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i
APPENDIX-II
CERTIFICATE OF VALIDATION OF THE TOOLS FROM
THE EXPERT.
This is to certify that i have gone through the tool constructed by B.Sc Nursing 1st
year student from Doon Institute of Medical Sciences, Faculty of Nursing Dehradun .
I have found the tool valid.
Signature
Date
Designation
i
APPENDIX-III
CHECKLIST FOR TOOLS OF RESEARCH PROJECT
Introduction-:
Please go through the tool of research project on the topic “..................” And express
your opinion against the specific column in criteria checklist. There are three
alternative responses. Tick mark in the appropriate column. Please give your frank
opinion in remark columns. If you fell the criteria is fully met, tick mark in the
column1. If you feel that the criteria is partially met, tick mark in the column 2 & if
you feel that it doesn’t meet the criteria, tick mark in the column 3. Kindly supports
your response/ comment will help the researcher to improve her effort.
CRITERIA Fully meet
criteria
Partially met
criteria
Doesn’t met
criteria
Remarks
Relevancy of the tools.
 Based on the
objectives &
appropriate.
 Sufficiency
Language.
 Easy to
understand
 Apprate
terminology
Organization of the
items.
 Logilly
organized.
 Arranged in
sequence
i
APPENDIX- IV
LIST OF EXPERTS FOR CONTENT VALIDITY OF TOOLS
1. Dr. Rahul Bansal
Head of Depertment Community Medicine
Swami Vivekananda Subharti University, Meerut.
2. Dr. Jugalkishor
Head of Depertment Community Medicine
Jamia Hamdard Medical College New Dlhi
3. Professor Mrs. Kalpna Mandal
Principal, Nightingale Institute of Nursing Noida.
4. Mrs. Urmila
Associate Professor, Rufida College of Nursing Jamia Hamdard, New
Delhi.
5. Professor Mrs. Santosh Mehta
Principal, Raj Kumari Amrit Kaur College of Nursing, New Delhi.
6. Mrs. Harender Goyal
Associate professor, Raj Kumari Amrit Kaur College of Nursing, New
Delhi.
7. DR. V.K Singh
HOD of Ophthalmology Department, Saraswati Medical College, Hapur.
i
APPENDIX –V
LETTER SEEKING PERMISSION FOR CONDUCTING PILOT
STUDY
No………. Date………
Doon In statute of Medical Sciences,
Faculty of Nursing Dehradun
To,
……………………
……………………
Respected Sir/ Ma’am,
Ms/ Mr. final year B.Sc of Nursing student of this college, He/She is going to conduct a
research project which had to be submitted to Doon In statute of Medical Sciences, Faculty
of Nursing Dehradun in partial fulfilment of university requirement for the award of their
degree.
Topic-:
“.................................................................................................”
The student is in need of your esteemed help and cooperation so she is interested in
conducting her study in the rural community area to work on the proposed study.
For any information in this regard, if required, will be furnished by the student personally.
Thanking you.
Yours faithfully
Prof. Archana Masih
Principal
Doon In statute of Medical Sciences,
Faculty of Nursing Dehradun
i
APPENDIX-VI
CONSENT FORM SEEKING PARTICIPATION IN THE STUDY
I understand that I have been asked participate in the study conducted by
B.Sc Nursing student final year of Doon In statute of Medical Sciences,Faculty of
Nursing Dehradun. HNBUMU as a requirement for partial fulfilment of the
B.Sc Nursing degree.
I am aware that fill the structure questionnaire at rural area with older
people and this will take 15-30 minutes.
I understand that the study aims to assess the knowledge and attitude
regarding early detection and prevention to the visual impairment among
older people in selected rural area at Meerut, district.
The structure questionnaire method is entirely voluntary which means it
allows you to refused to oneself any specific question or reject the
structure questionnaire form at any point.
The responses will be used for the research purposeonly. the successful
completion of the study largely depends on your active co-operation and
in this regard will be highly appreciated.
Signature of the participants Date
i
APPENDIX-VII
CERTIFICATE BY EDITOR
TO WHOM IT MAY CONCERN
This is to certify that the tool 1 and tool 2 and lesson plan on ............... of (English)
with the title lesson plan for ......................................... has been edited by
undersigned.
Signature :
Date :
Place:
i
APPENDIX-VIII
CRITERIA RATING SCALE FOR VALIDATION FOR
KNOWLEDGE AND ATTITUDE FOR EARLY
DETECTION AND PREVENTION OF VISUAL
IMPAIRMENT AMONG RURAL OLDER PEOPLE
Instruction-:
The expert is required to go through the following evaluation criteria rating scale
prepared for validation of structure teaching program for early detection and
prevention among rural older people.
There are three columns for responses and column for remarks. Kindly put tick 
mark in the appropriate column and facilitate your remarks in the remarks column,
interpretation of column:
 Fully met the criteria -column 1.
 Partially met the criteria-column 2.
 Does not met the criteria-column 3.
Sr.
no.
Criteria 1 2 3 Remark
1 Objective:
Formation of objectives.
In according to the study objective.
According to the time duration of the
objectives.
2. Content:
Selection of content
 Reflects the objectives
 Up to date information
 Comprehensive for learning
 Provides current, relevant
information
i
 Accurate
RGANIZATION OF CONTENT:
 Language sequence
 Continuity
 Integration
 Acceptable
3. TEACHING PLANNING:
 Title
 Topic
 Group
 Time duration
 Medium of instruction
 Method of teaching
 A.V Aids
 Purpose
 Specific objective
 Content
 Teaching learning activity
 Evaluation
4. LANGUAGE
 Simple and understandable
dialogue
 Appropriate terminology
5. ANY OTHER SUGGESTION:
i

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APPENDIX-II to VIII.docx

  • 1. i APPENDIX-II CERTIFICATE OF VALIDATION OF THE TOOLS FROM THE EXPERT. This is to certify that i have gone through the tool constructed by B.Sc Nursing 1st year student from Doon Institute of Medical Sciences, Faculty of Nursing Dehradun . I have found the tool valid. Signature Date Designation
  • 2. i APPENDIX-III CHECKLIST FOR TOOLS OF RESEARCH PROJECT Introduction-: Please go through the tool of research project on the topic “..................” And express your opinion against the specific column in criteria checklist. There are three alternative responses. Tick mark in the appropriate column. Please give your frank opinion in remark columns. If you fell the criteria is fully met, tick mark in the column1. If you feel that the criteria is partially met, tick mark in the column 2 & if you feel that it doesn’t meet the criteria, tick mark in the column 3. Kindly supports your response/ comment will help the researcher to improve her effort. CRITERIA Fully meet criteria Partially met criteria Doesn’t met criteria Remarks Relevancy of the tools.  Based on the objectives & appropriate.  Sufficiency Language.  Easy to understand  Apprate terminology Organization of the items.  Logilly organized.  Arranged in sequence
  • 3. i APPENDIX- IV LIST OF EXPERTS FOR CONTENT VALIDITY OF TOOLS 1. Dr. Rahul Bansal Head of Depertment Community Medicine Swami Vivekananda Subharti University, Meerut. 2. Dr. Jugalkishor Head of Depertment Community Medicine Jamia Hamdard Medical College New Dlhi 3. Professor Mrs. Kalpna Mandal Principal, Nightingale Institute of Nursing Noida. 4. Mrs. Urmila Associate Professor, Rufida College of Nursing Jamia Hamdard, New Delhi. 5. Professor Mrs. Santosh Mehta Principal, Raj Kumari Amrit Kaur College of Nursing, New Delhi. 6. Mrs. Harender Goyal Associate professor, Raj Kumari Amrit Kaur College of Nursing, New Delhi. 7. DR. V.K Singh HOD of Ophthalmology Department, Saraswati Medical College, Hapur.
  • 4. i APPENDIX –V LETTER SEEKING PERMISSION FOR CONDUCTING PILOT STUDY No………. Date……… Doon In statute of Medical Sciences, Faculty of Nursing Dehradun To, …………………… …………………… Respected Sir/ Ma’am, Ms/ Mr. final year B.Sc of Nursing student of this college, He/She is going to conduct a research project which had to be submitted to Doon In statute of Medical Sciences, Faculty of Nursing Dehradun in partial fulfilment of university requirement for the award of their degree. Topic-: “.................................................................................................” The student is in need of your esteemed help and cooperation so she is interested in conducting her study in the rural community area to work on the proposed study. For any information in this regard, if required, will be furnished by the student personally. Thanking you. Yours faithfully Prof. Archana Masih Principal Doon In statute of Medical Sciences, Faculty of Nursing Dehradun
  • 5. i APPENDIX-VI CONSENT FORM SEEKING PARTICIPATION IN THE STUDY I understand that I have been asked participate in the study conducted by B.Sc Nursing student final year of Doon In statute of Medical Sciences,Faculty of Nursing Dehradun. HNBUMU as a requirement for partial fulfilment of the B.Sc Nursing degree. I am aware that fill the structure questionnaire at rural area with older people and this will take 15-30 minutes. I understand that the study aims to assess the knowledge and attitude regarding early detection and prevention to the visual impairment among older people in selected rural area at Meerut, district. The structure questionnaire method is entirely voluntary which means it allows you to refused to oneself any specific question or reject the structure questionnaire form at any point. The responses will be used for the research purposeonly. the successful completion of the study largely depends on your active co-operation and in this regard will be highly appreciated. Signature of the participants Date
  • 6. i APPENDIX-VII CERTIFICATE BY EDITOR TO WHOM IT MAY CONCERN This is to certify that the tool 1 and tool 2 and lesson plan on ............... of (English) with the title lesson plan for ......................................... has been edited by undersigned. Signature : Date : Place:
  • 7. i APPENDIX-VIII CRITERIA RATING SCALE FOR VALIDATION FOR KNOWLEDGE AND ATTITUDE FOR EARLY DETECTION AND PREVENTION OF VISUAL IMPAIRMENT AMONG RURAL OLDER PEOPLE Instruction-: The expert is required to go through the following evaluation criteria rating scale prepared for validation of structure teaching program for early detection and prevention among rural older people. There are three columns for responses and column for remarks. Kindly put tick  mark in the appropriate column and facilitate your remarks in the remarks column, interpretation of column:  Fully met the criteria -column 1.  Partially met the criteria-column 2.  Does not met the criteria-column 3. Sr. no. Criteria 1 2 3 Remark 1 Objective: Formation of objectives. In according to the study objective. According to the time duration of the objectives. 2. Content: Selection of content  Reflects the objectives  Up to date information  Comprehensive for learning  Provides current, relevant information
  • 8. i  Accurate RGANIZATION OF CONTENT:  Language sequence  Continuity  Integration  Acceptable 3. TEACHING PLANNING:  Title  Topic  Group  Time duration  Medium of instruction  Method of teaching  A.V Aids  Purpose  Specific objective  Content  Teaching learning activity  Evaluation 4. LANGUAGE  Simple and understandable dialogue  Appropriate terminology 5. ANY OTHER SUGGESTION:
  • 9. i