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ATTITUDE OF STUDENT NURSES AND CARE OF DISABLED PATIENTS IN QIC LEPROSY EKPENE BOM ETINAN LOCAL GOVERNMENT AKWA IBOM STATE

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CHAPTER ONE

INTRODUCTION

Background of the study

The common view of leprosy is a tragedy, disgrace, the result of sin and God’s punishment. People with leprosy are seen as a burden to others, to their family, to themselves and to society.

There is a perception of leprosy as being shameful and distasted symbolic condition associated with filth and immoral behaviour.

Health can be defined by world health organization (WHO) constitution as “a state of complete physical, mental and social wellbeing and not merely the absence of disease or infirmity” more recently the concept has been extended to include health related quality of life. Today, the international classification of impartment, disability and handicaps (ICIDH) Provides indicators that allow a more structured approach to health disorders (Barbotte and Edwin 2014)

Leprosy remains an important health problem worldwide. The disease is caused by a chronic granulomatous infection of the skin and peripheral nerves with mycobacterium leprae. The disease is characterized by skin lesions and peripheral nerve damage that may lead to ulceration and physical deformities.

The social and psychological effects of leprosy as well as its high visible debilities has resulted in a historical stigma associated with leprosy, to minimize the prejudice against people with leprosy, the condition is referred to as Hansen disease.

            Model of leprosy provide a framework for understanding the way in which people with impartment experience disability. They also provide a reference for society as laws, regulations and structures are developed that impact on the lives of leprous people are two main models that has influenced modern thinking about leprosy. The medical model and social model.

            Medical approach of illness approach is based on the view that leprosy is caused by disease of trauma and its resolution or solution is intervention provided and controlled by professional. The social modern view as socially constructed and a consequence of societies lack of awareness and concern about these who may require some modification to live full productive lives.

Attitude overview

Attitude is a little thing that makes a big difference. Attitudes are likes and dislikes. Affirmatives for a version  to object, persons groups, situation or any identifiable aspects of the environment including abstract ideas and social policies.

STATEMENT OF THE PROBLEM

A lack of contact the disables patients as students could result in a negative attitude which may impact on the provision of services once qualified.

            Harboring negative attitude towards patients with disabilities implies that student nurses could develop difficulties in future when working with persons with disabilities if negative attitudes are developed.

            The problem of attitude toward disabled patient observed among students by the researcher during her clinical experience. In school of nursing Anua, Uyo which is seen as lack of active participation in the care, perception about disabled patient (stigmatization) has led to the several detrimental effect on the disabled patient based on their dignity, respect and soon. Since the concept of attitude is typically of the mind, the researcher wishes to investigate the possible influence of positive attitude on the disabled patients.

OBJECTIVE OF THE STUDY

  1. To determine the influence of dignity on care of disabled patient in QIC leprosy hospital.
  2. To determine the influence of rapport on care of disabled patients in QIC leprosy hospital.
  3. To determine the influence of confidentiality on care of disabled patient in QIC leprosy hospital.

RESEARCH QUESTION

  1. What is the influence of dignity on care of disabled patients in QIC leprosy hospital?
  2. What is the influence of rapport on care of disabled patients in QIC hospital?
  3. What is the influence of confidentiality on care of disabled patients in QIC leprosy hospital?

SIGNIFICANCE OF THE STUDY

            The significance of the study can be viewed from the following perspectives; it will bridge the gaps in interaction and promote more efficient nurse patient relationship. It will also help to promote standardization of care.

            The institution of study, the nursing services, units of the hospital government and other stake-holders might use the result to inform practice guidelines, capacity building for educators and make policies that will help minimize absence of rapport and communication among patient and nurses.

            The study will also be of benefit to student nurses, student teachers, and including students in similar fields such as medicine and other related studies.

Scope of the study

            The study is one the attitude of student nurses and care of disabled patients in QIC leprosy hospital Ekpenebom Etinan Local Government Akwa Ibom State.

            The attitudes taken into consideration were: the influence of dignity, rapport and respect.

The target population for the study was 120 disabled patients in leprosy hospital ekpene bom.

Operational Definition of Terms

  1. Disability is a limitation in a person’s ability example  mobility personal care, communication or behavior
  2. Disabled patient: Some in the health faculty who has limitations in abilities who is made physically incapable.
  3. Attitude: It is the tendency to react positively or negatively to a person or circumstances.
  4. Attitude of Student Nurse: It is the tendency of a student nurse to react either positively or negatively to a person or circumstances.
  5. Patient: person in the health facility that requires help or care.
  6. Care: It is the close attention give to a client at home or in the hospital by health care prouder using acceptable standards.
  7.   Students Nurses: an individual who studies or serious special education under any nursing institution after which, he or she is qualified, registered and licensed by the (NMCN) to practices as a professional nurses.
  8. Care of Disabled Patient: It is the close attention give to abilities. Someone who is not physically able to perform total physical functions.
  9. Influence: The powers affect, control or manipulate something or someone.
  10. Dignity: a quality or state of worthy of esteem
  11. Rapport: Relationship of mutual trust and respect.

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