Professional Documents
Culture Documents
By
REG.NO: 300220515502
In partial fulfillment
MASTER OF SCIENCE
IN
OCTOBER – 2022.
1
2
3
4
5
ACKNOWLEDGEMENT
“DON‟T THINK OF THE THINGS YOU DIDN‟T GET AFTER PRAYING THINK OF
The researcher express his almost thankfulness to the almighty and are blessed in so
many ways, many things we take for granted we should stop and be thankful each and every day.
With the blessings of His Holiness Bairavaikya Padmabushna Dr.Sri Sri Sri
Adichunchanagiri Mahasamsthana Mutt, Mandiya Dist., and Karnataka to undertake the course
Researcher consider her great pleasure to Honor Prof. Mrs. K. Kalaivani, M.Sc., (N)
Principal, Dharmarathnakara Dr. Mahalingam College of Nursing, for her inspiring support ,and
valuable guidance and encourage me to grab every opportunity along the way, to render this
study.
6
Paramedical Sciences and Research, for the constant motivation and support throughout the
study.
Investigator express her deep sense of gratitude to her guide Mrs.Lavanya,M.Sc., (N)
HOD of Child Health Nursing Dept., cum guide for her valuable support .It surely was a blast
because of your generous guidance for the researcher to complete the study in success.
Researcher express the great privilege to thank respected her class co coordinator
Dharmarathnakara Dr.Mahalingam College of nursing for her dedicated support and sincere
I the investigator of the study feel, it is bounden duty to express her deep sense of
gratitude to all the faculty members Mrs.Deepa,M.Sc., (N) HOD of Mental Health Nursing
Department,Mrs. Sri Deepa G, M.Sc., (N) HOD of Community Health Nursing department,
Mrs. Rathamani.R M.Sc., (N) HOD of Medical Surgical Nursing department, Mrs.Kalamagal
M.Sc.,(N) M.Phil, Lecturer of Psychiatric department, for their valuable guidance and
Department of statistics for their valuable help in statistical analysis of the study.
I render my special thanks to all the experts who had done content validity and give
I express my cordial gratitude to Mrs. T.S.Sumithra Devi, M.A., M.Phil. For her
7
I place on record of my sincere thanks to all faculty members of Dr.Mahalingam College of
nursing who helped me directly and indirectly to complete this task successfully
Asst.Librarian and Mrs.Sasikala, Computer lab I/C for their timely help during the study.
I would like to express my thanks to the Study Participants for their cooperation and
I also express heartfelt gratitude to my Husband and parents Mr.Baskar, Mr.Palani and
Mrs.Uthrakumari for their love, support and encouragement and moral support throughout the
course of my study.
My heartful thanks to my dearest classmates, friends and all well-wishers for their help and
Last but not least I extend my sincere thanks to the participants of this study for their
cooperative in their endeavor without this project would have been a dream
8
TABLE OF CONTENT
SL.NO PAGE.NO
CHAPTER
I INTRODUCTION 1
II REVIEW OF LITERATURE 12
III METHODOLOGY 14
V DISCUSSION 46
VI SUMMARY,CONCLUSION, RECOMMENDATIONS 50
VII BIBLIOGRAPHY 56
VIII ANNEXURE 61
9
LIST OF TABLES
Table PAGE
TITLE
No. NO.
10
LIST OF FIGURES
Figure PAGE
TITLE
No. NO.
1.
Conceptual framework based on modified J W Kenny‘s general
9
system model
2.
Schematic Representation of the Research Design 27
11. Simple bar diagram showing the distribution of pretest and post test
level of knowledge regarding siblings rivalry and its prevention 44
among mothers of under five children
12.
Simple bar diagram showing the distribution of Effectiveness of
45
information booklet on knowledge regarding siblings rivalry and its
11
prevention among mothers of under five children
12
LIST OF ANNEXURES
Annexure
CONTENT
No.
III Letter requesting opinion and suggestion of experts to validate the tool
VI List of experts
VIII Photographs
13
LIST OF ABBREVIATIONS
and Research
H2 Research hypothesis
No Number
P Probability
Prof. Professor
S Significant
2
Chi-Square Test
% Percentage
R Reliability
Fig Figure
N Total number of samples
14
ABSTRACT
OBJECTIVES:
To assess the pretest and post test knowledge regarding siblings rivalry and its prevention
To evaluate the effectiveness of information booklet regarding sibings rivalry and its
To find out the association between pretest level of knowledge regarding siblings rivalry
and its prevention among mothers and with their demographic variables.
RESEARCH HYPOTHESIS:
H1: There is a significant difference between pretest and posttest of knowledge regarding
H2: There is a significant association between the pretest knowledge score regarding
siblings rivalry and its prevention among mothers and their demographic variables.
15
RESEARCH DESIGN AND METHOD:-
One group pretest and posttest design was used for the present study. Sample consisted of
60 mothers in pre experimental groups. The sample was selected for this study by using simple
random sampling technique, descriptive statistics (frequency, percentage, mean and standard
deviation) and inferential statistics (chi-square, paired ―t‖ test) used to analyses the data and to
test hypothesis.
In the pretest, 46(76.7%) had poor knowledge and 14(23.3%) had average knowledge
and in the post test after the intervention, 38(63.3%) had good knowledge and 22(36.7%) had
average knowledge regarding siblings rivalry and its prevention among mothers of under five
children.
The study shows that the pretest mean score of knowledge among mothers of under
five children regarding siblings rivalry and its prevention was 4.92±1.79 and the post test mean
score was 16.60±2.30. The mean difference score was 11.68 with mean difference percentage
58.4%. The calculated student paired ‗t‘ test value of t = 31.371 was found to be statistically
significant at p<0.001 level which infers that information booklet on knowledge regarding
siblings rivalry among the mothers of under five children was found to be effective in the
improving the level of knowledge in the post test.
The findings shows that the demographic variables family type (2=5.963, p=0.015) and
number of children (2=6.145, p=0.013) had shown statistically significant association with post
test level of knowledge regarding siblings rivalry and its prevention among mothers of under five
children at p<0.05 level. The other demographic variables did not show statistically significant
association with post test level of knowledge regarding siblings rivalry and its prevention among
mothers of under five children.
16
CONCLUSION
The results showed that there was effective increase in the level of knowledge regarding
17
INTRODUCTION
18
CHAPTER- 1
INTRODUCTION
“Education is the most power full weapon which you can Use to Change the world.”
Children are always the only future the human race has taught them well. ―The only
person who is educated is the one who has learned how to learn and change―. (carl.Rogers)
The real joy and become more enjoyable if the source of all these comes children. ―Give
them a conscious understanding of how power full and important and valuable and perfect they
are‖ (Lucy).
A child is the most precious gift to mankind who is most loved and perfect in its
innocence. Parents and children are affected by many problems and sibling rivalry is one among
them. Sibling rivalry is defined as the competition between siblings for the love, approval and
attention from one or both parents, which is usually present among siblings to some extent.
According to a survey conducted in India, as long as there is more than one child in the house,
sibling rivalry is unavoidable. Sibling rivalry has seen to be affecting about 30-60 % of children
worldwide . It is estimated 4 million children aged between 0-5 years suffer from competition
from the siblings, neglect rivalry and sibling abuse . The behaviours such as jealousy, fighting,
teasing, kicking, hitting, biting, meanness and competitiveness is seen among brothers and sisters
. Children compete with each other for their parent‘s attention and affection. The symptoms and
signs typically start early in the life and 20-30% of these children may continue to have such
symptoms into adulthood. Sibling rivalry is particularly heightened when children are very close
in age and of the same gender or where one child is intellectually possessed .
The risk factors for development of sibling rivalry in children are – competition between
children to show off their talent, when they try to prove themselves as unique individuals in their
activities and interest, when they feel that they are separate from their siblings, when they feel
that are getting unequal amount of parent‘s attention, discipline and responsiveness, when they
feel that their relationship with their parents are threatened by the arrival of a new baby, which
results in jealousy, when the amount of
1
time and attention that the parents can give the child becomes less [6] . Parents can reduce the
opportunity for rivalry by refusing to compare, teaching the children positive ways to get
attention from each other and from the parent. Planning fun and family activities together and
making sure each child has enough time and space of their own, encouraging team works,
avoiding favoritism and comparisons, giving freedom to handle problem and taking away the
child out of the situation which literally helps the child to calm down and sets off his thinking
process. It is essential to help children to overcome sibling rivalry. Sibling rivalry intense
competition among siblings for recognition and the attention of their parents. Sibling rivalry
normally begins when a baby is introduced to a family and the older siblings fears the baby will
replace him or her. The older child may become extremely jealous and display aggressive
behavior towards the younger child.This regressive behavior is considered the older childs way
to try and re-estabilish himself in a dependent role with its parents. As the children grow sibling
rivalry can lead to extremely competitive or aggressive behavior. Sibling rivalry is by no means
universal or inevitable but seems to depend in part upon how parents balance the sometimes
competing needs of off spring. The parents, especially the mother plays a key role in bringing up
the child. If they have the adequate knowledge, they will be able to manage the sibling rivalry in
children effectively, thereby bring their children up with a healthy sibling relationship. Thus the
investigators conducted a study to assess the knowledge regarding sibling rivalry in children
among mothers.
2
NEED FOR THE STUDY
“Children‟s are priceless resource and that any nation which neglects then
-Andy Rooney.
Sibling rivalry is a predictable ,normal and healthy response to the birth of a new brother
or sister. In most families it demonstrates that the older child is appropriately attached to the
parents and is responsive to a perceived threat to the parent-child relationships. It is normal
response to having your places as the baby of the family usurped. In this context the emergence
of behavior that reflects sibling rivalry should be viewed positively. Ambience toward the baby
as evidenced by an ongoing shift between positive and negative behavior is to expected.Indeedits
absence may be worrisome. Sibling rivalry is not a disease, but a manifestation of psychological
health.
Jennifer Shroff Pendley about sibling rivalry while many kids are luky to become the
best of friends with their siblings, its common for brothers and sisters to fight. Often sibling
rivalry starts even before the second child is born and continues as the kids grow and compete
3
for everything from toys to attention. As kids reach different stages of development, their
evolving needs can significantly affect how they relate to one another. It can be frustrating and
upsetting to watch and heart your kids fight with one another. A household that‘s full of conflict
is stressful for everyone. Yet often its hard to know how to stop the fighting, and or even whether
you should get involved at all. But you can take step to promote peace in your household and
help your kids get along.
Dunn and Kendrick report gains in the older childs independence and mastery
particularly with regard to self-help skills (eg. dressing and feeding).The child may gain new
skills and a growing sense of competency through participation in her babys care. The older
sibling may try out new ways of dealing with the little stranger, such as initiating and
maintaining interactions in which she bears the burden of greater understanding. She will learn to
laugh, play games and imitate. This is an opportunity for growth if such behavior is understood
and supported.
4
STATEMENT OF THE PROBLEM
OBJECTIVES:
To assess the pretest and post test knowledge regarding siblings rivalry and its prevention
among mothers.
To evaluate the effectiveness of information booklet regarding siblings rivalry and its
To find out the association between pretest level of knowledge regarding siblings rivalry
and its prevention among mothers and with their demographic variables.
RESEARCH HYPOTHESIS:
H1: There is a significant difference between pretest and posttest of knowledge regarding
H2: There is a significant association between the pretest knowledge score regarding
siblings rivalry and its prevention among mothers and their demographic variables.
5
OPERATIONAL DEFINITION:
EVALUATE:
EFFECTIVENESS:
In this study, it refers to the extent to which information booklet knowledge regarding
siblings rivalry and its prevention among mothers has achieved the desired effect as evident from
KNOWLEDGE:
level of understanding of mothers about sibings rivalry and its prevention, which is measured by
SIBLINGS RIVALRY:
Sibling rivalry describes the ongoing conflict between kids raised in the same
family.Ccompetition between siblings especially for the attention, affection, and approval of
their parents .
Prevention of sibling rivalry: It means to prevent siblings while conflict raised in the same
MOTHERS:
6
ASSUMPTION
LIMITATION:
o The study was under whose mother has more than 2 childrens.
7
CONCEPTUAL FRAME WORK
The conceptual frame work of the present study was sibling rivalry developed by the
investigation based.
INPUT
It is defined as any information or matter that enters into the system. In this study the
Investigations assess the demographic variables and pre-test level of knowledge regarding
THROUGHPUT
It is the process, by which a system transforms or creates and organizes input, resulting in
The information received from the information booklet on sibling rivalry and its
OUTPUT
It is the end product of a system. It is the energy, matter or information given out by the
system as a result of its processing. If refers the attainment of adequate knowledge regarding
sibling rivalry and its prevention among mothers. The investigation asses the post-test level of
8
Information booklet conceptual Frame Work Based on Modified JW KENNY‟S General System Model
Reassessment / reinforcement
9
CHAPTER – II
REVIEW OF LITERATURE
Review of the literature‖ is a written summary of journal articles, books and other
documents that describes the past and current state of information, organizes the literature
―An account of what has been published by accredited scholars and researches‖
(Taylor, 2011).
Literature review are an important part of research and should be treated as such
10
Literature related to siblings rivalry:
Bindhiya. B. Nair, et al., (2016), conducted a study among 32 parents of children under
five years with non probability convenience sampling technique. The data were collected
using self prepared knowledge questionnaire and attitude scale on sibling rivalry and its
prevention. Findings: The study revealed that the most of the parents (46.9%) were in the
age group of 26-30 year and (40.6%) aged above 30 years. Most of the parents (34.4%)
were having higher secondary education and 28.1% have graduation. Most of them
45.5% had a boy child and a girl child. Among 32 parents 65.6 % had average knowledge
regarding sibling rivalry and its prevention. More than half of the parents 53.1% had
positive attitude towards sibling rivalry and its prevention. There was no significant
association between knowledge and selected demographic variables. Positive correlation
was found between knowledge and attitude regarding sibling rivalry and its prevention.
Conclusion: Researcher concluded that most of the parents had average knowledge and
each one had different views about sibling rivalry and its management. Educational
interventional programme have to be implemented in the community as well as clinical
setting to improve the knowledge of mothers.
11
used to assess the knowledge of mothers regarding sibling rivalry in a selected
hospital of Mangaluru. Non probability purposive sampling technique was used to
select 100 mothers. Data was gathered using the structured knowledge
questionnaire on sibling rivalry. Data was analyzed using descriptive and
inferential statistics. Results: The study result showed that 50% of mothers had
inadequate knowledge and remaining 50% had moderately adequate knowledge
regarding sibling rivalry. There was no significant association found between the
knowledge scores and the selected demographic variables of the mothers.
Conclusion: The study concluded that half of the study sample had inadequate
knowledge and the other half had moderately adequate knowledge on sibling
rivalry.
M. Nithyapriya R,et al., (2019),conducted a study was aimed to see the
effect of Parental Empowerment Programme (PEP) on knowledge regarding
handling sibling rivalry among mothers of children with age group of 3-12 years.
Material & Methods: Pre-experimental research design was adopted to evaluate
the effectiveness of Parental Empowerment Programme (PEP) on knowledge
regarding handling sibling rivalry among 100 mothers of children with age group
of 3-12 years in selected areas by using nonprobability convenient sampling
technique, data collected by interview method with the help of structured
questionnaire. Results: The study results shown that 61% of mothers had
inadequate knowledge and 39% were in moderately adequate knowledge during
pre-test and in post-test, after implementation of Parental Empowerment
Programme (PEP) 100% of mothers gained adequate knowledge in selected areas.
Which was statistically highly significant at p-value is <0.001.The study findings
reveals that the Parental Empowerment Programme (PEP) was effective, to bring
out change in the knowledge regarding handling sibling rivalry.
12
selected by convenience sampling technique. The design used was descriptive research
design with quantitative approach. The tool used for the study was, structured knowledge
questionnaire. The finding of the study shown that, among 30 samples 11 (36.66%) had
an average knowledge and 19 (63.34%) had good knowledge regarding sibling rivalry.
Among 30 mothers, 53.3% did not have any previous knowledge regarding sibling
rivalry.Majority of the samples (66.6%) were Christians and remaining were Hindu.
Among 30 samples, 19 (63.3%)were professionals and only 3.33% sample had primary
education. Majority of samples 21 (60%) lives in joint family and the rest 12 (40%) has
belong to nuclear family. There is no significant relationship between
mothers‘knowledge and selected demographic variables at 0.05% level of significance.
13
CHAPTER – III
METHODOLOGY
RESEARCH METHODOLOGY
Methodology of research organizes all the components of the study in a way that
is most likely to lead valid answer to the problem that have been posed.
which the researcher starts from initial identification of the problems to final conclusions.
study, Reliability and validity of tool, Ethical consideration, Data Collection and plan for
data analysis.
RESERCH APPROACH:
distinctive point between deductive, in-deductive approach and evaluative approach. The
research approach adopted for this study is a Quantitative research approach (Evaluative
14
RESEARCH DESIGN:
The research design is a detailed outline of how an investigation will take place.
A research design will typically include how data is to be collected and how the
instruments will be used and the intended means for analyzing data collected.
Quasi experimental research design (One group pretest and posttest design).
Experimental
O1 X O2
Group
X –Intervention
VARIABLES:
15
INDEPENDENT VARIABLES:
In this study is information booklet on siblings rivalry and its prevention among
mothers.
DEPENDENT VARIABLES:
Dependent variable is the response, outcome that the researcher wants to predict
or explain the changes in the dependent variables that are presumed to be caused by the
Independent variables.
Dependent Variables are study refers to knowledge regarding siblings rivalry and
DEMOGRAPHIC VARIABLES:
In this study it refers to demographic variables such as age, sex, education, type of
family, education status of father and mother, occupation status of the father and mother,
among mothers.
POPULATION:
The population selected for this study included the mothers of children
SAMPLE:
In this study it was conducted for mothers whose having more than one child.
16
SAMPLE SIZE:
In the study, the sample size comprised of 60 samples of mothers with two
SAMPLING TECHINIQUES:
NON PROBABLITY:
Purposive random sampling technique (Lottery method) was used to mothers(IP
and OPD) Dr.Mehta Hospital global campus chennai..
INCLUSIVE CRITERIA:
Mothers who have at least 2 children with under five year
Who are willing to participate
Mothers who are available at the time of data collection
EXCLUSIVE CRITERIA:
17
DATA COLLECTION TECHNIQUE
Information booklet schedule will be used to collect the personal variables and
observation techniques was used to assess the knowledge of mothers regarding siblings
rivalry.
Section II: Siblings rivalry and its prevention was assessed through information
booklet
Questionnaires method.
questions. Each correct answer was given a score of one and each wrong answer was
given a score of zero. The total possible score was twenty . The level of knowledge was
categorized as follows:
18
MARKS PERCENTAGE LEVEL OF KNOWLEDGE
RELIABILITY
is supposed to be measured.
The reliability of the tool was established by implementing the tool on sibling
rivalry knowledge and prevention among mother in quasi experimental groups. The
reliability of the instrument was tested with karl Pearson‘s Co-relation coefficient
VALIDITY
Validity of the instrument was given by the experts in the field of pediatric nursing and
by medical guide and the instrument was further modified as per as the recommendation
of the Nursing Experts and finalize with experts opinion and with consecration of guide.
19
PILOT STUDY:
A small scale version of the trial run. Pilot study was conducted to evaluate the
flexibility and reliability of the study. The pilot study was conducted in Billroth hospital
chennai .6 samples were taken after obtaining permission from the respected hospitals
and prior information was given to the participants regarding the study. The result of the
After completion of the pilot study, written permission was obtained from Dr.
Mehta‘s hospital Chennai. The feasibility of conducting research was ensured. After
obtaining consent from each samples data collected by using questionnaire method. The
study was conducted in 6 weeks. Data was collected after obtaining permission from the
respected hospital authorities. Data was collected through demographic profile and
questionnaire method. Pretest of sibling rivalry among mother knowledge scores was
knowledge and its prevention among mother posttest of sibling rivalry among mother
data
20
2. Differential Means score For analysing the
difference.
difference in
knowledge
chi Square test
between pre-test
post-test.
association
of knowledge in
demographic
variables.
21
PLAN FOR DATA ANALYSIS SCHEMATIC PRESENTATION OF
RESEARCH DESIGN OF THE STUDY
PHASE I
Preparation of the
Population of
information booklet
Mothers
Preparation of tools
Content validity Testing,
Sampling technique: non reliability of the tool
probability stratified
random sampling method. PHASE II
Pretest:
Study subjects 60 Assessing knowledge
mothers in selected sibling rivalry
hospital. knowledge and its
preventionamong
mothers
Administration of information
booklet on sibling rivalry
knowledge and its prevention
PHASE III among mothers
Posttest:
Evaluation comparison of
pretest & post test score
22
DATA ANALYSIS AND INTERPRETATION
23
CHAPTER – 4
The analysis is a process of organizing and synthesizing the data in such a way
that the research questions can be answered and the hypotheses are tested.
This chapter deals with the analysis and interpretation of the data collected from
60 mothers of under five children to evaluate the effectiveness of information booklet on
knowledge regarding sibling rivalry and its prevention among mothers of under five
children at Dr. Mehta hospital, Global Campus. The data was organized, tabulated and
analyzed according to the objectives. Data analysis begins with description that applies to
the study in which the data are numerical with some concepts. Descriptive statistics
allows the researcher to organize the data and to examine the quantum of information and
inferential statistics is used to determine the relationship.
24
SECTION A: DESCRIPTION OF THE DEMOGRAPHIC VARIABLES OF
MOTHERS OF UNDERFIVE CHILDREN.
N = 60
Age
Above 30 22 36.7
26 – 30 yrs 19 31.7
21 – 25 yrs 14 23.3
18 – 20 yrs 5 8.3
Religion
Hinduism 26 43.3
Christian 19 31.7
Muslim 13 21.7
Others 2 3.3
Residence
Rural 19 31.7
Urban 41 68.3
Tribal - -
Family type
25
Demographic Variables No. %
Joint 48 80.0
Nuclear 12 20.0
Economic status
Educational status
Undergraduate 43 71.7
Number of children
1 - -
2 51 85.0
3 9 15.0
Above 3 - -
Yes 2 3.3
26
Demographic Variables No. %
No 58 96.7
Source of information
Internet 2 3.3
Books - -
Peer information - -
None 58 96.7
Occupation of mother
Housewife 14 23.3
The table 1 shows that most of the mothers were aged between 26– 30 years
19(31.7%) ,21–25 years 14(23.3%),18– 20 years 5(8.5%) and above 30yrs 22(36.7) and
most of them were Hindus 26(43.3%) were residing in urban area, 41(68.3%) were
undergraduate 43(71.1%) were working women 46(76.7%) belonged to joint family,
48(80%) had family income per month above 20,000 28(46.7%) 58(96.7%) had no
previous knowledge regarding sibling rivalry.
27
Percentage distribution of age of mothers of under five children
Above 30 yrs
21 – 25 yrs
26 – 30 yrs
18-21 yrs
8.3%
36.7%
23.3%
31.7%
28
Percentage distribution of religion of mothers of under five children
3.3% Hinduism
Christian
Muslim
21.7%
Others
43.3%
31.7%
29
Percentage distribution of residence of mothers of under five children
Rural
0.0%
Urban
31.7%
Tribal
68.3%
30
Percentage distribution of family type of mothers of under five children
Joint
20% Nuclear
80%
31
Percentage distribution of economic status of mothers of under five children
Rs.5000 – 10000
Rs.10000 – 20000
Rs.20000 – 30000
13.3% 15.0%
Above Rs.30000
25.0%
46.7%
32
Percentage distribution of educational status of mothers of under five children
Higher secondary
5.0% Undergraduate
Post graduate
23.3%
71.7%
33
Percentage distribution of number of children of mothers of under five children
0% 0%
15% 1
2
3
Above 3
85%
34
Percentage distribution of previous knowledge regarding sibling rivalry among
mothers of under five children
3.3%
Yes
No
96.7%
35
Percentage distribution of source of information among mothers of under five
children
0.0% Internet
3.3%
0.0% Books
Peer information
None
96.7%
36
Percentage distribution of occupation of mothers of under five children
Housewife
Working women
23.3%
76.7%
37
SECTION B: ASSESSMENT OF LEVEL OF KNOWLEDGE REGARDING
SIBLINGS RIVALRY AND ITS PREVENTION AMONG MOTHERS OF
UNDERFIVE CHILDREN.
Table 2: Frequency and percentage distribution of pretest and post test level of
knowledge regarding siblings rivalry and its prevention among mothers of under
five children.
N = 60
The table 2 shows that in the pretest, 46(76.7%) had poor knowledge and
14(23.3%) had medium knowledge and in the post test after the intervention, 38(63.3%)
had average knowledge and 22(36.7%) had medium knowledge regarding siblings rivalry
among mothers of under five children.
38
Percentage distribution of pretest and post-test level of knowledge regarding
sibling‟s rivalry among mothers of under five children
100
Pretest
90
76.7
80
70 63.3
Percentage
60
50
36.7
40
30 23.3
20
10
0 0
0
Inadequate Moderately Adequate Adequate
Level of Knowledge
39
SECTION C: EFFECTIVENESS OF INFORMATION BOOKLET REGARDING
SIBLINGS RIVALRY AMONG MOTHERS OF UNDERFIVE CHILDREN.
N = 60
Knowledge Mean
Paired ‘t’ test &
Test Difference &
Mean S.D p-value
%
***p<0.001, S – Significant
The table 3 depicts that the pretest mean score of knowledge among mothers of
under five children regarding siblings‘ rivalry was 4.92±1.79 and the posttest mean score
was 16.60±2.30. The mean difference score was 11.68 with mean difference percentage
58.4%. The calculated student paired ‗t‘ test value of t = 31.371 was found to be
statistically significant at p<0.001 level which infers that information booklet on
knowledge regarding siblings rivalry among the mothers of under five children was found
to be effective in the improving the level of knowledge in the post test.
40
Boxplot showing the effectiveness of information booklet on knowledge regarding
siblings rivalry among mothers of underfive children
41
SECTION D: ASSOCIATION OF PRETEST LEVEL OF KNOWLEDGE WITH
SELECTED DEMOGRAPHIC VARIABLES.
N = 60
Age
Above 30 2=4.458
17 28.3 5 8.3
d.f=3
26 – 30 yrs 15 25.0 4 6.7
p = 0.216
21 – 25 yrs 12 20.0 2 3.3
N.S
18 – 20 yrs 2 3.3 3 5.0
Religion
Hinduism 2=1.587
19 31.7 7 11.7
d.f=3
Christian 16 26.7 3 5.0
p = 0.662
Muslim 10 16.7 3 5.0
N.S
Others 1 1.7 1 1.7
Residence
2=1.057
Rural 13 21.7 6 10.0 d.f=1
Urban p = 0.304
33 55.0 8 13.3
42
Medium Average Chi-Square &
Demographic Variables
No. % No. % p-Value
Tribal - - - - N.S
Joint d.f=1
40 66.7 8 13.3
p = 0.015
Nuclear
6 10.0 6 10.0
S*
Economic status
Educational status
2=0.930
Higher secondary 12 20.0 2 3.3 d.f=2
N.S
Post graduate 2 3.3 1 1.7
Number of children
2=6.145
1 - - - - d.f=1
S*
3 4 6.7 5 8.3
43
Medium Average Chi-Square &
Demographic Variables
No. % No. % p-Value
Above 3 - - - -
Previous knowledge
2=0.630
regarding sibling rivalry
d.f=1
Yes 2 3.3 0 0 p = 0.427
Source of information
Internet 2=0.630
2 3.3 0 0
d.f=1
Books - - - -
p = 0.427
Peer information - - - -
N.S
None 44 73.3 14 23.3
Housewife d.f=1
11 18.3 3 5.0
p = 0.847
Working women 35 58.3 11 18.3
N.S
The table 4 shows that the demographic variables family type (2=5.963,
p=0.015) and number of children (2=6.145, p=0.013) had shown statistically significant
association with posttest level of knowledge regarding siblings rivalry among mothers of
under five children at p<0.05 level. The other demographic variables did not show
statistically significant association with posttest level of knowledge regarding sibling‘s
rivalry among mothers of under five children.
44
CHAPTER V
DISCUSSION
45
CHAPTER V
DISCUSSION
This chapter deals with the discussion of the study with appropriate literature
review, statistical analysis and findings of the study is based on the objectives of the
study. The aim of the present study was to evaluate the effectiveness of information
booklet on Sibling rivalry knowledge and its prevention among mother in Dr .Mehta
hospital global campus Chennai. A total 60 Samples were selected by using simple
random sampling method. Pre-test was conducted by using questionnaires for all
subjects.
OBJECTIVES
To assess the pretest and posttest knowledge regarding siblings rivalry and its
To find out the association between pretest level of knowledge regarding siblings
rivalry and its prevention among mothers and with their demographic variables.
46
OBJECTIVES:
To assess the pre-test and post-test knowledge regarding siblings rivalry and
Based on the above objective of the study was to assess the knowledge on
sibling rivalry among mother and there is a significant increase in the post test knowledge
1) In pre-test knowledge on sibling rivalry, out of 60 mothers The shows that in the
pre-test, 46(76.7%) had poor knowledge and 14(23.3%) had average knowledge
2) In the post test after the intervention, 38(63.3%) had good knowledge and
under five children. It shows that information booklet was effective to improve
In the pretest mean score of knowledge among mothers of under five children
regarding siblings rivalry was 4.92±1.79 and the posttest mean score was 16.60±2.30.
The mean difference score was 11.68 with mean difference percentage 58.4%. The
calculated student paired ‗t‘ test value of t = 31.371 was found to be statistically
significant at p<0.001 level which infers that information booklet on knowledge
regarding siblings rivalry among the mothers of under five children was found to be
effective in the improving the level of knowledge in the post test.
47
To find out the association between pre-test level of knowledge regarding
sibling rivalry and its prevention among mother and with their demographic
variables.
The findings illustrated that the demographic variables family type (2=5.963,
p=0.015) and number of children (2=6.145, p=0.013) had shown statistically significant
association with pretest level of knowledge regarding siblings rivalry among mothers of
under five children at p<0.05 level. The other demographic variables did not show
statistically significant association with pretest level of knowledge regarding siblings
rivalry among mothers of under five children.
48
CHAPTER VI
49
CHAPTER VI
SUMMARY
This chapter provides the summary about the present study. The main aim was to
sibling rivalry and its prevention among mother .The study was conducted in Dr. Mehta
OBJECTIVES
To assess the pretest and posttest knowledge regarding siblings rivalry and its
To find out the association between pretest level of knowledge regarding siblings
rivalry and its prevention among mothers and with their demographic variables.
REVIEW OF LITERATURE
50
THE INSTRUMENT WAS ORGANIZED INTO TWO PARTS
method
The sample selected for this study by using Stratified random sampling
and inferential statistics (chi- square test, paired‘ test. Based on the objectives of the
study was to assess the knowledge regardingsibling rivalry among mother the findings of
the pre-test study and there is a significant increase in post-test knowledge score after the
samples 0(0%) of them had inadequate knowledge where 38(63.3%) of mothers had
shows that that information booklet was effective to improve the knowledge level of
mothers
There was a significant increase in the knowledge regarding sibling rivalry among
51
The findings illustrated that the pretest mean score of knowledge among mothers
of under five children regarding siblings rivalry was 4.92±1.79 and the posttest mean
score was 16.60±2.30. The mean difference score was 11.68 with mean difference
percentage 58.4%. The calculated student paired ‗t‘ test value of t = 31.371 was found to
be statistically significant at p<0.001 level which infers that information booklet on
knowledge regarding siblings rivalry among the mothers of under-five children was
found to be effective in the improving the level of knowledge in the post test.
CONCLUSION
On the basis of findings of the study the following conclusions were drawn. The
implications are given on the various aspects like nursing education, nursing practice,
pretest whereas the knowledge level had increased during the post test.
regarding sibling rivalry and its prevention. There is a significant difference between the
pretest knowledge scores which was teaches by using paired ‗t‘ test. The mean difference
reveal that the effectiveness of information booklet was more when compared to the
pretest knowledge.
NURSING EDUCATION
mother regarding sibling rivalry and its prevention. Therefore, the mother of under-five
52
NURSING PRACTICE
An implication for nursing practice from the study is to improve the knowledge
regarding sibling rivalry among mother. Educate the mothers regarding sibling rivalry
NURSING ADMINISTRATION
camps in hospital and hospital regarding the management of mother with sibling rivalry
which includes general knowledge of sibling rivalry and its prevention among mothers.
NURSING RESEARCH
A profession seeking to improve the practice of its members and to enhance its
professional stature strives for the continuous development of the relevant body of
NURSING IMPLICATIONS
The findings of this study have brought out certain facts that have far-reaching
implication for nursing in the area of practice, education, administration and research.
53
RECOMMENDATIONS
54
BIBLIOGRAPHY
55
BIBLIOGRAPHY
List of Reference
BOOKS:
Elsevier publication.
LWW.
7) Indrani T.K. (2003). FIRST AID FOR NURSES. New Delhi: Jaypee brothers
Medical Publication.
8) Jilendar P Vij. (2003). FIRST AID FOR NURSES. Noida: Jaypee Brothers
Medical Publication.
Elsevier publication.
Saunders publications.
56
12) Nelson. (2010). ESSENTIALS OF PEDIATRICS. Kundli: Elsevier.
13) Parul Dutta. (2009). PEDIATRIC NURSING. New Delhi: Jaypee brother‘s
medical publication.
14) Radhawa. (2012). FIRST AID AND PERSONAL HYGIENE. Jalandhar City:
Jaypee brothers.
PVT Limited.
20) SundarRao. (2006). Introduction to biostatistics and research method. New Delhi:
Haryana: Elsevier.
57
JOURNALS:
MedicalScience.13, 35-38.
2. Artemio, L. (2011). Child-to-child school health program (CtC SHP). Its impact
3. Baser, M., et al., (2007). Evaluating first aid and knowledge, attitudes of Furkish
7. Lalitha, K., & Kevin Ruther, G.A. (2014). A study to assess the effectiveness of
and control of Road Traffic Accident among male students in a selected college at
86.
8. Lamb, R. (2006). The life skills program, Journal of injury prevention, 12, 161 -
165.
58
9. Manoj Kumar. (2014).Awareness and Practices on Road Safety among Students
11, 54-59.
10. Martin, C.B. (2008). Epidemiological analysis of first aid services, Journal of
13. NilambarJha, et al., (2003) Injury pattern among road traffic accident cases: A
Study from South India, Indian Journal of Community Medicine, 29, 22-26.
14. Singer, A.J. (2004). Paediatric first aid knowledge, Paediatric Emergency Care,
20, 808-811.
WEBSITES:
www.pubmed.com
www.google.com
www.yahoo.com
59
ANNEXURE
60
ANNEXURE
LIST OF EXPERTS
Chennai.
2)Dr.Manoj kumar.D.,MBBS,DCH
chennai
3) DR.S.Suganthi RN,RM,M.sc(N).pH.D
Chennai
4) .MRS.Dr.Mary metilda.S.Msc(N),Ph.D,
Principal
chennai
Principal
Thiruvallur
6) Mr.Venkataraman MSC,HDSM,PGDBS
Statistician
61
62
63
64
65
66
67
68
69
70
71
72
73
74
75
RESEARCH INSTRUMENT (ENGLISH)
PART-A
Instruction
Please read the question carefully and put a tick ( ) and indicated the response that u
chose against the space provided
DEMOGRAPHIC VARIABLES
1. Age
a) Above 30
b) 21-25 yrs
c) 26-30 yrs
d) 18-20 yrs
2. Religion
a) Hinduism
b) Christian
c) Muslim
d) Other
3. Residence
a) Rural
b) Urban
c) Tribal
76
4. Family type
a) Joint
b) Nuclear
5. Economic status
a) Rs5000-10000
b) Rs10000-20000
c) Rs20000-30000
d) AboveRs30000
6. Educational status
a) Higher secondary
b) Under graduate
c) Post graduate
7. Number of children
a) 1
b) 2
c) 3
d) Above 3
9. Source of information
a) Internet
b) Books
77
c) Peer information
d) None
TOOLS
SECTION - B
1. What is siblings?
a) Brothers & sisters
b) Friends
c) Parents
78
b) Attention seeking
c) All of the above
6. Do you notice your children had sharing habits with each other?
a) Every time
b) Often
c) Sometimes
a) Yes
b) No
c) Dont know
79
10.How do you manage your kids equally
a) Spending equal time with them
b) Comparing with one other
c) Showing sterss to your them
80
a) Calm the child
b) Slapping & shouting
c) Seperating
18. Do you believe Parent‘s Comparison between Siblings can cause toxic behaviour?
a) Yes
b) No
c) Not sure
19. Do you accept spending equal times with your children can prevent conflict?
a) Always
b) Sometime
c) Dont know
20. Do you think your siblings shows their jealous in form of rivalry?
a) Yes
b) No
c)Not sure
81
ITEMS COMPONENTS
SCORING KEY:
Total score = 20
INTERPRETATION:
82
உடண்பிநத்பு பதோட்டி ந்று் ்து துக்குட்தட்ட
கு்தகபிண் ோ் ோ ்கபிதடப அத் டுத்தது
தடபோகிோஃபிக் ோறிகப்
1. து
a) 30க்கு பன்
b) 21-25 ஆ்டுகப்
c) 26-30 ஆ்டுகப்
e) 18-20 ஆ்டுகப்
2. ்
அ) இ்து ்
b) கிறிஸ் ்
c) பஸ்லி்
e) ந் நத
3.குடிபேருத்பு
அ) கிோத்புந
b) க ்த்புந
c) தங் குடிபேண ்
4.குடு் த தக
a) கூட்டு
83
b) அணுக்கரு
5.ததோருபோோ ிதன
a) ரூ5000-10000
b) ரூ10000-20000
c) ரூ20000-30000
e) ரூ.30000க்கு பன்
6.கன் வி ிதன
அ) உ ்ிதன
b) தட்டோி
c) பதுகதன தட்டோி
7.கு்தகபிண் ்ிக்தக
அ) 1
b) 2
c) 3
ஈ) 3க்கு பன்
b) இன் தன
9.கலிண் ஆோ்
அ) இத்
b) பு்கங் கப்
c) ெக கன்
ஈ) இன் தன
84
10.ோபேண் தோழின்
அ) வீட்டு தணவி
b) திபுியு் தத்கப்
a) ெபகோ ெபகோிகப்
b) ் த ்கப்
c) ததந் பநோ ்
b) பகோத்
c) ெ்தட
b) இன் தன
c) அதண்து் பிடி்த
a) ததோநோத
b) கண்த் படுன்
c) பபன உப் ப அதண்து்
85
5.உங் கப் உடண்பிந் ்கபிண் பதோட்டிபேன்
தனபேடுகிறீ ்கபோ?
a) ஆ்
b) இன் தன
c) சின பங் கபின்
ண்ண?
a) கடி்ன்
b) திட்டுன்
c) இ்டு்
b) இன் தன
c) திோது
86
c) A & B இ்டு்
b) எருருடண் எத்பிடுன்
c) உங் கப் அ ்களுக்கு ஸ்தட ்ஸ் கோட்டுன்
b) அடிக்கடி
c) சின பங் கபின்
தெனவிடுகிறீ ்கபோ?
a) ன் னோ பங் கபிலு்
b) அடிக்கடி
c) சின பங் கபின்
c) A&B இ்டு்
87
14. பதோட்டி ெோபிக்க படிோன் பதோணோன் ண்ண
a) ஆ்
b) இன் தன
c) உறுதிோக திவின் தன
88
18.உடண்பிநத்புகளுக்கு இதடப ததந் பநோிண் எத்பீடு ெ ்சு
b) இன் தன
c) உறுதிோக திவின் தன
ிதணக்கிறீ ்கபோ?
a) ஆ்
b) இன் தன
c) உறுதிோக திவின் தன
89
ANSWER KEY
S.NO ANSWERS
1 a
2 c
3 c
4 c
5 a
6 b
7 c
8 a
9 c
10 a
11 a
12 a
13 c
14 b
15 a
16 b
17 a
18 a
19 a
20 a
90
91
LESSON PLAN ON SIBLING RIVALRY
Group : Mothers
Place : Hospital
Duration : 45 minutes
General objective : At the end of the session the students will gain adequate
Specific objectives : At the end of the session the students will be able to,
o introduce the topic
DEFINITION:
Teacher define Listening
Define 2min Siblings
2 Road safety
sibing A sibling is a brother or a sister. The plural is siblings, and it can
rivalry refer to brothers, sisters, or a combination of both.
Siblings rivalry
Children of a similar age girls and boys tend to fight around the same
amount.
Younger children can use aggression to get what they want. Children
may also fight about your love and compete for your attention.
They can feel jealous if you seem to have more time for one child, or
to treat one child differently to another.
If children feel they are not treated fairly by parents they can
sometimes be aggressive toward their siblings. Even adult children
can be jealous of their siblings.
Parents can reduce conflict by helping each child feel equally loved
and valued.
The things you do with them may be different due to their ages and
interests.
Allow children to have special things of their own that their siblings
don‘t touch.
Help children find an outlet for their feelings, e.g. active play, sport,
music or creative activities.
It helps to set rules for how people treat each other, e.g. ‗We always
take turns‘, and ‗We never hit people or call them names‘, ‗We say
sorry‘
Put a copy on the fridge to remind everyone agree what will happen if
rules are broken and be consistent in how you respond be a good role
Once children have the skills to work things out fairly trust them to
sort out differences on their own. Only get involved if they are having
trouble, if there is bullying or a child is at risk of harm.
Some parents think it‘s best to let children work out their own
differences but children are not born knowing how to resolve conflict.
They need parents to show them how. Teaching them the skills to
work things out fairly can reduce fighting in the long term.
Letting children ‗fight it out‘ often means the oldest or strongest child
always wins.This can encourage bullying. The other child may learn
to just give in all the time.
Help each child name their feelings and let them know you
understand how they feel.
When both children are calm you can sit down with them and:remind
them of family rules about how to treat each other
Tell them what you like about their behaviour, e.g. ‗You both did a
good job of working that out fairly‘.
This encourages the behaviour you want and builds their confidence
in sorting things out.
1.Avoid Comparison
When sibling fights occur, many parents use time-out as a way to diffuse
the situation. While sending kids to separate corners might give them an
opportunity to calm down, time spent in the corner will not teach the
child how to resolve conflict.To teach kids conflict resolution skills, I
recommend parents use role-playing once the dust has settled and
everyone has calmed down. Here are just a few scenarios you can role
play to help build those conflict resolution skills:
1. Taking turns
By ignoring the tussle, you don‘t reward negative behavior with your
attention and most importantly, you give them a chance to work it out on
their own.Don‘t give the squabble any attention.
without placing blame or taking sides, ask them to come up with some
solutions together. If no one is able to come up with a workable
resolution, suggest a few yourself, and help them reach an agreement.
Hearing both sides and attempting to find a solution, your kids still can‘t
agree, it‘s time to put them ―all in the same boat.‖ That means everyone
involved in the argument experiences the same outcome or consequence.
Final Thoughts
Explain Explain the listening
the final final thoughts and
thoughts Be patient with your kids as they‘re learning these new strategies. discussion
prevent
sibling
Remember that conflict resolution is a very advanced skill set.
The truth is…kids are constantly looking for ways to get your
attention and assert their power, so you might notice mealtime drama,
tantrums, backtalk and homework battles flare up even while the
siblings are living in (mostly) harmony.
உோி தோஸ்க ்
அறிபக்
அ ்கப் ங் களுக்கோக இதெ ் தெ் க் கந்றுக் தகோப் ளு்
உடண்பிந் ்கப்
பதோட்டி
தககப்
விிக்கிநது.
தத ் அத்ன்.
இருத்தது.
கண்த் திருத்புன்
தோலிண விருத்த்
இது ீ டிக்கு் .
திநதோகு் .
ெ்தடபேடுகிநோ ்கப்
ததோநோதத்தடுோ ்கப்.
போதனக் குதந்ன்
ததந் பநோ ்கப் எ் தோரு கு்தயு் ெோக
அனுதிக்கவு் .
டடிக்தககப்.
ஊக்குவிக்கிநது.
ெ்தடத குதநக்கு் .
தோோட்டுங் கப்.
அ ்கபிட் தெோன் லுங் கப் , .கோ. ‘ீ ங்க த்டு பதரு்
தழி சு்ோன் அன் னது எரு தக்க் டுக்கோன் , சின தீ ்வுகதப
அனுதவிக்கிநோ ்கப்.
ோ்
் ோலு் உவு ப ோடக் , பகோத் , பதக்டோக்
கணிக்கனோ்
உடண்பிநத்பு போதன் தீ ்த்தந் கோண உ்திகப்
தீ ்க்கவு் .
லுதடயு் .
ோ் தோழி துஷ்பிபோக் உடன் ீதிோண