Textbook of Sociology for Nursing Students KP Neeraja
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Introduction to SociologyCHAPTER ONE

 
 
Introduction
Sociology is the youngest of all social sciences. The history of sociology is as old as society. Systematic studies of society started long back in Greece, i.e. in 427–347 BC. Plato and his disciple Aristotle (384–322) laid foundation for systematic study.
In India, king Manu laid foundation for sociology. He divided people into four varnas. Epics in India reflect the behaviour and various aspects how to live in a society. Manu referred to customs, social affairs in his book, ‘Manu Smruthi’.
In 1839, Auguste Comte, a French Philosopher, (1798, 1857) coined the term, ‘Sociology’. He is considered as, ‘Father of Sociology’. Sociology is derived from two words, ‘societus’ means society, (Latin word) and ‘logos’ (Greek word) means study of.
 
Definition
  • ‘The science of social phenomenon subjected to natural laws, the discovery of which is the objective of investigations’. —Auguste Comte
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  • ‘The scientific study of society’ —Gidding and Gidding
  • ‘Study of relationship between man and his environment’ —HP Fair Child
  • ‘The study of interactions arising from the association of living beings’ —Gillin and Gillin
  • ‘The study of human interactions and interrelations, their conditions and consequences’ —M Ginsberg
  • ‘The science which attempts the interpretive understandings of social being’ —Maxweber
  • ‘The scientific study of social relationships, their variety, their forms whatever affects them and whatever they affect’
  • ‘Sociology is the scientific study of patterns of human behaviour as they emerge and crystallise out of the interactions of human beings in the groups, which comprise the society’— George Shankar
  • ‘It is the study of social aggregates and groups in their institutional organisation and the causes and the consequences of changes in institutions and social organisation’ —International Encyclopedia of social sciences
  • ‘It is an academic discipline that utilises the scientific method in accumulating knowledge about man's social behaviour. It studies the patterned, shared human behaviour, the way in which people act towards one another —Prasad, 1977.
 
The above definitions are based on the following factors
  • Human beings have a propensity to organise their behaviour in groups in order to satisfy their needs and wants to fulfill necessary social function
  • Human beings have the capacity to know how to organise their behaviour in a wide range of groups
  • The behaviours, thoughts and attitudes of human beings are determined to a large extent by the quality of the learned ways of interacting in groups
  • The social interaction in which one person influence the attitudes, thoughts, opinions and behaviour of another
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  • Interaction pattern occurs within the large social systems in societies, groups, crowds, social classes, social institutions, neighbourhood and community.
From all the definitions of sociology, we can list out the following views:
  • The sociology is science of society
  • It studies the social relationships
  • It is the study of social life
  • It is the study of human behaviour in group situation
  • It deals with social actions
  • It studies social systems.
 
NATURE OF SOCIOLOGY
 
Sociology as a Science
It emerged as a special discipline among the social sciences, considered as sciences of society. The concept was first developed by Emile Durkheim as it uses scientific methods, investigation, and different bodies of knowledge.
  1. It studies social phenomenon: It is known as, ‘Mother of all social sciences’.
    It uses scientific method. It is a systematic way of dealing with ideas, careful observation and recording of the factual data, and which is classified, analysed and organised in a systematic fashion by logical basis through which generalisations can be made.
  2. Sociology is factual: It deals with facts only, uses scientific principles to solve the problems.
  3. Sociology frames laws and attempts to predict: Science can make prediction on the basis of universal and valued laws relating to the problem solving approach.
  4. Principles of sociology are universal: The laws of sociology proved to be true at all times and places, as long as the conditions do not vary. The laws are devoid of any exceptions.
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  5. It discovers the cause and effect relationship: It structures for the cause and effect relationship in its subject matter and in this connection, it provides universal and valid laws.
  6. Sociological principles are veridical: The laws of sociology prove true at every verification and re-verification. Any one can examine their validity.
 
Opposite Views about the Nature of Sociology
Some critics who deny sociology to be regarded as science, sociology is a social science it cannot be regarded as science.
  1. It lacks experimentation: Sociology deals with human relationship, which can be neither measured, weighted nor see or analyse.
  2. Lack of objectivity: The sociologists cannot maintain complete its objectivity in order to understand its external action.
  3. Lack of exactivity: The laws and conclusions cannot be expressed in precise terms. The prediction might not be true. Findings are often limited in time and space.
  4. Inability to measure subject matter.
  5. It lacks perfect exactness.
  6. It cannot make predictions correctly.
 
Scope of Sociology
There is no one opinion about the scope of sociology. Calberten describes, since sociology is an elastic science it is difficult to determine just where its boundaries begin and ends. It is impossible to divide as it studies human interactions, interrelations, their conditions and consequences.
There are two main schools of thoughts: One group of sociologists headed by Simmel formulated specialistic or Formalistic School. They thought that it is pure science and systematic one. It is independent science.5
 
I. SPECIALISTIC/FORMALISTIC SCHOOL
 
Simmel's view
It classifies, analyses and delimits the forms of social relationships.
 
Small's view
It does not understand to study all the actions of society. It studies genetic forms of social relationship behaviour and activities.
 
Verkendent's view
It is a specialised branch of knowledge concerned with ultimate forms of psychic relationship, which link men to men in the society.
 
Maxweber's view
It studies interpretation and understanding of behaviour and it is concerned with analysis and classification and types of social relationship.
 
Vonwiese's view
The sociology studies all forms of social relationship.
 
Tonnie's view
He has differentiated the society and the community on the basis of forms of social relationship.
 
Criticism
  • It has narrowed the scope of sociology
  • Abstract form is separate from concrete form
  • The construction of pure sociology is impractical
  • Sociology alone does not study social relationship
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II SYNTHETIC SCHOOL
 
Durkem's View
Sociology was divided into 3 branches.
 
Social Morphology
Concerned with geographical basis of the life, its relationship to types of social organisation and the problems of population.
 
Social Physiology
It is divided into number of branches like sociology of religion, sociology of morals. Sociology of laws, sociology of economic life, sociology of language etc.
 
General Sociology
It discovers the social facts.
 
Hobhouse's View
The interconnections of social relations and the results; social life as a whole will be studied.
 
Karl Mannheim's View
Sociology is divided into systematic and general sociology. It describes how the individual will react social changes in a given society.
 
Ginsberg's View
It studies the types and forms of social relationship. It determines the relation between different factors of social life, social change, persistence and to discover sociological principles governing social life.
Thus the scope of sociology is very wide. It studies the various aspects of society, e.g: Social processes, traditions, morphology, social control and social pathology.7
 
Field of Sociology
In 1902, Emile Durkheim has classified sociology into:
  • General sociology
  • Juridical sociology
  • Moral sociology
  • Criminal sociology
  • Religious sociology
  • Economic sociology
  • Social morphology.
Sub-fields of sociology
  • Industrial sociology
  • Family sociology
  • Educational sociology
  • Medical/health sociology.
The functions of sociology/importance of sociology
  • It is a scientific study of society
  • It studies the role of institutions, through the knowledge of sociology the individual can understand and establish relationship with the social environment like family, religion, school, governmental policies and working situations
  • The study of sociology is indispensable for understanding and planning of society
  • It helps in solvation of social problems
  • It draws our attention to the institutional worth and dignity of men
  • It contributes to understand human culture, to make good citizens
  • It keeps us update information on modern institutions
  • It adds to the knowledge of society
  • It identifies good government with community
  • Technical function: To construct society by observing existing problems, customs, traditions, institutions, etc. it can make the people to understand the changing situations.
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  • Introductory function: It supplies the information about the elements of social system to facilitate the introduction of any desirable changes. It explains different methods, which can introduce this change into various parts of it.
  • Informative function: It possesses some important information based on theoretical knowledge with practical experience. It makes the individual to organise society by solving certain social problems. It provides guidance in practical reforms.
  • Tolerative function: In India, each individual comes across different religions and cultures. We have to understand all the social institutions to develop a feeling of universal brotherhood.
  • Democratic function: To develop a selfless tendency and understands the society in a well-planned manner.
 
Relationship of Sociology with Nursing
  • Nursing plays a vital role in healthcare profession. Nurses are the key persons who have significant influence over the group members within the society. Nurses have to work for maintenance of healthier life styles and high standards of living
  • Nurses will be in close association with healthcare team members and they will work in coordination with various agencies in the community for betterment of living and to inculcate healthier habits among the community. The social institutions like family, religion, state, political group, governmental agencies will play dominant role over the societal life. In coordination with primary, secondary groups and social institutions nurses have to work cooperatively in implementation of healthcare activity and implement other national health programme activities to attain ‘Health For All’
  • To provide total patient care in a comprehensive manner and render tender loving care to meet the total needs of the clients either in the hospitals or in the community
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  • To understand and meet the needs of the individual, family and societal needs in a holistic manner thereby nation's development can be achieved
  • To broaden the view of nursing students to understand human behaviour in relation to the society. Relationship through good social interaction and thereby good human interpersonal relationship will be formed with the clients in the society
  • To understand the cause and meaning of many kinds of patient behaviour to make them comfortable and treat them all alike for improvement of client care
  • To understand the problems of clients
  • To suggest the ways to work with families, community agencies and groups of persons to provide health counselling in planning for continuity of care
  • To provide right motivation, treatment and physical, medical, vocational, psychosocial rehabilitation basing on attitudes and responses of others by understanding their behaviour through good interpersonal relationship
  • To understand the emotional reaction pattern, (e.g: Level of perception, attitudes of people towards medical care, barriers of communication, individual differences, social distance, prejudice, change, emotional interpersonal components of disease process, the growth and decline of population in a specified area, socio-psychological factors, etc.) to understand herself and others and the nurse has to make more effective use of her professional skills
  • The nurse is having close association and continuous contact with the clients than any other health team member, she has to understand the problems of clients in crucial way
  • To gain greater insight into the human problems as related to the illness
  • Good observation, communication, guidance skills are essential to understand clients' behaviour
  • Nurses need to assume the responsibility for the provision of first level care in the community and thus acting as a 10changing agent in bringing about good quality of life to the people at large
  • The nurse has to be sensitive to the health needs of the people in the context of broader social change.
 
Educator
  • In the context of overall social development of health for all, the primary role of nurse is to take up the health education activities in community along with the participation and involvement of local people in planning and implementing health care programmes for their attainment of good quality of life, prevention of disease and disability and promotion of health
  • Nurse has to impart this knowledge of new focus of nursing care with inputs from behavioural sciences to health and related functionaries in order to sensitise them to the needs of people.
 
Manager and Supervisor
Nurse should act as a community organiser and leader in planning, organising, and implementing health services through community participation.
 
Planner
  • Nurse should be able to make a diagnosis of people's belief and practices to various diseases
  • Identify some of the socio-cultural barriers and promotes the activities related to treatment, prevention of diseases and promotion of health
  • Identify available community resources for implementation of the activity to attain the purpose
  • Select suitable health education methods
  • Develop a plan of operation by involving local people and others engaged in community development keeping in mind the social realities
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  • It also requires supportive supervision on the part of the community health nurse.
 
Researcher
  • Updating of skills and knowledge, monitoring and evaluating activities
  • Analysing health conditions of people and bringing about changes and innovation in health care based on research.
 
Social Scientist
Man has to be understood as a member of society and his behaviour is dynamic, which has tendency to act and react equally within his dynamic socio-cultural environment, the nurse has to clearly understand the needs of each segment of the society.
Nurse has to study the broader issues of community involvement in health service development requiring the knowledge of:
  • Cultural aspects of health services, health institutions, health problems, health practices prevailing
  • Modes of prediction
  • Social structure
  • Distribution of power
  • Political organisations
  • Mobilisation of resources and pattern of their uses within the community in the context of cultural perception and cultural meaning of the health problems.
 
Changing Agent
  • Examination of individual and social values, effective communication skills, critical evaluation technique and accurate observation skills are most crucial
  • Emotional soundness, maturity in dealing with situations and accepting the challenges as required
  • Developing work habits to increase efficiency and effectivity
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  • Nurse should not only understand the client, should be sensitive, responsive, warmth but also intuitive to anticipate and meet the emotional needs of the client
  • The nurse has to work with many people like superiors, subordinates, class IV employees, clients, students, visitors, etc. should plan social interactions and establish good interpersonal relationships
  • To study the social problems related to behaviour and suggest preventive, remedial approach to tackle the problematic situations in the community in efficient manner
  • The knowledge of sociology helps the nurses to identify and analyse different social situations, which are responsible for the incidence and prevalence of morbidity and mortality conditions of the individuals
  • To understand the cultural aspects and differences based on clients background, beliefs, and values. Effective motivation can be possible to meet the total needs of the client
  • It provides the educational opportunity in the provision of psychological support in a worthy manner by understanding their ideas, emotions in a perspective manner
  • It helps in clinical practice and clinical teaching and aid for new discoveries and inventions that will produce an extra dimension to improve the client care
  • To demonstrate the practicability and significance of social sciences to understand the behaviour of individual and to establish implications of such knowledge for diagnosis, treatment of conditions. It provides conducive environment to understand the rights of individual and to meet the welfare of the community. To integrate the principles of other social sciences in the nursing curriculum
  • Nurses will formulate significant rules, which will have bearing effect upon the patients' responses or resistance for treatment
  • Nurse will act as an effective liaison between the client and the health team members
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  • Nurse will develop discipline sensitivity that gives the meaning of compassion and understanding in order to study the stress in social relationship
  • To recognise the sociological factors as intervening variables in the disease patterns.
 
Relationship of Sociology with Nursing
zoom view
 
Relationship of sociology with other social sciences
The knowledge of human behaviour with an interdisciplinary approach to understand the human needs in the context of wider social problems. It is a total system approach to understand human behaviour views man as a product of socio-psychological and cultural factors. It analyses man's behaviour in relation to psychological framework, interpersonal orientation and group influence. It helps to find solutions to problems, which are arising due to man's complex nature.14
Sociology
Psychology
Society is the basic unit.
Individual is the basic unit.
It studies the relationship of individual to the society.
It is a science of human experience and behaviour.
It studies man as a part of societal system and social institutions and social processes will be used in social interaction.
It studies man as an individual and his interaction with heredity and environment.
• The psychic and mental processes will be studied
Difference of attitudes in regard to common material can be studied.
Individualistic attitude can be studied.
Sociology and psychology are having much common understanding and intimate relationship without understanding human psychology, it is impossible to understand interrelations and activities of individual in relation to society, thus sociology and psychology are complement with each other.
 
Sociology and Social Psychology
Both are closely related as many areas of the study are overlapping. The social psychology is a science that deals with the behaviour of the individual in society.
Social Psychology
Sociology
It studies the behaviour of an individual in society
Group behaviour can be studied
It studies the mental processes of the individual
It studies social processes, social laws or values related to attitudes
It is the study of individual attitude towards cultural and social values and the laws related to these attitudes
Sociology discuss concrete form of society, its structure and functions
It analyses the frame work of social relationships
It studies the interaction of the human being with the environment
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Sociology and Economics
Economics
Sociology
It is the study of man's activity devoted in obtaining the material, means for the satisfaction of his wants and restricted ways of behaviour of the individual
Comprehensive and studies the whole society in its scope
It studies economic relationship and activities in economic point of view only
It studies social relationship from societal point of view
The unit is the individual with economic activity
Individual behaviour in relation to the group and environment
Mainly it deals with production, distribution and uses addition, subtraction, induction, deduction as the methods of study
The social relationships can be studied by various methods eg: interview, observation, questionnaire
The scope is restricted
It comprehends the whole society in its scope
 
Sociology and Anthropology
Sociology
Anthropology
It studies modern communities and social problems and suggest solutions
It studies ancient communities and the problems existed
It studies various aspects and problems of society and guides for change
It studies as a whole
It studies social relationship
It studies anatomical characteristics and its influence upon the behavioural change
It makes suggestions concerning to the future
It is pure understanding and past relationship
It makes use of documents, surveys
It makes use of functional method
 
History and Sociology
History
Sociology
It studies past and it is concrete
It is abstract, deals with present, past and future
It presents a chronological description of incidence of events and its culture principles
It studies the human experience and human nature. It attempts to discover their causes and general
It studies those incidence which are peculiar or unusual
It studies those incidence which are frequently repeated
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It describes incidence taking place at a definite place and time. It emphasizes the doings of the individual
It studies to discover universal laws and is not related to particular incidence. Social groups is the unit of sociological study
 
Sociology and Political Sociology
Sociology
Political sociology
It is science of society
It is the science of government off political society, its structure and processes
It studies social point of view
It studies attitude of authority, policy formulation and execution
Studies both organised and disorganised communities
Studies purely organised community
Studies all kinds of social relationship and forms of society
Studies all forms of societies and its laws, economy and the higher powers mainly related to political relationship in political society
 
Biology and Sociology
Biology
Sociology
To understand organisation, nature and progress
The knowledge of the efforts of hereditary and environment upon man is studied
Describes anatomical, developmental, sexual, personal peculiarities and formulates principles for the adjustments to the environment
 
Role of Social Factors in Health
Social situations and social environment will have influence on the occurrence of disease, prevention of illness and health maintenance. Unhealthy life styles and high-risk behaviour predisposes sicknesses such as cancer, AIDS and heart disease. For healthier life maintenance modification of life style is required. Societies have to organise their resources to cope with health hazards and deliver medical care to the population. Individual and societies tend to respond to health problems in a manner consistent with their culture, norms and values. Factors like social, cultural, political, and economic, etc., will 17have definite influence over health maintenance. It is the responsibility of health care professionals to arrange IEC campaigns through mass media activities emphasising the public on healthy life style and individual responsibility for health care. The high-risk behaviour includes poor diet, lack of exercise, smoking, alcoholism, drug abuse, stress and exposure to STD. Adverse social conditions like poverty reduces life expectancy and creates health problems.
Public health in an applied technology resting on the joint pillars of natural science and social science until these pillars are strong, the arch of the public health will not be firm. The health care professionals use the knowledge of social sciences in implementation of medical and health care activities.
 
Role of Social Factors in Disease
Deviation in the normal functioning of the body produces discomfort or adversely affects the individual's health status. Every society has certain norms, values, ideals in regard to health and disease, deviation from which is treated as an aberration or a disease. Diseases occurs due to various factors such as invasion by microbes or other pathogenic agents which disturbs the haemostatic balance and results in malfunctioning of organs, low standards of living, poor environmental sanitation, poor housing, bad habits like smoking and alcoholism, inadequate nutrition, low economy, poverty, contamination of food, water with industrial effluents, air pollution, poor urban planning, deprived of family relationships, inadequate physical activities, defective lifestyle, sexual harassment, unemployment, rapid economic growth, over population, job strain, occupational maladjustment, migration and healthy comparisons, illiteracy, discrimination, misunderstandings, stress, large gaps in income, inadequate access to healthy foods, isolation, etc. In the sociological context disease is associated with a particular way of life, vulnerability for diseases are common among the people who are facing 18certain problems like isolation, geographic or social mobility, inability to fulfill role expectations, changing inconsistency in status, inadequate social support, blocked aspirations, lack of consistency or uncertainty in outcome of vital events, value polymorphism and rapid social changes.
Social factors affects diseases at three levels:
  1. Physical level: The social class, environment, nutrition, housing, etc. are responsible for occurrence of disease.
  2. Psycho-social level: Diseases occur due to prevalence of mental stress and strain resulting from specific environmental factors.
  3. Cultural level: Social milieu, attitudes, beliefs psychosomatic factors, etc. affects the disease pattern and in implementation of preventive and therapeutic modalities. Social environment affects different attitudes among various cultural groups about seeking medical and health care.
The basis of epidemiology was broadened from the study of distribution of communicable diseases among the population in relation to epidemiological triad (agent, host, environment). The multiplication of disease is related to social factors, community involvement is essential in organising health education campaigns to bring health awareness, social and cultural factors similarly affects our ability to stay well. Social support is essential and plays a crucial role in our physical and mental health, through its health sustaining and stress-buffering functions with social ties live longer and have better health. Rapid industrialisation, urbanisation and technological advancement made the social environment giving rise to stress and strain, which leads to chronic and degenerative disease.
 
Sociological Investigation
‘Critical examination into a situation to discover new facts about a particular or specified social phenomenon to discover intellectual and practical answers to problems through the application of scientific methods in the universe’ is called social investigation. It is a careful, critical enquiry or examination in 19seeking facts or principles diligent investigation in order to ascertain something. It is a critical in the light of newly discovered facts. It is the study of activities undertaken to search a solution for the social problems. The society has to march on its present form with the help of constant research and investigation. Long march from Stone Age to computer age has been the result of research. Today society is facing several social problems of formidable in nature. They demand solutions and any attempt to solve the problems must be through scientific enquiry. It aims at increasing our knowledge about society and strategies involved solvation of social problems.
 
Definition
  • ‘Systematic investigation to gain knowledge about social phenomena and social problems’—Moses. C A
  • ‘It is the investigation of the underlying process operating in the lives of persons who are in association’—Bogardus. E
  • ‘It is a study of human group relationships’—Whitney. F L
  • ‘It is the systematic study of discovering the new facts or verifying old facts, their sequences, interrelationship, casual explanations and the natural laws, which govern them’— PV Young
  • ‘Systematised effort to gain new knowledge or new mode or orientation of new knowledge’—Redman and Money
  • ‘The manipulation of things, concepts or symbols for the purpose of generalising to extend, correct or verify knowledge; whether that knowledge aids in construction of theory or in the practice of an art’—M Stephen
From the above definitions, it is clear that it is concerned with pure social phenomena, answering meaningful questions and finding out the old or new facts through scientific method, which is based on logic and systematic means. To collect and analyses the data more or less within the exiting framework and establishes the exploration techniques. Theoretically, social 20investigations aims at finding solutions of a problem as a part of social system and behaviour of the individuals under different situations and on utilitarian aspect, it helps in reducing social conflicts and tensions as well as in rectification and removal of social evils. Social phenomena are complex. Therefore different methods and approaches have to be followed to study the social aspects of the individuals. Social phenomena can be indirectly studied through observation of traditions, customs, values and vested interests, which are prevailed in the society. To have the objectivity in studying social phenomena is difficult. The scope of social investigation depends upon several factors such as money, time available to the investigator, availability of the sample, accessibility of thee investigator to the respondents, the amount of time the respondent can spare for these investigation, etc.
 
METHODS OF SOCIAL INVESTIGATIONS
 
Social Survey Approach
It is a common method used to diagnose and solve the social problem. The survey design is the non-experimental type of research in which, the researcher investigates a community or a group of people. The researcher gathers the data from a relatively large number of cases at a particular time. It involves clearly defined problem or objectives. It requires expert, imaginative planning, careful analysis, interpretation of data gathered, logical and skillful reporting of the findings.
It may be done by:
  • By questioning
  • Interview
  • Observation
Social survey is one of the important methods of social investigation and helps in solving the group problems. The researcher investigates new situation, organisation or a group and be clear about the nature of enquiry, objectives, nature and scope of study. Researcher formulates questions for the 21larger study and pursues general overall description of the situation.
 
Definition
  • ‘It is a process by which qualitative facts are collected about the social aspects of a community composition and activities’ —Mark Abram
  • ‘Collection of data concerning the living and working conditions, broadly speaking the people in a given community’—Bogardus ES
  • ‘It is the scientific study of conditions and needs of a community for the purpose of presenting a constructive programme and social advance’ —EW Burgers
  • ‘It is a process by which quantitative facts are collected about the social aspects of a community, composition and activities’ —SM Harison
  • ‘Fact finding study dealing chiefly with working class and with the nature and problems of community’—AF Wells
Social survey are connected with
  • The formation of constructive programme of social reform and amelioration of social problem
  • ‘Current or immediate conditions of social pathological nature which have definite geographic limits and definite social implications and significance’—PV Young
 
Characteristics
  • Done in a large scale and gains a lot of material
  • To find out the basic facts of life
  • Quality is maintained
  • Scientific and well planned
  • Conducted regularly e.g.: Census, market survey, etc.
  • Costly affair, needs both human as well as economic resources to complete
  • Unnecessary data should not be collected
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  • Trained personnel are required to collect the information and capable of adjusting themselves to the nature of work
  • To collect the detailed information about a social problem under investigation or social aspect of community
  • To test hypothesis
  • Practical and utilitarian view point.
 
Subject Matter of Social Survey
  • Demographic characteristics
  • Social environment
  • Activities of community members
  • Opinions and attitudes.
 
Uses of Survey Method
  • To obtain demographic data, information about people's behaviour (attitudes, opinions, interests)
  • To discover casual relationship in a specific area or precise qualitative description of some phase of the universe.
 
Advantages of Survey Approach
  • It can give information about the possibilities of understanding different types of research methods
  • It provides an insight into a situation, suggests kinds of questions to ask and the methods to adapt
  • It provides hypothesis and helps to test the hypothesis
  • Provides data about present situation
  • It studies the problems thoroughly and deeply in all aspects
  • Guides the researcher about confounding, intervening, independent and dependent variables
  • Useful for policy makers and administrators to make a decision
  • Specific goals will be obtained
  • Changes in society, pressures of public opinion can be obtained
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  • Provides an opportunity to use researcher's creativity
  • Factual information related to life experiences will be gathered
  • It has high degree of representation in the reality
  • Broad generalisation can be done
  • Greater deal of information will be obtained
  • Easy, less time consuming.
 
Disadvantages
  • To get resources both human (trained investigators, field workers) and economic (huge fund is required) is problem
  • Low degree of control over extraneous variables
  • No uniformity in data collection
  • Lack of manipulation of independent variables
  • Each researcher will try to use their own bias in the study
  • One cannot progressively investigate one aspect after another of the independent variable to get closer to the real world
  • Time consuming
  • Statistical devices are not always able to separate the effects of several independent variables.
 
Types of Survey
 
Descriptive Survey
Simplest survey with in the social discipline. To describe objectively the nature of the situation under study and conclusions also drawn.
 
Evaluation Survey
The researcher looks back to see what has been accomplished with a critical eye and evaluates the results. The researcher is interested in finding out the results of some procedure or methods already in operation. This method is used on small sample atleast initially. To find, if this method in operation 24meets the criteria stated in the purpose of the original project. It should not be done by the investigators, who have a particular benefit or gain to be made from the results.
 
Comparative Survey
When two different groups or techniques are compared this technique is used. It should be based on important professional problem, so the resulting data will be significant to the profession. Significant elements will be considered, each element is representative within itself.
 
Activity Analysis
The analysis of the activities or processes that an individual is called upon to perform. This method may yield information that would prove useful in establishing:
  • The requirements for a particular job or position
  • A program for the preparation or training of individuals for various jobs or positions
  • An in-service program for improvement in job competence
  • Equitable wage or salary schedules for various jobs or positions.
 
Trend Studies
It is based upon a longitudinal consideration of recorded data indicating what has been happening in the past, what the present situation reveals and on the basis of these data, what is likely to happen in the future.
 
Short-term Survey
Data is collected over short time (days to months) no control over the sample.
 
Long-term Survey
Data is collected more than five years.25
 
Exploratory Survey
Oriented towards the discovery of relationships between variables where phenomena of interest, but pursues the question: What factor or factors influence, affect, cause or relate to this phenomena? When a new area or topic is being studied it is useful to estimate the feasibility and cost of undertaking.
 
Developmental Studies
  1. Longitudinal studies
    Short-term
    Long-term
  2. Trend studies
    Cohort studies
    Panel studies
    Follow-up studies
Psychologists, anthropologists many times uses this method. The researcher repeatedly collects data on the same group of individuals over a period of time. He makes repeated observations on the same group of subjects.
  • To understand any stage of life in terms of his developmental origin
  • It provides useful perspective of the orderly and coherent developmental sequence and the elements of both change and continuity that human development involves
  • It serves as a data collection device, source of hypothesis.
 
Trend Studies
Sample from a general population are studied over time with respect to some phenomenon. Different samples are selected at repeated intervals, but the samples are always drawn from the same population. To examine patterns and rates of change over time and to make predictions about future directions.26
 
Cohort Studies
Specific populations are examined over a period of time. Different samples are selected at different points in time, but the samples are drawn from specific sub-groups that are often age related.
 
Panel Studies
The same subjects are used to supply the data at two or more points in time. Panel is used in the longitudinal survey projects, refers to the sample of subjects involved in the study. In this the investigator reveals pattern of change and reasons for the change. Since the same individuals are contacted at two or more points in time, the researcher can identify the subjects who did and did not change and then isolate the characteristics of the sub-groups in which changes occurred.
 
Follow-up Investigations
To determine the subsequent development of individuals with a specified condition or who have received a specified intervention to ascertain long-term effects of the intervention.
 
Cross Sectional Studies
It involves the collection of data at one point in time or it observes at only one point in time. The phenomena under investigation are captured as they manifest themselves during the one static time period of data collection. They are easy to manage and are economically advantageous, majority of nursing studies are cross-sectional.
 
Regular or Adhoc Survey
When a body or an individual organisation conducts the same survey at regular intervals, e.g: Economic survey of RBI; census survey. The survey is conducted with a view to find out some information required for a particular purpose.27
 
Official Survey
Which will be conducted by the Government to find out certain facts for official or philanthropic purpose.
 
Non-official Survey
Individuals without the help of official agencies will be conducting survey to collect the data for research purpose.
 
Direct Survey (Personal/Primary Survey)
The researcher himself will collect the data by means of observation or interview for research purpose.
 
Indirect Survey/Secondary Survey
The collected information will be analysed, the researcher does not start the survey but spends on the work, which has already been done by somebody else.
 
Postal Survey
Through mailed questionnaire the researcher will obtain the information.
 
Initial Survey
When a survey is carried out in a particular area or particular subject for the first time.
 
Repetitive Survey
The researcher carries out the work several times on the same sample.
 
Open Survey
When the nature and result of survey are open to the public or organisation is called ‘open survey’.28
 
Confidential Survey
The results or information gathered through survey are kept confidential.
 
Comprehensive Survey
The survey covers vast field, variety information and wide range is covered.
 
Limited Survey
The field covered is comparatively limited.
 
The process of survey research
  • Statement of research problem
  • Determination that the problem is appropriate for the survey approach
  • Selection of appropriate type of survey
  • Objectives, hypothesis, delimitations should be formulated
  • Select sampling technique, identification of sources of information
  • Plan for data collection
  • Examination of all documentary sources; field work
  • Coding, recording, analyses and reporting the project, interpretation of findings
  • Communicating the findings with the help of graphs.
 
CASE STUDY
 
Introduction
The case study is a way of organising social data for the purpose of viewing social reality. It examines a social unit as a whole. The unit may be a person, a family, a social institution or a community. It is often used for descriptive research. It is a longitudinal approach showing development over a period of time.
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It studies or understands life cycle or an important part of the life cycle of the unit. It is in depth, investigation of social unit. It tests hypothesis but not directed towards broad generalisation. The method can be used to analyse the interaction between factors bringing about change usually over a period of time. Consent must be taken from the social unit to get cooperation. Researcher may use past history or may report on current events. Verbal description between interviewer and client or may use artifacts, records, questionnaires. In nursing and medical professions case studies will be used more often.
 
Evaluation and Scope
The case study method is a widely used systematic field research technique in these days. The credit for introducing this method in the field of social investigation goes to Frederic Le Play, who used it as a handmaiden statistics in his studies of family budgets. Herbert Spencer was first used case material in his comparative study of different cultures. Dr William Healy resorted to this method considered it as a better method over and alone the mere use of statistical data. Similarly, anthropologists, historians, novelists and dramatists have used this method concerning problems pertaining to their areas of interests. Even management experts use case study methods for getting clues to several management problems.
 
Objects of Case Study
Individuals suffering with social problems like drug addicts, alcoholics, juvenile delinquents, interested events.
 
Definition
  • ‘It is a form of qualitative analysis involving very careful and complete observation of a person, a situation or an institution’—Biesanz and Biesanz
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  • ‘All inclusive and intensive study of an individual, in which the investigator brings to bear all his skill and methods or as a systematic gathering of enough information about a person to pursue one to understand how he or she functions as a unit of society’—Young
  • ‘It is a way of organising social data so as to preserve the unitary character of the social object being studied’—Goode and Hat
  • ‘It is a technique by which individual factor whether it is an institution or just an episode in the life of an individual or a group is analysed in the relationship to any other in the group’—H Odum
  • ‘A comprehensive study of a social unit’—PV Young
 
Meaning
It is a form of qualitative analysis where in careful and complete observation of an individual or a social situation or a social unit. It is an in depth study. It analyses limited number of events or conditions and their interrelations. It is an intensive investigation of a particular unit under consideration.
 
Characteristics of Case Study Method
  • The researcher can take single social unit for their study purpose
  • Intensive study of selected unit covering all facets
  • Qualitative approach
  • It deepens the perception and gives a clear insight in life
  • It studies mutual interrelationship of casual factors
  • Generalisation may not be possible.
 
Methods of Data Collection
  • Observation
  • Interviews
  • Questionnaires
    31
  • Government, voluntary or private agencies
  • Co-opinionaires
  • Psychological tests and inventories
  • Recorded data.
 
Assumptions
The case study method is based on several factors:
  1. The assumption of uniformity in the basic human nature inspite of the fact that human behaviour may vary according to situations
  2. Assumption of studying the natural history of the unit concerned
  3. Assumption of comprehensive study of the unit concerned.
 
Phases involved in case study
  1. Recognition and determination of the status of the phenomenon to be investigated or the unit of attention.
  2. Collection of data, examination and history of the given phenomenon
  3. Diagnosis and identification of casual factors as in basis for residual or developmental treatment
  4. Application of remedial measures like treatment and therapy
  5. Follow-up programmes to determine effectiveness of the treatment given.
 
Advantages
  • It enables us to understand total behaviour pattern of the concerned unit, as case study method is exhaustive
  • Researcher can obtain real record of personal experience, which would reveal man's inner strivings, tensions, motivations that drive them to action or to adopt certain pattern of behaviour
    32
  • Natural history of social unit and its relationship with the social factors and the forces involved in its surrounding environment is possible
  • Formulation of relevant hypothesis is possible
  • Facilitates intensive study of social unit
  • Enhance the experience of the researcher, which in turn increases analysing ability and skills
  • To study social change
  • Useful for therapeutic and administrative purposes; to take decisions regarding management problems
  • Critical and reflective thinking will be promoted
  • Researcher may begin or stop at any time
  • Detail information will be obtained
  • More suitable to nursing and medical profession
  • Perceives whole situations
  • Opportunity of having an intimate knowledge of subject's conditions, thought, feelings, actions, intentions and environment
  • Great number of interesting insights can be observed.
 
Disadvantages
  • Limited approach
  • Generalisation and comparison may not possible
  • Expensive
  • Time consuming
  • Subjective biased
  • Difficult to check accuracy and objectivity.
 
OPINION POLL METHOD
To gather the information about a specific social phenomenon from a huge sample at a given time in different areas of a region, opinion poll method of survey is used. Public awareness of a specified event will be collected through this poll. The researcher will take assistance from field investigators, structured questionnaire is formulated to gather 33the data. The survey conducting areas usually be a common meeting/gathering place of the public.
For example: At the time of election, opinion poll is conducted to know the public view about who will win the election and form the Government.
 
QUESTIONNAIRE
A good deal of information can be gathered by direct questioning of sample, who have specified characteristics through the use of formal instrument (i.e. questionnaire). If the informants are spread over a vast or in accessible areas, the information is sought with the help of questionnaire.
 
Definition
 
Questionnaire (Survey Instrument)
‘Any written document, which is used to instruct one or more readers or listeners to answer one or more questions’.
A list of questions/items are compiled by the researcher based on different aspects of the problem. Certain times mailed questionnaires will be sent to the respondents to give the reply. In structured interview with the help of structured questionnaire.
 
Items
Questions in the questionnaire.
 
Respondents
The person who answers the items in a questionnaire.
 
Interviewer
A person who conducts the study, who is having training in interviewing techniques and administering the questionnaire in the study projects.34
 
Characteristics of questionnaire
The heart of the questionnaire method is ‘question’ itself. It acts as an effective stimuli. It is a device securing answers to questions using a form, which the respondent fills.
 
Analytical questions
Questions should be capable of analysing the entire problem.
 
Clarity and Concise/Precise
Items should be clear, complete; questions should be worded simply, as possible to provide an opportunity for easy, accurate and unambiguous responses. Questions should be in limited number to avoid disinterest, tiredness and boring. It should be free from suggestions or leading.
 
Linguistic, Completeness and Grammatical Consistency
  • It is a verbal interaction between researcher and respondent and care should be taken to the linguistic quality of question unit
  • Phrases, which are not commonly understood by the respondents, have to be avoided
  • Singleness of purpose
  • Avoid emotional questions
  • Questions should be present in good psychological order to organise their own way of thinking
  • Proper planning and listing of questions are done
  • Encourage inter-validated questions
  • Physical form of questions attracts, encourages and stimulates the respondents; proper spacing, clarity and sequence in the arrangement of the questions then only the respondent will be encouraged to come out with correct answers
  • Questions should be objective in nature. Logical in order
    35
  • Advisable to pre-construct, a tabulation sheet anticipating how the data will be tabulated and interpreted before the final form of the questions is decided upon to avoid ambiguity in question form
  • Questions should be relevant, diplomatically worded
  • The length of the question be pertained to collect essential data
  • General to specific logical manner be followed in arranging items in questions
  • Carefully worded questions, so that the ego of the respondent is not injured in any manner.
 
Steps in questionnaire construction
  • Based on objectives the needed information will be assessed
  • Break up the whole information into sub-areas
  • In each area, clear the mind and decide what question to ask, identify major area where information has to be gathered
  • Read out the questions to experts and consultants
  • Pre-test the questions for validity and reliability
  • Administer the tool to the reference population
  • Apply statistical tests for reliability and validity
  • Internal consistency and internal coordination.
 
Introduction/Instruction
The interviewer read the introductory comments in face-to-face interview or in telephonic interview; the cover letter contains introductory letter. It used to introduce the study the potential respondent and should not exceed one page, thus each sentence should serve a distinct purpose.
The content of letter will be divided into four paragraphs:
1st Paragraph
  • Explain the purpose of the study
  • Convince the respondent that the study is useful
  • Avoid any hint of bias.
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2nd Paragraph
  • Make respondent to feel the importance to the success of the study.
3rd Paragraph
  • The confidentiality and anonymity of respondents will be maintained.
4th Paragraph
  • Re-emphasise the basic justification for study
  • Availability of study results, offering a copy of it to the respondent
  • Introduce each section to the respondent with a brief preface to clarify them, why the questions are being asked.
 
Elements of questioning method
  • Content of the questioning
  • The question
  • Provision for answering.
 
Content of questioning
  • It is useful to develop a blue print of various aspects of situation about which questions might be asked
  • Researcher should decide how much time is allotted for every item
  • The selection of content is based on researcher's knowledge of situation, the literature available in the proble m area; objectives of study and needs of the researcher
  • Facts about the respondent, behaviour, persons known to the respondent, events and conditions known to the patient
  • Beliefs, attitudes, feelings, opinion of respondents
  • Reasons for or influences of other person's behaviour
  • Level of knowledge about policies, practices, conditions or situations
  • Intention for future action.
    37
 
Order/Sequence of questions
  • Open ended questions should be written first to provide an opportunity to conceptualise the issues in their own words rather than formulating their answers based on the responses they have seen in the closed ended questionnaires
  • The general questions should be placed first followed by specific questions to avoid putting ideas into people's heads
  • The schedule begin with questions that arouse the respondent's interest and motivation to cooperate
  • Personal, sensitive, threatening nature questions should not be placed at the beginning as it arouse suspicious about the purpose of the study
  • The items bearing on one issue or topic should be in close proximate
  • Don't formulate too many questions in the small space
  • Every item in the question should relate to the topic under the study
  • Logical progression in the question order is necessary
  • Identify the information by factual data and subject matter of the survey
  • Scrutinisation of question during pretest.
Colleagues, experts assess how well the question will accomplish the study objectives.
Potential users of the information for accuracy, back of bias and ignorance of items.
 
Problems in construction of questionnaire
  1. Problem with clarity of question
    • Clarify in the mind regarding what information is to be obtained for that question
    • Avoid long sentences or phrases double barreled questions; non-specific items;
    • State the questions in affirmative order than negative.
  2. Ability of respondents to give response: Use simple language, short statements.
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  3. Memory: The researcher should not take for granted that the respondents will be able to recall the events, situations or previous activities.
  4. Bias: Avoid leading questions that suggest a particular kind of answer. State a range of alternatives within the question itself.
  5. Handling a sensitive or personal information: Politeness and encouragement helps to motivate the respondent to cooperate
  6. Response alternatives: Significant alternatives should be used. Mutually should be there in ordering of questions and responses. Avoid too long questions.
 
Advantages of questionnaire
  • Simple method of obtaining data
  • Items can be constructed easily by beginning researchers
  • Less time is consumed in using this method of gathering information thus it saves time, energy and money. Thus it is more economical and sufficient
  • Able to gather data from a widely scattered sample in a limited period
  • Provides an opportunity to establish rapport to explain the purpose of the study and the items which are not clear
  • Reduces interaction between research and respondent
  • Provides sufficient time to the respondent to think and give his response
  • Complete anonymity of the respondent will be maintained
  • Ensures anonymity and kept the information confidential.
 
Disadvantages
  • It lacks depth: to ensure rate of response from questions is difficult as it depends upon the method of administration
  • The researcher may omit or disregard any item without giving any explanation
    39
  • Some items may force the subject to select responses that are not actual choice
  • Respondent may take their own time, which may hamper the research progress
  • Creates artificial situation as researcher is asking for verbal response, not for action
  • Mailed questions are limited to literate respondents and to get good response from them only when they have research conscious.
 
TYPES
 
 
Structured Question
The items which pose definite, concrete and pre-ordained questions i.e. prepared in advance and not constructed on the spot during the question period.
 
Pictorial Question
To promote interests in answering the questions; this type will be used to study the social attitudes, prejudices and for studies related to children.
 
Open ended question
  • Calls for a free response in the respondent's own words
  • Provides a greater depth of response
  • Respondents reveal their frame of reference and possibly the reasons for their responses since it requires greater effort on the part of the respondents
  • Involves the respondent's attitudes or feelings expressed in their own words
  • Respondents must create their own answers and state them in their own words.
 
Advantages
  • Stimulates free thought, solicit suggestions
  • Probe respondent's memories.
    40
 
Disadvantages
  • Respondent must recall past experience, create and articulate new answers
  • Difficult to construct responses
  • Illegible hand writing pose difficult in mail questions.
 
Closed ended question
The respondent's answer is limited to the choices offered, short in form, limited responses. They provide chance for marking alternatives. It is easy to fill out, requires little time, objective, fairly easy to tabulate and analyse. Close-ended questions offer a number of alternative replies from which the respondents must choose closely approximate answer.
 
Difficulties
  • Difficult to construct but easy to administer
  • Possibility of neglecting or over-looking the important responses, the omission possible alternatives can lead to inadequate understanding of the issues
  • If the area of the research is completely new, this type is not advisable
  • Pre-testing of the schedule is immensely helpful
  • Too superficial questions may be considered.
 
Types of Closed Questionnaire
 
Dichotomous Items
It requires the respondent to make a choice between two alternatives. Too restrictive, the respondents may be forced to say within two alternatives, e.g: Do you like to have: (a) Coffee (b) Tea.41
 
Multiple-choice Questions
A range of alternatives provides more information; one can measure intensity of feeling and direction. Most commonly offer 3 or 5 alternatives, e.g: Psychosocial aspect. Liking sweets: (a) with every meal (b) once a while (c) always.
 
Cafeteria Questions
Which is put forth to the respondents to select a response that most adequately states their view, used in qualitative surveys.
 
Closed Ended with Ordered Choice or Objective Type
Answer choices are provided; each is a graduation of a single dimension of some thought or behaviour, e.g: How did you get along with the doctor in the emergency room? (a) strongly agree (b) mildly agree (c) neither agree nor disagree (d) mildly disagree (e) strongly disagree.
 
Closed Ended with Unordered Response Choices
Answer choices are provided but no single dimension underlines them. The respondent must choose discrete, unordered categories by independently evaluate each choice and select the one that best reflects the situation, e.g: The food item I like best (a) samosa (b) sandwich (c) dosa (d) idly.
 
Partially Closed Ended Questions
It provides a compromise response although answer choices are provided; respondents have to option of creating their own response. Unordered or ordered choices are seen within this structure, e.g: Which of the following areas of expenditures do you want to have the highest priority for improvement in this hospital? (a) emergency dept (b) X-ray dept (c) laboratories (d) others (please specify).42
 
Step Ladder/Rank Order Questions
Questions to rank order their responses along a continum from most favourable to least favourable can be useful; carefully handled because respondents often misunderstand them, e.g: Attitude of job preferences of nursing students after course completion. (a) working in PHN (b) teacher (c) staff nurse (d) mid-wife. The respondents should rank the answers in the order of preference.
 
Checklist or Matrix Questions
It encompasses several questions on a topic and requires the same response format.
 
Graphic Rating Scale
It assigns numerical score in order to place the individual along a continuum with respect to the attribute being measured. Respondents are asked to give a judgment of something along an ordered dimension. The specified two opposite ends of a continuum is referred as bi-polar in nature, e.g: How friendly are you with your classmates?
zoom view
 
Direct Vs Indirect Approach or Coming in front door Vs Coming in back door
A check can be made as to the value of the responses by asking a direct or indirect question and then comparing the answers, e.g: Nursing education in India. (a) high image (b) low image (c) no image (d) cheap image.
 
OBSERVATION
It is one of the basic and oldest research methods to gather data. It is a normal part of daily life and becomes a research method if it is systematically planned and recorded and 43checked for their validity and reliability. The basis for observation is curiosity.
 
Meaning
Planned, methodical watching that involves constraints to improve accuracy.
 
Definition
‘It is a technique used for collecting all the data or acquiring information through occurrences that can be observed through senses with or without mechanical devices’.
  • ‘Systematic viewing coupled with consideration of social phenomena’—PV Young
  • ‘Accurate watching of social phenomena as they occur in nature with regard to cause and effect relationship or natural relationship’—Oxford Dictionary
It involves interpretation of phenomena in the environment. Two process are involved
  1. Someone is observing—Observer
  2. Something to observe—Observed
Observation can be done in natural setting (field research) or in laboratory setting.
 
Four broad questions that confront the researcher
  • What should be observed?
  • How should observation be recorded?
  • What procedures should be used to try to assure the accuracy of observation?
  • What relationship should exist between the observer and the observed and how can such relationship be established.
 
Features
  • It is an eye affair. Observer has to observe the situation very closely and clearly. Observation implies the use of eyes rather than that of ears and voice
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  • Observation should be definite aim. It is clearly determined (for scientific enquiry) before starting the process
  • Proper planning is required, before starting observation necessary equipment and instrument have to be arranged
  • After observatory process the events has to be noted down
  • Cause and effect relationship will make the whole study useful and purposeful.
 
Phenomena Amenable to Observation
  • Characteristics and conditions of individuals, e.g: Physiological conditions and characteristics through sense or aided by observation apparatus, e.g: Effect of yoga on lung function of patients with pleural effusion (M Prakasamma, 1981) using spirometer several readings of FEV1, FVC, MVV, X-ray chest is used to see lung expansion before giving treatment
  • Verbal communication behaviour; (a) Linguistic behaviour (b) Content and structure of people's conversation (c) Social interaction, e.g: Interaction pattern between teachers and students in clinical setting using Flanders's interaction analysis category system (Vasta, 1978, Madanlal, 1980)
  • Non-verbal communication behaviour, e.g: Facial expression, touch, posture, gesture, body movements, extra linguistic behaviour.
  • Activities (overt state of an individual many activities can be observed), e.g: Physical and mental functioning of an individual.
  • Skill attainment and performance, e.g: Aseptic techniques used by nursing students during nursing procedures.
  • Environmental characteristics, e.g: Noise level, cleanliness, ventilation, odour, water supply, mosquito breeding places.
 
Units of Observation
  1. Molar approach: Observation of large units of behaviour and treating them as a whole.
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  2. Molecular approach: Observation of small and highly specific behaviour. For example: Each movement, gesture, action.
 
Steps in Observation Schedule
  1. Selecting the aspect of behaviour to be observed: To carry out systematic observations; one must select certain aspects or categories of behaviour to be observed.
  2. Defining the behaviour that fall within a category.
  3. Training observer: Observational methods are more vulnerable to perceptual errors than any other data collection. To minimise the bias and maximize the accuracy and objectivity of the observation, training of observer is essential. Observer's manual with detailed instructions can be used. Training sessions are useful for clarifying doubts. Once the observers are fully oriented with the instrument, they should use the observation schedule on a group that demonstrates the same phenomena as under study. Their difficulties can be resolved through discussions and practice sessions.
 
Quantifying Observation
When the behaviours specified have to provide certain measurement then some form of quantification is required. The qualification usually takes the form of counting. The count may be of number of times that a subject shows a particular form of behaviour during a period of observation. Here observer should be sure of when one act ends, and the next begin. Break the period of observation into short segments and observer can then watch occurrence or non-occurrence of particular behaviour under specified category.
 
Recording
To have adequate account of what was observed during observation, recording is needed, e.g: Motion pictures, films, video tapes.46
 
Testing
To ascertain the adequacy of content being put to measure the variable under study.
 
Interrater Reliability
Two or more raters observing the same behaviour/events and their percentage of agreement obtained establishes the reliability of the schedule.
 
Intrarater Reliability
When a rater observes same behaviour/events on two or more occasions. Multiple observations extending over days/weeks/years.
 
Advantages
  • Important technique for studying human behaviour specially where interventions are used
  • Provides variety and depth of information
  • Researcher is not dependent on subjects who consent to answer, all subjects are potential respondents
  • Subjects are usually available
  • It allows view of complete situation, first hand and sequence of events
  • All the data obtained by the observation are usable
  • Open to use of recording devices, e.g: Tape recorders and cameras
  • May be stopped and begin at any time
  • May be recorded at the time of occurrence, eliminating bias during recall
  • Inexpensive
  • Useful in healthcare profession.
 
Disadvantages
  • Observation and interpretation is a demanding task which requires attention, sensation, perception, conception
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  • Lack of consent to being observed
  • Time and duration of event can't be predicted usually observer may wait until an event happens
  • Data obtained is vulnerable to many distortions and bias, e.g: Cultural background, personal interpretation, and influence
  • Lack of qualified, trained observer
  • Chances of wrong interpretation.
 
Aids to Observation
  • Checklist
  • Rating scale
  • Score cards
  • Observation sheets
  • Photographs
  • Line diagram
  • Sketches
 
Observational Sampling
  1. Time sampling method: It involves the selection of time periods during which the observations will take place.
  2. Event sampling method: It selects integral behaviour or events of a pre-specified type for observation
 
Observational Methods
 
Unstructured Observation
Participant observation: It is a technique where researcher participates in the functioning of the social group that is under investigation. The researcher will not interpret their views and meaning into the social situations under observation. It provides deep understanding of human behaviour. Observer usually has three types of records:
  1. Logos: It is a record of events and conversations usually maintained on a daily basis by field worker.
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  2. Field notes: It is much broader, more analytic, more interpretation and represents participants observer's effort to record, inform, synthesis and understands the data.
  3. Anecdotes: It focuses on behaviour of particular interest. It selects specific kind of events and behaviour for observation before hand. The observer objectively and accurately records the observation.
 
Structured Observation
It involves indicates of presence or absence of pre-specified behaviour or attributes.
Checklists: Phenomena are recorded by putting a tally against a particular behaviour, event or characteristics depending upon its presence or absence. Researcher must list all the expected behaviour related to the variable being measured, so that all relevant behaviour in the subjects will correctly be identified.
Basic format of observation checklist contains
Sign system: List categories of behaviours that may or may not be manifested by the subjects. The observer watch for instances of the behaviour on the list and puts a check off beside the appropriate behaviour when it occurs. Researcher identifies the occurrence and frequency of particular behaviour.
Analysis of ongoing and discrete elements of behaviour
The observer places behaviour in only one category for each unit of behaviour.
Rating scales: Observation can also be rated in terms of qualitative points along a descriptive continuum. It usually is quantified during the subsequent analysis of the observation data. Here either the observer is required to make ratings of behaviour or events at frequent intervals throughout the observational period or he may make use of rating scale to summarise an entire event or transaction after the observation is completed where a more descriptive method has been used for maintaining observation record.49
Category system: Construction of category system to which observed behaviours or characteristics could be assigned.
 
Types
 
Non-concealment and Participant
The observer will not attempt to alter the social setting, i.e, being studied and does not make the observation covertly. The observer is a part of the social setting. The subjects are aware of researcher's presence but may or may not be aware of the underlying motive.
Drawback: The interaction between the observer and the observed alters the behaviour of the subject. Ethical issues, as observer will not take consent of subjects.
 
Concealment and Participant
The observer observes the behaviour of people in their natural setting, where the observed are unaware of being observed; passive role will be maintained with minimum intervention and records.
 
Concealment and Non-participant
Observer makes the observation from the peripherally of a social setting and does not interact with others.
 
Non-concealment and Non-participant
The researcher is interested in observing the effects of some specific intervention introduced for scientific purpose. The subjects are aware of their participation in the study. This method is very much useful in nursing research studies.
 
INTERVIEW
The interview is an oral questionnaire, the interviewee gives the needed information verbally in a face-to-face relationship. 50It is an important method of data collection where one can know the views and ideas of other persons. The interviewer gains rapport or establishes a friendly, secure relationship with the subject and obtains some confidential information that the subject might be reluctant to put in writing. The interviewer can explain the purpose of the investigation and can explain more clearly just what information he or she wants.
 
Definition
  • ‘The interview is not only the conversation between an investigator and informant but also interviewer will try to understand the gestures, glances, facial expressions and reveals subtle feelings’ —PV Young
  • ‘It is a fundamental process of social interaction’—Goode and Hatt
  • ‘It is face-to-face interpersonal situation in which one person, the interviewer asks a person being interviewed and the respondent will answer or gives the responses; the items are designed to obtain answers pertinent to research problem’—Fred N Kerlinger
 
Characteristics
  • Close contact or interaction between two or more persons
  • Define object to know the views and ideas of others
  • Face-to-face relationship between individuals
  • Data will be collected related social problem.
 
Objectives
  • Information will be obtained from unknown facts through face-to-face interaction
  • Investigator and respondent has to know each other by means of research needs and requirements
  • Gives an opportunity to formulate hypothesis, which are based on personal and social behaviour
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  • Collecting additional information about different situations in qualitative facts, e.g: Ideas, feelings, views, faith and conclusion etc.
  • Gives an opportunity to observe the things which are not under study.
 
Instrument for Interview
  1. Interview schedule: A questionnaire is read to the respondent and formed about facts and situations involved.
  2. Interview guide: It provides ideas but allows the interviewer freedom to pursue relevant topics in depth. To use interview guide or not depends upon the policy and attitudes of the interviewer.
 
Preparatory Process on Technique of Interview
  • Based on scientific knowledge
  • Understands the problem which are under study
  • Preparing interview schedule and interview guide
  • Training of field workers
  • Selection of informants, appointment with respondents
  • Seeking and providing information about respondents.
 
Process of Interview
  • Get cooperation from the leader and the community
  • Select proper time and place
  • Introduction with respondents
  • Put systematic, clear and unambiguous questions
  • Precautions to be taken regarding emotional point of view.
 
Technique of Interview
  • Establish contacts and rapport with the informants
  • Start the interview in a scientific and attractive manner
  • Help the respondents to recall things correctly and encourage to come out with proper information
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  • Ask probing questions
  • Encourage and guide the informants in proper line.
 
Qualities of Good Interviewer
  • Attractive personality
  • Pleasing manners
  • Tactful
  • Initiative
  • Should win the confident of the informant
  • Objective observer
  • Avoid too much inquisitiveness.
 
Types
On the basis of objectives and qualities
  1. Clinical interview: To know the cause of certain abnormality thereby remedy can be sorted out. It studies individual's life experiences.
  2. Selection interview: To select a person on the basis of certain traits and qualities, e.g: Job interview
  3. Diagnostic interview: To find out certain serious causes of some social events or problems.
  4. Research interview: To find out the cause of problem, a comprehensive study of social problems in detail.
  5. Directive interview: Predetermined questions, which the interviewer will ask the respondent.
 
 
On the basis of functions and methodology
  1. Non-directed interview: Uncontrolled interview asked through conversation. The informant is encouraged to exhibit and express his knowledge and views. The interviewer collects the information.
  2. Focused interview (Controlled interview): To test a particular or specific experience hypothesis. The questions are predetermined and preplanned, which are formed on the basis of behaviour of respondent.
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  3. Repeated interview: To study the dynamic functions and attitudes that influence, guide and determine the behaviour of certain individuals. These interviews are carried out after certain interviews in repeated manner.
  4. Respondent interview: To study the specific development of a social or psychological process.
  5. Depth interview: The respondent will be fully encouraged to respond. The interviewer must be perfectly trained.
 
On the basis of number of informants or respondents
  1. Individual interview: Information will be gathered from an individual.
  2. Group interview: Collecting information from the group of respondents.
  3. Structured/Formal/Standardised interview: Interviewer cannot adopt questions for a specific situation, the interview is not permitted to change the specific wording of the questions.
  4. Unstructured/Informal/Non-standardised interview: The interviewer will have freedom to develop each questions in the most appropriate manner for the situation.
  5. Semi-standardised interview: The interviewer may be required to ask a number of specific major questions, beyond which any number of further questions may be asked.
 
Advantages
  • Possible to study the events that are not open to observation (hidden factors), e.g: Feelings, attitudes, fear, emotions, reactions
  • Complete answers are possible
  • Clarification can be made if respondents had done so, that misunderstanding can be minimised
  • Questions can be pursued in depth
  • A higher response is possible and the reliable information can be obtained
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  • Inflow and outflow of ideas can be possible between interviewer and respondent.
 
Disadvantages
  • The data collected are of a doubtful character
  • Costly method
  • Validity measurement problem due to difference in social characteristics, e.g: Race, ethnicity, perceived status differences
  • Too much dependency of the memory of the respondent
  • Possibility of change in meaning
  • Lot of subjectivity, individual feelings, inferiority complex.
 
Social Medicine
Knowledge of human behaviour with an interdisciplinary approach to understand human needs in the context of societal problems. It is a social system approach to understand human behaviour. The interpersonal orientation, group influence and socio-cultural factors helps to find solutions to problems which are arising due to mass complex nature.
In the recent time the fields of sociology is extended towards medical science known as ‘Medical Sociology’ which describes medicine as a social science as ‘health’ is a complex whole, state of physical, mental, social, spiritual well-being of an individual and not merely an absence of disease or infirmity. There is a dire need to integrate the behavioural sciences with medicine in educating health care professionals. Social medicine is having components such as education, medicine, health care and socio-behavioural sciences. The health care professionals should adequately trained up to practice the science of medicine and the art of professional with health care systems, to keep on-line in the path of social progress by keeping scientific pace with an understanding of the structural realities in contemporary societies.
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It also studies the relationships between health phenomena and social factors in medical context. It develops integrate knowledge as it relates the life processes to the existing social phenomena and health in a meaningful manner. It provides information concerning the process, scope and organisation of the elements of the medicine which will affect the individuals. It enables the practitioners to have sound knowledge about medical institutions, the study of diseases, socio-cultural perspectives, attitudes and values, treatment facilities and its patterns.
It is the study of various broad socio-cultural, economic, political forces, health problems and health practices that shapes health services system of a country at the macro-level, and health behaviour of the people and health institutions at micro-level.
The field of ‘Medical Anthropology’ has direct relevance to help management programmes consists of three sub-fields, i.e., Ethinomedicine, Medical Anthropology and Cultural Ecology. It analyses the medical-clinical-curative systems in different societies. It is the branch of science of man, which studies biological, cultural aspects of man in understanding the medico-social and public health problems of individuals. It is the holistic study of health, illness, cultural aspects, social roles, status and institutional networks, which will help in the health enhancement process and identifies cross cultural similarities and variations in the pattern of social behaviour.
 
Social Telesis
It is a planned progress and purposeful use of natural and social forces. It is a total process of cultural transformation, e.g: Adult education, satellite programmes, free education. Powerful indicator for quality of life, social change, and social development; positive social control, Bogardus describes social telesis is an economic development, regional development and rural development.56
 
Previous Years University Questions
  1. Define sociology and discuss the importance of sociology in nursing profession.
(15 m, MP State, RGUHS, 2004)
  1. Define anthropology and sociology and discuss its relationship with each other.
(15 m, MP, 2004)
  1. Define sociology. Discuss the relationship between sociology and anthropology.
(15 m, MP, 2003)
  1. Define sociology and discuss the importance of its study in India.
(15 m, MP, 2000)
  1. Define sociology and discuss its importance.
(15 m, MP, 1998)
  1. Define sociology and discuss its scope.
(15 m, MP, 1997)
  1. Discuss how sociology is related to other social sciences.
(15 m, MP, 1997)
  1. Explain the need of studying sociology in nursing.
(15 m, RGUHS, 2000)
  1. Explain how a nurse can make use of knowledge of sociology in patient care.
(10 m RGUHS, 2001)
  1. Define sociology and explain the scope and importance of sociology.
(8 m, RGUHS, 1997)
  1. Describe the nature and scope of sociology. How does sociology help in the nursing profession.
(10 m, RGUHS, 2002)
  1. Define sociology.
(2 m, RGUHS, 2002)
  1. Social medicine.
(2 m, RGUHS, 2001, 04)
  1. Explain the need for studying sociology or nurses.
(10 m, RGUHS, 2001, 03, 5 m, RGUHS, 2002)
  1. Write 2 definitions of sociology.
(5 m, RGUHS, 2002)
  1. What is social telesis.
(2 m, RGUHS, 1999)
  1. Explain how social factors influence health and illness.
(10 m, RGUHS, 2000)
  1. What is sociology? Explain the importance of study of sociology.
(10 m, RGUHS, 2000, 02)
57
  1. Write the meanings of the root words from which the term sociology is derived.
(2 m, RGUHS, 2000)
  1. Describe the origin and development of social medicine. What is its application in nursing.
(5 m, RGUHS, 2002)
  1. Describe the sociological research methods used in nursing profession.
(5 m, RGUHS, 2002)
  1. Describe the relevance of sociological principles in nursing.
(10 m, RGUHS, 1999, 2000)
  1. Uses of sociology in nursing care.
(5 m, RGUHS, 2001)
  1. Social factors and health.
(5 m, RGUHS, 2001)
  1. Describe the role of family in health and disease of individual.
(10 m, RGUHS, 2000)
  1. Social disease.
(5 m, RGUHS, 2000)
  1. Describe the importance of sociology for nurses.
(19 m, NTRUHS, 2002)
  1. The learning of ‘sociology’ in the nursing facilitate ‘social interactions among nurses’. Explain.
(15 m, NTRUHS, 2002)
  1. What is sociology? Explain about the importance of study of sociology for nurses.
(15 m, NTRUHS, 1999)
  1. Discuss the importance of sociology to nursing.
(15 m, NTRUHS, 1998)
  1. What is the relationship of anthropology to sociology? Discuss in detail.
(15 m, NTRUHS, 1998)
  1. Define anthropology and how study of anthropology is useful to nurses in their profession.
(NTRUHS, 1996)
  1. Define sociology and explain its scope and importance in nursing profession.
(NTRUHS, 1989)
  1. Why it is important for nurses to study sociology, how will improve social status of nurses in India.
(NTRUHS, 1998)
  1. Definition of sociology and discuss it.
(NTRUHS, 1984)
  1. Is sociology a science and discuss.
(NTRUHS, 1986)
  1. Explain the need and utility of sociological knowledge to the student of nurse.
(NTRUHS, 1987)
58
  1. Explain with examples how the knowledge of sociology is useful in nursing care of patients.
(10 m, SVIMS, Tirupati, 2003)
 
MGR University Question Papers
  1. Bring out the importance of the study of sociology in health and nursing with particular reference to attitude towards illness and treatment in Indian context.
(15 m, MGRU)
  1. Social anthropology applied to nursing.
(MGRU, 5 m)
  1. Define sociology and describe its importance in the field of nursing.
(15 m, MGRU)
  1. Bring out clearly the importance of the study of sociology in health and nursing with special reference to attitude towards illness and treatment in Indian context.
(15 m, MGRU)
  1. Discuss how far the sociological knowledge is helpful for a nurse in her career.
(15 m, MGRU)
  1. Explain the meaning and importance of sociology in nursing.
(15 m, MGRU, Nov-98)
  1. Sociology.
(2 m, MGRU, Nov-01)
  1. Public opinion.
(2 m, MGRU, Nov-01)
  1. Importance of sociology.
(5 m, MGRU)
  1. Social anthropology.
(2 m, MGRU)
  1. Proove sociology as science of society and discuss its scope, subject matter and importance.
(10 m, MGRU)
  1. How far the sociological knowledge is helpful to the nurses in their clinical and social settings and rehabilitation measures. Discuss.
(10 m, MGRU)
  1. Explain the concept of ‘Sociology’.
(5 m, MGRU)
  1. Describe the importance of sociological knowledge in nursing profession.
(15 m, MGRU)
  1. Describe the scope and importance of sociology in India.
(15 m, MGRU)
59
  1. Define social anthropology and discuss its applicability to nursing.
(15 m, MGRU)
  1. Importance of sociology.
(5 m, MGRU)
  1. Write an essay on the relationship between society and nursing.
(15 m, MGRU)
  1. Social anthropology.
(2 m, MGRU)
  1. Justify the scientific nature of sociology and explain the importance of it.
(15 m, MGRU)
  1. Social anthropology applied to nursing.
(5 m, MGRU)
  1. Write an essay on the concept and uses of the study of sociology.
(15 m, MGRU)
  1. Social anthropology and health.
(5 m, MGRU)
  1. Define sociology. Discuss the nature, scope and importance of sociology.
(20 m, MGRU)
  1. Anthropology in nursing.
(5 m, MGRU)
  1. Sociology as a science.
(5 m, MGRU, Nov-03)