The use of standardized nursing languages helps nurses understand patients' needs with precision and speed. This study assessed the knowledge of standardized nursing languages (SNL); how nurses perceive SNL and nurses utilization of SNL. The study adopted a cross sectional research design. Participants were recruited using convenience sampling technique. Data was collected using 5-sectioned self-structured questionnaires whose validity and reliability had been previously ascertained. Data collected was analyzed using Statistical Package for Social Sciences (SPSS) version 20. Results showed that majority of the nurses that participated in the study are female (83.8%). Only 60.0% of the nurses know the number of steps in nursing process while very few (5.4%) can correctly define what SNLs is. Knowledge of SNLs shows that 26.2% have high knowledge; 44.6% moderate knowledge while 29.2% had low knowledge. Utilization of SNL by nurses showed that Majority (83.8%) of the nurses in the study agreed that utilization of SNL help nurses to deliver quality nursing care; 67.7% of nurses agreed that the use of SNL makes nursing practice unique, 55.4% opined that the use of SNL can be cumbersome while only 24.6% often use nursing process for patients' care. Although, participants in this study agreed that the use of SNL is crucial to quality nursing care, with poor utilization.
Background
Studies in many developing countries have shown that community health workers (CHWs) are valuable for boosting contraceptive knowledge and usage. However, in spite of the evidence, studies in Nigeria have rarely examined whether in the absence of skilled health personnel such as doctors and nurses in rural and remote communities, the health service contacts of non-users with CHWs drive the intention to use modern contraceptives. This study, therefore, examines the extent to which health service contacts with CHWs are associated with the intention to use modern contraceptives among non-users in rural communities of Nigeria.
Methods
This study adopted a descriptive cross-sectional design. Data were extracted from the most recent Nigeria Demographic and Health Survey (NDHS). The study analyzed a weighted sample of 12,140 rural women. The outcome variable was the intention to use modern contraceptives. The main explanatory variable was health service contacts with CHWs. Statistical analyses were performed at three levels with the aid of Stata version 14. Three multivariable regression models were estimated using an adjusted Odds Ratio (aOR) with a 95% confidence interval. Statistical significance was set at p < 0.05.
Results
Findings showed that more than a quarter (29.0%) of women intends to use modern contraceptives. Less than one-fifth (15.9%) of the women had health service contacts with CHWs. In Model 1, women who had health service contacts with CHWs were more likely to intend to use modern contraceptives (aOR =1.430, 95% CI: 1.212–1.687). Likewise, in Model 2, women who had health service contacts with CHWs had a higher likelihood of intending to use modern contraceptives (aOR = 1.358, 95% CI: 1.153–1.599). In Model 3, the odds of intention to use modern contraceptives were higher among women who had health service contacts with CHWs (aOR =1.454, 95% CI: 1.240–1.706).
Conclusion
In rural areas of Nigeria, health service contacts with CHWs are significantly associated with the intention to use modern contraceptives. Family planning programmers should leverage the patronage of CHWs for the purpose of family planning demand generation in rural areas.
Introduction
The quality of care received by patients during the first few hours following an accident and/or acute life-threatening conditions can significantly affect the overall outcome of treatment. This study, therefore, assessed the quality of emergency nursing care in two tertiary healthcare settings in a developing Sub-Saharan African Country.
Methods
The study was conducted in two renowned tertiary hospitals in Southwest Nigeria. Four hundred and twenty-eight patients selected by purposive sampling technique from the two hospitals formed the sample. The Donabedian three-pronged approach of structure, process and outcome domains was employed for data collection. Two instruments; an adapted validated structured questionnaire and an observation checklist were used for data collection and data collected were analysed with the aid of Statistical Package for Social Sciences (SPSS 24) using mainly descriptive statistics such as frequency counts and percentages.
Results
Results showed that a majority (62.6%) rated the quality of emergency nursing care as high though observation revealed glaring differences in the structure, process and outcome domains of quality in selected hospitals.
Discussion/Conclusion
The study, therefore, concluded that while the quality of emergency nursing care in the selected hospitals can be described in general as average, a lot still needs to be done to address the identified deficiencies in emergency nursing care.
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