African Journal of Nursing and Midwifery

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 5 (2), pp. 695-703, February, 2017. © International Scholars Journals

Full Length Research Paper

Effect of nurse-patient relationship on patients recovery at NKST hospital Mkar, Gboko, Benue State

*James Nwosu¹, Vincent Inyama¹ and Chibuiko Emeka²

¹Department of Nursing and Midwifery, Faculty of Medicine, Benue State University, Markudi, Nigeria.

²Department of Nursing Science, College of Medicine and Health Sciences, Abia State University, Uturu, Abia, Nigeria.

Corresponding author. E-mail: [email protected]

Accepted 20 September, 2016

Abstract

The research is a cross-sectional descriptive survey conducted at NKST Hospital Mkar, Gboko, Benue State to study the nurse-patient relationship as it affects recovery of patient at the Hospital. Target population for the study was 150. Convenience sampling technique was used to select the participants after stratified sample technique was used to group the participants into different strata of nurses and patients. Data was collected through the use of self-constructed questionnaire which was administered by the researchers and trained assistants. Data collected were presented in frequency and percentage. Mean scores were used to analyze the data. 2.50 were chosen as the bench mark (≥2.5 as criteria of acceptance). Inferential statistics (chi-square) [X2] was used to test the hypothesis at 0.05 level of significance. The findings showed that there was relative cordial nurse-patient relationship and this has impacted positively on the care of patient as most patients agreed to have been cared for psychologically- a very important aspect of patient recovery from ill-health. However, some barriers such as shortage of nurses, lack of incentives from the management to the nurses were identified as impeding on the adequate expected nurse-patient relationship. It was recommended that the nurses should work hard to deepen helping relationship between the patients and nurses even as they improve on their communication skills, verbally and non-verbally to ensure a more thrusting relationship among them.

Keywords: Nurse, patient, relationship, recovery, hospital.

African Journal of Nursing and Midwifery ISSN 2198-4638 Vol. 4 (10), pp. 679-688, November, 2016. © International Scholars Journals

Full Length Research Paper

Comparative assessment of maternal and child health outcomes in communities with and without midwives service scheme in Osun State, Nigeria

Christiana Abidemi Adefi and Omolola Irinoye

Department of Nursing Science, Faculty of Basic Medical Sciences, Obafemi Awolowo University, Ile-Ife, Osun State, Nigeria.

Corresponding author E-mail: [email protected]. Tel. +234 80642 59616.

Received 03 August, 2016;  Revised 20 September, 2016; Accepted 30 October, 2016 and Published 30 November, 2016

Abstract

Midwives Service Scheme (MSS) was introduced in 2009 to reduce maternal and child mortality and morbidity in Nigeria. The study aimed to provide an independent appraisal of MSS, as it relates to expected activities of midwives and community members’ judgment of the scheme, compared with non-MSS facilities. Exploratory study was conducted using systematic and purposive sampling method to select 400 mothers and 49 gatekeepers respectively. Questionnaire, interview guide and hospital checklist were used to collect data. Data were analyzed using descriptive (frequencies, percentages and tables) and inferential (Mann-Whitney U test) statistical methods. Findings showed that higher proportion (93.3%) of MSS mothers had positive perception of midwives’ interventions compared to non-MSS mothers (53.3%). Also, there was a statistically significant difference in the perception of midwives’ interventions by mothers in MSS and non-MSS communities (U=239.00, p =0.001). Study also showed that majority of MSS community members recognized the interventions of midwives, especially those that are community-based, compared to non-MSS community members.  Conclusively, MSS community members positively perceived midwives’ interventions better than their counterparts in non-MSS communities. Due to community-based MCH services, MCH outcomes were better in MSS communities than non-MSS communities, thus validating the positive impact of midwives’ interventions in improving MCH.

Keywords: Midwives Service Scheme, MSS Mother, Non-MSS Mother, MSS Community, gatekeepers, maternal and child health outcomes, midwives’ interventions, perception.

African Journal of Nursing and Midwifery ISSN: 2198-4638 Vol. 4 (9), pp. 667-673, October, 2016. © International Scholars Journals

Full Length Research

A reflective study on the reasons for increase of Cesarean section rate

Enver E. Mula¹*, Andon B. Aurela², Tony Elhaida³, Elvana Gaçe³ and Andon Martins James³

¹Departament of Medical- Surgical Nursing, Faculty of Technical Medical Sciences, Tiranë, Albania.

²Deparatament of Obstetric- Gynecology, Maternity Hospital " Koço Gliozheni " Tiranë, Albania

³Departament of Pediatric Nursing, Faculty of Technical Medical Sciences, Tiranë, Albania.

E-mail: [email protected] 

Accepted 5 August, 2016

Abstract

Cesarean section is a surgical procedure which allows the child to birth through uterus incision. Cesarean birth is a procedure that gives resolve problems such as maternal and fetal complications. To study the incidence of cesarean birth, 1982 to 2000 with 2011 to 2013 years were compared to determine indications that contribute to the trend of the increasing number of cesarean deliveries. We studied the clinical charts of 2011 to 2013 from the statistic department of Maternity Hospital "Koço Gliozheni" Tiranë, Albania. For statistical analysis, Statistical Package for the Social Science (SPSS) 11.5 package was used. This is a descriptive study and values will be presented in frequency and percentage. Study of clinical charts of 2011 to 2013 resulted in an average rate of cesarean deliveries of approximately 32.3%. In the year 1982 to 1984, the percentage of cesarean birth was approximately 8.7%, while in 1999 to 2000 the percentage of cesarean birth was approximately 21.7%. Indications that are most important in this study that have contributed to an increase in the number of cesarean births are preeclampsia (9.2%), fetal suffering (13.9%), premature rupture of membranes (9.8%) and the indication which has greater influence in the rising rate of cesarean delivery is previous cesarean births (36.5%). The most frequent reasons for cesarean births in the center where the study was conducted for years January, 2011 till December, 2013 are: previous cesarean section, preeclampsia, fetal suffering. So, previous cesarean births are the most important factor in making decisions about the way of delivery, while in 1982 to 1984 the important factor was fetal suffering. Previous cesarean birth and multiple pregnancies (due to the increased number of in vitro fertilization) represent a growing trend. However, this high percentage of cesarean births in our center is unwarranted, so physicians should be very careful when they select patients for cesarean section. Careful monitoring of the fetus will help in reducing cesarean birth rate in our hospital.

Key words: Cesarean section, fetal and maternal complications, maternal indications, fetal indications.

African Journal of Nursing and Midwifery ISSN: 2198-4638 Vol. 4 (9), pp. 659-666, October, 2016. © International Scholars Journals

Full Length Research Paper

Midwives care actions in the management of labour pain in Plateau State, Nigeria

Stephan Goffery¹*, Yemi H. Babatunde ² and Frank K. Gideon³

¹Department of nursing, College of Medical Sciences, University of Jos, Plateau State, Nigeria.

²Department of Nursing, College of Medicine, University of Ibadan, Ibadan, Nigeria.

³School of Nursing, Gwagwalada, Abuja, Nigeria.

Accepted 10 August, 2016

E-mail: [email protected] 

One of the major determinants of maternal satisfaction in labour is adequate pain relief or rather the woman being able to cope with the pain. Since midwives are the major health care providers attending to women in labour, this study explored women’s validation of the care midwives provide in the management of labour pain in Plateau state Nigeria using a descriptive cross sectional design. Women (n=126) were recruited from a hospital in Jos city, Plateau State. Participants completed the “Client Perception of Caring Scale” and thereafter were interviewed using a structured interview, a day after their delivery; all these were for the women to validate the care given to manage labour pain by the midwives. Mean age of participants was 28 years with a Standard Deviation = 5.6. Majority of the participants that is, 125 (99.2%) are married, 116 (92.1%) are Christians while 67 (53.2%) are multigravid. Findings showed that only 71(56.3%) of the women gave an average score to the midwives, 28 (22.2%) said the nurses really gave them listening ears and reassured them that all will be well and 33 (26.2%) said the interventions were very effective in helping them cope with the labour. Linear regression analyses revealed that there is no association between selected demographic factors (Age, Parity and Ethnicity) and outcome of care given by midwife. Women validated their management of labour pain by midwives to be on the average hence training and retraining of midwives in the area of labour pain management is essential and hospital administrators must employ more midwives into the labour wards so that one on one support is encouraged hence improving the overall satisfaction of labour for any woman.

Key words: Mothers, validation, midwives’ care, labour pain, management.

African Journal of Nursing and Midwifery ISSN: 2198-4638 Vol. 4 (8), pp. 651-658, September, 2016. © International Scholars Journals

Full Length Research Paper

Methods of Family planning among women in rural Ethiopia

Richard Ralia Nderaba

Department of Rural Development and Agricultural Extension, College of Agricultural Science, Ariba Minch University, Ariba Minch Ethiopia.

E-mail: [email protected] 

Accepted 25 July, 2016

Abstract 

This study was conducted at the Mirab Abaya District of Southern Ethiopia. The aim of this study was to identify factors that determine the decision to utilize family planning methods among rural women. The sample size for this study was 115 (53 family planning user and 62 non-user respondents). The quantitative data were analyzed through frequency, percentage and binary logistic regression. The binary logistic regression result shows that contact with health extension agents had significant positive effect on the decision to use family planning methods at 1% significance level, while the education level of the women and annual gross income had a significantly positive effect, and house type had significant negative effect on the decision to use family planning methods at 5% significance level. However, attitudes on family planning methods and access to Non-Governmental Organizations’ support had significant positive effect on the decision to use family planning methods at 10% significance level. Therefore, policy makers and family planning service providers should give attention to determinants that significantly influence the utilization decision of family planning methods through emphasizing women’s education, income improvement activities and provision of incentives to motivate them.

Key words: Family planning, utilization, descriptive statistics, frequency, binary logit.