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International Journal of Trend in Scientific Research and Development (IJTSRD)
Volume 5 Issue 4, May-June 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470
@ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 554
A Study to Assess the Effectiveness of Awareness Program on
Natural Disaster among Students of Govt. Senior Secondary
School in Brahmpuri at Dehradun, Uttarakhand
Deepika1, Dr. Rajwant Randhawa2, Dr. Priyanka Chaudhary2
1PhD Scholar, 2Associate Professor,
1,2Desh Bhagat University, Gobindgarh, Mandi, Punjab, India
ABSTRACT
A Disaster is an event or series of events, which gives rise to casualties and
damage or loss of properties, infrastructure, environment, essential services
or means of livelihood on such a scale which is beyond the normal capacity of
the affected community to cope with.Disasterisalsosometimesdescribedasa
“catastrophic situation in which the normal pattern of life or ecosystem has
been disrupted and extra-ordinary emergency interventions are required to
save and preserve lives and or the environment”. Over the past two decades,
the number of recorded disastershasdoubledfromapproximately200toover
400 per year. Nine out of every ten of these disasters have been climate
related. Current projections regarding climate change suggest thistrendisset
to continue and that weather relatedhazardeventswill becomemorefrequent
and more volatile.
How to cite this paper: Deepika | Dr.
Rajwant Randhawa | Dr. Priyanka
Chaudhary "A Study to Assess the
Effectiveness of Awareness Program on
Natural Disaster among Students of Govt.
Senior Secondary School in Brahmpuri at
Dehradun, Uttarakhand" Published in
International Journal
of Trend in Scientific
Research and
Development(ijtsrd),
ISSN: 2456-6470,
Volume-5 | Issue-4,
June 2021, pp.554-
561, URL:
www.ijtsrd.com/papers/ijtsrd42342.pdf
Copyright © 2021 by author (s) and
International Journal ofTrendinScientific
Research and Development Journal. This
is an Open Access article distributed
under the terms of
the Creative
Commons Attribution
License (CC BY 4.0)
(http://creativecommons.org/licenses/by/4.0)
INTRODUCTION
We cannot stop natural disasters but we can arm ourselves
with knowledge: so many lives wouldn't have to be lost if
there was enough disaster preparedness.
A disaster means, a catastrophe, mishap, calamity or grave
occurrence in any area, arising from natural or manmade
causes or by accident or negligence which results in
substantial loss of life or human suffering or damage to and
destruction of, property, or damage to, or degradation of,
environment, and is of such a nature or magnitude as to be
beyond the coping capacity of the community of the affected
area.
According to United Nations, Disaster is ‘a serious
disruption of the functioning of society, causing widespread
human, material or environmental losses which exceed the
ability of the affected people to cope up using its own
resources.’ However, many other international and local
organizations have used different definitions for disasters.
Disaster strikes anytime, anywhere. It takes many forms - a
hurricane, an earthquake, a tornado, a flood, a fire or a
hazardous spill, an act of nature or an act of terrorism. It
builds over days or weeks, or hits suddenly, without
warning. Every year, millions of people across the globeface
disaster and its terrifying consequences. Be it an ‘act of God’
or ‘act of Man’, a mindboggling spectrum of disasterswreaks
havoc in the Indian sub continent. Disasters are either
natural, such as floods, droughts, cyclones, and earthquakes.
NEED FOR THE STUDY
When disaster strikes or conflict flares, people are
sometimes forced to flee. Their vulnerabilityincreases;their
needs are great. They need help to rebuild their lives and
livelihoods, recreate the social networks that help bolster
their resilience and feel secure again.
In the last 17 years, India has faced more than 300 natural
disasters which include drought, earthquake, epidemics,
extreme temperature, floods, landslides and storms. These
disasters have resulted in 76,031 deaths in this millennium.
According to the International disaster Database(IDD)
Uttarakhand Floods in 2013 killed 6,054people.Heavyrains
flood and landslide damaged several houses in Henwalvally
in Tehri Garhwal on Saturday.
Situation Report: Monsoon rains on 1 st July 2016, Friday
triggered landslides in parts of Uttarakhand. A total of 30
have been feared dead from different areas of Uttrakhand
following cloudbursts in Pithoragarh and Chamoli Districts
IJTSRD42342
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 555
as reported by media. A cloudburst hit Singhali area near
Pithoragarh early Friday morning, flattening homes in over
seven villages and leaving many residents trapped in the
debris. 18 bodies have beenrecoveredtill yesterdayevening.
The cloudburst in Singhali area of Pithorgarh district early
this morning brought over 100 mm rains in two hours in a
region of 50 sq km, flattening homes in over seven villages,
according to officials.
PROBLEM STATEMENT
"A study to assess the effectiveness of awarenessprogramonNatural Disasteramong studentsofGovt.SeniorSecondarySchool
in Brahmpuri at Dehradun,Uttarakhand.”
OBJECTIVES OF THE STUDY
To assess the knowledge regarding Natural Disaster among students of Govt.Senior Secondary School in Brahmpuri.
To evaluate the effectiveness of awareness program on knowledge regarding Natural Disaster among students of
Govt.Senior Secondary School in Brahmpuri.
To compare the pre test and post test knowledge score among studentsregardingnatural disasteramongstudents ofGovt.
Senior Secondary School in Brahmpuri.
To find the association between the Pre test knowledge scores with their selected demographic variables.
OPERATIONAL DEFINITION
EFFECTIVENESS: It refers to difference between pretest and post test knowledge score of students regardingnatural disaster
preparedness as revealed by statistical test.
AWARENESS: It is the ability to directly know and perceive, to feel or to be cognizant of Natural Disaster.
PROGRAMME: It refers to the awareness programme regarding meaning, types of disaster and role of students in Natural
Disaster for the duration of 60min by using lecture cum discussion for the group of 50 students of Govt.Senior Secondary
School in Brahmpuri at Dehradun.
NATURALDISASTER: It is an event or fact of Natural Disaster that has unfortunate consequences.
STUDENTS: A person who are formally engaged in learning, especially one enrolled in Govt. Senior Secondary school .
HYPOTHESIS:
H1: There will be a significant difference between the pre test and post test knowledge score of the students in selected high
school regarding Natural Disaster.
H2: There will be a significant association between the mean pre test score and the mean post test score on awareness among
students in selected high school regarding Natural Disaster.
METHODOLOGY
RESEARCH APPROACH
Research approach is a plan and procedure that consists of steps of broad assumptions to detailed method of data collection,
analysis and interpretation. This section deals with Research approach, Research design, Variables, Setting of the study,
Population, Sample, Sample size, Sampling technique, Sampling criteria, Data collection instrument, Description of tool,
Development of tool, Content validity of research instrument, Pilot study, Reliabilityoftool,Data collectionprocedures,Ethical
consideration, Plan for data analysis. Research methodology is a way to systematically solve research problem. Research
methodology include
RESEARCH DESIGN
“A blueprint for conducting a study with maximum control over factors that may interfere with the validity of findings.”
BURNS AND GROVE, 2003
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@ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 556
POPULATION:
Population is a group whose member possesses specific attributes that a researcher is inherited in the study.
TALBOT, 1994
In the present study, the population was group of students ofGovt.Senior Secondary School 15-20 years.
SAMPLE:
A sample consists of the subject of the population selected to participate in research study.
BURNS N, 1999
In the present study the sample comprised of 15-20 years of students and who are fulfilling the criteria in Govt.Senior
Secondary School in Brahmpuri at Dehradun.
SAMPLE SIZE:
In this study, the sample size was 50 students of 15-20 years Govt.Senior Secondary School in Brahmpuri at Dehradun.
SAMPLING TECHNIQUE:
Sampling technique refers to the process of selecting the portion of population to represent the entire population.
POLIT AND HUNGLER, 1999
Non- probability purposive sampling technique was used to select 50 students.
the validity of findings.” BURNS AND GROVE, 2003
SAMPLING CRITERIA
Inclusion criteria: Students who are-
1. Willing to participate in the study.
2. Available at the time of data collection.
SETTING OF THE STUDY-GOVT.SR.SEC.SCHOOL BRAHMPURI AT DEHRADUN.
DATA
COLLECTION
POST-TEST KNOWLEDGE SCORE
-ADEQUATE
-MODERATE
-INADEQUATE
PRE-TESTKNOWLEDGE SCORE AWARENESS PROGRAMME
ON NATURAL DISASTER
DATA ANALYSIS WITH THE HELP OF DESCRIPTIVE AND INFERENTIAL STATISTICS
DATA INTERPRETATION AND REPORT
RESEARCH DESIGN- PRE EXPERIMENTAL (ONE GROUP PRE-TEST AND POST-TEST DESIGN)
RESEARCH APPROACH (QUANTITATIVE APPROACH)
TARGET POPULATION- STUDENTS OF AGE BETWEEN 15-20YEARSSAMPLE-STUDENTS OF 15-20
YEARS AGE SAMPLE SIZE- 50 SAMPLING TECHNIQUE- NON -PROBABILTY PURPOSIVE SAMPLING
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 557
3. Those who know Hindi.
4. Those who were studying in Govt. Senior Secondary School in Brahmpuri at Dehradun.
Exclusion criteria: Students who are-
1. Not willing to participate in the study.
2. Not available at the time of data collection.
DESCRIPTION OF TOOL
Section A: Demographic Data
It contains 9 items for obtaining information regarding Age, Sex, Class, Father Occupation, Father income, Father Educational
status, Type of family, Religion, and Source of information.
Section B: Awareness questionnaire
This section consists of awareness questionnaire to assess the level of knowledge regarding Natural Disaster among the
students of Govt.Senior Secondary School in Brahmpuri at Dehradun.
The total number of questions was 45.
Scoring procedure
For the convenience, the level of knowledge of students regarding natural disaster was divided into Adequate, Moderate and
Inadequate.
Maximum score: 45
Minimum score: 0
Level of knowledge Range Percentage
Inadequate 0-15 33.3
Moderate 16-30 66.3
Adequate 30-45 99.3
Total 45 100%
Criterion measure
All the items of the tool were analyzed by using Descriptive statistics (frequency distribution, percentage distribution and
graphs) and Inferential statistics (chi-square)
CONTENT VALIDITY OF RESEARCH INSTRUMENT
Validity refers to a complex concept which broadly concernsthesoundnessofthestudiesevidencethatiswhetherthefindings
are convincing and well ground.
Content validity was done from five experts (Departments like Community Health Nursing, Community Medicine) and
necessary corrections were made in the tool based on the suggestions obtained. Awareness questionnaire wastranslatedinto
Hindi language expert for the use of data collection.
CONTENT VALIDITY OF RESEARCH INSTRUMENT
Validity refers to a complex concept which broadly concernsthesoundnessofthestudiesevidencethatiswhetherthefindings
are convincing and well ground.
Content validity was done from five experts (Departments like Community Health Nursing, Community Medicine) and
necessary corrections were made in the tool based on the suggestions obtained. Awareness questionnaire wastranslatedinto
Hindi language expert for the use of data collection.
RELIABILITY OF THE TOOL
Reliability of the tool is the degree of consistency with which measures the attributes it is suppose to measure. It refers to the
extent to which the same result is obtained repeated administration of instrument.The tool was administered on ten subjects
and the reliability of the tool was found by using Karl Pearson’s co-relation method. The reliability of the structured
questionnaire was found 0.78.. Hence the tool was found to be reliable.
DATA COLLECTION PROCEDURE
The period of data collection was extended from 18-04-2017 to 16-05-2017. The study was conducted in Govt.Senior
Secondary School in Brahmpuri at Dehradun. It is situated at a distance of three k.m from the college. Researcher selected the
area for the easy availability of the samples. It is a rural area and takes fifteen minute to reach over Govt.Senior Secondary
School in Brahmpuri at Dehradun. The purpose and nature of the study was explained to the subjects and their consent was
obtained. The subjects were approached at Govt.Senior Secondary School in Brahmpuri at Dehradun. The pretest was
conducted on the students and awareness program on the same day. On the twenty eighth day post test was conducted on the
same subjects to assess the knowledge.
ANALYSIS AND INTERPRETATION OF DATA
Organization of finding
The data analysis were presented under the following headings:-
Section 1: Description of sample characteristics.
Section 2: Effectiveness of awareness program on natural disaster.
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 558
Section 3: Effectiveness of awareness program by comparing pre test and post test level ofknowledgescore regardingnatural
disaster among students.
Section 4: Association between pre-test scores with their selected demographic variables. Section 1: Descriptionofsample
characteristics
The subjects were selected through purposive sampling technique fromGovt. Senior Secondary School in Brahmpuri at
Dehradun”
The data obtained in sample characteristics and analyzed using descriptive statistics and depicted in Table (1).
TABLE 1: Frequency and percentage distribution of sample according to their selected demographic variables
N = 50
S. NO. DEMOGRAPHIC VARIABLES FREQUENCY (f) PERCENTAGE (%)
1.
AGE (IN YEARS)
a) 15-16
b) 17-18
c) 19-20
30
20
0
60
40
0
2.
SEX
a. Male
b. Female
15
35
30
70
3.
CLASS
a. 11th
b. 12th
31
19
62
38
4.
TYPE OF FAMILY
a. Joint
b. Nuclear
c. Extended
22
28
0
44
56
0
5.
RELIGION
a. Hindu
b. Muslim
c. Christian
d. Sikh
e. Other
24
24
0
2
0
48
48
0
4
0
6.
FATHER EDUCATION
a. No formal education
b. Primary education
c. Secondary education
d. Higher secondary
e. Graduation and above
14
18
13
4
1
28
36
26
8
2
7.
OCCUPATION
a. Unemployed
b. Govt. employee
c. Private employed
d. Retired
13
3
27
7
26
6
54
14
8.
FATHER INCOME
a. 1001-5000
b. 5001-10,000
c. 10001-15000
d. > 15000
13
21
9
7
26
42
18
14
9.
SOURCE OF INFORMATION
a. Television
b. Radio
c. Newspaper
d. Internet
26
3
20
1
52
6
40
2
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 559
Section 2: Effectiveness of awareness program regarding natural disaster among students.
Table (2): Frequency and percentage distribution of sample Pre-test and post-test response to awareness
program.
N=50
ADEQUATE MODERATE INADEQUATE
P
R
E
T
E
S
T
FREQUENCY
(f)
PERCENTAGE
(%)
FREQUENCY
(f)
PERCENTAGE
(%)
FREQUENCY
(f)
PERCENTAGE
(%)
2 4% 40 80% 8 16%
P
O
S
T
T
E
S
T
40 80% 10 20% 0 0%
Data presented in Table (2) shows that in Pre-test 4%of subjects adequate knowledge and in post test that was increased to
80%. Moderate knowledge score in pretest was 80% that was reduced to 20%. Inadequate knowledge score in pre test was
16% that was reduced to 0% in post test.
TABLE.3 shows that Mean, Standard Deviation and “t” value between the pre-test and post-test regarding awareness
program.
Table.3 Revealed that the mean post-test knowledge score of students was significantly higherthan the mean pre-test scores.
The calculated “t” value (19.61) was more than the table value at 0.05 level of significance. Therefore, it can be said that the
awareness programwas found to be effective in increasing the knowledge regarding natural disaster among students.
Hence in this the hypothesis (H1) is accepted so there is significant association betweenpretestandposttestknowledgescore
among students.
Section 4: Association between pre-test scores of awareness program with their selected demographic variables
Table (4): Association between pre-test knowledge score with their selected demographic variables
N=50
S. no Demographic variables Frequency DF Chi-Square value Table Value Level of association
1
AGE (IN YEARS)
a. 15-16
b. 17-18
c. 19-20
30
20
0
2 0.96 5.99 #
2.
SEX
a. Male
b.Female
15
35
2 5.78 5.99 #
3.
CLASS
a. 11th
b. 12th
31
19
2 1.4 5.99 #
4.
TYPE OF FAMILY
a. Joint
b. Nuclear
c. Extended
22
28
0
2 2.254 5.99 #
5.
RELIGION
a. Hindu
b. Muslim
c. Christian
d. Sikh
e. Other
24
24
0
2
0
4 13.26 9.49 *
6.
FATHER EDUCATION
a. No formal education
b. Primary education
c. Secondary education
d. Higher secondary
e. Graduation and above
14
18
13
4
1
8 25.11 15.51 *
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 560
7.
FATHER OCCUPATION
a. Unemployed
b. Govt. employee
c. Private employed
d. Retired
13
3
27
7
6 2.73 12.59 #
8.
FATHER INCOME
a. 1001-5000
b. 5001-10,000
c. 10001-15000
d. > 15000
13
21
9
7
6 16.81 12.59 *
9.
SOURCE OF INFORMATION
a. Television
b. Radio
c. Newspaper
d. Internet
26
3
20
1
6 7.99 12.59 #
*Significant at p<0.05 level
# Not significant at p<0.05
Table (4) shows that there was not significant association between pretest knowledge score and selected demographic
variables (Age, Sex, Class, Type of family, Father occupation, source of information) at 0.05 level of significance. There is
significant association between demographic variables(Religion,Father education,Fatherincome)at0.05level ofsignificance.
Hence the research hypothesis (H2) accepted and null hypothesis is rejected.
DISCUSSION
A report of finding is never sufficient to convey their
significance. The meaning that researcher give to the result
plays a rightful and important role in the report. The
discussion selection is devoted to a thoughtful andinsightful
analysis of the finding, leading to a discussionoftheirclinical
and theoretical utility.
This chapter deals with the discussion in accordance with
the objectives of the study and hypothesis. The statement of
problem was “A Study to assess the effectiveness of an
awareness program on Natural disaster among students of
Govt. Senior Secondary School in Brahmpuri at Dehradun”.
MAJOR FINDINGS OF THE STUDY ARE AS
Objective 1:- To assess the knowledgeregarding Natural
Disaster among students of Govt.Senior Secondary
School in Brahmpuri.
The table (1) shows thatdemographicdata detailsAccording
to their age group highest percentage of student 60% were
in the age group of 15-16years. In the age group of 17-18
years of students were 40%, in the age group 19-20years it
was 0%.
Percentage distribution of students in relation to their Sex
shows that highest percentage of students70% was females
and 30% were males.
Finding related to supported study:
OBJECTIVE 2. To evaluate theeffectivenessof awareness
program on knowledge regarding natural disaster
among students of Govt.Senior Secondary School in
Brahmpuri.
Table (2) depict that in Pre-test 4%of subjects adequate
knowledge and in post test that was increased to 80%.
Moderate knowledge score in pretest was 80% that was
reduced to 20%. Inadequate knowledgescorein pretest was
16% that was reduced to 0% in post test.
OBJECTIVE 3.To compare the pre test and post test
knowledge score with their demographic variables.
Data show in Table (3) revealed that the mean post-test
knowledge score of students was significantly higher than
the mean pre-test scores. The calculated “t” value (19.61)
was more than the table value at 0.05 level of significance.
Therefore, it can be said that the awareness program was
found to be effective in increasing the knowledge regarding
Natural Disaster among students.
OBJECTIVE 4. To find the association between the Pre
test knowledge scores with their selected demographic
variables.
Table (4) Finding revealed that, there was not significant
association between pretest knowledge score and selected
demographic variables (Age, Sex, Class, Type of family,
Father occupation, source of information) at 0.05 level of
significance. There is significant association between
demographic variables ( Religion, Father Education, Father
income ) at 0.05 level of significance.
Hence the Research Hypothesis (H2) is accepted and Null
hypothesis is rejected. The study was conducted to assess
the effectiveness of an awareness program on Natural
Disaster among students of Govt. SeniorSecondarySchool in
Brahmpuri at dehradun”. The paired “t” test was computed
between pre-test and post-test knowledge score. The value
of paired “t” test for knowledge score is 19.61 with the table
value 2 at 0.05 level of significance was found to be highly
significant relationship between pre-test and post-test
scores. So in this study it was found that awarenessprogram
is effective in improving the knowledge of students
regarding Natural Disaster.
This study proved that there is significant association
between knowledge scores with their selected demographic
variables.
RESULTS
The study was conducted to assess the effectiveness of an
awareness program on Natural Disaster among students of
Govt. Senior Secondary School in Brahmpuri at dehradun”.
The paired “t” test was computedbetweenpre-testandpost-
test knowledge score. The value of paired “t” test for
knowledge score is 19.61 with the table value 2 at 0.05 level
of significance was foundto behighlysignificantrelationship
between pre-test and post-test scores. So in this studyit was
International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470
@ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 561
found that awareness program is effective in improving the
knowledge of students regarding Natural Disaster.
This study proved that there is significant association
between knowledge scores with their selected demographic
variables.
NURSING IMPLICATIONS
NURSING SERVICE:
Nursing plays a vital role in improving the nursing care,
imparting knowledge and increasing the knowledge
regarding Natural Disaster..
The present findings of the study revealed that majority
of students found to improve knowledge score after the
implementation of Awareness program.
NURSING EDUCATION:
Nursing education emphasizes that health care system
should pay more attention on training the students so
that they themselves will gain knowledge about the
management of Natural Disaster. Community health
nurse should teach the students how to prepare for
Natural Disaster and prevention of risk factors that lead
to Natural Disaster.
The students should be made aware of the importance
of preparedness,prevention andmanagementofNatural
Disaster. The curriculum should give importance to
health education.
NURSING ADMINISTRATION:
The nurse administrators should take interest in
providing information to thestudentsregardingNatural
Disaster, Types of Natural Disaster, risk factors related
to Natural Disaster and about preparedness,prevention
and management of Natural Disaster.
Nurses can also co-ordinate and discuss about Natural
Disasterandpreparedness,preventionandmanagement
of Natural Disaster among students and can conduct
meetings so that the health program could be organizes
at various levels thus creating awareness in order to
have good outcome regarding Natural Disaster
awareness.
NURSING RESEARCHER:
Currently nursing practice is based on evidenced based
practice. It is important to do research to equip and expect
the nurse to be independent nurse midwifery.Thestudy will
motivate the new researchers to conduct the same study
with different variables and on large scale.
RECOMMENDATIONS
A large scale study can be conducted on larger samples
to generalize the findings.
A comparative study can be conducted to assess the
knowledge regarding prevalence of Natural Disaster
among students.
Study can be conducted in rural area due to lack of
knowledge or economic illiteracy.
A comparative studycanbeconductedamongurbanand
rural area regarding Natural Disaster.
An experimental study can be conducted to assess the
effectiveness of StructuredTeachingProgramonlevel of
knowledge regarding Natural Disaster.
References:
[1] All ender, J.A, and Spradley. B.W., (2000).
"COMMUNITY HEALTH NURSING - CONCEPTS AND
PRACTICE"., 5th editions., Philadelphia., Lippincott,
Pp: 1224-1231.
[2] B. T. Basavanthappa.,(1999)., "COMMUNITYHEALTH
NURSING"., 2nd edition., Jaypee brother's Medical
publishers (P) Ltd., New Delhi., Pp:953-977.
[3] Basavanthappa BT, (2001), "NURSING RESEARCH-
PRINCIPLES AND METHODS", 6th edition, Jaypee
brothers, New Delhi, Pp: 115-176.
[4] Bergeon. D.J and et.al. M., (1994)., "FIRST
RESPONDER UPDATE"., 3rd edition., US., Prentice
Hall., Pp:886-896.
[5] Boal.S and Goel. A., (2005)., "PRINCIPLES OF
EMERGENCY MEDICINE"., 1st edition,. Hyderabad
Paras Medical Publisher, Pp: 2189-225.
[6] Brunner and Suddarth's., (1998). "TEXT BOOK OF
MEDICAL -SURGICAL NURSING.", 11th edition.,
Lippincott Williams and Wilkins., New Delhi., Pp:
2558-2566. 73
[7] Burns. N and Grove. S.K., (2001). "THE PRACTICE OF
NURSING RESEARCH THE CONDUCT CRITIQUE AND
UTILIZATION"., 4th edition., Philadelphia.,
W.B.Saunders., Pp:1114-1132.
NET REFERENCE:
[1] www.word-detective.com.
[2] www.seedtoplate.com.
[3] www.wikipedia.com.

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A Study to Assess the Effectiveness of Awareness Program on Natural Disaster among Students of Govt. Senior Secondary School in Brahmpuri at Dehradun, Uttarakhand

  • 1. International Journal of Trend in Scientific Research and Development (IJTSRD) Volume 5 Issue 4, May-June 2021 Available Online: www.ijtsrd.com e-ISSN: 2456 – 6470 @ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 554 A Study to Assess the Effectiveness of Awareness Program on Natural Disaster among Students of Govt. Senior Secondary School in Brahmpuri at Dehradun, Uttarakhand Deepika1, Dr. Rajwant Randhawa2, Dr. Priyanka Chaudhary2 1PhD Scholar, 2Associate Professor, 1,2Desh Bhagat University, Gobindgarh, Mandi, Punjab, India ABSTRACT A Disaster is an event or series of events, which gives rise to casualties and damage or loss of properties, infrastructure, environment, essential services or means of livelihood on such a scale which is beyond the normal capacity of the affected community to cope with.Disasterisalsosometimesdescribedasa “catastrophic situation in which the normal pattern of life or ecosystem has been disrupted and extra-ordinary emergency interventions are required to save and preserve lives and or the environment”. Over the past two decades, the number of recorded disastershasdoubledfromapproximately200toover 400 per year. Nine out of every ten of these disasters have been climate related. Current projections regarding climate change suggest thistrendisset to continue and that weather relatedhazardeventswill becomemorefrequent and more volatile. How to cite this paper: Deepika | Dr. Rajwant Randhawa | Dr. Priyanka Chaudhary "A Study to Assess the Effectiveness of Awareness Program on Natural Disaster among Students of Govt. Senior Secondary School in Brahmpuri at Dehradun, Uttarakhand" Published in International Journal of Trend in Scientific Research and Development(ijtsrd), ISSN: 2456-6470, Volume-5 | Issue-4, June 2021, pp.554- 561, URL: www.ijtsrd.com/papers/ijtsrd42342.pdf Copyright © 2021 by author (s) and International Journal ofTrendinScientific Research and Development Journal. This is an Open Access article distributed under the terms of the Creative Commons Attribution License (CC BY 4.0) (http://creativecommons.org/licenses/by/4.0) INTRODUCTION We cannot stop natural disasters but we can arm ourselves with knowledge: so many lives wouldn't have to be lost if there was enough disaster preparedness. A disaster means, a catastrophe, mishap, calamity or grave occurrence in any area, arising from natural or manmade causes or by accident or negligence which results in substantial loss of life or human suffering or damage to and destruction of, property, or damage to, or degradation of, environment, and is of such a nature or magnitude as to be beyond the coping capacity of the community of the affected area. According to United Nations, Disaster is ‘a serious disruption of the functioning of society, causing widespread human, material or environmental losses which exceed the ability of the affected people to cope up using its own resources.’ However, many other international and local organizations have used different definitions for disasters. Disaster strikes anytime, anywhere. It takes many forms - a hurricane, an earthquake, a tornado, a flood, a fire or a hazardous spill, an act of nature or an act of terrorism. It builds over days or weeks, or hits suddenly, without warning. Every year, millions of people across the globeface disaster and its terrifying consequences. Be it an ‘act of God’ or ‘act of Man’, a mindboggling spectrum of disasterswreaks havoc in the Indian sub continent. Disasters are either natural, such as floods, droughts, cyclones, and earthquakes. NEED FOR THE STUDY When disaster strikes or conflict flares, people are sometimes forced to flee. Their vulnerabilityincreases;their needs are great. They need help to rebuild their lives and livelihoods, recreate the social networks that help bolster their resilience and feel secure again. In the last 17 years, India has faced more than 300 natural disasters which include drought, earthquake, epidemics, extreme temperature, floods, landslides and storms. These disasters have resulted in 76,031 deaths in this millennium. According to the International disaster Database(IDD) Uttarakhand Floods in 2013 killed 6,054people.Heavyrains flood and landslide damaged several houses in Henwalvally in Tehri Garhwal on Saturday. Situation Report: Monsoon rains on 1 st July 2016, Friday triggered landslides in parts of Uttarakhand. A total of 30 have been feared dead from different areas of Uttrakhand following cloudbursts in Pithoragarh and Chamoli Districts IJTSRD42342
  • 2. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 555 as reported by media. A cloudburst hit Singhali area near Pithoragarh early Friday morning, flattening homes in over seven villages and leaving many residents trapped in the debris. 18 bodies have beenrecoveredtill yesterdayevening. The cloudburst in Singhali area of Pithorgarh district early this morning brought over 100 mm rains in two hours in a region of 50 sq km, flattening homes in over seven villages, according to officials. PROBLEM STATEMENT "A study to assess the effectiveness of awarenessprogramonNatural Disasteramong studentsofGovt.SeniorSecondarySchool in Brahmpuri at Dehradun,Uttarakhand.” OBJECTIVES OF THE STUDY To assess the knowledge regarding Natural Disaster among students of Govt.Senior Secondary School in Brahmpuri. To evaluate the effectiveness of awareness program on knowledge regarding Natural Disaster among students of Govt.Senior Secondary School in Brahmpuri. To compare the pre test and post test knowledge score among studentsregardingnatural disasteramongstudents ofGovt. Senior Secondary School in Brahmpuri. To find the association between the Pre test knowledge scores with their selected demographic variables. OPERATIONAL DEFINITION EFFECTIVENESS: It refers to difference between pretest and post test knowledge score of students regardingnatural disaster preparedness as revealed by statistical test. AWARENESS: It is the ability to directly know and perceive, to feel or to be cognizant of Natural Disaster. PROGRAMME: It refers to the awareness programme regarding meaning, types of disaster and role of students in Natural Disaster for the duration of 60min by using lecture cum discussion for the group of 50 students of Govt.Senior Secondary School in Brahmpuri at Dehradun. NATURALDISASTER: It is an event or fact of Natural Disaster that has unfortunate consequences. STUDENTS: A person who are formally engaged in learning, especially one enrolled in Govt. Senior Secondary school . HYPOTHESIS: H1: There will be a significant difference between the pre test and post test knowledge score of the students in selected high school regarding Natural Disaster. H2: There will be a significant association between the mean pre test score and the mean post test score on awareness among students in selected high school regarding Natural Disaster. METHODOLOGY RESEARCH APPROACH Research approach is a plan and procedure that consists of steps of broad assumptions to detailed method of data collection, analysis and interpretation. This section deals with Research approach, Research design, Variables, Setting of the study, Population, Sample, Sample size, Sampling technique, Sampling criteria, Data collection instrument, Description of tool, Development of tool, Content validity of research instrument, Pilot study, Reliabilityoftool,Data collectionprocedures,Ethical consideration, Plan for data analysis. Research methodology is a way to systematically solve research problem. Research methodology include RESEARCH DESIGN “A blueprint for conducting a study with maximum control over factors that may interfere with the validity of findings.” BURNS AND GROVE, 2003
  • 3. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 556 POPULATION: Population is a group whose member possesses specific attributes that a researcher is inherited in the study. TALBOT, 1994 In the present study, the population was group of students ofGovt.Senior Secondary School 15-20 years. SAMPLE: A sample consists of the subject of the population selected to participate in research study. BURNS N, 1999 In the present study the sample comprised of 15-20 years of students and who are fulfilling the criteria in Govt.Senior Secondary School in Brahmpuri at Dehradun. SAMPLE SIZE: In this study, the sample size was 50 students of 15-20 years Govt.Senior Secondary School in Brahmpuri at Dehradun. SAMPLING TECHNIQUE: Sampling technique refers to the process of selecting the portion of population to represent the entire population. POLIT AND HUNGLER, 1999 Non- probability purposive sampling technique was used to select 50 students. the validity of findings.” BURNS AND GROVE, 2003 SAMPLING CRITERIA Inclusion criteria: Students who are- 1. Willing to participate in the study. 2. Available at the time of data collection. SETTING OF THE STUDY-GOVT.SR.SEC.SCHOOL BRAHMPURI AT DEHRADUN. DATA COLLECTION POST-TEST KNOWLEDGE SCORE -ADEQUATE -MODERATE -INADEQUATE PRE-TESTKNOWLEDGE SCORE AWARENESS PROGRAMME ON NATURAL DISASTER DATA ANALYSIS WITH THE HELP OF DESCRIPTIVE AND INFERENTIAL STATISTICS DATA INTERPRETATION AND REPORT RESEARCH DESIGN- PRE EXPERIMENTAL (ONE GROUP PRE-TEST AND POST-TEST DESIGN) RESEARCH APPROACH (QUANTITATIVE APPROACH) TARGET POPULATION- STUDENTS OF AGE BETWEEN 15-20YEARSSAMPLE-STUDENTS OF 15-20 YEARS AGE SAMPLE SIZE- 50 SAMPLING TECHNIQUE- NON -PROBABILTY PURPOSIVE SAMPLING
  • 4. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 557 3. Those who know Hindi. 4. Those who were studying in Govt. Senior Secondary School in Brahmpuri at Dehradun. Exclusion criteria: Students who are- 1. Not willing to participate in the study. 2. Not available at the time of data collection. DESCRIPTION OF TOOL Section A: Demographic Data It contains 9 items for obtaining information regarding Age, Sex, Class, Father Occupation, Father income, Father Educational status, Type of family, Religion, and Source of information. Section B: Awareness questionnaire This section consists of awareness questionnaire to assess the level of knowledge regarding Natural Disaster among the students of Govt.Senior Secondary School in Brahmpuri at Dehradun. The total number of questions was 45. Scoring procedure For the convenience, the level of knowledge of students regarding natural disaster was divided into Adequate, Moderate and Inadequate. Maximum score: 45 Minimum score: 0 Level of knowledge Range Percentage Inadequate 0-15 33.3 Moderate 16-30 66.3 Adequate 30-45 99.3 Total 45 100% Criterion measure All the items of the tool were analyzed by using Descriptive statistics (frequency distribution, percentage distribution and graphs) and Inferential statistics (chi-square) CONTENT VALIDITY OF RESEARCH INSTRUMENT Validity refers to a complex concept which broadly concernsthesoundnessofthestudiesevidencethatiswhetherthefindings are convincing and well ground. Content validity was done from five experts (Departments like Community Health Nursing, Community Medicine) and necessary corrections were made in the tool based on the suggestions obtained. Awareness questionnaire wastranslatedinto Hindi language expert for the use of data collection. CONTENT VALIDITY OF RESEARCH INSTRUMENT Validity refers to a complex concept which broadly concernsthesoundnessofthestudiesevidencethatiswhetherthefindings are convincing and well ground. Content validity was done from five experts (Departments like Community Health Nursing, Community Medicine) and necessary corrections were made in the tool based on the suggestions obtained. Awareness questionnaire wastranslatedinto Hindi language expert for the use of data collection. RELIABILITY OF THE TOOL Reliability of the tool is the degree of consistency with which measures the attributes it is suppose to measure. It refers to the extent to which the same result is obtained repeated administration of instrument.The tool was administered on ten subjects and the reliability of the tool was found by using Karl Pearson’s co-relation method. The reliability of the structured questionnaire was found 0.78.. Hence the tool was found to be reliable. DATA COLLECTION PROCEDURE The period of data collection was extended from 18-04-2017 to 16-05-2017. The study was conducted in Govt.Senior Secondary School in Brahmpuri at Dehradun. It is situated at a distance of three k.m from the college. Researcher selected the area for the easy availability of the samples. It is a rural area and takes fifteen minute to reach over Govt.Senior Secondary School in Brahmpuri at Dehradun. The purpose and nature of the study was explained to the subjects and their consent was obtained. The subjects were approached at Govt.Senior Secondary School in Brahmpuri at Dehradun. The pretest was conducted on the students and awareness program on the same day. On the twenty eighth day post test was conducted on the same subjects to assess the knowledge. ANALYSIS AND INTERPRETATION OF DATA Organization of finding The data analysis were presented under the following headings:- Section 1: Description of sample characteristics. Section 2: Effectiveness of awareness program on natural disaster.
  • 5. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 558 Section 3: Effectiveness of awareness program by comparing pre test and post test level ofknowledgescore regardingnatural disaster among students. Section 4: Association between pre-test scores with their selected demographic variables. Section 1: Descriptionofsample characteristics The subjects were selected through purposive sampling technique fromGovt. Senior Secondary School in Brahmpuri at Dehradun” The data obtained in sample characteristics and analyzed using descriptive statistics and depicted in Table (1). TABLE 1: Frequency and percentage distribution of sample according to their selected demographic variables N = 50 S. NO. DEMOGRAPHIC VARIABLES FREQUENCY (f) PERCENTAGE (%) 1. AGE (IN YEARS) a) 15-16 b) 17-18 c) 19-20 30 20 0 60 40 0 2. SEX a. Male b. Female 15 35 30 70 3. CLASS a. 11th b. 12th 31 19 62 38 4. TYPE OF FAMILY a. Joint b. Nuclear c. Extended 22 28 0 44 56 0 5. RELIGION a. Hindu b. Muslim c. Christian d. Sikh e. Other 24 24 0 2 0 48 48 0 4 0 6. FATHER EDUCATION a. No formal education b. Primary education c. Secondary education d. Higher secondary e. Graduation and above 14 18 13 4 1 28 36 26 8 2 7. OCCUPATION a. Unemployed b. Govt. employee c. Private employed d. Retired 13 3 27 7 26 6 54 14 8. FATHER INCOME a. 1001-5000 b. 5001-10,000 c. 10001-15000 d. > 15000 13 21 9 7 26 42 18 14 9. SOURCE OF INFORMATION a. Television b. Radio c. Newspaper d. Internet 26 3 20 1 52 6 40 2
  • 6. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 559 Section 2: Effectiveness of awareness program regarding natural disaster among students. Table (2): Frequency and percentage distribution of sample Pre-test and post-test response to awareness program. N=50 ADEQUATE MODERATE INADEQUATE P R E T E S T FREQUENCY (f) PERCENTAGE (%) FREQUENCY (f) PERCENTAGE (%) FREQUENCY (f) PERCENTAGE (%) 2 4% 40 80% 8 16% P O S T T E S T 40 80% 10 20% 0 0% Data presented in Table (2) shows that in Pre-test 4%of subjects adequate knowledge and in post test that was increased to 80%. Moderate knowledge score in pretest was 80% that was reduced to 20%. Inadequate knowledge score in pre test was 16% that was reduced to 0% in post test. TABLE.3 shows that Mean, Standard Deviation and “t” value between the pre-test and post-test regarding awareness program. Table.3 Revealed that the mean post-test knowledge score of students was significantly higherthan the mean pre-test scores. The calculated “t” value (19.61) was more than the table value at 0.05 level of significance. Therefore, it can be said that the awareness programwas found to be effective in increasing the knowledge regarding natural disaster among students. Hence in this the hypothesis (H1) is accepted so there is significant association betweenpretestandposttestknowledgescore among students. Section 4: Association between pre-test scores of awareness program with their selected demographic variables Table (4): Association between pre-test knowledge score with their selected demographic variables N=50 S. no Demographic variables Frequency DF Chi-Square value Table Value Level of association 1 AGE (IN YEARS) a. 15-16 b. 17-18 c. 19-20 30 20 0 2 0.96 5.99 # 2. SEX a. Male b.Female 15 35 2 5.78 5.99 # 3. CLASS a. 11th b. 12th 31 19 2 1.4 5.99 # 4. TYPE OF FAMILY a. Joint b. Nuclear c. Extended 22 28 0 2 2.254 5.99 # 5. RELIGION a. Hindu b. Muslim c. Christian d. Sikh e. Other 24 24 0 2 0 4 13.26 9.49 * 6. FATHER EDUCATION a. No formal education b. Primary education c. Secondary education d. Higher secondary e. Graduation and above 14 18 13 4 1 8 25.11 15.51 *
  • 7. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 560 7. FATHER OCCUPATION a. Unemployed b. Govt. employee c. Private employed d. Retired 13 3 27 7 6 2.73 12.59 # 8. FATHER INCOME a. 1001-5000 b. 5001-10,000 c. 10001-15000 d. > 15000 13 21 9 7 6 16.81 12.59 * 9. SOURCE OF INFORMATION a. Television b. Radio c. Newspaper d. Internet 26 3 20 1 6 7.99 12.59 # *Significant at p<0.05 level # Not significant at p<0.05 Table (4) shows that there was not significant association between pretest knowledge score and selected demographic variables (Age, Sex, Class, Type of family, Father occupation, source of information) at 0.05 level of significance. There is significant association between demographic variables(Religion,Father education,Fatherincome)at0.05level ofsignificance. Hence the research hypothesis (H2) accepted and null hypothesis is rejected. DISCUSSION A report of finding is never sufficient to convey their significance. The meaning that researcher give to the result plays a rightful and important role in the report. The discussion selection is devoted to a thoughtful andinsightful analysis of the finding, leading to a discussionoftheirclinical and theoretical utility. This chapter deals with the discussion in accordance with the objectives of the study and hypothesis. The statement of problem was “A Study to assess the effectiveness of an awareness program on Natural disaster among students of Govt. Senior Secondary School in Brahmpuri at Dehradun”. MAJOR FINDINGS OF THE STUDY ARE AS Objective 1:- To assess the knowledgeregarding Natural Disaster among students of Govt.Senior Secondary School in Brahmpuri. The table (1) shows thatdemographicdata detailsAccording to their age group highest percentage of student 60% were in the age group of 15-16years. In the age group of 17-18 years of students were 40%, in the age group 19-20years it was 0%. Percentage distribution of students in relation to their Sex shows that highest percentage of students70% was females and 30% were males. Finding related to supported study: OBJECTIVE 2. To evaluate theeffectivenessof awareness program on knowledge regarding natural disaster among students of Govt.Senior Secondary School in Brahmpuri. Table (2) depict that in Pre-test 4%of subjects adequate knowledge and in post test that was increased to 80%. Moderate knowledge score in pretest was 80% that was reduced to 20%. Inadequate knowledgescorein pretest was 16% that was reduced to 0% in post test. OBJECTIVE 3.To compare the pre test and post test knowledge score with their demographic variables. Data show in Table (3) revealed that the mean post-test knowledge score of students was significantly higher than the mean pre-test scores. The calculated “t” value (19.61) was more than the table value at 0.05 level of significance. Therefore, it can be said that the awareness program was found to be effective in increasing the knowledge regarding Natural Disaster among students. OBJECTIVE 4. To find the association between the Pre test knowledge scores with their selected demographic variables. Table (4) Finding revealed that, there was not significant association between pretest knowledge score and selected demographic variables (Age, Sex, Class, Type of family, Father occupation, source of information) at 0.05 level of significance. There is significant association between demographic variables ( Religion, Father Education, Father income ) at 0.05 level of significance. Hence the Research Hypothesis (H2) is accepted and Null hypothesis is rejected. The study was conducted to assess the effectiveness of an awareness program on Natural Disaster among students of Govt. SeniorSecondarySchool in Brahmpuri at dehradun”. The paired “t” test was computed between pre-test and post-test knowledge score. The value of paired “t” test for knowledge score is 19.61 with the table value 2 at 0.05 level of significance was found to be highly significant relationship between pre-test and post-test scores. So in this study it was found that awarenessprogram is effective in improving the knowledge of students regarding Natural Disaster. This study proved that there is significant association between knowledge scores with their selected demographic variables. RESULTS The study was conducted to assess the effectiveness of an awareness program on Natural Disaster among students of Govt. Senior Secondary School in Brahmpuri at dehradun”. The paired “t” test was computedbetweenpre-testandpost- test knowledge score. The value of paired “t” test for knowledge score is 19.61 with the table value 2 at 0.05 level of significance was foundto behighlysignificantrelationship between pre-test and post-test scores. So in this studyit was
  • 8. International Journal of Trend in Scientific Research and Development (IJTSRD) @ www.ijtsrd.com eISSN: 2456-6470 @ IJTSRD | Unique Paper ID – IJTSRD42342 | Volume – 5 | Issue – 4 | May-June 2021 Page 561 found that awareness program is effective in improving the knowledge of students regarding Natural Disaster. This study proved that there is significant association between knowledge scores with their selected demographic variables. NURSING IMPLICATIONS NURSING SERVICE: Nursing plays a vital role in improving the nursing care, imparting knowledge and increasing the knowledge regarding Natural Disaster.. The present findings of the study revealed that majority of students found to improve knowledge score after the implementation of Awareness program. NURSING EDUCATION: Nursing education emphasizes that health care system should pay more attention on training the students so that they themselves will gain knowledge about the management of Natural Disaster. Community health nurse should teach the students how to prepare for Natural Disaster and prevention of risk factors that lead to Natural Disaster. The students should be made aware of the importance of preparedness,prevention andmanagementofNatural Disaster. The curriculum should give importance to health education. NURSING ADMINISTRATION: The nurse administrators should take interest in providing information to thestudentsregardingNatural Disaster, Types of Natural Disaster, risk factors related to Natural Disaster and about preparedness,prevention and management of Natural Disaster. Nurses can also co-ordinate and discuss about Natural Disasterandpreparedness,preventionandmanagement of Natural Disaster among students and can conduct meetings so that the health program could be organizes at various levels thus creating awareness in order to have good outcome regarding Natural Disaster awareness. NURSING RESEARCHER: Currently nursing practice is based on evidenced based practice. It is important to do research to equip and expect the nurse to be independent nurse midwifery.Thestudy will motivate the new researchers to conduct the same study with different variables and on large scale. RECOMMENDATIONS A large scale study can be conducted on larger samples to generalize the findings. A comparative study can be conducted to assess the knowledge regarding prevalence of Natural Disaster among students. Study can be conducted in rural area due to lack of knowledge or economic illiteracy. A comparative studycanbeconductedamongurbanand rural area regarding Natural Disaster. An experimental study can be conducted to assess the effectiveness of StructuredTeachingProgramonlevel of knowledge regarding Natural Disaster. References: [1] All ender, J.A, and Spradley. B.W., (2000). "COMMUNITY HEALTH NURSING - CONCEPTS AND PRACTICE"., 5th editions., Philadelphia., Lippincott, Pp: 1224-1231. [2] B. T. Basavanthappa.,(1999)., "COMMUNITYHEALTH NURSING"., 2nd edition., Jaypee brother's Medical publishers (P) Ltd., New Delhi., Pp:953-977. [3] Basavanthappa BT, (2001), "NURSING RESEARCH- PRINCIPLES AND METHODS", 6th edition, Jaypee brothers, New Delhi, Pp: 115-176. [4] Bergeon. D.J and et.al. M., (1994)., "FIRST RESPONDER UPDATE"., 3rd edition., US., Prentice Hall., Pp:886-896. [5] Boal.S and Goel. A., (2005)., "PRINCIPLES OF EMERGENCY MEDICINE"., 1st edition,. Hyderabad Paras Medical Publisher, Pp: 2189-225. [6] Brunner and Suddarth's., (1998). "TEXT BOOK OF MEDICAL -SURGICAL NURSING.", 11th edition., Lippincott Williams and Wilkins., New Delhi., Pp: 2558-2566. 73 [7] Burns. N and Grove. S.K., (2001). "THE PRACTICE OF NURSING RESEARCH THE CONDUCT CRITIQUE AND UTILIZATION"., 4th edition., Philadelphia., W.B.Saunders., Pp:1114-1132. NET REFERENCE: [1] www.word-detective.com. [2] www.seedtoplate.com. [3] www.wikipedia.com.