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SAAD COLLEGE OF NURSING AND ALLIED HEALTH
SCIENCES
UNIVERSIY OF ULESTER
Student name: Fatimah Aldawood
ID number: SNC:136193
Cohort: (Year 4 semester 2)
Course Title: BSc (Hons) in Nursing Studies
Module Title: Developing research proposal
Module Code: NUR 585 CRN: 59060
Words Count:
Date:
Lecturer responsible for unit:
List of content:
The content
Pages
Table of content
2
Acknowledgment
3
Abstract
4
Literature review
5-
Significant of the study
Aim, Objectives and Research question
Methodology
Setting
Population
Sampling
Tools for data collection
Robustness of the study
Ethical consideration
Pilot study
Data analysis
Process of data collection
Outcomes
Time scale
Budget
Appendix A: information leaflet
Appendix B: consent forms
Appendix C questionnaire part1
Appendix C: interview questionnaire part2
Reference
Acknowledgement:
First of all, I would like to thank my mother and my sister to
their emotional support, they encourage drove me into this
level. Then I have to say thanks to my teachers for their good
learning to me. Finally, I hope that my research study stimulates
nurses to give more and understand the importance of great
nursing profession.
The Effective of Nursing Education and Attitude to Improve
Knowledge in Palliative Care of Hospital- internationally.
Abstract:
This research going to describe the effect of nursing education
and attitude to improve knowledge in palliative care of hospital-
internationally. The palliative is medical specialty caring for
people with chronic and serous disease. This type of care
concentrate on rest of patient from the symptoms and stress
diseases. The aims is to improve clarity of life for both the
patient and their family. However nursing education and
attitude have real affect on patient health, by improve nursing
education patient care can improved. Even if the nurse dos not
have enough education she can progress himself by continuous
learning. "The 2011 Public Opinion Strategies found that most
Americans believe that palliative care should be made available
to all hospitals "(Center to Advance Palliative Care [CAPC],
2011).
Background: Long work in medical area can affect in the
Knowledge and attitude for the nurse it could in bad or good
way, So the nurse have to improve himself to achieve the
standard of care for patient in Palliative Care. Because of
around the world the numbers of patients who`s need palliative
care is increased, and the nurse come from the first line of
patient care.
Method: A quantitative study will used to explore the determine
the knowledge and attitude of Saudi nurse who is provide care
for palliative patient.
Data collection:
Data collection is "the process of gathering and measuring
information on variables of interest, in an established
systematic fashion that enables one to answer stated research
questions, test hypotheses, and evaluate outcomes". The data
collection component of research is joint to all areas of study
inclusive physical and social sciences with humanities,
business, etc. While process differ by discipline, the assurance
on guarantee accurate and truthful collection leftover the
selfsame.
The 2nd one is observations. This method allows
to the study of the dynamics of a condition or hesitancy counts
of target behaviors, or more like behaviors as indicated by
needs of the evaluation. However still there are more methods
such as Questionnaires and Surveys. They are response to
analyzed with quantitative types by assigning numerical values
to Likert-type scales. The outcomes are generally easier (than
qualitative techniques) to analyze
Pretest and Posttest it can be compared and anatomize. This
research will use surveys questionnaires to assess the nursing
knowledge, by using palliative care knowledge test, was taken
by 363 nursing from In multi-specialty hospitals.
Key words: Palliative care, Knowledge and attitude of Saudi
nurse.
Introduction:
This research study want to focus about how the nursing
education and attitude in Kingdom of Saudi Arabia affect,
particulary for patients in need of palliative care, by Know
some special consideration. Nursing education includes of the
theoretical and practical training economizer to nurses with
goals to prepare them for their duties as nursing care
professionals. This kind of education is provided to nursing
students by accredited experienced nurses and other medical
professionals who is responsible to train them and have
qualified or experienced for educational mission. Most
countries offer nurse education courses that can be link to
general nursing or to specialized areas in nursing profession
contain medical, surgical with mental health nursing and
pediatric nursing. In addition, the nurse can work with patient
who is need palliative care with serious diseases in different
sections such as oncology department. Nurse learning also
provides post-qualification training courses in specialist
subjects within nursing profession to improve his knowledge,
that will lead to provide better care for patients.
All of the people deserve palliative care because all will reach
the end of life in some day, and it could they need care from
others because of they had illness. From the education and
attitude of the nurse she can improve the quality of patient life
with chronic diseases. "In 2015, 75% of all hospitals in the
United States were providing palliative care services (CAPC,
2016)". The growing numbers demand for palliative care
services request the need for Knowledge among hospital-based
nurses to provide effectively palliative care for patients with
serious illness and their families members. Palliative care goals
to prevent or control of symptoms of chronic diseases.
Moreover, palliative can concentrate and may be treat or relief
the emotional, social, practical, and spiritual problems that
illnesses can bring up. If the person feel`s better in those sides
that will make him feel and have comfortable life or at least
reduce the stress associated with the disease. "Palliative care
can be given at the same time as treatments meant to cure or
treat the disease. Palliative care may be given when the illness
is diagnosed, throughout treatment, during follow-up, and at the
end of life".
All multidisciplinary team can provide care for patient who
need to palliative care. But some providers specialize in it.
"said a multidisciplinary team is a group of health care workers
who are members of different disciplines. The activities of the
team are brought together using a care plan". This coordinates
their services and gets the team working together towards a
specific set of goals. Sometimes the person has a key worker,
who becomes the main point of contact for the person. Palliative
care may be given by": A team of doctors, nurses and nurse
practitioners, physician assistants, registered dietitians and
social workers". They all work together to achieve best care for
patients. to reach out the care plan all nurses have to progress
them self by continuous learning and be aware about patients
rights. Be attitude one of the best way to show respect for
patients.
Literature Review:
"A literature review discusses published information in a
particular subject area, and sometimes information in a
particular subject area within a certain time period". Regarding
to Webster, J. 2002 literature review can be known as the
searching and evaluating of specific topic that can be chosen. It
also documents the condition of the topic or the subject that
will be written about. There are four essential purposes of using
literature review. First, the chosen area of the study in the
literature will be surveys. It also make a summary for the
literature by synthesizes the information. It also analysis the
gathered information critically by specifying gaps in present
knowledge by showing points of view and limitations of
theories, and by areas formulating for more researches and
reviewing areas of dispute. Finally, it shows the literature in
organized way. The literature review shows to the readers that
the researcher have a deep knowledge about the topic, and
where the research can be fitting and add into present body of
agreed knowledge.
Purpose/ Aim of study:
The purpose of study to determine the knowledge and attitude of
international nurse who is provide care for palliative patient.
Education in Palliative care:
Palliative care can be known as a dynamic field, and its famous
now as a medical specialty with nature of inherent
interdisciplinary. Palliative care need to be focused in how to
relief patients suffering from serious debilitating illness or with
life threatening, and give the best quality of support for patient
and family life. Palliative care field include nursing, medicine,
psychology, social work, rehabilitation, and nutrition. Even
though the depth of support of the patient is obtainable from
each discipline, its change from institution to another.
Nowadays there is specialist in palliative care and it can be
nurse. It should to formation relationship partnership between
the care provider and the patient also with his family. Palliative
care teams include the nurse, they offer n extra layer of support
if the patient need more. More over to treating the side effect
of symptoms and stress with coordinates and communicates with
all of your doctors. They support every step of the way.
"Nurses spend more time with patients and families than
any other health professional as they face serious illness. Expert
nursing care reduces the distress and burdens of those facing
death, and the ability to offer support for unique physical,
social, psychological, and spiritual needs of the patients and
their families". "Many studies show that the nurses
demonstrated a commitment to palliative care, with some nurses
displaying even bigger action in the treatment of end-of-life
patients or for patient with serious diseases". The nurse can
educate the palliative care patient or his family every things
start from their right, how to deal with disease and give them
the support.
Knowledge/ attitude of Nursing:
The nurse have to progressing in the Knowledge and maintains
the attitude because she can affect directly in patient life.
Kassa, (2014) studied 341 nurses who is repay with a survey
concerning the assessment of knowledge, attitudes, and follow
up for the purpose of palliative care. Their finding detected that
104 nurses had considerable knowledge about palliative care
and 259 nurses had sufficient attitudes towards end of life care
(Kassa, et al, 2014). El-Nagar and Lawend (2013)surveyed
nurses’ palliative care knowledge by studying a appropriate
sample of 30 registered nurses (RNs) in the pediatric
department and intensive care units. They reported that 50%
respond accurately about allow Morphine as the standard
analgesic in chronically ill babies in the pretest compared to
76.7% of respond in the posttest (El-Nagar & Lawend, 2013).
The study of El-Nagar and Lawend (2013) consummated that
nurses have dependability to care for palliative care children
after a palliative care education and improve them self by Raise
the level of knowledge.
In case of the important of the nursing knowledge. This
study mention Knowledge and practice of participants were not
satisfying; "however, their attitude towards pharmacovigilance
was at a high level. About 91% of the nurses had never reported
an ADR. Most nurses liked to report the ADRs to the physicians
(87.1%) and pharmacists in the hospital's adverse drug
reactions( ADR) center (1.8%) more than the ADR National
Center". The major reason of under-reporting of the suspected
ADRs was not realization to the existence of such a national
center.
Justification:
justification mean it is an acceptable reason for doing
something : something that justifies an act or way of behaving.
The reason behind this study is the real need to increase the
nurses who is knowledgeable and have good attitude to the
patients who is need palliative care. Because many research
study mention the increase number of serious diseass ,so that
need more good and effective care. "Many Americans die in
facilities such as hospitals or nursing homes receiving care that
is not consistent with their wishes".
Objectives:
- Assess the level of knowledge.
- Identify attitude.
Research Question:
Dose Saudi nurse have enough knowledge and attitude to
provide effect care to palliative patient?
Chapter 2
Methodology:
Design:
By (Madelyn ,2018) she mention what is the impact
of "The Effect of Palliative Care Nursing Education to Improve
Knowledge in Palliative Care of Hospital Based Nurses Caring
for Patients with Chronic, Serious Illness". With using
qualitative methods to explore his research. mr Madelyn support
his study with evidence based practice to expound how the
palliative care nursing provides care for the leisure of pain and
anguish everywhere the track of a patient’s chronic, serious
illness. Hospital-based nurses need to be supply with palliative
care nursing knowledge to tool up best care for patients and
their families to progress the goodness of life. Lack of
education in pain and symptom management also,
communication about aims of care can out coms in a
substandard and altitude cost of care.
Setting:
References:
Grant, M., Elk, R., Ferrell, B., Morrison, R. S., & Von Gunten,
C. F. (2009). Current status of palliative care—clinical
implementation, education, and research. CA: a cancer journal
for clinicians, 59(5), 327-335.
Sartre, J. P. (1967). What is literature?.
6
1
HOW TO LAY OUT A RESEARCH PROPOSAL
Title Page:
Title
Name of student and student number
Name of Supervisor
Course
University
Date of submission
Table of Contents
List of appendices
Acknowledgements
Abstract (100 - 150 words)
The abstract must communicate the essential parts of the
research proposal and should follow the same
order as the proposal. It must convince the reader that the study
is interesting and important
Chapter 1: Literature review (2100 words)
This section should include an Introduction and short
justification for the proposed research study. The
literature review must show evidence of wide reading and
analysis, synthesis and evaluation of research
findings
Chapter 2: Methodology (3300 words)
Design
Design refers to how your research study will be conducted and
the reasons for your choice of study
methodology. You must label the methodology that you will
employ e.g. quantitative – correlational or
qualitative – phenomenological. This methodology must be
justified from the research literature. Enough
detail must be presented so that the reader can determine the
adequacy of the methods. However, it is
important to remember that your proposal is not a theory paper
on research methods. Your proposed
study must be central to the discussion with the research
literature offering support to your proposed
choice.
Population / Sample
You will need to provide details of your choice of sampling
technique and sample size, as well as details
about the participants (i.e. age, gender, religion, medical
conditions, employed, etc). Inclusion and
exclusion criteria must be stated along with the rationale for
these decisions.
Methods of data collection
Any materials used in the study should be described in
sufficient detail. This must also indicate how the
data will be collected and where possible offer samples of the
data tools as an appendix (i.e.
questionnaires, interview schedules, and participant consent
letters). Information on how, where and
when the data is to be collected must be given.
Robustness of data collection methods
2
You will need to identify the issues regarding the reliability and
validity of any measurement tools to be
employed. Similarly, for those undertaking a qualitative study
identify the robustness of the study
(consistency, truthfulness and transferability).
Data analysis
Discuss the methods of analysis. If quantitative data is to be
collected and analysed you must indicate the
specific statistical tests to be utilised and the statistical package
that will be used (i.e. SPSS Version 11).
If qualitative, you must provide clear guidelines as to how the
data will be analysed, identifying the model
of analysis that you will utilise (This section must also address
the issue of data management, data
protection, etc.
Pilot study
Explain the purpose of a pilot study and give details of your
proposed pilot study.
Procedure for main study
Here you have to provide a succinct account of how the study
will be carried out: step-by-step details
such as where you will carry out interviews, how they will be
recorded etc.
Ethical considerations
You must provide a detailed discussion exploring any relevant
ethical issues pertaining to your proposed
research study (protection of participants’ safety,
confidentiality etc.). A participant information sheet and
participant consent form must be prepared and included in the
appendices.
Chapter 3: Planning the research project (400 words)
Anticipated outcome of the study
Discuss the expected outcomes (linked to initial research
question or aims and objectives) of your
proposed study. Give a short explanation of how the findings
can be disseminated.
Time scale
Prepare a detailed time-scale or time frame for the proposed
study (you are to assume that the study
would be carried out over an 18-month period).
Resources
Prepare a realistic budget:
tatistician if needed)
postage)
References
Use the Referencing System described in the RCN House Style
for Writing document, which you have
used throughout your course .You will loose marks for
inaccurate or incomplete referencing.
Participant Information Sheet and Participant Consent Form
(must be attached in the appendix)
3
Some indication of the questions to be asked should be included
if appropriate to the
methodology
Check List: WRITING YOUR RESEARCH PROPOSAL
# CONTENT Yes NO
1 Abstract
Does abstract contain the essential parts of the research?
2 Chapter 1: : Literature review (2100 words)
Introduction Does the topic Introduced with a clear problem
statement?
Literature
Review
Does Literature show evidence of a range of international,
national
and regional empirical studies
Does the Literature review critically evaluated –
employed within such studies
designs including data collection and data analysis techniques
studies identifying gaps in the research literature
Justification
Does the study justify? ( Impact of the study
findings/prevalence….
Research
question
Research question
Is it interrogative that is, posed as a question and not as a
statement;
Research Aim
and objectives
A statement of the hypothesis or aims and objectives
Is it clearly stated and gave an indication of the expected
outcome
of the research study.
Are they realistic and achievable within the period of the
proposed
study?
Chapter 2 :Methodology (3300 words)
Design
Does your study clearly identify the design e.g. quantitative –
correlational or qualitative –and reasons for your choice of
study
methodology?
Is the proposed study central to the discussion with the
research
literature offering support to your proposed choice?
Setting
Is setting of the proposed study identified with discussion of
the
rationale for selecting this setting?
Population /
Sample
Are details of your choice of sampling technique and sample
size,
as well as details about the participants (i.e. age, gender,
religion,
medical conditions, employed, etc). Inclusion and exclusion
criteria stated along with the rationale for these decisions.
4
Methods of
data collection
Is there a discussion of how, when and where the data will be
collected in the proposed study?
Are the samples of the data tools described and attached as an
appendix (i.e. questionnaires, interview schedules, and
participant
consent letters.
Is there a rationale provided for the appropriateness of the
tool?
Robustness of
data
collection
methods
Did the Quantitative study identify the issues regarding the
reliability and validity of any measurement tools to be
employed?
Did the Qualitative study identify the robustness of the study
(consistency, truthfulness and transferability)?
Data analysis
Is there a discussion of the methods of analysis of data?
Is the specific statistical tests to be utilised and the statistical
package that will be used (i.e. SPSS Version 11) discussed if
the
study is quantitative?
Are the guidelines for qualitative data analysis provided clearly
including model used?
Is data management and data protection explained?
Ethical
considerations
Is there a detailed discussion exploring any relevant ethical
issues
pertaining to your proposed research study (protection of
participants’ safety, confidentiality etc.) provided?
Are the participant information sheet and participant consent
form
prepared and included in the appendices?
Pilot study
Is the purpose of a pilot study explained?
Is the detail of your proposed pilot study provided?
Procedure for
main study
Have you provided a succinct account of how the study will be
carried out: step-by-step details?
Chapter 3: Planning the research project (400 words)
Anticipated
outcome of
the study
Is there a discussion of the expected outcomes (linked to initial
research question or aims and objectives) of your proposed
study?
Is there a short explanation of how the findings can be
disseminated?
Time scale
Is there a detailed time-scale or time frame for the proposed
study
prepared?
Resources/
Budget
Is there a realistic budget for the study prepared?
References
Is there a list of references and Used the Referencing System
described in the RCN House Style for writing document?
Appendix Participant Information Sheet and Participant Consent
Form
Is the Participant Information Sheet and Participant Consent
Form, sample data collection tool attached in the appendix?
Turnitin
Is the proposal checked for plagiarism in the draft submission?
Note: Please check your proposal before binding it for
completion of all the chapters,
format and contact your teacher for further clarification.
SAAD COLLEGE OF NURSING AND ALLIED HEALTH
SCINCE - UNIVERSITY OF ULESTER
ACDAMIC YEAR 2018-19
Semester one
Assignment Title: Nutrition Knowledge among Young Pregnant
Women in Middle East.
Student name: Alreem Ali Alaliwat
ID number: SNC 146046  UU ID: B00697863
Cohort: 16 (Year 4 semester 2)
Course Title: B.Sc (Hons) in Nursing Studies
Module Title: Developing a research proposal
Module Code: NUS 585 CRN: 59064
Words Count: 6000
Date: 29/11/2018
Lecturer responsible for unit: Dr. Safia Belal
Table of Contents
Acknowledgement2
Abstract3
Chapter 15
Introduction5
1.Young Pregnant Women6
2.Nutrition Knowledge7
3.Education Need for Pregnant Words7
Significant Of the Study8
Aim of the Study9
Research Question9
Objective10
Research Question10
Chapter 211
Design11
Setting12
Sampling and Population13
Inclusion Criteria13
Exclusion Criteria13
Data Collection13
Ethical Considering14
Pilot Study15
Data Analysis16
Procedure of the Main Study17
Chapter 318
Time Scale18
Budget19
Expected Outcome20
References21
Appendix I Consent Form27
Appendix II Participant Leaflet27
Appendix III Questionnaire28
About Nutrition29
Acknowledgement:
First of all, I am thankful of Allah for helping me to complete
this research .
Through this paper, I'm a proud of working with all the
participant and I appreciate your efforts that were help and
support me especially my lovely husband and my sister
Dr.Ghada
Also I would like to give special thanks to Dr.Safiah Bilal ,
special thanx for here for the kindness, guidance,
encouragement, and suggestions du ring writing this study.
Alreem.
Nutrition Knowledge among Young Pregnant Women In Saudi
ArabiaAbstract:
Background: Nutrition plays a key role during pregnancy in the
sense that the nourishment that a pregnant woman gets
determines the nutrients that the developing fetus gets.
Nutrition knowledge in this case refers to information and skills
that an individual normally has pertaining food intake. In
respect to the research topic, this refers to information and
skills needed by pregnant women.
Aim: The aim of the study identify nutrition knowledge among
young pregnant women.
Sample: the sample population of these study is the young
pregnant women they take probability sample fore 100
participants.
Methodology: the researcher uses quantitative design for statics
and data analysis, as well random sample, it will be at Almanaa
Hospital.
Key words : Nutrition , knowledge , pregnancy
Nutrition Knowledge among Young Pregnant Women In Saudi
ArabiaChapter 1Introduction
The purpose of the study is to investigate and establish whether
pregnant young Saudi women have the needed nutritional
knowledge. Nutrition plays a key role during pregnancy in the
sense that the nourishment that a pregnant woman gets
determines the nutrients that the developing foetus gets. In
addition, women are the heads of the family and are directly
responsible for feeding the whole family, starting with the child
and the rest of the family. In terms of awareness and knowledge
of food and nutrition issues, the family health level will be
affected by malnutrition or healthy and healthy nutrition. A
questionnaire was designed for the purpose of collecting
research data and personal interview from a sample of research
subjects. They were women married to four villages randomly
selected from central region of Riyadh city as representative of
the human sample during the study period from January 2018 to
July 2018 (Al‐Meshari, 2014).
A set of statistical methods for analyzing the study data,
including frequencies and percentage percentages of the
computational and correlation coefficients of Spearman and
Pearson were used. (Pillitteri, 2010) During pregnancy, the
body of the woman prepares for the growth and development of
the foetus and the feeding process. The tissue in the body, such
as the uterus and placenta, also develops to supply blood, food
and oxygen to the foetus. Proper weight loss benefits the health
of women and the foetus, reduces risk and helps to give birth to
a healthy baby. Therefore, pregnant women at the beginning of
pregnancy to inform their doctor about her health and eating
habits such as plant nutrition, allergies to certain types of food
such , problems in digestion or diet, or women who suffer from
pressure or diabetes before pregnancy (El Mouzan, 2014).
The woman's body during pregnancy is subjected to several
changes, including physical and hormonal, and the method of
nutrition during pregnancy affect the health of women and the
foetus, so pregnant women follow a healthy and balanced diet to
maintain the health of mother and foetus throughout pregnancy
and avoid the risks that can be exposed, Pregnant women are the
main source of nutrition and growth of the foetus (Finer,
2017).Young Pregnant Women
The study will assess Is a female pregnancy under the age of 20
years. A female can have sexual contact after ovulation, which
can be prior to her first cycle but often occurs after the
menstrual cycle, which occurs during the age of 12 or 13 years.
Pregnant adolescents face the same as other women, but in
addition, females under the age of 15 suffer from physical
problems that prevent them from enjoying healthy pregnancy or
childbirth. From the age of 15 to 19 years, the risk is more than
biological, but also social and economic. Biological risks
include exposure to low birth weights, anemia, pre-eclampsia
and early delivery. If these risks are controlled, other risks
include not getting adequate parental care. (King, 2016).
In developing countries, teenage pregnancy is linked to social
issues, including low levels of education, poverty and other
things that represent a negative life for children and adolescent
mothers. (Madani, 2015). Also, when teenage pregnancy in
developing countries is out of wedlock, it stigmatizes many
cultures and societies. In addition, it is desired and welcomed
by the community and the family if it is within the framework
of marriage, although teenage pregnancy in these countries is
closely linked to malnutrition, lack of access to health care, and
poor health, which causes health problems.
The risk of unintended teenage pregnancy can be minimized by
promoting the concept of contraception. There are 3.7 million
women under the age of 18 giving birth every year in
developing countries. If this number is included in all the
world's pregnancy numbers, the proportion will be much higher.
(Mansour, 2014).
Pregnancy among girls younger than 18 years has dire
consequences that can not be fixed. It also violates the rights of
girls, with life-threatening consequences in terms of sexual
health and reproductive health, and costs very high amounts of
society, especially sustaining the cycle of poverty (Shawky,
2014). Health outcomes include not only the body's willingness
to conceive, but also the birth of adolescent lead to
complications, malnutrition and low-income family .
In low- and middle-income developing countries, the risk of
maternal death under the age of 15 is much higher than that of
women in their 20s. Teenage pregnancy also affects girls'
education. Many studies have addressed the social, economic,
medical and psychological impact of pregnancy and parenting in
adolescents. (Say, 2013).
Nutrition Knowledge :
Nutrition knowledge in this case refers to information and skills
that an individual normally has pertaining food intake. In
respect to the research topic, this refers to information and
skills needed by pregnant young Saudi women. The young
women will be asked to determine whether they know a few
types of foods that a pregnant woman needs to take. They will
for instance be asked to list the types of foods that any pregnant
woman needs to take. For those that will not be sure about the
specific type of food to eat, this will be taken to mean that they
lack the needed nutrition knowledge (Shawky, 2014).
Second, the young women will be asked to determine whether
they have in the past made personal effort to get information
about the appropriate diet for an expectant woman. The
significance of this inquiry is that it will be used to tell whether
these women take matters of nutrition seriously. If many women
for instance will report that they have not implemented what
they were taught in past functions about nutrition during
pregnancy, this will mean that the women did not understand
the information that was presented to them. The only people
that will be assumed to have understood the information are
those that went on to implement what they were told during past
events (Amin, 2015).
Third, the young women will be asked to determine whether
they are willing to make an effort to know what the needed type
of foods for a pregnant woman. In any case it will be
determined that the most pregnant young women are not willing
to take personal measure to learn about good nutrition during
pregnancy, this will imply that they have not understood the
logic behind good diet. On the contrary, if it will be determined
that most pregnant young woman are willing to begin educating
themselves about good education, this will be taken to mean
that the women have understood the underlying logic behind
good nutrition (Mahfouz, 2013). Education Need for
Pregnant
The young pregnant women need to be educated about the type
fruits and vegetables that they need to eat when pregnant. They
for instance need to be told that they need to eat such fruits as
oranges, mangoes and avocados. The significance of eating
oranges during pregnancy is that they help keep the pregnant
woman hydrated throughout the day. Mangoes on the other hand
contain vitamin c which helps increase the immune system of
pregnant women and the unborn fetus. The fetus need to have a
high immune system for the reason that most of the body parts
are so delicate and so if affected by an illness will lead to
serious cases (Alsulyman, 2015).
Second, pregnant women need to be educated about type fruits
and vegetables that they need to avoid when pregnant. Examples
of fruits that pregnant women need to avoid during pregnancy
include pineapple, grapes and watermelons. It is important to
educate the young pregnant on this since most of them assume
that all fruits are good for eating during pregnancy. Other than
certain fruits and vegetables not being idea for eating during the
pregnancy period, there are those that do not add important
nutrients that a fetus or even the expectant needs. What this
means is that eating them will be a waste of resources that will
have been used to buy important fruits (Musaiger, 2016).
Additionally,the young pregnant women need to be educated on
the compelling reasons as to why they really need the fruits and
vegetables. It will be inappropriate to tell the young pregnant
women that they need to feed on a certain type of diet without
giving those compelling reasons as to why they need this
particular diet. Failure to give the young pregnant women
compelling reasons will make them less willing to take personal
initiatives. If the young pregnant women for instance are told
that fruits contain vitamins that are vital for the development of
the muscles of their fetus, this reason will motivate them to eat
fruits (Al-Rethaiaa, 2014).
Significant Of the Study
Pregnancy is one of the most important stages in a woman's life.
She experiences many physical, psychological and emotional
fluctuations. She feels that she shares life with her child, feels
how she grows up day after day, and feels his movements and
heart beats until he comes to life with the ability of God.
Pregnant women should be aware of their health and balanced
diets at this stage, taking into account the high mortality rates
among pregnant women in the study community. At the same
time, with a moderate increase in weight during pregnancy, the
mother will have the opportunity to have a child Full-grown and
strong, while minimizing the risk of postpartum health
problems. Reduces the risk of anaemia and iron deficiency in
pregnant women. Fatigue and poor immunity to colds, infections
and rapid changes in mood are caused by iron deficiency, so
when pregnant women eat foods rich in iron, they can avoid the
symptoms of this deficiency. Provides the holder with the
energy needed to have a healthy child. Accelerates the process
of recovery after delivery. Healthy food is necessary for the
recovery and recovery of the body after the birth of the child,
where the mother's body will need maximum energy and food
sources to heal the wound (Musaiger, 2013).
The study will provide vital information to organization whose
main role is to promote good health in the country. These health
organizations will use research information in such areas as
decision making. In any case for instance the study will
determine that most young pregnant women in Saudi are not
aware about the type of diet that they need to maintain when
pregnant, health promotion organizations will be compelled to
begin conducting public campaigns aimed at teaching the
women around the country about the diet that they need to
maintain during this vital time (Serenius, 2015).
In addition, the study results will provide a basis for conducting
further studies in the topic of nutrition. This is more likely to
happen if other researchers will discover the ideas that the
research study did not tackle. Future researchers for instance
may decide to conduct a study aimed at determining the regions
with poor nutritional education. The importance of being more
specific in terms of region in this case is that it will direct
health promotion organization on places to put more effort. It
will be unhelpful for example for health promotion
organizations to focus on areas whose inhabitants have high
nutrition education and leave those areas whose inhabitants
have low nutritional education (Al Arfaj, 2014).Aim of the
Study
The aim of the study is to identify nutrition knowledge among
young pregnant women.Objective
1. To determine the current state of Nutrition knowledge among
young pregnant women in Saudi Arabia
2. To raise awareness Nutrition knowledge among young
pregnant women Saudi Arabia
3. To increase awareness of nutrition knowledge among young
pregnant women Saudi ArabiaResearch Question
1. What is the current state of Nutrition knowledge among
young pregnant women in Saudi Arabia?
2. How it can increase awareness of nutrition knowledge among
young pregnant women Saudi Arabia?
3. What type of food are you supposed to eat when
pregnant?Chapter 2Design
Research design refers to a set of procedures and methods used
to collect and analyze measures that have been specified in a
research problem. The research design for this study will be
both quantitative and descriptive. The quantitative part will
involve the use of mathematical, statistical and computational
tools to examine the collected data. Mathematical tools for
instance will be used to determine the percentage of women that
have the needed nutritional knowledge for pregnant mothers.
The percentage figure of women with this knowledge will be
subtracted from the 100 to get the percentage of women that
lack this critical knowledge. Statistical tools in this case may be
used to determine the average number of pregnant young women
with the needed nutritional knowledge (Mufti, 2016).
The descriptive part will involve narrating the characteristics of
the young pregnant Saudi women. In any case the study for
instance will determine that most of the women that do not have
the needed knowledge are mainly those from poor background;
this will be described as; poverty hinders many young pregnant
Saudi women from accessing vital information about diet.
Better still, in any case the study will establish that most
expectant women that have the needed nutritional knowledge
are from wealthy background, this will be described as;
pregnant women from rich background are more mindful about
what they eat during the time of pregnancy (Abdel 2015).
One of the benefits of the above research design is that they
will help during the suggestions of observations. In any case it
will be observed for instance that most pregnant young Saudi
women are not willing to educate themselves about the right
nutrition that they need during pregnancy, this will be recorded
down on paper that; despite nutrition being a key factor in the
health of the fetus and the pregnant young Saudi women, quite a
number of these expectant mothers do not still see the
importance of the measures. It is important to note here that this
will be mainly be about recording what has been find out
(Kromhout, 2017).
Second, the above research design will be helpful in pinpointing
analytical and statistical procedures. The initial step during
analysis exercise will be organizing the data and then creating
such figures as pie charts. The creation of pie charts will
require mathematical skills especially when determining the
proportions of the pie chart. The created pie chart in this case
will be analyzed and facts about what is being observed
recorded down. The significance of recording facts in this case
is that it will help in providing a basis on which conclusions
will be made. The main aim in this case will be to come up with
the correct facts (Jannadi, 2016).
Additionally, the above research design will be used to pinpoint
the independent and dependent variable. The independent
variable in this case for instance is pregnant women while the
dependent variable is nutritional knowledge. The implication is
the independent variable in this case is that only young pregnant
Saudi women will be interrogated. The already specified age of
the participants is women aged between 12 and 25 years. The
implication of the nutritional knowledge in this case is that not
all expectant young Saudi women are expected to have the
needed nutritional knowledge. Some pregnant young women
will have this knowledge while others will be lacking this
critical knowledge (Ghanim, 2016).Setting
The setting of any research study refers to the area place that
the study will be conducted. This study will be conducted in
Eastern Province of the Kingdom of Saudi Aribia. The specific
health facilities in which the study will be carried out in
Almana Medical Center. It is equipped with the latest and best
medical equipment for patient services. It has a capacity of over
1100 beds. The city has four hospitals that treat more than
700,000 patients. . The study will mainly be conducted in
maternity wards. This particular setting has been selected for
the reason that it is the only place that has a guarantee of
meeting pregnant women. In any case the study was to settle on
residential settings, the number of pregnant women that will be
accessed will be low. As a matter of fact, not all residential
places have expectant young women. Maternity wards offers the
best setting to conduct the study for the reason that it is where
most pregnant women assemble to get the care that they need or
deliver babies.
Young pregnant women coming for checkups will also be
interrogated. This refers to those women whose pregnancy is
still at early stage that do not require admission to hospital. The
planned study will focus of three hospitals. The specific unity
of the hospital that this study will be mainly conducted is the
maternity ward. Upon obtaining information from one hospital,
the study will be moved to the second and third hospital in that
order. The main thing he will be to get access to the maximum
number of women possible.Sampling and Population
Sampling refers to the process of picking out individuals from
the larger population for measurement reasons. A simple
random sampling method will be used when selecting the many
young pregnant women in maternity wards (Bakhotmah, 2016).
While inside the maternity wards, Young pregnant women will
be picked randomly. This will be favored more by the fact that
the women in most maternity wards are never arranged in a
particular order. The process of picking and interviewing the
pregnant women will be done at a time when the nurses and
physicians have finished attending to these individuals. The
main reason for this is that it will help prevent interruption
(Abuya, 2014). The expected confidence rate is 95% while the
anticipated error margin will be 5%.
Inclusion Criteria
Expectant women that will be included in the study are those
aged between 12 and 25 years. Women above the age of 25
years will not be included in the study.
Exclusion Criteria
Expectant women that will be found to deliver unbelievable
information will be excluded from the study.
The study looks forward to interviewing a total population of
200 pregnant young women aged between 12 and 25 years. This
figure will not be from one hospital but rather it will be from all
the three hospitals that have been selected for the study. The
study aims at interrogating an average of 67 women per a
hospital (Contento, 2013). One of the reasons as to why it is
important to interview young pregnant women in different
maternity hospitals is that it will help in determining the
reliability of information of the information obtained. This is
especially when it comes to consistency (Al-Almaie, 2013).Data
Collection
Data collection typically refers to the activity of gathering as
well as measuring information pertaining variables that have
been identified to be of interest. One of the methods that will
be employed during data collection will be interviews.
Typically, the interview session in this case will involve asking
the young pregnant Saudi women some questions. The questions
in this case will be those designed to establish whether this
individuals have the needed nutritional knowledge for pregnant
mothers. The answers that the pregnant young women will be
providing during the interview will be immediately recorded.
This is for the reason that it will be difficult to remember all the
answers after conducting various interviews. The interviews
will be conducted for a very short time to avoid time wastage.
Information will be collected from young pregnant Saudi
women aged between 12 and 15 years (Al-Mazrou, 2016).
A few of the advantages of using interviews include the fact
that they enable a researcher to obtained detailed information
and also the fact that it enables the researcher to observe non
verbal cues. When conducting interviews, young pregnant will
be asked a few questions after which they will be allowed to
provide answer. As these women will be providing the answers,
interruption will be greatly avoided. The main aim of this will
be to allow them to provide detailed answers (De Vriendt,
2016).The question will be self-develop based on related liter
Another method that will be employed during the study is the
questionnaire method. Both open-ended (7 questions) and closed
(3) question will be asked. a total of This method will involve
issuing printed questions to the pregnant young Saudi women in
the maternity wards and also those that will be coming for the
tests. The questions will be issued to those expectant mothers
that are waiting to see the doctor. No question will be issued to
expectant mothers that are already in labor pain. This is because
they will not have time to respond to the questionnaires. To
make this method consume less time, questions with multiple
answers choices will be used (Kirby, 2015).
Some of the advantages of using questionnaires include the fact
that they lead to speedy answers and also the fact that they are
cost effective. Unlike in the case of interviews, respondents
answering the questionnaires will not be required to give
detailed answers. This is especially if the questions asked only
require them to select the best option among the ones that will
be provided. The benefit of getting speedy answers in this case
is that it will help avoid time wastage (Siddiqui, 2013).Ethical
Considering
The first step towards collecting information will be to seek
permission from the hospital management board. Personal
information such as the real names of the young pregnant
women will be made anonymous to avoid legal problems
(Walston, 2013). The purpose of doing this will be to prevent
mockery from the society. Young girls that have for instance
become mothers may be mocked for engaging in sexual activity
at an early age. Given the fact that Saudi Arabia is a religious
country that expects high moral standards, people may refuse to
associate with the young girls that became pregnant at an early
age. This is common due to the belief that individual that
engage in immoral activities are not good to associate with
(Williams, 2014).
Other than concealing personal information, the research will
avoid asking the participants questions about private
information (Halligan, 2015). A good example of a question that
could be too personal is that asking about the name of the father
of the unborn child. The disadvantage of asking for private
information in this case is that it will influence the young
pregnant women to change their attitude. A complaint from one
young pregnant woman might discourage the rest from allowing
them to be interrogated. This could be as a result of the
mentality that they might also be asked the annoying questions
that the others have been asked (Srivastava, 2015).
One more ethical factor that will be considered during the study
is informed consent (Al‐Hafedh, 2016). What informed consent
here means is that the pregnant young Saudi women will be
asked for permission before the process of interrogating them
starts. The study recognizes the fact that not all women may be
willing to be interrogated. One of the reasons for this could be
stress about pregnancy complications. Women for example that
have been informed that they will not deliver through the
normal way might be stressed about the procedure that they
might be about to undergo (Young, 2017).
Participants will be treated with kindness and any form of
wrongdoing against them will be highly avoided. The
significance of treating participants with kindness in this case
will be a way of showing them that their contribution is being
appreciated. Being rude to them will make them to change their
attitude. Wrong doing in this case might include falling the
luggage belonging to the expectant women. Like in this case of
being unkind, this will influence negative attitude (Halligan,
2015).Pilot Study
A pilot study refers to an initial study conducted in order to
explore issues surrounding the planned study. The main reason
for this pilot study is to prepare for the issues. Preliminary
study will be conducted prior the main study. One of the main
reasons for this will beto determine the actual cost and time of
the study (Khan, 2017). One of the benefits of knowing the
exact cost of the study is so as to avoid the inconveniences of
underestimations. The impact of underestimation for instance is
that it might suddenly bring the study into a standstill when the
available funds get over. Situations such as these make it
difficult for a study to continue. The importance of knowing the
correct time estimates is to avoid time wastage (Farghaly,
2013).
Another reason for conducting preliminary study will be so as
to determine whether there are adverse events and make
necessary preparation. One of the adverse events that will be
considered in this case are whether events such as heavy rain. It
will be determined during the pilot study that the areas of study
are currently experiencing heavy rainfall, a resolution will be
made to carry warm clothing during the day of the study. The
reasoning behind this is that it is difficult to carry out carry out
a research perfectly when one is feeling uncomfortable (El-
Gilany, 2013).
Validity & Reliability
Validity as applied to research refers to the level to which a
data being obtained is believable. Validity during the research
will be ensured through evaluating the information being
provided to establish whether it is believable. In any case it will
be determined that some young pregnant women are not
providing believable information, the information that they will
have provided will be rejected (Al‐Majed, 2014).
Reliability as applied in research refers to the ability of a
measurement tool producing consistent results. Reliability
during the study will be ensured through repeating certain tests
to establish whether they are providing consistent results. In
any case it will be established that the repeated tests do not
provide consistent results, this will be taken to mean that the
results obtained are not reliable. What will be done in this case
is that the tests will be repeated until that time when there will
be consistency (Hijazi, 2014).
The significance of obtaining valid and reliable data is that it
will lead to lead to genuine conclusion. This is the main reason
as to why the study will exclude any participant that will be
found to provide unbelievable information. During the study,
participants will be told that the data that they provide will be
used to make important decisions aimed at improving the
maternal health care in the country. The pregnant young
mothers will be assured that their true identity will not be
revealed. The importance of this prior notification is that it will
influence the young pregnant mothers to give genuine
information (Pötzsch, 2016).
Genuine conclusion from this research will help health care
organization to make good decisions. In any case the study for
instance will by mistake come to the conclusion that most
women have the needed nutrition knowledge pertaining
pregnancy, this will make health promotion organizations to
relax their effort of educating young pregnant women about the
appropriate diet that they need to feed on. The likely impact of
this is that it will worsen the existing problem. This is
especially if the truth of the matter is that most pregnant young
women do not have the needed knowledge pertaining nutrition
(Unicef, 2015).Data Analysis
The process of analyzing data will after the information will
have been entered into the computer system (Desjeux, 2014).
One of the software that will be used to analyze data is the
SPSS data analysis tool. This particular software will be mainly
used to perform statistical operation. The software for instance
will be used to calculate the percentage of the women that have
nutritional knowledge concerning the diet that pregnant women
need to feed on. The significance of using this software here is
that it will help save time. This is for the reason that this
software performs statistical operations faster when compared
to when the operations are done manually (Littlewood, 2016).
The analyzed data will then be electronically stored in the
computer and backed using IT techniques (Sack, 2017). One of
the advantages of electronic storage of data is that data is
protected from physical damage. The use of physical files to
store data makes it to be subjected to expose to damages that
may for instance result from splash of water (Scholl, 2014). The
impact of splashing water on the physical files is that the water
dissolves the ink that was used to record the information
thereby deleting the information. The importance of backing the
store information is so as to ensure that the information stored
does not get lost in any case the computer gets damaged. Online
backing of the stored information will make it easier to access
the information from any point (Allen, 2015).Procedure of the
Main Study
This study will be in Almana medical center The researcher will
take his approval from King Fahd Hospital as well as from the
Saudi Research Council or the international period of three to
four weeks the study will be conducted for one week time after
five days of preparation. The initial step which is problem
definition will involve giving clear explanation about the
existing issue that the study is trying to investigate. The issue
that this study is trying to investigate is the inquiry to
determine whether young pregnant Saudi women have the
needed knowledge pertaining nutrition. This is due to the fact
that the nourishment that an expectant woman gets determines
the nutrients that the fetus gets. What this means is that poor
nutrition will make the fetus and the mother to lack essential
nutrients needed for development.
The second step which is Development of Research Plan will
involve scheduling all activities that will be required to be
undertaken for the goals and objectives of the projects to be
realized. The significance of scheduling all the activities is that
it will prevent the possibility of forgetting some activities.
Assigning time to each activity will make the process of
estimating the total time that the study needs. The advantage of
doing this is that it will prevent the problem of time wastage.
This will be by ensuring that study does not involve activities
not listed in the schedule.
Pilot Study which is the third step will involve carrying out a
preliminary study and that is take (1 month). This will entail
exploring all areas of the study to establish surrounding issues.
A few of the things that will be examined during this
examination include the cost and time of the study. The
estimated costs will be evaluated to determine whether they
have been overestimated or underestimated. The impact of
overestimating costs is that it leads to wastage of financial
resources. The effect of underestimating costs is that it will
increase chances of the project coming into a standstill should
the funds run out.
The fourth step which is Collection of Data will involve going
to the hospital (Almana Medical Center) they take 2 to3 month
to gather information. The specific place in the hospital that
information will be collected from will be materiality wards. In
the maternity wards, expectant mothers will be interrogated to
determine whether they have nutrition knowledge concerning
the type of food that pregnant women need to eat. Upon
collection, data will be organized and then stored electronically
in the computers. The stored data will be backed up so that it is
not lost
The next step which is analysis of collected data will involve
examining the data. To do this, the stored data will have to be
first retrieved. Next after retrieving the data, the examination of
this data will entail trying to establish whether there are trends
in the data. An example of a trend that may be identified is a
case where the types of women that have the needed nutritional
knowledge are those that come from wealthy backgrounds. All
the existing trends in the data will be listed and then
concussions generated.
The final step which is reporting analysis result will involve
giving an account of the whole activity. That is take 1 month.
They report that will be written in this case will have four
chapters. The last chapter will contain the results from the study
conducted. Other than containing the results of the study, this
particular chapter will highlight conclusions that have been
made from the study that has just been conducted.
Chapter 3Time Scale
Time Scale
The mission
The expected time
Write the Literature review
(2) Weeks
Conducting Pilot study
(1) Month
Take a Study approval
(3-4) Weeks
The Data collection
(2-3) Months
Analysis the data
(3-4) Months
Writing the Result
(2) Months
Reviewing
(1) Month
participants
(1) Month
The Total
12 months and 2 weeks
The total estimated time for completion of this research project
and work on publication is one year with two weeks divided as
follows from three to four weeks to choose the hospital and the
Board of Audit also 4 weeks to conduct the pilot study until the
research is improved Data collection takes two to three months
while analyzed Within three months the result will be two
months.
Budget
The researcher will cost many related to using laptop, printer,
printer inks, pens, notebooks, MAXQDA software, papers, pilot
study, files, transportation, and Telephone bills. The cost for
these items as the following:
Item
Cost
Laptop
3000 RS.
Printer
400 RS.
Printer inks
500RS.
Pens
150 RS.
Notebooks
50 RS.
Files
200 RS.
Papers
400 RS.
Pilot study
500 RS.
MAXQDA software
1000 RS.
Transportation
2000 RS.
Telephone bills
500 RS.
Total budget
8700 RS.
The significant of a budget in this case is that it will help
ensure that funds allocated for this project are spent for their
true purpose. This means that the budget will prevent purchase
of items that have not been planned. Second, this budget will
help increase accountability. To be accountable in this case
means being answerable to all the expenditure that has been
incurred. This is especially if money at one point in time during
the study will be used for a wrong purpose.
In addition, this budget will be useful in saving some money
that might not be used during the study. This is for the reason
that there are high chances that the some items might cost lower
than has been estimated. The total of papers in this case for
instance will depend on the shop from which they are being
bought. Even though the estimated cost is 400 RS, this cost
might be lower if the papers will be bout from a shop that is
selling this item at a lower cost. The cost of this item might
even be lower if the shop will be offering discounts during the
time of purchase. Expected Outcome
The importance of balanced nutrition for the pregnant woman
must pay attention to her5 health and the adoption of balanced
food systems during this stage and we will mention the
following types of foods that are recommended to eat at each
stage of pregnancy, in addition to some tips and guidance on
foods to avoid during pregnancy.
So it must. It is essential for pregnant women to pay attention
to their health and to follow a balanced diet. During this stage,
we will mention the types of foods that you are advised to eat at
each stage of pregnancy, as well as some tips and advice
regarding foods to avoid during pregnancy.
To conclude the purpose of the study is to investigate and
establish whether pregnant young Saudi women have the needed
nutritional knowledge. Nutrition knowledge in this case refers
to information and skills that an individual normally has
pertaining food intake. In respect to the research topic, this
refers to information and skills needed by pregnant young Saudi
women. Nutrition plays a key role during pregnancy in the sense
that the nourishment that a pregnant woman gets determines the
nutrients that the developing fetus gets. The study will assess
women aged between 12 years and 25 years. A few of the
factors that contributed to early pregnancies include poverty
and separation of parents through divorce.
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AppendixAppendix I
Consent Form
I …………… give permission to …………………………… so
that he can to interrogate me about the subject of nutrition
knowledge. I understand that the study will require me to
provide brief statements and I am willing to do this.
I do understand that my participation in this study is Voluntary.
I also understand that the study personnel have power to stop
my participation at his will.
Participant’s Signature ……………………………….
Date…………………………………
I confirm that I have explained to the participant what the study
is all about. I confirm that I understand the principle of
confidentiality that I am required to honor. I confirm that I have
promised the above named person that I will not reveal her
private information to another person whatsoever.
Investigator’s Signature
…………………………………Date………………………………...
Appendix II Participant Leaflet
Information leaflet:
Title of this study: The Nursing Perception and the Impact of
Providing a Holistic Nursing Care for Critically Ill Patients
Name of the student researcher: Alreem Ali
This study explore the Nutrition Knowledge among Young
Pregnant Women in Saudi Arabia . I am interested to know the
level of awareness of these women This study will conduct in
the Almana Medical Center in Al-Khobar. The aim of this paper
is to gain your permission to start the research by collecting the
information from the interview questions. This research will use
a strategy of valid self-administered and semi structured
interview questions in English language.
Aim of the study: The aim of the study identify nutrition
knowledge among young pregnant women.
Research design: quantitative design
Participation: young pregnant women in maternity wards in
Almana Medical Center
Sampling: 200 pregnant young women aged between 12 and 25
years
Contact details
Researcher name:
Phone number:
Email:
Appendix III
Questionnaire
Part one (Social Demography Data)
· What is your age?
A. 12-16 years
B. 17-21 years
C. 22-25 years
· What is your level of education?
A. Primary
B. Secondary
C. College
· Are you married or single?
A. Married
B. Single
Part two (Pregnancy)
· How old is your pregnancy?
A. 0-3
B. 4-6
C. 7-9
· What is the gender of your unborn little baby?
A. Male
B. Female
· Are you expecting twins?
A. Yes
B. No
C. Maybe
· Is this the first pregnancy?
A. Yes
B. No
· How can you describe the pregnancy experience?
A. Good
B. BadPart three (Nutrition)
· Which of the following fruits are you supposed to avoid when
Pregnant? (Tick all)
A. Apricots
B. Tamarind
C. Papaya
D. Pears
E. Dates
· Which of the following vegetables are you supposed to avoid
when Pregnant? (Tick all)
A. Legumes
B. Raw Eggs
C. Sweet Potatoes
D. Caffeine
E. Raw Fish
· Which of the following beverages are you supposed to avoid
when Pregnant? (Tick all)
A. Orange Juice
B. Unpasteurized Milk
C. Alcohol
D. Low Fat Milk
E. Wheat Grass
· Are bananas appropriate for eating during pregnancy?
A. Yes
B. No
· Is coconut water appropriate for drinking during pregnancy?
A. Yes
B. No
· Are watermelons appropriate for eating during pregnancy?
A. Yes
B. No
31

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SAAD COLLEGE OF NURSING AND ALLIED HEALTH SCIENCESUNIVERSI.docx

  • 1. SAAD COLLEGE OF NURSING AND ALLIED HEALTH SCIENCES UNIVERSIY OF ULESTER Student name: Fatimah Aldawood ID number: SNC:136193 Cohort: (Year 4 semester 2) Course Title: BSc (Hons) in Nursing Studies Module Title: Developing research proposal Module Code: NUR 585 CRN: 59060 Words Count: Date: Lecturer responsible for unit: List of content: The content Pages Table of content 2 Acknowledgment 3 Abstract 4 Literature review 5-
  • 2. Significant of the study Aim, Objectives and Research question Methodology Setting Population Sampling Tools for data collection Robustness of the study Ethical consideration Pilot study Data analysis Process of data collection Outcomes Time scale Budget Appendix A: information leaflet Appendix B: consent forms Appendix C questionnaire part1
  • 3. Appendix C: interview questionnaire part2 Reference Acknowledgement: First of all, I would like to thank my mother and my sister to their emotional support, they encourage drove me into this level. Then I have to say thanks to my teachers for their good learning to me. Finally, I hope that my research study stimulates nurses to give more and understand the importance of great nursing profession.
  • 4. The Effective of Nursing Education and Attitude to Improve Knowledge in Palliative Care of Hospital- internationally. Abstract: This research going to describe the effect of nursing education and attitude to improve knowledge in palliative care of hospital- internationally. The palliative is medical specialty caring for people with chronic and serous disease. This type of care concentrate on rest of patient from the symptoms and stress diseases. The aims is to improve clarity of life for both the patient and their family. However nursing education and attitude have real affect on patient health, by improve nursing education patient care can improved. Even if the nurse dos not have enough education she can progress himself by continuous learning. "The 2011 Public Opinion Strategies found that most Americans believe that palliative care should be made available to all hospitals "(Center to Advance Palliative Care [CAPC], 2011). Background: Long work in medical area can affect in the Knowledge and attitude for the nurse it could in bad or good way, So the nurse have to improve himself to achieve the standard of care for patient in Palliative Care. Because of around the world the numbers of patients who`s need palliative care is increased, and the nurse come from the first line of patient care. Method: A quantitative study will used to explore the determine
  • 5. the knowledge and attitude of Saudi nurse who is provide care for palliative patient. Data collection: Data collection is "the process of gathering and measuring information on variables of interest, in an established systematic fashion that enables one to answer stated research questions, test hypotheses, and evaluate outcomes". The data collection component of research is joint to all areas of study inclusive physical and social sciences with humanities, business, etc. While process differ by discipline, the assurance on guarantee accurate and truthful collection leftover the selfsame. The 2nd one is observations. This method allows to the study of the dynamics of a condition or hesitancy counts of target behaviors, or more like behaviors as indicated by needs of the evaluation. However still there are more methods such as Questionnaires and Surveys. They are response to analyzed with quantitative types by assigning numerical values to Likert-type scales. The outcomes are generally easier (than qualitative techniques) to analyze Pretest and Posttest it can be compared and anatomize. This research will use surveys questionnaires to assess the nursing knowledge, by using palliative care knowledge test, was taken by 363 nursing from In multi-specialty hospitals. Key words: Palliative care, Knowledge and attitude of Saudi nurse.
  • 6. Introduction: This research study want to focus about how the nursing education and attitude in Kingdom of Saudi Arabia affect, particulary for patients in need of palliative care, by Know some special consideration. Nursing education includes of the theoretical and practical training economizer to nurses with goals to prepare them for their duties as nursing care professionals. This kind of education is provided to nursing students by accredited experienced nurses and other medical professionals who is responsible to train them and have qualified or experienced for educational mission. Most countries offer nurse education courses that can be link to general nursing or to specialized areas in nursing profession contain medical, surgical with mental health nursing and pediatric nursing. In addition, the nurse can work with patient who is need palliative care with serious diseases in different sections such as oncology department. Nurse learning also provides post-qualification training courses in specialist subjects within nursing profession to improve his knowledge, that will lead to provide better care for patients.
  • 7. All of the people deserve palliative care because all will reach the end of life in some day, and it could they need care from others because of they had illness. From the education and attitude of the nurse she can improve the quality of patient life with chronic diseases. "In 2015, 75% of all hospitals in the United States were providing palliative care services (CAPC, 2016)". The growing numbers demand for palliative care services request the need for Knowledge among hospital-based nurses to provide effectively palliative care for patients with serious illness and their families members. Palliative care goals to prevent or control of symptoms of chronic diseases. Moreover, palliative can concentrate and may be treat or relief the emotional, social, practical, and spiritual problems that illnesses can bring up. If the person feel`s better in those sides that will make him feel and have comfortable life or at least reduce the stress associated with the disease. "Palliative care can be given at the same time as treatments meant to cure or treat the disease. Palliative care may be given when the illness is diagnosed, throughout treatment, during follow-up, and at the end of life". All multidisciplinary team can provide care for patient who need to palliative care. But some providers specialize in it. "said a multidisciplinary team is a group of health care workers who are members of different disciplines. The activities of the team are brought together using a care plan". This coordinates their services and gets the team working together towards a specific set of goals. Sometimes the person has a key worker, who becomes the main point of contact for the person. Palliative care may be given by": A team of doctors, nurses and nurse practitioners, physician assistants, registered dietitians and social workers". They all work together to achieve best care for patients. to reach out the care plan all nurses have to progress them self by continuous learning and be aware about patients rights. Be attitude one of the best way to show respect for patients.
  • 8. Literature Review: "A literature review discusses published information in a particular subject area, and sometimes information in a particular subject area within a certain time period". Regarding to Webster, J. 2002 literature review can be known as the searching and evaluating of specific topic that can be chosen. It also documents the condition of the topic or the subject that will be written about. There are four essential purposes of using literature review. First, the chosen area of the study in the literature will be surveys. It also make a summary for the literature by synthesizes the information. It also analysis the gathered information critically by specifying gaps in present knowledge by showing points of view and limitations of theories, and by areas formulating for more researches and reviewing areas of dispute. Finally, it shows the literature in organized way. The literature review shows to the readers that the researcher have a deep knowledge about the topic, and where the research can be fitting and add into present body of agreed knowledge. Purpose/ Aim of study: The purpose of study to determine the knowledge and attitude of international nurse who is provide care for palliative patient. Education in Palliative care: Palliative care can be known as a dynamic field, and its famous now as a medical specialty with nature of inherent interdisciplinary. Palliative care need to be focused in how to relief patients suffering from serious debilitating illness or with life threatening, and give the best quality of support for patient and family life. Palliative care field include nursing, medicine, psychology, social work, rehabilitation, and nutrition. Even though the depth of support of the patient is obtainable from each discipline, its change from institution to another.
  • 9. Nowadays there is specialist in palliative care and it can be nurse. It should to formation relationship partnership between the care provider and the patient also with his family. Palliative care teams include the nurse, they offer n extra layer of support if the patient need more. More over to treating the side effect of symptoms and stress with coordinates and communicates with all of your doctors. They support every step of the way. "Nurses spend more time with patients and families than any other health professional as they face serious illness. Expert nursing care reduces the distress and burdens of those facing death, and the ability to offer support for unique physical, social, psychological, and spiritual needs of the patients and their families". "Many studies show that the nurses demonstrated a commitment to palliative care, with some nurses displaying even bigger action in the treatment of end-of-life patients or for patient with serious diseases". The nurse can educate the palliative care patient or his family every things start from their right, how to deal with disease and give them the support. Knowledge/ attitude of Nursing: The nurse have to progressing in the Knowledge and maintains the attitude because she can affect directly in patient life. Kassa, (2014) studied 341 nurses who is repay with a survey concerning the assessment of knowledge, attitudes, and follow up for the purpose of palliative care. Their finding detected that 104 nurses had considerable knowledge about palliative care and 259 nurses had sufficient attitudes towards end of life care (Kassa, et al, 2014). El-Nagar and Lawend (2013)surveyed nurses’ palliative care knowledge by studying a appropriate sample of 30 registered nurses (RNs) in the pediatric department and intensive care units. They reported that 50% respond accurately about allow Morphine as the standard analgesic in chronically ill babies in the pretest compared to 76.7% of respond in the posttest (El-Nagar & Lawend, 2013). The study of El-Nagar and Lawend (2013) consummated that
  • 10. nurses have dependability to care for palliative care children after a palliative care education and improve them self by Raise the level of knowledge. In case of the important of the nursing knowledge. This study mention Knowledge and practice of participants were not satisfying; "however, their attitude towards pharmacovigilance was at a high level. About 91% of the nurses had never reported an ADR. Most nurses liked to report the ADRs to the physicians (87.1%) and pharmacists in the hospital's adverse drug reactions( ADR) center (1.8%) more than the ADR National Center". The major reason of under-reporting of the suspected ADRs was not realization to the existence of such a national center. Justification: justification mean it is an acceptable reason for doing something : something that justifies an act or way of behaving. The reason behind this study is the real need to increase the nurses who is knowledgeable and have good attitude to the patients who is need palliative care. Because many research study mention the increase number of serious diseass ,so that need more good and effective care. "Many Americans die in facilities such as hospitals or nursing homes receiving care that is not consistent with their wishes". Objectives: - Assess the level of knowledge. - Identify attitude. Research Question: Dose Saudi nurse have enough knowledge and attitude to provide effect care to palliative patient?
  • 11. Chapter 2 Methodology: Design: By (Madelyn ,2018) she mention what is the impact of "The Effect of Palliative Care Nursing Education to Improve Knowledge in Palliative Care of Hospital Based Nurses Caring for Patients with Chronic, Serious Illness". With using qualitative methods to explore his research. mr Madelyn support his study with evidence based practice to expound how the palliative care nursing provides care for the leisure of pain and anguish everywhere the track of a patient’s chronic, serious illness. Hospital-based nurses need to be supply with palliative care nursing knowledge to tool up best care for patients and their families to progress the goodness of life. Lack of education in pain and symptom management also, communication about aims of care can out coms in a substandard and altitude cost of care. Setting:
  • 12. References: Grant, M., Elk, R., Ferrell, B., Morrison, R. S., & Von Gunten, C. F. (2009). Current status of palliative care—clinical implementation, education, and research. CA: a cancer journal for clinicians, 59(5), 327-335. Sartre, J. P. (1967). What is literature?. 6 1 HOW TO LAY OUT A RESEARCH PROPOSAL Title Page: Title Name of student and student number Name of Supervisor Course
  • 13. University Date of submission Table of Contents List of appendices Acknowledgements Abstract (100 - 150 words) The abstract must communicate the essential parts of the research proposal and should follow the same order as the proposal. It must convince the reader that the study is interesting and important Chapter 1: Literature review (2100 words) This section should include an Introduction and short justification for the proposed research study. The literature review must show evidence of wide reading and analysis, synthesis and evaluation of research findings Chapter 2: Methodology (3300 words) Design Design refers to how your research study will be conducted and
  • 14. the reasons for your choice of study methodology. You must label the methodology that you will employ e.g. quantitative – correlational or qualitative – phenomenological. This methodology must be justified from the research literature. Enough detail must be presented so that the reader can determine the adequacy of the methods. However, it is important to remember that your proposal is not a theory paper on research methods. Your proposed study must be central to the discussion with the research literature offering support to your proposed choice. Population / Sample You will need to provide details of your choice of sampling technique and sample size, as well as details about the participants (i.e. age, gender, religion, medical conditions, employed, etc). Inclusion and exclusion criteria must be stated along with the rationale for these decisions. Methods of data collection Any materials used in the study should be described in sufficient detail. This must also indicate how the data will be collected and where possible offer samples of the data tools as an appendix (i.e. questionnaires, interview schedules, and participant consent letters). Information on how, where and when the data is to be collected must be given. Robustness of data collection methods
  • 15. 2 You will need to identify the issues regarding the reliability and validity of any measurement tools to be employed. Similarly, for those undertaking a qualitative study identify the robustness of the study (consistency, truthfulness and transferability). Data analysis Discuss the methods of analysis. If quantitative data is to be collected and analysed you must indicate the specific statistical tests to be utilised and the statistical package that will be used (i.e. SPSS Version 11). If qualitative, you must provide clear guidelines as to how the data will be analysed, identifying the model of analysis that you will utilise (This section must also address the issue of data management, data protection, etc. Pilot study Explain the purpose of a pilot study and give details of your proposed pilot study. Procedure for main study Here you have to provide a succinct account of how the study will be carried out: step-by-step details such as where you will carry out interviews, how they will be recorded etc.
  • 16. Ethical considerations You must provide a detailed discussion exploring any relevant ethical issues pertaining to your proposed research study (protection of participants’ safety, confidentiality etc.). A participant information sheet and participant consent form must be prepared and included in the appendices. Chapter 3: Planning the research project (400 words) Anticipated outcome of the study Discuss the expected outcomes (linked to initial research question or aims and objectives) of your proposed study. Give a short explanation of how the findings can be disseminated. Time scale Prepare a detailed time-scale or time frame for the proposed study (you are to assume that the study would be carried out over an 18-month period). Resources Prepare a realistic budget: tatistician if needed) postage)
  • 17. References Use the Referencing System described in the RCN House Style for Writing document, which you have used throughout your course .You will loose marks for inaccurate or incomplete referencing. Participant Information Sheet and Participant Consent Form (must be attached in the appendix) 3 Some indication of the questions to be asked should be included if appropriate to the methodology Check List: WRITING YOUR RESEARCH PROPOSAL # CONTENT Yes NO 1 Abstract
  • 18. Does abstract contain the essential parts of the research? 2 Chapter 1: : Literature review (2100 words) Introduction Does the topic Introduced with a clear problem statement? Literature Review Does Literature show evidence of a range of international, national and regional empirical studies Does the Literature review critically evaluated – employed within such studies designs including data collection and data analysis techniques studies identifying gaps in the research literature
  • 19. Justification Does the study justify? ( Impact of the study findings/prevalence…. Research question Research question Is it interrogative that is, posed as a question and not as a statement; Research Aim and objectives A statement of the hypothesis or aims and objectives Is it clearly stated and gave an indication of the expected outcome of the research study. Are they realistic and achievable within the period of the proposed study? Chapter 2 :Methodology (3300 words)
  • 20. Design Does your study clearly identify the design e.g. quantitative – correlational or qualitative –and reasons for your choice of study methodology? Is the proposed study central to the discussion with the research literature offering support to your proposed choice? Setting Is setting of the proposed study identified with discussion of the rationale for selecting this setting? Population / Sample Are details of your choice of sampling technique and sample size, as well as details about the participants (i.e. age, gender, religion, medical conditions, employed, etc). Inclusion and exclusion criteria stated along with the rationale for these decisions.
  • 21. 4 Methods of data collection Is there a discussion of how, when and where the data will be collected in the proposed study? Are the samples of the data tools described and attached as an appendix (i.e. questionnaires, interview schedules, and participant consent letters. Is there a rationale provided for the appropriateness of the tool? Robustness of data collection methods Did the Quantitative study identify the issues regarding the reliability and validity of any measurement tools to be employed? Did the Qualitative study identify the robustness of the study
  • 22. (consistency, truthfulness and transferability)? Data analysis Is there a discussion of the methods of analysis of data? Is the specific statistical tests to be utilised and the statistical package that will be used (i.e. SPSS Version 11) discussed if the study is quantitative? Are the guidelines for qualitative data analysis provided clearly including model used? Is data management and data protection explained? Ethical considerations Is there a detailed discussion exploring any relevant ethical issues pertaining to your proposed research study (protection of participants’ safety, confidentiality etc.) provided? Are the participant information sheet and participant consent form prepared and included in the appendices?
  • 23. Pilot study Is the purpose of a pilot study explained? Is the detail of your proposed pilot study provided? Procedure for main study Have you provided a succinct account of how the study will be carried out: step-by-step details? Chapter 3: Planning the research project (400 words) Anticipated outcome of the study Is there a discussion of the expected outcomes (linked to initial research question or aims and objectives) of your proposed study? Is there a short explanation of how the findings can be disseminated?
  • 24. Time scale Is there a detailed time-scale or time frame for the proposed study prepared? Resources/ Budget Is there a realistic budget for the study prepared? References Is there a list of references and Used the Referencing System described in the RCN House Style for writing document? Appendix Participant Information Sheet and Participant Consent Form Is the Participant Information Sheet and Participant Consent Form, sample data collection tool attached in the appendix? Turnitin Is the proposal checked for plagiarism in the draft submission?
  • 25. Note: Please check your proposal before binding it for completion of all the chapters, format and contact your teacher for further clarification. SAAD COLLEGE OF NURSING AND ALLIED HEALTH SCINCE - UNIVERSITY OF ULESTER ACDAMIC YEAR 2018-19 Semester one Assignment Title: Nutrition Knowledge among Young Pregnant Women in Middle East. Student name: Alreem Ali Alaliwat ID number: SNC 146046 UU ID: B00697863 Cohort: 16 (Year 4 semester 2) Course Title: B.Sc (Hons) in Nursing Studies Module Title: Developing a research proposal Module Code: NUS 585 CRN: 59064 Words Count: 6000 Date: 29/11/2018
  • 26. Lecturer responsible for unit: Dr. Safia Belal Table of Contents Acknowledgement2 Abstract3 Chapter 15 Introduction5 1.Young Pregnant Women6 2.Nutrition Knowledge7 3.Education Need for Pregnant Words7 Significant Of the Study8 Aim of the Study9 Research Question9 Objective10 Research Question10 Chapter 211 Design11 Setting12 Sampling and Population13 Inclusion Criteria13 Exclusion Criteria13 Data Collection13 Ethical Considering14 Pilot Study15 Data Analysis16 Procedure of the Main Study17 Chapter 318 Time Scale18 Budget19
  • 27. Expected Outcome20 References21 Appendix I Consent Form27 Appendix II Participant Leaflet27 Appendix III Questionnaire28 About Nutrition29
  • 28. Acknowledgement: First of all, I am thankful of Allah for helping me to complete this research . Through this paper, I'm a proud of working with all the participant and I appreciate your efforts that were help and support me especially my lovely husband and my sister Dr.Ghada Also I would like to give special thanks to Dr.Safiah Bilal , special thanx for here for the kindness, guidance, encouragement, and suggestions du ring writing this study. Alreem. Nutrition Knowledge among Young Pregnant Women In Saudi ArabiaAbstract: Background: Nutrition plays a key role during pregnancy in the sense that the nourishment that a pregnant woman gets determines the nutrients that the developing fetus gets. Nutrition knowledge in this case refers to information and skills that an individual normally has pertaining food intake. In respect to the research topic, this refers to information and skills needed by pregnant women.
  • 29. Aim: The aim of the study identify nutrition knowledge among young pregnant women. Sample: the sample population of these study is the young pregnant women they take probability sample fore 100 participants. Methodology: the researcher uses quantitative design for statics and data analysis, as well random sample, it will be at Almanaa Hospital. Key words : Nutrition , knowledge , pregnancy Nutrition Knowledge among Young Pregnant Women In Saudi ArabiaChapter 1Introduction The purpose of the study is to investigate and establish whether pregnant young Saudi women have the needed nutritional knowledge. Nutrition plays a key role during pregnancy in the sense that the nourishment that a pregnant woman gets determines the nutrients that the developing foetus gets. In addition, women are the heads of the family and are directly responsible for feeding the whole family, starting with the child and the rest of the family. In terms of awareness and knowledge of food and nutrition issues, the family health level will be affected by malnutrition or healthy and healthy nutrition. A questionnaire was designed for the purpose of collecting research data and personal interview from a sample of research subjects. They were women married to four villages randomly selected from central region of Riyadh city as representative of
  • 30. the human sample during the study period from January 2018 to July 2018 (Al‐Meshari, 2014). A set of statistical methods for analyzing the study data, including frequencies and percentage percentages of the computational and correlation coefficients of Spearman and Pearson were used. (Pillitteri, 2010) During pregnancy, the body of the woman prepares for the growth and development of the foetus and the feeding process. The tissue in the body, such as the uterus and placenta, also develops to supply blood, food and oxygen to the foetus. Proper weight loss benefits the health of women and the foetus, reduces risk and helps to give birth to a healthy baby. Therefore, pregnant women at the beginning of pregnancy to inform their doctor about her health and eating habits such as plant nutrition, allergies to certain types of food such , problems in digestion or diet, or women who suffer from pressure or diabetes before pregnancy (El Mouzan, 2014). The woman's body during pregnancy is subjected to several changes, including physical and hormonal, and the method of nutrition during pregnancy affect the health of women and the foetus, so pregnant women follow a healthy and balanced diet to maintain the health of mother and foetus throughout pregnancy and avoid the risks that can be exposed, Pregnant women are the main source of nutrition and growth of the foetus (Finer, 2017).Young Pregnant Women The study will assess Is a female pregnancy under the age of 20 years. A female can have sexual contact after ovulation, which can be prior to her first cycle but often occurs after the menstrual cycle, which occurs during the age of 12 or 13 years. Pregnant adolescents face the same as other women, but in addition, females under the age of 15 suffer from physical problems that prevent them from enjoying healthy pregnancy or childbirth. From the age of 15 to 19 years, the risk is more than biological, but also social and economic. Biological risks include exposure to low birth weights, anemia, pre-eclampsia and early delivery. If these risks are controlled, other risks include not getting adequate parental care. (King, 2016).
  • 31. In developing countries, teenage pregnancy is linked to social issues, including low levels of education, poverty and other things that represent a negative life for children and adolescent mothers. (Madani, 2015). Also, when teenage pregnancy in developing countries is out of wedlock, it stigmatizes many cultures and societies. In addition, it is desired and welcomed by the community and the family if it is within the framework of marriage, although teenage pregnancy in these countries is closely linked to malnutrition, lack of access to health care, and poor health, which causes health problems. The risk of unintended teenage pregnancy can be minimized by promoting the concept of contraception. There are 3.7 million women under the age of 18 giving birth every year in developing countries. If this number is included in all the world's pregnancy numbers, the proportion will be much higher. (Mansour, 2014). Pregnancy among girls younger than 18 years has dire consequences that can not be fixed. It also violates the rights of girls, with life-threatening consequences in terms of sexual health and reproductive health, and costs very high amounts of society, especially sustaining the cycle of poverty (Shawky, 2014). Health outcomes include not only the body's willingness to conceive, but also the birth of adolescent lead to complications, malnutrition and low-income family . In low- and middle-income developing countries, the risk of maternal death under the age of 15 is much higher than that of women in their 20s. Teenage pregnancy also affects girls' education. Many studies have addressed the social, economic, medical and psychological impact of pregnancy and parenting in adolescents. (Say, 2013). Nutrition Knowledge : Nutrition knowledge in this case refers to information and skills that an individual normally has pertaining food intake. In respect to the research topic, this refers to information and skills needed by pregnant young Saudi women. The young women will be asked to determine whether they know a few
  • 32. types of foods that a pregnant woman needs to take. They will for instance be asked to list the types of foods that any pregnant woman needs to take. For those that will not be sure about the specific type of food to eat, this will be taken to mean that they lack the needed nutrition knowledge (Shawky, 2014). Second, the young women will be asked to determine whether they have in the past made personal effort to get information about the appropriate diet for an expectant woman. The significance of this inquiry is that it will be used to tell whether these women take matters of nutrition seriously. If many women for instance will report that they have not implemented what they were taught in past functions about nutrition during pregnancy, this will mean that the women did not understand the information that was presented to them. The only people that will be assumed to have understood the information are those that went on to implement what they were told during past events (Amin, 2015). Third, the young women will be asked to determine whether they are willing to make an effort to know what the needed type of foods for a pregnant woman. In any case it will be determined that the most pregnant young women are not willing to take personal measure to learn about good nutrition during pregnancy, this will imply that they have not understood the logic behind good diet. On the contrary, if it will be determined that most pregnant young woman are willing to begin educating themselves about good education, this will be taken to mean that the women have understood the underlying logic behind good nutrition (Mahfouz, 2013). Education Need for Pregnant The young pregnant women need to be educated about the type fruits and vegetables that they need to eat when pregnant. They for instance need to be told that they need to eat such fruits as oranges, mangoes and avocados. The significance of eating oranges during pregnancy is that they help keep the pregnant woman hydrated throughout the day. Mangoes on the other hand contain vitamin c which helps increase the immune system of
  • 33. pregnant women and the unborn fetus. The fetus need to have a high immune system for the reason that most of the body parts are so delicate and so if affected by an illness will lead to serious cases (Alsulyman, 2015). Second, pregnant women need to be educated about type fruits and vegetables that they need to avoid when pregnant. Examples of fruits that pregnant women need to avoid during pregnancy include pineapple, grapes and watermelons. It is important to educate the young pregnant on this since most of them assume that all fruits are good for eating during pregnancy. Other than certain fruits and vegetables not being idea for eating during the pregnancy period, there are those that do not add important nutrients that a fetus or even the expectant needs. What this means is that eating them will be a waste of resources that will have been used to buy important fruits (Musaiger, 2016). Additionally,the young pregnant women need to be educated on the compelling reasons as to why they really need the fruits and vegetables. It will be inappropriate to tell the young pregnant women that they need to feed on a certain type of diet without giving those compelling reasons as to why they need this particular diet. Failure to give the young pregnant women compelling reasons will make them less willing to take personal initiatives. If the young pregnant women for instance are told that fruits contain vitamins that are vital for the development of the muscles of their fetus, this reason will motivate them to eat fruits (Al-Rethaiaa, 2014). Significant Of the Study Pregnancy is one of the most important stages in a woman's life. She experiences many physical, psychological and emotional fluctuations. She feels that she shares life with her child, feels how she grows up day after day, and feels his movements and heart beats until he comes to life with the ability of God. Pregnant women should be aware of their health and balanced diets at this stage, taking into account the high mortality rates among pregnant women in the study community. At the same time, with a moderate increase in weight during pregnancy, the
  • 34. mother will have the opportunity to have a child Full-grown and strong, while minimizing the risk of postpartum health problems. Reduces the risk of anaemia and iron deficiency in pregnant women. Fatigue and poor immunity to colds, infections and rapid changes in mood are caused by iron deficiency, so when pregnant women eat foods rich in iron, they can avoid the symptoms of this deficiency. Provides the holder with the energy needed to have a healthy child. Accelerates the process of recovery after delivery. Healthy food is necessary for the recovery and recovery of the body after the birth of the child, where the mother's body will need maximum energy and food sources to heal the wound (Musaiger, 2013). The study will provide vital information to organization whose main role is to promote good health in the country. These health organizations will use research information in such areas as decision making. In any case for instance the study will determine that most young pregnant women in Saudi are not aware about the type of diet that they need to maintain when pregnant, health promotion organizations will be compelled to begin conducting public campaigns aimed at teaching the women around the country about the diet that they need to maintain during this vital time (Serenius, 2015). In addition, the study results will provide a basis for conducting further studies in the topic of nutrition. This is more likely to happen if other researchers will discover the ideas that the research study did not tackle. Future researchers for instance may decide to conduct a study aimed at determining the regions with poor nutritional education. The importance of being more specific in terms of region in this case is that it will direct health promotion organization on places to put more effort. It will be unhelpful for example for health promotion organizations to focus on areas whose inhabitants have high nutrition education and leave those areas whose inhabitants have low nutritional education (Al Arfaj, 2014).Aim of the Study The aim of the study is to identify nutrition knowledge among
  • 35. young pregnant women.Objective 1. To determine the current state of Nutrition knowledge among young pregnant women in Saudi Arabia 2. To raise awareness Nutrition knowledge among young pregnant women Saudi Arabia 3. To increase awareness of nutrition knowledge among young pregnant women Saudi ArabiaResearch Question 1. What is the current state of Nutrition knowledge among young pregnant women in Saudi Arabia? 2. How it can increase awareness of nutrition knowledge among young pregnant women Saudi Arabia? 3. What type of food are you supposed to eat when pregnant?Chapter 2Design Research design refers to a set of procedures and methods used to collect and analyze measures that have been specified in a research problem. The research design for this study will be both quantitative and descriptive. The quantitative part will involve the use of mathematical, statistical and computational tools to examine the collected data. Mathematical tools for instance will be used to determine the percentage of women that have the needed nutritional knowledge for pregnant mothers. The percentage figure of women with this knowledge will be subtracted from the 100 to get the percentage of women that lack this critical knowledge. Statistical tools in this case may be used to determine the average number of pregnant young women with the needed nutritional knowledge (Mufti, 2016). The descriptive part will involve narrating the characteristics of the young pregnant Saudi women. In any case the study for instance will determine that most of the women that do not have the needed knowledge are mainly those from poor background; this will be described as; poverty hinders many young pregnant Saudi women from accessing vital information about diet. Better still, in any case the study will establish that most expectant women that have the needed nutritional knowledge are from wealthy background, this will be described as; pregnant women from rich background are more mindful about
  • 36. what they eat during the time of pregnancy (Abdel 2015). One of the benefits of the above research design is that they will help during the suggestions of observations. In any case it will be observed for instance that most pregnant young Saudi women are not willing to educate themselves about the right nutrition that they need during pregnancy, this will be recorded down on paper that; despite nutrition being a key factor in the health of the fetus and the pregnant young Saudi women, quite a number of these expectant mothers do not still see the importance of the measures. It is important to note here that this will be mainly be about recording what has been find out (Kromhout, 2017). Second, the above research design will be helpful in pinpointing analytical and statistical procedures. The initial step during analysis exercise will be organizing the data and then creating such figures as pie charts. The creation of pie charts will require mathematical skills especially when determining the proportions of the pie chart. The created pie chart in this case will be analyzed and facts about what is being observed recorded down. The significance of recording facts in this case is that it will help in providing a basis on which conclusions will be made. The main aim in this case will be to come up with the correct facts (Jannadi, 2016). Additionally, the above research design will be used to pinpoint the independent and dependent variable. The independent variable in this case for instance is pregnant women while the dependent variable is nutritional knowledge. The implication is the independent variable in this case is that only young pregnant Saudi women will be interrogated. The already specified age of the participants is women aged between 12 and 25 years. The implication of the nutritional knowledge in this case is that not all expectant young Saudi women are expected to have the needed nutritional knowledge. Some pregnant young women will have this knowledge while others will be lacking this critical knowledge (Ghanim, 2016).Setting The setting of any research study refers to the area place that
  • 37. the study will be conducted. This study will be conducted in Eastern Province of the Kingdom of Saudi Aribia. The specific health facilities in which the study will be carried out in Almana Medical Center. It is equipped with the latest and best medical equipment for patient services. It has a capacity of over 1100 beds. The city has four hospitals that treat more than 700,000 patients. . The study will mainly be conducted in maternity wards. This particular setting has been selected for the reason that it is the only place that has a guarantee of meeting pregnant women. In any case the study was to settle on residential settings, the number of pregnant women that will be accessed will be low. As a matter of fact, not all residential places have expectant young women. Maternity wards offers the best setting to conduct the study for the reason that it is where most pregnant women assemble to get the care that they need or deliver babies. Young pregnant women coming for checkups will also be interrogated. This refers to those women whose pregnancy is still at early stage that do not require admission to hospital. The planned study will focus of three hospitals. The specific unity of the hospital that this study will be mainly conducted is the maternity ward. Upon obtaining information from one hospital, the study will be moved to the second and third hospital in that order. The main thing he will be to get access to the maximum number of women possible.Sampling and Population Sampling refers to the process of picking out individuals from the larger population for measurement reasons. A simple random sampling method will be used when selecting the many young pregnant women in maternity wards (Bakhotmah, 2016). While inside the maternity wards, Young pregnant women will be picked randomly. This will be favored more by the fact that the women in most maternity wards are never arranged in a particular order. The process of picking and interviewing the pregnant women will be done at a time when the nurses and physicians have finished attending to these individuals. The main reason for this is that it will help prevent interruption
  • 38. (Abuya, 2014). The expected confidence rate is 95% while the anticipated error margin will be 5%. Inclusion Criteria Expectant women that will be included in the study are those aged between 12 and 25 years. Women above the age of 25 years will not be included in the study. Exclusion Criteria Expectant women that will be found to deliver unbelievable information will be excluded from the study. The study looks forward to interviewing a total population of 200 pregnant young women aged between 12 and 25 years. This figure will not be from one hospital but rather it will be from all the three hospitals that have been selected for the study. The study aims at interrogating an average of 67 women per a hospital (Contento, 2013). One of the reasons as to why it is important to interview young pregnant women in different maternity hospitals is that it will help in determining the reliability of information of the information obtained. This is especially when it comes to consistency (Al-Almaie, 2013).Data Collection Data collection typically refers to the activity of gathering as well as measuring information pertaining variables that have been identified to be of interest. One of the methods that will be employed during data collection will be interviews. Typically, the interview session in this case will involve asking the young pregnant Saudi women some questions. The questions in this case will be those designed to establish whether this individuals have the needed nutritional knowledge for pregnant mothers. The answers that the pregnant young women will be providing during the interview will be immediately recorded. This is for the reason that it will be difficult to remember all the answers after conducting various interviews. The interviews will be conducted for a very short time to avoid time wastage. Information will be collected from young pregnant Saudi
  • 39. women aged between 12 and 15 years (Al-Mazrou, 2016). A few of the advantages of using interviews include the fact that they enable a researcher to obtained detailed information and also the fact that it enables the researcher to observe non verbal cues. When conducting interviews, young pregnant will be asked a few questions after which they will be allowed to provide answer. As these women will be providing the answers, interruption will be greatly avoided. The main aim of this will be to allow them to provide detailed answers (De Vriendt, 2016).The question will be self-develop based on related liter Another method that will be employed during the study is the questionnaire method. Both open-ended (7 questions) and closed (3) question will be asked. a total of This method will involve issuing printed questions to the pregnant young Saudi women in the maternity wards and also those that will be coming for the tests. The questions will be issued to those expectant mothers that are waiting to see the doctor. No question will be issued to expectant mothers that are already in labor pain. This is because they will not have time to respond to the questionnaires. To make this method consume less time, questions with multiple answers choices will be used (Kirby, 2015). Some of the advantages of using questionnaires include the fact that they lead to speedy answers and also the fact that they are cost effective. Unlike in the case of interviews, respondents answering the questionnaires will not be required to give detailed answers. This is especially if the questions asked only require them to select the best option among the ones that will be provided. The benefit of getting speedy answers in this case is that it will help avoid time wastage (Siddiqui, 2013).Ethical Considering The first step towards collecting information will be to seek permission from the hospital management board. Personal information such as the real names of the young pregnant women will be made anonymous to avoid legal problems (Walston, 2013). The purpose of doing this will be to prevent mockery from the society. Young girls that have for instance
  • 40. become mothers may be mocked for engaging in sexual activity at an early age. Given the fact that Saudi Arabia is a religious country that expects high moral standards, people may refuse to associate with the young girls that became pregnant at an early age. This is common due to the belief that individual that engage in immoral activities are not good to associate with (Williams, 2014). Other than concealing personal information, the research will avoid asking the participants questions about private information (Halligan, 2015). A good example of a question that could be too personal is that asking about the name of the father of the unborn child. The disadvantage of asking for private information in this case is that it will influence the young pregnant women to change their attitude. A complaint from one young pregnant woman might discourage the rest from allowing them to be interrogated. This could be as a result of the mentality that they might also be asked the annoying questions that the others have been asked (Srivastava, 2015). One more ethical factor that will be considered during the study is informed consent (Al‐Hafedh, 2016). What informed consent here means is that the pregnant young Saudi women will be asked for permission before the process of interrogating them starts. The study recognizes the fact that not all women may be willing to be interrogated. One of the reasons for this could be stress about pregnancy complications. Women for example that have been informed that they will not deliver through the normal way might be stressed about the procedure that they might be about to undergo (Young, 2017). Participants will be treated with kindness and any form of wrongdoing against them will be highly avoided. The significance of treating participants with kindness in this case will be a way of showing them that their contribution is being appreciated. Being rude to them will make them to change their attitude. Wrong doing in this case might include falling the luggage belonging to the expectant women. Like in this case of being unkind, this will influence negative attitude (Halligan,
  • 41. 2015).Pilot Study A pilot study refers to an initial study conducted in order to explore issues surrounding the planned study. The main reason for this pilot study is to prepare for the issues. Preliminary study will be conducted prior the main study. One of the main reasons for this will beto determine the actual cost and time of the study (Khan, 2017). One of the benefits of knowing the exact cost of the study is so as to avoid the inconveniences of underestimations. The impact of underestimation for instance is that it might suddenly bring the study into a standstill when the available funds get over. Situations such as these make it difficult for a study to continue. The importance of knowing the correct time estimates is to avoid time wastage (Farghaly, 2013). Another reason for conducting preliminary study will be so as to determine whether there are adverse events and make necessary preparation. One of the adverse events that will be considered in this case are whether events such as heavy rain. It will be determined during the pilot study that the areas of study are currently experiencing heavy rainfall, a resolution will be made to carry warm clothing during the day of the study. The reasoning behind this is that it is difficult to carry out carry out a research perfectly when one is feeling uncomfortable (El- Gilany, 2013). Validity & Reliability Validity as applied to research refers to the level to which a data being obtained is believable. Validity during the research will be ensured through evaluating the information being provided to establish whether it is believable. In any case it will be determined that some young pregnant women are not providing believable information, the information that they will have provided will be rejected (Al‐Majed, 2014). Reliability as applied in research refers to the ability of a measurement tool producing consistent results. Reliability during the study will be ensured through repeating certain tests to establish whether they are providing consistent results. In
  • 42. any case it will be established that the repeated tests do not provide consistent results, this will be taken to mean that the results obtained are not reliable. What will be done in this case is that the tests will be repeated until that time when there will be consistency (Hijazi, 2014). The significance of obtaining valid and reliable data is that it will lead to lead to genuine conclusion. This is the main reason as to why the study will exclude any participant that will be found to provide unbelievable information. During the study, participants will be told that the data that they provide will be used to make important decisions aimed at improving the maternal health care in the country. The pregnant young mothers will be assured that their true identity will not be revealed. The importance of this prior notification is that it will influence the young pregnant mothers to give genuine information (Pötzsch, 2016). Genuine conclusion from this research will help health care organization to make good decisions. In any case the study for instance will by mistake come to the conclusion that most women have the needed nutrition knowledge pertaining pregnancy, this will make health promotion organizations to relax their effort of educating young pregnant women about the appropriate diet that they need to feed on. The likely impact of this is that it will worsen the existing problem. This is especially if the truth of the matter is that most pregnant young women do not have the needed knowledge pertaining nutrition (Unicef, 2015).Data Analysis The process of analyzing data will after the information will have been entered into the computer system (Desjeux, 2014). One of the software that will be used to analyze data is the SPSS data analysis tool. This particular software will be mainly used to perform statistical operation. The software for instance will be used to calculate the percentage of the women that have nutritional knowledge concerning the diet that pregnant women need to feed on. The significance of using this software here is that it will help save time. This is for the reason that this
  • 43. software performs statistical operations faster when compared to when the operations are done manually (Littlewood, 2016). The analyzed data will then be electronically stored in the computer and backed using IT techniques (Sack, 2017). One of the advantages of electronic storage of data is that data is protected from physical damage. The use of physical files to store data makes it to be subjected to expose to damages that may for instance result from splash of water (Scholl, 2014). The impact of splashing water on the physical files is that the water dissolves the ink that was used to record the information thereby deleting the information. The importance of backing the store information is so as to ensure that the information stored does not get lost in any case the computer gets damaged. Online backing of the stored information will make it easier to access the information from any point (Allen, 2015).Procedure of the Main Study This study will be in Almana medical center The researcher will take his approval from King Fahd Hospital as well as from the Saudi Research Council or the international period of three to four weeks the study will be conducted for one week time after five days of preparation. The initial step which is problem definition will involve giving clear explanation about the existing issue that the study is trying to investigate. The issue that this study is trying to investigate is the inquiry to determine whether young pregnant Saudi women have the needed knowledge pertaining nutrition. This is due to the fact that the nourishment that an expectant woman gets determines the nutrients that the fetus gets. What this means is that poor nutrition will make the fetus and the mother to lack essential nutrients needed for development. The second step which is Development of Research Plan will involve scheduling all activities that will be required to be undertaken for the goals and objectives of the projects to be realized. The significance of scheduling all the activities is that it will prevent the possibility of forgetting some activities. Assigning time to each activity will make the process of
  • 44. estimating the total time that the study needs. The advantage of doing this is that it will prevent the problem of time wastage. This will be by ensuring that study does not involve activities not listed in the schedule. Pilot Study which is the third step will involve carrying out a preliminary study and that is take (1 month). This will entail exploring all areas of the study to establish surrounding issues. A few of the things that will be examined during this examination include the cost and time of the study. The estimated costs will be evaluated to determine whether they have been overestimated or underestimated. The impact of overestimating costs is that it leads to wastage of financial resources. The effect of underestimating costs is that it will increase chances of the project coming into a standstill should the funds run out. The fourth step which is Collection of Data will involve going to the hospital (Almana Medical Center) they take 2 to3 month to gather information. The specific place in the hospital that information will be collected from will be materiality wards. In the maternity wards, expectant mothers will be interrogated to determine whether they have nutrition knowledge concerning the type of food that pregnant women need to eat. Upon collection, data will be organized and then stored electronically in the computers. The stored data will be backed up so that it is not lost The next step which is analysis of collected data will involve examining the data. To do this, the stored data will have to be first retrieved. Next after retrieving the data, the examination of this data will entail trying to establish whether there are trends in the data. An example of a trend that may be identified is a case where the types of women that have the needed nutritional knowledge are those that come from wealthy backgrounds. All the existing trends in the data will be listed and then concussions generated. The final step which is reporting analysis result will involve giving an account of the whole activity. That is take 1 month.
  • 45. They report that will be written in this case will have four chapters. The last chapter will contain the results from the study conducted. Other than containing the results of the study, this particular chapter will highlight conclusions that have been made from the study that has just been conducted. Chapter 3Time Scale Time Scale The mission The expected time Write the Literature review (2) Weeks Conducting Pilot study (1) Month Take a Study approval (3-4) Weeks The Data collection (2-3) Months Analysis the data (3-4) Months Writing the Result (2) Months Reviewing (1) Month participants (1) Month The Total 12 months and 2 weeks The total estimated time for completion of this research project and work on publication is one year with two weeks divided as follows from three to four weeks to choose the hospital and the Board of Audit also 4 weeks to conduct the pilot study until the research is improved Data collection takes two to three months
  • 46. while analyzed Within three months the result will be two months. Budget The researcher will cost many related to using laptop, printer, printer inks, pens, notebooks, MAXQDA software, papers, pilot study, files, transportation, and Telephone bills. The cost for these items as the following: Item Cost Laptop 3000 RS. Printer 400 RS. Printer inks 500RS. Pens 150 RS. Notebooks 50 RS. Files 200 RS. Papers 400 RS. Pilot study 500 RS. MAXQDA software 1000 RS. Transportation 2000 RS. Telephone bills 500 RS.
  • 47. Total budget 8700 RS. The significant of a budget in this case is that it will help ensure that funds allocated for this project are spent for their true purpose. This means that the budget will prevent purchase of items that have not been planned. Second, this budget will help increase accountability. To be accountable in this case means being answerable to all the expenditure that has been incurred. This is especially if money at one point in time during the study will be used for a wrong purpose. In addition, this budget will be useful in saving some money that might not be used during the study. This is for the reason that there are high chances that the some items might cost lower than has been estimated. The total of papers in this case for instance will depend on the shop from which they are being bought. Even though the estimated cost is 400 RS, this cost might be lower if the papers will be bout from a shop that is selling this item at a lower cost. The cost of this item might even be lower if the shop will be offering discounts during the time of purchase. Expected Outcome The importance of balanced nutrition for the pregnant woman must pay attention to her5 health and the adoption of balanced food systems during this stage and we will mention the following types of foods that are recommended to eat at each stage of pregnancy, in addition to some tips and guidance on foods to avoid during pregnancy. So it must. It is essential for pregnant women to pay attention to their health and to follow a balanced diet. During this stage, we will mention the types of foods that you are advised to eat at each stage of pregnancy, as well as some tips and advice regarding foods to avoid during pregnancy. To conclude the purpose of the study is to investigate and establish whether pregnant young Saudi women have the needed nutritional knowledge. Nutrition knowledge in this case refers to information and skills that an individual normally has
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  • 53. 48. Walston, S., Al-Harbi, Y., & Al-Omar, B. (2013). The changing face of healthcare in Saudi Arabia. Ann Saudi Med, 28(4), 243-250. 49. Williams, J. B., Ostrowski, S., Bedin, E., & Ismail, K. (2014). Seasonal variation in energy expenditure, water flux and food consumption of Arabian oryx Oryx leucoryx. Journal of Experimental Biology, 204(13), 2301-2311. 50. Young, I. D. (2017). Guidelines for school health programs to promote lifelong healthy eating. Journal of school health,67(1), AppendixAppendix I Consent Form I …………… give permission to …………………………… so that he can to interrogate me about the subject of nutrition knowledge. I understand that the study will require me to provide brief statements and I am willing to do this. I do understand that my participation in this study is Voluntary. I also understand that the study personnel have power to stop my participation at his will. Participant’s Signature ………………………………. Date………………………………… I confirm that I have explained to the participant what the study is all about. I confirm that I understand the principle of confidentiality that I am required to honor. I confirm that I have promised the above named person that I will not reveal her private information to another person whatsoever. Investigator’s Signature …………………………………Date………………………………... Appendix II Participant Leaflet Information leaflet: Title of this study: The Nursing Perception and the Impact of Providing a Holistic Nursing Care for Critically Ill Patients
  • 54. Name of the student researcher: Alreem Ali This study explore the Nutrition Knowledge among Young Pregnant Women in Saudi Arabia . I am interested to know the level of awareness of these women This study will conduct in the Almana Medical Center in Al-Khobar. The aim of this paper is to gain your permission to start the research by collecting the information from the interview questions. This research will use a strategy of valid self-administered and semi structured interview questions in English language. Aim of the study: The aim of the study identify nutrition knowledge among young pregnant women. Research design: quantitative design Participation: young pregnant women in maternity wards in Almana Medical Center Sampling: 200 pregnant young women aged between 12 and 25 years Contact details Researcher name: Phone number: Email: Appendix III Questionnaire Part one (Social Demography Data) · What is your age? A. 12-16 years B. 17-21 years C. 22-25 years · What is your level of education? A. Primary B. Secondary C. College · Are you married or single? A. Married
  • 55. B. Single Part two (Pregnancy) · How old is your pregnancy? A. 0-3 B. 4-6 C. 7-9 · What is the gender of your unborn little baby? A. Male B. Female · Are you expecting twins? A. Yes B. No C. Maybe · Is this the first pregnancy? A. Yes B. No · How can you describe the pregnancy experience? A. Good B. BadPart three (Nutrition) · Which of the following fruits are you supposed to avoid when Pregnant? (Tick all) A. Apricots B. Tamarind C. Papaya D. Pears E. Dates · Which of the following vegetables are you supposed to avoid when Pregnant? (Tick all) A. Legumes B. Raw Eggs C. Sweet Potatoes D. Caffeine E. Raw Fish · Which of the following beverages are you supposed to avoid when Pregnant? (Tick all) A. Orange Juice
  • 56. B. Unpasteurized Milk C. Alcohol D. Low Fat Milk E. Wheat Grass · Are bananas appropriate for eating during pregnancy? A. Yes B. No · Is coconut water appropriate for drinking during pregnancy? A. Yes B. No · Are watermelons appropriate for eating during pregnancy? A. Yes B. No 31