Reported Effects of Coronavirus Disease Pandemic on Provision of Skilled Antenatal and Delivery Care Among Nurses and Midwives in Ibadan, Nigeria (Published)
The World Health Organization has declared Coronavirus Disease 2019 (COVID-19) pandemic a global public health emergency. However, documentation on its implication on the provision of skilled care during pregnancy and childbirth in low and middle-income countries like Nigeria is limited. Therefore, this study assessed the reported effect of the pandemic on the provision of skilled antenatal and delivery care among nurses and midwives in Ibadan, Nigeria. A descriptive study was conducted using a quantitative approach. A validated questionnaire was used to collect data from randomly selected 121 nurses and midwives in the selected hospitals. Data were analyzed using SPSS version 25.0. Descriptive analysis was done using percentages, and Pearson correlation was used to assess the association between respondents’ years of experience and the perceived influence of COVID-19 on the provision of maternal health services.Findings showed 82.6% and 53.7% of the respondents reported a reduced number of antenatal visits and shorter services hour respectively. Also, 57.9% and 66.1% of the respondents reported restricted interaction with clients and reduced patronage respectively. Also, 66.9% of the respondents reported limited admission facilities during labor. There is no significant relationship between the years of experience of the respondents and the perceived influence of COVID-19 on the provision of antenatal/delivery care with a correlation coefficient (r = 0.137) and significant value of (p-value = 0.068). The outbreak of the COVID-19 pandemic affected the provision of skilled care during pregnancy and childbirth. Accessibility to skilled antenatal and delivery care was reduced among pregnant women.
Citation: Adetunji O.O., Akinwaare M.O., Ogbeye G.B. (2022) Reported Effects of Coronavirus Disease Pandemic on Provision of Skilled Antenatal and Delivery Care Among Nurses and Midwives in Ibadan, Nigeria, International Journal of Nursing, Midwife and Health Related Cases, Vol.8, No.4, pp.30-44
Challenges with Electronic Documentation Among Nurses in Public Hospitals in Lagos Island (Published)
This study determined the challenges with electronic documentation among nurses in public hospitals in Lagos Island. The study specifically assessed the nurses’ reported experience with Electronic Documentation and determined challenges accompanying the implementation of Electronic Documentation. A descriptive survey was adopted for this study. Study population was total of 381 nurses from across the three hospitals that are actively involved in the implementation of EHR in their clinical practice during the period of data collection. Cochran formula was adopted to get the final sample size of 222. A self-designed questionnaire was used for data collection. Reliability of the instrument was done using test re-test method. Pearson Product Moment Correlation was used to compute the reliability coefficient which yielded values of 0.801 and 0.749 for section B and C respectively. Descriptive statistics such as frequency and percentages were used to analysed the collected data. This result reveals that more than half (57.3%) of the study population rated the quality of experience had with electronic documentation as mainly positive while 36.3% expressed positive quality of experience. In addition, half (50%) of the respondents claimed to have faced minimal challenges with electronic documentation, closely followed by 36.8% of them who had experienced moderate challenges. This study identified various barriers to electronic documentation such as type of users’ experience, need for training of nurses, need of user-friendly interface, funding, communication, and feedback among others. It was recommended among others that hospital management should create viable feedbacks channels for better understanding of challenges with the implementation of EHR to facilitate prompt interventions.
Citation: Ogbeide, O. T., Nwaomah, E.E., Nwabudike, E., and Akingbade, O. Challenges with Electronic Documentation Among Nurses in Public Hospitals in Lagos Island, International Journal of Nursing, Midwife and Health Related Cases, Vol.8, No.3, pp.45-57
Factors Influencing Burnout Among Nurses Working in Obafemi Awolowo University Teaching Hospitals Complex, Osun State, Nigeria (Published)
Burnout is considered to be the challenges that have made the life of workers unbearable especially with respect to healthcare professionals. Research has shown that burnout is on the increase among health workers globally. Therefore, this research is aimed at examining factors influencing burnout among nurses working in Obafemi Awolowo University Teaching Hospitals complex, Osun State, Nigeria. The research adopted a quantitative descriptive survey research design. The sample size of 280 was determined by Taro’s formular. A self-structured questionnaire was validated and was used to collect data. Data collected were analyzed using descriptive and inferential statistics at 0.05 level of significance. The result shows that most of the respondents (84.4%) were affected by the burnout because majority of them agreed that the burnout can occur as a result of increased work load with a mean score of 4.80. Majority also claimed that poor remuneration could contribute to burnout since they are likely to have little or nothing to show for their consistent exhaustion, these respondents have a mean value of 4.30. Overall, the mean score of burnout of the respondents was 4.44. This implies that most of the respondents were moderately affected by the burnout among nurses. Further results on the hypotheses shows that there was a positive and low correlation between work-related factors and environmental factors influencing burn out among nurses (r=.377, p<0.0.01). Also, there was a positive and low correlation between work related factors and personal factors influencing burn out among nurses (r=.329, p<0.0.01). The research concluded work-related, personal and environmental factors were established as strong factors contributing to the effect of burnout among nurses. It is recommended that government agencies and medical practitioners should device ways by which burnout can be prevented among employees.
Continuing Professional Development among Nurses in Specialist Hospital, Akure, Ondo State (Published)
Citation: Cecilia Olusolape Adeyemo (2022) Continuing Professional Development among Nurses in Specialist Hospital, Akure, Ondo State, International Journal of Nursing, Midwife and Health Related Cases, Vol.8, No.1, pp.1-10
The study examined the continuing professional development among nurses in Specialist Hospital, Akure, Ondo State. The study specifically identified if professional nurses in the hospital agree with the introduction of mandatory continuing professional development training by the nursing and midwifery council of Nigeria; and evaluated the uptake of participation of nurses in continuing professional training in State Specialist Hospital, Akure. The population of the study consisted of 225 nurses working in the hospital. Stratified random sampling technique was used to select the sample size for the study which consisted of 94 nurses. The data collected includes the demographic data of the sample, views and participation in compulsory CPD organized by the Nursing and Midwifery Council of Nigeria and past CPD programmes attended by the nurses. The instrument was given to tests and measurement expert and nurse educators to determine its face and content validity. Internal consistency method was used to determine the reliability of the instrument and coefficient value of 0.81 was derived. The research objectives were analyzed descriptively with frequency counts and simple percentages. The findings of the study revealed that that majority of the respondents supported making CPD training mandatory and they are even ready to sacrifice their off duties to attend the programme. However, greater percentage of them have only attended CPD programmes sometimes while others have not attended at all. The anticipated outcome of the study was found positive because nurses in the hospital are found to be aware of their need of lifelong learning to improve their knowledge and skills. It was recommended among others that the NMCN should include CPD training for special nursing fields, use experts to handle the teaching and make the cost affordable to encourage self-sponsoring.
Life-Distress and Work Burnout as Predictors of Organizational Reactions and Social-Emotional Stability of Nurses in Eastern Nigeria (Biafra) (Implications for Covid-19 Health-Care Givers/Providers) (Published)
The study examined life-distress and work-burnout as predictors of nurses’ organizational reactions and social-emotional stability in Eastern Nigeria (Biafra). A cluster-sampled 230 General Hospitals nurses in Anambra State between 25-48 years and SD 5.33 participated, in which valid/reliable instruments, predictive cross-sectional designs, and multiple regression statistics were adopted. Findings were: Life-distress has relationship with organizational reactions of the nurses. Burnout does not have relationship with nurses’ organizational reactions. Life-distress does not have relationship with nurses’ emotional stability. Burnout adversely affects nurses’ emotional stability. Life-distress will not lead to nurses’ organizational reactions. Life-distress will not lead to nurses’ emotional stability. Burnout will not lead to nurses’ organizational reactions. Low burnout will lead to nurses’ emotional stability. Recommendations: While encouraging nurses to develop work competencies for coping with life-distress and burnout, complimentary healthy psycho-organizational enablers should be established in hospitals. This will assist health-care givers cope with pressure of managing COVID-19 pandemic.
Factors Influencing the Utilization of Infection Prevention and Control Measures (IPCM) Among Nurses in Some Selected State Hospitals in Lagos State, Nigeria (Published)
This study investigated the factors influencing the utilization of infection prevention and control strategies (IPCM) among nurses in some selected state hospitals in Lagos State. It adopts a descriptive cross-sectional research design using multistage sampling technique to recruit 158 nurses. Self-structured questionnaire with reliability index of 0.79 was used for data collection. Obtained data was analyzed using descriptive and inferential statistics. Findings revealed that 84.8% of respondents used IPCM while 15.2% didn’t use this. The factors reported by respondents to influence utilization of IPCM include; attitude of nurses (p=0.001), unavailability of personal protective equipment (p=0.009), poor knowledge about IPCM (p=0.034), prompt supervision by hospital’s infection control committee (p= 0.022), accessibility of materials for infection prevention and control (p= 0.042), frequent trainings on infection prevention and control procedures (p= 0.036) while year of practice ( p=0.645) and Qualification (p= 1.000) does not have influence on utilization of IPCM .Majority in this study use IPCM but few do not make use of it which can cause fatal consequences. Hospitals should set up infection control committee to train and enforce safe practices among nurses and hospital management should also ensure availability accessibility of personal protective equipment to health care workers for safe practice.
Motivation and Job Performance among Nurses’ in the University of Calabar Teaching Hospital, Calabar Cross River State (Published)
Purpose. The purpose of the study was to assess motivation and job performance among nurses’ in the University of Calabar Teaching Hospital, Calabar Cross river state. Objectives: The following specific objectives were set; to assess the level of job performance among nurses in UCTH, to determine the level of intrinsic and extrinsic motivation among nurses’ in UCTH. Two research questions where developed in line with the research objectives. Literature review: Extensive literature review of the 2 variables was done and the theoretical framework adopted for the study was the Herzberg two factor theory of motivation. Methods: A descriptive research design was adopted for the study and the convenient sampling technique was used a sample size of 240 respondents was selected using the Taro Yamane’s formula. Data was obtained using a 23 item structured questionnaire constructed in line with the research question which was duly validated and reliability ensured. Results: Data obtained was analyzed using Statistical package for social sciences (SPSS) and result gotten was presented using tables, and percentages. Result from the analysis showed that 130 (54.2%) of the respondents strongly agreed that nurses’ achieved their goals by satisfying patents’ needs, 129(53.8%) of the respondents strongly disagreed that nurses’ do not have patients ‘best interest in mind. Findings from the study also revealed that there was a significant relationship between motivation and job performance among nurses in UCTH. Conclusion: Based on these findings, the researchers recommended that government provides adequate funding to health care facilities for procurement of equipment and materials, ensure regular employment of nurses, ensure increment in salaries and allowances of nurses, and provide adequate funding of researches to nurses to further increase motivation and job performance.
Background: Reports from various centres and studies in Nigeria show a high mortality rate for cases that present to the Accident and Emergency Department. Thus, the need for a realistic hospital and emergency service response program designed on the principle of equitable distribution of appropriate equipment and supplies and well-trained emergency medical personnel, cannot be overemphasized. The study investigated emergency preparedness for emergency situations in selected hospitals in Ondo state. Methodology: A descriptive design was adopted. Using a convenience sampling technique, a total of 248 respondents were selected from four hospitals in Ondo State, Nigeria. Data collection was done with the aid of an in-depth interview schedule; and a checklist designed by WHO for basic requirement of materials/equipments that should be possessed by each facility in readiness for emergency/disaster. Results: Results revealed varying level of emergency preparedness as regards resourcefulness among nurses. Nurses in hospital A scored 41%, B (47%), C (45%) while nurses in hospital D scored 27%. The use of contingency plans, networking, use of worldwide web as well as multimedia were identified as available solutions by 12.5%, 11.7%, 10.5% and 9.3% of the nurses respectively. The study further identified the current roles played by nurses in achieving disaster preparedness as follows: facilitating communication and coordination of care (22.5%), acquisition of skills to give psychological support (17.7%), provision of quality health care (15.7%), giving first aid treatment (14.9%), and learning to triage victims (13.5%). The barriers and solutions to emergency preparedness were also investigated through interview schedule. The study showed that all the selected hospitals scored below average in terms of emergency preparedness. Specifically, hospital B recorded the highest score (47.4%) while hospital D recorded the lowest score (28.8%). Conclusion: It was concluded that emergency preparedness among nurses and in selected hospitals in Ondo State was at low level and materials/equipments needed to rescue the victims were inadequate.
Assessment and Predictors of Shift Work Disorder among Nurses in Selected Nigerian Teaching Hospital (Published)
Background: Insomnia and sleepiness affect overall work performance. This study assessed Shift Work Disorder (SWD) and socio-demographic predictors of SWD among nurses in selected tertiary hospitals in Southwestern Nigeria. Methods: A cross-sectional design was adopted, 422 nurses were selected using a multi-stage sampling technique. Data were collected using a structured questionnaire and analyzed using SPSS version 20. Results: Findings showed that the prevalence of insomnia was 52.4%, prevalence of significant sleepiness was 46.7%, while the prevalence of symptoms indicative of SWD was 49.6%. The study found associations between marital status and shift work disorder (P < .05), tertiary education and shift work disorder (P < .05), work experience > 10years and shift work disorder (P < .05), respondents working in Surgical ward and shift work disorder (P < .05). Conclusion: Symptoms of SWD is prevalent among nurses and is significantly associated with some socio-demographic characteristics of nurses.
Knowledge and Application of Reflective Practice: A Tool for Meaningful Nursing Practice among Nurses in University of Calabar Teaching Hospital Cross River State Nigeria (Published)
Background: Knowledge and professional competence depend on deeper understanding of issues to develop informed judgment and skill. Purpose This descriptive study was designed to evaluate the knowledge and application of reflective practice among nurses in University of Calabar Teaching Hospital, Calabar Nigeria. Methods: The theory of Human Caring, the Model of Structured Reflection, two research questions and one hypothesis guided the study. Two hundred and thirty eight (238) professional nurses were used as study sample. Data were obtained using self-administered questionnaires; collated data were analyzed using SPSS version 18.0 for inferential and non inferential statistics. Hypothesis was tested for significance at 0.05 level using Pearson Product Moment Correlation Coefficient. Results: Findings revealed that majority of nurses have knowledge of reflective practice based on task (41.3%) and time (32.1%) awareness 64.2% engaged in reflective practice employed. use discussion approach only. The use of reflective journals was found to be very poor among the nurses. Conclusions: The study concludes that knowledge of reflective practice provides a basic strategy for meaningful practice that facilitates professional development and promotes quality patient care based on best practice guiding principle. It was recommended that nurses be encouraged to keep reflective dairy to provide insight into clinical issues for better understanding that results in meaningful practice.
Clinical Validation of North America Nursing Diagnoses Association International ‘Acute Pain’ Diagnosis among Post- Operative Adult Patients and Nurses In Owo Nigeria. (Published)
Introduction: Acute pain is one of the commonest symptoms experienced by post-operative patients hence it is used often as a diagnosis. There is need for its validation for confirmation through its defining characteristics. Methodology: Exploratory descriptive design (mixed method) using purposive sampling method was used. Ninety- three nurses and ninety-eight patients formed the sample size respectively. Two different modified Ferhing questionnaires were used and In-depth interview was done for 17 nurses. The data were analyzed using percentages and inferential statistics. Results: Two major (r= 0.8 ) six minor characteristics ( r ≥ 0.6) and a phony diagnosis (anxiety r=0.6) were validated by the nurses while five minor (r ≤ 0.6) defining characteristics were validated by patients. Conclusion: The study concluded that nurses validated two major characteristics, six minor characteristics and one phony defining characteristic while patients validated five minor defining characteristics.
Evaluation of Barriers to the Implementation of Evidence-Based Practice (Ebp) Among Nurses Working At Federal Teaching Hospital Abakaliki (Fetha Ii). (Published)
This research study was designed to evaluate the barriers to the implementation of evidence-based practice among nurses working at Federal Teaching Hospital, Abakaliki, (FETHA II). The objectives of the study were to; ascertain EBP knowledge among nurses; identify their sources of knowledge; ascertain their extent of EBP implementation; and to identify their perceived barriers to reviewing research reports and changing practice on the basis of current best evidence. Four research questions guided the study. Related literature was reviewed and summarized. A descriptive survey method was used in carrying out the study. The study sample consisted of 90 registered nurses selected from a target population of 226, using a stratified random sampling technique. Instrument for data collection was a structured questionnaire. The instrument was validated by the project supervisor and four other health promotion experts in other Nigerian universities. Reliability of the instrument was established by exposing the structured questionnaire twice to a pilot study group of 10 nurses at FETHA 2. Major findings from collected data were analysed using descriptive statistics of frequency, percentages and tables which showed that; nurses face a lot of barriers to using evidence in practice which include; poor knowledge of EBP as a concept, use of intuition and reliance upon past training experience in the delivery of care, time constraint, unsupportive staff and management, lack of authority to change practice, among many others .The following recommendations were made; the Nursing and Midwifery Council of Nigeria (NMCN), should incorporate EBP teachings into the curricula of various nursing training institutions, organising of workshops and seminars on EBP concepts, formation of EBP study clubs, updating libraries and provision of internet access by Nigerian Teaching Hospitals.