Hyperglycaemic complication is the most common cause of hospitalization amongst diabetes patients in Nigeria. Research showed that diabetes self-management education (DSME) assists in controlling hyperglycaemia in diabetes patients. We assessed the opinions of practice nurses and dieticians on implementing DSME in a Nigerian population. 517 nurses and dieticians completed a self-administered questionnaire tool. Results showed that the majority of the participants agreed that DSME in a Nigerian population will assist patients (88.3%) and assist to reduce diabetes complications (91.4%). While only 34% of all participants believed that their establishments were prepared to implement DSME, a large proportion of the participants agreed that their work places do not have enough qualified health personnel (62.4%), educational facilities (65.8%) and economic resources (65.6%) to embark on DSME. These constitute significant barriers for effective DSME and demand that strategic investment in human and material resources for DSME is needed in this population of a developing country.
Abstract. Neonatal Intensive Care Unit (NICU) environment has the potential to exacerbate stress for parents of infants admitted to the unit. This study investigated the stress among parents of hospitalized infants in neonatal intensive care unit, and its effects on parental needs and expectations. Convenient sampling method was used to select 216 parents of at-risk infants in the NICU from two Teaching Hospitals in the South-East Zone of Nigeria. Two research questions and three null hypotheses guided the study. Parental Stressor Scale: Neonatal Intensive Care Unit and Parental Self -report Scale on coping measures were used to measure the stress among the parents. A parent -infant demographic information was obtained and used to determine the extent to which the characteristics serve as stress predictors. Mean score, standard deviation (SD) and Spearman Rank correlation Coefficient (rho) were used to answer the research questions while Chi-square, Wilcoxon and Mann-Whitney U tests were adopted in testing the null hypotheses at 0.01 level of significance. Parental stress for NICU infant behaviour and appearance significantly correlated with parental role alteration while infant gestational age correlated with parental stress for NICU staff behaviour and communication. Significant differences resulted in parental self-report of coping measures and their role alterations with regard to number of children born by parents and across the fertility history of the parents respectively. Parents of infants in the NICU need to take more active part in decision making and care of their infants.
Objective: To assess the views of Nigerian Nurses and Midwives on Maternal Health Education (MHE) and the barriers to its implementation.Methods: A total of 238 qualified nurses and midwives who participated in Mandatory Continuing Professional Development Programme (MCPDP) in South-eastern state of Nigeria voluntarily completed the self-administered research questionnaire. To avoid receiving duplicate copies of the questionnaires, all were serially numbered and all personal identifiers were removed. Of 348 participants that completed the questionnaires, only 238 met the inclusion criteria which included experience in antenatal clinics and qualifications in midwifery.Results: The majority of the study participants (86%) had both nursing and midwifery qualifications and the majority (98%) believed that MHE is beneficial to pregnant mothers particularly in reducing maternal morbidity and mortality (95.3%). A high percentage of the respondents (92%) agreed that MHE should be intensified for pregnant mothers in their work places. The identified major barriers to MHE include attitude of some health professionals (79%), some cultural practices (77%), inadequate economic resources (75%) and insufficient health personnel (71%). 18% of the respondents agreed that the hospital policy of their work places does not promote MHE.Conclusions: This study has demonstrated that nurses and midwives are aware of the importance of MHE in reducing maternal mortality and morbidity. There are still negative perceptions on the preparedness of the healthcare institutions towards MHE coupled with economic and cultural barriers. We recommend integrated MHE in the antenatal care plans of the pregnant woman.
Background: Healthcare providers have been at the Front line the response to the COVID-19 disease. Many of them have contracted the disease, and some of them already dead. This study assessed the knowledge, compliance with preventive measures and determined the relationship between knowledge and practice of preventive strategies to COVID-19 among nurses working in a selected hospital in South-South Nigeria. Materials and methods: A cross-sectional descriptive design guided the study. Census method guided the recruitment of all the 378 nurses in the hospital who met the study's inclusion criteria. Results: Majority (360 [95.2%]) of the nurses had good knowledge of the preventive measures to COVID-19 and 311 (82.4%) of the nurses adhere strictly to practice of the preventive strategies to COVID-19. Educational level and years of experience are determinants of knowledge about preventive measures to COVID-19 (p<0.05 respectively) while knowledge, sex, level of education, years of experience, and unit of practice are determinants of compliance to preventive measures to COVID-19 among the nurses (p<0.001). Female nurses (p=0.012), RN/RM qualified nurses (p=0.037), nurses with more than five years of experience, and those in children ward (p=0.020) and maternity complex (p=0.003) significantly comply more to the preventive measures for COVID-19 as shown by their adjusted odds ratios. Conclusion: As knowledge of COVID-19 preventive strategies continues to increase among health workers, there is a need to translate this knowledge into adequate practice in order to minimise the hazardous effect of the pandemic on the health workers especially nurses.
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