Half a million women are estimated to die each year from pregnancy and childbirth. Greater than half of maternal and child deaths occur in Africa. Most of these deaths are caused by complications during or just after delivery and most of the complications are avoidable. Also, when reimbursement and performance policy is becoming a thing of need, patient experience and satisfaction is one of the ways of assessing and measuring the quality of care received in the health facility. This study attempted to explore patients’ satisfaction with intrapartum care provided by nurse-midwives in Civil Service Hospital, in Ilorin, Kwara State, Nigeria. This is to enhance understanding of patients’ perception and values of pregnant women during delivery, as well as factors influencing their satisfaction in other to guide nurse-midwives in providing quality care. Hence, working towards health-related Sustained Development Goals (SDGs) to reduce child mortality by two-thirds. The study employed a qualitative research design and a purposive sampling technique was used to select 16 mothers who just delivered in Civil Service Hospital, Ilorin, Kwara State. A semi-structured interview guide was used to collect the data. In-depth Interviews were done which comprised 16 participants. A qualitative method (thematic analysis) was used to analyse the data. Findings from the discussions revealed that the majority of the women said that they are highly satisfied with the provided by the nurse-midwives because of the type of care received from the competent nurses. it was also discovered that expectation is highly linked with satisfaction. Based on the findings; the participants recommended that the toilet facility, labour rooms and hospital beds should be renovated; electricity and water supply should be improved.
{"title":"Patient Satisfaction with Intrapartum Care Provided by Nurse-Midwives in Civil Service Hospital, Ilorin, Kwara State, Nigeria","authors":"Olabode O.O., Onasoga O.A., Aluko J.O.","doi":"10.52589/ajhnm-yyege8wp","DOIUrl":"https://doi.org/10.52589/ajhnm-yyege8wp","url":null,"abstract":"Half a million women are estimated to die each year from pregnancy and childbirth. Greater than half of maternal and child deaths occur in Africa. Most of these deaths are caused by complications during or just after delivery and most of the complications are avoidable. Also, when reimbursement and performance policy is becoming a thing of need, patient experience and satisfaction is one of the ways of assessing and measuring the quality of care received in the health facility. This study attempted to explore patients’ satisfaction with intrapartum care provided by nurse-midwives in Civil Service Hospital, in Ilorin, Kwara State, Nigeria. This is to enhance understanding of patients’ perception and values of pregnant women during delivery, as well as factors influencing their satisfaction in other to guide nurse-midwives in providing quality care. Hence, working towards health-related Sustained Development Goals (SDGs) to reduce child mortality by two-thirds. The study employed a qualitative research design and a purposive sampling technique was used to select 16 mothers who just delivered in Civil Service Hospital, Ilorin, Kwara State. A semi-structured interview guide was used to collect the data. In-depth Interviews were done which comprised 16 participants. A qualitative method (thematic analysis) was used to analyse the data. Findings from the discussions revealed that the majority of the women said that they are highly satisfied with the provided by the nurse-midwives because of the type of care received from the competent nurses. it was also discovered that expectation is highly linked with satisfaction. Based on the findings; the participants recommended that the toilet facility, labour rooms and hospital beds should be renovated; electricity and water supply should be improved.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45066224","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Mohamed S.H., Altunkurek Ş.Z., Eker H.H., O. K., H. F., Abdi İ.A.
This study aimed to determine the healthy lifestyle behaviors of students at a university in Mogadishu, Somalia. A cross-sectional study was conducted among 347 university students >16 in Mogadishu, Somalia, from October to December 2020. The data were collected by using a self-administered questionnaire and the Health-Promoting Lifestyle Profile-II (HPLP-II) Scale throughout that period. Demographic characteristics and health- promoting lifestyle were evaluated. T-test, Anova, post hoc (Tukey, LSD) and multiple regression analysis were used for statistical analyses. The healthy lifestyle behavior point averages of the students were found to be at a medium level (125.8±24.60). A significant difference was found in the total mean HPLP-II scores by gender, age, diagnosis of health problems, and exercise habits (p<0.05). The data showed significant associations among some subscales of the HPLP-II, gender, age, education level of mother, income status and have a chronic health problem, while participating in sporting activities was found to be statistically significant with all subscales of the HPLP-II (p < 0.05). Students’ lifestyle behaviors were found to be moderately healthy. Intervention studies are needed to support Somali students in making healthy lifestyle choices and improve their health promotion attitudes.
本研究旨在确定索马里摩加迪沙一所大学学生的健康生活方式行为。2020年10月至12月，在索马里摩加迪沙的347名大学生中进行了一项横断面研究。在此期间，数据是通过自我管理问卷和健康促进生活方式概况- ii (HPLP-II)量表收集的。评估人口统计学特征和促进健康的生活方式。统计学分析采用t检验、方差分析、事后分析(Tukey, LSD)和多元回归分析。学生健康生活方式行为点平均值(125.8±24.60)处于中等水平。不同性别、年龄、健康问题诊断和运动习惯的HPLP-II总平均得分差异有统计学意义(p<0.05)。数据显示，HPLP-II的部分分量表与性别、年龄、母亲受教育程度、收入状况、是否有慢性健康问题存在显著相关性，而参加体育活动与HPLP-II的所有分量表存在显著相关性(p < 0.05)。学生的生活方式行为为中等健康。需要进行干预研究，以支持索马里学生选择健康的生活方式，并改善他们促进健康的态度。
{"title":"Health-Promoting Lifestyle and its Determinants among University Students in Mogadishu, Somalia","authors":"Mohamed S.H., Altunkurek Ş.Z., Eker H.H., O. K., H. F., Abdi İ.A.","doi":"10.52589/ajhnm-mlrw8sui","DOIUrl":"https://doi.org/10.52589/ajhnm-mlrw8sui","url":null,"abstract":"This study aimed to determine the healthy lifestyle behaviors of students at a university in Mogadishu, Somalia. A cross-sectional study was conducted among 347 university students >16 in Mogadishu, Somalia, from October to December 2020. The data were collected by using a self-administered questionnaire and the Health-Promoting Lifestyle Profile-II (HPLP-II) Scale throughout that period. Demographic characteristics and health- promoting lifestyle were evaluated. T-test, Anova, post hoc (Tukey, LSD) and multiple regression analysis were used for statistical analyses. The healthy lifestyle behavior point averages of the students were found to be at a medium level (125.8±24.60). A significant difference was found in the total mean HPLP-II scores by gender, age, diagnosis of health problems, and exercise habits (p<0.05). The data showed significant associations among some subscales of the HPLP-II, gender, age, education level of mother, income status and have a chronic health problem, while participating in sporting activities was found to be statistically significant with all subscales of the HPLP-II (p < 0.05). Students’ lifestyle behaviors were found to be moderately healthy. Intervention studies are needed to support Somali students in making healthy lifestyle choices and improve their health promotion attitudes.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48144157","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This paper aims to discuss the roles of Educators and Clinicians in effective precepting of Nursing and Midwifery Students in the Clinical Setting. It aids both experienced and new preceptors to become more effective teachers in the delivery of their roles to students, interns and newly employed nurses while maintaining the standard of Nursing & Midwifery clinical area. The paper discussed vast literature surrounding the phenomena of preceptorship in nursing. The paper enlightens the concept of establishing an effective preceptorship, teaching strategies for effective preceptorships, challenges confronting precepting’s, roles and responsibilities of educators and clinicians’ receptors and benefits of effective precepting. Recommendations made in the paper are; Strengthening preceptorship in providing theoretical and practical knowledge to the nursing students, each student nurse should have a formally assigned preceptor that is responsible for the academic growth of that student, preceptor can use various teaching strategies for effective student’s clinical practice, nursing leaders and administrators should put on more effort in improving precepting activities in hospitals and institutions, professional organisations should give more support to precepting in nursing for professional development.
{"title":"Effective Precepting of Nursing and Midwifery Students in the Clinical Setting: Role of Educators and Clinicians","authors":"Farouk U.A., Maduakolam I.O., Agnes C.O.","doi":"10.52589/ajhnm-ihrzjsit","DOIUrl":"https://doi.org/10.52589/ajhnm-ihrzjsit","url":null,"abstract":"This paper aims to discuss the roles of Educators and Clinicians in effective precepting of Nursing and Midwifery Students in the Clinical Setting. It aids both experienced and new preceptors to become more effective teachers in the delivery of their roles to students, interns and newly employed nurses while maintaining the standard of Nursing & Midwifery clinical area. The paper discussed vast literature surrounding the phenomena of preceptorship in nursing. The paper enlightens the concept of establishing an effective preceptorship, teaching strategies for effective preceptorships, challenges confronting precepting’s, roles and responsibilities of educators and clinicians’ receptors and benefits of effective precepting. Recommendations made in the paper are; Strengthening preceptorship in providing theoretical and practical knowledge to the nursing students, each student nurse should have a formally assigned preceptor that is responsible for the academic growth of that student, preceptor can use various teaching strategies for effective student’s clinical practice, nursing leaders and administrators should put on more effort in improving precepting activities in hospitals and institutions, professional organisations should give more support to precepting in nursing for professional development.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":"10 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41263831","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Introduction: This study investigates the psychological impact of COVID-19 surge and the community spread among healthcare workers (HCWs) in the three tiers of health care delivery system in CRS. Materials and Methods: Descriptive cross-sectional design was adopted for this study. Total population sampling technique guided the recruitment of 776 consenting healthcare workers from one tertiary, one secondary and three randomly selected primary healthcare centres in the state. A well validated researcher developed, adapted and modified 21-item Depression, Anxiety and Stress Scale (DASS-21) online questionnaire with a Cronbach’s alpha coefficient reliability of 0.76, used for data collection. Result: Majority of the respondents were nurses 460 (63.3%) and the mean age was 37.3. The incidence of depression, anxiety, stress and overall psychological problems were 288 (37.1%), 375 (48.3%) 316 (40.7%) and 402 (51.8%). The overall psychological problems were higher in females 331 (58.0%) than in males 71 (34.6%) (PR=1.67). Compared with HCWs who do not have personal contact with patients, HCWs who have personal contact with patients had a higher prevalence of psychological problems (PR=1.83). Conclusion: COVID-19 pandemic has negative psychological impacts on HCWs, and having a pre-existing medical condition increases the risk of impact. Word count: 194 words
{"title":"Psychological Impact of Covid-19 Surge among Healthcare Workers in Primary, Secondary and Tertiary Care Settings in Cross River State, Nigeria","authors":"Akpan-Idiok P.A., Enebeli E.C.","doi":"10.52589/ajhnm-aeuzliov","DOIUrl":"https://doi.org/10.52589/ajhnm-aeuzliov","url":null,"abstract":"Introduction: This study investigates the psychological impact of COVID-19 surge and the community spread among healthcare workers (HCWs) in the three tiers of health care delivery system in CRS. Materials and Methods: Descriptive cross-sectional design was adopted for this study. Total population sampling technique guided the recruitment of 776 consenting healthcare workers from one tertiary, one secondary and three randomly selected primary healthcare centres in the state. A well validated researcher developed, adapted and modified 21-item Depression, Anxiety and Stress Scale (DASS-21) online questionnaire with a Cronbach’s alpha coefficient reliability of 0.76, used for data collection. Result: Majority of the respondents were nurses 460 (63.3%) and the mean age was 37.3. The incidence of depression, anxiety, stress and overall psychological problems were 288 (37.1%), 375 (48.3%) 316 (40.7%) and 402 (51.8%). The overall psychological problems were higher in females 331 (58.0%) than in males 71 (34.6%) (PR=1.67). Compared with HCWs who do not have personal contact with patients, HCWs who have personal contact with patients had a higher prevalence of psychological problems (PR=1.83). Conclusion: COVID-19 pandemic has negative psychological impacts on HCWs, and having a pre-existing medical condition increases the risk of impact. Word count: 194 words","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"44260733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Postpartum depression is one of the major public health concerns for women of reproductive age. Studies have shown a rise in postpartum depression among nursing mothers in every part of Southwest Nigeria.Therefore, this study examined the predictors (Knowledge and sociodemographic characteristics) of Help-seeking intention towards postpartum depression among nursing mothers in Osogbo, Osun State. A cross-sectional design was adopted for this study. The multistage sampling technique was used to enroll two hundred and fifty nursing mothers from the total population of nursing mothers from facilities in the study location. Data was collected using a validated interviewer-administered questionnaire consisting of items on demographic characteristics, Knowledge of nursing mothers on postpartum depression, and items on Help-seeking intention towards postpartum depression. A standard mental help-seeking intention tool was used. Help-seeking intention toward postpartum depression was measured on a 7-point rating scale, which was categorised into low (≤ 4) and high (> 4-7). Descriptive statistics (Frequency) and Inferential statistics (Chi-square, binary logistic regression) were conducted to give statistical responses to the research hypotheses. The mean age of the mothers was 29.3 ± 5.4 years. The majority (85.6%) of the respondents were married. More than half (58.4%) of the respondents had tertiary education. More than half (59.6%) of the respondents had high Help-seeking intention toward postpartum depression. Furthermore, the respondent’s level of education had a significant relationship with Help-seeking intention toward postpartum depression (X2=19.1; p=0.004). However, there was no significant between respondent’s age (X2= 1.58;p=0.45); marital status (X2= 3.51; p=0.32); religion (X2=1.18;p=0.55); occupation (x= 10.0; p= 0.07); monthly income (X2= 5.71; p= 0.06) and Help-seeking intention toward postpartum depression. There was a statistically significant association between the respondents' knowledge and the Help-seeking intention of nursing mothers.
{"title":"Predictors of Help-Seeking Intention of Nursing Mothers Towards Postpartum Depression in Osogbo, Osun State","authors":"Ajibade I.T., Oyerinde O.O., Ajibade P.O., Nkanga A.E., Dangana J., Faith J.","doi":"10.52589/ajhnm-mvyln2on","DOIUrl":"https://doi.org/10.52589/ajhnm-mvyln2on","url":null,"abstract":"Postpartum depression is one of the major public health concerns for women of reproductive age. Studies have shown a rise in postpartum depression among nursing mothers in every part of Southwest Nigeria.Therefore, this study examined the predictors (Knowledge and sociodemographic characteristics) of Help-seeking intention towards postpartum depression among nursing mothers in Osogbo, Osun State. A cross-sectional design was adopted for this study. The multistage sampling technique was used to enroll two hundred and fifty nursing mothers from the total population of nursing mothers from facilities in the study location. Data was collected using a validated interviewer-administered questionnaire consisting of items on demographic characteristics, Knowledge of nursing mothers on postpartum depression, and items on Help-seeking intention towards postpartum depression. A standard mental help-seeking intention tool was used. Help-seeking intention toward postpartum depression was measured on a 7-point rating scale, which was categorised into low (≤ 4) and high (> 4-7). Descriptive statistics (Frequency) and Inferential statistics (Chi-square, binary logistic regression) were conducted to give statistical responses to the research hypotheses. The mean age of the mothers was 29.3 ± 5.4 years. The majority (85.6%) of the respondents were married. More than half (58.4%) of the respondents had tertiary education. More than half (59.6%) of the respondents had high Help-seeking intention toward postpartum depression. Furthermore, the respondent’s level of education had a significant relationship with Help-seeking intention toward postpartum depression (X2=19.1; p=0.004). However, there was no significant between respondent’s age (X2= 1.58;p=0.45); marital status (X2= 3.51; p=0.32); religion (X2=1.18;p=0.55); occupation (x= 10.0; p= 0.07); monthly income (X2= 5.71; p= 0.06) and Help-seeking intention toward postpartum depression. There was a statistically significant association between the respondents' knowledge and the Help-seeking intention of nursing mothers.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-10-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41316537","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Ajibade I.T., Ajibade P.O., K. S., A. A, Nwachukwu B.C.
Postpartum depression is one of the most common complications that occurs in mothers which has negative effects on the babies whose mothers were affected. The study aimed to determine the knowledge, attitude and prevalence of postpartum depression. A descriptive cross-sectional study design was adopted for this study. A multistage sampling technique was used to enroll 250 nursing mothers from the total population using 8 health facilities in the location. Data was collected using a pretested interviewer-administered questionnaire which included a standardized tool (Edinburgh Postnatal Depression Scale). Analysis was carried out using IBM SPSS V21.0. Frequency, chi-square and binary logistic regression analysis were used to give statistical responses and associations between the variables. The result of the analysis showed that the prevalence of postpartum depression was 33.6%. Majority (60%) of the respondents had fair knowledge of postpartum depression. More than half (52.4%) of the respondents had a moderate attitude towards postpartum depression. There was no statistically significant association between knowledge, attitude towards postpartum depression and prevalence of postpartum depression. There was a significant association between previous history of postpartum depression, occupation of the spouse and the prevalence of postpartum depression. Postpartum depression is known to be a major public health concern for women of reproductive age. The study revealed a high prevalence rate of postpartum depression, it therefore recommended that the government should implement policies and also programs that would promote awareness and early recognition of postpartum depression.
{"title":"Knowledge, Attitude and Prevalence of Postpartum Depression among Mothers Attending Immunization Clinics in Osogbo Local Government, Osun State","authors":"Ajibade I.T., Ajibade P.O., K. S., A. A, Nwachukwu B.C.","doi":"10.52589/ajhnm-ui5dyzvx","DOIUrl":"https://doi.org/10.52589/ajhnm-ui5dyzvx","url":null,"abstract":"Postpartum depression is one of the most common complications that occurs in mothers which has negative effects on the babies whose mothers were affected. The study aimed to determine the knowledge, attitude and prevalence of postpartum depression. A descriptive cross-sectional study design was adopted for this study. A multistage sampling technique was used to enroll 250 nursing mothers from the total population using 8 health facilities in the location. Data was collected using a pretested interviewer-administered questionnaire which included a standardized tool (Edinburgh Postnatal Depression Scale). Analysis was carried out using IBM SPSS V21.0. Frequency, chi-square and binary logistic regression analysis were used to give statistical responses and associations between the variables. The result of the analysis showed that the prevalence of postpartum depression was 33.6%. Majority (60%) of the respondents had fair knowledge of postpartum depression. More than half (52.4%) of the respondents had a moderate attitude towards postpartum depression. There was no statistically significant association between knowledge, attitude towards postpartum depression and prevalence of postpartum depression. There was a significant association between previous history of postpartum depression, occupation of the spouse and the prevalence of postpartum depression. Postpartum depression is known to be a major public health concern for women of reproductive age. The study revealed a high prevalence rate of postpartum depression, it therefore recommended that the government should implement policies and also programs that would promote awareness and early recognition of postpartum depression.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46143510","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
BACKGROUND Prolonged and obstructed labour is responsible for 8% of maternal deaths can be prevented by using partograph during labour since complications can be discovered early and avoided. The goal of this study was to determine the factors that influence partograph utilisation (barriers and facilitators) among Obstetric caregivers in primary healthcare centres, Orlu local government area of Imo State, southeast Nigeria. METHOD A mixed method design was adopted for the study. For quantitative and qualitative data collection, a semi-structured questionnaire and an interview guide were utilised. A structured validated proforma was also used to collect data from patient records in all the health centres. The qualitative study consisted of oral interviews conducted among 22-unit heads in the 22 health centres. The data were analysed using simple descriptive statistics such as frequency and percentages, and the results were presented in tables. RESULTS According to the findings, the use of partograph among Obstetric caregivers in primary Healthcare centres in Orlu L.G.A was determined by personal factors such as skill incompetency in carrying out an assessment with the partograph (2.6±0.87); time constraint (2.8±0.55), institutional factors influencing the use of partograph included, non-availability of partograph (2.9±0.92), Lack of adequate orientation (3.4±0.58), Lack of training (3.3±0.47). The qualitative data revealed barriers to the use of the partograph to include unavailability of partograph, inadequate number of staff, increased workload and poor supervision. For partograph utilisation to improve among obstetric caregivers, further training and employment of more staff are needed, provision of partograph forms are also important factors to consider.
{"title":"The Determinants of Partograph Utilisation among Obstetric Care Providers at Primary Healthcare Level in South-East Nigeria: A Mixed-Methods Study","authors":"Okoroafor N.L., Esievo N.J., Ijeoma M., Ijeoma O.","doi":"10.52589/ajhnm-td5iri1o","DOIUrl":"https://doi.org/10.52589/ajhnm-td5iri1o","url":null,"abstract":"BACKGROUND Prolonged and obstructed labour is responsible for 8% of maternal deaths can be prevented by using partograph during labour since complications can be discovered early and avoided. The goal of this study was to determine the factors that influence partograph utilisation (barriers and facilitators) among Obstetric caregivers in primary healthcare centres, Orlu local government area of Imo State, southeast Nigeria. METHOD A mixed method design was adopted for the study. For quantitative and qualitative data collection, a semi-structured questionnaire and an interview guide were utilised. A structured validated proforma was also used to collect data from patient records in all the health centres. The qualitative study consisted of oral interviews conducted among 22-unit heads in the 22 health centres. The data were analysed using simple descriptive statistics such as frequency and percentages, and the results were presented in tables. RESULTS According to the findings, the use of partograph among Obstetric caregivers in primary Healthcare centres in Orlu L.G.A was determined by personal factors such as skill incompetency in carrying out an assessment with the partograph (2.6±0.87); time constraint (2.8±0.55), institutional factors influencing the use of partograph included, non-availability of partograph (2.9±0.92), Lack of adequate orientation (3.4±0.58), Lack of training (3.3±0.47). The qualitative data revealed barriers to the use of the partograph to include unavailability of partograph, inadequate number of staff, increased workload and poor supervision. For partograph utilisation to improve among obstetric caregivers, further training and employment of more staff are needed, provision of partograph forms are also important factors to consider.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41418306","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
The first global initiative to improve patient safety was passed by the World Health Assembly in 2002. Notwithstanding, patients continue to experience healthcare related harms despite advancements in medical technologies. Patient safety strategies do exist in certain institutions; however, they may not be consistent, well applied or appreciated by all staff. Errors in obstetric care are common due to the dynamic nature of the discipline and are associated with a high incidence of litigation, which drives interest away from obstetric practice. This article aims to improve our understanding of medical errors and related terminology, explore strategies to reduce errors in obstetrics and improve patient safety in all areas of care. Reporting systems and guidelines are also suggested with a view to achieving improved patient outcomes in the field.
{"title":"Reducing Obstetric Errors and Improving Patient Safety","authors":"N. Maharaj","doi":"10.52589/ajhnm-qifhxrox","DOIUrl":"https://doi.org/10.52589/ajhnm-qifhxrox","url":null,"abstract":"The first global initiative to improve patient safety was passed by the World Health Assembly in 2002. Notwithstanding, patients continue to experience healthcare related harms despite advancements in medical technologies. Patient safety strategies do exist in certain institutions; however, they may not be consistent, well applied or appreciated by all staff. Errors in obstetric care are common due to the dynamic nature of the discipline and are associated with a high incidence of litigation, which drives interest away from obstetric practice. This article aims to improve our understanding of medical errors and related terminology, explore strategies to reduce errors in obstetrics and improve patient safety in all areas of care. Reporting systems and guidelines are also suggested with a view to achieving improved patient outcomes in the field.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" 8","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41254131","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
This theoretical study X-rayed the urgent need for nurse job satisfaction all over Nigeria. Nursing shortage all over Nigeria has become a continuous threat to quality care outcomes and there is nothing to show that this will come to an end anytime soon. Attracting and retaining qualified registered nurses to function in critical managerial roles because of the current nursing shortage is becoming increasingly vital as diseases and healthcare issues flood the Nigerian domain. In addition, though the government has not seen this as a danger, baby boomers and children are at a high risk of sicknesses and early death. Therefore, it is imperative that the few existing nurses are job satisfied by all means.
{"title":"The Importance of Nursing Staff Satisfaction: Nigerian Context","authors":"Oparanma F.U., Chinedum I.A.","doi":"10.52589/ajhnm-q1kygntb","DOIUrl":"https://doi.org/10.52589/ajhnm-q1kygntb","url":null,"abstract":"This theoretical study X-rayed the urgent need for nurse job satisfaction all over Nigeria. Nursing shortage all over Nigeria has become a continuous threat to quality care outcomes and there is nothing to show that this will come to an end anytime soon. Attracting and retaining qualified registered nurses to function in critical managerial roles because of the current nursing shortage is becoming increasingly vital as diseases and healthcare issues flood the Nigerian domain. In addition, though the government has not seen this as a danger, baby boomers and children are at a high risk of sicknesses and early death. Therefore, it is imperative that the few existing nurses are job satisfied by all means.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-08-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46098032","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Adetunji O.A., Ayedebinu A.O., Bifarin M.T., Oguntoye O.
Surgery is a cost-effective and core component of universal health coverage. Surgical delay is considered to be one of the most upsetting problems affecting patient satisfaction, and it is considered an important challenging issue at most public hospitals as the length of time a patient has to wait after being booked in and registered on the waiting list until the surgery is finally done. The study was a descriptive survey using the quantitative method conducted on Surgical Delays and Associated Factors on Surgical Outcomes among Surgical Teams at Obafemi Awolowo University Teaching Hospitals Complex, Ife Hospital Unit, Ile-Ife, Osun State, Nigeria. Questionnaires and observation checklists were designed as tools to collect the data about surgical delays and associated factors among surgical teams. A total of two hundred and seventy (270) questionnaires were distributed and administered. The data collected were filled and entered into the computer using freeware data entry and validation program known as Epidata 3.0. The finding revealed that the common factors affecting surgical delays among surgical teams include communication gap [Relative Importance Index (RII) = 0.55], clinical instability of the patient (RII = 0.53), non-availability of an operating space (RII = 0.52), and infrastructure problems (RII = 0.52). Communication gap between the surgical team members is the common factor that leads to surgical delays in the health facility. Establishment of perioperative guidelines and protocols as well as review and reinforcement of existing ones are needed to eliminate the attitudinal and systemic causes of surgical delays.
{"title":"Common Factors of Surgical Delays in the Surgical Environment at a Federal Teaching Hospital in the Southwestern Nigeria","authors":"Adetunji O.A., Ayedebinu A.O., Bifarin M.T., Oguntoye O.","doi":"10.52589/ajhnm_obqclxic","DOIUrl":"https://doi.org/10.52589/ajhnm_obqclxic","url":null,"abstract":"Surgery is a cost-effective and core component of universal health coverage. Surgical delay is considered to be one of the most upsetting problems affecting patient satisfaction, and it is considered an important challenging issue at most public hospitals as the length of time a patient has to wait after being booked in and registered on the waiting list until the surgery is finally done. The study was a descriptive survey using the quantitative method conducted on Surgical Delays and Associated Factors on Surgical Outcomes among Surgical Teams at Obafemi Awolowo University Teaching Hospitals Complex, Ife Hospital Unit, Ile-Ife, Osun State, Nigeria. Questionnaires and observation checklists were designed as tools to collect the data about surgical delays and associated factors among surgical teams. A total of two hundred and seventy (270) questionnaires were distributed and administered. The data collected were filled and entered into the computer using freeware data entry and validation program known as Epidata 3.0. The finding revealed that the common factors affecting surgical delays among surgical teams include communication gap [Relative Importance Index (RII) = 0.55], clinical instability of the patient (RII = 0.53), non-availability of an operating space (RII = 0.52), and infrastructure problems (RII = 0.52). Communication gap between the surgical team members is the common factor that leads to surgical delays in the health facility. Establishment of perioperative guidelines and protocols as well as review and reinforcement of existing ones are needed to eliminate the attitudinal and systemic causes of surgical delays.","PeriodicalId":93406,"journal":{"name":"African journal of health, nursing and midwifery","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2022-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48779578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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