GET THE APP

..

Journal of Nursing & Care

ISSN: 2167-1168

Open Access

Articles in press and Articles in process

    Mini Review Pages: 1 - 3

    Smoking Cessation Communication and Education

    Timothy Williams*

    DOI: 10.37421/2736-6189.2023.12.586

    The increased need for more smoking cessation education at a local hospital in Oklahoma has been expressed by many of the staff. The nursing staff feels both unprepared and poorly educated on the appropriate interventions and education that leads to smoking cessation in their patients according to a recent online suggestion. Smoking cessation to patients can be crucial to recovery and long term goals and outcomes for patients and their success. Education that leads to smoking cessation, reduces mortality rates for the surgical patients more than any other treatment or method used.

    Research Article Pages: 1 - 6

    Pathology of Clinical Education in Intensive Care Unit: A Qualitative Study

    Katayoun Jalali*, Leila Bazrafcan, Samaneh Sabaghian and Mohammad-Reza Dehghani

    DOI: 10.37421/2167-1168.2023.12.587

    Introduction: Improvement in the quality of clinical education leads to training professionally competent nurses in different fields, especially intensive care units. This study aims to survey the nursing instructors and students' experiences about the existing challenges and complexities of clinical education in intensive care units.

    Methods: This is a qualitative study based on phenomenology approach. The data were collected through semi-structured interviews carried out in educational hospitals of Mashhad nursing school. Nursing academic staff, instructors and students were selected through purposive sampling and enrolled in the study. Sampling continued until data saturation. Interviews, as agreed by the participants, were recorded and then downloaded word by word. Based on Guba and Lincoln's criteria, the researcher tried to increase the reliability of the findings through allocating sufficient time for collecting the data, using two colleagues familiar with the coding of qualitative data and their analysis and referring to the participants to confirm the data.

    Findings: 10 nursing academic staff and instructors working in the intensive care unit participated in this study. To clarify various aspects of the subject, we performed two interviews with 6 nursing students and 5 nurses. The analysis of data yielded 1457 codes which were reduced to 612 and categorized into 3 main themes and 8 subcategories or sub-themes. The main themes included destructive factors, educational strategies and education in intensive care units.

    Discussion: Education in the intensive care unit is a valuable opportunity for learners. They learn not only the clinical aspects of patient care but also appropriate behavior and relationship of the treatment team in critically ill patient care. Negative experiences indicate the impact of destructive factors on the quality of education in intensive care units. The instructors' awareness about the clinical education methodology competencies seems to be necessary.

      Review Article Pages: 1 - 6

      Healthcare Seeking Behaviours of Homeless Substance Users: Scoping Review

      Takalani Grace Tshitangano*, Mayibongwe Mkhaliphi Abel Mnkandla and Azwinndini Gladys Mudau

      DOI: 10.37421/2167-1168.2023.12.597

      Substance use continues to be a public health problem globally as it is associated with health issues, such lung or heart disease, stroke, cancer or mental health conditions. About 15% of South Africans uses substances and worsened during COVID-19 pandemic, with 0.02% being homeless. Substance use among homeless people is associated with sexually transmitted infections and a high level of morbidity and mortality, with the average life expectancy of homeless men living more than ten years on the street being 45-47 years old. Good health seeking behaviour is an important element of prevention, early diagnosis, and management of disease conditions, reducing cost, disability and death. This scoping review aimed to assess the healthcare seeking behaviors of homeless substance users during COVID-19 lockdowns. This review was conducted following PRISMA guidelines, where electronic databases such as consulting newspaper articles, credited website published reports and journals under Google Scholar. A total of 47 articles published in English between 2017 and 2022 were consulted, only using 27 for results synthesis. Results indicate difficult to access healthcare and only admission in hospitals as emergency cases. Factors associated with health seeking behaviors include lack of identification documents and address and stigma. Since many of studies addressing this topic were conducted in Europe and India, there is a need to explore healthcare seeking behaviors of homeless substance users during the COVID-19 lockdowns, in South Africa to inform strategies to improve healthcare utilization.

        Research Article Pages: 1 - 7

        Surgical Site Infection Prevention Practice and Associated Factors among Nurses Working in Public Hospitals in Eastern Ethiopia: A Multi-center Cross-sectional Study

        Ame Mehadi*

        Share this article

        Background: Surgical site infections are the most prevalent type of healthcare-associated infections that have a detrimental effect on surgical patients and healthcare systems. If evidence-based strategies are applied throughout the management of surgical wounds, these infections can be mainly avoided. The safe practice of infection prevention by nurses, who serve as front-line caregivers, is essential to preventing these illnesses. However, there are few studies on this subject among nurses directly involved in providing care in Ethiopia.

        Purpose: This study aimed to examine the surgical site infection prevention practice and associated factors among nurses working in public hospitals in Eastern Ethiopia.

        Methods: A facility-based cross-sectional study was conducted among 478 randomly selected nurses working in public hospitals in eastern Ethiopia from July 15 to August 20, 2022. Data were collected through self-administered structured questionnaires and observations. Descriptive statistics was done using frequency, percentage, mean and standard deviation to summarize the study variables. Bivariate and multivariable logistic regression analysis was done to determine factors associated with the practice of surgical site infection prevention and a p-value <0.05 was used to declare a statistically significant association.

        Results: The nurses’ good practice of surgical site infection prevention was 56.4%. Taking infection prevention training (AOR=1.69, 95%CI:1.11- 2.58), using infection prevention guidelines (AOR=2.45, 95%CI:1.34-4.47), having an adequate supply of wound care materials (AOR=1.81, 95%CI:1.21-2.71), having good knowledge (AOR=1.81, 95%CI:1.21-2.71) and having a good attitude (AOR=1.83, 95%CI:1.21-2.77) were significantly and positively associated with good practice of surgical site infection prevention.

        Conclusion: Nurses’ surgical site infection prevention practice was poor and several modifiable factors were identified. Continuous in-service training on and consistent utilization of infection prevention guidelines, provision of adequate wound care supplies and close supervision are recommended to improve the practice of preventing surgical site infections.

          Research Pages: 1 - 4

          Effectiveness of Simple Stretch Exercises in Relieving Restrictive Chest Wall Tightness Post-surgery for Empyema Thoracis

          Chao-Hung Chen*

          Share this article

          Introduction: Inflammatory changes in the pleural cavity often result in restrictive chest wall deformity. Despite successful infection control, a significant number of patients may still experience restrictive chest wall tightness. Effective approaches to alleviate these symptoms are seldom studied in the literature. Therefore, we aim to evaluate whether simple stretch exercises can serve as an effective strategy for relieving chest wall tightness.
          Materials and methods: From January 1st, 2014, to December 31st, 2018, we conducted a retrospective review of empyema thoracis cases treated in our department. The inclusion criteria consisted of patients with fibrinopurulent stage empyema thoracis who were successfully treated with surgery. All included patients were instructed to perform simple stretch exercises starting one month after surgery. We evaluated their symptoms at 1, 3 and 12 months post-surgery and compared the effectiveness of stretch exercises in relieving restrictive chest wall tightness.

          Results: A total of 103 patients were included in the study. Among them, 30% of patients performed stretch exercises more than 3 times a week, 26% performed stretch exercises between 1-2 times a week and 43% of patients never engaged in stretch exercises. The occurrence of chest wall pain was similar between patients who did and did not perform stretch exercises. However, at 12 months after surgery, patients who engaged in stretch exercises had a significantly lower incidence of restrictive chest wall tightness (p=0.03).

          Conclusion: Simple stretch exercise can be an effective approach in alleviating restrictive chest wall tightness.

            Review Article Pages: 1 - 3

            Mohammad Ali Yadegary*, Ali Aghajanloo and Nahid Dehghan Nayeri

            The severity of grief is subject to the individual's experience of loss, the age of the deceased, and the condition of death of the loved one. The peace of survivors is possible provided that there is an appropriate understanding of the death circumstance. This issue is completely related to the context and is influenced by the associated culture in societies. Unexpected death without burial and mourning ceremonies due to the prevalence of COVID-19 has affected typical grief process in the family of the deceased. Negative and painful emotions must be resolved by the human psyche, otherwise the condition for unexpressed grief will be provided. The challenges of the pandemic crisis ought to be acknowledged as an inevitable part of human life, and our goals and programs should be practical and tangible to alleviate the psychological pain and burden imposed on the survivors. Pertinacity against inevitable issues such as death and resistance to attain inner peace and happiness in life are not signs of love and affection for the deceased. In addition, the principle of physical distancing should be replaced by social distancing.

            Research Article Pages: 1 - 6

            Tilahun Ermeko*, Abate Lette, Yonas Lamore and Yohannes Kebede

            Background: Globally, tobacco smoking has a great health impact among youths especially in developing countries. There is limited data on the smoking habits of high school students in developing countries. Smoking behavior in high school students is increasing and it has a significant effect on smoking practice of the future generations. The aim of this study was assessed of prevalence of tobacco smoking and associated factors among high school students Misha district, southern Ethiopia.

            Objective: The aim of this study was to assess prevalence of tobacco smoking and associated factors among high school students in Misha district southern Ethiopia; moreover, it will furnish important directions for intervention and prevention of smoking among the students in high schools in Misha district.

            Methods: A school based cross- sectional study was conducted among high school students in Misha district southern Ethiopia from March 01 to April 30, 2017. Multi stage sampling technique was used to select 352 study participants. Data was collected using pre-tested and structured self- administered questionnaire. The data was entered in to Epi-data version 3.1 and analyzed using SPSS version 24. In addition, of descriptive statistics for describing data and multivariate logistic regression analyses was used to identify associated factors.

            Results: Three hundred fifty-two students were participated in the study. The prevalence of current smoking among high school students was 11.1% (95% CI: 8.0, 14.5). The odds of smoking in males were higher as compared to females (AOR=2.5; 95% CI: 1.0, 6.2). Having smoking mothers were more likely to smoke compared with their counterparts (AOR=3.6; 95% CI: 16, 8.0); also having smoking fathers were more likely to smoke compared with students who haven’t smoking fathers (AOR = 3.2; 95% CI: 1.4, 7.3). The students having smoking sisters were more likely to smoke compared with their counterparts (AOR = 3.3; 95% CI: 1.5, 7. 6). This study also found that the khat chewing practice was three folds increases the odds of current cigarette smoking among parents. (AOR = 3.0; 95% CI: 1.6.6.2; 95% CI: 1.2, 4). Those, who having smoking peer were more likely to smoke compared to those do not have smoking peers. (AOR = 2.6; 95% CI: 1.2, 6.0)

            Conclusion and Recommendations: This study found that a prevalence of current smoking practice in Misha district southern Ethiopia is high. In addition, this study revealed that high school students` Current tobacco smoking is significantly associated with male sex, having smoking parents, having smoking sisters, khat chewing practice and having smoking peers. These factors should be thought for further prevention and control of smoking among high school students. Moreover, families of the students should be strongly prohibited their use of tobacco by strongly legislating law of the countries against tobacco use.

            Review Article Pages: 1 - 4

            Risk Factors for Congestive Heart Failure

            Christopher A Rolle

            I am a 4th year nursing student at the University of The Bahamas’ School of Nursing and Allied Health Professions. I am presently
            completing course requirements for the course Nursing Research being Moxey-Adderley. I am also qualified to undertake this study
            because the University of The Bahamas also has its own ethics committee and institutional review board (IRB). While doing the required
            clinical rotations to complete my studies, I have noted a particular phenomenon among the patients I have screen over the last two years.
            There appears to be an increase in the incidents of Congestive Heart Failure (CHF) along with concomitant risk factors. Therefore, the aim of
            this study is to examine and determine to what extent this phenomenon occurs and the various impacts on Bahamian national life.
            I shall be looking at independent variables (IV’s) of diabetes, Hypertension (HTN), and end-stage renal disease also known as Chronic
            Kidney Disease (CKD) or locally referred to as kidney failure. The dependent variable for the study is Congestive Heart Failure (CHF). It is
            hoped that the data gathered will serve to not only give a clearer picture of the rising phenomenon, but also will be used to facilitate some
            breakthrough ideas that will promote improved positive patient outcomes in terms of overall prognoses and activities of daily living.
            Nursing students at the University of The Bahamas will form the population group via convenience sampling and snowballing techniques
            due to time constraints and lack of funding.

            Research Article Pages: 1 - 2

            Future Career Intent of Budding Nurses: A Cross Sectional Descriptive Study in Northern India

            Maneesh Sharma

            Over the past 100 years, the nursing profession has seen tremendous changes in its growth in India and the established
            organizational bodies such as Indian Nursing Council, Trained nurse association of India has a huge role to bring about this change
            after their foundation in the year 1908 and 1947. Nursing profession kept on developing and in the course of recent years, the demeanor of the
            general public towards it has been changed to some extent.1 Globally, there are 19.3 million nurses and midwives according to the
            WHO's World Health Statistics Report 2011 and the figures reveals that in the shortage of the health workers globally, nurses reflects more than
            50% of shortage currently which can be seen on a large scale in South East Asia and Africa2. According to INC, total no. of nursing
            educational institutions, as on 31st March 2018 are 8,770 (among which ANM 1909, GNM 3215, B.Sc. Nursing 1936, PB B.Sc. Nursing 775,
            P.B.D.P 292, M.Sc. Nursing 643 institutions). At present, in State Uttarakhand 87 nursing colleges are recognized by INC among which 20 are
            B.Sc. Nursing, 8 are M.Sc. Nursing,7 are Post basic B.Sc. Nursing,29 are GNM, 21are ANM and 2 are of P.B.D.P.3

            Research Article Pages: 1 - 5

            The Cope up Effect: The Effect of Workplace Incivility on Organizational Deviance through the Work Exhaustion with the Moderating Role of Personal Spirituality

            Uncivil interactions â?¢ Work exhaustion â?¢ Organizational deviance â?¢ Personal spirituality â?¢ Nurses â?¢ Healthcare â?¢ Quantitative analysis

            Abstract
            Background: Nurses are the indispensable part of any emergency ward of healthcare due to their effective intervention towards patient-care;
            which is directly related to the performance of healthcare organizations. Pakistani Nurses are facing serious challenges due to the
            lack of respect in the society for this profession and harming behavior of patients and fellow employees. This treatment threatens their
            well-being and invokes their deviant behavior at workplace. However, the existence of personal spirituality among nurses suppresses the
            impact of negative events experienced by them as well as it play as intervention to diminish the deviant acts.

            Full Length Research Paper Pages: 1 - 3

            The Prevalence and Perception of Computer Vision Syndrome among Engineering Students

            Neema P J*

            In present era, computer became a part of life and prolonged exposure to computer screen can put a real strain on our eyes and disturbance in musculoskeletal system. This is called “computer vision syndrome.” Objectives: To assess the prevalence and level of perception of computer vision syndrome among engineering students, to find the association between prevalence of computer vision syndrome among engineering students and selected demographic variables and find the association between perception regarding computer vision syndrome among engineering students and selected demographic variables. Methodology: The study covered 100 computer science engineering student from AISAT Engineering College, Ernakulam. Data was collected using g a checklist and Likert scale. Results: Prevalence of computer vision syndrome was 77%. Out of 100 sample, 89% of sample had poor perception and 11% had good perception regarding computer vision syndrome. There was an association between prevalence of computer vision syndrome among engineering students and selected demographic variables like year of and type of device used and there was no significant association between perception regarding computer vision syndrome among engineering students and selected demographic variables. Conclusion: computer vision syndrome was found to be very frequent among the computer science students, which emphasizes the need to adopt some preventive measures to avoid the conditions.

            Commentary Pages: 1 - 1

            Family Centered Care in the Critical Care: Voices of Family Members

            Isabel Coetzee*

            Critically ill patients and their family members experience the critical care unit as an extremely stressful environment. Patients admitted to critical care units are members of a wider patient-family network that functions as a small social network. Family-centered care (FCC) has been described as a partnership approach to health care decision-making. As a philosophy of care, FCC, and the related term patient-centered care (PCC), have been recognized by multiple medical societies, health care systems, state and federal legislative bodies, the Institute of Medicine, and Healthy People 2020 as integral to patient health, satisfaction, and health care quality.

            Editorial Pages: 1 - 1

            Pharmacology Summative Assessments in the AAS Nursing Curriculum

            Yolanda Harper-Morris, RN, DNP

            The City of Chicago Associate Applied Science (AAS) nursing program curriculum does not offer a pharmacology course. In preparation for student’s success on the National Council Licensure Examination Registered Nurse exam (NCLEX-RN), nursing faculty adopted web-based pharmacology contents, to provide additional support and to assist students in learning the concepts of pharmacology throughout the curriculum. At the end of the two-year program, the student’s knowledge of pharmacology was assessed by administering two examinations: ATI-RN Pharmacology exam and ATI RN Comprehensive Predictor exam. If the students are passing the ATI Comprehensive Predictor exam which incorporates pharmacology, is it necessary to administer the additional ATI RN Pharmacology examination.

            Research Article Pages: 1 - 3

            Florence Nightingale-Pioneer in Research & Statistics in Nursing

            AM Bulathwatta

            The Character Sarah Camilton in this story is fictitious and bears no resemblance to anyone.The famous nurse theorist, Dr.Sarah Camilton was invited to address the student nurses in Sri Lanka at the celebration of International nurses’ day on 1930.she was a member of the team of nurses sent to the Crimea during the year 1854.She had delivered her speech as a story which included Florence Nightingale’s research and statistical works.

              Research Article Pages: 1 - 12

              Abiodun Samuel olowolafe*

              This study assessed the knowledge and practice of family planning among nursing mothers attending child welfare clinic in Lagos university teaching hospital, Lagos state. The  family planning has called for global attraction because of its usefulness and importance in decision making regarding population growth regulation. The objectives of the study is to assess the Knowledge of family planning among nursing mothers, to assess the practice of family planning, to identify factors influencing utilization of modern family planning methods among nursing mothers. The significant of the study is to provide quality nursing care and support on family planning programme to nursing mothers confronted with the challenges. The target population consists of nursing mothers attending child welfare clinic in in Lagos university teaching hospital. Descriptive design of correlation type was adopted for the study and population of the study for three month comprised 600 nursing mothers and 240 nursing mothers was conveniently selected. Knowledge and Practice of Family Planning Among Nursing Mothers Questionnaire (KPFPANMQ) was used to collect data and same were analyzed descriptively and deferentially. The results showed that 60% of Nursing Mothers have good Knowledge of family planning, 53% of Nursing Mothers have not practice family planning. About 52% of respondent stated that myths, negative perceptions, false beliefs, weight gain, changes in the mood were factors influencing women from using modern family planning in their community. The study further indicated that sex education will lead to more sexual behavior. The hypothesis stated that there is no significant different between the educational backgrounds and knowledge of family planning in the study area was rejected (T-Cal= 136.98, df = 239 & p<0.5). The study concluded that the nursing mother have low practice of family planning despite the availability and accessibility of family planning method. It was recommended that Nurses should facilitate effective improvements on uses and practices of family planning among women during antenatal care.

              Research Article Pages: 1 - 7

              Filmona Mekuria* , Alemayehu Bekele, and Tinebeb Seyoum

              Background: Neonatal mortality constitutes a major public health problem. Ethiopia has made a great progress on
              institutionalization of deliveries where deliveries are mainly facilitated by midwives and nurses by providing essential newborn care. Hence,
              assessing the knowledge of these professionals is a primary concern. Therefore, this study is intended to identify knowledge gap on
              essential newborn care.
              Objective: The objective of this study was to assess the knowledge of essential newborn care and associated factors.
              Methods: Facility based cross-sectional study was conducted. All nurses and midwives who provide delivery and neonatal care were
              involved in the study. Self-administered questionnaires were distributed to participants to collect data and facilitated by data collectors. Data
              was entered to statistical package for social sciences version 21 and analyzed. Finally, the results were illustrated in the form of text, tables and
              graphs.
              Results: The mean knowledge score of study participants was 12.66. The study revealed that 55% of the respondents had good knowledge
              of essential newborn care. Field of study was found to have significant association with the knowledge of essential newborn care.
              Conclusion and recommendation: The study population had poor knowledge on some aspects of essential newborn care. Field of study was
              found to be independent predictor of knowledge. Therefore, strengthening and incorporation of all components of essential newborn care in
              the curriculum was recommended.

                Research Pages: 1 - 4

                Impact of Face-to-Face Instruction to Nursing Students Learning Engagement

                James Malce Alo* and Neama Mohamed Fouad Kamel

                DOI: 10.37421/2167-1168.2023.12.607

                The purpose of this action research study will be to identify the impact of face-to- face learning to nursing students. The learning methodology is where the teacher and the student meet in a set place for a set time, for either one-on-one learning or, most commonly, in group class lessons like what happens in school.

                Face-to-face learning is essentially a teacher-centered method of education and tends to vary widely among cultures. Many modern education systems have largely shifted away from traditional face-to-face forms of educational instruction, in favor of individual students’ needs.

                This instructional method is where course content and learning material are taught in person to a group of students. This allows for live interaction between a learner and an instructor. It is the most traditional type of learning instruction. Learner’s benefit from a greater level of interaction with their fellow students as well. In face-to-face learning, students are held accountable for their progress at the class’s specific meeting date and time. Face-to-face learning ensures a better understanding and recollection of lesson content and gives class members a chance to bond with one another.

                In the classroom discussion, the teachers should have the ability to motivate and behaviorally engage in an effective learning process to students. To engage learners are more likely to enjoy learning, thus stay committed to completing student courses. They are also more likely to engage with their learnings and spread their novel acquired knowledge through peer-to-peer interaction.

                Therefore, the nursing students (PIEF) Participation, Interest, Excitement, Interaction and Focus on learning engagement were hugely impacted the face-to-face instruction methodology they have had experienced in teaching plays a vital role in fortifying the students’ faculties in their education. The more they were engaged in learning activities when they can see their teacher personally in the classroom and laboratory settings, the more they will understand very well the theory, concept and application of their choice profession.

                  Research Pages: 1 - 7

                  Psychometric Evaluation of the Depression, Anxiety and Stress Scale (DASS21) Among a Sample of Egyptian University Students

                  Shewikar Faruag*, Abdul Nasser Ameer and Mahmoud Ali Moussa

                  DOI: 10.37421/2167-1168.2023.12.616

                  Objectives: The study aimed to investigate the global structure of depression, anxiety and stress scale. Previous studies have shown that there is a conflict in determining the most accurate construction. The study verified seven models like first and second order of general factor model, Confirmatory 3 factor model, two factor and Bifactor model.

                  Methodology: 434 students from Suez Canal University, College of Education participated in this study. The sample was chosen by the snowball method. The abbreviated version was translated into Arabic with the help of English language curriculum specialists. The scale consisted of 21 items distributed on three factors: anxiety, stress and depression. The five-point Likert scale was chosen to respond to items. IBM SPSS V26 and M Plus V8 used to perform the data analysis.

                  Results: The results reached the perfection of the exploratory three factors than the Bifactor model. The overall stability of the scale by the alpha coefficient reached 0.949, while the alpha coefficient ranged from 0.854 to 0.884 for the three dimensions. The study showed high rates of stress, while levels of depression and anxiety were moderate among participants. The study limitations were that the high sample size in females than males, which doubts the generalization of depression dimension results in new samples.

                    Case Series Pages: 1 - 6

                    A Study to Assess the Knowledge and Practice Regarding Prevention of Home Accidents among Mothers of under Five Children at Milaganoor

                    Karpaga Latha*

                    Children are the potential sources of nation. They are the citizen of tomorrow and hence the child health care are rightly called custodian’s tomorrow.

                    The aim of the study was to determine the knowledge and the practice of mothers regarding prevention of home accidents and to improve the knowledge and practice through information booklet.

                    The review of literature enabled the investigation to develop the conceptual frame work, methodology for the study and plan for analysis of data in an effective and efficient way. The conceptual frame work adopted for this study was based on health belief model, which focuses on providing knowledge and thread about the consequences of home accidents among mothers of under five children.

                    The research approach adopted for this study was descriptive approach and the design used in this study was a descriptive design. The tools used for this study was semi structured knowledge questionnaire and observation checklist and sample was interviewed by using semi structured knowledge questionnaire. Milaganoor was selected for this study. Convenient sampling method was used for sample selection. A sample size was 60 mothers of under five children were taken for the study according to the inclusion criteria.

                    Among the mothers of under five children 17 (28.3%) had adequate knowledge, 19 (31.7%) had moderately adequate knowledge and 24 (40%) had inadequate knowledge.

                    Among the mothers 17 (28.3%) had good practice, 14 (23.3%) had average practice and 29 (48.4%) had poor practice.

                    The computed R-value is +0.2428. The positive correlation was found between knowledge and practice. Mothers who had adequate knowledge they followed good practices. Overall, when the knowledge is adequate, the practice is also good.

                    There is a significant association exist between the knowledge and the educational status of the mother and type of housing. There is significant association exist between the practice and the educational status of the mother, family income and type of housing.

                      Research Article Pages: 1 - 5

                      Collaborating with the Community for Quality Mental Health Care: Exploring the Possibilities of Nurses? Roles in Northern Nigeria

                      Emmanuel Ejembi Anyebe*, Murtala HH, Igbinlade SA, Ejidokun A, Umar JN and Leslie T

                      Providing quality mental health care in the community level requires collaboration between the community and health workers including nurses. This study explored the community-primary health care system link in forty-seven health centres and their host communities in three purposively selected states in Northern Nigeria. A mixed-research method was employed to obtain data from 191 PHC workers, and 18 community members including Traditional Medicine Men (TrMM). Data were collected through a questionnaire and in-depth interviews. Quantitative analyses was done descriptively using SPSS Version 20 while the qualitative analysis was carried out thematically. These were synergised to meet research objectives. Findings show that 55.0% of the workers said there is no collaboration with the community, while another 42.0% claimed that communities are involved. Nurses and midwives constitutes 23.5% (n=45) of the PHC workforce. Further survey findings indicated 53 (33.0%) of respondents reported collaboration between the traditional and the modern health practitioners; 84 (44.0%) reported absence of it; others (n=44; 23.0%) were uncertain. Qualitative data supported these divergent views. Community leaders in two of the three states revealed community collaboration; some community leaders were even made chairmen of PHC committees in their respective domains. However, responses from the TrMM were mixed. While some TrMM said they invited modern medical practitioners (like nurses in Gombe State) to treat the physical conditions of their mental patients, some others even established an occupational therapy collaboration with specialist neuro-psychiatric hospitals (like in Kaduna State). Yet others vehemently refused even visits from modern mental health workers to their centres (in Kaduna State) for various reasons. These findings present PHC workers including nurses/midwives) with diverse challenges of collaborating with the community’s traditional medical system, which need to be overcome to achieve effective community mental health care. The need for continual enlightenment and advocacy on collaboration to attain this is paramount. Health care professionals should continue to brainstorm on the appropriate models to adopt for a more robust collaboration to make the scarce community mental health services available to communities.

                    Relevant Topics

Google Scholar citation report
Citations: 4230

Journal of Nursing & Care received 4230 citations as per Google Scholar report

Journal of Nursing & Care peer review process verified at publons

Indexed In

 
arrow_upward arrow_upward