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Table of Contents
ORIGINAL ARTICLE
Year : 2015  |  Volume : 10  |  Issue : 1  |  Page : 24-28

Effectiveness of interpersonal relationship skill training programme on the knowledge, attitude and practice of interpersonal skills among nursing assistants in the care of patients with mental illness at selected mental health center in Kerala


1 2nd year M. Sc Nursing Student, Lisie College of Nursing, Ernakulam, India
2 Principal, Lisie College of Nursing, Ernakulam, India

Date of Web Publication19-Jun-2019

Correspondence Address:
Josna Joseph
2nd year M. Sc Nursing Student, Lisie College of Nursing, Ernakulam
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/2231-1505.260566

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  Abstract 


A quasi experimental one group pre test multiple post test design was used to determine the effectiveness of an interpersonal relationship skill training programme (IRSTP) on the knowledge, attitude and practice of interpersonal skills among nursing assistants in the care of patients with mental illness at selected Mental Health Center in Kerala. Through purposive sampling technique 30 nursing assistants working in Government Mental Health Centres, Thrissur were selected. Data were collected with a Structured Knowledge Questionnaire to assess the knowledge regarding interpersonal skills, an Attitude and Practice Rating Scale to assess the attitude and practice of interpersonal skills. Technique used for data collection was self report and self rating. Study results revealed that the mean post test knowledge, attitude and practice regarding interpersonal skills among nursing assistants who had undergone the interpersonal relationship skill training programme was significantly higher than the mean pre test scores at 0.05 level of significance after the implementation of the intervention, and thus the intervention was found to be effective in improving the Knowledge, Attitude and Practice of nursing assistants regarding interpersonal relationship skills.

Keywords: Interpersonal relationship skill; Knowledge; attitude; practice; Nursing assistants.


How to cite this article:
Joseph J, Marath U. Effectiveness of interpersonal relationship skill training programme on the knowledge, attitude and practice of interpersonal skills among nursing assistants in the care of patients with mental illness at selected mental health center in Kerala. Indian J Psy Nsg 2015;10:24-8

How to cite this URL:
Joseph J, Marath U. Effectiveness of interpersonal relationship skill training programme on the knowledge, attitude and practice of interpersonal skills among nursing assistants in the care of patients with mental illness at selected mental health center in Kerala. Indian J Psy Nsg [serial online] 2015 [cited 2022 Aug 7];10:24-8. Available from: https://www.ijpn.in/text.asp?2015/10/1/24/260566




  Introduction Top


Human beings are innately social and are shaped by their experiences with others. There are multiple perspectives to understanding the inherent motivation to interact with others.[2] Interpersonal relationships are formed in the context of social, cultural and other influences.[2],[4],[11] To be effective both participants must recognize each other as unique and important human beings.[1] Epidemiological studies reports the prevalence rates for psychiatric disorders vary from 9.5 to 370 / 1000 population in India.[5],[15] The persons who take care of these mentally ill patients must have adequate level of patience, kindness and a great deal of acceptance.[8],[12],[15]

Communication and interpersonal skills are essential components in delivering good quality patient care.[7],[14] Communication is identified as one of the essential skills that health team members must acquire in order to make progress throughout their career.[10],[13] The researcher noticed that most of the nursing assistants were harsh towards the patients with mental illness. It may be due to their inadequate knowledge, negative attitude and/or lack of skills in practicing the care of patients with mental illness. The researcher observed that poor interpersonal relationship with mentally ill clients leads to violence. Studies conducted among nursing assistants in India on interpersonal skills were not found. As the nursing assistants are the people who come in close contact and care for clients with mental illness, they are part of the health care team; with training their interactions with patients could be therapeutic communication supporting the mental health of patients.


  Materials and Methods Top


The research design used for the present study was quasi experimental pre test multiple post test design. Purposive sampling technique was used to select 30 nursing assistants from Government Mental Health Centre, Thrissur. Test-retest technique was used to find out the reliability of the tools and it was found to be 0.9, 0.8, and 0.8 respectively for structured knowledge questionnaire, attitude rating scale and practice rating scale, which indicates that the tools were reliable. Content validity of the tools was established by giving it to 8 experts in the field of nursing. The data collection was done in Government Mental Health Centre, Thrissur from 14/3/14 to 19/4/14 and as per the duty arrangements of the nursing assistants they were divided into 2 groups for the intervention. The interpersonal relationship skill training programme was of 3 hours duration on 2 consecutive days for each group. The pre test was conducted with the prepared tools. The training programme on interpersonal relationship skills was provided with the help of power point slides and video clips. Group activity was conducted to assess the level of understanding on the topic for the subjects. Followed by the training programme the post tests were conducted on the 7th and 30th day after the implementation of the intervention to find the changes in the knowledge, attitude and practice of interpersonal relationship skills among nursing assistants in the care of patients with mental illness. The data was analysed using SPSS version 16. The demographic data was analyzed using frequency and percentage. The significant difference between the mean pre test and mean post test scores for the variables were analyzed using the paired t test at p=0.05 level of significance.


  Results Top


The data presented in [Table 1] shows that, majority of the subjects (73.3%) belonged to the age group of 31-40 years. 76.7 % of the subjects were females. 93.3% of the subjects were having the educational qualification below 10th standard All of the subjects were having the individual income per month more than Rs 5000. Majority of the subjects (66.7%) were working in current position for 1-5 years. 73.3% of the subjects were working in the current institution for 1-5 years and none of the subjects had undergone for any training programmes for nursing assistants.
Table 1: Frequency and percentage distribution of sample characteristics n=30

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Knowledge regarding interpersonal relationship skills among nursing assistants in the care of patients with mental illness

The grading of knowledge scores of nursing assistants on interpersonal skills is depicted in [Figure 1] and shows that during pre test, majority of the subjects (60%) had good knowledge and remaining, (13.3%) had average knowledge and (26.7%) had poor knowledge related to interpersonal relationship skills in the care of patients with mental illness. In the post test- 1, majority of the subjects (80%) had good knowledge and remaining (16.7%) had average knowledge and only 3.3 percent had poor knowledge related to interpersonal relationship skills in the care of patients with mental illness. In the post test- 2, all of the subjects (100%) had good knowledge on interpersonal relationship skills in the care patients with mental illness. There were no subjects with excellent grade as well as poor grade during the post tests.
Figure 1: Grading of knowledge scores of nursing assistants on interpersonal skills

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Attitude regarding interpersonal relationship skills among nursing assistants in the care of patients with mental illness

The grading of attitude scores of nursing assistants was performed and is depicted in [Figure 2] which shows that during pre test, majority of the subjects (63.3%) had favourable attitude and remaining (38.7%) had partially favourable attitude towards interpersonal relationship skills. In post test - 1, the percentage of subjects with favourable attitude increased to 76.7% and only 23.3% had partially favourable attitude. In post test 2, the percentage of subjects with favourable attitude further increased to 86.7% and only 13.3%. had partially favourable attitude
Figure 2: Grading of attitude scores of nursing assistants on interpersonal skills

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Practice of interpersonal relationship skills among nursing assistants in the care of patients with mental illness

The grading of practice scores of nursing assistants on interpersonal skills has been performed and is depicted in [Figure 3] shows that during pre test, majority of the subjects (60.0%) were having good practice score and the remaining (13.3%) were satisfactory practice scores and (26.7%) were having poor practice scores. In post test -1, majority (80.0%) were having good practice scores and remaining (16.7%) were having satisfactory practice scores and (3.3%) were having poor practice scores. In post test - 2, majority (91.2%) of the subjects were having good practice scores and remaining (8.8%) only were having satisfactory practice scores of interpersonal relationship skills in the care of patients with mental illness. There were no subjects with excellent grade as well as poor grade during the post tests.
Figure 3: Grading of practice scores of nursing assistants on interpersonal skills

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The data presented in [Table 2] shows the paired mean difference between pre test and post test of knowledge scores, attitude, and practices scores. Knowledge scores of subjects were 0.44 with a t value of 3.49, which was found to be significant at 0.002 level. The paired mean difference between pre test and mean post test-2 knowledge scores was 0.67 with a t value of 4.13, which shows a significant increase in the knowledge scores at 0.0001. There was a significant increase in the post tests knowledge scores among the subjects as compared to the pre test knowledge scores. The interpersonal relationship skills training programme was effective in improving the knowledge regarding interpersonal skills.
Table 2: The mean, standard deviation, paired mean difference, t value and level of significance of the knowledge, attitude and practice scores among nursing assistants in the care of patients with menta illness. n=30

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The data presented in [Table 2], attitude scores of subjects was 0.13 with a t value of 2.11, which was found to be significant at 0.04 level. The paired mean difference between pre test and post test-2 attitude scores was 0.23 with a t value of 2.97, which shows a significant increase in the attitude scores at 0.006. There was a significant increase in the post tests attitude scores among the subjects as compared to the pre test attitude scores. The interpersonal relationship skills training programme was effective in improving the attitude regarding interpersonal skills.

The data presented in [Table 2], practice scores of subjects was 0.27 with a t value of 3.24, which was found to be significant at 0.003 level. The paired mean difference between pre test and post test-2 practice scores was 0.34 with a t value of 3.80, which shows a significant increase in the practice scores at 0.001. There was a significant increase in the post tests practice scores among the subjects as compared to the pre test practice scores. The interpersonal relationship skills training programme was effective in improving the practice regarding interpersonal skills.


  Discussion Top


A study conducted in Indonesia reported an increase in the mean post test scores when compare to that of the mean pre test scores with p<0.05 level of significance and indicated that the interpersonal skill training programme improved the interpersonal relationship skills.[3] In an experimental study conducted in Denmark it has been revealed there was a significant increase in the mean post test scores of the interpersonal skill at p<0.001.[6] A study conducted by Barker L in orthopaedic surgery department initiated a 3-day communication skills training course for all staff members expecting an increase in patient-centeredness in communication and more respectful inter collegial communication.[9] The result was observed for doctors, nurses, nursing assistants, and medical secretaries and concluded that a communication courses produced increases in self efficiency. All the above studies has supported the findings of the present study.


  Conclusion Top


The main purpose of the study was to find the effectiveness of interpersonal relationship skill training programme on the knowledge, attitude and practice of interpersonal skills among nursing assistants in the care of patients with mental illness. The findings of the study revealed that mean post test scores of knowledge, attitude and practice of interpersonal skills among nursing assistants in the care of patients with mental illness was higher than the mean pre test scores at 0.05 level of significance and based on the findings it can be concluded that the interpersonal relationship skills training programme was effective in improving the knowledge, attitude and practice of interpersonal skills in the care of patients with mental illness. The major implications to nursing practice would be to train the nursing assistants and other care givers about the interpersonal skills needed in care of mentally ill patients. The nurses should conduct such educational intervention for the caregivers and subordinates in order to create a therapeutic nature which would help in the healing of mass of the clients with mental illness.



 
  References Top

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    Figures

  [Figure 1], [Figure 2], [Figure 3]
 
 
    Tables

  [Table 1], [Table 2]



 

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Abstract
Introduction
Materials and Me...
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