Scholarly Works

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    Recognition and Disclosure of Medical Errors Among Residents in Surgical Specialties in a Tertiary Hospital in Ibadan
    (Springer Nature, 2019) Balogun J. A.; Adekanmbi A.; Balogun F. M.
    Background Medical error (ME) remains central to discussions regarding patient’s safety and its frequency appears high in surgical specialties because of some peculiarities. We set out to study the perception of surgical residents about medical errors, their ability to recognize them and predisposition to disclosing their errors. Methods This was a cross-sectional study among surgical residents at the University College Hospital, Nigeria. Data about their knowledge, perception and recognition of medical errors were obtained. Knowledge and practice of medical error disclosure was also examined. Each of these was scored on Likert scale and scores categorized. Chisquare test and logistic regression were used for analysis with p at\0.05. Results 92 residents participated and 11(12.0%) were females. 32.6% of the respondents had less knowledge about medical errors and these were significantly junior residents. Residents with poor perception about ME were 43.5% and recent involvement with ME was significantly associated with good perception about ME. Delay in obtaining consultation and delay in diagnosis were identified respectively as MEs by only 40(43.5%) and 31(33.7) of the Participants. While 82(89.1%) agreed that all errors should be reported to the consultant, only 20(21.7%) believed patients/relatives should be informed of all errors, while 49(53.3%) were well disposed to disclosing ME. Only 4(4.3%) residents had a formal training on ME. Conclusions Knowledge of ME was low among junior residents and residents are less likely to disclose error to patients/relatives. A formal training on ME will impact on their recognition, practice, and disclosure of ME.
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    How acceptable are the prevention of mother to child transmission (PMTCT) of HIV services among pregnant women in a secondary health facility in Ibadan, Nigeria?
    (Association of Resident Doctors, U.C.H. Chapter, 2015) Balogun, F. M.; Owoaje, E. T.
    Background: Prevention of mother to child transmission of HIV (PMTCT) programme was designed to reduce mother to child transmission (MTCT) of HIV and it has been shown to be effective. However, the uptake of the services is still very low in Nigeria. Objective : This study was designed to determine how acceptable the different services of PMTCT are to pregnant women in Ibadan, Nigeria. Method : Systematic random sampling was used to recruit 500 pregnant women attending antenatal clinic in a secondary health facility. Questionnaires were used to obtain data regarding socio-demographic characteristics, knowledge about MTCT of HIV and prevention, the awareness and attitude towards infant feeding options for HIV positive mothers. Data were analysed using student’s t test and Chi-square test with p set at 0.05. Results: Mean age of respondents was 27.4±6.1years. Most known routes of MTCT of HIV were during pregnancy (86.0%) and from breastfeeding (86.0%). More than 80% knew that having good antenatal care, appropriate supervised delivery, taking antiretroviral drugs and not breast feeding a baby are ways of PMTCT. About two thirds had a positive attitude towards HIV testing and counseling (HTC). Only 18.4% were aware of the exclusive breast feeding option for feeding infants of HIV positive mothers while 52.2% would not comply if asked not to breast feed. Women aged 35 years and above had better attitude towards non breast feeding. Conclusion : Intensified health education on the importance of HTC and promotion of exclusive breast feeding for infants of HIV positive mothers is recommended.
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    Describing Sexting Pattern, Predictors, and Associated Risky Sexual Behaviors Among Post-Secondary School Young People in Ibadan, Nigeria
    (SAGE Publications, 2020) Balogun, F. M.; Olatunde O. E.
    Sexting refers to sending and receiving sexually explicit (or suggestive) messages or videos. It has been described in different settings and among different populations mainly with a cross-sectional study design which is an important design that provides a base upon which other study designs can be built. However, it is important to pay close attention to some required details to obtain credible data which can produce useful results in cross-sectional study designs. This case write-up recounted how sexting was described among schooling young people in Nigeria. Particular attention was paid to the design of the data collection tool, selection of study participants, ethical considerations, and confidentiality as it relates to young people. It also described the different challenges that arose in the course of data collection and how these were handled with the resultant smooth research process.