African Journal of Nursing and Midwifery

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 578-584, September, 2015. © International Scholars Journals

Full Length Research Paper

Mainstreaming quality assurance philosophies, objectives, and measures in the existing health structure in Nigeria: The case of Akwa Ibom State

*Chinua E. Azikiwe, Olusegun Femi and Yakubu A. A Musa

Department of Physical and Health Education, Obafemi Awolowo University, Ile-Ife, Osun, Nigeria.

*Corresponding author. E-mail: [email protected].

Accepted 9 August, 2015

Abstract

Persistent poor health care quality attributable to non-responsive alien models necessitated this study to develop quality assurance package (QAP) for health care in Nigeria with focus on Akwa Ibom State. Quality assurance index (QAI) was the instrument for data collection. A multi-stage random sample of 340 respondents was drawn from 840 health managers in primary health care settings in the state. The research and development (R&D) survey designed was used to develop the package through progressive steps such as: (a) Exploration and establishment of need for the package through library search; (b) determination of the elements (contents) for quality assurance; (c) preliminary validation of the elements; (d) empirical validation of the contents to determine the suitability; and (e) integral feedback mechanism. From the findings of the study, suitable elements for quality assurance identified were: the philosophy {(care should be at minimal risk to client (84.9%), care of benefit to client (79.5%), health worker should aim at best result as they demonstrate moral sense of duty (73.6%); workers should strive for best results (62.4%)}; objectives (giving consumers adequate information in tandem with local needs and exigencies (80.4%), continuous care innovations (67.6%), and safeguarding consumers’ satisfaction (76.6%); and measures for quality assurance (continuous education for health workers (87.2%), licensing all health care givers (83.5%), close supervision (79.8%), minimizing unjustified geo-variation of care (85.3%), reducing access barrier (79.4%), among others). The package was recommended for adoption for health care administration in the country.

Key words: Ikorok, healthcare quality assurance parameters.

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 562-564, September, 2015. © International Scholars Journals

Full Length Research Papers

An assessment of the structural defect of the fallopian tubes in infertile women with hysterosalpingography in Tikur Anbessa Hospital

*Meles Hailemariam, Teshome Selassie and Tesfaye Hailu

Department of Radiology, Faculty of Medicine, University of Gondar, Gondar, Ethiopia.

*Corresponding author. E-mail: [email protected]

Accepted 27 August, 2015

Abstract

Infertility is a common public health problem especially in sub-Saharan Africa. Hysterosalpingography (HSG) has for many years been employed in the evaluation of infertility for assessment of tubal patency and tubal or intrauterine lesions. The objective of this paper is to evaluate the structural abnormality of the fallopian tubes in infertile women with hysterosalpingography in Tikur Anbessa Hospital (TAH). Retrospective analysis of clinical records of 331 women with infertility problem who underwent HSG in TAH from March 1, 2003 to March 31, 2006 was done. Infertility unit in the Obstetrics and Gynecology Department in collaboration with Radiology Department compiled the data. Primary infertility is more common (60%) than secondary infertility (40%). Tubal pathologies accounted for 261 (78.9%) of the total sample. The age group of 23 to 27 years and 33 to 37 years accounted for the majority of cases of primary and secondary infertility respectively. Tubal pathology accounted for 78.9% of infertility in this study. HSG should continue serving as a valuable means of investigation (imaging modality) in infertile women of reproductive age group related to tubal pathology. 

Key words: Infertility, hysterosalpingography, tubal pathologies.

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 565-570, September, 2015. © International Scholars Journals

Full Length Research Papers

An appraisal of the knowledge, attitude and practice of breast self examination among university female nursing undergraduates and the factors that affect their practice of BSE

*Onyeka Micheal, Hakeem Daniel and Adu Idiagbon

Department of Nursing Sciences, Faculty of Health Sciences, University of Nigeria, Nsukka, Enugu, Nigeria.

E-mail: [email protected]

Accepted 25 August, 2015

Abstract

This study was a cross sectional descriptive survey that assessed the knowledge, attitude and practice of breast self examination (BSE) among university female nursing undergraduates. It also identified the factors that affected their practice of BSE. The total population of the female students (200) was used. The instrument used for data collection was the questionnaire and descriptive statistics were used to summarize the data. Fifty-eight percent of the respondents were between the ages of 21-25 years, 29% between 16-20 years while only 13% were between 26-30 years. Majority of them were Christians and single (88 and 85% respectively. Majority of the respondents had good knowledge of breast cancer and BSE as 84% knew that it has familial tendencies and 77% knew it can be caused by oral contraceptives. They also knew the symptoms such as discharge from the nipple (92%), change in the skin of the breast (80%), pain in the breast (80%) and swelling in the breast (68%). Majority (90%) knew about mammography and BSE (90%) as detection methods. Majority of the respondents (95%) knew how to do BSE, while 5% did not know how to do BSE. The respondents had a positive attitude towards BSE (Overall Mean ≥ 2.5). Most of the respondents (32%) affirmed that they examine their breasts after menstruation and (68%) anytime they felt like. Respondents identified forgetfulness, procrastination, laziness, lack of time, fear of discovering a lump, no trust in their practice ability as factors affecting their practice of BSE.

Key words: Breast cancer, breast self examination, knowledge, practice, female nursing undergraduates.

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 571-577, September, 2015. © International Scholars Journals

Full Length Research Papers

A study of first time mothers’ perception and their relation to the baby associated with how they responded to the "mother to infant relation and feelings"

*Bergman Alfred, Nobel Henrik and Bergling Anderson

Faculty of Life Sciences, University of Gothenburg, Gothenburg, Sweden

*Corresponding author. E-mail: [email protected]

Accepted 18 August, 2015

Abstract

Mothers’ perception of their relationship with their baby might affect sensitive parenting. This study aimed to explore first time mothers’ feelings for and their relation to the baby associated with how they responded to the “mother to infant relation and feelings (MIRF) scale” as a step in the validation process of the scale. Interviews with ten first-time mothers, three days after birth, were performed, using open questions followed by questions directly from the MIRF scale items. An inductive and deductive approach inspired by the “Think aloud” method guided the study. Results describe main category; New mothers bewilderment and anticipation which contained four categories; Natural and great but mixed, Maternal instinct and kinship, Ability and expectations and Not yet for real. When mothers responded to MIRF scale items they describe talking to their baby which they did not in their open answers. Answering the MIRF scale helped mothers in differentiating between their own mixed feelings of becoming mothers and their relation to and feelings for the baby. The MIRF scale appears valid in reflecting important aspects of mothers’ feelings for and relation to their baby. The MIRF scale could be used in research and when evaluating care routines as well as in dialogue with new mothers to support mother-to-infant interactions.

Key words: Maternal feeling assessment, becoming a mother, motherhood, childbirth, professional support, validity.

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 2 (7), pp. 496-500, September, 2015. © International Scholars Journals

Full Length Research Paper

A study on the prevalence rates of backache and occupational stress among nurses

*Mohammed lucas, Ali O. Haddad-Abel and Hassan B. Velayati

Department of Nursing and Midwifery, Faculty of Medical Sciences , Payame Noor University, Iran.

*Corresponding author. E-mail: [email protected]

Accepted 8 August, 2015

Abstract

To gain more insight into the prevalence rates of backache and to determine the relation between occupational stress among the Nurses. In this cross-sectional study a questionnaire was carried out among 400 nursing personnel in three general hospitals in Amol, Iran. The questionnaire had 3 sections: demographic information, psychosocial stress related to work, and of psychological stress related to work. The annual prevalence was 80% of the cases. Results indicated that, there was a significant relationship between low back pain and female gender (OR=2.8), exercise (OR=0.4), height (OR=1.06) and weight (OR=1.4). Also a significant relationship existed between LBP relationship with colleagues (OR=1.8) and hastiness at work (OR=0.6). Out findings show that low back pain was common and a serious problem among nurses. Moreover, we found positive association between low back pain and job stresses.

Key words: Low back pain, demographic factors, psychological, psychosocial, nurses.