| 1 |
Author(s):
Fashanu Adedolapo Justinah.
Page No : 1-15
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Knowledge and Attitudes of Nursing Mothers towards Childhood Immunization in Ondo State.
Abstract
Background: This research aims to assess the level of knowledge and attitudinal disposition regarding childhood immunization among nursing mothers attending post-natal clinics in selected health facilities in Ondo town, Nigeria.
Methodology: A cross sectional survey design was employed in this study, a total number of three hundred and eighty-six (386) respondents participated in this study. Multi stage sampling technique was used to select eleven (11) groups from Ondo West and Ondo East LGA. Systematic random sampling was then employed to select three (3) groups from Ondo West and Ondo East LGA, in which all the health centers in the three groups were used for this study. A structured and validated instrument was used for data collection and was administered to the participants at the health facilities using direct contact approach. Analysis of the data was done using descriptive statistics and correlation which was fixed at 0.05 significant level.
Results: The study found that nursing mothers aged 31-40 years represented the highest proportion (35.5%) of attendees at postnatal clinics, while 16.8% were adolescents. The majority were married (71.5%) and had attained tertiary education (41.7%). Knowledge about immunization was generally high, with 90.7% having heard of immunization, though only 64.2% acknowledged potential side effects like convulsions. The mean knowledge score was 12.63 ± 4.23, indicating moderate knowledge. Regarding attitudes, 72% had positive attitudes toward immunization. Age and education were significantly correlated with both knowledge (p = 0.002) and attitudes (p = 0.000).
Conclusion: The study concluded that strategic behavioral communication needs to be developed to dispel fears of side reactions and provide targeted information that will boost and maintain immunization coverage in the study area.
| 2 |
Author(s):
Aliu Opeyemi Yakubu, Moses Gregory Effiong, Francess Oluwaferanmi Adeyemi.
Page No : 16-20
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Palliative Psychiatry: Current Challenges and Recommendations.
Abstract
Palliative psychiatry is an emerging field focused on improving the quality of life for individuals with severe, chronic, and treatment-resistant psychiatric conditions. It emphasizes holistic, person-centered care that respects patients' dignity and addresses their physical, emotional, social, and existential needs. Unlike traditional psychiatric care, which prioritizes symptom reduction, palliative psychiatry acknowledges that some conditions may not respond to conventional treatments. Despite its potential, the field faces significant challenges, including limited research, inconsistent definitions, and a lack of standardized guidelines. Additionally, ethical issues, societal stigma, and insufficient training in psychiatric programs hinder its implementation. This article discusses current challenges and provides recommendations for developing guidelines and classification systems and integrating palliative psychiatry into clinical practice, ultimately improving care for individuals with severe mental illness.
| 3 |
Author(s):
Femi Duyilemi.
Page No : 21-33
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Artificial Intelligence A Tool in Suicide Prevention Amongst Inuits of Canada: Systematic Review.
Abstract
The Inuits of Canada who live in the Nunavut territory are confronted by the problem of a higher suicide rate than the rest of Canada and the world. The suicide rate in the region is 10 times higher for the general population and 25 times higher among men than in the rest of Canada. The problem is partly linked to mental health issues, yet because the region is remote and isolated, Inuits do not have adequate access to culturally competent mental health support and resources. Consequently, in empowering the community to deal with mental health issues, for suicide prevention, this systematic review involving a comprehensive review and analysis of eight papers published between December 2014 and December 2024 justifies the suitability of Artificial Intelligence (AI) tools for suicide prevention. Additionally, ethical risks should be identified and minimized, stakeholders actively involved, and AI algorithms consistently trained to increase accuracy.
| 4 |
Author(s):
Adewoyin Osonuga, Ayokunle Osonuga, Ruth Akinloye, Ebunoluwa Oluwaferanmi, Odusoga Osonuga.
Page No : 34-44
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Factors Predisposing to Teenage Pregnancy among Female Secondary School Students in Southwest, Nigeria.
Abstract
Background: Adolescent females are amongst the most vulnerable age groups and are at risk of sexual, psychological, physical, mental and social problems. This coupled with increase in their sexual awareness, biological changes associated with puberty and tendency to explore and experiment their sexuality could result in high burden of reproductive health problems including teenage pregnancy. Adolescent pregnancies have a long-lasting impact on the physical and mental health, education, and livelihood of young women, men, and their families.
| 5 |
Author(s):
Iyanuoluwa Oreofe Ojo, Ayanrinde Funmilola Dunni, Olapeju Olamuyiwa, Ajiboye Taiwo, Durodola Ademola Saheed, Aderiye Folayemi O., Daramola Mojisola Adenike, Alade Jacob Adegboyega, Adeyemi Samuel, Arinade Omokehinde Oyebode.
Page No : 45-59
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Predictors to Sustainability of Mandatory Continuing Professional Development Programme Among Nurses in South West Nigeria.
Abstract
Introduction: Mandatory Continuing Professional Development Programme (MCPDP) is a vital programme for enhancing the knowledge, skills, and competence of nurses, which ultimately translates into the provision of high-quality patient care. However, despite its importance, the sustainability of MCPDP is a concern in Nigeria.
Aims and Objectives: The study examined the relevance of MCPDP, policy and strategies for sustainability of MCPDP in southwest Nigeria. The predictors to sustainability were also determined.
Methods: A cross-sectional design was adopted in the study with 230 nurses who participated in monthly programme. The study was carried out in the designated nurse’s house in Ibadan, Oyo State. A self-structured questionnaire with a total of 31 items was used for data collection. The data collected were entered into SPSS version 25. Data were presented using frequency and percentages. Logistic regression was used to test the association between the variables.
Result: The respondents were within 50-59 years. Majority (99.6%) of the respondents agreed that MCPDP enhances intellectual and professional competence. Respondents believe that MCPDP offers quality, competent training, and resources (99.5%). The respondents (94.8%) agreed that MCPDP helps keep abreast with new developments in my specialty. About 97.4% of the respondents believe that the Nursing and Midwifery Council of Nigeria should keep MCPDP consistent, viable, and continuous. Majority (99.6%) of the respondents want the Nursing and Midwifery policy and strategy to improve to promote MCPDP. Also, 93.5% agreed that there should be room for improvement in the policy and strategy at least every two years. The socio demographic variables such as religion is a predictor (p=.043) that shows that every two years there is a need for the improvement of policy and strategy to improve the MCPDP.
Conclusion: The findings revealed that the majority of the respondents perceived the MCPDP as beneficial for enhancing their intellectual, professional, and clinical competence. The study's sociodemographic analysis provided insights into the diverse characteristics of the nurses attending the MCPDP, which can inform strategies to improve accessibility and inclusiveness.
| 6 |
Author(s):
Joyce Omobola Ateniola, Joel A. Afolayan, Emmanuel E. Anyebe.
Page No : 60-76
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The Effectiveness of a Nurse-led Education on Coping Strategies of Occupational Stress among Nurses in Tertiary Hospitals, Ekiti State, Nigeria
Abstract
This study determined the effectiveness of a nurse led education on coping strategies in reducing occupational stress among nurses in two selected tertiary hospitals in Ekiti State. Quasi-experimental method was used. 118 nurses were selected and allocated into intervention and control groups using simple balloting technique. The nurses in the intervention groups had 3 sessions of educational workshop within a month while those in control groups had none. Data were collected pre and post interventions, analyzed using Chi-square, Fisher’s exact test and Paired t-tests. The majority (79%) of the nurses were female, the prevalent type of stress experience was due to workload with a mean stress score of almost 3 across all groups. There were no differences between the pre- and post-intervention stress levels for all types of stress apart from stressful situation due to conflict among nurses. Most participants reported physical symptoms of stress and multiple coping strategies improved significantly among the intervention groups. The study suggests that nurse-led education could improve the use of coping strategies among nurses.
Keywords: Nurse-led education, Occupational stress, Nurses, Coping strategies, Effectiveness, Tertiary hospital, Ekiti State
| 7 |
Author(s):
Abiodun Omotayo Fatukasi, Haleemah Ifedayo Akinyoola, Bukola Mary Fatukasi, Deborah Iyabode Oyeleye, Yetunde Elizabeth Adeniyi.
Page No : 77-93
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Factors Influencing Workplace Violence Among Healthcare Workers in State Hospital Oyo.
Abstract
This study assesses the various factors influencing work place violence among health care workers in State Hospital Oyo, Oyo State. It made use of descriptive cross-sectional research design method with a sample of a ninety-five (95) respondents, which was selected using non-probability sampling techniques of convenience techniques using the Taro Yamane’s statistical formula. Data were collected through self-structured questionnaires. Simple Percentage was used to analyze the formulated research question, while chi-square test was conducted on the two hypothesis formulated for this study. The research discovered that there is a significant association between effective service delivery and workplace violence. With a Pearson Chi-Square value of (39.706) and a p-value of .000, it was also revealed that there is a significant relationship between these variables. This suggests that high levels of burnout and low job satisfaction are associated with a higher likelihood of workplace violence at a Pearson Chi-Square value of (23.879) with a p-value of .001. It was recommended among others that the hospital management should improve the physical and social environments where care is provided. Creating a safer and more supportive workplace can reduce the likelihood of violence. Also, the hospital administration should ensure adequate staffing levels, especially during peak hours or in high-stress departments such as emergency and psychiatric care, to reduce the stress on healthcare workers and prevent violence.
| 8 |
Author(s):
Eve Katushabe, Ayishetu Musa Maliki, Mary Steen, John Bosco Ndinawe.
Page No : 94-118
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Quality Intrapartum Care Experiences of Women and Midwives in Low- and Middle-Income Countries: A Critical Narrative Review.
Abstract
Quality intrapartum care measures are essential for reducing avoidable maternal and newborn morbidity and mortality. One factor contributing to the high burden of maternal and newborn illness is inadequate care during the intrapartum period. There is a substantial amount of qualitative research detailing the experiences of women and midwives with intrapartum care. However, narrative reviews that concentrate on the experiences of women and midwives while utilizing and providing intrapartum care respectively in sub-Saharan African Low- to Middle-Income Countries (LMICs) are scarce, as far as the authors are aware. We aimed to retrieve evidence that supports women’s and midwives’ experiences with quality intrapartum care by conducting a critical review of the literature. The literature was searched from PubMed, Google Scholar, Cochrane Library, and Science Direct/Elsevier with studies between June 2014 and July 2024. Qualified midwives and pregnant and postpartum women were target populations for the review. Therefore, we undertook a critical narrative review to ascertain relevant evidence related to intrapartum midwifery care and women’s experiences—qualitative studies that focused on the views and experiences of women and midwives in low- and middle-income countries. This review article addressed the following questions: “What are the women’s experiences with health facility intrapartum care?” and “What are the midwives’ experiences while providing health facility intrapartum care?” The aim of the review was to collect, analyze and synthesize the low- and middle-income countries’ evidence that supports quality intrapartum care during first and second stages of labour, which will inform midwifery practice, education and future research, and positively influence this aspect of midwifery care for women. Out of the 250 retrieved studies, 12 met the inclusion criteria. Three themes and four subthemes were identified from the data: Theme one: Quality of care expectations with four subthemes; (1) Respectful, dignified care; (2) Availability of structural resources; (3) Cultural sensitivity; (4) Labour and pain relief. Theme two: Negative experiences with two subthemes; (1) Physical and verbal abuse; (2) Lack of communication and privacy. Theme three: Midwives’ perspective with two subthemes; (1) Midwives’ challenges and professional identity; (2) Impact on midwives. It was concluded that women and midwives work together as partners in the process of maternity care. In addition to addressing women's needs and rights, midwives are crucial in advancing women's rights and developing interpersonal relations. Further research is needed to explore both the users’ and providers’ experiences concurrently; this will enhance strategies aimed at improving the quality of intrapartum care in LMICs.
| 9 |
Author(s):
Ibrahim Sahr Momoh.
Page No : 119-139
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Adult Men’s Health Needs and Access to Healthcare Services in Sierra Leone: Time to Consider Prioritising Men’s Health to Improve Outcomes in a Challenging Healthcare System.
Abstract
Introduction: Men’s health matters in sub-Saharan Africa have remained complex multifaceted issue and is crying out for statutory attention to address the disproportionate morbidity and mortality rates amongst the male population as currently reported in many official health statistics. Sub-Saharan countries face significant challenges arising from inadequate healthcare service/facilities, socio-economic factors and rigid cultural norms that has resulted in the apparent oversight of men’s health needs in national discourses. It is time to consider changing this situation.
Methodology: A descriptive analysis of various publicly available secondary data is used to discuss a case to consider prioritising men’s health in Sierra Leone in an equitable drive to improve men’s health outcomes.
Results: There is an abundance of statistical evidence from many credible sources showing a disproportionately higher representation of men in negative health measure parameters including lower life expectancy, high morbidity/mortality rates; and lower disability adjusted life years (DALYs). The comparatively poor health outcomes for men are consistently highlighted in these collected statistics.
Conclusion: Men’s health matters should no longer be neglected even in countries like Sierra Leone where healthcare resources are limited. Saving men from premature death and improving their ability to lead healthy fulfilling lives is an ethical imperative that benefits not only men but also women and the wider community. A men’s health strategy will be a vital instrument to accelerate change for better men’s health outcomes.
| 10 |
Author(s):
Nezianya Lawretta Amanna, C.U. Nwankwo (Prof.).
Page No : 140-156
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Peri-Operative Nurses’ Knowledge on Surgical Site Infection Prevention and Adherence to WHOs Guidelines in Selected Hospitals in Oshimili South Local Government Area, Delta State.
Abstract
Surgical operations are vital procedures in the healthcare delivery system and are becoming one of the most significant causes of mortality and morbidity; high-quality evidence supports several measures to prevent surgical site infection that should be applied with high compliance. The broad aim of the study was to determine perioperative nurses' knowledge on surgical site infections, prevention and adherence to WHO guidelines in Oshimili South LGA of Delta. Cross-sectional survey was conducted on 100 perioperative nurses within the selected hospitals in Oshimili South LGA of Delta State. Analysis was done using descriptive statistics. The study revealed that the majority (76%) of the respondents were females, most of the respondents (46%) had BNSC, and a significant number of the respondents 34.0% had 6-10 years of working experience. More than half of the respondents (60%) considered preoperative showers with antiseptics to be cost effective in preventing surgical site infection, 96.0% of the participants removed jewelry, artificial nails and nail polish reduces the incidence of surgical site infection, and 55% of the respondents also agreed to puncture rate of surgical gloves correlates with the incidence of surgical site infection. The majority of the respondents with a mean score 3.71 utilized strategies such as use of aseptic techniques during surgical wound dressing, 3.58 washed their hands before wearing surgical gloves, while 3.63 sterilized dressing materials before cleaning surgical wounds followed by washing hands before and after changing wound dressing. Respondents with a mean score of 3.56 used face masks during cleaning surgical wound dressing for the prevention of surgical site infections, good level of adherence to WHO’s pre-operative guidelines such as washing hands before wearing the surgical gloves, strict adherence to asepsis, surgical consciousness, counting of surgical swabs, sutures, instruments and needles after surgery. 3.36 identified inadequate facilities such as sterilizing equipment and work demand was noted as the challenge with a mean score of 3.17 that perioperative nurses in Oshimili South Local Government Area of Delta State encountered. Conclusively, the knowledge of surgical site infection prevention significantly and positively influenced prevention strategies of surgical site infection used by perioperative nurses in the hospital. It is therefore recommended that continued in-service educational programs should be conducted by the hospital organization to update the evidence based knowledge and practices of nurses.
