| 1 |
Author(s):
Dr. Patricia Obiajulu Onianwa, Nkom Alice Taiwo, Ajama Judith Aderinmola, Olaleye Abigail Chukwudumebi, Igonor Bola Tunrayo, Gbenro-Ayodeji Adesola, Ladun-Oluroye Olubukola Omotola.
Page No : 1-13
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Knowledge and Opinion of Nurse Leaders on the Practice of Clinical Mentorship in a Tertiary Hospital in Nigeria
Abstract
Introduction: Mentoring is an important strategy to support the development of a transformational leader. It involves the nurturing of a personal career, intellectual growth/development, as well as improving corporate knowledge, and making employees feel valued. Aim: This study aims at exploring the knowledge and opinions of nurse leaders on clinical mentoring using pre-test and post-test evaluations. Methods: It is a pre-test and post-test single-subject design among 135 Chief Nursing Officers (CNO) that attended the Nurse Leaders’ Summit. Data were analyzed using SPSS 22.0, and probability value p<0.05 was used to determine the significance of the descriptive and inferential statistics. Results: The study revealed that 56.3% of the respondents had adequate knowledge of mentoring at pre-, and 74.1% at post-evaluation; 91.1% claimed to be mentors; 57% were not assigned to a mentee; while 64.4% of them had a good opinion of mentorship and were willing to practice clinically based mentoring. Conclusions: Mentoring is an effective intervention to build the capacity of nurses and improve the quality of healthcare delivery.
| 2 |
Author(s):
Analita Gonzales (RN, PhD), Maaidah Alghamdi (RN, PhD), Wed Fayez Almotairi, Mashael Saud Alatawi, Asma Musallam Albalawi, Ohud Hussain Alfaifi, Aryaj Hamoud Alhoweti, Noof Mohammed Alatwi.
Page No : 14-25
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Community Awareness of the 2019 Coronavirus Disease (COVID-19) In Tabuk, Saudi Arabia
Abstract
Community awareness is an essential factor in the control and prevention of communicable diseases, especially the 2019 coronavirus disease (COVID-19). This study investigates the level of COVID-19 awareness in Tabuk, Saudi Arabia in the areas of signs and symptoms, mode of transmission and prevention. A descriptive correlational, cross-sectional study design was used. The researcher-devised questionnaire was validated and was found reliable with Cronbach Alpha of 0.92. The majority of the 501 participants who responded to the questionnaire were extremely aware of COVID-19 in terms of signs and symptoms, modes of transmission and preventive measures. YouTube, Television and WhatsApp were the main sources of information regarding COVID-19. The awareness level about COVID-19 in Tabuk was exceptional based on the questionnaire scores, and the source of information reflected the concern of the studied population.
| 3 |
Author(s):
Dr. Elendu C. Onwuchekwa, Prof. L. N. Chigbu, Dr. Daniel M. Gimbason, Dr. Uzochukwu G. Ekeleme, Onuigbo C. Martin.
Page No : 26-37
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Knowledge and Attitude on Diabetes Mellitus Among Residents of Jos Metropolis, Plateau State, Nigeria
Abstract
Introduction: Diabetes is a chronic condition that can affect the entire body. There is no doubt that the prevalence of diabetes mellitus has been increasing worldwide. This study investigated the knowledge and attitude on diabetes mellitus (DM) among residents of Jos metropolis, Plateau State, Nigeria. Five research objectives were outlined to identify the causes of DM in Jos metropolis, to examine the effects of diabetes mellitus in Jos, to interrogate the level of knowledge of diabetes in Jos, and proffer recommendation and suggestions on how the challenges of diabetes can be addressed. Methodology: Data were collected both qualitatively and quantitatively using questionnaire, and Focus Group Discussion (FGD). 420 respondents were sampled using multi stage and simple random sampling technique, the data analyzed was based on 393 questionnaires retrieved from the field and presented according to the study objectives. The key informants were purposely selected for the Focus Group Discussion. An FGD guide was used for the research. Results: 94.8% of the respondents agreed that they were knowledgeable of diabetes mellitus and have ideas of the possible causes of diabetes. Majority of the respondents (60.7%) agreed that diabetes is a genetic disease, some indicated that it is a nutritional disease. 247 (62.8%) indicated that people between the ages of forty to sixty years are more likely to contract diabetes, 28 (7.1%) of the respondents indicated that aged people of seventy years and above are more likely to be diabetic. While 89 (22.6%) of the respondents indicated that people of all age categories can suffer diabetes mellitus. Conclusion: Factors militating against the effective treatment of diabetes in Jos metropolis are stigmatization of diabetic patients, poor access to healthcare facilities and low level of awareness by residents on DM. The study established that when people are knowledgeable of the causes, effects and remedy of diabetes mellitus, the rate of the disease will be reduced to the lowest minimum. The study recommends that there should be awareness among the health workers and training health professionals on nutrition and diabetes as may enhance quality healthcare delivery in the nearest future.
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Author(s):
Akindipe Adewole Peter, Aina Joseph O..
Page No : 38-66
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Factors Influencing Substance Abuse among Patients Admitted to the two Federal Neuro-Psychiatric Hospitals in the South-West of Nigeria
Abstract
Substance abuse has greatly altered the moral and ethical standard as well as increase insecurity of our society. Hence, this research assessed knowledge and other factors influencing substance abuse among patients admitted to the two Neuropsychiatric Hospitals in South – West, Nigeria. A descriptive cross-sectional design was used. The purposive sampling method was utilized to collect data from 121 respondents from the two hospitals. Self- designed questionnaire was used as an instrument for data collection. Data were analyzed using SPSS version 23. The findings revealed chi – square value obtained for peer pressure is (X2 = 8.686, P = 0.034), personality trait (X2 = 11.222, P = 0.011), marital status (X2 = 31.455, P = 0.002) and occupation (X2 = 25.266, P = 0.046) at the significant levels less than 0.05 for the four variables respectively. Since these p – values were less than 0.05 value, it could be said that peer pressure, personality traits, marital status, and occupation have a significant relationship with substance abuse among patients in neuropsychiatric hospitals. The study concluded that Peer pressure, personality traits occupation, and marital status have influenced patients to substance abuse in the two neuropsychiatric hospitals but knowledge of substance abuse had no influence on substance abuse. Therefore, identifying specific factors that influence clients/patients to substance abuse during the assessment/interaction section may be helpful to give prompt/appropriate intervention that will be more effective.
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Author(s):
Dalal H Alshammaa, Hanan Al-Salem, Mariam M. Al-Mansouri, Abdullatif E. Al-Terki, Tariq F. Al-Shaiji.
Page No : 67-75
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Management of Paraurethral Cysts in Adult Women: Emphasis on Physical Examination (A Short Series)
Abstract
Introduction: Paraurethral cysts in adult women are rare. These masses present with non-specific symptoms, making them indistinguishable clinically. The assessment of urethral anatomy is largely based on imaging studies. This study aims to present clinical experience in managing paraurethral cysts. Methods: We present a retrospective chart review of a series of four patients diagnosed with paraurethral cysts that presented to our practice between December 2015 and April 2017, as well as a review of the literature describing these lesions. Paraurethral swellings were initially diagnosed on vaginal examination and further investigated by MRI. The reported cases included patients that underwent surgical excision and those that declined surgery. Results: Our studied cohort included both nulliparous and multiparous patients. The chief presenting complaints were pelvic area pain and tender anterior vaginal swelling. Most patients reported a history of previous intermittent swelling and its resolution. In patients that underwent surgical intervention, all responded well to excision of the cyst with no recurrence. Discussion: Acquired paraurethral cysts are often attributed to prior vaginal delivery or surgical trauma. However, we report a nulliparous patient with no prior vaginal procedure. Physical examination of symptomatic patients was essential in diagnosis and management. Conservative treatment in the patients declining surgery was unsuccessful and the cyst persisted. Conclusions: A review of patients’ history and vaginal examination was sufficient in detecting paraurethral cysts. In cases where a cyst was not detectable and the patient reported recurrent swelling, re-examination, when the patient became symptomatic, was successful in diagnosing the swelling. However, MRI investigation was necessary to review the extent of the lesions prior to complete surgical excision. Excision was effective in all the patients, with no recurrence.
| 6 |
Author(s):
Ajaegbu Victoria U., Okwuikpo Margaret I., Famuyigbo Oreoluwa F., Leslie Tabitha Amere, Maitanmi Julius Olatade, Maitanmi Bukola Titilope.
Page No : 76-87
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Awareness of Menstrual Hygiene and Factors Affecting its Practice Among Adolescent Girls in Two Selected Senior Secondary Schools in Ogun State, Nigeria
Abstract
Background: In Africa, menstrual hygiene and its practices are still clouded by taboos and sociocultural restrictions, ignorance and illiteracy so that menstruation is viewed in a base manner, and considered dirty and filthy, which requires the isolation of the woman from some normal daily activities. Thus, menstrual hygiene involves the conditions and activities that promote and preserve health during menstruation. This study assessed the awareness of menstrual hygiene and factors affecting its practice among adolescent girls in two selected senior secondary schools in Ogun state, Nigeria. Method: The study utilized quantitative cross-sectional survey design. Purposive sampling technique was used in selecting 150 respondents for the study in the two selected senior secondary schools. Descriptive statistics, correlation and T-test fixed at 0.05 significance level was conducted to give statistical responses to the research hypotheses using SPSS version 21. Result: The result showed that adolescent girls in Babcock University High School (BUHS) and Remo High School (RHS) had advanced knowledge of menstrual hygiene and they had moderate practices of menstrual hygiene, but there were factors like religion and lack of conducive facilities affecting the effective practice among adolescent girls. Furthermore, respondents’ knowledge on menstrual hygiene had no significant positive relationship with practices of menstrual hygiene among adolescent girls in private schools and those in public schools (r = .022, p > .01). There was no significant difference between adolescent girls in private and public schools on practice of menstrual hygiene. Conclusion: Adolescent girls in BUHS and RHS had advanced knowledge of menstrual hygiene but moderate menstrual hygiene practices. This may be as a result of factors such as religion and lack of conducive facilities that hinder the effective practice among adolescent girls as identified in the study. Among other recommendations, the school administrations are advised to provide more conducive and appealing facilities for adolescent girls to practise good menstrual hygiene.
| 7 |
Author(s):
Adewunmi Mosunmola Christiana, Prof. R. A. Salawu.
Page No : 88-104
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Outcome of Nurse-Led Intervention on Knowledge and Practice of Aseptic Technique Among Surgical Nurses in two Teaching Hospitals in Lagos State, Nigeria
Abstract
Aseptic Technique (AT) plays a key role in the management of surgical cases within the hospital including the operating rooms. Surgical Nurse uses AT to alleviate the suffering of patients by protecting them during invasive clinical procedure thereby providing optimal care resulting in positive outcome. Therefore, the goal of this study was to train surgical nurses on knowledge and practice of aseptic technique in two teaching hospitals in Lagos State, Nigeria.
A two group pre -test and post-test quasi experimental design was utilized and a sample size of 129 was used by simple random technique. A self- structured questionnaire was used for data collection, which was pilot tested and both were analysed through Cronbach Alpha and result yielded four research questions and six hypotheses were formulated. Data were analysed using SPSS version 22. Questionnaire was analysed using descriptive statistics of percentages, means and standard deviation while inferential statistics of t-test and Analysis of Variance(ANOVA) were used to test the hypotheses.
Findings revealed that majority 28 (42.5%) and 17 (38.4%) of the participants were between the ages of 30 to 39 years in experimental and control group. The gender showed majority to be female 54 (74%) and 33 (82.5%) in both groups while most participants had degree in Nursing (53.4%) and (50%) in both groups. Their years of service showed that (34.2%) and (45.0%) have worked between 11 and 15 years, more than half were on grade level 7 and10. The pre-intervention mean scores of knowledge level was 27.009 (54.02%) and 26.511 (53.02%) in both groups, this revealed that the level of knowledge among them was below average. The pre-intervention mean scores level of practice in both groups was 7.432 (53.09%) and 7.507 (53.62%), this signified that the practice level of both group was below average. The post-intervention mean scores of the knowledge level in both groups was 43.807 (87.61%) and 26.461 (52.92%). The difference observed in the mean score of both groups was as a result of the training that only experimental group was exposed to, therefore , there was a significant improvement. The post-intervention mean scores of the practice level of both groups was 13.009 (92.92%) and 7.616 (54.4%). The difference observed in the mean score of both groups was as a result of the training of the experimental group therefore, there was a significant improvement.
In conclusion, the influence of nurse-led intervention had a significant outcome on the training of knowledge and practice of aseptic technique that the experimental group was exposed to. It is therefore recommended that nurse clinicians be exposed to periodic training and re-training to facilitate good outcome of all invasive clinical procedures thereby reducing sepsis.
Keyword: Aseptic Technique, Intervention, Knowledge, Outcome and Practice
| 8 |
Author(s):
Ogungbesan Olunike Folake, Okafor Ngozi Anthonia, Ogungbesan Joshua Olufemi, OGUNGBESAN Joshua Olufemi.
Page No : 105-128
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Patterns of Prevention of Malaria in Pregnancy Among Pregnant Women at Selected Antenatal Care Facilities, Ilishan-Remo, Ogun State, Nigeria
Abstract
Malaria in pregnancy is a preventable infectious disease, yet it remains the cause of maternal, in-utero morbidity and mortality. Pregnant women adopt different patterns of prevention against malaria occurrences and complications. This study aims to identify patterns of malaria prevention among pregnant women inIlishan Remo, Ogun State. In a descriptive cross-sectional study, a purposive sampling technique was used to proportionately select 271 pregnant women attending Ante-natal care (ANC) facilities. A self-administered questionnaire was used to obtained information on 56 items. Data were collected on clinic days for eight weeks duration and analyzed with SPSS 23 (for descriptive frequencies and percentages) and hypotheses tested with chi-square at p ≤ 0.005. One-third (35.4%) of the pregnant women aged 31-35years. Predominantly, 80.8% of the women were Christians, almost half (49.1%) had tertiary education. The mean of preventive measures used by pregnant women was 27.16±0.25. Slightly half (52.4%) always net windows and doors, 38.4% always and 53.4% often cleared bushes around house respectively. About 30.3% of pregnant women often used IPT-SP and 19.9% used direct observation therapy (DOT). On the categorized prevention patterns, half (54.2%) used conventional and 6.64% non-conventional. There was a significant relationship between the patterns of prevention and ANC facilities (χ2 =20.291), beliefs (χ2 = 16.540) at p< 0.005. The patterns of conventional and non-conventional prevention were used by pregnant women. However, pregnant women should be advised to use the recommended FMOH/WHO standard malaria prevention for safety.
