Nursing
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Item Stressors and counseling needs of undergraduate nursing students in Ibadan, Nigeria(Slark incoporated, 2004-09) Omigbodun, O. O.; Onibokun, A. C.; Yusuf, B. O.; Odukogbe, A. A.; Omigbodun, A. O.Existing evidence suggests that nursing students have high levels of stress and that counseling and other support services should be made available to them. However, the stressors and counseling needs of undergraduate nursing students in Nigeria have yet to be explored. This study used a questionnaire to investigate the: stressors, counseling deeds, and desired counseling facilities of undergraduate nursing students at the University of Ibadan. Common stressors included excessive school work; financial 'problems, inadequate recreational facilities, and overcrowded accommodations. There was an association between reporting inconsiderate, insensitive lecturers as stressors and evidence of psychological distress. Nearly 60% of the respondents felt counseling would help them, and most desired counseling for academics, finances, and relationships. Most (78%) of the respondents preferred an independent facility with trained counselors. Desired characteristics for the services included accessibility, affordability, confidentiality, and a friendly atmosphere. Educators and administrators should use this information to design counseling facilities for studentsItem Integrating nursing into national cancer control programs: prevention and early detection - the Nigeria experience(Wiley-Liss, 2002) Onibokun, A. C.Cancer is a major killer disease in Nigeria; breast, cervical and prostate cancers being the commonest. Data from Globocan 2000 indicate an increasing rate in cancer morbidity and mortality in Nigeria. It is estimated that by the year 2010 about 500,000 cases will be diagnosed annually. Over 70% of the cancer patients present themselves in stages III and IV when only palliative therapy can be offered. In spite of the increasing rates in cancer prevalence in Nigeria, the importance placed on cancer as a health problem is somewhat very low, relative to other non- communicable diseases. The National Government does not allocate up to 6% of its National Annual budget to health. Currently, the government has not given the issue of cancer prevention and treatment the priority it deserves, as compared with HIV/AIDS, which has suddenly gained attention as a result of international efforts. The high rates of morbidity and mortality associated with cancer related diseases could be considerably reduced through effective cancer education, championed by community health nurses and targeted at prevention and early detection. Unfortunately, this approach has not got the attention it deserves. In a country where about 65% of the populace live in rural communities (where there is a high level of ignorance, inadequate manpower and health facilities) cancer outreach programs aimed at rural areas, can be enhanced. This can be achieved through a program that integrates nursing especially community nursing, into national cancer control. Currently, only limited attempts promoted by State Ministries of Health, NGOs and professional bodies, have attempted doing this with the focus on primary, secondary and tertiary prevention. This paper shall analyze, evaluate and discuss the efforts made so far in Nigeria as a basis to coming up with options and strategies for effectively using nurses, especially community health nurses, in the prevention and early detection of cancerItem Effective communication skills(Vantage Publishers, Ibadan, 2000-06) Onibokun, A. C.Item Psychotherapy in Africa: experience of the group psycho-educational support programme at Ibadan - a preliminary report(1995-11) Onibokun, A. C.; Ohaeri, J. U.; Campbell, O. B.; Adenipekun, A. AAfrica stem from the lack of an appropriate psychodynamic theory ori which to base the technique used. He suggested and experimented with the use of cosmologies (world view) native to the culture (e.g. - the Yoruba Ayanmo myth) in psychodynamic elaborations in therapy. Ohaeri (1989) believed that work along the lines suggested by Morakinyo (1982) be encouraged, but opined that the current socio-economic and cultural changes in Nigeria make it imperative to examine the need for formalized psychotherapy in the contemporary Nigeria. In view of the above coupled with the felt needs of the teaming number of oncology patients at the Cancer Registry of the University College Hospital (U.C.H.), Ibadan, the Lola Marinho Psycho-oncology Counselling Clinic (LMPOC2) was established in July 1992. The clinic now runs a formal psychotherapy programme. With the increased availability of modern methods for diagnosis and the treatment of cancer, our experience has shown that many more cases of cancer now report in hospitals in Nigeria, in particular, at the Radio-therapy Centre of the University College Hospital (U.C.H.), Ibadan, which is the only functioning radio-therapy centre in West Africa sub-region for now. This has offered us the opportunity to enquire into aspects of psycho-oncology. Our goals in this clinic are: 1. to assist the patients and heir family members in becoming more knowledgeable about the disease by providing them with all necessary information. 2. to give support by providing continuity of care. 3. to teach the patients and their family members the necessary skills to cope with the stress of living with cancer. It is an eight session progressive course, which we have developed and used for hundreds of patients at the Lola Marinho Psycho-oncology Counselling Clinic (LMPOC2). The programme is intended for people living with cancer who want to help themselves cope with and combat their disease. It is also meant for those who wish to conduct group teaching skills for people living with cancer and their family members. The paper deals with the efficacy of psychotherapy in improving the quality of life of oncology patients in Nigeria, judging from our experience with our clients at the Lola Marinho Psycho-oncology Counselling Clinic (LMPOC2) of the University College Hospital, Ibadan, Nigeria. The findings pose great challenges to all categories of health care providers, especially Nigerian psychologists