Challenges of Implementing Inclusive Education of Children with Visual Impairment in Port Harcourt, Rivers State (Published)
The study investigated the challenges of implementing inclusive education of children with visual impairment in Port Harcourt, Rivers State. The design of the study is descriptive survey design. The population of the study was all the 80 teachers of children with visual impairment in the 4 centres in Port Harcourt. The simple random sampling technique was used to draw 25% of the population as the sample for the study. A self-designed instrument titled Challenges of Implementing Inclusive Education Scale (CIIES) was used for the study. The cronbach alpha reliability estimate was used to establish the reliability of the instrument. The general reliability of CIIES is given at .92, Social Factors Subscale (SFS) .935, Economic Factors Subscale (EFS) .91 and Emotional Factors Subscale (EFS) .87. Three research questions were answered. Mean and standard deviation were used for the data analysis. It was found out among others that the social factors that may challenge effective implementation of inclusive education are: negative attitude of the society towards these students, unadoptable school environment and language/ communication barriers. More so, the economic factors are: inadequate funding, inadequate number of personnel, inadequate training for personnel and inadequate funding to purchase the necessary technological materials, while emotional factors are discrimination against children with visual impairment, lack of awareness of the special needs of children with visual impairment, marginalization of children with visual impairment. The following recommendations were made among others; the school administrators should take social activities like co-curricular activities very seriously in the schools; that the school administrators should endeavour to meet parents, host community and non-governmental functionaries like Tetfund and oil companies for financial assistance.
Based on the initial survey, it was known that the number diabetic patients with gangrene at Dr. Pirngadi General Hospital Medan in the last five years were as many as 236 patients, and the diabetic cases increase annually. Gangrenous wound healing can be affected by diet, physical exercise, wound care, insulin administration, psychological, and social factors. The study analyzed the effect of diet, physical exercise, wound care, insulin administration, as well as psychological and social factors, to KGD wound healing, wound size, and time decreases. The study was a quasi-experimental design (quasi experiment), under the design of the separate pretest-posttest-sample control group design, involving two groups: the intervention group and the control group. Nursing care has a significant role to gangrenous wound healing in diabetic patients at Dr. Pirngadi General Hospital Medan. This is indicated by the role or influence of the sixth variables of nursing care consisting of diet, physical exercise, wound care, insulin administration, psychological factors, social factors, and wound healing with the value of the odds ratio greater than 1.Based on the multivariate analysis, the value of the role of nursing care to the gangrenous wound healing in diabetic patients is at 0410 x 100% = 41.0%. Gangrenous wound nursing care in patients with diabetes mellitus showed a significant effect with a significance value of 0.001, less than the sig- (0.05). This means that the six independent variables simultaneously bring significant influence on the dependent variable (gangrenous wound healing). It is recommended that further studies improve nursing care services on gangrenous wound healing in diabetic patients, especially with the provision of better diet and exercise facilities so gangrenous wound healing in diabetic patients can be improved