SYNOPSIS

ON

“EFFECTIVENESS OF STRUCTURED TEACHING PROGRAMME

ON KNOWLEDGE ON HUMAN RIGHTS OF MENTALLY

ILL AMONG CAREGIVERS OF MENTALLY ILL

CLIENT AT SVS HOSPITAL,

MAHABUBNAGAR,

TELANGANA’’.

BY
G.SRAVANTHI

SUBMITTED TO

K.N.R UNIVERSITY OF HEALTH SCIENCES, WARANGAL

PARTIAL FULFILLMENT OF THE REQUIREMENT FOR

THE DEGREE OF MASTER OF SCIENCE IN NURSING

SEPTEMBER 2022

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 PROFORMA FOR REGISTRATION OF SUBJECT
FOR

DISSERTATION

1 NAME OF THE CANDIDATE G.SRAVANTHI

AND ADDRESS
1ST YEAR, MSC NURSING

2 NAME OF THE S.V.S COLLEGE OF NURSING,

INSTITUTION MAHABUBNAGAR.

3 COURSE OF STUDY AND MSC NURSING, 1ST YEAR,

SUBJECT MENTAL HEALTH NURSING.

4 DATE OF ADMISSION OF 04.04.2022

THE COURSE

5 “EFFECTIVENESS OF STRUCTURED
TITLE OF THE TOPIC TEACHING PROGRAMME ON
KNOWLEDGE ON HUMAN RIGHTS OF
MENTALLY ILL AMONG CAREGIVERS
OF MENTALLY ILL CLIENTS AT SVS
HOSPITAL,MAHABUBNAGAR,
TELANGANA”

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6.0 BRIEF RESUME OF THE INTENDED WORK

6.1 INTRODUCTION

“A right is not what someone gives you; its what no one can take from you’’

- Ramsey Clark

“Everyone has the right to a standard of living adequate for the health and wellbeing of

himself and of his family including food, clothing, housing, and medical care and necessary

social services and the right to security in the event of unemployment, sickness, disability,

widowhood, old age, or other lack of livelihood in circumstances beyond his control”

(Universal Declaration of Human Right,1991). All persons with a Mental illness, or who are

being treated as such persons, shall be treated with Humanity and respect for the inherent

dignity of the Human person. There shall be no discrimination on the grounds of

Mentalillness (UN Resolution, 2004).

It is not necessary to understand Human right. All the person are born free and equal

in dignity and right. Everyone is entitle to all the right and freedom set forth in the

international Human right without discrimination, such as the right to life, liberty, security of

person, privacy, health education, work, social security and to marry and found a family, yet

violations of Human Rights are a reality to be found in every corner of globe (Lawerence

Gostin, 2004).

Nearly 45 crore people are estimated to be suffering from Mental illness globally. The

strong stigma attached to Mental illness is a particularly disturbing factor which leads to a

discriminatory and unfair attitude towards those suffering from it. Thus it leads to the

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incorporation of Human Rights into the Mental illness (WHO, 2001). The protection of

Human Rights has defined the Human Rights to mean “the Rights relating to life, liberty,

equality and dignity of the individual guaranteed under the constitution or embodied in the

international covenants and enforceable by the courts in India” (Human Rights Act, 1993).

The standards for the protection of persons with Mental disabilities emphasizes that

all persons with Mental illness shall be treated with Humanity and respect. The Principles

stipulate that there shall be no discrimination on the grounds of Mental illness mainly the

right to exercise all civil, political. In case a person lacks legal capacity due to his or her

Mental illness any decisions related to the well-being of this person shall be made only after a

fair hearing by an independent and impartial tribunal established by domestic law (United

Nation’s Standard Rule, 1993).

Mental illnesses are the stuff that stigma is made of, and patients‟ Human Rights are

often violated (Sakshi Nanda, 2013). To protect the Human Rights of all Victorians, including

people who experience Mental health issues, and has been operating effectively in Victoria. It

promotes fairer outcomes by encouraging the Government to consider Human Rights when it

develops laws and policies, and ensuring that public authorities like public Mental health

services act consistently with consumers‟ Human Rights (Victorian Charter of Human Rights

and Responsibilities Act, 2006).

In Mind Brighton the people with Mental health problems are overlooked. We also

know that when people understand that they have Human Rights which are protected by the

law; this can give them the confidence and power. We hope that our latest guide will be

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valuable resource for advocates and individuals, helping to ensure people with Mental health

problems are treated with equal dignity and respect (Sanchita Hosali, 2001).

Basavaraja (2010) Conducted a descriptive study on knowledge regarding right of

Mentally ill among caregivers attending Madugiri camp, Bangalore .Conducted on a monthly

basis reveals that the caregivers have inadequate knowledge on Rights of Mentally ill. The

researcher recommends it is the role of nurse to educate the caregivers regardings the

Rightsof Mentally ill cleints.

Everyone has the basic Human Rights including those who are Mentally ill. Mentally

ill patient are one of the most vulnerable groups in society. It is the responsibility of the

caregivers to protect their Human Rights. In order to do so the caregivers must be aware of

Human Rights of Mentally ill clients. Incidence of violation of Rights of Mentally ill patient

canbe avoided if caregivers aware of them.

6.2 NEED FOR THE STUDY

‘’Mental illness is the only disease that can make you deny its own existence.

Certainly the idea that the brain can deny its own illness is a frightening thought’’.

-Natasha Tracy

Mental health today is recognized as an important aspects of one’s total status. It is a

basic factor that contributes to the maintenance of physical health as well as social

effectiveness.

In today’s practice person and family members are concern about their Rights. The

Mentally ill person usually are not able to protect their basic Rights due to impaired

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judgment. It is admitted on all hand that barring few expectations the Mentally ill person

deserve the same privileges as enjoyed by other Human beings. They include better and more

accessible care, to good recovery and increase hopes of integration in the society.

WHO statistics for 2002 showed that 154 million people globally suffered from

depression, which is a form of Mental illness. Globally, Mental illness has affected over

450million people and 80% of them live in middle and low income countries. In India, the

lifetime prevalence of Mental disorders range from 12.2% to 48.46%. In America 1 in 4

peoplesuffer from Mental illness. 1 out 7 Indians suffer from Mental disorder(2020).

The Ministry of Health and Family Welfare suggests that 6-7% of India’s population suffers

from Mental disorders with about 1% suffering from severe Mental disorders. Mental

illnesses like Schizophrenia and Bi-polar disorder are prevalent in about 200 cases per

10000people. The burden of these disorders is likely to increase to 15% by 2020.India has

about 197.3 million people suffering from Mental disorder(2020).While Telangana also has

the third highest incidence of anxiety disorders among 45.7 million people with depressive

disorders an 44.9 million with anxiety disorders in the country. There are many others

who do notmake it to the hospitals an are out there suffering from the disease and not aware

of it. There has to be a family member to support the person and it can be quite a challenge as

lack of awareness.

In India after the development of a National Mental Health Policy, The Mental Health

Act of 1987 and the establishment of the National Human Rights commission in 1994. There

is greater awareness about Mental health issues including Human Rights of Mentally ill in

India. The Mental health care bill 2013 was introduced by Rajya Sabha in August 2013

and

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following 134 official amendments, passed in August 2016 such as protecting the Rights

ofMentally ill, their families and careers.

Lived experience of male caregivers of Mentally Ill Rights. The study found that

caregiver needed to educate on Rights of Mentally Ill. They concluded that health care

professional develop tool on education and supportive service for men in this emerging role

and contribute to family health in community (May, 2002).

A descriptive study was conducted to assess the awareness of Human Rights among

care givers caring for Mentally Ill. 30 care givers were selected by convenient sampling

technique, used the self structured tool on Human Rights has 20 items. Descriptive and

inferential statistics analysis showed that 17(56.7%) were in inadequate knowledge, 12 (40%)

were in moderate adequate knowledge and 1(3.3%) were adequate knowledge. It concluded

that the majority of the care givers caring for Mentally Ill were inadequate knowledge (Al

Hamed. J. H, 2008).

Many hospital in India there are anecdotal reports of violent person with Mentally Ill.

The dignity of person with Mentally illness is not respected in Mental health institution itself

Sometimes they are found in condition which are deplorable for examination being kept

naked or in dirty or old clothes (District Mental Health Programme Report, 2013).

Rashmi Rohilla (2017) Conducted a experiMental descriptive study on knowledge

regarding Human Rights of Mentally Ill persons among adults at selected urban and rural

wardha. 100 sample selected by non-probability convenience sampling. The study conducted

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 that knowledge regarding Human Rights of Mentally Ill person is more among urban area

incomparison to rural area, hence the rural people need to be educated in this regard.

Twenty seven Mentally Ill people died within the early hours of August 6, 2001

whena fire engulfed the thatched roof of the Moideen Badhusha Mental Home at Erwadi, a

fishing village 27 k.m. south of Ramanathapuram town in southern Tamil Nadu in India.

They were stripped of dignity when they lived- chained, confined and ill treated. The manner

of their death was even worse, reminds us of Human Rights abuses that take place under the

guise of traditional medicine. A report from Turkey's psychiatric hospitals mentions the

horrific abuses where patients were subjected to raw electric shock as a form of punishment.

Electroconvulsive therapy (ECT) in these center’s is given without anaesthesia to treat a wide

range of illnesses in both adults and children. The education regarding Human Rights of

Mentally Ill towards the clients and caregivers is helpful.

6.3 STATEMENT OF THE PROBLEM

“ Effectiveness Of Structured Teaching Programme On Knowledge on Human Rights Of

Mentally Ill Among Caregivers Of Mentally Ill Clients at SVS Hospital, Mahabubnagar,

Telangana’’.

6.4 OBJECTIVES OF THE STUDY

 Assess the existing knowledge on Human Rights of Mentally Ill among caregivers

of Mentally Ill clients by conducting pre-test.

 Develop and implement structured teaching programme knowledge on

HumanRights of Mentally Ill among caregivers of Mentally Ill clients.

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  Evaluate the effectiveness of structured teaching programme on knowledge regarding

Human Rights of Mentally ill among caregivers of Mentally Ill clients by conducting

bypost-test.

 Determine the association between pre-test and post-test knowledge scores regarding

Human Rights of Mentally Ill among caregivers of Mentally Ill clients with their

selected demographic variables.

6.5 OPERATIONAL DEFINITIONS

Effectiveness

In this study it refers to desire change, which can be brought about by structured

teaching programme and is measured in terms of significant difference in level of

knowledge on Human Rights of Mentally Ill among caregivers of Mentally Ill clients after

structured teaching programme.

Structured Teaching Programme

In this study it refers to systematically planned information regarding Human Rights of

Mentally Ill among the caregivers of Mentally Ill client through lecture cum discussion.

Knowledge

In this study knowledge refers to information acquired by the caregivers through

the structured teaching programme regarding Human Rights or Mentally Ill

Human Rights

In this study it is pertaining to basic Rights of the patients with Mental illness.

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Mentally Ill

In this study it refers to all the individual suffering from Mental illness and client

attending both inpatient ward and outpatient clinic along with their caregivers at SVS

hospital, Mahabubnagar, Telangana.

Caregivers

In this study it refers to the person who take care of Mentally ill client and accompanying

them during data collection.

Clients

In this study, it refers to an individual designated to be a recipient of nursing service

health care situation.

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6.6 ASSUMPTIONS

 Caregivers of Mentally Ill clients possess inadequate knowledge on Human

Rights of Mentally Ill.

 Caregivers of Mentally Ill clients may be more interested to know about the Human

Rightsof Mentally Ill.

 Structured teaching programme will enhance the knowledge regarding Human Rights

of Mentally Ill among caregivers of Mentally Ill clients.

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6.7 HYPOTHESIS
H1- There will be significant difference between the pre-test and post-test level of

knowledge on Human Rights of Mentally ill among caregivers of Mentally Ill clients.

H2- There will be significant association between pre-test and post- test knowledge

scores on Human Rights of Mentally ill among caregivers of Mentally Ill

clients and with selected demographic variables.

6.8 REVIEW OF LITERATURE

The review of literature for the present study is organized as follows:

SECTION-A: Review of literature related to knowledge on Human Rights

of Mentally Ill among care givers.

SECTION-B: Review of literature related to effectiveness of structured teaching

programme on Human Rights of Mentally Ill among care givers.

SECTION-A: Review of literature related to knowledge on Human Rights

of Mentally Ill among care givers.

Dwight koriala, M Silwal, A Gurung, R.Gurung(2019) conducted a descriptive cross

sectional study to assess knowledge on Human Rights and myth of Mental illness among

community people at Kaski, Pokhara, Nepal.140 community people Ritthepani-27,

Non- probability convenient sampling technique was adopted to collect the Data.

Inclusion criteria included head of the family of the selected community who were

Willing to participate in the study. Data was collected through face to face interview using

a structured questionnaire. Results was found that 46.40% of the community people had

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inadequate knowledge regarding Human Rights of Mentally Ill patients. There was no

significant association between demographic variables and knowledge score of the

respondents. The study found that more than half of the respondents (51%) had belief that

Mental illness is not related to physical health. Likewise 36.4% believed Mental illness is

caused by supernatural power and evil and 30% believed that marriage can cure Mental

illness. Based on findings, it is concluded that the level of knowledge regarding Rights of

Mentally Ill patient is inadequate and there is a high prevalence of myths and

misconceptions related to Mental illness among the adult population. So, there is need to

conduct awareness raising activities in the community.

Nur Azia Zainuddin, Nur Adhibah Solihin Sulaiman (2021) Conducted a descriptive

cross sectional study on knowledge and attitudes regarding Human Rights of Mentally Ill

patient among nursing student at university sains Malaysia. By a simple random sampling

technique on 214 nursing students. The data were collected by a self-administered

questionnaire consisting of demographic variables, the knowledge and attitude regarding

Human Rights of Mentally Ill patients. The findings revealed that majority of nursing

students had good knowledge with percentage of 54.7% (n=117) and positive attitude with

percentageof 94.4%(n=202 regarding Human Rights of Mentally Ill patient. Increasing the

knowledge andattitude regarding Human Rights of Mentally Ill patient among future nurses

might help in better delivery of care as well as improving the quality of life of the patients.

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SECTION-B: Review of literature related to effectiveness of structured teaching
programme on Human Rights of Mentally Ill among caregivers

Baskaran M,I Syed Ummer, A Jayasudha(2019) Conducted a pre-experimental study is to

evaluate the effectiveness of structured teaching programme on Human Rights of Mentally Ill

among primary caregivers of Mentally Ill at Tertiary care hospital, Coimbatore Convenient

technique was used. The data was collected through structured questionnaire. Descriptive and

inferential statistics were used to analyse the data. Majority of the 17primary caregivers

(85%) had adequate knowledge and 3 primary caregivers (15%) had moderately adequate

knowledge regarding Human Rights of Mentally Ill. The results showed high significant level

with mean difference score of 23.55 and the ‘’t’’ value was 2.81(P<0.05).The study found

that structured teaching program helped the primary caregivers to increase there knowledge
on Human Rights of Mentally Ill.

Hrushikesh patil(2019) Conducted a quasi -Experimental study with evaluate research

approach to assess the effectiveness of a structured teaching programme on knowledge on

Human Rights of Mentally Ill among caregivers of Mentally Ill at selected

hospital,Chennai .The sample comprised of 60 caregivers of Mentally Ill who were selected

by using simple random sampling technique. Structured teaching programme was given to

the subjects. Data was collected using a self structured questionnaire. Data was analysed

using descriptive and inferential statistics. The results of the showed that majority caregivers

of Mentally Ill were having poor knowledge score. There was an improvement in the

knowledge of the caregivers of the Mentally Ill after providing structured teaching

programme on Human Rights of Mentally Ill.

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6.9 MATERIALS AND METHODS
This chapter gives a description of the research approach, research design,

variables, the setting of the study, population, sampling, research tool, methods of data

collection and plan for data analysis.

7.0 RESEARCH APPROACH

The study utilized quantitative approach selected for the study .

7.1 RESEARCH DESIGN

The research design selected for present study is one group pre test post test design.
From Pre-Experimental Research Design.

7.2 SOURCE OF DATA COLLECTION

Data will be collected from care givers of Mentally Ill clients at SVS

Hospital,Mahabubnagar, Telangana.

7.3 POPULATION

Population of present study comprises of care givers of Mentally Ill clients at

SVS Hospital, Mahabubnagar,Telangana.

7.4 SAMPLE SIZE

Caregivers of Mentally Ill. .For main study the sample size will be 40.

7.5 SAMPLING TECHNIQUE

In this study the researcher will be using convenient sampling technique.

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7.6 SAMPLING CRITERIA

Inclusion criteria

 The study includes care givers of mentally ill clients

 The care givers of mentally ill who are available during data collection
 The care givers of mentally ill clients who are willing to participate

Exclusion criteria
 The study excludes the care givers of mentally ill clients who are not addmitted at svs
hospital
 The care givers of mentally ill clients who are already have knowledge on human rights of
mentally illness
 The care givers of other medical diseases

7.7 METHODS OF DATA COLLECTION

After obtaining valid permission from the concerned honorable authority ,pre-test will

be conducted to assess the level of Human Rights of Mentally Ill among caregivers of

Mentally Ill clients .Followed by effectiveness of structured teaching programme regarding

Human Rights of Mentally Ill among caregivers of Mentally Ill clients .Concludes by post-

test results among caregivers of Mentally Ill clients.

To know the effectiveness of structured teaching programme on knowledge regarding

Human Rights of Mentally Ill among caregivers of Mentally Ill clients.

SECTION A: Demographic variables

SECTON B: Knowledge items on Human Rights of Mentally Ill.

7.8 DOES THE STUDY REQUIRE ANY STRUCTURED TEACHING

PROGRAMME ON KNOWLEDGE ON HUMAN RIGHTS OF MENTALLY ILL

AMONG CAREGIVERS OF MENTALLY ILL CLIENTS? IF SO PLEASE

DESCRIBE BRIEFLY.

Yes, the study will be conducted on Human Rights of Mentally Ill among caregivers

of Mentally Ill clients at SVS Hospital, Mahabubnagar, Telangana.

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7.9 HAS ETHICAL CLEARANCE BEING OBTAINED FROM YOUR
INSTITUTION

Yes, ethical approval has obtained from ethical committee.

8.0 PLAN FOR DATA ANALYSIS

The data will be analysed by means of descriptive and inferential statistics.

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8.1 REFERENCES

1. Barbara (2004). Psychiatric Mental Health Nursing.(4th edition). Philadelphia:

Lippincot.

2. Barker (2003).Psychiatric and Mental Health Nursing.(1st edition). London:

Published by Edward Arnold.

3. Frisch and Frisch (2002). Psychiatry Mental Health Nursing.(1st edition). New

Delhi: Jaypee publications.

4. Gail (2005). Principles and practice of Psychiatric nursing.(8th edition). NewYork

Mosby publications.

5. Gelder. M.G.(2003). New Oxford Textbook of Psychiatry. Volume-2. (1st edition).

New York: Oxford University Press.

6. Gertrude, K. (1991).Principles and practice of Psychatric nursing. (3rd edition).

New York : mosby publications.

7. Janes .A. Fain (2003). Reading Understanding and Applying Nursing

Research. (5th edition).Philadelphia: F.A. Davis company.

8. Keltneretal,(2003). Psychiatric Nursing. (4th edition) Misouri: Mosby publishers.

9. Lalitha. K.(2009). Mental Health and Psychiatric Nrsing.(1st edition).Bengaluru:

VMG Book house.

10. Mary Ann (2005). Psychiatric Nursing Contemporary practice. (3rd edition).

Philadelphia: Lippicott Publications.

11. Mary Varghese(2005).Essentials of Psychiatric Nursing.(2nd edition). New Delhi:

Jaypee Brothers Publications.

12. Morren Frissch (2006).Principles and Practice of Psychiatric Nursing.(2nd

edition).
NewYork Delmar Publishers.

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13. Rogers Poppeu (2000).Behaviour Relaxation Training and Assessment.

(2nd editon). NewYork: SAGE Publications.

14.Viyas(2008).Text Book of Post Graduate of Psychiatry. (2nd edition).New Delhi:

Jaypee Publishers.

15.Varma B.L.(2004).Biostatistics Perspective in Health Care Research And

Practice. (1st edition). New Delhi: Jaypee Publications.

16.Burns, N & Grove,S.K.(2006). Understanding Nursing Research.(2nd edition).

Philadelphia: W . B Saunders Company.

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9.0 Signature of the Candidate : G.SRAVANTHI

10 Remarks of the Guide :

11 Name and Designation of the Guide : Mrs.G.Kalpana,

Associate professor,
Mental Health Nursing Department,
S.V.S College Of Nursing,
Mahabubnagar, Telangana.

11.1Signature :

11.2Head of the Department : Mrs. Juby Philip,

Professor and
HOD
Mental Health Nursing Department,
S.V.S College Of Nursing,
Mahabubnagar, Telangana.

Signature :

Remarks of Chairman and Principal :

Signature of the Principal : Dr. N.Leena Madhura,

Principal,
S.V.S College of Nursing,
Mahabubnagar, Telangana.

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