This journal club presentation summarizes a study that evaluated the effect of structured nursing care strategies on the home-based care of patients with Parkinson's disease. The study found that after receiving the nursing intervention, patients had significantly higher post-test scores for knowledge, attitude, and practice regarding home-based care compared to their pre-test scores. While the study demonstrated effectiveness of the intervention, it did not thoroughly address limitations or ways to improve generalizability. The presentation determined that further research using video-assisted learning for caregivers could build upon this study.

1. JOURNAL CLUB
PRESENTATION
Presented by
Anvin Thomas
1 yr M.Sc (N)

2. Effect Of Structured Nursing Care Strategies
Regarding Home Based Care Of Patients With
Parkinson's Disease

3.  Parkinson’s disease is the second most common
neurodegenerative disorder
 It is a chronic slow progressive disorder caused by loss of
dompaminergic neurons in the substantia nigra .

4.  Patients with Parkinson's disease are confronting with
many physical, psychological and psychosocial issues that
impact quality of life.

5. 1. To assess baseline knowledge, attitude and practice regarding
home based care of patients with Parkinson's disease.
2. To evaluate the effect of structured nursing care strategies
regarding home based care on knowledge attitude and practice
of patients with Parkinson's disease.

6. 3. To find out the association between knowledge regarding
home based care among patients with Parkinson's
disease and selected socio demographic variables.

7.  H1:There is significant difference in pretest and
post test scores of knowledge regarding home
based care in patients with Parkinson's disease.
 H2:There is significant difference in pretest and
posttest scores of attitude regarding home based
care in patients with Parkinson's disease

8.  H3:There is significant difference in pretest and post test
scores of practice regarding home based care in patients
with Parkinson's disease
 H4 :There is significant association between knowledge
regarding home based care of patients with Parkinson's
disease and selected demographic variables.

9. Research
Approach
Quantitative Approach
Research design Quasi experimental design
- One group pre test post test design.
Setting
Neurology OPD in KIMS hospital
Trivandrum

10. Population Patients diagnosed as
Parkinson's disease
Sampling technique
Non- probability sampling
(Purposive Sampling)
Sampling Size 40 Parkinson’s patients

11. Inclusion
criteria
•Patients diagnosed as Parkinson's
disease who were able to read and write
Malayalam or English

12. EXCLUSI
ON
CRITERIA
• Patients who were not able to read and
write Malayalam or English
• Health care professionals

13. Instruments
used
•Structured questionnaire
To assess socio demographic data and clinical
variables
•Knowledge questionnaire
To assess knowledge towards home care of Parkinson's
disease
• self reported practise questionnaire and attitude
scale
To access practice and attitude towards home care of
Parkinson's disease

14. Data
collectio
n
Method
•A brief introduction about researcher himself and the study
were given to study subjects and obtained informed
consent for participation.
•Pre-test was conducted among 40 samples and assessed
their knowledge, attitude and practice.
•On the same day the investigator administered structured
nursing care strategies individually to each samples for 45
mints and an instructional module on home based care
regarding Parkinson's disease was given to the samples for
reference

15.  Four weeks after the intervention, post test was
conducted on the samples using the same tool
 Data obtained was analysed using descriptive and
inferential statics

16. RESULTS

17.  Majority of patients with Parkinson's disease 37.5% belonged to the
age group 60-69yrs.
 Males were the predominant category 70% among the sample
 Most of the patients 60 % had high school education.

18.  Majority 40% of patients with Parkinson's disease
were retired employees.
 Majority 50% of patients had monthly income of rs
500-15000.
 Most 72.5% of patients belongs to nuclear family.

19. Pretest
• 70% had poor
knowledge
• 30% had satisfactory
knowledge
Post test
• 52.5% of patients had
good knowledge
• 47.5% had satisfactory
knowledge

20. Pretest
• 92.5%of patients had
negative attitude
• 7.5%had positive
attitude regarding
home based care of
patients with
Parkinson's disease
Post test
• 90.% had positive
attitude regarding
home based care of
patients with
Parkinson's disease

21. Pretest
• 67.5% were following
poor practice
• 27.5% were following
satisfactory practice
regarding home based
care
Post test
• 92.5% had good
practice
• 7.5%had satisfactory
practice regarding
home based care of
Parkinson's disease

22.  A study was done to estimate the prevalence of Parkinson's
disease in Egypt. The study concluded that prevalence of
parkinsonism was found to increase steadily with age and
majority of them were above 60 years

23. Parkinson’s disease is increasing globally and patients
with Parkinson's disease are facing many debilitating
symptoms which have a significant impact on their
quality of life.

24. CRITIQUE

25. Title of the Paper:
Effect of structured nursing care strategies regarding
home based care of patients with Parkinson's disease

26. Name of the Journal Kerala nursing forum
Volume 11
Issue 45
Page No 28-33
Year 2016

27. PARTICULARS OBSERVATIONS
Type of Journal Academic Journal
Publisher Professional organization
Under what section of journal the
article is Published
Original research
ISSN 12248-907X

28. Mesh Representation Not mentioned
DOI Not mentioned
Peer reviewed No
Impact Factor Not mentioned
Eigen factor Not Mentioned

29. ABOUT THE AUTHORS:
Sl. NO ITEMS RESPONSE
1.
Designation /
Institutional
attachments
Aswathy Asokan A.N
Second year MSC nursing student at the
time of submitting the article
Graceamma Joseph
Vice principal, KIMS college of nursing
Thiruvananthapuram

30. ABOUT THE AUTHORS:
Sl. NO ITEMS RESPONSE
2a.
2b.
Work / Publications
in same area
H-index
Department of medicine
Not mentioned

31. TITLE OF THE ARTICLE:
Sl. NO ITEMS RESPONSE
3a
Indicates topic and focus
of the study
Effect of structured nursing care strategies
regarding home based care of patients with
Parkinson's disease
3b
Indicates the research
question Effect of structured nursing care strategies
3c Title meaningful and
complete
yes

32. TITLE OF THE ARTICLE:
Sl. NO ITEMS RESPONSE
3d Includes important
Variables to be measured
Dependent : Home based care of patients
Independent: structured nursing care strategies
3e Looks catchy yes
3f Short or over long medium
3g Need for alternative title Yes. Can be modify

33. ABSTRACT:
Sl. NO ITEMS RESPONSE
4a Structured
Yes
It is structured under following headings;
With proper introduction, purpose of study,
objectives and hypothesis are stated well
4b Informative Yes. Structured nursing care strategy was
effective , post test scores on knowledge,
attitude and practice is higher than pre-test
score.

34. ABSTRACT:
Sl. NO ITEMS RESPONSE
4c Indicative Yes,
Methodology and the results were
clearly mentioned.
4d Reflects contents Yes
4e Provides entire gist of
entire study
Yes

35. KEY WORDS:
Sl. NO ITEMS RESPONSE
5a Present Yes
Structured nursing care strategies, home based
care, Parkinson's disease, knowledge, attitude,
practice
5b Appropriate Yes

36. INTRODUCTION:
Sl. NO ITEMS RESPONSE
6a Stock opening Alarmist approach
6b Meaningful and
concise
Yes
6c Built on existing
literature
Yes
6d Logically presented Yes

37. CONTINUE.
Sl. NO ITEMS RESPONSE
6e Omission of some
important studies
Yes
6f Citation relevant and
pertinent
Yes
6g Presented the Need for
the study
Yes
6h Stated research objective Yes

38. METHODOLOGY:
Sl. NO ITEMS RESPONSE
7a Study design One group pre-test post test design
7b Study setting Neurology OPD clinics in KIMS
hospital Trivandrum
7c Study Population 40 Patients diagnosed as parkinsonism
disease. Confusing . Not mentioned
whether they are able to understand the
researcher.
7d Variables Independent- structured nursing care strategies
Dependent – Home based care of patients

39. CONTINUE…
Sl. NO ITEMS RESPONSE
7e Bias Present
7f Study/ Sample size 40
7g Sampling Purposive
7h Ethical Review Board
consent
Not mentioned
7i Informed Consent Yes

40. STATISTICAL METHODS:
Sl. NO ITEMS RESPONSE
8a Describes all
statistical methods
Yes
8b Describes other
analyses?
no

41. RESULTS:
Sl. NO ITEMS RESPONSE
9a Based on aims and
objectives
Yes
9b Descriptive data Yes
9c Outcome data Yes
9d Table/ graph and text
format
Table

42. DISCUSSION:
Sl. NO ITEMS RESPONSE
10a Explain Key results Yes
10b Compared with existing
Literature
Yes
10c Limitation No
10d Remedy for Limitation No
10e Generalizability No

43. CONCLUSION:
Sl. NO ITEMS RESPONSE
11a Based on discussion
and results yes
11b Suitable
recommendations
No
11c Open vistas for other
research
YES.IT IS OPEN FOR ONE FURTHER
RESEARCH THAT IS
A STUDY CAN BE CARRIED OUT
WITH HELP OF VIDEO ASSISTED
LEARNING FOR CAREGIVERS OF
IMMOBILIZED PATIENTS

44. OTHERS:
Sl. NO ITEMS RESPONSE
12a Trial registered N/A
12b Funding Not mentioned

45. REFERENCES:
Sl. NO ITEMS RESPONSE
13a Able to identify the
style?
NO
13b Recent and Pertinent Limited to 8.Only one Indian study.
There are reference from
1999,2001,2008.

46. CRITICAL REFLECTION:
Sl. NO ITEMS RESPONSE
14a Internal Validity Yes
14b Generalizability No
14c Clinical Practice significance Applied to routine practice
14d Public Health significance Health education
14e Cost effective Yes