Open Access Original Research Article

Assessment of Bacterial Burden and Knowledge, Attitude and Practices of Health Workers on Nosocomial Infection in General Hospital Ilorin, Kwara State

Olaolu O. Bilewu, Adedapo A. Adejumo, Abiodun Olasehinde

Asian Journal of Research in Nursing and Health, Page 1-12

Background: Nosocomial infection constitute over 25% of infection rates in the hospital setting causing significant morbidity and mortality especially in developing countries [1]. Microorganisms are present in the hospital environment including surfaces of sinks, taps, bedpans, beds, floors, bedspreads, stethoscopes, chairs, cupboards, theatre rooms, on surgical instruments [2]. Microbes in hospital public spaces have been a concern driven subject of significant importance, most especially in developing countries where nosocomial infection is considered to be two to three folds higher than in the developed countries [3].

Methodology: A qualitative survey involved the administration of a structured questionnaire to elicit data on the human dimensions for assessing the knowledge attitude and practice of health worker in nosocomial infection from different Units and Departments of the General Hospital Ilorin. Also, laboratory analysis of samples collected from contact surfaces from different wards was done.

Results: Showed the practices of health workers that influences nosocomial infection, it indicates a higher percentage (63.7) of the population do not use personal protective equipment(PPE), The waste disposal method open dumping takes the highest percentage (55%) also, once in a day hospital disinfection is indicated by highest percentage (43.3%). Highest percentage (40.8%) Indicated that Izal is used for disinfection A higher percentage (56.8%) indicated that there is no Steady water supply. Highest percentage (59.2%) of the population study indicated that the source of water supply is well.

Conclusion: The burden of HAIs is very high, knowledge of workers concerning HAIs is adequate yet the attitude and practice to prevent HAIs is poor, despite the more scientific knowledge on the roles of inanimate objects in the spread of hospital acquired infections, it is starling that only a minority of healthcare worker takes appropriate steps to counter this transmissibility.

Open Access Original Research Article

A Cross-sectional Study of Nurses’ Practice of Patient Education in Four Healthcare Facilities in Buea, Cameroon

Nahyeni Bassah, Tangwa Palvine Bongkisheri, Bachi-Ayukokang Ebob-Anya, Esoh Godfrey Nji, Kwalar Innoncentia Ginyu

Asian Journal of Research in Nursing and Health, Page 13-19

Background: Nurses are a majority of the healthcare workforce and they spend more time with patients and their families. Thus patient education is an important nursing role, yet it is sometimes neglected. 

Aim: This study was conducted to assess nurses’ practice of patient education in clinical settings and to explore their perception of how this could be facilitated in their hospitals.

Methods: A quantitative cross-sectional study design was employed for this study. A sample of 140 nurses, purposively selected from 4 main hospitals in Fako division of the South West Region of Cameroon took part in the study. Data was collected using a structured questionnaire and analysed descriptively, with the aid of SPSS version 17.0.

Results: Most of the study participants were females (89.3%) and a majority (75%) were between the ages of 18-35. Most of the nurses (65.7%) had a Diploma in nursing. A good number of them (73.6%) had worked between 1-9 years. Most participants (60.0%) reported that their patient teaching activities were predominantly informal. They reported mostly teaching patients about: their next appointments (70.7%), how to continue their drug therapy (68.6%) and where and how to dispose of their waste while in hospital (60.7%). An inappropriate patient environment was reported to hinder effective patient teaching. 

Conclusion: The findings of this study suggest that if nurses are provided with educational aids, patients’ education process guidelines, refresher courses on patient education, and some supervision during the teaching process, patient teaching practice could be enhanced.

Open Access Original Research Article

Factors Influencing Provision of Holistic Nursing Care to Patients Admitted in Medical Wards at Kenyatta National Hospital, Kenya

Inyama Rosyline Khasoha, Lillian A. Omondi, John Kyalo Muthuka, Francis Muchiri Wambura, Lenny Mwagandi Chimbevo, Everlyn Musangi Nyamai

Asian Journal of Research in Nursing and Health, Page 20-35

Introduction: In Kenya, most public hospitals offer good nursing care to patients. However, the type of care given does not really focus on the holistic approach to treatment mostly seen within medical wards with patients who appear stable.

Aims: The study is aimed at establishing factors influencing the provision of holistic nursing care to patients admitted in medical wards at KNH, Kenya.

Study Design: A cross-sectional study involving 80 nurses in medical wards taking care of patients selected using simple random sampling from 100 nurses. Quantitative data was collected using structured self-administered questionnaires both closed and open-ended questions using hybrid model comprising of three phases. Theoretical phase, characteristics of holistic care was identified through a review of literature from PubMed and Google Scholar databases. Fieldwork phase, in-depth interviews were conducted with purposely selected nurses and other healthcare workers. Finally, a theoretical description of the concept of holistic care was extracted mixing both quantitative and qualitative approach. Data were analyzed by using SPSS version 20.0.

Results: 51% of respondents were aged between 26-49 years, 65% were females with 94% being Christians. A large number of respondents, 46% had been working for more than 5 years, 10% of them being wards managers. 95% of respondents demonstrated adequacy knowledge concerning holistic nursing care. Factors found to influence the provision of holistic nursing care included shortage of equipment and supplies (97%); workload inwards (77%); interpersonal relations (90%); nature of nursing (80%); management (87%) and patient outcome feedback (57%).

Conclusion: Provision of holistic nursing care was influenced by the nature of nursing care provided and adequacy of resources. The study recommends that the hospital should organize further training opportunities for nurses; ensuring the adequacy of human resource; provide evaluation tools on care provided and implement feedback obtained from evaluation tools.

Open Access Original Research Article

Work-related Determinants of Nurses’ Burnout in Pumwani Maternity Hospital, Nairobi City County, Kenya

J. W. Muriithi, P. W. Kariuki

Asian Journal of Research in Nursing and Health, Page 36-49

Aim: This study sought to examine work-related factors of burnout among nurses working in Pumwani Maternity Hospital, Nairobi City County in Kenya.

Methodology: A descriptive cross-sectional design was used. The study was conducted at Pumwani Maternity Hospital, Nairobi City County in Kenya. Study period was from August 2015 to December 2016. A total of 96 nurses were included in the study selected through Non-probability sampling. Clustering, purposive and convenient sampling methods were used to select the sample. A self-administered data collection instrument consisting of work related factors questions and Maslach Burnout Inventory -Human Services Survey were used. Data acquired were processed using SPSS version 21, utilizing descriptive and inferential statistics. The theoretical frame work for the study is based on job demands and resources model by Demerouti, Bakker, Nachreiner and Schaufeli (2001).

Results: Finding showed that majority (88.6%) of the respondents were experiencing burn out. Although no work-related factor was found to be statistically significant in influencing burnout levels, role ambiguity and conflict was found to be a significant predicator of burnout. Together with workload, the two were positively related to burnout levels. Provision of essential material reorders, remuneration and extended work shift (in hours) were negatively related to burnout.

Conclusion: The implication of the study shows the need to implement strategies to reduce the incidence of burnout among nurses working in maternal health care facilities. These relate to increase in provision of adequate essential material resources, proper remuneration, compensation for extended shifts, reduced workloads, proper job specifications and description and conflict resolution.

Open Access Review Article

Epidemiology of Child Trafficking in Niger-Delta of Nigeria-Proffering a Panacea

Azuonwu Goodluck, Nduka Christiana Tabechire

Asian Journal of Research in Nursing and Health, Page 50-57

Child trafficking dehumanizes the child and relegates to the background. Victims are treated as modern slaves wherever taken to within or outside their domain, Niger Delta inclusive. Child trafficking is the third most common crime in Nigeria after drug trafficking and economic fraud. This paper examines child trafficking in Niger Delta and proffers solutions. Results from extensive review of literature shows that NAPTIP report of 2017 in pathfinder blog of 2018 showed that male victims are below 11 years whilst, the female are above 18 years out of 40.3 million victims worldwide 25% are children. Three thousand (3,000) children are trafficked daily and are used for sexual exploitation, begging, sale of organs like kidney represents 5 – 10% of transplant, sold to couples for adoption at very high prices. Another trend of child trafficking is baby factory. Determinants of child trafficking in the region are exploration of oil, weak legal system, poverty, changes in standard of living, infertility and adoption to mention but a few. Child trafficking is an aspect of child abuse, it is a major social problems. To put an end to this scourge, the legal system should be fortified to take stringent measures against traffickers. The government/private sectors should employ the citizenry as to meet their daily demands. The Minister of Health should put in place services to assist infertile couples to have their own children. The ministry of health should also abolish baby factories to put an end to the use of girls in making babies for sale at exorbitant prices like commodities.