| 1 |
Author(s):
Ochala Ejura Jennifer, Professor (Dr.) Syed Ali Gulab Jan, Associate Professor (Dr.) Samsiah Mat.
Page No : 1-15
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A Literature Review on Contraceptive Practices, Barriers and Measures to Improve Use Among Postpartum Women
Abstract
Introduction: Globally, the challenges of maternal mortality and morbidity from untimely pregnancy and unspaced births are enormous. An increase in contraceptive use can promote women's health, thereby decreasing adverse maternal and child outcomes in Africa. This literature search reviewed the barriers encountered by mothers to contraceptives and measures that improve increased use among postpartum mothers. Design: The review comprises quantitative studies conducted among women and postpartum mothers in Africa. The search was conducted in PubMed, ProQuest and Google Scholar using contraceptives, practice/use/utilisation, barriers/limitations, measures, family planning practice, postpartum mothers, women, expectations, and contraception perception barriers or factors. The health belief model gave insight into the perception of women to contraceptive use. The search produced 18 African studies published in English between 2015-2019 among reproductive-aged women 15-49. Contraceptive use ranged from 11% to 86.8%. The perception of women regarding their fertility desires creates an imbalance in contraceptive use. Factors that affected use include knowledge, age, the commencement of sexual activity and resumption of menstruation after delivery, and the culture and religion of the women. The women contend with barriers such as fear of side-effects, knowledge barriers and misconceptions, lack of spousal support, decision-making power, and health system-related barriers. Conclusion: Creating method-specific education to meet the women's personal information and education needs is one of the strategies identified and improved health system measures to increase use in the immediate postpartum period. Therefore, ensuring access, affordability, availability, and access will bring the desired behavioural change.
| 2 |
Author(s):
Anita Mfuh Y. Lukong, Yahaya Jafaru.
Page No : 16-27
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Covid-19 Pandemic Challenges, Coping Strategies and Resilience among Healthcare Workers: A Multiple Linear Regression Analysis
Abstract
The Coronavirus Disease pandemic has affected over 200 countries, including Nigeria; and its psychological impacts demands on HCWs are among crucial considerations owing to the fact that occurrence of acute stress needs adaptive response to meet those demands. However, critical studies on the interrelatedness and importance of challenges, coping strategies and resilience during the pandemic are lacking. Objective: To investigate Covid-19 pandemic challenges, coping strategies and resilience among healthcare workers using multiple linear regression analysis. Method: This was a descriptive cross-sectional survey among health workers in a State in Northern Nigeria. Data collection was executed through the use of google form software. One hundred and forty-three health care workers constituted the sample. Questionnaires were used for data collection. A combination of consecutive and convenient sampling methods were used. Data analysis was by Statistical Product and Service Solutions (SPSS) version 25. Findings: Most of the respondents (89.5%) were having very high challenges. Most of the coping strategies of the respondents centered at low to moderate level (35.7% and 37.1%) respectively; and majority (27.3%) had very low resilience. The correlation between Covid-19 challenges (predictor variable 1) and Covid-19 resilience (outcome variable) was 0.119. The correlation between the Covid-19 coping strategy (predictor variable 2) and Covid-19 resilience (outcome variable) was 0.181. Moreover, the correlation between the predictor variables themselves is 0.301. The result indicated that the model was not a significant predictor of HCWs resilience. The model shows that F (2, 140) = 2.71, P = 0.07. R was 0.19, and R2 was 0.037. There was no statistical significant contribution to the prediction of HCWs resilience from the individual predictors. For challenges of Covid-19 variable (B = 0.080, P = 0.413) and for coping strategies of Covid-19 variable (B = 0.235, P = 0.069). Conclusion: Healthcare workers had low coping strategies and low resilience. There was a weak correlation between the Covid-19 challenges and Covid-19 coping strategies with resilience of healthcare workers; and there was no statistical significant correlation between the independent variables (healthcare workers Covid-19 challenges and healthcare workers Covid-19 coping strategies) and dependent variable (resilience of healthcare workers). Recommendations: The policy makers and hospitals management should provide adequate protection equipment, psychological and social support as well as counseling against Covid-19 and other infectious diseases to healthcare workers.
| 3 |
Author(s):
Oluleye Tunji MD.
Page No : 28-31
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The Role of Mobile Phone Fundoscopy in the COVID-19 Era as an Alternative to Traditional Ophthalmoscopy
Abstract
The emergence of COVID-19 pandemic has shown that traditional fundoscopy is now a hazardous procedure due to the proximity at which the procedure is done. This letter describes mobile phone fundoscopy as an alternative safer method of retinal examination with the added advantages of patient education and facilities for teaching and telemedicine.
| 4 |
Author(s):
Amadi Elizabeth Nwobiarire, Wondikom Fortune Uolma.
Page No : 32-39
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Socio-Demographic Correlates to Preventive Behaviour Toward Breast Cancer among Women in Rivers East Senatorial District
Abstract
This study investigated how socio-demographic correlates to breast cancer’s preventive behaviour among women in Rivers East Senatorial District. The descriptive cross-sectional research design was adopted for the study. The study population consisted of all 545,056 women in Rivers East Senatorial District with a sample size of 1,200 women determined using the Taro Yamane’s formula and selected using the multistage sampling procedure. Data was collected using a structured questionnaire with a reliability coefficient of 0.71 and analysed using mean and standard deviation (SD) and regression statistics at 0.05 alpha level. The study’s finding showed that preventive behaviour towards breast cancer was significantly related to educational level (r = 0.102; p<0.05) only. While marital status and age were not found to have a statistically significant relationship with preventive behaviour towards breast cancer, it was concluded that preventive behaviour towards breast cancer which were significantly related to their educational level. It was recommended that health educators establish a sustainable awareness campaign for women about breast cancer preventive practices through mass and social media and other communication channels such as posters, handbills, and flyers.
| 5 |
Author(s):
Dr. Aida Domantay, Dr. Maaidah Algamdi, Hanin Alatawi, Afkar Alazmi, Fatimah Albalawi, Seham Albalawi, Jumanah Alghamdi.
Page No : 40-53
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The Experiences of Patients Receiving Care from Nurse Interns: A Phenomenological Study
Abstract
The patient is one of the essential components of the educational environment process, playing a significant role in nurse interns' clinical experience. Clinical experience is necessary to nurse interns' learning as it prepares them to provide high-quality care to patients. The study explores the experiences of patients cared for by nurse interns in Saudi Arabia. The researchers used a qualitative phenomenological design and interviewed six patient participants in a government hospital under nurse interns' care. Six focused interviews were audio-recorded, transcribed, coded, and analyzed using thematic analysis. Four themes emerged: Patient Experiences, Factors Affecting the Patient Experiences, the Barriers to Patient–Nurse Intern Relationships, and Perceived Patient Roles. The findings are discussed against Peplau's theory of interpersonal relationships, suggesting that the nurse interns' and patients' roles and behaviors affect their relationship and the learning process. Therefore, we recommend that instructors prepare student nurses focusing on interpersonal processes.
| 6 |
Author(s):
Makanjuola Mobolaji Simisola, Salawu Rasidi Akinade, Makanjuola Osuolale John.
Page No : 54-68
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Assessment of Burnout Among Nurses Working in Selected Critical Care Units in Tertiary Hospitals in Ondo State, Nigeria
Abstract
Burnout is the outcome of work-related disorder that is due to accumulated stress and work overload. This study aimed at assessing burnout experienced among nurses working in selected critical care units in tertiary hospitals in the Ondo State of Nigeria. A descriptive cross-sectional design was utilized with115 respondents chosen purposely from the tertiary hospitals in Ondo State, Nigeria. An adapted standardized instrument on Maslach Burnout Inventory Human Service Survey (MBI-HSS) was used to collect data. Findings revealed that 22.6% of the respondents experienced a high level of emotional exhaustion while 47.8% of the respondents experienced moderate emotional exhaustion in the domain of burnout. There was no statistically significant difference between burnout experienced by nurses and their years in practice. In conclusion, emotional exhaustion is being experienced among nurses in the course of their practice. Therefore, proactive measures that can cater for the psychological wellbeing of the nurses are recommended.
| 7 |
Author(s):
Oluwafeyikemi Eunice Popoola.
Page No : 69-84
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Traditional Review of Health and Socio-Economic Implications of Adolescent Motherhood
Abstract
Adolescence is a vulnerable period with attendant risks of pregnancy and childbirth. Though adolescent motherhood is a global phenomenon, the incidence is more recurrent in the developing nations with inadequate access to maternal care, leading to amplified effects of pregnancy on adolescents. Though there exist fragmented studies on the consequences of adolescent motherhood, there is a need for an up-to-date review that harmonises the known consequences of adolescent motherhood. Objective: This review documents empirical pieces of evidence of the consequences of adolescent motherhood, so as to provide a basis for advocacy for targeted interventions, to reduce adolescent pregnancy. Methods: Structured searches from electronic databases were conducted. The databases include: PubMed, British Medical Journal online, The Cumulative Index to Nursing and Allied Health Literature (CINAHL) complete, Lancet, Academia and Mendeley. Studies included used the qualitative, quantitative and the mixed-method designs. Peer reviewed articles, uploaded thesis, editorial briefs, policy briefs and commentaries were all included in the search. Studies included were either published in English Language or translated by the journal to English Language. Findings: This study included one hundred and four (104) original articles, reviewed literature, commentaries and briefs. It was discovered that many unpalatable experiences and outcomes are associated with adolescent motherhood. These outcomes impact negatively not only on the adolescent mothers and their neonates, but also on their families and the nation at large. Most of these undesirable outcomes affect the health of the mothers and their babies. There are also social and economic consequences of adolescent motherhood. Conclusion: This review concluded that many grave consequences are associated with adolescent parenting. It is therefore necessary to advocate for reduction in the incidence of adolescent pregnancy.
| 8 |
Author(s):
Aduragbemi Oluwapelumi Ogunleye.
Page No : 85-93
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Misrepresenting Nurses: An Overview of Some Selected Nollywood Movies
Abstract
The projected image of any profession is a determining factor of the level of respect that would be accorded to the services rendered by members of such profession. In the same vein, this image would build confidence which people will repose in the operators of such services. Nursing, a popularly acclaimed noble profession, has enjoyed the wider acceptability of the Nigerian populace from time immemorial. Nurses are lifesavers; this, therefore, accorded them the opportunity to occupy the enviable position they are holding today in Nigeria. However, as projected by the Nigerian Nollywood actors and actress, the image of nurses and nursing profession has been that of misrepresentation, which has exposed Nurses to an unwarranted embarrassment in their bid to create an atmosphere of entertainment. Consequently, this misrepresentation sends the populace the wrong signal about the nursing career and the enviable position that nurses occupied in society. Therefore, the paper aims to review some selected Nollywood movies that portrayed nurses’ image in a wrong perspective. It will also present the true image of Nigerian nurses, both at home and abroad. The paper employs qualitative sources of data collection, which comprises: observations, printed documents, downloaded videos and internet materials. The paper concludes that nursing is an invaluable and noble profession that should be presented as such. The paper recommends that nurses themselves should jealously guard nursing profession, the Film Censor’s Board in Nigeria should intensify efforts in movie censoring before the final release of movies and the actors should desist from presenting nurses in a wrong perspective to checkmate the temptation of sending misconceived ideas about the Nigerian Nurses to the public.
| 9 |
Author(s):
Maitanmi Julius Olatade, Osayande Jennifer Aisosa, Maitanmi Bukola Titilope, Akingbade Oluwadamilare, Okwuikpo Margaret Ihunanya, Leslie Tabitha Amere.
Page No : 94-111
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Knowledge and Utilization of Family Planning Services among Women of Reproductive Age in Ilishan Community Health Center, Ogun State
Abstract
Nearly one in ten women of reproductive age worldwide has an unmet need for family planning. Although contraceptive usage has increased globally, sub-Saharan Africa has recorded the lowest usage of contraceptives worldwide, with Nigeria, the country with the highest population in Africa still recording a low prevalence of contraceptive usage. This descriptive survey assessed the knowledge and utilization of family planning services among 85 women attending a comprehensive health centre in Ogun State. Data analysis was done with Statistical Package for Social Sciences (SPSS) version 26 and hypotheses were tested using chi-square. Findings revealed the level of knowledge on family planning was above average as 55.8% demonstrated good knowledge; however, utilization of family planning services was below average as 55.8% showed inadequate utilization. While significant association was found between the utilization of family planning and the number of children per household, (χ2=8. 649, p = 0.034), no significant association was found between knowledge of the respondents and their utilization of family planning services (χ2=0.828, p = 0.730), and also between knowledge of the respondents and their educational level (χ2=4.303, p = 0.116). Although the level of knowledge in this study was above average, there is still room for improvement even as the knowledge did not translate into adequate utilization of family planning services. This calls for more advocacy and interventions to combat this trend. This will hopefully improve contraceptive prevalence while aligning Nigeria with the Sustainable Development Goal of providing universal access to reproductive health services by 2030.
