Research on adjustment problems among BSc.(N) 1st year students

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1. “Astudytoidentifytheadjustmentproblems amongB.Sc. Nursing 1st yearstudentsin selectedNursing Collegesat Durg(C.G.)’’ DISSERTATION SUBMITTED TO PANDIT DEENDAYAL…
  • 1. “Astudytoidentifytheadjustmentproblems amongB.Sc. Nursing 1st yearstudentsin selectedNursing Collegesat Durg(C.G.)’’ DISSERTATION SUBMITTED TO PANDIT DEENDAYAL UPADHYAY HEALTH SCIENCE AND AYUSH UNIVERSITY, RAIPUR (C.G.) In partial fulfilment of the requirement for the degree of BACHELOR OF SCIENCE IN NURSING 2015-16 MAITRI COLLEGE OF NURSING G.E. ROAD, ANJORA, DURG. (C.G.)
  • 2. “Astudytoidentifytheadjustment problems amongB.Sc.Nursing 1st yearstudentsin selectedNursing Collegesat Durg(C.G.)’’ DISSERTATION SUBMITTED TO PANDIT DEEN DAYAL UPADHYAY HEALTH SCIENCE AND AYUSH UNIVERSITY, RAIPUR (C.G.) In partial fulfilment of the requirement for the degree of BACHELOR OF SCIENCE IN NURSING 2015-16
  • 3. Ms. Aarti Sahu. Ms. Anjani Painkara Ms. Anita Sahu Mr. Bhoj Kumar Ms. Bhuneshwari Chauhan Ms. Sugandhu Mahant MAITRI COLLEGE OF NURSING G.E. ROAD, ANJORA, DURG. (C.G.) CERTIFICATE Weherebycertifythattheresearchprojecttitled“Astudytoidentify the adjustmentproblemsamongB.Sc.Nursing1st yearstudentsinselected Nursing Colleges at Durg (C.G.)’’ hasbeencarriedout by Ms. AartiSahu, Ms. AnjaniPainkara, Ms. Anita Sahu, Mr. BhojKumar, Ms. Bhuneshwari Chauhan and Ms. Sugandhu Mahant, IV year B.Sc. Nursing Students of MaitriCollegeofNursing. Research project is designed and carried out in conjunction with Deen Dayal Upadhyay University, Raipur under the guidance and supervisionoffollowingguide. GUIDE- Mrs.S.Andal,M.Sc.(N) Assistant Professor Dept.ofMentalHealthNursing
  • 4. MaitriCollegeOfNursing Anjora,Durg(C.G.) CO–GUIDE Mr.Raghavendran,M.Sc.(N) AssistantProfessor Dept.ofMedicalSurgical Nursing MaitriCollegeofNursing Anjora,Durg(C.G.) MAITRICOLLEGEOFNURSING, ANJORA,DURG(C.G) BONAFIDECERTIFICATE Thisistocertifythat Ms.AartiSahu,Ms.AnjaniPainkara,Ms.AnitaSahu,Mr.Bhoj Kumar, Ms. Bhuneshwari Chauhan and Ms. Sugandhu Mahant, IV year B.Sc. Nursing students ofMaitriCollege ofNursing.Hascarriedoutaresearchprojectforthe partial fulfilment of their course in accordance with the regulation of Pandit Deen Dayal UpadhyayUniversity,Raipur(C.G.) Certifiedthatthe workembodiedinthisResearchProject “Astudytoidentify the adjustment problems among B.Sc. Nursing 1st year students in selected Nursing college atDurg(C.G.)’’
  • 5. Isoriginal andhasbeencarriedoutunderthefacultyofNursing. Date:-...................... ..................................... Mrs.C.FuelaEstherThangamMSc(N) Principal Maitri College ofNursing Anjora,Durg(C.G.) DECLARATIONBYTHECANDIDATE We declare that the present research project titled “A study to identifytheadjustmentproblemsamongB.Sc.Nursing1st yearstudentsin selected Nursing Colleges at Durg. (C.G.)’’is a genuine research work under taken and carried out bythe guidance ofMrs. S. AndalM.Sc. (N), Assistantprofessor,MaitriCollegeofNursing,Anjora,Durg.(C.G.)
  • 6. By:- Signature Ms.AartiSahu ...................................... Ms.AnjaniPainkara ...................................... Ms.AnitaSahu ...................................... Mr.BhojKumar ...................................... Ms.BhuneswariChauhan ...................................... Ms.SugandhuMahant ...................................
  • 7. ACKNOWLEDGEMENT Gratitude can never be expressed in words, but this is the only perception which makes the words to flow from one’s inner heart. We owe a deep sense of gratitude to those who have contributed to the successful completion of this Endeavour. First, we Praise and Thank Lord Almighty for his abundant grace, blessing and unconditional love bestowed upon us throughout this study.
  • 8. We express our everlasting sense of indebtedness to our Parents and Grand Parents for their support and prayers. It gives us an immense pleasure and proudest to offer profound gratitude to my beloved Principal Mrs. C Fuela Esther Thangam, MSc. (N), PGDBS, PhD for all her love, guidance and co-operation in this study as well as throughout. We are immensely thankful to Mrs. Jaita Mondal Ghosh MSc (N), Reader of Community Health Nursing Maitri College of Nursing, Anjora, Durg, (C.G.) for encouragement for the completion of this study. We extend our heartfelt thanks to our guide Mrs. S. Andal M.Sc. (N), Assistant professor, Maitri College of Nursing, Anjora, Durg.(C.G.) for her motivation, support and through in completion of the study. We sincere thanks to all our M.Sc.(N.) teachers Mr. Raghavendran, Mr. Jeyabalan Sundar, Mrs. Bagawati and Ms. Divya Das and B.Sc. (N.) teachers of Maitri College of Nursing for vigilance, supervision, timely guidance, and whole hearted cooperation throughout the project. We are thankful to our Class Co-ordinator Ms. Divya Das M.Sc. (N) Tutor Department of Community Health Nursing in Maitri College Of Nursing Anjora, Durg.(C.G.) for her vigilance, and supervision. We humbly pay our sincere thanks to all Experts for having spared their most valuable time and effort for content validity of the tool. We are thankful to Mr. Shreeni Nair, statistician for his guidance in statistical analysis and interpretation of data. We humbly pay our sincere thanks to all Non Teaching Staff of Maitri College of Nursing for whole hearted co-operation. We would like to thank all the B.Sc. (N) I year students for their active participation &who made this study possible. We extend our gratitude to the staff of the library, Mr. Lekhram Dhiwar for their help and wholehearted cooperation. A word of appreciation goes to Mr.
  • 9. Suryakant Dube and Face book (Copier and Printers) for their enthusiastic efforts and sincere helps in typing the menu script meticulously with much valued computer skills. A word of thanks goes to our colleagues for their help and support. Finally, we extend our thanks to all those who have been directly or indirectly association with study at various levels but not mentioned in this acknowledgement. ABSTRACT Adjustment is a continuous process not fixed or static state, in fact adjustment is defined as the continuous process of satisfying ones desires, and it involves many aspect of behavior .This problem was conducted to “ A study identify the adjustment problem among B.Sc. Nursing 1st year students in selected Nursing colleges at Durg, (C.G.)”. The objectives of the study are to assess the types of adjustment problems among BSc. Nursing 1st year students and to associate the type of adjustment problems with the demographic variables of B.Sc. Nursing 1st year students.
  • 10. It is assumed that they will have some adjustment problems at the initial days. It is assumed that adjustment problems are influenced by the selected demographic variables. Research approach is Quantitative approach, the research design of the study was Typical Descriptive research design, Sample and sample size is 50 students of BSc. Nursing 1styear, Maitri College of Nursing, Simple convenient sampling technique was used to collect data. The overall major finding of the study reveal that the the level of adjustment in 1 % severe, 45% moderate and 4% mild adjustment problems among B.Sc. Nursing 1st Year Students. The Chi-square value and table value of B.Sc. (N) 1styear students reveals that there is a significant association (p=<0.01) between demographical variables only gender, religion, type of family, mother’s occupation and total no. of sibling with Adjustment problems. And no significance association (p=>0.01) between demographical variables only age, father’s occupation, family income, Place of staying with Adjustment problems. TABLE OF CONTENT CHAPTER NO. CONTENT PAGE NO. I INTRODUCTION  Background of the study  Need of the study  Statement of problem  Objectives  Assumption  Operational definition
  • 11. II REVIEW OF LITERATURE  Conceptual framework III RESEARCH METHODOLOGY  Research Approach  Research Design  Variables under Study  Setting of the study  Population  Sample & sampling technique  Sample  Sample technique  Sample size  Inclusion criteria  Data Collection Instruments & technique  Description of Tools  Validation of Tools  Plan for Data Analysis IV DATA ANALYSIS AND INTERPRETATION V DISCUSSION VI SUMMARY, MAJOR FINDING, CONCLUSION, IMPLICATION, LIMITATION & RECOMMENDATIONS LIST OF TABLE TABLE NO. NAME OF TABLES PAGE NO. 4.1.1 Description of Frequency & percentage of distribution of B.Sc. (N) I year students by demographic variables. 4.2.1 Level of adjustment problems among B.Sc. (N) I year students. 4.2.2 Mean & Standard Deviation of Adjustment Problems among B.Sc. (N) I year students.
  • 12. 4.3.1 Association of levels of adjustment problem with the Demographical Variables. LIST OF FIGURE FIGURE NO. NAME OF FIGURE PAGE NO. 1.1 Modified Conceptual Frame Work Based on Health Belief Model for Adjustment Problem. 2.1 Schematic presentation of Research Design. 4.1.1 Frequency distribution of B.Sc. (N) 1st Year students according to age.
  • 13. 4.1.2 Frequency distribution of students according to gender. 4.1.3 Frequency distribution of students according family income. 4.1.4 Frequency distribution of students according to total number of sibling. 4.1.5 Frequency distribution of students according to medium of instruction. 4.1.6 Frequency distribution of students according to staying. 4.2.1 Level of adjustment problems among B.Sc. (N) 1st year students
  • 14. CHAPTER I INTRODUCTION CHAPTER-I INTRODUCTION- Adjustment is a continuous process, not fixed or static state, in fact adjustment is defined as the continuous process of satisfying one’s desires, and it involves many aspect of behaviour. Abraham Maslow evaluated the well-adjusted person in terms of self-actualization, clearly stressing the adjustment process. Human beings constantly
  • 15. seek expression of the potential. Those developing and utilizing their capacities to the fullest are said to be self-actualization. Social adjustment in adolescent period means the success with which people adjust to other people in general and to the group with which they are unidentified. Adolescents are expected to become better adjusted to social life with each passing year and to confirm to social expectation for their ages. Adolescents who make good social adjustment in first grade, for example, are for more likely to make good social adjustments when they reach high school and college than are adolescent who make social adjustment during the first year of school Psychosocial adjustment is the ability of the human being to perceive reality and to respond to it in a way that supports his or her own emotional and physical well-being and that of others in the social environment. When some aspect of mental; functioning is disordered, it can result in misperceptions of reality and misjudgements that alter effective decision-making. When effective decision making is altered healthy coping process deteriorate. A study in 2007 by Shirley E Thyer, Patricia Bazeley on “Stressors to student nurses beginning tertiary education” reveals that stress placed upon student nurses entering tertiary education during a period of rapid change in the examined. Overall findings were consistent with research else-where, regarding student experience of anxiety created in particular through assessment requirements. Rapidly changing curricula increased administrative task, demand for upgrading of qualifications and increased emphasis pon research and publication have created ambiguities and stress in nursing students. Changes to the internal and external environment result in disruption to normal functioning, they are stressors creating anxiety and a need for adaptation. Nursing holds a pivotal role in the multidisciplinary team of health personnel to provide health care services. The government at these state, central and also non governmental agencies has taken up the challenging responsibility of preparing nursing students to be full pledged professional nurses. A number of cultural, technological, political, and social forces are shaping the destiny of the nursing profession. Students entering in the nursing profession {or} called upon to equip themselves with adequate competencies to meet the challenging
  • 16. advances that are occurring in the profession and in health care setting. Healthy, committed, and competent nurses will then contribute their potentials in attainment of the goal “Health for all”. Occupational stress is an important health and safety issue in the UK National Health Service (NHS) (WHO2005) and higher institutions for both staff and students Student nurses are exposed to a wide range of academic and clinical demands in an increasingly crowded curriculum. Perhaps as a result, many student nurses (up to 67% or beyond) report significant levels of distress. NEED FOR THE STUDY- Psychosocial distress and poor adjustment among significant number of nursing students is important issue in facing nursing education. The concerns need to be studied in detail and solutions need to be built in to the nursing course in order to help students with such difficulty. Psychological distress was significantly associated with having neurotic personality and adjustment difficulties in different areas of functioning. High level of distress in nursing students has been associates with sickness absence via somatic health while sickness absence is associates with poor academic performance. Similarly the sign of adjustment failure could be seen in the form of depression, anxiety or fear. If these states of mind occur for prolonged periods and in great degree, the student may end up with great distress, resulting in neurotic disorders, somatoform disorders, and psychosomatic disorders with decreased efficiency to study and work. Adolescents are in a crisis state where in they have to face changes in life pertaining to all aspects, physical, emotional, social and environmental dimensions. When they are separated from their home to a new environment in the hostel, they are required to make a lot of adjustments. Moreso when an individual comes to a healthcare set up wherein they have to deal with patients and hold responsibility. Ideally adjustment problems would diminish in the first three months and certainly do not last longer than the first year. (Wilson 1984).
  • 17. Therefore the investigation feeds the necessity of assessing the level of Self concept and adjustment problems in the 1STyear B Sc Nursing students and how they adapt themselves to the new environment and come. PROBLEM STATEMENT A study to identify the adjustment problems among B.Sc. Nursing 1st year students in selected Nursing Colleges at Durg (C.G.) OBJECTIVES- 1. To assess the types of adjustment problems among BSc. Nursing 1st year students. 2. To associate the type of adjustment problems with the demographic variables of B.Sc. Nursing 1st year student. ASSUMPTIONS  It is assumed that they will have some adjustment problems at the initial days.  It is assumed that adjustment problems are influenced by the selected demographic variables. OPERATIONAL DEFINITION- 1. Adjustment problems- Adjustment problem is a mal adaptive reaction to an identifiable psycho social stressor that occurs within 3 months after the onset of the stressor. It is indicated by either impairment in social or occupational functioning or symptoms that are in excess of a normal and expected reaction to the stressor. The other terms used for adjustment problems are transient situational personality disorders, transient situational disturbances and mal adaptive reaction.
  • 18. 2. Nursing students- In this study nursing students refers to students studying in 1st year Bsc (N) students.
  • 19. CHAPTER IIREVIEW OFLITERATURE CHAPTER-II REVIEW OF LITERATURE- Review of literature is key step in research process. Before any research can be started whether it is single study or an extended projects, a literature of previous study and experiences related to the proposed in investigation should be done. According to BT Basavanthappa - Nursing research review of literature is defined as a board comprehensive in depth, systematic and critical review of scholarly publication, unpublished scholarly prior material audio-visual material and personal communications. Review of literature consist of this section
  • 20. Section: I- Review about Adjustment Problems Section: II- conceptual framework. REVIEW OF LITERATURE REGARDING ADJUSTMENT PROBLEMS Bulotsky-Shearer RJ, Fantuzzo JW, Mc Dermoot PA (in 2008 January) a study conducted. “On investigation of class room situational dimensions of emotional and behavioural adjustment” This study used a developmental-ecological approach to investigate the relationship across the school year between early problems in preschool classroom situations and a comprehensive set of readiness competencies for urban low income children. Study identified 3 reliable and unique underlying classroom situational dimensions and situations, and more problematic across all situations. Study 2 investigated the relationship between yearly problems in the situations. Outcomes, early situational difficulties uniquely and differentially predicted lower peer social and classroom learning outcomes in combination of both the type behaviour problem (what) and the situational problem where explained greater variance in the prediction of readiness outcomes. Contributing to a more comprehensive understanding of developmental trajectories. Saxena, Vandana (2007) conducted a study entitled “Impact of family relationship on adjustment, anxiety, Achievement-motivation, self-concept and academic achievement of high school students”. The main objective was to compare the students having different family relationship with respect to (a) Adjustment (b) Anxiety (c) 79 Achievement-motivation, (d) Self-concept and (e) Academic achievement. Methodology: The sample comprised 300 boys and 300 girls of Class IX of Agra City. The tools used were Parental Acceptance-Rejection Questionnaire of Jai Prakash and Bhargava, Adjustment Inventory for school Students of Sinha and Singh, Indian Adaptation of Sarason’s General Anxiety Scale of A. Kumar, Achievement Motivation Test of R. P.
  • 21. M.V.R. Raju and T. KhajaRahamtulla (2007) to examine the adjustment problems of school students from urban and rural schools of Visakhapatnam district Adjustment is a process by which a living organism maintains, a balance between the needs and the circumstances. The variables included for the study apart from adjustment (family, social, academic, financial and emotional) are age, gender, class, type of school etc. The study was conducted on a sample of 461 students (197 boys, 264 girls) randomly selected from the various government and private schools from urban and rural areas of Visakhapatnam district, Andhra Pradesh. A standardized questionnaire developed by Jain (1972) was adopted for this study. A study conducted in 2007 on “causal relationship between school adjustment of middle school students and related variables”. The purpose of the study was to identify the causal relationship of family factors, social support, school achievement, self-concept and school adjustment and its related variables. Two thousand six hundred and twenty nine middle school students participated in the study. These results imply the family satisfaction and self-concept are essential to solve the problems of school adjustments especially friend’s support, teachers support in school achievement improve self-concept and school adjustment. Agarwal (2003) conducted a comparative study of adolescent’s level of adjustment in relation to the academic success and failure. It was found that successful adolescents were significantly superior in their social emotions and educational adjustment in comparison to unsuccessful ad descents. Sheu S, Lin HS, Hwang SL. (2001) a study conducted in on the relationship among stress, ph
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