| 1 |
Author(s):
Igu Ebophni-Vera Vincent, Udechukwu J.O. (Ph.D).
Page No : 1-8
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Knowledge and Utilization of Assisted Reproductive Technology among Women in Obio/Akpor Local Government Area of Rivers State
Abstract
The aim of this study was to investigate the knowledge and utilization of assisted reproductive technology (ART) among women in Obio/Akpor Local Government Area in Rivers State. A descriptive survey design was adopted as the research design for this study, with a population comprising all the 237,647 women of reproductive age in Obio/Akpor Local Government Area. A multi stage sampling procedure was used to select a sample size of 438 women for the study. A structured questionnaire with a reliability index of k0.75 was used for data collection. Data was analyzed using frequency, percentage, Pearson’s correlation, Chi-square, and binary logistic regression for relevant variables. The findings of the study revealed that the level of knowledge on ART among women was high (71.9%) whereas the level of utilization was low (18.2%). The findings of the study show that educational status was significant related with ART (p<0.05) and utilization ART (p<0.05). It was concluded that the level of knowledge on ART among women was high while the level of utilization was low. Therefore, special health facilities should be built by the Government Areas for easy access and use.
| 2 |
Author(s):
Mulei Charity Ndunge, Cheptum Joyce Jebet, Mageto G. Irene.
Page No : 9-23
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Factors Affecting Quality Documentation in Labour among Midwives at Kenyatta National Hospital
Abstract
Background Information: Midwives have posed varying knowledge and practice levels of quality midwifery documentation due to a number of factors. Quality midwifery documentation shows care given to two lives whose interests could be in conflict. Objective: The study sought to determine the factors affecting the quality of documentation in labour among midwives at Kenyatta National Hospital labour ward. Methodology: This was a descriptive cross-sectional study among 51 consenting midwives selected using a simple random sampling technique. Data was collected using a self-administered structured questionnaire. Ethical approval was sought. Results: Most of the midwives demonstrated excellent knowledge on quality midwifery documentation. However, only 51% practised quality midwifery documentation with 21.4% making entries ahead of time, 17.4% documenting for colleagues and 13.7% documenting only normal labour. This was attributed to insufficient time (86.3%), high patient-to-midwife ratio (92.2%) and understaffing (86.3%). In conclusion, several factors affected the quality of documentation among midwives.
| 3 |
Author(s):
Nwoke Esther O., Agbapuonwu Noreen E..
Page No : 24-36
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Attitude, Perception, and Utilisation of Complementary and Alternative Medicine among Caregivers of the Mentally Challenged Persons in Ebonyi State: A Cross-Sectional Study
Abstract
Background: Experts have been consistent that the overall functioning and productivity of individuals depend on their mental health status. The rising cases of mental health challenges are fast becoming a threat to public health, particularly in developing countries. Evidence shows that over 35% of the global population suffers mental health issues. The burden is higher in Sub-Saharan Africa, with Nigeria accounting for 13% prevalence. Earlier studies have demonstrated that complementary and alternative medicine (CAM) could effectively treat mentally ill patients and other chronic health problems. However, little is known about the caregivers’ attitudes, perceptions, and CAM utilisation in Nigeria. Method: 381 caregivers of mentally ill persons in Abakaliki were recruited into this study. The modified attitude toward Mental Illness Questionnaire was administered to the participants to elicit relevant information on CAM use. The data collected were analysed using descriptive statistics. Results: Most participants (92%) had good knowledge of CAM and would encourage their mentally ill relatives to use CAM. In comparison, 89% have either used CAM or used CAM on mentally ill relatives. CAM utilisation was associated with good knowledge and referral by other users. The common CAM therapies included herbal drugs, spiritual intervention, and alternative medical systems such as homeopathic medicine. It was concluded that the informal caregivers for mentally ill patients knew about CAM and were using them. Studies on the effectiveness and safety of CAM are required to establish their benefits in treating mental illness.
| 4 |
Author(s):
Listowel Ferka, Akwasi Kumi-Kyereme, Naomi Kyeremaa Yeboa.
Page No : 37-52
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Factors Associated with Maternal Knowledge of Iron Nutrition and Supplementation in the Rural Tain District, Ghana
Abstract
Background: Pregnant women are at a high risk of iron deficiency anaemia in Ghana. Despite the provision of iron nutrition education and supplementation for the prevention of iron deficiency anaemia in pregnancy, the estimated prevalence of iron deficiency anaemia in pregnancy is relatively high. The associated factors such as maternal knowledge of iron nutrition and supplementation therapy are not clear due to limited data. Objective: This study aims to assess maternal knowledge of iron nutrition and supplementation and associated factors in the rural Tain District of Ghana. Method: Cross-sectional quantitative data was used. Data was collected from a sample of 480 pregnant women attending antenatal clinics in any of the health facilities in the Tain district. The ten health facilities were stratified and the allocation of samples to each of the ten facilities was proportionate to size. Simple random sampling was used to select individual participants from a compiled list of registered antenatal mothers in each health facility. Results: In all, 36% of participants reported having adequate knowledge of iron nutrition and supplementation. Pregnant women whose husbands have no formal/Primary education (AOR=0.0078(95% CI: 0.021, 0.294), Middle/JHS education (AOR=0.223(95% CI: 0.067, 0.743) were associated with a knowledge of iron nutrition and supplementation. Pregnant women who have one child (AOR= 0.150 (95% CI: 0.053, 0.426) and those who have two children (AOR= 0.375(95% CI: 0.146, 0.963) had lower odds of adequate knowledge of iron nutrition and supplementation. Conclusion: Maternal knowledge of iron nutrition and supplementation for the prevention of iron deficiency anaemia is low. Health education on iron nutrition and supplementation therapy should be strengthened.
| 5 |
Author(s):
Lucy W. Kivuti-Bitok, Joyce Jebet Cheptum, Mariana Mutwiri, Susan Wanja, Irene Ngune.
Page No : 53-86
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Virtual Reality and Serious Gaming in Re-engineering Clinical Teaching: A Review of Literature of the Experiences and Perspectives of Clinical Trainers
Abstract
Re-engineer clinical teaching through innovative approaches such as virtual reality (VR) and Serious Gaming (SG) may increase patient safety. While several studies have focused on the experiences and perceptions of learners about VR and SG, few have if any have focused on the instructors. We reviewed and appraised published evidence to establish the experiences and intention to adopt VR and SG in clinical teaching. Relevant articles were sourced from five databases (PubMed/Medline, Informit, +A Education, ProQuest-ERIC, and CINHAL-EBSCO host). Experiences of clinical trainers were reported using the technological, pedagogical, and content knowledge (TPACK) model. The intention to adopt VR and SG was synthesized using the Technology Adoption Model (TAM). Clinical trainers had a positive attitude towards VR and SG. Those with longer professional experience were less likely to adopt VR and SG, while more experienced trainers were more likely to benefit from VR and SG. VR and SG are practical pedagogies for clinical instruction, but training is required for novice users. Cost-benefit analysis of VR and SG as clinical training approaches is needed.
| 6 |
Author(s):
Chidinma Emeka Abaribe, Ngozi Okafor, Oluwatosin Olu-Abiodun, Ogungbesan Joshua, Chinwenmeri Dike.
Page No : 87-98
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Breast Self-Examination Among Female Adolescents in Nigeria: An Integrative Review
Abstract
Earlier research on breast self-examination among female adolescents has formed different results. This integrative review aimed to summarize the evidence and to compare all existing evidence on the knowledge, attitude, perception, and practices of breast self-examination among female adolescents in the six geopolitical zones of Nigeria, comprising 36 states. A total of 10 articles were included in the final analysis. The article included in the review was limited to articles published in English between 2017 and 2022. The majority of the respondents in this review had a low knowledge level of breast self-examination for both the cross-sectional studies and the baseline (pre-intervention) assessment for intervention studies, had a poor attitude/perception towards BSE, and also had a poor practice of BSE. The major source of information for female adolescents about BSE is the internet, while pamphlets, and face-to-face interaction greatly improved knowledge for intervention studies. The studies further revealed that hearing about BSE does not translate into knowledge and practice. Intervention programs aimed at improving knowledge and practice of BSE among female adolescents are highly advocated as this would enhance their screening practices, improve early detection rates and sustain changes in behaviour towards BSE. Also, the review further identified peer education as a strategy that can be used to improve BSE knowledge and practices in female adolescents.
| 7 |
Author(s):
Asonye Christian Chinedu, Ojewole Foluso.
Page No : 99-111
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Diabetes Distress: The Untold Hidden Struggle of Living with Diabetes Mellitus
Abstract
In recent years, the global burden of diabetes distress has increased significantly, imposing mental health issues on patients and the healthcare system. Diabetes-related distress differs from depression as it originates from the mental and emotional burden that comes from the ongoing management of diabetes. Studies have revealed that one in four individuals with type 1 diabetes has increased levels of diabetes distress, and one in five people with type 2 diabetes experiences increased levels of diabetes distress. Patients with diabetes experience psychosocial and emotional problems in response to these lengthy therapies, including worry about complications, fear of hypoglycemia, fatigue regarding poorly controlled blood glucose, worthlessness, the need for support, and access to healthcare. Psychological factors such as diabetes-related emotional distress have been linked with lower compliance to diet, exercise, frequent blood glucose testing, and medication regimens. Patients with a higher level of diabetes-specific emotional distress have been shown to have a lower health-related quality of life. Despite the increased awareness and knowledge of diabetes-related distress, patients with diabetes are not routinely screened during clinic visits. Therefore, nurses must continually observe and assess a patient's physical and emotional response to treatment and identify patterns and trends suggestive of diabetes-related distress.
| 8 |
Author(s):
Asonye Christian Chinedu, Ojewole Foluso.
Page No : 112-122
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Self-Care Behaviour: The Life-Changing Magic in Type 2 Diabetes Mellitus Care
Abstract
Diabetes Mellitus is a ‘silent disease’ with minimal symptoms at the beginning and rapidly progresses until target organ damage. Moreover, because of its serious consequences, it has become a significant public health concern. Though genetics play an essential role in the development of diabetes, studies on monozygotic twins have shown the importance of environmental influences. Diabetes education is essential but must ultimately be transferred to action to benefit the patient. Individuals with diabetes have been shown to dramatically impact their disease’s progression and development by participating in their care. Because a high percentage of the world’s diabetes cases belong to Type 2 Diabetes (T2D) with modifiable risk factors such as an unhealthy diet, being obese or overweight, a sedentary lifestyle, and smoking, therefore, individuals with T2DM can be helped to modify these factors through behavioural changes to achieve and maintain optimum blood glucose levels.
| 9 |
Author(s):
Joel Madalla, Chiejina Nkechi Edith.
Page No : 123-138
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Assessment of Continuing Education Programme Among Practicing Nurses in Bauchi State
Abstract
Continuing Education (CE) programme exposes health professionals to current trends in professional practice and improved patient care. This study was conducted to assess continuing education programmes among practicing nurses in Bauchi State. A cross sectional descriptive survey research design was used; multi-stage sampling technique was used to recruit 345 participants; questionnaires were used for data collection; 326 of the administered questionnaires were retrieved. Data were analysed using descriptive statistic of percentage; hypotheses were tested at 0.05 level of significance. The result shows that majority (85.9%) of the respondents attended workshop and 52.8% attended conferences. Inappropriate date and time for programme, and irrelevant programmes to nursing practice were among the factors militating against nurses’ participation in CE programmes. Hypothesis tested revealed that rank of practicing nurses significantly influenced the type of continuing education programme they attended (χ^2=35.035, p=0.005). Nurses should engage in undergraduate and postgraduate continuing education programmes for professional development.
| 10 |
Author(s):
Anike Chinomso Theresa, Anieche John Emenike.
Page No : 139-151
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Concerns of Newly Graduated Nurses in Abia State towards Professional Practice: A Qualitative Phenomenological Study
Abstract
Newly graduated nurses are nurses who have not practised for more than one-year post-graduation, whether from a school of nursing or University. This period is usually associated with anxieties that could hinder the professional practice of the newly graduated nurse. The study aims to discover the concerns of newly graduated nurses in Abia state. A phenomenological qualitative research design was used for the study. A structured interview was used to collect data from 15 newly graduated nurses. Thematic analysis of the data generated from the interview was done. Findings from the study revealed that the newly graduated nurses in Abia State have many concerns. All the participants (100%) are concerned about taking up the role of a professional nurse, as they expressed concerns about whether they have enough skills, about workload, and about being able to meet expectations. 14 (93%) of the participants are concerned about remuneration. As they are worried about their salary being enough to take care of personal needs, not being able to save for future endeavours or take care of dependents. 10 (75%) of the participants are concerned about their interaction with senior colleagues and patients and their relationships. All the participants expressed concerns about career progression as they feared not having a future in the profession, especially in Nigeria. Therefore, the researchers recommend more understanding from older nurses towards the newly graduated nurses and a formal support structure that will help the newly graduated nurses navigate through the period. A better work environment and salaries for nurses in Nigeria.
