10 Records out of 22207 Records

Impact of SMASSE INSET on students' attitude and performance in mathematics in secondary schools in Bomet District

Author: Langat, Richard Kipng'etich

Awarding University: Moi University, Kenya

Level : MPhil

Year: 2009

Holding Libraries: Moi University Margaret Thatcher Library ;

Subject Terms: Bomet District ; Mathematics ; Strengthening of Mathematics and Sciences in Secondary Education ; Students ; Attitude surveys ; Quality of education ;

Abstract:

Performance in mathematics has been steadily deteriorating over the last few years. This prompted the researcher to investigate the impact of SMASSE INSET on students' attitudes and performance in mathematics. The objectives of the study were to investigate whether SMASSE INSET has changed the students' attitudes, improved the performance and the teaching approaches and methodology in mathematics. This study was based on the theory of Reasoned action and the theory of Planned behaviour as proposed by Ajzen and Fishbein (1975 and 1980). This was a field study that was conducted in Bomet District. A descriptive survey design was adopted for the study. The respondents of the study were selected from the Form four students of the year 2008. A sample of 371 students, 20 mathematics Heads of Department and 20 Mathematics teachers were selected using both stratified and simple random sampling. Data was collected through the use of students' questionnaire, HOD Mathematics Questionnaire and Teacher's Questionnaire. Analysis of data was done using both descriptive and inferential statistics. For descriptive statistics, frequency tables, means and standard deviations were used. Analysis of variance (ANOYA), t- test and Chi- Square (;(2) were employed for the inferential statistics. The study established that the students' attitudes towards mathematics have greatly improved as a result of SMASSE INSET. The study also found out that teacher's teaching approaches and methodology have greatly improved as a result of SMASSE INSET. However the attitude 'and teaching approaches could not translate to good performance. In order to make SMASSE INSET more effective in schools and in the teaching of mathematics, it could be included in the programmes of Teacher Education at the level of teacher preparation.

The influence of gender, academic programme and experience on students' attitude towards problem based learning : a case study of the School of Medicine, Moi University

Author: Adeli, Scholastic N

Awarding University: Moi University, Kenya

Level : MPhil

Year: 2008

Holding Libraries: Moi University Margaret Thatcher Library ;

Subject Terms: Moi University, Eldoret, Kenya. School of Medicine ; Problem-based learning ; Medical personnel ; Academic guidance counseling ; Attitude surveys ;

Abstract:

Problem Based Learning (PBL) is a student centred and competencies driven curriculum in which students are often asked to work in a team. The objective of the study was to assess the students' attitude towards PBLas a learning process with the main emphasis being on the influence of gender, experience and academic programmes. The study setting was Moi University School of Medicine, Eldoret, Kenya. The study design was a comparative one. Stratified and simple random sampling techniques were used to select 30% of the student population. 120 second, third and fourth year medical students formed the study sample. A five point likert scaled questionnaire on attitude towards PBL was the instrument for data collection. Data was analysed using descriptivestatistics, student t-test and Proportional Odds Model at p< .05 level. The findings of the study showed that generally, medical students have a positive attitude towards PBL (M=70.2%). The study however established that programme and to some extent experience have an effect on students' attitude towards PBL but there was no gender differences in attitude towards PBL, t(118)=0.54, p>.05. The outcome measure helped in drawing of conclusions and making recommendations concerning the study. The results can be used to debrief and manage students from the traditional model to the initiation into the PBL model of education used in the School of Medicine. The results also provide a basis for designing counseling programmes to nurture positive attitudes among students and provide guidance for the improvement of training of health professionals and other professionals in tertiary training institutions which use traditional education approaches and require establishment of PBL in their training programmes.

Nurse-midwives' perception on promotion of self-care among patients admitted at Kenyatta National Hospital Maternity Wards

Author: Talam, Emmy Yatich

Awarding University: University of Nairobi, Kenya

Level : MMed

Year: 2007

Holding Libraries: University of Nairobi Medical Library ;

Subject Terms: Nurses/Midwifery/Patient education/Pregnancy/Attitude surveys ;

Abstract:

STUDY OBJECTIVE: To establish the perceptions of nurse- midwives on self- care promotion: by assessing the knowledge. attitudes and practices of nurse-midwives on promotion of self-care among in-patient antenatal and postnatal mothers at Kenyatta National Hospital (KNH) maternity wards, Patient factors that were stated by the subjects were included. STUDY DESIGN: This was a descriptive cross-sectional survey that focused on the factors that influence nurse-midwives' involvement in promotion of client self-care. These factors included the knowledge. and attitudes of nurse-midwives and practice factors. Patient factors stated by respondents were also presented. SUBJECTS, MATERIALS AND METHODOLOGY: The study subjects were 94 consenting nurse-midwives who were purposively sampled from a population of 125 nurse-midwives who worked in the five maternity wards at Kenyatta National Teaching and Referral Hospital. The study was conducted from 15th June to 15th August 2007. A self administered questionnaire was used to collect data from the questionnaires was entered into the computer and analyzed by the statistical package for social scientists (SPSS) version 11.5 for windows, as well as spreadsheet (Fixed package) for windows 2000. Descriptive methods of data analysis and presentation were applied as well as tests of significance for reliability, validity and for purposes of data interpretation. The pearsons product moment correlation coefficient (r) and probability (p) value was determined. The relationship between variables was tested using correlation and the significance level was 0.05. RESULTS: The study considered different factors that influence nurse-midwives involvement in promoting client self-care. During the period of study. 69.1 % of the respondents reported that they were involved in activities of promoting client self-care. Just under one fifth (19.1 %) were not involved, The study elicited that there was a good knowledge of self-care by the respondents. 86% of the respondents gave correct definitions of self-care while 7.4% gave wrong definitions.79.8%1 of the respondents report that the state of self-care promotion activities in their wards require or need improvement. At the period of study. 48.9% of the respondents were enrolled nurses while 51.1%% were registered nurses. 90% of the respondents stated that there was no committee that monitored the health self-care promotion activities. 94% of the respondents agreed or strongly agreed that staff should involve able patients in their care. Above 90% of the respondents either agreed or strongly disagreed that low staffing and a high patient population that increases the nurse-patient ratio has influence on their involvement in promoting self-care. There was a statistically significant correlation between staffing level and nurse-midwives involvement in promoting client self-care r=0.209 and p-value was 0.043 at a significance level of 0.05. There was no statistically significant correlation between the other variables of nurse-midwives' knowledge, attitudes and practices and the level or nurse-midwives involvement in promoting self- CONCLUSION: Although self-care promotion is an important component of nursing and midwifery, it is often given low priority when compared to other care practices. There is a need for midwifery care that is women centered and makes information available to all through focused and individualized client health self-care education and counseling. An understanding of the personal factors, the organization factors and patient and societal factors which affect midwifery practice is needed so that midwifery care may be acceptable and effective. One other strategy is ensuring client involvement and participation in their care during hospitalization through promotion of self-care behaviors. Promotion of self-care has an important contribution to make to the patient's educational level. The results showed that promotion of self-care enhance

Effects of the use of scientific calculators on students' attitude and achievement in mathematics : a case of secondary school students in Bungoma District,Kenya

Author: Masibo, Edwin Nyongesa

Awarding University: Moi University, Kenya

Level : MPhil

Year: 2007

Holding Libraries: Moi University Margaret Thatcher Library ;

Subject Terms: Bungoma District ; Mathematics ; Calculators ; Secondary school students ; Attitude surveys ;

Abstract:

The purpose of the study was to investigate the effects of the use of scientific calculators on students' attitude and achievement in mathematics. The study was conducted in Bungoma District of Western Province of Kenya. The population of the study comprised form three students from the secondary schools in the district. The schools in the district were categorized as Provincial and were in number (24), District (109) and Private (16). Purposive sampling was used to select provincial schools. Simple random sampling was used to select the schools which produced a sample of eight schools.120 students from the 8 schools participated in the study. The schools were then randomly assigned to four experimental groups and four control groups and the subjects in all the groups were exposed to the same content on the topic of trigonometrical ratios. An experimental research design was adopted entailing the randomized Solomon four-group design. Two experimental groups were pre-tested and then exposed to treatment followed by posttest. Two other experimental groups were not pre-tested but treated then post-tested. Two control groups were pre-tested followed by no treatment and then post-tested while two other control groups were neither pre-tested nor treated but only exposed to post-test. Data was collected by the use of two students' attitude questionnaires and students' mathematics achievement test. Data was analyzed using both descriptive statistics and inferential statistics. The descriptive statistics involved using means, percentages and standard deviation while inferential statistics involved using the students' t-Test. The findings from the study showed that there is a significant change in student attitude and improvement in achievement in mathematics when students use scientific calculators in learning mathematics. In view of these findings it is recommended that the use of calculators be encouraged to facilitate learners to build a firm grasp of mathematical concepts. Though presently it is permitted for use only as from form three (3), it is recommended that it should be used at all levels to help students sustain their attitude toward the subject.

Assessment of Knowledge attitude and practice on tuberculosis among health care workers in Busia and Teso Districts, Kenya

Author: Mbayaki, Regina Ayuma

Awarding University: University of Nairobi, Kenya

Level : MPH

Year: 2000

Holding Libraries: University of Nairobi Medical Library ;

Subject Terms: Tuberculosis ; Disease control ; Medical personnel ; Busia District ; Teso District ; Attitude surveys ;

Abstract:

Tuberculosis (TB) has re-emerged as a serious public health problem worldwide mainly due to the increasing HIV related TB. Despite effort to control this deadly disease the prevalence and mortality rates still rise steadily leaving most people in their economically productive ages vulnerable. Being an infectious disease it is time to improve community awareness about the disease and hence improve the participation of the community members in the control of this disease. A descriptive cross-sectional study on the knowledge, attitude and practice (KAP) about TB among the health care workers (HCWs} was carried out in 45 health facilities of the old Busia District currently covering two districts namely Busia and Teso] in Kenya. The instruments used to collect data were a questionnaire written in English and a question guide for the FGDs. Four research assistants were recruited and trained to assist in the actual data collection. A total of 307 HCWs consisting of doctors, nurses and clinical officers were interviewed. Three focus group discussions were carried out among the Hews of Nangina Mission Hospital, Busia District Hospital and Alupe Sub-district Hospital. Participant observation was also carried out to confirm the findings form the above two methods. Knowledge on TB among the HeWs was good with more than 90 percent having adequate knowledge. The majority did not know the National Leprosy and Tuberculosis Program's (NL TP) current recommended regimen and importance of early case finding and prompt treatment in control of TB. Majority expressed their wish to be educated more about TB and especially the recommended regimen. Almost all (95.4 percent) had rational attitude towards TB except for the misconception that one can contract TB from handling the patient's fomites. Among the respondents 46.6 percent had positive practice on TB because 90 percent of them refer their patients to the District Tuberculosis and Leprosy Co-ordinators (DTLCs). Lack of facilities (both diagnostic and treatment) and inadequate knowledge on TB among the patients could hamper the HCWs' effort in the struggle to control TB. Of the personal characteristics of the HCWs, level of training (p=0.0179) and cadre (p=0.OI09) of the HCWs were found to be significantly related to their knowledge on TB. Age (p=0.0384) and number of working years (p=0.0179) of the HCWs were found to be significantly related to their attitude towards TB while none was found to be related to their practice on TB. There was no significant relationship between the knowledge (p=0.234S) and attitude towards (p=O.S467) TB among the HCWs in private and public health sectors but there was a significant relationship between their practice on TB (p=0.0113) and the health sector. The HCWs should be informed on the latest information on TB in order to correct their KAP defects on TB and avoid the deterioration of knowledge and attitude towards TB especially among the doctors and older HCWs and the misconception that one can get TB from handling the patient's fomites. The study suggests more involvement of the HCWs in the management of TB patients to improve the HeWs' KAP on TB. The NLTP should equally run their activities in the private NGO health sectors in order to improve their participation in TB control. The NL TP should equip the health facilities with the necessary diagnostic and treatment facilities to boost the attitude towards TB among the HeWs especially the older HeWs in the peripheral health facilities. Provision ofTB isolation wards in the various hospitals of Busia and Tcso districts to reduce nosocomial infection. Last but not least the study suggests a study to be carried out on TB patients and the community at large to determine their knowledge, attitude and practice on TB.

Women's views on adolescent induced abortion at Baba Dogo, Nairobi

Author: Mitula, Pamela

Awarding University: University of Nairobi, Kenya

Level : MPH

Year: 1995

Holding Libraries: University of Nairobi Medical Library ;

Subject Terms: Abortion ; Teenagers ; Women ; Babadogo, Nairobi, Kenya ; Low income groups ; Attitude surveys ;

Abstract:

This was a survey to find out women's views on adolescent induced abortions. The study was carried out at Baba Dogo slum area in Ruaraka division of the Nairobi city. Abortion is a public health problem because it contributes to the high maternal morbidity and mortality. The majority of these abortions are induced. In' many countries including Kenya, abortion is illegal except on medical grounds. Previous research done showed that abortions among adolescents account for 28%-64% of abortions done in hospitals. However due to strict abortion laws in Kenya, adolescents use criminal abortion which is normally 'done by unqualified people under unhygienic conditions. Many adolescents are faced with unwanted pregnancies. Most adolescents are still under parental care. A lot of research already done has focused on the adolescents themselves and not on parental views. Many women are either parents or guardians and therefore their views on adolescent induced abortion is important as it can influence the practice of abortion in their adolescents. It was found that women are aware of adolescent induced abortions, and 88.S% of them knew at least one method of procuring abortion. However most of them felt that abortion is a bad habit and should not be encouraged. Some of the suggestions they gave that can help reduce the problem of adolescent induced abortions were; that family planning services should be readily available to adolescents (43.3%); parental advice should be emphasized (22%); sex education should be taught at school (16.S%), and sex education should be taught at home (10.5%). Only 1.6% said abortion should be legalized. Most (86.6%) of them knew that abortions are illegal, while 2.4% thought they were legal and 10.9% did not know the legal status of abortion. On asking them whether they would like abortion legalized, 87.3% were against it and only 11.6% were for it. The study concluded that women are aware of the high prevalence of unsafe abortion. The methods known and commonly used are unsafe and that women have a negative attitude towards abortions as a result of the associated morbidity and mortality. Some of the recommendations of this study included the need to introduce family planning services to adolescents, sex education in schools and advocacy for safe and legal abortions.

Assessment of parental sex education to own adolescents among parents in a periurban community in Kenya

Author: Njoroge, Peter Kinge

Awarding University: University of Nairobi, Kenya

Level : MPH

Year: 1991

Holding Libraries: University of Nairobi Medical Library ;

Subject Terms: Teenagers ; Sex education ; Parents and parenting ; Kiambaa Division, Kiambu District ; Attitude surveys ;

Abstract:

This was a Survey of Parents' Knowledge, Attitude and Practice of sex education to their own adolescents. The study was conducted between January and March in three divisions of Kiambaa Division of Kiambu District, Central Province of Kenya. This study area is located about 20 km from the city of Nairobi. The study population were parents with at least one child in adolescence. Depending on availability either one or both parents were included in the study. The study instrument was structured, mainly pre-coded questionnaire. The data was obtained through personal interviews conducted from house to house. The sample population was made up of 729 parents, 70.4% of whom were females. The survey found that 46.3% of parents gave sex education to their own adolescents, majority of them giving it to those of their sex only. Parents gave their adolescents sex education from a mean age (of the adolescent) of 10.33 years (SD=3.51) and the practice was associated with Parents Social, Economic and Demographic factors. Of these factors, knowledge that own adolescents received sex education from sources other than the parent had highest odds ratio (OR=4.18). Age of the parent was the only other factor with odds for the practice (OR=1.03). The level of sex education give n to adolescents was higher for girls than for boys. The level of practice to boys was associated with age and socio-economic status (SES) index of the parent. Knowledge of sex education among parents was high and associated wi th a parents' sex and SES index. Males scored significantly higher than females and parents of low SES significantly higher than those of high SES index.The attitude to sex education was positive, with nearly all parents feeling that sex education for adolescents was appropriate and that it should be given by own parents, starting from a mean age of 10.61 years (SD=2. 84) and that it should include contraceptive education. The study recommended further studies on parents to understand why the level of practice is unmatched with ihe high levels of knowledge and attitude and to determine why those parents who know that their adolescents receive sex education from other sources are more likely to give sex education to their adolescents than those who did not. Other recommendations were: a study to assess the feasibility of using PTA's to impart sex education to adolescents in schools, beginning Family Life education in primary schools at standard four (corresponding to age 10-11 years),and establishing of community based centres for sex education counselling for parents with adolescents and adolescents out of school.

The outpatient and the staff satisfaction with the treatment provided in a District Hospital Kiambu

Author: Maina-Githinji, Elizabeth

Awarding University: University of Dar es Salaam, Tanzania

Level : MA

Year: 1977

Holding Libraries: University of Nairobi Medical Library ;

Subject Terms: Outpatient care facilities ; Patients ; Attitude surveys ; Physician patient relationships ; Nurse patient relationships ; Kiambu District Hospital, Kenya ;

Abstract:

Satisfaction studies with the outpatient Services have been done in the developed countries e.g. in America and Britain but few if any exist in the developing countries. The aim of this research was to do a study in the Outpatients and the Staff satisfaction with the treatment provided in a District Hospital Kiambu. In Chapter one, we introduce the history of medical services in Kenya in order to inform the readers about the provision and the statue of health services in this country emphasizing the historical development. In Chapter two, we examine the Kikuyu Cultural attitude towards health and disease in comparison with the Western Culture. This will help us in understanding the patients t 'attitude in the Outpatient Department. their satisfaction and dissatisfaction. In Chapter three, we discuss the theoretical framework of the study which will enable us to present the collected data systematically. In particular we examine Parsons sick role theory. In Chapter four, WE review literature en the study of satisfaction for both the Outpatient and the staff. In Chapter five, we look into various findings which are a result of four different surveys in a community study and satisfaction studies in the hospital. The first study will give us the peoples impressions about Kiambu Hospital and their expectations when they visit the Outpatient Department. The second study will enable us to measure the patients and the staff satisfaction with the introduction of administrative and medical procedures in the Outpatient Department (OPD). The third study will gives us information concerning the out patients and the Staff satisfaction with the treatment in the OPD. The fourth study will enable us to measure the acceptability of the Integrated Clinics for both the patients and the staff. Chepter six consists of D7scussions and Conclusions as a result of the findings in the study. The data was collected by means of survey methods. ?The main methods used were: Administration .of questionnaires to the community, the outpatients and the staff. Participant observation of patients and the staff. Informal discussions with the outpatients and the staff. In the data analysis correlation coefficients between relevant variables were calculated and tables were made to illustrate findings. It was found that the social demographic characteristics of the patients do not influence their satisfaction with the treatment in the OPD. The patients expectations of their waiting time in the OPD influences their satisfaction with the treatment. If patients are positive about particular aspects of the treatment like the staff-patient relationship they are likely to have positive attitudes towards other aspects of the OPD e.g. they will be satisfied with the medicine provided and will PP. happy with the waiting time. The patients experience of the treatment process in the OPD influences their attitude towards the hospital.

The comfort of patients in traction : a descriptive study

Author: Kezala, Wilton S

Awarding University: McGill University, Canada

Level : MSc

Year: 1972

Holding Libraries: University of Nairobi Medical Library ;

Subject Terms: Patients/Orthopedic traction/Attitude surveys ;

Abstract:

This study describes the behaviours of patients who were immobilized in traction in a general hospital. Its purpose was to ascertain the relative degrees of comfort or discomfort which these patients had. Comfort wae conceptualized as a state of jeing revealed through the patient?s behaviors 1n two respects: the amount of physical restlessness which he exhibited and the nature of concerns which he expressed. The method used in investigating patients' behaviours was that of direct observation. Data collection was carried out at various times of the day and all patients on one ward who were in traction were observed more than once during the investigation period. The findings revealed the following: Some degrees of physical restlessness existed in all patients and it appeared to have three main components: physical movement, change of focus Patients sought advise from nurses and from fellow patients concerning pain and their treatment. When they received the advice they used it to cope with their pain and discomfort. Very restless patients and younger patient. appeared to be concerned with the immediate recovery in hospital, whereas the less restless patients and older patients, with exception of those who were in skeletal traction appeared to be concerned with later (ultimate) recovery at home and about their home affairs. On the basis of these findings it was seen that patients 1n traction experience varying degrees of physical as well as psychological comfort and discomfort. To reduce patients' discomfort would therefore require the nurses to recognise the contributing factors outlined in the study.

Knowledge attitudes and practices of registered nurses on scientific nursing research at the Kenyatta National Hospital

Author: Mukthar, Vincent Kiprono

Awarding University: University of Nairobi, Kenya

Level : MSc

Year: 0

Holding Libraries: University of Nairobi Medical Library ;

Subject Terms: Nurses ; Nursing ; Research ; Attitude surveys ;

Abstract:

Scientific Nursing Research is defined as the systematic process of investigating phenomena related to nursing with the aim of adding to the nursing body of knowledge, to improve practice and for better health care outcomes (Endrawes, 2000). This was a descriptive cross-sectional study aimed at assessing the knowledge, attitude and practice ofRNs on Scientific Nursing Research at the Kenyatta National Hospital. The study was undertaken-in 36 weeks, sample selection was by both stratified and convenient sampling. Data collection instrument was Structured Questionnaires. The findings were summarized, and presented in form of tables, graphs, and pie charts. Data analysis was done using Chi Square test of significance. The study findings indicate that whereby most of the RNs had been introduced to basic research concepts during training, only a minority (23%) had undertaken research, which corresponded with the percentage that undertaken update course. Over 50% of the respondent had positive attitudes and over 50% agreed that the factors hindering the access to research are lack of funds, lack of time and lack of supportive authorities. It was also established that only 30% had used research findings in their practice. In conclusion, most of the registered nurses are knowledgeable and have positive attitudes towards research. Though most of them exude confidence in performance of research, their practice is limited by factors of access to research e.g. funds, time and supportive authorities. The RNs use of research findings in their practice and attendance of update courses in research is wanting. The factors that significantly influenced the practice of research include ward placement, professional training background and attendance of update courses.