Nursing
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Item Knowledge of Human Papilloma Virus Self-sampling and Cervical Cancers Screening Uptake among Gynaecology Clinic Attendees in a Tertiary Hospital in Nigeria(Biomedical Communications Group, 2023) Oyedero, L. C.; Ndikom. C. M.; Ojo, I. O.Cervical cancer remains a significant contributor to global cancer-specific morbidity and mortality, despite being one of the most preventable and treatable cancers. Uptake and knowledge of cancer screening has remained low in developing countries. Therefore, this study investigated the level of knowledge Human Papilloma Virus (HPV) Self-sampling and Cervical cancers screening uptake among gynaecology clinic attendees in Obafemi Awolowo University Teaching Hospitals Complex, Ile-Ife, Nigeria. A cross-sectional design was employed in the study. A total of 256 respondents were selected using simple random sampling technique from two tertiary institutions in Osun State, Nigeria. A semi-structured questionnaire was used to collect data on the knowledge of HPV Self-sampling and cervical screening uptake from the respondents. Data were analysed and presented in percentages and association between variables were tested with logistic regression, chi-square and fisher’s exact test at 0.05 level of significance. The mean age of the respondents was 35.8±9.7 years, age of sex initiation for almost half (48.2%) of the respondents was between 21 and 25 years. Also, 66% of the respondents had not been screened of cervical cancer and 62.9% do not have enough education on self-sampling. However, 75.4.0% had poor knowledge on HPV self-sampling while 21.5% believed only sexually active women can only engage in self-sampling. There was a significant association between socio demographic, utilisation and knowledge of self-sampling for HPV. The study revealed poor knowledge on Human Papilloma Virus self-sampling and low screening uptake. Therefore, there is a need to strengthen the self-sampling knowledge among women for future screening.Item Knowledge of Covid-19 and Psychosocial Experiences During the Covid-19 Lockdown among Secondary School Students in Eleyele, Ibadan, Oyo State, Nigeria(The International Journal of Caring Sciences, 2022) Oluwatosin, O.A.; Ekelaka C, T.; Ndikom, C. M.Background: COVID-19 Is A Highly Contagious Disease That Can Easily Spread from Person to Person and Is a Global Health Threat. The Ongoing COVID-19 Is Inducing Fear and Knowledge of the Disease Will Help to Dissipate Fear. The Lockdown That Was Introduced at the Earlier Onset in Many Countries Including Nigeria Was Sudden and This Had Implication for Physical and Psychological State of Individuals Especially Young People, Who Are Easily Bored. Assessment Of Young People’s Knowledge and Psychosocial Experience During the Lockdown Was the Objective of This Study. This Was Done to Provide Baseline Information About Their Experience During This Unprecedented Event. Methods: A Descriptive Cross-Sectional Survey Was Conducted Among 352 Respondents from Five Schools During the First Reopening of Schools for Those in JSS3 And SSS3 Who Were Due for External Examinations. Simple Random Sampling Was Used for Selection of Schools, While Systematic Sampling Was Used to Select Respondents. Data Were Generated From 28th September to 2nd Of October, 2020. Data Were Analyzed Using Descriptive and Inferential Statistics of Chi-Square Test At 0.05% Level of Significance Results: More Than Half (57.1%) Were Females, 55.7% Were Between 15-19 Years with Mean Age Of 14.7± 1.910, 54.3.0% Were in Third Year of Senior Secondary, 56.8% Were from Oyo State, 84.7% Are from Yoruba Ethnic Group and More Than Half Live with Both Parents. More Than Half (58.8%) Had Good Knowledge Of COVID-19, 56.0% Had Positive Psychological Experiences And 57.7% Had Positive Social Experience. Psychological (P=0.101) And Social Experiences (P=0.192) Were Not Significantly Associated with Level of Knowledge Of COVID-19. Conclusion: More Than Half of the Students Had Good Knowledge Of COVID-19, Positive Psychological and Positive Social Experiences. Regular Health Education About COVID-19 And Its Prevention Is Needed to Sustain the Positive Behavior Among the Students and Curb the Spread Of COVID-19.Item Midwives’ Knowledge and Readiness to Practice Antenatal Screening and Genetic Testing in selected Hospitals in Lagos, Nigeria(Mashhad University of Medical Sciences, 2021) Asafa, K.; Ndikom, C.; Adelanwa, A.Background & aim: The burden of congenital malformation can be decreased through two major approaches‐ primary prevention of those at risk through antenatal screening and improving survival for those affected. This study was conducted to investigate the knowledge and readiness of midwives to practice antenatal screening and genetic testing for congenital abnormalities. Methods: A cross‐sectional study among randomly selected 245 midwives across five maternal and child health government hospitals within Lagos metropolis in 2017. The validated self‐administered questionnaire having 3‐section; midwife’s demographic‐characteristics, knowledge and readiness of antenatal screening and genetic testing, with 0.74 reliability coefficient, was used to obtain information within five weeks after obtaining ethical approval. The obtained information was analysed using SPSS version 22. Results: The study findings revealed that 62.9% of the midwives had inadequate knowledge of antenatal screening and genetic testing for congenital abnormalities. Up to 82.4% were ready to practice antenatal screening and genetic testing for congenital abnormalities. The midwives’ level of knowledge was not significantly associated with their readiness to practice antenatal screening and genetic testing for congenital abnormalities (p=0.74), meanwhile, professional qualification (p = 0.003) and years of experience (p < 0.001) were significantly associated with readiness to practice antenatal screening and genetic testing. Conclusion: The study recommends that midwives should improve their knowledge and skills in genetic testing by attending both local and international training workshops/seminars. Midwives should be provided with the screening devices to facilitate the practice of antenatal screening and genetic testing for congenital abnormalities.Item Umbilical Cord Care Knowledge and Practices of Mothers attending Selected Primary Health Care Centres in Ibadan, Nigeria(The International Journal of Caring Sciences, 2020) Ndikom, C. M.; Oluwatosin, F.Background: Poor umbilical cord care (UCC) practices have been linked with infections and mortality in newborns. Some mothers use multiple agents in umbilical cord care. It is imperative to assess the knowledge of UCC and its practices among women at the lowest level of care. Methods: The study utilized a cross-sectional design. Multistage sampling technique was used to select 414 mother baby pairs (dyad) attending infant welfare clinics in the selected Primary Health Centres (PHCs). Data was collected using structured validated questionnaire after obtaining ethical approval and informed consent. Descriptive statistics were used for analysis of data and hypotheses were tested using chi-square statistic at p=0.05. Results: One hundred and ninety-nine (48.1%) of the respondents had a good level of knowledge of appropriate UCC, 254(61.4%) respondents practiced good cord care. Even though most (95.7%) mothers used methylated spirit to clean the cord, quite a number, 270(65.5%) applied mentholated balm to the umbilicus. Above 60% of those who received information on UCC had good practice compared to those that did not (p=0.04). Also, 125(62.8%) of the respondents with good knowledge of UCC had good cord care practices compared to 74(37.2) with poor practices. Respondents’ knowledge of UCC was not significantly associated with their cord care practices. Conclusion: Gaps were observed in both knowledge and practices of umbilical cord care among the mothers attending primary health care centres. Strategies need to be instituted by health care workers to improve knowledge of umbilical cord care and inappropriate practices should be strongly discouraged.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 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.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 Knowledge and practice of pain management among nurses In labour wards in Ibadan, Nigeria(2016-09) EZE-Ojerinde, O.; Onibokun, A.; Akpa, O. M.Background: It is not clear whether awareness of pain management has influenced the management of labour pain by nurse/midwives in Ibadan, Nigeria. Many women in labour do not get optimal pain relief, despite awareness of the importance of pain management. Aims: This study aimed to assess knowledge and practice of labour pain management among nurse/midwives in Ibadan. Methods: This cross-sectional study included 87 nurse/midwives on duty in labour rooms of three hospitals in Ibadan, Nigeria. Data were collected using semi-structured questionnaires. Descriptive statistics, and Pearson's and Kendall's correlation coefficients were used for data analysis. All analyses were performed using IBM SPSS version 20.0 at a 5% level of significance. Findings: Two thirds of respondents (66.7%) had a moderate level of knowledge, and 34.5% managed labour pain through back massage/psychotherapy. Knowledge of pain management was associated with level of education (τ = 0.82; P < 0.001) while good practice of pain management was associated with good knowledge (r = 0.49; P < 0.001). The association between good practice and years of working experience just failed to be statistically significant (P = 0.06). Conclusions: Nurse/midwives in Ibadan have moderate knowledge of labour pain management. Participants in this study primarily used back massage and psychotherapy. There is need for improvement in knowledge of labour pain management through continuing education for nurse/midwives in IbadanItem Nurses’ knowledge and reported practice of palliative and end- of-life care nursing at the university college hospital, Ibadan, Nigeria(TextLinks Publishers, Ibadan, 2014-06) Onibokun, A. C.Background: Palliative and End-of-Life (EoL) care nursing is the active total care of patients with advanced illness. The goal of this approach to care is the achievement of the best quality of life for patients and their families. No member of the interdisciplinary team is more central to making these discoveries possible than the nurse. Care of patients with life-limiting diseases and dealing with death and dying is an integral part of oncology musing. In environments of best practice, nurses routinely identify and suggest patients to physicians for possible referral to palliative care and discuss potential referrals with families. Though studies from other parts of the globe had reported levels of knowledge and practice of palliative and EoL care amongst nurses; there is dearth of literature emanating from Nigeria, specifically on the knowledge and practice of palliative and EoL care nursing by professional nurses. To the best of the authors’ knowledge, the few that have been published in Nigeria, focused mainly on knowledge of palliative care among healthcare workers. Objective: The objective of this study was to explore the knowledge and reported practice of palliative and EoL care nursing by nurses working at the University College Hospital (UCH), Ibadan, Nigeria; in a bid to inform where gap in knowledge to practice may exist. Methods: This is a descriptive study utilizing cross-sectional design, 650 nurses in various nursing cadres, who were participating in the monthly continuing education program organized by the In- Service Education (ISE) department of UCH for nurses, over a period of twelve months. With the aid of a validated semi -structured questionnaire, information was elicited from the participants on demographic variables, education and training profile, and contents of nursing education curricula, years of working experience among others. On a 5-point Likert scale, their knowledge and principles of palliative and end-of-life care nursing were assessed. Their reported practice was also assessed. Results: The sample of 650 nurses was made up of 155(23.8%) university graduates and 495(76.2) diploma-prepared nurses. Three hundred and sixty four (32%) of the participants had component of palliative care nursing in their curricula, while 327(50.3%) had components of palliative care nursing and pain management in their curricula. Fifty-four (4.7%) had formal palliative care training post- qualification. Majority (81.2%) of the respondents claimed they apply the knowledge and principles of palliative care in their current practice. A little above fifty-nine percent (59.2%) had good knowledge of palliative care. However, the practice of some was poor (40.0%) and many (29.2%) also had poor attitude towards provision of palliative and EoL care to patients who are approaching EoL; evidenced by their inappropriate responses to the related questions. Conclusion: This study identified gaps in nursing knowledge and reported practice as it relates to palliative and EoL care nursing in the management of life-limiting diseases, such as cancer. It has provided the authors with baseline data that will be used to generate additional studies to further advocate for the need to integrate palliative and EoL care nursing components into nursing education curricula, both at the university and diploma levels. Our findings suggest a need for urgent review of nursing education curricula in Nigeria at both levels, and the input of all stakeholders especially the Nursing & Midwifery Council of NigeriaItem 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