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Background: Work-related conflict (WRC) may be inevitable but can interfere with nurses' roles performance if not well managed. Nurses are unique in the directions from where conflicts emerge: administrators, nursing colleagues, physicians, Para-medical staff, patients and their families. Un-resolved conflicts may be linked to poor communication resulting from refusal to cooperate, poor team collaboration and problem-solving, decreased clients' satisfaction, distrust, split camps, gossips and disruption of work-flow. This study investigated sources of WRC and their influence on nurses' independent and interdependent roles in a Tertiary Hospital in South-south Nigeria. Methods: A 50-items WRC questionnaire built on a four-point Likert-type scale was used to collect data from a random sample of 242 nurses of all ranks, representing 40% of the target population of 585. The instrument had internal consistency of r = .81 and test-retest reliability of r = .83. Data were analyzed using independent t-test determined at significance level of .05. Results: Results showed that female respondents were 237 (98%) while 5 (2%) were males. The major sources of WRC included: conflicts as a result of overwork and poor rewarding system each with frequency of 222 (92%); patients-related conflict and leadership conflicts each with frequency of 218 (90%); misunderstanding involving nursing colleagues with a frequency of 194 (81%); poor work environment 192 (80%); conflicts with other health professionals with 189 (78%) frequency and discrimination issues with 180 (61%) frequency. Furthermore, there was no significant influence of WRC on nurses' independent and interdependent roles. (Cal. t =-4.6; P = .00; Observed mean = 37.7 < Expected mean = 40.0 and Cal. t =-9.3; P = .00; Observed mean = 17.5 < Expected mean = 20.0). Conclusions: Many sources of WRC were observed among the nurses but they were found to have no influence on their roles' performance probably due to the ethical and legal implications of nursing duties. Recommendations included effective and timely communication at all times among nurses, hospital administrators and other stake-holders.

A 10-year retrospective study of hysterectomies performed on teenagers in Calabar was carried out.

As the largest group of health care professionals, nurses are in a nodal position to ensure achievement of healthcare goals. Transforming Care at the Bedside (TCAB) is a global initiative whereby nurses implement innovative practices for patient satisfaction. However, the initiative has not been the focus of studies in Nigeria. This study examined TCAB practices among nurses in four hospitals in Southern Nigeria; and determined the effectiveness of capacity building on selected TCAB activities and outcomes. Triangulation (observation, descriptive and quasi-experimental) design was used to collect data from 224 randomly selected nurses working in medical and surgical units of four hospitals in two States of Southern Nigeria. Validated Observation checklist and two validated researcher-developed Questionnaires were utilized to collect data. The Intervention involved capacity building on 21 TCAB activities in four core areas: safe and reliable care; vitality and teamwork; patient-centred care; value-added care processes. The study followed ethical processes. Data were analysed using descriptive and inferential statistics on SPSS 20. After capacity building, nurses' practice of most TCAB activities improved significantly (p≤0.05), except for work redesign, and improving the work environment. Nurses also spent significantly more time on value-added activities and less time on non-value-added activities after the intervention. Practice of TCAB activities was significantly associated with patient and family satisfaction, nurses' satisfaction, patients' wellbeing, nurse: patient interactions and quality of care (p <0.001). Nurses in the four hospitals implemented many TCAB activities, and this significantly increased nurse: patient interactions, patient wellbeing and satisfaction in the hospitals studied. The TCAB initiative is therefore feasible and relevant in low resource settings like Nigeria.

The 2014 Ebola Virus Disease (EVD) outbreak in two states of Nigeria created social challenges because of the socio-cultural and behavioural implications of the disease. The outbreak lasted for three months, had twenty cases, eight deaths, and a case fatality of 40%. Ebola control guidelines suggest consideration of the socio-cultural responses to the outbreak. Therefore this study sought to identify the socio-cultural responses that influenced Ebola control, and determined nurses' preparedness to provide relevant socio-cultural care during the Ebola outbreak. Quantitative and qualitative methods were used to explore the socio-cultural and behavioural perspectives of Ebola in different communities for 3 weeks during the epidemic. Qualitative data were collected from 178 conveniently selected adults living in four communities in two South-South states of Nigeria; transcribed and analysed using NVivo 7.0. Quantitative data were collected from 85 nurses randomly selected from 6 community health centres, and data were analysed using descriptive statistics on SPSS 20.0. Approval for the study was obtained from the Ministry of Health of both states. Results revealed five themes: "naming the disease", "beliefs that impede Ebola control", "socio-cultural practices that impede control", "behavioural responses that enhance control" and "social concerns about the epidemic". Only 41% nurses were able to identify the Ebola-related socio-cultural factors; over 55% did not see socio-cultural factors as playing any important role in Ebola care; and only 36.5% agreed that they need training to provide such care. This study sheds light on the rarely considered issue of socio-cultural influence on Ebola control, and the results reveal low level of nurses" preparedness to deal with socio-cultural issues and provide relevant socio-cultural care during the epidemic. Although certain sociocultural beliefs and practices influencing EVD control existed in Nigeria during the epidemic, nurses working in the community had inadequate knowledge of these.