Nursing
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Item Perception and Satisfaction with Midwife-Led Model of Care Among Women in Ibadan, Nigeria(West African College of Nursing, 2020) Adebisi, T. M.; Ndikom, C. M.Background: Women's preference for natural childbirth and woman-friendly care has made some to patronize unskilled care providers, especially where Midwife-led care is not available which is known to contribute to maternal mortality. Aims: To evaluate women's perception and satisfaction with midwife-led model of maternal health care in Ibadan. Methods: A descriptive cross-sectional design was used. Simple randomization was used to select 367 women and data was obtained using an interviewer- administered questionnaire. Data was analyzed using descriptive and inferential statistics. Results: The mean age was 28.9 ± 6years. Most, 94.3% had good perception of MLMC. The mean satisfaction score was 39.0±5.5 out of a maximum score of 54 and 274(74.7%) claimed they had good experiences with the midwives. The experiences perceived as very important were quality of the caregiver-patient relationship, continuity of care and patient's involvement in decision-making. There was a significant association between level of education and perception of MLMC (fisher's value = 0.010) but there was no significant association between perception and satisfaction (x2= 0.622; p=0.430). Conclusion: Respondents' perception and satisfaction with midwife-led care was good. Midwives need to function more in the management of low risk pregnancies at various levels of health care.Item Perceived Factors Influencing the Utilization of Traditional Birth Attendants in Akinyele Local Government, Ibadan, Nigeria(Association of Public Health Physicians of Nigeria, 2016) Ogunyomi, M. T.; Ndikom, C. M.Background: Studies have shown that one of the major causes of maternal death especially in developing countries is unskilled birth attendants at pregnancy and childbirth. The aim of this study is to determine the reasons for the utilization of traditional birth attendants' services among mothers in Akinyele Local Government, Ibadan, Nigeria. Methodology: The study design was cross sectional and interviewer-administered questionnaire was used to elicit information from the women who had ever given birth. Data was collected from the women who attend the post-natal and Immunization clinics in the selected health centres. A total of 130 questionnaires were retrieved and analyzed using statistical package of the social sciences (SPSS) and presented as tables and figures. Two hypotheses were tested using chi-square test p ≤ 0.05 level of significance. Results: The findings revealed that 55.4% have ever utilized the TBA. Significant reasons for patronizing of TBAs by the women were that the TBAs were more user friendly (p= 0.012), were readily accessible (p=0.000) and their belief in them (p=0.000). Poverty (p=0.988) and educational level (p =0.133) were not found to be statistically significant in this study. Conclusion: Effort should be made by care providers and policy makers to ensure that our modern health care services for mothers are more accessible, user friendly with culturally sensitive care.Item Primary Nursing: an Emerging approach for Nursing Care Delivery In Nigeria(University Press PLC, 2009) Ndikom, C. M.Health care delivery system has evolved over time as a result of changes in the economy and increasing consumer awareness. This has resulted in many health professions trying various frameworks for delivery of care to ensure cost effective care and consumer satisfaction. Nursing has tried various frameworks of care delivery ranging from task oriented, team nursing, case nursing, Primary nursing etc. Each institution uses the method that is suitable and easily implemented. Of all the methods, primary nursing is the one that seems quite promising in the drive to achieve the goal of providing quality care and client satisfaction. Primary nursing is defined as a management system in which the professional nurse assumes full responsibility for total patient care for a small number of clients. It is seen as a way of thinking and working with patients that challenges out dated traditional nursing hierarchies and support the way forward for professional nursing. Its advantages include consistency and continuity of care, client satisfaction, increased professional autonomy, job satisfaction and improvement in quality of nursing care. The disadvantages are difficulty in implementation, which could result from not having enough adequately prepared nurses who are ready to take up the responsibility Primary nursing framework is yet to be tried and implemented in most hospitals in Nigeria. It has been tried and found suitable where it was tested but it is yet to be embraced by nurses generally in Nigeria. It is emerging in Nigeria, and there is need to increase awareness about this framework so that it can be further explored as it is quite promising in moving nursing forward as it ensures professional autonomy, accountability and job satisfaction for nurses. In conclusion, since this model is a way of moving the profession forward and improving client care, there is need to carry out objective analysis and put modalities in place for the implementation of this model to ensure client satisfaction and job satisfaction as well as professional growth.