at initial 24 hours of hospitalization. 40% had Constipation at the end of 48 hours of hospitalization. 40% had Left Ventricular Failure at initial 36 hours of hospitalization. 20% had Sinus Tachycardia, Sinus Bardycardia at 24 hours of hospitalization. 30% had Hyper Pyrexia at third and fourth 12 hours of hospitalization. Most of the problems occurred at initial 36 hours of hospitalization. There was a significant association between smoking and hyper tension, type A personality and hyper tension. Nursing protocol was formulated to excavate problems, institute nursing interventions and to promote the collaborative care to minimize the chest pain, maintain the comfortless and maintain the respiratory status. Effective nursing intervention was maintained the normal tension and maintained the temperature at initials on set of problems. The measures were successful to treat pre mature ventricular contractions and ventricular tachyarrhythmia. Problems were identified, complications were prevented by prompt measures.

The study aims to find out the adequate knowledge of mothers regarding weaning in order to reduce infant morbidi-ty, mortality, under-weight and for the happy growth of the child. Data’s were collected throughout the selected rural areas of Coimbatore districts. An oral interview were conducted and questionnaire was used to collect the in-formation. After the pretest, structured teaching programme regarding weaning was given to mothers who are hav-ing infants. After few days of interval the structured interview questionnaire used for post test with the same dura-tion for each mothers. The result shows that the knowledge level of mothers who are having infants regarding wean-ing got favorable improved.

This present study was undertaken to assess the psychosocial problems among the geriatrics. This was a descriptive study conducted at a selected geriatric home at Madurai, Tamil Nadu. The subjects were selected through convenience sampling technique. The sample size was 30. The tool used for data collection was a 3 point Likert scale developed by the researcher. This current study finding revealed that the high percentage of geriatrics in geriatric home was rated under “high level psycho social problems”. Thus, there is a need for social support to optimize the older persons ability to enjoy good health, improve their quality of life and enable them to live independently as long as possible.

The present study was designed to assess the knowledge and practice of nursing personnel regarding Intravenous therapy and its selected complications in selected wards of Hospital. This was a descriptive design. The data was collected from 52 registered nurses through convenience sampling. The tool used for data collection was a structured questionnaire for knowledge and Observational checklist to assess practice developed by the researcher. The study findings revealed that among 52 nurses, 28 (54%) had inadequate knowledge and 35(67%) had low satisfactory practice regarding I.V therapy and its selected complications. Hence, the study gave the evidence that the regular education and in-service program on peripheral intravenous cannulation can improve the knowledge and practice of staff nurses.

This present study was undertaken to assess the level of stress between first and final year B.Sc Nursing students in selected Nursing colleges. This was a descriptive study conducted at two private Nursing colleges in Tamil Nadu. The names of the colleges are kept confidential as per the instructions of the permitting authority. The samples were collected through convenience sampling technique. The sample size was 100. The tool used for data collection consists of 52 questions rated on a five point rating scale to assess the level of stress among I year and final year B.Sc Nursing students. The findings of the study revealed that majority of first year Nursing students 30(60%) experienced severe stress, 15(30%) of them experienced moderate stress and a small minority 5(10%) experienced mild stress. A large number of final year students 28(56%) experienced mild stress, 15(30%) of them experienced moderate stress and only 7(14%) of them experienced severe stress. Majority of first year Nursing students 30(60%) experienced severe stress, 15(30%) of them experienced moderate stress and a small minority 5(10%) experienced mild stress. The total mean score of first year students are greater than the final year B.Sc Nursing which indicates that there was a significant difference in the level of stress between first year and final year B.Sc Nursing students. There is an association between the level of stress of first year and final year B.Sc Nursing students and the educational status of parents, place of residence, order of sib-ship and no association between the level of stress of both first and final year B.Sc Nursing and religion and there is no association between level of stress and occupation of parents of final year B.Sc Nursing whereas an association between level of stress and occupation of parents of first year B.Sc Nursing. With regard to the type of family, there is no association between first year B.Sc Nursing between level of stress and income of parents, type of family among first B.Sc Nursing and an association between level of stress and their type of family among final year B.Sc Nursing students. The study result emphasizes that the first year students experience a higher level of stress than the final year students. Therefore it is essential for nurses to provide a non-threatening environment for the student nurses in clinical settings and build a healthy rapport with the student nurses which will facilitate their learning in clinical areas.

The study was carried out with an aim to assess the nursing student’s attitude towards Teacher guided observation method (TOM) of clinical learning. TOM was adopted from the original version of the one minute preceptor method followed in medical colleges today, a tested, validated method of clinical teaching among medical residents. A descriptive survey approach was adopted with 61 samples, who were nursing students studying in critical care nursing course during the year 2010-2011 in Muscat, Oman. The samples were selected based on purposive sampling technique. A formal permission was sought from the management and ethical clearance was obtained. A reliable and validated instrument, structured attitude likert scale was used to collect data. Students were voluntarily willing to participate in the study and the data was collected during their clinical experience posting. Each student had 10-15 mts to respond to the instrument. Descriptive statistics was used for analyzing data and the results showed that 54 students i.e. 87% had a positive attitude towards TOM and expressed TOM to be implemented in routine practice as a formal method of clinical learning for nursing students.

Patients undergoing major abdominal surgery will have higher incident of post-operative pulmonary complications. In this context, “I COUGH” has its significance, thus enhancing the scope of nursing. Objectives: 1) To teach and demonstrate “I COUGH” among pre-operative abdominal surgery patients in experimental group. 2) To assess the respiratory status of patients subjected to abdominal surgery in experimental and control group pre- operatively. 3) To assess the respiratory status of patients undergoing abdominal surgery in experimental and control group post-operatively. 4) To evaluate the post-operative respiratory status, between control group and experimental group. 5) To associate the respiratory status score, with selected demographic variable in experimental group. Methodology: The conceptual framework of the study was Rosen Stock’s health belief model. The study made use of experimental approach, a subtype of quantitative approach. Non- equivalent control group, pre-test post test design for assessing the respiratory status and post-test only control group design was used to assess the respiratory status. Non-probability purposive sampling technique was used to select 40 samples, out of which 20 were in control group and the rest of the samples were considered as experimental group. Observational checklist was used to assess the respiratory status, standardized order set was used to assess the effectiveness of “I COUGH” method. Pre-operative teaching “I COUGH” was provided on the basis of review of literature and experts opinion. Descriptive and inferential statistics were used to analyze the data. Conclusion: The findings of the study revealed that: The respiratory status of the patients who received pre-operative teaching on “I COUGH” was significantly improved that those who did not receive the pre- operative teaching. The risk of developing post-operative pulmonary complications of the patients who received pre-operative teaching “I COUGH” was significantly less than those who did not receive the pre-operative teaching on “I COUGH”.

Menopause is an important event in a women’s life which is having physical, psychological and social implications. Some women who ignores the signs of menopause and there by prone for heart disease. So awareness on menopausal problems and its management is very essential to reduce their sufferings. Investigator identified the felt need of imparting knowledge on the same and help them to adapt healthy lifestyle in their old age. A pre-experimental study with one group pretest post test design was used. 50 women who fulfilled the criteria were selected by using non-probability convenient sampling technique and knowledge questionnaire was used to collect the data before and after structured teaching programme. The overall calculated‘t’ value was 20.85, which was statistically significant at 0.01 level.

This present study was done to evaluate the effectiveness of video assisted teaching program on independent living skills of mentally challenged children among the caregivers of mentally challenged children in Worth trust, at Vellore. Pre experimental one group pre-test and post test design was adopted. The sample size consists of 30 primary caregivers of mentally challenged children. Pre test existing level of knowledge regarding independent living skills of mentally challenged children among caregivers were assessed after seven days video assisted teaching was given, Post test Level of knowledge assessed after the intervention with the help of the structured interview questionnaire. Total number of items are 25 and each item is scored as, wrong answer - 0, Right answer -1. Total score - 25. Level of knowledge graded as Inadequate (< 50%) Moderately adequate (51% -75%) Adequate (> 75%). It was observed in this study. In pre test 7(23.3%) had inadequate knowledge on independent living skills, 23(76.7%) of caregivers had moderately adequate knowledge and none of them had adequate knowledge. None of the caregivers had inadequate knowledge on independent living skills, 5(16.7%) of caregivers had moderately adequate knowledge and 25 (83.3%) of caregivers had adequate knowledge on independent living skills in post test.

The study aims to evaluate the effectiveness of structured teaching programme regarding importance of dental hygiene to prevent dental caries among mothers of school children in terms of knowledge and attitude in selected rural areas of Coimbatore. Data’s were collected throughout the selected areas of Coimbatore. The mothers of the respective children were approached and an initial rapport were established with the mother details of the study were explained to them questionnaire method were fixed for data collection and sampling technique used for collecting the data. The result shows that knowledge level of mothers are adequate and proper education to mothers helps to reduce the prevalence of dental caries among children.