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Author(s):
Precious Esther Omeonu, Eko Inyang Enebieni.
Page No : 1-13
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Sexual Behaviour and Contraceptive Usage Among In-School Adolescents in Nigeria: Evidence From Isiala Ngwa North, Abia State
Abstract
The aim of this study was to find out the relationship between sexual behaviour and contraceptive usage among adolescents in senior secondary schools in Abia State, Nigeria. Some 300 students were purposively selected from two secondary schools in Abia state. Structured questionnaire was used for data collection and data analysis was done using descriptive statistics. findings showed that majority of the students (approx. 57%) in the two schools were already involved in sexual activity. Results of the study also indicated that majority of the adolescents have heard about contraceptives predominantly (>70%) from the internet, however, their level of knowledge of contraception is low (<60% of the maximum point on scale of measure) and perception of use of contraceptives poor (≤46% of the maximum point on scale of measure). Further result shows that the use of contraceptives by the adolescents was very low ((≤17% of the maximum point on scale of measure). The most common contraceptive used among the respondents is the condom (31%). The study recommends a more intentional contraception intervention that will affect the knowledge and attitude of the adolescents positively.
| 2 |
Author(s):
Abdelrady Mohamed Elsayed, Badria AbdElshahid Elkattan, Sabah Nagah Hassan.
Page No : 14-29
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Needs Assessment of Critically ill Patients and Their Families at Intensive Care Unit
Abstract
Background: Critically ill patients have many physical and psychological needs which contribute to disease progression and are at risk for worsening of their condition. Family’s ability to support patients may be compromised by their own psychological distress. So, significant progress has been made to incorporate nursing care from a patient-centered approach to family centered focus. Aim: This study aimed to assess needs of critically ill patients and their families at intensive care unit. Design: A descriptive exploratory design was utilized to achieve the aim of this study. Setting: the study was conducted at intensive care unit at General Bulaq Dakror hospital. Sample: A purposive sample of sixty patients and sixty family members were included in the study. Tools: Four tools were used in this study: structured interview questionnaire, barthel index scale, intensive care unit environmental stressor scale and critical care family needs inventory. Results: the study demonstrated that the mean age of the studied patients was (61.00 + 13.28) and mean age of the studied family member was(36.68 + 11.08) and two thirds of them had son or daughter relation to patient. Less than half of the studied patients were minimally dependent. The highest mean score of intensive care unit stressors of the studied patients was for enviromental stressors. While, the highest mean score of studied family members’ needs was for assurance and anxiety reduction needs. Conclusion: There was a statistically significant relation between physical needs and educational level of the studied patients, as well, there was a statistically significant relation between the total mean scores of information needs and educational level of the studied family members and between the total mean scores of support needs and number of family member’s visits to patient.Recommendations: This study recommends continuous assessment of the most important and largely unmet needs of critically ill patients and their family members.
| 3 |
Author(s):
Noura Elsaid Ibrahim Elsaoudy, Furat Hussein Mahmoud, Rasha Awad A. Elmaged.
Page No : 30-49
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Nurses’ Knowledge and Practice Regarding Care of Patients Undergoing Chest Tube
Abstract
Chest tube is a postoperative therapeutic intervention widely applied to the respiratory tract and cardiothoracic care. A chest tube can be a life-saving intervention for patients with pneumothorax, effusion and hem thorax. However, it is associated with significant morbidity and mortality. Aim: To assess nurses’ knowledge and practice regarding care of patients undergoing chest tube. Design: A descriptive exploratory study design was used _Setting: Intensive Care Unit, Surgical and Operational Departments, in El-Mahalla Chest Hospital, and El-Mahalla Cardiac Center. Sample: A convenient sample of all available nurses (60 nurses )who work with patient undergoing chest tube. Tools: 1) Self-administered interview questionnaire consists of two parts part 1: Nurse’s demographic data characteristics, part 2: Nurse’s knowledge about chest tube. Tool 2) Observational checklist. Results: Findings of the present study showed that more than one third (41.7%) of the studied nurses had average knowledge regarding management of patient with chest tube drainage. While one third and less than one quarter (35% &23.3%) of them had poor and good knowledge, respectively. Moreover, nearly two-thirds (60%) of the studied nurses had incompetent practice regarding management of patient with chest tube drainage. On the other hand more than one third (40%) of them had competent practice regarding management of patient with chest tube drainage. Finally, There was a highly statistical correlation between total nurse's knowledge and their total practice regarding management of patient with chest tube drainage (P<0.01). Conclusion: the majority of the studied nurses had insufficient knowledge and practice regarding management of patient with chest tube drainage. Recommendations: 1) Development of in-service training programs to maintain efficient performance of nurses, 2) Replication of the study on a larger sample and in different geographical areas in Egypt for generalization of findings.
| 4 |
Author(s):
Marwa Khalid Said, Dr. Zainab Hassein Ali, Dr. Enas Ibrahim Elsayed.
Page No : 50-66
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Health Related Quality of Life for Patients after Mitral Valve Replacement Surgery
Abstract
Background: Mitral valve disease is becoming a public health problem due to increasing life expectancy and new treatment methods for mitral valve replacement, mitral valve replacement surgery can be a challenging and stressful life event, however, patient experiences after mitral valve replacement surgery are inadequately described. Aim of the study: The aim of this study is to assess health related quality of life for patients after mitral valve replacement surgery. Design A descriptive exploratory research design was used to achieve the aim of this study. Setting the study was carried out in the outpatient and cardiothoracic unit at Beni–Suef University Hospital. Sample A purposive sample of all available patients (N=60). Tools: Two tools were used to collect the data. I - self – administration questionnaire II world health organization quality of life SF12 assessment questionnaire. Results: less than a quarter of the studied patients had a satisfactory level of knowledge regarding mitral valve disease. Less than half of the studied patients had low quality of life level and less than a third had a high quality of life level. A statistically significant relation was found between patients’ level of knowledge job, gender, and educational level. There is no statistically significant relation found between patient's quality of life and their age, gender, marital status, gender, job, and level of education. Conclusion: It concluded that less than a quarter of the studied patient had a satisfactory level of knowledge Overall the study has indicated that, the majority of the studied patients had educational, Physical, Psychological, Social, and mental needs to improve their QOL Recommendations: Further research is recommended to carry out on larger sample to determine patient's quality of life needs.
| 5 |
Author(s):
Sodimu Jeminat Omotade, Dele-Alonge Olajumoke Ileola, Dr. Odutayo Patience Omonigho, Aminu Serifat Omobolanle, Temitayo Olajiire Adebiyi, Alake Oluwaseun Morolake, Ayedun Marvellous Kolawole.
Page No : 67-79
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Perceived Impacts of Educational Technologies on Learning among Students in Selected Schools of Nursing in Ogun State
Abstract
The rapid evolution of web-based information platforms and social media in particular, has made the internet the primary source of information for many health professional students. When thinking of how technology has changed nursing education, high-fidelity simulation and computerized testing are the two areas which immediately come to mind, though the technological revolution is actually much more comprehensive, with students (and instructors) using laptops, smart phones, and tablets in class to instantly access great stores of information on the internet. The study was designed to assess the perceived impacts of educational technologies for teaching and learning among students in selected schools of nursing in Ogun state. A quantitative descriptive research design was used to obtain information on the assessment of effects of educational technologies for teaching and learning in selected Schools of Nursing in Ogun State. A total of 198 students were used in the study, a simple random technique was used to select participants. A well-constructed questionnaire was used. Data collected and analysis was presented in tables and percentages. Results obtained from the study revealed that 80.3% agreed that technology in teaching breaks monotony/boredom and almost all respondents, 94.9% agreed that technology makes lessons interesting to comprehend. Also, 96.5% have previously heard about ICT and 58.1% agreed to have used it in their school. The study further revealed that 75% of the students believed there are only 25% availability of technological tools in the school for teaching and learning while 75% agreed that technological tools are not sufficiently available. Majority of the students also agreed that poor attitude of both students and tutors toward ICT hinder its usage. Other barriers include lack of ICT infrastructures, lack of technical support, inadequate knowledge and poor accessibility to internet which explains that there was no significant increase in the relationship for students perception of ICT compared to availability of technological tools for learning and teaching in the schools, the p value of 0.68 shows that there was significant relationship between Students perception of ICT and availability of technological tools for learning and teaching in the school. Thus, the study recommends provision of required ICT tools and training of nurse educators to facilitate ICT utilization in nursing education.
Keywords: Effectiveness, Educational Technology, Nursing, Teaching, Learning.
| 6 |
Author(s):
Oparanma Florence Uche, Dr. GoodLuck Azuonwu.
Page No : 80-90
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The Epidemiology of Sexual Violence in Nigeria
Abstract
Abstract
This paper investigated the epidemiology of sexual violence in Nigeria. Sexual violence has been considered as an “imposed sexual act with physical force” caused by lack of consideration of other’s right. In Nigeria, violence against women is becoming an increasingly recognized pandemic issue necessitating eradication and elimination. It occurs in various forms with resultant physical, sexual or psychological consequences. However, there is still denial and paucity of literature about the magnitude and pattern of this problem in Nigeria. Sexual violence against children and women brings with it long-term, both psychiatrically and socially. Apart from sexual gratification itself, sexual violence against women in Nigeria is a result of unequal power equations both real and perceived between men and women and is strongly influenced by cultural factors and values. The findings and results of this paper will be helpful to girls and women terms governing sexual violence and how to remain safe from been violated. Therefore, this paper systematically reviewed some related literature on sexual violence, contexts of sexual violence and examined it forms, the risk factors associated with sexual violence and the way out of sexual violence.
Keywords: Sexual violence, women, child, STI, Nigeria
| 7 |
Author(s):
Islam Sabry Abd Elgwad Ali, Zienab Hussain Ali, Sabah Nagah Hasan.
Page No : 91-110
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The Effect of Acupressure on Severity of Pain and Level of Anxiety for Patients Post Coronary Artery Bypass Graft
Abstract
Background: Experiencing moderate to severe anxiety and pain are common symptoms after cardiac surgery, which is very challenging to treat with medical treatment. Acupressure is promising because it’s nonpharmacologic, has no apparent side effects, and has been used to improve postoperative outcomes. Aim of this study: This study aimed to evaluate the effect of acupressure on severity of pain and level of anxiety for patients post coronary artery bypass graft. Design: Quasi-experimental research design was used to achieve the aim of this study. Setting: This study was conducted at open heart surgery unit at Misr University for Science and Technology hospital and at Academic Institute for Heart Surgery Ain Shams University hospital. Subjects: A Purposive sample of 80 adult patients was included in the study. Tools: Three tools were used; structured interviewing questionnaire, Numerical scale of pain and State Trait Anxiety Inventory. Results: the 85% and 67.5% of the study group had severe pain and anxiety pre acupressure intervention compared to only 7.5% and 15% of them post intervention, while, about 75% of the control group had severe pain and anxiety pre intervention compared to 52.5% and 65% of them post intervention. There was high statistically significant difference between both groups regarding pain severity and anxiety level pre to post acupressure intervention. Conclusion: The study concluded that acupressure had a positive effect on reduction of severity of pain and level of anxiety post coronary artery bypass graft. Recommendations: It is recommended that nurses should consider using acupressure as an effective technique for pain and anxiety management in addition to drug therapy.
| 8 |
Author(s):
Adetunji Oluseye Adetayo, Ayedebinu Abiodun O., Bifarin M. Titilope , Oguntoye Oluwaseun.
Page No : 111-120
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Common Factors of Surgical Delays in the Surgical Environment at a Federal Teaching Hospital in the Southwestern Nigeria
Abstract
Surgery is a cost-effective and core component of universal health coverage. Surgical delay is considered to be one of the most upsetting problems affecting patient satisfaction, and it is considered an important challenging issue at most public hospitals as the length of time a patient has to wait after being booked in and registered on the waiting list until the surgery is finally done. The study was a descriptive survey using the quantitative method conducted on Surgical Delays and Associated Factors on Surgical Outcomes among Surgical Teams at Obafemi Awolowo University Teaching Hospitals Complex, Ife Hospital Unit, Ile-Ife, Osun State, Nigeria. Questionnaires and observation checklists were designed as tools to collect the data about surgical delays and associated factors among surgical teams. A total of two hundred and seventy (270) questionnaires were distributed and administered. The data collected were filled and entered into the computer using freeware data entry and validation program known as Epidata 3.0. The finding revealed that the common factors affecting surgical delays among surgical teams include communication gap [Relative Importance Index (RII) = 0.55], clinical instability of the patient (RII = 0.53), non-availability of an operating space (RII = 0.52), and infrastructure problems (RII = 0.52). Communication gap between the surgical team members is the common factor that leads to surgical delays in the health facility. Establishment of perioperative guidelines and protocols as well as review and reinforcement of existing ones are needed to eliminate the attitudinal and systemic causes of surgical delays.
| 9 |
Author(s):
Fatma Elsayed Ragab, Prof. Dr. Safaa Salah Ismail, Prof. Dr. Hyam Refaat Tantawi.
Page No : 126-145
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The Effect of Kangaroo Care Educational Program for Mother on Weight Gain of Premature Infants in Neonatal Intensive Care Units
Abstract
Background: Kangaroo care is one of the nursing practices with medical provision that can meet the important physical and emotional needs of the preterm such as warmth, stimulation, parental attachment, breast-feeding and safety. Research design: A quasi-experimental design was utilized in the current study. Setting: This study was conducted at neonatal intensive care unit in Beni Suef University Hospital. Subjects: A purposive sample of 50 mothers accompanying their premature infants. Tools of data collection: Three tools were used: tool (1) interviewing questionnaire: (pre, post and follow-up), tool (2) checklist of reported practices: (pre, post and follow-up), tool (3) knowledge of the mother about kangaroo care technique: (pre, post and follow-up). Results: 88% of the studied mothers had unsatisfactory level of knowledge in the pre educational program implementation. While, 96% of them had satisfactory level of knowledge in the post educational program implementation. 64% of the studied mothers had incompetent practices in the pre educational program implementation, while 58% of the studied mother had competent practices in the post educational program implementation. Conclusion: The educational program had a significant positive effect on improving mothers' knowledge, practices regarding kangaroo care. Recommendation: Continuous educational programs to increase awareness of the mothers about Kangaroo Mother Care to ensure enough knowledge and practice about KMC.
| 10 |
Author(s):
Oparanma Florence Uche, Dr. Chinedum I. Ahaiwe.
Page No : 146-152
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The Importance of Nursing Staff Satisfaction: Nigerian Context
Abstract
This theoretical study X-rayed the urgent need for nurse job satisfaction all over Nigeria. Nursing shortage all over Nigeria has become a continuous threat to quality care outcomes and there is nothing to show that this will come to an end anytime soon. Attracting and retaining qualified registered nurses to function in critical managerial roles because of the current nursing shortage is becoming increasingly vital as diseases and healthcare issues flood the Nigerian domain. In addition, though the government has not seen this as a danger, baby boomers and children are at a high risk of sicknesses and early death. Therefore, it is imperative that the few existing nurses are job satisfied by all means.
