International Journal of Nursing, Midwife and Health Related Cases (IJNMH)

EA Journals

Knowledge

Knowledge and Availability of School Health Services Among Secondary School Students in Ibadan, Oyo State (Published)

This study investigates the knowledge and availability of school health services among secondary school students in Ibadan North-West Local Government Area of Oyo State, Nigeria. Employing a descriptive cross-sectional research design, the study sampled 300 students from both private and public secondary schools, aged between 10-19 years. The objectives included assessing students’ knowledge of school health services, evaluating the available services, and exploring the association between school types and the understanding and availability of health services. The research reveals that the majority of participants, particularly in private schools, exhibit a higher level of awareness and utilisation of school health services compared to their public school counterparts. However, it highlights deficiencies in human and material resources necessary for the implementation of a comprehensive school health program in secondary schools within the Ibadan North-West Local Government Area. The study recommends that school management in the area should prioritize periodic health education to enhance students’ health knowledge and promote healthy behaviors. Additionally, it calls on the national government to invest not only in increasing the number of school health service professionals but also in providing adequate training to address the specific needs of secondary school students, particularly during their adolescent years.

Keywords: Availability, Knowledge, Students, school health services

Maternal Knowledge of Kangaroo Care: Level of Practice in Health Facilities in Calabar Metropolis (Published)

This study is aimed to assess the level of knowledge and identify the level of practice of Kangaroo care among mothers with preterm and low birth weight babies in health facilities in Calabar Metropolis. The study was a quantitative, descriptive survey design study. Four objectives and four corresponding research questions guided the study. A self-designed questionnaire was used to collect information and the Statistical Package for Social Sciences (SPSS), Version 24 was used to analyse the data. Demographic data revealed that 30.5% of the respondents were between 18 – 30years, 53.4% were between 31 – 40years, 10% were between 41 – 50years while 6.1% were between 50years and above, 16% had no formal education, 10.8% had primary school education, 20% had secondary school education while 53.2% had tertiary education. The result of the study revealed that 72.5% of the total respondents has little or no knowledge of Kangaroo mother care while only 27.5% has knowledge of Kangaroo mother care, 24.1% of the respondents had practiced Kangaroo mother care while 75.9% had not practiced Kangaroo mother care, lack of assistance from husband and family member in home chores is part of the factors that limited the practice of Kangaroo mother care among women with preterm and low birth weight babies in health facilities and that assistance from husband and family member in home chores enabled them practice Kangaroo mother care. The study concludes that the level of knowledge and practice is low among women in health facilities in Calabar Metropolis. Therefore, the study recommends that training and education about Kangaroo Mother Care practice should be carried out on a regular basis.

 

Keywords: Care, Knowledge, Mother, kangaroo, practice

Effect of Health Education Intervention on Practice of Breast Self–Examination Among Women of Reproductive Age in Selected Primary Healthcare Facilities in Ogun State, Nigeria (Published)

The study examined effect of health education intervention on practice of breast self–examination among women of reproductive age in selected primary healthcare facilities in Ogun State, Nigeria. The study specifically examined the pre- and post- intervention knowledge and practice of breast self-examination among women of reproductive age in selected primary healthcare facilities. This study adopted one group pretest-posttest quasi-experimental research design. The population for the study comprises of women of reproductive age in two selected primary healthcare facilities in Ogun State. The researcher adapted a well-structured test paper that was used to obtain information from respondents. The instrument was validated by experts consisting of nursing professionals as well as experienced professional researchers who ascertained face and content validity. The research was carried out in three phases namely pre-intervention, intervention and post-intervention. Descriptive statistics such as frequency counts and percentages were used to answer the research question while inferential statistics of t-test was used to test the hypotheses. The findings of this study show that majority of the respondents at the pre-intervention phase had average knowledge of breast self-examination while the knowledge level was high after intervention. The findings of this study however show that majority of the respondents at the pre-intervention phase had never practice breast self-examination while the practice level was high after intervention. The study concluded that the health education intervention program improved the practice of breast self-examination among women of reproductive age. It was recommended among others that health educational intervention regarding practice of breast self-examination should be done periodically by health workers during clinics for women of reproductive age.

Citation: Adamu-Adedipe, F.O.  (2022) Effect of Health Education Intervention on Practice of Breast Self–Examination Among Women of Reproductive Age in Selected Primary Healthcare Facilities in Ogun State, Nigeria, International Journal of Nursing, Midwife and Health Related Cases, Vol.8, No.4, pp.20-29,

 

Keywords: Health education, Knowledge, Women, breast self-examination, practice

Nurse-Led Intervention on Prevention and Home Management of Diarrhoea Among Mothers of Under-5 Children in Surulere Local Government, Lagos State (Published)

The adverse impact of diarrhoea in Nigeria as a nation cannot be far-fetched with various scientific findings and correlation over the years. The prevalence of childhood diarrhoea in Nigeria is 18.8%. Therefore, the study examined the effect of nurse-led intervention on prevention of diarrhoea among mothers of under-5 children. The study adopted a two group quasi-experimental design. Purposive and proportional sampling techniques were used to select 161 participants for the study. Two instruments were used as tools for collecting information from the respondents which are questionnaire and checklist. The study was carried out in three phases namely pre-intervention, intervention and post-intervention stage. Descriptive and inferential statistics were used to analyse the data collected at 0.05 level of significance. The results revealed that respondents’ knowledge of prevention of diarrhoea among mothers of under-5 children was low at the pre-intervention stage for both the experimental group (8.03±1.19) and the control group (8.02±1.28) while it increased significantly at the immediate post intervention for the experimental group (20.01±1.97) while the control group (8.75±0.74) remained almost the same. There were significant differences in the post intervention knowledge of prevention of diarrhoea between mothers of under-5 children in the intervention and control group (Mean difference = 11.26; t = 39.291; p < .05); and post intervention knowledge of preventive skills for diarrhoea between mothers of under-5 children in the intervention and control group (Mean difference = 8.90; t = 33.750; p < .05). The study concluded that nurse-led intervention increased the levels of knowledge of prevention and preventive skills of diarrhoea among mothers of under-5 children. It was recommended among others that an intensive and comprehensive educational initiative should be organized by nursing leaders and tailored to meeting the specific needs of mothers.

Citation: Adepoju, Sarah Oluseyi and Sowunmi, Christiana Olanrewaju  (2022) Nurse-Led Intervention on Prevention and Home Management of Diarrhoea Among Mothers of Under-5 Children in Surulere Local Government, Lagos State, International Journal of Nursing, Midwife and Health Related Cases, Vol.8, No.2, pp.1-10

Keywords: Diarrhoea, Knowledge, Prevention, nursing-led intervention

Knowledge, Attitude and Practice of Preventive Measures towards COVID-19 among Pregnant Women Attending Selected Primary Health Centre’s in Osogbo, Osun State (Published)

Background: COVID-19 is a new viral disease, and health researchers are currently evaluating its effects on pregnant women and their unborn children. There is dearth of research available to support the argument that pregnant women are at greater risk of COVID-19 disease.Methods: This study used an exploratory research design to examine the knowledge, attitude and practice of preventive measures towards COVID-19 among pregnant women in Osogbo, Osun state. 382 subjects were selected using a simple random technique. Self-developed questionnaire was the instrument used to collect data. The data collected were analyzed using statistical package for social sciences (SPSS) and the results were presented using tables and percentages. Six null hypotheses were tested using chi-square at 0.05 level of significance. Results: Result of this study shows that nearly half of the respondents are within 18-25 (45.0%) years of age, 79(63.6%) are Muslims and 358(93.7%) are from the Yoruba tribe. This study also reveals that the respondents do have significant knowledge on the novel Coronavirus disease and a good attitude towards the prevention of COVID-19 as they practice frequent hand washing, sanitizer use and maintenance of social distancing. From the hypothesis tested, there is significant association between the education level of the respondents and their knowledge and attitude of preventive measures towards COVID-19 and no association between the age of the pregnant women and practice of preventive measures towards COVID-19. Conclusion: From the study, there seems to be a moderate level of awareness on the preventive measures towards COVID-19 among pregnant women in Osogbo but increase in the level of awareness and educational program can be done by the government and health workers in order have a very good attitude and awareness which will eventually improve the rate of adherence and compliance towards COVID-19 preventive measures.

 

Keywords: COVID-19, Knowledge, Preventive, attitude, pregnancy

Knowledge of Available Health Care and Health Care Satisfaction among Inpatients in a Tertiary Hospital in Benin City Edo State (Published)

User’s health care satisfaction is an important determinant of repeat patronage of health care services and the sustenance of any health care facility. Since little is known about user’s knowledge of available health care services and health care satisfaction in tertiary hospital, this study represents an attempt to fill this lacuna in literature. This study investigated knowledge, perception of available health care services and user’s health care satisfaction in the University of Benin Teaching Hospital Benin City, Nigeria. Sick role model guided the study. The research design was descriptive cross-sectional survey conducted between January and April 2014 on a sample of 420 inpatients using Multi-stage sampling technique in the five units of the facility. A semi structured questionnaire was designed to elicit information on respondents’ socio-demographic characteristics, level of knowledge of the available health care services using a 19 point knowledge scale and user’s health care satisfaction using 20 variables measured on a five point Likert scale. Both quantitative and qualitative data were collected from the inpatients. Whereas the quantitative data were analyzed with descriptive statistics, Chi-square and logistics regression at P< 0.05, thematic analysis was applied to the qualitative data. The study found that there were variations in the levels of knowledge of available health care services. In general, the findings revealed that 90% of the respondents possessed high level of knowledge of the available health care services. Ninety-Five percent indicated a moderate level of health care satisfaction from the health care services received. Chi-square test (X2=22.400) revealed that a significant relationship existed between marital status and inpatient satisfaction with health care service. This study demonstrates the need for the provision of adequate health education on different aspects of available health care services from all providers of health care in the facility bearing in mind users’ prior knowledge so as to be able to address the desired health care satisfaction from the health care services during the period of accessing and utilization of such services in the hospital.

Keywords: Health Care, Knowledge, Satisfaction, Teaching Hospital

Perception and Experiences of Infection Control Practices among Professional Nurses in Secondary Health Facilities in South-South Nigeria. (Published)

Infection control practice is a fundamental operational guiding principle in the delivery of modern health care. However, there is minimal qualitative investigation into professional nurses’ perception of infection control practices and how the experiences affect compliance with recommended infection control procedures. The purpose of this study was to examine and describe professional nurses’ impressions and experiences about infection control practices. A descriptive qualitative research design was used as the research framework. In-depth Interviews (IDI) and Focus Group Discussions (FGDs) were completed with a sample of 54 nurses.  The findings highlight the importance of both individual and organisational factors in determining Nurses’ compliance with recommended workplace safety practices. Four major themes emerged from the data, namely knowledge, infection surveillance, safety practices, and workplace policy. The findings indicate individual and organisational factors associated with compliance which are useful in developing strategies to facilitate long-term compliance with infection control practices among nurses.

Keywords: Infection control, Knowledge, Policy, Safety Practices

The Incidence and Detectability of Phlebitis by Healthcare Professionals in a 1,200 Bed Teaching Hospital with No Vascular Access Team (Published)

Infusion phlebitis can be caused by a multitude of factors including the chemical nature of the infusion, the catheter type, insertion and care technique, and factors leading to catheter or site contamination. A cross-sectional study of 100 randomly selected charts of patients were reviewed for the occurrence of phlebitis and IV-related adverse event. In addition, an 8-item questionnaire that assessed 51 physicians’ and nurses’ knowledge of phlebitis and aspects of prevention and care was administered. 95 of the 100 patients were included in the study. Overall phlebitis incidence was 36.8%. Three cases of infiltration and one of extravasation were also documented. The median interquartile range (IQR) score was 62.5 (50-75). This study reports a moderately high incidence of phlebitis and other IV complications. It suggests the need for a better system of documenting phlebitis, and the need to be consistent in compliance with CDC guidelines for line longevity

Keywords: Incidence, Intravenous Access, Knowledge, Nursing, Phlebitis

Perception and Experiences of Infection Control Practices among Professional Nurses in Secondary Health Facilities in South-South Nigeria: A Qualitative Approach (Published)

Infection control practice is a fundamental operational guiding principle in the delivery of modern health care. However, there is minimal qualitative investigation into professional nurses’ perception of infection control practices and how the experiences affect compliance with recommended infection control procedures. The purpose of this study was to examine and describe professional nurses’ impressions and experiences about infection control practices. A descriptive qualitative research design was used as the research framework. In-depth Interviews (IDI) and Focus Group Discussions (FGDs) were completed with a sample of 54 nurses.  The findings highlight the importance of both individual and organisational factors in determining Nurses’ compliance with recommended workplace safety practices. Four major themes emerged from the data, namely knowledge, infection surveillance, safety practices, and workplace policy. The findings indicate individual and organisational factors associated with compliance which are useful in developing strategies to facilitate long-term compliance with infection control practices among nurses.

Keywords: Infection control, Knowledge, Policy, Safety Practices, qualitative

Knowledge and Practices of Trans-Cultural Client Care amongst Practicing Nurses of Buea, Cameroon (Published)

Trans-cultural client care nursing has been described as the art of providing care to individuals, families, groups and community with a consideration given to the cultural background of the client in order to ensure compliance and improve health. It is a recommended and patronized strategy, due to its insistence on culture competence in care giving, as well as its potential to instigate culture desire in health care personnel. The objective was to investigate professional qualification, academic level, longevity of service, type of in-service training and the way the influence trans-cultural care nursing. It was also aimed at investigating knowledge of the importance, chronological steps, orientation in trans-cultural care, most appropriate person to provide information- trans-cultural communication and culture care preservation. Stratified samples of nurses/midwives working in Health Care Institutions in Fako Division, were administered multiple choice questionnaires, for a period of three weeks. One hundred and sixty five (165) participants filled the questionnaires and SPSS 16.0 was used to analyze the data collected and simple percentages were used to present the results. The results have demonstrated that: Nursing education, qualification and training influence trans-cultural client care among nurses/midwives in Health Care Institutions in Fako Division. It is thus recommend that Health Care Institutions should regularly organize seminars and workshops on the effective use and application of clients’ culture during care.

Keywords: Importance, Influencing Factors, Knowledge, Trans-Cultural Care Nursing

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