Abstract:

The aim of the study was to profile the epidemiology and different determinants of needle stick injury among health care workers at St. Pauls Mission Hospital which could be used to develop/foster needle stick infection control measures. A cross sectional quantitative survey-based design was used in this study. A sample of 143 nurses instead was enlisted in this study from an expected sample size. In the last ten years, the incidence of NSIs was 139 episodes with an annual mean occurrence of 11 episodes per year. Within the sample of those who had NSIs, there are more health workers who are proactive and take up preventive actions than those who do not. Infection control measures appear not to be emphasised. There are more than half of respondents who indicated ‘‘No’’ than those who indicated '‘Yes’’ for the infection control prevention strategies. The least adhered to infection control strategy is the non-insistence of wearing of eye goggles when conducting minor or major surgery. The determinants of NSIs were; not wearing gloves before touching anything wet – broken skin, mucous membranes, blood, body fluids, secretion, or excretion or before touching soiled instruments and other items, not using barriers- Personal Protective Equipment (PPE) such as protective goggles, face mask and aprons if splashes or spills of blood or body fluids secretions or excretions are anticipated, lack of training at the workplace, long working hours and lack of supplies: disposable syringes, safer needle devices, and sharps-disposal containers. In conclusion, NSIs were observed in all categories of HCWs. There is a scope for improvement in safety protocols. Preventive strategies have to be devised and reporting of NSI need to be made mandatory. Issues requiring attention include use of safety engineered devices (SED), recording and reporting of incidents, training of all HCWs in handling and disposal of sharps, establishing a staff student health service and inculcating a responsible attitude among HCWs. The solutions are easy ones as they do need substantial resources.

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Abstract:

This study examined the attitude of nurses towards the care of dying patients at the federal teaching hospital Gombe, Nigeria, three research questions and one hypothesis were formulated in line with the objectives of the study. Research design adopted was the cross-sectional approach. Questionnaires and interviews were used to raise vital data. sample size of 75 nurses was selected for the study using stratified random sampling method. The data were analyzed using the statistical package for social science. A p-value of 0.05 levels was used at one degree of freedom to test the hypothesis. Demographic and work environment factors such as emotional stress, inter and intra- professional factors influences nurses’ attitudes towards caring for patients that are dying as 50 (66.7%) of the respondents strongly agreed that favorable conditions amongst Nurses and inter-professional teamwork with other healthcare workers is needed to break negative cycle of job dissatisfaction, 18 (24) agreed, 7 (9.3) strongly disagreed to this fact. Nurses’ years of experience has influence of their attitude towards dying patients as 40 (53.3%) of respondents strongly agreed that they would not want to be assigned to care for a dying person as younger nurses, 70 (93.3%) of the respondents were of the view that they would feel like running away when a patient dies during their first night shift as younger nurses. findings revealed that nurses’ age and the level of knowledge through training in critical care nursing has influence on their attitude towards caring for a dying patient.

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Abstract:

Background: Assisted reproductive techniques are becoming increasingly available in Nigeria for infertile couples. Majority of the couples presenting in many fertility clinics are women with advanced age, some of the men also have severe male factor not amenable to in vitro fertilization, necessitating use of donor gametes in the treatment.

Objective: Nurses play significant roles in management of medical conditions worldwide inclusive of Infertility. The study set out to determine knowledge, perception and acceptability of third-party reproduction among Nurses working in Osun State.

Methodology: A Cross sectional study. 130 Self-administered questionnaires were distributed among nurses from different cities and levels of hospitals who gathered for the annual mandatory update course organised by Nursing and Midwifery council. Questionnaire consisted of eighteen stem questions divided into four sections testing knowledge, perception and acceptability of third-party reproduction.

Results: Respondents have overall good knowledge about third party reproduction (63.99%), did poorly in only four out of the eighteen stem questions. The respondents consider the products of conception from egg donation to belong to the couples rather than the donors who assisted in one form or the other.

Discussion: The generalist nurse possesses basic knowledge about third party reproduction. Few misconceptions concerning its scope and indications can be corrected by Fertility Nurse Counsellors in fertility clinics.

Conclusion: Nurses in Osun State have good knowledge about third party reproduction.

Keywords: infertility, donor gametes, In Vitro Fertilization, Third party reproduction.

References:

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[11].  Obioha JA, Ikechebelu JI, Eleje GU, Joe-Ikechebelu NN (2014) Knowledge and Attitude of Nurses towards In-vitro Fertilization: A.

[12].  Prospective Cohort Study Gynecol Cases Rev 1:006.

[13].  Karin Hammarberg, 2016. Knowledge, attitudes and practices relating to fertility among nurses working in primary health care RN, BSc.

[14].  PhD Senior Research Fellow, Jean Hailes Research Unit, School of Public Health and Preventive Medicine, Monash University, 549 St.

[15].  Kilda Road, Melbourne, Victoria, Australia karin.hammarberg@monash.edu Australian journal of advanced nursing Volume 34 Issue 1.

Abstract:

Life everywhere begins with women. Women as one half of the population have a tremendous role to play in the dynamic process of social change. She has repeated pregnancies and her circumstances are disadvantaged where the basic amnesties are not within her Economical and social needs. There is water shortage which depletes her access to promote hygiene measures wearing clean cloths, perineal care during the puerperium. The second most common direct cause is infection, which is responsible for late postpartum deaths so perineal hygiene has most significant role among post-natal mothers. A descriptive design with a non-experimental approach as considered appropriate for the present study. A structured interview schedule was structured to assess the knowledge of primi postnatal mothers regarding perineal hygiene after delivery. The data was analysed by calculating Mean and standard deviation was used to identify the Knowledge of primi postnatal mothers. The Chi-square test was to find out association between knowledge of primi postnatal mothers and selected demographic variables & level of significance was set at 5% level. The finding of the study Maximum 53% of mothers got Poor score (21%-40%) and minimum 0% of mothers obtained Good score (61%-80%),47% of mothers obtained Average score (21%-40%) and not even single mother score Very Poor (0%- 20%) and Very Good (81% - 100%). The conclusion of the study knowledge of primi postnatal mothers needs to be updated and improved related to health services.

Keywords: Assess, Knowledge, Primi Postnatal Mothers, Perineal Hygiene.

References:

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[2].   Mai Mizukoshi, Mari Ikeda, Kiyoko Kamibeppu, The experiences of husbands of primiparas with depressive or anxiety disorders during the perinatal period, Sexual & Reproductive Healthcare, Volume 8, 2016, pp. 42-48.

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[12].  Mundia G. M. A study on the knowledge and attitudes of the women at Kasama Urban clinic about postnatal care. University of Zambia, 2012.

https://hdl.handle.net/123456789/1622.

Abstract:

The constantly changing healthcare environment poses a huge challenge to the nurses to be able to respond to the rapidly changing patient’s conditions and needs. The nursing graduates therefore are forced to possess high level competence in order to provide safe and efficient nursing care. The Nurse Educators are also challenged to apply teaching strategies that can facilitate and encourage high level of critical thinking and clinical judgement skills. Flipping the classroom or inverted class is a strategy that is currently gaining popularity in an effort to motivate learners to learn and engage independently. This approach requires nursing students to actively participate in activities that push them beyond the level of memorization. Direct instruction is moved from the group space to the individualized learning space resulting in a dynamic transformed interactive environment where the Nurse educator becomes the guide instead of a distributor of information.

The Flipped learning has been viewed as an important pedagogical approach in increasing nursing student’s achievement, motivation, collaboration and improving their skills necessary for further knowledge construction.

The purpose of this paper is to describe the current state of knowledge and practice of Flipped learning approach in nursing education and how the strategy can promote nursing students to learn independently.

Keywords: Flipping the classroom, Inverted Classroom, Self-directed learning, Active learning, Learner engagement.

References:

[1].   Berge, Z.L., 2015, Flipped learning in the workplace. Journal of Workplace Learning. 27(2) 162-172.

[2]. Bristol, T.J., 2014, Educate, Excite, engage: Flipping the Classroom. Teaching and Learning in Nursing.9, 42-46.

[3].   Burak, K.W., Raman, M., Paget, M., Busche, K., Coderre, S and McLaughlin, K.,2017, A mixed Methods Study on the effects of flipping the undergraduate medical classroom. Educational Sciences. 7(83), 1-8.

[4].   Davey, P., 2014, The Flipped classroom: Motivating student to learn independently. Athens Journal of Health. 2(4), 261-269.

[5].   Demski, J., 2013, 6 expert tips for flipping the classroom. Campus technology.25 (5), 32-37.

[6].   Flipped Learning Network (FLN), 2014, “What is flipped learning” 9/08/2019 http://flippedlearning.co/

[7].   Jamaludin, R and Osman, S.Z., 2014, the use of a flipped classroom to enhance engagement and promote active learning. Journal of Education and Practice.5 (2), 124-130.

[8].   Jerri, P., Deal and Hermanns, M., 2015, Implementation of a Flipped classroom: Nursing student’s perspectives. Journal of Nursing Education and Practice. 5(6), 25-30.

[9].   Karabulut-IIgu, A., Cherrez, J.N., and Jahren, T.C., 2017, A systematic review of research on the flipped learning method in engineering education. British Journal of educational Technology 00-00,1-14.

[10].  Mikkelsen, T.R., 2015, Nursing student’s experiences, perceptions and behavior in a flipped classroom anatomy and physiology course. Journal of Nursing Education and Practice.5(10)28-35.

[11].  Naber, J.and Best, D., 2016, Is Flipped classroom an effective educational method to meet nursing students learning needs? Madrige Journal of Nursing 1(1), 7-10.

[12].  Ouda, H. and Ahmed, K., 2016, Flipped Learning as a new educational Paradigm: An analytical critical study. European Scientific Journal.12 (10), 417-426.

[13].  Presti, C.R., 2015, The Flipped learning approach in nursing education: A literature review. Journal of Nursing Education. 55(5) 252-257.

[14].  Yacout, A.D.E. and Shosha, A.A.F.F., 2016, Nursing student’s perceptions towards flipped classroom educational strategy Journal of American Science. 12(2) 62- 75.

Abstract:

The aim of this study is to determine key factors affecting malaria interventions and control among communities in Ntambu Area of Mwinilunga District. An equal status sequential mixed methods design was adopted for this study. Three and fifty-eight respondents were enrolled from 109 villages as clusters using systematic sampling as well as purposeful sampling. Data was collected using a guided structured questionnaire and in-depth interviews. The findings are that social economic status, spray operator selection, and performance, negative experiences from previous IRS campaigns and political factors were negative factors whereas community solidarity was a positive factor for acceptance of IRS and ITNs. What can be inferred in this study is that the success of any malaria intervention in Ntambu area relies a lot on how the benefitting communities view and embrace the interventions. Individual factors like sex and level of education of household head are associated in varying ways with willingness to take up the interventions. This should be noted considering that level of education was associated with acceptance of IRS and yet not associated with repeat IRS as well as gender. The availability of antimalarial drugs, ITN, IRS acceptance and refusal in Ntambu, leave much to be desired. ITN use and availability appears to be the most accepted and easily available intervention though a few respondents appeared not to be aware or sure of what was happening in the area.

References:

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[12].  Christine Marlow. (2001) Research Methods for Generalist Social work (3rd Ed.). USA.

[13].  Cox, J. and Schleier, J. (2010). Theory of Constraints. Handbook, New York, NY: McGraw Hill Professional.

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Abstract:

Background: Neonatal sepsis is a huge threat to the survival of neonates. If not timely detected and treated, neonatal sepsis becomes the source of increased neonatal morbidity and mortality. Research shows that neonatal sepsis is a global problem. However, the burden weighs more heavily in sub-Saharan Africa. Zambia stands unspared by this problem because of home deliveries in rural communities.

Objective: The study objective was to investigate contributory factors responsible for neonatal sepsis at Kaoma District Hospital, Zambia.

Materials and Methods: The research used a cross-sectional study design. The sample size was 50 selected using convenient sampling. The study units consisted of 50 Post natal mothers. A self-administered questionnaire was used to collect data from the respondents. Statistical Package for Social Sciences (SPSS) version 22 was used to analyse data.

Results: The study found a triangulated relationship: maternal socio-cultural practices, place of delivery and shortage of midwives with emergence of neonatal sepsis.

Recommendations: The study recommends training of more midwives to handle an increased number of pregnant women seeking assisted skilled delivery. The study also recommends for expanded EmONC and neonatal care workshops for equipping midwives and nurses with knowledge and skills to handle neonatal sepsis.

Finally, the study recommends for community sensitization on socio-cultural endanger maternal and neonatal wellbeing.

Keywords: neonate, sepsis, midwives, nurses, morbidity, mortality.

References:

[1].   Adatara. P, Afaya. A, Salia. M, Afaya. A R. e tal., (2019), Risk Factors Associated with Neonatal Sepsis: A Case Study at a Specialist Hospital in Ghana. Doi: 10.1155/2019/9369051 accessed from.

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[6].   Basson, A. A., and Uys, H.H.M, (2000). Research Methodology in Nursing, Kegiso Tertiary, Cape Town.

[7].   Burns, N. and Grove S.K., (2006). The Practice of Nursing Research: Conduct, Critique and Utilization, 5th Edition, Saunders Elsevier, St Louis Missouri.

[8].   Burns, N. and Grove, S.K., (2009). The Practice of Nursing Research: Appraisal, Synthesis & Generation of Evidence, 6^th Edition, Saunders Elsevier, St Louis Missouri.

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[17].  Herlihy, J.M., Shaikh A, Mazimba, A, Gagne, N., Grogan, C., et al., (2013) Local Perceptions, Cultural Beliefs and Practices That Shape Umbilical Cord Care: A Qualitative Study in Southern Province, Zambia. PLoS ONE 8(11): e79191. doi: 10.1371/journal.pone,007919. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6332869/ on 20/11/19 at 24:33 hours.

[18].  Jumah, D.S., and Hassan, M.K., Predictors of mortality outcome in neonatal sepsis, Med. J. Basrah Uni., 25, 11-18 (2007).

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[20].  Maimbolwa, M.C., Yamba, B., Diwan, V, Ransjö-Arvidson, A.B., (2003). Cultural childbirth practices and beliefs in Zambia. J AdvNurs 43(3): 263-274. doi:10.1046/j.1365-2648.2003.02709. x. PubMed: 12859785.

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[24].  Onyedibe, K.I., Utoh-Nedosa, A.U., Okolo, M. O. Dr., Kenneth, I.O., Ita, O.I., Udoh, U.A., N., Egah, D.Z. (2011). Impact of socioeconomic factors on neonatal sepsis in Nigeria, Jos Journal of Medicine, Vol.6, No.2.

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[27].  Polit D. F. and Hungler (2009). Research in Nursing: Principles and Methods, Lippincott, Philadelphia.

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[30].  Qazi, S.A. and Stoll, B.J., (2009). Neonatal sepsis: A major Global Public Health Challenge, Pediatric Infectious Disease Journal, 28(1).

[31].  Ranjeva S. L., Warf B. C., Schiff S. J. Economic burden of neonatal sepsis in sub-Saharan Africa. BMJ Global Health. 2018;3(1): p. e000347. doi: 10.1136/bmjgh-2017-000347. Accessed from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5859806/ on 19/11/19 at 23:20 hours.

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Abstract:

Health as defined by each person integrates all the human dimensions physical, intellectual, emotional, socio cultural, spiritual and environmental aspects of the whole person. The nurse giving holistic nursing care must be equally considered all these inter- related and interdependent dimensions of the whole person. Rehabilitation is the process of achieving maximum restoration of physical, psychological and social function must be carefully planned and executed. It should be goal directed and based on a thorough assessment of the patient’s medical, functional and psychosocial status. A pre- experimental research design with one group pretest and posttest is adopted for the study. The sample size for the study comprises of 120 patients admitted in ortho ward with the diagnosis of fracture femur and Convenient Sampling Technique used in this study. The result shows that 1^st post-test and 4^th post test scores of level of orthopedic rehabilitative nursing care of patients with lower limb fractures difference in mean percentage found that for social wellbeing was 41%, spiritual wellbeing was 56%, mental wellbeing was 48% and activities of daily living was 37%. The present study was conducted to assess the effectiveness of orthopaedic rehabilitative nursing care on wellbeing of patients with lower limb fractures. The study concluded that orthopaedic rehabilitative nursing care is highly effective and wellbeing of patients is independence, physically and socially, mentally, spiritually allowing them to return to their normal place of living where ever possible.

Keywords: Orthopaedic rehabilitative nursing care, lower limb fractures, Social, Mental, Spiritual wellbeing, Activities of daily living.

References:

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Abstract:

Children are the future of every country and all societies strive to ensure their health and safety. Most of the accidents occur among the children during the age group of 5 to14, when they spend most of their time in the school campus. Children ages 5 to 14 account for nearly 40 percent of all sports-related injuries treated in hospitals. An average of the rate and severity of injury increases with a child's age. Injuries are responsible for nearly half of all sports injuries to middle and high school students. The aims of first aid are to preserve and protect life, prevent further injury or deterioration of illness and help to promote recovery. So, first aid training is necessary to protect the child and promote the recovery period thus to reduce the injury in schools. In this study, a research design selected was one group pre-test and post-test design which belongs to the quasi-experimental design. The samples of the study comprised all teachers working in the selected high schools and those who are fulfilling the inclusion criteria and 51 high school teachers selected in Simple Random Sampling Technique. The finding of the study overall knowledge of high school teachers reveals that 73.6% of subjects had moderately adequate knowledge, 19.4% of subjects had inadequate knowledge, and only 5.9% of subjects had adequate knowledge. After the planned teaching program, the overall improvement means the score was 26.6 with a standard deviation of 1.08. The paired “t” test value was -22.96 which is highly significant at p<0.001. The conclusion of the study planned teaching program was effective thus to improve the teacher’s knowledge and apply that while any crisis occurs in the school premises.

Keywords: Children, Planned Teaching Programme, Safety, First Aid Measures, Knowledge, Emergency Conditions, School Teachers

References:

[1].   Ali, S. A., Abu-Elseoud, A. R., Heybah, S. M. & Mohamed, A. A. (2010). Implementation of an educational training program in first aid for newly graduated nursery school teachers at zagazig city. Zagazig Journal of Occupational Health and Safety, 3 (1), pp. 20--29.

[2].   Altintas, K. H., Aslan, D., Yildiz, A. N., Subasi, N., ElCcin, M., Odabasi, O., Bilir, N. & Sayek, I. (2005). The evaluation of first aid and basic life support training for the first-year university students. Tohoku Journal of Experimental Medicine, 205 (2), pp. 157-170.

[3].   Jain, N.C (2009). First aid and Emergency Care, India. A.I.T.B.S Publishers.

[4].   Polit and Hungler (2009). Nursing Research Principles and Methods, Newyork. Lippincott Publishers.

[5].   Ramesh Karmegam (2003), First aid to Ear, Nose, and Throat. Hydrabed. Paras Publishers.

[6].   Yaseen Khan, S. & Shebeer, P. B. (2012). Concise text book of advanced nursing practice. Bangalore: Emmis Medical Publishers.

Abstract:

The aim of the study was to assess the anxiety level of newly diagnosed Myocardial Infarction patients and their primary care givers and to compare their anxiety level and to associate the anxiety level of newly diagnosed Myocardial Infarction patients and their primary care givers with selected demographic variables and to compare the level of anxiety among newly diagnosed Myocardial Infarction patients and their primary care givers. A descriptive research design and quantitative non-experimental approach was selected. The study includes 50 patients selected by purposive sampling technique. The study was conducted in Trichy SRM Medical College hospital & Research institute at Irungalur, Trichy. Demographic data, state and trait anxiety scale were used for data collection procedure. To analyze the data, statistical analysis was used. The Johnson’s behavioral system model, which is widely used to study health behavior, formed the theoretical framework for this study. The major findings of the study showed that, there was a significant relationship between the patients and primary care givers in State anxiety level with selected demographic variables. There was a significant association between the level of anxiety and demographic variables like Age, Sex and Education. There was a positive correlation between the level of anxiety of patients and their primary care givers. Symptoms of anxiety were prevalent and persistent problems among newly diagnosed as Myocardial Infarction patients and their primary care givers. This study highlights the importance of routine psychological assessment for newly diagnosed as Myocardial Infarction patients and their primary care givers in hospital and after discharge.

Keywords: Myocardial infarction, Anxiety, primary care givers.

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Abstract:

Background: Objective of study was to assess the socio-demographic, Institutional and socio-economic factors affecting performance of Nurses at public Health facilities in Sironko District. The health facilities had 60 nurses and 52 among them were interviewed representation 90% of entire nursing population at the facilities.

Methods: A quantitative cross-sectional descriptive design was employed and data collected from a number of participants was found to be valid, tallied and analyzed using the SPSS 18 software version. Data is presented in qualitative and quantitative findings in frequencies, percentages, tables, graphs and pie charts.

Results: the study found that 37(71%) of the Nurses were enrolled who provided general Nursing duties. Majority of respondents 40(76%) spent over 8 hours working which affected their performance negatively, and 52(100%) cited patient treatment as the role they performed to their satisfaction. The study found that 32(63%) nurses earned less than 500,000/= of which 40(78%) said they were dissatisfied with and yet had no institutional accommodation.

Conclusion: socio-economic and institutional factors like poor remuneration, lack of incentives, accommodation, lack of adequate equipment and supplies, affect the performance of nurses at public health facilities in Sironko District.

Recommendation: For the performance to improve employment package of the nurses including salary, a protective policy framework be revised; including provision of official accommodation, adequate equipment and supplies.

Keywords: Influencing Factors, Performance, Nurses, Care provision and Public Health facilities.

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