Nursing
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Item State of oncology nursing training and practice in a southwestern Nigerian teaching hospital(Association for Health Sciences and Education, 2021) Adejumo P. O.; Akinyem, K. F.; Anarado, A. N.; Ndikom, C. M.; Ohaeri, B.M .; Omowumi O.; Okedare, O. O.; Ani, O. B.; Oluwatosin, A. O.Background and objective: Oncology nursing is a recognized nursing specialty globally but it is yet to be a stand-alone specialty in any accredited degree awarding tertiary institution in Nigeria as at the time of this write up. In most of the hospitals in Nigeria, non-specialist oncology nurses who learn on the job care for the cancer patients. Hence, the urgent need to conduct this study, which aimed to examine the state of oncology nursing training and practice in Nigeria. Methods: A descriptive, cross-sectional study was used to assess 171 nurses’ socio-demographic data, nature of their oncology training, and competency level using a semi-structured questionnaire. Results: Only 3 (1.8%) of the respondents claimed they had a degree in oncology nursing and 89.9% had no formal training in oncology. Few of the respondents (13.5%) rated themselves as experts in oncology nursing practice. Majority of the respondents see the state of oncology nursing practice as very poor with the major challenge being none availability of oncology nursing training institution. Conclusions and implication for study: With the increasing prevalence of cancer in Nigeria and rise in number of new cases daily, there is need for an established programme to train health care professionals especially nurses to combat its increasing rate. There is need for provision of oncology nurse specialist training to improve level of education and skills in order to offer appropriate care to clients living with cancer and improve patient’s outcome of survival ultimately enhancing their quality of life.Item Perception and Practice of Female Genital Cutting among Mothers in Ibadan, Nigeria(National Press Associates, 2017) Ndikom, C. M.; Ogungbenro, F. A.; Ojeleye, O. A.Female Genital Cutting (FGC) is the practice of altering the structure of the female external genitalia and this has the potential of causing of medical complications and harm to reproductive health. This practice has gone on over many years with no proven health and social benefits. Persistent calls have been made for the practice to stop, yet it still continues primarily in Africa and among certain communities in the Middle East and Asia, of which Nigeria is not an exception. This study sought to determine the perception and practice of FGC among mothers in Ibadan, Nigeria. This cross-sectional study used structured, interviewer-administered questionnaire to elicit data on the perception and practice of Female Genital Cutting from the 106 mothers sampled by convenience from three primary health centres in Ibadan North Local Government Area (INLG). The data was coded and analysed using descriptive statistics and chi-square at a 5% (0.05) level of significance. More than half of the respondents (63.2%) had undergone FGC. Almost 19% of the respondents had circumcised their daughters at an average age of 30.8 days, while another 28.3% had plans to do so in future, probably at a later date. The major practitioners of FGC are traditional circumcisers (54.7%). The mothers' level of education influenced their practice of FGC (p<0.03) and there was also a significant association between having undergone FGM and the experience of dyspareunia (p<0.03). The most expressed benefit of FGC by the mothers is that, it conserves virginity till marriage and the negative effect mostly expressed was infection. More than half of the women declared that, their mother/mother-in-law's insistence was their reason for performing FGC. Although, the views expressed by the mothers on FGC, including its eradication, were somewhat impressive, this study shows that, FGC is still being practiced and many women are living with its negative effects. There is therefore, the need to intensify and consolidate educative and advocacy efforts to ensure that the practice is completely eradicated.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 importantItem Breast cancer knowledge and screening practices among women in selected rural communities of Nigeria(Acadenic Journals, 2012-11) Olowokere, A. E.; Onibokun, A. C.; Oluwatosin, O. A.Globally, the devastation that befalls women diagnosed of breast cancer remains inestimable. Early detection remains a major effective approach that should be employed to combat the disease. The issue of concern, however, is whether women in the rural underserved areas are aware of these early detection methods. This study was designed to assess rural women’s awareness and knowledge of breast cancer and their screening practices. The study was a descriptive cross-sectional study utilizing self developed structured questionnaire. Reliability of the instrument was determined and alpha correlation values range between 0.81 and 0.95 for the different components of the questionnaire. Data was processed using descriptive analysis and associations tested with Chi-square at 5% level of significance. The results of the findings showed that 52.7% of the women had adequate knowledge about breast cancer risk factors and symptoms. Regarding the women’s awareness about breast cancer screening methods, 52.8 and 51.7% of women have heard about Breast Self-Examination (BSE) and Clinical Breast Examination (CBE) respectively. However, few numbers of respondents (3.9%) were aware about mammography and these are people who did it for the purpose of diagnosing breast problem. Majority of the women (72.8%) did not practice BSE which is the most readily available screening method. Considering the lack of sophisticated diagnostic technology such as mammography for breast screening in the rural areas, BSE provided a unique opportunity for the women to be breast aware and to identify breast problems which may constitute danger to their health in the future. Health care professionals, most especially those at the primary health care level, should enhance the women’s skills to use this simple procedure effectively to promote their health