2019-09-16T15:24:00Z https://academicjournals.org/oai-pmh/handler
oai:academicjournals.org:IJNM:03C5733749 2009-07-30T00:00:00Z AcademicJournals IJNM IJNM:2009
Exciting times in nursing practice Alleene Ferguson Pingenot, RN, PhD Academic Journals 2009 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/03C5733749 en Copyright © 2009 Alleene Ferguson Pingenot, RN, PhD
oai:academicjournals.org:IJNM:28EA792750 2009-07-30T00:00:00Z AcademicJournals IJNM IJNM:2009
Perceived positive effects of illness following acute myocardial infarction Parkhideh Hassani, Ardeshir Afrasiabifar, Masoude Fallahi Khoshknab and Farideh Yaqhmaei Full Length Research Paper Myocardial infarction (MI) is a traumatic health event in most patients#39; lives and their families. Posttraumatic responses to life-threatening events are not necessarily negative rather they may result in positive changes. The negative psychological reactions following myocardial infarction are well documented; however, little attention was paid to the positive effects of the illness. The aim of this study was to explore the perceived positive changes following acute myocardial infarction. This report is part of a larger grounded theory study. Eighteen patients, 4 women and 14 men with first time myocardial infarction ranging in age from 45 - 78 years participated in this study based on purposive and theoretical sampling. Data collection included semi-structured interviews. Strauss and Corbin approach (1998) was chosen for data analysis. The findings show that patients attribute positive meanings to their illness with one or more positive effects. The positive effects of illness following an acute heart attack were categorized as healthy lifestyle, appreciating of life/health, and improved social/interpersonal relationships. Based on the meanings attributed to their illness by the patients, there may be positive changes to enhance better health outcomes. Some implications were discussed. Key words: Benefit finding, grounded theory, positive effect, posttraumatic growth, myocardial infarction. Academic Journals 2009 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/28EA792750 en Copyright © 2009 Parkhideh Hassani, Ardeshir Afrasiabifar, Masoude Fallahi Khoshknab and Farideh Yaqhmaei
oai:academicjournals.org:IJNM:CF08F62753 2009-07-30T00:00:00Z AcademicJournals IJNM IJNM:2009
750 cases of home delivery and its outcomes in Koohdasht-Iran Abbasi Marani Fatemeh, Safari Saeed, and Forogirad Parveen Full Length Research Paper In 1986, World Health Organization (WHO) suggested the home as a suitable place for delivery process of pregnant women. Home delivery (HD) has been considered less or not at all in developing countries. Based on official reports the rate of HD in Iran 2000 was 5.2% for urban areas. This study reports the reasons and outcomes of HD in 750 pregnant women of Koohdasht-Iran. All the women who resided in Koohdasht and had experienced HD during the study period were enrolled. The data were gathered through a questionnaire that filled in by the researcher while interviewing these women or their relatives. Seven hundred and fifty cases of HD were detected during the study period. The mean age of women was 28 plusmn; 0.7 years. Financial problems, personal willingness, and pervious history of HD were the most common reasons for HD. The majority of unpleasant outcomes of HD were precocious bleeding after HD, looseness of womb, and precocious rapture of sack which occurred in cases who were conducted by a local uneducated midwife and among the mothers who had their first delivery. Screening and selection of the pregnant women at low risk for HD can reduce the unpleasant outcomes. It is suggested to arrange some training program about HD for uneducated lay midwives and to the family planning units to emphasize the training mothers about the delivery process. Relevance to clinical practice: HD can be noted as an alternative choice for pregnant women. Key words: Home delivery, home birth, out of hospital birth, Iran, Koohdasht. Academic Journals 2009 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/CF08F62753 en Copyright © 2009 Abbasi Marani Fatemeh, Safari Saeed, and Forogirad Parveen
oai:academicjournals.org:IJNM:D8164DD759 2009-11-30T00:00:00Z AcademicJournals IJNM IJNM:2009
Adult sickle cell diseased patients’ knowledge and attitude toward the preventive measures of sickle cell disease crisis Dihya Ebrahim Jaffer, Fatima Khairallh Amrallah, Khadija Mohammed Ali, Nafeesa Abdulla Mohammed, Ridha Abdulla Hasan and Zainab Mahdi Humood Review Sickle cell crisis is preventable most of the times. However, in Bahrain sickling crisis is the most complained and cause of hospital admission. No data is available regarding the extent of knowledge and attitudes towards the sickling crisisrsquo;s preventive measures the adult Bahraini sickle cell patients have. The purpose of this paper is to explore the extent of knowledge and attitude of Bahraini adult sickle cell patients towards the preventive measures of sickle cell crisis. The objective is to establish baseline data and to utilize the findings in designing awareness programs that would assist the sickle cell patients to prevent the sickling crisis. A convenient sample of 84 Bahraini adult sickle cell patients achieved. Structured interview approach was used to assess the subjects#39; knowledge and attitudes toward the preventives measures of sickle cell crisis. The results indicated that the sample was moderately knowledgeable about the sickling preventive measures (Mean of Knowledge score = 55%) and moderately compliant (Mean of Attitudes score = 63%). The subjects#39; knowledge (about the preventive measures) was found to be moderately and positively correlated (r = 0.57, r2 = 0.32, p = 0.000) with their attitudes toward crisis prevention. Designing awareness programs regarding the preventive measures of sickle cell crisis is an evident need for these patients. Key words: Sickle cell disease (SCD), sickle cell trait (SCT), sickle cell disease crisis, sickling crisis, Vaso-occlusion crisis (VOC), knowledge, attitude, preventive measures of crisis Academic Journals 2009 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/D8164DD759 en Copyright © 2009 Dihya Ebrahim Jaffer, Fatima Khairallh Amrallah, Khadija Mohammed Ali, Nafeesa Abdulla Mohammed, Ridha Abdulla Hasan and Zainab Mahdi Humood
oai:academicjournals.org:IJNM:7CCA699760 2009-11-30T00:00:00Z AcademicJournals IJNM IJNM:2009
Relationship between levels of burnout of midwives who work in Sivas, Turkey province center and identified socio-demographic characteristics Ozgur Alparslansup; and Gulbahtiyar Doganer Full Length Research Paper This study was conducted for the purpose of investigating the relationship between some burnout-related socio-demographic and professional variables and level of burnout of midwives working as health care workers. Burnout is a prolonged response to chronic emotional and interpersonal stressors on the job and is defined by the three dimensions of exhaustion, cynicism and inefficacy. It a special significance in health care where staff experience both psychological-emotional and physical stress. Measuring burnout among midwives is important because their well-being has implications for stability in the healthcare workforce and for the quality of care provided. This research, planned as a descriptive and cross-sectional study. The population was the 257 midwives who work in Sivas, Eastern Turkey province center. There were 110 of these midwives who did not want to participate in the study or were on maternity or vacation leave and were, therefore, not included in the study, leaving 147 midwives who were included in the sample. The research data were collected on a 28-item questionnaire prepared from information in related literature and the Maslach Burnout Inventory which were administered using interview technique. The data obtained were analyzed in the computer with Variance Analysis, Kruskal Wallis and Tukey tests. Midwivesrsquo; level of burnout was moderate. Age, marital status, number of children, work area and work schedule were not found to have an effect on the midwives#39; burnout. However midwives who had not willingly chosen the profession, who stated that they worked in the profession for economic reasons, who were not pleased with working in their profession had higher mean scores for levels of emotional burnout and depersonalization and a lower mean score for personal accomplishment (p lt; 0.05)According to the research results some socio-demographic characteristics of midwives (personal characteristics, place of employment, work schedule, length of employment, school from which graduated) had an effect on burnout. Key words: Midwifery, socio-demographic characteristics, Maslach BurnoutInventory, burnout level. Academic Journals 2009 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/7CCA699760 en Copyright © 2009 Ozgur Alparslansup; and Gulbahtiyar Doganer
oai:academicjournals.org:IJNM:D85894C767 2010-06-30T00:00:00Z AcademicJournals IJNM IJNM:2010
Influence of nurses' characteristics and education on their attitudes towards death and dying: A review of literature Khaled Abdallah Khader, Samiha Suhail Jarrah and Jafar Alasad Full Length Research Paper Nurses working in cancer centers deal frequently with the phenomenon of death and dying during the daily care of patients. Their demographic and experiential characteristics and previous educational background can shape their attitudes toward care for dying patients. To review relevant literature related to nursing care at the end of life and nursesrsquo; attitudes towards death and dying, a literature search was conducted utilizing Medline, Elton B Stephens Company, and Cumulative Index to Nursing and Allied Health Literature. The descriptor words were: death, dying, death experience, nursing, palliative care, attitudes, attitudes toward care of the dying, attitude change, and end-of-life. The review showed that certain standardized education programs, like end of life nursing education consortium, can change nurses#39; attitudes toward death and dying. By using several education methods, including role playing, case studies, reflection and open discussion, such programs help nurses reflect on their emotions and cope with the scene and thoughts of death and dying. Moreover, for change to occur, adequate duration of education is necessary. End of life education is vital for nursing curricula and in-service education to improve nurses#39; attitude toward death and dying and consequently improve quality of nursing care of dying patients. Key words: Death, near-death experience, nursing care, palliative care, end-of-life, attitude to death, education Academic Journals 2010 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/D85894C767 en Copyright © 2010 Khaled Abdallah Khader, Samiha Suhail Jarrah and Jafar Alasad
oai:academicjournals.org:IJNM:0E5B0F5769 2010-06-30T00:00:00Z AcademicJournals IJNM IJNM:2010
A comparison of low-risk women’s birth outcomes and experiences in different sized midwifery practices in The Netherlands Yvonne Fontein Full Length Research Paper To examine maternal birth outcomes and birth experiences of low-risk women in the Netherlands in different sized midwifery practices. Descriptive study was using postal questionnaires six weeks after the estimated due date. Women were recruited from urban, semi-rural and rural areas from small-sized practices (1-2 midwives), medium-sized practices (3-4 midwives) or large-sized practices (5 or more). 718 Dutch speaking women with uncomplicated pregnancies, a representative sample of women in 143 midwifery practices in the Netherlands who had given birth in the period between 20 April and 20 May 2007. Distribution of place of birth categories and intervention categories, birth experience, woman-midwife relationship and presence of own midwife after referral. Data were analyzed with Statistical Package for Social Sciences (SPSS). Women in practices with a maximum of two midwives were significantly more likely to experience lower rates of referral, interventions in general and specifically pain relief by means of pethidine, CTG registration and unplanned caesarean sections. Women with a maximum of two midwives were significantly more likely to know their midwife or midwives and were more frequently supported by their own midwife after referral in comparison to women in practices with more than two midwives. The presence of the womanrsquo;s own midwife added value to the birth experience. Women with a maximum of two midwives had higher levels of a positive birth experience than women in practices with more than two midwives. Midwifery practices with a maximum of two midwives contribute to non-interventionist birth and a positive birth experience. Awareness of the study results and further study is recommended to discuss re-organisation of care in order to achieve significant reductions on referral and interventions during childbirth and positive maternal birth experiences. Key words: Midwifery, birth interventions, referral, practice size. Academic Journals 2010 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/0E5B0F5769 en Copyright © 2010 Yvonne Fontein
oai:academicjournals.org:IJNM:C7E6F6E780 2010-10-30T00:00:00Z AcademicJournals IJNM IJNM:2010
Beliefs of patients about the causes of Tuberculosis in rural Andhra Pradesh Bojja Venkatraju and Sheela Prasad Full Length Research Paper This paper explores the beliefs concerning cause of tuberculosis (TB) in Nalgonda district, Andhra Pradesh (A.P.). Health care professionals primarily attribute TB causation to germs such as bacteria. However, patients with TB described the causation of their disease in multiple ways that differ significantly from that of health professionals. Results indicate that causation beliefs held by TB patients can be grouped into two broad categories: (1) natural and (2) supernatural origin. Despite the tremendous progress made in understanding TB causation, study results demonstrate the continued existence of folk theories of disease causation. For example, attributing TB disease to sin, wrath of deities, witchcraft, evil eye, fate, imbalance in hot-cold qualities in the body, bad blood, etc., are still evident in the study population. The study results also suggest that mind, body, spirit and other issues of social life are interconnected and disruptions in any one aspect can affect the health of an individual. Some of the implications of the findings of study for creating awareness about TB causation and transmission are discussed. The study argues that modern medicine has to engage with socio-cultural beliefs and practices of communities for TB treatment to be effective. Key words: Hot-cold imbalance, witchcraft, natural origin, evil eye, explanatory model. Academic Journals 2010 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/C7E6F6E780 en Copyright © 2010 Bojja Venkatraju and Sheela Prasad
oai:academicjournals.org:IJNM:6930373786 2010-10-30T00:00:00Z AcademicJournals IJNM IJNM:2010
The effects of pre-pregnancy body mass index and gestational weight gain on neonatal birth weight in Taiwan Mei-Yueh Chang, Chun-Hua Kuo and Kuei-Feng Chiang, MPH, RN Full Length Research Paper The aim of this retrospective study was to explore the effects of pre-pregnancy body mass index and gestational weight gain on neonatal birth weight in Taiwan.Study subjects included two hundred and sixty three women who delivered their babies at two local hospitals in southern Taiwan. Initial data included maternity records on age, parity, socio-economic status, body mass index (BMI), pregnancy weight gain, neonatal gender, and neonatal birth weight. The mean age of 263 women was 29.99 years (range 19 - 42). The mean BMI was 21.19 kg/m2 (range 16.22 - 32.05), and the mean pregnancy weight gain was 13.98 kg (range 3 - 33.5). The mean neonatal birth weight was 3192.57 gm (range 2120 - 4390). Mothers whose BMI was 24 - 27 had significantly higher neonatal birth weight than those mothers with a BMI gt; 27 and lt; 18.5) (F = 5.816, p = 0.001). After dividing the weight gain during pregnancy into four groups based on the recommendation of the Department of Health in Taiwan, our results show differences between maternal weight gain and neonatal body weight (F = 9.49, p lt; 0.001). Pregnant women with a weight gain less than 10 kg resulted in deliveries of neonates with lower birth weight (113.94, 237.62 and 332.58 gm) than those mothers who gained 10 - 14, 14 ndash; 16 kg, and more than 16kg. Multiple regression models control for other maternal and neonatal characteristics were able to document, weight gain as being more strongly associated with neonatal birth weight than pre-pregnancy body mass index. Neonatal birth weight was not correlated with maternal working status, socio-economical status and was not differentiated between primipara and multipara status. Conclusively, pre-pregnancy BMI and prenatal weight gain are related to neonatal birth weight. These results suggest that the pre-pregnancy BMI and prenatal weight gain should be among the most important concerns for providers offering prenatal services. Hopefully these findings will serve as a useful reference for prenatal nurses and will reinforce health insurance departmentsrsquo; efforts to ensure quality prenatal care. Key words: Body mass index, pregnancy weight gain, neonatal birth weight Academic Journals 2010 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/6930373786 en Copyright © 2010 Mei-Yueh Chang, Chun-Hua Kuo and Kuei-Feng Chiang, MPH, RN
oai:academicjournals.org:IJNM:AFF8EBE772 2011-01-31T00:00:00Z AcademicJournals IJNM IJNM:2011
Assessing the effects of industrial unrest on Ghana health service: A case study of nurses at Korle-Bu teaching hospital Gerald Dapaah Gyamfi Full Length Research Paper This paper assessed the effects of industrial unrest from the perspectives of a cross-section of fifty nurses and patients at the Korle-Bu Teaching Hospital (KBTH), Accra, Ghana in West Africa, spanning the period of 2004 to 2008. The deductive study was based on descriptive analyses of statistical data gathered from the data subjects, who were randomly selected. The study revealed that strikes by the nurses in Ghana sent signals to the international community about workersrsquo; unrest in Ghana and increased the national and household expenditure. It also revealed that when the nurses went on strike the health of the patients deteriorated which brought about reduction in the revenue generation of the economy of Ghana. The study recommended that to reduce the frequency of nurses industrial unrests and its impact on Ghana, the Government should take steps to reduce the high wage disparity among the health workers, educate the nurses on the repercussions of their strike actions on patients, put in place crises interventions committee at the hospitals and provide special rewards for the night services of nurses. Key words: Strike action, ADHA, KBTH Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/AFF8EBE772 en Copyright © 2011 Gerald Dapaah Gyamfi
oai:academicjournals.org:IJNM:1F7D75F782 2011-01-31T00:00:00Z AcademicJournals IJNM IJNM:2011
Helpless patients’ satisfaction with quality of nursing care in Federal tertiary hospitals, Enugu, Southeast, Nigeria Ehiemere Ijeoma O., Nwaneri Ada, Iheanacho Peace and Akpati V. Full Length Research Paper The satisfaction of patients with the care they receive from healthcare providers has become one of the most important approaches to the measurement of the quality of care in recent times as against the predominantly clinical and administrative approaches. This is because patientsrsquo; satisfaction could serve as index for compliance and non-compliance with care regimen. The study was to determine helpless patientsrsquo; satisfaction with quality of care received at tertiary hospitals in Enugu. A descriptive survey research design was used for the study. A total population of 105 helpless patients (those that need assistance with the activities of daily living) were studied. Tools for data collection were questionnaire and interview guide. Data were analyzed using descriptive statistics. Results showed that helpless patients were satisfied with physical and psychological care but satisfaction with spiritual care was marginal. Nurses seemed to lack skills for meeting spiritual needs of the patients. Patientsrsquo; satisfaction with nurses attitude was marginally positive. The study showed that there was need for improvement in the care nurses provide for helpless patients in the spiritual dimension. Opportunities for continuing education programme in spiritual care and in interpersonal relationship need to be addressed. Key words: Helpless patients, satisfaction, quality, nursing care, tertiary hospitals Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/1F7D75F782 en Copyright © 2011 Ehiemere Ijeoma O., Nwaneri Ada, Iheanacho Peace and Akpati V.
oai:academicjournals.org:IJNM:5DBCFD4870 2011-02-28T00:00:00Z AcademicJournals IJNM IJNM:2011
Irish staff nurses perceptions of clinical incident reporting Elizabeth Fitzgerald, Desmond Cawley and Neil J. Rowan Full Length Research Paper Clinical incident reporting identifies actual and potential risks to patient safety and then eliminates those risks through a system of procedural changes, policy enactment or changes in staff education. This constitutes the first study to explore perceptions of registered nursing staff towards efficacy of clinical incident reporting in Ireland since the launch of the national ldquo;STARSwebrdquo; incident reporting system in 2004. A survey of 210 nurses using open and closed questions was conducted across three separate acute hospitals in the Irish midlands region. While the majority of participants (90%) had submitted at least one clinical incident report, few received prompt feedback (12%) or prior appropriate training (30%) on this topic. A clear definition of what participants understood of the term ldquo;clinical incidentrdquo; was not evident. However, fear of repercussion or disciplinary action from management was not considered an issue in terms of barriers to reporting. However it is evident that further training in clinical incident reporting is required and modifications to reporting systems at governance level within hospitals are necessary in supporting staff in their work. When considering effective management of clinical incident reporting, managers should ensure that staff nurses receive appropriate feedback and promote the importance of this feedback to enhance clinical incident reporting. Key words: Incident reporting, near miss, risk management, adverse event, clinical, human error Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/5DBCFD4870 en Copyright © 2011 Elizabeth Fitzgerald, Desmond Cawley and Neil J. Rowan
oai:academicjournals.org:IJNM:6CC9C59887 2011-02-28T00:00:00Z AcademicJournals IJNM IJNM:2011
First time stroke survivors' perceptions of their health status and their goals for recovery Irene Hartigan, Elizabeth Orsquo;Connell Geraldine McCarthy and Denis O#;Mahony Full Length Research Paper Stroke is an intensely individual, complex and life changing experience. Stroke recovery has many dimensions, and perceptions of health status are thought to affect recovery. The purpose of this qualitative study was to describe patients#39; perceptions of their health status and their goals for recovery from early post stroke. Following ethical approval, semi structured interviews were conducted with patients (n=10) diagnosed with a first incident of stroke. Time following stroke onset ranged from 4 to 7 days. Gender difference was equal, and mean age of participants was 77 years. Participants considered themselves to be active and in excellent health prior to the stroke onset. All participants perceived that their health had declined since the stroke onset, but they were hopeful for the future. Two distinct themes emerged; quot;sudden fear and helplessnessquot; and quot;regaining control in lifequot;. Participants reported wanting to quickly return to doing everyday things and identified individual goals for recovery. The patients#39; experience should be considered early post stroke to provide a complete picture of their role in recovery. Participants believed that the greatest challenge would be testing themselves at home. This study reinforces the importance of engaging with patients early post stroke so that recovery goals are identified that help restore meaning through the re-establishment of previous activities. Patient goals for recovery need to be discussed and devised in conjunction with health care professionals. Key words: Stroke, health status, goals, recovery. Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/6CC9C59887 en Copyright © 2011 Irene Hartigan, Elizabeth Orsquo;Connell Geraldine McCarthy and Denis O#;Mahony
oai:academicjournals.org:IJNM:154DAFD809 2011-03-31T00:00:00Z AcademicJournals IJNM IJNM:2011
Maternal satisfaction with care during labour: A case study of the Mampong-Ashanti district hospital maternity unit in Ghana Dzomeku, M. V. Full Length Research Paper This study was conducted to assess the care and satisfaction of expectant mothers during labour, birth and lying-in period in Ghana. Purposive sampling was employed to recruit participants, based on the needs of the study and on predetermined variables. Participants were second or third time mothers, who were admitted in the first stage of labour with a cervical dilatation of not more than 5 cm. They were those who had returned there for their two weeks post natal visits, who had no history of neonatal loss and who had normal vaginal deliveries, excluding forceps deliveries and vacuum extractions. Eight individual interviews were conducted with volunteering respondents within 48 h after delivery. This was followed by two focus group discussions two weeks after delivery. The groups were made up of three and four volunteering respondents. Data were inductively examined using content analysis, the process of first level coding, pattern coding and memoing. The respondents were between the ages of 22 and 37; they had limited educational backgrounds with the exception of two who were graduates from the university and teachers training college, respectively. All participants had two or three previous pregnancies and for at least one of these pregnancies, they have had experiences in the Mampong maternity hospital. The majority (seven) of them gave birth within 2 h of coming to the hospital. Findings from this study have established that: (a) multiple factors influence mothersrsquo; satisfaction with their care in labour, birth and the lying in period; (b) maternal satisfaction during this period is determined mostly by the attitude of care givers; (c) dissatisfaction with care leads to non-usage of the hospital in future or using the hospital only as a last resort. It is recommended that (1) staffs of the hospital have frequent continuing education on communication and interpersonal relationship, (2) The code of ethics of the nursing profession should be strictly enforced, (3) Care givers need to fully understand the expectations that patient have for their care, and provide care that is consistent with those expectations. Key words: Maternal, mothers, satisfaction, care, labour Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/154DAFD809 en Copyright © 2011 Dzomeku, M. V.
oai:academicjournals.org:IJNM:2F4D652815 2011-03-31T00:00:00Z AcademicJournals IJNM IJNM:2011
Cultural competence outcomes assessment: A strategy and model Lori A. Escallier, Judith T. Fullerton and Barbara Ann M. Messina Full Length Research Paper The nursing profession has acknowledged its responsibility to prepare all practitioners to provide culturally respectful care to diverse patient populations. A culturally competent academic and clinical teaching milieu is a strategy for shaping clinical nursing expertise. It is a vital link between theory and practice. This article presents a replicable model of the process in which one U.S. University School of Nursing engaged to assess the cultural competence of the nursing curricula at both undergraduate and graduate levels, the cultural awareness of faculty and students, and the perceptions of clients about the degree of cultural sensitivity demonstrated by program graduates. Key words: Cultural competence, cultural sensitivity, nursing workforce diversity, strategic approach. Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/2F4D652815 en Copyright © 2011 Lori A. Escallier, Judith T. Fullerton and Barbara Ann M. Messina
oai:academicjournals.org:IJNM:8856E2A823 2011-04-30T00:00:00Z AcademicJournals IJNM IJNM:2011
Effect of treatment for labor pain: Verbal reports versus visual analogue scale scores - A prospective randomized study Lena Maring;rtensson and Ingrid Bergh Full Length Research Paper Assessing pain in relation to childbirth is one of the midwifersquo;s more important tasks. However, pain research shows that health care professionals often assess patientsrsquo; pain inaccurately. The Visual Analogue Scale (VAS) is one of the most used instruments for assessing pain and pain relief both in research and clinical practice. On the other hand, a patientrsquo;s verbal report is considered to be the single most reliable indicator of how much pain the patient is experiencing. The aim of this study was to compare womenrsquo;s verbally reported effect of treatment for labor pain with changes in VAS scores. This comparative prospective study was carrying out on a labor ward with approximately 2,500 deliveries annually in western part of Sweden. Women (n=122) at gestational week 37 to 42 with spontaneous onset of labor, requesting pain relief, were randomized to one of two treatments: acupuncture or sterile water injections. Pain was assessed on a VAS before as well as 30, 60, 90, 120, 150 and 180 min after treatment. Within two hours after delivery the women were asked to verbally report the effectiveness with the treatment. Main outcome measure was agreement between VAS scores and verbal reports. Non-parametric tests were used. All tests were two-tailed at the significance level plt; 0.05. The distribution of the VAS scores 30 min after administration of pain relief showed that the women verbally responding that treatment was ldquo;very effectiverdquo;, also rated their pain significantly lower (plt; 0.001) on the VAS, compared to the women verbally reporting otherwise. A moderate correlation (r = 0.56; plt; 0.001) was obtained between VAS-scored pain change after 30 min and verbally reported pain relief effect. The women who stated that treatment was ldquo;very effectiverdquo; also rated their pain significantly lower at 30, 60 and 90 min on the VAS, compared to baseline. This study confirms that verbal reports and changes in VAS scores are reliable indicators of treatment effect for labor pain. It might, however, be valuable to combine VAS scores with verbal reports for a more extensive assessment of treatment effect. Key word: Childbirth, pain, pain relief, verbal reports, visual analogue scale Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/8856E2A823 en Copyright © 2011 Lena Maring;rtensson and Ingrid Bergh
oai:academicjournals.org:IJNM:F45D67F828 2011-04-30T00:00:00Z AcademicJournals IJNM IJNM:2011
The psychometric assessment of the Nottingham health profile for menopausal women in Turkish society Muuml;ruuml;vvet Başer, Lale Taşkın and Bahar Guuml;ccedil;iz Doğan Full Length Research Paper The Nottingham health profile (NHP) is a measurement of 38 items that was designed for measuring quality of life. The present study was conducted in order to determine evaluation of validity and reliability of the NHP for menopausal women. Ninety one (91) women who were menopausal were included in the sample of the study. The comparison of total scores of NHP and the (Medical Outcomes Study) MOS 36 item short form Health survey - SF 36 was made to determine the accuracy of the NHP. The evaluation was carried out using test-retest-reliability analysis, and correlation analysis. The correlation between NHP and SF- 36 was as follows: the sensitivity was 78% and selectivity was 76%. The coefficient of test-retest-correlation of the measurement was 0.97.The NHP was found to be an above-average measurement for menopausal women. Results of the study showed that all the statements, subcategories and total scores and the Pearson Moment Multiplication Correlation Coefficient were satisfying. Key words: Menopause, quality of life, Nottingham health profile Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/F45D67F828 en Copyright © 2011 Muuml;ruuml;vvet Başer, Lale Taşkın and Bahar Guuml;ccedil;iz Doğan
oai:academicjournals.org:IJNM:88EF2A0841 2011-05-31T00:00:00Z AcademicJournals IJNM IJNM:2011
A randomized controlled trial comparing the physiological and directed pushing on the duration of the second stage of labor, the mode of delivery and Apgar score Freshteh Jahdi, Maryam Shahnazari, Maryam Kashanian, Mansoureh Ashghali Farahani and Hamid Haghani Full Length Research Paper In recent year, there has been an increased trend to the physiological approach to labor. Physiological (spontaneous) pushing in upright position is one of the practices that promote the normal physiological process. Effect of physiological pushing versus directed pushing on the duration of the second stage of labor, mode of birth and Apgar. A randomized controlled trial was completed on 191 women who gave birth at a maternity unit in Iran between August and December 2009. Randomization occurred upon confirmation of full dilatation of the cervix with using block randomization. In the intervention group (n = 100), with full dilatation of the cervix and a fetal head plus 1, the midwives providing care suggested they commenced pushing in upright position only when they felt the urge to do so and gave no specific instructions about the timing and duration of pushing. In the control group (n = 91), women were coached by the midwife to use closed-glottis pushing three to four times in supine position during each contraction immediately as the same period. Mean duration of the second stage of labor in the primiparous women was 47.38plusmn;36.75 and 57.12plusmn;33.10 min in the intervention and control groups, respectively; the difference was significant (p lt; 0.0001). In the multiparous, women in the second stage of labor lasted for 26.12plusmn;23.43 and 33.20plusmn;22.76 min in the intervention and control groups, respectively, which was significantly different (p lt; 0.0001). One woman in the control group and 2 mother in the intervention group undertook cesarean surgery (p = 1). Apgar scores were similar in both groups. Physiological pushing was not associated with demonstrable adverse outcome. It seems that this technique can reduce the duration of the second stage of labor and it can be a safe method during the second stage of labor without any harm for mother and baby. Key words: Spontaneous pushing, directed pushing, valsalva, second stage of labor Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/88EF2A0841 en Copyright © 2011 Freshteh Jahdi, Maryam Shahnazari, Maryam Kashanian, Mansoureh Ashghali Farahani and Hamid Haghani
oai:academicjournals.org:IJNM:5E76F14850 2011-05-31T00:00:00Z AcademicJournals IJNM IJNM:2011
The attitudes of women toward mode delivery after childbirth Asli Karakuş and Nevin Hotun Sahin Full Length Research Paper The aim of this study was to determine the attitudes of the women toward mode of delivery during postpartum period. The descriptive study was conducted in 600 puerpera women at a private hospital in Istanbul, Turkey. We collected data with ldquo;attitudes toward mode of deliveryrdquo; (ATMOD) form during face to face interview. The researchers prepared the ATMOD form according to the literature. The ATMOD was14 attitude statements. Participants answered statements as agree (1), or disagree (2). We evaluated data using the SPSS program. Average age was higher in cesarean deliveries (CD) than vaginal deliveries (VD). 28.1% of women had an elective CD; 71.8% stated that they would advise other potential mothers to opt for a CD; and 82.3% would choose CD in case of another delivery. In the study, womenrsquo;s overwhelmingly favored VD and regarded CD as an appropriate procedure for abnormal pregnancies. Nevertheless, it was found that participants opted for CD as they think it is easier and less painful. The prenatal training programs aim at assisting couples in choosing VD by attracting their attention on delivery and correct breathing and relaxation techniques and by helping them in feeling less pain. Key words: Attitudes, childbirth methods, cesarean delivery, prenatal training program, postpartum vaginal delivery, women Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/5E76F14850 en Copyright © 2011 Asli Karakuş and Nevin Hotun Sahin
oai:academicjournals.org:IJNM:2265799899 2011-06-30T00:00:00Z AcademicJournals IJNM IJNM:2011
Investigating an autonomous system in nursing Mohammad Reza Nami and Jila Saneipour Review The term E-nursing has been used to refer to the incorporation of ICT into nursing. Point-to-point connections using private networks are used by hospitals and clinics that deliver services directly or contract out specialty services to independent nursing service providers at ambulatory care sites. Radiology, mental health and even intensive care services are being provided under contract using Tele-nursing and telemedicine to deliver the services. An autonomous system manages complexity and improves the system complexity without interfering expert humans. The purpose of this paper is to present an autonomous virtual organization for e-nursing describing their characteristics, effects on quality factors, their building blocks architecture, and challenges. Key words: E-Nursing, collaborative networks, information and communication technology (ICT), virtual organization breeding environment (VBE), autonomic computing, self-managing systems Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/2265799899 en Copyright © 2011 Mohammad Reza Nami and Jila Saneipour
oai:academicjournals.org:IJNM:FE7F346907 2011-06-30T00:00:00Z AcademicJournals IJNM IJNM:2011
Experiences of expert midwives in a training program aimed at decreasing perineal tears Tiina Pirhonen RN, Mika Gissler, Tom Hartgill and Jouko Pirhonen Full Length Research Paper This descriptive study explored the roles and responsibilities of expert midwives involved in teaching staff from midwifery students to senior consultants/physicians. We have earlier conducted an intervention project, aimed at decreasing the number of anal sphincter tears. During this intervention a local core team of expert midwives was established. These experts continued the training of colleagues after the midwife instructor had fulfilled the active training period. Eighteen expert midwives from the four Norwegian hospitals which took part in this training program were recruited. To explore the views and experiences of these expert midwives, a questionnaire was completed, and the results were analyzed qualitatively. Before starting the program 24% of the midwives, working at the delivery ward were negative towards the supervision and project, while 46% were positive. One year after the programrsquo;s start 92% were positive.Negative feedback at the beginning of the intervention came mostly from the media and professional midwifery organizations. The expert midwives felt that doctors were the most challenging to teach. The response from pregnant women was ultimately positive.Eighteen well motivated midwives became highly appreciated experts after an intensive training program and deemed themselves better and more successful professionals than before. Key words: Delivery, anal sphincter rupture, prevention, qualitative research, interdisciplinary education. Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/FE7F346907 en Copyright © 2011 Tiina Pirhonen RN, Mika Gissler, Tom Hartgill and Jouko Pirhonen
oai:academicjournals.org:IJNM:D76D229920 2011-07-31T00:00:00Z AcademicJournals IJNM IJNM:2011
Helping patients in cataract peri- and post-surgery: A simple intervention addressing anxiety Maria Luisa Ramos , Margarida Gaspar de Matos , Caacute;tia Branquinho and Leonor Moniz Pereira Full Length Research Paper The aim of this study is to propose patients a psycho educational intervention before, during and after a stay in a hospital to undergo a cataract surgery, in order to meet their doubts and fears. The objective is to find if by lowering the anxiety state, the suffering would be reduced and the quality in the rehabilitation process would be fostered (Hesbeen, 1996). The design chosen was a RCT (Randomised Control Trial A group of 160 individuals was assigned randomly to one of the 2 conditions: 80 to the experimental/intervention condition following a specific care program aiming at lowering anxiety, and 80 to an ldquo;attention/routine carerdquo; condition. The sample consisted of individuals who had a mean age of 72, SD 10.33, ranging from 24 to 95 years old, and 63.1% were females. Anxiety state decreased significantly after surgery in both intervention and attention groups but more intensively in the intervention group. A regression model explained 80% of the anxiety state score after surgery. The most significant predictor of anxiety state score after surgery was ldquo;belonging to the intervention/experimental grouprdquo; (B = 0.712). These results confirm the claims that a simple, costless and almost timeless psycho educational procedure can decrease anxiety and improve patientsrsquo; experience of cataract surgery and recovery. Key words: Psycho educational interventions, hospital, cataract surgery, peri and post surgery anxiety Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/D76D229920 en Copyright © 2011 Maria Luisa Ramos , Margarida Gaspar de Matos , Caacute;tia Branquinho and Leonor Moniz Pereira
oai:academicjournals.org:IJNM:902246A924 2011-07-31T00:00:00Z AcademicJournals IJNM IJNM:2011
Mobility and quality of life in elderly and geriatric patients Anna Hudakova and Anna Hornakova Full Length Research Paper Quality of life in older people is significantly influenced by their mobilization. Using the statistical comparison of observed groups we found out that the mobilization of elderlyand geriatric patients improves their quality of life. We used nonparametric Mann -Whitney test as an evaluation method. To determine relations between variables weused the Spearman correlation coefficient. Geriatric patients have shown rates of mobility in the BREF questionnaire (item 15) and ADL test at the same level. Physical activity represents a significant attribute of mobility in seniors, which confirmed the results of foreign studies. Reduced mobility is a maximum barrier in hospitalized geriatric patients. The positive overall impact of physical activity was reflected in increased confidence of seniors in their own abilities. In nursing there must be a continuous mobilization of geriatric patients according to their degree of dependence. Key words: Mobility, quality of life, senior, geriatric patient, correlation, self-sufficiency Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/902246A924 en Copyright © 2011 Anna Hudakova and Anna Hornakova
oai:academicjournals.org:IJNM:7A78010942 2011-07-31T00:00:00Z AcademicJournals IJNM IJNM:2011
Relationship between backache and psychological and psychosocial job factors among the nurses Hamid Sharif Nia, Ali Akbar Haghdoost, Zahra Beheshti, Mohammad Ali Soleymani, Nasim Bahrami, Hamid Hojjati and Fatemeh Haji Hosseine Full Length Research Paper Quality of life in older people is significantly influenced by their mobilization. Using the statistical comparison of observed groups we found out that the mobilization of elderlyand geriatric patients improves their quality of life. We used nonparametric Mann -Whitney test as an evaluation method. To determine relations between variables weused the Spearman correlation coefficient. Geriatric patients have shown rates of mobility in the BREF questionnaire (item 15) and ADL test at the same level. Physical activity represents a significant attribute of mobility in seniors, which confirmed the results of foreign studies. Reduced mobility is a maximum barrier in hospitalized geriatric patients. The positive overall impact of physical activity was reflected in increased confidence of seniors in their own abilities. In nursing there must be a continuous mobilization of geriatric patients according to their degree of dependence. Key words: Mobility, quality of life, senior, geriatric patient, correlation, self-sufficiency Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/7A78010942 en Copyright © 2011 Hamid Sharif Nia, Ali Akbar Haghdoost, Zahra Beheshti, Mohammad Ali Soleymani, Nasim Bahrami, Hamid Hojjati and Fatemeh Haji Hosseine
oai:academicjournals.org:IJNM:BD01529954 2011-08-31T00:00:00Z AcademicJournals IJNM IJNM:2011
An appraisal of non-staff visitor involvement in bedside patient care in a specific hospital in the Midwest United States Huey-Ming Tzeng and Chang-Yi Yin Full Length Research Paper LA descriptive study was conducted to understand the prevalence of non-staff visitor presence in acute inpatient care settings. This paper also summarizes recent studies on the issues related to promoting efficient and effective care transitions and the recent movement of embracing family and non-family visitor involvement in patient care. This descriptive study was conducted in three inpatient care units of a Michigan hospital in April, 2007. A trained research assistant counted the number of visitors for each patient on two weekdays and two weekend days at three predetermined time points for each day. Descriptive analyses were used to answer the question of: What is the prevalence of visitor presence in a specific hospital in the Midwest United States? About 36% of the patients had at least one visitor present during their hospital stays. Among adult medical patients, about 22% of them had at least one visitor present. Among pediatric patients, about 59% of them had at least one visitor present during the hospital stays. A culture of non-staff visitor involvement in bedside care exists in the US hospital environment when a child is hospitalized, but this is not necessarily the case when an adult is hospitalized. Key words: Hospitals, safety, patients, family, professional-family relations, nursing care. Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/BD01529954 en Copyright © 2011 Huey-Ming Tzeng and Chang-Yi Yin
oai:academicjournals.org:IJNM:8E5A0BE961 2011-08-31T00:00:00Z AcademicJournals IJNM IJNM:2011
The effect of working conditions on the family, daily and social lives of the nurses employed at Çukurova University, Balcali Hospital Şenay Ccedil;ETİNKAYA Full Length Research Paper This study is performed in order to specify the working conditions and the issues of the nurses working in Adana City of Turkey at Ccedil;ukurova University Balcalı Hospital; and to examine the effects of these on their family, daily and social lives. This was a descriptive study applied by distributing the survey form on 15.02.2008 to 238 nurses, which was prepared by benefitting from the literature; and by asking them to fill in the form voluntarily and recollecting the forms back. 55.9% of the nurses are married, 45.4% have license degree, 37.4% have associate degree and the average age is 39.4plusmn;5. Their term of employment is 10.09plusmn;7.45. Nurses stated that standing on duty effected their family lives (62.6%), social lives (60.9%), daily lives (60.5%), and they had problems from the point of children (76.5%). The most common reasons of complaint from the nurses during their daily lives were determined as follows: very tiring (76.5%), promotion facilities are limited (50.4%), needs extreme attention (42.4%), the given responsibility does not match with the level of the authority (40.8%) and there is a conflict between the working life, family duties and responsibilities (36.1%). The marital status of the nurses and its effect on the daily life (plt;0.005) and on the social life (plt;0.005) were found meaningful. The working conditions of the nurses need to be improved. Advanced researches may be suggested in order to meet the expectations of the nurses they have before starting their professions. Key words: Family life, working on shift, occupational problems, nursing Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/8E5A0BE961 en Copyright © 2011 Şenay Ccedil;ETİNKAYA
oai:academicjournals.org:IJNM:38B9A57966 2011-08-31T00:00:00Z AcademicJournals IJNM IJNM:2011
Long term effects of professional breastfeeding support - An intervention Anette Ekstrouml;m, Kristin Guttke, Marika Lenz and Elisabeth Hertfelt Wahn Full Length Research Paper Professional support is important for women during pregnancy, but more research is needed to provide a better understanding of how this support affects the mother#39;s experience of support and breast-feeding behavior the first days after birth and its relation to the duration of breastfeeding. This study aims to evaluate the effects of a professional support during pregnancy in relation to mothersrsquo; perceived support at delivery and maternity ward, and on the number of breastfeeding sessions during the first three days after birth. These factors would be subsequently considered in relation to the duration of breastfeeding. Mothers in the Intervention Group (IG) and Control Group B (CGB) (November 2000 to April 2002) perceived significant better overall support, breastfeeding information and preparation for parenting from the professionals in the delivery and maternity wards compared with the Control Group A (CGA) (April to October 2000), (plt;0.001), (n = 540). The IG showed a higher frequency of breastfeeding sessions in the first 24 h compared with the mothers in the CGB (plt;0.008) and a positive correlation between preparation for the parental role and duration of exclusive breastfeeding (p = 0.006). Key words: Education, breastfeeding, support, mother, health professionals Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/38B9A57966 en Copyright © 2011 Anette Ekstrouml;m, Kristin Guttke, Marika Lenz and Elisabeth Hertfelt Wahn
oai:academicjournals.org:IJNM:4BBD60C981 2011-09-30T00:00:00Z AcademicJournals IJNM IJNM:2011
Task analysis: An evidence-based methodology for strengthening education and training of nurses and midwives in Liberia Annamma Udaya, Marion Subah, Mary Drake, Crystal Ng and Peter Johnson Full Length Research Paper Liberia suffers from high maternal, infant and child mortality. In response, the Ministry of Health and Social Welfare prioritized a basic package of health services in 2007. Ensuring health workers are competent to deliver these services is crucial for safe and effective health care. A task analysis survey of health workers was conducted to determine how often recently graduated health workers perform tasks from the basic package of health services, and whether training was received for these tasks either in school or on the job. The findings informed updates to the curricula, core competencies and job descriptions of these cadres to help ensure a competency-based education linked to readiness for an entry-level position. Sample findings in key tasks, such as antenatal care and integrated management of childhood illnesses, highlight the need for examining where these competencies are included in the educational preparation of nurses and midwives. This paper will focus on nurse and midwife cadres and describe the: 1) Implementation of the study in Liberia, 2) Key findings and analysis of select clinical tasks, and 3) Recommendations for improving and integrating educational programs. Key words: Competency-based education, core competencies, curricula, task analysis, nursing education, midwifery education Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/4BBD60C981 en Copyright © 2011 Annamma Udaya, Marion Subah, Mary Drake, Crystal Ng and Peter Johnson
oai:academicjournals.org:IJNM:EF75F80992 2011-09-30T00:00:00Z AcademicJournals IJNM IJNM:2011
The perceptions of visitors at acute care units in two private hospitals in Gauteng, South Africa regarding the image of nurses and nursing Alida van Tonder and Neltjie C. van Wyk Full Length Research Paper The aim of this study was to determine and describe the perception that visitors to acute care units have, regarding the image of nurses and nursing and to make appropriate recommendations to raise the profile of nurses and to encourage more respect for the profession. The publicrsquo;s image of nurses is tarnished by newspaper reports on poor patient care. A questionnaire was used to collect data from visitors of patients receiving acute care at two private hospitals in the Gauteng Province in South Africa. They were selected as a section of the public who were in contact with nurses and who were thus aware of what nurses do and the relationship between nurses and their patients, due to their family or friends being cared for by nurses. A convenience sample was used whereby the first 110 willing adults (18 years or older) who visited patients in two identified acute care units of two selected private hospitals in a specific week, during 16:00 and 20:00 h, were invited to participate in the study. The data was analyzed through descriptive statistics by means of a computerized statistical program and presented as frequency tables, pie diagrams, figures and percentages. The participants described a positive image of nurses and nursing. The results contradict the negative image of nurses as portrayed by the media. This could be due to the fact that, the media focuses only on newsworthy events in society, unfortunately in the majority of cases with a negative meaning. The results of the study, indicating a positive image of nurses and nursing by the public, could serve as a means to enhance the image of nurses by communicating it to the media. In the event of the media becoming aware of negative incidents, a cooperative agreement between the hospital and newspaper management should ensure that the true facts are being reflected in the reports. Key words: Publicrsquo;s perception of nursing, status of nurses, nursing profession Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/EF75F80992 en Copyright © 2011 Alida van Tonder and Neltjie C. van Wyk
oai:academicjournals.org:IJNM:FEE05561002 2011-09-30T00:00:00Z AcademicJournals IJNM IJNM:2011
The nuclear patient “risk or no risk” guidelines for haemodialysis Frank Kelly, Aidan Orsquo;Connor, Michelle McQuaid, Michael Casey and Alan Watson Full Length Research Paper Humans are all exposed to many different forms of radiation - radio waves, microwaves, ultraviolet, X-rays, etc. The form of radiation involved in Nuclear Medicine is called ionising radiation. This article will provide advice to haemodialysis staff that may have to carry out dialysis on patients who have received ionising radiation as part of a medical investigation. All patients who are referred to the Nuclear Medicine Department for imaging procedures are given an injection of a pharmaceutical preparation with a radioactive compound attached to it. The vast majority of the patients are studied using Technetium -99m as a radioactive tag but on occasions, compounds like Iodine -123 and Gallium- 67 are also used. The different radioactive materials have different physical decay rates. Following administration of the pharmaceutical agent, the patient is deemed ldquo;radioactiverdquo;. For this reason, unless it is clinically justified, haemodialysis should not be performed on patients in the 24 h period after a nuclear medicine injection. However, if haemodialysis is required, certain protocols must be carried out, because some risks are associated with the procedure. The main risks associated with these patients are external irradiation, internal contamination and fluid over load. Due to the short half-life of the radioactivity, these risks, in general, only warrant control in the 24 h period following the radioactive injection. Key words: Haemodialysis patients, radioactivity Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/FEE05561002 en Copyright © 2011 Frank Kelly, Aidan Orsquo;Connor, Michelle McQuaid, Michael Casey and Alan Watson
oai:academicjournals.org:IJNM:A9017AF1009 2011-09-30T00:00:00Z AcademicJournals IJNM IJNM:2011
Patients’ perceptions of quality nursing care in a Chinese hospital Shi H. Zhao and Thitinut Akkadechanunt Full Length Research Paper The purpose of this study is to explore patientsrsquo; perceptions of quality nursing care. Under the changing health care environment, more emphasis is placed on patient-cantered care. To meet patientsrsquo; needs and expectations, patientsrsquo; perceptions of quality nursing care must be given more concern 440 patients (purposive sample) in 18 inpatient nursing units in a China hospital were selected. The Perception of Quality Nursing Care Scale was distributed to ask about the quality of care as perceived by patients. Using descriptive statistics to analyze patientsrsquo; data. The overall mean score and each category mean score of quality nursing care as perceived by patients were at a high level. Patients perceived the highest score in category of progress of nursing process and the lowest mean score in preconditions for care. Patients perceived quality nursing care presented a challenge for nursing administrators to develop strategies for improving nursing care in those categories which patients perceived at a lower quality nursing care than the others, such as psychological support or the nursersquo;s sense of humor. Key words: Patientsrsquo; perceptions, nursing care, quality nursing Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/A9017AF1009 en Copyright © 2011 Shi H. Zhao and Thitinut Akkadechanunt
oai:academicjournals.org:IJNM:3974B881022 2011-09-30T00:00:00Z AcademicJournals IJNM IJNM:2011
Women living with obstetric fistula and nurses’ role in preventive measures Devkumari Shrestha Rai Full Length Research Paper Obstetric fistula is a devastating and preventable tragedy that primarily affects young, poor women who lack the means to access quality maternal care. Women living with fistula are constantly wet from the leaking of urine and often experience genital ulceration, infections and a humiliating odor. About 20% of women with fistula also develop unilateral or bilateral foot drop that limits their day-to-day activities. They are typically shunned by their partners, families and communities because they are considered unclean, and many live in nearly complete isolation. Without financial support, many women with fistula are forced to beg for their living, and they are especially vulnerable to malnutrition and violence. Key words: Women, living with, obstretic fistula, preventive measure Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/3974B881022 en Copyright © 2011 Devkumari Shrestha Rai
oai:academicjournals.org:IJNM:31F8FFA1036 2011-10-30T00:00:00Z AcademicJournals IJNM IJNM:2011
The relationship between thrombophilia and intrauterine growth restriction Fakhrolmolouk Yassaee, Parisa Taherzadeh and Ali Reza Abadi Full Length Research Paper Approximately 0.7 to 2% of the general population have thrombophilia, but it is estimated that intrauterine growth restriction (IUGR) is due to thrombophilia in 35% of cases. Although the role of thrombophilia in IUGR is not completely known but its destructive effect on placental vasculature is the pathophysiologic cause of defect in transfer of oxygen for fetal growth. The aim of the present study was to determine the role of thrombophilia in fetal growth. This was a case-control study with prospective enrollment. In this study, sera from 43 pregnant women with IUGR and 20 pregnant women with appropriate fetal growth as control were tested for thrombophilia polymorphism (protein S, protein C, factor V leiden, antithrombin III, homocystein, lupus anticoagulant Ab, Anti caradiolipin Ab). Data collection forms and SPSS software were used for analyses. Of 43 women with IUGR, 13(30.2%) and 1(5%) in the control group had positive results for thrombophilia (P=0. 027, OR=8.23). By using logistic regression test, there was significant relation between thrombophilia polymorphism and growth of femur length. We found correlation between the presence of thrombophilia factor and femur length, but in previous studies thrombophilia was correlated with fetal growth restriction and specific fetal biometry does not mention whether fetal index is under the influence of thrombophilia. Key words: Thrombophilia, pregnancy, intrauterine growth restriction Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/31F8FFA1036 en Copyright © 2011 Fakhrolmolouk Yassaee, Parisa Taherzadeh and Ali Reza Abadi
oai:academicjournals.org:IJNM:E2A281C1042 2011-10-30T00:00:00Z AcademicJournals IJNM IJNM:2011
Pre-screening counseling in cervical cancer prevention: Implications for nursing Chizoma Millicent Ndikom and Bola Abosede Ofi Full Length Research Paper Cervical cancer is the second most common cancer among women worldwide, with an estimated 529,409 new cases and 274,883 deaths in 2008, about 86% of the cases occur in developing countries, representing 13% of female cancers (IARC, GLOBOCAN, 2008). All sexually active women are at risk for the development of this disease and it is one of the leading causes of death for middle-aged women in the developing world. It is almost completely preventable, if precancerous lesions are identified and treated early (Carr and Sellors, 2004; Ayinde and Omigbodun, 2003). Uptake of screening services has remained low. Pre-screening counseling (PSC) could help increase compliance with screening schedule. Various studies identified ignorance/lack of knowledge, inappropriate/cultural beliefs about the illness; apprehension, etc., as barriers to utilization of screening services (Gharoro andIkeanyi, 2006; Mutyaba et al., 2007). Also, a positive correlation between Pap test awareness and utilization was reported by Gharoro and Ikeanyi (2006). Pre-screeningcounseling is very important in order to achieve the purpose of screening. counseling is a two way dialogue that enables a woman gain knowledge and improve her ability to make informed choice about type of screening procedure she will undertake, being fully aware of the risks and benefits of such. This was explained using the theory of planned behaviour. The nurse/midwife should be well versed in cervical cancer natural history, prevention and management in order to counsel effectively. She should also avail herself of every opprtunity to counsel and inform women about cervical cancer. Key words: Counseling, screening, cervical canccer, prevention, women Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/E2A281C1042 en Copyright © 2011 Chizoma Millicent Ndikom and Bola Abosede Ofi
oai:academicjournals.org:IJNM:5992CBF1057 2011-10-30T00:00:00Z AcademicJournals IJNM IJNM:2011
The effect of foot and hand massage on postoperative cardiac surgery pain Marziyeh Asadizaker, Alizaman Fathizadeh, Amanollah Haidari, Shahin Goharpai and Sedighe Fayzi Full Length Research Paper This study was conducted to determine the effects of foot and hand massage on postoperative pain and sedative drug use in cardiac surgery patients. One of the most important problems and complaint that have been experienced by patients who are influenced by surgery is the pain. Physiological responses to pain create harmful effects on the body recovery after cardiac surgery, and they routinely report mild to moderate pain even though sedative drugs have been administered. This study was a clinical trial performed in the intensive care cardiac unit (ICCU) and cardiac surgery ward of Gollestan hospital, dependent on Jondishapour University of Medical Sciences in Ahwaz city, Iran. Sixty-five patients were selected based on aim and randomly assigned to either control (n = 33) or massage group (n = 32). The massage group received a 20 min foot and hand massage (each extremity 5 min) and control group rested in bed and researcher was near them for 20 min. Pain intensity measured by visual analogue scale and other variables were measured by check list before and after intervention in two groups. There was statistically significant difference on the pain intensity and type, and amount of sedative drug used between the two groups after intervention (massage) (p-value = 0.000). According to the obtained findings, first and second hypothesis were approved, and the pain was reduced by hand and foot massage. Our study supports the effectiveness of massage in postoperative cardiac surgical pain. Key words: Foot and hand massage, cardiac surgery, pain Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/5992CBF1057 en Copyright © 2011 Marziyeh Asadizaker, Alizaman Fathizadeh, Amanollah Haidari, Shahin Goharpai and Sedighe Fayzi
oai:academicjournals.org:IJNM:80F31531081 2011-11-30T00:00:00Z AcademicJournals IJNM IJNM:2011
An appraisal of non-staff visitor involvement in bedside patient care in a specific hospital in the Midwest United States Huey-Ming Tzeng and Chang-Yi Yin M. A. Full Length Research Paper A descriptive study was conducted to understand the prevalence of non-staff visitor presence in acute inpatient care settings. This paper also summarizes recent studies on the issues related to promoting efficient and effective care transitions and the recent movement of embracing family and non-family visitor involvement in patient care. This descriptive study was conducted in three inpatient care units of a Michigan hospital in April, 2007. A trained research assistant counted the number of visitors for each patient on two weekdays and two weekend days at three predetermined time points for each day. Descriptive analyses were used to answer the question of: What is the prevalence of visitor presence in a specific hospital in the Midwest United States? About 36% of the patients had at least one visitor present during their hospital stays. Among adult medical patients, about 22% of them had at least one visitor present. Among pediatric patients, about 59% of them had at least one visitor present during the hospital stays. A culture of non-staff visitor involvement in bedside care exists in the US hospital environment when a child is hospitalized, but this is not necessarily the case when an adult is hospitalized. Key words: Hospitals, safety, patients, family, professional-family relations, nursing care Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/80F31531081 en Copyright © 2011 Huey-Ming Tzeng and Chang-Yi Yin M. A.
oai:academicjournals.org:IJNM:94B1B651097 2011-11-30T00:00:00Z AcademicJournals IJNM IJNM:2011
Evaluation of the fallopian tubes in infertile women by hysterosalpingography in Tikur Anbessa Hospital, Addis Ababa, Ethiopia Daniel Admassie and Yewebdar Negatuy Full Length Research Paper Infertility is a common public health problem especially in sub-Saharan Africa. Hysterosalpingography (HSG) has for many years been employed in the evaluation of infertility for assessment of tubal patency and tubal or intrauterine lesions. The objective of this paper is to evaluate the structural abnormality of the fallopian tubes in infertile women with hysterosalpingography in Tikur Anbessa Hospital (TAH). Retrospective analysis of clinical records of 331 women with infertility problem who underwent HSG in TAH from March 1, 2003 to March 31, 2006 was done. Infertility unit in the Obstetrics and Gynecology Department in collaboration with Radiology Department compiled the data. Primary infertility is more common (60%) than secondary infertility (40%). Tubal pathologies accounted for 261 (78.9%) of the total sample. The age group of 23 to 27 years and 33 to 37 years accounted for the majority of cases of primary and secondary infertility respectively. Tubal pathology accounted for 78.9% of infertility in this study. HSG should continue serving as a valuable means of investigation (imaging modality) in infertile women of reproductive age group related to tubal pathology. Key words: Infertility, hysterosalpingography, tubal pathologies Academic Journals 2011 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/94B1B651097 en Copyright © 2011 Daniel Admassie and Yewebdar Negatuy
oai:academicjournals.org:IJNM:C1AD6C5762 2012-01-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Breast self examination among female undergraduates in Enugu, Southeast, Nigeria. Okolie, Uchenna Virginia Full Length Research Paper This study was a cross sectional descriptive survey that assessed the knowledge, attitude and practice of breast self examination (BSE) among university female nursing undergraduates. It also identified the factors that affected their practice of BSE. The total population of the female students (200) was used. The instrument used for data collection was the questionnaire and descriptive statistics were used to summarize the data. Fifty-eight percent of the respondents were between the ages of 21-25 years, 29% between 16-20 years while only 13% were NI between 26-30 years. Majority of them were Christians and single (88 and 85% respectively.[N2] Majority of the respondents had good knowledge of breast cancer and BSE as 84% knew that it has familial tendencies and 77% knew it can be caused by oral contraceptives. They also knew the symptoms such as discharge from the nipple (92%), change in the skin of the breast (80%), pain in the breast (80%) and swelling in the breast (68%). Majority (90%) knew about mammography and BSE (90%) as detection methods. Majority of the respondents (95%) knew how to do BSE, while 5% did not know how to do BSE. The respondents had a positive attitude towards BSE (Overall Mean ge; 2.5). Most of the respondents (32%) affirmed that they examine their breasts after menstruation and (68%) anytime they felt like. Respondents identified forgetfulness, procrastination, laziness, lack of time, fear of discovering a lump, no trust in their practice ability as factors affecting their practice of BSE. Key words: Breast cancer, breast self examination, knowledge, Practice, female nursing undergraduates Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/C1AD6C5762 en Copyright © 2012 Okolie, Uchenna Virginia
oai:academicjournals.org:IJNM:5498A11776 2012-01-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Evaluation of the Mother-to-Infant relation and feeling scale: Interviews with first-time mothers’ for feelings and relation to their baby three days after birth Thorstensson, Stina , Hertfelt Wahn, Elisabeth , Ekstrouml;m, Anette , and Langius-Eklouml;f, Ann , Full Length Research Paper Mothersrsquo; perception of their relationship with their baby might affect sensitive parenting. This study aimed to explore first time mothersrsquo; feelings for and their relation to the baby associated with how they responded to the ldquo;mother to infant relation and feelings (MIRF) scalerdquo; as a step in the validation process of the scale. Interviews with ten first-time mothers, three days after birth, were performed, using open questions followed by questions directly from the MIRF scale items. An inductive and deductive approach inspired by the ldquo;Think aloudrdquo; method guided the study. Results describe main category; New mothers bewilderment and anticipation which contained four categories; Natural and great but mixed, Maternal instinct and kinship, Ability and expectations and Not yet for real. When mothers responded to MIRF scale items they describe talking to their baby which they did not in their open answers. Answering the MIRF scale helped mothers in differentiating between their own mixed feelings of becoming mothers and their relation to and feelings for the baby. The MIRF scale appears valid in reflecting important aspects of mothersrsquo; feelings for and relation to their baby. The MIRF scale could be used in research and when evaluating care routines as well as in dialogue with new mothers to support mother-to-infant interactions. Key words: Maternal feeling assessment, becoming a mother, motherhood, childbirth, professional support, validity. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/5498A11776 en Copyright © 2012 Thorstensson, Stina , Hertfelt Wahn, Elisabeth , Ekstrouml;m, Anette , and Langius-Eklouml;f, Ann ,
oai:academicjournals.org:IJNM:CDA77B0790 2012-03-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Impacts of virulence factors of Streptococcus mutans isolates on the pathogenesis of acute vaginitis Mohammed Sh. Jebur Full Length Research Paper Streptococcus mutans, known to be an etiologic agent of dental caries, also causes infective endocarditis. Adherence of these bacteria results from the interaction of adhesions that form part of their structure with salivary components (or other bodyrsquo;s fluids), specifically those that compose the acquired pellicle. In the present study, acute vaginitis samples (vaginal swabs) were investigated from pregnant women patients who were admitted to many hospitals and maternal care centres in Baghdad city of Iraq. Ages of the women ranged from 20 to 30 years (only married women), while all samples were collected during March to July 2009. One hundred and fifty vaginal swabs were collected and cultured on blood agar plate, nutrient agar plates, chocolate agar plates and MacConkey agar plates, then incubated aerobically and anaerobically for 24 h at 37deg;C. Bacterial diagnosis were done according to macroscopic, microscopic and biochemical tests. The results of recent study showed that the prevalence of bacterial acute vaginitis of pregnant women indicated 18 (12%) as positive cases, while no growth was seen in the rest vaginal swabs (132, 88%). Results of bacterial isolation and identification showed that out of 18 isolates, only 8 (44.4%) isolates were diagnosed as S. mutans while other isolates were distributed to Staphylococcus epidermidis (8, 44.4%) isolates, Staphylococcus aureus (6, 33.3%) isolates, and 5 (27.7%) isolates each for Streptococcus agalactiae, Streptococcus salivaris and Proteus spp. Results of blood hemolysis of S. mutans isolates as virulence factors showed that only two isolates (25%) have the ability to produce hemolycin enzyme, and noticed that four isolates (50%) of S.. mutans were had the ability to produce extracellular protease enzyme on Mg media. Results of antibiotics profile resistance of S. mutans isolates showed that all isolates (100%) were resistant to ampicillin and amoxcillin, whereas seven isolates had also shown resistance in a lesser degree (87.5%) to tetracycline and gentamycin and to cefotaxime (75%) and ciprofloxacin and to erythromycin (62.5%) while all isolates showed high sensitivity (100%) to amoxiclave, doxicyclin and ampiclox antibiotics. S. mutans isolates showed moderate prevalence in the distribution of pathogenic microorganism of acute vaginitis. These isolates had 25% ability of blood hemolysis, and 50% ability to produce protease enzyme. S. mutans vaginal isolates appeared highly (100%) sensitive to amoxiclave, doxicyclin and ampiclox antibiotics, but it had 100% resistance to synthetic penicillin (ampicillin and amoxcillin) and there were different susceptibility to the rest antibiotics used in the study. Key words: Streptococcus mutans, virulence factors, antibiotics susceptibility. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/CDA77B0790 en Copyright © 2012 Mohammed Sh. Jebur
oai:academicjournals.org:IJNM:B902859802 2012-03-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Awareness on HIV/AIDS and prevention of mother to child transmission of HIV/AIDS among stake holders and people living with HIV/AIDS in Dharan municipality, Sunsari, Nepal Nirmala Pokharel, Mangala Shrestha and Sami Lama Full Length Research Paper PMTCT (prevention of mother to child transmission) is a commonly used term for an intervention programme designed to reduce the risk of mother to child transmission of HIV. In 2008, there were more than 40 million people living with HIV/AIDS worldwide out of which, 2.5 million were children under 15 years old. Mother to child transmission is the largest source of HIV infections in Nepal. Out of the estimated 900,000 annual pregnancies, 1,800 pregnancies are estimated to occur in HIV positive woman (0.2% HIV prevalence) leading to as annual cohort of about 450 to 810 infected new born. Creating awareness about PMTCT services among stake holders and people living with HIV/AIDS is helpful in initiating and communicating the information about PMTCT services to the pregnant women. The objective of this study is to assess the awareness of stake holders and PLWHA regarding prevention of mother to child transmission of HIV/AIDS. Cross sectional study was done including 100 stake holders and 50 people living with HIV/AIDS of attending Dharan municipality and Dharan positive centre respectively. Semi structure questionnaire was used to assess the awareness. The study findings show that 61% of the stake holders and PLWHA had inadequate knowledge on HIV/AIDS and PMTCT, only few pregnant women referring by stakeholder and people living with HIV/AIDS for utilization of PMTCT services. Age and religion are associated with overall knowledge of HIV/AIDS and PMTCT, where p value is 0.024, 0.012, respectively. Education, family size and training are not associated with overall knowledge of HIV/AIDS and PMTCT. In General, inadequate knowledge was found 61% of the respondents. Thus it is important that need to conduct more awareness programme among different stake holders will be worthwhile, as they directly and indirectly contact with pregnant women and can inform and motivate them to utilize these services. Key words: Awareness, HIV/AIDS, prevention of mother to child transmission (PMTCT), stakeholders/PLWHA. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/B902859802 en Copyright © 2012 Nirmala Pokharel, Mangala Shrestha and Sami Lama
oai:academicjournals.org:IJNM:D0C5A53818 2012-04-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Quality assurance package for health care in Nigeria: The case of Akwa Ibom State Maria Michael Ikorok, Idongesit Ibanga Akapbio and Lucas O. Ogunjimi Full Length Research Paper Persistent poor health care quality attributable to non-responsive alien models necessitated this study to develop quality assurance package (QAP) for health care in Nigeria with focus on Akwa Ibom State. Quality assurance index (QAI) was the instrument for data collection. A multi-stage random sample of 340 respondents was drawn from 840 health managers in primary health care settings in the state. The research and development (Ramp;D) survey designed was used to develop the package through progressive steps such as: (a) Exploration and establishment of need for the package through library search; (b) determination of the elements (contents) for quality assurance; (c) preliminary validation of the elements; (d) empirical validation of the contents to determine the suitability; and (e) integral feedback mechanism. From the findings of the study, suitable elements for quality assurance identified were: the philosophy {(care should be at minimal risk to client (84.9%), care of benefit to client (79.5%), health worker should aim at best result as they demonstrate moral sense of duty (73.6%); workers should strive for best results (62.4%)}; objectives (giving consumers adequate information in tandem with local needs and exigencies (80.4%), continuous care innovations (67.6%), and safeguarding consumersrsquo; satisfaction (76.6%); and measures for quality assurance (continuous education for health workers (87.2%), licensing all health care givers (83.5%), close supervision (79.8%), minimizing unjustified geo-variation of care (85.3%), reducing access barrier (79.4%), among others). The package was recommended for adoption for health care administration in the country. Keywords: Ikorok, healthcare quality assurance parameters. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/D0C5A53818 en Copyright © 2012 Maria Michael Ikorok, Idongesit Ibanga Akapbio and Lucas O. Ogunjimi
oai:academicjournals.org:IJNM:457586D844 2012-04-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Curbing maternal and child mortality: The Nigerian experience Ogunjimi Lucas Olusegun, Ibe, Rosemary Thomas and Ikorok Maria Micheal Full Length Research Paper The paper examined the unacceptable high maternal and child mortality in Africa using Nigeria as a case study. Place and duration of study were the Department of Human Kinetics and Health Education, University of Calabar, and Department of Public Health Nursing, College of Health Technology, Calabar, Nigeria, between February, 2010 and April, 2011. The opportunity created by the presence of over 300 Nurses at the 2010 October 3rd to 8th, 8th African Regional Conference organised by Nurses Christian Fellowship International (NCFI) in Ghana, was utilized to extensively compare notes and discuss salient issues contained in our reviewed work. Existing research works in prints and electronic among others were used in the search and collation of facts and figures contained in the study. Theme of the conference was: Reforming Nursing and Midwifery Care in Africa. Nigeria is the most populous Black Nation and has the maternal mortality rate of 280 to 1150 per 100,000 live births (Onwumere, 2010). Maternal and child mortality is closely linked to poverty with malnutrition as an underlying contributor in over half of these deaths. Factors associated with these problems include, poor socio-economic development, weak health care system and low socio-cultural barriers to care utilization (Ibeh, 2008). The persistent high rate of maternal and child mortality in the country negates the achievement of the 4th and 5th Millennium Development Goals (MDGs). Nigeria, which constitutes just 1% of the worldrsquo;s population, accounts for 10% of the worldrsquo;s maternal and under-5 mortality rates. Factors associated with these problems include, poor socio-economic development, weak health care system and low socio-cultural barriers to care utilization. Key interventions identified for curbing these problems include, care during pregnancy, birth and post partum supports in addition to approved child survival intervention. Keywords: Curbing, maternal, child, mortality, Nigerian experience. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/457586D844 en Copyright © 2012 Ogunjimi Lucas Olusegun, Ibe, Rosemary Thomas and Ikorok Maria Micheal
oai:academicjournals.org:IJNM:32B2489865 2012-04-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Low birth weight knowledge among postnatal mothers in a resource restricted urban setting in Zimbabwe Helen Vupenyu Gundani and Jesca Mutowo Full Length Research Paper This study aimed to establish the knowledge of postnatal mothers about low birth weight (LBW) in a resource restricted urban setting. A non-experimental descriptive study was conducted using a systematic sampling method to select fifty mothers aged between 15 and 41 years with babies below five years born with LBW of below 2500 grams. The women were selected as they sought health care at Mabvuku Satellite Clinic in Harare, the capital city of Zimbabwe. Data were collected using an investigator- administered interview guide that also included three open-ended questions. Data were analyzed and presented using descriptive statistics in the form of frequencies, percentages and tables. The major finding was that all participants had inadequate knowledge about LBW. Their total score was below 50% with a mean of 1.56% which, on the scale of ldquo;adequate knowledgerdquo; score levels defined by Nachega et al. (2005) was well below the 75% plus accepted score for adequate knowledge. Additionally, findings showed that all the participants did not remember any information they received on LBW during pre/ postnatal care. Eighty percent of the participants stated that nurses did not talk about LBW. To increase knowledge on LBW, we advocate that a manual on topics to be covered during pre/postnatal care be developed and that both young men and women, pregnant and not, be educated on factors associated with LBW by health care providers. Keywords: Low birth weight, resource restricted setting, weight in grams, poor socio-economic factors, pre/postnatal. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/32B2489865 en Copyright © 2012 Helen Vupenyu Gundani and Jesca Mutowo
oai:academicjournals.org:IJNM:6827D6D895 2012-05-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Midwifery students’ willingness to provide manual vacuum aspiration in Ghana Sarah Rominski, Emmanuel Nakua, Peter Ageyi-Baffour, Mawuli Gyakobo and Jody R. Lori Full Length Research Paper Abortion remains one of the leading causes of maternal mortality in the developing world. Midwives are more likely to provide services to more than half of the worldrsquo;s population residing in rural areas than other healthcare providers. When properly trained, midwives are able to safely provide manual vacuum aspiration (MVA). As part of a larger study, final-year midwifery students took part in a computer-based survey and were asked about the training and education they received related to MVA. 93 students completed the survey questions related to MVA. 60.2% reported that they are either ldquo;very likelyrdquo; or ldquo;likelyrdquo; to provide this service once they graduate. Only 5 students indicated they had an opportunity to practice the skill during their training. The most common reason for answering ldquo;definitely will notrdquo; provide MVA was religious beliefs. In Ghana, midwifery students are being taught manual vacuum aspiration, although they are not being given adequate opportunity for supervised experiences. This raises the issue of how well prepared they are to provide this service following graduation. To address the continuing problem of unsafe abortion, midwifery training colleges in Ghana should establish a mechanism to expose students to additional simulation and clinical experiences. Keywords: Midwifery, Ghana, Africa, abortion, maternal health. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/6827D6D895 en Copyright © 2012 Sarah Rominski, Emmanuel Nakua, Peter Ageyi-Baffour, Mawuli Gyakobo and Jody R. Lori
oai:academicjournals.org:IJNM:A96FB30902 2012-05-30T00:00:00Z AcademicJournals IJNM IJNM:2012
A comparative study of mental health services in two African countries: South Africa and Nigeria Jack-Ide I. O., Uys L. R. and Middleton L. E. Full Length Research Paper Mental health services in South Africa and Nigeria were compared using the reports of World Health Organization Assessment Instrument for Mental Health Systems (WHO-AIMS) of both countries. WHO-AIMS assessment reveals the extent of implementation and provision of mental health care services. South Africa has made considerable progress with restructuring its mental health care system that provides mental health care at the community level. Nigeria, in spite of adopting mental health care as part of its primary health care services and having a strong academic history in psychiatry, does not provide services in rural communities. It is important for Nigeria that mental health care nurses become advocates for mental health policy reforms to improve access, and that countries with similar challenges learn from each other about providing care for people who cannot care for themselves, namely, the mentally challenged. Keywords: Advocacy, integrated care, mental health policy, mental health services, primary health care. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/A96FB30902 en Copyright © 2012 Jack-Ide I. O., Uys L. R. and Middleton L. E.
oai:academicjournals.org:IJNM:986BE8E986 2012-11-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Global warming: Implications for nursing Ojewale, Lucia Yetunde and Oyetunde, Modupe Olusola Full Length Research Paper The environment plays a significant part in human development, human health and diseases. Over the years, the environment has been progressively harsh, due to global warming (GW). The increase in the production of green house gases has resulted in enhanced greenhouse effect which has also resulted in changing epidemiological pattern of diseases. Nursing, being a responsive profession is not Immuned to the effects of global warming. This paper attempts an exploration of effects of global warming with a view of elucidating its implications for nursing. The concept of global warming was reviewed, various climatic changes were presented and the implications for nursing were brought to the fore. Nursing curricula should therefore be tailored and expanded to accommodate the various changes that occur as a result of global warming. Nurses are enjoined to be more proactive in the management of the increasing natural disasters and outbreak of communicable diseases. Key words: Global warming, greenhouse effects, disease-pattern, vulnerable group, nursing. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/986BE8E986 en Copyright © 2012 Ojewale, Lucia Yetunde and Oyetunde, Modupe Olusola
oai:academicjournals.org:IJNM:D3935201014 2012-11-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Maternal seafood consumption in highly educated women is reduced in pregnancy: A pilot study Marian K. Malde, Anita R. Alvheim, Linn Anne B. Brunborg and Ingvild E. Graff Full Length Research Paper Oily fish is a unique natural source to vitamin D and marine n-3 fatty acids. The aim of the present study was to investigate from where pregnant women get dietary advices and whether they eat seafood during pregnancy or not. A self-selected convenience sample (n = 43) of highly educated women responded to a self-administrated web based questionnaire. The women reduced their intake of both lean (p lt; 0.013) and oily (p lt; 0.003) fish during pregnancy, indicating that the women were not fully aware of the beneficial effects of seafood intake during pregnancy. Key words: Marine n-3 fatty acids, polyunsaturated fatty acids (PUFA), vitamin D, recommendations, omega-3 fatty acids, pregnant, seafood. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/D3935201014 en Copyright © 2012 Marian K. Malde, Anita R. Alvheim, Linn Anne B. Brunborg and Ingvild E. Graff
oai:academicjournals.org:IJNM:C4335BB1030 2012-12-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Reforms in higher nursing education in High Medical School of Bitola by Bologna declaration Elizabeta Popova-Ramova and Anastasika Poposka Full Length Research Paper Nursing education in Europe and North America was reviewed, together with European Commission directives and regulations and pertinent World Health Organization documents. The new practical models for education are preferred. The aim of our research is to analyze the effect of education of nurses with faculty degree using one actual health activity. A total of 65 students in their third year of theoretical and practical courses were included. We made the evaluation before and after two months of the education. The analyses of the responses in the questionnaire showed a significant increase of the theoretical (plt;0.05) and practical knowledge (plt;0.01). In order to evaluate the effectiveness of the education, it is necessary to choose an educational model that will offer reflexive information from the students. Choosing current medical topic and following the standards of prevention in treatment is one important segment of the health system in every country. Key words: Education model, nursing practice, medical standards. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/C4335BB1030 en Copyright © 2012 Elizabeta Popova-Ramova and Anastasika Poposka
oai:academicjournals.org:IJNM:522AE781059 2012-12-30T00:00:00Z AcademicJournals IJNM IJNM:2012
Preterm twins cardio-respiratory, thermal and maternal breast temperature responses to shared kangaroo care Amel M. Abouelfettoh and Susan M. Ludington-Hoe Full Length Research Paper Kangaroo Care (KC) is practiced in Neonatal intensive care unit (NICU) rather frequently but predominantly with mothers of single infant. Mothers of twins often expressed a desire to do KC with their twins. Simultaneously holding both twins is called Shared Kangaroo Care (SKC). Two previous case studies of SKC could be found and have encouraged the practice of SKC prior to sufficient evidence of acceptable cardiorespiratory and thermal responses. The current study describes the effects of SKC on preterm twinsrsquo; cardio-respiratory and thermal responses to SKC and test the correlation between infantrsquo;s skin temperature and maternal breast temperature. Five triads were recruited. Thus, data from 10 infants and five mothers (5 triads) were collected. Infant Heart rate (HR), Respiratory rate (RR), infant oxygen saturation level (SaO2), skin temperature and maternal right and left breast temperature were recorded every 30 s during a 5 min baseline (incubator) and during SKC holding period. Majority of infants tolerated SKC well. The Shared KC means for each vital sign did not appear to be clinically different than those obtained during baseline when infants were in separate incubators. The majority of breasts increased their temperature over the course of SKC. Maternal breast temperature means were positively, highly, and significantly correlated to infant skin temperature means during SKC. Further studies with a larger sample and controlled design are merited. Key words: Twin, kangaroo care, cardio-respiratory, breast temperature. Academic Journals 2012 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/522AE781059 en Copyright © 2012 Amel M. Abouelfettoh and Susan M. Ludington-Hoe
oai:academicjournals.org:IJNM:19CFF63921 2013-01-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Analyzing the brunt trouble of information and communication technologies in the delivery of reproductive health care service in health centers of Shirvan, North Khorasan, Iran Kazemzadeh Mohammad Reza and Esmaeilzadeh Mahdi Full Length Research Paper This study analyzed the potential impact of information and communication technologies (ICTs) in the delivery of reproductive health care services. Twelve health establishments located in the districts under the coverage of the micro-Telco were selected. Of the twelve establishments, only ten were found open at the time of the visit. A total of 15 surveys were personally administered by the author. A questionnaire was designed to identify the reproductive health information needs of health center workers and how ICT could help to satisfy those needs. The analysis of questionnaire data was conducted using the MINITAB v14.2 statistical software application. The results showed that although health center workers believe that the use of ICTs would allow them to have better access to health information and therefore, improve the quality of the health care provided, they fail to see how ICTs could satisfy most urgent needs such as lack of qualified personnel and medical equipment. This study was undertaken to assess the current health information needs of health facilities in the area of reproductive health care; however, similar analyses can be conducted to assess more general health care needs. Key words: Information and communication technologies (ICTs), reproductive health care, Shirvan. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/19CFF63921 http://dx.doi.org/10.5897/IJNM11.043 en Copyright © 2013 Kazemzadeh Mohammad Reza and Esmaeilzadeh Mahdi
oai:academicjournals.org:IJNM:46D8904872 2013-01-31T00:00:00Z AcademicJournals IJNM IJNM:2013
Just and sustainable global nurse-midwifery clinical education exchanges: Lessons learned Terri Patrice Clark Review The severe shortage of skilled maternity care providers in countries with low resources results in a staggering number of maternal and newborn deaths annually. University nursing and nurse-midwifery programs are especially well-equipped to participate in multi-lateral and bi-lateral education collaborations to address this shortage. This paper presents a perspective on how universities in well-resourced settings especially can share their education capacity with globally distant institutions with chronic unmet needs for well-prepared nurse faculty and skilled midwifery professionals. Start-up administrative, operational and initial site visit considerations were described. Best practices for academic programs and accreditation requirements were reviewed, as well as recommendations for selecting students who are likely to be successful participants. Guides to program success are promoted such as cultural humility, mutual respect, courtesy, and close attention to health, safety, and emotional balance. Key words: Global midwifery, education collaboration, ethics, best practices, education system strengthening. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/46D8904872 http://dx.doi.org/10.5897/IJNM11.018 en Copyright © 2013 Terri Patrice Clark
oai:academicjournals.org:IJNM:8C859081115 2013-03-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Nursing education in Africa: South Africa, Nigeria, and Ethiopia experiences Bethabile Lovely Dolamo and Simeon Keyada Olubiyi Full Length Research Paper This paper studies the development of nursing education in Africa and it is limited to three countries namely, South Africa, Nigeria and Ethiopia. Two cardinal periods are covered which are, colonial and post colonial. But Ethiopia is the only African country that has technically, never been colonised as it successfully repulsed Italyrsquo;s attempt at occupying it. The reason for this study is to assist modern states in Africa to learn from the past in order to make good decisions for the present as they build a future that will make nursing education a key and crucial partner in the management of health services, including attainment of some of the millennium development goals. Recommendations for the future of nursing education are made as well as important conclusions and findings. Key words: Africa, cadres, colonial, nursing education, professional progression. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/8C859081115 http://dx.doi.org/10.5897/IJNM11.029 en Copyright © 2013 Bethabile Lovely Dolamo and Simeon Keyada Olubiyi
oai:academicjournals.org:IJNM:C4E963F1152 2013-03-30T00:00:00Z AcademicJournals IJNM IJNM:2013
The attitudes of student nurses toward clinical work Dorothy Awuah-Peasah, Linda Akuamoah Sarfo and Florence Asamoah Full Length Research Paper Clinical work in nursing education is an important component of the nursing curriculum aimed at actively engaging student nurses with the necessary skills needed for the nursing profession. The attitude of nursing students toward clinical work is becoming a topic of interest for nursing researchers. The objectives of the study were to determine the perspective of practicing nurses on studentsrsquo; attitude toward clinical work. Structured and semi-structured questionnaires were administered to determine the attitude of nursing students towards clinical work from the perspective of 100 practicing nurses from Agogo Presbyterian Hospital. The results indicated that 63% of the respondents said nursing students reported late to work, 60% reported that students were absent from clinical work without seeking permission, and 64% reported they used mobile phones during clinical working hours. In addition, 41% of the respondents stated that the nursing students did not show commitment to clinical work. Also, the attitude portrayed by students had an influence on the way the medical and nursing staffs related to them. It is recommended that students should receive in-service training before going to the clinical area, so that they are aware of what is expected of them during clinical placement. Also, systems should be put in place to ensure that nursing students do not use mobile phones in the clinical environment. There should be preceptors in the ward to monitor and mentor student nurses. The nursing schools should periodically follow-up with practicing nurses, to assess the behaviors and attitudes of the nursing students. Key words: Student nursersquo;s attitude, clinical work, nursersquo;s perception. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/C4E963F1152 http://dx.doi.org/10.5897/IJNM12.017 en Copyright © 2013 Dorothy Awuah-Peasah, Linda Akuamoah Sarfo and Florence Asamoah
oai:academicjournals.org:IJNM:34B64181172 2013-04-30T00:00:00Z AcademicJournals IJNM IJNM:2013
The prevalence, management and outcome of primary postpartum haemorrhage in selected health care facilities in Nigeria A. E. Olowokere, O. A. Adekeye, A. Ogunfowokan, O. E. Olagunju and O. O. Irinoye Full Length Research Paper One of the millennium development goals set by the United Nations is to reduce maternal mortality by three quarters by 2015. The achievement of this goal must focus on understanding the dynamics of the causes of maternal mortality and removing such causes. Postpartum haemorrhage ranks high among the causes of maternal mortality, especially in Nigeria. This study was designed to determine the prevalence, management and outcome of postpartum haemorrhage in selected health care settings. This study was a retrospective analysis of cases of postpartum haemorrhage (PPH) in selected health care facilities from primary, secondary and tertiary health care levels in Ile-Ife, Nigeria between January, 2004 and December, 2008. The prevalence of PPH during the study period was 1.6, 3.9 and 3.4% in the tertiary, secondary and primary health care institutions respectively. Chi square showed a significant association between booking status and occurrence of PPH (c2 = 18.51, df = 1, P = 0.001), parity and PPH (c2 = 21.49, df = 3, P = 0.000), and mode of delivery and PPH (c2 = 111.77, df = 2, P = 000). Retained placenta and retained placental bits of tissue were major causes of PPH (52.4%). Major risk factors identified were multiple gestation (20%), antepartum haemorrhage (15%) and previous PPH (12.5%). Uterotonic (ergometrine and/or syntocinon) was widely used (100%) as first line of management with misoprostol being rarely used (7.3%). This study showed that prior booking of pregnant women for antenatal care was associated with lower prevalence of PPH as higher prevalence was recorded among unbooked clients. Therefore, midwives and other health care providers most especially at the rural area must ensure that women are mobilised and encouraged to register for antenatal care as early as possible for appropriate maternity care, early identification of risk and preparation to reduce the untoward effect. Key words: Maternal mortality, labour, primary postpartum haemorrhage, uterotonic, retrospective study. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/34B64181172 http://dx.doi.org/10.5897/IJNM12.011 en Copyright © 2013 A. E. Olowokere, O. A. Adekeye, A. Ogunfowokan, O. E. Olagunju and O. O. Irinoye
oai:academicjournals.org:IJNM:2AE22FF1195 2013-04-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Nursing education and workforce development: Implications for maternal health in Anambra State, Nigeria Mabel Chiemeka Ezeonwu Full Length Research Paper The relationship between nursing and maternal health presents a legitimate policy discussion. In this qualitative descriptive study, the views of nurse experts on the current status of nursing and midwifery education, and workforce development issues as they relate to maternal health in Nigeria was explored. Focus was on experts as they constitute important players in policy decisions related to nursing workforce and maternal health services delivery. Qualitative content analysis was used to analyze interview data. The findings of this study indicated that nursing and midwifery schools utilize a rigorous curriculum mandated by the Nursing and Midwifery Council of Nigeria (NMCN). It was also found that nursing workforce development is plagued by pedagogical issues, gender issues, and multi-faceted health systems challenges. These findings suggest that Nigerian nursing workforce is highly unstable and broader policies on workforce training, recruitment and retention are needed to improve maternal health outcomes. Key words: Nursing education, midwifery education, nursing workforce development, health policies, maternal health, Nigeria. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/2AE22FF1195 http://dx.doi.org/10.5897/IJNM12.014 en Copyright © 2013 Mabel Chiemeka Ezeonwu
oai:academicjournals.org:IJNM:D2182531210 2013-04-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Perceived relative factors influencing nurses’ practice of health promotion for women in Calabar, Cross River State, Nigeria P. E. Samson-Akpan, O. B. Edet, I. I. Akpabio and E. F. Asuquo Full Length Research Paper Socio-cultural factors negate the health of women. Therefore, health promotion as a focus of nursing practice aimed at capitalizing on the inherent capacities of women to establish health priorities, goals and strategies to improve their health. A descriptive survey with the purpose of ascertaining the influence of culture, social and health policies on nursesrsquo; practice of health promotion was undertaken. Three hypotheses were formulated to guide the study. A sample of one hundred and thirty six nurses participated in the study. A validated questionnaire with a test-retest reliability coefficient (r) of 0.79 was used for data collection. Correlation analysis was carried out to test hypotheses. The results revealed that 132 (97.1%) participants were female with a mean (SD) age of 40 plusmn; 7.29. Many participants 58 (42.6%) perceived that social policies have high influence on their practice of health promotion. The results also showed significant negative correlation between culture and practice of health promotion (r = -0.532; p = 0.01) while the practice of health promotion was significantly and positively correlated with social policies (r = 0.515; p = 0.01). It was recommended that negative cultural practices be addressed through social policies and health education of women on negative cultural practices in order to enhance the practice of health promotion for them. Key words: Culture, health policy, health promotion, nursing practice of health promotion for women, social policies. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/D2182531210 http://dx.doi.org/10.5897/IJNM2013.0095 en Copyright © 2013 P. E. Samson-Akpan, O. B. Edet, I. I. Akpabio and E. F. Asuquo
oai:academicjournals.org:IJNM:CEE00441225 2013-04-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Evaluation of the rationale for assessing student nurses on urine testing by nursing council examiners Ndie Elkenah Chubike Full Length Research Paper This study aimed at evaluating the rationale for assessing student nurses on urine testing by the nursing council examiners, was carried out using questionnaire. The council examiners were located at nursing conferences and were randomly selected. The results show that most of the respondents exhibited poor knowledge of blood glucose levels and their rationale for examining the student on urine glucose were based on residual knowledge and old practices. Massive education of nurses on the use of blood glucose monitoring and further study on the knowledge of council examiners on the other areas on which they examine the students must be evaluated to enhance further generation nurses. Key words: Rationale for assessing, students nurses, urine glucose test, nursing council examiners. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/CEE00441225 http://dx.doi.org/10.5897/IJNM2013.0098 en Copyright © 2013 Ndie Elkenah Chubike
oai:academicjournals.org:IJNM:631AF291142 2013-05-30T00:00:00Z AcademicJournals IJNM IJNM:2013
HIV/AIDS care, coping strategies and work environmental stress among nurses in Botswana Thabo T. Fako, Debra R. Wilson, James G. Linn and Ntonghanwah Forcheh Since 2006 there has been universal acceptance in both developing and industrializedsocieties that HIV treatment and related services, including more effective programs, be available to all citizens. However, as a result of the worldwide recession and shifting health priorities, progress toward these goals has stalled. While the epidemic continues to grow (approximately 34 million globally, with 2.7 million new cases in 2010), fewer resources are dedicated to treatment and prevention than previously, and clinical staffs, especially nurses are challenged by more patient care responsibilities. This paper focuses on the relationships of HIV/AIDS care, coping strategies and work environmental stress for nurses working in an African country (Botswana) with a significant epidemic. Data for this study was obtained through questionnaires completed by a sample of 201 nurses working in different types of health facilities in rural and urban areas of Botswana. Results show that 65% of the nurses frequently provided care to clients with HIV/AIDS. Only 35% of the nurses provided care to clients with HIV/AIDS infrequently. Those caregivers who often worked with patients infected with HIV reported significantly (plt;.05) more quot;role demandquot;, quot;job controlquot; and quot;shift workquot; stress and said that their coping strategies were more likely to include taking food supplements. Implications for professional quot;burn outquot; among HIV/AIDS caregivers in developing societies are discussed together with strategies for more effective allocations of health care personnel. Key words: HIV/AIDS, nurses, healthcare, psychological outcome, Botswana Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/631AF291142 http://dx.doi.org/10.5897/IJNM2013.0097 en Copyright © 2013 Thabo T. Fako, Debra R. Wilson, James G. Linn and Ntonghanwah Forcheh
oai:academicjournals.org:IJNM:518B8901146 2013-05-30T00:00:00Z AcademicJournals IJNM IJNM:2013
The role of beliefs and practices in health on patients’ compliance Palompon R. Daisy Full Length Research Paper The degree of influence of traditional beliefs and practices of a person as part of his or her cultural background is indeed a creative molder of a personrsquo;s behavior such as attitudes, beliefs and practices regarding health promotion and prevention of illness. This study determined the correlation between health beliefs and practices and the compliance with discharge instructions, particularly on home medications and out-patient referral by patients in selected hospitals in Sogod, Southern Leyte, Philippines. Health beliefs and practices were categorized as traditional, scientific and parochial. Utilizing a correlational design, thirty respondents were selected by purposive sampling technique. A researcher-made interview schedule was utilized. The compliance behavior of the respondents on medications showed that majority of the respondents was highly and moderately compliant while compliance with out-patient referral showed that majority have poor compliance. Majority of the health beliefs most frequently identified were scientific while practices were mostly parochial. There was no significant relationship between health beliefs and practices with medication compliance. Significant correlations were shown between health beliefs and practices and out-patient referral compliance. Reasons for non-compliance for medications include financial constraints and forgetfulness while on out-patient referral, respondents did not comply the follow-up consultation, since they do not feel any symptoms anymore or went to a faith healer for further management. It is concluded that health beliefs and practices do not influence compliance of medication since it is basically a consideration of individualrsquo;s budgetary capacity. It is further concluded that health beliefs and practices significantly influence out-patient referral compliance since it is affected more on behavioral attributes. Key words: Traditional beliefs, behavior, practices, out-patient. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/518B8901146 http://dx.doi.org/10.5897/IJNM12.015 en Copyright © 2013 Palompon R. Daisy
oai:academicjournals.org:IJNM:A1E710B1185 2013-05-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Experience of sexual harassment and coping strategies among students of the school of nursing of a tertiary hospital in Southwest Nigeria Oyedunni Sola Arulogun, Isaac Kayode Omotosho, and Musibau Ayoade Titiloye Full Length Research Paper This descriptive cross-sectional study documented the experience of sexual harassment (SH) and coping strategies among 250 consenting students of University College Hospital, Ibadan school of nursing, using a pre-tested questionnaire.Descriptive statistics and Chi-square test were used to analyze the data at 5% level of significance. Mean age was 23.0 plusmn; 4.1 years, 78.8% were females and 91.2% perceived SH to be common in the school. Fifty-eight percent of respondents (20.0% males, 80.0% females) had ever been sexually harassed. Main perpetrators of SH against females were male resident doctors (24.5%) and male patients (11.3%) while female colleagues (44.8%) and female patients (20.7%) were for males. Types of SH experienced were unwanted body contact (79.3%), breast contact (67.6%), enticement (45.5%), attempted rape (39.3%) and unwanted kiss (26.3%). Attending parties and mode of dressing were positively associated with experience of SH. Main coping strategies employed were reporting to school authority, ignoring the perpetrator, confrontation and breaking up the relationship. Sexual harassment is prevalent among the students studied, with females more affected. Coping strategies adopted were adjudged ineffective. Institutional based interventions such as sensitization, capacity building on coping strategy skills, legislation and policy reviews are needed to address these concerns. Key words: Sexual harassment, nursing students, coping strategies. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/A1E710B1185 http://dx.doi.org/10.5897/IJNM2013.0099 en Copyright © 2013 Oyedunni Sola Arulogun, Isaac Kayode Omotosho, and Musibau Ayoade Titiloye
oai:academicjournals.org:IJNM:380837D1191 2013-05-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Decision-making for use of complementary and alternative therapies by pregnant women and nurse midwives during pregnancy: An exploratory qualitative study Marie Hastings-Tolsma and Deborah Vincent Full Length Research Paper Millions of people use complementary and alternative medicine (CAM) therapies. Such therapies are used across a wide spectrum of health conditions, but the use is particularly notable during pregnancy. Despite the widespread use, little is known about the perceptions of patients and clinicians in deciding about use of varied therapies. This study describes pregnant women and obstetrical provider (nurse midwives) perceptions in decision-making for use of CAM therapies during pregnancy. Pregnant women and nurse midwives were interviewed in focus groups with transcribed data analyzed using content analysis. Four themes emerged from the session with pregnant women and 3 from the nurse midwives. Data underscore the need to dialogue with all pregnant women about CAM use, and to mainstream CAM in education programs. Given the paucity of evidence for safety and efficacy during pregnancy for most CAM therapies, decision-making strategies to fill those knowledge gaps are urgently needed. Key words: Complementary therapies, alternative medicine, pharmacognosy, traditional medicine, decision-making, pregnancy, obstetrical providers Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/380837D1191 http://dx.doi.org/10.5897/IJNM2013.0100 en Copyright © 2013 Marie Hastings-Tolsma and Deborah Vincent
oai:academicjournals.org:IJNM:6356A681683 2013-08-31T00:00:00Z AcademicJournals IJNM IJNM:2013
Nursing informatics: A key to improving nursing practice in Nigeria Grace O. Daniel and Modupe O. Oyetunde Full Length Research Paper Nursing informatics is a new nursing specialty in Nigeria; even though it was approved by the American Nurses Association in 1992 as a recognized specialty and has since been growing. The building blocks of this specialty are nursing, information and computer sciences. These three combined provide the knowledge base of nursing informatics. Expanded roles and technology are being incorporated into the domain of nursing informatics. The effects of these roles are visible across all sectors of nursing. This paper explores the field of nursing informatics and presents the relevance to contemporary nursing. Nursing leaders in all areas including research, education and administration and the Nursing and Midwifery Council of Nigeria have a big role to play in ensuring that nursing informatics is embraced by all nurses in Nigeria. Key words: Nursing informatics, contemporary nursing practice, competencies, Nigeria. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/6356A681683 http://dx.doi.org/10.5897/IJNM2013.0101 en Copyright © 2013 Grace O. Daniel and Modupe O. Oyetunde
oai:academicjournals.org:IJNM:1BDDAFC1699 2013-08-31T00:00:00Z AcademicJournals IJNM IJNM:2013
Self care practices of menstrual hygiene among adolescents school going girls in Amassoma Community, Bayelsa State Adika, V. O., Ayinde M. O. and Jack-Ide I. O. Full Length Research Paper Self care practices as well as menstrual hygiene are basic requirements for promoting a satisfied life and personal esteem in a woman. It is therefore necessary to investigate the self care practice of menstrual hygiene among female school going adolescents who have attained menarche in Amassoma community, Bayelsa State. A survey was designed with systematic sampling which involves selection of girls from government and private secondary schools. A total of two hundred and nine (n = 209) students participated in the study after the aim of the study was explained, and their consent obtained. A carefully constructed questionnaire was administered to the related classes. Results indicated that adolescentrsquo;s girls have an average level of self care and menstrual hygiene, even though age and educational status did not significantly impact on the effect of self care practice and menstrual hygiene. This therefore calls for more education about this special aspect of these adolescent school girlsrsquo; life and reproductive life. Key words: Menstrual hygiene, self care practice, adolescent girls, Bayelsa. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/1BDDAFC1699 http://dx.doi.org/10.5897/IJNM2013.0102 en Copyright © 2013 Adika, V. O., Ayinde M. O. and Jack-Ide I. O.
oai:academicjournals.org:IJNM:3BAA58915419 2013-09-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Strategies for achieving the fourth and fifth millenium development goals in Nigeria: Nursing perspective Akinwaare Margaret Omowaleola Review Nigeria as a signatory to the Millennium Development Goals (MDGs) declaration has been making concerted effort to actualize these human development goals. She has put some strategies in place to specifically address the issue of health-related MDGs, especially MDGs 4 and 5. This paper therefore, reviewed some of the strategies put in place in order to achieve the fourth and fifth MDGs in Nigeria. Key words: Millennium Development Goals (MDGs), Nigeria, health-related MDGs Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/3BAA58915419 http://dx.doi.org/10.5897/IJNM2013.0103 en Copyright © 2013 Akinwaare Margaret Omowaleola
oai:academicjournals.org:IJNM:EB835E915421 2013-09-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Symphysis-fundal height at term: A new birth weight predictive equation Alessandra Curti, Margherita Zanello, Silvia Battistini, Diana Cabassi, Gabriella Cangini, Natalia Dini, Cristina Giovannini, Vincenza Leccese, Stefania Piersimoni, Nadia Rimondi and Antonio Farina Full Length Research Paper There is clinical utility in having a simple and low-cost method of predicting birth weight. To identify abnormal fetal growth, in fact, can reduce the risk of adverse perinatal outcomes. A longitudinal observational cohort study, including 1034 low-risk singleton pregnancies at term, was performed at the Division of Prenatal Medicine, St. Orsola-Malpighi Hospital, University of Bologna, Bologna (Italy) to derive a reliable equation based on maternal characteristics. The following formula was obtained: estimated birth weight (g) = 1485.61 + (symphysis-fundal height (cm) times; 23.37) + (11.62 cm times; maternal abdominal circumference) + [body mass index (BMI) times; (-6.81)] + (parity (0 = nulliparous, 1 = multiparous) times; 72.25). Based on study results, 92% of the estimated weights were within the 10% of the actual weight at delivery. The role of obstetric and maternal factors in term birth weight prediction is, therefore, confirmed. Prospective estimations are needed to validate the model proposed. Key words: Symphysis-fundal height, multivariable birth weight prediction, term of pregnancy Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/EB835E915421 http://dx.doi.org/10.5897/IJNM2013.0106 en Copyright © 2013 Alessandra Curti, Margherita Zanello, Silvia Battistini, Diana Cabassi, Gabriella Cangini, Natalia Dini, Cristina Giovannini, Vincenza Leccese, Stefania Piersimoni, Nadia Rimondi and Antonio Farina
oai:academicjournals.org:IJNM:CD3057541438 2013-11-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Roles of nurses in Sub-Saharan African region C. G. Ugochukwu, L. R. Uys, A. K. Karani, I. L. Okoronkwo and B. N. Diop Full Length Research Paper The objective of this study was to create a model of nursing practice in Sub-Saharan Africa based on population needs, current practice and expectations of stakeholders. A three component study was done in eight sub-Saharan countries to ascertain (1) the health needs and the burden of disease in these countries, as well as evaluating the structure of their health systems; (2) the views on nursing functions held by opinion leaders in the community, other health professionals, patients and their families; and (3) to conduct a survey of nurses and midwives to determine the roles that they actually perform in hospitals and public health centres (PHCs). Four Anglophone and 4 Francophone countries were studied with a document audit, and 191 stakeholders included in focus groups. The current practice of 734 nurses in ambulatory and hospital settings was evaluated. Based on a triangulation of this data, 9 roles were identified: the provision of holistic care, health education, managing the care environment, as well as the advocacy and collaboration, providing emergency care, providing midwifery care, prevention and management of infectious diseases and diagnosis and treatment. Three contextual support factors (positive policies and practices, an enacted regulatory framework and an enabling educational system) were also identified. Key words: Africa, midwives, nurses, roles. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/CD3057541438 http://dx.doi.org/10.5897/IJNM2013.0104 en Copyright © 2013 C. G. Ugochukwu, L. R. Uys, A. K. Karani, I. L. Okoronkwo and B. N. Diop
oai:academicjournals.org:IJNM:D582EC241439 2013-11-30T00:00:00Z AcademicJournals IJNM IJNM:2013
Exclusive breastfeeding and related antecedent factors among lactating mothers in a rural community in Southwest Nigeria Olayinka Alade, Musibau Ayoade Titiloye, Frederick Olore Oshiname and Oyedunni Sola Arulogun Full Length Research Paper This study explored the antecedent factors influencing the practice of exclusive breast feeding (EBF) among lactating mothers in Ayete, a rural community in Southwest Nigeria. A three-stage random sampling technique was used to select 410 mothers of newborns and infants less than six months from households. A pretested semi-structured questionnaire which included a 14-point knowledge scale was used for data collection. Data were analyzed using descriptive statistics, Chi-square test and analysis of variance (ANOVA). Mean age was 27.4plusmn;5.9 years and 67.1% respondents were aware that EBF should be initiated immediately after birth. Mean knowledge score on EBF was 8.2plusmn;2.9. Age, educational level and occupation were significantly associated with knowledge of EBF (plt;0.05). Main perceived challenges associated with EBF were loss of essential nutrients by mothers (87.6%) and inducement of hunger (26.2%). Only 10.2% of respondents were practicing EBF as at the time of the study. Reasons for not practicing EBF included baby needs herbs for strength and vitality (31.3%), baby needed water to quench thirst (23.9%) and non-satisfaction with breast milk alone (20.8%). Practice of EBF was significantly more among respondents earning less than N5000.00 monthly (plt;0.05). Continuous sensitization activities are needed to promote breast feeding among lactating mothers. Key words: Exclusive breastfeeding, lactating mothers, antecedent factors. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/D582EC241439 http://dx.doi.org/10.5897/IJNM2013.0111 en Copyright © 2013 Olayinka Alade, Musibau Ayoade Titiloye, Frederick Olore Oshiname and Oyedunni Sola Arulogun
oai:academicjournals.org:IJNM:E517C9A41885 2013-12-31T00:00:00Z AcademicJournals IJNM IJNM:2013
Demographic characteristics of women on the utilization of Maternal Health Services at Abakaliki Urban Ndie Elkenah Chubike and Idam Constance Full Length Research Paper The study investigated the effect of maternal age, maternal occupation, parity, number of living children and husbandsrsquo; educational level on the utilization of maternal health services in Abakaliki urban. A total of 1324 women were randomly selected from different parts of the area. Questionnaire and interview schedule were used for data collection. The results show that maternal age, parity and number of living children have significant effect (P lt; 0.05) on maternal utilization of health services while maternal occupation and husband educational level do not have significant effect (P le; 0.05). It was concluded from the study that the age of the mother, parity and the number of living children have effect on the maternal healthcare utilization and these factors should be considered by nurses and other healthcare providers during antenatal care counseling. Key words: Maternal age, maternal occupation, parity, number of living children and husband educational level. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/E517C9A41885 http://dx.doi.org/10.5897/IJNM2013.0112 en Copyright © 2013 Ndie Elkenah Chubike and Idam Constance
oai:academicjournals.org:IJNM:475777B41886 2013-12-31T00:00:00Z AcademicJournals IJNM IJNM:2013
The partograph: A labour management tool or a midwifery record? Mathibe-Neke J. M., Lebeko F. L. and Motupa B. Full Length Research Paper A partograph is a graphical presentation of a womanrsquo;s progress of labour. Once the woman has true signs of labour, the midwife initiates the use of the partograph to record her findings. The partograph was endorsed and modified by the World Health Organisation (WHO) between 1990 and 2000 to monitor the fetal and maternal wellbeing during the active stage of labour. Monitoring help the midwives and the mother in achieving spontaneous vaginal delivery with low risk of both morbidity and mortality. Furthermore, accurate partograph recordkeeping enables an effective communication between healthcare professionals who manage women in labour. Documentation and recordkeeping have always been integral to midwifery practice and continue to be so. The aim of the study was to establish the perception of the use of the partograph by midwives, and to establish and describe the factors that contribute to the underutilization of the partograph by midwives during the management of labour. The context of the study was an Academic Hospital and a Midwifery seminar, Gauteng Province, South Africa. A cross-sectional descriptive quantitative study was conducted. Sampling was purposeful. A self-administered questionnaire was used to collect data. The findings revealed that midwives understood the importance of the use of the partograph but do not effectively use it due to a number of factors. Key words: Labour management, midwife, partograph. Academic Journals 2013 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/475777B41886 http://dx.doi.org/10.5897/IJNM2013.0115 en Copyright © 2013 Mathibe-Neke J. M., Lebeko F. L. and Motupa B.
oai:academicjournals.org:IJNM:D20A4D742255 2014-01-31T00:00:00Z AcademicJournals IJNM IJNM:2014
The eating experiences of patients hospitalized in a muscular dystrophy ward in Japan: A phenomenological study Emiko Ishida Full Length Research Paper The aim of this study was to explore the life experiences of patients hospitalized in a muscular dystrophy ward in Japan, with particular focus on their eating experiences. Participant observation and unstructured interviews were conducted, and data analyzed by employing Merleau-Pontyrsquo;s phenomenology. Nine patients agreed to participate in this study, although only five were included in the analysis. The overarching theme of patientsrsquo; eating experiences was ldquo;cultivating new eating habits,rdquo; which patients nurtured according to their surrounding environment and in response to the increasing medical support and their progressive functional decline. The new eating habits were organized into five sub-themes: ldquo;moving my body at my own will,rdquo; ldquo;eating independently,rdquo; ldquo;learning to accept the percutaneous endoscopic gastrostomy tube,rdquo; ldquo;an alternative to having mealsrdquo; and ldquo;using tube feeding.rdquo; These new eating habits engendered in patients a ldquo;richer,rdquo; multisensory perception of eating, one where they do not merely rely on taste. Key words: Muscular dystrophy ward, patients, eating experiences, phenomenology. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/D20A4D742255 http://dx.doi.org/10.5897/IJNM2013.0107 en Copyright © 2014 Emiko Ishida
oai:academicjournals.org:IJNM:32F02EB42256 2014-01-31T00:00:00Z AcademicJournals IJNM IJNM:2014
Awareness and barriers to utilization of maternal health care services among reproductive women in Amassoma community, Bayelsa State Onasoga A. Olayinka, Osaji Teresa Achi, Alade O. Amos and Egbuniwe Michel Chiedu Full Length Research Paper Nigeria is on the verge of not meeting the fifth millennium development goals of improving maternal health due to a high maternal mortality rate which is estimated to be 630 women per 100,000 live births and lack of utilization of maternal health care services is a major contributing factor. Hence, the study was designed to explore awareness and barriers to the utilization of maternal health care services among reproductive women (15 to 45 years) in Amassoma community, Bayelsa State, Nigeria. The study population consists of women of reproductive age (15 to 45 years). A purposive sampling technique was used to select the sample size of 192. Data were collected using a questionnaire and descriptive and inferential statistics were used to analyze the data generated. The study revealed that the majority of the respondents [182 (94.8%)] have heard of maternal health services but only few actually knew the main services rendered at maternal health care services. Regression coefficient showed significant association between educational status and utilization of maternal health care services (MHCS) among the respondents (beta = 0.47, p = 0.000); parity and utilization of MHCS (beta = -0.14, p = 0.016); and age and utilization of MHCS (beta = -0.19, p = 0.001). The major variables associated with barriers to utilization of maternal health services among respondents were poor knowledge of the existing services, previous bad obstetric history; attitude of the health care provider, availability, accessibility and husband#39;s acceptance of the maternal healthcare services. It is recommended that Government should subsidize maternal health services in order to make it affordable, acceptable and available to women. Also nurses should encourage women of reproductive age to utilize maternal health by providing a welcoming and supportive attitude at all contacts. Key words: Awareness, barrier, utilization, maternal health care services, reproductive age, women. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/32F02EB42256 http://dx.doi.org/10.5897/IJNM2013.0108 en Copyright © 2014 Onasoga A. Olayinka, Osaji Teresa Achi, Alade O. Amos and Egbuniwe Michel Chiedu
oai:academicjournals.org:IJNM:F85D62644134 2014-04-30T00:00:00Z AcademicJournals IJNM IJNM:2014
Expert midwives’ experiences of security in their professional practice: I’m the captain of a jet Susanne M. Anberg Houml;geryd, Ina Berndtsson and Elisabeth Dahlborg Lyckhage Full Length Research Paper Obstetric units have become larger, with patients being knowledgeable and demanding. Also, established team works at maternity wards require that midwives are secure in their role. A descriptive study with a phenomenological approach was used. A maternity unit in a hospital located in Western Sweden was chosen. Five expert midwives with vast experience of obstetric care who worked in a maternity unit were interviewed. Data were collected by audio-taped interviews. The data were analysed by means of Giorgirsquo;s phenomenological method. The results showed that security was constituted by an inherent sense of security as well as confidence in self and in life. Education and practical group training in the workplace provided theoretical knowledge and practical experience. Support for others in the working team and open communication also constituted security. Also, clear leadership, guidelines and routines provided a framework and had a positive effect on expert midwivesrsquo; sense of security. When security was absent, midwife became worried, the joy and harmony diminished. In order to ensure midwife security and ultimately safe patient care, it was important to allow time for rest, to reflect on and evaluate their work. Expert midwives can create the prerequisites for their professional security. Several constituents combine to shape midwivesrsquo; sense of professional security; an inherent sense of security, own knowledge and experience, team collaboration, visible and clear leadership. Key words: Expert clinicians, midwifery, phenomenology, professional practice, safety and qualitative studies. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/F85D62644134 http://dx.doi.org/10.5897/IJNM2013.0118 en Copyright © 2014 Susanne M. Anberg Houml;geryd, Ina Berndtsson and Elisabeth Dahlborg Lyckhage
oai:academicjournals.org:IJNM:FD4126D44136 2014-04-30T00:00:00Z AcademicJournals IJNM IJNM:2014
Spontaneous abortion among women admitted into gynaecology wards of three selected hospitals in Maiduguri, Nigeria Umar N. Jibril, Olubiyi S. Kayode, Aliyu Umar, Aminat G. Umar, Imam A. Abubakar, Ibraheem M. Ayoade and Nwadiliorah J. Blessing Full Length Research Paper Abortion is considered not only a major reproductive health matter, but also as a health risk factor for mothersrsquo; well-being which also threaten motherrsquo;s lives and comfort. This study seeks to assess the incidence of abortion with particular reference to factors responsible for spontaneous abortion among women admitted into gynaecology wards of three selected hospitals in Maiduguri, Borno State, from January to June, 2012. This study involved 126 women admitted into gynaecology wards of University of Maiduguri Teaching Hospital (UMTH), State Specialist Hospital and Nursing Home in Maiduguri, Borno State from January to June, 2012, respectively. Data were collected using questionnaire items that comprised open and close-ended questions items. Women who were illiterate were interviewed during their hospitalization period and their records were also used for more data. The data were analyzed using frequency distribution count. The study shows that of 126 women, 65 (51.6%) were between the ages of 31 to 40 years, the Gravida status of women that presented more were Gravida 3 to 4 (40.5%) with 51 women. On the causes of present abortion, maternal causes presented more with about 26 (20.6%) of the women. On the management of spontaneous abortion, it is managed expectantly, medically (use of prostaglandin and uterotonic drugs) and surgically by the use of manual vacuum aspiration and dilation and curettage were found to be in us. Based on the information obtained from the study, it was recommended that efforts should be concentrated on providing quality services for the management of post abortion complications. Key words: Abortion, spontaneous abortion, recurrent spontaneous abortion. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/FD4126D44136 http://dx.doi.org/10.5897/IJNM2013.0105 en Copyright © 2014 Umar N. Jibril, Olubiyi S. Kayode, Aliyu Umar, Aminat G. Umar, Imam A. Abubakar, Ibraheem M. Ayoade and Nwadiliorah J. Blessing
oai:academicjournals.org:IJNM:60AC2A745962 2014-07-31T00:00:00Z AcademicJournals IJNM IJNM:2014
Women's satisfaction with hospital-based intrapartum care: A Jordanian study Khitam Ibrahem Shlash Mohammad, Insaf Shaban, Caroline Homer and Debra Creedy Full Length Research Paper Exploring patient satisfaction can contribute to quality maternity care but is not routinely conducted in many Middle Eastern countries. This study investigated the prevalence and factors associated with satisfaction during labor and birth among Jordanian women using a descriptive cross-sectional design. Women (n=298) were recruited from four maternal and child health centers in Al-Mafraq city, Jordan. Participants completed an intrapartum care scale which measured satisfaction with three areas of care: interpersonal, information and involvement in decision making, and physical environment. Overall, only 17.8% of women were satisfied with intrapartum care. Around 13% of women were satisfied with interpersonal care, 20.5% with information and involvement in decision making, and 18.8% with physical birth environment. Regression analyses revealed that low satisfaction was associated with experiencing an episiotomy, poor pain relief during labour, and vaginal birth. Health care professionals, policy-makers as well as hospital administrators need to consider the factors that contribute to low satisfaction with childbirth in any effort to improve care. Key words: Labour, birth, Jordan, maternity care, midwife, patient satisfaction. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/60AC2A745962 http://dx.doi.org/10.5897/IJNM2014.0127 en Copyright © 2014 Khitam Ibrahem Shlash Mohammad, Insaf Shaban, Caroline Homer and Debra Creedy
oai:academicjournals.org:IJNM:E21B0BA45966 2014-07-31T00:00:00Z AcademicJournals IJNM IJNM:2014
Quality issues in midwifery: A critical analysis of midwifery in Nigeria within the context of the International Confederation of Midwives (ICM) global standards Modupe O. Oyetunde and Chigozie A. Nkwonta Review Advances in health care system are a challenge to the professional midwife in the quality of midwifery workforce. The three pillars of quality midwifery workforce need to meet the changing health needs of both the rural and modern highly industrialized society. Insisting on the traditional ways of doing things in midwifery seems inadequate in meeting these challenges. New and creative approaches are needed if midwifery as a prominent profession in health care delivery will professionally remain competitive and contribute effectively and maximally to the demands of nationrsquo;s health care services. Midwife leaders will be taking a step in the right direction in fostering the climate that promotes creativity in midwifery. Midwifery in Nigeria had witnessed many changes, given the challenges of a low/poor resource setting. This paper attempts a discourse on issues affecting midwifery as a profession using the International Confederation of Midwives (ICM) global standards. Key words: Quality issues, midwifery, International Confederation of Midwives (ICM) global standards. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/E21B0BA45966 http://dx.doi.org/10.5897/IJNM2013-0119 en Copyright © 2014 Modupe O. Oyetunde and Chigozie A. Nkwonta
oai:academicjournals.org:IJNM:CE1222346937 2014-08-01T00:00:00Z AcademicJournals IJNM IJNM:2014
Assessment of adult patients’ satisfaction and associated factors with nursing care in Black Lion Hospital, Ethiopia; institutional based cross sectional study, 2012 Mulugeta Molla, Aster Berhe, Ashenafi Shumye and Yohannes Adama Full Length Research Paper Patient satisfaction has been used as an indicator to measure the quality of health care provided by nurses. Moreover, patient satisfaction is one of the ultimate validators of effectiveness and quality of care. The purpose of this study was to assess adult inpatient satisfaction and associated factors of nursing care in Black Lion Specialized Hospital, Addis Ababa, Ethiopia. An institutional based cross sectional study was conducted on a total of 374 adult patients admitted to Medical, Surgical and Gynecologic wards in Black Lion hospital. The data collection tool was modified from Newcastle Satisfaction with Nursing Scale (NSNS). Simple random sampling technique was used. Data were entered into EPI info version 3.5.1 and exported to SPSS version 16.0 for cleaning and analysis. Frequencies distribution, binary and multiple logistic regression were done. OR and 95% confidence interval was computed. The average mean (SD) of satisfaction was 3.93 (0.88). Participants in Gyn/Obs wards had a better satisfaction (mean= 4.02; SD=0.76) with nursing care when compared with participants in medical and surgical ward. Among all respondents females had ldquo;Moderate and Highrdquo; level of satisfaction (95%) than males (86.21%). Being female (3.78 (1.35, 10.56)), Agegt;50 years (0.36(0.14, 0.93), never married patients (2.74(1.07,7.03)) and admitted in Medical or Gyn/Obs and number of nights spent in the ward were found to be independent predictors of patients satisfaction. Since the overall patient satisfaction was 90.1% in this study, the hospital could be a model for other hospitals. Key words: Patientsrsquo; satisfaction, nursing care, medical, surgical and Gyn/Obs, and inpatients. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/CE1222346937 http://dx.doi.org/10.5897/IJNM2014.0133 en Copyright © 2014 Mulugeta Molla, Aster Berhe, Ashenafi Shumye and Yohannes Adama
oai:academicjournals.org:IJNM:0AC611746941 2014-08-01T00:00:00Z AcademicJournals IJNM IJNM:2014
Socio-economic challenges of parents of children with neurological disorders: A hospital-based study in North West Nigeria Lawal H., Anyebe E. E., Obiako O. R. and Garba S. N. Full Length Research Paper Parents of children with neurological disorders face several socio-economic challenges in nurturing them. Experiences of parents in the study area have not been explored. This descriptive cross-sectional study was designed to investigate socio-economic challenges faced by parents of children with neurological dysfunctions. Paediatric Neurology Outpatient Clinic, Ahmadu Bello University Teaching Hospital Shika, Zaria, Kaduna State, North-West Nigeria, a tertiary health institution was used. A convenience sample of 60 parents was obtained, from whom data were collected through an interviewer-administered structured questionnaire and in-depth interviews on nine of the parents. Sixty-one children were affected (a parent had 2). Cerebral palsy (50.8%) and seizure disorders (39.4%) were the commonest disorders found. A mean age of 5 years was identified. Male (55%) and the first-born children (44.3%) were more affected. Perceived causes identified were infection/childhood disease (65%), asphyxia (23.3%), and prolonged labour (18.3%). The major socio-economic challenges were poor social life and hampered economic status. Parents were themselves deprived of their normal social lives. Parents of children with neurologic problems were found to have faced a lot of socio-economic challenges that significantly affects the lives of both the affected children and the other siblings. Existing parental poor socio-economic status complicates these challenges. Their economic status and pursuance of family income are hampered, coupled with the high cost of managing the affected children. Social support groups for parents and the affected children should be encouraged by professional bodies, government and non-governmental organizations to enhance social relationships, while ensuring health insurance coverage for these children to reduce economic burden on their parents and enhance maintenance of the healthy status of the other children. Key words: Socio- economic challenges, parental coping, neurological deficit, children. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/0AC611746941 http://dx.doi.org/10.5897/IJNM2014.0122 en Copyright © 2014 Lawal H., Anyebe E. E., Obiako O. R. and Garba S. N.
oai:academicjournals.org:IJNM:EBF956E48051 2014-09-30T00:00:00Z AcademicJournals IJNM IJNM:2014
What helps? A description of experiences of support among primiparous women with fear of childbirth: An interview study Maring;rtensson Lena, Mogren Lisa, Lindbom Emma and Thorstensson Stina Full Length Research Paper Fear of childbirth is described as a major problem for many women as this has a negative effect for both the women and the babies. Health care professionals need to be able to offer these women adequate support which could be important for primiparous women. The aim of this study was to describe what primiparous women experience as support in coping with their fear of childbirth. A qualitative, inductive approach was used. Data was collected at two hospitals in Southwestern Sweden. Five primiparous women with fear of childbirth were included after a purposive, snowball sampling technique. Data were analyzed with qualitative content analysis. Findings are described through the main theme support adapted to the needs of the individual woman and of three categories: (1) the importance of receiving reassurance; (2) increased knowledge and understanding and; (3) combining all kinds of support. The conclusion of this study is that womenrsquo;s fear could rapidly shift focus and individualized support sensitive to these shifts was important to increase primiparous womenrsquo;s coping capacity. Support should include; reassurance, improved knowledge and understanding. Key words: Women#39;s experiences, primiparous, fear of childbirth, social support, professional support, womenrsquo;s health, life change events. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/EBF956E48051 http://dx.doi.org/10.5897/IJNM2014.0138 en Copyright © 2014 Maring;rtensson Lena, Mogren Lisa, Lindbom Emma and Thorstensson Stina
oai:academicjournals.org:IJNM:EDA0C1348255 2014-10-31T00:00:00Z AcademicJournals IJNM IJNM:2014
Psychological effects and experiences of menopausal women in a rural community in Niger Delta region of Nigeria Jack-Ide I.O., Emelifeonwu E.A. and Adika A.V Full Length Research Paper Menopause is a period of natural physiologic adaptation which occurs in women when the finite numbers of ovarian follicles are depleted due to decreased levels of reproductive hormones. This decrease in reproductive hormone levels may be mild and present with no obvious disturbances in some women while in others, severe and unbearable health and psychological challenges may demand medical intervention. This study is aimed to explore the psychological effects and health challenges of menopausal symptoms in middle aged women in a rural community of Nigeria. Utilizing a random sampling technique, one hundred and twenty middle aged women (n=120) age 40 to 55 years were recruited for the study. The descriptive survey used a semi structured questionnaire to obtain data from consenting participants. Result shows that women experience various psychological challenges: 77 (64.2%) expressed feelings of sadness and 68 (56.7%) felt easily irritated. Health challenges were hot flushes, night sweats, fatigue, low libido, dizziness, weight gain, irregular menstrual period, arthritis and heart problems. There is need for women to be educated prior to this period and health care providers should communicate optimally, support and empower middle-aged women through this period of transition. Key words: Menopause, transition, middle-aged, psychological effects, health challenges. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/EDA0C1348255 http://dx.doi.org/10.5897/IJNM2014. 0134 en Copyright © 2014 Jack-Ide I.O., Emelifeonwu E.A. and Adika A.V
oai:academicjournals.org:IJNM:695DD5348258 2014-10-31T00:00:00Z AcademicJournals IJNM IJNM:2014
Community participation in teenage pregnancy prevention using the community-as-partner model Oyedele, O.A., Wright, S.C.D. and Maja, T.M.M. Full Length Research Paper The study explored community perceptions and experiences of the stakeholderrsquo;s role in teenage pregnancy prevention, using the community-as-partner model. The study was contextual with an exploratory strategy. The research design is both qualitative and quantitative designs. The sample size for the study was determined by saturation of data and consisted of 75 participants who were teenagers, parents, teachers, professional nurses and community leaders living in the study area. The qualitative data gathering method was self-report using a semi-structured interview. Template analysis style was combined with content analysis using open coding according to Teschrsquo;s approach for data analysis. The findings revealed that although teenage pregnancy initiative was in existence in the community, the majority of participants, especially the teenagers were not informed about it. All the participants (n = 75) viewed teenage pregnancy as a common occurrence in the community. Majority of the parent sample (10 of 15) in the study discouraged the use of contraceptives by teenagers for pregnancy prevention. The study provided evidence of the applicability of the ldquo;Community-as-Partnerrdquo; Model in the prevention of teenage pregnancy. The findings of the study gave an insight to the level of community participation in teenage pregnancy prevention. The evidence generated from the study could serve as a departure point for the development of community-specific interventions in teenage pregnancy prevention. Key words: Teenagers, teenage pregnancy, community stakeholders, community-as-partner model, contraceptives, termination of pregnancy. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/695DD5348258 http://dx.doi.org/10.5897/IJNM2014. 0137 en Copyright © 2014 Oyedele, O.A., Wright, S.C.D. and Maja, T.M.M.
oai:academicjournals.org:IJNM:EC5DC4249220 2014-11-30T00:00:00Z AcademicJournals IJNM IJNM:2014
Prevalence and predictors of needle stick injury among nurses in public hospitals of Jimma Zone, South West Ethiopia Kebede Bidira, Mirkuzie Woldie and Gugsa Nemera Full Length Research Paper Healthcare professionals may encounter infectious microorganisms while providing health care for patients predominantly following percutaneous needle stick injuries. Approximately 3 million percutaneous exposures to blood borne pathogens occur annually among healthcare workers worldwide. However, to what extent does this problem occur among nurses in public hospitals of Jimma Zone is not known. A cross-sectional study was conducted on 211 nurses working in public hospitals of Jimma Zone from 20 to 30 March, 2012. Data was collected through self-administered questionnaires. Of the total 211 nurses, 83 (39.3%) had sustained needle-stick injuries in the last one year. The odds of needle-stick injury were 88% less likely among nurses who had received training on needle-stick injury (adjusted odds ratio (AOR) = 0.2, 95% CI = 0.1, 0.4). The risk of a needle-stick injury was 3 times higher in nurses who had a low level of knowledge when compared with nurses having a high level of knowledge (AOR = 3.2, 95% CI = 1.6,6.5). The study revealed that a significant amount of needle-stick injuries occurs among nurses in hospitals of Jimma zone. Key words: Prevalence, predictors, needle-stick injury, nurses, Jimma Zone. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/EC5DC4249220 http://dx.doi.org/10.5897/IJNM2014. 0135 en Copyright © 2014 Kebede Bidira, Mirkuzie Woldie and Gugsa Nemera
oai:academicjournals.org:IJNM:4E8126349332 2014-12-31T00:00:00Z AcademicJournals IJNM IJNM:2014
Crying newborns: The colic and reflux situation in New Zealand as depicted by online questionnaire S. Hodge and P. Murphy Full Length Research Paper Infantile colic is prevalent among newborns and typically defined in terms of repeated bouts of inconsolable crying occurring several days of the week. There appears no universal cause for colic and none of the multifarious behavioural, dietary and pharmaceutical treatments are of benefit in all cases. This study collected data from 154 New Zealand parents with colicky and reflux infants by online questionnaire. Male and female infants were represented approximately equally in the sample, and respondents consisted of parents who breast fed and bottle fed, and considered themselves demand or routine baby feeders. Feeding frequency ranged from 5 to 14 sessions per day, and there was a weak, but significant, relationship between frequency of crying bouts and daily feeds. Almost 90% of newborns had started colicky behaviours by one month of age and although colic is often thought to settle naturally by 3 to 4 months, 24% of children had not resolved by 11 months. Behavioural interventions (example, burping; cranial massage; baby massage), natural products (example, herbal teas) and over the counter remedies (example, gripe water; colic powders) stopped colic completely in very few infants (lt; 3%), although most treatments improved the situation for some children. Prescription drugs (example, ranitidine; omeprazole) were perceived to be more efficient, with 23% of parents indicating that colicky behaviour had ceased, and 82% indicating these treatments were helpful. One note of concern is that over half of the parents that had given their child prescription medicines had increased the dosage over time. Respondents indicated that antenatal/pregnancy classes did not provide adequate education in topics such as winding babies, colic, reflux, and irregular sleeping patterns in newborns. The results of the survey reinforce a need for pre-natal education about the prevalence of these excessive crying behaviours in infants and which interventions could be attempted immediately. Key words: Ante-natal education, colic, crying, gastro-oesophageal reflux, feeding, herbal remedies, wind. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/4E8126349332 http://dx.doi.org/10.5897/IJNM2014. 0147 en Copyright © 2014 S. Hodge and P. Murphy
oai:academicjournals.org:IJNM:B23C45B49333 2014-12-31T00:00:00Z AcademicJournals IJNM IJNM:2014
Perception and willingness to participate in midwives service scheme amongst nursing and midwifery students in Southwestern Nigeria David Ayobami Adewole, Ayodeji Matthew Adebayo and Taiwo Akinyode Obembe Full Length Research Paper The Midwives Service Scheme (MSS) was implemented to reverse the poor trends in maternal mortality in Nigeria over the past decade. However, little is known about the acceptance of the scheme amongst nursing and midwifery students who are key to ensuring success of the program. The study assessed the awareness, knowledge, perception and willingness to participate in the Midwives Service Scheme in all nursing and midwifery schools in Oyo State, Nigeria. A cross sectional study of 361 final year nursing and midwifery students in Oyo State, Nigeria was conducted via total sampling technique. All consenting students were recruited to participate. Semi-structured self-administered questionnaires were employed to collect relevant information. Data was analyzed with descriptive statistics and association between respondentsrsquo; characteristics tested using Chi-square at 5% level of significance. Mean age of respondents was 24+4.3 years, 92.8% were female, 87.0% single and 83.4% Christians. Most preferred post basic nursing and midwifery careers reported were university degree nursing (43.4%) and psychiatry nursing (60.8%) respectively. Only 33.8% of the student nurses and midwives were aware of MSS among whom less than half (48.4%) correctly identified the objective of the scheme. Few (24.7%) reported a willingness to participate in the scheme. Awareness of the existence of the scheme was significantly higher amongst the midwives compared to the nurses (X2=118.0; plt;0.001) and in older participants compared to the younger ones (X2=11.3; plt;0.001). Higher proportion of student midwives (X2=99.5; plt;0.001) and participants gt;25 years (X2=14.18; plt;0.001) were significantly more likely to participate in the scheme compared to their respective counterparts. Low level of awareness and willingness to participate in the scheme amongst graduating students in Southwestern Nigeria emphasizes the need for scaled up awareness campaigns to boost acceptance among these groups who are vital stakeholders in the effective implementation and sustenance of the scheme. Key words: Midwives Service Scheme, nurses, midwives, maternal mortality. Academic Journals 2014 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/B23C45B49333 http://dx.doi.org/10.5897/IJNM2014. 0140 en Copyright © 2014 David Ayobami Adewole, Ayodeji Matthew Adebayo and Taiwo Akinyode Obembe
oai:academicjournals.org:IJNM:E5285D149904 2015-01-31T00:00:00Z AcademicJournals IJNM IJNM:2015
Mothers’ validation of midwives care in the management of labour pain in Plateau State, Nigeria Grace Daniel, Modupe Oyetunde and Grace Eleri Full Length Research Paper One of the major determinants of maternal satisfaction in labour is adequate pain relief or rather the woman being able to cope with the pain. Since midwives are the major health care providers attending to women in labour, this study explored womenrsquo;s validation of the care midwives provide in the management of labour pain in Plateau state Nigeria using a descriptive cross sectional design. Women (n=126) were recruited from a hospital in Jos city, Plateau State. Participants completed the ldquo;Client Perception of Caring Scalerdquo; and thereafter were interviewed using a structured interview, a day after their delivery; all these were for the women to validate the care given to manage labour pain by the midwives. Mean age of participants was 28 years with a Standard Deviation = 5.6. Majority of the participants that is, 125 (99.2%) are married, 116 (92.1%) are Christians while 67 (53.2%) are multigravid. Findings showed that only 71(56.3%) of the women gave an average score to the midwives, 28 (22.2%) said the nurses really gave them listening ears and reassured them that all will be well and 33 (26.2%) said the interventions were very effective in helping them cope with the labour. Linear regression analyses revealed that there is no association between selected demographic factors (Age, Parity and Ethnicity) and outcome of care given by midwife. Women validated their management of labour pain by midwives to be on the average hence training and retraining of midwives in the area of labour pain management is essential and hospital administrators must employ more midwives into the labour wards so that one on one support is encouraged hence improving the overall satisfaction of labour for any woman. Key words: Mothers, validation, midwivesrsquo; care, labour pain, management. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/E5285D149904 http://dx.doi.org/10.5897/IJNM2014.0141 en Copyright © 2015 Grace Daniel, Modupe Oyetunde and Grace Eleri
oai:academicjournals.org:IJNM:D9A3FC549909 2015-01-31T00:00:00Z AcademicJournals IJNM IJNM:2015
The reasons of rising trend of cesarean section rate year after year. A retrospective study Risida Gjonej, Albana Poloska, Mimoza Keta, Zef Delija, Flora Zyberaj, Valbona Bezhani and Etleva Smakaj Full Length Research Paper Cesarean section is a surgical procedure which allows the child to birth through uterus incision. Cesarean birth is a procedure that gives resolve problems such as maternal and fetal complications. To study the incidence of cesarean birth, 1982 to 2000 with 2011 to 2013 years were compared to determine indications that contribute to the trend of the increasing number of cesarean deliveries. We studied the clinical charts of 2011 to 2013 from the statistic department of Maternity Hospital quot;Koccedil;o Gliozheniquot; Tiraneuml;, Albania. For statistical analysis, Statistical Package for the Social Science (SPSS) 11.5 package was used. This is a descriptive study and values ​​will be presented in frequency and percentage. Study of clinical charts of 2011 to 2013 resulted in an average rate of cesarean deliveries of approximately 32.3%. In the year 1982 to 1984, the percentage of cesarean birth was approximately 8.7%, while in 1999 to 2000 the percentage of cesarean birth was approximately 21.7%. Indications that are most important in this study that have contributed to an increase in the number of cesarean births are preeclampsia (9.2%), fetal suffering (13.9%), premature rupture of membranes (9.8%) and the indication which has greater influence in the rising rate of cesarean delivery is previous cesarean births (36.5%). The most frequent reasons for cesarean births in the center where the study was conducted for years January, 2011 till December, 2013 are: previous cesarean section, preeclampsia, fetal suffering. So, previous cesarean births are the most important factor in making decisions about the way of delivery, while in 1982 to 1984 the important factor was fetal suffering. Previous cesarean birth and multiple pregnancies (due to the increased number of in vitro fertilization) represent a growing trend. However, this high percentage of cesarean births in our center is unwarranted, so physicians should be very careful when they select patients for cesarean section. Careful monitoring of the fetus will help in reducing cesarean birth rate in our hospital. Key words: Cesarean section, fetal and maternal complications, maternal indications, fetal indications. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/D9A3FC549909 http://dx.doi.org/10.5897/IJNM2014. 0144 en Copyright © 2015 Risida Gjonej, Albana Poloska, Mimoza Keta, Zef Delija, Flora Zyberaj, Valbona Bezhani and Etleva Smakaj
oai:academicjournals.org:IJNM:A9D111450494 2015-02-28T00:00:00Z AcademicJournals IJNM IJNM:2015
Dearth of literature on barriers to provision of psychiatric nursing care in Nigeria: Findings from a literature review Solomon Musa Gimba and Duma Sinegugu Full Length Research Paper The literature review was conducted to review barriers to provision of psychiatric nursing care in the world. The literature search highlighted a dearth of literature in Nigeria on barriers to provision of psychiatric nursing care, highlighting a gap in knowledge base that needs to be filled. The aim of publishing this literature review is to fill the gap in knowledge highlighted. The literature review was discussed under four headings namely: universal barriers, barriers in Nigeria, barriers in some middle-income economies and barriers in some high-income economies. The implications of discussing the barriers under various heading were also discussed. Key words: Psychiatric nursing care, barriers, Nigeria. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/A9D111450494 http://dx.doi.org/10.5897/IJNM2014. 0149 en Copyright © 2015 Solomon Musa Gimba and Duma Sinegugu
oai:academicjournals.org:IJNM:EDCEDD250496 2015-02-28T00:00:00Z AcademicJournals IJNM IJNM:2015
Adolescents’ perception of career choice of nursing among selected secondary schools in Jos, Nigeria Ogunyewo Oluwatoyin A., Afemikhe Juliana A., Ajio Daniel K and Olanlesi-aliu Adedoyin Full Length Research Paper The main purpose of this study was to examine the adolescentsrsquo; perception and choice of nursing as a career in senior secondary schools, and to determine factors that may influence their choice and perception. The study was conducted in four selected schools in Jos metropolis. Each of these schools is unique in features. They include: two government secondary schools (urban and rural) and two private secondary schools (urban and rural). A total of 240 respondents were used for the study. A self-administered questionnaire was used for data collection. Data collected were analyzed and presented in frequency tables, percentages, bar chart and chi-square. Findings indicate that 7.5% (n=18) of respondents chose nursing as a career, out of which 83.33% (n=15) were females, while 16.67% (n=3) were males. Interestingly, out of 46.25% of total respondents who would consider nursing as a career, 56.76% were females while 43.26% were males. There is no significant relationship between gender in considering nursing as a career choice (Xsup2;=3.76, critical value=3.841, df=1, p value=0.05); the ownership type of schools, and consideration of nursing as a career choice shows no significance (t=-2.098, critical value=1.658, df=118, p value=0.05.). There is equally no significant relationship between location (Xsup2;=25.5, critical value=3.841, df=1, p value=0.05), and consideration of nursing as a career choice. Key words: Adolescent, perception, career, choice, secondary, schools. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/EDCEDD250496 http://dx.doi.org/10.5897/IJNM2014. 0139 en Copyright © 2015 Ogunyewo Oluwatoyin A., Afemikhe Juliana A., Ajio Daniel K and Olanlesi-aliu Adedoyin
oai:academicjournals.org:IJNM:E26B2C151294 2015-03-31T00:00:00Z AcademicJournals IJNM IJNM:2015
Health of women with inflammatory bowel disease: Coping with challenges from pregnancy to child rearing Chisato Kimura and Toshihide Ohmori Full Length Research Paper For women with irritable bowel disease (IBD), leading a healthy life during the perinatal period is important because it may affect their quality of life and motherhood. However, little attention has been paid to their challenges and the methods of coping with them. This study therefore aims to explore the challenges women with IBD face and the methods of coping with them during the perinatal period from their viewpoint. Exploratory, qualitative interview study design was used in this study. In-depth, one-on-one, semi-structured interviews were conducted in 2010 to 2011 among eight women having IBD, who experienced pregnancy, delivery and child rearing. The results of the interviews were analyzed by inductive content analysis. The participants recognized the following as challenges: high-risk management by obstetricians in collaboration with gastroenterologists, high risk to physical, mental and social well-being due to IBD relapse, limitation of information necessary during the perinatal period, issues related to the medical profession, and breastfeeding in their own way. They were coping with these issues by self-care for IBD, and making the most of various social support. Since IBD is often diagnosed during womenrsquo;s reproductive years, gastroenterology and obstetric specialists should cooperate with each other to routinely provide reproductive counseling to women with IBD. Furthermore, we should establish, as early as possible, health care communities for women with IBD, where they can maintain their quality of life and increase their preparedness for parenthood before pregnancy and during the perinatal period, based on multidisciplinary collaboration. Key words: Inflammatory bowel disease (IBD), womenrsquo;s health, nursing, midwifery, multidisciplinary collaboration, reproductive care, pregnancy, child rearing, chronic illness, gastroenterology, qualitative approach. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/E26B2C151294 http://dx.doi.org/10.5897/IJNM2014. 0154 en Copyright © 2015 Chisato Kimura and Toshihide Ohmori
oai:academicjournals.org:IJNM:221D33551293 2015-03-31T00:00:00Z AcademicJournals IJNM IJNM:2015
Knowledge and attitude of men about vasectomy as a method of family planning among married men working in Babcock University, Ogun state, Nigeria Owopetu Christiana, Chukwuma Sonachi and Nwozichi Chinomso Full Length Research Paper This study investigated the level of knowledge and attitude of married male workers about vasectomy and also the factors influencing the attitude of married men working in Babcock University towards vasectomy. Stratified random sampling technique was used to select 200 participants from the academic and administrative work divisions of the University and a self-constructed questionnaire was administered and 150 were retrieved and analysed using both descriptive and inferential statistics. Findings revealed that majority (42.7%) of the participants were between the ages of 31 to 40 years, Christians (97.3%), of the Yoruba tribe (55.3%), had a bachelorrsquo;s degree (46%) and were non-academic staff (53.3%). Majority (38%) of participants had adequate knowledge and 62.7% had positive attitude towards vasectomy. There was no association between participantsrsquo; level of education and their level of knowledge of vasectomy, however, a significant association was observed between participantsrsquo; level of knowledge and their attitude towards vasectomy (chi;2cal= 53.89, Ple;0.05). The risk of spousersquo;s health (54%) was the major factor influencing positive attitude and the need of more children (41.3%) was the main factor influencing negative attitude towards vasectomy. There is therefore need to develop awareness programs in order to equip the population with valid information and thus increasing their knowledge about vasectomy. Specific strategies should be developed in order to tackle the identified barriers hindering the acceptance of vasectomy among married men. Key words: Knowledge, attitude, vasectomy, family planning, married men. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/221D33551293 http://dx.doi.org/10.5897/IJNM2014. 0157 en Copyright © 2015 Owopetu Christiana, Chukwuma Sonachi and Nwozichi Chinomso
oai:academicjournals.org:IJNM:0F88EE351684 2015-04-30T00:00:00Z AcademicJournals IJNM IJNM:2015
Affective competency of Filipino nurses working in the hospitals of Taif City Kingdom of Saudi Arabia Daisy Andal Vicencio, Adnan Amin Alsulaimani, Fred B. Ruiz and Hatim Ali Elsheikh Full Length Research Paper This study aims to investigate the affective competency of Filipino nurses working in five hospitals of Taif City, Kingdom of Saudi Arabia. Transcultural Self-Efficacy Tool (TSET) Kit was used. The strength of self-efficacy perceptions of the nurses within the affective constructs shows that the five highest scores shows their own cultural heritage and belief systems, difference within their own cultural group, their own biases and limitations, role of family in providing health care and differences between cultural groups. The results indicate that the respondents are confident in giving care and are fully aware of the cultural background and culture specific health care that can affect nursing care. Respondents are confident in giving care to patient from a diverse culture. However, formal education seminars on transcultural nursing care in addition to training on Arabic Language will help them to communicate more effectively. Key words: Nursing, Filipino workers, Saudi hospitals. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/0F88EE351684 http://dx.doi.org/10.5897/IJNM2014. 0142 en Copyright © 2015 Daisy Andal Vicencio, Adnan Amin Alsulaimani, Fred B. Ruiz and Hatim Ali Elsheikh
oai:academicjournals.org:IJNM:A2F187F51691 2015-04-30T00:00:00Z AcademicJournals IJNM IJNM:2015
Knowledge, attitude and practice of nurses toward pressure ulcer prevention in University of Maiduguri Teaching Hospital, Borno State, North-Eastern, Nigeria Uba, M. N., Alih, F. I., Kever, R .T. and Lola, N. Full Length Research Paper Pressure ulcers are areas of localized injury to the skin, underlying tissue or both, usually over a bony prominence, as a result of pressure or in combination with shear. They are common problem in health care and represent a significant burden on patients, their relatives and caregivers. Pressure ulcer prevention is of the quality indicators to reduce the incidence of pressure ulcer in acute care setting. The study assessed nursesrsquo; knowledge, attitude and practice of pressure ulcer prevention in University of Maiduguri Teaching Hospital, Borno State (UMTH). The study adopted a non-experimental cross-sectional descriptive survey design. A total sample of 99 nurses participated in the study and data was collected through a self developed and validated questionnaire. Analysis was done with statistical package for the social sciences (SPSS) version 20, descriptive statistics of frequency count and percentages was used to answer research questions, while inferential statistics of chi-square was used to test the hypothesis at 5% level of significance. Findings revealed low level knowledge among nurses, positive attitudes towards pressure ulcer prevention practices and low level practice of pressure ulcer prevention in UMTH. However, significant relationship was found between nursesrsquo; work experience and practice of pressure ulcer prevention. The study therefore suggests that nurses need to increase their knowledge towards pressure ulcer prevention in order to improve nursing practice and ensure clientrsquo;s safety from pressure ulcers. Key words: Knowledge, attitude, practice, prevention, nurses, Maiduguri. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/A2F187F51691 http://dx.doi.org/10.5897/IJNM2014. 0155 en Copyright © 2015 Uba, M. N., Alih, F. I., Kever, R .T. and Lola, N.
oai:academicjournals.org:IJNM:95A194051694 2015-04-30T00:00:00Z AcademicJournals IJNM IJNM:2015
“I am very much afraid of its side effects by listening to what people say”: Reasons Ghanaian women do not use contraception Sarah D. Rominski, Emmanuel S. K. Morhe and Jody Lori Full Length Research Paper There is a large unmet need for contraception in Ghana, despite many forms of family planning being highly available and a near universal knowledge of contraception among Ghanaian women. This study sought to qualitatively investigate reasons for low-use of contraception in Ghana. Interviews were conducted with 18 women being treated for complications resulting from unsafe abortions to ascertain their views on contraception usage. Thirty healthcare providers, in three hospitals in Kumasi, Ghana were also interviewed. Ten focus groups were held with community members to investigate how contraception is viewed in the larger community. None of the women interviewed were using contraception when they became pregnant. There were three themes for reasons for non-use: Fear of Side Effects, Poor Reception by Health Staff, and Religion. To increase the acceptability of modern contraception, interventions aimed at refuting commonly held misconceptions are sorely needed. Improving the quality of services that women receive when they access services, and ensuring that health workers are well supported to provide the highest quality care possible is highly important. Key words: Contraception, Ghana. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/95A194051694 http://dx.doi.org/10.5897/IJNM2015.0161 en Copyright © 2015 Sarah D. Rominski, Emmanuel S. K. Morhe and Jody Lori
oai:academicjournals.org:IJNM:B682E1752240 2015-05-31T00:00:00Z AcademicJournals IJNM IJNM:2015
Process of children´s organ donation: Factors that intervene in the communication of the healthcare provider Viacute;ctor Contreras Ibacache and Ivonne Vargas Celis Full Length Research Paper The possibility of providing aid to individuals through the process of organ donation, so that they may continue living, is an initiative based on altruism and solidarity. The aim of this study is to describe the factors that intervene in the communication of the health care provider with the parents of brain dead children. We have selected papers and information from Web of Science, CINAHL, Science Direct (Elsevier), and PUBMED databases from 2000 to 2013. The principal findings of this study are that brain dead in children has a tough impact on healthcare service teams, cultural and religious aspects of the parents are factors that intervene in the decision making process, and probably the process donation is guided by a sense of solidarity with another in suffering and altruism, parents of children that are waiting for organs are also in a situation of great worry, because the death of their child may occur soon if they do not secure access to an organ which are the underlying constituent emotions and motors of the donor process. Key words: Organ donor, paediatric intensive care units, decision-making process, communication barriers. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/B682E1752240 http://dx.doi.org/10.5897/IJNM2014.0146 en Copyright © 2015 Viacute;ctor Contreras Ibacache and Ivonne Vargas Celis
oai:academicjournals.org:IJNM:8C48F9852248 2015-05-31T00:00:00Z AcademicJournals IJNM IJNM:2015
Client’s satisfaction with family planning services and associated factors among family planning users in Hossana Town Public Health Facilities, South Ethiopia: Facility-based cross-sectional study Tsegaye Gebre Argago, Kifle Woldemichael Hajito and Sena Belina Kitila Full Length Research Paper Client satisfaction is considered as one of the desired outcomes of health care and it is directly related with utilization of health services. It reflects the gap between the expected and the experience of the service from the clientrsquo;s point of view. The objective of this study was to assess clientsrsquo; satisfaction with family planning services and associated factors. Facility-based cross-sectional study that involved an exit interview was conducted from February to March, 2014 in public health facilities in Hossana town. The data were collected from 324 respondents selected by systematic sampling technique using pre-tested structured interviewer administered questionnaire. Of the total of 324 study subjects, 75.3% of the respondents reported that they were satisfied with services they received. In multivariate analysis, satisfaction of clients was higher for women who reported their waiting time to be 30 min and less (AOR=5.5 [95% CI=1.918, 15.77]), for those whom privacy was ensured during exams and procedures (AOR=5.08 [95%CI=2.270, 11.387]), told how to use the method (AOR=3.431[1.206, 9.761]), had history of unintended pregnancy (AOR 2.803[1.058, 7.426]), repeat users (AOR=3.041[1.37, 6.737]), convenient opening hours (AOR= 4.730[1.217, 18.383]) and lower for those women who perceived health facilities not clean (AOR= 0.192[0.056, 0.658]) and those who had experienced methods side effect (AOR=0.280 [95%CI= [.121, 0.645]. This study revealed that clientsrsquo; satisfaction with family planning service was low. The frequency of visit, waiting time, cleanness of health facilities, history of side effect, history of unintended pregnancy, and information on how to use methods, privacy during examination and procedure and convenience of opening hour were the predictors of client satisfaction. Key words: Family planning, client satisfaction, Hossana town. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/8C48F9852248 http://dx.doi.org/10.5897/IJNM2015. 0163 en Copyright © 2015 Tsegaye Gebre Argago, Kifle Woldemichael Hajito and Sena Belina Kitila
oai:academicjournals.org:IJNM:FDE03A752249 2015-05-31T00:00:00Z AcademicJournals IJNM IJNM:2015
Using a task analysis to strengthen nursing and midwifery pre-service education in Malawi Sheena Jacobsup;, Jessica Holmansup;, Regina Msolombasup;, Rose Wasilisup;, Fraser Langdonsup;, Ruth Levinesup;, Martha Mondiwasup;, Moses Bateganyasup; and Ellen MacLachlansup; Full Length Research Paper The Nurses and Midwives Council of Malawi (NMCM) has engaged in significant efforts to reform nursing and midwifery pre-service education in Malawi. To that end NMCM decided to revise and strengthen existing syllabi and curricula for nurse midwifery cadres, starting with the nurse midwife technician (NMT). In an attempt to make evidence-based decisions for syllabus revision, NMCM conducted a task analysis to assess how prepared NMTs were to perform tasks in their daily jobs. NMCM used the activity to identify curricular gaps and key NMT tasks. In the task analysis, quantitative and qualitative methods identified NMTsrsquo; perceptions of tasks required for daily practice, competency to perform such tasks, factors influencing quality of care, and pre-service programmatic gaps. NMCM collected data from 48 NMTs randomly selected from a weighted sample of NMTs from all districts in the country. The most frequently performed tasks (ge; 50%) were found to be in infectious diseases and midwifery. NMTs felt inadequately prepared to handle human immunodeficiency virus (HIV) cases, obstetric complications, and certain family planning methods. Findings also identified gaps in clinical training and faculty supervision of students. The task analysis provided a robust approach to curriculum revision through identifying key content gaps. Other countries might consider adopting this approach to improving the content and relevancy of nursing and midwifery syllabi and curricula. Key words: Task analysis, curriculum revision, nursing and midwifery education. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/FDE03A752249 http://dx.doi.org/10.5897/IJNM2015.0132 en Copyright © 2015 Sheena Jacobsup;, Jessica Holmansup;, Regina Msolombasup;, Rose Wasilisup;, Fraser Langdonsup;, Ruth Levinesup;, Martha Mondiwasup;, Moses Bateganyasup; and Ellen MacLachlansup;
oai:academicjournals.org:IJNM:E7CA04F53629 2015-06-30T00:00:00Z AcademicJournals IJNM IJNM:2015
Euthanasia: A fight for respect and autonomy Sehrish Pirani and Shirin Badruddin Case Report This study discusses an ethical dilemma on ldquo;Euthanasiardquo;. The purpose of this study is to analyze the ethical controversies associated with euthanasia. This study will present an in-depth analysis of a clinical scenario with regard to the concept of health-related quality of life, patientrsquo;s autonomy, and other legal, social, and religious perspectives. A four quadrant approach is performed to analyze the scenario. Key words: Euthanasia, quality of life, autonomy, four quadrant approach. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/E7CA04F53629 http://dx.doi.org/10.5897/IJNM2015.0167 en Copyright © 2015 Sehrish Pirani and Shirin Badruddin
oai:academicjournals.org:IJNM:C90D36953631 2015-06-30T00:00:00Z AcademicJournals IJNM IJNM:2015
Systematic bladder scanning identifies more women with postpartum urinary retention than diagnosis by clinical signs and symptoms Marie Blomstrand, Roland Boij, Lennart Christensson and Peter Blomstrand, Full Length Research Paper This study aims to determine if systematic use of bladder scan accurately identifies more women with postpartum urinary retention compared with diagnosis using clinical signs and symptoms, alone. A prospective, quasi experimental study was performed at the Department of Obstetrics and Gynecology, County Hospital Ryhov, Jouml;nkouml;ping, Sweden. A total of 252 women participated in this study; they were women who gave birth between the period of March and April, 2011. One hundred and twenty-six women were included in an experimental group, they received ultrasound scanning of post-void residual bladder volume for identification of urinary retention; patients were catheterized if post-void residual bladder volume was ge;400 ml. A control group of 126 women, matched by parity and age, were also included. The latter group were catheterized on clinical signs or symptoms of urinary retention. Twenty-one women in the experimental group were identified as having post-void residual bladder volume ge;400 ml compared to 9 in the control group, verified by catheterization (p lt; 0.05). Eleven women in the experimental group had covert urinary retention with a post-void residual bladder volume of 400 to 1200 ml. No woman who gave birth by caesarean section was identified with postpartum urinary retention. Univariable logistic regression analyses identified seven risk indicators of postpartum urinary retention: first pregnancy, delivery with use of ventouse, oxytocin infusion, epidural analgesia, second stage of gt;120 min, active pushing gt;30 min and perineal tear. Oxytocin infusion and perineal tear were independent risk indicators in a multivariable regression analysis. Systematic bladder scanning identifies more women with postpartum urinary retention in women with vaginal delivery than diagnosis by clinical signs and symptoms, alone. Oxytocin infusion and perineal tear are independent risk indicators for urinary retention in new delivered women. Key words: Postpartum urinary retention, postpartum voiding dysfunction, bladder scanning, catheterization, birth. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/C90D36953631 http://dx.doi.org/10.5897/IJNM2015.0164 en Copyright © 2015 Marie Blomstrand, Roland Boij, Lennart Christensson and Peter Blomstrand,
oai:academicjournals.org:IJNM:DB2737D54563 2015-07-31T00:00:00Z AcademicJournals IJNM IJNM:2015
Pattern of computer usage and visual acuity among computer users at National Open University of Nigeria (NOUN) S. K. Olubiyi, O. Agbede, Bidemi Okesina and A. O. Bode-Kayode Full Length Research Paper Computerized jobs are more sedentary as it requires more cognitive processing and mental attention. Besides, to put computers into operation for many tasks in tandem means that the operator would necessarily sit before visual display terminal of computers screen within a very restricted posture range. This could have deteriorative effects on the eyes. Hence, this study investigated the pattern of computer use in association with visual acuity among National Open University of Nigeria (NOUN) staff. The study was a cross-sectional survey which utilized multi-stage sampling method to recruit 297 staff from selected 17 NOUN Study Centres. A self-administered and structured questionnaire was used to obtain information for the study. Snellens and Jeggars chart were used to determine visual acuity among the respondents. Findings from the study revealed that prolonged ldquo;dailyrdquo; computer use was associated with less desirable visual acuity (plt;0.05). Likewise, the longer the hours spent on daily computer use, the lesser the desirable visual acuity (plt;0.05). It is however, recommended that periodic eye examination and public health campaign should be adopted as preventive strategies in order to maintain vision integrity among computer users. Key words: Pattern, computer use, visual acuity. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/DB2737D54563 http://dx.doi.org/10.5897/IJNM2015.0168 en Copyright © 2015 S. K. Olubiyi, O. Agbede, Bidemi Okesina and A. O. Bode-Kayode
oai:academicjournals.org:IJNM:6E3C6B455014 2015-08-31T00:00:00Z AcademicJournals IJNM IJNM:2015
Knowledge of women attending a primary health care (PHC) center concerning hygiene during their menstrual period Atiya K Muhammad and Cheeman Salih Jaff Full Length Research Paper One critical area is menstrual hygiene and management, which is absent from much of the discourse, policy and practice in keeping a womanrsquo;s private part clean. The objectives of this study were to identify womenrsquo;s information about menstrual hygiene management, and to explore the association between some socio-demographic and obstetric characteristics with knowledge. A descriptive study on the knowledge of women attending primary health care (PHC) concerning hygiene during the menstrual period was carried out in Sulaimani City from 20 July, 2012 to 30 June, 2013. Data were collected retrospectively by an interview with clients visiting PHC centers. Using non-probability sampling, a purposive sample of 604 females of reproductive age, were selected for the purpose of the study. The data were collected through an anonymous questionnaire, which comprised three parts: demographic characteristics, menstrual history and knowledge regarding the menstrual period. Data were analyzed through statistical package for the social sciences (SPSS) (18.0) version of packet program. Frequency, percentage, standard deviation and chi-square were used in the statistical assessment, and plt;0.05 was accepted as the statistical significance. Majority (56%) of the participants had adequate knowledge regarding menstruation hygiene, and the study also revealed that 81% of these samples use sanitary pad, 2.6% use new cloth piece and 16.4% use pieces of old cloth. The reason for not using sanitary pad for 42.6% of the study group were because it was not available for them, but 34.8% of the sample do not know why they do not use sanitary pad. 19.1% returned that they found it too difficult to dispose because they thought that disposal of pad is taboo in the Islam religion. A highly significant difference appears between womenrsquo;s knowledge regarding hygiene and the education level, occupation, marital status, residency and type of family, while no significant difference was found in the monthly income of the sample. Researchers conclude that there is a general deficiency in knowledge, especially in a bath and changing of pads. Some of the women use old cloth because pad is not easily available and/or difficult to dispose. The levels of knowledge regarding hygiene during menstruation increase with increase in womenrsquo;s age, the number of children, education, paid employment, and extended family. Nearly all women have a positive attitude to learning knowledge regarding menstruation period. Key words: Knowledge, hygiene, menstrual period. Academic Journals 2015 TEXT text/html https://academicjournals.org/journal/IJNM/article-abstract/6E3C6B455014 http://dx.doi.org/10.5897/IJNM2015.0178 en Copyright © 2015 Atiya K Muhammad and Cheeman Salih Jaff
2019-09-17T14:24:21Z|100|oai_dc|ijnm