Nursing
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Item Effects of Educational Intervention on Nurses’ Knowledge and Attitude Towards Providing Cervical Cancer Screening Information in Selected Health Facilities in Ibadan, Nigeria(Springer Science+Business Media, 2019) Ndikom, C. M.; Ofi, B. A.; Omokhodion, F. O.; Bakare, P. O.; Adetayo, C. O.Cervical cancer is a major cause of death among women especially in developing nations. It can be prevented through screening yet many women are unaware of screening options. Nurses are in vantage position to provide cervical cancer screening (CCS) information and services especially in antenatal clinics. The purpose of this study is to evaluate the effects of an educational intervention (EI) on nurses' knowledge and attitude towards providing CCS information. This quasi-experimental study was conducted in eight health facilities in Ibadan, Nigeria. The facilities were randomly divided into intervention group (IG) and control group (CG). A total of 133 consenting nurses (60 in the IG and 73 in the CG) participated. Baseline data were collected using self- administered questionnaire. The nurses in the IG received the EI and both groups were administered with a post-test questionnaire after 6 months. Data were analysed using chi square and Student's t test at p = 0.05. Nurses' mean age was 41.7 years. Knowledge scores for the IG (11.8 ± 3.3) and CG (11.7 ± 3.3) were comparable at baseline (p = 0.901) but was significantly higher among nurses in the IG (14.63 ± 3.12) than CG (12.7 ± 3.5) at 6 months PI (p=0.01). More nurses in the IG had high level of knowledge than CG. There was no significant difference in their attitude at baseline and at PI. There was a significant association between knowledge and attitude towards providing cervical cancer screening information (p<0.000). Education improved knowledge of nurses on cervical cancer screening. Regular education programmes for nurses may result in improved counselling on major health issues like cancer.Item Effects of educational intervention on women’s knowledge and uptake of cervical cancer screening in selected hospitals in Ibadan, Nigeria(Taylor & Francis, 2017) Ndikom, C. M.; Ofi, B. A.; Omokhodion, F. O.; Adedokun, B. O.This study evaluated the effects of an educational intervention (El) on women's knowledge and uptake of cervical cancer screening (CCS) services. A quasi-experimental study, conducted in the antenatal clinics of eight hospitals in Ibadan, Nigeria. The hospitals were randomly clustered into four in intervention group (IG) and four in control group (CG), and 846 women were selected in the two groups using Systematic random sampling at baseline and post-intervention (PI). Data were collected using a structured questionnaire. The women in the IG received educational intervention provided by hospital nurses who were exposed to an educational programme previously. Data were analysed using descriptive statistics and x2 at p <0.05. The mean age for women was 28 years ±5.8. The respondents' awareness of CC at baseline was IG: 12.9% and CG: 18.2% but this increased to 71.5% in IG and 22.1% in CG with net intervention effect (NIE) of 54.7% (p <0.0001), knowledge of the causative organism (NIE <37%, p < 0.0001), sexual intercourse as mode of transmission (NIE 53.7%, p<0.001). Screening for early detection of cervical cancer (NIE 75.6%, p < 0.001), awareness of where to receive screening (NIE 64.1%, p < 0.001). There was only a very slight increase in uptake of CCS from 1.4% at baseline to 3.6% in the IG and 2.1 to 2.3% in the CG. Over, 53.5% said unavailability of services was a major hindrance to their screening uptake. Cervical cancer screening knowledge improved in the intervention group but uptake only improved slightly with the intervention. Educational intervention is a useful tool for improving knowledge of Cervical Cancer Screening.Item Willingness to Utilize Cervical Cancer Screening Services Among, Antenatal Clinic Attendees in Selected Hospitals in Ibadan, Nigeria(SciTechnol, 2014) Ndikom, C. M.; Ofi, B. A.; Omokhodion, F."Introduction: Women of childbearing age who are sexually active are at risk of Cervical Cancer (CC), since they may have been exposed to Human Papilloma Virus. Majority of the women with invasive cervical cancer were never screened for this disease which is known to be a major cause of cancer deaths among women, especially in developing nations. This study sought to determine willingness to utilize Cervical Cancer Screening Services (CCSS) among Antenatal Clinic (ANC) attendees in Ibadan, Nigeria. Methods: This cross-sectional study was conducted in selected hospitals in Ibadan. Systematic random sampling was used to select 846 women attending ANC in the Hospitals. Data were collected from the respondents using validated structured questionnaire. Data were analysed using Statistical Package for Social Sciences (SPSS) and hypotheses were tested using Chi-square test at P≤0.05. Results: The women’s mean age was 27.9 ± 5.8 years. Majority, 94.8% were married, 49.1% had secondary school education and 64.2% were traders. Also, majority (68.0%) earned less than 10,000 naira/ month. Awareness of CC was quite low as 84.4% had never heard of cervical cancer while only 15.6% were aware of it. Over 73.6% of the women were willing to utilize CCS services but Uptake of CCS was 2.1%. Perceived hindrances to uptake were non-availability of CCS services, lack of information on CCS and cost of services among others. There was a significant association between awareness and willingness to utilize CCS services (P=0.000) as well as educational level and willingness to undergo screening (P =0.019). There was no significant association between age and willingness to utilize CCS services (P=0.834). Conclusion: There was high level of willingness but utilization of Cervical Cancer Screening Services was low among the women. There is need to provide more information on cervical cancer screening as well as make the services available at reduced cost.Item Knowledge and Uptake of Cervical Cancer Screening Services among Nurses in Ibadan, Oyo State(College of Health Sciences, Obafemi Awolowo University, 2013) Ndikom, C. M.; Ofi, B. A.Introduction: Cervical cancer is the second most frequent cancer among women in Nigeria. It is one of the leading causes of cancer related death among women in developing countries. However, uptake of cervical screening is reported to be low even among health workers. Objective: The objective of this study was to determine the knowledge and uptake of cervical screening among nurses. A cross-sectional self-administered questionnaire-based survey for 175 nurses in eight selected health facilities in Ibadan was carried out. Results: The results showed respondents' knowledge of cervical cancer as being fair. Uptake of cervical cancer screening was poor, as 126 (80.0%) of the respondents had never been screened. Also, 78 (44.6%) of them had never given information on cervical cancer to women. In addition, 108 (72.0%) of the respondents stated that the screening service was not available in their centre. There was no significant relationship between knowledge and uptake of cervical cancer screening, (p=0.88). Conclusion: Despite the fair knowledge of cervical cancer and its prevention by nurses, their cervical cancer preventive practices were poor. Nurses should be mandated to play their disease prevention role by sensitizing women on the need for screening; and that screening service should be made available in all facilities.Item Awareness, perception and factors affecting utilization of cervical cancer screening services among women in Ibadan, Nigeria(BioMed Central, 2012) Ndikom, C. M.; Ofi, B. A.Background: Over the years awareness and uptake of cervical cancer screening services has remained poor in developing countries. Problems associated with cervical cancer incidence include late reporting, ignorance and cultural issues relating to cervical cancer screening. This study sought to explore the awareness, perception and utilization of cervical cancer screening among women in Ibadan as well as factors that influence utilization. Method: This is a qualitative study that utilized Eight Focus Group Discussions to collect information from women in selected health facilities in Ibadan, South West, Nigeria. The 82 participants were purposely recruited from women attending Antenatal clinics in 4 secondary and 4 primary health care facilities after approval was received from the Institutional Review Board in charge of the facilities. The focus group discussions were tape recorded and transcribed verbatim. The transcripts were analyzed into themes. Findings: The study provided qualitative information on the awareness, perception of the utilization of cervical cancer screening services among women in Ibadan. Participants were mainly married women (92.7%), mean age =27.6, SD =4.5, mainly traders (39%) and from Yoruba ethnic backgrounds (87.8%) and had secondary education (39%). The respondents reported not being aware of cervical cancer and were not utilizing the services. Though they did not know what cervical cancer screening entailed or the screening methods, they still believed that it is important since like for other diseases will help in early detection and treatment. The participants were eager to get more information from nurses on cervical cancer about cervical cancer screening. The major factors identified by the women that influence screening utilization were ignorance, Illiteracy, belief in not being at risk, having many contending issues, nonchalant attitude to their health, financial constraint and fear of having a positive result. Conclusion: There is an urgent need for more enlightenment about cervical cancer especially by health workers. Also, cervical cancer services should be made available at very affordable cost so that women can easily access the services in order to reduce incidence of invasive cancer.Item Pre-Screening Counseling in Cervical Cancer Prevention: Implication for Nursing(Academic Journals, 2011) Ndikom, C. M.; Ofi, B. A.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 and Ikeanyi, 2006; Mutyaba et al., 2007). Also, a positive correlation between Pap test awareness and utilization was reported by Gharoro and Ikeanyi (2006). Pre-screening counseling 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 opportunity to counsel and inform women about cervical cancer.Item Nurse-Led Interventions for Cervical Cancer Control(University Press PLC, 2015) Ndikom, C. M.; Ofi, B. A.