CHAPTER ONE
1.0 INTRODUCTION
1.0 BACKGROUND OF
THE STUDY
This framework
are used to used accurately gage
patients health they are
systematic way of
collecting objective data
to establish a plan
for the patients, health care
professionals (Nurses) must continuously
observe the patient
health so that
they can act upon
them to actives
the best possible outcome
for the patients
well being.
Gordon rearboy
(1987) proprosed functional and
health establishing a standardize approach
to data collection
pattern frame –work is
deliver as a method
to be used, nursing
process to provide
a comprehensive nursing
( Weber , 2010) it provides a reference of aspects
(luxfad 2012) these include , health participant
patients , nutritional
metabolic pattern , sleep rest pattern , activity exercise pattern cognitive
perceptional reproductive pattern
coping / stree tolerance patter(luxfard, 2013).
Lurses stiould provide
care that is
considerate of and
patient performance needs
and values , they must
guide all clinical
discussion (krumtioly, 2010) Gardoris
framework is acommon
and excellent way
to build patient
health (Neiaified, hing scatt,
tilly, scridaromond, 2012) it can be
utilized for patient
of all age
and in all areas
of health specialty,
Health is dynamic
and either changing and Gardener
functional health pattern
center for this ,
unlike other model , Gordor`s unclose
spatter of both
functional and dysifunctional (Gordon, 2012) its consider
the patent they
all from eleven
specific aspect providing , abroad range
of information for
health care provides
to notice emergency
patience the title of
this pattern are self
explanatory trance they
are easy to
used ( New freld etal. 2012)
these eleven (II) categories
provide a systematic
and standardized approach
data collection and
enable the nurse
to determine many
aspects of health
though it has few
weakness like most
other, models the
collected can be
manipulated by patients
in other to
depart an accurate
assessment of the
patient health for
the reason, the model
most be used
alongside the objective
data such as
the patient`s vital
signs and physical examination in
acer. To ensure
accurate health assement.
The gardorn`s mordor
functional patent framework
proves to have
strength that far
out right its
weakness, that is call
it is commonly used
within health institution ( New fieleletal, 2012) the
research is interested
in studying the
assessment of utilization
of Gordon modong1s
functional health patient `s
framework in assessing
patient `s among nurses
at federal neuro psyctrictic hospital
maiduguri borno state.
1.1 STATEMENT
OF THE PROBLEM
Kerridge Lowe
and stewart (2009) stipulated
that upholding the
patient right to
auto normal is upholding
the patient`s
right to autonomy, ethereally vant
to a health care
profession legacy . ether
calving and professional
it means that
before any procedure
the health professional
must also the
patient a consent. The
patient can give
consent by verbal
consent. The patient
can give con sent
by verbal writing or
implied communication the
patient right to
autonomy must be
respected at all
times (Kerridge et al2009) it is
the patient , legal right
to choose what
happens to them
even if the
patient refuse total
life selling , medication or
process dures performed
on them that
result in their
Furth ill health
or even deals (Ebuin 2010) Gardon`s functional
patient framework cater
for this as
it colour elevent
different aspects on
what patients opion
is considered before
making clinical judgement (New field
etal 2012) the rise
active observed while
or clinical experimental
federal neuro psyctiatric
hospital maiduguri, borno state
that’s patient are
not giving zone sent
farm nurses donate
actually used Gordon
Majority model of
assessment in collecting
data on patient
has a bulding
to the research
and is prompt
into studying the
knowledge and practiced
Gordon majority functional
pattern framework in
patient assessment among
accrose at federal
neuro psychtric hospital
maiduguri borno state.
1.2 OBJECTIVE OF
THE STUDIES
1.
Do assess
the knowledge of erodonts
majority model in
patient assessment among
nurses at federal
neuro psyctrical borno
state.
2.
Do assess
the utilization of
Gordon majority model
of assessment among
nurses at federal
neuro psycatric hospital
borno state.
3.
Do majority
model assessment among
nurses at federal
neuro psyctritric hospital maiduguri
borno state
1.3 RESEARCH QUESTION
1.
Do nurse
have the knowledge
of Gordon majority by
functional pattern of
assessment of federal
neuro-psyctrialtic hospital maiduguri
borno state ?
2.
Do nurse
utilize Gordon majority
functional pattern model
of assessment in
assessing patient of federal neuro
psyctritic hospital maiduguri.
3.
What are
the mitigating factors
to effective use
of gordns function
pattern of assessment
among al nurses at
federal neuro-psychtric hospital
maiduguri
1.4 SIGNIFICANCE OF
THE STUDY
This study
will be significant
to nurse as
it will encourage
them to effectively
used Gordon majority
functional pattern of
assessment at the
cost of rendering
care.
The study will
be significant to
schools and college
as they will
see reseasons to
educate students on the effective
utililization of Gordon
majority model of
assessment in care.
The study will
be significant to
national association of
nurse and maiduguri (NANNMA) and
other decision making
boders as they
will see reasons
to arganise seminar
in other to
educate the nurses
on the knowledge
and utilization of
Gordon majority functional
pattern of assessment
in calculating date on
patients.
The study will
be significant to
other reasons as
its will provide
literature for review
by other researchers
and it will
help the research
to establish a
sound knowledge on
utilization of Gordon majority model
among nurses.
An assessment
into the knowledge
into the knowledge
and utilization of
Gordon majority model
of assessment in
assessing patient among
nurses at federal
neuro-psychtric hospital maiduguri
will be significant
to the hospital
setting as it
will enable the
management board to
identify faction that
militate against the
effective used of
this model and
town to takes
these factors.
1.5 SCOPE AND
DELIMITATION
This study
is limited to
nurses at federal
neuro psychtric hospital
maiduguri only it is delimited
to in formation gathered
by questionnaire withing
the study area
on nurses.
1.6 OPERATIONAL
DEFINITION OF TERMS
1.
Knowledge : means
having the awareness/information sum total
of what is
known about the
Gordon majority functional
pattern of assessment
2.
Assessment : the
process of making
judgment about the
practices codected based
on the nurses
observation and date
collected from the
patient
3.
Gordon Majority
functional pattern model
is a method
devised by Majority
to be used
by nurses in
collacting data on
patient.
4.
Utilization is
the act of
making practiced and
effective used of
Gordon majority model
of assessment .
CHAPTER TWO
2.0 REVIEW
OF RELATED LITERATURE
2.1 CONCEPT
OF MARJORY GORDON`S
MODEL OF ASSESSMENT
Gordon functional
health patient is a
common and excellent
way to build
a picture of the
pattern health (Newfield
hinz, like,sridairamont 2012) it
can be utilized
for patient of
all age and
in all area
of health specially
health is dynamic
and ever changing
and gordons functional
health model caters
for this unlike
other frame work.
Dysfunction (jusfard, 2012) it
assesses the patients
from any aspect
of life in
other to gather
all necessary data
concening the patient .
The model evolve from
client envirometn unteraction
the functional health
pattern are employed
by factors that’s
are biological development , cultural, social and
religions in nature
development is mae
by comparing assessed
data to one
or more of
the following individual
based line establisng norms
far age group
and culture social
or religions normals
westen European concepts
of nusing were
first practiced by
male catabolic monks
who provided fer
ill and made
during the dark
ages of Europe similar model
of care first
practiced by other
religions monasteries in middles
easth and asia
in the 15th century
this development into
the idel of
looking means a women
looking the time
of war that
a significant development
in nursing tustory
arose what Florence
nightingale worked to
improved condition of
solders in crimeans was
using assessment model
the most widely
used fermat in
clinical sitting today is
the Marjory Gordon`s
elellen function pattern
of assessment.
2.2. MITIGATING FACTORS
TO THE USE OF MAJOR`Y
GORDON`S MODEL AMONG
NURSES
These are
element or circumstances which
sieve as barriers
to the use
of majority Gordon`s
model among nurses .
rosential and Kaure(2010)
stated some problems
that militate against
practices of nursing
asseement hospital they
include.
§ Language
barriers : in rural areas
this is a
major problems where
nurse close not understand
and the local
language of ten
people and in
this an interpreter
is needed which
is its not
a nurse you
will end up dies
the patient secrets
§ Strategy of
nursing staff: inadequate
nursing staff also
tinder Ellery assessment
as some of
the nursing task
on the patient
will be left
unattached. And in
this case were
question will be
asked from leaving functional pattern
which will regine
more of the
nursing attention .
§ Negligence : some
nurses are so
lazy to carry
out the nursing
assessment utilizing these
cleven functional patterns
as they always
complain too much
demanding
§ Dime
consideration : as most nurses belreve that
using the functional
pattern during assessment
is time consuming .
§ Patient
non-compliance: compliance is a
priority for any
patient care. Most patents
ten to tell
false information when
resuired white some
ten non to consent
to the patten
being used on
them
§ Failure
to document collected
data : this provides
a room for not starting
any nurses response
bility
Also nurses
donot keep proper
record of care
to be used as a
continuum in patient
care during following
and futher evaluated.
§ Sleep and Rest
Assessment is
focused on the
persons sleep, rest and
reletion practis.
Dysfunctional sleep patterns
flatigue and responses
to sleep deprition
be identified
§ Self-perception
and self concepts
Assessment is
focused on the persons
attitudes toward sel including
identify , body image and sense
of self worth
the persons level
of self esteem
and response to
the threats to
tils or ther
concept may be
identified
§ Roles and Relationship
Assessment is
focusing on the persons
rules in the
word and relationship
will other satisfaction
will role strain
or dysfictional relationship
may be fruiters
evaluated
§ Sexuality
and Reproduction
Assessment is
focused on the
person `s satisfaction or dissatisction
wile sexuality patterns
and reproductive functions
concerns with sexuality
may be identified
§
Coping and
stress tolerance
Assessment is
focused on the
persons perception
of stress and
this on coping
strategies, support system
are evaluated and
symptoms of tress
are noted the
effectiveness of a persons
strategies in terms
of stree tolerance
may further evaluated
§
Value and belies
Assessment is
focused on the
persons values and
beliefs( including is focused
on the person
values and beliefs( including spiritual
beliefs) or on the goals
that guides this
or the choices
or decisions of theath and
titman functioning
§
Health perception
and health management
Data collection
is focused on
the persons perceived
revel of health
and well being and
practices per main
training health hanits
that may be
detrimental to heath
are also evaluated
including smoking and
al control a drug use
actual or potential
problems related to
safety and health
management maybe identified
as a needs
for modification in
the on need
for continued care in
home
§
Nutrition and
metabolism
Assessment is
focused on the
pattern of food and
fluid consumption related
metabolic needs the
adequeence of local
nutritional related to
fluid balance issues
intergrity and defenses
may be identified
as well as
problem as will questionnaire
§
Elimination
Data collection
is focused on
excretory patient (bowles,
bladder, skin) e.t.c problem such as
incontinence constipation ,
diairties and urinary
elimination may be
identifired.
§
Activity and
exorcise
Assessment is
focused on the
activity of daily living
require enagy expenditure
including self state of
Gordon majory`s system
involved wills activity and
exercise is evaluated
in cluding the respiratory
, cordiovascula, and
musculosaleta system .
§
Cogrition and
perception
Assessment is
focused on nourolgis
function is collected
used informatics to
nourologic function is collec
as pain and
attered sensory input
and may be identified
in additional potter and
perty (2012) idea about
the non implement
of majority Gordon idons
model of assessment
among nurses included
the process its
self , its time consuming
difficult and inadequate
maternal resource
2.3 ATTIDUTE OF
NURSES TOWARDS MARJORY GORDONS MODEL
OF ASSESSMENT
The ways
nurses thinks and feel
about majority Gordon`s
model of assessment
according to caslso (2011) the olele
learle gradated nurse
neues used Marjory gordonts functional
pattern in their
days at school, so they functional
institutionally
Another fact is
that the news
graduate all of
viewed nursery assessment as
student learning tool which
exist only per those
per those patient
as student ware
learning too which
east only per
those patient as
student were assigned
to take care during
examination Carlson (2011) further
pointer out in
this study that
researching Wight staff
was rarely done
cause 45% of the
time the patient
spend in the
those are under
the care and
responsibility of with
care nurses however
the research comed
out into the
attitude of all
nursing towed thes
use of Gordon
Marjory model of
assessment was mainly
concentrated on the
day staff.
2.4 PRACTICE
OF MARJORY GORDON`S
MODEL OF ASSINING
Western euro peon
concept of nursing
was fist practical
by monks who
provided for the
side and during
the dark ages
of Europe.
Model of
care were fist
practiced by other
religrous monasteries in
the raiddle east
and asia in the 15th
centaury developed into
the ideal s of
looking meaning looking
after or during
another not necessary
meaning a woman
looking after active
this apparently unionized
its self in
the literature and
culture of the
time was during
the time of
was that a
significant development in
nursery history across
with Florence negotiation.
Worland to improve
conditions of soldiers
in the Crimean’s
was using assessment
the mostly widely
used format in
clinical setting today
is gardon majority
eleven functional patterns
of with patient
model( Emeh , 2006).
According to smith
(2008) the purpose of
assessment includes:
Ø Collection
of data about
the patient.
Ø Assessing
the paternity s current
physical condition
Ø Establishing
the data for
future comparisons
Ø Continuously
updating data base
Ø Detecting
eaily signs of
developing health problems
Ø Making
clinical judgment about
patient exchanging weather
status and management
Gordon majority
functional model provides
information that is
critical to the
development of a plan
action that can
entrance personal health
status individual establish
a data base
for the patient
it is the basis
on which patient
stranger and problems
are identified (Smiths, 2008)
2.5 THEORETICAL
FRAMEWORK
Majority Godons `s
(1978) proposed functional health
patient as guide
establishing a comprehensive nursing
database these “ categories
possibleas systematic and
standardized approach to
data collection and
enable the nurse
to determine the
following aspect .
2.6 EXPIRICAL REVIEW
In the
research carried out
by blessing and
Watson la group university Bundara
in Australia in the
year (2010) which was
on sequestered nursing
description of their assessing
practice it released that’s
delivery of health
care services in
Australia is under
going many changed
on import consequence
of this changes
is the need
for registered nursing
to be adequately
equipped to conduct
system assessment the
description assessment practices
and which types
of data they
collected in additional
finding that
respondent passess dragnet
conceptualization on majority
gardon`s Ellen functional
pattern to support medical the
replace.
However marrati parayola
and anthena (2009) carred
out a
research on asseement
practices and attitudes
among nurses in
special education school
in Greece. The
aim of the
study is to
evaluate special education
and school of
accurse involvement in
assessment activity examine
their attitude toward
across sectional serucie
was carried out
in 2010 by mailed
questionnaire to al 45
Areece school of
nursing descriptive statisties
and non practices test
user used the
result indicated that 37(82%) school
of nursing model
involvement assessment were
positive and depend
or personal promotion
practices and activities
on health polices .
Another
research Enim (2011) conducted
a study to
determine the satisfaction of
patients wire nursing
asseement using Gardon`s
eleven functional pattern
in university of
calibration ( boa mala
and female ware
selected for the
study ) out of
the numbers selected
41 patient they are
satisfied with the
eleven functional pattern
the remaining 19
complained of too
much question during
assessment complained of
too much question
during assessment ignoran
of what the
model is all
about lack of finance to
and process lade
of detailed explanation of
procedure student clued
that clients more
enlistment on the
model and they
should be fully
involved in their care
to gain cooperation
CHAPTER THREE
METHODOLOGY
3.0 RESEARCH DESIGN
A simple descriptive
survey design was
used for the
study which at
assessment the knowledge
and utilization of
Gordon majority model
of assessment in
patients assessment among
nursing at federal
neuro psyctiatrie hospital
maiduguri borno state
the design generally
collects data from
a well defined
population and describes
the knowledge and
utilization among nursing
variable of the
study.
3.1 SETTWG ( Geogiaphical
location characteristics the
research was carried
out at the
federal neuro psyctialtri
hospital maiduguri borno
state which was
established in the
year 1995 following
the farmat by
the federal Government
through the federal
ministry of health
for the cons
much of apsyctualture maiduguri
hospital in northen
part of the
country .
It is stuated
along bega-road direct apposte the federal law
central mosques the
hospital provide many
services among which
include out patient
service in patient
care laboratory occupational
therapy and reliable
service .
New structures that
been added to
out the
former ones the
hospital been explained
by the additional
of new doctors
laboratory compartment hospital
admission compartment which
are female ward
reliable male ward
substance abuse ward
and rehabilitation blared
pharmaceutical department and
new general out
patient department.
3.2
TARGET POPULATION
Population is
the total number
of inhabitant living
in particular place.
The target population of
this study is
nursery was explained
at federal neuro
psyctiatric hospital maiduguri
borno state
3.3 SAMPLING (Size and
Famula)
The sample size
was determine using
yarmain formula
N = N
1+N(e2)
Where n=
sample
N=(Total No. of
population )
00= sample error
(0.05)
n=minimum sample
e=degree of
precesion = 5% = 0.05
n= 150
1+150(0.0522)
N= 150
1+150
(0.0025)
n= 150
1+0.4
n=150
1.4
n=10.7.1
n=107
3.4 SAMPLING
(Iechnique)
The sampling technique
is sample random
sampling ware used
to to collected
data .
3.5 VALIDITY
OF INSTRUMENT
The validity
was tested by
going through the
questionnaire to see
wetting it measure
what it supposed
to measure .
3.6 RELIABILITY OF
INSTRUMENT
The reliability
of the instrument
was ascrotional by
distributional target population
to be filled
which was collected
and analyzed as
a pilot study.
3.7 METHOD OF
DATA COLLECTION
The constructed
questionnaire where distributed
to the sample
of study and
collected based after
being filled for
data analysis.
3.8 METHOD DATA
ANALYSIS
The data
collected was analysed
in a table
using simple percentage
to computer the
data
3.9 ETHICAL
CONSIDARATION
In the
couse of the
study the research
such information and
voluntary from the
respondents on the
field of the
student and before
data collect the
respondents were also
made of understanding the
purpose of the
study and two
their knowelegede will
affix out come of the study.
QUESTIONNAIRE
College
of Nursing and
Medwifery Maiduguri, Borno
state .
Dear Respondent
I am a student
of the above
mentioned institution conducting
a research provide on “ KNOWLEDGE AND
UTILIZATION OF GORDON
MAJORITY MODEL IN
PATIENT ASSEEMENT AMONG
NURSING AT FEDERAL
NEWRO-PSYCHIATRIC HOSPITAL MAIDUGURI
BORNO STATE “
I turmbly solic for
you response you
are requested to
answer the question
between sincerely and
all information will
be requestion the
data abtain will
be used only
for academic purpose.
INSTRUCTION
Please do
not write you
name tick the
option that is
appropriate fer you.
SECTION (A) (DEMOGRAPHIC DATA)
1.
Sex male [ ] Female [ ]
2.
Age
18-24[ ]
35-31[ ]
32-28[ ]
39 above [ ]
3.
Marital Status
Single [ ]
Married [ ]
Divorced[ ]
Widowed[ ]
4.
Rank
SNO[ ]
NO[ ]
PNO[ ]
ACNO [ ]
CNO[ ]
Other specify………………
5.
QUALIFICATION
RN [ ]
RM &
RN [ ]
RN & RPHN [ ]
BNSC [ ]
Other specify ……………
SECTION B
Assessing the
knowledge of Gordon
Majority model patient
assessment among Nursing
at FNHM
|
1. |
Gordon majority
Functional health patern
as a model
applicable to know
nursing process |
Knowledge about
it very well |
Knowledge I
know about it |
I know about
it a bit |
I don’t know
about it |
|
2. |
Gordon Majority health
pattern is used
in various health
care institution in terms
of patient accessing a
patient |
|
|
|
|
|
3. |
Gordon majority
functional as a
model |
|
|
|
|
|
4. |
How to
used gordons majority
functional as a model in
nursing accessing model |
|
|
|
|
|
SECTION C utilization of
gordons model of
assessment |
|||||
|
1 |
Nurses at
FNHM practices Gordon`s
majority model in Accessing patient |
|
|
|
|
|
2 |
Nurses at
FNPHM used Gordon`s
Majority once a
month |
|
|
|
|
|
3 |
Nurses
at FNPHM used
Gordns Majory once
a week |
|
|
|
|
|
4 |
Nurse never
used Gordons Majory
at FNPHM |
|
|
|
|
|
SECTION D determing the
mitigating factors towards
gordons majority of
assessment |
|||||
|
|
|
SA |
A |
SD |
D |
|
1 |
In adequate
equipment /instruments at FNPHM
Can hinder the practice of
Gordon majority functional health
method |
|
|
|
|
|
2 |
Lack of man power
can hinder the
utilization of gordons
majority functional model
FNPHM |
|
|
|
|
|
3 |
Laziness
by the nurses
to complied with
the model Gordons
functional model |
|
|
|
|
|
4 |
It is boring
using gordons functional
model |
|
|
|
|
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