Browsing by Author "Adejumo, P. O."

Now showing 1 - 8 of 8

An Overview of Consultant Nursing Specialist in Clinical Practice
(West African College of Nursing, 2011) Adejumo, P. O.; Adejumo, A. O.; Ilesanmi, R. E.; Ofi, A. B.; Oluwatosin, O. A.; Okanlawon, F. A.; Oyetunde, M. O.; Odetola, T. D.; Ndikom, C. M.; Awonuga, O.; Ojewale, L. Y.
As most health care systems around the world are undergoing major restructuring, nurses in Nigeria are moving at a slow pace. However, a giant stride was taken and history was made when the first set of nurse consultants were appointed in University College Hospital, Nigeria. The establishment of this groundbreaking post will help develop our health services and provide clear development opportunities for nurses at a time when the success of modernization of our services and implementation of new ways of working relies so heavily on nursing staff. This paper provides an overview of the consultant nurse specialist in clinical practice. Recommendations for successful implementation in Nigeria were provided.
Constraints in nurses´ use of HIV protective barriers in the care of PLWHA in the University College Hospital (UCH), Ibadan, Nigeria
(2009) Olatunji, O. O.; Adejumo, P. O.; Adejumo, A. O.
This survey examines the constraints limiting nurses’ use of protective barriers in the care of people living with HIV/AIDS in Ibadan, Nigeria. 270 females and 5 male nurses working in UCH were purposively selected. A self-developed questionnaire was used during data collection. Data was analyzed using descriptive statistics and chi square. Results about nurses’ use of protective devices (eg gloves) showed that 206 (94.2%) use PB always, 15 (5.5%) frequently use PB and 1(0.4%) occasionally use PB. Chi-square test shows significant differences between constraints in the use of PB in the care of PLWHA and adherence to HIV/AIDS universal precautions (X1=15.22, 1df, p<0.05). It was concluded that nurses in the selected setting were faced with constraints in the use of PB and as such were inadequately protected from blood-borne diseases especially when caring for PLWHA
Knowledge and practice of breast self-examination among nursing and midwifery students in Ibadan, Nigeria
(TextLinks Publishers, Ibadan, 2014-06) Hammed, S. K.; Aluko, J. O.; Onibokun, A. C.; Adejumo, P. O.
Background: Breast self-examination (BSE) is a check-up that a woman does by herself at home to look for changes or problems affecting the breast tissue. BSE is still recommended as a general approach to increasing breast health awareness and thus potentially allow for early detection of any anomalies because it is free, painless and easy to practice. This study assessed the knowledge and practice of BSE among Nursing and Midwifery students of School of Nursing and Midwifery, Eleyele Ibadan. Methods: The descriptive study was conducted with the use of structured questionnaires designed by the researchers. The internet resources and previous related studies served as the sources of content of the questionnaire. A simple random technique was used to select the participants for the study; the Nursing and Midwifery Council indexing record for the school being the sample frame. Thus, a total of 142 participants were recruited for the study. Results: The findings show that, majority (84.5%) of the respondents had good knowledge of BSE, while all of them had heard about BSE as at the time of data collection. However, over 90% had been practicing it prior to the period of data collection appropriately. Less than 15% of the respondents, had been able detect breast lumps while performing BSE. This category of the respondents claimed to have informed their parents before any action was taken. Conclusion: Breast cancer is the most severe and serious health problem faced by the public, majorly women. These nursing and midwifery students, most of whom were within the transitive phase from adolescent to adulthood have potential influence on one another, their immediate families and the society at large. This category of the nation’s population has been less studied in previous related researches. Therefore, educating them particularly during their professional training is very important
Knowledge and uptake of folic acid among pregnant women attending a secondary health facility in Ibadan
(MA Healthcare Ltd, 2017) Adebo, O.; Dairo, D.; Ndikom, C. M.; Adejumo, P. O.
Background: Folate deficiency is associated with poor pregnancy outcomes and is one of the most common vitamin deficiencies in women, especially those of reproductive age. Aims: This study aimed to determine the level of knowledge and uptake of folic acid among a sample of pregnant women. Method: A descriptive cross-sectional study, using a structured questionnaire, was carried out among 300 pregnant women attending antenatal clinics in one hospital in Oluyoro, Ibadan, Nigeria. Findings: All participants claimed to have heard of folic acid and major source of information was health workers (77.3%). Only 11.8% knew that folic acid can prevent birth defects and just 22.7% knew the best time to start using folic acid. Almost all the women (98.3%) reported using folic acid in the current pregnancy, of whom 54.2% used it as prescribed. Education (P=0.002), marital status (P=0.001), plan of pregnancy (P=0.022), and maternal age (P=0.046) were significantly associated with knowledge of folic acid. Employment status was significantly associated with uptake of folic acid (P=0.004). Conclusions: In this study, knowledge and uptake of folic acid was low among young, single and low education status women. Campaigns promoting periconceptional use of folic acid will be very useful in reaching women of child-bearing age particularly those pregnant and not registered for antenatal care.
Oncology Training Needs Assessment Among Health Care Professionals in Nigeria
(American Society of Clinical Oncology (ASCO), 2022) Adejumo, P. O.; Oluwasanu, M. M.; Ntekim, A.; Awolude. O. A.; Kotila, O. A.; Aniagwu T.; Brown B. J.; Dzekem, B. S.; Duncan, S.; Tito Ilori, M.; Ajani O.; Lee, S. M.; Babalola. C. P.; Ojengbede, O.; Huo. D.; Hammad, N.; Olopade, O. I.
PURPOSE This study investigated the status of training and preparedness for oncology practice and research and degree of interprofessional collaboration among health care professionals in the six geopolitical regions of Nigeria. METHODS A convergent parallel mixed methods design was used. Three hundred seventeen respondents completed a three-part, online questionnaire. Self-rated competencies in oncology research (26 items), oncology practice (16 items), and interprofessional collaboration (nine items) were assessed with a one- to fivepoint Likert scale. Six key informant and 24 in-depth interviews were conducted. Descriptive statistics, analysis of variance, and pairwise t-test were used to analyze the quantitative data, whereas thematic analysis was used for the qualitative data. RESULTS Respondents were mostly female (65.6%) with a mean age of 40.5 6 8.3 years. Respondents include 178 nurses (56.2%), 93 medical doctors (29.3%), and 46 pharmacists (14.5%). Self-assessed competencies in oncology practice differed significantly across the three groups of health care professionals (F = 4.789, P = .009). However, there was no significant difference across professions for competency in oncology research (F = 1.256, P = .286) and interprofessional collaboration (F = 1.120, P = .327). The majority of respondents (267, 82.4%) felt that educational opportunities in oncology-associated research in the country are inadequate and that this has implications for practice. Key training gaps reported include poor preparedness in data analysis and bioinformatics (138, 43.5%), writing clinical trials (119, 37.5%), and writing grant/research proposals (105, 33.1%). Challenges contributing to gaps in cancer research include few trained oncology specialists, low funding for research, and inadequate interprofessional collaboration. CONCLUSION This study highlights gaps in oncology training and practice and an urgent need for interventions to enhance interprofessional training to improve quality of cancer care in Nigeria. These would accelerate progress toward strengthening the health care system and reducing global disparities in cancer outcomes.
Perceived role of dietary factors in cancer causation and prevention among university undergraduates
(Department of Psychology, University of Ibadan, Nigeria, 2009) Adejumo, P. O.; Adejumo, A. O.; Anisu, D. F.
The impact of cancer on patients, care givers and family could be extremely traumatic, yet predisposition to the disease could be curtailed. Excess fat and calories; inadequate intake of fruits, vegetables, fibre, calcium and other dietary imbalances as well as alcohol, smoking and chronic infections are essential cancer aetiological factors. The purpose of this study was therefore to determine the association between perceived role of dietary factors in cancer causation and prevention. The cross sectional study adopted an exploratory survey technique. It took place in the University of Ibadan, Ibadan, Nigeria. Using multi-stage sampling, 346 undergraduates whose ages ranged between 20 and 30 years participated. They responded to a 51-item questionnaire which tapped information on their demographic characteristics, knowledge of cancer; awareness about dietary factors in cancer causation and prevention, and perception of the role of dietary factors in cancer causation and prevention. Results showed that the respondents' level of awareness of cancer was generally high ((91.9%) with few differences across demographic characteristics. However; the relative importance of the relationship between cancer and diet was underestimated (37.3%), and 12.1% of them completely missed the correct cancer risk factors. Similarly, 92 participants (16.6%) believed that cancer is a supernatural disease that cannot be prevented. One hypothesis was tested using chi square, it revealed that there is a significant association between awareness of cancer and knowledge of the role of dietary factors in cancer causation and prevention (X2=-50.24, df =-2, p=- 0.001). With the relatively high degree of awareness of cancer and acceptance of dietary factors as cancer risk determinants, campaigns which involve skill transfer and removal of barriers to change would enhance cancer preventive behaviour among university undergraduate. It is recommended that improvement in health education through inclusion of contents related to cancer causes, prevention and management, as well as social support programmes including subsidized cancer limiting feeding of undergraduates would be necessary in cancer prevention.
The expression status of human epidermal growth factor receptor 2 in epithelial ovarian cancer in Ibadan, Nigeria
(British Institute of Radiology, 2015) Obajimi, M .O.; Adeniji-Sofoluwe, A. T.; Adeoye, A .O.; Obajimi, G. O.; Ajani, M. A; Adejumo, P. O.; Akinwunmi, O .M.
Breast cancer is the most common cancer among females in Nigeria. Bilateral breast cancer can occur synchronously or metachronously. We report three different cases of bilateral breast cancer in three female patients managed by the Ibadan Multidisciplinary Breast Tumour Board, domiciled at the University College Hospital (UCH), over a 3-year period. Two of these patients had synchronous bilateral breast cancer and developed cancer in the second breast during the course of management. These case reports may therefore stimulate further research on the clinicopathological features and the progression of bilateral breast cancer among females, especially in our environment. Our patients were premenopausal and the immunochemistry of the tumours showed a triple-negative immunophenotype. The other features of presentation, investigation, diagnosis and follow-up care are the highlights of this presentation.
Theatre personnel’s perception of operating room resource allocation
(2009-06) Adejumo, A. O.; Adejumo, P. O.
Operating rooms (OR) in hospitals represents big investments and must be utilized efficiently. Inaccurate scheduling of OR resources often results in delays of surgery or cancellations of procedures. These are costly to the patient, surgical team and hospital. Existing literatures in the OR management lack consensus on the method of evaluating management decisions from the perspectives of personnel or those affected by management decision-making processes. Eight key informant interviews were conducted. Also, 50 Operating Theatre Personnel (OTP) i.e. Surgeons, OR Nurses, Anaesthetists, and Executive Officers in the Nigeria's premier University Teaching Hospital were asked to complete a survey questionnaire concerning operating theatre resource allocation in the hospital. Five close ended and 10 open-ended questions were used. (For example, how are the decisions to allocate OR resources in this hospital made?) Thematic analysis and descriptive statistics were done. The theoretical framework, accountability for reasonableness was applied. Forty-eight percent of the participants were ignorant of the framework guiding OR resource allocation. 54% of the respondents admitted the current mechanism for publicizing management decisions on OR resource allocation is ineffective. Another 50% of the respondents knew little about the mode of appealing against unfavourable allocation decisions. Participants' open ended responses revealed that hospital executives and a few consultant surgeons control the allocation of OR resources, with, little recourse to OR personnel's concerns. If operating theatre stake holders are excluded in the planning, allocation and evaluation of OR resources, the efficiency required in surgical services would never be realized irrespective of the dexterity of the surgical team.