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- ItemOpen AccessPatterns of chronic illness among older patients attending a university hospital in Nigeria(The Ghana Medical Association, 2020) Faronbi, JO; Ademuyiwa, IY; Olaogun, AABackground: 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.
- ItemOpen AccessThe Burden of Caring for Renal Patients: The Nurses Perspective(Wolters Kluwer Medknow Publications, 2018) Mobolaji-Olajide, OM; Amira, OC; Ademuyiwa, IY; Arogundade, FA; Duke, EPrevalence 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.
- ItemOpen AccessChallenges, And Nurses’ Job Performance in the University of Calabar Teaching Hospital, Calabar Cross River State Nigeria(Sumerianz Publication, 2019) Oyira, EJ; Ndiok, AE; Ademuyiwa, IYNurses 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.
- ItemOpen AccessEffect 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, COInadequate 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.
- ItemOpen AccessFactors determining sanitation information‑seeking behavior: A literature review(Wolters Kluwer Medknow Publications, 2016) Fagbemiro, OO; Ademuyiwa, IY; Soyemi, OD; Ojo, AOThis 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.