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.
Keywords: Insomnia, Nurses, Shift Work Disorder, Significant Sleepiness
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.
Keywords: Application, Knowledge, Nurses, Reflective, meaningful practice
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.
Keywords: Barriers, Evidence-Based Practice, Implementation, Nurses