Psychology
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Item Constraints in nurses´ use of HIV protective barriers in the care of PLWHA in the University College Hospital (UCH), Ibadan, Nigeria(2009) Olatunji, O. O.; Adejumo, P. O.; Adejumo, A. O.This survey examines the constraints limiting nurses’ use of protective barriers in the care of people living with HIV/AIDS in Ibadan, Nigeria. 270 females and 5 male nurses working in UCH were purposively selected. A self-developed questionnaire was used during data collection. Data was analyzed using descriptive statistics and chi square. Results about nurses’ use of protective devices (eg gloves) showed that 206 (94.2%) use PB always, 15 (5.5%) frequently use PB and 1(0.4%) occasionally use PB. Chi-square test shows significant differences between constraints in the use of PB in the care of PLWHA and adherence to HIV/AIDS universal precautions (X1=15.22, 1df, p<0.05). It was concluded that nurses in the selected setting were faced with constraints in the use of PB and as such were inadequately protected from blood-borne diseases especially when caring for PLWHAItem Perceived role of dietary factors in cancer causation and prevention among university undergraduates(Department of Psychology, University of Ibadan, Nigeria, 2009) Adejumo, P. O.; Adejumo, A. O.; Anisu, D. F.The impact of cancer on patients, care givers and family could be extremely traumatic, yet predisposition to the disease could be curtailed. Excess fat and calories; inadequate intake of fruits, vegetables, fibre, calcium and other dietary imbalances as well as alcohol, smoking and chronic infections are essential cancer aetiological factors. The purpose of this study was therefore to determine the association between perceived role of dietary factors in cancer causation and prevention. The cross sectional study adopted an exploratory survey technique. It took place in the University of Ibadan, Ibadan, Nigeria. Using multi-stage sampling, 346 undergraduates whose ages ranged between 20 and 30 years participated. They responded to a 51-item questionnaire which tapped information on their demographic characteristics, knowledge of cancer; awareness about dietary factors in cancer causation and prevention, and perception of the role of dietary factors in cancer causation and prevention. Results showed that the respondents' level of awareness of cancer was generally high ((91.9%) with few differences across demographic characteristics. However; the relative importance of the relationship between cancer and diet was underestimated (37.3%), and 12.1% of them completely missed the correct cancer risk factors. Similarly, 92 participants (16.6%) believed that cancer is a supernatural disease that cannot be prevented. One hypothesis was tested using chi square, it revealed that there is a significant association between awareness of cancer and knowledge of the role of dietary factors in cancer causation and prevention (X2=-50.24, df =-2, p=- 0.001). With the relatively high degree of awareness of cancer and acceptance of dietary factors as cancer risk determinants, campaigns which involve skill transfer and removal of barriers to change would enhance cancer preventive behaviour among university undergraduate. It is recommended that improvement in health education through inclusion of contents related to cancer causes, prevention and management, as well as social support programmes including subsidized cancer limiting feeding of undergraduates would be necessary in cancer prevention.Item Theatre personnel’s perception of operating room resource allocation(2009-06) Adejumo, A. O.; Adejumo, P. O.Operating rooms (OR) in hospitals represents big investments and must be utilized efficiently. Inaccurate scheduling of OR resources often results in delays of surgery or cancellations of procedures. These are costly to the patient, surgical team and hospital. Existing literatures in the OR management lack consensus on the method of evaluating management decisions from the perspectives of personnel or those affected by management decision-making processes. Eight key informant interviews were conducted. Also, 50 Operating Theatre Personnel (OTP) i.e. Surgeons, OR Nurses, Anaesthetists, and Executive Officers in the Nigeria's premier University Teaching Hospital were asked to complete a survey questionnaire concerning operating theatre resource allocation in the hospital. Five close ended and 10 open-ended questions were used. (For example, how are the decisions to allocate OR resources in this hospital made?) Thematic analysis and descriptive statistics were done. The theoretical framework, accountability for reasonableness was applied. Forty-eight percent of the participants were ignorant of the framework guiding OR resource allocation. 54% of the respondents admitted the current mechanism for publicizing management decisions on OR resource allocation is ineffective. Another 50% of the respondents knew little about the mode of appealing against unfavourable allocation decisions. Participants' open ended responses revealed that hospital executives and a few consultant surgeons control the allocation of OR resources, with, little recourse to OR personnel's concerns. If operating theatre stake holders are excluded in the planning, allocation and evaluation of OR resources, the efficiency required in surgical services would never be realized irrespective of the dexterity of the surgical team.