Appendix ‘A’

(FORMAT FOR SUBMISSION OF TOPIC BY P.G STUDENT)

Name of the college Institute of Nursing Education

Department Child Health Nursing
Name of the Guide Mrs.Grace S. Mane
Through Proper Channel only
To,
The Registrar
MUHS, Nashik- 422004
Sub: Submission of Title and Synopsis of Dissertation
Respected Sir/Madam,
I Miss.Yashoda Baburao Pawar registered for M.SC Nursingin the 2019-20batch
under the guidance of Mrs.Grace S. Mane,Lecturer,HOD ofChild Health (Paediatrics) Nursing
Department,Institute of Nursing Education, Mumbai.
I am due to appear for MSc Nursing (Child Health Nursing) in Winter-2021.
I am submitting here with Title and Synopsis of Dissertation as mentioned below and as suggested by
my aforesaid Guide.

Title of Synopsis
“A study to assess the Effect of Video Assisted Teaching Programme on knowledge
and practices regarding Therapeutic Hypothermia in perinatal asphyxiated new-born
among NICU nursesin selected hospitals of metropolitan city’’.
Kindly accept and register my Title of Synopsis.

Miss. …Yashoda Baburao Pawar

(Candidate Name and Signature)
The Guide is Recognized as P.G Teacher by the University vide letter no…MUHS/PG/E-6/3155/2019.
dated…31/12/2019

(Guide Name and Signature) (HOD Name and Signature with Dept. Seal)

(Signature & seal of Dean)

 APPENDIX'B'
REPORTOFETHICSCOMMITIEE
Department Child Health Nursing
Candidate admitted year 2019-2020
Course and Subject Master Of Science (Nursing) Child Health Nursing
College Name and Address Institute of Nursing Education, Mumbai-08
To,
Miss. Yashoda Baburao Pawar.
Child Health Nursing
Institute of Nursing Education, Mumbai.
Sub:-Research Proposal of entitled “A study to assess the Effect of Video Assisted Teaching Programme
on knowledge and practices regarding Therapeutic Hypothermia in perinatal asphyxiated new-born
among NICU nursesin selected hospitals of metropolitan city’’.
Reference: - INE/ Research Ethical Committee/ MSC-1/1860/2020 Dated: 25/06/2020

(Letter Proposal of Student)

Dear Student,
The above mentioned research proposal of Title and Synopsis of Dissertation was discussed in the Ethical
Committee Meeting held O Date 29/06/2020 at. Institute of Nursing Education, Mumbai. It is declared
that-

1. The said Title of Synopsis is not repeated.

2. You are registered under Mrs.Grace S. Mane who is University Recognized P.G.
Teacher Vide University letter No. MUHS/PG/E-6/3155/2019 Dated 25/06/2020. For
guidance and supervision during the course of studies.

3. Ethics Committee has unanimously approved your Title & Synopsis of Dissertation.

4. The Title is Recommended for study by the student from Date 15/03/2020.
Note:-
1) It will be mandatory for the student to work on the University approved Title for minimum
period of 18 months after its approval.
2) It is the responsibility of the student and guide to inform the Ethics Committee aboutcompletion
of the said research work (Format as per annex 'C')

(Mrs. Suchita S Sawant)

2
Chairperson, Ethics Committee

Institute of Nursing Education, Mumbai.

Progress report -I/II/ Iii/ iV
Six monthly Progress Form Of Postgraduate Students
Faculty:-..................................

1. NameoftheCollege:- Institute Of Nursing Education, Mumbai-08.

2. NameoftheStudent:-Miss.Yashoda Baburao Pawar

3. Name of Guide:- Mrs.Grace S. Mane.

4. Title:- “A study to assess the Effect of Video Assisted Teaching Programme on

knowledge and practices regarding Therapeutic Hypothermia in perinatal asphyxiated
new-born among NICU nursesin selected hospitals of metropolitan city’’.

5. Subject Specialty:- Child Health (Paediatrics) Nursing ,

6. Period of
Report:-...............................................................................................................................

7. Posting during the period:-

1) .........................................................11)................................................

111) ........................................................
.IV)................................................

8. Attendance:-
.....................................................................................................................

9. Work Progress as per time line according to

synopsis:-.....................................................................

Signature:-

Guide HOD Dean

4