Objective In the Caribbean, cancer ranks as the second leading cause of mortality. Without interventions, the incidence is predicted to increase by 66% within the next decade, with over 56,000 women being diagnosed with cervical cancer annually and more than 28,000 succumbing to the disease. However, life-saving prevention and treatment measures are available. This research sought to explore potential differences in knowledge, attitudes, and willingness to receive HPV vaccinations among male and female undergraduate students at a chosen Community College in St. Lucia.Methods This investigation utilized a descriptive, quantitative, and cross-sectional approach, with participants (n = 100) chosen through random sampling and completing 59-item self-administered questionnaires addressing the targeted variables. Multivariable statistical techniques were employed to determine independent predictors for HPV-vaccine acceptance among participants.Results Despite recognizing the associated risks, the findings highlighted a substantial deficit in public health promotion efforts. Firstly, although HPV is widespread in St. Lucia and causes cancer in both genders, there is insufficient awareness-raising about HPV. Secondly, the vaccine is not accessible in St. Lucia. Thirdly, the high expenses associated with the vaccine ($500 US) and HPV test ($275 EC) serve as barriers to obtaining them. Lastly, HPV vaccine uptake was minimal among participants; only 7 out of 100 had been vaccinated and received it in the US. Despite low vaccine uptake, 53% acknowledged the urgent need for vaccination.Conclusions Integrating HPV vaccination within healthcare and HPV awareness initiatives can yield positive outcomes in mitigating cancer's long-term impact on St. Lucia's male and female populations. Educational programs could prove advantageous in enhancing knowledge about HPV and vaccinations.
PURPOSE: The purpose of this study was to assess knowledge and compliance levels of hand hygiene among registered nurses at the Princess Margaret Hospital, Neonatal Intensive Care Unit (NICU), Nassau, Bahamas. METHOD: A cross-sectional survey was conducted in June 2019. A 32-item self-administered questionnaire was provided to 40 registered nurses to assess their knowledge and compliance levels to hand hygiene practices. RESULTS: All respondents were females. The results showed that 45% of the nurses had excellent knowledge, 27.5% had good knowledge on hand hygiene, while 27.5% had an average knowledge level. There was a statistically significant association between their knowledge level and their age, years of experience, length of time in the NICU and their level of education (p≤0.05). There was no statistically significant association between their compliance level and their socio-demographics (p≥0.05). CONCLUSIONS: Nurses’ knowledge levels were rated as good and so were their practice levels.
Background: The concept of becoming healthy as a promotive model or maintaining an individual's health with any NCDs, particularly with a diabetic condition, adhering to the treatment strategies as a preventive model to avoid complications, is mainly in the hands of everyone. The study aimed to assess the effectiveness of the cognitive behavioral nursing intervention on compliance to the advice of the health care providers and glycemic control among patients with type II diabetes mellitus. Methods: A quantitative and true-experimental research design was used to assess the effectiveness of the cognitive behavioral nursing intervention. The study population consisted of patients with type-II diabetes mellitus. First, the villages were chosen using a simple random sampling method, and then the sample size of 208 patients was selected using the inclusion criteria from those villages. The experimental group (n1) consisted of 105 samples, and the control group (n2) =103. The data was collected using the compliance scale and analyzing the patient's fasting blood sugar, postprandial and HbA1c at 0, 3rd and 6th months of intervention from the respective samples at their residences by structured interview technique. Results: The study findings indicated that there is a significant improvement in compliance (p<0.05) and glycemic control (p<0.001) among patients with experimental group after cognitive behavioral nursing intervention. There was a significant difference in compliance and glycemic control among patients in the experimental group during the posttests compared with the pretest (p<0.05). Comparison of glycemic variables between experimental and control group, during post-test-I and II shows that the fasting blood sugar was statistically significant at p<0. 001.Compliance and FBS had negative weak correlation in posttest I (r= -0.337, p=0.028) in the experimental group. Conclusion: The results highlighted that cognitive behavioral nursing intervention effectively improves compliance and glycemic control among patients with Diabetes mellitus living in the villages.
PURPOSE: The study was aimed at determining the self-reported experiences of the nurses in the major Island hospital in The Commonwealth of The Bahamas with regard to workplace bullying and their assessment of the support they received following the experience. METHODS: A descriptive quantitative case study was undertaken using all the registered nurses in the Island Hospital. The study utilized a modified pre-validated instrument from the International Labour Office (ILO), International Council of Nurses (ICN), World Health Organization (WHO), and Public Services International (PSI). Analysis was done using the SPSS version 20. The result was presented as frequencies. RESULTS: Eighty-one (81) respondents completed and returned their copies of the questionnaire giving a response rate of 97.5%. Also, 85.2% of the respondents reported having moderate bullying experience while 14.8% reported having maximum bullying experience. As it relates to the self-reported support for bullying, 60.5% of the respondents indicated that they received little support following a bullying experience. Further, 39.5% reported that they received some support following a bullying experience. There was no significant relationship between the respondents’ demographics and their self-reported experience of bullying or support following a bullying experience (p≤ 0.05). RECOMMENDATION/DISCUSSION: Among others, we recommended that a more deliberate policy instrument be developed for dealing with cases of bullying and to monitor the use of this instrument, noting that the mental health of the nurses are also at risk. CONCLUSION: The study revealed that bullying was reportedly high while measures to support staff were reportedly low, a combination the investigators see as concerning in the Island Hospital.
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