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Title: EFFECTIVE IMPLEMENTATION OF REHABILITATION THERAPY FOR IN- PATIENTS OF FEDERAL PSYCHIATRIC HOSPITAL

Authors: Umoh, Edet Okon

Topic: Nursing

Abstract:

Abstract

 

The study was carried out to examine effective implementation of rehabilitation therapy for in-patients of Federal Psychiatric Hospital, Calabar, Cross River State of Nigeria. Four objectives and four research questions were formulated to guide the study. Ex-post facto research design was used for the study. The population of study comprised of 150 in-patients in Federal Psychiatric Hospital, Calabar, Cross River State, Nigeria. Simple random sampling technique was used to select 50 stable in-mates for this study. An instrument titled "Effectiveness of Implementation of Rehabilitation Therapy for in-patients of Federal Psychiatric Hospital Calabar”, was used for data collection. Simple percentages, mean, standard deviation and r-value of Pearson Product Moment Correlation were used for answering the research questions, the result of the study revealed that there are few rehabilitation programmes available for the patients. The result also revealed that the patients have positive attitude towards the rehabilitation programmes. The result further revealed that parent's level of involvement in the rehabilitation programme is low. And lastly, the result revealed that there is a relationship between instructors' qualification and effective implementation of the rehabilitation therapy. Based on the findings, it was concluded that rehabilitation programmes are effectively implemented in the Federal Psychiatric Hospital Calabar, Nigeria. It was recommended among other things that more rehabilitation programmes should be introduced into the hospital, this will help to meet the needs of the various patients.

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    COMMENT - 1

  • Umoh Edet Okon (Author) 16th Nov 2015 - 11:04 AM
    please show my full work

  • COMMENT - 2

  • Umoh Edet Okon (Author) 18th Nov 2015 - 1:53 AM
    Rehabilitation therapy in Federal Psychiatric Hospital Calabar, Cross River State of Nigeria, is a welcomed and appreciated program much benefiting and helpful to patients and their families. it restores to functioning and usefulness, the wasted and irresponsible patients who comes out from the abstract realm, to organize self and utilize his effort to convert available resource so as to earn a living.

  • COMMENT - 3

  • Chinelo Clare Vincent (Viewer) 22nd Nov 2015 - 3:28 AM
    You tried but there certain things that need to be looked into. While making citation inside the body of the article you should not add initials of the author. Also limitation you included in the introductory aspect of the research should not be there rather it should appear at the end of the research work by this time you should know the limitations not before carrying out the study. There was no sampling technique, no explanation on how you selected the sample size, this could make may create bias in the study. The questionnaire did not include the instructors qualification which added in the finding and also in the objective. So the question is how did you answer that research question that mentioned instructors qualification as regards effective implementation of rehabilitation programme? In the findings, there were certain things I could not reconcile e.g. you mentioned that there were few rehabilitation programmes that are available yet, you said the participants effectively use the rehabilitation programme. Also you said the subjects had positive attitude yet you went on to say that the level of involvement in rehabilitation programme was low. There is need to rate your findings i.e. assign value to the findings. When you say low, high etc one should appreciate what you mean by low, high. You should also rate the responses for attitudinal questions .g. Strongly Agree, Agree, Disagree, Strongly Disagree, this is a four point scale which should be rated to find the mean response. You indicated that you used mean, standard deviation and Pearson Product Moment Correlation Coefficient but I could see any of these statistical tools being used. How did you obtain the finding which you stated that there is relationship between instructors qualification and effective implementation and rehabilitation therapy?
    Best regards
    • Umoh Edet Okon (Author) 25th Nov 2015 - 2:21 AM
      Clare, thanks for your observations.
      While progressing on the research Ms. Sheebakumari ot Texila American University sent us an APA format on how the work should appear, and I acted likewise. The title beside these primary sources and the limitations you comment on was not on the real research but on Author’s note. Hence the first page was as per APA format which serves as a preamble for dedication, acknowledgement, and preface.
      When you get to page 12-13, you have my population of study, sampling technique, validation of instrument and reliability of the instrument. There, I had explained the size, how the samples were selected, and subjected it under Cronbach Alpha Analysis. This revealed 0.801 to support reliability.
      The Likert form of questionnaires which I adopted was using the 4 point scale of SA, A, D and SD.
      What you could not reconcile in terms of rehabilitation program is not a disputing factor. The few rehabilitation programs we have are well utilized by the in-mates and we are pleading for government to bring in more un-available programs, as per my recommendations. Hence the level of involvement by the patients on the available program is very interesting but their relative’s involvements and appreciation is low. Please check the questionnaires well.
      Pearson Product Moment Correlation Coefficient (r-value) was used for question 4 since its research question was to find relationship existing between two variables (that is, instructors’ qualification in terms of quality and effective implementation of the programme). However, since no hypothesis was tested to find its level of significance and for decision to be taken the r-value obtained was compared with the extant scale of correlation. When any r-value is between 0.1 to 0.39 it is low; between 0.40 to 0.59 is average while between 0.60 to 0.99 is regarded as high relationship. The findings that there is relationship between instructors qualification that was measured in terms of instructors quality and effective implementation of the programme came about as a result of the correlation between these two variables. However, the instructors’ qualification was not measured in terms of their academic certification but in terms of their quality (teaching effectiveness).
      I am sure you’ve been convinced.
      Thanks with regards.

  • COMMENT - 4

  • UDOGWU FELIX (Viewer) 25th Nov 2015 - 12:52 AM
    It is a welcome idea,but in an Hospital,the case of mentaly sick patient is been treated as a first aid room for those sick once,as the consulting room and the observation is not big enough to do the job,,my take on this is that ,Hospital who has a small unit should always refere cases to the specialist for full care.
    • Umoh Edet Okon (Author) 25th Nov 2015 - 2:35 AM
      than you Sir. Psychiatry is a major and interesting field of healthcare delivery. trouble your country to establish a real psychiatric hospital to cater for mental problems. Most physical problem originates from mental illness--psychosomatic conditions. If mental problems like alcoholism, drug abuse, promiscuity, depression and Kleptomania is attended to from their origin, most societal problems would have been erradicated.
      thanks for your acknowledgement.

  • COMMENT - 5

  • UDOGWU FELIX (Viewer) 25th Nov 2015 - 12:55 AM
    It is a welcome idea,but in an Hospital,the case of mentaly sick patient is been treated as a first aid room for those sick once,as the consulting room and the observation is not big enough to do the job,,my take on this is that ,Hospital who has a small unit should always refere cases to the specialist for full care.
    • Umoh Edet Okon (Author) 25th Nov 2015 - 2:41 AM
      by right that is not psychiatry treatment. That patient has right to sue that management for unlawful detention, if the physician is not a psychiatrist and has no tool of diagnosing him insane. If they have no facility why encasing him? Please come and study psychiatric nursing so that you direct your government well.
      Thanks a million.

  • COMMENT - 6

  • UDOGWU FELIX (Viewer) 25th Nov 2015 - 1:38 PM
    The best medical care any medical practitioner can give to his or her patient or client is when the medical personnel knows his or her limitation and also know when to refer cases which s/he knows s/he does not have the expertise and equipment to handle such a case.he oe she must refer the case on time.
    • Umoh Edet Okon (Author) 25th Nov 2015 - 4:31 PM
      Yes Sir, you can refer. But most government on seat has no concern in provision of necessary and essential health facilities. It is left for us nurses to approach, influence and present those need to them and convince them to provide. If we rely on referral have you considered the transport means and cost the patient will incur so as to get to the distance facility? Why cant we train our selves and develop our place to get facilities down for easy reach and use by our people? This is a step of attaining the millennial development goal and meeting requirements of primary health care. We should encourage and provide psychiatric nursing in our various states of origin. As a psychiatric nurse you can practice any where even without a physician. The aim is to return to normal functioning of the insane, a welcomed behavior within the society. As a psychiatric nurse you don't refer, but you need a modified facility.which our government should approve and provide.

  • COMMENT - 7

  • Umoh Edet Okon (Author) 25th Nov 2015 - 4:30 PM
    Yes Sir, you can refer. But most government on seat has no concern in provision of necessary and essential health facilities. It is left for us nurses to approach, influence and present those need to them and convince them to provide. If we rely on referral have you considered the transport means and cost the patient will incur so as to get to the distance facility? Why cant we train our selves and develop our place to get facilities down for easy reach and use by our people? This is a step of attaining the millennial development goal and meeting requirements of primary health care. We should encourage and provide psychiatric nursing in our various states of origin. As a psychiatric nurse you can practice any where even without a physician. The aim is to return to normal functioning of the insane, a welcomed behavior within the society. As a psychiatric nurse you don't refer, but you need a modified facility.which our government should approve and provide.

  • COMMENT - 8

  • MANJEET KAUR (Viewer) 26th Nov 2015 - 1:18 PM
    Hello Umoh ,
    well done, keep it up. Your article is very informative and interesting too.
    Best wishes.
    I have one question for you dear : What are all the rehabilitation programs in other institutions to make psychiatric patient to dealt with society afterwards ?
    • Umoh Edet Okon (Author) 26th Nov 2015 - 6:56 PM
      My dear thanks for your acknowledgement. There are so many rehabilitation programs to bring up a psychiatric patient to societal functioning. But it depends on his pre-morbid life, level of education, capability of the parents, and understanding of the immediate society. It also depends on the skillfulness and availability of an educator to teach, direct and supervise them. The programs are molding works, tailoring works, typing with manual type writer, information and communication technology, carpentry, designing, laundering, knitting, catering, weaving, hair dressing/barbing, art work/carving, shoe mending, bead making, drawing, farming/poultry electronic repairs, trading and marketing.
      • Umoh Edet Okon (Author) 26th Nov 2015 - 6:59 PM
        All these programs can build a patient's potential but must have stabilize and be interested in the program. Thank you.