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.