Department of Nursing

Permanent URI for this community

https://ir.unilag.edu.ng/handle/123456789/3608

Browse

Browsing Department of Nursing by Issue Date

Filter results by year or month
Now showing 1 - 20 of 29
  • Item
    Open Access
    Knowledge, Attitude, and Practice of HIV/AIDS‑related Stigma and Discrimination Reduction among Nursing Students in Southwest Nigeria
    (2015-12) Farotimi, A.A; Nwozich, C.U; Ojediran, T.D
    Background: One of the reported obstacles to the achievement of universal access to Human Immunodeficiency Virus (HIV) prevention, treatment, care, and support programs includes stigma and discrimination from health workers, particularly nurses. Since nursing students would become future practising nurses and are most likely exposed to caring for people living with HIV/AIDS (PL WHA) during their training, it is of great importance to assess the knowledge, attitude, and practice of student nurses toward the reduction of HIV/AIDS‑related stigma and discrimination. Materials and Methods: A descriptive survey research design was used. A total of 150 nursing students were selected using the simple random sampling technique of fish bowl method with replacement. Data were obtained using a self‑administered (33‑item) validated questionnaire to assess the knowledge, attitude, and practice of student nurses with regard to HIV/AIDS‑related stigma and discrimination reduction strategies. Reliability of the tool was tested using Cronbach alpha (R) yielding a reliability value of 0.72. Data collected were analyzed with descriptive statistics of frequencies and percentages. Results: Majority (76.0%) of the respondents were females and 82.7% were married. Respondents were found to have high knowledge (94.0%) of strategies for reducing HIV/AIDS‑related stigma and discrimination. Also, 64% had moderate discriminatory attitude, 74% engaged in low discriminatory practice, while 26% engaged in high discriminatory practice. Conclusions: Student nurses had adequate knowledge about strategies for reducing HIV/AIDS‑related stigma and discrimination; negative discriminatory attitude toward PLWHA and some form of discriminatory practices exist in participants’ training schools. It is, therefore, recommended that an educational package on reduction of HIV/AIDS‑related stigma and discrimination be developed and implemented for the participants.
  • Item
    Open Access
    Factors determining sanitation information‑seeking behavior: A literature review
    (Wolters Kluwer Medknow Publications, 2016) Fagbemiro, OO; Ademuyiwa, IY; Soyemi, OD; Ojo, AO
    This paper reviewed various assessments by different authors on sanitation information‑seeking behavior of people in various areas and setting. Databases were used in the search for relevant academic published articles including Google Scholar and Google search engine. Articles for the review were drawn from peer‑reviewed journals. Moreover, conference papers and research by recognized independent institutions. This review showed that factors determining sanitation‑seeking behavior could be seen in various contexts: Economical, environmental, technological, and psychosocial. Therefore, the effective utilization of sanitation information will depend on social structures, level of education, cultural beliefs and practices, economic, government, and environmental conditions. Sanitation is the hygienic means of promoting health through prevention of human contact with hazards of waste as well as the treatment and proper disposal of sewage and wastewater. Strategic policy formation in the society should be based on information relating to sanitation, cleanliness, health promoting, and information‑seeking behavior.
  • Item
    Open Access
    The Burden of Caring for Renal Patients: The Nurses Perspective
    (Wolters Kluwer Medknow Publications, 2018) Mobolaji-Olajide, OM; Amira, OC; Ademuyiwa, IY; Arogundade, FA; Duke, E
    Prevalence of chronic kidney disease (CKD) in Nigeria is on the increase and it is associated with increasing caregiving burden for both the professionals and informal caregivers. This study evaluated the burden experienced by nurses caring for CKD patients, identified the procedures causing the caregiving burden and factors associated with burden in two hospitals in Ondo State, Nigeria. Two hundred and forty nurses caring for renal patients were selected from two health institutions in Ondo State. Information on sociodemographic data was obtained using a self-administered questionnaire. The burden of care was evaluated using the Zarith Burden of Life Instrument (ZBI), with aggregate score ranged from 0–88. A score of 21–40 indicates mild-tomoderate burden while a score >40 indicates high burden. The mean age of the respondents was 33.7 ± 7.5 years (age range: 20–67 years). Forty percent experienced no burden, 48.3% experienced mild-to-moderate burden, 10.4% experienced severe burden while only 1.3% experienced very severe burden. Dialysis procedure (65.5%) was identified as posing the greatest caregiving burden. Factors identified as responsible for caregiving burden were shortage of staff (68%), followed by lack of funds on the part of the patients (67.1%). Caregiving burden was not associated with age, gender, or years of experience. Prevalence of caregiving burden was very high among the respondents and dialysis was identified as causing greatest burden. Government should fund and improve staffing of dialysis units to reduce caregiving burden.
  • Item
    Open Access
    Effectiveness of training program on attitude and practice of infection control measures among nurses in two teaching hospitals in Ogun State, Nigeria
    (Wolters Klumer - Medknow, 2018) Farotimi, AA; Ajao, EO; Ademuyiwa, IY; Nwozichi, CU
    BACKGROUND: Infection control has become a major concern in the health‑care system and health‑care workers, particularly nurses are at high risk of infection. This study, therefore, examined the effect of a training program on attitude and practice of infection control among nurses in two tertiary hospitals in Ogun State, Nigeria. MATERIALS AND METHODS: This study adopted a pretest–posttest quasi‑experimental design. The sample consisted of 87 participants. The experimental group consisted of 42 registered nurses from Babcock University Teaching Hospital, Ogun state, Nigeria, while the control group consisted of 45 registered nurses from Olabisi Onabanjo University Teaching Hospital, Sagamu, Nigeria. The instrument for data collection was attitude toward components of infection control questionnaire (r = 72) and practice of infection control questionnaire (r = 76). Data were analyzed using SPSS version 21.0 (SPSS Inc. Chicago IL, USA). RESULTS: Findings showed that the mean age in the experimental group was 34.92 ± 8.9 while the control group was 47.43 ± 6.6. The average years of experience for the experimental group were 10.42 ± 9.9 while that of the control group were 21.89 ± 8.7. Responses on attitude showed that 30 participants (69%) had positive attitude in the experimental group compared to 21 participants (46.7%) in the control group. The mean difference was 4.02. Significant difference was observed between mean attitude score of participants in the experimental group and control group (P = 0.03), between mean practice score (P = 0.001), and between self‑reported and observed practices (P = 0.000). CONCLUSION: The training was effective in improving attitude and practice of infection control. Adequate provision of structured training programs on infection control measures is recommended.
  • Item
    Open Access
    Assessment of Knowledge and Perception of Senior Secondary School Students Towards Nursing as a Career Choice for Men in Selected Local Government of Lagos State, Nigeria
    (Texila American University, 2018-04) Folami, FF; Ademuyiwa, IY; Ajibola, AO
    The number of men in nursing has remained low despite the many benefits and opportunities associated with the profession. Currently, males make up only 6.6% of the three million nursing professionals in the United States. The study assessed the knowledge and perception of secondary school students towards nursing as a career choice for men in selected Local Government of Lagos State, Nigeria. This is a descriptive cross-sectional study that was carried out on 293 respondents. A multi staged sample technique was used to select study participants. Results revealed that majority of respondents (91.4%) knew nursing as a profession and 88.9% knew that a legal certificate was required to practice nursing, Respondents generally demonstrated a good knowledge of Nursing. There was also a general positive perception towards Nursing as a career (93%). Even thou there was a positive perception towards nursing as a career choice for men generally (53%), half (50.2%) of the students in this study disagreed that nursing was a career choice for female only. Thirty-seven (37%) percent of the students stated that nursing was not a masculine type of career for males to pursue. Also, 65.6% of respondents agreed that nursing was more appropriate for females because they are more caring. There is a need for secondary school students to be aware of what nursing as a profession entails and that gender is not a determining factor of being a better nurse.
  • Item
    Open Access
    Challenges, And Nurses’ Job Performance in the University of Calabar Teaching Hospital, Calabar Cross River State Nigeria
    (Sumerianz Publication, 2019) Oyira, EJ; Ndiok, AE; Ademuyiwa, IY
    Nurses play major roles in the health care delivery system caring for patients but despite how important their contributions are not much has been done to make their working conditions favorable, consequently they are forced to practice under unfavorable conditions and this negatively influences their level of motivation, morale and productivity. The purpose of the study was to assess challenges, and nurses’ job performance in the University of Calabar Teaching Hospital, Calabar Cross river state. The following specific objectives were set; to ascertain the extent to which low remuneration influences nurses job performance, to ascertain the extent to which shortage of nursing staff influences nurses job performance, to ascertain the extent to which lack of equipment and materials influences nurses job performance, 3 research questions where developed in line with the research objectives. Extensive literature review of the 3 variables was done and the theoretical framework adopted for the study was the Herzberg two factor theory of motivation. A descriptive research design was adopted for the study and the convenient sampling technique was used in selecting 240 respondents using the Taro Yamane’s formula. Data was obtained using a 27 item structured questionnaire constructed in line with the research question which was duly validated and reliability ensured. Data obtained was analyzed using Statistical software package (SPSS) and result gotten was presented using tables, and percentages. Result from the analysis showed that 80% of the respondents supported the view that low remuneration negatively influenced nurses job performance, 90% of the respondents supported the notion that shortage of nursing staff negatively affects the quality of care nurses render,96.2% agreed with the opinion that regular equipment and material where needed to enable nurses execute their duties effectively,95.8% supported the view that innovation in nursing is essential to improve more quality of care nurses render and 81.4% supported the view that barriers such as lack of support from management, lack of interest by nurses, resistance to change, financial constraint ,shortage of nursing staff etc, hindered the progress of nurses led innovation. Findings from the study also revealed that there was a significant relationship between shortage of nursing staff and nurses led innovation. Based on these findings, the researcher 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.
  • Item
    Open Access
    Prevalence of surgically correctable conditions among children in a mixed urbanrural community in Nigeria using the SOSAS survey tool: Implications for paediatric surgical capacity-building
    (PLOS One, 2019) Ademuyiwa, AO; Odugbemi, TO; Bode, CO; Elebute, OA; Alakaloko, FM; Alabi, EO; Bankole, O; Ladipo-Ajayi, O; Seyi-Olajide, JO; Okusanya, B; Abazie, O; Ademuyiwa, IY; Onwuka, A; Tran, T; Makanjuola, A; Gupta, S; Ots, R; Harrison, EM; Poenaru, D; Nwomeh, BC
    Background In many low- and middle-income countries, data on the prevalence of surgical diseases have been derived primarily from hospital-based studies, which may lead to an underestimation of disease burden within the community. Community-based prevalence studies may provide better estimates of surgical need to enable proper resource allocation and prioritization of needs. This study aims to assess the prevalence of common surgical conditions among children in a diverse rural and urban population in Nigeria. Methods Descriptive cross-sectional, community-based study to determine the prevalence of congenital and acquired surgical conditions among children in a diverse rural-urban area of Nigeria was conducted. Households, defined as one or more persons ‘who eat from the same pot’ or slept under the same roof the night before the interview, were randomized for inclusion in the study. Data was collected using an adapted and modified version of the interviewer- administered questionnaire—Surgeons OverSeas Assessment of Surgical Need (SOSAS) survey tool and analysed using the REDCap web-based analytic application. Main results Eight-hundred-and-fifty-six households were surveyed, comprising 1,883 children. Eightyone conditions were identified, the most common being umbilical hernias (20), inguinal hernias (13), and wound injuries to the extremities (9). The prevalence per 10,000 children was 85 for umbilical hernias (95% CI: 47, 123), and 61 for inguinal hernias (95% CI: 34, 88). The prevalence of hydroceles and undescended testes was comparable at 22 and 26 per 10,000 children, respectively. Children with surgical conditions had similar sociodemographic characteristics to healthy children in the study population. Conclusion The most common congenital surgical conditions in our setting were umbilical hernias, while injuries were the most common acquired conditions. From our study, it is estimated that there will be about 2.9 million children with surgically correctable conditions in the nation. This suggests an acute need for training more paediatric surgeons.
  • Item
    Open Access
    Knowledge and Practice of Hand Hygiene among Undergraduate Nurses in College of Medicine University of Lagos
    (American Research Institute for policy Development, 2019) Ademuyiwa, IY; Farotimi, AA; Afolabi, WA; Quadri, YO
    Background: Hand hygiene practices of health care workers have been shown to be an effective measure in preventing hospital infections. Despite the simplicity of the procedure, health care providers‟ compliance with hand hygiene is poor. Objective: To assess the knowledge and compliance of hand hygiene practice among undergraduate nurses in CMUL. Materials and Methods: The study adopted descriptive cross-sectional study. World Health Organization Hand Hygiene Questionnaire for Health Care Workers was administered to elicit information from the respondents and analysis was done using SPSS version 21.Categorical variables were tested for statistical significance using chi-square at 0.05 p-values. Results: One hundred and forty-one (141) respondents had a good knowledge of hand hygiene compliance, 51 (36.2%) of the respondents demonstrated good practice of hand hygiene compliance while 90 (63.8%) of the respondents‟ practice of hand hygiene compliance was poor. There was a statistically significant association between the respondent‟s academic level and knowledge on hand hygiene compliance (p< 0.001) and between the respondent‟s knowledge and practice on hand hygiene compliance (P < 0.001). Conclusion: The study concluded that academic level and knowledge of respondents positively impacts on compliance with hand hygiene practices. Therefore, undergraduate nursing curriculum should emphasis this important infection control technique.
  • Item
    Open Access
    MOTIVATION AND JOB PERFORMANCE AMONG NURSES’ IN THE UNIVERSITY OF CALABAR TEACHING HOSPITAL, CALABAR CROSS RIVER STATE
    (European Centre for Research Training and Development UK, 2019-09) Oyira, EJ; Ademuyiwa, IY
    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.
  • Item
    Open Access
    Effect of Training on Knowledge, Perception and Risk Reduction Regarding Infection Control among Nurses in Selected Teaching Hospitals in Nigeria
    (Wolters Klumer - Medknow, 2019-10) Farotimi, AA; Ajao, EO; Nwozichi, CU; Ademuyiwa, IY
    Background: Healthcare workers, especially nurses, are at a high risk of infection. By complying with infection control measures, a lot of infections can be prevented. This study examined the effects of a training program on knowledge, perception, and risk reduction regarding infection control among nurses. Materials and Methods: This study adopted a pretest–posttest quasi‑experimental design. The samples consisted of 87 participants comprising 42 nurses in the experimental group and 45 nurses in the control group. The instruments used for data collection were a questionnaire on knowledge about infection control and a questionnaire on perception about infection control. Results: Findings showed that the mean (SD) age in the experimental group was 34.92 (8.99) whereas that of the control group was 47.43 (6.60). The mean (SD) years of experience in the experimental group was 10.42 (9.95) years whereas in the control group it was 21.89 (8.72) years. Findings further revealed that 26 participants (62.90%) in the postintervention group had high knowledge level compared to the preintervention where none had high knowledge. A significant difference was observed between the mean perception score on infection control in the experimental and control groups (t = 17.12; p = 0.001). Conclusions: This study has shown that a training program is very effective and that all nurses should be exposed to infection control training to equip them with the necessary knowledge and skills with which to fight against the spread of infection in the healthcare setting.
  • Item
    Open Access
    Strategies to reduce barriers in reporting herbal use to the health-care provider among women of childbearing age in two communities in Ogun state, Nigeria
    (Wolters Klumer - Medknow, 2019-10) Folami, FF; Ademuyiwa, IY
    Background: The use of complementary and alternative medicine (CAM) has increased tremendously in the past decades. Herbs in this study involved the use of plant products in their raw or cooked forms which have not been subjected to laboratory investigations for their safety and efficacy. Objective: To explore strategies to reduce barriers in reporting herbal use to the health‑care provider among childbearing age women in two communities in Ogun state, Nigeria. Materials and Methods: A descriptive cross‑sectional survey was used to explore strategies to reduce barriers in reporting herbal use to the health‑care provider. The study population constitutes childbearing age women that attend two private hospitals and one comprehensive health center in two communities of Ogun state, Nigeria. Out of the 270 patients who were randomly sampled for the study, 250 agreed to participate (response rate: 92.6%). Results: The mean age of the participants was 29.3 years ± 5.5 and 77.6% were married. The majority (69%) had used herbal medicines in the last 6 months before seeking medical care, and 66% did not disclose the use of herbal medicines to health‑care providers. Conclusion: Health‑care professionals should routinely include herbal remedy category in the list of drug history when asking about the patient’s drug. This will help identify herbal remedy use and assist to take precautions relating to safety. Patients and traditional birth attendants should be educated through community mobilization and educational programs about alternative medicines particularly herbal. The disclosure of CAM use and its adverse outcomes should be encouraged by health‑care professionals.
  • Item
    Open Access
    Knowledge, Attitude and Practise of Breast Self-Examination (BSE) among Female Students of the University of Lagos Nigeria
    (Bayero University Press, 2019-11) Ademuyiwa, IY; Oyira, EJ; Faronbi, JO; Olajiga, OM
    Background: Breast cancer is the leading cause of cancer mortality in women worldwide. Prevention remains the cornerstone to fight against breast cancer. Breast Self-Examination (BSE), is recommended as a general approach to increasing breast health awareness and allow for early detection of any abnormally. Aim: The study assessed the knowledge, attitude and practice of BSE, among female students of the University of Lagos. Methods: A descriptive research design was adopted for this study. Ethical approval was taken from Research Ethical committee, Lagos University Teaching Hospital, Lagos. A self – structured questionnaires were used to elicit information from the respondents. Two hundred and fifty (250) respondents formed the sample size. Data was analysed using EPI Info version 7.1.Descriptive and inferential statistics were used to present the results. Variables were tested for statistical significance using chi-square at p<0.05. Results: Most of the respondents had poor overall knowledge (58.4%), more than half (53.6%) had a positive overall attitude towards Breast Self-Examination. Also, 58.4% of the respondents had poor overall practice of BSE. Also there was statistically significant association between respondent`s overall attitude and age (p<0.05) and between respondent`s practice and current level of education (p <0.05). However, there was no statistically significant relationship between respondent’s overall knowledge of BSE and level of study (p> 0.05). Conclusion: Knowledge and practice of BSE among students were poor. However, the attitude was good. Therefore, the students’ needs to be educated on the importance of regular BSE and the implications to their health. The University should provide avenue for female undergraduates to learn about regular BSE and the Government should also create awareness on the importance of BSE to women in general.
  • Item
    Open Access
    Fear of Susceptible to Infectious Disease Experienced among the Hospitalized Patients in the University of Calabar Teaching Hospital, Calabar
    (Texila American University, 2020) Oyira, EJ; Opiah, MM; Ademuyiwa, IY
    This study sought to investigate the fear of susceptible to infectious disease experienced among the hospitalized patients in the University of Calabar Teaching Hospital. Two research questions one hypothesis were used. Do hospitalized patients in University of Calabar Teaching Hospital, Calabar have fear of susceptibility to infectious disease? What support do hospitalized patients in University of Calabar Teaching Hospital, Calabar received from family. The hypothesis states that; there is no significant relationship between fear among hospitalized patients and the support they received from family members. Literature was reviewed based on the research variables. The research instrument used in collecting data for analysis was a questionnaire administered to one hundred (100) hospitalized patients in University of Calabar Teaching Hospital, Calabar. Their responses were analyzed using frequencies, percentages and Pearson product moment correlation analysis and the following results were obtained, Results in Table 3 indicated that 68(68%) of the respondents agreed that they have received a significant support from their family members during the period of their hospitalization while 32(32%) disagreed. 24(24%) said the financial support they received from family members was too minimal while 76(76%) said it was not. 78(78%) agreed that their family members frequently visited them while 22(22%) disagreed. The above data, therefore, showed that hospitalized patients in UCTH, Calabar received both moral and financial support from family members. In line with the views expressed by the patients. It was recommended that more nurses should be employed to help avoid contacting the communicable disease. This implies that, the nurses would be able to manage two patients at a time instead of taking care of a large number of patients.
  • Item
    Open Access
    Antenatal Care Services Utilization and Factors Influencing it Among Pregnant Women in a Teaching Hospital, Lagos, Nigeria.
    (College of Health Sciences, University of Ilorin, Nigeria, 2020) Ademuyiwa, IY; Faronbi, JO; Oyediran, OO; Erondu, CU
    The services rendered and make the ANC services skilled health-care professionals to pregnant women affordable and accessible. and adolescent girls in order to ensure the best health conditions for both mother and foetus during Keywords: Utilization, Antenatal Care Services, pregnancy. ANC services help pregnant women and Influencing Factors, Pregnant women. care providers to identify early, complications associated with pregnancy. This study assessed level of Introduction utilization of ANC services and also identified factors Antenatal care(ANC) is an important influencing its utilization among Pregnant Women at component of reproductive health. ANC is the care Lagos University Teaching Hospital in Lagos, Nigeria provided by skilled health-care professionals to .A descriptive cross-sectional study was conducted pregnant women and adolescent girls in order to ensure among 182 pregnant women attending antenatal clinic the best health conditions for both mother and baby at Lagos University Teaching Hospital (LUTH) in during pregnancy1.The components of ANC include: Lagos, Nigeria. Data was collected using a structured risk identification; prevention and management of self-administered questionnaire and analysed pregnancy-related or concurrent diseases; and health descriptively and inferentially using Statistical education and health promotion1. ANC reduces Package of Social Science SPSS version 20. Results maternal and perinatal morbidity and mortality both showed that majority of the respondents (81.4%) had directly, through detection and treatment of pregnancy good level of utilization of ANC services. Availability related complications, and indirectly, through the of facilities (81.4%), affordability of ANC services identification of women and girls at increased risk of (75.4%), waiting time (70.1%), attitude of the developing complications during labour and delivery, healthcare providers (59.9%), Schedule of ANC clinic thus ensuring referral to an appropriate level of care. (58.7%) and accessibility of ANC services (59.3%) Also, as indirect causes of maternal morbidity and were the factors influencing utilization of ANC mortality, such as HIV and malaria infections, services by the pregnant women. There was no contribute to approximately 25% of maternal deaths statistically significant association between and near-misses, ANC also provides an important respondents' level of utilization of antenatal services opportunity to prevent and manage concurrent diseases and their socio-demographic characteristics (Age: x2 = through integrated service delivery1. 10.719, P =0.153, educational qualification: x2 = Antenatal care services help pregnant women 0.735, P =0.692 and Income monthly: x2 = 5.868, P by identifying complications associated with the =0.118. The study concluded that there was high level pregnancy or diseases that might adversely affect the of utilization of ANC services among the women. pregnancy. Some researchers identified socio- Affordability and accessibility of ANC services were demographic characteristics, geographic area, attitudes the major factors influencing utilization of ANC towards pregnancy, and negative attitudes towards services among pregnant women. Therefore, the management should look into the cost of Antenatal care (ANC) is the care provided by the services rendered and make the ANC services skilled health-care professionals to pregnant women affordable and accessible.
  • Item
    Open Access
    Patterns of chronic illness among older patients attending a university hospital in Nigeria
    (The Ghana Medical Association, 2020) Faronbi, JO; Ademuyiwa, IY; Olaogun, AA
    Background: The rising burden of chronic diseases has attracted the attention of public health researchers and policymakers worldwide. Objectives: To assess the demographic, morbidity and outcome patterns of chronic illness among the older patients at Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Design: Retrospective study Setting: Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. Participants: Seven hundred and eighty-eight (788) adults (60 years and over) hospitalized between 2010 and 2014 in the hospital. Interventions: None Results: The age of the selected study population ranged from 60 to 99 years with a mean of 76.08(±10.42). More than half (53.0%) were between 60–69 years, with a subsequent decline. Male patients accounted for 64.0%, but females were more frequent among patients 80 years and older. The most common health conditions were heart diseases (22.5%), neoplasm (13.2%), cerebrovascular accident (12.4%), and gastrointestinal diseases (14.5%). The records showed that 14.9% were referred to other institution for various reasons (including further management, lack of space, industrial action by workers, discharged against medical advice or dead). Conclusion: Heart diseases were the major chronic illnesses among the older adults followed by neoplasm conditions, while musculoskeletal conditions were the least. It also found that there was a poor outcome of conditions among older adults in this setting. Therefore, efforts should be made towards the prevention and reduction of chronic illnesses, as well as improving the outcome of care.
  • Item
    Open Access
    Social support and satisfaction with antenatal care services among pregnant women in Lagos State, Nigeria
    (MA Healthcare Ltd, 2020) Ademuyiwa, IY; Farotimi, AA; Ojo, EA
    Introduction: The high level of maternal and infant mortality in Nigeria remains a major public health challenge. Provision of cognitive support through effective communication with women about their condition or the care required is a critical determinant of satisfaction with maternal care. Effective antenatal care is important in reducing the maternal mortality rate. Aims: To assess social support and satisfaction with antenatal care services among pregnant women, in order to improve antenatal care services and birth outcomes. Methods: This study used a survey research design where 1316 questionnaires were completed by pregnant women across six general hospitals in Lagos State, Nigeria. Participants were asked to rate their social support when deciding to use antenatal care services and their satisfaction with these services. Regression analysis was used to analyse the association between social support and satisfaction with antenatal care services, with P<0.05 indicating significance. Results: The degree of social support received by pregnant women was very high (average score of 3.51 on a 4-point scale). The level of satisfaction with antenatal care services was also very high (average score of 4.32 on a 5-point scale). Linear regression showed that social support has a significant influence on pregnant women’s satisfaction with antenatal care services in Lagos State (r=0.307, P<0.000). Conclusion: Social support for antenatal care services affects pregnant women’s satisfaction with antenatal care services in Lagos State. The degree of social support was a significant determinant of satisfaction with antenatal care services.
  • Item
    Open Access
    Evaluation of Prevention of Mother-To-Child Transmission of HIV Services in Selected Health Facilities in Lagos State, Nigeria
    (Texila American University, 2020) Ajayi, IF; Ademuyiwa, IY; Owopetu, CA
    Introduction: Prevention of Mother-to-Child transmission (PMTCT) of HIV is a global response to reduce the risk of mother-to-child transmission of HIV which can occur in-utero, during childbirth or during breastfeeding, specific services rendered to HIV positive pregnant women are crucial in preventing vertical transmission, therefore, this study evaluated Prevention of Mother-To-Child Transmission of HIV services in selected health facilities in Lagos State, Nigeria. Method: The study adopted a descriptive survey design. The sample size was 19 health facilities in Lagos state, a multi stage sampling procedure was used to select the samples. Two instruments were used for data collection, observational checklist and past records of PMTCT activities of the participating facilities from January 2017 to December 2019. The checklist was pre tested with a reliability coefficient of 0.96. Analysis of data was done using descriptive statistics and inferential statistics. Results: The findings show that in all the selected health facilities 92.8% of the structures in terms of equipment/supplies were available and functional. majority of the health care providers listed were available, there was availability of recommended PMTCT services in all selected health facilities, it was also revealed that there was a positive significant relationship between the available structure and PMTCT services (r =.347; p = 0.0146 < .05). Conclusion: The availability of PMTCT structures, resources, equipment/supplies and service providers have significant influence on prevention of mother to child transmission of HIV services provision. Also, PMTCT services have influence on the final outcomes of exposed infants.
  • Item
    Open Access
    Effect of antenatal education on knowledge and utilization of facilitybased delivery services among pregnant women in two health institutions in Alimosho, Lagos state
    (publisher and licensee Medip Academy, 2020) Orji, UO; Ademuyiwa, IY
    Background: Facility-based delivery care is an essential component of maternity care. Overtime, its under-utilization despite improvement in antenatal attendance has become a public health concern in Nigeria. To assess the effect of antenatal education on the knowledge and utilization of facility-based delivery services among pregnant women in primary health facilities in Alimosho, Lagos. Methods: Quasi-experimental design of 2 groups pre- and post-intervention was adopted and through multi-staged sampling techniques, 128 participants were selected but 117 completed the study. Self-developed structured questionnaire with reliability index of 0.76 was used for data collection. The intervention package was antenatal education package on benefits and components of delivery services. Data were analyzed using Statistical Package for the Social Sciences (SPSS) version 23 statistical package. Results: The mean age of participants in control and experimental groups was 32.3±9.60 and 34.7±8.21 years respectively. Findings revealed moderate knowledge mean score (control- 54.97±10.52; experimental-52.14±11.09) and low pre-intervention utilization mean score (control 13.33±3.41; experimental-13.17±4.21). Findings also showed significant improvement on post-intervention mean knowledge score of 52.14±11.09 versus 104.75±5.56 and a significant difference in post-intervention utilization (p=0.000) and follow-up (p=0.013) on the experimental group. Conclusions: The study concluded that the antenatal education programme had positive effect on the pregnant women’s knowledge and utilization of health facility delivery services, therefore, there is need to strengthen and intensify antenatal education at all levels of healthcare using appropriate teaching techniques.
  • Item
    Open Access
    Evaluation of the Knowledge of Diabetes Mellitus among pregnant women attending General Hospitals in Lagos, Nigeria
    (Texila American University, 2020) Abiodun, TR; Ademuyiwa, IY; Owopetu, CA; Sowunmi, CO
    Diabetes mellitus in pregnancy is an increasing epidemiological health issue. Good knowledge about the disease condition could prevent the onset of the disease in some cases as well as prevent its associated complications in most cases. The objectives of the study are to assess the knowledge of Diabetes mellitus in pregnancy and identify areas of deficient knowledge among diabetic pregnant women attending antenatal clinics of Island maternity and Onikan general hospitals in Lagos Island, Lagos, Nigeria. A quantitative cross-sectional approach was adopted in this study. Total enumeration method of sample size and purposive sampling techniques were also used while number of participants was seventy-five (75). The instrument included demographic information and test question on DM in pregnancy. Cronbach’s alpha value for self-reliability index of the instrument was 0.86. Ethical approval and consent were received from Babcock University Health Research Ethical committee (BUHREC) and Lagos State Heath Service Commission respectively. All the respondents were married (100%). There were more respondents (57.3%) with a family history of diabetes. Overall knowledge mean score on DM in pregnancy was poor (11.87 ± 0.42). Knowledge mean score on meaning of DM in pregnancy was good (0.91), however, knowledge means score was poor on the causes of DM in pregnancy (0.92 ± 0.06); risk factors (1.91 ± 0.04); Types (1.92 ± 0.10); signs and symptoms (2.48 ± 0.10). Based on these findings, education intervention for the improvement of knowledge of diabetic pregnant women on DM in pregnancy is required to stem its increasing prevalence.
  • Item
    Open Access
    Effect of Nursing Intervention on Knowledge of Diabetes Mellitus among Pregnant Women Attending Selected General Hospitals in Lagos, Nigeria
    (Texila American University, 2020) Ademuyiwa, IY; Abiodun, TR; Owopetu, CA; Sowunmi, CO
    Inadequate knowledge of Diabetes mellitus (DM) in Pregnancy among diabetic pregnant women could lead to poor skill about self-care, failure to seek timely medical attention and failure to follow medical prescriptions, which could lead to complications and sometimes death of mother and/or fetus/baby. This study seeks to assess the effect of nursing intervention on Knowledge of DM among diabetic pregnant women attending two general hospitals in Lagos Island, Lagos State, Nigeria. This study utilizes one group pretest- posttest experimental research design. The purposive sampling technique and total enumeration sampling size method that included seventy-five participants were used for the study. Instrument for data collection consisted of seven demographic data and forty- two (42) test questions. The study was carried out in three sessions: pre-intervention, intervention and the evaluation sessions over a period of six weeks. Paired t test was used to determine significance level between pre and post-intervention knowledge. Ethical approval and consent were obtained from Babcock University Health Research Ethical committee and Lagos State Heath Service Commission respectively. The results revealed that most of the participants were between the ages of 21 and 45 (88%); most of them had tertiary education (70.7%); most of them (57.3%) had family history of DM. Results also revealed that pre-intervention knowledge among diabetic women was poor (0.28) and the post intervention knowledge was good (0.83). Paired t test results (t= 36.20, p = 0.000) revealed a significant difference between pre-intervention and post-intervention knowledge. This shows that nursing intervention was effective.