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Final Synopsis.. DEXTOP

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TITLE AND SYNOPSIS OF DISSERTATION

FOR FIRST YEAR MSC NURSING 2023-2024

MEDICAL SURGICAL NURSING

(CRITICAL CARE NURSING)

EFFECTIVENESS OF SELF-INSTRUCTIONAL MODULE ON


KNOWLEDGE REGARDING NEEDLE STICK INJURY AMONG
NURSING STUDENTS.

A SYNOPSIS SUBMITTED TO

MAHARASHTRA UNIVERSITY OF HEALTH SCIENCES, NASHIK

2023-2024
S.N GUIDELINES

1 TITLE:
Effectiveness of self-instructional module on knowledge regarding
needle stick injury among nursing students.

RESEARCH QUESTION:
2 Does nursing student have knowledge regarding needle stick
injury?

3 HYPOTHEIS:
❖ H01: There will be no significant difference between the
pre-test and post test knowledge score of Nursing
Students regarding needle stick injuries as measured by
self structured questionnaire at 0.05 level of significance.
❖ H1 : There will be significant difference between the pre-
test and post test knowledge score of Nursing Students
regarding needle stick injuries as measured by self
structured questionnaire at 0.05 level of significance.
❖ H02: There will be no association between knowledge
score with demographic variables as measured by
Fisher’s Exact Test at 0.05 level of significance.
❖ H2: There will be association between knowledge score
with demographic variables as measured by Fisher’s
Exact Test at 0.05 level of significance.

INTRODUCTION:
4
A safe injection is one that does not harm the recipient, does
not expose the provider to any avoidable risk, and does not
result in any waste that is dangerous to the community. Each
day thousands of health worker around the world, suffer
accidental occupational exposures during the course of their
role of caring for patients.

These injuries can result in a variety of serious and distressing


consequence ranging from extreme anxiety to chronic illness
and premature death. The health care work force, 35 million
people worldwide, represents 12% of the working population
The misconception exists that health care industry is without
hazards, but in fact blood borne exposures encountered can
be career and life ending.

BACKGROUND OF THE STUDY:

Needle-stick injuries are defined as “A penetrating wound


with an instrument that is potentially contaminated with
another person’s body fluid”.

(The united states national institute of occupational


safety and health (NIOSH),)
Defines needle stick injuries as injuries caused by needles
such as hypodermic needles, blood collection needles,
intravenous stylets, and needles used to connect parts of IV
delivery systems.

Injection is a skin perforating procedure done with a syringe


and needle to enter a substance for preventive, treatment, or
recreational purposes and is the most commonly used medical
procedure. It is estimated that 12 billion injections are
administered each year world wide. Previous studies show
that more than 50 percent of the injections in developing
countries are unsafe being resulted in serious health risks.
Unnecessary injections are common in transitional and
developing countries. It was shown that the average number
of injections per person is 3.7 per year in these countries.
United states center for disease control reported that about
600,000 to 800,000 needle stick injuries occur annually among
8 million health care workers in the united states that work in
hospitals and other health care settings.

Accidental needle-stick injuries are a hazard for healthcare


workers and for the general public. Medical, dental, nursing,
and midwifery workers are at high risk for occupational
exposure to blood-borne pathogens via sharp injuries such as
needle stick injuries.

According to the World Health Organization, 16000 cases of


hepatitis C , 66000 cases of hepatitis B , and 1000 cases of
HIV might occur worldwide in the year 2000 among health
care workers through their exposure to Needle stick injuries.

The risk of transmission of infections from the patient to the


healthcare worker by needle stick injuries in hepatitis C,
hepatitis B and HIV is 3%, 30% and 0.3% respectively.
Moreover, transmission risk depends on the viral load of the
patient and the amount of blood passes from one to the other
. Accidental Needle stick injuries result in more than 100000
injuries in health-care workers in UK hospitals annually. The
major activities causing needle stick injuries are administering
injections, blood sampling, recapping needles, needles
disposal, handling trash and dirty linen (downstream injuries),
and while transferring blood or any body fluid from a syringe to
a specimen container such as a vacuum tube. Safety practice
has a serious role in safety and health maintenance of health
care worker

Sudhir Singh (April 2020) conducted a pre experimental


study to assess the effectiveness of structured teaching
programme regarding knowledge of needle stick injury and its
prevention among nursing students in selected nursing
institute Faridabad, Haryana. The objective of this study is to
assess the protest level of knowledge regarding stick injury
and its prevention among nursing students and to administer
the structured teaching programme on knowledge to stick
injury. 60 nursing student were selected by Non-probability
convenient sampling technique. The result was found pre test
overall score was 5.41 with the SD of 3.29 and post test overall
score was increased 14.10 with the SP of 3.71. The main
difference of pretest and posttest was 8.69 the calculated
value was 35 158 which is significant at p <0.05 level

NEED OF STUDY:

It is estimated that sharp injuries cause about 66,000 HBV,


16000 HCV and 200- 5000 HIV infections among health care
workers every year. For health care workers worldwide the
attributable fractions for percutaneous occupational exposure
to hepatitis B, hepatitis C and human immunodeficiency virus
are 37%, 39% and 44% respectively. These blood borne
diseases have serious consequences, including long term
illness, disability and death.
5
REVIEW OF LITERATURE:
Review of literature is the task of reviewing literature which
involves the identification, selection critical analysis and
reporting of existing information on the topic of interest. It
provides the bases to locate the data, new ideas that need to
be included in the present study .It helps the researcher to find
the accurate data that could be used for supporting the present
finding and drawing conclusion.

The review of literature is presented under the following


heading:

Section 1: Studies related to knowledge of nursing


student about needle stick injury.

Section 2: Studies related to Structured teaching


programe on needle stick injury.

Section 3: Studies related to effects of Needle Stick


Injuries.
1) Studies related to knowledge of nursing student about
needle stick injury:

Sudha & Dr selvanayaki et. al (February 15, 2019)


conducted an descriptive study to assess the knowledge of
first year nursing student on needle stick injury at selected
hospital of Pondicherry. The objective of study was to assess
the level of knowledge on needle stick injury and to find
association between the knowledge in needle stick injury. The
samples were selected by convenient sampling technique.
The sample size was 107 students.The data which is gathered
and analyzed by using in inferential and descriptive study. The
finding of the study show that 88(88.2) % of student having
poor knowledge and 18 (16.82%) of student having average
knowledge and 1 (0.3%) student have good knowledge on a
needle stick injury.

Gupta Dharmendra , shashi saxena et.al (January 2019)


conducted cross-sectional study on knowledge attitude and
practice of needle prick injury among nurses in tertiary care
hospital data is collected by survey method. The aims and
objectives of study is to assess the knowledge, attitude,
practice of needle stick injury and to recommended the
preventive measures to control the injury. The purposive
sampling was done aimed to covering Sample cover 50
trainers and 50 nursing studies working in private care hospital
and found the prevalence of needle stick injury or equal to
69.01% the higher rate of injuries 71% was found in the age of
20-29 while <40 year of the age were affected list 3%. The
most common cause of injury from needle was an improper
handling of syringe and needle after infection.

sheela willimas , Mrs Lissa J et.al ( April 16 2016).


conducted a descriptive study to assess the knowledge and
practice of staff nurses regarding needle stick injury in selected
hospital at mysuru. The objective of study was to assess the
knowledge and practice of staff nurses regarding needle stick
injury and to find out association between knowledge and
practices with their selected demographic variables. The
sample size was 60 staff nurses were selected using non
probability and convenient sampling technique. The data
collection was done by structured knowledge questionnaire.
The finding of study highlights that the majority 50 (83.4%) of
Staff nurses had average knowledge, 5 (8.3%) had poor
knowledge and only % (8.3%) had good knowledge. The mean
and SD of the knowledge are 14 and <3.03 respectively.

Dorwin das (6 june 2019). conducted a pre experimental


study to assess the knowledge regarding needle stick injury
among nurses in selected hospitals. The objective of study
was to assess the knowledge regarding needle stick injury.
100 nurses’ staffs were selected for this study from different
ward by purposive sampling. The structured questionnaire was
used to collect data. The result of study show 36% of sample
had average knowledge, 30% sample has good knowledge,
and 20% had poor knowledge, 8% of sample has very good
knowledge and 6% had excellent knowledge regarding needle
stick injury.

Rajni thapa , Supriya et. al(April 2019) conducted a


descriptive study on assessment of knowledge regarding
needle stick injury among nurses working in sri mata vaisno
devi Institute of nursing. The objective of study shows
knowledge of nurses regarding prevention of needle stick
injury. Total 50 nurses are selected for the study by random
sampling method. The finding of study shows 20% nurses
have inadequate knowledge, 66% nurses have moderate
knowledge and 14% have adequate knowledge regarding
needle stick injury. The overall mean score was 51.5%.The
study concluded that staff nurses did not have not adequate
knowledge regarding needle stick injury.

2) Studies related to Structured teaching programe on


needle stick injury

Ravi Kumar B.R , Mrs ekata et.al (September 2018)


conducted of Quasi experimental study was conducted to
assess the effectiveness of structured teaching programme on
knowledge and practice to prevent needle stick injury among
the staff nurses. The objective of this study was to determine
the existing knowledge and practice of staff nurse regarding
prevention of needle stick injury. Quasi experimental one
group pretest- posttest design was used and 20 staff nurses
were selected by convenient sampling technique. The
knowledge regarding realistic injury was assisted by using
structured knowledge question. The study result was that 60%
staff nurse as inadequate knowledge 25% have moderate
knowledge and 15% have adequate knowledge in pre test
score and 0 % have inadequate, 45% have moderate and 55%
have adequate knowledge in post test score.

Sudhir Singh (April 2020) conducted a pre experimental


study to assess the effectiveness of structured teaching
programme regarding knowledge of needle stick injury and its
prevention among nursing students in selected nursing
institute Faridabad, Haryana. The objective of this study is to
assess the protest level of knowledge regarding stick injury
and its prevention among nursing students and to administer
the structured teaching programme on knowledge to stick
injury. 60 nursing student were selected by Non-probability
convenient sampling technique. The result was found pre test
overall score was 5.41 with the SD of 3.29 and post test overall
score was increased 14.10 with the SP of 3.71. The main
difference of pretest and posttest was 8.69 the calculated
value was 35 158 which is significant at p <0.05 level.

Ujawala A Chopade, sheetal kadam et.al (August 2015)


conducted pre experimental study to assess the effectiveness
of planned teaching programme on knowledge regarding
needle stick sharp injury and their prevention among 1st year
BS.c nursing student at Karad. The objective of the study was
to assess the knowledge regarding needle stick injury and
sharp injury and their prevention and evaluate the
effectiveness of planned teaching programme on needle stick
injury and their prevention to gain knowledge in post test
division of the study. 60 students of 1st year BS.c nursing were
selected by purposive sampling technique. structured
knowledge questionnaire was used for data collection. The
result of study show knowledge score was 18.33% of student
had good 60.33% should average and 18.33% students
should provide knowledge after administration of PTP 28.33%
of a student had a well, 68.33% had average and 3.33%
student has poor knowledge

R Usharani, M sreelatha et. al (October 2017) conducted a


pre experimental study to assess the effectiveness of
structured teaching programme on knowledge regarding st ick
injury among health worker in selected health centres of
Tirupati. The objective of this study was to assess the
knowledge regarding needle stick injury among health worker
by pre test and post test and find out the association between
pre test-post test knowledge score regarding needle stick
injury with selected socio-demographic variables. 50 health
care workers were selected by using convenient sampling
technique on basic of inclusive criteria. The study finding river
that among 50 health care worker 30% have adequate
knowledge 50% have moderate knowledge and 20% have
adequate knowledge of British after administration of STP the
finding of post test level that 20% have in adequate knowledge
46% have moderate knowledge and 34% have adequate
knowledge on healthcare health worker regarding the stick
injury.

Sumyra nazir, Amit sehrawat et.al (February 2020)


conducted a pre experimental study to evaluate the
effectiveness of Structured Teaching Program on Prevention
of Needle Stick Injury in term of Knowledge among BS.c
Nursing 2nd year students in SGT University, Gurugram. The
objective of study were to assess the knowledge regarding
prevention of needle stick injury in term of pre test and post
test score and the association between post test knowledge
and socio demographic variable. Convenient sampling
technique was to used to select the 30 student nurses as
sample. It was found that majority (87%) of student nurses had
average knowledge and 13.3% had poor knowledge regarding
needle stick injury and 0% have good knowledge In pretest.
After the intervention, 40% of sample had average knowledge,
17% had poor knowledge regarding needle stick injuries in
post test.

3) Studies related to effects of Needle Stick Injuries

Annu kaushik, sarin jyoti (15 oct 2015) conducted a quasi


experimental study to assess the effectiveness of standard
operating procedures on prevention and management of
needle stick injury in a teaching hospital of Haryana, india. The
aim of study was to assess the effectiveness of standard
operating procedure (SOP)in prevention and management of
NSI. A total of 150 nurses were included in study. The tool
included a knowledge questionnaire and a SOP on prevention.
The result of study show significant increase in the pre test
knowledge score of the experimental group – 27.74(day 9) and
24.13(day 40) as compared to the pre test knowledge scores
(21.00), however, there is no significant increase in the post
test score on day 70 (22.26).

Richard VS, Kenneth et.al (2001 Feb.) A study was


conducted to assess the impact of introduction of sharp
containers and education programmes on the pattern of
needle stick injuries in a tertiary care centre in India.
Introduction of large sharp containers, accompanied by an
intensive education programme was used as the study
method. Details of documented injuries were analysed using
the epi-info software for a selected period of time. Result
revealed that a total of 347 injuries occurred mainly due to
improper disposal of needles, recapping and carelessness
during use. After the education programme the percentage of
injuries attributed to disposal fell from 69.2% to 38.5%.A
further decrease was noted after the additional introduction of
small sharp containers. The study concluded that relatively
simple intervention decreased the number of injuries

Hanny handiyani, L. meily et. al ( Aug 2018 ) conducted a


meta analysis on effective needle stick injury prevention
strategies for nursing students in the clinical setting. The aim
of the study is to identify the effective NSI prevention strategies
for nursing students. meta analysis was performed using the
database of science direct, ProQuest, MEDLINE, PsycINFO,
Scopus, CINAHL, SpringerLink, JSTOR, and PubMed. The
result show Our study demonstrated the high rates of NSIs in
low- and middle (India,91.85%). and high-income countries
(Taiwan, 56.00%). Most injuries especially occurred when
students opening the ampules(53.15%) and performing
intravenous cannulation (44.50%). Our reviews identified four
main strategies to prevent NSIs; education, trainings, safe
needle use, and effective communication.

Rahul Sharma and S.K rasania et.al (may 2010) conducted


a cross sectional study on effect and prevalence to needle
stick injury among health care worker in tertiary care hospital
in delhi. The objective of study was to find the effect of needle
stick injury among health care worker. Total 332 resident
docter, nursing staff, intern, nursing student was selected by
convenient sampling method. The result reveled that a large
percentage of 79.5% of health care workers reported one or
more needle stick injury in their career. The average number
of needle stick injury was found to be 3.85% per health care
worker. More then half (50.4%) ascribed fatigue as their cause
of injury and only (7.8%) face post exposure prophylax.

Najma rais and Hafiza mubashira jamil (dec 2013)


conducted a cross sectional study on effect and prevalence of
needle stick injury among health care provider. The study was
conducted to see prevalence of needle stick injury among
health care worker. Total 100 participants were selected by
convenient sampling method. Data collection involved the
simple interviewing technique using questionnaire method.
The results show that 77% of health care worker reported
having one or more needle stick injury in their career. While
23% did not report needle stick injury in their career. 40.3% of
needle stick injury occurred during use of the needle and
58.4% during disposable syringes.

Najma rais and Hafiza mubashira jamil ( dec 2013)


conducted a cross sectional study on effect and prevalence of
needle stick injury among health care provider. The study was
conducted to see prevalence of needle stick injury among
health care worker. Total 100 participants were selected by
convenient sampling method. Data collection involved the
simple interviewing technique using questionnaire method.
The results show that 77% of health care worker reported
having one or more needle stick injury in their career. While
23% did not report needle stick injury in their career. 40.3% of
needle stick injury occurred during use of the needle and
58.4% during disposable syringes.

6
OBJECTIVES:
1. To assess the knowledge regarding needle stick injuries of
nursing students before implementation of self instructional
module.

2. To assess the knowledge regarding needle stick injuries of


nursing students after the implementation of self instructional
module.

3. To associate the findings with selected demographic


variables.

METHODOLOGY:
7
This chapter deals with the methodology adopted for
the study to a study to assess the effectiveness of self-
instructional module on knowledge regarding needle stick injury
among nursing students. It includes the description of the
research approach, research design, setting of the study, sample
and sampling technique, development of data collection tool,
procedure for the collection & plan for data analysis.
Research approach: Quantitative research approach

Type of study design:


A research design selected for the present study will be Pre
experimental. one group Pre-test Post test design.

Target population : Nursing students in selected Nursing


Schools.
Sampling Technique: Non-probability purposive sampling
technique.
Sample : Nursing students.
Sample size : 100 Nursing students.
Setting of the study : The study will be conducted in
nursing schools of selected City.

VARIABLES OF THE STUDY:


8
Variables are the characteristic, quality or attribute of a person or
objects that the experimenter manipulates controls or observes.
Variables can be changed and this change is studies.

Independent Variable:

In present study, the independent variable Self instructional


module regarding Needle Stick Injury.

Dependent Variable:

Knowledge of Nursing students regarding Needle Stick


Injury.
Demographic variables:

Age, gender, education, and previous knowledge.

Inclusion criteria:

Nursing students willing to participate in the study.

Exclusion criteria:

Nursing students who were: Not present during data


collection.

Withdrawal criteria

Samples can withdraw from research at any point of time during


data collection.

9
OPERATIONAL DEFINITIONS:

❑ Effectiveness:
❖ According to the (Oxford dictionary), ‘effectiveness’
means checking for the desired effect, intended result or an
outcome.
❖ In the present study, effectiveness refers to significant gain in
knowledge of Nursing students regarding needle stick injuries
as determined by significant difference in pre-test and post-
test knowledge score.
❑ Self Instructional Module:

❖ It refers to the systematically organized information


prepared by the investigator in the form of booklet, provided to
the nursing students regarding prevention of needle stick
injuries in order to improve their level of knowledge.(Oxford
dictionary).

❑ Knowledge:

❖ Fact, information and skill require through experiences or


education; the theoretical and practical understanding of a
subject. (Oxford dictionary)
❖ In this study it refers to the scores obtained by the nursing
students in response to structured questionnaire.

10
SPECIFICATION OF INSTRUMENTS AND RELATED
MEASURES:

Section 1-

Consent form

Section 2-

Structured questionnaire is prepared by investigator, to collect


the dataregarding demographic variables.

Section 3-

Structured questionnaire to assess the knowledge of Nursing


students regarding needle stick injury.
11 METHOD OF DATA COLLECTION:

Written permission will be obtained from the higher authorities


for conducting pilot and the main study. Written consent will be
obtained from the study participants. The data will be collected
by the Investigator himself.

Research methodology specified and explained for


datacollection:
Population:

The total group of individual people or things meeting the


designatedcriteria of interest to the researcher.
The population for the study will be student in selected nursing
school.

Target population:
Target population is the entire set of population in which the
researcher is interested and to which he or she would like to
generalize the result is called target population.
The target population for the present study will be student in
selected nursing school.

Accessible population:
Accessible population is the portion of the target population
which is conveniently accessible to the investigator. Accessible
population for the present study will be student in selected
nursing school.

Sample size:
Following formula will be used, and sample size will be calculated.
An approximate formula for determining the sample size for
available expressed as a percentage is later on based on pilot
study findings.
Based on previous research 100 samples in the experimental
group.

Sampling technique:

Non probability Purposive sampling technique.

Method for data Collection:

Approval from the research committee members and written


permissionfrom head of institution to conduct research.

Explain the purpose of the research to the


samples. Obtain informed consent from
samples.

Study instrument/ data collection tool:

Researcher will be using following tool

Section A: consent form

Section B: Demographic data collection

Section C: Structured questionnaire to assess the knowledge of


Nursing students regarding needle stick injury.

Validity:

Tool Validity will be validated by content validity by 15 experts in


nursing.

Medical Surgical Nursing- 12, Statistician-01.


Reliability:
Reliability will be done by of split half method with using Pearson’s
formula
Pilot study
A pilot study is a small-scale preliminary study conducted in order
to evaluate feasibility, duration, cost, adverse events, improve
upon the study design prior to performance of a full-scale research
project. It is frequently carried out before large scale research, in
an attempt to avoid time and money being used on an
inadequately designed project.
Pilot study will be conducted on 10 samples before actual data
collection. 10 will be from the experimental group among the
students of selected school. Some necessary modifications will be
made for actual research after analyzing the responses of the
samples after the pilot study. The tool will be finalized. The data
obtained in the pilot study will not be included in the final analysis.

Plan for statistical analysis Ethical Aspects:


a. Informed consent will be obtained from the concerned Subjects
& Authority

b. Privacy, Confidentiality and Anonymity will be guarded.

c. Scientific objectivity of the study will be maintained with honest


and impartiality.

13 PLAN FOR DATA ANALYSIS:


Demographic data of study samples will be analyzed with the help
of frequency distribution and percentage table.
1. Pie chart will be drawn for each demographic data
2. Item analysis will be done with the help of frequency distribution
and bar chart.
3. The collected data will be entered in a large data sheet or to the
computer.
4. The data collected will be analyzed using descriptive statistics
and inferential statistics.
Chi-square test will be used to find association between selected
demographic variables and study findings.

14 REFRENCES:

1. Chowdhury Roy S. Mrs. Sunanda, Textbook of Nursing


research. Publishers medical surgical Book. 1st edition,
2010. 30-52.

2. Sharma kS. Textbook of nursing research and statistics,


3rd edition, published in 2005, 56-58.

3. Choudhary R, Agarwal P. Prevalence and knowledge of


needle stick in jury among health care workers in north
India.‖, International AIDS Conference, 2004, 11-16.

4. Jaybhaye D, Dahire P, Nagaonkar A, Vedpathak V,


DeoD, Kawalkar U. Needle stick injuries among health care
workers in tertiary care hospital of rural India 2014.
DOI:10.5455/ijmsph.2013.23092013.

5. Sood P, Dora V, Mishra B, Mandal A. Needle stick


injuries in health care workers- a study.‖, The Indian
Practitioner 2001; 54(10):685-9.

6. Bilskibartosz. Needlestick injuries in nurses – the Poznań


study. International Journal of Occupational Medicine and
Environmental Health. 2005; 18(3):251-254.
7. Manzoor I, Daud S. Needle Stick Infections (NSI) Among
Healthcare Workers J Ayub Med Coll Abbottabad, 2010.
8. Rajase karan M, Sivagnanam G, Rvindran C, - Injection practices
in southern part of India‖, Public Health 2003; 117(3):208-13.
9. Susan Q, Wilburn BSN, MPH, Gerry Ejike mans MD, -Preventing
needle stick injuries among health care workers‖, International
Journal of Occupational and Environmental Health 2004; 10:451-
456.
10. Susan Q, Wilburn MPH, BSN. Needle stick and sharps injury
prevention.‖, The Online Journal of Issues in nursing, 2004.
11. Gupta P. Needle stick injury-consequences and prevention.‖,
Health Care Management 2006.
12. Singru A. Samir, Banerjee A. Occupational exposure to blood
and body fluids among health care workers. Indian Journal of
community medicine, 2008; 33(1).
13. Elisabetta R, Annette P. Ustun, Yuvanh. WHO protection of the
human environment – Geneva, 2005.
14. Bandolier. Evidence based thinking about health care,
www.medicine.ox.ac.ui.
15. Goel V, Kumar D, Lingaiah R, Singh S. Occurrence of
Needlestick and Injuries among Health-care Workers of a Tertiary
Care Teaching Hospital in North India. J Lab Physician 2017; 9(1):20-
25.
16. Buli R, Sharma P. Needle stick injuries in health care
providers. The nursing Journal of India, 2008, 251-254.
17. Susan Q, Wilburn BSN, MPH, Gerry Eijke mans MD.
Preventing needlestick injuries among health care workers‖,
International Journal of Occupational and Environmental Health
2004; 10:451-456.
CONSENT

FORM

(ENGLISH)

REQUEST FOR CONSENT FROM PARTICIPANTS

Code No: -

I ................................................................................ hereby give my consent for

participation in the study titled as: -

“Effectiveness of self-instructional module on knowledge regarding needle stick injury


among nursing students.

I have been explained that all information will be kept confidential and will be
used for research study purpose. I have been explained in the language that I
understand the best. I am willing to participate in this study.

Signature of participant

Date:
संमती फॉमम.
सहभागींकडून संमतीची विनंती

कोड क्रमांक:-

यासाठी मी माझी संमती दे तो


या शीर्मकाच्या अभ्यासात सहभाग: -

"नर्सिंग विद्यार्थयािंमध्ये सुईच्या काडीच्या दख


ु ापतीबद्दल ज्ञानािर स्ियं-र्शक्षण मॉड्यूलची प्रभािीता.

मला समजािून सांगण्यात आले आहे की सिम माहहती गोपनीय ठे िली जाईल आणण ती संशोधन अभ्यासासाठी िापरली
जाईल. मला उत्तम समजेल अशा भार्ेत समजािून सांगगतले आहे . मी या अभ्यासात सहभागी होण्यास इच्छुक आहे .

सहभागीची स्िाक्षरी

तारीख:

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