DOC009 (2) (1)
DOC009 (2) (1)
DOC009 (2) (1)
DISSERTATION PROPOSAL
SUBMISSION
PRINCIPAL
Prof (Dr).R. SHANKAR SHANMUGAM., Ph.D (N),DSc., MBA.,
READER IN NURSING,
COLLEGE OF NURSING,
MADRAS MEDICAL COLLEGE,
CHENNAI - 600003.
SPECIALITY GUIDE
MR K. KANNAN, M.Sc(N), MBA,
ASSISTANT PROFESSOR,
HEAD OF THE DEPARTMENT- IN CHARGE
DEPARTMENT OF CHILD HEALTH NURSING,
COLLEGE OF NURS!
MADRAS MEDICAL COLL!
SUBMITTED TO
CHAIRMAN,
INSTITUTIONAL ETHICS COMMITTEE,
MADRAS MEDICAL COLLEGE &RGGGH,
CHENNALI - 600003.
SUBMITTED BY
Mrs. GRACE ANITA SAMUEL,
M.SC(N)I YEAR STUDENT,
CHILD HEALTH NURSING,
COLLEGE OF NURSING,
MADRAS MEDICAL COLLEGE,
CHENNAI - 600003,
From
Mrs. Grace Anita Samuel,
M.Sc.(N) I year student,
College of Nursing,
Madras Medical College,
Chennai-600003.
To
The Chairman,
Institutional Ethics Committee,
Madras Medical College,
Chennai -600003.
Respected Sir,
As the study involves human being, I request for an approval from "The Institutional
Ethics Committee".
e I submit the following under taking, I will start the study after obtaining approval
of the Institutional Ethics Committee.
e [ will get informed consent from mothers of toddlers and maintain confidentiality
of the details.
e 1 will carry out the work without detrimental to regular activities as well as
without extra expenditure to the Institution on the Government.
e I will inform the committee in the occurrence of any change in the study
procedure, site, investigation or guide.
I will not deviate from the area of work for which I have applied (or ethical
clearance).
I will inform the Institutional Ethics Committee immediately in the occurrence of
any adverse events or serious adverse reaction.
T'will abide by the rules and regulations of the institutional policies.
I will complete the work within specified period I have applied for and if any
extension of time is required, I shall apply for permission again and continue the
work.
I will submit the report of the study to the Institutional Ethics Committee on
completion.
T will not collect funds from the institution while doing work or on completion.
I understand that the members of the Institutional Ethics Committee have the
right to monitor study without prior intimation.
Thanking You,
To
The Director,
Institute of Child Health and Hospital for Children,
Egmore,
¥\
Chennai -08
CARE HOSPITAL? for the partial fulfillment of the M.Sc.(N) programme as required by The
Tamil Nadu Dr.M.G.R Medical University syllabus and Indian Nursing Council curriculum.
The period of data collection will be for 4 weeks. 1 assure you that I will not disturb the
routine activities of the department.
Thanking you,
Yours Gbediently,
il
(Grace Anita Samuel)
To
The Head of the Department,
Department of Medical Paediatrics,
Institute of Child Health and Hospital for Children,
Egmore,
Chennai -08
CARE HOSPITAL?” for the partial fulfillment of the M.Sc.(N) programme as required by The
Tamil Nadu Dr.M.G.R Medical University syllabus and Indian Nursing Council curriculum.
The period of data collection will be for 4 weeks. I assure you that I will not disturb the
routine activities of the department.
Thanking you,
Yours Obediently,
_\' BT
S&nam fth}Prin 15 ( Grace Anita Samuel)
INCIPAL
., COLLEGE OF NURSING
MADRAS MEDICAL COLLEGE
CHENNAL-600 003.
REMARKS OF THE PRINCIPAL/ RESEARCH GUIDE
M.Sc (N) I year student, College of Nursing, Madras Medical College, Chennai-03,
and ensure that the candidate will abide by the rule of the Institutional Ethics
Committee. -~
/V
\ A
Prof ( D). R. sm&mr{ AMKTUGAM, Ph.D (N), D.Sc, MBA,.
Place: Bh-03 Principal,
College of Nursing,
Date: 3|-8-2(4 Madras Medical College, Ch-03
REMARKS OF THE SPECIALITY GUIDE
M.Sc (N) I year student, College of Nursing, Madras Medical College, Chcnnai-03,
and ensure that the candidate will abide by the rule of the Institutional Ethics
Committee.
M.Sc (N) 1 year student, College of Nursing, Madras Medical College, Chcnnai-03,
and ensure that the candidate will-abide by the rule of the Institutional Ethics
Committee.
Nowan wb
HEAD OF THE DEPARTMENT
Date: B=-2¢ Department of Medical Paediatrics
Institute of Child Health and Hospital for Children,
Place: Ch -0% - Egmore , Chennai-08
INFORMED CONSENT FORM
TITLE OF THE PROJECT: “ EXPLORING DOMESTIC CHILD SAFETY PERSPECTIVES
AND IMPACT OF CHILD SAFETY SESSION AMONG MOTHERS OF TODDLERS AT
SELECTED PAEDIATRIC TERTIARY CARE HOSPITAL”
Date:
The details of the study have been provided to me in writing and explained to me in
my own language. 1 confirm that I have understood the above study and had the opportunity
to ask questions. I confirm that I have understood about the compensation and the risks and
benefits involved in this research. I understand that my participation in the study is voluntary
and that T am free to withdraw at any time without giving any reason. I understand that
confidentiality of my identity will be maintained during the research period, after its
completion as well as during publication of the results. Only investigator, ethics committee,
institutional or regulatory authorities may have access to my information when required.
T have been given a copy of information sheet giving details of the study..I volunteer
to participate in the above mentioned study.
OPTIONAL:
(I also consent / do not consent to be contacted over telephone for study purposes/ knowing
the results — if applicable)
TITLE: “EXPLORING DOMESTIC CHILD SAFETY PERSPECTIVES AND IMPACT OF CHILD SAFETY
SESSION AMONG MOTHERS OF TODDLERS AT SELECTED PAEDIATRIC TERTIARY CARE HOSPITAL”
You are invited to take part in this research. The information in this document is meant to help you decide
whether you want to take part. Please feel free to ask if you have any queries or concerns.
STUDY PROCEDURE:
If you decide to participate , you will be asked to ; Complete a survey about the personal details like age, sex etc
and participate in an interview to share your personal experiences related to your perspectives of Domestic Child
Safety . After this, a session for parents regarding child safety will be conducted and feedback will be obtained.
VOLUNTARYPARTICIPATIO!
Participation in this study is entirely voluntary. You may choose not to participate or withdraw at any time
without consequences
HOW WILL YOUR DECISION TO NOT PARTICIPATE IN THE STUDY AFFECT YOU?
Your decision not to make your participation in this research study will not affect your relationship with the
investigator or the institution. You will be taken care of and will not lose any benefits to which you are entitled.
CONTACT INFORMATION:
If you have any questions, concerns, or wish to participate ,please contact the researcher
(GRACE ANITA SAMUEL)
By participating, you confirm that you have read and understood this information sheet.
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SYNOPSIS/SUMMARY
IPRIMARY :
SECONDARY:
variables .
4 Weeks
Duration of the study
Duration: 45 minutes
Central Objective:
Contributory Objectives:
e Equip the mothers of toddlers with knowledge to prevent and address safety hazards at
home.
« Provide resources and strategies for creating a safer home environment for toddlers
Materials to be used:
« Presentation slides
SESSION
Introduction (20 min)
o Share the importance of child safety and its impact on children’s well-being.
Activity: Ask participants to briefly share one safety concern or practice they currently have in
their home.
Pre-test session : Distribute questionnaires and obtain responses
Presentations
e Electrical Safety: Show how to use outlet covers and avoid common
electrical hazards.
accidents.
* Home Security: Discuss locking doors and windows, and how to secure the
e Provide the participants with the study questionnaire and obtain responses
STUDY
PROPOSAL
INTRODUCTION
-William J Clinton
One in five children dies from safety accidents worldwide. Small children are vulnerable
to unintentional injuries and accidents that are more often due to very common routines and
things at home. Especially the toddlers, being explorers, tend to have more accidents than other
developmental ages. Recent studies on Parental approaches to handle toddlers and prevent them
from injuries have yielded certain strategies that parents follow to avoid those accidents in under-
five children such as, making the environment safe by removing hazards, supervising children
and by teaching the children to follow certain instructions to avoid the accidents . But being a
toddler’s parent, it is much more challenging that the children hardly can follow the rules or
routines taught by the parents as they are always finding ways to explore things and manipulate
them.
In some European countries, the unintentional accidents in children are the major cause of
deaths and deformities in children under 5 years of age. Majority of those incidents happen in
and around their houses, as toddlers tend to spend more time at home. Injuries in toddler vary
Globally, an annual estimated one million child fatalities and 10 million child injuries are
attributed to domestic accidents. Birth to 5 years old is a time of rapid changes in children’s
physical and cognitive abilities which can increase their risk of unintentional injury. A child
living in low income economy is eight times more likely to experience unintentional injuries than
a child living in high income economy. UNICEF says that every child survives and thrives in a
healthy and safe environment. More than 2000 children die every day as a result of unintentional
or accidental injuries.
The World report on child injury prevention provides the first comprehensive global
concludes that if proven prevention measures were adopted everywhere at least 1000 children’s
lives could be saved every day. Africa has the highest rate overall for unintentional injury deaths.
The five reasons for deaths in children due to unintentional injuries are as follows,
e Road crashes- Deaths-260 000 children a year and injure about 10 million.
o Burns: Fire-related burns kill nearly 96 000 children a year and the death rate is 11 times
< Poisoning: More than 45 000 children die each year from unintended poisoning.
The dangers to toddlers should be pointed out, mothers and fathers must be informed of
their responsibility to make their home a safe place and to teach their children how to live safely
in the environment.
NEED FOR THE STUDY
WHO report says that in the age group of 1-4 years, the second vear is the period when the
young child runs the highest risk of dying. In the developing countries, death in the second year
of life commonly accounts for 50% of all deaths between 1-4 years of age.
* Toddlers move about more and are more exploring . They are un-predictive at this stage
* They encounter dangerous situations very often than other group children.
accidents and injuries have highlighted on total accidents occur in about 25% of
prevalence of domestic accidents among children account for about 4.8% of study population in
parts of Tamil Nadu Greater than 50% of accidents occurred due (o children handling sharps.
Majority were male children and about 62% domestic accidents were mild in nature. Hence
based on our local scenario, we can conclude that there is a need for a Child Safety Program,
especially among the toddler parents , who face a massive challenge in protecting the most active
RESEARCH QUESTION :
‘What are the Child Safety perspectives among mothers with toddlers?
The aim of this study is to broadly explore the Child Safety perspectives and evaluate the
PRIMARY :
* Assess the pretest level of knowledge of mothers regarding domestic child safety .
SECONDARY:
EXPLORING : In this study , exploring refers to learning about the child safety perspectives of
mothers of toddlers.
perspectives, denotes the understanding of mothers of toddlers regarding child monitoring and
CHILD SAFETY SESSION: In this study, Child Safety session is an initiative that teaches
mothers of toddlers on limiting children's exposure to hazards and reducing children's risk of
harm at home.
MOTHERS OF TODDLERS: In this study, it refers to mothers of children between 1-3 years
of age.
HYPOTHESIS:
e Ho: There is no significant difference between the Pre and post-test level of knowledge
e Hi: There is a statistically significant difference between the pre and post-test level of
INCLUSION CRITERIA:
EXCLUSION CRITERIA:
In order to test the practicability of the study, the pilot study will be conducted at non-study
setting.
e Sample selection.
e Data analysis
® Documentation.
PLAN FOR DATA ANALYSIS:
¢ QUALITATIVE PHASE: Analyze the data using thematic analysis to identify and
CONCLUSION :
Child safety studies have always been a good source of data to formulate guidelines and
develop a structured tool for conducting further studies in this topic. The study will light up the
path (o a better understanding of parental risk perception when coming to child safety and will
which in turn will help in bringing out better educational session and implications based on the
study finding.
REFERENCE:
* Jan, Mohammed & Hasanain, F & Al-Dabbagh, A. (2001). Infant and child safety
* Avabratha Kadke, Shreedhara & Chunduri, Sujatha & Kudpi, Varadaraj. (2020). A Study
+ Khan, Uzma & Khudadad, Umerdad & Raheem, Ahmed & Zia, Nukhba & Azam, Igbal
& Chandran, Aruna & Razzak, Junaid & Hyder, Adnan. (2022). Follow-up household
assessment for child unintentional injuries two years after the intervention: A
DEMOGRAPHIC QUESTIONNAIRE
1. Your Age :
(1) <20
(2) 20-25
(3) 25-30
(4)>30
2. Your Education
(1) Uneducated
(2) Primary Education
(3) Secondary Education
(4) Graduation
(5) Graduation
4. Help in childcare
(1) Parents
(2) Grandfather, Buddy
(3) Babysitter
(4) No one
5. Nature of work
(1) Not going to work
(2) Government employment
(3) Private employment
6. Family :
(1) Nuclear family
(2) Joint family
7. Marriage :
(1) Married
(2) living apart
(3) Divorced
e Meaning
e Heard of / familiarity
Discuss about accidental injuries that can be dangerous/life threatening to a small child?
o Frequently seen
e General view
. Explain your views about leaving your child with a caretaker or a relative?
* Assurance
e Checks
. Elaborate your thoughts about making your home safe for your child? How do you plan
to do it?
e Home modifications
Explain about any accidental injury to a child at home that you heard or seen of . What
1. Which is the leading cause of injuries and deaths in children between 1-3 years?
a. Falls
b. Burns
c. Drowning
Poisoning
=
2. Which of the following is a common home safety measure for preventing poisoning in
young children?
What should you do to prevent a child from tipping over heavy furniture or
=
appliances?
4. Which of the following items should be kept out of reach of young children to prevent
choking hazards?
a. Small batteries
b Large pillows
c. Wooden blocks
d. Stuffed animals
5. What should you do if you suspect a child has swallowed a harmful substance?
6. What should be done to ensure that household cleaning products are safe for
children?
7. How should sharp objects like knives and scissors be stored to keep children safe?
9. What is the best practice for storing cleaning supplies and chemicals in the kitchen?
10. What should be done to prevent burns from hot liquids and cooking surfaces?
12. What should be done to keep children safe from bathroom chemicals?
13. How can you make the bathroom floor less slippery for children?
a. Inakitchen drawer
b Ina high cabinet within easy reach
c. Ina locked cabinet or container
d. Ona shelf in the bedroom
15. What is the recommended practice for securing cords and blinds in a child's room?
17. How should safety gates be used in homes with young children?
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